bluuebunny/crossref_metadata_2025 huggingface dataset:
ANALISIS PENEMUAN SUSPEK TB DI KABUPATEN SIDOARJO PROVINSI JAWA TIMUR TAHUN 2021
Authors: Sistyaningsih Mira , Hendrati Lucia Yovita , Hadi Supaat Setia , Farakhin Noer
Published: May 2023

Kabupaten Sidoarjo merupakan penyumbang kasus TB terbanyak ketiga di Jawa Timur setelah Kota Surabaya dan Kabupaten Jember. Namun angka penemuan kasus TB di Kabupaten Sidoarjo belum memenuhi target dan cenderung menurun dibanding 2 tahun sebelumnya. Capaian CDR tahun 2021 sebesar 47,2%. Rendahnya angka penemuan kasus TB berkaitan dengan rendahnya capaian penemuan suspek TB. Capaian pelayanan suspek TB sesuai standar di Kabupaten Sidoarjo tahun 2021 sebesar 43%. Tujuan penelitian adalah menganalisis masalah dalam penemuan suspek TB di Kabupaten Sidoarjo. Penelitian ini merupakan penelitian deskriptif observational yang dilakukan tanggal 21 Januari - 25 Februari 2022 di Dinas Kesehatan Kabupaten Sidoarjo. Identifikasi masalah dilakukan dengan wawancara pemegang program dan studi dokumen. Prioritas masalah menggunakan metode USG (Urgency, Seriousness, Growth). Analisis penyebab masalah dilakukan dengan menggunakan metode Fishbone. Capaian pelayanan suspek TB sesuai standar sebesar 43% masih belum memenuhi target Standar Pelayanan Minimal. Hal tersebut menjadi prioritas masalah pada program TB berdasarkan metode USG. Penyebab rendahnya capaian penemuan suspek TB yang mendapatkan pelayanan sesuai standar yaitu belum optimalnya upaya penemuan suspek TB yang dilakukan petugas kesehatan dan kader yang dipengaruhi faktor kurangnya komitmen, situasi pandemi covid, keterbatasan anggaran skrining, kurangnya dukungan lintas sektor dan peran serta masyarakat. Belum optimalnya upaya penemuan terduga TB yang dilakukan petugas kesehatan dan kader merupakan prioritas masalah dalam program TB di Sidoarjo. Rekomendasi pemecahan masalah adalah peningkatan kapasitas petugas dan kader dalam penemuan suspek TB, monitoring evaluasi capaian kinerja per bulan, dan pemberian reward.
Analisis Yuridis Terhadap Tanggungjawab Hukum Pelaporan Limbah Bahan Berbahaya Dan Beracun (B3) Oleh Rumah Sakit Melalui Aplikasi Festronik (Rumah Sakit Umum Daerah langsa)
Authors: Khaliluddin Khaliluddin , Sidi Redyanto , Saragih Yasmirah Mandasari
Published: May 2023

Penelitian ini bertujuan untuk melakukan analisis yuridis tanggung jawab hukum pelaporan limbah bahan berbahaya dan beracun (B3) oleh rumah sakit melalui Aplikasi Festronic di RSUD Langsa. Metode yang digunakan dalam penelitian ini adalah penelitian hukum normatif dengan pendekatan hukum, peraturan perundang-undangan, dan putusan pengadilan terkait. Hasil kajian menunjukkan bahwa RSUD Langsa memiliki kewajiban hukum untuk mematuhi peraturan perundang-undangan tentang pelaporan limbah B3. Aplikasi Festronik dapat digunakan sebagai sarana pelaporan limbah B3 yang efektif dan efisien, namun tidak meniadakan kewajiban Rumah Sakit untuk memastikan kebenaran dan keakuratan data yang dilaporkan melalui aplikasi tersebut. Penyalahgunaan atau kelalaian dalam melaporkan limbah B3 dapat menimbulkan akibat hukum yang serius bagi Rumah Sakit, termasuk denda dan sanksi pidana. Oleh karena itu, Rumah Sakit harus memastikan bahwa semua staf yang terlibat dalam proses pelaporan limbah B3 memahami dan mematuhi peraturan perundang-undangan yang relevan serta memperhatikan etika dan standar keamanan lingkungan. Kesimpulannya, tanggung jawab hukum atas pelaporan limbah B3 oleh rumah sakit melalui aplikasi Festronik harus dilakukan dengan penuh tanggung jawab dan kehati-hatian. Rumah Sakit harus memastikan keakuratan dan kebenaran data yang dilaporkan serta memperhatikan aspek etika dan keselamatan lingkungan pada setiap tahapan proses pelaporan limbah B3.
FAKTOR YANG MEMPENGARUHI BANYAK RUMAH SAKIT MENGADOPSI ERACS SEBAGAI ALTERNATIF PERSALINAN CAESAR : A LITERATURE REVIEW
Authors: Purnaningrum Tansya Sushan , Surayawati Chriswardani , Suhartono Suhartono
Published: May 2023

Latar Belakang : Enhanced Recovery After Caesarian Surgery merupakan program pemulihan pasca operasi caesar yang dinilai dapat memberikan banyak manfaat. Konsep ERACS merupakan pengembangan dari konsep Enhanced Recovery After Surgery, dimana konsep ERAS ini awalnya digunakan pada operasi bedah digestif. Konsep ERACS ini terbukti mengurangi lama rawat pasien di rumah sakit, mengurangi komplikasi pasca operatif, dan meningkatkan kepuasan pasien. Oleh karena itu konsep ERAS ini kemudian dikembangkan untuk tindakan operasi di bidang lain salah satunya di bagian obstetri. Tujuan penelitian ini adalah untuk mengetahui apa saja faktor yang mempengaruhi banyak rumah sakit mengadopsi ERACS sebagai alternatif persalinan caesar. Metode penelitian ini dilakukan dengan pendekatan literatur review dengan pendekatan kepustakaan yang berpedoman Preferred Reporting Items for Systemic Reviews and Meta Analysis. Studi literasi yang dapat digunakan sebagai tinjauan pustaka atau referensi dalam studi dengan besar sampel sebanyak 20 jurnal. Hasil penelitian ini selanjutnya dianalisis secara kualitatif. Hasil penelitian menunjukkan bahwa faktor yang mempengaruhi banyak rumah sakit mengadopsi ERACS adalah karena metode ERACS meminimalkan rasa sakit dan nyeri persalinan. meringankan biaya perawatan bagi pasien, memulihkan kondisi pasien dengan cepat, mempercepat aktivitas mobilisasi, menurunkan risiko terjadinya infeksi pasca operasi, mempercepat pemenuhan nutrisi pasca operasi, dan memperpendek durasi rawat inap di rumah sakit.
PENGARUH KELAS AYAH TERHADAP PERILAKU PEMENUHAN KEBUTUHAN GIZI PADA BAYI RESIKO STUNTING DI KABUPATEN SLEMAN
Authors: Mauliddina Anisa , Pabidang Siswanto , Kusmiyati Yuni
Published: May 2023

Penelitian ini mengkaji tentang bagamaimana pengaruh kelas ayah terhadap pemenuhan gizi pada bayi resiko stunting di Kabupaten Sleman. Penelitian ini termasuk dalam penelitian percobaan (experiment research), sedangkan untuk pengambilan sampel menggunakan purposive sampling. Populasi dalam penelitian ini adalah seluruh ayah yang memiliki bayi baru lahir resiko stunting di Kabupaten Sleman sebanyak 1231 orang yang diperoleh pada saat penelitian dilakukan. Dapat disimpulkan bahwa tidak ada pengaruh terhadap pemenuhan kebutuhan gizi oleh ayah sebelum dan sesudah tanpa perlakuan kelas ayah (control) dengan nilai p-value sebesar 0,183 (p-value > 0,05). Ada pengaruh yang siginifikan terhadap pemenuhan kebutuhan gizi oleh ayah sebelum diberikan kelas ayah dan sesudah diberikan kelas ayah dengan nilai p-value sebesar 0,000 (p-value > 0,05).
PENGARUH PENGGUNAAN VIRGIN COCONUT OIL (VCO) TERHADAP PENCEGAHAN DEKUBITUS: LITERATURE REVIEW
Authors: Zikran Zikran , Pahria Tuti , Adiningsih Dian
Published: May 2023

Dekubitus merupakan cedera lokal pada kulit atau jaringan biasanya disebabkan oleh tekanan pada tonjolan tulang. Biaya pengobatan dekubitus tergolong mahal sehingga dekubitus sebaiknya dapat dicegah pada pasien-pasien yang menjalani perawatan yang lama di Rumah Sakit. Maka akan menjadi penting untuk mencari literature dalam pencegahan dekubitus, untuk studi literature ini akan mencari artikel tentang pengaruh penggunaan virgin coconut oil (VCO) terhadap pencegahan dekubitus. Metode pencarian dengan electronic database seperti proquest, ebsco, google scholar, pubmed, science direct, CINAHL dan perpustakaan nasional yang dipublikasikan full text pada rentang tahun 2011-2022 yang menggunakan metode penelitian randomize controlled trial dan quasi experiment dan ditulis dalam bahasa indonesia dan ingris. Setelah itu artikel dipilih dengan cara critical appraisal untuk menentukan artikel yang relevan dengan tujuan penelitian. Desain dalam penelitian ini menggunakan systematic reviews dan pedoman (PRISMA). Hasil dari analisis 11 artikel yang didapat dan memenuhi kriteria. Ada 8 artikel menyimpulkan bahwa melakukan massage dengan VCO efektif dalam pencegahan dekubitus maupun meminimalisir terjadinya infeksi dan dapat menurunkan derajat luka dekubitus, hanya ada satu artikel yang menunjukkan hasil berbeda, satu artikel membahas tentang cara mendeteksi eritema blanchable yang tepat untuk mencegah luka dekubitus dan satu artikel lagi menyimpulkan bahwa reposisi rutin pada pasien dapat mengurangi risiko terkena luka dekubitus. Dapat disimpulkan dari hasil systematic review bahwa penggunaan VCO efektif untuk pencegahan dekubitus maupun meminimalisir terjadinya infeksi dan menurunkan derajat luka dekubitus. Sehingga disarankan agar tindakan reposisi dan ditambahkan dengan terapi topikal VCO dapat diaplikasikan untuk mencegah terjadinya dekubitus.
Hubungan Menggendong Posisi M-Shape Terhadap Bounding Attachment dan Kualitas Tidur Pada Bayi Berusia 3-6 Bulan di Posyandu Cemara III Desa Rahuning Tahun 2023
Authors: Aprianti Lia , Nababan Tiarnida , Panjaitan Hosanna Angelika , Bali Romana Yutrianis
Published: May 2023

Infancy is a golden period for the growth and development of children so it needs special attention and affection. One of the factors that affect the growth and development of the baby is sleep and rest. One way that can be used to meet these needs is to hold the baby. However, the reality shows that there are still many mothers who are reluctant to carry their babies routinely, especially at the beginning of birth. This is because there is a feeling of fear of holding the baby wrong and not knowing how to hold the baby in the correct position. The M-Shape position is currently considered the safest because it keeps the baby's pelvis in its cavity and avoids hip dysplasia. This study aims to analyze the relationship between holding the M-Shape position on bounding attachment and sleep quality in infants aged 3-6 months at Posyandu Cemara III Rahuning Village. The type of research used is a quasi experiment with the design "One Group Pretest-Posttest Design". The population of this study were infants aged 3-6 months. The sample of this research is 32 respondents, taken by purposive sampling. Collecting data using questionnaires, research, univariate and bivariate data analysis. The results of research conducted using the Wilcoxon Sign Rank Test statistical test found that there was a significant relationship between holding the M-Shape position on bounding attachments and sleep quality in infants with a p-value obtained (<0.05).
HUBUNGAN PENGETAHUAN IBU DENGAN PEMBERIAN MAKANAN PENDAMPING ASI (MP-ASI) DINI PADA BAYI USIA 0-6 BULAN DI KELURAHAN LOWU-LOWU
Authors: Samrida Wa Ode Nesya Jeni
Published: May 2023

Menyusui ekslusif enam bulan dan tetap diberi ASI sampai 11 bulan dengan makanan pendamping ASI pada usia 6 bulan menurunkan kematian balita sebanyak 13%. Dari berbagai studi terdahulu telah diketahui bahwa penyebab penyakit bayi adalah penyakit infeksi dan kurang gizi yaitu infeksi saluran nafas dan diare, dari seluruh bayi yang menderita ditemukan paling banyak adalah bayi kurang dari enam bulan. Berdasarkan hasil observasi dan wawancara, sebagian besar ibu telah memberikan makanan pendamping ASI sebelum bayi berusia 6 bulan. Penelitian ini bertujuan untuk mengetahui adanya hubungan antara pengetahuan ibu dengan pemberian makanan pendamping ASI (MP-ASI) dini di kelurahan Lowu-lowu. Penelitian ini menggunakan metode penelitian analitik dengan pendekatan cross sectional. Ada hubungan antara tingkat pengetahuan ibu tentang makanan pendamping ASI dengan pemberian makanan pendamping ASI terlalu dini pada bayi usia 0-6 bulan di Kelurahan Lowulowu.
Analisis Besar Porsi dan Biaya Daging Ayam Terhadap Standar di Instalasi Gizi Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang
Authors: Hanun Nyayu , Yuliana Indah , Ija Maya
Published: May 2023

Standar porsi adalah rincian macam dan jumlah bahan makanan dalam berat bersih untuk setiap jenis hidangan. Penelitian ini bertujuan untuk menganalisis kesesuaian berat porsi daging ayam dengan standar porsi dan analisis ketepatan biaya dari berat daging ayam. Penelitian ini merupakan penelitian kuantitatif dengan metode observasional deskriptif analitik dengan pendekatan crossectional. Populasi dalam penelitian ini menggunakan total sampling yakni seluruh daging ayam yang diterima berdasarkan siklus menu di Instalasi Gizi RSUP Dr. Mohammad Hoesin Palembang.  Pengambilan data didapatkan dari hasil penimbangan daging ayam mentah menggunakan timbangan digital. Total hasil penimbangan sebanyak 3 kali didapatkan berat daging ayam yang termasuk kategori sesuai sebesar 79,6% dan kategori tidak sesuai sebesar 20,4%. Total biaya daging ayam yang seharusnya dikeluarkan untuk satu kilogram daging ayam sebesar Rp. 35.820,-/kg berdasarkan persentase ketepatan daging ayam dengan standar porsi.
HUBUNGAN DIABETES MELITUS DENGAN KEJADIAN SARCOPENIA PADA LANSIA DI WILAYAH KERJA PUSKESMAS MANDIANGIN
Authors: IZZATI WISNATUL , ERISKA DEBBY , KURNIAWATI DEWI
Published: May 2023

Seiring bertambahnya usia, sel-sel tubuh menjadi resisten terhadap insulin sehingga mengurangi kemampuan lansia untuk metabolisme glukosa. resistensi insulin yang merupakan ciri khas DM tipe 2 yang mengakibatkan kontrol glikemik yang buruk yang mempengaruhi komponen sarcopenia menjadi prediktor kesehatan otot yang buruk. Hilangnya kekuatan dan massa otot yang buruk kemungkinan terjadi karena peningkatan degradasi protein dan penurunan sintesis  protein. Sarcopenia dikaitkan dengan kecacatan dan kematian pada lansia.  Penelitian ini bertujuan untuk mengetahui hubungan diabetes melitus dengan kejadian sarcopenia pada lansia di wilayah kerja puskesmas mandiangin kota bukittinggi. Metode penelitian menggunakan Cross sectional dengan sampel berjumlah 93 orang lansia diantaranya 46 orang lansia diabates melitus dan 47 orang lansia non-diabetes melitus, dengan menggunakan teknik purposive sampling. Instrumen baku SARC-F dan analisis data menggunakan uju spearman rank. Hasil penelitian menunjukkan 39 (84,8%) responden lansia diabetes melitus mengalami sarcopenia, dan  36 (76,6%) respnden lansia tidak diabetes melitus tidak mengalami sarcopenia. Hasil uji spearman rank diperoleh nilai P = 0,000 menunjukkan bahwa adanya hubungan diabetes melitus dengan kejadian sarcopenia pada lansia. Bagi lansia DM diharapkan adanya edukasi yang diberikan untuk mencegah terjadinya sarcopenia.
A Review Article on Authentication Protocols in Cloud Computing
Authors: Fatima Umaima , Parveen Dr. Sheeba
Published: May 2023

Cloud computing  technology   provides on demand computing resources like software, hardware and storage in pay-per-use model. Cloud computing is very beneficial for today’s organizations, as there is no need to maintain physical infrastructure. These services and resources can be accessed from anywhere anytime over the internet. It is cost effective as users only need to pay for resources they use. Many individuals and organizations have shifted themselves over cloud environment as it is cheaper and convenient. As huge amount of sensitive data is being stored and processing in cloud computing environment so there is major concern of security. Lack of security may cause several issues. It may result in loss of organisation’s data and may even leak confidential data of user and organisation to unwanted access. To implement security in cloud computing various authentication and encryption protocol exists. This aim of this paper is to review various authentication protocols given by various researchers all over the world.
The Effect of Pelvic Floor Magnetic Stimulation in Women with Myofascial Pelvic Pain Syndrome: A Prospective Cohort Pilot Study
Authors: Ding Tian , Zhang Shuang , Zhao Li , Wu Yue , Zhu Xiu-fang , Wang Yin-feng , Zhong Shuang-shuang , Xie Zhen-wei
Published: May 2023

Background: Chronic pelvic pain (CPP) is a highly prevalent pain condition in which pelvic floor myofascial pain syndrome (MPPS) is also frequently found. Optimal treatments for CPP and MPPS are unknown. The aims of this pilot study were to investigate the effect of pelvic floor magnetic stimulation (MS) in women with MPPS. Treatment effects were compared between patients receiving MS alone, myofascial release therapy (MRT) alone, and MS + MRT. Methods: Patients were divided into three groups: MS, MRT, and MS + MRT. Questionnaires including Short-form McGill Pain Questionnaire (SF-MPQ), Pelvic Pain and Urgency/Frequency questionnaire (PUF), Female Sexual Function Index (FSFI), Hamilton Anxiety Scale (HAMA), and clinical global impression scale (CGI) were used to assess changes in subjective symptoms before and after treatment. Pelvic floor muscle function was assessed by the Modified Oxford Scale and Surface electromyography (sEMG). Pain mapping was used to locate trigger points (TPs) and to score the intensity of pain. A Visual Analog Scale (VAS) was used to measure the intensity of pain on a scale of 0 to 10. Changes in the above evaluation indexes within each group and between groups were evaluated after 5 treatment sessions and 10 treatment sessions. Results: Nineteen patients completed the treatment between November 2020 and August 2021. The SF-MPQ and PUF scores decreased significantly (p < 0.01) after treatment. The VAS score for pelvic floor tenderness also decreased significantly after 5 and 10 treatment sessions (p < 0.01). At the end of 10 sessions, the HAMA score was significantly lower than prior to treatment (p < 0.01). Conclusions: This preliminary study shows that MS is effective for the treatment of MPPS. Clinical Trial Registration: ChiCTR2000030881.
Immunotherapy in Gynaecological Oncology: The Italian Landscape
Authors: Pace Luca , Villa Michela , Massobrio Roberta , Giorgi Margherita , Attianese Daniela , Ferrero Annamaria
Published: May 2023

Objective: The potential of immunotherapy in gynaecological malignancies is being investigated in recent years. This review will discuss the current status of immunotherapy in endometrial (EC), ovarian (OC) and cervical (CC) cancers with particular attention to the Italian reality. Mechanism: The websites of Multicenter Italian Trials in Ovarian cancer (MITO) and Mario Negri Gynecologic Oncology (MaNGO) groups were consulted and an in-depth search was carried out on clinicaltrials.gov. Trials started from 2014 to September 2022 were included in the search. Monoclonal antibodies, immune checkpoint inhibitors and drug-conjugated antibodies (ADCs) therapies were considered. Findings in Brief: The studies with the greatest clinical impact, specifically in terms of PFS (Progression Free Survival) and adverse events reported, and with the widest participation of Italian centers have been presented. In EC the impact of immunotherapy has been considerable, as demonstrated by the inclusion of immunotherapy in today’s treatment pathways. The identification of new biomarkers will make it possible to select patients who can best benefit from this type of therapy. Immunotherapy in OC has been a complex challenge for years, as early trials have shown. The results of further trials are now expected. CC seems to be one of the most interesting settings for immunotherapy and some results are already in the clinical management of advanced disease. Conclusions: Several trials have led to the approval of new drugs by regulatory agencies in gynaecological oncology, making immunotherapy not only an important promise for the future but also a concrete current reality for thousands of women worldwide.
Gastrodin Prevents Neuronal Apoptosis and Improves Neurological Deficits in Traumatic Brain Injury Rats through PKA/CREB/Bcl2 Axis
Authors: Sun Chenglong , Zheng Wenhao , Wang Linjie , Du Quan
Published: May 2023

Background: Gastrodin (Gas) exhibits anti-inflammatory properties against diseases associated with the central nervous system (CNS). This study aimed to investigate the potential neuroprotective role of Gas in traumatic brain injury (TBI). Methods: A rat TBI model was established in male adult Sprague-Dawley (SD) rats by controlled cortical impingement (CCI), and lipopolysaccharide (LPS) was applied to induce the activation of BV2 microglia and HT22 hippocampal neurons. Neurological deficits, motor function and brain water content were evaluated in TBI rats. TUNEL and Nissl’s staining were applied to measure neuronal degeneration and apoptosis. Microglial activation, the mRNA and protein profiles of pro-inflammatory cytokines were tested by immunohistochemistry (IHC), quantitative reverse transcriptase-polymerase chain reaction (qRT-PCR) and enzyme-linked immunosorbent assay (ELISA), respectively. Results: Gas significantly reduced neurological deficits, cerebral edema, and neuronal apoptosis and improved motor function in TBI mice. In addition, Gas inactivated microglia and blocked the production of pro-inflammatory cytokines on the damaged side of the TBI rat brain. In vitro, Gas attenuated BV2 microglia inflammation and reduced HT22 hippocampal neuronal apoptosis. On the other hand, Gas activated the PKA/CREB/BDNF pathway both in vivo and in vitro. Conclusions: Gas blocks microglial activation-mediated inflammation through the PKA/CREB/BDNF pathway, thereby improving neurobehavioral function after TBI, which provides a potential therapeutic benefit for treating TBI.
Role of Advanced MR Imaging in Diagnosis of Neurological Malignancies: Current Status and Future Perspective
Authors: Eraky Akram M , Beck Ryan T. , Treffy Randall W. , Aaronson Daniel M. , Hedayat Hirad
Published: May 2023

Lesions of the central nervous system (CNS) can present with numerous and overlapping radiographical and clinical features that make diagnosis difficult based exclusively on history, physical examination, and traditional imaging modalities. Given that there are significant differences in optimal treatment protocols for these various CNS lesions, rapid and non-invasive diagnosis could lead to improved patient care. Recently, various advanced magnetic resonance imaging (MRI) techniques showed promising methods to differentiate between various tumors and lesions that conventional MRI cannot define by comparing their physiologic characteristics, such as vascularity, permeability, oxygenation, and metabolism. These advanced MRI techniques include dynamic susceptibility contrast MRI (DSC), diffusion-weighted imaging (DWI), dynamic contrast-enhanced (DCE) MRI, Golden-Angle Radial Sparse Parallel imaging (GRASP), Blood oxygen level-dependent functional MRI (BOLD fMRI), and arterial spin labeling (ASL) MRI. In this article, a narrative review is used to discuss the current trends in advanced MRI techniques and potential future applications in identifying difficult-to-distinguish CNS lesions. Advanced MRI techniques were found to be promising non-invasive modalities to differentiate between paraganglioma, schwannoma, and meningioma. They are also considered promising methods to differentiate gliomas from lymphoma, post-radiation changes, pseudoprogression, demyelination, and metastasis. Advanced MRI techniques allow clinicians to take advantage of intrinsic biological differences in CNS lesions to better identify the etiology of these lesions, potentially leading to more effective patient care and a decrease in unnecessary invasive procedures. More clinical studies with larger sample sizes should be encouraged to assess the significance of each advanced MRI technique and the specificity and sensitivity of each radiologic parameter.
Exploring the Lifelong Changes of Interaction between Cingulo-Opercular Network and Other Cognitive Control Related Functional Networks Based on Multiple Connectivity Indices
Authors: Han Bukui , Wei Guodong , Dou Fengyu , Zhang Junhui , Wen Xiaotong
Published: May 2023

Background: The cingulo-opercular network (CON) has been proposed to play a central role in cognitive control. The lifetime change mechanism of its integrity and interaction with other cognitive control-related functional networks (CCRNs) is closely associated with developing cognitive control behaviors but needs further elucidation. Methods: The resting-state functional magnetic resonance imaging data were recorded from 207 subjects, who were divided into three age groups: age 4–20, 21–59, and 60–85 years old. For each group, multiple indices (cross-correlation, total independence, and Granger causality) within CON and between CON and other cognitive control-related functional networks (dorsal attention network, DAN; central executive network, CEN; default mode network, DMN) were calculated and correlated with age to yield maps that delineated the changing pattern of CON-related interaction. Results: We found three main results. (1) The connectivity indices within the CON and between CON and the other three CCRNs showed significant enhancement from childhood to early adulthood (age 4–20 years), (2) mild attenuation within CON from early adulthood to middle age (age 21–59 years), and (3) significant attenuation within CON and between CON and DMN in the elder group (age 60–85 years). Conclusions: The results indicated the prominently increased integrity of within-CON and CON-CCRNs communication, mildly weakened within-CON communication, and significantly attenuated within-CON and CON-DMN communication, characterizing distinct changing patterns of CON-interaction at three different stages that covered a life-long span.
Towards a Distinct Sleep and Behavioural Profile of Fetal Alcohol Spectrum Disorder (FASD): A Comparison between FASD, Autism and Typically Developing Children
Authors: Benson Amy A. , Mughal Rabya , Dimitriou Dagmara , Halstead Elizabeth J.
Published: May 2023

Background: The term Fetal Alcohol Spectrum Disorders (FASD) describes a range of neurodevelopmental conditions, the direct result of prenatal alcohol exposure. FASD encompasses a range of behavioural, cognitive and sleep patterns that are sometimes indiscernible from other neurodevelopmental conditions, one in particular being Autism Spectrum Disorders (ASD). This study aimed to provide a comparison of behavioural, cognitive, affect-related and sleep profiles in children aged between 6 and 15 years with diagnoses of FASD or ASD, in contrast to typically developing (TD) children. Methods: We compared 29 children with FASD, 21 children with ASD and 45 typically developing (TD) children on parental-reported questionnaires measuring behaviour and executive functioning: the Child Behaviour Checklist (CBCL), the Spence Children’s Anxiety Scale (SCAS) and the Behaviour Rating Inventory for Executive Function (BRIEF). Additionally, parents completed the Children’s Sleep Habits Questionnaire (CSHQ), and children wore actigraphy watches while sleeping to objectively capture their sleep habits. The three groups were compared using ANCOVA, controlling for age effects. Results: Children with FASD scored significantly higher than the other two groups on the CBCL subscales of attention problems, somatic complaints, social problems, delinquency, and aggressive behaviour, as well as the panic subscale of the SCAS. Children with FASD also scored higher on all measures of the BRIEF than the ASD and TD groups, indicating greater problems with working memory and more difficulty shifting between tasks, planning, organising, inhibiting their behaviour and exercising emotional control. Nocturnal sleep duration in children with FASD was reported as one hour less than TD children and 46 minutes less than children with ASD per night. Conclusions: The findings in this study highlight several syndrome specific features (shorter sleep duration, executive functioning difficulties, and higher levels of social and behavioural problems and panic) that potentially contribute to the unique phenotype of FASD. Whilst this research highlights the need for further work in this area, initial clinical screening for FASD should take such data on discernible characteristics, particularly the syndrome specificity of the BRIEF, into consideration.
The Place of Transaxillary Access in Transcatheter Aortic Valve Implantation (TAVI) Compared to Alternative Routes—A Systematic Review Article
Authors: Herremans Andries , Stevesyns Dylan Thomas , El Jattari Hicham , Rosseel Michaël , Rosseel Liesbeth
Published: May 2023

Background: Transfemoral transcatheter aortic valve implantation (TAVI) has proven non-inferior or superior against surgical aortic valve replacement (SAVR) for patients at high, intermediate or low surgical risk. However, transfemoral access is not always feasible in patients with severely atherosclerotic or tortuous iliofemoral arteries. For these cases, alternative access techniques have been developed, such as transcarotid, transcaval, direct aortic or transaxillary access. In recent years, growing preference towards the transaxillary access has emerged. To provide a summary of data available on transaxillary TAVI and compare this approach to other alternative access techniques. Methods: A literature search was performed in PubMed by two independent reviewers. Studies reporting the outcome of at least 10 patients who underwent transaxillary TAVI, either in case series or in comparative studies, were included in this review. Articles not reporting outcomes according to the Valve Academic Research Consortium (VARC) 1–3 definitions were excluded. Results: In total 193 records were found of which 18 were withheld for inclusion in this review. This review reports on the combined data of the 1519 patients who underwent transaxillary TAVI. Procedural success was achieved in 1203 (92.2%) of 1305 cases. Life-threatening, major, and minor bleeding occurred respectively in 4.5% (n = 50 in 1112 cases), 12.9% (n = 143 in 1112 cases) and 8.8% (n = 86 in 978 cases). Major and minor vascular complications were reported in respectively 6.6% (n = 83 in 1256 cases) and 10.0% (n = 105 in 1048 cases) of patients. 30-day mortality was 5.2% (n = 76 out of 1457 cases). At one year follow-up, the mortality rate was 1% (n = 184 out of 1082 cases). Similar 30-day and 1-year mortality is observed in studies that compare with transaxillary, transfemoral or other alternative access techniques (p > 0.05). Conclusions: A wide application of transaxillary access as an alternative approach for TAVI has emerged. This technique has an excellent procedural success rate up to 92.0%, with low procedural complication rates. Clinical outcome of transaxillary TAVI is comparable to the other alternative TAVI approaches. However, these conclusions are solely based on observational data.
Acute Left Ventricular Ballooning: Tools to Differentiate Hypertrophic Cardiomyopathy with Outflow Obstruction from Neurohumoral Takotsubo Syndrome
Authors: Singh Arushi , Razzouk Louai , Massera Daniele , Sherrid Mark V.
Published: May 2023

Despite considerable interest in the syndrome of acute left ventricular (LV) ballooning, its pathophysiology has remained ill-defined. In this review, we explore observational data describing two etiologies of acute LV ballooning: neurohumoral classic Takotsubo Syndrome (TTS), and acute severe unrelenting left ventricular outflow tract (LVOT) obstruction in patients with obstructive hypertrophic cardiomyopathy (HCM). We describe the clinical presentation and varying pathophysiology of these presentations, explore how echocardiography and cardiac catheterization may help differentiate between the two etiologies, and detail differences in management. We highlight the significant overlap as well as key differentiating features of these conditions, with the aim to improve diagnostic awareness and accuracy and appropriately tailor therapy.
Beyond Words: Uncovering the Untold Stories of Multilingual Students' Lived Experiences in Online Distance Learning
Authors: Guache Melvin T , Manaig Karen A , Tesoro John Federick , Yazon Albert D , Sapin Sherwin B
Published: May 2023

This study aimed to examine the lived experiences of multilingual students in online distance learning during the height of the COVID-19 pandemic. The study utilized the qualitative research design - transcendental phenomenology and employed purposive sampling. The study participants were ten (10) multilingual students among Senior High School Students. A researcher-made questionnaire was reviewed by research experts and was used in individual interviews with the participants. The collected data through interviews underwent thematic analyses and triangulation. Based on the findings, the model was developed through thematic analyses, the Basic Instructional Strategies Aiming to Address the Problems of Multilingual Students in Online Distance Learning MODEL (in the Filipino language: Batayang Instruksiyong estratehiya na Naglalayong Tugunan at Alamin (BINTA) ang mga suliranin ng mga multilinggwal na mag-aaral sa online distance learning) was developed. The BINTA Model represents the lived experiences of multilingual students in online distance learning in terms of the themes that emerged: lack of interaction and communication, difficulty in understanding technical terms, consistency of internet connection, and effective communication. This implies that the model can help improve these students' educational outcomes and experiences by providing appropriate instructional strategies tailored to the needs of multilingual students. Educators can help mitigate these students' challenges and difficulties in an online distance learning environment. Through this, educators can help ensure that multilingual students can engage with the material, participate fully in online discussions and activities, and ultimately achieve their learning goals.
Promising Practices for a Better Tomorrow: A Qualitative Study of Successful Practices in Senior High School Education
Authors: Kilag Osias Kit T , Evangelista Trinidad P , Sasan John Michael , Librea Almari M , Zamora Rechelle Mary C , Ymas Shannel B , Alestre Nove Anne P
Published: May 2023

This qualitative research study aimed to explore and understand successful approaches used in senior high school education. The study included 12 participants, consisting of 6 teachers and 6 students, who were selected based on their experiences and perspectives related to successful approaches in senior high school education. The study utilized semi-structured interviews for data collection and qualitative content analysis for data analysis. The research revealed four main themes: Collaborative Teaching and Learning, Holistic Support for Students, Innovative Teaching and Learning Approaches, and Emphasis on Student Assessment and Evaluation. These findings provide insights into the experiences and perspectives of teachers and students regarding successful approaches in senior high school education. The study underscores the importance of collaborative teaching and learning, providing holistic support for students, incorporating innovative teaching and learning approaches, and emphasizing student assessment and evaluation to achieve success in senior high school education. These findings have implications for policy and practice in senior high school education and contribute to the ongoing discussion on providing quality education for all students. This study highlights the need for continuous efforts to improve senior high school education and emphasizes the importance of considering the perspectives and experiences of teachers and students in these efforts.
AI for Financial Inclusion: Bridging the Gap in Developing Economies
Authors: hasil seiimil
Published: May 2023

AI for Financial Inclusion: Bridging the Gap in DevelopingEconomies
Ensuring Ethical Data Collection and Use in AI-Driven Development Programs
Authors: sidoo feureu
Published: May 2023

Ensuring Ethical Data Collection and Use in AI-DrivenDevelopment Programs
Effective Leadership in Decision Making and Mediation in the Relationship Between Educators and Parents: A Case Study of Primary Schools in Western Macedonia, Greece
Authors: Marina Charisopoulou
Published: May 2023

The quality of leadership exercised within the educational unit is paramount to developing an effective school and enhancing student achievement. The purpose of this paper is to investigate effective leadership in decision-making and mediation in the relationship between teachers and parents in a specific region in Greece. The method of quantitative research with sampling was chosen. The research instrument used was a specially designed questionnaire whose questions were based on other research with similar thematic content. Data entry, processing and analysis were performed using the statistical program IBMStatisticsSPSSversion 21. As for its results, there are two important characteristics that a principal must possess for the effectiveness of his/her interventions in the role of mediator. These characteristics included the participation of parents and teachers in problem solving and the individual briefing and action of the director in order to effectively mediate in the restoration of relationships. What emerged from the factor analysis conducted to highlight the main characteristics that a principal should have in the role of mediator was cooperation, organization, the use of body language, practical applications, character potential, ethics, training and information. Among others, the paper concluded that the principals who take on the role of mediator perceive that their role has a positive response and is efficient for both parents and teachers. On the contrary, deputy principals and teachers who are receivers of the role and not actors, perceive that the response is not positive and the role of the principal does not promote efficiency.
RESENSI BUKU PETUNJUK APLIKASI BIOMARKER SEDERHAN_JANNATUL ALIYAH_1086
Authors: aliyah Jannatul
Published: May 2023

Buku "Petunjuk Praktis Aplikasi Biomarker Sederhana: Kerang Hijau dan Biomarker" adalah sumber yang berharga bagi para peneliti dan praktisi yang tertarik dengan penggunaan biomarker baik dalam penilaian kondisi organisme dan lingkungan. Buku ini membahas secara komprehensif topik-topik terkait kerang hijau sebagai organisme penanda dan metode aplikasi biomarker.
Leveraging Artificial Intelligence for Economic Development in Developing Countries
Authors: welnuim jeinuis
Published: May 2023

AI-Driven Policy Interventions for Economic Development: Lessonsfrom Emerging Economies
Vietnam: il discorso del nuovo presidente Nguyễn Xuân Phúc
Authors: Chinappi Giulio
Published: May 2023

Primo ministro del paese dal 2016, Nguyễn Xuân Phúc è il nuovo presidente della Repubblica Socialista del Vietnam. (La Città Futura, 9/4/2021)
MATHEMATICAL METHODS FOR PROPAGATION ANALYSIS IN THE COMMUNICATIONS TRAJECTORY
Authors: kABEY DELPHIN
Published: May 2023

A study about communications using a mathematical method was carried out. The aim of the present paper was to find out the best way to solve the problems of propagation in the trajectory in communications, applying the (FDTD) technique in microfita circuits. These circuits were analyzed in the time domain through their impulse responses, as well as the frequency at which the scattering parameters were presented. This analysis was performed using the WP-PML technique of contour condition that allowed evaluating the losses in the circuits showing their effects. This context showed the applicability of the FDTD technique in microfita circuits under different conditions, including the possibility of a boost response obtained with less use of mathematical manipulations between domains as a visualization technique. Through the proposed method, a service quality prediction study was performed; the limit values of these parameters depend on the service being used and were available in the (ITU) recommendation.These methods were intended to help seek and select from the most appropriate alternatives to the case in question considering the various aspects involved in a precise and clear way with regard to the decision, increasing the applicability of the FDTD for the actual problems.The objective of the methodology projected was to obtain the desired quality of service through a mathematical method which allows reducing the values of those parameters. In this way, it was possible to discover that the quality of services depends on the service that is intended to have.
Enhancing Access to Financial Services in Developing Economies with AI
Authors: akhlotm neipym
Published: May 2023

Enhancing Access to Financial Services in DevelopingEconomies with AI
Remembering And Reminding The Significance, Meaning, And Provisions Of The Lausanne Peace Treaty In Its Centenary
Authors: Tulun Teoman Ertuğrul
Published: May 2023

Celebrating the centennial of the Lausanne Peace Treaty, signed on July 24, 1923, this article highlights its significance in laying the groundwork for the Republic of Turkey. The Treaty, a turning point in Turkish history, showcased the power of the Nationalist Movement led by Mustafa Kemal to establish an independent and sovereign Turkish state from a fragmented empire. The concepts of sovereignty and independence, foundational principles of the Republic, emerged from this struggle, emphasizing their importance in the Turkish War of Independence. In contrast to other treaties ending World War I, the Lausanne Peace Treaty remains valid and durable, regarded as the "birth certificate" of the Republic of Turkey. Despite criticism from some groups, Turkish people overwhelmingly support the Treaty. Recent questioning of the Treaty's aspects by academic platforms outside of Turkey serves as an opportunity to bring this historical document to the world's attention. The centennial celebrations will underscore the importance of independence and sovereignty in Turkey's history, and any attempts to amend the Treaty are likely to be met with strong opposition from Turkish public opinion.
Passive Ranging Techniques for Target Localization Using Multi-spectral LWIR Measurements
Authors: Sharif Zahid
Published: May 2023

Passive Ranging Techniques for Target Localization Using Multi-spectral LWIR Measurements
DiGRA 2023 Extended Abstract: Beneath the label: Assessing video games’ compliance with ESRB and PEGI loot box warning label industry self-regulation
Authors: Xiao Leon Y.
Published: May 2023

This extended abstract considers the ‘margins’ between video games and gambling embodied by so-called ‘loot boxes’ and the regulation thereof. Players spend real-world money on this form of in-game monetisation to obtain randomised rewards (Nielsen and Grabarczyk 2019). Concerns have been raised about loot boxes’ similarities with gambling and the risks that consumers might overspend money and experience harm (Zendle and Cairns 2018; Garea et al. 2021; Spicer et al. 2021). Children and other vulnerable consumers (e.g., people experiencing problem gambling issues) might be at particular risk of harm. Many countries are considering imposing legal regulation and a few countries have already taken regulatory actions. However, in most countries at present, paid loot boxes are specifically regulated only through industry self-regulation (Xiao et al. 2022). Previous research has repeatedly considered probability disclosures informing players of their odds of winning specific items (e.g., Xiao, Henderson, and Newall 2021), but another measure, text-based warning labels attached to age ratings, has received little research attention.
DiGRA 2022 Extended Abstract: What are the odds? Lower compliance with Western loot box probability disclosure industry self- regulation than Chinese legal regulation
Authors: Xiao Leon Y. , Henderson Laura L. , Newall Philip Warren Stirling
Published: May 2023

Paid loot boxes are video game monetisation methods that provide randomised rewards of varying value. Loot boxes are prevalent internationally: approximately 60% of the highest-grossing mobile games in ‘Western’ countries contain loot boxes (Zendle et al., 2020a), as do approximately 90% in the People’s Republic of China (PRC) (Xiao et al., 2021).1 Loot boxes represent an important revenue stream for the industry: the sale of loot boxes in one single game can generate more than US$528,000 per day from just one country alone (Zendle et al., 2020b). Global loot box spending was estimated to have been US$15 billion in 2020, and is estimated to rise and exceed US$20 billion by 2025 (Juniper Research et al., 2021).
实体的物理实验：发展物理学理论的根本性途径（以电磁学为例）
Authors: YANG Zheng-Ling
Published: May 2023

包括物理学在内的自然科学，归根到底是实验科学。相应的理论，是对实验事实的抽象提炼、归纳和数学化。以物理学里的麦克斯韦经典电磁理论为例，它所依据的那些百年之前的经典物理实验是否足够准确？对这些经典实验现象的数学提炼是否是最好的方程形式？这些都是应该在当前高精度、高稳定性条件下采用实体物理实验进行再检验的重大基础问题。
Closing the Digital Divide: How AI Can Foster Inclusive Development
Authors: welnuim jeinuis
Published: May 2023

Closing the Digital Divide: How AI Can Foster InclusiveDevelopment
Developing the future visions for seamless multi-hazard warning for volcanic eruptions
Authors: Tupper Andrew , Leonard Graham
Published: May 2023

Much work has been done to build arrangements between volcanology and meteorology to handle the aviation risks from volcanic ash. This workshop will discuss how to approach collaborative arrangements for other volcanic hazards to the public, particularly where a multi-disciplinary approach is required. These hazards include tsunamis, ashfall, rainfall-induced dome collapses, lahars, pumice, glacial floods, and gas. They threaten a range of sectors including marine users, land transport users, agriculture, and residential communities. Approaching these hazards in an integrated fashion with the hydrometeorological community will help provide consistent and coherent warnings, create a focus on the capacity development required, and ultimately build a safer world consistent with the Sendai Framework and the recent UN call to provide universal coverage for early warning systems.The workshop featured a range of multi-disciplinary presentations on this theme, and discuss and draft a vision for future seamless multi-hazard warnings for volcanic eruptions and for secondary hazards.
The reactivation of task rules triggers the reactivation of task-relevant items
Authors: Şentürk Yağmur Damla , Ünver Nursima , Demircan Can , Egner Tobias , Gunseli Eren
Published: May 2023

Working memory (WM) describes the temporary storage of task-relevant items and procedural rules to guide action. In spite of its central importance for goal-directed behavior, the interplay between WM and long-term memory (LTM) remains poorly understood. Recent studies have shown that repeated use of the same task-relevant item in WM results in a hand-off of the storage of that item to LTM, and switching to a new item reactivates WM. To further elucidate the rules governing WM-LTM interactions, we here planned to probe whether a change in task rules, independent of a switch in task-relevant items, would also lead to WM reactivation of maintained items. To this end, we used scalp-recorded electroencephalogram (EEG) data, specifically the contralateral delay activity (CDA), to track WM item storage while manipulating repetitions and changes in task rules and task-relevant items across trials in a visual WM task. We tested two rival hypotheses: If changes in task rules result in a reactivation of the target item representation, then the CDA should increase when a task change is cued even when the same target has been repeated across trials. However, if the reactivation of a task-relevant item only depends on the mnemonic availability of the item itself instead of the task it is used for, then only the changes in task-relevant items should reactivate the representations. Accordingly, the CDA amplitude should decrease for repeated task-relevant items independently of a task change. We found a larger CDA on task-switch compared to task-repeat trials, suggesting that reactivation of task rules triggers the reactivation of task-relevant items in WM. By demonstrating that WM reactivation of LTM is interdependent for task rules and task-relevant items, this study informs our understanding of visual WM and its interplay with LTM.