bluuebunny/crossref_metadata_2025 huggingface dataset:
Just When You Thought that Quantitizing Merely Involved Counting: A Renewed Call for Expanding the Practice of Quantitizing in Mixed Methods Research With a Focus on Measurement-Based Quantitizing
Authors: Onwuegbuzie Tony
Published: December 2024

In this article, I explore the concept of quantitizing in mixed methods research, categorizing it into four types: descriptive-based quantitizing (i.e., converting qualitative data into quantitative summaries; e.g., frequencies), inferential-based quantitizing (i.e., using statistical methods to draw inferences from quantitized data), exploratory-based quantitizing (i.e., identifying patterns/relationships within quantitized data, often leading to further quantitative analysis), and measurement-based quantitizing (i.e., applying psychometric models to quantitized data to assess and to measure latent traits). Among these, measurement-based quantitizing is the least prevalent. Therefore, I expand the concept of measurement-based quantitizing by demonstrating how modern test theory (MTT) approaches (e.g., Rasch analysis and item response theory [IRT] models) can be applied effectively to quantitized themes or finer data units like categories, codes, and sub-codes. Rasch analysis and foundational IRT models (1-parameter IRT, 2-parameter IRT, 3-parameter IRT) add significant value to descriptive-based quantitizing by providing deeper insights into theme difficulty and discrimination. Other IRT models (e.g., 4-parameter IRT, 5-parameter IRT, Bayesian IRT) offer further refinement. Also, I highlight the value of these models in inferential-based quantitizing, particularly via differential item functioning analysis. When applying IRT to quantitized themes, tools such as the test information function, item characteristic curves, and item fit analysis are essential for refining measurements. I underscore the importance of optimizing theme quantity and sample size, recommending minimum guidelines for reliable IRT analysis of quantitized themes. In conclusion, I call for the broader adoption of measurement-based quantitizing, integrating MTT approaches to enhance the rigor, precision, and interpretative power of mixed methods research.
Little Voices, Big Impact: Exploring Primary School Children’s Perceptions of Zero Waste
Authors: Onwuegbuzie Tony , Kara Seher , Çetin Pelin Selcen , Kara Yaşar Can
Published: December 2024

This fully integrated arts-based mixed methods case study investigated the effectiveness of the Zero Waste Project implemented in a fourth-grade classroom of the lead author at Selçuklu Belediyesi Primary School in Konya, Turkey, focusing on students’ attitudes and behaviors towards sustainability. The study employs a combination of semi-structured interviews, nonverbal communication analysis, analysis of demographic data, and visual content analysis of 107 photographs taken during the project. Four meta-themes emerged from the interviews: Environmental Awareness, Proposed Solutions and Initiatives, Personal Responsibility and Emotional Connection, and Education and Community Involvement. Complementarily, the visual content analysis identified two meta-themes: Sustainability Education and Active Participation. An incidence-based, inter-respondence matrix revealed that Environmental Awareness was the most prevalent meta-theme, with Pollution and Its Impact being the most recognized theme. Conversely, Proposed Solutions and Initiatives emerged as the least prevalent meta-theme, with Role Modeling and Influence as the least recognized theme. Correspondence analyses highlighted significant associations between students’ demographic characteristics and their engagement with specific meta-themes and themes. The study underscores the importance of integrating environmental education into the curriculum through creative expression and community-based activities, particularly within the Turkish, in general, and Konya context, in particular, wherein communal responsibility is a deeply rooted cultural value. The findings also suggest that addressing both the emotional and cognitive aspects of environmental education can enhance students’ engagement with sustainability issues. The article concludes with recommendations for future research to explore the long-term impacts of such programs and the role of technological innovations and nonverbal communication in environmental education.
Abstracts as Poetry in Journal Articles: A Call for a New Paradigm in Scholarly Communication
Authors: Onwuegbuzie Tony
Published: December 2024

Abstract
 
In scholarly realms, wherein prose prevails,A new voice rises, as poetry sails.The abstract once rigid, confined by form,Now dances with rhythm, defying the norm.
 
This article calls for a shift in the frame,
Wherein abstract and verse can become the same.
For when ideas transcend simple prose,
Poetry or metapoetry bestows.
 
Through verse, we distill complex thought,Making ideas more easily caught.For readers who yearn for depth and grace,Poetic abstracts offer a welcoming space.
 
A reflection on the writing’s role,In capturing research, both heart and soul.Abstracts as poems, clear yet profound,Engage the intellect and emotions unbound.
 
So let this metapoem serve as a sign,That scholarly work and art can align.For abstracts in poetry bridge the divide,Between logic’s structure and feeling’s tide.
 
At the core of this call lies a philosophical aim,
Critical dialectical pluralism guiding the frame.
Embracing all methods, diverse voices blend,
Poetic abstracts as a means to transcend.
 
So I urge the style guides that set the academic stage,
To welcome poetic abstracts on journal articles’ first page.
Not just to allow, but also to give them the space,
For creativity both to enrich and to grace.
 
In rhyme and rhythm, knowledge can share,
Research with beauty, and scholars who care.
Let both prose and poetry take their place,
Elevating scholarship with thoughtful embrace.
LİSE ÖĞRENCİLERİNİN FİZİKSEL AKTİVİTELERE KATILIMINI ENGELLEYEN FAKTÖRLER
Authors: ÇALIŞKAN Emre , ATALI Levent
Published: December 2024

Bu kitap, Lise Öğrencilerinin Fiziksel Aktivitelere Katılımını Engelleyen Faktörler'i incelemek amacıyla yayınlanmıştır.
Paresia do nervo abducente secundária a hipofisite por IgG4
Authors: Silveira Santana Bruno , Henrique Carneiro de Paula Luís , Brunna Bchara Giroldo Brunna , Pinheiro de Andrade Eric
Published: December 2024

Resumo
Introdução: A paresia do nervo abducente, tipicamente associada a causas vasculares ou traumáticas, raramente está associada à hipofisite autoimune, especificamente à doença relacionada à IgG4 (DRIgG4). Aqui, apresentamos um caso único de paresia do nervo abducente secundária ao DRIgG4. Relato de Caso: Paciente do sexo feminino, 36 anos, apresentou cefaleia do lado esquerdo, tontura e diplopia binocular. O diagnóstico revelou paresia do VI nervo craniano. Investigações adicionais indicaram pan-hipopituitarismo. Foram requeridas medição de IgG4 e ressonância magnética cerebral. Níveis elevados de IgG4 (146mg/dL) e exames de imagem confirmaram hipofisite inflamatória. Rituximabe e corticoterapia resultaram em melhora clínica e radiológica significativa. Discussão: O envolvimento contíguo do VI nervo craniano devido a uma lesão selar expansiva levou a sintomas únicos. O diagnóstico preciso dependeu de uma avaliação abrangente, incluindo a medição de IgG4. O tratamento com rituximabe apresentou eficácia, destacando a importância do reconhecimento do DRIgG4 nesses casos. Conclusão: Este caso ressalta a importância de considerar a doença relacionada à IgG4 nos casos de paresia do VI nervo craniano. Uma abordagem holística, incluindo anamnese detalhada e testes relevantes, garante diagnóstico imediato e tratamento personalizado, melhorando o prognóstico dos pacientes.
Subjugation, Dehumanization, and Resistance:
Authors: Sanjad Azvi  , Istiak Ashik
Published: December 2024

In Antebellum America, both male and female slaves were oppressed and subjugated. However, the forms of these oppressions varied based on the gender of the slave, as did the ways in which different genders resisted their oppressors. This paper studies the differences and similarities in subjugation and resistance between male and female slaves in antebellum America, using the autobiographies of Frederick Douglass and Harriet Jacobs as primary sources. Douglass in his autobiography, Narrative of the Life of Frederick Douglass, an American Slave, describes how slave-owners used violence to ‘break’ male slaves' spirits and maintain their subservience, leading him to employ physical resistance against his masters and eventually flee to the North. On the other hand, Jacobs in her autobiography, Incidents in the Life of a Slave Girl illustrates how female slaves faced additional obstacles, such as fighting for their children's safety and living under the constant threat of sexual violence. These gendered differences reveal the complex ways in which power and oppression function in society, especially when analyzing them from an intersectional perspective. Through this analysis, the paper gains a deeper understanding of the nature of power dynamics connected to slavery.
The Female Body as a Site of Patriarchal Power Play:
Authors: Liton Chakraborty Mithun
Published: December 2024

The female body has been a gendered space upon which patriarchy plays out its power dynamics. The making, re-making and unmaking of the female body has remained a subject to wishes and whims of men. In most cases, women are denied agency and freedom over their bodies. Men have exerted their power on the female body in the form of subjugation, repression, oppression, and exploitation.Hence, rape and all forms of sexual assault on women and girls in the context of a war can be considered a patriarchal tool to assert the dominance of the attacking party and demoralize the community under attack. The victims of sexual attacks undergo psychological trauma during and after the war. In this context, Tarfia Faizullah’s debut collection of poems Seamappears as a feminist investigation into the narrative of rape victims of the Bangladesh Liberation War. This book lends voice to the rape victims of the 1971 war whose bodies were politicized by the androcentric Pakistani army. Through a feminist lens, this qualitative paper will endeavor to explore how the female body served as a site of patriarchal domination in the Bangladesh Liberation War in the light of Seam.
The Liminal Space between Imprisonment and Freedom:
Authors: Das Shruti , Beg Mirza Ibrahim , Mandal Ranjit
Published: December 2024

This paper aims to study The Shell (2008) by the Syrian writer MustafaKhalifa. It analyzes the physical as well as the psychological traumasuffered by the protagonist Musa, who was imprisoned for fourteenyears without knowing the cause of his imprisonment. After studyingfilm in Paris, a Catholic student Musa returns to his homeland,Syria, and upon landing at the airport, he is unjustly arrested. Heis mistaken for a radical Islamist and is imprisoned with detaineeswho were either with or suspected of being affiliated with the MuslimBrotherhood. He is locked up without trial in Tadmur under Basharal-Assad’s regime. Tadmur has been called the “absolute prison” bydissident Yassin al-Haj Salih and the “kingdom of death and madness”by Syrian poet Faraj Bayraqdar. Musa remains oblivious to the crimehe has been charged with until just before his impending release. Fromthe very beginning, his life is endangered not only by the harshness ofdaily torture and humiliation but also by the Islamist extremists in hisconfinement who deem him deserving of execution as an unbelieverdue to his Catholic faith. He faces exclusion because others perceivehim as impure. This isolation is enforced not just by the jailers butalso by his fellow prisoners, mirroring the suppression experienced byseveral political detainees who made their way through Tadmur andother prisons in Syria and were unable to share their suffering. Thepaper argues that Musa is trapped in a liminal space, that is, he isphysically released but has never truly been released, and thus is avictim of post-traumatic stress disorder (PTSD) suffering emotionalnumbing.
Editorial Note
Authors: Mortuza Shamsad
Published: December 2024

CROSSINGS: A Journal of English StudiesDepartment of English and HumanitiesUniversity of Liberal Arts Bangladesh (ULAB)crossings@ulab.edu.bdVolume 15 | December 2024 | ISSN 2071–1107 | E-ISSN 2958-3179
Expediente
Authors: Soares Bruno Roberto Campos
Published: December 2024

Expediente referente ao volume 5, 2024.
Dermatological Presentations in Systemic Lupus Erythematosus: A Comprehensive Case Study
Authors: Earlia Nanda , Salim Fitria , Hidayati Arie , Pradistha Aldilla , Ibrahim Teuku Maulana Malik , Azzahra Shelda Syifa , Maulidina Rizka Yuliani
Published: December 2024

Lupus erythematosus (LE) is an inflammatory autoimmune disease with a broad clinical spectrum of multi-organ inflammation and can be life-threatening. Manifestations of LE can occur confined to the skin (cutaneous lupus erythematosus, CLE) or systemic involving several organs such as the kidneys, heart, and lungs (systemic lupus erythematosus, SLE). We report a female, 27-year-old with complaints of black spots on her back, stomach area, hands, and feet. The patient feels that the spots increase when doing activities outside the home. Patients also complain of fever, pain when swallowing, joint pain, fatigue, and hair loss. Dermatological status in the abdominal, posterior thoracic, and extremities regions shows the presence of macules accompanied by hyperpigmented patches with unclear borders, irregular edges, gutta-plaque size, multiple numbers, and atypical arrangement and configuration. In the ANA profile examination, the native SS-A antigen (60 kDa) +++ results were strongly positive. The examination results concluded CLE type Subacute CLE (SCLE). The patient was given Calcium Carbonate capsules, Folic Acid tablets, and Methylprednisolone tablets. Topical medications include tretinoin 0.25% cream, momethasone 0.1% cream, Desoximethasone 0.25% cream, clobetasol propional 0.05% cream, and must use Sunscreen morning and evening. After 2 weeks, the patient showed good results. The black spots are starting to fade. Other complaints, such as fever, fatigue, and pain when swallowing, have decreased. Cutaneous lupus can be a challenge to treat because the symptoms are varied and complex. Management of CLE aims to eliminate symptoms and signs of the disease, prevent damage from occurring, minimize side effects of drugs, and improve quality of life.
Innovative Strategies in Managing Early-Onset Primary Congenital Glaucoma
Authors: Imelda Eva , Ghassani Vania
Published: December 2024

Congenital glaucoma has the potential to damage the visual nerve fibers, leading to permanent blindness. This case report aims to provide timely and appropriate management upon diagnosis. The case involves a 5-month-old baby girl delivered via spontaneous normal delivery at 36-37 weeks, with a birth weight of 3100 grams, who presented with complaints of left eye enlargement since one month of age, persistent watery eyes, and photophobia when exposed to sunlight. Diagnoses included Primary Congenital Glaucoma, Congenital Cataract, and Exotropia Oculi Sinistra. The patient received preoperative medication, underwent trabeculotomy-trabeculectomy surgery, and had CRS screening and Rubella serological examination. Early detection and operative intervention to regulate intraocular pressure can preserve optimal visual function throughout adulthood.
Enhancing Early Detection of Alzheimer's Disease through MRI using Explainable Artificial Intelligence
Authors: Noviandy Teuku Rizky , Idroes Ghifari Maulana , Purnawarman Adi , Imran Imran , Lestari Nova Dian , Hastuti Sri , Idroes Rinaldi
Published: December 2024

Alzheimer’s disease is a progressive brain disorder that causes memory loss and cognitive decline, affecting millions of people worldwide. Early detection is critical for slowing the disease's progression and improving patient outcomes. Magnetic Resonance Imaging (MRI) is widely used to identify brain changes associated with AD, but subtle abnormalities in the early stages are often difficult to detect using traditional methods. In this study, we used a deep learning approach with a model called ResNet-50 to analyze MRI scans and classify patients into four categories: Non-Demented, Very Mild Demented, Mild Demented, and Moderate Demented. The model was trained using MRI images, achieving an accuracy of 95.63%, with strong sensitivity, precision, and specificity. To make the model’s predictions understandable for healthcare professionals, we applied a technique called Grad-CAM, which highlights areas of the brain that influenced the model’s decisions. These visual explanations help clinicians see and trust the reasoning behind the AI's results. While the model performed well overall, misclassifications between adjacent disease stages were observed, likely due to class imbalance and subtle brain changes. This study demonstrates that explainable AI tools can improve early detection of Alzheimer’s disease, supporting clinicians in making accurate and timely diagnoses. Future work will focus on expanding the dataset and combining MRI with other clinical information to enhance the tool's reliability in real-world settings.
Evaluating the Influence of Digital Marketing, Service Quality, and Product Excellence on Loyalty Through the Mediating Role of Customer Satisfaction
Authors: Qashmal Muhammad , Adam Muhammad , Nizam Ahmad
Published: December 2024

This study investigates the effects of digital marketing, service quality, and product excellence on customer loyalty, with customer satisfaction serving as a mediating variable. Focusing on Bank Aceh Syariah (BAS) in Aceh Province, Indonesia, this research uses a Structural Equation Modeling (SEM) approach and reveals that both service quality and digital marketing significantly enhance customer satisfaction at BAS, while product excellence does not exhibit a similar influence. Further analysis demonstrates that customer satisfaction positively impacts customer loyalty. Interestingly, digital marketing, service quality, and product excellence do not directly affect customer loyalty; however, customer satisfaction partially mediates the relationship between service quality and customer loyalty. These findings underscore the critical importance of digital marketing and service quality in fostering customer satisfaction and promoting customer loyalty. For banks aiming to enhance loyalty, the study highlights the necessity of robust digital marketing strategies and superior service quality. While product excellence is important for meeting customer needs, it appears less significant in driving satisfaction and loyalty compared to service quality and digital marketing. By prioritizing these areas, BAS can achieve higher levels of customer satisfaction, leading to sustained customer loyalty.
Starting a Business: A Focus on Construction Permits, Electricity Access, and Property Registration
Authors: Hardi Irsan , Nghiem Xuan-Hoa , Suwal Sunil , Ringga Edi Saputra , Marsellindo Rio , Idroes Ghalieb Mutig
Published: December 2024

Efficient processes for construction permits, electricity access, and property registration are critical to fostering entrepreneurship and economic growth. Delays, high costs, and bureaucratic inefficiencies in these areas pose significant barriers to business start-ups. This study examines the impact of these factors on starting a business, highlighting their role in shaping formal economic activity and business dynamics. By applying methods such as the Generalized Linear Model (GLM), Robust Least Squares (RLS), and Quantile Regressions (QR) to data from 213 countries and cities featured in the World Bank’s Doing Business 2019 (DB19) and Doing Business 2020 (DB20) reports, this paper demonstrates that all three factors significantly and positively impact starting a business. Notably, a comparison of results between DB19 and DB20 reveals that the magnitude of these influences decreased in DB20, with some effects becoming less significant or even insignificant compared to DB19. This phenomenon is most apparent in countries with middle-to-high starting a business scores. The findings suggest that shocks like the COVID-19 pandemic may have reduced the relevance of these factors in DB20, as the increased risks associated with starting a business during the pandemic likely overshadowed these considerations. Overall, the results indicate that streamlining construction permits, improving electricity access, and simplifying property registration processes could significantly enhance entrepreneurial activity, drive economic growth, and foster a more dynamic business environment.
Reverse Shoulder Arthroplasty Provides Durable Outcomes Regardless of Diagnosis and Pathology
Authors: Jackson Garrett R. , Knapik Derrick M. , Mowers Colton C. , Lapica Hans , Coutelle Nino , Movassaghi Aghdas , Routman Howard , Sabesan Vani J.
Published: December 2024

Introduction

As surgical indications for reverse shoulder arthroplasty (RSA) have expanded, appropriate patient counseling and shared decision-making should be informed by clinical outcomes specific to each indication for RSA. While RSA has traditionally been indicated in patients with rotator cuff arthropathy (RCA), it has been employed increasingly in patients with osteoarthritis and in intact rotator cuff with better-reported outcomes. To compare patient-reported outcomes (PROs) and postoperative range of motion (ROM) following RSA for patients with RCA compared to those with rotator cuff-intact glenohumeral OA.

Methods

All patients undergoing RSA from January 2016 to September 2021 by a single surgeon at a single institution were retrospectively identified through a prospectively collected database. Patients indicated for RSA secondary to OA without rotator cuff pathology were compared to patients indicated for RSA secondary to RCA. Patient-reported outcomes (PROs), including the Simple Shoulder Test (SST), American Shoulder and Elbow Surgeons (ASES), Shoulder Arthroplasty Smart (SAS) score, and University of California-Los Angeles (UCLA) scores, as well as active range of motion (ROM) were measured preoperatively and at a minimum 2-year follow-up, with outcomes between groups based on RSA indication compared.

Results

A total of 107 patients (n=71 RCA group, n=36 OA group) were identified, with no difference in patient demographics. No significant differences between groups were appreciated at the final follow-up based on SST (p = 0.765), ASES (p = 0.437), SAS (p=0.782), or UCLA (p = 0.313) scores, or ROM (all, p<0.622). One patient (2.8%) in the OA group underwent revision surgery due to dislocation, while one patient (1.4%) in the RCA group required revision due to an infection associated with the spacer.

Conclusion

Patients undergoing RSA for glenohumeral OA without rotator cuff pathology reported comparable patient reports outcomes and ROM values at a minimum 2-year follow-up compared to patients indicated for RSA secondary to RCA.
Age of menarche and final height in patients with permanent congenital hypothyroidism
Authors: Karimian Pegah , Hovsepian Silva , Alinia Tahereh , Raispour Homeyra , Mirshahzadeh Naghmeh , Hashemipour Mahin
Published: December 2024

Purpose: We compared the age at menarche and standard deviation score (SDS) of final height (FH) in permanent congenital hypothyroidism (CH) patients with those of healthy female adolescents and assessed their associations with CH screening-related variables or demographic factors.Methods: In this cross-sectional study, we included 207 female CH patients and 598 healthy age-matched female adolescents. Ages at puberty onset and menarche, height at puberty and menarche, and the FH and its SDS were evaluated in the 2 groups and compared. Associations between screening variables and anthropometric data with age at menarche and SDS of FH were also assessed in CH patients.Results: In the included population, 113 patients with CH and 453 healthy girls attained their FH. The mean ages at puberty onset and menarche in CH patients were higher than those in the healthy population (P<0.05). The mean height at menarche and the FH and its SDS were not different between the 2 groups (P>0.05). There was no significant association between FH SDS in CH patients and age of treatment (P=0.30). Age at menarche was significantly higher in CH patients with delayed age at treatment initiation (P=0.04). The difference between FH and target height was not significantly different among CH patients (P=0.83).Conclusion: While CH patients had a significantly higher age at menarche compared to the healthy population, appropriate treatment changed this age to be similar to that in the healthy group. However, CH patients who experienced delayed treatment had a higher age at menarche. Age at treatment initiation was the only screening-related variable related to age at onset of menarche and puberty.
Hubungan Dukungan Keluarga dengan Motivasi Kontrol Rutin pada Pasien Hipertensi di Wilayah Kerja Puskesmas Samuda
Authors: Fitriyati Ulfah  , Dwi Agustian Faruk Ibrahim  , Ayu Puspita
Published: December 2024

Family support is a way to provide assistance to other family members, either morally or materially. Motivation is the feeling or thought that drives someone to behave or engage in activities to achieve goals. Hypertensive patients often neglect regular follow-up visits because they feel fine and have no complaints. This study aims to determine the relationship between Family Support and Motivation for Regular Check-Ups in Hypertensive Patients in the Working Area of Samuda Health Center. Methods: This research used a quantitative method with a descriptive correlational approach. The correlation design utilized a cross-sectional method to determine the correlational relationship between two variables, emphasizing the measurement of both independent and dependent variables at one point in time. The instruments were questionnaires, and the statistical test used was Spearman Rank, which involved 53 hypertensive patients in the Working Area of Samuda Health Center as respondents. Results: The study on Family Support revealed that the highest Crosstabulation result was found in respondents with moderate motivation for regular check-ups, with 21 respondents (75.0%), followed by good motivation with 13 respondents (68.4%), and low motivation with 6 respondents (21.4%). The Spearman Rank statistical test yielded a p-value ≤ 0.000, meaning the p-value was less than 0.05. Thus, H0 was rejected, and Ha was accepted, indicating a significant relationship between Family Support and Motivation for Regular Check-Ups in Hypertensive Patients. Conclusion: There is a significant relationship between Family Support and Motivation for Regular Check-Ups in Hypertensive Patients. It is suggested that healthcare workers enhance family support to improve the motivation for regular check-ups among hypertensive patients in the Working Area of Samuda Health Center through health promotion initiatives.
Hubungan Pengetahuan Ibu Bersalin terhadap Sikap Inisiasi Menyusui Dini (IMD) di PMB Cynthia Purba Kecamatan Panei Kabupaten Simalungun
Authors: Jumrahwaty Parhusip  , Ridesman Ridesman  , Riska Susanti Pasaribu
Published: December 2024

Mobilization is a basic human need required by individuals to carry out daily activities in the form of joint movement, posture and gait in order to meet activity needs and maintain health. The World Health Organization (WHO) says that births by caesarean section are around 10-16% of all births in developing countries, in the last 30 years the incidence of caesarean sections has increased very rapidly, for many reasons but some also don't have the right reasons, just because the patient wants the operation or the doctor wants an easy way, in Australia around 16% to 20% of the reason for the high number of caesareans in the United States is because most obstetricians. The aim of the research was to analyze the relationship between early mobilization post cesarean section and the surgical wound healing process in the postpartum room at Kartika Pulomas Hospital. The type of research used is qualitative analytic with a cross sectional approach design. The sampling technique uses accidental sampling. The number of samples used was 61 people. There is a relationship between early mobilization post cesarean section and the surgical wound healing process in the postpartum room at Kartika Pulomas Hospital. The paired sample t-test showed a value of p = 0.002, meaning p<0.05. Recommendations for hospitals need to have a policy for early mobilization of patients after caesarean section. Early mobilization accelerates wound healing and shortens the period of hospital treatment, so that it is a promotion for the hospital, namely: establishing independent hospitals as the main choice with quality services.
Pengaruh Pemberian Air Rebusan Bawang Putih Terhadap Penurunan Kadar Koleterol di Puskesmas Sei Langka
Authors: Desy Rahmadani  , Rizki Sari Utami Muchtar  , Mira Agusthia
Published: December 2024

Cholesterol is a fatty substance circulating in the blood, yellowish and waxy, which is produced by the liver and is needed by the body. Cholesterol is a group of lipids that are not hydrolyzed and is the main sterol in human body tissue. Hypercholesterolemia is a condition where the cholesterol level in the blood exceeds the normal limit, namely >200 mg/dl. The aim of this research was to determine the effect of boiled garlic water on reducing cholesterol levels in the elderly at the Sei Langkai Community Health Center. Pre-Experimental research method using One Group Pre-Post Test research design. Effectiveness is assessed by comparing the pre-test results with the post-test. The number of samples in this research was 15 respondents. The data testing method uses an observation sheet and a glucometer. The results of the research using the paired T-Test statistical test found a ρ value of 0.000 > 0.05. It can be concluded that there is an effect of giving boiled garlic water on reducing cholesterol levels in the elderly at the Sei Langkai Community Health Center in 2023. The recommendation from the research results is that boiled garlic water can be continued as an intervention to reduce cholesterol levels
Pengelolaan Emosi Pelaku Klitih di Yogyakarta
Authors: Yohanes Eka Wahyuntara  , Yohanes Heri Widodo
Published: December 2024

This study aims to: (1) Determine the forms of emotions that often appear in perpetrators (2) Determine the emotional management strategies of perpetrators, (3) Determine the causes of emotional management of perpetrators, (4) Determine the impact of emotional management of perpetrators, (5) Determine the obstacles to managing emotions of perpetrators. This type of research uses a mixed methods approach with a convergent design of mixed methods with data collection techniques using interviews with 3 subjects in accordance with the research criteria. The data analysis technique in this study is based on the results of interviews with subjects, data processing processes, data presentation and conclusions. The results of the study showed that the three subjects were less able to determine good emotion management strategies. Based on aspects of emotion management, the three subjects showed an imbalance between the subject and the management of his emotions. As for these aspects, 1) Awareness of feelings and thoughts that arise, 2) Ability to control negative emotions, 3) Change of negative emotions into motivation.
Tingkat Pengetahuan dan Sikap Ibu terhadap Perkembangan Sensorik Motorik pada Balita di Desa Lambaro Sukon Tahun 2024
Authors: Masyithah Masyithah  , Syukriadi Syukriadi  , Irma Andriani
Published: December 2024

Knowledge is the result of understanding or a state of knowing that arises after someone senses a certain object. A mother's attitude is a reaction or response that is still closed from a person to a stimulus or object. This research aims to determine the relationship between mothers' knowledge and attitudes towards sensory-motor development in toddlers in Lambaro Sukon Village, Aceh Besar. This research uses a quantitative approach with a cross-sectional design. The sample was selected using a total sampling technique with a total sample of 73 respondents. This research was conducted from 16th April – 11st July 2024. The data collection technique used a questionnaire with maternal knowledge and attitude questionnaire instruments as well as KPSP. Data analysis techniques use univariate and bivariate tests. The results of data analysis showed that the characteristics of mothers were dominated by mothers with sufficient knowledge who had toddlers with good sensory motor categories (58.1%). Most of the mother's attitude was obtained, namely a good mother's attitude with the child's sensory and motor skills being in the good category (57.8%). The results of hypothesis testing using Chi Square obtained a sig value. calculate mother's knowledge (p= 0.034), and mother's attitude (p= 0.001). Based on the results of the hypothesis test, it was concluded that there was a significant relationship between mothers' knowledge of toddlers' sensory-motor development and there was a significant relationship between mothers' attitudes towards toddlers' sensory-motor development. The suggestion in this research is that this research can provide more information to mothers about children's motor balance, as study material and knowledge that can help for further research activities.
Pemeriksaan Fisioterapi Gangguan Kognitif pada Lansia Dengan Mini Mental State Examination (MMSE) di Griya Lansia Husnul Khotimah Wajak
Authors: Dzikri Maulana Putra  , Nungki Marlian Yuliadarwati
Published: December 2024

Cognitive impairment is one of the adverse effects for the elderly. Physiotherapy plays an important role in improving cognitive function in the elderly, namely by promotive, preventive, curative, and rehabilitative ways. Assessment of cognitive function with neuropsychological examination is the main key. A fairly popular cognitive function examination includes the Mini Mental State Examination (MMSE) Test. The method used was to provide counseling and examination related to cognitive impairment in the elderly using the MMSE (Mini Mental State Examination) questionnaire. Participants in counseling activities consisted of 30 elderly people. Before counseling the elderly are given questions (pre-test) about material about cognitive impairment. Furthermore, the elderly were given education related to cognitive impairment, then continued with a question and answer session, after that, the MMSE (Mini Mental State Examination) questionnaire was distributed. Pretest and posttest were conducted before and after counseling regarding the provision of cognitive function disorder material. Based on the data above, counseling activities carried out on understanding the elderly in the elderly griya husnul khotimah wajak related to the definition of cognitive function disorders, causes, signs and symptoms, and treatment, this is indicated by an increase in insight and knowledge of the elderly regarding cognitive function disorders in the elderly.
Dukungan Instrumental Terhadap Kesehatan Mental Remaja Korban Toxic Relationship di Platform Instagram
Authors: Nindi Nadia  , Ati Kusmawati
Published: December 2024

Dating during adolescence is considered normal, because you can get to know each other's character in the hope that it will progress to a more serious level. However, this hope is not always fulfilled by everyone, because when they are dating, violence occurs, which is called a toxic relationship. Having a toxic relationship can cause a person to have mental health problems, which can result in someone not being confident and isolating themselves from their surroundings. So, strong support is needed, such as instrumental support, which is direct and real support so that someone can be confident in carrying out daily activities. The aim of this research is to find out whether instrumental support influences the mental health of adolescent victims of toxic relationships on the Instagram platform and how instrumental support influences the mental health of adolescent victims of toxic relationships on the Instagram platform. This research used quantitative methods with 99 samples. The results of the research found show that there is an influence of instrumental support on the mental health of teenagers who are victims of toxic relationships, with a value of 0.994 which shows a positive value, this can be interpreted as an addition of 1% for each. So that Instrumental Support on Mental Health of adolescents obtained an influence level of 0.417 or it can be interpreted that the influence of Instrumental Support on Mental Health was 41.7% and the remaining 58.3% was influenced by other factors not included in this research.
Analisis Faktor-faktor yang Mempengaruhi Kepatuhan Ibu dalam Pemberian Imunisasi Dasar Lengkap (IDL) di Puskesmas Hamparan Perak Kecamatan Hamparan Perak Kabupaten Deli Serdang Tahun 2024
Authors: Dessy Ratna Sari  , Fawziyah Husna  , Debby Chyntia Yun  , Ariska Fauziyanti  , Ninsah Mandala Putri Sembiring
Published: December 2024

Background: Basic immunization services for children in Indonesia have been integrated starting from Posyandu, Community Health Centers and hospitals, however the overall basic immunization coverage is still below the target set by the government. Data from the Hamparan Perak Community Health Center shows that coverage of all types of complete basic immunization did not reach the target, and Deli Serdang Regency with the lowest IDL coverage in North Sumatra Province is Deli Serdang Regency. Objective: This study aims to analyze the factors that influence maternal compliance in providing complete basic immunization in Hamparan Perak sub-district, Deli Serdang district. Method: The research used quantitative research methods with a cross sectional study design which was carried out in the work area of ​​the community health center in Hamparan Perak sub-district, Deli Serdang district, starting from preparing the thesis to obtaining research results. The population in this study were mothers aged ≥ 18 years in the working area of ​​the health center in Hamparan Perak sub-district, Deli Serdang district. The sampling technique used in this research is probability sampling using simple random sampling with a sample size of 73 respondents. Results: The results of the study showed a significant influence between knowledge (p=0.03) and maternal compliance in providing immunizations, and there was no influence between perception (p=0.47), quality of immunization services (p=0.10), number children (p=0.46), distance to health services (p=0.74) and maternal compliance in providing complete basic immunization in Hamparan Perak sub-district, Deli Serdang district. Conclusion: the factor that most influences maternal compliance in providing complete basic immunization is knowledge. Suggestion: It is necessary to increase the role of health workers in providing good information to the public about the importance of immunization for babies, and it is hoped that this can also increase the public's positive perception of immunization.
Penerapan Water Tepid Sponge Terhadap Penurunan Suhu Tubuh Anak dengan Hipertermia di Ruang Anak RST Bhakti Wira Tamtama Semarang
Authors: Fitri Dwi Aprilia
Published: December 2024

This study employs a descriptive method with a case study approach. The participants in this research were pediatric patients who suffered from hyperthermia. The non-pharmacological intervention of tepid water sponge compresses is utilized effectively to lower body temperature in children. The compresses are applied to the forehead and axillary regions, and this procedure is conducted for 3 days, with each compress lasting 15 minutes. The findings from this study over the course of 3 days indicate that the use of tepid water sponge compresses is effective in reducing body temperature in children with hyperthermia.
Peran Kepala Sekolah dalam Mengoptimalkan Kemampuan Guru untuk Mengembangkan Tujuan Pembelajaran Berdasarkan Kebutuhan Siswa di SMPN 2 Golewa
Authors: Maria Imaculata Bhoki
Published: December 2024

This study aims to analyze the role of school principals in enhancing teacher competencies to design learning objectives aligned with student needs at SMPN 2 Golewa. The research utilized the School Action Research method, conducted in three cycles. The subjects consisted of 10 teachers requiring support in designing differentiated learning objectives. Data were collected through observation, interviews, and documentation, and analyzed qualitatively and quantitatively. The findings revealed significant improvements in the quality of lesson plans (RPP), average student evaluation scores, and student participation. The quality of lesson plans increased from an average score of 2.9 in the pre-cycle to 4.2 in the second cycle. Average student evaluation scores rose from 65.3 to 78.4, while student participation improved from 57% to 76.5%. Principal support through training, supervision, and reflection proved effective in enhancing teachers’ ability to design learning aligned with the Merdeka Curriculum. This study recommends regular training, teacher collaboration, and continuous monitoring to support teacher professional development. The findings are expected to serve as a reference for implementing school leadership that fosters differentiated learning.
Peningkatan Kompetensi Guru dalam Menyusun Tujuan Pembelajaran dan Alur Tujuan Pembelajaran Melalui Pendekatan Supervisi Akademik Kepala Sekolah di SMPN Satu Atap 3 Jerebuu
Authors: Dorothea Titu
Published: December 2024

This study aims to enhance the understanding and capabilities of teachers at SMPN Satu Atap 3 Jerebuu in implementing the Merdeka Curriculum, focusing on analyzing Capaian Pembelajaran (CP) into Tujuan Pembelajaran (TP), developing Alur Tujuan Pembelajaran (ATP), and establishing Kriteria Ketuntasan Tujuan Pembelajaran (KKTP). The method used is action research (PTS) with a cyclical approach consisting of planning, implementation, observation, and reflection. In the pre-cycle phase, it was found that teachers' understanding of the Merdeka Curriculum was still low, with an average questionnaire score of 2.0. The implementation of cycle 1 showed an improvement in understanding, but challenges in applying teaching practices remained. Subsequently, cycle 2 demonstrated significant progress, with the average questionnaire score increasing to 4.0, and teachers showed improved abilities in analyzing CP, developing ATP, and using more effective Kriteria Ketuntasan. Observations and interviews during cycle 2 revealed that teachers began to implement differentiated learning and project-based approaches more effectively, although challenges still needed to be addressed. This study recommends further training, practical support, and increased resources to better support the implementation of the Merdeka Curriculum in schools.
Faktor Psikologis yang Mempengaruhi Maharah Kalam Mahasiswa Pendidikan Bahasa Arab UIN SU Medan
Authors: Tria Wulandari  , Regina Valda Garzita  , Sahkholid Nasution
Published: December 2024

This study aims to explore the psychological factors that affect speaking ability in Arabic among Arabic Language Education students at UIN Sumatera Utara (UIN SU). Dominant psychological factors include language anxiety, motivation, self-efficacy, and self-confidence. Language anxiety serves as a major barrier to speaking due to fear of negative judgment. Meanwhile, high intrinsic and extrinsic motivation plays a significant role in encouraging students to be more active in practicing. High self-efficacy helps students feel more confident in their abilities even when making mistakes, while strong self-confidence provides encouragement to not fear making errors. The research method used is a descriptive qualitative approach, involving in-depth interviews, classroom observations, and literature analysis. The results of the study indicate that language anxiety hinders students' speaking ability, while high motivation and self-efficacy enhance their self-confidence and speaking skills. This study suggests the importance of applying teaching strategies that consider psychological factors and create a supportive environment to improve Arabic speaking skills among students.
5A MedAgent：面向患者教育的医疗大语言模型多智能体协作系统
Authors: 周 介立 , 周 禄庭 , 辛 弘毅
Published: December 2024

本研究提出了一个基于大语言模型的创新性多智能体协作平台——5A MedAgent系统，通过5个专业智能体［询问智能体（Ask Agent）、评估智能体（Assessment Agent）、建议智能体（Advice Agent）、安排智能体（Arrangement Agent）以及辅助智能体（Assistance Agent）］的协同运作，实现患者教育的全流程智能管理，为复杂疾病诊疗提供了更精准的个性化方案和专业解释，推动了智能医疗教育的发展。
AI时代医学知识创新与传播方式的重构
Authors: 高 承实
Published: December 2024

人工智能（artificial intelligence， AI）工具在知识创新与传播中存在巨大潜力。然而，AI工具在其应用中，也暴露出诸多伦理与合规问题，包括学术诚信风险、数据隐私与安全隐患、内容准确性不足、伦理责任界定不清以及学术规范的模糊化等。本文详细探讨了AI工具应用于医学研究和医学论文撰写的优势与不足，以及存在这些不足的背后原因，并针对数据保护、内容验证、伦理教育等问题给出了具体解决建议。此外，本文重点探讨了AI时代的医学知识创新与传播范式转换问题，以期推动AI技术在医学研究中的规范化应用。
Gendered Labor Rights Under Taliban Rule: Addressing Employment Inequality in Post-2021 Afghanistan
Authors: Haidari Adila
Published: December 2024

The Taliban's takeover of Afghanistan on August 15, 2021, marked a pivotal moment in the nation's history and had profound implications for women's labor rights. This policy brief identifies the drastic reduction in women employment as a profound socioeconomic challenge, exacerbated by the de facto authority’s restrictive policies towards women in the workforce. The study uniquely focuses on the intersection of gender and labor rights after regime change, analyzing the growing barriers to women's employment, which not only undermines gender equality but also threatens the broader socioeconomic stability of Afghanistan. This study aims to propose practical policy recommendations that address these inequalities and advocate for international intervention to protect women's labor rights in Afghanistan. Author utilized qualitative analysis, drawing from diverse policy documents and reports, to understand Afghan women's lived experiences under the Taliban regime. Key findings reveal that the Taliban's governance post-2021 has led to significant setbacks in women's employment across various sectors, contributing to economic regression and deepening gender disparities. The brief urges for international financial support to women-led organizations and the promotion of online and home-based employment, alongside relocation programs and rigorous data monitoring for effective policymaking.
Free Nutritious Meal Program as a Human Resource Development Strategy to Support National Defence
Authors: Sarjito Aris
Published: December 2024

The free nutritious meal program is designed to improve the nutritional quality of school children and pregnant women as part of a strategic effort to build quality human resources (HR). The background of this study is based on the importance of public health as a non-military element that supports national resilience. This study aims to analyze the contribution of the free nutritious meal program to improving the quality of HR and examine the role of healthy HR in supporting the country's defense strategy. A qualitative approach with a descriptive-analytical method was used in this study, with secondary data including policy documents, program reports, and academic literature. The results of the study indicate that the free nutritious meal program has significant potential to improve the nutritional status, health, and productivity of school children and pregnant women. In addition, healthy HR plays an important role in supporting social stability, economic readiness, and national resilience holistically. The conclusion of the study emphasizes the importance of synergy between health and defense policies in creating a healthy, productive, and competitive young generation. Policy recommendations include strengthening infrastructure, improving coordination between agencies, and diversifying funding to ensure the sustainability of this program.