bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implementasi Range Of Motion (ROM) Pasif pada Klien CVA Infrak dengan Masalah Keperawatan Intoleransi Aktivitas di Ruang Bedah Saraf RSD Kalisat Jember
Authors: Alisia Carissima Virna , Elmaghfuroh Dian Ratna 
Published: November 2023

CVA Infark ialah gejala sindrom klinis yang disebabkan oleh penyempitan atau jaringan nekrotik otak, sehingga mengurangi ketersediaan oksigen dan darah ke otak berkurang yang mungkin berakhir dengan infark jika aliran darah tidak dipulihkan dengan cepat. Metode: Desain penelitian ini menggunakan pendekatan fase study. Hasil: Tujuan studi kasus ini yaitu untuk meningkatkan kekuatan otot pada klien CVA dengan penerapan Range Of Motion (ROM) di RSD Kalisat. Studi kasus ini menggunakan metode deskriptif dengan mengambil 2 klien CVA infark dengan intoleransi aktivitas. Latihan Range Of Motion (ROM) dilakukan dalam 1 kali sehari selama 5-8 kali . Temuannya yaitu meningkatan kekuatan otot ekstremitas baik pada klien 1 dan klien 2. Kesimpulan: berdasarkan pelakasanan asuhan keperawatan yang telah dilakukan penulis pada Tn. S dan Tn. S dengan masalah keperawatan Intoleransi Aktivitas d ruang bangau RSD Kalisat Jember pada tanggal 06-08 Februari 2022 dan 13- 15 Februari 2023 tindakan Range Of Motion (ROM) meningkatkan mobilitas fisik klien dengan masalah keperawatan intoleransi aktivitas dapat dilakukan dengan baik dan benar.
Risk Factor Profile and Hospital Outcomes in Patients ≤ 45 Years vs. >45 Years of Age Presenting with Acute ST-Segment Elevation Myocardial Infarction
Authors: Qayoom Reema , Naseer Aatkah , Aijaz Saba , Hanif Bashir 
Published: November 2023

Objectives: In Pakistan, cardiovascular risk factors for acute myocardial infarction are increasing. There are few studies available on atherosclerotic risk factors in young patients and its outcome The purpose of this study was to compare pattern of traditional CVD risk factors, hospital mortality and major adverse cardiac events at discharge in young versus old patients (≤45years and above 45 years age respectively) admitted with STEMI and undergoing primary PCI.
Methodology: This retrospective cohort study was conducted on consecutive patients presenting with STEMI between June 2013 and June 2018 in a single centre cardiac only tertiary care setup. Institute’s registry is fashioned along and is affiliated with US NCDR. Patients with cardiac arrest or cardiogenic shock at arrival were excluded. MACE was defined as post PCI cardiac arrest or cardiogenic shock, heart failure, major bleed or hospital death. Models were built using stepwise forward logistic regression method.
Results: Total of 5343 patients were admitted with STEMI during study period, after exclusion data of 1642 patients were analyzed. Among young patients, the frequency of the male gender, any tobacco use and family history of premature coronary artery disease were significantly higher (all p values < 0.001). While in older STEMI patients frequency of heart failure, hypertension, prior myocardial infarction, diabetes mellitus ,abnormal creatinine clearance (<90 mL/min/1.73 m²) , multi-vessel coronary disease, advanced Killip class and higher body mass index was more prevalent (all P<0.001). Among young patients advanced Killip class and femoral access site(all P values <0.001), diabetes mellitus (p=0.03), abnormal creatinine clearance(p=0.04),and left ventricular ejection fraction less than 40%(p=0.01), were more significant in-hospital mortality predictor whereas advanced Killip class, Left ventricular ejection fraction less than 40% male gender(p=0.04), diabetes mellitus(p=0.001),femoral access site(p=0.001), and Left ventricular ejection fraction less than 40% were more significant MACE predictors (all P<0.001).
Conclusion: There were no significant difference in hospital mortality and MACE among young versus old STEMI patients when adjusted for diabetes mellitus, abnormal creatinine clearance (<90 mL/min/1.73 m²), multi-vessel coronary disease, advanced Killip class. Tobacco use is the main modifiable risk factors for young patients with STEMI. Surprisingly, being a woman and having a positive family history with premature coronary artery disease were protective.
PENGARUH VIRAL MARKETING DAN CELEBRITY ENDORSMENT TERHADAP KEPUTUSAN PEMBELIAN DENGAN MINAT BELI SEBAGAI VARIABEL INTERVENING (Survey Pada Mahasiswi Pengguna Produk MS Glow Prodi Manajemen di Universitas Muhammadiyah Ponorogo)
Authors: Ria Afrianti Agustin , Santoso Edi , Wahyuningsih Dwi Warni 
Published: November 2023

Tampil dengan kulit yang sehat merupakan kebutuhan utama bagi semua orang terutama kaum perempuan. Seiring perkembangan zaman perawatan kulit dijadikan sebagai kebutuhan utama khusus nya dikalangan mahasiswi. Hai ini dapat dijadikan peluang bisnis dalam dunia kosmetik atau skin care. Di Indonesia banyak skin care yang beredar salah satunya produk MS Glow. Penelitian ini bertujuan untuk mengetahui Pengaruh Viral Marketing,dan Celebrity Endorsment terhadap Keputusan Pembelian pada Pengguna Produk MS Glow melalui Minat Beli sebagai Variabel Intervening. Metode yang digunakan dalam penelitian ini ialah metode kuantitatif. Data dari penelitian ini diperoleh dengan menyebarkan kuisioner kepada responden di Universitas Muhammadiyah Ponorogo. Populasi dalam penelitian ini adalah Mahasiswi Program Studi Manajemen Universitas Muhammadiyah Ponorogo sebanyak 564 mahasiswa. Sampel yang digunakan dalam penelitian ini berjumlah 85 mahasiswi dengan menggunakan proportionate stratified random sampling. Uji yang digunakan dalam mengolah data menggunakan Uji Validitas, Uji Reliabilitas, Analisis Koefisien Determinasi , Uji T, dan Analisis Jalur atau Path. Analisis dalam penelitian ini menggunakan software SPSS 25 Hasil penelitian ini menunjukkan hasil bahwa: 1) Variabel viral marketing (X1) berpengaruh positif dan signifikan terhadap keputusan pembelian (Y2) pengguna MS Glow. 2) Variabel celebrity endrsment (X2) berpengaruh positif dan signifikan terhadap keputusan pembelian (Y2) pengguna MS Glow. 3) Variabel viral marketing (X1) berpengaruh positif dan signifikan terhadap minat beli (Y1) pengguna MS Glow pada mahasiswi Prodi Manajemen di Universitas Muhammadiyah Ponorogo. 4) Variabel celebrity endorsment (X2) berpengaruh positif dan signifikan terhadap minat beli (Y1) pengguna MS Glow. 5) Variabel minat beli (Y1) berpengaruh positif dan signifikan terhadap keputusan pembelian (Y2) pengguna MS Glow. 6) Variabel viral marketing (X1) tidak berpengaruh positif signifikan terhadap terhadap keputusan pembelian (Y2) melalui minat beli (Y1) sebagai variabel intervening pengguna MS Glow. 7) Variabel celebrity endorsment (X2) tidak berpengaruh positif signifikan terhadap terhadap keputusan pembelian (Y2) melalui minat beli (Y1) sebagai variabel intervening pengguna MS Glow.
MANAJEMEN RISIKO & GOOD CORPORATE GOVERNANCE (GCG) TERHADAP KINERJA KEUANGAN BANK UMUM KONVENSIONAL (Studi Pada Bank BUMN Tahun 2016-2020)
Authors: Alim Maghribi Jihan Karsa , Hidayatullah Suryakusuma Kholid 
Published: November 2023

The failure of a bank’s performance will affect the trust of customers who have invested capital in the bank. Therefore, it is necessary to apply risk management and good corporate governance to anticipate the occurrence of such performance failures. The study aims to see how risk management and good corporate governance affect financial performance conventional general banks bumn for the 2016-2020 period. The sampling technique chosen was purposive sampling method using secondary data in the form of annual reports from the official website each bank. The data analysis method used in this study is the Classical Assumption Test, Multiple Linear Regression Analysis, and Model Feasibility Test (Goodness of Fit Model) using the SPSS 25 application. The results of this study indicate that non performing loan (npl) variables have a negative effect on financial performance bank. Loan to deposit ratio (ldr) variables have a positive effect to financial performance bank. And self assessment good corporate governance (gcg) variables have a positive effect to financial performance bank bumn. Keywords: Non Performing Loan (NPL), Loan to Deposit Ratio (LDR), Self Assessment Good Corporate Governance (GCG) and Return On Asset (ROA).
Determinants of implementation of evidence-based practice in clinical decision-making among nurses in primary health care facilities in Ondo State, Nigeria
Authors: Olabode Opeoluwa Oluwatoyin , Okanlawon Funmilayo A. , Tola Yetunde Olufunmilayo , Adesuyi Emmanuel O. , Akingbade Oluwadamilare 
Published: November 2023

Aims: To assess the determinants of implementation of evidence-based practice in clinical decision-making among nurses in primary health care facilities in Ondo State, Nigeria.

Design: A cross-sectional descriptive study.

Methods: A total number of 266 nurses in the primary health care facilities in Ondo State participated in the study. A structured questionnaire was to elicit responses from the respondents via an online survey platform, called Google form. Findings from this study was presented in frequency-percentage tables and inferential statistics was certified using Chi-square analysis at 5% statistical level of significance.

Results: There was an association between respondents’ socio-demographic characteristics and knowledge on EBP in clinical decision-making, marital status (X²= 5.16, P=0.023) and the professional cadre, CNO (X²=17.95, P= 0.012). In addition, it was revealed from the findings of this study there is no significant relationship between knowledge and level of implementation of evidence-based practice in clinical decision-making among nurses (X²= 0.15, 0.702). The last hypothesis identified an association between respondents’ socio-demographic characteristics and level of implementation on EBP in clinical decision-making (Age: X²=11. 77, P=0.008; professional cadre; X²=31.47, P= 0.000).

Conclusion: The study concluded that though nurses overall, had a good knowledge of EBP but was mostly reported amidst ward managers; this can be linked to their job responsibility. With the apex nurses having the lowest records; this may be due to the fact that they are not directly involved in patients care. Similarly, the proportion of high level of implementation was more among respondents between age 51-60years compared to those that are age 21-30years. Therefore, it is recommended that nurse administrators focus on training of newly employed nurses on EBP and its components and establishment of platforms where new ideas on evidence-based findings can be taught and shared with professional colleagues.
Efficacy, Safety, And Public Attitude Towards Covid 19 Vaccines: A Systematic Review
Authors: Josiah Blessing O. , Uzor Chinelo , Duncan Brontie A. , Enebeli Emmanuel Chukwunwike , Otoboyor Ndidi Louis 
Published: November 2023

Background: The COVID-19 pandemic has disrupted various aspects of human life worldwide, causing economic and social hardships, and claiming millions of lives. To combat the virus, several efforts have been made to develop and distribute effective vaccines. This paper examines some of the literature on the performance and safety of different COVID-19 vaccines, the views and opinions of people about the vaccines, and the factors that influence such views and behaviors.

Methods: Two major databases (PubMed and Epistemonikos) were checked using search expansion mechanisms and several search strings. After the title, abstract, and full-text analysis, 19 studies were selected for review.

Results: The seven different vaccines studied all have supporting data on their efficacy in the reduction of COVID-19 cases, prevention of hospitalization after infection, and reduction in the mortality rate of COVID-19 patients. There was high hesitancy about the COVID-19 vaccine, and the perceived efficacy and safety of the vaccines are less than recorded in clinical data. Distrust of the vaccines, their manufacturers and different institutions and governments, personal beliefs and feelings, age, gender, education, and socioeconomic status was identified factors affecting behaviors towards the COVID-19 vaccines.

Conclusion: Several articles support the efficacy of COVID-19 vaccines, but general awareness and conception about them vary, including hesitancy, distrust, and some acceptance. Many factors affected the perception and attitude of people toward these vaccines. More clinical data on the efficacy and safety of COVID-19 vaccines should be generated to help boost confidence among users.
Belzutifan (Welireg)
Authors: CADTH  
Published: November 2023

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.
The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada's federal, provincial, and territorial governments, with the exception of Quebec.
This review assesses Belzutifan (Welireg), 40 mg, tablets, oral.
Indication: For treatment of adult patients with von Hippel-Lindau disease who require therapy for an associated nonmetastatic renal cell carcinoma, central nervous system hemangioblastoma, or nonmetastatic pancreatic neuroendocrine tumour not requiring immediate surgery.
Basic environmental accountability in the yadnya ceremony in Malakosa Village, Indonesia
Authors: Jurana Jurana , Indriasari Rahayu , Totanan Chalarce , Parwati Ni Made Suwitri , Mayapada Arung Gihna , Pakawaru Muhammad Ilham 
Published: November 2023

This study aims to explain the basis of environmental accountability implemented in the Yadnya ceremony in Malakosa Village, Parigi Moutong, Indonesia where majority of the population is Balinese Hindu. The research method employed is qualitative descriptive. This study reveals that the concept of environmental accontability in the Yadnya ceremony in Malakosa Village is based on the Tri Hita Karana values. Tri Hita Karana value is a form of self-reminder and self-control to maintain one’s relationship with God, human, and environment. This concept emphasizes the balance and harmony values which build the concept of environmental accountability in the Yadnya ceremony. In this culture, humans are commanded to care for the surrounding environment. Tri Hita Karana (THK) is one of the local wisdoms of the Balinese people, the heritage of their ancestors (ancestors) based on Hinduitis. The philosophical aspects of THK are sourced in 4 (four) philosophical thoughts, namely: Theocentric, Cosmocentric, Anthropocentric, and Logocentric aspects. Theocentrism is a theory of philosophical thought that everything comes from God. God is the creator of the universe and its contents. Anthropocentric is a theory of philosophical thought that humans are the center point, because complete humans have tri pramana (sabda, bayu, and idep) which are advantages over other living things, namely having the ability to think. Cosmocentric theory of philosophical thought that nature is the center of everything, while Logocentric is a theory of philosophical thought that the term or statement/expression is the source. In this case, Logocentric animates the term or word harmony in THK which is used as an interpretation of the Balinese philosophy of life which is always in process, changing, innovative, and constructive. In this concept, humans become the central point as well as the subject in the implementation of THK in everyday life, especially at the yadnya ceremony in the village of Malakosa.
Analysis of physical and chemical characteristics of soil in coffee plantations in the Mount Puntang Social Forestry Area, West Java
Authors: Martunis Lukman , Dahliani Lili , Yana Dewi 
Published: November 2023

Characteristics of soil physics, chemistry, and altitude are important aspects to assess the quality and level of soil fertility. Field studies and laboratory analysis have been carried out to determine some of the physical and chemical characteristics of the soil at an altitude of 1200 m 1300 m 1500 m above sea level. The research aims to analyze the physical and chemical properties of the soil at various altitudes in the coffee plantation social forestry area. The research was conducted in the highlands of Mount Puntang, West Java Province, using survey methods, field observations, and laboratory analysis. Soil samples were taken randomly and then analyzed for soil water content, texture, pH, C-Organic, Nitrogen, C/N ratio, P2O5, and K2O at the Cimanggu Soil Research Institute Laboratory, Bogor. The results showed that the highest available soil water was found at an altitude of 1300 m asl, namely, 15.83% at a depth of 30 cm, with a dusty loam texture. While pH (4.50 - 6.00), C-organic (1.99 - 4.32 %), N-total, (0.18 - 0.32 %) C/N-ratio (11 - 14 % ), P2O5 (8 -13 ppm) and K2O (461 – 579 ppm).

Keywords: coffee plantation, physical properties, chemical properties, arabica Puntang, Puntang mountain
Simulation of Mixed Traffic Flows
Authors: Бобровская О. П. , Гавриленко Т. В. 
Published: November 2023

развитие и внедрение автономных транспортных средств требует создания модели смешанного транспортного потока. Разрабатываемая модель может использоваться для оценки влияния автопилотов на транспортный поток, а в дальнейшем – для управления транспортной сетью. Существующих моделей, созданных на основе водителей-людей, недостаточно. Модификации этих моделей сводятся к уменьшению в два раза параметров скорости реакции и дистанции до впереди идущеготранспортного средства для имитации беспилотного транспорта. Большое внимание в современных исследованиях уделяется подключению автомобилей к единой сети для обмена информацией. В статье рассмотрены подходы к моделированию смешанного транспортного потока и прогнозирования объема трафика, решению задач управления транспортной системой в целом и автономными транспортными средствами и летательными аппаратами в частности: избежания столкновений, планирования маршрута, ориентирования. Условно выделены и охарактеризованы классы этих подходов и сделан вывод о направлении дальнейших разработок.
as autonomous vehicles become common, we need a simulation model for a mixed traffic flow. The proposed model can be used to assess the impact of autonomous vehicles on the traffic flow, and to manage the future traffic. The existing models for human-driven vehicles are insufficient. Such models are usually adapted by halving the driver reaction speed and distance to the vehicle ahead to simulate an autonomous vehicle. Much of the current research is focused on connected vehicles. This study considers some approaches to the simulation of mixed traffic flows and traffic prediction, the management of the entire transportation network, autonomous surface vehicles and aircraft (collision avoidance, route planning, and navigation). The existing strategies are categorized and suggestions for further developments are made.
Assimilation of 3D polarimetric microphysical retrievals in a convective-scale NWP system
Authors: Reimann Lucas , Simmer Clemens , Trömel Silke 
Published: November 2023

Abstract. This study assimilates for the first time polarimetric C-band radar observations from the German meteorological service (DWD) into DWD's convective-scale model ICON-D2 using DWD's ensemble-based KENDA assimilation framework. We compare the assimilation of conventional observations (CNV) with the additional assimilation of radar reflectivity Z (CNV + Z), with the additional assimilation of liquid or ice water content (LWC or IWC) estimates below or above the melting layer instead of Z where available (CNV + LWC/Z or CNV + IWC/Z respectively). Hourly quantitative precipitation forecasts (QPF) are evaluated for two stratiform and one convective rainfall events in the summers of 2017 and 2021. With optimized data assimilation settings (e.g., observation errors), the assimilation of LWC mostly improves first-guess QPF compared with the assimilation of Z alone (CNV + Z), whereas the assimilation of IWC does not, especially for convective cases, probably because of the lower quality of the IWC retrieval in these situations. Improvements are, however, notable for stratiform rainfall in 2021, for which the IWC estimator profits from better specific differential phase estimates owing to a higher radial radar resolution than the other cases. The assimilation of all radar data sets together (CNV + LWC + IWC + Z) yields the best first guesses. All assimilation configurations with radar information consistently improve deterministic 9 h QPF compared with the assimilation of only conventional data (CNV). Forecasts based on the assimilation of LWC and IWC retrievals on average slightly improve Fraction Skill Score (FSS) and Frequency Bias (FBI) compared with the assimilation of Z alone (CNV + Z), especially when LWC is assimilated for the 2017 convective case and when IWC is assimilated for the high-resolution 2021 stratiform case. However, IWC assimilation again degrades forecast FSS for the convective cases. Forecasts initiated using all radar data sets together (CNV + LWC + IWC + Z) yield the best FSS. The development of IWC retrievals that are more adequate for convection constitutes one next step to further improving the exploitation of ice microphysical retrievals for radar data assimilation.
Eye of Horus: a vision-based framework for real-time water level measurement
Authors: Erfani Seyed Mohammad Hassan , Smith Corinne , Wu Zhenyao , Shamsabadi Elyas Asadi , Khatami Farboud , Downey Austin R. J. , Imran Jasim , Goharian Erfan 
Published: November 2023

Abstract. Heavy rains and tropical storms often result in floods, which are expected to increase in frequency and intensity. Flood prediction models and inundation mapping tools provide decision-makers and emergency responders with crucial information to better prepare for these events. However, the performance of models relies on the accuracy and timeliness of data received from in situ gaging stations and remote sensing; each of these data sources has its limitations, especially when it comes to real-time monitoring of floods. This study presents a vision-based framework for measuring water levels and detecting floods using computer vision and deep learning (DL) techniques. The DL models use time-lapse images captured by surveillance cameras during storm events for the semantic segmentation of water extent in images. Three different DL-based approaches, namely PSPNet, TransUNet, and SegFormer, were applied and evaluated for semantic segmentation. The predicted masks are transformed into water level values by intersecting the extracted water edges, with the 2D representation of a point cloud generated by an Apple iPhone 13 Pro lidar sensor. The estimated water levels were compared to reference data collected by an ultrasonic sensor. The results showed that SegFormer outperformed other DL-based approaches by achieving 99.55 % and 99.81 % for intersection over union (IoU) and accuracy, respectively. Moreover, the highest correlations between reference data and the vision-based approach reached above 0.98 for both the coefficient of determination (R2) and Nash–Sutcliffe efficiency. This study demonstrates the potential of using surveillance cameras and artificial intelligence for hydrologic monitoring and their integration with existing surveillance infrastructure.