bluuebunny/crossref_metadata_2025 huggingface dataset:
La teoría de sistemas en la formación virtual de investigadores en Política Educativa
Authors: Ramírez Díaz José Antonio
Published: January 2025

Los procesos de formación de investigadores en educación son presentados en la literatura académica como procesos homogéneos que enrutan trayectorias lineales en el desarrollo de competencias para la producción de conocimiento. Este principio, resta importancia a las características subyacentes de las subdisciplinas educativas que delimitan las particularidades del aprendizaje a los nuevos investigadores. El campo de las Políticas Educativas plantea imperativos teórico-metodológicos procedentes de la discusión sobre lo macro - microsocial y el dilema individualismo-holismo metodológico. Este texto tiene como propósito caracterizar los desafíos específicos de los contextos de formación para la investigación en Políticas Educativas a través del eje: problema, pregunta, metodología y análisis de la información. La metodología toma cuatro casos de estudio de alumnas de posgrados de Políticas Educativas para hacer el análisis de contenido de sus trabajos finales de semestre y sus tesis, lo que se complementan con entrevistas para revisar las trayectorias de formación en dos posgrados de Educación. Los resultados muestran cambios evolutivos para conceptualizar la acción política en marcos teóricos que incluyen al actor y al sistema, así mismo, las metodologías empleadas establecen dimensiones de interrelación analítica que enmarcan los rasgos específicos de los elementos de estudio. Estos resultados fundamentan la discusión académica sobre la importancia del contexto de formación en el progreso del pensamiento crítico y cimenta la problematización de la dinámica entre sujeto de formación y contexto formativo para desarrollar las competencias para la investigación.
Modalidad híbrida para la formación docente en Lengua de Señas Mexicanas
Authors: Otero Escobar Alma Delia , Zárate Hernández Ximena Montserrat
Published: January 2025

Este estudio aborda la eficacia, utilidad y aplicabilidad del curso-taller híbrido "Introducción a la Lengua de Señas Mexicana" (LSM) diseñado para docentes de la Universidad Veracruzana (UV) con la finalidad de promover la equidad y accesibilidad en la educación superior, alineándose con los compromisos internacionales y nacionales en materia de derechos humanos y educación inclusiva. La metodología del estudio se basó en un enfoque cuantitativo, descriptivo y no experimental. Se utilizó un cuestionario estructurado para recolectar datos de 22 docentes que participaron en el curso. El cuestionario evaluó percepciones sobre la educación híbrida, competencias en inclusión, eficacia de la capacitación, actitudes hacia la inclusión, y satisfacción general con el curso. Los resultados mostraron una alta satisfacción entre los participantes, destacando la efectividad del curso en la mejora de las competencias en LSM y en la sensibilización hacia la cultura sorda. La mayoría de los docentes coincidieron en que la modalidad híbrida facilitó la comunicación y la flexibilidad en el aprendizaje, permitiendo una mayor retención del conocimiento y motivación.
Transformación digital en educación: Competencias, innovación pedagógica y desafíos sistémicos
Authors: Mereles Juan Ignacio
Published: January 2025

Transformación digital en educación: Competencias, innovación pedagógica y desafíos sistémicos
TRATAMENTO DA FIBRILAÇÃO ATRIAL NA EMERGÊNCIA
Authors: De Magalhães Manuella Maria Rosner Nascimento , De Omena Adriana de Carvalho Silva , Silva Pedro Augusto Barbosa , Vieira Gabriela Diana , Cassemiro Isadora de Campos , Silvestre Rebeca Augusto , Golfi Beatriz Denadai , Castelan Laura Amaro , Francelino Maria Eduarda Silva , Moreira Maria Eduarda Soares , Acácio Bruna Costa , Rizzo Lucas Martins , Hostt Mariza Ribeiro Lisboa , Murata Isabelli , Ferreira Elisa Maria de Paula
Published: January 2025

Introdução: A arritmia mais comum do mundo é a fibrilação atrial (FA). Essa condição tem aumentado a prevalência nas últimas décadas. A identificação na emergência é importante, pois possibilita a intervenção imediata, reduzindo as chances de complicações cardiovasculares, incluindo, por exemplo, a trombose e derrame. A abordagem no departamento de emergência (DE) para FA contempla três aspectos principais, sendo o objetivo diminuir de modo sustentado a frequência cardíaca, controle do ritmo e medidas preventivas, quando elegíveis. Objetivo: Analisar o manejo dos pacientes com fibrilação atrial no departamento de emergência. Metodologia: Trata-se de uma revisão integrativa dos últimos 4 anos, do período de 2021 a 2025, utilizando como fonte de pesquisa a Biblioteca Virtual da Saúde (BVS). A base de dados utilizada foi a Medline, IBECS e LILACS. Os descritores foram: "manejo" "Fibrilação atrial" "emergencia" "tratamento". Foram encontrados 7 artigos, sendo eles submetidos aos critérios de seleção. Os critérios de inclusão foram artigos que se relacionavam à proposta estudada e disponibilizados na íntegra. Os critérios de exclusão foram artigos disponibilizados na forma de resumo. Resultados e Discussão: A desaceleração da resposta ventricular rápida é o tratamento mais comum. Fármacos como metoprolol e diltiazem podem ser utilizados para essa finalidade. O uso deles orais associado ao intravenoso auxilia na redução imediata e sustentada. No controle do ritmo se utiliza a cardioversão, principalmente, a elétrica por apresentar maior benefício. A farmacológica pode ser utilizada também, embora com menor eficácia, para o tratamento nos casos refratários ou por escolha do paciente. Homens com CHA₂DS₂-VASc ≥ 2 pontos e mulheres ≥ 3 pontos são indicados a anticoagulação para prevenção de complicações, como no caso do acidente vascular cerebral. A identificação e respectivo manejo do paciente no DE é importante para diminuição da morbimortalidade do paciente. Conclusão: Nessa perspectiva, evidencia-se a importância do manejo adequado da FA no DE para melhora do prognóstico do paciente.
Assessing the Impact of Air Pollution on Respiratory Health: A Longitudinal Study in Urban Areas
Authors: Sharma Ashok Kr , Mane Manashree , Sekhar Patra Sudhansu , Prakash Chandra Pallavi
Published: January 2025

Introduction: This study sought to determine the long-term association between exposure to air pollution and respiratory health in the context of urban settings.Methods: Longitudinal study conducted in urban areas with a sample size of 500 individuals. Air pollution level data were acquired from government publications, respiratory health data were extracted from self-reported and medical exam records. Statistical analysis was conducted to analyze the association between air pollution levels and respiratory health for a duration of 5 years.Results: The association was strong between air pollution level and respiratory health, according to the study. The prevalence of respiratory symptoms and diseases among people living in areas with high levels of air pollution was higher than among people living in areas with a low level of air pollution. Also, the association was stronger among people with prior respiratory diseases. Moreover, the study also discovered that long-term exposure to air pollution had a accumulated impact on respiratory health.Conclusions: The results of this study underscore the negative effects of air pollutants on lung health, necessitating appropriate action to cut down levels of air pollutants in metropolitan areas. They also emphasize the need for long-term monitoring and study of air pollution and its impacts on human health. In summary, this study provides important insights into the associations between air pollution and respiratory health conditions, while also highlighting the need for future research to identify specific pollutants and their sources contributing to these health issues, as well as the implementation of targeted interventions to reduce their impact on human health.
A Comprehensive Assessment of Improper Medical Waste Disposal and Its Effects on Environmental Health
Authors: Dash Dillip Kumar , Asif Mohammad , Varma Pooja , Lal Soni Shankar
Published: January 2025

Improper medical waste disposal poses significant environmental and health risks. Investigation on its impact, focusing on factors like healthcare facility type, worker training, and waste management infrastructure is crucial. To assess the relationship between improper waste disposal and environmental health outcomes is the main aim of this research. Surveys were conducted with 150 healthcare workers and 50 waste management personnel across local hospitals and clinics to gather data on disposal practices and health impacts. Data was analyzed using SPSS Version 28 to explore relationships between variables, including healthcare facility type, training level, infrastructure, regulatory enforcement, and waste segregation practices, impacting environmental health outcomes. Descriptive statistics and multiple regression analysis, highlighting key factors influencing improper disposal. Descriptive statistics were employed to summarize and present key characteristics of the dataset, such as frequencies, means, and standard deviations, offering an overview of the sample's demographic details and waste disposal practices. Additionally, multiple regression analysis was conducted to explore the relationships between variables like environmental health outcomes (e.g., pollution levels). Multiple regression analysis showed strong correlations between waste segregation practices and environmental health outcomes (p < 0.05). Improper medical waste disposal poses significant environmental health risks, with insufficient training and infrastructure identified as major contributors. Policy changes and improved waste management practices are recommended.
Leadership Strategies for Reducing Burnout and Improving Quality of Life among Health Care Workers
Authors: Sharma Varun kumar , Lal Soni Shankar , Sahu Samir , Jamuna K.V
Published: January 2025

Introduction: Burnout among healthcare providers is a serious concern that diminishes both quality of life and quality of care. Leadership strategies have been suggested as a solution to ameliorate burnout and improve quality of life among healthcare workers.Methods: Researchers reviewed existing literature to explore effective strategies in the workplace for leadership to help alleviate burnout and improve workplace quality of life. They conducted database searches and then included articles meeting certain inclusion criteria.Results: The literature review yielded three key strategies that leaders may utilize to mitigate burnout and elevate quality of life in healthcare professionals. Some include; fostering an encouraging workplace ambiance, giving employees voice in subject matter expertise to the decision-making process, and offering options for self-care and professional growth. Studies indicate that these strategies foster employee well-being and further enhance overall job satisfaction.Conclusions: These studies show that strong leadership can help decrease burnout and increase the quality of life of healthcare workers. By doing so, leaders can foster a positive work environment and care for employees, which translates into improved patient care and outcomes. This study has key implications for leadership in addressing burnout and creating a better work environment for healthcare workers.
Investigation of Scenario-Based Simulation for Communication Skills Development in Healthcare Education
Authors: Bansal Shivangi , Rajesh Karpe Suraj , Jayakumar Sujayaraj Samuel , Bisoi Swarup Kumar
Published: January 2025

In healthcare settings, effective communication is essential; it affects team relationships and patient outcomes. Scenario-based simulation has become a viable approach to enhancing communication skills in healthcare education. Research examines how scenario-based simulation can improve healthcare students' communication skills. 250 participants were gathered and split into two groups: the Experimental Group (EG) (n=140), which consisted of healthcare students who participated in scenario-based simulations to enhance their communication skills, such as patient interaction and empathy, while a Control Group (CG) (n=110) received traditional classroom-based training, which focused on communication skills, without participating in the simulations. The goal of both groups was to enhance clinical communication abilities. Research used a mixed-methods technique to collect both quantitative and qualitative data. The IBM SPSS software version of 29.0 was utilized. Three statistical methods were used to analyse using Regression Analysis (RA) to ascertain the effect of the intervention on communication outcomes, ANOVA to compare the improvement between the EG and CG, and Paired t-tests to evaluate communication scores pre- and post-intervention. In comparison to the control group (CG), the experimental group (EG) exhibited significant improvements in communication skills, including empathy, clarity, and cultural sensitivity. The findings show that scenario-based simulation is a useful technique for improving clinical cooperation, communication skills, patient rapport, and confidence in managing interpersonal difficulties. Adding scenario-based simulations to healthcare education programs can result in more capable and sympathetic medical workers. This suggests that more investigation be done into the optimization and long-term impacts of simulation-based training.
Investigating the Level of Experience in Using More Effective Software Design Tools for Enhancing Security among Federal College of Education, Gidan Madi Staff and Students
Authors: Hajara Abdulkadir  , Bello Alhaji Buhari  , Abdulrahman Umar
Published: January 2025

Higher education institutions operate under strict regulations and standards to ensure compliance with data protection rules, safeguard sensitive information, and preserve the privacy of employees and students. This study evaluates the expertise of staff and students at the Federal College of Education, Gidan Madi, in employing software design tools to enhance security. Using a mixed-methods approach, the research involves a wide range of stakeholders, including academics, non-academics, and students. The findings reveal that software design tools significantly improve the institution's ability to detect and respond to security events. Participants highlighted the importance of data encryption, expressed confidence in their knowledge of the latest advancements in security tools, and rated institutional support for security measures as excellent. The study also identified gaps in network monitoring capabilities, which are critical for proactive security management. Based on these findings, the study recommends the implementation of advanced network monitoring tools to enhance security measures at the institution. These results are expected to benefit higher education stakeholders, IT administrators, and decision-makers responsible for designing and maintaining robust security systems. By addressing current challenges and improving expertise in using security tools, this research contributes to the broader goal of strengthening data protection in higher education institutions.
Work Discipline And Punishment As Determinants Of Employee Performance At PT. ACS South Jakarta
Authors: Nabila Fuja Dinda , Sularmi Lili
Published: January 2025

This study aims to determine the influence of work discipline and punishment on employee performance at PT ACS Jakarta Selatan. The research methodology used is a quantitative approach. The population in this study consists of 60 employees at PT ACS Jakarta Selatan, with a total sample size of 60 respondents, selected using a saturated sampling technique. Data was collected through questionnaires. The data analysis methods employed include simple and multiple linear regression tests, correlation coefficient analysis, determination coefficient analysis, partial t-tests, and simultaneous F-tests. The results of this study indicate that work discipline and punishment simultaneously influence employee performance at PT ACS Jakarta Selatan. This is evidenced by the multiple linear regression equation: Y = 14.739 + 0.560X1 + 0.076X2. The correlation coefficient is 0.618, indicating a strong relationship. The coefficient of determination (R Square) is 38.3%, meaning that work discipline and punishment collectively explain 38.3% of the variation in employee performance, while the remaining 61.7% is influenced by other factors. The F-value is 17.655, which is greater than the F-table value of 3.16, with a significance level of 0.000 < 0.05, confirming the significance of the model
MEDIA PEMBELAJARAN INTERAKTIF CALISTUNG PADA BIMBANGAN BELAJAR RAINBOW KIDS BERBASIS ANDROID
Authors: Taufiqurrachman  , Farah Utami Ridha Rana
Published: January 2025

Pendidikan di Indonesia mempunyai beberapa jenjang yang harus ditempuh setiap anak, dimana setiap jenjang menjadi langkah penting agar anak dapat mengembangkan kemampuan pengetahuan dan kreatifitas serta keterampilan dasar untuk hidup bermasyarakat. Kemampuan dasar yang harus dimiliki oleh setiap anak adalah kemampuan untuk membaca, menulis, dan menghitung atau lebih dikenal dengan calistung. Kemampuan dasar calistung ini yang akan mempengaruhi jenjang pendidikan berikutnya sehingga anak-anak menjadi lebih siap pada tiap jenjang pendidikan.
Tujuan dari penelitian ini adalah memberikan sarana media pembelajaran calistung melalui pembuatan aplikasi berbasis Android serta mengkaji beberapa teori observasi dilapangan serta melakukan wawancara terkait aplikasi yang akan di buat. Metodologi pengembangan aplikasi yang penulis gunakan adalah metode SDLC (Software Development Life Cycle) dengan model waterfalldengan proses pembuatan aplikasi menggunakan software Android Studio.
Hasil dari penelitian ini diharapkan dapat membantu dalam kegiatan belajar dan mengajar guru, orang tua dan murid dalam proses pembelajaran. Sehingga anak dengan minat yang berbeda-beda dapat dengan mudah mempelajari calistung melalui aplikasi ini dengan belajar sambil bermain.
CYP3A4*20, CYP3A4*22, CYP2C8*3 and SLCO1B1 as genetic biomarkers to predict peripheral neuropathy induced by paclitaxel and docetaxel: A systematic review
Authors: Alvarado Angel T. , Bolarte-Arteaga Mario , Pineda-Pérez Mario , Li-Amenero César , Chávez Haydee , Bendezú María R. , García Jorge A. , Palomino-Jhong Juan J. , Ferreyra-Paredes Carmela , Melgar-Merino Elizabeth J. , Laos-Anchante Doris , Cuba-Garcia Pompeyo A. , Castillo-Romero Patricia , Yarasca-Carlos Paulina Eliades , Almeida-Galindo José Santiago , Loja-Herrera Berta , Pariona-Llanos Ricardo
Published: January 2025

Context: Cancer is a global health problem with a growing incidence year after year, and it is projected that by 2040, there will be more than 2.4 million cases in Latin America and the Caribbean, being the second cause of death in these countries. The variability of serum levels, efficacy and safety of paclitaxel and docetaxel have been associated with allelic variants of transporter and metabolizing proteins.
Aims: To review the most updated and available scientific evidence on allelic variants of CYP3A4*20, CYP3A4*22, CYP2C8*3, and SLCO1B1 as genetic biomarkers to predict peripheral neuropathy induced by paclitaxel and docetaxel.
Methods: PRISMA was used, and a standardized search was followed in Medline/PubMed and Google Scholar with the terms: CYP3A4, CYP2C8, SLCO1B1, genetic biomarker of neuropathy and neuropathy due to paclitaxel and docetaxel. Data extraction was performed using Excel, and relevant information on allelic variants was collected as genetic biomarkers to predict peripheral neuropathy induced by paclitaxel and docetaxel.
Results: Eight studies indicate an association between the allelic variants of the study with peripheral neuropathy: CYP2C8*3 (HR: 1.93; 95% CI: 1.05-3.55; p=0.006), CYP3A4*22 (p=0.043), CYP3A4*20, CYP3A4*8 and CYP3A4*27 (p=5.9 × 10-5), CYP2C8 and CYP3A4 (p=1.8 × 10-6), SLCO1B1 (HR: 0.67; 95% CI: 0.46-0.97; p=0.02), SLCO1B3 (OR: 9.44), CYP3A4 (OR: 2.259; 95% CI: 1.033-4.941; p=0.038), CYP3A4*22 (RR: 6.92; 95% CI: 0.47-99.8; p=0.0766) and CYP2C8*3/*4 (RR: 1.28; 95% CI: 0.96-1.67; p=0.0898). No pharmacogenetic studies were found in cancer patients in Peruvian populations.
Conclusions: Based on the review of the published scientific evidence, it is concluded that the allelic variants CYP3A4*22, CYP3A4*20 and CYP2C8*3 are associated with a modest risk of peripheral neuropathy induced by paclitaxel and docetaxel, while SLCO1B1 has less evidence.
Physicochemical Properties of Cookies Developed from Maida Substituted with Cashew Apple Powder
Authors: Thul Pooja P. , Kalse S. B. , Bansode P. B. , Khatal Manjit M. , Sawant A. A.
Published: January 2025

Cashew apple (Anacardium occidentale L.) is one of India's most important tropical crops. It is a rich source of vitamin C, antioxidants, minerals, dietary fibers and carbohydrates. The study of the development of cookies based on cashew apple powder (CAP) was undertaken to use wasted cashew apples and tap the nutritional value of cashew apples. Due to astringency and the tannin content of cashew apple, people do not like it for direct consumption. The cookies were prepared by substituting 5%, 10%, 15%, and 20% maida by CAP. These four different compositions were baked at temperature levels 160℃, 170℃, and 180℃. The prepared cookies were evaluated for their proximate composition, including moisture content, crude ash, crude fat, crude fiber, crude proteins and carbohydrates. The sensory evaluation, colour analysis and textural analysis were done as well and energy content was determined. The results revealed that cookies substituted with 5% CAP and baked at a temperature 180°C (S1T3) got the highest score in sensory evaluation (7.46), browning index (50.62) and hardness (10.18 N). It was concluded that if an amount of maida were replaced by CAP, people would like to consume it more than the other flour cookies.
Back to the Past: Social Community Interaction Pattern in Braga Creative Tourism Urban Village
Authors: Andika Vania Claresta , Hermawan Daniel
Published: January 2025

Purpose: This research aims to be able to analyze the interaction patterns that occur in Braga Creative Tourism Urban Village. Social interaction, community, stakeholders, and community empowerment are the theoretical basis for this research.
Research methods: The research method used is descriptive qualitative research with data collection techniques, namely interviews, observation, and documentation. Data credibility uses triangulation (sources and methods) and documentation studies. Data collection was carried out until it reached the data saturation point.
Results and discussion: The results of the analysis in this study show that the interaction patterns that occur in Braga Creative Tourism Urban Village are familiar in nature. In conclusion, the Braga Creative Tourism Urban Village program has a very good goal to be implemented in the Braga location which has great potential or opportunity to empower the community to become a self-sufficient society. However, running the Braga Creative Tourism Urban Village program requires clear direction and execution and has standards, so that the progress of the program can run optimally.
Implication: The implication for growth and development in Braga Creative Tourism Urban Village for Pokdarwis is by conducting professional training, consistent content schedules, advertising on social media, and creating tour packages that have a clear price structure. Other implications for the government to develop Braga Creative Tourism Urban Village by collaborating with the education sector, holding sharing forums, and providing awards for Pokdarwis members.
Analysis of Gunung Api Purba Nglanggeran Tourist Destination on Tourist Satisfaction
Authors: Nurhidayati Hindun , Mashita Azra , Sahra Zagita , Reihani Pradisha , Gunadi I Made Adhi
Published: January 2025

Purpose: This study aims to analyze what factors influence tourist satisfaction in tourist destination Gunung Api Purba Nglanggeran.
Research methods: This is a quantitative research with simple linear regression analysis, and the use of SPSS 23 in processing data. The data collected using google form with 70 respondents from tourists who visited Gunung Api Purba Nglanggeran.
Results and discussion: The findings of this study indicate that tourist destinations influence the tourist satisfaction positively. Meanwhile, this study finds that amenity and accessibility in tourist destinations need to be improved.
Implication: This research was conducted to provide developments in the Gunung Api Purba Nglanggeran. This research suggests that this destination should further improve existing amenities and accessibility to increase visitor satisfaction.
Evaluation of Preoxygenation at Three Different Altitudes Using Blood Gas Results: A Multicenter Propective Observational Study
Authors: Özmen Özgür , Şen Elzem , Karakaya Muhammet Ahmet , Yilmaz Merve Ümran , Atalay Canan , Dostbil Aysenur , Aksoy Mehmet , İnce1 İlker
Published: January 2025

Introduction: Protecting patients from hypoxia during anesthesia induction is crucial for those undergoing coronary artery bypass surgery. High altitude does not change the inspired O2 concentration (%21), but reduced barometric pressure leads to decreased partial alveolar pressure and arterial PO2. We aim to evaluate the effects of preoxygenation in the operating room at three different altitudes.
Methods: After obtaining ethical approval, patients aged 40 and above, living in the same city for at least 10 years, and scheduled for coronary artery bypass surgery will be included in the study. A total of 60 patients will be divided into three groups: Group 0, Group 800, and Group 1900, with 20 patients in each group corresponding to three different altitudes. Before anesthesia induction, patients will receive 12 L/min of 80% O2 for 3 minutes via a face mask. During preoxygenation, arterial blood gas values will be recorded at the 0th, 1st, 2nd, and 3rd minutes. PaO2 values from arterial blood gas results will be evaluated at these time points across the three altitudes.
Results: There were no statistically significant differences between the groups regarding height, weight, age, and ASA classifications. There were no statistically significant differences in pO2 values between the 0th, 1st, 2nd, and 3rd-minute blood gas measurements across all groups (p>0.05).
Conclusion: Preoxygenation before anesthesia induction for patients undergoing coronary artery bypass surgery produced similar results at all three different altitudes.
Women who experience heavy menstrual bleeding: prevalence and characteristics from young adulthood to midlife, Australia, 2000–2021: a longitudinal cohort survey study
Authors: Wilson Louise , Copp Tessa , Hickey Martha , Jenkinson Bec , Jordan Susan J , Thompson Rachel , Mishra Gita D , Doust Jenny A
Published: January 2025

Objectives

To estimate the prevalence of heavy menstrual bleeding among Australian women from young adulthood to midlife (22–48 years) and investigate the characteristics of women who experience this condition; to investigate the relationship of heavy menstrual bleeding and health‐related quality of life.

Study design

Longitudinal cohort survey study (Australian Longitudinal Study on Women's Health, ALSWH).

Setting, participants

Australia; baseline cohort of 14 247 women born during 1973–1978, recruited in 1996; eight post‐baseline surveys undertaken at 3‐year intervals, 2000–2021.

Main outcome measures

Self‐reported frequency of heavy menstrual bleeding during the preceding twelve months (never/rarely, sometimes, often); frequency of heavy menstrual bleeding by socio‐demographic, behavioural, health, and reproduction‐related characteristics; mean physical and mental health‐related quality of life scores (36‐item Short Form health survey, SF‐36) by frequency of heavy menstrual bleeding. Results are weighted to adjust for oversampling of participants from rural and remote areas.

Results

Data for 11 311 respondents to at least one ALSWH post‐baseline survey were included in our prevalence analysis. The prevalence of sometimes or often experiencing heavy menstrual bleeding increased from 17.6% at age 22 years (124 of 691 respondents) to 32.1% at 48 years (359 of 1132 respondents); the proportion who reported often experiencing the condition increased from 6.1% (45 participants) to 12.1% (136 participants). The likelihood of often experiencing heavy menstrual bleeding increased with body mass index (40 kg/m2 or greater v 18.5–24.9 kg/m2: risk ratio [RR], 2.27; 95% confidence interval [CI], 1.93–2.67), and was greater for respondents who reported low iron levels (RR, 2.26; 95% CI, 2.03–2.51) or endometriosis (RR, 2.29; 95% CI, 2.06–2.54). Similar associations were seen for sometimes experiencing heavy bleeding. Mean health‐related quality of life scores for women who reported heavy menstrual bleeding were lower in all domains and for the summary mental health and physical health scores than for women who reported never or rarely experiencing the condition; the differences were greater for women who often experienced heavy menstrual bleeding.

Conclusions

Heavy menstrual bleeding was reported by large minorities of women of reproductive age, and the proportion increased with age. Many women experience symptoms that have a substantial impact on their physical and mental health‐related quality of life.
Bir Başkadır Dizisinin Terapi Sahnelerinin İlişkisel Psikanaliz ve Kültüre Duyarlılık Bağlamında Terapötik İttifak Açısından İncelenmesi
Authors: Yılmaz Ramazan
Published: January 2025

Bireysel psikoterapi süreçlerinde, terapist ve danışan arasında doğal olarak bir ilişki gelişir Bazı psikoterapi ekolleri bu ilişkiyi terapinin ana unsuru olarak kabul ederken bazıları bunu yalnızca iyileşmenin veya terapötik ilerlemenin bir ön koşulu ve aracı olarak görür. Tarihsel süreçte bilimsel gelişmeler ve özellikle fizik alanındaki yeniliklerin etkisiyle psikoterapi ekollerinde de zaman içinde önemli paradigma değişiklikleri meydana gelmiştir. Bu değişim, terapilerin tek kişilik modellerden çift kişilik modellere evrilmesiyle kendini göstermiştir. Tek kişilik terapi modellerinde terapistin zihninde sorunlu bir danışan ve buna bağlı çözümlerin de önceden belli olduğu bir süreç varken; çift kişilik terapi modellerinde, terapist ile danışan arasındaki karşılıklı etkileşim ve süreç boyunca birlikte şekillenen deneyimler önceliklidir. Çift kişilik terapi yaklaşımları, terapötik ittifakı terapist ve danışan arasındaki ilişkinin oluşumu ve devamı için en önemli bileşen olarak kabul eder. Bu çalışmada Netflix yapımı 'Bir Başkadır' dizisinin terapi sahneleri, terapist ve danışanın kültürel kimlikleri ile aralarındaki ilişkisel dinamikler üzerinden, ilişkisel psikanaliz ve kültüre duyarlılık bağlamında terapötik ittifak açısından incelenmiştir. Çalışma nitel yöntemle dizayn edilmiştir. Veri oluşturma tekniği olarak, doküman analizinin bir türü olan dizi film kullanılarak tematik analiz yapılmıştır. İlişkisel psikanaliz kuramı çerçevesinde yapılan tematik analiz sonucunda, terapistin kişisel geçmişi ve karşı aktarım duygularının seans sürecine etki edebileceği ve terapötik ittifakı zorlaştırabileceği; terapi sürecinin yalnızca danışanın değil, aynı zamanda terapistin içsel süreçleriyle de şekillenebileceği ve bu süreçte karşılıklı bir etkileşim olduğu; seansta kırılmaların terapötik sürecin doğal bir parçası olduğu, ancak bu kırılmaların onarılmasının terapötik ittifakın güçlenmesine katkı sağlayabileceği; terapistin kendi karşı aktarım duygularını fark edememesi durumunda onarım sürecinin zorlaşabileceği ve terapinin ilerlemesini olumsuz etkileyebileceği; bu nedenle terapistin süpervizyon desteği almasının ve içsel süreçleri üzerine kendi terapisinde çalışmasının önemli olabileceği görülmüştür.
Ergenlerde Duygu Düzenlemeye Yönelik Müdahale Programlarının İncelenmesi
Authors: Solmaz Havva , Işık Şerife
Published: January 2025

Bu çalışma, ergenlerde duygu düzenleme becerilerine yönelik müdahale programlarının Türkiye’de ve yurtdışında yapılan tez ve makaleler temelinde incelenmesini amaçlamaktadır. Araştırmada, YÖK Ulusal Tez Merkezi, TR Dizin, Google Scholar, Web of Science ve Springer Link veri tabanlarından elde edilen 58 çalışma değerlendirilmiştir. Bulgular, ergenlerde duygu düzenlemeye yönelik müdahale programlarının çoğunlukla yarı deneysel desenlerde yürütüldüğünü ve ağırlıklı olarak lise öğrencileri ile uygulandığını göstermektedir. Çalışmalarda en sık tercih edilen müdahale türü psikoeğitim olup, bilişsel davranışçı terapi (BDT) ve diyalektik davranış terapisi (DDT) temelli yaklaşımlar yaygın olarak kullanılmıştır. Araştırmada kullanılan ölçme araçları arasında Duygu Düzenleme Güçlüğü Ölçeği öne çıkarken, nitel araştırmaların sınırlı olması, bu alanda daha fazla nitel veri toplanması gerektiğini ortaya koymuştur. Klinik gruplar üzerinde yapılan çalışmaların sınırlı sayıda olması, özellikle dikkat eksikliği, hiperaktivite ve kaygı bozukluğu gibi klinik tanı almış ergenlerle daha fazla araştırma yapılması gerektiğini vurgulamaktadır. Sonuç olarak, duygu düzenleme programlarının ergenlerde etkili olduğu gözlemlenmiş; ancak daha fazla deneysel ve uzun dönemli çalışmaların yapılması, bu müdahale programlarının kalıcılığı ve genellenebilirliği açısından gereklidir.
The Influence of Situational Leadership Style and Work Orientations on Employee Performance in Jakarta Islamic Banking Industry
Authors: Junaedi Edy , Ali Juhary
Published: January 2025

Leadership style has a strategic role in increasing employee performance, especially in the Islamic banking sector. This study examines the influence of leadership style and work orientation on employee performance in the Islamic banking industry in Jakarta. This study uses a quantitative method with a descriptive approach with a questionnaire as the main instrument, tested for validity and reliability through a preliminary trial. This research used a purposive sampling technique; data was collected from 364 employees from 12 Islamic commercial banks and Islamic business units. Data were analyzed using the PARTIAL least Square Sequential Equation Model (PLS-SEM) method. The results of the study found that situational leadership style has a significant influence on employee performance. In addition, work orientation also has a significant influence on improving performance. These findings indicate that leaders in Islamic banking need to encourage innovation, listen to employee expectations, and communicate effectively to achieve optimal performance. In this study, adjusting leadership style to the unique context of Islamic banking has been shown to increase employee productivity. Organizations in the Islamic banking sector are advised to adopt an inclusive leadership style and focus on developing a culture of innovation to drive better results.
Public Participation in Environmental Issues in Bandung City
Authors: Triwardhani Ike Junita , Kennedy Ema Khotimah
Published: January 2025

In the contemporary era of globalization, public participation has emerged as a pivotal element in the management of environmental issues.  The city of Bandung, in particular, is confronted with a myriad of environmental challenges that necessitate the active involvement of the public. This research endeavors to explore the extent of public participation and its influencing factors in the context of environmental issues in Bandung.  Specifically, the objective is threefold: first, to identify forms of public participation; second, to understand the role of stakeholders; and third, to evaluate the effectiveness of communication channels.  The study also aims to provide recommendations to improve public involvement in environmental management. The research method is a qualitative approach with a case study method. Data were collected through in-depth interviews, participatory observation, and document analysis, involving various stakeholders, including NGOs, environmental experts, and the general public. The results show that public participation in Bandung is still limited and often formalistic.  Despite the existence of diverse communication channels, the level of public awareness and engagement in environmental issues remains inadequate. Stakeholders, comprising government entities and NGOs, play a pivotal role in fostering enhanced participation. This study posits that to augment public participation in the management of environmental issues in Bandung City, a more inclusive and strategic approach is imperative. Recommendations are put forth to refine communication channels and cultivate public awareness, thereby facilitating active contribution to environmental decision-making.
Women’s Economic Empowerment through Agriculture: Analyzing Barriers and Solutions
Authors: Yar Fayaz Gul Mazloum , Sail Ezat Ullah
Published: January 2025

This research focuses on the challenges faced by women in Afghanistan with regard to economic empowerment, particularly in the agricultural sector. This sector is critical to the country's economy, but women remain marginalized despite contributing significantly. Various barriers, including limited access to resources and cultural norms, hinder their participation. The purpose of this study is to analyze the barriers women face in the agricultural sector in Afghanistan and propose practical solutions to enhance their economic empowerment. The methods used in this study included a mixed approach, with structured surveys to collect quantitative data and semi-structured interviews and focus group discussions to gain qualitative insights. Data from different regions in Afghanistan were analyzed to identify important patterns affecting women's participation. The results showed that cultural, economic, educational and political barriers strongly influence women's empowerment. Most respondents reported difficulties in accessing financial resources and agricultural training. However, there are opportunities through non-governmental organization support and sustainable agricultural practices that can improve women's economic status. This research emphasizes the importance of overcoming these barriers to increase women's participation in agriculture. By providing education, access to resources, and legal support, women can be economically empowered, which in turn will contribute to the growth of the agricultural sector and sustainable development in Afghanistan.
Proposed Marketing Strategy for Products in a Niche Market (Case Study: 3Kurma)
Authors: Gabrita Kamal Yolanda
Published: January 2025

Dates are widely consumed in Indonesia, especially during the Ramadan season. This study aims to identify innovative marketing strategies, understand date consumption patterns, and find obstacles that prevent dates from becoming a routine consumption option outside of Ramazan. The mixed-methods approach is employed, combining both quantitative and qualitative research methods to gain a comprehensive understanding of consumer behavior, motivation, and preferences related to date consumers. Data analysis was conducted using thematic analysis with the assistance of NVivo software to organize the data and identify key themes. The results from 235 respondents highlight key demographic and behavioral insights. Additionally, date type and quality are key factors in customer recommendations, indicating that sellers should balance traditional marketing with catering to younger generations by creating products aligned with healthy lifestyle trends and culinary innovation. 3Kurma can demonstrate the product's versatility and premium quality. Pop-up events at malls, markets, or popular local spots in Jakarta can be a highly effective marketing strategy to build brand awareness, create a sensory experience, and engage directly with their target audience in a unique and memorable way.
The Impact of Perceived Threat of Informal Actors, Core Competencies and Coopetition on Tourism Service Quality
Authors: Muslim Ikram Faishal , Maulida Mira
Published: January 2025

qqqq
Introduction: Family, Wealth and Colonialism: North East Scots in the Caribbean and India, c.1690- c.1840
Authors: Osborne Désha Amelia , Grey Eloise , Lee Matthew
Published: January 2025

Introduction for the Special Issue
The Effects of Carica papaya on PAI-1, CASP-1, and TGF-β1 in Dengue-Induced Inflammation
Authors: Jularbal Benjamin
Published: January 2025

Dengue virus (DENV) infection triggers significant inflammatory responses in human hepatocytes, contributing to endothelial dysfunction, vascular permeability, and tissue remodeling. The regulation of key inflammatory markers, such as PAI-1, CASP-1, and TGF-β1, plays a crucial role in the pathogenesis of dengue, influencing coagulation and immune response. While current treatments focus on managing symptoms, there is a need for therapeutic strategies targeting the inflammatory pathways involved in severe dengue cases. This study investigates the effects of crude and methylated extracts on the expression levels of these inflammatory markers in DENV-infected human hepatocytes. Human hepatocytes were infected with DENV for 24 hours, followed by treatment with crude and methylated extracts. The expression levels of PAI-1, CASP-1, and TGF-β1 were measured using quantitative PCR, and fold change values were calculated relative to uninfected controls. The results showed that DENV infection led to significant upregulation of all three markers. The crude extract caused a mild upregulation of PAI-1 and slight downregulation of CASP-1 and TGF-β1, while the methylated extract induced mild downregulation of TGF-β1 and a slight upregulation of CASP-1. These findings suggest that both extracts exert subtle effects on inflammatory pathways, offering potential as therapeutic agents to modulate inflammation and fibrosis in dengue.
Menentukan Pkwt Berdasarkan Hasil Kinerja Menggunakan Decision Tree di Pt Parsaoran Global Datatrans (Hspnet)
Authors: Zebua Elnita , Sudrajat Budi
Published: January 2025

HSPnet adalah perusahaan yang bergerak di bidang Teknologi Internet (IP Base) Multimedia dan layanan Jaringan Internet. Manajemen Sumber Daya Manusia (SDM) sangat penting bagi HSPnet, dan Perjanjian Kerja Waktu Tertentu (PKWT) memainkan peran penting dalam mengelola hubungan karyawan. Penelitian ini bertujuan untuk meningkatkan pengambilan keputusan PKWT dengan memanfaatkan data kinerja pegawai melalui metode pohon keputusan. Dengan menganalisis data kinerja, pohon keputusan mengidentifikasi pola yang relevan untuk perpanjangan kontrak. Hasil pengujian menunjukkan keefektifan pohon keputusan, mencapai akurasi model sebesar 100%, dengan nilai entropi dan gain sebesar 0,803518485, serta cross-entropy sebesar 0,000. Penerapan pohon keputusan memungkinkan pengambilan keputusan PKWT yang lebih obyektif, efisien, dan adil, sehingga memperkuat hubungan manajemen-karyawan
Analisis Terhadap Manajemen Risiko pada Usaha Kuliner Soto Ayam Surabaya Cak So
Authors: Pangestu M Aditya
Published: January 2025

Penelitian ini bertujuan untuk mengidentifikasi dan menganalisis risiko-risiko yang dapat menghambat kelancaran operasional Rumah Makan Soto Ayam Surabaya Cak So. Selain risiko kontaminasi makanan dan kerusakan peralatan dapur, masalah ketidakhadiran karyawan dan fluktuasi jumlah pengunjung juga menjadi perhatian utama. Untuk mengantisipasi hal ini, Rumah Makan Soto Ayam Surabaya Cak So telah menerapkan berbagai strategi, seperti pelatihan rutin bagi karyawan terkait kebersihan dan keamanan pangan. Selain itu, perawatan berkala peralatan juga dilakukan secara rutin. Tidak hanya itu, Rumah Makan Soto Ayam Surabaya Cak So juga mengembangkan sistem kehadiran karyawan untuk meningkatkan disiplin kerja. Untuk menarik lebih banyak pelanggan, inovasi menu dan promosi juga dilakukan secara intensif. observasi langsung di lokasi usaha dan wawancara mendalam dengan pemilik. Hasil penelitian ini menunjukkan bahwa upaya-upaya tersebut sangat efektif dalam menjaga kualitas soto, kepuasan pelanggan, dan keberlangsungan bisnis Rumah Makan Soto Ayam Surabaya. Oleh karena itu, disarankan agar Rumah Makan Soto Ayam Surabaya Cak So terus meningkatkan sistem pemantauan risiko dan secara berkala mengevaluasi serta menyesuaikan strategi manajemen risikonya.
Hubungan Tingkat Pengetahuan Kesehatan Gigi Terhadap Perilaku Perawatan Gigi pada Anak Usia Sekolah
Authors: Safitri Brigitta Wamis Prawulan , Gayatina Andri Kenti , Wahyuningrum Eka
Published: January 2025

Kesehatan gigi dan mulut adalah keadaan pasien, yang berkisar dari kesehatan optimal suatu penyakit. Kondisi tersebut berubah dari waktu ke waktu yang dapat dipengaruhi kondisi fisik, psikologis, spiritual dan faktor perkembangan. Kesehatan mulut dan gigi merupakan keadaan yang saling terkait dan mempengaruhi satu sama lain. Umumnya anak-anak SD mempunyai resiko karies yang tinggi, karena pada usia tersebut anak-anak biasanya menyukai jajanan yang tidak sehat, sehingga dapat menyebabkan karies pada gigi. Penyakit karies pada anak sering terjadi, namun kurang mendapat perhatian dari orang tua dan guru khususunya pemeliharaan gigi pada anak. WHO menyatakan presentase yang menderita kerusakan gigi sebanyak 60-90% anak usia sekolah, di Amerika ada 52% anak usia 6-8 tahun dan 57% anak usia 12-19 tahun mengalami karies, menurut riskasdes tahun 2018 anak usia dini  yang giginya berlubang ada 93% dan menurut PDGI ada 89% anak yang mengalami karies. Desain dalam penelitian ini adalah cross sectional study dengan melakukan pengambilan data pada sekali waktu. Populasi dalam penelitian ini adalah siswa SD Kanisius Keprabon 1 Surakarta, menggunakan Total sampling sampling dan didapatkan 153 sampel dari populasi yang memenuhi kriteria. Penelitian ini menggunakan uji Fisher. Hasil dari penelitian ini didapatkan hasil tingkat pengetahuan kesehatan gigi buruk 0,7%, tingkat pengetahuan sedang 2,6% dan tingkat pengetahuan baik 96,7% dan untuk hasil perilaku perawatan kesehatan gigi buruk 12%,perilaku perawatan kesehatan gigi sedang 74,5% dan perilaku perawatan kesehatan gigi baik 17,6%. Hasil uji Fisher hubungan tingkat kesehatan gigi terhadap perilaku perawatan gigi p value 0,587.     Kesimpulan dari penelitian ini adalah tidak terdapat hubungan yang signifikan antara tingkat pengetahuan kesehatan gigi terhadap perilaku perawatan gigi anak SD.
Analisis Yuridis Wanprestasi dalam Kontrak Digital: Studi Kasus pada Transaksi E-Commerce di Indonesia
Authors: Aulia Syifa Roudhotul , Putri Desti Shintia , Ramdanti Neng Sulisna , Arrasyid Muhammad Raid , Sianipar Beni Binsardon , Solapari Nuryati
Published: January 2025

Electronic Commerce (e-commerce) merupakan kegiatan perdagangan barang, jasa, atau informasi yang dilakukan melalui media elektronik, terutama melalui internet. Dalam sistem e-commerce, transaksi yang dilakukan antara penjual maupun pembeli dilakukan secara online, hal ini memungkinkan mereka tetap bisa berinteraksi tanpa harus bertemu secara fisik. Penelitian ini bertujuan untuk menganalisis aspek hukum terkait wanprestasi dalam kontrak digital pada transaksi e-commerce di Indonesia. Dengan menggunakan pendekatan yuridis normatif, penelitian ini mengacu pada ketentuan Pasal 1320 KUH Perdata dan UU ITE. Wanprestasi dalam transaksi e-commerce sering kali terjadi karena ketidaksesuaian barang, keterlambatan pengiriman, dan tindak penipuan yang diperparah oleh rendahnya kesadaran konsumen terhadap hak dan kewajibannya serta lemahnya pengawasan terhadap pelaku usaha. Regulasi dalam Pasal 1233 dan 1243 KUH Perdata memberikan landasan hukum untuk menuntut ganti rugi, namun implementasinya terhambat oleh pemahaman hukum yang minim dan prosedur yang rumit. Penelitian ini menekankan pentingnya edukasi hukum kepada masyarakat, peningkatan pengawasan pemerintah, serta kepatuhan pelaku usaha terhadap regulasi untuk menciptakan transaksi digital yang lebih aman dan adil. Dengan demikian, kepercayaan konsumen terhadap transaksi digital dapat meningkat, yang pada akhirnya mendukung pertumbuhan ekonomi digital di Indonesia.