bluuebunny/crossref_metadata_2025 huggingface dataset:
Phenotyping Refractory Cardiogenic Shock Patients Receiving Venous–Arterial Extracorporeal Membrane Oxygenation Using Machine Learning Algorithms
Authors: Wang Shuo , Wang Liangshan , Du Zhongtao , Yang Feng , Hao Xing , Wang Xiaomeng , Shao Chengcheng , Li Jin , Wang Hong , Li Chenglong , Hou Xiaotong
Published: August 2024

Background: This study used machine learning to categorize cardiogenic shock (CS) patients treated with venous–arterial extracorporeal membrane oxygenation (VA-ECMO) into distinct phenotypes. Subsequently, it aimed to clarify the wide mortality variance observed in refractory CS, attributing it to the condition’s inherent heterogeneity. Methods: This study enrolled a cohort of CS patients who received VA-ECMO support. By employing rigorous machine learning (ML) techniques, we generated and validated clusters based on determinants identified through algorithmic analysis. These clusters, characterized by distinct clinical outcomes, facilitated the examination of clinical and laboratory profiles to enhance the understanding of patient responses to VA-ECMO treatment. Results: In a study of 210 CS patients undergoing VA-ECMO treatment, 70.5% were male with a median age of 62, ranging from 53 to 67 years. Survival rates were 67.6% during VA-ECMO and 49.5% post-discharge. Patients were classified into three phenotypes based on the clinical and laboratory findings: “platelet preserved (I)”, those with stable platelet counts, “hyperinflammatory (II)”, those indicating significant inflammation, and “hepatic–renal (III)”, those showing compromised liver and kidney functions. Mortality rates (25.0%, 52.8%, and 55.9% for phenotypes I, Ⅱ, and Ⅲ, respectively (p = 0.005)) varied significantly among these groups, highlighting the importance of phenotype identification in patient management. Conclusions: This study identified three distinct phenotypes among refractory CS patients treated using VA-ECMO, each with unique clinical characteristics and mortality risks. Thus, highlighting the importance of early detection and targeted intervention, these findings suggest that proactive management could improve outcomes for those showing critical signs.
Postoperative Kinesiophobia in Patients with Acute Type A Aortic Dissection: A Cross-Sectional Study
Authors: Chen Yaqiong , Peng Yanchun , Huang Xizhen , Chen Liangwan , Lin Yanjuan
Published: August 2024

Background: This cross-sectional study explores postoperative kinesiophobia in patients with acute type A aortic dissection (AAAD), an understudied area. The occurrence of postoperative kinesiophobia and its relation to various factors were investigated. Methods: Patients diagnosed with AAAD and undergoing surgical treatment from January 2019 to December 2021 were selected through continuous sampling. Kinesiophobia levels were assessed using the Tampa Scale for Kinesiophobia Heart (TSK-SV-HEART). Univariate and multivariate regression analyses were employed to determine factors influencing kinesiophobia. Results: Out of 264 included patients, the mean postoperative kinesiophobia score was 38.15 (6.66), with a prevalence of 46.2%. Multivariate logistic regression revealed that education level, general self-efficacy, family care index, and facing style reduced kinesiophobia, while avoidance style and yielding style increased it. Conclusions: Postoperative kinesiophobia prevalence in AAAD patients is high and associated with diverse factors. Medical staff should remain vigilant to potential kinesiophobia during postoperative rehabilitation.
Atrial High-Rate Episodes and Subclinical Atrial Fibrillation: State of the Art and Clinical Questions with Complex Solutions
Authors: Griffith Brookles Carola , De Ponti Roberto , Russo Vincenzo , Ziacchi Matteo , Pelargonio Gemma , Casella Michela , Lauretti Maurelio , Vilotta Manola , Themistoclakis Sakis , D’Onofrio Antonio , Boriani Giuseppe , Anselmino Matteo , AIAC on behalf of
Published: August 2024

Atrial high-rate episodes (AHREs) and subclinical atrial fibrillation (AF) are frequently registered in asymptomatic patients with cardiac implantable electronic devices (CIEDs) and insertable cardiac monitors (ICMs). While an increased risk of thromboembolic events (e.g., stroke) and benefits from anticoagulation have been widely assessed in the setting of clinical AF, concerns persist about optimal clinical management of subclinical AF/AHREs. As a matter of fact, an optimal threshold of subclinical episodes’ duration to predict stroke risk is still lacking and recently published randomized clinical trials assessing the impact of anticoagulation on thromboembolic events in this specific setting have shown contrasting results. The aim of this review is to summarize current evidence regarding classification and clinical impact of subclinical AF/AHREs and to discuss the latest evidence regarding the potential benefit of anticoagulation in this setting, highlighting which clinical questions are still unanswered.
Outcome of Transcatheter Aortic Valve Replacement for Pure Native Aortic Regurgitation in Patients with Pulmonary Hypertension
Authors: Lin Da-wei , Weng Zi-long , Fan Jia-ning , Long Yu-liang , Guan Li-hua , Pan Wen-zhi , Zhou Da-xin , Ge Jun-bo
Published: August 2024

Background: In recent years, transcatheter aortic valve replacement (TAVR) has emerged as a pivotal treatment for pure native aortic regurgitation (PNAR). Given patients with severe aortic regurgitation (AR) are prone to suffer from pulmonary hypertension (PH), understanding TAVR’s efficacy in this context is crucial. This study aims to explore the short-term prognosis of TAVR in PNAR patients with concurrent PH. Methods: Patients with PNAR undergoing TAVR at Zhongshan Hospital, Affiliated with Fudan University, were enrolled between June 2018 to June 2023. They were categorized based on pulmonary artery systolic pressure (PASP) into groups with or without PH. The baseline characteristics, imaging records, and follow-up data were collected. Results: Among the 103 patients recruited, 48 were afflicted with PH. In comparison to PNAR patients without PH, the PH group exhibited higher rates of renal dysfunction (10.4% vs. 0.0%, p = 0.014), increased Society of Thoracic Surgeons scores (6.4 ± 1.9 vs. 4.7 ± 1.6, p < 0.001), and elevated Nterminal fragment of pro–brain natriuretic peptide (NT-proBNP). Transthoracic ultrasound examination revealed that patients with PH displayed lower left ventricular ejection fraction, larger left ventricle dimension, and more frequent moderate to severe tcuspid regurgitation (TR). Following TAVR, both groups experienced significant reductions in PASP, mitral regurgitation (MR) and TR. There were no significant differences in the incidence of postoperative adverse events in patients with or without PH. Conclusions: We found TAVR to be a safe and effective treatment for patients with PNAR and PH, reducing the degree of aortic regurgitation and PH without increasing the risk of postoperative adverse events.
The Vectorcardiogram Characteristic and Its Predictive Value for Reduced Left Ventricular Ejection Fraction of Children with Duchenne Muscular Dystrophy
Authors: Cui Yaru , Shao Shuran , Zhang Linling , Tang Liting , Xie Peihuan , Wei Li , Duan Hongyu , Hua Yimin , Cai Xiaotang , Zhou Kaiyu , Wang Chuan
Published: August 2024

Background: The prognosis of Duchenne muscular dystrophy (DMD) is poor once it develops to the stage of cardiac impairment. Recent studies have demonstrated that electrocardiogram (ECG), which consists of general ECG and vectorcardiogram (VCG), retains an extremely powerful role in the assessment of patients with reduced left ventricular (LV) systolic dysfunction. However, data regarding VCG recordings in DMD and its prognostic value for reduced left ventricular ejection fraction (LVEF) of DMD have never been reported. This study aims to describe the characteristics of VCG in children with DMD and to explore the predictive value of VCG for reduced LVEF in children with DMD. Methods: A total of 306 patients with a known diagnosis of DMD confirmed by the genetic test were retrospectively enrolled at our hospital between August 2018 and August 2022. This resulted in a total study group of 486 VCG recordings. Among them, 75 DMD patients who underwent cardiac magnetic resonance (CMR) later after one year follow-up were prospectively enrolled. The trend of VCG parameters of DMD patients across the different age span were compared with age-matched normal children. Concordance statistic analysis was further performed to assess the validity of VCG parameters in predicting the occurrence of reduced LVEF in patients with DMD. Results: DMD patients have a significantly higher heart rate, R waves in V1, QRS loop percentage in the right anterior quadrant in the horizontal plane (horizontal quadrant II) and QRS loop percentage in the anterior superior quadrant in the sagittal plane (sagittal quadrant IV) than normal children. Concordance statistic (C-statistic) showed an area under the curve of quadrant IV in the sagittal plane of baseline was 0.704. The receiver operating characteristic (ROC) curve shows that quadrant IV in the sagittal plane of 7.57% was the optimal cutoff with a sensitivity of 53.3% and a specificity of 88.3% for predicting reduced LVEF in DMD patients. Conclusions: Our study firstly showed that QRS loop percentage in the right anterior quadrant in the horizontal plane (horizontal quadrant II) and QRS loop percentage in the anterior superior quadrant in the sagittal plane (sagittal quadrant IV) could be abnormal in DMD boys as early as before 5 years old. Evaluation of the myocardium by VCG in the early age to predict possible cardiac systolic dysfunction may have important implications for the ongoing management of DMD boys.
Analisis Insider Threat pada Sistem Keamanan Rumah Cerdas Menggunakan Malicious Traffic Monitoring
Authors: Hariyadi Dedy , Finansia Cici
Published: August 2024

Ancaman serangan siber semakin banyak dan kompleks, berdasarkan catatan Badan Siber dan Sandi Negara (BSSN) bahwa di Indonesia pada tahun 2022 terdapat anomali trafik atau malicious traffic ratusan juta. Berdasarkan sumber ancaman maka dapat serangan siber dapat dikategorikan serangan siber yang bersumber dari internal (insider threat) dan serangan siber yang bersumber dari luar (outsider threat). Saat ini serangan siber tidak hanya dari luar atau outsider karena serangan siber dapat bersumber dari perangkat yang digunakan atau kebiasaan pengguna dalam mengakses internet. Untuk mendeteksi ancaman serangan siber pada ekosistem rumah cerdas menggunakan penelitian ini mengadopsi metode Network Development Life Cycle (NDLC). Berdasarkan hasil analisis pada ekosistem rumah memungkinkan diterapkan teknik port mirroring pada router. Sehingga pada perancangan mengggunakan Miktorik dan MalTrail sebagai sensor deteksi malicious traffic untuk mengetahui aktivitas anomali. Hasil dari penelitian ini menunjukan bahwa ancaman serangan siber yang bersumber dari internal dapat disebabkan dari kebiasaan pengguna dalam mengakses internet. Sedangkan perangkat cerdas yang terpasang dalam penelitian ini tidak ditemukan adanya malicious traffic atau aktivitas anomali. Maka penelitian ini masih perlu dilakukan improvisasi menggunakan teknik network packet capture.
Finding Most Important Criteria in Women's Empowerment for Sports Sector by Pentagonal Fuzzy DEMATEL Methodology
Authors:   Department of Applied Mathematics, Maulana Abul Kalam Azad University of Technology, West Bengal, 741249, India, Gazi Kamal Hossain , Raisa Nishat ,   Salt Lake School, CA Block, Bidhannagar, Kolkata - 700064, West Bengal, India, Biswas Aditi ,   Department of Basic Science and Humanities, Greater Kolkata College of Engineering & Management, West Bengal, India, Azizzadeh Fariba ,   Department of Management, Islamic Azad University, Piranshahr (Urmia), Iran, Mondal Sankar Prasad ,   Department of Applied Mathematics, Maulana Abul Kalam Azad University of Technology, West Bengal, 741249, India
Published: August 2024

Research on women's empowerment in the sports sector is a key factor for considering the important issues that impact women’s leadership, participation, and achievement in sports. Recognizing various key challenges in terms of research helps to progress targeted suitable strategies and favorable policies that promote equity and inclusivity. In this research article, the approaches for finding the most important criterion in women's empowerment for sports are demonstrated. The relevant criteria are short out by doing a literature review, experts' opinions, and direct interaction with associated persons in the sports sector. The solution methodology for finding the criterion preferences is taken as a well-known multi-criterion decision-making method, namely the decision-making trial and evaluation laboratory (DEMATEL) method. Due to the presence of uncertainty in the data sets, pentagonal fuzzy sets data is considered. The whole proposed approach is followed by numerical and graphical illustrations.
Guiding Attention in the Classroom: An Eye-Tracking Study on the Associations Between Preservice Teachers’ Goals and Noticing of Student Interactions
Authors: Daumiller Martin , Böheim Ricardo , Alijagic Aldin , Lewalter Doris , Gegenfurtner Andreas , Seidel Tina , Dresel Markus
Published: August 2024

Background. Teachers’ goals play an important role in teaching quality and student outcomes. However, the processes through which this aspect of teacher motivation translates into specific teaching behaviors remain unclear.Aims. This study investigates how goals directed at students and the classroom are associated with visual information processing of classroom events, aiming to link teacher motivation with professional vision.Sample. The study involved 51 preservice teachers with an average of 36 days of practical teaching experience.Methods. Participants’ eye movements were recorded through eye tracking while they observed a video stimulus of an 11th-grade mathematics classroom. Through an interview, participants specified their goals for individual students and the whole classroom after having watched the start of the video stimulus. During the rest of the three-minute-long simulation, eye-tracking rec-orded the number and duration of fixations on students.Results. Goals directed at individual students were associated with more and longer fixations. In contrast, goals targeting the entire classroom were associated with shorter fixation durations on individual students, indicating a more even distribution of visual attention. Especially mastery goals drove these patterns; nuanced effects were observed depending on goal content and the visual saliency of student behaviors.Conclusions. Preservice teachers’ student-oriented goals shape their visual attention in the class-room, influencing how they perceive the interaction with students. This research highlights the importance of integrating teacher motivation with professional vision to understand the cogni-tive pathways that link motivation to teaching behaviors. The study also demonstrates the utili-ty of eye-tracking technology in exploring these processes.
Student Satisfaction towards College Canteen Services in Chitwan and Nawalpur Districts of Nepal
Authors: Rawal Sandeep , Kushwaha Satyendra , Gurung Saugat
Published: August 2024

Every student experiences hunger and seeks to satisfy it with clean, well-balanced foods. College canteens have been established primarily to meet this need, serving as essential gathering places where students can enjoy delicious and nutritious meals. This study applied a non-experimental descriptive correlational research design to investigate the correlation between student satisfaction and the quality of canteen services in the Chitwan and Nawalpur districts of Nepal. A total of one hundred and three candidates responded to the questionnaires, which were distributed on a completely random basis. The data from these one hundred and three samples were analyzed using statistical tools to measure canteen service quality across parameters such as assurance, empathy, reliability, responsiveness, and tangibility. Based on dimensions like facilities, features, ambiance, cleanliness, and cost, the satisfaction of students was evaluated. Multiple metrics were employed to enable a multi-dimensional assessment.
The study applied relevant analytical tools like Pearson’s correlation and regression analyses to enhance the reliability and precision of insights into the relationship between service quality and student satisfaction. The findings indicated that students regarded the level of service at the canteen as moderately satisfactory, with overall student satisfaction. A notable positive correlation was identified between the level of canteen services and student satisfaction, highlighting specific aspects such as tangibility and empathy that strongly influence this association. Therefore, it is suggested by the study that prioritizing the enhancement of service quality by college canteen managers should entail focusing on improving the tangibility and empathy aspects identified as significant indicators of student satisfaction in this study.
Pengaruh Penyuluhan Tentang Perubahan Psikologis Pubertas Terhadap Pengetahuan Remaja Terhadap Pubertas Di Desa Kontunaga
Authors: Mansyarif Rosminah , Husuni Wa Ode Sitti Fidia , Usman Andi Sri Hastuti Handayani
Published: August 2024

During adolescence there are many changes both physically and psychologically, as a transition period from children to adults. This causes teenagers to vulnerable experience problems in terms of reproductive health. The aim of this research is to see the effect of providing counseling on adolescents' level of knowledge about psychological changes during puberty. The type of research is experimental with Pre Experimental Design design. The population was all 29 young women in Kontunaga village. Technique uses total sampling, namely the entire population is the sample. The research results found that there was a change in the number of teenagers who had high knowledge before and after the counseling. The results showed that there was an increase number of teenagers who had high knowledge after the counseling, namely pre-test data of 13 people and at the post-test data of 21 people. The results of the Wilcoxon statistical test analysis using SPSS 16, where the significance value is 0.000 < 0.05, which means Ho is rejected and Ha is accepted. It can be concluded that there is an influence of counseling on the level of knowledge of psychological changes during puberty in Kontunaga village teenagers.
Tumekung Dan Healing Touch Terhadap Tingkat Kecemasan Ibu Hamil Primigravida Trimester III
Authors: Risyanti Berty , Novianti Silvi Teni , Indriati Maya , Hartiningsih Siti Sugih
Published: August 2024

One frequent mental condition that many pregnant women experience is anxiety. Anxiety is a natural response to perceived danger, but it may progress to a major mental health issue if it becomes chronic and gets in the way of everyday functioning. As a consequence of their concerns about giving birth and their ability to care for their newborns afterwards, seven out of ten primigravida pregnant women surveyed in a pilot study during annual prenatal exams reported experiencing anxiety. Tumekung and healing touch are two non-pharmacological approaches to anxiety treatment. The purpose of this research was to find out how tumekung and healing touch affected the anxiety levels of first-time mothers in their third trimester of pregnancy. Two research groups, one for experiments and one for controls, make up this study's quasi-experimental design. Using the Paired T test and the Independent T-Test, we may analyse both univariate and bivariate data. With a p-value of 0.00 <0.05, which is less than the degree of error, the analytical test rejects H0 and accepts H1. In conclusion, pregnant women at the Padasuka Health Centre in Bandung City's Cibenying Kidul District reported significantly lower anxiety levels after receiving tumekung and healing touch
ADAPTASI TEKNOLOGI DAN PERMASALAHAN KAPASITAS SUMBER DAYA MANUSIA DI WISATA KAMPUNG ADAT SEGUNUNG
Authors: Prasandi Djenggala , Nuryananda Praja Firdaus
Published: August 2024

This article is the result of a study, desk and field research, which was carried out by a team of researchers at the tourist destination of the Kampung Adat Segunung, Carangwulung Village, Jombang, Indonesia. Kampung Adat Segunung has adapted digital technology to encourage their tourism, such as creating a website page, creating Instagram social media, and utilizing the loket.com application as an online ticketing system. However, the adaptations that were made did not automatically encourage tourism in Segunung to become more advanced. Kampung Adat Segunung is now burdened with their dependence on third parties as parties who provide ICT instrument management services for Kampung Adat Segunung. By using a descriptive-qualitative method, the research conducted found that the premise of digital technology adaptation can help the advancement of tourist destinations seems to have to be revised slightly. Adaptation of digital technology must meet the contextual requirements of the location where tourism is located so that it can run more effectively and succeed in driving progress. Kampung Adat Segunung has difficulty identifying this, even though the existing human resources are still not qualified to adapt digital technology. Data collection was carried out by means of library research, participatory observation, and in-depth interviews with the tourism managers of the Kampung Adat Segunung.
STRATEGI PEMULIHAN DAYA TARIK WISATA ANTAP PADA MASA TRANSISI KENORMALAN BARU
Authors: Hariyadi Bagus Reza , Afif Fuadi , Firmansyah Dian Bayu , Herliana Monika , Prasetyowati Henggar
Published: August 2024

Sepanjang tahun 2020, sektor pariwisata Indonesia terkena dampak dari pandemi COVID-19 yang masuk ke Indonesia. Salah satu sektor yang terpengaruh dan mendapatkan dampak yg signifikan adalah objek wisata Antap yang terletak di desa wisata Cikakak, Banyumas. Tujuan dari penelitian ini yakni untuk mengetahui dan mengamati bentuk strategi pemulihan yang dipilih kemudian dilakukan oleh pengelola objek Wisata Antap dalam menghadapi tatanan kenormalan baru. Penelitian ini menggunakan metode penelitian deskriptif kualitatif dengan teknik pengumpulan data primer meliputi wawancara mendalam dan didukung oleh data sekunder pengumpulan dokumen. Hasil penelitian yang diperoleh, diketahui bahwa pandemi COVID-19 berdampak pada objek wisata ini dan bersifat sangat signifikan. Adapun dampak pandemi COVID-19 yang ditimbulkan ialah jumlah kunjungan wisatawan ke Wisata Antap semakin menurun bahkan hingga tidak ada kunjungan. Keadaan tersebut memaksa pengelola Wisata Antap untuk membuat strategi baru untuk pemulihan tatanan kehidupan baru. Pihak pengelola Wisata Antap mempunyai tiga strategi (inovasi, adaptasi, kolaborasi) berdasarkan Program Strategis Pemulihan Sektor Parekraf 2020/2021 yang dirilis Kementerian Pariwisata dan Ekonomi Kreatif untuk mempercepat pemulihan pariwisata.  Inovasi adalah hal utama dan harus ada perubahan produk atraksi wisata yang lebih berbasis ekowisata. Adaptasi yaitu beradaptasi dengan kondisi pandemi yaitu meningkatkan penerapan CHSE di dalam obyek wisata Antap. Kolaborasi bekerjasama dengan setiap stakeholder untuk penyediaan sarana dan prasarana penunjang kegiatan pariwisata di transisi kenormalan baru.
دور الشرطة في الثورة المصرية المضادّّة
Authors: الحملاوي حسام
Published: August 2024

تبحث هذه الدراسة في دور جهاز الشرطة في مصر خلال ثورة 25 يناير 2011 والثورة المضادة التي تلت انقلاب عام 2013 . تبدأ الدراسة بعلاقة كل من المجلس العسكري والرئيس محمد مرسي بجهاز الشرطة، ثم تبحث في مظاهر ارتداد وزارة الداخلية وأجهزتها الأمنية لممارساتها القمعية القديمة، بما في ذلك عمليات القتل والتعذيب خارج نطاق القانون. وأوضحت الدراسة أن الجهاز الأمني ظلّّ يعاني التشظّّي، واتسم هيكله بتداخل الصلاحيات وإعطاء الأولوية للتنافس على الموارد لا التنسيق. لكن التهديد الوجودي الذي سبّّبته ثورة عام 2011 ، دفع الجهاز القمعي إلى توحيد صفوفه لمواجهة التهديد الملموس المهيمن الذي تمثّّله الاضطرابات الشعبية، وبعد عام 2013 ، شارك الجيش والأجهزة الاستخبارية الأخرى في تكريس قمع المعارضة بشتى أشكالها، مع إفلات شبه كامل من العقاب.
The scarcity dilemma in lupus nephritis: A rare case of diffuse alveolar hemorrhage and its multitargeted management
Authors: Badrinath Thannushree Aritakulu , Pathak Nabadwip , Thampan Sebin John , Gunasekaran Indira
Published: August 2024

Systemic lupus erythematosus (SLE) is an autoimmune disease that often involves lupus nephritis, affecting the kidneys. A severe and rare complication of SLE is diffuse alveolar hemorrhage. When both conditions occur together in a young male, the prognosis is generally poor. Managing SLE effectively requires strong immunosuppression, but despite the availability of new immunosuppressive agents, treating lupus nephritis remains challenging. Many patients do not achieve complete remission with conventional treatments, highlighting the need for better therapeutic strategies. Research indicates that targeting multiple components of the immune system can be more effective for patients who do not respond to standard treatments, leading to the adoption of multitarget therapy in lupus nephritis.
We present a case report of a young male with biopsy-proven Class IV lupus nephritis and diffuse alveolar hemorrhage who did not respond well to conventional treatments but showed improvement with a multitargeted treatment regimen.
A new variable emerges to guide the decision when choosing surgical options for renal stones larger than 20 mm
Authors: Alwan Mohammed Ghanim , Nima Montadhar Hameed , Al-Omary Thaer Saleh Sabor
Published: August 2024

Renal stones pose a significant health burden affecting many of the global population. When stones exceed 20 mm, invasive urological interventions become necessary. The study aimed to compare the effectiveness of percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS) in managing renal stones above 20 mm.
Methods. This prospective interventional study was conducted over four years (June 2019 - June 2023) in multiple centers including Ghazi Al-Hariri Hospital, a Beirut private hospital, and a private clinic in Baghdad. A total of 240 patients with renal stones sized 20-40 mm were enrolled, excluding those with specific medical conditions. Patients were divided into two groups: 116 underwent RIRS and 124 underwent PCNL. The evaluation included sociodemographic and medical history, clinical and laboratory assessments, imaging studies, and follow-ups for three months post-surgery. Statistical analysis was performed using SPSS version 26.
Results. The mean surgical time was significantly lower in the RIRS group (83.51 ± 21.7 minutes) compared to the PCNL group (98.12 ± 22.1 minutes) (p = 0.001). The mean hospital stay was also significantly shorter in the RIRS group (1.9 ± 1.0 days) compared to the PCNL group (3.2 ± 1.3 days) (p = 0.001). The prevalence of minor complications (Clavien I) was higher in the RIRS group (15.5%) than in the PCNL group (6.5%) (p = 0.037). However, moderate to severe complications (Clavien II and III) were higher in the PCNL group (Clavien II: 10.5% vs. 3.4%, p = 0.033; Clavien III: 4.8% vs. 0%, p = 0.016).
The stone-free rate in the RIRS group was significantly higher among patients with longitudinal stones (93.8%) compared to globular stones (54.3%) (p = 0.001). No significant differences were detected in BMI (p = 0.065) and stone size (p = 0.112) between those with successful and unsuccessful procedures in the RIRS group.
Conclusions. Stone shape, especially longitudinal, is a crucial factor in choosing between RIRS and PCNL for renal stones >20 mm. RIRS offers advantages in surgical time, hospital stay, and minor complications, with higher success rates for longitudinal stones. Future research should focus on multivariate analyses considering stone size, shape, and configuration to determine the most effective treatment strategies for large stones.
Effect of obesity and blood pressure dipping status on left ventricular mass in normotensive young adults
Authors: Fitriani Nur , Bakri Syakib Bakri , Kasim Hasyim , Rasyid Haerani , Zatalia Sitti Rabiul , Machmud Nasrum , Albaar Ahkyar , Aman Andi Makbul , Tendean Pendrik , Pango Faridin , Pattelongi Ilham Jaya
Published: August 2024

Despite the established links between obesity, blood pressure variability, and cardiovascular risks, the specific impact of the interaction between obesity and non-dipping blood pressure status on left ventricular mass (LVM) in normotensive individuals remains underexplored. Most studies have focused on hypertensive populations, leaving a critical gap in understanding how these factors contribute to cardiovascular changes in normotensive young adults. This study aims to address this gap by examining the combined effects of obesity and blood pressure dipping status on LVM in a normotensive cohort of young subjects.
Methods: This cross-sectional study was conducted at Hasanuddin University Hospital and Central General Hospital (RSUP) Dr. Wahidin Sudirohusodo from March 2023, with a sample of 63 subjects divided into 32 dippers and 31 non-dippers. Interviews and ambulatory blood pressure monitoring (ABPM) were used to collect blood pressure data and history of hypertension. LVM measurements were obtained via echocardiography. Data were analyzed using SPSS version 25, with statistical significance set at p<0.05.
Results: LVM was significantly greater in males, obese individuals, and non-dippers compared to females, non-obese individuals, and dippers (178.2±141.6 g vs. 102.68±32.1 g; 156.3±124.3 g vs. 101.39±26.02 g; 150.5±118.6 g vs. 103.5±38.4 g with p=0.029, p=0.026, p=0.037, respectively). Both non-dipping status and obesity significantly affected LVM, with odds ratios of 4.27 and 3.31, respectively (p<0.05). Non-dipping status was the dominant factor affecting LVM, with the lowest risk observed in the dipping and non-obese group (OR=1.00).
Conclusion: Obesity and non-dipping blood pressure status, and their interaction, increase LVM. It is necessary to control obesity in young adults even if they are normotensive.
Gamification and its impact on hospitalized children
Authors: Anbarasi Johnson Mary
Published: August 2024

This paper explores the impact of gamification on hospitalized children, highlighting its significant benefits in enhancing engagement, pain management, education, emotional support, and social interaction. Gamification integrates game design elements into healthcare settings, making treatments more appealing and less intimidating for young patients. Examples include pain management apps, rehabilitation games, educational tools, and VR-based distractions during medical procedures. Research indicates that gamification can reduce pain and anxiety, improve adherence to treatment protocols, and enhance overall hospital experiences. Despite its promise, challenges such as individual preferences, accessibility, and balancing screen time must be addressed. The findings suggest that gamified interventions can substantially improve the physical and emotional well-being of pediatric patients, underscoring the need for thoughtful implementation and continuous research to maximize their benefits.
Analisis Konsep Triple Bottom Line dalam Program Corporate Social Responsibility di Kampung Berseri Astra Gedangsari
Authors: Kusuma Alan , Fajri Choirul
Published: August 2024

Program Corporate Social Responsibility merupakan sebuah kewajiban bagi perusahaan yang ada di Indonesia. Penelitian ini fokus pada penerapan konsep Triple Bottom Line dalam program Corporate Social Responsibility yang dijalankan oleh PT Astra International Tbk di Kampung Berseri Astra Gedangsari. Dengan menggunakan pendekatan kualitatif deskriptif dan kajian pustaka, penelitian ini mengumpulkan data dari berbagai sumber, termasuk laporan tahunan perusahaan dan media daring, untuk mengevaluasi efektivitas program CSR yang berfokus pada aspek sosial, ekonomi, dan lingkungan. Hasil penelitian menunjukkan bahwa program ini berhasil meningkatkan kualitas hidup masyarakat lokal melalui inisiatif di bidang pendidikan, kewirausahaan, kesehatan, dan lingkungan.
Autoevaluación mixta para la motivación y satisfacción universitaria.
Authors: Ibáñez Fernández Damián
Published: August 2024

Introducción: Ante la falta de motivación y satisfacción en los cursos universitarios, se han desarrollado diversas metodologías docentes para incrementar el interés y la participación estudiantil. Una de estas metodologías es la autoevaluación, que permite a los estudiantes comprender mejor su nivel de aprendizaje y facilitar el estudio de elementos clave. Metodología: Este estudio exploró técnicas de autoevaluación continua y extraordinaria, combinadas con una comunicación abierta entre docente y estudiantes, para aumentar la satisfacción y el rendimiento académico. Se aplicaron en un apartado práctico de una asignatura de primer año, donde el abandono y la insatisfacción son más altos. Los alumnos se dividieron en dos grupos de prácticas, implementando las actividades de autoevaluación solo en uno de ellos, y se compararon los resultados académicos entre ambos grupos. Resultados: Los resultados mostraron que, aunque la autoevaluación no tuvo un gran impacto en la asistencia, sí se observó un efecto positivo en los resultados académicos y el nivel de satisfacción del grupo que la practicó. Discusión: Estos hallazgos sugieren que la autoevaluación puede ser una herramienta efectiva para mejorar el rendimiento y la satisfacción estudiantil. Conclusiones: La autoevaluación, junto con una comunicación abierta, puede contribuir a mejorar la satisfacción y el rendimiento académico, especialmente en cursos con altos índices de abandono.
Психолого-педагогічні особливості формування пізнавальних інтересів учнів молодшого шкільного віку
Authors: Дубровська Л. О. , Горянська А. М. , Пісоцький В. П.
Published: August 2024

Стаття присвячена розкриттю проблемі формування пізнавальних інтересів та інтелектуального розвитку у молодших школярів, проблемі співвідношення навчання і розумового розвитку. Автори пропонують підхід до формування у молодших школярів пізнавальних інтересів в процесі навчальної діяльності. У статті досліджуються проблеми розумового та інтелектуального зростання учнів, що зумовлюють розвиток розумової діяльності школярів та підвищують їх інтелектуальний рівень. Зазначено, що в молодших класах в учнів формуються основні інтелектуальні уміння, необхідні для успішного оволодіння курсом середньої школи, розвиваються пізнавальні сили і здібності дітей, зміцнюються їхні уміння і навички самостійно засвоювати й осмислювати навчальний матеріал. Найважливішою умовою виховання цих якостей є підвищення пізнавальної активності дітей, розвиток пізнавальних інтересів та інтелектуальний розвиток молодшого школяра. На основі аналізу психолого-педагогічної літератури, визначено, що інтелектуальний розвиток дитини в більшості залежить від того, в якому віці починають з нею займатись і наскільки інтенсивною буде її розумова робота. Підкреслено, що розумовий розвиток включає в себе ряд психічних процесів, таких як розвиток спостережливості та сприйняття, пам’яті, мислення, уяви, уваги і кожен з цих процесів пов’язаний з іншими. Наголошено, що до початку молодшого шкільного віку сприйняття і пам’ять уже пройшли досить довгий шлях розвитку. Завдяки переходу мислення на новий, вищий щабель, відбувається перебудова всіх інших психічних процесів: пам’ять стає смисловою, а сприйняття осмисленим. Перехід мислення на новий щабель і пов’язана з цим перебудова всіх інших пізнавальних процесів складають основний зміст розумового розвитку в молодшому шкільному віці. Зауважено, що навчання та виховання ґрунтується на активній позиції школярів, їхній пізнавальній самостійності. Актуальним сьогодні є впровадження в навчаль[1]ний процес таких засобів активізації, як системи пізнавальних, інтелектуальних і творчих завдань, різні прийоми співробітництва і навчального діалогу, групової та індивідуальної роботи, що сприяють зміцненню інтересів дітей.
Advancing Pakistan's Criminal Investigation System: Embracing Modern Practices
Authors: Rani Tabinda , Nawaz Khan Arshad , Gul Sabeela
Published: August 2024

This research paper is an attempt to understand and review the prevailing criminal investigation system and the criminal investigation procedures in the context of Pakistan.It also aims to analyze the modern techniques of criminal investigation being used around the globe and focus on remodeling the investigation system of Pakistan based on modern-day techniques and scientific instruments. The study employed qualitative methodology. Field research, surveys, different principles, approaches, and backgrounds used in the research were derived from assessments of law books, reports, newspapers, journals, and articles. A comparative analysis between one of the modern-day investigation systems, i.e., the United States, is drawn so that a better idea could be obtained of how the investigation system can remodel, based on modern trends and what loopholes need to be addressed. The findings provide insights that can be constructive for reforms and the growth of criminal investigation in Pakistan using modern and scientific techniques.
The Acquisition of Modern Technologies by the Indian Military: Strategic Security and Geopolitical Implications for Pakistan
Authors: Farooq Ahmad
Published: August 2024

A comprehensive military modernization plan is being followed by India; despite many regional impediments it has acquired enough state-of-the-art weapons in various fields. Resultantly this has enhanced the insecurity spectrum in the region and Pakistan in particular. In this regard, strategic stability and balance of power in the South Asia region particularly among Pakistan and India is muddling. In the light of geostrategic compulsions, India has been successful in receiving unflinching assistance, especially from the US-led Western world primarily against China. Furthermore, one of the most regional impediments is a perpetual arms race in the region which is considered to be an eminent challenge for regional development and prosperity. However, the spillover effect of foreign-backed Indian military modernization has posed certain compulsions on Pakistan to enhance its military capability. Such regional developments are exponentially maximizing the existing vacuum triggered by territorial conflicts and ideological differences between Pakistan and India.
Are Composite Subjects Possible?
Authors: S Siddharth
Published: August 2024

Panpsychism, the view that phenomenal consciousness is present at the fundamental physical level, faces the subject combination problem––the question of whether (and how) subjects of experience can combine. While various solutions to the problem have been proposed, these often seem to be based on a misunderstanding of the threat posed by the subject combination problem. An example is the exchange in this journal between Siddharth (2021) and Miller (2022). Siddharth argued that the phenomenal bonding solution failed to address the subject combination problem, while Miller responded that Siddharth had (among other things) misunderstood the problem that the phenomenal bonding solution was trying to solve. In this paper, I seek to clarify the real subject combination problem facing panpsychism, and on this basis, evaluate the various attempts at defending the possibility of subject composition.
Karakteristik Beton Menggunakan Bambu Ampel Sebagai Pengganti Sebagian Agregat Kasar
Authors: Zhafirah Athaya , Nugraha Wildan Taufik
Published: August 2024

Teknologi material konstruksi semakin berkembang sehingga muncul berbagai macam inovasi, salah satunya penggunaan bambu sebagai pengganti bahan campuran beton. Tujuan penelitian untuk mengetahui pengaruh penggunaan potongan bambu sebagai pengganti sebagian agregat kasar terhadap karakteristik beton. Metode yang digunakan adalah eksperimental di laboratorium. Bambu yang digunakan berjenis ampel dengan variasi 10%, 15%, dan 20% terhadap agregat kasar. Hasil kuat tekan pada beton normal 25,37 MPa, sedangkan campuran 10%; 15%; dan 20% berturut-turut 15,34 MPa; 13,33 MPa; dan 12,59 MPa. Hasil kuat tarik belah pada beton normal 2,37 MPa, sedangkan campuran 10%; 15%; dan 20% berturut-turut 2,23 MPa; 1,83 MPa; dan 1,65 MPa. Potongan bambu mengakibatkan berkurangnya pengikatan antara semen dengan agregat kasar, karena tingkat penyerapan air dan tingkat keausan pada bambu tinggi, serta kecenderungan penyusutan bambu saat pengerasan beton.
Evaluasi Kinerja Pelayanan dan Tarif Sistem Angkutan Umum Berbasis Bus di Kota Semarang (Studi Kasus : Bus Trans Semarang Koridor I Rute Terminal Penggaron – Terminal Mangkang)
Authors: Mira Lestira Hariani  , Varadila Vanny , Mukhlis Jafar
Published: August 2024

Service quality and fares are very important parameters in the operation of the public transport system. BRT Trans Semarang is a bus-based public transportation system in Semarang city that is operated to overcome congestion and accommodate the movement of people in Semarang City. This study aims to evaluate the service performance and fares of BRT Trans Semarang and to determine the level of user satisfaction. The methods used in this study are observation, interviews, questionnaires and primary surveys. The data obtained is processed, analyzed and all indicators are evaluated referring to the Technical Guidelines for Organizing Public Transport in Urban Areas in the Fixed and Regular Routes of the Director General of Land Transportation 2002. The results show that: 1) overall the performance of BRT Trans Semarang services has met the standards , and there are 2 (two) indicators that doesn't meet the standards, are the average loading factor (utilization factor) and passenger waiting time; 2) Most passengers are satisfied with BRT Trans Semarang services; 3) The exixting fare applied is below the amount of the cost operation issued by the operator so it needs Government support (subsidies) to ensure BRT Trans Semarang can continue operate.
The Use of Describing Picture Strategy in Improving the Students’ Speaking Ability at UPTD SMPN 22 Barru
Authors: Wahyuni Wahyuni , Khadijah Maming  , Sudarmanto Sudarmanto
Published: August 2024

The purpose of this study is to improve students speaking skill because the describing picture strategy method is a good method to improve students speaking skill, students self-confidence is also better able to build, students can also be more active in class and learn in English. The researcher use pre-experimental to carry out their research. The population in this study were all students eight class of SMPN 22 Barru for academic year 2021-2022. The researcher took one class of the second grade students at SMPN 22 Barru as the sample. It was class VIII-1 consisted of 32 students. The researcher used a oral test as the instrument to get the data. To collect the data, the researcher gave students twice test, there are pre-test and post-test. The researcher gave directions to students namely describing picture in the class with a minimum speaking duration of 5 minutes for the pre-test. The researcher asked the students to describe norally the picture which given by the researcher for the post-test.The results of the data analysis of the students average scores obtained by researchers during the study were 38.3 in pre-test and 83.92 in post-test. The speaking ability of class VIII-1 students at UPTD SMPN 22 Barru improved after being taught using describing picture strategy. This is reinforced by the results of the t-test where H0 is rejected and H1 is accepted.
Pengaruh Karakteristik Pekerjaan dan Kompensasi Terhadap Komitmen Organisasi Pada PT. Kereta Api Indonesia (Persero) Divre III Palembang
Authors: Antika Putri Darli , Maliah Maliah , Salmah Ninin Non Ayu
Published: August 2024

ABSTRACT
 
This study aims to test the hypothesis of the effect of job characteristics and compensation on organizational commitment. The population of this research is the employees of PT. Kereta Api Indonesia (Persero) Regional Division III Palembang, totaling 201 people. The sampling technique is using the Slovin formula with an error tolerance limit of 10%. With a total sample of 67 respondents. The research data analysis technique uses the SPSS 22 statistical analysis method. Job characteristics and compensation are dependent variables and organizational commitment as independent variables. The results of the hypothesis test concluded that simultaneously there was an effect of job characteristics and compensation variables on organizational commitment, partially there was an effect of job characteristics on organizational commitment and there was an effect of compensation variables on organizational commitment of PT. Kereta Api Indonesia (Persero) Regional Division III Palembang.
 
Keywords : Job Characteristics, Compensation And Organizational Commitment.
ABSTRAK
Penelitian ini bertujuan untuk menguji hipotesis pengaruh karakteristik pekerjaan dan kompensasi terhadap komitmen organisasi. Populasi penelitian ini adalah karyawan PT. Kereta Api Indonesia (Persero) Devisi Regional III Palembang yang berjumlah 201 orang. Teknik pengambilan sampel adalah menggunakan rumus Slovin dengan batas toleransi kesalahan 10%. Dengan jumlah sampel sebanyak 67 responden. Teknik analisis data penelitian menggunakan metode analisis statistik SPSS 22. Karakteristik pekerjaan dan kompensasi merupakan variabel dependen dan komitmen organisasi sebagai variabel independen. Hasil uji hipotesis menyimpulkan secara simultan terdapat pengaruh variabel karakteristik pekerjaan dan kompensasi terhadap komitmen organisasi, secara parsial terdapat pengaruh karakteristik pekerjaan terhadap komitmen organisasi dan terdapat pengaruh variabel kompensasi terhadap komitmen organisasi PT. Kereta Api Indonesia (Persero) Devisi Regional III Palembang.
 
Keywords : Karakteristik Pekerjaan, Kompensasi Dan Komitmen Organisasi
Efficacy of lipid extract of marine green alga Codium fragile (Suringar) Hariot for repair of mouse red cells membranes under stress exposure
Authors: Fomenko S. E. , Kushnerova N. F. , Sprygin V. G.
Published: August 2024

Codium fragile (Suringar) Hariot is a marine green alga belonging to the Codiaceae family, is one of the mass species of macrophytes in the Far East Region of the Russian Federation. The total lipid content was 13.92 ± 0.22 mg per g of dry tissue, of which 44% were glycolipids and 40% were neutral lipids, phospholipids accounted for 16%. The content of polyunsaturated fatty acids (PUFAs) was over 50% of the total fatty acids, of which PUFAs of the ω-3 family (36.2%) and ω-6 family (17.8%) predominated. Under of stress exposure (vertical fixation by dorsal neck fold) the effect of lipid extract of C. fragile and reference remedy Omega-3 on biochemical and physiological parameters of mice erythrocytes was studied. Under the impact of stress erythrocytes undergo certain changes, as in terms of dimensional characteristics so as in phospholipid pattern of membranes. This leads to changes in its permeability and lability, also made more complex their circulation through the capillary bed. The endogenous antioxidant defense system of mice under stress experiences a considerable strain, as evidenced by the increase in the level of malonic dialdehyde while reducing in the activity of superoxide dismutase and the level of antiradical activity in blood plasma. The administration of the lipid extract of C. fragile under stress conditions was accompanied by the restoration of the lipid content in the erythrocyte membranes, a decrease in the amount of lysophospholipids, and the normalization of the sphingomyelin/phosphatidylcholine ratio, which contributed to the restoration of the dimensional parameters of erythrocytes, their osmotic resistance, and indices of the body’s antioxidant system. The pronounced stress- and membrane-protective effect of the lipid extract of C. fragile is due to the presence in its composition of a wide range of neutral and polar lipids containing PUFAs of the ω-3 and ω-6 families, which ensures a higher efficiency of the algal extract under stress compared to the reference preparation “Omega-3”.