bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effect of the Realistic Mathematic Education (RME) Learning Model On Students’ Mathematical Problem Solving Abilities : A Meta-Analysis
Authors: Perwira Negara Habib Ratu , Ibrahim Malik , Kurniawati Kiki Riska Ayu , Firdaus Anisa , Maulidina Risma , Saifudin Muhammad 
Published: May 2021

Abstract: Realistic Mathematics Education (RME) learning is a learning approach that uses contextual issues and student-focused learning. This study aims to find out the huge influence of the Realistic Mathematics education learning model on students' mathematical problem-solving skills. The research method used is a meta-analysis with the help of JASP software by collecting data from the results of research indexed indexer databases such as Google Scholar, SINTA, and Garuda Portal. The data were taken in accordance with the criteria of inclusion and exclusion of this study to then be determined by the value of effect size (ES) and standard error (SE). The results of the data analysis using JASP software showed that realistic mathematics education (RME) learning model on mathematical problem-solving skills of students as a whole has a positive influence which is obtained by estimation (ES) of 0.71 or 71% based on RE Models with high category, as well as the p-value (egger's test) of 0.121 which means no publication is indicated bias, as well as the results of moderator variable analysis on classification per education level. This means that realistic Mathematics Education (RME) learning model for students' mathematical problem-solving skills can be said to be appropriate if used for students, especially in junior high and elementary school level.Abstrak: Pembelajaran Realistic Mathematic Education (RME) ini merupakan pendekatan pembelajaran yang menggunakan masalah kontekstual, dan pembelajaran terfokus pada siswa. Penelitian ini bertujuan untuk mengetahui besar pengaruh model pembelajaran Realistic Mathematic education terhadap kemampuan pemecahan masalah matematis siswa. Metode penelitian yang digunakan adalah meta-analisis dengan bantuan software JASP yaitu dengan cara mengumpulkan data dari hasil-hasil penelitian yang terindeks database pengindeks seperti Google Scholar, SINTA, dan Portal Garuda. Data yang diambil sesuai kriteria inklusi dan ekslusi penelitian ini untuk kemudian ditentukan nilai effect size (ES) dan standard error (SE). Hasil analisis data menggunakan software JASP menunjukkan bahwa model pembelajaran Realistic Mathematics Education (RME) terhadap Kemampun Pemecahan Masalah Matematis Siswa secara keseluruhan pengaruhnya positif yang dimana di dapatan nilai Estimasi (ES) sebesar 0.71 atau 71% berdasarkan RE Models dengan kategori tinggi, serta nilai p-value (egger’s test) sebesar 0.121 yang berarti tidak terindikasi publication bias,begitu juga dengan hasil analisis variabel moderator pada klasifikasi per jenjang pendidikan. Ini berarti model pembelajaran Realistic Mahematics Education (RME) terhadap Kemampuan Pemecahan Masalah matematis Siswa bisa dikatakan sudah tepat jika digunakan untuk Peserta didik terutama pada jenjang SMP dan SD.
PENGARUH TOTAL HUTANG TERHADAP RENTABILITAS MODAL SENDIRI PADA PT. ACE HARDWARE INDONESIA, TBK PERIODE TAHUN 2012-2019
Authors: Kusmawati Yeti 
Published: May 2021

Penelitian ini bertujuan untuk mengetahui pengaruh Total hutang terhadap Rentabilitas modal sendiri pada PT. Ace Hardware Indonesia, Tbk Periode Tahun 2012-2019.Metode yang digunakan adalah explanatory research. Teknik analisis menggunakan analisis statistik dengan pengujian regresi, korelasi, determinasi dan uji hipotesis.Hasil penelitian ini variabel Total hutang diperoleh nilai rata-rata sebesar 461,121 milyar. Variabel Rentabilitas modal sendiri diperoleh nilai rata-rata 9,905%. Total hutang berpengaruh positif dan signifikan terhadap Rentabilitas modal sendiri dengan nilai persamaan regresi Y = 4,597 + 0,012X, dan nilai koefisien korelasi 0,924 atau memiliki tingkat hubungan sangat kuat dengan nilai determinasi 85,3%. Uji hipotesis diperoleh signifikansi 0,000 < 0,05.
Posthuman Archaeologies, Archaeological Posthumanisms
Authors: Cipolla Craig , Crellin Rachel J. , Harris Oliver J.T. 
Published: May 2021

This paper maps and builds relations between posthumanism and the field of archaeology, arguing for vital and promising connections between the two. Posthuman insights on post-anthropocentrism, non-human multiplicities, and the minoritarian in the now intersect powerfully with archaeology’s multi-temporal and long-term interests in heterogenous and vibrant assemblages of people, places, and things, particularly the last few decades of ‘decolonial’ re-imaginings of the field. For these reasons, we frame archaeology as the historical science of posthumanism. We demonstrate the discipline’s breadth through three vignettes concerning archaeology’s unique engagements with multiplicities of objects, multiplicities of scales, and multiplicities of people. These examples, we argue, speak to the benefits of becoming posthuman archaeologists and archaeological posthumanists.
Patterns of Congenital Heart Disease Among Patients Attending in Specialized Hospitals
Authors: Rahman Fatema , Refat Md Nazmul Hassan , Rahman Md Saydur 
Published: May 2021

Background: Incidence of congenital heart disease is serious and common conditions that have significant impact on morbidity, mortality and healthcare costs in children and adults. The objective of this paper is socio-demographic characteristics, pattern, risk factors and geographical distribution of Congenital Heart Disease (CHD).
Methods: This cross-sectional study was conducted throughout the year of 2013 in Dhaka city of Bangladesh. Among the children with confirmed diagnosis of CHD within the age ranging from birth to 18 years, admitted and treated at National Institute of Cardiovascular Disease (NICVD) and National Heart Foundation and Research Center (NHFRC) were included.
Result: Out of 168 patients, 64% were living in rural area, 36% were living in urban. The study revealed that 58.9% of male were predominant whereas female was 41.1%. The mean (±SD) age of patients was 4.87(±2.83) years. 71.4% of the children were within 1 to 5 years of age. 36.9% CHD was diagnosed at the age of 1 - 5 years. Finding of the study revealed that there were different types of CHD namely Ventricular Septal Defect (VSD) 35.15%, Atrial Septal Defect (ASD) 27.4%, Patent Ductus Arteriosus (PDA) 13.7%, Coarctation of the aorta 4.8% and Tetralogy of Fallots 19%. In urban area, 37.4% patients had VSD while in rural area, 31.1% patients had ASD. This variation of CHD in relation to living place of the patients was statistically important (χ2 4 = 11.62, p=0.024). In female patients, VSD is more than 58%, however in male patients, ASD is more than 36.4%. This variation of CHD according to sex of the patients was statistically vital (χ2 4 = 27.85, p=0.001). Among the mothers, 39.8% utilized Ant-natal Care (ANC) had VSD while 24.0% having VSD did not utilized ANC. This variation was statistically significant (χ2 4 = 8.235, p=0.04). Among the patients, 41.7% were aged 1-5 years who had VSD while 50.0% were aged 6-10 years who had ASD. This variation was statistically important as it showed (χ2 8 = 43.601, p=0.000)
Conclusions: As the most common type of congenital heart diseases are VSD and ASD, the findings of this study will contribute in early detection and proper management of CHD in the contexts to others and thus save lives.
JOPSOM 2020; 39(2): 40-44
Breastfeeding Practices Among Women in a Selected Rural Area
Authors: Asma MN Fahmida , Yesmin Fouzia , Haque Musarrat 
Published: May 2021

Background: Breast milk is the only source of nutrition freely available to the newborn from the mother. Breast feeding is the fundamental right of every child. It is the safest, least allergic and best infant feeding method. Absence of breastfeeding significantly increases the risk for a large number of acute and chronic diseases. WHO recommends the practice of exclusive breastfeeding as an essential component of infant nourishment. This present study was conducted to find out the breastfeeding practice among the women of rural areas of Bangladesh.
Methods: This cross-sectional type of descriptive study was carried out from October, 2015 to April, 2016 in Kaliakair Upazila under the district of Gajipur. Seven hundred and eighty mothers having children between 6-24 months’ age group were interviewed. Data were collected by face-to-face interview with the respondents through a pretested semi structured questionnaire. The study place was selected conveniently and the sampling technique was purposive type of non-probability sampling.
Results: The mean age of the respondents was 24 (±4.493) years and the mean age of the children was 16.84 (±5.766) months. The majority (44%) of the respondents belonged to the education level of class VI-X. Most (93.6%) of the respondents were housewives. Around two-third (63.9%) of the mothers were from nuclear families while one-third (36.1%) were from joint families. Majority (55.4%) of the respondents were from middle income group (10,001- 30,000 Tk. monthly income). Among all, 91% had knowledge about the importance of breastfeeding. Most (98.8%) of the mothers breastfed their babies. Among the breastfed mothers, 55.6% practiced exclusive breastfeeding. And colostrum was given by 95.5% mothers. Lack of knowledge and superstition was the main causes not proving colostrum. Breastfeeding was started right after birth by 73.7% mothers while 24.3% started within 5 days. More than half of the mothers continued to breastfeed beyond 16 months. Among the mother without exclusive breastfeeding, 44.4% gave various types of additional food to their babies including powder milk (57%), cow's milk, shuji, water and some other food, the main reason for giving additional food was insufficiency of breast milk (82.2%). Most (90.6%) of the mothers started complimentary feeding between 6-10 months of age.
Conclusion: In depth community based epidemiological studies may be carried out by covering the whole population to explore the situation in detail.
JOPSOM 2020; 39(2): 50-58
Analisis Pengukuran Kinerja Rumah Sakit Moedjito dengan Metode Balanced Scorecard dalam Perspektif Kepuasan Konsumen
Authors: Sa’adah Lailatus , Maksum Moh. Ja’far Sodiq 
Published: May 2021

Tujuan penelitian untuk mengetahui kepuasan konsumen/pasien pada instalasi rawat inap dan rawat jalan; mengetahui retensi konsumen/ pasien pada instalasi rawat inap dan rawat jalan dan; menganalisis adanya hubungan antara lama berobat kembali dengan kepuasan konsumen/pasien pada instalasi rawat inap serta; menganalisis adanya hubungan antara lama berobat kembali dengan kepuasan konsumen/ pasien pada instalasi rawat jalan. Hasil penelitian menunjukkan bahwa tingkat kepuasan pasien pada instalasi rawat inap dan rawat jalan yang diuraikan dalam enam indikator kepuasan mayoritas mempunyai kepuasan pasien yang baik. Hasil dari pengukuran profitabilitas menunjukkan ada penurunan tingkat keuntungan konsumen kondisi ini kurang baik bagi pengelolaan Rumah sakit. Adanya peningkatan retensi pada instalasi rawat jalan dan IGD sedangkan rawat inap dan penggunaan kamar operasi menurun. Adanya peningkatan akuisisi pada instalasi rawat inap dan penggunaan kamar operasi sedangkan rawat jalan dan IGD menurun. Hasil dari tabulasi silang dan symetric measure pada rawat inap terdapat nilai korelasi sebesar 0,084 dengan tingkat signifikansi 0,331 nilai signifikansi tersebut berada di atas 0,05 maka Ho diterima H1 ditolak hal ini menunjukkan bahwa tidak adanya hubungan antara lama berobat dengan kepuasan pasien rawat inap. Sedangkan tabulasi silang dan symetric measure pada rawat jalan terdapat nilai korelasi sebesar 0,122 dengan tingkat signifikansi 0,256 nilai signifikansi tersebut berada di atas 0,05 maka Ho diterima H1 ditolak hal ini menunjukkan bahwa tidak adanya hubungan antara lama berobat dengan kepuasan pasien rawat jalan.
Tratamento ortocirúrgico de paciente portador de deformidade dentofacial classe III: Relato de caso
Authors: Cavalcanti Ana Maria Freitas , Barbosa Lívia Mirelle , Peixoto Sylvia Sampaio , Coelho Carolina Carollayne Clemente Dias , Negreiros Jhony Herick Cavalcanti Nunes , Pinto Priscilla Sarmento , Monteiro João Luiz Gomes Carneiro , Melo Maria Cecília Freire de , Rocha Neto Alipio Miguel da , Rocha Patrícia Mendonça Borba da , Laureano Filho José Rodrigues 
Published: May 2021

A deformidade dentofacial é descrita como uma condição em que os ossos maxilares fogem da normalidade, onde a má oclusão existe e a estética facial é afetada. Esta condição acomete cerca de 20% da população mundial e requer um diagnóstico preciso. A cirurgia ortognática em combinação com o tratamento ortodôntico é a terapêutica de escolha para a correção das deformidades dentofaciais, devido a sua alta complexidade faz se necessário uma abordagem multidisciplinar para a realização de manejo terapêutico. Objetiva-se discutir neste artigo sobre o diagnóstico e tratamento das deformidades dentofaciais através de uma revisão de literatura e apresentação de um caso clínico. No caso reportado a paciente apresentava de deformidade dentofacial classe III e foi submetida ao tratamento ortodôntico e cirurgia ortognática planejada virtualmente com a utilização do software Dolphin 3D. Após o procedimento cirúrgico foi observada uma melhora significativa da harmonia facial e estabilidade oclusal. Tais resultados estão mantidos em acompanhamento pós-operatório por dois anos. O planejamento virtual em cirurgia ortognática vem se tornando cada vez mais importante, permitindo que os cirurgiões simulem múltiplas opções de movimentos maxilares até que os melhores resultados sejam obtidos para o paciente.
Estudo clínico randomizado sobre a influência da motivação e acompanhamento de profissionais de saúde na prática de aleitamento materno
Authors: Rocha Najara Barbosa da , Moimaz Suzely Adas Saliba 
Published: May 2021

Este estudo objetivou avaliar o impacto da intervenção: motivação e acompanhamento por profissionais de saúde na duração e exclusividade do aleitamento materno, por meio de um estudo clínico randomizado. As gestantes foram entrevistadas (n=154) e acompanhadas até sexto mês após parto. Todas receberam panfleto e assistiram vídeo sobre promoção do aleitamento materno na primeira entrevista na gestação, sendo divididas aleatoriamente em grupos: intervenção (n=51) e controle (n=103). O grupo de intervenção recebeu acompanhamento domiciliar aos 5 dias e retorno telefônico em 2 e 14 semanas após o parto. Após 6 meses de acompanhamento, 124 mães (Intervenção=50 e Controle=74) foram entrevistadas. A idade média das mães foi 26,5(±6.1) anos, sendo a maioria: cor de pele não-branca (58,9%), morava com companheiro (79%), até 8 anos de estudo (70,2%); multípara (64,5%); não trabalhava (54,8%) e recebia até 2 Salários Mínimos (81,4%). A maioria dos bebês era do sexo masculino (52,4%) e nascido de parto cesárea (61,3%). A taxa de aleitamento materno exclusivo foi 84%, 82%, 54% e 34% aos 5 dias, 2 semanas, 14 semanas e 6 meses respectivamente no grupo Intervenção e 17,6% aos 6 meses no grupo Controle. O grupo intervenção teve maior taxa de aleitamento exclusivo (p=0,03, RR 1,25) e aleitamento materno (p=0,02, RR 2,03) em relação ao controle. A intervenção estudada promoveu alterações positivas na duração e exclusividade do aleitamento materno aos 6 meses de idade, em comparação a educação em saúde tradicional, e pode ser usada na promoção da prática do aleitamento materno pelos serviços de saúde.
Estresse ocupacional em docentes de enfermagem: Uma revisão integrativa da literatura
Authors: Lenz Catia Aguiar , Antunes Michele , Santos Raquel de Lima dos , Bez Marta Rosecler 
Published: May 2021

A profissão do docente do ensino superior é caracterizada por sobrecargas, intensas mudanças e pressões que conduzem a diversas consequências. Objetivo foi identificar as causas do estresse ocupacional em docentes de enfermagem. Trata-se de uma revisão integrativa da literatura, nas bases de dados Literatura Latino-Americana em Ciências de Saúde (LILACS) e na Base de dados em Enfermagem (BDENF). Artigos publicados pela área da saúde, em Língua Portuguesa, no período de 2009 a maio de 2020, completos de acesso livre e online. Identificaram-se um total de 06 artigos. As discussões apresentadas pelos autores foram descritas em duas categorias. Este estudo traz como resultados os seguintes fatores e/ou situações geradoras de estresse: condições de trabalho; questões éticas; carga mental intensa; falta de reconhecimento profissional; aulas teórico-práticas; associação dos serviços de ensino e saúde; relação interpessoal; situações familiares/social, financeiras e de saúde e entre as principais complicações: estresse, ansiedade, insônia e dificuldades do sono, cefaleia, insuficiência vascular, dor, cansaço, edemas, entre outros problemas. O estudo evidenciou a diversidade e complexidade de diagnosticar os fatores estressores, assim como as complicações a saúde do docente de nível superior.
O papel do enfermeiro preceptor na residência de enfermagem em uma instituição militar
Authors: Silva Tuane Carla Moreira da , Andrade Pâmela Oliveira de , Costa Andréia Jorge da , Souza Sônia Regina de , Souza Vinícius Rodrigues de , Valente Geilsa Soraia Cavalcanti , Almeida Inez Silva de 
Published: May 2021

Objetivo: Compreender o papel do enfermeiro preceptor no processo de treinamento em serviço dos residentes de enfermagem. Metodologia: Estudo qualitativo, descritivo e exploratório, em que participaram onze enfermeiras de um hospital militar. Utilizou-se para coleta de dados um questionário semiestruturado contendo perguntas relacionadas as atribuições e percepções dos preceptores junto aos residentes de enfermagem. Os dados foram analisados e agrupados em quatro categorias temáticas, sendo discutidos à luz de estudiosos ligados à temática. Resultados: Compreendeu-se que o preceptor é um mediador do conhecimento e formação profissional de residentes, adota estratégias de ensino-aprendizagem para facilitar a troca de conhecimentos e estabelece relações pautadas no respeito mútuo, na confiança e na autonomia de seus alunos. Conclusão: A instituição de saúde precisa incentivar o aprimoramento de competências e habilidades dos preceptores a fim de alcançar a excelência do processo de ensino, uma vez que o conhecimento não é estático e a educação deve acompanhar as inovações científicas e exigências do mercado de trabalho e sociedade.
Selection for CD26− and CD49A+ Cells From Pluripotent Stem Cells-Derived Islet-Like Clusters Improves Therapeutic Activity in Diabetic Mice
Authors: Molakandov Kfir , Berti Denise A. , Beck Avital , Elhanani Ofer , Walker Michael D. , Soen Yoav , Yavriyants Karina , Zimerman Michal , Volman Ella , Toledo Itzik , Erukhimovich Anna , Levy Alon M. , Hasson Arik , Itskovitz-Eldor Joseph , Chebath Judith , Revel Michel 
Published: May 2021

BackgroundCell therapy of diabetes aims at restoring the physiological control of blood glucose by transplantation of functional pancreatic islet cells. A potentially unlimited source of cells for such transplantations would be islet cells derived from an in vitro differentiation of human pluripotent stem cells (hESC/hiPSC). The islet-like clusters (ILC) produced by the known differentiation protocols contain various cell populations. Among these, the β-cells that express both insulin and the transcription factor Nkx6.1 seem to be the most efficient to restore normoglycemia in diabetes animal models. Our aim was to find markers allowing selection of these efficient cells.MethodsFunctional Cell-Capture Screening (FCCS) was used to identify markers that preferentially capture the cells expressing both insulin and Nkx6.1, from hESC-derived ILC cells. In order to test whether selection for such markers could improve cell therapy in diabetic mouse models, we used ILC produced from a clinical-grade line of hESC by a refined differentiation protocol adapted to up-scalable bioreactors. Re-aggregated MACS sorted cells were encapsulated in microspheres made of alginate modified to reduce foreign body reaction. Implantation was done intraperitoneally in STZ-treated C57BL/6 immuno-competent mice.ResultsCD49A (integrin alpha1) was identified by FCCS as a marker for cells that express insulin (or C-peptide) as well as Nkx6.1 in ILC derived by hESC differentiation. The ILC fraction enriched in CD49A+ cells rapidly reduced glycemia when implanted in diabetic mice, whereas mice receiving the CD49A depleted population remained highly diabetic. CD49A-enriched ILC cells also produced higher levels of human C-peptide in the blood of transplanted mice. However, the difference between CD49A-enriched and total ILC cells remained small. Another marker, CD26 (DPP4), was identified by FCCS as binding insulin-expressing cells which are Nkx6.1 negative. Depletion of CD26+ cells followed by enrichment for CD49A+ cells increased insulin+/Nkx6.1+ cells fraction to ~70%. The CD26-/CD49A+ enriched ILC exhibited improved function over non-sorted ILC or CD49A+ cells in diabetic mice and maintain prolonged blood C-peptide levels.ConclusionsRefining the composition of ILC differentiated from hPSC by negative selection to remove cells expressing CD26 and positive selection for CD49A expressing cells could enable more effective cell therapy of diabetes.
The Fractalkine Receptor CX3CR1 Links Lymphocyte Kinetics in CMV-Seropositive Patients and Acute Myocardial Infarction With Adverse Left Ventricular Remodeling
Authors: Spray Luke , Park Catherine , Cormack Suzanne , Mohammed Ashfaq , Panahi Pedram , Boag Stephen , Bennaceur Karim , Sopova Kateryna , Richardson Gavin , Stangl Verena M. , Rech Lavinia , Rainer Peter P. , Ramos Gustavo Campos , Hofmann Ulrich , Stellos Konstantinos , Spyridopoulos Ioakim 
Published: May 2021

AimsLatent cytomegalovirus (CMV) infection is associated with adverse cardiovascular outcomes. Virus-specific CX3CR1+ effector memory T-cells may be instrumental in this process due to their pro-inflammatory properties. We investigated the role of CX3CR1 (fractalkine receptor) in CMV-related lymphocyte kinetics and cardiac remodeling in patients with ST-elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (pPCI).Methods and ResultsWe retrospectively analysed lymphocyte count, troponin, and survival in 4874 STEMI/pPCI patients, evaluated lymphocyte kinetics during reperfusion in a prospective cohort, and obtained sequential cardiac MRI (cMRI) to assess remodeling. Pre-reperfusion lymphopenia independently predicted mortality at 7.5 years. Prior to reperfusion, CCR7+ T-lymphocytes appeared to be depleted. After reperfusion, T-lymphocytes expressing CX3CR1 were depleted predominantly in CMV-seropositive patients. During ischaemia/reperfusion, a drop in CX3CR1+ T-lymphocytes was significantly linked with microvascular obstruction in CMV+ patients, suggesting increased fractalkine-receptor interaction. At 12 weeks, CMV+ patients displayed adverse LV remodeling.ConclusionWe show that lymphopenia occurs before and after reperfusion in STEMI by different mechanisms and predicts long-term outcome. In CMV+ patients, increased fractalkine induction and sequestration of CX3CR1+ T-cells may contribute to adverse remodeling, suggesting a pro-inflammatory pathomechanism which presents a novel therapeutic target.