bluuebunny/crossref_metadata_2025_split huggingface dataset:
Education of TB Cadres About Health Promotion of The Lung TB Program Using Vidio and Digital Liefate Media
Authors: Mustopa RD , Anggela Shylvia Dhea , Kurniasih Dewi 
Published: December 2023

Background: TB is the main cause of death by infectious agents and is one of the 10 causes of death from all diseases . Indonesia is currently in third place in contributing to tuberculosis cases in the world after India and China. Every year there are 582,000 new cases, of which 259,970 are BTA positive pulmonary tuberculosis. The number of TB patient discoveries in Indonesia in the last 5 years has fluctuated, recorded in 2017 at 446,732, in 2018 it increased to 570,289 and in 2019 it was 543,874, in 2020 there were 393,323 cases and in 2021 it decreased to 385,295 cases . with a Case Detection Rate (CDR) figure of 47%. Jambi Province's TB program achievement nationally is in the bottom 31st place, namely 26% (Jambi Health Office, 2022)
Method: This research is a type of quantitative research using a pre-experimental design method, type one group pretest-posttest design, which is a research activity that provides an initial test (pretest) before being given treatment, after being given treatment, then giving a final test (posttest). This research was carried out on 50 cadres in the working area of the Putri Ayu Community Health Center, Jambi City.
Result: The average knowledge score before training was 57.4 and after training it increased to 75.2 . The results of educational activities for cadres in the working area of the P Utri Ayu Community Health Center show a level of success with indications of a positive response from cadres by showing increased knowledge through pre and posttest methods during training . From the results of the pretest and posttest through the T-test measurement for paired samples, a significance value or p value of 0.000 (p < 0.005) was obtained.
Conclusion: there is a significant difference between the knowledge scores of health cadres before and after participating in the training
Dynamic Patterns of Monocyte Lymphocyte Ratio (MLR) in Pulmonary Tuberculosis Patients During Treatment: Insights from Jambi City Health Center
Authors: Anggela Shylvi Dhea , Mustopa RD , Kurniasih Dewi 
Published: December 2023

Background: Pulmonary Tuberculosis (TB) is an infectious disease caused by the Mycobacterium tuberculosis (M.tb) bacteria. The occurrence of infection is closely related to immune response. An increase in monocytes and lymphocytes is one of the active immune responses. An increase or decrease in the ratio of these two cells can describe the healing process of TB disease.This study was conducted with the aim to determine the decrease in the Ratio of Monocyte Lymphocyte Ratio (MLR) based on the length of treatment in patients with TB.
Method: This type of research is descriptive research with a cross sectional approach with a variable length of treatment. Cross sectional approach with variable length of treatment. This research was conducted in February-June 2023 with a total sample of 40 TB patients from several Puskesmas in Jambi City.
Results: From the research that has been done on TB patients, the average results are as follows The average MLR based on the length of treatment in the initial stage for ≤ 2 months is 0.55; the average MLR in the advanced stage for > 2 months is 0.36; the results of the MLR T test based on the length of treatment with a p-value = 0.36. T test results based on length of treatment with a p-value = 0.129 (p>0.05), there is no significant difference in MLR in patients with pulmonary TB.
Conclusion: Significant difference in MLR in patients with pulmonary TB based on length of treatment
Overview of Monocyte to Hdl Cholesterol Ratio (MHR) in Patients With Coronary Heart Disease (CHD)
Authors: Rizki Eki Frima , Putri Elsi Indah , Simanjuntak James P , Sitanggang Fardiah Tilawati 
Published: December 2023

Background: Coronary Heart Disease (CHD) is a disease caused by plaque that accumulates in the coronary arteries, causing narrowing or blockage of blood flow that supplies oxygen (O2) to the heart muscle. Monocytes accumulate in myocardial tissue experiencing hypoxia and play a role in the formation of atherosclerotic plaque. On the other hand, High-Density Lipoprotein (HDL) is known to reduce the accumulation of macrophages and prevent oxidized cholesterol from entering the artery walls. In the process of healing CHD, the number of monocytes decreases and HDL-cholesterol increases. This study aims to show the potential of the monocyte to HDL Cholesterol ratio as a marker for the prognosis of CHD patients.
Method: This study used a case-control research design with a research sample of 50 CHD patients and 50 MCU patients at Bhayangkara Hospital, Jambi City.
Result: From the results of the examination, the average monocyte cell count was 461.5 cells/μL, HDL-Cholesterol= 48.1 mg/dL and MHR value= 9.6. Meanwhile, in MCU patients, monocytes were 398 cells/μL, HDL-Cholesterol= 50.4 mg/dL and MHR value= 8.1.
Conclusion: The MHR value of CHD patients was significantly higher than that of MCU patients. MHR appears to have good potential in the prognosis of CHD patients.
Overview of Neutrophil Lymphocyte Ratio (NLR) Based on The Length of Treatment by Pulmonary Tuberculosis Patients in Jambi City
Authors: Hanum Difa Wigia , Sitanggang Fardiah Tilawati , Simanjuntak James P 
Published: December 2023

Background: Pulmonary tuberculosis (pulmonary TB) is still a global public health problem in the world. Pulmonary TB is a chronic caused by the bacterium Mycobacterium tuberculosis (M.TB). Most TB bacteria are often found infecting the lung parenchyma. Infection due to pulmonary TB disease causes an active immune system in the body which is characterized by an increase in the number of neutrophils (neutrophilia). This infection also causes a decrease in the number of lymphocytes (lymphocytopenia). This study aims to determine the picture of NLR examination results based on the length of treatment undertaken by pulmonary TB patients in Jambi City.
Method: The study used descriptive methods with convinience sampling technique. The samples of this study were 40 Pulmonary TB patients from several health centers in Jambi City including the Simpang IV sipin health center, Pakuan baru, Simpang kawat, Rawasari, and Putri ayu. NLR examination in blood was carried out in February-June 2023 at the Hematology Laboratory, majoring in Medical Laboratory Technology using a Hematology analyzer.
Result: The results showed the average number of NLR in pulmonary TB patients with a treatment duration of ≤ 2 months, which is 3.68 and in patients with a treatment duration of > 2 months the average was 2.41, p value = 0.023.
Conclusion: it can be concluded that the average number of NLR was greatest in pulmonary TB patients with treatment duration ≤ 2 months.
Relationship of CK-MB Levels with Troponin T in Patient with Coronary Heart Disease at Siloam Hospital Jambi
Authors: Rahendza Frima , Nursyahbani Risananda , Simanjuntak James P , Sakdiah Siti 
Published: December 2023

Background: Coronary heart disease (CHD) is one of the cardiovascular diseases which is the highest cause of death in the world. CHD occurs due to the build-up of cholesterol plaque which causes narrowing of the arteries. CHD is characterized by an increase in biomarkers, especially cardiac troponin and Creatine Kinase enzyme activity. The aim of this research is to determine the relationship between CK-MB and Troponin T in CHD patients.
Method: The type of this research is descriptive study with a cross sectional approach. The population of this study was all patients who had been clinically diagnosed with CHD by doctors at Siloam Jambi Hospital according to their medical records. The sampling technique used was a total sample technique that met the inclusion and exclusion criteria. To analyze the relationship between variables, a parametric statistical test is used, namely the Pearson correlation test.
Result: The results of the study show the average value of CK-MB activity = 46.12 IU/L and Troponin T = 359.53 ng/L. The Pearson correlation test analysis showed that there was a significant relationship between CK-MB and Troponin T (p <0.00001), and the correlation coefficient (r) is 0.636.
Conclusion: The activity of the CK-MB enzyme and the levels of Troponin T enzymes have a strong relationship in CHD patients at Siloam Hospital Jambi.
Management of Critically Ill Patients with Severe Diabetic Ketoacidosis and Acute Renal Failure: A Case Report
Authors: Sucipto Priskila Wulan , I Putu Agus Surya Panji  
Published: December 2023

Background: Diabetic ketoacidosis (DKA) is one of the hyperglycemic crises related to diabetes. The main problem in DKA is ketogenesis, a metabolic process that increases the production and decreases the utilization of ketones. DKA is characterized by a biochemical triad such as hyperglycemia, ketonemia, and high anion gap metabolic acidosis. Management of DKA needs to be carried out appropriately and immediately because it may lead to diabetic coma and death.
Case presentation: A 38-year-old woman had decreased consciousness due to metabolic encephalopathy as a complication of severe DKA. The metabolic derangement shows an overlapping high anion gap metabolic acidosis and non-anion gap metabolic acidosis. This case is complicated by acute renal failure. The patient also had been in a hypovolemic state, causing pre-renal acute kidney injury. We treat the patient using a balanced solution to correct hypovolemia. Sonography of the vena cava and blood lactate levels are used to guide fluid resuscitation. We intubate and control the patient's breathing to reduce the metabolic demand. We titrate the insulin infusion until the ketogenesis process is abolished. Antibiotics are given based on sputum culture.
Conclusion: Acute renal failure (ARF) is a rare but potentially fatal complication of diabetic ketoacidosis (DKA). Early recognition and aggressive treatment of ARF during DKA may improve the prognosis of these patients.
Kajian Kesiapan Penerapan Proyek Penguatan Profil Pelajar Pancasila (P5) Dalam Menyongsong Penerapan Kurikulum Merdeka Berdasarkan Persepsi Guru Sebagai Tenaga Pendidik di SMKS Karsa Mulya Palangka Raya
Authors: Sitinjak Tarita Aprilani , Ni Putu Diah Agustin Permanasuri  , Trissan Whendy 
Published: December 2023

Tujuan khusus dari penelitian ini adalah untuk mengkaji bagaimana kesiapan SMKS Karsa Mulya dilihat dari guru sebagai pendidik, dalam pelaksanaan P5 pada kurikulum merdeka. Penelitian ini adalah penelitian dasar, yang berorientasi kepada penjelasan guna mengantisipasi suatu gejala/fenomena yang timbul dengan adanya projek penguatan profil pelajar pancasila (P5) untuk mendukung implementasi kurikulum merdeka. Tema penelitian ini termasuk dalam peningkatan Sumberdaya Manusia (SDM). Waktu pelaksanaan penelitian dilakukan secara keseluruhan selama satu tahun, dimulai dari observasi,pengumpulan data, analisis data dan pelaporan Pengumpulan data skunder dilakukan dengan observasi dan wawancara, sementara untuk data primer dikumpulkan dengan menggunakan kuesioner sebagai instrument penelitian untuk mengetahui pendapat guru sebagai tenaga pendidik tentang kesiapan dan pelaksanaan projek penguatan profil pelajar Pancasila (P5). Hasil penelitian terhadap aspek kesiapan guru dalam mempersiapan instrumen modul ajar dan modul projek dari P5 adalah 3,61. Analisis kesiapan aspek sarana prasarana sekolah dan ekosistem sekolah menurut tenaga pendidik ditunjukan dengan nilai 4,2 yang artinya siap dalam mendukung pelaksanaan P5. Hal ini mengacu dari konversi Pendekatan Acuan Patokan (PAP), nilai X (rata-rata tiap aspek) sebesar 4,2 maka X berada pada skala 4 karena 3,4< X 4,2 .
ESG, Public Pensions, and Compelled Speech
Authors: Kubisch Mark R. 
Published: December 2023

Investing based on Environmental, Social, and Governance (“ESG”) principles has dramatically increased in recent years. Many institutional investors— including public pension funds funded by mandatory contributions from government employees—now incorporate ESG principles into their investment and engagement strategies even though certain aspects of ESG, such as investing to reduce carbon emissions, are politically controversial. Over this same period, courts have reaffirmed that the First Amendment protects individuals from being compelled to associate with or to subsidize the speech of third parties. Indeed, applying this compelled speech doctrine, the Supreme Court recently overruled a forty-year-old precedent that allowed states to force nonunion members to contribute to public unions engaged in collective bargaining on their behalf.
This Article provides the first in-depth discussion of how the Court’s compelled speech doctrine might apply both in the wake of the Supreme Court’s landmark decision in Janus v. AFSCME and in light of the dramatic rise of ESG investing. In doing so, it explains how the Supreme Court’s post-Janus compelled speech doctrine will likely render state mandates requiring employees to contribute to public pension funds that invest according to ESG principles unconstitutional. And this Article also identifies two potentially serious consequences of the unconstitutionality of such mandates that current scholarship does not address. First, application of the compelled speech doctrine to public pensions may cause state and local governments significant financial distress, given that state employees might be able to withdraw all contributions (not just future contributions) to the public pension funds even as many of those funds are substantially underfunded. Second, extending the compelled speech doctrine to ESG investing might further hamper efforts to increase retirement savings among those least likely to save for retirement by precluding auto-enrollment of employees in retirement programs that invest according to ESG principles. Finally, this Article sketches some possible approaches to addressing these issues before concluding.
Redefining "Beneficial Use" to Combat Water Scarcity
Authors: Adams Genene 
Published: December 2023

Many western states in the U.S. are experiencing severe or exceptional drought, where water shortages are common, widespread, and have created troubling emergency conditions. How long these droughts plaguing the West will last is unknown. What is evident, however, is water use under a wellestablished doctrine must change in order to ensure communities do not run out of water. As a decades-long drought persists, frequent higher-than-average temperatures linger due to climate change, and population growth skyrockets, the need to implement a narrower standard for water use in the West is critical.
The purpose of this Comment is to propose an amendment to the prior appropriation doctrine such that the doctrine promotes sustainable water use, ultimately acting as a hedge against current and future water scarcity crises. This Comment begins with an overview of the current water scarcity crisis, including drought conditions throughout western parts of the United States. Part III then provides a summary of the prior appropriation doctrine, paying special attention to the doctrine’s most important element—beneficial use— before moving into a brief discussion of the main benefits and drawbacks of the current definition of beneficial use. This Comment will end by presenting a modified definition of beneficial use to better equip prior appropriation states with managing water use in areas prone to drought, followed by discussion of likely criticisms of such a redefinition.
PREVENTION OF EMBEZZLEMENT OF BUDGET FUNDS ALLOCATED IN THE FORM OF GRANTS AND SUBSIDIES: IMPLEMENTATION OF ESCROW ACCOUNTS
Authors: Мангасаров Р.А. 
Published: December 2023

На протяжении последних лет в России сохраняется стабильно высокий уровень хищений бюджетных средств. Это условие выступает причиной поиска механизмов противодействия указанным видам преступлений. В статье рассмотрены вопросы применения цифровых технологий, направленных на защиту бюджетных средств от хищений. Отмечены некоторые проблемы предупреждения указанных преступлений, а также предложены механизмы, повышающие эффективность деятельности правоохранительных органов в борьбе с данными противоправными деяниями посредством использования цифровых технологий и счетов эскроу. По мнению автора, нормативно-правовое закрепление счетов эскроу и их внедрение в сфере государственной поддержки (в рамках бюджетных грантов и субсидий) и в других областях, связанных с куплей-продажей объектов недвижимости и земельных участков; приобретением и продажей товаров, прав на результаты интеллектуальной деятельности; оказанием услуг и проведением работ и т. д., будет способствовать усилению контроля за бюджетными средствами, в том числе выделенными в виде грантов и субсидий, а также сократит количество совершаемых хищений.
In recent years, Russia has maintained a consistently high level of embezzlement of budget funds. This condition is the reason for the search for mechanisms to counter these types of crimes. The article deals with certain issues of the use of information and communication and digital technologies in order to prevent misuse and embezzlement of budget funds, some existing problems of countering these crimes are noted and measures are proposed to improve the effectiveness of the activities of internal affairs bodies to counteract these illegal acts through the use of information resources, digital technologies and escrow accounts. According to the author, the regulatory and legal consolidation of escrow accounts and their implementation in the field of state support (within the framework of budget grants and subsidies) and in other areas related to the purchase and sale of real estate and land plots; the acquisition and sale of goods, intellectual property rights; the provision of services and work, etc. it will contribute to strengthening control over budget funds, including those allocated in the form of grants and subsidies, and will also reduce the number of embezzlements committed.
PERSONNEL POLICY OF THE PENAL SYSTEM AS A BASIS FOR THE FORMATION OF PROFESSIONAL STAFF POTENTIAL
Authors: Панарин Д.А. , Брыков Д.А. 
Published: December 2023

Одной из основных целей Концепции развития уголовно-исполнительной системы Российской Федерации на период до 2030 года является повышение эффективности уголовно-исполнительной системы путем совершенствования организации ее деятельности и формирования высокомотивированных и профессиональных кадров. В статье рассматриваются отдельные элементы кадровой политики УИС, их характеристики, а также вопросы планирования и правового регулирования деятельности кадровых служб территориальных органов ФСИН России. На основе комплексного подхода и анализа эмпирического материала установлено, что деятельность кадровых подразделений осуществляется с учетом конкретной управленческой ситуации. Анализируя положения о кадровых аппаратах территориальных органов ФСИН России, авторы отмечают отсутствие принципиальных отличий как в их структуре, так и в содержательной части. Обозначена незначительная разница в распределении функций и задач между структурными подразделениями кадрового аппарата территориального органа ФСИН России. На основе проведенных исследований авторами предлагается перечень вопросов, которые следует отразить в положениях о структурных кадровых подразделениях, что в свою очередь будет способствовать оптимизации организационно-штатной структуры учреждений и органов УИС.
One of the main goals of the Concept of Development of the Penal System of the Russian Federation for the period up to 2030 is to increase the efficiency of the Penal System by improving the organization of its activities and the formation of highly motivated and professional personnel. The article deals with individual elements of the personnel policy of the Penal System, their characteristics, as well as issues of planning and legal regulation of the activities of personnel services of the territorial bodies of the Federal Penitentiary Service of Russia. Based on an integrated approach and analysis of empirical material, it is established that the activities of personnel departments are carried out taking into account a specific management situation. Analyzing the provisions on the personnel apparatus of the territorial bodies of the Federal Penitentiary Service of Russia, the authors note the absence of fundamental differences both in their structure and in the content part. There is a slight difference in the distribution of functions and tasks between the structural divisions of the personnel apparatus of the territorial body of the Federal Penitentiary Service of Russia. Based on the conducted research, the authors propose a list of issues that should be reflected in the regulations on structural personnel units, which in turn will contribute to the optimization of the organizational and staff structure of institutions and bodies of the UIS.
Open-DPSM: An open-source toolkit for modeling pupil size changes to dynamic visual inputs
Authors: Cai Yuqing , Strauch Christoph , Van der Stigchel Stefan , Naber Marnix 
Published: December 2023

AbstractPupil size change is a widely adopted, sensitive indicator for sensory and cognitive processes. However, the interpretation of these changes is complicated by the influence of multiple low-level effects, such as brightness or contrast changes, posing challenges to applying pupillometry outside of extremely controlled settings. Building on and extending previous models, we here introduce Open Dynamic Pupil Size Modeling (Open-DPSM), an open-source toolkit to model pupil size changes to dynamically changing visual inputs using a convolution approach. Open-DPSM incorporates three key steps: (1) Modeling pupillary responses to both luminance and contrast changes; (2) Weighing of the distinct contributions of visual events across the visual field on pupil size change; and (3) Incorporating gaze-contingent visual event extraction and modeling. These steps improve the prediction of pupil size changes beyond the here-evaluated benchmarks. Open-DPSM provides Python functions, as well as a graphical user interface (GUI), enabling the extension of its applications to versatile scenarios and adaptations to individualized needs. By obtaining a predicted pupil trace using video and eye-tracking data, users can mitigate the effects of low-level features by subtracting the predicted trace or assess the efficacy of the low-level feature manipulations a priori by comparing estimated traces across conditions.
L'appel au soin et à la solidarité dans notre société
Authors: Brugère Fabienne , Ricot Jacques , Salvan Chloé , Sarthou-Lajus Nathalie 
Published: December 2023

De la petite enfance à la fin de vie, en passant par toutes les situations où nous sommes exposés à la dépendance, la question du soin prend une importance grandissante dans notre société. À travers l’insistance sur des sujets comme la sollicitude, la vulnérabilité et même l’invisibilité sociale, la pensée contemporaine n’est-elle pas devenue, comme l’Église que le pape appelle de ses vœux, un hôpital de campagne après la bataille néolibérale ? Qu’est-ce que le courant du care et comment rencontre-t-il les théories du genre ? Comment faire pour que le soin ne soit pas exclusivement l’affaire des femmes ?
La place de la religion dans la vie politique
Authors: Ferry Jean-Marc , Valadier Paul , Sarthou-Lajus Nathalie , Schlegel Jean-Louis 
Published: December 2023

Chacun s’accorde à reconnaître une insuffisance, voire « une détresse du politique » face aux transformations et aux interrogations qui taraudent les sociétés libérales. Qu’est-ce qui caractérise cette fragilité du politique ? Est-ce qu’un nouvel élan peut être apporté par le christianisme ? Concrètement, sur quels terrains ? Comment la présence de l’islam a-t-elle transformé les rapports entre démocraties européennes et religions ?