bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analisis Penjadwalan Proyek Kontruksi Dengan Critical Path Method (CPM) Pada Proyek Pembangunan Poliklinik Fakultas Kedokteran Universitas Pattimura Ambon
Authors: Nukuhehe Sania , Saleh La Mohamat , Gaspersz Willem 
Published: February 2025

Penjadwalan Pekerjaan pada suatu Proyek Konstruksi merupakan salah satu parameter yang sangat penting sebagai tolak ukur keberhasilan suatu proyek konstruksi di samping anggaran dan mutu pekerjaan. Penjadwalan perlu diperhatikan dalam manajemen proyek untuk menentukan durasi maupun urutan kegiatan proyek, sehingga menjadi penjadwalan yang logis dan realistis. Dalam penelitian ini mengunakan metode jalur kritis (CPM) adalah teknik dimana mengidentifikasi tugas yang diperlurkan untuk penyelesaian proyek dan menentukan fleksibilitas penjadwalan. Tugas Akhir ini akan membahas cara penjadwalan pada Proyek Pembangunan Poliklinik Fakultas Kedokteran Universitas Pattimura Ambon. Tujuannya adalah untuk mengetahui cara penjadwalan serta kegiatan apa saja yang terdapat lintasan kritis. Untuk menganalisanya digunakan metode tadi dan dicari mana kegiatan yang kritis dan tidaknya. Penelitian ini dilakukan dengan mengambil data time schedule dari perusahaan CV. EVANIA SEJAHTERA. Dari data tersebut dapat dihitung dengan membuat tahapan-tahapan penyelesaiannya yaitu: 1) menyusun Work Breakdown Structure, 2) Membuat hubungan logika antar pekerjaan, 3) Membuat Perhitungan Penjadwalan CPM.
Hubungan Pola Pemberian makanan Pada Balita Dengan Kejadian Stunting di Desa Hilir Muara Wilayah Kerja Puskesmas Kotabaru Tahun 2024
Authors: Roslinawati Selvia , Tunggal Tri , Yuliastuti Erni , Yuniarti Yuniarti 
Published: February 2025

Latar Belakang: Di Kabupaten Kotabaru memiliki 28 puskesmas. Dari data cakupan gizi Kotabaru yaitu Puskesmas Kotabaru yang memiliki 6 desa dengan 630 balita dengan balita stunting berjumlah 40 balita (6,35%). Dari keseluruhan data Desa Hilir Muara memiliki balita stunting pada tahun 2024 yaitu 23 balita (7,69%) dari 299 balita yang ditimbang. Tujuan penelitian : Menganalisis pola pemberian makan pada balita dengan kejadian Stunting yang ada di Desa Hilir Muara Wilayah Kerja Puskesmas Kotabaru tahun 2024. Metode: Penelitian ini menggunakan studi analitik korelasional dengan pendekatan case-control. Populasi penelitian ini anak usia 12-59 bulan sebanyak 299 balita. Sampel berjumlah 69 balita. Sampel kasus stunting 23 balita dan sebagai kontrol 46 balita dengan perbandingan 1:2. Dengan tekhnik simple random sampling .Pengumpulan data dengan wawancara dan kuesioner. Analisis data dilakukan dengan uji chi-square untuk menguji hubungan antara variabel pola pemberian makan dengan kejadian stunting. Hasil Penelitian : Penelitian menunjukkan bahwa terdapat hubungan antara pola pemberian makan dengan kejadian stunting. Data hasil Univariat untuk pemberian makan tidak tepat pada kelompok tidak stunting berjumlah 46 responden, di dapatkan sebanyak 10 responden (21,70) dan pemberian makan yang tepat 36 responden (78,3%) hasil uji chi square p-value = 0,000 Kesimpulan terdapat hubungan antara pola pemberian makan dengan kejadian stunting.
Hubungan Lama Penggunaan Kontrasepsi KB Suntik Depo Medroxyprogesterone Acetate Dengan Peningkatan Berat Badan Akseptor KB Di Puskesmas Sungai Bali Tahun 2024
Authors: Pramono Ambulu Putri , Kirana Rita , Megawati Megawati , Hapisah Hapisah 
Published: February 2025

Akseptor Kontrasepsi terbanyak di Indonesia didominasi akseptor suntik sebesar 63,7%. Salah satu efek samping suntik Depo Medroxyprogesterone Acetate adalah peningkatan berat badan, Wanita yang menggunakan Suntik Depo Medroxyprogesterone Acetate rata-rata mengalami peningkatan berat badan. Tujuan penelitian untuk mengetahui hubungan lama penggunaan kontrasepsi suntik Depo Medroxyprogesterone Acetate dengan peningkatan berat badan akseptor di wilayah kerja Puskesmas Sungai Bali. Metode Penelitian menggunakan jenis penelitian Kuantitatif dengan pendekatan cross sectional. Populasi dalam penelitian sejumlah 150 responden, yang diambil dengan Tekhnik purposive sampling. Variabel Independen dalam penelitan ini adalah lama penggunaan kontrasepsi suntik Depo Medroxyprogesterone Acetate. Variabel Dependent dalam penelitian adalah Peningkatan Berat Badan. dianalisa menggunakan Uji Chi Square dengan Signifikansi P=0.05. Hasil Penelitian menunjukkan terdapat hubungan yang bermakna antara penggunaan kontrasepsi suntik Depo Medroxyprogesterone Acetate dengan peningkatan Berat Badan akseptor dengan nilai p=0,000 < p=0,05. Disarankan Ibu yang menjadi akseptor agar lebih bijak menentukan jenis kontrasepsi yang akan digunakan. Perhatikan manfaat, dan efek samping kontrasepsi yang digunakan.
Bullying Oleh Anak Sekolah Smp Negeri 11 Jayapura
Authors: Kewaman Remigius , Rusdin Muhammad Ragil , Supi Jemima A , Laboba Jael Loisa , Rachman Faradilla , Opada Esterlina , Mulyaningrum Chintya , Asyer Asyer , Labobar Arson Mikael , Perangin Adam Mohamad Mujahidin , Anggraeni Siti Fatima 
Published: February 2025

Kegiatan Pengabdian Kepada Masyarakat ini bertujuan untuk memberikan pemahaman dan pengetahuan kepada Masyarakat terutama kepada para guru-guru dan siswa siswi di Lingkungan SMP negeri 11 Jayapura Berkaitan dengan bully oleh anak disekolah, dampak bully, cara menghadapi dan sanksi hukum nya. Kegiatan ini menggunakan metode ceramah serta diskusi dan tanya jawab. Melalui ceramah peserta akan diberikan penjelasan dan informasi mengenai gambaran contoh kasus serta cara menghadapi pelaku bully dan sanksi hukum nya diharapkan mendapatkan ilmu pengetahuan hukum baru kepada guru-guru dan siswa siswi SMP negeri 11 Jayapura terkait cara menghadapi pelaku bully dan sanksi kepada pelaku bully di lingkungan sekolah.
Desarrollo de competencias docentes, experiencias del Programa Nacional de Inducción en profesores principiantes
Authors: Román Santana Wanda Marina , Mata de Salcedo Carmen 
Published: February 2025

El Programa Nacional de Inducción Dominicano para docentes principiantes brinda capacitación y apoyo personalizado con el propósito de fortalecer las competencias pedagógicas y facilitar un desempeño exitoso en el sistema educativo. La presente investigación tiene como objetivo analizar las competencias adquiridas en el Programa Nacional de Inducción 2023 desde la perspectiva del docente principiante del Sistema Educativo Dominicano. Se trabajó un enfoque cuantitativo, la investigación se llevó a cabo bajo un diseño no experimental y transversal. La muestra estuvo conformada por 481 docentes. Los principales resultados destacan que los docentes han adquirido competencias tecnológicas que les permiten llevar a cabo sus actividades académicas con mayor calidad. El 70% de los encuestados considera excelente su dominio al realizar tareas básicas de familiarización a través del Entorno Virtual de Aprendizaje. Se concluye que el estudio demostró la eficacia del Programa Nacional de Inducción, y los docentes revelan un elevado nivel de satisfacción.
Educaplay: Una herramienta digital interactiva para fomentar la Educación Ambiental
Authors: Infante Vera Assad Frank , Bosquez Barcenes Victor Alejandro 
Published: February 2025

El presente estudio investiga la efectividad de la herramienta digital Educaplay en la educación ambiental, utilizando una metodología mixta que incluye encuestas y evaluaciones pre y post-test con 33 estudiantes de tercero bachillerato de la Unidad Educativa Dr. Luis Célleri Avilez y seis docentes de la jornada vespertina. Los resultados indican que el 63.6% de los alumnos mejoró su comprensión de conceptos ambientales, mientras que el 60.6% disfrutó de las actividades interactivas, promoviendo un aprendizaje activo. Además, se obtuvo un aumento del 52% en las calificaciones máximas tras la implementación de Educaplay. Finalmente, se concluye expresando que esta herramienta no solo motivó mediante la utilización la concienciación ambiental, sino que también mejora el rendimiento académico y el compromiso estudiantil ayudando a reflexionar y proponer soluciones frente a los retos ambientales que enfrentan en su entorno.
Extrusion Cooking and its Impact on the Overall Acceptability of Snacks Produced from Aerial Yam and Soybean Composite Flour
Authors: Umoh Enobong Okon , Iwe Madu Ofo , Ojimelukwe Philippa C. , Etim Promise Joseph 
Published: February 2025

This study evaluated the impact of extrusion cooking on the overall acceptability of snacks produced from aerial yam and soybean composite flour. Design Expert (version 11.0.1) was used in the experimental design, with a three-factor experimental set-up at five levels each. The aerial yam and soybean composite flour was formulated in the ratio of 1:3 and extruded using laboratory scale single-screw extruder. Twenty runs were carried out to produce twenty samples for the sensory test. Response Surface Methodology was adopted in analyzing the effect of the independent variables on the dependent factors. Results of sensory evaluation showed that the overall acceptability scores ranged from 4.20 to 7.10. The least score of 4.20 for overall acceptability was recorded for snacks produced at 100 barrel temperature, 100 rpm screw speed and 33% feed moisture, while the highest score (7.10) for overall acceptability was obtained from snacks produced at 110 barrel temperature, 100 rpm screw speed and 37% feed moisture. Response surface analysis revealed that an increase in barrel temperature, screw speed and feed moisture resulted in an increase in the overall acceptability. The overall acceptability of the snacks was significantly (p < 0.05) affected by barrel temperature and feed moisture, while the screw speed had no significant (p > 0.05) effect on the overall acceptability. The interaction of the extrusion cooking parameters had a significant (p < 0.05) effect on the overall acceptability of the snacks. The acceptability scores ranged from 4.20 to 7.10, indicating moderate to high acceptance by sensory panelists.
SYNERGIZING EDUCATION AND HEALTHCARE: UNPACKING THE TRANSFORMATIVE ROLE OF PHARM.D AND B.Ed. TEACHER EDUCATION
Authors: Ujala Wasim  , Syed Akif Uddin  , Syeda Tayyaba Asif  , Dr Madiha Jamshed  , Mahwish Mahmood Siddiqui  , Humera Naz  
Published: February 2025

Aims: The aim of this study is to reveal the impact of Pharm.D and B.Ed. teacher education on different disciplines and to examine the special role that these programs play a critical role in future generations.
Methodology: Both qualitative and quantitative data gathering and analysis techniques were used in a mixed-methods approach. 500 participants including Pharm.D and B.Ed. students, teachers, and professionals from a variety of fields were given a survey questionnaire.
Results: Ninety percent of participants acknowledged the importance of Pharm.D and B.Ed. teacher education in promoting critical thinking, problem-solving, and communication skills, indicating that this education is crucial in forming future generations.
Discussion: The outcomes demonstrate how Pharm.D and B.Ed. teacher education can significantly impact the development of future generations, with ramifications for a number of fields, including research, healthcare, and education.
COMPARATIVE ULTRASOUND ASSESSMENT OF RENAL PARENCHYMAL THICKNESS AND RENAL FUNCTION TESTS IN CHRONIC KIDNEY DISEASE
Authors: Ahmad Waqas , Mobeen Hifsa , Ahmad Shah Arsalan Waqas , Mobeen Naima , Rehman Asad ur , Bibi Asma 
Published: February 2025

Background: Chronic kidney disease (CKD) is a global public health problem with increasing incidence, poor prognosis, and significant economic burden. Early detection and monitoring are crucial in mitigating adverse outcomes. Ultrasonography is a non-invasive, cost-effective tool for evaluating renal function, particularly renal parenchymal thickness, in CKD patients.
Objective: To compare renal parenchymal thickness using ultrasound findings between CKD patients and healthy controls, and to evaluate differences in renal function tests (RFTs) between these two groups.
Methods: This case-control study involved 64 CKD patients and 64 healthy controls. Renal parenchymal thickness was measured via ultrasound, while serum creatinine levels and estimated glomerular filtration rate (eGFR) were assessed as part of the RFTs. Statistical analyses were performed to compare these parameters between the groups.
Results: CKD patients exhibited significantly lower mean parenchymal thickness (8.51 ± 3.03 mm) compared to controls (15.82 ± 1.78 mm, p < 0.001). Serum creatinine was significantly elevated in CKD patients (9.05 ± 5.14 mg/dL) compared to controls (1.05 ± 0.25 mg/dL, p < 0.001). Similarly, eGFR was markedly reduced in CKD patients (14.01 ± 15.04 mL/min/1.73m²) relative to controls (106.56 ± 7.92 mL/min/1.73m², p < 0.001).
Conclusions: Renal parenchymal thickness, serum creatinine, and eGFR are significant and independent predictors of CKD progression. Ultrasonography is a reliable, non-invasive diagnostic tool for assessing structural renal changes in CKD.
Nanoparticles modified bioceramic sealers on solubility, antimicrobial efficacy, pushout bond strength and marginal adaptation at apical-third of canal dentin
Authors: Almutairi Basil , Alkhudhairy Fahad 
Published: February 2025

Objective
The present study investigates the solubility, antimicrobial potency, pushout bond strength (PBS), and marginal adaptation of sealer modified using various nanoparticles (NPs) (silver, chitosan, HapNPs) to the root dentin at the apical third.

Methods
Forty-four human premolars were prepared for root canal treatment via a chemical mechanical approach. The teeth included were subsequently distributed into four groups based on the type of modified and unmodified sealers. Group 1 bioceramic (BC) sealer (Control), Group 2 (AgNPs modified BC sealer), Group 3 (CHNPs modified BC sealer), and Group 4 (HApNPs modified BC sealer). Solubility was assessed by making five samples and measured via precision balance. Antimicrobial testing against E. faecalis was performed using the Agar diffusion test. The bond strength and failure modes were assessed utilizing a universal testing machine and stereomicroscope respectively. A pair of specimens from each cohort was fixed to an aluminum stub to assess marginal adaptation via SEM at the apical third. Data analysis was performed utilizing one way ANOVA and followed by Tukey’s post hoc test (p < 0.05).

Results
Sealers-modified HApNPs exhibited the lowest solubility (3.884 ± 0.15%) and strongest PBS (9.63 ± 0.12 MPa). Group 1 (Control) demonstrated highest solubility rate (6.144 ± 0.39%) and weakest bond strength (6.50 ± 0.09 MPa). All the modified sealers exhibited the largest zone of inhibition with no significant difference. Whereas the unmodified BC sealer group presented the smallest zone of bacterial inhibition.

Conclusion
Marginal adaptation of sealers does not affect the bond strength outcomes achieved. The incorporation of silver, chitosan, and hydroxyapatite nanoparticles into BC root canal sealers resulted in reduced solubility, enhanced antibacterial efficacy, and improved PBS compared to unmodified BC canal sealers.
Clinical Reasoning and Self-confidence Assessment Tool (CRESCAT): A Preliminary Validation Study
Authors: Junior Abrão José Melhem , Santos Felipe Dunin dos , Filho Celso Nilo Didoné , Porfirio Gustavo Bianchini , Figueiredo Danielle Soraya da Silva , Diehl Leandro Arthur , Gordan Pedro Alejandro , Figueiredo David Livingstone Alves 
Published: February 2025

Background: Case-based learning, a clinical reasoning inductive methodology, can be a pedagogical strategy for preclinical medical students. Self-confidence is also an essential issue in this phase of the medical course. Specific tools, such as questionnaires specially designed for this purpose, can better assess the development of these skills.
Objective: To validate a questionnaire that assesses preclinical medical students' clinical reasoning accuracy and self-confidence.
Methods: We designed the Clinical Reasoning and Self-confidence Assessment Tool (CRESCAT), which was developed and validated to measure accuracy and self-confidence. The target population is the first- and second-year medical students. The questionnaire is compounded by 7 clinical cases of commonly known diseases, with 5 to 6 questions for each case. An expert panel developed the answers’ template. A Likert scale was used to measure self-confidence. CRESCAT was applied in November 2022 to a more advanced sample than the preclinical students: Fourth-year students (4YMS, n=7) and internal medicine medical residents (IMMR, n=7). Statistical analysis included Cronbach’s alpha to determine the reliability of Likert scale answers. The Kruskal-Wallis test compared CRESCAT measures. Spearman’s correlation was applied for the primary objectives. Statistical significance was set at P < .050.
Results: We observed an increase in average accuracy from 4YMS to IMMR (65.2±2.9% and 77.7±2.3%, respectively; P= .006). Although there was no difference in self-confidence averages, a moderate correlation was found between self-confidence and accuracy (Rs = .663, P = .001). The validation population considered the CRESCAT friendly and easy to answer.
Conclusions: We tested a clinical reasoning and self-confidence assessment tool (CRESCAT) developed for preclinical medical students. It was applied to fourth-year students and medical residents, showing its potential to discriminate accuracy and correlate with self-confidence.
Shorter Dual Antiplatelet Therapy for Older Adults After Percutaneous Coronary Intervention
Authors: Park Dae Yong , Hu Jiun-Ruey , Jamil Yasser , Kelsey Michelle D. , Jones W. Schuyler , Frampton Jennifer , Kochar Ajar , Aronow Wilbert S. , Damluji Abdulla A. , Nanna Michael G. 
Published: March 2024

ImportanceThe optimal duration of dual antiplatelet therapy (DAPT) for older adults after percutaneous coronary intervention (PCI) is uncertain because they are simultaneously at higher risk for both ischemic and bleeding events.ObjectiveTo investigate the association of abbreviated DAPT with adverse clinical events among older adults after PCI.Data SourcesThe Cochrane Library, Google Scholar, Embase, MEDLINE, PubMed, Scopus, and Web of Science were searched from inception to August 9, 2023.Study SelectionRandomized clinical trials comparing any 2 of 1, 3, 6, and 12 months of DAPT were included if they reported results for adults aged 65 years or older or 75 years or older.Data Extraction and SynthesisThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guideline was used to abstract data and assess data quality. Risk ratios for each duration of DAPT were calculated with alternation of the reference group.Main Outcomes and MeasuresThe primary outcome of interest was net adverse clinical events (NACE). Secondary outcomes were major adverse cardiovascular events (MACE) and bleeding.ResultsIn 14 randomized clinical trials comprising 19 102 older adults, no differences were observed in the risks of NACE or MACE for 1, 3, 6, and 12 months of DAPT. However, 3 months of DAPT was associated with a lower risk of bleeding compared with 6 months of DAPT (relative risk [RR], 0.50 [95% CI, 0.29-0.84]) and 12 months of DAPT (RR, 0.57 [95% CI, 0.45-0.71]) among older adults. One month of DAPT was also associated with a lower risk of bleeding compared with 6 months of DAPT (RR, 0.68 [95% CI, 0.54-0.86]).Conclusions and RelevanceIn this systematic review and meta-analysis of different durations of DAPT for older adults after PCI, an abbreviated DAPT duration was associated with a lower risk of bleeding without any concomitant increase in the risk of MACE or NACE despite the concern for higher-risk coronary anatomy and comorbidities among older adults. This study, which represents the first network meta-analysis of this shortened treatment for older adults, suggests that clinicians may consider abbreviating DAPT for older adults.
Genetic Associations of Primary Angle-Closure Disease
Authors: Liang Yu Jing , Wang Yu Yao , Rong Shi Song , Chen Zhen Ji , Chen Shu Ying , Tham Jenson A. , Chan Poemen P. , Yam Jason C. , Wiggs Janey L. , Pang Chi Pui , Tham Clement C. , Chen Li Jia 
Published: March 2024

ImportanceEffects of genetic variants on primary angle-closure disease remained uncertain.ObjectiveTo systematically review the associations of common single-nucleotide variants (SNVs) and rare coding variants with primary angle-closure disease, its subtypes (including primary angle-closure glaucoma, primary angle-closure suspect, and primary angle-closure) and progression.Data SourcesEligible studies from PubMed, Embase, and Web of Science were retrieved up to April 3, 2023. SNV information was extracted from eligible reports and 2 genome-wide association studies summary statistics, UK BioBank and FinnGen.Study SelectionStudies providing analyzable genotype or allele data in a case-control design for primary angle-closure disease association and longitudinal case-only design for primary angle-closure disease progression.Data Extraction and SynthesisPRISMA guidelines were used for literature screening and the Newcastle Ottawa Scale for data quality assessment. Pooled effect size with 95% CIs of SNV associations were calculated using fixed- or random-effect models according to I2 statistics.Main Outcomes and MeasuresSNVs reported in 2 or more studies were meta-analyzed to generate pooled odds ratios and P values. Common and rare coding variants from single reports were summarized.ResultsSixty-nine citations were eligible for meta-analysis on overall primary angle-closure disease, involving 206 SNVs in 64 genes or loci. Seventeen SNVs in 15 genes or loci showed associations with primary angle-closure disease, and 15 SNVs in 13 genes or loci showed associations with primary angle-closure glaucoma. Two SNVs, ABCA1 rs2422493 and ZNRF3 rs3178915, were associated only with primary angle-closure disease. Two SNVs, PCMTD1-ST18 rs1015213 and COL11A1 rs3753841, were associated with primary angle-closure suspect, and 1 SNV, MMP9 rs3918249, was associated with primary angle-closure. This systematic review and meta-analysis newly confirmed 7 genes or loci associated with primary angle-closure glaucoma: ATOH7, CALCRL, FBN1, IL6, LOXL1, MMP19, and VAV3. Common and rare coding variants in 16 genes or loci that have been associated with primary angle-closure disease were cataloged. Stratification analysis revealed different primary angle-closure disease–associated genes in different ethnic populations. Only 1 study regarding the genetic association of primary angle-closure glaucoma progression was identified.Conclusions and RelevanceThis study revealed the genetic complexity of primary angle-closure disease, involving common SNVs and rare coding variants in more than 30 genes or loci, with ethnic and phenotypic diversities. Further replication, genotype-phenotype correlation, and pathway analyses are warranted.