bluuebunny/crossref_metadata_2025_split huggingface dataset:
Progressive muscle relaxation in pandemic times: bolstering medical student resilience through IPRMP and Gagne's model
Authors: Nair Bhavana , Khan Sara , Naidoo Nerissa , Jannati Shirin , Shivani Balamohan , Banerjee Yajnavalka 
Published: March 2024

BackgroundMedical education, already demanding, has been further strained by the COVID-19 pandemic's challenges and the shift to distance learning. This context underscores the need for effective stress reduction techniques in competency-based medical curricula (CBMC).ObjectiveWe assessed the feasibility and benefits of integrating a Progressive Muscle Relaxation (PMR) module—a known effective stress-reducing technique—into a time-restricted CBMC, particularly given such modules often find placement as elective rather than mandatory.MethodsAdapting Gagne's nine events of instruction, a 2-h PMR program was designed and implemented during the pandemic. Twenty participants were engaged on a first-come, first-served basis, ensuring adherence to social distancing measures. Feedback was continuously gathered, leading to two post-program focus group sessions. Qualitative data underwent thematic analysis following Braun and Clarke's approach, with study quality maintained by the Standards for Reporting Qualitative Research (SRQR). To gauge adaptability, we aligned the program with various learning outcomes frameworks and explored its fit within CBMC using Bourdieu's Theory of Practice.ResultsThe pilot PMR program was well-received and effectively incorporated into our CBMC. Our analysis revealed five central themes tied to PMR's impact: Self-control, Self-realization, Liberation, Awareness, and Interpersonal relationships. Feedback indicated the program's capacity to mitigate stress during the pandemic. The SRQR confirmed the study's alignment with qualitative research standards. Further, the PMR program's contents resonated with principal domains of learning outcomes, and its integration into CBMC was supported by Bourdieu's Theory. These observations led us to propose the Integrative Psychological Resilience Model in Medical Practice (IPRMP), a model that captures the intricate interplay between the identified psychological constructs.ConclusionThis research showcases an innovative, theory-guided approach to embed a wellbeing program within CBMC, accentuating PMR's role in fostering resilience among medical students. Our PMR model offers a feasible, cost-effective strategy suitable for global adoption in medical institutions. By instilling resilience and advanced stress-management techniques, PMR ensures that upcoming healthcare professionals are better equipped to manage crises like pandemics efficiently.
Associations between maternal overweight/obesity during pregnancy and body composition in young adult offspring
Authors: Rerkasem Amaraporn , Lyons-Reid Jaz , Namwongprom Sirianong , Wongsrithep Suthathip , Mangklabruks Ampica , Phirom Kochaphan , Rerkasem Kittipan , Derraik José G. B. 
Published: March 2024

BackgroundMaternal obesity is associated with an increased risk of large-for-gestational-age births and childhood obesity. However, evidence on its potential associations with long-term offspring body composition remains limited. This prospective cohort study examined associations between maternal body mass index (BMI) during pregnancy and body composition in the young adult offspring.MethodsParticipants were the offspring from a birth cohort in Chiang Mai (Thailand). Maternal BMI was assessed at the first antenatal clinic visit (≤24 weeks of gestation) in 1989–1990. In 2010–2011, we followed up the offspring at approximately 20 years of age, assessing their body composition using whole-body dual-energy X-ray absorptiometry (DXA) scans. Associations between maternal BMI and offspring body composition were explored using unadjusted and adjusted analyses.ResultsWe assessed 391 young adults (55% were females). Higher maternal BMI was associated with increased offspring fat mass and lean mass. In adjusted analyses, offspring of mothers with overweight/obesity exhibited total body fat percentages 1.5 (95% CI 0.1, 2.9; p = 0.032) and 2.3 (95% CI 0.2, 4.5; p = 0.036) percentage points higher than offspring of normal-weight and underweight mothers, respectively. Fat mass index was similarly higher: 0.9 kg/m2 (95% CI 0.3, 1.5 kg/m2; p = 0.002) and 1.4 kg/m2 (95% CI 0.5, 2.3 kg/m2; p = 0.002), respectively. However, no differences in visceral adiposity were detected.ConclusionHigher maternal BMI during pregnancy was associated with increased adiposity in young adult offspring. Our findings suggest that the cross-generational transmission of maternal obesity-related traits is associated with increased offspring adiposity in the long term.
Incidence and predictors of loss to follow-up among adult patients receiving antiretroviral therapy in Central Ethiopia: a multi-center retrospective cohort study
Authors: Anulo Asfaw , Girma Addisu , Tesfaye Gezahegn , Asefa Fekede , Cheru Abera , Lonsako Arega Abebe 
Published: March 2024

BackgroundGlobally, loss to follow-up (LTFU) remains a significant public health concern despite the rapid expansion of antiretroviral medication programs. It is a significant cause of treatment failure and threatens the enhancement of HIV treatment outcomes among patients on antiretroviral therapy (ART). However, there is a paucity of evidence on its incidence and predictors in Ethiopia. Thus, this study aimed to examine the incidence and predictors of LTFU among adult HIV patients receiving ART at hospitals in Central Ethiopia.MethodsA multi-centered facility-based retrospective cohort study was conducted among 432 randomly selected adult patients who received antiretroviral therapy. Data were entered into EpiData version 3.1 and exported to Stata version 14 for analysis. The Kaplan–Meier failure function was employed to determine the overall failure estimates, and the log-rank test was used to compare the probability of failure among the different categories of variables. The Cox proportional hazard model was used to identify independent predictors of LTFU.ResultsOverall, 172 (39.8%) study participants were lost to follow-up over the 10-year follow-up period with an incidence rate of 8.12 (95% CI: 7.11, 9.09) per 1,000 person-months. Undisclosed HIV status (AHR: 1.96, 95% CI: 1.14, 3.36), not able to work (AHR: 1.84, 95% CI: 1.13, 2.22), opportunistic infections (AHR: 3.13, 95% CI: 2.17, 4.52), CD4 &lt; 200 cell/mL (AHR: 1.95, 95% CI: 1.18, 3.21), not receiving isoniazid preventive therapy (IPT) (AHR: 2.57, 95% CI: 1.62, 4.06), not participating in clubs (AHR: 1.68, 95% CI: 1.10, 2.22), side effects of drugs (AHR: 1.44, 95% CI: 1.02, 2.04), and high viral load (AHR: 3.15, 95% CI: 1.81, 5.47) were identified as significant predictors of loss to follow-up.ConclusionIn this study, the incidence of LTFU was high. The focus should be on creating awareness and prevention programs that aim to reduce loss to follow-up by continuing counseling, especially on the negative effects of loss to follow-up and the benefits of ART care.
Integration of digital health applications into the German healthcare system: development of “The DiGA-Care Path”
Authors: Giebel G. D. , Abels C. , Börchers K. , Kampka B. , Neusser S. , Cissarek H. R. , Plescher F. , Wasem J. , Blase N. 
Published: March 2024

IntroductionSince 2019 people who have insured in the German statutory health insurance are entitled to use certified apps called the Digitale Gesundheitsanwendungen [Digital Health Applications (DiGAs)]. The prerequisite for this is that an app certified as DiGA and suitable for their diagnosis exists. The DiGA can then either be prescribed by a physician or psychotherapist or requested by the patient from the statutory health insurance fund. Given the novelty of this type of healthcare, the implementation of a DiGA should be closely monitored to identify potential weaknesses and achieve quality improvements. To enable an analysis of the supply of DiGAs step-by-step, we aimed to create the DiGA-Care Path.MethodsWe conducted three steps to create the DiGA-Care Path. First, a knowledge base was created based on a structured literature research matched with knowledge gathered from the superordinate research project “QuaSiApps” funded by the German Federal Joint Committee. Second, we aimed to create an “ideal-typical” DiGA-Care Path using a flowchart. Third, based on the first path, a final path was developed using the graphical modeling language “Event-Driven Process Chain.”ResultsThe DiGA-Care Path was developed to depict the supply of DiGAs in Germany. The final path is constituted by a “main path” as well as a corresponding “sub-path”. While the “main path” focuses more on the supply environment in which a DiGA is used, the “sub-path” depicts the supply delivered by the DiGA itself. Besides the process itself, the paths include relevant actors to indicate responsibilities for individual process steps.DiscussionThe DiGA-Care Path helps to analyze the current supply of DiGAs step-by-step. Thereby, each step can be investigated in detail to identify problems and to detect further steps where quality improvements can be enabled. Depending on the perspective, focused either on the supply environment, or the supply delivered by the DiGA itself, the “main path” or the “sub-path” can be used, respectively. Besides the potential of the DiGA-Care Path to improve the current supply of DiGAs, it can help as an orientation for international policymakers or further stakeholders either to develop their own integration of apps into healthcare systems or for international manufacturers to consider entering the German market.
The in vitro and in vivo anti-inflammatory and anti-oxidative effects of an amino acid blend supplemented feed on pigs experimentally challenged with Salmonella Typhimurium
Authors: Ham Sehyeong , Suh Jeongmin , Kim Jieun , Gu Min Jeong , Park Min Ah , Oh Eunseon , Moon Jun-Ok , Chae Chanhee 
Published: March 2024

BackgroundThe in vitro and in vivo anti-inflammatory and anti-oxidative effects of an amino acid (AA) blend (tryptophan, threonine, and methionine) in pigs.ObjectiveThis study aimed to evaluate the in vitro anti-inflammatory and anti-oxidative effects of an AA blend on intestinal porcine epithelial cells (IPEC-J2) and the in vivo anti-inflammatory and anti-oxidative effects in pigs experimentally challenged with Salmonella Typhimurium.MethodsIPEC-J2 were pretreated with an AA blend for 25 h and then treated with lipopolysaccharide (LPS), deoxynivalenol (DON), or H2O2 for in vitro evaluation. A controlled standard diet supplemented with 0.3% of the AA blend was orally fed to the treated group pigs for 14 days, beginning at 21 days of age. At the end of the feeding period, pigs were orally inoculated with Salmonella Typhimurium.ResultsPre-treatment with the AA blend reduced LPS/DON-induced interleukin (IL)-8 mRNA as a measurement of the anti-inflammatory effect and H2O2-induced reactive oxygen species (ROS) as a measurement of the anti-oxidative effect on IPEC-J2. Feeding with an AA blend resulted in a reduction of proinflammatory (tumor necrosis factor-α, IL-6, and IL-8) cytokine levels, while treated pigs experienced an increase in anti-inflammatory IL-10 cytokine in their sera. The addition of an AA blend-supplemented pig feed resulted in significantly lower Salmonella-induced cecal lesion scores compared to untreated pigs.DiscussionSupplementation of feed with an AA blend reduced intestinal inflammation and pathology in pigs and may be applied for the control of Salmonella Typhimurium infection, as demonstrated in this study.
ASUHAN KEBIDANAN KOMPREHENSIF PADA NY. F DI UPT PUSKESMAS BALUBUR LIMBANGAN KABUPATEN GARUT
Authors: Amalia Dwi Nastiti Risna , Sriwenda Djudju 
Published: March 2024

Asuhan kebidanan komprehensif adalah asuhan yang diberikan secara menyeluruh dengan adanya pemeriksaan sederhana dan konseling asuhan kebidanan yang mencakup pemeriksaan berkesinambungan diantaranya asuhan kehamilan, persalinan, bayi baru lahir, nifas dan masa antara. Tujuan dari asuhan ini yaitu asuhan komprehensif pada Ny. F dan By. Ny.F dengan menerapkan manajemen kebidanan 7 langkah Varney.
Metode yang digunakan dalam laporan tugas akhir ini adalah studi kasus dengan responden Ny. F dan By. Ny. F, waktu pelaksanaan asuhan daru usia kehamilan 37 minggu sampai 37 hari postpartum, mulai dari bulan Januari - Maret.
Berdasarkan hasil asuhan yang telah dilakukan, pada kehamilan ditemukan masalah yaitu kebutuhan hidrasi yang kurang dan kontraksi palsu atau Braxton hicks. Masalah dapat teratasi dengan konseling mengenai kebutuhan nutrisi dan hidrasi pada ibu hamil dan menjelaskan ketidaknyamanan pada trimester tiga. Pada persalinan tidak ditemukan masalah. Pada nifas ditemukan kesenjangan mengenai pemberian antibiotik.
Berdasarkan asuhan yang telah dilakukan oleh penulis, pemberian asuhan kebidanan komprehensif sangat penting dilakukan untuk meningkatkan kesehatan ibu maupun bayi.
Del caos al terror: Irak bajo la sombra del Estado Islámico (ISIS)
Authors: Juri Lourdes Azul 
Published: March 2024

Este artículo se propone analizar e identificar las razones políticas, sociales y securitarias que contribuyeron al vacío de poder en el cual se sumió Irak en los años que le siguieron al fenómeno de la Primavera Árabe, los cuales desempeñaron un papel crucial en el arrebato de territorios por parte del grupo yihadista Estado Islámico en Irak (EII). El período temporal seleccionado (2011-2017) inicia con las protestas en Irak que surgieron en el contexto de los levantamientos conocidos como la Primavera Árabe en la región de Medio Oriente y Norte de África, mientras que el punto culminante se encuentra en diciembre de 2017, cuando Irak anunció su triunfo y la recuperación de las áreas que habían sido capturadas y ocupadas años antes por el grupo yihadista.
Para el cumplimiento de tal objetivo se realiza una recopilación y sistematización bibliográfica entre las que se destacan documentos oficiales. Asimismo, se emplean artículos de revistas científicas, libros o capítulos de estos, trabajos expuestos en congresos, reportes de centros de investigación, además de notas y artículos periodísticos de medios de comunicación iraquíes, regionales e internacionales.
The influence of individual characteristics and work discipline on the performance of PT employees Bank Syariah Indonesia Palopo Branch
Authors: Adil Adil , Sapar Sapar , Marhani Marhani , Rosa Imelda 
Published: March 2024

Purpose: This study examines and analyzes the individual characteristics and work discipline that affect employee performance in physical therapy (PT). Bank Syariah Indonesia (BSI) Tbk Palopo Branch.
Methodology: This study was a quantitative research using a descriptive approach. The population in this study comprised all employees who worked at PT. Bank Syariah Indonesia(BSI) Tbk Palopo Branch. Thirty-five samples were used in this study amounted to 35 people. The data analysis techniques used were a descriptive statistical test, classical assumption test, and multiple regression analysis.
Results: The results were as follows: 1). Individual characteristics had a positive and significant effect on the performance. Bank Syariah Indonesia (BSI) Tbk Palopo Branch, 2). Work discipline has a positive and significant effect on the performance of PT employees. Bank Syariah Indonesia (BSI) Tbk Palopo Branch. 3). The results of the F test show that the characteristics and work discipline simultaneously (together) have a positive and significant effect on the performance of PT employees. Bank Syariah Indonesia (BSI) TbkPalopo Branch. Individual characteristics and work discipline have a contribution or influence on employee performance variables by 43.20%, while the remaining 56.80% is influenced by other variables not examined in this study.
Contribution: This study provides valuable insights into the factors that influence employee performance in the Indonesian banking sector, specifically in the context of Islamic banking.
The Influence of Organizational Behavior and Finger Print Technology on Employee Work Discipline at The Palopo City Land Office
Authors: Putri Putri , Suardi Ahmad , Basir Adil 
Published: March 2024

Purpose: The aim of this research is that researchers want to determine whether organizational behavior and fingerprint technology influence the work discipline at the Palopo City Land Office.
Research methodology: Quantitative methods were used in this study. This research was conducted at the Palopo City Land Office between October and November 2023. Data were obtained by distributing questionnaires to 80 respondents. The collected data were tested using multiple linear regression analysis with SPSS statistics application program version 20 to test two or more independent variables against the dependent variable.
Results: From the results of the T test, it is proven that the organizational behavior variable has a partial effect on work discipline at the Palopo City Land Office, and that the fingerprint technology variable has a partial effect on work discipline at the Palopo City Land Office. The test results from this research show that fcount > Fiable or 117,552 3.11, with a significance value of 0.001 < 0.05, can be said to be significant because this proves that organizational behavior and fingerprint technology have a positive effect on work discipline.
Implementation: Thus, it can be concluded that all independent variables in this research work together or simultaneously on the dependent variable. The coefficient of determination in this study was also 0.753 or 75.3%, which shows that organizational behavior and fingerprint technology can influence changes in work discipline, while the remaining 24.7% is explained by other factors outside of this research.
Development of a web-based Multimedia Learning Management System (MlMS) in High School Physics Learning
Authors: Jh Taufik Solihudin , Annas Suwardi , Saud Syukur 
Published: March 2024

Purpose: This research aims to investigate: (1) students' needs for a web-based Multimedia Learning Management System (MLMS) in high school physics learning, (2) designing a prototype model for developing a web-based Multimedia Learning Management System (MLMS) in high school physics learning, (3 ) the validity of the web-based Multimedia Learning Management System (MLMS) development model in high school physics learning, (4) measuring the practicality of the web-based Multimedia Learning Management System (MLMS) development model in high school physics learning, and (5) the effectiveness of the Multimedia Learning Management System development model (MLMS) web-based in high school physics learning.
Research methodology: The research method applied was research and development using the one-group pre-test and post-test design (ADDIE) model. The object of this research was high school students, with samples taken from four schools (three private schools and one state school) in South Tangerang.
Results: The assessment results for static electricity material at schools I and II were in the medium category, with gain value of 0.64 and 0.63, respectively, while at school III, they were in the high category with a gain value of 0.70. Statistical significance (school I, school II, and school III) in Static Electricity shows t < 0.05, while in dynamic electricity material, schools I and II are in the high category, with the same gain value of 0.7 and a significant level t-test results t < 0.05.
Implementation: The material expert validation results showed a validity level of 90.91% (very good), whereas the multimedia expert validation results reached 83.75% (very good). Professional physics teachers gave positive responses, with a material and multimedia acceptance rate of 84.82% (very good), whereas student responses reached 79.98% (very good). Effectiveness based on improving student learning outcomes was measured by providing pre-tests, treatments, and post-tests (One Group Pre-test, Post-test Design) using the N-gain value.
Horn banana peel powder biocoagulants in lowering the turbidity of water
Authors: Priyadi Priyadi , A’yun Qurrota , Navianti Diah , Sukarjo Sukarjo 
Published: March 2024

Purpose: In response to contemporary global issues like pollution, global warming, and the loss of natural resources, the circular bioeconomy has been proposed. Using organic waste as a bioagulant facilitates the shift to a circular and sustainable bioeconomy. For homes that use well water that has been excavated, the concentration of chemical coagulants must be taken into consideration. The purpose of this study is to use banana peel powder as a biocoagulant to lower the turbidity level of water from a dug well.
Research methodology: The Paired Sample T-Test and the ANOVA test with Welsh correction were used to examine the average change in turbidity 0.000 <0.05 was the ? value obtained.
Results: The Post Hoc Games-Howell test findings revealed a noteworthy distinction between the treatment groups. This study concludes that the biocoagulant made of powdered banana horn can lower turbidity to a level that satisfies health standards.
A Deep Reinforcement Learning Agent for Snake Game
Authors: Hossain Md Meem , Fakokunde Akinwumi , Olaolu Omololu Isaac 
Published: March 2024

After watching AlphaGo a Netflix documentary which presents how AlphaGo is an AI computer game developed by deep-mind technologies based on deep reinforcement learning (DRL). Since then, my interest in reinforcement learning has been growing. In this project, I will apply reinforcement learning to develop an agent to play snake game. Where Deep learning will implement a neural Network to help the agent (snake) to learn what action must take to get a state. If we describe deep reinforcement learning (DRL) model where agent interacts with an environment and chooses an action. Based on action, agents receive feedback from the environment as states (or perceives) and rewards. A state = an array with 11 input values, each input values represent a neural network that provides an output of 3 values, each one represents three possible actions the agent (snake) can take (Straight, Right Turn and Left Turn).
PENGARUH KOMPETENSI DAN KOMPENSASI TERHADAP KINERJA KARYAWAN PADA KANTOR PEGADAIAN KOTA PROBOLINGGO DENGAN MOTIVASI SEBAGAI VARIABEL INTERVENING
Authors: Firdaus Aditya Abzar , Karnadi Karnadi , Fandiyanto Randika 
Published: March 2024

The purpose of this research is to analyze the influence of variablesThe Influence of Competence and Compensation on Employee Performance at Pawnshops in Probolinggo City With Motivation as an Intervening Variable. By using the Partial Least Square (PLS) structural equation model.
The results of the direct effect hypothesis test using the Smart PLS 3.0 application. Competence has a significant positive effect on Motivation (H1 is accepted), Compensation has a significant positive effect on Motivation (H2 is accepted), Competence has a significant positive effect on Employee Performance (H3 is accepted), Compensation has a significant positive effect on Employee Performance (H4 is accepted), Motivation has a significant positive effect on Employee Performance (H5 is accepted), Competence has a significant positive effect on Employee Performance through Motivation (H6 is accepted), and Compensation has a positive but not significant effect on Employee Performance through Motivation (H7 is rejected).