bluuebunny/crossref_metadata_2025 huggingface dataset:
Vitamin D Intake, Serum 25-hydroxyvitamin-D (25(OH)D) Levels, and Cancer Risk: a Comprehensive Meta-meta-analysis including Meta-analyses of Randomized Controlled Trials and Observational Epidemiological Studies
Authors: Arayıcı Mehmet Emin , Basbinar Yasemin , Ellidokuz Hulya
Published: June 2023

It is a well-established fact that inadequate Vitamin D (Vit-D) levels have negative effects on the development and progression of malignant diseases, mainly cancer. The purpose of this paper was to elucidate the effects of Vit-D intake and serum 25-hydroxyvitamin-D (25(OH)D) levels on cancer incidence and mortality, the current evidence in this field, and the biases of this evidence using the meta-meta-analysis method. Meta-analyses focusing on Vit-D intake, serum 25(OH)D levels, and cancer risk/mortality were identified. A structured computer literature search was performed in PubMed/Medline, Web of Science (WoS), and Scopus electronic databases using predetermined keyword combinations. Primary and secondary meta-meta-analyses were carried out, combining odds ratios (ORs), risk ratios (RRs), and hazard ratios (HRs) for outcomes reported in selected meta-analyses. A total of 35 eligible meta-analyses assessing the association between Vit-D and cancer incidence and/or mortality were included in this study. In the pooled analysis, higher Vit-D intake and serum 25(OH)D levels were associated with lower cancer risk (OR = 0.93, 95% CI: 0.90-0.96, p < 0.001; OR = 0.80, 95% CI: 0.72-0.89, p < 0.001, respectively) and cancer-related mortality (RR = 0.89, 95% CI: 0.86-0.93, p < 0.001; RR = 0.67, 95% CI: 0.58-0.78, p < 0.001, respectively). When meta-analyses whose primary reports included only randomized controlled trials were pooled, there was no significant association between Vit-D intake and cancer risk (OR = 0.99, 95% CI: 0.97-1.01, p = 0.320). In subgroup analysis, Vit-D consumption was associated with a significant decrease in colorectal and lung cancer incidence (OR = 0.89, 95% CI: 0.83-0.96, p = 0.002; OR = 0.88, 95% CI: 0.83-0.94, p < 0.001, respectively). Taken together, both Vit-D intake and higher 25(OH)D levels may provide remarkable benefits in terms of cancer incidence and mortality, however, careful evaluation according to cancer types is critically important and recommended.
A Change in Global Sagittal Alignment after Transforaminal Epidural Steroids Injections in Lumbar Spinal Stenosis
Authors: Manakul Park , Siribumrungwong Koopong , Dhanachanvisith Naphakkhanith
Published: June 2023

Patients' functional adaptation to pain can affect global sagittal alignment. This study evaluated the short-term spinal sagittal alignment change after Transforaminal Epidural Steroid Injection (TFESI) in lumbar spinal stenosis patients. Patients with lumbar spinal stenosis who underwent TFESI were retrospectively examined. Clinical outcomes were Visual Analog Scale (VAS) and Oswestry Disability Index (ODI). Before and two weeks after the intervention, whole spine lateral standing view radiographs were taken. Radiographic parameters, e.g., Sagittal Vertical Axis (SVA), C2C7 Cobb, Thoracic Kyphosis (TK), Lumbar Lordosis (LL), Pelvic Incidence (PI), Pelvic Tilt (PT), Sacral Slope (SS), and Lumbopelvic Mismatch (PI-LL), were measured. Ninety-nine patients (mean age 64.3 ± 9.2 years) were included in this study. Both VAS and ODI outcomes were statistically improved after two weeks of intervention. Radiographic parameters showed that SVA, PT, and PI-LL mismatch were significantly decreased, while C2C7 Cobb, TK, SS, and LL were significantly increased after the intervention. SVA was improved by 29.81% (52.76 ± 52.22 mm to 37.03 ± 41.07 mm, P < 0.001). PT was also decreased significantly from 28.71° ± 10.22° to 23.84° ± 9.96° (P < 0.001). Transforaminal Epidural Steroid Injection (TFESI) significantly improves VAS, ODI, and global sagittal parameters in lumbar spinal stenosis patients.
Numerical Simulation of Sediment Transport in Unsteady Open Channel Flow
Authors: Duan Jennifer G. , Yu Chunshui , Ding Yan
Published: June 2023

This paper presented a two-dimensional, well-balanced hydrodynamic and sediment transport model based on the solutions of variable density shallow water equations (VDSWEs) for sediment-laden flows, and the Exner equation for bed changes. Those equations are solved in a coupled way by the first-order Godunov-type finite volume method. The Harten-Lax-van Leer-Contact (HLLC) Riemann solver is extended to find the local Riemann fluxes in order to maintain the exact balance between the momentum term and the bed slope term. The advantage of a well-balanced scheme over an unbalanced scheme is demonstrated by the synthetic standing contact-discontinuity test case. Then, the model is employed to simulate two laboratory experiments. At last, a field case, the 1996 Lake Ha! Ha! flood event (Canada), is simulated. Results of cross sectional geometries and profiles of longitudinal thalweg agree well with measurements. The accuracy and simplicity of the numerical model, together with the robust implementation, make the model a good candidate for practical engineering applications.
Current Treatment Approach, Emerging Therapies and New Horizons in Systemic Lupus Erythematosus
Authors: Athanassiou Panagiotis , Athanassiou Lambros
Published: June 2023

Systemic lupus erythematosus (SLE), the prototype of systemic autoimmune diseases is characterized by extreme heterogeneity with a variable clinical course. Renal involvement may be observed and affects the outcome. Hydroxychloroquine is the cornerstone of lupus treatment. Conventional immunosuppressive therapy includes corticosteroids, methotrexate, azathioprine, cyclosporine and tacrolimus. Cyclophosphamide and mycophenolate mofetil may also be used. However, despite conventional immunosuppressive treatment flares occur and broad immunosuppression is accompanied by multiple side effects. Flare occurrence, target organ involvement, side effects of broad immunosuppression, increased knowledge of the pathogenetic mechanisms involved in SLE pathogenesis as well as the availability of biologic agents has led to the application of biologic agents in SLE management. Biologic agents targeting various pathogenetic paths have been applied. B cell targeting agents have been used successfully. Belimumab, a B cell targeting agent has been approved for the treatment of SLE. Rituximab, an anti-CD20 targeting agent is also used in SLE. Anifrolumab, an interferon I receptor targeting agent has beneficial effects on SLE. In conclusion, biologic treatment is applied in SLE and should be further evaluated with the aim of a good treatment response and a significant improvement in quality of life.
Ductile effect of PGA/PCL Blending Plastics using Novel Ionic Chain Extender with Non-Covalent Bonds
Authors: Kwon Hyuk Jun , Jang Joseph , Koh Won-Gun , Lee Jun-Young , Hwang Kiseob
Published: June 2023

Polyglycolic acid (PGA) is a promising polymer in the packaging field owing to excellent hydrolysis, heat resistance and gas barrier properties, but there are limited in application due to poor toughness. For this reason, a covalently bonded chain extender is introduced to increase compatibility with flexible polymers. However, covalent bonds are unfavorable for application to degradable plastics because of require a lot of energy for reverse reactions. Therefore, it is intended to effectively control the ductility of blending plastics by using a novel ionic chain extender having a relatively weaker non-covalent bond than the existing covalent bond. Polycaprolactone (PCL), which has biodegradability and flexibility, was selected as a blending polymer. For comparison, a covalently reactive chain extender (G-CE) and a non-covalently ionic chain extender (D-CE) were synthesized and compounded to blending plastics. Each chain extenders were improved the compatibility between PGA and PCL, and the ductility of the PGA/PCL blending plastics were greatly enhanced with non-covalently bonding D-CE than with covalently bonding G-CE. At this time, the ductility of PGA/PCL blending plastic without CE is 7.2%, the ductility of 10D with D-CE is 26.6%, and the ductility of 10G with G-CE is 18.45%. Therefore, it was confirmed that the novel ionic chain extender inducing non-covalent bonds improves the compatibility between PGA and PCL and is more advantageous in enhancing ductility through a reversible reaction.
Oil Extraction From Spent Coffee Grounds As Green Corrosion Inhibitor for Copper in 3 wt% NaCl Solution
Authors: ROUIN Ghada , ABDELMOULEH Makki , MALLAH Abdulrahman , MASMOUDI Mohamed
Published: June 2023

This work aims to follow the corrosion behavior of copper in 3 wt% NaCl solution in the presence of a bio-oily extract. Spent coffee grounds (SCG), a highly recyclable and usable biomass - often thrown away and becoming a serious threat to the environment - , has a fraction of oils (12%) that we have opted to use as a corrosion inhibitor for copper. The extraction was carried out using n-hexane as the solvent for the decoction. The oily fraction was analyzed by Fourier transform infrared spectroscopy (FTIR) and thermogravimetric analysis (TGA). Potentiodynamic polarization measurements have revealed SCG extract acts as a cathode-type inhibitor for copper in saline media, mainly preventing the diffusion of oxygen molecules toward the substrate. As the extract concentration increased, the inhibition efficiency has improved as well, reaching 95.78 % with 0.6 g/L of SCG extract. The obtained results by electrochemical impedance spectroscopy (EIS) are in accordance with the order of inhibitory efficiency obtained by potentiodynamic polarization. We have found that the SCG extract adsorption process on copper surface is spontaneous and complies with Langmuir isotherm.
How Does the Environmental Approach Work in Learning Materials Responding to an Issue About the Covid-19 Pandemic?
Authors: Catur Endang Lestari
Published: June 2023

Language is something important that we always use in our daily life. Language is increasingly developing along with the progress of the times, as well as in Indonesian which is increasingly advanced and developing. In the process of teaching and learning activities in the classroom, of course, they must refer to and be guided by the applicable curriculum. However, this seems to be something that feels heavy for educators because it requires a qualified understanding and ability to apply it. Learning methods and media are strategic combat tools for teachers in implementing the teaching and learning process. Learning methods tend to be prescriptive, which is relatively difficult to distinguish from learning strategies. Students are asked to be more sensitive to events or phenomena that occur in the surrounding environment, then make the learning material. One of the basic competencies that grade V students must achieve is being able to respond to an event or phenomenon. In order to understand more quickly, teachers can guide students by providing renewable themes, for example about the pandemic currently hitting the world, namely Coronavirus or COVID-19.

 

Keywords: environmental approach, responding to problems, the COVID-19 pandemic

 

 

Abstrak

 

Bahasa adalah sesuatu hal yang penting yang selalu kita gunakan dalam kehidupan sehari-hari. Bahasa semakin berkembang seiring dengan laju kemajuan zaman, begitupun dalam bahasa Indonesia yang kian maju dan berkembang. Dalam proses kegiatan belajar mengajar di kelas tentunya harus mengacu dan berpedoman kepada kurikulum yang berlaku. Namun, hal ini sepertinya menjadi suatu hal yang terasa berat bagi para pendidik karena hal itu memerlukan pemahaman dan kemampuan yang mumpuni untuk menerapkannya. Metode dan media pembelajaran adalah alat tempur dalam berstrategi bagi pengajar dalam pelaksaan proses belajar-mengajar. Metode pembelajaran cenderung preskriptif, yang relatif sulit dibedakan dengan strategi pembelajaran. Siswa diminta lebih peka terhadap peristiwa atau fenomena yang terjadi di lingkungan sekitarnya, lalu menjadikan bahan pelajarannya. Salah satu kompetensi dasar yang harus dicapai siswa kelas V adalah mampu menanggapi suatu peristiwa atau fenomena. Agar lebih cepat memahami, guru bisa membimbing siswa dengan memberikan tema yang terbarukan, misalnya tentang pandemi yang sedang melanda dunia, yaitu Coronavirus atau COVID-19.

Kata kunci: pendekatan lingkungan, menanggapi persoalan, pandemi COVID-19
Indonesian Language and Literature Learning Insightful Ecological Intelligence as a Container of Environmental Education
Authors: Isnanda Romi , Rinaldi Rio
Published: June 2023

The article discusses the importance of cultivating a human environment. A sense of caring does not appear to be in a person, but through learning and being used to it in life. Efforts to familiarize themselves with the environment should be exalted early through the education level and supported by the family and community environment. One of the subjects that play an important role in cultivating the character of the environment is Indonesian language and literature. Through the teaching of Indonesian language and literature, the teacher packs an insight into ecological intelligence by referring to Mulyasa theory (2013) that one of the 2013 curriculum developments is environmental issues. Furthermore, Theoretical issues and the practice of ecological-oriented learning practices refer to the theory of Suwandi (2019) and Septiaji and Nisya (2020). Based on a description of the Indonesian language and literature study, optmalization of students ' caring for the environment can be carried out well.

 

Keywords: learning, language and literature, ecological intelligence

 

Abstrak

 

Artikel membahas permasalahan pentingnya menanamkan sikap peduli terhadap lingkungan bagi manusia. Rasa kepedulian tidak muncul begitu saja dalam diri seseorang, melainkan melalui pembelajaran dan membiasakannya dalam kehidupan. Upaya membiasakan kepedulian terhadap lingkungan harus dimulia sejak dini melalui jenjang pendidikan dan didukung oleh lingkungan keluarga dan masyarakat. Salah satu mata pelajaran yang berperan penting dalam menanamkan karakter peduli terhadap lingkungan adalah bahasa dan sastra Indonesia. Melalui pengajaran bahasa dan sastra Indonesia, guru mengemas bahan ajar berwawasan kecerdasan ekologis dengan mengacu pada teori Mulyasa (2013) bahwa salah satu pengembangan kurikulum 2013 adalah permasalahan lingkungan hidup. Selanjutnya, permasalah secara teorEtis dan praktik pelaksanaan pembelajaran berwawasan ekologis mengacu pada teori Suwandi (2019) dan Septiaji dan Nisya (2020). Berdasarkan uraian tentang pembelajaran bahasa dan sastra Indonesia berwawasan ekologis, optmalisasi penanaman karakter kepedulian siswa terhadap lingkungan dapat terlaksana dengan baik.

 

Kata kunci: pembelajaran, bahasa dan sastra, kecerdasan ekologis
Moral and Social Values in the Novel Ceplik by Nanang Al-Qos and It’s Possibility as High School Teaching Materials
Authors: Ghufroni Ghufroni , Robert Rizki Yono  , Ikfi Rizki Amaliyah
Published: June 2023

This study aimed to (1) describe the moral values in the novel “Ceplik” by Nanang Al-Qos, (2) describe social values in the novel “Ceplik” by Nanang Al-Qos. The research method used in this research is descriptive qualitative.  The approach used is a sociological approach. Data collection method that used in this research is using read and note method. Data analysis techniques used in this research are identifying data, classifying, describing, and reviewing. The results of the study are four aspects of moral values related to God which are sincerity, praying, patience, and worship. The five aspects of social values are love, forgiveness, politeness, deliberation, and responsibility. The results of this study are planned as teaching materials for high school.

 

Keywords: moral values, social values, novel, high school teaching materials

 

 

Abstrak

Tujuan penelitian ini adalah (1) mendeskripsikan nilai moral dalam novel “Ceplik” karya Nanang Al-Qos, dan (2) mendeskripsikan nilai sosial dalam novel “Ceplik” karya Nanang Al-Qos. Metode penelitian yang digunakan dalam penelitian ini adalah deskriptif kualitatif. Pendekatan yang digunakan adalah pendekatan sosiologis. Teknik pengumpulan data dengan menggunakan teknik baca dan catat. Teknis analisis data yang digunakan dalam penelitian yaitu mengidentifikasi data, mengklasifikasi, mendeskripsikan, dan mengkaji. Hasil penelitian tersebut berupa nilai moral  yang berhubungan Tuhan yaitu ikhlas, memanjatkan doa, kesabaran, dan beribadah. Nilai sosial lima aspek berupa kasih sayang, saling memaafkan, kesopanan, musyawarah, dan tanggung jawab. Hasil penelitian ini direncanakan sebagai bahan ajar SMA.

 

Kata kunci: nilai moral, nilai sosial, novel, bahan ajar SMA
Use of Indonesian Vocabulary by Children in KB Aisyyah III Baruga Kecamatan Baruga
Authors: Wa Ode Irawati
Published: June 2023

The purpose of this study was to determine the vocabulary used by children in KB Aisyiyah III Baruga and describe the class classification of words spoken by children in KB Aisyiyah III Baruga. The method used in this study is a qualitative descriptive method. The data in this study are in the form of vocabulary spoken by children in KB Aisyiyah III Baruga. Data collection uses the speaking and listening method while the data collection technique uses elicitation, recording, and note-taking techniques. The data collected were analyzed using psycholinguistic methods, then data analysis was carried out through data identification, data presentation, and concluding. Based on the results of data analysis, it can be stated that the number of vocabulary used by children 0-6 years is different from one another. The types of Indonesian vocabulary used by children are 27 types of vocabulary that refer to concrete or real things. Children's vocabulary covers almost all classes of Indonesian words, namely nouns, verbs, adjectives, adverbs, pronouns, numerals, prepositions, and conjunctions. However, the dominant a word-class used is nouns.

Keywords: vocabulary, word class, children

 

Abstrak

Tujuan penelitian ini adalah untuk mengetahui kosakata yang digunakan oleh anak-anak di KB Aisyiyah III Baruga dan mendeskripsikan klasifikasi kelas kata yang diucapkan oleh anak-anak di KB Aisyiyah III Baruga. Metode yang digunakan dalam penelitian ini adalah metode deskriptif kualitatif. Data dalam penelitian ini berupa kosakata yang dituturkan oleh anak-anak di KB Aisyiyah III Baruga. Pengumpulan data menggunakan metode cakap dan simak, sedangkan teknik pengumpulan data menggunakan teknik elisitasi, rekam, dan catat. Data-data yang dikumpulkan dianalisis dengan menggunakan metode psikolinguistik. Selanjutnya, analisis data dilakukan melalui identifikasi data, penyajian data, dan penarikan simpulan. Berdasarkan hasil analisis data dapat dikemukakan bahwa jumlah kosakata yang digunakan anak 0-6 tahun berbeda antara satu dengan yang lain. Jenis  kosakata bahasa Indonesia yang digunakan anak sebanyak 27 jenis kosakata yang mengacu pada hal-hal konkret atau nyata. Kosakata anak mencakup hampir seluruh kelas kata bahasa Indonesia, yaitu nomina, verba, adjektiva, adverbia, pronomina, numeralia, preposisi, dan konjungsi. Namun, kelas kata yang dominan digunakan adalah nomina.

 

Kata kunci: kosakata,  kelas kata, anak-anak
Moral Values in Selected Folklores of Toraja Tribes
Authors: Tamrin Andi Febriana , Yulhaidir Yulhaidir , Lobo' Wulan Sari Tangnga
Published: June 2023

This research discusses about the moral values ​​in selected folklore of the Toraja tribe, namely Seredukung and Lakipadada by Junus Bunga Lebang. The purpose of this research is to find out what the moral values are can be found in selected folklores of Toraja tribes. The method used in this research is a qualitative descriptive method. The data is taken from selected Toraja folklore, namely Seredukung and Lakipadada by Junus Bunga Lebang. This research uses Thomas Lickona's conceptual theory of moral values. The results of this research indicates that, there are seven moral values ​​in the selected folklore of the Toraja tribe, namely Seredukung and Lakipadada. There are three moral values that can be found in Seredukung folklore, namely responsibility, tolerance, and self-discipline. While in Lakipadada folklore there are four moral values that can be found namely honesty, helpfulness, cooperation, and courage.

 

Keywords: moral values, folklores of Toraja Tribes, Seredukung, Lakipadada

Abstrak

Penelitian ini membahas tentang nilai moral pada cerita rakyat terpilih suku Toraja yaitu Seredukung dan Lakipadada karya Junus Bunga Lebang, Tujuan dari penelitian ini adalah untuk mengetahui apa saja nilai-nilai moral yang terdapat dalam cerita rakyat terpilih suku Toraja. Metode yang digunakan pada penelitian ini adalah metode deskriptif kualitif. Data diambil dari cerita rakyat terpilih suku Toraja yaitu Seredukung dan Lakipadada karya Junus Bunga Lebang. Penelitian ini menggunakan teori konsep Thomas Lickona tentang nilai moral. Hasil dari penelitian ini menunjukkan bahwa terdapat tujuh nilai moral pada cerita rakyat terpilih suku Toraja yaitu Seredukung dan Lakipadada. Ada tiga nilai moral yang terdapat dalam cerita rakyat Seredukung, yaitu tanggung jawab, toleransi, dan disiplin diri. Sedangkan dalam cerita rakyat Lakipadada terdapat empat nilai moral yang dapat ditemukan yaitu kejujuran, tolong menolong, kerjasama, dan keberanian.

Kata kunci: nilai moral, cerita rakyat suku Toraja, Seredukung, Lakipadada
Intertextual Study in Comparative Literature: Folklore of Oedipus and Folklore of Sangkuriang
Authors: Dwi Anggraini  , Gianira Shola Shafira  , Ferra Rossa Lestari
Published: June 2023

The purpose of this research is to identify intertextual study in comparative literature of Oedipus folklore and Sangkuriang folklore. The intertextual study of comparative literature in this study aims to obtain identification results regarding affirmations, negations, restorations, and parodies in literary works through folklore. The research used is descriptive qualitative research with descriptive analysis method. The objects used in this research are Oedipus folklore and Sangkuriang folklore. The results of this study show some data obtained from affirmations, negations, and parodies. There are two affirmations obtained in the intertextual study of the Oedipus folklore and the Sangkuriang folklore. There are two negations found in the intertextual study of the Oedipus folklore and the Sangkuriang folklore. There is only one parody found in the intertextual study of the Oedipus folklore and the Sangkuriang folklore. However, restoration in the intertextual study of the two folklores in this study was not found.

 

Abstrak

 

Penelitian ini bertujuan untuk mengidentifikasi adanya kajian intertekstual dalam sastra bandingan antara cerita rakyat “Oedipus” dan cerita rakyat “Sangkuriang”. Kajian intertekstual dalam sastra bandingan dalam penelitian ini ingin memperoleh hasil identifikasi mengenai afirmasi, negasi, restorasi, dan parody dalam karya sastra melalui cerita rakyat. Penelitian yang digunakan ialah penelitian deksriptif kualitatif dengan metode deksriptif analisis. Objek yang digunakan dalam penelitian ini adalah cerita rakyat “Oedipus” dan cerita rakyat “Sangkuriang”. Hasil dari penelitian ini menunjukkan beberapa data yang diperoleh dari afirmasi, negasi, dan parodi. Afirmasi yang diperoleh dalam kajian intertekstual pada cerita rakyat “Oedipus” dan cerita rakyat “Sangkuriang” ada dua afirmasi. Negasi yang ditemukan dalam kajian intertekstual dalam cerita rakyat “Oedipus” dan cerita rakyat “Sangkuriang” ada dua negasi. Parodi yang ditemukan dalam kajian intertekstual dalam cerita rakyat “Oedipus” dan cerita rakyat “Sangkuriang” hanya ada satu parodi. Namun, restorasi dalam kajian intertekstual terhadap kedua cerita rakyat dalam penelitian ini tidak ditemukan.

Kata kunci: kajian intertekstual, cerita rakyat, teks transformasi
Improving Procedure Text Learning Outcomes Using Cooking Recipes
Authors: Nurmariana
Published: June 2023

This study aims to examine the use of cooking recipes to improve learning outcomes of procedural texts. In learning activities, it was found a problem that student learning outcomes in complex procedure materials were still low. This can be seen from student learning outcomes, where the average value of the learning process is only 45 or 10% above the predetermined KKM, which is 78. Based on this fact, it is necessary to improve the implementation of learning which is carried out in 2 cycles with stages of planning, implementation, observation, and reflection of each cycle. The research method applied was a class action research using Kurt Lewin's model, which was conducted on 33 students of class X IIS 4 consisting of 20 girls and 13 boys at SMA Negeri 1 Tanjungpandan. Based on the analysis of the research data, it can be seen that the use of cooking recipes can improve the learning outcomes of procedural texts in class X semester 1 students of SMA Negeri 1 Tanjungpandan in the 2014/2015 academic year. This is evidenced by the average value obtained by students increasing to 85% with an average value of 90.

 

Keywords: learning outcomes, procedure text, cooking recipes

 

Abstrak

 

Pelitian ini bertujuan untuk mengkaji penggunaan resep masakan dapat meningkatkan hasil belajar teks prrosedur Dalam kegiatan pembelajaran ditemukan masalah bahwa hasil belajar siswa dalam materi prosedur kompleks masih rendah. Hal ini terlihat dari hasil belajar siswa yang rata-rata nilai proses belajar hanya 45 atau 10 % di atas KKM yang telah ditetapkan yaitu 78. Berdasarkan kenyataan tersebut maka perlu dilakukan perbaikan pelaksanaan pembelajaran yang dilakukan dalam 2 siklus dengan tahapan perencanaan, pelaksanaan, observasi, dan refleksi masing-masing siklus. Metode penelitian yang diterapkan adalah penelitian tindakan kelas model Kurt Lewin yang dilakukan pada siswa kelas X IIS 4 berjumlah 33 siswa yang terdiri atas 20 orang perempuan dan 13 orang laki-laki di SMA Negeri 1 Tanjungpandan. Berdasarkan analisis data hasil penelitian, dapat diketahui bahwa penggunaan resep masakan dapat meningkatkan   hasil belajar teks prosedur pada siswa kelas X semester 1 SMA Negeri 1 Tanjungpandan tahun pelajaran 2014/2015. Hal ini dibuktikan dengan nilai rata-rata yang diperoleh siswa meningkat menjadi 85 % dengan rata-rata nilai 90.

 

Kata kunci: hasil belajar, teks prosedur, resep masakan
Poetry Writing Ability As A Critical Thinking Representation Towards Social Reality of 9-A Students in SMPN 1 Kedungpring
Authors: Achmad Alwi Masyhuri  , Khumaidi Abdillah  , Sukiman Sukiman
Published: June 2023

The research entitled “Poetry Writing Ability As A Critical Thinking Representation Towards Social Reality of 9-A Students In SMPN 1 Kedungpring” aims to describe the ability to write poetry in terms of the structure of poetry, interpretation of meaning, and the form of social reality that is displayed based on the level of complexity of meaning.. This research is a qualitative type with a descriptive method. Data collection was obtained from the students’ poetry anthology with a total 32 poems. Based on the results of the analysis of the ability to write poetry as a representation of critical thinking on social reality, there are 6 poems with low complexity of meaning, 15 poems of medium complexity of meaning, and 11 poems of high level of complexity of meaning.

 

Keywords: representation, writing poetry ability, social reality, critical thinking

 

 

Abstrak

 

Penelitian yang berjudul “Kemampuan Menulis Puisi Sebagai Representasi Berpikir Kritis terhadap Realitas Sosial Siswa Kelas 9-A SMPN 1 Kedungpring” bertujuan untuk mendeskripsikan kemampuan menulis puisi ditinjau dari struktur pembangun puisi, interpretasi makna, dan bentuk realitas sosial yang ditampilkan berdasarkan tingkat kompleksitas makna. Penelitian ini adalah jenis kualitatif dengan metode deskriptif. Pengumpulan data diperoleh dari antologi puisi siswa dengan jumlah 32 puisi. Berdasarkan hasil analisis dari kemampuan menulis puisi sebagai representasi berpikir kritis terhadap realitas sosial, terdapat 6 puisi dengan kompleksitas makna rendah, 15 puisi tingkat kompleksitas makna sedang, dan 11 puisi pada tingkat kompleksitas makna tinggi.

 

Kata kunci: representasi, kemampuan menulis puisi, realitas sosial, berpikir kritis
The wage system as an instrument of influence on the quality of primary health care
Authors:   SPbGBUZ “City polyclinic No. 87”, Sochkova L. V. , Kim A. V. ,   Department of Social Pediatrics and Health Organization of the FP and DPO of the St. Petersburg State Pediatric Medical University of the Ministry of Health of Russia, Sharafutdinova L. L. ,   Department of Social Pediatrics and Health Organization of the FP and DPO of the St. Petersburg State Pediatric Medical University of the Ministry of Health of Russia, Guryeva N. A. ,   Department of Social Pediatrics and Health Organization of the FP and DPO of the St. Petersburg State Pediatric Medical University of the Ministry of Health of Russia, Smirnova V. I. ,   Department of Social Pediatrics and Health Organization of the FP and DPO of the St. Petersburg State Pediatric Medical University of the Ministry of Health of Russia
Published: June 2023

Qualified and motivated employees of a medical organization are a necessary component that ensures the provision of medical care of appropriate quality One of the motivating factors of medical workers for high-quality and efficient work is wages. The purpose of the study. To analyze and evaluate the impact of the remuneration system of medical workers based on labor rationing on the quality of primary health care (PHC) on the example of the state district polyclinics of St. Petersburg. Materials and methods. Based on the reporting data of polyclinics selected by the research bases, the following were studied: the dynamics of the number and staffing of medical workers from 2018 to 2021; the percentage and structure of reasons for refusal to pay for cases of medical care in 2010–2018 and 2020–2021; the dynamics of the detection of malignant neoplasms in the early stages. The results of the patient survey were analyzed in order to assess changes in the quality of primary health care for the adult population after the introduction of a system of remuneration for medical workers based on labor rationing. Results. After the introduction of a new wage system based on its rationing, a number of general positive trends were identified for the studied polyclinics, such as: an increase in staffing of medical personnel in general by 3.5%–8.7%, district internists by 4.6%–42.7%, specialist doctors by 2.8%–12.4%, average medical personnel by 4.5%–17.7%; increase in the proportion of oncological pathology detected at early stages by 13.5%–20.1%; decrease in the share of refusals to pay for medical care cases by 9.3%–32.9%; a decrease in the total number of citizens’ complaints in the form of complaints by 6.0–58.0%, including justified ones. Findings. The introduction of a wage system based on labor rationing has increased the economic and medico-social efficiency of the polyclinics under study, as well as the motivation of medical workers to provide medical care of appropriate quality.
Portrait of regional health authority manager – 2022
Authors:   Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Khodakova O. V. , Kungurtsev O. V. ,   Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Chigrina V. P. ,   Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Starodubov V. I. ,   Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Deev I. A. ,   Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation, Kobyakova O. S. ,   Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation
Published: June 2023

The heads of regional executive authorities in the sphere of health protection are key figures in the realization of the Russian Federation’s healthcare development strategy. Without qualified managers, it is difficult to achieve national goals and objectives of federal projects. The study of the qualifications, professional experience, and skills of the high leaders of regional health systems allows the evaluation of top personnel’s human potential and the successful implementation of steps to increase the efficiency of its administration. T h e a i m o f t h e s t u d y was to give a detailed information about regional health authorities managers in Russian Federation. M a t e r i a l s a n d m e t h o d s . A single-stage, continuous sociological study was planned and carried out using a specially developed questionnaire, which included a characterization of the accounting characteristics of participants’ age and demographic characteristic, level of basic and additional education, availability of professional competencies, and work experience in managerial positions. R e s u l t s . We achieved a response from 85 respondents. It was found that, as compared to 2021, there was a slowdown inside the process of rotation of regional ministers’ personnel and an increase in the degree of professional qualifications of managers in 2022. These trends were reflected in the increase in the average length of service in the position of regional minister (2021 2,1±1,9 years; 2022 2,6±2,5 years), the doubling of the number of managers with work experience of up to one year (2021 n = 42; 2022 n = 21), and the decrease in the number of managers with work experience of up to one year (2021 n = 42; 2022 n = 21). C o n c l u s i o n . The research allows for an assessment of the dynamics of changes in regional health care systems in terms of managerial human resources from 2021 to 2022. Positive declining trends in 2022 have been identified. The pace of rotation of regional ministers’ staff adds to the development of leaders’ professional abilities and experience and, eventually, will be the key to accomplishing strategic goals in health care.
Septic Arthritis of the Knee in a Neonate: A Case Report
Authors: Elhussein Nagwan , Hamd Zuhal Y , Alorainy Amal I , Manssor E , Gareeballah Awadia , Fadulelmulla Ibtisam Abdallah , Ali Muthab A Mohammed , Alzain Amel F , Daffalla Daffalla Bala , Abdelmoneim Ahmed , Ali Shima Ibrahim , Alhomida Basim Abdullah Alhomida
Published: June 2023

We present a case of septic arthritis of the knee in an 18-day-old female patient diagnosed by ultrasound. The final diagnosis of SA of the left knee was confirmed by a microbiology examination, which found Pseudomonas aeruginosa. The patient was treated with arthroscopic drainage and appropriate antibiotic therapy.
Chronic Endometritis in Patients with Failure of IVF
Authors: Kumnova Aida , Shahini Labinot , Tabaku Bujar , Arberore Koshi , Valon Cena , Klodete Kabashi
Published: June 2023

Background: Chronic endometritis (CE) is highly prevalent in patients with unexplained infertility. This study aimed to determine the associations between CE and infertility. Methods and Results: We performed a prospective study of 197 women with implantation failure and pregnancy loss after undergoing in vitro fertilization (IVF). The endometrium was examined with a hysteroscope, and a sample was taken for biopsy in areas suspected of having inflammation. Immunohistochemistry was performed for CD138 antibodies. Diagnostic criterion was more than 5 plasma cells per 10 high-power fields. Patients who were positive for CE were treated with antibiotics. Among the 197 patients in our study, 115(58.4%) were positive for CE. Regarding the success of CE treatment and pregnancy after treatment, among the 115 CD138-positive patients, 32 became pregnant without IVF after treatment, while another 43 had successful pregnancies and childbirth with IVF. Thus, with treated CE, a successful pregnancy and childbirth was detected in 65.2% of cases, including spontaneous pregnancies and IVF. Conclusion: Patients with infertility and those who have pregnancies lost in IVF have a high rate of CE. Failure to treat CE results in infertility and IVF failure. An efficient diagnosis and treatment of CE are important for a successful pregnancy.
Does Socioeconomic Status Affect Mental Well-being Among Children with Asthma in Kosovo?
Authors: Zhjeqi Valbona , Kundi Michael , Shahini Mimoza , Ahmetaj Halil , Ahmetaj Luljeta , Krasniqi Shaip
Published: June 2023

The aim of this study was to investigate the relationship between mental well-being – as assessed by the SDQ among children with asthma in Kosovo and SES. Methods and Results: For this cross-sectional observational study, data were collected from five regions of Kosovo, public and private institutions, public hospitals and primary healthcare facilities in each area, a tertiary level hospital, and two private immunology clinics in the capital city. The survey included 161 Kosovar children (mean age of 11.1±2.7 years) with asthma, aged 7-16 years, and their caregivers. The survey questionnaires used were those of the American Academy of Pediatrics: The Children's Health Survey for Asthma (CHSA), the parent and child version (CHSA-C), and the Strengths and Difficulties Questionnaire (SDQ). SDQ showed conspicuous (borderline or abnormal) results in 25.1% of children. None of the scales of the SDQ, except prosocial behavior, showed statistically significant differences across SES categories. Prosocial behavior scores increased significantly with increasing SES. Conclusion: Children with asthma from lower SES families in Kosovo have more social contact problems but do not show reduced mental well-being nor more conduct problems.
Morphogenesis of Changes in the Structural Components of the Skin in Cancer Patients with COVID-19 in Older Age Groups
Authors: Mishina Ekaterina S , Zatolokina Mariya A , Yakovleva Alisa A
Published: June 2023

Background: Immunosuppression caused by cancer or cytotoxic drugs, aging, and comorbidities makes cancer patients not only more susceptible to COVID-19, but also more likely to progress to a severe form and increase the incidence of serious complications. The epitheliotropy of this virus is of interest to the study of skin changes and the degree of their manifestation in patients with malignant neoplasms. In this regard, the aim of our research was to study the morphogenesis of changes in the structural components of the skin in cancer patients with COVID-19. Methods and Results: We examined the features of morpho-functional changes in skin components in 80 cancer patients who died in Kursk and the Kursk region for the period January 2021–February 2022. Group 1 included cancer patients with no history of COVID-19, whose cause of death was peritonitis due to colorectal cancer; Group 2 included cancer patients whose cause of death was viral pneumonia caused by COVID-19. Each group was further divided by sex and age. The research material was skin fragments. The results of histological and morphometric studies of the skin show that lymphocytic infiltration was typical for all age subgroups of cancer patients with COVID-19, which had higher numbers of lymphocytes per 100 cells than cancer patients without COVID-19. Infiltrative-inflammatory changes are observed in the skin, the severity of which depends on the patient's age. For the age subgroup of 76-85 years without COVID-19, a more pronounced increase in the ratio of the reticular layer to the papillary layer was characteristic, due to a decrease in the thickness of the papillary layer. Pronounced thickening of the papillary layer was found in all age subgroups of cancer patients with COVID-19, compared with the same age subgroups in cancer patients without COVID-19. Conclusion: It is possible to predict more frequent skin manifestations in cancer patients who have had a new COVID-19 infection, the mechanism of which is mainly due to changes in specific leukocytes, T-lymphocytes, and macrophages and their infiltration of skin tissues.
Trigger Mechanisms of Cypermethrin-Induced Changes of Metabolism: An Experimental Study
Authors: Chigrinski Eugene , Gerunova Liudmila , Gerunov Taras , Shorin Nikolai , Dietz Lija
Published: June 2023

Background: The purpose of this work was to study the triggering mechanisms of metabolic changes in experimental animals after a single injection of cypermethrin at a dose of 55 mg/kg of body weight. Methods and Results: Sixty rats were randomly divided into four groups (15 rats in each group). Rats of the control groups (G1 and G3) were injected with saline into the stomach. Animals of the experimental groups (G2 and G4) were injected once with the synthetic pyrethroid cypermethrin at a dose of 55 mg/kg of body weight, which is 1/5 LD50. Before being withdrawn from the experiment, blood was taken in vivo under anesthesia, and the liver was removed. The glucose, lactate, uric acid, and total bilirubin concentrations were determined in blood serum by unified research methods. The content of glutathione (GSH), malondialdehyde (MDA), and activity of glucose-6-phosphate dehydrogenase (G6PDH) was determined in erythrocyte hemolysates. In liver homogenates, the content of total protein, glycogen, uric acid, and inorganic phosphorus (Pi) was determined by unified methods, as well as MDA, GSH, activity of G6PDH, microsomal oxygenase, glutathione-S-transferase (GST), glutathione peroxidase (GPx), and glutathione reductase (GR). Administration of cypermethrin to laboratory rats at a dose of 1/5 LD50 causes adaptive changes in metabolism. After one day, there was an increase in the content of glucose in the blood serum against the background of a deficiency of carbohydrates in the liver tissue. At the same time, there was an increase in anaerobic oxidation and an increase in purine catabolism, which was associated with the activation of lipid peroxidation (LP) of cell membranes and the depletion of the pool of antioxidants. GSH deficiency was exacerbated by an increase in the activity of antioxidant enzymes and xenobiotic biotransformation systems. Seven days after the administration of cypermethrin, rats retained a high rate of breakdown of purines to uric acid. This process was enhanced by a decrease in the RBC, a deficiency of carbohydrates, and inhibition of the activity of G6PDH, GPx, and GR. This ultimately led to the development of oxidative stress. Conclusion: The triggers for the development of oxidative stress under cypermethrin exposure are lactic acidosis and increased catabolism of purine mononucleotides, accompanied by an increase in the production of free radicals and inhibition of the function of the antioxidant system. A decrease in the blood RBC, carbohydrate deficiency, and suppression of the activity of the pentose cycle 7 days after the administration of cypermethrin aggravate this condition.
Awareness of Ethical Principles, Professional Behavior, and Ethical Treatment of Patients Among Medical and Dental Students
Authors: Haliti Fehim , Haliti Dion , Haliti Dea
Published: June 2023

As future healthcare professionals, medical and dentistry students have an ethical responsibility to establish higher standards of ethics and professionalism in their interactions with patients. Therefore, expanding their knowledge and awareness of ethical concepts, professional behavior, and ethical patient treatment is essential. The aim of this research was to gather information about general medicine and dentistry students' awareness of ethical concepts, professional behavior, and ethical patient treatment. The questionnaire included 16 questions divided into four sections. The study found that most students agreed with basic professional health ethical principles, and that there was no significant difference between the students' directions (general medicine or dentistry) and the year of study (first and fourth). In this research, general medicine and dental students, in general, indicated a good level of awareness of ethical principles, professional behavior, and ethical patient treatment.
Association of Serum Procalcitonin Level with Severity of COVID-19 among Patients in Ajman, United Arab Emirates
Authors: Ali Reem , Elnour Salma , Higazi Hasan , Osman Ahmed L , Ismail Marwan , Altoum Abdelgadir Alamin , Alfeel Ayman Hussien , Kandakurti Praveen Kumar , Moamen Noha Kamal Abdel , Hussein Salah Eldin Omar , Ali Sara
Published: June 2023

The aim of the current study was to assess the association between the mean level of procalcitonin (PCT), demographic characteristics, and the symptoms, duration, and severity of COVID-19. Methods and Results: This cross-sectional study included patients with a confirmed COVID-19 infection who visited the Thumbay Hospital in Ajman (UAE) between March and June 2022. A total of 231 COVID-19-positive patient records (170[73.6%] males and 61[26.4%] females) were included in the study. PCT levels were measured upon admission using the Beckman Coulter – UniCel DxI 800 Access Immunoassay System. The mean patients’ age was 47.44±13.460 years, and the length of stay in the hospital was 11.21±8.145 days. The PCT mean level was 0.545±1.739 ng/ml with minimum and maximum values of 0.010 ng/ml and 16.667 ng/ml, respectively. In terms of COVID-19 severity, patients were categorized into mild (121[52.4%]), moderate (59[25.5%]), and severe 51(22.1%]). We found no association between age categories and COVID-19 severity. There was a statistically significant difference in the mean PCT level among the severity groups. The mean PCT level increased with increasing severity of COVID-19: 0.0569±0.0324, 0.1736±0.0594, and 2.134±3.254 ng/ml for mild, moderate, and severe COVID-19, respectively (P=0.0000) There was a statistically significant, moderate positive correlation between PCT level and disease severity (r=0.433, P=0.001). The linear regression results revealed that PCT level is a significant factor in COVID-19 severity. Conclusion: The current study demonstrates that the serum PCT level may be a marker of disease severity in patients infected with SARS-CoV-2.
Modified Chest X-Ray Radiography through Glass Window for Imaging COVID-19 Pneumonia: Techniques and Radiation Dose
Authors: Suliman Ibrahim I , Khouqeer Ghada A , Ahmed Nada A , Abuzaid Mohamed M , Sulieman Abdelmoneim
Published: June 2023

The requirement for infection control during the COVID-19 pandemic led to modifying the exposure parameters in conventional radiography for performing chest X-ray radiography (CXR) through-the-glass (TTG) for imaging COVID-19 pneumonia. Herein, we reviewed and reported the current experiences with the TTG protocol, and summarized the current implementation strategies and modified technique factors. For implementing TTG techniques, measurements are required in a simulated environment using a patient equivalent phantom, and a certain number of investigations must be performed before the patient examination. However, the TTG technique requires modification due to the decrease in photon intensity caused by the attenuation in the glass barrier. This study discussed factors affecting CXR and some related radiation dose terminology required for implementing the TTG technique. Moreover, it summarized the exposure factors of CXR using the TTG technique compared with the standard CXR. Radiation exposure to the patient and the staff using the TTG technique remains within the recommended limits for safe practice. Image quality issues arose following the implementation of the TTG technique, mainly related to suboptimal positioning; image artifacts resulted due to glass attenuation, the increased source-to-image distance (SID), and patient movement. Overall, the reviewed results in this study could help formulate international guidelines and recommendations for the TTG technique for COVID-19 patient imaging, thereby minimizing the cost and time required for setting up the protocol.