bluuebunny/crossref_metadata_2025_split huggingface dataset:
Incidence and Outcomes of Adult Syncope Presentations to Emergency Medical Services
Authors: Cividin Matthew , Wilkinson-Stokes Matt , D'Arcy Alice , Olaussen Alexander 
Published: April 2024

Objective: The objectives of this systematic review were to evaluate the incidence, patient demographics and associated outcomes of adult syncope presentations to emergency medical services (EMS) within current literature.
Methods: Inclusion criteria were contact with an EMS, a provisional diagnosis of syncope and epidemiological data regarding EMS contact with these patients. Exclusion criteria were all non-primary studies, patients given an alternative provisional diagnosis or who received life supporting interventions, studies that examined only presyncope presentations or were limited to paediatric patients, or that examined syncope within highly specific non-generalisable settings. Databases were searched on April 5th, 2022, and included Emcare, AMED, Medline, and CINAHL Plus. Quality assessment was conducted using the National Heart, Lung, and Blood Institute quality assessment tool. Data were manually extracted and collated with results synthesised using descriptive statistics and a narrative synthesis.
Results: 12 studies were included in this review. Studies were primarily completed in Europe or the USA, and sample sizes ranged from 500 to 16 million. Most studies were rated as good to fair in quality. No studies specifically looked at the incidence or outcomes of syncope presentations to EMS. The reported incidence of syncope ranged between 0.09% and 24%.
Discussion: Most studies were generalised epidemiological studies looking at EMS presentations. There were no studies that specifically looked at the incidence and outcomes of syncope presentations to EMS together. Instead, they were either large scale epidemiological studies that lack detailed analysis or had small samples focusing only on certain patient characteristics or presentations. An improved understanding of the epidemiological features of syncope presentations within the prehospital setting and their associated outcomes are of critical importance for the determination of risk stratification that can help guide clinical decision making by EMS.
ANALISIS PERBANDINGAN KINERJA KEUANGAN ANTARA PERUSAHAAN PT MAYORA INDAH TBK DAN PT INDOFOOD SUKSES MAKMUR TBK PERIODE 2015-2020
Authors: Prasyella Danty Oxtaviani  , Rinaldo Rino , Elvia Fardiana  
Published: April 2024

Penelitian ini bertujuan untuk mengetahui perbandingan kinerja keuangan PT Mayora Indah Tbk dan PT Indofood Sukses Makmur Tbk periode 2015-2020 dimana kedua perusahaan terdaftar di Bursa Efek Indonesia (BEI). Penelitian ini menggunakan teknik analisis data berupa analisis deskriptif dengan pendekatan kuantitatif. Data yang digunakan diperoleh dari laporan keuangan Bursa Efek Indonesia dan situs perusahaan PT Mayora Indah Tbk dan PT Indofood Sukses Makmur Tbk. Teknik analisis menggunakan analisis rasio keuangan dengan rasio yang digunakan adalah rasio likuiditas, rasio solvabilitas, rasio aktivita dan rasio profitabilitas. Dari hasil penelitian diketahui bahwa berdasarkan rata-rata perhitungan maka rasio likuiditas khususnya current rasio kedua perusahaan dalam kondisi likuid, dari sisi quick ratio PT Mayora Indah Tbk dalam kondisi likuid dan PT Indofood Sukses Makmur Tbk dalam kondisi ilikuid sedangkan untuk rasio cash rasio kedua perusahaan liquid. Hasil perhitungan dari rasio solvabilitas, kedua perusahaan dalam kondisi insolvabel. Hasil perhitungan dari rasio aktivitas kedua perusahaan dalam kondisi unefisien dan hasil perhitungan rasio profitabilitas kedua perusahaan dalam kondisi non-profit karena hasil rasio berada dibawah nilai rata-rata rasio industri. Dilihat dari rasio aktivitas, dan profitabilitas PT Mayora Indah Tbk lebih baik dari PT Indofood Sukses Makmur Tbk. Sedangkan dari sisi solvabilitas PT Indofood Sukses Makmur Tbk lebih baik dari PT Mayora Indah Tbk.
Public Perception and Geopolitical Implications of China's Engagement in Albania
Authors: Malaj Erion 
Published: April 2024

This study delves into the multifaceted nature of China's engagement in Albania, with a focus on understanding the nuanced public perceptions surrounding this involvement. Situated within the broader context of China's Belt and Road Initiative (BRI), it examines the impact of China's expanding influence in the Western Balkans, particularly through the lens of Albania's strategic geopolitical positioning and rich historical context. Furthermore, by exploring the grassroots-level reception, the research aims to uncover the economic, political, and socio-cultural dimensions of China's presence in Albania and assess the broader implications of such foreign engagements in smaller, strategically located nations. Employing a mixed-methods approach, the study synthesizes findings from seven comprehensive surveys from three distinct sources: the Western Balkan Security Barometer, the China-Eastern European Countries (CEEC) group surveys, and the Balkan Barometer. This time-sequenced comparative perspective reveals a complex landscape of public opinion that is characterized by a shift from initially positive perceptions towards a more cautious and critical engagement with China's role in Albania. Overall, the study highlights a growing skepticism and a strategic recalibration of Albania's international alignments, evidenced by a nuanced preference for European Union integration over a deeper alliance with China. In conclusions, the findings suggest that while there is recognition of the economic opportunities presented by China's engagement, there is also an acute awareness of the potential pitfalls and complexities of such international partnerships. In this context, the paper argues for the importance of fostering an informed public discourse to navigate the challenges posed by global diplomacy and foreign influence. As Albania stands at a crossroads in its foreign policy, the evolving public perceptions underscore the need for a balanced approach that harmonizes established Western partnerships with emerging opportunities in the East. This study contributes to a richer understanding of Sino-Albanian relations and offers insights into the critical role of awareness and information in shaping the trajectory of international relations in the context of the Belt and Road Initiative.

Received: 27 February 2024 / Accepted: 22 March 2024 / Published: 23 March 2024
Comprehensive Review of the Potential of Sorghum in Malt and Beer Production
Authors: Bejiga Tamirat , Dasa Eresa W 
Published: April 2024

Sorghum has a relatively lower price compared to other brewing cereals, and consequently has potential as an alternative substrate for lager beer brewing and especially represents an excellent option for gluten-free beers. Attributes such as extracts, proteins, total nitrogen and free amino nitrogen content of sorghum malt and the wort obtained from mashes indicate that sorghum is potentially an alternative substrate for conventional beer brewing in the tropics. In alcohol industry, some distillers prefer sorghum varieties with high starch and less protein contents. The variation in biochemical compositions among sorghum varieties affects the optimal malting conditions and characteristics of the grains. The degree of steeping and temperature, and germination capacity, kilning temperature and the intrinsic enzyme activity determine sorghum grain malt quality. The high degree of gelatinization temperature, poor saccarification, lower fermentability and filterability of sorghum malt could generally affects the acceptability of sorghum beer by the consumer than a beer brewed from malt barley.
PENGEMBANGAN MEDIA PEMBELAJARAN BERBASIS AUGMENTED REALITY PADA PEMBELAJARAN GEOGRAFI MATERI DINAMIKA LITOSFER
Authors: Bokingo Muhamad Fachri , Rusiyah Rusiyah , Nurfaika Nurfaika , Lahay Rakhmat Jaya , Hendra Hendra 
Published: April 2024

This study aims to develop Android- based Augmented Reality media for learning geography regarding lithospheric dynamics. This research is Research and Development (R&D) research using the ADDIE development model. There are 3 methods used in this research, namely observation, black box testing method, and finally the questionnaire method to obtain validation values and see the feasibility of the Augmented Reality media created. Validation is carried out by experts, materials, media experts and learning experts. After going through validation from experts, the media was then tested on students with a total of 22 students. The results of initial trials using the black box testing method show that the Augmented Reality media application runs well. The results of the material expert validation obtained a percentage value of 82% (valid value category). The validation value of media experts received a percentage value of 84% (valid value category). The learning expert validation received a percentage score of 93% (very valid score category) and the results of the student response questionnaire received a percentage score of 94.41% (very valid score category). Judging from the results of this assessment, it can be concluded that Augmented Reality-based learning media is suitable for use in the learning process.
PENGARUH PERILAKU KEPEMIMPINAN TRADISIONAL ETNIK BUGIS DAN MOTIF BERPRESTASI TERHADAP KINERJA PENGELOLA PUSAT KEGIATAN BELAJAR MASYARAKAT DI SULAWESI SELATAN
Authors: Gaffar Syamsul Bakhri , Syam Rahmawati 
Published: April 2024

The research aimed to find out the influence of the community learning centre organizers traditional leadership behavior and their achievement motive on performance. The method used in this study, was the survey method with the data collecting technique involving questionnaire, achievement motives scale, performance measurement scale, and documentation. The ordinal scaled data have to be converted into interval scale data with using the Successive Interval Method. The result of the analytical test, using through the path analysis, result are obtained, namely: (1) the traditional leadership behavior has a significant correlation with the achievement motive; (2) the traditional leadership behavior has direct influence to the community learning centre organizers performance; (3) the achievement motive has direct influence to the community learning centre organizers performance, and (4) the traditional leadership behavior and achievement motive are comprehensive influences to the community learning centre organizers performance. The result of the analytical test, showed that they are partially related to the elements of the leadership behavior, namely: the lempu (fair), acca/kanawa-nawa (intelegence), warani (courage), and sugi/masempoi (wealthy), (which were) also explicitly influence the community learning centre organizers performance, except the acca/kanawa-nawa (intelegence) element.
Music therapy for premature and newborn infants (2nd ed., Nöker-Ribaupierre, Ed.)
Authors: Jeenes Wendy 
Published: April 2024

This is a review of the book "Music therapy for premature and newborn infants (2nd Edition)" edited by Monika Nöker-Ribaupierre.
Title: Music therapy for premature and newborn infants (2nd Edition) Editor: Monika Nöker-Ribaupierre Publication year: 2019 Publisher: Barcelona Publishers Pages: 310 ISBN: 9781945411458
Modelling deformable boundary by spherical particle for normal contact
Authors: Jasevičius R. , Kačianauskas R. 
Published: April 2024

The normal contact of the elastic spherical particle with deformable boundary is investigated in terms of the Discrete Element Method (DEM). The particle of the prescribed radius is moving under gravity and the initial velocity. The deformable boundary is treated as rigidly fixed spherical particle with variable elasticity modulus and variable radius. The limit case, approaching the infinite radius presents an elastic half-space, while increasing of the elasticity modulus presents the rigid boundary, respectively.
The linear model and the nonlinear Hertz contact model used in the discrete element method are investigated numerically by applying the 5th-order Gear’s predictorcorrector integration scheme. The numerical model is tested by comparing it with analytical solution. The time variations of the particle positions, velocities and accelerations are presented. On the basis of simulation results the limit values of the boundary particle parameters are evaluated and recommendations for the boundary article parameters required in DEM simulation are drown.
High-Grade Transformation and Carcinosarcoma: A Review of Two Forms of Advanced Progression in the Salivary Gland
Authors: Verma Anuj , Seethala Raja R. , Wang He 
Published: April 2024

Context.—
High-grade transformation, previously known as dedifferentiation, in salivary gland carcinoma and carcinosarcoma ex pleomorphic adenoma is a rare phenomenon. It is, however, clinically relevant and affects treatment and prognosis.

Objective.—
To review the existing literature, describe the histologic and immunophenotypic features, and highlight the diagnostic criteria of high-grade transformation in various salivary gland carcinomas and carcinosarcomas; to review its effect on clinical presentation and prognosis; and to review relevant molecular characteristics and recent concepts and advances.

Data Sources.—
Literature search in PubMed using key words such as “high-grade transformation,” “dedifferentiation,” and “carcinosarcoma” in salivary gland. Relevant articles were reviewed, and additional articles were curated from the references of these articles.

Conclusions.—
High-grade transformation occurs rarely but has a significant impact on prognosis and management. By microscopy, the high-grade area is usually a distinct nodule and shows solid and nested architecture, cellular atypia, high mitotic count, and necrosis. The molecular features are not well established. Carcinosarcoma almost always arises in a pleomorphic adenoma and likely follows an adenoma-carcinoma-sarcoma pathway.
Determinant Factors of Antenatal Clinic on Female Sex Workers Attendance within Nairobi County, Kenya
Authors: Tunya Lonah , Musembi Horatius , Akolo Maureen 
Published: April 2024

Globally antenatal care (ANC) initiation is at 58.6% but varies in different continents. Sub-Sahara has the lowest level of ANC care where women attend at least four times during pregnancy. Recent survey in Nairobi County found out that majority of women attends only one antenatal visit during pregnancy. The aim of the study was to explore determinants of antenatal clinic attendance among female sex workers in Nairobi County. A quantitative cross-sectional descriptive study among FSWs (18-49years) was carried out. Simple random sampling and self-administered questionnaires were used for data collection. Data analysis was done using descriptive and inferential statistics. The results show that 132 (32.8%) FSWs were aged 30 to 34 years, 242 (60.0%) were not married. 346 (85.9%) had unplanned pregnancy. Late ANC initiation was due to 42.4% (171) attitude of HCWs, 67.6% (215) distance to the healthcare facility and 86.1% (347) longer waiting time. On inferential analysis, there was an association between occupation of respondent vs number of ANC attendance which was significant = 22.525, df 12, P = 0.032 at P < 0.05. Marital of respondent vs number of ANC attendance was significant =29.058, df 15, P=0.016 at P<0.05. The income level of respondents vs number of antenatal care visits was significant =17.557, df 6, P=0.007 at P<0.05. Thus, pregnant FSWs face discrimination during ANC visits. These research findings will form a basis for future studies as well as guide the Ministry of Health and other stakeholders to develop policies that will guide ANC services among FSWs. Outreach programs on ANC among FSWs should be implemented and there should ANC services that only target FSWs.
Gobernanza rural y planificación estratégica para el desarrollo sostenible: comunidad indígena San Francisco, Alausí - Ecuador
Authors: Tingo Valdiviezo Maritza Judith , Cejas Martínez Magda Francisca 
Published: April 2024

Este estudio tiene como objetivo analizar la gobernanza rural indígena en los procesos comunitarios de desarrollo sostenible desde la perspectiva de la planificación estratégica, en Alausí, Ecuador, 2023. La investigación se caracteriza como descriptiva, documental y de campo, adoptando un enfoque metodológico mixto que abarca tanto la recopilación cuantitativa como cualitativa de información que ha permitido una visión más amplia del tema y a través de un paradigma hermenéutico, se ha buscado interpretar la información para llegar a un conocimiento consensuado. La investigación permitió identificar un proceso debilitado de gobernanza, caracterizado en aspectos como: sobre carga de responsabilidades directivas, limitada capacidad de liderazgo, gestión reactiva de los actores ante las necesidades locales, escasa cultura de planificación y coordinación, estructura directiva jerárquica patriarcal. Factores que condicionan el proceso de liderazgo y gestión a una posición reactiva de los actores respecto de las expectativas e intereses de los pobladores de la comunidad carente de compromiso y empoderamiento. Tal condición, devela la necesidad de superar viejos patrones jerárquicos, por procesos lineales y cooperativos de gobernanza rural ajustados al contexto cultural, mediante procesos de formación y desarrollo de capacidades innovadoras de Gobernanza y planificación estratégica para encaminar el territorio en procesos de desarrollo sostenible.
Formación docente y el proceso de enseñanza-aprendizaje de la lectoescritura en básica elemental y media
Authors: Caicedo Andrade Renzo René 
Published: April 2024

Este estudio trata sobre la formación docente y el proceso de enseñanza-aprendizaje de la lectoescritura en los Subniveles de Básica Elemental y Media de la Unidad Educativa Aníbal González Álava. La investigación surge a partir de la identificación de las dificultades académicas en los estudiantes que no dominan el proceso de lectoescritura y la formación de los docentes, en ocasiones apartada de las Ciencias de la Educación. De la problemática se formularon preguntas de investigación: ¿Cuál es la teoría relacionada con la formación docente y el proceso de enseñanza-aprendizaje de la lectoescritura? ¿Cuál es el nivel de formación académica de los docentes? ¿Cuál es el plan de formación docente para el desarrollo del proceso de enseñanza-aprendizaje de la lectoescritura? El objetivo es concretar un plan de formación docente para el desarrollo del proceso descrito anteriormente. Se emplearon métodos del nivel teórico para el abordaje del objeto–campo de investigación, en lo empírico se utilizó una encuesta, procesada matemáticamente. Los resultados reflejaron que varios docentes no tienen formación en Ciencias de la Educación y desconocen el manejo del proceso de enseñanza-aprendizaje de la lectoescritura. Se concluyó que la formación docente para el desarrollo del proceso de enseñanza-aprendizaje de la lectoescritura es esencial en la formación de profesionales de excelencia.
Analisis Materi Tembang Macapat Sebagai Alternatif Rintisan Desa Budaya Giripurwo, Purwosari, Gunungkidul
Authors: Pamungkas Joko , Sujarwo Sujarwo , Cahya Rahmawati Septika , Anggraeni Erina Putri , Lathifah Widiani 
Published: April 2024

Tujuan dari Penelitian ini adalah untuk menganalisis materi dan pelaksanaan Tembang Macapat Sebagai Alternatif Rintisan Desa Budaya Giripurwo, Purwosari, Gunungkidul. penelitian ini merupakan penelitian yang menggunakan pendekatan kualitatif deskriptif. Diawali dengan melakukan analisis data sekunder mengenai gambaran terkait dengan materi dan kegiatan tembang macapat di desa Giripurwo. Teknik pengumpulan data dilakukan dengan cara observasi, wawancara dan dokumentasi. Subjek penelitian sebagai sumber data dalam penelitian ini adalah masyarakat giripurwo.Tembang macapat ini salah satu rintisan materi yang digunakan untuk memangun desa budaya Giripurwo. Tembang macapat terikat pada tiga aturan yaitu guru gatra, guru lagu, dan guru wilangan. Yang sering dikenal tembang macapat yaitu maskumambang, mijil, sinom, kinanthi, asmaradana, gambuh, dhandanggula, durma, pangkur, megatruh, dan pucung. Melalui tembang macapat merupakan bentuk apresiasi, pelestarian, pengembangan dan pewarisan budaya nusantara.
Peningkatan Hasil Belajar Ipa Siswa Materi Objek Ipa Dan Pengamatannya Melalui Penerapan Model Pembelajaran Discovery Learning
Authors: Anggriyan Dwi 
Published: April 2024

Model pembelajaran yang kurang bervariasi dan menarik sehingga menginspirasi penulis untuk melakukan Penelitian Tindakan Kelas ini. Dalam proses belajar mengajar, guru gagal menghasilkan pembelajaran yang positif dan menggairahkan, sehingga siswa merasa bosan dalam proses pembelajaran, dan siswa tidak banyak berperan aktif. Selama proses pembelajaran berlangsung siswa terus memilih bermain sendiri, sehingga nilai yang mereka peroleh akan tetap di bawah level KKM. Penulis mengklaim bahwa menggunakan strategi discovery learning dalam proses pembelajaran dapat menghasilkan hasil yang lebih baik bagi siswa. Tujuan penelitian ini, yaitu: Penelitian ini bertujuan: (a) untuk menerapkan metode discovery learning untuk peningkatan hasil belajar IPA materi Objek IPA dan Pengamatannya pada siswa kelas VII B SMP Negeri 07 Bengkulu Tengah, (b) untuk mengetahui hasil belajar IPA materi Objek IPA dan Pengamatannya melalui metode discovery learning pada siswa kelas VII B SMP Negeri 07 Bengkulu Tengah, (c) untuk meningkatan hasil belajar IPA materi Objek IPA dan Pengamatannya melalui metode discovery learning pada siswa kelas VII B SMP Negeri 07 Bengkulu Tengah. Metode yang digunakan peneliti adalah Penelitian Tindakan Kelas dengan menggunakan langkah- langkah yang terdiri dari perencanaan, pelaksanaan, observasi, dan refleksi pada setiap siklusnya. Penelitian ini dilaksanakan dalam dua siklus. Dalam tiap siklusnya dilaksanakan kegiatan pembelajaran dengan menerapkan metode Discovery Learning. Subjek penelitian yaitu siswa kelas VII B terdiri dari 15 siswa. Penelitian ini menunjukan bahwa hasil belajar siswa dalam materi Objek IPA dan Pengamatannya melalui metode Discovery Learning dapat meningkat. Peningkatan tersebut dapat dilihat dari hasil penelitian tindakan kelas pada siklus I dan II. Pada siklus I siswa yang tuntas KKM sebanyak 5 siswa atau 33,33%. Pada siklus II siswa yang tuntas KKM sebanyak 13 siswa atau 86,67 % meningkat 53,34 % dari siklus I. Dengan demikian dapat disimpulkan bahwa penggunaan metode pembelajaran Discovery Learning dapat meningkatkan hasil belajar IPA materi Objek IPA dan Pengamatannya pada siswa kelas VII B SMP Negeri 07 Bengkulu Tengah tahun pelajaran 2022/2023.
A IMPACT OF SOCIAL MEDIA ON YOUTH: A CASE STUDY OF VIJAYAPUR DISTRICT
Authors: Tattimani Deepa , Prof. Onkaragouda Kakade  
Published: April 2024

Social media have been playing a major role in today’s life. It has become prominent part of life for many young people. And social networking sites are providing so many things to do like discussion on hot issues, chatting, entertainment, and knowledge also. The use of information technology in social media has increased, especially among the youths. Most of the youths use the social media continuously without knowing what that effect on their lives, whether positive or negative. Social media use can also negatively affect on teens, its distracting them, disrupting their sleep and concentration and sometimes unrealistic views of other people’s lives also impact on youths. There is positive impact also there on youths. The purpose of this study is to know the impact of Social media on college students. So this study explores the impact of Social media on students. For the present study, a random sampling technique will be adopted for the selection of the sample. Primary data will be collected through a structured questionnaire. For the present study, 160 respondents will be selected from Engineering, Medical, Arts, and Science and Commerce streams of UG colleges in the Vijayapura district of Karnataka state. Data will be analyzed by a statistical package for social science.