bluuebunny/crossref_metadata_2025_split huggingface dataset:
Publications in selected medical education journals according to the income status of the country of affiliation of the first author and the corresponding author
Authors: Guragain Anusmriti , Shankar P Ravi , Wilson Ian G 
Published: November 2023

Abstract
Introduction: The distribution of publications in selected medical education journals according to the income status of the country where the affiliated institutions of the first author and the corresponding author were located during the period from 2020 to 2022 were studied.
Methods: The Scopus quartile one (Q1) journals Academic Medicine, BMC Medical Education, Medical Education, Medical Education Online, Medical Teacher, and Teaching and Learning in Medicine were explored. The details noted were the year of publication, the type of article, the journal’s name, and the income status of the country of the first author and the corresponding author.
Results: There were 5714 unique articles published. There were 30 instances where the authors had multiple affiliations in countries of differing income levels and the articles were duplicated/triplicated providing a total of 5750 articles. Most articles (87%) were published by authors from high-income countries and only 0.8% were from low-income countries with the remainder from middle-income countries. BMC Medical Education had the maximum percentage of authors from low and middle-income countries.
Conclusion: Nations having most of the world’s population and medical schools are significantly under-represented in publications in the selected journals. This is a matter of concern and requires further study.
The Relation between acute asthma wxacerbation and neutophils/lymptocytes ratio
Authors: Mahfoud Michal rafaeel Al , skaf mohamed naser , bardan Hossam 
Published: November 2023

Abstract
Background: Bronchial asthma is one of the most common chronic diseases in different age groups, and the neutrophil-on-lymphocyte ratio (NLR) can be an important indicator for the inflammation process However, studies that investigate the relationship between asthma and NLR are very few, and here comes the importance of our study
Methods and tools: Our study is a cross-sectional study that examines the relationship between the NLR and the increase in the intensity of an asthmatic attack. In our study , we rely on reviewing the files of asthmatic patients and those who visits the emergency in Damascus Hospital. We collected those files and uploaded them to our own questionnaire. That was between 1/1/ 2023 and 9/1/2023. The sample size was 87 patients of both sexes and different ages.
Results: The results of our studies concluded that the heart rate respiratory rate and the shortness of breath increase with the increasing of the NL ratio (P-value=0.001). This was in agreement with other international studies. A specific statistical relationship was also found between oxygenation drop and the increase of NL rate (P-value=0.001), as well as there was more need for admission in the intensive care unit and mechanical ventilation with the increasing of NL ratio (P-value=0.001).
Conclusion: It can be said from the results we obtained in our study and in comparison, with other studies that an increase in the NL ratio is a strong indicator of an increase in the severity of the symptoms of the acute exacerbation of asthmatic attack.
Discharge modeling and characteristic analysis of semi-circular side weir based on the soft computing method
Authors: Li Shanshan , Shen Guiying , Parsaie Abbas , Li Guodong , Cao Dingye 
Published: November 2023

Abstract
In this study, a support vector machine (SVM) and three optimization algorithms are used to develop a discharge coefficient (Cd) prediction model for the semi-circular side weir (SCSW). After that, we derived the input and output parameters of the model by dimensionless analysis as the ratio of the flow depth at the weir crest point upstream to the diameter (h1/D), the ratio of main channel width to diameter (B/D), the ratio of side weir height to diameter (P/D), upstream of side weir Froude number (Fr), and Cd. The sensitivity coefficients for dimensionless parameters to Cd were calculated based on Sobol's method. The research shows that SVM and Genetic Algorithm (GA-SVM) have high prediction accuracy and generalization ability; the average error and maximum error were 0.08 and 2.47%, respectively, which were about 95.72 and 60.86% lower compared with the traditional empirical model. The first-order sensitivity coefficients S1 and global sensitivity coefficients Si of h1/D, B/D, P/D, and Fr were 0.35, 0.07, 0.13, and 0.02; 0.63, 0.25, 0.30, and 0.32, respectively. h1/D has a significant effect on Cd. In particular, when h1/D &lt; 0.24 and 0.48 &lt; Fr &lt; 0.58, 0.67 &lt; Fr &lt; 0.72, the discharge capacity of the SCSW is relatively large.
The porous structure induced heterogeneous and localized failure of the biofilm in microfluidic channels
Authors: Tang Yangyang , Tao Cong , Zhang Zheng , Liu Song , Dong Fulin , Zhang Duohuai , Zhang Jinchang , Wang Xiaoling 
Published: November 2023

Abstract

Understanding the mechanism of biofilm distribution and detachment is very important to effectively improve water treatment and prevent blockage in porous media. The existing research is more related to the local biofilm evolving around one or few microposts and the lack of the integral biofilm evolution in a micropost array for a longer growth period. This study combines microfluidic experiments and mathematical simulations to study the distribution and detachment of biofilm in porous media. Microfluidic chips with an array of microposts with different sizes are designed to simulate the physical pore structure of soil. The research shows that the initial formation and distribution of biofilm are influenced by bacterial transport velocity gradients within the pore space. Bacteria prefer to aggregate areas with smaller microposts, leading to the development of biofilm in those regions. Consequently, impermeable blockage structures form in this area. By analyzing experimental images of biofilm structures at the later stages, as well as coupling fluid flow and porous medium, and the finite element simulation, we find that the biofilm detachment is correlated with the morphology and permeability (kb) (from 10−15 to 10−9 m2) of the biofilm. The simulations show that there are two modes of biofilm detachment, such as internal detachment and external erosion.
The Effects of Quality Assurance System Implementation on Work Well-Being and Patient Safety: Protocol for a Mixed Methods Study
Authors: Vuohijoki Anni , Huusko Mira , Ristolainen Leena , Hakasaari Pipsa , Kautiainen Hannu , Leppilahti Juhana , Kivivuori Sanna-Maria , Hurri Heikki 
Published: November 2023

Background
Systematic monitoring of work atmosphere and patient safety incidents is a necessary part of a quality assurance system, particularly an accredited system like the Joint Commission International (JCI). How the implementation of quality assurance systems affects well-being at work and patient safety is unclear. Evidence shows that accreditation improves workplace atmosphere and well-being. Thus, the assumption that an increase in employees’ well-being at work improves patient safety is reasonable.

Objective
This study aims to describe the protocol for monitoring the effects of implementing the quality assurance system of JCI at Orton Orthopedic Hospital on employees’ well-being (primary outcome) and patient safety (secondary outcome).

Methods
Quantitative (questionnaires and register data) and qualitative (semistructured interviews) methods will be used. In addition, quantitative data will be collected from register data. Both quantitative and register data will be analyzed. Register data analysis will be performed using generalized linear models with an appropriate distribution and link function. The study timeline covers the time before, during, and after the start of the accreditation process. The collected data will be used to compare job satisfaction, as a part of the well-being questionnaire, and the development of patient safety during the accreditation process.

Results
The results of the quality assurance system implementation illuminate its possible effects on the patient’s safety and job satisfaction. The repeatability and internal consistency reliability of the well-being questionnaire will be reported. Data collection will begin in May, 2024. It will be followed by data analysis and the results are expected to be published by 2025.

Conclusions
The planned study will contribute to the evaluation of the effects of JCI accreditation in terms of well-being at work and patient safety.

International Registered Report Identifier (IRRID)
PRR1-10.2196/45200
An Ethics Action Plan for Rare Disease Care: Participatory Action Research Approach
Authors: Quintal Ariane , Carreau Isabelle , Grenier Annie-Danielle , Hébert Caroline , Yergeau Christine , Berthiaume Yves , Racine Eric 
Published: November 2023

Background
Owing to their low prevalence, rare diseases are poorly addressed in the scientific literature and clinical practice guidelines. Thus, health care workers are inadequately equipped to provide timely diagnoses, appropriate treatment, and support for these poorly understood conditions. These clinical tribulations are experienced as moral challenges by patients, jeopardizing their life trajectories, dreams, and aspirations.

Objective
This paper presents an ethical action plan for rare disease care and the process underlying its development.

Methods
This action plan was designed through an ethical inquiry conducted by the Ethics and Rare Diseases Working Group, which included 3 patient partners, 2 clinician researchers, and 1 representative from Québec’s rare disease association.

Results
The plan is structured into 4 components. Component A presents the key moral challenges encountered by patients, which are the lack of knowledge on rare diseases among health care workers, the problematic attitudes that it sometimes elicits, and the distress and powerlessness experienced by patients. Component B emphasizes a vision for patient partnership in rare disease care characterized by open-mindedness, empathy, respect, and support of patient autonomy from health care workers. Component C outlines 2 courses of action prompted by this vision: raising awareness among health care workers and empowering patients to better navigate their care. Component D compares several interventions that could help integrate these 2 courses of action in rare disease care.

Conclusions
Overall, this action plan represents a toolbox that provides a review of multiple possible interventions for policy makers, hospital managers, practitioners, researchers, and patient associations to critically reflect on key moral challenges experienced by patients with rare diseases and ways to mitigate them. This paper also prompts reflection on the values underlying rare disease care, patient experiences, and health care workers’ beliefs and behaviors. Health care workers and patients were the primary beneficiaries of this action plan.
KEMAMPUAN BERPIKIR KRITIS SISWA PADA MATERI LARUTAN PENYANGGA MENGGUNAKAN METODE PRAKTIKUM VIRTUAL
Authors: Sandi Kurnia , Fatisa Yuni 
Published: November 2023

Basically, students had critical thinking skills in learning such as questioning, hypothesizing, clarifying, observing, and interpreting. In fact, these skills sometime were not developed well, so it was needed a method that was able to develop student critical thinking skills. This research aimed at analyzing student critical thinking ability through virtual practical work method. It was conducted in the eleventh grade of Natural Science one at Islamic Senior High School of Yaspika Karimun. Descriptive method was used in this research with one shot case study design. The samples were one of two classes, and Purposive sampling technique was used in this research. Instruments of this research were essay test and observation sheet. The data analysis results showed that the mean percentage of critical thinking ability of the eleventh-grade students of Natural Science 1 at Islamic Senior High School of Yaspika Karimun on Buffer Solution lesson was 74.34% with good category for test instrument, and the mean percentage of observation sheet instrument was 76.67% with good category. Based on these findings, it could be concluded that student critical thinking skills with Virtual Practical Work method on Buffer Solution lesson was on good category.Keywords : Critical Thinking Ability, Virtual Practical Work Method, Buffer Solution
DESAIN DAN UJI COBA LEMBAR KERJA PESERTA DIDIK UNTUK MATERI SEL ELEKTROLISIS BERBASIS GUIDED INQUIRY DENGAN STRATEGI READING INFUSION
Authors: Hidayati Nurul , Yusbarina Yusbarina 
Published: November 2023

Abstract The lack of learning media at State Senior High School 1 Tempuling caused the twelfth-grade students got difficulty in understanding Electrolytic Cell concept. So, this research aimed at designing learning media in the form of valid and practical Reading Infusion Strategy Guided Inquiry Based Student Worksheet on Electrolytic Cell lesson. It was Research and Development (R&D) with ADDIE development model, but only 4 steps were used in this research, and they were analysis, design, development, and implementation. Observation, interview, validity and practicality test questionnaires were the techniques of collecting data. The subjects of this research were a material expert validator, a media expert validator, 2 Chemistry subject teachers, and 12 students. The object was the appropriateness of Reading Infusion Strategy Guided Inquiry Based Student Worksheet media on Electrolytic Cell lesson. The validation results by material and media expert of Reading Infusion Strategy Guided Inquiry Based Student Worksheet on Electrolytic Cell lesson continuously were 93.38% and 96.66% with very good category. The teacher and student practicality percentage results continuously were 89.66% and 85.56% with very good category. Based on these results, Reading Infusion Strategy Guided Inquiry Based Student Worksheet on Electrolytic Cell lesson was appropriate to be used as a teaching material. Keywords: Student Worksheet, Guided Inquiry, Reading Infusion, Electrolytic Cell
Integration of Argumentation Activities in Virtual-Inquiry to Improve Argumentation Skills of Prospective Science Teacher in Basic Physics Courses
Authors: Siswanto Siswanto , Subali Bambang , Ellianawati Ellianawati 
Published: November 2023

Argumentation skills are a prominent domain that must be trained for prospective science teacher students. This study aims to determine the effectiveness of science learning which is implemented using virtual inquiry learning in improving the argumentation skills of prospective science teachers. We used a quasi-experimental method with a non-equivalent control class design where researchers divided students into two classes: the experimental class (N = 38) and the control class (N = 38). The learning process in the experiment class was carried out by the virtual-inquiry model which was inserted with scientific argumentation activities, while in the control class, the learning process was carried out using the virtual-inquiry model without inserting scientific argumentation activities. All students involved in the research were given a test to measure argumentation skills between before and after the learning process. Argumentation skills are analyzed in two aspects, namely the completeness of organs and the scientific aspect. Data were analyzed by categorizing each student's answer into each aspect of argumentation skills, both before and after the learning process. After that, the mean difference significance test was carried out. Then, n-gain was used to analyze the increase of argumentation skill. The results indicate that the virtual-inquiry model which was inserted by argumentation activities was better at improving the argumentation skills of prospective science teachers compared to the virtual inquiry model without being inserted by argumentation activities. In the experimental class, the increase in argumentation skills showed high criteria. These results were obtained both on the aspect of organ completeness and the scientific aspect. Meanwhile, in the control class, it is in the low category for the aspect of organ completeness and is in the moderate category for the scientific aspect. These findings indicate that in scientific argumentation training, it is very important to involve students to practice argumentation directly.Keywords: virtual-inquiry, argumentation skill, scientific aspect of argumentation, organ completeness aspect of argumentation
Validitas dan Kepraktisan Lembar Kerja Siswa Berbasis Realistic Mathematic Education (RME) Pada Materi Sistem Persamaan Linier Dua Variabel
Authors: Samiah Umi , Kurniati Annisah , Rahmi Depriwana , Yuniati Suci 
Published: November 2023

Mengembangkan dan menghasilkan Lembar Kerja Siswa (LKS) matematika berbasis pendekatan Realistic Mathematic Education (RME) pada materi Sistem Persamaan Linier Dua Variabel yang memenuhi kriteria valid dan praktis merupakan tujuan dari penelitian ini. Penelitian ini merupakan penelitian pengembangan dengan Model Analysis, Design, Development, Implementation, Evaluation (ADDIE). Subjek dari penelitian ini adalah validator yang berasal dari dosen dan guru serta siswa SMP Negeri 22 Pekanbaru. Objek pada penelitian ini ialah LKS berbasis pendekatan RME pada materi SPLDV. Jenis data yang digunakan adalah data kualitatif dan kuantitatif. Instrumen pengumpulan data yang digunakan adalah angket. Berdasarkan hasil analisis uji validitas diperoleh LKS berbasis pendekatan Realistic Mathematic Education (RME) dinyatakan sangat valid dengan persentase tingkat kevalidan yaitu 93,55%. Kemudian berdasarkan hasil uji kepraktisan kelompok kecil diperoleh bahwa LKS berbasis pendekatan Realistic Mathematic Education (RME) sangat praktis dengan tingkat kepraktisan yaitu 92,425%. Oleh karena itu, dapat disimpulkan bahwa LKS yang dikembangkan telah memenuhi kriteria valid dan praktis.Kata kunci: lembar kerja siswa (LKS), realistic mathematic education (RME), sistem persamaan linier dua varibel
Pengembangan Video Pembelajaran Berbantuan Powtoon Berbasis Pendekatan Kontekstual Untuk Memfasilitasi Kemampuan Pemahaman Matematis Pada Materi Perbandingan Trigonometri
Authors: Tini Miar , Roza Yenita , Heleni Susda 
Published: November 2023

Penelitian ini dilatarbelakangi oleh rendahnya kemampuan pemahaman matematis peserta didik dan minimnya sumber belajar matematika yang inovatif sesuai kurikulum 2013. Mengembangkan video pembelajaran berbantuan Powtoon berbasis pendekatan kontekstual untuk memfasilitasi kemampuan pemahaman matematis pada materi perbandingan trigonometri kelas X merupakan tujuan dari penelitian ini. Jenis penelitian ini adalah penelitian pengembangan atau Research and Develop. Model penelitian yang digunakan adalah 4-D (Define, Design, Develop, Desseminate. Instrumen yang digunakan pada penelitian ini adalah lembar validasi oleh ahli dan amgket respon peserta didik. Teknik pengumpulan dara penelitian ini adalah studi literatur, studi dokumen dan kuesioner. Data yang diperoleh dianalisis menggunakan skala likert. Penelitian ini dilaksanakan di SMAN 1 Simpang Kanan kelas X. Ipa 1. Anggota populasi diilakukan secara acak tanpa memperhatikan strata dalam populasi tersebut (simple random sampling). Berdasarkan hasil uji ahli diperoleh rerata 3,79 kategori sangat valid untuk komponen materi dan untuk komponen media diperoleh rerata 3,66 kategori sangat valid. Video pembelajaran sudah dinyatakan valid selanjutnya dilakukan uji keterbacaan yang dengan melakukan uji skala kecil dan uji skala besar. Pada uji skala kecil dilaksanakan oleh 9 peserta didik dengan total persentase keterbacaanya 84% kriteria baik. Uji skala besar melibatkan 25 siswa dengan total persentase keterbacaanya 89% kriteria baik. Kesimpulan hasil penelitian ini diperoleh video pembelajaran berbantuan Powtoon berdasarkan pendekatan kontekstual sangat valid dan keterbacaannya baik untuk memfasilitasi kemampuan pemahaman matematis pada materi perbandingan trigonometri.
Penerapan Model Problem Based Learning Untuk Meningkatkan Hasil Belajar Siswa SMP
Authors: Sumargiyani Sumargiyani , Peni Nur Robiah Nofikusumawati , Nendra Hamid Wan 
Published: November 2023

Penelitian ini berupaya untuk meningkatkan hasil belajar siswa SMP kelas VII dalam materi penyajian data dengan mengimplementasikan PBL. Siswa kelas 7B SMP Negeri 3 Banguntapan tahun pelajaran 2021–2022 diambil sebagai subyek penelitian. Penelitian ini mengkaji pada langkah perencanaan dari model ADDIE. Data yang dikumpukan dilakukan dengan dua alat yaitu tes dan pedoman observasi. Untuk mendapatkan informasi hasil belajar dilakukan tes sedangkan bagaimana setiap kegiatan pembelajaran melalui observasi. Skor rata-rata 69 diperoleh dari data hasil belajar untuk materi yang digunakan pada pra siklus, dengan hasil tes ketuntasan sebesar 56,25%. Di Siklus pertama, skor rata-rata adalah 72 dari 100, dan hanya 68,75% yang tuntas. Pada Siklus kedua, skor rata-rata adalah 75,25 dari 100, dan 81,25% yang tuntas. Artinya skor meningkat 12,5% dari awal hingga Siklus pertama, lalu meningkat lagi 12,5% dari Siklus pertama ke Siklus kedua. Siklus II, 91,67% siswa lebih aktif dari pada Siklus I, dan 90,59% guru lebih aktif dari pada Siklus I. Artinya model pembelajaran PBL dapat membantu siswa menjadi lebih baik hasil belajaranya pada materi penyajian data.
Pengembangan Electronic Module Mathematics Berbasis Steam Untuk Meningkatkan Kemampuan Pemecahan Masalah Materi Himpunan Untuk Siswa MTs
Authors: Mustofa Mustofa , Wahyuni Fina Tri 
Published: November 2023

E-MOMATH berbasis STEAM dapat dipakai sebagai media bahan ajar yang dapat untuk meningkatkan kemampuan pemecahan masalah materi himpunan. Himpunan merupakan materi pokok yang dipelajari di sekolah menengah pertama. Materi pokok himpunan dapat memberikan manfaat untuk peserta didik dalam kehidupan sehari – hari, namun beberapa peserta didik masih kesulitan dalam menyelesaikan soal himpunan. Maka dari itu tujuan peneliti yaitu mengembangan E-Modul Matematika berbasis digital. Penelitian R&D ini memakai model pengembangan 4D yaitu “Define, Design, Develop, and Desseminate”. Hasil penelitian ini menunjukkan bahwa kevalidan atau kelayakan dengan memenuhi beberapa kriteria: uji kevalidan yang didapatkan dari hasil validasi ahli materi memperoleh nilai 94,4% dalam kategori sangat valid dan ahli media memperoleh nilai 73,16% dalam kategori valid. Uji Kepraktisan yang diperoleh dari guru dan peserta didik yaitu sebesar 83% dan 87,89% keduanya dalam kategori sangat praktis. Serta uji untuk meningkatkan kemampuan pemecahan masalah dari nilai postest dan pretest mendapatkan nilai 0,44 dalam kategori sedang. Maka E-MOMATH berbasis STEAM untuk meningkatkan kemampuan pemecahan masalah materi himpunan siswa MTs dapat digunakan dalam media pembelajaran.