bluuebunny/crossref_metadata_2025_split huggingface dataset:
Peningkatan Hasil Belajar Membaca Teks Wacana Berhuruf Jawa Melalui Model Pembelajaran Demontrasi Pada Siswa Kelas VIII E SMP Negeri 2 Secang Kabupaten Magelang Tahun Pelajaran 2022/2023
Authors: Nurkesi Eni 
Published: September 2024

Salah satu kesulitan siswa dalam belajar Bahasa Jawa sebagai bahasa daerah adalah bagaimana membaca tulisan Jawa dengan benar. Salah satu solusi alternatif untuk mengatasi kesulitan tersebut adalah dengan menerapkan model pembelajaran yang bervariasi dalam kegiatan pembelajaran. Oleh karena itu, sebuah Penelitian Tindakan Kelas (PTK) dengan menggunakan model pembelajaran demontrasi dilakukan. Tujuan penelitian ini adalah untuk meningkatkan keterampilan siswa dalam membaca teks wacana berhuruf Jawa melalui model pembelajaran demontrasi pada siswa kelas VIII E SMP Negeri 2 Secang Tahun Pelajaran 2022/2023. Subjek penelitian adalah 32 siswa kelas VIII E. Sumber data penelitian diperoleh dari data kualitatif dan data kuantitatif. Data kualitatif berupa Lembar Observasi Guru dan Lembar Observasi Siswa. Sedangkan data kuantitatif berupa nilai keterampilan membaca teks wacana berhuruf Jawa. Peningkatan keterampilan siswa dalam membaca teks wacana berhuruf Jawa terkait metode demontrasi pada siswa kelas VIII E SMP Negeri 2 Secang setelah pelaksanaan model pembelajaran demontrasi adalah sebagai berikut: (1) perolehan nilai rerata pada kondisi Pra Siklus adalah 75,00 dengan persentase ketuntasan belajar 23%, dan ketuntasan klasikal belum tercapai; (2) perolehan nilai rerata pada Siklus I adalah 79,83 dengan persentase ketuntasan belajar sebesar 77%, dan ketuntasan klasikal belum tercapai; dan (3) perolehan nilai rerata pada Siklus II adalah 83,37 dengan persentase ketuntasan 90%, dan ketuntasan klasikal sudah tercapai. Data tersebut menunjukan bahwa peningkatan keterampilan siswa dalam membaca teks wacana berhuruf Jawa terkait dengan metode pembelajaran demontrasi pada siswa kelas VIII E SMP Negeri 2 Secang setelah dilaksanakan model pembelajaran Demontrasi adalah 83,37 - 75,00 = 8,37. Dari hasil penelitian tersebut, dapat disimpulkan bahwa pelaksanaan model pembelajaran demontrasi dapat meningkatkan keterampilan siswa dalam membaca teks wacana berhuruf Jawa.
Analisis Penerapan Pembelajaran Berbasis Higher Order Thinking Skills (HOTS) di SDIT Student One Islamic School
Authors: Mardhiyah Salma , Sholehuddin Sholehuddin 
Published: September 2024

Tujuan penelitian adalah mengetahui bagaimana proses penerapan pembelajaran berbasis Higher Order Thinking Skills (HOTS) dan faktor yang mempengaruhi penerapan pembelajaran berbasis Higher Order Thinking Skills (HOTS). Subjek dalam penelitian ini adalah tujuh guru kelas III yang terdiri dari enam guru kelas dan satu guru mata pelajaran. Metode penelitian yang digunakan adalah metode penelitian kualitatif dengan pengumpulan data melalui wawancara, observasi dan studi dokumentasi. Analisis data yang digunakan menggunakan analisis tematik. Hasil data yang diperoleh menunjukkan bahwa penerapan pembelajaran berbasis Higher Order Thinking Skills (HOTS) di SDIT Student One Islamic School di dalamnya terdapat lima tahapan yaitu menganalisis SKL/KI/KD, menentukan model pembelajaran dan menentukan strategi pembelajaran, memfasilitasi proses berpikir siswa, merumuskan rencana pelaksanaan pembelajaran, menentukan penilaian dan evaluasi pembelajaran. Faktor yang mempengaruhi pembelajaran HOTS di SDIT Student One Islamic School terdiri dari faktor pendukung dan penghambat.
Analisis Faktor Pengaruh Produksi Terhadap Produksi Daun Teh, Trend dan Diagram Sebab-Akibat di PT Perkebunan Nusantara IX Kebun Semugih Pemalang Jawa Tengah
Authors: Subagya Yola Rahma , Santosa Agus , YP Ni Made Suyastiri 
Published: September 2024

Tujuan dari penelitian untuk (1) Menganalisis pengaruh luas areal panen, tenaga kerja, curah hujan dan penggunaan pupuk bayfolan terhadap produksi daun teh di PTPN IX, Kebun Semugih, Pemalang, Jawa Tengah. (2) Mengetahui Trend produksi daun teh di PTPN IX untuk 6 Bulan yang akan datang (3) Mengetahui faktor-faktor yang menyebabkan kurang maksimalnya produksi daun teh di PTPN IX. Metode dasar yang akan digunakan dalam penelitian ini mengggunakan metode deskriptif. Metode pelaksanaan menggunakan metode survei. Metode pengambilan responden menggunakan metode Sampling purposive,dalam penelitian ini jumlah responden yang diambil adalah 3 orang. Teknik pengumpulan data adalah wawancara, dokumentasi, observasi, dan pencatatan. Teknik analisis yang digunakan adalah analisis fungsi produksi Cobb Douglas, metode Trend dan analisis Fishbone. Pengujian hipotesis dilakukan dengan koefisien determinasi, uji F dan uji t. Hasil penelitian menujukan bahwa (1) Faktor-faktor produksi yang terdiri dari luas areal panen, tenaga kerja, pupuk bayfolan, dan curah hujan berpengaruh terhadap produksi daun teh di PTPN IX. (2)Trend produksi daun teh di PTPN IX, selama enam Bulan yaitu Bulan Juli 2022 sampai dengan Bulan Desember 2022 mengalami kenaikan. (3)Faktor-faktor yang menyebabkan kurang maksimalnya produksi daun teh di PTPN IX adalah faktor lingkungan, metode kerja dan tenaga kerja. Kata kunci : Faktor Produksi, Produksi Daun Teh, Trend Produksi Daun Teh.
Making a Difference: Blue Nevus versus Melanoma
Authors: Yuen Ray T. 
Published: September 2024

The blue nevus is an uncommon lesion that may appear worrisome due to its similar appearance to the sinister melanosarcoma. The blue nevus is a subset of dendritic melanocytic proliferations that is commonly believed to be remnant embryonal neural crest cells that failed to migrate from the dermis. This is a case of a 58-year-old male who presented with a bluish lump on his right third finger for 6 months complaining of dull ache, swelling and decreased range of motion (ROM). The impression of the lesion was of a blue nevus, a benign tumour that required investigation and follow up due to concern for a melanoma. His pain and decreased ROM can be attributed to repeated use due to his trade and were later deemed as a red herring presentation. Although histopathology continues to be the gold standard in the diagnosis and classification of melanocytic nevi lesions, ultrasound imaging can be considered as a quick tool to characterise and quantify such lesions as a preliminary exam to rule out more concerning features of melanomas.
Gamification of an Interdisciplinary Point-Of-Care Ultrasound Symposium and Its Perceived Impact on Learning
Authors: Zhang Jimmy , Unni Rudy R. , Curly Emily , Dadgar Kayla , Woo Park Sang , Maniate Jerry , Halman Samantha , Prager Ross 
Published: September 2024

Background Point-of-care ultrasound (POCUS) is a valuable diagnostic tool for physicians across medical specialties. New methods to increase trainee exposure and comfort with POCUS are important to help integrate POCUS into post-graduate medical education. We assessed whether gamification of POCUS teaching through an interdisciplinary 1-day POCUS competition and symposium would increase learner comfort with core scans and whether participants perceived that the gamification and interdisciplinary nature of the event enhanced their educational experience. Methods Sonowars 2020 was a 1-day interdisciplinary POCUS competition open to all trainee physicians at two local teaching hospitals. Trainees participated in a mix of didactic and competitive sessions, where participants were adjudicated on their image acquisition, interpretation, visuospatial comprehension, and clinical judgement. Pre and post-event surveys using a 5-point Likert scale were developed to assess three domains: comfort with common scans, perceived impact of interdisciplinary structure on learning, and perceived impact of gamification on learning. In addition, ordinal regression was used to assess for an increase in comfort with common scans pre- and post-event. Results A total of 44 trainee physicians participated in the event. The response rate for the preand post-surveys was 39/44 (89%) and 38/44 (86%), respectively. The median (range) post-graduate year of training was 1 (1–7). Ordinal regression showed an increase in comfort post-event for nearly all scans. Respondents indicated that the competition format enhanced learning, considering it more engaging than either lecture or small group format. One year post-event survey indicated that the majority of participants pursued further ultrasound training incited by Sonowars. Discussion Sonowars 2020 demonstrated that an interdisciplinary ultrasound symposium with lowstakes competition was associated with increased perceived comfort with POCUS amongst trainees and that its gamification and interdisciplinary format were perceived to enhance the educational experience. Furthermore, implementing POCUS into post-graduate medical training requires trainee engagement for uptake and integration into daily patient encounters. Therefore, exposing trainees to POCUS in a novel format like Sonowars 2020 may provide a foundation for further POCUS skill acquisition among trainees.
Malignant Angiomyolipoma and Tuberous Sclerosis: A Case Report
Authors: Hesson Noor Mihyar 
Published: September 2024

A 32-year-old male patient presented at the emergency room with a palpable left upper quadrant mass. Ultrasound and computed tomography examinations revealed a left upper quadrant mass displacing the left kidney and spleen, but were not able to rule out malignancy. The patient’s other clinical signs and symptoms were deemed suspicious for tuberous sclerosis complex (TSC). After several other tests and a referral to a dermatologist, the suspicion was confirmed. A biopsy identified the lesion as a malignant angiomyolipoma (AML) associated with TSC. The patient has been referred to a cancer centre for treatment and will be seen regularly for radiation therapy sessions. AML is typically a benign renal lesion that is easily diagnosed with computed tomography or sonography. However, AML may occasionally mimic malignant lesions in its appearance, or can become malignant itself. Patients with TSC are more likely to develop malignant renal lesions than the general population. There are multiple treatment options for AML, and the course of action is dependent on the size of the lesion and the patient’s symptoms. This case perfectly illustrates the importance of using diagnostic imaging modalities in a complementary manner to correctly diagnose patients and provide optimal care and treatment.
Sonography of the Outflow Tracts of the Fetal Heart: Abnormalities
Authors: Suchet Dr. Ian 
Published: September 2024

A thorough knowledge of the normal appearance and common variants of the outflow tracts in combination with systematic evaluation of the standard views can diagnose or exclude abnormalities. Cardiovascular malformations account for a significant percentage of infant deaths and half of all deaths from malformations. Despite these numbers, cardiac anomalies are the most commonly overlooked defects on an antenatal ultrasound. Antenatal recognition of infants who will have a ductus-dependent circulation after birth enables safe postnatal management, preventing neonatal collapse and possible cerebral injury before cardiopulmonary bypass. This paper describes a systematic approach to anomalies of the outflow tracts based on the size, location, orientation, number, and flow characteristics of the major mediastinal vessels on the standard views described in Part 1. Antenatal detection of a fetus who will have a ductus-dependent circulation after birth or who has simple transposition of the great arteries with a restrictive foramen ovale may be life saving and has been shown to confer benefit with improved neonatal outcome.
Extracorporeal life support for severe leptospirosis: Case series and narrative review
Authors: Milovanovic Lazar , Singh Gurmeet , Townsend Derek , Nagendran Jayan , Sligl Wendy 
Published: September 2024

Introduction: Leptospirosis can be associated with multi-system organ failure (MSOF) and significant morbidity and mortality. Extracorporeal life support (ECLS) has been used as salvage therapy for severe leptospirosis complicated by acute respiratory distress syndrome (ARDS). Current knowledge in this field is limited, with no standardized treatment approaches. We aim to describe the literature to date on the use of ECLS in patients with leptospirosis, highlighting associations, outcomes, and complications. Methods: We report on the successful use of ECLS in two cases of severe leptospirosis and conduct a narrative review of the literature. Using a search strategy developed in consultation with a medical librarian and validated across pre-selected articles, several databases were searched. We included case reports, case series, cohort studies, and prospective studies of adult patients with confirmed leptospirosis undergoing ECLS. Editorials, surveys, or opinion articles without primary patient data were excluded. Overall mortality was our primary outcome. Results: Two cases of previously healthy males presenting with ARDS due to leptospiral infection are described. Literature review identified 25 articles containing 43 reported cases of patients treated with ECLS for severe leptospirosis. Patients were mostly young and male. Overall mortality was 16%. The most common complication recognized was acute renal failure requiring renal replacement therapy. Additional complications included diffuse intravascular coagulation, necrotizing pancreatitis, and limb ischemia. Conclusion: Leptospirosis should be considered in patients with epidemiologic exposure(s) presenting with critical illness, including ARDS and MSOF. ECLS is a viable rescue strategy in severe leptospirosis, even with established MSOF.
Clinical practice guideline supported administration of monoclonal antibody therapy for high-risk patients with COVID-19: Experience of a quaternary care centre
Authors: Hammond Keely , Bourdeau François , Klein Marina , Vinh Donald C. , Semret Makeda 
Published: September 2024

Background: Immunocompromised patients remain at risk of progression to severe COVID-19 disease. Methods: We describe clinical COVID-19-related outcomes after administration of anti-SARS-CoV-2 monoclonal antibodies (mAb) following institutional clinical practice guidelines (CPGs) in 205 high-risk patients between November 2021 and April 2022 at a Canadian quaternary care centre. Results: Median patient age was 59 years; 102 (50%) were female. Eighty-two (40%) were transplant recipients, 47 (23%) patients had hematologic malignancies, 25 (12%) had solid organ malignancies, and 51 (25%) had another indication. Forty-eight (23%) had received fewer than two doses of anti-SARS-CoV-2 vaccines. The majority (80%) had mild disease at presentation with 14% moderate and 6% severe. Median time from symptom onset to mAb administration was 3 days (IQR 2.0-5.5 days). Of those who received mAb as outpatients, 90 (93%) had favourable clinical outcomes (no COVID-19-related hospitalizations or death within 3 months). Of those who received mAb as inpatients, 93 (86%) had favourable outcomes (discharged without COVID-19-related re-admission or death), 4% were re-admitted, and 10% died. In logistic regression analysis, only disease severity at time of mAb administration was associated with unfavourable outcomes. Fewer than two vaccine doses was not associated with unfavourable outcomes, suggesting potential benefit among the under-vaccinated. There was a significant difference in adherence to CPGs between administration of mAb in outpatients versus inpatients (adherent for 85% versus 58%, p<0.001), where non-adherence occurred in cases of severe disease. Conclusion: CPG-supported mAb administration for management of COVID-19 in high-risk patients was associated with favourable clinical outcomes and may be a useful model to guide future therapies.
“Microbiology can be . . . ” Student Competition to Develop Resources about Infectious Diseases that Improve Health Literacy
Authors: Marenzoni Maria Luisa , Ciappelloni Raoul 
Published: September 2024

The European Association of Establishments for Veterinary Education emphasizes the importance of communication skills and teamwork for student success in clinical practice. Traditionally, many veterinary curricula lacked standardized formal training in acquiring these essential skills. Effective communication and collaborative teamwork are not only crucial for fulfilling the clinical responsibilities of the veterinary profession but also play a pivotal role in the broader societal context. Veterinarians, in their social role, serve as scientific communicators for the community. This role involves conveying scientific concepts, even complex ones, with a particular emphasis on their significance for public health, reaching a diverse audience. Currently, there is a growing public health necessity to improve health literacy, which refers to the ability to access, understand, appraise, and use information to support healthy choices by society, especially for topics like infectious diseases and vaccination. This became more evident during the global COVID-19 pandemic. This teaching tip describes the development, organization, and broad outcomes of a student competition introduced during a standard veterinary medicine course to design novel resources on microbiology and infectious disease-enhancing health literacy. Three separate events were organized during the academic years 2020–2023. The third-year veterinary medicine students attending the 3-month course on infectious diseases of small animals participated in a student competition aimed at promoting creativity and innovation. Their task was to develop novel resources that delivered informative content to the public concerning microbiology and infectious diseases. Participation was voluntary and students participated in groups of 5–6. Overall, 125 students created 22 projects on microbiology and infectious diseases that were able to enhance health literacy. This approach allowed students to engage with the content and convey foundational knowledge to others in an easily accessible way. This skill of communicating with the public using easy-to-understand language is essential for success in the veterinary medicine profession. The resources produced, such as drawings, comics, games, and videos, constitute informative sources. Thus, they were published online on a scientific journal to disseminate knowledge of infectious diseases to a broader audience.
Pengaruh Metode Role Playing terhadap Hasil Belajar dan Motivasi Siswa pada Materi Ekosistem
Authors: Andini Novianti  , Nevrita  , Fernando Adam 
Published: September 2024

Penelitian ini bertujuan untuk mengetahui pengaruh dari penerapan metode role playing terhadap hasil belajar dan motivasi siswa pada materi ekosistem. Penelitian ini merupakan penelitian kuasi eksperimen dengan populasi seluruh siswa kelas X IPA MAN Tanjungpinang. Sampel dalam penelitian ini diambil secara total sampling. Teknik pengumpulan data yang digunakan yaitu tes dan angket. Instrumen yang digunakan dalam penelitian ini yaitu lembar tes (post-test) untuk mengukur hasil belajar siswa dan lembar angket untuk mengukur motivasi siswa setelah dilakukan pembelajaran menggunakan metode role playing. Teknik analisis data yang digunakan dalam penelitian ini yaitu analisis hasil tes, analisis data angket motivasi, analisis data observasi keterlaksanaan, uji prasyarat, dan uji hipotesis. Berdasarkan uji hipotesis yang diperoleh menunjukkan hasil uji T dan uji F, yaitu: 1). terdapat pengaruh yang signifikan pada penerapan metode role playing terhadap hasil belajar siswa: 2). terdapat pengaruh yang signifikan pada penerapan metode role playing terhadap motivasi siswa: 3). terdapat pengaruh yang signifikan pada penerapan metode role playing terhadap hasil belajar dan motivasi siswa. Metode role playing ini dapat direkomendasikan sebagai metode pembelajaran alternatif untuk menunjang proses pembelajaran yang dapat meningkatkan hasil belajar dan motivasi siswa di dalam kelas pada pembelajaran Biologi.
Correlation Between the Fractional Amplitude of Low-Frequency Fluctuation and Cognitive Defects in Alzheimer’s Disease
Authors: Zhang Xuemei , You Jie , Qao Qun , Qi Xinyang , Shi Jingping , Li Junrong 
Published: September 2024

Background: The fractional amplitude of low-frequency fluctuations (fALFFs) can detect spontaneous brain activity. However, the association between abnormal brain activity and cognitive function, amyloid protein (Aβ), and emotion in Alzheimer’s disease (AD) patients remains unclear. Objective: This study aimed to survey alterations in fALFF in different frequency bands and the relationship between abnormal brain activity, depressive mood, and cognitive function to determine the potential mechanism of AD. Methods: We enrolled 34 AD patients and 32 healthy controls (HC). All the participants underwent resting-state magnetic resonance imaging, and slow-4 and slow-5 fALFF values were measured. Subsequently, the study determined the correlation of abnormal brain activity with mood and cognitive function scores. Results: AD patients revealed altered mfALFF values in the slow-5 and slow-4 bands. In the slow-4 band, the altered mfALFF regions were the right cerebellar crus I, right inferior frontal orbital gyrus (IFOG), right supramarginal gyrus, right precuneus, angular gyrus, and left middle cingulate gyrus. Elevated mfALFF values in the right IFOG were negatively associated with Montreal Cognitive Assessment scores, Boston Naming Test, and Aβ1–42 levels. The mfALFF value of the AD group was lower than the HC group in the slow-5 band, primarily within the right inferior parietal lobule and right precuneus. Conclusions: Altered mfALFF values in AD patients are linked with cognitive dysfunction. Compared with HCs, Aβ1–42 levels in AD patients are related to abnormal IFOG activity. Therefore, mfALFF could be a potential biomarker of AD.
Accessibility and usability of self-serve kiosks for blind and partially sighted Canadians
Authors: Vozza Jaclin , Knot Michaela , Reynolds Carson , Moll Sandra , Durocher Evelyne , Petrie Samuel , Sukhai Mahadeo , Gewurtz Rebecca 
Published: September 2024

BACKGROUND: Approximately 7.4% of Canadians over the age of 15 report being blind or partially sighted; this impacts their daily functioning in public spaces [1]. Technological advances have included the proliferation of self-serve kiosk in many consumer settings. However, absent from discussions of community accessibility is the experiences of Canadians who are blind or partially sighted. OBJECTIVE: To better understand the experiences of this population with self-serve kiosks. METHODS: A descriptive cross-sectional study design was used to analyze survey data collected as part of a survey by Canadian National Institute for the Blind (CNIB) of people who are blind, Deafblind partially sighted about their use of self-serve kiosks. 731 participants were surveyed, representing a response rate of 3.5% across Canada. RESULTS: 64.14% of participants faced barriers in completing a task using self-serve technology. Human assistance was required to complete the tasks in most instances. 65.74% of participants reported they did not enjoy using self-serve kiosks and 60.90% of participants reported they would not continue to use self-serve kiosks in the future. CONCLUSIONS: The findings highlight a need to promote accessibility in the creation and implementation of self-serve kiosks in order to further their use and decrease exclusion of people who are blind and partially sighted.