bluuebunny/crossref_metadata_2025 huggingface dataset:
Parasitic Disease and COVID-19 Syndemics in Indonesia: Biomedical Aspects
Authors: Trasia Reqgi First
Published: February 2024

Background: Syndemics happened while two or more coinfections have dangerous interaction and lead to a harmful outcome than for either single infection. In Indonesia, during COVID-19 pandemic, it has deal with a doble burden presume to neglected tropical disese (NTD) control. Parasitic disease as a part of NTD must be a concern in Indonesia along pandemc. There are still few articles that review the biomedical aspects of co-infection COVID-19 with parasitic diseases in Indonesia, whereas an understanding of biomedical aspects can encourage knowledge about pathogenesis which will make an earlier diagnosis.
Results: This review summarize how parasites may serve as protective agents or risk factors in pandemic and, vice versa, how the COVID-19 may disturb the prevention and misdiagnosis of parasitic disease in Indonesia. Co-infection COVID-19 with malaria increass the burden of severe clinical manifestations and poor prognosis due to exaggerated proinflammatory response. Coinfection triggers TNF and IL-6 to activate coagulation cascade leading to micro-thrombosis and coagulopathy. Besides, helminthiasis causes vary configuration of immune-modulation, thereby lowering susceptibility to other infections and tolerating COVID-19 better. They modify Th2 respons to limit pro-inflammatory cytokines, such as IL-6 which is observed in severe cases of COVID-19. T-cell hypoactivation in SARS-CoV-2 and W.bancrofti will cause  relatively mild manifestation of COVID-19.
Conclusions: In parasite infection, the IL-4 may elevate and induce shadow memory CD8+ T-cell (TVM cell) for CD8 response rapidly agains virus. It control human IL-4 or IL-10 that leads to the maturation of Th2 cells and down-regulation of the inflamation respons of IFN-g, IL-17 and TNF-a. These mechanisms allow us to blockade the cytokines storms observed in COVID-19 cases.
Support For The Comprehensive School Health Model To Increase Reproductive Health Knowledge Of Elementary School Children As A Primary Prevention Effort
Authors: F. N. Putriningtyas Ivony , Asmi Sulasri Nur , Elan Mnsen Reflin
Published: February 2024

The research explores the impact of the Comprehensive School Health model on enhancing the reproductive health knowledge of primary school children as a primary prevention effort. In an era of rapid social and technological changes, early-age reproductive health awareness is crucial. This study aims to evaluate the effectiveness of the Comprehensive School Health model in improving the reproductive health knowledge of primary school children. The purpose of this research is to assess whether the Comprehensive School Health model significantly enhances the reproductive health knowledge of primary school children. It seeks to determine if this approach can be a viable strategy for primary prevention in the field of reproductive health. The study employs a pre-experimental design with a One Group Pretest-Posttest Design. Data was collected through observations, interviews, and documentation. The sample consists of sixth-grade students from an elementary school in Sorong District, selected using total sampling. Statistical analysis included Wilcoxon tests and rank biserial correlation. The results indicate a significant improvement in the reproductive health knowledge of primary school children following the intervention. The Wilcoxon test showed a p-value of <0.001, and the mean difference was -35.0, signifying a substantial increase in knowledge. The effect size was 1.62, indicating a significant impact, and a strong negative rank biserial correlation of -1.00 revealed a robust correlation between the intervention and knowledge improvement. This study concludes that the Comprehensive School Health model is effective in significantly enhancing the reproductive health knowledge of primary school children, with a substantial effect size and a strong correlation between the intervention and knowledge improvement. These findings emphasize the importance of early-age reproductive health education and highlight the potential of this model as an effective strategy for primary prevention in the field of reproductive health.
The Effect of Health Education Based on Islamic Teachings on Knowledge Level of Toddlers’ Parents Regarding Singapore Flu
Authors: Siwi Ignasia Nila
Published: February 2024

HFMD is an infectious disease that occurs in children under five, especially at school or daycare. This research aims to determine the effect of providing health education according to Islamic teachings on the level of parents' knowledge about HFMD in toddlers. The research design used Quasi-Experimental with Group Pretest and Post Test Design. The sample in this research was 22 respondents with a total sampling technique. The analysis used in this research was univariate analysis and paired t-test analysis. The results of the study used the paired t-test and found that there were significant differences in the pretest and posttest values of parents' knowledge about HFMD in children under five with a p-value of 0.000 (<0.05). This research concluded that there was an effect of providing health education according to Islamic teachings on the level of parents' knowledge about HFMD in children under five.
Analysis of Public Service Center Service Innovation in Gresik Regency as a Health and Emergency Service
Authors: Irwanto Bian Shabri Putri , Irwanto Adella Saninah Putri , Mulia Shinta Arta , Dwiyanti Endang , Arfiani Novi Dian
Published: February 2024

In the realm of public service innovation, one significant government initiative is the establishment of Public Service Centers (PSCs). This qualitative-descriptive research is conducted at the Gresik PSC and the East Java Health Office. PSC 119 Gresik operates as an emergency service under the Health Office's jurisdiction, catering to the community's urgent needs. While the Gresik PSC has shown successful implementation, encompassing community outreach, emergency response tasks, and reporting to the Health Office, it faces challenges. Notably, the Gresik PSC receives only 70 calls, a figure deemed suboptimal compared to the local population. Hindrances include the non-readiness of call center workers during emergencies, inadequate community awareness about PSC, and reports still being directed to three different agencies. To enhance the efficiency of Gresik PSC, recommendations include training call center operators to enhance communication tools and skills, cross-sector collaboration, routine monitoring, and evaluation every 3-6 months on a unified application or report, and intensified community outreach through social and print media.
Integrated Care Plan In The Hospital Setting: A Scoping Review
Authors: Ardi Bangun Mukti , Nursalam Nursalam , Rosyid Alfian Nur
Published: February 2024

Improving the quality of healthcare services in hospitals is one of the main goals of achieving a high-quality healthcare system. One of the efforts to enhance the quality of healthcare services in hospitals is implementing an integrated care plan. This study aims to determine the implementation of integrated care plans in hospitals. There were no limitations on methodologies, dates, or settings when reviewing papers describing qualitative or quantitative studies examining the implementation of integrated care plans in hospitals. The setting, design, and findings were all extracted from key study aspects. The major components of the integrated care plan's key components served as a framework for organizing the findings. There are 15 relevant papers published between 2018 and 2023. Most of the studies reported are qualitative, where healthcare workers reflect on their experiences and preferences regarding implementing an integrated care plan. These studies reported on issues underlying the need for the implementation of an integrated care plan, including poor administrative and management systems, lack of access, lack of coordination, lack of regulation, lack of knowledge, and lack of experience, with the ultimate goal of care being aware of cooperation and benefits for patients. An efficient way to raise patient satisfaction and improve the standard of healthcare services is to establish an Integrated Care Plan in hospitals. The efficacy and efficiency of patient care in hospitals can be improved by implementing a more structured and measurable care plan.
Keywords: Integrated care plan, integrated health care systems, integrated delivery system, hospital.
Cultural Determinants of Community in Giving Breast Milk Complementary Food to Babies in Kotamobagu City
Authors: Sitti Nurul Hikma Saleh  , Agustin Agustin , Sudirman Sudirman
Published: February 2024

In Indonesia, achieving the proportion of timely provision of MP-ASI still needs to improve. Providing nutritious food for children and families is inseparable from the culture of the local community, especially the provision of complementary foods for breastfeeding, but cultural principles often contradict the principles of health. This study aims to ascertain the community's cultural norms regarding administering MP-ASI to infants—the cross-sectional design of this study's quantitative descriptive methodology. The population is 231 people. A sample of 148 people was determined based on the Slovin formula. The questionnaire measurement scale uses a Likert scale approach (1-5). Odds ratio analysis is used to analyze data. The study's findings revealed that most mothers with good knowledge in responding to their culture also had good complementary feeding (98.5%), where the odds ratio obtained was 19.950 with a P value. 0.002, with a Lower Bound value of 2.981 and an Upper Bound of 133.533. A good mother's attitude in responding to its relation to her culture mostly shows the proper complementary feeding (94%), with an odds ratio of 4.762 and a significance level of 0.038, a lower bound of 10.90 and an upper bound of 20,813. The cultural determinants of providing complementary feeding (MP-ASI) are in the mother's knowledge and attitude. The knowledge aspect contributes more than the mother's attitude towards proper complementary feeding practices in the local culture.
 Keywords: Behavior, complementary feeding, culture, knowledge
ANALYSIS OF NURSING CARE FOR PREGNANT WOMEN WITH THE IMPLEMENTATION OF FE TABLET EDUCATION THROUGH METHOD AUDIOVISUALS TO OVERCOME THE DEFICIT KNOWLEDGE OF ANEMIA
Authors: Alistia Sabila Rohmatul Ula
Published: February 2024

Background: Anemia is a micronutrient problem in the form of a condition of deficient levels of hemoglobin (Hb) in the blood caused by low intake of iron which is needed for the formation of Hb. Not consuming Fe tablets in pregnant women is the most common cause of anemia in pregnant women.
Objective: The aim is to analyze nursing care for pregnant women by implementing Fe tablet education through audiovisual methods to overcome anemia knowledge deficits.
Methods: This research design uses descriptive in the form of a case study in the nature of nursing care including nursing assessment, nursing diagnosis, nursing intervention, nursing implementation and nursing evaluation. The research was carried out at the RSI Jemursari Surabaya. The time for taking this case study research was carried out by the researcher at January 10 to 12, 2023. Research was carried out for 3 days.
Result: The results of the research after implementing Fe tablet education via audiovisual media on anemia in pregnant women 3 times in 3 days with an implementation time of 15 minutes showed that the patient's level of knowledge increased from scale 2 (moderately decreased) to scale 3 (moderate).
Conclusion: The conclusions from the case study show that the application of Fe tablet education via audiovisual is effective as a nursing intervention for anemia problems in pregnant women.
Addressing Infertility and Other Reproductive Outcomes Among Female Physicians
Authors: Vishwanath Varnita , Jean Shanen , Ashurst John , Agahi Farshad
Published: February 2024

Infertility affects one in four female physicians in the United States, yet the topic of fertility among female physicians is understudied and warrants focused strategies to implement change. Factors that exacerbate the rates of infertility in female physicians include intentional delays in family planning that are driven by the length of medical training and career advancements, age, long working hours, and physician burnout. While the effects of COVID-19 on reproductive health remain uncertain, the virus may have played a role in illuminating an already existing issue in women’s reproductive health. Burnout rates among female physicians have reached record highs contributing to reproductive disorders that warrant well-deserved attention to this issue. Initiatives should focus on fertility education in undergraduate medical education, organizational-level interventions, better insurance coverage for infertility treatments, and addressing burnout. Collaborative efforts between individuals, institutions and organizations are needed to prioritize reproductive health among female physicians.
Human Parechovirus Meningoencephalitis In an Eight-Day-Old Infant
Authors: Hencak Katlin , Iven Nicole , Sahhar Hanna
Published: February 2024

Human parechovirus (HPeV) infections have been increasing in the United States since May 2022, according to the Centers for Disease Control and Prevention. HPeVs are a member of the Picornaviridae family and share similarities with enteroviruses, though they differ in genomic structure. HPeV commonly affects children, with disease manifestations ranging anywhere from an asymptomatic infection to severe disease. HPeV typically affects the gastrointestinal and respiratory tracts but may rarely also cause severe infection of the central nervous system (CNS), leading to sepsis-like illness, meningitis, and encephalitis. Of the 19 established serotypes of HPeV, serotypesA1 and A3 are most commonly identified in humans. HPeV serotype A3 is of particular importance as it more commonly causes sepsis and CNS infection, especially in children. In the United States between 2014 and 2016, a total of 2758 cases of enteroviruses and parechoviruses were reported to the National Enterovirus Surveillance System. Of those cases, 2.3% were distinguished as HPeVA3. This case details the clinical course of an eight-day-old infant with HPeV meningoencephalitis. The infant initially presented with fever and other nonspecific symptoms, which later progressed to include diffuse erythroderma and seizure activity. Although current management of HPeV meningoencephalitis involves supportive care and close monitoring, determining HPeV as a cause of infection is important due to the long-term sequelae that patients may develop. Potential complications of infection include white matter lesions of the brain, cerebral palsy, developmental delay, and visual impairment. This case was documented to increase awareness of the rising incidence of HPeV infections in children in the United States, as well as to detail the signs and symptoms of HPeV meningoencephalitis in a neonate.
Integrating Behavioral Health and Primary Care
Authors: Jones Anne , Bertsch Kristin , Petrides Joanna , Lilienthal Kaitlin , Vermeulen Meagan
Published: February 2024

Osteopathic family physicians embody the philosophy of whole-person care, including using a biopsychosocial approach to incorporate mental health into patient care. The creation of the Behavioral Health Integration Collaborative increased support for a system-level adoption of whole-person care in primary care settings. With the increase in both mental health symptoms and diagnoses among Americans, and the increasing support for integrated physical and behavioral healthcare in the primary care setting, this paper shares various approaches, as well as challenges to, adapting integrated care in the primary care office. This includes reviewing best practices for implementing this care approach. The two leading models for integrated care are the Primary Care Behavioral Health (PCBH) model and Collaborative Care model (CoCM). Both models include clinically embedding licensed mental health professionals into the primary care setting, thus increasing access to colleagues with this specialized approach. The PCBH model utilizes a warm hand-off approach, resulting in a collaboration between physician and mental health provider in the care of the patient. The CoCM focuses on a registry of patients who are overseen by a behavioral health manager with treatment decisions guided by a consulting psychiatrist. Blended models are also emerging to better suit the needs for different practices and the patient populations they serve. Challenges to full implementation include acquiring buy-in from practice leadership, hiring appropriately trained mental health providers, and defining billing and coding procedures.
Conservation recovery of Batagur kachuga and Batagur dhongoka turtles in India: Development and operation of a head-starting facility
Authors: SINGH SHAILENDRA , TRIPATHI ASHUTOSH , HORNE BRIAN D. , SHANTIPRAKASH PAREEK PAWAN , DUTTA SREEPARNA , HAISLIP NATHAN
Published: February 2024

In 2006, a long-term conservation project was initiated for the recovery of endangered turtles Batagur kachuga and Batagur dhongoka along the lower Chambal river. This is based on the collection of eggs from the wild, incubation in a riverside hatchery, and then for most hatchlings release back into the wild within 24 hours of hatching. A sub-set of these hatchlings are reared at the Turtle Conservation Centre, in a specially designed head-starting facility until they weigh up to 1 kg, before release into the wild. A detailed description is given of the design, development and operation of the head-starting facility. Up to 2020, the project had successfully head-started 786 B. kachuga and 66 B. dhongoka. Moreover, this head-starting facility has supplied two conservation colonies, consisting of 50 subadult B. kachuga within the species’ historical range, Kukrail Gharial Rehabilitation Centre and Kanpur Zoological Park, both under the aegis of the Uttar Pradesh Forest Department. The long-term aim of the project is to retore B. kachuga to its former range.
Admission Pattern and Outcome of Patients Admitted to Pediatric Intensive Care Unit, CMH, DHAKA: 2-Years Study
Authors: Al Amin Abdullah , Sultana Mahbuba , Chowdhury Sayla
Published: February 2024

Background: The care of critically ill children remains one of the most demanding and challenging aspects in the field of pediatrics. The main purpose of the pediatric intensive care unit (PICU) is to prevent mortality of these children by intensive monitoring, early intervention and quality care with an objective to achieve better prognosis than the patients admitted in other parts of the hospital. Pediatric intensive care is an emerging concept in Bangladesh with only a few PICUs mostly in the capital city, Dhaka. This study was conducted to find out the pattern of diseases and outcome at our centre which would help in better understanding, modifying practices if necessary, leading to better management and outcome and necessary resource allocation by the planners.
Methods: It was a descriptive study conducted over 2 years, from October 2018 to September 2020, including all patients admitted to PICU of Combined Military Hospital, Dhaka. Bangladesh. Total 730 patients were admitted during the study period. Data were extracted from the patient’s files including demographic and clinical characteristics, previously diagnosed chronic conditions and outcome including length of stay (LOS) or death were noted.
Results: Total 730 patients were admitted during the study period. Mean age of the patient was 4 months and 4.68 days and mean hospital stay was 4.37±0.5 days. Preschool children (1–5 years of age) were the largest age group (n = 313). November and December were the most common months of admission (n = 58 and 57, respectively). Total 658 (90.1%) patient were improved and discharged, 32 (4.4%) patients were referred to surgical department, 3 (0.4%) patients was discharged against medical advice (DAMA) whereas, unfortunately 37 (5%) patients died. Central nervous system was involved in 198 (27.1%) and skin was the least involved system. A higher portion of patient of Preschool (1-5yrs) 15 (4.8%) died compared to <1 yr and > 5 years but the relationship was not significant statistically (p = 0.101). A higher proportion of males, 23 (5.2%), died compared to females, 14 (5%). This relationship was not statistically significant (p = 0.706). A higher proportion of death also observed in LOS< 24 hours, but the relationship was not significant (p=0.168).
Conclusion: This study revealed that neurological, genetic defect and respiratory diseases were the major causes of admission into the PICU with survival rate of 95%. A PICU is an essential part of hospital caring for the critically ill child by reducing morbidity and mortality. An effective and wellequipped PICU with modern facilitates can bring out the desirable outcome.  
J Com Med Col Teachers’ Asso July 2023; 27(2): 62-66
Ảnh hưởng của bất định thế giới đến rủi ro tín dụng của hệ thống ngân hàng:
Vai trò của vốn và tập trung
Authors: Đào Lê Kiều Oanh , Nguyễn Thị Minh Châu
Published: February 2024

Nghiên cứu được thực hiện nhằm đánh giá tác động của yếu tố bất định thế giới đến rủi ro tín dụng được phản ánh qua tỷ lệ nợ xấu của 115 hệ thống ngân hàng trên thế giới trong giai đoạn 2008 - 2020. Thông qua phương pháp hồi quy GMM hệ thống hai bước, kết quả cho thấy rằng bất định toàn cầu tăng lên sẽ làm cho tình trạng nợ xấu của hệ thống ngân hàng trở nên trầm trọng hơn. Ngoài ra, những hệ thống ngân hàng có mức độ tập trung cao hơn, vốn chủ sở hữu lớn hơn có khả năng chống đỡ tốt hơn khi bất định thế giới gia tăng. Dựa trên kết quả nghiên cứu, bài viết đưa ra một số hàm ý chính sách cho các nhà hoạch định chính sách và các nhà quản trị ngân hàng.
Gençlerin Farklı İnanma Biçimlerine İlişkin Lisansüstü Çalışmaların Analizi
Authors: Balıkçı Üsame , İnce Abdullah
Published: February 2024

Çalışmanın amacı gençlerin farklı inanma biçimlerine ilişkin yapılan lisansüstü çalışmaları değerlendirmektir. Farklı inanma biçimleri kapsamında “deizm, ateizm, apateizm, agnostisizm ve nihilizm” kavramları mercek altına alınmıştır. Bu doğrultuda ilgili literatürü tespit etmek amacıyla başlık, konu ve dizininde araştırma temel kavramlarını içeren tezler taranmıştır. Söz konusu tezlerin incelenmesinde veri tabanı olarak YÖK Ulusal Tez Merkezi ve İSAM’ın Tezler Kataloğu belirlenmiştir. 2000 yılı (Ocak) itibariyle tamamlanmış olan tezler dikkate alınmıştır (Mart 2023’e kadar). Çalışma sonucunda 121 tez incelenmiş ve aranan şartları sağlayan 23 tez tespit edilmiştir. Bunlardan 5’i doktora, 18’si yüksek lisans düzeyindedir. Tespit edilen tezlerin ilgili içerikleri bir excel tablosuna kodlanmış, akabinde içerik analizi yöntemiyle karşılaştırmalı olarak yorumlanmıştır. Analizler neticesinde, farklı inanma biçimlerine yönelimde Tanrı mefhumundan ziyade Tanrı tasavvurunun etkili olduğu saptanmış ayrıca ılımlı agnostisizm kavramı teklif edilmiştir.
The predictive power of electronic reporting system utilization on voluntary reporting of near-miss incidents among nurses: A PLS-SEM approach
Authors: Alalaween Mohammed Abdalraheem , Karia Noorliza
Published: February 2024

Background: Patient safety is crucial in healthcare, with incident reporting vital for identifying and addressing errors. Near-miss incidents, common yet underreported, serve as red flags requiring attention. Nurses’ underreporting, influenced by views and system usability, inhibits learning opportunities. The Electronic Reporting System (ERS) is a modern solution, but its effectiveness remains unclear.
Objective: This study aimed to investigate the role of the ERS in enhancing the voluntary reporting of near-miss (VRNM) incidents among nurses.
Methods: A cross-sectional study was conducted in the Al Dhafra region of the United Arab Emirates, involving 247 nurses from six hospitals. Data were collected using a questionnaire between April 2022 and August 2022. Structural Equation Modelling Partial Least Square (SEM-PLS) was employed for data analysis.
Results: The average variance extracted for the ERS construct was 0.754, indicating that the common factor accounted for 75.4% of the variation in the ERS scores. The mean ERS score was 4.093, with a standard deviation of 0.680. For VRNM, the mean was 4.104, and the standard deviation was 0.688. There was a positive correlation between ERS utilization and nurses’ willingness to report near-miss incidents. Additionally, our research findings suggest a 66.7% relevance when applied to various hospital settings within the scope of this study.
Conclusion: The findings suggest that adopting a user-friendly reporting system and adequate training on the system’s features can increase reporting and improve patient safety. Additionally, these systems should be designed to be operated by nursing staff with minimal obstacles.
Improving adolescents’ HIV/AIDS prevention behavior: A phenomenological study of the experience of planning generation program (GenRe) ambassadors as peer educators
Authors: Ratnawati Diah , Setiawan Agus , Sahar Junaiti , Widyatuti  , Nursasi Astuti Yuni , Siregar Tatiana
Published: February 2024

Background: Adolescents face increased vulnerability to HIV/AIDS due to factors such as insufficient knowledge and awareness, stigma, and restricted access to information. The Indonesian government initiated a peer education program through the Planning Generation Program (GenRe) ambassadors. These ambassadors are tasked with educating their peers about HIV/AIDS. However, their experiences are largely underexplored.
Objective: This study aimed to explore the GenRe ambassadors’ experience in improving adolescents’ HIV/AIDS prevention behavior.
Methods: This study employed a qualitative phenomenological approach, with in-depth and semi-structured interviews of GenRe ambassadors who had served for at least three to six months within the South Jakarta Health Sub-Department, Indonesia. Purposive sampling and data saturation techniques were utilized. Data were collected from 13 May to 31 August 2022, and Colaizzi’s steps were used to guide the data analysis.
Results: Nineteen GenRe ambassadors participated, predominantly female university students ages 18–22. Six themes were developed: 1) the impact of GenRe ambassadors’ roles in improving HIV/AIDS prevention behavior, 2) activities to improve HIV/AIDS prevention behavior, 3) enhancement of self-concept as GenRe ambassadors, 4) obstacles to activities for improving HIV/AIDS prevention behavior, 5) support for activities to improve HIV/AIDS prevention behavior, and 6) hope for improving the GenRe ambassador program’s implementation.
Conclusion: GenRe ambassadors are influencers who play a critical role in promoting HIV/AIDS prevention behaviors and fostering positive change in the broader youth community. Despite their positive self-concept, they encounter challenges in fulfilling their roles. Utilizing their insights, community health nurses can create effective peer-led HIV/AIDS prevention programs and contribute to a model of health promotion for adolescents. Leveraging the role of GenRe ambassadors as peer educators is recommended to enhance HIV/AIDS prevention efforts among adolescents.
Prenatal passive smoking at home: The experiences of women in Thailand
Authors: Mornsaeng Idchayar , Sripichyakan Kasara , Sansiriphun Nantaporn , Chaloumsuk Nonglak
Published: February 2024

Background: Passive smoking poses a threat to the well-being of an unborn baby; however, women’s understanding and practice in this regard remain unclear.
Objective: This study aimed to describe prenatal passive smoking at home based on the experiences of women in Thailand.
Methods: A qualitative descriptive approach was employed. Data were collected between September 2020 and April 2022 through semi-structuredin-depth interviews with 16 postpartum women purposively selected from five hospitals. Thematic analysis was used for data analysis.
Results: Three themes emerged. The first theme, ‘safeguard for an unborn baby,’ was performed through smoking reduction, far distance, abstinence from smoke/odor inhalation, and residual elimination since harm was highly aware. However, justifying safety from the absence of smoke and foul odor was misperceived. The second theme, ‘intervention for smoking cessation,’ was attempted through various methods, including acquired empathy, persuasion, compromise, and supportiveness. They also needed family/friend assistance in warning and professional care in terms of advice, health education, learning materials, cessation therapy, care continuation, and dealing with complex situations. The last theme, ‘maternal perseverance,’ was acquired by the motives of safety goals, rights/responsibilities, changeable norms, and a golden period.
Conclusion: Pregnant women persistently aimed to prevent their husbands from smoking and safeguard their unborn babies from passive smoking. However, misunderstandings and improper practices were observed. Healthcare and nursing services need comprehensive approaches to enhance understanding, perseverance, and tailored practices catering to women’s needs.
Evaluating ICU nurses’ education, practice, and competence in palliative and end-of-life care in Saudi Arabia: A cross-sectional study
Authors: Alrimali Afaf , Alreshidi Nashi
Published: February 2024

Background: In palliative and end-of-life (PEOL) care, especially within intensive care units (ICUs), nurses’ unique skills are critical, yet their expertise remains under-explored, particularly in Saudi Arabia
Objective: This study aimed to evaluate the education, practice, and perceived competence of adult ICU nurses in Saudi Arabia regarding PEOL care and to pinpoint key factors that influence this aspect of healthcare delivery.
Methods: A cross-sectional design was utilized in this study. Participants were recruited from five public hospitals and one specialized center in Hail, Saudi Arabia. Data were gathered in September 2023 using the PEOL Care Index, which measures various care dimensions on a Likert scale in Arabic and English. IBM SPSS Statistics 29.0 was used for statistical analysis, particularly to conduct ANOVA, t-test, and multiple regression.
Results: 142 out of the targeted 171 ICU nurses completed the survey, yielding a response rate of 83.04%. Although 81% of the nurses had experience caring for dying patients, only 30.3% had received in-service PEOL care training. Those with this training demonstrated significantly higher scores in education, clinical practice, and perceived competence than their counterparts (p <0.05). Mean scores across these areas were 69.67, 71.01, and 71.61, respectively. In-service training positively correlated with these metrics (p <0.05). Multiple regressions also revealed that in-service training, job satisfaction, and communication authority are strong influencers, explaining 21.6% of the variation in clinical practice and 16.9% in perceived competence.
Conclusion: The study highlighted the proficiency of ICU nurses in PEOL care, emphasizing that in-service training, job satisfaction, and the authority to communicate effectively with patients and their families significantly improved clinical practice and nurses’ competence in PEOL care. This underlines the critical need for healthcare institutions to acknowledge and address these key factors to optimize patient care outcomes.
Psychometric properties of a Saudi Arabian version of the Birth Satisfaction Scale-Revised (BSS-R)
Authors: D'Sa Juliana Linnette , Jahlan Ibtesam Omar , Alsatari Eman S. , Zamzam Sahar , Martin Colin R.
Published: February 2024

Background: Maternal outcomes are closely associated with birth satisfaction, and the Birth Satisfaction Scale-Revised (BSS-R), a concise, multidimensional self-report measure, has undergone translation and validation internationally. However, research on birth satisfaction in Saudi Arabia is scarce. The absence of valid Arabic-language tools for the Saudi population may impede critical research on this topic, necessitating the translation and use of psychometrically sound instruments for measuring birth satisfaction in Saudi women.
Objective: This study aimed to translate and evaluate the psychometric properties of the Saudi Arabian version of the BSS-R (SA-BSS-R).
Methods: A total of 218 Saudi women participated in the study, and psychometric analysis of the translated SA-BSS-R involved confirmatory factor analysis, divergent validity analysis, and known-group discriminant validity assessment within a cross-sectional study design.
Results: The three-factor BSS-R measurement model displayed poor fit, and internal consistency fell below the threshold value. Additionally, it was observed that women undergoing an episiotomy had significantly lower overall SA-BSS-R scores.
Conclusion: The SA-BSS-R manifested atypical measurement properties in this population. Despite insightful observations related to episiotomy, the identified measurement shortcomings highlight the need for a more robust and culturally sensitive translation to enhance measurement characteristics.
Translation and validation of the East Asian Acculturation Measure (EAAM) among Myanmar migrants in Thailand
Authors: Oo Htet Shwe Wah , Thato Ratsiri , Phyo Nyan Win
Published: February 2024

Background: Acculturation provides a framework for exploring the health behaviors of ethnic minority or cultural groups. Research on the acculturation level and patterns of Myanmar migrants is crucial since there is ample evidence that acculturation promotes health-promoting behaviors. However, no Myanmar version has undergone cross-cultural validation.
Objective: This study aimed to translate the original East Asian Acculturation Measure (EAAM) into the Myanmar version (EAAM-M) and investigate its psychometric properties.
Methods: The validation study was conducted on a sample of 200 Myanmar migrants in three factories in Bangkok, Thailand, by a multistage random sampling method from August to September 2023. Brislin’s back translation technique was applied to convert the original EAAM into its modified version, EAAM-M. The reliability, content validity, and construct validity of the EAAM-M were examined, and confirmatory factor analysis (CFA) was employed to test the appropriateness of the model that underpins the EAAM-M structure.
Results: The average age of the participants was 38.39 years (SD = 5.56), and 68% of participants reported they earned less than 9000 baht. In terms of how long they stayed in Thailand, slightly over half (52.5%) did so for 1-5 years. Nearly half of them (46%) cannot communicate at all regarding their proficiency in speaking Thai. The score regarding the comparability of language and similarity of interpretability between the original EAAM and the EAAM-M was satisfactory. The overall alpha reliability of the EAAM-M was 0.76. Based on the CFA, the measurement model was well fit, with acceptable goodness-of-fit values (Chi-square test of model fit (p = 0.05), CMIN/df = 1.70 (X2 = 624.931, df = 366), RMSEA = 0.02, CFI = 0.98, and SRMR = 0.06). The validity and reliability of the factors were affirmed through appropriate factor loadings and satisfactory levels of composite reliability (0.942) and average variance extracted (0.538).
Conclusion: The EAAM-M is a reliable and valid instrument to measure the acculturation patterns of Myanmar migrants. It is beneficial for scholars across various disciplines, including health professionals and nurses, to deliver culturally tailored care for migrants.
Terapi Dzikir terhadap Penurunan Nyeri pada Pasien Infark Miokard Akut Di Ruangan Cardiovasculer Care Unit
Authors: Putra Aldo Yuliano Mas , Melani Melani , Suryati Ida , Wartisa Feny
Published: February 2024

Pravelensi penyakit jantung coroner di Indonesia tahun 2013 sebesar 0,5% atau diperkirakan 883.447 orang, sedangkan bedasarkan diagnosis dokter dokter/ gejala sebesar 1,5% atau diperkirakan sekitar 2.650.340 orang.Penelitian ini bertujuan untuk mengetahui pengaruh terapi dzikir terhadap penurunan nyeri pada pasien infark miokard akut di ruangan CVCU RSUD Dr. Adnaan WD Payakumbuh. Penelitian ini menggunakan metode penelitian kuantitatif Quasy Exsperimen One Grup Pretest Posttest Design. Sampel dalam penelitian ini ada 10 responden, pengambilan sampel dengan teknik Accidental Sampling dan pengumpulan data menggunakan kuesioner dan diolah menggunakan komputerisasi dengan menggunakan uji paired T test. Hasil uji statistik didapatkan p value 0,000, artinya ada perbedaan rata-rata skala nyeri setelah terapi dzikir pada pasien infark miokard akut di ruangan CVCU RSUD Dr. Adnaan Wd Payakumbuh. Diharapkan hasil penelitian dapat dijadikan sebagai bahan masukan untuk petugas instansi kesehatan dan dapat dipraktekan pada pasien Infark miokard akut terkait dengan masalah penelitian ini, sehingga dapat menambah dan meningkatkan pelayanan kesehatan khusunya pada pasien jantung dalam upaya penurunan nyeri, dan untuk pasien agar dapat melalukannya secara mandiri atau didamping keluarga.
EKSISTENSI TRADISI LARANGAN ADAT DESA GOLAN DAN MIRAH SEBAGAI IDENTITAS MASYARAKAT DI KABUPATEN PONOROGO
Authors: Dewi Yessi Kumala , Sudrajat Arief
Published: February 2024

Tradition is a habit of people in an area that has been passed down from generation to generation by our ancestors for a long time. One form of tradition that develops in the community is an oral tradition, for example, the tradition of customary prohibitions in Ponorogo Regency. This study aims to find out about the existence of the customary prohibition tradition found in the Golan and Mirah villages, given that these villages have customary prohibitions not to unite in any case, including marriage and other activities involving the Golan and Mirah village groups. In order to approach the problem, an anthropolinguistic approach is used as references. The data were collected through interviews and literature studies which were analyzed descriptively qualitatively. The results of this study indicate that there are 5 swearing utterances by Ki Honggolono: 1) Golan and Mirah residents are prohibited from marrying; 2) goods originating from the Golan village are prohibited from being brought to Mirah, and vice versa; 3) goods originating from the two villages are prohibited from being collected or combined; 4) the people of Mirah are prohibited from planting and are not allowed to make products related to soybeans; and 5) Golan residents are prohibited from using straw as roofing material for houses. It is disastrous if anyone violates these rules. This tradition can be interpreted as a form of identity for a community group. Until now, the tradition of customary prohibition is still maintained and maintained in the midst of globalization.
RACISM DISCOURSE: MUSLIM STEREOTYPE AND DISCRIMINATION IN THE NOVEL OF SAFFRON DREAMS
Authors: Musakar Nursyakillah , Prabasmoro Tisna , Salehah Amaliatun
Published: February 2024

Muslims in America again became a concern when the events of 9/11 occurred in 2001. Muslims who already have a negative image in the eyes of the West have strengthened again, especially when it is associated with the issue of terrorism. The stereotype of Muslims as a religious and cultural identity is echoing again. The aims of this research is to explain Muslim stereotypes in the novel Saffron Dream by Abdullah (2009). This researchy uses a qualitative descriptive method with sociology of literature approach. The result of this research is that in the novel Saffron Dreams, there are two forms of racism experienced by the main character: the stereotype that they (Muslims) are terrorists. The second is that the stereotype leads Arrisa into discrimination, leading to physical and verbal violence. Based on all the explanations in the previous discussion, one of the main conclusions drawn by the author is that the cause of the racist behavior accepted by Arrisa stems from bad prejudice against Muslims because of their religious and racial similarities with the terrorists in the 9/11 tragedy in America which claimed thousands of lives. Because these prejudices make Americans think that Islam is a religion that teaches the science of terror and that all Muslims are terrorists.
Transcript of talk: Automated mycelium microstructural characterization with image processing artifact prediction
Authors: Stona de Almeida Thaicia
Published: February 2024

This talk discusses fungal mycelium as a biomaterial, its applications, and the process of microstructure characterization based on scanning electron microscope images, the challenges of micrograph knowledge extraction and how Machine Learning can help automate the identification of imaging artifacts.
TCP/IP and Cellular Networks of GSM
Authors: Annamalai Chinnaraji
Published: February 2024

Cellular network is a telecommunication technology for mobile phones or mobile stations. The mobile station (MS) consists of a cellphone equipment such as the radio transceiver, the digital signal processor, and the SIM card. The paper focuses on TCP/IP with cellular networks.
Diffusion Model Spread of Electric Charge in the Resistive Micromegas Detectors: Implementation to the New Small Wheel Upgrade of the ATLAS Experiment
Authors: Maltezos Stavros , Alexopoulos Theodoros , Dris Manolis , Iakovidis George
Published: February 2024

The study of the operation of the resistive Micromegas detector of the New Small Wheel upgrade of the ATLAS Experiment is presented in this work. The main prospect is the understanding of the spark suppression mechanism in the amplification region. Namely, the space-time solution of a point-like electric charge spread along a resistive strip is calculated analytically. For this purpose, the method of reflection and superposition was applied under the particular initial and boundary conditions. An appropriate methodology for the correct virtual image charges configuration is introduced. In addition, the electric field in the amplification region is calculated as a function of the deposited charge position and the resistance of the strip material, while the results are discussed.
Endoscopic mucosal resection with a circumferential incision in the removal of colon neoplasms. Results of a randomized trial.
Authors: Abdulzhalieva E. U. , Likutov A. A. , Veselov V. V. , Mtvralashvili D. A. , Yugai O. M. , Khomyakov E. A. , Chernyshov S. V. , Sushkov O. I.
Published: February 2024

OBJECTIVE: to compare the immediate and long-term results of endoscopic mucosal resection with a circular incision (C-EMR) and endoscopic submucosal dissection (ESD) in the treatment of patients with large benign epithelial neoplasms of the colon.

PATIENTS AND METHODS: a prospective randomized comparative study was conducted from November 2020 to July 2022, included 103 patients with benign epithelial neoplasms of the colon ranging in size from 20 to 30 mm. The C-EMR method was used in 52, ESD - 51 patients.

RESULTS: the removal of the tumor by the C-EMR method required statistically significantly less time, compared with the ESD method – 30 and 60 minutes, respectively (p<0.001). Intra- and postoperative complications occurred in 13(23.7%) patients in the C-EMR group and in 12(23.5%) patients in the ESD group. The most frequently reported complication was postcoagulation syndrome in the main and control groups – in 9(17.3%) and 11(21.6%) cases, respectively. It was found that the difficult location of the tumor (OR=18.3; p=0.01) and intraoperative complications (OR =37.5; p=0.04) are independent conversion factors of endoscopic intervention. The frequency of tumor removal in a en bloc and achievement of negative resection margins (R0) in the main and control groups did not significantly differ – 47(90.4%) and 49(96.1%) (p=0.4) and 40(76.9%) and 45(88.2%) (p=0.2), respectively.

CONCLUSION: endoscopic mucosal resection with a circumferential incision is an effective and safe operation comparable to endoscopic submucosal dissection, and can be the method of choice for benign epithelial neoplasms of the colon with sizes from 20 to 30 mm. In addition, the duration of the operation using the C-EMR method is two times less than using ESD.
Does regulation hold the key to optimizing lipopeptide production in Pseudomonas for biotechnology?
Authors: Zhou Lu , Höfte Monica , Hennessy Rosanna C.
Published: February 2024

Lipopeptides (LPs) produced by Pseudomonas spp. are specialized metabolites with diverse structures and functions, including powerful biosurfactant and antimicrobial properties. Despite their enormous potential in environmental and industrial biotechnology, low yield and high production cost limit their practical use. While genome mining and functional genomics have identified a multitude of LP biosynthetic gene clusters, the regulatory mechanisms underlying their biosynthesis remain poorly understood. We propose that regulation holds the key to unlocking LP production in Pseudomonas for biotechnology. In this review, we summarize the structure and function of Pseudomonas-derived LPs and describe the molecular basis for their biosynthesis and regulation. We examine the global and specific regulator-driven mechanisms controlling LP synthesis including the influence of environmental signals. Understanding LP regulation is key to modulating production of these valuable compounds, both quantitatively and qualitatively, for industrial and environmental biotechnology.
A comparison of two snapshot studies half a century apart suggests stability in a Pacific Northwest winter forest bird community
Authors: Clements Nolan M. , Robinson W. Douglas
Published: February 2024

Populations of many North American bird species have declined throughout the past half century. The majority of studies quantifying these declines have analyzed counts of birds taken during spring and summer, not during the season of scarcity, winter. We re-surveyed seven large study plots in Douglas fir (Pseudotsuga menziesii) forests initially surveyed in winter during the late 1960s in the Oregon Coast Range, USA. We compared density estimates, observed species richness and vegetation structure within plots, and inspected aerial photography to describe changes in landscape-level landcover. To assess potential drivers of change, we reviewed historical climate data and explored patterns of abundance associated with forest age. Observed species richness was greater in the modern surveys. Abundances of four of the six most common bird species appeared to be similar to or slightly lower than 50 years ago as the historical point estimates usually fell within or above 95% confidence intervals generated from our analyses. We found no clear associations with changes in bird communities and forest structure, climate, or forest age. The historical data are unique in providing point estimates of abundance for the entire bird community on each study plot. Yet, some uncertainties in accuracy of the historic counting methods could still influence interpretation of multi-decadal changes in apparent abundance. We conclude that this Pacific Northwest bird community was relatively stable in its abundances of the most common forest-dwelling species and that largely the communities are still intact. Additional production of precisely repeatable surveys of winter bird communities are needed in all habitats to adequately characterize long-term population dynamics during the season of scarcity.