bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENYULUHAN TENTANG IMUNISASI PADA BALITA DI DESA PINTU LANGIT KECAMATAN AN PADANGSIDIMPUAN ANGKOLA JULU TAHUN 2023
Authors: Rangkuti Nur aliyah , Hasibuan Khoirunnisah , Rangkuti Juni Andriani 
Published: November 2023

ABSTRACT
Immunization is the process of giving a substance called a vaccine into a person's body with the aim of forming immunity against a certain disease. The form of activity carried out is health education counseling about the benefits of immunization in infants and toddlers. This extension activity lasted for 120 minutes and was carried out in Pintu Langit Village, Padangsidimpuan Angkola Julu District. The purpose of this activity is to provide counseling to mothers who have children under five. Counseling in the form of presentations, providing posters, carrying out immunization activities for toddlers. The number of participants in the activity was 38 people. The results of community service regarding immunization can be in the form of increasing public knowledge and awareness regarding the importance of immunization and increasing the number of people who carry out immunizations. The counseling activities carried out went well and in an orderly manner, this activity was carried out in Puntu Langit Village, which is in the working area of Pintu Langit Health Center. The people who took part in the activity seemed enthusiastic in participating in counseling activities about health checks. It is hoped that the community, especially mothers who have toddlers, will already know the benefits of the activities carried out and routine health checks for toddlers and will make visits for health checks in the following month.
Imunisasi adalah proses memberikan suatu zat yang disebut vaksin ke dalam tubuh seseorang dengan tujuan untuk membentuk kekebalan terhadap suatu penyakit tertentu. Bentuk kegiatan Yang dilakukan yaitu Penyuluhan pendidikan kesehatan tentang manfaat imunisasi pada bayi dan balita. Kegiatan penyuluhan ini berlangsung selama 120 menit ini dilaksanakan di desa Pintu Langit Kecamatan Padangsidimpuan Angkola Julu. Adapun tujuan kegiatan ini adalah untuk memberikan penyuluhan kepada ibu yang memiliki anak balita. Penyuluhan berupa presentase, pemberian poster, melakukan kegiatan pemberian imunisasi pada balita. Jumlah peserta kegiatan berjumlah 38 orang. Hasil pengabdian masyarakat tentang imunisasi dapat berupa peningkatan pengetahuan dan kesadaran masyarakat mengenai pentingnya imunisasi serta meningkatnya jumlah masyarakat yang melakukan imunisasi. Kegiatan penyuluhan yang dilaksanakan berjalan dengan baik dan tertib, kegiatan ini dilaksanakan di Desa Puntu Langit yang berada wilayah kerja Puskesmas Pintu Langit. Masyarakat yang mengikuti kegiatan telihat antusias dalam mengikuti kegiatan penyuluhan tentang pemeriksaan kesehatan. Diharapkan kepada masyarakat terutama ibu yang memiliki balita sudah mengetahui manfaat dari kegaiatan yang dilakukan serta rutin pemeriksaan kesehatan balita serta akan melakukan kunjungan untuk pemeriksaan kesehatan pada bulan berikutnya.
Dynamics of Formal and Informal Institutions on Environmental Quality in Pakistan
Authors: Tahir Ali , Bashir Muhammad Khalid , Hassan Sarfraz , Ali Asghar 
Published: November 2023

Environment and economic growth have been interlinked with each other since the beginning of mankind. The institutions (formal and informal) play an important role in the determination of the relationship between income and the environment. Many indicators measure the environment, i.e., air, land, water, and emissions. There is a need to develop a comprehensive measure of environmental quality, measuring all dimensions. The study aimed to develop a multidimensional and comprehensive measure of environmental quality and to analyze the role of formal and informal institutions on the environment and economic growth. Furthermore, the policy measures are suggested based on the results of the study. The environmental policies are better reinforced through good governance and improved institutional quality. To achieve these objectives, secondary data has been used from different international agencies of developed and developing countries with a special focus on Pakistan. The long-run and short-run relationships have been identified by using co-integration analysis and causality analysis. The results of the empirical analysis show that Institutional quality exerts a positive impact on economic growth. Further, Economic growth follows a decreasing trend in CO2 emissions, which validates the existence of EKC theory. The study also found that better institutions/policies cause higher income and improved environment in the long run, although it hampers growth in the short run. The study considers the vital roles of economic growth, institutional quality, and public awareness for a sustainable environment. To facilitate sustainable development in Pakistan, policymakers should be encouraged to prioritize policy design and implementation.
Singularidades na preservação do corpus trovadoresco: as cantigas de Vidal, Judeu d’Elvas
Authors: Frateschi Vieira Yara 
Published: November 2023

A transmissão manuscrita da pequena recolha de cantigas de Vidal, Judeu d'Elvas, nos Cancioneiros B e V, apresenta singularidades quanto ao sistema de traslado e organização do material transcrito, fornecendo indícios também acerca do ambiente concreto que teria propiciado o cultivo e a recepção de uma produção artística nitidamente em declínio na época em causa e num espaço meridional distante dos anteriores centros senhoriais e reais.
Lagoas e dislocacións. Unha aproximación material aos textos de Johan Soarez Somesso
Authors: de Santiago Gómez Carmen 
Published: November 2023

O Cancioneiro da Biblioteca Nacional de Portugal (B) atribúe a Johan Soarez Somesso, trobador activo na primeira metade do século XIII, 24 cantigas de amor e 1 cantiga de escarnio e maldizer, mentres que o Cancioneiro da Ajuda (A) conserva unicamente 17 composicións do poeta. A presente contribución tratará de explicar o desequilibrio na transmisión da produción de Somesso en ambos os dous códices, así como a dislocación da peza satírica en B, que encabeza, anormalmente, o corpus amoroso do autor no primeiro sector do apógrafo italiano.
Formation of winter wheat productivity using adaptive growing technologies
Authors: Oliinuk K.M. , Davydiuk A.V. , Shcherbakova J.V. 
Published: November 2023

Аіm. To establish the peculiarities of the formation of productivity of winter wheat under adaptive cultivation technologies. Methods. The research was carried out in the right-bank forest-steppe on the basis of long-term experiments of the department of technology of grain ear crops located within the experimental field of the National Research Center «Institute of Agriculture of the National Academy of Sciences» (Fastiv district, Kyiv region). Field and laboratory methods, mathematical and statistical analysis were used to conduct research. Results. According to the results of plant diagnostics, an assessment of the provision of nutrients at the main stages of organogenesis of winter wheat under adaptive cultivation technologies was made. It was found that winter wheat of the Kraevyd variety, which was grown using alternative technology, was supplied with basic nutrients below the optimum during the growing season. Under resource-saving technologies, a lack of nutrients was observed in the second half of the growing season. The optimal and closest to the optimal supply of plants with nitrogen, phosphorus and potassium was during the growing season under intensive energy-rich growing technologies. Values, directionality and optimal parameters of accumulation of vegetative and dry mass by plants during their cultivation using technologies of different intensity are determined, and their relationship with productivity is shown. The accumulation of dry matter by crops of winter wheat during the growing season was closely correlated with the yield of this crop. There was a tendency to increase the closeness of the connection, which increased from the VI to the IX stage of organogenesis. Conclusions. It was established that, on average, for 2016–2020, the highest productivity of sowing winter wheat of the Kraevyd variety, 8.93 t/ha of the 1–2 quality class, was obtained under the intensive energy-rich technology, which involved the introduction of P80K100 + N80ІІ + N100IV + N60VII against the background of the introduction of by-products predecessor and integrated plant protection.
Plasmapheresis in Myasthenia Gravis Crisis
Authors: Rifani Masharto Alegra , Lubis Bastian , Lubis Andriamuri Primaputra , Nadeak Rommy 
Published: November 2023

Introduction: Myasthenic crisis is the most lethal complication of myasthenia gravis. Referral to an intensive care unit is crucial in managing the myasthenic crisis. Hereby, we report a case of a myasthenic crisis in a 30-year-old female who underwent plasmapheresis. The patient underwent a 12-hour procedure for plasmapheresis and was discharged to a normal ward the next day. Although plasmapheresis is costly, its efficacy should be considered as the main treatment for myasthenic crisis.
Case Illustration: Female, 30 years old, weighed 60 kgs, with myasthenia crisis. The patient came to an emergency department and was then intubated before being admitted to the intensive care unit. The physical diagnostic was normal and laboratory findings were leukocytosis. The patient was treated with normal saline, antibiotics, high-dose corticosteroids, and pyridostigmine. The patient was done plasmapheresis with synchronized intermittent mandatory ventilator mode. The patient was examined every 30 minutes. The physical examinations were relatively normal. The plasmapheresis procedure was ended in 12 hours.
From the literature, plasmapheresis was found to have significant results for myasthenia gravis compared to conventional therapy because of its blood separation technique to remove autoantibodies. The next day patient was extubated with normal physical examinations and normal laboratory findings. The patient then moved from the intensive care unit to the normal ward and outpatient on the third day of hospital stay. The patient was given oral medicine that included antibiotics, corticosteroids, and pyridostigmine.
Conclusion: From this case, we can see that plasmapheresis therapy has a really good outcome compared to other conventional therapy. However this therapy is expensive, so most healthcare providers don’t cover the payment. Hopefully, most hospitals and healthcare providers can cover up for this treatment to save many myasthenia gravis crisis.

Keyword: Intensive Care Unit; myasthenic crisis; myasthenia gravis; plasmapheresis; treatment efficacy
De zaken Sātiņi-S en Hemwegcentrale: grote gevolgen voor de Nederlandse nadeelcompensatiepraktijk?
Authors: van Midden G.J. , Tjepkema M.K.G. 
Published: November 2023

De zaken Sātiņi-S en Hemwegcentrale: grote gevolgen voor de Nederlandse nadeelcompensatiepraktijk?
De grenzen tussen nadeelcompensatie op grond van het égalitébeginsel en verboden staatssteun zijn complex. Het arrest Sātiņi-S van het Hof van Justitie en het besluit van de Europese Commissie inzake de compensatie voor de sluiting van de Hemwegcentrale illustreren dat. Sātiņi-S betekent mogelijk een beperking voor overheden om bedrijven om compensaties te verlenen voor beperkende maatregelen, zoals op het terrein van dieren- en milieubescherming. Hemwegcentrale betekent mogelijk dat zonder tussenkomst van de rechter geen zekerheid bestaat dat een compensatie geen steunvoordeel vormt. De door het Hof van Justitie en de Commissie gemaakte overwegingen hebben mogelijk grote gevolgen voor de Nederlandse nadeelcompensatiepraktijk. In dit artikel gaan de auteurs hierop in en plaatsen zij daar kanttekeningen bij.
EFEKTIVITAS PEMBELAJARAN PAK DENGAN METODE TALKING STICK KELAS IV SD KANISIUS KURMOSARI SEMARANG
Authors: Winda Soladari Bago  , Yustinus Joko Wahyu Yuniarto  , Andarweni Astuti  
Published: November 2023

The problem in this study is that the low student learning outcomes are caused by several factors, one of which is the use of inappropriate methods, where the method used is still using conventional methods with the help of printed books, causing students' motivation to take part in religious education learning is low and students tend to be passive during teaching and learning process in the classroom. In addition to the learning method factor, the responsibility factor also affects learning outcomes where student learning responsibility also looks low. From the data obtained from the homeroom teacher of SD Kanisius Kurmosari Semarang, it was found that more than 50% or half of the number of students who did not reach the KKM, namely 80. This study aims to determine the differences in student responsibilities who are taught using the talking stick method and without using the talking stick method to fourth grade students at SD Kurmosari Semarang. And
To find out the average learning outcomes in increasing the effectiveness of learning by using the talking stick method in fourth grade students at SD Kurmosari Semarang. The method used in this study is a quantitative method using experimental research. The design used in this research is True Experimental Design. The results showed that there was a difference in the average responsibility of the experimental class students who used the talking stick method and the control class without the talking stick method, there was a positive influence of responsibility on learning outcomes and there were differences in the average learning outcomes of the experimental and control classes as well as amplified by the N-Gain test.
Pengaruh Teknik Ice Breaking (Mencairkan Suasana ) Terhadap Motivasi Belajar Siswa Kelas VIII di SMP Satu Atap Negeri 5 Pangururan Mata Pelajaran Pendidikan Agama Kristen dan Budi Pekerti Tahun Pelajaran 2023/2024
Authors: Elisabet Lastri Tumangger  , Rusmauli Simbolon  , Masniar H. Sitorus  , Senida Harefa  , Grecetinovvitria Butarbutar  
Published: November 2023

The aim of this research is to determine the positive and significant influence of the Ice Breaking Technique on the Learning Motivation of Class VIII Students at One Roof Middle School Negeri 5 Pangururan in Christian Religious Education and Character Education Subjects for the 2023/2024 Academic Year. The research method used is a quantitative method with a pre-experimental design type in the form of a One Shot Case Study. The population is all 102 class VIII students at One Roof 5 Public Middle School in Pangururan for the 2023/2024 academic year and a sample of 41 people was determined using random sampling techniques. Data was collected using a positive closed questionnaire with 28 items, namely 12 items for variable Negeri 5 Pangururan Subjects of Christian Religious Education and Character Education for the 2023/2024 Academic Year: 1) Test the analysis requirements: a) positive relationship test, obtained a value of rxy = 0.456> rtable(α=0.05,n=41)=0.308. b) Testing a significant relationship obtained a value of tcount= 3.200> ttable (α =0.05, dk=n-2=39)= 2.021. 2) Influence test: a) Regression equation test, obtained regression equation. b) Regression coefficient of determination test (r2) = 20.8%. 3) Test the hypothesis using the F test to obtain Fcount> Ftable=( α =0.05, dk numerator k=15, dk denominator=n-2=41-2=39) namely 10.24>1.92. Thus Ha accepted and H0 rejected.
Exploring Resource-Based Actor Engagement in Microfinance Institutions: The Service-Dominant Logic Perspective
Authors: Noreen Zahra  , Kausar Abdul Rashid , Zaheer Muhammad 
Published: November 2023

Actor engagement is an emerging area of research in service-dominant logic yet equated with the traditional view of customer engagement. The narrow explanation of cognitive and emotional perspectives obstructs the theory building to further understand the resource-based perspective of actor engagement, thus warranting an inductive inquiry. The interrelated categorization is also a missing link in the literature, and this study fills this gap. This qualitative study explores antecedents of actor engagement with a resource-based perspective at pre, core, and post-service encounters. While adopting the qualitative Gioia methodology, twenty-five customers of microfinance institutions were interviewed to explore the phenomenon. Our study reveals that in the pre-resource integration phase, the value fit and actors' dexterity are the antecedents that bring actor engagement. The alignment of integrated resources and service interaction disposition ensures engagement at the resource-integration phase, whereas, in the post-integration phase, actor engagement is affected by the service outcome. Furthermore, the actors' association with networks influences the engagement, and information gateways interconnect all three phases. This study offers four unique propositions to explain interrelated resource-based actor engagement. Microfinance institutions moving towards digital banking can adopt the study findings to redesign engaging strategies at an actor-to-actor level to ensure brand loyalty and commitment. Researchers can quantitatively test the proposed propositions for further conceptual advancement.
Hubungan Pola Makan dengan Sindrom Dispepsia pada Remaja
Authors: Sri  , Siagian Yusnaini , Liza Wati Liza Wati , Julia DS Hotmaria 
Published: November 2023

Dispepsia merupakan istilah yang digunakan dalam suatu sindrom atau kumpulan gejala rasa tidak nyaman berupa nyeri atau rasa terbakar pada epigastrium, cepat kenyang, kembung pada saluran cerna bagian atas, rasa penuh setelah makan, mual, muntah, dan sendawa pada perut bagian atas. Pola makan ini erat kaitannya dengan aktivitas atau kebiasaan makan, keluhan yang terjadi pada tiap orang mungkin tidak sama. Penelitian ini merupakan studi observasi analitik (kuantitatif) dengan pendekatan studi cross sectional yaitu penelitian non eksperimental dimana pengambilan data terhadap beberapa variabel penelitian dilakukan pada satu waktu. Alat pengumpulan data menggunakan kuisioner. Populasi yang digunakan dalam penelitian ini adalah remaja Sri Tanjung sejumlah 320 remaja. Sampel pada penelitian ini berjumlah 76 remajaBerdasarkan hasil uji spearman rank didapatkan hasil dengan nilai p=,000 (p<0,05) yang artinya ada hubungan antara pola makan dengan sindrom dispepsia pada pada remaja di Desa Sri Tanjung Keeratan hubungan antara pola makan dengan sindrom dispepsia sebesar 0,504 yang berarti bahwa kekuatan hubungan antar kedua variabel yaitu sedang.
Global Best Practices in Insurance Claim Cycle Time & Leakage
Authors: Kumar Shishir 
Published: November 2023

Insurers are losing huge amounts of money to fraudulent claims. To cope up with soaring claims, insurers are adopting the best claim practices to transform their operating model. However, they are still reluctant because their investment on technology should be justified with financial prudence.
The study covers the best service practices and technologies implemented by various insurers during 2003-07. It reveals that majority of claim technologies have been implemented in the P&C segment. U.S. and UK accounted majority of the claim technology implemented. Insurers have been more focused towards claim administration & Processing globally. Aviva emerged as a leader in the claim technology implementation and deployment of radically innovated technologies.
Dynamic analysis of circulating tumor DNA to predict the prognosis and monitor the treatment response of patients with metastatic triple-negative breast cancer: A prospective study
Authors: Chi Yajing , Su Mu , Zhou Dongdong , Zheng Fangchao , Zhang Baoxuan , Qiang Ling , Ren Guohua , Song Lihua , Bu Bing , Fang Shu , Yu Bo , Zhou Jinxing , Yu Jinming , Li Huihui 
Published: November 2023

Background:Limited data are available on applying circulating tumor DNA (ctDNA) in metastatic triple-negative breast cancer (mTNBC) patients. Here, we investigated the value of ctDNA for predicting the prognosis and monitoring the treatment response in mTNBC patients.Methods:We prospectively enrolled 70 Chinese patients with mTNBC who had progressed after ≤2 lines of chemotherapy and collected blood samples to extract ctDNA for 457-gene targeted panel sequencing.Results:Patients with ctDNA+, defined by 12 prognosis-relevant mutated genes, had a shorter progression-free survival (PFS) than ctDNA− patients (5.16 months vs. 9.05 months, p=0.001), and ctDNA+ was independently associated with a shorter PFS (HR, 95% CI: 2.67, 1.2–5.96; p=0.016) by multivariable analyses. Patients with a higher mutant-allele tumor heterogeneity (MATH) score (≥6.316) or a higher ctDNA fraction (ctDNA%≥0.05) had a significantly shorter PFS than patients with a lower MATH score (5.67 months vs.11.27 months, p=0.007) and patients with a lower ctDNA% (5.45 months vs. 12.17 months, p<0.001), respectively. Positive correlations with treatment response were observed for MATH score (R=0.24, p=0.014) and ctDNA% (R=0.3, p=0.002), but not the CEA, CA125, or CA153. Moreover, patients who remained ctDNA+ during dynamic monitoring tended to have a shorter PFS than those who did not (3.90 months vs. 6.10 months, p=0.135).Conclusions:ctDNA profiling provides insight into the mutational landscape of mTNBC and may reliably predict the prognosis and treatment response of mTNBC patients.Funding:This work was supported by the National Natural Science Foundation of China (Grant No. 81902713), Natural Science Foundation of Shandong Province (Grant No. ZR2019LZL018), Breast Disease Research Fund of Shandong Provincial Medical Association (Grant No. YXH2020ZX066), the Start-up Fund of Shandong Cancer Hospital (Grant No. 2020-PYB10), Beijing Science and Technology Innovation Fund (Grant No. KC2021-ZZ-0010-1).
Electric Field Enhanced Ammoxidation of Aldehydes Using Supported Fe Clusters Under Ambient Oxygen Pressure
Authors: Wang Chao , Li Jialu , Shao Tianyu , Zhang Dongsheng , Mai Yuanqiang , Li Yongwang , Besenbacher Flemming , Niemantsverdriet Hans , Rosei Federico , Zhong Jun , Su Ren 
Published: November 2023

AbstractHeterogeneous catalytic ammoxidation provides an eco‐friendly route for the cyanide‐free synthesis of nitrile compounds, which are important precursors for synthetic chemistry and pharmaceutical applications. However, in general such a process requires high pressures of molecular oxygen at elevated temperatures to accelerate the oxygen reduction and imine dehydrogenation steps, which is highly risky in practical applications. Here, we report an electric field enhanced ammoxidation system using a supported Fe clusters catalyst (Fe/NC), which enables efficient synthesis of nitriles from the corresponding aldehydes under ambient air pressure at room temperature (RT). A synergistic effect between the external electric field and the Fe/NC catalyst promotes the ammonia activation and the dehydrogenation of the generated imine intermediates and avoids the unwanted backwards reaction to aldehydes. This electric field enhanced ammoxidation system presents high efficiency and selectivity for the conversion of a series of aldehydes under mild conditions with high durability, rendering it an attractive process for the green synthesis of nitriles with fragile functional groups.