bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effectiveness of Adding Rice Husk Nanosilica to the Flexural Strength of Opaque Porcelain Coatings on Metal Ceramic Dental Crowns
Authors: Zain Nurul Fauziyah , Sopan Sinamo  , Elisanta Desriana Br Sinuraya  , Florenly  
Published: February 2022

Background. Failure of dentures that are unable to withstand flexural forces is often a major problem in the use of metal-ceramic crowns. The use of rice husk nano-silica powder has been extensively researched in dentistry because of its ability to improve mechanical properties. This study aims to determine the effectiveness of nano-silica particles from rice husks on the flexural strength of the opaque layer on Co-Cr metal-ceramic crowns.
Methods. The type of research is experimental laboratories in vitro with posttest only control group design. The research samples were rectangular Co-Cr metal and porcelain plated on top of the metal center totaling 25 samples which were divided into 5 treatment groups. Flexural strength measurement with three-point bending at UTM. Data were analyzed by independent T-test and way ANOVA.
Results. flexural strength of Co-Cr metal ceramic crown with the addition of 0.25% rice husk silica; 0.5%; 0.75%.1% in the opaque layer is 70.431±4.168; 84.093±2.852; 100,672±4,182 and 115,092±3,821, respectively.
Conclusion. There is an increase in the flexural strength of metal ceramic crowns with the addition of 0.25% silica; 0.5%; 0.75%,1% on opaque coating.
Penguatan Integrasi TIK Dalam Pembelajaran IPA Di Era Pandemi Covid-19 Kepada Guru IPA Di Palangka Raya
Authors: Hutahaen Saulim DT , Hartanto Theo Jhoni , Dinata Pri Ariadi Cahya , S. Dermawati 
Published: February 2022

Tujuan umum program bimtek penguatan ini adalah untuk memberikan Bimbingan Teknis kepada guru-guru sekolah dasar tentang pengintegrasian TIK pada pembelajaran IPA/Fisika di SMP/SMA. Tujuan khusus Program ini adalah untuk menghasilkan (1) disain pengintegrasian TIK dalam Pembelajaran IPA/Fisika, (2) paket tugas pengintegrasian TIK dalam Pembelajaran IPA/Fisika (3) pengembangan media dan bahan ajar yang berbasis pengitegrasian TIK dalam pembelajaran. Untuk mencapai tujuan khusus Program ini ditempuh beberapa tahap pengembangan mengacu pada Thiagarajan (1974), yang dikenal dengan Four-D model, yaitu (1) tahap Define meliputi analisis kurikulum IPA/Fisika, pengkajian secara teoretik materi ipa/fisika, dan perumusan IPA/Fisika dengan tugas-tugas yang bersesuaian, (2) tahap Design meliputi: penulisan tugas-tugas pengintegrasian TIK, dan perumusan petunjuk pelaksanaan tugas-tugas bagi guru dan siswa, (3) tahap develop meliputi: uji coba terbatas (dua guru mitra), analisis hasil uji coba, revisi paket hasil uji coba, dan review dan evaluasi oleh, dan (4) tahap dissiminate meliputi: perluasan uji penggunaan paket, dan pemantauan dan evaluasi penggunaan paket. Manfaat yang dapat diperoleh dari Program ini adalah: (1) paket disain pengintegrasian TIK dalam Pembelajaran IPA/Fisika dapat menjadi pegangan/contoh dalam pembelajaran. (2) penerapan paket paket disain pengintegrasian TIK dalam Pembelajaran IPA/Fisika dapat meningkatkan pemahaman guru terhadap beberapa Teknik pengintegrasian TIK dalam pembelajaran, dan (3) paket disain pengintegrasian TIK dalam Pembelajaran IPA/Fisika ini dapat direkomendasikan kepada pemerintah, khususnya.
TeV and keV–MeV Excesses as Probes for Hadronic Process in BL Lacertaes
Authors: Cheng Ji-Gui , Huang Xiao-Li , Wang Ze-Rui , Huang Jian-Kun , Liang En-Wei 
Published: February 2022

Abstract
A hard TeV γ-ray component excess over the single-zone leptonic model prediction (TeV excess) is observed in the spectral energy distributions (SEDs) of some BL Lacs. Its origin is uncertain. We revisit this issue with four BL Lacs (1ES 0229+200, 1ES 0347–121, 1ES 1101–232, and H2356–309), in which the TeV excess is detected in their intrinsic SEDs. We represent their SEDs with a single-zone leptohadronic model, where radiations of the electrons and protons as well as the cascade electrons produced by the γγ and pγ interactions within their jets are considered. We show that the observed SEDs below the GeV gamma-ray band are attributed to the synchrotron radiations and self-Compton process of the primary electrons, and the TeV excess is explained with the γ-ray emission from the pγ process via the π
0 decay. The cascade emission of the electrons produced via the γγ and pγ interactions results in a keV–MeV excess in the SEDs, illustrated as a bump or plateau. This extra photon field enhances the production of TeV photons from the p
γ process, resulting in a reduction of the proton power by about one order of magnitude. However, the derived powers are still 3–4 orders of magnitude larger than the Eddington limit, being challenged by the current black hole accretion physics. Applying our model to Mrk 421, we propose that synergic observations with current and upcoming TeV and keV–MeV telescopes for its tentative TeV and MeV excesses can give insights to the hadronic process in its jet.
Renouveau de la présidence Obama à mi-mandat ?
Authors: Vergniolle de Chantal François 
Published: February 2022

Résumé Le chômage de masse et les déséquilibres budgétaires sont les principaux obstacles à la réélection de Barack Obama en 2012. A-t-on assisté en deux ans à l’échec d’une « greffe » progressiste sur une culture politique américaine dans laquelle certains voient un conservatisme incontournable ?
Dans quelle mesure les honoraires du mandat salarié sont-ils la rémunération du service rendu ?
Authors: Hecketsweiler Laurent 
Published: February 2022

H. Ader, A. Damien, S. Bortoluzzi, D. Piau et T. Wickers, Règles de la profession d’avocat (2018/2019), 16 e éd., Paris, 2018, p. 1347-1348 : La question de l’application du droit de la consommation aux avocats a longtemps bénéficié d’un certain flou lié à l’existence d’une réglementation spéciale, propre à la profession d’avocat, qui justifiait, selon la doctrine dominante, l’exclusion de l’application des règles du code de la consommation […]. La pleine application du droit de la consommation aux avocats, clairement affirmée tant par la Cour de cassation que par la CJUE en 2015, a des impacts certains sur les modalités d’exercice des avocats, tant s’agissant de la publicité et de la sollicitation personnalisée que s’agissant de la rémunération au niveau de la conclusion de la relation avocat - client, en matière d’obligation d’information, de formation de la convention d’honoraires et de contenu de celle-ci […].
La grammaire peut-elle être illicite ? La réponse de l’arrêt GISS et Fourtic
Authors: Moron-Puech Benjamin 
Published: February 2022

CE, 2 e et 7 e SSR, 28 févr. 2019, Association Groupement d’information et de soutien sur les questions sexuées et sexuelles (GISS) et Mme F., req. n os 417128 et 417445 : 6. […] En prescrivant d’utiliser le masculin comme forme neutre pour les termes susceptibles, au sein des textes réglementaires, de s’appliquer aussi bien aux femmes qu’aux hommes et de ne pas faire usage de l’écriture dite inclusive, la circulaire attaquée s’est bornée à donner instruction aux administrations de respecter, dans la rédaction des actes administratifs, les règles grammaticales et syntaxiques en vigueur. Eu égard à sa portée, elle ne saurait en tout état de cause être regardée comme ayant pour objet ou pour effet de porter atteinte à l’égalité entre les femmes et les hommes […].
Effects of Manikin Fidelity on Simulation-Based Nursing Education: A Systematic Review and Meta-Analysis
Authors: Kim Young-Ju , Yoo Jee-Hye 
Published: February 2022

Background:
Few studies have examined whether higher-fidelity manikins are superior to lower-fidelity manikins in nursing simulation-based education.

Method:
A database search initially yielded 2,656 studies written in English or Korean. Duplicates and irrelevant studies were excluded. Ancestry searches generated 3 additional studies, and 15 studies met the criteria.

Results:
Higher-fidelity manikins were more effective than lower-fidelity manikins in improving skill performance/clinical competence and perception of nursing students and nurses. In terms of learners' knowledge, satisfaction, and self-confidence, both higher- and lower-fidelity manikins were similarly effective for nursing students.

Conclusion:

This article provides evidence that higher-fidelity manikins do not always ensure a superior educational effect compared with lower-fidelity manikins.

[
J Nurs Educ
. 2022;61(2):67–72.]
A Model for Student Success
Authors: Sanderson Carla D. , Hollinger-Smith Linda , Cox Karen 
Published: February 2022

Background:

Institutions may be experiencing an increasing number of applicants who are underprepared for nursing study, especially institutions with access missions. Early identification and intervention can mitigate risk of attrition and unsuccessful NCLEX-RN
®
outcomes.

Method:
An initial study of approximately 1,500 graduates from a multi-campus system led to the development of a comprehensive approach to student success. The model includes identifying nonacademic success factors through an early assessment survey, implementing a data-driven admissions matrix, changing progression policies, designing a new learning-relearning approach, and offering robust cocurricular student support.

Results:
NCLEX-RN pass rates and student persistence have improved in the 4 years since implementation, and graduation rates are stable.

Conclusion:

Although improvements have been made, there is more work to do. African American students have not demonstrated overall improvements when compared to students of different racial and ethnic backgrounds. Further research is needed to test, design, and implement strategies to address social and race-related factors influencing persistence and success.

[
J Nurs Educ
. 2022;61(2):101–104.]
Change in refraction, corneal power and axial length of the eye secondary to silicone oil tamponade injection after pars plana vitrectomy
Authors: Elmadina Abdelaziz M. , Abdu Mustafa , Alrasheed Saif H. , Alrahman Nuha M.F. , Hamza Akram E. , Alobaid Mohammad A. 
Published: February 2022

Background: Refractive and ocular biometric changes after silicone oil tamponade (SOT) in phakic eyes have been studied thoroughly; however, similar studies amongst Sudanese patients with vitreoretinal conditions were not carried out.Aim: This study aimed to assess post-operative changes in refraction, corneal power and axial length after pars plana vitrectomy (PPV) with SOT in phakic patients.Setting: The study was conducted at Sudan Eye Center, Khartoum, Sudan.Methods: A cross-sectional retrospective hospital-based study was performed at Sudan Eye Center. The study included all phakic patients who underwent PPV with SOT for a variety of vitreoretinal conditions from October 2018 to January 2019. Clinical investigations included uncorrected visual acuity (VA), best-corrected VA, refraction, corneal power and axial length pre- and post-surgery. Differences in these parameters were assessed using a paired sample t-test with a significance level of 0.05.Results: Medical records of 59 consecutive patients (59 eyes, 41 men and 18 women) with ages ranging from 22 years to 75 years were studied. The findings revealed a statistically significant hypermetropic change (pre: –0.17 ± 2.44 dioptre [D] and post: +4.43 ± 2.04 D) with a p-value of 0.001. In terms of axial length, there was a significant increase (pre: 23.61 ± 1.17 mm and post: 23.82 ± 1.27 mm; p 0.001). However, no significant change was found in corneal power (pre: –43.60 ± 1.96 D and post: 43.63 ± 2.03 D; p = 0.45).Conclusion: A hypermetropic shift in refraction, longer axial length and non-considerable increase in corneal power were observed amongst Sudanese phakic patients after PPV with instillation of silicone oil.
The Safety and Tolerability of Pirfenidone in Indian Patients with Idiopathic Pulmonary Fibrosis
Authors: Nair Avinash Anil , Gupta Richa , James Prince , Irodi Aparna , Christopher Devasahayam J. , Thangagunam Balamugesh 
Published: February 2022

Background:
Idiopathic pulmonary fibrosis (IPF) is a form of progressive fibrosing interstitial lung disease with a poor prognosis. Pirfenidone is an oral antifibrotic agent used in the treatment of IPF, and it reduces the rate of decline of lung function. However, the tolerable dose and adverse effect profile appear to be different in the Indian population.

Methodology:
This prospective observational study was conducted in the Department of Pulmonary Medicine at a tertiary care center in India between January 2015 and June 2016. All adult patients diagnosed as IPF based on multidisciplinary discussion were enrolled. Subjects with active respiratory tract infection, other end-organ failures, and drugs interacting with Pirfenidone were excluded. Data collection was done with a predesigned questionnaire at baseline. Subsequently, they were followed up telephonically every week and in-person review at 3 and 6 months.

Results:
The cohort has 30 patients with a mean age of 60 years ± 4.5 (standard deviation 8.9). 80% did not tolerate the recommended total dose (40 mg/kg/day or 2400 mg/kg) and the median tolerated dose was 1800 mg/day (25–30 mg/kg). 75% reported adverse events, the most common being anorexia, and gastroesophageal reflux disease in gastrointestinal (GI) reaction, followed by a rash in dermatological reactions. All these adverse effects were mild to moderate and managed with supportive care or dose reduction. None of them were severe, causing cessation of therapy.

Conclusion:
Pirfenidone has a lower tolerable dose and predominantly GI adverse effects in our population, and if addressed early, it can prevent cessation of treatment and better quality of life for patients.
Evaluation of reasons of glaucoma treatment dropouts in a health-care center
Authors: Shah Surohi , Shah Khushi , Popat Aarti , Desai Hemaxi , Jariwala Disha , Chaturvedi Naina 
Published: February 2022

Aims:
The aim of this study is to evaluate the reasons of dropout in glaucoma patients in a health-care center.

Materials and Methods:
A cross-sectional study was carried out among 135 glaucoma patients assessed from January 2013 to January 2016 and lost to follow-up for more than 1 year; who were inquired about their reason of dropout through telephonic talk.

Statistical Analysis Used:
Z-test (SPSS-Statistical Package for the Social Sciences; version 21).

Results:
Out of 135 patients, 11 were untraceable due to wrong numbers. Of the remaining 124 patients, 33.1% cited lack of communication as their reason of dropout, followed by 29.8% of patients citing distance from the hospital and 19.3% citing no immediate visual improvement/symptoms. Among the dropouts, 49.2% of patients were on medical treatment, 26.4% of patients underwent laser peripheral iridotomy (LPI) only, 12.1% were on medical treatment post-LPI, 9.7% of patients underwent trabeculectomy, and 1.6% of patients were on medical treatment postsurgery.

Conclusions:
The most common factors of glaucoma treatment dropout found in our study were lack of communication followed by far distance from hospitals and no immediate visual improvement on treatment. Strategies to improve follow-up may include provision of appropriate education, motivation, and adequate counseling as well as accessible health care to prevent blinding eye disease.
Premenstrual Syndrome among College Students and its Relation to their Study Activities
Authors: Talukdar Pallavi , Ahmed Nurnahar , Sarkar Subhra 
Published: February 2022

Aim:
The study was conducted to assess Premenstrual Syndrome (PMS) among college students and its relation to their study activities in a selected college.

Methods:
Nonexperimental Quantitative research approach was used in the present study. Data were collected from 229 female students studying degree courses in a selected college of Tezpur. The college for the study was selected by purposive sampling and the participants were selected with the systematic random sampling method. A sociodemographic pro forma and self-structured questionnaires were used to collect the data.

Results:
The data analyses were performed using SPSS version 20. Descriptive analyses showed that 21% of the female students had irregular menstrual cycles and 12.2% had heavy menstrual flow. Among the participants, 45.9% of the female students had menstruation-related problems. Use of substance, family history of menstruation-related problems, regularity of menstrual cycles, menstruation flow, presence of any menstrual problems were found to be associated with PMS. In the present study, PMS was found to be positively correlated with impact on study activities (r = 0.542 and P = 0.000).

Conclusion:
At the end of the study, the investigators found that PMS is an important issue which is affecting the study behavior or habit of the female degree students.
Prevalence of Delirium and Predictors of Longer Intensive Care Unit Stay
Authors: Kumar Rajesh , Haokip Hoineiting Rebecca , Tamanna  , Bairwa Mukesh 
Published: February 2022

Introduction:
The incidence of delirium varies in literature across the globe. Delirium is reported as one of the leading causes of increased length of hospital stay and mortality among intensive care unit (ICU) patients. This study aims to determine the prevalence and independent predictors of longer ICU stay among mechanically ventilated patients admitted into a medical ICU.

Methods:
In this prospective investigation, 207 consecutive patients admitted to the medical ICU beyond 72 h of mechanical ventilation at a tertiary care hospital between September 2020 and July 2021 were screened for delirium. ICU nurses assessed sedation and delirium status of patients after 72 h of mechanical ventilation using the Richmond Agitation Sedation Scale and Confusion Assessment Method for ICU. A multiple linear regression model was used to identify the predictors of more extended hospital stay, and the KaplanMeier curve was used to study time-to-event analysis.

Results:
Findings reveal that 161 (77.8%) patients develop delirium after 72 h of mechanical ventilation in the medical ICU. Patients who experienced delirium were advanced in age (mean ± standard deviation [SD]: 51.50 ± 14.97 vs. 37.39 ± 8.31 years, P ≤ 0.001), and more critically ill (mean ± SD: 15.84 ± 4.94 vs. 6.93 ± 2.07, P ≤ .001) and have multiple organs dysfunctions (mean ± SD: 12.56 ± 3.45 vs. 5.17 ± 1.83, P ≤ 0.001) at the time of admission compared to nondelirious patients. Patients who developed delirium significantly reported a higher oxygen flow (mean ± SD: 7.38 ± 1.08 vs. 6.30 ± 1.43 L/min, P = 0.001), a long duration of ICU stay (mean ± SD: 11.61 ± 1.71 vs. 9.24 ± 1.69 days, P ≤ 0.001), longer days on mechanical ventilation (mean ± SD: 8.44 ± 1.57 vs. 6.22 ± 1.46 days, P < 0.001) and shows higher in-hospital mortality (P = 0.003). Acute Physiology and Chronic Health Evaluation-II (odds ratio [OR]: 0.068 95% CI: 0.027–0.019, P < 0.001) and SOFA (OR: 0.132, 95% CI: 0.075–0.189, P = 0.001) reported independent predictors of ICU stay after 72 h of ICU admission.

Conclusions:
Delirium was reported in more than two-thirds of patients after 72 h of mechanical ventilation. The severity of illness and multiple organ dysfunctions reported independent predictors for longer days of ICU stay.
PERANCANGAN APLIKASI PENGAMANAN PESAN CHATTING MENGGUNAKAN SOLITAIRE CHIPER BERBASIS ANDROID
Authors: Andini Tiara 
Published: February 2022

Progress on the delivery of android-based information has many advantages, especially because it can reduce many things that are not necessary or can be said to have an impact on efficiency in many ways. However, along with negative aspects also occur, such as crime, which includes theft, fraud and extortion.
By using the Solitaire Cipher Algorithm which is a classic cryptographic algorithm, which uses playing cards as intermediaries. This type of algorithm uses the order of playing cards as keys that will be securely given to the recipient of the ciphertext. Whereas to do the encryption and decryption process of this solitaire algorithm, the order of cards is changed in certain order and rules.
The design of this application also facilitates the process of securing text so that it is not easily read by others so that the authenticity of the data is maintained. It is an effort to safeguard information from those who are not entitled to access or in other words a confidential information that may not be accessed by others and may only be accessed by those who are granted access..
Analisa Kualitas Sistem Informasi Manajemen Menggunakan Framework Cobit 5 (Studi Kasus Pada Kantor Dprd Kabupaten Sijunjung)
Authors: Gushelmi Gushelmi , Neldi Mondra , Septiadi Yayan 
Published: February 2022

Teknologi informasi secara signifikan telah mempengaruhi dan mengubah cara bisnis yang sedang dikelola dan dipantau saat ini. Teknologi informasi yang telah digunakan oleh banyak perusahaan sebagai salah satu solusi dalam menghadapi dan memenangkan persaingan. Sejalan dengan itu diperlukan suatu kerangka kerja Cobit 5 dengan bahasa pemrograman PHP dan Database MySQL untuk memastikan bahwa teknologi informasi yang diimplementasikan mengharuskan perusahaan dalam memaksimalkan keuntungan, resiko teknologi informasi dikelola dengan tepat dan digunakan secara bertanggung jawab. Guna mencapai tujuan dimaksud diperlukan perencanaan, implementasi, dukungan, pengawasan dan evaluasi yang matang dan optimal. Dengan diterapkan analisa kualitas sistem informasi manajemen kepuasan karyawan dalam menggunakan sistem yang ada pada DPRD Sinjunjung dapat memberikan solusi dalam memperbaharui dan meningkatkan kualitas sistem yang ada.
Analisis Faktor-Faktor Yang Mempengaruhi Keinginan Wajib Pajak Dalam Menggunakan E-Filing Di Kota Batam
Authors: Jufri Muhammad 
Published: February 2022

Рenerimааn terhаdар sistem e-filing Ditjen раjаk terhаdар lаyаnаn оnline lароrаn раjаk рenting dilаkukаn buаt mengetаhui indikаtоr bаhwа sistem diterimа sertа diterарkаn оleh mаsyаrаkаt untuk mendukung рrоses рelароrаn раjаk. Рenelitiаn ini bertujuаn buаt mengetаhui kоrelаsi аntаrа vаriаble рerfоrmаnсe exрeсtаnсy, effоrt exрeсtаnсy, sосiаl influenсe, fасilitаting соnditiоn dengаn behаviоrаl intentiоn раrа wаjib раjаk wаrgа terhаdар sistem e-filing Ditjen раjаk. Рengumрulаn dаtа dilаkukаn menggunаkаn саrа membuаtkаn аngket yg berjumlаh 250 yаng disebаr di kоtа bаtаm раdа seluruh rаkyаt. Sаmрel yаng digunаkаn diрilih seсаrа асаk dаri раrа mаsyаrаkаt yаng sudаh memаkаi sistem dаn belum memаkаi sistem e-filing. аkibаt рengujiаn раdа рenelitiаn ini memberikаn bаhwа vаriаble рerfоrmаnсe exрeсtаnсy, effоrt exрeсtаnсy sertа fасilitаting соnditiоn sаngаt berрengаruh terhаdар behаviоrаl intentiоn sistem e-filing Ditjen раjаk. Sedаngkаn yаng аkаn terjаdi рengujiаn di vаriаble sосiаl influenсe tidаk memberikаn рengаruh terhаdар hаsrаt рenggunааn sistem e-filing.