bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGARUH GEOMETRI DAN KONFIGURASI SINYAL TERHADAP KINERJA SIMPANG DENGAN PENDEKATAN PKJI 2023 DAN PTV VISSIM
Authors: Kadek Wiarni Devi  , Budi Mardikawati  , Aswin Badarudin Atmajaya  
Published: May 2024

Kemacetan lalu-lintas menjadi salah satu permasalahan yang sangat mempengaruhi kinerja pelayanan suatu jalan. Pengaruh geometri dan konfigurasi sinyal terhadap peningkatan kinerja pada Simpang dapat di pengaruhi oleh Suatu pengaturan urutan Fase Alat Pemberi Isyarat Lalu Lintas (APILL), dimana kinerja serta kondisi lalu lintas pada suatu persimpangan dan juga pengaturan yang tidak tepat akan mengakibatkan titik konflik yang berpotensi menyebabkan kecelakaan. Salah satu simpang bersinyal yang perlu di tingkatkan kinerjanya di Kota Surakarta adalah Simpang Tugu Wisnu.
Simpang Tugu Wisnu memiliki panjang antrian PKJI 2023 didapat nilai rata-rata DS 2,27, Panjang Antrian terpanjang sebesar 427,03 m, serta tundaan rata-rata 232,4473 det/smp. Nilai DS telah melebihi angka 0,85 artinya perlu dilakukan peningkatan kinerja. Penelitian ini bertujuan untuk meningkatkan kinerja simpang dengan menggunakan metode PKJI 2023 dan PTV Vissim. Untuk menguji Validasi yang digunakan dalam simulasi vissim yakni driving behavior dengan parameter volume lalu lintas yang diuji menggunakan uji GEH. Hasil perencanaan dibandingkan kondisi eksisting diperoleh DS 0,84 dengan waktu siklus 213 detik, antrian berkurang 50%, tundaan berkurang 40% dan berkurang nya sisa-sisa ekor antrian pada tugu yang ada di tengah simpang.
SOSIALISASI APLIKASI DETEKSI DINI DIABETES MELITUS DENGAN METODE FORWARD CHAINING BERBASIS WEBSITE DI PUSKESMAS KESUNEAN
Authors: Ismail Maula , Khasanah Lina , Rahmawati Fitria Dewi , Haryanto Yanto , Elfi  , Hazimah Isyroqul , Rachmawati Sefi Nur 
Published: May 2024

Diabetes melitus dapat disebabkan oleh gaya hidup masyarakat yang cenderung mengkonsumsi makanan secara instan berlebihan dan aktivitas fisik yang kurang. Selain itu, masyarakat seringkali tidak menyadari memiliki risiko penyakit Diabetes melitus serta kurangnya kesadaran terhadap kontrol berkala. Sebelum terjadi diabetes, seseorang akan mengalami fase prediabetes. Berkembangnya transformasi dan inovasi teknologi kesehatan harus di dukung dengan kesadaran dari masyarakat Indonesia untuk memanfaatkan teknologi tersebut. Salah satu teknologi pada pengambilan keputusan di bidang Kesehatan dengan metode Forward Chaining. Sosialisasi ini bertujuan peningkatan pengetahuan masyarakat terkait transformasi digital bidang kesehatan dalam menunjang program pemerintah khususnya dalam mendeteksi dini risiko penyakit Diabetes melitus mencegah Diabetes melitus dan dapat membantu pengguna khususnya bagi pasien di Puskesmas Kesunean Cirebon. Hasil dari kegiatan ini, yaitu pengetahuan petugas terkait Diabetes melitus dan penggunaan aplikasi deteksi dini risiko penyakit Diabetes melitus.
PEMBERDAYAAN KADER KESEHATAN MELALUI IMPLEMENTASI BUKU SAKU DI KELURAHAN TANJUNG KECAMATAN KAWALU KOTA TASIKMALAYA
Authors: Suharja Eliati Sri , Kamelia Emma , Rahayu Culia , Miko Hadiyat , Nugroho Cahyo , Kusmana Aan , Anang  , Robbihi Hilmiy Ila , Samjaji  , Widyagdo Agung 
Published: May 2024

Masalah : Proporsi terbesar masalah kesehatan gigi di Indonesia adalah gigi rusak/berlubang/sakit sebesar 45,3%, sedangkan masalah kesehatan mulut yang mayoritas dialami penduduk Indonesia adalah gusi bengkak dan atau abses 14%. Masyarakat Indonesia umumnya menggosok gigi setiap hari pada waktu mandi pagi dan sore hari sebesar 90,7%, sedangkan masyarakat yang menggosok gigi setiap hari sesudah makan pagi hanya 12,6% dan sebelum tidur malam hanya 28,7%. Data ini menunjukkan bahwa perilaku pelihara diri masyarakat Indonesia dalam menjaga kesehatan mulut masih rendah. Peningkatan kesehatan masyarakat melalui intervensi perilaku adalah dengan pendidikan atau promosi kesehatan, diharapkan perilaku masyarakat kondusif bagi kesehatan. Salah satu promosi kesehatan gigi adalah melalui implementasi buku saku. Tujuan : Mengetahui pengetahuan kesehatan gigi dan mulut pada kader kesehatan di Kelurahan Tanjung Kecamatan tamansari Kota Tasikmalaya. Metode : Metode dalam bina wilayah ini adalah dengan memberi pendidikan kesehatan gigi melalui buku saku kesehatan gigi pada kader kesehatan kelurahan Tanjung Kecamatan Kawalu Kota Tasikmalaya berjumlah 20 orang. Hasil : Pengetahuan sebelum implementasi buku saku sebagian besar memiliki kriteria baik sebanyak 15 orang (75,0%) sedangkan setelah implementasi buku saku memiliki kriteria baik sebanyak 20 orang (100 %). Kesimpulan : Implementasi Buku Saku Kesehatan Gigi merupakan metode yang tepat digunakan untuk meningkatkan pengetahuan kesehatan gigi pada kader Kelurahan Tanjung Kecamatan Kawalu Kota Tasikmalaya.
Evolución de las Caracteristícas Arquitectónicas de la Plaza Mayor de Tarapoto
Authors: López Sánchez Rosa Lisbeth , Alegria Lazo Katty Marilyn 
Published: May 2024

Este artículo de revisión tiene como objetivo analizar la evolución de las características arquitectónicas de la plaza Mayor en las épocas correspondientes. La investigación será de modo no experimental y el diseño de investigación será una revisión ordenada; para eso se realizarán investigaciones científicas, de lo cual la unidad de análisis se realizará con estudios originales, aquellas que constituyen una herramienta clave para resumir la información científica utilizable, mejorar la fiabilidad de las conclusiones de estudios particulares y abordar las áreas de incertidumbre que requieren una investigación prioritaria. En lo que respecta a las características arquitectónicas de la plaza Mayor, se han encontrado diversos puntos de interés en los artículos científicos analizados. Estos abarcan desde su evolución a lo largo de diferentes períodos históricos, hasta sus múltiples funciones y su contexto histórico, incluyendo tanto antecedentes como acontecimientos relevantes en su historia. Muchos de los artículos analizados revelan una evolución notable en las características arquitectónicas de la plaza mayor a lo largo de las distintas épocas. Además, examinan detalladamente qué atributos impactan en la utilización y apreciación del espacio, así como si estos contribuyen a la identidad y el patrimonio de una ciudad. Por esta razón, en la actualidad es crucial destacar la importancia de abordar este asunto desde múltiples enfoques, con el objetivo de adentrarse en la comprensión completa de que numerosas plazas mayor atesoran un valor histórico de considerable magnitud reflejadas en sus caracteristicas. Por consiguiente, surge la imperiosa necesidad de salvaguardar meticulosamente sus características arquitectónicas para las generaciones venideras.
Relationship Between Square Dancing and Meaning in Life Among Older Adults: Examining an Age-Based Moderation Model
Authors: Chang Liang-Chih , Dattilo John , Huang Fei-Hsin 
Published: May 2024

Purpose:
Square dancing may help older adults experience meaning in life (MIL). However, it remains unclear how square dancing facilitates MIL. To address this question, we examined whether participation frequency, transcendent experiences, and social support correlated positively with MIL, and whether age moderated the correlation between transcendent experiences and MIL.

Method:
We studied 268 older adults using in-person surveys to collect data on age, participation frequency, transcendent experiences, social support, and MIL. We analyzed data using hierarchical regression.

Results:
High frequency of participation and high levels of transcendent experiences and social support simultaneously predicted high levels of MIL, and age decreased the positive relationship between transcendent experiences and MIL.

Conclusion:

Based on the hierarchical regression results, we recommend strategies to increase older adults' MIL by providing square dancing opportunities; working with them to improve square dancing skills that facilitate transcendent experiences; and guiding them in seeking sources of social support. [
Research in Gerontological Nursing, 17
(3), 141–147.]
Réseaux croisés : statistiques, santé et soins médicaux à São Paulo au début du XXe siècle
Authors: Silva Márcia Regina Barros da 
Published: May 2024

L’objectif de cet article est d’interroger l’utilisation des statistiques dans l’histoire de la santé, dans l’État de São Paulo. Depuis les premières commissions statistiques instaurées au XIXe siècle par l’Assemblée législative, les informations sur les naissances et les décès ont servi à mesurer les richesses de la région. La question sociale ne représentait pas, en soi, un sujet d’intérêt pour les différentes administrations, à cause de la croyance en la salubrité locale, du peu d’attention accordée à la santé individuelle et de la disponibilité de la main-d’œuvre esclave. À l’époque républicaine, un réseau d’assistance s’est constitué en liaison avec des associations philanthropes, bénéficiant de subventions du gouvernement de l’État fédéré et des sphères fédérale et municipale.
La place de la traduction dans l’univers du théâtre : le surtitrage en exemple
Authors: Kazi-Tani Lynda 
Published: May 2024

Tout au long de l’histoire, la traduction a été une source constante de découverte de l’autre, son héritage culturel, ses connaissances et sa vision du monde. Elle nous permet de nous immerger dans des univers lointains et méconnus, tels que la littérature, la poésie ou les sciences, transcendant ainsi les contraintes temporelles ou géographiques. Au fil des décennies, la traduction a évolué, se rapprochant des nouvelles technologies pour donner naissance à de nouvelles spécialités, telles que la traduction audiovisuelle avec, entre autre, le doublage et le sous-titrage. Toutefois, il existe un champ de recherche largement sous-étudié et méconnu, se situant à la croisée de la traduction, des arts de la scène et de la technologie : le surtitrage. Dans le cadre de cette étude, notre objectif est de mettre en lumière cette pratique professionnelle en explorant ses multiples dimensions. Pour ce faire, notre approche de recherche englobera une analyse approfondie des aspects tant théoriques que pratiques du surtitrage. Cette démarche vise à mettre en exergue l’importance du surtitrage dans le paysage artistique et linguistique contemporain, tout en contribuant à combler les lacunes qui subsistent entre la traduction, les arts de la scène et la technologie.
Widowhood and Harmful Traditional Practices against Women in South East Nigeria: Challenges and Prospects
Authors: Eze Obiageli Blessing , Egwuagu Uloma Bridget , Namani Desmond Okechukwu 
Published: May 2024

The paper ascertains widowhood and harmful traditional practices against women in SouthEast, Nigeria: challenges and prospects. Widowhood is a condition in which a woman lost her husband by death, it is a state in which a woman or widow has lost her husband by death and did not remarry. The death of a man automatically plunges his wife into widowhood, in a patriarchal society; widows are subjected to inhuman treatment at the death of their husband. Widowhood practice is an unjust cultural practice directed against women who lose their husbands, the effects of this obnoxious culture especially women in this 21st century has undermine the personality of women folk. Empirically, the paper adopts relative deprivation theory as its framework using descriptive method to investigate harmful traditional practices against women in Abia, Anambra, Ebonyi, Enugu and Imo states respectively on their rights through cultural seclusions. Most women in South-East are not comfortable with this exclusion, nor stand to oppose this through court litigations. Most communities has not in any way abrogated these traditional harmful practices since it is an established culture, the intervention of some non-governmental organizations has in a little measure reduce some harmful punishment meted on the bereaved women. It has been observed that discriminatory widowhood practices were to humiliate women made by men to relegate women to the background. The paper address some strategies to cut down these harmful practices to better the lives of women in Nigeria on the aegis of women aids collective and other non-governmental organizations.
The evaluation of the burden of multisystem inflammatory syndrome in children on health economics
Authors: Balkarlı Ezgi , Kıymet Elif , Böncüoğlu Elif , Şahinkaya Şahika , Yılmaz Çelebi Miray , Apa Hurşit , Meşe Timur , Ağın Hasan , Nuri Bayram Süleyman , Devrim İlker 
Published: May 2024

Objectives:This study aimed to evaluate the diagnostic tests and treatments applied in patients with multisystem inflammatory syndrome in children (MIS-C) and to determine the effect of the disease on health costs.Patients and methods:This retrospective cohort study included 59 MIS-C patients (40 males, 19 females; mean age: 7.7±4.2 years; range, 4 months to 16.5 years) who were admitted and treated between April 1, 2020, and November 1, 2021. Demographic and clinical features with hospital costs and length of stay were retrospectively reviewed from the medical files and computerized system of the hospital. Direct medical care costs of items were calculated with the hospital perspective using a combination of microcosting technique (resource-based accounting method) and hospital list data. Cases were classified as mild, moderate, or severe, and the patients were divided into two groups: the mild group and the moderate-severe group. Classification was determined by the vasoactive inotropic score (VIS), degree of respiratory support, and evidence of organ damage.Results:The mean age of the cases in the mild group was 6.5±3.7 years, and the mean age of the cases in the moderate-severe group was 9.2±4.3 years. Of 59 patients, 19 (32.2%) were followed up in the pediatric intensive care unit. The median duration of hospitalization in the hospital was 8 (interquartile range: 7-12) days. The total cost of the patients hospitalized with the diagnosis of MIS-C during the study period was 849,242.93$, and the mean cost per patient was 14,393.94±9,631.92$. In the distribution of the total cost of hospitalization according to expenses, the highest rate was pharmacy and blood products (51.99%) and IVIG costs (43.99%). While the mean total cost per person was 13,682.87±8,799.63$ in mild cases, it was 16,433.82±9,440.02$ in moderate-severe cases, and no statistically significant relationship was found between the two groups (p>0.05). There was no difference in the mean cost per patient between the cases with and without heart, lung, kidney, or neurologic involvement and advanced respiratory support (p>0.05). There was a strong positive correlation between the total costs and age (r=0.883, n=59, p<0.0001), with increased amount of costs with increased age.Conclusion:In the study, no statistically significant correlation was found between the total cost of per person in the mild group and the moderate-severe group (p>0.05). This finding may be due to the wide use of IVIG in MIS-C treatment, in addition to low transfer rates to pediatric intensive care units due to high-flow nasal cannula usage.
Reliability and validity of the Turkish version of Scleroderma Skin Patient-Reported Outcome in patients with systemic sclerosis
Authors: Sari Fulden , Bazancir Apaydin Zilan , Apaydin Hakan , Kayaalp Mehmet , Erden Abdulsamet , Can Güven Serdar , Armağan Berkan , Omma Ahmet , Kucuksahin Orhan , Erten Şükran 
Published: May 2024

Objectives: This study aimed to translate the Scleroderma Skin Patient-Reported Outcome (SSPRO) questionnaire to the Turkish (SSPRO-T) language and to assess its validity and reliability.
Patients and methods: Fifty-four systemic sclerosis (SSc) patients (51 females, 3 males; mean age: 49.8±10.4 years; range, 22 to 65 years) participated in the reliability and validity analysis between October 2022 and December 2022. The translation and cross-cultural adaptation of the SSPRO-T was applied in accordance with the procedure described by the Beaton guidelines. The SSPRO-T, the Scleroderma Health Assessment Questionnaire (SHAQ), the Health Assessment Questionnaire Disability Index (HAQ-DI), Skindex-29, and patient global skin severity were conducted in all participants for construct validity. The SSPRO-T was retested to assess its reliability after seven days.
Results: The SSPRO-T had a four-factor structure. The total SSPRO-T score and its subgroups correlated positively with SHAQ, HAQ-DI, Skindex-29, and patient global skin severity. The internal consistency and reliability were excellent in overall SSPRO-T and in the subgroups: physical effect, emotional effect, physical limitation, and social effect (Cronbach’s α=0.94, 0.80, 0.95, 0.93, and 0.84, respectively). The SSPRO-T had excellent test-retest reliability (r=0.91, p<0.001). In addition, no floor effect or ceiling effect was observed.
Conclusion: The SSPRO-T questionnaire is a reliable and valid tool and can be used in research and clinical practice in Turkish patients with SSc.
Progressive pulmonary fibrosis in patients with connective tissue disease-associated interstitial lung disease: An explorative study
Authors: Höppner Jakob , Wollsching-Strobel Maximilian , Schumacher Falk , Windisch Wolfram , Berger Melanie 
Published: May 2024

Objectives: The aim of this study was to identify differences and similarities between connective tissue disease (CTD) patients with and without progressive pulmonary fibrosis (PPF) by applying the new guidelines.
Patients and methods: Patient characteristics and disease courses from medical records of 50 CTD-associated Interstitial lung disease (ILD) patients (33 females, 17 males; mean age: 60.1±12.9 years) were longitudinally studied between January 2018 and May 2022. Respiratory involvement in CTD patients was described, and differences in CTD patients who developed PPF compared to those who did not were identified by the 2022 ATS (American Thoracic Society)/ERS (European Respiratory Society)/JRS (Japanese Respiratory Society)/ALAT (Asociación Latinoamericana de Thórax) Guidelines on Idiopathic Pulmonary Fibrosis and Progressive Pulmonary Fibrosis in Adults.
Results: In the majority (74%) of patients, CTD was diagnosed before ILD onset. Nonspecific interstitial pneumonia was the most common high resolution computer tomography pattern, followed by the usual interstitial pneumonia pattern. On pulmonary function test, 38% had a restrictive pattern at baseline. Patients without PPF tended to have worse lung function at baseline and increased macrophage count in bronchoalveolar lavage than patients with PPF.
Conclusion: In patients without PPF, disease progression may be missed, resulting in inadequate management. Interdisciplinary management of patients with CTD with the participation of pulmonologists and precise lung function diagnostics is recommended.
The first involved joints and associated factors in patients with rheumatoid arthritis
Authors: Pekdiker Mete , Oğuzman Hamdi 
Published: May 2024

Objectives: This study aimed to investigate the first involved joints and associated factors in Turkish patients with rheumatoid arthritis (RA).
Patients and methods: This retrospective cross-sectional study included 300 newly diagnosed and disease-modifying antirheumatic drug-naïve RA patients (240 females, 60 males; mean age: 54±1.2 years; range, 18 to 82 years). Baseline demographic, clinical, and laboratory data were evaluated between January 2022 and December 2022. The patients were divided into four groups according to autoantibody profile: antibody-negative patients (Group 1; both RF and anti-CCP were negative in this group of patients), RF-positive patients (Group 2), anti-CCP-positive patients (Group 3), and patients with dual seropositivity with RF and antiCCP (Group 4). The patients were also divided into two groups according to the size of the first affected joint: patients with SJI at diagnosis and patients without SJI involvement at diagnosis.
Results: Rheumatoid factor (RF) and anti-cyclic citrullinated peptide (CCP) antibody positivity rates were 40.3% and 35.6%, respectively. The mean lag time to diagnosis was 25±36 months. At the disease onset, 20% of patients did not have small joint involvement (SJI). Seronegative patients tended to be female (p=0.001), had longer lag time (p=0.001), and had lower levels of C-reactive protein (p=0.025), white blood count (p=0.005), and neutrophil/lymphocyte ratio (p=0.001) compared to the dual seropositive group. Patients presenting with SJI had a younger age (p=0.002), tended to be female (p=0.001), and had lower RF (p=0.034) and anti-CCP (p=0.031) positivity. Only age (p=0.005) and dual seronegativity (RF and anti-CCP; p=0.035) were the independent predictors of SJI in multivariate analysis.
Conclusion: The decreasing age and seronegative status were defined as independent risk factors of SJI at the onset of RA. Population-based, prospective studies are needed for earlier diagnosis.
Predictive risk factors for one-year mortality in idiopathic inflammatory myopathy patients with interstitial lung disease: A retrospective, single-center cohort study
Authors: Jiang Minna , Wen Xiaohong , Xia Sisi , Guo Yiqun , Bai Yu 
Published: May 2024

Objectives: This study aimed to analyze the risk factors for mortality of idiopathic inflammatory myopathy (IIM) patients admitted with interstitial lung disease (ILD) to guide rapid and accurate judgment of clinical prognosis.
Patients and methods: This retrospective, single-center cohort study was conducted with 135 participants (37 males, 98 females; mean age: 54.8±11.1 years; range, 24 to 85 years) between June 1, 2016, and June 30, 2021. The participants were categorized into the survival group (n=111) and nonsurvivors (n=24) according to whether they survived during the one-year follow-up. The independent risk factors for mortality in one year after discharge were analyzed. Receiver operating characteristic curve analysis was used to determine the accuracy of oxygenation index at baseline combined with pulmonary infection (PI) at follow-up to indicate death in IIM-ILD patients.
Results: Compared to the survival group, nonsurvivors were older (p=0.006) and had a higher proportion of anti-MDA5 (melanoma differentiation-associated protein 5) positivity (p<0.001). The ILD duration was shorter (p=0.006), the oxygenation index was lower (p<0.001), and the intensive care unit occupancy rate (p<0.001) and ventilator utilization rate (p<0.001) were elevated in nonsurvivors compared to the survival group. Oxygenation index at baseline (odds ratio [OR]=1.021, 95% confidence interval [CI]: 1.001-1.023, p=0.040) and PI (clinical judgment) at follow-up (OR=16.471, 95% CI: 1.565-173.365, p=0.020) were found as independent risk factors for death in the year after discharge in IIM inpatients with ILD. An oxygenation index ≤279 mmHg at baseline combined with PI at follow-up exhibited a promising predictive value for all-cause death in IIM-ILD patients within one year.
Conclusion: Oxygenation index at baseline and PI during follow-up were independent risk factors for death of IIM-ILD patients within one year after discharge. Patients with an oxygenation index ≤279 mmHg at baseline had an increased risk of death once they developed PI during the one-year follow-up.