bluuebunny/crossref_metadata_2025_split huggingface dataset:
evaluation of community acceptability and adoption of the community-based TB care program using the diffusion of innovation model
Authors: Getachew Abebaw , Silumbwe Adam , Maritim Patricia , Hangoma Peter , Belete Abebe , Zulu Joseph Mumba 
Published: October 2024

Introduction: Community-based tuberculosis (TB) related interventions still face several implementation challenges that negatively affect attainment of overall national TB program goals. Yet, few studies investigate key implementation outcomes such as acceptability and adoption of these interventions. This study sought to explore the acceptability and adoption of health extension worker (HEW) driven community-based TB care (CBTC) program among community members in Gondar town, Northwest Ethiopia.
Methods: A qualitative case study design was employed, consisting of twenty-four in-depth interviews and three FGDs with a purposively selected sample of HEWs, HEWs’ supervisors, TB focal persons and community members. The study utilized deductive thematic analysis guided by Rogers' Diffusion of Innovation theory, which posits that the acceptability and adoption of interventions are influenced by attributes such as relative advantage, observability, compatibility and complexity.
Results: The program’s relative advantage including its perceived ability to promote TB prevention, early diagnosis, as well as the observed improved reporting mechanisms and treatment outcomes arising from HEWs visits facilitated its acceptability and adoption. The integration of community-based TB care into the health system and use of outreach activities to deliver TB information and services enhanced compatibility of the program with community health expectations. However, several factors hindered the delivery of the program, affecting its acceptability and adoption. These included limited career progression for HEWs, inadequate support from the district health office, an insufficient number of HEWs for the growing population, challenges in sustaining TB donor-funded programs, the impact of the civil war, the non-adherence to referral guidelines, and resource constraints.
Conclusion: To enhance the acceptability and adoption of CBTC, we recommended prioritizing community engagement, improving integration of the program in community health systems, addressing contextual challenges such as TB stigma, as well as enhancing program support for the health extension workers.
MODEL PEMBELAJARAN PROBLEM-BASED LEARNING DALAM MENINGKATKAN KEMAMPUAN MENULIS TEKS BERITA SISWA SMP NEGERI 7 KINTAMANI
Authors: Ida Ayu Made Wedasuwari  , I Gede Ambarayana  , I Made Sastra Adi Wibawa  
Published: October 2024

Penelitian ini bertujuan untuk mengetahui peningkatan kemampuan menulis teks berita siswa kelas VII SMP Negeri 7 Kintamani melalui penerapan model pembelajaran Problem-based learning (PBL). Penelitian ini merupakan penelitian tindakan kelas yang terdiri empat tahapan yaitu perencanaan, tindakan, obeservasi, dan refleksi. Subjek dari penelitian ini yaitu siswa kelas VII B yang berjumlah 32 siswa. Teknik pengumpulan data berupa tes, observasi, dan wawancara. Teknik analisis data menggunakan analisis kualitatif dan kuantitatif. Hasil penelitian pada siswa kelas VII B SMP Negeri 7 Kintamani menunjukkan nilai rata-rata hasil tes yang meningkat tiap siklusnya. Nilai rata-rata hasil tes awal siswa 68,06, nilai rata-rata hasil tes pada siklus I 73,59 dan nilai rata-rata hasil tes pada siklus II 80.72. Penelitian ini berimplikasi terhadap peningkatan keterampilan siswa dalam menulis kalimat teks berita dengan menerapkan model pembelajaran yang inovatif yaitu problem-based learning.
IMPLEMENTASI PERATURAN MENTERI DALAM NEGERI NOMOR 3 TAHUN 2017 DALAM PENGELOLAAN PELAYANAN INFORMASI DOKUMENTASI PADA DINAS KOMUNIKASI DAN INFORMATIKA KABUPATEN SAMBAS
Authors: Nurmansyah  , Syamsiah Nur , Rosana Mayang 
Published: October 2024

Implementasi Peraturan Dalam Negeri Nomor 3 Tahun 2017 Tentang Pedoman Pengelolaan Pelayanan Informasi dan Dokumentasi Kementerian Dalam Negeri Dan Pemerintahan Daerah menjamin masyarakat untuk mendapatkan hak akan informasi melalui Pengelola Pelayanan Informasi dan Dokumentasi yang melekat pada Dinas Komunikasi dan Informatika (Diskominfo) Kabupaten Sambas. Diskominfo bertugas untuk menginventarisir informasi yang ada di Kabupaten Sambas. Sehingga setiap masyarakat (selaku pemohon) untuk mendapatkan informasi melalui Diskominfo Kabupaten Sambas. Permasalah yang terjadi di lapangan, masih terdapat aduan masyarakat yang tidak mendapatkan infomasi yang di ajukan pada Diskominfo Kabupaten Sambas. Masyarakat tidak bisa mendapatkan informasi yang diinginkan. Fokus masalah dalam penelitian ini adalah bagaimana Implementasi Peraturan Dalam Negeri Nomor 3 Tahun 2017 Tentang Pedoman Pengelolaan Pelayanan Informasi Dan Dokumentasi Kementerian Dalam Negeri Dan Pemerintahan Daerah Dalam Pengelolaan Pelayanan Informasi dan Dokumentasi Pada Dinas Komunikasi Dan Informatika Kabupaten Sambas dan apa yang menjadi faktor penghambat Implementasi Permendagri tersebut. Jenis penelitian ini adalah penelitian kualitatif yang besifat penelitian lapangan (field research). Pendekatan yang digunakan dalam penelitian ini adalah pendekatan yuridis yuridis empiris adalah penelitian yang dilakukan secara langsung di lapangan dengan tujuan untuk mengetahui permasalahan yang sebenarnya terjadi, kemudian akan dihubungkan dengan peraturan perundang-undangan yang berlaku dan teori hukum yang ada. Untuk memperoleh data, peneliti menggunakan teknik observasi, wawancara dan dokumentasi. Berdasarkan hasil penelitian, dapat disimpulkan bahwa: Diskominfo Kabupaten Sambas belum sepenuhnya mengimplementasikan Peraturan Dalam Negeri Nomor 3 Tahun 2017. Dari segi Komunikasi, disposisi, sumber daya manusia, dan struktur Birokrasi. Faktor penghambat implentasi Permendagri di sebabkan faktor internal dan faktor eksternal. Faktor eksternal di sebabkan Masyarakat belum teredukasi terkait pemenuhan hak informasi dan belum memahami prosedur permohonan informasi publik melalui PPID serta Kurangnya literasi dari instansi diluar Pemerintah Kabupaten Sambas dalam memahami PPID. Faktor internal disebabkan PPID belum sepenuhnya mengetahui mekanisme penyediaan informasi, belum memahami pentingnya mengelola dan memberikan pelayanan informasi kepada masyarakat, keterbatasan SDM, keterbatasan anggaran, OPD yang ada di kabupaten sambas belum semua memiliki website.
EVALUASI PURNA HUNI ASPEK FUNGSI DI RUANG KELAS PERSIAPAN SLB YPAC MANADO
Authors: Syafriyani Syafriyani , Rahmayanti Rahmayanti , Mutmainnah Nur , Saputra Wahyu 
Published: October 2024

Ruang Kelas merupakan suatu ruang yang dirancang untuk memenuhi suatu fungsi dan tujuan tertentu. Fungsi ruang kelas khusus siswa berkebutuhan khusus sebagai tempat belajar, praktek, dan bermain. Ruang kelas persiapan sebagai setting yang telah dikelola dan diatur oleh organisasi Sekolah Luar Biasa YPAC Manado sehingga pemakai menyesuikan diri dengan kondisi ruang maupun perabot yang ada. Evaluasi pada aspek fungsi berkaitan dengan faktor manusia (antropometri), hal ini sejalan dengan tujuannya yaitu untuk meninjau performa kinerja aspek fungsi di ruang kelas persiapan. Penelitian yang dilakukan menggunakan metode komparatif kuantitatif. Data dikumpulkan berupa kuesioner dan pengukuran dilapangan yang dikomparasikan dengan standar perabot sekolah berdasarkan Peraturan Menteri Pendidikan Nasional RI Nomor 32 Tahun 2011.Hasil performa yang didapatkan ukuran perabot tidak nyaman berdasarkan antropometri karena melebihi jangkauan tangan siswa sehingga diperlukan rekomendasi desain yang sesuai dengan standar dan kenyamanan siwa berkebutuhan khusus.
OPTIMALISASI CREATIVE PLACEMAKING RUANG TERBUKA PUBLIK TAMAN AIR MANCUR LIMBOTO
Authors: Erick A Yohanes P , Ma'sum Ratna Dwi , Palilati Mifidyah Putri , Entengo Syukri 
Published: October 2024

The purpose of this study is to identify and analyze the optimization strategy of creative placemaking that can be applied to Taman Air Mancur Limboto. Taman Air Mancur Limboto conditions that are degraded both physically and non-physically need efforts to overcome these problems through planning and development through creative placemaking approach. Public open spaces that were previously unattractive and very quiet for visitors are designed and arranged in such a way as to increase the vitality of the area and restore its proper function. This study uses a type of qualitative approach through observation or observation along with the exposure of field data. Primary data collection and secondary data conducted as supporting data research. Of the 6 (six) relevance of the concept of Creative Placemaking to public open space Taman Air Mancur Limboto through the planning and development of the area then the six aspects have been implemented with the appropriate design. Tujuan dari penelitian ini adalah untuk mengidentifikasi dan menganalisis terhadap strategi optimalisasi creative placemaking yang mampu diaplikasikan pada Taman Air Mancur Limboto. Kondisi Taman Air Mancur Limboto yang mengalami degradasi baik fisik dan non fisik perlu adanya upaya-upaya dalam mengatasi permasalahan tersebut yakni melalui perencanaan dan pengembangan melalui pendekatan creative placemaking. Ruang terbuka publik yang sebelumnya tidak menarik dan sangat sepi pengunjung didesain dan ditata sedemikian rupa sehingga mampu meningkatkan vitalitas kawasan serta mengembalikan fungsi sebagaimana mestinya. Penelitian ini menggunakan jenis pendekatan kualitatif melalui pengamatan atau observasi beserta pemaparan data lapangan. Pengumpulan data primer maupun data sekunder dilakukan sebagai data pendukung penelitian. Dari 6 (enam) relevansi konsep Creative Placemaking terhadap ruang terbuka publik Taman Air Mancur Limboto melalui perencanaan dan pengembangan kawasan maka ke enam aspek tersebut sudah di implementasikan dengan desain perancangan yang sesuai.
SIMULASI PENCAHAYAAN ALAMI DAN BUATAN PADA RUANG KELAS MENGGUNAKAN DIALUX EVO 12.0
Authors: Rahmayanti Rahmayanti , Pratiwi Niniek , Mile Fitrah Zahri Ramadhan 
Published: October 2024

Lighting is one of the key factors that influences the quality of the indoor environment in designing buildings. Natural lighting is an optimal light source due to its advantages in energy efficiency, superior visual quality and positive impact on the health and well-being of occupants. This research is a classroom design plan using quantitative methods. Lighting simulation was carried out with DIALux Evo 12.0 software. Simulation using the DIALux application proved effective in planning and visualizing classroom lighting systems. This application allows creating virtual models of classrooms, determining light sources, and accurately predicting light distribution. The results obtained are that natural lighting at 08.00 and 16.00 is comfortable, but during the day it tends to experience glare and causes discomfort. Meanwhile, artificial lighting is still in accordance with the SNi standards required for classrooms, namely 250-300 lux. Pencahayaan adalah salah satu faktor kunci yang mempengaruhi kualitas lingkungan dalam ruangan dalam mendesain bangunan. Pencahayaan alami merupakan sumber cahaya yang optimal karena keunggulannya dalam efisiensi energi, kualitas visual yang superior, dan dampak positif terhadap kesehatan serta kesejahteraan penghuni. Penelitian ini merupakan rencana perancangan ruang kelas dengan menggunakan metode kuantitatif. Simulasi pencahayaan dilakukan dengan perangkat lunak DIALux Evo 12.0. Simulasi menggunakan aplikasi DIALux terbukti efektif dalam merencanakan dan memvisualisasikan sistem pencahayaan ruang kelas. Aplikasi ini memungkinkan pembuatan model virtual ruang kelas, penentuan sumber cahaya, dan prediksi distribusi cahaya secara akurat. Hasil yang didapatkan yakni pencahayaan alami pada pukul 08.00 dan 16.00 nyaman, akan tetapi pada siang hari cenderung mengalami glare dan menyebabkan ketidaknyamanan. Sementara untuk pencahayaan buatan masihmasih sesuai dengan standar SNi yang dibutuhkan untuk ruang kelas yaitu 250-300 lux.
Possibilities of predicting the risk of developing cardiac conduction disorders after transcatheter aortic valve replacement
Authors: Chekanova V. S. , Imaev T. E. , Pevzner A. V. , Komlev A. E. , Zulkarnaev A. B. 
Published: October 2024

Introduction. Cardiac conduction disturbances with the subsequent need for pacemaker implantation are a major clinical problem in the postoperative period of transcatheter aortic valve implantation (TAVI). The aim of the study. To develop multifactorial models for predicting the risk of developing cardiac conduction disturbances and pacemaker implantation after TAVI in the early postoperative period on a "training" sample of patients with an assessment of the diagnostic accuracy of the developed model on a "control" sample of patients. Material and methods. The study included 337 patients with severe or critical aortic stenosis who underwent TAVI from 2021 to 2022 in the laboratory of hybrid methods in the Department of cardiovascular surgery, Chazov National Medical Research Center, Ministry of Health of the Russian Federation Results. In constructing a model for predicting new (not registered before the operation) cardiac conduction disturbances after TAVI, the most significant predictors were: intraventricular conduction disturbances, the size of the aortic root, and the end-diastolic size of the left ventricle. The quality indicators of the model: AUC 0.711 (95 % CI: 0.644-0.778), sensitivity 77.7 % (95 % CI: 67.9-85.6), specificity 56.6 % (95 % CI: 47.8-65.1), PPV 55.3% (95 % CI: 46.5-67.9), NPV 78.5% (95 % CI: 69.1-84.0). Results of testing in the "control" sample: AUC 0.723 (95 % CI: 0.615-0.832). For the pacemaker implantation risk model predictors were: right bundle branch block, coronary heart disease and atrioventricular conduction disturbances. Model quality indicators: AUC 0.789 (95 % CI: 0.683-0.894), sensitivity 94.1 % (95% CI: 71.3-99.8), specificity 53.9 % (95 % CI: 47.0-60.7), PPV 13.8 % (95% CI: 10.8-87.0), NPV 99.2 % (95 % CI: 94.7-99.4). Results of verification on the control sample: AUC 0.795 (95 % CI 0.664-0.925). Discussion. The proposed models can be used in practice to assess the risk of developing cardiac conduction disorders and pacemaker implantation in patients who are scheduled to TAVI.
Securing patient data with DNA-Driven symmetric encryption: a novel approach to confidential QR code transmission in healthcare
Authors: Ouhab Abdelkrim , Benyahia Kadda 
Published: October 2024

Preserving patient privacy is an obligation for any healthcare provider. It is an act of mutual trust between the patient and his medical staff. QR code is useful for ensuring a fast and flexible data transfer between different mobile devices, however the easy extraction of the data included in these codes by simple scanning presents a serious privacy threat particularly when dealing with sensitive information such as mandatory reporting diseases. In this paper, authors propose a secure QR code to encode a patient's data and make it non-unintelligible for unauthorized persons. It consists of a DNA-based symmetric encryption using DNA sequences and Huffman coding in its encryption/decryption phases. The proposed approach involves generating a unique and secure QR code for each patient's information. Due to its small size, it offers a simple solution for transferring patient data, reducing internet capacity requirements and minimizing latency.
How much does mitochondrial dysfunction affect male infertility?
Authors: Di Mauro Ernesto , Cacace Gainlugi , Morgera Vincenzo , La Rocca Roberto , Napolitano Luigi , Saldutto Pietro , Altieri Vincenzo Maria 
Published: October 2024

Infertility is usually defined as the inability of a couple to conceive even after 1 year of unprotected, frequent sexual intercourse. The male is solely responsible in about 20% of cases. Several risk factors as well as urogenital abnormalities,endocrinological disease,enviromental toxines,genetic disorders,immunological factors,urogenitaly infections,sexual dysfunction have been identified as causes of male infertility. Nowadays different studies reported mithocoldrial dysfunction as cause of male infertility and alteration of semen parameters.
Corporate governance and financial performance of listed deposit money banks in West Africa
Authors: Adegbayibi Adesanmi T. , Adelowotan Michael O. 
Published: October 2024

Orientation: There is little evidence on how corporate governance mechanism influences financial performance in Nigeria and Ghana.Research purpose: The study investigated the effect of corporate governance mechanism on financial performance of listed deposit money banks (DMBs) in Nigeria and Ghana.Motivation for the study: The dwindling performance of listed DMBs has been attributed to poor corporate governance mechanism which has resulted in intense pressure on the board of directors to approve decisions that adversely affect the company’s financial performance.Research design, approach and method: The study employed a quantitative research approach and used panel regression analysis techniques. The study sample consisted of 19 DMBs from the Nigerian Exchange Group and Ghana Stock Exchange for the period from 2014 and 2023.Main findings: This study revealed that managerial ownership has a positive and significant effect on the financial performance of listed DMBs in Ghana.Practical/managerial implications: The findings offer the Board more clarity regarding how to maintain a balanced level of board independence that enables effective decision making aimed at improving the overall performance of banks. The study has practical implications for investors to ensure that boards maintain their size for improving effectiveness and achieve optimal financial performance.Contribution/value-add: The study provides new evidence on how corporate governance mechanism influences the financial performance of listed DMBs in Nigeria and Ghana. The study’s findings show that present and potential shareholders might evaluate board qualities to make better investment decisions.
Bilateral Ultrasound-Guided Erector Spinae Plane Block for Management of Acute Postoperative Surgical Pain After Pediatric Cardiac Surgeries Through a Midline Sternotomy
Authors: Mogahed Mona M. , Abd El-Ghaffar Mohamed S. , Elkahwagy Mohamed S. 
Published: October 2024

ABSTRACT

Background:
Ultrasound (US) guided erector spinae plane block (ESPB) is a safe and effective technique in providing perioperative pain management in pediatrics with a high success rate.

The Aim of this Study:
Was to compare the efficacy of bilateral ultrasound-guided erector spinae plane block for management of acute postoperative surgical pain after pediatric cardiac surgeries through a midline sternotomy.

Methods:
One hundred patients aged 4-12 years were randomly assigned into two groups, both groups received general anesthesia followed by bilateral sham erector spinae plane block at the level of T6 transverse process using 0.4 ml/kg normal saline on each side in the control group (group C) or bilateral ultrasound-guided erector spinae plane block at the level of T6 transverse process using 0.4 ml/kg ropivacaine 0.2% with a maximum dose of 2 mg/kg mixed with adrenaline 2 mcg/ml in erector spinae plane block group (group E). The postoperative pain scores were evaluated immediately post-extubation, at 1 hour, 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, and 24 hours after extubation, total consumption of intraoperative fentanyl and time to first rescue analgesic administration were also recorded.

Results:
There was a statistically high significant delay in the group E (314.72 ± 45.94) compared with the group C (36.7 ± 7.22) as regards to the mean (SD) of the time of the rescue analgesia (P < 0.001) (with 95% CI), moreover; the number of rescue analgesic was significantly higher in the group C compared with the group E (P < 0.001) (with 95% CI) and the mean (SD) of total intraoperative and postoperative levels fentanyl requirements in the group C were significantly higher compared with the group E (6.47 ± 0.98 and 5.09 ± 0.83) (with 95% CI) in group C versus (4.69 ± 0.71 and 2.31 ± 0.66) (with 95% CI) in group E respectively (P < 0.001) (with 95% CI).

Conclusion:
Ultrasound-guided bilateral ESPB with ropivacaine and adrenaline delays the postoperative need of analgesia and reduces postoperative fentanyl consumption at 24 h in pediatric patients undergoing cardiac surgery through midline sternotomy.
Perioperative Management of Lower Limb Surgery in a Patient with Asymptomatic Left Ventricular Systolic Dysfunction: A Case Report
Authors: Nagalingam Saranya , Srinivasan Arunkumaar , Charles Antony John , Kumar V R Hemanth 
Published: October 2024

ABSTRACT
Heart failure poses significant challenges in perioperative settings, with an increasing prevalence in India. While much attention has been given to the management of symptomatic heart failure, there is a dearth of literature on asymptomatic left ventricular systolic dysfunction (ALVSD). In this case report, we present the successful perioperative management of a 35-year-old male with ALVSD and a low ejection fraction undergoing lower limb surgery under combined spinal epidural anesthesia. Our approach aimed to maintain hemodynamic stability, minimize myocardial overload, and mitigate the adverse effects of neuraxial blockade.
Role of Prophylactic N-Acetylcysteine Supplementation on Postoperative Outcomes in Patients Undergoing Elective Double-Valve Replacement (Aortic and Mitral Valve)
Authors: Ram Kiran K S , Trivedi Visharad , Rajesh Venuthurupalli S. P. , Sharma Manisha , Haranal Maruti , Pandya Himani 
Published: October 2024

ABSTRACT

Aims and Objectives:
The incidence of postoperative liver dysfunction is high in patients undergoing double-valve replacement – mitral and aortic valve replacement (DVR). This study aims to evaluate N-acetylcysteine’s free radical scavenging property (NAC) to prevent postoperative liver dysfunction in these patients, thus affecting overall clinical outcomes.

Methods:
A single-center, prospective, randomized, double-blinded interventional study of 60 patients divided into two groups of 30 each. Group N received prophylactic intravenous NAC, and Group C received volume-matched 5% dextrose. Data comprised demographics, liver function tests (LFT), renal function tests (RFT), vasoactive-inotropic scores (VIS) score, and C-reactive protein (CRP) at various time intervals. Postoperative parameters such as ventilation duration, length of stay in ICU (LOS-ICU), length of hospital stay (LOHS), atrial fibrillation (AF), acute kidney injury (AKI) requiring hemodialysis, and mortality were noted. Statistical analysis was performed with the Student’s t-test and Chi-square test (SPSS 22 software).

Results:
All postoperative LFT parameters (total bilirubin, serum glutamic oxaloacetic transaminase (SGOT), serum glutamic pyruvate transaminase (SGPT), and alkaline phosphatase (ALP)) were significantly lower (P < 0.05) at 24, 48, and 72 hours in Group N compared to Group C. RFT and VIS scores were lower in Group N; however, were not statistically significant except for Serum Creatinine at 48 hours (P = 0.0478). Ventilation duration (P = 0.0465) and LOS-ICU (P = 0.0431) were significantly lower in Group N. Other outcomes like AF, LOHS, and mortality were lower in Group N but were not statistically significant.

Conclusion:
Our study showed that prophylactic administration of NAC in patients undergoing DVR is associated with a reduction in the incidence of postoperative liver dysfunction with a positive impact on postoperative outcomes.