bluuebunny/crossref_metadata_2025_split huggingface dataset:
INTERNALISASI NILAI PENDIDIKAN KARAKTER MELALUI KEARIFAN LOKAL NGUPAH WAYANG
Authors: Kiswara Komang Agus Triadi , I Nyoman Sudanta  , Gede Padma Sumardiana  , Ni Wayan Yuni Astuti  
Published: January 2025

Wayang merupakan salah satu bentuk kebudayaan yang ada di Bali. Sebagai sebuah kesenian wayang tentunya memiliki nilai yang sarat dengan religiusitas. Wayang merupakan kesenian yang dapat dipentaskan sebagai wali, bebali dan balih-balihan. Dalam sejarahnya wayang telah ada sejak jaman dahulu sehingga wayang juga disebut sebagai kesenian klasik. Sebagai sebuah bentuk kesenian wayang juga terkena oleh dampak globalisasi. Hal ini dapat kita lihat dari minimnya masyarakat yang saat ini gemar menonton wayang, terkecuali dalam bentuk wayang sebagai wali. Padahal disisilain wayang juga memiliki nilai yang sangat penting yaitu sebagai media dalam pembentukan karakter bagi generasi muda. Melalui sisipan cerita yang diambil melalui itihasa wayang mencoba menguraikan tentang ajaran-ajaran agama dalam setiap pertunjukannya. Hal inilah yang dilakukan oleh masyarakat di Kec. Banjar Kabupaten Buleleng kendatipun arus globalisasi melanda namun eksistensi pertunjukan wayang yang dibalut dalam tradiisi ngupah wayang masih terjaga. Hal ini dipercayai sebagai bentuk media internalisasi nilai-nilai pendidikan karakter bagi mereka yang menanggap wayang.Dari latar belakang tersebut rumusan masalah yang akan dikaji dalam tulisan ini adalah 1) Mengapa tradisi ngupah wayang sebagai media pendidikan karakter masih eksis dilaksanakan di Desa Banjar Kecamatan Banjar? 2) Bagaimana bentuk tradisi ngupah wayang sebagai media pendidikan karakter di Desa Banjar Kec. Banjar Kab. Buleleng? 3) Bagaimana implikasi dari tradisi ngupah wayang sebagai media pendidikan karakter di Desa Banjar Kec. Banjar Kabupaten Buleleng? Penelitian yang dilakukan ini menggunakan metode kualitatif. Teori yang dipergunakan dalam membedah rumusan masalah adalah teori eksistensialisme, teori fungsional structural. Hasil penelitian ini adalah pentingnya kehadiran wayang sebagai media internalisasi nilai-nilai pendidikan karakter adalah Atma sradha, tradisi, dan juga suah ujar (mesesangi), bentuk pendidikan karakter tertuang dalam lakon cerita, upakara, dan penglukatan.
Understanding Negative Equity Trends in U.S. Housing Markets: A Machine Learning Approach to Predictive Analysis
Authors: Jui Afrin Hoque , Alam Shah , Nasiruddin Md , Ahmed Adib , Mohaimin MD Rashed , Rahman Md Khalilor , Anonna Farhana Rahman , Akter Rabeya 
Published: January 2025

In the intricate landscape of the U.S. housing market, negative equity has emerged as a significant concern for homeowners, lenders, and policymakers alike. This phenomenon, characterized by homeowners owing more on their mortgages than the current value of their homes, can have far-reaching economic and social implications. The main goal of this research project was to develop machine learning models that can effectively predict negative equity trends in U.S. housing markets. This involved a multi-faceted approach that encompasses data collection, model development, and validation to ensure the accuracy and reliability of predictions. The historical housing market data used for this research covers various regions across the United States, from urban to suburban and rural, to provide diversified dynamics in the markets. The dataset utilized for this analysis comprises a comprehensive collection of variables relevant to understanding negative equity trends in the U.S. housing market. It includes historical housing prices, which reflect property values across various regions, mortgage rates that provide insights into borrowing costs, and key economic indicators such as employment rates, inflation, and consumer confidence indices. The data has been sourced from reputable platforms, including public records from county assessors, real estate platforms like Zillow and Redfin for transaction data, and government databases such as the Federal Housing Finance Agency (FHFA) and the U.S. Bureau of Labor Statistics (BLS). Among the numerous algorithms, this study used proven algorithms, notably, Logistic Regression, Random Forest, and XGB Classifier, which have their strengths and applications. The standout performer is the XG-Boost model, achieving impressive accuracy, with both superior precision and recall, resulting in a high F1 score, underscoring its superior predictive power and reliability in the context of this analysis. The consolidation of machine learning-powered predictions into the analysis of the U.S. housing market has far-reaching implications for market stability and resilience. By tapping into the power of advanced algorithms to identify patterns and trends related to negative equity, shareholders policymakers, lenders, and community organizations make better decisions that address vulnerabilities within the sector proactively.
Using Simulation in Nursing Didactic Classes to Enhance Students' Critical Thinking and Knowledge
Authors: Kholoud Alharbi  
Published: January 2025

There are 3.69 % improvement in the passage rate of The National Council Licensure Examination (NCLEX) after using simulation in the nursing programs (Terwilliger, 2013). Simulations have become important in the nursing field as it enhances the critical thinking skills of students in nursing schools (Adib-Hajbaghery & Sharifi, 2017).The study’s aim was to examine if using simulation in nursing didactic classes can facilitate critical thinking of nursing students. The design of the pilot study was a convenience, non-randomized trial. A total of thirty-three nursing students at the Indiana University Kokomo (IUK) campus were involved in the study. The students were from pharmacology and pathophysiology class. The independent t-test was used to compare the means of two independent groups to find out if there is a significant difference between the two groups (pre and post-test). The study revealed that there is no significant improving in critical thinking skills among nursing students and no increasing in their grades after exposure to the simulation experience. This study has limitations as the following small sample size and lack of control group. Further research studies on a large scale should be performed to validate the effectiveness of simulation in improving the critical thinking skills and decreasing the attrition rates.
Okul Öncesi Dönem Çocuklarının Dijital Medya Ekranını Problemli Kullanımları ve Sosyal Becerilerinin İncelenmesi
Authors: Bakırcı Büşra , Çetingöz Duygu 
Published: January 2025

Bu araştırmada, okul öncesi dönem 48-72 aylık çocukların dijital medya ekranını problemli kullanımları ve sosyal becerileri arasındaki ilişkinin incelenmesi amaçlanmıştır. Bu amaçla ilişkisel tarama modeli kullanılmıştır. Araştırmanın çalışma grubu random örnekleme yöntemiyle 2022-2023 eğitim öğretim yılında İzmir iline bağlı sekiz ilçeden MEB’e bağlı toplam 24 bağımsız anaokuluna devam eden, normal gelişim gösteren 431 çocuk olarak belirlenmiştir. Araştırmada veri toplama araçları olarak Kişisel Bilgi Formu, Problemli Medya Kullanım Ölçeği Kısa Formu ve Sosyal Beceri Ölçeği kullanılmıştır. Araştırma sonuçlarına göre cinsiyet ve baba eğitim durumu değişkenlerinin problemli medya kullanımı ve sosyal beceri üzerinde etkili olmadığı tespit edilirken, anne eğitim durumun problemli medya kullanımı ve sosyal becerilerin öz kontrol alt boyutunda etkili olduğu saptanmıştır. Ayrıca problemli medya kullanımı ve sosyal beceriler arasında negatif yönlü bir ilişkiye sahip olduğu sonucuna ulaşılmıştır. Yapılan regresyon analizi sonucuna göre dijital medyanın problemli kullanımının sosyal becerilerin yordayıcısı olduğu ifade edilebilir.
Culturally appropriate terminologies in health research: a participatory study with pregnant and breastfeeding mothers in Uganda
Authors: Nakijoba Ritah , Twimukye Adelline , Bayigga Josephine , Kawuma Aida N. , Asiimwe Simon Peter , Byenume Fredrick , Kyeyune Jacqueline , Nabukenya Sylvia , Ojara Francis Williams , Waitt Catriona 
Published: January 2025

BackgroundThe language used in research and health programs is crucial in influencing participation and ensuring the acceptability of programs and the adoption of research outcomes. The use of alienating language may present a barrier for research participants hence the need to identify accurate, respectful, relevant, and acceptable terms for respective study populations. The study explored commonly used terminologies during research involving pregnant and lactating mothers using public engagement and participatory approaches in Uganda.MethodsA cross-sectional qualitative study was conducted in August 2023 among 5 ethnically diverse communities with different languages and from different regions across Uganda. Data were collected through 18 focus group discussions (FGDs) comprising community members and one comprising the community advisory board (CAB) using a participatory approach. An interview guide exploring perceptions and experiences on research, common and preferred terms for specific terminologies used among pregnant and lactating mothers as well as disliked words guided the discussion. Transcription was done verbatim in English. Nvivo version 14 software was used to organize and manage the data appropriately based on themes and subthemes.ResultsA consensus on the preferred terminologies to communicate about our research studies involving pregnant and lactating mothers was reached. The study revealed that words used in research that did not specify sex were described as disrespectful, inappropriate or confusing. Language defining a person on the basis of anatomical or physiological characteristics was considered ‘embarrassing’ and labelling individuals based on their conditions was construed as stigmatising. Participants recommended that researchers be mindful of any terms that could be perceived as embarrassing or inappropriate within the community, ensure clear communication of research terms to participants, and train healthcare workers on the use of appropriate health language. The importance of providing feedback regarding study findings was emphasised.ConclusionThe findings highlight the importance of using culturally sensitive language in health research to improve engagement and participation. By adopting community-preferred terms, researchers can avoid confusion and stigma fostering respectful health communication. The findings offer guidance for future research, advocating for community-driven inclusive language in research involving pregnant and breastfeeding women. For healthcare workers, training in empathetic communication and cultural competence is crucial to improve patient interactions and promote dignity in healthcare settings.
The impact of pre-transplant ventricular assist device support in pediatric patients with end-stage heart failure on the outcomes of heart transplantation—“a single center experience”
Authors: Rosenthal L. Lily , Grinninger Carola , Ulrich Sarah Marie , Dalla Pozza Robert , Haas Nikolaus A. , Brenner Paolo , Schmoeckel Michael , Michel Sebastian , Hagl Christian , Hörer Jürgen 
Published: January 2025

IntroductionThe objective of this study was to examine the impact of ventricular assist device support as a bridge to heart transplantation in children with end-stage heart failure. In light of the limited availability of donor organs, particularly in Europe, the number of children requiring ventricular assist device support is rising at an unavoidable rate.MethodsWe performed a retrospective cohort study of patients who underwent a single and primary pediatric heart transplantation. Patients were divided into two groups: with pre transplant ventricular assist device (VAD) support and without VAD support. The primary outcome was survival at the follow-up evaluation. The time point designated as “time 0” was defined as the time of heart transplantation. Secondary outcome was examined by mean of univariable and multivariable logistic regression, severity of cardiac disease based on ECMO-support pre VAD-support, mean waiting time for transplantation, mean OR time and mean length of hospital stay before and after transplantation.Results144 patients could be included in the final analysis. The cumulative survival rate at follow-up period was 67 ± 10% in group 1 vs. 60 ± 6% in group 2 (P = 0.769). The mean waiting time (days) on the list was 205 ± 155 in group 1 and 119 ± 69 in group 2 (P = 0.002). The mean length of hospital stay (days) was 214 ± 209 in group 1 and 128 ± 91 days in group 2. Early primary-graft-failure was 10% in group 1 and 13% in group 2. Odds ratio [OR] is as follows: 1.992, 95% confidence interval [CI]: 0.983–1.007, p = 0.266, aortic clamp time per minutes: OR: 1.008, 95% CI: (0.997–1.019), p = 0.164, HLM time per minutes: OR: 0.996, 95% CI: (0.991–1.001), p = 0.146, Operation time per minutes: OR: 1.000, 95% CI: (0.995–1.004), p = 0.861.ConclusionThe provision of pre-HTx VAD support does not have an adverse effect on the short- and long-term survival of pediatric patients undergoing HTx. A higher mortality rate was observed among children under three months of age with congenital heart disease. The patients who received VAD support were in a critical condition and required more ECMO support. The results demonstrated a statistically significant correlation between prolonged waiting times and length of hospital stay in group 1. More homogeneous and adequately powered cohorts are needed to better understand the impact of VAD support on posttransplant outcomes.
Correlation between Chinese visceral adiposity index and serum uric acid levels in type 2 diabetes mellitus patients
Authors: Araújo Intchasso Adotey Swailla Amina , Zhang Qian , Chen Mengxue , Jiao Yang , Zhang Yin , Butoyi Claudette , Wang Dong , Yang Ling , Yuan Guoyue , Jia Jue 
Published: January 2025

PurposeThe Chinese Visceral Adiposity Index (CVAI), a measure of visceral adiposity dysfunction, is used to assess visceral fat (VFA) malfunction. This research was performed to evaluate the relationship between CVAI and serum uric acid levels in type 2 diabetes mellitus (T2DM) patients.MethodsA total of 2268 patients with T2DM were enrolled in this study. We collected the general clinical information of patients, measured the basic anthropometric indicators, tested glycolipid metabolism and biochemical indicators, and measured the visceral and subcutaneous fat area with bioelectrical impedance technology. According to the quartiles of the CVAI, the T2DM patients were classified into four groups: group A (CVAI ≤ 94.43), group B (94.43&lt;CVAI ≤ 118.75), group C (118.75&lt;CVAI ≤ 143.95), and group D (CVAI≥143.95), each group has 567 participants. Participants were divided into hyperuricemia (HUA) and non-HUA groups, and the clinical data between the two groups was compared.ResultsAmong quartiles of CVAI, as CVAI increased, the proportion of patients with HUA gradually increased. The correlation analysis showed that the majority of basal measures, glycolipid metabolism and biochemical indicators were positively correlated with CVAI. By comparison, the level of CVAI in the HUA group was significantly higher than non-HUA group. Meanwhile, through using the ROC curve, our study observed the more predictive value of CVAI than other obesity indicators for T2DM with HUA.ConclusionCVAI is a simple but effective indicator, which is significantly correlated with HUA in T2DM and can reflect the incidence of HUA in T2DM patients. As CVAI increased, the risk of HUA in T2DM patients increased. Therefore, we should pay more attention to the application of CVAI in T2DM.
The role of activated partial thrombin time in mediating the impact of poorly glycemic control on diabetic peripheral neuropathy in patients with type 2 diabetes mellitus
Authors: Zhang Hui , Chen Minghui , Sun Lijie , Zhu Wenwen , Niu Tong , Fareeduddin Mohammmed Farooqui Huzaifa , Wang Hongxiao , Song Bing , Wang Jumei , Zhang Haoqiang 
Published: January 2025

AimThis study aims to investigate the role of activated partial thrombin time (APTT) as a potential mediator in the relationship between suboptimal glycemic control and diabetic peripheral neuropathy (DPN) in individuals with type 2 diabetes mellitus (T2DM).MethodsA total of 183 T2DM patients were enrolled in this study. Comprehensive clinical data, including coagulation parameters and nerve conduction velocity, were collected and compared between patients with and without DPN. Subsequent correlation and regression analyses were conducted to explore the associations among APTT, HbA1c levels, and nerve conduction velocities. Moreover, mediation analyses were performed to evaluate the total, direct, and indirect effects of HbA1c on specific nerve conduction velocities, with APTT serving as a mediator.ResultsIn comparison to 101 patients without DPN, 82 patients with DPN exhibited significantly elevated levels of HbA1c and decreased levels of APTT. Notably, levels of APTT and HbA1c were correlated with conduction velocities of Tibial nerve motor fibers, as well as sensory fibers of the Ulnar nerve, Median nerve, and Sural nerve. Furthermore, both elevated HbA1c and decreased APTT were identified as risk factors for DPN in T2DM individuals. Mediation analysis showed that APTT mediated the indirect effect of HbA1c on the conduction velocities of sensory fibers in both the ulnar nerve and sural nerve (95% CI: -0.3448, -0.0135; -0.3523, -0.0180). APTT mediated the relationship between HbA1c and the conduction velocities of sensory fibers in the ulnar nerve or sural nerve by 34.66% or 22.03%, respectively.ConclusionsIn patients with T2DM, uncontrolled HbA1c and shorter APTT emerges as risk factors for DPN. Additionally, the effect of increased HbA1c upon DPN, especially for influenced conduction velocities of sensory fibers in both the ulnar nerve and sural nerve may partly medicated by decreased APTT.
Urinary human papillomavirus DNA as an indicator of gynaecological infection in young women in Schistosoma and HIV endemic South Africa
Authors: Pillay P. , Galappaththi-Arachchige H. N. , Taylor M. , Roald B. , Kjetland E. F. 
Published: January 2025

BackgroundGlobally, Africa has the highest HIV, cervical cancer and schistosomiasis prevalence. Female Genital Schistosomiasis (FGS) is hypothesized to be associated with HIV and cervical atypia. Young women aged 15 and above, constituting almost 3 million of the South African population, have limited health care access and are at risk for this triad of diseases. Urinary HPV DNA analysis is a non-invasive sampling method that can assist in evaluating risk among this population. This study compared the analysis of HPV DNA in urine and cervico-vaginal lavage (CVL) samples to cytology Pap smear, Schistosoma microscopy and HIV results.MethodsIn this cross-sectional study, 235 young women aged 16 years and older from rural high schools in KwaZulu-Natal participated. HPV DNA analysis was done in urine and CVL samples. Pap smears were analysed for squamous cell atypia and urine microscopy was used for the identification of Schistosoma ova.ResultsUrinary schistosomiasis was reported in 49 (20.9%) and HIV detected in 49 (20.4%). Urinary and CVL HPV DNA was found in 147 (62.6%) and 177 (75.3%) respectively. Any atypia was detected cytologically among 173 (73.6%). The following associations were found using the Pearson Chi-Square and a Likelihood Ratio test: (a) between HIV positive status and urinary HPV DNA positive cases on both the urine (X2 = 5.007; p-value = 0.025) and (X2 = 4.264; p-value = 0.039) and between HIV positive status and CVL HPV DNA tests respectively (X2 = 5.165; p-value = 0.023) and (X2 = 4.321; p-value = 0.015), and (b) among urine HPV DNA and the CVL HPV DNA tests, where (X2 = 52.966; p-value = 0.001) and (X2 = 50.716; p-value = 0.001). Urine HPV DNA showed a sensitivity of 75.7% and specificity of 77.6% relative to the CVL HPV DNA. There was no statistical association between urinary schistosomiasis and HPV or with any atypia.ConclusionUrine has the potential of being optimized as an alternative and possibly more acceptable sample for HPV detection among young adolescent populations at risk in comparison to CVL samples. An integrated targeted intervention incorporating Schistosoma in addition to HPV and HIV testing needs consideration among young women in this age group from endemic areas.
Respectful maternity care and associated factors among mothers who gave birth at public health institutions in Debre Tabor town, Northwest Ethiopia: a mixed-methods study
Authors: Fentie Tadesse Ayana , Solomon Abayneh Aklilu , Enyew Mihretu Molla , Beyene Meseret Mekuriaw , Melese Ayalew Kassie , Belay Alamirew Enyew , Alemu Gebrie Getu 
Published: January 2025

BackgroundRespectful maternity care is care organized for and provided to all women in a manner that maintains their dignity, privacy, and confidentiality, ensures freedom from harm and mistreatment, and enables informed choice and continuous support during labor and childbirth. However, in many healthcare settings in Ethiopia, the standard practice of respectful obstetric care is not the norm, and a significant proportion of health professionals view patients merely as cases and do not show compassion.ObjectivesTo assess respectful maternity care and associated factors among mothers who gave birth at public health institutions in Debre Tabor town, Northwest Ethiopia from December 1, 2023, to January 30, 2024.MethodsAn institution-based cross-sectional study was conducted using qualitative and quantitative data collection methods. Three hundred seventy participants were selected for quantitative analysis using systematic random sampling, while eight were chosen for the qualitative study through purposive sampling. The quantitative data were coded and entered into Epi Data version 4.6, then exported to the Statistical Package for the Social Sciences (SPSS) version 25 for analysis. A multivariable logistic regression analysis was performed to identify factors associated with the outcome variable. Adjusted odds ratios with 95% confidence intervals were computed to determine the significance level. Thematic analysis was used for the qualitative data.ResultsThe proportion of respectful maternity care was 34.1% (95%CI: 29.4, 39.2) cesarean delivery [AOR = 3.45, 95%CI: 1.60, 7.42]. Daytime delivery [AOR = 3.14, 95%CI: (1.59, 6.18)] and less than or equal to 1 day stay in a healthcare facility [AOR = 3.03, 95%CI: (1.51, 6.08)] were positively associated with respectful maternity care. Inadequate equipment and supplies, shortage of staffing, and lack of accountability were barriers to providing respectful maternity care.ConclusionsThe proportion of respectful maternity care was low. Therefore, health institutions and other stakeholders should support and strengthen monitoring and evaluation mechanisms for maternal and neonatal healthcare providers and enhance education and constant support for women during their pregnancy and childbirth. Additionally, adequate access to basic equipment and supplies should be given due attention to ensure respectful maternity care.