bluuebunny/crossref_metadata_2025 huggingface dataset:
Strategies for Effective Leadership in Rural Health Management
Authors: Parashar Mukesh , Upadhye Vijay Jagdish , Surjya Prakash S. , Kalia Akhilesh , Baxi Paramjit , Varma Pooja , Devkar Vasant
Published: February 2025

Introduction: Rural healthcare leaders are on the frontline of many challenges, including resource scarcity, workforce shortages, and geographic barriers. Quality rural health care, to a large degree, depends on leadership to weather these challenges. This study aims to identify leadership strategies and best practices for effective rural healthcare management.Methods: We conducted a systematic review, obtaining relevant articles from an extensive search of academic databases. We then reviewed the articles for themes and practical approaches to rural healthcare leadership.Results: This paper presents practical strategies for effective healthcare management in rural areas. These measures included community engagement and collaboration, strong organizational culture, developing and empowering a diverse and skilled workforce and leveraging technology to overcome location constraints. These strategies included Key strategies such as Communication, active engagement and strategic development.Conclusions: Rural Healthcare Management This study suggests that rural healthcare systems leaders can benefit from strategies to overcome the unique challenges to the delivery of care, access, quality, and outcomes to patients. Community engagement, organizational culture, and technology by leaders—impact transformation and improve the state of rural communities. In conclusion, additional work examining effective leadership strategies that will enhance constituents' health care quality and access for these communities is called for.
Covid-19 Vaccine Acceptance and its Influencing Factors Through a Cross-Sectional Study
Authors: Wartana I Kadek , Gustini Gustini , Nurjana Made Agus , Mua Estelle Lilian , Sari Niluh Desy Purnama , Fitriani Fitriani , Ra'bung Alfrida Semuel , Akbar Hairil
Published: February 2025

Background: The rise in Covid-19 related deaths has led to the implementation of vaccination. Despite this effort, some of the population remains reluctant to get vaccinated, citing various reasons for their hesitation. The objective of this research was to examine the various factors affecting covid-19 vaccination acceptance.
Methods: This study adopted a cross-sectional design and was conducted between October and December 2022. This study looked at various independent variables such as sex, education, occupation, family income, health insurance, social assistance, history of Covid-19 infection, and information from the health worker. The main variable of interest was vaccination acceptance. The research involved a group of 133 people. Research data is collected by sending surveys to participants while adhering to Covid-19 health guidelines. The research data was examined using chi square test and logistic regression. This study received ethical approval from the Ethics Committee at Palu Health Polytechnic, Ministry of Health in Indonesia number: 0089/KEPK-KPK/VI/2022.
Results: Most of the individuals were involved in favor of accepting the Covid-19 vaccine, with a percentage of 83.5%, whereas only 16.5% declined it. Among the different factors considered, age was found to be the most significant in determining vaccine acceptance compared to having social assistance and information from health workers.
Conclusion: Vaccine acceptance varied by age, prioritizing older individuals due to their heightened vulnerability to the Covid-19 virus. It is crucial to further investigate how different factors such as socio-demographic characteristics, vaccine’ knowledge, and trust in the healthcare system interact with each other.
Android-Based Prototype for Early Tuberculosis Detection via Clinical Symptoms
Authors: Sofiana Liena , Suci Musvita Ayu  , Jefree Fahana  , Moh. Irma Sukarelawan
Published: February 2025

Background: Health technology has enormous potential for preventing and curing TB. As a result, this research aims to create a prototype of an early detection tool for clinical symptoms based on Android.
Methods: The Cure-TB application prototype is being developed through Research and Development, type 4D (Define, Design, Develop, and Disseminate). A total of 45 potential users evaluated the Cure-TB prototype utilizing 10 System Usability Scale (SUS) criteria. The SUS scale employs a five-point scale ranging from 1 (Strongly Disagree) to 5 (Strongly Agree). The SUS scale's item dependability is 0.91, and its Cronbach's alpha coefficient is 0.68. Prospective users' test results were examined using Rasch modelling approaches such as Logit Value of Person (LVP), Logit Value of Item (LVI), and Wright map.
Results: Cure-TB contains seven main elements that help in the treatment of tuberculosis. The seven elements provided support the role of each user, which includes patients, health staff, and the general public. The SUS test findings showed a score of 75, meaning that the Cure-TB application received good feedback from most prospective users. Feedback from users that it takes time to get used to the various features provided.
Conclusion: The Android-based Cure-TB application provides a unique option for early tuberculosis identification, enhancing patient treatment compliance and monitoring patients' side effects and nutritional condition.
Virtual Reality for Traffic Safety Education in Elementary Schools
Authors: Vera Yuli Erviana  , Wijaya Oktomi , Dwi Sulisworo  , Rusydi Umar
Published: February 2025

Introduction: Traffic safety education needs to be taught to children at an early age. Traffic safety training for children in a real-world environment has several challenges and difficulties. Letting children practice in the real traffic environment will expose them to potential hazards. The purpose of this study was to develop media promotion for traffic safety education using a virtual reality (VR) for elementary school students.
Methods: This research design used the 4-D model (define, design, develop, and disseminate). Data were collected qualitatively by conducting FGDs and interviews, while quantitative data were collected by distributing questionnaires.
Results: The traffic safety VR media tested 4 scenarios, namely: driving equipment, traffic lights, how to cross the road, and walking etiquette. The validity test results show that VR traffic safety is feasible to be used as learning media for elementary school students. Students and teachers responded positively to this media. The advantage of this media is that it is fun and interactive for children.
Conclusion: Media promotion for traffic safety education using virtual reality can be applied in a wider scope in other elementary schools. Future research can develop more complex scenarios such as cycling, crossing railroad, and many more. The use of virtual reality (VR) in traffic safety training provides an immersive and interactive learning experience, which is more engaging compared to traditional methods.
Key Determinants of Tuberculosis Prevention Behaviors Among Families in Indonesia: A Cross-Sectional Study Analysis
Authors: Sani Hapiz Arlanda , J. Hadi Anto , Hatta Herman
Published: February 2025

Introduction: Tuberculosis (TB) is one of the infectious diseases that is still a global health problem, including in Indonesia. TB prevention requires the active role of the family as the smallest unit of society to create a supportive environment. Studies of TB prevention behaviors in families are important to understand the factors influencing prevention success.
Objective: This study analyzes factors related to TB prevention behavior in families.
Methods: This study used a cross-sectional study design involving 129 families with family members with a history of TB in the Batunadua Health Center working area in Padangsidimpuan City, selected by purposive sampling. Data was collected through a structured questionnaire. Data analysis was conducted using the chi-square and logistic regression tests to see the relationship between the variables and the most meaningful variables.
Results: This study found that knowledge about TB (p=0.001), access to health services (p=0.001), social and cultural environment (p=0.001), and personal health experiences (p=0.001) were related to TB prevention behavior in families. Meanwhile, the variable most related to TB prevention behavior is knowledge about TB Exp (B) = 46.888.
Conclusion: This study concludes that TB prevention behavior in families is influenced by factors such as knowledge about TB, access to health services, social and cultural environment, and personal health experience, which have a significant relationship. Of the four variables, knowledge about TB is the most dominant factor influencing TB prevention behavior. Therefore, health education campaigns must be a priority, focusing on increasing family knowledge about TB through easily accessible media, such as counseling, social media, and pamphlets.
Spiritual Emotional Freedom Technique (SEFT) Sebagai Solusi Non-Farmakologis Untuk Dismenore Pada Remaja Putri di Kabupaten Pangandaran
Authors: Tri Izati Nayla , Sukmawati Ima , Ridla Fauzi Aulia
Published: February 2025

Pendahuluan dan Tujuan: Dismenore adalah kram menstruasi terjadi pertama kali pada usia 6-12 tahun setelah menarche. Dismenore dapat diatasi dengan cara farmakologi dan non-farmakologi. Farmakologi dengan pemberian obat analgetik, terapi hormonal, obat nonsteroid prostaglandin dan dilatasi kanalis servikalis. Sedangkan, non-farmakologi dapat dilakukan kompres hangat, pijat, akupuntur, dan akupresur. Latihan fisik, tidur yang cukup, hipnoterapi, distraksi seperti mendengarkan music serta relaksasi seperti yoga dan nafas dalam. SEFT (Spiritual Emotional Freedom Technique) merupakan salah satu teknik non farmakologi untuk mengurangi nyeri menstruasi yang memadukan keampuhan energi psikologi dengan kekuatan doa.  Metode: Penelitian ini adalah kuantitatif, dengan pendekatan the one group pre test-post test design, pengambilan data diperoleh dengan menggunakan kuesioner menggunakan skala nyeri numerik sebelum dan sesudah terapi SEFT dan menggunakan uji Wilcoxon. Penelitian ini melibatkan 33 responden yang mengalami dismenore. Data diambil melalui kuesioner. Hasil: Penurunan signifikan pada skala nyeri setelah terapi, dengan nilai p = 0,000 (p < 0,05), menandakan bahwa SEFT efektif dalam mengurangi tingkat dismenore. Kesimpulan: SEFT dapat dianggap sebagai alternatif non-farmakologis dalam penanganan dismenore pada remaja putri.
Literature Review: Effect of AIUEO Therapy on Speaking Ability in Non-Hemorrhagic Stroke Patients
Authors: Nurani Rahmawati Dian , Khomsah Ida Yatun
Published: February 2025

Background & Objective: AIUEO therapy is a speech therapy that can help improve speech so that others can understand it. The method of this therapy is to move the lips, facial muscles and tongue by pronouncing the letters given such as A, I, U, E, O. The purpose of the literature review was to find references related to the effect of AIUEO therapy on the ability to speak in non-hemorrhagic stroke patients.
Method: This literature review uses the PICOT framework method.
Result: The results of the analysis that have been carried out in the article are known to have an effect after AIOUEO therapy on respondents who experience verbal communication disorders. AIUEO therapy is a form of rehabilitation therapy to improve the ability to speak in non-hemorrhagic stroke patients.
Conclusion: AIUEO therapy has the effectiveness of being used in improving speech in non-hemorrhagic stroke patients.
Nursing Assistance For Traumatic Brain Injury Patients With Intracranial Adaptive Capacity Decrease Using 30o Head Up Position Intervention At Jendral Ahmad Yani Hospital Metro City
Authors: Tasmadi Tasmadi , Wardoyo Eko , Sugiarto Sugiarto
Published: February 2025

Background & Objective: A head injury is a traumatic disruption of brain function with or without interstitial hemorrhage in the brain substance without a break in brain continuity. The purpose of this study was to determine Nursing Care for Traumatic Brain Injury Patients with Decreased Intracranial Adaptive Capacity Using the 30⁰ Head Up Position Intervention.
Method: The method in this scientific work with a descriptive approach to nursing care involving 2 head injury patients, the instrument used is an assessment sheet, the application of the 30⁰ Head Up position is carried out for 4 days in patients 1 and 2, with the intensity of giving the 30⁰ Head Up position 3 times a day for 30 minutes.
Result: The results of this study found that the main problem that arose in both patients was a decrease in intracranial adaptive capacity, the intervention that was arranged was intracranial management combined with giving the Head Up 30⁰ position, implementation was carried out for 4 days, nursing evaluation of intracranial decline improved to 2 in the first patient and day 3 in the second patient.
Conclusion: The recommendation that the author can give is that the application of the Head Up 30⁰ position can restore intracranial decline quickly.
Comparative Study of Electrophoretic Patterns of Protein Sub Units in Various Tissues of Two Fresh Water Fishes (Heteropneustes fossilis and Labeo rohita) Through Gel Electrophoresis
Authors: Rao. T.Bheem , K.Ganesh.  , Kumar V.Anil
Published: February 2025

The present investigation is determine the comparative study of electrophoretic patterns of protein sub units in two different fishes i.e. Heteropneustes fossilis and Labeo rohita. All the tissues were examined on 7.5% SDS-PAGE. In this investigation we observed gill, liver, intestine, muscle and brain tissues of both fishes. In this Gill and Muscle tissues of two fishes exhibits highest protein bands (10 and 7 respectively). The lowest bands are observed in intestine in both fishes(7,5 respectively).In this investigation we observed homology in protein bands with minor variations.
تمويل المنشآت الصغيرة والموجودات المصرفية دراسة قياسية لبنك الأمل للتمويل الأصغر في اليمن
Authors: المخلافي فيصل سيف عبده , شرهان ، ارفق محمد مسعد
Published: February 2025

هدف هذا البحث إلى دراسة وجود تأثير إيجابي للتمويل المصرفي للمنشآت الصغيرة في الموجودات المصرفية (بدون التمويل) معززاً بتدفق الودائع على البنك، وتم التطبيق على بنك الأمل للتمويل الأصغر في اليمن لتوفر بياناته.
وتم بناء نموذج قياسي، لتقدير علاقة التكامل المشترك المتعدد واختبارها وتصحيح الخطأ، وفقاً لطريقة Engle-Granger، (أي اختبار Dickey-Fuller).
وتوصل البحث إلى عدد من الاستنتاجات وأهمها وجود علاقة تكامل مشترك متعدد طويل الآجل بين الموجودات، وكلاً من التمويل والودائع، والودائع كمتغير وسيط متفاعل مع التمويل، ووجود علاقة ايجابية قصيرة الاجل بين الموجودات، وكلا من الودائع، والتمويل يتفاعل مع الودائع، مما يعني أن للتمويل تأثير ايجابي غير مباشر في الموجودات المصرفية في الاجل القصير، من خلال تفاعله مع الودائع.
الكلمات المفتاحية: تمويل المنشآت الصغيرة-الموجودات-الودائع-نموذج التكامل المشترك.
The Finance of Small Firms and the Banking Assets
The Econometrics study to The Al-Amal Bank for Macro Finance in Yemen
Faisl Saif Almiklafl1 Erfak Mohammed Musaed Sharhan2
1Marketing and Production Department - College of Administrative Sciences - Dhamar University - Yemen
2Department of Business Administration, College of Administrative Sciences and Computers, Rada’a - Albaydha University-Yemen
Abstract
This research aimed to study the presence of a positive effect of bank financing for small enterprises on bank assets without financing, enhanced by the flow of deposits to the bank. It was applied to Al-Amal Microfinance Bank in Yemen due to the availability of its data. A standard model was built to estimate the multiple cointegration relationship, tested and corrected the error, according to the Engle Granger method (i.e. the Dickey-Fuller test).
The research reached a number of conclusions, the most important of which is the existence of a long-term multiple cointegration relationship between assets and both financing and deposits, and deposits as an intermediary variable interacting with financing, and the existence of a positive short-term relationship between assets and both deposits and financing interacting with deposits, which means that financing has an unchangeable positive effect. Direct exposure to banking assets in the short term, through its interaction with deposits.
Keywords: financing small enterprises - assets - deposits - co-integration model
Modelling the Sustainable Link Between Tourism and Economic Development in Africa
Authors: IRANDOUST Manuchehr
Published: February 2025

This study examines the link between tourism and economic growth in four African nations from 1995 to 2019, aligning its findings with the United Nations Sustainable Development Goals (SDGs), particularly SDG 8 (Decent Work and Economic Growth) and SDG 9 (Industry, Innovation, and Infrastructure). The research employs a three-step methodology. First, a likelihood-based panel cointegration method identifies long-term relationships. Second, an ARMA intervention model determines the variable that best fits the model. Third, the bootstrap panel Granger causality test, accounting for structural breaks, explores causal relationships. The findings confirm a long-term association between tourism and economic growth, though the magnitude varies across countries. The study highlights the need for sustainable tourism policies and targeted export-oriented initiatives to stimulate economic growth while supporting SDG 12 (Responsible Consumption and Production) by addressing tourism's economic and environmental impacts.© The Author(s) 2024. Published by RITHA Publishing under the CC-BY 4.0. license, allowing unrestricted distribution in any medium, provided the original work, author attribution, title, journal citation, and DOI are properly cited.
Fatores associados à ocorrência de infecção do trato urinário em gestantes atendidas na atenção primária do município de Anori, Amazonas
Authors: Fernandes Jarrira Honório , Zanin Luciane , Oliveira Arlete Maria Gomes , Flório Flavia Martão
Published: February 2025

Introdução: A infecção do trato urinário (ITU) é um problema prevalente na gestação que pode ser amenizado ou reduzido com cuidados preventivos e tratamento precoce. Objetivo: Analisar a ocorrência e os fatores associados à ITU na gestação de mulheres de Anori, Amazonas. Métodos: Estudo transversal. A população do estudo incluiu as mulheres que fizeram pré-natal em 2018 e 2019 nas unidades básicas de saúde de referência do município de pequeno porte amazonense, sorteadas aleatoriamente. Os dados foram coletados por meio da análise dos prontuários físicos arquivados nas unidades de saúde, para identificar variáveis clínicas relacionadas à ITU na gravidez (presença, tratamento, internação, queixas). Entrevistas com as participantes foram realizadas para identificar variáveis sociodemográficas (idade, raça/cor da pele, escolaridade, ocupação, renda familiar e estado civil); variáveis obstétrico-ginecológicas-perinatais (número de gestações anteriores, abortamentos, exames ginecológicos periódicos, dados do nascimento) e conhecimento sobre ITU e suas complicações. Após análise exploratória, modelos de regressão logística foram utilizados para analisar as associações das variáveis avaliadas com a ocorrência de ITU. Resultados: Participaram do estudo 206 mulheres, dentre as quais a maioria cursou ensino médio completo (n=179, 86,9%), tem renda familiar menor que um salário-mínimo (n=112, 54,4%), estava em gestação primigesta (n=107, 51,9%) e teve ITU (n=111, 53,9%). A maioria teve início tardio do pré-natal (n=122, 59,2%) e 34,0% (n=70) faltaram em consultas de pré-natal. Foi identificada maior chance de ocorrência de ITU entre as gestantes com acompanhamento pré-natal em uma das duas unidades (OR=2,74; IC95% 1,40–5,37) e que faltaram em consultas de pré-natal (OR=1,98; IC95% 1,07–3,67). Conclusões: A ocorrência de ITU durante a gestação em mulheres de Anori, Amazonas, mostrou-se associada ao acompanhamento pré-natal em uma das unidades de saúde e à falta de consultas. Esses achados ressaltam a importância do acompanhamento adequado durante a gestação para prevenir e tratar precocemente a ITU, que foi uma condição comum entre as gestantes estudadas.
Evaluation of Employee Engagement Level in Improving Productivity and Retention in the Company
Authors: Adriyanto Agus
Published: February 2025

This study aims to evaluate the critical role of employee engagement in enhancing productivity, retention, and organizational sustainability. It investigates how engagement influences individual and team performance, explores contextual factors affecting engagement, and proposes strategies to address challenges in maintaining high levels of employee engagement. The study employs a Systematic Literature Review approach, synthesizing qualitative insights from diverse organizational contexts. It integrates theoretical frameworks, particularly the Job Demands-Resources Model, to analyze the interplay between engagement, job demands, and managerial resources. Secondary data from reputable academic sources are systematically reviewed to uncover patterns and insights into employee engagement dynamics. The findings reveal that employee engagement directly enhances motivation, creativity, and innovation, fostering higher productivity and reducing turnover. Engagement is influenced by both internal factors (recognition, career development opportunities, and managerial support) and external factors (work models, organizational culture, and work-life balance policies). Additionally, the study highlights challenges such as workload pressures, generational differences, and the complexities of remote and hybrid work environments. Practical strategies, such as recognition programs, flexible work policies, and leveraging engagement analytics, are critical to sustaining engagement and organizational success. Practically, this research offers evidence-based recommendations for organizations to design adaptive engagement strategies that enhance productivity, reduce turnover, and support long-term sustainability. The study also contributes to academic discourse by expanding the theoretical understanding of engagement within contemporary work contexts. Future research should address longitudinal analyses and explore emerging factors like technology and generational shifts to refine engagement strategies further.
Asuhan Keperawatan pada Klien An “F” dengan Trauma Capitis di Ruang ICU RSUD Labuang Baji Makassar
Authors: Tuty Alawiyah Alimuddin  , Alwi Ismail  , Amiruddin J
Published: February 2025

Trauma capitis is a form of penetration or rapid movement, and impact of the brain within the skull which results in changes in mental status. Traumatic capitis is one of the causes of child death. Often referred to as the silent. The aim of this research is to obtain a real picture in applying nursing care to clients An.''F'' with cases of neurological system disorders: trauma capitis. This research was carried out in the ICU room at Labuang Baji Hospital, Makassar for 3 days starting from 19-21 April 2023. Data collection techniques were carried out using interview techniques, observation and physical examination. The results of this study were an assessment of pain in the head, pain that felt like stabbing, pain scale 8 (severity 0-10), lasted for 3 minutes, bleeding on the right side of the head. In nursing diagnoses, there are 5 diagnoses found in cases of acute pain related to physical comfort, ineffective breathing patterns related to changes in the depth of breathing patterns, risk of infection related to bleeding in the brain, nutritional imbalances less than body requirements related to lack of appetite, impaired mobility physical related to difficulty turning positions. In implementing the action plan for patient An "F", nursing problems arise to reduce and prevent problems in patients by paying attention to the patient's condition. The implementation of nursing for patient An "F" is adjusted to the action plan that has been determined so that the nursing problems faced by the patient can be overcome or prevented. After providing nursing care for the five diagnoses, all diagnoses were resolved.
Penerapan Terapi Senam Yoga terhadap Penurunan Tekanan Darah Pada Pree Lansia Yang Mengalami Hipertensi
Authors: Umi Hanik  , Ambarwati Ambarwati
Published: February 2025

Yoga can also stimulate the release of endorphin hormones, this hormone is produced by the body when relaxed/calm which functions as a natural sedative produced by the brain so that it can create a sense of comfort and increase endorphin levels in the body to reduce high blood pressure. Yoga is included in alternative forms of physical activity such as yoga exercise which can help achieve physical exercise levels so that the body becomes relaxed, this physical exercise is recommended for individuals, everyone including the elderly, teenagers and pregnant women can do yoga.
Pengaruh Terapi Progressive Muscle Relaxation dalam Menurunkan Hipertensi di Wilayah Kerja Puskesmas Darussalam Kabupaten Aceh Besar
Authors: Muhammad Furqan  , Urip Pratama  , Ellyza Fazlylawati
Published: February 2025

Hypertension or high blood pressure has become a common condition among the people of Indonesia and other developing countries. This study aims to evaluate the effect of Progressive Muscle Relaxation (PMR) Therapy on reducing systolic and diastolic blood pressure in individuals with hypertension.The research employed a quasi-experimental design with a one-group pre-test-post-test approach. The study population included 1,395 individuals with hypertension, and a sample of 25 participants was selected using purposive sampling techniques. Data were analyzed using the Paired T-Test.The results showed that before therapy, the average systolic blood pressure of the respondents was 148.4 mmHg, which decreased to 127.2 mmHg after therapy, indicating a reduction of 21.2 mmHg with a p-value of 0.000. In contrast, the average diastolic blood pressure was 88.00 mmHg before therapy and slightly increased to 88.40 mmHg after therapy, showing an increase of 0.40 mmHg with a p-value of 0.558.Progressive Muscle Relaxation Therapy is effective in reducing systolic blood pressure but does not have a significant effect on diastolic blood pressure. It is recommended that the research site provides health education on non-pharmacological approaches to managing hypertension through Progressive Muscle Relaxation Therapy.
Pengenalan Lingkungan Bersih : Program Kerja Bakti di SDN 041 untuk Generasi Peduli
Authors: Nurul Hidayat  , Muhammad Aprisal  , Arini Hidayah  , Dina Natasa Salsabilah  , Ranti Febriyani
Published: February 2025

A clean environment is an important factor in creating a comfortable and healthy learning atmosphere, especially in elementary schools where children are growing physically and mentally. The concept of introducing a clean environment from an early age has a strategic role in forming positive habits that will have an impact in the future. With the introduction of a clean environment program in elementary schools, it is hoped that students will understand the importance of maintaining a clean environment, both at school and at home prevention of stroke on the quality of life of the elderly.To provide an introduction to the concept of a clean environment in elementary schools, with the main aim of developing students' awareness and behavior in maintaining cleanliness from an early age. Implementation of Community Service Activities at State Elementary School 041 State Elementary School 041 has carried out community service activities regularly every week. This activity involves the entire school community, including the principal, teachers, students and school staff. Community service activities are carried out on Fridays every week, with a duration of around 1-2 hours. This research shows that community service activities in elementary schools are effective in introducing students to a clean environment. This activity can increase students' awareness and concern for the environment, build cooperation and a sense of shared responsibility in maintaining the cleanliness of the school environment, and become a learning tool that supports the creation of a clean and healthy environment.
Menulis Skenario Secara Fair Use dengan Menggunakan AI
Authors: Aan Setiadarma  , Priyono Sadjijo  , Ahmad Zaki Abdullah
Published: February 2025

The training Writing Screenplays Using Fair Use with AI was conducted to enhance participants' understanding of the fair use concept and the application of artificial intelligence (AI) technology in screenplay writing. In the digital age, AI offers great potential in the creative industry, but its use must be accompanied by a proper understanding of ethics and law. This training aimed to introduce the principles of fair use and how to use AI software to improve creativity and efficiency in writing screenplays. The methods used included lectures, practical exercises, and evaluation of participants' work. A total of 16 participants were involved in the training, which covered topics on fair use, AI application in screenplay writing, and the challenges and obstacles encountered. The results showed an increase in participants' understanding of fair use, followed by their ability to use AI to produce more efficient and creative screenplays. However, some technical and conceptual challenges were still found, such as difficulties in using AI software and limited understanding of fair use limitations. In conclusion, this training successfully raised participants' awareness of ethics and legality in the use of technology in the creative industry, with recommendations for improving materials and technical support in the future
Salivary Interleukin 17a and IL1 as a Dependent Positive Predictive Biomarker for Oral Squamous Cell Carcinomas in Iraqi Patients
Authors: Mustafa Gheni Taher  , Fatimah Kadhim Ibrahim AL- Mahdawi  , Ammar Kadi  , Irina Potoroko  , Marouane Chemek
Published: February 2025

Background: Head and neck cancer is the sixth most common cancer in human. Over 90% of malignant neoplasms of the head and neck are diagnosed as squamous cell carcinomas of oral cavity. In addition, its diagnosis is often late due to unavailability of predictive reliable measurable biomarkers. Interleukin 17 is one of pro-inflammatory cytokines manufactured by T-helper cells. It usually binds to type I cell-surface receptor named interleukin. Interleukin-1 (IL-1) represents a master cytokine of local and systemic inflammation. It exerts both beneficial, promoting innate immunity against invading microorganisms, and harmful roles in a plethora of autoimmune and autoinflammatory diseases including cancer. The purpose of the current study was to explore the predictive role of salivary interleukin 17 and IL1 in the diagnosis of oral squamous cell carcinoma in comparison with healthy individuals.Method:  Patients with histopathologic ally-confirmed oral squamous cell carcinoma (40 patients) and 40 normal healthy subjects (controls) were involved in this study.  Unstimulated saliva was collected from each individual. Salivary interleukin-17 and IL1 levels were evaluated for both groups using Enzyme- Linked Immuno-Sorbent Assay (ELISA) technique.Results: Mean value of IL-17 and IL1 levels were significantly increased in oral squamous cell carcinoma patients as compared to controls.Conclusion:  Interleukin-17 and IL1 has particular advantage to be used as a positive predictive factor for prognosis and diagnosis of OSCC.
Economic impact of reduced postoperative visits after inflatable penile prosthesis implantation
Authors: Gill Bradley , Shin Young Eun , Durand Kathryn , Sun Andrew , Babbar Paurush , Rojanasarot Sirikan
Published: February 2025

Aim:
This study assessed the economic impact of reducing one postoperative visit following inflatable penile prosthesis (IPP) implantation.
Methods:
Scenario analyses were used to model the effects of eliminating one 30-min IPP postoperative visit from the expected 2.5 visits accounted for by the American Medical Association resource-based relative value scale data. The reduction was attributed to simplified teaching with a modified device. The recaptured time was applied to: the most frequent in-office CPT codes utilized by IPP implanters; evaluation and management of new ED patients pursuing/receiving IPPs; and in-office vasectomy. Physician work time and reimbursement were conservatively estimated using the 2024 Medicare Physician Fee Schedule and an alternative scenario where Advanced Practice Providers conducted IPP teaching was also modeled.
Results:
Annually, reducing one 30-min IPP postoperative visit for practices performing 25/50/100 IPP implants recaptured 750/1500/3000 min, respectively. This recaptured time translates into as much as $18,325 additional annual Medicare reimbursement. At 25 implants yearly, urologists could help an additional 13–25 patients with office visits and observe an additional $2049–$2270 reimbursement. At 50 implants yearly, office evaluation and counseling for 7 ED patients who progress to IPP implantation results in an additional $4125 reimbursement, excluding any diagnostic procedures and/or downstream surgical cases. At 100 implants yearly, recaptured schedule capacity can facilitate 37 in-office vasectomies, which translates to a $12,563 reimbursement.
Conclusion:
Achieving fewer IPP postoperative visits can optimize postoperative care and open schedule capacity that improves access to care for patients with urological needs.
PÓS-MODERNIDADE E CRISE COMO ABERTURA PARA SOCIALIZAÇÃO DOS ROQUEIROS SEM-RELIGIÃO NAS TRIBOS URBANAS HEADBANGERS
Authors: Rodrigues Flávio Lages
Published: February 2025

Neste artigo apresentaremos como a pós-modernidade e a crise gerada pelo crescimento das grandes cidades possibilitou vários processos abriu para processos de socialização com as tribos urbanas e diversos grupos sociais. Nossa hipótese procurou identificar se há algum tipo de espiritualidade não religiosa na sociabilidade dos/as roqueiros/as sem religião que estão nas tribos urbanas headbangers em Belo Horizonte. A metodologia proposta ocorreu com a revisão bibliográfica, tendo como principal teórico o sociólogo francês Michel Maffesoli. Embora, haja para os participantes da pesquisa uma espiritualidade não religiosa na solidariedade, que é gerada dentro do heavy metal e de seus subgêneros, percebemos que isto não é uma unanimidade, devido à rejeição a qualquer manifestação religiosa ou espiritual dentro desse grupo.
EM QUE CREEM OS QUE NÃO CREEM?
Authors: Guerriero Silas
Published: February 2025

NSA
Simulando a Execução de Políticas Públicas através de Jason e CArtAgO
Authors: Santos Iverton Adão da Silva dos , Costa Antônio Carlos da Rocha
Published: February 2025

O presente trabalho apresenta um conjunto conceitos e de mecanismos pré-estruturados (na forma de uma API, Classes e Operações) que contribuem para a pesquisa em simulação Políticas Públicas através de sistemas multiagentes. Em particular, utiliza as ferramentas Jason e CArtAgO, as quais fornecem suporte em alto nível para a programação de agentes cognitivos e ambientes virtuais respectivamente.
Extending the Framework TAO with Norms for Multi-Agent Systems
Authors: Freire Emmanuel S. S. , Cortés Mariela I. , Gonçalves Enyo J. T. , Lopes Yrleyjânder S. , Souza Leandro L. C. de
Published: February 2025

The increasing complexity of systems poses a challenge to Software Engineering. The existence of Normative Multi-Agent Systems, where the agents’ behavior is governed by norms, promotes the need for an ontology capable of defining these related concepts. In this context, we highlight TAO, a conceptual framework for (representing) MAS, used as a foundation to the MAS-ML modeling language. However, the support for representing of the norm concepts is limit. This paper describes the extending the TAO through of the creation of new abstraction norm and its relationships. Additionally, the structure of some abstractions defined in the previous version was changed because of the inclusion of the norm concepts. Through a case study, we demonstrate the use of the proposed extension to represent the elements of a virtual marketplace.
Gerenciamento de Agentes Remotos no Projeto Subverse via Scripts embutidos em Linguagem LUA
Authors: Zambiasi Saulo Popov
Published: February 2025

O Projeto Subverse é uma plataforma de aprendizado em constante evolução, para que alunos de cursos de computação possam trabalhar na prática diversas teorias apresentadas nas disciplinas. Este se apresenta como um mundo virtual para a implementação de agentes baseados no paradigma de jogos multijogador. Contudo, quando há a necessidade de alteração da forma como um Agente se comporta no mundo virtual, é necessário desconectá-lo do mundo virtual, de uma recompilação e uma nova conexão ao mundo virtual. Uma forma alternativa é a utilização de scripts que possam ser alterados em tempo de execução, lidos pelo Agente e executados em conformidade com suas especificações. Neste contexto, este artigo apresenta uma proposta de gerenciamento dos comportamentos dos Agentes remotos no Projeto Subverse via scripts, mais especificamente escritos em linguagem de programação Lua.
Evolução da Ferramenta MAS-ML tool para a Modelagem do Diagrama de Papéis
Authors: Feijó Állan R. , Maia Felipe J. A. , Lima Francisco R. O. de , Nogueira Igor B. , Gonçalves Enyo J. T. , Freire Emmanuel S. S. , Cortés Mariela I. , Souza Leandro L. C. de
Published: February 2025

A atividade de modelagem pode ser altamente complexa e propensa a erros, em particular no caso da modelagem de Sistemas Multi Agente (SMA). Assim sendo, a existência de uma ferramenta de suporte adequada pode ser crucial na escolha e adoção da linguagem de modelagem a ser utilizada. Neste contexto, a ferramenta MAS-ML tool, baseada na linguagem de modelagem MAS-ML, incorpora mecanismos para a modelagem de somente dois dos diagramas propostos por MAS-ML. O objetivo deste artigo é apresentar a evolução da ferramenta MAS-ML tool de forma a dar apoio à modelagem do diagrama de papéis prevista na linguagem de modelagem seguindo a abordagem por modelos.
Uso do PopOrg na modelagem de personagens autônomos em jogo com a técnica de interactive storytelling
Authors: Alves Gleifer V. , Costa Antonio C. da Rocha , Barbosa Raquel de M. , Gaertner Priscilla D.
Published: February 2025

Este trabalho descreve uma proposta para modelagem de personagens autônomos em jogos que utilizem a técnica de interactive storytelling. Tal modelagem será construída através do modelo populacional organizacional PopOrg. A técnica de interactive storytelling busca viabilizar que agentes credíveis possam gerar, alterar e interferir em histórias dentro de um jogo, o que eventualmente aprimora a técnica de IA do jogo eletrônico. O jogo considerado aqui é um simulador veicular.
Modelo Hospedeiro-Parasitóide Baseado em Sistema Multiagente
Authors: Lunardi Érica Nicolao , Velho Aline Brocker do Amaral , Kimieciki Igor , Okuyama Fabio Y. , Silva Celson R. Canto
Published: February 2025

Simulação Baseada em Sistemas Multiagente possibilitam a investigação de fenômenos naturais da ecologia. Este projeto visa à implementação de uma simulação computacional da interação de insetos hospedeiros e parasitóides, encontrados em cenários de controle biológico de pragas. Neste trabalho pretendemos recriar os resultados obtidos em CANTO-SILVA (2003), para extendê-lo com a realização de testes de sensibilidade para os parâmetros da simulação. Desta forma, acreditamos poder contribuir para as áreas de pesquisa em ecologia, agricultura e ciência da computação.
An Agent-Based Enrichment System for Genetic Diversity Analyses
Authors: Soares-Souza Giordano B. , Kingma Guilherme P. G. , Tarazona-Santos Eduardo , Rodrigues Maíra R.
Published: February 2025

Different evolutionary forces produce genetic variants among individuals and populations. One of the most frequently studied variants is the Single Nucleotide Polymorphism (SNP). In some cases, population-specific genetic variants might be associated to diseases, resulting in a difference in the frequency of a disease among human populations. To achieve relevant genetic and biomedical knowledge, these variants need to be associated with other types of biological data, such as biochemical pathways, pharmacogenetics, and genome-wide associations. However, these data are fragmented in different databases. Therefore, it becomes necessary to develop tools to integrate distinct sources of biological data in order to enrich genetic diversity analyses. In this context, we propose an Agent-based enrichment system to integrate different sources of biologically relevant data in order to improve the genetic diversity analysis of native and Latin-American populations in particular.
Integrando Agentes Inteligentes e Valor Agregado para o Monitoramento e Controle de Processos de Software
Authors: Souza Leandro L. C. de , Freire Emmanuel S. S. , Cortés Mariela I. , Campos Gustavo L.
Published: February 2025

Este artigo apresenta uma abordagem baseada em agentes inteligentes destinados a realizar o monitoramento e controle de processos de software. Para que isso aconteça, informações relativas a custo e tempo associadas ao projeto, devem ser percebidas e analisadas. A metodologia utilizada combina a noção de agentes inteligentes e a técnica do Gerenciamento do Valor Agregado. Com isso, gerentes de projetos e sua equipe poderão avaliar e medir o desempenho e progresso do projeto, e detectar possíveis desvios (custo e tempo) em relação ao que foi planejado.
Retrospective, Relevance, and Trends of Software Agents, Environments and Applications School (WESAAC)
Authors: Gonçalves Enyo , Cortés Mariela , Oliveira Marcos de , Veras Nécio , Falcão Mário , Castro Jaelson
Published: February 2025

Multi-Agent Systems (MAS) software has been increasing dramatically in last years. In this context, the Software Agents, Environments and Applications School (WESAAC) is a Brazilian event of MAS which is in its tenth edition. When studying a research area, it is important to identify the most active groups, topics, the research trends and so forth. This study aims to investigate how the WESAAC is evolving, by analyzing the papers published in its 9 editions. We adopted a research strategy that combines scoping study and systematic review good practices. We identify the most active institutions and authors, the main topics discussed, the types of the contributions, the conferences and journals that have most referenced WESAAC papers, the publications with the greatest impact, and the trends in MAS. We found 116 papers over the 9 WESAAC editions, which were analyzed and discussed.
A Conceptual Middleware for Adaptive Sanctioning in Normative Multi-Agent Systems
Authors: Lima Igor Conrado Alves de , Nardin Luis Gustavo , Sichman Jaime Simão
Published: February 2025

The use of the normative approach to govern Multi-Agent Systems has been motivated by the increasing interest in balancing between agents’ autonomy and global system control. In Normative Multi-Agent Systems (NMAS), despite the existence of norms specifying the rules of how agents ought or ought not to behave, agents have the autonomy to decide whether or not to act in compliance with them. A suitable way to govern agents is using sanction-based enforcement mechanisms. These mechanisms provide agents with a certain level of autonomy while controlling them through the application of sanctions. Here we present a conceptual middleware that makes use of an adaptive sanctioning enforcement model to improve the level of norm compliance in NMAS by enabling agents to choose among several categories of sanctions.
Checagem de Consistência de Modelos de Sistemas Multiagentes Normativos Utilizando MAS-ML Tool
Authors: Nogueira Igor B. , Cortés Mariela I. , Gonçalves Enyo J. T.
Published: February 2025

Ferramentas de modelagem são aliadas importantes no desenvolvimento de sistemas de software complexos. O detalhe e o rigor podem variar, mas em qualquer caso, os modelos precisam ser corretos e precisos. Este artigo apresenta a evolução da ferramenta de modelagem para sistemas multiagentes MAS-ML tool de forma que forneça apoio à checagem de consistência das propriedades internas e dependências entre diagramas.
Composição de Agentes EBDI: Integração WASABI-Jason
Authors: Couto Diego , Marchi Jerusa , Gelaim Thiago Â.
Published: February 2025

Este trabalho apresenta a integração do simulador de emoções WASABI com o arcabouço para agentes BDI JASON, para prover agentes emocionais. Os resultados obtidos sugerem que o desempenho dos agentes no ambiente, assim como em sociedades humanas, é suscetível não só ao seu comportamento programado, mas à sua personalidade emocional e às condições do ambiente.
Ritmo Circadiano sob influência da Dor: uma abordagem baseada em Simulação Multiagente
Authors: Glaeser Stefânia da Silveira , Santos Angélica Theis dos , Cezaro Adriano de , Adamatti Diana Francisca
Published: February 2025

O corpo humano possui ritmos biológicos endógenos, dentre estes temos o ritmo circadiano, com um ciclo de 24 horas que regula diversas funções importantes do corpo humano. Neste estudo, descrevemos os conceitos de ritmo circadiano influenciado pela dor, utilizando equações diferenciais ordinárias e simulação multiagente, a fim de obter um modelo de agentes, que possa descrever a influência da dor no ritmo circadiano.
Um Modelo de Reputação Fuzzy de Dimensão Variável
Authors: Rodrigues Henrique D. N. , Dimuro Graçaliz P. , Adamatti Diana F.
Published: February 2025

Reputação pode ser entendida como a representação de crenças ou opiniões sobre alguém ou algo, e é reconhecida como um mecanismo de controle social. Os mecanismos de reputação são amplamente aplicados em comércios eletrônicos, sistemas multiagentes (MAS), redes P2P e outras aplicações que requerem informações distribuídas e conhecidas sobre agentes. O processo de avaliação da reputação do agente envolve claramente imprecisão, ambiguidade e incompletude. Neste artigo, introduzimos um modelo de reputação baseado em lógica fuzzy para processos de troca social em MAS. Consideramos uma avaliação de sistema dimensional variável, utilizando funções de agregação ponderada para agregar continuamente a informação fuzzy das experiências do agente (relacionada a todas as dimensões consideradas), dando maior peso a informações mais recentes. Alguns estudos de caso são apresentados para analisar o comportamento do modelo. Para isso, consideramos um cenário MAS no contexto do comércio eletrônico. Adotamos o framework JaCaMo para a implementação, que utiliza a arquitetura de agentes BDI (Believe, Desires and Intentions) e artefatos.
Uma Análise Quantitativa do Esforço de Desenvolvimento em Plataformas de Simulações baseadas em Agentes
Authors: Santos Fernando , Nunes Ingrid
Published: February 2025

Simulações baseadas em agentes têm sido usadas para entender comportamentos emergentes de sistemas complexos. Tais simulações são normalmente desenvolvidas em plataformas de simulação, que oferecem recursos inerentes à área de agentes e portanto simplificam o desenvolvimento. O esforço requerido para desenvolver simulações pode influenciar a escolha de uma plataforma. Estudos que avaliam as plataformas existentes não consideram este aspecto. Através de um estudo de caso com a simulação Sugarscape, este artigo apresenta uma avaliação quantitativa do esforço de desenvolvimento em duas plataformas: NetLogo, que oferece linguagem de desenvolvimento textual; e SeSAm, com linguagem gráfica. Resultados indicam que o SeSAm demanda 35.6% mais esforço que o NetLogo, de acordo com o estudo de caso realizado.
Extending the MOISE model with adjustable autonomy
Authors: Maia Artur Vidal , Sichman Jaime Simão
Published: February 2025

Having autonomy and being part of an organization can be opposite concepts. Autonomy lets an agent take his own decisions, while sometimes, being part of an organization constraints these decisions to the ones allowed by the organization. This works presents an idea to combine these aspects, by allowing an agent to have autonomy even if it take part of an organization. We present different types of roles and goals to tackle this problem, characterizing what is called adjustable autonomy.