bluuebunny/crossref_metadata_2025_split huggingface dataset:
FROM PERCEPTION TO SUPPORT: THE ROLE OF POLITICAL BUREAUCRACY IN RURAL TOURISM DEVELOPMENT IN LOMBOK, INDONESIA
Authors: - Amrullah , Amir Ahmad Fitri , A Jamal Salamiah , Shahril Zurena@Rena , Mat Som Ahmad Puad 
Published: August 2024

Numerous studies emphasise the importance of local governance and governmental support in promoting long-term rural tourist growth. Political bureaucracy, which encompasses the duties and activities of government officials and institutions, plays an important role in developing policies, providing required infrastructure, and fostering stakeholder collaboration. The challenge at hand is the ambiguous relationship between perceived benefits (economic, social, and environmental) and community support influenced by political structures. This study explores moderating role of political bureaucracy on the relationship between the impact of perceived tourism benefits and the community support for rural tourism development in Lombok, Indonesia. The objective is to understand how these perceptions affect support when moderated by political bureaucracy. Data were collected using quantitative methods from 183 residents via online surveys and analysed using SmartPLS SEM for measurement and structural model assessments. The findings revealed no significant relationship between perceived economic and social benefits and community support. However, environmental benefits showed a positive influence. The moderating role of political bureaucracy was found to be minimal. The study suggests that enhancing awareness and empowerment of local communities could improve support for tourism. These insights are vital for policymakers and stakeholders to develop strategies that foster sustainable rural tourism.
Spaced Digital Education for Health Professionals: Systematic Review and Meta-Analysis
Authors: Martinengo Laura , Ng Matthew Song Peng , Ng Tony De Rong , Ang Yi-Ian , Jabir Ahmad Ishqi , Kyaw Bhone Myint , Tudor Car Lorainne 
Published: August 2024

Background
Spaced digital education applies digital tools to deliver educational content via multiple, repeated learning sessions separated by prespecified time intervals. Spaced digital education appears to promote acquisition and long-term retention of knowledge, skills, and change in clinical behavior.

Objective
The aim of this review was to assess the effectiveness of spaced digital education in improving pre- and postregistration health care professionals’ knowledge, skills, attitudes, satisfaction, and change in clinical behavior.

Methods
This review followed Cochrane’s methodology and PRISMA (Preferred Reporting Items of Systematic Reviews and Meta-Analyses) reporting guidelines. We searched MEDLINE, Embase, Web of Science, ERIC, PsycINFO, CINAHL, CENTRAL, and ProQuest Dissertation and Theses databases from January 1990 to February 2023. We included randomized controlled trials (RCTs), cluster RCTs, and quasi-RCTs comparing spaced digital education with nonspaced education, spaced nondigital education, traditional learning, or no intervention for pre- or postregistration health care professionals. Study selection, data extraction, study quality, and certainty of evidence were assessed by 2 independent reviewers. Meta-analyses were conducted using random effect models.

Results
We included 23 studies evaluating spaced online education (n=17, 74%) or spaced digital simulation (n=6, 26%) interventions. Most studies assessed 1 or 2 outcomes, including knowledge (n=15, 65%), skills (n=9, 39%), attitudes (n=8, 35%), clinical behavior change (n=8, 35%), and satisfaction (n=7, 30%). Most studies had an unclear or a high risk of bias (n=19, 83%). Spaced online education was superior to massed online education for postintervention knowledge (n=9, 39%; standardized mean difference [SMD] 0.32, 95% CI 0.13-0.51, I2=66%, moderate certainty of evidence). Spaced online education (n=3, 13%) was superior to massed online education (n=2, 9%) and no intervention (n=1, 4%; SMD 0.67, 95% CI 0.43-0.91, I2=5%, moderate certainty of evidence) for postintervention clinical behavior change. Spaced digital simulation was superior to massed simulation for postintervention surgical skills (n=2, 9%; SMD 1.15, 95% CI 0.34-1.96, I2=74%, low certainty of evidence). Spaced digital education positively impacted confidence and satisfaction with the intervention.

Conclusions
Spaced digital education is effective in improving knowledge, particularly in substantially improving surgical skills and promoting clinical behavior change in pre- and postregistration health care professionals. Our findings support the use of spaced digital education interventions in undergraduate and postgraduate health profession education.

Trial Registration: PROSPERO CRD42021241969;

Trial Registration
PROSPERO CRD42021241969; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=241969
Evaluation of Varicocelectomy Operative Therapy for Infertile Couples at the UGM Academic Hospital
Authors: Sp.U WIKAN KURNIAWAN 
Published: August 2024

Background: Infertility is a condition of the male or female reproductive system characterized by failure to achieve pregnancy after 12 months or more of having regular sexual intercourse without contraception. Since 2013, Rumah Sakit Akademik UGM (RSA UGM) has providing varicocele therapy to infertile individuals. The Ivanissevich varicocelectomy procedure is used for varicocele therapy.Objective: This study intends to examine the management of varicocele patients at RSA UGM.Methods: This research is a retrospective study by opening medical records and interviews. The study population was all patients who underwent varicocelectomy surgery between 2013 and 2021. Data is presented in the form of graphs.Results: The distribution of varicocele lateralization showed that out of 35 respondents, 23 respondents (66%) had one side varicoceles and 12 respondents (34%) both sides varicoceles. The distribution based on successful pregnancy shows that out of 35 respondents, 10 respondent couples (29%) have already gotten pregnant, 25 respondents (71%) haven't gotten pregnant. The distribution of varicocele lateralization in respondents who have children shows that 70% of respondents are one side and 30% of respondents are both sides. Complications of discomfort revealed that 88% of research participants had no complaints of postoperative pain, whereas 11% occasionally suffered pain following varicocele surgery.Conclusion: Varicocele that is one side is more common. Patients with one side varicocele who have surgery are more likely to become parents than those with both sides varicocele. At RSA UGM, the varicocelectomy success rate is comparable to the worldwide success rate.Keywords: Varicocele, success rate, one side, both sides.
Direitos de Aprendizagem em Ciências Naturais no Pacto Nacional pela Alfabetização na Idade Certa
Authors: Flôr Cristhiane Cunha , Andrade Guilherme Trópia Barreto 
Published: August 2024

No presente trabalho temos o objetivo de discutir o fundamento formativo de professores denominado “Direitos de Aprendizagem” desenvolvido no Pacto Nacional pela Alfabetização na Idade Certa (PNAIC). Iniciamos pela discussão das possibilidades de representação do termo Direito que podem ser produzidas no campo educacional, como a dualidade direito-dever, a perspectiva legalista ou o direito como possibilidade de trabalho nas articulações entre as diferentes componentes curriculares. Em seguida exploramos a questão “que ciências temos o direito de aprender nas escolas?” a partir de concepções que apropriam ou deslocam a questão da neutralidade da ciência e suas implicações no ensino de ciências. Por fim, apresentamos uma possível articulação entre os Direitos de Aprendizagem e as ciências que temos o direito de aprender a partir de uma situação exemplar. Defendemos o direito de aprender ciências numa perpectiva em que exploramos a vida e experimentamos o mundo em novos pensamentos e conhecimentos, em detrimento às ciências em que os conhecimentos já estão prontos para serem apenas desvelados por alunos e professores.
Historia de la Infancia observada desde los ejes del Juego, Juguete y Desigualdad
Authors: Castillo-Gallardo Patricia 
Published: August 2024

La existencia o no de la infancia así como su relevancia en la historia es una cuestión que depende de las categorías que se utilicen para definir esa experiencia como objeto particular de estudio. Revisaremos arqueológicamente la historia de la infancia en Occidente, poniendo el acento fundamentalmente en tres cuestiones: 1) las representaciones de la infancia de la Antigüedad, la Edad Media, la Modernidad y la época contemporánea, descritas por los historiadores, 2) los aspectos de esta historia que nos evidencian un hacer con la diferenciación social entre los niños según estatus, casta o clase, 3) el rescate de las prácticas parentales y sociales dirigidas a la infancia a través de la historia del juego y el juguete en cada tiempo histórico. Como conclusión se reflexionará respecto a las transformaciones en los contenidos que el mundo adulto propone a los niños para su subjetivación en cada periodo histórico.
INNOVACIÓN E INDUSTRIAS CREATIVAS: UNA REVISIÓN DE ARTÍCULOS CIENTÍFICOS
Authors: Fraile Benítez Ana Mercedes , Garzón Martínez Sonia Patricia , Mantilla Rivera Cindy Paola , Rincon Parra Nidia Stella 
Published: August 2024

El propósito principal de esta revisión es presentar a los estudiosos una identificación actualizada sobre industria creativa e innovación para ello se revisó la literatura inicialmente en la base de datos Web of Science y posteriormente se amplió a Scopus y Google académico limitándose a artículos de industria creativa e innovación publicados en los últimos 10 años , luego la información bibliográfica obtenida se analizó con software Voswiewer y Maxqda donde la influencia del concepto en la dinámica y la evolución de la innovación en la industria creativa lo cual permite comprender cómo ha evolucionado los conceptos de innovación en donde se hace evidente la relevancia de la Gestión del Conocimiento; quedando claro que la innovación en la industria creativa no solo transforma sectores económicos, sino que también desencadena un impacto significativo en la forma en que se vive, aprende y se conecta en la sociedad del conocimiento.
Metodología para la determinación de Hg en sedimentos y aguas empleando EAA
Authors: Sarria Villa Rodrigo Andrés 
Published: August 2024

El uso de Hg en los procesos de minería del oro genera residuos con altos contenidos de este metal pesado, que puede llegar a diferentes medios acuosos por su constante descarga. De acuerdo a lo anterior, se validó una metodología analítica para la determinación de mercurio (Hg) por Espectroscopía de Absorción Atómica-Vapor Frio (EAA-VF) teniendo en cuenta los niveles permitidos por la norma EPA SW-846 para muestras de aguas y sedimentos. Este trabajo se inició con la implementación de las curvas de calibración de Hg y de los procesos de digestión para determinar la linealidad, repetibilidad y el rango de trabajo. Los estándares de concentración conocida y muestras reales se evaluaron bajo las características analíticas típicas en la validación como linealidad, límite de detección, límite de cuantificación, precisión, exactitud, repetibilidad, reproducibilidad, porcentajes de recuperación e incertidumbre. La metodología validada cumplió con los parámetros estadísticos requeridos como linealidad y precisión instrumental registrando coeficientes de variación menores al 3%, un límite de cuantificación de 0,35 µg/L y porcentajes de recuperación entre el 97,26 y 101,62%. Se realizó una prueba de desempeño con muestras de referencia para garantizar resultados analíticos confiables. Valores de incertidumbres de ±0,064, ±0,0440 y ±0,0410 fueron determinados para muestras líquidas, sólidas y lixiviado de sólidos respectivamente.
Torpedo Your Competition: Strategic Reporting and Peer Firm IPO
Authors: Billett Matthew T. , Ma Mark , Yu Xiaoyun 
Published: August 2024

ABSTRACT
A firm’s initial public offering (IPO) generates negative externalities for industry competitors. To mitigate this threat, incumbent firms manage their earnings downward, issue more negative management forecasts, and use a more negative disclosure tone when their industry peers file for an IPO. Negative accruals reverse when the threat subsides. Incumbents manage earnings more aggressively when costs are small and benefits are large, and when they follow negative disclosures of industry leading incumbents. Such strategic disclosure lowers incumbent firm valuation multiples and associates with more negative IPO firm media sentiment. IPO firms obtain lower offer prices, raise less capital, and are more likely to withdraw from the offering. They also invest less, hoard more cash, and experience lower profitability post-IPO, whereas incumbents experience higher profitability and market share growth. Our results highlight the role of strategic reporting on product market competition and identify a new cost of going public.
Clinical Outcomes in Pediatric Patients With Type 1 Diabetes With Early Versus Late Diagnosis: Analysis From the DPV Registry
Authors: Hammersen Johanna , Tittel Sascha R. , Kamrath Clemens , Warncke Katharina , Galler Angela , Menzel Ulrike , Hess Melanie , Meißner Thomas , Karges Beate , Holl Reinhard W. 
Published: August 2024

OBJECTIVE
This study was conducted to evaluate the effects of early clinical diagnosis of type 1 diabetes by comparison of clinical parameters at diagnosis and during follow-up in patients with pediatric type 1 diabetes with early, intermediate, and late diagnosis.

RESEARCH DESIGN AND METHODS
In a population-based analysis, data on 14,292 pediatric patients with type 1 diabetes diagnosed between 2015 and 2019 were retrieved from the Diabetes Prospective Documentation (DPV) registry in March 2023. Patients were divided into four groups: one with diabetic ketoacidosis (DKA) at diagnosis and three with early, intermediate, or late diagnosis based on age-dependent HbA1c terciles. Laboratory-measured HbA1c values and those estimated from continuous glucose monitoring were aggregated as a combined glucose indicator (CGI). Insulin dose–adjusted CGI values &lt;9% were defined as partial remission.

RESULTS
At diagnosis, patients had a median age of 9.8 years (IQR 6.8; 13.0). Three years later, patients with early diagnosis had lower CGI than patients with late diagnosis or DKA (mean [95% CI] 7.46% [7.40; 7.53] vs. 7.81% [7.75; 7.87] or 7.74% [7.68; 7.79], respectively; each P &lt; 0.001). More patients experienced partial remission (12.6% [11.0; 14.4] vs. 9.1% [7.7; 10.7] or 8.6% [7.3; 10.0]; each P &lt; 0.001), and 11.7% [10.2; 13.5] of patients with intermediate diagnosis were in partial remission.

CONCLUSIONS
Early clinical diagnosis of type 1 diabetes may be beneficial for metabolic control and remission after 3 years of follow-up. Patients diagnosed early may represent a distinct group with better resources or with a different disease biology and slower β-cell destruction, which needs further evaluation.
Analisis Kurva Survival Kaplan Meier Pada Pasien Penyakit Jantung Koroner (PJK) dengan Dua Treatment Menggunakan Uji Log Rank
Authors: Sukarma Maisya , Anggraini Mita Puding 
Published: August 2024

Penyakit Jantung Koroner (PJK) disebabkan karena terjadinya peristiwa penyempitan pembuluh darah koroner yang mengakibatkan menurunnya fungsi jantung dan pembuluh darah dalam mensuplai oksigen keseluruh tubuh. Penelitian ini bertujuan untuk melihat variabel treatment (ring dan byppass) yang lebih banyak membantu bertahan hidup dan menemukan perbedaan kategori dari variabel treatment dalam mempengaruhi waktu survival pasien PJK. menggunakan data sekunder 40 orang pasien treatment ring dan treatment bypass pada penelitian terdahulu di tahun 2015. Analisis dilakukan pada kurva survival kaplan meier menggunakan uji log rank. Diperoleh hasil analisis deskriptif bahwa pasien PJK yang memilih treatment ring lebih banyak yang bertahan hidup yaitu 18 pasien dari pada pasien yang memilih treatment bypass yaitu sebanyak 14 orang, namun peluang hidup pasien PJK treatment bypass lebih tinggi yaitu sekitar 0,2 hingga 1 dari pada pasien PJK treatment ring yaitu berkisar 0,0 hingga 1. Sedangkan untuk perbedaan pendugaan kategori dalam variabel treatment diperoleh hasil bahwa tidak terjadinya perbedaan kategori variabel treatment dalam mempengaruhi waktu survival pasien PJK
Pengaruh Orientasi Kewirausahaan, Orientasi Pasar dan Orientasi Teknologi Terhadap Keunggulan Bersaing
Authors: Syafa'ad Nifsa Hanipah , L V Yuhendri 
Published: August 2024

This research aims to reveal the impact of entrepreneurial orientation, market orientation and technological orientation on competitive advantage at bordir and sulaman businesses in Bukittinggi city,. 80 people became the research sample with the total sampling technique derived from the population of bordir and sulaman business actors in Bukittinggi city. A quantitative approach with an associative type was used in the study. In addition, logistic regression was also determined as a data analysis technique in testing the research variables. The results indicate : 1) Independent variables simultaneously have a significant influence on the dependent variable. 2) Entrepreneurial orientation (X1) and Market orientation (X2) is able to significantly influence competitive advantage. 3) Technology orientation (X3) is not able to significantly affect competitive advantage.
Pengaruh Kreativitas dan Family Background Terhadap Intensi Berwirausaha Mahasiswa
Authors: Luthfianda Naufal , Silvia Armida 
Published: August 2024

This study's goal is to determine how students in Padang State University's Faculty of Languages and Arts Visual Communication Design Study Program perceive the impact of creativity and family history on their aspirations to pursue entrepreneurship. This study uses a quantitative method to investigate causal relationships. 560 students from the 2019–2022 class made up the study's population. Both primary and secondary sources of information were employed. An 85-person sample is subjected to a sampling method known as proportionate random sampling. Using the SPSS V.21 software, The method used for analysis is multiple linear regression analysis. To assess the research hypothesis, data were gathered using t statistical tests at a=0.05, normality testing, F tests, multicollinearity, heteroscedasticity, and validity tests at reliability tests. The study's conclusions show that: 1) inventiveness significantly influences the desire to start a business. 2) Ambition for entrepreneurship is influenced by family background 3) The desire to start one's own business is greatly influenced by one's ingenuity and family background.
Pengaruh Literasi Digital dan Motivasi Belajar Terhadap Hasil Belajar Siswa
Authors: Dewi Laura Etika , Syofyan Rita , Putra Defriko Gusma 
Published: August 2024

This research set out to answer the following questions: 1) the relationship between students' digital literacy and their desire to learn and their final grades, 2) the precise impact that digital literacy has on the academic achievement of these pupils, and 3) the precise impact that learning motivation has on the academic achievement of the candidates. A causal associative design and quantitative approach were employed to carry out the investigation in this study. The 117 students making up the XI social studies class at SMA Pertiwi 1 Padang served as the study's population. We used a proportionate random selection technique to pick 91 people to take part in the survey. The multiple linear regression analysis was conducted using SPSS version 25 software. According to the results: 1) The academic performance of students in the eleventh grade at SMA Pertiwi 1 Padang is significantly affected by their level of digital literacy as well as their enthusiasm to learn. 2) These students' digital literacy greatly enhances their academic achievement, and 3) Their level of motivation to learn has a positive and substantial effect on their academic performance. According to the report, a whopping 47.7 percent of the learning outcomes of IPS SMA Pertiwi 1 Padang class XI students are impact by digital literacy and learning motivation.
A scarce advantage of spontaneous closure as a stoma complication
Authors: Lalisang Arnetta Naomi Louise , Ismantara Patricia Rosalind , Zacharia Nathaniel Jason , Jamtani Indah 
Published: August 2024

Background:
Stoma is made for various indications and the closure is performed with open surgery once the indication is resolved. The case of spontaneous stoma closure rarely happens.

Case presentation:
In this case report, we present a 62-year-old male with a malignant rectal tumor who experienced spontaneous closure of a stoma. Laparotomy adhesiolysis exteriorization of the sigmoid and transverse colon was made with distended with tenderness all over the abdominal area as the indication. After nine months, the indication was resolved, stoma closure was planned, but the right-sided stoma was closed. Left stoma closure was performed. The patient is currently stable now.

Conclusion:
Spontaneous stoma closure can be considered the outcome of progressive stoma retraction followed by healing of the mucocutaneous fistula. In this case, we report the benefit of spontaneous stomal closure, no complications were found from stoma closure, and the primary goal of stoma placement was achieved. Management of spontaneous stoma closure can be done conservatively after carrying out a comprehensive examination to rule out possible complications. We report the usefulness of endoscopy and looposcopy in achieving these goals.
DIFFERENCES IN PROTEASE ACTIVATED RECEPTOR-1 AND THROMBINE LEVELS IN PREECLAMPSIA AND NORMAL PREGNANCY
Authors: Khatimah Gistin Khusnul , Serudji Joserizal , Basyir Vaulinne 
Published: August 2024

Introduction: Preeclampsia is a condition caused by alterations in endothelial function during pregnancy. Changes in endothelial function result in an increase in coagulation and microvascular fibrin accumulation, which results in impaired placental perfusion. Thrombin, which converts fibrin to fibrinogen, as well as platelet activity, the fibrinolytic system, and anticoagulants, are all procoagulant circumstances in preeclampsia. Thrombin contributes to the pathogenesis of preeclampsia by increasing the expression of sFlt-1 thereby providing an antiangiogenic response. Protease Activated Receptor-1 (PAR-1) is a mediator of thrombin for coagulation and inflammation in preeclampsia. Inhibition of Protease Activated Receptor-1 expression in trophoblasts can enhance placental angiogenesis and vascular remodeling. Recently, only few studies have assessed the levels of Protease Activated Receptor -7 and thrombin in preeclampsia.Objective: To determine the difference in levels of Protease Activated Receptor-1 and thrombin in preeclampsia and normal pregnancyMethods:Â This study is observational with a cross-sectional comparative study design. Sampling was conducted from March 2020 to March 2021. A total of 66 patients were investigated, with 33 samples of preeclampsia and 33 samples of normal pregnancy. The independent sample T-test was used for statistical analysis.Results:Â The mean levels of Protease Activated Receptor-1 in the preeclampsia group were higher at 28.56 Â± 7.68 ng/mL while normal pregnancy was 21.67 Â± 6.92 ng/mL. The results of statistical tests showed that there was a significant difference in levels of Protease Activated Receptor-1 between the preeclampsia and normal pregnancy groups (p<0.05). The mean thrombin level in the preeclampsia group was higher at 72.23 Â± 7.99 ng/mL, while in normal pregnancy it was 63.70 Â± 8.92 ng/mL. The difference in thrombin levels between the preeclampsia and normal pregnancy groups was statistically significant (p<0.05).Conclusion:Â Preeclampsia was associated with greater levels of Protease Activated Receptor-1 and thrombin than normal pregnancy. There was a significant difference in the mean levels of Protease Activated Receptor-1 and thrombin between preeclampsia and normal pregnancy.Keywords: Thrombin, Protease Activated Receptor-1(PAR-1), Preeclampsia