bluuebunny/crossref_metadata_2025 huggingface dataset:
O impacto da mastectomia na imagem corporal das mulheres
Authors: Teixeira Paola Pereira , Andrade Lívia Maria Calazans de , Alves Jacqueline Sanae Okasaki Padella , Oliveira Gustavo da Silva , Vieira Raquel Penso Furtado , Paim Maria Alina Moreno , Siqueira Emílio Conceição de
Published: August 2024

Objetivo: Analisar estudos e evidências sobre o impacto que a mastectomia causa na imagem corporal e suas particularidades. Revisão bibliográfica: O câncer de mama é uma doença complexa, de alta incidência, devido a sua causalidade ser multifatorial e seu tratamento ser diverso. A mastectomia, linha principal de tratamento para a patologia, cursa com danos a imagem corporal da mulher, pois modifica a aparência e função corporal, afetando a identidade dos indivíduos. A retirada do seio causa efeitos psicológicos indesejados, sensibilizando questões de autoestima, feminilidade, o próprio sentimento de luto, favorecendo o aparecimento de doenças como depressão e ansiedade. Contudo, abordagens como a reconstrução mamária possui efeitos positivos na autoestima e bem estar dessas mulheres. Considerações finais: A modificação da imagem corporal causa danos à saúde e piora a qualidade de vida. Assim, o alinhamento na abordagem terapêutica para as mulheres pós mastectomizadas é fundamental para que o sofrimento e conturbação da imagem corporal diminuam. Outrossim, existe uma escassez na literatura sobre o tema que precisa ser revertida.
Fatores de risco e consequências associadas às variações de idade da menarca
Authors: Amaral Giovanna Helena da Silva , Carmo Clara Barreto Moraes do , Vieira Murilo Queiroz , Lino Teodora Fernandes Arantes de Castro , Sant'Ana Filho Adiel , Mizuno João Tsuyoshi Telles , Silva Wesley Gomes da
Published: August 2024

RESUMO
Objetivo: Analisar os principais fatores de risco e consequências em relação às variações de idade da menarca. Métodos: Trata-se de uma revisão integrativa de literatura, com artigos originais na íntegra publicados entre 2012 - 2022, nos idiomas português e inglês. Utilizou-se como questão norteadora: Quais os fatores de risco e consequências associadas às variações de idade da menarca? A pesquisa bibliográfica foi realizada em abril de 2023, sendo realizadas buscas nas bases de dados: Biblioteca Virtual em Saúde (BVS), PubMed e Scientific Electronic Library Online (SciELO), por meio da combinação dos Descritores em Ciências da Saúde (DeCS): menarca, menstruação e idade, utilizando-se o operador booleano “AND”. Resultados: Foram selecionados 16 artigos, que revelaram os principais fatores de risco associados à menarca precoce: fatores antropométricos, étnico-raciais, sociodemográficos e a alimentação, e à menarca tardia: doenças crônicas e fatores étnico-raciais. Ademais, como consequência da menarca precoce, tem-se excesso de peso, distúrbios menstruais, iniciação sexual precoce e risco posterior de diabetes gestacional e em relação à menarca tardia, o desenvolvimento de doenças crônicas. Considerações finais: Faz-se necessário promoção de mudanças dos hábitos de vida entres as adolescentes, a fim de que a primeira menstruação ocorra no momento oportuno.
Infecções fúngicas em pacientes transplantados renais
Authors: Eccard João Victor Almeida Azevedo , Lopes Caroline Augusto , Gama Leonardo Luiz , Queiroz Aline Trovão
Published: August 2024

Objetivo: Analisar a literatura existente acerca das infecções fúngicas que acometem pacientes após um transplante renal. Métodos: A abordagem metodológica deste trabalho se propôs a um levantamento literário de abordagem qualitativa e descritiva por meio de uma revisão integrativa nas bases de dados National Library of Medicine (Pubmed), SciELO e LILACS. Os descritores utilizados foram ‘’ fungal infection’’ e ‘’kidney transplant’’ utilizando o operador booleano ‘’AND’’. Os critérios de inclusão foram estudos do tipo ensaio clinico, estudo observacional, estudo clínico randomizado controlado e relato de caso nos últimos cinco anos (2017 a 2022). Resultados: A partir dos critérios estabelecidos, encontrou-se 24 artigos, dos quais 16 são constituídos por relatos de casos, 5 por série de caso e 3 por estudos observacionais. Observou-se que os principais fungos citados foram dos gêneros Cryptococcus, Pneumocystis, Candida e Aspergillus, o sítio pulmonar e o sistema nervoso central foram os mais acometidos e os corticoides e inibidores da calcineurina os medicamentos mais utilizados. Considerações finais: Dessa forma, foi observado que com a terapia imunossupressora utilizada por pacientes pós transplantados renais, tais receptores estão suscetíveis ao desenvolvimento de infecções fúngicas, devendo ser considerado uma gama de etiologias, apresentações e desfechos próprios desse tipo de infecção.
Pitfalls in Urinary Tract Cytology: Algorithmic Approach and The Paris System
Authors: Shidham Vinod B. , Khan Mir Yousufuddin Ali , Layfield Lester J.
Published: August 2024

Urine cytology is sensitive for detection of high-grade urothelial carcinoma. However, urine is a hostile medium for the exfoliated cells leading to degenerative changes with various interpretation challenges. Chances of misinterpretation can be avoided if the interpreter is conversant with potential pitfalls during evaluation of urine cytology. The causes may be due to pre-analytic, analytic, or post-analytic factors which include method of collection (voided versus cystoscopic versus bladder washing versus other procedures), use of preservative if any, and availability of relevant clinical history. Most common pitfalls are related to low-grade urothelial neoplasms; however, clinically critical are those which are mimickers of high-grade urothelial carcinoma (HGUC).
Role of Q-switched neodymium-doped yttrium aluminum garnet laser in combination with fractional carbon dioxide laser for the treatment of onychomycosis
Authors: Dhawan Sachin , Sharma Komal
Published: August 2024

Objectives:

Our aim was to evaluate the role and efficacy of Q-switched neodymium-doped yttrium aluminum garnet (Nd: YAG) combined with fractional carbon dioxide (CO2) laser for the treatment of onychomycosis without administration of oral antifungals.

Materials and Methods:

Twenty-five patients with onychomycosis and positive fungal cultures, who had not been on any oral antifungal for at least six months, were included in our study. The patients were treated with monthly sessions combining 1,064 nm Q-switched Nd: YAG laser, ms quasi mode, and fractional CO2 laser for six months, along with a topical antifungal. The visual analog score was calculated according to patient observation for cosmetic clearance after three and six sessions, and three and six months after completion of the laser sessions. The onychomycosis severity index (OSI) was used by the clinician at the beginning and the end of the study as a tool to measure the treatment outcome. Fungal cultures were done six months after the completion of sessions to evaluate fungal clearance.

Results:

Twenty of the 25 enrolled patients completed the study. Of these, 5 (25%) patients had complete cosmetic clearance after six sessions, and 15 (75%) patients had complete clearance at three months after completion of the sessions, which was maintained at six months. On comparing the OSI score calculated at the beginning of the laser therapy and six months after completion of laser sessions, a significant response to treatment (P < 0.001) was seen. In total, 17 (85%) patients had negative fungal cultures six months after completion of sessions proving no relapse till six months.

Conclusion:

Our study concludes that Q-switched Nd: YAG in combination with fractional CO2 laser is beneficial in the treatment of onychomycosis by destruction of fungal elements and increasing the topical drug delivery. These lasers are commonly available in dermatology practice and can be combined with oral antifungals to reduce the treatment duration.
An Unusual Overlap of Lipoid Proteinosis and Cutaneous Amyloidosis – A Case Report
Authors: Armel Sheron Christin , Muthurathinam Trishna Vaishali
Published: August 2024

Lipoid proteinosis is a rare genodermatosis that primarily affects the skin and mucous membranes of the respiratory and digestive systems. Cutaneous amyloidosis is characterised by deposition of amyloid protein in the upper papillary dermis. The present case is a 32-year-old male who presented with asymptomatic multiple raised skin coloured lesions and hoarseness of voice since childhood. On examination, he had multiple skin coloured and yellow waxy papules, some discrete and others coalescing to form plaques over the trunk, neck, upper and lower limbs. He also had multiple hyperpigmented papules and plaques on the back and neck, and ovoid shaped scars on the back. Examination of the eyelids revealed moniliform blepharosis, and there were pock like scars on the face. Indentations were present on the lateral and anterior borders of the tongue. Biopsy confirmed the same with few areas positive for Congo red staining. Overlap of lipoid proteinosis and macular amyloidosis was diagnosed. We report this overlap condition for its rarity.
Molecular mechanisms underlying congenital hyperinsulinemia of infancy and its relevance to management – A review
Authors: Mittal Medha , Gupta Amit Kumar , Kapoor Seema
Published: August 2024

Congenital hyperinsulinemia of infancy (CHI), characterized by inappropriate insulin secretion despite low blood glucose, is by far the most common cause of persistent hypoglycemia in infancy. The presentation is typically in the first few days of life and could be life-threatening. A critical sample drawn at the time of hypoglycemia is crucial for biochemical characterization and is the beginning of a cascade of investigations that further elucidate our course of action. The majority of the cases relate to defects in KATP channels that regulate insulin secretion from pancreatic beta-cells. These are mostly attributable to mutations in ABCC8 and KCNJ11, both located on the short arm of chromosome 11, that code subunits of the KATP channel (sulfonylurea receptor [SUR] and Kir6.2, respectively). However, the underlying molecular defect may be identified in only about half of them. Much before the molecular diagnosis is established, therapy needs to be initiated. Diazoxide is the initial choice as it acts on the KATP channels at SUR1 and opens them, preventing insulin release. The involvement of the pancreas may be diffuse or focal. The diffuse form arises from dominant or recessive mutations affecting the KATP channel. The recessive ones are more common and cause the more severe forms of CHI. Where diazoxide proves ineffective, other interventions, such as octreotide, may be tried. If hypoglycemia remains unresolved despite all medical therapy, a near-total pancreatectomy would be required. On the other hand, focal involvement of a specific group of beta-cells results from paternally inherited germinal mutation together with post-zygotic loss of normal maternal allele. Elective partial pancreatectomy in these focal cases would completely ameliorate hypoglycemia. Hence, based on the genotype, one can plan further diagnostic modalities such as fluorine 18L-3,4 dihydroxyphenylalanine positron emission tomography scan to define whether the involvement is diffuse or focal and consider the management accordingly.
Sperm microencapsulation in bovine: An overview
Authors: Paul Nilendu , Talluri Thirumala Rao , Kumaresan Arumugam
Published: August 2024

Artificial insemination is so far the most successful and widely adopted assisted reproductive technique for genetic improvement in bovines. Despite their widespread adoption, the field conception rate using frozen semen straws remain low. Prediction of ovulation time, the short lifespan of frozen-thawed sperm, and retrograde backflow of semen following insemination result in fewer sperm available in the sperm reservoir in the oviduct and thus lessen the chances of fertilization. To tackle this, the idea of sustained release of spermatozoa inside the oviduct to maximize the odds of fertilizing the descendent ova is generated. Cell microencapsulation is a strategy that allows the implantation of cells, keeping the cells isolated from the host immune response by semipermeable membrane permitting the selective diffusion of gases, nutrients, and therapeutics but not of host immune cells. At present, few studies have been conducted where spermatozoa were encapsulated in a polymer shell/bead and successfully cryopreserved. The frozen-thawed encapsulated spermatozoa had shown comparable results in terms of in vitro functional assessment as well as in achieving pregnancy as compared to conventional semen dose. The purity of encapsulating material is very crucial to nullify maternal immune response as well as to achieve higher biocompatibility. In this manuscript, an overview of sperm encapsulation has been compiled, with more stress on types of encapsulating materials, their characterization, purity, and prospects of this method to come up as a robust method for achieving higher success following artificial insemination.
COVID-19 vaccine-induced pain over port wine stain in a patient with phakomatosis pigmentovascularis Type IIb and Sturge–Weber syndrome – A rare case report
Authors: Hazna K. T. Fathima , Nair Laxmi V. , Suresh Aishwaria , Riyaz Najeeba
Published: August 2024

Phakomatosis pigmentovascularis (PPV) is a rare syndrome characterized by simultaneous presence of capillary malformation and pigmentary nevi with or without systemic manifestations. Sturge–Weber syndrome (SWS) comprises meningofacial angiomatosis with cerebral calcification. It occurs sporadically with an incidence of 1 in 50,000. We report a rare association of PPV Type IIb and SWS in a 14-year-old girl who developed severe pain and erythema over the lesions following COVID-19 vaccination.
Mapping the landscape of COVID-19 research from Bangladesh: A bibliometric analysis of highly cited papers
Authors: Vaishya Raju , Gupta Brij Mohan , Mamdapur Ghouse Modin Nabeesab , Kappi Mallikarjun , Ali K. S.
Published: August 2024

Objectives

We aimed to analyse the highly-cited papers on COVID-19 research from Bangladesh. This study used bibliometric methods to examine the characteristics and trends of COVID-19 research in the country.

Material and Methods

To source publication data for the study, the Scopus database was used, until 26th July 2023, employing a specific search strategy. The search yielded 4124 papers, which were then rearranged based on the frequency of citations to obtain the highly cited papers (HCPs), which received 100 or more citations.

Results

The 110 (2.67%) HCPs registered citations ranging from 100 to 1502, with an average of 236.21 Citations per Paper (CPP). Only 30.9% of the publications received external funding and and received an average CPP of 332.0. Similarly, 80% of the HCPs were involved in international collaboration, and and received an average of 249.89 CPP. The major international contributors were the USA, Australia, U.K., and China. The most productive organisations were Jahangirnagar University, International Centre for Diarrhoeal Disease Research, and University Of Dhaka. The most impactful organisations were Neurogen Children’s Healthcare, Bangabandhu Sheikh Mujib Medical University, and Begum Rokeya University. Three most productive authors were Mamun, M.A. (n=8), Saiful Islam, M. (n=6), Tajuddin Sikder, Md. and Bodrud-Doza, Md. (n=4 each).

Conclusion

This study provides the current status of research on COVID-19, including its trends and the most significant contributions from Bangladesh. It has highlighted the top authors, organisations, journals, and research hotspots in the field of COVID-19 research. This information can also help researchers identify potential collaborators, relevant papers, and important research questions in their areas of expertise.
Patientenspezifisch konfigurierbare Pflegeprozesse basierend auf BPMN-Prozessbausteinen für die Prozessengine Camunda
Authors: Edelmann Peter , Wagenknecht Armin , Schmidt Melvin
Published: August 2024

In der Praxis werden wegen des hohen Aufwands meist nur solche Prozesse mittels BPMN automatisiert, die oft wiederverwendet werden können wie etwa ein Warenbestellprozess. Im Pflegebereich benötigt man jedoch für jeden Patienten einen individualisierten Prozess, der oft nur genau einmal für diesen Patienten durchlaufen wird und für den nächsten Durchlauf eventuell schon wieder an die veränderte Gesundheit des Patienten angepasst werden muss.
Die vorliegende Arbeit untersucht durch Entwicklung eines Prototyps die Hypothese, dass die Kapselung einer Camunda Prozessengine durch eine React Applikation einer Pflegekraft ermöglicht, den für die Pflege eines Patienten notwendigen Prozess mittels Drag&Drop als geschachtelte ToDo-Liste auf einem Tablet zu spezifizieren. In diesem Prototyp werden komplexe, in BPMN modellierte Subprozesse zur Ausführung einzelner Pflegeaufgaben abstrahiert und so gekapselt, dass ein Lego-ähnliches System aus grobgranularen und patientenspezifisch konfigurierbaren Pflegebausteinen entsteht. Damit werden unwesentliche Prozessdetails und somit Komplexität vor der Pflegekraft verborgen.
Künstliche Intelligenz und Neurotechnologie: Ethische Fragestellungen aus technologischen Innovationen
Authors: Öttl Veronika , Bleher Elena , Frankenreiter Lorena , Schnetzer Katharina , Glušac Ajla , Puchan Jörg
Published: August 2024

Fortschritte in den Bereichen Künstliche Intelligenz und Neurotechnologie haben das Potenzial, die Interaktion zwischenMensch und Maschine neu zu definieren. So werden beispielsweise immer leistungsfähigere Roboterprothesen entwickelt, die in Verbindung mit dem menschlichen Nervensystem auch Anwendungen außerhalb therapeutischer Maßnahmen ermöglichen. Diese Entwicklungen wecken große Erwartungen in der Gesellschaft, werfen aber auch grundlegendeethische Fragen auf. Diese Arbeit untersucht, wie eine verantwortungsvolle Gestaltung von KI und Neurotechnologie aufgesellschaftspolitischer Ebene erreicht werden kann. Dabei steht insbesondere der ethische Diskurs im Mittelpunkt. Nacheinem Überblick über die Grundlagen werden die Potenziale der Technologien dargestellt und die ethischen Herausforderungen skizziert. Abschließend werden mögliche Lösungsansätze aufgezeigt.
Evaluation des Einsatzes von Robotic Process Automation-Technologie am Beispiel eines Service-Ticket-Systems
Authors: Malzahn Birte , Yildirim Cem
Published: August 2024

Das Ziel der Bachelorarbeit war es, beim Praxispartner Vor- und Nachteile der RPA-Technologie im Vergleich zu konventioneller Softwareentwicklung zu analysieren. Aufbauend auf der durchgeführten Analyse sollten Kriterien definiert werden, auf deren Basis bei zukünftigen Projekten eine Entscheidung bezüglich der technologischen Basis (Make or Bot) getroffen werden kann.
Eine qualitativ-quantitative Mixed-Method Analyse zur Eignung der SAP Build Low-Code/ No-Code Plattform im Citizen Developer Paradigma
Authors: Melz Julia , Sobolewski Dominik , Schmidt Andreas
Published: August 2024

Die zunehmende Digitalisierung fördert die Nachfrage nach individueller Softwareentwicklung, wohingegen der Mangel an qualifizierten IT-Fachkräften fehlende Arbeitskräfte zur Umsetzung der Software-Nachfrage zur Folge hat. Dieses Ungleichgewicht stellt vor allem Unternehmen der IT-Branche vor Herausforderungen und der Suche nach innovativen Entwicklungslösungen. Eine Abhilfe schafft die Low-Code/ No-Code Entwicklung auf SAP Build, auf welcher der Citizen Developer ohne die Verwendung von klassischer Programmiersprache Software-Projekte umsetzen kann. In dieser Arbeit wird das Produktportfolio von SAP Build anhand der praktischen Entwicklungserfahrung der cimt ag, einer 300 Mitarbeiter umfassenden IT-Unternehmensberatung mit sieben Standorten in Deutschland, den Niederlanden und Spanien aus unterschiedlichen Fachbereichen analysiert. Die Praxistauglichkeit der LCNC-Lösung wird anhand eines wissenschaftlich fundierten, qualitativen Forschungsdesigns mit Planung und Durchführung von Experteninterviews evaluiert. Gleichermaßen wird die Qualität dieses Forschungsvorgehens durch die Prüfung qualitativer Gütekriterien gewährleistet und retrospektiv eine kritische Betrachtung der Forschungsansätze der Wirtschaftsinformatik aufgezeigt.
Anwendung von Blockchain im PCF-Datenmanagement der Supply Chain
Authors: Haas Florian , Eccard Yannick
Published: August 2024

Die Messung der Treibhausgasemissionen entlang der Lieferkette, des sogenannten Product Carbon Footprint (PCF), ist die wesentliche Voraussetzung, um diese nachhaltig zu senken. Dieser Beitrag untersucht die Integration der Blockchain-Technologie in das PCF-Datenmanagement entlang der Supply Chain im Vergleich zu anderen Technologien. Basierend auf einer differenzierten Analyse und Bewertung der Möglichkeiten, die Treibhausgasemissionen einer Supply Chain zu messen kommt die Studie zu dem Schluss, dass die Integration der Blockchain-Technologie in das PCF-Datenmanagement erhebliche Potenziale bietet, um Nachhaltigkeitsziele zu erreichen und die Effizienz diesbezüglich in der Lieferkette zu steigern.
Aufbau einer Datenpipeline mit No-Code-Applikationen in der Cloud als SaaS-Anwendung
Authors: Johnston Steven Art , Ritz Harald , Wagenknecht Armin
Published: August 2024

Ein wichtiger Bestandteil moderner Dateninfrastruktur in Unternehmen ist die Vielfalt der Datenquellen. Der Aufbau effizienter Datenpipelines ist notwendig, damit die Daten die verschiedenen Stufen der Wertschöpfungskette durchlaufen können. Das Ziel dieser Masterarbeit ist der Aufbau einer automastisierten Datenpipeline als SaaS-Anwendung unter Verwendung von No-Code-Applikationen, die von einer Qlik-Cloud-Plattform bereitgestellt werden.
Vorhersage von Aufträgen eines Logistikdienstleisters mit Hilfe statistischer Modelle, Machine Learning und neuronalen Netzen
Authors: Müller Lina Marie , Ritz Harald , Groh Manuel
Published: August 2024

Diese Thesis beschäftigt sich mit der Entwicklung einer Auftragsprognose für einen Logistikdienstleister in der Distributionslogistik. Da die Profitabilität des Unternehmens maßgeblich von der effizienten Abwicklung der logistischen Prozesse abhängt, ist es wichtig, verlässliche Informationen über zukünftige Aufträge vorliegen zu haben. Es werden Prognosen über die Anzahl/Höhe der Aufträge kostenstellenbasiert entwickelt.
Identifikation von Einsatzmöglichkeiten, Potenzialen und Herausforderungen bei der Anwendung von Künstlicher Intelligenz im Verhandlungsprozess für direktes Material
Authors: Haas Florian , Araya Seghen , Schätter Frank
Published: August 2024

Die Anwendung von Künstlicher Intelligenz (KI) wird zunehmend in Unternehmen propagiert, speziell auch im Bereich Einkauf. Im Rahmen der vorgestellten Bachelorarbeit wird auf Basis einer Literaturanalyse und von Expertengesprächen untersucht, inwiefern Einkaufsverhandlungen durch KI unterstützt werden können und mit welchen Herausforderungen und Risiken Unternehmen umgehen müssen. Die unterschiedlichen KI-Anwendungen werden hierfür entlang der Phasen des klassischen Verhandlungsprozesses identifiziert und analysiert. Die Ergebnisse leisten einen Beitrag zur hochaktuellen Suche spezifischer Anwendungsfälle für KI in Unternehmen.
Analysis of the Housing Market Dynamics Using NARX Neural Network
Authors: Wotzka Daria , Suchacka Grażyna , Frącz Paweł , Mach Łukasz , Stec Marzena , Foltys Joachim
Published: August 2024

This study employs a Nonlinear Autoregressive with eXogenous inputs (NARX) neural network to model the dynamics of the housing construction market in Poland, with a distinction made between segments of developers and individual investors. The dataset under analysis contains the 19-year data corresponding to the numbers of housing units approved for construction, under construction, and completed. The NARX model was calibrated thoroughly to suit unique characteristics of the data, with an emphasis put on the hidden layer size and delay parameters, to capture the estate market's nonlinear trends. Results show a very high efficiency of NARX models and highlight distinct patterns and dynamics in the housing completion, construction starts, and permit issuance between the two market segments. These variations are vital for understanding the distinct forces and trends shaping the developers’ and individual investors’ markets in the Polish housing sector. Findings of the analysis provide valuable insight into the nanced functioning of these market segments.
RESOURCE CAPACITY PLANNING AND CLIMATE SMART AGRICULTURE IN LAIKIPIA COUNTY, KENYA
Authors: Ruheni George Gatere , Rambo Charles Mallans , Wafula Charles Misiko , Mwenda Mary Nyambura
Published: August 2024

Objective: The purpose of this study was to establish the extent to which capacity planning influences the performance of climate-smart agriculture projects in Laikipia County.
 
Theoretical Framework: The study was anchored on the theory of change whose pillars are planning, participation, and evaluation. These factors are critical in capacity planning of scarce resources and evaluating the effectiveness of the process.
 
Method: A concurrent mixed method approach that adopted the descriptive cross-sectional survey and correlational design was employed to study two World Bank-sponsored Kenya Climate Smart Agriculture projects. Stratified and Simple random sampling were employed to get a sample of 225 small-scale farmers and purposeful sampling identified four key informants. Data was collected using questionnaires and interview guide and analyzed using descriptive, inferential, and content data analysis techniques.
 
Results and Discussion: The respondent’s opinion on capacity planning had a composite mean and standard deviation of 2.88 and 1.219 respectively. Capacity planning and the performance of climate-smart agriculture projects had a strong correlation coefficient of r=0.644 and p-value p=0.000<0.05. Therefore, resource capacity planning is fundamental in enhancing climate-smart projects, through proactive decisions, risk management, and cost reduction.
 
Research Implications: Consequently, it is imperative to have policies that prioritize and promote capacity planning of the scarce public and private goods to enhance their allocation.
 
Originality/Value: This study contributes to the literature by providing reliable and triangulated empirical data through authentic methodology enhancing suitability for data generalisability and replicability. The relevance and value of this research was evidenced by the need to promote food security in pursuance of the achievement of sustainable development goals.
RESOURCE PROCUREMENT AND CLIMATE SMART AGRICULTURE IN LAIKIPIA COUNTY, KENYA
Authors: Ruheni George Gatere , Rambo Charles Mallans , Rambo Charles Mallans , Mwenda Mary Nyambura
Published: August 2024

Objective: The objective of this study is to determine how resource procurement influences climate-smart agriculture projects in Laikipia County, Kenya. 
 
Theoretical Framework: This study is anchored on Transaction Cost Economics Theory, which states that a project will attract transaction costs all through the procurement process. This study anchors on this theory as small-scale farmers need to be innovative to reduce procurement costs and have bargaining power over exploitive stockists.
 
Method: A concurrent mixed method approach that adopted the descriptive cross-sectional survey and correlational design was employed to study two World Bank-sponsored Kenya Climate Smart Agriculture projects. Stratified and Simple random sampling were employed to get a sample of 225 small-scale farmers and purposeful sampling identified four key informants. Data was collected using questionnaires and an interview guide and analyzed using descriptive, inferential, and content data analysis techniques.
 
Results and Discussion: The composite mean and standard deviation of 3.25 and 1.163 respectively. The relationship between resource procurement and the performance of climate-smart agriculture projects had a fairly strong linear coefficient of correlation (r= 0.524) and p-value of (p=0.000<0.05) indicating a fairly strong and significant relationship. Therefore, effective procurement of inputs, machinery, and other resources is critical in sustainable agriculture.
 
Research Implications: Consequently, it is critical to have policies that promote effective procurement and safeguard small-scale farmers from exploitive stockists.
 
Originality/Value: This study contributes to the literature by providing reliable and triangulated empirical data through authentic methodology enhancing suitability for data generalisability and replicability. The relevance and value of this research is evidenced by the need to promote food security in a healthy ecology
RESOURCE STEWARDSHIP AND CLIMATE SMART AGRICULTURE IN LAIKIPIA COUNTY, KENYA
Authors: Ruheni George Gatere , Rambo Charles Mallans , Wafula Charles Misiko , Mwenda Mary Nyambura
Published: August 2024

Objective: To examine the extent to which resource stewardship influences the performance of climate-smart agriculture projects in Laikipia County, Kenya.
 
Theoretical Framework: The study was anchored on the Stewardship theory that envisages that unsupervised managers, will derive their satisfaction from the organization's success hence, remain accountable stewards. Judicious stewardship is the only way to achieve food security in a healthy ecology.
 
Method: A concurrent mixed method approach that adopted the descriptive cross-sectional survey and correlational design was employed to study two World Bank-sponsored Kenya Climate Smart Agriculture projects. Stratified and Simple random sampling were employed to get a sample of 225 small-scale farmers and purposeful sampling identified four key informants. Data was collected using questionnaires and interview guide and analyzed using descriptive, inferential, and content data analysis techniques.
 
Results and Discussion: The respondents’ opinions on resource stewardship had a composite mean and standard deviation of 3.47 and 1.138 respectively. The relationship between resource stewardship and the performance of climate-smart projects had a weak linear correlation of (r= -0.007) and p-value (p=0.923>0.05) indicating a weak and insignificant relationship. Despite the portrayed confidence in resource stewardship, stewardship is not a quick-fix approach hence, detested in the use of resources.
 
Research Implications: Consequently, it is vital to have policies that enforce, promote, and subsidize activities that stimulates stewardship in food production.
 
Originality/Value: This study contributes to the literature by providing reliable and triangulated empirical data through authentic methodology enhancing suitability for data generalisability and replicability. The relevance and value of this research are evidenced by the need to promote food security in pursuance of the achievement of sustainable development goals.
Ajuda Humanitária: a contribuição da Operação Acolhida na estratégia de interiorização dos venezuelanos
Authors: Silva Marcus Vinicius Gonçalves da
Published: August 2024

A migração representa um tema atual e relevante, o qual permite reflexões sobre várias vertentes, em especial, da crise venezuelana, considerada a segunda maior crise migratória do mundo, pois o país vive um colapso social e humanitário sem precedentes. Nesse contexto, o artigo aborda a crise venezuelana, as ações do governo federal, em particular, a estratégia de interiorização, e os resultados decorrentes da Operação Acolhida. Os dados revelam que a ajuda humanitária brasileira tem gerado resultados bastante positivos, com ressalva à necessidade de que haja um aprimoramento das políticas públicas relacionadas com a integração social e econômica dos refugiados venezuelanos, por ocasião da pós-interiorização.
Syphilis testing in blood donors, France, 2007 to 2022
Authors: Laperche Syria , Sauvage Claire , Le Cam Sophie , Lot Florence , Malard Lucile , Gallian Pierre , Pouchol Elodie , Richard Pascale , Morel Pascal , Grange Philippe , Tiberghien Pierre , Benhaddou Nadjet , Dupin Nicolas
Published: August 2024

Background

Syphilis in blood donors (BD) has increased in many countries.

Aim

We aimed to describe trends in syphilis seroposivity in BD in France, to identify risk factors and assess if a non-treponemic test (NTT) could define BD having recovered from syphilis for more than 1 year.

Methods

The analysis covered the period 2007 to 2022 and 45,875,939 donations. Of the 474 BD syphilis-positive in 2022, 429 underwent additional investigations with an NTT. History of syphilis was obtained at the post-donation interview or based on serology results for repeat donors.

Results

Until 2021, positivity rates remained stable (mean: 1.18/10,000 donations, range: 1.01–1.38). An increased rate was observed in 2022 (1.74/10,000; p = 0.02). Over the whole study period, prevalence was 2.2 times higher in male than in female BD (4.1 times higher in 2022). The proportion of males with an identified risk factor who have sex with men increased from 16.7% in 2007 to 64.9% in 2022. Based on NTT, 79 (18%) of the donors who were seropositive in 2022 were classified as having been infected in the previous year. History of syphilis was available for 30 of them. All had an infection within the previous 3 years. Among seven donors with a syphilis < 12 months before testing, one had an NTT titre ≥ 8, three a titre between 1 and 4, three were negative.

Conclusion

Syphilis seropositivity increased considerably in BDs in 2022, mostly in males, notably MSM. Available data did not allow appropriate evaluation of the NTT to distinguish recent from past infection.
Pengetahuan Ibu Hamil Tentang Nutrisi Selama Kehamilan Di Wilayah Kerja Puskesmas Kecamatan Tangse Tahun 2023
Authors: Nurlaili Nurlaili , Inayati Rahmi , Nasution Decy Erni , Mardhiah Ainal , Hamdani Hamdani
Published: August 2024

Nutrisi merupakan zat-zat yang berasal dari makanan yang di perlukan oleh tubuh. Jika asupan nutrisi untuk ibu hamil tidak seimbang dengan kebutuhan tubuh maka akan terjadi defisiensi zat gizi. Ibu hamil yang kekurangan nutrisi beresiko melahirkan bayi prematur, berat bayi lahir rendah, (BBLR) bahkan perdarahan kala bersalin. Ibu memiliki peran penting dalam memberikan nutrisi kepada anak karena ibu adalah orang yang terdekat dengan anak. Pemberian nutrisi pada ibu hamil sangatlah di perlukan, antara ibu yang satu dengan ibu yang lain tidak lah sama. Hal tersebut dipengaruhi oleh beberapa faktor yang berbeda dari setiap ibu. Sehingga pemberian penyuluhan gizi pada ibu hamil masih diperlukan Melihat latar belakang di atas, maka dapat disimpulkan bahwa perumusan masalah dalam penulisan laporan ini yaitu perlunya dilakukan penyuluhan pada Ibu hamil melalui kegiatan pengabdian kepada masyarakat,adapun kegiatan dilakukan pada tanggal 12 oktober 2023 dengan menguji tingkat pengetahuan ibu hamil melalui pretes dengan10 soal pertanyaan,dilanjutkan dengan sosialisasi dan dilakukan Kembali Post tes pada ibu untuk melihat bagaimana pengetahuan ibu setelah dilakukan sosialisasi Hasil Pre tes pada tingkat pengetahuan ibu hamil diperoleh pengetahuan kurang 39 orang pengetahuan baik 11 orang sedangkan hasil sesudah dilakukan sosialisasi maka didapatkan pengetahuan kurang 18 orang pengetahuan baik 32 orang. Dari peningkatan hasil ini menunjukkan satu indikator bahwa Ibu hamil sudah mengetahui dengan baik hal-hal yang terkait dengan nutrisi yang harus dikonsumsi selama kehamilan.
Implementasi Home Visit dalam Pendampingan Ibu Hamil dan Anak Balita Untuk Pencegahan Stunting
Authors: Maghfirah Cut Zuhra , Ramadhani Fatia Dhaifina , Mardiati Mardiati , Lubis Putri Sabrina , Rambe Anugrah A Warid , Nurmanda Raudhatul , Audreya Noerista , Salsabila Aina , Balqis Ferisha Aulia , Saputri Yosi Anggela , Ritonga Nursyahfitri , Lubis Muhammad Aziz Rizki , Azmy Ipal
Published: August 2024

Stunting merupakan kondisi gagal tumbuh anak balita akibat kekurangan gizi kronis terutama pada 1.000 Hari Pertama Kehidupan (HPK). Stunting mempengaruhi pertumbuhan dan perkembangan otak, selain itu stunting memiliki risiko yang lebih tinggi menyebabkan penyakit kronis di masa dewasanya. Prevalensi stunting selama 10 tahun terakhir menunjukkan tidak ada perubahan yang signifikan dan ini menunjukkan bahwa masalah stunting perlu segera ditangani. Hasil Riset Kesehatan Dasar (Riskesdas) 2018 menunjukkan 30,8% atau sekitar 7 juta balita menderita stunting. Stunting menyebabkan organ tubuh tidak tumbuh dan berkembang secara optimal. Balita stunting berkontribusi terhadap 1,5 juta (15%) kematian anak balita di dunia dan menyebabkan 55 juta Disability-Adjusted Life Years (DALYs) yaitu hilangnya masa hidup sehat setiap tahun. Kekurangan gizi pada anak tidak hanya menyebabkan stunting, tetapi juga menghambat kecerdasan, memicu penyakit, dan menurunkan produktivitas. Mayoritas masyarakat belum memahami tentang stunting, serta masih ada anggapan bahwa stunting merupakan faktor keturunan. Kegiatan pengabdian kepada masyarakat dilakukan dalam rangka meningkatkan pemahaman pengetahuan serta peran serta masyarakat dalam upaya pencegahan dan deteksi dini stunting. Metode yang digunakan adalah melalui kunjungan rumah dengan melakukan pendekatan masyarakat, observasi, wawancara, melakukan sosialisasi serta pendampingan. Hasil yang diperoleh informasi responden ibu hamil berdasarkan usia, pendidikan, dan gravida, responden balita berdasarkan usia dan jenis kelamin. Kegiatan observasi memperoleh informasi tentang faktor risiko dalam kehamilan dan balita, sedangkan kegiatan sosialisasi dan pendampingan dilakukan secara aktif dan diikuti secara antusias oleh responden. Diharapkan dari penelitian ini, terjadi peningkatan pemahaman ibu hamil dan ibu dengan balita tentang pengertian, penyebab, risiko, gejala, pencegahan stunting, pentingnya ASI (Air Susu Ibu) eksklusif dan MP-ASI (Makanan Pendamping Air Susu Ibu) bagi balita serta pentingnya tablet Fe saat kehamilan. Hal ini menjadi strategi efektif memberdayakan keluarga dalam meningkatkan kesiapan khususnya dalam pencegahan dan penanganan stunting.
Edukasi Gizi Menggunakan Media Permainan di Taman Baca Kelompok KKN Tematik Satu Desa Keutapang, Lhoksukon
Authors: Mardiati Mardiati , Salsabila Aisyah , Aulia Nurbalqis , Aniyah Mughni , Anjani Khania Vascia , Nasywa Irandary , Naslya Azizan , Syifa Siti , Usrah Cut Hafidzah , Nasution Muhammad Alwi , Sinulingga Alysha Nola , Muhammad Oktaduta
Published: August 2024

Anak usia sekolah dasar adalah anak yang beresiko mengalami kekurangan gizi, sehingga diperlukan pemahaman mengenai edukasi makanan bergizi yang memenuhi kebutuhan gizi anak. Edukasi dilakukan melalui penjelasan mengenai materi makanan bergizi kemudian dilanjutkan dengan aktivitas permainan. Edukasi gizi harus diberikan sejak dini, pada taman baca kelompok satu KKN tematik dilakukan intervensi materi gizi dengan menggunakan tiga metode yang berbeda dimana untuk anak usia 6-9 tahun yang belum bisa membaca dilakukan dengan metode kolase dan untuk anak usia 6-9 tahun yang dapat membaca metode yang digunakan adalah permainan puzzle gizi dan usia 10-12 tahun dengan cara permainan rangking satu. Setelah dilakukan intervensi dengan pemberian materi gizi dan permainan terdapat perbedaan yang signifikan dimana terjadi peningkatan pengetahuan tentang gizi yang diketahui anak-anak Desa Keutapang.
Phenomenology of the Parent-Child Goodbye on the First Day of School
Authors: Makovichuk Lee A.
Published: August 2024

As a milestone in a child’s life, the first day of school is a much-anticipated event. Preparations usually begin well in advance as families shop for school supplies, visit the school, and talk about what school will be like. Regardless of the many preparations, the moment of saying goodbye on the first day of school is sometimes a lot more difficult than either the child or the parent was prepared for; it can also slip unnoticed in the busyness of arriving and leaving; it could provoke a memory of a child’s birth; it may precipitate a parent’s sudden realization that their arms are empty. This paper explores the often-overlooked phenomenon of the parent-child goodbye on the first day of school. It reflects on singular parental experiences of preparation, expectation, and relationality. Lippitz’s (2007) inquiry into foreignness of school invites wonder about the child’s transformation to student and what that might mean for a parent. Drawing from van Manen’s (2015) phenomenology of pedagogical tactfulness, it offers insights into the relationality between a parent-child goodbye and the teacher-student hello. Exploring what makes the parent-child goodbye on the first day of school, as a unique experience, opens new possibilities for understanding the meaning of a child’s transition to school for the parent.
Through the Lens of Merleau-Ponty
Authors: CYPRESS BRIGITTE
Published: August 2024

This article discusses how Merleau-Ponty’s existential phenomenology may serve as the lens and theoretical frame in a qualitative research study of the lived experience of patients, their families, and nurses during critical illness in the intensive care unit. Merleau-Ponty's unique existential concepts of corporeality, spatiality, temporality, and relationality provide a useful foundation and serve as a unifying philosophy of science in understanding this nursing phenomenon that is grounded in philosophical beliefs about humans, and the holistic nature of professional nursing that is not amenable to experimental investigative research methods. The research sheds light on the patients, families, and nurses’ embodied temporal, spatial, and relational horizons, and reveals a new conception of critical illness that will provide caregivers with knowledge about effective humanistic, and more holistic care, that opens new ways for coping amongst patients and their families, as well as caregiving possibilities for the nurses. Findings from this qualitative inquiry can help contribute knowledge about family engagement that would impact the provision of care in the intensive care unit, thus improving patient, family, and organizational outcomes.
Determinants of household energy use in the Fergana Valley
Authors:   CAREC Institute, Commercial Building Block 8, Vanke Metropolitan, No.66 Longteng Road, Shuimogou District, Urumqi, Xinjiang, PRC, Holzhacker Hans , Rakisheva Botagoz ,   Public Opinion Research Institute (PORI), A.Bekturov street 3/1, office 83, Astana, 010000, Kazakhstan
Published: August 2024

In July-August, 2023, CAREC Institute, Public Opinion Research Institute, and Asian Development Bank Institute conducted a sociological survey on household energy use in the Fergana Valley spanning over the Kyrgyz Republic, Tajikistan, and Uzbekistan. The following article uses the data from that survey for investigating what determines the choice of different energy types for heating. The article concludes that high household expenditures for coal and high awareness of the harm fossil fuels can inflict on the environment and family health are insufficient to trigger a large-scale shift towards cleaner energy. To motivate households for such a shift a substantial increase in fossil fuel prices compared to electricity and other clean energy is required. This might call for a sales tax on coal. However, energy expenditure already accounts for up to one-third of household income. Lowand middle-income households would need to be compensated for increased energy spending to avoid social hardship and a backlash against such a tax.
Pengembangan Sumber Daya Manusia : Meningkatkan Soft Skill Siswa Untuk Kesiapan Dunia Kerja
Authors: Said Majid , Alaidrus Ali Jadid , Badrun Badrun
Published: August 2024

Kualitas pembelajaran di lembaga pendidikan merupakan penentu minat masyarakat terhadap lembaga tersebut. Mutu sekolah digambarkan salah satunya pada output dari lembaga tersebut. Semakin baik output dari suatu lembaga maka memperlihatkan bahwa mutu pendidikan di lembaga tersebut baik. Pada tahun 2023 tingkat pengangguran di indonesia terbanyak merupakan lulusan SMK. SMK yang pada dasarnya didisain sebagai lembaga yang mencetak lulusan yang siap kerja. Hal ini dilatar belakangi oleh mutu pendidikan dari lembaga tersebut.  SMK Plus Munirul Arifin NW Praya merupakan lembaga formal yang berbasis islami yang berperan aktif dalam mengatasi permasalahan tersebut. Penelitian ini bertujuan untuk menunjukkan bagaimana SMK Plus Munirul Arifin berperan dalam peningkatan softskill peserta didik serta bagaimana kegiatan tersebut dilaksanakan. Penelitian menggunakan metode kualitatif dengan pendekatan studi kasus. Hasil penelitian ini menunjukkan bahwa SMK Plus dalam meningkatkan sumber daya manusia dengan cara meningkatkan soft skill peserta didik seperti mengajarkan akhlaq dan budi pekerti secara aktif, keterampilan beragama, enterpreneur, pelatihan bahasa asing dan keterampilan lainnya sehingga dengan skill yang dimiliki mampu menambah kepercayaan masyarakat terhadap peserta didik tersebut. Dari kegiatan ini diharapkan peningkatan softskill peserta didik sebagai ajang untuk mempersiapkan dunia kerja dapat menjadi role model lembaga-lembaga lain, guna menekan jumlah pengangguran yang disebabkan oleh kurangnya kemampuan.
The Role of Communication Skills in Guided Inquiry Process to Improve Critical Thinking Skills
Authors: Pujiana Elma , Rohaeti Eli , Suyanta Suyanta , Asmiati Lisya , Sari Dwiani Ratna , Syahana Syaza
Published: August 2024

This article examines how in an educational setting communication skills can enhance critical thinking abilities through guided inquiry. Human resources (HR) must be improved in light of the Industrial Revolution 4.0, but obstacles to learning include low student engagement, a lack of enthusiasm, and a lack of critical thinking abilities. Although communication skills are frequently a barrier, guided inquiry is recognized as a learning model capable of advancing students' critical thinking abilities. The activity steps in guided inquiry are covered in this article, along with pertinent communication skills such as explanation of delivery, material mastery, group interaction, and responding. It is highlighted how critical thinking abilities and communication skills are linked in 21st-century learning. It is widely acknowledged that effective verbal, written, and listening communication skills are essential for guided inquiry. Source triangulation was employed as a qualitative research method with a post-positivism approach to gather data. The article emphasizes how communication skills help students develop their critical thinking abilities by enabling them to assess and connect information to a wider context in addition to gathering and analyzing it. The conclusion highlights the need of communication abilities
Development of Android-Based E-books Using Sigil 0.9.13 in Animal Ecology Courses for Biology Students
Authors: Latif Zalik Muhammad , Razak Abdul , Lufri  , Chatri Moralita
Published: August 2024

The purpose of this research is to produce an android based ebook in Animal Ecology courses that is valid, practical and effective. This research is research and development using the Plomp model. The results of the validation assessment by the validator of the android-based e-book in the Animal Ecology course showed an average value of 82.33% (very valid). The results of the practicality assessment by lecturers of the Animal Ecology course showed an average value of 81.5% (very practical) and student assessment results obtained an average value of 91.64% (very practical). The results of the effectiveness test of Android-based e-books show that Android-based e-books are very effective. Thus, it can be concluded that the developed Android-based e-book is very valid, very practical, and very effective.