bluuebunny/crossref_metadata_2025 huggingface dataset:
Uncovering Dental Student’s Online Learning Habits from an Educator’s Perspective
Authors: Ryan Fergal , Alali Abdullah , Ather Moiz , Chow Minger Aveline , Flanagan Siobhan , Hussein Mazen , Kinsella Charlotte , Salama Marina , Van Harten Maria
Published: July 2023

Introduction: Dental students use of online material to supplement their learning has been studied but it is unclear whether educators are aware of the findings of this research. This study aimed to investigate dental students use of online content as a learning tool from an educator’s perspective.

Methods: Educators in the Dublin Dental University Hospital were invited to complete an online survey based on dental students' use of online learning. Quantitative descriptive statistical analyses were carried out as appropriate on the data collected. A focus group with interested survey participants was held to gain a deeper insight into educator’s opinions on this topic. The transcript from this discussion was analyzed by deductive and inductive coding methods.

Results: From a sample of 20 educators, this study found that educators were not aware that students rely on Google and YouTube for educational videos more than university websites. Most educators believed that students are likely to refer to online videos to prepare for dental procedures that they have not done before. The same amount also believed that teachers should incorporate videos into their learning. However, 30% of educators have not uploaded or recommended online videos to their students. Most educators believed they have discussed accuracy and/or relevancy of online content with their students. Interestingly, only 20% believed that students would discuss a contradictory video with their lecturers. The focus group participants expressed concern over the accuracy of online content. They felt that this along with a lack of time were the main reasons that deter them from referring students to online videos.

Conclusions: Dental educators are unaware that students access online dental content through Google and YouTube more often than through official academic platforms. Educators are concerned about the accuracy of online dental content. Many believe that they direct their students on how to determine the accuracy of online content which contrasts with other researchers’ findings. More communication is needed between educators and dental students to address each other’s concerns and enhance student’s learning.
Primary LYmphedema Multidisciplinary Approach (P-LYMA) in Patients Affected by Primary Lower Extremity Lymphedema
Authors: Ciudad Pedro , Bolletta Alberto , Kaciulyte Juste , Manrique Oscar J. , Escandón Joseph M.
Published: July 2023

Background: Primary lymphedema is a chronic condition caused by a developmental abnormality of the lymphatic system and its malfunction. Different surgical options such as physiologic and excisional procedures have been proposed. The aim of this study was to present a complete algorithm for the treatment of primary lower extremity lymphedema: Primary LYmphedema Multidisciplinary Approach (P-LYMA).
Methods: Nineteen patients were treated according to the P-LYMA. Patients underwent pre- and post-operative complex decongestive therapy (CDT). Different physiologic and excisional procedures were performed independently or in combination. The primary outcome was the circumferential reduction rate (CRR). The Lymphedema Quality of Life Score (LeQOLiS), reduction in the number of episodes of cellulitis, length of stay, and complications were recorded.
Results: The mean CRR calculated was 72.8±19.6% after twelve months. The episodes of cellulitis per year decreased from a mean of 1.9±0.8 preoperative to 0.4± 0.6 throughtout follow-up. Two patients experienced minor complications. Mean hospitalization time was 5 days. Patients’ quality of life (LeQOLi score) drastically improved from 70.4±11.6 to 24.2 ±13.9 at twelve months post-op.
Conclusion: The P-LYMA algorithm allows to maximize surgical results and improve the quality-of life in patients who suffer from primary lymphedema. CDT is mandatory to optimize results.
Attention Deficit-Hyperactive Disorder (ADHD): From Abnormal Behavior to Impairment in Synaptic Plasticity
Authors: Ugarte Gonzalo , Piña Ricardo , Contreras Darwin , Godoy Felipe , Rubio David , Rozas Carlos , Zeise Marc , Morales Bernardo
Published: July 2023

Attention Deficit-Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder with high incidence in children and adolescents characterized by motor hyperactivity, impulsivity, and inattention. MRI-based evidences support that neuroanatomical abnormalities as the volume reduction of neocortex and hippocampus are shared by several neuropsychiatric diseases as schizophrenia, autism spectrum disorder and ADHD. In addition, it is well documented the abnormal development and postnatal pruning of dendritic spines of neocortical neurons in schizophrenia, autism spectrum disorder and intellectual disability. A recent report using the prenatal nicotine exposure murine model of ADHD support a delay in spine maturation in CA1 neurons correlated with impaired working memory and hippocampal long-term potentiation (LTP). In vivo spine imaging show that dendritic spines are dynamic structures exhibiting Hebbian and homeostatic plasticity triggering intracellular cascades involving glutamate receptors, calcium influx and remodeling of F-actin network. The LTP-induced insertion of postsynaptic glutamate receptors is associated to the enlargement of spine head and long-term depression (LTD) to the spine shrinkage. In this review, we summarize recent evidence emerged from meta-analysis of brain imaging data from ADHD patients, risk loci from global genome-wide analysis and new reports focused on spine molecular structure and dynamics using in vivo imaging in neocortex and hippocampus.
CT-Based Radiomics to Predict the KRAS Mutation in CRC patients. A Retrospective Study
Authors: Porto Álvarez Jacobo , Cernadas Eva , Aldaz Martínez Rebeca , Fernández-Delgado Manuel , Huelga Zapico Emilio , González-Castro Victor , Baleato González Sandra , Garcia-Figueiras Roberto , Antunez-Lopez J Ramon , Souto-Bayarri Miguel
Published: July 2023

Colorectal cancer (CRC) is one of the most common types of cancer worldwide. The KRAS mutation is present in 30-50% of CRC patients. This mutation confers resistance to treatment with anti-EGFR therapy. This article aims at proving that Computer Tomography (CT)-based Radiomics can predict the KRAS mutation in CRC patients. The piece is a retrospective study with 56 CRC patients from the Hospital of Santiago de Compostela, Spain. All patients had a confirmatory pathological analysis of the KRAS status. Radiomics features were obtained from the abdominal contrast enhancement CT (CECT), before applying any treatments. We used several classifiers, including adaboost, neural network, decision tree, support vector machine and random forest, to predict the presence or absence of KRAS mutation. The most reliable prediction was achieved using the adaboost ensemble on clinical patient data, with a kappa and accuracy of 53.7% and 76.8%, respectively. The sensitivity and specific were of 73.3% and 80.8%. Using texture descriptors, the best accuracy and kappa were 73.2% and 46%, respectively, with sensitivity and specificity of 76.7% and 69.2%, showing also a correlation between texture patterns on CT images and KRAS mutation. Radiomics could help manage CRC patients, and in the future, it could have a crucial role in diagnosing CRC patients ahead of invasive methods.
Uncovering the Potential of Indoor Localization: Role of Deep and Transfer Learning
Authors: Kerdjidj Oussama , Himeur Yassine , Sohail Shahab Saquib , Amira Abbes , Fadli Fodil , Atalla Shadi , Mansoor Wathiq , Copiaco Abigail , Daradkeh Mohammad , Gawanmeh Amjad , Miniaoui Sami , Dawoud Diana Wasfi
Published: July 2023

Indoor localization (IL) is a significant topic of study with several practical applications. The area of IL has evolved greatly in recent years due to the introduction of numerous technologies such as WiFi, Bluetooth, cameras, and other sensors. Despite the growing interest in this field, there are numerous challenges and drawbacks that must be addressed to develop more accurate and sustainable systems for IL and its real-life applications. This review study gives an in-depth look into IL, covering the most promising artificial intelligence-based and hybrid strategies that have shown excellent potential in overcoming some of the limitations of classic methods. In addition, the paper investigates the significance of high-quality datasets and evaluation metrics in the design and assessment of IL algorithms. Furthermore, this overview study emphasizes the crucial role that machine learning techniques, such as deep learning and transfer learning, play in the advancement of IL. A focus on the importance of IL and the various technologies, methods, and techniques that are being used to improve it. Finally, The survey highlights the need for continued research and development to create more accurate and scalable techniques that can be applied across a range of industries, such as evacuation-egress routes, hazard-crime detection, smart occupancy-driven energy reduction and asset tracking and management.
Peri-Procedural Management of Direct-Acting Oral Anticoagulants (DOACs) in Transcatheter Miniaturized Leadless Pacemaker Implantation
Authors: Regoli François Diederik , Saguner Ardan M. , Auricchio Angelo , Demarchi Andrea , Pasotti Elena , Conte Giulio , Caputo Maria Luce , Özkartal Tardu , Breitenstein Alexander
Published: July 2023

Introduction: Data on peri-operative management of direct-acting oral anticoagulants (DOACs) during transcatheter pacing leadless system (TPS) implantation remain limited. This study aimed to evaluate a standardized DOAC management regime consisting in interruption of a single dose prior to implantation and reinitiation within 6-24 hours; also, patient clinical characteristics associated with this approach were identified. Method Consecutive patients undergoing standard TPS implantation procedure from two Swiss tertiary centers were included. DOAC peri-operative management included the standardized approach (Group 1A) or other different approaches (Group 1B). Results Three hundred and ninety two pts (mean age 81.4±7.3 years, 66.3% male, left ventricular ejection fraction 55.5±9.6%) underwent TPS implantation. Two hundred and eighty two pts (71.9%) were under anticoagulation therapy: 192 pts were treated with DOAC; 90 pts were under vitamin-K antagonist. Patients treated with DOAC less often had structural heart disease, diabetes mellitus, and advanced renal failure. The rate of major peri-procedural complications did not differ between Groups 1A (n=115) and 1B (n=77) (2.6% and 3.8%, p=0.685). Compared to 1B, 1A patients were implanted with TPS for slow ventricular rate atrial fibrillation (AF)(p=0.002), were in better overall clinical status, and were implanted electively (<0.001). Conclusions Standardized peri-procedural DOAC management was more often implemented for elective TPS procedure and did not seem to increase bleeding or thromboembolic adverse events.
Patient-Specific Preictal Pattern-Aware Epileptic Seizure Prediction with Federated Learning
Authors: Saemaldahr Raghdah , Ilyas Mohammad
Published: July 2023

Electroencephalography (EEG) signals are the primary source for discriminating the preictal from the interictal stage, enabling early warnings before the seizure onset. The epileptic seizure prediction models face significant challenges due to data scarcity, diversity, and privacy. This paper proposes a three-tier architecture for epileptic seizure prediction associated with the Federated Learning (FL) model that enhances the capability by utilizing the significant amount of seizure patterns from globally distributed patients with data privacy. The determination of the preictal state is influenced by global and local model-assisted decision-making by modeling the two-level edge layer. Integrating the Spiking Encoder (SE) with Graph Convolutional Neural Network (Spiking-GCNN) works as the local model trained using the bi-timescale approach. Each local model utilizes the aggregated seizure knowledge from the different medical centers through FL and determines the preictal probability in the coarse-grained personalization. The Adaptive Neuro-Fuzzy Inference System (ANFIS) is utilized in fine-grained personalization to recognize epileptic seizure patients by examining the outcomes of the FL model, heart rate variability features, and patient-specific clinical features. The proposed seizure prediction is evaluated using benchmark datasets by comparing them with the existing works to demonstrate the potential results.
Application of the Fuzzy Approach to Evaluation and Selection of Relevant Objects, Features and their Ranges
Authors: Paja Wiesław
Published: July 2023

Significant attribute selection in machine learning is one of the key aspects aimed at simplifying the problem and reducing its dimensionality, and consequently speeding up computation. This paper proposes new algorithms for selecting not only relevant features but also for evaluating and selecting a subset of relevant objects in a dataset. Both algorithms are mainly based on the use of a fuzzy approach. The research presented here yielded preliminary results of a new approach to the problem of selecting relevant attributes and objects, and, in fact, to selecting appropriate ranges of their values. Detailed results obtained on the Sonar dataset show the positive effects of this approach. Moreover, the observed results may suggest the effectiveness of the proposed method in terms of identifying a subset of truly relevant attributes from among those identified by traditional feature selection methods.
A Study on Particulate Matter From an Area With High Traffic Intensity
Authors: Mustață Dan Marius , Popa Rareș Mihăiță , Ionel Ioana , Dughir Ciprian , Bisorca Daniel
Published: July 2023

The research is focusing on analyzing the concentrations of particulate matter (PM) next to a highly congested road section, with 39,900 as a maximum number of vehicles per 24 h, in the vicinity of Timisoara, Romania. Concentrations have been measured in multiple episodes using two different measurement methods, gravimetric and dynamic light scattering, showing a disperse range of PM concentrations. Presence of metal particles in the samples have been analyzed using an electron microscope. Additionally, impact on human health is described by evaluating results for inhalable, thoracic, and alveolar sized particles.
Functional Significance of the Curve of Spee: Electro-myographic Analysis of Young Adults-A Preliminary Study
Authors: Bertolino Ilde , Messina Pietro , Karobari Mohmed Isaqali , Marya Anand , Scardina Giuseppe Alessandro
Published: July 2023

An analysis of the curve of Spee in relation to muscle activity, assessed by electromyographic analysis, on a group of 16 young adults with previous fixed orthodontic treatment is proposed as a pilot study.
Given the high incidence of this type of dental treatment, it is important to point out how, in this field of dentistry, there is a marked tendency to level and flatten this anatomical occlusal curve, as proposed by Andrews. If in orthodontics there is a standardized levelling of the curve of Spee, in the prosthetic and restorative field, the management of the curve of Spee requires greater attention and often even an individualized approach. The purpose of this study is to investigate what the levelling of the antero-posterior occlusal curve entails in terms of masticatory effectiveness and harmony. From the results obtained, it can be seen that in order to optimize the harmony of the stomatognathic apparatus, the curve of Spee is a parameter that requires individual attention: modifying it through standardized levelling has inevitable consequences.
Simulation Study on Reseeding Link of an Air-Suc-tion Precision Tray Seeder
Authors: Zou Hantao , Wu Mingge , Shen Yunde , Xu Rui , Zhang Chenghao , Wang Minliang
Published: July 2023

Sowing accuracy is a critical factor in evaluating the precision of sowing equipment, and the sowing rate of the sowing equipment developed at home and abroad cannot reach 100 %, so this paper designs a seed reseeding device, aiming to improve the sowing rate secondly. Firstly, the structural composition of the seed reseeding device is introduced; secondly, according to the production object selected in this paper, kale seed (Jingfeng No.1), the best combination of factors and levels of the suction nozzle is 8 m/s inlet speed, 1.8 mm aperture, 18 mm lead and V-shaped nozzle by using orthogonal experiment; then, the EDEM software was used to conduct the vibration test, and it was found that the seed group “boils” steadily at about 15.13 mm (the depth of the reseeding tray is 23 mm), which can effectively improve the suction rate of the suction nozzle; finally, by combining the simulation results of the flow field using Fluent/ANSYS software and the spatial distribution of seeds, the number of seeds in the effective adsorption range of a single suction nozzle is about 4. The determined number of seeds, approximately 4, accounts for only 0.04% of the total number of seeds generated by the simulation. This percentage ensures high suction precision and a single seed rate, particularly under working conditions where a 72-hole tray is being sowed. In general, domestic sowing accuracy ranges from 90% to 95%. With this configuration, the purpose of improving the sowing rate twofold can be achieved.
Inherited Metabolic Diseases From Past to Present: A Bibliometric Analysis (1968-2023)
Authors: Kadıoğlu Yılmaz Banu , Akgül Ayşe Hümeyra
Published: July 2023

Bibliometric studies on inherited metabolic diseases(IMDs) didn't exist in the literature.Our research aims to conduct a bibliometric study to determine the current status,trending topics,and missing points of publications on IMDs.Between 1968-2023, we conducted a literature search with keyword "inherited metabolic disease" in the SCOPUS-database.We included research articles in medicine written in English,published in the final section.We created our data pool using VoSviewer, SciMAT, and Rstudio software programs for bibliometric parameters of the articles that met the inclusion criteria.We performed bibliometric analysis of the data with R-package "bibliometrix" and BibExcel programs.We included 2702 research articles published on IMDs.Top three countries that have written the most articles in this field are; USA(n= 501), United Kingdom(n=182), and China(n= 172).The most preferred keywords by the authors were;newborn screening(n=54), mutation(n=43), phenylketonuria(n=42), children(n=35), genetics(n= 34) and maple syrup urine disease(n=32).Trending topics were osteoporosis, computed tomography, bone marrow transplantation in the early years of the study, chronic kidney disease, urea cycle disorders, next-generation sequencing, newborn screening, and familial hypercholesterolemia in the final years of the study. This study provides clinicians with a new perspective showing that molecular and genetic studies in inherited metabolic diseases will play an essential role in diagnosis and treatment in the future.
A Longitudinal Analysis of Cyber Adversarial Tactics and Techniques
Authors: Rich Marshall S.
Published: July 2023

In the face of escalating cybercriminal sophistication, an innovative approach to network anomaly detection has been pursued in this longitudinal study, integrating computational data analytics in a geographic, organizational, and behavioral context. A data-driven scoring mechanism was employed to systematically analyze and correlate source countries of IP addresses and organization-associated Autonomous System (AS) Numbers (ASN) with network anomalies. Significant correlations between certain countries, specific organizations, and high behavior scores were identified through the data analytics. An increase in connection requests was also found to be linked with elevated behavior scores. Validated by cross-validation techniques, these findings emphasize the necessity for continuous model recalibration. The transformative role of integrative data analytics in cybersecurity is underscored, paving the way for the development of more sophisticated, context-aware anomaly detection systems. Specifically, the analysis underscores the need for organizations to adopt a proactive and adaptive approach to cybersecurity that can keep pace with the evolving threat landscape.
Survey on PJOK Facilities and Infrastructure In Online Learning In The Era of Covid-19 at The State Elementary School on Gondang District, Sragen Regency
Authors: Abidin Fajar Aria , Mukholid Agus , Kardiyanto Deddy Whinata
Published: July 2023

The purpose of this study was to determine the state of PJOK facilities and infrastructure in online learning in the covid-19 era in State Elementary Schools throughout Gondang District, Sragen Regency in 2020/2021. This research is descriptive qualitative. The population in this study were all State Elementary Schools in Gondang Sub-district, Sragen Regency in 2020. Data collection in this research study on the state of Physical Education and Health (PJOK) facilities and infrastructure for Public Elementary Schools in Gondang District, Sragen Regency included observations, interview guidelines. and observation. The data analysis technique used a descriptive percentage formula which was carried out by dividing the total score obtained by the ideal score and multiplied by 100%. The research procedure includes the research stage, the proposal preparation stage, the instrument preparation stage, the data collection stage, the data analysis stage, and the reporting stage. The results of data analysis can be conveyed as follows: (1) facilities and infrastructure that are suitable for use and included in the very good category are Whatsapp Group, the use of Youtube and Google Classroom links including facilities that are suitable for use but need changes, while facilities and infrastructure that are not worth using and included in the very bad category are Zoom Apps; (2) the overall interaction in PJOK online learning has been effective; (3) there are obstacles that occur during the implementation of online learning, namely, less effective learning, limited facilities and infrastructure, difficulty for students to understand the explanation from the teacher, signal constraints, lack of enthusiasm for students, constrained tools used to communicate, and lack of parental supervision; (4) future expectations for the implementation of PJOK online learning, namely that face-to-face learning will soon be re-implemented, online learning is carried out by visiting students' homes with small groups (3-5 children), the online learning implementation system is further improved, with the implementation of online learning It is hoped that there will be a curriculum renewal that is in accordance with current conditions, facilities and infrastructure need to be improved, parental care is needed, the cohesiveness of educators needs to be improved, online learning is carried out with constant monitoring, and students are expected to be more active.
Development of a bat (loban) and baseball (serpa) as media to attract students' interest in playing baseball for class IV MI Nurul Huda Gandusari
Authors: Agustina Dwiani , Sceisarriya Vega Mareta
Published: July 2023

The background of this research is the lack of interest of students in playing baseball because of the limitations of teachers in making innovative learning models such as making interesting media for learning to play baseball, thus making students not excited and bored with baseball material. Therefore, it is necessary to develop learning media for hitting tools (loban) and baseball (serpa) so that students are happy and interested in playing baseball. This research using the ADDIE model. The instrument in this study used questionnaires. Based on the research, it was found that with the development of learning media in the form of a punch (loban) and baseball (serpa) able to attract the interest of fourth grade students at MI Nurul Huda Gandusari it can be said that by modifying the media in the form of a punch (loban) and baseball (serpa). This can be proven from the results of the percentage value which shows the average value in the small group trial results the average value is 83% while the average value in the large group trial results shows an increase in the number of scores. the average is 93%. Thus, the development of learning media in the form of a punch (loban) and baseball (serpa) is in good category and can be used as a medium that attracts students to play baseball. Overall, the loban bat and the serpa ball were declared suitable for use in the baseball game after going through validation from media experts and traditional game experts.
Penerapan Pembelajaran Pendidikan Kewarganegaraan Berbasis Project Citizen untuk Penguatan Karakter Gotong Royong
Authors: Abih Gumelar  , Maftuh Bunyamin , Hakam Kama Abdul , Budimansyah Dasim
Published: July 2023

Penelitian ini dilatarbelakangi oleh belum optimalnya penerapan model pembelajaran dalam Pendidikan Kewarganegaraan (PKn) hal tersebut ditunjukkan dengan munculnya permasalahan yakni proses pembelajaran yang berlangsung menakutkan dan mencemaskan. Hal tersebut membuat peserta didik tidak senang, membosankan, tertekan, kaku, menegangkan, serta menjenuhkan, sehingga belum sepenuhnya mampu membina dan menguatkan  karakter gotong royong. Bertolak dari kondisi tersebut, penelitian ini bertujuan untuk menemukan gambaran serta analisis dari penerapan model pembelajaran PKn melalui Project Citizen dalam membangun karakter gotong royong. Subjek penelitiannya Mahasiswa/i yang telah belajar Mata Kuliah Wajib Kurikulum (MKWK) PKn semester ganjil 2022 di Universitas Pendidikan Indonesia. Penelitian ini menggunakan pendekatan kualitatif dengan metode deskriptif. Teknik  pengumpulan  data menggunakan observasi partisipatif, dan studi dokumentasi. Hasil penelitian menemukan, bahwa (1) penerapan Project Citizen dalam pembelajaran Pendidikan Kewarganegaraan lebih unggul dan efektif dibandingkan dengan model pembelajaran konvensional; (2) mahasiswa/i memperoleh pengetahuan, pengalaman, keterampilan, dan mampu meningkatkan karakter gotong royong, walaupun masih ada beberapa yang belum; serta (3) model Project Citizen termasuk dalam paradigma Effective Citizen Model (Model Pendidikan Umum).
Analisis Peran dan Fungsi DPR/DPRD Sebagai Legislator ditinjau dari Perspektif Filsafat Hukum
Authors: Sucipto Friska
Published: July 2023

Negara Indonesia merupakan negara yang menganut sistem demokrasi Pancasila. Kedaulatan Negara seutuhnya berada ditangan rakyat dan dilaksanakan menurut Undang-Undang Dasar, tertuang di Pasal 1 ayat (2) UUD 1945. Pemerintah yang menjadi penyelenggara negara berdasarkan pemilihan oleh rakyat haruslah bekerja untuk kepentingan seluruh rakyat. Salah satunya lembaga perwakilan penyelenggara negara yaitu DPR/DPRD yang salah satunya memiliki tugas sebagai pembentuk Peraturan Perundang-undangan yang sesuai dengan tujuan dan cita-cita bangsa serta mencerminkan keadilan yang hidup dimasyarakat, demi mengoptimalkan terwujudnya Pembentukan Peraturan Perundang-Undangan yang baik, seorang anggota DPR/DPRD haruslah orang Filsafat Hukum dan mengerti lebih dalam tentang Hukum serta mengetahui Hukum yang baik bagi masyarakat Indonesia. Kata Kunci: DPR/DPRD, hukum yang baik, mencerminkan keadilan.
Revisi Peruntukan Status Teluk Benoa Bali
Authors: Amir Nabbilah , Adlansyah Burhan
Published: July 2023

Abstrak

Teluk Benoa telah menghadapi problematika terkait penataan ruang yang dulunya sebagai kawasan konservasi (Zona L3) menjadi kawasan pemanfaatan umum (Zona P) dengan dikeluarkanya Perpres No. 51/2014 Perubahan Atas RTRKP SARBAGITA. Dan dalam Perpres tersebut menghendaki Teluk Benoa melalui kegiatan revitalisasi dapat diselenggarakan reklamasi seluas 700 Ha. Metode penelitian yang digunakan adalah yuridis normatif. Hasil penelitian menunjukkan adanya indikasi upaya pemutihan pelanggaran tata ruang sebab izin reklamasi tidak bias diberikan kepada PT. TWBI untuk melaksanakan reklamasi di Teluk Benoa yang berstatus sebagai kawasan konservasi dalam Perda RTRW Kabupaten Badung, sebab kegiatan reklamasi wajib memiliki izin lokasi yang disesuaikan dengan RZWP3K dan RTRW dan masyarakat Bali sepakat bahwa setiap pembangunan di Bali harus didasarkan pada nilai-nilai kearifan lokal yang terkonsep dalam Tri Hita Karana

Kata Kunci: Teluk Benoa, Peraturan Presiden, Peraturan Daerah, Penataan Ruang, Reklamasi.
Validation of MRI Quantification of Liver Fat, Keeping CT Liver Attenuation Index (LAI) as Gold Standard
Authors:   Department of Radiology, Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore, Pakistan, Ijaz Faryal , Khan Samina ,   Department of Radiology, Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore, Pakistan, Rafique Muhammad Salman ,   Department of Radiology, Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore, Pakistan, Kundi Sana ,   Department of Radiology, Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore, Pakistan, Malik Tahir ,   Department of Radiology, Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore, Pakistan, Malik Ahmad Karim ,   Department of Gastroenterology and Hepatology, Pakistan Kidney and Liver Institute and Research Center (PKLI & RC), Lahore, Pakistan.
Published: July 2023

Abstract: Background: Non – Alcoholic Fatty Liver Disease (NAFLD) is emerging as a considerable health problem in patients visiting gastroenterology clinics. It is of crucial importance to evaluate the extent of hepatic steatosis in potential candidates for living donor liver transplantation (LDLT) to ensure donor safety as well as optimum graft regeneration. Objective: To validate the MRI quantification of liver fat keeping CT liver attenuation index as gold standard. Materials and Methods: This cross-sectional study was carried out in the department of Diagnostic Radiology, Pakistan Kidney and Liver Institute and Research Centre from 10th October, 2022 to 10th December, 2022. We determined the sample size using WHO sample size calculator. The MR fat fraction sequence was acquired as a part of the obligatory MRCP in 70 potential liver donors who undertook CT abdomen. Liver Attenuation Index (LAI) and MR fat fraction were determined separately by two radiologists who were blinded to each other. LAI was calculated as: Mean liver attenuation – mean splenic attenuation. MRI fat fraction from seven areas of liver were taken and their mean calculated to determine the percentage of liver fat. SPSS version 20 was employed for statistical analysis and Pearson’s Correlation was applied. Results: Among the 70 donors 42 were males and 28 were females (M: F= 1.5: 1). The hepatic fat fraction values on MR were correlated with the liver attenuation index on CT using a two – tailed Pearson correlation test. The results showed a very strong negative correlation between the two; the lower the LAI, the higher the MR fat fraction (Pearson correlation coefficient r = -0.932, p<0.05). Conclusion: Strong correlation was found between MRI estimation of liver fat and CT LAI fat estimation. MRI is safer than CT as it does not involve ionizing radiation, is quicker to perform, and hence can be recommended as future method of choice.
Detección, diagnóstico previo y tratamiento de enfermedades crónicas no transmisibles en adultos mexicanos. Ensanut 2022
Authors: Escamilla-Nuñez María Consuelo , Castro-Porras Lilia , Romero-Martinez Martin , Zárate-Rojas Emiliano , Rojas-Martínez Rosalba
Published: July 2023

Objetivo. Presentar las prevalencias de adultos que acudieron a realizarse pruebas de detección de enfermedades crónicas no transmisibles (ECNT) en el año previo, las prevalencias por diagnóstico previo de algunas ECNT, así como la proporción de los que siguen tratamiento farmacológico. Material y métodos. Se analizó la información de los cuestionarios de 11 895 adultos participantes de la Encuesta Nacional de Salud y Nutrición de 2022. Se presentan prevalencias e intervalos de confianza al 95%. Resultados. En el año previo se realizaron pruebas de detección de diabetes 12.2%, de hipertensión 9.1% y de dislipidemias 9.0%. La prevalencia por diagnóstico previo de diabetes es de 10.9%, de hipertensión 15.9% y de hipercolesterolemia 30.6%; de éstos, siguen tratamiento farmacológico 89.5, 81.7 y 60.4%, respectivamente. Conclusión. Los porcentajes de quienes acudieron a realizarse pruebas de tamizaje siguen siendo bajas y aún son inferiores a los observados en 2012. Tanto las prevalencias por diagnóstico previo de diabetes y de hipercolesterolemia han aumentado, mientras que la de hipertensión disminuyó 0.17%. Es recomendable realizar la detección de factores de riesgo cardiovascular, incluyendo la diabetes, de manera integrada y se incrementen las tasas de tratamiento.
Prevalencia de comportamientos del movimiento en población mexicana
Authors: Medina Catalina , Jáuregui Alejandra , Hernández César , González Citlali , G Olvera Armando , Blas Nabetse , Campos Ismael , Barquera Simón
Published: July 2023

Objetivo. Describir la prevalencia de los comportamientos del movimiento (CM) en 24 horas en población mexicana. Material y métodos. Se recolectó información de actividad física (AF), tiempo sedentario y sueño para individuos de 10 a 78 años por medio de la Encuesta Nacional de Salud y Nutrición 2022 (Ensanut 2022). Resultados. Más de 65% de niños y niñas no cumple con las recomendaciones de AF y pasan >2 horas/día frente a pantallas. Casi 91% de los adolescentes pasan >2 horas/día frente a pantalla. Más de 30% de los adolescentes y adultos no cumple con las recomendaciones de sueño. Sólo 1.5% de niños y niñas, 4.7% de adolescentes, 4.0% de los adultos y 1.5% de adultos mayores cumplieron las recomendaciones de los tres CM. Conclusión. Se evidencia la necesidad de desarrollar estrategias para contrarrestar la inactividad física, el comportamiento sedentario y el sueño insuficiente desde temprana edad hasta la adultez en población mexicana.
Cobertura de vacunación en niños, niñas y adolescentes en México
Authors: Mongua-Rodríguez Norma , Delgado-Sánchez Guadalupe , Ferreira-Guerrero Elizabeth , Ferreyra-Reyes Leticia , Martínez-Hernández Maribel , Canizales-Quintero Sergio , Téllez-Vázquez Norma Aracely , García-García Lourdes
Published: July 2023

Objetivo. Describir las coberturas de vacunación en 2022 en niñas, niños y en adolescentes, así como comparar las prevalencias observadas con los datos de la Encuesta Nacional de Salud y Nutrición 2021 (Ensanut 2021). Material y métodos. Análisis de datos obtenidos de la Ensanut 2022. Resultados. En los niños menores de cinco años, las coberturas de vacuna con Bacilo de Calmette y Guérin (BCG), hepatitis B, pentavalente o hexavalente, neumocócica, antirotavirus y triple viral (SRP) fueron de 78.5% (IC95%: 70.8,84.6), 65.1% (IC95%: 58.4,71.2), 69.0% (IC95%: 61.8,75.4), 88.0% (IC95%: 83.0,91.7), 81.6% (IC95%: 75.7,86.2) y 61.8% (IC95%: 55.6,67.6), respectivamente. Al primer y segundo año de vida, 42.6% (IC95%: 34.3,51.4) y 26.6% (IC95%: 22.1,31.5) habían recibido el esquema correspondiente. Se redujo la cobertura estimada para primera dosis de SRP 72.6% (IC95%: 67.5,77.1) vs. 61.8% (IC95%: 55.6,67.5). En adolescentes, el antecedente de vacunación contra VPH, hepatitis B, tétanos y doble viral (SR) lo refirieron en 43.7% (IC95%: 39.9,47.6), 31.8% (IC95%: 29.8,34.0), 38.5% (IC95%: 35.9,41.2) y 32.6% (IC95%: 30.15,35.1). Conclusión. No se alcanza la meta de cobertura de 90% para ningún inmunógeno investigado. La cobertura para primera dosis de SRP se ha reducido.
Acceso a servicios de salud prenatal y para primera infancia
Authors: Unar-Munguía Mishel , Hubert Celia , Bonvecchio Arenas Anabelle , Vázquez-Salas R Argelia
Published: July 2023

Objetivo. Conocer las prevalencias de acceso a servicios de salud maternoinfantil. Material y métodos. Se estimaron prevalencias e intervalos de confianza al 95% de acceso a servicios de salud prenatal de madres de niñas/os menores de dos años y de servicios de salud para niñas/os menores de cinco años. Resultados. El 62.6, 82.8 y 95.8% de las madres de niñas/os menores de dos años reportaron control prenatal oportuno, adecuado y atención del parto por personal médico, respectivamente. El 90.2% de las madres recibieron suplementación con ácido fólico y 79.5% con hierro y otros micronutrientes durante el embarazo. El 18.4% de las niñas/os asistieron a ocho consultas del niño sano en el primer año de vida y 27.1% de las niñas/os menores de cinco años tiene evaluación de desarrollo infantil temprano. Conclusión. Los indicadores de atención de salud maternoinfantil son particularmente bajos. Debe fortalecerse el acceso a los servicios a nivel nacional.
Prevalencia de conductas alimentarias de riesgo en adolescentes mexicanos: Ensanut Continua 2022
Authors: Villalobos-Hernández Aremis , Bojórquez-Chapela Ietza , Hernández-Serrato María I , Unikel-Santoncini Claudia
Published: July 2023

Objetivo. Reportar prevalencias poblacionales actualizadas de conductas alimentarias de riesgo (CAR) con respecto a edad, sexo, condiciones de bienestar, tipo de localidad y región del país. Material y métodos. Se utilizaron los datos de adolescentes (n = 3 547) de la Encuesta Nacional de Salud y Nutrición 2022 (Ensanut 2022) obtenidos mediante el cuestionario breve de conductas alimentarias de riesgo (CBCAR) y datos sociodemográficos. Se obtuvieron prevalencias e intervalos de confianza. Resultados. El 1.6% (2.0% en mujeres y 1.2% en hombres) de los adolescentes tienen riesgo de un trastorno de la conducta alimentaria, en aquéllos entre 14 y 19 años, 2.3%, en zonas urbanas 2.1%, en la región centro 2.9% y por tercer quintil de bienestar, 3.1%. Conclusión. Los datos mostrados señalan la importancia de continuar monitoreando las CAR en encuestas representativas nacionales, a diferencia de los estudios realizados en muestras no probabilísticas; la Ensanut permite contar con datos que reflejan la diversidad de la población mexicana.
Características sociodemográficas de hogares y población de la Encuesta Nacional de Salud y Nutrición Continua 2022
Authors: Morales-Ruán María del Carmen , Mayorga-Borbolla Erika , Arango-Angarita Andrea , Méndez-Gómez-Humaran Ignacio , Vizuet-Vega Norma Isela
Published: July 2023

Objetivo. Describir las características sociodemográficas de la población mexicana, y el acceso a los programas sociales alimentarios de la Encuesta Nacional de Salud y Nutrición Continua 2022 (Ensanut Continua 2022). Material y métodos. Se presenta la información descriptiva de las características sociodemográficas y de programas sociales de 10 465 hogares de la Ensanut Continua 2022. Resultados. El 96.0% de la población de 6 a 14 años y 50% de 15 a 24 asisten a la escuela. Los estudios predominantes en los mayores de 25 años son de primaria y secundaria (25.0 y 28.7%, respectivamente). El 4.9% de los hogares no tiene agua entubada y 1.2% no tiene drenaje, 1.7% tiene piso de tierra y 0.8% no cuenta con energía eléctrica. El 43.5% de los hogares recibe algún programa social. Los de mayor cobertura son el Programa de Adultos Mayores (80.5%) y el Programa Nacional de Becas para el Bienestar Benito Juárez (20.5%). Conclusiones. Este manuscrito permitió describir el contexto de la muestra poblacional que incluyó la Ensanut Continua 2022, lo que permite contextualizar los diferentes análisis que se realicen con esta información y observar su contribución en el marco de los determinantes sociales de la salud.
Utilización de servicios de salud en México: cascada de atención primaria en 2022
Authors: Bautista-Arredondo Sergio , Vargas-Flores Adriana , Moreno-Aguilar Luis Alberto , Colchero M Arantxa
Published: July 2023

Objetivo. Presentar un panorama descriptivo de las elecciones de la población mexicana frente a una necesidad de salud en 2022. Material y métodos. Se utilizaron datos de la Encuesta Nacional de Salud y Nutrición Continua 2022. Resultados. De 24.6% de la población que informó haber tenido una necesidad de salud en los últimos tres meses, 44% recibió atención en servicios públicos. El uso de servicios privados es extensivo a toda la población, pero fue más elevado en aquellos sin derechohabiencia. Se encontró que 71% de los motivos por los que las personas no se atendieran en el lugar que les correspondía de acuerdo con su derechohabiencia tuvo que ver con el acceso y 21% con la percepción de calidad. Entre los motivos de acceso para elegir el lugar donde se atendieron destacan la afiliación, la cercanía y el costo. En cuanto a la calidad, resaltan la atención rápida y la satisfacción con la atención. Conclusiones. Con el fin de reducir la desigualdad de acceso y el gasto de bolsillo asociado con un mayor uso de servicios privados, sobre todo entre la población sin seguridad social, mejorar el acceso (como la distancia, los horarios de atención, las barreras burocráticas) puede ayudar a avanzar en este objetivo.
Desarrollo infantil temprano, sus determinantes y disciplina en la niñez mexicana: Ensanut 2022
Authors: Vázquez-Salas R Argelia , Villalobos Aremis , Pérez-Reyes María del Rocío , Barrientos-Gutiérrez Tonatiuh , Hubert Celia
Published: July 2023

Objetivo. Conocer la prevalencia de desarrollo infantil temprano (DIT), sus determinantes y la exposición a métodos de disciplina en la niñez mexicana en 2022. Material y métodos. Se estimaron los indicadores de DIT, sus determinantes y la exposición a métodos de disciplina siguiendo la metodología de las Encuestas de Indicadores por Conglomerados (MICS). Para cada indicador se estimaron las prevalencias e intervalos de confianza al 95% y se desagregaron por características infantiles y sociodemográficas. Resultados. El 19.3% de las niñas y niños de 24 a 59 meses no alcanzó su máximo potencial de DIT. Existe baja asistencia a programas de aprendizaje temprano (7.1%) y preescolar (62.4%). En el grupo de cinco años, 41.7% no tenía libros y 8.1% recibió cuidado inadecuado. El 55.5% de las niñas y niños de 1 a 14 años fue expuesto a disciplina violenta. Conclusión. Los resultados nos permiten conocer la situación de la niñez y orientar la política pública de esta población.
Consumo de tabaco y uso de cigarro electrónico en adolescentes y adultos mexicanos. Ensanut Continua 2022
Authors: Barrera-Núñez David A , López-Olmedo Nancy , Zavala-Arciniega Luis , Barrientos-Gutiérrez Inti , Reynales-Shigematsu Luz Myriam
Published: July 2023

Objetivo. Estimar la prevalencia de consumo actual y previo de tabaco y uso de cigarro electrónico en la población adolescente y adulta mexicana en 2022. Material y métodos. Se utilizó la Encuesta Nacional de Salud y Nutrición Continua 2022 para estimar la prevalencia de consumo de tabaco fumado y uso de cigarro electrónico, considerando variables sociodemográficas. Resultados. El 4.6% de los adolescentes reportó fumar actualmente y 3.7% reportó fumar en el pasado. De los adultos, 19.5% fuma actualmente y 17.8% fumó en el pasado. El consumo de tabaco fue mayor en las áreas urbanas y metropolitanas, en comparación con las rurales y se encontraron diferencias por nivel educativo y región. El 2.6% de adolescentes y 1.5% de adultos reportaron usar cigarros electrónicos. Conclusión. El tabaquismo continúa siendo un problema de salud pública en México. Es prioritario acelerar la implementación completa del Convenio Marco de la Organización Mundial de la Salud para el Control del Tabaco.
Manajemen Kurikulum Berbasis Pesantren (Studi Kasus di Madrasah Tsanawiyah Darul Huda Mayak Tonatan Ponorogo)
Authors: Mahmudah Nisaul , Thoyib Muhammad , Sugiyar
Published: July 2023

Kasus kriminal yang dilakukan oleh pelajar bukan lagi menjadi hal yang asing diberitakan. Hal tersebut menjadi salah satu indikasi menurunnya tingkat penghayatan masyarakat terhadap nilai-nilai pendidikan berbasis karakter. Solusinya adalah dengan menerapkan kurikulum pendidikan nasional yang dipadukan dengan nilai dan kultur pesantren. Tujuan penelitian ini adalah untuk menjelaskan, mendeskripsikan dan menganalisis perencanaan dan pengorganisasian, pelaksanaan, dan evaluasi kurikulum berbasis pesantren di Madrasah Tsanawiyah Darul Huda Mayak. Peneliti menggunakan jenis pendekatan kualitatif dengan studi kasus tunggal. Untuk menganalisis data penelitian, model Matthew B.Miles, A.Michael Huberman, dan Saldana merupakan metode analisis yang penulis gunakan sebagai acuan. Hasil penelitian ini menunjukkan bahwa: 1) Perencanaan kurikulum berbasis pesantren di MTs Darul Huda Mayak dilakukan dengan menentukan tujuan pembelajaran, penyesuaian antara kalender pendidikan nasional dengan kalender agenda  yayasan. Adapun untuk pengorganisasian kurikulum dilakukan dengan merancang agar materi yang diterima siswa di sekolah relevan dengan materi pesantren. 2) Pelaksanaan kurikulum berbasis pesantren dilakukan dengan menerapkan K-13 dan KMA 183/184 dengan penyesuaian terhadap  kurikulum dan kultur pesantren. 3) Evaluasi kurikulum berbasis pesantren dilakukan dengan beberapa tahapan. Pertama yakni evaluasi kegiatan pembelajaran yang dilaksanakan secara berkala, evaluasi materi dan kegiatan pembelajaran pada rapat MGMP, evaluasi sarana dan prasarana, serta evaluasi hasil pembelajaran pada setiap akhir semester.
Fossil Fuel Communities Support Climate Policy Coupled with Compensation
Authors: Gazmararian Alexander F.
Published: July 2023

How does the design of climate policy influence its support in fossil fuel communities? This study conducted survey experiments at Appalachian county fairs to answer this question, overcoming barriers that have limited previous attempts to measure preferences in these crucial regions. Comparing the responses to a new national survey, there is a divergence in preferences for place-based policies, but there is convergence behind support for policies that reduce costs to fossil fuel workers. The study also finds that an intervention to provide information about coal’s decline shifts preferences toward supporting the clean energy transition. Rather than public opinion being an immutable barrier to climate action, a majority (66%) of fossil fuel community residents would endorse climate policy if it were coupled with compensation. Policy design and informational interventions could help to build climate coalitions, even in the places most affected by the energy transition.
Photometric Search for variable stars in the field of two Northern open clusters, DOLIDGE 14 and NGC 1960
Authors: Joshi Gireesh C.
Published: July 2023

The aim of present work is extract and analyses the light curves of the stars in the fields of two clusters, NGC 1960 and DOLIDZE 14. The photometric extraction is performed by comprehensive methodology of SSM via standard transformation and differential photometry using two comparison stars per candidate variable target. The resultant light curves for each possible variable star are displayed and their period analysis are performed via two different methods. The period and classification of 18 discovered short periodic type variable stars of NGC 1960 are discussed, which consist of four known variable stars and fourteen new variable stars. In the case of DOLIDZE 14, four discovered variables consist of one miscellaneous, one rotational, two binary type variable stars. In the case of NGC 1960, the 12 selected comparison stars seems to be possible candidate for long periodic variability and 4 stars may be standard stars. The variation in brightness of other twenty comparison stars is non-pulsating with irregular pattern. Membership analysis of variable stars are performed by using their distance, kinematic probability and location in (U−B) vs (B−V ) TCD. C-M diagrams were constructed to confirm the evolutionary state of the new variable stars.