bluuebunny/crossref_metadata_2025 huggingface dataset:
Correlations for Limestone Properties Used in Cultural Heritage Monuments in Malta
Authors:   Faculty for the Built Environment, University of Malta, Msida MSD 2080, Malta, BIANCO LINO
Published: December 2023

"The aim of this paper is to identify mathematical correlations between the physical and geochemical properties of first quality limestone extracted from the Lower Globigerina Member. Based on published results, it can be confirmed that very strong correlations exist for (i) apparent density and uniaxial compressive strength when limestone is in a saturated condition, and (ii) ultrasonic pulse velocity – both perpendicular and parallel to the bedding plane – and uniaxial compressive strength when limestone is in either oven-dried or saturated conditions. Stronger correlation is present with respect to apparent density when limestone is oven-dried and color. The correlations for color and (a) ferric oxide, and (b) loss-on-ignition are also strong."
Nano drug delivery-benefits, limitations and future perspective
Authors: Varala Ravi , Kotra Vijay , Kanuri Anil Kumar , Burra Mahesh Reddy , Nyamathullah Shaik
Published: December 2023

In many aspects, nanotechnology aids in the enhancement of the pharmacological and therapeutic qualities of traditional medications. Because nanocarriers can pass through the blood-brain barrier, they can be studied at the cellular level. Although nanodrug delivery has several drawbacks, it can adapt to minute alterations in the surrounding cellular environment, which helps to solve a lot of the present drug delivery issues. Strict standards should be developed by regulators to address their shortcomings. It is generally expected that during the coming years, nanotechnology will continue to advance and spread throughout many facets of science and life. The medical sciences will benefit from the applications of nanotechnology, which will include drug delivery systems, patient therapies, and diagnostic tools. Nanotechnology has been investigated thus far for targeted delivery and diagnosis. It is important to remember that the field of nanotechnology will only grow in the future in the healthcare industry. We provide some important insights about nanodrug delivery from this angle.
Impacts of radiative heat flux and heat acquisition on steady Magneto hydrodynamics with viscous and ohmic dissipation, Free convection casson fluid flow between porous plates
Authors:   Department of Mathematical Sciences, Olabisi Onabanjo University, Ago-Iwoye, Nigeria, M.A Usman , O.W Lawal ,   Department of Mathematics, Tai Solarin University of Education, Ijagun, Nigeria, B.A. Peter ,   Department of Mathematics and Statistics, Kampala International University, Kampala, Uganda
Published: December 2023

An investigation was conducted on a steady magnetohydrodynamic (MHD) free convection flow of a Casson fluid across a parallel vertical plate immersed in a porous medium with viscous and magnetic dissipation. In addition, the energy equation contains terms for radiational heat flow, heat injection, and suction. The perturbation approach provides an analytical solution to the governing nonlinear partial differential equations underlying this phenomenon. The numerical approach in the Maple program was used to verify the correctness of the outcomes produced by the perturbation technique. The Grashof and Prandtl numbers, Casson fluid, magnetic field, and porosity parameters as well as radiation parameter, and heat injection/suction parameter impact on the flow is discussed graphically. Skin friction coefficient and Nusselt number are tabulated for a range of magnetic and radiative parameter values. The other physical factors listed above accelerate the fluid velocity, but the magnetic field decreases it. Furthermore, the wall shear stress and heat transfer were significantly impacted by the magnetic and radiative factors.
Conceptualization Of Circular Economy And Sustainability At The Business Level. Circular Economy And Sustainable Development
Authors:   Department of Economics and Finance, College of Economics, Management and Information Systems, University of Nizwa, Oman, Toni Mercy
Published: December 2023

This research examines participants’ familiarity with circular economy concepts, the integration of these concepts in their organizations, encountered barriers, levels of awareness and understanding, implemented circular practices, perceived benefits, the importance of sustainability, financial or operational challenges, motivators for embracing a circular economy, and the accessibility of support and resources. The findings indicate that participants have an average degree of awareness regarding circular economy concepts. While some organizations have completely or partially implemented circular economy principles, a significant portion has not yet integrated them, suggesting a need for more initiatives. Financial limitations, supply chain restrictions, and a lack of knowledge are the primary barriers to adoption. Employee knowledge and comprehension of circular economy concepts have room for improvement. Commonly implemented circular practices include renewable energy use, material recycling, and product lifespan extension. Perceived benefits include cost savings, resource conservation, and increased stakeholder participation. Sustainability may not be considered important in overall strategy and decision-making by a majority of participants. Financial or operational difficulties are experienced by some organizations during the adoption of circular economy principles. Motivators for embracing a circular economy include cost savings, brand reputation, regulatory compliance, and stakeholder expectations. Participants highlighted a need for more support and resources to implement circular economy projects. Overall, the survey highlights the varying levels of familiarity, integration, challenges, awareness, and understanding of circular economy concepts among participants, and underscores the importance of addressing barriers, raising awareness, and providing sufficient support and resources for advancing circular economy principles.
A Narrative on the Patterns, Dynamics, and Issues on the Traditional Health System at Tapaz, Capiz, Philippines
Authors:   Capiz State University, Philipines, G. Berondo Ronilo
Published: December 2023

The addition of modern and traditional healthcare systems helps in advancing the holistic health practices and give people in Tapaz a wide choice of possibilities. Traditional healers and contemporary healthcare practitioners must work together to achieve this integration, which calls for an open line of communication and respect for one another. Analysis stressed upon the diversified traditional medical beliefs and practices of Tapaz while highlighting the usage of spiritual healing techniques and herbal remedies. It enlightens the value of community dynamics and information sharing. Further review also notes the system’s difficulties, including globalization and the requirement for integration with contemporary medical procedures. In the end, the research emphasizes the value of cultural preservation and the possible advantages of incorporating traditional medical procedures within Tapaz’s larger healthcare system.
COVID-19 Vaccine Confidence, Hesit Ancy And Refusal Among Hh Heads Of Municipality Of Pontevedra, Capiz
Authors:   Capiz State University Pontevedra Campus Philippines, Lee E. Casa Honey
Published: December 2023

This study primarily investigated the level of COVID-19 vaccine confidence, hesitancy and refusal among household heads of the municipality of Pontevedra during COVID-19 pandemic. A random sample of 372 household heads in a total of 12,071 households (PHO, 2021) in the municipality served as respondents of the study. A validated and pilot-tested researcher-made questionnaire was used as research instrument distributed using both online platform (Google Forms) and in printed questionnaire. Findings indicate that household heads in the municipality of Pontevedra are mostly females, in their mid-forties, married, Roman Catholic, College graduate, headed a household of five with a family member of less than 5 years old and a senior citizen, unemployed, with family monthly income below the poverty line, no medical insurance and stayed in the place for a quarter of a century. Majority of the HH heads have not been tested for COVID-19, has not been diagnosed by health care professionals based on symptoms only, had no in-person contact with anyone infected with COVID-19; and majority of them have no comorbidities or pre-existing health conditions. Moreover, HH heads are aware that they are quite unlikely to get COVID-19 and very closely complied about guidelines for COVID-19. Most of the HH heads in Pontevedra are COVID-19 Vaccine Confident, have a high level of social cohesion and trust during COVID-19, somewhat satisfied with the COVID-19 Control, and somewhat agree to receive COVID-19 Vaccination. There are significant differences on the mean vaccine confidence scores when HH heads are classified according to their age, highest educational attainment, employment status, and family monthly income. COVID-19 Vaccination response of HH Heads was significanly related with their profile variables (highest educational attainment, employment status, and estimated monthly income), their COVID-19-related profile, their extent of COVID-19 impact, their level of social cohesion and trust, and their level of satisfaction with the COVID-19 control.
The Degree of employing the dimensions of digital leadership in government schools in Irbid governorate from principals' perspective
Authors: Ragda Mamoud Bataineh  , Ali Kadhem Alsandi  , Salam Mamdouh Alrousan
Published: December 2023

The study examined the extent of employing digital leadership dimensions in government schools in Irbid governorate from the principals' perspective. The researchers employed a descriptive-analytical approach, and a sample of 50 individuals was randomly selected. A questionnaire comprising 26 items distributed on four axes was developed: the axis of vision and planning, the axis of innovation, the axis of professional practices of school leaders, and the axis of digital culture.

The results revealed that all domains scored at a moderate level, and the employment of digital leadership dimensions in government schools in Irbid, from the perspective of principals as a whole, was found to be at a moderate level. The results also showed statistically significant differences in the means of the study sample's perceptions regarding the employment of digital leadership dimensions in government schools in Irbid from the principals' perspective. These differences were attributed to gender (favouring females) and years of service (11 years or more).

The researchers concluded with a set of recommendations, including the importance of providing financial and moral support to educational leaders who apply digital leadership in their schools to encourage others to do the same, conducting workshops and training courses for educational leaders to enhance leadership practices in the digital realm, and the necessity of conducting further research and studies on the impact of digital leadership dimensions to generate more recommendations that can enhance the role of government schools in fulfilling their duties and objectives.

The study recommends that it is necessary for principals to be more aware of digital technologies, and able to use and apply them in effectively leading and managing their schools and develop education.
Towards Advanced Digital Learning: The Effectiveness of Employing Digital Technology in Education in Jerusalem Schools
Authors: Rawan Wael Siaj  , Ahmad Ftieha
Published: December 2023

This qualitative descriptive research study aims to identify the effectiveness of digital learning technologies in Jerusalem schools, from the perspective of school principals and teachers. The study employs open interviews as its data collection method, and content analysis to analyze the responses of participants.The participants in the study comprise five school principals and ten teachers, all of whom have experience and knowledge in digital learning and seek to apply its concepts in their schools. They were selected based on their administrative efficiency, and their experience in applying e-learning with their students.The study's research questions focus on the most important digital learning technologies employed in Jerusalem schools, the effectiveness of these technologies, and the challenges associated with their implementation.The study findings reveal that Jerusalem schools use various digital learning technologies, including hardware, software, communication platforms, educational and interactive materials, gamification software, and technological projects. However, the availability and readiness of these technologies vary across schools, depending on the school supervisor's support and resources. The effectiveness of digital learning technologies in Jerusalem schools is reflected in the high academic achievement of students, the acquisition of educational values through digital learning techniques, and an increase in enthusiasm and motivation for learning, while taking into account individual differences.The study also highlights some challenges associated with the implementation of digital learning technologies in Jerusalem schools, including issues with student's parents, the readiness and capacity of educational staff, and the digital infrastructure of schools.The study concludes by offering recommendations for future research and practice, including strengthening training programs and workshops to develop students and teachers to meet their future needs, increasing awareness among parents, and continuous work to improve the digital infrastructure of schools affiliated with the Palestinian Ministry of Education, in order to keep pace with the accelerated and continuous technological digital acceleration.
Bridging Entrepreneurial Finance in the EU: The New Crowd Funding Regulation
Authors: Sasso Lorenzo
Published: December 2023

Bridging finance to small and medium enterprises (SMEs) is a must in the sustainable economic development of any country. Access to finance is an essential determinant for business start-ups, development and growth for SMEs. In these years, crowd funding digital platforms have flourished fast as an innovative form of financing for SMEs. Their characteristics allow them to perform SME credit risk assessment better and quicker than traditional financial intermediaries. Compared to banks, for instance, crowd funding digital platforms benefit from minimal capital requirements and a flexible organizational structure that, thanks to the new digital technology, can collect and process information and big data much more quickly. To foster the growth of the crowd funding industry in the EU and ensure investor protection, the legislator introduced the European Crowd funding Service Provider Regulation (ECSPR). The new regulation aims to create a standardized regulatory framework by harmonizing the crowd funding services in the common market and facilitating cross-border operations, enhancing investor protection, promoting transparency and ensuring compliance with the regulatory requirements to increase investor confidence. This article discusses the ECSPR's objectives, requirements and critical provisions. Furthermore, it evaluates the ECSPR's results against the EU legislator's initial intents of fostering the growth of the crowd funding industry and enhancing investors' trust and confidence with protection measures. A balance between these two would be optimal.
Análisis contrastivo sobre la difusión de términos neológicos en los medios de comunicación durante periodos de pandemia
Authors: Oliva Sanz Carmen
Published: December 2023

The main objective of this paper is to locate and analyse those neological terms that have spread through the media during pandemic periods in order to assess the impact of the influenza A and COVID-19 pandemics on the Spanish language from Spain. Based on the hypothesis that a wide variety of neologisms have emerged during the influenza A and COVID-19 pandemics, this paper uses corpus linguistics to establish and study two corpora based on news items from the pandemic years. Neologism candidates are extracted from these corpora and classified according to specific neologicity criteria to determine whether or not they constitute neologisms. This research also studies the impact of neologisms on newspapers. A terminology extractor is used to establish the index of terminological density of each of their corpora in order to determine whether or not the news items in the newspapers have become semi-specialised texts.

El objetivo principal de este trabajo es localizar y analizar aquellos términos neológicos que se han extendido a través de los medios de comunicación durante las épocas de pandemia para comprobar el grado de influencia de las pandemias de gripe A y COVID-19 en el castellano peninsular. Partiendo de la hipótesis de que durante las pandemias de gripe A y COVID-19 ha surgido una gran variedad de neologismos, este trabajo utiliza la lingüística de corpus para establecer y estudiar dos corpus basados en noticias de los años de pandemia. A partir de estos se extraen candidatos a neologismo y se clasifican según una serie de criterios de neologicidad para determinar si realmente constituyen o no neologismos. Esta investigación también estudia el impacto de los neologismos en los propios periódicos. Mediante un extractor terminológico se establece el índice de densidad terminológica de cada uno de sus corpus para determinar si las noticias de los periódicos han pasado a ser textos semiespecializados.
Management of giving warm compresses to the abdominal wall with pain problems
Authors: Menga Maria Kurni , Suprapto Suprapto , Lalla Nursyamsi Norma , Asmi A. Syamsinar , Waria Lukman
Published: December 2023

Warm compress therapy on the abdominal wall has been known as a practical approach to overcoming pain problems. Through increasing local temperature, this therapy can relieve muscle tension, improve blood circulation, and provide pain relief. Qualitative research with a descriptive case study approach. The subjects of this case study used 2 clients with the same diagnosis, the same problem, and the same application of intervention. The results found that the pain felt in both patients, Mrs. R and Mrs. W experienced a significant decrease daily. On day I, Mrs. R, the pain experienced on a scale of 5 and decreased; on day 3, the pain was no longer felt. While Mrs. W on the day I, the pain experienced with skal 4. After compressing warm water on the dining abdomen, the pain felt every day was reduced and disappeared or did not feel pain on day 3 after the implementation. The conclusion of applying warm compress therapy is that this method gives patients greater control in managing their abdominal pain. With a deep understanding of the effectiveness of warm compress therapy, it can be a valuable element in a holistic pain management strategy.
Factors related to caring behavior of nurses in the internal care room
Authors: Rusli Rusli , Pratiwi Anggi , Putri Sitti Zakiyyah , Mulat Trimaya Cahya , Andani Nur
Published: December 2023

Caring is a crucial aspect of healthcare, especially in the context of care in the internal space, where patients often experience complex health conditions that require special attention. This study investigates factors related to nurses' caring behaviour in the internal care room. roomThis type of research uses quantitative types with analytical descriptive research design through a cross-sectional approach with total sampling techniques. The results of the chi-square statistical test obtained motivation p 0.219, reward p 0.020, and length of work p: 0.008It can be concluded that there is a relationship between reward and length of work with the caring behaviour of nurses in the internal care room. Appreciation and length of work influence the caring behaviour of nurses in the internal care room. Length of work provides extensive experience and knowledge, while rewards increase nurses' motivation and job satisfaction. Combining these two factors can create a caring environment and positively impact patients in the internal care room.
The Influence of Disaster Emergency Education on Stunami Disaster Preparedness
Authors: Achmad Viyan Septiyana
Published: December 2023

Pengaruh pendidikan gawat darurat  terhadap kesiapsiagaan santri merupakan aspek penting dalam penyelamatan korban bencana alam. Pendidikan gawat darurat bencana adalah pemberian  pelayanan dengan cepat dan tepat  diberikan  dalam sitauasi mengancam jiwa untuk menyelamatkan nyawa korbam.Penelitian ini bertujuan mengetahui pengaruh pendidikan gawat darurat bencana terhadap kesiapsiagaan santri bencana stunami. Desain penelitian Quasy eksperiment  one group before and after design.  Hasil penelitian menunjukan sebelum diberikan pendidikan tanggap darurat rata-rata 41.6 artinya belum siap siaga menghadapi bencana stunami, sesudah diberikan pendidikan tanggap darurat rata-rata 82,9 artinya sangat siap siaga menghadapi bencana stunami. Uji wilcoxon didapatkan nilai p value 0.000 < 0.05.Dapat disimpulkan bahwa terdapat pengaruh pendidikan gawat darurat terhadap kesiapsiagaan stunami pada santri Pondok Pesantren Miftahusa’adah  kecamatan Cibaliung Pandeglang Banten. Pendidikan gawat darurat merupakan upaya dalam meningkatkan kesiapsigaan dalam menghadapi bencana.
Front Pembela Islam (FPI) sebagai Kekuatan Oposisi pada Masa Pemerintahan Joko Widodo Tahun 2014 - 2020
Authors: Waty Reni Rentika , Kamarudin Kamarudin
Published: December 2023

FPI (Front Pembela Islam) merupakan organisasi kemasyarakatan yang secara konsisten menempatkan diri sebagai oposisi sejak reformasi. Namun, pada masa pemerintahan Jokowi sikap oposisi FPI lebih dominan dibandingkan dengan masa pemerintahan sebelum Jokowi. Dengan menggunakan teori oposisi Robert A. Dahl dan teori kelompok penekan Maurice Duverger, serta metode kualitatif, penelitian ini ingin melihat alasan FPI memposisikan diri sebagai oposisi, mengetahui bentuk sikap oposisional FPI dan afiliasi FPI dengan lawan politik Joko Widodo (Jokowi), kemudian menganalisis keterkaitan antara aspek ideologis dan aspek politis pada sikap oposisional FPI di masa pemerintahan Jokowi. Hasil penelitian ini memperlihatkan bahwa gerakan oposisional FPI dibedakan menjadi dua, yakni gerakan oposisional FPI yang didasarkan oleh aspek ideologis dan berdasarkan aspek politis. Hal tersebut mencakup dakwah, dukungan politik terhadap lawan Jokowi dan gerakan-gerakan yang menekan seperti Gerakan 212.
Identitas Etnis Buton dalam Pemilihan Gubernur Sulawesi Tenggara Tahun 2018: Kemenangan Kubu Ali Mazi - Lukman Abunawas di Kota Baubau Provinsi Sulawesi Tenggara
Authors: Nur La Ode Muhammad Adam , Kamarudin Kamarudin
Published: December 2023

Tujuan penelitian ini secara umum ialah untuk mengetahui identitas etnis Buton dalam Pemilihan Gubernur Sulawesi Tenggara tahun 2018 dimana secara khusus bertujuan untuk mengetahui upaya strategis kubu Ali Mazi - Lukman Abunawas dalam menarik simpati etnis Buton pada pemilihan Gubernur Sulawesi Tenggara tahun 2018 serta untuk mengetahui faktor-faktor yang menyebabkan etnis Buton menjatuhkan pilihannya kepada Ali Mazi – Lukman Abunawas dalam pemilihan Gubernur Sulawesi Tenggara tahun 2018. Analisis data yang digunakan adalah deskripitif kualitatif yaitu menganalisa data dimana data-data tersebut diperoleh dari hasil wawancara dan dokumentasi yang kemudian dideskripsikan dalam bentuk uraian. Hasil penelitian menunjukkan bahwa faktor penyebab dukungan etnis Buton  kepada Ali Mazi dan Lukman Abunawas dipengaruhi oleh faktor sosiologis pemilih beretnis Buton sebagaimana dalam menjatuhkan pilihannya masyarakat di Sulawesi Tenggara yang beretnis Buton masih dipengaruhi oleh tradisi kesukuan dan faktor kesamaan etnis. Kemenangan Ali Mazi yang notabenenya adalah putra daerah Buton dipengaruhi oleh masyarakat etnis Buton cenderung memilih berdasarkan yang satu etnis ataupun semarga dengan mereka. Upaya strategis kubu Ali Mazi – Lukman Abunawas dalam menarik simpati etnis Buton pada Pilgub Sultra tahun 2018 yakni dengan penggunaan bahasa dan simbol etnik Buton pada masa kampanye. Bahasa turunan dari kelompok etnis Buton menjadi saluran komunikasi calon kepala daerah. Bahasa etnis menjadi instrumen dalam melakukan pendekatan secara emosional karena akan terasa adanya perasaan kekitaan antara kandidat dan masyarakat.
Studi Literatur: Analisis Berbagai Pendekatan Penyelesaian Konflik Agraria di Provinsi Bangka Belitung
Authors: Apriyansyah Apriyansyah , Nabyla Dessyana , Rangkuti Masitoh , Sakiri Sahli
Published: December 2023

Konflik agraria merupakan masalah yang sering terjadi di Indonesia, termasuk di Provinsi  kepulauan Bangka Belitung. Penyelesaian konflik agraria memerlukan pendekatan yang tepat dan beragam untuk mengatasi berbagai faktor penyebab konflik tersebut. Oleh karena itu, penelitian ini menggunakan metode kualitatif Yang di mana metode penelitian kualitatif membantu menjelaskan fenomena secara mendalam dan dilakukan dengan mengumpulkan informasi sedalam mungkin. Maka dari itu, metode kualitatif menekankan pada pengamatan terhadap fenomena dan mempelajari makna dari fenomena tersebut. Pada tulisan ini, kami menggunakan Teori Konflik yang dikemukakan oleh Karl Marx menegaskan, bahwa teori ini dipicu dalam hubungan pertentangan antar kelas borjuis yang melawan kelas proletariat dalam merebut hak-hak ekonomi (alat produksi). Hasil analisis menunjukkan bahwa terdapat berbagai pendekatan yang dapat digunakan dalam penyelesaian konflik agraria, seperti pendekatan hukum, pendekatan partisipatif, pendekatan ekonomi, dan pendekatan politik Selain itu, penelitian ini juga membahas faktor-faktor penyebab konflik agraria di Provinsi kepulauan Bangka Belitung, seperti perbedaan pandangan antara masyarakat lokal dan perusahaan, keterbatasan akses masyarakat lokal terhadap sumber daya, dan kurangnya kebijakan yang mendukung penyelesaian konflik agraria. Studi ini diharapkan dapat memberikan pemahaman yang lebih dalam tentang konflik agraria di Provinsi kepulauan Bangka Belitung dan menjadi dasar untuk pengembangan pendekatan penyelesaian konflik yang lebih efektif di masa depan.
Predicción de pre eclampsia con la determinación de homocisteína sérica.
Authors: Vargas-Vera Ramon Miguel Calixto , Placencia-Ibadango MSc Martha Verónica , Vargas Silva Kalid Stefano , Vargas Silva Kathiuska Stefany
Published: December 2023

Introducción: El objetivo del presente estudio fue evaluar la homocisteína como predictor de pre eclampsia en embarazos de 12 a 20 semanas de gestación.
Métodos: Se trató de una investigación observacional, longitudinal y prospectiva.  La población en estudio fueron pacientes que asistían a la primera consulta de control prenatal entre las 12 a 20ava. semanas, la muestra fue aleatoria que incluyó 360 pacientes que se determinó la homocisteína sérica. Se excluyeron 48 embarazadas que no cumplieron con los criterios de exclusión e inclusión.
Resultados: Se encontró homogeneidad entre las pacientes, 270 pacientes (86.5%) tuvieron un embarazo normal, 27 mujeres (8.65%) tuvieron hipertensión gestacional, 9 (2.88%) pre eclampsia leve y 6 pacientes (1.9%) pre eclampsia severa, no se observó casos de síndrome de HELLP. Se observó incremento de los niveles de homocisteína en 9 mujeres que no tuvieron relación con trastornos hipertensivos de la gestación.
Conclusiones: En la investigación presente no se expresó que la homocisteína sea un predictor de enfermedad hipertensiva del embarazo.
Implementation of Depression Protocol in Rural Nebraska Pediatric Clinic
Authors:   Associate Professor, University of Nebraska Medical Center, College of Nursing - West Nebraska Division, Scottsbluff, United States, Rhoades Devin , Jablonski Allyson , Roth Katherine , Betts Kelly J , Aguirre Trina
Published: December 2023

Problem: The prevalence of depression among adolescents in the U. S. is 20%. Homicide, substance abuse, suicide, selfinjury, and low academic performance are linked to adolescent depression. There are not enough mental health providers or access to treat these adolescents, Background: It is often difficult for adolescents to understand their own feelings and navigate social pressures. The COVID-19 pandemic only exacerbated that. Most adolescents (90%) see a primary care provider annually for physicals, immunizations, or illness. However, mental health screenings are often not initiated, and depression is not addressed. Through this avenue, we propose that depression treatment be initiated in the primary care setting. Methods: We proposed a project to initiate screening and treatment using the Glad-PC guidelines by primary care. Our first steps were to 1) discuss the need for this measure with facility providers 2) plan for data collection 3) obtain IRB approval 4) implementation. Findings: We were met with great reception from providers, who both recognized the problem of adolescents with untreated depression and were willing to help find a solution. The percentage of clients referred from pre-intervention was 34%, while the percentage referred post intervention was 53%. There was a dramatic decrease in the number of PHQ-9s completed in the post intervention phase, yet the number of patients screening positive for depression doubled from pre-intervention to post-intervention. Conclusion: The dramatic increase in those screening positive for depression highlights the importance of this project and the need for providers to use the Glad-PC guidelines in primary care to recognize, begin treatment and refer the affected adolescents.
Conocimientos, actitudes y preferencias de los padres en el tratamiento de fiebre de los niños atendidos en el Hospital de Policía
Authors: Milla Vera Luis Miguel , Wong Mayuri José Luis
Published: December 2023

Objetivo: Evaluar los conocimientos, prácticas y actitudes de los padres frente a la fiebre en sus hijos. Comparar estos resultados y su relación con la “fobia a la fiebre” que se reporta en la literatura.

Material y métodos: Se aplicaron 258 encuestas semi-estructuradas en el servicio de Emergencia Pediátrica y el Consultorio externo del Departamento de Pediatría del Hospital PNP durante el mes de mayo del 2010.

Resultados: El 40% definió incorrectamente fiebre. El 99,6% cree que la fiebre tiene al menos un efecto adverso siendo la convulsión (56%) la más frecuente. El 96,5% automedica con antipiréticos y el 47% usa dosis incorrectas. El más usado fue el Paracetamol (83%). El 32,4% además utiliza alcohol, vinagre Bully® o Timolina® como medios físicos. El 62,4% prefiere que en el hospital se use un antipirético intramuscular y el 86,8% preferiría quedarse en el hospital hasta que la fiebre haya cedido del todo.

Conclusiones: La “fobia a la fiebre” también esta presente en la población estudiada. Es necesario establecer estrategias educativas que adviertan a los padres sobre los peligros de la medicación con antiperéticos en sus hijos con la finalidad de que aprendan a tomar las medidas adecuadas en su domicilio, y que colaboren a dejar de lado el uso de antipiréticos intramusculares en nuestras emergencias.
Impacto presupuestario de enzalutamida en el tratamiento del cáncer de próstata hormonosensible metastásico en España
Authors: Landeira Margarita , Mateo Ródenas Marta , Anguita Alonso Paloma , Rubio-Rodríguez Darío , Rubio-Terrés Carlos
Published: December 2023

Objetivos: El objetivo del estudio fue evaluar el impacto presupuestario trienal de la nueva indicación de enzalutamida en el cáncer de próstata hormonosensible metastásico (CPHSm) de alto y bajo riesgo, en España.
Métodos: La población diana del impacto presupuestario se calculó a partir de los pacientes incidentes con CPHSm en España. Sin la indicación de enzalutamida en CPHSm, dichos pacientes serían tratados con abiraterona, apalutamida o docetaxel más terapia de deprivación androgénica. Con dicha indicación, se estimaron unas cuotas de mercado de enzalutamida del 6%, 8,2% y 12% en los tres primeros años. Se estimaron asimismo los costes de adquisición, administración, monitorización y manejo de los efectos adversos (EA) de todos los medicamentos. El uso de recursos en la monitorización de los medicamentos fue validado por un panel de expertos clínicos españoles. Los costes unitarios de los recursos se obtuvieron de fuentes españolas. Se realizaron análisis de sensibilidad determinísticos modificando el tamaño de la población así como las cuotas de mercado de enzalutamida.
Resultados: Se estima que habría 1.359 nuevos casos anuales de CPHSm, oscilando entre un mínimo de 868 y un máximo de 2.290 casos. Considerando todos los costes analizados (adquisición, administración, monitorización y manejo de los EA), el impacto presupuestario trienal supondría un ahorro de 49.340€ para el SNS. El ahorro trienal mínimo y máximo oscilaría entre 19.402€ y 83.141€. El resultado del caso base fue respaldado por los análisis de sensibilidad.
Conclusiones: Según el análisis realizado, la indicación de enzalutamida en CPHSm generaría ahorros para el SNS.
Palabras clave: neoplasia de próstata; enzalutamida; costes y análisis de costes.
The relationship between income per capita and access to meningococcal serogroup B vaccination in Spain: an ecological correlation study
Authors: Carmo Mafalda , Callejo Daniel , Pérez Adrián , Vallejo-Aparicio Laura Amanda , García Andrea , Rodríguez Rubén , González-Inchausti María del Carmen , de Gomensoro Eduardo , Tafalla Mónica
Published: December 2023

Background: Invasive meningococcal disease (IMD) remains a public health concern because of its serious consequences, which mainly affect infants and young children. In Spain, Neisseria meningitidis serotype B accounts for >40% of IMD cases. The multicomponent meningococcal serogroup B vaccine (4CMenB) is available privately in the absence of national public funding in Spain. This study evaluates whether potential inequities in access to 4CMenB exist among families because of financial disparities.
Methods: An ecological correlation study was carried out using aggregate birth data, average income per capita and average number of 4CMenB vaccine units dispensed at province and municipal levels, including municipalities with >50,000 inhabitants. The base-case scenario used birth data from 2018, 4CMenB uptake from March 2018 to February 2019 and income per capita from 2017. The Spearman correlation test was used to compute bivariate correlation coefficients (rs) between the ratio of 4CMenB uptake per birth and income per capita. Sensitivity analyses were carried out to study the impact of observational period, territorial assignment and target population on base-case results.
Results: At province level, no correlation between mean income per capita and 4CMenB units was observed. At municipality level, a statistically significant positive correlation was observed between 4CMenB uptake per birth and average income per capita (rs = 0.22; p = 0.007). The results were robust under sensitivity analyses.
Conclusions: Despite the low level of granularity, these results suggest that access to the 4CMenB vaccine in Spain is associated with the income level of families at municipal level, producing inequities in the context of no national public funding.
Keywords: Ecological correlation study, Meningococcal serogroup B vaccine, Vaccine uptake in Spain, Inequities in vaccine access, Financial impact.
Carga socioeconómica de la mielofibrosis en pacientes con y sin anemia en España
Authors: Lizeaga Garbiñe , Espín Jaime , García Regina , García-Gutiérrez Valentín , Loffelhardt Peter , Pérez Manuel , Muñoz Marta , Giró-Perafita Ariadna
Published: December 2023

Objetivo: El objetivo del estudio fue estimar la carga socioeconómica, en relación con los costes sanitarios directos, indirectos e intangibles de los pacientes con mielofibrosis (MF) con y sin anemia en España.
Material y métodos: Se realizó un estudio de la carga de la MF desde la perspectiva del Sistema Nacional de Salud (SNS) español con un enfoque prevalente, que estima la carga de la enfermedad teniendo en cuenta el período de 1 año, reflejando la carga socioeconómica de la MF en 2023. Para ello se realizó una revisión de la literatura de estudios relacionados con el uso de recursos y costes de la MF publicados entre 2012 y mayo 2023. Los datos obtenidos fueron validados por un grupo multidisciplinar de expertos españoles. Se siguieron las recomendaciones de manejo y tratamiento de la MF descritos en la Guía de Neoplasias Mieloproliferativas Crónicas Filadelfia Negativas elaborada por GEMFIN (2020)2, las guías ICOPraxis (2020)3 y el manual GAMFIN4 para el manejo y tratamiento de la MF. El modelo se desarrolló en Excel y se estructuró en cuatro secciones principales: carga epidemiológica, costes directos médicos, costes indirectos y costes intangibles.
Resultados: Se estima que 3.992 personas padecen MF en España, de los cuales 7,5% (299) son candidatos al trasplante alogénico de progenitores hematopoyéticos (alo-TPH) y el 77,1% (3.078) están en tratamiento activo. De estos, el 46,75% (1.439) presentan anemia. El coste anual por paciente asociado al diagnóstico de MF fue de 1.614 €/paciente. Los costes asociados a la atención hospitalaria se estimaron en 2.283 €/paciente con MF sin anemia y en 5.815 €/paciente con anemia. El coste relacionado con el tratamiento específico de las manifestaciones hiperproliferativas de la MF (esplenomegalia y síntomas constitucionales) se estimó en 22.296 y 23.295 €/paciente sin y con anemia, respectivamente. Por último, el coste del tratamiento y manejo específico de la anemia se estimó en 7.765€/paciente. Los costes indirectos, considerando las incapacidades temporales y permanentes, y los cuidados informales supondrían unos costes totales en los pacientes con MF de aproximadamente 20 M€.
Conclusiones: La MF representa una carga económica importante para el SNS español, con un coste total de unos 140 millones de euros en 2023. La anemia asociada a la MF implica un coste adicional de aproximadamente 36 millones de euros en costes médicos directos al SNS.
Palabras Clave: Mielofibrosis, anemia asociada a mielofibrosis, epidemiología, carga económica, costes directos, costes indirectos, uso de recursos, transfusiones.
Estimasi Keberhasilan Siswa dalam Pemodelan Data Berbasis Learning Menggunakan Algoritma Support Vector Machine
Authors: Suryani Suryani , Mustakim Mustakim
Published: December 2023

SMK Negeri 5 Pekanbaru aims to prepare competent graduates who can compete in the global market. The realization of these goals is influenced by student achievement at school. Student achievements determine the ability of students to work in certain fields. Based on observations, it is known that student achievement at SMK Negeri 5 Pekanbaru tend to be low. This is also shown by the data that has been collected through the Curriculum section. Based on the data, there can be extraction using the supervised learning method to make a classification model of student achievements. The supervised learning algorithm used in this research is a Support Vector Machine (SVM). The data used in this study are student's data grade X SMK Negeri 5 Pekanbaru in 2020 totaling 160 data. The classification process is carried out by applying the GridSearch method to find the best kernel to be implemented. Based on the implementation of GridSearch, the kernel to be used is Radial Basis Function (RBF) with Cost (C) and Gamma (?)  parameters. Based on 16 experiments with different parameter values, the best classification results are obtained using the value of  Cost (C) = 0.1 and the value of Gamma (?)  = 0.01, with accuracy values of 94%.
Implementasi Metode Weighted Aggregated Sum Product Assesment (WASPAS) dalam Pemilihan Oli Mesin Sepeda Motor 150 CC
Authors: Hutagalung Juniar , Boy Ahmad Fitri , Yahdie M Arief
Published: December 2023

There are many types and types of engine lubricating oil, so you must be selective in choosing the right lubricant (oil) to preserve the life time of the engine. With the oil, the friction between the components in the engine becomes smoother and makes it easier for the engine to reach the ideal temperature. Oil is often used to reduce friction (friction), if two surfaces that are attached to each other move, friction will arise. If the engine heat is not absorbed, the wear and tear of engine components will accelerate. The purpose of this study is to implement a decision support system using the Weighted Aggregated Sum Product Assessment (WASPAS) method in selecting the best motorcycle engine oil so that it can assist motorcycle riders in choosing the best engine oil. Motorcycle owners do not experience difficulties and do not need a long time in the selection of engine oil for their motorcycles. The Waspas method can be applied in solving the problem of determining the best lubricant (oil) for 150cc sport motorbikes. The best lubricant (oil) based on the calculation results of 5 alternatives with a value above 0.60, namely deltalube daily with the highest score of 0.6906, repsol mx25 with a value of 0.6902, ahm oil mpx 2 with a value of 0.6644, federal ultratec with a value of 0.6238 and shell advance ax5 with a value of 0.6097. With the application of the desktop-based Waspas method in decision making, it can make it easier for motorcycle owners to select the best lubricant (oil) for 150cc sport motorbikes.
Penentuan Penerima Bantuan Pangan Non Tunai (BPNT) Menerapkan Metode Multi Objective Optimization on the Basis of Ratio Analysis (MOORA)
Authors: Yanda Ahmad , Mesran Mesran
Published: December 2023

Non-Cash Food Assistance (BPNT) is something that is made as assistance in the form of food, to help the community, especially in social services that are given to the community in a non-cash way or called electronic money whose source is the government and is given to underprivileged families or beneficiary families. (KPM). This assistance is distributed every month using a card and exchanged at e-Warong. The result of the exchange is food or in the form of rice, milk, instant noodles etc. In the process of selecting candidates for BPNT assistance, it will be very difficult if it is decided manually. Therefore, a system called DSS is needed. Decision Support System (DSS) is a stage in finding a solution to a problem where the process is carried out using a solution according to how the computer works. DSS can work optimally if using the method. In this study, the authors chose the Multi-Objective Optimization Method on The Basic of Ratio Analysis (MOORA) which is a method that can be used in the completion and completion process of the DSS. This method has a working procedure that uses mathematical calculations. The results of this study were obtained as the best candidate for the recipient of BPNT funds, alternative A4 on behalf of Jefri with a value of 0.2362 as the first rank
Analysis of Nurse Services Quality on Patient Satisfaction Class II Hospital
Authors: Drawanizai Ofsilin , Nyorong Mappeaty
Published: December 2023

Nursing services are the most critical factor in determining the extent to which hospital service quality is assessed. If patients are satisfied, the nursing service will bring satisfaction and comfort, and vice versa. The number of complaints filed in the suggestion box grows annually, rising from 45 in 2019 to 52 in 2020 (15%), particularly concerned with nurses' ability to deliver nursing services The purpose of the study was to determine how service quality affects the satisfaction of Class III inpatients at Latersia Hospital Binjai. This was cross-sectional research conducted as part of an analytic survey. The population was 101 people, and the samples were 80 people. A questionnaire was used to collect data. The chi square test was used to assess the data univariate, bivariate, and multivariate at a 95% significant level. The findings revealed that while the dependability of nursing services was good (53.8%), the responsiveness (52.5%), assurance (55%), empathy (58.8%), and physical evidence (66.3) were not. Patients were not satisfied with nursing services (51.2%). Statistically, reliability (0.013), responsiveness (0.007), empathy (0.000), assurance (0.001), and physical evidence (0.002) in the Class III Inpatient Room had a substantial impact on patient satisfaction The findings revealed that nurse services had an impact on Class III inpatient satisfaction in terms of reliability, responsiveness, assurance, empathy, and physical proof. It is recommended that hospital management improve overall control of health services and give patient comfort support facilities, especially in Class III rooms.
Une économe en Nouvelle-France. Marie de l’Incarnation et les promesses du territoire
Authors: Sribnai Judith
Published: December 2023

Les écrits de Marie de l’Incarnation mettent en scène différents discours économiques – spirituel, affectif, politique, marchand. C’est d’abord à cette richesse sémantique et conceptuelle que cet article porte attention. Il s’agit, par ailleurs, de montrer le bénéfice heuristique qu’il y a à considérer les liens et des points de rencontre entre ces imaginaires : celui de l’échange profane et sacré, de la transaction marchande et sociale, de la promesse de l’Alliance et de la dette insolvable. Une telle démarche aide notamment à comprendre la façon dont s’est construite et perpétuée une histoire coloniale en Nouvelle-France.
Le saumon à la mayonnaise. Un imaginaire de la dette dans Le Survenant de Germaine Guèvremont
Authors: Bélanger David
Published: December 2023

Cet article mobilise « l’imaginaire de la dette » comme concept d’analyse économique des oeuvres littéraires. Il s’appuie sur les travaux de l’anthropologue David Graeber, du sociologue Maurizio Lazzarato et, de façon métaphorique, sur un mot d’esprit rapporté par Sigmund Freud. Il défend l’idée selon laquelle l’imaginaire de la dette se configure dans les oeuvres sous le signe de l’ambivalence entre divers régimes de dette (communiste, hiérarchique et d’échange, selon Graeber). Les sujets en dette peinent à s’orienter entre ces régimes qui comportent leur propre morale, leur propre narratif et leur propre grammaire d’interactions. Pour illustrer l’embrayage de ces régimes, Le Survenant (1945) de Germaine Guèvremont fait ici l’objet d’une lecture attentive qui permet de voir à l’oeuvre le conflit entre le régime communiste des obligations et le régime d’échange des dettes.
Henri-Raymond Casgrain. Écrire la vie de Marie de l’Incarnation au xixe siècle
Authors: Ferraro Alessandra
Published: December 2023

De nombreux textes publiés au xixe siècle en France et au Canada se penchent sur la figure de Marie de l’Incarnation. Le plus souvent, ce sont des biographies rédigées par des membres du clergé rattachés à l’église du Québec, proches de l’ordre des Ursulines, qui appuient le procès en béatification de la missionnaire auprès de Pie IX. Cet article étudie la prolifération de ces ouvrages à l’intérieur d’un triangle géographique et politique transatlantique dont le troisième sommet est Rome. Dans ce mouvement de redécouverte de la future sainte, les différentes Vies, dont celles écrites par l’abbé Casgrain, le « père de la littérature canadienne-française », ne poursuivent pas toutes le même but. Casgrain investit dans l’écriture biographique des enjeux multiples qui pèsent sur la constitution du champ littéraire du Canada français.
Surface physics in China
Authors: Guan Dan-Dan , Jia Jin-Feng ,   Key Laboratory of Artificial Structures and Quantum Control (Ministry of Education), School of Physics and Astronomy, Tsung-Dao Lee Institute, Shanghai Jiao Tong University, Shanghai 200240, China,   Department of Physics, Southern University of Science and Technology, Shenzhen 518055, China
Published: December 2023

In this paper, the development of surface physics in China is comprehensively reviewed, focusing on the State Key Laboratory of Surface Physics at the Chinese Academy of Sciences. It especially recognizes and honors the invaluable contributions made by the older generation of scientists in this field. By looking back at the history, it can be seen that the surface physics has developed vigorously in China: not only have many research papers with international advanced level been published, but also a large number of young talents have been cultivated, who have become an important force in the research of condensed matter physics internationally.