bluuebunny/crossref_metadata_2025_split huggingface dataset:
Lateral prefrontal cortex thickness is associated with stress but not cognitive fatigue in exhaustion disorder
Authors: Arthur Cully Sean , Björnsdotter Malin 
Published: December 2023

IntroductionImpaired executive functioning, including cognitive fatigue, is a core feature of the long-term stress-related condition exhaustion disorder (ED). Recent research suggests that a key area for executive control, the lateral prefrontal cortex (LPFC), may be mechanistically linked to cognitive fatigue due to stress. Here, we therefore asked if and how stress, the LPFC and cognitive fatigue may be related in ED.MethodsWe used a multimodal cross-sectional study design with high-resolution structural magnetic resonance imaging (MRI), self-reported measures, and path analysis modeling in 300 participants with ED.ResultsWe found positive associations between stress and cognitive fatigue, and stress and LPFC thickness,but no association between LPFC thickness and cognitive fatigue. Furthermore, LPFC thickness did not mediate or moderate the association between stress and cognitive fatigue.DiscussionThese findings suggest that LPFC brain morphology is related to perceived stress levels but not cognitive fatigue, expanding previous research on the role of the LPFC in executive functioning. Moreover, the results support the notion that the LPFC may be mechanistically involved in stress-related executive function impairment but prompt further research into if and how this may be related to cognitive symptoms in ED.
Regional differences of individual and allocation efficiencies of health resources in China
Authors: Liu Qinpu , Guo Yuling 
Published: December 2023

BackgroundThe existing health resources and services are difficult to meet the needs of rapid economic development and the aging population in China. This paper evaluates the regional differences of individual and allocation efficiencies of health resources in China to explore ways to change the current situation.MethodsThe models of single-input single-output efficiency (SISOE), single-input multi-output efficiency (SIMOE), multi-input single-output efficiency (MISOE), and multi-input multi-output efficiency (MIMOE) were developed to calculate the individual and allocation efficiencies of health resources of China in this study.ResultsIt was found that the efficiencies of the number of health institutions (NHI) in the eastern and western regions of China were relatively close, with values of 0.61 and 0.59, respectively, significantly higher than 0.49 in the middle region. The efficiencies of the number of health personnel (NHP) in the eastern, middle, and western regions were closer, with values of 0.77, 0.75, and 0.79, respectively. The efficiencies of the number of health institution beds (NHIB) in the eastern and western regions were very close, with values of 0.79 and 0.78, respectively, while that in the middle region was 0.72. The efficiencies of the total health expenditure (THE) were 0.72, 0.76, and 0.79 in the east, middle, and western regions, respectively. The efficiencies of the number of diagnosis and treatment persons (NDTP) were 0.81, 0.70, and 0.71 in the eastern, middle, and western regions, respectively, while the efficiencies of the number of inpatients (NI) were 0.75, 0.79, and 0.81, respectively. The efficiencies of the utilization rate of beds (URB) and the average days of hospitalization (ADH) in the three regions were below 0.51. The health resources allocation efficiencies (HRAEs) were 0.86, 0.83, and 0.87 in the eastern, middle, and western regions, respectively.ConclusionThere were obvious regional differences in HRAE in China with the situation of “Middle Collapse.” The main direct reason for the low HRAE in the middle region was the lower efficiencies of NHI, NHIB, URB, and ADH. It revealed that there was relatively blind expansion of health institutions and beds with lower health service quality in the middle region. Governments should make strategic adjustments to public health resources and increase the investment in medical technology and manpower in the middle region. Hospitals in the eastern region should strengthen inter-regional medical and health technical cooperation with partners in the middle region by establishing a tele-medical network. The models of SISOE, SIMOE, MISOE, and MIMOE put forward in this study are simple, reasonable, and useful for resource efficiency analysis, which makes it convenient to adopt targeted measures to upgrade the efficiency of resource allocation. This study provides a new perspective and method to understand the mechanism of regional differences in China’s health resource allocation efficiency.
Evaluation of anesthetic skills acquisition in pre-graduate veterinary students with different grades of anesthetic experience using veterinary simulation exercises
Authors: Amitrano Fernando N. , Quiroz Lorenzo E. , Jaffe Ilona R. , Goetz Nellie G. , Coy Haverley A. , Keegan Robert D. 
Published: December 2023

BackgroundAnesthetic skills are usually learned through continuous supervision by experienced trainers who observe, advise and challenge students. Current educational techniques rely less on live animal training and include the use of simulations and models for teaching and assessment of surgical and anesthetic skills.ObjectiveTo evaluate the development of anesthetic skills of veterinary students having different levels of previous experience using simulation. An additional aim was to evaluate the impact of the simulation training on students with no anesthesia experience.Study designSingle group periinterventional and postinterventional study.MethodsInitial and final anesthesia simulation training recording were obtained from 53 randomly selected veterinary students. Seven faculty members blinded to previous student anesthesia experience reviewed the simulation recording and scored student performance using a rubric, results were recorded and analyzed.ResultsAll students participating in an anesthesia and surgery course reached higher proficiency levels on fundamental anesthesia skills regardless of their previous amount of experience with anesthesia. Simulation based learning positively influenced the final score in veterinary students having no previous anesthesia training, suggesting that it is possible for veterinary students to achieve a level of competence in anesthesia skills with simulation-based training.Main limitationsSample size, group simulation, multiple reviewers bias.ConclusionStudents having no experience with clinical anesthesia demonstrated remarkable improvement in their skills, achieving a score that was similar to students having extensive prior clinical anesthesia experience. Despite this clear improvement students having no prior clinical anesthesia experience required more time to complete all anesthesia tasks and may require more training sessions to acquire the speed demonstrated by peers who had significant prior clinical anesthesia experience. Overall, all participants reached a higher proficiency level performing fundamental anesthesia skills at the end of the course.
Dutch GP healthcare consumption in COVID-19 heterogeneous regions: an interregional time-series approach in 2020–2021
Authors: Homburg Maarten , Berger Marjolein , Berends Matthijs , Meijer Eline , Kupers Thijmen , Ramerman Lotte , Rijpkema Corinne , de Schepper Evelien , olde Hartman Tim , Muris Jean , Verheij Robert , Peters Lilian 
Published: December 2023

Background
Many countries observed a sharp decline in the use of general practice services after the outbreak of the COVID-19 pandemic. However, research has not yet considered how changes in healthcare consumption varied among regions with the same restrictive measures but different COVID-19 prevalence.

Aim
To investigate how the COVID-19 pandemic affected healthcare consumption in Dutch general practice during 2020 and 2021, among regions with known heterogeneity in COVID-19 prevalence, from a pre-pandemic baseline in 2019.

Design & setting
Population-based cohort study using electronic health records. The study was undertaken in Dutch general practices involved in regional research networks.

Method
An interrupted time-series analysis of changes in healthcare consumption from before to during the pandemic was performed. Descriptive statistics were used on the number of potential COVID-19-related contacts, reason for contact, and type of contact.

Results
The study covered 3 595 802 contacts (425 639 patients), 3 506 637 contacts (433 340 patients), and 4 105 413 contacts (434 872 patients) in 2019, 2020, and 2021, respectively. Time-series analysis revealed a significant decrease in healthcare consumption after the outbreak of the pandemic. Despite interregional heterogeneity in COVID-19 prevalence, healthcare consumption decreased comparably over time in the three regions, before rebounding to a level significantly higher than baseline in 2021. Physical consultations transitioned to phone or digital over time.

Conclusion
Healthcare consumption decreased irrespective of the regional prevalence of COVID-19 from the start of the pandemic, with the Delta variant triggering a further decrease. Overall, changes in care consumption appeared to reflect contextual factors and societal restrictions rather than infection rates.
El reto de las organizaciones para la capacitación del personal
Authors: Sánchez Brenda Guadalupe Burciaga , Bencomo Myrna Isela García , Zapata Armando Javier Cabrera , Bolivar Marisol Palafox , Ávila José René Arroyo , Díaz María del Rosario de Fátima Alvídrez , Villa Jesús Robles 
Published: December 2023

En un mundo donde la única constante es el cambio, obtener el beneficio del aprendizaje continuo es una oportunidad para mantener la vigencia laboral y desarrollar e innovar en los procesos de trabajo (Procuraduría Federal de la Defensa del Trabajo, 2018). Actualmente no existe ninguna área de la industria, el comercio o los servicios que esté al margen del cambio tecnológico, que representa una fuerte trasformación en los mercados y en la forma en que las empresas funcionan en el día a día (COFIDE, S/F).Es evidente que la capacitación debe de estar siempre presente en la empresa, sin embargo, para que esta de resultados efectivos para las dos partes, empresa y trabajadores, es importante tomar a los empleados en cuenta, como una forma de sensibilizarlos y participar de manera activa en los cursos que se les impartirán y que fueron previamente propuestos por ellos a través de una lluvia de ideas, y del diagnóstico de capacitación que será el principal motor para la construcción de la capacitación en la empresa .La capacitación es una de las inversiones más rentables que puede realizar una empresa.
Analisis Spasial Variabel-Variabel yang Memengaruhi Jumlah Kasus Baru HIV/AIDS di Provinsi Jawa Timur Tahun 2021
Authors: Thahar Safira Fauziana , Sirait Timbang 
Published: December 2023

HIV/AIDS masih menjadi masalah darurat bidang kesehatan dunia. Dalam lima tahun terakhir, Provinsi Jawa Timur selalu menempati posisi pertama dalam penambahan jumlah kasus HIV/AIDS di Indonesia. Tujuan penelitian ini adalah mengetahui variabel-variabel yang signifikan berpengaruh terhadap penambahan jumlah kasus baru HIV/AIDS di Provinsi Jawa Timur tahun 2021 dengan metode analisis Geographically Weighted Negative Binomial Regression guna mengatasi overdispersi dan efek spasial pada data. Variabel bebas yang diteliti adalah persentase pengguna alat kontrasepsi kondom, kepadatan penduduk, persentase penduduk miskin, rata-rata lama sekolah, persentase desa dengan tindak kejahatan pengedaran dan penyalahgunaan narkoba, rasio jumlah fasilitas kesehatan per 10.000 penduduk, dan rasio jumlah tenaga kesehatan per 10.000 penduduk. Data-data tersebut berasal dari publikasi Dinas Kesehatan dan Badan Pusat Statistik Provinsi Jawa Timur. Hasil penelitian menunjukkan bahwa penyebaran jumlah kasus baru HIV/AIDS di Jawa Timur pada tahun 2021 cenderung mengelompok. Selain itu, terbentuk empat kelompok kabupaten/kota berdasarkan kesamaan variabel bebas yang signifikan berpengaruh.
Pengaruh Pandemi COVID-19 dan Variabel Sosial Ekonomi terhadap Prevalensi Ketidakcukupan Konsumsi Pangan di Indonesia Tahun 2021
Authors: Laksmana Putri Calivi Kezia , Zhafarina Nadaa , Putri Natasya Yunita , Kartiasih Fitri 
Published: December 2023

Pandemi COVID-19 pada akhir tahun 2019 menyebabkan beberapa capaian SDGs mengalami hambatan. Prevalensi ketidakcukupan konsumsi pangan (Prevalence of Undernourishment/PoU) yang menjadi salah satu indikator dari tujuan SDGs kedua, mengalami kenaikan sejak tahun 2020 hingga tahun 2022. Kenaikan ini diduga karena adanya pengaruh dari pandemi COVID-19 tersebut. Penelitian ini dilakukan untuk mengetahui penyebab kenaikan PoU memang dipengaruhi oleh faktor COVID-19 atau karena faktor-faktor lainnya. Metode penelitian yang digunakan adalah regresi linier berganda. Dengan variabel dependen adalah PoU dan variabel independennya ialah RLS, persentase kemiskinan, COVID-19, produksi beras, luas panen, dan pendapatan perkapita. Hasil penelitian menunjukkan bahwa variabel persentase kemiskinan signifikan meningkatkan sementara variabel produksi beras signifikan menurunkan variabel PoU. Sehingga dapat disimpulkan bahwa meskipun COVID-19 berpengaruh terhadap PoU, tapi tidak secara signifikan. Adapun faktor yang berpengaruh signifikan terhadap PoU adalah aspek keterjangkauan pangan yang diwakili oleh variabel persentase kemiskinan dan aspek ketersediaan pangan yang diwakili oleh variabel produksi beras.
CONCEPTS OF FUTURE FIXED COMMUNICATION NETWORKS AND PROBLEMS OF THEIR PRACTICAL IMPLEMENTATION
Authors: Росляков А.В. 
Published: December 2023

Рассмотрены две концепции развития сетей фиксированной связи на ближайшие годы и в более отдаленной перспективе. Одна из них – «Сеть 2030» – разработана МСЭ-Т, вторая – сети фиксированной связи пятого поколения F5G – продолжает разрабатываться ETSI. Приведен краткий анализ базовых принципов этих концепций и показаны возможные проблемы и трудности на пути их практической реализации.
Two concepts for the development of fixed networks for the coming years and in the longer term are considered. One of them was developed by ITU-T and was called “Network 2030”, the second – F5G fixed communication networks, continues to be developed by ETSI. A brief analysis of the basic principles of these concepts is given and possible problems and difficulties in the way of their practical implementation are shown.
CHARACTERISTICS OF TELEMETRY INFORMATION AS PARTICULAR INDICATORS OF THE DEVELOPMENT OF INFORMATION AND TELEMETRY SUPPORT SYSTEMS FOR DEVELOPMENT OF LAUNCH VEHICLES
Authors: Воронцов В.Л. , Давыдов И.А. 
Published: December 2023

Результаты исследований, представленные в настоящей статье, касаются систем информационно-телеметрического обеспечения отработки средств выведения (СИТОСВ). В них показана связь характеристик телеметрической информации (ТМИ), прежде всего, характеристик потерь информации (получения дополнительной информации) и общих (обобщённых) показателей развития СИТОСВ. Вышеупомянутые потери информации образуются вследствие влияния неопределённых факторов разной природы. Степень влияния этих факторов (степень искажений сигналов/данных, содержащих ТМИ; степень потерь ТМИ) зависит от выбранных способов противодействия им, прежде всего, от применённых методов и алгоритмов действий над ТМИ. Эти методы и алгоритмы реализованы в программно-технических средствах (ПТС) и информационных технологиях, характеристики которых (в свою очередь) влияют на общие (обобщённые) показатели. В настоящей работе наиболее детально исследованы вопросы, связанные с потерями ТМИ и соответствующими им неопределёнными факторами, касающимися радиоканалов «борт-Земля». Для лучшего понимания сущностей отношений характеристик ТМИ и общих (обобщённых) показателей развития СИТОСВ по-новому структурированы (систематизированы) относящиеся к ним знания.
The research results presented in this paper concern information and telemetry support systems for the development of launch vehicles (ITSSLV). They show the relationship between the characteristics of telemetry information (TMI), primarily the characteristics of information losses (obtaining additional information), and general (generalized) indicators of ITSSLV development. The above-mentioned information losses are caused by the influence of uncertain factors of different nature. The degree of influence of these factors (the degree of distortion of signals/data containing TMI, the degree of TMI losses) depends on the chosen methods to counteract them, primarily on the applied methods and algorithms for TMI. These methods and algorithms are implemented in software and hardware facilities and information technologies the characteristics of which (in turn) affect the general (generalized) indicators. In this paper, the issues related to TMI losses and the corresponding uncertain factors related to downlink radio channels are studied in the most detailed way. For a better understanding of the essence of the relationship between the TMI characteristics and the general (generalized) indicators of ITSS LV development, the knowledge related to them is structured (systematized) in a new way.
El Movimiento Nacionalista Tacuara frente a la democracia liberal
Authors: Albornoz Celina 
Published: December 2023

El nacionalismo de derecha es un movimiento con una larga historia en Argentina. En su interior, el Movimiento Nacionalista Tacuara se constituyó como una de las principales agrupaciones de esta corriente en los años ’60.
En este artículo, abordaré los principales rasgos de la cultura política de Tacuara, entre los cuales destacan la postura anti-izquierdas, el antisemitismo, la adscripción al catolicismo integrista, la admiración por los fascismos europeos, el uso de la violencia política, el rechazo de la democracia liberal y el parlamentarismo y, como contrapartida, la propugnación de un sistema corporativista. Este último rasgo será central. Analizaré cómo los nacionalistas concibieron a la democracia liberal y al sistema parlamentario y de qué modo plantearon la necesidad de su reemplazo con un régimen corporativo sustentado en el trinomio familia, sindicatos y municipios.
Bodegueros vs. Cerveceros: la controversia legislativa en torno a la instalación de la Maltería y Cervecería de Los Andes en Mendoza 1923
Authors: Aroca María Celeste 
Published: December 2023

A comienzos del siglo XX, en Mendoza, se promovió el cultivo de cebada para la producción de malta y la elaboración de cerveza con la instalación de un complejo industrial que, en la provincia de la vid y el vino, tuvo repercusiones en el plano económico, social y político.
Este trabajo estudia la tensión generada entre el sector vitivinícola y el cervecero en 1923 por la presentación de un proyecto ley de exención impositiva para la agroindustria cervecera, dado en el contexto de las políticas de diversificación productiva impulsadas por los gobiernos Lencinistas. A tales fines, se presenta un análisis histórico cualitativo de ese conflicto a partir del trabajo con fuentes documentales oficiales, como Memorias de Gobierno y los Debates de las Sesiones Legislativas; sectoriales, como las revistas nacionales del Ferrocarril Buenos Aires al Pacífico (BAP) y del Centro de Almaceneros, y de diarios provinciales como Los Andes y La Palabra.
La hipótesis es que la tensión generada entre ambos sectores reflejó el antagonismo político vigente en Mendoza entre el grupo político conservador ligado a la vitivinicultura y el radical-lencinismo que gobernaba la provincia.
Penyesuaian Diri (Self Adjusment) Mahasiswa Bimbingan dan Konseling dalam Penyusunan Tugas Akhir di Universitas Nusa Cendana
Authors: Nalle Andriani Paulin , Geradus Uda , Davita Imelda Laveda 
Published: December 2023

Kemampuan mahasiswa program studi BK FKIP Undana dalam menyelesaikan tugas akhir berada pada kategori rata-rata. Hal ini berkaitan dengan kemampuan penyesuaian diri. Apabila mahasiswa mampu beradaptasi terhadap tuntutan-tuntutan penyusunan tugas akhir dengan baik, maka tulisan dapat terselesaikan tepat waktu dan sebaliknya. Penelitian ini bertujuan untuk mengetahui gambaran penyesuaian diri (self adjusment) mahasiswa/i Bimbingan dan Konseling dalam penyusunan tugas akhir di Universitas Nusa Cendana Kupang. Penelitian ini menggunakan pendekatan kuantitatif deskriptif korelasi dan dilaksanakan pada Kampus B Universitas Nusa Cendana Kupang. 74 mahasiswa/i menjadi sampel dari populasi sebanyak 288 mahasiswa/i prodi BK yang sedang menyelesaikan tugas akhir. Teknik pengambilan sampel menggunakan proportionate stratified random sampling serta data dikumpulkan dengan metode kuesioner yang dianalisis menggunakan analisis deskriptif dan analisis korelasi Product Moment. Tingkat penyesuaian diri (self adjusment) mahasiswa prodi BK dalam penyusunan tugas akhir berada pada kategori tinggi yaitu 53%. Namun, penyesuaian social mahasiswa masih menunjukkan kekurangan dibandingkan penyesuaian pribadi dalam penyusunan tugas akhir.
Kata Kunci: Mahasiswa/i, Penyesuaian Diri (Self Adjusment), penyusunan tugas akhir
Peningkatan Kemampuan Pemahaman Soal Cerita dan Hasil Belajar Matematika melalui Penerapan Model Pembelajaran Direct Instruction pada Siswa Kelas VA SDN Buraen 1
Authors: Seran Ariyanti 
Published: December 2023

Tujuan yang ingin dicapai dari penelitian ini adalah meningkatkan kemampuan pemahaman soal cerita dan hasil belajar matematika siswa dengan menggunakan metode direct instruction pada pembelajaran matematika. Subyek dari penelitian ini adalah guru dan semua siswa kelas VA SDN Buraen 1 Tahun Pelajaran 2020/2021. Metode penelitian yang digunakan adalah Penelitian Tindakan Kelas dengan dua siklus. Siklus penelitian terdiri dari tahap perancangan, tindakan, obsevasi dan refleksi. Hasil pretes menunjukan bahwa test awal memiliki rata-rata 61,25 dan ketuntasan kelas 60%. Dengan penerapan model pembelajaran direct instruction diperoleh hasil Siklus kedua menunjukan bahwa: 1) Persentase ketuntasan mencapai 100% dengan rata-rata nilai 83,00 2) Kemampuan guru dalam mengelola pembelajaran berada pada kategori sangat baik 3) Aktifitas siswa selama pembelajaran berada pada kategori baik. Dengan demikian dapat disimpulkan bahwa model pembelajaran direct instruction dapat meningkatkan kemampuan menyelesaikan soal cerita dan hasil belajar siswa
Pendapat Mahasiswa Pendidikan Matematika Tentang Pembelajaran Online Dengan Menggunakan Pen Tablet Dan Aplikasi OneNote?
Authors: Blegur Irna Karlina Sensiana 
Published: December 2023

This study aims to determine the opinion of students of the Mathematics Education Study Program at the Nusa Cendana University about online learning using a pen tablet and the OneNote application. This is a quantitative descriptive study with a survey method. Data were collected using a Likert scale 1-5 questionnaire (strongly disagree-strongly agree) consisting of 10 positive statements as representatives of three indicators: conceptual understanding, usefulness and satisfaction, and student satisfaction in participating in the online lecture process. The data sources were one hundred and ten students of the Mathematics Education Study Program, FKIP Nusa Cendana University. Data analysis was carried out in 3 phases: calculating the cumulative score, calculating the assessment index, then proceeding with categorization according to the criteria. The results found are as follows: first, students agree that the use of these two tools contributes positively to several aspects of understanding concepts and students' convenience in participating in the online lecture process. Second, students strongly agree that the use of these two tools also contributes positively to several aspects of understanding concepts, convenience, and the usefulness and satisfaction of students in participating in the online lecture process when compared to online lectures without these two tools.