bluuebunny/crossref_metadata_2025 huggingface dataset:
Beach Changes Triggered by Ground Subsidence and Waves Generated by Easterly Trade Wind near Pekalongan on North Shore of Java Island
Authors: Uda Takaaki , Onaka Susumu , Mori Tomohiro
Published: April 2024

The shoreline recession caused by ground subsidence due to the excessive pumping of underground water and that caused by wind waves incident from the easterly direction under the tropical monsoon weather was investigated, taking the Pekalongan area on Java Island as a study area. The study area was divided into nine subareas on both sides of the Comal River delta, and the shoreline changes in each subarea were investigated using satellite images. Field observation was also carried out on August 10, 2022, in the Pekalongan area, and the height of ground subsidence was measured together with the observation of the inundated area using a UAV. It was found that, in this area, the height of ground subsidence reached approximately 1.6 m, and the sinking area has been rapidly expanding. In this area, predominant waves are constantly incident from the easterly direction under the tropical trade wind condition, and in some cases, waves are obliquely incident at a significantly large angle relative to the direction normal to the shoreline. Along the east coast of the Comal River mouth, the mean wave incidence angle was as large as 22° clockwise, whereas on the west side, the angle increased up to 42°, causing marked shoreline changes due to high-angle wave instability.
An Overview of the European Research in Tourism, Leisure and Hospitality since the First Indexed Publication
Authors: Martinez-Garcia Aitor , Ferrer-Rosell Berta , Horrach-Rosselló Patricia , Mulet-Forteza Carles
Published: April 2024

This document constitutes an overview of the research performed by authors whose main affiliation is in a European research institution, in the field of ‘tourism, leisure and hospitality’, since the first indexed publication in 1969. The method used includes measures, such as the most productive authors, institutions and countries, as well as relational techniques which depict results and allow for the analysis of the scientific and intellectual structure of the field, especially regarding the main topics addressed. Results show that Dimitrios Buhalis is the most productive author, authors from UK institutions are the most influential, UK and Spain are the most productive countries in terms of published articles and that the main topics addressed in the last decade refer to social media and climate change. Among the major implications are that it offers a retrospective overview of tourism research, contributes to the literature on research advances and it serves to identify the main research areas in this study.
Teacher Educator Professionalism in the Age of AI: Navigating the New Landscape of Quality Education
Authors: Rütti-Joy Olivia , Winder Georg , Biedermann Horst
Published: April 2024

This conceptual chapter discusses how requirements for teacher educator professionalism may be impacted by the integration of Artificial Intelligence (AI) in teacher education. With the aim to continuously facilitate high-quality teacher education, teacher education institutions must evolve in alignment with the rapidly changing landscape of AI and the respective shifting educational needs. Amidst this evolution, we argue that profound AI Literacy and AI-related ethical knowledge constitute two additional and inextricably intertwined knowledge facets of teacher educator professionalism essential for an ethical and effective integration of AI into teaching practices – and thus crucial for high quality teacher education. The paper explores avenues through which these facets of teacher professional competence and quality education can be fostered on the micro, meso and macro levels of institutional education. By consolidating the specific requirements in a framework for teacher educator professionalism in the age of AI, we highlight the necessity for continuous adaptation of teacher education institutions, ongoing multidisciplinary collaboration, and the provision of periodic professional development of educators. Finally, the chapter presents a concrete practical example and future research directions in AI and education with the aim to contribute to the advancement of quality education in the AI era.
Hereditary Tooth Anomalies: Amelogenesis Imperfecta, Dentinogenesis Imperfecta, Dentine Dysplasia
Authors: El Elhaj Abubaker
Published: April 2024

Amelogenesis imperfecta (AI), dentinogenesis imperfecta (DI), and dentin dysplasia (DD) are hereditary illnesses that affect the growth and architecture of teeth’s hard tissues (enamel and dentine). These diseases present clinical symptoms such as tooth discoloration, enamel/dentine abnormalities, and enhanced tooth sensitivity. AI is defined by teeth enamel flaws, while DI is characterized by anomalies in dentin development, leading to opalescent or yellow-brown teeth, greater translucency, and a higher risk of fractures. DD is less prevalent than AI or DI. The genetic basis of DD, DI, and AI is derived from gene alterations. Mutations in the DSPP, DMP1, COL1A1, and COL1A2 genes are linked to DI, while the DSPP, DMP1, and COL1A2 genes are the cause of DD. Family genetic history was used to detect genetic mutation and confirm diagnosis, with treatment options including endodontic therapy, restorative dentistry, and preventative treatments as in fluoride therapy and oral hygiene guidelines. Early diagnosis and effective treatment are essential for enhancing oral health and quality of life.
Sonic Drilling with a Cavitation Hydraulic Vibrator: Theoretical Computation of the Energy Performance and Rate of Penetration
Authors: Zhulay Yuriy , Nikolayev Olexiy
Published: April 2024

A new approach to the numerical analysis of the dynamic interaction of rock and the drill string structure for sonic drilling of wells by using a cavitation hydraulic vibrator is proposed. The approach is formulated on the basis of the developed mathematical model of the “drill string - rock” dynamic system. The parameters of mud oscillations and mechanical vibrations of the drilling tool, as well as oscillation power at contact interaction of the bit with the rock, were determined. It is possible to establish the resonant frequencies of drilling tool mechanical vibrations and the rock, necessary for an increase in rate of penetration. The penetration rate was calculated in two ways: using the concept of hydraulic vibration power and drill vibration power. It has been established that the use of a drilling tool with a cavitation vibrator is more effective compared to other means of exciting the drilling tool vibration load. The intensification of the rock destruction process when drilling with a cavitation hydraulic vibrator is carried out due to an increase in the vibration energy transferred to the rock and a decrease in the energy intensity of the rock destruction process in resonant drilling modes.
Respiratory Syncytial Virus in Children: A Comprehensive Review on Publication Trends, Epidemiology, Pathogenesis, Vaccines, and Prevention Strategies
Authors: Sreedevi Sreedasyam , Krishna Gudikandula
Published: April 2024

Respiratory syncytial virus (RSV) is a prevalent viral respiratory infection that affects a significant number of children under five globally. RSV tends to have a more severe impact on premature newborns, young children, elderly folks, and those with weakened immune systems, as opposed to healthy adults. RSV is transferred through respiratory droplets by either coming into close contact with an infected person or touching objects that have been contaminated. The genetic material of RSV is composed of 11 proteins. Among these 11, two proteins facilitate the binding of the virus to the respiratory epithelial cells and the merging with host cells. After fusion, the viral material is transferred to the host cell, where viral reproduction occurs. Ongoing strategies encompass the creation of maternal vaccinations to safeguard newborns in their first months, monoclonal antibodies to offer rapid protection for up to 5 months, and pediatric vaccines for more enduring safeguarding. However, there is a need for enhancements in infection surveillance and reporting to enhance the detection of cases and gain a more comprehensive understanding of seasonal infection patterns. For the differential diagnosis of respiratory infections in children, it is recommended to utilize both rapid diagnostic assays and confirmatory laboratory testing.
Prevention by Heat Stimulation of Metabolic Syndrome Progression Based upon the Underlying Molecular Mechanism
Authors: Nagai Masayo , Kaji Hidesuke
Published: April 2024

Metabolic syndrome (MS) is a pathological condition that causes high blood pressure, abnormal glucose metabolism, and lipid metabolism based on visceral fat accumulation. Insulin resistance and atherosclerosis caused by chronic inflammation of visceral adipose tissue are fundamental pathologies of lifestyle-related diseases. It is well known that diet and exercise are important in preventing these diseases. However, exercise is limited in people with various locomotive disorders. In recent years, the use of heat therapy to treat insulin resistance has attracted attention. Many researchers are interested in strengthening the skeletal muscle functions as a metabolic organ. We are verifying the thermal effect of skeletal muscles on underlying mechanism of MS progression such as chronic inflammation, cell death and heat shock protein 70 family (HSP70). This chapter reviews recent reports on whether hyperthermia may safely contribute to the prevention of MS and its progression to type 2 diabetes and atherosclerosis. It was thought that the chaperone function of HSP70 could be used to influence inflammatory cytokines and contribute to the prevention of insulin resistance and atherosclerosis. Thermal effects may be useful, especially when physical activity is limited. Safe and effective interventions to prevent MS and its progression require further research.
Párová terapie v roce 2020: Současný stav a nový vývoj
Authors: Lebow Jay , Snyder Douglas K.
Published: April 2024

Tento článek přináší kritickou analýzu a syntézu současného stavu a nového vývoje v současné párové terapii. Jejím hlavním tématem je vývoj párové terapie do podoby významné intervenční modality a uceleného souboru postupů. Přehled začíná úvahami o silných empirických základech této oblasti odvozených z výzkumu párové terapie a základních vztahových věd. Párová terapie zahrnuje široce uznávanou metodu redukce vztahových potíží a zvyšování kvality vztahu. Kromě toho, jako samostatná intervence ve spojení s jinými formami léčby, získaly párové intervence značnou empirickou podporu pro svou účinnost při řešení širokého spektra specifických vztahových dysfunkcí i individuálních emočních a fyzických zdravotních problémů. Vyzdvihujeme slučování metod prostřednictvím společných faktorů, sdílených strategií a pozoruhodně podobných uspořádání napříč přístupy. Náš přehled také poukazuje na klíčové rozdíly mezi přístupy, na důležitost rozpoznání příslušných silných stránek a omezení spojených s těmito rozdíly a na využití rozdílů mezi modely při výběru a přizpůsobení intervencí pro daný pár. V závěru diskuse se zabýváme nejnovějšími trendy v této oblasti, včetně vlivu telehealth a souvisejících digitálních technologií, rozšíření specifických léčebných postupů pro konkrétní problémy a různé skupiny obyvatel, propojení párové terapie se vztahovou výchovou a přetrvávajících výzev i nových příležitostí, které se zabývají širší systémovou a globální dynamikou.
BAKU SEA-LEVEL RISE RESILIENCE CHALLENGES: BEYOND THE UNIDIRECTIONAL COASTAL URBAN RENEWAL PROGRAM
Authors: ALIYEV TURAL , FISCHER MANUEL , HEDJAZI ALEXANDRE
Published: April 2024

Climate change is manifesting its influence on urban areas, intensifying apprehensions regarding their resilience in the face of future challenges. The challenges are notably pronounced in coastal city regions, marked by high population density and land use. Alongside the established perils inherent to coastal cities, such as irregular precipitation and cyclical water level fluctuations, the Caspian Sea region carries its own unique range of challenges associated with urban and industrial development, including activities like oil exploration and exploitation. The challenges associated with the Caspian Sea's rising sea levels for coastal areas highlight the importance of integrating natural and physical protective measures into the built environment. Within this context, various urban planning strategies play a crucial role in adapting to and efficiently managing a range of challenges, notably including flooding, displacement, and infrastructure damage. Baku, the largest city in terms of both size and population along the Caspian Sea, also grapples with the hazards linked to increasing water levels in its coastal urban areas. This is a significant concern for the city, as the increasing complexity of disasters disproportionately affects its coastal areas. Furthermore, the cyclic environmental risks in coastal urban areas are compounded by the growing influence of climate change, seismic hazards, and the potential for associated tsunamis. The article begins with the analysis of current resilient situation of Baku related to sea level rise, addresses risks related to ongoing urban projects on coastal areas and emphasizes the importance of transcending a one-sided (unidirectional) urban renewal approach. It illustrates the various components of a comprehensive and holistic (multidirectional) framework tailored for urban littoral areas, aimed at bolstering the resilience of Baku s coastal areas.
Therapeutic Drug Monitoring of 6 New-Generation Antiseizure Medications Using a Mass Spectrometry Method: Analysis of 2-Year Experience in a Large Cohort of Korean Epilepsy Patients
Authors: Kim Sang-Mi , Heo Won Young , Oh Hyeonju , Joo Eun Yeon , Shon Young-Min , Hong Seung Bong , Lee Soo-Youn , Seo Dae-Won
Published: April 2024

Context.—

New-generation antiseizure medications (ASMs) are increasingly prescribed, and therapeutic drug monitoring (TDM) has been proposed to improve clinical outcome. However, clinical TDM data on new-generation ASMs are scarce.

Objective.—

To develop and validate a liquid chromatography-tandem mass spectrometry (LC-MS/MS) method for therapeutic drug monitoring (TDM) of 6 new-generation ASMs in serum and analyze the clinical TDM data from a large cohort of Korean patients with epilepsy.

Design.—

Stable isotope-labeled internal standards were added to protein precipitations of serum. One microliter of sample was separated on an Agilent Poroshell EC-C18 column, and lacosamide, perampanel, gabapentin, pregabalin, vigabatrin, and rufinamide were simultaneously quantified by Agilent 6460 triple-quad mass spectrometer in multiple-reaction monitoring mode. Linearity, sensitivity, precision, accuracy, specificity, carryover, extraction recovery, and matrix effect were evaluated. TDM data of 458 samples from 363 Korean epilepsy patients were analyzed.

Results.—

The method was linear with limit of detection less than 0.05 μg/mL in all analytes. Intraassay and interassay imprecisions were less than 5% coefficient of variation. Accuracy was within ±15% bias. Extraction recovery ranged from 85.9% to 98.8%. A total of 88% (403 of 458) were on polypharmacy, with 29% (118 of 403) using concomitant enzyme inducers. Only 38% (175 of 458) of the concentrations were therapeutic, with 53% (244 of 458) being subtherapeutic. Drug concentration and concentration-to-dose ratio were highly variable among individuals for all 6 ASMs.

Conclusions.—

A simple and rapid LC-MS/MS method for TDM of 6 ASMs was developed and successfully applied to clinical practice. These large-scale TDM data could help establish an effective monitoring strategy for these drugs.
Clinically Undiagnosed Diseases in Autopsies: Frequency and Risk Factors
Authors: Maccio Umberto , Meier Christoph Andreas , Reinehr Michael , Ruschitzka Frank , Schüpbach Reto , Moch Holger , Varga Zsuzsanna
Published: April 2024

Context.—

Autopsies can reveal clinically undiagnosed diseases. However, the frequency of first diagnoses at autopsy and their association with clinically known risk factors are not well understood because of lack of systematic analyses addressing this topic.

Objective.—

To perform a large retrospective cohort analysis on the frequency of clinically undiagnosed postmortem findings and correlate these with patients’ risk factors.

Design.—

Six hundred forty-eight consecutive and complete autopsies of adults (age >18 years), performed in the University Hospital Zurich, Switzerland, during a 3-year time period were retrospectively analyzed. Clinical diagnoses and postmortem findings were compared in order to identify clinically undiagnosed lesions and clarify their correlation with common risk factors.

Results.—

In 633 of 648 patients (98%), at least one clinically undiagnosed finding was identified at autopsy. The most common nonneoplastic entities were bronchopneumonia (198; 31%), coronary artery disease (155; 24%) and acute or subacute myocardial infarction (94; 15%), and the most common malignancies were prostate cancer in men (14; 2.2%), followed by kidney cancer (10; 1.5%), gastrointestinal stromal tumor (10; 1.5%), and lung carcinoma (9; 1.4%) in both sexes. Clinically undiagnosed cardiac amyloidosis was demonstrated in 8% (52 of 648) of patients and was significantly associated with age, hypertension, chronic kidney disease, coronary artery disease, and hypertensive cardiomyopathy.

Conclusions.—

Autopsy is a useful investigation for the detection of clinically undiagnosed entities. In our cohort, cardiac amyloidosis showed the highest number of underlying risk factors, but was clinically underdiagnosed. Our findings underline the necessity of improved clinical detection of cardiac amyloidosis, especially in light of emerging therapeutic options. Moreover, we characterize the most common entities prone to clinical underdiagnosis.
Is Fragmentation of Prostate Core Biopsies Inevitable?: A Quality Improvement Initiative
Authors: Shenoy Krithika , Cote Richard J. , Kini Gayathri , Anthes-Bartlow Mary , Padmanabhan Vijayalakshmi
Published: April 2024

Context.—

Core biopsies are standard of care for diagnosis and surveillance of prostate cancer. Fragmentation makes numeric assessment of cancer challenging and increases risk of inaccurate staging, with direct implications on management.

Objective.—

To determine factors responsible for fragmentation at our institution.

Design.—

Prostate core biopsies performed at 2 hospital sites during 1 week were prospectively identified. Biopsies were received in multipart formalin jars, either mounted on a nonadherent dressing pad (Telfa, Medtronic Inc) or freely suspended, and grossed by experienced pathologists’ assistants. Fragmentation was defined as the difference between the number of cores sent by the clinician and the number of cores counted by the pathologist on microscopy.

Results.—

Forty-six cases (15 benign; 31 malignant) with 535 specimen jars were identified, of which 309 of 535 (57.8%) had >1 biopsy core per jar; 230 of 535 (43%) were received mounted on Telfa and 185 of 535 (34.6%) had histologic evidence of adenocarcinoma. Overall fragmentation rate was 157 of 535 (29.3%). Lowest fragmentation rate was seen when 1 core was submitted per jar regardless of mounting method (31 of 226; 14% for single versus 126 of 309; 41% for >1 per jar; P < .001). For 1 Telfa-mounted core, rate of fragmentation was 5 of 18 (27.8%) versus 26 of 203 (12.8%) when unmounted (P = .24). Significant increase in fragmentation of Telfa-mounted cores was seen when there were 3 per jar (32 of 70; 46% mounted fragmented versus 9 of 47; 19% unmounted fragmented specimens; P = .01).

Conclusions.—

Submission of >1 biopsy core per jar and use of Telfa for mounting are associated with increased fragmentation. We recommend limiting submission to 1 core per jar and avoid mounting cores on Telfa pads.
Pediatri Hemşirelerinin Empati Becerileri ile Pediatrik Ağrı Bilgi ve Tutumları Arasındaki İlişkinin İncelenmesi
Authors: Düzce Sezgin , Sönmez Düzkaya Duygu , Karakul Atiye
Published: April 2024

Amaç: Pediatri kliniklerinde yatan hastaların ağrısının değerlendirilmesi ve yönetilmesi önemli hemşirelik girişimlerindendir. Bu araştırmada amaç, pediatri hemşirelerinin empati becerileri ile pediatrik ağrı bilgi ve tutumları arasındaki ilişkinin incelenmesidir.
Yöntem: Tanımlayıcı ve kesitsel olarak yapılan bu araştırmanın örneklemini 94 pediatri hemşiresi oluşturmaktadır. Araştırma verileri Haziran-Ekim 2023 tarihinde toplanmıştır. Verilerin toplanmasında “Tanıtıcı Bilgi Formu”, “Empatik Beceri Ölçeği” ve “Pediatrik Ağrı Bilgi ve Tutum Ölçeği” kullanılmıştır.
Bulgular: Çalışmada yer alan pediatri hemşirelerinin yaş ortalaması 30.58±4.48’dir. Pediatri hemşirelerinin Empatik Beceri Ölçeği toplam puan ortalaması 151.41±24.82; Pediatrik Ağrı Bilgi ve Tutum Ölçeği toplam puan ortalaması 63.78±10.17’dir. Pediatri hemşirelerinin cinsiyet, pediatri hemşiresi olarak çalışma yılı, empati beceri geliştirme programına katılma durumu ve mesleği isteyerek seçme durumu ile Empatik Beceri Ölçeği toplam puan ortalaması arasında istatistiksel olarak anlamlı ilişki bulunmuştur. Pediatri hemşirelerinin hemşire olarak çalışma yılı ve pediatri hemşiresi olarak çalışmaktan duyulan memnuniyet durumu ile Pediatrik Ağrı Bilgi ve Tutum Ölçeği toplam puan ortalaması arasında istatistiksel olarak anlamlı ilişki olduğu belirlenmiştir. Ölçekler arasında ilişki belirlenmemiştir.
Sonuç: Yapılan bu çalışmanın sonucunda, pediatri hemşirelerinin empati becerilerinin ve pediatrik ağrı bilgi ve tutumlarının orta düzeyde olduğu belirlenmiştir. Atravmatik bakım ilkeleri doğrultusunda, pediatri hemşirelerinin hem empati becerilerinin geliştirilmesi hem de ağrı bilgi ve tutumlarının iyi olması için planlı hizmet içi eğitimlerin verilmesi önerilmektedir.
Exploration of the Development of Innovative Assessment Methods for Learning PAI in the Framework of the Independent Curriculum and the Society 5.0 Era
Authors: Utami Pingki , Pitrawana Pitrawana , Wanto Deri , Daheri Mirzon
Published: April 2024

The research aims to investigate several aspects, namely: 1) How are innovative assessment methods applied in Islamic Religious Education (PAI) learning at SDN 32 Rejang Lebong? 2) How is the independent curriculum implemented in the learning context? 3) How will innovative assessment develop in the Society 5.0 era? The type of research is qualitative, with data sources coming from various types of qualitative research. The research results show that SDN 32 applies innovative assessment methods using creative instruments such as projects, experiments, and so on which are unique. Characteristics include an orientation to deep skills, support for diversity, use of technology, and flexibility in the form of projects, open exams, and oral presentations. The implementation of the Independent Curriculum is carried out by reducing the Basic Competencies in each subject, allowing teachers and students to focus more on essential competencies for continued learning at the next level. The essence of independent learning is giving freedom to teachers and students in the learning process. On the other hand, the independent curriculum for students and teachers involves special characteristics, namely the implementation of Project Based Learning together to develop soft skills and character in accordance with the Pancasila student profile. The focus is on essential material so that there is sufficient time for in-depth learning related to basic competencies, such as literacy and numeracy. Apart from that, teachers flexibility to carry out differentiated learning according to student's abilities.
Difference And becoming in Alice Walker’s The Color Purple and The Temple of My Familiar
Authors:   University of Sultan Moulay Slimane, Beni Mellal, Morocco, Jaoudi Khaoula
Published: April 2024

Today’s Postmodern world finds itself in a crisis of how to address its diversity as we move forward in our fight for gender and racial equality. Alice Walker is an African American writer whose fiction is very illuminating in terms of embracing the differences within each and every one of us. Her characters represent an invitation for people to look outside of the realm of their familiar, to experiment with the unfamiliar and to absorb and cherish the differences in us by immersing in processes of becoming and growth. Walker’s transgressive characters project a variety of experiences that speak against the homogenizing nature of essentialism. They embody the postmodern philosophy of becoming, multiplicity, fluidity and creativity which I intend to unravel through a pluralistic analysis that aims to overcome the dangers of fixed identities by relying on Process philosophy and Deleuzian ontology of difference.
Anthropometry in the Sitolumbea Toba Batak Traditional House and its Transformation
Authors:   Department of Architecture, Universitas Sumatera Utara, Indonesia, Napitupulu Putri Pandasari , Sembiring Sri Gunana ,   Department of Architecture, Universitas Sumatera Utara, Indonesia
Published: April 2024

In several traditional villages, there are still traditional houses that are used by the community as residences. In the past, there were no room dividers in traditional houses; now, residents apply the privacy of each room so that room dividers are added to traditional houses, and there are additional rooms as the need for activities also increases. These changes in activities and use of space have also caused changes in the anthropometry of traditional houses, which are being reused as residences today. So, this research aims to determine whether the spatial pattern transformation in the Sitolumbea Traditional House meets the space standards for simple residences in Indonesia. This research was carried out by directly observing 1 Original Traditional House and 2 Sitolumbea Traditional Houses, which have been transformed to determine changes in anthropometry and the size of the space used. Then, it is compared with the standard size of residential space in Indonesia. Based on the results of the research conducted, the dimensions of the bedroom, bathroom, and laundry room do not meet the standard size of residential houses in Indonesia. Meanwhile, the living room and kitchen require wider dimensions.
Broken Textbooks, Booming Tech: A Systematic Look at Blended Learning's Impact on Indonesian English Language Teaching
Authors:   Master of English Language Education, Graduate School, Universitas Terbuka, Indonesia, Bachtiar Bachtiar , Puspitasari Maya ,   Master of English Language Education, Graduate School, Universitas Terbuka, Indonesia
Published: April 2024

Technology integration in education has brought immense changes in the teaching approach worldwide, including in English Language Teaching (ELT) in Indonesia. A literature review substantiates the argument that integrating the traditional pedagogical approach with web-enhanced learning methodologies presents a practical mode of delivering English Language Teaching (ELT) in Indonesia. It synthesizes findings from diverse studies on the effectiveness, challenges, and strategies of implementing blended learning in an Indonesian setting. The review highlights how blended learning can accommodate various styles of learning, be more flexible in offering access to resources, and be conducive to the delivery of interactive and engaging learning environments. However, it also identifies that while these infrastructures remain limited, digital literacy is not booming yet, and resistance to change still plays a big role. The proposed solutions span government infrastructure support, professional development of teachers on technology integration, and a strategy suggesting the gradual transition stage by stage into the era of blended learning. Conclusively, this research concludes that even with the challenges surrounding it, blended learning offers a viable alternative to enhance quality and access to ELT in Indonesia. It also provides insight for policymakers, educators, and researchers about the future roadmap of education in the digital era.
Supportive Families and Self-Compassion: Keys to Alleviating Academic Stress in Thesis-Engaged Undergraduate Students in Indonesia
Authors:   Universitas Muhammadiyah Purwokerto, Pertiwi Milenia Aggi , Herdian Herdian ,   Universitas Muhammadiyah Purwokerto, Wulandari Dyah Astorini ,   Universitas Muhammadiyah Purwokerto, Wahidah Fatin Rohmah Nur ,   Universitas Muhammadiyah Purwokerto
Published: April 2024

Academic stress arises from academic demands that exceed an individual's adaptive capabilities. The family is one of the elements causing academic stress. Families are essential in reducing the possibility of academic stress. This study delves into the mediation role of self-compassion within the interplay of family support and academic stress among undergraduates working on their thesis in the Faculty of Engineering and Science at a Banyumas, Indonesia university. By examining whether self-compassion acts as a conduit through which family support impacts academic stress, the research uncovers the intricate psychological dynamics shaping how students respond to academic demands. Employing a rigorous sampling method, the study involved 181 participants and utilized established measurement scales. The analysis, conducted via bootstrapping procedures, elucidated the dual influence of family support on academic stress—both directly and indirectly through self-compassion. These findings contribute to understanding academic stress experiences, suggesting interventions to bolster well-being and stress management strategies. The study's outcomes underscore the significance of familial support in reducing academic stress while highlighting self-compassion's protective mechanism. The study advocates for the implementation of interventions promoting self-compassion and fostering supportive family environments, offering valuable insights for educational institutions and policymakers to enhance student mental health and academic success.
Deep Learning Transfer Methods for Biomedical Classification of Images
Authors:   University of Kufa, Najaf, Iraq, Al-Janabi Adel
Published: April 2024

Research using computers has been carried out on the effectiveness of applying deep learning transfer methods to solve the problem of identifying human brain tumors using MRI imaging. Various deep learning and fine-tuning methodologies of models have been proposed and implemented. The deep convolution networks MobileNetV2, VGG-16, Xception and ResNet-50, trained on the ImageNet image set, were used as basic models. A deep convolutional neural network 2D-CNN has also been developed and trained. A computer study of the performance indicators revealed that the fine-tuning method was effective On an enlarged data set, the Xception model outperformed other deep learning models in terms of accuracy: the clarity with which brain tumors are classified using MRI images was 94%, precision 97.7%, recall 94.01%, f1 score 96%, AUC 96.90%.
Access to Healthcare: A Theoretical Analysis of its Dimensions
Authors:   Vice Dean of the Faculty of Economics and Management, University of Dschang, Ibrahim Prof. NGOUHOUO , Jaurès Primo METAMBOU KEMGANG ,   Doctoral student in Health Economics, University of Dschang., Christian OTTOU NSIMLA pierre ,   Doctoral student in Economic and Social History, University of Yaoundé I.
Published: April 2024

This article proposes a theoretical analysis of the dimensions of access to healthcare, in order to highlight the different aspects that need to be taken into account for the purpose of revitalizing the healthcare system and improving access to healthcare. The different dimensions analyzed were service availability, financial affordability and acceptability. Each of these dimensions was clearly defined, and their analysis enabled a better understanding of the theoretical factors essential to achieving access to care in each category. On the one hand, this approach enabled us to recognize that access to care is determined by the characteristics of both demand and supply in each of the dimensions. Moreover, it brought to light two lesser-known but essential dimensions of access to healthcare, namely the availability of services and the acceptability of care.
Các bài toán về conic không dùng giải tích, đại số
Authors: Nguyễn Văn Tiến
Published: April 2024

Trong bài này nêu ra với 1 conic cho đủ, bởi 1 số điểm thực, làm thế nào: xác định các điểm bất kì khác của conic này, tìm tâm trục, tìm giao điểm 1 đường thẳng với 1 conic, vẽ tiếp tuyến từ 1 điểm thuộc, hay không thuộc đường cong, vẽ đường thẳng đối cực 1 điểm, vẽ điểm đối cực 1 đường thẳng… Máy tính vẽ khoảng 1 ngàn điểm của conic rồi nối, và chỉnh sửa thành 1 đường cong trơn, liền nét. Các đường bậc hai đó, là elip, hypecbol, parabol, vốn không vẽ thành 1 đường đường cong liền nét bằng 1 dụng cụ đơn giản như compa… Trong bài này sẽ nêu cách giải những bài toán này, theo các cách dựng hình; từ đó làm lập trình, để sử dụng mỗi khi cần, mà không phải lập biểu thức giải tích.
Sistem Informasi Rekomendasi Izin Praktik Tenaga Kesehatan (SIREKIPNAKES)
Authors: Delpita Ade , Rehmenda Marito Sitepu Michi Astuti , Ariwibowo Prayetno Agung , Azlina Effendy Cut , N. Saputra Gilang , Paramarta Vip
Published: April 2024

Knowledge Management dapat membantu perusahaan untuk melakukan sharing pengetahuan seputar proses bisnis, masalah-masalah yang terjadi pada setiap unit kerja, hingga berbagi pengalaman tentang hal-hal diluar pekerjaan yang bermanfaat bagi pengembangan pengetahuan dari karyawan perusahaan. Tujuan  penelitian ini adalah menghasilkan sistem informasi yang dapat mendukung pemantauan program perijinan tenaga kesehatan. Sistem informasi perijinan tenaga kesehatan menghasilkan informasi yang dapat digunakan untuk melakukan pemantauan program perijinan tenaga kesehatan yang meliputi pemantauan status perijinan tenaga kesehatan, pemantauan masa berlakunya surat ijin, pemantauan cakupan pelayanan perijinan dan pemantauan tenaga kesehatan yang berijin. Metode yang digunakan dalam penelitian adalah metode penelitian kualitatif. Penelitian ini dulakukan di RS X. Pengumpulan Data Wawancara mendalam dengan tenaga kesehatan, pengembang sistem, dan manajemen RS. Observasi memperhatikan proses pelayanan dan interaksi tenaga kesehatan dengan sistem dan analisis dokumen studi terhadap SOP, peraturan, dan dokumen terkait perijinan. Berdasarkan hasil studi pendahuluan pelaksanaan program  perijinan masih mengalami beberapa hambatan. Hal ini disebabkan kurangnya dukungan informasi untuk melakukan pemantauan program perijinan tenaga kesehatan. Sistem ini memungkinkan pemantauan status, masa berlaku surat izin, cakupan pelayanan perijinan, dan tenaga kesehatan yang berijin. Meskipun bermanfaat bagi tenaga kesehatan, SIREKIPNAKES masih perlu perbaikan dan masukan dari semua pihak untuk meningkatkan keefektifan sistem perijinan ini.
Hubungan Dukungan Keluarga dengan Kualitas Hidup Pasien HD (Hemodialisa)
Authors: Rahim Nirwanto , Reasioanto Candra , Katili Ansar
Published: April 2024

Kidney failure is the cause of death of inpatients at the hospital with a percentage of around 3.8%. The purpose of this study was to identify and analyze the relationship between family support and quality of life for HD patients at Aloei Saboe Hospital, Gorontalo City. This research was conducted using an analytical survey with a cross sectional design. The results obtained are p = 0.000, which means that the p-value is smaller than alpha (5%). the existence of good support from the family will also have a good impact on the quality of life of patients who are undergoing Hemodialysis therapy at the Aloei Saboe Hospital, Gorontalo City. The support provided can be in the form of physical, emotional, instrumental and informational support that can improve the quality of life of patients where they will feel cared for, feel that their lives have meaning, are still able to associate and socialize with friends and their environment and can accept their body and health condition even though it is not like when they were healthy before. There is a relationship between family support and the quality of life of HD patients at Aloei Saboe Hospital, Gorontalo City.
Knowledge Level and Dengue Preventionbehavior in Telagajaya Village Community, Pakisjaya Subdistrict, Karawang Regency In 2023
Authors: Sholeha Sholeha , Peraten Pelawi Arabta M , S.S Dedu Baltasar
Published: April 2024

Introduction: Dengue fever is a disease accompanied by bleeding and sometimes shock that can cause death of sufferers, especially in community sufferers. Knowledge is closely related to behavior, where the better one's level of knowledge the better one's behavior. This study aims to determine the relationship between the level of knowledge and dengue prevention behavior in the community.

Methods: This study is quantitative analytical observational with cross-sectional approach and purposive sampling technique and uses direct and online questionnaires via google form to 106 respondents in RT 02 / RW 01. Researchers use the chi square statistical test to determine the relationship between the two variables.

Results: Based on the results of Chi square test analysis with the results of respondents who have high knowledge as many as 91 (85.8%) and respondents with sufficient behavior towards dengue prevention as many as 74 respondents (69.8%) obtained p-value (0.000) so that it is stated that H0 is rejected Ha is accepted.

Conclusions: There is a relationship between the level of knowledge and dengue prevention behavior in RT 02 RW 01 Telagajaya Village
Analisis Survival Kaplan Meier Pasien Covid-19 Di Kota Medan Dengan Uji Log Rank
Authors: Yeshara Yedu , Susiana Susiana
Published: April 2024

Waktu survival merupakan jangka waktu yang dihitung mulai saat seseorang terkonfirmasi positif suatu penyakit hingga terjadinya sebuah kejadian atau event. Pada periode Juli hingga Desember 2021 tercatat sebanyak 29.057 orang terkonfirmasi positif Covid-19 di Kota Medan. Analisis survival merupakan analisis dalam statistika yang digunakan untuk menganalisis fungsi survival yang salah satunya untuk mengetahui waktu sembuh. Tujuan penelitian ini: 1) Mengetahui estimasi fungsi survival pasien Covid-19 di Kota Medan dengan Metode Kaplan Meier. 2) Mengetahui waktu survival pasien Coid-19 di Kota Medan. 3) Mengetahui adanya perbedaan fungsi survival yang signifikan pada variabel jenis kelamin dan usia dalam kaitannya terhadap waktu sembuh pasien Covid-19 dengan menggunakan Uji Log Rank. Data yang digunakan dalam penelitian ini adalah data sekunder yang diperoleh dari Dinas Kesehatan Kota Medan. Metode yang digunakan ialah Kaplan Meier dan Uji Log Rank. Hasil penelitian menunjukkan bahwa: 1) Estimasi fungsi survival pasien Covid-19 di Kota Medan adalah  dengan rincian untuk setiap . 2) Median waktu sembuh pasien Covid-19 di Kota Medan ialah 18 hari. Waktu sembuh pasien usia anak-anak berjenis kelamin perempuan dan laki-laki memiliki median waktu sembuh 19 hari. Pasien usia produktif berjenis kelamin perempuan memiliki median waktu sembuh 17 hari, sedangkan pasien usia produktif berjenis kelamin laki-laki memiliki median waktu sembuh 16,5 hari. Pasien usia lansia berjenis kelamin laki-laki dan perempuan memiliki median waktu sembuh 18 hari.3) Berdasarkan uji Log Rank diperoleh   untuk pasien usia anak-anak,   untuk pasien usia produktif dan    untuk pasien usia lansia.
Sejarah Perjuangan Perempuan Indonesia Mengupayakan Kesetaraan Dalam Teori Feminisme
Authors: Fauzia Risma
Published: April 2024

Dilihat secara global perjuangan perempuan di Indonesia sebagai gerakan yang terjadi juga di berbagai negara. Pergerakan perempuan Indonesia memiliki sejarah yang panjang sejak sebelum kemerdekaan dan hingga saat ini. Tuntutan terhadap persamaan dimata hukum dan politik sudah diperjuangkan sejak sebelum masa kemerdekaan. Perjuangan yang dilakukan perempuan Indonesia bertujuan untuk mengupayakan kesetaraan hak yang diperjuangankan sebelum kemerdekaan hingga saat ini. Tinjauan terhadap studi gerakan perempuan tidak hanya memberi gambaran tentang perjuang perempuan namun menjelaskan juga tentang representasi gerakan perempuan didalam sejarahnnya. Studi tersebut dengan menuliskan sejarah perjuangn perempuan dilihat dari prespektif teori Feminisme dengan menggambarkan kedudukan dari perempuan vis a vis pemerintahan kolonial, nasionalisme dan adannya kekuasaan pasa saat setelah kemerdekaan. Beragam aliran dari teori hukum Feminisme yang dapat menjadi suatu acuan dalam melihat cara pandang dalam menganalisis keadilan perempuan sudah sejauh mana didapatkannya. Dapat dilihat juga gerakan perempuan Indonesia yang dilihat dari literatur asing dengan beberapa pendapat dari beberapa pengamat perempuan yang melihat dari berbagai problem yang terkait dengan hak perempuan. Perjuangan perempuan tidak terlepas dari salah satu perempuan Indonesia yang sangat dikenal memperjuangkan hak – hak perempuan yang berkaitan dengan pendidikan yaitu RA. Kartini. RA Kartini salah satu pejuang perempuan Indonesia dalam memperjuangkan hak perempuan yang dilakukan sebelum kemerdekaan. Sejarah dari perjuangan perempuan dapat kita tahu dari sebelum kemerdekaan, masa penjajahan jepang dan hingga saat ini. Seiring berkembangnya zaman terdapat teori Feminisme yang merupakan aliran ilmu baru yang menjadi dasar mengenai hubungan laki – laki dengan perempuan yang bertujuan memperkokoh hubungan sosial yang patriarkis
Peningkatan Keterampilan Penyelesaian Operasi Hitung Bilangan Bulat Dengan Metode Pbl Pada Siswa Kelas Vi Sd Negeri 13 Salimpaung
Authors: Metri Metri
Published: April 2024

Untuk menghadapi era Revolusi Industri 4.0, siswa harus dibekali keterampilan berpikir tingkat tinggi (Higher Order Thinking Skills).  Salah satu model pembelajaran yang berorientasi pada HOTS dan disarankan dalam implementasi Kurikulum 2013 adalah model pembelajaran berbasis masalah Problem Based Learning atau PBL. PBL merupakan model pembelajaran yang mengedepankan strategi pembelajaran dengan menggunakan masalah dari dunia nyata sebagai konteks bagi siswa untuk belajar cara berpikir kritis dan keterampilan pemecahan masalah, serta untuk memperoleh pengetahuan dan konsep esensial dari materi yang dipelajarinya. Dalam PBL siswa dituntut untuk mampu memecahkan permasalahan nyata dalam kehidupan sehari-hari (kontekstual). Dengan kata lain, PBL menuntut siswa untuk berpikir secara kritis dan analitis, serta mencari dan menggunakan sumber pembelajaran yang sesuai untuk memecahkan masalah yang dihadapi.  Tujuan penulisan praktik baik ini adalah untuk mendeskripsikan praktik baik penulis dalam menerapkan pembelajaran berorientasi Higher Order Thiking Skills (HOTS). Sasaran pelaksanaan Best Practice ini adalah siswa kelas VI semester 1 SD Negeri 13 Salimpaung sebanyak 22 orang dan dilaksanakan pada tanggal 2 Desember sampai 6 Desember  tahun 2019 di kelas VI SD Negeri 13 Salimpaung. Hasil yang dapat dilaporkan dari praktik baik ini adalah (1) Proses pembelajaran tematik yang dilakukan dengan menerapkan model pembelajaran PBL berlangsung aktif. Siswa menjadi lebih aktif merespon pertanyaan dari guru, termasuk mengajukan pertanyaan pada guru maupun temannya. Aktifitas pembelajaran yang dirancang sesuai sintak PBL megharuskan siswa aktif selama proses pembelajaran,  (2) Pembelajaran tematik yang dilakukan dengan menerapkan model pembelajaran PBL meningkatkan kemampuan siswa dalam melakukan Transfer Knowledge, (3) Penerapan model pembelajaran PBL meningkatkan kemampuan siswa untuk berpikir kritis. Hal ini dapat dilihat dari tingkat partisipasi siswa untuk bertanya dan menanggapi topik yang dibahas dalam pembelajaran, dan (4) Proses pembelajaran tematik yang dilakukan dengan menerapkan model pembelajaran PBL berlangsung aktif. Siswa menjadi lebih aktif merespon pertanyaan dari guru, termasuk mengajukan pertanyaan pada guru maupun temannya. Aktifitas pembelajaran yang dirancang sesuai sintak PBL megharuskan siswa aktif selama proses pembelajaran.
Peningkatan Aktivitas Dan Hasil Belajar Siswa Menggunakan Strategi Quiz Team Pada Materi Sistem Peredaran Darah Manusia Dikelas Viii-H Mts Negeri 2 Demak Tahun Pelajaran 2022/2023
Authors: Kasmuin Kasmuin
Published: April 2024

Penelitian ini bertujuan  menganilsa hasil dari penerapan strategi Quiz Team terhadap proses belajar mengajar pada materi sistem peredaran darah manusia pada siswa kelas VIII. Penilitian ini menggunakan metode penelitian kuantitatif, terbagi menjadi 2 (dua) Siklus. Nilai yang diperoleh siswa meningkat setelah dilakukan proses pembelajaran dengan menggunakan Strategi Quiz Team dengan Prosentase ketuntasan pada pra siklus 11 siswa atau sekitar (37,93%), siklus I 21 siswa atau sekitar (72,41%),  dan siklus II 26 siswa yang tuntas atau sekitar (89,66%). Dengan demikian, Dapat disimpulkan bahwa Strategi Quiz Team dapat meningkatkan hasil belajar siswa. Adapun kesadaran para siswa dalam mengikuti proses belajar dan kreativitas dari para pengajar perlu ditingkatkan lagi agar dapat menghasilkan siswa yang berprestasi.
Pink Shoes Business Practices
Authors: Hermawan Anggi
Published: April 2024

Shoes are one of the important needs for all ages where wearing shoes can directly support the performance of our appearance. purchasing decisions including fashion. At present, changes in people's lifestyles are influenced by fashion and this is what makes the industry movement in the fashion sector more consumptive. In the world of fashion, changes for the sake of changes in style occur continuously like shoe models. The city of Kebumen is one of the places that has a great opportunity to build an imported shoe business because shoe stores that sell imported shoes with quality brands are still rare and not many can be found. So the purpose of this study is to find out the implementation of the PinkShoes shoe company strategy, in maintaining business and solving existing problems from a marketing perspective. In this study the authors used the approach of segmentation, targeting, and positioning. The result of the research is a comparison between the strategic plan and the running of the business. It can be concluded that Pinkshoes in the implementation of business activities is always carried out according to plan, but for results there is still something that needs to be done for adjustments and improvements so that they can compete with others. In implementing Pinkshoes' business activities, it experienced several problems. From the practices that have been carried out by the Pink Shoes shoe business, there has been a change in strategy. This is due to the impact of the Covid 19 pandemic. So this also has an impact on estimated financial statements. Because the changes made adjust to the circumstances and the right strategy so that you don't experience significant losses.
Pengaruh Persepsi Kesehatan terhadap Subjective Well Being pada Lansia
Authors: Arfan Maulana Muhammad , Langerya Rizal Gumi
Published: April 2024

Pengaruh persepsi kesehatan terhadap subjective well being pada lansia. Penelitian ini bertujuan untuk mengetahui pengaruh persepsi kesehatan terhadap subjective well being pada lansia yang berdomisili di kota Bukittinggi. Jenis penelitian yang digunakan adalah kuantitatif korelasional. Sampel yang digunakan dalam penelitian ini sebanyak 51 orang. Analisis data yang digunakan dalam penelitian menggunakan analisis regresi sederhana. Berdasarkan analisis data ditemukan nilai R Square sebesar .525 yang berarti persepsi kesehatan mempengaruhi subjective well being sebesar 52.5%, dan nilai koefesien regresi .866 yang menunjukkan setiap peningkatan persepsi kesehatan akan mempengaruhi subjective well being.