bluuebunny/crossref_metadata_2025_split huggingface dataset:
Bacterial agents as etiological factors of infective endocarditis
Authors: Soltani S. E. , Krikunov O. A. 
Published: August 2024

Objective. To analyse bacterial agents as etiological factors of infective endocarditis in patients with mitral valve disease.
Materials and methods. The study included 287 patients who underwent mitral valve surgery, 205 men and 82 women. The mean age of the patients in this sample was (50.1 ± 2.9) years, and they had a history of informative endocarditis with mitral valve involvement. All patients underwent surgical treatment – mitral valve repair (experimental group)/prosthetics (control group). The data of primary medical records (medical histories, primary medical records), results of histological and bacteriological studies and instrumental examination were analysed.
Results. In 49.1% of patients, the etiological factors of infective endocarditis were bronchopulmonary (16.4%), urological (12.2%), general surgical (6.6%) diseases, and in 20.6% – hospital–acquired infection. In 30.3% of patients, the cause of infective endocarditis was not identified. The most common microflora was identified: Staphylococcus spp. (19.2%); Enterococcus spp. (15.0%); Streptococcus spp. (3.5%). In detailing the identification of the pathogen during the histological examination of intraoperative material, the most common bacterial agents were found to be etiological factors of infective endocarditis. Enterococcus, Staphylococcus and Staphylococcus epidermidis. The most common microflora in the study group: Enterococcus – 15.4%, Staphylococcus – 9.5%, Staphylococcus epidermidis – 9.5% and Staphylococcus aureus – 7.4% in the control group: Enterococcus – 23.2%, Staphylococcus – 10.6%, Staphylococcus epidermidis – 6.7% and Streptococcus – 4.7% (p ≥ 0.05). Histological examination of mitral valve vegetations revealed the most common bacterial agents: Staphylococcus aureus (3.6%), Staphylococcus epidermidis (5.1%) and Enterococcus faecalis (10.7%). Histological examination of the mitral valve revealed differences in predisposition factors for the development of infective endocarditis.
Conclusions. It was determined that patients who underwent mitral valve repair were free of fungal microflora and mixed forms of microorganisms, and in patients who underwent MV prosthetics, they were found only rarely. It was found that the bacterial microflora in the experimental and control groups had differences. It was found that primary infective endocarditis of the mitral valve was statistically significantly more common in the study group (56.2%) than in the control group (38.7%) (p = 0.004, χ2 = 8.15).
STRATEGI IMPLEMENTASI KEBIJAKAN PEMILIHAN PENYEDIA BARANG DAN JASA PEMERINTAH BERBASIS MITIGASI RISIKO DI KOTA SUKABUMI
Authors: Setiawan Jone Jama Thomas Hero , Trilestari Endang Wirjatmi , Nurliawati Nita 
Published: August 2024

Penelitian ini difokuskan pada strategiÂ dalam proses pemilihan penyedia barang dan jasaÂ pemerintah yang berbasis mitigasi risiko di Kota Sukabumi. Tujuannya adalah untukÂ mengetahui proses implementasi kebijakan pemilihan penyedia barang dan jasa pemerintah, faktor risiko yang diakibatkan, dan selanjutnya untuk mengetahui strategi apa saja yang paling tepat sebagai mitigasi risiko dalam proses pemilihan penyedia barang dan jasa pemerintah. Penelitian ini menggunakan metode kualitatif dengan pendekatan Soft System Methodology menggunakan analisis CATWOE untuk mengungkapkan secara jelas fenomena dalam implementasi proses pemilihan penyedia barang dan jasa. Pemerintah di Kota Sukabumi. Data dihimpun melalui studi dokumentasi, observasi, dan wawancara, kemudian dianalisa dan diolah untuk menghasilkan strategi yang tepat. Sikap para implementator baik dan mendukung terlaksananya kebijakan proses pemilihan penyedia barang dan jasa. Dari hasil wawancara, observasi dan studi dokumentasi dapat diketahui bahwa belum optimalnya proses pemilihan penyedia barang dan jasa pemerintah di Kota Sukabumi adalah kurangnya jumlah dan kompetensi sumberdaya manusia, sarana dan prasarana belum optimal, komunikasi dengan instansi pengawas internal belum optimal. Analisis dilakukan dengan menggunakan analisa CATWOE yang hasilnya adalahÂ peningkatan kualitas sumberdaya manusia baik dari segi jumlah dan kompetensi, peningkatan alokasi anggaran untuk sarana dan prasarana,Â peningkatan koordinasi dan Kerjasama dengan instansi pengawas internal, dan organisasi SKPD terkait. Hasil dari peneltian ini akan menjadi usulan kebijakan Kepala Daerah sehingga akan meningkatkan kualitas proses pemilihan penyedia barang dan jasa pemerintah dalam menghadapi risiko-risiko pengadaan di Kota Sukabumi.
CONHECENDO O ASSOCIATIVISMO
Authors: Alves Vilas Boas Victor Matheus , De Jesus Vilas Boas Barbosa Terezinha , Conceição Sena Mariá de Nazaré Conceição Sena , Sacramenta Diane Maria Oliveira Sacramenta 
Published: August 2024

Este trabalho apresenta um relato do desenvolvimento de um projeto de Formação Inicial e Continuada (FIC) que teve como objetivo estimular o protagonismo feminino no artesanato e a sustentabilidade na Amazônia, por meio da disseminação de informações sobre associativismo e de práticas sustentáveis de produção de produtos artesanais a partir de resíduos florestais. Como ação metodológica, destacou-se o trabalho de extensão participativa para 15 mulheres artesãs de uma comunidade rural, tendo por base metodológica a pesquisa participante em Brandão (1998) e aplicação do sistema ARAP (Avaliação e Reconhecimento de Aprendizagem Prévia. As atividades do projeto tiveram como princípio norteador, a sustentabilidade, o reaproveitamento e o reuso de resíduos florestais. Enfatizou-se o fortalecimento de laços sociais, memória, criatividade, postura frente ao associativismo e o aprimoramento de artesanato na comunidade. Considera-se que a ação cumpriu com sua função social à medida que atingiu seu objetivo de oportunizar conhecimentos sobre à representatividade e defesa mútua de interesses, pelo associativismo e utilização de métodos e técnicas de produção artesanal de resíduos florestais. Além disso, o projeto favoreceu a disseminação de técnicas sustentáveis e a preservação dos saberes populares.
ANALISIS PERBEDAAN METAKOGNISI SISWA PADA PEMBELAJARAN KIMIA DITINJAU DARI GENDER DAN PRESTASI AKADEMIK
Authors: Asda Eka Frima 
Published: August 2024

Penelitian didasari oleh pernyataan Kemendikbud, bahwa kurikulum merdeka diharapkan dapat mempersiapkan siswa dalam menghadapi abad 21 dengan membangun Metakognisi siswa. Oleh karena itu tujuan penelitian ini adalah, untuk mendeskripsikan aktifitas yang dapat membangun metakognisi siswa dalam pembelajaran kimia yang ditinjau dari perbedaan akademik masing-masing gender. Penelitian ini merupakan penelitian dengan pendekatan kualitatif, dengan partisipan berjumlah 56 siswa. Data dikumpulkankan menggunakan lembar wawancara dan lembar observasi metakognisi melalui aktifitas belajar siswa. Penelitian dilaksanakan di salah satu madrasah aliyah negeri di kabupaten pesisir selatan tahun ajaran 2023/2024. Hasil penelitian menunjukkan metakognisi siswa dengan kemampuan akademik tinggi, sedang, dan rendah ditemukan perbedaan dalam mepembelajaran kimia. Siswa kemampuan akademik tinggi cenderung lebih baik dalam memahami materi kimia dibandingkan siswa kemampuan akademik rendah. Berdasarkan tinjauan perbedaan gender, perempuan cenderung lebih baik untuk membangun metakognisinya dibandingkan siswa laki-laki. Oleh karena itu, aktifitas membangun metakognisi dapat dilakukan melalui tahap perencanaan pembelajaran, monitoring dan evaluasi.
ФІНАНСОВИЙ МЕНЕДЖМЕНТ ПІД ЧАС ВІЙНИ
Authors: НІКОЛЬЧУК Юлія 
Published: August 2024

В сучасних економічних та політичних умовах, які спричиняють нестабільність функціонування вітчизняних суб’єктів господарювання, виникає потреба у формуванні та прийнятті ефективних управлінських рішень з проблем фінансування підприємств та відновлення їх фінансової стійкості, платоспроможності та кредитоспроможності. Проблеми формування фінансових ресурсів підприємствами є особливо актуальними в умовах введеного в Україні воєнного стану та повномасштабного вторгнення на територію України окупаційних військ. Метою статті є дослідження визначальних аспектів фінансового менеджменту під час війни, що супроводжується високим рівнем ризику ведення бізнесу, а також визначення ключових напрямів прийняття управлінських фінансових рішень на основі адаптації до ризикових умов господарювання з метою досягнення поставлених цілей підприємства. Управління фінансовим станом є ключовою складовою фінансовий менеджменту в сучасних умовах, оскільки фінансово-майновий стан підприємства визначає його економічну успішність в умовах невизначеності, ризиків і будь-яких складних економічних умов. Наразі обґрунтування ефективних рішень фінансового менеджменту підприємства вимагає актуальних досліджень щодо його адаптації до кризових умов функціонування бізнесу під час війни. У статті узагальнено підходи до визначення сутності фінансового менеджменту. Автором окреслено особливості фінансового менеджменту під час війни, що супроводжується високим рівнем ризику ведення бізнесу та необхідністю адаптації до нових реалій ринку. Охарактеризовано напрями діджиталізації фінансового менеджменту на підприємстві, що передбачає використання цифрових технологій та інструментів для оптимізації фінансових процесів, підвищення ефективності управлінських рішень фінансового характеру. На основі проведеного дослідження можна стверджувати про актуальність подальшої розробки форм, методів та інструментів підвищення ефективності управління фінансовими ресурсами суб’єктів господарювання під час війни.
COOPERATIVE LEARNING : ALTERNATIF UNTUK MENINGKATKAN COMMUNICATION SKILL PADA SEKOLAH BOARDING
Authors: Rismawati Noviana , Nafiati Dewi Amaliah , Azami Tomi , Hendaryati Neni 
Published: August 2024

The teacher's role in improving students' communication skills when learning economics in boarding-based schools has a big influence in the classroom. Teachers must know the appropriate steps to determine the success of learning through the cooperative learning model. The cooperative learning model can improve critical thinking skills, formulate arguments, and work together to solve problems. The aim of this research is to improve the communication skills of students in boarding-based schools when learning economics through a cooperative learning model. This research uses quantitative methods with experiments. Sampling used a cluster random sampling technique. The research sample is class X SMA Al-Irsyad Tegal which is based on boarding. Researchers conducted experimental research by giving each sample the same treatment. The results of the Paired t-test in this study show that the sig (2-tailed) value is 0.00 < 0.05. This means that applying the cooperative learning model can optimize communication skills. So, it can be concluded that the cooperative learning model implemented in high school based on boarding can be used as an alternative to improve communication skills
HAZARD ANALYSIS CRITICAL CONTROL POINT (HACCP) ON RUJAK ULEK TRADERS IN BANDAR KHALIPAH VILLAGE, DELI SERDANG DISTRICT IN 2024
Authors: Ashar Yulia Khairina , Melisa Melisa , Dalimunthe Halimatus Sa'diyah , Lubis Syahrani , Ar-ramdhani Adinda Aulia , Sagala Rahmadani , Yusrina Tania , Sitompul Muhammad Rizky Ramadhan 
Published: August 2024

Based on the website of the Centre for Food and Drug Policy Analysis, in Indonesia in 2023 there were 1772 incidents due to food poisoning. North Sumatra Province is the fifth highest case in Indonesia in the scope of the region due to food poisoning. Good implementation should be applied in the HACCP food management quality system. Making rujak ulek from production to the final stage to consumers allows the fruit to be contaminated with pollutants because the fruit contains almost 100% water so it is easily damaged. This study aims to identify hazards related to the process of making rujak ulek in Bandar Khalipah Village, Deli Serdang Regency in 2024. This research is qualitative type with descriptive observational method using HACCP approach. The total sample used was 32 rujak ulek traders specifically on Jalan Pasar 7, Bandar Khalipah Village. This study uses research instruments in the form of interview guidelines, observation forms and stationery. The results showed that most of the rujak ulek traders have not fulfilled Personal Hygiene, Place/Sanitation Facilities, Processing/Serving of Good Food according to the Indonesian Minister of Health No. 942/Menkes/SK/VII/2003. Based on hazard identification there are 2 potential hazards and critical control points there are 4 processes identified in the process of making rujak ulek. There are researcher recommendations for rujak ulek traders related to personal hygiene and place/sanitation infrastructure and it is recommended to develop a HACCP system.
Assessment of Blended Learning Courses Based on Unified Theory of Acceptance and Use of Technology in Higher Education
Authors: Cheng Dayong  , Shi Jin  , Yang Jingrong  , Yu Hongfu  
Published: August 2024

The major problem of the study is to assess the online platforms based on unified theory of acceptance and use of technology in higher education. The descriptive-correlational method of research was utilized in the study to assess the acceptance using UTAUT model in higher education and its effect students’ learning. A correlational research systematically investigates the relationship among variables as well as in determining the cause and effect relationship. The study made use of a quantitative research approach in analyzing and understanding the effects of acceptance of online platforms on students’ learning. Standardized questionnaire will use as primary a data-gathering tool. Documentary analysis will utilize in assessing the students’ learning in the higher education. The respondents of the study are the college students and professors in a higher education for school year 2023-2024. Majority of the respondents agreed the UTAUT model demonstrates that users' behavioral intention to use online platforms moderately influences their acceptance of them. Users prioritize ease of use, attitude towards use, and compatibility with other tools. The model also suggests that influencers, colleagues, and friends can moderately influence acceptance, providing valuable insights into user perceptions and preferences.
TRANSFORMING KINATAH NAGASASRA AS A BATIK MOTIFS FOR CASUAL CLOTHES
Authors: Mellynada putri Casi , Saputra Andi taslim 
Published: August 2024

This work creation was inspired by the shape of Kinatah Nagasasra, a name of dhapur (physical form) of a Kris. Such a dapur is characterized by the presence of decoration in the form of dragon as a Kinatah on the surface of the Kris blade. The characteristics of Nagasasra are having a kinatah in the form of crowned dragon, having a thousand scales on its body, and having a jamang (head ornament worn on the forehead). This Kris blade has visual meaning in the form of symbols representing characteristics of a leader. This study aims at exploring and stylizing the shape of Kinatah Nagasasra and using it in creating handmade batik on the casual wear. The creation of this work employed the art creation method by collecting data from literature as well as previous designs and embodiments. Handmade batiks technique was used in the creation process by using primissima cotton fabric and remasol (coloring matter) as raw materials. Handmade batik technique that is used is dipping technique. The color chosen is the color preferred by consumers aged 18-35 years. The resulting work consists of four dresses and is entitled UPANGGA RADMILA. Each of dress has also its own title, namely PANDITA, PARAHITA, PRABALA, PRASANTI. The designers hope that this work can help to socialize good characteristics of leader through symbols in it. The characteristics consists of prioritizing the welfare of members, the awareness that power is a trust, being able to protect and prosper members, and being a role model to the members.
Thick piezoelectric films by aerosol deposition at room temperature: corona poling and force sensing
Authors: Maruyama Kohei , Kawakami Yoshihiro , Narita Fumio 
Published: August 2024

Abstract
In this study, we employed corona poling to improve the piezoelectric properties of as-deposited BaTiO3 films and conducted a vibration energy harvesting test. Dielectric measurements indicated that the dielectric constant of the as-deposited film increased with temperature, and the frequency dependence of the dielectric constant was minimal at room temperature. Applying an electric field of 1500 kV cm−1 resulted in a recoverable energy density of 7.1 J cm−3 and an energy storage efficiency of 54%. The corona polarization treatment could align dipoles under high electric fields and prevent dielectric breakdown owing to local defects created by the aerosol deposition (AD) process. The vibration test yielded a harvested energy of 172 nJ and an output voltage of 2.67 V, which is suitable for force sensor applications. Polarization via corona discharge is also feasible without an electrode. Integrating AD with corona poling may benefit new capacitors, sensors, and energy harvesting technologies.
Examining the Impact of Certificate of Need Laws on the Utilization and Reimbursement of Cataract Surgeries Among Medicare Beneficiaries
Authors: Liang Alvina , Lindsey Jennifer L. 
Published: August 2024

Background: Cataract surgery is an effective and commonly utilized procedure and can significantly improve quality of life and restore economic productivity. Certificate of need (CON) laws aim to regulate healthcare facility expansion and equipment acquisition to curtail costs, enhance quality, and ensure equitable access to care. However, little is known about the impact of CON laws on cataract surgery utilization and reimbursement. Objectives: To compare utilization and reimbursement for non-complex cataract surgery in CON and non-CON states. Methods: This retrospective database review analyzed publicly available data from the Centers for Medicare and Medicaid Services from 2017 to 2021 to identify the Medicare beneficiaries who underwent non-complex cataract surgery using Current Procedural Terminology code 66984 in Medicare outpatient hospitals. Utilization and reimbursement patterns were analyzed in states with and without CON laws using the compound annual growth rate, with reimbursement adjusted by the US Bureau of Labor Statistics Consumer Price Index. Results: The Centers for Medicare and Medicaid Services reported 893 682 non-complex cataract surgeries in the study period; of these, 609 237 were in CON and 280 215 in non-CON states. Inflation-adjusted reimbursement increased in both CON (1.17%) and non-CON (1.83%) states, while the reimbursement in non-CON states was greater than the national average adjusted reimbursement (1.67%). Utilization of non-complex cataract surgery declined during the study period in both CON and non-CON states. A larger decline in utilization was observed in CON states (−7.32%) than in non-CON states (−6.49%). Utilization was slightly higher in non-CON than in CON states for each year except 2019. Discussion: Utilization of non-complex cataract surgery by Medicare beneficiaries declined over the study period in both CON and non-CON states, possibly impacted by the COVID-19 pandemic. Inflation-adjusted reimbursement adjusted for Consumer Price Index increased more in non-CON than CON states, possibly reflecting shifts in market dynamics in CON-regulated states. Conclusions: Surgeons and policymakers should consider the implications of CON laws on the utilization and reimbursement of cataract surgery. Further study is necessary to ascertain whether these trends persist beyond 2021.
Gastric metastasis of small cell lung carcinoma: Three case reports and review of literature
Authors: Yang Shan , He Qing-Yun , Zhao Qing-Jing , Yang Han-Tao , Yang Zheng-Yi , Che Wen-Yi , Li Hua-Mei , Wu Hui-Chao 
Published: August 2024

BACKGROUND
Small cell lung carcinoma (SCLC) is highly susceptible to metastasis in the early stages of the disease. However, the stomach is an uncommon site of metastasis in SCLC, and only a few cases of this type of metastasis have been reported. Therefore, SCLC gastric metastases have not been systematically characterized and are easily missed and misdiagnosed.
CASE SUMMARY
We report three cases of gastric metastasis from SCLC in this article. The first patient presented primarily with cough, hemoptysis, and epigastric fullness. The other two patients presented primarily with abdominal discomfort, epigastric distension, and pain. All patients underwent gastroscopy and imaging examinations. Meanwhile, the immunohistochemical results of the lesions in three patients were suggestive of small cell carcinoma. Finally, the three patients were diagnosed with gastric metastasis of SCLC through a comprehensive analysis. The three patients did not receive appropriate treatment and died within a short time.
CONCLUSION
Here, we focused on summarizing the characteristics of gastric metastasis of SCLC to enhance clinicians' understanding of this disease.
The Impact of Developing Batulayang Tourist Village in Cisarua, Bogor, on Economic Growth, Socio-Cultural Dynamics, and the Environment
Authors: Hadiningsih Shanty , Eddyono Fauziah 
Published: August 2024

Sustainable tourism is defined by the United Nations World Tourism Organization (UNWTO) as tourism that takes into account the current and future economic, social, and environmental impacts of the industry (tourism), the environment, and the local host communities. ( Mahanani & Hananik, 2021). The hope of this research is to provide a comprehensive insight into the influence of tourist villages on various aspects of the life of Batulayang people. The aim of this study is to see how Batulayang Tourism Village influences the development of community-based tourism (CBT), economic, socio-cultural, and environmental growth. The research uses the Partial Least Square (PLS) method, which uses the Outlet and the Inner to analyze the data. Community-Based Tourism (CBT) offers new business opportunities to communities by creating community-based tourism that focuses on social and cultural elements, managing them sustainably. Social and cultural activities contribute indirectly to the well-being of the community, because the community prefers to make money rather than participate. It still cannot be transformed into a significant improvement in the well-being of the villagers. The results of this study found that community-based tourism (CBT) improves the quality of people's lives when applied in the environmental, economic, and social fields; However, the goal of Community-Based Tourism development is to boost the local economy, but people remain dissatisfied because they prefer to meet personal needs rather than participate in social and cultural activities. As a result, the welfare of the Batulayang tourist village has not improved significantly.

Keywords : community-based tourism, local economic impact, community quality of life, cultural social impact