bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effects of a Digital Patient Empowerment and Communication Tool on Metabolic Control in People With Type 2 Diabetes: The DeMpower Multicenter Ambispective Study
Authors: Orozco-Beltrán Domingo , Morales Cristóbal , Artola-Menéndez Sara , Brotons Carlos , Carrascosa Sara , González Cintia , Baro Óscar , Aliaga Alberto , Ferreira de Campos Karine , Villarejo María , Hurtado Carlos , Álvarez-Ortega Carolina , Gómez-García Antón , Cedenilla Marta , Fernández Gonzalo 
Published: August 2022

Background
Diabetes is a major health care problem, reaching epidemic numbers worldwide. Reducing hemoglobin A1c (HbA1c) levels to recommended targets is associated with a marked decrease in the risk of type 2 diabetes mellitus (T2DM)–related complications. The implementation of new technologies, particularly telemedicine, may be helpful to facilitate self-care and empower people with T2DM, leading to improved metabolic control of the disease.

Objective
This study aimed to analyze the effect of a home digital patient empowerment and communication tool (DeMpower App) on metabolic control in people with inadequately controlled T2DM.

Methods
The DeMpower study was multicenter with a retrospective (observational: 52 weeks of follow-up) and prospective (interventional: 52 weeks of follow-up) design that included people with T2DM, aged ≥18 and ≤80 years, with HbA1c levels ≥7.5% to ≤9.5%, receiving treatment with noninsulin antihyperglycemic agents, and able to use a smartphone app. Individuals were randomly assigned (2:1) to the DeMpower app–empowered group or control group. We describe the effect of empowerment on the proportion of patients achieving the study glycemic target, defined as HbA1c≤7.5% with a ≥0.5% reduction in HbA1c at week 24.

Results
Due to the COVID-19 pandemic, the study was stopped prematurely, and 50 patients (33 in the DeMpower app–empowered group and 17 in the control group) were analyzed. There was a trend toward a higher proportion of patients achieving the study glycemic target (46% vs 18%; P=.07) in the DeMpower app group that was statistically significant when the target was HbA1c≤7.5% (64% vs 24%; P=.02) or HbA1c≤8% (85% vs 53%; P=.02). The mean HbA1c was significantly reduced at week 24 (−0.81, SD 0.89 vs −0.15, SD 1.03; P=.03); trends for improvement in other cardiovascular risk factors, medication adherence, and satisfaction were observed.

Conclusions
The results suggest that patient empowerment through home digital tools has a potential effect on metabolic control, which might be even more relevant during the COVID-19 pandemic and in a digital health scenario.
SOFTWARE DEFINED EVERYTHING (SDx/SDE) : Paradigma Automasi Jaringan Infrastruktur Teknologi Informasi
Authors: Wahyuni Sri 
Published: August 2022

Selama dekade terakhir, infrastruktur Teknologi Informasi (TI) telah berkembang pesat seiring dengan kebutuhan pengguna. Teknologi radio seperti WI-FI 6, 5G dan perkembangan transmisi optik menjadikan konektivitas semakin mudah. Internet of Things (IoT) merupakan contoh konektivitas antar sistem yang terintegrasi. IoT mengubah paradigma infrastruktur IT yang saat ini semakin mobile dan diproses secara cloud. Semakin meluasnya adopsi IoT membuat kehidupan menjadi lebih mudah dan nyaman. Dibutuhkan solusi arsitektur yang memudahkan dalam melakukan manajemen jaringan. Artikel ini memaparkan hasil kajian Pustaka tentang Software Defined Everything (SDx/SDE) yang menghadirkan solusi dalam manajemen jaringan yang terukur, aman, dan otomatis menghubungkan pengguna kepada aplikasi dan data yang berpencar dibeberapa lokasi. SDx/SDE merupakan suatu wadah yang menunjukkan pergeseran dalam mengontrol akses ke jaringan, pusat data, dan penyimpanan. Tujuan dari SDx/SDE adalah menambahkan lebih banyak programabilitas ke dalam infrastruktur TI dengan memisahkan bagian manajemen dari perangkat keras, sehingga dapat diatur secara fleksibel dan automasi sesuai kebutuhan pengguna.
PEMANFAATAN E-LEARNING DALAM PEMBELAJARAN PENDIDIKAN KEWARGANEGARAAN
Authors: Nurgiansah T Heru 
Published: August 2022

Abstract: The era of globalization is characterized by the development and utilization of technology that is increasing in various areas of life, including the field of education. Learning activities are shifting in an increasingly modern and innovative direction. The use of the internet and electronic devices is absolutely used in today's learning. E-Learning is one of the most widely done learning media by all circles, ranging from basic education to college. The purpose of this research is to find out the utilization of E-Learning in learning, especially in the learning of Citizenship Education at the University of PGRI Yogyakarta. There is or is no Covid-19 Pandemic, E-Learning will still be used. This research method uses a qualitative method with data collection instrument through observation, interview, documentation, and literacy. The results of this study show that E-Learning is very useful in online learning today so that students and lecturers begin to get used to non-face-to-face learning or distance learning.
Keywords: E-Learning, Citizenship Education.

Abstrak: Era globalisasi ditandai dengan perkembangan dan pemanfaatan teknologi yang semakin meningkat dalam berbagai bidang kehidupan, termasuk bidang pendidikan. Kegiatan pembelajaran bergeser ke arah yang semakin modern dan inovatif. Penggunaan internet dan alat-alat elektronik mutlak digunakan dalam pembelajaran di masa sekarang. E-Learning merupakan salah satu media pembelajaran yang paling banyak dilakukan oleh semua kalangan, mulai dari pendidikan dasar sampai di perguruan tinggi. Tujuan penelitian ini adalah untuk mengetahui pemanfaatan E -Learning dalam pembelajaran khususnya pada pembelajaran Pendidikan Kewarganegaraan di Universitas PGRI Yogyakarta. Ada atau tidak adanya Pandemi Covid-19, E-Learning tetap akan digunakan. Metode penelitian ini menggunakan metode kualitatif dengan instrumen pengumpulan datanya melalui observasi, wawancara, dokumentasi, dan literasi. Hasil penelitian ini menunjukan bahwa E-Learning sangat bermanfaat dalam pembelajaran online saat ini sehingga mahasiswa dan dosen mulai terbiasa dengan pembelajaran non-tatap muka atau pembelajaran jarak jauh.
Kata kunci: E-Learning, Pendidikan Kewarganegaraan.
Teknik Perbanyakan Tanaman Melinjo (Gnetum gnemon) Dengan Cara Okulasi Sambung
Authors: Rahayu Esi , Rahmawati Lina , Sampirlan  
Published: August 2022

Melinjo salah satu tanaman yang termasuk dalam produk hortikultura yang seluruh bagian tanaman dapat dimanfaatkan dari biji, batang, akar dan daun maka tidak sedikit masyarakat ingin menanamnya. Okulasi sambung merupakan teknik modern untuk memperbanyak tanaman dan berbuah cepat sesuai keinginan dengan cara menyambung stek tunas(batang atas) yang berasal dari suatu tanaman induk tanaman lain kemudian divakum selama 40 hari. Bahan yang digunakan berupa plasti ¼ atau ½ tergantung dari besarnya ujung entres. Metode yang digunakan berupa metode survay, dengan melihat tinggi tanaman, jumlah daun yang tumbuh dan aksial atau ketiak daun. Hasil penelitian ini menunjukkan dari 5 tanaman yang ditanam 3 tanaman yang hidup dan 2 tanaman yang mati. Faktor lingkungan dari cahaya,iklim, pengikatan sambungan, serangga yang nokturnal, kelembaban dan suhu udara sangat mempengaruhi perkembangbiakan tanaman.
تطبيق طريقة المشكلات لترقية كفاءة الطلاب في القواعد النحوية بمعهد دار السعادة تيفين رايا أتشيه
Authors: Hadi Abdul 
Published: August 2022

كان الموضوع لهذا البحث " تطبيق طريقة المشكلات لترقية كفاءة الطلاب في القواعد النحوية " بمعهد دار السعادة تيفين رايا أتشيه ( إندونسي) . ووجد الباحث أن أكثر الطلاب لا يستطيع أن يقرأوا قراءة صحيحة و سليمة لأن لهم مشكلات في قواعد النحو, و لحل هذه المشكلات يحتاج إلى الطريقة الفعالة. وأما الأغراض التي يستفدفها الباحث في هذا البحث لمعرفة طريقة المشكلات الفعالة لترقية كفاءة الطلاب على القواعد النحوية و كيفية تطبيق طريقة مشكلات لترقية كفاءةهم عليها. وأما منهج البحث في هذا البحث هو منهج تجريبي, و لجميع البيانات فيعتمد الباجث على الأدوات الإختبارية و بملاحضة مباشرة. وفي تحليل البيانات يستعمل الباحث الرموز T tes وهي : ومن النتائج المحصولة في هذا البحث أن نتيجة الإختبارات t-tes 3,26 و أما نتيجة t-tabel =3,055 فظهر لنا أن نتيجة الإختبارات t-tes أعلى من . t-tabel وأما الفرض الذي قدمه الباجث في هذا البحث أن تطبيق طريقة المشكلات لا تؤثر في ترقية كفاءة الطلاب في القواعد النحوية و إذا نظرنا إلى نتيجة الإختبارات (t-tes ) السابقة أن نتيجة الإختبارات t tes أعلى من t- table فيكون الفرض في هذا البحث مردودا فطريقة المشكلات تكون فعالة في ترقية كفاءة ال طلاب في القواعد النحوية.
Sectoral Financing Concentration and Profitability of Islamic Banking in Indonesia
Authors: Widarjono Agus , Anto M.B. Hendrie , Sidiq Sahabuddin 
Published: August 2022

This paper investigates the extent to which sectoral financing concentration affects the Islamic banks' profitability in Indonesia. As additional control variables, we include bank-specific and macroeconomic conditions. This study utilizes the aggregated financial statements of Islamic banks in Indonesia from January 2010 through December 2019 and analyzed with the Autoregressive distributed lag (ARDL) model. The results confirm cointegration evidence, demonstrating the long-term relationship between the dependent and independent variables. The results clearly indicate that sectoral financing concentration increases the profitability of Islamic banks. Furthermore, excessive financing and high non-performing financing reduce the profitability of Islamic banks. As a financial sector, Islamic banks' performance is contingent on favorable economic and macroeconomic conditions, such as high economic growth and low inflation. These findings imply that Islamic banks must employ skilled workers who are experts in related economic sectors, which is one of the primary goals of Islamic bank financing.========================================================================================================== ABSTRAK – Konsentrasi Pembiayaan Sektoral dan Profitabilitas Bank Syariah di Indonesia. Tulisan ini mengkaji sejauh mana konsentrasi pembiayaan sektoral mempengaruhi profitabilitas bank syariah di Indonesia. Sebagai variabel kontrol tambahan, kami menyertakan kondisi spesifik bank dan variabel makroekonomi. Penelitian ini menggunakan agregat laporan keuangan bank syariah di Indonesia dari Januari 2010 sampai Desember 2019 dan dianalisis dengan model Autoregressive distributed lag (ARDL). Hasil kajian mengkonfirmasi bukti kointegrasi, yang menunjukkan hubungan jangka panjang antara variabel dependen dan independen. Hasil kajian memperjelas bahwa konsentrasi pembiayaan sektoral dapat meningkatkan profitabilitas bank syariah, sementara pembiayaan yang berlebihan dan pembiayaan bermasalah yang tinggi mengurangi profitabilitas bank syariah. Sebagai institusi yang bergerak di sektor keuangan, kinerja bank syariah sangat bergantung pada kondusifitas sistem ekonomi dan kondisi makroekonomi, seperti pertumbuhan ekonomi yang tinggi dan inflasi yang rendah. Temuan ini menyiratkan bahwa bank syariah harus mempekerjakan pekerja terampil yang ahli di sektor ekonomi terkait, yang merupakan salah satu tujuan utama pembiayaan bank syariah.
Peer Effects and Disclosure Timing: Evidence from Earnings Announcements
Authors: Truong Phong 
Published: August 2022

ABSTRACT
I study whether there are peer effects in disclosure timing decisions. Using plausibly exogenous variation in the timing of peers’ earnings announcements based on a threshold in Securities and Exchange Commission (SEC) reporting deadline rules, I find that a focal firm responds to a peer’s early announcement by announcing its own earnings early. Consistent with attention competition, early-announcing peers attract market attention away from the focal firm, incentivizing it to also accelerate its own announcement. Moreover, peer effects impose significant negative spillover effects in the form of increased accounting-related costs on firms facing peer pressure to report early. My findings highlight a novel externality of peer effects in disclosure that has important implications for policymakers concerned with the timing of information releases.
JEL Classifications: M41; M42; M48.
Safety and Tolerability of Strength Training in Spinal and Bulbar Muscular Atrophy: A Case Report
Authors: Shieh Vincent , Zampieri Cris , Stout Paul , Joe Galen O. , Kokkinis Angela , Fischbeck Kenneth H. , Grunseich Christopher , Shrader Joseph A. 
Published: August 2022

Objective: Spinal and bulbar muscular atrophy is characterized by slow-progressive muscle weakness, decreased functional performance and falls. Research into the use of exercise in spinal and bulbar muscular atrophy has shown equivocal to negative results, although authors suggest that patients with spinal and bulbar muscular atrophy may benefit from both increased exercise intensity and shorter bout duration. The aim of this case report is to explore the safety of a moderate-intensity strength training programme coupled with dynamic balance and function-specific training in a patient with spinal and bulbar muscular atrophy.Case report: A 56-year-old man with spinal and bulbar muscular atrophy presented with multiple falls and declining performance in physical, vocational, and recreational activities. Examination revealed several musculoskeletal impairments that were sub-clinical to mild compared with an SBMA natural history cohort.Intervention and outcome: A 15-week moderate-intensity exercise programme combining weightlifting and functional exercises was performed under clinical supervision. Exercise volume, frequency and intensity were adjusted based on patient-reported outcomes and muscle damage blood markers. Performance-based and selfreported functional improvements occurred that exceeded the minimal clinically important difference. The intervention was well tolerated and the patient nearly doubled his baseline 10-repetition maximums for weight-lifting exercises. Conclusion: Exercise therapy combining weightlifting and upright functional training led to meaningful performance improvements in this case of a patient with spinal and bulbar muscular atrophy and relatively low disease burden.
LAY ABSTRACTSpinal and bulbar muscular atrophy (SBMA) is a rare neuromuscular disease characterized by slow-progressive muscle weakness, decreased functional performance, and falling. With limited research for guidance, medical practitioners often advise patients with SBMA to avoid weight lifting or intensive exercise. The patient was a high-functioning 56-year-old man with SBMA who struggled with performing daily activities and intensive physical work demands. He participated in a closely monitored 15-week exercise program that combined weight lifting and functional exercises. The patient safely tolerated the program, self-reported physical improvements, and nearly doubled the weight for lifting exercises. This case report highlights one individual with SBMA who benefitted from moderate-intensity exercise, including weight lifting, under careful clinical supervision. More research is needed before this intervention can be recommended for people with SBMA.
Efetividade do contrato internacional face a pandemia do Covid-19
Authors: Dias de Oliveira Fábio 
Published: August 2022

A pandemia causada pelo Covid-19 refletiu na economia mundial, grande parte na revisão dos contratos internacionais especialmente de compra e venda de mercadorias e insumos que, certamente serão descumpridos – ou cumpridos parcialmente – seja em virtude de paralisações na cadeia produtiva de suprimentos (supply chain), seja ainda os problemas de ordem logística. Procuraremos entender esse desequilibro contratual decorrente da crise médica internacional, como esta afetou a economia e a aplicabilidade do Direito internacional, para correção das disparidades daí decorridas.
A norma utilizada tende a ser o Decreto nº 8.327, de 16 de outubro de 2014, que promulga a Convenção das Nações Unidas sobre Contratos de Compra e Venda Internacional de Mercadorias, conhecida como convenção de Viena. Assim, procuraremos verificar quais são os meios internacionais para efetivação do contrato em razão do seu descumprimento e os Princípios do direito Internacional.
The use of a hyperosmolar irrigation solution is safe in an equine stifle joint model but does not reduce joint swelling
Authors: Hayden Lyndsey R. , Stoker Aaron M. , Johnson Philip J. , McCracken Megan J. 
Published: August 2022

Abstract

OBJECTIVE
To determine the following: (1) whether an irrigation solution that is hyperosmolar (HYPER) relative to synovial fluid decreases tissue extravasation during an arthroscopic protocol when compared to a relatively hypoosmolar solution, (2) the safety of a HYPER solution based on viability of joint tissues following joint irrigation, and (3) if the use of a HYPER solution decreases water content in stifle joint tissue.

ANIMALS
8 adult horses.

PROCEDURES
A prospective, blinded, randomized controlled trial was performed to compare lactated Ringer’s solution (LRS; 273 mOsm/L) and a HYPER (600 mOsm/L) irrigation solution for routine medial femorotibial joint (MFTJ) arthroscopy. Primary outcomes included quantification of periarticular fluid retention based on measured changes in defined stifle joint girth and ultrasonographic (US) criteria. Water content of tissue samples was assessed. The viability of articular cartilage was determined using a microscopic fluorescent cell viability staining system.

RESULTS
No significant difference in postprocedural joint swelling was observed between LRS and HYPER treatment groups. Percent increments in femorotibial joint dimensions (mean ± SD) were seen in both treatment groups based on US (LRS, 83.9 ± 84.6%; HYPER, 131.2 ± 144.9%) and caliper measurements (LRS 5.5 ± 4.3%; HYPER 7.5 ± 5.8%) (P ≤ .05). Chondrocyte viability and tissue water content were maintained in both treatment groups, and differences were not statistically significant.

CLINICAL RELEVANCE
Doubling the osmolarity of an irrigation solution used routinely for arthroscopy does not result in detrimental effects on chondrocyte viability or tissue water content. However, use of a relatively HYPER irrigation solution did not attenuate procedural tissue swelling of the equine stifle joint.
PERBAIKAN MANAJEMEN PEMELIHARAAN KERBAU MURRAH SEBAGAI PENGHASIL SUSU DAN DADIH DI KECAMATAN TILATANG KAMANG KABUPATEN AGAM
Authors: Roza Elly , Yellita Yulia , Elihasridas Elihasridas , Rakhmadi Ade , Rizqan Rizqan 
Published: August 2022

Kegiatan ini dilaksanakan pada Kelompok Tenak Kelok Rambai, Nagari Kapau, Kecamatan Tilatang Kamang, Kabupaten Agam. Kelompok Tani Ternak Sapi Kelok Rambai merupakan kelompok ternak yang memelihara kerbau Murrah, akan tetapi belum menerapkan manajemen pemeliharaan yang baik. Manajemen pemeliharaan yang belum terkelola dengan baik inilah serta minimnya pengetahuan peternak merupakan kendala utama yang dihadapi di lokasi kegiatan sehingga produktivitas ternak kerbau Murrah masih sangat rendah. Kegiatan ini bertujuan untuk perbaikan manajemen pemeliharaan, perbaikan pendapatan peternak kerbau Murrah dengan penerapan manajemen yang baik dan penerapan IPTEK dan hasil riset dalam upaya pengembangan usaha yang mandiri. Metode kegiatan yang dilakukan dalam kegiatan ini adalah pemberdayaan masyarakat partisipatif meliputi penyuluhan, pelatihan/percontohan, bimbingan/pembinaan, diskusi/konsultasi serta evaluasi/monitoring. Diharapkan dari kegiatan yang dilakukan pada Kelompok Tani Ternak Sapi Kelok Rambai dapat meningkatkan pendapatan kepada anggota kelompok, penerapan manajemen pemeliharaan yang baik, terjadinya peningkatan motivasi, ada pemanfaatan teknologi tepat guna dan menjadikan nagari Kapau sebagai salah satu sentral peternakan kerbau Murrah penghasil susu dan dadih di Sumatera Barat.
SOSIALISASI PENERAPAN KESEHATAN DAN KESELAMATAN KERJA DAN PENGENDALIAN BAHAYA DI SMKN 2 BENGKULU UTARA
Authors: Febrianti Tiara , Syaiful Ferry Lismanto 
Published: August 2022

K3 (Kesehatan dan Keselamatan Kerja) merupakan kebijakan pemerintah dalam menjamin kesehatan dan keselamatan bagi pekerja. Berdasarkan undang-undang No. 1 tahun 1970 tentang Kesehatan dan Keselamatan Kerja, perlu adanya pengetahuan dan ketentuan tentang K3 untuk menghindari kemungkinan terjadinya risiko kecelakaan kerja. Penerapan K3 ini juga diperlukan agar dapat menggunakan alat, sarana, dan prasarana dengan aman dan efisien. Kegiatan ini bertujuan memberikan edukasi dan meningkatkan pemahaman siswa-siswi SMKN 2 Bengkulu Utara tentang pengenalan potensi bahaya dan pengendalian bahaya sebagai bekal dan pengetahuan dasar bagi siswa-siswi sebelum melaksanakan magang demi menjamin kesehatan dan keselamatan kerja bagi siswa-siswi, meminimalisir terjadinya kecelakaan kerja. Kegiatan ini dilaksanakan di SMKN 2 Bengkulu Utara. Sasaran dari kegiatan ini yaitu siswa-siswi SMKN 2 Bengkulu Utara. Kegiatan ini dilakukan dengan metode sosialisasi berupa ceramah atau persentasi, evaluasi, dan pembagian poster. Hasil yang diperoleh dari kegiatan sosialisasi dan evaluasi yaitu adanya peningkatan pemahaman dan pengetahuan siswa tentang penerapan K3 di tempat kerja. Hasil yang diperoleh dari pembagian poster K3 yaitu adanya peningkatan pemahaman siswa tentang pengenalan identifikasi bahaya dan pengendalian bahaya di tempat kerja. Berdasarkan kegiatan ini dapat disimpulkan bahwa siswa-siswi SMKN 2 Bengkulu Utara mendapatkan edukasi terkait pengenalan potensi bahaya dan pengendalian bahaya dan adanya peningkatan pemahaman siswa terhadap penerapan K3 di tempat kerja. Kegiatan ini diharapkan mampu meningkatkan kesadaran siswa akan pentingnya melakukan penerapan K3.
Developing Board Game to Improve Students’ Grammar Mastery of The Eleven Grade Students of SMKN 4 Malang
Authors: Alvin Supandhi Moh Mario , Degeng Putu Dian Danayati , Isnaini Hasbulah 
Published: August 2022

A board game is a type of play where participants follow defined rules. A board games as the utilization of games to support teaching and learning grammar. Board games that incorporate curriculum content or other educational material are referred to as educational games (Michel, 2016). Educational games can be considered as an example of these fun-based teaching methods. This study uses Research and Development (R&D) design, it develops supplementary material for helps students to learning grammar. The product was designed through adopted stages of development from Akker (1999). The researcher found every aspect of the board game in this research then can be used as upplementary material for students have more knowledge on how to arrange a word by word to make a apropriate sentence, how to learn about tenses, how to make a teamwork with partner, how to handle certain situation and also how to develop themselves better as a student will be. In this addition, the researcher discussed the material of the the product. The first step was preliminary stage the researcher used SMKN 4 Malang as a place of observation. Second, the formative evaluation phase or analysis stage, the researche was interviewing a english teacher in SMKN 4 Malang to know the problem of students to learning grammar. The third step was prototyping. In this step, the researcher design the product (TANGAMES board game) An expert give the feedback to product. The product is validated by expert to make sure that the product meets the requirements needed as a proper teaching media that can be used in teaching process. After feedbacks received, the product then will be tested in SMKN 4 Malang. Next stage is interviewing, Some students will be interviewed by the research to know the effectiveness of the product. Last stage, product will be revised and adjusted as needed.