bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect of Liquid Meal Replacements on Cardiometabolic Risk Factors in Overweight/Obese Individuals With Type 2 Diabetes: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Authors: Noronha Jarvis C. , Nishi Stephanie , Braunstein Catherine R. , Khan Tauseef A. , Blanco Mejia Sonia , Kendall Cyril W.C. , Kahleova Hana , Rahelić Dario , Salas-Salvadó Jordi , A. Leiter Lawrence , Sievenpiper John L
Published: August 2024

  

OBJECTIVE

The evidence for liquid meal replacements in diabetes has not been summarized. Our objective was to synthesize the evidence of the effect of liquid meal replacements on cardiometabolic risk factors in overweight/obese individuals with type 2 diabetes.

RESEARCH DESIGN AND METHODS

Data sources included MEDLINE, EMBASE, and the Cochrane Library through 10 December 2018. We included randomized trials of ≥2 weeks assessing the effect of liquid meal replacements in weight loss diets compared with traditional weight loss diets on cardiometabolic risk factors in overweight/obese subjects with type 2 diabetes. Two independent reviewers extracted relevant data and assessed risk of bias. Data were pooled using the inverse variance method. The overall certainty of the evidence was evaluated using GRADE (Grading of Recommendations Assessment, Development and Evaluation).

RESULTS

Nine trial comparisons (N = 961 [median follow-up 24 weeks]) met eligibility criteria. Mean differences were for body weight −2.37 kg (95% CI −3.30 to −1.44), BMI −0.87 kg/m2 (−1.31 to −0.42), body fat −1.66% (−2.17 to −1.15), waist circumference −2.24 cm (−3.72 to −0.77), HbA1c −0.43% (−0.66 to −0.19) (−4.7 mmol/mol [−7.2 to −2.1]), fasting glucose −0.63 mmol/L (−0.99 to −0.27), fasting insulin −11.83 pmol/L (−23.11 to −0.54), systolic blood pressure −4.97mmHg (−7.32 to −2.62), and diastolic blood pressure −1.98 mmHg (−3.05 to −0.91). There was no effect on blood lipids. The overall certainty of the evidence was low to moderate owing to imprecision and/or inconsistency.

CONCLUSIONS

Liquid meal replacements in weight loss diets lead to modest reductions in body weight, BMI, and systolic blood pressure, and reductions of marginal clinical significance in body fat, waist circumference, HbA1c, fasting glucose, fasting insulin, and diastolic blood pressure. More high-quality trials are needed to improve the certainty in our estimates.  
Assessing the Nutritional Quality of Diets of Canadian Adults Using the 2014 Health Canada Surveillance Tool Tier System
Authors: Jessri Mahsa , Nishi Stephanie , R. L’Abbé Mary
Published: August 2024

Background

Health Canada’s Surveillance Tool (HCST) Tier System was developed in 2014 with the aim of assessing the adherence of dietary intakes with Eating Well with Canada’s Food Guide (EWCFG). HCST uses a Tier system to categorize all foods into one of four Tiers based on thresholds for total fat, saturated fat, sodium, and sugar, with Tier 4 reflecting the unhealthiest and Tier 1 the healthiest foods. This study presents the first application of the HCST to examine (i) the dietary patterns of Canadian children, and (ii) the applicability and relevance of HCST as a measure of diet quality.

Methods

Data were from the nationally-representative, cross-sectional Canadian Community Health Survey 2.2. A total of 13,749 participants aged 2–18 years who had complete lifestyle and 24-hour dietary recall data were examined.

Results

Dietary patterns of Canadian children and adolescents demonstrated a high prevalence of Tier 4 foods within the sub-groups of processed meats and potatoes. On average, 23–31 % of daily calories were derived from “other” foods and beverages not recommended in EWCFG. However, the majority of food choices fell within the Tier 2 and 3 classifications due to lenient criteria used by the HCST for classifying foods. Adherence to the recommendations presented in the HCST was associated with closer compliance to meeting nutrient Dietary Reference Intake recommendations, however it did not relate to reduced obesity as assessed by body mass index (p > 0.05).

Conclusions

EWCFG recommendations are currently not being met by most children and adolescents. Future nutrient profiling systems need to incorporate both positive and negative nutrients and an overall score. In addition, a wider range of nutrient thresholds should be considered for HCST to better capture product differences, prevent categorization of most foods as Tiers 2–3 and provide incentives for product reformulation. 
Portfolio Dietary Pattern and Cardiovascular Disease: A Systematic Review and Meta-analysis of Controlled Trials
Authors: Chiavaroli Laura , Nishi Stephanie , Khan Tauseef A. , Braunstein Catherine R. , Glenn Andrea J. , Blanco Mejia Sonia , Rahelić Dario , Kahleová Hana , Salas-Salvadó Jordi , Jenkins David J.A. , Kendall Cyril W.C. , L. Sievenpiper John
Published: August 2024

  

Background

The evidence for the Portfolio dietary pattern, a plant-based dietary pattern that combines recognized cholesterol-lowering foods (nuts, plant protein, viscous fibre, plant sterols), has not been summarized.

Objective

To update the European Association for the Study of Diabetes clinical practice guidelines for nutrition therapy, we conducted a systematic review and meta-analysis of controlled trials using GRADE of the effect of the Portfolio dietary pattern on the primary therapeutic lipid target for cardiovascular disease prevention, low-density lipoprotein cholesterol (LDL-C), and other established cardiometabolic risk factors.

Methods

We searched MEDLINE, EMBASE, and The Cochrane Library through April 19, 2018. We included controlled trials ≥ 3-weeks assessing the effect of the Portfolio dietary pattern on cardiometabolic risk factors compared with an energy-matched control diet free of Portfolio dietary pattern components. Two independent reviewers extracted data and assessed risk of bias. The primary outcome was LDL-C. Data were pooled using the generic inverse-variance method and expressed as mean differences (MDs) with 95% confidence intervals (CIs). Heterogeneity was assessed (Cochran Q statistic) and quantified (I2-statistic). GRADE assessed the certainty of the evidence.

Results

Eligibility criteria were met by 7 trial comparisons in 439 participants with hyperlipidemia, in which the Portfolio dietary pattern was given on a background of a National Cholesterol Education Program (NCEP) Step II diet. The combination of a portfolio dietary pattern and NCEP Step II diet significantly reduced the primary outcome LDL-C by ~17% (MD, −0.73 mmol/L, [95% CI, −0.89 to −0.56 mmol/L]) as well as non-high-density lipoprotein cholesterol, apolipoprotein B, total cholesterol, triglycerides, systolic and diastolic blood pressure, C-reactive protein, and estimated 10-year coronary heart disease (CHD) risk, compared with an NCEP Step 2 diet alone (p < 0.05). There was no effect on high-density lipoprotein cholesterol or body weight. The certainty of the evidence was high for LDL-cholesterol and most lipid outcomes and moderate for all others outcomes.

Conclusions

Current evidence demonstrates that the Portfolio dietary pattern leads to clinically meaningful improvements in LDL-C as well as other established cardiometabolic risk factors and estimated 10-year CHD risk. 
Wrestling the elephant: Teaching as a racialized body in the social work classroom
Authors: Mak Carolyn , Mucina Mandeep Kaur , Ferguson Renee Nichole
Published: August 2024

White supremacist ideology is the elephant in the social work classroom, negatively impacting educators’ abilities to facilitate discussion and learning. One of the most effective ways to dismantle and organize against white supremacy is to politicize the seemingly benign moments that occur in the classroom that can create discomfort for students and instructors. Politicization includes identifying and addressing both the racial (micro-) aggressions that occur in the classroom and the processes and institutional policies that create complacency and lull us to sleep. In this conceptual piece, we use a Critical Race Theory (CRT) framework to understand how white supremacy perpetuates itself in the classroom, with a particular focus on whiteness as property. As well, we explore what it means to decolonize the classroom. Using a vignette based on our teaching experiences, we use these two frameworks to analyze classroom dynamics and interactions, and discuss how implications for social work education include waking from the metaphorical sleep to recognize the pernicious effects of whiteness and white supremacy. Included are practical individual teaching, relational, and systemic suggestions to enact change.
Dietary intake of Perfluorooctanesulfonic acid (PFOS) and glucose homeostasis parameters in a non-diabetic senior population
Authors: Khoury Nadine , Martínez María Ángeles , Nishi Stephanie , Ángel Martínez-González Miguel , Corella Dolores , Castañer Olga , Martínez J Alfredo , Alonso-Gómez Ángel M. , Warnberg Julia , Vioque Jesus , Romaguera Dora , Lopez-Miranda José , Estruch Ramon , J Tinahones Francisco , Santos-Lozano Jose Manuel , Serra-Majem Lluis , Cavanillas Aurora Bueno , Tur Josep A. , Cinza-Sanjurjo Sergio , Pintó Xavier , Gaforio José Juan , Matía-Martín Pilar , Vidal Josep , Vázquez Clotilde , Daimiel Lidia , Ros Emilio , Sayón-Orea Carmen , V. Sorlí Jose , Pérez-Vega Karla Alejandra , García-Ríos Antonio , Ortiz-Díaz Francisco , Gomez-Gracia Enrique , Zulet MA , Chaplin Alice , Casas Rosa , Salcedo-Bellido Inmaculada , Tojal-Sierra Lucas , Bernal-Lopez María Rosa , Ruiz Zenaida Vázquez , Asensio Eva M. , Goday Albert , Peña-Orihuela Patricia J. , Signes-Pastor Antonio J. , García-Arellano Ana , Fitó Montse , Babio Nancy , Salas-Salvadó Jordi
Published: August 2024

Background: Endocrine disruptors (EDs) have emerged as potential contributors to the development of type-2 diabetes. Perfluorooctane sulfonate (PFOS), is one of these EDs linked with chronic diseases and gathered attention due to its widespread in food.

Objective: To assess at baseline and after 1-year of follow-up associations between estimated dietary intake (DI) of PFOS, and glucose homeostasis parameters and body-mass-index (BMI) in a senior population of 4600 non-diabetic participants from the PREDIMED-plus study.

Methods: Multivariable linear regression models were conducted to assess associations between baseline PFOS-DI at lower bound (LB) and upper bound (UB) established by the EFSA, glucose homeostasis parameters and BMI.

Results: Compared to those in the lowest tertile, participants in the highest tertile of baseline PFOS-DI in LB and UB showed higher levels of HbA1c [β-coefficient(CI)] [0.01 %(0.002 to 0.026), and [0.06 mg/dL(0.026 to 0.087), both p-trend ≤ 0.001], and fasting plasma glucose in the LB PFOS-DI [1.05 mg/dL(0.050 to 2.046),p-trend = 0.022]. Prospectively, a positive association between LB of PFOS-DI and BMI [0.06 kg/m2(0.014 to 0.106) per 1-SD increment of energy-adjusted PFOS-DI was shown. Participants in the top tertile showed an increase in HOMA-IR [0.06(0.016 to 0.097), p-trend = 0.005] compared to participants in the reference tertile after 1-year of follow-up.

Discussion: This is the first study to explore the association between DI of PFOS and glucose homeostasis. In this study, a high baseline DI of PFOS was associated with a higher levels of fasting plasma glucose and HbA1c and with an increase in HOMA-IR and BMI after 1-year of follow-up.
Point: Glycemic Index an Important but Oft Misunderstood marker of Carbohydrate Quality
Authors: Viguiliouk Effie , Nishi Stephanie , Wolever Thomas M. S. , Sievenpiper John
Published: August 2024

The glycemic index (GI) is a measure of carbohydrate quality that is supported by many international health organizations for the management of chronic diseases and is included on food labels in several different countries to help consumers make healthier food choices. Despite its endorsement by various health and governmental organizations, the GI concept remains controversial. The aim of this article is to address the most recent criticisms of the GI related to its accuracy, precision, and role in cardiometabolic disease prevention and management. Many of the criticisms appear to stem from a misunderstanding of the GI and do not undermine the best evidence from prospective cohort studies and randomized controlled trials, which show important clinical and public health benefits of reducing the GI of the diet. 
Potentiality of Metal Nanoparticles in Precision and Sustainable Agriculture
Authors: Zannat Meskul , Jahan Israt , Rahaman Md. Arifur , Yeasmin Nusrat Jahan , Angon Prodipto Bishnu
Published: August 2024

The world’s increasing population has a higher demand for food and a suitable environment. However, using conventional farming methods and industrial agrochemicals leads to environmental risk, which is a significant threat for the next generation. So, nanotechnology can be a blessing for saving our environment and producing risk-free foods at minimal cost in an eco-friendly way. Nanoparticles (NPs) used as nanopesticides, nanofertilizers, nanosensors, nanopriming agents, and other applications in agriculture can help mitigate issues such as high production costs, excessive pesticide and fertilizer requirements, soil depletion, and various biotic and abiotic challenges. A variety of important information from different research findings on metal nanoparticles, their characteristics, the synthesis process, and their roles in precision and sustainable agriculture are included in this article. This literature review discusses the benefits of metal nanoparticles on plant growth and development, the ease of green nanoparticle production over chemical and physical approaches, and the effects of metal nanoparticles on agriculture. Future perspectives for metal nanoparticles are also covered in this article based on these impacts. Metal nanoparticles, used as biosensors and seed-priming materials, can contribute to seed germination even in adverse conditions. So, overall, this review article discusses the potentiality of using metal nanoparticles in lieu of inorganic agrochemicals and their possible contribution to precision and sustainable agriculture.
Myth of the 'Born Digital'
Authors: Cole Carmen , Mross Emily , Pritt Andrea
Published: August 2024

We may incorrectly assume that because many of our students were “born digital,” and have never known a time without computers in their schools or classrooms, they are innately digitally literate. However, interactions with students at all levels in a variety of settings such as introductory undergraduate courses, graduate seminars, and technology-focused workshops have demonstrated that some students struggle with or are unaware of basic computing and digital literacy concepts like file management and information organization. This article explores how librarians liaising with different subject areas have worked to incorporate digital literacy objectives into their instruction and outreach initiatives.
Book Damage and Repair in School Libraries
Authors: Parks Heather
Published: August 2024

The author is a trained book conservator and frequently gives free book repair workshops to local public and school librarians. This study was a nationwide survey of American school librarians to inform future workshops. Participants were asked what types of book damage were most often found. They were then asked if those damaged items were weeded, repaired or left as-is. And finally, they were asked for a description of how they chose to repair the damage. The author added suggestions to supplement the repair techniques participants discussed.
Conquering Imposter Syndrome
Authors: Lambdin Lynne
Published: August 2024

Imposter Syndrome is an experience that many new professionals struggle with in their day-to-day work lives. With a strong technological background, succeeding in a systems librarian role seems natural and easy. However, some responsibilities require more traditional skills associated with librarianship, like reference services, instructional support, and collection management. This column emphasizes the significance of professional development and the necessity in gaining a skill set that ensures a more well-rounded library professional and library employee. It offers a head-on approach to combating the feeling of inadequacy when changing one’s career. Imposter syndrome does not have to be a long-term feeling.
Review of Supporting Student Parents in the Academic Library: Designing Spaces, Policies, and Services
Authors: Hathaway Deborah
Published: August 2024

Review of the book Supporting Student Parents in the Academic Library: Designing Spaces, Policies, and Services, Kelsey Keyes and Ellie Dworak. Association of College and Research Libraries. 312 pp. ISBN 978-8-89255-553-1 $82
Evaluation of the Mycothiazole Chemotype as a Chemical Probe to Study Aging Reveals a New Diastereomer
Authors:   , Gerke Joe
Published: August 2024

The Indo-Pacific Marine sponge, Cacospongia mycofijiensis, continues to be a prolific source of bioactive compounds that have made significant advancements to biomedical research. Secondary metabolites isolated from this marine sponge exhibit unique bioactivity, targeting a variety of distinct biological pathways. One such chemotype is the potent mitochondria complex 1 (MC1) inhibitors (+)-(5Z)-(8S)-(14Z)-mycothiazole (1) and (-)-(5Z)-(8R)-(14Z)-mycothiazole (2) routinely isolated from Vanuatu and Tongan specimens of C. mycofijiensis, respectively. Small molecule inhibitors of the electron transport chain, such as 1 and 2, hold significant promise to function as chemical probes—over genetic manipulation approaches—for studying the relationship between mitochondrial stress and aging, as they overcome a major limitation of genetic approaches, which is a serious challenge to apply in genetic interventions involving clinical applications. In the course of scaling up the isolation of 1 to semi-synthesize (-)-(5Z)-(8S)-8-O-acetyl-(14Z)-mycothiazole (3) for ongoing preclinical development and the first aging study utilizing this chemotype, a new diastereomer, (-)-(5E)-(8R)-(14Z)-mycothiazole (4), was discovered. The structure of 4 was elucidated using HRMS and NMR, with its optical rotation value compared to that of 2. The IC50 of 4 in pancreatic (PANC-1) and liver (HepG2) cancer cell lines was determined to be 111.6 and 115.0 nM, respectively. Evaluation of 4 in Caenorhabditis elegans revealed a similar oxygen consumption rate (OCR) of 4 compared to 1 and 3, and all compounds (1, 3-4) significantly increased lifespan. Notably, the Z orientation at ∆5-6 of 1 is crucial for its picomolar cytotoxicity but not for mitochondrial inhibition. These findings underscore the importance for the stereochemistry of the diene-ol system of 1 in terms of its bioactivity, paving the way for further medicinal chemistry exploration of mycothiazole analogs in oncology, mitochondrial research, and aging studies.
Pengaruh Motivasi Belajar, Disiplin Belajar dan Lingkungan Keluarga terhadap Hasil Belajar Siswa SMP Negeri 10 Pangkalpinang
Authors: Sari Mila , Altin2 Darus , Wibawa Dian Prihadini
Published: August 2024

This research is motivated by student learning outcomes that have not been maximized, caused by students’ ability to understand lessons well. This study aims to determine and analyze the study of the effect of learning motivation, laerning discipline and family environment on student learning outcomes at SMP Negeri 10 Pangkalpinang. This research includes descriptive research. The method used is quantitative research. The number of samples in this study were 184 respondents using the saturated sample technique. The analysis model used is multiple linear analysis. The results showed that learning motivation, learning discipline and family environment partially had a positive and significant effect on the learning outcomes of students of SMP Negeri 10 Pangkalpinang. Simultaneous test results show that learning motivation, learning discipline and family environment together have a positive and significant effect on the learning outcomes of student of SMP Negeri 10 Pangkalpinang.
EDUCAÇÃO E HUMANIDADE
Authors: Strohhecker Franciele da Silva dos Anjos
Published: August 2024

O artigo tem como propósito problematizar a condição humana complexa, pensando a importância desse exercício no âmbito da educação, sobretudo como um dos fundamentos para a formação de professores. Constitui-se como uma pesquisa bibliográfica, a partir de estudos e reflexões sobre algumas obras de Edgar Morin. Em um primeiro momento, o movimento de escrita será direcionado para a compreensão de humano que o autor apresenta, pensando o homo complexus. Em seguida, pretende-se discutir acerca da condição humana enquanto horizonte formativo. Por fim, espera-se apresentar uma reflexão mais contundente acerca da humanidade da humanidade e da relação intrínseca que este tema tece com uma educação de sentidos formativos alargados.
APRENDIZAGEM E DESENVOLVIMENTO INFANTIL
Authors: Strohhecker Franciele da Silva dos Anjos
Published: August 2024

Trata-se de uma construção teórica acerca dos postulados de Lev Vigotski sobre a relação entre aprendizado e desenvolvimento e sua evidente relação com o fato de que nos tornamos humanos através da mediação e interação social. Acredita-se que o aprendizado é o que nos caracteriza como humanos, portanto o fato de nos desenvolvermos humanamente é justamente possibilitado por essa capacidade primeira. Tal discussão é fundamental para pensarmos os processos de ensino e aprendizado que perpassam o ambiente escolar, justamente porque sustenta que aprendizado é um aspecto fundamental e necessário para o desenvolvimento das funções psicológicas culturalmente organizadas, que antecede o desenvolvimento, possibilitando ao professor que faça uma aposta ainda maior na capacidade dos sujeitos educacionais de aprenderem e se desenvolverem. Questões epistemológicas basilares para pensar a formação de professores.
Entrevista com Maristela Mosca: um panorama sobre os 20 anos da ABRAORFF
Authors: Santos Cassiano
Published: August 2024

Nesta entrevista, destacamos a atuação e concepções da presidente da Associação Orff Brasil (ABRAORFF), a Professora Dra. Maristela de Oliveira Mosca. Doutora em Ciências da Educação — Desenvolvimento Curricular pela Universidade do Minho/Portugal, Mestre em Educação pela Universidade Federal do Rio Grande do Norte (UFRN), certificada em Orff Schulwerk pelo San Francisco International Orff Course (EUA) e representante estadual (Rio Grande do Norte) do Fórum Latino-Americano de Educação Musical (FLADEM), Maristela Mosca tem se dedicado à união entre a universidade pública e a formação de professores por meio de projetos de extensão, produção científica e organização de eventos prático teóricos pela Associação Orff Brasil. Dentre seus diversos trabalhos, que também envolvem a direção do Núcleo de Educação da Infância (NEI-Cap) e a atuação docente na UFRN, destacamos em nossa entrevista as discussões e panoramas da abordagem Orff-Schulwerk no Brasil, indagando-a sobre dados e concepções epistemológicas, algumas das quais são discutidas pela recém-publicação internacional Orff Schulwerk in Diverse Cultures, com um texto de autoria de Maristela Mosca, Lucilene Silva e Magda Pucci (2021) sobre os desdobramentos da proposta no país. Tratamos de forma enfática a atuação histórica e contemporânea da ABRAORFF em seus recém completados 20 anos, visando reflexões e contextualizações para pontuar as ações futuras de uma importante entidade relacionada à Educação Musical e artística.
Innovation and neuro-economics: The influence on managerial effectiveness and corporate financial productivity
Authors: Utuk Kokoete Asuquo
Published: August 2024

Centric to business is profit-making, and incorporating professionals in management is invaluable for growth and organizational development. Management processes call for effective operation and efficient resource utilization, a metric in planning for enhanced visibility and productivity critical in business sustainability. The idea is that innovation and neuro-economics are pivotal, interfering and significantly contributing to business advancement, and companies continuously seek to turn things around for success. This study utilizes a phenomenological research design using a grounded theory approach fully structured, enabling systematic processing in the research. Empirical activities involve an 8-person focus group discussion in three sets in each of the 5 sample companies through video conferencing. With data triangulation, the research ensures the validity and reliability of data and resources obtained from Scopus and Google search engines. Apart from a positive indication of the effect of artificial intelligence (AI) and internet usage on business operations, the result shows significant turnover in sales and income, meaning systems and software enhance managerial performances. Emotions and behavior are also critical, as the research outcome reveals in decision processes and the productivity level. Overall, the strength of technology is imminent, and the impact of neuro-economics on managerial effectiveness and efficiency remains outstanding.
Exploring challenges in designing and implementing internal control systems: A case study of small and medium enterprises in the Cape Metropole, South Africa
Authors: Musikavanhu Tichaona , Nqala Lisa
Published: August 2024

Small and medium enterprises (SMEs) are pivotal in bolstering a country’s economy, particularly in South Africa, where high unemployment persists. In this context, studying SMEs’ survival becomes paramount as a potential remedy for alleviating economic poverty. Effective internal control systems emerge as crucial tools in this endeavour, serving as key mechanisms for risk management. They are instrumental in preventing fraud, safeguarding company assets, and ensuring the longevity and resilience of SMEs in challenging economic landscapes. Many SMEs design and implement internal control systems as a formality without fully considering their strategic objectives and potential impact on business operations. This research aimed to understand the challenges associated with designing and implementing effective internal control systems within SMEs in the Cape Metropole, South Africa. The study used a qualitative research methodology to collect data through interviews and employ thematic analysis for interpretation. The findings of this study shed light on the significant challenges faced by SMEs) in the Cape Metropole, South Africa when it comes to designing and implementing effective internal control systems. These challenges highlight the limitations of the existing internal control systems within SMEs, particularly their capacity to fulfil crucial business objectives. Furthermore, this paper highlights a notable gap in SMEs’ comprehension and application of internal control systems, highlighting the need for effective, efficient, and tailored internal control systems to meet their unique business requirements.
Effectiveness of Problem Based-Learning Methods to Improve the Quality of Citizenship and Pancasila Learning in Elementary School
Authors: Rahayu Aprillia Dian , Ramadan Zaka Hadikusuma , Kuswanto Cahniyo Wijaya
Published: August 2024

The problem with this research is that many students still need help understanding citizenship education and Pancasila learning. Many students need to be more active and able to think critically so they are less involved in learning interactions. This research aims to increase students' interest in learning about citizenship and Pancasila through problem-based learning methods. This research is experimental, with 32 grade 5 elementary school students as research subjects. Data collection tools use questionnaires and student learning outcomes. Data analysis used the t-distribution test. The research results showed an average increase of 28.12 points after the intervention or post-test. The data testing results answer the previously proposed hypothesis using the t distribution test with the core t count > t table (13.528 > 2.040), meaning Ho is rejected. These findings indicate that using problem-based learning methods increases students' interest and active learning in citizenship and Pancasila education subjects. This research contributes to solving the interest in studying citizenship and Pancasila education in elementary school education units, which were previously considered boring. Future research can test this in secondary education units.
Digital Game in Young Children's Numeracy Skill: An Innovation through Learning Media Development
Authors: Syarfina Syarfina , Masruroh Siti , Masyitah Nur , Sahpitri Yulia , Pratiwi Aulia Desi
Published: August 2024

Children’s numeracy skills significantly influence their readiness to enter primary school. However, teachingnumeracy to children in concrete periods is still a big challenge for teachers. Moreover, technologybasedlearning media must still be considered appropriate for early introduction. This research aims todevelop an interactive digital learning media to improve early childhood numeracy skills. This Researchand Development (RD) method used the 4-D model, which consists of Defining, Designing, Developing,and Disseminating. Expert validators who test the feasibility of the product consist of material, media, andlanguage experts. Respondents in this study were ten children aged 4-5 years at PAUD Nurul Aisyah, EastAceh. The results showed that this digital game is feasible as a learning media to improve early childhoodnumeracy skills. The average validator score for product feasibility is in the very good category, andchildren’s numeracy skills are in the good category. With this learning media, "Numb Game," childrenlearn the concepts of counting, grouping, and simple statistics. Through an interactive approach, thedevelopment of Numb Game media can stimulate children’s engagement in the numeracy learning processby utilizing visual elements, games, and interactions that stimulate curiosity and desire to understandmathematical concepts. Therefore, this interactive digital learning media presents an interesting, adaptive,and effective learning experience according to children’s needs in improving numeracy skills at an earlyage. Further research on the long-term effects of using digital learning media on the development of earlychildhood numeracy skills and the implications for their academic achievement is warranted.
The Effectiveness of the Traditional Game Tapo’ Pipit to Stimulate Language Development in Children Aged 5-6 Years at Primanda Kindergarten Untan
Authors: Wananda Tasya , Halida Halida , Ramadhani Ariyani , Lukmannulhakim
Published: August 2024

The implementation of this research is to understand the productivity of the tape pipit game for children aged five to six years in class B1 of Kindergarten Primanda Untan. This research uses an experimental approach. The model used was ten children, with boys and girls five to five. The data collection methods are observation, documentation, and test sheets. The research instrument applies three indicators, namely, children listen to every word they hear, children can express and express their thoughts, and children can communicate orally. Through the observations made, researchers witnessed language development that was still not optimal in some children, researchers saw that language abilities in some children were still not optimal. Based on what is happening in the field, researchers are interested in using the traditional game Tapo’ Pipit to improve the language skills of children aged five to six years in class B1 at Primanda Untan Kindergarten. Based on the results obtained from this research, it indicate that there were differences before being given the traditional tapo’ pipit game and after being given the tapo’ pipit game. Where the average posttest result is higher than the average pretest result, namely the posttest is 47.8 and the pretest is 38.5. So it can be concluded that the Tapo’ Pipit game can stimulate the language development of children aged five to six years in class B1 Primanda Kindergarten Untan.
Designing the Sentence Box as A Medium for Teaching the Simple Present to the Tenth Graders
Authors: Fauziyah Nailul
Published: August 2024

The innovation of teaching media is very important to help students’ enhancement in learning English grammar, especially the simple present. The tenth graders students of SMA X need something different to make them enjoy and be interested while learning the simple present. This study was conducted to design a teaching medium for teaching the simple present to the tenth graders. The research model used in this study was design-based research of Hannafin and Pack’s Theory in Isman et al., (2005) there were three phases; the first phase was needs analysis. Based on the teacher’s interview and students’ questionnaire, the result was as follows; the students had never used physical teaching media such as flashcards and the teacher used a handbook or module. Followed by the design phase, the first medium validation got some suggestions from an expert by changing the words in each sentence. The last phase was media implementation, the students were asked to assess the medium by filling out the responses’ questionnaire. The result showed that they gave positive responses, felt helpful, and enjoyed while playing Sentence Box. This teaching medium would be appropriate for teaching grammar especially the simple present tense, interesting, innovative, also the procedures are clear and understandable.
The Correlation Between Medication Adherence and Role of Medication Supervisor with Prevalence of Pulmonary TB Recurrence in Serang City, Banten
Authors: Trasia Reqgi First , Sa'diyah Salma , Adawiyah Robiatul
Published: August 2024

Introduction: Pulmonary tuberculosis (TB) is one of the deadliest diseases and is still a major health problem in the world. The standard treatment for pulmonary TB is within 6 months. Failure of pulmonary TB sufferers to seek treatment and good adherence to medication consumption plays an important role in the recurrence of pulmonary TB. Treatment supervision (PMO) in pulmonary TB patients contributes to patient compliance in taking medication, so it can be concluded that PMO is also important in the recurrence of pulmonary TB.
Objective: This study aims to determine the relationship between medication adherence and the role of medication supervisors with the prevalence of pulmonary TB recurrence in the city of Serang, Banten, so that it can be developed as an effort to prevent an increase in TB prevalence in the future.
Methods: This research was conducted at the Unyur, Banten Girang, and Singandaru Health Centers in January-May 2023 with a total sample of 41 people. The research design used was a case-control design and used a total sampling technique. The analysis used was univariate and bivariate analysis using the Chi-square test and if cells did not meet the Chi-square test requirements, the alternative test was Fisher's exact
Results: The results of this study concluded that there was no significant relationship between adherence to taking medication and monitoring taking medication with recurrence of pulmonary TB, namely obtaining p value = 0.906 and in the role of supervisor taking medication obtained p value = 0,719.
Conclusions: Based on the results, the conclusion of this research is that there is no significant relationship between the level of treatment compliance and lung disease. recurrence of TB. Apart from that, there was no significant relationship between the role of monitoring medication taking and recurrence of pulmonary TB
The Relationship of Nutritional Status on Female Santri's Menstrual Cycle in Al-Jihad Islamic Boarding School in Surabaya
Authors: Rusdi Warda Elmaida , Farindra Irmawan , Rusdi Muhammad Salsabeela , Farmananda Irsandi Rizki , Benge Wilhemus D.M.R
Published: August 2024

Introduction: Menstruation is triggered by the monthly period, which creates the menstrual cycle. Several factors can lead to irregular menstrual cycles, including stress, smoking, taking hormonal supplements, disorders of the endocrine system, and nutritional deficiencies.
Objective: This research aims to investigate the connection between nutritional status and the period of menstruation in female students at Al-Jihad boarding school in Surabaya, Indonesia.
Methods: This study was conducted using an analytic observation approach. The research sample was determined using a simple random sampling technique, according to the inclusion and exclusion criteria that had been set. Questionnaires were used as data collection instruments, and anthropometric examinations were conducted to assess nutritional status and the menstrual cycle. Univariate analysis and bivariate analysis were performed to analyze the data. The chi-square statistical test was used as a bivariate analysis with a p-value <0.05 indicating significant data.
Results: A total of 65 respondents were used in the study because they met the inclusion criteria. Based on the survey results using questionnaires and anthropometric examinations, it was found that 4.6% of female students had an obese nutritional status, 7.7% were obese, and the remaining 87.7% were normal. The menstrual cycle experienced by female students is 27.7% of female students experience an abnormal menstrual cycle, and the other 72.3% have a normal menstrual cycle. Based on the Chi-Square test, the significance value of p = 0.290 means no relationship between nutritional status and the menstrual cycle.
Conclusion: The menstrual cycle in adolescence is not influenced by nutritional status.
EXPLORING HALAL CERTIFICATION AND IMPACT ON BUSINESS FOR MSME’s
Authors: Yanti Vanda Sekar
Published: August 2024

This study investigates the impact of halal certification on brand trust, consumer perception quality, and business performance for Small and Medium Enterprises (SMEs). Using quantitative methods, data was collected through surveys from SMEs operating in a specific region. The results indicate a significant positive relationship between halal certification and both brand trust and consumer perception quality. Additionally, brand trust and consumer perception quality were found to positively influence business impact for SMEs. However, the study acknowledges limitations related to sampling biases and regional specificity. Future research is recommended to broaden the scope and consider qualitative methods for deeper insights. Overall, this study underscores the importance of halal certification in enhancing brand trust, consumer perception quality, and business performance for SMEs.
Overview of Body Shaming Experiences in Early Adolescents at Junior High School Jember
Authors: Tri Pramesuari Ni Komang , Fitria Yeni , Deviantony Fitrio , Rasni Hanny , Kurniyawan Enggal Hadi
Published: August 2024

Early adolescents undergo numerous changes for the first time, leading them to adapt to these transformations. Among the most conspicuous changes is the physical transformation that renders adolescents susceptible to body shaming, which can have detrimental effects on their mental health. This study aims to delineate the experience of body shaming among early adolescents at one junior high school in Jember. The research employed an analytic observational design with a cross-sectional approach involving 297 respondents. Proportional stratified random sampling was utilized as the sampling technique, and a body shaming experience questionnaire was administered. The findings revealed that 167 respondents (56.2%) experienced body shaming to a moderate extent. The significance of this research lies in its potential to serve as a reference for providing health education regarding the prevalence of body shaming and its impact on mental health. Such education aims to enhance adolescent mental health within the school environment.
Study Patient Satisfaction with Covid-19 Self-Isolation At-Home Services Monitoring
Authors: Lubna Lubna , Boerman Baequni , Salsabila Samara Shafira
Published: August 2024

The extent of COVID-19 transmission in Jakarta has overwhelmed healthcare facilities, making it challenging to accommodate all incoming patients. Jakarta initiated the COVID-19 Self-Isolation Patient Monitoring Program at each Community Health Center (Puskesmas). This crucial initiative was implemented during the peak pandemic
period from March to May 2022. To assess the program's success, 100 respondents were selected through purposive sampling to participate in this research. The objective of this study was to evaluate patient satisfaction and explore the relationship between patient characteristics and the five dimensions of service quality based on the SERVQUAL model. The analysis revealed an overall patient satisfaction rate of 88%. Additionally, through Chi-square analysis, the findings highlighted a significant relationship between employment status (P-value = 0.017) and service quality dimensions, including tangibility, reliability, responsiveness, assurance, and empathy (each with a P-value = 0.001) about patient satisfaction. However, lower satisfaction levels were identified in specific areas, such as the daily monitoring of a patient's conditions during self-isolation (75%), the availability of free swab tests at the Puskesmas (77%), and the prioritization of patient care during self-isolation (78%). This study outlines the program's strengths and areas that require service improvement to enhance patient satisfaction.
The Effect of Giving Cinnamon Decoction Water on The Healing of Perineal Wounds of Postpartum Women at Sri Wahyuni’s PMB and Erlia Saraswati’s PMB
Authors: Nely  , Harumi Ani Media , Sukesi  , Jeniawaty Sherly
Published: August 2024

The puerperium is a sensitive time for mothers because they must care for themselves while recovering after giving birth and caring for their babies. So, a good and effective postpartum healing process can help the mother get through the puerperium. Perineal infection is a common infection in mothers after giving birth. Some literature shows that cinnamon has ingredients that can heal wounds. This study aims to see how the influence of cinnamon cooking water on the healing of perineal wounds in postpartum women. This quantitative study used a quasi-experimental design and a nonequivalent control group design approach. The population in this study were postpartum women who gave birth in March and April 2023, respectively. Using a purposive sampling approach, 60 respondents were selected and were divided into two groups. Observation sheets and checklists were used to collect data. Wilcoxon Signed Rank Test, and Mann Whitney U Test was used to analyze the data. The results showed that the average perineal wound healing in the control group was 1.60, while the average in the intervention group was 1.87. The Wilcoxon Sign Ranked Test results obtained a p-value (0.000), namely <0.05, which means there was a difference in wound healing before and after being given treatment for each group. Then, the results of the Mann-Whitney U Test obtained a p-value (0.021) <0.05, meaning there was a difference in wound healing between the treatment and control groups. So, the conclusion that can be made in this study is that giving cinnamon-boiled water affects the healing of perineal wounds in postpartum mothers.
The Effect of Fermentation Time and Mass Variation of Saccharomyces Cerevisiae on The Characteristics of Virgin Coconut Oil from The Coconut Milk Fermentation Process
Authors: Tri Hutami Anisa , Warsito Evawanti A
Published: August 2024

Virgin coconut oil is one of the processed coconut products that has many benefits. Virgin coconut oil can be produced through extraction, centrifugation, and fermentation processes. In this study, virgin coconut oil was made by fermentation using baker's yeast (Saccharomyces cerevisiae). This study aims to determine the effect of fermentation time and mass variation of Saccharomyces cerevisiae used on the characteristics of virgin coconut oil produced. The process of making virgin coconut oil in this study is to separate skimmed water from coconut milk. Skimmed steering is mixed with Saccharomyces cerevisiae with variations of 0, 1, 1.5, and 2 grams, with fermentation durations of 12, 18 and 24 hours. The resulting virgin coconut oil is then analyzed to determine the iodine, peroxide, and acid numbers. From the results of the study, it is known that there is no relationship between the duration of fermentation and the mass of yeast Saccharomyces cerevisiae in the manufacture of virgin coconut oil from coconut milk against iodine number. The peroxide number for all variables of fermentation duration and yeast mass is 2 meq/kg. The acid number tends to increase with the length of fermentation, with the highest value being 0.6% at 24 hours fermentation time and the yeast mass of Saccharomyces cerevisiae 1.5 grams.
The Role of Bay Leaf Extract in Reducing Liver Inflammation in Mice (Mus Musculus) Induced by Potassium Oxonate
Authors: Silvia Awwalia Evy , Masdan Salim Hotimah , Faishal Riza Mochammad , Mulyadi Mulyadi
Published: August 2024

Hyperuricemia is characterized by elevated uric acid levels in the blood, often stemming from increased uric acid production or inadequate uric acid excretion, resulting in levels exceeding 7 mg/dL. If left unmanaged, this condition can lead to gout arthritis. Elevated serum uric acid levels have also been linked to liver damage, as evidenced by findings in patients diagnosed with Non-alcoholic fatty liver disease (NAFLD), showing increased serum uric acid levels associated with liver damage. This study investigates the potential role of bay leaf extract in reducing liver inflammation related to uric acid metabolism. This study employed a true experimental approach with a post-test control group design, utilizing 8-week-old Mus musculus as experimental animals. The groups were divided as follows: Group 1 (control), Group 2 (Potassium oxonate-PO), Group 3 (PO with administration of bay leaf extract at 75mg/kg body weight), Group 4 (PO with administration of bay leaf extract at 150mg/kg body weight), and Group 5 (PO with administration of bay leaf extract at 300mg/kg body weight). Histological examination of the liver in the PO administration group revealed cell infiltration compared to the control group. However, a significant reduction in damaged hepatocyte cells was observed by administering bay leaf extract in PO+EDS-1, PO+EDS-2, and PO+EDS-3 groups (P<0.05). Bay leaf extract demonstrates hepatoprotective effects in hyperuricemia induced by potassium oxonate.
The Effectiveness of Classical Music Therapy in Reducing Anxiety Among Senior-Level Students when Facing Their Final Assignments Among Public Health Students at Universitas Indonesia Maju in 2023
Authors: Intan Puspita Asri  , Sari Agustina
Published: August 2024

In 2019, approximately 301 million people worldwide lived with anxiety disorders, and
280 million people lived with depression. According to research conducted by the
Center for Reproductive Health et al. (2022), anxiety disorders (26.7%) are the most
prevalent mental health disorders experienced by adolescents, affecting both boys
(25.4%) and girls (28.2%) in Indonesia. This study aimed to determine the effectiveness
of classical music therapy in reducing anxiety among final-year public health students in
2023. The sample size for this research was 32 respondents. The research method used
was a quasi-experimental design employing a non-equivalent control group design, with
accidental sampling as the sampling technique. The pre-test and post-test results for the
control group showed a p-value of 0.232, which means it is more significant than 0.05,
indicating no effect. In contrast, the pre-test and post-test results for the experimental
group displayed a p-value of 0.027, which is less than 0.05, indicating a significant
impact. Thus, there was a difference in anxiety levels after applying classical music
therapy among final-year public health students facing their final projects at Indonesia
Maju University in 2023. In conclusion, classical music therapy is effective in reducing
anxiety. Therefore, classical music therapy is expected to be one of the alternative
methods for reducing stress, not only when completing final projects but also in other
situations.