bluuebunny/crossref_metadata_2025_split huggingface dataset:
PERAN PENGAWAS PAI DALAM MENINGKATKAN KINERJA GURU PAI SD DI LOMBOK BARAT
Authors: Najwa Lu`luin 
Published: October 2023

Abstract (English): This research was motivated by the lack of optimal supervision of West Lombok Elementary School PAI teachers. The purpose of this study is to describe PAI supervisors' role in improving PAI teachers' performance in elementary schools. The method used in this study is descriptive qualitative. The results showed that the role of PAI supervisors in improving teacher performance was carried out by 1) ensuring the implementation of the curriculum; 2) Supervise learning activities; 3) Provide guidance and supervision to teachers; 4) Monitor student progress; 5) Organizing training and workshops; 6) Coordinate with related parties; 7) Implement program evaluation and development; and 8) Maintain ethics and professionalism. Improving the performance of PAI teachers in elementary schools needs to pay attention to all aspects of supervision, supervision needs to be held on a scheduled basis by giving firmness to teachers to complete matters related to the implementation of learning.Key Words: Supervisor, teacher performance Abstrak (Indonesia):Penelitian ini dilatarbelakangi oleh belum optimalnya pengawasan terhadap guru PAI di SD Lombok Barat. Tujuan penelitian ini adalah untuk mendeskripsikan peran pengawas PAI dalam meningkatkan kinerja guru PAI di SD. Metode yang digunakan dalam penelitian ini adalah kualitatif deskriptif. Hasil penelitian menunjukkan bahwa peran pengawas PAI dalam Meningkatkan kinerja guru dilakukan dengan 1) memastikan pelaksanaan Kurikulum; 2) Mengawasi kegiatan pembelajaran; 3) Memberikan bimbingan dan supervisi kepada guru; 4) Memonitor perkembangan siswa; 5) Menyelenggarakan pelatihan dan workshop; 6) Berkoordinasi dengan pihak terkait; 7) Menerapkan evaluasi dan pengembangan program; dan 8) Menjaga etika dan profesionalisme. Peningkatan kinerja guru PAI di SD perlu memperhatikan segala aspek pengawasan, supervisi perlu diadakan terjadwal dengan memberikan ketegasan pada guru untuk melengkapi hal-hal yang bersangkutan dengan pelaksanaan pembelajaran.Kata Kunci: Pengawas, Kinerja Guru
PENGARUH KONSELING TEKNIK ASSERTIVE TERHADAP KECEMASAN SOSIAL SOSIAL PADA SISWA KELAS XI IPS DI SMA NEGERI 1 JANAPRIA
Authors: Mardiana Yuni , Endriani Ani 
Published: October 2023

Abstract: the purpose to be achieved in this study is to know the effect of assertive counseling techniques on social anxiety in Class XI IPS students in SMAN 1 Janapria. The data collection method used is questionnaire as the main method, observation, interview and documentation as a complementary method by using the design of one group pre-test and post-desigen test. In this study the study population was 80 students and 6 students who had high levels of social anxiety. Sampling techniques used are purposive samples and for data analysis using the T-test formula. Based on the results of data analysis, obtained t-count value of 8.531 with T-table value at the level of signitifikansi 5% with db (N-1) = 5 of 2.571. Thus the value of t-count is greater than the T-table (8.531 > 2.571) so that it can be concluded that there is an effect of assertive counseling techniques on social anxiety in Class XI IPS students in SMAN 1 Janapria, then the results of this study were declared “signitifikan”.Keywords: Assertive counseling techniques, social anxiety.Abstrak: Tujuan yang ingin dicapai dalam penelitian ini adalah untuk mengetahmui pengaruh konseling teknik assertive terhadap kecemasan sosial pada siswa kelas XI IPS di SMAN 1 Janapria. Metode pengumpulan data yang digunakan adalah angket sebagai metode pokok, observasi, wawancara dan dokumentasi sebagai metode pelengkap dengan menggunakan rancangan one group pre-test and post-tes desigen. Dalam penelitian ini populasi penelitian berjumlah 80 siswa dan 6 siswa yang memiliki kecemasan sosial tingkat tinggi. Teknik sampling yang digunakan adalah purposive sampel dan untuk analisis data menggunakan rumus t-test. Berdasarkan hasil analisis data, diperoleh nilai t-hitung sebesar 8,531 dengan nilai t-tabel pada taraf signitifikansi 5% dengan db (N-1) = 5 sebesar 2,571. Dengan demikian nilai t-hitung lebih besar dari pada t-tabel (8,531 > 2,571) sehingga dapat ditarik kesimpulan bahwa ada pengaruh konseling teknik assertive terhadap kecemasan sosial pada siswa kelas XI IPS di SMAN 1 Janapria, maka hasil penelitian ini dinyatakan “signitifikan”.Kata Kunci: Konseling Teknik Assertive, kecemasan sosial.
Association of predicted body composition with occurrence of atrial fibrillation
Authors: Woo Ho Geol , Kang Min Kyoung , Song Tae-Jin 
Published: October 2023

BackgroundBody mass index (BMI) is insufficient evidence as a risk factor for numerous health disorders. Body composition may be more appropriate for confirming the association with cardiovascular diseases, including atrial fibrillation (AF). This study aimed to examine the association between body composition and the occurrence of AF.MethodsA total of 2,673,108 participants (48.6% women) without AF at baseline from the Korean national health insurance data were included. Body composition including appendicular skeletal muscle mass, body fat mass, and lean body mass were indirectly measured through validated anthropometric prediction equations. The diagnosis of AF and comorbidities were defined.ResultsWith a median of 9.5 (interquartile range 9.2–10.1) years’ follow-up, 25,841 (0.96%) cases of incident AF were included. In multivariable analysis, higher appendicular skeletal muscle was related to low risk of AF [hazard ratio (HR) 0.829, 95% confidence interval (CI) 0.753–0.912 for men (fifth quintile) and HR 0.888, 95% CI 0.792–0.995 for women (fifth quintile)]. In contrast, a higher body fat mass [HR 1.345, 95% CI 1.221–1.483 for men (fifth quintile) and HR 1.420, 95% CI 1.274–1.591 for women (fifth quintile)] and lean body mass [HR 2.241, 95% CI 2.182–2.303 for men (fifth quintile) and HR 1.516, 95% CI 1.368–1.667 for women (fifth quintile)] were associated with the occurrence of AF.ConclusionsIn this study, body composition parameters were associated with the occurrence of AF. It should be noted that when appendicular skeletal muscle mass decreases and body fat mass and lean body mass increase, the risk of AF may be increased in general population except underweighted BMI group.
Assessing the impact of future climate scenarios on crop water requirements and agricultural water supply across different climatic zones of Pakistan
Authors: Shafeeque Muhammad , Bibi Amna 
Published: October 2023

This study investigates the potential impacts of future climate change on crop water requirements (CWR) in different climatic zones of Pakistan and the subsequent implications for agricultural water demand and supply. Using the latest CMIP6 climate projections, we focused on Rabi and Kharif crop seasons, which are crucial for the growth of major crops in Pakistan. An empirical climate-crop and a hydrological model based on the Budyko theory were modified and forced to project future CWR changes and the potential widening of the water demand-supply gap until 2,100. Our results indicate a significant rise in mean annual CWR across all zones and emissions scenarios, with increasing rates at 2.30–2.57 mm/yr under SSP585 and 1.0–1.26 mm/yr under SSP245. Both Rabi and Kharif seasons show rising CWR, notably more under SSP585 (Kharif: 8%–14%, Rabi: 12%–15%) than SSP245 (Kharif: 4%–7%, Rabi: 6%–8%). The demand-supply gap is expected to grow notably, with arid and semi-arid zones being the most affected. Compared to 2015–2025, by 2091–2,100, the gap increased by 7%–15% (SSP245) and 15%–28% (SSP585) for Kharif and 7%–13% (SSP245) and 13%–32% (SSP585) for Rabi. To address these challenges, we recommend strategies like enhancing irrigation efficiency, adjusting crop patterns, and developing heat-resilient crops. Our insights aim to inform policy decisions on agriculture and water management in Pakistan under future climate change.
The relationship of hip fracture and thyroid disorders: a systematic review
Authors: SeyedAlinaghi SeyedAhmad , Yarmohammadi Soudabeh , Dashti Mohsen , Ghasemzadeh Afsaneh , Siami Haleh , Molla Ayoob , Mahrokhi Sona , Qaderi Kowsar , Arjmand Ghazal , Parikhani Sahar Nooralioghli , Amrollah Masoomeh Fathi , Mirghaderi Peyman , Mehraeen Esmaeil , Dadras Omid 
Published: October 2023

IntroductionBone density regulation is considered one of the systems affected by thyroid hormones, leading to low bone density that can result in pathologic fractures, including hip fractures. This review aimed to update clinicians and researchers about the current data regarding the relationship between hip fractures and thyroid disorders.MethodsEnglish papers were thoroughly searched in four main online databases of Scopus, Web of Science, PubMed, and Embase. Data extraction was done following two steps of screening/selection using distinct inclusion/exclusion criteria. This study used the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist and the Newcastle-Ottawa Scale (NOS) as bias assessment.ResultsIn total, 19 articles were included in the research. The risk of hip fractures in women with differentiated thyroid cancer (DTC) is higher than hip fractures caused by osteoporosis. Men with hyperthyroidism and subclinical hyperthyroidism are at higher risk for hip fracture. Also, a decrease in serum thyroid stimulating hormone (TSH) may be associated with an increased risk of hip fracture.ConclusionReaching a consensus conclusion regarding the association between subclinical thyroid dysfunction and hip fracture is not feasible due to the heterogenicity of evidence; however, there may be a higher risk of fracture in individuals with subclinical hyperthyroidism.
Help-seeking during 1-year follow-up in Chinese patients diagnosed with type 2 diabetes mellitus comorbid major depressive disorder
Authors: Geng Wenqi , Jiang Yinan , Hong Xia , Zhao Weigang , Ren Jie , Lloyd Cathy , Sartorius Norman , Wei Jing 
Published: October 2023

IntroductionPrevious research has revealed a bidirectional relationship between type 2 diabetes mellitus (T2DM) and major depressive disorder (MDD). A very limited proportion of patients with T2DM comorbid MDD received adequate psychiatric intervention. This study investigated the help-seeking behaviors of patients with T2DM comorbid with MDD during one-year follow-up.MethodsAt a medical center in China, a cohort of outpatients with T2DM were assessed and diagnosed for comorbid depression at baseline and after one year. The Mini International Neuropsychiatric Interview was used to diagnose MDD, while The Patient Health Questionnaire-9 (PHQ-9) and The Hamilton Depression Scale 17-item (HAMD-17) were used for depression assessment. Mental health help-seeking behaviors of patients during follow-up period were also evaluated.ResultsOut of the 203 patients with T2DM at baseline, 114 (56.2%) completed the follow-up. The prevalence of MDD in participants with T2DM was 12.8% at baseline and 22.8% at follow-up. Patients who completed the follow-up had a lower baseline PHQ-9 score (test statistic -2.068, p=0.039), HAMD-17 score (test statistic -2.285, p=0.022) than those who did not complete the follow-up. A total of 26 patients had comorbid MDD during the follow-up period, among which 8 patients (30.8%) voluntarily visited psychiatric clinics, while others did not seek assistance. The level of HbA1c at follow-up was higher in patients who sought help than in those who did not (8.1 ± 1.8% vs. 7.0 ± 0.7%), although the difference was not statistically significant.ConclusionVoluntary psychiatric help-seeking for Chinese patients with comorbid T2DM and MDD is uncommon. It is crucial to increase awareness of depression among patients and healthcare professionals alike.
The influence of vegetation-generated turbulence on deposition in emergent canopies
Authors: Deitrick Autumn R. , Hovendon Erin H. , Ralston David K. , Nepf Heidi 
Published: October 2023

Laboratory experiments measured sediment deposition and turbulent kinetic energy (TKE) in bare and vegetated channels. The model vegetation represented a mangrove pneumatophore canopy. Three solid volume fractions were considered (ϕ= 0.01, 0.02, and 0.04). For the same channel-averaged velocity, the vegetated region had elevated near-bed TKE compared to the bare region. Net deposition in both regions was measured by adding a sediment slurry of 11-micron solid glass spheres to the flume and collecting the deposited sediment from the flume baseboards after a 4-hr experiment. The elevated near-bed TKE in the vegetated region resulted in lower deposition compared to the bare region. A model for deposition probability written in terms of near-bed TKE (TKE model) more accurately predicted the measured deposition than a model based on bed shear stress (τb model). Application of the model to field conditions suggested that, by inhibiting deposition, vegetation-generated TKE facilitates the delivery of sediment farther into the mangrove forest than would be achieved without vegetation-generated TKE.
Community-based treatment of cutaneous leishmaniasis using cryotherapy and miltefosine in Southwest Ethiopia: the way forward?
Authors: van Henten Saskia , Pareyn Myrthe , Tadesse Dagimawie , Kassa Mekidim , Techane Mehret , Kinfe Eyerusalem , Girma Nigatu , Demeke Degnet , Mesay Mebratu , Kassa Mekibib , Temesgen Rodas , Shewangizaw Misgun , Massebo Fekadu , van Griensven Johan , Wegayehu Teklu , Merdekios Behailu 
Published: October 2023

BackgroundCutaneous leishmaniasis (CL) is a common, yet massively underreported skin morbidity in Ethiopia. Most patients never seek treatment, as this is offered only in specialized treatment centers. Early diagnosis and treatment through decentralization is crucial to decrease transmission and to reach the NTD roadmap goals. However, little information is available on outcomes and challenges of community-based treatment initiatives.MethodsA community-based prospective cohort study was conducted in Ochollo. Patients with clinically or microscopy confirmed CL were included. Cryotherapy was (to be) given weekly with at least four sessions for uncomplicated lesions, and miltefosine was given for 4 weeks for complicated lesions. Miltefosine adherence was assessed by counting pill strips. Clinical and patient-reported outcomes (dermatological life quality index and patient-global assessment) were assessed at month 6 (M6).ResultsA total of 107 patients were included, with a median age of 6 years. Two patients refused, and 15 could not be treated as they were too young (&lt;4 years) for miltefosine. Giving cryotherapy to patients weekly was not feasible due to long wound healing times and required use of topical antibiotics. Only 52.4% of miltefosine patients finished &gt;90% of their tablets by M1. Among 46 patients treated with cryotherapy, 24 (52.2%) were cured at M6, and 9 (19.6%) had substantial improvement. The cure rate was 16/39 (41.0%) for miltefosine with 28.2% (11/39) substantial improvement. Before treatment, more than half (57.8%) of patients reported that CL did not negatively impact their life, which significantly increased to 95.2% at M6. At this time, 61.7% of patients said their lesion was clear, which was 1% before treatment.ConclusionOur study is the first to identify the challenges and opportunities of miltefosine and cryotherapy for community treatment of CL. Although overall cure rates were lower than expected, patient-reported outcomes were generally positive and quite some patients had good improvement.
Healing of the epithelial barrier in the ileum is superior to endoscopic and histologic remission for predicting major adverse outcomes in ulcerative colitis
Authors: Rath Timo , Atreya Raja , Bodenschatz Julia , Uter Wolfgang , Geppert Carol I. , Vitali Francesco , Zundler Sebastian , Waldner Maximilian J. , Hartmann Arndt , Neurath Markus F. 
Published: October 2023

BackgroundAchieving endoscopic remission is a key therapeutic goal in patients with ulcerative colitis (UC) that is associated with favorable long-term disease outcomes. Here, we prospectively compared the predictive value of endoscopic and/or histologic remission against ileal barrier healing for predicting long-term disease behavior in a large cohort of UC patients in clinical remission.MethodsAt baseline, UC patients in clinical remission underwent ileocolonoscopy with assessment of ileal barrier function by confocal endomicroscopy. Endoscopic and histologic disease activity and ileal barrier healing were scored using validated scores. During subsequent follow-up (FU), patients were closely monitored for clinical disease activity and occurrence of major adverse outcomes (MAO) defined as the following: disease relapse; UC-related hospitalization; UC-related surgery; necessity for initiation or dose escalation of systemic steroids, immunosuppressants, small molecules or biological therapy.ResultsOf the 73 UC patients included, 67% experienced MAO during a mean FU of 25 months. The probability of MAO-free survival was significantly higher in UC patients with endoscopic and/or histologic remission compared to patients with endoscopically and/or histologically active disease. Ileal barrier healing on endomicroscopy was highly accurate for predicting the further course of UC and outcompeted endoscopic and histologic remission for predicting MAO-free survival.ConclusionIleal barrier healing in clinically remittent UC patients can accurately predict future MAO development and is superior in its predictive capabilities than endoscopic and histologic remission. Ileal barrier healing therefore represents a novel and superior surrogate parameter for stratification of UC patients according to their risk for development of complicated disease behavior.Clinical trial registrationhttps://classic.clinicaltrials.gov/ct2/show/NCT05157750, identifier NCT05157750.
P16 expression and recurrent cervical intraepithelial neoplasia after cryotherapy among women living with HIV
Authors: Maina Daniel , Chung Michael H. , Temmerman Marleen , Moloo Zahir , Wawire Jonathan , Greene Sharon A. , Unger Elizabeth R. , Mugo Nelly , Sakr Samah , Sayed Shahin , McGrath Christine J. 
Published: October 2023

BackgroundThe expression of p16 protein, a surrogate marker for high-risk human papillomavirus (hrHPV), is associated with cervical dysplasia. We evaluated correlates of p16 expression at treatment for high-grade cervical lesions and its utility in predicting the recurrence of cervical intraepithelial lesions grade 2 or higher (CIN2+) following cryotherapy among women with HIV.MethodsThis is a subgroup analysis of women with HIV in Kenya with baseline cervical biopsy-confirmed CIN2+ who were randomized to receive cryotherapy and followed every six-months for two-years for biopsy-confirmed recurrence of CIN2+. P16 immunohistochemistry was performed on the baseline cervical biopsy with a positive result defined as strong abnormal nuclear expression in a continuous block segment of cells (at least 10–20 cells).ResultsAmong the 200 women with CIN2+ randomized to cryotherapy, 160 (80%) had a baseline cervical biopsy specimen available, of whom 94 (59%) were p16-positive. p16 expression at baseline was associated with presence of any one of 14 hrHPV genotypes [Odds Ratio (OR) = 3.2; 95% Confidence Interval (CI), 1.03–9.78], multiple lifetime sexual partners (OR = 1.6; 95% CI, 1.03–2.54) and detectable plasma HIV viral load (&gt;1,000 copies/mL; OR = 1.43; 95% CI, 1.01–2.03). Longer antiretroviral therapy duration (≥2 years) at baseline had lower odds of p16 expression (OR = 0.46; 95% CI, 0.24–0.87) than &lt;2 years of antiretroviral therapy. Fifty-one women had CIN2+ recurrence over 2-years, of whom 33 (65%) were p16-positive at baseline. p16 was not associated with CIN2+ recurrence (Hazard Ratio = 1.35; 95% CI, 0.76–2.40).ConclusionIn this population of women with HIV and CIN2+, 41% of lesions were p16 negative and baseline p16 expression did not predict recurrence of cervical neoplasia during two-year follow up.
Magnetic resonance imaging arterial spin labeling hypoperfusion with diffusion-weighted image hyperintensity is useful for diagnostic imaging of Creutzfeldt–Jakob disease
Authors: Kitazaki Yuki , Ikawa Masamichi , Hamano Tadanori , Sasaki Hirohito , Yamaguchi Tomohisa , Enomoto Soichi , Shirafuji Norimichi , Hayashi Kouji , Yamamura Osamu , Tsujikawa Tetsuya , Okazawa Hidehiko , Kimura Hirohiko , Nakamoto Yasunari 
Published: October 2023

Background and objectivesMagnetic resonance imaging with arterial spin labeling (ASL) perfusion imaging is a noninvasive method for quantifying cerebral blood flow (CBF). We aimed to evaluate the clinical utility of ASL perfusion imaging to aid in the diagnosis of Creutzfeldt–Jakob disease (CJD).MethodsThis retrospective study enrolled 10 clinically diagnosed with probable sporadic CJD (sCJD) based on the National CJD Research &amp; Surveillance Unit and EuroCJD criteria and 18 healthy controls (HCs). Diffusion-weighted images (DWIs), CBF images obtained from ASL, N-isopropyl-(123I)-p-iodoamphetamine (123IMP)-single-photon emission computed tomography (SPECT) images, and 18F-fluorodeoxyglucose (18FDG)-positron emission tomography (PET) images were analyzed. First, the cortical values obtained using volume-of-interest (VOI) analysis were normalized using the global mean in each modality. The cortical regions were classified into DWI-High (≥ +1 SD) and DWI-Normal (&lt; +1 SD) regions according to the DWI-intensity values. The normalized cortical values were compared between the two regions for each modality. Second, each modality value was defined as ASL hypoperfusion (&lt; −1 SD), SPECT hypoperfusion (&lt; −1 SD), and PET low accumulation (&lt; −1 SD). The overall agreement rate of DWIs with ASL-CBF, SPECT, and PET was calculated. Third, regression analyses between the normalized ASL-CBF values and normalized SPECT or PET values derived from the VOIs were performed using a scatter plot.ResultsThe mean values of ASL-CBF (N = 10), 123IMP-SPECT (N = 8), and 18FDG-PET (N = 3) in DWI-High regions were significantly lower than those in the DWI-Normal regions (p &lt; 0.001 for all); however, HCs (N = 18) showed no significant differences in ASL-CBF between the two regions. The overall agreement rate of DWI (high or normal) with ASL-CBF (hypoperfusion or normal) (81.8%) was similar to that of SPECT (85.2%) and PET (78.5%) in CJD. The regression analysis showed that the normalized ASL-CBF values significantly correlated with the normalized SPECT (r = 0.44, p &lt; 0.001) and PET values (r = 0.46, p &lt; 0.001) in CJD.DiscussionPatients with CJD showed ASL hypoperfusion in lesions with DWI hyperintensity, suggesting that ASL-CBF could be beneficial for the diagnostic aid of CJD.