bluuebunny/crossref_metadata_2025 huggingface dataset:
The Impact of Adverse Childhood Experiences on Educational Outcomes in Adolescents
Authors: Zheng Ruimengyuan
Published: April 2024

This paper's purpose is to review past literature on the effect of adverse childhood experiences on the educational outcomes of adolescent learners. Over the past few years, literature pieces through various researchers and writers have identified the great need to sensitize the reasons for the outcomes that adolescents get when they go through school. Most researchers have also focused on the possible solutions that could be used in addressing adolescents' different needs and challenges. One of the challenges that most researchers still need to identify is the early childhood experiences that adolescents go through even before they get to school. In this study, the researcher discussed academic effects related to early childhood adverse experiences. The family background and the different environmental issues that affect the mental state of adolescents as they grow up have been identified in this study as contributing factors to the adverse effects that lead to poor educational outcomes among adolescent learners. In addition, this study has found that adverse childhood experiences affect the students' learning outcomes by impacting different elements of the academic life of the learners. It influences the academic engagement of the learners, their level of achievement, and attendance to their studies in schools.
The Influences on Beliefs and Autonomous Strategies: Analyzing the Processes and Methods of Belief Formation
Authors: Li Jiale
Published: April 2024

This paper explores the question of whether beliefs are voluntary or not. The author argues that beliefs are voluntary based on a step-by-step analysis of how beliefs are formed. The author explains that there are four steps involved in the formation of beliefs: obtaining information, evaluating it, deciding whether to adopt or reject it, and implementing it in our day-to-day decision-making and behaviors. The author shows that each step involves a choice and a responsibility that make beliefs voluntary. The author also discusses some scenarios where beliefs seem involuntarily formed, such as cognitive, emotional, and social factors, and how they can be overcome by critical thinking, personal values, and free will. The author uses the example of The Truman Show, a movie where the protagonist lives in a fake reality, to illustrate how beliefs can be influenced in the short term but not in the long term. The author concludes that even though belief can be implanted and influenced, ultimately it is still voluntary.
Comparative Experiences of Underrepresented Elementary Students: A Historical Analysis of Educational Inequality in the United States and China
Authors: He Dingzhou
Published: April 2024

As educational systems around the world grapple with issues of diversity, inclusion, and equity, understanding the challenges faced by underrepresented groups becomes increasingly critical. Against this backdrop, this paper aims to investigate the unique experiences of underrepresented students within the educational systems of the United States and China, two countries with distinct historical, cultural, and social contexts. Drawing from intersectional identities such as race, ethnicity, socioeconomic status, and gender, the study offers a nuanced perspective on how systemic barriers have historically impacted these students' access to quality education in both nations. Utilizing a primarily historical analysis methodology, the paper delves into the foundational policies, societal attitudes, and key transformative events that have orchestrated the educational experiences for these groups. The study is anchored in robust theoretical frameworks including "education debt," "cultural capital," and "interest convergence," providing a comprehensive lens to understand the multi-layered challenges and opportunities these students face. Our findings reveal both persistent challenges and evolving dynamics, contextualizing individual experiences within the broader sociopolitical landscapes of the United States and China. The study aims to both guide future scholarly endeavors and inform policy interventions, thus contributing to a more inclusive and equitable educational landscape in both countries.
The Ethical Implications of Integrating Complementary and Alternative Medicine (CAM) in Chinese Psychological Practice
Authors: Wong Ching Yin
Published: April 2024

This paper meticulously delves into the intricate ethical implications that arise from the integration of Complementary and Alternative Medicine (CAM) into the realm of Chinese psychological practice. The surge in interest in holistic well-being has spurred the incorporation of CAM modalities within psychology. This convergence lays bare a tapestry of intricate ethical quandaries. With a meticulous and rigorous examination, this study navigates the core ethical principles, including the imperative commitments to public welfare, shielding against potential harm, and upholding individual autonomy. The exploration unearths multifaceted challenges spanning transparency, the intricacies of accountability, the nuances of informed consent, and the shadows of potential exploitation. In response to these complexities, the paper advocates for strategic measures such as fostering interprofessional collaboration, catalyzing governmental initiatives, and embracing qualitative methodologies. Inescapably, the study underscores the pressing need for a responsible and reasonable integration that ensures the delivery of comprehensive and patient-centered care while aligning with China's constantly evolving mental health landscape. By engaging rigorously with these ethical dimensions, the integration of CAM emerges as a pivotal contributor to an inclusive and all-encompassing mental health framework.
Methods of Alleviating Working Dog’s Anxiety
Authors: Zheng Deng Karen
Published: April 2024

As our society evolved swiftly, working dogs are becoming more predominant in assisting people in diverse fields. It's easier to see our loyal friends working hard in places like battlefields, rescuing people, or in airfields, detecting drugs. At the same time, researchers proposed a deeper understanding of animal welfare and people are more concerned about how to enhance the standard of living of working dogs. This report aimed to use the scientific studies of working dogs from the last decade to list both methods of preventing and alleviating working dogs' anxiety. These methods encompass both physical supplements and mental support. We will go through these methods through three main categories: methods to prevent their anxiety, physical items, and measures and reminders for their trainers in their everyday training and life. Utilizing this framework, we were able to assist these dogs who were having anxiety because of us. We benefit from their hard work and, subsequently, are responsible for their trauma. On the other hand, just like the inextricable link between living organisms, these methods may not only serve working dogs but also other animals around us, including your pet. Lastly, prioritizing animal welfare in research and practice will be pivotal to ensure the ongoing relationship between dogs and people as co-workers.
Micro-expressions: A Study of Basic Reading and The Influencing Factors on Production and Recognition
Authors: Yang Yunxuan
Published: April 2024

In response to nonverbal communication in psychology, micro-expression research has gained widespread attention as a relatively new but growing field. As technology advances, researchers have developed computer-based tools and software to assist in analyzing micro-expressions. These tools use facial recognition and machine learning algorithms to more accurately detect and categorize micro-expressions. This article introduces the definition and basic types of micro-expressions by integrating related literature and further analyzes the four influencing factors including gender, cultural differences, occurrence background, and psychological states on the production and recognition of micro-expressions. Due to the limited research so far, we will establish the connection with micro-expressions with the help of facial expressions or emotions. Furthermore, three perspectives on micro-expression recognition are presented, including social safety, clinical therapy, and teaching efficiency, to illustrate the application of micro-expression recognition in current life. Finally, we suggest directions for future research on micro-expressions on interdisciplinary cooperation with other fields like brain science and so on.
Analysis of High Levels of Urine Proteins as a Sign of Impaired Kidney Function in Communities Around a Nickel Mining Industry in Morosi District, Southeast Sulawesi
Authors: Tasnim Tasnim , Rahmawati Rahmawati , Amraeni Yunita , Buton La Djabo , Saparina.L Titi , Mulyani Sri , Tasrun La Ode , Noviati Noviati
Published: April 2024

The study is proposed to analyse the influence of individual and environmental factors on protein urine levels as a parameter for impaired kidney function in the community around Nickel mining industry in Morosi Sub-District, Southeast Sulawesi Indonesia. This quantitative study used a cross sectional study design. The population was people in 3 villages around the nickel mining industry aged 20-59 years. The sample size was 61 people using simple random sampling technique. Independent variable was age as representation of individual factor and environmental factors including house condition, water quality, waste management and household liquid waste. Protein urine as a parameter for impaired kidney function as the dependent variable. Data was collected by questionnaire and taking urine samples. Data were analysed using the multinomial logistic regression test with a significance level of 95%. The results show that the determinant of proteinuria levels in communities around the Morosi nickel mining industry was age (p=0.038<0.05), the water source quality (p=0.002<0.05). Solid waste management (p=0.05) and waste water management (p-value=0.045< 0.05). Meanwhile, the house condition had no effect on high proteinuria levels (p value> 0.05). In conclusion, impaired kidney function in communities around the Morosi nickel mining industry due to age, poor quality of water sources and poor management of solid waste and household liquid waste.
On Solving a Quadratic Diophantine Equation Involving Odd Powers of 17
Authors:   ESIME-Zacatenco, Instituto Politécnico Nacional, Edif. 4, 1er. Piso, Col. Lindavista CP 0778, CDMX, México., Prof. J. López-Bonilla  , R. Sivaraman  ,   Associate Professor, Department of Mathematics, Dwaraka Doss Goverdhan Doss Vaishnav College, Chennai (Tamil Nadu), India.
Published: April 2024

Diophantine Equations named after ancient Greek mathematician Diophantus, plays a vital role not only in number theory but also in several branches of science. In this paper, we will solve one of the quadratic Diophantine equations where the right hand side are odd positive integral powers of 17 and provide its complete solutions. The method adopted to solve the given equation is using the concept of polar form of a particular complex number. This concept can be generalized for solving similar equations.
Behçet Hastalığında Bakım: Roy Adaptasyon Modeli
Authors: Erdoğan Nermin , Öz Fatma
Published: April 2024

Hemşirelik mesleğinde, uygulamaya aktarılacak temel bilginin ortaya konulması ve geliştirilmesinde en büyük katkıyı hemşirelik kuram ve modelleri sağlamaktadır. Hemşirelik uygulamalarının hemşirelik kuram ve modellerine dayalı olması hemşirelik bakımını sistematize etmekte ve bakımın kalitesini de artırmaktadır. Roy Adaptasyon Modeli, hemşirelikte en çok kullanılan modellerden biridir ve bireyin değişen çevreye uyumu üzerine odaklanmaktadır. Roy Adaptasyon Modeli’nde hemşirelik girişimlerinin amacı, uyaranı kontrol ederek ya da bireyin uyarana uyumunu artırarak bireyin uyumlu davranış gösterebilmesine yardımcı olmaktır. Bu makalede, bedende birçok sistemi aynı anda tutabilen ve ataklarla seyreden Behçet Hastalığı ve bakımı, Roy Adaptasyon Modeline göre incelenmiş ve NANDA-I (North American Nursing Diagnosis Association) hemşirelik tanıları kullanılarak bir hemşirelik bakım planı örneği sunulmuştur.
Evaluation of Cultural Competence Levels of Pediatric Nurses Working in Antalya
Authors: Tuzcu Ayla , Tutar Şerife
Published: April 2024

Introduction: The number of immigrants and refugees in Turkey is increasing due to various reasons. Therefore, it is important to understand the factors that influence the cultural competence of pediatric nurses who often encounter families and children from different cultural backgrounds in multicultural societies.
Objective: The aim of this study was to evaluate the cultural competencies of pediatric nurses and the associated factors.
Methods: This cross-sectional study was conducted at hospitals in Antalya and its districts, Turkey, in 2018. The study sample consisted of 236 pediatric nurses. Descriptive information form and Nurse Cultural Competence Scale-Turkish (NCCS-T) form were used for data collection.
Results: The mean NCCS-T score of pediatric nurses was found 60.82±14.31. Nurses who received vocational training to provide health care services to individuals from different cultures, who were satisfied with working with immigrants or who were not experienced in providing care for such groups had higher competence levels (p
Additions to the flora of southern Eastern Ghats, Tamil Nadu, India
Authors: Saravanan Thokuluva , Kaliamoorthy Seventhilingam
Published: April 2024

This paper records the extended distribution of four species namely, Heterocentron subtriplinervium (Link & Otto) A.Braun & C.D. Bouche (Melastomataceae), Impatiens dasysperma Wight (Balsaminaceae), Lepidagathis incurva Buch.-Ham. ex D.Don (Acanthaceae) and Rungia pectinata (L.) Nees (Acanthaceae) to the southern Eastern Ghats of Tamil Nadu, India. The species are described extensively with color photographs, phenology, ecology and distribution for each one.
Ocena skuteczności kompleksowej rehabilitacji osób z niepełnosprawnościami na podstawie ICF
Authors:   Centralny Instytut Ochrony Pracy-Państwowy Instytut Badawczy, Najmiec Andrzej , Tokarski Tomasz , Bugajska Joanna
Published: April 2024

Assessment of the effectiveness of comprehensive rehabilitation of persons with disabilities based on the ICF The pilot comprehensive rehabilitation program for persons with disabilities was implemented by PFRON in partnership with the Central Institute for Labor Protection – National Research Institute (CIOP-PIB) and ZUS in 2018-2023. During it, over 600 participants underwent several months of comprehensive rehabilitation in four centers. In the developed model, the main diagnostic tool that enabled various groups of specialists to cooperate in various areas of impact was the International Classification of Functioning, Disability and Health (ICF). Many participants achieved their intended goal – they undertook professional activity tailored to their capabilities, needs and preferences. A large number of people became active, improved their mental and physical well-being and gained knowledge that they can use in their future work. This article presents selected results of the assessment of the effectiveness of rehabilitation impacts, which is the difference between the final and initial research results in various categories of the ICF classification. Keywords: comprehensive rehabilitation, ICF
Etymologisches im Lexicon romontsch cumparativ (LRC)
Authors: Eichenhofer Wolfgang
Published: April 2024

Chësc articul se basëia en gran pert sön la storia linguistica dl sursilvan y mostra sö svilups de fonems vocalics y consonantics dal latin o dal todësch al ­romanc. Te chësta manira desmostrel, ciodí che tröpes indicaziuns etimologiches dl ­Lexicon romontsch cumparativ sursilvan – tudestg n’é nia da podëi azeté. Ince morfems da susc o liá vëgn descric cun le fin da mëte apost deplü derivaziuns dl lexicon. Analises de nia püc lessems mostra sö coche certes parores é rovades tla Surselva. Por stlü jö ciafon na lîta de d’atri lemesc dl LRC, pro chi ch’al é gnü fat la coreziun dles indicaziuns sön süa origina.
Die Europaregion Tirol-Südtirol-Trentino. Ein Stimmungsbild der ladinischen Bevölkerung in Südtirol
Authors: Pallaver Günther , Traweger Christian
Published: April 2024

Aper i problems metodics che á da nen fá cun la rapresentativité dla minunga di ladins y che é liá al pice numer de proes coiüdes adöm, él impó da odëi fora pro jënt ladina de Südtirol na predesposiziun che ne vá tla maiú pert di caji nia a öna cun chëra di atri grups linguistics. Chësc vëigon bele fora dal livel de conescënza dl’Euregio, la regiun europeica Tirol–Südtirol–Trentin, o ince dal dejier d’avëi n gremium politich deboriada che dess gní lité dala popolaziun, o ciamó pro les novités sön l’Euregio. De chësc vers é i ladins en pert cotan sot i valurs mesans di atri dui grups linguistics. Chësc vel ince por le livel de sodesfaziun cun le laur dl’Euregio o cun i atri vantaji personai ch’an s’aspetâ, che n’é nia gnüs a s’al dé. Dl ater vers é i ladins chi che oress le plü de düc che la colaboraziun danter les trëi provinzies dla regiun europeica jiss inant. Afermaziuns plü solides sön la minunga dla jënt ladina de Gherdëna y dla Val Badia sön l’Euregio Tirol–Südtirol–Trentin, che tëgnes ince cunt dla popolaziun ladina de Fascia tl Trentin, pón ma fá tres n’inrescida aposta, cun proes relatives che mëss gní coiüdes adöm danter i ladins.
Pemodelan 2D Daerah Rawan Banjir Sungai Lepo – Lepo Kota Kendari
Authors: Ilham Vickky Anggara , Makkawaru Andi , Sudardjat Catrin , Rahmadhani Asana Annur
Published: April 2024

Research was carried out to see the potential for flooding through Computational Fluid Dynamic simulations, namely a set of methodologies that allow computers to provide numerical simulations of fluid flow. The entire system is transformed into virtual form, and can be visualized via computer. Components in fluid dynamic computing include selection of mathematical models, discretization, numerical analysis schemes, numerical solutions and representation of processes numerically and graphically. Flood mapping can provide information about which areas need special attention so that it can be used as a reference in making policies related to flood management and can be used to increase wider public awareness regarding floods. The HEC-RAS permanent flow module is able to take into account the influence of various flow obstacles, such as bridges, culverts, bends, or obstacles on riverbanks. The permanent flow module is designed for use in riverbank management environments and the determination of flood risk insurance regarding the determination of riverbanks and floodplains. The permanent flow module can also be used to estimate changes in water level due to channel improvements or embankment construction. HEC-RAS permanent flow special module features include double plan analysis, double profile calculation, double culvert or gate analysis, flow optimization, and stable channel design and analysis. From the simulation results and depth classification, information on the area of inundation and areas prone to flood inundation on the Lepo-Lepo River is 29.34 Ha.
Pemilihan Moda Transportasi Udara Terhadap Frekuensi Penggunaan Transportasi Udara Bandara Matahora
Authors: Sufrianto Sufrianto , Sudardjat Catrin , Aris Munandar Fikri , Akbar Ade
Published: April 2024

This research aimed to determine the characteristics of users of transportation modes and to find out the frequency of using air transportation at Matahora Airport. The research method used was quantitative with a descriptive approach, which involved depicting and explaining in detail the issues studied based on the data collected in the field. The data collection technique in this research used a questionnaire, where respondents were asked to answer a number of questions about the characteristics and factors influencing the choice of air transportation. Data analysis was conducted using descriptive data analysis to explain the data obtained through a questionnaire. The research results indicated that the characteristics of mode selection for transportation were based on reasons influencing the selection of modes from a total of 60 respondents. The analysis of the characteristics of air passenger travelers showed the largest percentage in the male gender at 68%, age between 36-45 years at 41%, the highest education level being a bachelor's degree at 62%, self-employed occupation at 36%, the reason for using air transportation being faster travel time at 93%, and the influence of mode selection on the frequency of air transportation use simultaneously at 33.4%. Partially, the factors influencing the choice of air transportation mode on frequency were cost at 26.1%, security at 12.1%, and comfort at 9.1%.
Exploring impacts of student-nurse relationships: Views from across the curriculum
Authors: Pauli Valerie M. , Ribbens Grimm Christine , Joffe Elizabeth
Published: April 2024

Background and objectives: The clinical encounters that student nurses experience during their training make an impressionable impact on their learning. Previous studies have examined the perceptions of staff nurses in serving as preceptors or mentors, but there is limited literature focused on the student experience. This study aims to highlight the student perspective on working with nurse mentors during various levels of their undergraduate nursing program.Methods: This study applied a qualitative descriptive design. Purposive sampling was conducted among undergraduate nursing students attending a four-year Midwest university. A total of 19 baccalaureate students were interviewed using conversational-style interviews. This included three different focus group sessions; one designated for each level of the program. Nvivo professional services provided verbatim transcription. The data management was supported by Google Docs. The data was analyzed using qualitative thematic analysis.Results: Four common themes emerged among the focus groups related to the impact of interactions with nurse mentors on student learning; the themes were (1) sense of belonging, (2) helpful staff approaches, (3) burden, and (4) experience with clinical instructor.Conclusions: The results from this study add important insight into the student perspective on working with staff nurse mentors during their clinical experience. The findings underscore the critical impact these relationships have on student learning throughout their nursing education.
KONCEPTUALNI OKVIR ZA ANALIZU NEJEDNAKIH ŠANSI U OBRAZOVANJU
Authors: Vuksanović Nemanja
Published: April 2024

Polazeći od veze između obrazovne i dohodne distribucije u zemlji, i važnosti redukcije obrazovnih nejednakosti kako bi se smanjila dohodna nejednakost, u radu je prikazan konceptualni okvir koji istraživačima može poslužiti kao osnov za analizu nejednakih šansi u obrazovanju. U radu su predstavljene osnovne ideje nekoliko teoretičara društvene jednakosti, poput Rolsa, Dvorkina i Sena. Istaknuto je da su upravo Rolsova teorija pravde, Dvorkinovo gledište o jednakim resursima i Senov pristup sposobnostima poslužili kao osnov za ekonomsko modeliranje jednakih šansi u okviru dva različita pristupa. Prvi pristup počiva na formalizaciji pojma jednakosti šansi u ekonomskim modelima koji tretiraju šanse eksplicitno, dok se drugi pristup zasniva na formalnom tretiranju jednakosti šansi u sklopu ekonomskih modela koji šanse posmatraju implicitno. U radu je poseban fokus stavljen na Romerov teorijsko-metodološki okvir koji počiva na potrebi redukcije nejednakosti koje su povezane sa karakteristikama pojedinaca na koje on nema uticaja, uz isticanje razlike između faktora napora i faktora okolnosti.
Composição mineral e fisiologia da gravioleira sob estresse salino e aplicação de peróxido de hidrogênio
Authors: Capitulino Jessica Dayanne , Lima Geovani Soares de , Azevedo Carlos Alberto Vieira de , Silva André Alisson Rodrigues da , Arruda Thiago Filipe de Lima , Soares Lauriane Almeida dos Anjos , Fátima Reynaldo Teodoro de , Paiva Francisco Jean da Silva , Gheyi Hans Raj , Souza Allesson Ramos de
Published: April 2024

A gravioleira adapta-se bem às condições edafoclimáticas da região semiárida do nordeste brasileiro, no entanto a ocorrência de águas com concentrações elevadas de sais, destaca-se como um fator limitante para a expansão do cultivo desta frutífera. Dessa forma, buscar estratégias para viabilizar a produção de frutíferas é de grande importância. Assim, objetivou-se com esta pesquisa avaliar a composição mineral nos tecidos foliares e a fisiologia de gravioleira cv. Morada Nova cultivada sob irrigação com águas salinas e aplicação foliar de peróxido de hidrogênio na fase de pré-floração. A pesquisa foi conduzida sob condições de casa de vegetação em Campina Grande - PB, utilizando-se o delineamento em blocos casualizados, em esquema fatorial 4 × 4, sendo quatro níveis de condutividade elétrica da água de irrigação – CEa (0,8, 1,6, 2,4 e 3,2 dS m-1) e quatro concentrações de peróxido de hidrogênio – H2O2 (0, 10, 20 e 30 μM) com três repetições, totalizando 48 parcelas experimentais e uma planta por parcela. A irrigação com águas salinas afetou negativamente a biossíntese de clorofila a e b, a fluorescência inicial, variável e a eficiência quântica do fotossistema II da gravioleira, aos 370 dias após o transplantio. A concentração de peróxido de hidrogênio de 30 µM intensificou o efeito de estresse salino sobre os teores foliares de nitrogênio, fósforo e potássio. Já as concentrações de 15, 12 e 9 µM, respectivamente, aumentaram os teores de N, P e K nos tecidos foliares de gravioleira cv. Morada Nova, aos 780 dias após o transplantio. O acúmulo de nutrientes nas folhas de gravioleira cv. Morada Nova na fase de pré-floração segue a seguinte ordem decrescente: P>N>K>S>Cl>Na.
Evaluating The Effect of Arthroscopic Rotator Cuff Repair with Concomitant Subacromial Decompression on 2, 4, and 6 Year Reoperation Rates
Authors: Haft Mark , Pearson Zachary C. , Ahiarakwe Uzoma , Nelson Sarah Y. , Srikumaran Uma
Published: April 2024

Introduction:

The risks and benefits of including an arthroscopic subacromial decompression (ASD) during arthroscopic rotator cuff repair (RCR) are uncertain. Some studies suggest no difference in revision surgery rates, whereas others have found higher revision surgery rates associated with concomitant ASD. In this study, we compare mid-term revision surgery rates in patients undergoing arthroscopic RCR with or without concomitant ASD.

Methods:

A retrospective cohort analysis was conducted using a national all-payer claims database. Current Procedural Terminology and International Classification of Disease, 10th Revision, codes were used to identify patients who underwent primary arthroscopic RCR with or without ASD in the United States. The primary study outcome was revision surgery at 2, 4, and 6 years. Univariate analysis was conducted on demographic variables (age, sex) and comorbidities in the Elixhauser Comorbidity Index using chi-square and Student t-tests. Multivariate analysis was conducted using logistic regression.

Results:

A total of 11,188 patients were identified who underwent RCR and met the inclusion criteria. Of those, 8,994 (80%) underwent concomitant ASD. Concomitant ASD was associated with lower odds of all-cause revision surgery to the ipsilateral shoulder at 2 years (odds ratio [OR], 0.61; 95% confidence interval [CI], 0.51 to 0.73), 4 years (OR, 0.60; 95% CI, 0.51 to 0.70), and 6 years (OR, 0.59; 95% CI, 0.51 to 0.69). Concomitant ASD was also associated with lower odds of revision RCR at 2 years (OR, 0.68; 95% CI, 0.53 to 0.86), 4 years (OR, 0.63; 95% CI, 0.50 to 0.78), and 6 years (OR, 0.61; 95% CI, 0.49 to 0.76).

Discussion:

Arthroscopic RCR with concomitant ASD is associated with lower odds of all-cause revision surgery in the ipsilateral shoulder at 2, 4, and 6 years. The lower mid-term revision surgery rates suggest benefits to performing concomitant ASD with primary arthroscopic RCR. Continued research on the mid to long-term benefits of ASD is needed to determine which patient populations benefit most from this procedure.

Data availability:

The data that support the findings of this study are available from the corresponding author upon reasonable request.
Green Synthesis of Selenium Nanoparticles: Characterization and Therapeutic Applications in Microbial and Cancer Treatments
Authors: S Yasodha , A.S Vickram , S Rajeshkumar
Published: April 2024

Selenium is one of these micronutrients that are essential for animals, plants and microorganisms to remain functional. This review is about the green synthesis of selenium nanoparticles and its application in microbial and cancer therapies. Our hypothesis was that Se NPs produced using plant extracts might offer the biocompatibility and environmental friendliness advantages, and hence be a new prospect for medical applications. To test our hypothesis, we conducted a comprehensive analysis of recent literature, exploring various green synthesis conditions and processes for Se NPs. Various characterisation techniques such as spectroscopy, microscopy and physicochemistry were discussed in order to provide insight into the formation and function of green-synthesised Se NPs. Our findings show that Se NPs produced by green chemistry methods have good properties such as uniform size, shape and stability as detailed examples from recent studies reveal. Furthermore, we discussed the therapeutic and theranostic applications of Se NPs produced in this manner: their potential in antimicrobial and anticancer treatments. Through illustrations of cases where Se NPs inhibit microbial growth and cause apoptosis in cancer cells, the practical significance of our findings was underscored. In summary, our review affirms that using green-mediated synthesis Se NPs improves their biocompatibility and therapeutic efficacy, thus opening up new realms for their application in medical research.
Enhanced Classification of Imbalanced Medical Datasets using Hybrid Data-Level, Cost-Sensitive and Ensemble Methods
Authors: Gupta Ayushi , Gupta Shikha
Published: April 2024

Addressing the class imbalance in classification problems is particularly challenging, especially in the context of medical datasets where misclassifying minority class samples can have significant repercussions. This study is dedicated to mitigating class imbalance in medical datasets by employing a hybrid approach that combines data-level, cost-sensitive, and ensemble methods. Through an assessment of the performance, measured by AUC-ROC values, Sensitivity, F1-Score, and G-Mean of 20 data-level and four cost-sensitive models on seventeen medical datasets - 12 small and five large, a hybridized model, SMOTE-RF-CS-LR has been devised. This model integrates the Synthetic Minority Oversampling Technique (SMOTE), the ensemble classifier Random Forest (RF), and the Cost-Sensitive Logistic Regression (CS-LR). Upon testing the hybridized model on diverse imbalanced ratios, it demonstrated remarkable performance, achieving outstanding performance values on the majority of the datasets. Further examination of the model's training duration and time complexity revealed its efficiency, taking less than a second to train on each small dataset. Consequently, the proposed hybridized model not only proves to be time-efficient but also exhibits robust capabilities in handling class imbalance, yielding outstanding classification results in the context of medical datasets.
Pengaruh Air Rebusan Daun Sambiloto Terhadap Penurunan Kadar Kolesterol
Authors: Vicky Fauzan Aliansah
Published: April 2024

Introduction: Andrographis paniculata, is a medicinal plant that is also very easy to breed. This plant contains many active chemical constituents which exhibit definite pharmacological effects. This can be easily predicted from the findings of the bitter leaf article, which has anti-inflammatory, anticancer, antidiabetic, antiangiogenic, antimalarial, and antimicrobial activities.
Methods: This study is quantitative, using a quasi-experiment with a pres-post group control design. This study applies the observation method for the implementation of data collection from respondents' cholesterol levels. The description of the frequency of lowering cholesterol levels before giving the boiled water of bitter leaves is still partly high by 50% or 10 people.
Results: The results showed that there was an effect of giving boiled water of bitter leaves to decrease cholesterol levels with a p-value = 0.347 (α < 0.05).
Discussion: The results showed that there was an effect of boiled water from bitter leaves (Andrographis paniculata) on reducing cholesterol levels in the area of RW 07, Cinere District, Depok City.
Pengaruh Antara Peran Tenaga Kesehatan, Asupan Nutrisi, dan Breast Care Terhadap Kelancaran Pengeluaran ASI pada Ibu Postpartum
Authors: Meiliasari Memey
Published: April 2024

Introduction: Based on the health profile of West Java Province in 2012 as many as 8.7 percent of mothers in Karawang District gave exclusive breastfeeding until their babies were 6 months old. Based on preliminary study data conducted by the researcher in the working area of the UPTD of the Loji Health Center with 10 respondents the results were exclusive breastfeeding reaching 45% per 100 births.
Methods: The method used in this study is cross-sectional, which is a sample of 60 respondents. While the analysis technique uses a quantitative approach and analysis using the smartPLS software application approach and Special Package for Statistic Science (SPSS).
Results: The results of the study show that there is an influence between research variables. Variables of nutrient intake showed the greatest influence on the smooth expenditure of Asi, with a correlation value of 30.2% compared to other values, the variable influence of the role of health personnel is 16.9% and the effect of breast care is 27.9%. Each variable gives a contribution value and the data variability value is 75.2%.
Discussion: variable nutrient intake had the greatest influence against the smooth expenditure of ASI so it's suggested to the head health center and Coordinating Midwife to provide support and counseling about nutritional intake for breastfeeding mothers without food restrictions so that the production of breastmilk obtained is abundant.
Terapi Cuci Hidung Dengan Nacl Dapat Meningkatkan Sensitivitas Penciuman Pada Pasien Penyintas Covid-19
Authors: Rizki Putra Pamungkas Muhamad
Published: April 2024

Introduction: Covid-19 is an infectious disease caused by a newly discovered type of coronavirus. COVID-19 is transmitted during respiratory contacts such as coughing and vomiting. One form of its clinical manifestations interferes with the respiratory system. The process begins with the occurrence of olfactory and taste dysfunction. For example, mechanical blockages that prevent odor from reaching the olfactory nerve can lead to a loss of sense of smell. Washing your nose with NaCl fluid is one of the things that is recommended when infected with COVID-19. Washing the nose is useful to reduce symptoms of anosmia or loss of sense of smell.
Methods: This type of research is using quantitative research, with queasy research experimentation through the One Group Pretest and Posttest Design approach, Sampling techniques using Random sampling which is as many as 17 respondents. The study measure used a smelling instrument of 3 items and each item was rated by the patient from 1 to 10 to assess the patient's impaired life. 
Results: Test statistics using the Wilcoxon test.  The result of a significant level of olfactory sensitivity with a value p-value of 0.000 which means p-value <0.05, therefore Ho was rejected and Ha was accepted.
Discussion: That there is an effect of giving nasal washing therapy with NaCl to the level of olfactory sensitivity in patients who survive covid 19.
Perbedaan Efektivitas Konsumsi Jus Pisang Ambon Dan Jus Kiwi Terhadap Penurunan Hipertensi Pada Lansia
Authors: Ni Kadek Okta Pramesti Dewi Ni Kadek Okta Pramesti Dewi
Published: April 2024

Introduction: Elderly is a process experienced by humans from the beginning and naturally proceeds which indicates humans have passed through three stages, namely, children, adults, and the elderly. According to the American Society of Hypertension (ASH) hypertension is a progressive collection of cardiovascular symptoms as a result of other complex and interrelated conditions. Ambon bananas contain a lot of fiber so that potassium, magnesium, and calcium contained in Ambon bananas can be well absorbed by the body so that they can lower blood pressure. Kiwi fruit is a fruit that contains vitamin C and potassium to maintain blood pressure conditions and heart health.
 Methods: This type of research uses a quasi-experimental research design using a two group’s pretest-posttest design. The sampling technique used is random sampling. The sample in this study amounted to 30 elderly respondents with hypertension.
 Results: Univariate results showed that in the ambon banana juice group before the intervention, 2 people (13.3%) had mild blood pressure, 13 people (86.7%) had moderate blood pressure, after the intervention, 1 person (6.7%) had normal blood pressure, 13 people (86.7%) had mild blood pressure, 1 person (6.7%) had moderate blood pressure. In the kiwi juice group before the intervention, 15 people (100%) had moderate hypertension, after the intervention 8 people (53.3%) had mild hypertension, and 7 people (46.7%) had mild blood pressure. The results of the Wilcoxon bivariate test in the ambon banana group obtained a p-value 0.001 < 0.05, while in the kiwi fruit group p-value of 0.002 < 0.05 means that there is an effect of consumption of ambon banana juice and kiwi juice on reducing hypertension in the elderly. The Mann-Whitney test yielded a p-value of 0.017 < 0.05, then Ha was accepted and Ho was rejected, this indicates that there is a significant difference between the consumption of ambon banana juice and kiwi juice in reducing hypertension in the elderly.
 Discussion: There is a difference between consuming ambon banana juice and kiwi juice in reducing hypertension.
Efektifitas Penggunaan APD Coverall Dan Surgical Gown Pada Petugas Terhadap Paparan COVID-19
Authors: Komalasari Ratih Indriani
Published: April 2024

Introduction: The Global Corona Virus Disease (COVID-19) pandemic has changed the lives of people all over the world. The very high transmission rate causes this disease to have a much greater impact than diseases caused by previous coronaviruses, such as SARS and MERS. Transmission of SARS-CoV-2 can occur through direct contact, indirect contact, or close contact with an infected person through secretions such as saliva and respiratory tract secretions or respiratory droplets and aerosol-generating actions. The increase in the number of patients causes the burden on hospitals to provide Personal Protective Equipment to increase and the risk of transmission to officers’ increases. The purpose of this study was to determine the effectiveness of the use of Personal Protective Equipment cover all and gowns on officers against exposure to COVID-19.
Methods: The method used is a quasi-experimental design with a Nonequivalent Control Group The samples of this study were 34 nurses and were divided into 2 groups.
Results: Based on the results of the study, the average of each group, namely in the PPE Cover All user group, the rank was 17.50, the same as the average group of PPE Surgical Gown users, with table U of 144.5, Z value of 0.000 and sig p-value of 1,000 > 0,05.
Discussion: This mean that are no differences in average antigen swab results for nurses who use Coverall or Surgical Gown, in other words surgical gowns and coveralls have the same effectiveness in protecting officers from COVID-19.
Tingkat Kepuasan Pasien Rawat Inap Dengan Anemia Pada CKD on HD Dapat Dipengaruhi Oleh Perilaku Caring Perawat
Authors: Nurtika Baiq Laely
Published: April 2024

Introduction: Nurses' caring behavior is the main focus in providing nursing care so that satisfaction from the care process is realized; the condition of anemic patients with CKD on HD requires attention and support from families and nurses who care for patients in hospitals.
Methods: This type of research is quantitative descriptive with a cross-sectional approach. The sampling technique used was total sampling with 39 patients in the inpatient room at Prikasih Hospital. Then the data were analyzed using the Chi-Square test.
Results: Most of the patients thought that the nurse cared (87.2%) and most of them were satisfied (79.5%). The results of the Chi-Square test carried out obtained the value of Value = 0.049 which means <0.05 then Ho is rejected then Ha is accepted. With an OR of 8700, it means that nurses who behave caring will lead to patient satisfaction compared to non-caring behavior.
Discussion: There is a significant relationship between the caring behavior of nurses and the level of satisfaction of anemic patients with CKD on HD in the inpatient room at Prikasih Hospital Pondok Labu in 2021.
Home-based high intensity interval training in patients with intermittent claudication: a systematic review protocol
Authors: Prosser J , Staniland T , Harwood AE , Ravindhran B , McGregor G , Huang C , Twiddy M , Nicholls AR , Ingle L , Long J , Chetter IC , Pymer S
Published: April 2024

Introduction: The aim of this systematic review is to consider the evidence base for home-based high intensity interval training (HIIT) in patients with intermittent claudication (IC). Prior knowledge of the evidence base suggests that there may be little research considering HIIT in patients with IC. If so, the evidence base across all cardiovascular diseases will be considered. Methods: Medline, EMBASE, CINAHL and Cochrane CENTRAL databases will be searched for terms including ‘peripheral arterial disease’, ‘intermittent claudication’, ‘home-based exercise’, ‘high intensity interval training’ and ‘home-based high intensity interval training’. All prospective randomised trials and non-randomised studies considering home-based HIIT in patients with IC will be included. Studies will not be excluded based on the use of a comparator arm, meaning single-arm studies as well as multi-arm trials will also be included. If appropriate, based on the extant literature, a meta-analysis of randomised controlled trials will be conducted. The outcomes of interest will include intervention components, intervention feasibility (based on uptake and completion rates), intervention tolerability (based on compliance and adherence to the intervention), maximum walking distance, pain-free walking distance, quality of life and cardiorespiratory fitness. Conclusion: This review aims to assess the evidence for home-based HIIT in patients with IC, to establish its feasibility and to inform the refinement of an existing supervised HIIT intervention to allow it to also be delivered remotely. Following this, a pilot randomised controlled trial to compare HIIT versus usual care supervised exercise programmes will be developed. For this, the interventions will be delivered either in person or remotely in real-time, depending on centre availability and patient preference.
An Exploration of The Potential of Natural Super Disintegrating Agents in Pharmaceutical Formulations: A Review
Authors: Sahoo Suvendu , Metta Samyuktha
Published: April 2024

This review delves into the use of natural super disintegrating agents in pharmaceutical drug formulations. Disintegrants are incorporated into these formulations to aid in breaking down tablets and capsules, promoting rapid dissolution by facilitating their dispersion into smaller particles. Super disintegrants, distinguished by their notable swelling capacity, play a pivotal role in expediting drug disintegration within the gastrointestinal tract. The selection of an appropriate super disintegrant hinges on several factors, including chemical compatibility, swelling potential, disintegration speed, particle size, cost, manufacturing methods, and adherence to regulatory standards. The piece elucidates the diverse mechanisms through which super disintegrants foster the disintegration of solid dosage forms. These mechanisms encompass swelling, wicking, heat-induced wetting, chemical reactions, particle repulsion, and deformation recovery. A comprehensive grasp of super disintegrants' properties and mechanisms is indispensable for ensuring the effectiveness, safety, and cost-efficiency of drug formulations. This review article critically examines existing literature, offering a valuable resource for researchers and pharmaceutical professionals engaged in the development of efficient and safe pharmaceutical products.
Ethno Veterinary Approaches on Control and Treating Parasitic Diseases
Authors: Yusuf Kedir
Published: April 2024

In most African countries livestock contribute 30% of total agricultural gross domestic product. More than 60% of the population depends on agriculture for their livelihood. Parasitic worms or helminths occur worldwide parasitizing the body of humans and domesticated and wild animals. Conventional medicine is a remedy or drug used for diagnosis, treatment of disease and for maintenance of health of an animal. Continuous use of these drugs has resulted in the development of resistance by some internal parasites. “The ability of parasites to survive doses of drugs that would normally kill parasites of the same species and stage”. In general, most of the Ethno-botanical remedies are considered as economical and safe. Furthermore, these remedies are easily available, simple to prepare and/or administer, at minute or free of cost to the farmer. Today many of the allopathic anthelmintics available in the market are either not effective or have induced resistance, resulting in recurrence of parasitic infestations. External parasites affecting different animals are ticks, mites, lice and fleas. Extract the active compounds from the medicinal plants and then test their anthelmintic activity, through in vitro and in vivo systems. Traditional medicine in Ethiopia has been widely used by various ethnic groups, about 90% of livestock population depends on traditional medicine and most of it comes from plants. Herbal medicine has not been documented adequately in Ethiopia and there is a danger that this knowledge will soon be lost as traditional social patterns are increasingly disturbed by globalization, environmental degradation, agricultural expansion, cultivation of marginal lands and urbanization.