bluuebunny/crossref_metadata_2025_split huggingface dataset:
PENGOPTIMALAN PENGGUNAAN TEKNOLOGI MELALUI QUIZIZZ UNTUK MENINGKATKAN HASIL BELAJAR PESERTA DIDIK DI MAN 1 KOTA PROBOLINGGO
Authors: Agustiana Irma Agustiana 
Published: December 2022

The rapid development of technology must of course be followed by proper utilization. However, the optimization of technology in learning is not implemented and is actually used for things that are less useful. This actually causes technology to be considered a bad influence on learning. One of the efforts to optimize technology and improve student learning outcomes is to use learning technology. Quizizz is an effort that can be used to improve learning outcomes, especially in the subject of Islamic Cultural History (SKI). This research uses Classroom Action Research (CAR). This research was conducted at MAN 1 Probolinggo City with the research subject being class X-A, totaling 20 students. The results of this study indicate that quizizz can improve student learning outcomes. The first cycle of the study showed an average of 83.4 learning outcomes and increased to 93.8 in the second cycle. So it can be said that quizzz is one of the efforts that can be used to improve student learning outcomes

Abstrak
Perkembangan teknologi yang pesat tentunya harus diikuti dengan pemanfaatan yang tepat. Meskipun demikian, optimalisasi teknologi dalam pembelajaran kurang dilaksanakan dan justru digunakan untuk hal-hal yang kurang bermanfaat. Hal itu justru menyebabkan teknologi justru dianggap berpengaruh buruk bagi pembelajaran. Salah satu upaya untuk dapat mengoptimalkan teknologi dan mampu meningkatkan hasil belajar peserta didik adalah dengan menggunakan teknologi pembelajaran yang menarik. Quizizz merupakan salah satu upaya yang dapat digunakan untuk meningkatkan hasil belajar khususnya pada mata pelajaran Sejarah Kebudayaan Islam (SKI). Penelitian ini menggunakan metode Penelitian Tindakan Kelas (PTK). Penelitian ini dilakukan di MAN 1 Kota Probolinggo dengan subjek penelitian adalah kelas X-A yang berjumlah 20 peserta didik. Hasil dari penelitian ini menunjukkan bahwa quizizz dapat meningkatkan hasil belajar peserta didik. Siklus pertama penelitian menunjukkan rata-rata hasil belajar 83,4 dan meningkat menjadi 93,8 pada siklus kedua. Sehingga dapat dikatakan bahwa quizizz merupakan salah satu upaya yang dapat digunakan untuk meningkatkan hasil belajar peserta didik.
Pengaruh Metode Pembelajaran Tutor Sebaya Terhadap Minat Belajar Peserta Didik Kelas Viii Mata Pelajaran Pendidikan Agama Islam Di Mts Yayasan Anak Emas Bali Tahun Ajaran 2018/2019
Authors: Subekti Rohmat , Mulyadi  , Dewantoro Hajar 
Published: December 2022

Metode tutor sebaya merupakan strategi pembelajaran yang melibatkan langsung siswa dalam proses belajar. Dengan demikian penerapan metode tutor sebaya sangat cocok digunakan untuk meningkatkan minat belajar siswa disekolah. Dalam proses pembelajaran, minat siswa memiliki peranan yang sangat penting untuk mencapai hasil pembelajaran yang optimal. Oleh karena itu penelitian ini bertujuan untuk mengetahui ada atau tidak pengaruh metode pembelajaran tutor sebaya terhadap minat belajar siswa kelas VIII pada mata pelajaran pendidikan Agama Islam di Mts Generasi Emas Bali. Penelitian ini menggunakan pendekatan kuantitatif. Teknik pengumpulan data yang digunakan pada penelitian ini adalah observasi, angket, wawancara dan dokumentasi. Subjek penelitian ini adalah siswa kelas VIII di Mts Generasi Emas Bali yang berjumlah 32 siswa. Teknik analisis pada penelitian ini menggunakan analisis regresi sederhana. Uji asumsinya menggunakan uji normalitas, uji homogenitas, dan linearitas yang diolah dengan bantuan komputer program SPSS versi 22 for windows. Hasil penelitian ini menunjukkan pada jumlah responden 30 siswa, ada pengaruh yang signifikan antara penerapan tutor sebaya terhadap minat belajar siswa dalam mata pelajaran Pendidikan Agama Islam di Mts Generasi Emas Bali. Hal tersebut ditunjukkan dengan hasil perhitungan tingkat probabilitas signifikan sebesar 0,003 , dengan demikian p < 0,005, berarti Ha diterima dan Ho ditolak. Hal ini dapat diinterpretasikan bahwa terdapat pengaruh yang signifikan antara metode pembelajaran tutor sebaya terhadap minat belajar peserta didik kelas 8 mata pelajaran pendidikan agama islam di Mts Generasi Emas Bali. Keyword : pendidikan, tutor sebaya, minat belajar,
Outcomes of cesarean myomectomy among pregnant women with uterine leiomyomas: A single tertiary center experience
Authors: Acar Ali , Atci Aslı Altınordu , Doğru Şükran , Akkuş Fatih , Gümüş Meryem 
Published: December 2022

Abstract
Purpose: This study aimed to investigate the surgical outcomes and safety of cesarean section myomectomies.
Methods: This retrospective study was performed between January 2015 and August 2022, at a single university hospital. Pregnant women diagnosed with myoma uteri who underwent C/S (cesarean section) myomectomy and pregnant women without myoma as the control group and only underwent C/S were included in the study. Patients' age, gravida, parity, abortion, body mass index (BMI), delivery week, previous delivery type, myoma size, type, number, localization, preoperative and postoperative hemoglobin (Hb) values and postoperative Hb changes, operation time, hospital stay, blood transfusion need and amount, and postoperative complications were recorded from the hospital archive system. The obtained data were compared between the two groups.
Results: A total of 283 patients underwent C/S myomectomy and 324 patients who did not have myoma underwent only C/S. Duration of operation, length of hospital stay, postoperative blood transfusion need and amount of blood transfusion, preoperative Hb, and change of Hb values were statistically significantly higher in the C/S myomectomy group (p<0.01, p<0.01, p=0.005, p= 0.006, p<0.01, p<0.01, respectively). A statistically significant weak positive correlation was observed between fibroid size and hospital stay (ρ=0.133). There was a statistically significant weak positive correlation between the size of myoma and the amount of blood transfused (ρ=0.120).
Conclusion: Myomectomy during cesarean section has a low complication rate and saves patients from the necessity of a second operation.
On the consensus in climate policy scenarios
Authors: Dekker Mark , Hof Andries , Berg Maarten van den , Daioglou Vassilis , Heerden Rik van , Wijst Kaj-Ivar van der , Vuuren Detlef van 
Published: December 2022

Abstract
Analysis of large scenario databases has become a critical tool for identifying climate mitigation strategies, as shown in the latest IPCC report. However, key elements of these strategies differ significantly among scenarios. Possible reasons include differences in climate target, models used, and assumptions on behavioral, technological and socio-economic developments. For policymaking, it is important to know which of these factors are the main cause of the spread, but quantification of this is still missing. Here, we aim to identify consensus in climate policy scenarios by analyzing how much of the variance in scenario outcomes can be explained by these factors, using Sobol decomposition. Some results, e.g. concerning future use of fossil and renewable resources, are mainly determined by climate target, while others, such as the composition of different renewables in the electricity mix and key outcomes of end-use sectors are more model dependent. Scenario aspects beyond model and climate outcome determine only a limited part of the variation, e.g., in nuclear power and hydrogen use, which suggests the need of more cross-model scenario variation. The outcomes put mitigation strategies in a new perspective by identifying which findings on the energy transition are robust and reveal key areas for future scenario development, model improvement and research.
Improving Patient-Centered Communication in Breast Cancer: A Study Protocol for a Multilevel Intervention of a Shared Treatment Deliberation System (SharES) within the NCI Community Oncology Research Program (NCORP) (Alliance A231901CD)
Authors: Hawley Sarah , Kidwell Kelley , Zahrieh David , Barber Anne , Wills Rachel , Rankin Aaron , Chow Selina , Hofer Timothy , Jagsi Reshma , Neuman Heather 
Published: December 2022

Abstract
Background: Advances in precision medicine have given oncologists new evaluative tools to better individualize treatments for patients with curable breast cancer. These innovations have revealed a need to improve patient understanding of novel, often complex information related to breast cancer treatment decisions. Ensuring patients have the emotional support to face consequential treatment decisions, as well as the opportunity to engage and discuss with their clinicians, is key to improving patient-centered communication and patient understanding.
Methods/design: This study will implement a multilevel intervention with patient and clinician components as a NCORP Cancer Care Delivery Research (CCDR) trial within the Alliance for Clinical Trials in Oncology Research Base (Alliance). The two interventions in this study, the Shared Decision Engagement System (SharES), include: 1) two versions of an evidence-based patient-facing breast cancer treatment decision tool (iCanDecide +/- an emotional support module), and 2) a clinician-facing dashboard (Clinician Dashboard) that is reviewed by surgeons/clinicians and summarizes ongoing patient needs. The design is a near minimax, hybrid stepped wedge trial of SharES where both interventions are being evaluated in a crossed design over six 12-week time periods. The primary outcome (knowledge) and key secondary outcomes (i.e., self-efficacy and cancer worry) are assessed via patient report at 5-weeks after surgery. Secondary outcomes are also assessed at 5-weeks after surgery, as well as in a second survey 9-months after registration. We anticipate recruiting a total of 700 breast cancer patients (600 evaluable after attrition) from 25 surgical practices affiliated with Alliance.
Discussion: Upon study completion we will have better understanding of the impact of a multilevel intervention on patient centered communication in breast cancer with a specific focus on whether the intervention components improve knowledge, self-efficacy and reduce cancer worry.
Trial Registration: NCT04549571. Registered September 16, 2020.
https://clinicaltrials.gov/ct2/show/NCT04549571
Virtual primary care for people living with dementia in Canada: Cross-sectional surveys of patients, care partners, and family physicians
Authors: Khanassov Vladimir , Cetin-Sahin Deniz , Feldman Sid , Sivananthan Saskia , Grill Allan , Vedel Isabelle 
Published: December 2022

Abstract

Background: Despite the importance of virtual primary care, the evidence informing optimal and sustainable provision of virtual care (VC) for people living with dementia (PLWD) and their care partners is scarce. We aimed to describe VC provided by family physicians (FPs) for PLWD in Canada.
Methods: Concurrent mixed-methods design. We analyzed questions related to VC in three nationwide cross-sectional surveys conducted with PLWD, care partners, and FPs in the first year of the COVID-19 pandemic. Virtual care was defined as two-way synchronous communication by telephone and/or a web camera. The prevalence of VC use among FPs, PLWD, and care partners was described, and logistic regression models were used to determine factors (sociodemographic, urbanicity, frequency of and availability of support for connecting to FPs, and FPs’ practice characteristics) associated with VC use. Inductive thematic analysis was performed on responses to open-ended questions to explore FPs’ perceptions of barriers and facilitators to using VC.
Results: 131 PLWD, 341 care partners, and 125 FPs participated. 61.2% of PLWD, 59.5% of care partners, and 77.4% of FPs had used VC. The models for PLWD (included age and ethnicity) and care partners (included gender, urbanicity, and receiving support from a family member/friend to connect with FP) were inconclusive. Among FPs, having more than 20 years of practice was significantly associated with a decreased likelihood of providing VC (OR=0.23, 95%CI: 0.08-0.62, p<0.01). Care preferences (decision stage), office/family support (preparation stage), technology and family presence (execution stage), and remuneration for FPs (compensation stage) were the most commonly recurring themes affecting VC use.
Conclusions: Virtual primary dementia care uptake was substantial and mainly performed via telephone. From the perspective of FPs, optimal VC provision requires patient-care partner-physician shared decision-making, interoperability in healthcare, support for performing VC, and appropriate compensation. Virtual care facilitates access to primary care and minimizes potential disruptions to in-person care for PLWD; however, its outcomes need further investigation.
Rapidly progressive dementia with an atypical presentation of rigid-akinetic syndrome caused by Cryptococcus Gattii: A case report
Authors: García-Cifuentes Elkin , Farelo-Gómez Laura Agustina , Torres Isabel , García-Alfonso Carolina , Mejía-Grueso Andrea , Acosta María-Fernanda , Cleves Catalina Cerquera 
Published: December 2022

Abstract

Background

Meningoencephalitis by Cryptococcus gattii (C. gattii) can be responsible for unspecific neurological clinical features, and its lesions in the brain can be diffuse with a preference for basal ganglia.

Case presentation

Here we describe the case of a 72- year-old woman who developed dementia and akinetic rigid syndrome with bilateral hand myoclonus in six-month period. Brain magnetic resonance imaging revealed striking leptomeningeal compromise and lesions in the midbrain. Film array and culture for C. gattii in cerebrospinal fluid were positive and she was diagnosed with meningoencephalitis by C. gattii. Antifungal management with amphotericin B plus flucytosine was started, and induction therapy was proposed for 4 to 6 weeks.

Conclusions

Our case showed that meningoencephalitis by C. gattii associated with rapidly progressive dementia, gait disturbance and a pseudo-parinaud syndrome could be an atypical clinical presentation of meningoencephalitis by cryptococcus.
Gestational trophoblastic neoplasia with primary lung cancer and mesenchymal tumor of sigmoid colon:a case report and literature review
Authors: Li HongYe , Sun Meng , Jiang Jing , Shi Bin , Wang BaoHua , Wang Lei , Wu WenXin , Wang WenYan 
Published: December 2022

Abstract
Background

Gestational trophoblastic neoplasia(GTN) is rare, and it is even rarer for GTN to merge with primary malignant tumors in other organs. The clinical data of one case of GTN combined with primary lung cancer and mesenchymal tumor of the sigmoid colon were retrospectively analyzed, and summarized by reviewing relevant literature. To explore the incidence, diagnosis and treatment of GTN combined with primary malignant tumors in other organs.

Case presentation

The patient was hospitalized due to diagnosis of GTN with primary lung cancer. Firstly, two cycles of chemotherapy including 5-fluorouracil (5-FU) and actinomycin-D(Act-D) was given. Laparoscopic total hysterectomy and right salpingo-oophorectomy was performed during the third chemotherapy. During the operation, a 3*2cm nodule was removed which was protruded from the serous surface of the sigmoid colon, and the nodule was confirmed mesenchymal tumor pathologically, in accord with gastrointestinal stromal tumor. During the treatment of GTN, Icotinib tablets were taken orally to control the progression of lung cancer. After 2 cycles of consolidation chemotherapy of GTN, she received thoracoscopic lower lobe of right lung lobectomy and the mediastinum lymph nodes removal. She undertook gastroscopy and colonoscopy and the tubular adenoma of the descending colon was removed. At present, the regular follow-up is taken and she remains free of tumors.

Conclusion

GTN combined with primary malignant tumors in other organs are extremely rare in clinical practice and will increase the difficulty of GTN staging and treatment, and bring more challenges to clinicians. It should be emphasized to make comprehensive judgment, and choose a reasonable treatment plan according to the priorities of different tumors.
Multi-responsive 3D Structured PVDF Cube Switch for Security System Using Piezoelectric Anisotropy
Authors: Song Yujun , Jo Hyeongjin , Song Ji-Hyeon 
Published: December 2022

Abstract
Advancements in flexible electronics using piezoelectric materials have paved the way for their numerous applications. In this study, we suggest a 3D structured polyvinylidene fluoride (PVDF) film cube switch to maximize piezoelectric anisotropy and flexibility. Unlike piezoelectric material-based flexible electronics, PVDF cube switches have a simple design and easy fabrication process. Each side of the cube switch demonstrates independent voltage signals with pressing displacements and corresponding directions. With cutting angle variation and planar figure designs, derived cube switches respond with various combination of voltage waveforms. PVDF switches can endure more than 1000 cycles of 70% vertical strain in terms of both electrically and mechanically. As an application, we establish security system with multi-responsibility of a cube switch. This security system can protect users from potential threats owing to its multi-responsibility and user-dependent operability.
A Numerical Example of Russell's Paradox and Its Novel Geometric Properties
Authors: Pan Xiandi 
Published: December 2022

Abstract
I found that its length is neither changed nor unchanged if an endpoint of a line segment is cut off and hypothesized that a line is not composed of points in primary school. Similar findings and hypotheses about plane and space were obtained in middle and high school. An example of Russell's paradox with positive integers - ∅Pan -which I wrote out in the first year of university solved these problems unexpectedly. ∅Pan is a set group that all its sets are mutually included. By marking each set in ∅Pan with line, plane and space, I got ∅line, ∅plane, and ∅space, respectively. These geometric set groups have remarkable properties that lines are mutually included and mutually iterated in ∅line, and the same as planes in ∅plane and spaces in ∅space. Visualization models for ∅line through cross-composing timelines, for ∅plane through cross-monitoring screens, and for ∅space through cross-sharing cyberspaces were finally established when I was pursuing my doctoral degree. These results demonstrate that sets can mutually include and geometries can mutually iterate. I anticipate the present paper to be a starting point for a novel kind of set group and algebraic geometry.
Effects of the oral angiotensin-converting enzyme inhibitor captopril on occlusal-disharmony-induced cardiac dysfunction in mice
Authors: Ito Aiko , Ohnuki Yoshiki , Suita Kenji , Matsuo Ichiro , Ishikawa Misao , Mototani Yasumasa , Kiyomoto Kenichi , Tsunoda Michinori , Morii Akinaka , Nariyama Megumi , Hayakawa Yoshio , Tomonari Hiroshi , Okumura Satoshi 
Published: December 2022

Abstract
Occlusal disharmony is known to affect not only the oral cavity environment, but also the autonomic nervous system in the heart. Since the renin-angiotensin system (RAS) inhibitor captopril (Cap) is one of the first-line drugs for preventing cardiac remodeling in patients with heart failure, we hypothesized that Cap might prevent cardiac dysfunction induced by occlusal disharmony. Here, to test this idea, we used our bite-opening (BO) mouse model, which was developed by cementing a suitable appliance onto the mandibular incisor. Mice were divided into four groups: 1) Control, 2) BO, 3) Cap, and 4) BO + Cap. After 2 weeks, we evaluated cardiac function by echocardiography and confirmed that cardiac function was significantly decreased in the BO group compared to the control, while Cap ameliorated the dysfunction. Cardiac fibrosis, myocyte apoptosis and oxidative stress-induced myocardial damage in the BO group were significantly increased versus the control, and these increases were suppressed by Cap. Cardiac dysfunction induced by BO was associated with dual phosphorylation on PKCδ (Tyr-311/Thr-505), leading to activation of CaMKII with increased phosphorylation of RyR2 and phospholamban. Our results suggest that the RAS might play an important role in the development of cardiac diseases induced by occlusal anomalies.
Influence of Relative Humidity on Compressive Strength of Low-Calcium Fly Ash Geopolymer During Heat Curing
Authors: Rasuli Mohammad Idris 
Published: December 2022

Abstract
Compare to ordinary Portland cement, Geopolymers are more environmentally friendly materials. They have some remarkable advantages such as resistance against fire and acid. Low-calcium fly ash-based geopolymers are heat cured in ovens and incubators where they are exposed to different temperatures and relative humidity (RH). The influence of the temperature on the alkali-activated materials (AAM) and geopolymers are well studied and understood. But there is a lack of enough information regarding the effect of RH during heat curing on the properties of the materials. This research aimed to study the influence of RH on the compressive strength of the geopolymer. Low-calcium fly ash-based geopolymer was cured at 45 °C. The effect of around 10% and 94% RH was studied on 7-, 28- and 56- day compressive strength of the materials. It was found that RH has a negative influence on the early age strength of the mortars. More studies are required to find the influence of RH on other properties of the geopolymer.
Cost-effectiveness analysis of direct admission to acute geriatric unit versus admission after an emergency department visit for elderly patients
Authors: Naouri Diane , Yordanov Youri , Lapidus Nathanael , Pelletier-Fleury Nathalie 
Published: December 2022

Abstract
Background.
Elderly individuals represent an increasing proportion of emergency department (ED) users. In the APHP direct-admission study, direct admission (DA) to an acute geriatric unit (AGU) was associated with a shorter hospital length of stay (LOS), lower post-acute care transfers, and lower risk of an ED return visit in the month following the AGU hospitalization compared with admission after an ED visit. Until now, no economic evaluation of DA has been available.
Methods.
We aimed to evaluate the cost-effectiveness of DA to an AGU versus admission after an ED visit in elderly patients. This was conducted alongside the APHP direct-admission study which used electronic medical records and administrative claims data from the Greater Paris University Hospitals (APHP) Health Data Warehouse and involved 19 different AGUs. We included all patients ≥ 75 years old who were admitted to an AGU for more than 24 hours between January 1, 2013 and December 31, 2018. The effectiveness criterion was the occurrence of ED return visit in the month following AGU hospitalization. We compared the costs of an AGU stay in the DA versus the ED visit group. The perspective was that of the payer. To characterise and summarize uncertainty, we used a non-parametric bootstrap resampling and constructed cost-effectiveness accessibility curves.
Results.
At baseline, mean costs per patient were €5113 and €5131 in the DA and ED visit groups, respectively. ED return visit rates were 3.3% (n = 81) in the DA group and 3.9% (n = 160) in the ED group (p = 0.21). After bootstrap, the incremental cost-effectiveness ratio was €-4249 (95%CI= -66001; +45547) per ED return visit averted. Acceptability curves showed that DA could be considered a cost-effective intervention at a threshold of €-2405 per ED return visit avoided.
Conclusion.
The results of this cost-effectiveness analysis of DA to an AGU versus admission after an ED visit for elderly patients argues in favor of DA, which could help provide support for public decision making.