bluuebunny/crossref_metadata_2025 huggingface dataset:
Presenting decision-relevant numerical information to Dutch women aged 50–70 with varying levels of health literacy: Case example of adjuvant systemic therapy for breast cancer
Authors: van Strien-Knippenberg Inge S. , Timmermans Daniëlle R. M. , Engelhardt Ellen G. , Konings Inge R. H. M , Damman Olga C.
Published: September 2024

Background

If communicated adequately, numerical decision-relevant information can support informed and shared decision making. Visual formats are recommended, but which format supports patients depending on their health literacy (HL) levels for specific decisions is unclear.

Study aim

The aim of this study is to investigate: 1) the effect of survival rates and side-effects presentation formats on comprehension and ‘feeling informed’; 2) differential effects among women with higher/lower HL, with adjuvant systemic breast cancer therapy as case example.

Methods

Two online experiments among women from the Dutch population without a history of breast cancer were conducted. Experiment 1 had a 3 (survival rate format: text block–bar graph–icon array) x 2 (HL: low–high) between-subjects design. Experiment 2 had a 5 (side-effects format: no probability information–probability information in numbers with or without a visualisation–probability information in numbers with or without a visualisation accompanied by a description of the side-effects) x 2 (HL: low–high) design. Primary outcomes were comprehension and feeling informed (Experiment 2 only). Formats were previously designed in co-creation with patients.

Results

In Experiment 1, presentation format did not affect gist or verbatim comprehension. Higher HL was associated with higher gist comprehension. Experiment 2 showed an interaction between presentation format and HL on ‘feeling informed’. When provided with visualised probability information without a description of the side-effects, women with lower HL felt better informed than women with higher HL.

Conclusion

Visual formats did not enhance comprehension of survival rate information beyond a well-designed text block format. However, none of the formats could overcome HL differences. When designing decision-relevant information, visualisations might not necessarily provide an advantage over structured numerical information for both patients with lower and higher HL. However, a deeper understanding of presenting side-effect information is warranted.
The Analysis of the Technological Developments for the Human Health Especially for the Effects of Changing Environment
Authors: Mándy Zoltán
Published: September 2024

In my imaginations are about all the developments which can be connect with human health.In this study I show what are the main problems with all of the technological developmets all around the globe.There are so many publications which discuss the main problems and they tries to show the solutions, but these are the most difficult problems because the human do not want to leave the easier solutions about his life nowadays. It is enough to mention that the uses of bicycle instead of the cars especially ever since the European Union finished the all around development so bicycle ways in  the area of and between the cities in  Europen countries. It is important to know, that there are so many talented student in University of Miskolc, at Faculty of Healthcare, for example at Health-visitor and prevention professionals, who interested in in multi-and interdisciplinar borderlines of professionalism between science of health and law and technological science.We have to mention that this study is a begin of a new trend in this Faculty.
Tackling Non-IID Data and Data Poisoning in Federated Learning using Adversarial Synthetic Data
Authors: Danilenka Anastasiya
Published: September 2024

Federated learning (FL) involves joint model training by various devices while preserving the privacy of their data. However, it presents a challenge of dealing with heterogeneous data located on participating devices. This issue can further be complicated by the appearance of malicious clients, aiming to sabotage the training process by poisoning local data. In this context, a problem of differentiating between poisoned and non-IID data appears. To address it, a technique utilizing data-free synthetic data generation is proposed, using a reverse concept of adversarial attack. Adversarial inputs allow for improving the training process by measuring clients' coherence, favoring trustworthy participants. Experimental results, obtained from the image classification tasks for MNIST, EMNIST, and CIFAR-10 datasets are reported and analyzed.
Cryptocurrency and its Nexus with Money Laundering and Terrorism Financing within the Framework of FATF Recommendations
Authors: Anggriawan Rizaldy , Susila Muh. Endriyo
Published: September 2024

Cryptocurrency has emerged as a viable alternative to conventional payment systems, offering its users notable advantages such as cost efficiency and rapid transaction processing. However, cryptocurrencies’ decentralized nature, anonymity, and susceptibility to cyber threats introduce the potential for their exploitation in illicit activities, notably money laundering and terrorism financing (ML/TF). This scholarly investigation seeks to investigate the roles played by international organizations actively combating such criminal activities. In this academic context, a meticulous consideration of the inherent risks associated with the aforementioned criminal endeavors is undertaken, aligning with the guidelines and recommendations set forth by the Financial Action Task Force (FATF). The study underscores a significant finding that cryptocurrency accounts can be opened anonymously, with no centralized registry to monitor cryptocurrency ownership. This characteristic poses a formidable challenge in confiscating funds linked to terrorist activities. Even in instances where cryptocurrency transactions may be traced, accessing this critical data necessitates the involvement of third-party entities, given that cryptocurrency transactions are recorded in decentralized ledgers spanning multiple jurisdictions. Furthermore, the study underscores the imperative of coordination and information exchange as indispensable elements in the ongoing battle against organized and transnational criminal activities, specifically ML/TF. Moreover, the study elucidates the incongruence between cryptocurrency and FATF regulations governing electronic fund transfers, as cryptocurrencies can make transactions through opaque and unregulated conduits, such as the deep web.
Acordo União Europeia e Mercado Comum do Sul: novas perspectivas para sua efetivação
Authors: Da Conceição Lima Luciana Cristina , Moreno Pires Sara , Nunes Resende David
Published: September 2024

O Acordo União Europeia-Mercado Comum do Sul, negociado desde o início de 2000, possui objetivos que vão além das relações comerciais. A cooperação proposta traz em seu conjunto a redução de barreiras tarifárias e não tarifárias, investimentos para o desenvolvimento de tecnologias, transporte, educação e, sobretudo, a promoção do desenvolvimento sustentável. Considerado como um dos maiores acordos inter-regionais, são grandes as perspectivas de uma próxima conclusão. Sopesando as questões que dificultam sua conclusão, o presente artigo tem como objetivo analisar, por meio de pesquisa bibliográfica e estudo documental, as implicações dos diversos cenários para a definitiva aprovação do Acordo. Para tanto, buscou-se estudar seu contexto histórico, desde a proposta inicial, passando pelas negociações e diversas interrupções ocorridas, para então avaliar o estado da arte e as perspectivas de concretização. A partir da análise realizada, concluiu-se que houve melhoria nas expectativas sobre a aprovação do Acordo, considerando a mudança recente no contexto político do Brasil e as diversas forças que têm sido realizadas nesse sentido. Contudo, as negociações são permeadas por influências políticas e cenários dinâmicos, que podem inviabilizar o consenso pretendido. A importância do presente estudo está relacionada às crescentes discussões sobre os efeitos do Acordo, principalmente no que tange à efetividade das cláusulas socioambientais negociadas, questão que pode ser analisada em trabalhos futuros, que avaliem a efetividade das cláusulas propostas e a possibilidade de harmonização das normas e políticas adotadas no âmbito das duas regiões.
Touch and Temporality in Selected Manuscripts of the Roman de Troie and the Roman d’Eneas
Authors: Bridges Venetia
Published: September 2024

This article considers the intimate connections between proximity, temporality and metanarrative in selected thirteenth- and fourteenth-century multi-text manuscripts of Benoît de Sainte-Maure’s Roman de Troie (c. 1165) and the Roman d’Eneas (c. 1155), arguing that all display a desire for narratives of the past to construct collective meaning in the later medieval present. It uses the phrase romance historicity/ies to explore the compilatory metanarratives that these books construct, arguing that romance as a genre displays a multifaceted concept of history that combines linear chronology, thematic repetition and narratives of heroic individuals, which is demonstrated in varying degrees in these manuscripts. It highlights that although genre is indeed an important organising principle in such narratives, the relationship between romance and history is fluid even within this generic horizon of expectation.
Losing Ground: Measuring the Welfare Effects of Retail Food Price Inflation during the COVID-19 Pandemic on Mexican Household
Authors: Nava Noé J. , Wood Benjamin D. K. , Garduño-Rivera Rafael
Published: September 2024

As worldwide food prices rise, there is a growing interest in understanding the effect of these increases on households. Building on previous work, while applying recent methodological advances, we focus our attention on México during the COVID-19 pandemic. We document these price escalations for a basket of foods representative of Mexican households’ diets. The price increases are substantial across the basket, ranging from 20 percent in meat to 40 percent in tortilla. Using these estimates, we calculate the welfare effect from the recent food price escalation to cost households $17.07 billion annually, close to 1.5 percent of Mexico’s Gross Domestic Product in 2020. We estimate households would need to increase their food expenditure budgets by 28.66 percent, the compensating variation, to achieve pre-price increase utility levels.
Curcumin suppresses cell viability in breast cancer cell line by affecting the expression of miR-15a-5p
Authors: Suer Ilknur , Abuaisha Asmaa , Kaya Murat , Abanoz Fahrunnisa , Cefle Kivanc , Palanduz Sukru , Ozturk Sukru
Published: September 2024

Objectives

Curcumin plays a leading role as an epigenetic regulator in cancer. miR-15a-5p is a crucial non-coding RNA for breast cancer (BRCA) and various cancers due to its tumor suppressor role. In our study, we aimed to examine the curcumin/miR-15a-5p/target gene interaction in BRCA cells.

Methods

The effects of curcumin and miR-15a-5p on cell viability in the MCF7 cells were examined using the WST8 technique. The cell migration was determined using scratch wound assay. miR-15a-5p level was detected in curcumin-treated cells and miR-15a-5p transfected cells compared to control groups by RT-qPCR. Overexpressed genes in BRCA were found by bioinformatics tools (GSE41970 and TCGA). miR15a-5p potential target genes in the miRNet tool were selected in overlapped genes between GSE41970 and TCGA. Survival analysis of the selected genes was examined using the GEPIA2 tool. Relative expression levels of four selected genes were examined via qPCR.

Results

Cell viability and scratch-wound closure rate were reduced in curcumin-treated and miR-15a-5p mimic transfected MCF7 cells. miR15a-5p overexpressed in curcumin-treated and miR-15a-5p transfected cells. Eighty-three dysregulated upregulated genes were detected (in GSE41970 and TCGA). Among the possible target genes of miR-15a-5p in the miRNet tool, 10 upregulated genes were detected overlapping with GSE41970 and TCGA. CCNE1 and CHEK1 genes were found to be important for survival in BRCA. CCNE1 and BMI1 were decreased in curcumin-treated and miR-15a-5p transfected cells.

Conclusions

Curcumin treatment increased miR-15a-5p and downregulated selected target genes. Curcumin/miR-15a-5p interaction may be a much stronger negative regulator of the CCNE1 and BMI1 genes in BRCA.
The allocation of patients with personality disorders to a suitable treatment approach: The development of a checklist based on patients’ life stories
Authors: Pol Silvia M. , Zuidhof Niek , Sennef Dennis , Sools Anneke M. , Westerhof Gerben J.
Published: September 2024

Treatment assignment for patients with personality disorders (PDs) involves a complex process consisting of diagnostic assessment and deciding on the most appropriate psychotherapeutic treatment. This article describes the development of a checklist for systematic analysis of life stories to support reflective and transparent assignment of patients to either dialectical behavioral therapy (DBT) or schema-focused therapy (SFT). In a first study, an email survey, focus group, and member check were conducted among eight clinical experts to identify relevant dimensions in life stories in patients with PDs. In a second study, a checklist based on these dimensions was developed in three rounds of testing with nine clinical experts and nine psychology students. Checklist results were compared to actual assigned treatment for 20 patients. Systematic evaluation of life stories, is promising in supporting the allocation of patients with PDs to a suitable treatment approach by focusing on specific and consensual dimensions in patients’ life stories.
BRCA1 Promotes Repair of DNA Damage in Cochlear Hair Cells and Prevents Hearing Loss
Authors: Jiang Weitao , Wang Guanrun , Bai Feng , Hu Bing , Xu Yang , Xu Xingzhi , Nie Guohui , Zhu Wei-Guo , Chen Fangyi , Pei Xin-Hai
Published: September 2024

Cochlear hair cells (HCs) sense sound waves and allow us to hear. Loss of HCs will cause irreversible sensorineural hearing loss. It is well known that DNA damage repair plays a critical role in protecting cells in many organs. However, how HCs respond to DNA damage and how defective DNA damage repair contributes to hearing loss remain elusive. In this study, we showed that cisplatin induced DNA damage in outer hair cells (OHCs) and promoted OHC loss, leading to hearing loss in mice of either sex. Cisplatin induced the expression of Brca1, a DNA damage repair factor, in OHCs. Deficiency of Brca1 induced OHC and hearing loss, and further promoted cisplatin-induced DNA damage in OHCs, accelerating OHC loss. This study provides the first in vivo evidence demonstrating that cisplatin mainly induces DNA damage in OHCs and that BRCA1 promotes repair of DNA damage in OHCs and prevents hearing loss. Our findings not only demonstrate that DNA damage–inducing agent generates DNA damage in postmitotic HCs but also suggest that DNA repair factors, like BRCA1, protect postmitotic HCs from DNA damage–induced cell death and hearing loss.
Electrocortical Responses in Anticipation of Avoidable and Inevitable Threats: A Multisite Study
Authors: Stegmann Yannik , Teigeler Janna , Mirifar Arash , Keil Andreas , Gamer Matthias
Published: September 2024

When faced with danger, human beings respond with a repertoire of defensive behaviors, including freezing and active avoidance. Previous research has revealed a pattern of physiological responses, characterized by heart rate bradycardia, reduced visual exploration, and heightened sympathetic arousal in reaction to avoidable threats, suggesting a state of attentive immobility in humans. However, the electrocortical underpinnings of these behaviors remain largely unexplored. To investigate the visuocortical components of attentive immobility, we recorded parieto-occipital alpha activity, along with eye movements and autonomic responses, while participants awaited either an avoidable, inevitable, or no threat. To test the robustness and generalizability of our findings, we collected data from a total of 101 participants (76 females, 25 males) at two laboratories. Across sites, we observed an enhanced suppression of parieto-occipital alpha activity during avoidable threats, in contrast to inevitable or no threat trials, particularly toward the end of the trial that prompted avoidance responses. This response pattern coincided with heart rate bradycardia, centralization of gaze, and increased sympathetic arousal. Furthermore, our findings expand on previous research by revealing that the amount of alpha suppression, along with centralization of gaze, and heart rate changes predict the speed of motor responses. Collectively, these findings indicate that when individuals encounter avoidable threats, they enter a state of attentive immobility, which enhances perceptual processing and facilitates action preparation. This state appears to reflect freezing-like behavior in humans.
Role of the STING-IRF3 Pathway in Ambient GABA Homeostasis and Cognitive Function
Authors: Neupane Chiranjivi , Sharma Ramesh , Gao Fei Fei , Pham Thuy Linh , Kim Yoo Sung , Yoon Bo-Eun , Jo Eun-Kyeong , Sohn Kyung-Cheol , Hur Gang Min , Cha Guang-Ho , Min Sun Seek , Kim Cuk-Seong , Park Jin Bong
Published: September 2024

Targeting altered expression and/or activity of GABA (γ-aminobutyric acid) transporters (GATs) provide therapeutic benefit for age-related impairments, including cognitive dysfunction. However, the mechanisms underlying the transcriptional regulation of GATs are unknown. In the present study, we demonstrated that the stimulator of interferon genes (STING) upregulates GAT1 and GAT3 expression in the brain, which resulted in cognitive dysfunction. Genetic and pharmacological intervention of STING suppressed the expression of both GAT1 and GAT3, increased the ambient GABA concentration, and therefore, enhanced tonic GABAAinhibition of principal hippocampal neurons, resulting in spatial learning and working memory deficits in mice in a type I interferon-independent manner. Stimulation of the STING-GAT pathway efficiently restored cognitive dysfunction in STING-deficient mice models. Our study uncovered for the first time that the STING signaling pathway regulates GAT expression in a cell autonomous manner and therefore could be a novel target for GABAergic cognitive deficits.
THE IMPACT OF STARTER CULTURES ON QUARK TYPE CHEESE PRODUCTION
Authors: Eminoğlu Gökçe
Published: September 2024

This study was conducted to investigate the effect of starter cultures on the physicochemical and microbiological properties, texture, yield, and consumer preferences of quark type cheese. For this purpose, three different quark cheeses were manufactured by using commercial starter cultures. The microbiological, physicochemical, textural, and sensory properties of the cheese samples were determined at 1st, 14th, and 28th days of the storage period. The results showed that the kind of starter culture used in production influences the composition and yield of the obtained quark cheeses. It has been determined that the use of kefir culture in quark cheese production influences the moisture and water holding capacity, and as a result, improves its spreadability. Also, the sensory analysis exhibited that cheese produced with kefir culture had higher texture and taste-flavor acceptability. The study indicates that kefir culture may be successfully used in quark cheese production.
AİHM VE YARGITAY KARARLARI DOĞRULTUSUNDA CEZA MUHAKEMESİ HUKUKUNDA BİR SORUŞTURMA YÖNTEMİ OLARAK TEŞHİS
Authors: Eryıldız Hüsnü Sefa , Şahin Akdemir Merve
Published: September 2024

Teşhis, ceza yargılamasında şüpheli veya sanığın “kişi” olarak tespiti amacıyla başvurulan bir işlemdir. Güvenilirliği tartışmalı olsa da teşhise delil elde etme amacına yönelik olarak uygulamada sıklıkla başvurulmaktadır. Bu nedenle, teşhis işleminin doğru bir şekilde yapılması, elde edilen delilin hukuka uygun olması, maddi gerçeğe ulaşılması bakımından oldukça önemlidir. Teşhis işlemi farklı yöntemlerle yapılmakta ve bu yöntemler güvenilirlik seviyesine bağlı olarak kategorize edilmektedir. Bu çalışmada teşhis yöntemlerinden olan; yüz yüze görüntü teşhisi, fotoğraf teşhisi, ses teşhisi ve parmak izi teşhisi tanımlanmış ve uygulama koşulları bakımından dikkate alınması gereken hususlar öğreti ve Avrupa İnsan Hakları Mahkemesi başta olmak üzere yargı kararları ışığında ortaya konulmuştur.
Construcción del binomio: interculturalidad y personas Sordas
Authors: Martínez Atanacio Mariana
Published: September 2024

Este trabajo se enfoca en la revisión de fuentes documentales sobre la interculturalidad y las personas Sordas en América Latina. El objetivo es identificar la relación y el aporte de dicha perspectiva en los estudios, por medio de la búsqueda y la recopilación de materiales publicados en cuatro bases de datos de libre acceso. Para ello, se empleó el enfoque cualitativo y la investigación documental. Implicó la revisión sistemática, la elaboración de fichas de contenido, la clasificación, el cotejo de información y la organización de las siguientes categorías: enfoque, bilingüe, nociones y educación. El mayor reto fue la reflexión teórica y empírica de los documentos para determinar el vínculo del binomio. Los resultados mostraron la presencia de la simetría en la propuesta educativa destinada a los pueblos indígenas con las comunidades sordas por la concepción de minorías lingüísticas.
La referencia lingüística y la decolonización de los nombres propios en las lenguas de señas
Authors: Escobar Lopez Dellamary Luis Daniel , Barajas Gicelle
Published: September 2024

The subject of the proper name is the subject of reference. Proper names are paradigmatic examples because they refer to unique entities in the world (uniqueness). In sign languages, there are gestural expressions that identify people in deaf communities and are distinguished from the spelling of their name given in Latin alphabet. Studies on this topic have described the signed proper name according to hand configurations and its other articulatory characteristics, according to some general principles about the significance of having the proper name in the community and how it functions. However, almost no mention is made of the basic concepts involved in the theoretical formulation of names and uniqueness. In this paper, we argue that descriptions of this topic are deliberately simplistic and reductionist, not because there is a desire to marginalize sign languages, but because we have been historically conditioned to act this way. From a decolonial critique and an anti-representationalist perspective of language, we show the controversies that shape the issue of proper names and propose an integrated view that advances in the deconstruction of polarizations and false dichotomies in the linguistic and identity discourse.
Política y planificación lingüísticas en Guatemala: La experiencia de los Acuerdos de Paz Firme y Duradera de Guatemala de 1996
Authors: Herrera Peña Julia Guillermina
Published: September 2024

Breve revisão da situação da discriminação linguística ao longo de um século (das últimas décadas do século XIX às décadas correspondentes do século XX). Apresentação da proposta de política linguística derivada dos Acordos de Paz, assinados em 1996 após 36 anos de guerra interna. O consistente planejamento linguístico e os resultados dessas apostas que buscaram estabelecer um novo pacto social entre os guatemaltecos, conferem aos povos indígenas um protagonismo na sociedade e no Estado e no combate à discriminação.
Exploraciones iniciales de las anáforas de la LSP: argumentos a favor de un análisis desde la semántica dinámica de las ‘donkey sentences’
Authors: Ramos Cantu César Augusto
Published: September 2024

As sentenças ‘donkeys’, que têm um pronome anafórico referindo-se a um referente indefinido ou quantificado, têm sido constantemente discutidas na linguística e deram origem a dois tipos de abordagens: a dinâmica e a do tipo eletrônico. A primeira busca repensar a noção tradicionalmente usada de pronome, enquanto a segunda defende a discussão da noção de quantificador em relação ao seu escopo sintático. Nesse contexto, o objetivo deste artigo é registrar e analisar as sentenças ‘donkeys’ da língua de sinais peruana (LSP), para que possamos argumentar a favor de uma ou outra abordagem. Para isso, foram obtidos dados de julgamentos de valor e solicitações de tradução com um falante. Como resultado, obtivemos que uma abordagem baseada na semântica dinâmica nos permite entender melhor o comportamento dessas frases na LSP.
Serafín de Fleishmann, María Esther y González Pérez, Raúl (2011). Manos con Voz. Diccionario de Lengua de Señas Mexicana. México: Consejo Nacional para Prevenir la Discriminación.
Authors: Saavedra Valeria
Published: September 2024

Si bien la comunidad sorda —al igual que la comunidad oyente— forma parte de la economía de todas las sociedades del mundo, no goza de una misma integridad lingüística y cultural, pues se ha visto relegada a un uso intergrupal, debido a que —a diferencia de la lengua hablada y escrita— no cuenta con instrucciones integradoras en el ámbito académico (Massone y Johnson, 1991). Esta necesidad de integrar lingüística y culturalmente a la comunidad sorda ha despertado el interés por abordar estudios relacionados con el uso de la lengua de señas. Por ello, persiste la importancia de registrar cómo esta comunidad entabla mecanismos de comunicación.
Les connexions de l'espace des survecteurs d'appuis de structure fins-lériènne
Authors: Šinkūnas Juozas
Published: September 2024

L'espace de survecteurs d'appuis [3] avec le champ de fonction métrique F s'appelle l'espace de survecteurs d'appuis de structure finslériènne ℱn,N(p). De la fonction F, ses prolongements partiels et de la connexion affine d'ordre supérieur on a reçu l'object de la connexion linéaire de l'espace ℱn,N(p).
Elementary mathematics reseach done by primary school pupils
Authors: Kiseliovas Arkadijus , Kiseliova Danutė
Published: September 2024

The problem of the elementary mathematics research done by primary school pupils has been dis­cussed. Elementary mathematics research is performed according to the new set of teaching devices "In The World of Mathematics" meant for the primary school.
Mathematics in agricultural universities
Authors: Raškinienė Danutė
Published: September 2024

There is not abstract.
Solutions des exercices s'appuiant sur les propriétés des fonctions
Authors: Šinkūnas Juozas , Urbonas Algimantas Pranas
Published: September 2024

Dans cet article on étudie la posibilité de simplifier des solutions des exercices on sâppuiant suries propriétés des fonctions (domaine de définition, pairité, convexité, variation etc.).
Second-order asymptotics for discriminant analysis in exponential family
Authors: Dučinskas Kęstutis
Published: September 2024

There is not abstract.
About the geometrical properties of the root condition for the third order polynomials
Authors: Štikonas Artūras
Published: September 2024

This paper deals with a root condition for polynomial of the second and third order. We prove the root criterion for such polynomial with complex coefficients and find regions for the root condition in the special coefficients' phase space.
On the mean square of the Lerch zeta-function
Authors: Laurinčikas Antanas
Published: September 2024

There is not abstract.
On analytic problems of combinatorial structures
Authors: Manstavičius Eugenijus
Published: September 2024

There is not abstract.
Potential Bias in Social Work Consultations in the Pediatric Inpatient Setting
Authors: Segev Natalie R. , Fanta Meghan L. , Litman Stacey , Beck Andrew F. , Unaka Ndidi I.
Published: September 2024

BACKGROUND AND OBJECTIVES

Failure to thrive, brief resolved unexplained event, accidental ingestion, and drowning admissions commonly involve social work (SW) consultation. Care team biases likely influence SW consultation decisions. We examined whether SW consultations varied by patient race for these diagnoses.

METHODS

We conducted a retrospective cohort study of children <6 years of age admitted for failure to thrive, brief resolved unexplained event, accidental ingestion, and drowning between July 1, 2012 and June 30, 2020 at a single, academic, standalone children’s hospital in an urban environment. The outcome was SW consultation; the predictor was patient race. We used multivariable logistic regression, adjusting for ethnicity, language, insurance, and diagnosis. We completed a supplemental chart review of a random sample of 10% of patients with SW consultation to determine the reasons that consultations were placed.

RESULTS

We included 1199 unique patients; 64% identified as white, and 22% identified as Black. Black patients had 1.61 times higher adjusted odds of SW consultation compared with white patients (95% confidence interval 1.14–2.29). Publicly insured, compared with privately insured, patients had 6.10 times higher adjusted odds of SW consultation (95% confidence interval 4.28–8.80). Upon supplemental chart review, Black patients had SW consultations that focused more often on abuse, neglect, and safety; this was also found for publicly insured patients. There was parity in consultation for resource needs across groups.

CONCLUSIONS

Black children were more likely than white children to receive SW consultation during hospitalization, as were publicly insured children compared with their privately insured peers; in supplemental review, this was not due to differences in consultations for resource needs. The standardization of SW consultation may promote equitable care.
Involucramiento parental en retrospectiva: apoyos académicos percibidos por estudiantes de educación superior a través de su historia educativa
Authors: Fuster Baraona Tamara , Carmiol Ana M. , Salazar Villanea Mónica , Rosabal Coto Mariano
Published: September 2024

Este artículo científico busca conocer el rol del involucramiento parental percibido en el desempeño académico del estudiantado universitario. Para esto se llevó a cabo una investigación cuyo objetivo fue conocer las percepciones de un grupo de estudiantes de educación superior acerca de los apoyos académicos que recibieron de sus padres, sus madres y otras personas durante su infancia y adolescencia que les permitieron alcanzar el logro académico y así, eventualmente, acceder a la educación superior. El estudio tiene un enfoque cualitativo. Durante el 2019, se les realizaron entrevistas semiestructuradas a 14 estudiantes académicamente exitosos de universidades públicas costarricenses de distintos estratos socioeconómicos. Los hallazgos indicaron que existen diversas formas en que las madres y los padres de familia apoyan a sus hijos e hijas: apoyo instrumental, apoyo con las tareas escolares (padres y madres como docentes), e involucramiento con la escuela (padres y madres como agentes de apoyo a la escuela). Las madres proveen más apoyo académico que los padres, y se brinda más seguimiento en la primaria que en la secundaria. Para algunas personas entrevistadas el gusto por la lectura fue importante para su desarrollo académico. Como barreras que experimentaron las y los jóvenes para acceder a la educación superior se encuentran el desconocimiento de los procedimientos de admisión a las universidades y el proceso para la obtención de becas universitarias. Las personas entrevistadas perciben el estudio como un refugio, como un escape y para como parte de su identidad.
El papel de la familia en la atención temprana: perspectiva de profesionales en Orientación y en Educación Especial
Authors: Alvarado Cordero Silvia , Córdoba-Warner Eugenia
Published: September 2024

Se presentan resultados de una investigación inscrita en el Instituto de Investigación en Educación (INIE) de la Universidad de Costa Rica, realizada entre los años 2022 y 2023. Incluye los datos referidos al objetivo específico de reconocer el papel de la familia en los procesos educativos de niñas y niños con discapacidad y riesgo en el desarrollo, desde el nacimiento hasta los seis años que asisten a los servicios educativos del Ministerio de Educación Pública de Costa Rica, según la perspectiva de profesionales en Educación Especial y Orientación. La metodología utilizada corresponde al enfoque cualitativo, con alcance descriptivo y método fenomenológico; se aplicó la técnica de entrevista semiestructurada, a nueve profesionales en Educación Especial y ocho de Orientación de instituciones educativas de diferentes regiones del país. La información se analizó utilizando la herramienta Atlas.ti 23, que permitió la reducción y organización de los hallazgos en cuatro subcategorías: ingreso al servicio, involucramiento de la familia, estrategias pedagógicas y recomendaciones. Los resultados permiten concluir la relevancia de la participación e involucramiento familiar en el desarrollo y aprendizaje del estudiantado de primera infancia. Se evidencia la urgencia de aplicar los principios del enfoque centrado en la familia para la atención educativa. Se recomienda realizar procesos de actualización profesional en atención temprana desde el modelo social de la discapacidad que contribuirán con oportunidades de desarrollo y atención de la población estudiantil que asiste a los servicios.
„Horgász a pácban” – A természetkárosító cselekmények és a turizmus kapcsolata
Authors: Halász Henrietta , Ritecz György , Tokodi Panna , Szalai Katalin
Published: September 2024

A tanulmány a hazai helyzet értékelésén és néhány nemzetközi példán keresztül azt vizsgálja, hogy a turizmus régóta kutatott negatív fizikai hatásai közül a természetkárosítási esetek összefüggésbe hozhatók-e a turistákkal. A tanulmány tárgyalja a hazánk belföldi és nemzetközi turizmusához kapcsolódó, abból eredeztethető természetkárosítási tevékenységek jogi szabályozását. A szerzők a nyilvános adatok alapján – a turizmussal kapcsolatba hozható természetkárosítási cselekmények adatainak elemzése mellett – szakirodalom feldolgozásával vizsgálták, hogy a látogatók által (is) károsított természet milyen formában hat a turizmusra, van-e esély az egyensúly megteremtésére. Az eredmények nem túl kedvezőek, de a tudományos igényesség megkövetelné a további, mélyrehatóbb vizsgálatokat.
A simultaneous case miliary tuberculosis presenting with tuberculous meningitis: a case report
Authors: Widyakusuma I Gusti Ngurah Agung Jayadhi , Purniti Ni Putu Siadi , Subanada Ida Bagus , Suwarba I Gusti Ngurah Made , Mahalini Dewi Sutriani
Published: September 2024

Background: Miliary tuberculosis in children could occur 20-40% simultaneously with tuberculous meningitis (TBM). Dissemination of the tuberculous bacilli from the lungs to the meninges leads to the formation of small tuberculomas, leading to TBM. Despite the availability of effective therapy, diagnosis is usually late, and mortality remains high.
Case Presentation: A 15-year-old boy came to our emergency ward with the chief complaint of loss of consciousness two days before admission. The patient had a fever in the past month. Fever occurred in several episodes along with cough. The patient had a headache five days before admission. Projectile vomiting was denied. The patient had lost about five kilograms in the last month. Vital signs are stable and within normal limits. Physical examination showed lethargy, neck stiffness, and an enlarged lymph node on the neck. Neurologic examination was normal. Chest X-ray showed miliary opacities scattered over both lung fields. Cerebrospinal fluid (CSF) examination showed clear with low glucose and high cell count suggested to TBM. No bacteria were found in the CSF culture sample. A contrast head computed tomography (CT) scan revealed a leptomeningeal contrast enhancement. Active communicating hydrocephalus was also seen on a head CT scan. Eventually, Mycobacterium was detected in the gastric fluid. The patient was diagnosed with tuberculous meningitis. This patient was treated in an intensive phase of anti-tuberculous therapy and continued with an advanced phase.
Conclusion: We reported cases of miliary tuberculosis simultaneously with tuberculous meningitis in a 15-year-old patient. The timely diagnosis and management will reduce morbidity and mortality.
Identifikasi kontaminasi Salmonella sp. pada ikan cakalang (Katsuwonus pelamis) di Pasar Ikan Kedonganan
Authors: Kusuma Baruna Bagus Putra , Pinatih Komang Januartha Putra , Darwinata Agus Eka , Tarini Ni Made Adi
Published: September 2024

Background: Food contamination can be a serious health problem. This contamination can occur in various places, one of which is traditional markets. Raw food, including skipjack tuna (Katsuwonus pelamis), is one of the food ingredients that is at risk of contamination due to improper handling. Several sources say that significant contamination in skipjack tuna can come from Salmonella sp. which can contribute to various disease complications. Evaluation and identification of Salmonella sp contamination. on skipjack tuna at the Kedonganan Fish Market, Bali is an important thing to review further.
Method A cross-sectional approach was carried out to identify Salmonella sp. contamination in skipjack tuna at the Kedonganan Fish Market. Data was taken from samples obtained using the cluster random sampling method, then tested for Triple Sugar Iron Agar (TSIA) and analyzed descriptively.
Results: Of the 20 samples that were collected, 6 samples (30%) of skipjack tuna were identified as being contaminated with Salmonella sp. which was marked by a positive Triple Suger Iron test.
Conclusion: Salmonella sp. contamination was found in skipjack tuna meat sold at the Kedonganan Fish Market with a contamination prevalence of 30%.
 
Latar Belakang :  Kontaminasi makanan dapat menjadi permasalahan yang serius terhadap kesehatan. Kontaminasi tersebut dapat terjadi di berbagai tempat, salah satunya adalah pasar tradisional. Makanan mentah, termasuk daging ikan cakalang (Katsuwonus pelamis), menjadi salah satu bahan makanan yang berisiko mengalami kontaminasi akibat penanganan yang tidak tepat. Beberapa sumber menyebutkan bahwa kontaminasi signifikan pada ikan cakalang dapat berasal dari Salmonella sp. yang dapat berkontribusi terhadap berbagai komplikasi penyakit. Evaluasi dan identifikasi dari kontaminasi Salmonella sp. pada ikan cakalang di Pasar Ikan Kedonganan, Bali merupakan hal penting untuk ditinjau lebih lanjut.  
Metode : Pendekatan potong lintang dilakukan untuk mengidentifikasi kontaminasi Salmonella sp pada ikan cakalang di Pasar Ikan Kedonganan. Data diambil dari sampel yang diperoleh dengan metode cluster random sampling kemudian dilakukan pengujian Triple Sugar Iron Agar (TSIA) dan dianalisis secara deskriptif.
Hasil : Dari 20 sampel yang telah dikumpulkan, ditemukan teridentifikasi sebanyak 6 sampel (30%) ikan cakalang yang terkontaminasi dengan Salmonella sp yang ditandai dengan uji Triple Suger Iron positif.
Kesimpulan : Ditemukan kontaminasi Salmonella sp. pada daging ikan cakalang yang dijual di Pasar Ikan Kedonganan dengan prevalensi cemaran sebesar 30%.
Dietary patterns, physical activity, and nutritional status of medical students at Udayana University
Authors: Wijaya Bertrand Maylenzky , Awan Syuma Adhy , Weta I Wayan , Ani Luh Seri
Published: September 2024

Background: Indonesia faces a significant nutritional challenge among adolescents, termed the double burden, involving both undernutrition and overnutrition, notably central obesity. Lifestyle factors such as irregular dietary patterns and inadequate physical activity contribute to these issues, impacting physical and mental growth and development, particularly the cardiovascular system. This study aimed to examine the dietary patterns, physical activity, and nutritional status of medical students at Udayana University.
Methods: This descriptive observational cross-sectional study involved 165 students, selected using simple random sampling. Dietary patterns were assessed using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), physical activity was evaluated using the Global Physical Activity Questionnaire (GPAQ), and nutritional status was determined through anthropometric measurements.
Results: Most respondents exhibited dietary pattern close to the recommended dietary allowance (RDA) (53.9%), followed by low (40%) and over (6.1%). In terms of physical activity, 51.5% had insufficient activity, while 48.5% had sufficient activity. Regarding nutritional status, 55.2% were classified as normal, 10.3% underweight, 15.8% overweight, and 18.8% obese, comprising obesity I (12.7%), obesity II (6.1%), and central obesity (12.7%).
Conclusion: The study highlights prevalent abnormal dietary patterns and nutritional status among respondents, alongside inadequate physical activity. Recommendations include implementing interventions to improve dietary habits and increase physical activity among medical students at Udayana University. Further research utilizing more precise measurement methods is warranted to explore the relationship between dietary patterns, physical activity, and nutritional status.
Localized multisystem inflammatory syndrome in children (mis-c), faster recovery outcome: a case report
Authors: Wintari Putu Nandika , Wati Ketut Dewi Kumara , Utama I Made Gede Dwi Lingga Utama
Published: September 2024

Backgrounds: MIS-C cases emerged approximately 4–5 weeks on average after the peak prevalence of COVID-19. The symptoms could be asymptomatic or mildly symptomatic with fever and cough. It was unknown if these infants’ exhibited symptoms of Kawasaki disease (KD) or toxic shock syndrome (TSS), or whether they represented a condition associated with the continuing COVID-19 epidemic.
Objective: To describe clinical outcome and examination results of localized multisystem inflammatory syndrome in children.
Case presentation: A 23-month-old boy was brought to the pediatric allergy immunology clinic as a referral from a pediatrician with complaints of lump on right preauricular region, which was redden and painful, feels warm, and difficulty opening mouth. There were also multiple small nodules in peri anal area. There was fever for 1 week before admitted, accompanied by a runny nose with clear secretions with no cough. Fever already resolved at presentation. Tonsils are enlarged to T3/T4 without hyperemic nor injection. The presence of fever, conjunctivitis and cracked lips mimicking Kawasaki disease, but electrocardiography and echocardiography were normal. The MISC panel was shown support for MISC, wherein CBC showed presence of lymphopenia, anemia, neutrophilia, and thrombocytosis. Other panel MISC like the erythrocytes sedimentation   rate, quantitative CRP, D-dimer, and quantitative IgG SARS-COV-2 antibodies it was reported to be increased. The patient was treated with intravenous high doses methylprednisolone pulse 10 mg/kg, then tapered off before stopped. The lump was disappeared after the second dose of HDMP, and patient was discharged after 7 days of admission.
Conclusion: We reported a localized Multisystem Inflammatory Syndrome (MIS-C) treated with high dose methylprednisolone resulting in fast recovery.
Isu strategis dalam kewirausahaan rumah sakit: Sebuah studi literatur
Authors: Ardinata Bhatara , Hardinata Felicia , Agustiany Indri , Simarmata Moida Elisabeth , Suryadi Nur Fatimah Haq , Hermansyah Taufan , Purwadhi  , Veranita Mira
Published: September 2024

Background: A hospital is a health service institution that provides comprehensive health services for individuals by providing inpatient, outpatient, and emergency services. The strategic plan by hospital management to improve health services for the community can be determined one way: through the hospital's customer satisfaction level. Apart from carrying out humanitarian missions and quality health services, hospitals also carry out business strategies to ensure the sustainability of their management and gain profits. This research aims to determine strategic issues in hospital entrepreneurship.
Method: This research uses a literature review method. The data used in this research is secondary data, where data sources were searched using databases via Academia, Google Scholar, and Research Gate, and researchers determined 10 previous research journals that were most relevant to this research topic. Researchers use data analysis techniques: data collection, data reduction, data presentation, and drawing conclusions.
Result: The research results show that strategic issues in hospital entrepreneurship must be to increase effective promotional strategies, improve the marketing mix in hospitals, enhance the quality of service, and increase patient visits to inpatient units.
Conclusion: Implementing a hospital entrepreneurship strategy is necessary to ensure excellent and effective hospital management continuity.
 
Pendahuluan: Rencana strategis yang dilakukan manajemen rumah sakit untuk meningkatkan pelayanan kesehatan bagi masyarakat dapat ditentukan salah satunya melalui tingkat kepuasan pelanggan rumah sakit itu sendiri. Selain mengemban misi kemanusian dan pelayanan kesehatan yang bermutu, rumah sakit juga menjalankan strategi bisnis untuk memastikan keberlanjutan manajemennya dan mendapatkan keuntungan.Penelitian ini bertujuan untuk mengetahui isu strategis dalam kewirausahaan rumah sakit. Penelitian ini menggunakan metode literature review.
Metode: Data yang di gunakan dalam penelitian ini adalah data sekunder, dimana pencarian sumber data dilakukan menggunakan database melalui academia, google scholar, dan research gate dan peneliti menentukan 10 jurnal penelitian terdahulu yang paling relevan dengan topik penelitian ini. Teknik analisis data yang peneliti gunakan yaitu  pengumpulan data, reduksi data, penyajian data dan penarikan kesimpulan.
Hasil: Isu strategis dalam kewirausahaan rumah sakit harus meningkatkan strategi promosi yang efektif, meningkatkan bauran pemasaran pada rumah sakit, meningkatkan kualitas pelayanan, dan meningkatkan kunjungan pasien unit rawat inap
Simpulan: Penerapan strategi kewirausahaan rumah sakit sangat diperlukan untuk menjamin keberlangsungan  pengelolaan rumah sakit yang baik dan tepat guna.
A case report of endophthalmitis caused by Streptococcus pneumoniae serotype 3
Authors: Pramadewi Ni Made Dian , Kintami  , Tarini Ni Made Adi , Rustawan I Nengah Tony , Juliari I Gusti Ayu Made
Published: September 2024

Background: Streptococcus pneumoniae is often the cause of infections, including eye infections such as endophthalmitis, keratitis, and conjunctivitis. Endophthalmitis is a severe infection and can cause blindness. This case report aims to investigate and report the incidence of endophthalmitis caused by S. pneumoniae.
Case presentation: We report the case of a 67-year-old man with blurred vision in his right eye accompanied by red, watery eyes, discharge, swollen eyelids. The patient was assessed as having exogenous endophthalmitis ocular dextra et causa bacterial infection with a post-secondary implant for three years. From the result of the culture and sensitivity test of the cornea and vitreous sample, S. pneumoniae was found to have a 97% probability using VITEK 2 Compact. We continued to examine the serotype using Polymerase Chain Reaction (PCR), and the result was S. pneumoniae serotype 3. The patient was treated with ceftriaxone as definitive therapy, and the condition improved.
Conclusion: S. pneumoniae is the known organism that causes one eye infection with risk factors such as previous cataract surgery. Prompt diagnosis and treatment are needed for good outcomes.