bluuebunny/crossref_metadata_2025 huggingface dataset:
Purulent-Necrotic Complications after Amputation of the Lower Extremities: Issues of Treatment and Prevention
Authors:   Professor, Tashkent Medical Academy, Head of the Department of General and Pediatric Surgery-1, Doctor of Medical Sciences, Tashkent, Uzbekistan, Alisher Oripovich Okhunov
Published: December 2024

Transfemoral amputation of a limb performed by a patient with obliterating atherosclerosis with irreversible ischemia is a difficult, traumatic operation and is accompanied by high mortality. High mortality after amputation of a limb at the hip level is associated with the severity of the general condition of patients and complications of the postoperative period. As our studies have shown, the most common complication after limb amputation is an infection of the femoral stump wound, its development is directly related to metabolic disorders in patients, a decrease in the immune status, ischemia of the stump tissues and foci of secondary infection. The clinical picture of infection of the femoral stump wound is variable. It depends, first, on the patient’s general condition, the process’s spread, the trophism of the stump tissues, and the nature of the microflora. Improving the treatment results of patients who have undergone limb amputation is possible by performing all the necessary preventive measures regarding ischemia and stump infection in the prescribed volume and the development of infectious complications, as well as treatment by the requirements of modern purulent surgery.
Diabetic Retinopathy Prediction Using Machine Learning
Authors: Y. Ravikiran , R. Usha Sree
Published: December 2024

Diabetic retinopathy is among the notorious complications of diabetes and a leading cause of
blindness among adults. Since prevention of vision loss in diabetic retinopathy is possible when
the disease is detected early and interventions instituted, screening is highly essential for this
disease. However, the process of diagnosing the manual images or studying the images of
retinas is lengthy, and because of the connectivity of these interconnections, they blur in certain
cases. This research aims to provide solutions to the preceding challenges through the
development of a web application that can have the ability to diagnose diabetic retinopathy
based on machine learning methods. Within the framework of a rolling scheme, CNN is utilized
for a group of retinal images when the images can be recognized and diagnosed quickly. The
web application is built in the Flask web application platform deliberately for the purpose of
providing the user a rich experience as they upload retina images and receive feedback whether
there is any abnormality or not. This approach enables doctor to be present in a better position
in the assessment of the general surrounding environment while patients become more
conscious and responsible for their vision. Preparing the data, training the model, validating
and testing it, and integrating it into a web-based platform to use the created model are all
included in this. Additionally, this page explains the significance of the established model for
diabetes retinopathy screening and management.
Diálogos comunitarios interculturales y de género sobre violencia sexual y obstétrica con mujeres indígenas de Sinaloa
Authors:   Universidad Autonoma de Sinaloa, Tereso Ramírez Leonor , Verdugo Araujo Luz Mercedes ,   Universidad Autonoma de Sinaloa, Urrea Zazueta María Luisa ,   Universidad Autonoma de Sinaloa
Published: December 2024

El objetivo es describir las experiencias de mujeres indígenas sobre la violencia sexual y obstétrica, misma que se pretende analizar situándonos en el enfoque intercultural crítico y de género, mediante diálogos que surgen a partir de talleres que hacemos con ellas. Cabe mencionar que al trabajar desde una investigación-intervención horizontal, escribimos en primera persona situándonos como parte de estas interacciones que se logran con las mujeres en las comunidades. Los talleres se han venido implementando desde hace aproximadamente cinco años: primeramente, invitadas por asociaciones civiles y posteriormente invitadas por las propias mujeres que han tenido la iniciativa de reunirse y generar diálogos sobre temas como la violencia de género. Como se ha mencionado, han sido diversos los talleres realizados con mujeres en las colonias, sin embargo, se retoma la experiencia de dos grupos: las mujeres de la Colonia Diana Laura y la colonia Margarita.
Persuasión para el uso del condón y conductas sexuales segura en mujeres Huicholes jóvenes indígenas: estudio piloto
Authors:   Universidad Autonoma del Carmen, Castillo-Arcos Lubia del Carmen , Noh-Moo Pedro Moisés ,   Universidad Autonoma del Carmen, Telumbre-Terrero Juan Yovani ,   Universidad Autónoma del Carmen, Vega-Campos Iliana Patricia ,   Universidad Autonoma de Nayarit
Published: December 2024

Las Infecciones de Transmisión Sexual (ITS), son un problema de salud pública que afecta cada día a más personas, ante esta situación la Organización Mundial de Salud (OMS, 2023) estima que aproximadamente 374 millones de personas anualmente contraen alguna ITS, dentro de ellos las más comunes son clamidiasis, gonorrea, sífilis y tricomoniasis. Más de 500 millones de personas de 15 a 49 años se ven afectados por una infección genital ocasionada por el virus del herpes simple. A su vez la infección por el virus de los papilomas humanos (VPH) está asociada a más de 311 000 muertes por cáncer de cuello uterino. Así mismo, en 2016, casi un millón de mujeres embarazadas tenían sífilis y esta infección causó complicaciones en más de 350 000 partos, aumentando la morbimortalidad en el feto y neonato.
Identidad Étnica, Actitudes y Conducta Anticonceptiva en Adolescentes Indígenas
Authors:   Universidad Autonoma de Nuevo Leon, Ramírez-Calderón Alan Josué , Benavides-Torres Raquel Alicia ,   PhD. Universidad  Autónoma de Nuevo Leon, Barbosa-Martínez Rosalva del Carmen ,   Universidad Autonoma de Nuevo Leon
Published: December 2024

Los embarazos no planeados en adolescentes son un problema relacionado con la reproducción humana. Estos embarazos frecuentemente tien-den a presentarse cuando no se utilizan de manera consistente y correcta los métodos anticonceptivos (De la Vara-Salazar et al., 2020). A nivel mundial, durante el periodo de 2015 a 2019, ocurrió una tasa global de 64 embarazos no planeados por cada 1000 mujeres entre 15 a 49 años de edad. Este problema de salud pública afecta especialmente a países de ingresos bajos (Bearak et al., 2020). México ocupa el primer lugar en embarazos en la adolescencia de los países de la Organización para la Cooperación y el Desarrollo Económico (OCDE), ya que cerca de 340 000 nacimientos en mujeres menores de 19 años ocurren anualmente en el país (Instituto Nacional de las Mujeres [INMUJERES], 2021).
DAMPAK PERBEDAAN PENGHASILAN SUAMI ISTRI TERHADAP KEHARMONISAN KELUARGA
Authors: Zafa Mukhtarom
Published: December 2024

Kondisi Dimana penghasilan suami yang lebih sedikit daripada istri perlu diteliti karena sesuai anjuran agama bahwa seharusnya yang menjadi tanggung jawab untuk memenuhi kebutuhan keluarga baik sandang, papan maupun pangan adalah seorang suami. Tetapi di Desa Grobog Kulon Kecamatan Pangkah, Kabupaten Tegal, terdapat fenomena istri memikul tanggung jawab lebih besar dan bekerja mencari nafkah. Fokus penelitian ini adalah Bagaimana pandangan isteri terhadap penghasilan suami yang lebih rendah, Apakah dampak perbedaan penghasilan suami yang lebih sedikit daripada isteri terhadap keharmonisan keluarga, dan Bagaimana pandangan agama Islam tentang permasalahan penghasilan suami yang lebih sedikit daripada isteri terhadap keharmonisan keluarga. Jenis penelitian ini adalah field research, dengan metode pengambilan data berupa wawancara, observasi, dokumentasi. Adapun hasil penelitina ini adalah adalah Isteri yang memiliki pemahaman dan pengamalan agama yang cukup maka tidak akan pernah memandang rendah terhadap suaminya. Namun demikian, suami harus berusaha semaksimal mungkin untuk mendapatkan penghasilan yang lebih besar dari pada isteri, karena seorang suami itu memiliki kewajiban memberikan nafkah kepada keluarganya (anak dan isteri). Bila usaha yang dilakukan tidak membuahkan hasil yang maksimal maka isteri harus menerima keadaan dan bersabar.
Digital infrastructure and cognitive ability of children
Authors: Dui Haojian
Published: December 2024

Digital technologies have become an integral part of most children’s lives, significantly influencing their development. This study takes the Broadband China Pilot Policy as a quasi-experiment, using the data from China Family Panel Studies (CFPS) to analyze the effects of digital infrastructure on children’s cognitive ability. The extended two-way fixed effects estimator was employed to conduct the Staggered Difference-in-Differences estimation. The findings indicate that the average treatment effect of treatment group of “Broadband China” is significantly positive on children’s cognitive ability. Additionally, heterogeneities of gender and urban-rural were found: (1) The Broadband China policy had a significant positive impact on boys only; (2) The policy had a greater and more significant impact on the word test scores results of urban children; (3) The policy had a negative impact on the math test scores of urban children, while showing a positive impact on the math test scores of rural children. Finally, the paper makes the following recommendations: (1) Digital infrastructure development should be emphasized; (2) More emphasis should be placed on rural areas when building digital infrastructure; (3) Gender differences should be considered when formulating policies to help girls benefit from digital technologies.
Critical Analysis of Healthcare Systems, Leadership Challenges, and Public Health Solutions
Authors: Majrashi Salwa   Mohammed  Ali , Alqahtani Ahlam Mshabab Saad , Alqhtani Ashwag Mshabab Saad , Majrashi Amjad  Mohammed  Ali , Alsallum Mazen Mohammed Salem , Al dwais Mohammed Abdulqawi , Alhasinah Abdullah Mohammed , Alzhrani Ali Sudan , Al zayadi Khalid Salim , Almarhoon Zahra Ali
Published: December 2024

In this paper, the article provided a critique of various global health systems as well as prospects of the leadership and the general transformation of the conventional public health approaches in handling health disparities and enhancing patient care provision. Healthcare systems are built over time depending on the socio-economic factors, technology, and politics of the different regions. This paper discusses the issues that managers of healthcare organizations experience, particularly in moments of crisis— for example, epidemic or pandemic situations or resource scarcity. Also, different approaches such as universal health coverage (UHC), technology-enhanced health promotion, etc., are well discussed to examine their suitability in solving emerging challenges to world health.
Critical Analysis of Leadership Strategies, Hospital Efficiency, And Patient-Centered Care Models
Authors: Saq Hassan Mana Ali Abu , Saq Jaber Ali Jaber Ali Abu , Asiri Salihah Mohammed Ahmed , Alsharyah Saleh Mahdi Hamad , Alsalem Ali Hamad Naser , H Alyami, Mohammed Dawas , Alyaqoob Wardah Saeed M , Almansour Dawas Mohammed H , Almansour Ali Fahad S , Alshahrani Fathiyyah Amer Mohammed
Published: December 2024

The healthcare industry is still developing; the directional trends have started to lean towards better hospital management strategies that would result in better patient care. In this paper, I critically review different leadership approaches in hospital contexts with success in organizational effectiveness and patient care delivery systems. Issues like leadership styles, including transformational, transactional, and servant leadership, logistical factors and clinical implications, and patient satisfaction are discussed on the operational level. Qualitative interviews are conducted Using qualitative and quantitative study methods, with results being statistically compared with corresponding quantitative hospital variables such as patient satisfaction, staff turnover, and readmission rates. The research indicates that the study has provided recommendations showing that Michigan Organizational QL is essentially predictive of cross-functional team collaboration and can be used to predict patient-centered care models. Finally, the paper contemplates the best recommendations that healthcare administrators and policymakers should consider embracing in order to raise standards in the direction, quality, and productivity of hospitals and care outcomes through purposes that embrace patient-centered care.
Comprehensive Review of Pharmaceutical Advancements, Patient Care Models, and Drug Safety
Authors: Alhawiti Sari Mohammed , Alatawi Abdullah Salman , Alsharari Naif Shayish , Albalawi Hamad Saad , Alsharqawi Ziyad Saleh S , Albaqami Amal Aydh , Albalawi Abdulaziz Saleh , Alfaqeih Ahmed Abdulrahman , Albalawi Hani Saeed Hamoud , Alenezi Adnan Aed Baraka
Published: December 2024

This review disseminates new developments in this industry, changes in the care delivery systems, and innovations in drug safety. Pharmaceuticals have brought innovative changes within their field of drug formation, new theories regarding medicine for individuals, and introducing biotechnologies. At the same time, patient care models are changing towards the more integrated and patient-oriented ones. Further, maintaining drug safety continues to be a critical focal point because the complexity of drug therapies continues to increase, and their potential adverse effects need to be minimized. This review, therefore, looks at these interconnections based on current literature, research findings, and case studies in a bid to give an overall vision of the evolution of modern pharmaceuticals and how their advancement impacts the delivery of healthcare.
Exploring Pathways to Recovery: A Comprehensive Literature Review on Mental Health Rehabilitation for Patients
Authors: Mohammed Hadeel Hajjam Joher , Mouthar Raeisa Mousa , Al-khawaji Hana Ahmad Bhais , Alghamdi Sara Husein Hasein , Aldosari Amjad Nasser Ahmed , Alharbi Fatima Abdullah Mohammed , Alotebi Sarah Ghazi Hessen , Aghamdi Hanin Saeed , Alharbi Ghada Abdullah Mohammed , Assiri Fatima Hassan
Published: December 2024

Mental health rehabilitation is a critical component of the recovery process for individuals experiencing mental health challenges. This comprehensive literature review explores the diverse approaches to mental health rehabilitation, including psychosocial interventions, medical treatments, vocational programs, and the integration of digital tools. Emphasizing patient-centered care, the review highlights the importance of addressing individual needs, reducing stigma, and fostering social reintegration. Key barriers, such as limited resources and workforce challenges, are identified, alongside metrics for evaluating patient outcomes, including quality of life and clinical improvement. The review underscores the significance of tailored rehabilitation programs and calls for further research to bridge existing gaps and enhance the effectiveness of interventions.
Critical Analysis of Collaborative Practices, Patient Outcomes, And Technological Use in Respiratory Therapy and Nursing
Authors: Busuhail Hassan Yousef , Almaghrabi Omar Mohammed , Almuntashiri Abdulrahman Ali , Banakhr Feras Ali , Sharahili Mohammed Ahmed , Marran Asim Khalil , Alharbi Moath Abdullah , Alsulami Sultan Nawar , Al-Saadi Mishaal Radah , Al-Shahri Fatima Gharman
Published: December 2024

Respiratory therapy and nursing are strong dating as patient care in healthcare settings, especially in acute and intensified care facilities, including ICU, emergency, and pulmonary rehabilitation. Due to respiratory illnesses, RT and nurses complement each other in providing patient care, effectiveness in clinical processes, and article improvement. Also, the nursing practice and respiratory therapy have seen the use of technology improve treatment, monitoring, and patient education. This paper will critically evaluate the working relationships between respiratory therapists and nurses, analyze the efficiency of interventions by these professionals, and focus on the issues of technology utilization in both professions. By considering the major topics like the profession and responsibilities of both rt and nursing, the relationship between both occupations, and the role of technology and patient-focused care, this paper also intends to review how rt and nursing enhance the quality of the outcome of the health care system.
Comprehensive Review of Chronic Disease Management, Innovations in Care, And Economic Impacts
Authors: Al-Kanfari Abdullah Muhammad Ali , Al Mansour Saif Ali Saleh , Alyami Saleh Abdullah Saleh , Alyami Taleb Rakan , Al Qannah Lafi Mahdi Saleh , Alrabie Hassan Mohammed Salem , Majrashi Tahani Mohammad Ali , Al zuri Saman Mohmad , Al shahrani Bada Dhafar abdullah , Al Mahdi Ali Mahdi Ali
Published: December 2024

Noncommunicable diseases can, therefore, be described as a major global public health challenge, as they affect and involve conditions that are usually lifelong. With the aging of the population and increased prevalence of other risk factors, these diseases are becoming more widespread; therefore, effective control of chronic diseases, including diabetes, hypertension, cardiovascular diseases, and respiratory illnesses, has become a major challenge in most healthcare facilities across the globe. This paper aims to review the existing literature about chronic disease management, emerging trends in the practice, and financial implications of the illness burden. It examines how managed technology, patient-centric care, and policy solutions improve patient status and reduce healthcare expenditure. The review also outlines problems in the healthcare systems and discusses ways of improving the approach to chronic disease management.
Comprehensive Review of Role Integration between Nurses and Nurse Assistants: Bridging Gaps in Patient Care through Collaborative Practices
Authors: Lsloom Nasser Abdullah M , Humayyim Fahad Ali M Bani , Alsallum Mohammed Abdullah M , Al Hamry Salem Awad N , Al-Saloum Ayed Mahdi N , Alanazi Shikha  Khalid M , Alruwili Salem Mutlaq S , Alazmi Tahani Mubarak M , Alanizi Maha Fahad , Albalawiy Fawzah Halil , Alazmi Zainab Hamdan S , Al Anizy Delayel Tayar , Al-Sallum Majed Mahdi N
Published: December 2024

The interpersonal relations between the nurses and the nurse assistants are very important for overall patient care delivery. This paper aims to analyses the interaction of those professions to elucidate current problems and possible improvements in their interaction. Conducting a multiple-source analysis of the current literature, survey, and case studies, we offer practical recommendations. Issues of communication, role definition issues, and the effect of teamwork on patients are some of the important findings of the study. Suggestions for addressing the gaps are improved training processes, rail implementation, and promotion of respect between the two categories.
Upcoming Deliberative Waves and the Needs to Redesign Indonesian People’s Consultative Assembly
Authors: . Martuli , Handayani I Gusti Ayu Ketut Rachmi , Riwanto Agus
Published: December 2024

This study shows the urgency of strengthening the function of deliberative institutions that should be able to guard the interests of the community and the constitutionality of the law. The amendment to the 1945 Constitution shows how legal issues began to emerge when the People's Consultative Assembly was no longer authorized to determine the General Outline of State Policy and how the Constitutional Court failed to be the sole guardian of the Constitutionality of National Policy. This study continues the research that discusses how democracy affects the performance of public institutions. The study results show that changes in the characteristics of the People's Consultative Assembly have changed the institution's function so that the legislative process to determine the entire direction of policy comes purely from officials elected through the general election system. Institutionalization to formulate alternative representation models and strengthen institutions for deliberative institutions is needed to improve the performance of the Indonesian system, society, and democracy. This study offers a redesigned scheme for MPR membership by restoring the representation of community groups to strengthen democracy and ensure proportionality of community representation. The results of this study are an essential consideration for maintaining the suitability of democratic values ​​with the goals of the Indonesian nation.
https://pids.gov.ph/publication/discussion-papers/is-the-4ps-targeting-and-reaching-the-right-beneficiaries-an-assessment-of-the-veracity-of-the-list-of-pantawid-pamilya-4ps-beneficiaries
Authors: Albert Jose Ramon , Orbeta Aniceto Jr. , Melad Kris Ann , Mahmoud Mohammad
Published: December 2024

This study represents the first comprehensive assessment of the Pantawid Pamilyang Pilipino Program's (4Ps) beneficiary targeting system, called the National Household Targeting System for Poverty Reduction (NHTS-PR) or Listahanan, since the program's institutionalization under Republic Act 11310 in 2019. Conducted by the Philippine Institute for Development Studies (PIDS) as mandated by law, this research examines both the accuracy of beneficiary information and the effectiveness of the program's targeting mechanisms in reaching intended beneficiaries. Through a dual-component analysis examining both data veracity and targeting effectiveness, the study evaluates how well the 4Ps identifies and reaches poor households while maintaining accurate beneficiary records. The study combines extensive primary data collection through a nationwide survey with sophisticated statistical analysis of the targeting accuracy, providing a comprehensive assessment of the program's beneficiary identification and management systems. Key findings reveal both strengths and challenges in the program's implementation. While static demographic information maintains high consistency rates (e.g., household address consistency at 90-94%), dynamic information such as employment and educational status shows notably lower consistency (e.g., employment status consistency at 71-76%). The analysis demonstrates strong progressive targeting conducted through a proxy means test, with 71.9% of 4Ps beneficiaries coming from the bottom three income deciles, though significant urban-rural variations exist (e.g., 27% of rural beneficiaries fall into the poorest decile compared to 7.9% in urban areas). These findings point to specific areas for systematic improvement in both targeting methodology and information management systems. The study's recommendations aim to enhance both the precision of beneficiary targeting and the reliability of program information systems, ultimately supporting more effective poverty reduction through improved program implementation. These findings have significant implications for policy refinement and operational improvements in one of the Philippines' flagship social protection programs.
Transforming hybrid office management with an overarching dynamic delivery model
Authors: Franklin Iain
Published: December 2024

The paper presents a detailed exploration of the concept of dynamic management in corporate real estate (CRE), which aims to maximise the utilisation of CRE assets in a changing work environment. This model links concepts across the real estate life cycle, including ownership paradigms, workplace engagement, culture and service delivery strategies. A core element is the implementation of flexible and adaptable space strategies, responding to shifts in demand patterns brought about by hybrid working trends. It also illustrates a realignment from peak demand planning towards managing average or median demand, leveraging technology to enhance space utilisation and deliver efficient on-demand services. The model further embraces change management principles, nudging employees’ behaviour to align with dynamic space supply strategies. The paper acknowledges obstacles in change culture and traditional mindsets while suggesting an incremental approach focusing first on environmental and experiential improvements before financial ones. The paper concludes that dynamic management, although challenging, provides an opportunity to ‘rewire’ an industry, leveraging learnings from both capital-intensive industries and other corporate business functions.
Challenges and Coping Strategies of Senior High Students and Teachers: Informing Academic Policies during the Pandemic
Authors: Eldani Nurul- Ainie , Andas Sheriffa
Published: December 2024

The study sought to investigate the extent of problems encountered and the coping mechanism of the 206 students and 22 teachers of the MSU-TCTO Senior High School in terms of distribution, submission, and collection of learning materials/modules, content-related issues in the module, student-teacher communication, learning materials and resources and flexibility during a pandemic. A researcher-made questionnaire with two parts containing checklists and open-ended questions was used. The data obtained were analyzed using the mean rating for the problems encountered, and the coping mechanisms were also identified. This study found that students and teachers rarely encountered problems with distributing, submitting, and collecting learning materials/modules and student-teacher communication. The students sometimes encountered problems with content-related issues in the module, including a lack of examples provided in the module and undetailed and unexplained lessons. In terms of learning materials and resources, they sometimes encountered problems such as poor internet connection, and in terms of flexibility, they experienced emotional stress during a pandemic. The teachers rarely encountered problems with these variables. Other problems among senior high school students and teachers were the lack of focus and the numerous modular activities. Teachers' and students' common coping mechanisms were time management and taking breaks during the pandemic.
Eclipsing US Influence in Southeast Asia: China’s Belt and Road Initiative
Authors: Afan Reynan
Published: December 2024

The BRI is a foundational pillar in China’s aspiration for national rejuvenation through remaking the ancient ‘silk road’ into maritime, land, and cyber roads. The paper aims to outline China’s purposes and objectives in the BRI in Southeast Asia, the interplay of domestic needs of selected Southeast Asian countries with the allure of the BRI, and the dynamics of these economic-political relationships vis-à-vis the interests of China and the United States in the region. It starts with the claim that, geographically, maintaining a friendly neighbor policy or ‘periphery diplomacy’ will help secure China’s borders and solidify the BRI maritime and land silk roads. In many instances, the dynamics of international political economy or the intertwining relationship of economics and politics come into play. On the other side, domestic politics also affects decision-making on BRI projects. Different contexts show the dynamics of domestic politics and BRI projects. While some praised the intention and promises of the BRI, especially in hitting the development needs of the target countries, particular evidence shows that its portrayed vigor and benevolence to launch its equivalent of a Marshall plan to rehabilitate and aid Southeast Asian countries have encountered various issues on the projects per se and their long-term implications. Ultimately, the findings suggest that the selected Southeast countries’ BRI engagement was due to domestic concerns for local socio-economic needs. The evidence also suggests that China intends to outcompete the United States in terms of being the region's leading provider of economic development. As a result, China may stand to dislodge US influence in the region through the continuous improvement of the BRI
El desafío de liderar para las mujeres en Chile
Authors: Neef Lyng Paula
Published: December 2024

Las mujeres en el ámbito laboral enfrentan un conjunto de desafíos, entre los que se encuentran su inserción al trabajo, las brechas en los ingresos e insertarse y ocupar posiciones de liderazgo. En este contexto, ocupar posiciones de liderazgo es una de brechas más grandes que enfrenan. En este marco, el artículo indaga en las investigaciones que han abordado el liderazgo de mujeres en Chile con la finalidad de construir un estado del arte al respecto. Se emplea como estrategia de búsqueda y análisis de las investigaciones la metodología scoping review. Los resultados dan cuenta de las persistentes brechas de género que enfrentan las mujeres en cargos de liderazgo, donde la cultura y las políticas institucionales se transforman en un facilitador u obstaculizados para ellas. Los resultados dan cuenta de las persistentes brechas y la necesidad de repensar desde el desarrollo organizacional como desde las políticas públicas el rol de las mujeres en cargos de liderazgo.
Respuestas adaptativas y políticas implementadas en Europa y África ante el contexto de cambio climático: Una revisión sistemática
Authors: Kouakemtsa Pierre Rubén
Published: December 2024

La noción de medio ambiente es todos los constituyentes del planeta Tierra, como el aire, el agua, la atmósfera, las plantas y los animales, es decir todo lo que rodea al Hombre y sus Actividades. Estos últimos constituyen, por tanto, los principales problemas a los que se ha enfrentado la humanidad en las últimas décadas y cuya modificación ha tenido efectos en el estilo de vida humano, es decir, en su nutrición y salud. El organismo humano está predispuesto a sufrir un cambio relacionado con su nutrición y el medio ambiente. Es por esto que ciertas enfermedades han sido causadas por el cambio climático y la desnutrición y esta última ha sido mucho más referenciada en África y Europa. El cambio climático causado, por ejemplo, por la deforestación que conduce al calentamiento global que influye en la producción de alimentos y su consumo es la causa de enfermedades nutricionales debido a deficiencias de nutrientes. De ahí el análisis del impacto del medio ambiente en la salud y la nutrición. Esta investigación fue un trabajo colectivo con profesionales u organizaciones de diferentes disciplinas (salud, nutrición y medio ambiente) (FAO, 2022). Lo que me permitió recolectar datos para análisis cualitativos y cualitativos. Esta revisión se basa en los recursos y materiales del Grupo de Investigación (GIR) E-LECTRA: Grupo de Investigación en Edición Electrónica y Lectura-Escritura Digital,.... Y los resultados obtenidos indicaron que en 2016, la contaminación del aire ambiente fue responsable de 4,2 millones de muertes y causó el 17% de las cardiopatías isquémicas y los accidentes cerebrovasculares (PW, 2016) y que en Europa está estimado que la tasa de muertes por cáncer de piel causado por el aumento de la radiación UV-B aumentará a dos por millón de habitantes en 2030.
Problemas ambientales como: el cambio climático, la pérdida de biodiversidad y la contaminación ambiental tienen un efecto negativo en la producción agrícola que afecta la nutrición y por lo tanto es la causa de varias enfermedades en ambos continentes y África en particular sigue siendo la más vulnerable. Esta investigación muestra científicamente los diferentes nutrientes que son causantes de determinadas enfermedades por problemas ambientales para poder realizar un estudio comparativo de los dos continentes.
Variables clave en la satisfacción laboral en los docentes de una universidad privada en Colombia: una revisión de la literatura
Authors: Duque Cardona Mauricio , Sánchez Vázquez Elizabeth
Published: December 2024

Se observa que el estudio del endomarketing y sus variables se fortalecen y ganan relevancia en las organizaciones. Los aspectos considerados para esta revisión se fundamentan en un modelo previo de endomarketing para tener docentes satisfechos y comprometidos, estos son: sueldo por la formación, sueldo por la labor, horas asignadas para los diferentes encargos académicos, relación con los directivos y enfoque de la institución en la satisfacción del docente. Objetivo: documentar aspectos relevantes relacionados con las variables en mención. Metodología: este artículo de revisión incluye 56 títulos publicados en los últimos 10 años y al menos que hayan sido citados 10 veces. También se incluyen no más del 2% de noticias de informes que sirvan para ampliar el espectro por la literatura académica. Relevancia del estado del arte: conocer el panorama actual es valioso para garantizar la satisfacción de los docentes con el fin de mitigar efectos secundarios que puedan impactar en su bienestar, y que sirvan como fuerza impulsora de la calidad educativa y del compromiso. Conclusión: se confirma la incidencia de las variables mencionadas en la satisfacción. De no prestar atención a dichas variables, podría traer consecuencias físicas y mentales para los docentes.
Kebijakan Pengembangan Produk Perbankan Syariah
Authors: Muaidi  , Mujiatun Ridawati
Published: December 2024

This study analyses the policies for developing Islamic banking in Indonesia by examining its history, prospects, supporting regulations, and comparisons with Islamic banking in Malaysia. The research employs a library research method, reviewing various written sources such as books, scholarly articles, academic journals, legislation, and official reports. The data were analyzed descriptively and qualitatively to understand the development, challenges, and opportunities in advancing Islamic banking in Indonesia. The findings indicate that the prospects for Islamic banking in Indonesia are highly promising in supporting the national economy. However, more autonomous and comprehensive regulations are needed to govern this sector effectively, including innovative policies from Bank Indonesia regarding supervision and development. Furthermore, specific regulations related to Islamic bonds, Islamic capital markets, and Islamic civil law are urgently required to strengthen the Islamic banking ecosystem. This study contributes strategic recommendations to establish a regulatory framework that supports the competitive and sustainable growth of Islamic banking in Indonesia.
The Role of Visum Et Repertum in Proving Criminal Matters in Indonesia
Authors: Tuti Gusmawati Simanjuntak  , Lili Rahmayana Harahap  , Ahmad Mulia Sembiring
Published: December 2024

The use of Visum et Repertum occurs during the evidentiary stage before a criminal trial. Judges carefully evaluate the robustness of the evidence obtained from this examination, thereby strengthening their confidence in reaching a just verdict. By understanding the important role that the Visum et Repertum plays as a form of evidence, judges are equipped to determine the guilt or innocence of the accused in relation to the alleged crime. The research methodology used is normative legal research, characterized by a descriptive analytical approach. This approach involves a thorough examination of literature sources through various viewpoints, including the Legal approach, Conceptual approach, and Case approach. This research carefully involves primary and secondary legal materials to effectively address the formulation of research problems. Based on the results and discussion, it is known that the importance of visum et repertum (VER) is established as written evidence in accordance with Article 184 of the Criminal Procedure Code. This important component plays an important role in the verdict of serious criminal offenses, including maltreatment, rape, and murder. The findings obtained from a visum et repertum conducted by a qualified expert become an invaluable resource for the presiding judge in determining the applicable charges and the appropriate sentence for the accused. Through the insight provided by a post mortem, one can know the extent of the harm suffered by the victim, both physical and psychological, so as to explain the gravity of the offense in question.
ESC 2023 Cardiomyopathy Guidelines: Key Updates and Implementation
Authors: Abdullaev Timur , Tsoi Igor
Published: December 2024

To summarize and highlight the main changes in the ESC 2023 cardiomyopathy guidelines, focusing on practical implications for clinical implementation.Background. The 2023 ESC guidelines on cardiomyopathies introduce significant updates in diagnostic criteria, terminology, and treatment protocols. These guidelines aim to provide comprehensive approaches for diagnosis and management.Materials and methods. A review of the 2023 ESC guidelines and relevant literature was conducted to outline the changes in diagnostic approaches and treatment standards.Results. The ESC 2023 guidelines introduced revised diagnostic criteria for cardiomyopathies, added new terms such as non-dilated left ventricular cardiomyopathy (NDLVC), and updated treatment specifications, emphasizing personalized approaches and genetic considerations.Conclusion. The ESC 2023 guidelines provide essential updates that refine the diagnosis and treatment of cardiomyopathies, promoting improved clinical practices.
《書譜》的日子：一本純書法雜誌的文化脈絡
Authors: 羅 淑敏
Published: December 2024

《書譜》於1970年代中創刊，是以純書法和篆刻藝術為題的雙月刊。雜誌出版的構思、資金、執行、編輯、排版，以至發行，全部來自香港本地的人和資源。創辦人的信念和目的清晰，將書法結合生活。這份通俗的雜誌面向廣大讀者，把書法從少數人書齋裡的消遣，推廣至成為眾人的生活情趣。

　　《書譜》的通俗並非只求出位，不求質素，相反是照顧到不同讀者的需要和水平，真正做到雅俗共賞。它的成功並非個別的個案，而是那個年代香港社會文化的側影。當年香港特殊的地理和歷史地位，使它成為中國與西方文化的出入口，接軌中西。本書是這側影的全面記錄，探討它成功背後的人物和時代──一本純書法雜誌的文化脈絡。
PENGARUH RELAKSASI GENGGAM JARI TERHADAP INTENSITAS NYERI PADA LANSIA DENGAN RHEUMATOID ARTHRITIS DI PANTI SOSIAL TRESNA WERDHA BUDI PERTIWI BANDUNG TAHUN 2018
Authors: Winara  , Anggi Siska Mulyasari Geuis
Published: December 2024

Rheumatoid arthritis is a chronic disease that causes pain, stiffness, swelling and limitation of motion. It is thought to be caused by autoimmune and infection factors. In Indonesia the number of people with Rheumatoid arthritis in 2011 is estimated to reach 29.35% prevalence, in 2012 the prevalence of 39.47%, and the year 2013 prevalence of 45.59% and in 2014 Prevalence of Rheumatoid arthritis in West Java of 41.7 %. finger hold technique is one of relaxation techniques with fingers and energy flow in the body to reduce pain in Rheumatoid Arthritis. This research has a purpose to know Effect of Hand Finger Relaxation Against Pain Intensity In Elderly With Rheumatoid Arthritis in Social Institution Tresna Werdha Budi Pertiwi Bandung Year 2018.
The design of this research is quasi experiment with one group pre-post test design. The population in this study were all elderly people who were diagnosed with Rheumatoid Arthritis with 14 people. Sampling technique using purposive sampling. The sample is 12 people.
In the data collection using interview technique and observation observation. The analysis of this research is univariate and bivariate analysis. univariate looking for the mean size. Bivariate using parametric test that is T-dependent test. The median results of pain before therapy was 4.58 and after therapy 2.25. Statistical test results obtained p value value is 0.001, p value <alpha (0,05).
It is recommended that nurses can perform a combination of hand-held relaxation therapy with other drugs, aimed at reducing pain intensity in patients with Rheumatoid Arthritis. The results of this study Ha accepted or there is influence of hand-held relaxation therapy to the intensity of pain Rheumatoid Arthritis.
EFEKTIFITAS AROMATHERAPY LAVENDER TERHADAP PENURUNAN NYERI PERSALINAN: KAJIAN LITERATUR
Authors: Widianti Kuswara Sani , Lestari Selvia
Published: December 2024

Fear of labour pain is the most common reason for women. Labour pain usually occurs naturally, but severe pain levels can cause physiological changes in every body function. Many methods have been used for pain management, both pharmacological and non-pharmacological. One of the non-pharmacological methods to reduce pain is aromatherapy. Aromatherapy is an ancient healing process using pure aromatic plant essences such as highly concentrated essential oils or substances distilled from plants to take advantage of their therapeutic properties. The purpose of this literature review is to identify labour pain management. The design of this study is a literature review. Search articles using the CINAHL database, Pubmed, and Science Direct by entering synonyms and keywords to be used in the search. Then obtained, as many as five articles which Fulfill criteria inclusion, and further observations were made for review. The evaluation shows that aromatherapy with lavender oil can reduce labour pain and is an effective way to reduce the duration of labour. Most of the women were satisfied with this intervention. It was also found that aromatherapy with lavender essence is a simple, inexpensive, non-invasive, and effective intervention to reduce labour pain and has no harmful side effects.
PENERAPAN KOMPRES TEPID WATER SPONGE TERHADAP PERUBAHAN SUHU TUBUH PADA ANAK USIA TODDLER 1-3 TAHUN YANG MENGALAMI HIPERTERMI AKIBAT DENGUE HEMORAGIC FEVER (DHF) DI RUANG MELATI RUMAH SAKIT TK.II DUSTIRA
Authors: Heliani Aprian Lianie , Sarwendah Endah , Zulva Siti
Published: December 2024

Dengue Hemorhagic Fever (DHF) is a disease caused by the dengue virus transmitted by the Aedes aegypti mosquito. The main problem of DHF sufferers is hyperthermia, Hyperthermia is an increase in body temperature related to the body's inability to dissipate heat. Fever treatment can be done with tepid water sponge compresses, Giving tepid water sponge is more effective in lowering the child's body temperature because the use of this technique will accelerate the vasodilation of capillary blood vessels throughout the body so that the evaporation of heat from the skin to the surrounding environment will be faster. The purpose of this study is to identify before and after the application of Tepid Water Sponge in toddler children aged 1-3 years with Hyperthermia problems due to Dengue Hemorragic Fever (DHF). The case study descriptive method, with data collection techniques through the nursing care process. Data collection was carried out 1 intervention a day for 15 minutes. The results of the study obtained a body temperature of 38.9°C in patients after the application  of tepid water sponge compresses, a decrease in body temperature of 38°C was obtained, there was a decrease in body temperature of 0.9°C.  So it can be concluded that tepid water sponge therapy  has an effect on lowering body temperature in children who experience hyperthermia due to Dengue Hemorragic Fiver (DHF). The recommendations that the author applies to families in order to be able to apply the water sponge compress technique  in daily life, especially for patients suffering from DHF to intervene independently.
New insights into repurposing of renin-angiotensin system inhibitors against Alzheimer’s disease
Authors: Mishra Sunita , Pattanaik Swagata , Sahoo Sonali , Prusty Shakti Ketan , Sahu Pratap Kumar , Das Debajyoti
Published: December 2024

Alzheimer’s disease (AD) is a progressive neurodegenerative disorder characterized by a complex and multidimensional pathology, including amyloid-β plaques, hyperphosphorylated tau, neurofibrillary tangles, neuroinflammation, and oxidative stress. The renin-angiotensin system (RAS) plays a multifaceted role in the brain, with elevated levels of Angiotensin II (Ang II) and the up-regulation of angiotensin-converting enzyme (ACE) and angiotensin-1 (AT1) receptors being potential contributors to AD. ACE inhibitors such as Captopril, Fosinopril, Lisinopril, Perindopril, Trandolapril, and Zofenopril, along with angiotensin receptor blockers (ARBs) such as Azilsartan, Candesartan, Telmisartan, and Valsartan, are capable of crossing the blood–brain barrier. Pre-clinical and clinical studies have demonstrated that these RAS inhibitors exhibit anti-Aβ plaque, anti-tauopathy, free radical scavenging, and anti-inflammatory activities, making them highly reliable and effective potential therapeutic approaches for AD.
Lecanemab: The advent of biologicals in Alzheimer’s disease, affordability, and clinical relevance
Authors: Anil Aswin A. , Krishnan Aishwarya Laxmi , Chandra Prashant , Kesavan Unnikrishnan Mazhuvanchery
Published: December 2024

By 2050, Alzheimer’s disease (AD) is predicted to affect 115 million people worldwide, ranking it as the fifth most prevalent cause of death globally and one of the main causes of dementia. The pathology of AD, characterized by synaptic loss, chronic inflammation, and the accumulation of amyloid beta (Aβ) plaques and tau neurofibrillary tangles, presents significant challenges for treatment. This review examines the emerging role of lecanemab, a humanized monoclonal antibody (MAb), which targets toxic soluble Aβ protofibrils to mitigate AD’s progression. Recent clinical trials have demonstrated lecanemab’s potential in slowing cognitive decline in early-stage AD patients, alongside its differential impact based on patient characteristics, particularly the challenge posed by APOE4 homozygotes. The review encompasses a detailed evaluation of lecanemab’s pharmacokinetics, safety profile, and comparative efficacy with other anti-Aβ therapies like aducanumab. The economic burden ($26,500/ annum) associated with lecanemab therapy is another challenge that needs to be addressed. Hence we discussed the economic considerations surrounding lecanemab’s pricing, cost-effectiveness, and implications for accessibility. While lecanemab marks a promising advancement in AD therapy, ongoing scrutiny of its long-term benefits and adverse effects is crucial for determining its role within the evolving landscape of AD treatment options.
Theoretical prediction of nitrogen-oxygen-anchored monatomic copper-doped graphene as an anode for alkaline ion batteries
Authors: HU Junping , LIANG Sisi , DUAN Huixian , TIAN Juncheng , CHEN Shuo , DAI Boyang , HUANG Chunlai , LIU Yu , LYU Ying , WAN Lijia , OUYANG Chuying ,   Nanchang Key Laboratory of Photoelectric Conversion and Energy Storage Materials, Nanchang Institute of Technology, Nanchang 330099, China,   School of Science, Nanchang Institute of Technology, Nanchang 330099, China,   Laboratory of Computational Materials Physics, Department of Physics, Jiangxi Normal University, Nanchang 330022, China
Published: December 2024

Reasonably designing high-capacity novel electrode materials is key to further enhancing the energy density of ion batteries. Graphene has been considered one of the most promising candidates for anodes in ion batteries. However, the weak interaction between pure graphene and the corresponding ions results in a low theoretical capacity. Based on this, in this work the first-principles calculation is used to assess the viability of two-dimensional Cu/NO2G, a single-atom copper-doped graphene anchored by nitrogen and oxygen, as an anode material for Li/Na/K-ion batteries. The results show that Cu/NO2G is stable in terms of thermodynamics and kinetics. It maintains good conductivity before and after the adsorption of Li/Na/K, with theoretical capacities of 1639.9 mAh/g for lithium, 2025.8 mAh/g for sodium, and 1157.6 mAh/g for potassium. In the embedding process of Li/Na/K, the lattice constant changes minimally (less than 1%), indicating excellent cycling stability. Additionally, the migration energy barriers for Li, Na, and K on the surface of Cu/NO2G are 0.339 eV, 0.209 eV, and 0.098 eV, respectively, demonstrating its superior rate performance. In summary, these results provide a solid theoretical foundation for rationally designing metal single-atom doped graphene as a novel anode material for alkali metal ion batteries. All the data presented in this paper are openly available at https://doi.org/10.57760/sciencedb.j00213.00063.