bluuebunny/crossref_metadata_2025_split huggingface dataset:
THE ROLE OF LESSON PLAN AS AN EFFORT TO IMPROVE THE QUALITY OF TEACHERS IN TEACHING ENGLISH
Authors: Iskandar Yusuf 
Published: April 2024

This study is aimed to (1), determine the role of teaching English. (2) prove that the use of lesson plan give effect toward improvement of teacher’s quality in teaching, especially for teaching English. This study is a classroom action. The subject of this study is English teachers of SMA Negeri 5 Garut. Techniques of collecting datas are by using observation, interviews and documentations. The result of observation and interview with the English teachers in a public senior high school in Garut West Java that all English teachers have arranged and used the lesson plan, and obtained data, from the six English teachers who do not understand about the role of lesson plan are only 2 persons, while 4 other English teachers have understood the role of lesson plan in teaching English. But, in improving and implementation, it is constrained by several factors as I explain in the discussion. But, in practice, English teachers will effort with existing abilities and collaborate with other teachers to keep contributing the best services to students in accordance with syllabus and English teaching plan and teach based on the lesson plan that accordance to condition and student’s characters in the present and the future.So, from this study, we can take a conclusion that a lesson plan gives big effect in improving English teachers qualities especially teachers in n a public senior high school in Garut and others in general.

Keywords: lesson plan, teacher’s quality, teaching English
Clinical significance of anti-mutated citrullinated vimentin antibodies in rheumatoid arthritis patients
Authors: Hagras Amira , Mohasseb Dia , Taleb Raghda , Bastawi Rim , Elnemr Rehab 
Published: April 2024

BACKGROUND: Anti-mutated citrullinated vimentin (MCV) antibodies have recently been recommended as a better arthritis diagnostic marker. OBJECTIVES: To investigate the association between anti-MCV antibodies and the clinical, functional, and radiographic characteristics of rheumatoid arthritis (RA) patients. METHODS: This case-control study was conducted on 40 RA patients and 40 healthy subjects. All patients were subjected to an assessment of disease using the 28-joint DAS (DAS28) and Clinical Disease Activity Index (CDAI), function by HAQ-DI, physical activity by International Physical Activity Questionnaire (IPAQ), fatigue by Functional Assessment of Chronic Illness Therapy (FACIT), serological tests as well as anti-MCV Abs measurement. A plain X-ray of both hands and wrists was done. RESULTS: The anti-MCV Abs level was significantly higher in RA patients than in healthy controls (P< 0.001). The anti-MCV Abs had a significant positive correlation with DAS, CDAI, HAQ, RF, Anti-CCP, and CRP (P= 0.006, 0.013, 0.005, < 0.001, < 0.001and 0.041 respectively) and a significant negative correlation with FACIT (p= 0.007). Positive anti-MCV RA patients had significantly higher erosions, JSN, and a total sharp score. CONCLUSIONS: Anti-MCV Abs may contribute to poor physical activity and more fatigue in RA patients beyond their established role in disease activity and erosion.
Colonoscopy and Subsequent Risk of Parkinson’s Disease
Authors: Holtz Anna-Victoria , Fink Anne , Tamgüney Gültekin , Doblhammer Gabriele 
Published: April 2024

Background: Parkinson’s disease (PD) is caused by the misfolding and aggregation of α-synuclein in neurons into toxic oligomers and fibrils that have prion-like properties allowing them to infect healthy neurons and to be transmitted to animal models of PD by injection or oral exposure. Given α-synuclein fibrils’ potential transmission on the gut-brain axis, α-synuclein may be transmitted through colonoscopy procedures. Objective: This study examines a possible association between colonoscopy and PD. Methods: Longitudinal health insurance data of 250,000 individuals aged 50+ from 2004–2019 was analyzed. Cox proportional hazard and competing risk models with death as a competing event were estimated to calculate the risk of PD. Colonoscopy was categorized as never receiving colonoscopy, colorectal cancer (CRC) screening without or with biopsy, destruction or excision (BDE), and diagnostic colonoscopy without or with BDE. Results: We identified 6,422 new cases of PD among 221,582 individuals. The Cox model revealed a significantly increased risk of PD for patients who ever had a diagnostic colonoscopy without or with BDE (HR = 1.31; 95% CI: [ 1.23–1.40 ]; HR = 1.32 [ 1.22–1.42 ]) after adjustment for age and sex. After controlling for covariates and death, persons who ever underwent CRC screening had a 40% reduced risk of PD (CRHR = 0.60 [0.54–0.67]), while persons who underwent diagnostic colonoscopy had a 20% reduced risk of PD (CRHR = 0.81 [0.75–0.88]). Conclusions: Colonoscopy does not increase the risk of PD, after adjusting for death and covariates. Individuals who underwent only CRC screening had the lowest risk of PD, which may be a result of a more health-conscious lifestyle.
Identifikasi Faktor yang Mempengaruhi Kemiskinan di Papua dengan Principal Component Analysis
Authors: Ain Dzuria Hilma Qurotu , Kusuma Shalwa Oktavia , Zahrani Vista Vanadya , Suryono Alda Fuadiyah , Mardianto M. Fariz Fadillah , Amelia Dita , Ana Elly 
Published: April 2024

Penelitian ini bertujuan untuk menganalisis faktor-faktor kemiskinan terhadap pengentasan kemiskinan di Provinsi Papua. Metode yang digunakan yaitu Analisis Komponen Utama (AKU). Cakupan data yang digunakan dalam penelitian ini adalah data statistik kesejahteraan rakyat Provinsi Papua pada bulan Maret tahun 2021 yang diperoleh dari Badan Pusat Statistik (BPS). Hasil penelitian ini menunjukkan bahwa faktor-faktor yang mempengaruhi kemiskinan di Kabupaten dan Kota Provinsi Papua dapat dikategorikan menjadi tiga komponen yaitu Komponen 1 : “Pendidikan dan Kependudukan“, Komponen 2 : ”Fasilitas Imunisasi dan Penerangan”, serta Komponen 3 : “Fasilitas Teknologi dan Kesehatan”. Dengan demikian, penelitian ini bermanfaat bagi para pembuat kebijakan baik pemerintah pusat maupun daerah untuk memperhatikan faktor-faktor yang mempengaruhi terjadinya peningkatan kemiskinan di Provinsi Papua. Kemiskinan merupakan prioritas pada SDGs yang dinyatakan pada poin pertama yaitu no poverty (tanpa kemiskinan).
Model Pendidikan Inklusi di Pesantren Ainul Yakin Gunung Kidul
Authors: Muntakhib Ahmad , Ta'rif Ta'rif 
Published: April 2024

Children with special needs require special treatment in developing their potential, but parents and educational institutions, including pesantrens, are not aware of it. This special treatment requires an educational model that can provide comprehensive services to children with special needs. The accuracy of parents and pesantrens in understanding children, especially children with special needs, is the main key in determiningÂ curriculum and educational developed. One of the Islamic boarding schools that maintains and develops the potential of children with special needs is pesantren â€œAinul Yakinâ€ Islamic Boarding School. This pesantren tries to develop the potentials of children with special needs appropriately and efficiently. This paper seeks to reveal and understand why the Pesantren Ainul Yakin manages students from children with special needs, how does pesantren classify students from children with special needs, and how does Pesantren Ainul Yakin implement education students from children with special needs. This research is a qualitative research with a case study approach. Collecting research data by means of documentation, observation, and in-depth interviews. The research data were analyzed using the Miles and Hubberman model. This study shows that the Pesantren Ainul Yakin views children with special needs as special pearls and. Second, Pesantrens classify students into three groups, namely independent students, assisted students, and self-help students, the inclusive education model at the boarding school is based on the main activity of prayer.
CLIMA ORGANIZACIONAL: UMA PESQUISA NAS UNIDADES BÁSICAS DE SAÚDE NA CIDADE DE BRAGANÇA
Authors: Farias da Costa Natali Regina , Oliveira Gonçalves Gabriela , Corrêa de Mattos Carlos André 
Published: April 2024

O objetivo deste estudo é analisar o clima organizacional em Unidades Básicas de Saúde (UBS) na cidade de Bragança, no estado do Pará, Brasil. Para tanto, foi feita uma pesquisa, exploratória e descritiva, com 113 respondentes em cinco UBSs do município. Foram analisados 41 indicadores de clima organizacional distribuídos em nove dimensões: Apoio Logístico, Colaboração, Participação, Comunicação, Equidade, Satisfação no Trabalho, Valorização do Servidor, Compensação e Imagem Organizacional. Os dados foram tratados quantitativamente na forma de distribuição de frequências, cálculo de porcentagens, análise de correlações de Pearson e coeficiente alpha de Cronbach. Os resultados evidenciaram bom clima organizacional, tendo as dimensões Imagem das Organizações, Colaboração e Apoio Logístico como aspectos que mais contribuem para melhorar o clima organizacional, e a Compensação, expressa na forma de salários e benefícios, a que menos contribui. Nesse sentido, sugerem-se ações de monitoramento para manter a avaliação positiva do clima organizacional e aprimorar formas de remuneração e benefícios.
Palavras-Chave: Gestão da saúde. Clima organizacional. Gestão de pessoas. Comportamento organizacional.

Abstract: The aim of this study was to analyze the organizational climate in Basic Health Units (BHUs) in the city of Bragança, in the Pará state, Brazil. To this end, an exploratory and descriptive survey was carried out with 113 respondents at five UBSs in the municipality. A total of 41 organizational climate indicators were analyzed, divided into nine dimensions: Logistical Support, Collaboration, Participation, Communication, Equity, Job Satisfaction, Employee Appreciation, Compensation and Organizational Image. The data was treated quantitatively in the form of frequency distribution, calculation of percentages, Pearson's correlation analysis and Cronbach's alpha coefficient. The results showed a good organizational climate, with the dimensions of Organizational Image, Collaboration and Logistical Support being the aspects that contribute most to improving the organizational climate, and Compensation, expressed in the form of salaries and benefits, contributing the least. In this sense, monitoring actions are suggested to maintain the positive assessment of the organizational climate and improve forms of remuneration and benefits.
Keywords: Health management. Organizational climate. People Management. Organizacional behavior.
Teaching of English Language Expressive Skills and Communicative Competence. A comparative Study of Secondary Schools in Nairobi City County, Kenya.
Authors: Kimamo Damaris Wambui , Gathara Peter 
Published: April 2024

Language is important for communication to take place. In order for different countries in the world to communicate, there is a need for a common language. One of the internationally accepted languages of communication is English. Thus, the government of Kenya has come up with policies that ensure that at the end of secondary school, students are able to communicate competitively using the English language. However, there has been a worrying concern from both employers and educationists that the employees and graduates, respectively, have poor English language skills. The aim of this study was to establish the existing gaps between stated government policies on the teaching of English in secondary schools in Kenya on one hand and on the other the actual school practices during the implementation of these policies. This study was based on structural functionalism theory by Durkheim. It adopteddescriptive research design which was carried out in public secondary schools in Nairobi County. The study had a target population of 480 from 60 Schools which included: the heads of English department and teachers of English. The study employed purposive sampling where the schools’ Heads of English Department (HODs) and teachers of English were purposively sampled into 62 respondents composed of 8 HODs and 56 teachers. Questionnaires and observation checklists were used to collect data. To assess the validity of instruments, the results of the pilot study conducted were analyzed and used to modify and remove ambiguous items on the instruments used in the study. Its reliability was established using the test-retest method. Data was analyzed both qualitatively and quantitatively. The qualitative data was grouped into different categories depending on the responses given by the respondents. Those categories helped in establishing themes. Through the use of the statistical package for social sciences (SPSS) program, quantitative data was analyzed using descriptive statistics percentages, frequencies, and tables where appropriate. The Key finding in this study was that all the government policies on teaching of English were not being fully implemented as required. The study recommended: that teachers of English access regular professional development programs to enhance their teaching and acquire skills to enable them overcome some of the challenges they were facing during teaching; The Kenya National Examination council (KNEC) to come up with an oral exam and a listening exam to help students achieve communication competence in English.
Estimated pulse wave velocity as a predictor of all-cause and cardiovascular mortality in patients with hypertension in China: a prospective cohort study
Authors: Shi Yumeng , Yu Chao , Zhou Wei , Wang Tao , Zhu Lingjuan , Bao Huihui , Li Ping , Cheng Xiaoshu 
Published: April 2024

BackgroundWhether the estimated pulse wave velocity (ePWV) in Chinese patients with hypertension can serve as an independent predictor of cardiovascular and all-cause mortality remains unknown. Therefore, this study investigated the associations between ePWV and cardiovascular and all-cause mortalities and explored potential effect modifiers influencing these relationships. Finally, we compared the ePWV with the brachial-ankle pulse wave velocity (baPWV) to determine which parameter better predicts mortality.MethodsThe population of this longitudinal cohort study was selected from the China H-type Hypertension Registry Study. The exposure and outcome variables were ePWV and all-cause and cardiovascular mortalities, respectively. The Cox proportional hazard regression model was applied to assess the associations between ePWV and all-cause and cardiovascular mortalities. The performances of ePWV and baPWV in predicting death were compared using the receiver operating characteristic (ROC) curve area, net reclassification improvement index (NRI), and integrated discrimination improvement index (IDI).ResultsThis prospective study enrolled 14,232 patients with hypertension. Following an average follow-up of 48 months, 806 individuals succumbed to all-cause mortality, with 397 cases specifically attributed to cardiovascular diseases. The Cox proportional regression analysis revealed a significant association between a 1 m/s increase in ePWV and a 37% higher risk of all-cause mortality (hazard ratio [HR]: 1.37, 95% confidence interval [CI]: 1.31–1.43) as well as a 52% higher risk of cardiovascular mortality (HR: 1.52, 95% CI: 1.43–1.62) in the fully adjusted model. The findings for ePWV according to quartile demonstrated hazard ratios for all-cause mortality for Q2 (10.25 &lt; ePWV &lt; 11.32), Q3 (11.32 &lt; ePWV &lt; 12.40), and Q4 (ePWV ≥ 12.40) of 1.50 (HR: 1.50, 95% CI: 1.07–2.10), 2.34 (HR: 2.34, 95% CI: 1.73–3.18), and 4.09 (HR: 4.09, 95% CI: 3.05–5.49), respectively, compared with Q1 (ePWV &lt; 10.25). The risk of cardiovascular death also increased in proportion to the rise in ePWV. The results of the area under the ROC curve, NRI, and IDI all indicated that ePWV outperformed baPWV in predicting mortality. The results of the subgroup analysis demonstrated that body mass index (BMI) and hypoglycemic drug use modified the association between ePWV and mortality.ConclusionsThe performance of ePWV in predicting all-cause and cardiovascular mortalities was superior to that of baPWV alone. Patients who were overweight or obese with higher ePWV values exhibited a significantly increased risk of all-cause death. The correlation between elevated ePWV and the risk of cardiovascular death was more pronounced in patients who had not received hypoglycemic drugs.
Causal relationship between thyroid dysfunction and gastric cancer: a two-sample Mendelian randomization study
Authors: Zhang Qi , Mu Yongliang , Jiang Xin , Zhao Yirui , Wang Qiutao , Shen Zhen 
Published: April 2024

BackgroudGastric cancer is one of the most common cancers worldwide, and its development is associated with a variety of factors. Previous observational studies have reported that thyroid dysfunction is associated with the development of gastric cancer. However, the exact relationship between the two is currently unclear. We used a two-sample Mendelian randomization (MR) study to reveal the causal relationship between thyroid dysfunction and gastric cancer for future clinical work.Materials and methodsThis study is based on a two-sample Mendelian randomization design, and all data are from public GWAS databases. We selected hyperthyroidism, hypothyroidism, free thyroxine (FT4), and thyroid-stimulating hormone (TSH) as exposures, with gastric cancer as the outcome. We used three statistical methods, namely Inverse-variance weighted (IVW), MR-Egger, and weighted median, to assess the causal relationship between thyroid dysfunction and gastric cancer. The Cochran’s Q test was used to assess the heterogeneity among SNPs in the IVW analysis results, and MR-PRESSO was employed to identify and remove IVs with heterogeneity from the analysis results. MR-Egger is a weighted linear regression model, and the magnitude of its intercept can be used to assess the horizontal pleiotropy among IVs. Finally, the data were visualized through the leave-one-out sensitivity test to evaluate the influence of individual SNPs on the overall causal effect. Funnel plots were used to assess the symmetry of the selected SNPs, forest plots were used to evaluate the confidence and heterogeneity of the incidental estimates, and scatter plots were used to assess the exposure-outcome relationship. All results were expressed as odds ratios (OR) and 95% confidence intervals (95% CI). P&lt;0.05 represents statistical significance.ResultsAccording to IVW analysis, there was a causal relationship between hypothyroidism and gastric cancer, and hypothyroidism could reduce the risk of gastric cancer (OR=0.936 (95% CI:0.893-0.980), P=0.006).This means that having hypothyroidism is a protective factor against stomach cancer. This finding suggests that hypothyroidism may be associated with a reduced risk of gastric cancer.Meanwhile, there was no causal relationship between hyperthyroidism, FT4, and TSH and gastric cancer.ConclusionsIn this study, we found a causal relationship between hypothyroidism and gastric cancer with the help of a two-sample Mendelian randomisation study, and hypothyroidism may be associated with a reduced risk of gastric cancer, however, the exact mechanism is still unclear. This finding provides a new idea for the study of the etiology and pathogenesis of gastric cancer, and our results need to be further confirmed by more basic experiments in the future.
Development and validation of a risk nomogram model for predicting peripheral neuropathy in patients with type 2 diabetes mellitus
Authors: Luo Lingguang , Long Xinping , Cheng Cheng , Xu Qian , Li Jing 
Published: April 2024

ObjectiveDiabetic peripheral neuropathy frequently occurs and presents severely in individuals suffering from type 2 diabetes mellitus, representing a significant complication. The objective of this research was to develop a risk nomogram for DPN, ensuring its internal validity and evaluating its capacity to predict the condition.MethodsIn this retrospective analysis, Suqian First Hospital’s cohort from January 2021 to June 2022 encompassed 397 individuals diagnosed with T2DM. A random number table method was utilized to allocate these patients into two groups for training and validation, following a 7:3 ratio. By applying univariate and multivariable logistic regression, predictive factors were refined to construct the nomogram. The model’s prediction accuracy was assessed through metrics like the ROC area, HL test, and an analysis of the calibration curve. DCA further appraised the clinical applicability of the model. Emphasis was also placed on internal validation to confirm the model’s dependability and consistency.ResultsOut of 36 evaluated clinicopathological characteristics, a set of four, duration, TBIL, TG, and DPVD, were identified as key variables for constructing the predictive nomogram. The model exhibited robust discriminatory power, evidenced by an AUC of 0.771 (95% CI: 0.714-0.828) in the training cohort and an AUC of 0.754 (95% CI: 0.663-0.845) in the validation group. The congruence of the model’s predictions with actual findings was corroborated by the calibration curve. Furthermore, DCA affirmed the clinical value of the model in predicting DPN.ConclusionThis research introduces an innovative risk nomogram designed for the prediction of diabetic peripheral neuropathy in individuals suffering from type 2 diabetes mellitus. It offers a valuable resource for healthcare professionals to pinpoint those at elevated risk of developing this complication. As a functional instrument, it stands as a viable option for the prognostication of DPN in clinical settings.