bluuebunny/crossref_metadata_2025_split huggingface dataset:
Revisiting Factors that Influence Length of Stay and Wound Infection after Coronary Artery Bypass Grafting
Authors: Bakir Bakir , Al Qahtani Abdulelah , Al Qattan Hussien 
Published: August 2023

Background: Diabetes is common among patients undergoing Coronary Artery Bypass Grafting (CABG). This study aims to revisit the predictive significance of diabetes, elevated HbA1c, low serum albumin levels, and gender on wound infection and hospital stay after CABG.
Methods: This retrospective study included patients who had CABG from June 2019 to March 2020. We included patients who underwent elective CABG and excluded emergency CABG surgeries and combined surgeries. Elevated HbA1c is defined as an HbA1c level above 5.8%, and the normal range for serum albumin level is at 33-54 gm/L
Results: A total of 87 patients were included, 81 males (93%) and six females (7%) with a mean age of 58 ± 8.5 years. Sixt-eight patients (78%) had diabetes mellitus Type 2 (D.M.). Mean Hb1Ac level was at 8.3 ± 1.8 %; mean preoperative serum albumin level was 34.7 ± 3.3 gm/L, mean postoperative serum albumin level was 16± 0.37 gm/L; preoperative EF of <50% (31%), 50-55% (14%) and >55% (55%). Mean hospital length of stay was 8.3±10.1 days, mean bypass duration was 110.9±35.4 minutes, the mean number of grafts was 3.15±.829; 98% of patients had LIMA to L.A.D. Female gender was a significant predictor of length of stay (coefficient: 4.38 (1.63- 7.13); P= 0.002) and postoperative wound infection (OR: 38.5 (5.35- 276.80); P<0.001).
Conclusion: Females could be associated with increased length of stay and wound infection after CABG. Identifying factors that influence the length of stay and wound infections could facilitate recovery and reduce complications.
A política do sensível no 'Caderno B' do "Jornal do Brasil": o caso de "O Milagre das folhas", de Clarice Lispector
Authors: Costa Fabrício Lemos da 
Published: August 2023

RESUMO: O presente artigo propõe uma reflexão da crônica “O milagre das folhas”, de Clarice Lispector (1920-1977), publicada em 04 de janeiro de 1969 no Jornal do Brasil. Trata-se de uma escritura profundamente relacionada ao projeto artístico da autora, em que os vegetais são mola propulsora de pensamentos políticos mais amplos. Isto posto num período marcadamente engendrado por violências institucionalizadas – Ditadura Civil Militar no Brasil (1964-1985). Em nossa análise da crônica, destacaremos o viés temático arrolado naquilo que chamamos de resistência cifrada pela presença das folhas, as quais, por sua vez, convocam a observação sensorial do mundo inumano e a não alienação da vida. Para este estudo, recorremos aos argumentos de Cixous (2022), Adorno (1998), Rago (2009), Buck-Morss (2012), Dalcastagnè (2020), Nascimento (2021), e outros.
PALAVRAS-CHAVE: “O milagre das folhas”; Clarice Lispector; Política Sensorial; Folhas.
Pendampingan “GEMES” (Gerakan Melek Stunting) sebagai Upaya Pencegahan Stunting Anak di Desa Pragak Kecamatan Parang Kabupaten Magetan
Authors: Widyaningrum Dian Anisia , Sebtalesy Cintika Yorinda , Priyoto  
Published: August 2023

Stunting merupakan dampak buruk dari masalah kekurangan gizi kronis pada anak sehingga mempunyai tinggi atau panjang badan yang minim apabila dibandingkan dengan usia. Permasalahan stunting di Kabupaten Magetan memiliki prevalensi 14,9%, dimana angka ini belum mencapai target RJPMN 2024. Program “GEMES” ini merupakan salah satu program pengabdian kepada masyarakat di Desa Pragak dalam rangka bertujuan untuk memberikan edukasi mengenai stunting dan pencegahannya. Kegiatan ini dilaksanakan pada bulan Februari 2023, pada ibu dengan balita di Polindes Desa Pragak. Metode pelaksanaan pengabdian masyarakat ini terdiri dari tiga tahap yaitu tahap persiapan, pelaksaanaan, dan evaluasi. Pada tahap pelaksanaan dilakukan pengecekan status gizi balita, edukasi terkait stunting dan pencegahannya dengan demonstrasi cara pembuatan dimsum tahu untuk makanan tambahan balita. Hasil kegiatan ini, masyarakat telah memperoleh informasi status gizi balita di Desa Pragak dan peningkatan pengetahuan tentang stunting dan pencegahannya. Pendampingan masyarakat dalam meningkatkan wawasan para ibu dengan balita direkomendasikan untuk dapat dilaksanakan secara berkala di semua posyandu untuk mencegah terjadinya stunting.
HUBUNGAN ASUPAN IODIUM DAN PAPARAN PESTISIDA DENGAN KEJADIAN STUNTING PADA ANAK USIA SEKOLAH DI DESA SUKAWENING KECAMATAN CIWIDEY
Authors: Riana Asysyifa , Widiastuti Yuliati 
Published: August 2023

Prevalensi stunting mencapai angka 30,8% (Riskesdas, 2018). Stunting dibentuk oleh growth faltering dan catcth up growth yang tidak memadai serta mencerminkan ketidakmampuan untuk mencapai pertumbuhan optimal (Kemenkes RI, 2016). Salah satu penyebab stunting yaitu kurangnya asupan zat gizi esensial seperti iodium dan paparan pestisida. Tujuan penelitian ini yaitu mengetahui hubungan antara asupan iodium dan pestisida dengan kejadian stunting pada anak usia sekolah di Desa Sukawening Kecamatan Ciwidey Kabupaten Bandung. Desain penelitiannya menggunakan cross sectional dengan jumlah sampel sebanyak 31 orang anak sekolah. Data dikumpulkan melalui wawancara dan pengukuran antropometri (berat badan dan tinggi badan). Data yang terkumpul diolah dan dianalisa menggunakan uji Chi-Square. Hasil penelitian ini menunjukkan karakteristik sampel penelitian ini meliputi sebagian besar sampel (22,6%) berumur 10 tahun, 9 tahun dan 8 tahun. Proporsi sampel berjenis kelamin perempuan (64,5%) dan laki-laki sebesar 35,5%. Sebagian besar responden bekerja sebagai buruh tani (41,9%) dan ibu rumahtangga (41,9%). Sebanyak 71% sampel asupan iodiumnya cukup dan lainnya kurang, 61,3% sampel tidak terpapar pestisida dan lainnya terapapar serta 19,4% sampel mengalami stunting dan lainnya tidak. Kesimpulan penelitian ini yaitu ada hubungan antara asupan iodium (p=0,000) dan paparan pestisida (p=0,001) dengan kejadian stunting pada anak usia sekolah di Desa Sukawening Kecamatan Ciwidey Kabupaten Bandung.

Kata kunci: stunting, iodium, paparan pestisida.
PENGARUH PENYULUHAN PEMERIKSAAN PAYUDARA SENDIRI (SADARI) MENGGUNAKAN MEDIA VIDEO DENGAN PENGETAHUAN REMAJA PUTRI TENTANG SADARI DI MTS DANUL FALAH KEC. PANGALENGAN
Authors: Henni Purnasari  
Published: August 2023

Perilaku masyarakat dalam melakukan deteksi dini kanker payudara masih rendah. Hal ini diketahui dari persentase kasus baru kanker payudara lebih tinggi daripada persentase kematian akibat kanker payudara. Salah satu cara untuk meningkatkan perilaku SADARI adalah dengan pemberian pengetahuan yang baik tentang SADARI. Remaja adalah sasaran untuk dilakukannya perubahan pengetahuan. Remaja lebih cepat dalam mengupdate dan mengakses hal –hal baru. Media video merupakan salah satu media baru yang diharapkan dapat memberikan peningkatan pengetahuan tentang SADARI pada remaja sehingga pengetahuan remaja yang baik tentang SADARI. Pengaruh pendidikan kesehatan dengan menggunakan video terhadap peningkatan pengetahuan tentang Pemeriksaan Payudara Sendiri (SADARI) pada Remaja. Jenis penelitian ini merupakan penelitian Pre eksperimental dengan rancangan one group pretest – posttest design .Populasi penelitian ini adalah remaja wanita di MTS Danul Fallah. Sampel penelitian berjumlah 48 orang dan dilakukan menggunakan analisis Wilcoxon test. Hasil penelitian yaitu tingkat pengetahuan responden tentang kanker payudara meningkat setelah diberikan penyuluhan. Pada kelompok sebelum dan sesudah intervensi rerata nilai pengetahuan responden sebelum mendapatkan penyuluhan sebesar 1,25, sedangkan rerata nilai setelah mendapatkan penyuluhan sebesar 2,69. Setelah di lakukan uji statistik Hasil uji chi square di peroleh p value = 0,037 (p<0.05) artinya ada pengaruh penyuluhan pemeriksaan payudara sendiri (SADARI) terhadap pengetahuan responden tentang deteksi dini kanker payudara.
Kata kunci: Media Video, Remaja wanita, Pengetahuan, SADARI
THE RELATIONSHIP OF LENGTH OF STAY FACTORS WITH ANXIETY LEVEL OF THE PATIENT'S FAMILY IN THE EMERGENCY INSTALLATION OF IMMANUEL HOSPITAL BANDUNG
Authors: Sinaga Herwinda , Roparytotta Hetty 
Published: August 2023

Introduction: The increasing number of patient visits in the Hospital Emergency Room (IGD) causes the phenomenon of overcrowding. The phenomenon of overcrowding is associated with an increase in unexpected events, service delays, increased mortality and length of hospitalization. The throughput factor is the main focus of crowding handling in the ER and an important indicator of the patient throughput process in the ER is the Emergency Department Length Of Stay (EDLOS). Too long a patient's time in the ER in getting special treatment, can give the patient's family a response to feel anxious and afraid. The purpose of this study was to analyze the relationship between the factors of length of stay and the level of anxiety of the patient's family in the Emergency Room at Immanuel Hospital.
Method: uses quantitative research methods. The research design uses correlational analysis with a Cross Sectional approach. The population of patients who visited the ER in July-August 2022 was 1097 and the sample used was non-probability random sampling, through the calculation of the slovin formula, the number of samples was 91 respondents. The instruments used are observation sheets and questionnaires.
Results: of the spearmen rank test obtained a p value of 0.000 <0.05, which means Ha is accepted, which means that there is a relationship between the factors of length of stay and the level of anxiety of the patient's family in the ER Immanuel Hospital.
Conclusion: Emergency Department Length Of Stay (EDLOS) at Immanuel Hospital in the fast category includes; time for laboratory examination, review and consultation time, waiting time for transfer, while anxiety in families in the category of not having anxiety. recommendation are expected that health workers who carry out effective therapeutic communication in the ER can be further improved so that there is no prolonged length of stay which causes the patient's family to experience severe anxiety.

Keywords : Length of Stay, Level of Anxiety, Emergency Room
Development of a Persuasive Mobile Technology-Based Intervention System for Combating Malaria Fatalities in Nigeria
Authors: Ogbaga Ignatius 
Published: August 2023

<p>This study focused on developing a persuasive technology-based mobile intervention system to support users to adopt malaria prevention and control measures. As a first step towards contributing to research, user-centered research to uncover the factors preventing the adoption of the existing malaria preventive measures and the appropriate persuasive strategies that could be employed to motivate users to adopt the expected malaria prevention and control behaviors was conducted. Findings from this study were mapped into their corresponding persuasive strategies during the research design before being operationalized. The intervention system developed is a mobile phone-based application, code-named <em>Go-Malaria.</em> The intervention system embodies text notifications, and audio and video tutorials made in English, Igbo, and Abakaliki languages to engage users based on their preferences. This research was carried out in Ebonyi State. Three Local Government Areas (LGAs) were selected for the study based on three inclusion criteria: high rate of malaria fatality, proximity to the river, and availability of mobile phone network. The research was conducted in 3 phases viz: Pre-evaluation study to determine the factors militating against malaria prevention, research design and intervention system development and deployment, and evaluation phase to measure the impact of the intervention system using quantitative analysis tool (SPSS). The result of the evaluation study indicated reductions in the rate of malaria cases when compared to the cases recorded during the baseline study, from 96.9% to 68.5%, and ownership of mosquito nets and usage increased from 54% to 85.5% within the intervention group</p>
Non-coherent Photons Evolving to Coherent Photons in Same Classical Wave Experiments --- Photon Wave Phenomena
Authors: peng hui 
Published: August 2023

<p>We experimentally show that: in the same classical wave experiment, (1) the light is photons; </p>
<p>blob:https://www.techrxiv.org/2498c0ca-197a-4f4a-a278-2d1886734983</p>
<p>(2) near the double slit, although we assume the photons have the same frequency and phase, the photons do not produce the interference pattern and thus, we referrer the states of the photons are semi-coherent, i.e., non-coherent; (3) near and on the screen, the photons distribute as waves and produce the interference pattern and thus, the states of the photons landed on the screen are coherent.</p>
<p>blob:https://www.techrxiv.org/ddc7b64b-d226-49db-a98f-1202d997dc4a</p>
<p>blob:https://www.techrxiv.org/1fcdd9ed-f1e4-4947-ac51-7d66f2894f51</p>
<p>We referred it as Photon Waves (or Photowave) phenomena. The mystery is how the semi-coherent photons evolve to the coherent photons, i.e., how the non-interference patterns evolve to the interference patterns.</p>
Adversarial AI threats on digitization of Nuclear Power Plants
Authors: Gupta Kishor Datta , Talukder Sajedul , Alam Syed Bahauddin 
Published: August 2023

<p>The future digitalization of Nuclear power plants (NPP) involves uses of sensors data in digitalize formats and analysis by AI based techniques. The planned and existing network architectures used by U.S. nuclear facilities, particularly in high-security zones near the reactor cores, typically rely on a private intranet that connects multiple computers in a peer-to-peer (P2P) or similar network configuration. These intranets are considered highly secure due to their isolation from the outside world (Internet) and the implementation of data diodes to regulate one-way data flow. Additionally, these facilities employ various security measures, including physical security, authorized access, pre-screened employees, antivirus software, and supply chain verification. While these "air gap" systems and their security frameworks are effective in protecting against traditional threats like malware, ransomware, trojans, and intrusion detection, they may overlook a growing vulnerability related to AI models within these air gap systems. AI models or decision systems utilized within nuclear facilities collect sensor data through the secure network and make critical decisions. However, despite the network's robust security measures, the threat to AI models posed by adversarial attacks such as troj-AI, evasion-based attacks, backdoor attacks, and pre-trained poisoned attacks is often ignored by conventional virus scanners. These attacks exploit the vulnerabilities of AI models and can be difficult to detect without domain-specific knowledge related to the model data. As the security of nuclear power plants is paramount, it is crucial that we proactively scan and monitor AI models used in different sectors of these facilities. Unfortunately, there is currently no established framework to monitor and scan the behaviors and architectures of AI models, which poses a significant vulnerability for nuclear power plants. To ensure the comprehensive security of nuclear facilities, it is necessary to address this gap by developing specialized frameworks and mechanisms to monitor and assess the security of AI models. These frameworks should be capable of detecting and mitigating adversarial attacks targeting AI models, providing an additional layer of protection alongside existing security measures. By proactively addressing this emerging threat, we can enhance the overall security posture of nuclear power plants and better safeguard against potential risks.</p>
A Counterfactual-Based Approach to Prevent Crowding in Intelligent Subway Systems
Authors: Carlevaro Alberto , Lenatti Marta , Paglialonga Alessia , Mongelli Maurizio 
Published: August 2023

<p>Today, the cities we live in are far from being truly smart: overcrowding, pollution, and poor transporta- tion management are still in the headlines. With wide-scale deployment of advanced Artificial Intelligence (AI) solutions, however, it is possible to reverse this course and apply appro- priate countermeasures to take a step forward on the road to sustainability. In this research, explainable AI techniques are applied to provide public transportation experts with suggestions on how to control crowding on subway platforms by leveraging interpretable, rule-based models enhanced with counterfactual explanations. The experimental scenario relies on agent-based simulations of the De Ferrari Hitachi subway station of Genoa, Italy. Numerical results for both prediction of crowding and counterfactual (i.e., countermeasures) properties are encouraging. Moreover, an assessment of the quality of the proposed explainable methodology was submitted to a team of experts in the field to certify and validate the model. </p>
Be connected, exchange, but also create: teachers’ professional growth within an online community of practice
Authors: Gabbi Elena 
Published: August 2023

This paper aims to explore the link between participation in the eTwinning online community of practice and the possible impact on the professional development of teachers who sign up, by investigating the processes and dynamics perceived through the voices of the most experienced participants. Following the theoretical framework of the value of the online community for teachers’ professional development and the description of the digital and organisational system resources, the methodology of the qualitative study and the results of the thematic analysis conducted are described. By a focus group conducted with 15 users, the study defined a sequence of progressive steps in network participation linked to learning dynamics peculiar to each of the three phases of access to the system, exploration of community resources and practices, and active experimentation with the available resources.

Essere collegati, scambiare, ma anche creare: la crescita professionale degli insegnanti all’interno di una comunità di pratica online.
Il presente lavoro mira ad indagare il nesso tra partecipazione alla comunità online di pratica di eTwinning e le eventuali ricadute sullo sviluppo professionale degli insegnanti che si iscrivono, attraverso un affondo nei processi e nelle dinamiche percepite attraverso la voce dei partecipanti più esperti. In seguito all’inquadramento teorico della valenza della comunità online per la crescita professionale dei docenti e della descrizione delle risorse del sistema digitale e organizzativo, viene descritta la metodologia dello studio qualitativo e i risultati dell’analisi tematica condotta. Tramite un focus group condotto con 15 utenti, lo studio ha definito una sequenza di passaggi progressivi nella partecipazione alla rete collegati a dinamiche di apprendimento peculiari di ciascuna delle tre fasi di accesso al sistema, esplorazione delle risorse e delle pratiche della comunità e sperimentazione attiva delle risorse disponibili.
Creating inclusive materials: a university Service-Learning experience
Authors: Belen Suárez-Lantarón  , Gloria Solís-Galán  
Published: August 2023

This paper presents a service-learning experience at the University of Extremadura (Spain). Its objective has been to develop an educational experience using service-learning in which students acquire curricular learning, adapting awareness-raising materials and evaluating the importance of providing, also, a quality inclusive educational response to individual needs. A total of 75 university students participated in the experience. An observation record, a report preparation and a satisfaction questionnaire are used as a method for evaluation. The results obtained are presented in relation to three issues: (a) the project, finding a positive evaluation by the students of participation, collaboration, interest and involvement; (b) learning, noting that the qualification has improved in terms of curricular learning, but also in relation to soft skills; and (c) the service, promoting awareness values among the educational community towards inclusion and sustainability. In conclusion, it is highlighted that the use of this type of methodology favours the motivation and involvement of students in the development of their learning, not only in relation to academic issues but also commitment and social responsibility.

Creare materiali inclusivi: un'esperienza universitaria di Service-Learning.
L’obiettivo di questa esperienza è stato quello di sviluppare un'esperienza educativa utilizzando l'apprendimento di servizio in cui gli studenti acquisiscono l'apprendimento curriculare, adattando materiali di sensibilizzazione e valutando l'importanza di fornire una risposta educativa inclusiva di qualità anche ai bisogni individuali. All'esperienza hanno partecipato complessivamente 75 studenti universitari. Come metodo di valutazione vengono utilizzati strumenti qualitativi (registrazione delle osservazioni e redazione del rapporto) e strumenti quantitativi (questionario di soddisfazione). I risultati ottenuti sono presentati in relazione a tre temi: (a) il progetto, riscontrando una valutazione positiva da parte degli studenti di partecipazione, collaborazione, interesse e coinvolgimento; (b) l'apprendimento, osservando che la qualifica è migliorata in termini di apprendimento curriculare, ma anche in relazione alle competenze trasversali; e (c) il servizio, promuovendo valori di consapevolezza tra la comunità educativa verso l'inclusione e la sostenibilità. In conclusione, si evidenzia che l'uso di questo tipo di metodologia favorisce la motivazione e il coinvolgimento degli studenti nello sviluppo del loro apprendimento, non solo in relazione alle questioni accademiche ma anche all'impegno e alla responsabilità sociale.
Service Learning to promote communication and citizenship soft skills in future teachers
Authors: Longo Leonarda , Falzone Ylenia 
Published: August 2023

The aim of this contribution is to present the research activities performed during the academic year 2021/2022, at the University of Palermo, related to the implementation of Service Learning (SL) activities for promoting communication skills and active citizenship in future teachers. In particular, the contribution presents the main results obtained by using the Soft Skills Inventory (SSI) parameters (La Marca & Longo, 2018) for the evaluation of the communication skills necessary for future teachers as they favor the mutual understanding in educational relationship. The results obtained from the quantitative analysis of the data and materials collected highlight the positive impact of service-learning activities on the communication skills of future teachers.

Il Service Learning per promuovere soft skills comunicative e di cittadinanza nei futuri insegnanti.
Il contributo si propone di presentare il lavoro di ricerca, svolto nel corso dell’anno accademico 2021/2022, presso l’Università degli Studi di Palermo, sull’implementazione di attività di Service Learning (SL) per la promozione di competenze comunicative e di cittadinanza attiva nei futuri insegnanti. In particolare, si riportano i principali risultati ottenuti utilizzando le scale del Soft Skills Inventory (SSI) (La Marca & Longo, 2018) per la valutazione dell’area delle competenze comunicative, indispensabili per i futuri insegnanti in quanto favoriscono, all’interno di una relazione educativa, la reciproca comprensione dei contenuti che si intendono trasmettere. I risultati emersi dall'analisi quantitativa dei dati e del materiale raccolto consentono di evidenziare la ricaduta positiva delle attività di service learning sulle competenze comunicative dei futuri insegnanti.