bluuebunny/crossref_metadata_2025 huggingface dataset:
Development of User Friendly Geopolymer Mortar Using Wood Ash Lye as Alkaline Activator
Authors: Isa Muhammad Nura , Awang Hanizam
Published: January 2025

Geopolymer concrete is an environmentally friendly substitute for traditional Portland cement-based concrete. In contrast to conventional concrete, which contributes to substantial carbon dioxide emissions through Portland cement production, geopolymer concrete utilizes aluminosilicate materials like fly ash, slag, or metakaolin as binders. This innovative approach aims to reduce the environmental impact of construction materials by offering a more sustainable alternative to conventional cement-based concrete. Unfortunately, the technology of geopolymer concrete was mainly confined to laboratory research in developing countries due to the high cost of chemical activators used in its production. The current study explored the prospects of using wood ash (WA) lye as an alkaline activator in geopolymers. A single raw aluminosilicate material, class C palm oil fuel ash (POFA), was activated with WA lye and sodium silicate (Na₂SiO₃) to produce a geopolymer mortar. Both fresh and hardened properties tests were conducted to assess the WA lye-activated geopolymer mortar at 3, 7, 14, and 28 days. The optimum liquid/binder (L/B) ratio and alkali activator ratio (AAR) of WA lye-activated geopolymer mortar were 0.5 and 3.0, respectively. The outcome of this research indicate that WA lye can effectively be utilised to produce geopolymers with desirable properties, thereby providing an environmentally friendly and sustainable alternative to NaOH.
Role of Window-Integrated BIPV for Building Daylight Performance in Composite Climate
Authors: Rehan Sobia
Published: January 2025

It is feasible to add the function of energy generation to a typical building fenestration component by inserting photovoltaics within windows. Electrical power can undoubtedly be generated on-site. The influence of PV windows on the interior lighting environment of the region they serve, on the other hand, has yet to be well studied. This paper presents the potential impact of semi-transparent photovoltaic windows on the daylighting performance of an institutional building window. Transparent PV solar cells capture and use undesired light energy via windows in buildings and are incorporated with existing window panes. This affects the overall power and natural daylight penetrating the indoor space. Integrating si-based, opaque-spaced cells with transparent thin film technologies, the performance of three façade configurations is investigated concerning their luminance level during the summer seasons of a composite climate, followed by simulations of a semi-transparent PV module, which is possible through radiation. This report presents a study that will provide enough evidence to broaden the development of solar cells integrated with windows for added clean energy production and the advancement of daylight luminance.
Post Farmer-herder Conflict Management and Relief Strategies of Farmers in Nigeria
Authors: Olatinwo L. K. , Komolafe S. E. , Faronbi K. O.
Published: January 2025

Purpose: This study shed light on the self-relief strategy employed by farmers after their experience in farmer-herder conflict.Research Method: The survey was carried out among 150 farm households headed in four farming communities. Frequency and logistic regression statistics were employed to analyze data.Findings: Findings showed that farmer-herder conflict resulted in the destruction of farm crops and insufficient food for household consumption among affected rural households. Affected rural households decided to adopt coping strategies that reduce their vulnerability by tightening farm security, preventing future huge farm loss by sowing less, and completely avoiding of risk of conflict effects with no intention to continue crop farming by borrowing money and shifting to off-farm jobs. Education/literacy of the people and causes of conflict were found to be the behavioral control factors of the farmers.Practical Implication: The study provided recommendations for rural development advisors and policymakers to inform post-conflict management and relief strategies for effective coping and adaptation responses to farmer-herders conflict victims in Africa and other developing countries experiencing similar nature of conflict.Originality/ Value: The study is novel for reporting, for the first time, the post-farmer-herder conflict behavior of farmers in Nigeria
Morphometric Characterization of Economically Important Populations of Black Tiger Shrimp (Penaeus monodon) Natural Broodstocks in Sri Lanka
Authors: Athula J. A. , Walpita C. N. , Ruwandeepika H. A. D. , Wijeratne A. W.
Published: January 2025

Purpose: Presence of morphological heterogeneity and economically superior traits in naturally available brood stock greatly supports yield improvement programs characterizing sub-populations with such traits will provide leverage in doing so. The present study was an attempt to characterise giant tiger shrimp, Penaeus monodon brood stock from Sri Lankan waters to identify whether or not commercially important sub-populations exist based on morphological traits, which can be used for the yield improving P. monodon farming industry in Sri Lanka.Research Method: A total of 495 P. monodon samples were randomly collected from nine areas around the country. Ten selected morphometric traits and the Body Weight (BW) were measured from each. Morphometric measurements were standardized and subjected to multivariate analysis with equation LTs (i)=log10LT(i)[log10 TL(m)/log10 TL(i)]b.Findings: Selected morphological traits were highly correlated with BW showing the highest correlation from hepatic spine width and the lowest correlation by width at the midpoint of the abdominal segment six. In PCA, both PC1 and PC2 accounted for 68.1% of total variation. The scatter plot of PC1 and PC2 indicated that all samples in the nine zones belonged to one population. However, significant variations in BW, standard body length, and abdominal length were observed in different areas and the highest significant BW was recorded in Chilaw, Beruwala, Negombo, and Mullaitivu.Originality/Value: Economically important morphological traits in Penaeus monodon are prominent in a few populations around the country, prompting to selection of individuals from these areas for brood stock improvement programs.
Exploring idiosyncratic deal arrangements in a technology-based organisation
Authors: Tshabalala Sibongile , Dhanpat Nelesh
Published: January 2025

Orientation: This research examines the dynamics of South Africa’s technology sector, focussing on how technology professionals navigate idiosyncratic deal (i-deal) arrangements.Research purpose: The purpose of the study is to explore the nature of i-deals, the factors contributing to successful negotiations and the consequences of these negotiations on employee experiences and organisational relationships.Motivation for the study: Research on i-deals in the South African context is limited. This study seeks to address this gap by offering insights into how i-deals are negotiated and their effects on workplace outcomes.Research approach/design and method: A qualitative design was employed, using a convenience sample of 12 mid-to-senior level employees from a large information communication and technology organisation in Johannesburg. Semi-structured interviews were conducted, and thematic analysis was used to identify key themes and patterns in the data.Main findings: The study found that successful i-deal negotiations enhance job satisfaction and employee morale, while unsuccessful negotiations can lead to decreased motivation and strained relationships. Factors such as organisational culture, communication and trust were crucial in determining the success of i-deal negotiations.Practical/managerial implications: Human resource (HR) professionals should facilitate structured and transparent i-deal negotiation processes, provide training for managers and employees, and regularly monitor the impact of i-deals to ensure they benefit both the organisation and its employees.Contribution/value-add: This study contributes to the limited literature on i-deals in the South African context, offering practical insights for HR professionals to enhance employee retention and satisfaction through effective i-deal negotiations.
Job satisfaction and burnout level analysis among ophthalmologists
Authors: Arfeen Shaimaa , Alahmadawy Yomna A. , Esmael Amanne F. , Khalifa Dalia , Abdullatif Abdussalam M.
Published: January 2025

Purpose

To assess job satisfaction and burnout levels among Egyptian ophthalmologists in order to better understand their mental and physical well-being.

Patients and methods

This is a cross-sectional observational analytic study among ophthalmologists. An online survey was sent out to ophthalmologists. All the participants answered a modified professional quality of life scale including 30 statements related to its three subscales: compassion satisfaction, burnout, and secondary traumatic stress. The responses were anonymized and analyzed.

Results

A total of 264 ophthalmologists responded to the survey. The age and duration of work showed a significant positive correlation with compassion satisfaction level (r=0.268, P=0.007, r=0.277, P=<0.001), respectively, and a significant negative correlation with both secondary traumatic stress level and burnout level (r=−0.196 and −0.287, P=0.001 and P<0.001, respectively). Average working hours per day showed a significant positive correlation with compassion satisfaction (r=0.157, P=0.012) and a nonsignificant correlation with other scores (P=0.5, 0.221). There was no significant difference in compassion satisfaction between subspecialties (P=0.512). Both burnout rates and secondary traumatic stress were negatively correlated with age and duration of employment (P=0.001, P<0.001). Burnout rates were low for investigative specialists and high for oculoplasty and surgeons (P=0.428). Seventy two percent of participants reported average secondary traumatic stress level, which was highest among cornea and uveitis specialists and lowest among glaucoma specialists (P=0.027).

Conclusion

A significant proportion of ophthalmologists exhibit average levels of burnout and secondary traumatic stress, while their compassion satisfaction tends to improve with accumulating years of practice. The findings highlight a critical need for proactive measures from policymakers, regulatory bodies, and healthcare administrators to identify and address specific risk factors contributing to occupational burnout among ophthalmologists.
Presumed ocular tuberculosis in a developed country: a descriptive retrospective analysis of patients from a tertiary health care centre in the United Kingdom
Authors: Boshra Mariam M. , Stylianidies Amira , Agrawal Hitesh
Published: January 2025

Purpose

To describe the clinical presentation of Tuberculosis uveitis (TBU) in a developed country (tertiary health Care Centre in The UK) and its association with the response to anti-TB treatment (ATT).

Methods

A retrospective study, in which, we collected data on ocular TB from a tertiary referral center in a developed country from a total of 100 eyes of 56 patients. The collected data were analyzed from the perspective of visual acuity at the presentation and the last visit, clinical presentation, treatment started, and the need for immune suppressive therapy.

Results

Pan uveitis was the most common clinical presentation (40%). All patients received ATT. Comparing mean baseline visual acuity 0.49±0.65 was slightly reduced to 0.45±0.72 (3 months after completing ATT), however, this difference was not statistically significant. The rate of treatment failure was 44%. Twenty-five patients needed additional immunosuppression (steroid alone or combined with immune suppressive therapy) 3 months after completing the ATT because of persistent inflammation.

Conclusion

TBU is still a diagnosis that needs to be considered and excluded in developed areas. Long-term Immunosuppressive medication may be needed for cases of TBU with significant intraocular inflammation either during or after ATT. Uveitis pattern and presence or absence of disc edema could predict the need for immunosuppression.
Multifocal electroretinogram evaluation of different optical coherence tomography patterns of diabetic macular edema
Authors: Mohamed Abdelrahman W.M. , Khairat Yehia M. , AttaAllah Heba R. , Abdelrahman Amr A.M.
Published: January 2025

Purpose

To correlate macular function to morphological patterns of diabetic macular edema (DME) observed by optical coherence tomography (OCT).

Patients and methods

This study included 100 DME eyes and 60 control eyes. OCT patterns of DME were divided into: Type 1: diffuse retinal thickening (DRT); Type 2: cystoid macular edema (CME); Type 3: neurosensory detachment (NSD); and Type 4: the combined type that was further subdivided into: Type 4a: DRT with CME, Type 4b: DRT with NSD, and Type 4c: CME with NSD. These types were correlated with LogMAR VA and P1 wave amplitude and implicit time of multifocal electroretinogram.

Results

In both central ring 1 and paracentral ring 2, P1 amplitude was significantly reduced in all types of DME compared with control group. P1 amplitude was highest in Type 1, and lowest in Type 4c compared with other DME types. P1 implicit time was significantly delayed in all types, and significantly delayed in Type 4c compared with Type 1.

Conclusion

DRT was the best type for macular function, CME was associated with decreased P1 wave amplitude in central macular ring, NSD was associated with decreased P1 wave amplitude in the paracentral macular ring, combined CME with NSD carried the poorest visual function. From a practical point of view, combining OCT and multifocal electroretinogram testing may offer a potent method to assess the degree of retinal injury.
Impact of coronavirus disease 2019 on the prognosis of mucor mycosis in diabetic patients in Egypt: a comparative multicenter study
Authors: ElSamkary Mahmoud , Elsherif Radwa , Saad Tarek M. , Fawzy Samah M.
Published: January 2025

Aim

The current study was designed to figure out the influence of Corona virus infection (COVID-19) on the course and outcome of mucor mycosis in controlled diabetic Egyptian patients.

Patients and methods

The presented multicenter study compared retrospectively two groups of diabetic patients with clinically and radiologically documented rhino-orbital-cerebral mucor mycosis. The first group included 20 patients who had COVID-19 infection documented clinically, radiologically, and laboratory at the time of admission to the hospital, while the 22 patients in the second group did not. Full ophthalmological evaluation and necessary medications were offered to all patients, and the decision to exenteration was made and performed when appropriate. Medical conditions like diabetes mellitus and other aspects of mucor mycosis were controlled carefully by specialized consultants, and detailed medical reports for morbidity and mortality were provided. Comparisons of the clinical picture, final visual acuity, exenteration, and mortality/survival rates were done between the two groups. Recovered patients were followed up for 4 months after discharge from the hospital.

Results

COVID-19 infection in the first group aggravated the clinical picture significantly, especially the soft tissue affection like face swelling (P=0.0047) and worsened the final visual outcome (P=0.047). It also increased the rates of ICU admission, exenteration, and death as compared to the non-COVID group by 6, 15, and 11%, respectively (P>0.05).

Conclusion

Infection by COVID-19 worsened the course and prognosis of rhino-orbital-cerebral mucor mycosis in controlled diabetic patients in the form of a more aggressive clinical picture, exenteration, and death (although statistically insignificant). It also resulted in poorer visual outcome (in acuities CF to 3/60, P=0.047). Early hospitalization, anti-fungal, and surgical exenteration, if needed, increase the survival rate and decrease morbidity.
The Functional Assessment of Chronic Illness Therapy-Fatigue Measure: Cross-Cultural Validation of an Arabic Version for Older Jordanians
Authors: Abuadas Mohammad H. , Albikawi Zainab , Khoury Osama
Published: January 2025

Background:

Numerous national and international nursing research studies have used the 13-item Chronic Illness Therapy Functional Assessment Chronic Illness Therapy (fatigue) (FACIT‐F) scale to measure the level of self-reported fatigue among the elderly population. Nonetheless, a culturally adapted Arabic version of the scale of the same quality was required to boost its use in Arabic-speaking nations. This study cross-culturally validated the Arabic version of the FACIT-F scale and tested its validity and reliability in an Arabic-speaking population.

Materials and Methods:

We conducted the study among an elderly Jordanian population using a methodological cross-sectional approach. Using a cluster random selection technique, we randomly selected 250 older adults from a larger pool. We evaluated the scale’s validity, internal consistency, and acceptability. We analyzed the construct validity using both confirmatory and exploratory factor analysis.

Results:

The Arabic version of FACIT-F was proven to be acceptable for the one-factor model in the elderly Jordanian population. Cronbach’s alpha coefficient for the Arabic FACIT-F was 0.95, which indicated good reliability. Evidence suggested that construct validity for the FACIT-F was generally quite acceptable.

Conclusions:

With regard to evaluating fatigue in an older Jordanian population, the Arabic translations of the FACIT-F have been shown to be reliable and valid.
Why Do Nurses Fail to Implement Pain Assessment Instruments for Hospitalized Infants?
Authors: Elsagh Azamolmolouk , Ebadi Abbas , Dalvandi Asghar , Tabarsi Beheshteh
Published: January 2025

Background:

Effective pain assessment in neonatal care is crucial for ensuring the well-being of newborns. However, barriers to its successful implementation persist. This study aims to identify the obstacles that hinder effective neonatal pain assessment by Neonatal Intensive Care Units (NICUs) nurses.

Materials and Methods:

This qualitative study was conducted using the method of conventional content analysis. Purposive sampling was employed from February to September 2023, selecting 14 female nurses working in NICUs of hospitals in Tehran and Karaj as participants. Indepth, semistructured interviews were conducted to collect the data. The software “MAXQDA” version 2016 was utilized for managing qualitative data.

Results:

Four main themes and eleven subthemes were identified: “Overtasked,” “Discordant atmosphere,” “Soulless care,” and “Lack of awareness.” Each of these main themes is further elaborated through the subsequent subthemes.

Conclusions:

This study found that the lack of knowledge and understanding of neonatal pain assessment tools, the busyness of nurses, lack of time, excessive documentation, and the inadequacy of staff relative to the number of newborns were the most significant obstacles to the assessment of newborn pain. Addressing these challenges is critical for optimal neonatal pain assessment and management, promoting the well-being of newborns.
Correlation of internet addiction with medical students’ wellbeing: A cross-sectional study
Authors: Chaudhari Bhushan , Jain Mahavir H. , Patil Anand , Jagtap Biswajit , Chaudhury Suprakash , Saha Suvayan
Published: January 2025

Background:

Internet use is increasing day by day globally and in India, leading to increased problematic use of the Internet, particularly in the younger generation. Medical students are vulnerable to problematic Internet use or Internet addiction (IA) for various reasons. IA can have implications for the psychological well-being of medical students.

Aim:

To study the IA pattern and well-being among medical students.

Materials and Methods:

A cross-sectional survey was conducted among 172 undergraduate medical students of Rural Medical College, PIMS, DU. The students were assessed through a semi-structured questionnaire consisting of sociodemographic details, information about Internet use, the Internet Addiction Test scale by Kimberly Young for assessing IA, and the Medical Student’s Well-being Index by Liselotte Dyrbye to assess medical student’s well-being.

Results:

Out of 172 students, 73 (42.44%) medical students had IA; of these, 58 (33.72%) had mild IA, 38 (22.09%) had moderate IA, and 3 (1.74%) had severe IA. IA was associated significantly with the age of the students (P = 0.000), male gender (P = 0.0001), and being from a joint family (P = 0.004). There was no significant correlation between IA and well-being among medical students.

Conclusion:

The study found a high proportion of medical students to be suffering from IA. However, impaired psychological well-being was not associated with IA. This finding stressed that the relationship between IA and psychological well-being is not so straightforward and needs further exploration as to whether overuse of the Internet in some particular inflexible manner is causing psychological impairment. This study can prove an important milestone for such further studies.
Lateral mass intrapedicular screw fixation: A radiological evaluation of screw pullout strength
Authors: Kojima Kota , Kanbe Hiroaki , Fukui Kenichiro , Endo Takahiro , Fukui Yasuyuki , Ishikawa Masayuki , Asamoto Shunji
Published: January 2025

Background:

Lateral mass intrapedicular screw (LMIS) fixation was introduced in 2021 as a safe and simple alternative method for the fixation of the subaxial cervical spine in the treatment of various cervical spine diseases. The purpose of this study was to evaluate and compare the screw pullout strength of this new technique to the trajectories of two other major methods, the transpedicular screw (TPS) and lateral mass screw (LMS) methods.

Methods:

Two hundred and three patients who underwent a cervical computed tomography (CT) scan at our institution were included in the study. A region of interest for each of the three trajectories was selected using axial slices of the cervical vertebra from C3 through C6, and the CT number (Hounsfield unit) was calculated.

Results:

A total of 4872 data points were collected. The average age of the patients was 59.5 years. The male-to-female ratio was 135:68. The number of patients over the age of 65 was 93. The average CT numbers were 511.9 for TPS, 473.1 for LMS, and 598.5 for LMIS. There was a significant difference in the CT number among the three trajectories, even when adjusted for sex and age.

Conclusion:

LMIS is a promising alternative to the common methods used for subaxial cervical spine fixation that has a significant pullout strength. This approach is worth considering in many patients.
The head position and cervical alignment in patients with Chiari malformation: A retrospective case–control study
Authors: Karadeniz Resul , Dağlar Zeynep , Çağıl Emin , Günerhan Göksal , Sarıgül Buse , Aslan Yılmaz , Belen Ahmet Deniz , Dalgıç Ali
Published: January 2025

Aim and Background:

This study aimed to investigate the relationship between cervical spinal alignment and the center of gravity (COG) of the head in patients with Chiari malformation (CM) compared to healthy individuals. CM is characterized by the herniation of posterior fossa structures through the foramen magnum, potentially affecting head positioning and craniovertebral junction biomechanics. Understanding these biomechanical changes is crucial for improving diagnostic and treatment strategies.

Materials and Methods:

This retrospective study included 102 CM patients and 71 healthy controls. Radiological measurements were obtained from cervical X-rays, with seven reference points used to calculate angles related to head positioning and cervical curvature. Angular parameters, including cranial incidence (CI), cranial slope (CS), cranial tilt (CT), C7 slope (C7S), and spinocranial angle (SCA), were analyzed to determine correlations with the COG of the head. Statistical analyses were performed using t-tests, ROC analysis, and Pearson/Spearman correlation tests.

Results:

CM patients had significantly higher CI, CT, STT, and SCA angles compared to controls (P < 0.05), indicating an anterior displacement of the head’s COG. The CS angle was lower in CM patients (P < 0.05), reflecting a more flexed head position. No significant differences were found in C7S and C2T angles between groups, suggesting similar cervical curvature. ROC analysis demonstrated high sensitivity and specificity of the angular measurements for diagnosing CM.

Conclusion:

CM patients exhibit distinct biomechanical alterations, including an anterior shift of the COG and a more flexed head position. These findings highlight the potential of angular measurements as noninvasive diagnostic tools for CM. Future studies should explore the implications of these biomechanical changes on CM progression and treatment outcomes.
Investigating Environmental Determinants of Hookworm Transmission using GPS Tracking and Metagenomics Technologies
Authors: Sumboh Jeffrey Gabriel , Agyenkwa-Mawuli Kwasi , Schwinger Eyram , Donkor Irene Owusu , Akorli Jewelna , Dwomoh Duah , Ashong Yvonne , Osabutey Dickson , Ababio Felix Owusu , Nusbaum Olivia , Humphries Debbie , Cappello Michael , Koram Kwadwo Ansah , Kwofie Samuel K. , Wilson Michael D.
Published: January 2025

To identify potential sources of hookworm infections in a Ghanaian community of endemicity that could be targeted to interrupt transmission, we tracked the movements of infected and noninfected persons to their most frequented locations. Fifty-nine participants (29 hookworm positives and 30 negatives) wore GPS trackers for 10 consecutive days. Their movement data were captured in real time and overlaid on a community grid map. Soil samples were collected and divided into two parts: one for determining the physical and chemical properties and the other for culture of helminth larvae. Soil parameters were determined using standard methods, and the number of larvae recovered from Baermann cultures (expressed as larvae per gram of soil) was recorded. We found no significant difference in the larval counts between sites of infected and noninfected participants (P = 0.59). Sandy-loam soil, pH, and effective cation exchange capacity were associated with high larval recovery counts (P <0.001), whereas nitrogen and clay content were associated with low counts (P <0.001). Genomic DNA was extracted from helminth larvae, and species were identified using metagenomic analysis of DNA sequences. The dominant helminth species identified were Panagrolaimus superbus, Parastrongyloides trichosuri, Trichuris trichiura (human whipworm), and Ancylostoma caninum (dog hookworm). Despite Necator americanus being the predominant species in the community, no larvae of this species were identified. This study, however, demonstrates the feasibility of applying molecular tools for identifying environmental factors and places associated with exposure to human and zoonotic helminths, including areas that may be targeted to break transmission in communities where infection is endemic.
Opportunities and challenges for domestic tourism development in South Wollo, Ethiopia
Authors: Nigatu Tesfaye Fentaw , Ambaw Zelalem Getnet , Argaw Molla Nigus , Trupp Alexander , Teshome Endalkachew
Published: January 2025

Domestic tourism is a cornerstone of economic development, yet it has not received adequate attention compared to international tourism. Therefore, the objective of this study is to assess the opportunities and challenges of domestic tourism in Ethiopia, with a particular emphasis on selected tourist destinations in the South Wollo Zone. The study employed a qualitative research design, with a total of 26 participants for interviews selected purposively. In addition, three focus group discussions were conducted. This research study revealed several opportunities for the development of domestic tourism, including the government’s commitment to domestic tourism development in Ethiopia, the presence of diversified tourism resources in the study areas, the local community’s hospitality and tourist-friendly nature, and the occurrence of numerous cultural and religious events significant for domestic tourism development. However, the development of domestic tourism is also influenced by various challenges. One major issue is the absence of clear statistical information to measure the changes and continuities in domestic tourism development. Moreover, there is a low level of attitude towards domestic tourism in the study area. The lack of interest among travel agencies and tour operators in marketing the study area as a domestic tourism spot further hinders progress. Marketing and promotion efforts are also limited, with a shortage of organised trips/tours targeted at domestic tourism. Furthermore, the existing domestic tourism market is largely controlled by external operators and brokers, rather than by local community members or entrepreneurs. There has also been a failure to create competitive new tourism products and a low recognition of domestic tourism from both the local community and the operators. The study forwarded possible strategies for developing domestic tourism in the area.
Stepping up Efforts in Preventing Maternal Deaths Due to Post-partum Hemorrhage in Nepal: A Critical Review of National Medical Standards
Authors: Jha Rajshree
Published: January 2025

Post partum hemorrhage is the leading cause of maternal death globally, as well as in Nepal according to recent Maternal Mortality study 2022. National Medical Standards serve as a country specific reference document for essential clinical materials and tools, that support patient care and service provision. It has been periodically updated to keep up with the latest international medical evidence, keeping in view of the changing international, regional and national legislative and policy and evidence. While the new edition is user friendly and has included secondary postpartum hemorrhage first time, there are few gaps that exist. This commentary, focus is on the Nepal Medical Standards (NMS) more specifically a review of the NMS pertaining to PPH and point out some of the missing opportunities: during antenatal, intra natal and postpartum period. Ensuring optimal health of pregnant women, prevention of anemia, quality monitoring during labor, primary prevention, along with early recognition and timely management are crucial areas that need special focus. A supplementary standard focused on postpartum hemorrhage with relevant professional organizations could address these missing opportunities towards combating PPH in Nepal.
 
Key words: postpartum hemorrhage, Nepal Medical Standards, missing opportunities
The Maternal Death Surveillance System in Nepal: Current Status and Challenges Ahead
Authors: Sharma Sharad Kumar
Published: January 2025

A robust monitoring and documentation of maternal deaths are critical for understanding the extent, context, and identifying probable solutions for addressing the preventable deaths. In Nepal, the current maternal death surveillance system (including both the health facility and community-based maternal deaths) has been in operation for about a decade now. As of mid-2022, the system has been introduced in 94 hospitals and 2,123 communities (Wards). The recent data (2020-2022) on the cases of maternal deaths generated by the system show broad similarity with those based on the census-based estimates for the year 2021. Considerable differences exist in the reasons for maternal deaths between health facility and community-based data. Some of the existing major challenges in the system include, identifying causes of death correctly within a reasonable time frame, identifying realistic solutions to the timely and appropriate response actions, and ensuring that the system works effectively before scaling up to other areas within the country. These need to be addressed for the system to function as an effective tool for tracking maternal deaths and reducing preventable maternal death in Nepal.
Perception and Experience of Student-Facilitated Problem-Based Learning in Medical Education: A Qualitative Analysis in a Resource-Limited Setting of Nepal
Authors: Joshi Lok Raj , Nembang Penchha , Hamal Deependra , Thakur Chandan , Anu Anuraj , Bista Binamra
Published: January 2025

Background: Shortage of trained faculty to facilitate problem-based learning (PBL) is a major challenge in resource-limited settings. Our study aimed to assess the effectiveness and shortcomings of student-facilitated PBL in such a setting in Nepal.Methods: First year and second year medical students (80 students) conducted student-facilitated PBL modules in Karnali Academy of Health Science, Jumla during March and April of 2024. This report presents the retrospective reflexive thematic analysis of the perceptions or experiences of the students and faculty involved in the PBL modules. The data comprised of presentation slides of six teams of student during wrap-up seminars and notes taken during four focus group discussions (25 participants in total) of the students and faculty members after the PBL modules. Results: The major themes included prior concerns and overall experience, facilitator and facilitation-related experience, group dynamics, learning experience, resource management and suggestions for training. Most of the students and faculty valued the student-facilitated PBL modules positively. More self-directed nature, in-depth study, hesitation-free discussions and development of problem-solving and leadership skills were among the perceived advantages of the PBL modules. Major challenges were related to inadequacy of the PBL process skills, team management and time management issues. Further training of students in those areas was suggested. Conclusions: The overall experience of the students and faculty members remained positive. Thus, student-facilitated PBL modules with the provision of faculty supervision and adequate training of students may serve as an alternative model of PBL in resource-limited scenarios.
La efectividad de la política de vivienda social en México
Authors: Hernández Ilizaliturri Alma A. , Graciano Casas Lucia , Haces Atondo Gerardo
Published: January 2025

En el 2020 el gobierno federal reconocía que en México existían 650 mil viviendas abandonadas producto de una política de vivienda expansiva que dejaba de lado las necesidades de los individuos. El  presente artículo muestra los resultados del análisis de la efectividad de la política pública de vivienda social en México, mediante el método sintético-analítico y el análisis multivariante se evalúa el conocimiento del proceso de la política y el conocimiento en el proceso, identificando que la política habitacional logro reducir el rezago habitacional con una media nacional del 30%, sin embargo no fue homogénea, aún existen municipios con el 100% de sus hogares en rezago; y en algunos que disminuyeron la brecha reportan un mayor número de viviendas abandonadas.
Mediante el análisis multivariante se determina un nivel bajo de efectividad de la política en la solución al problema, por lo que se recomienda impulsar una política de vivienda diferenciada que considere las necesidades financieras, de espacios y funcionalidad de la vivienda, las restricciones laborales y roles de los hogares monoparentales encabezados por jefas de familia.
Caracterización y desafíos de la internacionalización en las mipymes del sector agrícola
Authors: Camacho-Alvis Estrella del Carmen , Londoño-Ochoa Tatiana , Prieto-Baldovino Francia
Published: January 2025

Analizar las características y desafíos de la internacionalización de las Micro, Pequeñas y Medianas Empresas (MiPymes) del sector agrícola en Montería, Córdoba, con el fin de identificar estrategias y herramientas prácticas que faciliten su expansión en el mercado internacional y mejoren su competitividad en un entorno globalizado. A pesar del crecimiento económico en países como Estados Unidos, Alemania y Japón, las barreras arancelarias y no arancelarias dificultan el acceso a nuevos mercados para los productos agrícolas colombianos. Este trabajo se llevó a cabo mediante una metodología descriptiva con un enfoque cuantitativo en un estudio de campo de las microempresas del sector. Se realizó una tipología de la temática, lo cual nos proporciona un mapa de necesidades para proyectar las micro, pequeñas y medianas empresas hacia mercados internacionales. La competitividad de las empresas locales se ve impactada por la obligación de cumplir con los estándares de calidad y certificaciones internacionales requeridos por los mercados desarrollados. La presión por la sostenibilidad ambiental y social constituye un desafío adicional para el proceso de internacionalización. Para superar los desafíos mencionados, es fundamental que las empresas agrícolas en Montería - Colombia realicen inversiones en innovación, tecnología y formación con el fin de elevar su nivel de competitividad y ajustarse a las exigencias del mercado global.
Implementación de tecnologías digitales en mipymes dirigidas por mujeres en Mérida, Yucatán: Avances hacia la transformación digital empresarial
Authors: Cervera-Quijano Maria Cristina , Canto-Esquivel Jorge Carlos , Ojeda-López Ruth Noemí
Published: January 2025

La transformación digital en las empresas es un proceso de integración y aplicación de tecnología que contribuye con la mejora e innovación de los modelos de negocio. Se proponen dos estrategias para la transformación digital en las organizaciones, las cuales tienen el propósito de integrar las tecnologías a los procesos productivos y administrativos y mejorar la experiencia del cliente. Por ello, se identifican tres niveles de uso de acuerdo con las tecnologías implementadas y las competencias desarrolladas en las empresas, estos son: nivel básico, avanzado y tecnologías de frontera. La presente investigación con enfoque cuantitativo descriptivo tiene por objetivo analizar el nivel de uso y aprovechamiento de tecnologías digitales para la transformación digital en micro, pequeñas y medianas empresas (Mipymes) dirigidas por mujeres en Mérida, Yucatán. La población e interés incluyó a mujeres de Mérida con actividad empresarial, con mayoría de acciones en la empresa, y entre 1 y 50 empleados. Se enviaron invitaciones a través de asociaciones civiles, redes sociales y correo electrónico a empresas registradas en el Directorio Estadístico Nacional de Unidades Económicas (DENUE). De las 38 respuestas obtenidas, se seleccionaron 22 que cumplían con los criterios de inclusión. Los resultados indican que estas empresas han adoptado principalmente herramientas de los niveles básicos, siendo las redes sociales la principal. A pesar de tener alto porcentaje de adopción en tecnologías básicas, es fundamental identificar las necesidades para la mayor integración de herramientas digitales que fortalezcan la competitividad empresarial.
Gençlerin Şiddet Maruziyetine Göre Çatışma ve Şiddete İlişkin Farkındalıkları ile Eş Seçme Stratejileri: Kesitsel Bir Çalışma
Authors: Yıldız Hatice , Arslan Tarus Hamide , Altunten Birgül , Çönge Akarslan Yasemin
Published: January 2025

Giriş: Bireylerin yaşamlarının çeşitli dönemlerinde mağdur ya da tanık olarak şiddete maruz kalmaları yaygındır ve bu durum ileriki yaşamlarında eş seçim stratejilerini etkileyebilmektedir.
Amaç: Çalışmada, gençlerin şiddet maruziyetine göre çatışma ve şiddete ilişkin farkındalıkları ile eş seçme stratejilerinin belirlenmesi amaçlandı.
Yöntem: Tanımlayıcı tipte olan bu çalışma Şubat-Nisan 2019 tarihleri arasında, İstanbul’da bulunan bir devlet üniversitesinde yürütüldü. Araştırmanın örneklemini 459 genç oluşturdu. Veriler; anket formu, Çatışma ve Şiddete İlişkin Farkındalık Ölçeği ve Eş Seçme Stratejileri Envanteri ile yüz yüze görüşme tekniği kullanılarak toplandı. Verilerin analizinde bağımsız örneklem t testi ve pearson korelasyon analizi yapıldı.
Bulgular: Gençlerin %49.5’i şiddete tanık olmuştu ve %33.1’i şiddet mağduruydu. Şiddete maruz kalma ile çatışma ve şiddete ilişkin farkındalık arasında anlamlı fark yoktu (p>.05). Eş seçme stratejilerinde kadın olan gençlerin “aile kurumu ve güven”, “sosyo-ekonomik durum”, “aşk” ve “dini ve siyasi benzerlik” kriterlerine daha fazla önem verdiği görüldü (p
Hemşirelik Öğrencilerinin Merhamet Düzeylerinin Organ Bağışına Yönelik Tutumları ile İlişkisi
Authors: Kıyak Yasemin , Köktürk Dalcalı Berna , Erden Melikoğlu Seçil
Published: January 2025

Giriş: Geleceğin hemşireleri olarak, organ bağışı ve nakil sürecinde aktif rol alacak hemşirelik öğrencilerinin organ bağışına yönelik tutumlarını ve organ bağışını etkileyen faktörleri belirlemek toplumun organ bağışı konusunda farkındalık kazanması açısından önem taşımaktadır.
Amaç: Bu çalışma, hemşirelik öğrencilerinin merhamet düzeylerinin organ bağışına yönelik tutumları ile ilişkisini belirlemek amacı ile yapıldı.
Yöntem: Tanımlayıcı ilişki arayıcı araştırma türünde yapılan bu çalışma, bir vakıf üniversitesinde öğrenim gören hemşirelik öğrencileri (n = 194) ile gerçekleştirildi. Veriler, “Tanıtıcı Bilgi Formu”, “Merhamet Ölçeği” ve “Organ Bağışı Tutum Ölçeği” kullanılarak 2021-2022 eğitim-öğretim yılı bahar döneminde yüz yüze toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, bağımsız gruplarda t testi, tek yönlü anova analizi ve pearson korelasyon analizi kullanıldı.
Bulgular: Öğrencilerin Merhamet ölçeğinden aldıkları toplam puan ortalaması 100.40±12.64, Organ Bağışı Tutum ölçeğinden aldıkları toplam pozitif puan ortalaması 98.35±16.30 ve toplam negatif puan ortalaması 58.45±18,88 olarak saptandı. Öğrencilerin merhamet düzeyleri ile organ bağışına yönelik pozitif tutumları arasında zayıf düzeyde pozitif yönde anlamlı ilişki (r=.37, p=.000), organ bağışına yönelik negatif tutumları arasında ise zayıf düzeyde negatif yönde anlamlı ilişki (r=-.35, p=.000) saptandı.
Sonuç: Hemşirelik öğrencilerinin merhamet düzeylerinin yüksek, organ bağışına yönelik tutumlarının ise olumlu olduğu belirlendi. Öğrencilerin merhamet düzeyleri arttıkça organ bağışına yönelik tutumları artmaktadır. Toplumsal farkındalığın arttırılmasında önemli rol oynayacak hemşirelik öğrencilerinin, merhamet düzeylerini ve organ bağışı konusunda pozitif tutumunu geliştirmeye yönelik eğitimlerin planlanması, bu gelişimi destekleyecek farklı öğretim yöntemlerinin kullanılması ve uygulama alanlarının oluşturulması önerilmektedir.
Öğrencilerin Cerrahi Hastalarının Öğrenim Gereksinimlerini Saptama Durumları ve Etkileyen Faktörler
Authors: Gök Fatma , Faydalı Saide
Published: January 2025

Giriş: Cerrahi hastalarının bireysel gereksinimleri dikkate alınarak gerçekleştirilen planlı hasta eğitiminin ameliyat sürecini ve sonuçlarını olumlu etkilediği bilinmektedir.
Amaç: Bu çalışmanın amacı hemşirelik bölümü öğrencilerinin cerrahi hastalarının öğrenim gereksinimlerini saptama durumlarını ve etkileyen faktörleri ortaya koymaktır.
Yöntem: Tanımlayıcı ve ilişki arayıcı türdeki araştırma 118 ikinci sınıf öğrencisi ile bi devlet üniversitesi tıp fakültesi hastanesinde gerçekleştirilmiştir. Veriler “Öğrenci Soru Formu” ve “Hasta Öğrenim Gereksinimleri Ölçeği” kullanılarak 19 Nisan-24 Mayıs 2017 tarihleri arasında araştırmacı tarafından toplanmıştır. Veriler, yüzde, Kolmogrov–Smirnov, Pearsonki-kare, bağımsız örneklem t testi ve tek yönlü ANOVA testleri ile değerlendirilmiştir.
Bulgular: Araştırmaya katılan öğrencilerin %88.1’inin hastasının öğrenim gereksinimini saptadığı, %45.8’inin hasta eğitimi konusunda kendini yeterli algıladığı bulunmuştur. Öğrencilerin %72.1’i günlük yaşam aktiviteleriyle, %44.2’si tedavi ve komplikasyonlarla ilgili hastasının öğrenim gereksinimini saptamıştır. Öğrenciler tarafından öğrenim gereksinimleri saptanan ve saptanmayan hastaların “Hasta Öğrenim Gereksinimleri Ölçeği” puanları arasında anlamlı bir fark bulunmamıştır (p>0.05).
Sonuç: Öğrencilerin cerrahi hastalarının öğrenim gereksinimlerini saptamalarına rağmen hastaya özgü gereksinimleri ayırt etmede zorlandıkları görülmüştür. Öğrencilerin hasta eğitimi konusunda öğrenim yaşantılarının geliştirilmesi, mesleki yaşamlarında hasta eğitiminde sorumluluk almalarını sağlayacaktır.
Periferik İntravenöz Kateter Uygulama ve Bakım Algoritmasının Geliştirilmesi ve Uygulanması
Authors: Gülnar Emel , Bıyık Bayram Sule , Çalışkan Nurcan , Akbaytürk Nevnihal
Published: January 2025

Giriş: Periferik intravenöz kateter uygulama ve bakım algoritmalarını kullanan hemşireler, riskleri göz önünde bulundurarak olası komplikasyon belirtilerini erken dönemde fark edebilirler.
Amaç: Bu çalışmada periferik intravenöz kateter algoritmasının geliştirilmesi ve uygulanması amaçlanmıştır.
Yöntem: Araştırma, prospektif ve tanımlayıcı türde bir üniversite hastanesinin onkoloji ve hematoloji kliniklerinde Temmuz-Ağustos 2021 tarihleri arasında yapılmıştır. Literatür taraması sonucunda elde edilen verilere göre “Periferik İntravenöz Kateter Uygulama ve Bakım Algoritması” hazırlanmış ve uzman görüşleri doğrultusunda oluşturulmuştur. Hazırlanmış olan algoritma rehberliğinde, dört hemşire tarafından 130 hastaya periferik intravenöz kateter uygulanmış ve kateter bölgesi takip edilmiştir. Verilerin değerlendirmesinde sayı, yüzdelik, ortalama ve algoritmanın Kapsam Geçerlik İndeksleri hesaplanmıştır.
Bulgular: “Periferik İntravenöz Kateter Uygulama ve Bakım Algoritması” rehberliğinde hemşireler tarafından yapılan izlemde, hastaların flebit/infiltrasyon risklerinin 6-14 puan arasında (yüksek risk) olduğu, %33.1’inde flebit, %26.1’inde trombüs, %4.6’sında infiltrasyon, %3.8’inde ekstravazasyon ve %3’ünde sepsis geliştiği belirlenmiştir. Ayrıca kateter bölgesindeki belirtilere göre hemşireler, hastalara yaptıkları girişimleri belirtmişlerdir. Periferik intravenöz kateter komplikasyonları risk belirleme ve hemşirelik girişimleri bakım algoritmasının Kapsam Geçerlik İndeksi her madde için 0.80 ve üzeri olduğu saptanmıştır. Algoritmanın Cronbah’s Alpha değeri 0.89 olarak bulunmuştur.
Sonuç: Periferik intravenöz kateter bakım algoritmasının geçerli ve güvenilir olduğu belirlenmiştir. Periferik intravenöz kateter uygulama ve bakım algoritması, hemşirelerin kapsamlı bakım sağlamasına, komplikasyonları erken teşhis etmesine ve doğru müdahaleyi seçmesine rehberlik edeceği için kullanılması önerilmektedir.
Penerapan metode least square pada sistem forecasting persediann stok bakso kampoeng mas qirun berbasis website
Authors: Alhamda M Hafiz , Elyas Ananda Hadi , Rahman M. Arif
Published: January 2025

Penelitian ini membahas sistem informasi peramalan (Forecasting) persediaan stok pada warung bakso kampoeng mas qirun berbasis website. Penelitian ini bertujuan untuk mengimplementasikan sistem forcasting persediaan stok bakso pada warung bakso kampoeng mas qirun. Teknik pengumpulan data yang digunakan pada penelitian ini adalah observasi, wawancara, dan studi pustaka, serta menggunakan metode Least Square. Berdasarkan hasil implementasi sistem informasi forcasting persediaan stok bakso kampoeng mas qirun berbasis web ini dapat mempermudah pihak karyawan dalam melakukan pengelolaan data barang dan memmberikan informasi stok barang yang habis maupun keseluruhan barang yang masih tersedia.
Daftar Isi
Authors: Isi Daftar
Published: January 2025

Daftar Isi