bluuebunny/crossref_metadata_2025 huggingface dataset:
Gender inequalities in science: Evidence and ideas from bibliometrics
Authors: Carballo-Costa Lidia , Anli Zeynep
Published: February 2024

The Gender Inequalities in Science workshop took place at Leiden University on 7th-8th October 2019, organized jointly by CWTS and Elsevier’s International Center for the Study of Research (ICSR). For two days, researchers from different research institutions, universities and science stakeholders discussed issues concerning gender in science from diverse perspectives and contexts.
Incorporating the human factor in the study of universities
Authors: Cifuentes Juan Pablo Bascur , Costas Rodrigo
Published: February 2024

Why should you care?

How do you evaluate a university? This question does not have an easy answer. However, there is an attribute that is typically considered relevant: the production of scientific papers. However, papers are not created by the university

per se

, they are created by

individuals

who are affiliated to a university. Currently, how individuals contribute to the scientific output of a university (e.
Local Citation Network and Citation Gecko: making literature discovery fun
Authors: Wölfle Tim
Published: February 2024

I'm sure the following scenario is familiar to most of the readers: You're writing a new scientific paper and are scanning the reference lists of your most important sources to see if you've missed anything interesting, maybe even a seminal paper cited by several of your current sources. Recently, a couple of web apps have come up to simplify this process by constructing and visualizing the underlying citation networks.
Conciencia ambiental desde la acción educativa: una revisión sistemática
Authors: Ibañez Moya Ana Rosa
Published: February 2024

En los últimos años, diversos estudios han analizado la conexión entre las acciones educativas y el medio ambiente ante la problemática falta de conciencia ambiental. El objetivo de esta revisión sistemática de la literatura científica es conocer los diferentes aportes sobre la acción educativa en la conciencia ambiental a nivel mundial. La metodología empleada se fundamentó en la declaración Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) donde se eligieron 21 estudios respetando los criterios de filtrado y elegibilidad; se efectuó la exploración de la información de las variables en las bases de datos de Scopus y Web Of Science entre el periodo del 2021 al 2023. Se aplicó estrategias de análisis documental ya que es un estudio teórico que busca sistematizar la información, esclarecer sus características, similitudes metodológicas y diferencias entre ellas. Los resultados obtenidos a partir de la revisión de la literatura sostienen que, la educación es la clave para aumentar la conciencia de las personas sobre el medio ambiente, integrar los problemas y actividades ambientales desde la etapa inicial hasta la etapa avanzada, incorporar las políticas gubernamentales y nacionales para garantizar los recursos y el presupuesto necesario, este es un problema de ganar-ganar para todos en el mundo.
La Alfabetización Digital en Educación Superior en América Latina
Authors: Quevedo Zamora Manuel Roberto , Cáceres Mendoza Magdalena Sofía
Published: February 2024

Es preciso ser digitalmente competente porque los nuevos medios digitales se aplican a los modos de producción y también porque su ubicuidad transforma profundamente o cotidiano, en la medida en que ayudan a la ciudadanía a crear nuevos entornos. El objetivo de esta investigación fue realizar una revisión de la literatura publicada en el período 2018-2023 sobre La Alfabetización Digital en Educación Superior en América Latina. La metodología empleada fue la revisión sistemática de la literatura científica relacionada con La Alfabetización Digital en Educación Superior en América Latina en las bases de datos Scopus, Web of Sciences, Scielo y Latindex. Se aplicó la guía Prisma para la selección de estudios y Strobe para evaluar la calidad editorial y metodológica. En la búsqueda inicial se identificaron 2.450 artículos científicos de los cuales se tamizaron 397 que incluyeron la La Alfabetización Digital en Educación Superior en título o resumen, con base en la aplicación de criterios de inclusión y exclusión se meta-analizaron 12 publicaciones científicas. La mayoría de estudios (91,66%) se publicaron entre los años 2018-2021, publicados principalmente en Colombia (16,66%), Ecuador (16,66%) y Cuba (16,66%), y el resto en países como Costa Rica (8,33%), México (8,33%), España (8,33%), Brasil (8,33%), Bolivia (8,33%) y Perú (8,33%). Todos los estudios se desarrollaron en instituciones públicas. La mayor parte de los artículos fueron publicados en revistas indexadas en la base de datos Scopus (33,33%), el 33,33% en Scielo, Latindex (25%) y una menor proporción (8,33%) en Web of Sciences.
Flooded Cities: A Comparative Analysis of Flood Management Policies in Indian states
Authors: Bezboruah Karabi , Sattler Melanie , Bhatt Arpita
Published: February 2024

Flooding is a critical issue affecting many countries worldwide with severe consequences on the lives of their residents. In this paper, we conduct a case study of the flood management policies of India by evaluating their implementation in six Indian states that are affected by recurrent flooding every year. The states selected have major cities located near water bodies and have experienced flooding leading to deaths and displacement besides slowing down economic and community development.

We evaluate how each of the states align their policies to the national level disaster management guidelines for flood management. We find that for policies established at the state level, implementation within the various regions can vary with some urban areas going beyond the state and national guidelines. We find that not all Indian states follow the established national guidelines, and this poses questions on the challenges on having uniform flood management policies for addressing a complex issue.
Rehistoricizing the Nile Waters Agreement, 1948–1963 The view from the British Colonial Office and its afterlife
Authors: Doyle-Raso John
Published: February 2024

This article examines the final years of colonialism and the establishment of independent government in East Africa, particularly Uganda. It finds that the British broke from the Nile Wa- ters Agreement by not only ceasing to recognize it but by also circumventing the process for ensuring treaty compliance. They did so on behalf of foreign investors seeking irrigation water. Furthermore, this article shows why the colonial government in Uganda integrated the proposal to flood Lake Albert – which would displace many Ugandans – into discussions about the treaty. The government based this decision on Cold War politics, the personal biases of its advisers and technocratic designs for resettling the region. To contextualize the lack of scholarly analysis re- garding these issues, this article examines how former colonial officials became diplomats, then scholars, who downplayed their treaty breakage and their roles supporting the proposal to flood Lake Albert. Providing further context for the lack of analysis regarding Uganda, it shows how the independent Ugandan government navigated the ambiguous situation that the British left. It also finds that scholars have reproduced the Lake Albert proposal without considering its local signifi- cance. I conclude that although the colonial breakage from the Nile Waters Agreement left the in- dependent governments with no relationship to it, the present role of the Ugandan government in Nile governance is part of a resurgence of foreign investments in East Africa. Outsider control of Lake Victoria is becoming entrenched even as the influence of the Nile Waters Agreement wanes.
Understanding and deterring online child grooming: A qualitative study
Authors: Wefers Sarah , Dieseth Therese , George Emily , Øverland Ida , Jolapara Jayeta , McAree Ciara , Findlater Donald
Published: February 2024

The prevalence of online child sexual grooming offenses has been on the rise, posing significant risks to children. Child sexual grooming involves sexual communication with minors. This study aims to understand motivations and pathways of individuals who have engaged in online grooming behaviour, as well as propose effective prevention and intervention strategies. A sample of 14 male participants who had engaged in online child grooming were interviewed. Five themes were identified through thematic analysis: Social aspects, Mental health and psychological aspects, Justification for offending, Secrecy and Technology. Within all five themes risk factors and protective factors relating to online grooming behaviour were identified. Three pathways into online grooming behaviour were hypothesised: social connection, addictive behaviour, and fantasy/roleplay. Additionally, the study highlights the complex relationship between online grooming and other child sexual abuse offences, including the sharing and distribution of indecent images of children. The study underscores the need for greater education and awareness about the risks and harms associated with online grooming for those at risk of engaging in this behaviour as well as wider support and situational prevention approaches, including monitoring and use of warning messages on relevant online platforms.
Lifestyle Dynamics and Purchasing Pattern Transformation: Significant Shifts in Indonesian Society Post-Pandemic
Authors: Bachtiar Muchamad , Panji Kemas A. Rachman , Sufa Siska Armawati , Amani Sabila Zata , Mayangsari Ayulina
Published: February 2024

The COVID-19 pandemic has deeply impacted Indonesia, leaving lasting effects on both public health and societal norms. Beyond mere statistics, the transformation touches every aspect of life, altering how Indonesians work, live, and connect with the world. Accelerated digital adoption, increased health consciousness, and a shift in priorities have significantly reshaped the consumer landscape. E-commerce platforms have boomed, serving as virtual marketplaces for various needs. A holistic approach to well-being emerged, with a focus on organic foods, fitness, and mindfulness. Environmental concerns spurred a demand for sustainable products. The allure of material possessions diminished, replaced by a desire for meaningful experiences and personal growth. This intricate tapestry reveals a post-pandemic Indonesia emphasizing technology, health, sustainability, and a redefined pursuit of happiness. Businesses and policymakers must comprehend these shifts to adapt strategies for the evolving consumer, fostering responsible consumption and contributing to a better Indonesia.
Labia minoraplasty - the balance between technique and untoward effects: A case report
Authors: SULE KRISTINA , WERE FRANCIS
Published: February 2024

Case presentation: A 45-year-old nulliparous patient presented with a long-standing history of genitaldiscomfort in the form of friction, laceration, and dyspareunia. She was also esthetically displeased withher labia minora, which she considered too large and long. Her labia minora appearance was also notedto cause emotional distress. The patient requested labia minoraplasty. Despite correct techniqueselection, she was noted to have notching, fenestration, and pigment mismatch eight weekspostoperatively, and required revision surgery.Discussion: Wedge resection versus edge trimming is an active topic in cosmetic gynecology. Patientselection and hypertrophied labia minora are important considerations in technique selection. Thesehave a bearing on the eventual esthetic appearance and development of untoward effects.Conclusion: Even with the correct technique selection for a specific type of labial hypertrophy, untowardeffects may develop postoperatively, requiring reconstruction or revision later.
Cosmetic gynecology - positive impact mental and menstrual health: A case report.
Authors: SULE KRISTINA , WERE FRANCIS
Published: February 2024

Background: Cosmetic Gynecology practice has previously been labelled as purely esthetic and luxurybased. This case report demonstrates that this novel practice is useful for promoting positive mentalhealth and menstrual function.Case presentation: A 16-year-old nulliparous presented with esthetically displeasing results followinggenital surgery in childhood for a perineal mass with resultant posterior fourchette webbing. The estheticresult was noted to cause her mental distress and difficulty in tampon use. Correction of the untowardsurgical effect allowed easy tampon use, prevented future dyspareunia, and improved her overall mentalhealth.Discussion: Posterior fourchette webbing resulting from poor technique in labia minoraplasty leads tochronic perineal pain and dyspareunia. The resultant esthetics can also be displeasing. Surgical revisioncan alleviate these effects and improve self-esteem and mental health.Conclusion: Previously labeled as elective and occasionally unnecessary, cosmetic gynecology canimprove menstrual and reproductive function as well as mental health in women of reproductive age andadolescents.
Prevalence and pattern of blood and blood component utilization at the Kenyatta National Hospital maternity unit in 2022-2023: A cross-sectional study
Authors: Wakoli Elias , Gwako George , Owende Philomena , Ogutu Omondi , Odongo Elly , Karanja Joseph
Published: February 2024

Background: Blood and blood component transfusion plays a pivotal lifesaving role. Adequate amounts significantly reduce maternal morbidity and mortality. This study aimed to assess the prevalence and pattern of blood and blood component utilization among women managed at the Kenyatta National Hospital (KNH) maternity unit in 2022-2023.
Methods: This was a cross-sectional study targeting women admitted to the KNH maternity unit. Participants were recruited through consecutive sampling. A data abstraction chart was used for data collection. The study variables included proportions of patients who required blood or blood components, indications for transfusion, number of units availed against those requested, and outcomes of the participants. To determine the prevalence of transfusion, the proportion of participants who received blood or blood components was calculated over the admissions. To determine the percentage per indication for transfusion, a particular indication was calculated over the total number of indications and expressed in percentages, and the need was calculated as the total need per blood request generated. Continuous data were analyzed for mean and standard deviation. Frequencies and percentages were calculated for variables with categorical data.  
Results: Among 5567 admissions, 344 participants who needed blood and blood components were sampled over 7 months from October 2022. This represented a prevalence of 6.2%. Of this prevalence, cesarean deliveries made up 3%, SVD 1.4%, and miscarriages accounted for 0.5% among others. Postpartum hemorrhage was the most common indication (34.5%), with 65.4% of participants having their need for blood/blood components met. The deficit in blood units ordered was 12.4%. The majority (98%) were discharged home. While mortality was recorded at 2%.
Conclusion: The prevalence of blood/blood components transfusion was 6.2%.  Postpartum hemorrhage remains the most common indication for blood transfusion. The need for blood and its components remains unmet both for the number of units and the type of component.
Congenital neonatal hemochromatosis with recurrent neonatal deaths - a diagnostic nightmare: A case report
Authors: Nassir Faiza , Shee Rehema Omar , Soita Musimbi , Nawal Alyan  , Abdul Lavingia
Published: February 2024

Background: Neonatal hemochromatosis (NH) is a rare disorder and the most common cause of acuteliver failure in neonates. NH is characterized by severe hepatic injury and iron overload with highperinatal mortality and morbidity. There is a high risk of recurrence in subsequent pregnancies of womenwho have had a child with neonatal hemochromatosis.Case presentation: A 40-year-old para 13 with one living child and three previous cesarian scarspresented at ten weeks with a history of recurrent neonatal deaths. Her last infant death was at fourmonths after she delivered a baby via cesarian birth at 36 weeks. The infant developed severe jaundicewith reduced urine output. Laboratory investigations revealed deranged liver function tests with elevatedserum ferritin levels. The infant received repeated exchange transfusions, immunoglobulin, anddexoferamine. However, she succumbed at four months. Her management for the current pregnancyrequired close follow-up and she delivered at 37 weeks gestation to a live male infant who is faring well.Discussion: The cause of NH is not fully understood. Significant evidence indicates that most cases ofneonatal hemochromatosis result from fetal liver disease due to maternal-fetal alloimmunity, a conditiontermed gestational alloimmune liver disease (GALD). In GALD, these antibodies bind to fetal liverantigen and activate the terminal complement cascade, resulting in hepatocyte injury and death.Conclusion: NH is the most common cause of neonatal acute liver injury and should be considered in allcases of severe fetal liver injury as well as in cases of stillbirth, fetal demise, and early postnatal death.
Lowering the cost of fertility treatments; a reality or a mirage?
Authors: Gulavi Edgar , Murage Alfred
Published: February 2024

In recent years, the rising costs associated with in vitro fertilization (IVF) have become a significant concern, limiting access to assisted reproductive technologies for many aspiring parents. The rising financial burden on patients seeking assisted reproductive technologies necessitates a focused exploration of potential causes and strategic interventions to make IVF more economically accessible. The escalating cost of IVF poses a multifaceted challenge rooted in several contributing factors. Advances in reproductive technologies, the need for specialized medical expertise, and stringent regulatory requirements collectively drive up the overall expenses associated with IVF procedures. Increased demand for specialized personnel, sophisticated laboratory equipment, and adherence to stringent quality assurance measures. Moreover, the intricate nature of IVF procedures, coupled with the need for extensive hormonal stimulation and monitoring, adds to the economic burden on both healthcare providers and patients. There is a need to delve into pragmatic approaches to lower IVF costs, emphasizing collaboration and innovation. Optimization of laboratory processes, integration of artificial intelligence for predictive modeling, and standardization of protocols to streamline procedures without compromising success rates. Additionally, discussions encompass potential collaborations between the public and private sectors to foster shared responsibility and explore avenues for cost sharing. By fostering collaborative efforts and implementing innovative strategies, the aim is to make assisted reproductive technologies more financially feasible for a broader spectrum of individuals, ultimately advancing accessibility and affordability in reproductive medicine.
Secondary malignancy in a vulva cancer patient – HPV-induced field cancerization: A case report
Authors: Nassir Faiza , Shee Rehema Omar , Abdul lavingia  , Nawal Alyan
Published: February 2024

Background: Human papillomavirus (HPV) infection is associated with oropharyngeal and anogenital cancers in men and women. Approximately 90% of all cervical cancers are attributed to high-risk HPV infections, and 60% of squamous cell carcinomas (SCC) of the vulva, vagina, anus, and penis are due to HPV infection. 
Case presentation: We present the case of a 26-year-old with retroviral disease managed for locally advanced vulva cancer on external beam radiotherapy followed by wide excision of the residual tumor and bilateral inguino femoral nodal dissection. She later presented with a history of foul-smelling vaginal discharge. A biopsy confirmed moderately differentiated squamous cell carcinoma of the cervix clinically and radiologically staged at 2B and 3B, respectively. She was scheduled to start chemotherapy with carboplatin and paclitaxel after blood transfusion due to anemia.
Discussion: Field cancerization was coined by Slaughter et al. to describe the existence of generalized carcinogen-induced early genetic changes in the epithelium from which multiple independent lesions occur, leading to the development of multifocal tumors. In some cases, multiple contiguous tumor foci coalesce, hence the lateral spread of squamous cell cancers. It was also observed that normal-looking cells near malignant cells were histologically abnormal and therefore were part of the transformed cells in a particular tumor field and consequently were responsible for the occurrence of local tumor recurrences. 
Conclusion: Field cancerization is a well-known and well-documented process of malignant transformation. Several studies have confirmed the importance of this phenomenon in tumor development. Surveillance is the key to detecting early recurrence and secondary malignancies.
Pathogenesis of pelvic endometriomas: Lessons learned from surgical management
Authors: Koigi Paul K , Koigi Kamau , Koigi Mary K
Published: February 2024

Background: There is a relatively poor understanding of the pathogenesis of pelvic endometriomas, as is the whole subject of endometriosis.  The pathophysiological basis of endometriosis remains enigmatic, especially for endometriomas. Diagnostic acumen has remained low; therefore, a standardized objective treatment approach is elusive.  

Objective: To elucidate possible pathogenetic processes and collate them with clinical and treatment outcomes.

Results: This is a relatively neglected pathologic process that affects the ovary. It is a composite component of pelvic peritoneal endometriosis with a heavier predilection toward the ovary as the target organ. Infertility is a very common outcome because of reduced ovarian reserve and the inflammatory processes that often accompany the pelvic peritoneal component. Endometriomas are very common, as reflected by the finding that 17-44% of patients with ovarian cysts have endometriomas, and endometriomas constitute 35% of benign ovarian cysts.  

Conclusion: The propensity of the condition, coupled with the pathophysiological impact, dictates a need for a better understanding of pathogenesis and conservative treatment that targets fertility preservation.
A retrospective analysis of semen parameters among males at an infertility clinic in Nairobi, Kenya
Authors: Sonigra Khushboo J , Juma Almas R , Omanwa Kireki , Obiero Jael , Mwaura David K , Nyachieo Atunga
Published: February 2024

ackground: Male infertility affects a significant proportion of couples trying to conceive because of a variety of factors, such as low sperm count, abnormal sperm morphology, erectile dysfunction, varicocele, infections, and hormonal imbalances. This study aimed to assess the prevalence of male infertility in Nairobi, Kenya, and to better understand the causes of male infertility and improve outcomes for couples struggling to conceive.

Methods: A retrospective study was conducted at an infertility clinic in Nairobi, Kenya between February 2021 and September 2022. 115 men who underwent semen analysis were chosen. Descriptive statistics were calculated for demographics and sperm parameters using SPSS version 27. 

Results: The average age range of study participants was 21-56 years.  In most cases, 63% had progressive sperm motility, 28.3% had nonprogressive motility, and 8.7% had sperm immotility. A sperm concentration of <15 million/ml was reported in 24% of men. Of these, 40% had abnormal forms of sperm morphology. 25% had abnormal sperm vitality (<54% of sperm are alive). 32.7% of men had normozoospermia, 20.6% had asthenozoospermia, 11.5% had oligospermia, 6.06% had azoospermia, 21.2% had teratozoospermia, 7.27% had hypospermia, and 0.606 had hyperspermia. All semen abnormalities were more common among middle-class and upper-class males with an income of more than 150,000 per month, aged >35 years, and smokers.

Conclusion: Male infertility is an increasing problem in lives of married couples. Age, occupation, stress, and lifestyle have a significant impact on the quality and quantity of sperm. Couple education on factors affecting male infertility should be encouraged. Clinicians should investigate males for the cause of infertility in couples.
ENDOMETRIOSIS AND FERTILITY -NATURAL CONCEPTION FOLLOWING MULTIPLE SURGERIES FOR ENDOMETRIOSIS
Authors: Wambugu Justus , Oindi Felix , Sequeira Evan
Published: February 2024

The association between endometriosis and infertility is well established and treatment is challenging. It is a chronic and debilitating disease with multiple pathophysiologic mechanisms. Treatment involves both surgical/medical interventions and ART for those with infertility.

Evidence on the ideal approach is inadequate and guidelines vary. The patient’s symptomatology, age, fertility desires and prior surgical interventions are important factors to consider. Fertility preservation is paramount.

We present an interesting case of a nulliparous patient who over four years has had recurrent ovarian endometriosis, underwent four laparoscopic surgical/medical interventions, and ultimately achieved a natural conception.

Case

A 32-year-old female presented in 2019 with symptoms of endometriosis confirmed on pelvic ultrasound. Laparoscopy, the gold standard was performed and the histology confirmed endometriosis. Postoperatively, she was on medical management to control symptoms. However, seven months later, she presented with worsening symptoms despite being on Leuprolide and later Visanne. Ultrasound showed recurrent ovarian endometriosis and uterine fibroids. A Laparoscopic myomectomy, adhesiolysis, and excision of ovarian endometriosis were done. She was then on Visanne but 6 months later her symptoms returned. A scan showed recurrent left ovarian endometriosis and she underwent laparoscopic excision. Her symptoms improved.  Two years later she presented with worsening symptoms. A repeat ultrasound scan showed ovarian endometriosis. With a desire to conceive, laparoscopic excision of endometriosis, Adhesiolysis, and chromopertubation were performed. She conceived spontaneously four months later and is currently in her second trimester. 

 

Conclusion

Treatment for endometriosis is an enigma and has to be individualized. Shared decision-making is important and repeated surgical/medical interventions with fertility preservation are a plausible approach for those keen on child-bearing.
A Shortcut at the Expense of Justice
Authors: Golubok Sergei
Published: February 2024

On 31 January 2024, the International Court of Justice rendered its judgment on the merits of a case initiated by Ukraine against the Russian Federation in 2017. Ukraine alleged numerous violations by Russia of two treaties: the 1999 International Convention for the Suppression of the Financing of Terrorism and the 1965 International Convention on the Elimination of All Forms of Racial Discrimination. This blog post provides a brief overview of the decision and argues that the Court sidestepped the task of reconstructing what has happened in reality via judicial fact-finding. This approach comes at the expense of several legal errors. The harsh realities of the conflict and, most importantly, the human suffering on the territories of Ukraine occupied by Russia seem far removed from the grandeur of the Peace Palace.
“Rented Uterus” as a Universal Crime
Authors: Caroli Paolo , Vercellone Antonio
Published: February 2024

The principle of universal jurisdiction (UJ) has traditionally been grounded in the idea of a collective response to the most heinous crimes on a global scale. Italy, a country that currently lacks universal jurisdiction for international crimes, is amid deliberations on a proposed bill advocating for the use of universal jurisdiction in cases of surrogacy. This analysis contends that the underlying political motive behind this bill is to curb all forms of same-sex parenthood, inadvertently resulting in a criminal law framework that would specifically impact male-gay couples. Secondly, it draws a parallel with “memory law”, illustrating how legal mechanisms initially established in the enthusiasm of the ‘90s are now being repurposed as instruments for divisive political agendas.
Only Test Email
Authors: Rathor Sumit
Published: February 2024

The Aakashganga platform is an Open Access Platform centred on advancing and benefiting society by offering unrestricted access to the most recent research Our mission is to help expedite the pace of discovery and establish a more equitable knowledge system accessible to all
Eksploracijska primerjava dveh metod invazivnega zdravljenja lumboishialgije
Authors: Doupona Tajda , Markovič Božič Jasmina , Požlep Gorazd , Spindler Vesel Alenka
Published: February 2024

Izhodišča: Bolečina v križu je zelo pogosto stanje, vendar zanjo pogosto ne najdemo jasnega vzroka. Poleg farmakoloških in nefarmakoloških ukrepov jo zdravimo tudi z invazivnimi pristopi. Primerjali smo razlike glede jakosti, kakovosti bolečine, porabe analgetikov ter kakovosti življenja med skupinama bolnikov z blokado prožilnih točk in rentgensko vodeno blokado na dan posega, po enem in treh mesecih po blokadi.

Metode: V prospektivno randomizirano raziskavo smo vključili 45 bolnikov s kroničnimi bolečinami v križu, pri katerih smo se odločili za invazivni pristop k zdravljenju. Bolnike smo razdelili v dve skupini glede na vrsto blokade. S pomočjo McGillovega vprašalnika o bolečini in Kratkega vprašalnika o bolečini smo na dan posega, nato po 1 mesecu in 3 mesecih ocenili kakovost bolečine, jakost bolečine, kakovost življenja in porabo analgetikov.

Rezultati: Skupini sta primerljivi v demografskih podatkih, statusu zaposlenosti in porabi analgetikov. Pri bolnikih z ledveno blokado prožilnih točk je bil statistično pomembno nižji časovni potek bolečine po McGillovem vprašalniku po 1 mesecu in 3 mesecih (po 1 mesecu: 3,8 vs. 5,7; p = 0,01; po 3 mesecih 3,8 vs. 5,5; p = 0,01). Bolniki v tej skupini so po 1 mesecu statistično pomembno lažje hodili (5,9 vs. 7,4; p = 0,03). Vpliv bolečine na kakovost življenja je bil 1 mesec po blokadi prožilnih točk statistično pomembno manjši v primerjavi z rentgensko vodeno blokado (40,9 vs. 48,3; p = 0,04), po 3 mesecih pa se v obeh skupinah primerljivo pozna ugoden učinek blokade (40 vs. 45,6; p = 0,2). Kakovost spanja se je v skupini z rentgensko vodeno blokado pomembno izboljšala po 1 mesecu po blokadi (7,1 vs. 5,1; p = 0,01).

Zaključek: Naša raziskava prvič v Sloveniji primerja učinkovitost blokade prožilnih točk in rentgensko vodene blokade mediane veje zadnje veje spinalnega živca. Tudi v literaturi nismo našli podobnih raziskav. V naši raziskavi smo ugotovili izboljšano kakovost spanja pri skupini z rentgensko blokado; v tej skupini je bil tudi manjši vpliv bolečine na kakovost življenja. Izboljšanje kakovosti življenja smo opazovali tudi pri skupini z blokado prožilnih točk.
Explorando las raíces de la violencia en estudiantes de medicina de último año (internos) en Ecuador.
Authors: Alvarado-Vintimilla Gabriela , Perlaza-Flores Katherine , Barros-Angulo Viviana , Arpi Jorge , Sarmiento-Altamirano Doris
Published: February 2024

Background: Medical interns are frequently victims of a hierarchical system, suffering various forms of abuse, ranging from psychological harm to sexual threats and physical assault. Objective: Determine the prevalence of violence and identify the factors that contribute to it in medical interns. Methods: Cross-sectional survey study with 161 participants. The survey “Workplace Violence in The Health Sector Country Case Studies Research Instruments Survey Questionnaire 2003” was used. Results: 59% have suffered some type of violence, 87.3% psychological violence, 3.1% physical violence and 9.4% both types of violence. In psychological violence, verbal aggression was the most prevalent (76.6%). Health personnel are the main source of violence, in psychological violence it was nursing (32.2%) and in physical violence, senior doctors (41.6%). In both types of violence, the majority perceives it as an everyday event. The cause of violence lies in the behavior of the aggressor due to abuse of authority (31%) and stress in 27%. Only 18.1% know the policies to confront violence. Most do not report the incident mainly due to fear. Conclusion: Violence towards medical students manifests itself in different ways and emanates from hierarchical positions, this can have consequences on the professional and emotional development of future doctors.

Antecedentes: Los internos de medicina frecuentemente son víctimas de un sistema jerárquico, sufriendo diversas formas de abuso, que van desde daño psicológico hasta amenazas sexuales y agresiones físicas. Objetivo: Determinar la prevalencia de la violencia e identificar los factores que contribuyen a la misma en los internos de medicina. Métodos: Estudio transversal de encuesta con 161 participantes. Se utilizó la encuesta “Workplace Violence in The Health Sector Country Case Studies Research Instruments Survey Questionnaire 2003”. Resultados: El 59% ha sufrido algún tipo de violencia, un 87.3% violencia psicológica, 3.1% violencia física y 9.4% ambos tipos de violencia. En la violencia psicológica, la agresión verbal fue la más prevalente (76.6%). El personal de salud es la principal fuente de violencia, en la psicológica fue enfermería (32.2%) y en la física, los médicos de mayor jerarquía (41.6%). En ambos tipos de violencia, la mayoría lo percibe como un evento cotidiano. La causa de violencia radica en el comportamiento del agresor debido al abuso de autoridad (31%) y estrés en un 27%. Apenas el 18.1% conoce las políticas para afrontar la violencia. La mayoría no reporta el incidente debido principalmente al miedo. Conclusión: La violencia hacia los estudiantes de medicina se manifiesta de diferentes formas y emana de posiciones jerárquicas, esto puede traer consecuencias en el desarrollo profesional y emocional del futuro médicos.
Evaluación de las competencias clínicas prácticas en estudiantes de terapia manual ortopédica a través del Examen Clínico Objetivo Estructurado (ECOE): Experiencia piloto en la Universidad Europea de Canarias.
Authors: Martin Perez Sebastian Eustaquio , Martín Pérez Isidro Miguel , Rodríguez Lorenzo Eva , Cabrera Fuentes Andrea , Rodríguez Rodríguez Yeray , González Fernández Josué , Alonso Pérez José Luis
Published: February 2024

Introduction: The Objective Structured Clinical Examination (OSCE) is a practical clinical competency assessment tool in Physical Therapy that has not yet been used to evaluate Orthopedic Manual Therapy specialists. Objective: This study aims to evaluate competency through grades, satisfaction and perceived performance of students enrolled in the Master’s in Orthopaedic Manual Therapy for Pain Treatment at the European University of the Canary Islands. Materials and methods: A descriptive study was conducted on a postgraduate student sample (n=21, W=10, M=11, 24,61 yrs.) between February 1 and July 31, 2023 at the Simulated Hospital of the European University of the Canary Islands (Tenerife, Spain). Results: Participants received predominantly high scores (mean = 8,54 /10, SD= 0.612), although Anatomy and interpretation of complementary test, 19.1% (n=4) perceived their performance as deficient, and 4.8% (n=1) as very deficient. Conclusions: In summary, despite lower scores in certain areas, the results of the practical clinical competency assessment through the OSCE are positive. Furthermore, a high degree of satisfaction and positive performance perception are observed among specialists.

Introducción: El ECOE es una herramienta de evaluación de competencias clínicas prácticas en Fisioterapia, hasta ahora no empleada para examinar las habilidades de los especialistas en Terapia Manual Ortopédica. Objetivo: El objetivo de este trabajo es evaluar la competencia a través de las calificaciones, la satisfacción y el desempeño percibido de los estudiantes del Máster de Terapia Manual Ortopédica en el Tratamiento del Dolor de la Universidad Europea de Canarias. Métodos: Se realizó un estudio descriptivo en una muestra de estudiantes de posgrado (n=21, M=10, V=11, 24,61 años) entre el 1 de febrero y el 31 de julio de 2023 en el Hospital Simulado de la Universidad Europea de Canarias (Tenerife, España). Resultados: Las calificaciones obtenidas por los participantes fueron mayoritariamente altas (media = 8,54 /10, DT= 0.612), aunque en Anatomía e interpretación de pruebas complementarias registraron los resultados más bajos. El 95,1% (n=20) expresó una alta satisfacción con el ECOE. Respecto a la interpretación de pruebas complementarias, un 19,1% (n=4) consideró su desempeño como deficiente y un 4,8% (n=1) muy deficiente. Conclusión: En síntesis, a pesar de las calificaciones más bajas en ciertas áreas, los resultados de la evaluación de competencias clínicas prácticas a través del ECOE son positivos. Además, se observa un elevado grado de satisfacción y percepción positiva del desempeño por parte del especialista.
Data confidentiality :
Authors: Fisher William , Craft R Eugene , Ekstrom Michael , Sexton Julian , Sweetnam John
Published: February 2024

Attacks that target data are of concern to companies and organizations across many industries. Data breaches represent a threat that can have monetary, reputational, and legal impacts. This guide seeks to provide guidance concerning the threat of data breaches, exemplifying standards and technologies that are useful for a variety of organizations defending against this threat. Specifically, this guide seeks to help organizations identify and protect assets, including data, against a data confidentiality attack.
Internal Equity Annual Changes and Security Returns of Companies Listed in The Nairobi Securities Exchange.
Authors: Rosana Douglas Maroma , Muturi Willy Mwangi , Oluoch Oluoch
Published: February 2024

This study examined the effect of annual changes in internal equity on ordinary equity security returns in Kenyan public limited firms. Internal equity is the portion of a company's equity generated through retained earnings and the issuance of new shares to existing shareholders. The study was guided by the research philosophy of positivism, given that it relied on quantitative data and espoused the scientific approach to research.  It adopted a causal or explanatory research design to check how the annual changes in public firms' internal equity impacted a firm's stock market value. A census study of 67 public companies was employed, of which 49 met data requirements. The study used secondary data from the company's financial statements for eleven years, from January 2012 to December 2022. The data collected was analyzed using descriptive and inferential statistics. The hypothesis that annual changes in internal debts had no significant effect on security returns was tested at a 95% confidence interval using the t-statistic and p-value. The study adopted panel data to carry out the research analysis. Panel regression analysis using the random effects model was undertaken after appropriate normality, model specification, homoscedasticity, linearity and autocorrelation diagnostic tests. Findings reveal significant variability in internal equity changes across sectors. Correlation analysis establishes a positive and significant association between internal equity changes and security returns. Panel regression analysis further confirms a strong and positive relationship, indicating that an increase in internal equity corresponds to higher returns on equity securities. The results emphasize the importance of internal equity in signalling a company's financial health and stability, impacting investor confidence and potentially leading to higher equity security returns. Investors are urged to conduct sector-specific analyses, considering variability in financial structures. The study contributes valuable insights to understanding internal equity's role in influencing financial well-being and security returns in the Kenyan business landscape.
Pengembangan Pembelajaran dengan Menekankan Budaya Lokal Minangkabau Pada Praja Ipdn di Nagari Lasi
Authors: Fahlevvi Mohammad Rezza , Titis Sari Putri , Ikra Novar Rizqi , Rozali Ilham , Wenty Zahrati
Published: February 2024

Budaya lokal Indonesia merupakan warisan budaya bangsa Indonesia Budaya lokal lebih bermakna karena dapat menumbuhkan semangat kecintaan terhadap kehidupan manusia Nilai-nilai, standar dan etika yang terkandung dalam Aturan Standar tercermin dalam budaya lokal Praja IPDN Kampus Sumbar berasal dari Sabang-Merauke selama menjalani pendidikan, mereka harus mengetahui dan mempelajari tata cara Minangkabau khususnya filosofi “Basandi Sarak Sarak yang tersandi dalam Kitab ullah” agar Praja dapat mengkomunikasikan kepada orang tua, saudara, dan masyarakat ketika kembali ke daerah asalnya. Kegiatan ini mengembangkan pembelajaran mengenalkan dan mengenal prosesi adat Minangkabau dalam kaitannya dengan konteks kekinian. Acara berlangsung di balai adat Kenagarian Lasi. Lasi dipilih sebagai tempat kajian pengenalan budaya lokal karena melihat adat dan budayanya masih terpelihara dengan baik dan lembaga kerapatan adatnya cukup aktif dalam mempertahankan, melestarikan adat dan budaya dengan cara menggelar kegiatan pasambahan dan diskusi tentang adat yang rutin dilaksanakan di balai kerapatan adat. Pengenalan budaya Minangkabau diberikan oleh ketua Adat yang terdiri dari penyambutan tamu Pasambahan, peran Ninik Mumang, ulama dan Bundo Kanduang. Usai pemaparan materi dilanjutkan dengan tanya jawab dari Civitas Akademika IPDN dan diakhiri dengan “Makan Bajamba” yang merupakan tradisi Minangkabau yaitu makan dalam satu piring untuk 4 orang yang disebut “Satu Nampan”.
Economic Loss of Bangladesh Due to Medical Treatment Abroad, with a Focus on India: A Review
Authors: Kariul Islam
Published: February 2024

The trend of Bangladeshi patients seeking medical treatment abroad, particularly in India, has been steadily increasing, raising concerns about its economic impact on Bangladesh. While India is chosen for its advanced medical facilities and expertise, the economic ramifications for Bangladesh, including foreign exchange loss and strain on the domestic healthcare system, necessitate scrutiny. This paper delineates the multifaceted economic losses incurred, encompassing direct expenses and indirect impacts on the local healthcare industry. Factors propelling medical tourism to India include perceived quality of care, specialized treatments, and shorter wait times, exacerbated by deficiencies in Bangladesh's healthcare infrastructure. To mitigate economic losses, Bangladesh can invest in domestic healthcare, enhance regulatory measures, and promote medical tourism locally. Addressing this issue requires collaboration among policymakers, healthcare authorities, and stakeholders to retain healthcare expenditures, bolster domestic healthcare, and improve accessibility for citizens. This review contributes insights into Bangladesh's economic challenges concerning medical treatment abroad, laying the groundwork for further research and policy development.
Implementasi Data Mining Menggunakan Algoritma Naïve Bayes Untuk Prediksi Kelulusan Siswa
Authors: Punkastyo Dimas Abisono , Septian Fajar , Syaripudin Ari
Published: February 2024

Proses kelulusan siswa melibatkan serangkaian tahapan dan persyaratan yang harus dipenuhi oleh setiap siswa. Kelulusan ini menjadi langkah penting dalam pendidikan, karena menentukan kemampuan siswa untuk melanjutkan ke jenjang berikutnya. Dalam penelitian ini, data kelulusan siswa diolah menggunakan teknik data mining, khususnya metode Naïve Bayes, untuk melakukan prediksi kelulusan siswa. Atribut-atribut seperti Nilai Praktik, Ujian Sekolah (US), Ujian Nasional (UN), dan Perilaku Siswa digunakan dalam proses prediksi ini. Hasil penelitian menunjukkan bahwa dari populasi sebanyak 60 siswa, model berhasil memprediksi bahwa 45 siswa akan lulus dan 15 siswa tidak akan lulus. Metode Naïve Bayes diimplementasikan menggunakan aplikasi Orange dan menghasilkan tingkat akurasi sebesar 98,33% dengan tingkat presisi sebesar 100,00%. Hasil ini menunjukkan bahwa metode Naïve Bayes sangat efektif dalam memprediksi kelulusan siswa dengan tingkat akurasi yang tinggi. Oleh karena itu, teknik data mining ini dapat menjadi alat yang berharga bagi institusi pendidikan dalam meningkatkan kualitas hasil kelulusan siswa.
Rancang Bangun Sistem Cerdas Pendeteksi Kerusakan Mesin Pada Sepeda Motor 4 Tak
Authors: Aziz Firman , Wungo Supriyadi La , Jeffry Jeffry
Published: February 2024

The influence of using computer technology in solving a problem is very large, for example in determining motor damage. In this case, it is devoted to 4-stroke motorcycle vehicles. Currently, the average motorcyclist does not know about the symptoms or signs of damage to their vehicle, so motorists ignore these symptoms and consider these symptoms to be trivial problems, which will not cause damage to their motorcycles. Motorists will be aware of these symptoms after they can no longer use their vehicles. This research proposes to design an intelligent system that can help motorized vehicle drivers to find out earlier about symptoms or signs of damage to their vehicles and take appropriate action before more serious damage occurs to their vehicles. The results obtained are that an intelligent system can detect damage to a 4-stroke motor quickly and can facilitate the provision of solutions and the diagnostic process without a 4-stroke motor expert
Klasifikasi Omset ATK menggunakan Algoritma Naïve Bayes
Authors: Ira Mar'atuttahirah
Published: February 2024

Usaha kecil berperan dalam penyerapan tenaga kerja, sebagai sumber inovasi, pemberian pelayanan ekonomi kepada masyarakat dan dalam proses pemerataan dan peningkatan pendapatan masyarakat. Salah satu faktor yang mempengaruhi dinamika bisnis modern adalah kemajuan teknologi. Teknologi yang berkembang telah membuka pintu untuk inovasi yang cepat. Klasifikasi omset adalah pendekatan yang populer dan efektif untuk bisnis dapat menyesuaikan strategi pemasaran untuk setiap kelompok secara lebih efektif yang akan berdampak pada pendapatan bisnis. Keadaan stok suatu barang sangat mempengaruhi pendapatan penjualan. Jumlah permintaan barang yang meningkat, maka akan memperoleh pendapatan yang besar. Ketersediaan produk dalam pemenuhan konsumen merupakan permasalahan yang harus di atasi. Keadaan stok suatu barang sangat mempengaruhi omset penjualan. Penelitian ini terkait klasifikasi omset untuk masing-masing barang yang terjual di toko apakah banyak terjual atau kurang terjual untuk memaksimalkan stok barang per waktu dengan menggunakan algoritma Naive Bayes. Dari data penelitian dilakukan pengelompokan atribut, preprocessing, transformasi data dan modeling dengan algoritma Naïve Bayes dengan bahasa pemrograman python. Implementasi algoritma Naïve Bayes mendapatkan hasil akurasi 90% untuk klasifikasi omset ATK. Sehingga sistem dapat menentukan kelas barang yang banyak terjual dan barang yang kurang terjual, menjadi solusi bagi pimpinan toko untuk lebih mudah mengambil strategi bisnis dengan cepat dan optimal yang tentunya akan berpengaruh terhadap omset.