bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGEMBANGAN BAHAN AJAR BERBASIS MODEL PEMBELAJARAN INKUIRI PADA MATERI SISTEM PENCERNAAN UNTUK MELATIH KETERAMPILAN PROSES SISWA SMP KELAS VIII DAN MENINGKATKAN HASIL BELAJAR SISWA DI MTs 5 SUGIHAN
Authors: Idzi’ Layyinnati  , Abu Khoir  , Intan Niamas  , Abdul Choliq  
Published: February 2023

Abstrak
Penelitian ini bertujuan untuk menghasilkan perangkat pembelajaran yang layak secara teoritis dan empiris meliputi Rencana Pelaksanaan Pembelajaran (RPP), Lembar Kerja Siswa (LKS), bahan ajar materi sistem pencernaan dengan didukung peningkatan hasil belajar dan respon siswa terhadap pembelajaran yang melatihkan keterampilan proses dengan dengan subyek penelitian SMP di 5 sugihan. Penelitian ini menggunakan model pengembangan 4D (four D models) define, design, develop dan disseminate tetapi tidak melakukan disseminate dengan desain uji coba menggunakan rancangan penerapan one group pretest postest design. Pengumpulan data menggunakan metode validasi, angket, tes dan pengamatan sedangkan analisis data secara deskriptif kualitatif. Hasil penelitian yaitu: Variabel yang berkaitan dengan validitas perangkat pembelajaran dikatakann valid untuk digunakan dalam pembelajaran dengan validitas silabus, RPP, bahan ajar dan LKS berturut-turut 82.5%, 91.3%, 80.3%, 85.0%; keterlaksanaan RPP berkategori tinggi; dan respon siswa sangat positif 80,3 %; penilaian keterampilan proses dan hasil belajar siswa meningkat dari n-gain 0.86 dengan kategori tinggi. Perangkat yang dikembangkan layak digunakan dalam pembelajaran dan dapat meningkatkan hasil belajar siswa.
Kata-kata kunci: Sistem Pencernaan, Inquiry, Keterampilan Proses SMP kelas VIII

Abstract
This research has purpose to produces learning materials that proper theoritically and empirically that consists of lesson plan, student work sheet, student book on digestive system that supported by increasing of student achievementand student responses towards learning that try process skils with junior high school research subject in 5 sugihan. This research used 4D development model but this research did not use dissiminate with one group pretes posttest in try out. Data collecting method, questionnaire, test and observation. Data analysis used qualitative descriptive technic. Research findings showed that validation of learning materials, namely syllabus, lesson plan, student book, and student worksheet was 82.5%, 91.3%, 80.3%, 85.0%; respectively lesson plan implementation was high and students response very positive (80.3). Learning materials that developed was proper to be used in learning and increased student achievement.
Presencia de síntomas de ojo seco en estudiantes de medicina
Authors: Matheu Fernández Christopher Antonio , Yee Nicolás 
Published: February 2023

Introducción: El ojo seco, a veces llamado síndrome del ojo seco, es la sequedad ocular que se produce cuando las lágrimas no logran aportar la humedad necesaria para mantener humectado el ojo. El ojo seco tiende a mantener inflamación conjuntival. Objetivo: Determinar la prevalencia de ojo seco en estudiantes de primero a sexto año de la Facultad de Medicina de la Universidad Francisco Marroquín (UFM). Metodología: Estudio transversal descriptivo en el que se invitó a participar a todos los estudiantes de la facultad de medicina de la UFM a través de una encuesta por vía electrónica utilizando el programa de REDCap. Se aplicó la encuesta de OSDI traducida y validada al español para cumplir con los objetivos. Resultados: De los 309 estudiantes, 178 respondieron la encuesta, 125 (70.2%) obtuvieron un puntaje OSDI > 12 puntos (IC95% 62.8-76.7; p<0.05). El género no fue un factor de riesgo. Todos los grupos etarios obtuvieron un valor arriba del 50% para prevalencia de ojo seco. La mayoría experimentan sensibilidad a la luz (46.6%). Conclusión: Existe una alta prevalencia de ojo seco (puntaje OSDI > 12 puntos) en la población de estudiantes de medicina. Se puede observar en el estudio que, las personas con ojo seco presentan síntomas los cuales tienen una marcada afectación en su calidad de vida.
Staff Nurses' Career Plateau and Its Influence on Their Work Engagement
Authors: Elsayed Samah M. , Khalaaf Dalia A. 
Published: February 2023

Context: Nowadays, due to volatile organizational structures and unstable circumstances, employees work in the same job for a long period. So, a career plateau will result in obstacles to promotion; the employee remains in the same position for a longer period, and the employee feels bored with the job. The plateaued employees have become less optimistic, very nervous, and highly stressed. Therefore, a career plateau is an antecedent for unwanted work outcomes, such as low job satisfaction, low career motivation, low self-efficacy, and low work engagement.
Aim: This study aimed to assess the career plateau perceived by staff nurses and its influence on their work engagement.
Methods: A descriptive correlational design was used to conduct this study at Heart and Specialized Surgery Hospital on one hundred and forty nursing staff. Data collection tools included Career Plateau Scale and Work Engagement Scale.
Results: Illustrate that most nursing staff (76.4%) had a high level of experience with hierarchical/structural plateau. Meanwhile, 35.8% had a high level of experience with maintenance plateau. Regarding the total level of career plateau, it was observed that 56.4% of nurses staff had a high level of experience with a total career plateau, and 26.4% of them had a moderate level. At the same time, 17.2% had a low level of total career plateau. Nursing staff distribution regarding work engagement dimensions indicates that the majority (91.6%) had a high level regarding the dedication dimension. In addition, 82.4% had a high level regarding the vigor dimension. At the same time, only 9.7% of them had a high level regarding absorption dimension. There was a statistically significant moderate positive correlation between nursing staff perception of Hierarchical/structural career plateau and their work absorption dimension at r=0.55, p=0.001. While there was a statistically significant negative correlation between nursing staff perception of career plateau and engagement dimensions at r=-0.300, p. value <0.001.
Conclusion: Indicates a statistically significant negative correlation between total nursing staff perception of career plateau and their total work engagement. The study recommended that nurse managers develop a clear road map for advancing the career of staff nurses to reduce the plateauing of careers, and implementation of career development programs should be proactive rather than reactive so that employees are better equipped to deal with career stagnation and boredom.
Nurses Experiences of Multi-Cultural and Multi-Language Barriers to Patient Safety and Quality Care during the HAJJ Season
Authors: Paredath Mohamed S. , Alasmari Faisal A. , Mayinkanakath Mohamed S. 
Published: February 2023

Context: Language and cultural barriers between patients and nurses can contribute to patient safety, dissatisfaction, and poor quality of care, especially with Hajj patients. Effective communication between patients and nurses is key to safe and quality nursing care. Multicultural and multi-language barriers stand in the way of this effective communication, so an in-depth study is needed to describe this phenomenon based on nurses' perspectives.
Aim: This research aims to identify issues and challenges related to the cultural and language differences between patients and nurses during the Hajj season and to describe nurses' experiences in providing care in a multicultural and multi-language healthcare setting during the Hajj season.
Methods: Qualitative descriptive design. Five Hospitals in Makkah Health clusters were selected for this study. A purposive sample of 50 nurses was recruited for this study. The data collection Procedure includes Audio-recorded interviews using semi-structured questionnaires.
Results: Most participants identified language differences in their caring experience for Hajj patients. Because the participants felt unable to communicate with patients effectively, the language barrier affected nursing care. Despite the challenges of taking care of patients with different cultures, the majority of the staff feel it is a good experience for them. The last major theme identified in the study was the understanding of trans-cultural nursing. Most participants were honest enough to tell that they do not know at all that transcultural nursing means. Some participants were familiar with the term but were unsure what it meant or how to explain it, and a few knew the term and its concept.
Conclusion: Nurses had difficulty communicating with patients due to the language barrier. Providing an interpreter or translator, seeking assistance from the patient's relations officer, and using technology such as Google Translate to address this issue are all possible solutions. The study recommends addressing the cultural barriers; all the nurses should attend the education and training on trans-cultural nursing in advance for the staff chosen to work during Hajj.
Secret Violences
Authors: Masłoń Sławomir 
Published: February 2023

Although Michelangelo Antonioni became one of the icons of “modernist” cinema in the 1960s, his position in the pantheon of great directors has never been quite secure. Unlike his famous contemporaries, such as Ingmar Bergman and Luchino Visconti, whose essential contribution to the art of cinema is hardly ever questioned, Antonioni’s work has been repeatedly denigrated from many angles for both aesthetic and political reasons. Though the historical importance of some of Antonioni’s films as an incarnation of certain attitudes and problems characteristic of the 1960s and 70s is not denied, they are often considered passé, artificial and boring.
Contesting prevalent readings, which focus on existential and psychological motifs involving anxiety and the malady of sentiments, this book offers a re-evaluation of Antonioni’s most important films interpreted as political cinema engaged with issues which are still crucial in the 21st century. Far from being politically neutral, Antonioni’s oblique and “abstract” approach makes possible the prising open and devaluation of the morally and politically constrictive “organic” narrative structures. His approach overthrows the primacy of character and plot, on the one hand, by showing them to be emanations of the spectral materiality of capital, and, on the other hand, by allowing for an opening into the utopian dimension, implying engagement in the rethinking of our attachments to the world.
Comparison of glimepiride and linagliptin in the treatment of non-alcoholic hepatic disease with Type 2 diabetes mellitus
Authors: Tian Feng , Guo Yali , Zhou Liping , Yao Qunying , Liang Xiaoyan , Lu Jiaxin , He Aiping , Shen Jie 
Published: February 2023

IntroductionNonalcoholic fatty liver disease (NAFLD) with type 2 diabetes mellitus (T2DM) is associated with severe clinical outcomes. MicroRNA (miR)-210 has been reported to be related to T2DM and lipid metabolism. This study aimed to determine whether miR-210 can predict the effects of glimepiride and linagliptin on NAFLD with T2DM.Material and methodsA total of 86 patients with NAFLD with T2DM were randomly categorized into two groups and treated with either linagliptin (5 mg/daily) or glimepiride (2 mg/daily) for 6 months. Furthermore, real-time quantitative polymerase chain reaction was used to evaluate the expression level of miR-210 in the patients’ serum.ResultsCompared with glimepiride, linagliptin was able to significantly reduce the fasting blood glucose level (P = 0.039). Moreover, the expression level of miR-210 was positively correlated with fasting blood glucose level (r = 0.272, P = 0.011) and 2 h post-breakfast blood glucose level (r = 0.245, P = 0.023). The fasting insulin level was negatively correlated with the expression level of miR-210 (r = −0.224, P = 0.038). Also, the alanine transaminase (ALT) level (r = 0.438, P < 0.001) and ALT/aspartate aminotransferase ratio (r = 0.382, P < 0.001) were positively correlated with miR-210 expression.ConclusionsIn summary, linagliptin was not significantly different from glimepiride in improving the hepatic and renal functions and in reducing the blood lipid level. miR-210 expression was linked to blood glucose and lipid levels and hepatic function, which indicates its role as a prognostic biomarker in the treatment of NAFLD with T2DM using linagliptin and glimepiride.
Demarcated by bronchial or vascular landmarks? a study on the lower borders of the lower paratracheal lymph nodes
Authors: Shen Hong , Chen Xinyi , Tang Jilai , Li Yadong , Zhang Yang , Xia Yang , Feng Ganzhu 
Published: February 2023

IntroductionThe lower rim of the azygous arch and the upper rim of the left main pulmonary artery are used as the lower borders of the lower paratracheal lymph nodes (LNs) in the IASLC map. However, there is some confusion about it. Our aim was to investigate the best landmarks as the boundaries to stage N more accurately for lung cancer.Material and methodsOne hundred patients with benign lung diseases, fifty with lung cancer diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA), and thirteen with right metastatic LNs confirmed by surgery were included. The lymph nodes (including W1, W3, W5, 10R below W5, W4, W6) were classified with Wang's and IASLC map concurrently, and the different outcomes of N stage were compared.ResultsThe azygous arch and the left main pulmonary artery varied in relation to the airway, causing the following changes of classification, 9.4% benign LNs of W1 and 38.6% of W5 were down-regulated as IASLC-10R, 9.5% of 10R below W5 were up-regulated as IASLC-4R, 51.4% of W4 and 94% of W6 were down-regulated as IASLC-10L. In 50 patients diagnosed by EBUS-TBNA, the concordance between the two maps was 0.768 for the right 92 LNs, while it was 0.374 for the left 46 nodes. If based on the location of azygous arches, postoperative stages might be changed in 2 surgery patients.ConclusionsThe locations of the lower vascular boundaries of IASCL-4 were varied. The bronchial landmarks of the proximal right and left main bronchus might be used as such borders.
The Efficacy and Safety of Rituximab in Children with Steroid-Dependent or Frequently Relapsing Nephrotic Syndrome: A Meta-Analysis of Randomized Controlled Trials
Authors: Luo Ningxin , Shen Xiaoyu , Xia Hui , Xu Yazhen , Zhong Shuwen , Shan Hongmei , Zhao Li 
Published: February 2023

IntroductionTo explore the efficacy and safety of Rituximab (RTX) in children with steroid-dependent nephrotic syndrome (SDNS) or frequently relapsing nephrotic syndrome (FRNS) through meta-analysis.Material and methodsMeta-analysis searches were performed before November 30th, 2021, using the PubMed, Embase, Web of Science, and Cochrane Library databases to collect randomised controlled trials (RCTs). FRNS or SDNS children younger than 18 years of age were included. The RTX group was treated with RTX combined with conventional therapy, whereas the control group was given conventional therapy. Review Manager 5.3 and STATA 15.0 were used to perform the statistical analyses.ResultsOf 1450 screened articles, a total of eight studies eligible for inclusion involving 476 patients were included. As compared to the control group, the RTX group had a significantly higher rate of long-term complete remission [RR (95% CI), 1.91 (1.16, 3.14), p<0.05]. RTX did not show significant improvement in the short term [RR (95% CI), 2.48 (0.85, 7.25), p=0.10]. However, the RTX group achieved a higher short-term complete remission rate when two studies with heterogeneity were excluded [RR (95% CI), 2.17 (1.65, 2.84), p<0.001]. Proteinuria levels were reduced more effectively in the RTX group [MD (95% CI), −1.84 (−2.42, −1.26), p <0.001)]. The RTX group and the control group had no significant differences in adverse events.ConclusionsRTX can be considered as an effective and safe treatment option for children with SDNS or FRNS. However, it is necessary to conduct further studies via RCTs to evaluate the persistent long-term effects.
Information Quality, Communication Effectiveness, Technology Quality in influencing Intension and Actual Use of ICT for Tracking Administration of Malaria Drugs in health units in Ugandan. A Descriptive and Correlational Study.
Authors:   , Ssegawa Settings E. James Kiggundu 
Published: February 2023

Background: The purpose of this study is to examine how Information Quality, Communication effectiveness, and Technology quality influence the intention and actual use of ICT in tracking the administration of malaria drugs in health units in Uganda. Methods: Descriptive statistics was engaged to determine the degree and or / extent of occurrence of information quality, communication effectiveness, and technology quality A co-relational research design was used to determine the relationships between them. Analysis of the magnitude of relationship and levels of significance among the variables, Pearson’s cross-product bivariate deviation, and covariance was engaged and regression was used to determine how such variables would influence the intention and actual use of ICT in tracking the administration of malaria drugs in health units. Scope: A survey was conducted on 465 health units in the Masaka, Rakai, Kalungu, and Kampala districts in the central region of Uganda. Findings: Information quality measured in the dimensions of Intrinsic Information Quality (IIQ) (mean = 3.46), Contextual Information Quality (CIQ) (mean = 3.71), Representative Information Quality (RIQ) (mean = 3.77 was rated satisfactory for public and private health units/hospitals; Communication Effectiveness was satisfactory (mean = 3.52) but rated low because of using written documentation during the administration of malaria drugs in health units. Quality of Technology employed during the administration of malaria drugs in health units had a fair performance (mean = 3.12), not very effective because perceptions and attitude towards the ICTs systems by medical staff was very not positive (mean = 2.29), knowledge of the use of ICT systems, (mean = 3.26) and skills (mean = 3.15) were average.
Factors affecting Utilization of Oral and Dental Services among Patients attending Dental Clinic at Katate Health Center IV, Kanungu District. A cross-sectional Study.
Authors:   , Arineitwe Syrus 
Published: February 2023

Background. The Global Burden of Disease Study (2017) estimated that oral diseases affect 3.5 billion people worldwide, with untreated dental caries being among the most prevalent non-communicable diseases (WHO, 2017). The main objective of this study was to determine the factors affecting the utilization of oral and dental services at Katate Health Centre IV, Kanungu district. Methodology. A descriptive cross-sectional study was done on 61 randomly sampled respondents from whom data was collected using a questionnaire and then analyzed using SPSS version 21. Results. The study identified individual factors affecting the utilization of oral and dental services which were; traditional beliefs (4.6%), traditional healers being part of dental care (67%), use of native herbs (63.9%), lack of awareness (80%), myths and misconceptions (21.3%) and some believe that dental caries and tooth extractions do not require medical interventions (9.8%). More still, the study revealed different socio-economic factors which included; high costs of dental service (71%), unemployment (19.7%), lack of insurance (75%), low levels of education (77%), and low family income (50.8%). Health system-related factors were; poor transport systems (55.7%), long distances (47.4%), poor relationship with the health workers (23%), long waiting times and delays (19.7%), lack of confidentiality (29.5%), inconveniences at oral and dental care clinics (32.8%). Conclusion. Factors affecting Utilization of Oral and Dental Services include Traditional beliefs and traditional healers, myths, and misconceptions, Unemployment, low education levels, low family income, and high costs. Long waiting times, lack of confidentiality, and poor relationship with health workers. Recommendation. There is a need for the administration of Katate Health Centre IV in Kanungu district in conjunction with the Ministry of Health to ensure that dental services including dental equipment, sundries, drugs, and medical dental practitioner available for clients at every level of health care.
Vesico-Uterine Fistula following a Caesarean Section: A Case study.
Authors:   , Habimana Edson Willy , Malumba Richard 
Published: February 2023

Background: Vesico-uterine fistula refers to abnormal communication between the urinary bladder and the uterine cavity. It’s among the obstetric fistulas which occur as part of the complications of medico-surgical procedures such as post-caesarian sections, and post-irradiation as in cancer treatment among others. About two million women worldwide have genital fistula with an annual incidence of 50,000 to 100,000 cases. In sub-Saharan Africa. an estimated 33,000 new fistula cases occur each year. Case presentation: This case study was of a 34-year-old female who came into the hospital complaining of long-standing abdominal pains associated with constant vaginal watery discharge, menstrual irregularities, painful sexual intercourse, and on-and-off urinary incontinence. All these started after a caesarian section was done one year ago. Her past Obstetric history revealed that she had ever had two vaginal deliveries and 1 caesarian section a year ago. Results: On ultrasonography, it was revealed that there was a defect in the continuity of the anterior wall of the uterus making a connection between the endometrial cavity and the urinary bladder. This was in line with the definition of a vesicouterine fistula. Conclusion: The report concluded that vesicouterine fistula is one of the genital urinary fistulae that can occur following a caesarian section and with increasing trends directly proportional to an increase in the incidence of caesarian sections. Recommended: That every mother who has had a caesarian section should do a post-natal ultrasound at least within the first 6 months following the operation. This will help to identify potential genito-urinary fistulas earlier enough which can improve their overall management.
The Menstrual Hygiene Management practices among Secondary school Girls of Lira Sub-County Lira City West. A cross-sectional study.
Authors:   , Nakaweesi Margret 
Published: February 2023

Background: Menstrual hygiene management (MHM) remains a public health concern globally, and menstruating girls in school environments face several challenges which include a lack of adequate, clean, safe, private toilets with water and disposal mechanisms for used menstrual materials, a lack of information, guidance, and support on their changing bodies and insufficient materials for managing monthly menstrual flow. Despite the initiative of several organizations to create awareness and highlight the importance of good MHM, the actual proposed actions to address MHM are still largely underdeveloped Aim: This study aimed at assessing the MHM practices among secondary school girls in the Lira Sub-County Lira City West division. Method: A cross-sectional study employing quantitative techniques was done. Data was collected from 312 participants by the use of semi-structured questionnaires. Data entry and analysis were done using SPSS version 23. Result: Poor menstrual hygiene management practice was 61.5%, and the age of respondents (P-value 0.000), mother’s education level (P-value 0.011), and father’s occupation (P-value 0.011), were significantly associated with MHM practices with a P value <0.05. Conclusion: Almost two-thirds (61.5%) of the students had poor MHM practices. Although there are some cases of sanitary pad usage, still MHM practices are unhygienic indicating that water, sanitation, and hygiene facilities in the schools need urgent solutions.