bluuebunny/crossref_metadata_2025_split huggingface dataset:
Peningkatan Keaktifan dan Hasil Belajar PPKn Menggunakan Model Pembelajaran Debat
Authors: Iswanti Lusia Krisna Epi 
Published: May 2023

Pencapaian hasil belajar mata pelajaran PPKn di SMKN I Pleret Bantul belum tercapai. Keaktifan dan minat belajar siswa masih rendah. Tujuan diadakan penelitian ini adalah untuk mengetahui efektifitas pembelajaran model debat dalam upaya agar keaktifan siswa serta hasil belajarnya meningkat. Sebagai penelitian tindakan kelas, penelitian ini meliputi dua siklus. Setiap siklus dimulai dengan tahap perencanaan, kemudian dilaksanakan tindakan, dan adanya pengamatan atau observasi, serta diakhiri dengan refleksi. Penelitian ini mengambil subyek siswa kelas XI TBSM A SMK N 1 Pleret Bantul tahun pelajaran 2019/2020, dengan menggunakan teknik tes dan pengamatan. Hasil penelitian menunjukkan peningkatan keaktifan siswa, dilihat dari prosentase aspek sikap dan aspek ketrampilan. Prosentase aspek sikap siswa pada siklus I sebesar 66,07% dan pada siklus II sebesar 76,62%. Prosentase aspek ketrampilan pada siklus I sebesar 69,44% dan pada siklus II sebesar 76,13%. Hasil belajar yang diperoleh siswa juga mengalami peningkatan dengan prosentase ketuntasan belajar yang dimulai dengan pra siklus sebesar 53,57%, pada siklus I diperoleh prosentase sebesar 71,43%, dan siklus II sebesar 78,57%. Kriteria keberhasilan sudah terpenuhi yaitu sebesar 75%. Penggunaan model debat dapat meningkatkan pemahaman terhadap materi pembelajaran, menambah keaktifan siswa sehingga siswa dalam proses pembelajaran, serta dapat meningkatkan hasil belajar siswa. Selain itu juga dapat meningkatkan kreatifitas guru dalam menggunakan model pembelajaran sehingga lebih menarik dan menyenangkan.
MỐI LIÊN QUAN GIỮA BIẾN ĐỐI HÌNH THÁI VÀ CHỨC NĂNG TÂM THẤT TRÁI VỚI MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG Ở BỆNH NHÂN NGHIỆN RƯỢU MẠN TÍNH
Authors: Đỗ Xuân Tĩnh , Bạch Thị Mỹ Hà , Đinh Việt Hùng 
Published: May 2023

Mục tiêu: Mối liên quan giữa biến đổi hình thái và chức năng tâm thất trái với một số đặc điểm lâm sàng ở bệnh nhân nghiện rượu mạn tính. Đối tượng và phương pháp nghiên cứu: Nghiên cứu tiến cứu, mô tả cắt ngang trên 60 bệnh nhân nghiện rượu mạn tính điều trị nội trú tại Khoa Tâm thần, Bệnh viện Quân Y 103 từ tháng 3/2022 đến tháng 11/2022. Kết quả: Có mối tương quan thuận giữa lượng rượu uống trung bình mỗi ngày và sự thay đổi chiều dày vách liên thất, thành sau thất trái, khối lượng cơ thất trái, chỉ số khối lượng cơ thất trái. Có mối tương quan nghịch giữa số lượng rượu uống và phân suất tống máu. Có tương quan thuận giữa số năm uống rượu với chiều dày thành sau thất trái, khối lượng cơ thất trái, chỉ số khối lượng cơ thất trái. Có tương quan thuận giữa số lần vào viện với chiều dày vách liên thất. Kết luận: Lượng rượu uống mỗi ngày, thời gian uống rượu, số lần vào viện có mối liên quan với sự thay đổi hình thái, chức năng tâm thất trái
TÍNH GIÁ TRỊ VÀ ĐỘ TIN CẬY CỦA PHIÊN BẢN TIẾNG VIỆT BỘ CÂU HỎI NGẮN VQ11 Ở NGƯỜI BỆNH MẮC BỆNH PHỔI TẮC NGHẼN MẠN TÍNH TẠI THÀNH PHỐ HỒ CHÍ MINH
Authors: Phan Thị Diễm Ca , Grégory Reycher , Nguyễn Như Vinh 
Published: May 2023

Cải thiện chất lượng cuộc sống là một mục tiêu quan trọng trong quản lý bệnh phổi tắc nghẽn mạn tính (COPD). Có nhiều công cụ đánh giá chất lượng cuộc sống ở bệnh nhân COPD nhưng bộ câu hỏi VQ11 được đánh giá là có giá trị và tin cậy trong thực hành lâm sàng. Mục tiêu: Xác định tính giá trị và độ tin cậy của bộ câu hỏi VQ11 phiên bản tiếng Việt trên người bệnh COPD ở Tp.HCM. Đối tượng và phương pháp: Thiết kế nghiên cứu cắt ngang mô tả với 41 người bệnh BPTNMT tham gia nghiên cứu lần 1 và 35 người tham gia 2 lần cách nhau 10-14 ngày tại Bệnh viện Đại Học Y Dược Thành Phố Hồ Chí Minh. Kết quả: Bộ câu hỏi có giá trị hiệu lực nội dung cao (Content Validity Index = 95,7%), tính giá trị cao với hệ số Cronbach’s Alpha của toàn bộ câu hỏi là 0.916 (95% CI) trong đó tất cả các câu đều có hệ số Cronbach’s Alpha lớn hơn 0.9. Độ tin cậy của bộ câu hỏi qua xác định tính ổn định test-retest ICC (Internal Correlation coefficient) là 0.78 trong đó tính ổn định về lĩnh vực chức năng và mối quan hệ xã hội tốt hơn lĩnh vực tâm lý. Kết luận: Bộ câu hỏi VQ11 phiên bản tiếng Việt là một công cụ có giá trị và đáng tin cậy để đo lường chất lượng cuộc sống ở người bệnh BPTNMT tại Việt Nam.
PHÂN TÍCH MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN TÌNH TRẠNG DINH DƯỠNG CỦA NGƯỜI BỆNH LAO PHỔI TẠI KHOA LAO HÔ HẤP, BỆNH VIỆN PHỔI TRUNG ƯƠNG NĂM 2019
Authors: Trần Thị Lý , Lê Thị Hằng 
Published: May 2023

Đặt vấn đề: Sự liên quan giữa bệnh lao và suy dinh dưỡng đã được biết đến từ lâu. Bệnh lao gây ra suy dinh dưỡng và suy dinh dưỡng làm suy yếu miễn dịch, do đó tăng khả năng lao tiềm ẩn sẽ phát triển thành bệnh lao. Hầu hết NB mắc lao đều giảm sút cân nặng và thiếu hụt vitamin, chất khoáng. Mục tiêu: Phân tích một số yếu tố liên quan đến tình trạng dinh dưỡng của người bệnh lao phổi tại khoa Lao hô hấp Bệnh viện Phổi Trung ương năm 2019. Phương pháp: Điều tra cắt ngang, nghiên cứu định lượng. Kết quả: Phân tích đa biến cho thấy, có 5 yếu tố liên quan có ý nghĩa thống kê với tình trạng dinh dưỡng của NB gồm: giới tính, nơi sinh sống, tình trạng hôn nhân, loại mắc lao và kiến thức của người bệnh (p<0,05).
LISTERIA MONOCYTOGENES, A CASE OF MISTAKEN IDENTITY
Authors: Dogar Sana Fatima , Danish Iqbal Mariam , Abdul Ahad  , Ali Khan Khizer Aftab , Mahmud Tariq Tariq , Hafeez Anum 
Published: May 2023

A 74 years old female patient who was a known case of Diabetes Mellitus, Hypertension, and Breast Cancer presented in the Accident and Emergency Department with complaints of fever, seizures, and an altered state of consciousness. The patient was febrile with a temperature of 40° C, blood pressure was 140/80 mmHg, and pulse was 90 beats/min. She was in an altered state of consciousness with a Glasgow Coma Scale score of 10/15. The rest of the physical examination was unremarkable. The pleomorphic nature of this bacterium and clinical presentation similar to meningitis caused by other micro-organisms make the laboratory and clinical diagnosis respectively rather difficult. We illustrate the clinical presentation, antibiotic therapy, and laboratory diagnosis of L.monocytogenes in a patient with weak immune status. A high clinical suspicion of Listeriosis is essential for prompt and accurate treatment if a case of meningitis is not responding to traditional empirical antibiotics, and especially in immunocompromised.
AN EFFECTIVE MANAGEMENT OF SUICIDAL IDEATION AND SELF-INJURIOUS BEHAVIORS IN YOUTH
Authors: Mehmood Sehrish , Saima Majeed  
Published: May 2023

Depression is the most common yet ignored public health issues in Pakistan. The prevalence is uncommon among children but vastly evident during adolescence. Unhealthy parenting practices and childhood trauma directly contributes towards depressive disorders and suicidal ideation later in life if left unresolved. A similar case of 17 years old was referred with her presenting complaints of: sadness, irritability, crying spells, suicidal ideation, self-harm, negative thinking, loss of interest in pleasurable activities, sleeplessness, psychomotor agitation, fatigue, lack of concentration, feelings of rejection and worthlessness for a year. The formal assessment was done by using Beck Depression Inventory (BDI). Based upon the assessment, the client was provisionally diagnosed with Major Depressive Disorder 296.23. A management plan includes ABC model, Cognitive distortions, Double column technique, Triple column technique and Relapse prevention. For the management of the suicidal thoughts/ ideation, strengthening of familial support, creating supportive environment, ensuring protective environment, reducing access to objects, substance or any means that could be lethal danger to life, promoting connectedness. A total number of sessions conducted with the client were 12 and the change was 35%.
Keywords: Suicidal Ideation, Self-Injurious Behavior, Adolescence, Cognitive Behavior Therapy, Efficacy
THE IMPACT OF ORAL HYGIENE MAINTENANCE ON THE GINGIVAL HEALTH OF PATIENTS HAVING FIXED ORTHODONTIC APPLIANCES
Authors: Rehman Rohana , Baig Mirza Muhammad Hassan Zaheer , Basil Khalid  , Ehsan Haider  , Adnan Karim  , Nadia Irshad  
Published: May 2023

Abstract
Objective: to evaluate the oral hygiene habits among patients experiencing fixed orthodontic treatment
Material and method: The study was conducted in the orthodontic department of Multan medical and dental college, Multan. One hundred and five patients undergoing fixed orthodontic treatment were included in the study. Duration of study was 5months and 12 days. Patients were asked to fill out a questionnaire about the reason for undergoing treatment, the importance of orthodontic treatment in life, and oral hygiene practice after having fixed orthodontic treatment. Statistical data were analyzed by SPSS version 22 to determine the frequency distribution and percentage ratio for each variable. A Chi-square test was applied to compare gingivitis and frequency of brushing and a p-value ≤ 0.05 was considered significant.
Results: The mean age of participants was 20± 4.7 years, with females predominant (71%). Most of the patients were undergoing treatment due to a friend’s suggestion (32%) and a dentist’s suggestion (17%). Most patients brushed twice daily (25%) or after every meal (24.4%) and still have gingivitis which represents brushing alone is not enough. Chi- square test was utilized between frequency of brushing and gingivitis and p- value was > 0.05 which is considered insignificant. The most preferred toothbrush was the general toothbrush (28%) and unspecified brush (23%). Which means proper knowledge of the type of brush was lacking. Only 41% of patients were sure about using fluoridated toothpaste which again shows a lack of awareness. 35% of patients were using a toothpick and 22% were using pins to clean their teeth in absence of a brush which again shows a lack of proper knowledge. 37% of patients were using their mouth wash and 24% were using interdental brushes occasionally.
Conclusion: orthodontic treatment itself causes plaque retention and gingivitis so in order to maintain good oral hygiene self-motivation and proper knowledge given by the care provider is very necessary to improve gingival outcomes.
ASSESSMENT OF QUALITY OF SLEEP IN MEDICAL STUDENTS BY USING PITTSBURGH SLEEP QUALITY INDEX
Authors: Javed Munaza , Qureshi Muhammad Atif , Latif Muhammad Zahid 
Published: May 2023

Objective: To assess the quality of sleep in medical students using Pittsburgh sleep quality index
Methods: This observational, cross sectional study was conducted on 419 undergraduate medical students of Azra Naheed Medical College, Lahore. Google survey form consisting of two components, demographics and PSQI scale was used to collect data. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 20.0. Chi-square test was applied for statistical significance and p-value <0.05 was considered significant.
Results: Of the 419 students, 220 (52.5%) were females and 199 (47.5%) were males. Out of them sleep impairment was documented in 298 (71.1%) of medical students. Overall, 96% students used electronic gadgets just before going to sleep. Significant impairment of sleep was reported between year of medical school and PSQI. Sleep impairment was highest among first year and final year students 85.5% and 71.8% respectively.
Conclusion: Sleep quality in medical students is impaired and more so in the first and final year of medical school.
EFFECTIVENESS OF CONVALESCENT PLASMA THERAPY IN COVID-19 PATIENTS
Authors: Rubi Ghazala , Ilyas Muhammad Sharjeel , Fahim Ayesha , Faisal Hassan Shah  , Javaid Zainab 
Published: May 2023

Background: COVID-19 is an infectious disease caused by a newly identified strain of coronavirus (SARS-CoV-2). This strain is responsible for respiratory infections in humans.
Objective: The objective of this study was to analyze the clinical efficacy and safety of convalescent plasma (CP) therapy in coronavirus disease 2019 (COVID-19) cases.
Methodology: This was an experimental trial of COVID-19 patients treated with convalescent plasma (CP) therapy, these patients were admitted in Lahore General Hospital, Lahore, Pakistan during April 24 to august 24, 2021.
Results: Pearson correlation was applied to extract the efficacy of convalescent plasma therapy (CP). A p-value ≤0.05 was considered significant. 16 out of 20 patients (80%) were completely recovered from COVID-19.
Conclusion: Convalescent plasma (CP) proved to be an effective and safe therapy for confirmed cases of COVID-19. However, two critically ill patients died.
Multiple pathways for the formation of secondary organic aerosol in the North China Plain in summer
Authors: Gu Yifang , Huang Ru-Jin , Duan Jing , Xu Wei , Lin Chunshui , Zhong Haobin , Wang Ying , Ni Haiyan , Liu Quan , Xu Ruiguang , Wang Litao , Li Yong Jie 
Published: May 2023

Abstract. Secondary organic aerosol (SOA) has been identified as a major contributor to fine particulate matter (PM2.5) in the North China Plain
(NCP). However, the chemical mechanisms involved are still unclear due to incomplete understanding of its multiple formation processes. Here we
report field observations in summer in Handan of the NCP, based on high-resolution online measurements. Our results reveal the formation of SOA via
photochemistry and two types of aqueous-phase chemistry, the latter of which include nocturnal and daytime processing. The photochemical pathway is
the most important under high-Ox (i.e., O3 + NO2) conditions (65.1 ± 20.4 ppb). The efficient
SOA formation from photochemistry (Ox-initiated SOA) dominated the daytime (65 % to OA), with an average growth rate of
0.8 µgm-3h-1. During the high-relative-humidity (RH; 83.7 ± 12.5 %) period, strong nocturnal aqueous-phase SOA
formation (aqSOA) played a significant role in SOA production (45 % to OA), with a nighttime growth rate of
0.6 µgm-3h-1. Meanwhile, an equally fast growth rate of 0.6 µgm-3h-1 of
Ox-initiated SOA from daytime aqueous-phase photochemistry was also observed, which contributed 39 % to OA, showing that
photochemistry in the aqueous phase is also a non-negligible pathway in summer. The primary-related SOA (SOA attributed to primary particulate
organics) and aqSOA are related to residential coal combustion activities, supported by distinct fragments from polycyclic aromatic hydrocarbons
(PAHs). Moreover, the conversion and rapid oxidation of primary-related SOA to aqSOA were possible in the aqueous phase under high-RH
conditions. This work sheds light on the multiple formation pathways of SOA in ambient air of complex pollution and improves our understanding of
ambient SOA formation and aging in summer with high oxidation capacity.
Satellite remote-sensing capability to assess tropospheric-column ratios of formaldehyde and nitrogen dioxide: case study during the Long Island Sound Tropospheric Ozone Study 2018 (LISTOS 2018) field campaign
Authors: Johnson Matthew S. , Souri Amir H. , Philip Sajeev , Kumar Rajesh , Naeger Aaron , Geddes Jeffrey , Judd Laura , Janz Scott , Chong Heesung , Sullivan John 
Published: May 2023

Abstract. Satellite retrievals of tropospheric-column formaldehyde (HCHO) and nitrogen dioxide (NO2) are frequently used to investigate the sensitivity of ozone (O3) production to emissions of nitrogen oxides
and volatile organic carbon compounds. This study inter-compared the
systematic biases and uncertainties in retrievals of NO2 and HCHO, as well as
resulting HCHO–NO2 ratios (FNRs), from two commonly applied
satellite sensors to investigate O3 production sensitivities (Ozone
Monitoring Instrument, OMI, and TROPOspheric Monitoring Instrument,
TROPOMI) using airborne remote-sensing data taken during the Long Island
Sound Tropospheric Ozone Study 2018 between 25 June and 6 September 2018.
Compared to aircraft-based HCHO and NO2 observations, the accuracy of
OMI and TROPOMI were magnitude-dependent with high biases in clean
environments and a tendency towards more accurate comparisons to even low
biases in moderately polluted to polluted regions. OMI and TROPOMI NO2 systematic biases were similar in magnitude (normalized median bias, NMB = 5 %–6 %; linear regression slope ≈ 0.5–0.6), with OMI having a high median bias and TROPOMI resulting in small low biases. Campaign-averaged uncertainties in the three satellite retrievals (NASA OMI; Quality Assurance for Essential Climate Variables, QA4ECV OMI; and TROPOMI) of NO2 were generally similar, with TROPOMI retrievals having slightly less spread in the data compared to OMI. The three satellite products differed more when evaluating HCHO retrievals. Campaign-averaged tropospheric HCHO retrievals all had linear regression slopes ∼0.5 and NMBs of 39 %, 17 %, 13 %, and 23 % for NASA OMI, QA4ECV OMI, and TROPOMI at finer (0.05∘×0.05∘) and coarser (0.15∘×0.15∘)
spatial resolution, respectively. Campaign-averaged uncertainty values (root mean square error, RMSE) in NASA and QA4ECV OMI HCHO retrievals were
∼9.0×1015 molecules cm−2
(∼ 50 %–55 % of mean column abundance), and the higher-spatial-resolution retrievals from TROPOMI resulted in RMSE values ∼30 % lower. Spatially averaging TROPOMI tropospheric-column HCHO, along with NO2 and FNRs, to resolutions similar to the OMI reduced the
uncertainty in these retrievals. Systematic biases in OMI and TROPOMI
NO2 and HCHO retrievals tended to cancel out, resulting in all three
satellite products comparing well to observed FNRs. However, while
satellite-derived FNRs had minimal campaign-averaged median biases,
unresolved errors in the indicator species did not cancel out in FNR
calculations, resulting in large RMSE values compared to observations.
Uncertainties in HCHO retrievals were determined to drive the unresolved
biases in FNR retrievals.
Economic Transformation To Get Out of the Middle Income Trap Condition To Reach Indonesia Gold 2045
Authors: Maryanti Sri , Widayat Prama , Lubis Nurhayani 
Published: May 2023

Objectives – The article aims to analyze whether the Economic Transformation carried out by Indonesia will be able to get Indonesia out of the Middle Income Trap (MIT). And whether through economic transformation is able to realize a Golden Indonesia 2045.
Methodology- In this study, the method used is descriptive and literature study where in descriptive analysis data and information will be displayed by comparing several countries that were originally included in middle-income countries such as Malaysia, China and Thailand as well as high-income countries such as Japan and South Korea. The data and information collected are taken from 1970-2021 from various sources. In this study, the method used is descriptive and literature study where in descriptive analysis data and information will be displayed by comparing several countries that were originally included in middle-income countries such as Malaysia, China and Thailand as well as high-income countries such as Japan and South Korea. The data and information collected are taken from 1970-2021 from various sources.
Findings – In the short term, Indonesia must accelerate capital accumulation through accelerated investment, especially related to infrastructure, in order to encourage economic growth above 6%. In the medium term, it must develop, utilize innovation and technology in order to increase Total Factor Productivity (TFP). The economic transformation carried out by Indonesia is focused on the triggering factors and 4 (four) "Global Megatrends" otherwise the opportunity to get out of the Middle Income Trap (MIT) condition will take 30 years approximately 2053. Efforts are made by building human resources, strengthening digitalization, improving institutions. Indonesia can get out of the Middle Income Trap (MIT) condition if triggering factors such as export structure, and TFP, innovation and structural (against the background of country-specific characteristics) as shown in figure 8 can be overcome
Renewal- In this study, it analyzes the efforts made by Indonesia to get out of the Middle Income Trap condition with the vision and mission of Indonesia Emas 2045. This study explains when Indonesia can get out of the Middle Income Trap.
Efficacy of an Opioid-Sparing Perioperative Multimodal Analgesia Protocol on Posterior Lumbar Fusion in a Hispanic Population: A Randomized Controlled Trial
Authors: Ramírez-Gonzalez Manuel , Torres-Lugo Norberto J. , Deliz-Jimenez David , Echegaray-Casalduc Gabriel , Ramírez Norman , Colón-Rodriguez Elfren , Carro-Rivera Juan , De La Cruz Antonio , Claudio-Roman Yamil , Massanet-Volrath José , Escobar-Medina Enrique , Montañez-Huertas José 
Published: May 2023

Introduction:
Posterior lumbar fusion surgery has become more common amid an aging population, with degenerative disease as its most common indication. Historically, postoperative pain control for spine surgery has relied on opioids. However, opioid use is associated with adverse effects such as dependence, respiratory depression, and altered cognition. Our study aimed to determine whether an opioid-sparing multimodal analgesia regimen (ketorolac, orphenadrine, and gabapentin) could be a viable alternative to diminish opioid use compared with a standard opioid-based regimen in Hispanic patients undergoing posterior lumbar spinal fusion.

Methods:
This was a randomized controlled trial of Hispanic patients scheduled to undergo elective posterior spinal fusion. Inclusion criteria included age 30 to 85 years, Hispanic ethnicity, lumbar stenosis between L1 and S1, elective posterior spinal fusion with instrumentation, American Society of Anesthesiologists Score <2, and consent to participate in the study. Patients were randomized into two groups, an experimental multimodal analgesia and control (opioid-based) treatment groups, and outcomes such as morphine milligram equivalents used, visual analog scale score, and length of hospital stay were compared between the groups.

Results:
The MMA experimental group used significantly lower amounts of opioid (measured with morphine milligram equivalent) than the opioid-based group during the 12-hour and 24-hour postoperative periods (P-value = 0.023 and P-value = 0.033, respectively). No statistically significant difference was observed in opioid use in the 48-hour postoperative period between both groups (P-value = 0.066). The MMA group had significantly lower VAS scores reported at the 12-hour, 24-hour, and 48-hour postoperative periods compared with the opioid-based group (P-values = 0.016, 0.020, and 0.020, respectively). No difference was observed in the length of hospital stay between groups (P-value = 0.169).

Discussion:
Implementing an MMA protocol in Hispanic patients undergoing posterior lumbar fusion resulted in decreased overall opioid use and decreased pain intensity compared with the opioid-based group. MMA is an effective alternative for pain control in patients who want to avoid opioid use.

Clinical Trial Registration:
Identifier: NCT05413902