bluuebunny/crossref_metadata_2025 huggingface dataset:
Effect of Phlorethol from the Brown Alga Costaria costata (Turn.) Saund. (Order Laminariales) on Gametes and Embryogenesis of the Sea Urchin Strongylocentrotus intermedius (A. Agassiz, 1864)
Authors: Kiseleva M. I. , Imbs T. I. , Bakunina I. Y.
Published: December 2024

The effect of a fraction of phlorethol (CcPh), one of the polyphenolic compounds isolated from the brown alga Costaria costata (Turn.) Saund (Laminariales), on gametes and embryogenesis of the sea urchin Strongylocentrotus intermedius (A. Agassiz, 1864) was studied. Using a model of developing sea urchin embryos, it was shown that phlorethol at concentrations ≤700 µg/mL did not exert cytotoxic effect on early developmental stages (from zygote to 16-celled stage blastomere). The embryotoxic effect of phlorethol, causing death of 50% of embryos, was expressed in a concentration (I) range of 50 I ≤ 100 µg/mL only after 24 h of incubation, in the blastula stage. When exposed to concentrations of ≥100 µg/mL, embryos that survived to the blastula stage did not develop further and died after 36 h of incubation. Under the effect of phlorethol, the fertilizing capacity of sea urchin spermatozoa and oocytes reduced. The concentration of phlorethol inhibiting fertilization by 50% (IC50) when acting on sperm was 1.28±0.38 µg/mL and when acting on oocytes was 3.83±0.82 µg/mL. Thus, phlorethol reduces the fertilizing capacity of sea urchin gametes at concentrations much lower than embryotoxic concentrations and can potentially find practical application as part of new contraceptive drugs for mammals and humans.
El aforismo en clave comparatista: literatura y filosofía en Eugenio Trías
Authors: Jiménez Mauro
Published: December 2024

En este artículo se propone un acercamiento a la forma del aforismo desde la literatura comparada. La perspectiva comparatista defendida supera los marcos positivistas del comparatismo clásico y asume como fructíferas las vías de investigación centradas en el diálogo interdiscursivo e interartístico y en las relaciones entre géneros literarios y expresiones próximas a las literarias como la escritura filosófica. En este caso, la comparación se encontraría entre la forma literaria del aforismo y la filosofía. Para ello, se propone como objeto de análisis el libro de aforismos La dispersión de Eugenio Trías, publicado en 1971.
Pengaruh Kompetensi Keahlian, Motivasi Kerja, Dan Praktik Kerja Industri Terhadap Kesiapan Kerja Siswa SMK
Authors: Febrian Ragil , Irwanto Irwanto , Dwi Cahyono Bagus
Published: December 2024

Penelitian ini dilatar belakangi atas hasil studi literatur dan observasi di lapangan, diantaranya berdasarkan data terbaru dari Badan Pusat Statistik (BPS) Kabupaten Pandeglang Tingkat Pengangguran Terbuka (TPT) dari tamatan Sekolah Menengah Kejuruan (SMK) masih menjadi penyumbang yang paling tinggi dibandingkan tamatan jenjang pendidikan lainnya, peningkatan angka pengangguran yaitu sebesar 9,24% dari 7,70%. Selain itu, dari hasil pengamatan, terlihat bahwa masih banyak siswa SMK yang belum memiliki kesiapan kerja yang baik. Penelitian ini bertujuan untuk mengetahui pengaruh kompetensi keahlian, motivasi kerja dan praktik kerja industri terhadap kesiapan kerja siswa kelas XII TITL SMKN 2 Pandeglang. Penelitian ini merupakan jenis penelitian survei dengan pendekatan Ex-Post Facto. Penelitian ini dilakukan di SMKN 2 Pandeglang pada siswa kelas 12. Instrumen yang digunakan meliputi lembar angket uji coba instrumen kompetensi keahlian, motivasi kerja, praktik kerja industri, dan kesiapan kerja.  Hasil penelitian ini adalah (1) terdapat pengaruh positif antara variabel kompetensi keahlian terhadap kesiapan kerja siswa Kelas XII TITL SMKN 2 Pandeglang dengan nilai koefisien korelasi = 0.554 dengan kontribusi sebesar 30,7%, (2) terdapat pengaruh positif antara variabel motivasi kerja terhadap kesiapan kerja siswa Kelas XII TITL SMKN 2 Pandeglang dengan nilai koefisien korelasi = 0.607 dengan kontribusi sebesar 36,8%, (3) terdapat pengaruh positif antara variabel praktik kerja industri terhadap kesiapan kerja siswa Kelas XII TITL SMKN 2 Pandeglang dengan nilai koefisien regresi = 0.889 dengan kontribusi sebesar 79%, (4) terdapat pengaruh positif antara kompetensi keahlian, motivasi kerja, dan praktik kerja industri terhadap kesiapan kerja siswa Kelas XII TITL SMKN 2 Pandeglang dengan nilai korelasi = 0,892 dengan kontribusi sebesar 79,5%..
Upaya Meningkatkan Motivasi Belajar Peserta Didik Melalui Media Googlesites Dalam Pembelajaran Pendidikan Pancasila
Authors: Fadhillah Annisa Nur , Purnasari Fitri Okta , Al Hafiz Muhammad Harry , Angelia Winda , Kurnisar Kurnisar , Mutiara Tyas Masito
Published: December 2024

Penelitian ini bertujuan untuk meningkatkan motivasi belajar peserta didik melalui penggunaan Google Sites dalam pembelajaran Pendidikan Pancasila di kelas XI.5 SMAN 3 Palembang. Penelitian ini menggunakan metode penelitian tindakan kelas (PTK) Kemmis-McTaggart, yang dilaksanakan dalam dua siklus. Setiap siklus terdiri dari perencanaan, pelaksanaan, observasi, dan refleksi. Data dikumpulkan melalui kuesioner tentang motivasi belajar, observasi, dan dokumentasi. Hasil penelitian menunjukkan adanya peningkatan motivasi belajar peserta didik pada siklus pertama, dengan peningkatan persentase motivasi dari 69% (pra-siklus) menjadi 75% pada siklus pertama. Namun, terjadi sedikit penurunan pada siklus kedua, terutama pada aspek kebutuhan dan kegiatan belajar yang menarik. Secara keseluruhan, penggunaan Google Sites sebagai media pembelajaran berhasil meningkatkan motivasi belajar peserta didik. Peneliti menyarankan integrasi teknologi dalam pembelajaran untuk menciptakan lingkungan belajar yang menarik dan memotivasi, serta untuk meningkatkan hasil belajar. Teknologi seperti Google Sites memungkinkan akses yang mudah dan interaktif, sehingga mendukung pembelajaran yang lebih efektif.
Pengembangan Bahan Ajar Bab 1 Kelas XI Dalam Pembelajaran Teks Argumentasi Berdasarkan Indeks Kepadatan Leksikal di SMK
Authors: Ramadhan Fauzan Marwan , Marlia Marlia , Setiawan Setiawan
Published: December 2024

Buku teks utama "Cerdas Cergas Berbahasa dan Bersastra Indonesia" diterbitkan untuk pembelajaran Kurikulum Merdeka di sekolah. Buku bahan ajar dirancang untuk memberikan pemahaman mendalam, tetapi peserta didik sering kesulitan memahami materi, khususnya dalam materi teks argumentasi. Indeks Kepadatan leksikal dalam teks dapat memengaruhi tingkat pemahaman; semakin tinggi kepadatan leksikalnya, semakin sulit juga pemahamannya. Penelitian ini menggunakan buku teks “Cerdas Cergas Berbahasa dan Bersastra Indonesia” sebagai sumber data utama dan hasil observasi, angket, dan dokumentasi dari peserta didik dan tenaga pendidik  Bahasa Indonesia di kelas XI PBR 2 SMK Pasundan 4 Bandung sebagai data sekunder. Metode R&D dengan pendekatan kualitatif digunakan untuk mengembangkan bahan ajar yang lebih efektif. Hasil penelitian menunjukkan peningkatan dalam pemahaman siswa setelah menggunakan pengembangan bahan ajar. Nilai rata-rata prates sebesar 41,33 meningkat menjadi 74,67 pada pascates, menunjukkan kenaikan sebesar 33,34%. Hal ini menegaskan bahwa bahan ajar yang dikembangkan berhasil meningkatkan pemahaman siswa terhadap materi teks argumentasi.
Algorithms for solving optimization problems in answer set
programming
Authors: Alviano Mario
Published: December 2024

Answer set programming (ASP) is a declarative language for nonmonotonic
reasoning based on stable model semantics. A stable model is a classical
model of the input program satisfying the following stability condition:
only necessary information is included in the model under the assumptions
provided by the model itself for the unknown knowledge in the program, where
unknown knowledge is encoded by means of default negation. Rational agents
acting in the real world often have to reason in presence of unknown
knowledge. It is also common that real world agents cannot meet all their
desiderata. For this reason, ASP programs may include weak constraints for
representing numerical preferences over jointly incompatible conditions.
Stable models are therefore associated with a cost given by the unsatisfied
weak constraints, and stable models of minimum cost are preferred. This
paper summarizes algorithms and strategies for computing optimal stable
models, and hints on how these algorithms can be extended to handle some
qualitative preferences that have a natural representation in
circumscription, that is, those based on subset-minimality and
superset-maximality.
Towards Specialized Accessibility Standards for Healthcare Facilities: A Mixed-Methods Study on the Needs of People with Dis-Abilities in Hospitals
Authors: Tsami Christina Anastasia , Chrysikou Evangelia
Published: December 2024

Hospitals, as institutions serving a diverse population, must address the needs of individuals with disabilities. While many nations prioritize a public health approach to hospital accessibility, this research contends that specialized strategies are vital to accommodate the complex requirements of all users. The study employs a mixed-method methodology. It encompasses an in-depth literature review on accessible design theories, cross-country comparisons of regulations in five nations (Greece, UK, USA, Australia, Sweden), and a survey evaluating existing accessibility within Greek hospitals. The review and cross-country comparisons underscore the pressing demand for specialized attention to wheelchair users and reveal a glaring absence of regulations catering to the visually and hearing impaired. The survey results illuminate a concerning trend of noncompliance with existing rules, underscoring the urgency for legislative actions and the establishment of international standards to ensure comprehensive accessibility. Although strides have been taken, strict adherence to regulations remains paramount. The research places paramount importance on social well-being and equity in healthcare access for individuals with disabilities. It is evident that individuals experience emotional difficulties when confronted with accessibility obstacles, underscoring the necessity to integrate emotional support into hospital design in conjunction with accessible design principles. The study aligns closely with the principles of equity, diversity, and inclusion, advocating for equal access to healthcare and specialized care for vulnerable populations. In conclusion, the research significantly contributes to the conference’s overarching theme by delving into the intricate interplay between design, social well-being, and emotional health within healthcare facilities. The primary focus on the inclusion of individuals with disabilities serves as a driving force in the pursuit of a more equitable and accessible healthcare landscape.
Ambiance as a Key for a Better Birth Experience
Authors: Aroua Ichraf , Hussein Faten
Published: December 2024

This research provides insights into childbirth as a sensitive experience, from the perspective of its user, “woman in labour,” as well as from the perspective of the event itself, “the childbirth,” and the birth space, with its spatial and ambiantal configurations. By adopting an in-situ approach, we conducted a spatial and ambiantal characterization of two childbirth different contexts; Tunis and Grenoble. Along this work, we used various methods such as ethnographic observation and semistructured interviews with mothers and midwives, when following visits to the birth spaces in Grenoble. Our experimental protocol was refined by introducing the capture of emotions, notably through the analysis of electrodermal activity variation, for the case of the Maternity and Neonatology Center in Tunis. In correlation with observations and interviews, the analysis of electrodermal activity reveals the mother’s emotional state. Subsequently, we undertook a transposition and synthesis of significant ambiantal situations encountered in the birth space in Grenoble and Tunis, during labour phase of childbirth. Six ambiantal situations-types are identified and distributed across two dimensions: luminous and kinesthetic. The results of this research are extremely useful to guide the choices in design of birth space while at the same time considering the well-being of woman in labour. We will end with an ambiantal project that proposes interventions on spatial quality by introducing an ambiantal dimension to the birth space.
‘This Doesn’t Feel Like a Hospital’: Children’s Experience of the Outdoor Care Retreat Versus Conventional Hospital Design
Authors: Kindervaag Eli , Lappegard Hauge Åshild , Østvold Lindheim Maren , Kjøs Johnsen Svein Åge
Published: December 2024

This study explores how children experience two different locations at Oslo University Hospital in terms of their architectural design and emotional potential. The first location includes a conventional modern hospital wing, whereas the other is a uniquely designed cabin in natural surroundings outside the hospital building, the Outdoor care retreat. The research is a psychological study of how various locations activate cognitive schemas and lead to elicitation of different emotional responses and modes of behavior for children. Participants included 17 children aged 7 to 16, whereby 11 children had no previous experience with hospitalization for a serious medical condition and 6 children were undergoing treatment or follow-ups related to a medical condition at the time of data collection. The data material consisted of walking interviews accompanied by a semi-structured interview guide. The qualitative material was analyzed by applying reflexive thematic analysis and categorized into themes. Study findings illustrate that children experience the environments differently in terms of physical and emotional restrictions. Overall, the children prefer architectural spaces with direct contact to nature or design that mimics natural environments, in addition to being exciting, friendly, and intimate. In these environments, children feel less restricted, more relaxed and more free to express themselves and a range of emotions. This study proposes that spending time in such environments will increase resilience and hospitalization satisfaction for children admitted to hospitals for longer periods of time. In turn, this could have important implications for practice if included in the design of future health care facilities.
Housing Qualities, Spaces and Dispositions for Low-Income Families: Effects on Experiences of Wellbeing, Home and Belonging
Authors: Grønseth Anne Sigfrid , Denizou Karine , Glomdal Sigfrid Elisabeth , Johnsen Svein Åge Kjøs
Published: December 2024

Low-income families often live in cramped and unsuitable conditions, and the housing qualities interplay significantly in processes of wellbeing, homing and belonging as housing can be an obstacle to the parents’ transition to labour-market, lead to social exclusion and negatively affect children’s schooling. The paper holds that housing quality includes important aspects of health, wellbeing and security, sociality, accessibility of services and facilities, space for leisure activities, central location, cultural heritage and aesthetics that support identity and place belonging. The study focuses on a new form of supported tenancy; tenancy with a referral agreement (tilvisingsavtale). The agreement differs from ordinary municipal tenancy as the referral agreement gives the municipality the opportunity to offer tenancy to low-income families in the private market. This implies that families renting with a referral agreement live in ordinary neighbourhoods and with equivalent housing qualities as other tenants, rather than in neighbourhoods with municipal elder and commonly worn-down housing located in areas known as “municipal neighbourhood” bearing social stigma and marginality. Methods include architectural inspection, drawing and document analysis, home-visits and interviews with residents and municipal welfare workers in a small Norwegian municipality during 2022/23. Exploring links between housing quality, housing tenure and wellbeing, our material suggests housing quality and space as a complex and flexible experience. We find that the residents tend to assess the referral agreement to offer an increased match to needs in their present everyday life compared to earlier housing, a greater sense of wellbeing and belonging, and to stimulate aspirations for the future. Here, we discuss the housing narratives as it raises precarious issues related to experiences of everyday family-life, autonomy, wellbeing, belonging, home and identity.
Exploring the Determinants of Age-Friendly Neighbourhoods Among Seniors Residing in a Low-Income Urban Community in Singapore: A Participatory Study
Authors: Tan Chao Min , Chua Alyssa Marion Jia-Min , Low Lian Leng , Seah Jowy Yi Hoong , Yoon Sungwon
Published: December 2024

The growing interest regarding the role of the living environment in healthy ageing highlights the need to investigate place-related urban features contributing to health and socio-emotional wellbeing. This study aimed to use a participatory methodology to explore the determinants of an age-friendly neighbourhood built environment that promotes or limits healthy ageing in place among seniors residing in a low-income urban community in Singapore. The study utilised photovoice and semi-structured interviews with 25 community-dwelling seniors aged 65 and above, residing in government-built public housing. Analysis of the photographs and interviews was guided by the World Health Organisation (WHO) Global Age-friendly Cities Framework to assess the age-friendliness of places. Our findings generally corresponded to the WHO framework, and our analysis identified a total of 8 facilitators and 4 barriers affecting the neighbourhood age-friendliness. A safe and pleasant outdoor environment that is connected to essential services, amenities and transport to key destinations encourages higher activity in seniors and enables them to fulfil their daily living needs. However, the lack of wheelchair accessible features in some areas deterred the mobility of seniors in the neighbourhood. Interestingly, there was also a high level of civic participation in the form of senior volunteerism observed among the participants as they took ownership to continuously improve the liveability of their neighbourhood. Additionally, there is a sufficient range of aged care services in their neighbourhood available to support seniors to age in their homes and community. The determinants that emerged from our findings are important for guiding future national policies and initiatives to improve the living environment that supports healthy ageing in place.
Service Thinking in Architectural Design for Dementia in the Finnish Context
Authors: Vladykina Natalia , Arpiainen Laura
Published: December 2024

Dementia is a globally growing problem, which is putting pressure on public services, including those in Nordic countries, to offer care to everyone in need. Contemporary approaches to dementia care are evolving from institutional and medical solutions to more human-centred, community-based, and emotion-oriented, which positively impacts the well-being of persons with dementia. Principles of ageing-in-place and the benefits of living at home are strongly emphasised in research. Although cognitive health and memories are associated with the physical environment and architecture and design can play a powerful role in supporting independent living, public system in Finland remains traditional, focused on providing institutional care. Architecture drives the care system and acts as a barrier to delivering ageing-in-place rather than a resource. The architectural and service models for serving seniors with dementia require transformation. This article proposes applying the emerging concept of service architecture to the design of environments for ageing-in-place and transforming care systems with a user-centred systemic approach to spaces, community, and service design. It explores opportunities for co-creation with users with dementia and other stakeholders and describes a new system of services linked with new spatial programming. The architectural solution is a network of spaces, including those for living, care, and connection. Its elements and their design were defined through case studies conducted in Finnish municipalities involved in research. New spatial and service programming, designed with the service architecture concept, has the potential to change the paradigm, transform systems of care, and enable seniors experiencing memory decline to remain in their homes.
Regionální politika Evropské unie
Authors: Wolfgang Pini
Published: December 2024

Regional Policy of the European Union
Hrozby na obzoru, nepřátelé nikoli
Authors: Radek Khol
Published: December 2024

Threats without enemies. Facing environmental security. Ed. Gwyn Prins. Earthscan PublicationsLtd., London 1993, 197 stran, ISBN 1-85383-157-3.
Re-Examining Fries-Britt’s Learning Race in a U.S. Context Emergent Framework Drawing on the Micro-Level Narratives of International Students in the United States
Authors: Fei Mianmian
Published: December 2024

Fries-Britt et al.’s (2014) Learning Race in a U.S. Context (LRUSC) emergent framework holds significant prominence in international student literature as the pioneering framework to theorize the perceptions of race and responses to racialized experiences among college students of color born and raised outside of the U.S. This scholarly paper analyzes nine peer-reviewed articles published after 2014, utilizing micro-level narratives that delve into the racial learning experiences of diverse international students within the U.S. context. The aim is to assess the framework’s relevance and suggest potential updates a decade after its initial publication. The findings show that the framework is still generally applicable but can benefit from incorporating the following revisions: 1) broadening the scope of racial encounters; 2) emphasizing the impacts of the home country context; and 3) leaving the outcomes of racial learning open.
НЕМОНЕТАРНІ КРИТЕРІЇ БІДНОСТІ ПІД ВПЛИВОМ КРИЗОВИХ ЯВИЩ
Authors: Заяць В’ячеслав
Published: December 2024

Дослідження проведено в рамках реалізації проєкту із виконання наукових досліджень і розробок «Зростання нерівності та бідності в Україні внаслідок пандемії COVID-19». Метою статті є дослідження впливу пандемії COVID-19 та війни на немонетарні критерії бідності в Україні. Показано, що деприваційна бідність в Україні виступає важливим індикатором благополуччя та відображає доступність базових життєвих потреб, які є ключовими для поліпшення якості життя. Визначено основні особливості впливу COVID-19 та війни на немонетарну бідність. Здійснено оцінку рівня глибокої деприваційної бідності домогосподарств, бідності за ознаками харчування та суб’єктивної бідності (на основі самооцінки домогосподарствами купівельної спроможності їх доходів) та їх зміну внаслідок поширення COVID-19 в 2020-2021 рр. та військових дій у 2022-2023 рр. Доведено безпрецедентність впливу пандемії COVID-19 та війни на бідність населення, які спричинили різноманітні довгострокові наслідки для економіки та суспільства. Визначено найбільш вразливі категорій населення та групи ризики, від яких вони потерпають.
Đặc điểm nhu cầu cấp cứu ngoại viện từ năm 2014-2020 và dự báo nhu cầu của người dân tại Thành phố Hồ Chí Minh từ năm 2021 – 2025
Authors: Nguyễn Duy Long , Huỳnh Cẩm Nhi , Nguyễn Hồng Yến , Nguyễn Thắng Nhật Tuệ , Phạm Đình Quyết
Published: December 2024

Đặt vấn đề: Cấp cứu ngoài bệnh viện là một hoạt động từ khi nhận được thông tin cấp cứu cho đến khi vận chuyển người bệnh tới bệnh viện. Mạng lưới cấp cứu ngoài bệnh viện tại Thành phố Hồ Chí Minh gồm một Trung tâm Cấp cứu 115 và 34 trạm vệ tinh. Chưa có nhiều nghiên cứu các đặc điểm về cuộc gọi yêu cầu cấp cứu và trường hợp thực hiện cấp cứu ngoài bệnh viện tại Thành phố Hồ Chí Minh (TPHCM).

Mục tiêu: Xác định đặc điểm các trường hợp cấp cứu ngoại viện của người dân tại TP.HCM từ năm 2014 đến năm 2020 và dự đoán nhu cầu cấp cứu của người dân TP.HCM từ năm 2021 đến năm 2025.

Đối tượng và phương pháp nghiên cứu: Nghiên cứu hồi cứu và phân tích chuỗi thời gian, thu thập số liệu từ tháng 01/2014 đến tháng 12/2020. Toàn bộ các trường hợp yêu cầu cấp cứu của người dân trong giai đoạn này thu thập từ số “Tiếp nhận và điều phối cấp cứu cấp cứu” của Tổng đài 115 được đưa vào phân tích. Nghiên cứu thu thập các biến số về lý do gọi cấp cứu (gồm 33 lý do) và các biến số về thời gian kích hoạt cấp cứu, thời gian tiếp cận hiện trường. Dự báo nhu cầu cấp cứu của người dân theo ngày từ năm 2021-2025 được thực hiện bằng mô hình ARIMA và so sánh với mô hình Exponential Smoothing thông qua quan sát và các chỉ số thống kê (AICc, MAPE, MRSE).

Kết quả: Có 128.208 trường hợp thực hiện cấp cứu, trong đó bệnh nhân nam giới chiếm 52,8%, có đến 69,1% là người trên 50 tuổi, chủ yếu (70%) vào khung giờ từ 8-23 giờ, các quận trung tâm Thành phố có cuộc gọi cấp cứu lớn hơn các quận, huyện ngoại thành. Có 5 lý do yêu cầu cấp cứu phổ biến nhất phân loại theo hệ thống điều phối ưu tiên là: tai nạn giao thông (20,3%), rối loạn tri giác (13,4%), khó thở (13%), té ngã (7,8%), và cuộc gọi triệu chứng (7,8%). Ngưng tim và đột quỵ lần lượt là 0,85% và 4%. Khoảng thời gian kích hoạt cấp cứu và thời gian tiếp cận hiện trường (TB±ĐLC) lần lượt là 2,7±1,7 phút và 15,9±6,9 phút. Sử dụng mô hình SARIMA để dự đoán trung bình trường hợp cấp cứu theo ngày (KTC 95%) của các năm 2021 là 93 (76-112); 2022 là 103 (73-133); 2023 là 113 (71-154); 2024 là 122(70-171); 2025 là 132 (69-195) trường hợp/ngày.

Kết luận: Trường hợp cấp cứu được thực hiện chủ yếu người trên 50 tuổi, và khung giờ 8-23 giờ, năm lý do cấp cứu ngoại viện nhiều nhất là tai nạn giao thông, rối loạn tri giác, khó thở, té ngã, và cuộc gọi triệu chứng. Số trường hợp yêu cầu cấp cứu được dự báo là tăng theo từng năm.

Từ khoá: cấp cứu ngoài bệnh viện; cấp cứu trước viện; đặc điểm; dự báo nhu cầu cấp cứu; SARIMA
Tỷ lệ rối loạn lo âu, trầm cảm và các yếu tố liên quan ở bệnh nhân nữ hiếm muộn
Authors: Nguyễn Thị Ngọc Diễm , Vũ Thị Lan Anh , Nguyễn Cao Trí , Phạm Dương Toàn , Vương Thị Ngọc Lan
Published: December 2024

Đặt vấn đề: Theo báo cáo của tổ chức Y tế thế giới, rối loạn lo âu, trầm cảm là hai rối loạn tâm thần phổ biến nhất trên thế giới gây ra gánh nặng cho cộng đồng. Phụ nữ thì có tỷ lệ mắc rối loạn lo âu, trầm cảm cao hơn nam giới. Hiếm muộn hiện là một trong những vấn đề sức khỏe toàn cầu với khoảng 12% các cặp vợ chồng trong độ tuổi sinh sản mắc phải. Hiếm muộn có thể gây lo lắng, căng thẳng, trầm cảm và ảnh hưởng đến chất lượng cuộc sống, và tác động của nó vẫn có thể kéo dài, ngay cả vấn đề hiếm muộn được giải quyết.

Mục tiêu: Nghiên cứu được thực hiện nhằm xác định tỷ lệ rối loạn lo âu, trầm cảm và các yếu tố liên quan ở bệnh nhân nữ hiếm muộn tại bệnh viện Mỹ Đức.

Đối tượng và phương pháp nghiên cứu: Thiết kế nghiên cứu cắt ngang mô tả được thực hiện trên 1028 bệnh nhân nữ hiếm muộn lần đầu đến khám tại Bệnh viện Mỹ Đức từ tháng 10/2020 – 12/2020. Bệnh nhân nữ được phỏng vấn theo bộ câu hỏi soạn sẵn và trích xuất 1 phần dữ liệu về hiếm muộn từ hồ sơ bệnh án. Rối loạn lo âu được đánh giá bằng thang đo GAD 7, Trầm cảm được đánh giá bằng thang đo PHQ 9.

Kết quả: Tỷ lệ rối loạn lo âu theo thang đo GAD 7 là 7,7% [KTC 95% = 6,2 – 9,5] với điểm cắt là 10. Tỷ lệ trầm cảm theo thang đo PHQ 9 là 9,5% [KTC 95% = 7,9 – 11,5] với điểm cắt là 10. Rối loạn lo câu có liên quan đến nhóm tuổi chồng từ 21 – 30 tuổi, bị bàn tán về tình trạng hiếm muộn. Trầm cảm có liên quan đến sự chia sẻ tâm lý từ chồng, bệnh nhân nữ đã từng điều trị bằng phương pháp IUI và bệnh nhân nữ có tiền sử trầm cảm, chưa được điều trị trước đó.

Kết luận: Bệnh nhân nữ hiếm muộn cần được quan tâm nhiều hơn về sức khỏe tâm thần đặc biệt là những bệnh nhân nữ bị bàn tán về tình trạng hiếm muộn, có nhóm tuổi chồng từ 21 – 30 tuổi, sự quan tâm chia sẻ tâm lý từ chồng, đã từng điều trị bằng phương pháp IUI và có tiền sử trầm cảm chưa được điều trị trước đó.

Từ khóa: hiếm muộn; rối loạn lo âu; trầm cảm; PHQ 9; GAD 7
Workplace-based Assessment Data in Emergency Medicine: A Scoping Review of the Literature
Authors: Chan Teresa M. , Sebok-Syer Stefanie S. , Cheung Warren J. , Pusic Martin , Stehman Christine , Gottlieb Michael
Published: December 2024

Objective: In the era of competency-based medical education (CBME), the collection of more and more trainee data is being mandated by accrediting bodies such as the Accreditation Council for Graduate Medical Education and the Royal College of Physicians and Surgeons of Canada. However, few efforts have been made to synthesize the literature around the current issues surrounding workplace-based assessment (WBA) data. This scoping review seeks to synthesize the landscape of literature on the topic of data collection and utilization for trainees' WBAs in emergency medicine (EM).

Methods: The authors conducted a scoping review in the style of Arksey and O'Malley, seeking to synthesize and map literature on collecting, aggregating, and reporting WBA data. The authors extracted, mapped, and synthesized literature that describes, supports, and substantiates effective data collection and utilization in the context of the CBME movement within EM.

Results: Our literature search retrieved 189 potentially relevant references (after removing duplicates) that were screened to 29 abstracts and papers relevant to collecting, aggregating, and reporting WBAs. Our analysis shows that there is an increasing temporal trend toward contributions in these topics, with the majority of the papers (16/29) being published in the past 3 years alone.

Conclusion: There is increasing interest in the areas around data collection and utilization in the age of CBME. The field, however, is only beginning to emerge, leaving more work that can and should be done in this area.
Guidelines: The Do’s, Don’ts and Don’t Knows of Creating Open Educational Resources
Authors: Khalid Faran , Wu Michael , Ting Daniel K. , Thoma Brent , Haas Mary R. C. , Brenner Michael J. , Yilmaz Yusuf , Kim Young-Min , Chan Teresa M.
Published: December 2024

Background:

In medical education, there is a growing global demand for Open Educational Resources (OERs). However, OER creators are challenged by a lack of uniform standards. In this guideline, the authors curated the literature on how to produce OERs for medical education with practical guidance on the Do’s, Don’ts and Don’t Knows for OER creation in order to improve the impact and quality of OERs in medical education.

Methods:

We conducted a rapid literature review by searching OVID MEDLINE, EMBASE, and Cochrane Central database using keywords “open educational resources” and “OER”. The search was supplemented by hand searching the identified articles’ references. We organized included articles by theme and extracted relevant content. Lastly, we developed recommendations via an iterative process of peer review and discussion: evidence-based best practices were designated Do’s and Don’ts while gaps were designated Don’t Knows. We used a consensus process to quantify evidentiary strength.

Results:

The authors performed full text analysis of 81 eligible studies. A total of 15 Do’s, Don’t, and Don’t Knows guidelines were compiled and presented alongside relevant evidence about OERs.

Discussion:

OERs can add value for medical educators and their learners, both as tools for expanding teaching opportunities and for promoting medical education scholarship. This summary should guide OER creators in producing high-quality resources and pursuing future research where best practices are lacking.
Technology-Enhanced Faculty Development: Future Trends and Possibilities for Health Sciences Education
Authors: Chan Teresa M. , Yilmaz Yusuf , Lal Sarrah , Tong Catherine , Howard Michelle , Bal Sharon , Bayer Ilana , Monteiro Sandra
Published: December 2024

[Introduction]: "Engagement is the focus of technology-enhanced faculty development. Unfortunately, faculty development (i.e. “teaching the teacher”) can sometimes fail to mirror the advances we have created for our students, leaving room for innovation, modernization, and change. While research has shown learning outcomes can be somewhat equivocal for traditional approaches to teaching compared to technology-enhanced ones sometimes favouring lower technology approaches, continued use of “the same boring methods” certainly limits the level of learner engagement. Practically speaking, unengaged faculty will not pursue learning objectives. Technology-enhanced faculty development supports various benefits, from access to content through diverse device options (e.g. mobile phones) to interaction with content via instant feedback options (e.g. interactive video, online quiz). Additionally, with distributed and online education models growing, innovative education technology can vastly improve access to education."
The scoping review: A flexible, inclusive, and iterative approach to knowledge synthesis
Authors: Gottlieb Michael , Haas Mary R. C. , Daniel Michelle , Chan Teresa M.
Published: December 2024

[Introduction]: "The body of medical education research has exploded in recent years. A push for a communal effort among education researchers to answer the “big questions” and support evidence-based approaches to education has resulted in a significant rise in the number of medical education publications. Sifting through this expanding body of work can present a daunting task. For example, PubMed, which is generally considered one of the primary databases for health sciences literature, contains over 30 million citations and counting.Additional education-specific and other searchable databases contain billions more citations through which to sort."
The writer's guide to education scholarship in emergency medicine: Systematic reviews and the scholarship of integration (part 4)
Authors: Murnaghan Aleisha , Weersink Kristen , Thoma Brent , Hall Andrew K. , Chan Teresa M.
Published: December 2024

Objective: Reviews help scholars consolidate evidence and guide their educational practice. However, few papers describe how to effectively publish review papers. We completed a scoping review to develop a set of quality indicators that will assist junior authors to publish reviews and integrative scholarship.

Methods: MEDLINE, Embase, ERIC, and Google Scholar were searched for English language articles published between 2012 and January 2016 using the terms review, medical education, how to publish, and emergency medicine. Titles and abstracts were reviewed by two authors and included if they focused on how to publish a review or outlined reporting guidelines of reviews. The articles were reviewed in parallel for calibration, and disagreements were resolved through a consensus.

Results: A full text review of the 25 articles was conducted, and 196 recommendations were extracted from 13 articles. A hand search of the included articles' reference lists and expert recommendation found an additional eight articles. These recommendations were thematically analysed into a list of seven themes and 32 items. Additionally, seven evaluation tools and reporting guidelines were found to guide researchers in optimizing their reviews for publication.

Conclusion: In emergency medicine education, review articles can help synthesize educational research so that educators can engage in evidence-based scholarly teaching. We hope that this work will act as an introduction to those interested in engaging in integrative scholarship by providing them with a guide to key quality markers and important checklists for improving their research.
Navigating The Duality: Privacy And Security Concerns In Knowledge Management Systems (KMS)
Authors: Satibi Iswanda Fauzan , IJDASEA Ragil Tri Atmi
Published: December 2024

This study delves into the intricate relationship between privacy and security within Knowledge Management Systems (KMS). It identifies and analyzes distinct employee perceptions of these intertwined issues within a company's KMS environment. By exploring these perspectives, the authors aim to dispel the confusion surrounding privacy and security in KMS settings. The research employed an explanatory sequential mixed method design.  First, a questionnaire survey was distributed directly to KM staff across three companies. This was followed by semi-structured interviews with four KM staff members. The findings reveal a high level of employee awareness regarding the importance of KMS and, consequently, the significance of personal information privacy and security. The study further distinguishes between privacy and security concerns within KMS. Privacy concerns, differentiated across three dimensions: confidentiality, trust, and behavior, are primarily viewed from the organizational layer. Security aspects, on the other hand, are seen as aligned with the ICT layer, governed by legal frameworks and KMS architecture.
Revealing the Investment Interests of Part-Time Working Students: Implications for Financial Literacy and Behavior
Authors: Koesoemasari Dian Safitri Pantja , Surveyandini Mayla , Putri Juvita Ananda , Janah Anisa Aulia
Published: December 2024

This study aims to explore the factors affecting the investment interest of part-time students at the Faculty of Economics and Business, Wijayakusuma University, Purwokerto. A total of 177 respondents were selected using the snowball sampling technique, and the data were analyzed through multiple linear regression with the step-wise method, utilizing Jamovi software. The findings indicate that both financial literacy and financial behavior have a significant positive impact on investment interest, with a significance level of 1%. In contrast, the income variable does not show a significant effect on investment interest. Three regression models were evaluated, all of which demonstrated a strong goodness of fit. The model with the best explanatory power reveals that students' investment interest is primarily influenced by their financial literacy and behavior, rather than their income. These results highlight the need for enhancing financial literacy and behavior through formal education and training programs, in order to boost investment interest among students.
Membangun Keadaban Digital Warganet Indonesia Dalam Perspektif Kewarganegaraan Digital
Authors: Agustin Sandrina Ghaisani , Najicha Fatma Ulfatun
Published: December 2024

Dalam era digitalisasi yang pesat, kewarganetan di Indonesia memainkan peran sentral dalam membentuk keadaban digital. Penelitian ini bertujuan untuk menganalisis karakteristik kewarganegaraan digital warganet Indonesia, fokus pada perilaku dalam ruang daring, dengan penekanan pada aspek-etika, keamanan daring, dan dampak sosial. Pendekatan kualitatif digunakan dengan studi literatur sebagai metode utama. Analisis terhadap karya-karya akademis, artikel ilmiah, dan literatur terkait dilakukan untuk menyusun pemahaman komprehensif tentang karakteristik kewarganegaraan digital. Hasil analisis menunjukkan bahwa kewarganegaraan digital warganet Indonesia tercermin dalam partisipasi aktif, sikap etis, keamanan daring, dan dampak sosial positif. Variasi tingkat keamanan daring berdampak signifikan pada kewarganegaraan digital, di mana kesadaran terhadap risiko, perlindungan privasi, dan respons terhadap ancaman siber memainkan peran krusial dalam membentuk kontribusi warganet terhadap keadaban digital. Penguatan kewarganegaraan digital warganet Indonesia memerlukan pendekatan holistik melalui edukasi, literasi digital, dan regulasi yang mendukung. Peningkatan kesadaran etika digital, peran positif dalam keamanan daring, serta partisipasi dalam upaya kolektif menjadi kunci dalam membentuk kewarganegaraan digital yang tangguh dan berkelanjutan.
ISU GENDER DALAM PENCEGAHAN STUNTING DAN PEMBERDAYAAN MASYARAKAT DI DESA KAMAL, KECAMATAN BULU KABUPATEN SUKOHARJO O
Authors: Indriastuti Dorothea Ririn , Harini Setyasih
Published: December 2024

Stunting menjadi perhatian utama pemerintah untuk membebaskan generasi muda dari pertumbuhan yang kurang dan mencapai generasi cerdas di masa depan. Faktor-faktor seperti status ekonomi, pola pengasuhan anak, dan akses ke nutrisi yang tepat memainkan peran penting dalam menentukan kesejahteraan gizi balita. Malnutrisi, termasuk stunting, tetap menjadi masalah umum di sebagian negara berkembang, dengan berbagai faktor risiko berkontribusi terhadap terjadinya malnutrisi tersebut. Upaya untuk mengatasi kekurangan gizi termasuk program pemberian makanan tambahan dan inisiatif pemberdayaan masyarakat bertujuan untuk meningkatkan pengetahuan dan keterampilan gizi di antara ibu dan pengasuh. Perhatian masyarakat internasional untuk memahami korelasi antara status gizi dan stunting sangat penting untuk mengembangkan kebijakan yang ditargetkan yang bersifat berkelanjutan dapat meningkatkan kesejahteraan balita.
Evaluasi Pengelolaan Sediaan Farmasi Di Puskesmas Bara-Baraya Kota Makassar
Authors: Fauziah Khafifahtul , Nurmiati Muchlis  , Hamzah Wardiah
Published: December 2024

Proses pengelolaan obat di Puskesmas sangat penting untuk menjadi perhatian, karena jika pengelolaan obat tidak sesuai dengan prosedur, maka akan menyebabkan masalah seperti ketersediaan obat berkurang, obat menumpuk akibat perencanaan obat yang tidak sesuai, tumpang tindih anggaran, serta resiko obat kadaluarsa, rusak, hingga deadstock. Berdasarkan observasi awal pengelolaan obat yang dilakukan di Puskesmas Bara-Baraya biasanya banyak terjadi kendala yaitu terjadinya kekurangan dan kehabisan stok obat dikarenakan biasanya obat masuk memiliki jadwal tertentu yaitu di pertengahan bulan dalam setahun sehingga di bulan-bulan awal biasanya banyak terjadi kekurangan obat dan juga untuk pengadaan obat tidak terlalu efisien. Penelitian ini bertujuan untuk mengevaluasi pengelolaan sediaan farmasi di puskesmas Bara-Baraya.Jenis penelitian ini merupakan penelitian kualitatif yang bermaksud untuk mengetahui dan mengevaluasi sistem pengelolaan sediaan farmasi sesuai dengan pedoman yang dikeluarkan oleh Kementerian Kesehatan terkait Petunjuk Teknis Standar Pelayanan Kefarmasian di Puskesmas Tahun 2019 pada tahap pengelolaan sediaan farmasi di Puskesmas Bara-Baraya Kota Makassar dengan menggunakan lembar observasi, melakukan wawancara mendalam serta telaah dokumen.Dari hasil penelitian diperoleh bahwa terdapat tiga aspek pengelolaan yang sudah dijalankan sesuai dengan petunjuk teknis standar pelayanan kefarmasian di Puskesmas yang dikeluarkan oleh Kementrian Kesehatan Republik Indonesia yaitu aspek pemilihan dan perencanaan, pengadaan, penyimpanan, serta pencatatan dan pelaporan. Terdapat 2 aspek yang kurang sesuai atau kurang memenuhi yaitu aspek pengendalian persediaan obat dan pendistribusian obat. Serta terdapat satu aspek yang tidak sesuai sama sekali yaitu aspek pemusnahan dan penarikan obat. Proses pengelolaan obat utamanya terkait pengendalian persediaan farmasi hendaknya lebih diperhatikan secara menyeluruh, begitu pula dengan pendistribusian serta penarikan dan pemusnahan obat.
Hubungan Faktor Individu Dan Faktor Pekerjaan Dengan Nyeri Punggung Bawah pada Nelayan di Desa Beru-Beru Kecamatan Kalukku Kabupaten Mamuju
Authors: Nawiraeda Citra , Ikhram Hardi S  , Nurul Ulfah Mutthalib
Published: December 2024

Dari Survei awal di kalangan pekerja nelayan di Desa Beru-Beru, Kecamatan Kalukku, Kabupaten Mamuju, Menunjukkan bahwa ada peningkatan dalam aktivitas penangkapan ikan dilakukan setiap hari hingga malam dengan peralatan seadanya dan bantuan tenaga manusia. Dari 8 orang nelayan yang telah diwawancarai 6 orang nelayan diantaranya mengeluhkan nyeri punggung bawah, dengan keluhan lain seperti sakit punggung, bahu, dan kaki. Kemudian proses penangkapan ikan yang tidak optimal, terutama dengan gerakan yang monoton dan berulang, hingga menyebabkan nyeri punggung bawah dalam jangka waktu panjang. Jenis penelitian adalah penelitian kuantitatif dan dengan konsep cross-sectional. Popolasi dalam penelitian ini ialah sekelompok masyarakat nelayan yang berjumlah 70 orang dan sampel penelitian yaitu sebanyak 59 yang berasal dari Desa Beru-Beru, Kecamatan Kalukku, Kabupaten Mamuju, dengan menggunkan rumus Slovin. Hasil Data dikumpulkan menggunakan skala nyeri dan kecemasan (William J.K Zung, 1993) dan kuesioner Rapid Entire Body Assessment (REBA). Setelah itu, data di uji melalui uji Chi-Square dengan signifikansi 95% (α=0,05). Didapatkan hasil yang menunjukkan bahwa tidak terdapat korelasi  masa kerja (ρ=0,494 > α=0,05), namun terdapat korelasi signifikan antara sikap kerja (ρ=0,002 < α=0,05), usia (ρ=0,016 < α=0,05)  dan lama kerja (ρ=0,002 < α=0,05) pada pekerja nelayan di Desa Beru-Beru, Kecamatan Kalukku, Kabupaten Mamuju. Kesimpulan dalam penelitian ini adalah ada pengaruh antara sikap kerja, usia, dan lama kerja ) pada pekerja nelayan di Desa Beru-Beru, Kecamatan Kalukku, Kabupaten Mamuju.
Efektivitas Penggunaan Program Mobile JKN Dalam Pelayanan Kesehatan Di RS Pendidikan Universitas Hasanuddin
Authors: Makmur Siti Fatimah Azzahra Sisila , Reza Aril Ahri  , Nurgahayu
Published: December 2024

Pemanfaatan teknologi informasi dan komunikasi banyak digunakan dalam dunia bisnis dan organisasi untuk mencapai efisiensi waktu dan biaya, sehingga setiap pengusaha dan organisasi harus memahami perlunya penggunaan teknologi informasi dan komunikasi di lingkungan kerjanya. Oleh karena itu, penting untuk beradaptasi dengan tren teknologi saat ini. Salah satu instansi pemerintah yang sudah mengadopsi tata kelola digital atau e-Government adalah  BPJS Kesehatan. Jenis penelitian ini adalah kualitatif dengan pendekatan deskriptif yang bertujuan untuk mengetahui efektifitas penggunaan program mobile JKN di Rumah Sakit Pendidikan Universitas Hasanuddin Kota Makassar, dengan cara turun langsung ke lapangan untuk mendapatkan informasi dan melakukan observasi. Dari hasil penelitian yang diperoleh bahwa penggunaan mobile JKN di Rumah Sakit Pendidikan Universitas Hasanuddin sudah terbilang efektif dikarenakan sekitar 90% pasien sudah menggunakan aplikasi ini untuk mendaftar secara online. Yang dimana adanya aplikasi mobile JKN ini bisa menghemat dan meringkas waktu tunggu pasien sehingga tidak terjadi tumpukkan di loket pendaftaran. Diharapkan pihak dari BPJS agar meningkatkan kapasitas jaringan dari aplikasi mobile JKN ini agar tidak terjadi gangguan jaringan pada saat pasien menggunakan aplikasi mobile JKN ini.
Assessment Of The Readiness Level of Japanese-Speaking Muslim Students from Malaysian Higher Education Institutions to Perform Da’wah
Authors: Abdul Latif @ Bapoo Lilisuriani , Md Sawari Siti Salwa , Shamsudin Muhammad Imron
Published: December 2024

Da’wah is defined to be the act of propagating Islam. Anyone who wishes to perform this act in Japan needs to be able to speak Japanese and be ready to carry out Da’wah activities. Unfortunately, information on Da’wah readiness is hardly found despite work readiness being studied in many fields, using the Work Readiness Scale. Thus, this study looks at how Muslim Japanese-speaking tertiary learners in Malaysian Higher Educational Institutions perceive their own readiness to perform Da’wah. A questionnaire on five attributes of readiness to perform Da’wah namely, Islamic knowledge, persuasive communication skills, cultural awareness, media skill literacy and motivation, was distributed to tertiary learners who learn and can speak the Japanese language. 150 responses were obtained, and a descriptive analysis was done to identify the perceived level of Da’wah readiness of the respondents. The findings reveal that the respondents generally perceived themselves to have low readiness to perform Da’wah. A more structured effort such as training and workshops to strengthen the five attributes, therefore, is needed in preparing Japanese-speaking Daies to perform Da’wah in Japan.