bluuebunny/crossref_metadata_2025_split huggingface dataset:
Adherence to gdmt treatment for heart failure out-patients – single center registry
Authors: Nga Vu Quynh , Thinh Do Duc , Hoa Tran Thanh 
Published: July 2023

Background: GDMT treament has demonstrated to heart failure can improve heart failure survival and reduce hospital admission.
Objective: This study evaluated the use of guideline-directed medical therapy (GDMT) for heart failure with reduced and mild reduced ejection fraction (HFrEF) in outpatient department in Hanoi Heart Hospitaland its impact on patients’ midterm outcome.
Method: Medical records of 1131 patients with HFrEF and HFmrEF followed at Hanoi Heart Hosspital, facility 1 From September 2019 to March 2021 were reviewed. The prescription rates of recommended pharmacological agents and their dosages were evaluated.
Results: The population includes 711 male (62.9%) and 420 female (37.1%), with an average age of 64,96 ± 14,49 years. The mean and median time of follow up were 10,59 ± 2,77 month (the shortest follow-up time was 3 months, the longest was 15 months). The prescription rate of β-blockers, ACEI/ARB/ARNI, MRA were 74.36%, 80.9% and 69.5% respectively. After follow-up, these rates were 86.75%, 86.52% and 68.9%, correspondingly. After follow-up, the highest rate of prescription over 50% dosages of these drugs in the range given were Spiranolactone, it was achieved 56.15%, followed by Losartan, Bisoprolol, Nebivolol, all above 30%. The initial LVEF was 37.93 ± 8.58%, and at the end of the follow – up period, the LVEF achieved 40.26 ± 9.44%, significantly improved. 168 patients (14.85%) were admitted to the hospital at least once during the follow-up period; mong them, 133 patients (79.2%) were hospitalized once, 30 patients (17.8%) were hospitalized twice, and five patients (3.0%) were hospitalized at least three times. Mortality was 1.9% (18 patients) during the follow-up period. [1]
Conclusion: The rate of heart failure GDMT drugs using for outpatients in our center is rather high but there are gaps that need to be filled to enhance the outcome of HFrEF and HFmrEF patients.
10-14 YAŞ ÇOCUKLARDA AYAK POSTÜRÜN VE VÜCUT KOMPOZİSYONUN İNCELENMESİ: ÇANAKKALE EZİNE İLÇESİ ÖRNEĞİ
Authors: ACAK Mahmut , ÖZEN Gökmen , TAN Erdi 
Published: July 2023

Amaç: Bu araştırma ayak şekillenmesi için kritik bir yaş periyodu olan 10-14 yaş aralığındaki çocuklarda vücut kompozisyonu, yaş ve cinsiyet değişkenleri açısından ayak postürünün incelenmesi amacıyla yapılmıştır.
Yöntem: Tanımlayıcı araştırma tasarımına uygun olarak Nisan- Mayıs 2023 tarihleri arasında gerçekleştirilen araştırmanın örneklemini Çanakkale ili Ezine ilçesinde yaşayan 252 gönüllü oluşturmaktadır. Araştırmada veri toplama aracı olarak Tanımlayıcı Bilgi Formu ve potoskop görüntüleme aracılığı ile alınan ayak görüntüleri kullanılmıştır. Ayak görüntülerinin değerlendirilmesi Chippaux – Smirak İndeksi ve Staheli’s Ark İndeksi ile ayrı ayrı değerlendirilmiştir. Katılımcıların plantar ark indeks durumlarına göre yaş, boy uzunluğu, vücut ağırlığı ve BKİ ortalamalarının karşılaştırılmasında ANOVA varyans analizi, cinsiyete göre plantar ark indeks kategorileri arasındaki dağılımlıları belirlemek için çapraz tablo ve istatistiksel anlamlılık durumunu belirlemek için Chi-Square test kullanıldı.
Bulgular: Staheli Ark İndeksi hesaplamasına göre ayak postürlerinin %61.9’unda normal, %16.7’sinde esnek, %8.7’sinde rijit düz taban ve %12.7’sinde yüksek ark olduğu tespit edildi. Chippaux-Smirak İndeksi hesaplamasına göre katılımcıların ayak postürlerinin %73.8’inde normal, %7.5’inde düşük ark, %14.7’sinde pesplanatus ve %4’ünde yüksek ark olduğu tespit edildi. Her iki indeks değerlendirilmesinde esnek ve rijit düz tabanlıların vücut ağırlığı ve BKİ ortalamalarının anlamlı düzeyde daha yüksek olduğu belirlendi. Cinsiyete göre ayak tabanı kategorileri arasında anlamlı bir dağılım ilişkisi görülmedi.
Sonuç: Sonuç olarak katılımcıların yaklaşık üçte birinde ayak postürü şekillenmesi açısından sağlık sorunları tespit edilmiştir. Özellikle rijit düztaban olarak belirlenen çocukların fazla kilolu veya obez oldukları saptanmıştır. Bu bakımdan ilerleyen yıllarda daha ciddi sağlık sorunlarıyla karşılaşılmaması ve sağlıklı ayak şekillenmesinin sağlanması açısından erken tespit ve tedavi edilmesi çok önemlidir. Bu doğrultuda daha geniş taramaları içeren araştırmalar okul ve toplum sağlığına önemli katkılar sağlayabilir.
EDUKASI REPRODUKSI TENTANG KESIAPAN MENGHADAPI MENOPAUSE PADA IBU-IBU RT 14 LINGKUNGAN 1 TANJUNG RAYA KEDAMAIAN BANDAR LAMPUNG
Authors: Nurani Rahmawati Dian , Fitriyanti Fitriyanti 
Published: July 2023

Abstract
Menopause merupakan berhentinya menstruasi yang dihasilkan dari hilangnya aktivitas hormonal ovarium yaitu estrogen, dimana hal ini akan dilalui setiap wanita dalam kehidupannya. Gejala menopause terdiri dari gejala fisik dan psikis. Gejala menopause juga berdampak pada penerimaan yang berbeda-beda pada setiap wanita, sehingga pentingnya edukasi dalam menambah pemahaman pengetahuan akan terpaparnya menopause. Wanita juga dapat mempersiapkan diri dalam menghadapi menopause, mengurangi kekhawatiran dan ketidaktahuan dalam menyikapi menopause serta dapat meningkatkan perilaku hidup sehat masyarakat. Kegiatan ini dilakukan berupa penyuluhan menggunakan leaflet dan power point yang dihadiri 20 peserta. Hasil kegiatan yang telah terlaksana ini dapat disimpulkan bahwa adanya peningkatan pengetahuan peserta kesiapan dan pengetahuan tentang menapause.

Kata kunci: Edukasi; Menapause; Reproduksi

Abstract
[REPRODUCTION EDUCATION ABOUT PREPARATION FOR MENAPAUSE OF WOMAN IN RT 14 LINGKUNGAN 1 TANJUNG RAYA KEDAMAIAN BANDAR LAMPUNG] Menopause is the cessation of menstruation resulting from the loss of ovarian hormonal activity, namely estrogen, which every woman will go through in her life. Symptoms of menopause consist of physical and psychological symptoms. In connection with the occurrence of menopausal symptoms it also has an impact on different acceptance for each woman, so the importance of education in increasing understanding of the exposure of menopause. Women can also prepare themselves for menopause, reduce anxiety and ignorance in responding to menopause and can improve people's healthy lifestyle. This activity was carried out in the form of counseling using leaflets and power points which was attended by 20 participants. The results of the activities that have been carried out can be concluded that there is an increase in participants' knowledge of readiness and knowledge about menopause. Keywords: Education; Menopause; Reproduction
Superimposed effects of typical local circulations driven by mountainous topography and aerosol–radiation interaction on heavy haze in the Beijing–Tianjin–Hebei central and southern plains in winter
Authors: Peng Yue , Wang Hong , Zhang Xiaoye , Liu Zhaodong , Zhang Wenjie , Li Siting , Han Chen , Che Huizheng 
Published: July 2023

Abstract. Although China's air quality has substantially improved in recent years due to the vigorous emissions reduction, the Beijing–Tianjin–Hebei (BTH) region, especially its central and southern plains at the eastern foot of the Taihang Mountains, has been the most polluted area in China, with persistent and severe haze in winter. Combining meteorology–chemistry coupled model simulations and multiple observations, this study explored the causes of several heavy haze events in this area in January 2017, focusing on local circulations related to mountain terrain. The study results showed that on the weather scale, the configuration of the upper, middle, and lower atmosphere provided favorable weather and water vapor transport conditions for the development of haze pollution. Under the weak weather-scale systems, local circulation played a dominant role in the regional distribution and extreme values of PM2.5. Influenced by the Taihang and Yanshan mountains, vertical circulations and wind convergence zone were formed between the plain and mountain slopes. The vertical distribution of pollutants strongly depended on the intensity and location of the circulation. The circulation with high intensity and low altitude was more unfavorable for the vertical and horizontal diffusion of near-surface pollutants. More importantly, we found that the aerosol–radiation interaction (ARI) significantly amplified the impacts of local vertical circulations on heavy haze by two mechanisms. First, the ARI strengthened the vertical circulations at the lower levels, with the zonal wind speeds increasing by 0.3–0.8 m s−1. Meanwhile, the ARI could cause a substantial downward shift in the vertical circulations (∼ 100 m). Second, the ARI weakened the horizontal diffusion of
pollutants by reducing the westerly winds and enhancing wind convergence and southerly winds. Under these two mechanisms, pollutants could only recirculate in a limited space. This superposition of the typical local circulation and the ARI eventually contributed to the accumulation of pollutants and the consequent deterioration of haze pollution in the region.
Kadar Homosistein Plasma Berhubungan dengan Derajat Keparahan Stroke Iskemik Akut
Authors: Bintang Andi Kurnia 
Published: July 2023

Pendahuluan: Stroke merupakan masalah kesehatan utama di dunia, termasuk di Indonesia. Stroke memiliki tingkat mortalitas dan morbiditas yang tinggi, dan sebagian besar penderita stroke akan mengalami disabilitas yang mempengaruhi kualitas hidup. Homosistein terbukti meningkatkan risiko terjadinya stroke. Studi terbaru melaporkan peran homosistein terhadap neurotoksisitas, disrupsi sawar darah-otak, dan stres oksidatif. Namun, bukti terkait derajat keparahan dan luaran klinis stroke masih belum konsisten.
Tujuan: Mengetahui hubungan kadar homosistein plasma dengan derajat keparahan dan luaran klinis stroke iskemik akut.
Metode: Subjek pada studi potong-lintang ini adalah pasien stroke iskemik akut serangan pertama dengan onset <96 jam. Dalam 24 jam setelah admisi, darah vena diambil untuk pengukuran kadar homosistein plasma. Derajat keparahan dinilai dengan skor National Institute of Health Stroke Scale (NIHSS). Luaran klinis dini dinilai dengan skor modified Rankin scale (mRS) pada hari ke-14 setelah onset. Koefisien Spearman digunakan untuk menilai korelasi.
Hasil: Sebanyak 52 subjek diikutkan dalam studi dengan mayoritas perempuan (n=28, 53,8%). Kadar homosistein plasma lebih tinggi pada laki-laki (p=0,006) dan memiliki korelasi positif dengan skor NIHSS (r=0,029, p=0,036). Tidak ditemukan adanya korelasi dengan skor mRS (r=0,17, p=0,24). Analisis subgrup pada kadar <15 µmol/L menunjukkan korelasi dengan derajat keparahan stroke (r=0,35, p=0,01).
Diskusi: Studi ini mendukung studi sebelumnya tentang korelasi antara kadar homosistein plasma dan derajat keparahan pada fase akut stroke iskemik. Tidak didapatkan adanya korelasi antara kadar homosistein plasma dan luaran klinis dini. Korelasi ditemukan pada kadar homosistein plasma <15µmol/L.
Kata Kunci: homosistein, NIHSS, stroke iskemik akut
Tourism Resilience Process During Pandemic with Big Data Insight
Authors: Paramartha Dede Yoga , Deli Nensi Fitria , Fitriyani Ana Lailatul , Pramana Setia 
Published: July 2023

Tourism, which is one of the pillars of the Indonesian economy, has experienced a shock due to the COVID-19 pandemic. This study aims to identify tourism resilience and its relation to the Indonesian economy during the pandemic. Subsequent to this, this study also investigates the competitiveness of tourism in responding to government policies regarding the five national tourism priorities. Descriptive analysis of data sourced from big data is used to support the analysis of tourism resilience in terms of accommodation and accessibility. In addition, Principal Component Analysis is used to build the tourism competitiveness measure of the five priority tourism destinations. The results showed that big data proxy indicators related to tourism generally show recovery signals in the new normal period, even though it hasn’t returned to its pre-pandemic condition and slightly decreased in early 2021. The improvement in this sector was mostly driven by domestic tourist. In terms of the economy, the added value of tourism has decreased considerably during 2020. In addition, based on the measure of tourism competitiveness, Central Java and North Sumatra are provinces that have good support systems for priority tourist destinations in their respective regions.
Veiling within the Corinthian Context: An Examination of Cynthia Long Westfall’s Reading of 1 Corinthians 11:2–16
Authors: Kilgore Rodney , Hall Josiah D. 
Published: July 2023

Abstract
Paul’s exhortation in 1 Cor 11:2–16, discussing (among other topics) the reason and purpose for a woman to cover her head, has proven to be a perennially difficult passage for exegetes. Cynthia Long Westfall has recently offered an intriguing interpretation, asserting that some modern, Western readings of the passage, which view Paul’s directives as reinforcing oppressive restrictions on women, fail to account for the way the veil acted to protect certain vulnerable women from potential exploitation. Westfall asserts that many women of the Greco-Roman world, especially of the lower strata, would have seen veiling as a desirable symbol of dignity, though socially and legally unavailable to them as members of repressed social groups. In this study, the authors test Westfall’s dual assertion that (1) veiling practices varied significantly depending on one’s social strata and that (2) authorities legally enforced veiling restrictions on certain groups. Ultimately, although the article supports aspects of Westfall’s argument, the authors find no evidence to uphold the assertion that veiling was off-limits for any female group in the Greco-Roman world. Rather, an array of sociocultural factors—including religious expectations, societal norms, and practical realities—appears primarily to have influenced a woman’s choice to veil.
El dinamismo reciente del mercado laboral y su impacto sobre el consumo de los trabajadores
Authors: Martínez-Carrascal Carmen 
Published: July 2023

Motivación
Tras la pandemia, el mercado laboral español ha mostrado un dinamismo notable, lo que ha favorecido que la probabilidad de perder el empleo percibida por los trabajadores haya descendido. Este artículo evalúa en qué medida ello ha podido incidir positivamente sobre el consumo (al reducir el ahorro por motivos de precaución).
Ideas principales
•La fortaleza del mercado laboral y el aumento del peso de la contratación indefinida han favorecido la reducción de la probabilidad de perder el empleo percibida por los trabajadores, lo que reduce el ahorro por motivo de precaución y eleva los niveles de gasto de los hogares.
•La incertidumbre acerca de las rentas laborales futuras afecta con especial intensidad al gasto en bienes duraderos y, en menor medida, al destinado a otras partidas de gasto no esencial.
•Los hogares cuyo gasto en bienes duraderos responde con más intensidad ante cambios en la incertidumbre sobre los ingresos laborales futuros son aquellos que no disponen de un colchón mínimo de activos líquidos con el que hacer frente a una caída de los ingresos. Esto se observa más frecuentemente en las familias de rentas bajas y en los jóvenes.
Registros de espécies arbóreas em herbário virtual com ênfase no município de Cáceres-MT, Brasil
Authors: Luiza Ferreira Adriely , Pereira da Silva Valvenarg , Daiane Costa do Nascimento Antonia , Costa de Arruda Joari , Letícia Monteiro Catelan Laura , Leal Sander Nilo , Juliana da Silva Andressa 
Published: July 2023

A presente pesquisa tem como objetivo realizar o levantamento de espécies vegetais ocorrentes no município de Cáceres, Mato Grosso e verificar espécies de hábito arbóreo com ocorrência na Lista Vermelha de espécies que estão com algum status de ameaça por meio do banco de dados disponíveis em herbários virtuais. O levantamento dos dados foi realizado de forma online através de buscas no site SpeciesLink onde palavras chave para a região foram digitadas no filtro para obtenção da lista. Para averiguar dados científicos das espécies pesquisas foram efetuadas no Reflora, assim como status na Lista Vermelha com dados do Centro Nacional de Conservação da Flora (CNCFlora) e União Internacional para a Conservação da Natureza (IUCN). O levantamento da flora resultou em 2038 espécies registradas, entre elas 292 espécies estão classificadas com hábito arbóreo. A lista vermelha do CNCFlora apresentou 214 espécies não avaliadas, deixando claro a deficiência de atualização de dados, e lacunas quanto a categoria de ameaça das espécies ocorrentes em nosso território.
Tindak Tutur Tokoh Utama Dalam Anime Oregairu Season 1 Karya Wataru Watari
Authors: Burakiti Jhoris Stenly , Pandi Helena , Wuisang Justien 
Published: July 2023

Penelitian ini difokuskan pada tindak tutur ekspresif dalam anime Oregairu season 1 karya Wataru Wtari. Tujuan penelitian ini adalah mendeskripsikan makna tindak tutur ekspresif dan bentuk tindak tutur ekspresif dalam anime Oregairu. Penelitian ini adalah jenis penelitian deskriptif kualitatif. Data diperoleh dengan menggunakan teknik simak catat dan dianalisis dengan metode padan pragmatis. Hasil penelitian menunjukan bahwa 1) makna tidak tutur ekspresif yang terdapat dalam anime Oregairu season 1 karya Wataru Watari terdiri dari 5 bagian yaitu: memuji (4 data tuturan), mengkritik (6 data tuturan), mengeluh (4 data tuturan), menyalahkan (1 data tuturan) dan meminta maaf (4 data tuturan). 2) bentuk tindak tutur ekspresif yang terdapat dalam anime Oregairu season 1 Karya Wataru Watari terbagi menjadi 2 yaitu: tindak tutur ekspresif bentuk langsung (11 data tuturan) dan tindak tutur ekspresif bentuk tidak langsung (8 data tuturan). Berdasarkan data yang ditemukan, diketahui tindak tutur ekspresif yang paling banyak digunakan adalah tindak tutur ekspresif dengan makna mengeluh dan bentuk tindak tutur ekspresif yang paling banyak digunakan adalah tindak tutur bentuk langsung.
Creating a research culture within one EP service: Practitioner reflections on using developmental work research
Authors: Forsyth Lisa 
Published: July 2023

Aim(s)The aim of this paper is to provide a reflective account of using Cultural Historical Activity Theory (CHAT) and Developmental Work Research (DWR) when exploring the research culture of one EP service in Scotland.Melhod/RalionalePrevious research completed within the Educational Psychology Service (EPS) recommended to explore in more detail how Educational Psychologist’s (EPs) were engaging with research. Thus, three DWR workshops based on the principles of CHAT and the cycle of expansive learning (Engeström, 2015) acted as in intervention to achieve this. Each of these workshops lasted a half day and created a discourse around the role of research in our service delivery.FindingsKey insights from using DWR as a means of furthering organisational change are presented. These include the unique benefits that CHAT and DWR bring to complex systems as opposed to other approaches and how collective learning during the workshops led to a concrete outcome for the EPS. I will argue for the benefits of using DWR to reconceptualise persistent tensions within the profession whilst reflecting on the difficulties of applying these methodologies to practice.LimitationsColleagues provided positive feedback from the process but there were little in-built methods of evaluation during the workshops. Furthermore, this was my first attempt at utilising DWR to elicit change and so the main stages of DWR were not fully explored.ConclusionDWR offers a framework to reconceptualise persistent tensions within organisations. Its collaborative approach, grounded in psychology, allows for co-production of goals and for articulation of the EP role with regards to research.
Nilai Hospitalitas dalam Budaya Karapasan dan Implikasinya Terhadap Pencegahan Konflik Agama di Toraja
Authors: Tosangin Milka 
Published: July 2023

Indonesia is famous for its multicultural society with diversity and differences. However, this diversity often creates conflict. Whether it's conflicts between tribes, ethnicities, races and religions. In several areas in Indonesia, such as Maluku, Poso, East Java, Bogor, and other areas, there are religious conflicts. The conflict made the community uneasy, disharmonious, and even made the community always vigilant. In the Toraja region, there has not been any religious conflict. Because of that, in this paper offers the value of Christian hospitality in karapasan culture to prevent religious conflict in Toraja. With the value of hospitality in the karapasan culture, of course the community will appreciate the existence of diversity and differences, especially in differences in beliefs (religion). Based on this, the author uses a qualitative approach and focuses on data or information from various sources and literature related to the topic of Karapasan Culture and its Implications for the Prevention of Religious Conflict in Toraja. Abstrak:Indonesia terkenal dengan masyarakatnya yang multikultiral dengan berbagai keanekaragaman dan perbedaan. Namun, dalam keanekaragaman tersebut sering menimbulkan konflik. Baik itu konflik antar suku, etnis, ras maupun agama. Beberapa daerah yang ada di Indonesia seperti, Maluku, Poso, Jawa Timur, Bogor, dan daerah lainnya terdapat konflik agama. Konflik tersebut membuat masyarakat menjadi tidak tentram, tidak harmonis, dan bahkan menjadikan masyarakat menjadi selalu waspada. Di daerah Toraja belum ditemui adanya konflik agama. Oleh karena hal itu, dalam tulisan ini menawarkan nilai hospitalitas Kristen dalam budaya karapasan untuk mencegah terjadi konflik agama di Toraja. Dengan adanya nilai hospitalitas dalam budaya karapasan maka tentu masyarakat akan menghargai adanya keanekaragaman dan perbedaan secara khusus dalam perbedaan kepercayaan (agama). Berdasarkan hal itu, maka penulis menggunakan pendekatan kualitatif dan menitikberatkan pada data atau informasi dari berbagai sumber dan literature-literatur yang sekaitan dengan topik Budaya Karapasan Dan Implikasinya Terhadap Pencegahan Konflik Agama di Toraja. Kata Kunci: Konflik Agama, Hospitalitas, dan Budaya Karapasan
Peran Filsafat Pendidikan Agama Kristen dalam Meningkatkan Potensi Manusia
Authors: Elisa Saturnina , Arifianto Yonatan Alex , Utari Ririn 
Published: July 2023

This is article aims to Provide an understanding of the role of the philoshopy of Christian religious educational in enhancing human potential that already exists in humans. The potenials possessed by humsnd are physical potential (physical), spiritual potential (spiritual), and reason (mind). So to in increase the human potential that is owned, the philosophyof education which is currently growing day by day is growing so that as a result the potential of every human beingt can be developed and increased. Through the role of Christian religious education philosophy in increasing human potential, using descriptive qualitative methods the researchers analyzes it with literature studies to be able to provide an understanding of the role of educational philosophy in increasing human potential in order to make an educational philosophy a good influence in developing an enhancing a human potential it self. AbstrakArtikel ini bertujuan memberikan suatu pengertian mengenai peran filsafat pendidikan dalam meningkatkan potensi manusiawi yang secara lahiriah telah ada dalam diri manusia. Maka untuk meningkatkan potensi manusiawi yang dimiliki tersebut filsafat pendidikan yang dewasa ini semakin hari semakin berkembang sehingga hasilnya potensi yang dimiliki setiap manusiawi dapat dikembangkan dan semakin . Melalui peran filsafat pendidikan dalam meningkatkan potensi manusiawi, dengan metode kualitatif deskriptif peneliti menganalisis dengan studi pustaka untuk dapat memberikan suatu pemahaman mengenai peran filsafat pendidikan dalam meningkatkan potensi manusiawi agar dapat menjadikan suatu filsafat pendidikan sebagai pengaruh yang baik dalam mengembangkan dan meningkatkan suatu potensi manusiawi itu sendiri. Kata Kunci: filsafar, pendidikan agama Kristen, potensi manusia