bluuebunny/crossref_metadata_2025 huggingface dataset:
KLİNİK YÖNETİŞİM İKLİMİNİN HASTA BAKIM KALİTESİNE ETKİSİNDE ÖRGÜT İKLİMİNİN DÜZENLEYİCİ ROLÜ
Authors: Arslan Kabadayı Mesude , Arslanoğlu Ali
Published: July 2024

Bu çalışmanın amacı,sağlık kuruluşlarında klinik yönetişim ikliminin hasta bakım kalitesine etkisini incelemek ve diğer bir taraftan da klinik yönetişim ikliminin hasta bakım kalitesine etkisinde çalışanların örgütsel iklimi algılarının düzenleyici rolü olup olmadığının araştırılmasıdır. Araştırma tanımlayıcı ve kesitsel tipte planlanmış ve uygulanmıştır. Veriler katılımcıların sosyo-demografik özellikleri ile ilişkili 6 adet sorudan (yaş, cinsiyet, öğrenim durumu, kurumda çalışma yılı, çalıştığı bölüm, çalıştığı kurum) oluşturmaktadır. Ayrıca klinik yönetişim iklimi ölçeği, bakım davranışları-24 ölçeği, örgüt iklimi ölçeği kullanılmıştır. Örneklem seçiminde kolayda örneklem yöntemi ile 394 sağlık çalışanına uygulanmıştır. Katılımcıların % 88,3’ünün kadın, %35 ‘inin 30 yaş altı, %60,2’sinin lisans mezunu olduğu, % 26,4’ ünün dahili kliniklerde, % 93,9’unun kamu hastanesinde, %38,3’ünün 5 yıldan daha az sürede bulundukları sağlık kuruluşunda görev yaptığı bulunmuştur. Klinik yönetişim iklimi, bakım davranışları ve örgüt iklimi ortalamalarının katılımcıların yaş, cinsiyet, öğrenim durumu, çalıştığı kurum, kurumda çalışma yılı değişkenleri arasında anlamlı farklılık bulunmamıştır. Klinik yönetişim iklimi ve bakım davranışları ortalamalarının çalışılan bölüme göre anlamlı bir fark bulunmazken örgüt iklimi ortalamasında çalışan bölüm açısından anlamlı bir fark bulunmuştur. Örgüt iklimi değişkeni ile klinik yönetişim iklimi değişkeni arasında (r=-0,578, p0,05) istatiksel olarak anlamlı bir ilişki bulunmadığı görülmüştür. Klinik yönetişim ikliminin hasta bakım davranışlarını anlamlı bir şekilde etkilediği sonucu bulunmuştur.Örgüt ikliminin, klinik yönetişim iklimi ile hasta bakım davranışları arasındaki etkisinde düzenleyici rolü olmadığı görülmüştür.
Teaching for Social Justice in English Language Classrooms: A Qualitative Analysis of Pedagogical Designs
Authors: Raton John Robin H , Bagares Rob Cris A , Soberano Carlo G.
Published: July 2024

Teaching for Social Justice (TSJ) is a teaching approach aimed at promoting equity and justice in language classrooms, aligned with the Philippine K to 12 Curriculum Guide (Kiger & Varpio, 2020). This integrated approach seeks to develop social awareness and critical thinking skills among learners by interrogating issues about (in)justice and indoctrination (Spitzman & Balconi, 2019). This research aims to locate the teaching of social justice in English as a Second Language (ESL) Classrooms by analyzing the 25 pedagogical designs (referring to lesson plans) of Filipino ESL teachers crafted in years 2019-2023 in a secondary school in Antipolo City, Philippines. The six-steps thematic analysis model of Kiger and Varpio (2020) complemented by the nine-question rubric developed by Spitzman and Balconi (2019) was employed to locate the integration of the teaching of social justice in the lesson plans. Peer debriefing was performed to ensure the credibility of the result. The qualitative analysis found three main themes: (1) Facilitating Expression and Constructing Identity, (2) Acknowledging Interculturalism and Diversity, and (3) Promoting Action, each of which is pedagogically organized in a plan. These themes are discursively present in the motivation, discussion, and assessment sections of the lesson plan. Findings revealed that Filipino ESL teachers’ teaching for social justice leans more toward multicultural and culturally responsive education. The study recommends the future researchers to further study TSJ in terms of confirming the consistency of teachers’ pedagogical design and action in the ESL classroom
Exploring the Interplay of Metacognitive Awareness and Reading Proficiency: A Study among Moroccan University EFL Students
Authors: El Madani El Mehdi , Larouz Mohammed , Fagroud Mustapha , Saadallah Zayneb , Barebzi Jamal
Published: July 2024

In recent years, there has been a considerable interest in metacognition and language learning research. An ever-increasing body of literature shares the consensus that metacognitive knowledge plays a critical role in the process of language learning. While metacognitive knowledge encapsulates being cognizant of one’s own language level and the learning strategies available to improve this level, the absence of such an awareness brings about serious challenges that hinder the process of language learning. In light of such a hiatus, the present study attempts to examine the relationship between EFL university students’ reading proficiency in English and their metacognitive awareness of reading strategies. In order to achieve this objective, Data were collected using three language proficiency tests in reading and Metacognitive Awareness of Reading Strategies Inventory (MARSI). 94 third-year university students enrolled in the Department of English Studies at the School of Arts and Humanities in Meknes formed the sample of this investigation. With reference to data analysis, the study employed Pearson product-moment correlation and Simple Linear Regression as statistical tools to analyze the generated data. The findings of the investigated relationship showed that there was a strong positive correlation between participants’ English reading proficiency and their reading metacognitive awareness, with a r-value of 0.810. It was also revealed reading metacognitive awareness predicted 65% of reading comprehension ability. Finally, the findings of the present study have brought about crucial contributions, in terms of both theory and practice, to the existing body of literature on metacognition and language learning. The results of this endeavour have also triggered various pedagogical and methodological implications and recommendations for language teachers, syllabus designers, higher education departments of English studies, and future research.
Translation Analysis of Morphological Process and Translation Techniques on Subtitle the Barbie Life in the Dreamhouse Series
Authors: DwiAna Nike , Nugroho Raden Arief
Published: July 2024

The aim of this research is to describe and identify the translation techniques, and morphological processes used, by translators in subtitle conversations of characters in web-series that translators use in subtitle conversations of main characters in films. This research focuses on translation and is qualitative in nature. Statements that have morphological elements and are the results of conversations with informants are the type of data used in this research. Utilizing the Morphology process by Yule (1996), data analysis is carried out simultaneously with the data collection process. The researcher concluded that translation techniques by Molina & Albir (2002) were used in the process of transforming the Source Language into the Target Language; In total, there are five morphological processes and 16 of the 18 translation techniques are used. Among the translation techniques, Linguistic Amplification is 16.46%, Literal Translation is 11.39%, for Borrowing (Pure and Naturalization), followed by Equivalence Determination, Generalization, and Variation with the same amount, namely 10.13%, Substitution 6.33%, Amplification followed by Linguistic Compression, and Particularization 5.06%, Compensation and Transposition also have the same results with 2.53%, Adaptation followed by Description, Discursive Creation, and Modulation with 1.27%. Affixation, there is a Suffix of 35.71%, and a Prefix of 7.14%. Non-Affixation includes Compounding 28.57%, Borrowing 14.29%, Acronyms 7.14%, and Clipping 7.14% all of which are morphological processes. Translation techniques and the Morphology process are appropriate strategies to be used as the first choice in analyzing the results of this research because they can produce significant contributions in a practical context. Based on the research findings, several practical implications can be identified, including the results of this research can help develop an understanding of the phenomenon under study. for a translator or related parties, providing guidance and recommendations to a translator in developing policy strategies or best practices in relevant fields. The researcher also concluded that translation techniques and morphological processes can be interrelated with the meaning conveyed.
The Role of Authentic Leadership and Organizational Commitment to Reduce Turnover Intention in Digital Company
Authors: Azmy Ahmad , Mauludi Sina
Published: July 2024

The research analyzed the relationship between authentic leadership, organizational commitment, and turnover intention. The problem was that technology companies experienced an increase in turnover intention. It was unique in analyzing the causality of turnover intention through aspects of leadership and commitment. The research analyzed the direct and indirect effects of reducing turnover, conducted on digital companies operating in the consulting services sector. Purposive sampling was used as a sampling technique. Data collection was carried out using a questionnaire distributed via Google Forms with a total of 111 respondents. The research findings indicate that authentic leadership influences organizational commitment. Furthermore, organizational commitment has a negative influence on turnover intention. In addition, the indirect effect of authentic leadership on turnover intention is mediated by organizational commitment. Hence, it is essential for companies to increase employee commitment throughout the organization. Business organizations must pay attention to the phenomenon of turnover instruction. Meanwhile, employee turnover has a negative effect on the quality of business processes. The turnover instruction problem is a classic problem faced by every company. Aspects of leadership and organizational commitment must be the main factors in reducing turnover. The long-term success of a business is determined by the contribution and productivity of its employees. Turnover intentions can be reduced through implementing authentic leadership and consistently increasing organizational commitment.
Enhancing Mamanda Product Sales through Business Model Innovation (BMI)
Authors: Kumalasari Isnaeni , Fontana Avanti
Published: July 2024

The research aimed to assist the micro-enterprise Mamanda in achieving sustainable improvements in product sales, addressing the challenges posed by the post-COVID-19 era. Operating in the children’s toy rental services field, Mamanda faced a significant decline in sales due to the pandemic’s impact on consumer behavior. The researchers collected data through interviews, meetings, and observations using qualitative methods and a business coaching approach. The analysis involved internal and external assessments, Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis, Business Model Canvas (BMC) evaluation, gap analysis, and Pareto analysis. From the results, the Pareto analysis identifies two critical issues: the lack of a customer database and the absence of a customer loyalty program. Business coaching effectively guides Mamanda in developing a new and adaptive business model to enhance sales sustainably in the post-COVID-19 landscape. Importantly, the research contributes to the literature by emphasizing key findings, highlighting the importance of adapting business models, effectively utilizing customer data, and implementing customer-centric strategies to foster growth and sustainability in the context of Micro, Small, and Medium Enterprises (MSMEs). Practical implications include the significance of Business Model Innovation (BMI) and customer-centric approaches for MSMEs in navigating evolving and competitive markets, ensuring resilience and viability in evolving business environments.
How Does Self-Control Moderate Shopping Enjoyment and Impulse Buying Among Generation Z Online Gamers?
Authors: Artadita Sherly , Firmialy Sita Deliyana
Published: July 2024

In today’s technological age, access to the Internet is required in various fields, ranging from the essentials (clothing, food, and shelter) to recreation. As a result, people are willing to part with their money for the thrill of playing video games, which frequently leads to impulsive buying. Given this trend, the research examined why male and female gamers in Indonesia made impulsive purchases. The research employed quantitative sampling with a purposive sample type, specifically probability sampling. It looked at 220 Indonesian online Generation Z gamers who bought virtual goods in-game using the Partial Least Squares-Structural Equation Modeling (PLS-SEM) model. From the results, three distinct phenomena are found. Firstly, evidence exists for the significant impact of shopping enjoyment on impulsive buying. Secondly, self-control has an insignificant role in preventing impulse buying. Lastly, the research offers insight into the insignificant role of self-control in moderating the relationship between shopping enjoyment and impulse buying. Among the three dimensions of self-control, cognitive control is the only dimension that has a significant effect on reducing the tendency of impulse buying among Generation Z online gamers. Additional research should assess the insignificant relationship between self-control and impulse buying, which may corroborate or contradict the research findings. Further investigation of potential intermediate variables (e.g., customer loyalty and brand relation) that connect self-control and impulse buying is also needed.
Diseño de ECCA (Entorno Colaborativo de Comunicación Aumentativa y Alternativa). Una ayuda tecnológica para alumnos con Necesidades Complejas de Comunicación
Authors: Guisen María Andrea , Sanz Cecilia Verónica
Published: July 2024

En este artículo se presenta una aplicación denominada ECCA (Entorno Colaborativo de Comunicación Aumentativa y Alternativa) que, en carácter de ayuda tecnológica, se orienta al desarrollo de competencias comunicacionales de personas con discapacidad en el lenguaje. Se hace foco en su diseño funcional y de interfaz, y su proceso de evaluación y resultados; particularmente en cuanto a la dinámica para el ingreso e interpretación de datos al sistema y herramientas de configuración. El diseño de ECCA, resultado de un trabajo de campo exhaustivo que ha sido realizado en escenarios originales con la participación de los diferentes actores sociales que en ellos interactúan, se valora significativo e innovador. Se estima que su desarrollo final obtendrá un alto impacto en el grupo destinatario.
El e-portfolio como herramienta educativa y de motivación en educación secundaria: ventajas y dificultades en su aplicación. Un caso de estudio de investigación-acción.
Authors: Navarro García Suelto Maria del Carmen
Published: July 2024

Los nuevos recursos educativos que aparecen gracias a las Nuevas Tecnologías de la Información y la Comunicación brindan la oportunidad de mejorar la labor educativa transformando el modelo de aprendizaje. Este artículo tiene como objetivo fomentar la reflexión docente en relación al uso de las NTIC en el aula, considerando sus ventajas e inconvenientes, con la finalidad de mejorar los procesos de enseñanza-aprendizaje. Para ello, se expone una experiencia educativa que utiliza el e-portfolio como recurso de evaluación, en el que se recogen las percepciones y avances de los alumnos.Se concluye evidenciando que, aunque es una gran fuente de motivación, la falta de recursos y la formación del profesorado dificulta mucho el proceso de transformación e innovación educativa.
CHROMIUM SPECIATION IN ORGANIC FERTILIZERS BY SPECTROPHOTOMETRY
Authors: Burg Arthur Felipe , Hiedrich Graciela Marini , Viana Ana , Dressler Valderi Luiz
Published: July 2024

In the present study a spectrophotometric method for Cr(VI) determination in organic fertilizers, especially those from tanning industry residues, is proposed. Conditions for chromium extraction, extract clean-up and analytical characteristics of the method were established. The method is based on the complexation of Cr(VI) with 1,5-diphenylcarbazide (DPC) in acid medium (pH 2.0). A mixture of NaOH and Na2CO3 solution at 0.125 and 0.07 mol L–1 (pH 12), respectively, and heating at 90 °C for 60 min were the best conditions for chromium extraction. Florisil and activated charcoal were tested for clean-up of the extract, with activated charcoal being effective. Under the established conditions, the calibration linear range is up to 2500 μg L–1 Cr(VI), the results obtained are in agreement with the value of a certified reference material (CRM041), precision is better than 5% for five consecutive determinations of a solution at 1000 μg L–1 of Cr(VI) and the limit of quantification is 1.62 μg g–1. In can be concluded that the method is robust, accurate and precise, and can be easily applied for the determination of Cr(VI) in routine analysis, since it complies with legislation of most countries regarding the maximum allowed concentration of 2 μg g–1 of Cr(VI).
Composite with Silver Nanoparticles and Oregano Essential Oil-Loaded
Nanoparticles Intended for Wound Healing
Authors: Hernández-Rizo Laura , Villanueva-Martínez Angélica , Salas-Téllez Enrique , Camacho-Enríquez Brígida del Carmen , Vargas-Martínez María Gabriela , Ganem-Rondero Adriana
Published: July 2024

Purpose:

Since wounds are a primary source of infection, it is desirable to have a wound
dressing that prevents infectious processes during the tissue regeneration phase. In this regard, silver
nanoparticles, oregano essential oil, and chitosan have been utilized due to their antimicrobial activity. This work focused on the preparation of a composite containing these three components, intended to provide protection for wounds, especially by exerting antimicrobial effects

Methods:

A composite based on chitosan nanoparticles loaded with oregano essential oil (OEO) and
silver nanoparticles was fabricated through the casting-solvent evaporation method. The films were
prepared from a suspension of chitosan nanoparticles. The nanoparticles were characterized by size
and entrapment efficiency. The surface of the films was observed by SEM, and the mechanical resistance, occlusive capacity, and antimicrobial activity against S. aureus, E. coli, and P. aeruginosa
were evaluated. The release of OEO from the films was studied using Franz-type cells.

Results:

A composite was successfully prepared from a dispersion of OEO-loaded chitosan nanoparticles (147.8 nm, PDI = 0.35; entrapment efficiency = 80.9 %; loading capacity = 38 %) and silver
nanoparticles (19.6 nm, PDI = 0.4). A film could be formed that made the composite by pouring the
chitosan nanoparticle dispersion directly into molds. The composite presented advantageous characteristics, such as being semi-occlusive (occlusion factor ~ 40 % and reduction in TEWL of 18 %),
allowing the sustained release of OEO (about 0.2 mgCm-2
h-1 during 8 h), and having antimicrobial
activity for the three strains evaluated.

Conclusion:

The prepared composite can be considered a potential candidate for dressing materials
intended to prevent and treat wound infections.
Niveles de conciencia histórica y tratamiento de temas controvertidos en entornos digitales: Un estudio de caso con futuro profesorado español de Educación Secundaria
Authors: Ortega-Sánchez Delfín , Barba Alonso César , Carcedo de Andrés Bruno P.
Published: July 2024

El objetivo de la presente investigación busca conocer, por una parte, los niveles de conciencia histórica del futuro profesorado español de Educación Secundaria (n = 61) en las redes sociales/entornos virtuales. Por otra, pretende aproximarse a las representaciones del pasado-presente-futuro, construidas por los y las futuras docentes, en estos espacios, e interpretar las relaciones entre sus niveles de conciencia histórica y su interacción con temas controvertidos a partir de sus propias narrativas sociales (n = 169). El estudio se adscribe a los enfoques cualitativo-deductivos, con el fin de comprobar la transferibilidad teórica de los niveles de conciencia histórica de Rüsen al contexto específico de una universidad española. Los resultados obtenidos arrojan niveles mayoritariamente ejemplares y críticos de conciencia histórica, con escasas variaciones entre las dimensiones analizadas (pandemia global por COVID-19 y salud pública; memoria histórica, identidades nacionales, crisis migratorias e identidades excluyentes; identidades de sexo-género e identidades excluyentes). Puede concluirse que trabajar temas controvertidos, generados en entornos virtuales, en la formación del profesorado podría mejorar la adquisición de conceptos de tercer orden, como la conciencia histórica, capacitando a los y las futuras docentes para abordar satisfactoriamente cuestiones socialmente vivas en el aula de forma transversal e interdisciplinar.
Analisis wacana kritis nasionalisme banal dalam film Lewat Djam Malam karya Usmar Ismail
Authors: Yudha Leksana Tegar Satria , Setiawan Benni
Published: July 2024

AbstrakPenelitian ini bertujuan untuk mengetahui bagaimana kritik terhadap wacana nasionalisme banal dihadirkan serta mengetahui kontestasi wacana nasionalisme yang terbentuk dalam film Lewat Djam Malam karya Usmar Ismail. Penelitian ini menggunakan pendekatan kualitatif dengan metode analisis berupa analisis wacana krits model Norman Fairclough. Analisis dilakukan pada tataran teks yang hadir dalam film Lewat Djam Malam. Teknik pengumpulan data dilakukan dengan analisis dokumen dengan coding sheet sebagai instrtumen penelitian. Analisis data dilakukan dengan mengorganisasikan dan menyiapkan data, membaca dan melihat seluruh data, membuat koding seluruh data, membuat koding sebagai bahan membuat deskripsi, menghubungkan antar tema, dan memberi interpretasi dan makna tentang nasionalisme banal Hasi penelitian ini adalah kritik Usmar Ismail terhadap nasionalisme banal dalam film Lewat Djam Malam dapat dikelompokan menjadi tiga pokok pikiran, diantaranya adalah: (1) Nasionalisme banal dapat melegitimasi kekuasaan pemerintah yang otoriter, (2) Nasionalisme banal dapat menyebabkan sikap apatis dan tidak kritis terhadap pemerintah, dan (3) Nasionalisme banal dapat menyebabkan pengabaian terhadap nilai-nilai HAM. Peneliti juga menemukan adanya kontestasi wacana dalam film Lewat Djam Malam di mana terdapat wacana nasionalisme progresif yang muncul sebagai wacana tandingan terhadap nasionalisme banal.Kata Kunci : Analisis Wacana Kritis, Film, Nasionalisme Banal, Usmar Islmail Abstract            This research aims to understand how critiques of banal nationalism discourse are presented and to identify the contestation of nationalist discourse formed in the film "Lewat Djam Malam" by Usmar Ismail. The study employs a qualitative approach with analytical methods using Norman Fairclough's critical discourse analysis model. The analysis is conducted on the textual level present in the film "Lewat Djam Malam". Data collection techniques involve document analysis with a coding sheet as the research instrument. Data analysis is carried out by organizing and preparing the data, reading and examining all the data, coding all the data, coding to create descriptions, connecting themes, and providing interpretation and meaning regarding banal nationalism. The result of this research is that Usmar Ismail's critique of banal nationalism in the film "Lewat Djam Malam" can be grouped into three main ideas, namely: (1) Banal nationalism can legitimize authoritarian government power, (2) Banal nationalism can lead to apathetic and uncritical attitudes towards the government, and (3) Banal nationalism can lead to neglect of human rights values. The researcher also found a discourse contestation in the film "Lewat Djam Malam" where there is a progressive nationalist discourse emerging as a competing discourse against banal nationalism.Keywords : Critical Discourse Analysis, Film, Banal Nationalism, Usmar Ismail
Psychological characteristics of the mediator’s personality
Authors: Tarasova N. V.
Published: July 2024

During the twentieth century, marked by some of the most tragic wars in human history, people began to turn more to settling conflicts through negotiations. During this period, mediation, litigation, mediation, negotiations, which are alternative methods of conflict resolution, began to intensively form and develop.

Mediation is considered negotiations in which an independent mediator takes an active part, the main goal of which is to competently structure the communication process and transition the conflict to the plane of constructive interpersonal interaction.

The purpose of this article is a comparative psychological analysis of the practical experience of the functioning of the institution of mediation on the basis of Russian courts of general jurisdiction.

Thanks to the conducted psychological experiment, the main characteristics of the institution of mediation as part of judicial reconciliation were given; personal characteristics in the activities of a mediator are considered; the practice of mediation is analyzed using the example of the Stary Oskolsky City Court of the Belgorod Region, the Arbitration Court of the Belgorod Region, the Belgorod Regional Court, the Yakovlevsky District Court, the Oktyabrsky District Court of the city of Belgorod, the Gubkinsky City Court, the Belgorod District Court; comparative personal characteristics and behavioral styles of judges and mediators are given; An analysis of the results of psychological diagnostics of mediators working in courts and general practice judges was carried out.

The following methods were used in the study: G. Eysenck’s «Self-Assessment of Mental States» test; test «Communicative and organizational aptitudes», authors V.V. Sinyavsky, V.A. Fedoroshin (KOS); questionnaire «Behavior style in conflict» by K. Thomas, R. Kilmann; author's questionnaire to study the work of general jurisdiction judges and mediators working in courts.

In the presented study, various methods of processing the obtained data were used, including qualitative and quantitative, and mathematical approaches.
Genre specifics of English-language literature. Book review: G. I. Lushnikova, T. Yu. Osadchaya. Modern English–language literature: traditions and experiment: monograph. M.: INFRA–M, 2023. 170 p. ISBN 978-5-16-017904-9
Authors: Fedulenkova T. N.
Published: July 2024

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BK Virus-Associated Nephropathy in Adult Patients Post Kidney Transplantation: What Progress in 30 Years of History?
Authors: Bentata Yassamine
Published: July 2024

Completely unknown before the 90s and exceptional up to the 2000s, BK virus nephropathy (BKvN), usually known as polyomavirus-associated nephropathy, has emerged as a significant and severe viral complication in kidney transplantation (KT). More than twenty years after Gardner's discovery of BKv in 1971, Purighalla described, in 1995, the first case of BKvN. Four years later in 1999, Nickeleit et al. published a first series of five cases of BKvN and made very precious and pertinent contributions to understanding this new entity. It has been well established that in post-KT, 30 to 50% of kidney transplant recipients are positive for BK viruria, of whom approximately one-third will develop BK viremia and, without intervention, could progress in 1 to 10% of cases to BKvN, leading to kidney graft failure in more than half of the cases. For now, there is no preventive antiviral treatment for BKvN; only a strategy of rapid, efficient screening allows for the preservation of renal graft function. The only effective and sure treatment measure is to reduce the intensity of total immunosuppression, including immunosuppressive drugs and corticosteroids. Based on the current data, this review describes the physiopathology, diagnosis, and management of BKvN in adult KTRs. It presents the results of the fifty most important studies published during the last two decades.
Comparison of Analgesia Methods Through a Web Platform in Patients Undergoing Thoracic Surgery: Pilot Design, Implementation, and Validation Study
Authors: Trò Rosella , Orecchia Angelica , Disma Nicola , Uva Paolo , Cavanna Roberto , Zanardi Nicolò , Torre Michele , Fato Marco Massimo
Published: July 2024

Background

Pain management is a vital and essential part of postoperative pectus excavatum (PE) care. Given the lack of an international consensus on guidelines for postoperative handling and evaluation, further research is necessary to compare the efficacy of existing pain management methods regarding pain relief, side effects, and long-term outcomes. In this context, the use of eHealth solutions for data mining can enhance data collection efficiency, reduce errors, and improve patient engagement. However, these digital health care frameworks are currently underused in the context of pain management for PE.

Objective

This research is part of the broader Cryoanalgesia for Pain Management After Pectus Excavatum Repair (COPPER) study conducted by Giannina Gaslini Children’s Hospital to address postoperative pain and recovery in PE patients treated with either standard thoracic epidural analgesia or cryoanalgesia, which is considered its innovative alternative approach. Specifically, this work is aimed at introducing a valuable tool for a comprehensive and quantitative comparison of the 2 analgesia strategies. The tool is a web and mobile app designed to facilitate data collection, management, and analysis of clinical data for pain assessment.

Methods

The adopted approach involves a careful design based on clinician input, resulting in an intuitive app structure with 3 main screens. Digital surveys are borrowed from paper surveys, including medical history and preoperative, postoperative, and follow-up evaluations. XTENS 2.0 was used to manage the data, and Ionic facilitated cross-platform app development, ensuring secure and adaptable data handling.

Results

Preliminary analysis on a pilot cohort of 72 patients (36 treated with standard therapy and 36 treated with cryoanalgesia) indicated successful patient enrollment and balanced representation across treatment groups and genders. Notably, hospital stay was significantly shorter with cryoanalgesia than with standard therapy (Mann-Whitney-Wilcoxon 2-sided test with Bonferroni correction; P<.001; U statistic=287.5), validating its treatment efficacy.

Conclusions

This work is a step toward modernizing health care through digital transformation and patient-centered models. The app shows promise in streamlined data collection and patient engagement, although improvements in multilingual support, data validation, and incentivization of questionnaire completion are warranted. Overall, this study highlights the potential of digital health solutions in revolutionizing health care practices, fostering patient involvement, and improving care quality.
Changes in the Frequency of Actions Associated With Mental Health During Online Treatment: Analysis of Demographic and Clinical Factors
Authors: Bisby Madelyne , Staples Lauren , Dear Blake , Titov Nickolai
Published: July 2024

Background

Specific daily actions (eg, goal setting, meaningful activities) are associated with mental health. Performing specific daily actions at a higher frequency is associated with significantly lower baseline symptoms of depression and anxiety, as well as better psychological treatment outcomes for depression and anxiety.

Objective

This study explored how the frequency of specific daily actions associated with mental health may differ prior to, during, and following treatment according to demographic and clinical characteristics.

Methods

Using a sample of 448 patients from an Australian national digital psychology service, we examined baseline differences in daily action frequency and changes in daily action frequency during a digital psychological treatment according to demographic and clinical subgroups. A total of 5 specific types of daily actions were measured using the Things You Do Questionnaire: healthy thinking, meaningful activities, goals and plans, healthy habits, and social connections.

Results

The frequency of daily actions differed according to employment status (largest P=.005) and educational level (largest P=.004). Daily action frequency was lower in those participants with more severe or chronic depression or anxiety symptoms (largest P=.004). Participants reported larger increases in how often they did these daily actions from baseline to midtreatment compared to mid- to posttreatment. Depression duration (P=.01) and severity (P<.001) were associated with differences in how daily action frequency changed during treatment.

Conclusions

The findings of this study support continued research exploring the relationship between daily actions and mental health, how this relationship might differ between individuals, and the clinical potential of supporting individuals to increase the frequency of daily actions to improve mental health.
Implementation of a Virtual Reality Intervention in Outpatient Physiotherapy for Chronic Pain: Protocol for a Pilot Implementation Study
Authors: Elser Alexander , Kopkow Christian , Schäfer Axel Georg
Published: July 2024

Background

Chronic pain is a global health issue that causes physical, psychological, and social disabilities for patients, as well as high costs for societies. Virtual reality (VR) is a new treatment that provides an opportunity to narrow the gap between clinical practice and recommended care in the use of patient education and behavioral interventions in the outpatient physiotherapy setting. However, there is currently no implementation strategy to integrate VR treatments into this setting.

Objective

This protocol outlines a pilot implementation study that aims to (1) identify barriers and facilitators for implementing a VR intervention in outpatient physiotherapy care for people with chronic pain and (2) develop and pilot test an implementation strategy in 5 practices in Germany.

Methods

The study consists of 4 phases. The first phase involves adapting the treatment protocol of the VR intervention to the local context of outpatient physiotherapy practices in Germany. The second phase includes the collection of barriers and facilitators through semistructured interviews from physiotherapists and the development of a theory-driven implementation strategy based on the Theoretical Domains framework and the Behavior Change Wheel. This strategy will be applied in the third phase, which will also include a 6-month span of using VR interventions in practices, along with a process evaluation. The fourth phase consists of semistructured interviews to evaluate the developed implementation strategy.

Results

The recruitment process and phase 1, including the adaptation of the treatment protocol, have already been completed. We recruited 5 physiotherapy practices in Lower Saxony, Germany, where the VR intervention will be implemented. The collection of barriers and facilitators through semistructured interviews is scheduled to begin in February 2024.

Conclusions

This pilot implementation study aims to develop a theory-driven implementation strategy for integrating a VR intervention into outpatient physiotherapy care for people with chronic pain. The identified barriers and facilitators, along with the implementation strategy, will serve as a starting point for future randomized controlled implementation studies in different settings to refine the implementation process and integrate VR interventions into the outpatient care of people with chronic pain.

Trial Registration

German Clinical Trials Register DRKS00030862; https://tinyurl.com/3zf7uujx

International Registered Report Identifier (IRRID)

DERR1-10.2196/58089
Push-Pull Determinants of Livelihood Diversification among Rural Dwellers in Oil-Polluted Communities in Niger Delta, Nigeria
Authors: Onuoha Onyekachi Chibueze
Published: July 2024

Abstrak
Diversifikasi mata pencaharian memungkinkan rumah tangga untuk berpartisipasi dalam berbagai kegiatan untuk memperluas sumber pendapatan. Penelitian ini mengkaji faktor-faktor penentu (dorongan dan tarikan) diversifikasi mata pencaharian di kalangan masyarakat miskin pedesaan di komunitas Delta Niger yang tercemar minyak. Data primer digunakan untuk penelitian ini dengan menggunakan kuesioner terstruktur dari 320 kepala rumah tangga yang terkena dampak langsung tumpahan minyak di lahan Ogoni. Data yang terkumpul dianalisis menggunakan standar deviasi, mean, dan uji sampel berpasangan. Studi ini mengungkapkan bahwa faktor pendorong merupakan motivasi yang kuat untuk melakukan diversifikasi karena tumpahan minyak di wilayah tersebut cukup menimbulkan tekanan dan memerlukan diversifikasi. Namun, beberapa rumah tangga termotivasi oleh faktor penarik berdasarkan keterampilan yang tersedia untuk mengeksplorasi kegiatan di luar pertanian dan non-pertanian. Direkomendasikan agar inisiatif pelatihan yang bertujuan untuk membekali penduduk pedesaan di daerah yang tercemar minyak dengan keterampilan yang dapat diterapkan pada pekerjaan non-pertanian harus dilaksanakan secara konsisten.
Kata kunci: Mata Pencaharian, Diversifikasi, Pedesaan, Penentu
Abstract
Livelihood diversification enables households to participate in multiple activities to widen income sources. This research examined the determinants (push and pull) of livelihood diversification among the rural poor in oil-polluted communities of the Niger Delta. Primary data were used for the study using a well-structured questionnaire from 320 household heads who had a direct impact by the oil spill in Ogoni land. The data collected were analyzed using standard deviation, mean and paired sample tests. The study revealed that the push factors were strong motivation for diversification as the oil spillage in the area was enough distress and necessitated the diversification. However, some households were motivated by pull factors based on available skills to explore off-farm and non-farm activities. It is recommended that training initiatives aimed at equipping rural residents of oil-polluted areas with skills applicable to non-farm occupations should be consistently carried out.
Keywords: Livelihood, Diversification, Rural, Determinants
UNAM. The Nation’s University
Authors: Trigo Tavera Francisco José
Published: July 2024

Versión en inglés de UNAM. La universidad de la nación, obra en la que se hace un recuento puntual y actualizado de la presencia y los alcances de la Universidad Nacional Autónoma de México en los ámbitos nacional e internacional. En sus páginas se da testimonio de las principales actividades cotidianas en investigación, docencia y difusión de la cultura y se refleja el compromiso adquirido con la sociedad mexicana, con la formación de un capital humano libre y responsable, y con los logros y desafíos que han beneficiado a la comunidad.
Las TIC, ciberdelitos, ciberdelincuencia y su impacto jurídico-social
Authors: Vázquez Sánchez Sergio Gabriel
Published: July 2024

Las Tecnologías de la Información y Comunicación han tenido un desarrollo y crecimiento agigantado, actualmente son utilizadas no sólo como un medio productivo, sino como un elemento que facilita la comisión de delitos a través de las mismas, toda vez que, por su propia y especial naturaleza brindan anonimato y son difíciles de rastrear, además de que el sujeto activo no necesita encontrarse en el lugar para desplegar la conducta, por lo que, a lo largo del presente documento, se explorarán tópicos como ciberdelito, ciberdelincuencia y el impacto que ha tenido en nuestro país la comisión de conductas delictivas a través de las TIC. Lo anterior, enfocado a determinar con argumentos sólidos la razón por la cual deben ser consideradas como medios comisivos, materiales e inmateriales, de delitos.
Mexicano al descubierto
Authors: Paredes Boleaga Yael Alexei
Published: July 2024

En la siguiente reflexión encontrarás la percepción de la identidad del mexicano actual, tomando en cuenta sus tradiciones, costumbres y pasiones, desarrolladas a lo largo y ancho de su historia. Tratando de encontrar un sentido a la esencia de su cultura, que ha sido una fuente de estudio importante en la filosofía Latinoamérica, por esa razón, en el presente trabajo verás los diferentes parámetros culturales a los que se enfrenta en su cotidianidad, teniendo una visión crítica a las actividades que realiza en la esfera social que lo acompaña día tras día.
Espacios compartidos, realidades divergentes: La dualidad del Parque de los Venados
Authors: Saavedra Cuevas Oscar Iván
Published: July 2024

En el tejido urbano, los espacios de recreación e interacción social son más que simples áreas recreativas, constituyen el escenario donde convergen y se entrelazan las diversas capas de la sociedad. A pesar de compartir un mismo espacio físico, cada individuo experimenta estos entornos de manera singular a partir de su particular percepción de la realidad, lo que refleja las complejidades de las estructuras sociales que coexisten en una realidad material en las ciudades contemporáneas. Según Delgado (1999) en su obra El animal público: hacia una antropología de los espacios urbanos, estos últimos son entendidos como el reflejo tangible de la sociedad y su dinámica social. Delgado examina cómo estos espacios no solo son físicos, sino que también están cargados de significado cultural y simbólico, lo que los convierte en lugares de interacción social compleja y en constante transformación.
La investigación pieza clave en el Posgrado de Pedagogía
Authors: Zárate Leticia
Published: July 2024

La evolución educativa depende en gran medida de la formación avanzada de sus profesionales. En este reportaje, el Dr. Carlos Aguilar, responsable del Posgrado de Pedagogía en la FES Aragón, nos guía a través de los programas de maestría y doctorado en esta disciplina. Exploraremos cómo estos estudios forman líderes educativos capaces de innovar y enfrentar los retos del siglo XXI. Los invitamos a realizar este recorrido por las líneas de trabajo para preparar a los futuros arquitectos de la enseñanza.
Acapulco y Otis: Un llamado de la naturaleza para la reflexión crítica urbano-arquitectónica
Authors: García Lorenzo Eber Jafet , Guzmán Ruiz Raúl Alejandro , Trujano Solís Suri Naarai
Published: July 2024

El documento profundiza en la crítica arquitectónica de Acapulco, centrándose en las consecuencias urbanas provocadas por el huracán Otis en 2023. Recorre la historia de Acapulco desde sus orígenes con los tlahuicas hace más de dos mil años hasta su importancia como puerto clave del comercio internacional. El texto destaca la evolución de la ciudad, los retos urbanísticos y el impacto del turismo en su arquitectura. Discute la devastación causada por el huracán Otis, haciendo hincapié en la vulnerabilidad de los diferentes grupos socioeconómicos, en particular los de las zonas marginadas con estructuras de vivienda precarias. El documento también cuestiona el papel de arquitectos e ingenieros en la creación de soluciones habitacionales resistentes, rentables y respetuosas con el medio ambiente para combatir el cambio climático. Además, critica el paisaje arquitectónico de Acapulco, señalando problemas como el aburguesamiento, la falta de adaptación a las condiciones naturales y la inadecuada planificación de las infraestructuras.
Resistencias amefricanas en territorios quilombolas en Brasil
Authors: Dorneles Ramos João Daniel
Published: July 2024

Este artículo analiza las luchas llevadas a cabo por los pueblos amefricanos, en el contexto de las comunidades quilombolas ubicadas en la región sur de Brasil. Hace consideraciones sobre la reexistencia de colectividades compuestas por humanos y otros seres, como formas de enfrentamientos contracoloniales. Estas comunidades luchan por la demarcación definitiva de sus territorios, frente al Estado, y por políticas de reconocimiento de sus formas de vida y prácticas, que involucran dimensiones socioambientales. Por tanto, es necesario comprender cómo los humanos, las plantas, los animales, los espíritus y otras entidades resisten a los procesos catastróficos, en el uso de hierbas, agua y alimentos, en la preservación de los bosques y otros sitios importantes.
The Role of the Indonesian Government in Mitigating Human Trafficking Cases through Social Media
Authors: Aprilion Audi , Murdani Andika Drajat
Published: July 2024

This study emphasizes the crucial role of the Indonesian government in addressing the emerging issue of human trafficking (TPPO) crimes facilitated by social media, particularly in Cambodia. Due to the swift advancement of information technology, social media has emerged as a viable medium for engaging in the recruitment, promotion, and execution of human trafficking activities. The objective of this study is to enhance comprehension of the Indonesian government's involvement in eliminating TPPO in Cambodia by utilizing social media. This study aims to analyze the measures implemented by the Indonesian government to combat Trafficking in Persons and enhance international collaboration. These measures include the establishment of a Memorandum of Understanding (MoU) between the Indonesian and Cambodian police forces, as well as the signing of bilateral agreements during the Cambodia-Indonesia Bilateral Meetings on Immigration Matters. The analytical findings indicate that the state plays a crucial role in eliminating human trafficking. However, to accomplish the objectives of both nations, it is necessary to engage in bilateral cooperation, namely through partnership with Cambodia.
“Poisoned” khans: the phenomenon of the sudden death of rulers in the mental perception of medieval Mongols
Authors: Vorotyntsev Leonid V. ,   Bunin Yelets State University, Galimov Teymur R. ,   Kazan (Volga Region) Federal University
Published: July 2024

Research objectives: To find out the real causes of death of the Mongolian khans Yesugei-baatur, Ogedei, and Guyuk, as well as the circumstances of the emergence of ideas about their poisoning, reflected in a number of narrative sources. Research materials: The work used the Mongolian historical and literary works “Mongol un-niucha tobchiyan” (“The Secret History of the Mongols”) and “Altan Tobchi” (“Golden Legend”), the Mongolian-Chinese dynastic chronicle “Yuan Shi”, as well as the works of the Hulaguid “chroniclers” Rashid al-Din (“Jami at-tawarih”) and Juveini ata-Malik (“Tarikh-i-jehangusha”). In addition, the information contained in the travel notes of the head of the papal embassy to the court of Guyuk Khagan – Giovanni del Plano Carpini – and the ambassador of the French King Louis IX, Guillaume Rubruk, were involved. Results and novelty of the study: the topic of reflection and interpretation in medieval written sources of the sudden deaths of Mongolian rulers has been beyond the attention of nomadic historians up to the present time. Because of this circumstance, the relevance of the problem raised in the study lies in considering one of the least studied aspects of the mental history of Eurasian nomads. The article examines several episodes related to the sudden death of three Mongolian khans (Yesugei-baatur, Ogedei, Guyuk) and the interpretation of these tragic events in narrative sources. Based on a critical analysis of the information presented in written sources, as well as the use of data from natural science disciplines (medicine, geography), the authors conclude that the misconceptions common in historical science about the violent nature of the deaths of the above-mentioned Mongolian rulers are false. According to the authors of the study, the causes of the sudden and premature deaths of Yesugei-baatur, Ogedei, and Guyuk were, respectively, food toxicological poisoning, the consequences of excessive alcohol consumption, and the progressive development of a chronic, incurable disease. It should be noted that the presented work is in the nature of an interdisciplinary study and is a thematic continuation of the article published in the journal “Golden Horde Review” in 2023 [8].