bluuebunny/crossref_metadata_2025_split huggingface dataset:
The The Influence of Blended Learning Methods Through the Use of Google Classroom Media on Student Achievement at Islamic Education
Authors: Habibie Rizky Septi Maulana , Nashoih Afif Kholisun 
Published: April 2022

The purpose of this study is to prove significantly the influence of bleanded learning method through the use of google classroom media on student achievement in PAI subjects at SMP Plus Darussalam Jember.. This research is quantitative research. The study sample consisted of 98 respondents but the researchers only took a sample of 78 students. . influence of bleanded learning method through the use of google classroom media on student achievement in PAI subjects at SMP Plus DarussalamJember. The results showed that the use of bleandead learning method through google classroom positively and significantly affects student learning outcomes in PAI subjects with this can be seen from the hypothetical test results of 0.474 > 0.05 so it can be said that there is an influence of bleanded learning method through the use of google classroom media on student achievement in PAI subjects in SMP Plus Darussalam Jember.
ANALISIS KUALITAS PRODUK PADA PT. SUNGAI BUDI
Authors: Yuliati Anik 
Published: April 2022

: Penelitian ini bertujuan untuk mengetahui penerapan biaya kualitas dan pengaruhnya dalam upaya perbaikan kualitas pada PT. Sungai Budi, seberapa efektif pelaksanaan pembiayaan kualitas yang dapat di lihat dari kualitas suatu produk yang dihasilkan dalam proses produksi
Data yang digunakan adalah data sekunder yaitu data yang diperoleh dari laporan biaya kualitas dan laporan penjualan selama empat tahun dari PT.Sungai Budi di Malang. Variabel bebas yang digunakan adalah biaya pencegahan, biaya penilaian, biaya kegagalan internal dan biaya kegagalan eksternal sedangkan variabel terikatnya adalah kualitas produk dengan menggunakan teknik purposive sampling. Analisis yang digunakan adalah analisis regresi linier berganda.
Hasil analisis regresi linier berganda menyimpulkan bahwa biaya pencegahan secara parsial tidak berpengaruh signifikan terhadap kualitas produk, biaya penilaian secara parsial tidak berpengaruh signifikan terhadap kualitas produk, biaya kegagalan internal secara parsial berpengaruh signifikan terhadap kualitas produk dan biaya kegagalan eksternal secara parsial tidak berpengaruh signifikan terhadap kualitas produk, sehingga hipotesis penelitian yang menyatakan bahwa biaya pencegahan, biaya penilaian, biaya kegagalan internal dan biaya kegagalan eksternal mempunyai pengaruh yang signifikan terhadap tingkat kualitas produk, tidak teruji kebenarannya karena hanya variabel biaya kegagalan internal yang secara parsial berpengaruh signifikan terhadap kualitas produk.
PENGARUH KUALITAS PELAYANAN PRAMUSAJI PENYANDANG TUNARUNGU TERHADAP KEPUASAN KONSUMEN PADA DEAF CAFE FINGER TALK
Authors: Dewi NIta Komala , Komariah Neng Siti , Suminar Ratna 
Published: April 2022

Abstrak: Tujuan dari penelitian ini untuk mengetahui pengaruh signifikasi kulaitas pelayanan pramusaji penyandang tunarungu terhadap kepuasan konsumen pada Deaf Cafe fingertalk. Penelitian ini memfokuskan kepada konsumen yang datang pada Deaf Cafe fingertalk. Dalam penelitian ini memfokuskan kepada Kualitas Pelayan sebagai variabel X dan Kepuasan konsumen sebagai variabel Y. Dimensi Kualitas Pelayanan yang diujikan yakni keandalan (X1), Daya Tanggap (X2), Jaminan (X3), Empati (X4) , dan Bukti Fisik (X5) terhadap Kepuasan Konsumen (Y). Peneliti menggali data dengan menggunakan pendekatan kuantitatif dengan menggunakan kuesioner sebagai instrument pengumpulan data sehingga muncul data angka yang kemudian dianalisis dengan prosedur – prosedur statistik menggunakan SPSS dengan jawaban responden berupa pilihan dari 5 alternatif skala likert yaitu SS=5, S=4, N=3, TS=2, STS=1. Instrumen diuji dengan uji validasi dan reabilitas. Teknik untuk menentukan sampel penelitian ini dilakukan secara metode sampling aksidental. Hasil hipotesis penelitian secara signifikan atas kualitas pelayanan yang memiliki pengaruh terhadap kepuasan pelanggan/tamu di Deaf Cafe Fingertalk dengan ditentukan oleh dimensi keandalan (X1), Daya Tanggap (X2), dan Empati (X4) yang memiliki nilai pengaruh sangat signifikan terhadap Kepuasan Konsumen (Y).
Kata kunci: Pramusaji, Tunarungu, Kualitas Pelayan, Kepuasan Konsumen
PERAN INKUBATOR BISNIS DALAM MENINGKATKAN KOMPETENSI KEWIRAUSAHAAN MAHASISWA
Authors: Budiman Arief , Naufal Muhammad Ilham , K.W Nuruni Ika , Irbayuni Sulastri 
Published: April 2022

Pembelajaran kewirausahaan merupakan proses penting dalam mewujudkan keberhasilan atau mencegah kegagalan bisnis baru, karena menyiratkan bahwa calon pengusaha memperoleh kompetensi yang diperlukan untuk memulai dan mengelola bisnis baru. Selain pembelajaran terkait teori dasar-dasar kewirausahaan, mahasiswa dirasa perlu untuk dibekali praktek secara langsung, bagaimana usaha tersebut akan dijalankan serta evaluasi terhadap usaha tersebut. Penelitian ini menggunakan metode kualitatif dengan proses wawancara terhadap mahasiswa yang merupakan calon wirausaha dan pemula yang sedang merintis usahanya. Tujuan dari penelitian ini adalah untuk mengetahui respon mahasiswa terkait dengan akan dibentuknya Inkubator Bisnis di Lingkungan Fakultas Ekonomi dan Bisnis UPN Veteran Jawa Timur, serta peran dari inkubator tersebut dalam meningkatkan kompetensi mahasiwsa dalam berwirausaha. Dilakukan dan ditemukan bahwa hasil dari wawancara yakni kebanyakan pelaku usaha tidak tahu apa yang harus dilakukan dalam mengembangkan serta menjalankan bisnis yang sudah dibentuk. Hasil wawancara juga menyebutkan bahwa mahasiswa menyambut positif terkait akan dibentuknya Inkubator Bisnis di Lingkungan Fakultas Ekonomi dan Bisnis UPN Veteran Jawa Timur. Maka dari itu perlu adanya inkubator bisnis yang mewadahi dan melakukan pembimbingan langsung sehingga mahasiswa terstimulus untuk menjadi pengusaha dan lebih memiliki kompetensi dalam manajemen strategis untuk mengelola bisnis baru dan yang sedang berjalan.
The Presence of Calcified Raphe Is an Independent Predictor of Adverse Long-Term Clinical Outcomes in Patients With Bicuspid Aortic Stenosis Undergoing Transcatheter Aortic Valve Replacement
Authors: Lee Yung-Tsai , Yin Wei-Hsian , Tsao Tien-Ping , Lee Kuo-Chen , Hsiung Ming-Chon , Tzeng Yun-Hsuan , Wei Jeng 
Published: April 2022

ObjectiveCurrent guidelines recommend that transcatheter aortic valve replacement (TAVR) for bicuspid aortic valve (BAV) with aortic stenosis (AS) should only be performed in selected patients. However, we consider it even more crucial to identify what the really important factors are while determining long-term outcomes in patients with BAV undergoing TAVR, which is precisely the aim of this study.MethodsWe retrospectively evaluated consecutive patients who underwent TAVR with balloon-expandable Sapien XT or Sapien 3 valves (Edwards Lifesciences, Irvine, CA) for the treatment of severe bicuspid AS. The primary end points were major adverse cardiac and cerebral events (MACCE), that is, mortality, non-fatal myocardial infarction (MI), disabling stroke, valve failure needing reintervention, or clinically relevant valve thrombosis during follow-up.ResultsA total of 56 patients who underwent TAVR with Sapien XT (n = 20) or Sapien 3 (n = 36) were included. The device and procedural success rates were similar between the two TAVR valves; however, the newer-generation Sapien 3 yielded a trend toward better long-term clinical outcomes than the early-generation Sapien XT did (MACCE rates 35 vs. 11%, p = 0.071). In the multivariate Cox proportional hazards analyses, the presence of calcified raphe &gt; 4 mm was the only independent predictor of long-term MACCE (hazard ratio: 6.76; 95% confidence interval: 1.21–37.67, p = 0.029).ConclusionTAVR performed by a skilled heart team, while using newer-generation balloon-expandable Sapien 3 valve, may yield better long-term clinical outcomes compared to TAVR using early-generation Sapien XT valve. Moreover, the presence of calcified raphe &gt;4 mm is an independent determinant of adverse clinical outcomes.
Association Between Changes in Post-hospital Cardiac Symptoms and Changes in Acute Coronary Syndrome-Induced Symptoms of Post-traumatic Stress
Authors: von Känel Roland , Meister-Langraf Rebecca E. , Zuccarella-Hackl Claudia , Znoj Hansjörg , Pazhenkottil Aju P. , Schmid Jean-Paul , Barth Jürgen , Schnyder Ulrich , Princip Mary 
Published: April 2022

BackgroundAfter acute coronary syndrome (ACS), one in eight patients develops clinically significant symptoms of Post-traumatic stress disorder (PTSD). We hypothesized that changes in cardiac symptoms from 3 to 12 months after ACS are associated with changes in ACS-induced PTSD symptoms.MethodsAt 3 (n = 154) and/or 12 months (n = 106) post-ACS, patients (n = 156, mean age 59 years, 85% men) completed a clinical interview assessing chest tightness/pain (at rest and/or during exertion), heartbeat symptoms (heart palpitations, racing of heart, heart stumbling or skipping a beat) and PTSD symptoms during the prior 4 weeks. Random mixed regression models examined the association between the onset (or remission) from 3 to 12 months in cardiac symptoms with changes in PTSD symptoms, adjusting for a range of potential predictors of ACS-induced PTSD symptoms.ResultsThe onset of chest tightness/pain [estimate = 0.588, 95% confidence interval: 0.275, 0.090; p &lt; 0.001] and of heartbeat symptoms [0.548 (0.165, 0.931); p = 0.005] from 3 to 12 months was independently associated with an increase in total PTSD symptoms. There were also independent associations between the onset of chest tightness/pain and heartbeat symptoms with an increase in PTSD symptom clusters. Specifically, the onset of chest tightness/pain showed associations with an increase in re-experiencing [0.450 (0.167, 0.733); p = 0.027] and avoidance/numbing [0.287 (0.001, 0.574); p = 0.049]. The onset of heartbeat symptoms showed associations with an increase in re-experiencing [0.392 (0.045, 0.739); p = 0.002], avoidance/numbing [0.513 (0.161, 0.864); p = 0.004] and hyperarousal [0.355 (0.051, 0.659); p = 0.022]. An increase in the total number of cardiac symptoms (score range 0–6) was also associated with an increase in total PTSD symptoms [0.343 (0.202, 0.484); p &lt; 0.001]. Psychotherapy in the post-hospital period moderated the association between the change in heartbeat symptoms and the change in total PTSD symptoms [−0.813 (−1.553, −0.074); p = 0.031 for interaction]; the association between the onset of heart beat symptoms and an increase in total PTSD symptoms was weaker in patients who attended psychotherapy [0.437 (−0.178, 1.052); p = 0.16] than in those who did not [0.825 (0.341, 1.309); p &lt; 0.001].ConclusionChanges in cardiac symptoms between 3 and 12 months after hospitalization are associated with changes in ACS-induced PTSD symptoms. ClinicalTrials.gov #NCT01781247.
Integrating Potential Land Use Conflict Into Ecological Security Pattern in Response to Land Use/Cover Changes at a County Scale in Yangtze River Delta, China
Authors: Peng Wanting , Zhang Zhiduo , He Geng , Liu Xiuyu , Wang Wei , Cai Yongli , López-Carr David 
Published: April 2022

Identifying key ecological nodes/corridors and priority restoration areas (KENPRA) is the key link for optimizing land use and ecological security patterns (ESPs). However, few studies have considered future land use/cover change (LUCC) and urban sprawl in identifying KENPRA for ESP maintenance. To optimize KENPRA, we took Quanjiao County, Anhui Province, China as a case study area, a typical unit for Chinese Land Spatial Planning and a suburb of Yangtze River Delta agglomeration challenging LUCC and ecological security pattern maintenance. A comprehensive framework for optimizing KENPRA has been established by integrating ESP and land use conflict (LUC) to adapt to land use change for corresponding urbanization processes. A CA-Markov model was used to predict future land use under different KENPRA-based scenarios in 2030. The results found that the total area of 4,357.2 ha priority restoration areas and 17 key ecological nodes was KENPRA, which were approximately 50% and concentrated in intensive LUC areas. The result of the simulation model showed that KENPRA-based scenarios integrating LUC indicated less urban expansion and better effectiveness for maintaining ESPs in 2030. The findings and proposed framework provide new and important information and implications for planners and policymakers to understand and improve land planning/policy; the results also can provide better understanding of the coupled human–nature system linking LUCC, ecosystem services, and land and restoration planning.
The Hydrocarbon Potential of Carboniferous Reservoirs in the Jimsar Sag, Northwest China: Implications for a Giant Volcanic-Petroleum Reserves
Authors: Gong Deyu , Song Yong , Peng Miao , Liu Chaowei , Wang Ruiju , Wu Wei’an 
Published: April 2022

As an unconventional petroleum reservoir, the volcanic reservoir is essential for finding large-scale oil and gas reserves in deep sedimentary basins. Based on basin modeling, organic geochemistry, and organic petrology, this study evaluates the exploration potential of the Carboniferous volcanic-petroleum system in the Jimsar Sag of the southeastern Junggar Basin. The Carboniferous source rocks in the study area were developed in the Lower Carboniferous Songkharsu Formation, a set of marine–terrigenous transitional source rocks, lithologically composed of carbonaceous mudstone, mudstone, and coal. The kerogen is characterized by type II2–III, indicating a gas-prone source rock. Carbonaceous mudstones, mudstone, and coal are classified as medium–good, medium, and poor source rocks, respectively. The hydrocarbon-generating potential is close to that of the Kelameili gas field. The Carboniferous-reservoir oil in well J15 is characterized by 13C-enriched stable carbon isotopes, relatively high ƩC31–35/C30 and Pr/Ph ratios, relatively low density, gammacerane index, regular C29-sterane content, and undetected β-carotene, indicating a Songkharsu origin. The Carboniferous-reservoired gas from well J3301 has stable carbon isotope composition enriched in 13C, similar to the gas from the Kelameili gas field, and should be from the Songkharsu source rock. This set of source rocks is widely distributed in the Jimsar Sag with considerable thickness, among which thickness &gt;100 m reaches 580 km2, accounting for 38.7% of the whole sag. The Songkharsu source rocks entered the main oil-generating window at the end of the Early Jurassic. The area of Songkharsu source rocks in the Jimsar Sag with gas-generating intensity greater than 20 × 108 m3/km2 reaches 1,015 km2, whereas that with oil-generating intensity greater than 500 × 104 t/km2 reaches 1,146 km2. However, 13 Carboniferous volcanic lithological traps were found in the sag, covering an area of 230 km2. The Carboniferous volcanic-petroleum system in the Jimsar Sag has the resource potential to form large and medium oil and gas fields, which could become a critical replacement field for volcanic oil and gas exploration in the Junggar Basin after the Klameili gas field.
Economic Boundary Analysis of Echelon Utilization of Retired Power Battery Considering Replacement Cost
Authors: Wang Yali , Ye Ze , Wei Wen , Wu Yongfei , Liu Aijun , Dai Shuangfeng 
Published: April 2022

As a large number of new energy electric vehicles are retired, the sequential utilization of retired power batteries has become one of the important means to improve the economic benefits of batteries, but there is a problem of disunity between available capacity and cycle life. Therefore, a peak-load power distribution method based on the principle of equal life of retired power batteries was proposed, which could effectively avoid the life difference caused by the battery difference and reduce the replacement cost. At the same time, in order to give reasonable investment suggestions for the stepwise utilization of retired power batteries, three economic boundary value models, including the payback period, peak–valley price difference, and investment cost, were constructed based on the leveling cost. Through the simulation of a 60 MW/160 MWh lithium iron phosphate decommissioned battery storage power station with 50% available capacity, it can be seen that when the cycle number is 2000 and the peak–valley price difference is above 0.8 yuan/kWh, it has investment value.
Establishment and Implementation of Potential Fluid Therapy Balance Strategies for ICU Sepsis Patients Based on Reinforcement Learning
Authors: Su Longxiang , Li Yansheng , Liu Shengjun , Zhang Siqi , Zhou Xiang , Weng Li , Su Mingliang , Du Bin , Zhu Weiguo , Long Yun 
Published: April 2022

ObjectiveFluid therapy for sepsis patients has always been a problem that puzzles clinicians, that is, knowing when patients need fluid infusion and when they need negative fluid balance. Different clinicians may have different judgment criteria and make different decisions. Recently, studies have suggested that different fluid treatment strategies can cause different clinical outcomes. This study is intended to establish and verify a model for judging the direction of fluid therapy based on machine learning.MethodThis study included 2705 sepsis patients from the Peking Union Medical College Hospital Intensive Care Medical Information System and Database (PICMISD) from January 2016 to April 2020. The training set and test set (January 2016 to June 2019) were randomly divided. Twenty-seven features were extracted for modeling, including 25 state features (bloc, vital sign, laboratory examination, blood gas assay and demographics), 1 action feature (fluid balance) and 1 outcome feature (ICU survival or death). SARSA was used to learn the data rules of the training set. Deep Q-learning (DQN) was used to learn the relationship between states and actions of the training set and predict the next balance. A double-robust estimator was used to evaluate the average expected reward of the test set in the deep Q-learning model. Lastly, we verified the difference between the predicted fluid therapy model and the actual treatment for the patient's prognoses, with sepsis patient data from July 2019 to April 2020 as the validation set.ResultsThe training set and test set were extracted from the same database, and the distribution of liquid balance was similar. Actions were divided into five intervals corresponding to 0–20, 20–40, 40–60, 60–80, and 80–100% percentiles of fluid balance. The higher the reward of Q(s, a) calculated by SARSA from the training set, the lower the mortality rate. Deep Q-learning indicates that both fluid balance differences that are too high and too low show an increase in mortality. The more consistent the fluid balance prediction with the real result, the lower the mortality rate. The smaller the difference between the prediction and the reality, the lower the mortality rate. The double-robust estimator shows that the model has satisfactory stability. The validation set indicates that the mortality rate of patients in the “predicted negative fluid balance and actual negative fluid balance” subgroup was the lowest, which was statistically significant, indicating that the model can be used for clinical verification.ConclusionWe used reinforcement learning to propose a possible prediction model for guiding the direction of fluid therapy for sepsis patients in the ICU. This model may accurately predict the best direction for fluid therapy, thereby improving patient prognosis.
The Effects of a Magic Intervention Program on Cognitive Function and Neurocognitive Performance in Elderly Individuals With Mild Cognitive Impairment
Authors: Lee Kuan-Ting , Wang Wei-Li , Lin Wen-Chin , Yang Yi-Ching , Tsai Chia-Liang 
Published: April 2022

ObjectivesCognitive training is one of the management options for elderly individuals who suffer from mild cognitive impairment (MCI) and an effective way to improve executive function. This study aimed to evaluate the effectiveness of a magic intervention program as a method of cognitive training in improving cognitive function and neurocognitive performance in this group.MethodsTwenty-four participants aged 60–80 years with MCI were recruited and randomly assigned to a magic intervention group or a control group. The magic intervention group received a 6-week magic intervention program. The primary endpoints were the scores for the cognitive assessment tests [e.g., Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA)] for general cognitive function. The secondary endpoints were the behavioral [e.g., accuracy and reaction times] and the electroencephalographic [e.g., event-related potential (ERP) P3 amplitudes] performance during the Flanker task to assess attention and inhibitory control. All variables were measured before and after the magic intervention.ResultsThe results showed that the 6-week magic intervention significantly improved the MoCA scores in the cognitive assessment tests although no significant pre-post intervention difference was observed in the MMSE scores. In terms of neurocognitive performance, the magic intervention had significantly positive effects on the accuracy, reaction times, and P3 amplitudes when performing the Flanker task.ConclusionThe results of the present study showed that the 6-week magic intervention had beneficial effects on the cognitive and electrophysiological performance in the elderly subjects with MCI. For such a group, lifestyle intervention programs that encourage participation such as the magic practice and performance may be a viable suggestion to prevent the progression of MCI to Alzheimer’s disease.
The Function of the Autonomic Nervous System in Asian Patients With Chronic Migraine
Authors: Shi Min , Luo Danqing , Guo Jun , Yang Dongdong , Li Zhaoying , Zhao Huan 
Published: April 2022

BackgroundThe pathogenic mechanisms underlying the autonomic nervous system (ANS) dysfunction in patients with chronic migraine (CM) remain unclear. This study investigated the pathogenesis of ANS dysfunction in this population.MethodsA total of 60 patients diagnosed with CM and 60 healthy subjects were recruited to participate in this study. The pupil diameter, pupil contraction velocity, latency, amplitude, and the maximum gradient recovery time were examined before, at 2 min and at 5 min after the cold pressor test, which was combined with the pupillary light reflex method. A brain 3D T1-weighted structural imaging scan, resting-state functional magnetic resonance imaging scan, and diffusion tensor imaging (DTI) scan were also acquired.ResultsPatients with CM exhibited a longer recovery time to the maximum gradient at 2 min and at 5 min after cold pressing compared with the control group (P &lt; 0.01 and P &lt; 0.05, respectively). There was no significant difference in the pupil diameter, pupillary contraction velocity, latency, amplitude, blood pressure, or heart rate between the two groups (all P &gt; 0.05). In the CM group, the regional homogeneity (ReHo) values of the left amygdala and left lateral hypothalamic area were significantly higher than those of other brain areas (P &lt; 0.001, Alphasim corrected). The DTI scan of the whole brain area showed a lack of significant difference in DTI indices, including FA, MD, AD, and RD values between the two groups (P &gt; 0.05, Alphasim corrected).ConclusionThe dysfunction of the left amygdala and left lateral hypothalamic area may be related to ANS dysfunction in patients with CM.