bluuebunny/crossref_metadata_2025_split huggingface dataset:
Different Training Sessions Impact on Serum Protein Profile of Saudi Professional Soccer Players
Authors: Alshuwaier G O , Ghazzawi H A , Alaqil A I , Alsharif Y R , Bursais A K , Amawi A T 
Published: August 2022

Background:
Serum proteins serve as biomarkers for athletes and recreationally active individuals; they reflect the positive nitrogen growth balance alongside the onset of fatigue.

Aim:
To investigate the impact of training sessions on serum proteins is crucial to monitor their impact on athletes' future performance.

Patients and Methods:
A cross-sectional study to compare serum blood protein biomarker (albumin blood, blood urea nitrogen, total protein, uric acid, and creatinine), in 43 young Saudi professional soccer players in Riyadh, levels were measured pre- and post-training sessions across a 3-day period.

Results:
Significant differences were found between training sessions from day 1 to day 3 in addition to the significant differences between post- and pre-training sessions with P > 0.05. Creatinine levels increased significantly in the players' blood samples post-training on all 3 days of training (P = 0.01). Albumin was the only serum protein biomarker that showed no significant changes pre- and post-training, while albumin levels varied by a statistically significant amount (P = 0.02) between pre-training (day 1 and day 2) and post-training (day 1 and day 3) periods.

Conclusion:
As biomarkers, serum proteins may provide good indicators that can be used to organize training schedules to achieve optimal outcomes. In this study, creatinine was the most sensitive biomarker measured post-training; it can be considered a critical biomarker while blood urea was the least sensitive.
Performance du système de santé camerounais dans la protection financière des ménages
Authors: Chomssem Defo Charles Michel 
Published: August 2022

Pour contribuer à la performance du système de santé, l’objectif de l’article est d’analyser sur le long terme sa capacité à protéger les ménages contre les risques financiers liés à la santé. Les deux principales variables étudiées sont l’incidence de la catastrophe financière et l’appauvrissement des ménages dus aux dépenses de santé, mesurés à partir des données des trois dernières Enquêtes Camerounaises Auprès des Ménages (2001, 2007 et 2014) et selon plusieurs approches pour assurer la robustesse des estimations. Une nette amélioration de la protection financière s’observe entre 2001-2007 sous la mise en oeuvre des politiques engageant de fortes dépenses sociales. Tandis qu’entre 2007-2014, la situation s’est plutôt dégradée sous les politiques de croissance inclusives engagées. L’analyse au Cameroun et ailleurs montre que la meilleure performance en matière de protection financière en santé est plus liée à la gouvernance et à la structure économique qu’à une politique de financement de la santé. Une bonne combinaison de politiques de financement ciblées est suggérée. Ainsi que le développement d’une économie peu extravertie devant soutenir un système de santé autonome, doté d’une offre suffisante et de qualité, et avec un système efficient et transparent de mise en oeuvre et suivi-évaluation.
To contribute to the performance of the health system, the objective of the article is to analyse over the long term its ability to protect households against financial risks related to health. The two main variables studied are the incidence of the financial catastrophe and the impoverishment of households due to health expenditure. They are measured from data from the last three Cameroonian Household Surveys (2001, 2007 and 2014) and according to several approaches to ensure the robustness of the estimates. A marked improvement in financial protection can be observed between 2001-2007 under the implementation of policies involving high social expenditure. While between 2007-2014, the situation rather deteriorated under the inclusive growth policies undertaken. Analysis in Cameroon and elsewhere shows that the best performance in health financial protection is more related to governance and economic structure than to health financing policy. A good combination of targeted financing policies is suggested. As well as the development of a less extroverted economy to support an autonomous health system, endowed with sufficient and quality supply. The said health system should also have an efficient and transparent system of implementation and monitoring- evaluation.
Extended Orbital Exenteration: Proposal for Modification of Meyer and Zaoli’s Classification
Authors: FOMETE Benjamin , OMEJE Kelvin Uchenna , AGBARA Rowland , ADEBAYO Ezekiel , IKHEKUAMEN Ernest , AMOLE Olusola 
Published: August 2022

Background: The orbital exenteration classification by Meyer and Zaoli has become popular in the literature as a means whereby clinicians present exenteration procedures. Although Meyer and Zaoli’s classification is adopted in our practice
Objective: To propose a modification of Mayer and Zaoli’s classification to accommodate cases of orbital exenteration where one or both eyelids will be spared.
Methods: A retrospective study of cases of maxillary tumours treated with maxillectomy and orbital exenteration over a 13 years period (January 2005- December 2017) in a Nigerian tertiary health facility.
Results: They were 14 maxillectomies with orbital exenteration out of 91 maxillectomies carried out within the study period. There were more males (71.4%) than females (28.6%) and the age range was between 5 to 72 years (mean of 42.57 years, the median age was 45 years). Based on Meyer and Zaoli’s classification of orbital exenteration, 5 cases were classed as type IV, nine cases, however, could not be classified as they met all other requirements for classification as type IV except for the eyelid preservation which cannot be accounted for in Meyer and Zaoli’s classification
Conclusion: Modification of Mayer and Zaoli’s classification to accommodate orbital exenteration cases where one or both eyelids were spared will make it more complete and exhaustive
Öğretmenlerin Örgütsel Sessizlik Algılarının Çeşitli Değişkenlere Göre İimcelenmesi: Bir Meta-analiz Çalışması
Authors: YILMAZ Orhan , AYTAÇ Tufan 
Published: August 2022

Amaç: Bu çalışmanın temel amacı; öğretmenlerin örgütsel sessizlik algılarında cinsiyet, kıdem ve branş değişkenlerinin etki düzeyini ortaya koymaktır.
Yöntem: Konu ile ilgili YÖK Tez Merkezi, ProQuest, EBSCOhost ve Google Akademik, Ulusal Akademik Ağ ve Bilgi Merkezi (Türkiye Akademik Arşivi, Ulusal Toplu Katalog, Dergi Park Akademik) veri tabanları taranarak dahil edilme ölçütlerine uygun cinsiyet değişkeni için 83, kıdem değişkeni için 55 ve branş değişkeni için 28 çalışma meta analiz kapsamına dahil edilmiştir. Araştırmaya dahil edilen çalışmaların örneklem büyüklükleri, cinsiyet değişkenine göre 29058, kıdem değişkenine göre 19597 ve branş değişkenine göre 11194 öğretmendir. Verilerin analizinde Comprehensive Meta Analysis Ver. 2.2.064 (CMA) programı kullanılmıştır.
Bulgular: Yapılan analizler sonucunda tüm değişkenler için araştırmaya dâhil edilen bireysel çalışmalarda yayın yanlılığı bulunmadığı görülmüştür. Rastgele etkiler modeline göre yapılan analiz sonucunda; öğretmenlerin örgütsel sessizlik algıları üzerinde cinsiyet değişkeninin genel etki büyüklüğünün (d=0.00), kıdem değişkeninin genel etki büyüklüğünün (d= -0.07) ve branş değişkeninin etki büyüklüğünün (d=-0.06) zayıf ve önemsiz düzeyde olduğu belirlenmiştir. Tüm değişkenleri için yapılan moderatör analizleri sonucunda da istatistiksel olarak anlamlı olmayan sonuçlara ulaşılmıştır. Araştırmada ulaşılan bulgular genel olarak değerlendirildiğinde öğretmenlerin cinsiyet, kıdem ve branş gibi özelliklerinin örgütsel sessizlik algısı üzerinde etkisinin olmadığı ya da çok zayıf düzeyde olduğu görülmüştür. Araştırma bulguları üzerinde araştırma karakteristik özelliklerinin etkisi incelendiğinde; kademe türünün, yayın türünün, okul türünün, öğretmen branşının, araştırmanın yapıldığı bölgenin ve araştırmacı cinsiyetinin moderatör etkisi olmadığı görülmüştür.
Özgünlük: Öğretmenlerin örgütsel sessizlik algılarında cinsiyet, kıdem ve branşlarının etkisini bütüncül bir yaklaşımla meta-analiz yöntemi ile bir araya getirmesi bağlamında özgün bir çalışmadır.
PENINGKATAN PENGETAHUAN IBU HAMIL TENTANG CARA MENGATASI NYERI SAAT PERSALINAN MELALUI PENYULUHAN KESEHATAN
Authors: Oktapianti Rika , Triyanti Dempi 
Published: August 2022

Persalinan merupakan proses suatu rangkaian kejadian yang berakhir dengan pengeluaran bayi yang cukup bulan atau hampir cukup bulan, kemudian disusul dengan pengeluaran plasenta dari tubuh ibu. Kontraksi uterus menyebabkan keluhan nyeri persalianan yang dapat menimbulkan kecemasan dan kelelahan ibu dalam persalinan serta membawa pengaruh negatif pada kemajuan persalinan dan kesejahteraan janin. Lebih dari 91,9% wanita mengalami nyeri yang hebat dalam proses kelahiran. Proses persalinan ini bisa menimbulkan pengalaman yang negatif kepada wanita sehingga bidan dan wanita perlu mengenal dan memahami nyeri dalam proses persalinan. Tujuan pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan ibu dalam mengatasi rasa nyeri persalinan. Metode yang dilakukan dalam pengabdian masyarakat ini adalah ceramah dan tanya jawab dengan pemberian leaflet yang dihadiri 21 peserta. Hasil yang diperoleh dalam kegiatan ini terdapat peningkatan pengetahuan ibu hamil dalam mengetahui cara mengatasi rasa nyeri dalam persalinan. Peserta sangat antusias dalam memberikan pertanyaan dan hasil evaluasi didapatkan peningkatan pengetahuan dari hasil post test. Kesimpulan dari kegiatan ini adalah terjadi peningkatan pengetahuan para ibu hamil sebesar 75% dalam mengetahui cara mengatasi rasa nyeri pada persalinan yang dapat menyebabkan kecemasan dan kelelahan yang terjadi ketika pada saat persalinan sehingga ibu hamil dapat mendeteksi dini dan menghindari rasa nyeri yang berlebihan ketika bersalin dan bagi tenaga kesehatan harus memberikan motivasi pada setiap konseling ibu hamil.
HUBUNGAN STRES DAN LINGKUNGAN TERHADAP PERILAKU MEROKOK SISWA SMA IT INDAH MEDAN TAHUN 2022
Authors: Erika Erika , Rahman Dany Ghani 
Published: August 2022

Setiap orang dalam kehidupannya pernah mengalami suatu peristiwa atau permasalahan yang mengakibatkan stres. Stres merupakan korelasi khas antara individu dengan lingkungannya. Melalui observasi peneliti terhadap siswa yang ditemui saat istirahat yang merokok. Alasan yang di kemukakan siswa tersebut adalah karena terikut lingkungan pergaulan dan stress.Metode penelitian yang digunakan adalah deskriptif analitik dan analisis data menggunakan metode regresi untuk mengetahui hubungan atau pengaruh stres dan lingkungan terhadap perilaku merokok dengan melihat hasil thitung yang diperoleh.Dari hasil t hitung diperoleh bahwa thitung = 1.729 adalah jatuh didaerah penerimaan dan luas p = 0.104, Luas area p = > 0.05, hasil ini menunjukkan bahwa stres tidak mempengaruhi perilaku merokok Siswa SMA IT Indah Medan.Untuk mengetahui pengaruh lingkungan terhadap perilaku merokok, hasil menunjukkan bahwa thitung = 9.880 adalah jatuh didaerah penolakan, dan luas p = 0.000. artinya Ho ditolak. Yang berarti Ha diterima, yaitu ada hubungan atau pengaruh Lingkungan terhadap Perilaku Merokok Siswa SMA IT Indah Medan dengan Luas area p = < 0.05. Artinya ada hubungan atau pengaruh Lingkungan terhadap Perilaku Merokok Siswa SMA IT Medan.
EVALUASI PROGRAM PEMBERIAN MAKANAN TAMBAHAN UNTUK PENANGANAN GIZI BURUK BALITA DI KABUPATEN ACEH UTARA (Studi di Puskesmas Babah Buloh dan Puskesmas Seunuddon Kabupaten Aceh Utara)
Authors: Abdurrahman Khaidir 
Published: August 2022

Penelitian ini mendeskripsikan tentang Evaluasi Program pemberian makanan tambahan untuk penanganan gizi buruk balita di Kabupaten Aceh Utara. Tujuan penelitian ini adalah untuk menjelaskan Evaluasi Program pemberian makanan tambahan dalam penanganan kasus balita gizi buruk, serta faktor yang menjadi hambatan dalam upaya penanganan gizi buruk balita di kabupaten Aceh Utara, penelitian ini dilakukan di Kabupaten Aceh utara dengan mengambil sampel di Puskesmas Babah Buloh yang terletak di Ujung barat dan Puskesmas Seunuddon yang terletak di ujung Timur Kabupaten Aceh Utara, penelitian ini penting untuk dilakukan karena Kabupaten Aceh Utara merupakan daerah tertinggi dalam kasus gizi buruk. Dalam subjek penelitian ini, yang menjadi informan adalah Dinas Kesehatan Kabupaten Aceh Utara, Puskesmas Babah Buloh dan Puskesmas Seunuddon Kabupaten Aceh Utara serta Stakeholder terkait lainya. Metode penelitian yang digunakan yaitu metode kualitatif. Teknik pengumpulan data yang digunakan yaitu melalui wawancara langsung dan penelitian dokumentasi atau kepustakaan. Teori yang digunakan dalam penelitian ini adalah Evaluasi Program. Hasil penelitian menunjukkan bahwa Evaluasi program pemberian makanan tambahan untuk penanganan gizi buruk sudah dilakuakan, dengan upaya pencegahan dan pemebrian makanan tambahan, namun pemberian makanan tambahan untuk balita belum semua daerah tersentuh karena adanya keterbatasan, kurangnya tenaga ahli di bidang gizi, bahkan hamper diseluruh puskesmas di Kabupaten Aceh Utara tidak memiliki ahli Gizi serta masih lemahnya komunikasi antara puskesmas dengan Dinas kesehatan Kabupaten Aceh Utara, sehingga kasus gizi buruk balita di Kabupaten Aceh Utara terus bertambah.

Kata Kunci: Evaluasi Program, Gizi buruk Balita, Dinas Kesehatan Kabupaten Aceh Utara.
INKLUSI KEUANGAN PADA USAHA MIKRO KECIL DAN MENENGAH (UMKM) DI KABUPATEN DEMAK
Authors: Astohar Astohar , Savitri Dhian Andanarini Minar , Ristianawati Yuyun , Nugroho Prihasantyo Siswo 
Published: August 2022

Perkembangan teknologi keuangan di Indonesia saat ini sangat pesat. Perkembangan fintech memunculkan inovasi beberapa aplikasi dalam layanan keuangan seperti alat pembayaran, alat pinjaman dan lain-lain mulai dikenal pada masa digital ini. Pada pelaku bisnis seperti UMKM di Kabupaten Demak juga sebagian sudah memanfaatkan teknologi keuangan ini (fintech) ini untuk kemudahan bisnis yang dijalankan. Pada hasil survey menunjukkan para UMKM masih belum maksimal dalam penggunaan fintech demikian juga untuk tingkat inklusinya juga masih tergolong rendah. Populasi dalam penelitian ini adalah seluruh UMKM di Kabupaten Demak. Pengumpulan data menggunakan data cross section dengan metode pengambilan sampel menggunakan accidental sampling. Alat analisis menggunakan regresi berganda double step dengan melakukan pengujian lainnya seperti uji normalitas, uji penyimpangan asumsi klasik, uji goodness of fit dan uji koefisien determinasi. Untuk pengujian interveningnya menggunakan sobel test dengan program SPSS dan www.danielsoper.com. Hasil penelitian menunjukkan bahwa literasi keuangan berpengaruh positif signifikan terhadap inkluasi keuangan (H1 terbukti) dan juga berpengaruh terhadap layanan keuangan berbasis fintech (H2 terbukti). Layanan keuangan berbasis fintech berpengaruh posifit signifikan terhadap inkluasi keuangan (H3 terbukti). Layanan keuangan berbasis fintech mampu memediasi pengaruh literasi keuangan terhadap inklusi keuangan pada UMKM di Kabupaten Demak
Gender differentials in prevalence and distribution of BMI categories among older adults in various strata of society in India
Authors: Mohanty Parimala , Patnaik Lipilekha , Dutta Ambarish 
Published: August 2022

The study aims to estimate the prevalence of underweight, overweight and identified the gender differentials among various strata of 50 years and above older populations in India. A national representative cross-sectional data of n=7273 older adults from WHO’s Study on global AGEing and adult health (SAGE wave1) India, was used. Underweight was defined as body mass index (BMI) <18.5 Kg/M2 and >25 Kg/M2 as overweight. A wealth index was created by cumulating the inverse proportion rate of assets acquired by individuals. The various stratifying axes comprised age, caste, and wealth. Bi-variable cross-tabulation with Chi-squared tests was used to test the differences in the distribution of nutritional status across various strata. 35.5% were underweight, 49.7% were normal weight and 14.7% were overweight. Most women were overweight (10.9% men~18.6% women, p<0.001), and fewer women were underweight (36.5% men~34.5% women, p<0.001) reflecting a gendered difference in nutritional status. Further, there was a dose-response relationship in nutritional status. The distribution across the caste groups was significantly graded, privileged being more overweight and less privileged being underweight. A similar pattern of hierarchical difference was seen for the wealth index.
Editorial
Authors: Xu Yina 
Published: August 2022

<p class="Text">Rural community tourism (RCT) represents a kind of tourism based on rural community where local population takes control over the process and major of benefits. For tourists, it focuses on actively participating in a rural lifestyle. For destinations, it contributes to the socioeconomic and sustainable development of the country.</p><p class="Text">Nelly Condori-Fernandez from Peru and his colleagues researched to develop an Intelligent Platform (IP) that meets the needs of the different stakeholders of the RCT and published in Spanish. It’s our honor to get the authorization to translate it into English and republish on <em>Smart Tourism</em>. Furthermore, we collect detailed cases involving Chinese rural tourism such as the seedbed of Han culture Barkol, Shangluo and rural tourism in Fujian Province. Other related articles are also contained.</p><p class="Text"> </p><p class="Text" align="right">Managing editor</p><p align="right">Dr. Yina Xu</p>
The physical and the virtual in urban tourist practices—The case of Buenos Aires, Argentina
Authors: Bracco Mercedes González , Kotschack Linda 
Published: August 2022

<p class="a">In recent years, Buenos Aires has become one of the main destinations in Latin America. Promoted as the cultural capital of the region, attractive places to stroll around as well as cultural experiences are advertised to attract tourists. On the other hand, the practice of tourism has changed and the current traveler uses virtual tools that help him to know and interact with a tourist destination. Under these premises, this paper observes the role of the virtual and the physical/experiential in the construction of Buenos Aires as a tourist destination. In this sense, the question arises: What city is constructed by the websites, social networks and the tours that pass through it? How is this city physically and virtually practiced? Through the ethnographic and netnographic study that includes the inquiry of virtual media linked to local tourism and the observation of tours that travel through the city, the interaction of the physical and the virtual in tourist Buenos Aires will be analyzed. </p>
Smart tourist destinations, a new conceptual contribution for local development in Ecuador. Case “Portoviejo UNESCO Creative City”
Authors: Félix Mendoza Ángel Guillermo , Bayas Escudero Johnny Patricio , Vera Vera José Rafael , Veloz Camejo Washington Fernando , Moreira Pico Joffre Ramón 
Published: August 2022

<p class="a">The tourism activity is becoming more competitive every day, the exponential growth of technology makes possible the improvement of communications between businesses and end customers, the emergence of new applications makes it easier for tourists to acquire services in an easier way. For this and many other reasons, the public administration in tourism developed countries such as Spain is committed to the certification of Smart Tourism Destinations (STD) with criteria related to accessibility, sustainability, governance, technology and innovation. This literature review uses basic tools of content analysis to classify information from documents, manuals and specialized articles in various databases, which seek to lay the foundations that serve as a reference for new tourism studies focused on this area, new for Ecuador, but not so much around the world. Portoviejo is a city recently declared Creative City by UNESCO, the same seeks to promote a new model of tourism management, which makes use of its cultural heritage, led by the gastronomic diversity, and in turn be able to enhance this development with the evolution towards an intelligent destination. </p>
Disruptive tourism: Smart tourism routes
Authors: Pulla Pesantez Santiago Patricio , Ortega Echeverria Adriana Lucila , Castro Pacheco Kleber Patricio 
Published: August 2022

The present research aims to support the possible utilization of tourist routes and circuits in a smart way, for this purpose it is proposed to consolidate the usefulness of smart tourism territory, data visualization, data access in connectivity and sensorization infrastructures within a Smart Tourism Destination model. The objective is to understand the evolution of Information and Communication Technologies within a given space that generates information in real time of the natural and cultural tourist attractions, the accesses to them and the facilities at the time of leisure and recreation activities. The proposed route model considers transcending in the current reality of the tourism sector, which is open to work in a multidisciplinary way with other sectors that propitiate the sustainable use of cultural and natural resources through the Internet of Things.
Hubungan antara Pengetahuan tentang Covid-19 dengan Kepatuhan 3M Mahasiswa Akademi Keperawatan Ngawi
Authors: Utami Reni Tri , Prawoto Edy , Komalawati Rini 
Published: August 2022

Latar belakang : Covid-19 merupakan sebuah pandemi yang sudah menyebar luas di dunia. Hingga saat ini sekitar 40% penduduk diseluruh dunia terjangkit Virus Covid-19. Penyebaran covid salah satunya adalah karena kurangnya kesadaran dan kepatuhan dalam menerapkan protokol kesehatan yatitu 3M (Mencuci tangan, Menjaga jarak, Memakai Masker).Tujuan : Untuk menganalisis hubungan antara pengetahuan Covid-19 dengan kepatuhan 3M mahasiswa Akper Ngawi. Metode : Dalam penelitian ini menggunakan desain penelitian “Cluster Random Sampling”. adapun populasi nya adalah Mahasiswa Akper Ngawi sebanyak 63 responden, teknik pengumpulan data menggunakan goggle form dan analisa digunakan menggunakan uji Chi-Square, yaitu memaparkan pemecahan sebuah masalah Hubungan antara Pengetahuan tentang Covid-19 dengan kepatuhan 3M mahasiswa Akper Ngawi . Hasil : hasil penelitian sejumlah 63 (100%) yang pengetahuannya baik dan sebanyak 49 (78%) responden Patuh, sebanyak 14 (22%) Tidak patuh. Berdasarkan hasil tabulasi dan uji korelasi Chi-Square didapatkan nilai p= 0,516 dengan α > 0,05. Hal ini menunjukkan H1 ditolak. Kesimpulan : yang berarti tidak ada hubungan antara pengetahuan Covid-19 dengan Kepatuhan 3M.Berdasarkan hasil penelitian yang berarti tidak ada hubungan pengetahuan Covid-19 dengan Kepatuhan 3M
Pengaruh Penerapan e-SPT, Pengetahuan Perpajakan dan Kualitas Pelayanan Fiskus Terhadap Kepatuhan Wajib Pajak di KPP Pratama Jakarta Kemayoran
Authors: Syahrial Irzan 
Published: August 2022

Penelitian ini bertujuan untuk menganalisis pengaruh penerapan e-SPT, pengetahuan perpajakan, dan kualitas pelayanan pelayanan perpajakan terhadap kepatuhan wajib pajak. Populasi dalam penelitian ini adalah KPP Pratama Jakarta Kemayoran.
Sampel dalam penelitian ini adalah wajib pajak orang pribadi yang terdaftar di KPP Pratama Jakarta Kemayoran sebanyak 103 wajib pajak orang pribadi dengan penentuan sampel dikembangkan dari rumus slovin. Teknik pengambilan sampel menggunakan metode convenience sampling. Responden dalam penelitian ini adalah wajib pajak orang pribadi yang terdaftar di KPP Pratama Jakarta Kemayoran. Data dalam penelitian ini menggunakan data primer secara langsung melalui kuesioner dan dianalisis menggunakan SPSS 24. Data dianalisis untuk menguji hipotesis menggunakan analisis regresi linier berganda.
Hasil penelitian ini menunjukkan bahwa: (1) penerapan e-SPT berpengaruh terhadap kepatuhan wajib pajak. (2) pengetahuan perpajakan berpengaruh terhadap kepatuhan wajib pajak. (3) kualitas pelayanan perpajakan berpengaruh terhadap kepatuhan wajib pajak. (4) penerapan e-SPT, pengetahuan perpajakan, dan kualitas pelayanan perpajakan secara bersama-sama berpengaruh terhadap kepatuhan wajib pajak.

Kata kunci: Penerapan e-SPT, Pengetahuan Perpajakan, Kualitas Pelayanan Fiskal, Kepatuhan Wajib Pajak.