bluuebunny/crossref_metadata_2025 huggingface dataset:
Early Insights From a Digitally Enhanced Diabetes Self-Management Education and Support Program: Single-Arm Nonrandomized Trial
Authors: Wilson-Anumudu Folasade , Quan Ryan , Castro Sweet Cynthia , Cerrada Christian , Juusola Jessie , Turken Michael , Bradner Jasik Carolyn
Published: February 2021

Background

Translation of diabetes self-management education and support (DSMES) into a digital format can improve access, but few digital programs have demonstrated outcomes using rigorous evaluation metrics.

Objective

The aim of this study was to evaluate the impact of a digital DSMES program on hemoglobin A1c (HbA1c) for people with type 2 diabetes.

Methods

A single-arm, nonrandomized trial was performed to evaluate a digital DSMES program that includes remote monitoring and lifestyle change, in addition to comprehensive diabetes education staffed by a diabetes specialist. A sample of 195 participants were recruited using an online research platform (Achievement Studies, Evidation Health Inc). The primary outcome was change in laboratory-tested HbA1c from baseline to 4 months, and secondary outcomes included change in lipids, diabetes distress, and medication adherence.

Results

At baseline, participants had a mean HbA1c of 8.9% (SD 1.9) and mean BMI of 37.5 kg/m2 (SD 8.3). The average age was 45.1 years (SD 8.9), 70% were women, and 67% were White. At 4-month follow up, the HbA1c decreased by 0.8% (P<.001, 95% CI –1.1 to –0.5) for the total population and decreased by 1.4% (P<.001, 95% CI –1.8 to –0.9) for those with an HbA1c of >9.0% at baseline. Diabetes distress and medication adherence were also significantly improved between baseline and follow up.

Conclusions

This study provides early evidence that a digitally enhanced DSMES program improves HbA1c and disease self-management outcomes.
Effectiveness of a Postpartum Text Message Program (Essential Coaching for Every Mother) on Maternal Psychosocial Outcomes: Protocol for a Randomized Controlled Trial
Authors: Dol Justine , Aston Megan , McMillan Douglas , Tomblin Murphy Gail , Campbell-Yeo Marsha
Published: February 2021

Background

Women experience changes both physically and psychologically during their transition to motherhood. The postnatal period is a critical time for women to develop maternal self-efficacy. Mobile health interventions may offer a way to reach women during this critical period to offer support and information. Essential Coaching for Every Mother is a text message program that seeks to educate and support women during the first 6 weeks postpartum.

Objective

The primary effectiveness objective is to compare the effectiveness of the Essential Coaching for Every Mother program on maternal psychosocial outcomes (self-efficacy, social support, postpartum depression, and postpartum anxiety) immediately after the intervention and 6 months postpartum, collectively as well as stratified by parity. The primary implementation objective is to evaluate the implementation extent and quality of the Essential Coaching for Every Mother program.

Methods

This will be a hybrid type 1 effectiveness-implementation randomized controlled trial. A total of 140 mothers-to-be or new mothers from Nova Scotia will be recruited and randomized to the intervention or control arm, stratified by parity. The intervention arm will receive the Essential Coaching for Every Mother program, which consists of 53 messages sent twice a day for the first 2 weeks and daily for weeks 3 through 6. The control group will receive usual care. Messages are personalized based on the infant’s age and the woman’s self-selected preference for breastfeeding or formula feeding and tailored with the infant’s name and gender. Women can enroll in the program if they are ≥37 weeks pregnant or within 10 days postpartum, with the first message designed to be sent on the second evening after birth. The actual number of messages received will vary based on the timing of enrollment and the infant’s date of birth. Participants will complete questionnaires assessing self-efficacy, social support, and postpartum depression and anxiety at baseline (enrollment after birth) and 6 weeks (postintervention) and 6 months postpartum. Implementation data will be collected throughout the trial, and evaluation feedback will be collected at 6 weeks from women who received the intervention.

Results

Recruitment for this study started on January 5, 2021, and is currently ongoing, with an anticipated date of recruitment completion of January 2022.

Conclusions

This study will assess the effectiveness of a postpartum text message program to improve maternal self-efficacy and social support while decreasing postpartum depression and anxiety. It will also shed light on the implementation effectiveness of the program.

Trial Registration

ClinicalTrials.gov NCT04730570; https://clinicaltrials.gov/ct2/show/NCT04730570

International Registered Report Identifier (IRRID)

DERR1-10.2196/27138
Improved Glycemic Control With a Digital Health Intervention in Adults With Type 2 Diabetes: Retrospective Study (Preprint)
Authors: Zimmermann Gretchen , Venkatesan Aarathi , Rawlings Kelly , Scahill Michael D
Published: February 2021

BACKGROUND

Traditional lifestyle interventions have shown limited success in improving diabetes-related outcomes. Digital interventions with continuously available support and personalized educational content may offer unique advantages for self-management and glycemic control.

OBJECTIVE

In this study, we evaluated changes in glycemic control among participants with type 2 diabetes who enrolled in a digital diabetes management program.

METHODS

The study employed a single-arm, retrospective design. A total of 950 participants with a hemoglobin A1c (HbA1c) baseline value of at least 7.0% enrolled in the Vida Health Diabetes Management Program. The intervention included one-to-one remote sessions with a Vida provider and structured lessons and tools related to diabetes management. HbA1c was the primary outcome measure. Of the 950 participants, 258 (27.2%) had a follow-up HbA1c completed at least 90 days from program start. Paired t tests were used to evaluate changes in HbA1c between baseline and follow-up. Additionally, a cluster-robust multiple regression analysis was employed to evaluate the relationship between high and low program usage and HbA1c change. A repeated measures analysis of variance was used to evaluate the difference in HbA1c as a function of the measurement period (ie, pre-Vida enrollment, baseline, and postenrollment follow-up).

RESULTS

We observed a significant reduction in HbA1c of –0.81 points between baseline (mean 8.68, SD 1.7) and follow-up (mean 7.88, SD 1.46; t257=7.71; P<.001). Among participants considered high risk (baseline HbA1c≥8), there was an average reduction of –1.44 points between baseline (mean 9.73, SD 1.68) and follow-up (mean 8.29, SD 1.64; t139=9.14; P<.001). Additionally, average follow-up HbA1c (mean 7.82, SD 1.41) was significantly lower than pre-enrollment HbA1c (mean 8.12, SD 1.46; F2, 210=22.90; P<.001) There was also significant effect of program usage on HbA1c change (β=–.60; P<.001) such that high usage was associated with a greater decrease in HbA1c (mean –1.02, SD 1.60) compared to low usage (mean –.61, SD 1.72).

CONCLUSIONS

The present study revealed clinically meaningful improvements in glycemic control among participants enrolled in a digital diabetes management intervention. Higher program usage was associated with greater improvements in HbA1c. The findings of the present study suggest that a digital health intervention may represent an accessible, scalable, and effective solution to diabetes management and improved HbA1c. The study was limited by a nonrandomized, observational design and limited postenrollment follow-up data.
“Correlation of Salivary Cortisol Levels with Anxiety in Type II Diabetes Mellitus Patients before and after Complete Denture Rehabilitation.” (Preprint)
Authors: Bansod Dr Akansha Vilas , Pisulkar Dr Sweta Kale
Published: February 2021

BACKGROUND

Complete edentulism constitutes global health care burden. People with no teeth fail to eat and speak effectively. This results in emotional alterations and a reduction in quality of life of the patients, raising their stress levels. Stressful situations cause increased blood pressure and heart rate resulting in the secretion of cortisol hormone, which is a cardinal regulator of physiologic stress response. Cortisol stimulates gluconeogenesis and glycogenolysis causing hyperglycemia, which may favor the occurrence of Diabetes and other glucose metabolism disorders. As the diabetics population is rapidly rising throughout the world and with growing life expectancy, Prosthodontists are certain to see more number of diabetic edentulous patients. Thus, there is a need to assess the relationship of complete denture rehabilitation with the generic health of edentulous patients which can be done by checking the stress levels, with the help of hormonal markers and their effects on systemic health.

OBJECTIVE

To determine anxiety levels and Salivary Cortisol levels in Type II Diabetes Mellitus Patients and compare and correlate them before and after rehabilitation with Complete Dentures.

METHODS

It will be a cross-sectional study, carried out on edentulous diabetic patients visiting the OPD of Department of Prosthodontics of Sharad Pawar Dental College and Hospital. With consent of the patients for participation, Glycated Hemoglobin will be measured and anxiety levels will be determined using a DASS-21 Questionnaire along with fabrication of a new set of complete dentures. Patients will be assessed at two stages; before and 1 month after complete denture rehabilitation. The data obtained will be analysed using student paired t-test.

RESULTS

Significant reduction in anxiety levels after Complete Denture Rehabilitation and thus, a definitive correlation between anxiety and salivary cortisol levels.

CONCLUSIONS

Patient’s adaptation to new dentures can be improved by the professional’s by gaining knowledge of the relationship between dental rehabilitation and the overall health of edentulous patients.
Direct Outreach in Bars and Clubs to Enroll Cigarette Smokers in Mobile Cessation Services: Exploratory Study (Preprint)
Authors: Chalela Patricia , McAlister Alfred L , Despres Cliff , Muñoz Edgar , Sukumaran Pramod , Akopian David , Kaghyan Sahak , Trujillo Jesus , Ramirez Amelie G
Published: February 2021

BACKGROUND

Cigarette smoking and alcohol use are well known to be concomitant behaviors, but there is a lack of studies related to recruitment of smokers for mobile cessation services at places where alcohol is consumed, such as bars and clubs. Adapting recruitment strategies to expand the reach of cessation programs to where tobacco users are located may help decrease the health-equity gap in tobacco control by improving reach and enrollment of underserved smokers residing in low-income and rural areas who are not reached by traditional cessation services.

OBJECTIVE

The purpose of this exploratory study was to assess the feasibility of direct outreach in bars, clubs, and restaurants to recruit smokers to Quitxt, our mobile smoking cessation service. Quitxt is delivered through SMS text messaging or Facebook Messenger.

METHODS

We collaborated with an advertising agency to conduct in-person recruitment of young adult smokers aged 18-29 years, focusing on urban and rural Spanish-speaking Latino participants, as well as English-speaking rural White and African American participants. Street team members were recruited and trained in a 4-hour session, including a brief introduction to the public health impacts of cigarette smoking and the aims of the project. The street teams made direct, face-to-face contact with smokers in and near smoking areas at 25 bars, clubs, and other venues frequented by young smokers in urban San Antonio and nearby rural areas.

RESULTS

The 3923 interactions by the street teams produced 335 (8.5%) program enrollments. Most participants were English speakers with a mean age of 29.2 (SD 10.6) years and smoked a mean of 8.5 (SD 6.2) cigarettes per day. Among users who responded to questions on gender and ethnicity, 66% (70/106) were women and 56% (60/107) were Hispanic/Latino. Among users ready to make a quit attempt, 22% (17/77) reported 1 tobacco-free day and 16% (10/62) reported maintaining cessation to achieve 1 week without smoking. The response rate to later follow-up questions was low.

CONCLUSIONS

Direct outreach in bars and clubs is a useful method for connecting young adult cigarette smokers with mobile cessation services. However, further research is needed to learn more about how mobile services can influence long-term smoking cessation among those recruited through direct outreach, as well as to test the use of incentives in obtaining more useful response rates.
Competencias de liderazgo y efectividad organizacional de los coordinadores académicos en una institución de educación superior de México
Authors: Díaz Gómez Eduardo Raúl , Díaz López Karla María
Published: February 2021

Objetivo: examinar las conductas de liderazgo de algunos coordinadores académicos y su relación con la efectividad organizacional en una institución educativa ubicada en el noroeste de México. Metodología: es cuantitativa y tiene alcance correlacional con una muestra de 82 docentes, quienes respondieron el cuestionario multifactorial de liderazgo para evaluar las competencias de 12 coordinadores académicos. Resultados: la adopción de un estilo de liderazgo transaccional y transformacional se relaciona de manera parcial con la percepción que tienen los docentes de la efectividad organizacional de los coordinadores. El liderazgo pasivo se correlaciona de forma negativa con la percepción de efectividad organizacional. Valor: la aplicación de un modelo de liderazgo organizacional en un contexto educativo en México. Limitaciones del estudio: el análisis de una sola institución educativa. Conclusiones: es posible desarrollar conductas de liderazgo específicas en los coordinadores académicos para incrementar su efectividad organizacional.
El impacto del siglo XX en la arquitectura del Centro Histórico zacatecano.
Authors: Ramírez Villalpando Rocío
Published: February 2021

El centro histórico de Zacatecas es muestra de la salvaguarda arquitectónica, con edificaciones que datan del siglo XVI hasta el pasado siglo XX. Si bien es cierto que la arquitectura colonial conforma gran parte de la fisonomía de la capital zacatecana, de igual modo es tangible la transformación que se dio a consecuencia de los adelantos técnicos y las nuevas formas creativas presentes en el siglo XX. Este trabajo de investigación permite evidenciar la evolución arquitectónica de la ciudad de Zacatecas, teniendo en cuenta que la arquitectura del siglo XX es conservada gracias al impacto colateral que brinda el encontrarse en la zona geográfica protegida, no así por su valor, que en muchos casos se desconoce.Como parte de la metodología, fue necesario realizar un recorrido sistematizado por el perímetro protegido, observar y llevar a cabo un registro de inmuebles, características constructivas y espaciales, con lo que se obtuvieron datos que contribuyen al conocimiento, protección y valoración de expresiones arquitectónicas de gran valía, como las que esta ciudad alberga, procedimiento que puede ser llevado a cabo en otras zonas geográficas.La muestra de arquitectura moderna dentro del centro histórico expone con múltiples manifestaciones –eclécticas, art déco, funcionalistas– su evolución constante, y da cuenta del desarrollo de la arquitectura, la sociedad y la cultura en la provincia mexicana.
Resistencia ciudadana y reforma urbana fallida: Delegación de Villa de Álvaro Obregón. 1973
Authors: Drago Quaglia Elisa
Published: February 2021

En el año de 1973, el Departamento del Distrito Federal pretendió dotar de equipamiento gubernamental a cada una de las delegaciones del entonces Distrito Federal. La selección de los sitios para la construcción de  los enormes complejos delegacionales impactaría la zona donde se localizarían. Este es el caso de un proyecto para la delegación Álvaro Obregón que fue rechazado por sus residentes pero que, a la larga, obtuvo beneficios e implicaciones de sensibilización y protección de las zonas históricas y con valor patrimonial que se encuentran enclavadas dentro de la Ciudad de México y que, a su vez, conforman la fisonomía actual.
Crónica de un espacio olvidado. Los parques públicos y los nuevos fraccionamientos de la modernidad en Monterrey (1945-1963)
Authors: Cruz González Franco Lourdes , Nagel Vega Vanessa
Published: February 2021

Este artículo trata la difusión de los fraccionamientos modernos de la mitad del siglo XX en Monterrey, Nuevo León, asociada con el debate enlos periódicos locales, en torno al déficit de espacios abiertos arbolados en la ciudad. Esta investigación cuestiona si la revisión a las fuentes impresas de la época aportó una visión característica de la modernidad de Monterrey, constatando que la oferta de lotes y casas modernas con todos los servicios hacían más evidentes las diferencias socioeconómicas de la población. Se infiere que los parques públicos quedaron como el compromiso incumplido de las administraciones públicas durante el periodo de estudio.
Psychoeducation of preventive action against bullying behavior in MIN 1 Blitar
Authors: Istiqomah I. , Hidayati Diana Savitri
Published: February 2021

Bullying in schools is one or a factor that becomes a problem / obstacle in achieving the Sustainable Development Goals (SDGs), so that campaigns and enlightenment to the public about the various impacts and efforts to overcome bullying must be encouraged. In this regard, this article aims to describe the preventive action psychoeducation service activities against bullying behavior at MIN 1 Blitar. Community service participants are Teachers and Parents of Students of MIN 1 Blitar. The target of this community service is that teachers and parents at MIN 1 Blitar are able to understand the condition of students or their children so that they are not prone to becoming victims of bullying or becoming perpetrators of bullying, creating a Peaceful school. The method used is to provide a scale of Bullying, psychoeducation and focus group discussion (FGD) to teachers and parents of students of MIN 1 Blitar. Based on the post-test results of the fifth-grade students of MIN 1 Blitar, it is known that 6.5% were identified as bullying perpetrators while 15% were identified as victims of bullying. This service activity is carried out in several forms, namely psychoeducation, FGD and self-help groups, which are preventive measures of psychoeducation against bullying behavior.
Environmental preservation: Mrican youth innovation on slummed irrigation channels (Bendung Lepen Gajah Wong)
Authors: Ulfah Tsaqifa Taqiyya , Kamala Izzatin , Latifah Shinta Noor
Published: February 2021

The environment is something that is very influential in life, but cannot be avoided from the term pollution. The problem is a top priority for local residents, so the tips needed are environmental preservation to maintain a beautiful environment and the balance of the ecosystem. The purpose of this study is to describe the origin of the formation Bendung Lepen Gajah Wong, the role of youth in the construction of Bendung Lepen Gajah Wong, and the function of Bendung Lepen Gajah Wong in the lives of local residents. The qualitative method is appropriately used in this program by conducting interviews, observations, and documentation to obtain relevant data or information. The results of this program indicate that 1) before Bendung Lepen Gajah Wong was built, it was a river that was used for irrigation channels which was filled with waste and garbage so as to pollute the environment. 2) Seeing the condition of the environment which is filled with garbage, there arises the awareness of the young people around to preserve the environment by cleaning up trash around the river and Bendung Lepen Gajah Wong. 3) Bendung Lepen Gajah Wong weir currently functions as an irrigation channel in irrigating rice fields, as a tourist attraction as well as an educational facility for visitors, especially for children, and as a counterweight to the ecosystem.
A quantum algorithm for the direct estimation of the steady state of open quantum systems
Authors: Ramusat Nathan , Savona Vincenzo
Published: February 2021

Simulating the dynamics and the non-equilibrium steady state of an open quantum system are hard computational tasks on conventional computers. For the simulation of the time evolution, several efficient quantum algorithms have recently been developed. However, computing the non-equilibrium steady state as the long-time limit of the system dynamics is often not a viable solution, because of exceedingly long transient features or strong quantum correlations in the dynamics. Here, we develop an efficient quantum algorithm for the direct estimation of averaged expectation values of observables on the non-equilibrium steady state, thus bypassing the time integration of the master equation. The algorithm encodes the vectorized representation of the density matrix on a quantum register, and makes use of quantum phase estimation to approximate the eigenvector associated to the zero eigenvalue of the generator of the system dynamics. We show that the output state of the algorithm allows to estimate expectation values of observables on the steady state. Away from critical points, where the Liouvillian gap scales as a power law of the system size, the quantum algorithm performs with exponential advantage compared to exact diagonalization.
PENGARUH KEMANDIRIAN BELAJAR TERHADAP HASIL BELAJAR MATEMATIKA SISWA MELALUI PENERAPAN PEMBELAJARAN KOOPERATIF TIPE THINK PAIR SHARE
Authors: Afriyola Fingki , Rahmi Rahmi , Delyana Hafizah
Published: February 2021

Student learning independence is still lacking and student learning outcomes are still low is the background of this research. This study aims to determine the effect of students' mathematics learning independence after applying the Think Pair Share type cooperative learning model in class X SMKN 1 Ranah Ampek Hulu, Pesisir Selatan Regency. This study uses the One Shot Case Study research design. The data analysis technique used simple linear regression analysis. The questionnaire score regression coefficient (b) is 0.823 with a significant level of 0.05. Because the regression coefficient (b) is positive (+). So there is a positive influence between independent learning (X) on learning outcomes (Y). The closeness of the linear relationship between X and Y can be seen from the correlation coefficient r = 0.135 which means it is close to 0, so the linear relationship between X and Y is weak. The conclusion is that independent learning has an effect on student mathematics learning outcomes by using cooperative learning type Think Pair Share.
Meriç Delta Balıklarında Toksik Metal Birikimlerinin Değerlendirmesi: Muhtemel İnsan Sağlığı Riskleri
Authors: Tokatlı Cem , Ustaoğlu Fikret
Published: February 2021

Meriç Deltası Türkiye’nin Trakya bölgesinde yer alan dünya çapında öneme sahip sulak alanlardan biridir. Delta içinde yer alan Gala ve Sığırcı gölleri, biyo-çeşitlilik bakımından Türkiye’nin önemli göllerindendir. Bu çalışmada Sığırcı ve Gala göllerinden elde edilen altı balık türünün (Carassius gibelio, Carassius carassius, Scardinius erythrophthalmus, Cyprinus carpio, Sander lucioperca ve Perca fluviatilis) kaslarındaki toksik ve esansiyel element (Li, B, Al, V, Cr, Mn, Fe, Co, Ni, Cu, Zn, As, Se, Sr, Ag, Cd, Sb, Ba, Tl, ve Pb) konsantrasyonları tespit edilerek, bu elementlerin tüketimi ile ilişkili potansiyel insan sağlığı riskleri, yetişkinlerde “tahmini günlük tüketim (EDI)” dikkate alınarak değerlendirildi. Ayrıca, genel popülasyon için balık tüketim sıklığı dikkate alınarak, “hedef tehlike katsayısı (THQ)”, “tehlike indeksi (HI)” ve “kanserojen riski (CR)” değerleri belirlendi. Bu sonuçlara göre, tüm balık türlerin yenilebilir kaslarında Li, B, Cr, Co, Se, Tl, ve Pb için EDI değerleri genel olarak izin verilen günlük doz limitini aşmıştır. Ancak 1’in altında tespit edilen THQ ve HI değerleri kanserojen sağlık riskinin olmadığını göstermiştir. Ayrıca, As, Cr, Ni ve Pb için CR değerleri kabul edilebilir sınırlardadır. Sonuçlar, Sığırcı ve Gala göllerindeki balıkların kaslarındaki toksik element konsantrasyonlarının tüketiciler için önemli bir sağlık riski oluşturmadığını ortaya koymuştur.
Hubungan antara Karakteristik dan Kepatuhan Melakukan Pemeriksaan pada Akseptor Alat Kontrasepsi dalam Rahim (AKDR) di Puskesmas Kecamatan Pulogadung Jakarta Timur
Authors: Napitupulu Rachel Remalia , Lebuan Adeline
Published: February 2021

Abstrak

Tingginya laju pertumbuhan penduduk masih merupakan masalah utama yang sedang dihadapi oleh negara berkembang, termasuk Indonesia. Pemerintah memiliki program yang bertujuan untuk menyeimbangkan laju pertumbuhan penduduk di Indonesia, yakni melalui program keluarga berencana (KB). Salah satu metode KB yang efektif adalah alat kontrasepsi dalam rahim (AKDR). Pemeriksaan AKDR sendiri memiliki tahapan-tahapan. Penelitian ini bertujuan untuk mengetahui hubungan antara karakteristik dan kepatuhan pemeriksaan pada akseptor AKDR di Puskesmas Kecamatan Pulogadung Jakarta Timur. Penelitian ini menggunakan rancangan penelitian potong-lintang terhadap 85 data rekam medik akseptor yang melakukan pemeriksaan AKDR di Puskesmas Kecamatan Pulogadung bulan Januari hingga Desember 2018. Teknik pengambilan sampel secara total sampling. Hasil penelitian menunjukkan persentase terbesar akseptor AKDR berusia 20-35 tahun (60,0%), pendidikan lanjutan (tamat SLTA, D3, S1) (63,5%), tidak bekerja (72,9%) dan tidak patuh memeriksakan AKDR, yaitu (50,6%). Kesimpulan penelitian menunjukkan tidak terdapat hubungan yang signifikan antara usia dan kepatuhan pemeriksaan AKDR (p=0,092). Tetapi, terdapat hubungan yang signifikan antara pendidikan (p=0,000), pekerjaan (p=0,000), kepatuhan pemeriksaan AKDR di Puskesmas Kecamatan Pulogadung Jakarta Timur.

Kata kunci: Usia, pendidikan, pekerjaan, dan kepatuhan pemeriksaan AKDR

Abstract

The high rate of population growth is still the main problem being faced by developing countries including Indonesia. The government has a program that aims to balance the rate of population growth in Indonesia, namely through family planning programs. The IUD is one of the most effective birth control methods. The IUD examination itself has stages. Therefore this study aims to determine the relationship of characteristics and compliance of examinations in IUD acceptors in Pulogadung District Health Center, East Jakarta. This study uses retrospective design and uses medical records of acceptors who conduct IUD examinations in Pulogadung District Health Center from January to December 2018. The sample in this study was 85 medical records using a total sampling technique. The conclusion of the study showed that the largest percentage of IUD acceptor age was 20-35 years (60.0%), secondary education (high school graduation, D3, S1) (63.5%), not working (72.9%) and not obeying the IUD is (50.6%). There was no significant relationship between age and compliance with the IUD examination (p = 0.092). But there is a significant relationship between education (p = 0,000), employment (p = 0,000), and compliance with the IUD examination at Pulo Gadung Sub-District Health Center, East Jakarta.

Keywords: Age, education, work, and Compliance Examination of IUD Acceptor
A complex coexistence of pilonidal disease and an anal fistula in an HIV/AIDS patient
Authors: Weledji Elroy
Published: February 2021

Anal fistula and pilonidal disease may coexist in the same patient and
may even be connected as in this case with an anal carcinoma- in situ
(Bowen’s disease) in an immunodepressed patient. It is difficult to tell
if the malignancy arose from the chronic pilonidal disease or
vice-versa.
Gastroenterological disorders increase the prevalence of Overactive Bladder in females at various ages
Authors: Taştemur Sedat , Tonyali Senol , Keseroglu Bugra Bilge , Tastemur Mercan , Karaaslan Mustafa , Yesil Bayram , Yuksel Mahmut
Published: February 2021

ABSTRACT Objective: In this study we aimed to determine the coexistence
of overactive bladder in patients with gastroenterological disorders
including hepatitis, cirrhosis and IBD. Materials and Methods: we
prospectively collected the data of patients who admitted to the
outpatient clinic of department of gastroenterology at xxx hospital
between May 2017 and February 2019. All patients with chronic
gastroenterological disorders such as hepatitis and irritable bowel
syndrome willing to participate the study after the verbal consent were
included the study Results: A total of 289 female patients were included
the study. The mean age of the patients was 49.9 ±13 years. The mean BMI
value was 27.9± 4.5 kg/m2. Among 289 patients, 135 (46.7%) had
Hepatitis B, 53 (18.3%) had ulcerative colitis, 35 (12.1%) had Crohn’s
disease, 22 (7.6%) had autoimmune hepatitis, 19 (6.6%) had primer
biliary cirrhosis, 13 (4.5%) had Hepatitis C and 12(4.2%) had celiac
disease. The mean age of patients was similar between patients having
OAB-v8 higher and lower than 8 (p=0.46). However, patients having OAB
score>8 had higher BMI compared to patients who had OAB
score <8, 29.1 ±5 vs. 27.2 ±4.1 kg/m2, p=0.001. In
multivariate regression analysis, BMI was the sole indicator of OAB
(p=0.001) whereas age (p=0.46), menopause status (p=0.33), smoking
status (p=0.97) were not. Conclusion: The incidence of OAB in our
patient cohort was higher than the reported incidence which might
suggest evaluation patients with gastrointestinal disorders in terms of
overactive bladder on routine follow-up.
The impact of shopping centres on the restructuring in the post-socialist cities with a particular focus on Podgorica
Authors: Vujisic Katarina , Krkljes Milena
Published: February 2021

This paper considers transformation of urban form of post-socialistic cities
arising from the transition from socialism to capitalism. The structural
transformation resulted in creation of polycentric cities,
deindustrialization and revitalisation of suburban zones and led to emerging
of commercial developments as a manifestation of activity of new urban
players. The emergence of shopping centres marks the beginning of
consumerism in the consumer society that has formerly been exclusively
oriented to industrial production. The effects of this phenomenon on the
urban tissue are similar in all cities of Central and East Europe. Likewise,
in Podgorica, such effects reflected in restructuring of previously known
urban structure, inducing creation of new town districts to the full extent.
The purpose of this study is to reassess the existing and introduce new
mechanisms of urban policy of the post-socialistic cities, with a particular
focus on Podgorica, thus enabling facilitation of legal frameworks and an
institutional approach to the further process.
Assessing the currently-used methods for improving continued-education skills in the architectural engineering departments in Egypt
Authors: Mamdouh Amr , Abdelkader Morad , Samir Tamer
Published: February 2021

The present study is concerned with assessing the currently used methods for
improving the skills of continued education in the architectural engineering
departments as well as the architectural market in Egypt. The main
hypothesis of this study is that: the concept of continued-education in
architecture is absent in Egypt, the current mechanisms of supporting
continued-education are neither active nor effective, and the architectural
education is not enough alone to build a professional architectural
character. Survey forms have been distributed for practitioners, and
interviews have been conducted with stakeholders for the sake of assessing
the role of the universities in Egypt in supporting the graduates? skills
development. The study compared the collected data about these universities
through three main points: continued-education, graduates? follow-up and
environment & community services. At the end, this study suggests some
mechanisms based on the data analysis of the collected information. These
mechanisms will help improving the practice of architecture in Egypt. In
addition, the study proposed some recommendations regarding practicing
architecture in Egypt for architecture?s practitioners, Egyptian Engineering
Syndicate, and Egyptian executive entities such as ministry of higher
education & prime minister office. These recommendations will be delivered
as well as a copy of this research to all stakeholders in order to be taken
into considerations.
Design and functional characteristics of the multi-family housing architecture in the period of mature and late Modern architecture of Nis: Case studies
Authors: Petrovic Marjan
Published: February 2021

The topic of this paper is the functional and design characteristics of
multifamily (formerly collective) residential buildings created in the
post-war period of Modern architecture of Nis. For the post-war period of
intensive and mass construction of residential buildings, a time
classification of constructed buildings was performed, and they are
classified into two categories. The first category includes buildings built
in the 1950s, in the period of the ?mature? Modern architecture, which is a
continuation of modern architecture of Nis between the two world wars. The
second category consists of residential buildings created in the late 1960s
and 1970s, in the period of the late (industrial) Modern architecture of
Nis. In this paper, two representative examples of residential and
commercial buildings from the mentioned periods were selected, both built on
the 14. Oktobar square, in the central core of the city of Nis. As
typological representatives of the mentioned periodizations of construction,
the buildings will be analyzed in the form of two case studies.
Newborn Adiposity and Cord Blood C-Peptide as Mediators of the Maternal Metabolic Environment and Childhood Adiposity
Authors: Josefson Jami L. , Scholtens Denise M. , Kuang Alan , Catalano Patrick M. , Lowe Lynn P. , Dyer Alan R. , Petito Lucia C. , Jr. William L. Lowe, , Metzger Boyd E. , Group the HAPO Follow-up Study Cooperative Research
Published: February 2021

OBJECTIVE

Excessive
childhood adiposity is a risk factor for adverse metabolic health. The
objective was to investigate associations of newborn body composition and cord
C-peptide with childhood anthropometrics and explore whether these newborn
measures mediate associations of maternal mid-pregnancy glucose and BMI with
childhood adiposity.

RESEARCH
DESIGN AND METHODS

Data
on mother/offspring pairs (N=4832) from the epidemiological Hyperglycemia and
Adverse Pregnancy Outcome (HAPO) Study and HAPO Follow Up Study (HAPO FUS) were
analyzed. Linear regression was used to study associations between newborn and
childhood anthropometrics. Structural equation modeling was used to explore
newborn anthropometric measures as potential mediators of the associations of
maternal BMI and glucose during pregnancy with childhood anthropometric
outcomes.

RESULTS

In
models including maternal glucose and BMI adjustments, newborn adiposity as
measured by sum of skinfolds was associated with child outcomes (adjusted mean
difference, 95% CI, p-value) BMI(0.26,0.12-0.39,<0.001),
BMI z-score(0.072,0.033-0.11,<0.001), fat mass (kg)(0.51,0.26-0.76,<0.001), percent bodyfat(0.61,
0.27-0.95,<0.001), and sum of skinfolds (mm)(1.14,0.43-1.86,0.0017).
Structural equation models demonstrated significant mediation by newborn sum of
skinfolds and cord C-peptide of maternal BMI effects on childhood
BMI(proportion of total effect
2.5% and 1%, respectively), fat
mass(3.1%,1.2%), percent bodyfat(3.6%,1.8%), and sum of skinfolds (2.9%,1.8%),
and significant mediation
by newborn sum of skinfolds and cord C-peptide
of maternal glucose effects on child fat mass (proportion of total association
22.0% and 21.0%, respectively), percent bodyfat (15.0%,18.0%), and sum of
skinfolds (15.0%,20.0%).

CONCLUSIONS

Newborn
adiposity is independently associated with childhood adiposity and, along with fetal
hyperinsulinemia, mediates, in part, associations of maternal glucose and BMI
with childhood adiposity.
The Ways of Research
Authors: Peebles P. J. E.
Published: February 2021

This chapter explores some lessons to be drawn from the historical development of cosmology, which may illustrate the nature of the enterprise of natural science. It is obvious but must be stated that research in the natural sciences depends on technology that was developed largely for other purposes. Technology enabled far more efficient measurements of galaxy redshifts. However, the technology that made this possible was not aimed at astronomy; it was adapted, in part for the purpose of obtaining enough data on galaxy positions and motions for a meaningful determination of the cosmic mean mass density. It is also obvious that the ways of research in science are the ways people tend to operate in general. A working condition that may be particularly relevant for cosmology is the tendency to take a personal interest in the results: how did our universe begin, what is it like now, and how might it end? The chapter then considers the social construction of science.
Towards Comparative Analysis of Resumption Techniques in ETL
Authors: Muddasir Mohammed , K Raghuveer , R Dayanand
Published: February 2021

Data warehouses are loaded with data from sources such as operational data bases. Failure of loading process or failure of any of the process such as extraction or transformation is expensive because of the non-availability of data for analysis. With the advent of e-commerce and many real time application analysis of data in real time becomes a norm and hence any misses while the data is being loaded into data warehouse needs to be handled in an efficient and optimized way. The techniques to handle failure of process to populate the data are very much important as the actual loading process. Alternative arrangement needs to be made for in case of failure so that processes of populating the data warehouse are done in time. This paper explores the various ways through which a failed process of populating the data warehouse could be resumed. Various resumption techniques are compared and a novel block based technique is proposed to improve one of the existing resumption techniques.
SISTEM PENENTUAN KUALITAS PISANG MENGGUNAKAN METODE FUZZY TSUKAMOTO
Authors: Arista Rofika , Sholihin Miftahus , Nafi'iyah Nur
Published: February 2021

Pisang adalah buah yang memiliki rasa sangat manis dan aroma yang harum. Buah ini menjadi favorit banyak orang karena harganya yang terjangkau dan memiliki banyak manfaat dan nutrisi untuk tubuh. Penentuan kualitas pisang telah ditetapkan berdasarkan SNI 7422-2009 pisang. Tetapi kurangnya pengetahuan perusahaan ataupun konsumen dalam menentukan kualitas pisang mengakibatkan kesehatan menurun karena kesalahan mengkonsumsi buah pisang. Proses menentukan kualitas pisang berdasarkan 3 variabel kriteria, yaitu: ukuran, kecacatan dan kesegaran. Di mana hasil kualitas pisang terdapat kategori kelas C, B, A dan Super. Metode Tsukamoto dalam menentukan kualitas pisang menggunakan defuzzifikasi nilai rata-rata, dan menggunakan kriteria kualitas pisang yang terdiri dari tiga variable, yaitu ukuran, kecacatan, dan kesegaran. Hasil penelitian ini didapatkan kelas pisang berdasarkan kriteria yang diinputkan dan memiliki nilai akurasi sebesar 78%.
KLASIFIKASI VARIETAS KOPI BERDASARKAN GREEN BEAN COFFEE MENGGUNAKAN METODE MACHINE LEARNING
Authors: Nugroho M. Agung , Sebatubun Maria Mediatrix
Published: February 2021

Kopi memiliki jenis yang terdiri dari kopi robusta dan kopi arabika. Kopi arabika memiliki beragam varietas berdasarkan daerah asal atau dikenal dengan nama single origin. Petani dan coffee expert membedakan varietas kopi arabika melalui bentuk dan karakter dari green bean atau kopi mentah. Perbedaan ciri ini meliputi perbedaan warna, bentuk, atau tekstur. Setiap varietas kopi memiliki harga yang berbeda-beda tergantung dari jenis varietasnya. Walaupun demikian, tidak semua petani, dan pemilik coffee shop mampu mengenali varietas kopi dengan hanya melihat green bean. Sehingga, bisa terjadi kesalahan dalam mengenali varietas kopi jika pemilik coffee shop tidak mengetahui pengetahuan tentang kopi. Hal ini bisa disolusikan dengan pemodelan yang dapat mengidentifikasi varietas kopi arabika agar dapat digunakan sebagai second opinion untuk mengindentifikasi varietas kopi arabika. Salah satu metode yang digunakan adalah metode pencitraan. Penelitian ini dimulai pada tahap pra-proses yaitu cropping citra, tahapan selanjutnya adalah melakukan proses klasifikasi menggunakan metode Machine Learning. Metode ini dapat melakukan ekstraksi fitur secara otomatis sehingga tahap pengenalan varietas kopi dapat dilakukan dengan lebih cepat dan diharapkan mampu memberikan tingkat akurasi yang tinggi.
Analisis Rencana Pemekaran Desa dan Kecamatan di Kabupaten Kotawaringin Barat: Sebuah Skenario
Authors: Ardianto Hendra Try , Alfirdaus Laila Kholid
Published: February 2021

Artikel ini bertujuan memaparkan bagaimana skenario pemekaran kecamatan dan desa di Kabupaten Kotawaringin Barat, Provinsi Kalimantan Tengah. Disebut skenario karena cara analisisnya bukan berdasarkan dinamika tuntutan pemekaran, melainkan lebih pada bagaimana kesesuaian rencana pemekaran dengan tata regulasi yang ada, terutama UU No 9/2015 tentang Pemerintah Daerah, UU No.6/2014 tentang Desa dan PP Nomor 17/2018 tentang Kecamatan. Argumen artikel ini menunjukkan bahwa kebutuhan akan pemekaran kecamatan dan desa di kabupaten Kotawaringin Barat sudah tidak terhindarkan, mengingat luasan wilayah yang terlampau besar menjadi penghambat pembangunan dan pelayanan publik. Hasilnya, setidaknya ada dua skenario yang bisa dilakukan, yakni jangka pendek dengan penataan ulang kecamatan baru dan jangka panjang dengan pemekaran beberapa desa potensial. Dengan dua skenario itu, analisis artikel ini menyuguhkan signifikansi secara praktis bagaimana Kabupaten Kotawaringin Barat melakukan pemekaran agar mampu mendapatkan minimal 8 kecamatan.
Pemanfaatan Aplikasi Drone Emprit Academic dalam Menganalisis Opini Publik di Media Sosial
Authors: Arianto Bambang
Published: February 2021

Tujuan penelitian ini adalah untuk mengetahui perilaku warganet di media sosial dalam setiap isu yang berkembang. Hal itu disebabkan, media sosial bisa dipergunakan untuk melacak dengan mudah informasi dan opini masyarakat yang lagi trending. Apalagi, saat ini media sosial telah menjadi saluran untuk mencari informasi, interaksi, partisipasi dan desentralisasi di semua lini kehidupan masyarakat. Penelitian ini menggunakan pendekatan kualitatif untuk melakukan analisis data hasil percakapan media sosial dengan bantuan aplikasi Drone Emprit Academic (DEA) Universitas Islam Indonesia. Aplikasi ini merupakan kumpulan data besar (big data) dari seluruh percakapan warganet di media sosial dalam konteks internasional. Penelitian ini mengungkapkan bahwa aplikasi Drone Emprit Academic menjadi salah satu aplikasi untuk mengetahui percakapan warganet di media sosial. Penelitian ini juga menyatakan bahwa aplikasi Drone Emprit Academic (DEA) bisa digunakan untuk menganalisis opini publik yang berkembang secara kekinian.
Implementasi Aplikasi Sistem Keuangan Desa (SISKEUDES) 2.0 Di Desa Guru Agung 1 Kecamatan Kaur Utara Kabupaten Kaur
Authors: Wibowo Hadiat Trihutomo , Triyanto Deni , Sutojo Adi
Published: February 2021

Aplikasi SISKEUDES 2.0 merupakan aplikasi yang digunakan pemerintahan desa untuk melaporkan dana desa, namun masih banyak permasalahan pada implementasi aplikasi tersebut. Penelitian ini bertujuan untuk melihat implementasi Aplikasi Siskeudes 2.0 Studi Di Desa Guru Agung 1 Kecamatan Kaur Utara Kabupaten Kaur. Penelitian ini menggunakan model implementasi Edward III. Metode Penelitian menggunakan deskriptif kualitatif dengan tujuh informan penelitian, dimana menggunakan teknik penelitian observasi dan wawancara. Hasil penelitian menjukkan bahwa implementasi aplikasi Siskeudes 2.0 di Desa Guru Agung I Kecamatan Kaur Utara Kabupaten Kaur kurang efektif, karena masih terdapat beberapa permasalah pada sumberdaya yang ada untuk mendukung implementasi aplikasi Siskudes 2.0. Selain itu juga didukung belum kurang efektifnya kinerja apartur dalam mengoprasikan apliasi Siskeudes dikarena minimnya pengetahuam dan kemampuan dibidang teknologi Informasi dan komputer. Pemerintah daerah atau pusat dapat mengevaluasi pelatihan yang selama ini diberikan kepada aparatur desa, supaya pelatihan yang selama ini diberikan dapat efektif dan dapat diaplikasikan oleh aparatur desa
Upaya Cina menjadi Kekuatan Maritim dalam Indian Ocean Rim Association (IORA)
Authors: Qodarsasi Umi , Rachmawati Tety
Published: February 2021

After the economic reform in 1978, China experienced a rapid economic growth. The open door policy adopted on economic reforms succeeded in attracting many foreign investors in the sector of manufacture. Along with its status as a new power of the world economy, China is also ambitious to become the largest maritime power. The Indian Ocean is a strategic area to strengthen China's steps to support economic needs and become a maritime power. To achieve strategic interests in the Indian Ocean Region, China joins as an IORA partner. China’s effort to dominate at the IORA is not only to recruiting rival countries, but also to built strategic partnerships with the countries in the Indian Ocean region. Besides Pakistan and Myanmar, China has also established strategic partnerships with Iran, Bangladesh and Sri Lanka. For strategic partner, China is seen as an alliance in strengthening politics in their country and is a supplier of military weapons and technology with affordable prices. This paper will explain the China's interests in the IORA and China's position compared to other IORA member, and also China's strategy. The results obtained shows that China has the potential to become a maritime power at the IORA.
Tinjauan Hukum Humaniter Internasional dalam Operasi Enduring Freedom Amerika Serikat ke Afghanistan dan Peran International Criminal Court (ICC)
Authors: Ismadi Reno , Putranto Awatar Bayu , Pratiwi Tiffany Setyo
Published: February 2021

The US military invasion to Afghanistan took place when the War on Terror declared by the United States after the incident in September, 2001 at World Trade Center. One of the military operations in this invasion was called Enduring Freedom. This research will discuss the violations committed by America in the invasion of Afghanistan, particularly during the Enduring Freedom operation, which it was reviewed through Geneva Law and The Rome Statute. The author using literature studies with qualitative methods. The author found that the violations of the Geneva Conventions of 1949 and The Rome Statute Article 8 and 11 were carried out by America during the deliberate Enduring Freedom Operation. The violation was proven but the International Criminal Court (ICC) did nothing.
Peran Pondok Pesantren Modern Gontor Sebagai Instrumen Multitrack Diplomacy Pendidikan dalam Kerjasama Internasional
Authors: Amalia Novi
Published: February 2021

Islamic boarding schools are one of the educational institutions that are in great demand by many Muslims in Indonesia starting from the middle to lower classes of society to middle and upper society. The role of the pesantren in educating the younger generations in the millennial era has quite a lot of impact. The current phenomenon is that many education systems only prioritize school education in the classroom without understanding character education. One of the pesantren which is quite long and in demand and produces many alumni who are engaged in government and professional fields is Pondok Modern Darussalam Gontor (PMDG). PMDG is Islamic boarding schools which have considerable domestic and foreign cooperation. This pattern of diplomacy and cooperation will have an impact on the existence of PMDG in pesantren education. In globalization era, diplomacy involves not only the state but also non-state actors. Diplomacy Line 5 (Educational Pathway) have a main goal to advancing the education. Educational institution can influence the thinking of learners, moreover it can be seen that the cooperation carried out by the pesantren educational institutions are many from foreign institutions and even students who demand knowledge from many other countries.