bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pengaruh Pengunaan Media Gambar terhadap Keterampilan Menulis Teks Deskripsi
Authors: Yanti Rahmi 
Published: January 2023

Penelitian ini bertujuan untuk mengetahui seberapa besar media gambar dapat Meningkatkan hasil Belajar peserta didik Pada Materi Teks Deskripsi Pada Mata Pelajaran Bahasa Indonesia di kelas VII SMP Jabal Nur Jadid Semester Ganjil Tahun Pelajaran 2020/2021. Penelitian ini berlangsung dalam 2 siklus yang masing-masing siklus terdiri atas tahap perencanaan, tindakan, observasi, dan refleksi. Hasil antara siklus I dengan siklus II ada perubahan secara signifikan , hal ini ditandai dengan peningkatan jumlah siswa yang mencapai ketuntasan belajar. Dengan melihat perbandingan hasil tes siklus I dan siklus II ada peningkatan yang cukup signifikan, baik dilihat dari ketuntasan belajar dari 69,56 % menjadi 100.00 % atau meningkat 30,44 % sedangkan hasil perolehan nilai rata- rata kelas dari 80,00 % menjadi 89,13 % atau meningkat 9,13 %. Berdasarkan hasil yang di peroleh dapat di simpulkan bahwa media gambar merupakan model pembelajaran yang dapat digunakan oleh guru dalam pelaksanaan kegiatan belajar mengajar. Dimana model pembelajaran ini mempermudah pengertian/pemahaman siswa, memperjelas dan memperbesar bagian yang penting yang kecil sehingga dapat diamati, mempermudah pemahaman yang sifatnya abstrak, dan menimbulkan daya tarik pada diri siswa.
Kebijakan Luar Negeri Iran Terhadap Amerika Serikat di Bawah Kepemimpinan Hassan Rouhani
Authors: Ahmad Zainal Mustofa  
Published: January 2023

Artikel ini menjelaskan tentang kebijakan luar negeri Iran terhadap Amerika Serikat pada masa kepemimpinan Hassan Rouhani. Terpilihnya Rouhani sebagai Presiden Iran pada tahun 2013 memberikan lanskap baru dalam konstelasi politik Iran. Sebelum era Rouhani, Iran merupakan negara yang tidak memiliki hubungan baik dengan AS, khususnya terkait kebijakan nuklir. Metode yang digunakan dalam penelitian ini ialah deskriptif analitis. Kemudian teknik pengumpulan data yang digunakan ialah teknik dokumentasi. Adapun teori yang digunakan untuk menganalisis penelitian ini ialah teori analisis kebijakan luar negeri. Teori ini digunakan untuk menjawab pertanyaan bagaimana kebijakan luar negeri Hassan Rouhani terhadap Amerika Serikat? Setelah dilakukan penelitian, maka dapat disimpulkan bahwa kebijakan Iran pada masa Rouhani berfokus pada penyelamatan ekonomi dan nuklir. Kebijakan ekonomi diambil untuk menyelamatkan Iran dari sanksi ekonomi AS. Kemudian kebijakan nuklir dilakukan untuk sekuritisasi. Kebijakan nuklir yang paling fenomenal ialah kesepakatan nuklir yang terjadi pada tahun 2015 atau disebut dengan Joint Comprehensive Plan of Act (JCPOA). Kehadiran JCPOA ini memberikan sesuatu yang baru dalam konstelasi kebijakan politik Iran. Hal ini dikarenakan JCPOA telah disepakati oleh negara P5+1 yang memegang peranan penting dalam perkembangan nuklir dunia. Selain itu, sanksi yang diberikan oleh AS terhadap Iran juga resmi dicabut. Dengan demikian, Iran berhasil terlepas dari tekanan ekonomi dan menjalin kesepakatan nuklir bersama dengan AS dan beberapa negara lainnya.
Implementasi Peraturan Pemerintah Nomor 47 Tahun 2016 Tentang Fasilitas Pelayanan Kesehatan
Authors: Lestari Nofi Dwi 
Published: January 2023

Narasi Kualitas layanan kesehatan dapat diukur dengan kepuasan yang dirasakan oleh setiap pasien. Pada tahun 2020, RSUD Tidar Magelang mendapat skor IKM mencapai 81,437, dan secara umum, mutu pelayanannya berada dikategori B (Baik). Penelitian ini menggunakan metode kualitatif dengan pendekatan deskriptif. Penelitian ini bertujuan untuk menganalisisi fasilitas kesehatan di RSUD Tidar Magelang berdasarkan PP No. 47 Tahun 2016 tentang Fasilitas Kesehatan, sehingga penelitian ini dapat diteliti lebih lanjut dan menjadi acuan pemerintah pusat dan daerah untuk memperbaiki sistem pelayanan kesehatan, mulai dari meningkatkan kualitas dan ketersediaan tenaga kesehatan serta fasilitas kesehatan. Hasil penelitian ini menunjukkan bahwa kualitas pelayanan kesehatan di RSUD Tidar sudah sesuai peraturan perundang-undangan dan memenuhi dimensi Servqual. Dimensi Servqual merupakan suatu peralatan untuk mengukur kualitas dari pelayanan oleh sebuah informasi dari penyedia layanan agar bebas dari kesalahan (Zero Defect). Skala Servqual meliputi tangible, reliability, responsiveness, assurance, dan empathy.
Resultados oncológicos del manejo neoadyuvante con quimiorradioterapia seguido de cirugía en cáncer de recto localmente avanzado: en el Instituto Oncológico Nacional de Panamá
Authors: Díaz Dubarrán Iván Alberto , Díaz Selles César Gonzalo 
Published: January 2023

Antecedentes y objetivos: Se reportan 720 000 nuevos casos cada año de cáncer de recto. En la etapa localmente avanzada (LARC), la terapia multimodal seguido de cirugía con escisión total del mesorrecto (TME) es el estándar de tratamiento con potenciales beneficios en toxicidad aguda, valoración de respuesta y resecabilidad. El objetivo es describir las características clínico-patológicas y resultados oncológicos en pacientes tratados con quimiorradioterapia neoadyuvante seguido de cirugía radical.
Materiales y métodos: Estudio descriptivo, no experimental, transversal y retrospectivo en donde se analizaron 141 pacientes con diagnóstico de LARC definido como cT3T4N0 o cTXN+M0 programados para tratamiento con quimiorradioterapia neoadyuvante en el Instituto Oncológico Nacional durante el período de enero 2014 a diciembre 2019.
Resultados: Un total de 119 pacientes completaron quimiorradioterapia neoadyuvante seguido de cirugía radical resultando en una resecabilidad de 90.1%. La tasa global de complicaciones posoperatorias fue de 17.4%. La tasa de pCR (La respuesta patológica completa) y desvalorización fue 19.6% y 70.6% respectivamente. La categoría N preoperatoria fue la única variable con un impacto estadísticamente significativo con respecto a la pCR vs no pCR (p = 0.04). La mediana de seguimiento fue de 39 meses, obteniendo una supervivencia global a 5 años de 69% y una supervivencia libre de enfermedad a 5 años de 74.4%.

Conclusiones: En el Instituto Oncológico Nacional de Panamá, el tratamiento del LARC con curso largo de quimiorradioterapia seguido de cirugía radical demostró una alta adherencia al tratamiento con una tasa de respuesta patológica completa y control local en concordancia con lo reportado a nivel internacional.
La désignation des hauts magistrats entre indépendance et politisation : la Cour suprême de justice équatorienne (1979-2017)
Authors: Herrera Miguel 
Published: January 2023

Centrés autour de la question de l’« indépendance », des travaux en science politique sur la justice en Amérique latine ont affiché une préoccupation récurrente pour identifier les conditions institutionnelles qui la sous-tendent. Or, au-delà de ses conceptualisations théoriques, l’indépendance est aussi une catégorie indigène, ou encore un construit qui participe à la légitimation des modes d’organisation et de fonctionnement de la justice et de son rapport au politique. À partir du cas de l’Équateur et des désignations des hauts magistrats, cet article explore comment différentes configurations institutionnelles s’appuient sur des représentations propres de l’indépendance judiciaire. Sa définition est donc mouvante et dépend de la solidité des accords politiques qui sous-tendent ces configurations.
Qu’est-ce qu’un budget sincère ? Les lois de finances entre juridicisation et politisation
Authors: Lépinay Thomas 
Published: January 2023

Au prisme de la sociologie du droit et à travers une approche processuelle, cet article interroge le principe constitutionnel de « sincérité budgétaire », ordinairement présenté par la doctrine comme incertain et ineffectif. Il analyse les mobilisations en faveur de ce principe depuis les années 1990 et les luttes pour sa définition, entre simple respect du droit à l’information du Parlement et instrument plus formalisé de discipline budgétaire. Il examine les divers effets produits par l’existence de cette ressource mobilisable qu’est la règle de droit, en soulignant les retraductions politiques et médiatiques dont il fait l’objet. Ce faisant, il donne à voir l’évolution des rapports de force à l’œuvre dans l’élaboration des lois de finances et met au jour une tension entre juridicisation et politisation des textes financiers.
L’écriture des plans locaux d’urbanisme par les urbanistes et les avocats : nouvelle expression de l’externalisation en matière juridique
Authors: Sulpice Oriane 
Published: January 2023

Cet article met en lumière l’externalisation, par les communes supports de station de ski, de la rédaction de leurs plans locaux d’urbanisme à des cabinets d’urbanisme et d’avocats. En effet, dans le cadre de la judiciarisation de ces documents, la conduite des politiques d’urbanisme demande aux collectivités une maîtrise juridique chevronnée. Ainsi, le risque contentieux crée un marché de l’insécurité juridique, où les urbanistes et les avocats font valoir leur expertise juridique. Ils bénéficient d’un « capital contentieux » qui leur permet de maîtriser le risque judiciaire en fournissant un service à forte intensité de connaissances, renforcé par leur vision globale des enjeux de l’urbanisme. Ils jouent alors plusieurs rôles auprès des communes entre accompagnement, contrôle et diffusion de pratiques légales et illégales.
La sobriété, jusqu’où et comment ?
Authors: Bergey Jean-Louis 
Published: January 2023

Pour atteindre la neutralité carbone en 2050, l’ADEME propose quatre scénarios allant d’une forte réduction de la consommation au pari que les technologies à venir nous permettront de maintenir nos modes de vie actuels, avec divers degrés de contrainte. En complément des choix politiques, l’implication des particuliers, des collectivités et des entreprises est indispensable. Développer la sobriété est une idée qui fait consensus aujourd’hui, au moins en paroles. Cependant, jusqu’où faudrait-il aller, et surtout comment faire ?
Le périlleux saut de la télévision française dans la guerre des plateformes numériques
Authors: Attias Danielle 
Published: January 2023

Il aura fallu dix ans à France Télévisions, TF1 et M6 pour se mettre en capacité de rivaliser avec les plateformes américaines de streaming en créant une plateforme commune : Salto. Les débuts sont prometteurs, malgré les contraintes imposées par une autorité de la concurrence aux modèles concurrentiels antédigitaux ou par des fournisseurs d’accès à Internet désireux de peser de leur position stratégique. Danielle Attias propose une plongée dans un des marchés numériques les plus concurrentiels, aux enseignements édifiants.
La finance peut-elle verdir le monde ?
Authors: Florez Luisa , Holleaux Didier , Mottis Nicolas 
Published: January 2023

Aujourd’hui, les investisseurs se soucient du changement climatique et comprennent ses conséquences sur leurs portefeuilles. C’était encore impensable il y a quinze ans, malgré quelques précurseurs. Les rapports de la COP et les pressions des clients, des autorités réglementaires et des associations militantes n’y sont pas étrangers… Toutefois, comment distinguer les activités “vertes” des “brunes” et qualifier les “bonnes transitions” ? Comment la réglementation et les normes peuvent-elles favoriser des transitions intelligentes ?
Discrimination liée à l’âge et burnout : des effets différenciés selon l’âge à travers la perspective temporelle future professionnelle
Authors: Desmette Donatienne , Villotti Patrizia 
Published: January 2023

La discrimination liée à l’âge est un facteur de risque susceptible de conduire au burnout, en particulier chez les travailleurs âgés (Volpone & Avery, 2013). Cependant, peu d’études se sont attachées à examiner les processus explicatifs des effets de la discrimination liée à l’âge sur le burnout. Cette recherche analyse les effets de la discrimination liée à l’âge sur le burnout à travers la perspective temporelle future au travail (Zacher & Frese, 2009), selon l’âge des travailleurs.	Une étude cross-sectionnelle par questionnaire en ligne a été menée auprès de 231 travailleurs tout venants. Les résultats mettent en évidence que la discrimination liée à l’âge est positivement associée au burnout chez les travailleurs âgés mais pas chez les travailleurs jeunes, à travers la réduction de leur perspective temporelle future professionnelle. Il apparaît en outre que les travailleurs d’âge médian sont également affectés par la discrimination liée à l’âge via la réduction de leur perspective temporelle future, posant la question des effets de la menace identitaire liée à l’appartenance future stigmatisée. Enfin, les résultats contribuent aux études récentes utilisant le Burnout Assement Tool (BAT, Schaufeli et al., 2020) comme outil de mesure du burnout. Des pistes de recommandation sont proposées pour lutter contre la discrimination liée à l’âge et prévenir le burnout.
Four decades of hand microsurgery in Iran
Authors: Shariatzadeh Hooman , Motalebi Mohsen , Soltani Farhad , Mazhar Farid Najd , Behmanesh Ali , Fathi Meysam , Barkam Mohsen , Ehsanzadeh Seyed Jafar , Shams Roshanak 
Published: January 2023

BACKGROUND:
The aim of this study was to perform a bibliometric analysis to assess the number of articles published by Iranian researchers in the field of hand and microsurgery over the last four decades.

MATERIALS AND METHODS:
An online search was conducted using 685 keywords in the abstract/title sections of articles, including carpal tunnel syndrome, wrist fractures, nerve injury and repair, skin flap and graft in the hand, congenital disorders in the hand and forearm, tumor in the hand and wrist, and infection in the hand and wrist. From February 1976 to May 2021, EndNote software version 8.1 was used to search articles in PubMed and Scopus databases. Articles in which at least one of the authors was affiliated with Iran were chosen. The name of the original institution, field of study, total number of publications, type of study, collaboration rate of Iranian hand surgeons for each year, and annual sharing of Iranian articles in journals with the highest cite scores in the field of hand and microsurgery were all examined in the present study.

RESULTS:
The total number of publications in the field of hand and microsurgery was 632 (an average of 11 papers per year). Most of the Iranian hand and microsurgery papers were from the capital city, Tehran (38.09%). There was an increasing trend in the number of publications over the years, most which were about carpal tunnel syndrome (21.5%), tendon (9.8%), and nerve (9.6%). In total, 59.6% were descriptive articles, whereas the proportion of clinical trials was relatively small (22.3%).

CONCLUSIONS:
Iranian hand microsurgeons have continued to increase their scientific output in hand microsurgery and related fields over the last 40 years. The quality of Iranian hand microsurgeons’ scientific output, both within and outside their discipline, has greatly improved; however, they still have a long way to go before becoming a hub of science.

LEVEL OF EVIDENCE:
IV, retrospective study without control group.
Agreement for diagnosis of depression and anxiety between self-assessment with e-questionnaire and psychiatric telephone interview among post-COVID-19 patients
Authors: Mazhari Shahrzad , Sabahi Abdolreza , Gilanipour Hoda , Keshvardoost Sareh 
Published: January 2023

BACKGROUND:
Psychological disorders, such as depression and anxiety, are common among individuals who have experienced coronavirus disease 2019 (COVID-19); however, diagnosis may be challenging and subjected to invalidity. This study aimed to examine agreement between online self-assessment and psychiatric telephone interview among COVID-19 survivors.

MATERIALS AND METHODS:
This cross-sectional descriptive study was carried out from March to June 2021 in Afzalipour Hospital, Kerman, Iran. The inpatients confirmed with COVID-19 were contacted within the first week after discharge and were asked to fill the Hospital Anxiety and Depression scale (HADS) and socio-demography questionnaire. They were later interviewed using Hamilton Depression Rating Scale (HAM-D) and Hamilton Anxiety Rating Scale (HAM-A). Agreement between the data extracted from self-report and telephone interview was analyzed using Cohen's kappa coefficient, sensitivity, and specificity.

RESULTS:
Out of 200 post-COVID patients, 60 participants completed all assessments. Prevalence of depression was observed to be 88% via telephone interview and 45% via self-assessment. Moreover, 83% of the participants were diagnosed with anxiety according to the telephone interview, in comparison to 31% diagnosed with anxiety using self-report questionnaire. The agreement between online self-assessment and telephone interview for depression and anxiety was not significant (κ = 0.08 and κ = 0.1, respectively).

CONCLUSION:
The discordance between online self-report and clinician's assessment via phone contact interview indicates that using self-report evaluations is not sufficient as the single assessment tool for mental health monitoring and reflects the need to employ multiple assessments for diagnosis of psychiatric problems in pandemics.
Effectiveness of distance education program on mothers’ empowerment in exclusive breastfeeding
Authors: Taheri Zeynab , Bakouei Fatemeh , Delavar Mouloud Agajani , Faramarzi Mahbobeh , Bakhtiari Afsaneh , Amiri Fatemeh Nasiri 
Published: January 2023

BACKGROUND:
Mothers need the necessary skills to be empowered in successful breastfeeding. This study aimed to investigate effectiveness of the distance education program on the mothers’ empowerment in exclusive breastfeeding.

MATERIALS AND METHODS:
A randomized clinical trial study was done on 72 nulliparous pregnant women 28–32 weeks with normal pregnancy. The qualified women were randomly assigned to the intervention and control groups based on the random-number table. The breastfeeding training packages were sent to women in the intervention group via Telegram every week from 32 until 37 weeks of gestation. The mothers’ empowerment in breastfeeding (primary outcome) and the exclusive breastfeeding rate (secondary outcome) were assessed by questionnaires.

RESULTS:
Based on the repeated measured tests, although scores for all domains and also the total score of the mothers’ empowerment in breastfeeding between two groups had increased during the study period, there was a significant difference between the increasing trends of the maternal empowerment domains in two groups (interaction P value <0.001). Also, the prevalence of exclusive breastfeeding (secondary outcome) at 6 months was significantly higher in the intervention group (81.8% and 57.1% in the intervention and control groups, respectively) (P = 0.028).

CONCLUSION:
Distance education could increase all domains of the mothers’ empowerment in breastfeeding after delivery. Also, exclusive breastfeeding at 6 months after delivery was significantly higher in mothers who were receiving the distance education packages.
Encouraging students’ engagement and promoting deep learning in immunology through an interactive clinical case problem-solving (CCPS) approach
Authors: Sannathimmappa Mohan B. , Nambiar Vinod , Aravindakshan Rajeev 
Published: January 2023

BACKGROUND:
Modern competency-based medical education emphasizes student-centered teaching-learning strategies where students take responsibility of their own learning. Student-centered approaches facilitate multifaceted learning such as observation, critical evaluation, analysis, deeper understanding, and application of knowledge. The current study aims at assessing the students’ perception on utilization of clinical case problem-solving approach (CCPS) to promote their lifelong learning.

MATERIALS AND METHODS:
The present cross-sectional study was conducted at College of Medicine and Health Sciences (CoMHS) during the year 2021-2022. MD3 students of the academic year 2021-2022 were the study participants. The study was approved by institutional Ethic and Review Committee. Students’ performances were assessed through pre-test and post-test performances. Students’ feedback was collected through a predesigned questionnaire on a 3-point Likert scale. Cronbach's alpha coefficient test was used to assess the reliability of the questionnaire. The data was entered to Microsoft Excel and analyzed using SPSS software version 22. Paired t-test was used to compare pre-test and post-test scores and the data was expressed as numbers and percentages.

RESULTS:
In total, 103 participants were included in the study. Post-test scores were significantly higher compared to pre-test scores (p < 0.05). Questionnaire results showed that CCPS approach was accepted as an effective learning strategy. Majority (>90%) of the students expressed CCPS approach was interesting, motivated to learn, encouraged peer discussion, enhanced knowledge, and clarified their topic-related doubts. More than 80% students opined that CCPS enhanced their critical thinking, problem-solving ability, deep learning, and lifelong learning skills. Nearly 90% of the students suggested for including such sessions for more topics in immunology course in future.

CONCLUSION:
From our study results, it can be concluded that CCPS is an effective learning strategy to encourage students’ engagement and promote their deep learning skills.
Correlations of resilience with coping strategies, and the underlying factors in the nurses working in COVID-19 hospitals
Authors: Ruhabadi Fatemeh , Assarroudi Abdolghader , Mahdavifar Neda , Rad Mostafa 
Published: January 2023

BACKGROUND:
As the core of a health-care team, nurses play a key role in promoting community health, and their job involves witnessing human suffering and pain in health-care settings. The present study aimed to evaluate the correlations between resilience coping strategies, and the underlying factors in the nurses working in COVID-19 hospitals.

MATERIALS AND METHODS:
This descriptive, cross-sectional study was conducted on 320 nurses working in COVID-19 wards for a minimum of 6 months in 2021. The participants were selected via multistage sampling. Data were collected using demographic, resilience, and coping strategy instruments. Data analysis was performed in SPSS version 20.

RESULTS:
The mean resilience score was 76.94 ± 11.33. The mean scores of emotion-focused and problem-focused strategies were 59.65 ± 4.40 and 96.08 ± 5.38, respectively. The assessment of the correlation between resilience with the emotion-focused and problem-focused strategies showed a positive significant correlation (r = 0.25; P < 0.001 and r = 0.33; P < 0.001, respectively).

CONCLUSION:
According to the results, the nurses working in COVID-19 wards mostly adopted problem-focused strategies in difficult work conditions depending on the required care provision. Both coping strategies significantly affected the subscales of resilience in the nurses. Therefore, it is recommended that special attention be paid to teaching strategies to cope with anxiety and resilience and develop problem-solving skills in nursing personnel during the emergence and outbreak of new diseases in order to reduce their anxiety.