bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Scope of Virtual Reality Simulators in Radiology Education: Systematic Literature Review
Authors: Shetty Shishir , Bhat Supriya , Al Bayatti Saad , Al Kawas Sausan , Talaat Wael , El-Kishawi Mohamed , Al Rawi Natheer , Narasimhan Sangeetha , Al-Daghestani Hiba , Madi Medhini , Shetty Raghavendra 
Published: May 2024

Abstract

Background
In recent years, virtual reality (VR) has gained significant importance in medical education. Radiology education also has seen the induction of VR technology. However, there is no comprehensive review in this specific area. This review aims to fill this knowledge gap.

Objective
This systematic literature review aims to explore the scope of VR use in radiology education.

Methods
A literature search was carried out using PubMed, Scopus, ScienceDirect, and Google Scholar for articles relating to the use of VR in radiology education, published from database inception to September 1, 2023. The identified articles were then subjected to a PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses)–defined study selection process.

Results
The database search identified 2503 nonduplicate articles. After PRISMA screening, 17 were included in the review for analysis, of which 3 (18%) were randomized controlled trials, 7 (41%) were randomized experimental trials, and 7 (41%) were cross-sectional studies. Of the 10 randomized trials, 3 (30%) had a low risk of bias, 5 (50%) showed some concerns, and 2 (20%) had a high risk of bias. Among the 7 cross-sectional studies, 2 (29%) scored “good” in the overall quality and the remaining 5 (71%) scored “fair.” VR was found to be significantly more effective than traditional methods of teaching in improving the radiographic and radiologic skills of students. The use of VR systems was found to improve the students’ skills in overall proficiency, patient positioning, equipment knowledge, equipment handling, and radiographic techniques. Student feedback was also reported in the included studies. The students generally provided positive feedback about the utility, ease of use, and satisfaction of VR systems, as well as their perceived positive impact on skill and knowledge acquisition.

Conclusions
The evidence from this review shows that the use of VR had significant benefit for students in various aspects of radiology education. However, the variable nature of the studies included in the review reduces the scope for a comprehensive recommendation of VR use in radiology education.
A Reliable and Accessible Caregiving Language Model (CaLM) to Support Tools for Caregivers: Development and Evaluation Study
Authors: Parmanto Bambang , Aryoyudanta Bayu , Soekinto Timothius Wilbert , Setiawan I Made Agus , Wang Yuhan , Hu Haomin , Saptono Andi , Choi Yong Kyung 
Published: May 2024

Background
In the United States, 1 in 5 adults currently serves as a family caregiver for an individual with a serious illness or disability. Unlike professional caregivers, family caregivers often assume this role without formal preparation or training. Thus, there is an urgent need to enhance the capacity of family caregivers to provide quality care. Leveraging technology as an educational tool or an adjunct to care is a promising approach that has the potential to enhance the learning and caregiving capabilities of family caregivers. Large language models (LLMs) can potentially be used as a foundation technology for supporting caregivers. An LLM can be categorized as a foundation model (FM), which is a large-scale model trained on a broad data set that can be adapted to a range of different domain tasks. Despite their potential, FMs have the critical weakness of “hallucination,” where the models generate information that can be misleading or inaccurate. Information reliability is essential when language models are deployed as front-line help tools for caregivers.

Objective
This study aimed to (1) develop a reliable caregiving language model (CaLM) by using FMs and a caregiving knowledge base, (2) develop an accessible CaLM using a small FM that requires fewer computing resources, and (3) evaluate the model’s performance compared with a large FM.

Methods
We developed a CaLM using the retrieval augmented generation (RAG) framework combined with FM fine-tuning for improving the quality of FM answers by grounding the model on a caregiving knowledge base. The key components of the CaLM are the caregiving knowledge base, a fine-tuned FM, and a retriever module. We used 2 small FMs as candidates for the foundation of the CaLM (LLaMA [large language model Meta AI] 2 and Falcon with 7 billion parameters) and adopted a large FM (GPT-3.5 with an estimated 175 billion parameters) as a benchmark. We developed the caregiving knowledge base by gathering various types of documents from the internet. We focused on caregivers of individuals with Alzheimer disease and related dementias. We evaluated the models’ performances using the benchmark metrics commonly used in evaluating language models and their reliability for providing accurate references with their answers.

Results
The RAG framework improved the performance of all FMs used in this study across all measures. As expected, the large FM performed better than the small FMs across all metrics. Interestingly, the small fine-tuned FMs with RAG performed significantly better than GPT 3.5 across all metrics. The fine-tuned LLaMA 2 with a small FM performed better than GPT 3.5 (even with RAG) in returning references with the answers.

Conclusions
The study shows that a reliable and accessible CaLM can be developed using small FMs with a knowledge base specific to the caregiving domain.
PROFIL PASIEN OTITIS MEDIA SUPURATIF KRONIS (OMSK) DI POLIKLINIK THT-KL RSUD KABUPATEN BULELENG TAHUN 2020-2022
Authors: Putra Agus Bayu Dianindra 
Published: May 2024

Otitis media supuratif kronis (OMSK) adalah infeksi kronis di telinga tengah dengan adanya perforasi membran timpani dan sekret yang keluar dari telinga tengah terus menerus atau hilang timbul. OMSK ditandai dengan munculnya cairan dari telinga (otorrhea) berulang atau persisten selama 2 minggu hingga 3 bulan melalui perforasi membran timpani. Penyakit ini menyerang 65–330 juta orang di seluruh dunia, terutama di negara berkembang. Gejala klinis OMSK antara lain otorrhea yang bersifat purulen atau mukoid, terjadi gangguan pendengaran, otalgia, tinitus, rasa penuh di telinga, dan kadang-kadang vertigo. Jenis penelitian ini adalah penelitian yang menggunakan rancangan deskriptif retrospektif dengan mengambil data sekunder dari catatan rekam medis pasien OMSK yang berobat ke poliklinik RSUD Kabupaten Buleleng periode Januari 2020-Desember 2022. Penelitian ini diambil dengan menggunakan teknik total sampling, di mana seluruh pasien yang datang ke poliklinik THT-KL RSUD Kabupaten Buleleng tahun 2020- 2022 yang memenuhi kriteria inklusi yakni memiliki data rekam media yang lengkap didapatkan data sebanyak 32 orang. Penelitian ini bertujuan untuk mengetahui profil pasien OMSK berdasarkan usia, jenis kelamin, keluhan utama, tipe OMSK, sisi telinga yang terdampak, berdasarkan terapi dan jenis antibiotik sistemik . Profil pasien OMSK berdasarkan usia terbanyak pada kelompok usia 41-60 tahun sebanyak 17 orang atau 53%, berdasarkan jenis kelamin mayoritas diderita berjenis kelamin perempuan sebanyak 19 orang (59,375%), berdasarkan keluhan utama tertinggi dengan keluhan otorrhea yaitu sebanyak 25 orang (78,125%), berdasarkan jenis OMSK tipe benigna merupakan jenis yang paling banyak diderita yaitu 28 orang (78,125%), profil OMSK berdasakan sisi yang terdampak terbanyak pada sisi unilateral 28% atau 87,5%, berdasarkan jenis terapi terbanyak yaitu dengan medikamentosa dengan toilet telinga dikombinasikan dengan antibiotik topikal dan antibiotik sistemik, sedangkan profil berdasarkan jenis antibiotik sistemik terbanyak dengan ciprofloxacin sebanyak 15 orang atau 46,875%
Habituation of News Text Writing Skills in Elementary Schools through the Journalism Extracurricular Program
Authors: Hendrastuti Mutiara , Rahmawati Fitri Puji 
Published: May 2024

This research aims to analyze journalism extracurricular programs that can develop elementary school student's ability to write news texts. The research used descriptive qualitative methods with a case study strategy. The informants for this research were advisors, class teachers, and students. The results of the research showed that in the planning there is a school principal as the program compiler, the journalism extracurricular advisor have to master 5W+1H and create subject designs; the implementation of the journalism extracurricular program was done using the 5W+1H technique, and the observe, imitate, and modifications technique; the impact of implementing extracurricular journalism programs on students' writing skills increases as shown in their paragraph writing; The obstacles experienced were support from parents, learning motivation, student characteristics; and the solution used is to evaluate student progress at the end of the learning process via the WhatsApp group and accommodate learning styles.. The implications of the results of this research include: 1) school principals can make journalism extracurricular programs into mandatory programs and parents are involved in journalistic activities 2) teachers have to have journalistic skills, and 3) students have to write fluently or participate in journalistic activities more enthusiastically.
Impacts of riverbed aggradation on groundwater regime in a lowland area
Authors: Bara Márta Koczka , Dulovičová Renáta , Velísková Yvetta , Farkas Csilla 
Published: May 2024

Abstract
In this study, the influence of riverbed silting on the groundwater regime in a lowland area was investigated. The study area is situated at the Rye Island (Žitný Ostrov) in Slovakia, along the Gabčíkovo – Topoľníky canal, which is part of the drainage-irrigation canal system constructed in this locality. The Rye Island is an area with very low slope (0.25 10–4) and good climatic conditions for aquatic vegetation, therefore the canals are influenced by intensive silting processes. The spatial and temporal patterns of surface water – groundwater exchange are significantly influenced by the thickness of riverbed sediments and their permeability. The aim of this study was to evaluate the thickness and hydraulic conductivity of bed sediments in the Gabčíkovo – Topoľníky canal and to examine their influence on the groundwater – surface water interaction in the area. The hydraulic conductivity of the sediments was assessed from undisturbed samples by the falling head method. The obtained data were used for numerical simulations of groundwater heads by the TRIWACO model for different drainage and infiltration resistance conditions in the area of interest. The results of this study can support the planning of canal maintenance.
Prediction of shear stress distribution in compound channel with smooth converging floodplains
Authors: Kaushik Vijay , Kumar Munendra 
Published: May 2024

Abstract
Climate change can have a profound impact on river flooding, leading to increased frequency and severity of floods. To mitigate these effects, it is crucial to focus on enhancing early warning systems and bolstering infrastructure resilience through improved forecasting. This proactive approach enables communities to better plan for and respond to flood events, thereby minimizing the adverse consequences of climate change on river floods. During river flooding, the channels often take on a compound nature, with varying geometries along the flow length. This complexity arises from construction and agricultural activities along the floodplains, resulting in converging, diverging, or skewed compound channels. Modelling the flow in these channels requires consideration of additional momentum transfer factors. In this study, machine learning techniques, including Gene Expression Programming (GEP), Artificial Neural Networks (ANN), and Support Vector Machines (SVM), were employed. The focus was on a compound channel with converging floodplains, predicting the shear force carried by the floodplains in terms of non-dimensional flow and hydraulic parameters. The findings indicate that the proposed ANN model outperformed GEP, SVM, and other established approaches in accurately predicting floodplain shear force. This research underscores the efficacy of utilizing machine learning techniques in the examination of river hydraulics.
Effect on the splenocyte function of weaned piglets induced by continuous lipopolysaccharide injections
Authors: Yang Tingyu , Zhao Guotong , Zhu Wenlu , Yu Wanting , Jiang Yijie , Zhou Yunxiao , Li Yong 
Published: May 2024

Abstract

Introduction
When piglets are exposed to pathogens for a long period, the immune system organs, among them the spleen, play a major role in combating the stress caused by those pathogens. In the present study, the effect on splenocyte function was investigated in a model of weaned piglets in which stress was induced by multiple low doses of lipopolysaccharide (LPS).

Material and Methods
Forty-eight 28-day-old piglets were divided into two groups: the LPS group and the control group. During the experimental period of thirteen days, the LPS group was intraperitoneally injected with LPS (100 μg/kg) once per day, and the control group was injected with the same volume of 0.9% sterile saline. On the 1st, 5th, 9th and 13th days, the piglets’ spleens were collected for isolating splenocytes. The proliferation ability of splenocytes was evaluated by the cell-counting-kit 8 method. Flow cytometry was used to detect cell cycle stage and apoptosis, and the nitric oxide level of cell supernatant was also tested.

Results
In the experimental group, the proliferation ability of splenocytes was enhanced, the proportion of cells in the G0/G1 phase was smaller, and cells were promoted to the S and G2/M phases. Meanwhile, apoptosis was suppressed and nitric oxide release upregulated. The results were significantly different between the LPS group and the control group on the 5th and 9th days.

Conclusion
The difference between the results of one group and those of the other suggest that after the 5th LPS injection, multiple low doses of LPS activated splenocytes and restored the number of splenocytes, which maintained and possibly enhanced the regulation of the immune function of the spleen.
‘The Iron Curtain did not dissolve very well’: Reflections on EU Citizenship from CEE peripheralised perspectives
Authors: Pates Rebecca 
Published: May 2024

Abstract
Peripheralisation is determined in socio ‑demographic, economic, political and identitarian factors. It is, many say, by definition, characterised by a willingness to migrate, in particular among the younger generations. European citizenship comes with the right to migrate – to relocate, to work and to be treated as equals in many respects to the local citizenry. In this research paper, I explicate the results of twenty interviews in six CEE countries with 7 th ‑graders who were asked what they thought of European citizenship. Those who knew what this is give widely divergent answers, but there are two dominant themes running through their perspectives: they do not feel great affection for the EU, and whilst willing to migrate, they do not appreciate the need to do so. Thus, they feel the EU does not live up to its promises to deliver equality for all Europeans. One explanation they give for this is that ‘the Iron Curtain did not dissolve very well’: the burden of history is acutely experienced.
Not in my House: EU-citizenship among East-Central European Citizens: Comparative Analyses
Authors: Pickel Gert , Pickel Susanne 
Published: May 2024

Abstract
The successes of right -wing populist parties in Central and Eastern Europe, as well as a repeated distancing from the European Union, raise the question of whether there is such a thing as European citizenship at all. Citizenship is not understood as formal nationality, but as a sense of belonging. This ties in with the considerations of political cultural research. This article uses representative surveys to address the question: What about European Citizenship in Central and Eastern Europe? The results show that the feeling of belonging to the European Union in Eastern and Central Europe is better than its reputation and not lower than in Western Europe. However, there are differences in the recognition of plurality between the majority (not all) of Eastern European states compared to the majority of Western European states. In particular, the integration of Muslims is more strongly rejected. The same applies to the social acceptance of homosexuality. This partly explains the success of right -wing populists in Central and Eastern Europe and marks a certain cultural difference, which is primarily directed against a wet model of democracy that is considered too open to plurality. In short: Central and Eastern Europeans also see themselves as Europeans and EU members, but their ideas of a European democracy differ from Western ideas – especially in peripheral regions.
US-Visegrad Realities in Biden’s World of Democracies
Authors: Rada Peter 
Published: May 2024

Abstract
The ‘liberal world order’ can be considered as an historic exception in the history of ‘realist anarchy’ of international relations. This exception is the result of many factors and it has been significantly influenced by the power of the United States. Thus, the agenda of the world order can be analysed in the context of American foreign policy. The place of Central Europe – and in the Visegrad countries – can be analysed in this frame. This approach elaborates the basis for further inquiries also of the Central European-American relations but here the goal is to understand the place of the Visegrad countries in the context of the American led liberal world order. The goal of this study is to theorise the world order, and to identify the role of the United States and the place of the Visegrad countries in it. Furthermore, the study tries to draw theoretic conclusions in the light of the ‘Biden doctrine’ – which is theoretically coherent with the liberal characteristic of the order – to the Visegrad-US relations.
Factors Affecting International Tourist’s Revisit Intention in Vietnamese Tourist Destinations
Authors: Huong Kieu Thu , Trang Bui Thi Quynh , Phuong Tran Minh 
Published: May 2024

Objective: The study focuses on analyzing and identifying the factors affecting the international tourist’s revisit intention in Vietnamese tourist destinations.

Theoretical Framework: Through a literature review, the study approached the integration of the theory of planned behavior (Ajzen, 1991) with the perspective of Ego involvement (Zaickhowsky, 1985) to identify 6 groups of factors affecting the international tourist’s revisit intention in Vietnamese tourist destinations.

Method: Following collection, the data are cleaned, and SPSS software is used to evaluate the data for appropriateness, dependability, and EFA analysis to test the study model's relationships.

Results and Discussion: The research results show that the 6 factors are divided into two groups: the group related to destination brand has the highest structural path coefficient (0.655) and the group related to perceived quality has the highest structural path coefficient. lower structure (0.186).

Research Implications: Research results implication that State tourism management agencies and tourism businesses need to work closely with local residents to build a brand of Vietnamese destinations worthy of the wealth of landscape, culture and tourism values to change the minds and intentions of international visitors to Vietnam's tourist destination

Originality/Value: Besides using the TPB model (Ajzen, 1981) in research on behavioral intentions, the new point of this research is the integrated use of the theory of the perspective of Ego-involvement (Zaickhowsky, 1985) to recognize Identify factors affecting international tourists' intention to return to Vietnamese tourist destinations.
HR KAO BIZNIS PARTNER U POSLOVANJU
Authors: Fodor Stošović Kristina 
Published: May 2024

Cilj ovog istraživanje bio je ispitati razumevanja uloge HR-a kao biznis partnera u preduzeću X, među širom populacijom, ne samo HR stručnjaka, izazove sa kojima se susreće i mogućnostima koje se pružaju. Posmatran je Ulrich-ov model iz 1997. godine koji podrazumeva četiri uloge HR-a (strateška, adminis­trativna, agent promene i šampion zaposlenih) i pokušalo se utvrditi koliko danas postoji razumevanje ovakve uloge HR-a u posmatranom preduzeću, koja uloga je domi­nantno prepoznata od strane ispitanika kao najbolja, a koja kao najlošija i gde se otvara prostor za unapređenje rada HR funkcije. Istraživanjem je obuhvaćeno 38 zaposlenih. Dobijeni rezultati pokazali su da zaposleni generalno vide HR kao biznis partnera. Najlošije je ocenjena uloga Šampiona zaposlenih, dok je uloga Administrativni Ekspert najbolje ocenjena.
Perbandingan Analisis Capwave Dengan Metode Hukum Kasus Dari Hasil Pengujian Daya Dukung Pondasi Bore Pile Dengan Pda Test (Studi Kasus Proyek Jembatan Ciloseh Kota Tasikmalaya)
Authors: Defiana Yanti , Sumarno Wahyu , Pujiana Sandi 
Published: May 2024

Every building must have a foundation as well as the Ciloseh bridge in Tasikmalaya City which is currently still being built. The construction of the Ciloseh bridge with a deep foundation type is carried out in order to be able to withstand large loads on the bridge, to ensure the integrity of the bridge when it is used, the foundation testing is carried out with a Pile Driving Analyzer with reference to the HSDP or ASTM D-4945 standard to confirm the carrying capacity of the plan of 800 tons per mast. The foundation poles tested included P2, P3 as many as two poles and P4 one pole. This study is intended to compare the results of the CAPWAVE analysis with the case law method of testing the foundation pole with the PDA TEST. The method used in this study is to compare the results of the CAPWAVE analysis and the case law method from the results of the PDA TEST on the Ciloseh bridge project in Tasikmalaya City.
Then the results of the PDA TEST related to the carrying capacity of the pole analyzed with CAPWAVE Software were compared with the calculation results of the case law method, which gave values of 907.59 tons (P2-12), 873.35 tons (P2-26), 875.15 tons (P3 – 14) 955.87 tons (P3 – 17) 692.94 tons (P4 – 5) with the case law method while the test results with CAPWAVE analysis gave a value of 899.3 tons (P2 – 12), 855.3 tons (P2 – 26), 1000 tons (P3 – 14), 1221 tons (P3 – 17), 738 tons (P4 – 5).