bluuebunny/crossref_metadata_2025 huggingface dataset:
Estudio URUguayo de intervención educativa potenciada en pacientes anticoagulados con WArfarina en una unidad de Insuficiencia cardíaca (URUWAI)
Authors: Pereyra Andrea , Silvera Gabriela , Eiraldi Rosa , Chamorro Cristina , Florio Lucía , Vázquez Marta , Ormaechea Gabriela , Álvarez Pablo
Published: November 2024

Introducción: La warfarina es uno de los medicamentos más prescritos en el tratamiento y prevención de enfermedades tromboembólicas.  El beneficio en la prevención de eventos trombóticos y en la reducción de la mortalidad está ampliamente documentado. Sin embargo, los aspectos relacionados con la seguridad han limitado su uso. El acompañamiento de pacientes, con especial atención en la información y educación sobre sus patologías, hábitos saludables, cumplimiento de tratamientos y comprensión de riesgos, es fundamental para conseguir buenos resultados, disminuyendo la morbi-mortalidad y las internaciones. La información respecto al perfil de seguridad y la calidad de la anticoagulación bajo un programa de intervención educativa es escasa en Uruguay. El objetivo de este estudio es analizar el efecto de un plan de intervención educativa potenciada con atención farmacéutica (IEPAF), sobre la calidad de anticoagulación con warfarina de pacientes ambulatorios de la unidad multidisciplinaria de insuficiencia cardíaca (UMIC), comparar la efectividad y seguridad del tratamiento, y evaluar la utilidad del score SAMeTT2R2.
Metodología: Ensayo clínico randomizado. Se reclutaron pacientes en seguimiento en la UMIC tratados con warfarina y se randomizaron a control médico habitual vs control médico con ajustes de dosis según un protocolo establecido, más IEPAF.
Resultados: Luego de 24 meses de seguimiento, ambos grupos mantuvieron buen nivel de anticoagulación, con tiempo en rango terapéutico (TTR) de 83,15% y 83,80% para grupo control e intervención respectivamente. La intervención educativa potenciada y el protocolo de ajuste de dosis de warfarina, aportó un resultado equiparable al seguimiento convencional de la anticoagulación.
Conclusiones: La IEPAF promovió un resultado equiparable en seguridad, efectividad y adherencia con respecto al seguimiento convencional. Ambos grupos lograron un excelente nivel de anticoagulación evaluado por TTR. Del análisis post hoc surge una asociación estadísticamente significativa de los valores de SAMeTT2R2 4 y 6, con la aparición de eventos, con un riesgo relativo 5 veces mayor para el sexo femenino.
Métodos diagnósticos de la encefalopatía hepática en la atención primaria de salud
Authors: Martínez-Salazar Abigail , Herrera-Guazha Jennifer , Calva-Torres Marcos , Gómez-González Alejandra , Iñiguez-Perez Gabriela , Gonzales-Solorzano Alberto
Published: November 2024

La encefalopatía hepática consiste en la disfunción o deterioro cerebral, consecuente a afecciones como insuficiencia hepática e hipertensión portal, en el ámbito médico es catalogada como una grave complicación clínica asociada al daño hepático severo. Se llevó a cabo un estudio cualitativo de revisión sistemática aplicando la declaración PRISMA 2020, en donde se utilizó los documentos disponibles en las diferentes bases de datos y con la aplicación de los operadores booleanos para su búsqueda. De los documentos seleccionados se pudieron obtener 840 referencias de información en una primera búsqueda en las bases de datos y 8 registros de datos. Finalmente, para la investigación se consiguió un total de 16 fuentes bibliográficas. La encefalopatía hepática se compone de un síndrome neuro-psiquiátrico que incluye deterioro psicomotor y/o sensitivo, desorientación, incoordinación, alteración de la memoria, confusión, somnolencia, estupor y coma, existen diversas herramientas para el diagnóstico desde el primer nivel de atención, una de las principales es la anamnesis y la exploración física del paciente donde se espera encontrar hallazgos cognitivos y neuromusculares relacionados a la enfermedad hepática grave, entre los estudios complementarios se emplea principalmente exámenes de laboratorio, Criterios de West Haven, prueba psicométrica, prueba neurofisiológica y estudios de neuroimagen como resonancia magnética.
Roles, challenges, and resiliency during the COVID-19 pandemic: a case of women political leaders in the Philippines
Authors: Patalinghug Mark Erana , Majorenos Ann Mariel P. , Tigley Rezin I.
Published: November 2024

Since the onset of the COVID-19 pandemic, there has been substantial scholarly interest in the roles of women in leadership positions. This multiple-case study explores the experiences of female political leaders during the pandemic, focusing on their roles, challenges, and resilience. The study encompasses ten women political leaders actively involved in pandemic-related activities in Dumingag, Zamboanga del Sur, Philippines. The findings indicate that these women embodied exceptional compassion and courage in their efforts to curb the virus's spread within their communities. The research underscores that the attributes traditionally associated with femininity, such as empathy and nurturing, were beneficial during the pandemic. Rather than posing a challenge, femininity complemented their leadership roles, with the main obstacles being the risk of contracting COVID-19 and public skepticism regarding the pandemic's seriousness. The study highlights that these female leaders adeptly managed the pandemic's challenges through effective cooperation and collaboration with stakeholders, underpinned by a commitment to altruism. This research contributes to the field by demonstrating that the qualities associated with female leadership can enhance crisis management. It informs the international debate on gender and leadership, suggesting that women's distinctive attributes may be particularly advantageous in navigating global health emergencies. By emphasizing these contributions, the study advocates for a broader recognition of the value of female leadership in crisis situations and encourages further examination of gender dynamics in leadership roles globally.
Narrating of collaborative governance in Sejarah Beach restoration, Batu Bara Regency, Indonesia
Authors: Gunawan Tedi
Published: November 2024

This article examines the collaborative governance strategy implemented by the Batu Bara Regency Government in restoring Sejarah Beach. Beaches are critical assets that represent the identity of a region, provide economic benefits, and support the surrounding environmental ecosystem. Unfortunately, many beaches experience environmental degradation and other socio-economic problems. Pantai Sejarah in Batu Bara Regency is no exception, which faces issues such as prostitution, environmental degradation, and local poverty. Using a qualitative methodology, this research explores the collaborative approach used in the revitalization of Pantai Sejarah. In-depth interviews were conducted with various key stakeholders, including representatives from local government agencies (Environmental Agency, Forestry Agency, and Regional Development Agency), PT Inalum's HR management, and local community members. The findings of this study show that the implementation of the collaborative governance approach by the local government has transformed Sejarah Beach into an integrated tourist attraction. In addition, this collaborative initiative also created economic opportunities, including small businesses, new jobs, and revenue for the government. The collaborative effort also addresses social issues such as prostitution through coordinated action between law enforcement, government, and the local community. Furthermore, the collaborative governance approach provides a comprehensive solution to coastal area management by addressing social challenges alongside environmental conservation and economic development.
The identity politics of the local head election in Bolaang Mongondow, Indonesia
Authors: Kimbal Alfons , Rompas Jufri
Published: November 2024

Democracy in Indonesia should be a place to channel the aspirations of the people according to their preferences. The identity politics is a strategy carried out by interested groups in a contestation, the goal is to gain sympathy and votes in the election. However, the impact of  the the identity politics tends to be negative where people tend to be selfish for one and group’s sake and this is contrary to Pancasila and the 1945 Constitution. Bolaang Mongondow Regency is the locus of this research, where this area is still thick with the phenomenon of identity politics. This research examines the phenomenon of the the identity politics for election participants and also its impact on society as well as data found in the field and also previous studies that have examined matters related to the title of this research and then conducted a focus of group discussions. From the results of the study, it was found that the Identity Political Behavior in the Bolaang Mongondow Regency, especially in the Election of The Regional Heads in 2017 is still within the level of reasonableness and is one of the political strategies of the candidate pairs but is still within reasonable limits and it can be seen that there is no longer a majority force that has a sectoral ego in the interests of power but also the community has matured in choosing their leaders in the elections.
Treatment Experience Using a Stent Graft for Lumbar Artery Injury that Failed Coil Embolization
Authors: Kim Gil H , Lee Sang B , Park Chan I , Kim Jae H , Kim Chang W
Published: November 2024

Transcatheter embolization currently constitutes the primary treatment for lumbar artery injury due to blunt trauma. We present a case where a stent graft effectively treated a lumbar artery injury after coil embolization failed to achieve hemostasis. Aortic stent graft implantation is a safe procedure that can prevent surgical morbidity and has minimal complications. It may serve as an effective alternative for achieving hemostasis when coil embolization is not feasible or is unsuccessful.
Axial Load Test Procedure of Short Bored Pile Foundation Model in the Field for Tip Support Bearing Study
Authors: Nugraha Andrias Suhendra
Published: November 2024

Axial load testing on short drilled pile foundation models in the field requires several criteria to be met, including: depth of the tip support layer, adjustments to the capacity and arrangement of the test equipment so that it can still refer to the testing standards. In order for the axial working load on the foundation model to be carried only by the toe bearing resistance, the frictional resistance of the blanket is eliminated through lubrication with liquid silicone. The toe bearing resistance is mobilized at large deformations from 18%d to 30%d. The load test tip bearing resistance value is only about half of the empirically calculated tip bearing resistance.
Asociación de índices de vegetación RGB con rendimiento y dosis de nitrógeno en trigo harinero
Authors: Mandujano-Bueno Andrés , Buenrostro-Rodríguez Juan Francisco , Montero-Tavera Víctor
Published: November 2024

El trigo (Triticum aestivum) es un cultivo industrial de primera importancia para México, autosuficiente en la producción de trigo cristalino, pero con déficit de 5 200 000 T anuales de trigo harinero. Esta problemática es multifactorial, algunos de los componentes más importantes son el diferencial entre el rendimiento actual y potencial, así como el manejo deficiente de la fertilización nitrogenada. El objetivo de esta investigación fue determinar si existe correlación significativa entre el Índice de Vegetación estimado a partir de ortofotos en luz visible con el rendimiento y las necesidades de nitrógeno del trigo harinero, para complementar o reemplazar el índice NDVI obtenido con el sensor infrarrojo Greenseeker™, y contribuir con ello a la nutrición racional de las plantas. Se cultivó la variedad Alondra F2014 en Celaya, Guanajuato, México, y se aplicaron 6 tratamientos de fertilización nitrogenada (0 kg/ha a 300 kg/ha de nitrógeno, en incrementos de 60 kg) bajo un diseño de bloques completos al azar con tres repeticiones, durante los ciclos de cultivo OI 2021-2022 y OI 2022-2023. Las variables estimadas fueron rendimiento de grano, los índices de vegetación GLI, TGI, VARI, GRVI y RGBVI, calculados sobre ortofotos construidas a partir de imágenes obtenidas por un vehículo aéreo no tripulado, y el índice NDVI como testigo, medido con el sensor GreenSeeker™; todos ellos estimados semanalmente a partir de 20 d después de la siembra y hasta el inicio de la madurez fisiológica. Los resultados demuestran altos coeficientes de correlación ≥ 0.90 entre todas las variables; y altos coeficientes de determinación, promedio en la etapa de encañe inicial de 0.80 a 0.91 entre los índices RGB y NDVI, y (R2) ≥ 0.86 entre índices VIV con el rendimiento. Los índices VIV, especialmente VARI, pueden emplearse en lugar del NDVI como herramienta para identificar eficientemente las necesidades del cultivo.
Examining behavioural determinants among caregivers of children with attention-deficit hyperactivity disorder using the human action process framework
Authors: Dianti Meilina R. , Nurmala Ira , Puspitasari Nunik
Published: November 2024

This study assessed the caregiver’s adaptability and appropriate parenting behaviour towards children with Attention-Deficit Hyperactivity Disorder (ADHD) based on their background and mental health using the theory of Health Action Process Approach (HAPA). The study recruited 24 caregivers who completed surveys at four-weekly intervals. A moderated mediation model was used to examine the mediating effects of intentions, actions, and caregivers’ resilience. The results showed that 19 of the consenting caregivers were exposed to educational intervention on HAPA constructs, and completed assessments of behaviour-change in pre- and post-training. There was an improvement in caregivers’ knowledge after training. This included improved knowledge on how to properly give care to children with ADHD enabling them to stay mentally healthy (p < 0.05). Caregiver resilience can be determinant in behaviour change. Importantly, the link between resilience and reduced stress could be mitigated by encouraging caregivers to be stronger and more responsive. This can be a comprehensive discussion in nursing, especially about how HAPA can be used as a practical application for parenting patterns for children with ADHD.
Prevalence and risk factors for gestational diabetes in Jambi, Indonesia
Authors: Dewi Ratna S. , Martini Santi , Isfandiari Muhammad A.
Published: November 2024

The most common time for gestational diabetes mellitus (GDM), which affects anywhere from 1% to 40% of pregnant women, is between the 24th and 28th week of pregnancy. One of the provinces in Indonesia, Jambi, was the focus of this study, which aimed to characterize the incidence and risk factors of GDM. One hundred twenty-two women without GDM and twelve women with GDM participated in this case control research. Oral glucose tolerance tests were used to diagnose gestational diabetes mellitus (GDM) in women who were assessed between 24 and 28 weeks of gestation. Data Collection in this research used questionnaire about woman’s social demographics, history GDM, parity, family support, and social support. Multivariate analysis is used to measure the relationship between variables. The results of the study showed a huigh prevalence of GDM of 37,6%. The identified risk factors were hypertension (OR=2,121;CI95%=1,405-3,203), family history of DM (OR=1,610;CI95%=1,333-1,946),BMI>30 kg/m2(OR=1,465;CI95%=1,243-1,727) and history of GDM previous pregnancy (OR=2,857;CI95%=0,839-9,727). We conclude that a GDM risk factor score is required so that health services can utilize these indicators as gold standards for screening GDM, due to the large heterogeneity in GDM risk factors.
Prevention and management of hypertension in middle-aged and elderly through screening and education (Pre-post intervention)
Authors: Sutikno Ekawati , Notobroto Hari B. , Puspitasari Nunik , Nurkhalim Ratna F. , Oktaviasari Dianti I.
Published: November 2024

Maintaining quality of life and physical health in the elderly is crucial for their overall well-being. Hypertension, a prevalent condition among the elderly in Indonesia, requires targeted interventions to mitigate its impact. A quasi-experimental pre-post intervention study was conducted in Bandar Lor, Kediri City, Indonesia, involving 106 elderly participants. The Paguyuban Raga Paruh Baya Lansia Sejahtera (PURABAYA), a senior wellness group program aimed to improve hypertension management through educational sessions on physical activity, nutrition, and hypertension management exercises. The program significantly increased participants' knowledge of physical activity (median increase from 59.62 to 82.69) and nutrition (median increase from 80.51 to 95.38). Systolic blood pressure decreased markedly (median from 173.86 mmHg to 142.53 mmHg), indicating improved hypertension control. However, there was no significant change in diastolic blood pressure. The findings underscore the effectiveness of targeted educational interventions in enhancing health literacy and managing systolic blood pressure among the elderly. The PURABAYA program's success suggests its potential for scalability and adaptation to broader public health initiatives.
Enhancing cardiopulmonary resuscitation training for the community with foam pillows: A promising approach
Authors: Wahid Abdurahman , Isfandiari Atoillah M. , Aridamayanti Bernadetta G. , Wardani Shofy A. , Mahadani Mahadani , Salsabila Nida I. , Syarif Muhammad , Wiguna Achmad R. , Maulidah Maulidah
Published: November 2024

This study evaluates the efficacy of foam pillows as instructional aides to achieve accurate compression depth and chest recoil during CPR training. A descriptive study design was employed. The study involved 30 respondents with no experience with CPR. We enrolled 30 respondents aged 17 to 25 through open recruitment via WhatsApp and Instagram. Foam pillows (45 cm x 60 cm) with compression markers served as instructional tools. The study utilized Laerdal's Little Anne QCPR CPR mannequins and the QCPR application on an iPad Air 2 . After 1 minute of hands-only CPR on a foam pillow, all respondents continue to perform in Little Anne QCPR mannequin. The findings of this study show that the correct compression depth was performed by 28 respondents (93%) and the correct chest recoil by 30 respondents (100%). Foam pillows promise to enhance community-based CPR training by promoting precision in compression depth and chest recoil.
Determinants of early marriage in rural areas Aceh Province Indonesia
Authors: Idawati Idawati , Salim Lutfi Agus , Devy Shrimarti Rukmini , Yuliana Yuliana
Published: November 2024

Early marriage often occurs in the low and middle income countries because of thetradition and cultural belief that girls must be married off immediately. The data was obtained from the Aceh Regional Office of the Ministry of Religion, from a population of all married women under the age of 19 years, totaling 507 respondents. The study used a total sampling technique. Data analysis consisted of the use of collinearity tests, chi-square, and multiple logistic regression analysis. The results showed that parental and economic factors have significant relationships to early marriage. The poorest women are 2.23 times more likely to experience early marriages than the richest women. Poor women are 1.68 times more vulnerable to early marriage than the richest women. Women who have parents with a very strong role have a risk of early marriage of 10.34 times compared to women whose parents do not play much of a role, namely 9.10 times. We conclude that parental factors play dominant in the incidence of early marriage in Aceh Province in Indonesia.
Unmet need for family planning among married women in urban areas of Jember Regency, East Java, Indonesia: Does gender equality matter?
Authors: Baroya Ni’mal , Kuntoro Kuntoro , Salim Lutfi A. , Devy Shrimarti R.
Published: November 2024

Unmet need for family planning is important to assess as an indicator for achieving universal access to sexual and reproductive health services. The objective of this study was to analyze the effect of gender relations on unmet need for family planning. We conducted a cross-sectional study with a randomly selected sample of 92 married women in Sumbersari District, Jember Regency, Indonesia. We collected data through structured interviews conducted between January and March 2023, and the data was analysed with univariate, bivariate and multiple logistic regression. The unmet need for family planning among the married women was 33.7%. Married women who had 3-4 children and low education were at greater risk of unmet need for family planning (OR 9.2; 95% CI 3.22-26.28 and OR 11.7; 95% CI 2.3-60, respectively). Married women who experience unequal gender relations with their husband were more at risk of unmet needs for family planning (OR 10.3; 95% CI 2.97-35.55) as well as women who agree with the husband's beating of his wife (OR 8; 95% CI 2.53-25.80). Gender inequality was a determinant of the unmet need for family planning among married women living in urban areas. Therefore, it is necessary to improve women's empowerment programs to reduce unmet need family planning among married women.
Effects of early childhood growth and development interventions on children less than two years of age
Authors: Dewi Rahma K. , Sumarmi Sri , Suminar Dewi R.
Published: November 2024

The objective of this study was to determine the effects of early childhood growth and development interventions on children under two years of age. We used PubMed, Science Direct, Scopus, Springer Link, and Wiley to select studies that explored the effects of interventions on the growth and development of children under two years published growth from January 2015 to December 2023. The study used the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. We found 1235 articles, while 26 articles were analyzed thematically. The thematic areas included: impact of intervention, health services implemented, and growth and development of children under two years of age. The results show that providing early and comprehensive education, health and social services has an impact on the growth and development of children under two years of age. Further studies regarding the long-term impact and effectiveness of interventions designed to improve the growth and development of children under two years of age are required.
Determinant factors of antenatal care used by pregnant women in Indonesia: A systematic review
Authors: Kartika Kartika , Rukmini , Shrimarti D. , Haksama Setya , Ismuntania Ismuntania , Rakhman Fakhryan
Published: November 2024

Pregnancy complications can basically be detected through an Integrated Antenatal Care (ANC). In Indonesia, the Integrated ANC is conducted comprehensively and with quality, targeting all pregnant women. This research employed a systematic review by deriving articles from three databases between 2013 and 2023 using a single keyword: "Antenatal Care" and "Pregnant Women" in Indonesia. Several inclusion and exclusion criteria were applied to determine the articles that can advance to data analysis. Initially, the three databases produced 25,582 studies. After completing the review and excluding duplicated articles, 15 met the criteria. These articles described the ANC behaviour of pregnant women in six major regions in Indonesia. The results presented factors that most influenced ANC behaviour among pregnant women in Indonesia. These factors were divided into three major groups: personal factors, external factor, and social support. In particular, the factors influencing participants’ ANC visits were knowledge, education, economic status, husband's support, family support, occupation, parity, and economic status.
Exploring the determinants of exclusive breastfeeding practices among first-time mothers: A narrative review
Authors: Oktarianita Oktarianita , Wulandari Ratna Dwi , Supriyanto Stefanus
Published: November 2024

Exclusive breastfeeding (EBF) means giving only breast milk to babies 0-6 month without giving any drinks or food, except medicines and vitamins. Only 44% of babies received EBF worldwide in 2020. Meanwhile, in 2025, the target for achieving EBF is 50%. The research aim is to analyze the determinant of the success of EBF for the first-time mother. Database search via Google Scholar, Pubmed, Web of Science, Science Direct, Scopus, and Pro Quest for articles published since 2020-2022. Search keywords influencing factors, determinants, exclusive breastfeeding, first-time mothers. We found 19 articles but only 6 articles were suitable with the inclusion critrria. From the researches findings that the importance factors influence EBF practice are self-efficacy, social support, culture, relationships between parents, happiness in breastfeeding, and social environment. It is recommended that tracing activities be part of increasing the success of EBF practices for first-time mothers.
Exploring the value of shared responsibility for improving birth preparedness and complications readiness practices: A literature review
Authors: Irmayani Irmayani , Prasetyo Budi
Published: November 2024

Birth Preparedness and Complication Readiness (BPCR) is a comprehensive strategy to ensure a safer pregnancy. The BPCR shared responsibilities matrix describes the roles of policymakers, facility managers, health care providers, communities, families, and women in ensuring that women and newborns receive skilled and timely maternal and newborn care that can positively improve health outcomes for mothers and their babies. The objective of the study was to describe a shared responsibility on roles to improve childbirth readiness practices and readiness in the face of complications. The literature was systematically obtained from online journal databases namely PubMed, Google Scholar, ScienceDirect, and other related sources, from 2018 to 2023. Sixteen articles on BPCR Interventions were described. Existing literature identifies the value of health care providers, communities, families, and women in shared responsibilities that can improve BPCR practices. We conclude that this review indicates that the value of pregnant women, facility managers, and policy makers in BPCR is still limited
Determinants of the quality of life of mother with children with disability: A systematic review
Authors: Tarigan Eka Falentina , Mahmudiono Trias , Puspitasari Nunik , Paramita Pramesti Pradna , Dwijayanti Ira
Published: November 2024

Mothers who care for children with disabilities experience various problems that affect their quality of life. The objective of this study was to identify the factors that influence the quality of life of mothers with disabilities children. A systematic review was conducted using data from six prominent electronic databases. Studies were observational, cross-sectional designs, and original research conducted from 2019 to 2023. Mothers who have children with Autism Spectrum Disorder (ASD) have the lowest scores for quality of life compared to mothers who have children with other types of disabilities. Parents have lower quality of life scores as primary caregivers compared to other caregivers. WHOQOL-Bref is the most widely used method as an instrument for evaluating quality of life. Parents who have children with disabilities experience problems, especially psychological health. The main factor related to the quality of life of parents who have children with disabilities is lifestyle. Parents who experience a decrease in quality of life are worried that their ability to provide care will not be optimal. It is recommended for health workers to socialize healthy lifestyle behaviors so that they can help improve the quality of life of parents who have children with disabilities.
Policy, intervention, and management in addressing stunting in children: A systematic review
Authors: Aminah Siti , Mahmudiono Trias , Nadhiroh Siti R.
Published: November 2024

Stunting is a chronic malnutrition problem caused by a lack of nutrients over a long period. This leads to problems later in life, resulting in difficulty in achieving optimal physical and cognitive development. This study analyzes policies, interventions, and addresses of child stunting in Asian, African, and American countries through a systematic review. The design used is a systematic review, articles are collected using electronic databases such as ScienceDirect, SpringerLink, ProQuest, PubMed, and SAGE from 2019-2023 using the keywords policy, management, and stunting. As the results of the literature review to reduce stunting rates, stunting policies and programs focus on food security, decentralization of the health system, availability of health services and access to health services, maternal education, access to water, hygiene, sanitation, maternal nutrition, and poverty alleviation—appropriate policy implementation results of holistic and comprehensive policy formulation. Stunting prevention requires cross-program and cross-sector collaboration and is carried out comprehensively.
Utilization of biscuits as nutritional intervention to reduce stunting among children: A systematic review
Authors: Mamun Abdullah A. , Yudhastuti Ririh , Mahmudiono Trias
Published: November 2024

Childhood stunting remains a global health issue with significant consequences for the growth, long-term health, and development of childre, Poor nutrition is a well-established contributor to childhood stunting. This study aims to investigate the potential of utilizing biscuits as a nutritional intervention to improve the child‘s stunting condition. This systematic review was consisted of a literature search in several databases: Scopus, Web of Science, ScienceDirect, PubMed, and Springer, following the PRISMA methodology. Our search yielded a total of 836 records, while 11 studies were finally included after the screening. The studies revealed critical findings regarding the utilization of biscuits as a carrier in providing essential nutrients. Nevertheless, more well-designed and standardized studies are required to establish clear guidelines for the formulation and implementation of biscuit-based interventions. Policymakers and health practitioners should consider incorporating fortified biscuits into strategies aimed at reducing stunting, especially in regions with a high prevalence of stunting.
Ventilation in school and students’ health after outbreak of COVID-19: A systematic literature review
Authors: Moelyaningrum Anita Dewi , Keman Soedjajadi , Melaniani Soenarnatalina , Prasasti Corie Indria
Published: November 2024

Ventilation is one of the factors that support the health of students needed to support the goals of education. The objective of this study is to analyze how ventilation at school impacts the health of students. Scopus and Web of Science were used to retrieve published articles on ventilation at school and students’ health. The search method used the keywords “ventilation” OR “Indoor air pollution” OR “Indoor environment quality” AND “School” AND “Student” OR “Children” AND “Health”, from 2019- May 2023. The ventilation in schools researched were ventilation methods, insufficient or lack of ventilation, and the frequency of opening windows. The air quality parameters studied in classrooms were Nitrogen Dioxide (NO2); Particulate matter 10 (PM10); Particulate matter 2,5 (PM2.5); Particulate matter (PM1); Ozone (O3), benzene (C6H6), and carbon dioxide (CO2). The results showed that the diseases identified in students as a result of poor ventilation were tiredness, bronchitis, symptoms of asthma, risk of infection, rhinitis, etc. We conclude that as ventilation reduces indoor air pollutants, thus related to student health, it should be prioritized to fulfil the requirements for the health of students.
Assessment of the implementation of early detection of children’s growth and development by midwives
Authors: Ngestiningrum Ayesha H. , Qomaruddin Mochammad B.
Published: November 2024

In Indonesia, the SDIDTK (Stimulation of Early Detection and Intervention of Growth and Development) program aims to monitor children's growth and development. SDIDTK monitors growth, encompassing body weight, height, and head circumference. It also monitors development, which includes a development test using KPSP (Developmental Pre-Screening Questionnaire), sight test, hearing test, and emotional-mental development test. This study analysed midwives' application of early growth detection services in Magetan Regency, Indonesia. It used a mixed-method approach. This quantitative study assessed the application of early detection by surveying 53 randomly selected village midwives. The qualitative study was conducted by interviewing 8 participants. The results showed that about 43.9% of midwives falsely reported providing SDIDTK services even when they only monitored the growth aspect without monitoring children’s development. Midwives are helped by cadres who undergo routine growth examinations. Unfortunately, development detection is not routine. The challenges in implementing developmental detection included heavy workloads, limited time, and limited human resources. Other influential factors include the lack of intersectoral cooperation and the fact that societal empowerment have not optimally been established. The SDIDTK program's implementation remains suboptimal. The authors concluded that midwives should improve cross-sector collaboration, empower communities, and set standards for community midwifery care.
Exploring the impact of family support and its function on high-risk behaviour among adolescents in Malang City, East Java, Indonesia: A cross sectional study
Authors: Alfitri Rosyidah , Kuntoro Kuntoro , Qomaruddin Mochammad B. , Indawati Rachma , Maulina Rifzul
Published: November 2024

This study aims to investigate the impact of family support and family function on high-risk behavior among adolescents in Malang City, East Java, Indonesia using Cross-sectional study design. in Malang City, East Java, Indonesia using cross-sectional study design. The sample size consisted of 195 adolescents (aged 15 to 19) with various sociodemographic characteristics, as well as various types of risky behaviors, such as smoking, consuming alcohol, and so on. and so on. The results of the study indicate that perceptions of and family functions are significantly related to the level of adolescent involvement in high-risk behavior. Adolescents who perceive strong family support and cohesive family functioning are significantly less likely to engage in high-risk behavior. Significance test of the model, variable value of the Sig, which is 0.000, which means that the model has an independent variable that statistically significantly affects the dependent variable because the P-value <α; (0.000 <0.05). Family function is a variable that has a value of 0.000 so that it is related to the dependent variable and has a CI value of 95% (0.029-0.348) significantly less likely to engage in high-risk behavior. In addition, gender, age, and other sociodemographic factors also play a role in determining high-risk behavior. These findings underline the important role of the family in shaping adolescent behavior and emphasize the need for providing appropriate sexual information and education by parents. The implication of this research underscores the significance of parental involvement in providing emotional support, information, and supervision for their children. These parental roles can substantially reduce high-risk behaviors among adolescents.
Structural characterization and species composition of mangrove vegetation in Lhokseumawe, Indonesia: Insight from multivariate analysis
Authors: Putri Adinda Aulia , Erlangga Erlangga , Syahrial Syahrial , Ezraneti Riri , Nufus Hayatun , Leni Yusyam , Rolin Febrina
Published: November 2024

The structure of the plant community significantly influences the equilibrium of the surrounding environment, affecting the trophic interactions within its ecosystem. The investigation of mangrove vegetation in Cut Mamplam village was carried out in September 2021 to determine the condition and structural characteristics of the mangrove ecosystem by multivariate analysis. The mangrove vegetation in Cut Mamplam Village was sampled at three observation stations by establishing a transect parallel to the coast. Subsequently, the community structure was examined and assessed using cluster analysis and nonmetric multidimensional scaling using the PRIMER v7 software. The study findings indicate that the mangrove forest vegetation in Cut Mamplam Village consists of five species from three families. Avicennia alba, A. lanata, Bruguiera gymnorrhiza, Rhizophora mucronata and Sonneratia alba. The highest density of mangrove vegetation was observed in A. alba in all categories: trees (616.67 ind/ha), seedlings (833.33 ind/ha) and saplings (66666.67 ind/ha). Additionally, the highest important value index (IVI) was recorded in A. alba for all categories: trees (232.16%), seedlings (102.40%), and saplings (228.43%). A similarity of mangrove density between species was noted at 60%, resulting in the formation of two distinct groups. Regarding the basal area, the vegetation stands of A. alba and A. lanata exhibited the highest values (280.61 and 266.03 m2/ha, respectively). The similarity of basal area among the observed species was 20%, resulting in the formation of two distinct groups. Additionally, Station II, classified as having mature vegetation, demonstrated a maturity similarity of 80% between observation stations.
नारी शक्ति: विकसित भारत की नींव
Authors: Sharma Deepika
Published: November 2024

The status of women in India has undergone many major changes in the last few centuries. From equal status with men in ancient times to the low standard of living in the medieval period as well as the promotion of equal rights by many reformers, the history of women in India has been quite dynamic. In modern India, women have occupied top positions such as President, Prime Minister, Speaker of Lok Sabha, Leader of Opposition etc.Literary sources that specifically discuss the role of women are very few; an important exception is the Stridharmapaddhati of Tryambakayajvan, an official of Thanjavur around 1730 AD. This book compiles the rules of conduct for women from the ancient period of Apastamba Sutra (4th century BC). Its main verse is as follows:Mukhno Dharma: Smritishu Vihito Bhartrushushrusanam Hi: The main duty of a woman is related to the service of her husband.Where the word Suśruṣa (lit., "desire to hear") has a variety of meanings ranging from a devotee's prayer to God to the loyal service of a slave.
GENDER DISPARITIES AND INEQUALITIES IN THE INDIAN IT SECTOR: A COMPREHENSIVE ANALYSIS
Authors: Subba Raju , Das Kishore Krishna
Published: November 2024

This research paper examines the gender status and representation in the boardrooms, management, and leadership positions, and a workforce of four major Indian IT companies: TCS, Infosys, Wipro, and HCL. The study utilizes data from the respective annual reports of the companies, focusing on the years 2018 to 2022. The results and discussion section reveal significant gender disparities and inequalities in the examined areas. In the boardrooms, women are underrepresented, with men comprising the majority of directors in all four companies. However, the chi-square test results indicate no significant evidence of gender disparity or inequality in the boardrooms. In terms of management and leadership positions, women are significantly underrepresented in all four companies. The chi-square test results confirm the presence of gender disparities and inequalities in these positions. The workforce analysis shows a substantial gender gap, with women being a minority in all four companies. The chi-square test results also reveal significant evidence of gender disparity or inequality in the workforce of these companies. The paper includes tables and figures that provide a visual representation of gender distribution and trends over the years. The representation of women in senior management positions shows some fluctuations, with TCS consistently having the highest representation. Women's representation among all employees also increases slightly over the years for most companies. Overall, the findings highlight the need for concerted efforts to address gender disparities and promote gender equality within the Indian IT sector. The study emphasizes the importance of creating inclusive and supportive environments that provide equal opportunities for women to advance and thrive in leadership positions.
Optimizing Transfer Pricing in Indonesia: An exploring of Tax Minimization, Tunneling incentive, and Audit Committee
Authors: Pamungkas Imang Dapit , Pamunmgkas Imang , Nehayati Nela , Ahmad Nawaz , Pamungkas Imang Dapit
Published: November 2024

Transfer pricing has become a crucial aspect of global business, especially for natural resource companies in Indonesia, which includes monitoring tax compliance, mitigating tax dispute risks, and maintaining corporate reputation due to its complex and high-priced commodities. This research aims to test and analyze the direct influence of tax minimization strategy, tunnelling incentive, and bonus mechanism on transfer pricing decisions. Meanwhile, the indirect effect involves the audit committee as a moderating factor to explore their influence on transfer pricing practices. The data used in this research was derived from the annual reports of natural resource sector companies listed on the Indonesia Stock Exchange from 2020 to 2022. A total of 185 companies used the purposive sampling method, resulting in a sample of 146 data analyzed using WarpPLS 8.0. According to the research results, tax minimization directly influences transfer pricing. In contrast, tunnelling incentives do not affect transfer pricing, and audit committees moderate the influence of bonus mechanisms on transfer pricing.
The use of osteoinductive materials in the treatment of bone pathologies and severe fractures
Authors: Markov P. , Rozhkova E. , Eremin P. , Marchenkova L.
Published: November 2024

Treatment of bone pathologies and severe fractures is an urgent healthcare problem that requires effective and innovative approaches to ensure complete restoration of bone tissue and improve the quality of life of patients. Traditional methods of bone tissue regeneration, such as transplantation of bone autografts and allografts, have a number of limitations, including a shortage of donor material and the risk of complications. In this regard, it is of interest to use osteoinductive materials that promote accelerated healing and restoration of bone structures. The article discusses modern osteoinductive materials, their types, mechanisms of action and clinical application. Particular attention is paid to their role in the treatment of complex fractures and bone pathologies, such as osteoporosis and osteomyelitis. Data from clinical studies have been analyzed demonstrating the high effectiveness of osteoinductive materials in the treatment of complex fractures, osteomyelitis, osteonecrosis and other bone pathologies. Benefits of using these materials include accelerated healing, reduced risk of complications, minimized need for autografts, and improved integration with bone tissue.
PREVENTION AND TREATMENT OF VISUAL IMPAIRMENT IN CHILDREN ADOLESCENTS AND YOUNG PEOPLE WITH UNCONTROLLED USING A COMPUTER AND ELECTRONIC GADGETS
Authors: Kostyuchenko A. , Potupchik T. , Kostyuchenko Yu. , Evert L.
Published: November 2024

The prevention of visual impairment in people with uncontrolled use of computers and electronic gadgets, the study of clinical manifestations of their negative effects on the body and, especially, on the organ of vision, is an urgent problem of modern medicine. The purpose of the work was to substantiate the need for the prevention and treatment of visual impairment in adolescents with uncontrolled smartphone use. The article describes the negative effects of irrational use of computer gadgets on users' eyesight, clinical manifestations of computer vision syndrome and its component – dry eye syndrome, and describes in detail approaches to the prevention and treatment of visual impairment associated with uncontrolled use of computers and electronic gadgets. The results of our own research revealed the general prevalence of problematic smartphone use in 15.2% of adolescents, its more frequent occurrence in girls (21.2%) than boys (5.0%), and a higher prevalence of vision problems (computer vision syndrome, dry eye syndrome) in smartphone-dependent adolescents compared with independent ones. The authors conclude that the approach to the prevention and treatment of pathological changes in the body (primarily from the organ of vision) caused by the irrational use of modern gadgets should be comprehensive, including recommendations for optimizing the regime and working conditions with electronic computer devices, as well as the use of various ophthalmological measures in a complex of preventive and therapeutic measures funds.
Precariedade na evidenciação dos créditos tributários no balanço patrimonial e notas explicativas do estado da Bahia
Authors: Oliveira Bruno Moura de , Barbosa Glauber de Castro , Costa Abimael de Jesus Barros
Published: November 2024

Como o crédito tributário é um ativo estatal que afeta o patrimônio da entidade e gera receita ao erário, o objetivo do presente trabalho é analisar, sob a perspectiva da teoria da divulgação, como a ausência de uma adequada evidenciação dos créditos tributários nos Balanços Patrimoniais e/ou Notas Explicativas do estado da Bahia pode afetar o fornecimento de informações que são úteis aos usuários do RCPGs. Para tanto, foram verificados quais critérios de evidenciação dos créditos tributários estão presentes nas Notas Explicativas e no Balanço Patrimonial do Estado da Bahia de 2019 a 2023. Assim, a metodologia utilizada inclui a análise dos demonstrativos contábeis consolidados da Bahia, de 2019 a 2023, e consulta às páginas eletrônicas do MPBA, PGE/BA e Portal de Transparência da Bahia. Constatou-se, com isso, que, pela ótica da teoria da divulgação baseada na eficiência, a forma como a informação foi divulgada pelo ente público promove a assimetria da informação, visto que uma evidenciação é considerada eficiente quando as formas de divulgação são preferidas incondicionalmente pelos usuários. Dessa forma, os resultados levam a crer que há uma precariedade na evidenciação dos créditos tributários, a qual, possivelmente, afetou o objetivo da Contabilidade Aplicada ao Setor Público.