bluuebunny/crossref_metadata_2025 huggingface dataset:
Emotion activity education assistance program for therapists and psychologists: Efforts to train emotional regulation skills in children with special needs
Authors: Saniatuzzulfa Rahmah , Hakim Moh. A. , Wicaksono Bagus , Nugroho Arista Adi , Agustina Laelatus Syifa Sari Agustina , Scarvanovi Berliana Widi , Kusumawati Rafika Nur , Mardhiyah Zahrina
Published: October 2023

Abstrak. One of the problems Children with Special Needs that needs to be addressed is the ability of children with special needs to recognize various kinds of emotions as well as how to manage the emotions they are feeling so that children with special needs can adjust to all situations they face. This community service activity aims to provide educational assistance to therapists and psychologists for service partners how to train emotional regulation skills in children with special needs using emotional activity media. The goal is that therapists and psychologists can train emotional regulation skills in children with special needs using instruments that are easy to apply, interesting, and fun. This assistance is carried out by using socialization methods and simulating the practice of using emotional activity media to therapists and psychologists. The activity went smoothly and was full of enthusiasm from the participants. Therapists and psychologists are able to understand the importance of emotional regulation skills in children with special needs and know easy, interesting, and fun learning methods for children with special needs.
Keywords : Children with special needs, emotional activities, emotional regulation
Development and Impact of International Nursing Education and Service Program for Improving Global Health Competency
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Hyeon SaSaeng , Cho Sumi
Published: October 2023

Objectives This study aimed to develop and implement an international nursing education and service program to improve global health competency and cultural competency of nursing students, and identify its impact.
Methods In this study, the international nursing education and service program was developed according to the five stages of the ADDIE instructional model. The program was conducted in Mongolia for nursing students from four universities of Korea. This study used a single group pre and post test design. The global health competency and cultural competency of 28 nursing students who participated in the program were measured before and after participating in the program, and statistical significance was compared using the paired t-test.
Results The program developed in this study included five topics, with 12 specific learning objectives based on sub-global health competencies. The program included cultural experience activities, visits to health institutions, and nursing volunteer activities which were linked to the lecture contents as well as lectures. It was identified that the average score of global health competency and cultural competency measured after participating in the pro-gram significantly improved compared to the score measured before the intervention.
Conclusions The results of this study could provide fundamental data to develop an international education pro-gram for improving the global competency of students in other majors. Furthermore, it is expected to contribute to improving nurses’ global health competency and ultimately contribute to addressing global health inequities.
Mediation Effects of School Adjustment in the Relationship between Grit and Career Maturity of Childrens
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Kim Sun Jung , Lee You me
Published: October 2023

Objectives The purpose of this study is to examine the relationship between children's grit, school adjustment, and career maturity, and to verify the mediating effect of school adjustment on the path from grit to career maturity.
Methods For this purpose, we utilized longitudinal data from 2,150 children, measured from the 11th wave (4th grade in elementary school, 2018) to the 13th wave (6th grade in elementary schoo, 2020) of the Korean Children's Panel Study (KCPS). The collected data were analyzed for mediating effects using SPSS 28.0 and PROCESS Macro v4.0.
Results The research results are as follows. First, children's grit showed a positive correlation with school adjust-ment and career maturity, and school adjustment showed a positive correlation with career maturity. Second, children's school adjustment was found to partially mediate the static relationship between grit and career ma-turity while controlling for important covariates such as children's gender, parents' educational background, and employment status.
Conclusions These results can serve as foundational data to provide practical implications for the development of educational approaches and programs aimed at enhancing the career maturity of upper elementary school students.
The Effects of University Students' Career Self-doubt and Emotional Intelligence on Life Satisfaction and Career Satisfaction: Focusing on the Career Construction Model of Adaptation
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Park Hyunmi , Yoo Nahyun
Published: October 2023

Objectives To comprehend the career adaptation process among university students, this study chose career self-doubt, emotional intelligence, career adaptability, SCCI, life satisfaction, and career satisfaction as variables that can be incorporated into the career construction model of adaptation. It then analyzed the structural relation-ships among these variables.
Methods For this purpose, a survey was conducted among four-year university students, and the data of 231 stu-dents were used for analysis, and the structural equation model was verified using Mplus 8.10.
Results First, The model fit of the Career Construction Theory Model of Adaptation established in this study was found to be adequate. Second, Emotional Intelligence had a positive effect on Life Satisfaction and Career Satisfaction through Career Adaptability and SCCI. Third, Career Self-doubt has a negative effect on Career Satisfaction through Career Adaptability and SCCI. Fourth, Emotional Intelligence has a positive effect on Life Satisfaction, and Career Self-doubt has a negative effect on SCCI and Career Satisfaction.
Conclusions Through the validation of the suitability of the variables used in this study within the context of the Career Construction Model of Adaptation, we have presented valuable empirical findings that contribute to the comprehension and intervention in the career adaptation process of university students. Additionally, we have discussed the diversification of pathways in the Career Construction Model of Adaptation by establishing relation-ships that consider the unique characteristics of the variables.
Exploring the Level of Students Agency and Factors Influencing Students Agency in Middle School Students
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Yu Eun-Jeong , Woo Yeon-kyoung , Lee In-tae
Published: October 2023

Objectives This study aims to examine the level of student agency in middle school students in Korea and the fac-tors influencing the cultivation and manifestation of student agency.
Methods To this end, an online survey was conducted among 325 middle schools, which were stratified sampled around school locations to ensure nationwide representation, from July 10th to July 17th, 2022. The survey re-ceived responses from a total of 345 middle school teachers and 7,571 middle school students from 172 middle schools. The collected survey data were analyzed using the SPSS program.
Results The analysis of responses from both students and teachers revealed that middle school students' agency was higher at the community level than at the individual level. When analyzing the differences in students' agency by grade, it was found that 1st-year middle school students perceived higher levels of students' agency compared to 2nd and 3rd-year students. In terms of gender differences, male students reported higher individual-level stu-dents' agency, while female students reported higher community-level students' agency. Lastly, respondents in-dicated that higher levels of subjective achievement are associated with higher levels of self-perceived students' agency. Furthermore, both teachers and students indicated that personal beliefs and attitudes have the most sig-nificant impact on the cultivation and manifestation of students' agency, while institutional and societal factors have the least impact. Particularly, students tended to underestimate the influence of their home environment on the cultivation and manifestation of students' agency.
Conclusions Based on the findings of this study, it is suggested that the importance of the middle school period in the process of cultivating and manifesting students' agency should be emphasized, and practical guidelines for cultivating and manifesting students' agency that are suitable for the educational context in Korea should be pro-posed in various subsequent studies.
The Relationships between University Dance Students’ Fixed Mindset of Contemporary Dance, Motivational Regulation, and Engagement: A Moderated Mediation Model
Authors:   Korean Association For Learner-Centered Curriculum And Instruction, Chang Hye-Joo
Published: October 2023

Objectives The purpose of this study was to investigate whether the mediation effects of motivational regulation in the relationship between students’ fixed mindset of contemporary dance and academic engagement moder-ates by self-efficacy in a university setting.
Methods A sample of sample of 325 contemporary dancers recruited from eight universities completed a set of questionnaires measuring their fixed mindset, motivational regulation, self-efficacy, and engagement in dance classes. Data were analyzed using descriptive statistics, correlations, and hierarchical regressions through SPSS PROCESS macro version 4.0(Hayes, 2022) to test the moderated mediation effects of self-efficacy.
Results The results of a moderated mediation analysis were as follows: (1)The effect of contemporary dancers’ motivational regulation on engagement in dance class was fully mediated by self-efficacy. (2)The interaction ef-fect of fixed mindset and self-efficacy on motivational regulation was significant, whereas the interaction effect of motivational regulation and self-efficacy on engagement in dance class was insignificant. (3)Self-efficacy sig-nificantly moderated the effect of fixed mindset on engagement in dance class.
Conclusions These findings suggest that even though university dance students have a way of thinking that dance ability is not easily changed through practice and learning as innate ability, they should have a strong belief that they can successfully perform the movements during dance class.
Iliac Crest Skin Necrosis: A Case Report
Authors: Hwang Sung Hyun , Roh Si Young , Koh Sung Hoon
Published: October 2023

Cases of dermal necrosis developing after injection of local anesthetics in the upper extremities or face have previously been reported in the literature. However, local anesthetic-induced dermal necrosis in the trunk, such as above the iliac crest, has rarely been reported. This article reports a case of skin necrosis that developed over the iliac crest after injection of a local anesthetic during a surgical procedure. This suggests that close monitoring of skin circulation is required after the administration of articaine–epinephrine in the trunk area to prevent ischemic damage such as dermal necrosis.
Outcomes of Cortical Bone Fenestration Performed on the Denuded Frontal Bone to Induce Granulation Tissue Growth: A Case Study
Authors: Sung Kunyong , Lee Seung Ho , Jeong Chanho , Lee Sang-Yeul
Published: October 2023

Open wounds with denuded bone may pose a challenge for surgeons if primary closure or flap surgery is not feasible. In such cases, cortical bone fenestration (CBF) has been employed as a preconditioning procedure to induce granulation tissue growth and provide a suitable bed for skin grafting or secondary intention healing. Our clinical study aimed to assess the outcomes of CBF performed on open wounds involving the denuded frontal bone. We treated a patient with multiple open wounds involving the denuded frontal bone using secondary intention healing in conjunction with CBF procedures and evaluated the outcomes of the fenestrated bones as well as the wound healing process at regular intervals. Granulation tissue did not develop on the fenestrated bones throughout the healing process. However, the frontal wounds healed well without complications at 16 weeks after CBF through the centripetal migration of granulation tissue from the wound margins and simultaneous epithelialization. Our results suggest that CBF procedures that do not adequately expose the diploic space fail to induce granulation tissue growth and may not be needed to treat open wounds with less than 5 cm of denuded skull bone.
Extracting reproductive parameters from GPS tracking data -- a new tool for a nesting raptor in Europe
Authors: Oppel Steffen , Beeli Ursin , Grüebler Martin , Bergen Valentijn van , Kolbe Martin , Pfeiffer Thomas , Scherler Patrick
Published: October 2023

Understanding population dynamics requires estimation of demographic
parameters like mortality and productivity. Because obtaining the
necessary data for such parameters can be labour-intensive in the field,
alternative approaches that estimate demographic parameters from
existing data can be useful. High-resolution biologging data are now
frequently available for large-bodied bird species, and can be used to
estimate survival and productivity. We build on existing approaches to
develop a new tool (‘NestTool’) that uses GPS tracking data at hourly
resolution to estimate important productivity parameters such as
territory acquisition, breeding propensity and breeding success. We
developed NestTool with data from 258 individual red kites (Milvus
milvus) from Switzerland tracked for up to 7 years. NestTool first
extracts 42 movement metrics such as time within a user-specified
radius, number of revisits, home range size, and distances between most
frequently used day and night locations from the raw tracking data for
each individual breeding season. These variables are then used in three
successive random forest models to predict whether individuals exhibited
home range behaviour, initiated a nesting attempt, and successfully
raised fledglings. The models achieved > 95% accurate
classification of home range and nesting behaviour in cross-validation
data, but slightly lower (> 80%) accuracy in classifying
the outcome of nesting attempts, because some individuals frequently
returned to nests despite having failed. NestTool provides a graphical
user interface to manually annotate those individual seasons for which
model predictions fall below a user-defined threshold of certainty. When
applied to tracking data from different red kite populations in Germany,
NestTool yielded accurate predictions with > 80% accuracy
in all parameters. NestTool is available as R package at
https://github.com/Vogelwarte/NestTool and we encourage ornithologists
to adapt it for different populations and species. NestTool will
facilitate the more widespread estimation of demographic parameters from
tracking data to inform population assessments
Experiences in the high throughput phenotyping of forage and turf grasses for semiarid landscapes: challenges and expectations
Authors: Hernandez Alex , Jensen Kevin , Larson Steven , Bushman Shaun , Robbins Matthew , Rigby Craig , Johnson Brittany , Porter Peter , Bretch Holden
Published: October 2023

The Forage and Range Lab (FRRL) is implementing a high throughput
phenotyping (HTP) project using unmanned aerial vehicles (UAV),
multispectral sensors, and programmatic pipelines for computational
automation. Here we report on different HTP experiences for forage and
turf grasses. Phenotypic traits (plant height, biomass, leaf area index,
etc.) have been measured during two field seasons (2022 and 2023), and
time series of multispectral imagery have been collected, processed, and
used in different regression modeling strategies for sparse and dense
forage grass canopies. We also provide examples of automatic
classification of turf grasses visual ratings using close-range UAV
imagery (infrared and multispectral). Accuracy results from our
independent validations have been highly variable for the field-measured
traits with excellent results for traits like biomass, and moderately
acceptable results for other important features such as grain yield. We
describe challenges that impact our ability to model certain traits, and
expectations from using hyperspectral and light detection and ranging
Lidar sensors in the near future to a) expand the number of phenotypic
traits, b) simplify workflows, and c) upscale current models from
experimental plots to landscapes. Our HTP work aims at accelerating the
process of selecting plant material that scientists at FRRL develop to
restore disturbed semiarid landscapes in order to augment their
resilience to the impacts of climate change and other global processes.
Synergizing Proximal Remote Sensing Modalities for Enhanced Prediction of Key Agronomic Crop Traits
Authors: Farmer Erin , Michael Peter , Yan Ruyu , Lepak Nick , Romay Cinta , Buckler Edward S. , Snavely Noah , Sun Ying , Robbins Kelly , Gage Joseph L. , Davis Abe , Gore Michael A.
Published: October 2023

Recent progress in proximal remote sensing has elevated both the spatial
and temporal resolution of data acquisition, expanding the accessibility
of these technologies for digital agriculture applications. These
advanced sensors enable the gathering of extensive and novel datasets,
proving instrumental in accurately characterizing phenotypes and
parameterizing models for crop growth. Despite the distinctive
structural, spatial, and spectral information embedded in these data
streams, they have predominantly been utilized in isolation. Thus, this
research aims to integrate these disparate data sources to improve
estimations of agronomically important crop traits, such as yield. Deep
learning methods, such as autoencoders, will be used to extract latent
phenotypes, which will be used to characterize manually measured traits.
We focus on multispectral images (MSIs) collected by unoccupied aerial
vehicles and lidar scans collected by unoccupied ground vehicles. MSIs
capture canopy-level spectral information, including the red, green,
blue, red edge, and near infrared bands. Lidar scans are converted to
point clouds to construct the three-dimensional sub-canopy architecture
of maize plants. Data were collected on maize hybrids as part of the
Genomes to Fields project, from 2018 to 2022, in Aurora, NY. Autoencoder
model training on MSIs shows that latent phenotypes are effective image
representations, containing relevant and sufficient information to
generate image reconstructions. The latent codes are also predictive of
the image date and normalized difference vegetation index values. Latent
phenotypes were extracted from the lidar point clouds as well, and the
prediction accuracies of models using these measurements separately and
jointly will be compared.
Global Diversity of Source-Sink Senescence in Maize
Authors: Gee Mark , Tuinstra Mitchell
Published: October 2023

Source-Sink Regulated Senescence (SSRS) in maize is a complex trait
involving sugar sensing and carbohydrate partitioning. While the yield
effects of SSRS are still under investigation, mapping work in Midwest
commercial germplasm has found evidence for QTL on several chromosomes.
In this study, we seek to understand the variation of this trait in
global maize germplasm and map the genetic loci linked to this
senescence response using the Maize Nested Association Mapping
population. Wide variation was seen in expression of the senescence
phenotype including several lines that are potentially anti-senescent in
response to sink removal. Phenotypes of NAM RIL populations support the
possibility of anti-senescent or senescence suppressing genetic factors.
Joint linkage mapping identified QTL for the SSRS trait on three
chromosomes which are distinct from those previously reported. By
understanding and mapping the global diversity of this trait, we can
better understand the physiology of maize senescence and integrate
insights into breeding programs.
Comparative genomics to improve genotype-phenotype associations in maize and sorghum
Authors: Braun Elliot , Singh Anuradha , Tan Ruijuan , Schnable James C , Newton Linsey , Thompson Addie
Published: October 2023

Comparing the genomes of two species offers a robust approach to unveil
potentially overlooked genes that wield substantial influence on
observed agronomic traits. Extensive phenotypic data from maize and
sorghum were previously utilized in genome-wide association studies.
This project aims to harness the potential of comparative genomics to
strengthen confidence in these marker-trait associations and to suggest
previously unexplored relationships. To achieve this goal, insights from
studies on the genetically diverse Sorghum Association Panel and the
maize Wisconsin Diversity Panel were leveraged to classify candidate
genes as either shared between the two species or unique to one or the
other. Candidate orthologous genes found in both species, associated
with shared phenotypes, enhance the reliability of the associations
within each species. Additionally, genes unique to each species provide
parameters to inform future predictive models. Finally, given the
ancient tetraploidy of maize and the biased loss of genes over time, the
candidate genes identified in sorghum provide valuable information for
understanding the orthologs found in the maize subgenomes.
Leveraging phenotyping to inform development of process-based plant models
Authors: Jamshidi Sajad , Bogati Sujata , Schafer Sam , Ting To-Chia , Vargas Luis , Wang Diane
Published: October 2023

Phenotyping plays a crucial role in parameterizing, calibrating, and
evaluating process-based plant models, which can be used to understand
and predict crop behavior under various conditions. This, in turn,
allows for more informed decision-making in agriculture and provides
insights into how crops may respond to changing environmental factors.
Nevertheless, several potential disparities between current plant models
and phenotyping methods exist, which have the potential to undermine the
precision and applicability of these models. These discrepancies
encompass differences in data resolution and scale (both spatial and
temporal) between what is feasibly gathered during phenotyping efforts
and what is required by the models. Additionally, issues related to
compatibility between the traits measured during phenotyping campaigns
and the parameters required for models are prevalent. Furthermore, the
representation of genetic and environmental variability in both models
and phenotyping data is often limited, resulting in a gap between these
two components.

To address these discrepancies, we are developing a new “minimum”
plant model. This model has been designed with strong consideration of
what data can be measured in phenotyping campaigns across multiple
genotypes. While the core model remains straightforward, it has the
capability to simulate essential processes to represent fundamental
plant physiology. Moreover, it has the potential to be integrated into
larger, more comprehensive models or parameterized to suit specific
genotypes. This approach aims to bridge the gap between phenotyping and
crop models, thus enhancing their effectiveness in addressing the
challenges that emerge by utilizing them in broader agricultural
applications.
Hyperspectral Image-Based Spatial and Spectral Feature Mining for Phosphorus Deficiency Symptom Differentiation at Corn’s Early Vegetative Stage
Authors: Zhang Jinnuo , Wei Xing , Song Zhihang , Penn Chad J. , Jin Jian
Published: October 2023

Phosphorus (P) is a vital macronutrient for building up essential
biomolecules in plants, and its accurate quantification can guide
effective crop management and increase crop growers’ profit. Traditional
chemical reaction-based methods for measuring P levels in plants are
destructive and complex. Hyperspectral imaging offers a real-time,
non-destructive avenue for assessing crop nutrient status. While these
images are rich in both spatial and spectral information, limitations in
current devices and analytical algorithms have led most studies to
concentrate solely on the spectral features. In this study, a novel
algorithm to combine features in spatial and spectral domains is
proposed and implemented to differentiate phosphorus deficiency symptoms
in corn plants. At the V6 vegetative stage, leaf-level hyperspectral
images from three P levels and two leaf positions were collected using
the handheld proximal hyperspectral imager, LeafSpec. Spatial and
spectral features that exhibit significant differences between the P
treatments were generated by integrating pre-designed spatial partitions
with spectral index maps. The correlation coefficient between the P
content and elected spatial and spectral features was treated as the
standard to further refine the mining results. The spatial and spectral
joint effects showed superior ability than spectral indices in
differentiating P deficiency at both leaf positions, especially for
medium P and sufficient P. Related visualization maps also gave out a
preliminary insight into the differences in P deficiency symptoms. This
study highlights the great potential and effectiveness of combining
spatial and spectral features in differentiating P levels at corn’s
early vegetative stage.
Mechanical and electronic properties of NiCo2O4 under high pressure: A first-principles calculation
Authors: Nagarajan Veerappan , Padmashri Karthigayan , Chandiramouli Ramanathan
Published: October 2023

The mechanical and electronic properties of NiCo2O4 crystal under high
pressure are explored based on the density functional theory method. The
pressure in the range from 0 to 50GPa is applied to NiCo2O4 and the
behaviour concerning electronic properties is studied. The energy band gap
of NiCo2O4 gradually decreases from 2.196 eV (0GPa) to 1.785 eV (50GPa). The
elastic constants for cubic NiCo2O4 are calculated and bulk, shear and
Young?s modulus are further computed. Furthermore, Cauchy?s pressure, Pugh?s
criterion and Pois-son?s ratio of NiCo2O4 are calculated and reported under
high pressure. The NiCo2O4 exhibits ductile property under high pressure,
which is evident from Pugh?s criterion. In addition, hardness and anisotropy
factor is also calculated and reported.
A monetary model of exchange rate beats the random walk forecast even at a short horizon: Evidence from the Serbian hyperinflation at daily frequency
Authors: Petrovic Pavle , Mladenovic Zorica
Published: October 2023

This paper finds that an out-of-sample forecast of a monetary model of
exchange rate (MMER) in hyperinflation decisively beats a random walk one
particularly at the most challenging one step ahead forecast, thus
outperforming standard results previously obtained for low inflation
episodes. The findings refer to the Serbian hyperinflation at daily
frequency, and are robust with respect to various tests. Fast adjustment of
the exchange rate to its fundamental value and the low, well below one
discount factor found in the Serbian episode, as opposed to low-inflation
ones, can account for divergent results in the respective inflation
environments. The low discount factor appears in other hyperinflation
episodes, while fast adjustment is due to the absence of nominal rigidities
in hyperinflation thus both suggesting that reported findings for one
episode might generalize.
Long-term efficacy of selective arterial embolisation of renal angiomyolipoma
Authors: Swärd Jesper , Bohlin Karl , Henrikson Olof , Lundstam Sven , Peeker Ralph , Grenabo Bergdahl Anna
Published: October 2023

Objective: To evaluate the long-term efficacy of selective arterial embolisation in renal angiomyolipoma (AML), with emphasis on tumour shrinkage, potential regrowth and the necessity of supplementary procedures. 
Material and methods: A retrospective review of all 58 consecutive embolisations at two institutions, between 1999 and 2018, was performed. Clinical notes, laboratory data and imaging were reviewed.
Results: The overall complication rate was 6.8%, with no Clavien-Dindo grades III–V complications. Kidney function was unaffected by embolisation as measured by creatinine. Median radiological follow-up was 4.8 years (interquartile range [IQR]: 2.8–7.8), and median clinical follow-up was 7.5 years (IQR: 4.7–14.0). Decreasing AML size was observed in 96% of procedures. Maximal shrinkage (30% median diameter decrease; IQR: 15–44) was reached after median 2.2 years (IQR: 0.6–4.8). During follow-up, regrowth occurred in 38% of patients, and four bleeding episodes occurred in three patients with tuberous sclerosis. Growing size and/or rebleeding prompted a redo embolisation in 9% of spontaneous AML and 50% of tuberous sclerosis-associated AML.
Conclusions: Being a well-tolerated treatment with few complications, selective arterial embolisation renders a pronounced size-reduction in most patients with AML, and kidney function is preserved. Regrowth is common, and a radiological follow-up is necessary. Tuberous sclerosis is a risk factor for the need of reintervention.
Pendampingan Penguatan Internalisasi Nilai-Nilai Al-Islam dan Kemuhammadiyahan di Pimpinan Ranting Muhammadiyah Baturan
Authors: Mohamad Ali  , Mohammad Zakki Azani  , Nurul Latifatul Inayati  , Dartim  , Istanto
Published: October 2023

Pengabdian ini adalah pengabdian dengan maksud untuk memberikan kontribusi penguatan dan pendampingan bagi persyarikatan yakni di Pimpinan Ranting Muhammadiyah Baturan. Meskipun terletak di tengah-tengah daerah ramai perkotaan tetapi selama beberapa tahun ini geliat dakwah dan pembinaan Al-Islam dan Kemuhammadiyahan (AIK) di PRM Baturan dengan berbagai bentuk instrument dakwahnya bisa dikatakan masih sangat minimal. Jika ada kegiatan itupun masih sangat terbatas pada acara yang bersifat ceremonial organisasi belaka. Untuk itu ranah perluasan dakwah Islam di masyarakat masih belum tersentuh. Apalagi di daerah perkotaan juga ada kajian-kajian dari organisasi Islam lain yang cukup intens. Maka dengan kondisi demikian diperlukan pendampingan penguatan dakwah Al-Islam dan Kemuhammadiyahan di PRM Baturan dalam bentuk kajian ilmiah ataupun kegiatan-kegiatan lain yang mendukung.
Psikoedukasi Untuk Menurunkan Stres Warga Binaan di Lembaga Pemasyarakatan
Authors: Putri Adzkia Aunillah , Hapsari Arie , Lestari Rini
Published: October 2023

Warga binaan di lapas kelas IIB Klaten sering menghadapi berbagai masalah psikologis. Salah  satu masalah yang dominan adalah stres. Mereka mengalami tekanan dan ketegangan dalam lingkungan yang tidak familiar, kurangnya kebebasan, isolasi sosial, konflik dengan sesama warga binaan, ketidakpastian mengenai masa depan, serta tekanan dari penjagaan dan aturan di lembaga pemasyarakatan. Stres yang berlebihan dapat menyebabkan gangguan tidur, penurunan nafsu makan, kelelahan, peningkatan ketegangan emosional, dan bahkan dapat memperburuk masalah kesehatan fisik yang sudah ada sebelumnya. Tujuan pengabdian ini adalah memberikan psikoedukasi  untuk menurunkan stres pada warga binaan. Subjek sasaran adalah warga binaan kelas IIB Klaten yang berjumlah 10 orang dan berjenis kelamin laki-laki. Psikoedukasi dilakukan pada tanggal 20 dan 23  Februari 2023 selama 180 menit. Stres diukur dengan menggunakan skala DASS 21. Analisis data statistik dilakukan dengan wilcoxon rank test. Hasil menunjukkan psikoedukasi mampu menurunkan stres yang dialami oleh warga binaan.
 
Kata kunci : lapas, psikoedukasi, stress, warga binaan.
La regulación normativa como instrumento de apoyo al control de la pandemia
Authors: García García Pilar , Asiain Albisu Joseba
Published: October 2023

Una de las herramientas esenciales para combatir la pandemia ha sido la aprobación de normativa para dictar medidas sanitarias específicas de prevención, de carácter extraordinario, como consecuencia de la situación epidemiológica derivada de la COVID-19. Algunas de estas medidas tuvieron rango de ley, otras eran reglamentos de carácter ejecutivo y otras actos administrativos de carácter organizativo. Estaban dirigidas fundamentalmente a evitar tanto la movilidad de las personas como las aglomeraciones, para reducir los contagios y contener las atenciones médicas y hospitalizaciones, las cuales amenazaban con colapsar el sistema sanitario y comprometer la salud pública de la población. Eran normas de una extraordinaria complejidad por la cantidad de ámbitos sociales y económicos en los que incidían y, sobre todo, por los derechos que limitaban: derechos fundamentales como la libertad de circulación de las personas o la libertad religiosa, derecho de reunión y de manifestación o derecho a la intimidad familiar. El objeto de este artículo es realizar un breve análisis de la actividad normativa llevada a cabo en Navarra para dictar medidas sanitarias de carácter extraordinario entre marzo de 2020 e inicios de 2022, recorriendo las distintas etapas con declaración de estado de alarma y aquellas en las que las comunidades autónomas ostentaban competencias para dictar normas. Se reflexiona sobre cómo la urgencia con la que hubo que dictarlas, su extrema complejidad técnica, la falta de experiencias previas, las dispares interpretaciones jurídicas sobre si el marco normativo existente avalaba su adopción, y la falta de referencias jurisprudenciales dificultaron su aprobación. Y, por el contrario, cómo la coordinación entre los órganos gestores y el aval judicial fueron las fortalezas que permitieron aprender paulatinamente a aprobar medidas que trataran de respetar la proporcionalidad entre la limitación de algunos derechos fundamentales, la protección de los intereses económicos y sociales, y la protección de la salud pública.
Organización del sistema de rastreo para la identificación y seguimiento de casos y contactos: Estudio y manejo de casos y contactos en el ámbito escolar, análisis del impacto de las medidas aplicadas al alumnado
Authors: Echeberria Aitziber , López Moreno Paula , Delfrade Josu , Sola Sara María Pilar , Barricarte Aurelio , Casado Itziar
Published: October 2023

Fundamento. Desde septiembre de 2020, los centros escolares permanecieron abiertos bajo medidas de prevención de la infección por COVID-19 y una estrecha vigilancia y control por parte de Salud Pública. Métodos. Se describió la organización y el procedimiento de rastreo escolar durante la pandemia de COVID-19 en Navarra. Se estudió el alumnado rastreado, cuarentenas escolares, transmisión en el aula, e impacto en la actividad educativa. Resultados. El rastreo fue desarrollado por el Departamento de Salud en coordinación con el Departamento de Educación. Durante el curso 2020/21, la incidencia en escolares fue similar o inferior a la población general y las ondas epidémicas no mostraron relación con los periodos lectivos. El 26% del alumnado, mayormente de educación infantil y primaria, estuvo en cuarentena. La tasa de ataque secundaria (TAS) en las aulas fue inferior al 5%. En el curso 2021/22, la incidencia aumentó con la entrada de la variante Ómicron. Se indicó cuarentena en el 17% del alumnado de infantil y primaria durante el primer trimestre, y en el 11% durante el segundo. La TAS ascendió al 18% en el primer trimestre, y la transmisión alcanzó niveles muy altos en el segundo, con grandes brotes. Las cuarentenas tuvieron un gran impacto en la actividad lectiva. Conclusiones. La gestión de casos y contactos en el ámbito escolar resultó de suma importancia para mantener un balance equilibrado entre la seguridad y el control de la pandemia en las aulas, y asegurar las garantías pedagógicas y el bienestar de la infancia.
Resultados en Navarra del estudio nacional de sero-epidemiología ENE-COVID
Authors: Ederra Sanz María , Sayón Orea Carmen , Ansorena de Paul Judit , Erdozain Egüaras Nieves , Vidán Alli Juana , Galán Espinilla Vidán Alli , Garde Garde Carmen , Díaz González Jorge
Published: October 2023

Fundamento. España ha sido uno de los países europeos más afectados por la pandemia de COVID-19. La encuesta serológica ENE-COVID, estudio de base poblacional tiene como objetivo estimar la seroprevalencia de la infección por SARS-CoV-2 en España a nivel nacional y autonómico y su evolución temporal. Se presentan los resultados correspondientes a la Comunidad Foral de Navarra. Metodología. Se seleccionaron 864 hogares de padrones municipales mediante muestreo aleatorio estratificado bietápico. La primera fase estudió la seroprevalencia en la primera onda epidémica mediante tres rondas, entre el 27 de abril y el 22 de junio de 2020, en las que participaron 1.865 personas (77,5% de respuesta). Respondieron a un cuestionario sobre el historial de síntomas compatibles con COVID-19 y factores de riesgo y, si estuvieron de acuerdo, donaron sangre para detección de anticuerpos en laboratorio mediante inmunoensayo quimioluminiscente de micropartículas (IQM). Tras la desescalada se realizó una cuarta ronda del estudio, entre el 16 y el 19 de noviembre de 2020, para tener una imagen más completa de la extensión epidémica. Resultados. La seroprevalencia en Navarra fue 14,3 %, sin diferencias por sexo pero sí mayor en personas de 50-64 años (18%) y en residentes en secciones censales con mayor nivel de renta. La tasa de seroconversión entre la primera fase (rondas 1 a 3) y la cuarta ronda del estudio fue del 7,1% (IC95%: 5,3-9,4). Alrededor de un tercio de los participantes seropositivos fueron asintomáticos, con un rango de 21,9 % (19,1-24,9) a 35,8 % (33,1-38,5). Conclusión. Estos resultados enfatizaron la necesidad de mantener las medidas de salud pública para evitar una nueva ola epidémica.
Estrategia de vacunación frente a COVID-19 en Navarra
Authors: Nuin Mª Ángeles , Tellechea Maitane , Nekotxea Kenya , García Cenoz Manuel , Irigoyen Izaskun , Garde Izaskun
Published: October 2023

La Estrategia de vacunación frente a la COVID ha sido el primer programa de vacunación que ha implicado prácticamente a toda la población, por ello ha supuesto un esfuerzo muy importante para el Ministerio de Sanidad en coordinación con las CCAA. También en Navarra ha sido necesario coordinar todas las fases tanto de planificación como de operativización. En este artículo se introduce la gobernanza del programa de vacunación, se describe el proceso de recepción de la vacuna en el Instituto de Salud Pública y Laboral de Navarra (ISPLN), el mantenimiento de la cadena del frío y la preparación para la distribución a los puntos de administración y las coberturas de vacunación alcanzadas. A 30 de octubre de 2022, se habían recibido 1.406.169 dosis de vacunas. El 86,5% de la población había recibido una dosis de vacuna, el 85,8% la pauta completa de primovacunación y el 56,6% una dosis de refuerzo (>95% de los mayores de 60 años). A 22 de febrero de 2023, en Navarra han recibido la segunda dosis de recuerdo de la vacuna el 86,3% de las personas de 80 y más años, el 75,8% de las de 70 a 79 años y el 57,7% de las de 60 a 69 años, frente al 76,1%, el 66,2% y el 46,8%, respectivamente, en el conjunto del estado. El éxito de este programa de vacunación se debe a la implicación de la organización y del personal que ha participado en cada eslabón del proceso, a haber mantenido una estrategia común y unos criterios similares en todas las CCAA, a haber monitorizado continuamente las coberturas alcanzadas en los distintos grupos de población y a la adherencia de la población navarra, que tiene impregnada la cultura de la prevención mediante la vacunación.
Farmacovigilancia durante la pandemia de COVID-19
Authors: Elizondo Rivas Gabriela , de Agapito Vicente Covadonga , Viñuales Loriente Ana , Ochando Ortiz Geno
Published: October 2023

Durante la pandemia de COVID-19, un papel fundamental de la Farmacovigilancia y del Centro de Farmacovigilancia de Navarra ha sido disponer de forma temprana de información de seguridad actualizada sobre los tratamientos para la infección por SARS-CoV-2 y las vacunas COVID-19. Esto ha permitido mantener informados tanto a profesionales de la salud como a la ciudadanía sobre la seguridad de dichos medicamentos y poder adoptar medidas de minimización de riesgos. A consecuencia de la pandemia han surgido nuevas actividades en el Centro de Farmacovigilancia de Navarra, como la participación activa en todas las tareas relacionadas con el seguimiento de la seguridad de los medicamentos utilizados para la infección por SARS-CoV-2 y en la vigilancia de la seguridad de las vacunas COVID-19, formando parte de los grupos de trabajo del Sistema Español de Farmacovigilancia creados para dicho seguimiento. También se ha intensificado el trabajo relacionado con la resolución de consultas, que se triplicaron en el año 2021 frente a 2020 y la evaluación de las notificaciones de sospechas de reacciones adversas, que aumentaron más de siete veces en 2021 respecto a las de 2020. La pandemia de COVID-19 ha afectado profundamente al conjunto de actividades que realiza el Centro de Farmacovigilancia de Navarra, pero ha servido para visibilizar su trabajo, dar a conocer su finalidad y, en definitiva, para poner en valor la Farmacovigilancia. A raíz de la pandemia de COVID-19 la Farmacovigilancia ha pasado a tener un reconocimiento científico y social indiscutible.
Tratamiento de la COVID-19, ¿qué hemos aprendido?
Authors: Rodríguez Esquíroz Andrea , Marín Marín Marta , García González Patricia , Sanz Álvarez Lorea , Aldave Cobos Paula , Garjón Parra Javier
Published: October 2023

En diciembre de 2019 surgió un nuevo coronavirus, muy virulento y que provocaba un cuadro severo a nivel respiratorio. La falta de experiencia con esta nueva enfermedad, unida a su gravedad y alta mortalidad, hizo que se utilizaran una gran cantidad de medicamentos sin experiencia y se investigara sobre nuevas terapias específicas para combatirlo. Los primeros medicamentos que se utilizaron fueron antirretrovirales, usados habitualmente para el tratamiento del virus de la inmunodeficiencia humana, y antiparasitarios, por su actividad inmunosupresora. Además, debido a la neumonía que producía este nuevo virus se utilizaban antibióticos por el riesgo de sobreinfección bacteriana, además de corticoides. Posteriormente, se comenzaron a usar terapias inmunomoduladoras como interferones, anticuerpos monoclonales o moléculas pequeñas dirigidas contra dianas implicadas en el proceso de la inflamación. Durante todo este tiempo surgieron nuevas terapias como remdesivir, cuyas pautas de uso fueron cambiando a lo largo de los meses. En enero de 2022 cambió el paradigma de tratamiento de esta enfermedad, ya que se incluyeron nuevas alternativas terapéuticas tanto para el tratamiento de esta enfermedad como para su prevención, como son sotrovimab, casirivimab-imdevimab o nirmatrelvir/ritonavir. Desde este momento, la Agencia Española del Medicamento y Productos Sanitarios publicó una serie de recomendaciones de utilización de estos nuevos medicamentos, que se han ido actualizando hasta la fecha. En este artículo hacemos una revisión de los tratamientos utilizados desde el inicio de la pandemia hasta enero de 2023.
La atención hospitalaria de Navarra en respuesta a la pandemia por SARS-CoV-2: Plan de actuación ante la pandemia por COVID-19 en Urgencias del Hospital Universitario de Navarra.
Authors: Jesús Manuel Jesús Manuel , Vieira Galán Oihane , Fernández Esain Bernabé , Robador Llorente Beatriz , Ruiz de Eguino Ruiz de Eguino Virginia , Castro Neira Miguel , Arlegui Iriarte Raquel , Azcárate Zubizarreta Nerea , Petrina Jáuregui Estrella , Ibero Esparza Carlos
Published: October 2023

El SARS-CoV-2 es un virus causa manifestaciones clínicas con distintos niveles de gravedad por lo tanto los servicios de Urgencias hospitalarios deben estar preparados para identificar los casos, aislarlos, informar y asegurar un tratamiento. Cuando en el primer trimestre de 2020 el primer caso de infección COVID-19 se comunicó en Navarra los servicios de Urgencias tuvieron que desarrollar unos planes específicos para, no solo, la detección e información de los casos, sino también adecuar sus espacios de trabajo y redimensionar sus necesidades materiales y profesionales para hacer frente a una situación sin precedentes conocidos en los últimos años. Este manuscrito resume el documento que recoge el plan de actuación interno ante la pandemia de COVID-19 en Urgencias del Hospital Universitario de Navarra y las decisiones a nivel de gestión que se realizaron para adaptar el Servicio de Urgencias a las necesidades de escalada y desescalada.
Gestión de camas hospitalarias durante la pandemia en Navarra con el apoyo de métodos matemáticos de predicción
Authors: Rodrigo-Rincón Isabel , Garcia-Vicuña Daniel , Esparza Laida , Santana-Domínguez Sergio , Martínez-Larrea Alfredo Jesús , Mallor Fermín
Published: October 2023

Durante la pandemia por coronavirus, en Navarra se utilizaron modelos matemáticos de predicción para estimar las camas necesarias, convencionales y de críticos, para atender a los pacientes COVID-19. Las seis ondas pandémicas presentaron distinta incidencia en la población, ocasionando variabilidad en los ingresos hospitalarios y en la ocupación hospitalaria. La respuesta a la enfermedad de los pacientes no fue constante en cada onda, por lo que, para la predicción de cada una, se utilizaron los datos correspondientes de esa onda. El método de predicción constó de dos partes: una describió la entrada de pacientes al hospital y la otra su estancia dentro del mismo. El modelo requirió de la alimentación a tiempo real de los datos actualizados. Los resultados de los modelos de predicción fueron posteriormente volcados al sistema de información corporativo tipo Business Intelligence. Esta información fue utilizada para planificar el recurso cama y las necesidades de profesionales asociadas a la atención de estos pacientes en el ámbito hospitalario. En la cuarta onda se realizó un análisis para cuantificar el grado de acierto de los modelos predictivos. Los modelos predijeron adecuadamente el pico, la meseta y el cambio de tendencia, pero sobreestimaron los recursos necesarios para la atención de los pacientes en la parte descendente de la curva. El principal punto fuerte de la sistemática utilizada para la construcción de modelos predictivos fue proporcionar modelos en tiempo real con datos recogidos con precisión por los sistemas de información que consiguieron un grado de acierto aceptable permitiendo una utilización inmediata.
Pandemia y humanización en el sistema sanitario público de Navarra
Authors: Ochando Ortiz Geno , Antoñanzas Baztán Elena , Ancín Pagoto Marta , Campillo Arregui Ana , Goyeneche Haro Lucía , Rey Escalera Asunción
Published: October 2023

En el año 2017, el Gobierno de Navarra diseñó y presentó la Estrategia de Humanización del Sistema Sanitario Público, con el objetivo de conseguir un nuevo modelo de atención que contemplara a cada persona como centro de atención, y no a la enfermedad o el proceso por el que es atendida. La Estrategia vigente hoy día considera que la nueva orientación de los servicios hacia una atención personal, humana, respetando la dignidad y los valores de las personas atendidas es más satisfactoria profesional y humanamente para el conjunto de profesionales del sistema sanitario y, por tanto, tiene un valor motivador y de desarrollo profesional. Esta orientación se vio interrumpida por los cambios organizativos y asistenciales imprescindibles para abordar la situación provocada por la pandemia de COVID-19. Es ahora nuestra responsabilidad contar el impacto de la pandemia en la humanización de la atención, un impacto que nos lleva a ser críticas con nosotras mismas, a considerar lecciones aprendidas de cara al futuro, y también a poner en valor cuestiones aprendidas que han venido para quedarse, siempre con el objetivo de construir.