bluuebunny/crossref_metadata_2025 huggingface dataset:
Clinicomycological Pattern of Dermatophytosis in Odisha, a Coastal State of Eastern India
Authors: Gaba Sakshi , Panigrahi Kumudini , Kar Hemanta K. , Sethy Mitanjali
Published: August 2024

Background:

Dermatophytosis is a fungal infection that targets the skin and its appendages, such as the nails and hair. It affects all age groups and is estimated to affect approximately 20–25% of the population across the world. There are insufficient data on the clinic-mycological pattern of dermatophytosis in Odisha, a coastal state in eastern India. The study aims to explore the clinico-mycological pattern of prevailing superficial cutaneous fungal infections and to identify the specific species as per the site of skin involvement.

Methods:

This is a cross-sectional study conducted in the Department of Dermatology in collaboration with the Department of Microbiology at a tertiary health care centre, Odisha, for a period of 2 years, from October 2020 to September 2022. Participants aged 18–65 years with active dermatophyte infections of the skin were included in the study. Clinical examination and mycological workup were performed, and the collected samples were divided into two parts, one for direct microscopy and the other for fungal culture.

Results:

According to our study, the most common isolate was Trichophyton mentagrophytes (21.7%), followed by T. rubrum (11.7%), and 5.3% of cultures showed T. schoenleinii isolates, whereas Microsporum canis and Microsporum gypseum constituted 2.7% and 0.7%, respectively.

Conclusion:

The present study focuses on the prevalence and clinical trends of different dermatophyte species associated with dermatophytosis in eastern India. Due to the favourable climate of Odisha, superficial mycoses are prevalent here, and according to our study, Trichophyton mentagrophytes is the predominate isolate in this region.
Clinical and Trichoscopic Patterns of Discoid Lupus Erythematosus of Scalp in Patients with Systemic Lupus Erythematosus: An Observational Study
Authors: Bhardwaj Shivani , Peter Dincy , George Leni , George Anu A. , Mahabal Gauri D. , Pulimood Susanne , Danda Debashish , Janardana Ramya
Published: August 2024

Background:

Discoid lupus erythematosus (DLE) is a specific cutaneous manifestation of systemic lupus erythematosus (SLE), which results in scarring alopecia of the scalp.

Methods:

A prospective cross-sectional observational study on scarring alopecia among SLE patients was done between September 2016 and August 2017. The clinical and trichoscopic patterns of scalp DLE among these patients were studied. The DLE lesions were categorised into active and inactive based on clinical features. Trichoscopy was done and photographs were obtained using a non-polarised videodermoscope.

Results:

There were 26 patients with scalp DLE, out of which 15 patients (57.69%) had active DLE and 11 (42.30%) had inactive DLE. The trichoscopic findings seen were structureless white areas, loss of follicular units, blue-grey dots and globules, follicular keratotic plugs and telangiectasia. The trichoscopic features seen in active versus inactive DLE were blue-grey dots and globules (93.33% vs 63.63%), structureless white areas (93.33% vs 90.90%), loss of follicular units (86.66% vs 72.72%) and follicular keratotic plugs (80% vs 45.45%), yellow dots with arborising vessels (33.33% vs 72.72%), exaggerated honeycomb pigmentation (46% vs 63.63%) and telangiectasia (66.67% vs 54.54%). Scaling (P = 0.033) and blue-grey dots (P = 0.021) were significantly higher in active and yellow dots with arborising vessels (P = 0.047) in inactive DLE.

Conclusions:

On comparing trichoscopic features between active and inactive DLE scaling and blue-grey dots were significantly higher in active and yellow dots with arborising vessels in inactive DLE.
Examining risk and protective factors for mental health among school-going tribal adolescents in Meghalaya, India: Insights from the communities that care youth survey [CTC-YS]
Authors: Suting Francis , Ali Arif
Published: August 2024

Background:

Risk and protective factors play crucial roles in shaping problem behavior, substance use, and mental health outcomes among adolescents. The study aims to examine the risk and protective factors and their association with emotional and behavioral problems among school-going tribal adolescents in Meghalaya, India.

Methods:

This study employed a cross-sectional design, utilizing a simple random sampling method to select schools from the Ri-Bhoi district (Nongpoh town) and East Khasi Hills district (Shillong cantonment area) of Meghalaya. A total of 450 students participated in the survey, out of which 300 students belonged to tribal ethnicity. The study focused on school-going adolescents with tribal ethnicity, aged 13–19 years, encompassing both genders (male and female). Participation in the study required both parental consent and the adolescent’s assent. The Communities That Care Youth Survey (CTC-YS) and the Strength and Difficulty Questionnaires (SDQ), scale were administered.

Results:

The findings highlighted significant risk factors including laws and norms favorable to drug use, community disorganization, poor family management, and low school commitment. Protective factors such as opportunities for prosocial involvement were evident across all domains. Family conflict, family history of antisocial behavior, and parental overcontrol were significant contributors (P < 0.05) to total difficulty scores. Among individual risk factors, “Interaction with anti-social peers” (P = 0.009) and “Intentions to use substance” (P = 0.021) had significant associations with higher difficulty scores. The overall prevalence of mental health problems, as indicated by the total difficulty score, was 31.3% among school-going tribal adolescents.

Conclusion:

The high prevalence of mental health problems, especially among tribal adolescents, underscores the urgent need for targeted interventions. By addressing these factors, policymakers and stakeholders can work toward fostering healthier outcomes for tribal adolescents in Meghalaya and similar communities.
Mental health burden following extreme weather events in South-east Asia: A systematic review and meta-analysis
Authors: Majumder Joydeep , Saha Indranil , Bagepally Bhavani Shankara , Kalita Manoj , Munikrishnappa Devaraja , Ray Sujoy , Saha Asim , Chakrabarti Amit
Published: August 2024

Background:

Exposure to extreme weatherly events potentially develops mental disorders among affected individuals.

Aim:

To synthesize the burden of mental disorders following impact of extreme weather events in South-east Asian (SEA) countries.

Methods:

Proposal was registered in PROSPERO register [CRD42023469788] and reported as per PRISMA-2020 guidelines. Studies reporting prevalence of mental health disorders following extreme weather events from SEA countries during 1990 and 2023 were searched on Embase, PubMed, and Scopus databases. Study quality was assessed using Appraisal tool for Cross-Sectional Studies. Overall pooled prevalence was computed using DerSimonian–Laird method for random-effects model and reported as 95% confidence intervals.

Results:

On screening 12,046 records, we included 155 studies (2,04,474 participants) for analysis. Overall burden of mental disorders was 35.31% (95%CI: 30.42%–40.21%). In subgroup analysis, studies on cyclones, India, local residents, children and adolescents, rural settings, and community settings reported higher burden of mental disorders. Depression (28.58%; 95%CI: 24.05%–33.1%) and PTSD (29.36%; 95%CI: 26.26%–32.46%) had similar prevalence. Visiting tourists to SEA region experienced fear, fear of recurrence of tsunami, nightmares, and sense of helplessness. Mental health outcomes were relatively higher in studies conducted within 1 year of events. Heterogeneity and possibility of publication bias exists among the reported studies.

Conclusion:

With the significant rise in episodes of extreme weather events in SEA region over the last three decades, mental disorders are documented in different proportions. We suggest prioritizing well-informed policies to formulate inclusive and resilient strategies on effectively identifying and treating mental health concerns among victims of extreme weather events.
Is Ventilator-associated Event Algorithm Ideal for Surveillance? – Experience from a Neurosurgery Intensive Care Unit in Kerala
Authors: Pallivalappil Lisha , Sharma Daksh , Nishanth P. S.
Published: August 2024

Background:

The ventilator-associated event (VAE) surveillance algorithm was brought in to replace the clinical ventilator-associated pneumonia (VAP) surveillance by NHSN in January 2013. This study intends to find the correlation of these surveillance criteria with the clinical VAP rates in a neurosurgery intensive care unit (ICU).

Materials and Methods:

This was a retrospective analysis of records of patients undergoing invasive mechanical ventilation in a neurosurgery ICU during a 3-month period.

Results:

Thirty-seven patients underwent invasive mechanical ventilation. The mean age was 56 years. Hypertension was the most common comorbidity among 22 (59.4%) patients. The neurological diagnosis was traumatic brain injury in 19 cases, nontraumatic intracranial hemorrhage in 12 cases, and ischemic stroke in 6 cases. Twenty-one patients had respiratory sample culture positivity and 14 were clinical VAP. The total ventilator days assessed were 82. The clinical VAP rate was 170.7, and the probable VAP (PVAP) rate for the same period was 12.19. Among the 14 patients who developed clinical VAP, 13 (88%) were hospital acquired and caused by multidrug-resistant pathogens. Six patients died during their ICU stay. ICU stay of more than 7 days was significantly associated with a clinical VAP.

Conclusions:

VAE was found to correlate poorly with a clinical diagnosis of VAP. When used as a surveillance tool in an ICU, it was found to miss important infection-related events in ventilated patients.
A Diagnostic Dilemma of Emphysematous Liver Abscess with Gas under the Diaphragm: A Case Report and Review of Literature
Authors: Roy Shubhajeet , Singh Gitika Nanda , Gupta Deepak , Suryavanshi Parijat
Published: August 2024

A 53-year-old woman presented to the surgical emergency with complaints of high-grade fever accompanied by chills for 15 days and pain in the right upper abdomen for 10 days. X-ray of the abdomen and chest X-ray revealed free gas under the right hemidiaphragm. As there were no signs of generalised or localised peritonitis, emergency laparotomy was postponed. Subsequently, a contrast-enhanced computerised tomography scan of the abdomen suggested an emphysematous liver abscess, which was managed by ultrasonography-guided drainage of the abscess cavity.
Comparative Analysis of Traumatic Brain Injury Severity in Motorcycle and Car Accident Victims Treated at Korle-Bu Teaching Hospital
Authors: Banson Mabel , Ametefe Mawuli K. , Darko Kwadwo , Dakubo Jonathan C. B. , Iddrisu Mutawakilu , Dakurah Thomas
Published: August 2024

Background:

Traumatic brain injury (TBI) is one of the common causes of long-term disabilities, with about 10 million deaths annually.

Objectives:

Our aim is to compare the severity and outcomes of TBI between motorcycle and car accident victims.

Materials and Methods:

A prospective cohort study focusing on TBI patients. Data were collected from patients on admission at Korle-Bu Teaching Hospital (KBTH). Road traffic accident patients attending KBTH were recruited consecutively. Data collected included demographics, injury severity score (ISS), Glasgow coma scale (GCS), Marshall’s computed tomography (CT) grading, and Glasgow outcome scale-extended. We employed descriptive summaries for all variables. Mann–Whitney U and Kruskal–Wallis tests were used in comparing severity.

Results:

A total of 164 individuals were enrolled, with males comprising (73.8%) and a study average age of 33.2 years. Accidents involved cars and motorcycles almost equally. The GCS revealed 43.9% of injuries to be mild, and ISS indicated severe injuries in 49.4% of cases. CT showed grade 2 injuries per Marshall’s classification and no significant differences in injury patterns. Nonsurgical treatment predominated, and a higher proportion of motorcycle cases required surgery. There were no significant differences in mortality or disability. The average hospital stay was 11.26 days, with 57.9% of deaths occurring within 72 h. Car accident survivors and pedestrians experienced longer days to mortality.

Conclusion:

Across groups, the severity of TBIs showed a substantial proportion of participants with severe injuries, although no significant differences were observed between groups. The findings highlight the need for preventive measures and trauma care strategies to mitigate the impact of TBIs, particularly among high-risk demographics and road user categories.
Colour Vision Defects: Awareness, Prevalence And Effects Among Secondary School Students In Imo State, Nigeria
Authors: Okeke Chiamaka Jane-Pamela , Achigbu Eberechukwu Ogbeanu , Dike Kenneth Chukwuma , Ubochi Chinemerem Chioma
Published: August 2024

Background:

Colour vision defect (CVD) is a public health issue with approximately one in ten males exhibiting some form of colour deficiency. Colour is used extensively in education so CVD has a dramatic impact on the learning, educational and social potentials of children. Racial differences have been reported with higher values noted amongst people of European ancestry.

Objective:

This study aims to assess CVDs, their magnitude and impact on the daily activities of secondary school students in Imo State, Nigeria.

Materials and Methods:

This was a multistage, cross-sectional, descriptive study which assessed the prevalence and effect of congenital CVD on secondary school students in Imo state using a questionnaire modified and adapted for this purpose. Colour vision was tested uniocularly for each student under bright illumination using the 38-plate Ishihara colour vision chart and Lanthony D-15 colour panel. The test was administered on a black background between the hours of 10 a.m. and 2 p.m.

Results:

Eight hundred and twenty-eight secondary school students were studied with a mean age of 15 ± 1.89 years. There were 468 males (57.0%) and 360 females (43%) with a male-to-female ratio of 1.3:1. There was a 3% prevalence of CVD. More males were significantly affected than females. Deutan defect was more common and none of the students had tritan defect.

Conclusion:

There is a low level of awareness of congenital CVD. This disorder resulted in various degrees of difficulty with colour-related school and daily living tasks. Advocacy to government and schools is needed to create awareness of CVDs and offer early counselling to those affected.
Mesoporous silica and alumina nanoparticles to improve drug delivery of pioglitazone on diabetic type 1 nephropathy in rats
Authors: Varshosaz Jaleh , Ahmadipour Saeedeh , Dezhangfard Armin
Published: August 2024

Background and purpose:

Diabetic nephropathy leads to end-stage renal disease. The present study aimed to evaluate the prophylactic effect of pioglitazone-loaded mesoporous silica and alumina scaffold on renal function and the underlying mechanisms in streptozotocin-induced diabetic rats.

Experimental approach:

The mesoporous nanoparticles were synthesized by chemical methods from tetraethylorthosilicate and aluminum isopropoxide and characterized by Fourier transform infrared spectroscopy, X-ray diffraction, and scanning electron microscopy. The soaking method was applied to load pioglitazone into the mesoporous silica and alumina. Subsequently, the most capable formulation was evaluated for lipid profile, blood glucose, renal function biomarkers, malondialdehyde, and kidney histopathological changes in diabetic rats.

Findings/Results:

Pioglitazone loaded in the mesoporous included a superior release of about 80%. No interaction was observed in Fourier transform infrared spectroscopy and X-ray diffraction was shown crystalline. Scanning electron microscopy showed the size of the nanometer in the range of 100 - 300 nm. Mesoporous silica containing the drug significantly decreased urinary parameters, triglycerides, low-density lipoprotein, blood urea nitrogen, blood glucose, malondialdehyde, and creatinine. In addition, it showed increased high-density lipoprotein, significantly. The renal histopathological changes indicated improvement compared with the untreated diabetic group.

Conclusion and implications:

It was concluded that the mesoporous was potent to serve as a promising drug carrier and a platform aimed at the delivery of poorly water-soluble drugs for improving oral bioavailability. Furthermore, it has the potential to provide a beneficial effect on the changes in diabetic parameters.
Corneal astigmatism induced by scleral small incision versus corneal tunnel incision in children after cataract surgery
Authors: Shaat Eman M.A.E. , Abdelhalim Tamer I. , Hassby Hesham A. , El-Seht Rabab M.
Published: August 2024

Background

The amount of postoperative astigmatism is an important factor in the development of amblyopia in children. Early postoperative astigmatism is of concern since amblyopia treatment is usually initiated as soon as possible after cataract surgery, and precise optical correction of astigmatism is needed to maximize visual improvement. Small-incision cataract surgery is preferred by some pediatric ophthalmologists, as it reduces corneal scarring and this reduces the incidence of irregular astigmatism. Also, it is very useful in cases with micro cornea and cases with low endothelial count. However, it has many disadvantages such as increased risk of bleeding, slower visual recovery, hyphemia from scleral vessels, and postoperative surgically induced astigmatism.

Aim

To assess corneal astigmatism induced by scleral tunnel small incision versus corneal tunnel incision after cataract surgery in children.

Patients and methods

The study was a prospective study and included 30 eyes of 30 children with cataract from the outpatient clinic of the ophthalmology department of Tanta University in the period between December 2021 to July 2022.

Results

There was an insignificant difference between the small incision and corneal tunnel incision as regard K1 and K2 prereadings, after 2 weeks, after 6 weeks, and after 3 months of readings.

Conclusion

We think that both corneal tunnel and scleral tunnel are stigmatically neutral in pediatric cataract surgery.
Correlation between axial length and choroidal changes in high myopia
Authors: Rady Fatma A. , El-Koumy Hamdy A. , El Koddousy Mona S. , Nawar Amin E.
Published: August 2024

Background

Swept-source optical coherence tomography (SS-OCT) can furnish high-resolution structural images of the choroid for chorioretinal atrophy in high myopia.

Aim

The present study aimed to detect the axial length and choroidal thickness correlation in high myopia using SS-OCT. Using SS-OCT seeks to establish the choroidal thickness and axial length correlation in extreme myopia individuals.

Patients and methods

A prospective cross-sectional study that was carried out on two groups of patients, group A involved 60 high myopic eyes with myopic refractive error less than or equal to −6.00 diopters (D) and axial length greater than or equal to 26.5 mm which was divided into group A1 which included 30 eyes with axial length less than 29 mm and group A2 that involved 30 eyes with axial length greater than or equal to 29 mm. Group B (control group) included 30 emmetropic eyes with a normal range of axial length (23.5–24.5 mm).

Results

A high significant axial length was detected in group A2 in contrast to groups A1 and B with P value less than 0.001. The subfoveal choroidal thickness and choroidal thickness in other locations (1 mm superior, 1 mm inferior, 1 mm nasal, and 1 mm temporal to the fovea) were significantly thinner in group A2 than groups A1 and B (P <0.001). A statistically significant inverse correlation (P <0.001) was identified between the choroidal thickness at various locations and the axial length in groups A1 and A2.

Conclusion

Negative correlation was detected between axial length and both subfoveal choroidal thickness and best corrected visual acuity in patients with high myopia. There was a significant positive correlation between axial length and myopic refractive error.
Comparative study between misoprostol and lidocaine before intrauterine contraceptive device insertion
Authors: Alshoura Asmaa A. A. A. , El-khiat Ahmed M. , Elbohoty Shereen B. , Shaheen Karam A.
Published: August 2024

Background

Intrauterine contraceptive device (IUCD) is a safe, extremely effective and long-acting reversible contraceptive method. Misoprostol has definite to be a very pliable and adequate drug because its composition as a tablet that is stable and may be delivered orally, rectally or vaginally, and through the sublingual route. Lidocaine is a common local anesthetic and antiarrhythmic drug.

Aims

The objective of the present study was to compare between sublingual administration of misoprostol and lidocaine spray prior to IUCD insertion.

Patients and methods

This randomized controlled clinical trial was conducted at Department of Family Planning at Tanta University Hospital from February 2021 to March 2022. The study included 150 women into three groups each of them had 50 women.

Results

The pain scores during IUCD insertion and during uterine sounding were lower in group A, B. There was nonhuge distinction between both groups regarding insertion result (failed, easy or difficult insertion). There was nonhuge distinction between sublingual misoprostol and lidocaine spray regarding Visual Analogue Scale during sounding the uterus and during IUCD insertion. There was nonhuge distinction between studied groups as regard of medication related side effect except misoprostol group significant increase abdominal cramps.

Conclusions

The study concluded that the use of sublingual misoprostol and lidocaine before IUCD insertion reduces Visual Analogue Scale scores (pain scores) during sounding the uterus and during IUCD insertion.
Spontaneous fungal peritonitis in cirrhotic Egyptian patients with ascites: a single-center study
Authors: Abo Eta Enas M. , Amer Wesam H. , Elhendawy Mohamed E. , Asal Fathia E.
Published: August 2024

Background

Spontaneous bacterial peritonitis (SBP) is the most common infectious complication in cirrhosis. Spontaneous fungal peritonitis (SFP) is rare but more severe.

Aim

To assess the occurrence of fungal infection of the ascitic fluid in Egyptian cirrhotic patients with spontaneous peritonitis (SP) in a single-center study.

Patients and methods

In all, 100 patients with SP were subjected to history taking, clinical examination, laboratory investigations, abdominal ultrasonography, and diagnostic abdominal paracentesis. The ascitic fluid was subjected to microscopic examination, microbiological cultures (bacterial and fungal), biochemical examination, and 1-3-β-D-glucan.

Results

Of the 100 patients, 4% developed SFP and 96% developed SBP. The most common organisms in SFP patients were Candida albicans (75%), followed by Cryptococcus neoformans (25%), with no bacterial growth in those patients. Ascitic fluid bacterial culture was positive in 41.67% of patients with SBP, while it was negative in 58.33%. The most isolated organisms in SBP were Gram-negative (77.5%), predominantly E. coli (57.5%) and Klebsiella (17.5%), then Gram-positive (22.5%). Upper GI bleeding and antibiotic exposure in the last month were significantly higher in SFP than SBP. Patients with SFP had higher ascitic fluid lactate dehydrogenase 202.5 (162.5–230.0) versus 105.0 (86.0–165.0) (P=0.045) and ascitic fluid 1,3-b-d-glucan 97.95 (96.96–98.78) versus 21.0 (13.0–32.50) (P<0.001).

Conclusions

SFP is less common than SBP but usually presented as a severe disease, so clinical prediction and early detection help in proper treatment and a better prognosis.
Consumo y usos de Instagram en adolescentes de Asturias (España)
Authors: Calvo Gonzalez Soraya , Arcos Romero Ana Isabel , Rodríguez Fernández Noemí , Posada Corrales Juan Antonio
Published: August 2024

Introducción: Esta investigación pretende describir la relevancia de Instagram para la socialización de personas adolescentes. Para ello se plantearon objetivos como describir consumos de Instagram, tendencias en la publicación de fotografías propias y/o grupales, motivaciones de uso de los filtros y percepciones sobre el impacto que estos tienen en las interacciones sociales recibidas. Metodología: Se contó con 825 adolescentes de Asturias (España). Los instrumentos aplicados se crearon ad hoc para evaluar características sociodemográficas, uso y consumo de Instagram, uso de filtros y creencias sobre el uso. La participación fue en formato papel y lápiz, y se firmó un consentimiento informado que garantizaba anonimato, voluntariedad y protección de datos. Resultados y discusión: El 90,3% de adolescentes usa Instagram y el 74,9% publica contenido tipo historia. El 70,3% accede varias veces al día a Instagram. El 65% nunca utilizaba filtros en las publicaciones del feed. El 37,3% reportó utilizar filtros a veces en las historias. Se encontraron diferencias por género, siendo las mujeres las que más usan Instagram para ver contenido, más publicaciones suben al feed, más publican en historias en las que aparece individualmente y más usan filtros. También se detectó que, a medida que aumenta la edad, aumenta la frecuencia de consumo de Instagram; no encontrando más evidencias significativas respecto al tipo de publicaciones o aplicación de filtros. Conclusiones: El uso de Instagram como espacio de socialización relevante para las personas jóvenes destaca entre los resultados obtenidos, siendo la vinculación social una de las motivaciones claves para el uso de redes sociales.
Improving cardiac rehabilitation referral rates in patients with coronary heart disease from diverse communities using an electronic order system
Authors: Maloof Alexandra , Barba David Torres , Nuño Santiago Ramirez , Bains Nainjot K. , Zepeda Ignacio A. , Gallegos Armando , You Hyeri , Thompson Wesley , Shen Jia , El-Kareh Robert , Castellanos Luis R.
Published: August 2024

Background: Despite the benefits of cardiac rehabilitation (CR), local and national CR referral and participation rates remain low when compared to established cardiovascular therapies especially amongst racial/ethnic groups.

Objectives: This study investigated the effects of the implementation of a CR program and electronic order set (EOS) in a large health system on CR referral and participation rates among a diverse group of patients with coronary heart disease (CHD).

Methods: A total of 360 patients from UCSD Health who presented with ACS were prospectively evaluated during initial hospitalization and 6- and 12-weeks post-discharge. Multivariable logistic regression model assessed referral and participation rates by week-1 and -12 post-discharge, adjusting for gender, age, race, ethnicity, geography, and referring physician subspecialty.

Results: UCSD CR program implementation led referral rates to increase at week-1 (Pre- 38.6% and Post-54.9%, p = 0.003) and week-12 (Pre- 54.1% and Post- 59.8%, p = 0.386). Post-CR referrals were more likely at week-1 (OR: 1.93, 95% CI 1.27-2.95) and week-12 (OR: 1.26, 95% CI 0.79-2.00). EOS implementation increased referral rates at week-1 (Pre- 40.3% and Post- 58.7%, p<0.001) and week-12 (Pre- 54.9% and Post- 60.4%, p=0.394) with referrals more likely at week-1 (OR: 2.1, 95% CI 1.35-3.29) and week-12 (OR: 1.25, 95% CI 0.795-1.98). Participation in CR following EOS was more likely at both week-1 and week-12. Multivariable analysis revealed disparities in referral based on race, geographic location, and referring physician subspecialty.

Conclusion: A CR program and EOS implementation were shown to increase referral rates with long-term potential for increasing referral and participation rates.

Condensed Abstract: This prospective study investigated the implementation of a cardiac rehabilitation (CR) program and electronic order set (EOS) within the same health system on CR referral and participation rates. 360 patients with ACS were evaluated over a period of 12 weeks. UCSD CR program and EOS implementation led referral rates to increase at week-1 and -12. CR participation was more likely to increase at week-1 and -12 following EOS. Multivariable analysis revealed disparities in referrals disproportionally affecting racial and ethnic minority groups and rural communities. CR and EOS implementation may increase CR referral rates for diverse patients with CHD.
A Review of Transformer Networks in MRI Image Classification
Authors: Katran Lamyaa Fahem , AlShemmary Ebtesam N. , Al-Jawher Waleed A. M.
Published: August 2024

The urgent need to improve the efficiency and precision of analyzing images in the field of magnetic resonance imaging (MRI) has led to the rise of transformer networks, as a groundbreaking solution. This review delves deeply into how transformer networksre used in classifying MRI images summarizing studies to showcase the progress made and challenges faced in this evolving area. With their abilities transformers excel at analyzing MRI images by highlighting both details and functional complexities while effectively capturing both global and local nuances using their advanced handling of long distance connections. Additionally their adaptability allows for processing of input data in sizes along with the capability to break down processing and analysis tasks. By providing researchers with an insight into transformers and their crucial role in enhancing medical imaging methods this research aims to lay the groundwork, for advancements in this critical field.
Keadilan Restoratif dalam Dinamika Pembaruan Hukum Pidana Indonesia
Authors: Afifah Hasna
Published: August 2024

The purpose of this study is to assess the effectiveness of the implementation of restorative justice in handling certain criminal cases in Indonesia. The type of research used is descriptive. Which means that this research will be discussed in the form of a presentation that is elaborated in words carefully and thoroughly.  In this case, the presentation of the concept of restorative justice as a means of resolving non-litigation cases (outside the court) and its relevance to the dynamics of criminal law reform in Indonesia. The approach method in this study is a normative juridical approach method. As a result, criminal law reform must be formulated with a policy-oriented approach, as well as an approach oriented to the values that live in society. Restorative justice as one of the alternative case resolution in the criminal justice system that focuses on restoring the original situation by involving victims, perpetrators and the community is one of the efforts in criminal law reform that is oriented not only to retaliation.
Factors Influencing Consumer Decisions in Consuming Environmentally Friendly Plastic Packaging in the Jabodetabek Region
Authors: Santoso Evan Mario , Nastiti Puteri Dyah , Pratiwi Stella , Albert Albert , Ramdhan Arief
Published: August 2024

Plastic waste has become a significant environmental and health concern worldwide, including in Indonesia. To address this issue, the adoption of environmentally friendly packaging materials, such as biodegradable plastics, is considered a viable solution. This study aims to understand the potential switch in consumer behavior towards the use of environmentally friendly plastic packaging in Indonesia with two models of conceptual framework. Model 1 explores the relationship between Green Attitude, Perceived Environmental Responsibility, Subjective Norm, Green Product Experience, Environmental Friendliness of Companies, Perceived Behavior Control and Green Purchase Intention. Model 2 investigates the relationship between GPI and Green Purchase Decision. Primary data was obtained by conducting a convenience survey with a sample size of 285 respondents using convenience sampling methods. This research is measured through scale variables, and is being analysed with Cronbach Alpha, factor analysis, and other tools to identify the most influential factors to the least one which will be input into the regression model. The findings are that there are four factors that impacting consumers' Green Purchase Intention in Jakarta, which are Green Attitude, Perceived Environmental Responsibility, Environmental Friendliness of Companies and Perceived Behavior Control.
Analisis Framing Pemberitaan Pemberantasan Narkoba dan Rencana Strategi Humas Badan Narkotika Nasional
Authors: Ismail Raaf Ikhtsar , Mukhroman Iman , Ahmad Ikhsan
Published: August 2024

This study discusses the role of public relations in planning communication strategies to handle news related to drug trafficking. Based on framing analysis from Antara and Detik.com media, it was found that these two media outlets highlighted drug trafficking as a serious threat, with news that focused on law enforcement actions and their social impact. Related to public relations strategy planning, the Ronald D. Smith model is used which includes four phases: formative research, strategy formulation, tactical implementation, and evaluation. The core of this study emphasizes the importance of structured and adaptive public relations strategic planning in dealing with drug trafficking issues, therefore it is necessary to increase cooperation with the media, adequate resource allocation, and the use of technology to reach a wider audience. Thus, it is hoped that drug eradication efforts can run more effectively and efficiently and get full support
Penerapan Hukum Tata Negara Darurat dalam Perspektif Bencana Nonalam
Authors: Siti Nurbaiti Ananda
Published: August 2024

Dalam perspektif Hukum Tata Negara terdapat perbedaan antara hukum dalam keadaan normal dan hukum dalam keadaan darurat, pada saat negara berada pada keadaan tidak normal maka diberlakukan HTN Darurat, agar sistem hukum yang mengatur keadaan darurat dapat diatur lebih komprehensif agar terjamin perlindungan pada saat negara dalam kondisi darurat. Penelitian ini bertujuan untuk menemukan konsep pengaturan HTN Darurat dalam persepektif bencana nonalam berdasarkan Undang-Undang Dasar Negara Republik Indonesia Tahun 1945, penelitian ini dikaji secara normatif dengan menggunakan pendekatan perundang-undangan (Statutte Approach) dan pendekatan konseptual (Conceptual Approach). Hasil penelitian ini menunjukkan berdasarkan UUD 1945 keadaan bahaya dan kegentingan yang memaksa diatur dalam pasal 12 dan 22, aturan tersebut masih ditafsirkan secara luas dan sempit mengenai keadaan bahaya dan hal ihwal kegentingan yang memaksa pada tingkat undang-undang. Keadaan darurat bencana nonalam khususnya, belum menggunakan konsep HTN Darurat padahal bencana nonalam merupakan suatu hal yang sama berbahayanya dengan bencana alam, dan dipandang perlu untuk dilakukan rekonseptualisasi pada sistem hukum dalam keadaan darurat dari berbagai ketentuan perundang-undangan
Human Resource Management in the Era of Disruption: A Systematic Literature Review On SDG
Authors: Annisa Sri , Siahaan Elisabet
Published: August 2024

Context: The current era of disruption provides challenges and opportunities simultaneously. Understanding and responding quickly and appropriately to the phenomenon of disruption is important for a company. Changes on a large scale fundamentally change all systems that switch to new ways. This certainly has an impact on Human Resource Management (HRM).
 
Objective: This study aims to (1) Identify HRM practices during the disruption era, namely 2021-2023, (2) Identify areas that are not of concern in HRM practices, and (3) Identify areas that need attention in future HRM practice research
 
Method: The research was conducted using the Preferred Reporting Item for Systematic Reviews and Me-ta-Analytic (PRISMA) model process. The research found five areas for the first objective: (1) HRM practices in the era of disruption, (2) Human resource excellence, (3) HRM chal-lenges, (4) Corporate development, and (5) Human resource control. The second objective was to obtain (1) Determination and (2) Sustainability. The third objective can utilize all seven areas of future research findings. In addition, the implication is to utilize this journal to explore future research directions and gain a thorough understanding of the concept of HRM in the era of disruption.
 
Results: This study found gaps in the implementation of HR analytics. Humans are used in analysis to examine the viability of human resource management in the disruptive age. An era of so many changes dominated by technology should make hr analytics a common area. Because in the era of disruption, for a company that has a compet-itive advantage, having big data is a must in order to run HRIS (Human Resource Infomation System) well. This study met almost all the requirements of SLR. However, there are some limita-tions. First, articles were found by searching through a single database. More articles may have been extracted if a different database had been chosen. Second, in order to retain the validity of the publications and adhere to a systematic literature review technique, this study solely contains empirical studies.If a different kind of article had been chosen, the results might have been different. Other areas of study need to be explored in future research. In the end, only diaries were considered.Accordingly, these journals are conducive to facilitating future research.Future studies should also focus on other areas. In the end, only diaries were considered.Accordingly, upcoming research can concentrate on them.
 
Contribution: This research can be a more comprehensive reference for researchers who will try to explore similar topics and with similar research methodologies, namely Human Resource Management.
Organizational Commitment and Workplace Spirituality as Moderation of Organization Citizenship Behavior (OCB) and Spiritual on Employee Performance on SDG
Authors: Rosyid Bahrur , Agustina Tri Siwi , Sridadi Ahmad Rizky
Published: August 2024

Objective: The most important resource of a company is human resources. Human resources are intangible and unique, making them very difficult for other companies to imitate. Therefore, improving the quality of human resources is very important. One important indicator for determining the quality of human resources is work performance. This also applies to banking. Effective human resource management is the key to improving employee performance. Therefore, companies must consider these factors before developing their human resource management program.
 
Theoretical Framework: This research was conducted with the title "Organizational Commitment and Workplace Spirituality as Moderation of Organizational Citizenship Behavior (OCB) and Spirituality on Employee Performance".
 
Method: The type of data used is quantitative, namely in the form of numbers using formal, standard and measuring tools. The population of this study was 150 company employees. Samples were taken from this population, and the sample selection for this study was determined by random sampling, resulting in a sample of 150 respondents. The data collection techniques used in this research are as follows: observation and questionnaires. After the data is collected, the data is then processed using the Smart PLS analysis tool.
 
Results and Discussion: Based on the results of this research analysis, it has been found that organizational citizenship behavior (OCB) and spirituality influence employee performance. Workplace spirituality is able to moderate organizational citizenship behavior and spirituality on employee performance. Organizational Commitment is able to moderate Organizational Citizenship Behavior (OCB) on employee performance. However, organizational commitment was not able to moderate spirituality on employee performance in this study.
 
Originality/Value: This research has several limitations that can be overcome by other authors in future research. It is recommended that future research include more independent variables or add moderating variables that have not been researched in this research.
Do Institutional Investors Play a Meaningful Role in the Effective Implementation of Corporate Governance on SDG?
Authors: Alhajri Thafar M. , Al-Shebli Abdullah
Published: August 2024

Objective: Corporate governance is a recent development in Kuwaiti financial markets. Corporate governance principles have created several new concepts, such as the independence of directors, the establishment of various committees, the separation of the CEO from the chairman of the board, and other related principles. This article will discuss how institutional investors can play a meaningful role in the effective implementation of Corporate Governance Principles. The primary aim of this research article is to seek a detailed understanding of the Kuwait Corporate Governance Code (KCGC) as it relates to instituting a special code for institutional investors.
 
Method: Solving legal problems and finding the best way to apply special laws can best be highlighted by using a comparative legal analysis. This methodology allows scholars to compare the laws of several countries to find alternative ways of addressing legal issues. This research article will compare legislation in the developed market in the UK to evaluate its potential effectiveness in averting future problems and bringing a better understanding of this subject in Kuwait.
 
Result & Conclusion: The institutional investor plays an influential role in increasing the effectiveness of the principle of commitment to the ‘Comply or Explain’ regime. In the UK, the stewardship code for financial institutions was issued to give them control and responsibility over the application of the governance system. The article suggests that institutional investors should play a more active role in insisting on the application of corporate governance principles. It considers the ‘Comply or Explain’ regime and how it is being used effectively by companies backed by institutional investors. In addition, a new corporate governance code for institutional investors should be developed, similar to the UK Stewardship Code.
Digital Green Finance Architecture in the Context of Green Deal Implementation: Modern Fintech Tools and Solutions Under the Sustainable Development Concept
Authors: Abramova Alla , Popelo Olha , Fedyshyn Maiia , Popova Liubov , Shchur Roman , Marych Maksym
Published: August 2024

Objective: The purpose of the article is to develop a scientific and applied toolkit, which is a set of a logically informationally and algorithmically interconnected means of the information-analytical support of green financing within the Green Deal under the sustainable development concept.
 
Theoretical Framework: The study is based on the Paris Climate Agreement, the European Green Agreement, and the concept of sustainable development.
 
Method: To achieve the defined goal and solve the set tasks, a system of general scientific and special research methods was used.
 
Results and Discussion: The author’s vision of the ecosystem model of the green financing is presented. The main trends of the global green bond market are identified; the parameters of the digital financing markets are estimated. The management decisions on accelerating the capital attraction and activation of green financing, ensuring the balance of the regional financing opportunities in the face of the global challenges are systematized.
 
Research Implications: The important role of the state impact on the creation of the favourable conditions for the climate finance expansion by reducing the political, regulatory, control, macroeconomic and business risks has been established. It was established that the political stability, the consistent and clear regulatory framework, the agreed green financing policy and the openness to the international investors create the attractive conditions for the climate finance conditions.
 
Originality/Value: Applying the author’s developments will create a basis for making the substantiated managerial decisions to the accelerated involvement of the capital in the green financing under the sustainable development concept.
JOSÉ HONÓRIO RODRIGUES NA ESCOLA SUPERIOR DE GUERRA E O DEBATE SOBRE A FORMAÇÃO DA NACIONALIDADE
Authors: Salomão Eduardo Rizzatti
Published: August 2024

José Honório Rodrigues (JHR) foi um intelectual brasileiro associado ao aprimoramento da ciência arquivística e histórica, notabilizando-se, entre outras realizações, por dezenas de livros publicados e pela direção do Arquivo Nacional (1958-1964). Menos conhecido é o seu contato com a Escola Superior de Guerra (ESG), por ele frequentada de 1955 a 1964. Na ESG, formou-se pelo Curso Superior de Guerra (CSG) para retornar como conferencista. Nas últimas décadas, historiadores tem dado maior atenção ao legado intelectual de JHR, abordando, inclusive, a passagem pelo Instituto. Faltou, entretanto, um trabalho destinado a examinar o conteúdo das palestras por ele ministradas, no interesse de aprofundar a compreensão dessa fase da sua produção intelectual e do relacionamento com o universo esguiano. Com essa questão em foco, este artigo aprecia a relação de JHR com a ESG, inquirindo documentos, livros e trabalhos acadêmicos. Esse esforço resultou na localização de impresso com palestra proferida por JHR nas dependências da ESG em 1964, material relevante na compreensão da sua trajetória, onde se ressalta seu caráter de intelectual engajado na defesa da necessidade de se superar o atraso social do país em favor da sua real integração.
ESCOLA SUPERIOR DE GUERRA
Authors: Maia Neto Jacintho
Published: August 2024

A Escola Superior de Guerra (ESG) vem contribuindo, ao longo de seus 75 anos, com a produção de conhecimento nas áreas de Segurança, Desenvolvimento e Defesa nacionais. Este trabalho buscou apresentar e analisar como essa contribuição foi se materializando desde sua criação em 1949, com base na análise documental e bibliográfica feita, inicialmente, com ênfase nos onze regulamentos que balizaram a estrutura organizacional e acadêmica da Escola e, posteriormente, nas diretrizes que regularam os seus diversos cursos. Com esse intuito, caminhou-se ao longo desse marco legal, extraindo as ideias e as ações que nortearam a construção do conhecimento, suas relações com a estrutura e o ambiente organizacional, buscando entender, também, os impactos que o ambiente externo provocava na Escola e suas reações com base na materialização de estruturas e cursos. Finalmente, apresenta- se a materialização da pesquisa científica e da pós-graduação stricto sensu no Instituto Therezinha de Castro.
A neofobia alimentar pode afetar o consumo de alimentos acrescidos de plantas alimentícias não convencionais (PANC) por estudantes do ensino fundamental?
Authors: Ferreira Renata de Souza , Cruz Juliana Rodrigues de Souza , Lima Elisa  de Paula Reis , Minim Valéria Paula Rodrigues , Vidigal Márcia Cristina Teixeira Ribeiro
Published: August 2024

A alimentação escolar deve ser diversificada e nutricionalmente adequada, de acordo com as recomendações nutricionais para cada faixa etária. Neste contexto, o objetivo deste trabalho foi avaliar a neofobia alimentar e a aceitação de preparações incluindo plantas alimentícias não convencionais - PANC, em escolares de 11 a 14 anos. Para isto, foram elaboradas três preparações: bolo de chocolate (com ora-pro-nóbis), suco de tamarillo e biodanoninho (sobremesa de biomassa de banana verde). A aceitabilidade sensorial das formulações foi avaliada por meio da escala hedônica de 5 pontos, por alunos do ensino fundamental II de uma escola pública do município de Viçosa -MG, que preencheram a escala de neofobia alimentar, adaptada e validada para o português. O índice de aceitação foi de 74,8% para o bolo de chocolate com ora-pro-nóbis, 74,0% para BioDanoninho (com biomassa de banana verde) e 42,8% para o suco de tamarillo. Dos participantes, 40% apresentaram neofobia alimentar que foi correlacionada negativamente (p<0,05) com a aceitação do suco e da sobremesa. Desta forma, por terem sido bem aceitos pelos estudantes, o bolo de ora-pro-nóbis e o biodanoninho poderiam ser acrescentados ao cardápio escolar. Além disso, estratégias devem ser definidas para reduzir a neofobia alimentar e facilitar a inclusão de alimentos acrescidos de PANC nas refeições, contribuindo para a saudabilidade, sustentabilidade e desenvolvimento da agricultura familiar.