bluuebunny/crossref_metadata_2025 huggingface dataset:
Financial Performance Assessment through Statement Analysis: A Qualitative Study
Authors: Adelefano Mohammad Rizky , Rahmawati Imelda Dian
Published: November 2023

This qualitative study aims to assess the financial performance of a regional water company using descriptive analysis. Conducted at a specific location in Pasuruan Regency, East Java, the research gathered insights from experts in the Finance Division and General Affairs, Public Relations, and HR. Inductive data analysis revealed increasing liquidity ratios, decreasing solvency ratios, and rising profitability ratios over the years. These findings carry implications for the financial health and sustainability of similar entities, offering valuable insights for decision-makers in the water utility sector.
Highlights: 

Key Insight: Qualitative approach for financial assessment.
Notable Trends: Liquidity, solvency, and profitability ratios.
Sector Implications: Decision support for water utilities.

Keywords: Financial Performance, Statement Analysis, Water Utility, Qualitative Research, Sustainability.
Impact of Store Atmosphere and Brand Loyalty on Repurchase Intentions: A Quantitative Study
Authors: Muzakki Ilham , Sari Dewi Komala
Published: November 2023

This study investigates the influence of store atmosphere and brand loyalty on repurchase intentions at a retail outlet. Utilizing a descriptive approach and quantitative methods, data was gathered from 96 respondents through purposive sampling and Google Forms questionnaires. The analysis, conducted using SPSS Statistics 22, revealed that store atmosphere and brand loyalty significantly affect repurchase intentions. These findings underscore the importance of creating a conducive store atmosphere and fostering brand loyalty to enhance customer repurchase intentions, offering valuable insights for marketers and retailers aiming to optimize customer retention strategies
Highlights:

The study employs quantitative methods to assess the impact of store atmosphere and brand loyalty on repurchase intentions.
Findings confirm a significant influence of both store atmosphere and brand loyalty on customer repurchase intentions.
This research provides valuable insights for marketers and retailers seeking to enhance customer retention strategies.

Keywords: Store Atmosphere, Brand Loyalty, Repurchase Intentions, Quantitative Study, Customer Retention
Enhancing Tofu Product Development: Integrating KANO and QFD Models for Consumer-Driven Satisfaction
Authors: Hidayat Anastasya Putri , Sukmono Rita Ambarwati
Published: November 2023

This study seeks to optimize product development within the tofu industry by synthesizing the KANO and Quality Function Deployment (QFD) models, leveraging consumer preferences as the cornerstone for classification and gauging their profound influence on overall customer satisfaction. Employing a quantitative approach with a descriptive framework, this research employs the KANO model and Quality Function Deployment (QFD) as analytical methodologies. The outcomes unveil a structured approach that effectively aligns product attributes with consumer expectations, thereby enhancing customer satisfaction in the tofu market. This study's implications underscore its potential to revolutionize the tofu industry's product development strategies, emphasizing a consumer-centric approach for global applicability.
Highlights:

Integration of KANO and QFD: Efficient fusion of KANO and QFD models for enhanced product development.
Consumer-Centric Approach: Prioritizing consumer preferences to boost customer satisfaction.
Industry Transformation: Potential to revolutionize tofu product development strategies globally.

Keywords: Tofu, Product Development, KANO Model, QFD, Consumer Preferences
Curriculum Revolution in Higher Education: The Mighty Role of Artificial Intelligence
Authors: Ogunode Niyi Jacob , UKOZOR Conrad Ugochukwu
Published: November 2023

This study investigates the pivotal role of artificial intelligence (AI) in enhancing curriculum implementation within Nigerian tertiary institutions. Utilizing secondary data from diverse sources, the research underscores AI's multifaceted contributions to curriculum execution, encompassing lecture planning, instructional resource preparation, presentation, student assessment, script marking, assignment allocation, student readiness, progress monitoring, and the selection of optimal teaching methodologies. The findings emphasize the indispensable impact of AI on education. Consequently, the study advocates increased government funding for tertiary institutions and the judicious deployment of AI to harness its transformative potential in curriculum implementation on a global scale. Highlights: AI Optimization: Artificial intelligence streamlines lecture planning, resource preparation, and assessment, enhancing curriculum efficiency. Learning Enhancement: AI improves student readiness, progress monitoring, and personalized teaching methodologies. Funding Imperative: Adequate government funding is crucial to harness the full potential of AI in education. Keywords: Artificial Intelligence, Curriculum Implementation, Higher Education, Educational Technology, Government Funding
Eco-Friendly Biomaterial Sticker: Redefining Anti-Radiation Solutions
Authors: Asana Mahila , Chinta Tenri Ayuni Ratna Ade , Islamay Febriana Nur , Nisa Khairun , Sandi Kurnia , Setiawati Indah
Published: November 2023

This study presents an innovative sticker product crafted from environmentally sustainable biomaterials, designed to mitigate radiation exposure from electronic devices while enhancing the aesthetic appeal with the distinguished Banyumas batik motif. To ascertain market viability and effective consumer reception, a comprehensive segmentation analysis was conducted on a sample of 99 smartphone and laptop users. Employing cluster analysis, our findings reveal a strong consensus regarding the product's attributes, affirming its potential as a sustainable and effective anti-radiation solution. Moreover, this research underscores that customer preferences and values play a pivotal role in driving product innovation, alongside practical attributes and material performance. These insights have significant implications for product development and marketing strategies in the burgeoning field of anti-radiation technology.
Highlight:

Innovative Eco-Friendly Solution: This study introduces a novel sticker product made from sustainable biomaterials, offering a dual benefit of reducing radiation exposure from electronic devices and enhancing visual aesthetics with Banyumas batik design.
Targeted Market Analysis: Through comprehensive segmentation and cluster analysis on 99 smartphone and laptop users, the research confirms a widespread consensus on the product's attributes, indicating its potential as an effective and eco-conscious anti-radiation solution.
Customer-Centric Innovation: The study underscores the pivotal role of customer preferences and values in shaping product innovation, emphasizing that practical attributes and material performance alone are insufficient drivers. This insight holds significant implications for future product development and marketing strategies in the evolving anti-radiation technology landscape.

Keyword: Biomaterial Sticker, Radiation Exposure Mitigation, Market Segmentation, Consumer Preferences, Product Innovation
Safeguarding Traditional Cultural Expressions: Legal Regulations for Intellectual Communal Wealth
Authors: Syahnakri Muhamad , Kurniawan I Gede Agus
Published: November 2023

This study examines the potential reformation of features representing traditional cultural expressions as communal intellectual wealth and the regulatory role of law in safeguarding and promoting this positive orientation. Employing normative legal methodology, existing legal frameworks are analyzed. The research reveals that the reformulation of features embodying traditional cultural expressions is pivotal in preserving their cultural continuity as shared intellectual assets. This process entails safeguarding cultural heritage through intellectual property rights, crafting guidelines, cultural education promotion, empowering local communities, preventing intellectual property abuse, international cooperation, and nurturing local creative industries. Legal regulations play a crucial role in protecting and advancing this positive reformation, encompassing Intellectual Property Rights (IPR) protection, registration and identification of traditional cultural elements, cultural policy formulation, community participation rights and consultation, law enforcement, international collaboration, and public education and awareness. These facets collaboratively ensure that traditional cultural heritage is respected, safeguarded, and judiciously utilized, allowing it to persist, evolve, and contribute positively to national identity and global intellectual wealth.
Highlight:

Preservation of Cultural Continuity: The study emphasizes the pivotal role of reformulating traditional cultural expressions in maintaining their cultural heritage's continuity as a shared intellectual asset.

Multi-Faceted Regulatory Approach: The research underscores the comprehensive legal measures, including Intellectual Property Rights (IPR) protection, cultural policy formulation, and community participation rights, aimed at safeguarding and promoting positive reformation.

Global Impact: By ensuring the respectful and judicious utilization of traditional cultural heritage, the study highlights its contribution not only to national identity but also to the broader realm of global intellectual wealth.

Keyword: Cultural Heritage Protection, Communal Intellectual Wealth, Legal Regulations, Traditional Cultural Expressions, Intellectual Property Rights.
The Application of Criminal Sanctions to Law Enforcement Officers Involved in Online Gambling, from the Perspective of Legal Positivism.
Authors: Sari Pika , Amrullah M. Arief , Setyawan Efendi , Yanuarto Totok
Published: November 2023

This scientific article provides an in-depth analysis of the regulatory framework and legal consequences surrounding online gambling in Indonesia, with a specific focus on the provisions outlined in Law Number 19 of 2016 on Information and Electronic Transactions. The primary goal of this research is to examine the legal mechanisms in place to combat cybercrime, particularly online gambling, and their effectiveness in curbing illicit activities in the digital realm. To achieve this, the study employs a comprehensive legal analysis, scrutinizing Pasal 27(2) and Pasal 45(2) of the aforementioned law, which pertain to penalties for online fraud and the legal implications of such actions. The results of this analysis shed light on the legal consequences that individuals engaging in online gambling may face, emphasizing the seriousness with which Indonesian authorities regard such activities. Moreover, the implications of these findings underscore the need for stricter enforcement of cybercrime legislation, highlighting the importance of a robust legal framework in the digital age to ensure a secure and accountable online environment in Indonesia. This study contributes to the scholarly understanding of the legal aspects of online gambling and provides a foundation for further research and policy development in the field of digital law and cybercrime prevention.
Highlights:

Stringent Cybercrime Laws: Indonesian legislation (Law No. 19/2016) includes provisions to combat online gambling, emphasizing the severity of cybercrimes and penalties.
Legal Consequences for Offenders: The study examines Pasal 27(2) and Pasal 45(2) to reveal the potential legal ramifications faced by those engaging in online gambling.
Call for Strengthened Enforcement: The research underscores the necessity of robust enforcement to maintain a secure digital environment in Indonesia.

Keywords: Online Gambling Regulations, Cybercrime Legislation, Legal Implications, Indonesia's Legal Framework, Digital Law Enforcement
Enhancing Arabic Language Learning: Insights from Implementing 'Ta'alam al-'Arabiyyah Ma'ana' Volume 1
Authors: Rakhmaniah Nur Azizahtur , Anwar Najih
Published: November 2023

This study delves into the implementation of the instructional book 'Ta'alam al-'Arabiyyah Ma'ana' Volume 1 in Arabic language courses at Madrasatul Alsun Sidoarjo. Employing a descriptive qualitative approach, data was gathered through observation, interviews, and documentation. The analysis encompassed data collection, reduction, and conclusion drawing. The findings reveal a structured three-stage learning process, encompassing lesson planning, implementation, and evaluation. Supportive factors include proficient educators, student focus, discipline, and adequate facilities. Conversely, challenges encompass student attentiveness, suboptimal learning environments, and fluctuating motivation. Mitigative strategies involve targeted verbal cues, crowd control measures, and sustained motivation through reinforcing the significance and goals of Arabic language acquisition. This research provides valuable insights for optimizing Arabic language education.
Highlight:

Three-Stage Learning Process: The study outlines a structured approach to Arabic language education, encompassing lesson planning, implementation, and evaluation, demonstrating the importance of a well-organized curriculum.
Factors Influencing Success: Proficient educators, student focus, discipline, and adequate facilities are identified as supportive elements, emphasizing the role of these factors in effective language instruction.
Overcoming Challenges: The research highlights strategies to address challenges like student attentiveness, suboptimal learning environments, and fluctuating motivation, underscoring the need for proactive measures to enhance the learning experience.

Keyword: Arabic Language Education, Instructional Book, Implementation, Qualitative Research, Learning Process
Implementing Al-Ashri Textbook in Arabic Learning: Strategies and Evaluation
Authors: Arizal Habib , Fauji Imam
Published: November 2023

This study employs a descriptive qualitative method to elucidate the process of implementing the Al-Ashri textbook in teaching Arabic to tenth-grade Multimedia students at SMK Pemuda Krian. The investigation encompasses three key phases: 1) Preparatory steps, involving student and classroom readiness, material preparation, and the adoption of an introductory mufradat learning strategy. 2) The learning process itself, where the teacher employs various techniques including the drilling method, sam'iah syafahiyah method, and qowaid wa tarjamah method, supplemented by the use of visual aids from the school environment. 3) Evaluation procedures, integrating formative and summative assessments. This research offers valuable insights into effective pedagogical strategies for Arabic language instruction, providing a framework for optimizing learning outcomes in similar educational settings.
Highlight:

The study delves into the implementation process of the Al-Ashri textbook for teaching Arabic to tenth-grade Multimedia students.
It encompasses three vital phases: preparatory steps, diverse teaching techniques, and comprehensive evaluation methods.
The research provides valuable insights for optimizing Arabic language instruction in similar educational contexts, emphasizing effective pedagogical strategies.

Keyword: Descriptive Qualitative Method, Al-Ashri Textbook, Arabic Language Instruction, Pedagogical Strategies, Learning Outcomes
Forming a Sakinah Family through Marriage Guidance for Brides-to-be during the Pandemic
Authors: Azizah Imroatul , Isroani Farida
Published: November 2023

The Covid-19 pandemic has increased the number of divorces that have occurred. Many couples choose to divorce because of economic, psychological, biological factors, domestic violence, differences in outlook on life, and so on. The Covid-19 pandemic has changed various aspects of life, especially in terms of the family economy. The implementation of marriage counseling is considered capable of reducing the high divorce rate during the pandemic, however, there are those who question its effectiveness. The use of descriptive methods and qualitative approaches in this study shows the fact that the implementation of marriage counseling in Tuban Regency Religious Affairs Office had a positive impact on the bride and groom. Data collection techniques in this study using interviews and observation. From the results of the research it is known that the implementation of marriage guidance which is carried out with the material of marriage, household, reproductive health and family is quite effective in reducing the high number of divorces during the Covid-19 pandemic.
NEED ANALYSIS IN THE DEVELOPMENT OF MINI RESEARCH-BASED GENERAL PHYSIOLOGY LEARNING SETS
Authors: Berlian Liska , Hufad Achmad , Fathurrahman Maman , Taufik Annisa Novianti , Mulyani Siti Muhasitoh
Published: November 2023

The general physiology course prepares prospective junior high school science teachers to master the content and science process skills. Skills used to acquire or apply science concepts, laws, theories including mental, physical and social skills are called science process skill. Science process skill is the basis for making rational and correct decisions about controversial issues. Science learning, including at the Junior High School level, should ideally not only be memorized knowledge but also a research process using science process skills, so that students are able to gain science knowledge from new phenomena in nature. To improve the students’ science process skills, the learning sets used by lecturers should be implemented effectively, so it is necessary to analyze the needs of learning sets. The research aims to explain the need analysis in the development of mini research-based general physiology learning sets. The research method used is a qualitative study with the data analysis technique of the Miles Huberman Model. This research was conducted in January 2022 at the Science Education Study Program, Faculty of Teacher Training and Education, University of Sultan Ageng Tirtayasa, Indonesia. Need analysis of learning sets includes needs in the aspects of students, concepts, assignments, and learning objectives. Needs analysis results are learning sets for general physiology based on mini-research suitable for improving the science process skills of prospective science teachers. Comprehensive and truly needs analysis can apply to the next stage of research and development. It can be concluded that the development of mini research-based general physiology learning sets should be conducted according to the findings of need analysis.
IMPLEMENTATION OF STAD-BASED LEARNING MODEL IN IMPROVING STUDENTS’ LEARNING OUTCOMES
Authors: Ina Erlina Tamo , Makaborang Yohana , Enda Riwa Rambu Hada
Published: November 2023

This research was conducted with the aim of increasing student learning outcomes using the STAD learning model on the topic of human digestive system at Payeti Christian Middle School. This research is included in a Class Action Research designed by the Khemis Mc Tanggart model for this study which consists of cycle I and cycle II. Of the four stages, namely planning, implementation, observation, and reflection. The research subjects were 28 grade VIII students. The results showed that the application of the student teams achievement divisions model could improve student learning outcomes in science subjects at Payeti Christian Middle School. The enhancement of students’ learning achievements can be seen from the pre-cycle, cycle I, and cycle II through the learning carried out. This enhancement of student learning outcomes in the cognitive domain at the pre-cycle stage average value of 47.8 cycle I average value of 72.2, experienced an increase in cycle II average value of 80%. In the psychomotor aspects of the first cycle, the average value is 75, with a percentage of 80%. Meanwhile, the psychomotor aspects of cycle II averaged 89.75 with a percentage of 94%. Thus, it can be concluded that the implementation of the student teams achievement divisions model can improve student learning outcomes in biology subjects on the topic of the human digestive system at Payeti Christian Middle School.
Entwicklung Subtypen-präferentieller RXR-Liganden
Authors:   , Adouvi Gustave
Published: November 2023

Bislang sind die strukturellen Voraussetzungen für die Selektivität von Agonisten an den Retinoid Rezeptor Subtypen RXRα, RXRβ und RXRγ kaum erforscht, obwohl RXR-Modulatoren, die eine Subtypen-Präferenz aufweisen, aufgrund der unterschiedlichen Expressionsmuster der Subtypen Gewebe-spezifische Effekte vermitteln und somit Nebenwirkungen verringern könnten. Der Grund dieser Forschungslücke liegt teilweise darin, dass die Entwicklung Subtypen-selektiver RXR-Agonisten aufgrund der enormen strukturellen Ähnlichkeit der Ligandbindestellen in den RXR-Subtypen - alle Aminosäuren, die die Bindungsstellen bilden sind identisch - als unerreichbar angesehen wurde. Die Entdeckung des Naturstoffs Valerensäure als RXR-Agonist mit ausgeprägter Präferenz für den RXRβ-Subtyp hat jedoch gezeigt, dass Subtypen-selektive RXR-Modulation möglich ist249 und SAR-Studien an unterschiedlichen RXR-Ligand-Chemotypen haben in der Folge bestätigt, dass die Entwicklung von RXR-Liganden mit Subtypen-Präferenz erreicht werden kann. Auf der Basis von Valerensäure und der in früheren Arbeiten entwickelten RXR-Agonisten wurden in dieser Arbeit Strukturmodifikationen identifiziert, die zu einer RXR-Subtypen-Präferenz beitragen. Durch die Verschmelzung dieser Strukturelemente ist es gelungen, einen neuen RXR-Agonist-Chemotyp (A) zu entwerfen, der durch strategische Methylierung und weitere Strukturmodifikationen zur Präferenz für jeden Subtyp optimiert werden konnte. In einem Adipozyten-Differenzierungsexperiment konnte gezeigt werden, dass RXRα der wichtigste Heterodimer-Partner von PPARγ während der Adipogenese ist. Ferner unterstrich diese biologische Untersuchung das Potenzial von 99, 103 und 105 als Subtyp-präferentielle RXR-Agonisten in vitro Experimenten zu dienen. Auf der Grundlage dieser Ergebnisse wurde eine mögliche Rolle von Acrylsäurepartialstrukturen natürlicher RXR-Liganden basierend auf dem zuvor entwickelten Chemotyp untersucht. Hierzu wurden das α-Methylacrylsäuremotiv des Naturstoffs Valerensäure (18) und das β-Methylacrylsäuremotiv des endogenen RXR-Agonisten 9-cis-Retinsäure in den Chemotyp A integriert (Chemotyp B), um die Rolle dieser Acrylsäuregruppen bei der Vermittlung der RXR-Subtypen-Selektivität zu untersuchen. Die Strukturmodifikationen an B zeigten, dass nur die α-Methyl-substituierte Acrylsäurekette toleriert bzw. von RXRβ präferiert wurde, was die RXR-Präferenz der Valerensäure (18) unterstützte. In dieser Arbeit konnte gezeigt werden, dass RXR-Liganden mit Subtypen-Präferenz realisierbar sind und durch gezielte Strukturmodifikationen in ihrer Präferenz gesteuert werden können. Die Erkenntnisse zu den Struktur-Wirkungs-Beziehungen der neuen RXR-Agonist-Chemotypen A und B erweitern den Wissenstand über die strukturellen Voraussetzungen von RXR-Liganden für die Subtypen-Präferenz deutlich.
Ações extensionistas integradas ao ensino universitário: confecção de composteiras para práticas de educação ambiental
Authors: SILVA Érika Andressa , ARAUJO Elisangela de , REIS Maria José , QUEIROZ Maria Gabriela de , RODRIGUES Amanda Oliveira , BARBOSA Anny de Carvalho , REIS Jean Carlos dos , FREITAS Marco Tulio de Carvalho
Published: November 2023

O projeto de extensão objetivou atender escolas do município de Passos, Minas Gerais, que necessitavam de auxílio para produção de compostos orgânicos para suas hortas. Dessa forma, integrando conhecimentos de suas disciplinas, graduandos em Agronomia desenvolveram protótipos de composteiras que foram doadas para escolas. Foram ministradas oficinas e palestras aos estudantes de ensino fundamental e médio, para que os mesmos pudessem não só manipular as composteiras doadas, bem como construir novos modelos. Em cada escola foram retiradas amostras do material produzido e realizadas análises químicas. Posteriormente, os alunos do ensino médio receberam as instruções dos discentes de agronomia para realizarem a aplicação nas hortas escolares. Os alunos das escolas perceberam que com a vermicompostagem é possível reduzir o envio de resíduos aos aterros, e favorecer o desenvolvimento de sistemas de economia circulares nas cidades, devolvendo nutrientes para o meio ambiente de forma segura.
A convenient Keldysh contour for thermodynamically consistent perturbative and semiclassical expansions
Authors: Cavina Vasco , Kadijani Sadeq S. , Esposito Massimiliano , Schmidt Thomas L.
Published: November 2023

The work fluctuation theorem (FT) is a symmetry connecting the moment generating functions (MGFs) of the work extracted in a given process and in its time-reversed counterpart. We show that, equivalently, the FT for work in isolated quantum systems can be expressed as an invariance property of a modified Keldysh contour. Modified contours can be used as starting points of perturbative and path integral approaches to quantum thermodynamics, as recently pointed out in the literature. After reviewing the derivation of the contour-based perturbation theory, we use the symmetry of the modified contour to show that the theory satisfies the FT at every order. Furthermore, we extend textbook diagrammatic techniques to the computation of work MGFs, showing that the contributions of the different Feynman diagrams can be added to obtain a general expression of the work statistics in terms of a sum of independent rescaled Poisson processes. In this context, the FT takes the form of a detailed balance condition linking every Feynman diagram with its time-reversed variant. In the second part, we study path integral approaches to the calculation of the MGF, and discuss how the arbitrariness in the choice of the contour impacts the final form of the path integral action. In particular, we show how using a symmetrized contour makes it possible to easily generalize the Keldysh rotation in the context of work statistics, a procedure paving the way to a semiclassical expansion of the work MGF. Furthermore, we use our results to discuss a generalization of the detailed balance conditions at the level of the quantum trajectories.
Algorithms to mimic human interpretation of turbidity events from drinking water distribution systems
Authors: Gleeson Killian , Husband Stewart , Gaffney John , Boxall Joby
Published: November 2023

Deriving insight from the increasing volume of water quality time series data from drinking water distribution systems is complex and is usually situation- and individual-specific. This research used crowd-sourcing exercises involving groups of domain experts to identify features of interest within turbidity time series data from operational systems. The resulting labels provide insight and a novel benchmark against which algorithmic approaches to mimic the human interpretation could be evaluated. Reflection of the results of the labelling exercises resulted in the proposal of a turbidity event scale consisting of advisory <2 NTU, alert 2 < NTU < 4, and alarm >4 NTU levels to inform utility response. Automation, for scale up, was designed to enable event detection within these categories, with the <2NTU category being the most challenging. A time-based averaging approach, based on data at the same time of day, was found to be most effective for identifying these advisory events. The automation of event detection and categorisation presented here provides the opportunity to gain actionable insight to safeguard drinking water quality from ageing infrastructure.
Result of the pin fixation with mini-open technique for irreducible distal radius diaphyseal metaphyseal junction fractures in child
Authors: HOROZ Levent , ÇAKMAK Mehmet Fevzi
Published: November 2023

Aim: Although conservative treatment remains the preferred choice for distal radius fracture in children, reduction losses and failure to achieve reduction remain the main problems at diaphyseal metaphyseal junctional fractures. There is no consensus on the surgical treatment of displaced metaphyseal-diaphyseal distal radius fractures. This study aims to evaluate the result of the crossed pin fixation applied with the mini-open technique at pediatric metaphyseal-diaphyseal distal radius fractures.

Methods: The radiological and clinical outcomes of pediatric distal metaphyseal diaphyseal distal radius fractures operated between 2018 and 2020 were retrospectively investigated. The clinical follow-ups of the patients were performed in the second, fourth, sixth weeks and the third month. Radiological recovery time, reduction losses during follow-up, complications, and forearm and wrist range of motion were examined.

Result: There were 13 boys and 6 girls with an average age of 10.1 (8-12 years). Radiographs taken immediately after the operation showed less than 5% translation in the coronal plane and less than 10% translation in the sagittal plane. An average of 4 degrees of change was observed in the lateral radiographs, and an average of 3 changes was detected in the anterior to posterior (AP) radiographs at the last follow-up. No limitation in the range of motion was observed in the patients.

Conclusion: Our data showed that the pin fixation with the mini-open technique was a suitable method to treat metaphyseal-diaphyseal distal radius fractures with a satisfactory alignment and achieving stable fixation.
The Implication of Hypocretin in Drug Abuse and Arousal in the Brain Stem
Authors: Kourosh-Arami Masoumeh , Komaki Alireza , Gholami Masoumeh
Published: November 2023

Hypocretin (orexin, Hcrt) neurons located in the lateral hypothalamus (LH) project
widely into the brain and are thus responsible for the physiological action of the hypocretin complex.
Hypocretin is involved in both arousal and addiction, and brainstem areas such as the locus
coeruleus (LC), paragigantocellularis (PGi), and dorsal raphe (DR) contribute to these functions.
In the present review, we focus on the effect of Hcrt on drug abuse and arousal in the brainstem.
Chronic Energy Malnutrition in Mothers Associated with Stunting
Authors: Asna Alfi Fairuz , Syah Muh. Nur Hasan
Published: November 2023

Background: Stunting is a nutritional problem that has a long-term impact. It has an impact on children's cognitive and physical development, serious infections, and makes a significant contribution to mortality and morbidity. According to WHO, the stunting rate in Indonesia is still high (30.8%). Maternal nutritional status contributes to fetal growth restriction which increases the risk of low birth weight and increases the risk of stunting.

Objectives: This study aims to determine the relationship between maternal nutritional status during pregnancy and stunting in children aged 6-23 months in Karawang Regency.

Methods: This study is an observational study with a cross-sectional design. The number of samples was 207 children aged 6-23 months in Srikamulyan village, Karawang regency. Data were collected using a structured questionnaire to determine the identity of the child, the identity of the mother, the nutritional status of the child, the history of the nutritional status of the mother during pregnancy, and sociodemographic data. Anthropometric measurements of the mother's height using a microtoise and the child's body length using a length board. Data were analyzed using univariate and bivariate analysis.

Results: The results showed that as many as 23.67% of children aged 6-23 months experienced stunting in Srikamulyan Village. Mothers who experience Chronic Energy Malnutrition during pregnancy as much as 8.2%. Data analysis showed that mothers with Chronic Energy Malnutrition during pregnancy were associated with stunting in children aged 6-23 months (p<0.05).

Conclusions: Chronic Energy Malnutrition during pregnancy is associated with the incidence of stunting in children aged 6-23 months. Prevention efforts from adolescent girls are an important key in improving the nutritional status of women of childbearing age and pregnant women in order to prevent stunting
Effects and Mechanisms of a Web- and Mobile-Based Acceptance and Commitment Therapy Intervention for Anxiety and Depression Symptoms in Nurses: Fully Decentralized Randomized Controlled Trial (Preprint)
Authors: Lu Yan'e , Li Yang , Huang Yongqi , Zhang Xuan , Wang Juan , Wu Liuliu , Cao Fenglin
Published: November 2023

BACKGROUND

Acceptance and commitment therapy (ACT) is a promising intervention for improving mental health. However, there is limited evidence on its effectiveness for nurses, particularly in web- and mobile-based intervention forms, in mitigating anxiety and depression symptoms.

OBJECTIVE

In this study, we aimed to examine the effect and underlying psychological mechanisms of a web- and mobile-based ACT intervention on nurses’ anxiety and depression symptoms.

METHODS

In this fully decentralized randomized controlled trial, nurses were recruited nationwide across China through advertisements and posters. They were randomly assigned to either the 5-week fully automated intervention or the waiting group. Primary outcomes (anxiety and depression symptoms); secondary outcomes (sleep quality, burnout, and work performance); and mediators (psychological flexibility, cognitive defusion, mindfulness, and values) were assessed using the Wenjuanxing platform. Data collectors were blinded to the group assignments throughout the study period.

RESULTS

A total of 145 nurses with anxiety or depression symptoms were randomly assigned to either the intervention group (n=72, 49.7%) or the control group (n=73, 50.3%); 97.2% (n=141) were female. During the study, 36 (24.8%) nurses were lost to follow-up, and 53 (73.6%) completed the entire intervention. Nurses in the intervention group showed significant improvement in anxiety (d=0.67, 95% CI 0.33-1.00) and depression symptoms (d=0.58, 95% CI 0.25-0.91), and the effects were sustained for 3 months after the intervention (anxiety: d=0.55, 95% CI 0.22-0.89; depression: d=0.66, 95% CI 0.33-1.00). Changes in psychological flexibility, cognitive defusion, and values mediated the effect of the intervention on anxiety and depression symptoms, while mindfulness did not have a mediating effect.

CONCLUSIONS

The web- and mobile-based ACT intervention used in this study significantly improved nurses’ anxiety and depression symptoms by improving psychological flexibility, cognitive defusion, and values. The results provide new ideas for hospital administrators to prevent and intervene in nurses’ psychological issues.

CLINICALTRIAL

Chinese Clinical Trial Register ChiCTR2200059218; https://tinyurl.com/4mb4t5y9
Tracking chronic diseases via mobile health applications: Which user experience aspects are key? (Preprint)
Authors: Long Preston , Huberts Anouk , Porth Ann-Kristin , Fierens Liselotte , Carney Nicholas C , Koppert Linetta , Kautzky-Willer Alexandra , de Rooij Belle , Stamm Tanja
Published: November 2023

BACKGROUND

A major hurdle in fully realizing the value of Patient-Reported Outcomes (PROs) concerns technology. To collect and use PROs in a useful manner, a healthcare application must be user-friendly and add value to all stakeholders. One of the most crucial components is an easeful, intuitive, and positive user experience (UX). Especially in people with chronic conditions who will need to respond over long periods of time, user retention is paramount. A good UX will unlock the data’s potential, increase user retention, and deliver the desired benefits in continuous (primary use) and large-scale data collection (secondary use).

OBJECTIVE

This study aimed to explore pertinent UX issues for a PRO collection application intended for patients with chronic diseases in European countries.

METHODS

Patient focus groups were conducted on four chronic disease areas: cancer, inflammatory bowel disease (IBD), and diabetes (type I & II). Scripts were transcribed, coded and organised into (sub)themes and meaningful patterns using the UX honeycomb model.

RESULTS

In total, 17 patients and patient representatives participated (76% female; 4 diabetes, 6 IBD and 7 cancer). Similarities and differences for patient needs and desired features were highlighted. We identified compatibility with other technologies, direct communication with the care team, personalisation, ability to share data, the need for educational material and data protection as key aspects of PRO technologies.

CONCLUSIONS

To ensure usefulness of a PRO collection app for people with chronic diseases, other features such as direct contact with care team, alerts and check-ups, integration of various data sources and seamless data transfers should be considered. In addition to some minor diseases-specific issues, most needs were shared among the disease areas. This shows that a shared app between diseases might be preferable and, in case of comorbidities, could ease the self-management for patients. Last, to ensure full potential for every user, customisation is crucial.
Rehabilomics Strategies Enabled by Cloud-Based Rehabilitation: Scoping Review (Preprint)
Authors: Oh Sejun , Lee SangHeon
Published: November 2023

BACKGROUND

Rehabilomics, or the integration of rehabilitation with genomics, proteomics, metabolomics, and other “-omics” fields, aims to promote personalized approaches to rehabilitation care. Cloud-based rehabilitation offers streamlined patient data management and sharing and could potentially play a significant role in advancing rehabilomics research. This study explored the current status and potential benefits of implementing rehabilomics strategies through cloud-based rehabilitation.

OBJECTIVE

This scoping review aimed to investigate the implementation of rehabilomics strategies through cloud-based rehabilitation and summarize the current state of knowledge within the research domain. This analysis aims to understand the impact of cloud platforms on the field of rehabilomics and provide insights into future research directions.

METHODS

In this scoping review, we systematically searched major academic databases, including CINAHL, Embase, Google Scholar, PubMed, MEDLINE, ScienceDirect, Scopus, and Web of Science to identify relevant studies and apply predefined inclusion criteria to select appropriate studies. Subsequently, we analyzed 28 selected papers to identify trends and insights regarding cloud-based rehabilitation and rehabilomics within this study’s landscape.

RESULTS

This study reports the various applications and outcomes of implementing rehabilomics strategies through cloud-based rehabilitation. In particular, a comprehensive analysis was conducted on 28 studies, including 16 (57%) focused on personalized rehabilitation and 12 (43%) on data security and privacy. The distribution of articles among the 28 studies based on specific keywords included 3 (11%) on the cloud, 4 (14%) on platforms, 4 (14%) on hospitals and rehabilitation centers, 5 (18%) on telehealth, 5 (18%) on home and community, and 7 (25%) on disease and disability. Cloud platforms offer new possibilities for data sharing and collaboration in rehabilomics research, underpinning a patient-centered approach and enhancing the development of personalized therapeutic strategies.

CONCLUSIONS

This scoping review highlights the potential significance of cloud-based rehabilomics strategies in the field of rehabilitation. The use of cloud platforms is expected to strengthen patient-centered data management and collaboration, contributing to the advancement of innovative strategies and therapeutic developments in rehabilomics.
Evaluating the Prevalence of Burnout Among Health Care Professionals Related to Electronic Health Record Use: Systematic Review and Meta-Analysis (Preprint)
Authors: Wu Yuxuan , Wu Mingyue , Wang Changyu , Lin Jie , Liu Jialin , Liu Siru
Published: November 2023

BACKGROUND

Burnout among health care professionals is a significant concern, with detrimental effects on health care service quality and patient outcomes. The use of the electronic health record (EHR) system has been identified as a significant contributor to burnout among health care professionals.

OBJECTIVE

This systematic review and meta-analysis aims to assess the prevalence of burnout among health care professionals associated with the use of the EHR system, thereby providing evidence to improve health information systems and develop strategies to measure and mitigate burnout.

METHODS

We conducted a comprehensive search of the PubMed, Embase, and Web of Science databases for English-language peer-reviewed articles published between January 1, 2009, and December 31, 2022. Two independent reviewers applied inclusion and exclusion criteria, and study quality was assessed using the Joanna Briggs Institute checklist and the Newcastle-Ottawa Scale. Meta-analyses were performed using R (version 4.1.3; R Foundation for Statistical Computing), with EndNote X7 (Clarivate) for reference management.

RESULTS

The review included 32 cross-sectional studies and 5 case-control studies with a total of 66,556 participants, mainly physicians and registered nurses. The pooled prevalence of burnout among health care professionals in cross-sectional studies was 40.4% (95% CI 37.5%-43.2%). Case-control studies indicated a higher likelihood of burnout among health care professionals who spent more time on EHR-related tasks outside work (odds ratio 2.43, 95% CI 2.31-2.57).

CONCLUSIONS

The findings highlight the association between the increased use of the EHR system and burnout among health care professionals. Potential solutions include optimizing EHR systems, implementing automated dictation or note-taking, employing scribes to reduce documentation burden, and leveraging artificial intelligence to enhance EHR system efficiency and reduce the risk of burnout.
Biomechanical substantiation of the algorithm for choosing the type of corrective osteotomy of the fifth metatarsal bone in the treatment of tailor’s bunion
Authors: Prozorovskyi D.V. , Zlatnyk R.V. , Karpinsky M.Yu. , Karpinska O.D.
Published: November 2023

Background. Joint deformity between the main phalanx of the fifth toe and the fifth metatarsal bone is called tailor’s bunion. Its treatment is most often surgical. At the same time, there is no unified single approach regarding the use of osteotomies, their type and localization on the metatarsal bone (distal, diaphyseal, and proximal). Goal: based on the biomechanical studies, to substantiate the corrective possibilities of Weil and chevron distal osteotomies to correct valgus deformity of the fifth metatarsal bone depending on its geometric parameters. Materials and methods. Two types of corrective osteotomies were modeled: Weil and chevron osteotomy. We determined the maximum possible values of valgus deformity of the fifth metatarsal bone, which can be eliminated with the help of these osteotomies, depending on the geometric parameters of the fifth metatarsal bone. To determine the latter, radiometry was performed on 39 digital radiographs of the patients’ feet. Results. Taking into account the relatively small angular deviation of the fifth metatarsal bone whose value is most often observed in the range from 10 to 15° at the norm of 8°, the angular deformity can be compensated by linear displacement of the head of the metatarsal bone. Since the head displacement is performed in the horizontal plane, both osteotomies in this case work equally. The zone of maximum possible correction for deformity is determined within the range from 12°, with a length of 60 mm and a diameter of 8 mm, to 15.5°, with a length of 45 mm and a diameter of 12 mm. Given that there is some balance between bone length and diameter, the maximum deformity that can be corrected with Weil and chevron corrective osteotomies is a deformity of up to 14°. Conclusions. Weil and chevron corrective osteotomies can be used to correct the fifth metatarsal valgus deformity (tailor’s bunion) and are effective when the M4M5 angle does not exceed 14°. In cases where the M4M5 angle exceeds 15°, it is advisable to use proximal corrective osteotomies of the fifth metatarsal bone for the treatment of tailor’s bunion.
University–Industry Linkages in Promoting Technical Skills for Human Resource Development, Case Study of Thailand
Authors: Nguyen Quynh Huong
Published: November 2023

Labor productivity is an important goal for national sustainable development. Thailand has a potential labor force and attracts significant foreign direct investment, especially from Japan. This research paper presents the current situation of labor productivity in Thailand and discusses how to upgrade the technical know-how for Thai engineering students through technical assistance from Japanese organizations and firms. This paper argues that the labor productivity of Thailand cannot boost the workforce’s skill without cooperation with foreign firms and organizations (Japanese ones in this case). This paper also raises the issue of university-industry linkages, which require comprehensive strategic cooperation between theory-based education and technical training, all of which contributes to the quality and adaptability of the labor force. This is a qualitative study based on interviews with Japanese organizations, Japanese firms, and universities in Thailand on how to enhance the technical skills of the labor force in the manufacturing industry. The paper uses a case study of Thai-Nichi Institute of Technology (TNI), which describes the training and “learning by doing” methods to upgrade the technical skills of the Thai workforce.
The Indigenous Peoples In ASEAN: Critical Analysis On Development Aggression
Authors: Torrejas Dolly Cajes , Canta Ashley Pauline Ricaforte , Salvaloza Jay-Ar Gonzales , Bualat Grace Magalzo
Published: November 2023

Indigenous peoples (IPs) constantly face challenges in terms of culture, land and human rights. The IPs are often the subjects of government and private corporations' resource extraction and development initiatives in their ancestral domains and territories, hence, development aggression. This paper aims to have a critical analysis of the existing development aggression experienced by the IPs within the ten (10) member-states of the Association of Southeast Asian Nations (ASEAN). The researchers contend that ASEAN and its member-states lack robust actions and efficiency in addressing development aggression. Employing a qualitative-descriptive approach, this study utilized the Key Informant Interview (KII) as the primary data, along with document review for secondary sources. This study argues that the development aggression continues to persist among the ASEAN member states as the majority of member states failed to recognize IPs, resulting in continued infringement of their rights. Moreover, the COVID-19 measures was utilized against IP communities and the constant advancement of extractive industries. Furthermore, it has been proven that both National policies and regional mechanisms confront considerable difficulties and need more legal frameworks in dealing with development aggression. The ASEAN member-states are not fully implementing customary rules and other international standards established by organizations such as the UN and the ILO. This study found that there are five (5) policies which may help protecting the IPs against development aggression. The development of Grievance Redress Mechanisms (GRMs) within the ASEAN Intergovernmental Commission on Human Rights (AICHR) specific for IPs and the inclusion of indigenous communities in income- generating projects developed in their ancestral lands and resources is the main one.