bluuebunny/crossref_metadata_2025_split huggingface dataset:
Penerapan Metode Waterfall dalam Pengembangan Sistem CRM Berbasis Web untuk Travel
Authors: Jawahir M Haikal , Pramuntadi Andri , Danianti Dita , Prastowo Wahit Desta 
Published: December 2024

Abstrak—Penelitian ini membahas penerapan metode Waterfall dalam pengembangan sistem Customer Relationship Management (CRM) berbasis web untuk PT. Mandiri Tour Travel Subang. Tujuan utama penelitian ini adalah untuk merancang dan mengimplementasikan sistem CRM yang dapat meningkatkan efisiensi operasional dan kepuasan pelanggan. Sistem CRM yang dikembangkan memiliki fitur utama, yaitu pemesanan paket wisata, manajemen keluhan pelanggan, email marketing, dan manajemen data pelanggan. Metode Waterfall digunakan sebagai kerangka kerja pengembangan sistem karena pendekatannya yang terstruktur dan linear, memfasilitasi proses dokumentasi yang jelas dan evaluasi yang sistematis pada setiap tahap pengembangan. Hasil penelitian menunjukkan bahwa penerapan metode Waterfall dalam pengembangan sistem CRM ini berhasil memenuhi kebutuhan bisnis PT. Mandiri Tour Travel Subang, serta mampu meningkatkan kualitas pelayanan dan interaksi dengan pelanggan. Penelitian ini diharapkan dapat menjadi referensi bagi pengembangan sistem serupa di industri pariwisata.Kata kunci : Metode Waterfall, Customer Relationship Management, Sistem CRM, Travel, Pengembangan Website Abstract — This study investigates the application of the Waterfall method in developing a web-based Customer Relationship Management (CRM) system for PT. Mandiri Tour Travel Subang. The study aims to design and implement a CRM system that enhances operational efficiency and customer satisfaction. The developed system integrates features such as package booking, customer complaint management, email marketing, and customer data management. The Waterfall methodology was chosen due to its structured and linear approach, facilitating clear documentation and systematic evaluation at each stage of development. The study found that the implementation of the Waterfall method in developing the CRM system successfully met the business needs of PT. Mandiri Tour Travel Subang, improving service quality and customer interaction. The findings of this study can serve as a reference for developing similar systems in the tourism industry.Keywords : Waterfall Method, Customer Relationship Management, CRM System, Travel, Website Development
Analisis Penerapan Teknik Search Engine Optimization (SEO) pada Website Universitas Sari Mulia untuk Meningkatkan Indikator Visibility Webometrics
Authors: Tiara Astia Rahma , Nurhaeni Nurhaeni , Mambang Mambang , Prastya Septyan Eka , Marleny Finki Dona 
Published: December 2024

Abstrak - Universitas Sari Mulia mempunyai website sebagai wadah promosi serta membantu memperkenalkan dan mempromosikan kampus Universitas Sari Mulia agar lebih dikenal ketika pengguna internet mencari kata kunci ”Universitas Sari Mulia” dengan nama domain unism.ac.id. Pencarian website yang terdapat di internet diperlukan sebuah mesin pencari atau search engine salah satunya ialah google. Namun, tidak semua website dapat muncul pada halaman pertama dari sebuah mesin pencari, maka perlu adanya penerapan teknik search engine optimization (SEO) dengan tujuan untuk meningkatkan indikator visibility webometrics agar website bisa optimal berada pada halaman pertama atau baris pertama saat melakukan pencarian dengan kata kunci ”Universitas Sari Mulia”. Metode yang digunakan yaitu menerapkan teknik search engine optimization (SEO) dengan hasil penelitian website unism.ac.id ketika menerapkan teknik search engine optimization (SEO) mampu mengoptimalkan website berada pada halaman pertama dan traffic website unism.ac.id mendapati peringkat Indonesia pada urutan 323. Penerapan ini juga meningkatkan indikator visibility website dengan angka 9041 pada webometrics pemeringkatan Perguruan TinggiKata kunci: Universitas Sari Mulia, search engine optimization, website,visibility, webometrics Abstract - Sari Mulia University has a website as a promotional forum and helps introduce and promote the Sari Mulia University campus so that it is better known when internet users search for the keyword "Sari Mulia University" with the domain name unism.ac.id. Searching for websites on the internet requires a search engine, one of which is Google. However, not all websites can appear on the first page of a search engine, so it is necessary to apply search engine optimization (SEO) techniques with the aim of increasing webometrics visibility indicators so that websites can optimally be on the first page or first line when searching with keywords. "Sari Mulia University". The method used is applying search engine optimization (SEO) techniques with the results of research on the unism.ac.id website. When applying search engine optimization (SEO) techniques it is able to optimize the website to be on the first page and unism.ac.id website traffic finds Indonesia's ranking in the order of 323. This implementation also increases the website visibility indicator with the number 9041 in the University ranking webometrics.Keywords: Sari Mulia University, search engine optimization, website, visibility,webometrics
THE RELATIONSHIP BETWEEN FAMILY ENVIRONMENTAL SANITATION AND THE INCIDENCE OF STUNTING IN TODDLERS IN THE MEDAN BELAWAN I VILLAGE AREA
Authors: Susanti Nofi , Sari Amelia Resita , Manurung Lutfia Nurfadilah 
Published: December 2024

Abstract contains: A good and healthy environment is important to support human survival. Environmental cleanliness can reflect the lifestyle of a society. The achievement of good environmental sanitation is highly dependent on the process and behavior of the community in maintaining the quality of environmental sanitation, stunting is short or very short based on length/height according to age less than -2 definition standards (SD) on the growth curve. The purpose of this study is to determine the relationship between environmental sanitation and stunting in the Medan Belawan I area. This type of research is cantitacle. The population includes the home environment of toddlers who were taken as many as 40 respondents. sampling using simple random sampling technique. The instrument used was a questionnaire from the Ministry of Health. The results of this study showed that there was no effect of family environmental sanitation on the incidence of stunting with a p value of 0.900.
Cost-effectiveness of brentuximab vedotin plus chemotherapy as frontline treatment of stage IV Hodgkin lymphoma in Italy
Authors: Bini Chiara , Marcellusi Andrea , Mennini Francesco Saverio , Ripoli Silvia , Fioravanti Laura , Paly Victoria Federico , Molinari Alexa , Morelli Paolo , Krotneva Stanimira , Li Shujun 
Published: December 2024

Objectives: Advanced Hodgkin’s lymphoma (HL) is a rare severe neoplasm, significantly limiting the ability of patients to do daily activities among other impacts of the cancer. Many adult patients present with advanced stage disease (stages III/IV). This analysis investigates the cost-effectiveness of brentuximab vedotin (BV) in combination with doxorubicin, vinblastine, and dacarbarzine (AVD) versus ABVD (doxorubicin, bleomycin, vinblastine, and dacarbazine) for the frontline treatment of stage IV HL in Italy based on data from the ECHELON-1 clinical trial.
Methods: The analysis was conducted from the perspective of the National Health Service using a Markov model with three mutually exclusive health states and a lifetime time horizon. Transition probabilities were taken from the six-year follow-up data of ECHELON-1. Costs were obtained mainly from published literature and national tariffs. For all drugs, ex-factory prices net of the mandatory reductions required by law were considered. Scenarios on possible confidential drug discounts were also explored.
Results: BV in combination with AVD was associated with an increase of € 44,551 in total costs of 1.03 life-years (LYs) and 0.85 quality-adjusted life-years (QALYs) as compared with ABVD in the base-case scenario. The incremental cost-effectiveness ratio and the incremental cost-utility ratio were estimated equal to € 43,179/LYs and € 52,257/QALYs, respectively, when based on ex-factory prices. BV in combination with AVD was shown to be a cost-effective option in 24 out of 36 scenarios examining possible confidential discounts (ranging from 0% to 60%) for high-cost drugs included in the analysis based on a € 41,411/QALYs threshold for severe diseases.
Conclusions: Based on data from 6 years of follow-up from the ECHELON-1 trial, BV in combination with AVD has the potential to be a cost-effective option versus ABVD for the frontline treatment of stage IV HL in Italy.
Managing supraventricular tachyarrhythmia in pregnant patients within the emergency department
Authors: Pan Di , Chen Zhongqing , Chen Haibo 
Published: December 2024

BackgroundPregnancy increases the risk of supraventricular tachycardia (SVT) due to physiological changes. This study reviews the management of SVT in pregnant patients in the emergency department (ED).MethodsWe retrospectively analyzed 15 pregnant patients with SVT treated at Shenzhen Second People's Hospital ED from 2015 to 2023. Treatments included vagal nerve stimulation, pharmacotherapy, esophageal pacing, cardioversion, and radiofrequency ablation.ResultsThe average patient age was 30.3 years. All presented with palpitations, and none had hemodynamic instability. Treatment success varied: 3 patients reverted spontaneously, 5 responded to vagal stimulation, and 4 to esophageal pacing. One required verapamil, and another responded to labetalol after failing vagal and pacing treatments.ConclusionWhen managing SVT during pregnancy, it is important to consider the patient's stability, the stage of pregnancy, and the safety of medications. For unstable patients, electrical cardioversion is the preferred option; for stable patients, vagus nerve stimulation (VNS) or other alternative treatments, such as adenosine, should be considered.
Improving surgical quality of care: learning from 8,331 surgical medical malpractice cases
Authors: Chen Qin , Liu Xiaoyu , Liu Xiaoyan , Song Pan , Quan Xiaoyan , Xiong Huarong , Wang Dan , Hu Xiaoli , Zhang Hua , Shi Meihong 
Published: December 2024

ObjectiveThis study aimed to analyze the characteristics of surgical litigation cases and the risk factors that contribute to catastrophic compensation.MethodsWe downloaded and retrieved all cases related to surgical litigation cases from the China Jufaanli Database between 2008 and 2023. Multivariate logistic regression analysis was employed to identify independent risk factors that may contribute to catastrophic compensation.ResultsThis study included a total of 8,331 successfully resolved surgical litigation cases. Of these, 5,114 hospitals were defendants, with 25.34% of them involved in two or more lawsuits, thereby categorized as “repeat defendants.” The total compensation amount was $269,163,545, with the highest compensation reaching $540,008. Most surgical litigation cases were concentrated in the eastern regions of China, with tertiary hospitals being the most frequently involved. The most common type of injury outcome was patient death. Compensation amounts and high compensation rates for severe disability exceeded those for death (p &lt; 0.05). Independent risk factors associated with catastrophic compensation in surgical medical liability disputes included: Eastern region (OR = 1.462, 95% CI 1.038–2.060), secondary liability (OR = 2.457, 95% CI 1.633–3.696), main liability (OR = 9.353, 95% CI 6.195–14.121), major or full liability (OR = 10.878, 95% CI 7.152–16.546), severe disability (OR = 24.605, 95% CI 3.395–178.337), neurosurgery (OR = 3.488, 95% CI 2.265–5.373), thoracic surgery (OR = 1.810, 95% CI 1.017–3.219), general surgery (OR = 2.465, 95% CI 1.593–3.816), hepatobiliary surgery (OR = 3.251, 95% CI 1.980–5.338), gastrointestinal surgery (OR = 2.260, 95% CI 1.391–3.671), cardiovascular surgery (OR = 2.544, 95% CI 1.367–4.733), vascular surgery (OR = 2.916, 95% CI 1.246–6.827), and spinal surgery (OR = 2.921, 95% CI 1.763–4.841).ConclusionThis study analyzes the characteristics of surgical medical malpractice disputes in China from multiple perspectives and identifies independent risk factors for catastrophic compensation in surgical malpractice litigation. Our research has the potential to aid medical institutions in preventing and reducing surgical malpractice disputes, while also contributing to the provision of improved surgical care and nursing services for patients.
Medial pulvinar stimulation for focal drug-resistant epilepsy: interim 12-month results of the PULSE study
Authors: Pizzo Francesca , Carron Romain , Laguitton Virginie , Clement Audrey , Giusiano Bernard , Bartolomei Fabrice 
Published: December 2024

ObjectiveThis study aims to evaluate the efficacy and safety of deep brain stimulation (DBS) of the medial pulvinar nucleus (PuM) in reducing seizure frequency and addressing comorbidities in patients with drug and vagal nerve-resistant focal epilepsy.MethodsThis is an open-label prospective treatment trial with a planned enrollment of 12 patients suffering from medically refractory epilepsy (Clinical trial gov NCT04692701), for which the interim 12-month post-implantation results for the first 6 patients are being reported. Inclusion criteria were focal epilepsy not suitable for or after failed surgical intervention and previous failure of neurostimulation therapies (vagus nerve stimulation or anterior thalamic nucleus DBS). Evaluations included seizure diaries, neuropsychological assessments, and scales for depression, anxiety, quality of life, and seizure severity. PuM DBS was performed using ROSA robotic assistance, with follow-ups every 3 months for 1 year.ResultsOut of six patients, five completed 1-year follow-up (one patient died prematurely). A non-significant trend toward seizure reduction was observed at 6 months, becoming more pronounced at 1 year (mean reduction: 45%; responders: 2/5). Seizure severity significantly improved (p = 0.02), with a reduction in the NHS3 scale scores. Quality of life improved significantly at 1 year (p = 0.03). Psychiatric assessments indicated a non-significant trend toward improvement in depression (mean improvement: 26%) and anxiety (mean improvement: 20%) scores. Neuropsychological testing showed stable or improved cognitive performance in three out of five patients. Adverse events included one case of cerebral hemorrhage, one infection leading to device removal, and one possible SUDEP.SignificancePreliminary results suggest that PuM DBS may offer a promising therapeutic option for reducing seizure severity and improving quality of life and cognitive functions in patients with drug-resistant epilepsy. Despite the small sample size and the presence of serious adverse events, the findings warrant further investigation with larger cohorts to confirm these trends and optimize the treatment protocol.
Factors influencing students’ happiness, vitality, and self-esteem
Authors: Majauskiene Daiva , Istomina Natalja , Valanciene Dovile , Dadeliene Ruta , Sidlauskiene Aurelija , Aukstikalnis Tomas , Jamontaite Ieva Egle , Strazdaite Emilija , Zilinskiene Ramune , Gintiliene Milda , Sarkauskiene Asta , Skurvydas Albertas 
Published: December 2024

IntroductionThe happiness and well-being of individuals are among the most important components of life. However, there remains a lack of evidence regarding the relationships between students’ happiness, vigor, and self-esteem on the one hand and various complex factors on the other hand.MethodsWe conducted a cross-sectional study involving 397 students from various Lithuanian universities. We determined students’ happiness, self-esteem, vigor, healthy lifestyles, perceived stress, personality traits, academic achievements and motivation by using validated scales.Results and discussionThe study indicates that while happiness and self-esteem are not linked to healthy lifestyles, vigor is positively associated with moderate-to-vigorous physical activity (MVPA) and healthy eating, and negatively with body mass index (BMI). Happiness and vigor inversely relate to stress, and happiness and self-esteem inversely relate to depression. Vigor is positively related to extraversion, and self-esteem to neuroticism. Happiness, vigor, and self-esteem are not linked to academic achievements, but happiness relates to non-utilitarian decisions, and self-esteem to emotional intelligence and non-utilitarian decisions. Happiness, vigor, self-esteem were not linked to intrinsic motivation to study, but self-esteem was inversely related to amotivation and childhood violence. This study fills the research gap and deepens the understanding of what determines students’ happiness and vigor, and self-esteem.
Autonomy support, basic needs satisfaction, and involvement in physical education among Norwegian secondary school students
Authors: Langøy Amund , Diseth Åge , Wold Bente , Haug Ellen 
Published: December 2024

PurposeThis study investigated the relationship between teacher autonomy support, students’ basic psychological needs satisfaction, and involvement in physical education (PE) with gender specific analyses. Additionally, the study examined the validity of a Norwegian version of the Basic Psychological Needs in PE (BPN-PE) scale.MethodSurvey data from the Norwegian 2017/2018 Health Behaviour in School-aged Children study.ResultsA structural equation model showed that perceived autonomy support from teacher predicted students’ basic needs satisfaction of competence, autonomy and relatedness. Furthermore, satisfaction of competence predicted weekly PE participation and physical activity during PE among boys. The analyses revealed mean level differences with boys scoring higher than girls on all the investigated variables. The findings also supported the validity and reliability of the BPN-PE scale across genders.Discussion/conclusionThe study adds knowledge to the understanding of the relationship between autonomy support from teachers, students basic need satisfaction and students’ involvement in PE.
Use of cannabis to manage symptoms of mental and physical health conditions during pregnancy: analysis of a pro-cannabis pregnancy forum
Authors: Gunn Rachel L. , Aston Elizabeth R. , Artis Lia , Nesi Jacqueline , Pedersen Eric R. , Micalizzi Lauren 
Published: December 2024

IntroductionRates of prenatal cannabis use (PCU) have increased in recent years. Despite evidence of developmental health consequences to offspring and birthing person, there has been a reduction in the perception of PCU-related harms. Due to the stigma and risk of legal consequences associated with disclosing PCU, individuals are often cautious to seek information from their healthcare providers. Thus, pregnant people are more likely to seek information from anonymous sources, such as online support forums. Information garnered from these anonymous online forums can shed light on the patterns and motives for cannabis use among this population. These insights can help to better inform prevention efforts aimed at reducing potential harms of PCU and improve intervention efforts.MethodsPosts (N = 120) from an online pro-cannabis pregnancy forum called “Ganja Mamas” on WhattoExpect.com were randomly selected and analyzed if they covered topics related to PCU. A qualitative coding structure based on the existing PCU literature was created and refined to include other emergent topics. The coding structure was used to apply thematic analysis to posts; associated codes were grouped into themes. Codes specific to symptom management for physical and mental health were subsequently subjected to further conceptual analysis for the current study.ResultsFour themes related to symptom management during pregnancy were identified: 1) cannabis use and impacts of use for a variety of mental health symptoms, including depression and anxiety; 2) cannabis use for physical health symptoms and conditions, such as nausea and pain; 3) use of cannabis to achieve homeostasis and manage stress; 4) decision-making about using cannabis for symptom management, such as using cannabis instead of prescription medications. Most discussions in this pro-cannabis forum reflected perceptions that cannabis was effective in treating the conditions for which it was used; however, limitations of cannabis’ efficacy were also mentioned.DiscussionThere is need for reduced stigma and open communication between pregnant persons who use cannabis and their providers in discussing how to manage their mental and physical health symptoms. Understanding the various symptoms for which individuals use cannabis during pregnancy to self-treat can inform these conversations and the expansion of harm reduction strategies.
Ocupações irregulares em áreas de risco: um estudo de caso do núcleo informal 23 de junho em Fortaleza/CE
Authors: Tôrres Lucas Matheus Garcia , Cavalcante Thaís Frota Ferreira , Queiroz Francisco Caio Bezerra de , Junior Almir Mariano de Sousa 
Published: December 2024

O intenso e acelerado processo de urbanização é um problema que afeta milhares de brasileiros. A referida dinâmica possibilita aglomerados populacionais desordenados e com moradias precárias sem infraestrutura, propiciando uma falta de qualidade de vida às pessoas da cidade. As áreas não especuladas pelo capital imobiliário, geralmente as margens de corpos hídricos, morros e encostas são buscadas pela população de baixa renda sem condições de viver em determinadas zonas do espaço urbano, visando alternativas à moradia irregulares e construindo casas, e por conseguinte, Núcleos Urbanos Informais – NUIs. Nesse contexto, o presente estudo, busca identificar áreas e os tipos de risco no NUI 23 de junho, localizado em Fortaleza/CE. Para isso, utilizou-se dados secundários da Prefeitura Municipal de Fortaleza junto à Secretaria Municipal do Desenvolvimento Habitacional de Fortaleza (HABITAFOR) e dados primários, oriundos in loco pelo Núcleo de Pesquisa e Extensão Acesso à Terra Urbanizada (UFERSA). Como resultado, percebeu-se que o NUI 23 de junho está com área 100% ocupada e totalmente inserido em área de risco. Ademais, percebeu-se riscos ambientais, atenuados pela ação antrópica, a exemplo: risco de inundação, contaminação das águas subterrâneas e superficiais, além de doenças advindas desta problemática. O estudo pode contribuir para reflexão e tomada de decisões dos gestores públicos com relação ao planejamento urbano, inclusive corroborando com o processo de regularização fundiária dessas localidades.