bluuebunny/crossref_metadata_2025 huggingface dataset:
Discourse on moving the new capital city in East Kalimantan Province a political economy perspective
Authors: Asfianur Syifa Izdihar Firdausa , Suswanta Suswanta , Al-Hamdi Ridho , Qodir Zuly
Published: September 2023

This paper aimed to examine the discourse on moving the new state capital in Indonesia. The relocation of the national capital city was highly controversial, with many significant indicators of displacement according to the level of interest in it. The new capital city of Indonesia will be located in Kutai Kartanegara Regency and Penajam Paser Utara Regency. This study looks at the discourse of moving the national capital from a political economy perspective. This study uses qualitative research methods, with a literature review and NVIVO12 analysis. The discourse on moving the state capital explained many interests of the government and people in East Kalimantan Province. This discourse has pros from a political and economic point of view considering the benefits it could bring and cons from a judicial and academic perspective on the reasons and urgency behind relocating the state capital. It is assumed that the development of the National Capital will be evenly distributed, although in fact the management of urban planning has not been carried out properly. This study recommends that a more in-depth study is needed so that the relocation of the capital can provide greater benefits to the people of Indonesia in accordance with national goals.
The paradox of special autonomy: Why does wealth make Papua poor?
Authors: Setiawan Hendy , Choirunnisa Choirunnisa
Published: September 2023

Papua’s Special Autonomy has been running for two decades with a budget disbursement of approximately 101.2 trillion rupiah. In line with that, this study aims to analyze the problems that occurred in Papua during the implementation of special autonomy. This research is qualitative research using data from books, journals, and media reports. This research adopts Bardhan and Mookherjee’s theory about the condition of fiscal decentralization which generates welfare. The research results substantially consist of two main things. First, from the point of view of local democracy, previously the special autonomy policy in Papua had not fully involved local (customary) figures in managing the special autonomy fund. Second, special autonomy in Papua has made budget items increase, both from central to regional transfer funds or other balancing funds. However, this fiscal authority is not accompanied by good capacity building for the organizers of the special autonomy for Papua. Therefore, it can be concluded that the implementation of special autonomy for Papua over the last two decades has not been able to function local democracy and produce reliable fiscal authorities so that the road to prosperity is still long.
A complexa relação entre precipitação, uso e cobertura da terra, solos e evolução de taludes erosivos de voçorocas
Authors: Stefanuto Estêvão Botura , Lupinacci Cenira Maria
Published: September 2023

Nos últimos 30 anos, a intensidade dos eventos hidrológicos mundiais apresentou significativo aumento, fato que despertou a atenção da Food and Agriculture Organization - FAO para algumas áreas do globo, como as pastagens em áreas tropicais e subtropicais. Desta forma, objetiva-se com este artigo analisar a dinâmica evolutiva do talude erosivo de uma voçoroca e sua relação com o uso e cobertura da terra, os totais pluviométricos no decorrer das estações secas e úmidas e o comportamento dos solos. Para tal, selecionou-se uma voçoroca alocada em um setor submetido a pastagens desde 1962, localizado no município de Analândia (SP). Assim, foram monitorados os dados de chuva e a evolução do talude erosivo da voçoroca durante 21 meses. Com isso, identificou-se uma dinâmica evolutiva do talude classificada como complexa, uma vez que alguns períodos de maior evolução apresentaram correspondência com os dados pluviométricos, no entanto, em outros, a evolução se relacionou de forma expressiva com o comportamento dos solos e da cobertura arbustiva/arbórea sobre o talude.
The evolution of anastomotic techniques in robot-assisted Ivor Lewis esophagectomy
Authors: Triantafyllou Tania , Sgromo Bruno
Published: September 2023

Radical esophagectomy is the cornerstone in the treatment of esophageal cancer combined with perioperative therapies, whereas patients diagnosed at an early stage may be candidates for endoscopic resection. Minimally invasive procedures aim to improve the postoperative complications and reduce overall morbidity. The short and long-term results of the incorporation of robot-assisted esophagectomy in specialised centres worldwide have been encouraging. The Ivor Lewis technique has become the preferable approach, reaching up to 61% of the minimally invasive reconstructions in the Western World; however, the percentage of anastomotic leaks remains problematic. Throughout the last decade, a few modifications of the anastomotic technique have been proposed in an effort to improve the surgical results of the robot-assisted approach. This review presents the evolving robotic techniques of performing the esophagogastric anastomosis. An overview of the available approaches will be discussed with a focus on the intrathoracic anastomosis.
Le retour des Ormes dans les villes françaises
Authors: Pinon Jean
Published: September 2023

La graphiose avait décimé au milieu des années soixante-dix la majorité des ormes adultes en ville. La sélection d’ormes plus résistants a permis progressivement de réimplanter cette essence dans la majorité des villes françaises. Les premières variétés (‘Lobel’ et ‘Dodoens’) ont été relayées par ‘Sapporo Gold’ (variété asiatique) plus résistant, mais dont les arrachements de charpentières la font abandonner au profit de ‘Lutèce’ et Vada’, variétés essentiellement européennes, à haut niveau de résistance et résultant de la collaboration entre l’INRAE et Alterra (Pays-Bas). D’assez nombreuses villes prévoient la plantation de ‘Lutèce’ et ‘Vada’. ‘Columella’, variété columnaire a aussi sa place dans les espaces restreints. L’Orme commence à remplacer les essences victimes de problèmes sanitaires comme l’Érable (suie), le Platane (chancre coloré) et le Frêne (Chalarose). Son usage s’étend en zone rurale, notamment dans le Marais poitevin.
Messages clés• L’Orme a été décimé par la graphiose dans les années 1970.• La sélection de variétés résistantes a permis sa réintroduction en ville.
Reconnaître automatiquement les essences forestières avec son téléphone : rêve ou réalité ? Test de l’application Pl@ntNet
Authors: Gaudin Sylvain
Published: September 2023

Des applications permettant la détermination botanique à partir de photos sont désormais disponibles. Parmi elles, Pl@ntNet a été testée sur deux cents photos de feuilles d’essences forestières réparties en vingt espèces. Les résultats varient selon les essences testées, le nombre de photos utilisées pour l’apprentissage et en fonction de divers paramètres liés à la prise de vue (saison, nombre de feuilles sur la photo, support des feuilles et orthogonalité de la prise de vue). Après une analyse de ces résultats par groupes d’essences, les limites et avantages de cette application sont ensuite discutés et des pistes d’utilisation potentielle sont présentées.
Messages clés• La détermination automatique des essences à partir de photos est désormais possible.• La qualité de cette détermination est très variable.• Elle fluctue principalement selon les essences.
La merranderie, première transformation du bois au service de la tonnellerie
Authors: Genty Clément
Published: September 2023

La merranderie fait partie intégrante de la filière tonnelière : c’est elle qui transforme les grumes en merrains, planches de bois nécessaires à la réalisation de barriques. La tonnellerie fera ensuite de ces merrains des douelles et naîtra un tonneau. Dans un marché mondialisé, les Français sont leaders mondiaux avec une production de barriques et autres contenants en bois de chêne. Si la scierie s’avère être une activité liée aux régions sylvicoles, il n’en est pas de même pour la merranderie où la concentration des établissements s’opère aux alentours des seules forêts de Chênes sessile et pédonculé, ces essences doivent être fendues et sciées selon un procédé particulier qui différencie les merranderies des scieries. Cette profession atypique implique des procédures et des réflexions que cet article propose de mettre en exergue.
Messages clés• La merranderie fait partie intégrante de la filière tonnelière.• Elle fournit les merrains nécessaires à la fabrication des barriques.• Son fonctionnement implique des procédures spécifiques.
Penegakan Hukum Terhadap Pelanggaran Atas Kewenangan Dan Kewajiban Notaris Yang Tidak Diatur Dalam Undang-Undang Jabatan Notaris Oleh Majelis Pengawas Notaris
Authors: Yusfi Arifandy Muhammad
Published: September 2023

Notary is a public official authorized to make authentic deeds. However in carrying out their duties, it is highly possible for a Notary to err and to violate their office duties. The Notary Supervisory Board carries out the supervisory and guidance functions of alleged violations committed by the Notary. The consequence of not optimal regulation regarding the mechanism for imposing legal sanctions on Notaries results in the emergence of legal uncertainty. The formulation of the problem in this study is whether the Notary Supervisory Board finds violations of the Notary's authority and obligations that have not been regulated in the Law on Notary Offices and how to apply the sanctions given by the Notary Supervisory Board for Notary violations of the authority and duties of their position that have not been regulated in the Law Concerning the Position of Notary Public. This is a normative legal research supported by empirical evidence that is carried out using a statutory approach and a conceptual approach. The results of the research and discussion show that the Notary Supervisory Board found various forms of violations of the Notary's obligations and authority. Notaries can be subject to various forms of sanctions, administrative responsibility, and civil penalties in accordance with legal norms. However, the forms of violations that occur in the field are not specifically regulated in the Law on Notary Offices or the Code of Ethics.
Analisis Terhadap Pengaturan Restrukturisasi Dan Implementasinya Dalam Perjanjian Kredit Perbankan Di Masa Pandemi Covid-19
Authors: Saputra Yoga
Published: September 2023

During the Covid-19 pandemic, banking financial service institutions carried out credit restructuring service for affected debtors. However the service arrangement still has challenges in its implementation. The formulation of the problem in this research is how is the analysis for bank credit arrangements during the Covid-19 pandemic and how to implement the credit agreements during the Covid-19 pandemic. This is a normative legal research conducted with a statutory approach and a conceptual approach. The results of the research and discussion indicate that the Credit Restructuring policy during the Covid-19 pandemic was regulated through the Financial Services Authority Regulation Number 17/POJK.03/2021 on the Second Amendment to the Financial Services Authority Regulation Number 11/POJK.03/2020 on National Economic Stimulus as Countercyclical Policy Impact of the Spread of Covid-2019. This regulation does not further regulate the main guidelines for debtors affected by Covid-19 regarding the form of credit restructuring provided by banks to debtors. This poses a distinct challenge for regulators and financial service institutions in implementing the credit restructuring policies. In addition, the credit agreement after the restructuring is made in the form of an addendum called the Offering Letter of Credit. The form of restructuring provided has been determined in such a way as to extend the payment period and reduce the amount to be paid. This resulted in the amount of credit that must be paid as a whole to be greater than before the credit restructuring.
The Application Of Google Earth In The Arrangement Of Industry And Trade Agglomeration Areas In Pekalongan City
Authors: Ilyas Agus , Setiawan Tri Agus , Binabar Sattriedi Wahyu , Jumiati Eny
Published: September 2023

Pekalongan City has a variety of potential areas that include the field of industry, services and trade or called agglomeration. The potential that exists is not only in the field of batik but also has beach tourism areas, culture, shopping, electronic trade, hotels, markets and so on. Based on the data from the Agency for Regional Development of Pekalongan City (Bappeda)�in 2020 that in 2019 the investment growth was Rp. 3.29 trillion, the economic growth in the industrial sector was 4.84%, and the economic growth in the trade and services sector was 5.72%. Meanwhile, the economic income in 2019 in the Large Trade and Retail sector contributed the largest GDP of 21.79% while the smallest sector of the Water Supply, Waste Treatment, Waste and Recycling sector was 0.10%. With an area of 45.25 km which has 4 sub-districts and 27 urban villages classified as a small area has limitation in choosing the ideal location, it is possible to have the emergence of centralization or concentration of industry in a certain area or on the other hand, there are several different types of centers and industries in one area because the area is very potential compared to other regions, this is in accordance with the spatial and regional planning (RTRW). For this reason, it is necessary to have a Geographic Information System (GIS) that is able to display the web-based agglomeration of industry and trade to ensure the quality and smooth flow of information about the existing potential. For this reason, the research that will be carried out uses�the�Research and Development (R&D) method, while the� system development model used is Waterfall. In the creation and development of applications carried out with free and open-source software (Google Earth, global Mapper and others). The results of the research conducted can help the government in the context of making regional development policies based on the Geographic Information System of the Agglomeration of Industry and Trade so that between industry players there is no unfair competition but rather support and complement each other so as to increase the original income of the region, and investment for the achievement of the welfare of society
Analisis Hasil Kajian Perencanaan Infrastruktur Teknologi Informasi untuk Mendukung Grand Design Riau Digital
Authors: Trisnadoli Anggy , Arifin Satria Perdana , Muslim Istianah
Published: September 2023

Salah satu upaya Pemerintah Provinsi Riau dalam mendukung pemerintahan yang berjalan dengan basis teknologi adalah dengan melakukan reformasi birokrasi dengan menggunakan teknologi informasi dan komunikasi (TIK) sebagai penggerak roda pemerintahan. Namun, inkonsistensi dalam aturan pelaksanaan berdampak pemanfaatan TIK tidak menyeluruh hingga kabupaten/kotamadya. Oleh karena hal itu, dicanangkan sebuah Grand Design Riau Digital (GDRD). Salah satu aspek yang diperhatikan dalam kegiatan GDRD ini adalah Perencanaan Infrastruktur Teknologi Informasi. Dengan tujuan usulan Perencanaan Infrastruktur Teknologi Informasi yang dikaji dan dilakukan analisis ini dapat menjadi salah satu acuan dan rekomendasi maupun blueprint infrastruktur teknologi informasi di Provinsi Riau yang akan dikembangkan. Sesuai dengan tujuan akhir dari pelaksanaan kegiatan GDRD, penelitian ini menggunakan metode Performance, Information, Economics, Control and Security, Eficiency, Services (PIECES) untuk melakukan identifikasi permasalahan yang dilanjutkan dengan metode Framework for The Appication System Techniques (FAST) untuk menggali hubungan sebab-akibat dari permasalahan yang dihadapi. Hasil penelitian ini menunjukkan bahwa terdapat berbagai solusi yang dapat diterakan untuk meminimalisir hingga menyelesaikan masalah yang terjadi dalam kondisi infrastruktur di pemerintahan Provinsi Riau, sehingga kedepannya dapat menjadi lebih baik.
Analisis Sistem Informasi Di Sekolah Swasta Diponegoro 1 Purwokerto Menggunakan COBIT 5
Authors: Jayanti Asiah , Setyadi Resad
Published: September 2023

Peran Sistem Informasi (SI) dalam Tata Kelola Teknologi Informasi (TKTI) mempunyai peranan penting dalam Lembaga Pendidikan sekolah TKTI sudah menjadi sangat berguna oleh Lembaga Pendidikan dalam membuktikan bahwa penilaian korelasi antara investasi Teknologi Informasi (TI) dengan masing-masing sekolah. Sekolah Swasta Diponegoro 1 Purwokerto mempunyai masalah dengan Software (perangkat lunak) layanan akademik operasi siswa serta kebutuhan administrasi guru. Investasi IT dan pelayanan terbaik dalam mengakses kebutuhan guru dan siswa merupakan referensi penting tentang bisnis sekolah. Tujuan melalui penulis ini dilakukan adalah untuk menganalisisa manajemen risiko SI di Sekolah Swasta Diponegoro 1 Purwokerto dengan memakai kerangka kerja Control Objective for Information and Related Technology (COBIT) 5. Melalui penulis ini yang memakai metode penulis kuantitatif dengan mendistribusikan beberapa pertanyaan kepada responden untuk mendapatkan data uji validitas dan reliabilitas untuk hasil perhitungan yang baik. Berdasrkan hasil analisis yang telah dilakukan bahwa nilai perhitungan tingkat kematangan menunjukkan pada tingkat level 3, yang artinya hasil tersebut berada pada posisi proses yang ditentukan. Proses sudah mencapai tujuannya dengan cara yang jauh lebih terarah menggunakan aset organisasi didefinisikan dengan baik. Rekomendasi penulis ini dilaksanakan adalah perlunya perbaikan dengan penambahan jaringan di Sekolah Swasta Diponegoro 1 Purwokerto dan pemutakhiran Software administrasi bagi guru dan siswa.
Analysis of Brute Force Attacks Using National Institute Of Standards And Technology (NIST) Methods on Routers
Authors: Pamungkas Catur , Hendradi Purwono , Sasongko Dimas , Ghifari Afwan
Published: September 2023

Abstract

The rapid development of technology, including the internet, can trigger data security issues that harm individuals, organizations, or government agencies. One type of attack often used is a Brute Force attack, which falls under the category of cybercrime. The National Institute of Standards and Technology (NIST) often analyzes digital evidence in these cases. This study analyzes Brute Force attacks using NIST methods on a router that is an additional router to the main router. On the network at the Faculty of Engineering, Universitas Muhammadiyah Magelang (UNIMMA), information about the attack and patterns used by the attacker were successfully obtained, including the IP address and time of the attack. It is concluded that the additional router is vulnerable to Brute Force attacks, and firewall settings are necessary to secure it.
An Extreme Programming Approach for Instructor Performance Evaluation System Development
Authors: Pambudi Agung , Apriandari Winda
Published: September 2023

The aim of this research was to develop an instructor performance evaluation system for Information Technology Training Center (ITTC) of Islamic State University (UIN) Sunan Kalijaga Yogyakarta using Extreme Programming (XP) methodology. The system was designed to evaluate the performance of instructors in the ICT (Information and Communication Technology) Training process based on certain criteria. The XP method was an agile software development approach that emphasizes iterative development, continuous testing, and customer involvement. The proposed system was developed through several iterations that involve continuous feedback from the ITTC management. The development of the system followed the XP process, which was included planning, designing, coding, testing, refactoring, and integrating. Trainees can access the system to evaluate instructors, and the system helped the ICT training management to determine the instructor's performance for future employment contracts. The system has undergone functionality testing, which resulted in a 100% functionality test and 95,5% of usability test. This system was an effective tool for evaluating the performance of ICT training instructors and can be used to determine the effectiveness of training programs. The system's usability and functionality had been tested and proven to be highly effective, making it a valuable resource for ICT training management.
Automatic Birdsong Splitting and Syllabic Analysis of Jalak Suren
Authors: Prasetiadi Agi , Saputra Julian
Published: September 2023

The study of birdsong has received relatively limited attention in the field of artificial intelligence, despite its long-standing intrigue and the question of whether birds possess a form of language. Previous research has provided evidence suggesting the presence of structurally organized words recognized by birds, such as the strong reactions observed in Japanese tits and Pied babblers when exposed to specific sequences of artificially played calls. Altering the speed of a sequence also influences the birds' responses, further supporting the existence of organized linguistic units in avian vocalizations. In this study, we propose a novel approach for analyzing birdsong by employing automatic syllable segmentation and syllabic similarity analysis. Our focus is on the Jalak Suren species (Sturnus contra), renowned for its melodious song. Through the identification and categorization of distinct syllabic units in birdsong recordings, we investigate the statistical occurrence of these syllables within the sequence of birdsong. Our findings reveal remarkable similarities between the statistical occurrence of syllables in birdsong and those found in human language passages
Expert System for Identifying Pregnant Using Forward Chaining
Authors: Aditia Gilang , Ziqri Afzal , Maulana Aldhan Tri , Adhinata Faisal Dharma
Published: September 2023

Pregnancy is a biological process in which sperm and eggs meet each other to fertilize, and the fetus is formed in the uterus. But it's difficult; pregnant mothers sometimes have problems or discomfort during pregnancy. In addition, in areas far from the city, there are many obstacles to consulting an obstetrician. Therefore, it will be dangerous if mothers experience problems and find it difficult to get first aid. This research aims to create an expert system for pregnant women where it is not difficult for a mother to go to the doctor to ask about her complaints. The solution offered in this study is easy to access to the SP BUMIL website and automatically enters all mothers' complaints into the system. This system also provides a diagnosis and advice to pregnant women as to the best steps and an explanation of what the pregnant woman is suffering from. This expert system uses the forward chaining method, which has the advantage of producing a solution to a problem; in other words, being able to consider a problem and draw conclusions according to the facts. On this website, there is a disease information menu and also the results of the diagnosis
ANALISIS PERBANDINGAN KINERJA LAYANAN CLOUD COMPUTING PADA APLIKASI DROPBOX, GOOGLE DRIVE, DAN ONEDRIVE DENGAN METODE BOEHM’S QUALITY MODEL
Authors: Raisha Putri Mellisa  , M. Ficky Duskarnaen  , Ali Idrus
Published: September 2023

Dengan kehadiran trend gadget/smartphone, sistem penyimpanan awan yang disediakan oleh OneDrive, Dropbox, dan Google Drive menjadi layanan yang paling diminati karena perannya yang memudahkan pengguna sebagai penyimpanan daring yang fleksibel. Namun belum ada penelitian ilmiah tentang pengukuran / perbandingan serta analisa kinerja berdasarkan faktor efisiensi diantara layanan cloud computing tersebut dilingkungan Universitas Negeri Jakarta. Dengan menggunakan tiga aplikasi layanan tersebut, dan dengan menggunakan metode Boehm's Quality Model dilakukan analisa metrik Portability, Reliability, Efficiency, dan Human Engineering untuk mengetahui seberapa efisien kinerja layanan dari ketiga aplikasi tersebut, baik ketika digunakan sesuai kebutuhan pengguna, ataupun dengan perangkat keras yang terbatas, sehingga dapat membandingkannya dari faktor efisiensi penggunanya.  Metode yang digunakan adalah penelitian survei dengan pendekatan kuantitatif dengan subjek penelitian yang merupakan mahasiswa aktif di Universitas Negeri Jakarta. Hasil penelitian didapatkan penilaian dari 306 responden yaitu untuk aplikasi Dropbox, ada 30 responden yang tidak setuju dan ada 276 responden setuju dengan pernyataan positif yang ada pada setiap butir instrumen. GoogleDrive mendapatkan 19 responden yang tidak setuju dan ada 287 responden setuju. OneDrive mendapatkan 24 responden yang tidak setuju dan ada 282 responden setuju. Berdasarkan hasil tersebut, kinerja layanan aplikasi Google Drive mendapat penilaian paling unggul diantara ketiga aplikasi didalam lingkungan Universitas Negeri Jakarta.
Characteristics and Factors Associated with Cognitive Decline of Elderly with Mild Cognitive Impairment
Authors: Roh Eul Hee
Published: September 2023

Objectives: To identify the factors related to cognitive function decline by comparing the characteristics of the cognitive function maintenance and mild cognitive impairment (MCI) groups using data from the Korean Longitudinal Study of Aging (KLoSA). Methods: Individuals were divided into a cognitive function maintenance group and an MCI group based on changes in cognitive function, and their general characteristics were compared. In the next step, we selected the same number of samples from both groups and then compared the characteristics related to MCI. Finally, factors related to cognitive decline were identified in the MCI group. Results: At the time of the 8th survey, when cognitive function changes occurred, the Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), and CES-D-10 scores in the MCI group were significantly higher than those in the cognitive function maintenance group. In addition, participation in social activities, regular exercise practice, and drinking were significantly less frequent in the MCI group than in the cognitive function maintenance group. Therefore, ADL, CES-D-10 (Center of Epidemiologic Studies Depression Scale, 10-item version), quality of life (QoL) score, social activity participation, regular exercise, and drinking were derived as factors highly related to MCI. Conclusions: Because the factors related to MCI presented in this study mainly affect cognitive decline over a long period, not only older individuals but also middle-aged subjects should be managed as a precaution. In addition, among the identified factors related to MCI, participation in social activities and regular exercise have a positive effect on improving cognitive function and reducing dementia risk factors in older individuals. Therefore, dementia prevention education and rules that include these two elements should be promoted.
The Relationship between Positive Parenting Attitude and Children’s BMI Z-score: Focusing on the Mediating Effect of Exercise Time and Number of Breakfasts Consumed of Children
Authors: Choi Seoyoung , Park Sangshin
Published: September 2023

Objectives: This study aimed to investigate the mediating effect of children’s exercise time and breakfast in the relationship between parents’ positive parenting attitude and middle school children’s BMI-Z score. Methods: Data were obtained from Korean Children and Youth Panel Survey 2018, including 2,432 first-year middle school students and their parents. SPSS 27.0 version was used to analyze the data, and AMOS 27.0 program was used to verify the fit of the research model. Results: The results showed a significant direct relationship between parents’ positive parenting attitude and their children’s BMI Z-score (B = -0.01, p < 0.05). The mediation indirect effects of children’s exercise time and breakfast were also significant (B = -0.01, p < 0.05). Conclusions: A positive parenting attitude correlated with increased breakfast and exercise time, leading to lower adolescent’s BMI Z-scores for more breakfast and higher adolescent’s BMI Z-scores for more exercise time.
Analysis of Factors Affecting the Awareness of the Health Care System
Authors: Lee Hyojeong , Lim Jihye
Published: September 2023

Objectives: This study was to analyze whether the factors affecting the awareness of the health care system appear differently. Methods: This study used the 2020 Medical Service Experience Survey, and 12,133 people were selected as the study subjects. Demographic characteristics, chronic disease treatment experience, and type of medical institution were designed as independent variables that affect health care system awareness, and education level, age, perceived health status, income quintile, chronic disease type, and medical service use experience were composed as sub-factors. Results: As a result of analyzing the multiple regression model, it was found that education level, income quintile, age, occupation, perceived health status, and private health insurance subscription were important factors influencing the awareness of the health care system. This showed a positive effect in the higher the education, the higher the income quintile, the higher the age from under 60, the better the perceived health status, the occupation is ‘paid work’, and the private health insurance subscription. Conclusions: It is meaningful that it was found that the awareness of the health care system was low in the low-educational and low-income groups, and that it empirically analyzed and proposed the need for a policy to improve awareness.
The Effect of Patient Safety Experience on Patient Satisfaction of Patients Using Outpatient Health Services in Hospitals/Clinics
Authors: Chung Soojin , An Bomi
Published: September 2023

Objectives: The aim of this study is to identify outpatients’ experiences of patient safety, patient satisfaction levels, and examine the factors influencing on patients’ satisfaction. Methods: Data from the Survey on the Experience with Healthcare Service in 2021 were used for this secondary analysis. Data from 6,027 patients aged over 20 who experienced outpatient health services in hospitals or clinics were analyzed. Logistic regression analysis was carried out to explore as influential factors which are patient characteristics, health-related characteristics, and their experiences of patient safety. Results: Generally, the level of patient satisfaction was high as 90.6% of participants were satisfied with the received outpatient care. High patient satisfaction was related to gender (females), job (housewives), education level (below secondary education level) and perceived health status (good status). Besides, those who experience being educated the side effects related to the medications or no checking the safety facilities of medical institutions were more likely to satisfy with the outpatient care. Conclusions: It is revealed that demographic and health-related characteristics, and patient safety experiences affected patients’ satisfaction with outpatient health services. To improve overall patients’ satisfaction with outpatient care, it is needed to enhance nonclinical patient safety activities such as explaining medication related side effects for patients.
Variability Test of Estimates of Korea Community Health Survey Data in Gyeongsangnam-do (2008-2018)
Authors: Seon Youngjun , Jeong Baekgeun , Jin Boyeong , Lim Zunghun , Cho Changjin , Son Youngeun , Kim Dong Wook
Published: September 2023

Objectives: In this study, we aimed to determine the regional and yearly variability of estimates from the Gyeongsangnam-do Korea Community Health Survey conducted from 2008 to 2018. Methods: Line graphs, box plots and dendrograms were analysed to determine the distribution of data by indicator in the Korea Community Health Survey data. The intraclass correlation coefficient (ICC) was used to check the consistency of the data by indicator, GLM to check for differences by time of measurement, and Run-test to check whether the variation was random. Results: The data distribution of the indicators varied within the 30% range suggested by the KDCA (line graphs). Outliers were found in certain regions, suggesting that the results are not consistent (box plots). Using dendrograms, we can see the similarities and differences in the results at once, and identify 2008 and 2009 as the first group, 2010-2014 as the second group, and 2015-2018 as the third group. The results of ICC and GLM for inter-annual variability and consistency show that most indicators were not consistent across years. Finally, the results of the Run-test to determine the randomness of the fluctuations also show that most of the indicators have random fluctuations. Conclusions: The Korea Community Health Survey has been conducted in the same way every year from the conception of the statistics to the time of the survey to ensure the comparability and consistency of the survey results from year to year, but there has been no quality assessment of the period when stable performance appears after policy and system changes. Therefore, this study suggests that followup research on the causality of the variability with the historical background, environment, events and accidents is needed.
The effect of Acellular Dermal Matrix on the success of primary palatoplasty with intravelar veloplasty
Authors: Abdali Hossein , Hoghooghi Mohammad Ali , Fattahpour Shirin , Derakhshandeh Fatemeh , Mohtashampour Farnoosh , Moghimi Zahra , Ghanei Amin
Published: September 2023

Background
Acellular Dermal Matrix graft is usually used to repair fistulas following a cleft palate and has had positive results. But its use for primary palatoplasty has been less studied. Our aim was to compare the usefulness of using Acellular Dermal Matrix transplantation for primary palatoplasty with intravelar veloplasty in contrast to its lack of use
Materials and methods
A total of 72 children with cleft palate were included in the study. A prospective case-control observation was conducted. A case group underwent primary palatoplasty with intravelar veloplasty using Acellular Dermal Matrix and the control group had the same surgery without using Acellular Dermal Matrix. Patients were monitored for fistula formation, post-operative infection, and ulcers.
Results
Postoperative fistula was one of the observed complications in patients with a cleft size greater than 15 mm, in the case group, in 3 out of 24 patients (12.5%) and the control group, in 6 out of 11 patients (54.5%), fistula occurred after surgery. Postoperative infection and wound dehiscence was not observed in any group.
Conclusions
The nature of the cleft palate and the lack of muscles and structures necessary to repair the palate make fistula formation more likely in patients with a larger cleft palate. Based on the results of this study, the use of an Acellular Dermal Matrix in patients with a cleft greater than 15 mm is significantly effective in reducing fistula formation.
Former foodstuffs in feed: a minireview of recent findings
Authors: Srikanthitha Karthika , Giorgino Andrea , Fiorilla Edoardo , Ozella Laura , Gariglio Marta , Schiavone Achille , Marín Andrés Luis Martínez , Vicuna Elena Diaz , Forte Claudio
Published: September 2023

The sustainability of all productive activities, including livestock farming, becomes a fundamental challenge in the current scenario. Livestock production faces both old and new challenges related to climate change, food safety, and feed-food competition. The latter aspect has recently become a hot topic, and many researchers are turning their attention to this issue. According to circular economy principles, former foodstuffs have characteristics that make them a promising source of raw material for animal feed. The main objective of the present review is to provide a brief overview of the most recent studies (published between 2016 and 2022) addressing the dietary inclusion of former foodstuffs for livestock. The articles analyzed cover key findings from both in vitroand in vivo studies of former foodstuffs included in the diets for pigs, cows, and broilers, and assess the associated safety aspects. The articles provide information on livestock performances and product quality, as well as feed digestibility, fecal microbiota, and blood analysis. Although the evidence supports the inclusion of former foodstuffs in livestock diets as a safe, effective, and sustainable ingredient, this analysis of the most recent literature also highlights gaps in our knowledge that need to be filled. The present overview will help researchers plan future research and standardize and promote the inclusion of former food products in livestock diets.
Blockade Antibody Responses in Human Subjects Challenged with a New Snow Mountain Virus Inoculum
Authors: Ibaraki Makoto , Lai Lilin , Huerta Christopher , Natrajan Muktha S. , Collins Matthew H. , Anderson Evan J. , Mulligan Mark J. , Rouphael Nadine , Moe Christine L. , Liu Pengbo
Published: September 2023

Background
Noroviruses (NoVs) are a leading cause of non-bacterial gastroenteritis in young children and adults worldwide. Snow Mountain Virus (SMV) is the prototype of NoV GII genotype 2 (GII.2) that has been developed as a viral model for human challenge models, an important tool for studying pathogenesis and immune response of NoV infections and for evaluating NoV vaccine candidates. Previous studies have identified blockade antibodies that block the binding of NoV virus-like particles (VLPs) to histo-blood group antigens (HBGAs) as a surrogate for neutralization in human Norwalk virus and GII.4 infections but little is known about SMV blockade antibodies.
Methods
In this secondary data analysis study, blockade antibodies were characterized in pre-challenge and post-challenge serum samples from human subjects challenged with a new SMV inoculum. The correlation between blockade antibody geometric mean antibody titers (GMTs) and SMV-specific serum IgG/IgA GMTs were examined after stratifying the subjects by infection status. A linear mixed model was applied to test the association between HBGA blockade antibody concentrations and post-challenge days accounting for covariates and random effects.
Results
Laboratory results from 33 SMV inoculated individuals were analyzed and 75.7% (25/33) participants became infected. Serum SMV-specific blockade antibodies, IgA, and IgG were all significantly different between infected and uninfected individuals beginning day 15 post-challenge. Within infected individuals, a significant correlation was observed between both IgG and IgA and blockade antibody concentration as early as day 6 post-challenge. Analysis of blockade antibody using the linear mixed model showed that infected individuals, when compared to uninfected individuals, had a statistically significant increase in blockade antibody concentrations across the post-challenge days. Among the post-challenge days, blockade antibody concentrations on days 15, 30, and 45 were significantly higher than those observed pre-challenge. The intraclass correlation coefficient (ICC) analysis indicated that the variability of blockade antibody titers is more observed between individuals rather than observations within subjects.
Conclusions
These results indicate that HBGA-blockade antibody GMTs are generated after SMV challenge and the blockade antibodies were still detectable at day 45 post-challenge. These data indicate that the second generation of SMV inoculum is highly effective.
Comparison of cement-augmented pedicle screw and conventional pedicle screw for the treatment of osteoporotic spinal disease
Authors: Wang Yazhou , Zhou Chenghao , Yin Huabin , Zhao Qinghua , Song Dianwen
Published: September 2023

Study design: A retrospective cohort study.
Objective: To compare the safety and clinical efficacy between using cement-augmented pedicle screws (CAPS) and conventional pedicle screws (CPS) in patients with osteoporosis.
Summary of background data: Management of osteoporosis in patients undergoing spine surgery is challenging. The clinical efficacy and potential complications of the mid-term performance of the CAPS technique in osteoporotic spinal diseases remain to be evaluated.
Patients and methods: The data of 155 patients with osteoporotic spinal disease who were treated with screw fixation from May 2016 to December 2019 were retrospectively analyzed in this study. The patients were divided into the following two groups according to the type of screw used: (I) the CAPS group (n=99); and (II) the CPS group (n=56). Relevant data were compared between two groups, including the demographics data, clinical results and complications.
Results: The difference in the VAS, ODI and JOA scores at three and six months after the operation between the two groups was statistically significant (P<0.05). Four cemented screws loosening were observed in the CAPS group (loosening rate 4/470, 0.85%) and 17 screws loosening were observed in the CAP group (loosening rate 17/272, 6.25%). In the CAPS group, a total of 470 augmented screws were used, and cement leakage was observed in 34 screws (7.23%), but no obvious clinical symptoms or serious complications were observed. At 12 months after surgery and the final follow-up, asignificant difference in the fusion rate was found between the two groups. Adjacent vertebral fractures occurred in seven patients in the CAPS group and two in the CPS group.
Conclusions: CAPS technique is an effective strategy for the treatment of osteoporotic spinal diseases with a higher fusion rate and lower screw loosening rate than CPS.
Insights into research activities of senior dental students in Middle Eastern dental schools: a cross-sectional study
Authors: Alrashdan Mohammad S. , Qutieshat Abubaker , El-Kishawi Mohamed , Alarabi Abdulghani , Khasawneh Lina , Kawas Sausan Al
Published: September 2023

Background
Despite the increasing recognition of the importance of research in undergraduate dental education, limited studies have explored the nature of undergraduate research activities in dental schools in the Middle East region. This study aimed to provide a comprehensive overview of the research experience of final-year dental students from three leading dental schools in the Middle East.
Methods
A cross-sectional survey was conducted among final-year dental students from three institutions, namely Jordan University of Science and Technology, University of Sharjah (UAE), and Oman Dental College. Participants were asked about the nature and scope of their research projects, the processes involved in the research, and their perceived benefits of engaging in research.
Results
From the 369 respondents, cross-sectional studies were the most common type of research undertaken (50.4%), with public health (29.3%) and dental education (27.9%) being the predominant domains. More than half of research proposals were developed via discussions with instructors (55.0%), and literature reviews primarily utilized PubMed (70.2%) and Google Scholar (68.5%). Regarding statistical analysis, it was usually carried out with instructor's assistance (45.2%) or using specialized software (45.5%). The students typically concluded their projects with a manuscript (58.4%), finding the discussion section most challenging to write (42.0%). The research activity was considered highly beneficial, especially in terms of teamwork and communication skills, as well as data interpretation skills, with 74.1% of students reporting a positive impact on their research perspectives.
Conclusions
The research experience was generally positive among surveyed dental students. However, there is a need for more diversity in research domains, greater focus on guiding students in research processes, especially in manuscript writing and publication. The outcomes of this study could provide valuable insights for dental schools seeking to improve their undergraduate research activities.
Experience of financial toxicity and coping strategies in young and middle-aged stroke patients: a qualitative study
Authors: Xu Ling , Dong Qiong , Jin Aiping , Zeng Sining , Wang Kai , Yang Xiaopei , Zhu Xiaoping
Published: September 2023

Background Financial toxicity（FT) has been prevalent in cancer patients, and some studies have reported that stroke patients are also affected by FT. FT can be physically and mentally detrimental to a patient's recovery. The experience of FT in cancer patients has been studied, however, stroke being a chronic disease, rehabilitation is also an important stage in the recovery of the disease. However, little is known about the experience of FT and coping in stroke patients. Therefore, the purpose of this study was to describe the experience of FT in young and middle-aged stroke patients and the coping measures they take.
Methods From October 2022 to March 2023, Young and middle-aged stroke patients (18-59 years old) were recruited from a tertiary hospital in Shanghai, China, for semi-structured interviews. The research team used the Nvivo 12 software to analyze the interview data. Content analysis was used to analyze the data.
Results A total of 21 young and middle-aged stroke patients were interviewed in this study. The results of the interviews are divided into two parts: one was the experience of FT among young and middle-aged stroke patients, and the other was their measures to cope with FT. A total of 8 sub-themes were constructed. The experience includes 4 sub-themes: (1) taking on a multifaceted economic pressure, (2) FT affecting treatment, (3) FT affecting living conditions (4) generating anxiety and depression emotions. Coping strategies include 4 sub-themes: (1) reducing expenses, (2) increasing economic income, (3) seeking social support, and (4) the need and expectation to address FT.
Conclusions The presence of FT in young and middle-aged stroke patients, which affects their physical and mental health, has led them to take measures to cope with FT. It is recommended that the government should expand the scope of health insurance coverage and promote equity in health care policies. Healthcare professionals should actively focus on the FT of young and middle-aged stroke patients by supporting them with healthcare policy and employment information. Patients themselves need to improve their self-efficacy and actively cooperate with treatment. People at high risk of stroke can purchase commercial insurance in advance. Joint and combined efforts to reduce the impact of FT on young and middle-aged stroke patients.