bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hubungan Faktor Risiko Penyakit Jantung Koroner dengan Insidens Kejadian Kardiovaskular Mayor pada Pasien STEMI yang Menjalani IKP Primer di RSUP Prof Dr. R. D. Kandou Manado Periode Januari - Desember 2022
Authors: Toliu Feiby C. , Joseph Victor F. F. , Rampengan Starry H. 
Published: September 2024

Abstract: Major adverse cardiovascular events (MACE) are adverse outcomes in ST elevation myocardial infarction (STEMI) patients, such as death, recurrent myocardial infarction, stroke, rehospitalization, and recurrent revascularization. The occurrence of MACE depends on the patient's age, gender, and lifestyle. This study aimed to determine the relationship between coronary heart disease risk factors and the incidence of MACE in STEMI patients undergoing primary PCI (PPCI). Samples were STEMI patients undergoing PPCI at Prof. Dr. R. D. Kandou Hospital, from January to December 2022. This was a retrospective cohort study using the consecutive sampling method. Data were analyzed using the chi-square test and Fisher's exact test. The results obtained 169 cases STEMI patients undergoing PPCI; 80 of them fulfilled the inclusion criteria. The majority of patients did not experience MACE. The most common type of MACE was rehospitalization. The bivariate analysis, it showed that there was no significant relationship between coronary heart disease risk factors and MACE in STEMI patients undergoing PPCI. In conclusion, there is no significant relationship between coronary heart disease risk factors and major adverse cardiovascular events.
Keywords: major adverse cardiovascular events; coronary heart disease; risk factors

Abstrak: Kejadian kardiovaskular mayor (KKM) merupakan hasil akhir yang merugikan pada pasien dengan ST elevation myocardial infarction (STEMI), berupa kematian, infark miokard berulang, stroke, rehospitalisasi, dan revaskularisasi berulang. Terjadinya KKM bergantung pada usia, jenis kelamin, dan faktor gaya hidup pasien. Penelitian ini bertujuan untuk mengetahui hubungan antara faktor risiko penyakit jantung koroner dengan insidens KKM pada pasien STEMI. Sampel penelitian ialah pasien STEMI yang menjalani IKP Primer di RSUP Prof. Dr. R. D. Kandou Manado periode Januari - Desember 2022. Jenis penelitian ialah cohort retrospektif dengan metode consecutive sampling. Uji statistik ialah analisis univariat dan analisis bivariat menggunakan uji chi square dan uji Fisher’s exact. Hasil penelitian mendapatkan 169 penderita STEMI yang menjalani IKP primer dengan 80 sampel yang memenuhi kriteria inklusi. Sebagian besar pasien tidak mengalami KKM. Jenis KKM yang paling banyak ditemukan ialah rehospitalisasi. Berdasarkan analisis bivariat, tidak didapatkan hubungan bermakna antara faktor risiko penyakit jantung koroner dengan kejadian kardiovaskular mayor pada pasien STEMI yang menjalani IKP Primer. Simpulan penelitian ini ialah tidak terdapat hubungan bermakna antara faktor risiko penyakit jantung koroner dengan kejadian kardiovaskular mayor.
Kata kunci: kejadian kardiovaskular mayor; penyakit jantung coroner; faktor risiko
EVOLUÇÃO DA CIRURGIA GINECOLÓGICA: COMPARAÇÃO ENTRE TÉCNICAS CONVENCIONAIS E MINIMAMENTE INVASIVAS
Authors: Araújo Luana Sula Sousa dos Reis , Dazzi Aline Reinert , Caniato Felipe Meneguetti Caniato , Bailo Davit Willian , Triches Pedro Marlo , Seidl Isabele , Mazzardo Vanessa 
Published: September 2024

A evolução da cirurgia ginecológica ao longo das últimas décadas reflete um avanço significativo na medicina, com a transição das técnicas convencionais para abordagens minimamente invasivas (TMIs), como a laparoscopia e a cirurgia robótica. Este artigo de revisão integrativa analisa criticamente essa evolução, comparando as técnicas tradicionais, que envolvem incisões maiores e maior morbidade, com as TMIs, que oferecem vantagens substanciais, incluindo menor trauma cirúrgico, recuperação acelerada, e redução de complicações pós-operatórias. A análise detalhada das intervenções cirúrgicas mais comuns na ginecologia, como histerectomia, miomectomia e tratamento da endometriose, evidencia a superioridade das TMIs em diversos aspectos, embora reconheça suas limitações, como a curva de aprendizado acentuada e os custos elevados. Com o desenvolvimento de técnicas minimamente invasivas, observou-se uma mudança para abordagens menos traumáticas, proporcionando menor dor pós-operatória, menores complicações e uma recuperação mais rápida. A laparoscopia, introduzida nas décadas de 1960 e 1970, e a cirurgia robótica, popularizada nos anos 2000, revolucionaram a prática ginecológica ao oferecer maior precisão e menos invasividade. Apesar das vantagens, essas técnicas enfrentam desafios como a curva de aprendizado e altos custos, especialmente em centros com menos recursos. Assim, conclui-se que a cirurgia ginecológica está em uma trajetória de transformação contínua, com as TMIs estabelecendo novos padrões de cuidado que priorizam a segurança, eficácia e recuperação das pacientes, ao mesmo tempo em que se preparam para integrar futuras inovações que potencialmente melhorarão ainda mais os desfechos clínicos.
Hubungan Pijat Bayi dengan Kenaikan Berat Badan
Authors: Mariyani  
Published: September 2024

Sentuhan alamiah pada bayi merupakan tindakan memijat yang dilakukan secara teratur dan sesuai dengan tata cara dan tekni pemijatan bayi. Terapi sentuhan (pijat ) bisa memberikan efek positif secara fisik , antara lain kenaikan berat badan bayi.Selama ini memijat bayi merupakan sebuah praktek yang sudah dilakukan secara terus menerus .Pemijatan dapat mendorong pertumbuhan yang sehat dan memainkan peran penting dalam perkembangan mental, fisik , system sirkulasi darah dan kekebalan bayi. Tujuan dilakukan penelitian untuk mengetahui hubungan pijat bayi dengan kenaikan berat badan bayi di Klinik Pratama HS Mangku Prawira. Metode penelitian yang digunakan adalah quasi experiment,dengan menggunakan desain rancangan 0ne Group Pretest – Post Test, dimana rancangan ini tidak ada kelompok pembanding control, tetapi paling tidak sudah dilakukan observasi pertama (pretest) yang memungkinkan menguji perubahan – perubahan setelah dilakukan experiment.Penelitian menggunakan teknik sample total sampling. Populasi dalam penelitian ini adalah balita usia 1- 12 bulan di Klinik Pratama HS Mangku Prawira. Analisa data menggunakan uji T dependent. Hasil penelitian menunjukan bahwa terdapat hubungan yang signifikan secara stastitik antara pijat bayi dengan kenaikan berat badan bayi umur 1- 12 bulan di Klinik Prtama Mangku Prawira, dengan uji statistik didapatkan nilai T= -9,872 dengan nilai signifikasi 0,000.Nilai P tersebut kurang dari alpha 0,005.Artinya ada pengaruh pijat bayi dengan kenaikan berat badan bayi. Bayi yang tidak di pijat mempunyai kenaikan berat badan lebih sedikit dibandingkan bayi yang dipijat. Kesimpulan dalam penelitian ini adalah ada hubungan yang signifikan antara pijat bayi dengan kenaikan berat badan bayi di Klinik Pratama Mangku PRAWIRA.Berdasarkan hasil penelitian dapat diharapkan bidan mampu memberikan pendidikan dan pelatihan tentang pijat bayi dan manfaatnya kepada orangtua yang mempunyai bayi,dan peneliti lebih mengembangakan penelitian tentang manfaat pijat bayi yang lainnya
Reformulasi Hasil Kerja Analis Kebijakan Secara Institusional
Authors: Kusumaningsih Akis , Pertiwi Bella Ayu 
Published: September 2024

Perubahan penilaian kinerja pejabat fungsional yang awalnya melalui penilaian DUPAK menjadi penilaian SKP yang dikonversikan kedalam angka kredit menjadi sebuah tantangan bagi instansi yang baru melakukan transformasi birokrasi dengan mengubah jabatan administrasi kedalam jabatan fungsional. Hal ini berimplikasi terhadap kontrol kualitas hasil kerja pejabat fungsional, pembagian kerja dan penilaian kinerja pejabat fungsional yang saat ini sepenuhnya menjadi tanggungjawab atasan langsung.

Permasalahannya tidak semua pejabat fungsional analis kebijakan paham dengan tugas dan fungsinya, selain itu masih banyak juga atasan langsung yang juga tidak paham akan hal tersebut. Hal tersebut terjadi di instansi pusat dan daerah yang memangku fungsional analis kebijakan. sehingga LAN sebagai instansi pembina dapat membuat sebuah buku pedoman hasil kerja minimal pejabat fungsional analis kebijakan yang nantinya dapat digunakan sebagai pedoman bagi analis kebijakan dan atasan langsung dalam merencanakan dan menilai kinerja analis kebijakan.
Konstruksi Pendidikan Karakter Pondok Pesantren Berbasis Kearifan Lokal di Banten
Authors: Mada Indramawan  
Published: September 2024

Anxiety about the rapid flow of globalization raises anxiety about the fading of religious values in students so that character education is very important because it has a positive impact on student character, as well as to deal with the rapid flow of globalization which presents many rapid changes that are very difficult to accept and follow. The condition of Banten society in general has experienced many shifts in values and character, especially in the younger generation. The shift in values and character occurs due to many factors, one of which is the weakening of character education. This research uses a qualitative research method with a literature study approach. In literature review research, researchers conducted a study of several existing theories and concepts to form a conclusion construction to find out about the construction of character education based on pesantren local wisdom in Banten City. Indicators of character education are said to be good with an increase in the spiritual intelligence of the individual. The nature of istiqomah in a person can provide changes that will produce an understanding and gain new insights. In addition, the nyantri tradition is also a local wisdom found in the city of Banten.
La Didáctica Socioemocional y el Aprendizaje del Idioma Inglés en estudiantes de Secundaria
Authors: Vázquez Redondo Dayra Yamila 
Published: September 2024

Esta investigación se centra en explorar el impacto entre la didáctica socioemocional y el aprendizaje del inglés como lengua extranjera en estudiantes de nivel secundaria de la institución educativa "Luis Donaldo Colosio". El objetivo principal es examinar cómo el Aprendizaje Socioemocional (ASE) promueve el rendimiento académico de los estudiantes, el desarrollo de competencias socioemocionales y las habilidades de comunicación en el idioma inglés. El estudio utilizó un enfoque mixto, usando el método cuantitativo para recopilar y analizar datos. Se utilizó un cuestionario para evaluar la perspectiva de los estudiantes sobre la implementación de la didáctica socioemocional en el aula de clase. Así mismo, se analizó el nivel de dominio del idioma y otros indicadores de rendimiento de la asignatura de inglés que coadyuban a esta premisa. Los hallazgos mostraron una correlación significativa entre la instrucción socioemocional y el rendimiento académico en el proceso de enseñanza-aprendizaje de lenguas extranjeras. Ya que los estudiantes mostraron una mayor competencia en la mediación de sus emociones para redefinir sus metas de estudio y la consolidación de su aprendizaje en el idioma. Además, se identifica que la didáctica socioemocional tiene un impacto positivo en los resultados académicos, como el manejo del estrés, la autorregulación del aprendizaje y el reconocimiento de las oportunidades de mejora de forma autónoma en el estudiante. Por lo tanto, este enfoque de enseñanza promueve la autonomía en el aprendizaje del idioma inglés al diversificar las actividades didácticas bajo un enfoque holístico y humanista.
StepSafe Cane: Empowering Confident Steps for a Healthier Future
Authors: Tan Catherine Hwee Fung , Jaafar Nurul Aini , Goo Hui Qi , Hew Hui Ni , Law Qian Yee , Wong Joe Yinn , Dhange Mallinath Dhange 
Published: September 2024

Mobility is the capability of one to get to another place. Vision is defined as the faculty and power of seeing. As technology develops and grows, several devices and tools have aided those with mobility issues or impairment and those who are visually impaired. For those who are visually impaired, the traditional aid has been the white cane for a long time which only helps them navigate their way and detect obstacles without providing physical support. While those with mobility issues use a walking stick which does not help them in detecting surrounding obstacles. For those with both mobility issues and visual impairment, this becomes a problem as it is uncommon for a gadget or aid to tackle both these issues at once. The Smart Guide Cane is specially designed for this group of people with both issues. It can also help those with any of the two issues as it has many features that will allow them to be more confident in their movement, improving the quality of life for the disabled. Many steps have been taken in developing the Smart Guide Cane. A program was coded and simulated together with the circuit to ensure the functionality of the program. Then, the physical prototype was created, using Arduino UNO, HC-SR04 (ultrasonic sensor), MPU6050 (fall detector), TTP223 (touch sensor), vibration motor and buzzer as its main components. Tests have been done using this prototype circuit to demonstrate the feasibility and functionality of the Smart Guide Cane. From the prototyping and testing, it can be seen that all the components would function as intended in the Smart Guide Cane.
Imprints of the Local Bubble and Dust Complexity on Polarized Dust Emission
Authors: Halal George , Clark S. E. , Tahani Mehrnoosh 
Published: September 2024

Abstract
Using 3D dust maps and Planck polarized dust emission data, we investigate the influence of the 3D geometry of the nearby interstellar medium (ISM) on the statistics of the dust polarization on large (

80
′

) scales. We test recent models that assume that the magnetic field probed by the polarized dust emission is preferentially tangential to the Local Bubble wall, but we do not find an imprint of the Local Bubble geometry on the dust polarization fraction. We also test the hypothesis that the complexity of the 3D dust distribution drives some of the measured variation of the dust polarization fraction. We compare sight lines with similar total column densities and find that, on average, the dust polarization fraction decreases when the dust column is substantially distributed among multiple components at different distances. Conversely, the dust polarization fraction is higher for sight lines where the dust is more concentrated in 3D space. This finding is statistically significant for the dust within 1.25 kpc, but the effect disappears if we only consider dust within 270 pc. In conclusion, we find that the extended 3D dust distribution, rather than solely the dust associated with the Local Bubble, plays a role in determining the observed dust polarization fraction at 80′. This conclusion is consistent with a simple analytical prediction and remains robust under various modifications to the analysis. These results illuminate the relationship between the 3D geometry of the ISM and tracers of the interstellar magnetic field. We discuss implications for our understanding of the polarized dust foreground to the cosmic microwave background.
On the Kinematic Nature of Apparent Disks at High Redshifts: Local Counterparts are Not Dominated by Ordered Rotation but by Tangentially Anisotropic Random Motion
Authors: Wang Bitao , Peng Yingjie , Cappellari Michele , Gao Hua , Mo Houjun 
Published: September 2024

Abstract
It is not straightforward to physically interpret the apparent morphology of galaxies. Recent observations by the James Webb Space Telescope (JWST) revealed a dominant galaxy population at high redshifts (z > 2) that were visually classified as disks for their flattened shapes and/or exponential light profiles. The extensively accepted interpretation is that they are dynamically cold disks supported by bulk rotation. However, it is long known that flattened shapes and exponential profiles are not exclusive for rotating disk structure. To break degeneracy and assess the rotational support of typical high-z galaxies in the JWST samples, those with active star formation and stellar masses

lg
(

M

⋆

/

M

⊙

)
∼
9

, we study the kinematics of their equal-mass counterparts at z = 0. While these local star-forming low-mass galaxies are photometrically similar to real dynamically cold disks, they are not supported by ordered rotation but primarily by random motion, and their flattened shapes result largely from tangential orbital anisotropy. Given the empirical and theoretical evidence that young galaxies are dynamically hotter at higher redshifts, our results suggest that the high-z JWST galaxies may not be cold disks but are dynamically warm/hot galaxies with flattened shapes driven by anisotropy. While both have low rotational support, local low-mass galaxies possess oblate shapes, contrasting the prolate shapes (i.e., cigar like) of low-mass systems at high redshifts. Such shape transition (prolate ⇒ oblate) indicates an associated change in orbital anisotropy (radial ⇒ tangential), with roots likely in the assembly of their host dark matter halos.
L’intelligence artificielle, nouvelle interface utilisateur ?
Authors: Georget Yan 
Published: September 2024

Depuis quelques années, l’internet tel que nous commencions à bien le connaître subit une profonde révolution certes technique (avec les progrès de l’intelligence artificielle), mais aussi et avant tout d’usage avec l’émergence des messageries, des agents conversationnels et assistants vocaux. Le traitement automatique du langage naturel apparu dans les années 1950 a connu ces dernières années une très forte accélération portée par les progrès de l’intelligence artificielle – en particulier par ceux de l’apprentissage profond ( deep learning ) : faute de réellement comprendre, les ordinateurs peuvent désormais voir, entendre et parler ! Nous pensons que la conjonction de ces deux phénomènes va profondément et durablement bouleverser une interaction entre l’homme et la machine qui va vers toujours plus de dématérialisation.
La dynamique stratégique des plateformes digitales : analyse du marché de la formation en ligne
Authors: Acquatella François 
Published: September 2024

Les plateformes sont de nouvelles organisations singulières qui jouent un rôle central dans l’architecture des différents marchés auxquels elles s’adressent, le marché de la formation en est un exemple caractéristique. Ces organisations relèvent d’un nouveau paradigme de développement économique fondé sur des stratégies de captation et de création de valeur spécifiques au numérique. Ainsi, les récents modèles d’affaires observés sur le marché de la formation se développent autour d’un modèle de plateforme « à deux versants » leur permettant d’offrir simultanément un intérêt d’usage pour deux catégories d’agents « faces », représentant autant de versants d’un marché biface. Toutefois, le développement croissant du nombre de plateformes digitales dans la sphère éducative renvoie à une pluralité de stratégies au levier de l’exploitation des données recueillies et de leur médiation algorithmique. Cet article vise à en analyser les spécificités, à travers l’identification de leurs attributs techno-stratégiques différenciateurs.
L’archivage du Web ou le Web comme mémoire des sociétés contemporaines
Authors: Chautemps Alexandre 
Published: September 2024

De plus en plus, nous vivons sur le Web. Une part croissante des discussions, de la production d’idées, de l’activité artistique se déroule sur le Web et ne fait plus l’objet de publications imprimées. Pourtant, la pérennité des ressources disponibles sur le Web n’est pas garantie. Une page accessible aujourd’hui sur le Web pourra, dans quelques années, être devenue introuvable. D’où la nécessité de préserver le Web dans des archives fiables, capables de reproduire un comportement le plus proche possible de celui du Web vivant. Ces archives constitueront des sources essentielles pour les chercheurs qui, demain ou après-demain, travailleront sur notre époque. Les chercheurs d’aujourd’hui ont d’ailleurs déjà commencé… Dans cet article, nous proposons un bref historique de l’activité d’archivage du Web, tout en évoquant les diverses questions et problématiques soulevées par cette activité. Ensuite, nous nous intéressons à divers projets de recherche prenant pour matériau privilégié les archives Web et tentons d’esquisser quelques pistes pour l’avenir.
La numérisation à marche forcée du système de santé face à la Covid-19
Authors: Ronai Maurice 
Published: September 2024

La pandémie de Covid-19 est la première crise sanitaire gérée numériquement. De bout en bout. Enfin presque. Et souvent, dans la douleur. Pour désengorger le 15, le SAMU et les hôpitaux, pour gérer les ressources (lits, médicaments, renforts, tests…), pour partager (localement, régionalement) ou remonter nationalement les données, les hôpitaux, les services d’urgence, les agences, les médecins de ville ont basculé, à marche forcée, dans le numérique. Et, à leur suite, les patients. Tel un crash test , cette crise a mis en relief la tentation de traiter chaque enjeu par un système d’information spécifique, des manques cruels d’interopérabilité et l’importance des chantiers, comme l’identifiant national de santé (INS) ou celui d’espace numérique de santé (ENS), prévus dans la feuille de route du numérique en santé « Accélérer le virage numérique ». Une feuille de route dont la crise sanitaire n’a pas ralenti le déploiement.
L’adoption du métavers : les mondes virtuels et l’industrie du luxe
Authors: Mensah Nelly 
Published: September 2024

LVMH explore le potentiel des mondes virtuels pour se connecter avec les clients et augmenter la désirabilité de ses marques. LVMH considère les mondes virtuels comme un moyen d’attirer les jeunes générations adeptes de la technologie, ainsi que d’établir des connexions plus émotionnelles avec les clients, le marché du métavers étant prédit à plus de 1 billion de dollars de revenus annuels d’ici la prochaine décennie. LVMH explore trois domaines clés dans son approche des mondes virtuels : impliquer la prochaine génération sur des plateformes de métavers établies et émergentes ; rendre ses propres plateformes plus immersives ; et l’utilisation de “digital twins”. Cependant, les défis comprennent la navigation dans le paysage réglementaire des mondes virtuels, la nécessité de reproduire l’artisanat et l’art de la version physique au virtuel, et l’adoption limitée de la réalité virtuelle.
Impact of occurrence of Amblyseius andersoni (Acari: Phytoseiidae) on two native phytoseiid (Mesostigmata) mites in a Japanese apple (Rosacaea) orchard
Authors: Funayama Ken 
Published: September 2024

Abstract
In 2014, Amblyseius andersoni (Acari: Phytoseiidae), was newly discovered in apple (Rosacaea) orchards in central Japan. In 2022, I found A. andersoni on leaves in an apple orchard in northern Japan. Amblyseius andersoni had been not observed in the orchard until at least 2018; only Neoseiulus womersleyi and Typhlodromus vulgaris (Mesostigmata: Phytoseiidae), both of which are native to Japan, had been observed on apple leaves. To understand the impact of A. andersoni on the two phytoseiid mite species, I compared the seasonal occurrences of the phytoseiid species and of Tetranychus urticae (Trombidiformes: Tetranychidae) in the orchard in 2018 and 2022. In both years, T. urticae numbers increased from mid-July to early August and then rapidly decreased with increasing N. womersleyi numbers. Mean total occurrence numbers of N. womersleyi and of T. urticae did not differ significantly between the two years. Amblyseius andersoni occurrence therefore likely had little impact on seasonal N. womersleyi occurrence. In contrast, in 2018, many T. vulgaris individuals were observed from August onwards, when T. urticae numbers had decreased, but T. vulgaris was seldom observed in 2022, although many A. andersoni were, suggesting that A. andersoni likely displaced T. vulgaris in the apple orchard.