bluuebunny/crossref_metadata_2025 huggingface dataset:
Advanced Cardiac Conduction Abnormalities in Patients on Ibrutinib Therapy
Authors:   Northshore University Health system, Graduate School of Biomedical Sciences, Rowan University School of Osteopathic Medicine, Stratford, NJ 08084 USA., Patel Romil , Robin Charlie ,   Northshore University Health system, Graduate School of Biomedical Sciences, Rowan University School of Osteopathic Medicine, Stratford, NJ 08084 USA., Robin Jason ,   Northshore University Health system, Graduate School of Biomedical Sciences, Rowan University School of Osteopathic Medicine, Stratford, NJ 08084 USA.
Published: May 2024

Background: Bruton tyrosine kinase inhibitors, such as ibrutinib, are medications that are actively used for Chronic Lymphocytic Leukemia (CLL) and several lymphomas. They work by inhibiting Bruton’s tyrosine kinase therefore affecting B cell proliferation. Ibrutinib itself is associated with multiple cardiotoxicities including atrial fibrillation, ventricular arrhythmias, heart failure, and bleeding. There are well-established studies that show the incidence of atrial fibrillation with ibrutinib therapy. However, only a few reports show an association between ibrutinib therapy and advanced heart block. Case presentation: We present two unique cases of patients who presented to the emergency room with syncope while being on ibrutinib therapy for CLL. At presentation, the patients were found to have conduction abnormalities seen on their EKG that included complete heart block in one patient and sick sinus syndrome in the other. Ultimately, each patient was treated with a pacemaker, ibrutinib therapy was discontinued, and they were started on alternative therapy for their CLL. Discussion: No clear mechanism has been established for how ibrutinib therapy causes these conduction abnormalities. This case series proposes a possible mechanism of advanced conduction abnormalities that is caused by ibrutinib therapy that is associated with the NOTCH gene. We propose that the downregulation of the NOTCH gene may prevent cardiac myocyte remodeling and therefore can cause conduction abnormalities as seen in our patients along with others that presented with advanced heart block with ibrutinib therapy.
Effect of Combined Oral Contraceptive Pills on Established Biomarkers of Lipid Metabolism: Systematic Review and Meta-Analysis
Authors:   University of Plymouth, UK., Doble Amazon , King Nicola ,   University of Plymouth, UK.
Published: May 2024

Background and aims: Bruton tyrosine kinase inhibitors, such as ibrutinib, are medications that are actively used for Chronic Lymphocytic Leukemia (CLL) and several lymphomas. They work by inhibiting Bruton’s tyrosine kinase therefore affecting B cell proliferation. Ibrutinib itself is associated with multiple cardiotoxicities including atrial fibrillation, ventricular arrhythmias, heart failure, and bleeding. There are well-established studies that show the incidence of atrial fibrillation with ibrutinib therapy. However, only a few reports show an association between ibrutinib therapy and advanced heart block. Methods: A systematic review was carried out involving searching in research databases including PubMed using key search terms. This was followed by a meta-analysis that compared cholesterol, high density lipoprotein, low-density lipoprotein and triglycerides in a population taking combined oral contraceptive pills containing ethinyl oestradiol/levonorgestrel at 6 months vs the baseline measurement. Results: Six studies (9 intervention groups), totalling 274 participants were analysed. Hedge’s g for the cholesterol comparison was 0.133 (95% confidence intervals -0.058, 0.324; p=0.173; I2 =74.652), which was not significant. In contrast high density lipoprotein was significantly lower, Hedge’s g -0.546 (95% confidence intervals -0.834, -0.259; p<0.001; I2 =92.546) and lowdensity lipoprotein significantly higher, Hedge’s g 0.248 (95% confidence intervals 0.055, 0.442; p=0.012; I2 =83.116 as were the triglycerides, Hedge’s g 0.667 (95% confidence intervals 0.491, 0.842; p<0.001; I2 =64.627. Conclusion: After 6 months use the combined oral contraceptive pills containing ethinyl oestradiol/levonorgestrel led to a significantly increased concentration of low-density lipoprotein and triglycerides and a significantly lower concentration of high-density lipoprotein. More research is required to investigate whether these changes are associated with an increased risk of cardiovascular disease.
Chest CT Imaging Features of HIV/SARS-COV-2 Infected Patients from the Capital of Amazonas State
Authors:   State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil., Nogueira Paulo
Published: May 2024

The impact of the COVID-19 pandemic caused by SARS-CoV-2 on global public health, emphasizing its severity and the efforts made to enhance diagnostic practices and clinical management. Chest Computed Tomography (CT) has been widely used to assess complications caused by the virus, particularly in patients coinfected with HIV. The study evaluated 29 chest CT scans, comparing HIV+ and HIV- patients. Among HIV+ patients, 66.7% reported regular antiretroviral therapy, and 43.8% had a CD4+ T cell count below 200 cells/mm3 . Coinfections were observed, including neurotoxoplasmosis and pulmonary tuberculosis. Clinical outcomes showed that 90% of patients were discharged, 3.5% were transferred, and 7% died, all of whom were HIV+ . CT findings revealed that HIV+ patients exhibited fewer ground-glass opacities, but a higher rate of consolidation. The severity score was lower in HIV+ patients, with the lower lobes of HIV- patients more affected. The text also discusses the variability in CT manifestations in HIV patients, highlighting the importance of considering previous conditions. The study suggests that HIVrelated immunosuppression may paradoxically protect against severe COVID-19 manifestation, but low CD4 counts (<200 cells/ µL) can predispose patients to more severe forms of the disease. However, the study acknowledges limitations, such as a small sample size and the need for follow-up CT examinations to understand the complete disease course.
The Increasing Incidence of Rapes Caused by Illicit Use of Skunchies and Rohypnol Among Youths in Nigeria
Authors:   Department of Pharmacognosy, Faculty of Pharmacy, University of Maiduguri, Nigeria., Ukwubile Cletus Anes , Tam Livinus ,   Sancta Maria Health Clinic, Diagnostic Laboratory, Bali, Nigeria.
Published: May 2024

The ugly rise in rape cases in Nigeria caused by persistent use of stimulants commonly referred to as ‘skunchies and Rohypnol posed a great challenge for health professionals and drug regulatory authorities. We report two cases of illicit use of controlled or banned substances in the preparation of ‘zobo’ artisanal beverages in some parts of Nigeria and consumed by some youths to be ‘high’. In this case, dried or fresh leaves of marijuana (Cannabis sativa) are soaked in water for 48 hours, and the resulting filtrate will be mixed with cracked cocaine and ethanol. This mixture will then be added to prepared artisanal ‘zobo’ (Hibiscus sabdariffa) beverages and sold to some youths for consumption to be ‘high’. In case two, instead of adding the abovementioned substances to the ‘zobo’ beverages, Rohypnol (Flunitrazepam) a CNS depressant was added. The consequences of using these two preparations by some youths aged between 18 and 40 years are elevated rape cases in Nigeria (with many rape cases unreported). Most of the consumers of these preparations are currently in rehabilitation health centres across the country due to various degrees of CNS imbalance.
From Hypothyroidism to Stroke … Is it Such a Short Way?
Authors:   Ovidius University of Constanta, Faculty of Medicine, Campus, Aleea Universității, Corp B, Constanta, Romania., M Belu Anca , Iordache A Melina M ,   Ovidius University of Constanta, Faculty of Medicine, Campus, Aleea Universității, Corp B, Constanta, Romania., M Belu Daniela ,   Ovidius University of Constanta, Faculty of Medicine, Campus, Aleea Universității, Corp B, Constanta, Romania., Circo Eduard ,   Ovidius University of Constanta, Faculty of Medicine, Campus, Aleea Universității, Corp B, Constanta, Romania., Dobrin Cristina ,   Ovidius University of Constanta, Faculty of Medicine, Campus, Aleea Universității, Corp B, Constanta, Romania., Nicoara Alina D ,   Ovidius University of Constanta, Faculty of Medicine, Campus, Aleea Universității, Corp B, Constanta, Romania.
Published: May 2024

A 72-year-old patient, known in her personal medical history with essential hypertension, chronic autoimmune thyroiditis and hypothyroidism, undergoing chronic treatment with Euthyrox, shows specific symptoms of hyperthyroidism (palpitations, profuse sweating). After the tests, it appears that the patient has a thyrotoxicosis related to Graves’ disease. Treatment with Thyrozol is initiated. 10 days after the initiation of Thyrozol treatment, a severe neutropenia is noted (0 neutrophils on the peripheral blood smear). It is decided to cease the treatment with Thyrozol and start the treatment with Filgastrim, granulocyte colony stimulating factor and Dexamethasone.
Relationship Between Oral Health and Mental Health in Individuals with Substance Use Disorder: A Short Commentary
Authors:   Department of Health Informatics, Rutgers School of Health Professions, Rutgers University, USA., Vadrevu Amrutha , Lu Weili ,   Department of Psychiatric Rehabilitation & Counseling Professions, Rutgers School of Health Professions, Rutgers University, USA., Ray Suchismita ,   Department of Health Informatics, Rutgers School of Health Professions, Rutgers University, USA.
Published: May 2024

Substance use disorders are highly widespread in the United States, exerting significant adverse effects on individuals’ wellbeing, overall contentment, and societal functionality. Our review of the literature shows a close connection between Substance Use Disorder (SUD) and oral health problems, revealing a mutual association between drug addiction and oral health. Moreover, our review further indicates that individuals seeking treatment for addiction display a notably elevated occurrence of coexisting mental health disorders. Recent studies suggest a potential bidirectional relationship between mental health and dental well-being, emphasizing the broader implications for mental health and oral health outcomes even in individuals not involved in substance use. Based on the above review, we perceive a considerable gap to examine any relationship between oral health and mental health in individuals with SUD. Having co-occurring oral health and mental health problems can significantly reduce quality of life in individuals with SUD. There appears to be a critical need to investigate any relationship between oral health and mental well-being in individuals grappling with SUD. It is crucial to inform both mental health and dental health professionals, as well as substance addiction counselors about any potential existence of such a relationship. Recognizing this link could contribute to the development of more effective strategies to encourage individuals with SUD to seek treatment and address both their oral and mental health needs.
Why Mental Health Care in Africa needs the Spotlight!
Authors:   Ezintsha, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa., Oladimeji Kelechi Elizabeth
Published: May 2024

Mental health refers to state of mental well-being that enables people to cope with the stresses of life, to realize their abilities, to learn, work, and to contribute to their communities [1]. Mental illness consists of diagnosable mental conditions, that are categorized by irregularities in thought processes, feelings and behaviours.
Recent Research Progress in Chinese Alternative Medicine in the Prevention and Treatment of Liver Cancer
Authors:   Department of Chinese Medicine Oncology, The First Affiliated Hospital of Naval Medical University, Shanghai, 200433, China., Han Rui
Published: May 2024

The modernization of traditional/alternative Chinese medicine research provides diverse and comprehensive methods for disease treatment and health management by integrating the advantages of traditional medicine and modern science. Recent evidence has accumulated rich experience and outstanding achievements in the research of integrated traditional Chinese and Western medicine for the prevention and treatment of liver cancer. Their recent research is dedicated to the research and development of traditional Chinese medicine formulas, the discovery of treatment targets and predictive markers, providing new effective evidence for liver cancer prevention and treatment research, and expanding research directions. This article provides a review of the clinical and experimental research progress of this team in recent 5 years, in order to provide more ideas and insights for research in this field.
Evidence-Based Practice Approach on Clinical Empathy Skills Among Health Professionals: A Systematic Review Protocol
Authors:   Amrita College of Nursing, AMRITA Vishwa Vidyapeetham, Kochi, Kerala, India., S Suja Kumari , KL Ajee ,   Amrita College of Nursing, AMRITA Vishwa Vidyapeetham, Kochi, Kerala, India., Moly KT ,   Amrita College of Nursing, AMRITA Vishwa Vidyapeetham, Kochi, Kerala, India., Yasodharan Renjulal ,   Manipal College of Nursing, Manipal Academy of Higher Education, Karnataka, India., Islam Rafia ,   Amrita College of Nursing, AMRITA Vishwa Vidyapeetham, Kochi, Kerala, India.
Published: May 2024

Introduction: Effective educational programs promote and strengthen nursing students’ empathetic skills, contributing to health professionals’ pleasure and emotions of personal accomplishment by offering a sense of excellent personal well-being, quality therapeutic management, and clinical expertise. Objectives: This review will synthesize the available evidence on the effectiveness of clinical empathy in general practice and clinical empathy skill training among health professionals. Review questions were structured using the PICOT framework. Inclusion criteria: We will include articles that detail original empirical studies and systematic reviews related to empathy skills among health professionals and the effect of empathy training on clinical empathy skills. Methods: The databases include the National Library of Medicine, SCOPUS, CENTRAL, MEDLINE, PubMed, EMBASE, and EBSCO. The key methods for facilitating the review will be print and electronic resources. Major medical subject heading (mesh) terms in titles and abstracts will be used in the search. To establish existing literature on the empathy training program, the search will contain the terms “empathy,” “clinical empathy,” and “empathy training” in all fields of the databases. The search strategy will commence from 2023 onward with no language restrictions. A team of independent reviewers will screen the retrieved titles, abstracts, and full-text reports and check the data quality using the John Hopkins EBP model and the literature will be systematically reviewed by following PRISMA Guidelines.
Evaluation of Skin and Organ Dose of Patients Caused by Computed CT and Comparison with Monte Carlo Simulation Software GEANT4 (GATE)
Authors:   Department of Bioinspired Materials and Biosensor Technologies, Institute of Materials Science, Faculty of Engineering, Kiel University, Germany., E Ghazizadeh , Neshastehriz Ali ,   Department of Radiation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran.
Published: May 2024

Today, the use of CT scan as a type of diagnostic tool has increased dramatically. Therefore, controlled use and in accordance with protective regulations in order to reduce the harmful effects of radiation, it is necessary. The purpose of this study was to measure the dose received by patients in computed CT scan protocols and compare it with Monte Carlo simulation using GEANT4 software. Radiation parameters were collected from 11 patients referred to Tohid Hospital in Sanandaj to measure DLP quantity in common protocols. In this study, DLP values for Chest Abdomen protocol were measured and compared with simulation values. Our results show Monte Carlo software outputs experimental data well and is a good benchmark for this software. Thus, the simulated and measured doses agreed well.
Transvaginal Cervical Cerclage in Cervical Insufficiency: Outcomes of 77 Pregnancies: Single Institution Retrospective Study
Authors:   Medical Department, Wrocław Medical University, Poland., Pszczołowska Magdalena , Logoń Katarzyna ,   Medical Department, Wrocław Medical University, Poland., Batko Joanna ,   Medical Department, Wrocław Medical University, Poland., Żak Elżbieta ,   Medical Department, Wrocław Medical University, Poland., Florjański Jerzy ,   Clinic of Gynecology and Obstetrics, Medical Department, Wrocław Medical University, Poland.
Published: May 2024

Background: Cervical insufficiency is a major cause of second-trimester pregnancy loss and spontaneous preterm delivery. Cervical cerclage is a surgical procedure that can be performed in an attempt to maintain the structural integrity of the cervix in order to prolong gestation and improve obstetrical outcomes. Objective: The aim of the study was to investigate the effectiveness of the transvaginal cervical cerclage (TVCs). Materials and methods: A single-institution retrospective study included 106 pregnant women (93 singleton pregnancies and 13 twin pregnancies) who underwent transvaginal cerclage between 2015 and February 2022. Data extracted included patient demographics, gestation of suture insertion, gestation at delivery, mode of delivery, pregnancy outcomes and details about the suture insertion. The main outcomes of pregnancy which were evaluated were live birth rate and gestation at delivery. Results: During the study period, 106 women underwent transvaginal cerclage between 14 and 30 weeks of gestation. Cervical cerclages were done by the McDonald (n=105) or the Shirodkar technique (n=1). Regarding the mode of the delivery, cesarean section was performed in 59 cases (77%), in 18 cases it was vaginal delivery (23%). The outcomes of 77 pregnancies (88 babies) were analyzed. The live birth rate was 97,7%, a mean gestational age at delivery of 36 weeks; the preterm birth rate at <32 weeks was 19,5%, only 1,3% women delivered before 24 weeks. Conclusion: Placement of transvaginal cerclage appears to reduce preterm delivery before 32 weeks and improve neonatal survival. It appears to be a safe and effective procedure.
Differences Between Edges and Centers of Melanomas Using Vibrational Optical Coherence Tomography: The Effects of Critical Lesion Size
Authors:   Department of Pathology and Laboratory Medicine, Robert Wood Johnson Medical School, Rutgers, the State University of New Jersey, New Brunswick, NJ 08854, USA., H Silver Frederick , Deshmukh Tanmay ,   OptoVibronex, LLC., Ben Franklin Tech Ventures, Bethlehem, PA 18105, USA., Ritter Kelly ,   Dermatology Department, Summit Health, Berkeley Heights, NJ 07922, USA., Nadiminti Hari ,   Dermatology Department, Summit Health, Berkeley Heights, NJ 07922, USA.
Published: May 2024

Vibrational Optical Coherence Tomography (VOCT) is a new technique to noninvasively characterize skin cancers. We have previously shown that skin cancers exhibit new mechanovibrational peaks at 80, 130, and 250-260 Hz. The 80 Hz peak appears to represent new cells including Cancer Associated Fibroblasts (CAFs) while the new 130 and 250-260 Hz peaks reflect thin blood vessels and fibrotic tissue, respectively. Epithelial cell derived cancers are characterized by the formation of CAFs that are stiffer than normal fibroblasts, induce deposition of new thin vasomimictry vessels, and influence fibrotic tissue formation by expression of lysyl oxidases. The results of this study suggest that small lesions less than 0.13 mm in diameter are found in clear margins of skin cancers while lesions greater than 0.21 mm in diameter are characteristic of cancerous tissue based on histopathology. The results of this study suggest that early detection of MEL lesions as small as 0.06 mm can be achieved noninvasively using VOCT. VOCT may provide a method of screening patients for skin cancer in remote areas where Dermatologists are unavailable through use of telemedicine.
Unnecessary Extended Surgical Resection for Xanthogranulomatous Cholecystitis Mimicking Gallbladder Carcinoma: A Case Report
Authors:   Digestive Surgical Department C, Ibn Sina University Hospital, Rabat, Morocco., Ouzzaouit Hamza , kaitouni Boubker Idrissi ,   Digestive Surgical Department C, Ibn Sina University Hospital, Rabat, Morocco., Laalou Talha ,   Digestive Surgical Department C, Ibn Sina University Hospital, Rabat, Morocco., Hamza Sekkat ,   Digestive Surgical Department C, Ibn Sina University Hospital, Rabat, Morocco., El Alaoui Driss ,   Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Morocco., Bernoussi Zakiya ,   Faculty of Medicine and Pharmacy, Mohammed V University in Rabat, Morocco., Hrora Abdelmalek ,   Digestive Surgical Department C, Ibn Sina University Hospital, Rabat, Morocco., Mhamdi Alaoui Mouna ,   Digestive Surgical Department C, Ibn Sina University Hospital, Rabat, Morocco.
Published: May 2024

The Xanthogranulomatous Cholecystitis (XGC) is frequently misdiagnosed as Gallbladder Carcinoma (GBC) and usually undergoes an extended radical surgery. Sometimes XGC might have a coexistent GBC. The dilemma still exists concerning the differential diagnosis in clinical practice, and the final diagnosis has to be dependent on the histological examination. This case shows us the diagnostic difficulty of XGC pre-operatively and the resemblance, especially radiological, with GBC, which led to unnecessary extended surgical resection surgery.
Malaysia's Diplomatic Choices, Dynamics and Mechanisms Towards Northeast Asia - An Explanation Based on Neoclassical Realism
Authors: Zhao Xinlei
Published: May 2024

Regional diplomacy serves as a foreign policy tool utilized by states towards specific regions. However, the regional diplomacy of small states within a particular region in International Relations (IR) has often received less attention and scholarly scrutiny. Drawing from neoclassical realism, this paper introduces "security needs" at the systemic level and "interest preferences" at the unitary level as primary explanatory variables. The findings reveal three main models of regional diplomacy for small states: "active regional diplomacy," "preventive regional diplomacy," and "composite regional diplomacy." Small states employ various modes of regional diplomacy to attain diverse objectives in foreign development. Analysis of the 1.0 and 2.0 periods of Mahathir's administration illustrates Malaysia's adoption of "active regional diplomacy" and "composite regional diplomacy" in cultivating relations with Northeast Asian countries. This foreign policy implementation not only fosters Malaysia's effective cooperation with nations like Japan and South Korea but also maximizes the advantageous resources of Northeast Asian countries to bolster its own development. Additionally, it steers Malaysia clear of taking sides in the intense competition among major powers, expands diplomatic avenues, and bolsters its diplomatic initiative. However, in the post-Mahathir era, the deterioration of Malaysia's relations with North Korea and tensions with China have somewhat impacted the overall stability and harmony of Malaysia's relations with Northeast Asian countries.
The Construction of University Scientific Research Supervision Platform under the View of Data Middle Platform
Authors: Lin Yufan
Published: May 2024

The system platform of colleges and universities has been developed from the informatization perspective based on data sharing via the reshaping of new content and the creation of technological architecture. The creation of the University Scientific Research Supervision Platform based on the Data Middle Platform attempts to analyze and address the issues above from the data sharing and service level perspective. These issues include Complicated scientific research fund reimbursement, Historical data hoarding, Late supervision & early warning, Slow system data update, Risk of data leakage, and Inconsistent inter-departmental data. The platform's technological architecture has transformed from a straightforward stacking of business processes to one that allows for the sharing and interchange system data. The solutions include:●Data sharing policies.●Managing data dictionaries.●Organizing historical data.●Integrating platforms.●Optimizing analytical functions.●Ensuring data security, among others.
DETERMINATION OF FISH DIVERSITY IN THE ROCKY HABITAT AROUND MERSIN BOĞSAK ISLAND (NORTHEAST MEDITERRANEAN) BY VISUAL CENSUS METHOD
Authors: Ateş Mert , Çiftçi Nuray , Erguden Deniz , Ayas Deniz
Published: May 2024

This study was conducted in the rocky habitat of Boğsak Island in Mersin Bay in November, March and July, representing the fall, spring and summer months of 2022-2023, by scuba diving between 0-18 m depth for approximately 40 hours. The Go-Pro Hero 12 black camera was used in the study. In the study, the structure of the fish community of the rocky bottom habitat of Boğsak Island in Mersin Bay was determined, and the seasonal availability, abundance, feeding status, and distribution of local and non-native fish species were determined.
Sampling was carried out using the underwater visual counting method, and surveys were made along a linear line. Shannon-Weiner Diversity Index (H'), Homogeneity and Relative Diversity Index Evennes (J) and Species Richness Index Margalef Rhichnes (D) were used to determine the species diversity. The distance of the relationship between the data was determined with N-MDS, one of the multidimensional scaling analyses. The Euclidean formula was used to determine the distances of coordinates in the scaling. Principal component analysis was used to classify species based on the number of individuals.
A total of 29 fish species, including 28 bony fish species belonging to 15 families and 1 cartilaginous Gymnura altavela (Linnaeus, 1758), were identified in the study area. The richest family in terms of species diversity was Sparidae (6), followed by Mullidae (3), Serranidae (3), Tetraodontidae (2), Soleidae (2), Labridae (2) and other families with 1 species each. Of the fish species identified throughout the year in the study area, 52% were Atlantic, 37% were Indo-Pacific and 11% were cosmopolitan. It was found that 41% of the fish species were invertivores, 22% carnivores (feeding on fish and invertebrates), 18% omnivores, 11% planktivores, 4% herbivores and 4% piscivores. Torquigener flavimaculosus in summer, Cheilodipterus novemstriatus in spring, and Chromis chromis in fall were the most abundant species.
According to the Shannon diversity index (H'), the highest species diversity was found in the fall (H'=2,956), followed by spring (H'=2,501) and summer (H'=2,458). Homogeneity and relative diversity index Evennes (J) was determined as J=0.642 in spring, J=0.531 in summer and J=0.800 in fall. The species richness index Margalef Rhichnes (D) was highest in autumn (d=4.804), then in summer (d=3.917) and lowest in spring (d=3.632).
This is the first study to investigate the structure of rocky habitat fish communities in the northeastern Mediterranean, which shows a dynamic structure in terms of biodiversity, and is expected to contribute to researchers working in this field.
The Landscape of Career and Technical Education Faculty Data Use for Decision-Making and Program Improvement in National Science Foundation–Advanced Technical Education Programs in Washington State
Authors: Meza Elizabeth , Blume Grant , Rubin Zachary , Balhan Krystle , Zumeta William , Hang Kendrick , Bragg Debra D.
Published: May 2024

Over the last ten years, in Washington community and technical colleges (CTC) there has been a great leap forward in access and use of data for setting and measuring goals, monitoring progress, and identifying equity gaps. Despite much progress, faculty members in career and technical
education (CTE) programs still often have difficulty accessing and using data that would drive program improvements. The purpose of this research is to gain knowledge about the current state of affairs surrounding technical education faculty access to and use of student-level data; second,
we seek to shed light on the constraints CTE faculty face in accessing and using data for data-informed decision making. Our research revealed much variation in faculty access and use of data, with some creating customized solutions for daily use and others only accessing data for external
needs such as accreditation or mandated program review processes. While the need for data may be exacerbated by the COVID-19 crisis, faculty report data use on campus has dropped during the crisis and been replaced by immediate concerns over financial health, enrollment and instructional delivery
challenges. Rather than continue to advance data-driven decision-making, we may be seeing colleges retrench to past organizational norms and customs.
Improving Measurement in Career and Technical Education Research
Authors: Dougherty Shaun M. , Kamin Samuel K. , Klein Steve
Published: May 2024

Nationwide in 2013, more than half of all high school graduates (58%) earned two or more credits in a career and technical education (CTE) subject area. Among college students, more than two thirds of all undergraduate credentials (68%) were awarded in an occupational area. Yet although
CTE is well subscribed, little is known about the efficacy of this programming. Most studies of CTE have not used research designs that support causal inference, relying instead on information from nationally representative or statewide datasets to estimate relationships between students'
CTE course taking and subsequent education and employment outcomes These studies tend to associate students' in-school experiences and postprogram results with levels of credit accumulation, but they do not account for other measures of experience that educators and policymakers argue are
likely to contribute to any potential impact. As a result, the literature has failed to fully capture the effect that CTE programming has on individuals who concentrate their studies in a comprehensive, high-quality CTE program of study. Reauthorization of federal CTE legislation and increasing
attention to the career preparation of youth will continue to draw attention to the field; for this reason, there is a need to strengthen the rigor of CTE research to estimate the impact of CTE exposure on students. We catalog the measures of CTE exposure used in prior studies, document measures
and outcomes in more recent causal studies, and offer a framework for how to measure CTE exposure and outcomes in the future to contribute to this work.
Exploration of the Training, Educational Experiences, and Technical Competencies of Entry-level Manufacturing Engineers in the Commercial Space Industry
Authors: Yother Tracy , Greenan James , Masta Stephanie
Published: May 2024

The commercial space industry is facing a shortage of qualified workers due to the aging and retirements of the workforce and the inability to find qualified candidates. To explore the training, educational experiences, and technical competencies of entry-level manufacturing engineers,
the researcher interviewed eight manufacturing engineers at entry- and expert-levels in the commercial space industry for their experiences and perspectives on the skills and competencies needed for entry-level manufacturing engineers. The major findings from this study are the need for communication
skills application, the importance of using mentoring as a teaching tool outside of formal education and training experiences, and the ability to present data in order to tell a story. Educators can prepare manufacturing engineers for the workforce in the commercial space industry with the
result of this study.
Bacilos Gram negativos en esponjas del lavado de vajillas en seis macrodistritos urbanos del municipio de La Paz - Bolivia
Authors: Alvarez-Mamani Tatiana Sabrina , Altamirano-Millares Adriana Sara , Aluce-Gutierrez Jhoel Álvaro
Published: May 2024

Introducción. Los utensilios de limpieza en la cocina, como paños de malla, toallas, esponjas y cepillos, favorecen el crecimiento de microorganismos, pueden producir el efecto contrario si no se utilizan adecuadamente. El objetivo fue determinar la presencia de bacilos Gram negativos en esponjas de uso doméstico destinadas al lavado de vajillas en seis macrodistritos urbanos del municipio de La Paz – Bolivia. Material y Métodos. Se recolectaron sesenta esponjas de cocina de seis macrodistritos urbanos. En el laboratorio, se cortó un segmento significativo de cada esponja, se introdujo en envases y se agregó solución fisiológica. Luego del tiempo de incubación se procedió al estrujado de las esponjas para obtener una solución que fue usada para la siembra en Agar MacConkey y se incubó. Se seleccionaron colonias aisladas para cultivarlas en pruebas bioquímicas. Obtenidos los resultados de las baterías bioquímicas se realizó la lectura de cada una de ellas. Resultados. Todas las esponjas tuvieron desarrollo bacteriano que representa el 100%, un total de 63 colonias aisladas de las cuales se hizo la identificación de los diferentes géneros. Klebsiella spp (15.8%), Kluyvera spp (12,69%), Proteus spp (12,69%), Pseudomonas spp (12,69%), Citrobacter spp (11,11%), Escherichia coli (9,52%), Salmonella spp (4,76%), Raoultella spp (4,76%), Shigella spp (4,76%), Cedecea spp (3,17%), Trabulsiella spp (3,17%), Yersinia spp (1,58%), Edwardsiella sp. (1,58%) y Leclercia spp (1,58%). Conclusiones. Existen bacilos Gram negativos en esponjas de uso doméstico, con una elevada frecuencia de Klebsiella sp presente en cuatro zonas del municipio de La Paz.
РАСШИРЯЯ ГОРИЗОНТЫ: ЭВОЛЮЦИЯ И ЗНАЧЕНИЕ МЕЖДУНАРОДНОГО СОТРУДНИЧЕСТВА ДЛЯ РОССИЙСКОГО УНИВЕРСИТЕТА ТРАНСПОРТА
Authors: Пинчуков А.В.
Published: May 2024

В статье представлен всесторонний обзор роли Российского университета транспорта - РУТ (МИИТ) в международном образовательном и исследовательском пространстве. Подчеркивается важность международного сотрудничества для повышения качества образовательного процесса и подготовки специалистов в транспортной отрасли. Исследование освещает историческую траекторию и текущие достижения Университета в международном образовании, начиная с середины XX века и до настоящего времени, подчеркивая его вклад в развитие мирового транспортного образования и исследований.
Анализируются ключевые стратегические инициативы и проекты РУТ (МИИТ), включая сотрудничество с более чем 100 университетами из разных стран, участие в глобальных исследовательских проектах, а также развитие инновационных образовательных программ. Особое внимание уделено адаптации к глобальным тенденциям в образовании и транспортной индустрии, включая цифровую трансформацию и разработку устойчивых транспортных систем. Статья также описывает вызовы, с которыми сталкивается университет в своей международной деятельности, и стратегии их преодоления.
Подчеркивается, что РУТ (МИИТ) успешно адаптируется к новым вызовам в эпоху глобализации, сохраняя традиции академического совершенства и активно участвуя в формировании будущего мирового транспортного образования и исследований, а также в разработке международной транспортной политики и практик. Работа подчеркивает значение РУТ (МИИТ) как ведущего образовательного и исследовательского центра, способствующего развитию транспортного сектора и подготовке специалистов для решения текущих и будущих задач в транспортной отрасли.
Effect of Distraction Therapy in Reducing Children's Anxiety During Circumcision
Authors: Rahmawati Primasari Mahardhika , Sulistyono R. Endro , Suhari  , Ochta Pebriyanti Dwi
Published: May 2024

Circumcision or circumcision is a surgical procedure that involves removing all or part of the foreskin of the penis with the aim of keeping the vital area clean so that it is not easily infected. By 2020, 85% of boys will be circumcised, equating to around 8.7 million boys annually. The circumcision rate will increase along with population growth in Indonesia. Most children who undergo circumcision will encounter obstacles such as fear, crying, refusing to enter the room and having to ask their parents to accompany them when they want to enter the room. This shows that there are fundamental problems in children who will be circumcised. Anxiety is one of the things a child will face before being circumcised. Anxiety can cause prolonged trauma, causing children to experience stressor crises. The cause of anxiety is pain and fear during the circumcision process. Often parents and medical personnel think this is trivial, but in fact if left unchecked it will have a serious impact on the child's mental condition. Distraction therapy is an example of therapy that can help reduce a child's anxiety about circumcision. Children who are circumcised will naturally feel afraid and anxious, so play therapy is carried out to reduce these feelings of anxiety. This therapy involves diverting attention to the child who will be circumcised. The goal is to change the child's orientation and thinking, which was initially focused on circumcision, towards the proposed therapy. This will create a feeling of security and comfort, thereby helping the circumcision process run smoothly.
Training and Mentoring: Preparation of Digitization-Based Quality Indicators at Bunda General Hospital
Authors: Festi Wiliyanarti Pipit , Dewi Neneng , Permana Donny , Hapsari Linda , Suswojo Heru , Nurida Anisa , Absor Sholihul , Wulandari Yuanita , Mundakir
Published: May 2024

A reliable internal quality assurance system is one of the keys to ensuring the hospital management process is in accordance with the vision and mission as well as improving quality and patient safety. The purpose of this community service was to conduct training and mentoring at Bunda General Hospital to develop digitization-based priority quality indicators. The community service methods that have been applied include mentoring and training to 40-unit leaders. The media used were leaflets, logbooks, and training manuals.  This community service was carried out in December 2023. At the end of the activity, the results showed an increase in the knowledge of the head of the unit in compiling hospital quality indicators. The increase in knowledge and skills in preparing quality indicators before training has an average score of 45, after training knowledge and skills increase with an average score of 91. Training and assistance to unit heads at Bunda Hospital in compiling quality indicators is needed as a benchmark for unit performance to improve the quality of Bunda Hospital services. The quality of hospital services can be improved directly with intensive assistance in compiling performance indicators.
Educating First-Grade Elementary Students to Soap Handwashing to Enhance COVID-19 Readiness during the New Normal Era
Authors: Zulkarnain Hakim , Asmoro Candra Panji , Purwaningsih Purwaningsih , Wahyudi Andri Setiya , Lestari Wahyuni Tri
Published: May 2024

The age group of children is at risk of contracting and transmitting COVID-19, so education is needed to build preparedness on the importance of washing hands to prevent transmission of COVID-19 in the new normal era. The purpose of community service is to improve the preparedness of school students. Community service was carried out on June 16, 2021, to 27 students of elementary school X aged 6-7 years. Information is conveyed through short stories for kids. Hand washing movements are conveyed through videos and hand washing songs so that children become more interested and easier to follow. The materials presented included the prevention of COVID-19 in the new normal era, an explanation of hand washing with soap according to the Ministry of Health standards as a form of preventing COVID-19 transmission, and video playback of the 6-step handwashing movement. Post education was found that 95% students (38 of 40) level of knowledge was high which proven by the ability to recall all the steps of soap handwashing. The children's knowledge about washing hands using soap to prevent COVID-19 is increasing, and children are able to wash their hands in the right steps according to Ministry of Health standards. Education for school-age children requires the right method so that children want to participate in education comfortably.
Spiritual Education of Human Sexuality and Christian Responsibility for Children and Parents
Authors: Sitanggang Murni Hermawaty , Wijaya Dodi , Kurniawati Yulia
Published: May 2024

Puberty often confuses teenagers who don't understand it. Therefore, it is essential to provide sex education to help children understand the phase they are experiencing. Not only children but parents also need to understand the developments that occur in their children so they can accompany their children in these turbulent times. This spiritual education aims to equip children and their parents with correct knowledge about human sexuality and its biblical responsibilities. The education was delivered in presentations, followed by an interactive discussion, and then closed with a conclusion. The result is that the counseling went well and was understood by the participants. The author suggests that this kind of activity be carried out regularly, considering the broad discussion of topics surrounding sex education.
 
Keywords:
education; sexuality; teens; parents
Optimizing Knowledge of Clean and Healthy Living Behavior among Santri in Az Zahro Islamic Boarding School through Public Health Podcast Media
Authors: Wira Mustapa Gesit , Tri Handoko Yudho , A'la Zulfatul , Retno Wardani Hamidah
Published: May 2024

Clean and Healthy Behavior (PHBS) is a behavior carried out on consciousness as a result of learning that makes a person. Problems of clean and healthy living behavior are most commonly found in groups, for instance, in the Training Houses.  This is often demonstrated by inappropriate environmental codes, including the availability of post-training health posts, the low level of knowledge of healthcare professionals such as managers and healthcare providers about clean and healthy living behaviour, and the high number of frequently occurring medical conditions such as scabies, diarrhea, and cold cough. This dedication to the community aims to provide knowledge and understanding of Clean and Healthy Living Behavior to the centurion so that there is a change in behavior and able to practice in his daily life in the Islamic boarding school Az Zahro Curahdami Bondowoso district. The method of implementation is done by means of giving education developed through viewing the public health podcast Primary Health Service Curahdami and is presented with questions and answers. Before conducting the education on Clean and Healthy Living Behavior, 75% of respondents had less knowledge, and 25% had sufficient knowledge about clean and healthy living behavior. Based on the results of observations showed that the activities of devotion to the community can improve the central knowledge about the behavior of a clean and healthy life through watching the Podcast Health Society Primary Health Service Curahdami district of Bondowoso.
Los flavonoides: Su importancia
Authors: Morales Antonio
Published: May 2024

Los flavonoides son metabolitos secundarios biosintetizados por las plantas a través de la participación conjunta de las rutas del ácido shiquímico y del acetato malonato, para proporcionar un esqueleto fenil benzopirano, el cual por modificaciones y adiciones da lugar a una gran variedad de compuestos. Por ser beneficiosos para la salud se recomienda ingerirlos a partir de sus fuentes naturales (frutas, vegetales, semillas, entre otras) o en forma de patentados. Las diversas propiedades biológicas de los flavonoides han generado líneas de investigación con el fin de desarrollar, a través de las ingenierías genética y metabólica, mejoras en la concentración de los flavonoides en las plantas, lo cual incide también en el color de las flores. Además, se ha conseguido sintetizarlos a partir de bacterias y se ha determinado que son útiles en los estudios taxonómicos de las especies.
Ficha técnica da edição
Authors: Editores Os
Published: May 2024

Equipe Editorial e Técnica deste volume / Editorial and technical team for this volume:Editores-chefes / Editors-in-chief: José Milton Andriguetto Filho e Thiago Zagonel SerafiniEditores adjuntos / Associate editors: Angela Duarte Damasceno Ferreira, Carina Catiana Foppa, Frederico Monteiro Neves, Hieda Maria Pagliosa Corona, Karin Kassmayer, Letícia da Costa e Silva, Luiz Francisco Ditzel Faraco, Manuela Dreyer da Silva, Marina Favrim Gasparini, Natália Tavares de Azevedo, Ricardo Serra Borsatto e Tomaz Longhi-SantosEquipe de produção / Production team: Aluska Tavares dos Santos, Ana Beatriz Goes Maia Marques, Juliana Greco Yamaoka, Laynara Santos Almeida, Viviane Duarte Couto de Cristo e Camila Carneiro LobatoPareceristas da revista / Reviewers: ver em / see athttps://revistas.ufpr.br/made/about/editorialPolicies#custom-1Revisão de texto (português, espanhol e inglês) / Proofreading (Portuguese, Spanish and English): Seção de Apoio às Publicações Científicas Periódicas (SAPCP), Universidade Federal do Paraná (UFPR)Diagramação / Layout: Bianca Trevisan Weiss e Rafael Patrick FerreiraDesign: Oscar ReinsteinISSN 1518-952X, e-ISSN 2176-9109
A Comprehensive Review on the Global Aviation Industry and Aircraft Maintenance Management Processes
Authors: Kul R. Haluk , Ateş Mehmet
Published: May 2024

The vision of the Turkish Republic is to surpass the level of contemporary civilization, and one of the main principles to achieve this is "The future is in the skies." To make this a reality, it is imperative to establish a national and domestic aviation industry. The first step towards this goal is to ensure the safe operation of aircraft, which requires a maintenance management system. To create and use the necessary maintenance documents, an international standard management process should be followed for airframe manufacturers and component and part manufacturers in the aviation industry. Airline operators should then create their maintenance documentation according to this system and work with airplane maintenance organizations to ensure the airworthiness of their aircraft. This study discusses and evaluates the documents used within the essential management and organization principles framework, primarily focusing on the aircraft maintenance management system.
Dry deciduous forests of Parambikulam Wildlife Sanctuary and its significance to the flora of Kerala
Authors: Sujanapal P. , Sasidharan N.
Published: May 2024

Kerala flora is endowed with Malabar floristic elements. The extent of dry deciduous forests and its floristic representatives in the State is very low. Flora of Parambikulam Wildlife Sanctuary is significant in this context. This paper deals with the dry deciduous forests in the Sanctuary and peculiarity of its flora, including ten new records to the flora of Kerala.