bluuebunny/crossref_metadata_2025_split huggingface dataset:
Evaluation of teaching effect of first-aid comprehensive simulation-based education in clinical medical students
Authors: Peng Mian , Su Ning , Hou Rui , Geng Huijuan , Cai Fangfang , Zhong Weixiong , Zhang Weifang , Zhong Jingxing , Yang Zhengyue , Cao Weiling 
Published: August 2022

BackgroundAlthough students mastered the composition skills, they lack of the ability to effectively integrate these composition skills in real clinical situations. To address the problem, we set up different levels of situational simulation training for medical students in grades 2–4, and evaluate the teaching effect of first-aid situation comprehensive simulation-based education (SBE) on clinical medical students.MethodsThe medical students in Grade 2, 3, and 4 received different situational SBE, respectively. The 2nd-year medical students received a single skill module which included cardiopulmonary resuscitation, endotracheal intubation, and electric defibrillation training. The 3rd-year medical students received a single subject module which included cardiovascular and respiratory system training. The 4th-year medical students received the integrated multidisciplinary module which combined first-aid skills, clinical thinking, and teamwork training. The primary outcome was the expert evaluation and peer evaluation. The secondary outcome was students' satisfaction questionnaire response. In our training, we arranged an adequate teaching staff for intensive training and timely feedback (the student–teacher ratio of 5:1), adequate time for repetitive practice (Each SBE was carried out within 4 h), curriculum design, and integration from real cases by clinicians, realistic computer-driven mannequins to ensure simulation fidelity, providing a different difficult level of SBE to different grades of students, and pre- and post-tests for outcome measurement.ResultsIn all of the single skill module, single subject module or comprehensive disciplines module, the scores in the expert evaluation and peer assessment after the training were significantly higher than before the training, and the differences were statistically significant (p &lt; 0.05). The integrated subject training, although having the lowest pre—and post-test marks, had the largest increase in score.ConclusionThe first aid comprehensive simulation-based education in grade 2–4 clinical medical students, basing on timely feedback, repetitive practice, curriculum integration, simulation fidelity, and outcome measurement are effective in improving the students' proficiency in managing the real emergencies.
Psychosocial response to the COVID-19 pandemic in Panama
Authors: Oviedo Diana C. , Pinzón María Sofía , Rodríguez-Araña Sofía , Tratner Adam E. , Pauli-Quirós Elianne , Chavarría Carlos , Posada Rodríguez Camilo , Britton Gabrielle B. 
Published: August 2022

BackgroundThe impact of the COVID-19 pandemic and the associated restrictions on mental health is being studied.ObjectiveTo analyze the psychosocial response to the COVID-19 pandemic in adults residing in Panama.MethodsA community sample of 480 adult residents of Panama completed a survey that included sociodemographic questions, COVID-19 related questions (e.g., health concerns regarding the virus, knowledge and behaviors in biosafety) and scales of stress, anxiety, depression, prosocial behavior, resilience, perceived social support, and insomnia.ResultsMost of the participants (&gt;60%) reported being negatively affected by the pandemic. Women experienced greater depression, anxiety, and stress symptoms than men, and age was negatively associated with depression, anxiety, and stress symptoms. Self-perceived health status and self-perceived social support were negatively associated with depression, anxiety, and stress symptoms. Self-perceived social isolation was positively associated with depression, anxiety, and stress symptoms. Psychiatric illness and insomnia were positively associated with depression, anxiety, and stress symptoms, whereas psychological resilience was negatively associated with depression, anxiety, and stress symptoms.DiscussionThese results corroborate other studies regarding COVID-19 and mental health. This study highlights the need for specific prevention and intervention mechanisms related to the COVID-19 pandemic in different population groups. This is the first report of the psychological impact of COVID-19 in the general Panamanian population and one of the only studies in the Latin American region and, therefore, contributes to research in the Latino population and lower-middle income countries.
The Chronic Kidney Disease Epidemiology Collaboration equations perform less well in an older population with type 2 diabetes than their non-diabetic counterparts
Authors: Jiang Shimin , Zhang Danyang , Li Wenge 
Published: August 2022

ObjectivesThe Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equations are based on creatinine alone (CKD-EPIcr), cystatin C alone (CKD-EPIcys) and combined creatinine and cystatin C (CKD-EPIcr-cys). It remains unclear whether these equations perform differently in older adults with type 2 diabetes than they do in non-diabetic older individuals.MethodsThis single-center cross-sectional study was performed in adults aged ≥ 65 years between January 2019 and December 2021. Glomerular filtration rate (GFR) was measured by technetium-99m-diethylene triamine pentaacetic acid (99mTc-DTPA) renal dynamic imaging. The bias (difference between measured and estimated GFR), precision [interquartile range (IQR) of the median difference between measured GFR and estimated GFR] and accuracy P30 (percentage of estimated GFR within 30% of measured GFR) were considered the criteria of equation performance.ResultsFinally, 476 participants were enrolled, including 243 adults with type 2 diabetes and 233 non-diabetic adults. The mean age of the included participants was 71.69 ± 6.4 years and 262 (55%) were male. The mean measured GFR was 49.02 ± 22.45 ml/min/1.73 m2. The CKD-EPIcr-cys equation showed significantly greater bias and lower accuracy (P30) in individuals with diabetes than in the non-diabetic group (median bias, 4.08 vs. 0.41 ml/min/1.73 m2, respectively, p &lt; 0.05; P30, 63.78% vs. 78.54%, respectively, p &lt; 0.05). The precision IQR indicated that CKD-EPIcr-cys had also lower precision in individuals with diabetes than in the non-diabetic controls (17.27 vs. 15.49 ml/min/1.73 m2, respectively). Similar results were observed for CKD-EPIcr and CKD-EPIcys equations. The P30 of all three equations failed to reach 80% in diabetic and non-diabetic groups.ConclusionsThe performance of the CKD-EPI equations was lower in a group of patients aged ≥ 65 years with type 2 diabetes than in non-diabetic counterparts. However, each equation still had limitations regarding accuracy in older adults with or without diabetes.
Identification of Hub Genes of Lung Adenocarcinoma Based on Weighted Gene Co-Expression Network in Chinese Population
Authors: Xie Yuning , Wu Hongjiao , Hu Wenqian , Zhang Hongmei , Li Ang , Zhang Zhi , Ren Shuhua , Zhang Xuemei 
Published: August 2022

Purpose: Lung adenocarcinoma is one of the most common malignancies. Though some historic breakthroughs have been made in lung adenocarcinoma, its molecular mechanisms of development remain elusive. The aim of this study was to identify the potential genes associated with the lung adenocarcinoma progression and to provide new ideas for the prognosis evaluation of lung adenocarcinoma.Methods: The transcriptional profiles of ten pairs of snap-frozen tumor and adjacent normal lung tissues were obtained by performing RNA-seq. Weighted gene co-expression network analysis (WGCNA) was used to construct free-scale gene co-expression networks in order to explore the associations of gene sets with the clinical features and to investigate the functional enrichment analysis of co-expression genes. Gene Ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway, and Gene Set Enrichment Analysis (GSEA) analyses were performed using clusterProfiler. The protein-protein network (PPI) was established using the Search Tool for the Retrieval of Interacting Genes/Proteins (STRING) and hub genes were identified using Cytohubba in Cytoscape. Transcription factor enrichment analysis was performed by the RcisTarget program in R language.Results: Based on RNA-seq data, 1,545 differentially expressed genes (DEGs) were found. Eight co-expression modules were identified among these DEGs. The blue module exhibited a strong correlation with LUAD, in which ADCY4, RXFP1, AVPR2, CALCRL, ADRB1, RAMP3, RAMP2 and VIPR1 were hub genes. A low expression level of RXFP1, AVPR2, ADRB1 and VIPR1 was detrimental to the survival of LUAD patients. Genes in the blue module enriched in 86 Gene Ontology terms and five KEGG pathways. We also found that transcription factors EGR3 and EXOSC3 were related to the biological function of the blue module. Overall, this study brings a new perspective to the understanding of LUAD and provides possible molecular biomarkers for prognosis evaluation of LUAD.
Youth Psychiatric Hospitalization in Israel during COVID-19: A Multi-Center Study
Authors: Dror Chen , Hertz-Palmor Nimrod , Barzilai Yael , Gila Schoen , Tali Bretler-Zager , Alex Gizunterman , Tal Lahav , Maya Kritchmann-Lupo , Talia Saker , Doron Gothelf , Bloch Yuval 
Published: August 2022

During the COVID-19 pandemic there have been numerous reports of increases in psychiatric morbidity and a deterioration of status among existing patients. There is little information about how this increase has affected youth and rates of adolescent psychiatric hospitalization. Our study was aimed at examining trends in youth psychiatric hospitalization during the first year of the COVID-19 pandemic. Method: We used medical records to compare trends in hospitalization rates from 2019 to 2020, among psychiatric youth wards from five different centers in Israel. Results: The number of patients that were hospitalized in youth psychiatric wards decreased significantly from 2019 (Mean ± SD=52.2 ± 28.6 per month) to 2020 (M ± SD = 40.8 ± 22.0; unstandardized B = −11.4, 95% CI = −14.4 to −8.3, p < 0.0001). There was a significant decrease in the number of patients that were hospitalized due to internalizing disorders from 2019 (M ± SD = 22.3 ± 9.3 per month) to 2020 (M ± SD = 16.8 ± 7.7; B = −5.5, 95% CI = −8.0 to −3.0, p = 0.0002) and a marginally significant increase in the number of restraints per month (2019: M ± SD = 2.8 ± 6.8, 2020: M ± SD = 9.0 ± 14.5; Z = −1.96, Rosenthal’s r = 0.36, p = 0.07). Conclusions: There was a significant decline in psychiatric hospitalizations during the pandemic, specifically among patients suffering from internalizing disorders. The reasons for this decline, and the future impact these changes had on hospitalizations during the pandemic demand further research. Study limitations: This is a retrospective multicenter study from five medical centers in Israel, therefore generalizability of our findings is limited.
Effects of Litsea cubeba Essential Oil Incorporated into Denture Soft Lining Materials
Authors: Songsang Nichakorn , Anunmana Chuchai , Pudla Matsayapan , Eiampongpaiboon Trinuch 
Published: August 2022

The antimicrobial properties, cell cytotoxicity and surface hardness of soft lining materials (GC soft liner, Viscogel and Coe comfort) incorporated with various concentrations of Litsea cubeba essential oil (LCEO) were evaluated. The minimum inhibitory concentrations of LCEO against Candida albicans and Streptococcus mutans were 1.25% v/v and 10% v/v, respectively. However, when LCEO was incorporated into the three soft lining materials (GC soft liner, Viscogel and Coe comfort), 10% v/v and 30% v/v of LCEO could inhibit the growth of C. albicans and S. mutans, respectively. The extracts of soft lining materials with 10% and 30% v/v LCEO, 2% chlorhexidine, 30% v/v nystatin and no additive were used for cytotoxicity tests on a human gingival fibroblast cell line. There was no significant difference in cell viability in all groups with additives compared to the no additive group (p > 0.05). Surface hardness increased significantly between 2 h and 7 day incubation times in all groups, including the controls (p < 0.05). A higher LCEO concentration had a dose-dependent effect on the surface hardness of all soft lining materials (p < 0.05). However, the surface hardness of materials with additive remained in accordance with ISO 10139-1. LCEO could be used as a natural product against oral pathogens, without having a negative impact on soft lining materials.
Makam Datuk Tualang Poso: Sejarah dan Pemeliharaannya
Authors: Fajar Riki , Achiriah Achiriah , Muchsin Kasron 
Published: August 2022

This article discusses the history of Datuk Tualang Poso's tomb and its maintenance in Amplas Village, Percut Sei Tuan District, Deli Serdang Regency. The method used in this study is a qualitative descriptive analysis method using a historical approach. The data in this study were obtained through observation, interviews, literature study and documentation. The results showed that the tomb of Datuk Tualang Poso had existed since the 17th century. Datuk Tualang Poso was the first cleric sent by the Aru Sultanate to spread Islam in Amplas Village. The people of Amplas Village consider the tomb of Datuk Tualang Poso to be a sacred and sacred place. Until now the tomb of Datuk Tualang Poso is still solid and intact. The local community strives to continue to maintain and preserve the tomb as a form and form of respect for Datuk Tualang Poso for his role in spreading Islam while he was alive.
Usulan Perbaikan Kualitas Kadar SO3 pada Semen OPC Menggunakan Metode Six Sigma di PT - ITP Tbk.
Authors: Erianto Karina , Darmawan M. Muchtar 
Published: August 2022

PT. ITP Tbk. is a cement company where one of its products is OPC (Ordinary Portlan Cement). One of the problems in OPC Cement is that there are still samples for SO3 levels that do not meet specifications. Determination of SO3 levels is carried out in the process at the Finish Mill Machine. This research was conducted in order to provide suggestions for quality improvement of SO3 levels in the OPC cement. The analytical method used is the Six Sigma method. The measure stage gives the Processability Index of Finish Mill Machines of 0.42 with an out of spec percentage of 14.69%. The analysis stage concludes that the most likely cause of SO3 levels out of spec is the change in engine parameter settings because the engine has been operated for 24 hours continuously. The improve stage proposes to re-schedule the use of machines accompanied by rest time
Rancang Bangun Smoke Generator pada Kecepatan Angin Rendah dengan Wind Tunnel Rangkaian Terbuka
Authors: Mukhlisin Arief , Erwin Erwin , Wiyono Slamet 
Published: August 2022

Flow Visualization is the process of making the physical flow of a fluid visible. The air fluid used is transparent, so the flow pattern must be shown by several special methods. There are three methods for visualizing flow: surface flow visualization, particle tracking method, and optical method. Turbulence is one of the most important subjects related to testing the test section in a wind tunnel, at different wind speeds turbulence levels and other flow quality parameters must be kept as close as possible to free flow conditions. The flow visualization test is carried out using a slow motion camera at speeds of 1 m/s, 2 m/s, 3 m/s, 4 m/s and 5m/s which will form a fluid flow in the form of lines of smoke coming out of the nozzle holes inside. Test section. From the research results, the authors can conclude that the flow obtained forms a laminar flow and good suction power from various wind speed variables.
Lingua, mocidade e xénero. A linguaxe inclusiva nas redes sociais
Authors: Aldomar Dosouto Iria 
Published: August 2022

No contexto dos estudos lingüísticos actuais resulta de especial relevancia adoptar unha perspectiva de xénero, a cal permita analizar de forma crítica a actual visibilidade e representación das mulleres e das persoas non binarias nos diversos discursos públicos e nas distintas situacións comunicativas. Por este motivo, o traballo que presentamos ten como principal obxectivo coñecer a vitalidade da linguaxe inclusiva (tanto binaria como non binaria) nas redes sociais, de acordo cos usos das mozas, mozos e moces de fala galega. O fin último é levar a cabo unha análise da representación e a visibilidade da muller e as persoas de xénero non binario na linguaxe da mocidade en relación coa comunicación a través das redes sociais nas diversas modalidades que estas lles ofrecen a quen as utilizan.
Con esta finalidade, compilouse un corpus propio de textos extraídos da rede social Instagram entre o 1 e o 28 de febreiro de 2021. Observáronse perfís de diversas características, tanto segundo a orientación sexual como a identidade de xénero, para analizar as cuestións morfolóxicas en relación co uso do masculino xenérico, así como coa presenza de linguaxe inclusiva directa e indirecta. De acordo coas posibilidades comunicativas que ofrece a rede social anteriormente mencionada, tomáronse mostras tanto das publicacións permanentes, coñecidas como feed, como das temporais, denominadas stories.
Unha vez realizada a análise, os resultados desprenden que a presenza do masculino xenérico persiste nunha parte da xuventude como forma hexemónica para referirse a grupos heteroxéneos, malia que si se rexistra unha certa predisposición á inclusividade e á innovación lingüística principalmente en grupos LGTBI binarios e entre persoas non binarias. Porén, mesmo nestes dous últimos grupos, o corpus analizado amosa certa irregularidade na aplicación dos recursos de linguaxe inclusiva, o que pon de manifesto a fase incipiente de implantación na que se atopa dita modalidade comunicativa.
Representaciones sociolingüísticas hacia el uso del lenguaje no binario
Authors: Borneo María Teresa , Günther Nazira 
Published: August 2022

En las sociedades actuales mediatizadas por la virtualidad, resulta central investigar los aspectos sociolingüísticos y discursivos de los fenómenos de la lengua dentro de este contexto que hace y se hace a través del discurso y de las interacciones de sus usuarixs. Así, en este artículo, indagaremos en las representaciones sociolingüísticas que construyen lxs usuarixs en la red en torno a un fenómeno lingüístico emergente: el lenguaje no binario.
En ese marco, tendremos en cuenta la definición de representaciones sociolingüísticas propuesta por Arnoux y del Valle (2010). Este concepto refiere tanto a objetos lingüísticos como a sujetos a los que son asociados, por lo que implica evaluaciones sociales (Bourdieu, 1999) de los discursos y de lxs hablantes; de esta forma, nos servirá para dar cuenta de aquellas representaciones que algunxs usuarixs construyen sobre el lenguaje no binario (y quienes lo usan) en sus interacciones en Instagram.
Estas interacciones se observarán específicamente en los comentarios de publicaciones de noticias sobre el lenguaje no binario tomados de cinco diarios argentinos que publican sus noticias en Instagram. En ese sentido, el comentario, género discursivo incipiente propio de las redes que trasciende la mera relación social, ya que su meta es la manifestación explícita de opiniones (Sal Paz, 2016) nos llevó a preguntarnos sobre las características particulares de las escrituras online (Giorgi, 2018; Tabachnik y De Porta, 2019) y su incidencia en la difusión de ciertos tipos de discursos. En estos, creemos, se percibe lo que Giorgi (2018: 56) llama lenguaje del odio, expresado a través de representaciones que vuelven a los comentarios una zona violenta “de formas expresivas y lugares de subjetivación decisivos en el paisaje de nuestra época” que activan una “retórica de la injuria” (Tabachnik, 2012) que intentaremos desentrañar a partir de su análisis. Presentamos una clasificación de las representaciones encontradas que parten de la construcción de categorías propias. Así, encontramos que las representaciones sociolingüísticas se constituyen como “reacciones” de odio hace el lenguaje no binario y quienes lo utilizan.
PEMETAAN SARANA DAN PRASARANA DI LOKASI KAMPUNG WISATA BUNGA BANYU URIP
Authors: Retno Trimurtiningrum  , Saves Faradlillah 
Published: August 2022

Kabupaten Gresik terletak di provinsi Jawa Timur, Pulau Jawa serta terkenal dengan potensi wisata alam dan wisata religi. Saat ini, Kabupaten Gresik sedang berupaya untuk mengembangkan potensi wisata bunga dan tanaman hias. Salah satu wilayah di Kabupaten Gresik yang memiliki potensi dalam bidang tersebut adalah Desa Banyuurip, Kecamatan Kedamean. Penduduk Desa Banyuurip sebagian besar merupakan petani dan pedagang bunga. Banyak penduduk yang berjualan bunga dan tanaman hias di depan rumah maupun sekitar kawasan Banyuurip, kenamekaragaman bunga dan tanaman hias menjadi daya tarik wisata tersendiri bagi Kawasan tersebut. Selain daya tarik, sarana dan prasarana kawasan kampung wisata bunga juga perlu untuk diperhatikan dalam pengembangan kampung wisata. Dalam penelitian ini dilakukan analisis kondisi eksisting sarana dan prasarana serta pemetaan sebaran sarana dan prasarana menggunakan sistem informasi geografis.
Dari hasil penelitian, di Kawasan kampung wisata sudah terdapat beberapa sarana dan prasarana yang cukup memadai seperti fasilitas peribadatan (masjid/mushollah), fasilitas rumah makan (café), fasilitas kesehatan, fasilitas pendidikan, penunjuk jalan, akses jalan, listrik, penerangan jalan serta jaringan telekomunikasi.
PERANCANGAN DAN IMPLEMENTASI SISTEM INFORMASI PENJUALAN BERBASIS WEB E-COMMERCE PADA TOKO FEBRIYANAHELMET
Authors: Bangsa Gegap Putra , Hasugian Humisar 
Published: August 2022

Febriyanahelmet merupakan toko yang menjual berbagai produk helm kendaraan bermotor, dalam menjalankan usahanya toko mengalami kendala seperti tidak adanya kegiatan promosi produk, calon pembeli tidak bisa melihat ketersediaan stok helm, dan lamanya waktu yang dibutuhkan dalam pembuatan laporan penjualan. Untuk menyelesaikan masalah tersebut solusinya dengan merancang sistem informasi penjualan online berbasis e-commerce menggunakan alat bantu wordpress yang merupakan bagian dari content management system dan tambahan plugin woocommerce. Dalam penelitan ini untuk analisa proses bisnis penjualan online menggunakan Business Model Canvas dan untuk keperluan promosi menggunakan bantuan teknik optimasi mesin pencari agar website e-commerce tampil dalam halaman depan search engine. Adapun keluaran dalam penelitian ini adalah sebuah toko online berupa e-commerce website yang dapat diakses secara daring kapan saja dan darimana saja, sehingga dapat mempermudah pemilik toko dalam mengelola bisnisnya. dengan penerapan e-commerce ini maka dapat meningkatkan penjualan dan meningkatkan promosi, memudahkan pelanggan dalam mencari informasi stok barang, dan mempermudah pemilik dalam menampilkan laporan-laporan.