bluuebunny/crossref_metadata_2025_split huggingface dataset:
Peningkatan Ketuntasan Hasil Belajar Matematika dengan Media Modul Siswa kelas XI Multi Media
Authors: Yefri Saldi Yefri 
Published: May 2024

Penelitian tindakan kelas merupakan suatu pencermatan terhadap kegiatan belajar berupa sebuah tindakan, yang sengaja dimunculkan dan terjadi dalam sebuah kelas secara bersama, Tindakan tersebut diberikan oleh guru atau dengan arahan dari guru yang dilakukan oleh siswa. Setelah dilakukan penelitian tindakan kelas, maka dari hasil observasi dan hasil refleksi dapat diambil kesimpulan bahwa pada pembelajaran Matematika dengan media modul mampu meningkatkan hasil belajar siswa. Hal ini terbukti dengan adanya peningkatan nilai rata-rata dan ketuntasan siswa pada siklus I, dimana hasil belajar siswa pada siklus I mencapai rata-rata 65. Nilai rata-rata kelas yang diperoleh pada siklus II adalah 75 yang artinya telah mencapai KKM pada mata pelajaran matematika yakni ≥ 70. Sedangkan untuk ketuntasan individual pada siklus II telah mencapai 84,37%, maka penelitian ini bisa dikatakan berhasil dan mampu meningkatkan hasil belajar siswa
УДОСКОНАЛЕНА МЕТОДИКА ОЦІНЮВАННЯ ЖИВУЧОСТІ АРТИЛЕРІЙСЬКИХ ПІДРОЗДІЛІВ У НАСТУПАЛЬНОМУ БОЮ
Authors: Кондратенко Євгеній 
Published: May 2024

Аналіз застосування військових формувань артилерії показав, що у практиці ведення бойових дій артилерійськими підрозділами під час вогневої підтримки в наступальному бою виникла суперечність за чинником часу. З одного боку, існує потреба в максимізації тривалості вогневого нальоту для досягнення планованої результативності вогневої підтримки в наступальних діях, а з іншого – в мінімізації перебування артилерійських підрозділів на закритих вогневих позиціях після відкриття вогню в ході виконання завдань з вогневої підтримки. Одним із ключових методів вирішення цієї суперечності в теорії військового управління є аналітико-стохастичне моделювання з використанням теорії марковських випадкових процесів із безперервним часом. У статті удосконалено методику оцінювання живучості артилерійських підрозділів. За основу удосконалення обрано методи прогнозування показників живучості артилерійських підрозділів, що спираються метод моделювання за схемою марковських процесів, а також відомі залежності у теорії стрільби наземної артилерії. Важливою для практики є можливість застосування запропонованої удосконаленої методики для обґрунтування рекомендацій щодо забезпечення живучості артилерійських підрозділів під час ведення наступального бою.
L’opulence des mains vides
Authors: de Saint-Cheron Jean 
Published: May 2024

Exprimé à quarante ans de distance par sainte Thérèse de Lisieux et Georges Bernanos, le paradoxe des mains vides est double : les mains du serviteur de Dieu sont dites vides parce qu’elles ont tout donné ; mais, étant vidées, elles font aussi toute la richesse de leur propriétaire.
Expérimenter la transition socio-écologique dans les territoires urbains : les trajectoires différenciées de deux communes du Grand Paris
Authors: Blanc Nathalie , Gallez Caroline , Genest Éléonore , Antolinos-Basso Diego , Chiche Jean , Rochard Hugo 
Published: May 2024

Depuis les années 2010, des initiatives de la société civile se déploient dans les domaines de l’environnement et de l’économie sociale et solidaire. Elles constituent un ensemble hétérogène de collectifs qui se saisissent de problématiques socio-environnementales dont les porteurs estiment qu’elles sont insuffisamment prises en charge par les pouvoirs publics. Les actions engagées sont diverses : amélioration du cadre de vie, protection de l’environnement, alimentation saine, recyclage, réemploi, mobilités douces, énergie renouvelable. Au-delà de leurs spécificités, il s’agit de comprendre à quel type de transformation socio-écologique ces mobilisations participent. Dans cet article, nous analysons la manière dont ces collectifs, en adressant de manière conjointe les problématiques sociales et environnementale et en proposant des expérimentations collectives de changement des pratiques du quotidien offrent des capacités de résistance ou esquissent des propositions alternatives aux régimes sociotechniques, politiques et économiques dominants. Pour ce faire, nous nous appuyons sur les cas de deux communes du Grand Paris, Clamart et Ivry-sur-Seine.
The Transmission of the Pastoral Mode in Sarah Hall’s Haweswater (2002)
Authors: Pompié Constance 
Published: May 2024

Literary scholars have argued that the return of the pastoral mode in contemporary literature is sparked by the environmental crisis (Lilley 29). Such a return is a testimony to the adaptability and reflexivity of this literary tradition. I argue that Sarah Hall transforms and reconfigures the pastoral mode so as to transfer it to the present and adapt it to contemporary environmental concerns. Haweswater presents the reader with a pastoral setting that is far from idyllic as the narrative depicts the flooding of a Lake District valley to enable the construction of a dam designed to provide the city of Manchester with water. Far from the escapism and idealisation pastoral has long been accused of (Sales 17), this novel offers a powerful and complex representation of how the pastoral tradition and contemporary concerns for the destruction of the environment intersect. Hall borrows some characteristics of Terry Gifford’s ‘post-pastoral’ (Gifford 3) to put into perspective the social, political and environmental consequences of exploiting nature and the non-human entities that inhabit it.
Vita Sackville-West’s Botanical Transmissions: From Green Words of Advice in The Observer to Rhizomatic Networks
Authors: Laburthe-Tolra Clémence 
Published: May 2024

‘You really are a public benefactor’, Vita Sackville-West was told in 1951 by her editor from the Observer after he read some of the letters she received following up the weekly horticultural columns she wrote between 1946 and 1961. Drawing on these botanical articles, I wish to highlight how Sackville-West circulated her own ‘gardening philosophy » through the press, ultimately claiming her ‘territory’ compared to other gardening correspondents. Transmitting botanical knowledge stemmed from her own experiments in the gardens of Long Barn and Sissingurst, Kent. Such practicality reveals a humble approach: not only did Sackville-West embrace being an amateur, but she also aimed at reaching out to anyone interested in botany. Ultimately, I intend to underline how Sackville-West seeded networks of transmission and knowledge through her chronicles. Not only did she sometimes call for the reader’s advice and open her garden to visitors, but transmission became truly reciprocal as she was sent material by her readers, be it seeds, pieces of advice, or gardening reports.
Study of the lipid and lipoprotein activity in various grades of untreated hypertension
Authors: Bansal Shivani , Kumar Ashok , Wani Tanzeel , Tyagi Tanuraj 
Published: May 2024

Introduction:
Hypertension is an important medical and public health problem both in developed and developing countries. Abnormalities in serum lipid levels (dyslipidemia) are recognized as a major risk factor for cardiovascular disease (CVD) and essential hypertension. Lipid profile is earliest marker for coronary heart disease and includes total cholesterol (TC), high-density lipoprotein-cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), and very LDL (VLDL). The role of lipoprotein (a) (Lp[a]) as an independent biomarker of vascular disease risk has been investigated for more than 20 years, but recently the European Atherosclerosis Society has issued a new consensus statement endorsing routine measurement of Lp(a) among patients with moderate-to-high-risk CVD. The aim of the study is to find out lipid profile and lipoprotein activity in various grades of untreated hypertension.

Materials and Methods:
This was a cross-sectional study conducted at a tertiary care setting in Ghaziabad. The study was conducted from February 2017 to February 2018 and 125 subjects were included after the detailed history, physical examination, and inclusion and exclusion criteria. All patients were evaluated for their lipid profile along with Lp(a) and other routine investigations.

Results:
There was a statistically significant rising level on TC, TG, LDL, VLDL, and Lp(a) (P ≤ 0.0001) excluding HDL statistically not significant (P = 0.343). This study showed that lipid and lipoprotein cholesterol abnormalities exist and even worsen with severity of hypertension. It is important that investigations in patients with hypertension should include lipid profile and lipoprotein.

Conclusion:
Serum lipid profile can serve as an important marker for screening hypertensive patients for CVD and their early detection can reduce cardiovascular morbidity and mortality. In this study, TC, LDL-C, TG, VLDC-C, Lp(a), and body mass index were found to be abnormal in hypertensive patients, but HDL-C did not show any significant variation with hypertension.
Intensification of Fenton Process by Ultrasonic Waves in Humic Acid Degradation from Aqueous Solutions
Authors: Farrokhzadeh Hossien , Fadaei Saeid , Fatehizadeh Ali , Rezaie Arezoo , Pourzamani Hamidreza 
Published: May 2024

Abstract

Aims:
The present study aimed to evaluate the degradation efficiency of humic acid (HA) as a persistent pollutant from the aqueous solution by the Fenton oxidation process intensified with ultrasonic (US) waves.

Materials and Methods:
A pilot plant equipped with a magnetic stirrer and bar and US device was constructed. The influent with a prespecified concentration of HA was transferred into the reactor and sampled with time intervals. The effect of influencing parameters such as solution pH, reaction time, concentration of H2O2 and Fe, US power, and initial HA concentration on degradation efficiency was systematically investigated.

Results:
The results showed that by increasing the reaction time from 5 to 10 min, the degradation efficiency was significantly enhanced (10%), while the degradation was not apparently improved by progressing the reaction time to 55 min. At an optimal solution of pH of 3, the induction of US increased the degradation efficiency of HA by about 25%. Overall, the increase in the concentration of H2O2 and Fe led to degradation efficiency improvement, 12% and 15.9%, respectively.

Conclusion:
Based on the obtained results, the intensified-Fenton process by the US can be proposed as a fact and relative process for the degradation of HA.
Evaluating Medical Staff's Burnout and its Related Factor during the COVID-19 Pandemic
Authors: Habibi Ehsanollah , Esmaeili Sayed Vahid , Paridokht Fatemeh , Dehghan Habibollah 
Published: May 2024

Aim:
This study aimed to determine the medical staff's burnout level and its related factors at Daran Shahid Rajaee Hospital.

Materials and Methods:
The total number of participants was 145 medical staff who participated in this cross-sectional study. Data were collected employing such various instruments as demographic information questionnaires, general health questionnaires, job satisfaction (JS), and Maslach burnout inventory. Then, the researcher analyzed the data with correlation, t-tests, and variance by using the SPSS software version 26.

Results:
The findings indicated that 79% of the medical staff suffer from high burnout level. The results showed that the correlation between burnout levels and JS was statistically significant (P < 0.001). Moreover, the correlation of depersonalization levels with marital status, age, work experience, and type of employment was significant (P < 0.001) as well.

Conclusion:
The results indicated that, during the pandemic of COVID-19, the medical staff's burnout was at a high level. Interestingly, on the emotional exhaustion scale, the medical staff burnout was more than other burnout levels requiring organizational interventions to lessen medical staff burnout.
The Possible Effects of Common Air Pollutants on the Pathophysiology of Functional Gastrointestinal Disorders: A Narrative Review
Authors: Boroujeni Mahshad Heidarian , Dehdashti Bahare , Amin Mohammad Mehdi , Adibi Peyman 
Published: May 2024

Abstract
There are more than seven million premature deaths every year linked to air pollution effects. The critical hazards of exposure to air pollution are the increased risk of respiratory and cardiovascular diseases, which can boost morbidity and mortality. Besides, ingested pollutants can cause gastrointestinal (GI) diseases. Functional GI disorders (FGIDs) are called gut-brain interaction disorders that influence approximately one out of every four people and have negative effects on life quality, work productivity, and medical costs. Intestinal inflammation, gut microbiota, and GI motility are the three important factors in the pathogenesis pathways of these disorders. This literature aimed to clarify the link between air pollution exposure and the pathophysiology of FGIDs. This study was conducted based on published studies in English using scientific databases, such as PubMed, Embase, Web of Science, and Google Scholar, from 1990 to 2023. We used various combinations of relevant keywords, such as air pollution, air pollutant, FGID, gut microbiota, and gut inflammation. The findings indicated that air pollution can contribute to the etiology of FGIDs through dysbiosis and intestinal inflammation. In addition, air pollution may alter the composition and diversity of gut microbiota, which in turn can play major roles in the development of these disorders. In addition to the steps taken by the government to tackle air pollution, there are some recommendations to prevent the negative effects of air pollution exposure, such as the consumption of biotics in a diet.
Cancer and Noncancer Risk Assessment for Workers Exposed to the Chemical Pollutants in Ahvaz Gas Stations, Iran
Authors: Askari Ali , Abadi Ali Salehi Sahl , Golbabaei Farideh , Jafarzadeh Emad , Aazam Kamal 
Published: May 2024

Aim:
This article evaluates the health risk of occupational exposure to BTEX compounds, cancer risk, and noncancer risk analysis among gas station workers.

Materials and Methods:
This cross-sectional research evaluates pollutants rank of risk released at Ahvaz stations in Iran. We have collected 96 samples of workers exposed to BTEX and eight samples for control in the ambient air. The National Institute for Occupational Safety and Health (NIOSH) recommended BTEX method numbers 1500 and 1501 for sampling and analysis. To evaluate the risk assessment of pollutants, we utilized a semi-quantitative method offered by Singapore's Occupational Safety and Health Division.

Results:
The average benzene concentration in the operators' breathing zone (1.202 0.83 ppm) was greater than the threshold limit values-time weighted average (TLVs-TWA) (P < 0.05). Other contaminants had concentrations that were lower than the ACGIH's TLV-TWA (P < 0.05). In gas stations, benzene has a very high danger ranking among chemical compounds. Toluene, ethyl benzene, and xylene in the employees' breathing zone posed a modest risk. The average cancer risk for benzene-exposed operators, head shift workers, and supervisors was calculated to be 4.46 × 10−3, 2.90 × 10−3, and 2.08 × 10−3, respectively. The risk of cancer is projected to be higher than the tolerable level of 10-6.

Conclusion:
In unique, long-term exposure to benzene has been linked to an increased risk of cancer and toxic effects, and a health-risk assessment can provide useful information about current workplace contaminants.
Comparison of Changes in Physiological and Perceptual Indices of Cold Stress under Normal Clothing and Thermal Insulation Clothing among Automotive Service Workers in Isfahan
Authors: Naghdi Fatemeh , Mohebian Zohreh , Dehghan Habibollah 
Published: May 2024

Abstract

Aim:
Exposure to cold can have negative physiological and psychological effects on human health. The purpose of this study is to compare the changes in physiological and perceptual indicators of cold stress under normal clothing and thermal insulation clothing (TIC) among automotive service workers (auto mechanics) in Isfahan, Iran.

Materials and Methods:
Using the simple random sampling method, this cross-sectional descriptive analytical study focused on 35 automechanics in Isfahan during the winter of 2021. Physiological indicators including cold stress index, cold sensitivity, core temperature (eardrum), skin temperature, systolic and diastolic blood pressure, heart rate, and environmental variables were measured before and after TIC. Data were analyzed using the SPSS version 21.

Results:
The index for cold sensitivity showed that none of the subjects wearing insulation clothes complained about the cold environment. Furthermore, the index for equivalent chill temperature was statistically significant before and after TIC (P < 0.05). No significant relationship was established for cold strain index before and after TIC (P > 0.05). After 1 h of exposure to cold, a significant relationship occurred between the average forehead temperature and hand temperature before and after wearing clothes (P < 0.05).

Conclusion:
Automechanics in Isfahan is affected by cold strain. The protective effect of insulation clothing on cold strain shows that required clothing insulation index is a strong indicator for evaluating cold stress according to the environmental parameters.
Primary Sjogren’s syndrome with secondary distal renal tubular acidosis unmasked during pregnancy: A rare presentation
Authors: Das Anik , Meena Deepak , Mahata Rahin , Kar Jugal K , Seth Bikas C , Mahapatra Umakanta , Chowdhury Spandan , Deb Souradeep 
Published: May 2024

ABSTRACT
Renal tubular acidosis (RTA) comprises transport defects in renal reabsorption of bicarbonate, impaired acidification of urine, or both. It is broadly classified into distal, proximal, and hyperkalemic RTA. Distal RTA (dRTA) is characterized by reduced net acid excretion in urine. It can be primary or secondary, and hypokalemia is often a central presenting feature. Hypokalemia may present with flaccid quadriparesis, arrhythmia, and respiratory failure. Hypokalemia also causes nephrogenic diabetes insipidus (NDI) due to the downregulation of vasopressin-responsive aquaporin-2 water channel and inhibition of renal response to vasopressin. Primary Sjogren’s syndrome (pSS) is the most common autoimmune disorder associated with secondary dRTA. Here, we present the case of a 22-year-old critically ill pregnant lady with adverse pregnancy outcomes, diagnosed to be pSS with dRTA, who presented with severe hypokalemia and hypernatremia (due to NDI). Both pSS and chronic acidosis are associated with adverse pregnancy outcomes.
Analysis of hematology quality control using six sigma metrics
Authors: Goel Shreya , Nisal Amit R. , Raj Ankita , Nimbargi Ravindra C. 
Published: May 2024

ABSTRACT

Introduction:
Clinical laboratories serve a critical role in increasing the efficiency of patient care. Choosing the right test, getting trustworthy results and appropriate interpretation are of utmost importance in improving the patient’s well-being. Quality management strategies should be applied in routine patient care because laboratory errors have a major impact on the quality of patient care. In sigma metrics, errors identified are quantified as percentage errors or defects per million (DPM). It aims at improving the quality control (QC) process by forming an appropriate strategy.

Aim and Objectives:
To analyze the internal quality control (IQC) of hematology analytes using the sigma metrics method and to devise the frequency of IQC by the results of six sigma metric analysis.

Materials and Methods:
This study was conducted in a tertiary care center of western India. Internal quality control (IQC) data sets of five analytes- Red Blood Cell count (RBC), Hemoglobin (Hb), Hematocrit (Hct), White blood cell count (WBC), and Platelet count (PLT) were analyzed retrospectively of six months using Beckman Coulter DXH 800 hematology analyzers.

Results:
The observed sigma value was >6 for Hb, TLC, and PLT, indicating excellent results and requiring no modification in IQC. The Sigma value was between 3 and 4 for RBC and Hct suggested the need for improvement in quality control (QC) processes. No analytes showed a Sigma value of <3.

Conclusion:
Sigma metrics provide a quantitative framework that helps to assess analytic methodologies and can serve as an important self-assessment tool for quality assurance in the clinical laboratory.
Perceived Needs of Family Members Who Accompany Patient with Acute Decompensated Heart Failure to the Emergency Department: Report from a Tertiary Care Facility
Authors: Mathew Esther Mary , Dhandapani Manju , Narang Rajiv , Hote Payal Kahol , Gopichandran Lakshman 
Published: May 2024

Introduction:
Acute decompensated heart failure (ADHF) is a dynamic and heterogeneous clinical entity accounting for most of the hospital admissions through the emergency department (ED). The present study was undertaken with an objective of assessing the perceived needs of family members of ADHF patients in ED, AIIMS, New Delhi.

Materials and Methods:
A cross-sectional descriptive study was conducted on 100 family members of ADHF patients visiting ED, AIIMS. Perceived needs of family members were assessed using forty-item critical care family need inventory-ED (CCFNI-ED). Data analysis was done using STATA 14.0, with the level of significance set at P ≤ 0.05.

Results:
ADHF patients in the present study were younger (48.81 ± 16.13 years) and hypertension (39%), coronary artery disease (32%), and rheumatic heart disease (32%) were the main etiological factors associated with ADHF in ED, AIIMS, New Delhi. The most prioritized need statement according to family members was “to talk to a doctor” with a mean score of 3.99 ± 0.1 and the least ranked need statement was “to be told about religious services” (2.86 ± 0.77). Communication was the most prioritized theme (3.90 ± 0.05) in CCFNI-ED and the least prioritized was comfort (3.32 ± 0.36).

Conclusion:
Family members place a greater importance on the need of effective communication. The results of the present study offered insight for nurses and various health-care professionals regarding the critical needs of family members of the patients that should be taken into consideration in an ED. Total patient care can only be implemented when the needs of the whole family unit are considered which includes both patient and family.