bluuebunny/crossref_metadata_2025 huggingface dataset:
Towards Understanding How Technology Supports Shared Decision-Making in Oncology Consultations: A Qualitative Thematic Analysis (Preprint)
Authors: Yung Alan , Shaw Tim , Kay Judy , Janssen Anna
Published: January 2025

BACKGROUND

Commonly used digital health technologies, such as electronic health record systems (EHRs) and patient portals, as well as custom built digital decision aids, have the potential to enhance person-centered shared decision-making (SDM) in cancer care. However, there is little evidence in the literature on how these technologies are used for SDM or how best they can be designed and integrated into workflows and practice. This may be due to the nature of SDM, which is fundamentally human interactions and conversations that produce desired human outcomes. Technology must, therefore, be non-intrusive while supporting the human decision-making process.

OBJECTIVE

This study examined how digital technologies can help cancer care professionals improve shared decision-making (SDM) in oncology consultations.

METHODS

Healthcare professionals who treat cancer patients in Sydney, Australia, were invited to participate in online co-design focus group meetings. During these sessions, they shared their experiences using digital technologies for shared decision-making (SDM) and provided suggestions to improve their use of digital technologies. The session recordings were transcribed and then analyzed using qualitative thematic analysis.

RESULTS

The findings indicated that various digital technologies, such as electronic health record systems (EHRs), mobile devices, and patient portals, are used by cancer care professionals to help improve patients’ understanding of their disease and available care options. Digital technologies can both improve and undermine SDM. Current systems are generally not designed to support SDM. Key issues such as data integration and interoperability between systems negatively impact the ability of digital technologies to support SDM. Emerging technologies such as Generative Artificial Intelligence (AI) were discussed as potential facilitators of SDM by automating the gathering and sharing of information with patients and between health professionals.

CONCLUSIONS

This research indicates that digital technologies have the potential to impact SDM in oncology consultations. However, this potential has not yet been fully realized, and significant modifications are required to optimize their usefulness in person-centered SDM.
Impact of Front Office Staffs Training in Patient Information Security and Privacy in Hospital Information Management System
Authors: Bodetti Dr. Vishala
Published: January 2025

The widespread adoption of digital systems in India’s healthcare sector, including Hospital Information Management
Systems (HIMS) and Electronic Health Records (EHRs), has revolutionized patient care delivery. Despite these advancements,
safeguarding the privacy and security of sensitive patient information has become a significant challenge. Front office staff,
often the initial point of contact for patients and key users of HIS, play a critical role in implementing digital health security
measures. The aim of this study is to evaluate the impact of front office staff training on adherence to digital health security
guidelines within the Indian healthcare system, focusing on its role in safeguarding patient privacy and mitigating data security
breaches in hospital information systems (HIS). The study seeks to explore the relationship between training practices,
compliance with security protocols, and improvements in patient privacy outcomes.Using a qualitative and exploratory research
methodology, this research examines the need for front-office executive training evaluates their alignment with national and
global security standards, and explores their outcomes. The study was well-researched by analyzing articles, research papers,
and case studies available on Google and Google Scholar
Adhering to digital health security guidelines is crucial in the Indian context, where increasing digitization coincides with rapid
healthcare expansion under initiatives such as the Ayushman Bharat Digital Mission (ABDM). These guidelines ensure the
protection of sensitive data, mitigate cyber threats and build trust between healthcare providers and patients. By focusing on
enhancing training programs and aligning them with evolving digital security standards, this research provides actionable
recommendations for improving patient privacy and data protection in India’s healthcare ecosystem.
Enhanced Preeclampsia Risk Prediction with a Hybrid Machine Learning Approach
Authors: Sekar Kency Taniya Antony
Published: January 2025

This paper proposes a hybrid predictive model that adopts both logistic regression and Naive Bayes with the aim of
boosting the performance of multiclass classification. Logistic regression presents the most robust linear modeling and good
interpretability, while Naïve Bayes is very powerful in probabilistic reasoning with the independent assumptions, which
guarantees high computational efficiency and strong performance in classification tasks. Therefore, combining both methods,
this hybrid model takes advantage of complementary strengths: interpretability versus accuracy. In the preprocessing stage, the
dataset was imputed for missing values, normalizing features and balancing the classes using different resampling techniques.
The hybrid framework starts with logistic regression that gives interpretable probability estimates. Further refinement of
predictions is facilitated by Naïve Bayes, in which the application of probabilistic reasoning will enhance the classification
accuracy. These scores and results from the evaluation, therefore, indicate that for accuracy, the logistic regression model
returned 73%, while that of Naïve Bayes was 90%. As a hybrid model, though, it outperformed by yielding an impressive
accuracy rate of 93%, hence being both linear and probabilistic at once. This shows the process in making an improvement
while capturing both the linearity and non-linearity in any complex dataset. All experiments were conducted in a reproducible
Google Colab environment using Python, which guarantees scalability and transparency. The results validate the promise of
hybrid machine learning techniques for robust, interpretable, and computationally efficient solutions on a wide variety of realworld classification problems.
A Study on Effect of Addition of Recycled Bituminous Material to Stone Matrix Asphalt Using Polymer Modified Bitumen (PMB-40)
Authors: Mahto Er. Digwant Kumar
Published: January 2025

Stone Matrix Asphalt (SMA) is a gap-graded mix with a high proportion of coarse aggregate, binder, and fiber
additives for stability. A high concentration of coarse aggregate enhances stone-on-stone contact and interlocking, resulting in
strength and durability. Stabilizing additives prevent bitumen draindown material.
This study assesses the influence of incorporating Recycled Asphalt Pavement (RAP) into Stone Matrix Asphalt (SMA) along
with Polymer Modified Bitumen (PMB-40) in road construction to increase performance and sustainability. The study aims to
determine the optimal binder content and evaluate the mechanical properties of SMA mixtures using varied RAP percentages
(0%, 15%, 20%, and 25%) and cellulose fibers. The study also looks at important performance indicators such as Marshall
Stability, Draindown characteristics, Indirect Tensile Strength (ITS), and Tensile Strength Ratio (TSR). The results indicate that
the optimum binder content for RAP-modified SMA falls between 6.2% and 6.4%. The addition of RAP improved the mechanical
performance, with RAP-modified mixes demonstrating a 5–7% increase in Marshall Stability and a 15–20% improvement in ITS
as compared to control samples. Superior resistance to moisture-induced damage and cracking can be seen by TSR values that
continuously exceed the mandatory minimum of 0.90. The combination of 15-25% RAP and 0.3% cellulose fibers significantly
reduced draindown, ensuring proper binder retention during mixing and placement. These results show that by adding RAP to
SMA mixes not only helps to preserve natural-environmental resources but also improves durability and resistance to
environmental pressures. The study supports continued efforts to create environmentally friendly infrastructure by confirming
that recycled bituminous materials can be used without sacrificing structural integrity
Advances in Monolithic Perovskite CIGS Tandem Solar Cells: A Path to High-Efficiency Photovoltaics
Authors: Negi Wilis , Thakur Ritula
Published: January 2025

Abstract: Monolithic perovskite/CIGS tandem solar cells represent a transformative approach to achieving high-efficiency
photovoltaics with reduced environmental impact. This review focuses on recent advancements in perovskite/CIGS tandem
architectures, highlighting their unique advantages, such as flexibility, lightweight design, and radiation hardness, which make
them suitable for diverse applications, including space exploration and portable electronics. The integration of perovskite
materials with copper indium gallium selenide (CIGS) offers a promising pathway to surpass the efficiency limits of singlejunction cells by leveraging complementary bandgap tuning for enhanced spectral utilization. Recent progress includes
improvements in interface engineering, absorber layer optimization, and transparent conductive electrodes, resulting in power
conversion efficiencies exceeding 24%. Despite these advancements, challenges such as parasitic absorption, interfacial
recombination, and scaling for large-area devices remain significant hurdles. This paper consolidates theoretical insights and
experimental findings to provide a comprehensive analysis of the critical factors influencing the performance of perovskite/CIGS
tandem solar cells. By addressing these challenges, this technology has the potential to redefine sustainable and efficient solar
energy solutions for the future
Analisis kepuasan pelanggan terhadap kinerja kontraktor pada proyek sistem penyediaan air minum di Kabupaten Minahasa Utara
Authors: Mukramin Suci Cahyani , Thambas Arthur H. , Dundu Ariestides K. T. , Malingkas Grace Y.
Published: January 2025

Peningkatan kualitas infrastruktur air minum di Kabupaten Minahasa Utara adalah prioritas untuk kesejahteraan masyarakat melalui penyediaan air bersih yang mendukung kesehatan, sanitasi, dan ekonomi. Kinerja kontraktor memainkan peran kunci dalam keberhasilan proyek. Namun, proyek seringkali mengalami keterlambatan atau kegagalan sehingga kepuasan pelanggan tidak terpenuhi. Penelitian ini bertujuan mengukur kepuasan pelanggan terhadap kinerja kontraktor dan mengidentifikasi fitur-fitur yang mempengaruhi kepuasan untuk memberikan rekomendasi peningkatan kinerja kontraktor. Pendekatan kuantitatif digunakan melalui survei dengan kuesioner yang disebarkan kepada pemilik proyek, konsultan pengawas, dan tim teknis yang terlibat dalam proyek antara tahun 2021 hingga 2024. Analisis data dilakukan dengan algoritma Naïve Bayes dan teknik Eliminasi Mundur untuk menyaring fitur yang tidak signifikan. Hasil penelitian menunjukkan bahwa 81.4% pelanggan merasa puas dengan kinerja kontraktor, dengan model menunjukkan akurasi 87.14%, presisi 94.44%, dan recall 89.47%. Fitur utama yang mempengaruhi kepuasan yaitu Domain Kinerja Pekerjaan Proyek Tahapan Perencanaan Proyek, Domain Kinerja Pengiriman Tahapan Pelaksanaan Proyek, Domain Kinerja Pengiriman Tahapan Pengawasan dan Pengendalian Proyek, Domain Kinerja Pengukuran Tahapan Pelaksanaan Proyek, Domain Kinerja Ketidakpastian Tahapan Inisiasi Proyek, Domain Kinerja Ketidakpastian Tahapan Perencanaan Proyek dan Domain Kinerja Ketidakpastian Tahapan Pengawasan dan Pengendalian Proyek. Oleh karena itu, algoritma Naïve Bayes efektif dalam menganalisis data kepuasan pelanggan dan memberikan wawasan yang bermanfaat bagi kontraktor.
Analisis sisa umur rencana Jalan Baturinggit di wilayah Kubu Karangasem akibat adanya beban berlebih
Authors: Desa Kadek Yoga Praba , Sumanjaya Anak Agung Gede , Yujana Cokorda Agung
Published: January 2025

Jalan Baturinggit merupakan salah satu jalur utama pengiriman barang/material yang melibatkan kendaraan muatan berlebih. Semakin banyak kendaraan yang melintas maka semakin besar beban yang melewati jalan tersebut sehingga mengakibatkan kerusakan jalan. Tujuan dilaksanakan penelitian ini yaitu untuk menganalisis sisa umur rencana jalan yang diakibatkan oleh adanya kendaraan yang bermuatan berlebih. Penelitian dilaksanakan selama 3 hari, mulai dari 15 April 2024 – 17 April 2024 pada pukul 08.00 Wita – 18.00 Wita di ruas jalan Baturinggit, Kecamatan Kubu, Kabupaten Karangasem, Provinsi Bali. Berdasarkan hasil penelitian diketahui bahwa besarnya Vehicle Damage Factor (VDF) kumulatif muatan normal selama Remaining Life (RL) 10 tahun adalah 10,658,570 ESAL sedangkan VDF kumulatif muatan berlebih selama RL 10 tahun adalah 28.727.670 ESAL. Berdasarkan perhitungan dengan menggunakan metode AASHTO 1993, besarnya penurunan RL yang terjadi yaitu 291%, artinya terjadi penurunan RL sebesar 7.45 tahun sehingga diperoleh persentase peningkatan VDF kumulatif akibat muatan berlebih sebesar 169.53%. Persentase kendaraan dengan muatan berlebih yang menyebabkan kerusakan di ruas Jalan Baturinggit meliputi mobil pickup sebesar 30%, truk ringan sebesar 59.80%, truk sedang sebesar 119.52%, truk berat sebesar 10% dan truk trailer 1.2-2 sebesar 19.08%. Kesimpulan dari hasil perhitungan metode AASHTO 1993 terjadi penurunan RL sebesar 291% atau setara dengan kehilangan masa pakai jalan sebesar 7.45 tahun dari umur rencana awal.  Dampak muatan berlebih pada truk sedang menjadi fokus perhatian karena kontribusinya yang sangat signifikan terhadap kerusakan jalan.
Pengaruh pemanfaatan limbah batu pipih umeanyar sebagai subtitusi sebagian agregat halus terhadap kuat tekan dan kuat tarik belah beton
Authors: Ni Kadek Astariani  , I Gusti Ngurah Eka Partama  , I Wayan Eka Ariantika
Published: January 2025

Dalam bidang konstruksi, beton adalah salah satu material bangunan yang paling banyak digunakan. Permintaan material beton yang semakin meningkat, akan menyebabkan semakin berkurangnya ketersedian material yang diambil dari alam. Oleh karena itu, mencari pengganti dari bahan alam harus dilakukan. Salah satu cara untuk melakukan ini adalah dengan menggunakan limbah abu batu pipih sebagai subtitusi agregat halus. Untuk meningkatkan nilai ekonomis limbah yang dihasilkan dari industri pemecah batu, maka dilakukan penelitian dengan memanfaatkan limbah batu pipih sebagai subsitusi agregat halus pada campuran beton normal. Dengan mensubtitusi sebagian agregat halus dengan limbah batu pipih ini, diharapkan dapat meningkatkan nilai kuat tekan dan kuat tarik belah beton. Benda uji dengan bentuk silinder yang memiliki dimensi 150mm x 300mm dibuat sejumlah 80 buah dan diuji pada umur 7 hari dan 28 hari dengan variasi benda uji yaitu beton normal sebagai kontrol (BN), subtitusi agregat halus 25% (BP25%), 50% (BP50%), 75% (BP75%), 100% (BP100%). Nilai kuat tekan optimum diperoleh sebesar 36.91 MPa dengan subsitusi agregat halus sebesar 57.02%. Nilai kuat tekan ini lebih besar 23.24% dari beton normal. Sedangkan nilai kuat tarik belah optimum sebesar 2.42 MPa, dengan substitusi agregat halus sebesar 46.15%. Nilai kuat tarik ini lebih besar 9.01% dari beton normal. Dengan hasil kuat tekan dan kuat tarik belah yang lebih besar dari beton normal, maka limbah batu pipih dapat direkomendasikan menjadi subtitusi sebagian agregat halus.
Desmistificando o Apocalipse
Authors: Hott Márden
Published: January 2025

Resenha de: FARIA, Oswaldo José de. Apocalipse de João à luz da verdade. Santa Luzia: Editora Chico Xavier, 2021. 486p.
Cristo Jesus, Justiça de Deus
Authors: Correia Júnior João Luiz , Maria Gomes Rita
Published: January 2025

O presente artigo tem por objetivo a reflexão acerca dos temas da justiça e da justificação oriundos da reflexão bíblico-teológica das tradições católica e protestante. Seguiu-se a metodologia básica da análise bibliográfica, bem como o estudo dos termos na Sagrada Escritura. A partir daí, foram dados os seguintes passos: primeiro, a apresentação da compreensão da justiça na filosofia grega; segundo, a consideração do testemunho bíblico sobre a semântica da justiça, no Antigo e no Novo Testamentos; terceiro, fez-se uma incursão pela reflexão teológica, pontuando os principais desenvolvimentos desse tema. Ao final, conclui-se que, do ponto de vista doutrinário, para um diálogo ecumênico ainda falta um longo caminho a percorrer, embora tenhamos avançado bastante. Quanto à reflexão sobre o tema, é possível entender que temos outros pontos de partida para pensar a justiça além das definições doutrinárias: a realidade do humano necessitado de justiça.
Protestantismo, Nazismo, Sionismo e Apartheid
Authors: Kruse Marcos
Published: January 2025

A questão de fundo é encontrar os elementos comuns nas diferentes doutrinas e sistemas historicamente determinados como expressões de fé. Quer dizer, o que há de comum em relação às ideologias do nazismo, sionismo e apartheid? E, havendo elementos em comum, como estas podem estar ligadas a expressões correntes da fé e da teologia? Ainda, como a democracia está relacionada ou vinculada a tais expressões ideológicas? Não seria o caso de sustentar-se que a democracia e a fé cristã seriam transcendentes em relação às particularidades políticas e sociais? Das indagações feitas, o fio condutor do artigo aponta para que a crítica à teologia se faz em função da dialética democracia e socialismo.
THE CONCEPT OF MUSLIM’S TAQWA AND ISLAMIC PSYCHOLOGY MEASUREMENT
Authors: Hidayat Ahmad , Fikri Fikri , Krisma Novis
Published: January 2025

"Taqwa" is a familiar term among Muslims, serving as a reminder to continuously enhance one's piety. It has also been incorporated into the national education goals in Indonesia, extending its implementation to the field of education and industry. This study aims to develop and measure the concept of taqwa. Employing a quantitative method and purposive sampling techniques, data collection utilized the Muslim Piety Scale (MPS), developed by the researcher based on Kuning's (2018) taqwa concept. The study involved 227 Muslim students from the Faculty of Psychology at the Islamic University of Riau (UIR). Data analysis was conducted using Smart PLS 3.0 software. Findings revealed that the taqwa construct's four dimensions had items reflecting each component of taqwa. The dimension of controlling anger made the most dominant contribution to the taqwa construct, followed by forgiveness, seeking forgiveness (istighfar), and generosity. The developed taqwa scale from this study can serve as a tool for measuring piety in educational and industrial settings, specifically for individuals of the Islamic faith.
EFFECTIVENESS OF CAREER PLANNING TRAINING TO HELP STUDENTS IN MAKING CAREER DECISIONS
Authors: Vonna Rizka Dara , Hasmalawati Nur
Published: January 2025

Career decision making is a difficult process for high school students who are in adolescence. Generally, students experience obstacles in career selection due to lack of information about careers that make it difficult for students to make choices. The purpose of the research is to develop knowledge related to career planning that can help in student career decision making. Career planning training is given to help students make career decisions based on mature knowledge and understanding, rather than trusting career choices to the wishes of people around them. The research approach used a quasi-experimental method using a pretest and posttest design. This experimental design is used to measure before treatment is given and after treatment is given to the same group. The research subjects were 72 students of SMA Negeri 4 Banda Aceh. The results showed that career planning training had an influence on student career decision making with a value of 0.001 <0.05 (p<0.05), meaning that there were differences in career decision making after being given career planner training. This study successfully proved that the career planner training is effective in helping students in making career decisions after graduating from their current education. In conclusion, this training allows students to know what to do before deciding to choose a career and what to prepare to realize that career. Because so far, many students regret in the future due to choosing the wrong career.
KEBAHAGIAAN DOSEN DITINJAU DARI KONFLIK KERJA-KELUARGA: PERAN MINDFULNESS SEBAGAI MEDIATOR
Authors: Dewi Rusmalia , Sugiarti Rini , Erlangga Erwin , Transinata Tatas , Kurniawan Yudi
Published: January 2025

Kebahagiaan dosen adalah saat merasakan tubuh dan jiwanya sehat. Banyak permasalahan pekerjaan dan keluarga pada dosen karena kurangnya pengelolaan konflik yang baik sehingga bekerja tidak fokus. Support sistem pada dosen penting, agar mampu mengelola konflik yang terjadi dan menjalani aktivitasnya di pekerjaan dan keluarga dengan fokus dan bahagia. Tujuan dari penelitian ini adalah menguji secara empiris kebahagiaan dosen yang ditinjau dari konflik kerja-keluarga melalui peran mindfulness sebagai variabel mediator. Metodenya adalah kuantitatif, dengan menggunakan responden Dosen yang ada di kota Semarang sebanyak 120 orang. Menggunakan Teknik pengambilan sampel purposive sampling dan metode analisis data dengan Regresi simple mediation model  SPSS by Hayes. Hasil penelitian mennjukkan ada pengaruh konflik kerja-keluarga terhadap kebahagiaan dosen melalui mindfulness sebesar RSquare=.515 p<0.05. Konflik kerja-keluarga berpengaruh lebih besar secara langsung terhadap kebahagiaan dosen dibandingkan melalui mindfulness. Penelitian ini memiliki implikasi agar dapat dijadikan acuan tentang pengaplikasian pengelolaan konflik di pekerjaan dan keluarga.
Towards Smarter E-Learning: Real-Time Analytics and Machine Learning for Personalized Education
Authors: Tirumanadham N. S. Koti Mani Kumar , S. Thaiyalnayaki  , V. Ganesan
Published: January 2025

E-Learning platforms change fast, and real-time behavioural analytics with machine learning provides the most powerful means to enhance learner outcomes. The datasets undergo preprocessing techniques like Z-score outlier detection, Min-Max scaling for feature normalization, and Ridge-RFE (Ridge regression and Recursive Feature Elimination) for feature selection in order to improve the accuracy and reliability of the predictions. Applying the Gradient Boosting Machine, classification accuracy up to a 94% level with respect to the model about predictions on learner outcomes was achievable. Thus, applying this, feedback systems may offer timely recommendations or directions in class that propel students toward better understanding on how to raise participation and success percentages. However, this approach has some potential benefits but there are still various challenges such as managing the data imbalance for models that generalize in a dynamic environment. Though hybrid methods mitigate this problem, real-time data pipelines with behaviour analytics incorporation call for significant computer-intensive resources and infrastructure. This integration has very high paybacks. It makes possible more responsive E-Learning platforms with individual needs almost met in real-time manners, thus giving instantaneous feedback, content suggestions, and timely interventions. Finally, convergence of real-time analytics with ML models culminates in adaptive learning environments which improve student engagement, retention, and quality of academic results.
HUBUNGAN KOMUNIKASI INTERPERSONAL DENGAN PENYESUAIAN DIRI SISWA KELAS VII DI SMP NEGERI 17 KOTA JAMBI
Authors: Haryati Tutik
Published: January 2025

Penelitian ini bertujuan untuk: 1)Mengungkapkan kualitas komunikasi interperonal siswa kelas VII di SMP Negeri 17 Kota Jambi 2). Mengungkapkan kualitas penyesuaian diri siswa kelas VII di SMP Negeri 17 Kota Jambi 3).Mengungkapkan hubungan antara komunikai interpersonal dengan penyesuaian diri siswa kelas VII di SMP Negeri 17 Kota Jambi.Jenis penelitian yang dilakukan peneliti tergolong korelasional.Sedangkan pendekatan yang digunakan dalam penelitian ini adalah pendekatan kuantitatif.populasi dalam penelitian ini adalah komunikasi interpresonal dan penyesuaian diri siswa kelas VII di SMP Negeri 17 Kota Jambi tahun ajaran 2017/2018. Teknik pengambilan sampel yang digunakan adalah Simple Random Sampling.Formula ini digunakan untuk menguji dan mengungkapkan kualitas dari komunikasi interpersonal dan penyesuaian diri pada siswa kelas VII di SMP Negeri 17 Kota Jambi, maka data dari jawaban angket siswa yang diperoleh akan dianalisis menggunakan teknik persentase.Berdasarkan analisis persentase yang telah dilakukan pada masing-masing variabel penelitian, maka diketahui bahwa komunikasi interpersonal siswa dengan nilai bobot yang diperoleh adalah sebesar 1398 dan besarnya nilai persentase ratarata yang diperoleh adalah 75,7%. Sehingga dapat disimpulkan bahwa kualitas komunikasi interpersonal siswa kelas VII di SMP Negeri 17 Kota Jambi berada pada kualitas yang baik.
Desafíos de la gestión financiera en la aplicación de NIIF para pymes en sector
Authors: Alfaro Oliva Joselito Emanuel
Published: January 2025

La investigación titulada “Desafíos de la gestión financiera en la aplicación de NIIF para pymes en sector ferretero, Trujillo, 2022” , tuvo un principal objetivo   Evaluar el rechazo de la implementación de las NIIF para pymes y su impacto en la gestión financiera del sector ferretero, Trujillo, 2022. Tomando como base teórica para la gestión financiera la propuesta por  Chapi & Ojeda (2017) y para las NIIF para pymes  la Resolución de CNC N.º 003-2020-EF/30 oficializaron las NIIF para pymes. Investigación de enfoque cualitativo, tomando una población a 25 empresas del sector ferretero, aplicando una guía de entrevista a los 25 representantes legales, se aplicó a una muestra no probabilística intencional, obteniendo como resultados que El 76% de los entrevistados  toman decisiones financieras en base a estados financieros elaborados bajo PCGA y el marco tributario, concluyendo que el rechazo para la implementación de las NIIF para pymes en sector ferretero, Trujillo, 2022; se deben a nueve categorías; costos tributarios, laborales, financieros; falta de conocimiento de adopción de NIFF, alta importancia al marco tributario, cultura financiera, sobrecarga de trabajo administrativo y operativo; decisiones financieras basadas en costumbres; inexistencia de sanciones por no cumplir la adopción a NIIF, teniendo un impacto negativo en la gestión financiera. Teniendo un gran reto por las gerencias del sector financiero en adoptar las NIIF para pymes y determinar su impacto positivo en la gestión financiera, al conocer información financiera fiable que permita tomar decisiones acertadas para el crecimiento sostenido de la compañía.
Factores determinantes en el comportamiento de los consumidores al seleccionar los servicios odontológicos
Authors: Viera Castillo Daniel Omar , Flores Loredo Mario Alonso , Toro García Benjamín Luciano , Muñoz Bustamante Melanie
Published: January 2025

El presente estudio analiza los factores que influyen en la elección de servicios odontológicos en las ciudades de Arica (Chile) y Tacna (Perú). A través de un enfoque cuantitativo y un diseño no experimental transeccional, se examinan variables como la motivación, percepción, actitud, precio y costo de traslado para identificar las razones detrás de la preferencia de un servicio en una u otra ciudad. Utilizando análisis factorial y discriminante, se concluye que la actitud, aprendizaje, motivación y percepción son las principales dimensiones que inciden en la decisión de los consumidores. Además, se evidencia que la cercanía geográfica entre Arica y Tacna ha generado un flujo constante de personas que buscan atención médica, incluyendo servicios odontológicos, influenciados por factores como el costo y la calidad del servicio.
Factores determinantes de la exclusión financiera femenina: revisión sistemática
Authors: Ramos Zaga Fernando Antonio
Published: January 2025

A nivel global, a pesar de los grandes avances hacia la inclusión financiera, las desigualdades que aún obstaculizan el acceso de las mujeres al sistema financiero formal, causadas por la exclusión sistemática de las mismas, contribuyen a ciclos de pobreza y desigualdad, los cuales pueden persistir en las siguientes generaciones. Por ese motivo el objetivo de esta revisión sistemática es identificar los factores que influyen en la exclusión financiera de las mujeres. Para tal fin, se realizó una revisión sistemática a través de fuentes académicas como Scopus, Web of Science y Google Scholar, entre 2019 y 2024. Los resultados muestran que la exclusión económica de las mujeres es el resultado de una combinación de factores socioculturales, económicos, educativos y personales. Se concluye que el abordaje de la exclusión financiera femenina, en este caso, requiere intervenciones bien diseñadas que aborden los estereotipos socioculturales, las disparidades económicas y las brechas en la educación financiera.
Inteligencia artificial en el sector público en México
Authors: Acosta Márquez María Pilar , Alba Velasco Manuel , Mariani Ochoa René , Delfín Pozos Flor Lucila
Published: January 2025

La inteligencia artificial se está utilizando en diferentes ámbitos de estudio pues reduce procesos administrativos en tiempo y forma, como en el caso del sector público simplificando y analizando bases de datos muy amplias, y presentando predicciones de riesgo a la economía; además, de la eficiencia y eficacia de estos procesos que la población realiza en ciertas dependencias, u organismos públicos, e incluso desde sus hogares.  El uso de esta herramienta para la fiscalización en México, puede ser muy ventajosa dado a que se pueden formular políticas enfocadas a mejorar procesos administrativos, mejorar los procesos y análisis para la comprobación de la información que presentan los contribuyentes y en la auditoria tributaria. Sin embargo, se presenta una cuestión sobre la responsabilidad en el uso de información y datos personales que se tiene que atender derivado del desconocimiento del impacto del uso de la inteligencia artificial en la fiscalización.
Para ello se mostrará que la inteligencia artificial es una herramienta beneficiosa para la fiscalización en México. Se revisarán y analizarán tanto las estrategias de implementación de la inteligencia artificial en la administración pública en México; y su aplicación en algunos países de América Latina como las estrategias digitales nacionales en México para luego evaluar el papel de la Inteligencia Artificial en la Tributación y en el Servicio de Administración Tributaria (SAT). Esta investigación es cualitativa exponiendo la información encontrada; y siendo un estudio documental.
Notas sobre os Quadrados Mágicos Generalizados de ordem 4x4
Authors: Araújo Judith de Paula , Loiola Caroline Rodrigues , Petermann Martins Mariana
Published: January 2025

Problemas envolvendo quadrados mágicos de ordem par desafiam a lógica matemática há séculos, alguns problemas ainda permanecem em aberto. Neste artigo, os quadrados mágicos generalizados de ordem 4x4 serão objeto de estudo. Considerando que a soma dos elementos de qualquer linha, coluna ou diagonal do quadrado devem ser iguais, apresentaremos detalhadamente como obter todas as possíveis 24 equações relacionando tais elementos entre si. Para obtermos as soluções do quadrado mágico, utilizaremos ferramentas básicas da Álgebra Linear. Serão consideradas não apenas as soluções envolvendo números naturais, mas também todas as soluções reais e complexas.
Associação entre comportamentos de movimento de 24 horas e ansiedade em estudantes universitários durante a pandemia da covid-19
Authors: Camboim Liena kalline Vitor , Tebar William Rodrigues Tebar , Padilha Camila de Souza , Christofaro Diego Giulliano Destro , Ohara David
Published: January 2025

Avaliar a associação de comportamentos de movimento de 24 horas com ansiedade em universitários durante a pandemia. Os resultados transversais baseiam-se em 87 estudantes (idade média = 26,6±6,5 anos, 72,7% do sexo feminino). Foi preenchido um questionário online sobre dados sociodemográficos, ansiedade (Inventário de Ansiedade Traço-Estado-Traço), qualidade do sono (PSQI) e comportamento sedentário (CS). Utilizou-se, durante sete dias, dois acelerômetros da marca ActiGraph modelo wGT3X-BT para medir sono, atividade física (AF) e CS, respectivamente. O teste U de Mann-Whitney e o teste de Kruskal Wallis foram utilizados para comparar os escores de ansiedade entre os clusters que cumpriram ou não as recomendações (cumpre nenhuma; cumpre uma; cumpre duas ou mais). A razão de prevalência (RP) de ansiedade segundo atendimento às recomendações para comportamentos de movimento nas 24 horas foi estimada por meio de análise de regressão de Poisson com respectivo intervalo de confiança de 95%. Os achados apresentaram 60,9% ansiedade moderada a alta e os universitários que cumpriram 1 ou 2 recomendações das diretrizes apresentaram menores escores de ansiedade em comparação aos que não cumpriram nenhuma, considerando os clusters de atendimento (p<0,05) por meio dos questionários. Não houve associação de níveis de ansiedade moderado a alto com (AF) RP=1,34 (0,66; 2,70; p=0,414); Observou-se RP de CS=1,21 (0,13; 10,92; p=0,866) e RP de sono=1,11 (0,51; 2,41; p=0,794). Concluiu-se que não houve associação entre o cumprimento de comportamentos de movimento de 24 horas durante a pandemia da COVID-19 e a ansiedade entre os universitários.
Internações e mortalidade por doenças cardiovasculares na Bahia
Authors: Moraes Santos Givani , Cândida Calhau Rebouças Lyra , Almeida Cardoso Silva Vanessa , Magali Lemos Pinheiro Gleide , Calhau Rebouças Lara
Published: January 2025

Este estudo objetivou-se analisar as internações e a mortalidade por doenças cardiovasculares na Bahia, no período de 2012 a 2022. Trata-se de um estudo epidemiológico, do tipo ecológico característica transversal e natureza descritiva, realizado a partir da coleta de dados no Sistema de Informações Hospitalares (SIH) e Sistema de Informação sobre Mortalidade (SIM), disponíveis no DATASUS, os dados se referem ao estado da Bahia, no período de 2012 a 2022. Para verificar os dados utilizou-se o capítulo IX da Classificação Estatística Internacional de Doenças e Problemas Relacionados a Saúde (CID-10) que se refere as Doenças do Aparelho circulatório (DAC), através das frequências absolutas e relativas. No período investigado identificou-se 776.317 internações decorrentes das Doenças cardiovasculares (DCVs) no referido estado, das quais 50,7% das internações pertenciam ao sexo feminino, 54,1% do grupo etário de 60 a 80 anos mais, 50,0% se autodeclaravam pardas e 36,0%, residiam na macrorregião de Salvador. Verificou-se em relação a mortalidade hospitalar que no período estudado ocorreram 242.599 óbitos por Doenças Cardiovasculares, destes 51,0% eram do sexo masculino, 56,0% pardos, 79,7% pertenciam ao grupo etário de 60 a 80 anos mais e 30,1% eram casados. Nesse sentindo, tais achados sinalizam a necessidade de um de um maior investimento em políticas de saúde, medidas educativas, preventivas e melhorias na assistência a fim de reduzir a morbimortalidade decorrentes desses agravos.
The Implementation of Arabic Language Learning for Visually Impaired Students in an Inclusive Classroom In Indonesia/ تنفيذ تعليم اللغة العربية للتلاميذ المكفوفين في فصل دراسي شامل في إندونسيا
Authors: Istifa Ayuning Lazuardy  , Anisatul Barokah
Published: January 2025

MAN 2 Klaten is an inclusive school that integrates disabled students, including the blind, into regular classes, achieving learning outcomes in Arabic subjects comparable to other students. This qualitative research aimed to explore the implementation of Arabic language learning for blind students, challenges faced by teachers, and their solutions. Conducted in Class XII, the study involved Arabic teachers, blind students, classmates, and accompanying teachers, using interviews, observation, and documentation for data collection. The findings show that learning plans for blind students are similar to those for other students, utilizing the same methods and materials. However, blind students receive additional explanations individually after class sessions and use laptops with JAWS software for accessibility. Daily assignments are conducted orally with the same questions as those for their peers. Challenges include difficulties in explaining unfamiliar vocabulary, divided teacher focus, and the inability of teachers to use Braille, resulting in blind students writing assignments in transliterated Arabic. Solutions involve detailed explanations, improved focus management, and adaptations in assignment formats. These findings highlight the importance of training teachers in Braille and assistive technologies to further enhance inclusive learning.
The Association Between Cost-Related Insulin Rationing and Health Care Utilization in U.S. Adults With Diabetes
Authors: Borden Caroline G. , Bakkila Baylee F. , Nally Laura M. , Lipska Kasia J.
Published: January 2025

OBJECTIVE

To examine the association between insulin rationing and health care utilization.

RESEARCH DESIGN AND METHODS

Cross-sectional study of all 2021 National Health Interview Survey respondents with diabetes using insulin. Logistic regression and zero-inflated negative binomial regression models examined associations between insulin rationing (skipping, delaying, or reducing insulin to save money) and 1) emergency department (ED) visit or hospitalization and 2) number of urgent care visits. All analyses were age-stratified and used survey weights.

RESULTS

Among 982 respondents representing 7,593,944 U.S. adults (median age 61 years, 47% women), 17% reported rationing. Among adults 18–64 years old, rationing was not significantly associated with health care utilization. Among adults ≥65 years old, rationing was associated with more urgent care visits (relative risk 2.1, 95% CI 1.2–3.6) but not with odds of ED visit or hospitalization (odds ratio 0.7, 95% CI 0.3–1.4).

CONCLUSIONS

Insulin rationing was not associated with higher health care utilization, but concurrent rationing of health care may mask a relationship.
Real-world data on utilization of neoadjuvant chemotherapy for muscle invasive bladder cancer: impact on surgical complications and oncological efficacy
Authors: Haugnes Hege S. , Kjaeve Hakon , Bjerkaas Eivind , Hellesnes Ragnhild , Hjelle Line , Larsen Magnus
Published: January 2025

Background and purpose: Recommended treatment of urothelial muscle-invasive bladder cancer (MIBC) is cisplatin-based neoadjuvant chemotherapy (NAC) followed by cystectomy, but there are challenges with low utilization of NAC. We aimed to evaluate the utilization of NAC, perioperative complications and oncological efficacy in a real-world setting.
Patients and methods: All patients operated with radical cystectomy at the University Hospital of North Norway during 2011–2021 for MIBC were included. NAC consisted of three cycles of dose-dense methotrexate, vinblastine, doxorubicin and cisplatin (ddMVAC) every second week. Complications after cystectomy (Clavien-Dindo ≥ grade 3 within 30 days), histopathologic NAC response, cancer recurrence, relapse-free survival (RFS), overall survival (OS) and cause of death were reported.
Results: We included 124 patients, median observation time of 4 years. Fifty-nine patients (48%) received NAC. Most common causes for not receiving NAC were age ≥ 75 years (n = 38; 31%), cardiovascular disease (n = 7; 5.6%), and reduced kidney function (n = 6; 4.8%). Overall 34 patients (27%) had a ≥ grade 3 complication. The 5-year actuarial OS rate was higher among patients treated with NAC than those without NAC (67% vs. 45%, p = 0.02). Among NAC-treated patients, 29 (49%) were downstaged to non-muscle invasive stage (≤pT1), and the 5-year actuarial RFS and OS were higher among patients with ≤pT1 in the post-cystectomy specimen than those with ≥ pT2 (92% vs. 35%, and 94% vs. 39%, both p < 0.001).
Interpretation: The utilization of NAC was high in this real-world setting. Treatment with ddMVAC with achieved downstaging to ≤pT1 was associated with considerably improved RFS and OS.
Assessing the Comorbidity Cycle Between Psoriasis and Addiction Based on ICD Coding in the Stockholm Psoriasis Cohort
Authors: Wecker Hannah , Svedbom Axel , Orrego Fabio Sánchez , Ziehfreund Stefanie , Ståhle Mona , Zink Alexander
Published: January 2025

The comorbidity cycle between psoriasis and addictions remains unclear. The study aimed to investigate the cumulative incidence of addictions in psoriasis patients and controls in the Stockholm Psoriasis Cohort (SPC). The SPC is an observational cohort study that enrolled psoriasis patients between 2001 and 2005 and matched controls using the Swedish Total Population Register. Data were complemented by medical records from 1987–2013, focusing on 11 addiction diagnoses and the date of their assignment. Overall, 4,545 individuals (56.4% female; median age: 40) were included: 722 psoriasis patients and 3,823 controls. Patients showed 1.4 times (95% confidence interval: 0.98–1.98) higher odds of addiction diagnosis than controls. Alcohol dependency was the most common addiction diagnosis (78.2%), which was more frequent in patients than in controls (94.3% vs 73.6%, p = 0.009). Furthermore, patients showed 4.3 times (1.85–11.56) higher odds of receiving an addiction diagnosis after their initial psoriasis diagnosis than before. Results showed a tendency towards a higher risk of addiction in psoriasis patients, suggesting potential psoriasis-triggered addictive behaviour. Nevertheless, both substance abuse triggering psoriasis and chronic psoriasis inflammation triggering addictions have to be considered. In both cases, addictive behaviour needs to be addressed in psoriasis healthcare as a driver for poor disease outcome and comorbidities.
Long-term Satisfaction with CO2 Laser Treatment for Moderate to Major Rhinophyma: A Single-centre Study
Authors: Olafsdottir Berta , Jebril William , Curman Philip , Bachar-Wikström Etty , Wikström Jakob D.
Published: January 2025

Rhinophyma, a severe manifestation of rosacea, predominantly affects Caucasian males aged 50–70 and is characterized by thickening and enlargement of the nasal skin. The condition can seriously both impact cosmetic appearance and obstruct nasal breathing. While its appearance is distinct, conditions such as basal cell carcinoma can mimic it, complicating diagnosis. Treatment options for rhinophyma range from medical therapies to surgical interventions, with CO2 laser resurfacing emerging as the gold standard due to its precision and minimal blood loss. This retrospective case series evaluates the long-term efficacy and patient satisfaction of CO2 laser treatment in 11 male patients treated between 2015 and 2023 at the Karolinska University Hospital. The results revealed sustained positive outcomes, with 92% of patients reporting high satisfaction and 55% experiencing improved nasal airflow post-procedure. Despite some instances of hypopigmentation and scarring, no major side effects were reported. The study supports CO2 laser treatment as a safe and effective option for moderate to major rhinophyma in Caucasian male patients with Fitzpatrick skin types I–III. The importance of considering skin type, where extra caution must be employed when treating skin types IV–VI, should be emphasized as the treatment
Early surgery in rare knee heterotopic ossification leads to successful functional outcome: a case report
Authors: Pierreux Stijn , Hatem Samar M. , Roggeman Stijn , Schiltz Marc
Published: January 2025

Background: Heterotopic ossification is a common complication after joint replacement surgery, such as hip or knee arthroplasty. In the intensive care unit, it is most commonly associated with traumatic brain injury or spinal cord injury. To prevent recurrence, surgical resection of heterotopic ossification is recommended once the ectopic bone has fully matured, which is estimated to occur after at least 12 months.
Case presentation: This case describes a young woman with no relevant previous medical history who developed severe bilateral heterotopic ossification on the anteromedial sides of her knees after an intensive care unit stay. Passive flexion of both knees was limited to 50°. X-ray was a simple diagnostic tool. Predisposing factors were extended immobilization, prolonged systematic inflammatory condition and mechanical ventilation. Due to the failure of initial conservative therapy, the heterotopic ossification was resected early, 4 months after onset of first symptoms. Following an intensive rehabilitation program, a normal, pain-free gait and full range of motion of both knees were achieved 9 months after surgery.
Conclusion: This case report demonstrates that early resection of heterotopic ossification can result in a good clinical and functional outcome.
Randomized controlled trial of cognitive behavioral therapy versus health education for sleep disturbance and fatigue following stroke and traumatic brain injury
Authors: Ymer Lucy , McKay Adam , Wong Dana , Frencham Kate , Grima Natalie , Roper Monique , Nguyen Sylvia , Murray Jade , Spitz Gershon , Ponsford Jennie
Published: January 2025

Objective: Evaluate efficacy of cognitive behavioural therapy for sleep and fatigue adapted for brain injury relative to health education control in alleviating sleep disturbance and fatigue after acquired brain injury.
Design: Parallel groups randomized controlled trial.
Subjects: 126 community dwelling adults with stroke or traumatic brain injury.
Methods: Participants were randomized 2:1 to receive 8-weeks of cognitive behavioural therapy for sleep and fatigue (n = 86) or health education (n = 40). The Pittsburgh Sleep Quality Index was assessed pre- and post-treatment, and 2 and 4-months post-treatment, with secondary measures of insomnia, fatigue, sleepiness, mood, quality of life, activity levels, self-efficacy, and actigraphy.
Results: Both groups showed improved sleep by 4-month follow-up. However, cognitive behavioural therapy for sleep and fatigue had significantly larger and more rapid improvements than health education immediately post-treatment (β = –1.50, p < 0.001, 95% confidence interval –2.35 to –0.64). There were no significant between-groups differences in fatigue; however, cognitive behavioural therapy for sleep and fatigue showed within-group gains on both fatigue measures immediately post-treatment and over time (β = –0.29, p = 0.047, 95% confidence interval –0.58 to –0.01). Health education had delayed improvements at 4-month follow-up on 1 fatigue measure.
Conclusions: Both cognitive behavioural therapy for sleep and fatigue and health education led to improvement in sleep and fatigue; however, effects were larger and more rapid for cognitive behavioural therapy for sleep and fatigue immediately post-treatment. This supports the efficacy of cognitive behavioural therapy for sleep and fatigue in acquired brain injury but also highlights that health education may result in delayed improvements in symptoms.
ANZCTR Trial registration numbers: 1261700087830; 12617000879369
Macrophage Backpacks: A Novel Strategy for Targeted Brain Drug Delivery
Authors: A Sharma
Published: January 2025

The blood-brain barrier (BBB) is a highly selective and
protective barrier that separates the brain from the circulatory
system. It is composed of tightly packed endothelial cells that
prevent most molecules from entering the brain. While this
barrier is essential for maintaining the brain’s homeostasis,
it also poses a significant challenge for drug delivery to the
brain. Most therapeutics are unable to cross the BBB, which
limits their efficacy in treating brain diseases. Therefore,
there is a need for innovative drug delivery systems that can
bypass the BBB and deliver therapeutics to the brain.