bluuebunny/crossref_metadata_2025_split huggingface dataset:
Efektivitas Virtual Reality dalam Menurunkan Tingkat Kecemasan Pre Operatif pada Pasien yang Menjalani Prosedur Anestesi: Literatur Review
Authors: Eva Yulianti  , Sigit Mulyono  
Published: July 2022

Pendahuluan: Kecemasan pre operatif berhubungan dengan dampak pemulihan pasien yang negatif. Virtual Reality (VR) adalah teknologi baru yang menjanjikan dan menawarkan peluang untuk memodulasi pengalaman dan kognisi pasien dan telah terbukti terkait dengan tingkat kecemasan yang lebih rendah. Literatur review ini bertujuan untuk melihat efektivitas virtual reality dalam menurunkan tingkat kecemasan pre operatif pada pasien yang menjalani prosedur anestesi.
Metode: Desain yang digunakan adalah Literature Review. Pencarian artikel pada penelitian ini melalui online database yang dapat diakses seperti Google Scholar, ScienceDirect dan ProQuest. Menggunakan keyword dan Boolean Operator. Hasil: Berdasarkan hasil telaah10 jurnal pilihan, didapatkan kesimpulan intervensi non farmakologis dengan penggunaan virtual reality secara bermakna efektif menurunkan tingkat kecemasan pasien pre operatif yang akan menjalani operasi dengan prosedur anestesi dibandingkan dengan kelompok yang menerima perawatan standar atau teknik distraksi lainnya.
Rekomendasi: Diharapkan VR dapat digunakan diberbagai setting perawatan kesehatan sebagai intervensi non farmakologis teruatama dalam menurunkan tingkat kecemasan.
Evaluasi Implementasi Kebijakan Protokol Kesehatan Covid-19 di Mall Ratu Indah Makassar
Authors: Ince Annisah Adawiyah Arifin  , Amelia AP A Rizki , Andi Muhammad Multazam  
Published: July 2022

Evaluasi merupakan bagian dari sistem manajemen yaitu perencanaan, organisasi, pelaksanaan, monitoring dan evaluasi. Tanpa evaluasi, maka tidak akan diketahui bagaimana kondisi objek evaluasi tersebut dalam rancangan, pelaksanaan serta hasilnya. Evaluasi adalah pengidentifikasian keberhasilan atau kegagalan suatu rencana kegiatan atau program yang dalam hal ini adalah protocol kesehatan covid-19 di Mall Ratu Indah. Tujuan dari penelitian ini untuk mengevaluasi iplementasi kebijakan protokol kesehatan covid-19 di Mall Ratu Indah Makassar dilihat dari aspek input, proses dan output. Jenis penelitian ini adalah penelitian kualitatif dengan pendekatan induktif, yang dilaksanakan pada bulan juni hingga juli tahun 2021 di Mall Ratu Indah Makassar. Subjek penelitian yaitu satgas penanganan Covid-19, general manager dan staf ahli berjumlah 22 orang serta pengunjung Mall. Pengumpulan data dengan cara observasi dan wawancara. Analisis data menggunakan teknik triangulasi. Hasil penelitian menunjukkan bahwa pelaksanaan program kebijakan protokol kesehatan Covid-19 dalam aspek input belum maksimal karena jumlah SDM yang kurang memadai dan tidak mendapatkan pelatihan sebelumnya. Dalam aspek proses Mall Ratu Indah telah sesuai dengan standar pemerintah karena berpedoman pada panduan pelaksanaan protokol kesehatan, edaran pemerintah kota makassar dan Keputusan Menteri Kesehatan. Dan pada aspek output belum sesuai dengan standar pemerintah dan tujuan protokol kesehatan hal ini dikarenakan cakupan program yang dijalankan belum sepenuhnya tercapai yang mengakibatkan masih adanya pelanggaran protokol kesehatan Covid-19 yang terjadi Mall Ratu Indah Makassar, pelanggaran protokol kesehatan Covid-19 berupa tidak menjaga jarak yang dilakukan oleh pengunjung dan karyawan mall. Kesimpulan dari penelitian ini adalah pelaksanaan program kebijakan protokol kesehatan Covid-19 di Mall Ratu Indah Makassar belum maksimal dan diharapkan pihak Mall dapat meningkatkan kualitas pengawasannya agar hasil yang ingin dicapai dapat segera didapatkan.
History of USDA-ARS Cotton Host Plant Resistance and Breeding Research at Mississippi State, MS
Authors: McCarty Jr. Jack C. , Jenkins Johnie N. , Saha Sukumar , Wubben Martin J. 
Published: August 2022

Cotton host plant resistance research was initiated with the establishment of the Boll Weevil Research Laboratory in 1960. Laboratory objectives were to conduct research and develop technology that ultimately could be used to eradicate the boll weevil. Early research concentrated on developing techniques and screening germplasm for resistance. A full-scale boll weevil eradication trial began in southern Virginia and eastern North Carolina in 1978 and after initial success the USDA Animal and Plant Health Inspection Service established an eradication program. This led the host plant resistance program to broaden its research into other pests of cotton. During the 1980s, research continued to focus on tarnished plant bug, tobacco budworm, expanding the genetic diversity of cotton, basic genetic and cotton breeding studies. With the development of field infestation techniques for the tobacco budworm, in the 1990s the research team conducted the first field test of Bacillus thuringiensis (Bt) transgenic cotton for resistance. During this time, root-knot nematode research expanded. Cotton fruiting efficiency and distribution of harvestable bolls and the concept of plant mapping were developed. During the 2000s, research expanded with the use of chromosome substitution lines for the introgression of new alleles into Upland cotton. Nematode research remained active during this time. To date, the research program has developed and released more than 800 germplasm lines and four random-mating populations. Scientists in the program have trained more than 60 graduate students and countless others have been mentored. The full impact of the research team will only be revealed with time.
The Relationship Between The Physical Condition Of The House And Smoking Habits With The Incidence Of Acute Respiratory Infections In Toddlers In The Work Area Of The Rambah Health Center In 2022
Authors: Sulistina Sulistina , Zaman Kamali , Desfita Sri , Renaldi Reno , Yulianto Benny 
Published: August 2022

Acute respiratory infektion (ARI) Are Infections of the upper and lower respiratory tract caused by viruses, fungi and bacteria. The candition of the home environment that has not met the requirements and the smoking habits of family members in the hous are, factors in the insidence of ARI toddlers in Rambah Tengah Hulu. The purpouse of this studi was to determini the relationship between physical home factors and smoking habits of family member with the insidence of ARI among children under Rambah Tengah Hulu. This type of research is quantitative using a cross sectional study design. Conducting interviews, observation and house measurements, namely house ventilation and house humidity with total sample of 100 respondents using the Purvosif sampling technique. The subjek of this study were monthers of toddlers 0-24 months. The research was conducted in Rambah Tengah Hulu in februare- march 2022. Data analysis was carried out unnivariate and bivariate using the Chi Square test with a 90% degree of confidence. From the results of research and discussion it can be concluded that of the 5 variabels all there is a relationship between the area of house ventilation pvalue = 0,049 ( α 0,05 ), Use of cooking fuel = 0,0013 ( α 0,005), Occupancy density Pvalue= 0,000 ( α 0,05), Smoking habits of family members Pvalue= 0,008 (α 0,05), Use of mosquito coils Pvalue= 0,008 (α 0,05) Whit the incidence of ari in toddlers in Rambah Tengah Hulu in 2022. The results of this study are expected to provide prevention and control for the community and can be used as a reference for knowing physical factors of the house and smoking habits of family members that cause ARI in toddlers.
Sustainability in formal Education: ways to integrate it now
Authors: Agueda Gras-Velazquez  , Verdiana Fronza  
Published: August 2022

Sustainability emerged as a way to address global challenges “without leaving anyone behind”. Nevertheless, sustainability is hard to implement. At the individual level, education can help, as recognised at the international level. This paper looks at sustainability for education, and vice versa to decipher why the two benefit from each other. Education fosters literacy, forming the citizens of tomorrow: it can thus support sustainability, promoting a positive understanding of nature among students. Thanks to its interdisciplinary nature, sustainability can foster collaboration among different subjects and offer new practices helping education to prepare students for a complex future. This interplay can exist without intervening in the national curricula, by focussing on student-centred pedagogies, and the role of teachers. Three projects show how, through learning scenarios, massive online open courses and competitions, teachers can support sustainability education. Hence, this paper shows that the integration of sustainability in education is recommendable and achievable.
Esperienze di partecipazione attiva delle studentesse e degli studenti al processo di decision-making: l’emozione della democrazia a Scuola-Città Pestalozzi
Authors: Matteo Bianchini  
Published: August 2022

Scuola-Città Pestalozzi, fin dalla sua origine, ha organizzato la scuola in una comunità educante in cui la partecipazione attiva degli studenti al processo di decision-making è sempre stata al centro del piano dell’offerta formativa. La scuola all’inizio era organizzata come una vera e propria città in cui a rotazione ogni funzione, dal sindaco al pubblico ministero, dall’assessore al giardiniere, era coperta da studenti e studentesse. Oggi quell’organizzazione è cambiata, si è trasformata, sono rimasti però i paradigmi pedagogici di quell’esperienza. Il contributo che proponiamo è quello di raccontare le esperienze di oggi rispetto alla partecipazione attiva delle studentesse e degli studenti al processo di decision- making.
Umgang mit narzisstisch geprägten Klienten
Authors: Sachse Rainer , Walburg Marc 
Published: July 2022

Anders als in psychiatrischen und psychotherapeutischen Kontexten zeigen Straftäter und Straftäterinnen mit Therapieauflage meist nur geringe Bereitschaft zu Mitarbeit und Verhaltensänderungen, dafür aber besonders stark ausgeprägte dysfunktionale Eigenschaften: Narzisstische Störungen spielen bei vielen Klienten in der Forensik eine große Rolle. Der vorliegende Band gibt praktische Hilfestellung, wenn diese Klienten zu Zusammenarbeit und Veränderungen motiviert werden sollen.

Dabei wird auf das bereits ausgearbeitete Funktionsmodell und therapeutische Konzept der Klärungsorientierten Psychotherapie (KOP) zur Einschätzung und Behandlung von Klienten mit narzisstischen Störungsmerkmalen zurückgegriffen. Das differenzierte Funktionsmodell erfolgreicher und erfolgloser Narzissten ermöglicht den Zugang zu den Aspekten, die sich besonders stark auf das dysfunktionale Verhalten der Klienten auswirken.

-	Von der Therapieauflage zur Therapiebereitschaft

-	Konzept der »Klärungsorientierten Psychotherapie« (KOP)

-	Funktionsmodell erfolgreicher und erfolgloser Narzissten

-	Ziele: Motivation, Selbstregulation, Perspektiven

Zielführend, gut strukturiert und in verständlicher Sprache bietet dieser Band alltagstaugliche Hilfe für alle Berufsgruppen in diesem besonderen und besonders herausfordernden Arbeitsbereich.
Surgical Pathology of Diffuse Parenchymal Lung Disease in Patients With Psoriasis or Psoriatic Arthritis
Authors: Butt Yasmeen M. , Smith Maxwell L. , Tazelaar Henry D. , Roden Anja C. , Mengoli Maria Cecilia , Larsen Brandon T. 
Published: August 2022

Context.—
Diffuse parenchymal lung disease (DPLD) is a well-recognized complication of systemic connective tissue disease (CTD) but rarely arises in patients with psoriasis or psoriatic arthritis, a poorly understood phenomenon.

Objective.—
To characterize DPLD associated with psoriasis or psoriatic arthritis, with or without prior immunomodulation.

Design.—
Pathology consultation files were searched for patients having psoriasis or psoriatic arthritis and DPLD. After excluding cases with active infection or smoking-related DPLD only, 44 patients (22 women; median age, 60 years; range, 23–81 years) were enrolled. Clinical history and pathology slides were reviewed.

Results.—
Twenty-seven of 44 patients (61%) had psoriatic arthritis; the remainder had psoriasis alone. Most presented many years later with nonspecific respiratory symptoms. Nearly one-third had no prior immunosuppression, and most had no concomitant CTD. Radiographically, ground-glass opacities, consolidation, and/or reticulation were typical. Histologically, nonspecific interstitial pneumonia and unclassifiable fibrosis were seen in 24 patients (55%) and 8 patients (18%), respectively; usual interstitial pneumonia and airway-centered fibrosis were rare. Superimposed acute lung injury was common, usually manifesting as organizing pneumonia. Lymphoplasmacytic infiltrates, lymphoid aggregates, and chronic pleuritis were frequent. Interstitial granulomas were seen in 17 patients (39%) but were usually rare, poorly formed, and nonnecrotizing. No histologic differences were apparent among patients with or without concomitant CTDs or prior therapy.

Conclusions.—
Some patients with psoriasis or psoriatic arthritis develop clinically significant DPLD, even without prior therapy. Histopathologic findings mirror changes seen with other CTDs. Additional studies are warranted to clarify the association between psoriasis or psoriatic arthritis and DPLD.
Secretariado Executivo e terceiro setor: um estudo de caso na ESSOR Brasil
Authors: Angeluce Soares Perônico Barbotin Maria , Géssoca Silva da Costa Maria , Balbino Ferreira Thaislane , Izabel Carneiro Barreiro Wilma 
Published: August 2022

A sociedade brasileira passou por mudanças econômicas, políticas, sociais, culturais e ambientais profundas nos últimos 50 anos. Para esse trabalho, destacamos o surgimento e fortalecimento do Terceiro Setor e a reconfiguração da profissão de Secretariado Executivo, que se amplia a ponto de contribuir com os diferentes tipos de organizações. Portanto, a questão que pauta essa pesquisa é: quais as atividades que o profissional de Secretariado Executivo pode desenvolver no âmbito das instituições do Terceiro Setor? Assim, estabeleceu-se como objetivo geral identificar as possibilidades de atuação do profissional de Secretariado Executivo em organizações do Terceiro Setor, via um estudo de caso na ESSOR Brasil. Especificamente buscou-se: mapear as funções organizacionais de instituições do Terceiro setor; identificar as funções que o profissional de Secretariado Executivo pode desenvolver em uma organização do Terceiro Setor; e especificar as competências necessárias para atuação do profissional de Secretariado Executivo no Terceiro Setor. Metodologicamente, esta é uma pesquisa exploratória, qualitativa, descritiva, bibliográfica e de campo. Como considerações possíveis, verificou-se que as funções organizacionais mapeadas na ESSOR Brasil podem ser desenvolvidas por profissionais de Secretariado Executivo, pois a formação acadêmica desenvolve as competências necessárias. Identificou-se a inexistência do cargo “secretário/a executivo/a”, percebendo que a possibilidade de atuação desse profissional nesse tipo de organização é ocupando outras funções, como a de Coordenador de Desenvolvimento Institucional. Essa pesquisa aponta para a possibilidade de uma atuação do Secretariado Executivo no Terceiro Setor que passa tanto pela aplicação das técnicas secretariais, quanto pelo desenvolvimento da assessoria e co-gestão.
Acute Toxicity of Aqueous Methanol on Juvenile Guinean Tilapia (Tilapia guineensis)
Authors: Adaku Ngoka Chizoma , Osuji Leo C. , Hart Aduabobo I. 
Published: August 2022

This study was conducted to evaluate the acute toxicity of Juvenile Tilapia guineensis exposed to aqueous methanol (Analytical grade). The fishes were obtained from the Nigeria Institute for Oceanography and Marine Research (NIOMR), Buguma, Rivers State, Nigeria. The fishes were acclimated to an aquarium for 14 days. A range-finding test of the toxicity of aqueous analytical methanol was conducted. Based on the preliminary results, a definitive test was conducted at 0ml/l as control (0ml/l), 2.5 ml/l, 5.0ml/l, 10.0ml/l, 15.0ml/l, 20.0ml/l and 25.0ml/l respectively. From the data, the concentration-response curves for fish mortality, the LC50s, and the 95 percent confidence intervals for test organisms at 24hr, 48hr, 72hr, and 96hr in a static system were derived following the standard procedure. The mortality rates increased significantly (p<0.05) with an increase in the concentration of the test chemical. The LC50 values at 24, 48, 72 and 96 hours recorded were 30.361 ml/l, 16.585 ml/l, 7.369 ml/l, and 3.750 ml/l respectively for the aqueous analytical methanol. The LC50 values showed that the test chemical is toxic to the juvenile T. guineensis. Therefore, proper handling and discharge of this chemical into the aquatic environment should be minimized to avoid possible toxic effects on the aquatic life therein.
Correlation between Impaired Aortic Distensibility and the Severity of Coronary Artery Disease and Calcium Scoring Measured by Cardiac CT
Authors: Alshameery Muneer Saif Abdulkhaleq Mohammed , El-Yazal Islam Shawky Abd El-Aziz Saif , Mansy Ahmed Mahmoud Hasan 
Published: July 2022

Background: Multi-Slice cardiac CT has evolved as a noninvasive imaging technique for evaluation of stenosis in the coronary arteries by what is called Coronary Computed Tomographic Angiography (CCTA), but it is also widely used in quantitative plaque assessments through Coronary Artery Calcium (CAC) scoring and plaque type identification ( soft or Mixed VS calcific) . Evaluation of aortic distensibility and aortic stiffness can also be performed through Multi-Slice Computed Tomography (MSCT) by calculating Aortic Distensibility Index (ADI) and Pulse Wave Velocity (PWV).
Aim: To evaluate whether impaired Aortic Distensibility Index (ADI) and Aortic Stiffness measured by Cardiac CT is correlating with the severity of coronary artery disease and coronary calcium scoring in at-risk individuals (assessed by CCTA).
Patients and Methods: We included 180 patients. Patients were classified into four groups according to their CAC score and according to the degree of stenosis based on CCTA. All patients in this study have underwent full history taking, short clinical examination including B.P. and H.R. measurements, standard ECG, routine laboratory investigations, and Multi-Slice CT Coronary Angiography (MSCT-CA).
All patients underwent coronary artery calcium (CAC) scanning and CCTA, and their ADI and Aortic Stiffness were measured. Maximum systolic and maximum diastolic cross sectional-area (CSA) of ascending-aorta (AAo) was measured 15-mm above the left main coronary ostium. ADI was defined as: [(Systolic CSA –Diastolic CSA)/ (Diastolic CSA in X systemic-pulse-pressure) X 103]. Aortic stiffness was measured as PWV using Bramwell-Hill equation [1] [(3.57/ √distensibility)].
Results: There were strong correlation between Aortic distensibility and Aortic stiffness (PWV) with degree of stenosis and coronary artery calcium.
In patients stratified based on the degree of calcium scoring (CAC score), there was a statistically significant negative correlation between calcium scoring and the ADI (Pearson's r= -0.771, p< .001), and a statistically significant positive correlation between calcium scoring and PWV (Pearson's r=0.817, p< .001).
In patients stratified based on the degree of stenosis, there was a statistically significant negative correlation between ADI and the Degree of stenosis (Pearson's r=-0.707, p< .001), and there was a statistically significant positive correlation between PWV and the Degree of stenosis (Pearson's r=0.697, p< .001).
Conclusion: Impaired aortic distensibility strongly correlates with the severity of coronary atherosclerosis, degree of stenosis and coronary artery calcium. Addition of ADI to CAC and traditional risk factors provides incremental value to predict at-risk individuals.
Long-term impact of overnight shiftwork implementation on pediatric residents' mental wellness: A repeated cross-sectional survey
Authors: Nakao Hiro , Nomura Osamu , Kubota Mitsuru , Ishiguro Akira 
Published: July 2022

Abstract

Objectives
The Japanese government partially enacted the “Work Style Reform Bill” in 2019. The National Center for Child Health and Development (NCCHD) introduced an Overnight Call Shift (OCS) system for pediatrician training. We conducted a follow-up survey in 2019 to investigate the long-term effectiveness of the OCS system to improve the pediatric residents' mental wellness at NCCHD.

Methods
We conducted a questionnaire-based cross-sectional survey for pediatric residents in 2019 to compare the data with those of the previous survey in 2012. The questionnaire includes demographic data, working conditions data, and mental wellness assessment by the Center for Epidemiologic Studies Depression scale (CES-D) and the Maslach Burnout Inventory (MBI).

Results
The collection rate for the 2019 survey was 94.5% (37 participants/39 eligible). Compared to 2012, there were no significant changes in demographic data and working hours, a significant increase by about 30% in residents who took daytime off after night work, about 10% decrease in residents who scored 16 and above on the CES-D, and a significant decrease in the mean score for depersonalization (DP) in the MBI. Multiple regression analyses showed that daytime off after night work was the decreasing factor for CES-D and Emotional exhaustion (EE).

Conclusions
The overnight shiftwork system shortened the pediatric residents' duty hours somewhat, and imposed an impact on the pediatric residents' mental wellness.
Improving reproducibility and performance of radiomics in low‐dose CT using cycle GANs
Authors: Chen Junhua , Wee Leonard , Dekker Andre , Bermejo Inigo 
Published: July 2022

AbstractBackgroundAs a means to extract biomarkers from medical imaging, radiomics has attracted increased attention from researchers. However, reproducibility and performance of radiomics in low‐dose CT scans are still poor, mostly due to noise. Deep learning generative models can be used to denoise these images and in turn improve radiomics’ reproducibility and performance. However, most generative models are trained on paired data, which can be difficult or impossible to collect.PurposeIn this article, we investigate the possibility of denoising low‐dose CTs using cycle generative adversarial networks (GANs) to improve radiomics reproducibility and performance based on unpaired datasets.Methods and materialsTwo cycle GANs were trained: (1) from paired data, by simulating low‐dose CTs (i.e., introducing noise) from high‐dose CTs and (2) from unpaired real low dose CTs. To accelerate convergence, during GAN training, a slice‐paired training strategy was introduced. The trained GANs were applied to three scenarios: (1) improving radiomics reproducibility in simulated low‐dose CT images and (2) same‐day repeat low dose CTs (RIDER dataset), and (3) improving radiomics performance in survival prediction. Cycle GAN results were compared with a conditional GAN (CGAN) and an encoder–decoder network (EDN) trained on simulated paired data.ResultsThe cycle GAN trained on simulated data improved concordance correlation coefficients (CCC) of radiomic features from 0.87 (95%CI, [0.833,0.901]) to 0.93 (95%CI, [0.916,0.949]) on simulated noise CT and from 0.89 (95%CI, [0.881,0.914]) to 0.92 (95%CI, [0.908,0.937]) on the RIDER dataset, as well improving the area under the receiver operating characteristic curve (AUC) of survival prediction from 0.52 (95%CI, [0.511,0.538]) to 0.59 (95%CI, [0.578,0.602]). The cycle GAN trained on real data increased the CCCs of features in RIDER to 0.95 (95%CI, [0.933,0.961]) and the AUC of survival prediction to 0.58 (95%CI, [0.576,0.596]).ConclusionThe results show that cycle GANs trained on both simulated and real data can improve radiomics’ reproducibility and performance in low‐dose CT and achieve similar results compared to CGANs and EDNs.