bluuebunny/crossref_metadata_2025_split huggingface dataset:
Experimental Study of the Principal Characteristics of Sustainable Micropile Grout Containing Alternative Sands
Authors: Phuc Lam Dao , Van Manh Nguyen , Nhan Pham Thi , Viet Le Huy , Lam Tang Van , Van Phi Dang , Hung Ngo Xuan , Osinski Piotr , Onyelowe Kennedy C. , Van Duc Bui 
Published: November 2024

The paper discloses a laboratory investigation on employing manufactured sand cement as grout in micropiling works. In practice, to prepare micropile grouts, Portland cement is commonly used. The grout usually consists of natural sand to obtain the strength parameters and value international standards require for micropile construction. It is common knowledge that using concrete and natural sand leaves its environmental footprint. Although there have been numerous attempts to use more environmentally friendly materials, utilizing manufactured sands, particularly for micropile grouting, is a scientific challenge that researchers are still trying to address. The present study investigates the performance of micropile grout mixtures containing manufactured (M) sands, including limestone (L-M) and granite (G-M) rock as replacements for natural sand. For this purpose, laboratory tests, including unconfined compression strength (UCS) and workability tests, were conducted on samples with varying compositions and ratios of L-M and G-M materials. The complementary microstructure and chemical composition analyses were performed using scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS) analysis. The laboratory results indicate that the UCS at 28 days of hardening for all M-sand cement mixtures exceeds the minimum standards required values, falling in a range of 40-50.2 MPa. It’s noteworthy that the strength of cement grout containing L-M sand was found to be higher than that of G-M sand. The SEM results show the G-M sand grain is rougher than L-M, and the L-M sand grain size is finer than the G-M samples, which causes a decrease in porosity at the interfacial transition zone. Grout workability tests demonstrated that higher water-cement ratios (W/C) led to increased fluidity across all mixtures, with G-M sand resulting in lower flowability than L-M samples. Overall, the results suggest that the proposed mixtures could serve as sustainable alternatives for micropiling, reducing cement content and utilizing alternative, reused materials in grouting mixtures more effectively and sustainably. Doi: 10.28991/CEJ-2024-010-10-019 Full Text: PDF
Study on Solutions for Early Dismantling of Aluminum Formwork Systems in High-Rise Building Construction
Authors: Pham Phu-Anh-Huy , Pham Quang-Nhat 
Published: November 2024

This paper evaluated the impact of early aluminum formwork (AF) removal on the structural integrity of reinforced concrete (RC) beam-slab systems, specifically focusing on punching shear capacity, deflection, and crack width. The study provided a comprehensive analysis of the AF system, detailing its erection and dismantling sequences while examining its advantages and disadvantages. Moreover, safety principles for early formwork removal were proposed in accordance with the Vietnamese code (TCVN 5574:2018). By utilizing calculation examples based on actual high-rise building constructions and employing the finite element method, the study offered practical guidelines for the safe and effective use of AF systems, balancing rapid construction with structural safety. The findings emphasized the importance of assessing punching shear, deflection, and crack width criteria at the time of formwork removal to ensure structural safety. Results indicated that RC beam-slab systems remain safe in terms of punching shear capacity, deflection, and crack width if the shoring span does not exceed 1.6m when the concrete reaches its design strength. Furthermore, early removal of AF was feasible when the concrete achieved a strength grade of B12.5, with a shoring span of up to 1.6 m and a minimum slab thickness of 200mm. This study also contributed novel insights into optimizing construction efficiency by offering practical guidelines for the safe and effective use of AF systems, thus providing valuable recommendations for construction professionals and engineers. Doi: 10.28991/CEJ-2024-010-10-07 Full Text: PDF
The risk of COVID-19 infection in medical workers of a clinical hospital during a pandemic
Authors: Kuzmina Lyudmila P. , Leskina Lyudmila M. , Golovkova Nina P. , Tolmachev Dmitry A. , Izmerova Natalia I. , Osmanova Patimat Sh. 
Published: November 2024

In occupational health, scientists view the COVID-19 as a biological factor that can occur not only in the environment, but also in industrial conditions. In this regard, the spread of a new coronavirus infection requires addressing issues of preserving and strengthening the health of medical workers who make up the risk group.
The study aims to assess the risk of COVID–19 infection during the pandemic in medical workers of a clinical hospital, depending on working conditions and the degree of contact with infectious patients.
The object of the study was medical workers of the state budgetary healthcare institution of the Moscow region. The total number of medical workers amounted to 495 people. According to the degree of probability of medical workers' contact with an infectious agent, the following groups were identified: a high–risk zone of infection; an average risk zone of infection; a comparison group — a group that did not come into contact with patients with COVID-19. Within each of the above groups, three production and professional groups were formed: doctors; secondary medical personnel; junior medical personnel. The authors studied the frequency of temporary disability due to COVID-19 in medical workers who performed their professional duties during the pandemic. To assess the risk of infection of medical workers with COVID-19, they calculated the relative risk (RR).
The study showed that the incidence of temporary disability among medical personnel during the pandemic period was 64.6±2.1 per 100 employees. Morbidity rates with temporary disability in the group of doctors who performed work duties in the high-risk area of COVID-19 infection amounted to 60.9±10.2 and in the medium-risk area of COVID-19 infection 63.2±4.0, which is significantly higher compared to workers in the comparison group 40.0±8.9 who had no contact with infectious patients. At the time of the study, the presence of a history of chronic diseases of the circulatory system in medical workers increases the risk of infection with COVID-19 (OR=3.9 with DI=2.62–5.78). The presence of chronic diseases of the endocrine system, eating disorders and metabolic disorders also increases the risk of COVID-19 infection (OR=3.3 with DI=2.08–5.13).
The data obtained as a result of the performed study indicate an increased risk of infection for doctors employed in areas of high and medium risk of COVID-19 infection, which are the most vulnerable professional group.
Limitations. The present study requires further study of the issue and verification of the data obtained due to the limited observation period.
Ethics. All medical workers have given informed consent to the use of personal data for statistical processing.
Comprehensive Teaching Strategies: Learning Ecosystems for Twenty-first Century
Authors: Regmi Bhim Nath 
Published: November 2024

This paper aims at boosting the effectiveness of teaching ecosystems in addressing the problems of the twenty-first century. It collects facts and required information from primary and secondary sources. Ten informants involved in teaching at AB, BC, CD, DE, and EF campuses; and twenty-five learners from these institutions were taken to discuss teaching strategy and learning satisfaction. The rapid change in society and technology in the twenty-first century poses unique challenges for human beings. Recognized it as a dynamic process, learning procedure encompasses memory, reasoning, individual mindset, habits, goals, and motivation. The findings of this paper indicate that the positive remarks on preferred teaching strategies, and cooperative learning affect students’ satisfaction. Research on teaching strategies suggests that learning transcends cognitive aspects, extending into social-emotional dimensions and unfolding within environmental and cultural contexts throughout an individual's lifespan. Effective learning and teaching strategies focus on cooperative, resourceful, interactive, and self-regulatory practices. Effective instruction involves a learner-centric approach and concentrates on conceptual understanding, metacognition, assessment, and technology integration, cognitive, social, and emotional development within a supportive environment. The responses gathered from tutors and learners limit the accepted applicability of the results, and the study sheds light on combined teaching strategies focusing on active teaching-learning activities in the twenty-first century.
Differential Impacts during COVID-19 in Canada: A Look at Diverse Individuals and Their Businesses
Authors: Mo Guangying , Cukier Wendy , Atputharajah Akalya , Boase Miki Itano , Hon Henrique 
Published: November 2024

<p> </p>
<p>The coronavirus disease 2019 (COVID-19) pandemic is affecting all segments of society. This study investigates the pandemic's economic and social impacts on diverse groups in Canada, including women, immigrants, Indigenous peoples, persons with disabilities, and racialized people. Using two large online Statistics Canada surveys, which are neither random nor weighted to represent the Canadian population, we consider quantitative differences in the pandemic challenges and concerns reported by women and men, immigrants and those born in Canada, and intersectional groups, both as individuals and as the businesses they own or represent. Within the samples, individuals from diverse groups and their businesses are more negatively affected by COVID-19.</p>
A Systematic Review of Antimicrobial Stewardship Interventions to Improve Management of Bacteriuria in Hospitalized Adults
Authors: Humphrey Mari , MacDonald Gemma , Neville Heather , Helwig Melissa , Ramsey Tasha , MacKinnon Holly , Sketris Ingrid , Johnston Lynn , Black Emily K. 
Published: November 2024

<p>Objective:</p>
<p>To determine whether implementation of antimicrobial stewardship (AMS) interventions improve management of bacteriuria in hospitalized adults.</p>
<p>Data Sources:</p>
<p>EMBASE, MEDLINE, CINAHL, and Clinical Trials Registries via Cochrane CENTRAL were searched from inception through May 2021. Reference lists of included studies were searched, and Scopus was used to retrieve articles that cited included references.</p>
<p>Study Selection and Data Extraction:</p>
<p>Randomized and nonrandomized trials, controlled before-after studies, interrupted time-series studies, and repeated measures studies evaluating AMS interventions for hospitalized adult inpatients with bacteriuria were included. Risk of bias was assessed independently by 3 team members and compared. Results were summarized descriptively.</p>
<p>Data Synthesis:</p>
<p>The search yielded 5509 articles, of which 13 met inclusion criteria. Most common interventions included education (N = 8) and audit and feedback (N = 5) alone or in combination with other interventions. Where assessed, resource and antimicrobial use primarily decreased and appropriateness of antimicrobial use improved; however, impact on guideline adherence was variable. All studies were rated as having unclear or serious risk of bias. This review summarizes and assesses the quality of evidence for AMS interventions to improve the management of bacteriuria. Results provide guidance to both AMS teams and researchers aiming to develop and/or evaluate AMS interventions for management of bacteriuria.</p>
<p>Conclusions:</p>
<p>This review demonstrated benefit of AMS interventions on management of bacteriuria. However, most studies had some risk of bias, and an overall effect across studies is unclear due to heterogeneity in outcome measures. </p>
Analisa Faktor Kepuasan Pasien di Rawat Inap RSIA Prima Qonita Kabupaten Ogan Komering Ulu Provinsi Sumatera Selatan
Authors: Fikri Rahmat , Febriani Christin Angelina , Muhani Nova , Samino Samino , Ekasari Fitri 
Published: November 2024

ABSTRACT From the data on high-risk pregnant women's service coverage at Panjang Inpatient Primary Health Care in 2021, there were 1476 pregnant women, and 295 (20%) were at high risk. In 2022, there were 1474 pregnant women, with 255 (17.3%) at high risk. In 2023, there were 1474 pregnant women, with 166 (11.3%) at high risk. The ojective of this study is to determine the frequency distribution of high-risk factors in pregnancy at Panjang Inpatient Primary Health Care in Bandar Lampung City 2023. This was a quantitative research with a descriptive study design. The research was conducted from February to September on high-risk pregnant women at Panjang Inpatient Primary Health Care that happened to meet the researcher, totaling 33 respondents using accidental sampling technique. Data collection was done using observation sheets, then analyzed univariately and presented in the form of frequency distribution tables. Based on the conducted research, it is found that out of 33 high-risk pregnant women at Panjang Inpatient Primary Health Care in Bandar Lampung City, the majority have non-risky age, with 17 individuals (51.5%), non-risky parity with 18 individuals (54.5%), risky child spacing with 18 individuals (54.5%), and non-risky height with 26 individuals (78.8%). Keywords: High-Risk Pregnancy, Age, Parity, Spacing, Anemia, and Preeclampsia ABSTRAK Dari data cakupan pelayanan ibu hamil resiko tinggi di Puskesmas Rawat Inap Panjang pada tahun 2021 terdapat 1476 ibu hamil dan yang beresiko tinggi sebanyak 295 orang (20%), pada tahun 2022 terdapat 1474 ibu hamil dan yang beresiko tinggi sebanyak 255 orang (17,3%), lalu pada tahun 2023 terdapat 1474 ibu hamil dan yang beresiko tinggi sebanyak 166 orang (11,3%).Tujuan penelitian ini untuk mengetahui distribusi frekuensi faktor resiko tinggi pada kehamilan di Puskesmas Rawat Inap Panjang Kota Bandar Lampung tahun 2023. Jenis penelitian yang digunakan adalah kuantitatif dengan rancangan penelitian secara deskriptif. Penelitian ini dilakukan pada Februari sampai dengan September terhadap ibu hamil resiko tinggi di Puskesmas Rawat Inap Panjang yang kebetulan bertemu peneliti berjumlah 33 responden menggunakan teknik accidental sampling. Pengumpulan data menggunakan lembar observasi kemudian di analisa secara univariat dan disajikan dalam bentuk tabel distribusi frekuensi. Berdasarkan penelitian yang telah dilakukan dapat diketahui bahwa dari 33 ibu hamil resiko tinggi di Puskesmas Rawat Inap Panjang Kota Bandar Lampung sebagian besar memiliki usia tidak beresiko sebanyak 17 orang (51,5%), paritas tidak beresiko sebanyak 18 orang (54,5%), jarak anak beresiko 18 orang (54,5%) dan tinggi badan tidak beresiko sebanyak 26 orang (78,8%). Kata Kunci: Kehamilan Resiko Tinggi, Usia, Paritas, Jarak, Anemia dan Preeklampsia
Intervensi Terapi Bobath pada Pasien Stroke Rehabilitasi Lanjut untuk Mengatasi Gangguan Mobilitas Fisik
Authors: Safitri Umi Haning , Purwanti Okti Sri 
Published: November 2024

ABSTRACT Problems that can occur in stroke patients are paralysis (hemiplegia) or weakness (hemiparesis) on one side of the body, to regain their capacity in daily activities, stroke patients need rehabilitation procedures to relearn normal motion patterns while improving posture control skills and selective movements, bobath therapy is needed. To see the picture of the results of Bobath therapy intervention in patients with stroke advanced rehabilitation in overcoming nursing problems of physical mobility disorders. Using a nursing care approach by applying evidence-based nursing practice to advanced rehabilitation stroke patients. Bobath administration to stroke patients who experience impaired physical mobility experienced an increase in muscle strength from muscle strength 3/5 to 4/5. Stroke patients can wait for the Bobath therapy method to help improve functional abilities in stroke patients to be able to move again. Keywords: Bobath Therapy, Stroke, Mobility ABSTRAK Permasalahan yang dapat terjadi pada penderita stroke adalah kelumpuhan (hemiplegia) atau kelemahan (hemiparesis) pada salah satu sisi tubuh, untuk mendapatkan kembali kapasitas mereka dalam aktivitas sehari-hari, penderita stroke memerlukan prosedur rehabilitasi pembelajaran ulang pola gerak normal sekaligus meningkatkan keterampilan kontrol postur dan gerakan selektif maka diperlukan terapi bobath. Untuk melihat gambaran hasil pemberian intervensi terapi Bobath pada pasien penderita stroke rehabilitasi lanjut dalam mengatasi masalah keperawatan gangguan mobilitas fisik. Menggunakan pendekatan asuhan keperawatan dengan mengaplikasikan evidence based practice nursing pada pasien stroke rehabilitasi lanjut. Pemberian Bobath pada pasien stroke yang mengalami gangguan mobilitas fisik mengalamai peningkatan kekuatan otot dari kekuatan otot 3/5 menjadi 4/5. Penderita stroke dapat menunggunakan metode terapi Bobath untuk membantu meningkatkan kemampuan fungsional pada penderita stroke agar bisa beraktivitas kembali. Kata Kunci: Terapi Bobath, Stroke, Mobilitas
The Relationship of Age, Gender, and Socio-Economic Factors with Patients Anxiety Levels (A Review of Early Adult Patients at the Gusti Hasan Aman Oral and Dental Hospital, Banjarmasin)
Authors: Kirana Fatma , Wardani Ika Kusuma , Dewi Renie Kumala , Arifin Rahmad , Hatta Isnur 
Published: November 2024

ABSTRACT The definition of dental anxiety is fear of dental procedures. The prevalence of dental anxiety was found to range from 5.7% to 20.2% across all age groups and was closely related to sociodemographic factors such as age, gender, and socioeconomic status. For patients between the ages of 18 and 40, dental anxiety can be the result of traumatic formative experiences involving dental and oral care. To analyze the relationship of sociodemographic factors which include age, gender, and socioeconomic the level of patient anxiety about treatment at the dentist based on early adulthood at RSGM Gusti Hasan Aman Banjarmasin, South Kalimantan. The investigation employed a cross-sectional, analytic observational design. According to the research criteria, the sample size was calculated using the correlative analytic formula, which yielded 85 respondents. This study utilized the Kleinknecht DFS (Dental Fear Survey) to assess the anxiety level of early adult patients in the field of dental care. This questionnaire consists of 20 questions grouped into three dimensions: avoidance of dental appointments, patient's physiological reactions, and stimulation of specific dental anxiety. There is a correlation between sociodemographic factors and dental anxiety at the Gusti Hasan Aman General Hospital in Banjarmasin, as demonstrated by a significance level of 0.05 for the Spearman test. Sociodemographic factors which include age, gender, and socio-economic relationship with the level of dental care anxiety in early adult patients. Keywords: Dental Anxiety, Sociodemography, Early Adulthood, Gender, Socieconomic
The Relationship Between Intrinsic, Extrinsic Factors, and Socio Economic Status With the Level of Pneumonia Among Toddlers at Paal V Health Center, Jambi City
Authors: Sari Dela Lupita , Sari Rumita Ena , Hubaybah Hubaybah 
Published: November 2024

ABSTRACT Pneumonia is the most significant trigger of infections leading to death in children globally. Every year, an estimated 921,000 children under the age of 5 die due to pneumonia. This study aims to determine the relationship between intrinsic, extrinsic, and socioeconomic factors with the level of pneumonia in toddlers at the Paal V Community Health Center in Jambi City. This study uses an analytical quantitative research method, with a cross-sectional study design. The respondents in this study were 87 toddlers (aged 0-59 months). Data analysis was conducted using chi-square statistical analysis. The research results show the p-value of intrinsic factors, namely age PR 0.447 (p=0.339), gender PR 0.747 (p=0.668), Exclusive Breastfeeding PR 4.474 (p=0.000), low birth weight PR 2.364 (p=0.064), nutritional status PR 5.250 (p=0.000), history of Vitamin A supplementation PR = 3.897 (p=0.002), history of ARI PR 3.687 (p=0.003), history of asthma PR 5.647 (p=0.008), history of tuberculosis TB 2.514 (p=0.033). Extrinsic factors such as household crowding density PR 5.778 (p=0.000), smoking behavior indoors PR 0.763 (p=0.11). Socioeconomic factors such as mother's education PR 3.055 (p=0.025), mother's occupation PR 0.753 (p=0.036), and household income PR 2.703 (p=0.04). There is a relationship between Exclusive Breastfeeding, nutritional status, history of Vitamin A supplementation, history of ARI, history of asthma, history of Tuberculosis, household crowding density, mother's education, mother's occupation, and household income with the level of pneumonia in toddlers in Jambi City in 2023. Meanwhile, there is no relationship between age, gender, history of low birth weight, and indoor smoking behavior with the level of pneumonia in toddlers in Jambi City in 2023. Keywords: Pneumonia, Toddlers, Intrinsic, Extrinsic, Socioeconomic
Penerapan Spiritual Emotional Freedom Technique dalam Menurunkan Tingkat Depresi, Kecemasan, dan Ansietas pada Pasien HIV Stadium 4: Case Report
Authors: Astuti Septiani Sri Kusuma , Setyorini Dyah , Agustina Hana Rizmadewi 
Published: November 2024

ABSTRACT HIV/AIDS is a disease that is included in the category of terminal disease and is a source of stress for its sufferers (PLWHA). Women with HIV facing lots of stressors that make them more vulnerable to the psychological impacts of HIV infection. To reduce the negative impact of stressors on PLWHA, SEFT is used to help patients reduce their level of depression, anxiety, or stress. The aim of this case report is to describe psychological problems and the benefits of SEFT therapy as an intervention for patients with HIV. This is a case report research design. The sample in this study were PLWHA who were hospitalized at RSUD Sumedang. Data collection was carried out by interviews, observation, and documentation studies. SEFT therapy carried out by nurses in conjunction with pharmacological intervention in hospitals has a tendency to help reduce the patient's depression and anxiety scale from very severe to severe and the depression scale from moderate to normal mood category. SEFT therapy which combines the body's energy system and spirituality in this study can be used as a complement of pharmacological interventions in patients with HIV in reducing their levels of depression, anxiety and stress. Keywords: Anxiety, Depression, HIV/AIDS, SEFT, Stress. ABSTRAK HIV/AIDS merupakan salah satu penyakit yang termasuk dalam kategori mematikan dan menjadi sumber stres bagi penderitanya (ODHA). Perempuan dengan HIV menghadapi banyak stresor yang membuatnya lebih rentan terhadap dampak psikologis infeksi HIV. Untuk mengurangi dampak negatif stresor pada ODHA tersebut, SEFT digunakan untuk membantu pasien menurunkan tingkat depresi, ansietas, dan stresnya. Tujuan laporan kasus ini adalah mendeskripsikan permasalahan psikologis dan manfaat terapi SEFT sebagai salah satu implementasi pada pasien penderita HIV. Metode penulisan yang digunakan pada artikel ini adalah rancangan penelitian case report. Sampel pada penelitian ini ODHA yang menjalani rawat inap di RSUD Sumedang. Pengumpulan data dilakukan dengan wawancara, observasi, dan studi dokumentasi. Terapi SEFT yang dilakukan oleh perawat seiringan dengan intervensi farmakologis di rumah sakit memiliki kecenderungan dalam membantu menurunkan skala depresi dan kecemasan pasien dari sangat berat menjadi berat dan skala depresi dari sedang menjadi kategori mood wajar. Terapi SEFT yang menggabungkan sistem energi tubuh dan spiritualitas pada penelitian ini dapat digunakan untuk melengkapi intervensi farmakologis pada pasien dengan HIV dalam menurunkan tingkat depresi, kecemasan, dan stres yang dialami. Kata Kunci: Depresi, HIV/AIDS, Kecemasan, SEFT, Stres