bluuebunny/crossref_metadata_2025_split huggingface dataset:
Does The EFL-Multimodal Textbook and Culture In The Independent Curriculum Represent Character Education?: A Critical Discourse Analysis
Authors: Basya Dihliza , Halizah Siti Nur , Diawati Nur 
Published: February 2025

While there has been extensive research on Critical Discourse Analysis (CDA) in multimodal textbooks, most studies primarily focus on analyzing culture and gender. However, the investigation of Character Education using CDA still needs to be more extensive. To fill this void, this study aims to examine the representation of Character Education in secondary-level English textbooks in Indonesia, following one of the goals of the latest curriculum to make each individual have character and behave following the values of Profil Pelajar Pancasila (The Pancasila Students’ Profiles). To address this issue, this study conducted a critical discourse analysis by adopting Kress and Van Leuween's (2006) Visual Grammar Theory to analyze the visual image and Halliday’s (1975) and Matthiessen’s (2004) Systemic Functional Analysis (SFL) to elucidate the textual representation of the character education in the selected EFL-multimodal textbook. This research focuses on Thomas Lickona's (1996) six fundamental components of good character: caring, honesty, fairness, accountability, and respect for self and others. This study can assist educators in incorporating character education into their teaching techniques and provide them with the essential skills and information to foster the development of positive character traits in their students.
Propuesta de diseño conceptual sobre los sistemas de seguridad de la empresa Maderbely
Authors: Beltrán Londoño Nathaly , Cely Corredor Jenny Elvira , Vargas Tamayo Luis Fernando 
Published: February 2025

This project seeks to recognize and diagnose areas of operation of the company MADERBELY and machinery used in different production processes in order to study and select the machines that represent the greatest diversity in terms of their functional characteristics and related to mechanical risk, the idea is to perform any action that is necessary. Based on observation, accident reports and the use of other tools, industrial equipment will be selected, and the type of intervention performed through improved security systems will be proposed, studies on different design concepts of safety devices will be considered, in order to reduce the risks that have been identified.
Evaluación del Desempeño de los Modelos de Tráfico Modulados por Cadenas de Markov en Redes 802.11 – Caso de Estudio Red QRD
Authors: Astaiza Hoyos Evelio , Bérmudez Orozco Héctor Fabio , Salgado Castro Diego Fernando 
Published: February 2025

This paper evaluates the performance of Markov modulated processes models in IEEE 802.11 networks. This study is focused on the “Quindio Región Digital” (QRD) network. Performance evaluation of the traffic models is performed in three stages. In the first stage, we obtain the statistical characteristics of the current traffic on the QRD network. In the second stage, the most suitable traffic models are selected for the current characteristics of the QRD network such asout-of-saturation operation and management of heterogeneous traffic. In the third stage, we define a performance metric that is used to evaluate the traffic patterns through simulation.
Alineación Virtual De Modelos Deformables Usando Funciones De Base Radial
Authors: Jaramillo Velásquez Andrés Eleazar , Prieto Ortiz Flavio Augusto , Boulanger Pierre 
Published: February 2025

One of the schemes most broadly used in the industry of production of parts to carry out the quality control of the produced pieces consists on making a comparison of such pieces against an ideal prototype denominated CAD model of the piece. To carry out this comparison, experimental data of the surface of the piece are acquired and a rigid alignment among the model generated from these data and the CAD model of the piece is carried out. Although current systems consider only rigid pieces to be inspected, there are numerous pieces for which this alignment process is not enough because the shape of such pieces changes when they are assembled. In this article a new method of non rigid alignment is presented, based on the use of radial basis functions, which allows to improve the inspection process of deformable pieces based on CAD. Results of the application of the method on several deformable models are presented.
Pengembangan Program Edupreneurship dalam Menumbuhkan Jiwa Kewirausahaan di Sekolah Menengah Kejuruan
Authors: Wijayanti Reny Widya , Tyas Zuhriana Widya Rahayu Ning , Hikmawati Hanifah 
Published: February 2025

The unemployment rate is still relatively high, and interest in entrepreneurship is still relatively low. It encourages schools to develop edupreneurship programs so that students have an entrepreneurial spirit and additional skills to prepare for life in the future. This research aims to determine various edupreneurship programs at Public Vocational High School (SMK Negeri) 1 Ngawi, the school principal's efforts in developing edupreneurship programs, and the factors inhibiting and supporting their development. This research uses a qualitative method that utilizes primary (interviews) and secondary data (documentation of activities and observations). The research results show three significant findings: First, SMK Negeri 1 Ngawi has five entrepreneurship programs: entrepreneurship lessons, P5, service unit, teaching factory, and industrial visits. Second, the school principal strives to develop edupreneurship programs per existing regulations, encourages teachers and students to participate in entrepreneurial activities, and evaluates ongoing activities. Third, inhibiting factors include policy regulations, lack of financial support, lack of consumers, and technological challenges. Meanwhile, the supporting factors are the students' willingness to become entrepreneurs, the existence of UPJ and teaching factories, and the strategic position of the school.
Association between systemic immune-inflammation index and trimethylamine N-oxide levels in peripheral blood and osteoporosis in overweight and obese patients
Authors: Li Lingling , An Jinyang , Bai Jia , Zhang Yangyang , Li Xinsai , Lv Haihong 
Published: February 2025

BackgroundThe intricate relationship between systemic immune-inflammation index (SII) and trimethylamine N-oxide (TMAO) in the peripheral blood and osteoporosis (OP) remains unclear. This study aims to investigate variations in the levels of SII and TMAO in the peripheral blood of overweight and obese patients, and examine the associations between these markers, bone mineral density (BMD), and the occurrence of osteoporotic fractures.MethodsThe study enrolled 765 patients aged ≥ 50 years with BMI ≥ 24 kg/m², dividing them into two groups based on visceral fat area (VFA): &lt;100 cm² and ≥100 cm². A corrected regression model analyzed the association of SII, TMAO, BMD, and osteoporotic fractures incidence in patients with central obesity. Receiver operator characteristic (ROC) curves assessed the predictive ability of SII and TMAO for OP screening.ResultsBaseline data showed that patients with VFA ≥ 100 cm² had lower whole body (WB) and lumbar spine (LS) BMD, but higher SII and TMAO levels compared to those with VFA &lt; 100 cm² (p &lt; 0.05). Particularly in the group with VFA ≥ 100 cm2, there was an upward trend in SII and TMAO as bone mass decreased. Regression analysis found SII and TMAO negatively correlated with WB, LS, and femoral neck (FN) BMD, and positively correlated with osteoporotic fractures incidence (p &lt; 0.05). Both were independent risk factors for OP, with combined SII and TMAO detection showing high diagnostic efficacy (sensitivity 94.7%, specificity 96.5%).ConclusionIn overweight and obese patients, particularly those with a VFA ≥ 100 cm², peripheral blood SII and TMAO levels may serve as valuable biomarkers for the early diagnosis of OP, offering potential clinical utility in identifying high-risk individuals.
The trends and future projections of intraocular foreign bodies among children and adolescents: a global analysis
Authors: Lu Zupeng , Xing Xindan , Li Wen , Qiao Tong 
Published: February 2025

ObjectiveThe aim was to evaluate the disease burden of intraocular foreign bodies (IOFBs) among children and adolescents globally based on the Global Burden of Disease, Injury, and Risk Factor Study 2021 (GBD 2021).MethodsData were extracted from the GBD 2021. The incidence and DALYs number and rate with 95% uncertainty interval (UI) and estimated annual percent change (EAPC) of IOFBs were estimated by age, sex and socio-demographic index (SDI) region. A Bayesian age-period-cohort (BAPC) analysis model was used to predict trends in the next ten years.ResultsGlobally, it is estimated that the incidence number of IOFBs among children and adolescents increased from 5842769.65 in 1990 to 6154651.76 in 2021, while the age-specific incidence rate decreased from 258.69 in 1990 to 233.50 in 2021, with a EAPC being −0.54. The 15–19 years group had the highest incidence and DALYs number, while 0–4 years group had the lowest. The projective model indicates that the burden for IOFBs will rise sharply in the next ten years.ConclusionThe global incidence and disease burden of blindness and vision loss in children and adolescents due to IOFB have shown a slight decline from 1990 to 2021. However, there may be a significant upward trend in the future, which requires the vigilant attention of policymakers.
TUBGCP2 variants cause lissencephaly spectrum disorders: a case report and literature review
Authors: Yu Tao , Yu Miao , Liu Xueyan , Wang Hua 
Published: February 2025

BackgroundTUBGCP2 variants are associated with the LIS spectrum disorders, but its pathogenesis remains unclear. To retrospectively analyze the clinical features and genetic information of patients having lissencephaly spectrum disorders associated with TUBGCP2 variants.MethodsClinical and genetic data of a patient diagnosed with TUBGCP2-related lissencephaly spectrum disorder at the Department of Pediatric Neurology, Shengjing Hospital, in March 2022 were collected. Furthermore, we reviewed previously reported literature on patients with the same gene variation.ResultsA 6-year-old female patient presented with microcephaly (head circumference: 46 cm, Z score: &lt;−3), narrow forehead, thick eyebrows, bulbous nose, smooth philtrum, widened and separated teeth, speech and motor developmental delay, intellectual disability, and seizures. Brain magnetic resonance imaging showed pachygyria in the temporal, parietal, and occipital lobes. Gene testing identified hemizygous variation in TUBGCP2 (missense variants: c.178 C&gt;T, c.538T&gt;C, and maternal exon variant: 2–14 deletion). A literature search revealed seven patients with lissencephaly spectrum disorders associated with TUBGCP2 variants, including eight gene variation types. Moreover, the TUBGCP2 variants were found to cause lissencephaly spectrum diseases, with the main clinical manifestations being microcephaly, lissencephaly (including agyria, pachygyria, or subcortical band heterotopia), dysmorphic facial features (e.g., narrow forehead, thick eyebrows, bulbous nose, prominent ears, and widened and separated teeth), and developmental delay, with or without seizures.ConclusionOur study expands the genotype of this brain malformation disorder associated with TUBGCP2 variants by presenting the first case of TUBGCP2 variants causing lissencephaly spectrum disorders in China.
Supporting youths in global crises: an analysis of risk and resources factors for multiple health complaints in children and adolescents during the COVID-19 pandemic
Authors: Habermann Karoline , Napp Ann-Kathrin , Reiß Franziska , Kaman Anne , Erhart Michael , Ravens-Sieberer Ulrike 
Published: February 2025

IntroductionThe number of global crises increased in recent years, significantly affecting the health and well-being of children and adolescents worldwide. Awareness of these global crises and their impact on health and well-being has risen since the COVID-19 pandemic. Research indicates that some children and adolescents are more vulnerable to the challenges resulting from these crises than others. This study examines the risk and resources factors for multiple health complaints (MHC) in children and adolescents in Germany during the COVID-19 pandemic.MethodsWe analyzed data from the German population-based longitudinal COPSY (COvid-19 and PSYchological Health) study. A total of 1,673 children and adolescents aged 11 years and older and their parents participated in at least one of the five survey waves between 2020 and 2022. We assessed MHC using the international Health Behavior in School-aged Children Symptom Checklist (HBSC-SCL), which includes four somatic complaints (e.g., headache, abdominal pain) and four psychological complaints (e.g., feeling low, sleeping difficulties). We conducted a mixed model panel regression analysis to examine longitudinal changes in MHC and identified sociodemographic, psychosocial, and pandemic-related risk factors and resources.ResultsOur results revealed increased MHC throughout the COVID-19 pandemic. Girls, single-parent children and adolescents, as well as children and adolescents of mentally ill or highly burdened parents, were at particular risk. A higher subjective perceived burden of the pandemic and COVID-19-related worries were significantly associated with a higher level of MHC. Personal resources, a positive family climate, and more perceived social support were significantly associated with a lower level of MHC.DiscussionThis paper highlights the vulnerability of children and adolescents in a global crisis, such as the COVID-19 pandemic. The results provide a scientific foundation for targeted health promotion and intervention strategies to protect and maintain the health and well-being of young people in future crises.
The mediating role of life satisfaction in the relationship between physical exercise and depressive symptoms among middle-aged and elderly individuals
Authors: Yang Ting , Li Xinxin , Wang Xinyu , Zhou Jingjie , Chen Wei 
Published: February 2025

ObjectiveTo investigate the mediating effect of life satisfaction between physical exercise behavior and depressive symptoms among middle-aged and elderly individuals, providing a reference for improving depressive conditions in this demographic group.MethodsData from 11,101 middle-aged and elderly individuals from the 2020 China Family Panel Studies (CFPS) were collected. STATA 17.0 was used for data cleaning, organization, and statistical analysis which includes univariate analysis, stepwise regression analysis, and mediation effect testing.ResultsAmong 11,101 individuals aged 45 years and above, 2,272 participated in physical exercise, accounting for 20.47%; 2,052 exhibited depressive symptoms, representing 18.48%. Physical exercise was positively correlated with life satisfaction and negatively correlated with depression. Depression scores also showed a negative correlation with life satisfaction. According to the results of the mediation effect study, life satisfaction accounted for 16.60% of the overall effect and had a mediating effect value of −0.099 on depression symptoms.ConclusionPhysical exercise and life satisfaction are factors influencing depressive symptoms, and life satisfaction acts as a partial mediator between physical exercise participation and depression among middle-aged and elderly adults.
Influence of meteorological and environmental factors on pediatric urinary tract infections: insights from a 6-year retrospective study in Central China
Authors: Li Changzhen , Tang Feng , Xi Lei , Wang Xiaomei 
Published: February 2025

ObjectivesTo investigate the association between meteorological factors and common uropathogens in children with urinary tract infections (UTIs) and assesses the potential influence of weather conditions on pediatric UTIs.Study designAnalyze the demographic and uropathogen characteristics from children with culture-proven UTIs and its correlation with meteorological factors.Methods2,411 data from infants and children with UTIs in a children’s hospital from 2016 to 2021 were retrospectively analyzed. A correlation analysis was conducted to investigate the relationship between the monthly detection number of uropathogens and meteorological factors.ResultsMultiple linear stepwise regression analyses showed a positive correlation between monthly average temperature, precipitation volume, sunshine hours, monthly total number of uropathogens, and the number of E. coli and E. faecalis. E. faecium was predominant in &lt;12-month-old children, while E. coli was dominant in the 3–18-year age category. E. faecium showed a higher prevalence in girls, while E. faecalis was more prevalent in boys. E. coli exhibited resistance rates of &gt;40% to second-or third-generation cephalosporins in multiple age groups. E. faecium showed high resistance rates to tetracyclines, fluoroquinolones, erythromycin, ampicillin, and penicillin, while K. pneumoniae displayed higher sensitivity to cephalosporin–sulbactam and amikacin, but higher resistance rates to cefazolin and ceftazidime.ConclusionThis study reveals the association between meteorological factors and uropathogens in children with UTIs, as well as the distribution, age-related characteristics, gender differences and antibiotic resistance profiles of pathogenic bacteria. These findings inform the development of targeted strategies for UTI prevention and treatment based on uropathogenic characteristics and meteorological conditions.
Pengaruh Lima Dimensi Kualitas Layanan terhadap Kepuasan Pasien di Klinik Gigi X di Jakarta Barat
Authors: Golahi Gilbert , Mulyadi Elita , Suwigyoputro Stefano Giovani Handoko , Erlilis Erlilis 
Published: February 2025

The quality of service at private dental clinics plays an important role in building patient satisfaction. The SERVQUAL model is used to evaluate five dimensions of service quality: tangible, reliability, responsiveness, assurance, and empathy. This study aims to analyze the influence of the five dimensions of SERVQUAL on patient satisfaction at Dental Clinic X, West Jakarta, and identify the most influential dimensions. Descriptive analytical research with a cross-sectional approach was conducted on 100 patients through purposive sampling. The inclusion criteria include patients aged ≥18 years who have undergone treatment at X Dental Clinic for the past year. Data were collected using the SERVQUAL questionnaire and Customer Satisfaction Index on a Likert scale of 1–5. Gap analysis and t-test were carried out using SPSS version 29.02. As a result, the tangible dimension has the highest gap of 0.70 in the aspect of modern equipment, while responsiveness has the lowest gap of 0.30 in the aspect of service time notification. All dimensions have a positive gap value, indicating that the quality of service has met or exceeded patient expectations. The average value of the customer satisfaction index is 3.26 with a standard deviation of 0.078. The results of the t-test showed that all dimensions of SERVQUAL had a significant effect on patient satisfaction (p < 0.05). Conclusion, All dimensions of service quality have an influence on the quality of service in clinic X. This study provides strategic insights to improve the quality of dental clinic services and maintain patient loyalty.
Kecemasan Preoperasi pada Pasien yang Akan Menjalani Operasi Appendiktomi
Authors: Ramba Erni , Tania Elly , Citraningtyas Theresia 
Published: February 2025

Kecemasan merupakan reaksi individu terhadap situasi tak terduga yang sering dialami setiap orang dalam hidup, memberikan peringatan serta mengarahkan seseorang untuk berusaha melindungi dirinya. Proses pembedahan ataupun operasi dapat menimbulkan terjadinya reaksi kecemasan. Tinjauan pustaka ini bertujun untuk mengetahui gambaran kecemasan pada pasien preoperasi apendisitis dan faktor yang dapat mempengaruhi tingkat kecemasan pasien preoperasi. Artikel penelitian yang berbentuk studi clinical trial dan randomized control trial ditinjau melalui mesin pencarian Google Scholar, menggunakan kata kunci spesifik seperti kecemasan AND "pre operasi" AND appendiktomi AND perbandingan. Sebanyak lima Jurnal yang relevan berdasarkan tujuan tinjauan pustaka. Kesimpulan dari tinjauan pustaka ini adalah metode yang dapat dilakukan dan efektif dalam menurunkan kecemasan pasien preoperasi appendiktomi antara lain komunikasi dan edukasi, implementasi teknik genggam jari. Pengetahuan akan prosedur operasi dapat menurunkan kecemasan. Perlu diperhatikan dalam tinjauan pustaka ini adalah jumlah respon dari tiap jurnal masih dianggap kurang.
Kata kunci: preoperasi, kecemasan, apendisitis, appendiktomi
EPIDEMIOLOGIA DAS INTERNAÇÕES POR GLAUCOMA NO BRASIL NOS ULTIMOS 10 ANOS (2014-2024)
Authors: Brito Pedro Vitor Maia Bettini , Boiko Larissa , Rodrigues Eduardo Navas , Lachman Lucas Ribas , Monteiro Maria Fernanda Baptista Costa , Miyoshi Júlia Mitiko , Brambila Amanda Menezes , Grabski Gabriel Siqueira , Dourado Anna Clara Demarques , Ghizone Débora Soethe , Alves João Vitor Merique , Neves Ana Carolina Ferreira , Candelorio Giovanna Perez , Polo Manuella Lima , Lopes Isabela 
Published: February 2025

Este artigo tem por objetivo analisar a epidemiologia das internações por Glaucoma no Brasil no período de 2014 a 2024. Trata-se de uma pesquisa descritiva, transversal e epidemiológica. Os dados acerca das internações por glaucoma foram obtidos através do Sistema de Informações Hospitalares do Departamento de Informática do Sistema Único de Saúde (SIH/DATASUS), considerando o período de 2014 a 2024. Assim, as variáveis analisadas incluíram sexo, faixa etária, raça, número de internações por ano e caráter de atendimento. No período analisado, foram registradas 65.122 internações por glaucoma, no Brasil. Dessa forma, notou-se que a análise das internações por glaucoma no Brasil entre 2014 e 2024 revela um aumento significativo de casos, com picos em 2022, 2023 e 2024, destacando a crescente relevância dessa condição para a saúde pública e a necessidade de ações preventivas e de tratamento.
UJI VALIDITAS DAN RELIABILITAS KUESIONER INTENSI ORANG AWAM TERHADAP TINDAKAN RESUSITASI JANTUNG PARU
Authors: Fitri Eka Yulia 
Published: February 2025

Tujuan penelitian ini adalah mengukur ketepatan dan keandalan kuesioner intensi orang awam terhadap tindakan resusitasi jantung paru. Kuesioner terdiri dari 7 butir pertanyaan dalam bentuk skenario kasus dengan dua pilihan jawaban. Pengujian validitas setiap butir pertanyaan menggunakan korelasi Pearson product-moment dan pengujian konsistensi internal kuesioner menggunakan Cronbach's alpha. Sebanyak 34 orang awam menyelesaikan pengisian kuesioner. Karakteristik responden yaitu 97,06% berjenis kelamin perempuan, rata-rata skor pengetahuan adalah 14,2 (± SD 1,47), rata-rata skor sikap adalah 17,9 (± SD 1,79), dan 100% tidak pernah melakukan resusitasi jantung paru kepada korban henti jantung. Hasil analisis 7 butir pertanyaan mempunyai nilai koefisien korelasi lebih dari r-tabel (0,339; CI=95%) dan memiliki konsistensi internal α=0,871 (CI=95%). Kuesioner memiliki validitas yang akurat dan reliabilitas yang konsisten. Kuesioner ini dapat menjadi alat ukur yang valid dan andal untuk mengukur intensi orang awam terhadap tindakan resusitasi jantung paru.