bluuebunny/crossref_metadata_2025 huggingface dataset:
Improvement of a Centrifugal Compressor Test Bench to Incorporate Variable Impeller-Inducer Bleed Air System as an Active Surge Control
Authors: Faltin Zsolt István , Beneda Károly Tamás
Published: September 2024

Centrifugal compressors are widely used throughout various industrial applications, including many safety-critical fields like aircraft engines. Thus, the enhancement of stable operational range is essential, which often requires active surge control methods. This includes state-of-the-art digital electronic measurement system to detect the onset of surge, which is a phenomenon that arises under extreme operational conditions and can lead to either negatively influenced behaviour or even the destruction of the compressor hardware in the case of uncontrolled conditions. Therefore, a strong emphasis must be given to observe impending surge and, if possible, to include an active system that can prevent undesired operational situations. Amongst many passive and active possibilities of surge control, Blade Load Distribution Control (BLDC) can be considered as a method, which creates acceptable influence on instabilities with a minor efficiency loss, consequently, could be applied as an active surge suppression system. The aim of this paper is to investigate feasible solutions on an existing centrifugal compressor test bench, which would enable to examine the theoretical solutions for blade load distribution control.
Project Camelot
Authors: Sztankai Krisztián
Published: September 2024

Project Camelot was an ambitious social science project that came into existence in late 1964. The goal of the project was to assess the causes of war and to identify the actions that the American government could take to prevent such wars. The period between the introduction of Project Camelot and its ultimate demise raises interesting questions about the relationship between the American government, the military, and social sciences.
Support Needs of Family Caregivers of Older Patients With Cancer in Iran:A Qualitative Study
Authors:   Department of Nursing, School of Behavioral Sciences and Mental Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Mohammadian Batol , Mohammadi-Shahboulaghi Farahnaz ,   Department of Nursing, Iranian Research Center on Aging, School of Behavioral Sciences and Mental Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Hosseini Mohammadali ,   Department of Nursing, School of Behavioral Sciences and Mental Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Arsalani Narges ,   Department of Nursing, Iranian Research Center on Aging, School of Behavioral Sciences and Mental Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Fallahi-Khoshknab Masoud ,   Department of Nursing, School of Behavioral Sciences and Mental Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran., Pirjani Pooneh ,   Iranian Cancer Control Center, Tehran, Iran.
Published: September 2024

Objectives Family members have a significant role in caregiving for older patients with cancer. These caregivers are exposed to a significant caregiving burden. Therefore, it is necessary to support them. In this regard, it is important to know their needs. The present study aimed to explore the support needs of family caregivers of older patients with cancer in Iran. Methods & Materials This descriptive qualitative study was conducted during 2020–2022. Thirty-one participants including family caregivers of older patients with cancer, family members of family caregivers, and healthcare providers were purposefully recruited from healthcare centers in Tehran, Iran. Data were collected through semi-structured interviews until data saturation. Data analysis was performed using Graneheim and Lundman’s content analysis method. Lincoln and Guba’s criteria were used to evaluate the trustworthiness of the data. Results The analysis led to the identification of six main themes, including the need for informational support, the need for physical support, the need to get rid of psychological insecurity, the need for improve spirituality, the need for practical support and the need for the help of a care team. Conclusion Considering the multiple support needs of family caregivers of older patients with cancer in Iran, policymakers, healthcare planners, and healthcare providers should design and implement various interventions based on these needs by using a caregiver-centered approach to support these caregivers.
Impacts of Population Ageing on the Functions of the Health System: A Systematic Review
Authors:   Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran., Hajizadeh Alireza , Albelbeisi Ahmed Hassan ,   Medical Services Direction, Gaza Strip, Palestine., Tajvar Maryam ,   Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Published: September 2024

Objectives Considering the rapid growth of the aged population and given that older people are the main consumers of health services, it is important to address the effects of population ageing on the health system function. Therefore, this study aims to review the evidence related to the impacts of population ageing on various functions of the health system, including stewardship, financing, resource development, and service provision. Methods & Materials This is a systematic review study. The data were collected through searching in PubMed, Web of Science, ProQuest and Google Scholar for articles published from 2000 to 2022, using the related keywords. Quality assessment of selected articles was done using the STROBE checklist. To analyze the extracted data, the World Health Organization’s health system performance assessment framework was used. Results Of 1954 identified articles, 23 were finally selected based on inclusion and exclusion criteria. In the function of stewardship, the impacts were related to the managerial and policy aspects and the increased need to respond to the growing health needs of the elderly. In the function of financing, the impacts included the increase of financial burden on the health system and the need to provide financial resources. In the resource generation function, the impacts were categorized into human, information and physical resources. In the function of service provision, the impacts were on the demand for services, the complexity of service provision, and the method of service provision to elderly. Conclusion The impacts of population ageing on the functions of the health system, especially the financing function, are inevitable. The increase in the aged population is associated with the increase in health costs. Policy makers and managers of the health system should use practical strategies to strengthen the health system against the effects of population ageing.
Predictors of One-year Mortality in Older Patients With Myocardial Infarction: Results of a Cohort Study
Authors:   Cardiovascular Research Center, Health Research Institute, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran., Salehi Nahid , Abasi Farid ,   Deputy of Research and Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran., Mahmoudi Bavandpouri Sousan ,   Cardiovascular Research Center, Health Research Institute, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran., Motevaseli Sayeh ,   Student Research Committee, Kermanshah University of Medical Sciences Kermanshah Iran.
Published: September 2024

Objectives Little is known about the mortality rate of ST-segment elevation myocardial infarction (STEMI) in older people form low- and middle-income countries. Therefore, this study aims to investigate the predictors of one-year mortality in older people with STEMI in Kermanshah, Iran. Methods & Materials This is a cohort study that was conducted on 421 older patients with STEMI admitted to Imam-Ali Hospital in Kermanshah from July 3, 2018, to December 21, 2019. Descriptive statistics were used to report the risk factors, and univariate and multiple Cox proportional-hazards model were used to investigate predictors of one-year mortality. Results The patients had a mean age of 73.51±6.73 years. The majority of them were male (67.5%), residents of Kermanshah (74.9%), and illiterate (60.8%). Reperfusion therapy was administered for 86.0% of patients (50.4% with percutaneous coronary intervention [PCI] and 30.4% with thrombolytic treatment). The follow-up period was 350.62 person-years. In one year, 76 patients (18.5%) died, of whom 12.4% had PCI, 16.1% thrombolytic treatment, and 0.38% no reperfusion therapy. Independent predictors of mortality were: No reperfusion therapy (hazard ratio [HR]: 2.42, 95% CI, 1.14%, 5.11%) and glomerular filtration rate (HR:0.97, 95% CI, 0.94%, 0.99%). Conclusion In this study, the older patients with STEMI treated by PCI had a lower one-year mortality rate. It is recommended to establish a comprehensive STEMI network to enhance timely reperfusion for these patients and improve their health literacy.
Night time Surveillance in Communication Using YOLOv3
Authors: Tapas K. Madan Pramanik  , Prakash Gajananrao Burade  , Sanjeev Sharma
Published: September 2024

Nighttime surveillance presents significant challenges due to low visibility, varying lighting conditions, and interference from artificial light sources. Hence, this study proposed an effective object detection framework using the YOLOv3 model to enhance real-time monitoring in night surveillance applications, specifically within communication and security systems. YOLOv3's architecture, with its multi-scale detection and use of predefined anchor boxes, enables robust detection of objects under low-light environments and amidst light interference from vehicles and streetlights. The proposed system is tested on a night surveillance dataset, where it demonstrates high precision and speed in identifying objects, making it suitable for real-time applications. With Mean Average Precision (mAP) 87.9%, YOLOv3 effectively balances detection accuracy with inference time, ensuring minimal latency in live surveillance feeds. The results indicate that YOLOv3 outperforms traditional models such as Faster RCNN, particularly in detecting small objects under poor illumination. This approach offers a reliable solution for enhancing communication and security systems in nighttime surveillance scenarios.
Taking an Intersectional Approach: Immigrant Women Language Teachers’ Lived Experience of Identity
Authors: Brass Laura , Jenson Jennifer
Published: September 2024

This article explores skilled immigrant women language teachers’ lived experience of identity through an intersectional feminist lens. It examines how women teachers speak about themselves and their lives as immigrants and aims to understand the complex implications of identity and power relations by focusing on intersectional understanding of inequities. Data was generated through in-person and virtual individual interviews with six participants living and working across Canada. The findings revealed the following main challenges and ongoing barriers: discrimination, overqualification, financial limitations, a lengthy process of re-credentialing and professional reintegration, and insufficient government support. Furthermore, this study sheds light on how heteronormative frameworks pervade immigrant women’s personal and professional lives, intersecting with their identities vis-à-vis gender, race, ethnicity, country of origin, immigration status, and English as a second language. These categories collectively and individually present systemic barriers and sites of oppression that negatively impact an already marginalized minority group— internationally highly qualified immigrant women language teachers.
Inverted and impacted mandibular third molar: A rare case report
Authors: Sreejith V P , Puthalath Ushas , Jose Tom Jibin , Krishnan M Amrutha , Vidhya Vijayan M C
Published: September 2024

A tooth is considered to be impacted when it fails to erupt fully or emerge partially. Impaction is most common with wisdom teeth because they are the last tooth to erupt in the oral cavity. An impacted tooth is embedded within soft tissue or bone for various reasons. Tooth may also become twisted, tilted, or displaced as they try to emerge in closed space resulting in impaction. A tooth is said to be inversed when it is placed reversed and seated upside down. In the mandible, ascending ramus is the most common site for third molars. Inversion of the impacted tooth is a rare condition. In this literature, a very rare case of inverted and impacted mandibular third molar has been reported in a 28-year-old female patient with swelling and pus discharge, considering the associated symptoms, surgical removal was performed.
Carcinoma buccal mucosa with cutaneous metastasis: An unusual presentation
Authors: Singhal Lalita , Kumar Gupta Rishi , Bhatnagar Mohit , Paul Briju , Agrawal Diksha
Published: September 2024

Head-and-neck cancer is a common cancer in India. Oral cavity cancer accounts for 50% of all head and neck sites. The most common sites of distant metastasis are the lung, liver, and bone. The incidence of cutaneous metastasis is a very rare site. We report a case of early-stage carcinoma buccal mucosa post-surgery and adjuvant radiotherapy developed skin metastasis shortly after completion of treatment. A 37-year-old female non-smoker, non-alcoholic diagnosed with early-stage carcinoma right buccal mucosa cT1N0M0. She underwent surgery of wide local excision with marginal mandibulectomy and extended supra-omohyoid neck dissection. In post-surgery, the histopathological report was moderately differentiated squamous cell carcinoma, pT2N1Mx. She completed her adjuvant radiotherapy 59.4Gy/33 fractions with six cycles of concurrent chemotherapy cisplatin 40 mg/m2. She developed difficulty in swallowing, increased oral secretions, and thickening over right-sided scar marks shortly after 10 weeks of completion of treatment. Rapidly, she developed multiple cutaneous nodules over both sides of the entire face and neck. Dermal biopsy reveals metastatic squamous cell carcinoma. Skin metastasis from head-and-neck malignancy is an uncommon entity and in the early stage, it is very rare. Initially, it is difficult to diagnose as it looks like some disseminated bacterial or fungal infection but we should always keep in mind this entity as cancer can metastasize and present in any atypical forms.
Primary pancreatic hydatid cyst; typical radiological signs: A case report
Authors: Mohsen Shalal , Mohammed Nader , Abd El Wahab Abo Dakika Muhammad , Abdel Nour Adeab Gawargios Fayrouz
Published: September 2024

Pancreatic hydatid cysts are rare, especially in pediatric populations, and their diagnosis presents a remarkable challenge because of the non-specific clinical presentation and the limitations of available diagnostic tools, particularly in resource-limited settings. Our case highlights the importance of maintaining a high index of suspicion for hydatid disease, even in pediatric patients presenting with non-specific abdominal symptoms, particularly in rural regions, where diagnostic resources may be limited. Early recognition and accurate diagnosis are crucial for guiding appropriate therapeutic interventions and preventing potential complications associated with this rare but clinically significant entity.
Pathological complete response after neoadjuvant cyclin-dependent kinase 4/6 inhibitor and neoadjuvant endocrine therapy in locally advanced hormone receptor-positive breast cancer
Authors: Mahajan Ankur , Majumdar Saroj Kumar Das , Barik Sandip Kumar , Kumar Das Deepak , Parida Dillip Kumar , Patnayak Rashmi , Baisakh Manas Ranjan
Published: September 2024

Breast cancer (BC) comprises different molecular subtypes, each having its own individual prognostic factors and thus having a distinct treatment algorithm. With the advent of cyclin-dependent kinase 4/6 (CDK 4/6) inhibitors, hormone receptor-positive (HR+) BC now has an additional targeted therapeutic option apart from endocrine therapy. As of now, CDK 4/6 inhibitors are Food and Drug Administration (FDA) approved in the metastatic and adjuvant settings. However, for the neoadjuvant setting, systemic chemotherapy is the standard of care. Systemic chemotherapy may not be a suitable option for elderly and frail patients in terms of associated side effects. Thus, due to tailored oncological management, many phase II and III trials of neoadjuvant CDK 4/6 inhibitors are ongoing. CDK 4/6 inhibitors are better tolerated than systemic chemotherapy and have less reported adverse events. Here, we report a case of locally advanced BC (HR+) achieving pathological complete response from neoadjuvant CDK 4/6 inhibitor with minimal toxicity. Thus, CDK 4/6 inhibitors appear to have a promising and upcoming role in the neoadjuvant setting for hormone-positive BC.
Os benefícios do uso das plantas medicinais e fitoterápicos no tratamento da ansiedade em universitários no Brasil
Authors: Cotta Bruna Amaro , Garcia Ruth Maria Alves
Published: September 2024

This work aimed to point out the benefits of using medicinal plants in the treatment of anxiety,focusing on university students;point out factors that can trigger anxiety in the daily life of this group,and present medicinal plants used for the treatment and control of anxiety states.To this end,a bibliographic search was carried out in the Scielo (Scientific Electronic Library Online) and Google Scholar databases,with the following descriptors: anxiety in university students;herbal medicines, medicinal plants and anxiety. As inclusion criteria, articles published from the year 2010 and which best suited the study theme, in addition to official publications, were used. 72 articles were found,of which 39 were used, as they better met the inclusion criteria. College students have high rates of anxiety,mainly due to the context in which they live, such as a daily routine of tests, pressures and concerns. The use of medicinal plants and anxiolytic herbal medicines proves to be beneficial for this group,expanding the therapeutic possibilities,reducing the induction of side effects, in addition to having a more affordable price when compared to synthetic drugs.Among the most used plants for the treatment of anxiety, the following stand out: Passiflora incarnata L., Melissa officinalis L.,Valeriana officinalis L. and Matricaria recutita L.
Food Taboo on Mothers during Pregnancy in Aceh Tribe
Authors: Molina Annisa
Published: September 2024

Food taboo is a cultural prohibition on consuming certain types of food. The Aceh tribe is one of the tribes that still apply food taboos. Food taboos usually arise due to customs and beliefs that have been passed down from generation to generation, and are applied to pregnant women and nursing mothers. The negative impact of food taboos can result in the mother and foetus not being able to get good nutritional intake. Medical experts explain that pregnant women should eat healthy foods and should discuss with a doctor or nutritionist so that they can get the right advice.
Perceptions of Service Enhancements in Shared Autonomous Vehicles: A Demographic Perspective
Authors: Aasvik Ole
Published: September 2024

As the pressure on urban mobility rises, shared autonomous vehicles (SAVs) offer enhanced transportation efficiency and safety. This study investigates the valuations of additional services in SAVs, examining demographics’ impact on preferences for different service features. We use data from 1723 Norwegian respondents to an online survey. We find that women put increased value on a safety host. Younger respondents value fast travel time. More tech-savvy individuals showing a higher valuation for services enhancing personal utility and comfort. Intention to use strongly predicts valuation of utilities, but not social factors.
Interculturalidad, arte y saberes tradicionales
Authors: Medrano de Luna Gabriel , Franco Franco Juan Manuel , Quintero Maciel Bertha Yolanda , Vázquez Violante Beatriz , Romera Nielfa Juan Carlos , Valdivia Benjamín , Martínez Ayala Jorge Amós , Domínguez Samuel Guadalupe Vanessa , Hernández Vaca Víctor , Suárez Castellanos María , Wright Carr David Charles , Patiño López María Eugenia , Esquivel Reyna María Estela , Lucas Hernández Amaruc , Martínez de la Rosa Alejandro , García González Miguel Ángel , Vidaurri Aréchiga José Eduardo , Tapia Tovar Evangelina , Caloca Michel Cecilia , Arellano Ceballos Aideé Consuelo
Published: September 2024

El tema de la interculturalidad ha cobrado gran relevancia dentro del diseño de políticas públicas educativas. Parte de este auge proviene de los derechos otorgados por el artículo segundo de la Constitución Política Mexicana a los pueblos indígenas. Un área importante para articular estos derechos constitucionales es la educación, para lo cual se han creado diversos programas educativos con miras hacia una sociedad incluyente, solidaria y tolerante. Este libro atiende la necesidad de conocer y reconocer la vida multicultural de las instituciones educativas, al tiempo que aporta sobre la integración de culturas, lenguas originarias, costumbres, tradiciones e historia oral.
Revolutionizing language learning: the transformative impact of mobile apps
Authors:   Benemérita y Centenaria Escuela Normal del Estado, Mounkoro Ismaila
Published: September 2024

This study investigated the impact of mobile apps on language learning, focusing on the improvement of linguistic competencies and student motivation. Five popular applications (Duolingo, Babbel, Rosetta Stone, Memrise, and Busuu) were analyzed in an experimental group through standardized tests and qualitative evaluations, before and after a study period. The results showed that students who used these apps experienced significant improvements in their language skills compared to a control group. Interactivity, personalization and gamification were identified as the main contributions to these positive outcomes, with gamification highlighted as a crucial driver of motivation. Nonetheless, the study also emphasized the need for a more robust pedagogical design in the apps to equitably address all language areas.
Use and acceptance of video as a strategy to mitigate plagiarism
Authors:   Universidad Autónoma de Nuevo León, Hernández Moreno Laura Alicia , Moreno Reyes Hugo ,   Tecnológico Nacional de México, González Martínez Lizette Berenice ,   Universidad Autónoma de Nuevo León
Published: September 2024

The present research aimed to determine the use and acceptance of video in the self-creation of assignments or evidence of learning as a strategy to mitigate plagiarism. This research adopted a mixed design, with an experimental, exploratory, and descriptive scope that reflects an innovative approach to meet this challenge. A non-probabilistic sample was considered, comprised of students in their first semester of higher education in the subject of Introduction to Programming at a public university in Mexico. The participants were divided into an intervention group and a control group. The acceptance of the use of the implemented strategy was evaluated using the Technology Acceptance Model and the results revealed the viability and usefulness of the strategy since the students in the intervention group stood out in the creation of their assignments compared to the control group. There was a positive and strong relationship between academic performance and the perceived usefulness of the strategy. We conclude by emphasizing the importance of teachers promoting the active role of students in the development of their work, to promote authentic learning and guarantee educational quality.
Serious games for teaching learning in environmental education
Authors:   Pontificia Universidad Católica del Ecuador-Sede Ambato, Pozo Álvarez Diana Stefania , Valverde Gavilanes Ángel Patricio
Published: September 2024

The need to shift to a responsible consumption model, encourage citizen participation, recycling habits, and water conservation, makes it vital to seek innovative ways for environmental education. Therefore, in this study, the serious games Save the Earth Planet ECO Inc. and Eco Ego were implemented in the teaching-learning process of high school students at Unidad Educativa Mariano Benítez, with the aim of promoting sustainable attitudes and behaviors, and raising awareness about environmental management and care. A quantitative, descriptive, and explanatory methodology with a quasi-experimental approach was followed. Before and after the use of these video games, a survey was conducted to measure participants’ opinions and perceptions of learning in environmental education. As a result, the application of serious games succeeded in promoting more sustainable attitudes and behaviors towards the environment among the participants, leading to reflective learning, meaningful experiences of reconnection with nature, and the strengthening of their commitment and participation in ecosystem protection.
Artificial Intelligence for resource recommendation in online education
Authors:   Universidad Pedagógica Nacional, Sanabria Medina Georgina , Regil-Vargas Laura
Published: September 2024

Artificial Intelligence (AI) has been used in online education for at least a decade, with recent emphasis on teaching-learning processes. The objective of this article is to share the preliminary results of a research on the development of a Recommender System (SR) of educational resources to be applied in an online high school. Under the Design-Based Research methodology, once the algorithm for the SR was developed, it was fed with information from the rubric of an activity and its grade, plus database of resources, made up of images, videos, audios and texts. The results show that SR applied to educational resources favor teaching and learning processes in online education. One of the limitations of the research is that, so far, the SR has only been tested in digital simulators and not in an institutional high school platform. However, with the results of this project, using AI solutions, we can verify contributions to the learning processes in online education. Among the conclusions, multidisciplinary work in AI and education is recognized as a strategy for strengthening learning processes in virtual learning environments.
Gamification of the TPACK Model in Programming Education through Virtual Reality
Authors:   Universidad Autónoma de Querétaro, Hernández Valerio Juan Salvador , Olivo García Edith , Moreno Beltrán Reyna
Published: September 2024

In recent years, the combination of pedagogy and technology has revolutionized education, providing teachers with innovative tools to transform their work in the classroom. With the aim of transforming and improving the teaching of subjects related to technical and programming concepts, it was decided to develop a virtual reality (VR) tool to address the challenge of ensuring that students acquire, understand, and can effectively apply knowledge in practice through the TPACK model. The approach applied for this research was quantitative, supported by an applied experimental design and a convenience sample of 49 students from the Faculty of Informatics at the Autonomous University of Querétaro, Mexico. Likert scale surveys were conducted to measure the improvement and transformation of teaching through the virtual tool and the TPACK model. The results demonstrated that the strategy of using VR for teachers to provide students with a platform featuring game mechanics helps transform and improve learning. It was also concluded that one of the greatest strengths of this tool is that it removes the user from the traditional classroom, mitigating pressure or negative predisposition towards unknown or difficult-to-understand concepts.
Design of a website for high school: exploratory-sequential study
Authors:   Universidad Pedagógica del Estado de Sinaloa, Pineda Castillo Kristian Armando , Yedra Rubén Jerónimo ,   Universidad Juárez Autónoma de Tabasco, Almeida Aguilar María Alejandrina
Published: September 2024

The general purpose of the study was to develop a website to improve the teaching-learning experience of high school students. A mixed methods exploratory sequential design was followed by using the Research and Development design as a basis supported with an inferential analysis. The sample was made up of 161 educational actors belonging to seven high schools. An online questionnaire was used with access links to the website under development for qualitative assessment, and Fisher’s exact test for hypotheses testing. The findings indicated that there is a significant association between different categorical variables studied, suggesting a correlation between various aspects of the user experience on the educational website and its influence on the educational field of high school. However, several challenges were identified, such as the reliability of the content and the availability of technological resources. It was concluded that high school educational actors have a mostly positive perception of the educational website, valuing their interactivity and accessibility.
Kajian skrining risiko hipertensi pada kehamilan menggunakan buku KIA pada usia kehamilan 20 minggu di Posyandu Batujaya
Authors: Karmilah Karmilah , Mochartini Tri
Published: September 2024

Background: Hypertension in pregnancy if left unchecked can harm the pregnant mother and her fetus. Efforts to screen for hypertension in pregnant women through maternal and child health (KIA) books. Several factors related to hypertension are eating habits, smoking habits, stress, obesity and family history of the disease.
Purpose: To determine the study of hypertension risk screening in pregnancy using the KIA book at 20 weeks.
Method: Quantitative analytical research with cross sectional design. The sample in this study was pregnant women aged ≥ 20 weeks who underwent examinations at Posyandu Batujaya, Karawang Regency starting in December 2023, totaling 115 respondents, sampling using accidental sampling technique. The research instrument used a questionnaire and the data used were primary data and secondary data, analyzed using the quadratic test.
Results: It is known that there is a relationship between eating habits (p value = 0.037), smoking habits (p value = 0.000), stress (p value = 0.004), obesity (p value = 0.041) and family history of disease (p value = 0.000) with the incidence of hypertension in pregnancy at 20 weeks gestation.
Conclusion: Eating habits, smoking habits, stress, obesity, and family history of disease are associated with the incidence of hypertension in pregnancy at 20 weeks' gestation.
 
Keywords: 20 Weeks Gestation; Mother and Child Health Book; Pregnancy Hypertension Risk Screening.
 
Pendahuluan: Hipertensi dalam kehamilan jika dibiarkan bisa membahayakan ibu hamil dan janinnya. Upaya untuk melakukan skrining hipertensi pada ibu hamil melalui buku kesehatan ibu dan anak (KIA). Beberapa faktor yang berkaitan dengan hipertensi yakni kebiasaan makan, kebiasaan merokok, stres, obesitas dan riwayat penyakit keluarga.
Tujuan: Untuk mengetahui kajian skrining risiko hipertensi pada kehamilan menggunakan buku KIA pada usia kehamilan 20 minggu.
Metode: Penelitian analitik kuantitatif dengan desain cross sectional. Sampel dalam penelitian ini adalah ibu hamil usia kehamilan ≥ 20 minggu yang menjalani pemeriksaan di Posyandu Batujaya Kabupaten Karawang mulai bulan Desember 2023 yang berjumlah 115 responden, pengambilan sampel menggunakan teknik accidental sampling. Instrumen penelitian menggunakan kuesioner dan data yang digunakan adalah data primer dan data sekunder, dianalisis menggunakan uji kuadrat.
Hasil: Diketahui bahwa ada hubungan antara kebiasaan makan (p value = 0.037), kebiasaan merokok (p value = 0.000), stres (p value = 0.004), obesitas (p value = 0.041) dan riwayat penyakit keluarga (p value = 0.000) dengan kejadian hipertensi pada kehamilan pada usia kehamilan 20 minggu.
Simpulan: Kebiasaan makan, kebiasaan merokok, stres, obesitas, dan riwayat penyakit keluarga berhubungan dengan kejadian hipertensi pada kehamilan pada usia kehamilan 20 minggu.
 
Kata Kunci: Buku KIA; Skrining Risiko Hipertensi Kehamilan; Usia Kehamilan 20 Minggu.
Manfaat aktivitas fisik berbasis komunitas terhadap penderita diabetes mellitus: A scoping review
Authors: Ariyanti Rahmania Ulfi , Rahman Farid
Published: September 2024

Background: Diabetes Mellitus (DM) is a metabolic disorder characterized by hyperglycemia. Type 2 DM occurs due to impaired insulin secretion that causes insulin resistance, occurs in 90-95% of diabetes cases and is often found in obese patients. Providing long-term, supervised community-based interventions can improve physical fitness and physical activity in people with DM.
Purpose: To review and evaluate the benefits of providing a community-based exercise program to reduce HbA1c levels in people with DM.
Method: Scoping review using PRISMA diagram. Research data collection through Google Scholar, PubMed, and Sciencedirect databases published in 2013-2023.
Results: There was a decrease in HbA1c levels and an increase in fitness in DM patients who underwent a community-based exercise program of aerobic exercise type with endurance in the heart rate range associated with VO2 max 65% - 85% and a moderate to strong intensity range.
Conclusion: Community-based exercise programs are indicated to reduce HbA1c levels in DM patients.
Suggestion: This literature review is expected to be a reference in providing types of community-based exercise in the form of aerobic exercise programs or a combination of community-based aerobic and strengthening exercise programs carried out for a duration of 150 minutes in one week, with moderate to high intensity adjusted to the conditions of DM participants.
 
Keywords: Community; Diabetes Mellitus; Exercise; Physical Fitness.
 
Pendahuluan: Diabetes Mellitus (DM) merupakan kondisi gangguan metabolisme yang ditandai dengan hiperglikemia. DM tipe 2 terjadi karena kerusakan sekresi insulin yang menyebabkan terjadinya resistensi insulin, terjadi pada 90-95% kasus diabetes serta banyak ditemukan pada penderita dengan obesitas. Pemberian intervensi berbasis komunitas jangka panjang yang diawasi dapat meningkatkan kebugaran fisik dan meningkatkan aktivitas fisik pada penderita DM.
Tujuan: Untuk meninjau dan mengevaluasi manfaat pemberian program latihan berbasis komunitas untuk menurunkan kadar HbA1c pada penderita DM.
Metode: Scoping review menggunakan panduan diagram PRISMA. Pengumpulan studi melalui database Google Scholar, PubMed, dan Sciencedirect yang diterbitkan pada tahun 2013- 2023.
Hasil: Adanya penurunan kadar HbA1c dan peningkatan kebugaran pada penderita DM yang melakukan program latihan berbasis komunitas jenis latihan aerobik disertai resistensi dalam rentang detak jantung yang terkait dengan 65% - 85% VO2 max dan rentang intensitas sedang hingga kuat.
Simpulan: Program latihan berbasis komunitas terindikasi dapat menurunkan kadar HbA1c pada penderita DM.
Saran: Literature review ini diharapkan dapat menjadi referensi dalam pemberian jenis latihan berbasis komunitas berupa program latihan aerobik atau program kombinasi latihan aerobik dan penguatan berbasis komunitas yang dilakukan dengan durasi 150 menit dalam satu minggu, intensitas sedang sampai berat disesuaikan dengan kondisi peserta penderita DM.
The satisfaction levels on cadre performance in providing maternal and child health service in Sragen, Central Java
Authors: Angesti Jesica Berlian Emas , Artistin Adisty Rose
Published: September 2024

Background: One of the efforts made by the government to realize health development is to create public health services that are managed by, for and with the community with the aim of empowering the community and making it easier for people to obtain or access health services.
Purpose: To determine the relationship between the performance of community health center cadres and the level of satisfaction of mothers of toddlers.
Method: Correlation analytical research with quantitative methods uses a cross sectional approach. This research was conducted at the Flamboyan integrated service post, Tanggan Village, the working area of the Gesi Health Center. Data collection was carried out in November 2023. Sampling used a total sampling technique so that a total of 32 people were obtained with the inclusion criteria including mothers of toddlers who lived around the research location, came to the integrated service post, and were willing to become respondents. The independent variable in this research is the performance of integrated service post cadres for toddlers, while the dependent variable is the level of satisfaction of mothers of toddlers.
Results: The majority of respondents were very satisfied with the performance of cadres with results of 13 (65.0%). The results of the Spearman Rank correlation test obtained a p-value of 0.002 (< 0.005) and a correlation coefficient value of 0.528, so that H0 was rejected and H1 was accepted, meaning that there is a relationship between cadre performance and the satisfaction of mothers of toddlers using integrated service posts.
Conclusion: There is a relationship between cadre performance and the level of satisfaction of mothers of toddlers using integrated service posts.
Suggestion: Cadres are expected to be the driving force of community health center activities to improve service quality and optimize the implementation of planned activities.
Beneficence in chronic kidney disease patients undergoing haemodialysis therapy: A concept analysis
Authors: Anggraeni Novita , Awaludin Sidik , Saryono Saryono
Published: September 2024

Background: Beneficence is a very important ethical principle in the nursing process that relates to compassion, kindness, and charity, especially with regard to actions taken to benefit patients. But there is no consensus about its meaning.
Purpose: To analyze the concept of beneficence in patients with chronic kidney disease who undergo hemodialysis.
Method: Concept analysis is supported by studies on the benefits of using online databases like Pubmed, Science Direct, and Google Scholar. "Beneficence," "Chronic Kidney Disease" and "Hemodialysis" were the key search terms and the timeframe publications from 1999 to 2023.
Results: Identifying concepts and attributes of beneficence with empirical references are professional responsibility, patient welfare and interests, promoting health, engaging medical knowledge and maximizing benefits. From antecedents chronic kidney disease, gradual decline in kidney function, end-stage kidney disease, kidney replacement therapy, haemodialysis, benefits of therapy, side effects of therapy. Then we get consequences including quality of life of hemodialysis patients, optimizing therapy, end of life quality, negative emotions due to therapy.
Conclusion: The conclusions of the concept analysis gave a functional definition of the advantages of haemodialysis. To measure beneficience in dialysis patients, the Beneficence Satisfaction Scale can be used, to determine hemodialysis adequacy was URR, Kt/V, and UKM. To determine the quality of life using SF 36, and finally to measure quality end of life using SPELE to assess health workers perception and QODD of patients and families.
Utilization of virtual reality to diminish preprocedural anxiety in patients undergoing cardiac interventions: A systematic review
Authors: Jamal Nurul Aini , Tuti Herawati  , Amelia Amelia
Published: September 2024

Background: Patients undergoing cardiac intervention often experience high levels of anxiety, whether related to the procedure itself, uncertainty about the results, or the stressful clinic atmosphere. This can impact the patient's physiological and psychological well-being. The role of nurses is very important in overcoming preprocedural anxiety levels, one of which is by utilizing virtual reality (VR) technology as an educational medium and non-pharmacological therapy in overcoming anxiety.
Purpose: To analyze the effect of utilization of virtual reality to diminish preprocedural anxiety in patients undergoing cardiac interventions.
Method: This research uses a systematic review approach, which focuses on utilization of virtual reality to diminish preprocedural anxiety in patients undergoing cardiac interventions. The researcher adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for the selection and assessment of research articles. Articles were sourced from databases such as EMBASE, ClinicalKey Nursing, Springer Link, Science Direct and Scopus, covering publications from 2013 to 2023.
Results: The literature search found 7 articles that were eligible to be research subjects. According to the findings from the reviewed articles, there are significant effect on anxiety level between patients who received VR therapy compared to other groups. The VR content used is in the form of images of cardiac intervention procedures or natural views as relaxation therapy. This analysis suggests that VR interventions can be used to reduce anxiety in patients undergoing cardiac intervention.
Conclusion: The use of virtual reality as an preprocedural education or as a guided imagination relaxation therapy can be given before the patient undergoing a cardiac intervention procedure.
Innovative warm blanket solution for inadvertent hypothermia among post-anesthesia patients
Authors: Nugraheni Cahaya , Arwani Arwani , Windiarti Sri Endang
Published: September 2024

Background: Shivering helps the body maintain its core temperature but can have harmful effects, such as increasing the oxygen demand in brain tissue. It frequently occurs in patients after anesthesia due to various factors.
Purpose: To prove the effect of providing innovative warm blankets to treat shivering in post-anesthesia patients.
Method: This quantitative quasi-experimental research with a pretest-posttest with control group design used purposive sampling to select 60 participants, who were divided into 2 groups: 30 participants in the treatment group and 30 participants in the control group. The treatment group received an intervention with an innovative warm blanket, while the control group received an intervention with a standard warm blanket according to the hospital's standard operating procedures. The measurement data were accumulated and analyzed using the Mann-Whitney test, and Cohen's effect size was used to assess the influence and differences between the innovative warm blanket and the standard hospital warm blanket.
Results: The temperature in the intervention group, which received the innovative warm blanket treatment, rose by 2.050°C (p=0.001). In contrast, the temperature in the group that received the standard hospital warm blanket treatment increased by 1.80°C (p=0.001).
Conclusion: Innovative warm blankets result in a greater temperature increase compared to the standard warm blankets used in accordance with hospital protocols.
The Monetisation of Personal Data in EU Strategies: The Hoda/Google Case
Authors:   University of Messina, Correnti Antonella
Published: September 2024

In July 2022, the Competition and Market Authority opened, on Hoda s.r.l.’s recommendation, an investigation (Competition and Market Authority, 2022) against Google for its alleged abuse of its dominant position and for having hindered interoperability in sharing the data of its users with other operators. Hoda itself is a start-up, active in the intermediation of personal data through the Weople app; natural persons who register with the app delegate Hoda for the collection of their data held by other companies, which are then archived in a digital wallet. The aforementioned proceeding concluded with an undertaking, with communication dated 28th February 2023, by the Alphabet company, to develop new, automatic tools that allow network users to download and export their data from Google to a third-party app. The case leads one to reﬂect on the consequences and challenges that Europe is called upon to face in managing the phenomenon of the governance and the monetisation of personal data. The institution of data portability, to the extent that it facilitates the circulation of data and the mobility of users, offers alternative operators the possibility of exerting competitive pressure on tech giants such as Google, which assert their dominance on the creation of ecosystems based on the management of potentially unlimited quantities of data, functional to one’s business model. The topic arouses particular interest because if, on the one hand, it paves the way for the monetisation of personal data, on the other, it leads one to reﬂect, as highlighted in the past by the President of the Guarantor Authority for the protection of personal data, on the consequences in terms of a re-feudalisation of social relationships that the remuneration of consent to the treatment of one’s data would risk determining.
The Role of European Supervisory Authorities in Consumer Protection Standard Setting on the Financial Services Market – Based on the Example of the European Banking Authority
Authors:   University of Wrocław, Rutkowska-Tomaszewska Edyta , Gałązka Piotr ,   University of Wrocław,   Polish Bank Association
Published: September 2024

The purpose of the article is to present the genesis of the emergence and the scope of powers of the European Supervisory Authorities (ESAs) (the EBA, ESMA, and EIOPA), with particular reference to the EBA as regards the building of its supervisory normative standard and the protection of the consumer of ﬁnancial services. The authors will propose de lege ferenda postulates which, in their view, would allow for an improvement in the quality of the ﬁnancial services offered to consumers and ensure a higher level of protection of their interests and, at the same time, legal certainty for their providers. Increasingly sophisticated and complex ﬁnancial products cause interpretation difﬁculties for both the courts and consumer protection authorities, but above all for consumers themselves, which consequently poses a challenge for both sides of the market (supply and demand). It is also a challenge for the post-crisis ESAs as the EU bodies not only designated to monitor and manage both the stability and security of the ﬁnancial market, along with the actual level of consumer protection within it. In the preparation of the article, the legal-dogmatic and legal-theoretical method, which is standard for such studies, was applied, which allows for an analysis of the provisions of EU law and the identiﬁcation of the norms stemming from them using interpretation and the assessment of the content of the provisions through the prism of the principle of consumer protection from Articles 12 and 169 TFEU and the EBAs’ competence provisions. Due to the fact that, in principle, the powers and competences of all three ESAs are analogous and only differ in terms of the scope of their application (i.e., ﬁnancial institutions operating in the relevant ﬁnancial market sectors – banking, insurance, and pension and investment), the authors will present their considerations with reference to the European Banking Authority (EBA), which is an exempliﬁcation of the powers of the other supervisory authorities. Thus, the secondary piece of EU legislation to be considered in this article will be the Council and European Parliament Regulation, hereinafter known as “EBA Regulation” and the actions taken by the EBA on that basis.