bluuebunny/crossref_metadata_2025 huggingface dataset:
Direct Costs of Rheumatoid Arthritis among Patients with Biological Therapy in Morocco: ECORAM Study
Authors: Zarrik Hanae , Hassani Abha Cherkani , Slaoui Meriem , Rkain Hanan , Lahlou Laila , Allali Fadoua , Bahiri Rachid , Ahid Samir
Published: February 2025

Objective

The present study aims to estimate the annual direct costs of rheumatoid arthritis (RA) among patients with biological therapy in Morocco from the societal perspective and, to identify factors affecting the increase of direct costs.

Methods

This is a descriptive, observational, and ambispective cohort study which was accomplished over one year, from July 2019 to October 2020, with a follow-up after 6 months since the inclusion’s date. study, conducted in 110 patients with RA and under BDMARDs from July 2019 until October 2020. The data collection was done by face-to-face interviews using a questionnaire. Additional information was obtained from the patient’s files.

Results

the mean age of patients was 50.5 years old with 85% of women. The annual average total direct costs are $7,659 with a minimum and a maximum of $1,889.5 and $29,158.3 respectively. The medical costs represent 98% with the majority of BDMARDs (67%) at $4,944.73, followed by hospitalization costs (12%) at $889. The remaining 20% includes the other costs ($1,825). The RAMED (Régime assistance Médicale) paid around 47% of the total medical costs which is $3,445.56, and the health insurance organizations (CNOPS, CNSS, private insurance) paid $2,876.7 (39%), while patients paid $1,048.65 (14%) on medical and non-medical costs. The following factors were significantly associated with total direct costs of RA: marital status, number of children, working status, monthly household income, medical insurance, disease duration, to undergo surgery, DMARDs, NSAIDs and antalgic, and the class of BDMARDs.

Conclusion

The economic burden of RA is very high for the study population since the majority are vulnerable and have a monthly household income of less than $250. Further, two-thirds of patients had the RAMED, which supports almost all the medical costs. However, the costs paid by the patient are about one third of their annual household income.
Provider Perspectives on the Use of Mental Health Apps, and the BritePath App in Particular, With Adolescents at Risk for Suicidal Behavior: Qualitative Study
Authors: Lynch Frances , Cavese Julie , Fulton Lucy , Vuckovic Nancy , Brent David
Published: February 2025

Background

Many youth with significant mental health concerns face limited access to mental health services. Digital programs, such as mobile apps designed to address mental health issues, have the potential to expand access to strategies for managing these conditions. However, few mental health apps are specifically designed for youth experiencing severe concerns, such as suicidal ideation. BritePath is a new app developed to enhance communication and interaction between providers and youth at risk for suicidal behavior.

Objective

This study aims to explore health care providers’ opinions and concerns regarding the use of mental health apps for youth at significant risk of suicidal behavior.

Methods

We conducted individual semistructured interviews with 17 providers across 7 states. Interviews were conducted via video, recorded, and transcribed. Codes were developed using a team-based approach, with discrepancies resolved through team discussions.

Results

Most providers were aware of mental health apps in general and expressed interest in trying the BritePath app with patients experiencing depression, suicidality, or both. Analyses identified 4 key themes related to mental health apps: (1) almost all providers viewed mental health apps as an adjunct to, rather than a replacement for, psychotherapy visits; (2) most providers were concerned about the cost of apps and youth access to them; (3) providers noted the challenge of maintaining patient engagement with apps over time; and (4) providers were concerned about patient privacy, in terms of both data shared with app developers and data privacy within families. Analyses of providers’ opinions specifically about the BritePath app identified 4 additional themes: (1) providers believed that access to safety plans within BritePath could be beneficial for youth at risk for suicidal behavior; (2) providers reported that BritePath’s interactive features could enhance communication between providers and youth; (3) providers appreciated BritePath’s flexibility and the ability for both youth and providers to tailor its content to individual needs; and (4) providers expressed concerns about integrating BritePath into clinical workflows within health systems.

Conclusions

The use of mental health apps is expanding, yet there is limited understanding of how to effectively integrate these tools into mental health treatment. Providers are increasingly referring patients to mental health apps, and most expressed interest in trying the BritePath app for patients with depression, suicidality, or both. However, providers also identified several concerns, particularly regarding privacy and safety.
Optimizing the post-cataract patient journey using artificial intelligence-driven teleconsultation: a prospective case study. (Preprint)
Authors: Wanten Joukje C , Bauer Noël JC , Chowdhury Mohita , Higham Aisling , de Pennington Nick , van den Biggelaar Frank JHM , Nuijts Rudy MMA
Published: February 2025

BACKGROUND

Given the increasing global demand for ophthalmologic care and the anticipated shortage of ophthalmology professionals, innovative solutions are essential for optimizing healthcare delivery. Digital health technologies offer promising opportunities to efficiently manage high patient volumes. Cataract surgery, with its established safety profile and routine postoperative care, is provides an ideal setting for these innovations. Structured clinical questions can effectively identify patients requiring further assessment, enabling clinicians to screen for complications through telephone consultations. Moreover, an artificial intelligence-based follow-up system could take this a step further by automating the process, reducing the need for clinician involvement while enabling more efficient postoperative screening for complications.

OBJECTIVE

To assess the clinical safety and effectiveness of an artificial intelligence-based follow-up call system (Dora-NL1) in identifying patients who require further assessment after cataract surgery in the Netherlands.

METHODS

Patients who underwent uncomplicated cataract surgery were eligible to participate. All patients received a Dora-NL1 follow-up call at 1 and 4 weeks postoperatively, in addition to routine postoperative cataract care. Dora-NL1 evaluated postoperative symptoms and made suggestions for care management decisions. The Dora-NL1 outcomes were compared with clinician assessments of recorded Dora-NL1 calls and regular care. User-acceptability was evaluated using the Telehealth Usability Questionnaire (TUQ).

RESULTS

A total of 105 patients were included in the analysis. Dora-NL1 demonstrated high accuracy compared to clinician-supervised calls, with symptom evaluation accuracy of 89% to 99% and care management decision accuracy of 83% to 88%. At week 1, the sensitivity and specificity compared to standard telephone consultations were 100% and 42%, with no clinical concerns missed. However, at post-operative week 4, compared to an in-person hospital visit, Dora-NL1 did not identify unexpected management changes in 4 patients (4.1%). All 4 of these patients had issues that were only detected after slit lamp examination, reflecting the system’s reliance on patient reported symptoms. Patients rated Dora-NL1 positively, with a mean TUQ score of 3/5, highlighting its simplicity, ease of use, and audibility.

CONCLUSIONS

Dora-NL1 is a safe and effective screening tool for postoperative cataract surgery, offering a safe alternative to telephone consultations, but this cannot fully replace in-person examinations.

CLINICALTRIAL

Not applicable.
Greening the Workplace: Can Sustainable Practices Reduce Anxiety and Enhance Meaningful Work Engagement?
Authors:   Christ (Deemed to be University) Delhi NCR, Sunny Cyril Tom T. , Muttungal Peter Muttungal , Davidson Benny G. ,   Christ (Deemed to be University) Delhi NCR,   University of the Fraser Valley, Abbotsford, BC, Canada
Published: February 2025

This academic research examines the relationship between job engagement, green work climate, job-related anxiety, meaningfulness at work within the organization. It draws attention to identify the significant relations among all these factors and highlights the role of a green work climate in promoting meaningful work and alleviating job-related anxiety. The research emphasizes a diverse sample of employees from various organisations using structural modelling to find the mediating roles of job engagement and work meaningfulness in the correlation between organizational practices, environmental sustainability, and employee satisfaction. The study finds that a green work climate significantly enhances meaningful work experiences and reduces job-related anxiety. It emphasises the mediating role of job engagement and work meaningfulness in linking organizational practices focused on environmental sustainability with employee satisfaction. The results of the study give practical understanding for organizations aiming to create resilient and committed workforces. Aligning green initiatives with strategies to boost individual fulfilment and reducing anxiety which can strengthen employee engagement and improve overall organizational outcomes. This study underscores the importance for an integrated approach to workplace management that blends environmental sustainability with employee well-being. It offers valuable contributions to understand how organizational practices can promote sustainability and promote a motivated and satisfied workforce.
Squashed quantum non-Markovianity: a measure of genuine quantum non-Markovianity in states
Authors: Gangwar Rajeev , Pandit Tanmoy , Goswami Kaumudibikash , Das Siddhartha , Bera Manabendra Nath
Published: February 2025

Quantum non-Markovianity in tripartite quantum states ρABC represents a correlation between systems A and C when conditioned on the system B and is known to have both classical and quantum contributions. However, a systematic characterization of the latter is missing. To address this, we propose a faithful measure for non-Markovianity of genuine quantum origin called squashed quantum non-Markovianity (sQNM). It is based on the quantum conditional mutual information and is defined by the left-over non-Markovianity after squashing out all non-quantum contributions. It is lower bounded by the squashed entanglement between non-conditioning systems in the reduced state and is delimited by the extendibility of either of the non-conditioning systems. We show that the sQNM is monogamous, asymptotically continuous, convex, additive on tensor-product states, and generally super-additive. We characterize genuine quantum non-Markovianity as a resource via a convex resource theory after identifying free states with vanishing sQNM and free operations that do not increase sQNM in states. We use our resource-theoretic framework to bound the rate of state transformations under free operations and to study state transformation under non-free operations; in particular, we find the quantum communication cost from Bob (B) to Alice (A) or Charlie (C) is lower bounded by the change in sQNM in the states. The sQNM finds operational meaning; in particular, the optimal rate of private communication in a variant of conditional one-time pad protocol is twice the sQNM. Also, the minimum deconstruction cost for a variant of quantum deconstruction protocol is given twice the sQNM of the state.
Synthesis and Arithmetic of Single Qutrit Circuits
Authors: Kalra Amolak Ratan , Mosca Michele , Valluri Dinesh
Published: February 2025

In this paper we study single qutrit circuits consisting of words over the Clifford+D cyclotomic gate set, where D=diag(±ξa,±ξb,±ξc), ξ is a primitive 9-th root of unity and a,b,c are integers. We characterize classes of qutrit unit vectors z with entries in Z[ξ,1χ] based on the possibility of reducing their smallest denominator exponent (sde) with respect to χ:=1–ξ, by acting an appropriate gate in Clifford+D. We do this by studying the notion of `derivatives mod 3' of an arbitrary element of Z[ξ] and using it to study the smallest denominator exponent of HDz where H is the qutrit Hadamard gate and D. In addition, we reduce the problem of finding all unit vectors of a given sde to that of finding integral solutions of a positive definite quadratic form along with some additional constraints. As a consequence we prove that the Clifford+D gates naturally arise as gates with sde 0 and 3 in the group U(3,Z[ξ,1χ]) of 3×3 unitaries with entries in Z[ξ,1χ]. We illustrate the general applicability of these methods to obtain an exact synthesis algorithm for Clifford+R and recover the previously known exact synthesis algorithm of Kliuchnikov, Maslov, Mosca (2012). The framework developed to formulate qutrit gate synthesis for Clifford+D extends to qudits of arbitrary prime power.
Relations between Latvia and the Ukrainian People’s Republic, 1919–1921
Authors: Jēkabsons Ēriks
Published: February 2025

With the collapse of the Russian Empire, a number of peoples, including Latvians, Estonians, Lithuanians and Ukrainians, sought independence. In 1919–1920, the goodwill of the Latvian government towards an independent Ukraine was based also on a purely pragmatic calculation of the political and economic benefits of cooperation. The relations between Latvia and the Ukrainian People’s Republic reached their peak in August and September 1920, when the Ukrainian delegation was admitted to negotiations between the Baltic States and Poland in Bulduri. After that the Latvian government was forced to reckon with the Soviet power actually existing on Ukrainian territory in order to maintain good relations with Soviet Russia, as well as to give thousands of Latvian refugees still in Ukraine a chance to return to their homeland.
The sometimes striking similarities, as well as the differences, in the struggle for independence of the two countries should be noted. The similarities include the intensity of the fighting and the large number of participants or political-military actors in both countries – the Ukrainians fought with the Poles (allied with them in 1920) the Ukrainian Bolsheviks, Soviet Russia, and White Russians in different periods. The Latvians – with the Latvian Bolsheviks, Soviet Russia, Germany and the German-Balts (allied with them in the initial period), and the White Russians. In both Latvia and Ukraine, apart from Soviet Russia, which both shared as a threatening neighbor with claims to lost territories, the interests of neighboring countries (Lithuania, Estonia and Poland in Latvia, Romania, Czechoslovakia and Poland in Ukraine) played an important role in developments in both countries, as did the involvement of the Western powers. As a result of frequent changes of power, both countries and their populations experienced a terror that is difficult to describe, not only of the powers involved, but above all, of the Bolsheviks, etc. However, Latvia and the other Baltic countries preserved their independence, while the Ukrainians did not. This stems from the differences between these countries. Firstly, obvious differences in the territory and size of the nations greatly intensified the scale of events and the number of participants. The Baltic governments managed to overcome their internal differences to create a fighting force, while the Ukrainian government largely failed to do so. However, the most important factor was the high level of national self-confidence of the Baltic peoples.
Khramovyi svitok i sovremennyi etap ego izucheniia [The Temple Scroll and the modern stage of its study]. Review of: Schiffman, L. H., Gross, A. D. (2021) The Temple Scroll: 11Q19, 11Q20, 11Q21, 4Q524, 5Q21 with 4Q365a and 4Q365 frag. 23. Leiden: Brill. — 519 p.
Authors: Sgonnova A. Yu.
Published: February 2025

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PANDICULAR
Authors: Cardoso Rodney , Raquel Fernanda
Published: February 2025

Este artigo se ocupa em articular algumas reflexões evocadas a partir de ação performativa, realizada na cidade de São Vicente (SP) em 2022. A escrita é como um convite a compreender o processo de desenvolvimento da ação e das indagações decorrentes do contato entre o corpo e o chão da cidade. Entre experiência e referenciais teóricos, a escrita se mobiliza para discutir e relacionar percepções corporais a análises sociais e políticas, tendo como ponto de partida as ações de espreguiçar e bocejar no espaço público.
SENSIBILIDADE ARTÍSTICA NO CUIDADO
Authors: Grilo Ana Carolina Paes , Oliveira Domingos Sávio Ferreira de
Published: February 2025

O artigo foca a arte como forma de expressão e cura. O papel da mulher como cuidadora. Recortes acerca das produções de Maria Knebel, Nise da Silveira e Sabina Spielrein trazem à tona os desafios e obstáculos por elas enfrentados numa sociedade machista e excludente. Em foco, o teatro inclusivo partindo, principalmente, dos estudos de Maria Knebel.
Brain tumor classification using feature extraction and ensemble learning
Authors: Zine-dine Iliass , Fahfouh Anass , Riffi Jamal , El Fazazy Khalid , El Batteoui Ismail , Mahraz Mohamed Adnane , Tairi Hamid
Published: February 2025

Brain tumors (BT) are considered the second-principal cause of human death on our planet. They pose significant challenges in the field of medical diagnosis. Early detection is crucial for effective treatment and improved patient outcomes. As a result, researchers’ studies that deal with tumor detection play a vital role in early disease prediction in the field of medicine. Despite advancements in medical imaging technologies, accurate and efficient classification of BT remains a complex task. This study aims to address this challenge by proposing a novel method for brain tumor classification utilizing ensemble learning techniques combined with feature extraction from neuroimaging data. In the present paper, we present a novel approach for brain tumor classification that contains ensemble learning methods following the extraction of important features from brain tumor images. Our methodology involves the preprocessing of neuroimaging data, followed by feature extraction using descriptor techniques. These extracted features are then utilized as inputs to ensemble learning classifiers. Experimental results demonstrate the efficacy of the proposed approach in accurately classifying brain tumors with high precision and recall rates. The ensemble learning framework, combined with feature extraction, outperforms several benchmark models and methods commonly used in brain tumor classification, including AlexNet, VGG-16, and MobileNet, in terms of classification accuracy and computational efficiency. The proposed method that integrates ensemble learning techniques with feature extraction from neuroimaging data offers a promising solution for improving the accuracy and efficiency of brain tumor diagnosis, thereby facilitating timely intervention and treatment planning. The findings of this study contribute to the advancement of medical imaging-based classification systems for brain tumors, with implications for enhancing patient care and clinical decision-making in neuro-oncology.
Early Continuous Glucose Monitor Use in Children and Adolescents With Type 1 Diabetes: Rates of Initiation and Impact on Glycemic Outcomes
Authors: Mann Elizabeth A. , Rompicherla Saketh , Miyazaki Brian , Rioles Nicole , Hardison Holly , Golden Lauren , Sarhis Jennifer , Akturk Halis K. , Lee Joyce , DeSalvo Daniel J. , Gomez Patricia , Ebekozien Osagie , Prahalad Priya
Published: February 2025

OBJECTIVE

Early initiation of continuous glucose monitor (CGM) after type 1 diabetes (T1D) diagnosis has been associated with lower hemoglobin A1C (HbA1c) in single-institution studies. This multicenter study evaluated the association between the timing of CGM initiation and HbA1c at 3 years postdiagnosis.

RESEARCH DESIGN AND METHODS

Data were obtained from the T1D Exchange Quality Improvement Collaborative (T1DX-QI) electronic health record database from 25 pediatric centers and included children and adolescents ≤18 years old diagnosed with T1D in 2019 and 2020. CGM initiation and glycemic outcomes were followed for 3 years after diagnosis. Locally estimated scatterplot smoothing plots evaluated the relationship between timing of CGM initiation and HbA1c over time, and logistic regression models were used to adjust for potential confounders.

RESULTS

There were 4,164 people included in this analysis, mean age was 12.6 (SD 3.5) years, and 37% had public health insurance. Of the 93% (n = 3,877) who initiated CGM within 3 years of T1D diagnosis, 21% did so at 0–3 months, 14% at 3–6 months, 14% at 6–12 months, and 51% after 12 months. Median HbA1c at 3 years postdiagnosis was lower for the 0–3 and 3–6 months groups compared with the 6–12 months and non-CGM user groups (7.9%, 7.9%, 8.4%, and 9.5%, respectively). Adjusted odds of HbA1c >9% were lowest for the 0–3 months group followed by the 3–6 months group.

CONCLUSIONS

In summary, early initiation of CGM within the first 6 months of diagnosis is associated with improved HbA1c outcomes at 3 years postdiagnosis.
Early continuous glucose monitor use in children and adolescents with type 1 diabetes: rates of initiation and impact on glycemic outcomes
Authors: A. Mann Elizabeth , Rompicherla Saketh , Miyazaki Brian , Rioles Nicole , Hardison Holly , Golden Lauren , Sarhis Jennifer , K. Akturk Halis , Lee Joyce , J. DeSalvo Daniel , Gomez Patricia , Ebekozien Osagie , Prahalad Priya
Published: February 2025

Objective

Early initiation of continuous glucose monitor (CGM) after type 1 diabetes diagnosis has been associated with lower hemoglobin A1c (HbA1c) in single-institution studies. This multi-center study evaluated the association between the timing of CGM initiation and HbA1c at 3 years post-diagnosis.

Research Design and Methods

Data were obtained from the T1D Exchange Quality Improvement Collaborative (T1DX-QI) electronic health record database from 25 pediatric centers and included children and adolescents ≤18 years old diagnosed with type 1 diabetes in 2019 and 2020. CGM initiation and glycemic outcomes were followed for 3 years after diagnosis. LOESS plots evaluated the relationship between timing of CGM initiation and HbA1c over time, and logistic regression models were used to adjust for potential confounders.

Results

There were 4,164 people included in this analysis, mean age was 12.6 (SD 3.5) years and 37% had public health insurance. Of the 93% (n=3,877) who initiated CGM within 3 years of T1D diagnosis, 21% did so at 0-3 months, 14% at 3-6 months, 14% at 6-12 months, and 51% after 12 months. Median HbA1c at 3 years post-diagnosis was lower for the 0-3 and 3-6 month groups compared to the 6-12 month and non-CGM user groups (7.9%, 7.9%, 8.4%, and 9.5%, respectively). Adjusted odds of HbA1c >9% were lowest for the 0-3 month group followed by the 3-6 month group.

Conclusions

In summary, early initiation of CGM within the first 6months of diagnosis is associated with improved HbA1c outcomes at 3 years post-diagnosis.
ICAYAR, un Índice multimétrico basado en insectos acuáticos para evaluar el estado ecológico en la cuenca del río Ayuquila-Armería, México
Authors: Rodríguez-Contreras Francia Elizabeth , Martínez Rivera Luis Manuel , Ortiz-Arrona Claudia Irene , Ríos-Touma Blanca , Villamarín Christian
Published: February 2025

Los macroinvertebrados acuáticos son de los organismos más utilizados para evaluar los ecosistemas fluviales por su sensibilidad a los cambios ambientales. Los índices que se han utilizado anteriormente para evaluar la cuenca Ayuquila-Armería con los macroinvertebrados, no han sido muy efectivos en mostrar la calidad ecosistémica de los ríos de la cuenca. Esta investigación busca proponer un Índice multimétrico adaptado a la Cuenca del río Ayuquila-Armería (ICAYAR) utilizando insectos acuáticos a nivel taxonómico de familia. Para la elaboración del índice se muestrearon 35 sitios en el 2018, de los cuales 10 sitios se clasificaron como de referencia, 10 como no conservados y los 15 restantes fueron usados para la validación del índice. Se construyó un gradiente de estrés a partir del análisis RDA de los valores de abundancia de los organismos y las variables ambientales. Se calcularon 30 métricas de riqueza, abundancia, tolerancia/intolerancia a la contaminación, índices de diversidad, grupos funcionales y composición del ensamble de insectos acuáticos. Mediante correlaciones de Spearman y eficiencia discriminativa se seleccionaron las métricas finales del índice. Se compararon los resultados del ICAYAR con el Índice de Integridad Biótica para las Asociaciones de Macroinvertebrados Acuáticos (IIBAMA) y el Biological Monitoring Working Party (BMWP). Las tres métricas finales para el ICAYAR fueron el Índice Biótico a nivel Familia (IBF) de Hilsenhoff, % Trituradores y % Diptera. La aplicación del ICAYAR logró diferenciar los sitios de referencia con la mejor evaluación y los no conservados con la menor calidad. El ICAYAR pudo reflejar las condiciones de sitios mejor conservados entre los no conservados. La metodología utilizada para la elaboración del índice puede ser replicada y utilizada para fines científicos y de monitoreo comunitario en otras cuencas.
El Impacto de la Disciplina Positiva en el Aula de Educación Básica y Secundaria: Un Enfoque Transformador
Authors:   Ministerio de Educación, Ecuador., Peralta Escobar Melania Natividad
Published: February 2025

La disciplina positiva ha emergido como una estrategia educativa efectiva para promover un ambiente de aprendizaje respetuoso, seguro y motivador en las aulas de educación básica y secundaria. A diferencia de los modelos de disciplina tradicionales, que se centran en el castigo y la imposición de normas rígidas, la disciplina positiva fomenta la autorregulación, el respeto mutuo y la construcción de relaciones saludables entre docentes y estudiantes.

Este artículo tiene como objetivo analizar el impacto de la disciplina positiva en el desarrollo socioemocional y académico de los estudiantes, comparando su efectividad con modelos punitivos de gestión del aula. A través de una revisión bibliográfica, se examinarán los beneficios de la disciplina positiva en términos de reducción de conductas disruptivas, mejora del clima escolar y fortalecimiento de la autoestima de los alumnos.

Los hallazgos evidencian que la disciplina positiva contribuye a un aprendizaje más significativo al promover la empatía, la comunicación asertiva y el establecimiento de normas claras y consensuadas. Además, su implementación requiere de una formación docente adecuada, estrategias de refuerzo positivo y un cambio de paradigma en la forma en que las instituciones abordan la convivencia escolar.
Métodos activos para el tratamiento de la disortografía
Authors:   Universidad Católica Santiago de Guayaquil, Guayaquil Ecuador., Muñoz Paucarima Lisseth
Published: February 2025

En esta revisión se presentarán diferentes tratamientos y diversas sugerencias para asociar el trastorno llamado disortografía, cabe señalar que esta necesidad educativa surge en la primera infancia, independientemente de cualquier discapacidad, existe gente en todo el mundo que tiene problemas con la escritura, si bien es cierto que estos elementos forman parte de la vida cotidiana de muchos estudiantes y los dominan, también plantean problemas para otros. Por otro lado, desde la perspectiva de la diversidad y la inclusión educativa, la experiencia, los conocimientos y los métodos, desde el punto de vista de cada docente, existen desafíos debido a las deficiencias y la falta de criterio sobre estos diversos temas, así como la inexperiencia en la preparación materiales de enseñanza Técnicas educativas como la planificación, el diseño y el desarrollo de un currículo orientado a la práctica.
EDUCAÇÃO ESPECIAL NA PERSPECTIVA DA INCLUSÃO E DESENVOLVIMENTO PSICOSSOCIAL DA CRIANÇA: REFLEXÕES À LUZ DA PSICOLOGIA HISTÓRICO-CULTURAL
Authors: Soares Valdete Teles Xavier , Araújo Michell Pedruzzi Mendes , Drago Rogério , Trento Sabrina da Silva Machado , Dias Israel Rocha , Silva Edeson dos Anjos , Bravo Dirlan de Oliveira Machado
Published: February 2025

A inclusão de crianças que constituem o público da educação especial no sistema educacional tem sido amplamente discutida, mas os desdobramentos dessa inclusão, especialmente no desenvolvimento psicossocial dessas crianças, ainda carecem de maior aprofundamento. Nesse sentido, este estudo busca analisar as implicações da educação inclusiva no desenvolvimento psicossocial, abordando conceitos e fundamentos da educação inclusiva, o desenvolvimento psicossocial na infância e a relação entre a psicologia histórico-cultural e a educação especial e inclusiva. Parte-se do pressuposto de que, ao ingressar no ambiente escolar, a visão que a criança tem de si mesma já está influenciada pelas percepções familiares, que nem sempre enfatizam suas potencialidades, mas sim suas dificuldades. Assim, questiona-se se o contexto escolar inclusivo reforça as limitações ou valoriza as capacidades dessas crianças e se, como está estruturada, a inclusão contribui para o desenvolvimento psicossocial ou reforça inabilidades sociais. Para responder a essas questões, a pesquisa utiliza como abordagem a revisão bibliográfica, explorando artigos, livros e documentos oficiais, com o objetivo de identificar desafios e benefícios da inclusão escolar. Os resultados do estudo destacaram que a educação inclusiva precisa ir além do cumprimento da legislação, como a Lei 13.146/2015, e se transformar em uma filosofia que reconheça a multiplicidade do ser humano e promova a equidade.
Assessment of Knowledge, Attitude and Practice on Schistosomiasis in Pujini Shehia, Pemba Island, Tanzania: A Blueprint for Planning Community-based Interventions
Authors:   Department of Zoology & Wildlife Conservation, University of Dar es Salaam, Dar es Salaam, Tanzania, Rajab Salma Khamis ,   bVikunguni Secondary School, P. O. Box 203, Chake Chake Pemba, Tanzania,   c Department of Biological Sciences, Dar es Salaam University College of Education, Dar es Salaam, Tanzania., Bakuza SettingsJared Sylivester
Published: February 2025

ABSTRACT
Background: Lack of insight into the community’s knowledge, attitude and practice (KAP) regarding schistosomiasis stands as a significant obstacle in controlling the disease in endemic regions. Understanding communities’ KAP is crucial for designing and implementing appropriate disease control measures. The present study was conducted to assess community’s KAP on shistosomiasis in Pujini, Pemba.
Methods: A total of 328 respondents aged 7 to 79 years were selected from schools and the general community using systematic random sampling method. Data collection was conducted using questionnaires, face-to-face interviews and Focus Group Discussion (FGD) to capture communities’ KAP and personal experiences and participants’ demographic characteristics.
Results: Most participants demonstrated awareness of schistosomiasis, including its transmission, symptoms and preventive measures, although they struggled to distinguish between urogenital and intestinal schistosomiasis. The majority displayed positive attitudes toward the disease, yet over half of them (59.1%) believed that the disease could not re-occur after initial treatment. Notably, older people were significantly less knowledgeable than their younger counterparts (ƴ2 = 41.982, df = 5, p = <.05) while farmers were also significantly more knowledgeable than other occupational groups like fishermen, livestock keepers and house wives (ƴ2 = 36.194, df = 4, p = .003).
Conclusions: Community’s knowledge about schistosomiasis decreased with increasing age likely due to low levels of education among adults and their poor attendance to health education meetings and campaigns. Despite positive attitudes and awareness toward schistosomiasis, a significant portion of the population continue to be engaged in risky activities such as water contact and poor sanitation practices. Efforts to enhance knowledge, foster positive attitudes, and encourage good practices remains crucial for the successful control and eventual elimination of schistosomiasis.
Spectrum and Trends of Cancer in Southwestern Uganda from 2012 to 2021
Authors:   Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda, Mitala Yekosani , Atwine Raymond , Ssenkumba Brian , Birungi Abraham , Tuhamize Barbra , Ezinga Richard , Male Keneth , Taseera Kabanda
Published: February 2025

ABSTRACT
Background: Cancer has become a global public health challenge and the number one cause of premature death. The incidence is increasing globally and more rapidly in low and middle-income countries despite the gross under-registration and challenges in diagnosis. Data about Uganda is mostly from the Mulago cancer registry which may not entirely represent other parts of the country. This study presents the trends of cancer incidence for Southwestern Uganda in a decade (2012 to 2021).
Method: We did a review of records at the Mbarara University histopathology laboratory and Mbarara Regional Referral Oncology Clinics from January 2012 to December 2021 for cancer diagnoses. Records missing patients’ age or sex were excluded.
Results: We registered 4197 incident cancers, 51.8% were among males, and 10.7% were among children (0-18 years). The median age was 52 years and the interquartile range was 35-67 years. The most commonly diagnosed cancers were prostate cancer (13.46%), ocular surface carcinoma (11.03%), cervical cancer (10.55%), head and neck cancers (7.31%), esophageal carcinoma (6.79%), lymphomas (5.36%), retinoblastoma (5.31%), and breast cancer (5.00%) in descending order. Retinoblastoma was the most common cancer among children.
Conclusion: The cancer pattern in Southwestern Uganda has changed and the numbers diagnosed each year are increasing. Prostate cancer is the most common diagnosed cancer overall, and the commonest cancer among men. Among women, cervical cancer is the most common cancer, followed by ocular surface carcinoma, and breast cancer. Retinoblastoma is the most common cancer among children. The trend of Kaposi sarcoma has plummeted together with ocular surface carcinomas. The cancer trends seem to be influenced by the presence of diagnostic and treatment expertise in the region.
Perception and Practice of Kangaroo Mother Care Among Mothers of Pre-term Babies at a National Referral Hospital in a Limited Resource Setting
Authors:   Department of Nursing Sciences, University of Nairobi, Nairobi, Kenya, Kivuti-Bitoka Lucy W ,   bKenyatta National Hospital, Nairobi, Kenya, Mukhola Beatrice Afande , Kirui Angeline C
Published: February 2025

ABSTRACT
Introduction: The effect of COVID-19 on KMC practices in limited resource settings and on healthcare delivery globally remains unclear.
Methods: In this cross-sectional descriptive study, we aimed to assess the perceptions and practice of Kangaroo mother care (KMC) during the COVID-19 pandemic by postnatal mothers of preterm babies in the New Born Unit (NBU) at Kenyatta National Hospital.
Results: A total of 82 postnatal mothers of preterm babies participated in this study. Majority of respondents practiced KMC during the pandemic period, with intermittent KMC being the most common form of practice. The reasons for practicing KMC were to promote mother-baby bonding and facilitate infant breastfeeding, while the main reason for fear of practicing KMC was concerns that the baby could contract COVID-19. We found no significant associations between KMC practice and education level, religion, pre-existing illness, and knowledge about COVID-19. It was noted that older mothers and those with more children were less likely to engage in KMC. There was a trend for married women to be more likely to engage in KMC, even though this did not reach statistical significance.
Conclusion: There is a need to reinforce continued KMC practice during the pandemics and allay any concerns that mothers have over practicing KMC. We emphasise the need to prioritise KMC practices in the context of possible future pandemics, as it has been shown to have numerous benefits for preterm babies and their mothers.
High Rates of Repeated Caesarean Section Deliveries and its Associated Maternal and Foetal Complications at A Tertiary Hospital in Northern Tanzania
Authors:   Kilimanjaro Christian Medical University College, Moshi, Tanzania, Damiana Damian J , Obure Joseph , Maro Eusebious William , Ngao Anastazia J ,   Department of Obstetrics and Gynaecology, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.
Published: February 2025

ABSTRACT
Background: About one-fifth of women undergo repeated caesarean section (RCS) deliveries worldwide. However, an increase in the number of RCS may lead to maternal and foetal morbidity and mortality. This study aimed to determine the rates of RCS deliveries and associated maternal and foetal complications at a tertiary hospital in northern Tanzania. Methods: This was a hospital-based cross-sectional study conducted at Kilimanjaro Christian Medical Centre (KCMC), Northern Tanzania. A total of 253 women who underwent caesarean section (CS) deliveries during the study period were included. Information from patient files was reviewed to abstract specific variables of interest, including maternal demographic and obstetric characteristics, maternal complications such as adhesions, postpartum haemorrhage, infections, anaesthetic complications, hysterectomy, and maternal deaths. Foetal complications related to RCS were also extracted, including the Apgar score, admission to the neonatal unit, neonatal infections, respiratory problems, and perinatal death.
Result: A total of 253 women were enrolled in this study. Of these, 133 (52.5%) had RCS delivery. The mean (± standard deviation) age of women at enrolment was 29.9 (±6.5) years. The overall complications rate was 56.5% (32.9% among women having first CS and 67.1% RCS, P<.001). For women who underwent RCS, 37.2% had anaesthesia-related complications, including hypotension, nausea, bradycardia, difficult intubation, aspiration, and respiration. Other complications were sepsis (15%), postpartum haemorrhage (PPH) (11.9%), and wound dehiscence (5.5%). Only sepsis was independently associated with repeated CS delivery (adjusted odds ratio (aOR=11.3, 95% confidence interval [CI], 3.3 to 8.9; P<.001).
Conclusion: The reported RCS in this study was high, associated with high CS complications. Necessary measures should be taken by healthcare providers to avoid unnecessary primary CS delivery, and counselling for trial of labour with close monitoring of labour for successful vaginal birth after caesarean section should be emphasised to avoid RCS and its complications.
Recent progress in sustainable fish byproduct utilisation: unveiling fish collagen as a potential wound healing agent
Authors: Jaziri Abdul Aziz , Shapawi Rossita , Mokhtar Ruzaidi Azli Mohd , Noordin Wan Norhana Md. , Sukoso  , Huda Nurul
Published: February 2025

Utilizing fish byproducts is a strategic focus on reducing waste from fish processing, garnering significant global attention from researchers and fish processors aiming for sustainable practices in line with Sustainable Development Goal 12 by 2030. One highly effective approach involves converting these byproducts into valuable commodities, such as collagen and its hydrolysates. Collagen is an important protein in living organisms that serve as fibrous structural components in the extracellular matrix. For last a decade, fish collagen has gained interest due to its superior physicochemical properties, biocompatibility, biodegradability, safety, and high absorption by the human body. These attributes make fish collagen a promising area of research, particularly for wound healing applications. This review covers the extraction procedures and characteristics of collagen derived from fish byproducts, providing a comprehensive overview of the methods used to obtain high-quality collagen. Additionally, it highlights recent research progress on the use of collagen as a wound healing agent, evaluated through both in vitro and in vivo studies. The review also addresses the challenges associated with applying collagen for wound healing, such as optimizing extraction methods, ensuring consistent quality, and overcoming potential regulatory hurdles. Furthermore, it presents a future perspective on the potential of fish collagen as an efficient and effective wound healing product, emphasizing its role in advancing biomedical research and applications. By offering new insights and stimulating further development in the utilization of fish collagen, this review aims to contribute to waste reduction in fish processing and enhance the economic value of byproducts. Thus, fish collagen holds significant promise as a sustainable and innovative solution in the biomedical field, aligning with global efforts to achieve sustainability and improve human health.
PENGARUH E-LEARNING BERBASIS GOOGLE CLASSROOM TERHADAP MOTIVASI BELAJAR MAHASISWA DI KOTA DENPASAR PADA ERA SOCIETY 5.0
Authors: Astitiani Ni Luh Putu Surya , Made Widnyani Ni , Febri Candra Dewi Putu
Published: February 2025

The development of the 5.0 industrial revolution era certainly had an impact on the world of education. The changes made are not only in the way of teaching, but what is most important is the change in the perspective of the concept of education itself. Therefore, curriculum development for now and in the future must complement students' abilities in pedagogic dimensions, life skills, ability to live together (collaboration) and think critically and creatively. Student-centered learning, collaborative learning, and integration with the community are things that need to be considered by campuses and teachers in organizing learning processes that are able to direct and shape student character. The purpose of this study was to determine the effect of Google Classroom-based E-Learning on the Learning Motivation of students in Denpasar City during the Society 5.0 era. This research is in the form of quantitative causality. The population in this study were all active students in Denpasar City with a sample of 220 respondents. The data analysis technique used is simple linear regression analysis. The results of the study show that E-Learning has a positive and significant effect on student learning motivation in the city of Denpasar. Appropriate application of E-Learning is key in relation to student learning motivation in Denpasar City. So, it is very good for teachers to use E-Learning as a standard tool in teaching students.
Keywords: E-Learning; Google Classroom; motivation to learn
PENGGUNAAN TEKNOLOGI ARTIFICIAL INTELLIGENCE DALAM PEMILIHAN PRODUK KECANTIKAN OLEH KONSUMEN WANITA
Authors: Dwinata I Putu Wahyu , Pambudi Yustikarani Julianti
Published: February 2025

The use of artificial intelligence (AI) technology in the beauty industry continues to increase as a means of helping consumers in product choices. The research aims to test the influence of perceived ease of use, perceved usefulness and subjective norms on the intention to use AI technology on the selection of beauty products. Young adult women became the subject focus on this study as the most targeted market based of the beauty industry. A total of 105 respondents were sampled in quantitative research using purposive sampling method. Data processing by Smart-PLS applications results in the perceptual ease of use, perceived usefulness and subjective norms having a significant influence on the intention to use AI technology. On the other hand, subjective norms do not influence perceived usefulness.
Keywords: artificial intelligence; perceived ease of use, perceived usefulness, subjective norm
PENGARUH PROFITABILITAS DAN UKURAN PERUSAHAAN TERHADAP NILAI PERUSAHAAN DENGAN STRUKTUR MODAL SEBAGAI VARIABEL MEDIASI
Authors: Apriawan Gede , Dana I Made
Published: February 2025

Firm value can be influenced by external factors and internal factors. This study aims to determine the effect of profitability and firm size on firm value with capital structure as a mediation variable. This research is an associative research, by selecting the transportation and logistics sector companies on the Indonesia Stock Exchange as the scope of the research. The data used in this research are secondary data obtained from www.idx.co.id and the company's official website. Sample determination method used a non-probability sampling approach, namely purposive sampling technique and it was were 21 companies in the transportation and logistics sector on the Indonesia Stock Exchange for the 2018-2021 period as samples. The analysis technique used is path analysis. Based on the results of the analysis it was found that profitability has a positive and insignificant effect on firm value. Firm size has a negative and insignificant effect on firm value. Profitability and firm size has a positive and significant effect on capital structure. Capital structure is able to mediate the effect of profitability on firm value and capital structure is able to mediate the effect of firm size on firm value.
Keywords: Firm value; Profitability; Capital structure; Firm size
PERAN KEPUASAN PELANGGAN MEMEDIASI PENGARUH PROMOSI PENJUALAN TERHADAP NIAT BELI ULANG
Authors: Dwipayana Made Rama Andika , Respati Ni Nyoman Rsi
Published: February 2025

The purpose of this research is to explain the role of customer satisfaction in mediating the effect of sales promotion on repurchase intention. This research was conducted in Denpasar City with a total sample of 110 customers. The sampling technique used in this research is purposive sampling technique. Data collection was carried out using a questionnaire. The data analysis technique used to answer the proposed hypothesis is the classical assumption test, path analysis, Sobel test and VAF test. From the results of the analysis it can be concluded that: 1) Sales promotion has a positive and significant effect on repurchase intention, 2) Sales promotion has a positive and significant effect on customer satisfaction, 3) Customer satisfaction has a positive and significant effect on repurchase intention, 4) Consumer satisfaction plays a positive and significant role in mediating sales promotion on repurchase intention. Suggestions for the 99 shop, namely being able to increase the promotions provided in terms of package promos (bundling) so that they can influence consumer satisfaction which will increase consumer repurchase intentions and increase consumer satisfaction in terms of taste consistency so that it will increase customer satisfaction and can increase customer intentions buy again.
Keywords: Sales promotion; Customer satisfaction; Repurchase intention