bluuebunny/crossref_metadata_2025 huggingface dataset:
A2Pilot of communication skills simulation incorporating gender-based violence
Authors: Jones Kate , Appadurai Emily , Hussain Faris
Published: October 2023

Background and aim:

Over the last decade, there has been increasing awareness of the prevalence of gender-based violence with increasing recognition of its disproportionate impact on vulnerable adults and children [1]. When these vulnerable adults and children may present to services, healthcare professionals have an opportune position to recognize this and act as an agent to signpost these individuals to relevant services. Individuals suffering from gender-based violence prefer practitioners to ask about the possibility of violence as it is easier for them to disclose this in response to the question than to offer the information unprompted [2]. While communication skills are taught to various degrees in medical schools around the country, the authors of this project recognized that many medical schools did not address these issues in these sessions. Consequently, a communication-based skills day was developed that addressed this and offered an opportunity for training and simulation of scenarios.

Aims:

These sessions aimed to improve students’ confidence in recognizing indicators of abuse and asking individuals if they were subject to forms of violence or abuse.

Methods:

A half-day teaching programme was produced for final year medical students. This comprised of a talk on the indicators of gender-based violence, suggestions on how to approach enquiring about gender-based violence and simulation scenarios incorporating gender-based violence. The scenarios were designed to include indicators of violence aforementioned in the talk to enable students to practise question asking.

Pre- and post-session questionnaires were used, and students were to rate their confidence on a scale of 1–5 of how confident they felt asking these questions and recognizing indicators of violence.

Results:

Twenty-three students partook in the two sessions delivered. Pre-session data suggested that students had received minimal teaching on the indicators of violence. After completion of the sessions, there was a 57% increase in the students’ confidence in recognizing a victim of violence and a 51% increase in confidence in asking whether an individual had been subject to violence. Qualitative data suggested that students valued simulation incorporating indicators of violence and opportunity to sensitively enquire if someone had experienced violence. Overall, students felt better equipped to address future scenarios where an individual may have been subject to violence.

Conclusion:

Our teaching session increased the confidence of final-year medical students in recognizing the indicators of violence and their ability to sensitively enquire about any violence that an individual may be subject to.

Ethics statement:

Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
A20Does the use of simulation enhance the development of registered physiotherapist’s respiratory ‘on-call’ skills – a literature review
Authors: Barnfield Emily
Published: October 2023

Background and aim:

On-call respiratory physiotherapy is utilized when an acutely unwell patient could deteriorate without immediate assessment and treatment overnight. Education related to this topic varies greatly and is often of poor quality. Simulation-based education (SBE) has been increasingly used within other areas of healthcare yet, Gough et al. [1] completed a study in 2013, which found only 39% of acute trusts used simulation for respiratory on-call training.

Aim:

To determine from existing research, whether SBE can enhance the development of registered physiotherapists respiratory ‘on-call’ skills in order to impact future practice.

Methods:

A qualitative literature review was completed as part of a PgCert in Health Simulation at Coventry University, in March 2023. Ethical approval was gained from Coventry University (P149952). Studies included were found by searching AMED, CINAHL Embase and Medline databases. Figure 1-A20 presents the PRISMA flow diagram [2]. Final reports included were critically analysed using the Critical Appraisal Skills Programme framework [3] and data extracted and formatted into a table. General themes were identified using an inductive approach.

PRISMA flow diagram

Results:

Eleven papers were selected to be reviewed after the removal of duplicates, screening and the exclusion criteria were applied. The main themes identified were the use of high-fidelity simulation, the measure of confidence and/or competence, and findings of positive implications for practice. SBE is widely used for other healthcare professions with positive outcomes; however, its use within respiratory physiotherapy is limited. Most studies chose to measure self-reported levels of competence and confidence, which is an example of Kirkpatrick level-one evaluation. These measures have only casual links to transfer of knowledge and behaviour change, which are key requirements when applying training to clinical settings. Interestingly, the review also demonstrates favourable use of high-fidelity manikins within this population. Although this was not discussed by the researchers, this may be a barrier for further implementation due to cost and technical knowledge required to use the equipment.

Conclusion:

The use of SBE has been beneficial in other healthcare professions and similar positives were found for its use with respiratory physiotherapists. However, much of the research is of low quality, and further research is required to review other confounding factors that may influence the outcomes and longitudinal staff behaviour.

Ethics statement:

Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
A1Interactive simulation training course for professionals working with children and adolescents with eating disorders
Authors: Saleem Naila , Fisher Megan , Griffiths Jess , Galloway Selena , Jianu Cristina , Ortega Vega Marta
Published: October 2023

Background and aim:

Research suggests that eating disorders (ED) in children and adolescents are on the rise [1]. One study found that the incidence of anorexia nervosa in young girls aged 10–14 years increased by 50% between 1980 and 2000 [2]. Another study reported a 119% increase in the number of hospitalizations for eating disorders in children aged 12 and under between 1999 and 2006 [3]. These statistics highlight the urgent need for improved prevention, early intervention and treatment of eating disorders in young people. This 1-day interactive simulation training course is designed to enhance the knowledge, confidence and skills of medical doctors, psychiatrists, RMNs, physical health nurses, dieticians, general practitioners and family therapists who are working with children and young people (CYP) with eating disorders.

Methods:

This 1-day simulation course was delivered online. The course focuses on the assessment and management of CYP with ED, understanding the challenges faced by professionals in engaging CYP with ED in different settings, thinking about dynamics within family systems and in wider systems, and gaining a better understanding of capacity, consent and other conundrums. The course includes simulated scenarios played by trained actors to support the development of effective communication skills and Maudsley debrief model is employed to give participants feedback on their contributions and assist them in learning positively and constructively from their experience. Participants completed a pre- and post-course questionnaire measuring their confidence in course-specific skills and human factors skills, as well as collecting qualitative feedback on their experience of the course and intention to apply the learning.

Results:

Participants were asked to complete a pre-course and post-course questionnaire rating their knowledge, confidence and skills related to working with patients with eating disorders. Paired samples t-tests were conducted to analyse the difference in ratings between the pre- and post-course questionnaires. Results demonstrated a significant difference in the scores for course-specific questions between the pre-course (M =25.48, SD = 4.50) and post-course (M = 32.44, SD = 3.53), t(12) = 46 p < .001, 95% CI [−8.11, −5.80]. 100% of the participants reported that they would recommend the course.

Conclusion:

The course was effective at improving participants’ knowledge, confidence and skills in working with CYP with ED. The participants found the course useful for their clinical practice.

Ethics statement:

Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
A42A palliative care skills study day is an effective way of meeting palliative care registrar curriculum Direct Observation of Procedural Skills (DOPs) requirements
Authors: Churm Deepta , Snell Kaly , Dawson Robert , Jenkins Nichola
Published: October 2023

Background and aim:

The new Speciality Training curriculum for Palliative Medicine from August 2022 identifies key procedural skills that, for the first time, can be performed in a simulation (SIM) skills lab to demonstrate proficiency [1]. These include tracheostomy care, managing non-invasive ventilation (NIV) and the management of indwelling ascitic drains. These skills can be difficult to acquire in non-hospital settings like hospices and in the community. A bespoke, pilot palliative care skills day was organized to assess the suitability for theory, skills training and subsequent opportunity to demonstrate proficiency by sign off against curriculum competencies.

Methods:

A total of 11 palliative care trainees from the Northern Deanery attended a pilot SIM study day in March 2023. Three parallel workshops were planned – tracheostomy care, the insertion and management of ascitic drains and managing NIV. Each workshop was delivered by local experts in the area (non- palliative care professionals) with experience of teaching and training other professionals. assessing internal medicine trainees. Trainers were briefed on learning outcomes prior to the session by two palliative care consultants, and the clinical context of each session was set within relevant palliative care environments for e.g. the care of a patient in a hospice, in the community or in a hospital.

Trainee confidence was assessed before and after SIM training with the use of 10-point Likert scales and free text comments.

Results:

Overall self-reported trainee confidence and competence scores increased for all three workshops (Paracentesis 7 to 8.8 out of 10, NIV 4.5 to 8.6, tracheostomy care 3.8 to 8.9). All trainees agreed it was an effective and educational way of addressing curriculum objectives; and agreed it should be a rolling programme offered regionally. Trainees commented on the positive learning environment, the small group sizes, the benefit of being taught by experts and having the opportunity to be assessed for curriculum requirements. Trainees who had previously achieved competencies commented on the benefit of refreshing skills. One area for development identified was the lack of standardization on DOPs forms about the level of proficiency required. This will be fed back to the regional training committee for the future. Trainees identified further clinical skills that could be addressed in a skills lab and hence, a second skills day will be organized.

Conclusion:

SIM training is an effective tool for delivering training around procedural skills for palliative care registrars. It also brings opportunity to demonstrate proficiency in specific practical skills.

Ethics statement:

Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
A13Mixed reality simulation training in the assessment and management of acutely unwell patients in undergraduate medical education: a pilot study
Authors: Rowlands Benjamin , Proctor Dominic
Published: October 2023

Background and aim:

Development and enrichment of the undergraduate simulation experience is needed due to its utility in developing the aspiring clinician and their ability to assess and manage acutely unwell patients. However, with its heavy resource demand, and the desire for technologically enhanced learning by ‘Generation Z’, novel simulation modalities must now be considered [1]. Mixed reality (MR) technology provides a platform to deliver such simulation training; however, it is yet to be studied in this context. To evaluate this, we conducted an observational cohort study to assess if MR simulation improves students’ perceived ability to assess and manage acutely unwell patients.

Methods:

We recruited 32 undergraduate medical students and asked them to rate their ability to assess and manage acutely unwell patients out of 10, before delivering a 2-hour MR simulation teaching session using the Microsoft HoloLens head-mounted device and HoloScenario software produced by GigXR [2]. They were then asked again to rate their assessment and management ability alongside their experience of the MR system and its usability. Data were analysed using paired t-tests to assess for significant improvement.

Results:

Analysis of the MR teaching session showed a statistically significant improvement of student scores in their perceived ability in assessment (p = .00) and management (p = .00) of the acutely unwell patient. In self-rated ability to assess the unwell patient, mean scores improved by 1.09 on the 10-point scale (95% CI [0.67, 1.52]) with 89% of students feeling more confident in assessment. In self-rated ability to manage the unwell patient, mean scores improved by 1.63 (95% CI [1.15, 2.10]) with 84% of students feeling more confident in management. Sixty-nine per cent of the students did not find the MR system easy to use, with 75% of students having technical issues and 38% experiencing side effects. Eighty-eight per cent of students believed the teaching experience to be beneficial to their learning.

Conclusion:

MR shows promise in its ability to deliver simulation training and improve students’ perceived ability to assess and manage acutely unwell patients. Advances in software availability and simulation exercises are required for complete integration into undergraduate medical curricula. Further research is required to assess if MR simulation objectively improves student performance in this area.

Ethics statement:

Authors confirm that all relevant ethical standards for research conduct and dissemination have been met. The submitting author confirms that relevant ethical approval was granted, if applicable.
The Guarantee Pricing and the Analysis of the Automotive Branch Insurance Profitability in Tunisia
Authors: Abdelli Souleima , Abdelli Asma Abdelli
Published: October 2023

The presented study thoroughly investigates the technical profitability of the Tunisian automobile insurance market using a quantitative research approach with interpretivism as its foundation. The study aims to offer insightful information about the dynamics and profitability of the sector by concentrating on the combined ratio and applying the S/P ratio calculation. The data show that the Tunisian auto insurance industry faces serious obstacles. The S/P ratios continually exceeded 100% from 2019 to 2021, indicating a chronic problem of low technical profitability. Notably, the civil responsibility guarantees considerably added to this imbalance, particularly in the “agricultural utility” and “2-wheel use” categories, with S/P ratios rising to frightening heights, like 937% in 2012. These findings highlight the pressing necessity for pricing modifications and a thorough comprehension of the nuances of the market. The Tunisian auto insurance industry must address underpricing concerns and increase overall profitability viable over the long run. This study offers helpful insights for policymakers and business experts trying to manage these difficult issues and promote a more vibrant insurance market.
The Youth Collaborative Mental Health Survey: A Community-Based Participatory Research Approach Using Constructivism With Majority Hispanic Youth
Authors: Yang Phillip , Sumner Bridget , Neill Jake , Gomez Jolie , Garza Gabriela , Alvarez Luz , Benn Vanessa , Wylie Albert , Cordero Rubi , Ratrut Omar , Lim Meghan , Lim Dylan , Evans Jazmeyne , Kroll Richard , Galan Mya , Garza George , Reilly-Sanchez Laura , Robles-Ramamurthy Barbara , Von Stultz Jeannie , Osborne Jen , Todd Jennifer , Plastino Kristen
Published: October 2023

Youth today face novel mental health challenges compared to youth of previous generations. Youth voice in research is necessary to better understand and alleviate this national youth mental health crisis, but current U.S. nationally representative datasets on youth mental health lack youth voice in their survey designs. The academic team collaborated with 19 high school students to design a comprehensive youth mental health survey called the Youth Collaborative Mental Health Survey (YCMHS). The youth co-investigators represented the diversity of San Antonio, Texas, and were majority Hispanic. The constructivism pedagogy in education, which empowers youth voice in the learning process, was utilized to facilitate the youth-led creation of the YCMHS. During eight 2-hour meetings, the youth co-investigators designed the YCMHS with 20 domains and 195 questions. The YCMHS embraced respondent flexibility and voice and included 42 conditional response questions and 29 free-text response questions. The youth co-investigators led the survey administration at five schools during the 2020–2021 school year. The youth-led research design also strengthened collaboration between community and school partners. Takeaways from the academic team include the importance of being flexible and patient and advocating for the youth collaborators. Takeaways from the youth co-investigators include the importance of being open-minded, asking honest questions related to youth mental health, and being persistent. Future work will strengthen the scientific rigor of the YCMHS and highlight preliminary survey results.
KAHRAMANMARAŞ MERKEZLİ 6 ŞUBAT DEPREMLERİNİN KRİZ YÖNETİMİ BAĞLAMINDA DEĞERLENDİRİLMESİ
Authors: SALİK ATA Neşe
Published: October 2023

Ülkemizde yaşanan 6 Şubat 2023 Kahramanmaraş depremleri son yılların en yıkıcı doğal afetlerinden birisidir. Meydana gelen bu depremler çok sayıda can kaybına, yaralanmalara ve ağır hasarlara sebep olmuştur. Felakete yol açan 6 Şubat depremleri çözülmesi gereken büyük bir krizi de beraberinde getirmiştir. Meydana gelen depremlerde krize sebep olan unsurlar nelerdir ve krizi yönetmek için neler yapıldı gibi sorular çerçevesinde bu çalışma oluşturulmuştur. Bu çalışma ile 6 Şubat 2023 Kahramanmaraş depremlerini kriz yönetimi bağlamında incelemek amaçlanmaktadır. Bu bağlamda Kahramanmaraş depremleri hakkında bilgi verilerek yaşanan bu depremlerde krize sebep olan unsurlar ve 6 Şubat 2023 Kahramanmaraş Depremleri kriz yönetimi açısından ele alınmıştır.
HORTA ESCOLAR: UM INCENTIVO DE HÁBITOS DE ALIMENTAÇÃO SAUDÁVEL NA ESCOLA
Authors: Ribeiro Gustavo de Jesus , Vasco Gabriela Machado Lins , Silva Keyla dos Santos , Leite Simone Galdino de Mesquita , Pinheiro Ariane Gleyse Azevedo
Published: October 2023

A horta é conhecida como uma das intervenções mais desenvolvidas na sociedade para prover a educação ambiental em âmbito escolar. Objetivo: proporcionar hábitos saudáveis aos alunos a partir da criação e cuidado da horta escolar. Métodos: Trata-se de um relato de experiência realizado em uma Escola de tempo integral, na cidade de Maceió-Alagoas, com os alunos da turma da creche. Trabalhamos com estudantes de faixa etária de 4 a 9 anos. Resultados: Espera-se o interesse dos alunos em cultivar e aprender sobre a importância da horta, das hortaliças e legumes e o desejo, por parte deles, em construir a horta em casa e assim tornar a plantação um hábito. Conclusão: Presume-se que a implementação da horta na escola irá proporcionar aos alunos desenvolvimento de trabalho em equipe, conhecimentos e curiosidades para aprender mais sobre os vegetais.
SÍNDROME DO BEBÊ SACUDIDO: UMA ANÁLISE ABRANGENTE DA LITERATURA PARA COMPREENSÃO E PREVENÇÃO
Authors: Moreira Andressa Gabrielle , Moreira Alberto Nery Fernandes , Silva Clara Tomaz , Braz Juliana Vieira Torreão , Oliveira Maria Eduarda , Lins Sâmia Daiene de Melo , César Fernanda de Oliveira
Published: October 2023

Introdução: A Síndrome do Bebê Sacudido (SBS) é uma condição grave e potencialmente fatal que ocorre quando um bebê ou uma criança é sacudido violentamente. Ao sacudir a criança, a energia do trauma leva a uma aceleração e desaceleração abrupta do cérebro, causando rotações da massa encefálica e ricochete contra a base do crânio, resultando em lesões intracranianas. Objetivo: Revisão da literatura sobre a Síndrome do Bebê Sacudido (SBS), abordando suas características, implicações clínicas, prognóstico e importância acerca de sua conscientização e prevenção. Metodologia:  Revisão da literatura utilizando as bases de dados SCIELO; Google Acadêmico; MEDLINE/BVS e LILACS. Discussão: As lesões causadas pela SBS podem ser divididas em primárias e secundárias. As primárias são lesões por consequência direta do trauma, destacando hematoma subdural e hemorragia retiniana e as secundárias são complicações indiretas, como a encefalopatia. O diagnóstico da SBS é difícil, haja vista o quadro clínico inespecífico. Logo, essas crianças devem passar por um exame físico cuidadoso e  realização de uma triagem neurológica para lesão intracraniana oculta. O tratamento consiste em manejo de suporte e monitorização, podendo utilizar terapias clínicas e/ou neurocirúrgicas. Conclusão: A SBS é um dano previnível e estratégias de prevenção com educação parental e orientação dos profissionais de saúde é a melhor forma de reduzir sua ocorrência, considerando seu significativo impacto de morbidade e mortalidade nas crianças com essa síndrome.
MICROBIOTA INTESTINAL E OBESIDADE: UMA REVISÃO SISTEMÁTICA
Authors: Nóbrega Neto Antônio de Pádua Rocha , Ramos Junior João Sales , Eloy Sara de Castro , Ibiapina Mateus Hort
Published: October 2023

INTRODUÇÃO: A microbiota intestinal tem sido associada à obesidade e doenças metabólicas, como a disfunção da barreira intestinal em doenças metabólicas associadas à obesidade. OBJETIVO: Esta revisão sistemática foi realizada com o objetivo de analisar a relação entre a microbiota intestinal e a obesidade. METODOLOGIA: Foram pesquisadas como bases de dados PubMed, Scopus e Web of Science, utilizando os seguintes termos de busca: "microbiota intestinal", "obesidade", "disbiose intestinal", "permeabilidade intestinal", "ácidos graxos de cadeia curta", "inflamação " e "resistência à insulina". Foram incluídos artigos publicados entre 2006 e 2022, na língua inglesa, que se relacionam diretamente com o tema proposto. RESULTADOS: A maioria dos estudos indicam que a disbiose da microbiota intestinal pode contribuir para o desenvolvimento de distúrbios relacionados à obesidade por meio de vias metabólicas. Além disso, um dos estudos ressaltou que a gravidade da doença hepática gordurosa não alcoólica está associada à disbiose intestinal e alterações na capacidade metabólica da microbiota intestinal. Por fim, a maioria dos estudos confirmaram a interação dieta-microbioma-hospedeiro ocidental também pode ter um papel significativo no desenvolvimento da obesidade e doenças metabólicas. CONSIDERAÇÕES FINAIS: Esta revisão sistemática mostrou que a microbiota intestinal desempenha um papel crítico no metabolismo do hóspede e sugere que a restauração da microbiota intestinal pode ser uma nova estratégia para o tratamento da obesidade e doenças metabólicas. As descobertas sugerem que a regulação da microbiota intestinal pode ser uma abordagem promissora para a prevenção e tratamento da obesidade e doenças metabólicas, no futuro.
INTERVENÇÃO DE TERAPIA OCUPACIONAL JUNTO A MÃES DE BEBÊS PREMATUROS HOSPITALIZADOS
Authors: Faustino Gabriela Fernanda , Pfeifer Luzia Iara , Degani Fernanda
Published: October 2023

Tornar-se mãe antes do tempo programado e vivenciar os primeiros dias ou até mesmo meses do filho, em um hospital, tende a repercutir em questões relacionadas ao aumento de tensão, medo, angústia, dificuldade no estabelecimento de vínculo, além de uma ruptura brusca nas demais ocupações e papéis desempenhados por ela. Oferecer atenção integral à mãe, ainda em ambiente hospitalar, contribui diretamente para seu bem-estar e para o cuidado futuro ao bebê. Este relato de experiência tem como objetivo apresentar a intervenção realizada junto a sete mães de prematuros hospitalizados na Unidade de Cuidados Intermediários Neonatais de um Hospital Universitário no interior de São Paulo, em comemoração ao Dia das Crianças. A intervenção visou ressignificar a data comemorativa e todo o processo de hospitalização do neonato. É retratada em dois momentos distintos. O primeiro trata da confecção de capas de super-heróis pelas mães dos bebês e o segundo, relata a sessão de fotos na qual os neonatos vestiram as capas elaboradas pelas mães. A experiência oportunizou que as mães participassem de atividades que lhes trouxeram significado, retomassem ocupações e padrões de desempenho interferidos, construíssem uma rede de apoio-socialização e, principalmente, que assumissem papel central no cuidado ao neonato prematuro. Mostrou potencial para contribuir não só com as mães desta intervenção, mas com todas que vivenciam a maternidade com neonato prematuro, além de qualificar o processo de formação do estudante de graduação em Terapia Ocupacional.
A COMUNICAÇÃO DA EQUIPE DE SAÚDE COM O PACIENTE ONCOLÓGICO SOB A ÓTICA DE FAMILIARES
Authors: Amaral João Pedro Silva , Santos Ana Cristina Rodrigues dos , Silva Neuto Felipe Marques da , Cordeiro Franciele Roberta
Published: October 2023

O objetivo deste estudo foi conhecer o processo de comunicação da equipe de saúde com o paciente com câncer, sob a ótica de familiares. Uma pesquisa de abordagem qualitativa foi realizada entre maio e junho de 2022, em uma Unidade de Oncologia de um hospital do Sul do Brasil. Foram realizadas entrevistas semiestruturadas com oito familiares de pacientes em tratamento quimioterápico. Os dados foram gerenciados no programa Atlas.ti, versão cloud para estudantes, submetidos à análise de conteúdo e interpretados com o conceito de comunicação. Evidenciou-se, na percepção dos familiares, que os médicos utilizam uma linguagem objetiva, simples e adequada para informar o paciente sobre a doença e o tratamento. A equipe da Unidade de Oncologia que atua durante o tratamento, sobretudo a de enfermagem, foi avaliada como acolhedora, que cuida dos pacientes respeitando a singularidade, o tempo e o espaço de cada um. Conclui-se que o processo de comunicação pode ser integrado como um elemento facilitador do cuidado nos serviços de oncologia, pois a comunicação pode impactar positivamente na experiência do adoecimento do paciente e dos familiares e na relação com a equipe de saúde.
IoT Based Smart Agriculture Monitoring System
Authors: Journal IJSREM
Published: October 2023

The population increase, climate change, and shortage of resources are posing hitherto unheard-of difficulties to the agriculture sector. The application of Internet of Things (IoT) technology to agriculture, or "smart agriculture," has become a game-changing response as a result. An IoT-based Smart Agriculture System intended to transform conventional farming methods is presented in-depth in this paper. In order to maximise crop output, preserve resources, and advance sustainable farming practises, the suggested system makes use of sensor technology, data analytics, and real-time monitoring. Numerous sensors for monitoring temperature, nutrient levels, and soil moisture are among the main elements of the Internet of Things-based Smart Agriculture System. These sensors' wireless transmission of data to a centralised cloud-based platform, where sophisticated data analytics algorithms process the data, is done. This platform is accessible to users via Keywords: Internet of Things (IoT), Sensor Technology, Data Analytics, Sustainability, Crop Monitoring, Agricultural Productivity.
Indemnización por reincidencia en discriminación por razón de sexo en actuación de entidad gestora tras pronunciamiento del TJUE.
Authors: López Bermejo Óscar
Published: October 2023

La sentencia analizada tiene por objeto resolver la correcta interpretación de los arts. 3 (riesgos), 4 (igualdad de trato), 5 (medidas para poner fin a desigualdad) y 6 (reclamación vía jurisdiccional por no aplicación de igualdad de trato) de la Directiva 79/7/CEE del Consejo, de 19 de diciembre de 1978, relativa a la aplicación progresiva del principio de igualdad de trato entre hombres y mujeres en materia de seguridad social. El TJUE resuelve la cuestión prejudicial en el sentido de que ante un practica administrativa -calificada como discriminatoria por razón de sexo- reiterando el incumplimiento del ordenamiento de la Unión, ya resuelto y declarado por una anterior sentencia del TJUE, permite una condena indemnizatoria como reparación pecuniaria adecuada para compensar íntegramente los perjuicios efectivamente sufridos, incluyendo costas y honorarios de abogado asumidos por el demandante al reclamar ante los órganos judiciales el complemento por maternidad en las pensiones contributivas del sistema de la Seguridad Social previsto en el art. 60 LGSS. No consideración como reparación idónea y suficiente el carácter retroactivo al momento de nacimiento de la prestación de los efectos de tal complemento.

The purpose of the judgment under consideration is to resolve the correct interpretation of Article 3 (risks), Article 4 (equal treatment), Article 5 (measures to eliminate inequality) and Article 6 (legal remedy for failure to apply equal treatment) of the Council Directive 79/7/EEC of 19 December 1978 on the progressive application of the principle of equal treatment for men and women in matters of social security. The CJEU settles the preliminary ruling in the sense that an administrative practice -qualified as discriminatory on the basis of sex-, reiterating failure to comply with the law of the union in a sense already resolved by an earlier judgment of the CJEU, an award of compensation is allowed as an appropriate pecuniary compensation to compensate in full for the damage actually suffered, including costs and attorney's fees incurred by the plaintiff to claim the maternity supplement in the contributory pensions of the social security system provided for in art. 60 LGSS. The retroactive nature of the effects of such supplementation is not an adequate and sufficient remedy.
Derecho a la libertad ideológica en el marco de la relación laboral
Authors: Rojo Torrecilla Eduardo
Published: October 2023

La sentencia del TC que es objeto de análisis considera vulnerado el derecho a la libertad ideológica de un trabajador en el marco de la relación contractual laboral que le vincula con su empleador. El despido disciplinario llevado a cabo por la empresa, y considerado procedente por los tribunales laborales, vulneró las libertades constitucionales de expresión y reunión del trabajador. Se argumenta sobre la distribución de la carga de la prueba y la aportación de indicios, concluyendo que la sentencia recurrida no cumplió con le exigencia de la doctrina constitucional sobre tal distribución.

The judgement of the TC under analysis considers the right to ideological freedom of a worker to have been violated in the context of the contractual employment relationship between him and his employer. The disciplinary dismissal carried out by the company, and found to be justified by the labour courts, infringed the worker's constitutional freedoms of expression and assembly. Arguments are made on the distribution of the burden of proof and the provision of evidence, concluding that the appealed judgement did not comply with the requirements of the constitutional doctrine on such distribution.
Isolation and Characterization of Cellulolytic Fungi From Decomposing Rice Straws
Authors: Ong Shir Nee , Lee Chin Mei
Published: October 2023

Rice straw is an agricultural waste that is normally produced after the paddy is harvested. Rice straw, which is high in cellulose content, makes it difficult to degrade. It is burnt away by most farmers as this method saves time and labor. However, the burning of rice straws could have a serious impact on the environment and human health in general. To overcome this, biodegradation using fungi should be applied in degrading the cellulosic waste. In this study, rice straws from Bagan Serai, Perak were collected. Decomposing of rice straws was prepared by adding coffee residue, cow and chicken dung, and phosphate fertilizer. A total of 18 isolates were isolated and purified from the sample and the isolates were brought further to macroscopic by observing the morphology. Morphological and microscopic characterization using a microscope was performed where the structure of the isolate was observed and their respective genus level was deduced. Among the 18 isolates, most of them were Aspergillus. Next, cellulase screening was done using carboxymethylcellulose (CMC) agar with Gram iodine staining. Isolate C7 showed the largest diameter of the halo zone at 48 h of incubation whereas isolate 4D has the most significant increase of halo zone in 24-h duration.
Identification and Characterization of Endophytic Fungi from Garcinia atroviridis for Potential Antagonistic Against Phytopathogenic, Colletotrichum gloeosporioides
Authors: Zanudin Nur Afeeqah Mohamed , Hasan Nor'aishah , Mansor Patayah
Published: October 2023

Biological control is referred to as the “use of natural or modified organisms, genes” to minimize the effects of undesirable pests, pathogenic microorganisms, and diseases on plant crops. This measure has become a suitable and safe alternative for chemical fungicides in plant disease management. Endophytic fungi have received much attention as biological control agents against many plant pathogens through antibiosis, parasitism, invading spores, mycelium, and cells of the pathogen, and secreting bioactive metabolites. While the therapeutic properties of Garcinia atroviridis have been studied, the existence of microbial endophytes and their properties is still less documented. In this research, G. atroviridis endophytic fungi were isolated and identified by fungal colony morphology observation combined with the PCR-amplified fungal internal transcribed spacer (ITS) sequence analyses. Fungal endophytes were assessed for their biocontrol potential against Colletotrichum gloeosporioides. In total, 111 endophytic fungal isolates harboring inside the leaf, branch, and fruit of G. atroviridis belonged to 5 different species with 3 different genera and two unidentified genera. All the endophytic fungal species isolated were evaluated using an in vitro dual culture assay against C. gloeosporioides, a common pathogen that causes anthracnose disease. The results of the present study clearly showed that seven species of isolated fungal endophytes were capable of inhibiting the mycelial colony growth of C. gloeosporioides with an inhibition percentage between 54.67% to 87.94%. Among these species, Nigrospora sphaerica recorded the highest PIRG with 87.94%. Our work indicates that endophytic fungi isolated from G. atroviridis have a biocontrol effect on C. gloeosporioides and are expected to be a potential source of bioactive metabolites.
Research on Human-centered Design in College Music Education to Improve Student Experience of Artificial Intelligence-based Information Systems
Authors: Qian Chen
Published: October 2023

The integration of Artificial Intelligence (AI) technology with music instruction necessitates a delicate balance between technical advancement and the maintenance of humanistic teaching. This study examined how human-centered design concepts were used to optimize the integration of AI while also investigating the effects of AI technology on college-level music instruction in China. It aimed to identify potential, difficulties and make recommendations for ethical AI deployment in this particular environment. Semi-structured interviews with 20 music students and professors from Chinese higher education institutions were conducted using a qualitative study design. To condense significant themes and subthemes from the data, open coding, axial coding, and selective coding were used. The study revealed complex interactions between AI and Chinese music instruction. Themes included "Enhanced Learning with AI", emphasizing AI's role in motivating and personalizing music education; "User-Centric Design", emphasizing the importance of intuitive interfaces and aesthetic appeal; "Collaboration and Peer Learning", demonstrating AI's facilitation of collaborative projects; "Technical Challenges and Ethical Concerns", addressing technical obstacles and ethical concerns; and "Educator Support and Curriculum Alignment", emphasizing the importance of educator support and curriculum alignment. This study adds knowledge about how AI can be successfully incorporated into Chinese music teaching. It informs best practices for the adoption of AI, ensuring that technology enhances the learning experience for students while preserving cultural nuances. The study improves the conversation about innovative pedagogy and responsible technology integration. Implications include the potential for AI to change music education, cultural preservation, and global viewpoints. However, drawbacks such as sample bias and the dynamic nature of AI technology necessitate more study and development of educational techniques that use AI. Personalization and multimodal methods used in college music instruction in the future, to help increase student involvement. The importance of ethical issues, long-term effect analyses, and user-centered design will call for interdisciplinary cooperation. The future of AI-enhanced music education will also be shaped by assuring accessibility, diversity, and active engagement in policy and regulation discussions.
Spatial and Temporal Variability of Vegetation Indices with Industrial Tomato Yield
Authors: O. Martins Marcos Paulo de , Reis Elton F. dos , L. Lopes Luana de
Published: October 2023

Vegetation indices indicate crop development and help identify areas with potential productivity reduction in the desired crop. Thus, this study aimed to determine the spatial and temporal influence of vegetation indices on industrial tomato (Solanum lycopersicum L.) yield. The research was conducted at Barcelos Farm in Anápolis, GO, covering a 55-hectare area. A sampling grid of 61-point pairs, spaced at 90 x 90 meters, was established using a GPS receiver. Vegetation indices were characterized by measuring the Soil Plant Analysis Development (SPAD) index, foliar nitrogen content through the Kjeldahl method, and Normalized Difference Vegetation Index (NDVI) using both a spectroradiometer and satellite imagery. Industrial tomato yield was assessed during harvest. Through the results, it was observed that temporal variability between vegetation indices and actual foliar nitrogen content exhibited a significant and positive correlation with industrial tomato productivity, particularly during the flowering stage. However, temporal variability between vegetation indices and foliar nitrogen content displayed low correlation across the mapped areas over time. Determining foliar nitrogen content and vegetation indices during the flowering stage is recommended for the industrial tomato crop. The relationship between ground-based remote sensing NDVI and orbital NDVI displayed a 55% positive correlation during the flowering stage.
Geología y geoquímica de mina Poderosa. Evaluación de la fuente de tierras raras en los drenajes ácidos de mina
Authors: León Rafael , Macías Francisco , Fuentes José María , Nieto José Miguel
Published: October 2023

La Faja Pirítica Ibérica (FPI) es una gran provincia metalogénica de sulfuros, donde se generan alrededor de 1 m3/s de drenajes ácidos de mina (AMD), aportando acidez y metales al medio acuoso, generando una gran preocupación a nivel mundial. Por otro lado, los AMD también han sido considerados recientemente una alternativa estratégica como fuente secundaria de tierras raras (REE), debido a su alta concentración y su enriquecimiento preferencial en REE medias (MREE). El origen de las REE en los AMD es aún incierto, si bien, estudios recientes indican la lixiviación preferencial de fases minerales enriquecidas en MREE durante la interacción agua-roca. Para estudiar dicha interacción en la FPI se ha seleccionado mina Poderosa, por su alto contenido en REE y la disponibilidad de una serie histórica de datos del AMD. En este trabajo, se han realizado estudios preliminares que han permitido determinar las diferentes litologías que constituyen el área de mina Poderosa, y cuál de ellas podría contribuir como fuente de REE a los AMD. De forma preliminar se ha concluido que el aporte de REE al lixiviado debe producirse por la interacción combinada del AMD con diversas fuentes, al no existir muestras con un patrón de REE semejante al AMD.
Design and evaluation of herbal tablet formulation (HTF) of leaves of Carica papaya linn, Moringa oleifera linn and fruit of Carrissa carandus lam
Authors: Singh Suraj , K Saravanan
Published: October 2023

The objective of the research paper to design and development of herbal tablet formulation (HTF) of leaves of Carica Papaya Linn (LCPL) & Moringao leiferaLinn (LMOL) and fruit part of Carrissa CarandusLam (FCCL).Powdered leaves of Carica Papaya Linn & Moringao leifera Linn and fruit part of Carrissa Carandus Lam was macerated in 80% hydro-ethanolic solution for 72 hours .To identify the active constituents, phyto-chemical screening was performed. The extracts were evaluated for the flavonoid and phenolic content by qualitative and quantitative measurement. The Leaves of LCPL& LMOL and fruit of FCCL was extracted by maceration process. Preliminary phytochemical screening was performed. The LCPL showed the presence of flavonoids, phenol, proteins, glycosides, and alkaloids. The LMOL has shown the presence of phenolic compounds, flavonoids, carbohydrates, proteins, amino acids, terpenoids and tannins. The FCCL has shown the presence of phenolic compounds, flavonoids, carbohydrates, terpenoids, glycosides, alkaloids and tannins. Total flavonoid content and phenolic content was present as gallic acid and Iso-quercetin respectively. The herbal tablet formulation was prepared by wet granulation method utilizing the different proportion of the plant extract. The evaluation of Herbal tablet formulation stated that HTF-3 formulation has shown the best result in pre-compression and post-compression parameters. The hydro ethanolic extract of LCPL, LMOL and FCCL show the presence of different flavonoid and phenolic content i.e., Iso-quercetin, gallic acid. The Three different batches of HTF were prepared and result data indicates that developed formulation has been approved, suitable for oral administration and pharmacological evaluation.
Effects of baclofen administered to reduce muscle spasm on balance maintenance, gait ability and quality of life in stroke patients
Authors: Jeon Yong-Jin
Published: October 2023

This study aimed to investigate the impact of Baclofen on balance, gait, functional independence, and quality of life in ischemic stroke patients. Thirty patients diagnosed with ischemic stroke by a rehabilitation medicine specialist were randomly assigned to either an experimental group that underwent exercise therapy in conjunction with Baclofen or a control group that received conventional exercise therapy without Baclofen. In this study, Berg Balance Scale, Timed Up and Go, and 10-Meter Walk Test were used to evaluate balance and walking ability. Functional Independence Measure was employed to assess functional independence, and Stroke-Specific Quality of Life was used to evaluate the quality of life. The experimental results revealed statistically significant improvements in all evaluation measures for both groups when comparing post-test to pre-test. However, in comparisons between groups, all test items in the experimental group that combined Baclofen with exercise therapy were significantly higher than those in the control group. In conclusion, these results suggest that integrating Baclofen into exercise therapy rehabilitation programs could be a promising approach to enhance recovery outcomes for patients recovering from ischemic stroke.
Formulation and optimization of Ambrisentan self-micro emulsifying drug delivery system (SMEDDS) tablet by wet granulation
Authors: Bhatt Nisarg , Patel Hitesh
Published: October 2023

Ambrisentan is an orally administered endothelin receptor antagonists used for the treatment of pulmonary hypertension. As it is fall under BCS class 2 medicine, its solubility, stability and oral bio availability are poor. Here, a self-micro-emulsifying drug delivery system (SMEDDS) was developed to improve its solubility and drug dissolution. The objective of our investigation was to formulate a self-micro-emulsifying drug delivery system (SMEDDS) of Ambrisentan using minimized quantity of oil, surfactant and co-surfactant that could improve its solubility, stability, and dissolution. The composition of optimized formulation consists of Maisine CC as oil, Acrysol EL 135 as surfactant and Capryol PGMC as cosurfactant, containing 200 mg of Ambrisentan showing mean droplet size (155.12 nm), rate of self-emulsification (56 sec) and Polydispersibility index (0.331). This optimized liquid SMEDDS is used as a liquid component in wet granulation and prepare tablet of Ambrisentan having 5 mg strength. A prepared tablet is evaluated further for tablet evaluation tests and dissolution. This research results in good dissolution and stability.
Prediksi Fluktuasi Harga Bitcoin Dengan Menggunakan Random Forest Classifier
Authors: Hung Chang , Wijaya Jacky Filbert , Victor Victor , Pardosi Irpan Adiputra , Sinaga Frans Mikael
Published: October 2023

Bitcoin merupakan salah satu cryptocurrency paling berharga di dunia dan diperdagangkan di lebih dari 40 bursa di seluruh dunia dan menerima lebih dari 30 mata uang berbeda dengan 250.000 transaksi per hari. Dalam perdagangannya, Bitcoin menunjukkan fluktuasi pada pasar yang diperdagangkan, dalam hal ini fluktuasinya dapat mencapai 10 kali lebih tinggi daripada fluktuasi nilai tukar mata uang asing. Karena fluktuasi harga bitcoin yang masif dan tinggi, prediksi fluktuasi harga sangat dibutuhkan, terutama karena harga bitcoin bergerak dengan sangat acak. Untuk melalukan prediksi flutuktuasi harga, Random Forest classifier merupakan salah satu algoritma machine learning yang sering digunakan untuk prediksi, kesehatan, artificial intelligence, dll. K-means clustering juga dipergunakan untuk membantu algoritma random forest classifier dalam hal mengkluster data. Hasil dari penelitian ini yaitu melakukan prediksi terhadap naik atau turunnya harga bitcoin dengan akurasi sebanyak 71% yang didapatkan dari perbandingan hasil prediksi dan data asli dengan bantuan algoritma confusion matrix.