bluuebunny/crossref_metadata_2025 huggingface dataset:
Tratamiento no quirúrgico de la enfermedad de Perthes.
Authors: Lainez Quinde Karina Rossana , Loor Calderon Andrea Pierina , Intriago Pérez Stefany Alejandra , Calderón Ramos José Andres , Arteaga Delgado Colombo Efraín
Published: February 2025

Introducción: La enfermedad de Legg-Calve-Perthes (LCPD) es un síndrome autolimitado que se manifiesta como necrosis avascular de la epífisis femoral en niños entre 4 y 12 años, siendo más frecuente en varones. El tratamiento no quirúrgico de LCPD busca evitar secuelas a largo plazo, como la osteoartritis, revisando estrategias que aseguren máximos beneficios funcionales. Objetivo: Este estudio revisa el tratamiento no quirúrgico de LCPD, evaluando su efectividad y aplicabilidad. Metodología: La metodología de esta revisión incluyó un análisis detallado de literatura científica reciente (2015-2024) relevante al tratamiento conservador de LCPD a través de bases de datos como PubMed y Scopus. Resultados: Los resultados destacan la fisioterapia, en particular estiramientos activos y pasivos, como crucial para mantener el rango de movimiento de la cadera y prevenir la deformidad femoral. Ejercicios de fortalecimiento y balance, facilitados en ambientes acuáticos, ayudan a mejorar la estabilidad y coordinación articular. Además, el uso de ayudas para la marcha, juntamente con la modificación de actividades para reducir el impacto articular, son fundamentales. Discusión: Los métodos no quirúrgicos son comparables a intervenciones quirúrgicas en etapas tempranas, destacando la terapia acuática por su capacidad de mejorar movilidad sin dolor significativo. Sin embargo, el uso de órtesis y la adherencia al tratamiento pueden ser retadores, especialmente en fases avanzadas. Conclusión: Aunque tratamientos quirúrgicos son esenciales en severidad avanzada, los métodos conservadores ofrecen una adecuada estabilización articular y reducción del dolor en pacientes jóvenes. La observación continua y ajustes terapéuticos son esenciales para maximizar beneficios.
Nitisastra as Reference for Tourist Guidance in Bali
Authors: Ida Bagus Nyoman Mertayasa
Published: February 2025

One example of responsible tourism behavior is respecting local culture and traditions. This includes avoiding the dismissal of local customs, valuing and supporting the preservation of traditional arts, actively participating in the preservation and development of local traditions, and demonstrating a positive attitude and coexistence with others. At a minimum, tourists visiting various regions in Indonesia are expected to exhibit good tourism behavior. Gradually, this can set an example for other tourists, both domestic and international, who are also vacationing in Indonesia. The diversity of cultures (multiculturalism) is an inevitability that must be embraced by Indonesian society. Being a pluralistic and multicultural nation, Indonesia is susceptible to conflicts involving religion, culture, race, and customs. Such tensions often arise due to the intersection of diverse cultures, interactions between individuals and groups with differing perspectives, and varying levels of knowledge and understanding. The teachings of Nitisastra provide valuable insights into addressing these issues by emphasizing the importance of self-management, respect for knowledge, and ethical behavior. According to Nitisastra, the pursuit of knowledge and adherence to moral principles are central to responsible leadership and personal growth. For tourists, this translates into respecting local norms, practicing humility, and contributing to the welfare of the community. The Nitisastra perspective teaches that true wealth lies in knowledge and ethical conduct, which should guide interactions with local communities and the environment. These principles, when applied to tourism, can help mitigate the negative impacts of tourism and promote a more harmonious relationship between visitors and the local population.
Financial Literacy Among Working Women in Haryana: An Analytical Study of Demographic and Socioeconomic Associations
Authors: Priyanka  , Dr. Vinay Nandal  , Dr. Kiran Yadav
Published: February 2025

This study investigates the financial literacy levels among working women in Haryana, focusing on key cities including Rohtak, Sonipat, Panipat and Karnal. Using a structured survey, primary data was collected from 440 participants to assess their understanding of financial concepts and its correlation with demographic and socioeconomic variables. The analysis, conducted using SPSS 23, revealed significant associations between financial literacy and factors such as age, educational qualification, monthly income and marital status. Chi-square tests confirmed these relationships, underscoring the varying levels of financial literacy across different demographics. The findings highlight the need for targeted financial literacy programs addressing the unique needs of working women in Haryana. The study contributes to understanding financial inclusion and empowerment through demographic-specific strategies.
MORTALIDADE MATERNA NO BRASIL: TENDÊNCIAS E DETERMINANTES SOCIAIS NOS ÚLTIMOS 10 ANOS
Authors: Ito Leonardo José Afonso de Carvalho , Lisboa Beatriz Barbosa Silva Souza , Souza Paloma Lisboa de , Eloy Vinícius de Souza , Caldas Nathalie da Cunha , Lins Lavínia Santos , Silva Fernanda Krofke Llivi Ibanez da , Maciel Fernando Gonzalez , Oliveira Tiago Morais , Almeida Jesus Said Fontes de
Published: February 2025

A mortalidade materna é um importante indicador de saúde pública, refletindo a qualidade da assistência oferecida durante a gestação, parto e puerpério. As principais causas incluem complicações hipertensivas, hemorragias, infecções puerperais e abortos inseguros. Fatores socioeconômicos, acesso inadequado aos serviços de saúde e desigualdades regionais influenciam significativamente a ocorrência desses óbitos. A prevenção envolve o fortalecimento do pré-natal, capacitação de profissionais e políticas públicas eficazes para reduzir esses eventos evitáveis.
A COMPARATIVE ANALYSIS OF THE EDUCATIONAL NEEDS OF UNDERPRIVILEGED CHILDREN IN UGANDA AND THE USA: INSIGHTS FROM NAKASEKE DISTRICT, UGANDA, AND UNDERSERVED COMMUNITIES IN CHELSEA, MASSACHUSETTS
Authors: Peter Makumbi
Published: February 2025

This study presented a comparative analysis of the educational needs of underprivileged children in Nakaseke District, Uganda, and underserved communities in Chelsea, Massachusetts, USA. The research aimed to assess the educational challenges faced by children in these regions and evaluate the effectiveness of interventions, with the goal of informing policies and practices to reduce educational disparities. A cross-sectional research design and quantitative approach were employed, with stratified random sampling used to include key stakeholders and purposive sampling to select schools and educational centers serving underprivileged populations. The findings revealed that while both regions faced challenges such as inadequate learning resources, teacher-student ratios, and socio-economic barriers, these issues were more pronounced in Uganda, where the digital divide further hindered students' academic and career readiness. In contrast, students in the USA benefited from stronger government and NGO support, better infrastructure, and more equitable access to quality education. To address these disparities, the study called for collaborative efforts between governments, NGOs, and international stakeholders to promote inclusive and sustainable educational development. Strengthening partnerships and implementing targeted interventions could bridge the educational gap, foster global educational equity, and create long-term positive impacts for marginalized children in both regions.
KEYWORDS: Educational needs, educational disparities, learning resources, teacher-student ratio,
Analysis of startup project ecosystem factors in the modern economy (the case of china)
Authors:   Simon Kuznets Kharkiv National University of Economics, Lohinova Kateryna , Myronova Olga ,   Simon Kuznets Kharkiv National University of Economics, Yazlyuk Borys ,   West Ukrainian National University
Published: February 2025

The article considers the specifics of the development and implementation of startup projects in the context of the modern startup ecosystem, which is an important factor in enterprises’ innovative development and competitiveness. The primary attention is paid to the analysis of interrelationships between key components of the startup ecosystem, such as business models, financial resources, and strategic planning of products and services. The research methodology is based on causal analysis, correlation, and regression analysis, as well as the Granger and Dickey-Fuller tests to assess the impact of external and internal factors on the development of startups. In particular, the relationship between unemployment, inflation, the producer price index, the COVID-19 pandemic, and the number of new startups and venture capital investments were investigated. The results showed that most external factors, such as the COVID-19 pandemic, negatively impact the startup ecosystem, although some indicators, such as venture capital investment, correlate with the development of new enterprises. Studying the specifics of the development and implementation of startup projects is an important aspect of the startup ecosystem that directly affects the efficiency and competitiveness of young, innovative enterprises. The need to analyze business models, attract financial resources, and determine the strategic development of products and services is becoming critical to ensure market survival. In this context, the purpose of this research is to study the relationship between the elements of the startup ecosystem that illustrate the specifics of startup implementation and identify key features of their development. The results obtained may be helpful for scientists and practitioners involved in developing effective models for supporting startups and optimizing their functioning in the current economic environment. The proposed models allow for a deeper understanding of the causes and consequences of changes in the startup ecosystem, which will help create favorable conditions for sustainable development.

Keywords: startup, startup ecosystem, unemployment, venture capital investment, COVID-19 pandemic.
Formation of a cadastral information base for green plants: modern methods and standards
Authors:   Lviv Polytechnic National University, Vash Yaroslav
Published: February 2025

The article presents the development of methodology and justification of the information content of the basic level cadastre databases, which will ensure the effective management of green spaces of objects of improvement of territorial communities. The study includes the analysis and standardization of information support for land, urban planning, and nature reserve cadastres, emphasizing the importance of a single standard for the database of green spaces. The work systematizes the necessary list of data, including catalogs of various objects of green economy, defines groups of objects by attributes, and develops the organizational structure of the database for managing green spaces at the community level. Implementing the proposed automated system will contribute to the identification of areas that require an inventory of green spaces and updating of information, activating the actions of balance-keepers, owners, and users in ensuring timely implementation of measures and updating of data. The availability of information about changes in the parameters of objects over time creates opportunities for monitoring the state of plantations and making informed decisions. Implementing the proposed approach to filling the database will allow the systematization of the available information and simplify the process of entering new data on the state of green spaces in populated areas of Ukraine. Public access to the open part of the information will ensure the realization of the right to access environmental data, increase residents’ awareness, and contribute to a more effective public discussion of development projects. The main results: 1. The information filing of the cadastre databases’ basic level regarding the improvement of objects’ green spaces is substantiated. 2. An analysis of the information provision of land, urban planning, and nature reserve cadastres was carried out, and the importance of a single standard for the database of green spaces was emphasized. 3. The list of necessary information for forming an information system is systematized; the methodology of the organizational structure of the database regarding green spaces on the territory of populated areas is substantiated.

Keywords: green areas, information database, cadastre, automated system, territorial community.
Black African Families’ Perceptions of A Girl Child Raised By A Single Father: Exploratory Study
Authors: Matheba Calphurnia Mmathato
Published: February 2025

This study aims to explore how Black African families perceive single fathers raising girl children, addressing persistent cultural beliefs that question fathers' capability to nurture and care for daughters independently. By examining these perceptions, the study seeks to dispel myths and raise awareness within diverse ethnic groups where cultural customs remain deeply valued. The systematic review employed the PRISMA methodology to ensure transparency in reporting the purpose, methodology, and findings. Relevant empirical, peer-reviewed articles were identified through three search strategies, utilizing electronic databases such as ResearchGate, Google Scholar, Taylor & Francis, and Scopus. Articles published up to 15 September 2024 were included in the review. The findings reveal that traditional beliefs continue to perpetuate the view that fathers, particularly single fathers, are unfit to raise daughters. However, the review also highlights the evolving roles of fathers and the need for societal and legislative changes to support fathers' involvement in caregiving. It emphasizes that fathers, when given adequate support and recognition, can effectively contribute to their children’s well-being. In conclusion, the study underscores the importance of revising policies, such as Section 33(1) of the Children's Act 38 of 2005, to address the roles and responsibilities of mothers and fathers separately. This revision would promote equitable parenting practices and challenge entrenched cultural biases. The study contributes to the body of knowledge by encouraging a paradigm shift in the perception of fatherhood within Black African families and advocating for policy changes that empower fathers in caregiving roles.
Integrating Renewable Energy Systems into Urban Planning: A Pathway to Sustainable Cities
Authors: Preece Christopher
Published: February 2025

This study aims to investigate the integration of renewable energy systems into urban planning, a crucial strategy for sustainable urban development. Employing a mixed-methods research design, the study combines quantitative analysis of data from ten cities and qualitative insights from semi-structured interviews and case studies of Copenhagen, Freiburg, and Masdar City. The quantitative analysis reveals a significant positive relationship between policy support and renewable energy adoption, indicating that cities with robust policy frameworks are more likely to achieve higher shares of renewable energy. Technological advancements and community engagement emerged as critical enablers, with innovative renewable energy technologies and active public participation contributing to the successful implementation of renewable energy projects. The case studies provide in-depth examples of best practices and innovative approaches to integrating renewable energy systems. Challenges such as high upfront costs, variability of renewable energy sources, and regulatory barriers are identified, alongside recommendations for addressing these issues through supportive policies, financial incentives, and technological innovations. The findings highlight the importance of coordinated efforts across technological, economic, policy, and social dimensions to promote renewable energy integration in urban areas. This study offers valuable insights for policymakers and urban planners, emphasizing the need for comprehensive strategies to achieve sustainable and resilient urban development through the integration of renewable energy systems.
The Effect of Warm Compress with Lavender Aromatherapy on Reducing Dysmenorrhea Pain in Adolescent Girls
Authors: Zelharsandy Vika Tri , Soleha Marchatus , Sepiwiryanti Wika , Anggeriani Rini
Published: February 2025

Dysmenorrhea is a menstrual disorder that is felt in the form of pain or abdominal cramps. Dysmenorrhea can be reduced using pharmacological and non-pharmacological therapy. An example of non-conventional therapy in overcoming dysmenorrhea is by using warm compresses with lavender aromatherapy which provides a double effect, namely warm compresses and lavender aromatherapy which can reduce the level of dysmenorrhea. The purpose of this study was the effect of warm compresses with lavender aromatherapy on reducing dysmenorrhea pain in adolescent girls in the Sumber Deras Village Health Center Work Area. The research method used was experimental research with the One Group Pre-Test and Post-test Design approach. Sampling was carried out using purposive sampling technique with a total of 36 adolescent female respondents who experienced dysmenorrhea. The data analysis used was the Wilcoxon Test. The results of univariate analysis showed that from 36 respondents, most of the female adolescents before being given warm compresses and lavender aromatherapy experienced moderate pain as many as 29 people (80.6%), all female adolescents after being given warm compresses and lavender aromatherapy had no pain as many as 36 people (100%), there was an effect of warm compresses with lavender aromatherapy on reducing dysmenorrhea pain in female adolescents in the Working Area of the Sumber Deras Village Health Center with a p value = 0.000 <α = 0.05. It is expected that female adolescents can overcome dysmenorrhea pain with non-pharmacological efforts of warm compresses with lavender aromatherapy.
Comparison between Peroneus Longus Tendon Autograft Versus Hamstring Tendon Autograft for Anterior Cruciate Ligament Reconstruction: A Systematic Review and Meta-Analysis
Authors: Darma Anak Agung Ngurah Bagus Surya , Aryana I Gusti Ngurah Wien
Published: February 2025

Peroneus longus tendon (PLT) autografts offer a promising alternative to hamstring tendon (HT) autografts in ACL reconstruction, addressing limitations like donor site morbidity and insufficient graft material. This systematic review compares clinical outcomes, highlighting PLT comparable effectiveness and potential advantages, supporting its use as a viable option for ACL repair.Material & Methods: This systematic review compared PLT and HT autografts in ACL reconstruction, assessing clinical trials via PRISMA guidelines and robust statistical methods to evaluate outcomes, study quality, and heterogeneity.Results: Four studies met the inclusion criteria for qualitative and quantitative synthesis. The analysis revealed a statistically significant improvement in International Knee Documentation Committee (IKDC) scores for PLT autografts compared to HT autografts (p < 0.0001; MD=3.16; 95% CI=2.00, 4.32). Lysholm scores showed no significant difference between the two groups (p = 0.95; MD=1.56; 95% CI=0.03, 3.09). PLT autografts demonstrated similar knee laxity outcomes and graft survival rates to HT autografts, with minimal donor site complications. Conclusions: PLT autografts offer a promising alternative to HT autografts in ACLR, providing comparable functional outcomes and graft survival rates. The use of PLT may also mitigate potential donor site complications associated with intra-knee graft harvesting.
The Association of Non-Conformance Toward Unsafe ACTS and Condition in Mills PT XYZ: The Correlational Study
Authors: Hakim Muhammad Isranul , Wiguna Perie Anugraha , Wijaya Elen Sahan , Kurnia Robi
Published: February 2025

The issue of workplace safety is a critical concern globally, particularly in high-risk industries such as manufacturing and milling. Using quantitative methods. This study aims to investigate the relationship between non-compliance with safety protocols and the prevalence of unsafe acts and conditions across 37 mills at PT XYZ, which includes 14 paper buyer mills, 13 paper pulp mills, and 10 paper tissue mills. We collected data in May from secondary sources such as safety records and incident reports and then used the Statistical Package for the Social Sciences (SPSS) for analysis. We performed normality tests prior to conducting correlation analyses to ensure the appropriateness of the applied statistical methods. The study of Mill PT XYZ (N=37) found weak negative correlations between non-conformance and unsafe conditions (-0.292, p=0.80) and unsafe acts (0.140, p=0.410). This means that non-conformance does not have a big effect on unsafe behaviors. In the Paper Buyer Mills (N=14), correlations are weakly positive for unsafe conditions (0.127, p=0.666) and weakly negative for unsafe acts (-0.402, p=0.154), both lacking significance. For the Paper Pulp Mills (N=13), weak negative correlations of -0.366 (p=0.219) and -0.455 (p=0.118) also show no significance. The Paper Tissue Mills (N=10) have a moderately negative correlation of -0.599 (p=0.067), which points to a possible link between higher non-conformance and unsafe conditions. However, the correlation with unsafe acts (0.238, p=0.508) is still weak, which makes it challenging to draw firm conclusions.
The Effect of Early Ambulation on Postoperative Elderly: A Systematic Review
Authors: Susana Susana , Rekawati Etty , Sahar Junaiti , Putri Yossie Susanti Eka
Published: February 2025

Elderly patients face various surgical risks, including complications, slower recovery, prolonged hospital stays, functional decline, and even death. Early ambulation is beneficial in reducing these risks in older adults. However, elderly patients often lack motivation to ambulate due to insufficient understanding and family support, leading to longer bed rest. Aim : To evaluate the impact of early ambulation as an intervention to enhance postoperative recovery in elderly patients. Methods: This is a systematic review study with a PICO approach. Article searches were conducted using online databases such as EBSCO, PubMed, ScienceDirect, SpringerLink, and Scopus with the keywords (Elderly OR Older Adult) AND (Post Operative OR Post Surgery) AND (Early Ambulation OR Early Mobilization) AND (Reduce Length of Stay) published between 2014–2024 and The 5 relevant articles were found. Results: Five studies indicated that the implementation of early ambulation programs in elderly surgical patients not only reduces length of stay but also improves functional capacity and decreases the incidence of complications such as pneumonia, atelectasis, and venous thrombosis. Conclusion: The studies show that early mobilization reduces hospital stays, accelerates organ function recovery, and provides psychological benefits, such as reduced postoperative anxiety.
Analysis of Factors Related to Increased Interdyalitic Weight Gain (IDWG) in Patients with Chronic Kidney Diseases (CKD) in Hemodialysis Unit
Authors: Sari Fermata , Yanti Lindesi , Hidayat Aris Teguh , Arafah Masniati
Published: February 2025

Weight gain between dialysis times (Intradialytic Weight Gain (IDWG)). IDWG values > 6% of dry body weight can cause various complications. Increased IDWG is influenced by various factors both internal and external. It is important to know the factors that influence IDWG in increasing patient compliance with fluid intake. Objective to determine the factors that influence the increase in IDWG of Chronic Kidney Disease Patients in the Hemodialysis Unit Method: The design of this study is descriptive correlation analysis with a Cross Sectional design. The sample of this study was CKD patients with hemodialysis at Dr. AK Gani Hospital, Palembang, the sample was determined through a total sampling technique, totaling 41 respondents. The research instruments consist of demographic data instruments, namely age, gender, education and marital status, fluid intake questionnaires, stress, thirst using standard questionnaires, family support questionnaires have been tested for validity with r results> r table (0.361), and reliable with r Alpha value of 0.749, self-efficacy questionnaires have been tested for validity with r results> r table (0.361), and declared reliable with r Alpha 0.822, and Body Weight is measured using ISO weight scalesAnalysis to determine the relationship between IDWG and fluid intake, thirst, self-efficacy, stress, family support with the Spearman Sign Rank Rho correlation test. There is a significant relationship between IDWG values and fluid intake (p = 0.001 r = 0.603), there is a relationship between IDWG values and thirst (p = 0.001 r = 0.484). There is no relationship between IDWG values and self-efficacy (p = 0.186 r = 0.244). The relationship between IDWG values and stress showed no relationship (p = 0.206 r = 0.202). The relationship between IDWG values and family support had no relationship with IDWG values (p = 0.976 r = 0.005). The increase in IDWG values is influenced by fluid intake and thirst in hemodialysis patients, the higher the fluid intake and thirst, the greater the increase in IDWG values.
Effectiveness of Consuming Thalassa Eggplant and Date Extract in Increasing Hemoglobin Levels in Pregnant Women: Systematic Literature Review
Authors: Fitrianingsih Ulfia , Runjati Runjati , Yosephin Betty
Published: February 2025

Anemia in pregnant women is a significant public health problem, especially in developing countries. Iron deficiency in pregnant women can interfere with fetal growth and maternal health. One alternative to increase hemoglobin levels is to consume local foods such as tamarillo and date palm juice, which are rich in iron and vitamin C.Objective: The aim of this study was to identify the effectiveness of consuming tamarillo and date palm juice in increasing hemoglobin levels in pregnant women with anemia based on a systematic literature review.Method: The research design is a Systematic Literature Review of articles or journals published in 2020-2024, accessed on Google Scholar, PubMed and Scopus with the Prisma Flow technique. Relevant articles were selected using the PRISMA flow technique, with the inclusion criteria being in Indonesian or English that can be accessed in full.Results: The results of the analysis of 10 articles showed that consumption of tamarillo and date palm juice significantly increased hemoglobin levels in pregnant women with anemia. The increase in hemoglobin levels ranged from 1.0-2.0 g/dL in the intervention group. Tamarillo is effective due to its vitamin C content which increases the absorption of non-heme iron, while date palm juice provides additional iron and energy to support hemoglobin formation.Conclusions: tamarillo and date palm extract have been proven effective as non-pharmacological interventions in treating anemia in pregnant women. The combination of these two ingredients can be a safe natural alternative and has the potential to increase the success of managing pregnancy anemia
Effectiveness of Information–Motivation–Behavioral (IMB) Skills Model on Diabetes Mellitus Patients Knowledge
Authors: Barutu Exodus Maruaba , Tanjung Dudut , Sitohang Nur Asnah
Published: February 2025

Laboratory practice is a skill, knowledge, and attitude training exercise designed to help students comprehend professional nursing competencies. Students' capacity to learn the content can be impacted by low levels of self-efficacy. Numerous research have demonstrated that student learning strategies can raise self-efficacy. To increase student self-efficacy, a variety of teaching strategies can be employed; in this study, the model Grow Me coaching module. Research methods: The type of research used is quantitative quasi-experimental research with a nonequivalent control group design approach. The population of this study were all D3 Nursing students in the 3rd semester of the 2024 academic year, totaling 58 students. The research used a simple random sampling method, namely using the Slovin equation with a sample size of 50 students. This study was divided into 2 groups, namely the control group and the mediation group. The variables in this study are the Grow Me Coaching Model Learning Module as the independent variable and student self-efficacy during practicum at the health center as the dependent variable. The research instrument was the Grow Me Coaching Model Module given to students and the GSE questionnaire to measure the level of student self-efficacy. Data examination was carried out using the Wilcoxon Sign Rank test with significance <0.05. Result: Examination of the frequency distribution of respondents based on the level of self-efficacy progress using the Wilcoxon Marked Rank Test in the intervention group obtained a significance value (p) = 0.000 smaller than α = 0.05, while in the control group obtained a significance value (p) = 0.317 greater than α = 0.05, meaning that there is a sufficient influence between the Grow Me Coaching Model Learning Module and increased self-efficacy in learning the infusion installation laboratory in nursing students. Conclusions: The results of this study are the implementation of the coaching module based on the GROW ME model, proven effective in improving the self-efficacy of nursing students in laboratory learning.
Analysis of Risk Factors for Pulmonary Tuberculosis Incidence
Authors: Hasnita Nevi , Ichwansyah Fachmi , Abdurrahman Faisal bin , Usman Said , Zahara Meutia
Published: February 2025

Pulmonary tuberculosis (TB) cases in Nagan Raya have increased every year. Efforts to prevent tuberculosis transmission with healthy lifestyle behaviors have been carried out. However, the prevalence of pulmonary tuberculosis is still high and many factors are associated with the incidence of pulmonary tuberculosis—analytical study with a case-control approach to determine risk factors for tuberculosis in the Nagan Raya district. The sample in this study was 290 people consisting of 58 cases and 232 controls. The sampling technique used purposive sampling. Data was collected by interviewing respondents, observing, and reporting TB case records. Multivariate analysis using multiple logistic regression tests with a 95% confidence level. The results showed that the characteristic factors associated with the incidence of pulmonary TB were primary education (p=0.002), not working (p=0.000), and income 4 people (p=0.036) and no ventilation in each room (p=0.000). Health factors associated with the incidence of pulmonary TB were underweight nutritional status (p=0.019), obese nutritional status (p=0.042), and not containing BCG (p=0.014). The most dominant factor associated with the incidence of pulmonary TB is not working (OR = 4.17; 95% CI = 1.36-12.73). Respondents who did not work had a 4.17 times higher risk of experiencing pulmonary TB than those who did not work after controlling for environmental and health factors. For this reason, it is expected that respondents need to increase their income to prevent transmission of pulmonary TB and maintain cleanliness, improve nutritional status and limit contact with TB sufferers
The Relationship between Family Support and Physical Activity Ability in Heart Failure Patients
Authors: Aryani Annisa Dini , Kristinawati Beti
Published: February 2025

Heart failure is a condition of being unable to pump enough blood throughout the body, which can cause symptoms of fatigue and shortness of breath. These symptoms affect the physical activity of heart failure patients. Family support is one factor that can help influence the ability to engage in physical activity, especially in the daily activities of heart failure patients. This study aimed to determine the relationship between family support and physical activity in heart failure patients. This type of research uses quantitative research with a descriptive correlational design through a cross-sectional approach. It assesses family support using the PSS-Fa questionnaire and physical activity ability using the RAPA questionnaire. Sampling used a purposive sampling technique and determined the number of samples using the Slovin formula with 154 respondents. The results showed that 93 respondents (60.4%) received good family support. Optimal physical activity was 131 respondents (85.1%). The test results showed a significant p-value of 0.000 (p <0.05), which indicated a relationship between family support and physical activity ability.
Effectiveness of Giving Probiotics in Preventing Acute Diarrhea with A History of Recurrent Diarrhea
Authors: Ekayanti Ekayanti , Nuranggraeni Alliah , Choirriyah Rifatul , Eriska Risa
Published: February 2025

One of the public health problems that occurs in infants and toddlers in Indonesia is diarrhea, and is one of the causes of death in toddlers. One of the efforts to prevent acute diarrhea with a history of recurrent diarrhea is therapy using probiotics. This study aims to determine the effectiveness of probiotic administration in treating diarrhea in toddlers with a history of recurrent diarrhea. The design of this study was a quasi-experiment with a non-randomized pre-test-post-test design, pretest and posttest in the intervention group (standard therapy and given probiotic therapy) and control group (standard therapy without probiotic therapy, analysis using t-paired test and independent test. Consecutive sampling technique, obtained 40 respondents (20 toddlers given probiotic therapy and 20 toddlers given standard therapy without probiotics). structured questionnaire instruments made by the researchers themselves and have been tested for validity (p < 0.05) and reliability (α = 0.961).
Research of the national security policy of Russia in the modern geopolitical situation
Authors: Manzhueva Liubov , Xia Defeng
Published: February 2025

This paper is devoted to the study of the policy of the Russian Federation in the sphere of ensuring national security since the beginning of the special military operation in Ukraine. The analysis of the current geopolitical situation has been conducted, which has shown that at the moment a difficult situation is developing in the sphere of ensuring national security due to the joint efforts of Western countries to worsen Russia's position in the geopolitical field. The aspects of the concept of national security are disclosed, its constituent phenomena are described. An assessment of the policy implemented in the Russian Federation to ensure national security is given within the framework of three main aspects: political, economic, military. It is concluded that the current policy to ensure national security corresponds to the current conditions. A number of areas are substantiated, the development of which can further strengthen the national security of the state.
Using neuroevolution methods for automating optimization of cyber security algorithms in cognitive information centers
Authors: Panilov Pavel Alekseevich
Published: February 2025

Background. Cognitive data centers such as smart cities and advanced data centers are increasingly becoming targets of cyber threats. Traditional cybersecurity measures often fail to keep pace with the evolution of these threats. Materials and methods. This paper presents a security model for cognitive information centers using neuroevolution, a method combining neural networks and genetic algorithms. The model uses neuroevolution to create adaptable cybersecurity models that can learn in response to a wide range of cyber threats, including malware, phishing, and denial of service (DoS) attacks. Results. Key performance metrics such as detection accuracy, false positive rate, and response time were examined. The analysis showed that the model can effectively learn and adapt to cyber threats, providing a reliable basis for protecting cognitive information centers. In addition, possibilities for optimizing the model are considered, trends in training losses and the distribution of neural network parameters are studied. Conclusions. The findings suggest that neuroevolution is a promising approach to cybersecurity that provides flexibility and adaptability in the face of a rapidly changing threat landscape.
Industrial enterprises safety assessment in the sphere of digital economy development
Authors: Shelyagov Vitaly , Tsivileva Yuliya , Matveev Vladimir
Published: February 2025

The study is devoted to the analysis of digitalization development in relation to various sectors of the Russian economy. The employment of information and communication technology (ICT) specialists in the ICT sector and in other sectors of the economy is studied. A comparative dynamic analysis of the provision of ICT specialists in various sectors of the economy and in the public sector is conducted. The causes and factors of shortcomings in the development of the ICT sphere are established and measures for the further development of the information industry are proposed. An analysis of the security of industrial enterprises using artificial intelligence technologies in production activities is conducted.
Current problems of environmental safety: characteristics and ways to overcome them
Authors: Karasev Roman , Shekhova Nataliya
Published: February 2025

An irresponsible and irrational attitude to nature actualizes environmental issues in the development strategy of countries. Now, the environmental situation requires close attention, along with socio-economic and political tasks. Over time, new goals of technological development are achieved, which leave behind irreversible negative consequences that directly affect human life, flora and fauna of the natural world. This analytical work is aimed at studying the current problems of environmental safety that appear and will appear as a result of technological progress. The article characterizes the problems of environmental safety and presents planned and existing ways to overcome the consequences of human activity. The problems of lithium-ion battery production, the use of cars, toxic emissions from production and pollution by plastic waste are considered. Based on the identified problems, existing original ways to improve environmental safety are presented.
Tax Systems Of Ukraine And The USA: Evolution Of Approaches To Buildings And Reforms
Authors:   Leonid Yuzkov Khmelnytskyi University of Management and Law, SYNCHAK Viktor
Published: February 2025

The scientific article summarizes scientific approaches to building and reforming the tax systems of Ukraine and the United States. The reform of the tax system of Ukraine after gaining political independence is analyzed. The reasons for rethinking the theoretical achievements of Western scientific thought in taxation and studying the experience of building tax systems in the USA are identified. The approaches to tax legislation reform in Ukraine and the USA are described. Attention is focused on the normative sequence of development in both countries of individual regulatory legal acts, which were later integrated into a codified document. The similarity of approaches to regulatory work in adopting and amending tax codes in the two countries is emphasized. It has been proven that the assessment of tax reforms carried out must be approached carefully their consistency and continuity must be ensured, and factors that influence the reform process must be taken into account. The tax reform carried out in Ukraine in late 2014 — early 2015 is characterized by the need to complete fiscal decentralization. Its main shortcomings are identified when combining individual taxes with different objects of taxation and individual payments under one name as a prototype of the physiocrat theory. It is emphasized that the practice of tax pooling was used in the USA as early as the first half of the 19th century and had consequences for local budgets. It is argued that in the conditions of Ukraine, preference should be given to modern economic theories, to adhere to the consistency and continuity of tax reforms as in the USA, without diminishing one’s achievements. A difference was identified in the application of tax benefits as optional elements of taxes in the domestic tax system and their systematic use in the USA for innovation and investment stimulation. It is summarized that for economic activity in reforming the tax system of Ukraine during the Russian-Ukrainian war, a symbiosis of military and commercial Keynesianism was used, and the effectiveness of the Keynesian concept was confirmed.
Myroslav Stechyshyn’s Life Philosophy: Asserting The Ukrainian World In Canada
Authors:   University of Manitoba, KULISH Natalia
Published: February 2025

The article explores the life and activities of Myroslav Stechyshyn, a prominent leader, public figure, politician, and cultural activist of the Ukrainian diaspora in Canada in the first half of the 20th century. It outlines key stages of his biography, which helps to understand his personal experiences, motivations, and decision-making context. Special attention is given to a lesser-known aspect of his life his early involvement with socialist ideas and political activities within the socialist movement in Canada. The article analyzes the transformation of his worldview, his growing awareness of national interests, his struggle for Ukraine’s independence, and his opposition to foreign influences. The study highlights Stechyshyn’s significant role in the Ukrainian Diplomatic Mission in Washington, as well as his 25-year editorial career at Ukrainian Voice. His contributions to shaping editorial policy, influencing public opinion, and fostering a Ukrainian information space in the context of limited media resources are examined. The article discusses Stechyshyn’s involvement in the spiritual life of Ukrainian immigrants, particularly his role in the development of the Ukrainian Greek Orthodox Church in Canada. Special attention is given to his key initiatives aimed at strengthening the Ukrainian community in Canada, including the establishment of the Ukrainian Mutual Aid Society at his initiative. The study highlights Stechyshyn’s pivotal role in founding the Union of Ukrainian Sovereignists, one of the major organizations within the nationally oriented Ukrainian emigration, and his proclamation of the ideological doctrines of the sovereignty movement. His unquestionable authority enabled him to position himself as one of the founders of the Ukrainian Canadian Committee, the precursor to the World Congress of Ukrainians. Additionally, the article examines Stechyshyn’s contributions as a writer, publicist, and editor. The importance of further research into his legacy is emphasized.
Constraints Towards the Efficacy of Competency Based Curriculum Implementation in Kenya, A Case Study of Chesumei Sub-County, Kenya
Authors: Ronguno Samuel Kankuko
Published: February 2025

The current study was set to find out the challenges affecting the efficacy of implementation of Competency-Based Curriculum (CBC). The study focused on availability of teaching and learning materials, teaching staff preparedness in competency Based Curriculum pedagogy, policy framework and learner assessment. The study was necessitated by public outcry over mismatch in policy formulation and curriculum implementation. Mixed methodological approach involving both qualitative and quantitative methods were used. Questionnaires and class observations were used. Forty-Five schools were randomly selected to participate in the study. The head teacher of the school and one teacher per school in the selected schools were allowed to respond to the questionnaire. Document analysis was done to ascertain level of learner assessment. The findings shows that the implementation of CBC still faces some constrains like inadequate resources, incompetency among teachers and lack of clear policies to guide the assessment of learners.
Impact of Fuel Subsidy Removal on Staff Welfare and Students Academic Performance in Tertiary Institutions in Delta State
Authors: Akpojotor R. U. , Mordi C. U. , Onoka H. O. , Ogah B. O.
Published: February 2025

This paper examined the impact of fuel subsidy removal on staff welfare and students’ academic performance in tertiary institutions with a view of looking at the measures put in place by the government in ensuring that the people are not affected by the subsidy removal. Four research questions were posed for the study. A descriptive survey research design was adopted for the study. The population of the study comprised all staff (teaching and non-teaching) of all government owned tertiary institutions in Delta State. The sample of the study consisted 120 staff drawn from three selected tertiary institutions in Delta State. A structured questionnaire of 30-item on four-point Likert scale was used for data collection. The instrument was validated by two experts in measurement and evaluation. The reliability of the instrument was determined by using Cronbach Alpha reliability method and the reliability coefficient was 0,82. The data collected was analyzed using statistics of mean and standard deviation. The findings of the study revealed that fuel subsidy removal affected staff and students’ welfare and student’ academic performance in tertiary institutions. The findings of the study further revealed that the extent to which government intervention on fuel subsidy removal can mitigate the sufferings of staff and students in tertiary institutions. The ways of alleviating the constraints experienced by staff and students were also identified. Based on the findings it was recommended that government should introduce children school fees allowance in worker’s salary in tertiary institutions for ease of payment of school fees, government should subsidized the high cost of learning materials for tertiary institution students to help improve students’ academic performance, government should introduce free transportation system for staff and students in tertiary institutions to reduce the suffering of high cost of transportation among others.
Revolutionizing Regulatory Compliance in Healthcare with Artificial Intelligence
Authors: Ebrahim Mansoor Veliyathnadu
Published: February 2025

The healthcare industry faces a significant challenge in maintaining regulatory compliance due to the constant changes of state and federal mandates. On average, more than 40 new mandates are issued each month per state alongside approximately 1 to 7 federal mandates, creating significant challenges for healthcare providers, payers, and other stakeholders. Manually tracking, interpreting, and implementing these changes is a complex and resource-intensive process, making it difficult for organizations to maintain full compliance [1, 2]. In 2022 alone, healthcare providers faced over 600 new and updated regulations, with significant fines and penalties for non-compliance [3]. Non-compliance can result in huge penalties, operational disruptions, and reputational damage [8]. This article explores how Artificial Intelligence (AI) can automate the compliance process, ensuring 100% adherence to regulatory requirements. We discuss the challenges of manual compliance, evaluate various Large Language Models (LLMs) for their effectiveness in detecting policy changes, and outline the implementation process for AI-driven solutions.