bluuebunny/crossref_metadata_2025 huggingface dataset:
Tunteiden yhteys oppijoiden ja opettajien identiteetteihin kielenopetuksessa
Authors: Skinnari Kristiina , Ruohotie-Lyhty Maria , Moate Josephine , Varis Sotiria
Published: November 2023

Emotions and identities are at the core of all human activity and learning. Emotions motivate us, help us to make sense of our experiences and teach us about ourselves, in other words shape our identities. Emotions are thus in a key role in planning and developing language teaching at schools. This article focuses on the role of emotions and identities in learning and teaching a language. The article shows how different emotions affect language learning and the identity development processes of the learner, and how language teachers can help their students to deal with their emotions and turn them as a resource for identity development. We also look at the meaning of emotions and teacher identities in language teacher development.
The Design of Tourism Policies Adjusted to High Potential Destinations: A Methodology for the Creation of a Green Paper Inspired by the Cávado and the Ave (Portugal)
Authors: Pimentel-de-Oliveira Danielle
Published: November 2023

Public policies regarding the development of sustainable tourism continue to evolve within the European Union. With the changes in tourist trends post-COVID-19, some destinations have initiated certain processes of tourism expansion. These processes must be accompanied by tourism policies tailored to their specific territories. This necessitates a more territorial vision that is aligned with the needs of the local population and in harmony with the four dimensions of sustainability (economic, social, environmental, and institutional). The present research is inspired by the increase in tourist arrivals, observed in the promising destination of the Northern Region of Portugal since 2015, to present a theoretical proposal that has the participation of the local population of tourist destinations, through a literature review, on-site observations and interviews with local agents. The objective is to propose and develop a methodology based on the technique of a Green Paper, a tool for collective intelligence and a preliminary step for the analysis and creation of tourism policies. It is expected to increase confidence in the institutions that manage tourism activity, sustainable reactivation of the economy, resident satisfaction, empowerment and stronger links between local actors and the administration of the destinations. Keywords: green paper, tourism policies, governance, local participation, sustainable tourism, fourth dimension of sustainability, high potential destinations
Tourism Safety and Security: Strategies Adopted by some African Economies
Authors: Rasethuntsa Boitumelo Caroline
Published: November 2023

Most African countries depend on tourism for job creation and income generation; and in order to attract more international tourists, Africa should provide a safe and secure environment for visitors. Safety and security are significant towards quality tourism and should be regarded as a key objective especially in Africa where tourism competitiveness is weak. This issue deepens the need for policy reforms and improvement in this area. The aim of this study is to establish the tourist safety and security strategies adopted by four African countries namely, Mauritius, Egypt, Tanzania, and Botswana. The study adopts a literature review approach to gather data, and an analysis of the data is used to establish similarities and differences in the strategies utilised by the four benchmarking countries. The outcome of this study reveals that strong collaborations between the public and private sector in ensuring safety and security in the tourism sector is critical. Intra-governmental collaborations are also essential in facilitating and promoting cooperation to provide safety and security for tourists. An investment in modern technology and development of relevant laws and regulations are also key in providing a secure and safe environment for tourists. The study further develops medium-term and short-term strategies to guide other African economies for improving safety and security for tourism purposes. Keywords: tourism, safety and security, Africa, strategies, policy
Estudio de estabilidad de complejos atómicos en semiconductores del grupo IV mediante el modelo de Keating Anarmónico
Authors: Mroginski M. A. , Casali R. A. , Caravaca M. A.
Published: November 2023

Se presenta un estudio de energías de configuración de pequeños clusters de átomos de C, Ge y Sn en Si para posiciones sustitucionales, mediante el modelo de Keating anarmónico. Los resultados muestran en general tendencia a la nucleación excepto Cx en Si y una posible formación de estructuras complejas de 4 átomos en Si 158 - xGe Cx
Descripción de caracteres morfológicos en larvas prometamórficas de Physalaemus Biligonigerus (Anura, Leptodactylidae)
Authors: Zaracho Víctor H. , Céspedez Jorge A. , Alvarez Blanca B.
Published: November 2023

Utilizando microscopía electrónica de barrido se describen los principales cambios producidos en el disco oral, branquias externas, órgano adhesivo y desarrollo del opérculo, en larvas de P. biligonigerus durante los estadios 19-25 de Gosner. Se brinda una descripción detallada de estas estructuras en los estadios estudiados y los resultados son comparados con los de Leptodactylus chaquensis, Bufo arenarum, B. americanus y Scaphiopus intermontanus.
Penggembalaan spiral: Memetakan tantangan penggembalaan di era posmodern melalaui refleksi naratif perempuan Siro-Fenisia
Authors: Purwoko Paulus Sentot , Ngesthi Yonathan Salmon Efrayim
Published: November 2023

The world of pastoral care demands to be able to keep up with the dynamics of the times that have reached the posmodern era and meet the demanding challenges in it. The posmodern era has led to the development of patterns of thinking and lifestyles that are even more deviated from the Christian faith. This study describes the needs and challenges of pastoral care in the posmodern era. Through this study, it is hoped that it can raise the awareness of spiritual leaders about the task of shepherding or leadership whose essence must be maintained so that they remain faithful to Bible truth and are not sucked in by the influence of the current posmodern era. The study was prepared using a descriptive qualitative method through a narrative analysis technique of the text of Mark 7:24-30. The results of the study concluded that the posmodern era herding challenges need to be faced by transforming herding through a spiral pattern of herding. In this pattern of shepherding, the focus starts from the most miniature environment, the individual self, the nuclear family, and continues to move and develop - following a circular spiral shape - to the broader environment: extended family, community, neighbors, church, and so on. In this pattern, spiritual leaders must continue to develop extensive pastoral care in the "outermost" environment according to the guidance and work of the Holy Spirit. AbstrakDunia penggembalaan dituntut untuk dapat mengikuti dinamika perkembangan zaman yang telah sampai pada era posmodern dan mampu memenuhi tantangan berat di dalamnya. Pada kenyataannya, era posmodern telah membawa pada perkembangan pola berpikir dan gaya hidup yang justru semakin menyimpang dari iman Kristen. Kajian ini memberikan deskripsi kebutuhan dan tantangan penggembalaan di era posmodern. Melalui kajian ini diharapkan dapat menggugah kesadaran para pemimpin rohani tentang tugas penggembalaan atau kepemimpinan yang harus tetap dijaga esensinya agar tetap pada kebenaran Alkitab dan tidak terhisab oleh pengaruh arus era posmodern. Kajian disusun menggunakan metode kualitatif deskriptif melalui teknik analisis naratif teks Markus 7:24-30. Hasil kajian menyimpulkan bahwa tantangan penggembalaan era posmodern perlu dihadapi dengan melakukan transformasi penggembalaan melalui pola penggembalaan spiral. Dalam pola penggembalaan tersebut fokus penggembalaan dimulai dari lingkungan terkecil: diri pribadi, keluarga inti, dan bergerak serta berkembang terus- mengikuti bentuk spiral melingkar keluar-pada lingkungan yang lebih luas: keluarga besar, komunitas, tetangga, gereja dan seterusnya. Dalam pola ini para pemimpin rohani dituntut untuk terus mengembangkan penggembalaan secara meluas pada lingkungan “terluar” sesuai tuntunan dan pekerjaan Roh Kudus.
We are friends: A case study of children’s tolerance experience in komunitas anak Sabtu Ceria to counter religious radicalism
Authors: Tuasuun Magyolin Carolina , Tuasuun Dina Novita
Published: November 2023

Living in a multicultural society requires openness and acceptance of different people. Nevertheless, it takes work for radicals to open up, accept, and appreciate differences. Religious radicalism is a challenge that we still face today. Radicalism harms life, as occurred in several countries worldwide. Therefore, the spread of religious radicalism must be stopped, particularly for children as the future of the world. This article offers the concept of heterogeneous friendship as a powerful tool for children to open up and appreciate differences. Heterogeneous friendship becomes a hidden curriculum for children. By using a case study, it shows that through friendship with children from different backgrounds, children can share experiences and get to know each other more deeply. Thus, this experience in heterogeneous friendships is a robust learning process to foster and develop tolerance amid multicultural life.
Ritual midodareni sebagai medium spiritualitas Kristen: Perspektif triad-theological Steven Jack Land
Authors: Setyobekti Andreas Budi
Published: November 2023

Midodareni, carried out in preparation for marriage, still needs to be understood in Christian theology. Midodareni is a Javanese tradition that must be eliminated after someone believes in Jesus. This tension between Christian faith and culture continues into the modern era. If it continues to be preserved, culture will be eliminated and replaced with religious 'culture'. Therefore, an analysis of symbols, activities, and philosophy is needed to be used as a medium for Christian spirituality. This research examines Midodareni's wedding preparations from the perspective of Steven Jack Land's theological triad. The research method used for analysis describes the midodareni tradition with Steven Jack Land's theological triad approach. The research results show that not all midodareni preparations can be applied to Christian wedding preparations. Some processes can be carried out by transforming meaning, but others cannot. Midodareni has implications for society to encourage harmony and holistic education for bridal couples. AbstrakMidodareni dilakukan untuk persiapan pernikahan masih kerap disalahpahami dalam teologi Kristen. Midodareni dianggap sebagai tradisi Kejawen yang harus dihilangkan setelah seseorang percaya kepada Yesus. Ketegangan antara iman Kristen dan budaya ini terus bergulir hingga era modern ini; jika terus dipertahankan, maka budaya menjadi tersingkirkan dan digantikan dengan ‘budaya’ agama. Oleh karena itu, diperlukan analisis terhadap simbol-simbol, aktivitas-aktivitas, dan filosofi untuk dijadikan sebagai medium spiritualitas Kristen. Tujuan penelitian ini untuk mengkaji  persiapan pernikahan Midodareni dari perspektif triad theological Steven Jack Land. Metode penelitian yang digunakan adalah analisis deskriptif tentang tradisi midodareni dengan pendekatan triad theological Steven Jack Land. Hasil penelitian menunjukkan bahwa persiapan midodareni tidak semuanya dapat diterapkan dalam persiapan pernikahan iman Kristen. Ada prosesi yang dapat dilakukan dengan mentransformasi maknanya, ada juga yang sama sekali tidak perlu dilakukan. Midodareni berimplikasi kepada peran komunitas untuk mendorong keharmonisan dan pendidikan holistik bagi pasangan mempelai.
Kehidupan Berbangsa, Bernegara dan Pembinaan Kesadaran Bela Negara
Authors: Ghozali Falah Al , Maharani Marshanda Mutiara , Maharani Marshanda Mutiara , Prastyowati Fanni Choirul , Prastyowati Fanni Choirul
Published: November 2023

This community service initiative collaborates with Tisa Academy, a Vocational Training Institution located in Surakarta City, which we refer to as our partner. The community service we provide to our partner is related to Nationalism, Statehood, and National Awareness Development. The program aims to provide guidance to our partner concerning life as a citizen of the nation, including providing materials on the rights and responsibilities of citizens, citizen awareness in national defense, and threats that can weaken national defense.  The method used involves a literal approach, which includes planning a series of steps to solve problems or achieve goals. These steps are then transformed into a structured mental procedure using cognitive skills to achieve specific objectives. Thus, this program provides education to participants about the importance of national defense. After the guidance and consultation sessions, participants understand that the embodiment of national defense can be achieved even through simple actions.
Pelatihan dan Pendampingan Marketing Koperasi Arjana Subikasa
Authors: Pasek Gede Widiadnyana , Sarsanayasa Putu Mas , Trisnadewi Ni Kadek Ayu , Kusuma Gusti Putu Eka
Published: November 2023

Koperasi Arjana Subiksa yang terletak di Desa Pegadungan, merupakan salah satu dari kumpulan beberapa Koperasi yang terletak di Kecamatan Sukasada. Pelatihan dalam digital marketing sangat penting bagi koperasi Arjana Subiksa, terutama pada pengurus koperasi Arjana Subiksa, Desa Pegadungan. Pelatihan marketing ini sangat membantu koperasi untuk meningkatkan kemampuan pemasaran pengurus koperasi, Namun saat ini marketing yang dilakukan koperasi masih sangat konvensional yang mengakibatkan produk yang ditawarkan tidak banyak diketahui oleh Masyarakat umum. Pengabdian ini dilakukan melalui Pusat Penelitian dan Pengabdian Masyarakat Sekolah Tinggi Ilmu Ekonomi Satya Dharma yang bekerjasama dengan Koperasi Arjana Subiksa Desa Pegadungan, Kecamatan Sukasada. Dalam kegiatan pengabdian kepada masyarakat ini, para pengurus Koperasi Arjana Subiksa diberikan materi mengenai digital marekting. Pelaksanaan kegiatan dilakukan dengan memberikan materi mengenai digital marketing. Hasil yang didapatkan dari adanya kegiatan ini dapat membantu para pengurus untuk meningkatkan kemampuan pemasaran yang dilakukan di Koperasi Arjana Subiksa
Mixed-Effects Location Scale Models for Joint Modeling School Value-Added Effects on the Mean and Variance of Student Achievement
Authors: Leckie George , Parker Richard , Goldstein Harvey , Tilling Kate
Published: November 2023

School value-added models are widely applied to study, monitor, and hold schools to account for school differences in student learning. The traditional model is a mixed-effects linear regression of student current achievement on student prior achievement, background characteristics, and a school random intercept effect. The latter is referred to as the school value-added score and measures the mean student covariate-adjusted achievement in each school. In this article, we argue that further insights may be gained by additionally studying the variance in this quantity in each school. These include the ability to identify both individual schools and school types that exhibit unusually high or low variability in student achievement, even after accounting for differences in student intakes. We explore and illustrate how this can be done via fitting mixed-effects location scale versions of the traditional school value-added model. We discuss the implications of our work for research and school accountability systems.
Relevansi Kearifan Lokal dalam Konteks Hukum Perlindungan Konsumen
Authors: pickihamdani
Published: November 2023

Keberadaan kearifan lokal dalam konteks hukum perlindungan konsumen telah menjadi perdebatan yang penting dalam upaya memahami dan menerapkan perlindungan konsumen secara menyeluruh. Kearifan lokal mengacu pada pengetahuan, praktik, dan nilai-nilai yang diperoleh dari pengalaman turun-temurun di suatu masyarakat tertentu. Sementara itu, hukum perlindungan konsumen bertujuan untuk melindungi hak-hak konsumen dari praktik-praktik bisnis yang tidak etis atau merugikan.Dalam era globalisasi ini, keberadaan kearifan lokal sering kali terabaikan atau dianggap tidak relevan dalam konteks hukum perlindungan konsumen yang sering kali didasarkan pada kerangka hukum internasional atau nasional yang lebih luas. Namun demikian, penting untuk memahami bahwa kearifan lokal dapat memberikan kontribusi yang signifikan dalam pembentukan kebijakan perlindungan konsumen yang lebih efektif dan holistik.Artikel ini akan mengeksplorasi relevansi kearifan lokal dalam konteks hukum perlindungan konsumen. Kami akan menguraikan bagaimana kearifan lokal dapat menyumbang pada pembentukan kebijakan perlindungan konsumen yang lebih inklusif, serta mengidentifikasi tantangan dan peluang dalam mengintegrasikan kearifan lokal ke dalam kerangka hukum perlindungan konsumen yang ada.
ARTIKEL INOVASI PENDIDIKAN
Authors: Putri Amelia
Published: November 2023

Media pembelajaran yang sesuai tentu akan mendatangkan dampak yang positif dalam proses pembelajaran di antaranya; a) Media pembelajaran dapat membuat pembelajaran lebih menarik, menciptakan antusias dan minat siswa, serta menggugah motivasi belajar. b) Pemanfaatan media membantu menyampaikan materi secara lebih jelas dan memudahkan siswa dalam memahami materi yang ada karena sifatnya lebih rileks dan tidak monoton. c) dengan media pembelajaran, metode pengajaran tidak terbatas pada komunikasi verbal saja. Hal ini bertujuan untuk menghindari kebosanan siswa dan mengurangi kelelahan guru dari pada harus berceramah sepanjang jam pelajaran.d) Media pembelajaran mendorong siswauntuk terlibat dalam berbagai kegiatan pembelajaran, termasuk observasi, praktik, demonstrasi, dan sebagainya. Pemanfaatan aplikasi Zepeto untuk menciptakan media pembelajaran yang menarik sangat cocok di semua jenjang pendidikan, pendidik dapat menyesuaikan materi yang sesuai jenjangnya agar bisa di proses menjadi media pembelajaran berbentuk animasi video yang menarik dan kaya makna sehingga berkesan bagi peserta didik.
Changes and Stagnation in Contemporary Racial Stereotypes
Authors: Ash Tory , Scott Katharine E.
Published: November 2023

Generations of researchers have studied the extent to which the content and consistency of stereotypes about Black people have changed over time. At best, the evidence is mixed with some findings suggesting changes in stereotypes and other evidence suggesting that, though belief in stereotypes changed for some people, stereotypes remain negative. Our study adds to the literature by evaluating participants’ stereotype knowledge and personal beliefs about Black people, aligning with recommended practices of Devine and Elliot (1995). Our data reveal a shift in stereotype content overall and greater heterogeneity in trait selections among participants with egalitarian values. However, stereotypes regarding Black people are, if anything, more negative in the present study than prior research. The stubbornness of valence to change is concerning and reaffirms the need to focus research efforts on improving an individual’s ability to regulate their expression of stereotypes to prevent them from affecting their treatment of others.
Thoracoscopic biopsy in the diagnosis of lung and pleural diseases
Authors: Kharel Ashish , Thakur Binay , Yang Ming , Bhandari Nikesh , Sun Zhenqing , Shrestha Shashank , Ghimire Bhuwan , Neupane Deewas
Published: November 2023

Background: Thoracoscopy is a useful procedure for evaluation and diagnosis of pleural effusion and other thoracic disorders. Our study aimed to evaluate the scope and use of thoracoscopic biopsy for the evaluation of thoracic disorders and report on the outcomes of this technique.
Methods: Patients undergoing thoracoscopic biopsy procedure from March 2022 to May 2023 were analyzed for indications, complication and outcomes.
Results: 85 patients underwent thoracoscopic biopsy over a period of 15 months, of which 38 (44.7%) were males and 47 (55.3%) were females. The mean age was 60 years. Cough, dyspnea and chest pain were the most common presenting symptoms. Thoracosopy was most commonly done on the right side (67.1%). Pleura (57.6%) was the most common biopsy site, followed by lungs (22.4%), lymph node (12.9%) and mediastinum (3.7%). One case was converted to open procedure. Post operative complication rate was 3.5%. Adenocarcinoma (31.8%) was the most common histology, followed by squamous cell carcinoma (9.4%). 36.5% patients had benign disease and 11.8% patients had metastatic extra-thoracic malignancy.
Conclusion: Thoracoscopy is a safe and simple procedure for diagnosis of pleural and other thoracic disorders with the advantage of tissue sampling from lesion under direct visualization. It is a useful tool in the armamentarium of thoracic surgeons.
Fate of de-functioning ileostomy after left colon and rectal cancer resection: observation from a single unit of a cancer hospital.
Authors: Lamichhane Deep , Suwal Suraj , Rana Resham , Shrestha Rishikesh Narayan
Published: November 2023

Background: De-functioning ileostomy (DS) has been shown to reduce rate of anastomotic leak after left colon and rectal cancer resection and can avoid consequences of leak with its morbidity and possible mortality. Externalisation of bowel is not easily appreciated; patients always inquire about the timing of closure and not all stomas are closed. The aim of the study is to assess the timing of stoma closure and the reasons for stoma becoming permanent.  
Methods: Patients who underwent surgery for left colon and rectal cancer with de-functioning stoma from April 2019 to May 2022 in single unit of Bhaktapur Cancer Hospital, were assessed regarding timing of stoma closure. We have made a policy of stoma closure after completion of adjuvant therapy. De-functioning stoma that was not reversed at follow up were assessed regarding reason for it becoming permanent.
Results: Forty-two patients underwent de-functioning stoma during the study period; 30 after rectal resection, 2 after pouch creation, 6 after anterior resection and 4 after left hemicolectomy. Twenty-eight (77%) stomas were closed, 5 are receiving adjuvant treatment. Closure was not done in 8 patients; 5 due to recurrence of disease; 1 due to patient wish, 2 deaths occurred prior to closure, one due to COVID-19 and another due to acute myocardial infraction. One patient with multiorgan resection died within 30 days of surgery due to other medical cause. The median time of stoma closure after completion of adjuvant treatment is 8 weeks, IQR (7-10). Patients had to stay with stoma for a median period of 6months, IQR (5-8). The median time for discharge after stoma reversal is 9 days, IQR (7-10). There were 4 Grade II Clavien-Dindo complications after stoma closure.
Conclusion: Seventy- seven percent of patients with DS underwent closure in our series. Recurrence was the most common cause for it becoming permanent.
Study of Comparison of conventional ultrasound, RMI 4 score and CT imaging in diagnosis of Ovarian Cancer confirmed by surgical-pathological findings
Authors: Baniya Sebina , Shrestha Binuma , Acharya Bijay Chandra , Gurung Sarita , Subedi Hem Nath , Pandey Manju , Tiwari Shristi , Thapa Pramila
Published: November 2023

Background: Ovarian cancer; 5th commonest cancer among Nepalese women is the leading cause of gynecologic cancer related death. Proper diagnostic studies therefore assist Gyne-oncologist for appropriate surgery and chemotherapeutic planning, there by optimizing the patient prognosis. Objective of current study was to compare ultrasonography imaging, CT imaging, CA 125 value, RMI 4 score and surgical staging in diagnosis of ovarian cancer correlated with histo-pathological findings.
Materials and Methods: The study was retrospective observational study, carried out between 14th April 2019 to 16th October 2021, in the department of surgical oncology (Gynecology oncology unit), B.P Koirala Memorial Cancer Hospital, Bharatpur.
Results: 53 patient data were included in the observation. The efficacy of Ultrasound (sensitivity-90.90%, Specificity-60%) and CT (sensitivity-100%, specificity-65%) gave the best result in non-invasive investigations; whereas surgical staging (sensitivity- 96.96%, specificity- 90%) gave the better result when invasive modalities were considered. RMI 4 score had sensitivity 96.96% and specificity 60%.
Conclusion: All modalities had good diagnostic performances and complemented each other in further defining the characterization of the ovarian mass, local spread and distant tumor dissemination.
Komunikasi Efektif Dalam Keluarga PKK RW 09 Prima Harapan Regency
Authors: Armelsa Dhefine , Risyan Faqihar , Muhariani Wulan , Wulandari Sri
Published: November 2023

The concept of family is very dependent on the social context in which the theory or concept of family is born. In Western society, families can be formed either with or without legal marriage ties, in Eastern culture, what is called a family are those who are bound by legal marriage ties. Families also determine how forms of communication are agreed upon and eventually form a certain pattern that distinguishes one family from another. The form of effective communication shows an identification to access communication behavior in a system. If the forms of effective communication mentioned above are associated with forms of family communication, then parents must provide good habituation to children so that they are instilled and form a good personality, provide good education in the family, school and community environment, and carry out effective communication activities between parents and children. Parents and children so that unwanted things don't happen. However, not all PKK mothers understand the various functions of effective communication within the family. To understand family communication patterns, it is also necessary to know several aspects related to the family, such as the type of family and at what level is the family as a community group.
Impact of laparoscopic sleeve gastrectomy on periodontal status in obese patients
Authors: LEKTEMÜR ALPAN Aysan , TORUMTAY CİN Gizem , AYKOTA Muhammed Raşid
Published: November 2023

Purpose: This study aimed to determine the effects of laparoscopic sleeve gastrectomy surgery on clinical periodontal parameters at 6 months in the postoperative period.

Materials and methods: Fifty-four obese patients with periodontitis between 18 and 70 years of age were evaluated for obesity-related parameters and periodontal status before and 6 months after bariatric surgery. Correlations of the changes in periodontal parameters and the total weight loss and body mass index (BMI) loss at 6 months after bariatric surgery were determined with Spearman correlation analysis. p
Effectiveness of Nutritional Health Interventions on Improving Knowledge, Attitude, and Eating Habits among Malnourished Toddlers
Authors: Maidelwita Yani , bin Sansuwito Tukimin , Binti Mohd Said Faridah , Poddar Sandeep
Published: November 2023

Objective: Malnutrition in children under five years old has been a public health problem for a long time. More than a third of all child deaths occur as a result of malnutrition. This study aims to determine the effectiveness of nutritional health interventions in improving knowledge, attitudes, and eating habits in malnourished children. Methods: A quasi- experimental design was adopted in this investigation. The size of the sample was 140. Participants were assigned in a random order of 1:1 (70 intervention and 70 control groups) in the area of the Seberang Padang Health Center. The intervention's effect was calculated using a difference in difference (DID) analysis. Results: The baseline findings revealed significant differences in sociodemographic (mother's age p=0.006; socioeconomic p=0.007; education p=0.002; occupational p= 0.011) and children's socio demographics (age: p=0.016; sex: p=0.042; birth weight: p=0.049; exclusive breastfeeding: p=0.001, immunisation status: p=0.001, infectious disease: p=0.001, vitamin A , attitude, and eating habits differed, indicating a significant increase in score from the baseline to the end line (knowledge: DID = 6.114, 95% CI = 5.556-6.673, p=0.001; attitude: DID =18.643, 95% CI = 17.043-20.242, p= 0.001; and eating habits: DID = 7.586, 95% CI = 6.556-8.615, p =0.001). Conclusion: The nutritional health intervention carried out for six months produced significant evidence of improved knowledge, attitudes, and eating habits in malnourished children. Policy planning and implications in Padang City, West Sumatera still need more focus on research that addresses child nutrition habit, as there is no research done in this area.
Self Care Behavior among Patients with Heart Failure in Hasan Sadikin General Hospital Bandung Indonesia
Authors: Istianah  , Binti Mohd Said Faridah , Nambiar Nisha , Kusmiran Eny , Hernawati Erni , Ramadhan Muhammad Deri
Published: November 2023

Background: Self-care behavior is crucial for patients with heart failure to have positive outcomes, and it also serves as a predictor of wellbeing. The self-care tasks that these patients are required to carry out include managing their symptoms, sticking to numerous pharmaceutical regimens, following dietary salt restrictions, and self-monitoring weight. In many cases, a crucial aspect of heart failure treatment is still challenging. Objective: To determine the self-care practices of patients with heart failure at Hasan Sadikin General Hospital in Bandung, Indonesia. Methods: The study used a descriptive study with a consecutive sampling of 196 patients with heart failure in the clinic. Results: the demographic characteristics were mean of age (in year) 56.26 ± 12.49, majority were male 144 respondents (73.57%), above the senior high school 128 respondents (65.3%), New York Heart Association NYHA II category 76 respondents (38.8%), NYHA III category at 92(46.9%), NYHA IV category at 28(14.3%), EF 33.65±9.311, length of HF 2.02± 1.08, BMI 25.48±1.98, total score of self-care behaviour 88.35±7.736. The score of the subvariable of self-care behavior is as follows: consulting behaviors 19.68±2.405, dietary behaviors 8.16 ± 1.207, symptom perception 21.93 ±2.188, symptom recognition 9.65 ±1.393, self-care management 8.64±0.853, problem-solving behaviors 4.64±1.278, self-efficacy 20.20 ±1.979. Conclusion: Patients with heart failure exhibit poor self-care behavior; hence, nurse practitioners' involvement is required to promote self-care behavior among patients with heart failure.
Epidemiology of Meningitis in Infants and Children in the Pediatric Hospitals, Kenitra (Morocco), 2018–2021
Authors: Loutfi Amr , Jayche Samira , EL Hioui Mohamed , Masmoudi Sanae , Zahra Azzaoui Fatima , TouhamiAhami Ahmed Omar
Published: November 2023

Background: Meningitis is a public health medical emergency. It is a health problem in Morocco. Aim: This study was to determine the epidemiological, cytochemical, and bacteriological profile of this disease and the lethality by type of meningitis in patient children in the Northwest region of Morocco. Methods: The present investigation is a cross-epidemiological, cytochemical, and bacteriological study of meningitis. The target population was cases of all forms of meningitis recorded in children under the age of 15 hospitalized in the pediatric department of Al Idrissi Hospital during the period (2018–2021). Data were collected from meningitis declaration forms. Results: About 100 cases were included in the study, with an average cumulative incidence of all forms of meningitis during the study period of 24.34 per 100,000 children living in the province of Kenitra. There was a male predominance in all types of meningitis, with 68% males in total. In addition, (22%) infants aged <1 year. Fevers, neck stiffness, purpura, and photophobia were significantly associated with meningitis in infants (1 to 15 years) (p<0.05). The febrile meningeal syndrome was observed in 57% of cerebrospinal fluid (CSF) and was cloudy in 50.5% of cases. The median leukocyte count was 280 mm3. Mean glycorachia was 0.47 g/l (±0.23 g/l) and mean proteinorachia was 1.23 g/l (±1.35 g/l). Bacterial meningitis was the most common type of meningitis observed, followed by the occurrence of lymphocytic meningitis and confirmed meningococcal disease. Overall, an 11% mortality rate was found. Conclusion: Meningitis is a real health problem in the area of Kenitra, particularly in children, requiring the effective involvement of all health personnel and the community in control actions, the allocation of necessary resources, and regular monitoring of the measures taken.
Burnout Syndrome Associated with Nurses' Quality of Life During the Covid-19 Pandemic
Authors: Zakiyah Ana , Basuki Duwi
Published: November 2023

Background: COVID-19 cases that occur in Indonesia are accompanied by high mortality, which leads nurses as one of the frontlines to experience burnout syndrome and have an impact on reducing the quality of life of nurses. This study aimed to determine the relationship between burnout syndrome and the quality of life of nurses during the COVID-19 pandemic. Methods: This study was correlational with a cross-sectional approach. The population was 269 nurses working in health services in East Java and was obtained by incidental sampling. The quality of life of nurses was measured by the Short Form Health Survey 36 (SF 36), which consisted of 36 question items, while the level of burnout syndrome was measured by the Maslach Burnout Inventory-Human Service Survey, which consisted of 22 questions. Results: All nurses had experienced burnout syndrome in varying degrees. The nurse burnout rate was generally low at 163 (60.6%), and the quality of life of nurses was typically good at 252 (97.3%) and a small percentage at 17 (6.3%). The spearman rho p-value analysis <0.05 showed a significant relationship between burnout syndrome and nurses' quality of life. Conclusion: Life balance allows nurses to be able to balance work and can improve the quality of life. Nurses can use a variety of methods to cope with burnout syndrome and improve their quality of life.
Approaches to ventriculoperitoneal shunt scalp erosion: countersinking into the calvarium. Illustrative case
Authors: Brunozzi Denise , LoPresti Melissa A , McGrath Jennifer L , Alden Tord D
Published: November 2023

BACKGROUND

Ventriculoperitoneal shunting (VPS) is a standard procedure for the treatment of hydrocephalus, and the management of its complications is common in the practice of pediatric neurosurgery. Shunt exposure, though a rare complication, can occur because of thin, fragile skin, a young patient age, protuberant hardware, poor scalp perfusion, and a multitude of other patient factors.

OBSERVATIONS

The authors report a complex case of VPS erosion through the scalp in a young female with Pfeiffer syndrome treated with external ventricular drainage, empirical antibiotics, and reinternalization with countersinking of replaced shunt hardware into the calvarium to prevent internal skin pressure points, reduce wound tension, and allow wound healing.

LESSONS

Recessing the shunt hardware, or countersinking the implant, into the calvarium is a simple technique often used in functional neurosurgical implantation surgeries, providing a safe surgical strategy to optimize wound healing in select cases in which the skin flap is unfavorable.
Effect of temperature on electrical resistivity of high-performance fiber-reinforced concretes
Authors: Duy Phan Tan , Khanh Le Ba , Liem Nguyen Duy , Thuan Nguyen Van
Published: November 2023

The effect of temperature on the electrical resistivity of high -performance fiber-reinforced concretes (HPFRCs) were highlighted in this investigation through an experimental approach. There are four HPFRC mixtures as follows: HPFRC0 (no fiber), HPFRC1 (macro steel fiber, 1.5% by volume), HPFRC2 (micro steel fiber, 1.5% by volume), and HPFRC3 (hybrid fiber, 1.0% by volume macro steel fiber blended with 0.5% by volume micro steel fiber). All HPFRC specimens had an identical size of 40 × 40 × 160 mm3 (width x depth x length). The electrical resistivity of HPFRCs was measured under three temperature levels, including 0oC, 25oC, and 50oC using a chamber machine. The research proved that the electrical resistivity of the studied HPFRCs obviously decreased with increasing of the temperature ranging from 0oC to 50oC. Generally, the temperature exhibited a considerable effect on the electrical resistivities of cement-based composites.
Assessing the Social Costs of Mixed Transport Systems with a Dominance of Motorcycles
Authors: Vu Tam , Preston John
Published: November 2023

When undertaking strategic planning to identify potential options for a detailed assessment, it is important to compare the total costs of existing mixed transport systems with the introduction of different new public transport (PT) modes. Hence, this study develops a social cost model for situation of mixed transport system which has a dominance of motorcycles where a new PT technology (e.g. Bus Rapid Transit - BRT, Monorail or elevated Metro) or an exclusive bus lane is being considered. The innovative aspects of this research are to develop equations to estimate the average operating speed of each mode and to the allocation of infrastructure costs to several transport modes sharing the facilities in motorcycle dominated mixed traffic environments. Based on a four-lane per direction mixed traffic corridor in Hanoi, Vietnam, the results show the lowest average social cost (ASC) mixed transport systems for different ranges of demand. Moreover, all mixed traffic options with BRT, Monorail, elevated Metro or exclusive bus lanes are better than the existing situation in terms of ASC and it is suggested that their feasibility is examined in a detailed assessment. The mixed transport social cost model can be modified to suit other local conditions where conventional bus, car and motorcycle share facilities and a new PT mode is operated. Additionally, transport planners and decision makers in such local situations, which are particularly common in South East Asia, can draw on the findings of this study.
An analytical approach to predict post-cracking behavior of steel fiber reinforced concrete considering the fibers orientation
Authors: Cong Vu Chi , Tam Vu Duc
Published: November 2023

The presence of steel fiber in plain concrete improves significantly the stiffness as well as the ductility of the material. However, themechanical behavior in the post-cracking stage of steel fiber-reinforced concrete depends on many factors. Among them, the orientation of the fibers is an important factor that is difficult to quantify. This paper presents a theoretical study that describes the fiber bridging mechanism under tensile stress using a closed-form analytical function. This proposed analytical model allows estimating the stress at a crack openingwhere the fiber orientation is represented by a Gaussian-like periodic distribution function. The relevance of the proposed model is validated through several numerical analyses with both pre-defined values of different material properties and geometrical parameters of the fibers and the experimental parameters of the two directtensile tests reported in the literature. The model shows an overall reasonable estimation and presents a lot ofpotential for further development.
The Upper bound limit analysis of slope in cohesive-frictional soils using the node-based smoothed finite element method
Authors: Vo-Minh Thien
Published: November 2023

This paper presents the upper bound limit analysis of slope in cohesive-frictional soils using the node-based smoothed finite element method (NS-FEM). The soil slope was discretized as triangular elements and modeled as Mohr-Coulomb material with the associated flow rule. This paper investigated the variation of slope stability numbers Ns with the change of the slope inclination angle a and b, and internal friction angle f. In this study, several numerical examples of slopes have been investigated, showing that the NS-FEM approach can demonstrate accuracy and efficiency solutions. Finally, the stability results are presented in design tables and charts for engineers to use in the preliminary design stage of the slope stability analysis.
Vulnerabilidad social ante inundaciones pluviales en tres comunidades rurales mayas de Felipe Carrillo Puerto, Quintana Roo, México
Authors: Sánchez Zavalegui Romeo Alejandro , Chávez Alvarado Rosalía , Barrera Rojas Miguel Ángel , Cime Ruíz María Marcela , Camacho Sanabria José Manuel
Published: November 2023

Las inundaciones son uno de los desastres más recurrentes en el mundo, siendo las comunidades rurales las que habitualmente sufren mayores afectaciones ante eventos de inundación a causa de sus condiciones de vida; no obstante, son escasos los estudios de vulnerabilidad social ante inundaciones en dichos entornos. Por tal motivo, el objetivo de este estudio consistió en determinar qué factores inciden en el nivel de vulnerabilidad social ante inundaciones pluviales en las comunidades rurales mayas de Naranjal Poniente, Santa María Poniente y Chan Santa Cruz, mediante la aplicación de un instrumento cuantitativo (encuesta) sobre vulnerabilidad social ante inundaciones pluviales, constituido por cuatro dimensiones de análisis (GH=generalidades del hogar; IV=infraestructura de la vivienda; MCT=medios de comunicación/transporte, y PI=percepción ante inundaciones) empleando el método no probabilístico por conveniencia (sector social afectado directamente por las inundaciones). Los resultados mostraron que las tres comunidades estudiadas poseen un nivel de vulnerabilidad social alta en general, siendo contundentes en dicha vulnerabilidad social las dimensiones MCT, IV y PI debido a la falta de medios de comunicación y transporte, viviendas con techos y paredes frágiles, además de la percepción de una mala capacidad para hacer frente a las inundaciones por parte de los jefes de familia, a pesar de la noción de peligrosidad. Estos resultados brindan información relevante a las autoridades y a los representantes de las comunidades para identificar áreas de oportunidad que permitan reducir la vulnerabilidad social ante las inundaciones.
Pengaruh Formula Biopestisida (Fobio) sebagai PGPR terhadap Pertumbuhan Berbagai Kultivar Bawang Merah
Authors: Elvira Nolla Dwi , Wiyatiningsih Sri , Suryaminarsih Penta
Published: November 2023

Bawang merah memiliki nilai ekonomi yang cukup tinggi. Penggunaan kultivar sangat berpengaruh terhadap peningkatan produksi. Formula biopestisida Fobio memiliki kemampuan untuk meningkatkan pertumbuhan tanaman karena adanya peran dari mikroorganisme sebagai Plant Growth Promoting Rhizomicroorganism (PGPR). Tujuan penelitian ini yaitu untuk mengetahui pengaruh biopestisida Fobio dalam meningkatkan pertumbuhan berbagai kultivar bawang merah. Penelitian ini dilaksanakan di lahan Desa Sukorejo, Kecamatan Rejoso, Kabupaten Nganjuk, Jawa Timur. percobaan ini menggunakan rancangan petak terbagi dengan dua faktor, petak utama konsentrasi formula biopestisida (fobio) 3 taraf yaitu kontrol, 5 ml/liter, 10 ml/liter dan anak petak kultivar bawang merah 3 jenis yaitu Tajuk, Biru Lanchor, Super Philip. Parameter pengamatan pada penelitian ini yaitu tinggi tanaman dan jumlah daun. Hasil penelitian menunjukkan Biopestisida fobio konsentrasi 10 ml/liter mampu meningkatkan pertumbuhan masing-masing kultivar. Nilai rata-rata tertinggi parameter tinggi tanaman terletak pada faktor perlakuan konsentrasi biopestisida 10 ml/liter yaitu 34,24 cm dan faktor perlakuan kultivar super philip yaitu 32,02 cm. Nilai rata-rata tertinggi jumlah daun terletak pada perlakuan kombinasi K10BT yaitu 31,67 helai.
Efektifitas Pemupukan NPK dan Penggunaan Mulsa terhadap Pertumbuhan dan Hasil Tanaman Cabai Merah Besar (Capsicum annum L.)
Authors: Oesman Roswita
Published: November 2023

Cabai merah besar (Capsicum annum L.) merupakan salah satu bahan pangan yang banyak dikonsumsi oleh masyarakat Indonesia. Saat ini permintaan pasar terhadap cabai merah terus mengalami peningkatan sedangkan produksi di dalam negeri masih rendah. Kebutuhan cabai merah besar saat ini cukup besar di Indonesia sehingga menjadikan cabai merah besar sebagai komoditi hasil pertanian yang menjanjikan. Penelitian ini bertujuan untuk mengetahui efektifitas pemupukan NPK dan penggunaan mulsa terhadap pertumbuhan dan produksi cabai merah (Capsicum annum L.). Penelitian ini menggunakan Rancangan Acak Kelompok (RAK) dengan tiga ulangan. Faktor I : pemberian pupuk NPK (P) yang terdiri dari tiga taraf, yaitu : P0 = 0 kg/plot, P1 = 1,5 g/plot, dan  P2 = 3,0 g/plot. Faktor II : pemberian mulsa (M) yang terdiri dari tiga taraf, yaitu : M0 = tanpa mulsa /plot, M1 = mulsa plastik/plot, dan M2 = mulsa jerami/plot. Parameter yang diamati Tinggi tanaman 2,4,6,MST (cm). Diametar Batang (mm) tanaman 2, 4 dan 6 mst juga berat buah. Hasil penelitian yang diperoleh menunjukkan bahwa perlakuan pemupukan NPK dan penggunaan mulsa berpengaruh nyata terhadap tinggi tanaman pada umur 2 MST tetapi tidak berpengaruh nyata pada umur 4 MST dan perlakuan penggunaan mulsa berpengaruh nyata terhadap tinggi tanaman pada umur 6 MST. Perlakuan pemupukan NPK dan penggunaan mulsa berpengaruh nyata terhadap diameter batang pada umur 2 MST dan perlakuan penggunaan mulsa pada umur 6 MST berpengaruh nyata terhadap diameter batang. Perlakuan pemupukan NPK dan penggunaan mulsa tidak berpengaruh nyata berat buah per plot.
Pengaruh Pemberian Dosis Pupuk Kandang Sapi Dan Pupuk NPK Terhadap Pertumbuhan Dan Hasil Tanaman Kacang Tanah (Arachis hypogea (L.) Pada Varietas Kancil
Authors: Nugroho Angga Fitriadi , Triyono Kharis , Sumarmi Sumarmi
Published: November 2023

Penelitian ini berjudul Pengaruh Dosis Kotoran Sapi dan Pengaruh Pupuk NPK terhadap Pertumbuhan dan Hasil Kacang Tanah (Arachis hypogea L.) Varietas Kancil yang bertujuan untuk mengetahui pengaruh dosis pupuk kotoran sapi dan NPK Mutiara 16:16 : 16 terhadap tanaman kacang tanah. Perkembangan serta hasil pada tanaman kacang tanah (Arachis hypogea L.). percobaan dilakukan dilokasi Ds. Kembang Rt 01/ Rw 04 Kel. Doplang, Kec. Karangpandan, Kab. Karanganyar dari tanggal 8 Januari 2023 sampai dengan tanggal 5 April 2023. Rancangan percobaan ini mengunakan Rancangan Acak Kelompok Lengkap (RAKL) mengunakan 2 factor ulangan sebagai berkali-kali 3 kali. takaran pupuk kandang kotoran sapi (S) sebagai faktor 1 meliputi 4 taraf S0 = 0 kg/ petak (Kontrol), S1 = 0,625 Kg/ petak, S2 = 1,250 Kg/petak, S3 = 1,875 Kg/ petak. Pupuk NPK Mutiara 16:16:16 (N)  faktor kedua meliputi 4 taraf terdiri dari N0 = 0 g/petak (Kontrol), N1 = 18,75 g/ petak, N2 = 37,50 g/ petak, N3 = 56,25 g/petak, Data percobaan dianalisa menggunakan uji lanjutan BNJ dengan taraf 5%. terdapat 8 parameter yang saya amati, Menunjukkan hasil penelitian bahwa dosis pupuk kandang sapi dapat memberi pengaruh pada pengamatan jumlah cabang, jumlah daun , tinggi tanaman, bobot polong pertanaman. perlakuan dosis pemupukan NPK berpengaruh terhadap jumlah polong berisi pertanaman, jumlah daun Pupuk kandang sapi dengan dosis 10 ton/ha (1,25 kg/petak), dan pupuk NPK pada takaran 300 kg/ ha (37,50 g/petak) dapat memberi pengaruh terhadap bobot polong perpetak, jumlah polong pertanaman, jumlah cabang bobot polong pertanaman.