bluuebunny/crossref_metadata_2025 huggingface dataset:
Detection of the Effect of Platelet-Rich Fibrin on the Management of Dry Socket
Authors: Mizal Kamal Sahib , Cheikh Asma Ben , Abusanna Muntathar Muhsen , Moussaoui Eya
Published: September 2024

A dry socket is a commonly seen issue that happens throughout the process of wound healing following a tooth extraction. The etiology of this condition is still limited understood, and it frequently manifests in persons who have a state of good health. As a consequence, the management strategies for dry sockets have always depended on practical experience rather than scientific theory. This study aims to assess the efficacy of platelets-rich fibrin (PRF) in treating dry sockets and compare it with traditional therapy methods.
A randomized controlled clinical trial was conducted among patients with a dry socket, who were categorized into two treatment groups. In the group I, the conventional treatment was used with performing gentle socket curettage and saline irrigation. The group II was treated with platelet-rich fibrin (PRF); the dry socket patients were examined at day 0 and achieved one of two treatment options, then scheduled follow-up appointments on days 4 and 7 after therapy. The pain score, inflammation and tenderness around the socket, and quantity of granulation tissue formation were assessed, respectively.
In total, sixty patients with a dry socket were included in two treatment groups. The results show that The conventional therapy group required more than seven days to reach the same healing phase as group II with PRF-treated socket. It was observed that the PRF-treated group II patients experienced an improvement in pain, tenderness, inflammation and granulation tissue formation.
The sockets treated with PRF showed statistically significant improvement in the healing process and granulation tissue formation compared with conventional treatment.
The Effects of a Post-Traumatic Stress and Post-Traumatic Growth Group Program for Children at Childcare Facilities
Authors: Kim  , Minkyeong
Published: September 2024

The purpose of this study was to investigate the effects of post-traumatic stress and post-traumatic growth program for children at childcare facilities. And for hypothesis verification, Mann-Whitney U analysis and Wilcoxon signed rank test were conducted. The major findings were as; The group program had the effect of the reducing the post-traumatic stress and enhancing the post-traumatic growth of children in child care facilities. It was also found to be effective for changes in self-perception, enhancement of interpersonal relationships, discovery of new possibilities, and increase in spiritual and religious interest, which are sub-factors of children's post-traumatic growth. This study has significance in terms that it proved the importance on the improvement of children’s post-traumatic growth at childcare facilities.
Upgrading Master's Training for Higher Education Instructors in the Digital Era: Public Health Education as an Example
Authors: Kasyanova Olena , Kvasnyk Olga , Bodnia Igor , Rudnyeva Iryna , Bespartochna Olena , Poyasok Tamara
Published: September 2024

This study elucidates the theoretical underpinnings and underscores the imperative of enhancing master's training programs for higher education teachers within the educational digitalization landscape on the public health education example. The research elucidates that at the core of this evolution lies the technological concept, necessitating the development of a meticulously grounded model for the purposeful and well-organized training of higher education faculty within a digitally transformed educational framework. This model delineates a meticulously outlined structure, content framework, a judicious selection of methodologies and techniques, and a methodical integration of technological advancements to ensure the realization of desired educational outcomes. The structural-functional model encompasses integral components such as the methodological-objective facet (incorporating societal demands, educational objectives, conceptual approaches to professional development, and digitalization elements), the constructive-procedural dimension (comprising educational directions, organizational forms in the digital paradigm), the profession-specific aspect (encompassing content, technologies, methods, pedagogical tools), and the analytical-effective domain (defining criteria, process metrics, diagnostic tools), in conjunction with organizational-pedagogical parameters. Emphasis is placed on nurturing a tailored educational milieu and fostering educational innovations to augment the efficacy of training enhancements with a specific lens toward public health implications. The article substantiates the criteria and metrics for bolstering master's training initiatives for higher education instructors, underlining the distinct facets of national educational digitalization and the unique dynamics among higher education stakeholders. The contemporary relevance of revamping master's programs for teachers is underscored through exploring diverse digital learning formats employing information technologies, digital resources, and cloud-based tools. Initiatives aimed at reshaping the master's educational landscape to align with the digital era will entail validating the proposed model's efficacy through experimental validation across domestic and international educational realms.
Analysis of Characteristics of Health Status Based on Assessment of Cognitive Function in the Elderly in Indonesia
Authors: Patahang Haerul , Erika Elly L. Sjattar, Kadek Ayu , Hadju Veni , Nursalam  , Arafat Rosyidah , Tammase Jumraini , Zainuddin Andi Alfian
Published: September 2024

Introduction: Various challenges will arise due to the increase in elderly people yearly. In Indonesia, the effect of the demographic transition can be seen in the low birth and death rates, and the rise in life expectancy is indirectly the way to increase the number of the elderly; from sharing the problems that arise among the elderly, one of the things that need to be concerned is how to maintain cognitive function so that the elderly can maintain their health status. Objectives: to determine the relationship between characteristics and the health status of the elderly based on the results of cognitive function assessment. Methods: This study is a type of observational analytical research using a cross-sectional study design and was carried out in Gowa Regency, South Sulawesi Province, Indonesia, from August to December 2023, involving 64 older adults with the criteria of elderly people who are 60-75 years old, do not have mental disorders and can read and write. Cognitive function uses the Montreal Cognitive Assessment Indonesia version (MoCA-Ina) and is a variable to be analyzed. Results: There was a significant relationship between sex p<0.030, age p<0.027, education level p<0.001, occupation p<0.045, prayer activity p<0.001 with cognitive function, while marital status was not related to cognitive function p>0.193. Conclusion: The characteristics of the elderly in this study are related to health status based on the value of cognitive function in the elderly.
The Effects of Calcium Gluconate Administration on Potassium Levels of Post Packed Red Cell (PRC) Transfusion Patients with More Than Three-Day-Stored Blood at RSUP Haji Adam Malik, Medan
Authors: Daulay Pardi Mulia , Winata Ade , Irina Rr. Sinta
Published: September 2024

Background: Blood transfusion is an important and routine medical treatment, especially in cases requiring surgeries such as trauma. One of the biochemical changes that occurs in PRC due to erythrocyte storage is an increase in potassium levels. Hyperkalemia is the most common complication of stored blood transfusion. Cardiac arrest has been widely reported in transfusion-associated hyperkalemia. Methods : This study used a pre-experimental study with a pretest-posttest group design to determine the effects of Ca gluconate administration on blood potassium levels in patients receiving packed red cell (PRC) transfusions with blood stored for > 3 days at RSUP Haji Adam Malik Medan. Results : The distribution of sample characteristics in this study showed a mean age of 46 ± 13.63. There were 7 (22.6%) male and 24 (77.4%) female patients, with a mean BMI of 23.28 ± 6.44. Based on the hemodynamic profile, the mean systolic BP was 105.87 ± 20.59, diastolic BP 70.41 ± 11.94, RR 23.06 ± 2.39 and MAP 83.31 ± 14.48. The mean value of potassium levels before an administration of Ca gluconate was 5.84 ± 0.89, while the mean value after the administration was 5.43 ± 0.90. There were no statistically significant changes in the potassium levels after the administration of Ca gluconate in any samples. Conclusions :  There are effects of Ca gluconate administration on the potassium levels of post Packed red cell (PRC) transfusion patients with blood stored for > 3 days at RSUP Haji Adam Malik Medan.
Effectiveness of Prenatal Gentle Yoga and Effleurage Massage in Low Back Pain Third Trimester Pregnant Women
Authors: Anggasari Yasi , Mardiyanti Ika , Andriani Ratna Ariesta Dwi , Handayani Nanik
Published: September 2024

Background: Pregnant women often complain of low back pain, typically becoming more intense as pregnancy progresses due to changes in posture, such as increased lordosis and a shift in the center of gravity. If not addressed, this pain can negatively impact the quality of life by interfering with daily activities. However, Prenatal gentle yoga and effleurage massage are effective ways to avoid back pain. Objective: To examine how women in their third trimester of pregnancy might manage their lower back discomfort using effleurage massage and gentle yoga. Methods: In the quasi-experimental design of this research, selective sampling approaches are used. Additionally, a two-group pretest-posttest design is utilized, and there is no control group provided. The research was conducted in the PMB Ika Winoto area, and forty expectant mothers with back pain who were in the third trimester were among them. The Effleurage treatment consisted of a 30-minute massage session, with each movement performed for about 10 minutes, administered twice to each participant. Prenatal yoga sessions were also conducted twice a week, with each session lasting 60 minutes. A numerical rating scale, also known as the NRS, was used to assess the amount of back pain that the patient was experiencing). To fully examine the data, a Wilcoxon Signed Rank Test was used. Results: P-values for the Effleurage massage group and the Prenatal Gentle Yoga group were 0.000 and 0.005, respectively, according to the analysis findings. The average reduction in low back pain intensity was 9.86 for the Effleurage massage group and 6.87 for the Prenatal Gentle Yoga group. Conclusion: Both pregnancy gentle yoga and effleurage massage work well to relieve low back pain. Regarding how pregnant women who are still in the third trimester of their pregnancy should be treated for low back pain, the effleurage massage method works better than prenatal yoga. Therefore, for expectant mothers who are suffering from low back discomfort, these techniques represent effective alternative medicines that are simple to use and have few adverse effects.
Potential Link Between COVID-19 Vaccination and Multiple Sclerosis in Children with Cases Study from Puebla, Mexico: The Bases
Authors: Mengual K. Amy J. , Malpica H Benjamin . , Cabrera I. Carlos E.
Published: September 2024

This study explores the potential link between COVID-19 vaccination and the onset of multiple sclerosis (MS) in children aged 9 to 12 years in Puebla, Mexico. Among 40 children observed—23 girls and 17 boys—MS symptoms emerged predominantly within 3 to 6 months post-vaccination. The findings reveal a temporal association between vaccination and MS onset, with girls showing a higher prevalence and more severe progression. The study underscores the need for further research into the immunological mechanisms that may connect vaccination with autoimmune responses, particularly in pediatric populations predisposed to such conditions. These results highlight the importance of careful monitoring and tailored vaccination strategies to mitigate risks in vulnerable groups.
Psychological Problems and Postpartum Coitus Timeline for Dyspareunia
Authors: Windarti Yunik , Amalia Rizki , Laili Uliyatul , Nisa Fauziyatun
Published: September 2024

Problem statement. One of the basic needs after the puerperium is over is sexual. Often these needs are not properly met due to various factors. Excessive worry makes the mother feel not ready for this sexual activity. Not a few also when having sex mothers experience pain. Aim of the study. The purpose of this study was to analyze psychological problems and Coitus Postpartum Time Span are affect dyspareunia. Methodology. Non-experimental research design: cross-sectional analytic. The population is post-partum mothers as many as 86 people. Sampling technique nonprobability sampling by taking samples insdental sampling for 3 months at Clinic Pratama Anugrah Surabaya in 2023. Independent variables of psychological problems and coitus time span, dyspareunia dependent variable, questionnaire instrument, data were analyzed multiple linear regression test. Main findings. The results that the majority of mothers who did not have psychological problems (65.4%) experienced mild dyspareunia. Mothers who had sex for less than 40 days postpartum mostly (66.6%) experienced mild dyspareunia. Simultaneous results F (p=0.003) means that there is a significant effect of psychological problems and coitus time on the incidence of dyspareunia. Partially there was an effect (p=0.001) of psychological problems on dyspareunia, but for the time span of coitus it had no effect (p=0.855) on the incidence of dyspareunia. Conclusion. The more the mother has psychological problems related to sexual relations after childbirth, the more mother will experience dyspareunia. The time that is considered most appropriate for sexual intercourse after childbirth does not always affect the incidence of dyspareunia.
Public Health Care Management in India: Innovative Solutions for Future Health Challenges
Authors: Sehgal Rajesh , Saini Rajvir
Published: September 2024

There are substantial natural connections between development, poverty, and public health. In terms of public health, the healthcare sector in India is expanding at one of the quickest rates. India's health management is estimated to be worth over US$ 200 billion and is expanding at a compound annual growth rate of 22.9%. More than 65% of the market is accounted for by healthcare delivery, which includes hospitals, diagnostic centres, and pharmaceutical businesses. This business has grown more quickly as a result of rising income levels, more job opportunities, access to foreign markets, and quick technology improvements. Numerous investigations and international research findings have acknowledged the significance of this relationship. There has been much debate over the lengthy history of healthcare services over the appropriate role and stability of both the public and private sectors in providing healthcare services. These intermediate goals act as stepping stones towards the more general health system goals, which include financial risk protection, equity and efficiency in the delivery of health services, overall health gains, and awareness of the health system's ability to meet the needs of its population. Public-private collaborations have become a new tool for health challenging as a result of these goals' realization.
Pesticide Reduction through Organic Farming for Promoting Public Health Management and Food Security
Authors: Anand Utkarsh , Rai Nitin Ranjan
Published: September 2024

There is a growing global interest in sustainable food consumption to ensure food security. One significant factor driving this demand is the belief that consuming organic food affects Public Health (PH). This research examines the historical context of sustainable agriculture. This article specifically examines the impact of sustainable agriculture on health-related substances, pesticide residues, and contaminants in crops. It also explores the connections between organic food and health indicators. In Organic Farming (OF), the use of pesticides is often restricted or non-existent, which is different from Traditional Farming (TF) methods that heavily depend on pesticides to preserve crops. The notable disparities in pesticide usage between the two agricultural systems profoundly affect the comparative nutritional exposure, hazards, and ecological impacts associated with pesticides. Pesticide Usage Monitoring (PUM) information has been used to compare pesticide usage across organically certified and adjacent traditional farms for tomato crops. This work suggested methods for PR by promoting the widespread use of organic agricultural techniques. Additionally, emphasis on many alternatives available within organic food supply chains to further minimize the usage of pesticides, contact, and adverse effects on workers has been proposed to provide food security.
The Dominant Factors Associated with Quality of Life in Hypertension Patients in the Elderly
Authors: Ainiyah Nur , Zahroh Chilyatiz , Kusumawati Diah Retno , Damawiyah Siti , Aristawati Evy , Anastasya Lingga
Published: September 2024

Elderly people with hypertension will have reduced social and psychological functioning, which will lower their quality of life. The purpose of this study was to identify the primary factor influencing the elderly with hypertension's quality of life. This study used a cross-sectional, correlative analytical methodology. The elderly with hypertension who did not have any complications made up the study population. A 80-person simple random sample was employed in this study. A scale and meter for assessing obesity, a family history questionnaire, and a gender and education questionnaire for physical activity using the GPAQ (Global Physical Activity Questionnaire) were the instruments utilized in this investigation. WHQOL-BREF was used for quality of life, and DASS (Depression Anxiety Scale) 42 was utilized for stress. In this study, the data were analyzed using logistic regression, rank spearmen, univariate, bivariate, and chi-square statistical tests. The variables of gender, illness, physical activity, stress, and family history were found to have an association with the hypertension patients' quality of life. Education level is one of the variables unrelated to the quality of life of older adults with hypertension. The attributes of physical activity, family history, and obesity status have the greatest effects on the quality of life for older adults with hypertension. The study's conclusions recommend increasing physical activity and reducing stress for obesity prevention. It will be the means by which hypertensive patients can live better lives.
Secured Public Health data Management Framework using the Internet of Things in a Smart City Environment
Authors: Sinha Anupa , Fatma Eram
Published: September 2024

The Internet of Things (IoT) is being embraced and impacts various aspects of lives. Integrating IoT technology in the healthcare sector paves the way for continuous remote monitoring of individuals' health status. The healthcare (HC) sector has traditionally produced substantial data. Due to the implementation of the IoT, this quantity has significantly increased.  Ensuring proper HC storage is imperative to derive meaningful insights from the data. This study presents a public health (PH) framework that utilizes cloudlets and IoT technology. The primary objective of this PH architecture is to facilitate the retrieval of real-time data by using cloudlets. The research provides and executes an HC  data management system to store vast HC  data and handle consumer queries to retrieve HC information.  The efficacy of the proposed model has been evaluated in terms of data transmission time, energy usage, query response time, and data packet loss. The proposed model outperforms existing PH systems by comparing the assessment findings of the proposed approach with the performance of typical PH systems.
The Ability and Tasks of Pharmacovigilance and Adverse Drug Events in India a Global Scenario
Authors: Gurudiwan Prachi , Sharma Poorti
Published: September 2024

Clinical trials are the first stage of pharmacovigilance, which continues until the medication is put on the market. Social media's introduction provides access to healthcare data that hasn't been vetted by conventional techniques of data collection. Enhancing clinical and scientific understanding of pharmacovigilance could be greatly aided by using natural language processing tools to retrieve patient reports of adverse medication occurrences from social media. Signal detection encompasses all side effects connected to a medication. The primary goal of the study is to extract information from the FAERS data, which includes both organized and unstructured patient information on prior adverse drug reactions. The study examines how the side effects of acetaminophen and ibuprofen are extracted and managed using the proper techniques.
The Impact of Service Distinction on Durable Competitive Advantage: An Investigation in Private Hospital Outpatient Units During the COVID-19 Pandemic
Authors: Lestari Marselli Widya , Sriatmi Ayun , Surjoputro Antono
Published: September 2024

The COVID-19 pandemic has compelled hospitals to sustain their competitive edge in delivering healthcare services, with service differentiation being a key factor in maintaining this advantage. This research aims to evaluate how service differentiation impacts a hospital's ability to maintain a sustainable competitive advantage during the COVID-19 pandemic. This research, conducted in 2020, is a quantitative descriptive study involving 204 outpatients at Aisyiyah Bojonegoro Hospital. The survey was carried out online using Google Forms and achieved a response rate of 31.2%. The data were analyzed using linear regression. The findings indicate that service differentiation positively influences sustainable competitive advantage (p = 0.00). According to the study, during the COVID-19 pandemic, patients tend to prefer hospitals that offer distinct services.
Structural Challenges and A Role in New Health Policy Management in Future India
Authors: Nihlani Dr. Ankita , Chhabda Dr. Parvindar Kaur
Published: September 2024

The development of the Indian state has not been the leader in health and medical care top focus. Two noteworthy facts illustrate this. One is the health sector's low level of resource allocation and investment throughout time, which has been roughly 1% of GDP with a clear downward trend over the past ten years. Second, the unchecked, extremely quick growth of an unregulated private health industry, particularly in the past 20 years. Health policies are typically thought of as official written papers, regulations, and guidelines that represent the decisions made by legislators regarding the actions required to promote health and fortify the healthcare system. A common misconception about the "policy process" is that it proceeds logically and linearly from formulation to execution. Health policy is formulated through a multifaceted process that is influenced by numerous scientific, economic, social, and political factors. Within the context of the development of the nation's health sector, this study looks at the historical evolution of health policy making in India. Additionally, it assesses the current situation and offers suggestions for the course of future governmental initiatives.
The Role of Outdoor Mindfulness Intervention in Optimizing Mental Well-Being in Adolescents with Specific Learning Disabilities
Authors: Sakarias Sathyapriya , Madhavan Jeena
Published: September 2024

Adolescents with specific learning disabilities may experience mental well-being challenges as a result of struggling academically, facing social stigma, being subjected to negative stereotypes, and experiencing heightened levels of anxiety, poor mental health, lower self-esteem, and increased stress. This study explores the potential benefits of outdoor-based mindfulness interventions as a complementary approach to remedial education, in improving mental well-being in adolescents with specific learning disabilities. This study was conducted at an institution that gives remedial education for children with specific learning disability in Thrissur, Kerala. Convenient sampling was used to select 30 students aged 13-18 years. Later, participants were randomly divided into two groups the experimental group (n=15) received outdoor mindfulness training in addition to their regular remedial education program. In contrast, the control group (n=15) received only remedial training. The study duration spanned four weeks, during which the mindfulness group participated in weekly outdoor mindfulness sessions conducted individually. They were instructed to practice mindfulness exercises daily between sessions. Both groups were assessed using the Warwick-Edinburgh Mental Well-being Scale (WEMWBS) at the beginning (pre-intervention) and at the end (post-intervention) of the four weeks to measure changes in mental well-being. The outdoor mindfulness interventions included a range of activities, designed to optimize the level of well-being experienced by the participants in their day-to-day lives. These activities focused on enhancing the skills of mindfully listening, walking, breathing, and observing without any judgments of self and surroundings and being in the present at the moment. Results indicated significant improvements in mental well-being scores among participants in the mindfulness group compared to the control group. This underscores the potential of integrating mindfulness practices into educational settings to enhance emotional regulation and overall well-being in adolescents with specific learning disabilities, highlighting interdisciplinary opportunities across psychology, education, environmental psychology, public health, and social work to support comprehensive student development.
Prevention of Inflammation Through Increasing Interleukin-10 (IL-10) in Animal Models of Hyperglycemia
Authors: Herdiani Novera , Wirjatmadi Bambang , Kuntoro  , Adriansyah Agus Aan , Zamzam Maki
Published: September 2024

Persistent high blood sugar levels lead to the malfunction and the decrease in the number of pancreas β cells that produce insulin leads to the initiation of inflammation inside the pancreas. It has been shown that the development of diabetes mellitus is associated with inflammation as well as the stimulation of the intrinsic immunity systems. Increased IL-10 expression plays a role in balancing proinflammatory cytokines that limit tissue damage. This research seeks to evaluate the impact of mangosteen peel extract on preventing inflammation by boosting IL-10 levels in hyperglycemic animal models. The study was conducted as a laboratory experiment, using a distinct pretest-posttest control group design that is randomly. Negative control (KN), positive control with STZ (K1), STZ and CMC-Na (K2), mangosteen peel extract at 200 mg/kg body weight (K3), 400 mg/kg body weight (K4), and 600 mg/kg body weight (K5) were the six groups that were included in the sample. Additionally, the sample was composed of male white rats from the Wistar strain. The treatment was given regularly for 14 days. The research revealed that rats administered with mangosteen peel extract had a significantly greater quantity of IL-10 positive cells, averaging 7.66, in contrast to the uncontrolled group which had an average of 2.44. The number of IL-10-expressing cells differed significantly (p < 0.05) across all treatment groups. The group administered with a dosage of 600 mg/kg BW/day of mangosteen peel extract had the greatest count of IL-10-positive cells, demonstrating superior effectiveness compared to the other dosages. This study concludes that different doses of mangosteen peel extract influence the increase in IL-10-positive cells and help prevent inflammation in hyperglycemia, with 600 mg/kg BW/day being the most effective. The findings of this study emphasize the properties of mangosteen peel and indicate that it may have the potential to serve as an alternative therapy for illnesses that are associated with inflammation in humans.
Application of Medical Implants for Public Health Monitoring and Treatment
Authors: Mishra Nidhi , Shivaji Ghorpade Bipin
Published: September 2024

The World Health Organisation (WHO) reports that diabetes affects roughly 180 million people worldwide and that cardiovascular illnesses account for nearly 30% of all fatalities worldwide. Applications involving radio frequency (RF) or microwave technology are crucial to medical diagnosis and illness prevention. The most recent developments in the field of implantable medical devices (IMDs), such as biomedical telemetry, allow biosignals to be monitored remotely via wireless communication technology. Providing correct information to the external monitoring station is the primary function of the health maintenance monitoring scheme. Because wireless communication lessens the invasiveness of electromagnetic (EM) medical equipment, it is extremely helpful in improving patient comfort during treatment. The first swallowable pills with sensing capabilities and the introduction of pacemakers in the early 1960s both demonstrated the significance of implantable medical devices (IMDs), which enable disease monitoring and therapy. Using IMDs with wireless connection has allowed for the monitoring of both system performance and patient status. IMDs have been widely employed in healthcare systems to gather real-time signals from biosensors or preprocessed physiological bio-signals for early disease identification, improving treatment quality and promoting healthy living.
Global Health Governance and International Law in India: A Socio-Legal Study
Authors: Sharma Darshi , Dahiya Amit
Published: September 2024

India is a culturally and historically rich nation. India has hosted several ancient civilizations that differed greatly from one another in many aspects of life due to its large geographic expanse, varied climate, and unique environmental conditions. India boasts a vast diversity and cultural ethos that is unmatched in comparison to other regions of the world, encompassing a wide range of faiths, dialects, cuisines, climates, cultures, and social systems. It is a well-established truth that health problems existed wherever there were humans. Given that India is the starting point of early organised communities and historical civilizations, it is evident that healthcare and health were prevalent there long before. Since the beginning of time, historical texts have been filled with references to a wide range of health-related topics. An attempt will be made to conduct a study on court rulings and reports of the Government of India in the proper places in order to support the proposed study and determine how the law pertaining to the right to health is being implemented. Thus, the study's technique, which is an analytical doctrinal approach, has been used.
The Influence of Social Awareness and Social Skills on the Quality of Midwife Partnerships in Postnatal Care Services
Authors: Adriansyah Agus Aan , Damayanti Nyoman Anita , Suminar Dewi Retno , Purnomo Windhu , Lukiyono Yauwan Tobing , Herdiani Novera
Published: September 2024

Postpartum maternal deaths have always been more than 50% of total maternal deaths from 2016-2021, and the realization of visits by postpartum mothers at Community Health Centers has also not met the target. The low number of visits is due to the fact that postpartum mothers still need strong encouragement and motivation. Midwives have the role of providing information, education and monitoring the condition of postpartum mothers, so midwives need support from social competence and good partnerships with various parties. This research aims to analyze the influence of social competence, which includes social awareness and social skills, on midwife partnerships in postnatal care services. The research design is observational analytic with a cross-sectional time approach. The research location was carried out at 63 Community Health Centers, Surabaya City, Indonesia with a sample of 100 midwives taken using Proportional Stratified Random Sampling. The variables measured are social awareness, social skills and partnerships through distributing questionnaires. Data were analyzed using the chi-square test. This research has gone through an ethical review with number 085/HRECC.FODM/III/2022. The research results showed that the social awareness competency and social skills of midwives related to postnatal care services had a good percentage rating (93%, 81%, 98%). The quality of midwife partnerships in providing postnatal care services is influenced by social awareness (p= 0.04 & PR= 0.714x), but not influenced by social skills (p=0.345). If midwives' social awareness is better, the quality of midwife partnerships will be better. Therefore, midwives must be able to establish good relationships and be more open in communicating with colleagues or other work units when serving postpartum mothers.
Evaluating The E-Health Literacy of Pharmacy Students in A Health Science Laboratory Using a Mobile Health Application
Authors: Sharma Saurabh , Sahu Mahendra Kumar
Published: September 2024

This study aims to assess the behaviors of Pharmacy Learners (PL) about Mobile Health applications (MH-app) and their electronic health (e-Health) literacy. It focused on PL and used a descriptive and cross-sectional approach. A survey was developed using the findings from prior research to assess the understanding and actions, perspectives, and perceptions of PL on MH apps. The e-Health Literacy Scale was administered to PL using health science. The responding rate was 91.2%, with a sample size of 250. Of the 250 PL, those who used MH-apps and male PL had higher scores than non-users and female PL. The fifth-grade PL achieved considerably higher marks than the third-grade PL. A study revealed that 84% of PLs believe that MH apps enhance the quality of life for patients. In comparison, 34.2% of students expressed that pharmacists need an adequate understanding of MH apps. Enhancing PL's e-health literacy will improve their knowledge and behaviors regarding health science.
Public Health Policy Management Perspective in Tribal Peoples
Authors: Maurya Dr. Shyam , Pandey Shinki Katyayani
Published: September 2024

According to the report, 27% of tribal children in India under five years old are wasted (low weight for height), 45% are underweight (low height for age), and 44% are stunted (low height for age). Six Diseases such as endemic goitre, anaemia, pellagra, and beriberi are caused by nutritional deficiencies. Issues including unhygienic food sources, contaminated water supplies, and inadequate dietary intake have an impact on tribal people's health. Everyone agrees that tribes have appallingly poor health conditions. The inaccessibility and remoteness of the locations further exacerbate and aggravate the already complex status of health. The majority of Indian tribes reside in hilly areas that are inaccessible to health care systems and staff. As a result, it is impossible for them to access these resources. The presence of the health care system (HCS) and facilities inside the community's boundaries might provide insight into its overall health. Overseeing the magico-religious health care system is tribal HCS. Numerous studies have shown that the traditional, or magico-religious, health care system plays a major role in HCS in tribal areas. Based on their knowledge of plants and bushes as well as their custom of using shamans (traditional medicine men) to diagnose and treat illnesses, tribes have their own medical and healthcare systems. Their ability to combat illnesses is enhanced by their understanding of medicinal plants.
Study on Improvement Plan of Emergency Medical Services Through Information Use on QR Code
Authors: Lee Jei-Young , Kim Jee Hee
Published: September 2024

The purpose of the study was to diagnose the subjectivity of university students of emergency medical technology (paramedicine) and identify the effects and factors related to each type of QR code. A total of 23 students of paramedicine (emergency medical technology) department filled out the questionnaire after an informed consent.  Q survey included 25 statements. Data were analyzed using QUANL program for PC. There were three types in QR code.
Type 1(N= 11) : Effective recognition of information type
Type 2(N=8) : Information related emergency recognition type
Type 3(N=4) : Emergency-patient information application type
Each type had its own differences and characteristics. The analyzed contents showed that there was an overall interconnection among the respondents on how to improve emergency services by use of QR code information.
Crisis Management In Public Health: Responding To Emergencies And Disasters
Authors: Upadhyay Dr. Naveen , Diwakar Dr.
Published: September 2024

The government has a lot of chances and challenges in the twenty-first century to improve public health and provide citizens with higher-quality services. Generally speaking, administrative officers oversee and carry out a variety of government activities at the local level. They are exposed to a variety of citizen-facing issues as well as the difficulties in carrying out ground-level project execution. They regularly handle a variety of crises. Pandemics, natural disasters, and any other scenario involving law and order present a serious challenge for the government. Officers in charge of public health services handle emergencies on the front lines. Communication, scenario assessment, and teamwork are essential for crisis management to be effective. Team procedures improve crisis management's responsiveness, velocity, and effectiveness. The brief duration of crisis situations means that little time remains for planning. Therefore, public servants need to be proactive and flexible enough to handle the situation. According to this work, an effort will be made to investigate the variables and how they interact to affect the government sector's ability to manage crises effectively as well as the interactions between the variables affecting the quality of e-governance services in public health administration.
Development of public health decision-making based on semantic evaluation of EHR data
Authors: Vij Dr. Priya , Prashant Patil Manisha
Published: September 2024

The study examines the way semantic analysis of data from electronic health records (EHRs) is performed. Implementing machine learning (ML) is challenging, EHRs are essential for acquiring medical data because they include textual information from physicians about patients' ailments and treatment plans, supporting well-informed public health decision-making. The goal of the study was to allow computers to semantically comprehend assessments, physical parts, indicators, and therapies in addition to implicitly identifying medical terms in EHRs. To efficiently identify medical phrases in electronic health records, a novel cubic support vector machine with a dipper-throated optimization (CSVM-DTO) strategy is suggested. This study uses tokenization as a pre-processing step for the data gathered from public sources. The semantic data of medical terminology is then extracted using the word-2-vector technique. Next, the named entities are found using the CSVM, and their efficiency is improved by implementing the DTO technique. Based on the experimental results, we can conclude that our suggested approach outperformed other current approaches in locating the identified entities inside the EHRs.
Electrical Stimulation Therapies for Public Health Management and Chronic Pain Management
Authors: Pillai Dr. Anu G , Kewte Shital
Published: September 2024

All progressive lung diseases, respiratory disorders, chronic bronchitis, and stubborn (non-reversible) asthma are collectively referred to as chronic obstructive pulmonary disease, or COPD. When a person with COPD maintains their level of muscle strength and mobility, which is crucial for all COPD patients, they can live for several years and profit from life. Conscription is one approach to accomplish physical mobility inside a structured programme, like a physical training programme. It is a part of the COPD management guidelines and has been shown to be a beneficial tool in managing COPD. Neuromuscular electrical stimulation (NMES) has been successfully used as a limited to a small region preparation strategy in seriously impaired patients WHO do not appear to be capable of adhering to strict pulmonary rehabilitation (PR) and/or enduring superior coaching frequencies. In order to evaluate public health concerns and predict the onset of illnesses, the objective of this project is to create an intelligent framework for electrical stimulation therapies for the management of chronic pain and public health.
Legal Approaches To Addressing The Social Determinants Of Public Health: The Scenario In India
Authors: Pandey Dr. Savyasanchi , Agrawal Ashis
Published: September 2024

The enhanced scope, services, and rising investment by both public and private entities are driving the rapid and vigorous growth of the Indian healthcare system. Clinical trials, hospitals, medical equipment, telemedicine, health insurance, and medical appliances are all included in the scope of healthcare. Numerous factors, including our residence, heredity, environmental conditions, income, and education, all contribute to the health of individuals and communities and have significant effects on public health care.Environment and circumstances are major factors in determining an individual's state of health as well. For the health care system to be successfully implemented, it must be designed to adhere to specific human rights norms. A strong regulatory framework is essential to achieving favourable results for human health. By enforcing sanitary regulations on things like food safety, abattoir hygiene, and water quality monitoring, it reduces the likelihood of contracting diseases. The result is a shaky human health care system due to wide gaps in the enforcement, monitoring, and evaluation processes. This is also a result of inadequate funding for medical care for people, a lack of dedication and leadership on the part of health professionals, and a lack of community.
Revolutionizing Public Health Surveillance: Computational Solution for Dengue Prediction
Authors: Deshmukh Dr. Rajesh Keshavrao , Shrivastav Mohit
Published: September 2024

Dengue fever is a rapidly growing vector-borne viral illness that is posing a threat to an increasing number of areas worldwide. Numerous scientists have focused on various strategies to stop and limit the spread of illness. Additionally, the development of a variety of methods for ascertaining and predictive modeling through quantifiable, numerical analysis of machine learning (ML) is investigated. This research introduces a novel cubic-kernelized support vector machine with a bee optimizer (CSVM-BO) approach for dengue identification. The climate data is initially collected and preprocessed utilizing the decimal scale normalization method. In addition, we provide a feature extraction approach for linear discriminant analysis (LDA), which attempts to extract essential information for early identification and risk assessment. The findings demonstrate that the framework suggested in this research has considerable benefits in public health for dengue prediction and that our proposed CSVM-BO technique performs optimally in terms of latency (5 s), time complexity (0.62 s), and accuracy (98.57%). The problems identified by this thorough study offer a helpful foundation for epidemiology and public health research.
Reactive oxygen species suppress phagocyte surveillance by oxidizing cytoskeletal regulators
Authors: Ferling Iuliia , Pfalzgraf Steffen , Moutounet Lea , Qiu Lanhui , Li Iris , Zhou Yuhuan , Grinstein Sergio , Freeman Spencer A
Published: September 2024

Despite their superficial similarities, the phagocytosis of pathogens differs from that of apoptotic cells in their recognition mechanisms and downstream signaling pathways. While the initial stages of these processes have been studied, the cytoskeletal reorganization that follows particle uptake is not well understood. By comparing the uptake of phosphatidylserine (PS)- coated targets versus IgG-opsonized targets of identical size, shape, and rigidity, we noted remarkable differences in the accompanying changes in cell morphology, adhesion and migration that persisted long after phagocytosis. While myeloid cells continued to survey their microenvironment after engulfing PS-coated targets, the uptake of IgG-opsonized targets caused phagocytes to round up, decreased their membrane ruffling, and led to the complete disassembly of podosomes. These changes were associated with increased activation of Rho and a concomitant decrease of Rac activity that collectively resulted in the thickening and compaction of the cortical F-actin cytoskeleton. Rho/formin-induced actin polymers were fastened to the membrane by their preferential interaction with Ezrin-Radixin-Moesin (ERM) proteins, which were necessary for cell compaction and podosome disassembly following ingestion of IgG-coated particles. The source of the distinct responses to PS- versus IgG-targets was the differential activation of the respiratory burst mediated by the NADPH oxidase: reactive oxygen species (ROS), emanating from phagosomes containing IgG-opsonized targets – but not those containing PS-coated ones – directly led to the activation of Rho. Similar findings were made with phagocytes that encountered pathogens or microbial-associated molecular patterns (MAMPS) that instigate the activation of the NADPH oxidase. These results implicate a connection between sensing of harmful particulates, the oxidation of cytoskeletal regulators, and the immune surveillance by myeloid cells that have potentially important consequences for the containment of pathogens.
The Extra-Islet Pancreas Supports Autoimmunity in Human Type 1 Diabetes
Authors: Barlow GL , Schürch CM , Bhate SS , Phillips D , Young A , Dong S , Martinez HA , Kaber G , Nagy N , Ramachandran S , Meng J , Korpos E , Bluestone JA , Nolan GP , Bollyky PL
Published: September 2024

In autoimmune Type 1 diabetes (T1D), immune cells infiltrate and destroy the islets of Langerhans – islands of endocrine tissue dispersed throughout the pancreas. However, the contribution of cellular programs outside islets to insulitis is unclear. Here, using CO-Detection by indEXing (CODEX) tissue imaging and cadaveric pancreas samples, we simultaneously examine islet and extra-islet inflammation in human T1D. We identify four sub-states of inflamed islets characterized by the activation profiles of CD8
+
T cells enriched in islets relative to the surrounding tissue. We further find that the extra-islet space of lobules with extensive islet-infiltration differs from the extra-islet space of less infiltrated areas within the same tissue section. Finally, we identify lymphoid structures away from islets enriched in CD45RA
+
T cells – a population also enriched in one of the inflamed islet sub-states. Together, these data help define the coordination between islets and the extra-islet pancreas in the pathogenesis of human T1D.