bluuebunny/crossref_metadata_2025 huggingface dataset:
Photon Interactions in Gravity and Antigravity: Conservation, Dark Energy, and Redshift Effects
Authors: Thakur Soumendra Nath , Bhattacharjee Deep , Frederick Onwuka
Published: September 2023

This paper delves into the intricate interactions of photons in the realms of gravity and antigravity. Photons, being fundamental particles of light, exhibit remarkable behaviors as they traverse through the cosmos. They journey through the vast expanses of the universe until they venture into the enigmatic invisible realm. The photon's encounters with gravity and antigravity are explored in detail. When confronting the gravitational influence of massive objects, such as celestial bodies, photons neither gain nor lose energy, but they exchange momentum with the external gravitational field while steadfastly preserving their intrinsic momentum. Intriguingly, the photon's interaction with the mysterious force of antigravity, propelled by dark energy, presents an irreversible transformation. The consequences of this interaction are profound, as photons undergo a cosmic redshift of a magnitude greater than that induced by gravity or other redshift mechanisms. This distinctive effect manifests as the photon departs from the gravitational embrace of galaxies and embarks on a journey beyond their boundaries, where the domain of zero gravity commences. Furthermore, the paper elucidates the dynamics of external forces exerted by massive objects on photons during their interactions. These forces momentarily carry the photons while they engage with the massive objects. Yet, despite this external assistance, the photons maintain their original momentum. Notably, within a gravitational field, the effective deviation from this transportation remains zero, reaffirming the photon's commitment to its initial trajectory.
Socioeconomic Factors, Rocket Sirens, and PTSD: Insights from the Israel-Hamas Conflict
Authors: Bayer Yaakov
Published: September 2023

In times of war, civilians experience a heightened risk of exposure to traumatic experiences. This can lead to a greater risk of developing mental health conditions such as post-traumatic stress disorder (PTSD), which can impact individuals and communities. Research suggests that the severity of the reactions to traumatic events is likely to be influenced by the level of exposure to the traumatic events and personal characteristics. This paper examines the correlation between symptoms of Post-Traumatic Stress Disorder (PTSD) and various factors such as the extent of exposure to missile alarms, personal traits, and socioeconomic elements among Israeli civilians impacted by rocket attacks from Hamas. Our specific focus is on the influence of these rocket attacks on Israel's populace during the military operation conducted by the Israeli army, "Guardian of the Walls," in May 2021.Our findings suggest that, typically, individuals who have experienced less exposure to missile attacks and alarms, those belonging to larger families, and those with a higher level of education and income are less prone to experiencing post-traumatic symptoms. The study was carried out using surveys that gathered demographic information about the participants, as well as a specific questionnaire designed to evaluate the presence and extent of post-trauma symptoms.These findings could aid in devising preventative strategies to mitigate the PTSD risk among vulnerable groups. They indicate the importance of considering socio-economic elements when delivering mental health services to those impacted by violent incidents and trauma.
A Comprehensive Examination of Vegan Lifestyle in Italy
Authors: Stenico Annachiara , Zarantonello Diana , Kob Michael
Published: September 2023

Veganism and the interest towards a plant-based diet are experiencing exponential growth worldwide, and in Italy more and more individuals and families are adopting this lifestyle and diet, too.Such a change in eating habits also imperatively implies the support and expertise of medical and health care professionals, who to date are still often unprepared and skeptical about this dietary pattern, despite scientific evidence.
Optimizing Foreign Language Learning in Virtual Reality: A Comprehensive Theoretical Framework Based on Constructivism and Cognitive Load Theory (VR-CCL)
Authors: Song Chuanxiang , Shin Seong-Yoon , Shin Kwang-Seong
Published: September 2023

With the widespread Application of Virtual Reality (VR) in education, optimizing foreign language learning in VR has become a focal point of research. This paper introduces a comprehensive theoretical framework (VR-CCL) based on constructivism and cognitive load theory to enhance foreign language learning in VR. Through a literature review, we explore the applications of VR in education, foreign language learning theories, and prior works on technology-assisted language learning. We further detail the three main components of the VR-CCL framework and validate its effectiveness through two case studies: Duolingo VR and Rosetta Stone VR. Finally, we discuss the strengths and limitations of the framework and its implications for educators and developers.
Developments in Genetics – a Better Management of Ovarian Cancer Patients
Authors: Maioru Ovidiu Virgil , Radoi Viorica Elena , Bohîlțea Laurentiu Camil , Coman Madalin Codrut , Eftenoiu Anca Elena , Dan Andra , Burtavel Livia Mălina , Hotinceanu Iulian Andrei , Severin Emilia Maria
Published: September 2023

The purpose of this article is to highlight the new advancements in molecular and diagnostic genetic testing as well as properly classify all ovarian cancers. In this article we address statistics, histopathological classification, molecular pathways implicated in ovarian cancer, genetic screening panels and details about the genes, and also candidate genes. We hope to bring new information in the medical field as to better prevent and diagnose ovarian cancer.
Qualitative Comparative Analysis of Medical and Epidemiological Data
Authors: Tsvetkov Valerii , Tokin Ivan
Published: September 2023

Qualitative comparative analysis (QCA) was developed by Charles Ragin in 1987 for the comparative analysis of small data sets. The method has become widespread in sociological and economic research. There are examples of successful use of QCA in the field of medicine and epidemiology. The purpose of this review is to describe the key stages of QCA with a discussion the application of this method to the analysis of medical and epidemiological data.
Is Extereme Cytoreductive Surgery Beneficial To Survival In Malignant Peritoneal Mesothelioma?
Authors: Mollaoğlu Murat Can , Karabacak Ufuk , Bostancı Meriç Emre , Sever Turan Eray , Karadayı Kürşat
Published: September 2023

Extreme cytoreductive surgery (eCRS) may sometimes be required to achieve complete cytoreduction, which is one of the most important prognostic factors. This study investigated the impact of eCRS on survival and peri-postoperative outcomes. Malignant peritoneal mesothelioma (MPM) patients who underwent cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS-HIPEC) were retrospectively examined. Patients who underwent CRS-HIPEC were divided into eCRS and less extensive CRS (leCRS) groups. Resection of ≥5 organs or ≥3 small bowel anastomoses was defined as eCRS. Survival and perioperative outcomes of both groups were compared.In the study including 31 patients, eCRS-HIPEC was used in 15 patients. Complete cytore-duction (CC score 0/1) was achieved in all 31 patients. Compared with LeCRS, mean length of stay, length of stay in the intensive care unit, mean peritoneal cancer index (PCI), and intraoperative blood loss were higher in the eCRS group. Additionally, the risk of developing complications was observed to be more frequent and the duration of surgery was longer. Rates of serious complications and morbidity were similar in patients undergoing eCRS compared with leCRS. In patients with high PCI and multiple organ involvement, complete cytoreduction can be achieved by performing eCRS and equivalent survival results can be achieved with low PCI..
Ocular Neuromodulation as a Novel Treatment for Retinitis Pigmentosa: Identifying Rod Responders and Predictors of Visual Improvement
Authors: Musallam Ismail M
Published: September 2023

Starvation of photoreceptors induced by reduced dysregulated ocular blood flow (OBF) is proposed as a common pathway for pathogenesis of retinitis pigmentosa (RP). The current study evaluated the safety and efficacy of ophthalmic nerve stimulation (ONS) as an OBF neuromodulator, combined with ascorbic acid (AA) as a potent anti-oxidant in treatment of RP. Additionally, the initial characteristics of rod responders were identified. Forty participants with simple RP, were enrolled in a prospective open-label intervention. The severity of the disease was clinically graded into five stages. Patients with established diagnosis of RP; aged ≥ 4 years, with BCVA ≥ 20/400 were included. All participants were daily treated with bilateral ONS sessions combined with systemic AA for two weeks. The primary efficiency endpoint was 6 months’ changes in scotopic vision as measured by a 10-items, 100 points, Low Luminance Questionnaire- (LLQ-10). The secondary efficiency points included best corrected visual acuity (BCVA) and contrast sensitivity (CS). Rod responders were defined by ≥ 25points increment of LLQ-10 score. The results showed that ONS combined with AA treatment significantly improved night vision, BCVA and CS in patients with RP. At 6-month visit, twenty-four (60%) patients were identified as rod responders and 16 (40%) patients were non-responders. The mean change in LLQ-10 score was (46.35 ±16.81) in rod responders versus (4.9 ± 7.6) in non-responders (P < 0.0001). A clinically significant improvement of BCVA (≥0.2 logMAR) and CS (≥0.3 log unit) were demonstrated in 44.4% and 56.1% of eyes of rod responders respectively. Collectively, this study sheds light on determinants of rod responsiveness which include patients’ age, duration of night blindness and the stage of RP. It also highlights two therapeutic scenarios; an early disease -modifying intervention that restore night vision and reverse the disease process and a late cone rescue intervention that improve/maintain central vision.
Macronutrient Contents and Yield of Cocoa Resulting from Two Different Rejuvenation Techniques
Authors: Meilani Radhika Pingky , Putra Eka Tarwaca Susila , Indradewa Didik
Published: September 2023

Cocoa (Theobroma cacao L.) is one of Indonesia’s leading and important export commodities. The cocoa plant rejuvenation techniques aim to increase cocoa production and quality. Ring budding and side grafting can rejuvenate old and unproductive cocoa plants. Therefore, this research was conducted with objectives: 1) to record macronutrient contents, yield components and yields of three cocoa clones, KKM 22, RCC 70 and RCC 71, rejuvenated with ring budding and side grafting, 2) to determine the best techniques in rejuvenation program for old cocoa stand based on nutrient contents, yield components, and yields indicators of three cocoa clones. This research was carried out from November 2020 to January 2021 at Cocoa Plantation, North Segayung Production Unit, Pagilaran Company. The results showed that ring-budded plants had the highest N nutrients content in leaves, stem organic-C production capacity, pods number per stand per year, dry weight bean per stand per year and dry weight bean per hectare per year, which was significantly better than side grafted plants. The macronutrient of total parts (leaves, stem, and root) trend was leaves > stem > root. The trend of macronutrients in cocoa were organic-C > N > Ca > K > Mg > P. Based on the macronutrient content of cocoa tissue, KKM 22 have a higher content of organic-C, N, P, K, Ca, and Mg compared to RCC 71 and RCC 70. The budding ring technique was the best in the rejuvenation program for old cocoa stands based on nutrient contents, yield components, and yield indicators of three cocoa clones.
Utilization of Cassava-Jicama Composite Flour in Making Gluten-Free Biscuits with Different Types of Fats
Authors: Richirose Richirose , Soedirga Lucia Crysanthy
Published: September 2023

Biscuits are a commonly consumed bakery product typically using wheat flour as a primary ingredient, rendering them unsuitable for gluten-intolerant consumers. Using cassava as a gluten-free alternative for composite flour in bakery products has been proven effective. Furthermore, jicama, which has high total dietary fiber contents, including inulin, can enhance total dietary fiber content. However, high-fiber ingredients can often produce a tough texture. To address this, fats such as butter and margarine are typically used to enhance the texture of baked products, although the use of shortening still needs to be explored. Both margarine and shortening are vegetable-based, making them more widely consumable. The production of jicama flour and gluten-free biscuits was the focus of this study. This study uses a completely randomized design with two factors: the ratio of composite flour (100:0, 90:10, 80:20, 70:30, 60:40) and the type of fat (margarine and shortening). Analyses were performed on the gluten-free biscuits to determine the total dietary fiber, inulin, fat, moisture, spread ratio, color and hardness. Results indicated that biscuits made with shortening with a flour ratio of 90:10 of cassava to jicama flour are the best formulation, yielding 2.54±0.00% inulin, 6.50±0.10% total dietary fiber, 19.88±0.17% fat, 2.20±0.10% moisture content, 10.03±0.20 spread ratio, lightness (L*) value of 52.53±0.37, °Hue value of 66.78±0.51, and 869.88±16.07 g hardness. This study shows that jicama flour can be an alternative to producing composite flour for gluten-free products. Shortening, which is not commonly used in biscuit making, may be considered an alternative fat source.
Fruit Morphology and Nutritional Composition of Different Genome Groups of Six Bananas Cultivars from Bali Island
Authors: Rai I Nyoman , Mayadewi Ni Nyoman Ari , Wiraatmaja I Wayan , Astiari Ni Komang Alit
Published: September 2023

Bali is home to at least 43 banana cultivars, each serving a wide range of purposes. To support its future development, there is a need to obtain essential information on the morphological and nutritional characteristics of these bananas for domestic needs and the tourism market. Therefore, this study aimed to analyze the fruit morphology and nutritional composition of six local Balinese banana cultivars mainly consumed on Bali Island, namely Pisang Mas (AA), Buluh (AAA), Lumut (AAA), Susu (AAB), Raja (ABB) and Kepok (ABB) genomes. The observation of fruit morphology followed the guidelines of the International Plant Genetic Resources Institute method for bananas. The nutritional composition was analyzed using standard methods by measuring the proximate composition, vitamin C and concentrations of minerals K, Ca, Fe and P. Based on the morphological relationship coefficient values, it was discovered that all banana cultivars were closely related. Dessert bananas of Pisang Mas, Buluh, Lumut and Susu shared a close relationship with their ancestor Musa acuminata, which contributed to the ‘A’ genome. Meanwhile, Pisang Raja, which could be employed as a dessert or cooking banana, and Pisang Kepok as a cooking banana, exhibited a closer relationship. Various cultivars showed different nutritional compositions in their fruits. In every 100 g of edible portion, the nutrient values of the six bananas contained high carbohydrates and total energy, abundant vitamin C and K, moderate total fibers and protein, as well as low fat and Fe. Based on the nutritional composition, six Bali banana cultivars were found suitable as valuable ingredients in alleviating food insecurity or as dietary components.
The Seismic Activity of the Nasudake Volcano Using Hypocenter Data (1998–2022) from the National Research Institute for Earth Science and Disaster Resilience
Authors: Tanada Toshikazu , Ueda Hideki
Published: September 2023

The seismic activity of the Nasudake volcano is summarized based on hypocenter data from the National Research Institute for Earth Science and Disaster Resilience (NIED). The observation period spans 24 years, from October 1998 to December 2022, and the number of earthquakes during the period is 12,064. Of these, 80.1% occurred between depths of 0.7 and 2.6 km; 94% registered between -1.6 and 0.9 on the Richter scale. The lower limit of the detectable magnitude (magnitude of completeness, Mc) for the transition of the volcano-observation system was examined and found to be -0.5 for Mc before 2005 and -1.4 for Mc after 2012. Focusing on zones where seismic activity was concentrated, we divided the active zones into four areas. The greatest concentration of seismic activity, 76.4% of the total number of earthquakes, was between Chausu-dake and Asahi-dake. The depth of the earthquakes in this active area was shallower than 2 km, and most were micro-earthquakes (1 ≤ M < 3) or smaller. Earthquakes have been occurring regularly for 24 years. This active area includes the Chausu-dake lava dome formed by activities in 1408–1410 and two craters where phreatic eruptions have occurred since the Meiji era (1868–1912). Therefore, in considering volcano disaster-prevention measures, the relationship between this seismic area and volcanic activity should continue to be closely monitored.
FLY ASH AND SILICA FUME SUBSTITUTION ON COMPRESSIVE STRENGTH AND PERMEABILITY OF CONCRETE IN THE MARINE ENVIRONMENT
Authors: Sudarsono Ignatius , Wahyudi S. Imam , Adi Henny Pratiwi
Published: September 2023

Cement, as a concrete-forming material, is a contributor to CO2 emissions in the world. Reducing cement and substituting fly ash and silica fume as concrete substitution materials in the manufacture of concrete makes green concrete without lowering the quality of the concrete. Concrete in the marine environment is frequently destroyed by severe environmental elements, such as seawater penetration; hence, high-performance concrete materials are required. This research aims to analyze the effect of adding fly ash and silica fume on concrete compressive strength and permeability. The specimens made were then immersed in freshwater and seawater. Analysis of the compressive strength test result shows that the compressive strength values ​​for the samples treated with freshwater or seawater have exceeded the expected compressive strength of 30 MPa. The permeability test on the test object resulted in the supplementary fly ash to the concrete immersed in freshwater having a good value, i.e., the water penetration was below that required by DIN-1045, namely 5 cm. The penetration of concrete with fly ash impressed in seawater is good only in concrete with a 10% fly ash variation. The water penetration value still meets the requirements in concrete with silica fume for all variations with freshwater and seawater treatment.
THE EFFECTIVENESS OF THE REHABILITATION AND RECONSTRUCTION PROGRAM FOR POST-EARTHQUAKE COMMUNITY HOUSES IN NORTH LOMBOK REGENCY IN 2018
Authors: Hamit Ilhamius , Saputra Ashar , Siswanto M. Fauzie
Published: September 2023

Data published by the Government of  Nusa Tenggara Barat Province in 2021, the progress of earthquake-resistant house construction in Lombok Utara Regency until July 9th, 2022, has completed 41,750 heavily damaged houses, 1,029 moderately damaged houses and 298 lightly damaged. From the data, there are still 9,040 houses whose physical progress is still in the implementation stage. This research aims to determine the effectiveness of rehabilitating and reconstructing the community houses post-Lombok Earthquake in 2018. The research method used in this research is a descriptive quantitative method with a purposive sampling technique. The research variables were taken from  Perka BNPB No. 11 Tahun 2008 and adjusted with existing research objectives. The variables were Program Readiness, Program Planning, Program Implementation, and Program Monitoring and Evaluation. The sample in this research was 100 respondents from the earthquake-affected Lombok 2018 community who received earthquake-resistant house assistance and facilitators who assisted in the housing construction. Data collection in this research was conducted in Lombok Utara Regency through questionnaires, observations, and interviews. The data analysis used in this research was using the Likert scale. The research results show that the Post Disaster Community House Rehabilitation and Reconstruction Program in Lombok Utara Regency 2018 has run quite effectively. The average analysis of effectiveness using the Likert scale yields 66.83% for program readiness, 71.60% for program planning, 71.4% for program implementation, and 69.53% for program monitoring and evaluation. The average effectiveness rate produced in this research was 69.84%.
DEVELOPMENT OF VIRTUAL REALITY TEACHING MATERIALS BUILDING MATERIALS PRACTICE COURSES BASED ON INDUSTRIAL NEEDS OF THE SOCIETY 5.0 ERA
Authors: Atika Liana , Yulanto Dwiki Muda , Ulgari Siti
Published: September 2023

This research aims to create a collaborative and participatory classroom atmosphere in the use of technology in the world of Education. The era of Society 5.0 makes educators minimize their role as Learning material providers to become educators as an inspiration for the growth of student creativity. This study examines the validity and effectiveness of virtual reality teaching materials for building materials practice courses based on the needs of industry Society 5.0. This research used a research and development (R&D) approach with the ADDIE development model (Analyze et al., Evaluation). This study resulted in media feasibility from several experts where the learning design score was 3.85, learning material expert 3.77, media design expert 3.86; and the increase in student learning outcomes using media with an average pretest score of 41.12 and an average post-test of 74.80 seen from these values, the learning outcomes of students in building materials practice courses using virtual reality media increased by 33.68 or 87.77%.
Pendidikan Moderasi Beragama di Indonesia (Wacana dan Kebijakan)
Authors: Mukhibat M , Nurhidayati Istiqomah Ainul , Hidayah Nurul
Published: September 2023

Currently there are many social conflicts that arise due to differences in religion and belief. Therefore it is important for government agencies to make a breakthrough program to deal with these situations and conditions. One of the programs that has been implemented is the religious moderation program that has been echoed by the Indonesian Ministry of Religion since 2016. This research aims to dig deeper regarding the religious moderation policy in Indonesia that has been implemented by the Indonesian Ministry of Religion, especially in the field of education. By using the literature study research method, the results of the research show that as a multicultural country, Indonesia has a variety of ethnicities, cultures and religions, so that this diversity has the potential to create conflict between ethnic, cultural and even religious groups. Therefore, mainstreaming religious moderation appears as an alternative to establishing peace between people in diversity. Religious moderation education policies are carried out in the framework of maintaining inter-religious harmony in Indonesia with the main objective of reducing intolerance, religious fanaticism and extremism that can threaten social stability and national security. In the context of globalization and technological advances, religious moderation education can help students understand the role of religion in modern life and how to develop positive values ??from religion.
Pendidikan Moderasi Beragama dan Simbol Keagamaan (Pembentukan Identitas Islam Moderat Anak Melalui Songkok NU Perspektif Teori Konstruksi Sosial Peter Berger)
Authors: Muslim Abu , Wilis Werdiningsih
Published: September 2023

This paper examines managing religious moderation education by strengthening religious symbols, namely songkok, with NU logic. This study aimed to analyze how the use of symbols on the NU skullcap can shape the personality of SD Islamiyah Magetan students in forming an understanding of religious moderation from the perspective of Peter L. Berger's social construction theory. How can symbols convey messages about religious moderation as a form of planting moderate Islam and identity formation? This symbol has several functions, such as describing something as well as a form of conveying an implied message. Therefore, to analyze it using the social construction theory approach of Peter L. Berger. From the results of the reading, it can be concluded: First, the implementation of the regulation on wearing the NU songkok at SD Islamiyah Mageran is outlined in a regulation that enforces every male student to wear the NU songkok. Second, Sonkok NU can become an identity and have moderate Islamic values ??found in the relationship between moderate Islamic values ??of NU ideas such as tawasuth, tawazun, tasamuh, and ta’adul, which have an impact on their use in everyday life. Third, Religious Moderation Education through Sonkok NU as a moderate Islamic identity from the perspective of Peter L Berger's sociological theory of knowledge is through a process of externalization, objectivation, and internalization.
Impact of COVID-19 Visitation Policies and Hospital Capacity on Discharge Readiness in Medicine Patients
Authors: Wallace Andrea S. , Raaum Sonja E. , Johnson Erin Phinney , Presson Angela P. , Allen Chelsea M. , Elliott Mackenzie , Bristol Alycia A. , Elmore Catherine E.
Published: September 2023

Background
COVID-19 impacted the experience of being hospitalized with the widespread adoption of strict visitation policies to ensure healthcare worker safety. One result was decreased time of caregivers at the bedside of hospitalized patients.
Objective
To understand the impact of pandemic-related system effects on patient-reported discharge preparation.
Design
This mixed methods study included interviews with a sample of discharged patients during April 2020, and quantitative hospital data from April 2020 to February 2021.
Participants
616 patients completed a measure of discharge readiness on their day of discharge and 38 patients completed interviews about their discharge experiences.
Main Measures
Readiness for discharge (RHDS), visitation policies, ward structure changes, COVID-19-unit census, time into the COVID-19 pandemic, patient characteristics (age, sex, race/ethnicity), admission type (planned/unplanned, for COVID-19), and discharge destination (home, home health, skilled nursing).
Key Results
Adult patients aged 30–45 (vs young and older adult patients) and those being discharged to places other than home (e.g., skilled nursing facility) or to out-of-state residences report lower readiness (p < .05) on RHDS. Patient interviews revealed some gaps in discharge communication but, overall, patients expressed high discharge readiness and few concerns about how COVID-19 system changes impacted their discharge preparation.
Conclusions
While there is some evidence that visitation policies and unit census may impact patient perceptions of discharge preparation, personal characteristics contributed more significantly to discharge readiness than system changes during COVID-19. Participant interviews demonstrated agreement, as most participants were discharged home and identified strong personal feelings of readiness for discharge.
Clinical Trials Registration:
The parent study from which the secondary data described in this paper were collected is registered in ClinicalTrials.gov ID NCT04248738 (January 27, 2020), https://clinicaltrials.gov/ct2/show/NCT04248738
Investigating Ambo University Woliso Campus Students' E-Learning Willingness and English Language Lecturers' Perceptions
Authors: Arega Kedir Lemma
Published: September 2023

In the opinion of English language lecturers, the use of supportive technology makes students more willing to learn English outside of the classroom and improves their language proficiency. Participation in e-learning depends on students' e-learning readiness and the attitude of English language lecturers and human resources, such as students and lecturers, are the most important components of e-learning programs. This study is a cross-sectional descriptive study, and the population of the study included all students and English language lecturers at Ambo University Woliso Campus. The reliability of the Watkins and Mishra attitude questionnaires in the present study was confirmed by calculating Cronbach's alpha coefficients of 0.91 and 0.90, respectively. The lecturers’ attitude toward e-learning was 90% moderate to good and 10% negative. The mean score of lecturers' attitudes showed a significant positive correlation with the mean scores of computers and Internet connection skills (r = 0.48, p = 0.001). It can be concluded that the faculty members’ attitudes and student readiness regarding e-learning were at reasonable levels. Due to positive attitudes in universities about e-learning, it is recommended that instructors be taught continuously about technology awareness and how to acquire skills over time in e-learning so that the learning program can be optimally designed. Due to the increasing prevalence of the Covid-19 epidemic and the emphasis on distance education, it is recommended that infrastructure and other requirements be considered.
Significance and predictive value of Delphian lymph node in papillary thyroid carcinoma
Authors: yin xinlu , Wu Bin , Wang Jiadong
Published: September 2023

Backgroud: Delphian lymph node metastasis (DLN) is common in papillary thyroid cancer(PTC). However, there have been limited studies that have specifically examined the clinicopathological characteristics of DLN metastasis in PTC. We objected to investigate the incidence, risk factors and predictive value of DLN in papillary thyroid carcinoma.
Methods:
Clinical pathological features and metastatic risks were statistically analyzed by reviewing 1837 patients with papillary thyroid carcinoma, who received their first operation in our department between January 2018 and July 2021.
Results:
Of the 1837 patients included in the study, DLN was detected in 925 patients (50.7%), 409 patients (22.3%) had confirmed DLN metastasis. In univariate analysis, DLN metastasis was correlated with age(≥55y), tumor size(≥1cm）, bilateral cancer, mulifocality, tumor location(isthmus cancer), central lymph node metastasis(CLNM) and later lymph node metastasis(LLNM). However, it was not correlated with sex distribution, tumor size, thyroiditis, thyroid stimulating hormone(TSH) level and BRAF mutation. Multivariate analysis showed that CLNM(p=0.03), LLNM(p=0.025)，bilateral cancer and tumor location(p=0.017) were independent risk factors of DLN metastasis. DLN involvement was mildly predictive of CLNM(sensitivity=29.76%, specificity=87.06%, positive predictive values=74.08%, negative predictive values =49.93%, positive likelihood ratio=2.30, negative likelihood ratio=0.81), moderately predictive of LLNM(sensitivity=49.36%, specificity=85.01%, positive predictive values=46.94%, negative predictive values =86.20%, positive likelihood ratio=3.29, negative likelihood ratio=0.60).
Conclusions:
Bilateral cancer, CLNM, LLNM and isthmus cancer were independent risk factors of DLN metastasis. DLN metastasis could be used as a predictor of central and lateral lymph node metastasis. Positive DLN should be an alert signal to careful evaluate central and lateral lymph node in thyreoidectomy.
DESIGNING READING-WRITING TEACHING STRATEGY FOR THE ACADEMIC WRITING COURSE
Authors: Rochma Anis Firdatul
Published: September 2023

The concept of integrating reading and writing in the language instruction has been portrayed through an increasing number of research studies. Nevertheless, many areas remain to be explored.  Even though previous research studies often portrayed the beneficial impacts of integrating reading and writing, yet they do not suggest how such impacts affect the students in a specific course. Hence, the present research study aims to propose a design of reading-writing teaching strategy that needs to be addressed within a specific course especially the academic writing course. This research study employed the adapted model of ADDIE (Dick et al., 2015) to develop the proposed teaching strategy. The process of need analysis was carried out through analysing the introduction section of research articles written by the undergraduate students using Swales and Feak’s CARS model (2004) and examining the syllabus of reading and writing courses. Meanwhile, as the primary frameworks for the teaching strategy development, the rhetorical reading strategies and academic writing were adopted. The results of need analysis show that, mostly, undergraduate students’ research articles lack 1 step in Move 1, 2 steps in Move 2, and 3 steps in Move 3 particularly in the introduction section. The omission of steps in the CARS model by these student-authors seems to happen due to two major factors, namely the scarcity of (1) control over the writing process and (2) linguistic resources. Hence, suggesting the reading-writing teaching strategy for academic writing courses is considered essential.
A COMPARATIVE ANALYSIS: SELF-ACTUALIZATION PERSPECTIVES TOWARD “LELAKI YANG MENDERITA BILA DIPUJI” AND “BELALANG YANG SUKA BERGUNJING DAN TUJUH LEBAH MADU”
Authors: Kobis Dewi Christa , Rantung Devina Angelina
Published: September 2023

This study conducted a comparative analysis between “Lelaki yang menderita bila dipuji” and “Belalang yang suka bergunjing dan tujuh lebah madu”. It aimed to find out the similarities and differences between these two literary works and how these works were able to convey the perspectives of self-actualization. This is a qualitative method and implemented the theory by Abraham Maslow that focused on hierarchy of needs and self-actualization in analysing the data through the texts or the scripts. The findings showed that the two literary works that had been objects of this study showed similarities and differences for the physiological, safety, love, esteem, and even self-actualization needs. Each literary work might offered various style or uniqueness. However, they still portrayed a spot of similarity to each other especially in conveying moral lesson and Indonesian culture and behaviour such as respecting or being polite to each other and praising others sincerely without being envious. In addition, these two literary works showed that the fulfilment of self-actualization is important for human being and literary works were able to portray it properly.
KESALAHAN GRAMATIKAL BAHASA INGGRIS PADA PENJABARAN GRAFIK DALAM MATA KULIAH BAHASA INGGRIS 1
Authors: Purnamasari Yessy , Nugraha Danny Gandana
Published: September 2023

In learning English, the learners make some common mistakes in applying the correct grammar. One of the mistakes is the error in explaining graphs in English. This competency is highly needed to be applied in many aspects, especially for vocational university students. For example, explaining a chart in English is somehow mandatory in composing a budget or presenting a project to a client. Thus, this study is aimed to identify the types of grammatical errors typically done by the learners. By applying the descriptive qualitative methodology, the 30 data used in this study are taken from the sample of students’ writing in explaining a chart in English.  The steps taken are done by doing data categorization based on Dulay’s surface strategy taxonomy which mentions four types of errors: addition, omission, misformation, and misordering. The results show that omission is the type of error mostly done by learners with 34,78%, followed by addition with 31,88% occurrence, and the least error found in the data is misorder with 10,14%. It is suggested that students should be equipped with basic Grammar understanding in explaining a graph in English, so this kind of error will be minimized. This study is also expected to give insight to lecturers in composing the General English syllabus that emphasizes the student’s understanding of basic Grammar.
Los NOOC para el desarrollo de competencias digitales y formación virtual: una revisión sistemática de la literatura
Authors: Álvarez Loyola Carolina , Córdova Esparza Diana Margarita
Published: September 2023

Desde el año 2016, los NOOC han aparecido como una alternativa para la formación continua en diferentes áreas temáticas. Se trata de una herramienta que brinda tanto a estudiantes como a docentes la oportunidad de adquirir competencias y conocimientos mediante un formato creativo, innovador y flexible. En búsqueda de examinar y recuperar evidencias empíricas sobre el uso de los NOOC para la capacitación y formación virtual se realizó una revisión sistemática. Se extrajeron cinco estudios en función de criterios de selección determinados, las bases de datos consultadas fueron: Google Académico, SciELO, ScienceDirect, Redalyc, Scopus y la Web of Science (WoS), el periodo seleccionado para la búsqueda de la información fue de 6 años, de 2017 a 2022. Dentro de los principales resultados obtenidos se observa que la metodología utilizada en los documentos analizados, destaca el tipo de investigación cuantitativa y mixta. En relación con los instrumentos de validación encontrados en las distintas investigaciones, se utilizaron encuestas iniciales (pre-test) y finales (post-test). Finalmente, los artículos analizados arrojan evidencia empírica y científica que demuestra que los cursos de menor duración tienen menores tasas de deserción y que los NOOC funcionan como estrategia efectiva para el aprendizaje de conocimientos y nuevas competencias.
Open Educational Practices from the perspective of open educators: Contributions to teacher professional development
Authors: De Almeida Sousa Janaina , Amiel Tel
Published: September 2023

Incorporating the principles of Open Educational Practices (OEP) into teacher training can help prepare future professionals for the challenges they face in their daily work, as curricula and practices are increasingly influenced by digital culture principles. As a concept that is still being consolidated, OEP can assume different meanings. This study, conducted with teachers in basic (ISCED 1-3) and higher education, aimed to identify the (1) the characteristics inherent to OEP; (2) elements of the identity of an ‘open educator’ and their relation to OEP; and (3) the perspective on OEP presented by the participants. The research method consisted of a combination of semi-structured interviews and document analysis. The results indicated that the participants perceptions were aligned with what is identified in the literature as “expansive” OEP, and that OEP is an evolutionary process in multiple dimensions. Based on the analysis, a framework was developed to assist teachers and educators in reflecting on and evaluating their practices, as well as promoting professional development in the context of OEP.
Desafios do regime de Progressão Continuada na Rede Estadual Paulista
Authors: Barbosa Aline Cristiane , Bertagna Regiane Helena
Published: September 2023

O objetivo desse artigo é discutir o regime de Progressão Continuada na rede pública estadual paulista, por meio de investigação qualitativa, levantamento bibliográfico e documental. Abrangendo 44 documentos de 1995 a 2017, destacaram-se: o Projeto de Lei 251/2007, que dispôs sobre o fim da Progressão Continuada no estado de SP; a Lei Complementar 41/2008, que instituiu a Bonificação por Resultados (BR) e o Projeto de Lei 857/2015, que propôs o fim da “Aprovação Automática”. A análise de dados quantitativos do IBGE demonstrou que houve um aumento no índice de reprovação escolar entre 1999 e 2016, invalidando a afirmação de que o regime de Progressão Continuada teria se convertido na prática da Promoção Automática. Já a ausência de participação na discussão da proposta, formação continuada para os docentes, investimento em materiais adequados, discussões sobre a política nos cursos de formação inicial de professores etc., prejudicaram a concretização da política educacional.
DRESS SYNDROME AS SERIOUS SKIN HYPERSENSITIVITY REACTIONS ASSOCIATED WITH OLANZAPINE: CASE REPORT
Authors:   Department of Psychiatry, Seth Gordhandas Sunderdas Medical College and the King Edward Memorial Hospital, Mumbai 400012, India / Department of Psychiatry, Mental Health Hospital, Taif 21944, Saudi Arabia., Siddiqui Javed Ather , Qureshi Shazia Farheen ,   Department of Psychiatry, College of Physicians and Surgeons of Bombay, Mumbai 400012, India / Department of Psychiatry, Mental Health Hospital, Taif 21944, Saudi Arabia., Hafez Amr Ahmed ,   Egyptian Board of Psychiatry, Cairo 11566, Egypt / Department of Psychiatry, Mental Health Hospital, Taif 21944, Saudi Arabia, Marei Waseem M ,   Jordanian board of Psychiatry, Amman, Jordan / Department of Psychiatry, Mental Health Hospital, Taif 21944, Saudi Arabia.
Published: September 2023

Introduction – There are a variety of symptoms associated with this serious idiosyncratic adverse reaction, including fever, skin eruption, lymphadenopathy, eosinophilia, organ involvement, and hematologic abnormalities which clinical manifestations occur two weeks to two months after a triggering drug was administrated. Methods – Presented the case of a 50-year-old male who developed severe generalized erythroderma with exfoliative scaling skin erythema and maculopapular eruptions all over the body. This was associated with fever, eosinophilia, and leukocytosis after olanzapine ingestion. Results – This case called Dress syndrome, and the atypical antipsychotic olanzapine is one of the causes of this illness. This adverse effect is life-threatening, so early diagnosis reduces morbidity and mortality. Discuss – It is imperative that health care professionals and caregivers are aware of the symptoms of such life-threatening reactions during and after treatment. It is also necessary to understand the pathogenesis of diseases in order to develop personalized treatment plans. The medication history of patients with suspected DRESS must be checked. Conclusion – Dress syndrome is a serious and potentially devastating side effect of psychotropic medication. It is possible to experience adverse drug reactions after one dose or prolonged use of a drug or following a combination of two or more drugs. It is important for health care professionals and caregivers to be aware of the symptoms of such life -threatening reactions as part of the aftercare process during treatment. In order to develop personalized treatment plans, more research is necessary to elucidate its pathogenesis. It is imperative to check the medication history of patients with suspected DRESS. Usually, a patient who has previously taken a suspected drug will experience symptoms within two weeks of taking it. Keywords: Olanzapine, psychosis, drug hypersensitivity syndrome, skin rash.
IMMUNE SYSTEM SUSCEPTIBILITY OF DEPRESSED PATIENTS TO DENGUE VIRUS INFECTION: CASE REPORT
Authors:   General Practitioner Dr. Adjidarmo Hospital Rangkasbitung Lebak, Banten, Indonesia, Ratnawati Tri , Natasha Doharni Olivia ,   Internship Doctor Program Dr. Adjidarmo Hospital Rangkasbitung Lebak, Banten, Indonesia, Alit Martha Dinar ,   Department of Psychiatry Dr. Adjidarmo Hospital Rangkasbitung Lebak, Banten, Indonesia
Published: September 2023

Introduction – Depression is a health problem that causes mortality and morbidity. The incidence of depression aged ≥ 15 years is as much as 6.1%. Another health problem is dengue hemorrhagic fever (DHF), where 71,700 confirmed cases of DHF have been reported in Indonesia as of July 2020. The study at Mayo Hospital Lahore explained that there is a correlation between DHF infection and depression. There is no study to describe susceptibility of the immune system of depressed patients to dengue virus infection in Indonesia. Methods – Presented the case of patient, female, 19 years old with initial diagnosis and management of DHF from internal medicine departement. We use a Hamilton Depression Rating Scale (HDRS) questionnaire to evaluated status mental patient. Results – The results of the patient's HDRS questionnaire showed that the patient had moderate depression. The results of the psychiatric examination showed depressive affect, anhedonia, anenergy and feeling useless with an onset 1 month before suffering from DHF. The patient was given pharmacotherapy and psychotherapy from psychiatry. Discuss – Late diagnosis and treatment of depression causes prolonged stress in the body. This condition triggers HPA axis and sympathetic nervous system which will increase levels cortisol, and increased secretion of anti-inflammatory cytokines can reduce inflammatory response to incoming pathogens, so that body will be susceptible to dengue virus infection. Management of depression at a young age with psychotherapy and pharmacotherapy use SSRI and benzodiazepines for reduce the risk of suicide. Conclusion – Late diagnosis and treatment of depression makes immune system vulnerable to pathogens or infections. Interdisciplinary collaboration is needed so that the enforcement of psychiatric cases in hospitalization becomes more accurate and for further research to be carried out on the correlation of depression with the incidence of dengue hemorrhagic fever with a different research design. Keywords: depression, DHF, HPA axis, proinflammatory cytokines, cortisol.
MALADAPTIVE PARENTING AND PEER GROUP BULLYING AS PATHOLOGICAL PATHWAYS TO BORDERLINE PERSONALITY DISORDER SYMPTOMS IN EARLY ADULT: CASE REPORT
Authors:   Siloam Hospitals Sentosa, Bekasi, Indonesia, Widhihutami Hayuning , Ulya Zuhrotun ,   Department of Psychiatry Faculty of Medicine Brawijaya University, Malang, Indonesia
Published: September 2023

Introduction – Maladaptive experiences during adolescene have been consistently linked with borderline personality disorder. BPD is a serious mental illness characterized by pervasive pattern of instability in affect regulation, impulse control, interpersonal relationships, and self-image. Tthere was an interrelated relationship between parenting experiences and the development of BPD symptoms. Children who reported chronic bullying had a fivefold increase in the likelihood of developing BPD symptoms. Methods – Presented the case of patient, 20 years old young male with symptoms of borderline personality disorder turned out to have maladaptive parenting and history of became victim by peer group bullying since childhood. Data were taken from interviews and mental status examinations in psychiatric clinics, then a literature review was carried out. Results – The development of borderline personality disorder in adult linked with report of low care parenting, involves coldness, indifference, and rejection. BPD is also inevitable from hereditary risk factors. Discuss – There is a direct significant association between being victim of bullying and development of BPD. Empathy is one important aspect of social behavior that may not function in BPD. Atypical depressed patients with affective dysregulation first diagnosed with borderline personality disorder if do not meet the diagnostic criteria for bipolar disorder. Conclusion – Borderline personality disorder (BPD) is very prone to occur in young adults. Starting from affect dysregulation, inability to impulse control, unstable interpersonal relationships, and unstable self-image that begin to develop in children and adolescents when exposed to environmental risk factors. Risk factors that are very often influencing are family and peer group relationships. BPD is also an entry point for developing into bipolar disorder. Therefore, effective interventions should be targeted, early preventing the development of affect dysregulation in the development of the borderline personality disorder by reducing exposure to environmental risk factors. Keywords: borderline personality disorder, maladaptive parenting, bullying.