bluuebunny/crossref_metadata_2025 huggingface dataset:
Novel Particle Swarm Optimization Algorithm to Solve the Internet Shopping Optimization Problem with Shipping Costs
Authors: García-Morales Miguel , Brambila Alfredo , Fraire-Huacuja Héctor , Cruz-Reyes Laura , Frausto-Solís Juan , Gómez-Santillán Claudia , Rangel-Valdez Nelson
Published: October 2024

In this paper, we approach the Internet Shopping Optimization Problem with Shipping Costs (IShOP), an NP-hard-relevant problem in the current e-commerce environment. To our knowledge, several solution metaheuristic algorithms have been reported in the literature. In this paper, we propose a novel Particle Swarm Optimization algorithm (PSO) to solve the problem. PSO incorporates a neighborhood diversification technique (NDT), a local search (LS) technique, and an adaptive parameter tuning (APT) method. The proposed algorithm (NDTLSAA-PSO) includes two techniques at the end of each iteration to avoid premature convergence in the search process, balancing exploration and exploitation in selecting candidate solutions. A comparison of the performance of the proposed algorithm has been made against the performance of the best state-of-the-art memetic algorithm solution of the IShOP. A total of 90 instances classified into three groups of small, medium, and large sizes were resolved. The Wilcoxon and Holm non-parametric tests were applied to validate the significance of the differences observed between these two algorithms. The results show that the proposed NDTLSAA-PSO algorithm is superior to the memetic algorithm. In addition, the proposed algorithm obtains the best results in all the in-stances evaluated in terms of quality.
Optimizing the Transition: Strategies for Migrating On-Premise Storage to the Cloud
Authors: Mejía-García Raquel , Lezama-León Evangelina , Guadarrama-Atrizco Victor Hugo , Solís-Galindo Alonso Ernesto
Published: October 2024

In recent years, Cloud Computing has had great relevance and has aroused interest in the Telecommunications industry, due to the reduction of costs in hardware acquisition, maintenance and operation personnel. One of the great advantages of cloud computing is the automation of processes that makes systems more robust and secure by limiting the margin of human and operational errors. It is of utmost importance to consider the large storage capacity management of video files that can provide solutions to media companies or related industries, this is key to think about a cost benefit analysis that can generate the migration and rental of these services in the cloud, with more reliable and accessible systems, this will help us to study hybrid technologies that offer on premise solutions. In addition to the above, when talking about companies that seek to digitally transform themselves to achieve agility and resilience, as well as to support future applications, it is necessary to mention their current infrastructures that have the capacity to host new technologies that require high performance, security and an adequate digital interconnection that allows the correct access to the acquired applications. In this research, an analysis of the existing process models for migration from on-premise storage to the cloud has been made with the objective of identifying the most important challenges, from planning, execution, factors to consider when assessing the complexity of applications and data before migrating to the cloud.
Evaluating the Impact of Education Policy Reforms on Financial Literacy: A Meta-Analysis of Financial Education Initiatives in U.S. Schools
Authors: Yeboah Clement
Published: October 2024

This meta-analysis aims to evaluate the impact of U.S. education policy reforms on financial literacy outcomes through the implementation of financial education initiatives in schools. A comprehensive search was conducted across multiple databases, identifying relevant studies published between 2000 and 2023. After removing duplicates and screening based on pre-defined inclusion criteria, 35 studies were included in the final analysis. Data were extracted on key variables such as policy intervention types, student demographics, curriculum content, and assessment methods. The results were synthesized using random-effects meta-analysis, revealing significant improvements in financial literacy scores following policy reforms. However, variations in effectiveness were observed based on socioeconomic status and geographic regions. The findings highlight the critical role of well-structured education policies in enhancing financial literacy among students and offer recommendations for future policy directions to ensure equitable access and outcomes across diverse student populations. There was no financial support for this study.
The Effectiveness of Familiar Auditory Sensory Training (FAST) in Increasing Consciousness Levels among Stroke Patients
Authors: Aprianty Sara Tania , Nasri Khairul , Novianty Tety , Fitrianingsih Nining , Yanti Tisna , Setyadi Agus , Leon Josephine M. De , Girsang Elpinaria , Esni Juni , Devayanti Rani
Published: October 2024

Stroke is a leading cause of death worldwide, along with myocardial infarction and cancer. Stroke often results in loss of consciousness and neurological deficits that affect sensory perception. To support recovery, non-pharmacological therapies like auditory sensory stimulation are crucial. Familiar Auditory Sensory Training (FAST) is one such intervention. This study assessed the effectiveness of FAST in improving consciousness levels in stroke patients using a one-group pretest-posttest design. It involved 35 stroke patients aged 35-75, who were selected through purposive sampling and underwent three FAST sessions. Consciousness levels were measured using the Glasgow Coma Scale (GCS) before and after the intervention. Data analysis with the Wilcoxon rank test at α=0.05 revealed a significant increase in consciousness from a mean of 6.77 to 10.83 post-intervention (p=0.001), demonstrating FAST's effectiveness in enhancing consciousness in ICU stroke patients.
Factors Affecting Lecturers’ Digital Competence: A Study at some Universities in the North of Vietnam
Authors: Tu Nguyen Thanh , Hoan Vu Thuy , Nham Nguyen Thi
Published: October 2024

In recent years, the decrease in swamp land has been observed in both urban and rural areas. This phenomenon is land hoarding to the deliberate Digital transformation has been deeply penetrating all areas of life, contributing to increasing global labor productivity. The process of digital transformation of education and training in the context of the strong industrial revolution is inevitable. This study aims to show the factors affecting the digital competencies of economics lecturers at universities. The author used SPSS 25.0 software to process and analyze data through a survey of 311 lecturers in economics majors, testing the reliability of the scale using Cronbach's alpha coefficient and exploratory factor analysis. of 5 independent variables with 20 observed variables, and the author also uses regression analysis to test the compatibility between independent factors affecting the dependent factor as well as determine the level of impact of factors and model fit. Research results have shown that it is necessary to build a team of lecturers with digital capabilities that meet standards, which is a key condition to achieve the goal of improving the quality of training and education of Vietnam’s universities.
Waste Governance and Empowerment: Evidence from Ponorogo, Indonesia
Authors: Sukoco Johan Bhimo , Wijaya Andy Fefta , Mindarti Lely Indah , Putranto Dinar Dwi Anugerah
Published: October 2024

This research is a case study with a qualitative descriptive approach, aiming to describe and analyze Waste Governance on community empowerment in waste management in Ponorogo Regency, Indonesia. This research designs a recommendation model, taking into account empirical conditions in the field. Data collection in this study used interviews, observation, documentation, and focus group discussions. This research involved informants from various elements in Waste Governance, including government, community, industry, academics, mass media, NGOs/Communities, and regulators. This research stems from the low community empowerment in managing community-based waste management facilities in Ponorogo Regency, Indonesia. This condition is caused by the low participation and involvement of the community in various community empowerment programs in waste management, resulting in the community's role becoming less than optimal in Waste Governance. This study illustrates the weak aspects of Waste Governance in Ponorogo Regency, Indonesia, such as: weak collaboration between the community and academics in community empowerment in waste management, failure to accommodate waste governance in business, education, and environmental interests, and not maximizing the institutionalization of the waste management agenda through the Clean Friday Movement. This research recommends strengthening aspects of Waste Governance, namely encouraging local leadership as a driving force in waste governance. This aspect relates to the role of local leadership and community leaders in mobilizing various community-based waste management facilities. The results of this research are expected to contribute to developing Waste Governance theory, as well as provide practical benefits in the practice of Waste Governance in Indonesia.
Mental Health Nursing Care for Mrs. R with the Main Issue of Risk of Violent Behavior Due to Paranoid Schizophrenia in the Brotojoyo Ward, Dr. Amino Gondohutomo Psychiatric Hospital
Authors: Vera Shinta Dewi  , Titi Sri Suyanti  , Slamet Wijaya Biantoro
Published: October 2024

Background: Paranoid schizophrenia is a mental disorder characterized by severe psychopathological symptoms, including delusions and hallucinations, which often lead to a risk of violent behavior. Purpose: This case study aims to provide nursing care for patients with paranoid schizophrenia at RSJD dr. Amino Gondohutomo, Central Java. The case discussed involves Mrs. R, who experiences a risk of violent behavior as a consequence of paranoid schizophrenia. Methods: The method used in this discussion is a case study with a mental health nursing care approach, including assessment, nursing diagnosis, intervention, implementation, and evaluation. Results: The results of the nursing care show that appropriate interventions, such as physical and verbal anger control exercises, as well as spiritual approaches, can reduce the intensity of violent behavior in the patient. Family support and patient compliance in undergoing pharmacological therapy also play a significant role in the recovery process. Conclusion: In conclusion, comprehensive and collaborative nursing care can improve the patient's psychological condition and reduce the risk of violent behavior.
Description of The Incidence of Back Pain After Sectio Caesarea With Spinal Anesthesia
Authors: M. Dirham Nurul Rifah Ulmi , Triyudono Danang , Apriliyani Ita
Published: October 2024

Background: Cesarean section (sectio caesarea) is a common surgical procedure for childbirth involving an incision in the uterine wall. Postoperative pain, particularly back pain associated with spinal anesthesia, is a prevalent concern. Previous research by Kurniawan (2022) indicated that 43.3% of patients experience moderate back pain postoperatively. However, comprehensive studies on the contributing factors to this back pain remain limited. Purpose: This study aims to analyze the incidence and determinants of back pain following cesarean section with spinal anesthesia at Siti Aminah Hospital, Bumiayu. Methods: A descriptive analytic study was conducted, employing a cross-sectional design with a survey method. The study population comprised 35 patients who underwent cesarean section with spinal anesthesia. Data were collected using structured observation sheets, focusing on variables such as patient age, needle size, anesthesia technique, patient positioning, and the severity of back pain. Findings: The majority of participants were aged 25-39 years (65.7%). A needle size of 25 gauge was used in 71.4% of cases. The median approach was the predominant anesthesia technique (82.9%), and 74.3% of procedures were performed with the patient in a sitting position. Notably, 51.4% of respondents reported mild back pain postoperatively. Conclusion: The findings suggest that patient age, needle size, anesthesia technique, and positioning during the procedure significantly influence the incidence of back pain following cesarean section with spinal anesthesia. Further research is recommended to develop strategies to minimize this complication and improve patient outcome.
Implementation of Murottal Therapy to Reduce Preoperative Anxiety in Patients with Spinal Anesthesia
Authors: Erlena Erlena Winda Lestari , Lintang Suryani Roro , Bisma Yudha Magenda
Published: October 2024

Background: Preoperative anxiety is a common challenge that can negatively impact surgical outcomes and patient well-being. Physiological symptoms of anxiety, such as increased heart rate, blood pressure, and sweating, highlight the need for effective management strategies. Murottal therapy, which involves listening to Qur'anic recitations, offers a non-pharmacological method for anxiety reduction. Purpose: Evaluate murottal therapy’s effectiveness in reducing preoperative anxiety. Methods: A cohort of 30 patients scheduled for spinal anesthesia was recruited for this community service initiative. Anxiety levels were measured using the Visual Analog Scale for Anxiety (VAS-A) before and after the intervention. Participants underwent murottal therapy, which involved listening to Qur'anic recitations for a designated period. Pre- and post-therapy anxiety levels were compared to evaluate the effectiveness of the intervention. Findings: Prior to murottal therapy, 60% of participants exhibited severe anxiety, and 40% had moderate anxiety. Post-therapy results showed a significant improvement: 90% of participants reported moderate anxiety, 6.7% continued to experience severe anxiety, and 3.3% reported mild anxiety. Additionally, a pocket book detailing the murottal therapy procedure was developed as a resource for implementation. Conclusions: Murottal therapy significantly reduced anxiety levels among preoperative patients, demonstrating its potential as an effective, non-invasive approach to anxiety management in surgical settings.
The Prevalence of Amputation in Regional Asia due to Diabetic Foot Ulcers 2024: A Systematic Review and Meta-analysis
Authors: Athena Aegle , Susanti Indah , Auron Afrodita , Atfat Malic Rohan , Burhan Asmat , Kumar Vijay
Published: October 2024

Background: Over the past decade, the prevalence of diabetic foot ulcers (DFUs) has notably increased, posing a significant risk of foot amputation in individuals with diabetes.  Purpose: This systematic review and meta-analysis aimed to determine the rates of amputation associated with DFUs in patients with diabetes mellitus. Methods: A comprehensive literature search was conducted across multiple databases, including Scopus, PubMed, Cochrane, Web of Science, DOAJ, and Google Scholar. Full-text articles related to diabetic foot ulcer amputation were reviewed and extracted for analysis. Publication Bias: Assessed using a funnel plot in Jamovi (2.0.0), indicating a likelihood of publication bias. Meta-analysis Summary: Conducted using the Joanna Briggs Institute methodology, yielding a pooled meta-analysis result of 0.027. Odds Ratio (OR): Calculated for amputation risk in DFU patients, with a 95% Confidence Interval (CI). Random Effects Model: Employed to synthesize relevant outcomes. Heterogeneity: Evaluated using the I² statistic. Forest Plots: Generated to visualize study results. Results: Eighteen studies were included in the meta-analysis, encompassing a total of 7115 DFU patients in the Asian region. Among these patients, 2730 underwent foot amputations. Amputation Rate: The incidence of foot amputation was significantly higher among DFU patients. Pooled Odds Ratio: The OR for foot amputation in DFU patients was 0.34 (95% CI: 0.23-0.46). Publication Bias: The asymmetrical funnel plot suggested a high likelihood of publication bias. Conclusion: The presence of DFUs significantly elevates the risk of foot amputation in diabetic patients. Continuous monitoring and preventive strategies are essential to mitigate this risk, particularly in the Asian population.
Description The Level of Anxiety in Pre-Operation Patients
Authors: Amanda Sri Utari  , Susanto Amin , Sumarni Tri
Published: October 2024

Background: Preoperative anxiety is a common psychological response in patients awaiting surgery, potentially influencing perioperative outcomes and recovery. Purpose: This study aims to assess the levels of anxiety experienced by preoperative patients at Dr. Soedirman Kebumen General Hospital. Methods: A descriptive, quantitative cross-sectional design was employed, involving 84 patients selected through purposive sampling. The study collected demographic data, including gender, age, and education level, alongside medical data such as the type of anesthesia and prior surgical experience. Anxiety levels were measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire. Findings: Showed that 4 patients (4.8%) experienced mild anxiety, 66 patients (78.6%) had moderate anxiety, 12 patients (14.3%) exhibited severe anxiety, and 2 patients (2.4%) reported extreme anxiety or panic. The study revealed that the majority of patients (78.6%) undergoing surgery at Dr. Soedirman Kebumen General Hospital experienced moderate anxiety levels, suggesting the need for improved preoperative support and intervention strategies. Addressing patient anxiety could enhance perioperative success by reducing psychological distress and improving overall patient outcomes. Conclusions: Further studies should explore the effectiveness of targeted interventions to mitigate preoperative anxiety and its impact on surgical recovery.
Findings of Hypotension in Spinal Anesthesia Patients with Lumbar 3-4 And Lumbar 4-5
Authors: Amir Melani Setiaputri , Triyudono Danang , Suandika Made
Published: October 2024

Background: Hypotension is a common complication associated with spinal anesthesia, often resulting from sympathetic nerve block. Factors such as the type of drug, patient positioning, injection site, dosage, and age influence the incidence of hypotension. Purpose: This study aimed to evaluate the incidence of hypotension in patients receiving spinal anesthesia at the lumbar 3-4 (L3-L4) and lumbar 4-5 (L4-L5) injection sites. Methods: A quantitative descriptive study with a cross-sectional approach was conducted, involving 190 respondents selected via purposive sampling. Univariate data analysis was performed. Findings: Findings indicated that patients receiving spinal anesthesia at the L3-L4 site experienced an average systolic blood pressure decrease of 24.69% and a diastolic decrease of 16.17%. In contrast, patients with L4-L5 injections showed a lesser reduction, with systolic pressure dropping by 15.51% and diastolic pressure by 12.31%. Additionally, the pulse rate decreased progressively within the first 20 minutes following induction. The average pulse rate at the 20th minute was 75.06 for patients with L3-L4 injections and 75.65 for those with L4-L5 injections. Conclusion: The study highlights that the incidence of hypotension varies based on the spinal injection site, with more significant decreases in blood pressure observed in patients receiving injections at L3-L4 compared to L4-L5. These findings have important implications for anesthesia management in clinical practice.
Operating Room Orientation Using Visual Media Virtual Reality Box (Vr.Box) On Decreasing The Level of Fear of Pre Operation Patients
Authors: Hidayat Wahyu , Sukmaningtyas Wilis , Bisma Yudha Magenda
Published: October 2024

Background: Effective new patient orientation is crucial in reducing preoperative anxiety, which can significantly impact patient outcomes. Anxiety in patients often stems from unmet needs for security and fear of imminent threats. The Virtual Reality Box (VR Box) has emerged as a potential tool to alleviate this anxiety by providing a distracting and calming experience. Purposes: This study evaluates the impact of operating room orientation on preoperative anxiety levels, with a focus on its effectiveness when combined with VR Box technology. Methods: This study utilized the Amsterdam Preoperative Anxiety and Information Scale (APAIS) to measure anxiety levels in patients before and after receiving operating room orientation. The intervention involved providing comprehensive orientation about the nursing process and surgical environment. A total of [number] preoperative patients participated in the study, and their anxiety levels were assessed pre- and post-orientation. Findings: The analysis revealed a reduction in average anxiety levels from 20.1% before the orientation to 16.2% after the orientation, indicating a 3.9% decrease in anxiety. This suggests that the orientation process effectively mitigated some of the anxiety associated with preoperative procedures. Conclusion: The findings demonstrate that operating room orientation can significantly reduce preoperative anxiety. The integration of orientation strategies with tools such as the VR Box could enhance patient comfort and preparedness, potentially improving overall surgical outcomes. Future research should explore the long-term benefits and potential enhancements of combining orientation with advanced anxiety-reducing technology.
The Relationship Between Fasting Duration and The Incidence of Post Operative Nausea and Vomiting in Spinal Anesthesia Patients
Authors: Husnul Khotimah Muliono Siti , Susanto Amin , Sebayang Septian
Published: October 2024

Background: Anesthesia, a critical pain management tool during surgeries and procedures, necessitates pre-operative fasting to mitigate the risk of post-operative nausea and vomiting (PONV). The fasting period restricts both solid and liquid intake. Purpose: This study aims to explore the correlation between fasting duration and the incidence of PONV in patients undergoing spinal anesthesia at Dr. Soedirman Regional Hospital, Kebumen. Method: Employing an analytical observational design with quantitative methods, this research included 70 participants selected through cross-sectional sampling. Data collection utilized the Rhodes Index of Nausea, Vomiting, and Retching (RINVR) scale for observation. Findings: The study revealed that the majority of respondents (54.3%) adhered to an adequate fasting duration of 6-8 hours. Among these, 89.5% (34 respondents) did not experience PONV. Conversely, an inadequate fasting period (>8 hours) was associated with a higher incidence of PONV, observed in 38.6% (27 respondents), while only 3.7% (1 respondent) did not experience PONV. The correlation analysis yielded a significant relationship with a coefficient of 0.502. Conclusion: There is a significant correlation between fasting duration and the incidence of PONV in patients receiving spinal anesthesia at Dr. Soedirman Regional Hospital, Kebumen. Adequate pre-operative fasting (6-8 hours) is associated with a lower incidence of PONV, emphasizing the importance of adherence to recommended fasting guidelines to minimize post-operative complications
Relationship Between Age and Blood Pressure in Patients Postoperative Sectio Caesarea
Authors: Heliyana HR Okto , Susanto Amin , Netra Wirakhmi Ikit
Published: October 2024

Background: Cesarean section (C-section) is a surgical procedure for childbirth, involving an incision in the uterine wall through the abdomen, typically indicated for various medical reasons. Spinal anesthesia is commonly employed during C-sections, although it is associated with side effects such as fluctuations in blood pressure. The majority of C-section patients under spinal anesthesia are between 20 and 35 years of age, considered the optimal reproductive years for pregnancy and childbirth. Purpose: This study aims to evaluate the correlation between age and blood pressure in postoperative C-section patients under spinal anesthesia. Methods: A cross-sectional, observational-analytical study design was used, involving 81 purposively sampled respondents. Data were analyzed using Spearman's rank correlation to assess the relationship between age and blood pressure postoperatively. Findings: The majority of respondents (67.9%) were aged between 20 and 35 years. Postoperative blood pressure in the recovery room was predominantly within the normal range, with 71.6% of patients displaying normal blood pressure levels. A statistically significant correlation was found between age and blood pressure, with a p-value ≤ 0.05. Conclusion: Age is significantly associated with postoperative blood pressure in patients undergoing C-sections under spinal anesthesia. This finding highlights the importance of monitoring blood pressure in this population to ensure optimal recovery outcomes.
ANÁLISE DE ALTERAÇÕES CLÍNICAS E EM EXAMES DE IMAGEM QUE PRECEDERAM O DIAGNÓSTICO DE CÂNCER DE ENDOMÉTRIO EM MULHERES SUBMETIDAS À VÍDEO-HISTEROSCOPIA.
Authors: Murta Luísa , Chiari Messias Beatriz , Carreiro Luíza , Lopes Júlia , Júnior João
Published: October 2024

Introdução: O câncer de endométrio (CE) é a quarta neoplasia mais comum em mulheres. O rastreamento do CE não é preconizado, sendo que sua investigação parte pelo sangramento uterino anormal e tem como exame inicial a ultrassonografia transvaginal, que busca o espessamento endometrial e se é necessário biópsia para confirmar o diagnóstico. A avaliação histológica do tecido endometrial pode ser feita ambulatorialmente, ou por meio de vídeo-histeroscopia. Objetivo: Análise dos sinais clínicos e alterações em exames de imagem que levaram a suspeição e diagnóstico de CE. Método: Estudo transversal, realizado durante 7 meses, por meio da análise de prontuários de pacientes com diagnóstico de câncer de endométrio após vídeo-histeroscopia. Resultados:  Dos 4.129 prontuários examinados, 50 (1,2%) pacientes foram diagnosticadas com CE. Dentre essas, 47 (94%)  tinham mais de 54 anos, 47 (94%) estavam na menopausa e 26 (52%) apresentavam sobrepeso ou obesidade. Quanto à apresentação clínica, 39 (78%) relataram sangramento uterino anormal como a principal queixa. Além disso, os achados ultrassonográficos transvaginais mostraram uma média de 14,85mm de espessamento endometrial, mas é importante ressaltar que 6 (12%) pacientes apresentavam espessura < 4mm, o que para muitas diretrizes não exigiria investigação adicional com anatomopatológico. Conclusão: Os resultados enfatizam o desafio contínuo do diagnóstico do CE. A detecção de CE em mulheres na pós-menopausa com espessamento discretos ressalta a importância de uma avaliação e indicação de ampliação da propedêutica de forma individualizada. Além disso, destaca-se a importância de serem realizados mais estudos acerca do tema.
IMDG Code Supplement
Authors:   International Maritime Organization
Published: October 2024

The International Maritime Dangerous Goods Code (IMDG Code) lays out the regulatory framework for all aspects of handling dangerous goods and marine pollutants in sea transport, but does not include all details of procedures for packing of dangerous goods or actions to take in the event of an emergency or accident involving personnel who handle goods at sea.
This Supplement presents the publications associated with the IMDG Code that cover these aspects of the transport of dangerous goods.
The 2024 edition of the Supplement features:

the Revised Emergency Response Procedures for Ships Carrying Dangerous Goods (EmS Guide), taking into account Amendment 42-24 to the IMDG Code;

the Medical First Aid Guide for Use in Accidents involving Dangerous Goods (MFAG);

the Reporting procedures;

the Recommendations on the safe use of pesticides in ships;

the International Code for the Safe Carriage of Packaged Irradiated Nuclear Fuel, Plutonium and High-Level Radioactive Wastes on board Ships (INF Code); and

other appropriate resolutions and circulars pertaining to the transport of dangerous goods, including Guidelines for the implementation of the inspection programmes for cargo transport units (MSC.1/Circ.1649) and the List of non-exhaustive voluntary guidance on pest contamination (MSC.1/Circ.1650).

The IMDG Code Supplement should be of interest to maritime administrations, shipping companies, manufacturers, packers, shippers, feeder services such as road and rail, and port authorities.
Children with tracheostomy: A qualitative exploration of parent’s experiences and needs
Authors: Østergaard Irlind Tanja , Graulund Bredahl Camilla , Hvidt Ingelise , Ring Gätke Mona , Graff Stensballe Lone
Published: October 2024

Background. The number of children aged 0-15 with tracheostomies is increasing, and their treatment processes are complex. Research indicates significant negative consequences for families with a child with a tracheostomy. The purpose of this study was to explore parents' experiences and needs from the decision about the tracheostomy to life at home. Methods. Data were collected in Eastern Denmark, where semi-structured interviews were conducted individually or in dyads with 13 parents of seven children with tracheostomies, who are associated with the respiratory center in the Capital Region. A qualitative descriptive method was used, and the empirical data were analyzed using thematic analysis. Results. Seven themes emerged: 1. The child with a tracheostomy: Prioritizing the child's needs and well-being. 2. Communication: Lack of information and shared decision-making. 3. The treatment process: Lack of parental involvement in the treatment process. 4. Transitions between units: Lack of coordination and collaboration between units. 5. Navigator: The treatment process requires a navigator. 6. Trained personal caregivers: An intrusion into privacy. 7. The Family: The relationship, siblings, and relatives are under pressure. Conclusion. This study provides valuable insights into parents' experiences with tracheostomy care for children in Eastern Denmark. Parents of children with tracheostomies seek clear information and involvement. They face challenges throughout the treatment process, as well as after discharge from the hospital. Parents often feel stressed by the trained personal caregiver arrangement and seek more flexibility and support. There is a need for support for family well-being and planning of treatment and care. Further research is necessary to deepen the understanding of this complex treatment environment and to identify effective intervention strategies. Clinical relevance. This study highlights the clinical relevance of understanding parents' experiences and needs regarding children with a tracheostomy, a subject with significant implications for the entire family. The study identifies areas where guidelines and interventions could be developed to improve nursing care and clinical practice in supporting families with a child who has a tracheostomy.
Bio-Organic Inputs, Height of Tier and Stocking Density: Their Effects on the Production Performance and Egg Quality of HISEX Layer Chicken
Authors:   Jose Rizal Memorial State University, Baquiller Mario , Rosel Mahal ,   Jose Rizal Memorial State University, Albert Padrones Ed Jo Albert ,   Jose Rizal Memorial State University
Published: October 2024

The objective of this study was to examine the impact of using natural bio-organic supplements, varying cage heights, and different stocking densities on the egg-laying performance and egg quality of layer chickens at the Poultry Project for Layer Chicken of JRMSU- Tampilisan Campus in Zamboanga del Norte. The study involved 162 eight-month-old layer chickens divided into six groups and replicated thrice. These chickens were housed in cages of different heights and stocking densities to evaluate their impact on egg production and quality. The results demonstrated that providing chickens with fermented plant juice in their water, derived from madre de agua (Trichanthera gigantea), significantly influenced egg weight and resulted in higher returns above feed and supplement costs. Furthermore, maintaining the cages at a height of 3 feet proved optimal for egg weight. The number of birds in a cage also played a significant role, with four birds per cage affecting egg production and feed and water intake. Interestingly, cages housing three birds exhibited the best feed conversion ratio. Regarding egg quality, the natural supplements did not yield significant differences, but cage height influenced the weight of the eggshells, favoring the 3-foot height. Moreover, the number of birds in a cage impacted the thickness of the yolk. Overall, the study underscored the crucial role of natural supplements, cage height, and stocking density in achieving optimal egg production and quality from layer chickens.
Evaluating the Growth, Yield, and Resilience of F1, F2, and Open-Pollinated Squash Varieties: A Comparative Study
Authors:   Jose Rizal Memorial State University, Padrones Ed Jo Albert , Rosel Margaret ,   Jose Rizal Memorial State University, Bustillo Roderick ,   Department of Agriculture
Published: October 2024

In our country, malnutrition poses a severe challenge due to the limited production of nutritious food. Developing disease and pest-resistant varieties such as squash is crucial to tackle this issue. A recent study conducted in Can-ayan, Malaybalay City, Bukidnon, from July to October 2019, explored the growth and yield performance of different squash varieties (OP, F1, F2). The research aimed to understand the variations in yield, horticultural and reproductive characteristics, inbreeding depression, and profitability of growing diverse squash genotypes. The results, obtained through a Randomized Complete Block Design with five treatments, highlighted significant differences in traits among the genotypes. Notably, inbreeding depression was observed in marketable fruit production and yield. The analysis revealed varying traits across genotypes, with Gracia hybrid emerging as the most profitable choice, showing positive returns on investment. This study sheds light on the importance of developing resilient crop varieties like squash to address malnutrition challenges effectively.
Evaluating the Nonlinear Population-Economic Growth Nexus in MENA Countries
Authors: BENGANA Ismail Mohamed , ADELEYE Bosede Ngozi , BOUKHELKHAL Abdelaziz Abdelkhader , OKAFOR Victoria ISIOMA , Salim Eltahir Ibrahim Elnour
Published: October 2024

The relation between population growth and economic growth is a complex one, and the historical quantitative evidence is ambiguous. This study contributes to the population-economic growth literature by interrogating whether the relationship is monotonic or if a turning point exists. Using panel data on a sample of 19 MENA countries from 1965 to 2018 and deploying the PSCE and FGLS techniques, the results reveal inter alia: (1) a U-shaped relation exists; (2) unemployment and financial development are negative predictors of economic growth; and (3) trade and inflation rate are positive predictors. Policy recommendations are discussed.
Academic Tutoring and Academic Performance: An Analysis at UNSM
Authors: Reátegui M.SP. Augusto Ricardo Llontop , Rosado Dra. Carmela Elisa Salvador , Monja Víctor Manuel Vallejos
Published: October 2024

This study explores the relationship between the comprehensive tutoring system and the academic performance of students at the National University of San Martín (UNSM). The study addresses the issues faced by the institution, whose tutoring programme lacks a coordinated approach between faculties, a strong clinical psychology team, and teachers with adequate tutoring skills, resulting in a loss of student interest. The aim was to determine whether there is a significant relationship between the comprehensive tutoring system and academic performance. A quantitative methodology with a non-experimental, cross-sectional design was used. A questionnaire was applied to 342 students selected through stratified probabilistic sampling, and their academic performance was analysed. The results indicated that, although most students perceived the tutoring system as acceptable, no significant correlation with their academic performance was found. In conclusion, the current tutoring system does not appear to directly influence academic performance, suggesting a need to review its structure and integration. This study addresses a gap in the literature by examining the relationship between tutoring and academic performance in Peruvian universities, aligning with SDG 4 (Quality Education). Future studies should investigate contextual and personal factors that may influence academic performance.
The Effect of Product Innovation and Customer Relationship Management on Satisfaction Mediated by Purchasing Decisions in the Coffee Shop Industry
Authors: Laely Nur , . Djunedi , Lidiawawan Angga Rizka
Published: October 2024

The coffee shop industry faces increasingly fierce competition, where consumers have many choices. To retain and attract customers, coffee shops must continuously develop product innovation and improve customer relationships through Customer Relationship Management (CRM). This study aims to identify the effect of product innovation and CRM on customer satisfaction and understand the role of purchasing decisions as a mediator in this relationship. This research uses a survey method by collecting data from coffee shop customers through questionnaires. The research sample consisted of coffee shop visitors who were active during the research period. The collected data were analyzed using statistical techniques, including regression analysis. The results showed that product innovation has a significant positive impact on customer satisfaction. CRM also has a significant favorable influence on customer satisfaction. Furthermore, purchasing decisions were found to mediate the relationship between product innovation and customer satisfaction, as well as between CRM and customer satisfaction. These findings indicate that coffee shops focusing on developing innovative products and implementing effective CRM strategies can increase customer satisfaction. In addition, purchase decisions are an essential intermediary in linking product innovation, CRM, and customer satisfaction. Therefore, coffee shop management must consider better strategies for integrating product innovation, CRM, and purchase decisions to achieve long-term success in this competitive industry. This research contributes significantly to understanding the factors influencing customer behavior and the strategies coffee shop industry players can use.
Perfil clínico e epidemiológico de pacientes internados em uma unidade de terapia intensiva na Amazônia Ocidental
Authors: da Silva Viana Francisco Glaian , de Oliveira Mota Paulo Henrique , Germano Bruno , Passos Kleyton Góes
Published: October 2024

Objetivo: Avaliar o perfil clínico e epidemiológico dos pacientes internados na Unidade de Terapia Intensiva do Hospital Público de Urgência e Emergência de referência no Estado do Acre permitindo uma compreensão mais abrangente das características e necessidades desses pacientes. Métodos: Trata-se de uma pesquisa de campo de caráter descritivo, retrospectivo de corte transversal e análise quantitativa. Para a coleta de dados foram utilizados os registros nos prontuários físico e eletrônico, no período correspondente de julho de 2022 a julho de 2023. Resultados: Observou-se que o sexo masculino apontou uma discreta elevação nas variáveis de alta 58,9% (66), óbitos 56,8% (93) e transferências 52,6% (10). Comparando a faixa etária com o desfecho óbito, a taxa de óbito revelou-se mais elevada nos idosos 59,6% (87). Ao analisar o tempo de internação com desfecho, notou-se que a categoria de óbito demonstra tendência crescente à medida que o tempo de internação se estende 31,5% (46). Analisando o tipo de ventilação com o desfecho, foi constatado que os pacientes submetidos à Ventilação Mecânica Invasiva (VMI) apresentam uma taxa significativamente maior de óbito 83,6% (122). Conclusão: No estudo, a idade revelou certa correlação com o número de óbitos, tendo em vista que é um fator diretamente associado com o desfecho clínico, dados esses que também se relacionam com o sexo, tempo de internação e o tipo de suporte ventilatório. Palavras-chave: Unidade de terapia intensiva; epidemiologia; mortalidade.
Desarrollo de competencias docentes para la gestión de conflictos escolares
Authors: Vera Cantos Diana Antonia , Loor Molina María Mercedes , Medina González Kerly Mishell , Daquilema Tumailli Victoria Maribel , Tipán Jaramillo Edwin Wladimir , Jumbo Rivas Britani Lisbeth
Published: October 2024

La gestión de convivencia para atender a los conflictos escolares y prevenir la violencia en las aulas de clases es un tema de interés social en la actualidad. Para esto, se ha planteado como objetivo analizar las competencias docentes relacionadas con la gestión de conflictos escolares en una institución educativa pública. La metodología del estudio se basa en un enfoque cuantitativo, mediante la aplicación de un diseño no experimental de tipo transversal. A partir de ello, se tomó una muestra no probabilística intencionada de 50 docentes de una institución pública, para lo cual se aplicó un cuestionario relacionado con identificación de conflictos, enfoques resolutivos y competencias desarrolladas por los docentes. Como resultado principal se obtuvo que los docentes tienen un desarrollo de competencias cognitivas, sin embargo, han dejado de lado a las competencias afectivo-emocionales y procedimentales para gestionar conflictos. En efecto, se concluye que los docentes requieren fortalecer su capacidad para fortalecer la convivencia escolar, lo cual puede ser la diferencia entre el éxito o fracaso en la comunidad educativa.
How to build and operationalise a hospital command centre
Authors: Crawley Danielle , Engler Nicole , Stellmaker Jessica , Buechler Tamara , Bany Mary , Dangerfield Benjamin , Newman James
Published: October 2024

In the ever-evolving healthcare landscape, hospitals routinely grapple with daily disruptions and unforeseen events affecting resources and capacity. This paper explores the implementation and impact of the Rochester Hospital Operations Command Center (RHOCC) as a strategic response to challenges faced by the Mayo Clinic Hospital campuses in Rochester. The RHOCC, developed with an expedited timeline in response to capacity issues, exacerbated by COVID-19, serves as a centralised hub for real-time monitoring, coordination and decision-making related to patient flow. The process of establishing the command centre involved role identification, skill set determination, location of important personnel in an organised central space and vendor selection to develop the necessary infrastructure. Dashboards were developed to provide real-time actionable insights into external transfers, surgical and other planned admissions, emergency department status, patient throughput and discharges. These dashboards include colour-coded keys highlighting thresholds related to patient flow metrics and are used to facilitate daily huddles and enhance transparency and data-driven decision-making among hospital stakeholders. The outcomes of implementing the RHOCC include improved efficiency and collaboration, as well as a significantly enhanced ability to proactively respond to factors affecting census. The development of a command centre — driven by leadership endorsement and a commitment to continuous improvement — emerges as a transformative strategy in healthcare innovation. The RHOCC’s approach of building capability, fostering inclusion and articulating a vision of providing superior care while driving impactful improvements, positions it as a leading force in creating operational efficiencies to define healthcare delivery.
Piloting: Adopting a prototype mindset for today’s workplace
Authors: Cirillo Carolyn , Rosenblatt Jason
Published: October 2024

This paper is designed to help corporate real estate (CRE) leaders adopt a ‘learning by doing’ approach to workplace strategy and design to improve employee experiences and organisational outcomes. While the COVID-19 pandemic has brought lingering uncertainty relative to the future of the physical office, it has also spawned a spirit of openness to change and a willingness to experiment. In this paper, we discuss ways to learn by doing at various scales, with a focus on the largest-scale methodology: piloting. We show how pilots provide a low-risk approach to introduce flexible work policies and new ways of working within a sustainable financial model. We demonstrate that by generating data and insights, pilots can drive plans to scale and inform future space types within the larger real estate portfolio. This paper draws upon years of research and exploration conducted by MillerKnoll brands and our customers on pilots of varied types and scales. It provides a roadmap to implement a pilot, including questions to ask, selection criteria for teams, and locations and methodologies to measure success. Case studies illustrate various approaches and results achieved.
Leadership evolution in the age of artificial intelligence
Authors: Jerahian Aris
Published: October 2024

Advocates of artificial intelligence (AI) envision a future where intelligent machines can perform routine tasks, allowing humans to focus on creative pursuits. Despite concerns about job losses, organisational think tanks believe that humans and machines can work together to achieve better results. This paper explores the interaction of AI and leadership to improve organisational performance. It inspires enthusiastic optimism in some managers and fear and scepticism in others. It is crucial to acknowledge and address these concerns as increased emotional tension always accompanies new phenomena. The paper explains that leaders who prioritise outcomes over technology can devise effective AI strategies that improve human capabilities, which could lead to a more productive, meaningful and fulfilling future of work. The paper uses pertinent tables to understand better the overall impact of AI on corporate culture and work style as well as its socioeconomic implications in the workplace. The paper concludes with a focus on hybrid models that combine human intelligence with machine intelligence to get exponential results.
Are you AI-ready? A roadmap to mastering marketing technology in a data-driven world
Authors: Daffner Britta
Published: October 2024

Artificial intelligence (AI) is a game-changing technology that learns from data to deliver hyper-personalised experiences and predict consumer behaviour with unprecedented accuracy. This paper discusses how it is revolutionising marketing strategies and empowering businesses to thrive in the digital age. In particular, the paper explores how marketers are harnessing AI to create personalised strategies tailored to individual customer needs, augmenting the power of content marketing in order to engage customers across diverse channels and touch points. As this paper explains, however, for a company to transition from AI experimentation to mastery, it needs more than just technological prowess. Rather, it requires a holistic approach that integrates technology, strategy and people, supported by a data culture leader: a visionary tasked with aligning AI initiatives with strategic goals and fostering a culture of data-driven decision-making within the organisation. This paper provides actionable insights and thought-provoking questions to guide organisations in their quest for AI mastery. From assessing technological infrastructure to defining strategic objectives and cultivating a culture of innovation, the paper explores the key pillars of AI-driven marketing success.