bluuebunny/crossref_metadata_2025 huggingface dataset:
Ethics and medical education in communicating the prognosis of pediatric acute lymphoblastic leukemia
Authors: Barroso Sánchez Gustavo , Gámez Perez Anadely , Fajardo Borges Catherine Milagros
Published: February 2025

Introduction: Communication of prognosis in pediatric hematology and oncology constitutes a critical process. This process affects decision-making, adherence to treatment and the psycho-emotional well-being of families. In pediatric acute lymphoblastic leukemia, advances in prognostic biomarkers allow better risk stratification; however, the interpretation and ethical transmission of this data represents a challenge.Objective: to present the ethical aspects of prognosis communication, prognosis communication models and strategies that can improve the training of health professionals in this context.Methods: An exhaustive search was carried out in databases such as Scielo, Pubmed, Science Direct, Redalyc, Google Scholar, and updated articles published in the last 5 years in English and Spanish were used as references. An analysis and summary of the bibliography was carried out and the most important aspects related to the topic were taken.Conclusions: Effective communication of prognosis in pediatric acute lymphoblastic leukemia requires an integrative ethical and educational approach. Training professionals in patient-centered communication strategies is essential to improve the experience and quality of life of patients and their families. The adoption of adaptive models and the incorporation of innovative training strategies emerge as key elements to face the challenges inherent to pediatric oncology.
Process of economic-financial management at Health Technology
Authors: Juan Carlos Páez Valdés Juan Carlos Páez Valdés , Rodríguez Sánchez Yuleiky
Published: February 2025

Introduction: The University of Medical Sciences of Havana is immersed in improving the management of its substantive processes: teaching, research and extension, as well as in the management of strategic and support processes, especially those that ensure the economic-financial management. In the area of Health Technology, in recent times a large academic movement has developed. Therefore, the interrelation of substantive processes with the economic-financial management process is considered important. Objective: The objective of this research is to identify the foundations that support the financial economic management process in Health Technology.  Methods: a qualitative descriptive study was carried out, methods included the theoretical level where various authors on the topic were systematized.Results: The main results were based on identifying the main theoretical nuclei considered in the support of the economic-financial management process in Health Technology.Conclusions: The economic-financial management process in Health Technology is based on the systems and subsystems of the MES Economic-Financial Management Model, which, located in the context of Medical Education, considers its principles: education at work, permanent and continuing education, formation of values and internationalization.
Survey of risk factors and pregnancy complications in women with prolonged gestation
Authors: De Castro Resende Santos Bábara Augusta , Da Silva Gabriele , De Almeida Isabella Cristini Amaral , Soares Caracol Patrícia Facina , Alves dos Santos William , Solai Cibele Andrés
Published: February 2025

Introduction: Pregnancy is an extraordinary and remarkable event in a woman's life and requires special care for her individualities. It means an incomparable cycle for her, the art of conceiving her own child. To count the main articles involving risk factors and complications in prolonged pregnancy. Method: This is a descriptive, quantitative and exploratory data analysis study. Research was carried out in two stages: identification of the central problem and a search in the literature for quantitative research that addresses the central objective of the work and the elaboration of the following questions: "What is the nurse's attribution to prolonged pregnancy?"Results: Articles were found in English, Portuguese and Spanish, a total of 14 articles. Conclusion: There is a relative scarcity of articles on risk factors and complications related to prolonged pregnancy, and there is a need for more scientific evidence.
Community Strategies to Improve Therapeutic Adherence and the Quality of Life of PLWHA in Angola
Authors: Caballero Camacho José Arcadio , Díaz Niurka Taureaux
Published: February 2025

The HIV/AIDS epidemic has been a public health challenge, affecting sub-Saharan Africa in particular. In Angola, the province of Moxico has faced structural difficulties that have limited access to treatment. Between 2022 and 2024, the Moxico Municipal Hospital implemented a group intervention to improve the quality of life of people with HIV. This strategy included educational sessions and emotional support to strengthen adherence to antiretroviral treatment (ART). Before the intervention, only 35% of patients complied with ART, increasing to 90% after the programme was implemented. Furthermore, more than 90% of participants achieved undetectable viral load levels, reducing the risk of transmission. The programme also addressed stigma and discrimination, promoting the social integration of patients. Healthcare personnel were trained and educational strategies were developed adapted to the cultural and linguistic context of the region. Despite the challenges, the intervention proved to be effective and replicable in other regions.
Academic exposure in women's health in a private college in the city of Jacareí: an experience report
Authors: Amaral de Almeida Isabella Cristini , Facina Soares Caracol Patrícia , Rodrigues Zaram Alcântara Tatiane , Cirimbelli Souza Aline Albuquerque , Alves dos Santos William
Published: February 2025

Introduction: Research in academia is increasingly present through the development of projects, papers, exhibitions and events promoted by universities and colleges. To present the experience lived by the nursing students in the development of the academic activity of educational action to women's health. Methods: This is a descriptive study, of the type experience report from the first scientific exhibition on women's health proposed in the context of the discipline "Nursing in Women's Health" of the undergraduate course in nursing at the Faculdade Anhanguera de Jacareí, in the state of São Paulo. It was developed in October 2022, in celebration of the month of breast cancer awareness: "pink October". Results and Discussion: The event was attended by professors from the anhanguera college from different areas of concentration, where we had a homogeneous group for the evaluation of works in women's health. We had the participation of professors from the nursing, psychology, biology, engineering, physiotherapy, pedagogy, and law courses. Conclusion: From the above, it is concluded that the nursing department of the Anhanguera College, Jacareí unit, conducted its first scientific exhibition with excellence and dedication.
Circular economy as a learning necessity in undergraduate and postgraduate teaching in Health
Authors: Casanova Moreno Maria de la Caridad , Arias González Maira Margot , Machado Reyes Francisco , González Casanova Wagner , Casanova Moreno Daimy , Gómez Guerra Diana Belkis
Published: February 2025

Introduction: Education is central to building a different world. Learning about the circular economy transforms people, helps us think and change everyday realities with reflections ranging from the way we consume food to how we dress. In the same way, it allows us to see that plastics are in our lives to provide value and that they can follow a sustainable and circular process if we consume them responsibly, separate them and do not abandon them in the environment.Objective: to offer a vision of the circular economy as a necessity for undergraduate and graduate health teaching.Methods: narrative bibliographic review, where a search was made in the MEDLINE/Pubmed, Scielo, LILACS databases, in the last 5 years, the terms Circular Economy were used as descriptors, with the alternative terms: circular economy and education, sustainable development; sustainable economy; systematic review.Development: The importance of the circular economy in undergraduate and graduate teaching in the health sector, the education of university students and the management of sustainability, as well as the curricular strategies based on the comprehensive training of graduates of medical sciences and the possibility of introducing the circular economy are defined.Conclusions: In Cuba, there is all the potential to achieve learning about the circular economy in undergraduate and graduate studies in the health sector, and it is also necessary because this will improve the results for people, families, communities, and the health system itself in particular.
Psychosocial aspects for treating mental health in the post-Covid phase
Authors: Macías-Bestard Camilo , Pérez-Sevila Yannelis
Published: February 2025

In order to address mental health in the context of Covid-19 as a pandemic, it is urgent to address this issue from the perspective of some psychosocial aspects and the intervention pyramid for mental health and psychological support. Objective: to identify the psychosocial aspects involved in addressing post-Covid mental health as a pandemic event. A bibliographic and documentary review was carried out on the subject in digital data sources on the subject. Different scientific information search engines were used: PubMed and Google Scholar. Review articles, research articles and published web pages were evaluated. Very important psychosocial aspects were found such as: related to the general context, to the strengthening of local care, protective environments, which includes key psychosocial principles, aspect about the whole community, as well as general activities for all aspects and/or interventions and public messages. The COVID-19 pandemic is a major threat to both physical and mental health and the well-being of society.
Challenges and opportunities of formative feedback in Ecuadorian education
Authors: Conde Arteaga Bismar Ariel , Lastra Cordero Johana Carolina , Peláez Álava Jessica Viviana , Segura Quiñonez Leili Betty , Piza Burgos Narcisa Dolores
Published: February 2025

The study analyzed the importance of formative feedback in the self-regulation of learning by high school students in Ecuador. It was found that, despite the educational reforms that promoted active methodologies, their effective implementation still faced obstacles. Among the main factors that hindered their application were teacher overload, lack of training in feedback strategies, and resistance to methodological change. These elements limited the possibility of students reflecting on their learning and improving their study strategies. From a theoretical perspective, it was shown that self-regulation of learning was key to academic and professional success, as it allowed students to plan, monitor and evaluate their performance. It was evident that structured feedback favoured metacognition and autonomous learning, in contrast to traditional strategies. In the Ecuadorian context, the lack of didactic approaches based on feedback affected the development of critical thinking and student autonomy. Finally, it was concluded that the implementation of formative feedback strategies could improve the quality of education. It was suggested that teacher training and the use of technologies to personalize feedback would be essential to overcome existing barriers. In addition, the need to design educational policies that would facilitate their adoption was highlighted, with the aim of transforming education and preparing students for future academic and professional challenges.
The socioemotional education of adolescents from the educational process
Authors: Monzón González Roxana
Published: February 2025

This research article addresses the importance of socioemotional education in adolescents within the context of the junior high school educational process. It highlights that this stage is crucial for the comprehensive development of young people, as they face significant emotional and social challenges. Through a detailed analysis of the particularities of the educational process at this stage, the specific needs of adolescents are identified, as well as opportunities to foster their emotional well-being. The research focuses on the planning of a socio-educational project designed to enhance socioemotional education, addressing aspects such as self-awareness, empathy, emotion management and interpersonal skills. For this purpose, qualitative methods such as observation, interviews and surveys are used to obtain an in-depth view of the school reality and the perceptions of students, teachers and parents on the importance of socioemotional education. The results show that the implementation of socioemotional strategies in the classroom not only improves the school climate, but also contributes to the personal and social development of adolescents, preparing them to face the challenges of everyday life. The article concludes with recommendations for the integration of these approaches into the educational curriculum, highlighting the need to train qualified teachers and create spaces for dialogue that promote an emotionally healthy culture in schools.
Factors Affecting The Choice Of University Courses: A Longitudinal Study At The Santo Tomás Italian Subsidized Private School, 2024
Authors: Benítez Blanco Mónica Celeste
Published: February 2025

Career choice is a fundamental process in the lives of individuals, influenced by various social, cultural, economic and work factors. In the context of the Santo Tomás Italian Subsidized Private School, this research seeks to understand how these influences affect the career decisions of its graduates. The main objective is to analyze the impact of socioeconomic level, parental education, cultural identity and family expectations on the choice of university careers of these young people. To achieve this, the study combines a longitudinal approach with quantitative and qualitative methods. Surveys are used to collect sociodemographic data and semi-structured interviews to explore in depth the experiences and perceptions of graduates. The findings allow us to conclude that the choice of university major by graduates of the Santo Tomás Italian Subsidized Private School is influenced by a combination of social, cultural, economic and labor factors. These factors interact to shape students' academic and career decisions, reflecting both their personal aspirations and the expectations of their families and labor market demand. Understanding these elements will allow you to implement more effective vocational guidance strategies, aimed at supporting informed and balanced decisions for your academic and professional future.
Educational innovation and youth participation: the Inverted Classroom in the optional vote
Authors: Alvarado Alquinga Janeth Carolina , Nugra Pachar Marco Vinicio , Pineda Guerrero Janina Mariuxi , Ibarra Freire Marta Cecilia , Montero Reyes Yilena
Published: February 2025

The implementation of the Inverted Classroom in the civic education of high school students in Ecuador represented an attempt to modernize teaching methods and strengthen youth electoral participation. However, this phenomenon could not be analyzed in isolation, as similar challenges persist in Latin America in terms of political interest and trust in democratic institutions. During 2023 and 2024, the region experienced institutional crises and increasing polarization, affecting youth participation in electoral processes.The Inverted Classroom allowed students to access theoretical content outside the classroom and focus on reflection and application in class, promoting more dynamic learning. In countries such as Mexico and Colombia, similar initiatives strengthened democratic education through digital platforms and youth participation programs. However, in countries with technological gaps, such as Brazil and Peru, the implementation of this methodology required greater investment in infrastructure and teacher training.In conclusion, the Inverted Classroom proved to be an effective strategy to encourage youth participation in democracy. Its success depended on adaptation to each national context, as well as institutional support to ensure equitable access to civic and digital education.
Education in Mexico and Argentina: Progress and Challenges in 2023
Authors: Córdova González Diana Elizabeth , Zaragoza Alvarado Guillermo Alejandro
Published: February 2025

During 2023, the educational system in Mexico continued with the transition to the New Mexican School, whose purpose was to improve teaching through innovative strategies and the use of technology. The Ministry of Public Education promoted the improvement of reading comprehension and the development of critical thinking in students, in order to strengthen their academic performance. In this context, strategies such as the Basic System for Educational Improvement and the Minimum School Operation Standard were implemented.On the other hand, Argentina faced similar challenges in the educational field. Through the National Reading Plan and programs such as “Conectar Igualdad”, it sought to reduce the digital divide and improve students' reading and scientific skills. In addition, the Argentine government promoted technical and professional education, with initiatives such as “Argentina Program 4.0” and dual education, which promoted training in digital skills and facilitated the labor market insertion of young people.In both Mexico and Argentina, education was consolidated as a key tool for social and economic development. The integration of technologies in learning, together with innovative pedagogical strategies, allowed progress to be made in educational equity and the formation of citizens prepared to face the challenges of the 21st century.
Evolution of Psychoeducational Paradigms and their Impact on Learning -Part 2
Authors: Córdova González Diana Elizabeth , Zaragoza Alvarado Guillermo Alejandro
Published: February 2025

The study analyzed the regulatory framework of the educational system in Mexico and its impact on the quality of teaching and learning. It examined the Political Constitution, the General Education Law and various government programs that have established legal bases to guarantee educational equity and inclusion. It was identified that the regulations have contributed to the continuous improvement of the educational system, although challenges persist in terms of quality, teacher training and technological adaptation.The role of the New Mexican School and the National System for Continuous Improvement of Education in the implementation of strategies to strengthen competency-based learning and the development of critical thinking was highlighted. However, their success depends on the correct application of policies, investment in infrastructure and teacher training.In addition, it was observed that, although there has been progress in educational coverage and the reduction of access gaps, education in Mexico still faces challenges to consolidate a more inclusive and flexible model. Collaboration between government, educational institutions and society was considered essential to ensure a system that responds to current needs. Finally, it was concluded that education must continue to evolve to ensure equitable and quality learning opportunities for the entire population.
Academic stress and causal factors in medical students in an educational institution in Mexico
Authors: Salazar Echeagaray Teresa Irina , Bueno-Fernández Mario Mitsuo , Salazar Echeagaray Julieta Elizabeth , González Torres Víctor Hugo
Published: February 2025

Introduction: Academic stress is a common problem in medical students, affecting their well-being and performance. This study analyzed its level and causal factors.Methods: A quantitative, descriptive and cross-sectional study was carried out on 472 medical students. A questionnaire on stressors and physical, psychological and behavioral reactions was applied. The data were analyzed with descriptive statistics in SPSS.Results: Academic overload (68.2%), constant evaluations (61.5%) and competition among peers (55.7%) were the main stress factors. Among the physical manifestations, 72.4% reported fatigue and 64.1% reported sleep disturbances. In the psychological field, 67.3% presented anxiety and 54.9% presented emotional exhaustion.Conclusions: Medical students present high levels of stress with an impact on their health and performance. It is recommended to implement coping strategies such as time management, psychological support and healthy habits.
Biases in accounting publications: myths and truths
Authors: Romero-Carazas Rafael
Published: February 2025

This study was carried out with the aim of analysing the biases of accounting publications: myths and truths. In its development, the analytical method was used from a descriptive perspective, as well as the research tools of the documentary review. The findings indicate that the observation, reflection, analysis and prediction skills of accountants remain underdeveloped throughout the training period, with the result that quantitative rather than qualitative data are considered more in decision-making. Reasons for this include a lack of clarity about its usefulness and its role in developing innovative approaches to accounting theory and practice. It is concluded that accounting is projective and predictive, so studying, understanding and introducing it as a basis for financial analysis in accounting practice requires a unique pedagogy; due to changes in the perception of reality, new types of observation are conducive to solving its difficult challenges.
Interactive and educational content based on the use of Genially to energize the teaching-learning process in the History subject for Secondary Education students
Authors: Montero Reyes Yilena , Herrera Córdova Alba Viviana , Pardo Capa Lucia Efigenia , Torrales Avilés Orlando Máximo , Villalta Leon Betty Alexandra
Published: February 2025

This study presents the design and evaluation of teaching strategies based on Genially to improve History education in secondary schools. Using a qualitative approach, case studies and classroom observations were conducted to analyze the impact of these strategies on students' learning. It was explored how the use of interactive digital tools facilitates the development of critical thinking and the retention of historical knowledge. The results show that integrating Genially into teaching methodology can promote meaningful and motivating learning, as well as provide a replicable model for other educational institutions. Surveys were conducted with 75 students and 15 teachers. The results reveal an increase in motivation and improved understanding of historical content when Genially is used in the classroom. The proposal involves developing interactive educational content using Genially, including presentations and quizzes, to facilitate the learning of specific topics from Unit 4: Greece, the Cradle of the West, employing dynamic and participatory learning, adapting to different learning styles and student needs to ensure they adequately understand historical content. It is concluded that the use of interactive resources enhances meaningful learning and the active participation of students.
Educational innovation and electoral participation: Inverted Classroom as a strategy in Citizenship Education
Authors: Alvarado Alquinga Janeth Carolina , Nugra Pachar Marco Vinicio , Pineda Guerrero Janina Mariuxi , Ibarra Freire Marta Cecilia , Montero Reyes Yilena
Published: February 2025

IntroductionThe optional right to vote in Ecuador for adolescents between 16 and 18 years of age, established in the 2008 Constitution of Montecristi, represented an advance in youth citizen participation. However, there was a low turnout at the polls, attributed to a lack of motivation and ignorance about the importance of voting. Despite the fact that the Citizenship Education course included topics related to democracy and voting, traditional expository methodologies failed to arouse students' interest.DevelopmentThe research addressed this problem by implementing the Flipped Classroom as a methodological strategy to improve the electoral education of young people. This approach allowed dynamizing learning through digital tools and synchronous and asynchronous activities, promoting a more interactive teaching. It was detected that the lack of coordination between educational institutions and the National Electoral Council (CNE) limited the realization of electoral simulations, which reduced the familiarization of students with democratic processes. In addition, it was highlighted that socioeconomic inequalities and access to quality education significantly influenced the electoral participation of adolescents.ConclusionThe findings demonstrated that the application of the Inverted Classroom strengthened civic education, promoting a more active electoral participation. It was concluded that the adaptation of innovative pedagogical strategies was essential to prepare young people to exercise their democratic rights. Education needed to be modernized to respond to current challenges and foster a more engaged citizenship.
The Flipped Classroom as a Methodological Strategy in Training and Education for the Exercise of Optional Voting from the Citizenship Education Subject in High School Students in Ecuador
Authors: Alvarado Alquinga Janeth Carolina , Nugra Pachar Marco Vinicio , Pineda Guerrero Janina Mariuxi , Ibarra Freire Marta Cecilia , Montero Reyes Yilena
Published: February 2025

This article addresses the implementation of the Flipped Classroom as a methodological strategy for training and educating high school students in Ecuador on the exercise of optional voting, within the framework of the Citizenship Education subject. The problem lies in the lack of understanding and active participation of students in the electoral process, limiting their ability to exercise their voting rights in an informed manner. The main objective is to analyze the effectiveness of the Flipped Classroom in improving students' understanding and motivation regarding optional voting. A quantitative methodology was used, with surveys administered to students before and after the implementation of this strategy. The results show an increase in motivation, understanding of the electoral process, and awareness of the importance of optional voting. Additionally, students reported higher levels of active participation and critical reflection on their role as voters. It is concluded that the Flipped Classroom can be an effective tool for teaching citizenship and electoral participation, promoting more autonomous, meaningful, and practice-oriented learning.
Feedback strategies to strengthen autonomy in student learning
Authors: Conde Arteaga Bismar Ariel , Lastra Cordero Johana , Peláez Álava Jessica Viviana , Segura Quiñonez Leili , Piza Burgos Narcisa Dolores
Published: February 2025

Secondary education has faced difficulties in the development of self-regulation and autonomous learning in students. At the Camilo Ponce Enríquez Public School, located in Quito, this problem has been identified in first-year baccalaureate students, who depend excessively on teacher guidance. Feedback has been proposed as a key strategy to strengthen these skills, allowing students to understand their learning process and take a more active role.This research analyzed the relationship between feedback and self-regulation of learning, considering different pedagogical strategies employed by teachers. It was evident that efficient feedback is a participatory process that encourages reflection and monitoring of one's own performance. However, many teachers perceive feedback as a simple correction of errors, without encouraging the autonomous development of the student. Previous studies have shown that adequate feedback not only improves academic performance, but also motivates students to develop strategies to self-regulate their learning. In Ecuador, the lack of knowledge about feedback techniques limits its effective application in the classroom. The present research highlights the need to modify teaching practices, promoting spaces for dialogue and reflection to achieve meaningful and autonomous learning.
Use of design thinking methodology applied to education for strengthening the teaching of citizenship education
Authors: Asanza Romero Adriana Elizabeth , Quinteros Kohlhauser Joffre Vicente , Montero Reyes Yilena , Bastidas Cazares Iliana Verónica , Gallardo Solís Joanna Maricela
Published: February 2025

The aim of this research is to investigate whether the Design Thinking methodology can enhance the teaching of citizenship and rights among second-year high school students. The study was conducted with a cohort of 29 second-year students from Unidad Educativa Llano Chico in Quito, Ecuador. A survey was administered to gauge their perceptions of the impact of active methodologies, including the one under study, on their understanding of citizenship and rights.The findings revealed that while students are not familiar with this specific methodology, they do possess knowledge of other similar methodologies and strategies related to Design Thinking. In conclusion, the research suggests that the effectiveness of such methodologies is highly likely. It is recommended that further experimental research be conducted of collaborative practices, were key in improving linguistic competencies, especially in spelling and grammar, showing a significant improvement in student performance in these areas.
Development of linguistic skills through the theatrical theater
Authors: Naranjo Sevilla Loly Mabel , Villegas Chunata María Teresa , Montero Reyes Yilena , Naranjo Sevilla Jeni Araceli
Published: February 2025

Early childhood education required innovative strategies to enhance the comprehensive development of children, especially at the preparatory level. According to the Ministry of Education (2016), teachers had to implement methodologies that transcended the simple transmission of knowledge, focusing on linguistic and communicative skills. In this context, the theatrino was presented as an effective tool, integrating visual, auditory and kinesthetic elements to improve oral expression and social interaction.At the Carlos Cisneros Educational Unit, there was evidence of insufficient development of language skills in high school students, reflected in their lack of confidence in public speaking, difficulties in verbal communication and poor participation in class. This problem was attributed to traditional teaching methodologies, focused on memorization and theory, without encouraging experiential learning.The research was based on a quantitative approach with a sample of 132 students, determining that the theatrino facilitated linguistic learning through dramatization and storytelling. It was concluded that the use of the teatrino promoted the children's oral development, verbal fluency and social interaction. As a result, its implementation was proposed as a pedagogical strategy to improve the students' participation and linguistic performance, thus strengthening their communication both in the classroom and in their family environment.
The use of Genially as an interactive didactic resource in History teaching: impact on students motivation and comprehension
Authors: Herrera Córdova Alba Viviana , Pardo Capa Lucia Efigenia , Torrales Avilés Orlando Máximo , Villalta Leon Betty Alexandra , Avilés Haiman Esmilda Leonor
Published: February 2025

The present research project, titled "The Use of Genially as an Interactive Didactic Resource in History Teaching: Impact on Students' Motivation and Understanding," analyzes the impact of using Genially as an interactive didactic tool on the motivation and understanding of first-year high school students in the History subject at an educational institution in Ecuador. The problem arises from students' lack of interest in History and the scarcity of digital learning resources, as well as teachers' lack of motivation to replace traditional practices with more engaging resources that could positively impact the History teaching-learning process. A quantitative approach was applied through surveys conducted with 75 students and 15 teachers. The results show an increase in motivation and an improvement in the understanding of historical content when Genially is used in the classroom. It is concluded that the use of interactive resources enhances meaningful learning and encourages active student participation.
Terminology in qualitative research methodology
Authors: Roman-Acosta Daniel
Published: February 2025

Qualitative research focuses on the in-depth and contextualized exploration of phenomena, requiring precise use of terminology to ensure the consistency and quality of studies. This article examines the confusion and controversy surrounding key methodological terms, offering a critical review of the literature. Through a systematized review of academic sources, these terms are clarified and practical examples are provided for their correct application. This effort contributes to conceptual clarity and promotes a more productive discourse among researchers, strengthening research practice and the generation of knowledge in the qualitative approach.
Risk factors in depression in oncology patients. Dr. Julio Villacreses Colmont Hospital
Authors: Zambrano Escobar Mayra Viviana , Espinel García Julia Teresa
Published: February 2025

The general objective of this study was to analyze the risk factors for depression in patients with an oncological diagnosis treated at the Dr. Julio Villacreses Colmont Hospital in Portoviejo. A descriptive and cross-sectional design was used, applying a sociodemographic file and the Hospital Anxiety and Depression Scale (HAD) to a sample of 242 patients. The results revealed that 33% of the patients had severe depression, while 42% showed moderate depression. In terms of anxiety levels, 30% of participants experienced severe anxiety and 41% moderate anxiety. The most prevalent types of cancer were prostate and lung, with most diagnoses in advanced stages (III and IV). A high rate of comorbidities was identified, present in 52% of patients, which complicated treatment and affected prognosis. In conclusion, the high levels of anxiety and depression in cancer patients highlight the importance of integrating psychological support into their care, promoting a comprehensive approach that improves both quality of life and clinical outcomes.
Circular Economy in the Health Sector: Sustainable Management of Hospital Waste and Its Environmental Impact
Authors: Ultreras-Rodríguez Andrés , Díaz-Romero Yennifer , Quintero Ramírez Juan Manuel , Rodríguez Torres Esteban
Published: February 2025

Introduction:The circular economy has become a key strategy to optimize hospital waste management, reduce operating costs, and minimize environmental impact. This study analyzes the factors that influence the adoption of circular economy practices in the health sector, identifying its benefits and main barriers.Methods:A descriptive and exploratory study with a mixed approach was carried out, applying documentary review, surveys, and case analysis in hospitals and clinics. Data were collected on the generation and management of hospital waste, evaluating reduction, reuse, and recycling strategies. Data analysis was carried out using descriptive statistics and content analysis.Results:It was identified that 70% of hospital waste corresponds to recyclable or reusable materials, although only 15% of hospitals have implemented circular economy strategies. Health centers with circular programs managed to reduce waste generation by 25% and operating costs by 18%. However, the main barriers include the lack of infrastructure, specific regulations, and resistance from healthcare personnel.Conclusions:The circular economy in the health sector allows for optimizing waste management, reducing costs and minimizing environmental pollution. However, its success depends on public policies, financing and incentives that promote its implementation. It is recommended to strengthen regulation, infrastructure and staff training to facilitate the transition towards a more sustainable hospital model.
From theory to practice the future of education through innovation and sustainability
Authors: Quyen Bui Thi , Ha Anh Dao Thi , Phuong Hoa Dinh , Thi Thanh Cao , Mishra Ashutosh , Hosseini Meead
Published: February 2025

This study delved into the efficacy of project-based learning and technology integration in cultivating student satisfaction and engagement within a sustainability course. By employing a mixed-methods approach, involving both quantitative and qualitative data from 200 business students, this research examined the impact of these innovative pedagogical strategies. The findings unveiled that these methods not only augmented students' learning experiences but also significantly fostered a profound comprehension of corporate social responsibility. Students reported increased motivation, critical thinking skills, and collaboration abilities as a result of their involvement in real-world projects. Furthermore, the integration of technology facilitated access to diverse information and resources, thereby enriching the learning process. These results align with the assertion by Bonnett (2008) that project-based learning can be instrumental in developing students’ higher-order thinking skills and fostering a sense of civic responsibility. This study contributes to the growing body of research advocating for experiential and technology-enhanced learning as effective approaches to sustainability education.
The application of digital people in cultural and creative products in the context of artificial intelligence
Authors: Zhuo Yue , Pang Hongli
Published: February 2025

Introduction: One of the most significant advancements in the contemporary creative sector is the integration of digital technologies and artificial intelligence (AI) in the design and development of cultural and creative products (CCP). It investigates the use of AI-driven digital technologies, focusing on their role in enhancing aesthetics, streamlining design processes, and improving user experiences in CCP.Methods:The applies advanced AI methods, including the Penguin Search Optimization Malleable Decision Tree (PSO-MDT), and shape grammar techniques. Shape grammar is utilized to derive design guidelines for artistic and cultural objects, while MDT predicts the most suitable design elements for cultural products. The Intelligent Product System (IPS) is employed to optimize the design process for CCP.Results: The demonstrates that optimized designs achieved through these AI methods exhibit scaling values approaching near-maximum levels, signifying improved aesthetic and functional outcomes. This validates the effectiveness of AI in enhancing cultural product designs.Conclusions: The transformative potential of AI-driven digital technologies in fostering innovation within the creative sector. By emphasizing the application of advanced AI methodologies, it offers valuable insights into improving the aesthetic and practical attributes of CCP and guiding future developments in this field.
Effect of Mass and Contact Time of Coffee Grounds in Nickel Metal Ion Adsorption on Liquid Waste of Chemistry Laboratory
Authors: Trinanda Inez , Yussi Pratiwi  , Tritiyatma Hadinugrahaningsih
Published: February 2025

Based on Indonesian Government Regulation PP No. 22 of 2021 concerning the implementation of environmental protection and management, the quality standard for nickel in waters is 0.05 mg/L. Nickel waste is very harmful to aquatic and terrestrial ecosystems and poses risks to human health. In this study, nickel waste was treated with coffee grounds using the adsorption method. The purpose of this study was to determine the effect of variations in the mass of coffee grounds and contact time on the adsorption of nickel metal in the liquid waste generated by the UNJ Chemistry laboratory. Coffee grounds are activated with NaOH 0.01 M to increase their adsorption ability. Two tests were conducted, namely, the variation of adsorbent mass and the variation of contact time. Based on the results of testing the variation of adsorbent mass and contact time, the highest percentage of removal was obtained at 91.70% at a mass of 0.05 g with a contact time of 15 minutes. The lowest percentage of removal was 39.56% in a mass of 1.5 g with a contact time of 90 minutes. This research provides a novel approach to heavy metal waste treatment especially nickel metal ion, which can be adapted to enhance waste treatment technologies in the future.
Synthesis of α-Fe2O3 and α-Fe2O3/SiO2 Composite from Geothermal Waste by Sol-Gel Method and Their Characterization
Authors: Mulmeyda Rinda , Reinardo Ramawijaya Widakusuma  , Sabrina Putri Chaerani  , Agus Purwanto  , Rifqi Almusawi Rafsanjani  , Habib Muhammad Zapar  , Bagaskoro Pranata Ardhi
Published: February 2025

Iron oxide materials, especially hematite (α-Fe2O3), have many important applications. Improving the characteristics and physical properties of hematite has been widely developed, one of which is to combine it as a composite structure with porous materials such as silica (SiO2) as α-Fe2O3/SiO2 composite. This research aims to synthesize α-Fe2O3 particles and α-Fe2O3/SiO2 composites. The α-Fe2O3/SiO2 composite was successfully synthesized by using geothermal waste as an alternative source of silica prepared by the sol-gel method. Both synthesized samples were characterized by X-ray diffraction, scanning electron microscopy equipped with energy dispersive spectroscopy, and X-ray fluorescence techniques. The results showed that silica composites on hematite structure slightly affect the morphology, color, or particle size compared to α-Fe2O3.
KHẢO SÁT RỐI LOẠN TRẦM CẢM BẰNG THANG ĐIỂM DASS-21 Ở BỆNH NHÂN LỌC MÁU CHU KỲ
Authors: Phạm Ngọc Thảo , Lê Việt Thắng , Phạm Quốc Toản
Published: February 2025

Mục tiêu: Khảo sát tỷ lệ rối loạn trầm cảm (RLTC) bằng thang điểm đánh giá mức độ lo âu, trầm cảm và stress (depression anxiety stress scale-21 - DASS-21) và một số yếu tố liên quan ở bệnh nhân (BN) lọc máu chu kỳ. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 60 BN lọc máu chu kỳ được thu thập từ tháng 8/2023 - 5/2024 tại Khoa Thận và lọc máu, Bệnh viện Quân y 103. Tình trạng RLTC của BN được khảo sát bằng bộ câu hỏi đánh giá DASS-21. Phân tích tương quan Pearson, kiểm định independent sample T-test và phân tích phương sai được sử dụng để phân tích số liệu. Kết quả: Tỷ lệ BN có RLTC là 18,3%. Nồng độ ure máu có tương quan thuận và có ý nghĩa thống kê với điểm đánh giá RLTC. Ngược lại, nồng độ albumin máu có tương quan nghịch và có ý nghĩa thống kê với điểm đánh giá RLTC. Nhóm > 50 tuổi tăng có ý nghĩa thống kê về điểm đánh giá RLTC so với nhóm < 30 tuổi. Tương tự, nhóm BN thiếu máu có điểm RLTC lớn hơn có nghĩa thống kê so với nhóm không thiếu máu. Kết luận: Tăng tỷ lệ RLTC ở BN lọc máu chu kỳ. Tuổi, nồng độ ure, albumin trong máu và thiếu máu là các yếu tố liên quan tới biểu hiện trầm cảm ở BN lọc máu chu kỳ.
ĐÁNH GIÁ KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ THOÁT VỊ ĐĨA ĐỆM CỘT SỐNG THẮT LƯNG QUA ỐNG BANH TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108
Authors: Nguyễn Xuân Phương , Phạm Ngọc Hào , Nguyễn Hồng Dương , Đỗ Khắc Hậu
Published: February 2025

Mục tiêu: Đánh giá kết quả phẫu thuật điều trị thoát vị đĩa đệm cột sống thắt lưng qua ống banh tại Bệnh viện Trung ương Quân đội 108. Phương pháp nghiên cứu: Nghiên cứu hồi cứu, mô tả trên 81 bệnh nhân (BN) thoát vị đĩa đệm cột sống thắt lưng được phẫu thuật bằng phương pháp can thiệp tối thiểu qua ống banh tại Bệnh viện Trung ương Quân đội 108 từ tháng 01/2019 - 7/2022. Kết quả: Thời gian phẫu thuật từ 62,24 ± 16,58 phút. Thời gian điều trị hậu phẫu là 5,9 ± 2,7 ngày. Có 2/81 trường hợp rách màng cứng trong phẫu thuật (2,5%). Có 5/81 trường hợp đau tái phát sau phẫu thuật và phải phẫu thuật lại (6,2%). Kết quả điều trị theo thang điểm Macnab: Rất tốt và tốt là 76,6%, trung bình là 17,3%, kém là 6,1%. Chỉ số chức năng cột sống ODI (oswestry disability index) từ 61,06 ± 9,95% giảm xuống 15,6 ± 15,16%. Đau lưng (thang điểm Visual analog scale - Vas) 4,44 ± 1,78 giảm xuống 1,0 ± 1,01. Đau chân (Vas) 7,36 ± 0,96 giảm xuống 1,6 ±1,79. Kết luận: Phẫu thuật điều trị thoát vị đĩa đệm cột sống thắt lưng qua ống banh có kết quả theo thang điểm Macnab chủ yếu là tốt và rất tốt. Chỉ số ODI và Vas đều giảm sau phẫu thuật. Tỷ lệ tai biến và biến chứng của phẫu thuật tương đối thấp.
GIÁ TRỊ TIÊN LƯỢNG TỬ VONG CỦA ĐIỂM NEW TRAUMA VÀ MÔ HÌNH IMPACT ĐƠN GIẢN Ở BỆNH NHÂN CHẤN THƯƠNG SỌ NÃO
Authors: Nguyễn Đắc Khôi , Trần Văn Tùng , Nguyễn Thanh Nga , Hồ Sỹ Đông , Phùng Việt Chiến , Lê Hồng Trung , Lê Trung Việt , Nguyễn Trung Kiên
Published: February 2025

Mục tiêu: Tìm hiểu giá trị tiên lượng tử vong của thang điểm New Trauma (NTS) và điểm IMPACT đơn giản (IMPACT core model - cIMPACT) ở bệnh nhân (BN) chấn thương sọ não (CTSN). Phương pháp nghiên cứu: Nghiên cứu thuần tập, tiến cứu trên 65 BN CTSN > 16 tuổi điều trị tại Khoa Hồi sức Ngoại, Bệnh viện Quân y 103 từ tháng 01/2021 - 3/2024. Các chỉ tiêu lâm sàng và xét nghiệm được thực hiện ở thời điểm nhập viện (khi chưa thực hiện biện pháp can thiệp nào). Số liệu được thu thập vào bệnh án nghiên cứu, được mã hóa và xử lý theo các phương pháp thống kê. Kết quả: Đa số BN CTSN là nam giới (78,5%), chủ yếu nằm trong độ tuổi lao động từ 16 - 59 tuổi, tai nạn giao thông là nguyên nhân chính gây CTSN (72,3%). Điểm NTS và cIMPATC thời điểm nhập viện có giá trị tiên lượng tử vong ở BN CTSN với diện tích dưới đường cong AUC, ROC lần lượt là 0,76 và 0,805 (p < 0,05), điểm cut-off giá trị NTS tối ưu là 13,5; cIMPATC tối ưu là 8,5 với độ nhạy (sensitivities - Se) lần lượt là 76,7% và 80%, độ đặc hiệu (specificities - Sp) lần lượt là 62,9% và 82,9%. Kết luận: Thang điểm NTS và mô hình cIMPACT có giá trị cao trong tiên lượng tử vong BN CTSN.
ĐẶC ĐIỂM PHÂN BỐ VÀ TÍNH KHÁNG KHÁNG SINH CỦA BURKHOLDERIA CEPACIA PHÂN LẬP ĐƯỢC TỪ BỆNH NHÂN TẠI BỆNH VIỆN QUÂN Y 103
Authors: Nguyễn Hùng Cường , Nguyễn Minh Hải , Nguyễn Thị Thu , Nguyễn Thị Thu Hà , Nguyễn Việt Phương
Published: February 2025

Mục tiêu: Nghiên cứu đặc điểm phân bố và tính kháng kháng sinh của Burkholderia cepacia (B. cepacia) phân lập được từ bệnh nhân (BN) tại Bệnh viện Quân y 103 giai đoạn 2014 - 2022. Phương pháp nghiên cứu: Nghiên cứu cắt ngang trên các chủng vi khuẩn B. cepacia phân lập tại Bệnh viện Quân y 103 từ năm 2014 - 2022.  Kết quả: Phân lập được 101 chủng vi khuẩn B. cepacia gây bệnh trong thời gian nghiên cứu. Trong đó, tỷ lệ phân lập B. cepacia cao nhất ở BN thuộc nhóm 50 - 69 tuổi (40,6%) và ≥ 70 tuổi (29,7%); tỷ lệ nam/nữ là 2,9/1. Tỷ lệ phân lập được B. cepacia nhiều nhất ở các Khoa Nội (55,4%), tiếp đến là Trung tâm Hồi sức Cấp cứu (25,7%). B. cepacia phân lập được nhiều nhất từ bệnh phẩm máu (79,2%) và bệnh phẩm hô hấp (18,8%). B. cepacia có tỷ lệ kháng kháng sinh rất cao (> 90%) đối với các kháng sinh như amoxcillin, piperacillin, ticarcillin, imipenem, gentamycin, tobramycin, fosmicin; tỷ lệ kháng thấp với levofloxacin (24,3%), ceftazidime (15,7%), meropenem (12,8%) và thấp nhất với trimethoprim/sulfamethoxazole (7,0%). Kết luận: B. cepacia gây bệnh thường gặp trên BN ≥ 50 tuổi, nam giới, phần lớn phân lập trên bệnh phẩm máu và bệnh phẩm hô hấp. B. cepacia có tỷ lệ kháng cao với các kháng sinh penicilline phổ rộng, kháng sinh nhóm aminoglycoside, tỷ lệ kháng thấp với levofloxacin, ceftazidime, meropenem và trimethoprim/sulfamethoxazole.