bluuebunny/crossref_metadata_2025_split huggingface dataset:
Depression and Its Association With Self-Esteem and Lifestyle Factors Among School-Going Adolescents in Kuala Lumpur, Malaysia
Authors: Ibrahim Mohamad Faez , Wan Ismail Wan Salwina , Nik Jaafar Nik Ruzyanei , Mohd Mokhtaruddin Ummi Kalthum , Ong Hooi Yee , Abu Bakar Nur Hidayah , Mohd Salleh Sahimi Hajar 
Published: June 2022

IntroductionDepression is a prevalent mental health condition worldwide and in Malaysia. Depression among adolescents has been steadily increasing. Self-esteem has been known to be associated with depression. It has been postulated that a poor lifestyle among adolescents is associated with depression. This paper aims to study the correlation of self-esteem, lifestyle (eating behavior, physical activity, and internet usage) with depression among Malaysian youth.MethodologyThis is a cross-sectional study among secondary school children from 5 random schools in an urban city of Kuala Lumpur, Malaysia. Those with intellectual disability and/or difficulty to comprehend Malay language, and without parental consent and assent, were excluded. Students from randomly selected classes aged 13-year-old to 17-year-old were invited to fill in these questionnaires: Socio-demographic Questionnaire, Rosenberg Self-esteem Questionnaire, Physical Activity Questionnaire (PAQ-A), Eating Disorder Examination Questionnaires (EDE-Q), Internet Addiction Test Scale (IAT), and Children's Depression Inventory (CDI).Result461 students participated in the study. 21.5% of the participating students were found to have depression (n = 99). Younger age and Chinese race showed significant association with adolescent depression with a p-value of 0.032 and 0.017 respectively. Other significant correlations with depression were self-esteem (p = 0.013), disordered eating (p = 0.000), lower physical activity (p = 0.014) and problematic internet usage (p = 0.000).DiscussionThe prevalence of depression among adolescents in this study (21.5%) is in line with previous prevalence studies in Malaysia. Self-esteem is postulated to be a moderating factor for depression hence explaining the significant association. A sedentary lifestyle may increase the risk of developing depression, The causal relationship between problematic internet usage and depression is complex and difficult to establish. This is similar to the relationship between problematic eating behavior and depression as well.ConclusionThere is still a need to explore the causal relationship between lifestyle factors and depression among youth. Despite that, the results from this paper have accentuated the gravity of the importance of a healthy lifestyle among adolescents. An appropriate preventive measure is governmental strategies and policies aiming at improving a healthier lifestyle in this age group.
Age, Motivation, and Emotion Regulation Skills Predict Treatment Outcome in an Internet-Based Self-Help Intervention for COVID-19 Related Psychological Distress
Authors: Brog Noemi Anja , Hegy Julia Katharina , Berger Thomas , Znoj Hansjörg 
Published: June 2022

IntroductionFirst evidence suggests that internet-based self-help interventions effectively reduce COVID-19 related psychological distress. However, it is yet unclear which participant characteristics are associated with better treatment outcomes. Therefore, we conducted secondary analyses on data from a randomized controlled trial investigating the efficacy of a 3-week internet-based self-help intervention for COVID-19 related psychological distress. In this exploratory analysis, we examined several predictors ranging from sociodemographic variables to psychological distress, resource-related, and treatment-related variables. This includes, for example, age, motivation, and emotion regulation skills. Treatment outcomes were defined as post-treatment depressive symptoms and post-treatment resilience.MethodsIn a total of 107 participants with at least mild depressive symptoms, possible predictor variables and treatment outcomes were assessed using self-report measures. For example, emotion regulation skills were assessed by the Self-report measure for the assessment of emotion regulation skills. In a first step, we performed a separate linear regression analysis for each potential predictor. In a second step, predictors meeting a significant threshold of p &lt; 0.05 were entered in linear multiple regression models. Baseline scores of the respective outcome measure were controlled for.ResultsThe mean age of the participants was 40.36 years (SD = 14.59, range = 18–81 years) with the majority being female (n = 87, 81.3%). Younger age predicted lower post-treatment depressive symptoms. Additionally, higher motivation to use the intervention and better pre-treatment emotion regulation skills predicted higher post-treatment resilience.ConclusionThe current study provides preliminary evidence regarding the relationship between participant characteristics and treatment outcome in internet-based self-help interventions for COVID-19 related distress. Our results suggest that under the circumstances surrounding COVID-19 such interventions might be particularly beneficial for young adults regarding depressive symptoms. Moreover, focusing on participants' existing strengths might be a promising approach to promote resilience through internet-based self-help interventions. However, since this was an exploratory analysis in an uncontrolled setting, further studies are needed to draw firm conclusions about the relationship of participant characteristics and treatment outcome in internet-based self-help interventions for COVID-19 related psychological distress.
Development and Validation of a Clinical Prediction Model for Complicated Appendicitis in the Elderly
Authors: Feng Hui , Yu Qingsheng , Wang Jingxing , Yuan Yiyang , Yu Shushan , Wei Feisheng , Zheng Zhou , Peng Hui , Zhang Wanzong 
Published: June 2022

BackgroundFor elderly patients with mild clinical symptoms of uncomplicated appendicitis(UA), non-surgical treatment has been shown to be feasible, whereas emergency surgical treatment is recommended in elderly patients with complicated appendicitis(CA), but it is still challenging to accurately distinguish CA and UA before treatment. This study aimed to develop a predictive model to assist clinicians to quickly determine the type of acute appendicitis.MethodsWe retrospectively studied the clinical data of elderly patients with acute appendicitis who visited the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine from January 2012 to January 2022. The patients were divided into UA group and CA group, and the general conditions, medical history, physical examination, laboratory examination and imaging examination were compared between the two groups, and SPSS 26.0 and R 4.0.2 software were used to establish CA clinic. Predict the model, and validate it internally.ResultsThe clinical data of 441 elderly patients with acute appendicitis were collected, 119 patients were excluded due to incomplete clinical data or other diseases. Finally, 332 patients were included in the study and divided into UA group (n = 229) and CA group (n = 103). By analyzing the clinical data of the two groups of patients, the duration of abdominal pain [OR = 1.094, 95% CI (1.056–1.134)], peritonitis [OR = 8.486, 95% CI (2.017–35.703))] and total bilirubin [OR = 1.987, 95% CI (1.627–2.426)] were independent predictors of CA (all p &lt; 0.01). The model's Area Under Curve(AUC) = 0.985 (95% CI, 0.975–0.994). After internal verification by Bootstrap method, the model still has high discriminative ability (AUC = 0.983), and its predicted CA curve is still in good agreement with the actual clinical CA curve.ConclusionWe found that a clinical prediction model based on abdominal pain duration, peritonitis, and total bilirubin can help clinicians quickly and effectively identify UA or CA before treatment of acute appendicitis in the elderly, so as to make more scientific clinical decisions.
Follow-up of curatively treated cancer in primary care: a qualitative study of the views of Dutch GPs
Authors: Liemburg Geertje B , Korevaar Joke C , van Zomeren Wouter TG , Berendsen Annette J , Brandenbarg Daan 
Published: June 2022

BackgroundFollow-up for cancer typically occurs in secondary care, and improved survival has increased demands on these services. Other care models may alleviate this burden, such as moving (parts of) follow-up care for curatively treated patients from secondary to primary care (care substitution).AimTo explore the opinions of GPs regarding the potential benefits, barriers, and requirements of care substitution for breast and colorectal cancer.Design and settingA qualitative study of the opinions of purposively sampled GPs in Dutch primary care.MethodFocus group sessions and individual semi-structured interviews were recorded and transcribed verbatim. Data were analysed by two independent researchers using thematic analysis.ResultsTwo focus groups (n = 14) were conducted followed by nine individual interviews. Three main themes were identified: perceived benefits, perceived barriers, and perceived requirements. Perceived benefits included better accessibility and continuity of care, and care closer to patients’ homes. Uncertainty about cancer-related competences and practical objections were perceived as barriers. Requirements included close specialist collaboration, support from patients for this change, and stepwise implementation to avoid loss of existing care quality.ConclusionMost GPs reported that they were not in favour of complete care substitution, but that primary care could have greater formal involvement in oncological follow-up if there is close collaboration with secondary care (that is, shared care), support from patients, sufficient resource allocation, stepwise implementation with clear guidelines, and monitoring of quality. Clear and broadly supported protocols need to be developed and tested before implementing follow-up in primary care.
Supporting Situational Awareness in VANET Attack Scenarios
Authors: Almani Dimah , Furnell Steven , Muller Tim 
Published: June 2022

The integration of sensors and communication technologies is enabling vehicles to become increasingly intelligent and autonomous. The Internet of Vehicles (IoVs) is built from intelligent vehicles that work collaboratively and interact with the surrounding environment in real time. The underlying communications infrastructure is provided by Vehicular Ad-hoc Networks (VANETs), for vehicle to infrastructure (V2I) and vehicle to vehicle (V2V) communications. The volume of autonomous vehicles (AVs) increases, as well as the level of automation for vehicles. The potential for related incidents and attacks increases as a result. A particular concern is the ability to disseminate alerts and emergency messages effectively and securely via the V2V/V2I nodes, given the diminishing involvement of autonomous vehicle users with the operation of the autonomous vehicles.

With this challenge in mind, this paper investigates the issue of situational awareness for occupants in autonomous vehicles. Building from the concept of VANETs and recognised classification of automation levels, the discussion considers a range of related attack scenarios that could be encountered, each of which illustrates also contexts in which occupants may need to be made aware and take decisions in response. Consideration is then given to resulting support for situational awareness that would be required, particularly highlighting the associated requirements for user responsibility at different levels of automation. The resulting discussion serves to articulate the challenge and serves as a basis for further research to inform the mechanisms to address the resulting requirements.
Pedagogical and self-reflecting approach to improving the learning within a cyber exercise
Authors: Karinsalo Anni , Saharinen Karo , Päijänen Jani , Salonen Jarno 
Published: June 2022

: In the digitalized world, there is a growing need not only to improve one’s cybersecurity skills and knowledge, but also to find ways to optimize the learning process, for example by motivating the learners or optimising the learning facilities, material and the learners for the process. Cyber exercises ran within cyber ranges/arenas (CR) are an efficient way for the exercise participants to improve their cybersecurity skills and knowledge level. The pedagogical way of orienteering the participant to a learning situation is to have a preliminary survey, which prepares the participant for the upcoming event, adds self-reflection, and may even provide feedback and background information for the educator about the upcoming event. The objective of the survey is to improve the quality of the exercise by knowing the interest areas, preferences and other useful information about the participants that is then be used optimise the exercise accordingly.
This study analyses the structure of one preliminary survey targeted for the cyber exercise event to be held in January 2022. The questions are justified according to existing frameworks. We have collected a set of structured questions presenting different topics related to the participants’ professional background and expectations towards the exercise. In addition to the short-term goal of analysing the survey for one cyber exercise, this work benefits the long-term goal for improving the skills of cybersecurity professionals. Our further work will validate the results of our preliminary analysis and analyse its correspondence with the survey results, and the final analysis constructed after the cyber exercise.
Assessing Information Security Continuous Monitoring in the Federal Government
Authors: AlSadhan Tina , Park Joon 
Published: June 2022

To confront the relentless and increasingly sophisticated cyber assaults from cybercriminals, nation-state actors, and other adversaries, the U.S. Federal Government must have mechanisms to reduce or eliminate compromise and debilitating consequences. Information Security Continuous Monitoring (ISCM) leverages technology to rapidly detect, analyze, and prioritize vulnerabilities and threats and deliver a data-driven, risk-based approach to cybersecurity. Although monitoring information system security became a requirement for government agencies over 20 years ago and billions of dollars are being spent annually for cybersecurity, ISCM remains at a low maturity level across the Federal Government. This research framework presented is part of ongoing doctoral research. The research seeks to identify the challenges achieving an effective ISCM program and inform measures needed to optimize ISCM. The research involves conducting an ISCM Program Assessment in a Department of Defense (DoD) organization using the recently published National Institute of Standards and Technology (NIST) ISCM Assessment (ISCMA) methodology and the companion assessment tool ISCMAx. An ISCM doctrine placement is presented, derived from the NIST ISCM assessment elements, to more clearly articulate and visualize the doctrine of a well-designed and well-implemented ISCM program. This research will also contribute to the knowledge base for assessing ISCM in the Federal government and the functionality of the ISCMAx tool.
Application of Geospatial Data in Cyber security
Authors: Veerasamy Namosha , Moolla Yaseen , Dawood Zubeida 
Published: June 2022

Geospatial data is often perceived as only being related to maps, compasses and locations. However, the application areas of geospatial data are far wider and even extend to the field of cybersecurity. Not only is there an ability to show points of interest and emerging network traffic conditions, geospatial data also has the ability to model cyber crime growth patterns and indicate affected areas as well as the emergence of certain type of cyber threats.
Geospatial data can feed into intelligence systems, help with analysis, information sharing, and help create situational awareness. This is particularly useful in the area of cyber security. Geospatial data is very powerful and can help to prioritise cyber threats and identify critical areas of concern.
Previously, geospatial data was primarily used by militaries, intelligence agencies, weather services or traffic control. Currently, the application of geospatial data has multiplied, and it spans many more industries and sectors. So too for cyber security, geospatial data has a wide number of uses. It may be difficult to find patterns or trends in large data sets. However, the graphic capabilities of geo mapping help present data in more digestible manner. This may help analysts identify emerging issues, threats and target areas. In this paper, the usefulness of geospatial data for cyber security is explored. The paper will cover a framework of the key application areas that geospatial data can serve in the field of cyber security. The ten application areas covered in the paper are: tracking, data analysis, visualisation, situational awareness, cyber intelligence, collaboration, improved response to cyber threats, decision-making, cyber threat prioritisation and protect cyber infrastructure It is aimed that through the paper, the application areas of geospatial data can be more widely adopted.
PENGARUH LINGKUNGAN KERJA TERHADAP KINERJA KARYAWAN PADA CV. PILAR PERKASA MANDIRI
Authors: Herlambang Muhamad Agus Teguh , Wardani Suci Fitriana Pramudya , Yuliawati Asih 
Published: June 2022

Pengelolaan sumber daya manusia secara profesional mampu mewujudkan keseimbangan antara kebutuhan karyawan dengan kemampuan organisasi. Upaya pengelolaan sumber daya dilakukan guna meningkatkan kinerja karyawan. Kinerja adalah hasil dan perilaku kerja yang diperoleh dengan cara menyelesaikan tugas dan tanggung jawab dalam jangka waktu tertentu. Kinerja dapat dipengaruhi oleh beberapa faktor diantaranya lingkungan kerja, motivasi, disiplin kerja kemampuan, dan kepemimpinan. Penelitian ini bertujuan untuk menguji pengaruh faktor lingkungan kerja karyawan CV. Pilar Perkasa Mandiri terhadap kinerja. Penelitian ini menggunakan penelitian kuantitatif dengan metode analisis regresi linier sederhana dan juga menggunakan uji-t. penelitian ini dilakukan di CV. Pilar Perkasa Mandiri. Populasi dan sampel penelitian ini adalah seluruh karyawan pada perusahaan tersebut atau total sampling. Hasil uji statistik diperoleh hasil bahwa lingkungan kerja berpengaruh secara signifikan terhadap kinerja karyawan CV. Pilar Perkasa Mandiri. Dengan adanya upaya peningkatan kondisi lingkungan kerja perusahaan yang sudah cukup baik, diharapkan mampu menghasilkan peningkatan kinerja karyawan. Sehingga diperoleh peningkatan produktivitas perusahaan CV. Pilar Perkasa Mandiri.
HUBUNGAN KEPUASAN KERJA DENGAN KINERJA PERAWAT PELAKSANA DI RUMAH SAKIT UMUM DAERAH AL – MULK KOTA SUKABUMI
Authors: Budhiana Johan , Affandi Thahira Nasagi Rosa , Ede Abdul Rahman La 
Published: June 2022

Pelayanan keperawatan merupakan salah satu sistem pelayanan kesehatan yang memiliki kontribusi penting dalam meningkatkan pelayanan rumah sakit. Keberhasilan pelayanan keperawatan sangat ditentukan oleh kinerja perawat. Jika perawat merasa puas dengan pekerjaanya maka kinerjanya pun akan baik. Tujuan penelitian ini adalah mengetahui hubungan kepuasan kerja dengan kinerja perawat pelaksana di RSUD Al – Mulk Kota Sukabumi. Kepuasan kerja merupakan sikap emosional yang menyenangkan dan mencintai pekerjaannya. Kinerja merupakan suatu hasil kerja perawat yang dilakukan sesuai dengan tugas dalam suatu organisasi.
Desain penelitian ini adalah korelasional dengan menggunakan pendekatan cross sectional. Populasi penelitian semua perawat pelaksana di RSUD Al-Mulk dengan sampel 34 orang dengan teknik total sampling. Analisa data menggunakan analisa univariat dengan mean, distribusi frekuensi dan presentase setiap kategori, analisa bivariat menggunakan uji somers’d. Hasil penelitian menunjukkan sebagian besar responden memiliki kepuasan kerja cukup puas dan kinerja baik. Analisis uji hipotesis dengan nilai P-value 0,008 dan nilai somers’d 0,380 yang menunjukkan bahwa terdapat hubungan yang lemah antara kepuasan kerja dengan kinerja perawat pelaksana. Disimpulkan sebagian besar perawat pelaksana memiliki kepuasan kerja cukup puas dengan kinerja baik serta ada hubungan kepuasan kerja dengan kinerja perawat pelaksana. Perlu adanya perencanaan yang berkaitan dengan peningkatan kepuasan kerja dan kinerja. Terutama peningkatan masalah aspek gaji dan promosi.
Pendidikan Kesehatan Reproduksi : Pendidikan Seksual Pada Remaja MA Al-Aulia
Authors: Zakiah Lela , Safitri Adinda Widuri , Karina Karina , Sulistiani Siti , Astuti Widia , Mutmainah Zahira 
Published: June 2022

Pengetahuan Pendidikan seksual pada remaja dapat mengatasi masalah kesehatan reproduksi yang dimulai dari dorongan seksual, terutama pada orangtua sebagai informasi utama dari remaja tersebut. Faktor lainnya juga sangat besar pengaruhnya dimana adanya fasilitas yg tersedia diantaranya penggunaan handpone dengan memakai biaya yang relatif terjangkau. Kegiatan pengabdian kepada remaja ini untuk memberikan informasi kepada remaja terkait kesehatan seksual yang meliputi dampak seksual, bahaya seksual dan kesehatan reproduksi. Penelitian pra eksperimen dilakukan kepada siswi MA Al-Aulia dengan random samling sebanyak 31 responden, untuk memperoleh hasil penelitian digunakan analisa uji T pada pretest dan post test dengan P value <0,05. Perhitungan uji statistic diperoleh nilai t sebesar -4,971 dan pvalue = 0,000 (p<0,05). Terdapat perbedaan yang signifikan antara Pendidikan Kesehatan dan Pengetahuan siswi tentang seksualitas.
Dukungan Ibu Dalam Pemberian ASI Ekslusif
Authors: Nurjanah Imas , Hamidah Ai , Sari Yayang Mayang 
Published: June 2022

Makanan pertama dan utama yang terbaik bagi bayi usia 0-6 bulan dalam memenuhi kebutuhan nutrisi dan untuk mengoptimalkan tumbuh kembangnya ialah cukup hanya dengan diberikan ASI Eksklusif. Meskipun banyak ibu baik diperkotaan ataupun dipedesaan belum mengetahui manfaat ASI Eksklusif. Kurangnya pengetahuan menjadi salah satu faktor kegagalan pada pemberian ASI Eksklusif, pengaruh sosial budaya dimana aktifitas ibu atau pekerjaan ibu diluar rumah menyebabkan ibu tidak bisa membagi waktu untuk memberikan ASI Eksklusif dan menyusui bayinya. Kurangnya pemberian ASI Eksklusif merupakan masalah global yang masih bayak ditemukan di berbagai negara berkembang, termasuk Indonesia. untuk meningkatkan pengetahuan dan pemahaman ibu tentang pemberian ASI ekslusif. Edukasi dilakukan dengan metode ceramah dan tanya jawab, melalui penyampaian materi secara langsung kepada ibu yang mempunyai bayi dan balita di Posyandu Flamboyan 05 Gang Makam Cilendek Barat dengan metode pengambilan sampel dengan total sampling sebanyak 25 responden, untuk memperoleh hasil penelitian digunakan analisa uji T pada pretest dan post test dengan P value <0,05. Diperoleh hasil perhitungan uji statistik dengan menggunakan komputerisasi, diperoleh nilai p < 0,05. Terdapat perbedaan nilai antara pengetahuan dan pemahaman Ibu tentang manfaat ASI ekskusif berdasarkan hasil pre test dan post test.
Edukasi Perilaku Pemeriksaan Payudara Sendiri (Sadari) Dalam Pencegahan Kanker Payudara Pada Remaja
Authors: Rahmadini Annisa Fitri , D.S Rury Kania , Agustiani Tiara 
Published: June 2022

Salah satu cara mengatasi kanker payudara adalah dengan melakukan deteksi dini melalui pemeriksaan payudara sendiri (SADARI) yang dapat dilakukan dengan mudah dan bertujuan untuk mengetahui apakah ada benjolan yang dapat menjadi kanker payudara SADARI. Kegiatan ini mengikuti metode studi lanjut melalui ceramah, tanya jawab, diskusi dan demonstrasi. Target kegiatan ini adalah 40 siswa dari MTs Antariksa, Kabupaten Sukabumi. Hasil: kegiatan yang diberikan dapat meningkatkan pengetahuan siswa MTs Antariksa Sukabumi tentang perilaku SADARI dalam pencegahan kanker payudara dengan (p-value < 0,05). Dari nilai peserta dengan pengetahuan baik sebanyak 33 orang (82,5%), diperoleh hasil perhitungan uji statistik dengan komputerisasi memperoleh nilai p value 0,000 < 0,005 Kesimpulan: Ada pengaruh penyuluhan terhadap pengetahuan siswa MTs Antariksa Sukabumi