bluuebunny/crossref_metadata_2025 huggingface dataset:
Analysis of the linearity of the story on the creation of the game "Elephant Rescue.”
Authors: Joko Priono R.M , Winarso Sigit , Filianto Wilhelmus
Published: May 2024

Media is an intermediary that can be used to convey information or messages in learning to achieve learning outcomes. Many types of media are used in the learning process. One of the media used in learning is games as educational media, called educational games. Educational games are games that are formed to hone thinking power, including increasing concentration and solving a problem. Educational stories based on local wisdom also serve to strengthen character education so that they can be well received without reducing the playing experience gained by players. Through the results of game testing, 40% of respondents strongly agreed that the understanding of conserving animals, especially elephants in Way Kambas Lampung National Park, was sought to be raised through the Elephant in Rescue Game, and 24% agreed that the understanding of conserving animals, especially elephants in Way Kambas Lampung National Park, was sought to be raised through the Elephant in Rescue Game. 60% of respondents agreed with the educational element presented in the game Elephant in Rescue, and 56% of respondents agreed that the application of the story in this game was appropriate. Based on the results of testing on respondents, it can be concluded that the application of stories and education about the importance of preserving animals, especially elephants in Way Kambas National Park, Lampung, can be conveyed well in accordance with what has been designed before.
interdisciplinary profile of theology—fashion or necessity?
Authors: Anderwald Andrzej
Published: May 2024

This review pertains to the book Evolutionary Theology (Teologia ewolucyjna) written by Wojciech P. Grygiel and Damian Wąsek. The book presents a distinct and modern viewpoint on theology by offering a comprehensive analysis of the characteristics of theological language and utilizing it to reevaluate certain theological beliefs, such as the concept of original sin, within the framework of the ever-changing understanding of the Universe. This approach contributes significantly to the restoration of theology’s credibility in modern culture by bridging the gap between science and theology.
Empoderamiento de la salud: Estrategias para adoptar comportamientos saludables en una mujer adulta joven con insuficiencia cardiaca de súbito desarrollo
Authors: González-Flores Alberto Francisco , Gutiérrez-Valverde Juana Mercedes
Published: May 2024

La insuficiencia cardiaca es un síndrome que aqueja a personas de edad avanzada que experimentan un deterioro significativo del funcionamiento físico ya que, deben manejar regímenes médicos que implican la modificación y adopción de conductas saludables en la vida y esto puede ser dificultado por diversos factores sociodemográficos que limitan a las personas a seguir las recomendaciones de cuidado en casa.
Se presenta el caso de una paciente en la cuarta década de la vida con antecedentes médicos de síndrome antifosfolípido, con un post-operatorio mediato de cambio valvular mitral. La paciente, tras días de asistencia con oxigenación por membrana extracorpórea y estabilizarla, egresa de la unidad de cuidados críticos para continuar con su recuperación, rehabilitación, y enseñanza en la adopción de nuevas conductas de salud necesarias para mantener su estado físico en el hogar. Se realiza la valoración de la persona a través de las 14 necesidades del modelo de Virginia Henderson identificando las más alteradas para la enseñanza y aprendizaje que dan pie a la elaboración de los diagnósticos de enfermería; para la planificación se consideran las limitaciones por fuerza en la persona, y se establece la ejecución de las intervenciones bajo estas premisas, obteniendo una evaluación satisfactoria. Para los resultados se hace uso de las taxonomías de Clasificación de los Resultados de Enfermería y, de la Clasificación de Intervenciones de Enfermería.
El objetivo de este artículo es exponer la ejecución de un plan de cuidados con intervenciones de seguimiento integral a una paciente joven con insuficiencia cardiaca aguda.

Palabras clave: insuficiencia cardiaca, conductas de salud, oxigenación por membrana extracorpórea, alimentación saludable, actividad física, autocuidado.
Sustitución de válvula mitral por cirugía cardiaca robótica
Authors: Prats Barrera Judith , Santos López Patricia , Querol Vallés Elena , Arenas Casado Soraya
Published: May 2024

Introducción. La cirugía cardiaca ha evolucionado hacia procedimientos cada vez menos invasivos hasta llegar a la cirugía cardiaca robótica; iniciada en nuestro centro en noviembre de 2019. Este tipo de cirugía, entre otros beneficios, favorece una recuperación temprana (especialmente si se asocia a programas de recuperación incentivada) permitiendo una disminución de la estancia hospitalaria, reducción de costes y mejora de la experiencia vivida de pacientes y familiares.
Observación clínica. Presentamos el caso de una mujer de 60 años intervenida de sustitución de válvula mitral mediante cirugía cardiaca robótica. Las valoraciones enfermeras se realizaron siguiendo los patrones funcionales de Marjory Gordon y la taxonomía NANDA-NOC-NIC.
En su primera valoración en la unidad de cuidados intermedios mostró alteraciones en los patrones 2 al 7, siendo dolor agudo, patrón respiratorio ineficaz e insomnio los diagnósticos enfermeros más relevantes. Presentó como problemas de colaboración hipovolemia e infección y como complicación más relevante un hematoma extrapleural medioapical derecho.
En la unidad de hospitalización, una segunda valoración muestra alterados los patrones 2 al 6 con náuseas, ansiedad y estreñimiento como diagnósticos destacados; como problema de colaboración presenta arritmia.
Discusión. La cirugía cardiaca robótica disminuye las complicaciones postoperatorias y la estancia hospitalaria. Sin embargo, no está exenta de complicaciones. Es necesario que los profesionales conozcan la técnica quirúrgica y los problemas que de ella pueden derivarse.
Es importante involucrar a pacientes y familiares antes del procedimiento, asegurándose que conocen las características del procedimiento y los tiempos de recuperación para poder favorecer una experiencia vivida satisfactoria.
Palabras clave: procedimientos quirúrgicos cardiovasculares, toracoscopia, enfermería cardiovascular, recuperación mejorada después de la cirugía, procedimientos quirúrgicos robotizados, enfermería de cuidados críticos.
Emptying Innovation - one metric at a time
Authors: Tzovaras Bastian Greshake
Published: May 2024

tl;dr

: metrics-obsessed capitalism is the reason why we can’t have nice things – and watch @tante’s talk

Back in Paris, I was semi-joking with friends about how the rate of technological innovations seem to have slowed down or come to a halt. The last “big” innovation that we could think about were smartphones, as carrying the internet permanently in our pockets was quite a change.
Peningkatan Pengetahuan Masyarakat Mengenai Pentingnya Kesehatan Dalam Pemenuhan Gizi Keluarga di Desa Jetis, Bondowoso
Authors: Rusdi Nabila Maulida , Aulia Isthifa Annisa , Wahyu Dahlia Tiara Trisnaning , Harun Anindita Firma Aulia , Nabila Nailun , Hasanah Nur , Hidayah Nurul , Puspito Agung Nugroho , Ubaidillah Mohammad , Isnainun Ainaya , Sofwah Ayaa , Arniyanti Muslimah
Published: May 2024

Nutritional status is a determinant of the health of an individual or group as well as the wider community. In Indonesia, the problem of nutrition is still very high. This occurs due to a lack of interest in exploring information about healthy living and balanced nutrition, so meeting daily nutritional needs is not optimal. With this problem, we conducted community service using the counseling method for housewives, which is one of the efforts we can make to provide insight into the importance of healthy living and family nutrition in a good and correct way. The counseling was conducted for 5 days by carrying 5 materials in this counseling, namely toga plants, contents of my plate, 10 guidelines for balanced nutrition, stunting, and sanitation. Then, on the last day, we also evaluated by reviewing the material to find out whether the housewives in Jetis understood the material that had been delivered. From this counseling, we concluded that 85% of housewives in Jetis Village understand what we conveyed, and we hope they can apply it in their daily lives.
Sosialisasi Gizi Guna Meningkatkan Pengetahuan dan Kesadaran Siswa Sekolah Dasar Wonosuko 2 Mengenai Pola Hidup Bersih dan Sehat
Authors: Wardhono Adhitya , Qori’ah Ciplis Gema , Puspito Agung Nugroho , Ubaidillah Mohammad , Avivi Sholeh , Anggira Desi , Imelda Laela Vita , Intansari Herlindha Angghelinna Devfi , Hartita Margaretha Putri , Aurelya Lalyta , Cahyani Ardhya Pramisti Regita , Nasir M Abd
Published: May 2024

Primary schools have an important role in development, therefore the health of primary school children needs to be maintained properly. Based on data from 2000 the prevalence of stomach worms in elementary school children is 60-80% in 250,000 public and private schools and every year 100,000 Indonesian children die from diarrhea (Dep.Kes.RI, 2007). This activity method is in the form of lectures and technical assistance to increase the knowledge and awareness of elementary school students precisely at SD Negeri Wonosuko 2 located in Wonosuko Village, Wonosuko District, Bondowoso Regency. The material provided regarding healthy living behavior by applying Balanced Nutrition guidelines includes The results obtained in the "Friends of the 4 Pillars of Nutrition" activity of SD Wonosuko 2 students can understand PHBS, some aspects there are difficulties in providing learning to students with special needs at SD Negeri Wonosuko 2. With this social project, students can already apply a healthy lifestyle or also known as a healthy lifestyle in their daily lives.
Perancangan Sistem Informasi Posyandu Berbasis Website pada Posyandu Edelweis Babelan Desa Bahagia Kabupaten Bekasi
Authors: Bimantoro Dava Sevtiandra , Raihan Farid , Siahaan Bangun , Nurmaylina Vivi , Sarimole Frencis Matheos
Published: May 2024

The use of digital technology, primarily through the use of the Posyandu website, has positively impacted the efficiency and effectiveness of recording and reporting Posyandu activities. This article explores digitalization's role in optimizing community health services at the Posyandu level. The author used the data collection method: direct observation of the Edelweis Posyandu activities. The results show that implementing the Posyandu website has simplified the process of recording and reporting activities, reduced the workload for cadres, and increased data accessibility for health workers. Apart from that, digitalization also helps increase cadres' digital literacy, enabling them to use technology more effectively in their tasks. In conclusion, the digitization of Posyandu has excellent potential to strengthen its role as a provider of integrated and efficient public health services.
Pendampingan Pengembangan Bahan Ajar berbasis Artificial Intelligence
Authors: Ahmad Arimuliani , Khulaifiyah  , Rugaiyah
Published: May 2024

The need for innovation in the development of teaching materials is increasingly urgent with the advancement of information and communication technologies. In an effort to improve the quality of learning, an approach based on artificial intelligence has become a highlight in modern education. This article deals with a community service project that aims to provide support in the development of AI-based teaching materials to educators. This includes training in the use of AI, the integration of technology into the learning process, and the creation of content that matches the curriculum needs. With the help of this accompaniment, educators can harness the potential of AI to improve learning effectiveness and provide a more interesting and relevant learning experience for students. The results of this accompaniment showed that the partners were satisfied with the accompanying. It's also supported ole interaction during very conducive activities. It is expected to make a positive contribution to improving the quality of education at school and college level.
MARFISH and HYDRO : Pengembangan Program Kreativitas Mahasiswa Kewirausahaan
Authors: Fuadi  , Falahuddin  , Arlianyah  , Hasan Nazli , Fauzan Asrul , Mufid Muhammad Nuzul , Hermawan Riski
Published: May 2024

This research proposes innovation in farming and animal husbandry by integrating hydroponic systems and catfish cultivation on limited land. With a focus on the North Aceh Utara, research created MARFISH AND HYDRO, a catfish farm using tarpaulin media in a hydroponic system. This research aims to produce satisfactory results, protect the environment from pollution, and provide multiple benefits on limited land. Through market survey steps, feasibility studies, production processes, and marketing, this research creates sustainable methods in fish cultivation and hydroponic farming. With competitive prices and promotions through social media and banner installation, MARFISH AND HYDRO is expected to be able to meet market demand and make a positive contribution to the local economy. This research also explores the potential for business development, including the production of processed catfish, such as catfish chips and catfish pecel. The research results show success in carrying out the cultivation process, marketing, and the potential for business expansion to achieve long-term goals.
Różne oblicza interwencjonizmu w rolnictwie na drodze do zrównoważonego rozwoju. Studium teoretyczno-empiryczne
Authors:   Uniwersytet Zielonogórski, Kułyk Piotr
Published: May 2024

W książce podjęto problem zróżnicowania występującego w interwencjonizmie w rolnictwie i jego wielopłaszczyznowych uwarunkowań. Stosowanie w różnych form interwencjonizmu, zarówno w krajach rozwiniętych, jak i rozwijających się, skłania do określenia jego ścieżek i skutków w poszczególnych krajach i grupach państw. Wyzwaniem nie jest sama kwestia stosowania interwencjonizmu państwowego w rolnictwie, ale odpowiedź na pytanie: jaka powinna być skala i w jakich warunkach działania te mogą być wykorzystywane?
Pilot Project for Observing Efficacy of a Selected Treatment Module in Vaatkantak with Special Reference to Agnikarma
Authors: Joshi Sudhir
Published: May 2024

Vaatkantak vis a vis Calcaneal spur/plantar fasciitis is a common problem affecting the quality of life of people. A specific treatment plan was adopted for its treatment in the present study and the results were evaluated. Agnikarma, external application of lepa guti and internal usage of guggulu and kupilu were selected for pacification of Vaat dosha. Marked improvement was seen in all patients.
Material engagement shaping participation of children on the autism spectrum: Embodiment and subjectivity in small-group learning
Authors: Ferreira Juliene Madureira , Muniz Luciana Soares
Published: May 2024

This study investigated the material engagement and their affordances for participation of children on the autism spectrum (AS) in small-group learning. Framed by a methodology called Idea Diary that fosters social interactions in classroom environments, our focus was on understanding how and when the construction and manipulation of the diary supported children’s participation and knowledge construction in small groups. This investigation was guided by the intersection of the theory of subjectivity developed by Fernando González Rey and enactive accounts of cognition. This framework provided the view of the singularity in the communicative process of children on the AS and the necessary support for examining the mechanisms of engagement that led to children’s participation. We present two case studies of 9–10-year-old boys. Data consists of the diaries produced and used by children and video recordings of children’s interactions during small-group discussions. Our analytical approach included a qualitative semiotic analysis of the materials and a micro-analysis of the social interactions. The results showed, first, that children on the AS continuously engaged in the construction of the diary, expressing elements of their subjectivity—experiences, ideas and the system through which they interact with the world. Repetition framed children’s productions and signalled engagement. Second, material engagement enabled participatory sense-making, which in this study appeared in creating new communicative resources between the child on the AS and their peers and in adapting the narratives, approximating children’s perspectives in conversations. Although contextualised within a specific pedagogical practice, the study contributes to advancing our understanding of the role of material engagement in social participation in learning situations involving children on the AS, particularly relevant in educational psychology and education.
Development of techno-economic model for rooftop of solar PV in the LINE city of Saudi Arabia
Authors: Khan Salah Ud Din , Almuzaiqer Redhwan , Almutairi Zeyad
Published: May 2024

A modernized and smart futuristic city of Kingdom of Saudi Arabia named as ï¿½the LINEï¿½ city will be constructed in the epic mountains of Tabuk region on the land called NEOM stretching to Red Sea. The city will be mirrored architectural masterpiece with an area of 500 x 200 m2 and will operate entirely on renewable energy majorly solar energy. The planned rooftop of the LINE city will be covered with solar PV panels. Therefore, in this research, a complete investigation of solar PV installation on the roof top was conducted by selecting three main regions of LINE city. Because, the weather conditions are the main dominant factors on efficacy of the solar energy. The research starts with most up-to-date report on LINE city with all associated literature studies and the futuristic vision of KSA(Vision 2030). In the next phase, rooftop of LINE city has been designed to cover with all solar PV panels. The observation was determined by considering the both ends and a middle area of the city. Both theoretical and computational analysis were performed in terms of performance ratio, conversion efficiency, leveled cost of electricity and energy production. The comparative analysis of each case with other case studies were performed to finalized the most optimized solar PV installation region in the LINE city. Analysis of all components of solar PV systems, including arrays, inverters, connections, and storage, to determine the optimal system for meeting demand and assuring sustainability.The research helps to demonstrate the viability of Solar PV installation on specific location of the city. The main objective of the research is to identify the location point where the rooftop panels have the maximum energy production which helps to make the installation and other necessities on this particular location.
Addressing and Resolving Biases in Artificial Intelligence
Authors: Choudhari Akshat , Choudhari Niren
Published: May 2024

This paper hopes to determine what are the best strategies through which programmers can reduce bias in artificial intelligence (AI). Alongside this goal, the paper covers fairly introductory content and can be helpful for beginners to start their journey in AI and utilize its powers. To determine the best strategies to mitigate bias, we looked at diverse datasets, hyperparameter optimization, in-processing techniques, and post processing techniques which are all used in the industry. The results that we got were particularly favoring diverse datasets and hyperparameter optimization which means that adjusting weights and the initial data of a model have the biggest impact on accuracy rather than adjusting the final outputs. The best overall strategy was keeping a diverse dataset and allowing the algorithm to independently set its weights based on the best model possible. These factors show that the setup for your model is just as important if not more than actually being fed an output and adjusting the answer through a series of processes like in-processing or post-processing.
The Problem of Citizenship and the Question of Social Rights for Muslims in France
Authors: Al-Thani Noof
Published: May 2024

This study presents a definition of the problem of Muslim integration in the French public sphere, including the policy of discrimination between Muslim and non-Muslim citizens. It discusses a series of racist practices that have led to the suppression of the religious and social rights of Muslims in France. The study poses a general question: What is the situation of Muslims in France, and what is the nature of their citizenship in French? This question addressed in four sections covers: firstly, citizenship in the French manner; secondly, the dilemma of citizenship for Muslims in France; thirdly, the social status of the Muslim community in France; and finally, the arguments of the far-right against the social participation of Muslims. Using a descriptive approach, the study concludes that the citizenship of Muslims in France faces a real dilemma despite the widespread media propaganda about the fairness of French official policy towards the rights and social roles of Muslims.
Ibn Taymiyya and Divinities: A Critical Study of the Concepts of Affirmation, Anthropomorphism and Sense Organs
Authors: Alkhattaf Hasan
Published: May 2024

One of the distinctive features of Ibn Taymiyyah's approach to theology is his understanding of ambiguous texts involving anthropomorphic expressions, such as Al-yad "hand" and Al-Istiwaau "ascension." Hence arises the problematic aspect of the study, represented by the principal question: What are the characteristics that distinguish Ibn Taymiyyah's understanding of divine attributes from others, earning him such renown? The reason for this choice is to answer the previous question and its ramifications. The significance of the study lies in uncovering the foundations of Ibn Taymiyyah's understanding of attributes, and whether this understanding aligns with the issue of divine transcendence from resembling created beings. To achieve this, several methodologies were pursued, notably: the inductive approach, the descriptive approach, and the critical approach. The aim of the study is to reveal this understanding, which differs from others. The study concludes that his understanding of attributes is based on three pillars: affirmation, anthropomorphism, and sense organs. The intended meaning of affirmation is to negate all metaphorical meanings accepted by the text. The intended meaning of literal interpretation is that the hand and the face are entities in themselves, necessitating corporeality. Although he does not expressly affirm corporeality, he never categorically denies it. The study recommends examining the aspects of the methodology adopted by Ibn Taymiyyah in his understanding of attributive reports, in which he diverged from others.
A Reading in History of the Jews and its Impact on Religious Thought
Authors: Tarteer Khalid , Al-khateeb Moh’d
Published: May 2024

The aim of this research is to elucidate the history of the genesis of Judaism and the impact of this history on its followers. The problem of research was represented in the following questions: What is Judaism, how did it originate, and who are its followers? What are the most significant historical events that have affected the formation of Jewish identity? What is the impact of history in forming Jewish religious thought? Through the researcher's adoption of the historical method and the analytical deductive method in his research, it appears that: Judaism is the oldest religion that its followers – according to their claim – belong to Abraham, which is still alive to this day, with millions of followers worldwide, primarily located in occupied Palestine, America, and parts of Europe.
      Jews have several names: Hebrews, Israelites, and the people of Moses, and they claim descent from Jacob and his twelve sons. They also claim lineage from Abraham, from whom they are distinct. The history of the Jews, through which they have passed many stages, was the main factor in forming Jewish religious thought. Judaism is based more on nationality and history than on doctrines, which have seen many changes over the ages. The writing of the Torah did not take place in the time of Moses, but after several centuries, in the time of Ezra and the priests after returning from Babylonian captivity. Zionist movements were built on the idea of the national union of Jews in Palestine after they faced significant persecution in Europe, as they claim. A Protestant Christian trend supporting the Jews emerged, asserting their right to return and occupy Palestine. This Jewish-Protestant alliance continues to exist.
The Totemism Hypothesis in the Origin of Religion: A Critical Study in the Light of the Islamic Faith
Authors: Alhussien Hala , Al-khateeb Moh’d
Published: May 2024

This study discussed the totemic hypothesis in the origin of religion using a descriptive critical approach. It included an analysis of the fundamental concepts it used, the methodology followed, and its most notable results, presenting a methodological scientific critique of them. The study revealed that Durkheim's hypothesis is based on the concept of religion in its social dimension, which is based on the existence of the sacred in society, and on the concepts of collective conscience and social phenomena. He relied on his studies about ethnographic information related to certain Australian tribes dominated by a totemic social system. After analyzing that system, he concluded that totemism is the first form on which religion was established and that religion is a social phenomenon, i.e., created by society. In the context of discussing and evaluating the hypothesis, the study showed numerous methodological errors, the most important of which are: not accurately defining the concept of religion and relying on relative ethnographic observations, accurate or not, then generalizing the results without scientific evidence. In addition, the results obtained by the totemic hypothesis, the most important of which is that religion is of human origin, are rejected in the Islamic perception. This is due to it colliding with the grand faith facts in the Islamic belief, and that religion is of divine origin.
Returning the Defect in Islamic Jurisprudence and Jordanian Civil Law: A Comparative Study
Authors: Al-qaraleh Ahmad , Dwairi Orwah , Al-qaraleh Ashar
Published: May 2024

This study aims to clarify the rule regarding the decrease in value due to the fault in the price of the sale, the instances in which it is permissible to review, and when it is not. The study also discusses the conditions for reviewing when the contract cancellation is impossible, the extent to which the defective party can return, and how to calculate it. In addition, it compares the Jordanian civil law with other Arab laws influenced by it and following its path. The study relied on two methodologies: the deductive method and comparative method, reaching several results and some recommendations. The most important findings are that Jordanian law has several contradictions when regulating the rules of defect options. Accordingly, the study recommends the Jordanian legislator to resolve the contradiction between Article (198) and Paragraph 1 of Article (513) either by removing one of the two articles, with Article (198) being the most likely to be removed, or by limiting Article (198) by adding the phrase "in case of impossibility" of cancellation, to become: "In case of impossibility of canceling the contract due to a defect, the contract holder may retain the contracted item and return the decrease value". The Jordanian legislator is urged to remove the contradiction between Article (197) and Article (515) by doing away with Article (515) and relying solely on Article (197).
Evidence of Giving Priority to the Hadith Associated with Mentioning the Reason over Other Hadiths: An Empirical Study
Authors: Abdel-Hamid Moh’d , Rababah Bassma
Published: May 2024

The study thoroughly examined the presumption of giving precedence to hadiths that mention their reasons over other hadiths. The primary objective of the study was to elucidate the underlying concepts, jurisprudential rulings, and practical applications pertinent to the topic. To fulfill the study's aims, the researchers utilized a combination of inductive and deductive methodologies to explore the assumptions underlying the prioritization process and to analyze the relevant texts. The study was geared toward achieving a comprehensive understanding of the results within the context of the examined topic. The study yielded several findings, one of which is that the presumption of prioritizing hadiths that cite a reason over those that do not is categorized within the domain of generality and specificity. Nevertheless, the principle is broad and is applicable to all individuals encompassed by the rationale stated within the rule. Numerous jurisprudential applications and rulings are derived from this principle, which are founded on hadiths that are tied to specific reasons.
Designing and Analyzing Properties of Socio-Culture and Perception from Livestock Farmers: An Evidence in Utilizing Oil Palm Plantation Land-Use of West Papua
Authors: Iyai Deny Anjelus , Ako Ambo , Runtuboi Yubelince Yustenci , Sirajuddin Sitti Nurani , Dimara Petrus Abraham , Nohong Budiman , Auri Amilda , Panambe Novita , Pakage Stepanus , Benu Nithanel M. H.
Published: May 2024

This study aims to examine the socio-cultural productivity and perceptions of farmers in the utilization of free-rearing land in the oil palm plantation area in Manokwari. The research was conducted using survey methods and structured interviews with breeders who indulge livestock on oil palm plantations and other grazing lands. The results of the study show that socio-cultural productivity in the utilization of free-rearing land in the oil palm plantation area in Manokwari is still low. Factors such as the lack of knowledge and skills of farmers in managing free-rearing land and limited access to resources and information are the main obstacles in increasing productivity. Breeders' perceptions of the use of free-rearing land also vary. Some farmers see wasteland as an alternative feed source with the potential to improve livestock health and productivity, while others see it as an unproductive area and tend to be neglected. This perception is influenced by factors such as education level, farmer experience, and support from related parties. In order to increase socio-cultural productivity and utilization of wasteland in oil palm plantations, comprehensive efforts are needed. Increasing the knowledge and skills of breeders in managing free-rearing land, better access to resources and information, as well as the active role of related parties in providing assistance and support to breeders are key factors in achieving this.
Infusion-Related Reaction Management With Amivantamab for EGFR Exon 20 Insertion Mutation NSCLC: A Practical Guide for Advanced Practitioners
Authors: Dougherty, CRNP, CNP Lindsay , E. Lewis, PharmD, BCOP Whitney , O'Neill, CRNP, MSN Meghan , Bhaumik, PhD Amitabha , D'Andrea, MD Denise , L. Johnson, PhD Andy
Published: May 2024

Many targeted therapies to treat genetic mutations in non–small cell lung cancer (NSCLC) have been developed. Amivantamab (Rybrevant), a bispecific antibody targeting the epidermal growth factor receptor (EGFR) and mesenchymal-epithelial transition factor, was approved by the US Food and Drug Administration in 2021 for the treatment of adult patients with locally advanced or metastatic NSCLC EGFR exon 20 insertions, whose disease progressed on or after platinum-based chemotherapy. Amivantamab is administered intravenously weekly for 4 weeks, then every 2 weeks starting at Week 5, as 1,050 mg (body weight [BW] < 80 kg) or 1,400 mg (BW ≥ 80 kg), with the first dose split over 2 days. Infusion-related reactions (IRRs) are common with amivantamab and may present as chills, dyspnea, nausea, chest discomfort, and vomiting. To aid in the prevention, diagnosis, and treatment of IRRs, we evaluated infusion duration, IRR timing, and IRR severity in this post hoc analysis of patients who received amivantamab in CHRYSALIS. Infusion duration decreased over time, with a median infusion time at Cycle 1 Day 1 (C1D1) of 4.70 hours (1,050 mg) and 5.08 hours (1,400 mg), decreasing to 2.20 and 2.25 hours, respectively, by C1D22. Of the 273 IRRs, 98% occurred on C1D1 or C1D2, with median onset and time to resolution of 60 minutes. Most IRRs occurred during the infusion, were low grade, and were manageable with intervention strategies or treatment modifications. Advanced practitioners are critical in preventing, diagnosing, and managing IRRs, including educating patients and families, accurately administering infusions, prescribing premedications, and closely monitoring for IRRs.
Use of the 31-Gene Expression Profile Test to Aid in the Decision of Adjuvant Treatment of Cutaneous Melanoma
Authors: Hunt, MSN, APRN, FNP-C, AOCNP Jillian
Published: May 2024

Melanoma is the fifth most common cancer in the United States, with over 7,000 deaths annually. Although most patients diagnosed with early-stage (stage I or II) disease have an excellent prognosis, two out of three patients who die from melanoma were initially diagnosed in early stages. Thus, additional methods to identify which patients are at risk of poor outcomes are needed. DecisionDx-Melanoma is a 31-gene expression profile (31-GEP) molecular risk stratification test that predicts an individual’s risk of recurrence or metastasis in patients with cutaneous melanoma (CM). Here, we describe a 61-year-old man who presented with a spot on his upper scalp. A biopsy confirmed malignant melanoma measuring > 3.87 mm, with ulceration and mitotic rate 2 to 3/mm2. CT, PET, and MRI scans did not reveal metastasis. Following wide local excision and sentinel lymph node biopsy, he was diagnosed with stage IIB CM. Due to the presence of high-risk features, 31-GEP testing was ordered, which revealed Class 2B (high-risk) CM. Due to the high-risk 31-GEP result, the patient was treated off-label with nivolumab for 1 year and received follow-up surveillance scans every 3 months for 3 years. At his last follow-up in April 2022, scans continued to show no recurrent or metastatic disease. The patient continues dermatologic screening every 6 months. The 31-GEP test provides valuable additional information to help clinicians make personalized, risk-based treatment and surveillance plans for patients with CM.
The Effect of Pelvic Floor Rehabilitation on Low Anterior Resection Syndrome After Colorectal Cancer Treatment
Authors: Jones, DNP, CCRN Shelby , Edie, DNP Alison , Troop, DPT Emily , S. Hill, MD Joshua , A. Thompson, PhD Julie
Published: May 2024

Purpose: Low anterior resection (LAR) is the preferred surgical treatment of rectosigmoid or rectal cancers. However, it is often associated with bowel dysfunction, which is termed low anterior resection syndrome (LARS). Daily bowel dysfunction symptoms have a detrimental effect on quality of life (QOL). Pelvic floor rehabilitation (PFR) can improve pelvic floor function and QOL among patients with LARS. This quality improvement (QI) project seeks to assess the prevalence of LARS and develop and incorporate PFR for the treatment and prevention of LARS. Methods: A convenience sample of 20 patients met project inclusion. Thirteen patients participated. Individuals were categorized by diagnostic risk: low risk, high risk, and established. The intervention included 1-hour PFR sessions with the physical therapist (PT) and 5 minutes of daily self-led pelvic floor muscle exercises. Outcomes questionnaires included the LARS Score and Fecal Incontinence Quality of Life (FIQOL) Scale. Data were collected both pre- and post–colorectal cancer treatment. Results: The overall prevalence of LARS was 76.9%, which was significantly higher than the retrospective cohort comparison rate of 21.8% (p < .001). The prevalence of major LARS was 89%, 83%, and 50% at the initial, second, and third sessions, respectively, representing a 44% relative decrease. Embarrassment was significantly affected among individuals with major LARS, although ongoing PFR facilitated improvement. Conclusion: PFR is a valuable adjunct therapy for LARS, with continued sessions decreasing the overall prevalence among the cohort. Major LARS negatively impacts QOL measures early on in treatment but improves with continued PFR.
The Impact of Digital Advancements and Their Influence on Marketing, Value Chains, and Business Models
Authors: Purnamasari Wulan , Candraningrat C. Candraningrat , Savitri Primasari Niken , Wasik Zainul
Published: May 2024

Although good mastery of digital innovations can be highly advantageous in today's environment, as business models and industries are changing rapidly due to digital innovations, there are significant gaps in the literature on digital innovations. By defining terms and examining the particulars of this new field of study, we add to the body of literature. The impact of digital innovation on marketing, value chain, and business models is then covered, with particular attention paid to conflicts and marketing difficulties, value chain dynamics, and business model evolutions. We offer recommendations for more research in our conclusion.
Kääntäjän ammatin arvostuksen myytit: faktaa vai fiktiota?
Authors: Ruokonen Minna
Published: May 2024

One of the central myths about translation is probably the notion of translators’ low occupational status or prestige, often accompanied by three further myths or beliefs: that the lack of status is linked to 1) low income, 2) outsiders’ ignorance about the expertise required to translate and 3) translators’ invisibility. This article explores to what extent these myths are supported by previous empirical research and the author’s pilot survey of translation students at Finnish universities. The questionnaire used in the survey is based on Dam and Zethsen’s (2008–2011) questionnaires for Danish business translators. Both previous research and the author’s survey indicate that translators’ occupational status is considered middling or lower by respondents within the field. More research, however, would be needed on outsiders’ views. Low status also seems to correlate with low income and invisibility. Nevertheless, while visibility emerges as a positive influence in previous research, students’ comments highlight that visibility can also be injurious to translator status. Previous research and status-improving measures suggested by students further indicate that information about translators’ expertise still needs to be disseminated outside the field, possibly accompanied by limitations to practicing the profession.
Kääntäjän habitus fiktiivisten rakkaus- ja erokirjeiden valossa
Authors: Koskinen Kaisa
Published: May 2024

This article reports on a research project that elicited translators’ emotional narratives of their work with the aim of better understanding the contemporary scene of professional translation. The respondents (n = 102) represent EU translators, Finnish professional translators and translation students from two countries (Ireland and Finland). The method of data collection was “love letter/hate letter”, an exploratory tool borrowed from user experience research (Hanington & Martin 2012: 114). A total of 148 letters drafted by the respondents has been analysed, and the findings are contrasted with the notion of habitus put forward by Daniel Simeoni in his classic essay from 1998. A content and discourse analysis of translators’ predominantly positive emotions, their spatial discourses, preference for efficiency and yearning for freedom largely supports Simeoni’s hypothesis of translators’ voluntary subservience, but the results also suggest that his model is too simplified to fully capture the variability of empirical data.
JOGO DIGITAL CAPIVARA NINJA
Authors: Fernandes Flávia Gonçalves
Published: May 2024

Este artigo apresenta o desenvolvimento do jogo digital "Capivara Ninja", uma inovadora iniciativa que tem como objetivo explorar e apresentar a rica cultura do Pantanal Sul-Mato-Grossense. O jogo oferece aos jogadores uma experiência envolvente e educativa, mergulhando-os em um universo cultural autêntico e multifacetado. Com base em uma pesquisa multidisciplinar, colaboração com especialistas e uma abordagem interdisciplinar, "Capivara Ninja" cativa os jogadores com uma narrativa envolvente que abrange tradições culturais, línguas, influências históricas e a ecologia única do Pantanal. Além de celebrar a cultura da região, o jogo também promove a conscientização ambiental, destacando a interconexão entre cultura e ambiente. Ao adotar uma abordagem lúdica, "Capivara Ninja" torna a aprendizagem interativa e envolvente, tornando-se uma ferramenta valiosa para a educação e a promoção da cultura do Pantanal. Com potencial para evolução contínua e uma abordagem multidisciplinar exemplar, o jogo representa uma maneira inovadora de desvendar e celebrar as riquezas culturais do Pantanal Sul-Mato-Grossense, inspirando uma apreciação mais profunda dessa região única.
Efektivitas Kegiatan P5 dalam Meningkatkan Kreativitas Peserta Didik Kelas VIII SMPN 281 Jakarta
Authors: Azlea Mayasya Aziz  , Desy Safitri  , Sujarwo
Published: May 2024

Creativity is an essential aspect in education to prepare learners to face complex future challenges. P5 activities (P5 Student Profile Strengthening Project) serve as an effort to enhance the creativity of students at SMPN 281 Jakarta. This research employs a quantitative descriptive approach to evaluate the effectiveness of P5 activities in improving the creativity of eighth-grade students. Data were collected through questionnaires completed by 70 students and interviews with 3 teachers, including the P5 coordinator. The research findings indicate that the effectiveness of P5 activities in enhancing student creativity reaches a very high category, with a percentage of 92%. Student creativity experiences a significant improvement, particularly in generating new ideas, viewing problems from various perspectives, seeking alternative solutions, and daring to undertake challenging tasks. However, there is still room for improvement, especially in aspects of creativity related to unconventional thinking to express oneself. Teachers and the P5 coordinator play crucial roles in designing and implementing P5 activities to create an environment conducive to student creativity growth. In conclusion, P5 activities are effective in enhancing the creativity of eighth-grade students at SMPN 281 Jakarta, yet continuous improvement is needed to achieve maximum creative potential.
EFETIVIDADE DA INTERVENÇÃO DA FISIOTERAPIA EM MULHERES IDOSAS COM INCONTINÊNCIA URINÁRIA: REVISÃO BIBLIOGRÁFICA
Authors: Anges_admin Sara
Published: May 2024

O presente estudo pretendeu verificar a efetividade da fisioterapia em mulheres idosas com incontinência urinária (IU). Houve melhoria significativa dos sintomas de IU após o tratamento proposto em todos os estudos selecionados, nomeadamente ao nível da perda involuntária de urina e qualidade de vida. A evidência científica sugere que a fisioterapia, nomeadamente o treino dos músculos do pavimento pélvico isolado ou combinado a outros tipos de treino, assim como a componente educacional e autogestão, parecem ser intervenções relevantes em mulheres idosas com IU.
ABORDAGEM PALIATIVA A PESSOAS COM DEMÊNCIA RESIDENTES EM ERPI – UM PROTOCOLO DE INTERVENÇÃO PSICOLÓGICA
Authors: Martins Vera , Amorim Inês , Martins Cátia , Silva Maria , Alves Ana , Alexandre Ana
Published: May 2024

O presente estudo tem como objetivo analisar a aplicação de um protocolo de intervenção psicológica para pessoas com demência residentes em Estruturas Residenciais para Pessoas Idosas (ERPI) que foram encaminhados para acompanhamento de uma equipa de apoio psicossocial de um centro hospitalar. Esta intervenção enquadra-se num projeto inovador, financiado pela Fundação “laCaixa”, que tem como objetivo prestar apoio psicológico a pessoas com doença avançada e/ou  em fim de vida residentes em ERPI e ampliar o acesso à intervenção paliativa. Pretende-se ainda analisar a satisfação dos profissionais de uma das ERPIs recetoras do projeto em relação a um programa de formação concebido para promover o apoio integral às pessoas que enfrentam a demência. Foi realizada uma avaliação inicial das necessidades de apoio psicológico dos pacientes com demência referenciados para o projeto e, de acordo com as necessidades específicas de cada pessoa, foi implementado o protocolo de intervenção criado para o efeito. No período de agosto de 2022 a setembro de 2023, 47 pacientes com demência beneficiaram de apoio psicológico, sendo que 32% das intervenções foram de terapia da reminiscência; 30% intervenções sensoriais; 25% psicoterapia; 11% reabilitação neuropsicológica e 2% estimulação cognitiva. Em relação ao programa de formação, abrangeu 15 profissionais e obteve um nível global de satisfação de 98,06%. Os resultados demonstram a complexidade e diversidade de necessidades de intervenção psicológica presentes neste grupo de pacientes, sublinhando a importância de uma abordagem flexível. Adicionalmente, destacam a relevância da formação na capacitação dos profissionais para o apoio integral às pessoas que vivem com demência.
CARACTERIZAÇÃO DAS NECESSIDADES EM CUIDADOS PALIATIVOS EM ESTRUTURAS RESIDENCIAIS PARA PESSOAS IDOSAS: UM ESTUDO EXPLORATÓRIO
Authors: Andrade Andreia , Coelho Silvia
Published: May 2024

O envelhecimento populacional tem sido acompanhado pelo aumento da prevalência de doenças crónicas e consequente aumento da dependência de terceiros, com recurso à institucionalização da pessoa idosa, sendo cada vez mais complexas as situações clínicas dos idosos institucionalizados. A integração de cuidados paliativos nestas instituições permitirá eliminar situações passíveis de gerar sofrimento e adequando as intervenções e o plano de cuidados. Trata-se de um estudo quantitativo, transversal, exploratório-descritivo, realizado em 6 estruturas residenciais para pessoas idosas, que procurou identificar as necessidades em cuidados paliativos dos idosos institucionalizados. Para a recolha de dados foi elaborado um instrumento para a recolha das características sociodemográficas e o NECPAL CCOMS-ICO, 3.1. Visou identificar as necessidades em cuidados paliativos nos idosos institucionalizados, caracterizando a sua condição de saúde referente a comorbilidades, sintomatologia presente e níveis de dependência, de modo a contribuir para um novo olhar e uma reflexão sobre esta realidade.). Dos 488 idosos institucionalizados, verificou-se que 126 idosos apresentaram PS+, tendo sido encontrada uma prevalência de 100% de necessidades paliativas, o que demonstra a complexidade dos idosos institucionalizados, com uma baixa referenciação para estes cuidados. Conclui-se que a percentagem de idosos institucionalizados a carecer de cuidados paliativos é elevada, sendo fundamental a sua implementação nestas instituições. O reconhecimento destes cuidados enquanto elemento constituinte do percurso de evolução de uma doença crónica e progressiva, permitiria uma trajetória da doença mais acompanhada, com mais qualidade de vida e a vivência de uma morte digna.