bluuebunny/crossref_metadata_2025 huggingface dataset:
The Effect of Back Massage on Labor Pain in Phase I Active in Maternity Mothers at PMB Intan In Tangerang District 2022
Authors: Ismarina  , Prihayati  , Ikhlasiah Marthia , Arta Kurniahawa
Published: September 2023

Background:The most important midwifery care in the delivery process is to apply the principle of "Dear Mother" namely respecting each other's culture, beliefs and desires of the mother and involving the husband and family. Non-pharmacological pain management can be carried out by most health care providers (doctors, nurses and midwives) who may also involve the mother's family, including back massage. Objective: Knowing the effect of back massage on labor pain during the first active phase in labor mothers Method: This research is a type of descriptive research with a quasy experimental research design with pretest posttest one group with the sample of this study namely mothers in the active phase of the first stage of labor who experience labor pain as many as 30 respondents. This sample was taken using a purposive sampling method with a measuring instrument, namely a numerical pain scale, an observation sheet with an ANOVA analysis test. Results: The results of this study show that there are differences in labor pain after back massage. There is a coercive effect between back massage and labor pain with a P value = 0.00 (<0.05), husband's assistance with labor pain with a P value = 0.03 while there is no significant effect between parity and labor pain with a P value = 0.07. Conclusion: There is an effect of back massage on labor pain in the first active phase of the birthing mother. Suggestion: it is hoped that more/frequent back massage techniques are performed to reduce labor pain during the first active phase according to SOP.
Analysis of Factors Associated with Blood Pressure in Patients with Uncontrolled Hypertension at Health Center I West Denpasar
Authors: Ayu Ari Rasdini I Gusti , Gede Putra Yasa I Dewa Putu , Wedri Ni Made , Sukawana I Wayan , Adhiutami Lina
Published: September 2023

Hypertension is a non-communicable disease which is currently a major challenge for global and national community healing, and is one of the most common causes of death in the world. According to the NHANES, blood pressure that is not normalized is defined as systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90 mmHg, where the patient is unconscious, conscious but not treated or treated with antihypertensive drugs. Factors that can cause uncontrolled blood pressure are uncontrollable and controllable factors, namely salt consumption, coffee consumption, and obesity. Analyzing the factors associated with blood pressure in patients with uncontrolled hypertension at Health Center I West Denpasar. This study used a cross-sectional analytic survey approach, involving 57 people using the accidental sampling method. Statistical analysis using Chi-square. The results of the chi square analysis showed that the salt consumption factor was p=0.000, the coffee consumption factor was p=0.041, and the obesity factor was p=0.022. The factor that is most closely related to the increase in blood pressure is coffee consumption with an OR value of 0.224 times. Health workers need to provide information about DASH (Dietary Approaches To Stop Hypertension) in hypertensive patients to help reduce increased blood pressure in addition to taking antihypertensive drugs regularly.
Correlation between Low Birth Weight and Social-Emotional Development in Toddlers
Authors: Nourma Andini Aisyah , Ira Rahmawati  , Afdi Septiono Eka
Published: September 2023

Low birth weight can be one of the factors that can affect the social-emotional development of toddlers. Previous research has indicated that LBW toddlers are more likely to have issues with their social-emotional development. Since this developmental domain influences cognitive function, motor function, and linguistic abilities, it may have an effect on children's performance in the future. This study aims to determine whether the history of low birth weight is related to the social-emotional development of toddlers in the UPT Puskesmas Kalisat Working Area, Jember. Cross-sectional study with the quantitative analysis used in this study. The number of samples is 125 respondents using a multistage cluster random sampling technique. Data was collected using the MCH (Maternal and Child Health) book to find out the history of birth weight and the PPSC (Pediatric Preschool Symptom Checklist) questionnaire. The results showed that 66 children (52.8%) did not have a history of LBW. The social-emotional development of toddlers is mostly not at risk of experiencing social-emotional development disorders, with a total of 69 toddlers (57.2%). Chi-square test analysis obtained a p-value of 0.147 > 0.05, which means that there is no significant relationship between LBW history and social-emotional development in toddlers. However, it is important to underline that social-emotional development is influenced by various factors. This study shows that factors of nutritional status, age of mother/caregiver, and educational status of mother/caregiver statistically affect social-emotional development (p<0.05).
Combination Therapy Slow Deep Breathing and Acupressure to Overcome Ineffective Breathing Pattern Nursing Problems: A Case Study
Authors: Kushariyadi  , Ufaidah Faiqoh Salsabillah , Rondhianto  , Candra Eka Yufi Septriana
Published: September 2023

Therapy slow deep breathing exercise and acupressure is a complementary therapy that aims to reduce the symptoms of the disease to improve the quality of individual health. Complementary therapy is rarely done in hospitals so that the symptoms felt by patients are not reduced without medication. This therapy can reduce the symptoms of shortness of breath in patients who specifically experience impaired breathing patterns that are not effective. The study aims to determine the effectiveness of combination therapy slow deep breathing exercises and acupressure to address ineffective breathing pattern nursing problems in nursing care. This type of research is a case study using the nursing care method. The research sample was patients treated in the Gardena room at dr. Soebandi General Hospital Jember. Patients were given nursing interventions in the form of a combination of slow deep breathing exercise therapy and acupressure for 1-2 times a day for 3 days. Providing nursing interventions in the form of a combination of slow deep breathing exercise therapy and acupressure can overcome ineffective breathing pattern nursing problems. This is indicated by the improvement in the patient's condition that the shortness of breath is reduced, the frequency is improving, not using the auxiliary muscles of breathing, and the depth of breathing is improving. Patients can also carry out the therapy independently properly and correctly. A combination of slow deep breathing exercise therapy and acupressure can overcome the problem of ineffective breathing pattern nursing.
The Impact of the COVID-19 Pandemic on Premenstrual Symptoms and Its Relationship with the Quality of Life
Authors: Bulut Aleyna , Aydın Kartal Yasemin
Published: September 2023

Lifestyle changes can negatively affect premenstrual symptoms. The purpose of this study is to determine the effect of changes in the lifestyle of students on premenstrual symptoms and their relationship with their quality of life during the global epidemic process. The research that was planned with a descriptive and correlational pattern was conducted who receive education in the Faculty of Health Sciences in the structure of a public university in İstanbul. The sample of the study consisted of 336 female students. “The Personal Information Form”, “the Scale of Premenstrual Syndrome (PMSS)”, “the Scale of Life Quality Short Form - SF-36” was implemented upon the students that were included in the study. The total PMSS score of the students participating in the study was 147.12±37.41. It was determined that 32.4% of the students had Covid-19 infection. When the total mean scores of PMSS were evaluated according to the lifestyle behaviors of the students; It was determined that PMSS total score differed significantly according to appetite status, exercise, tea and coffee consumption and sleep patterns. According to the results of the study, it was determined that nutritional behaviors, physical activity status, sleep and stress levels changed greatly with the COVID-19 epidemic and it affected PMS. It was determined that this situation affected the quality of life negatively both physically and mentally.
Reflection - Groundbreaking n° 8
Authors: Cardamone Leonardo , Bellini Nicole , Ferraris Matilda , Segalerba Kelly , Venturini Elena , Ruggeri Angelo
Published: September 2023

Reflection, ovvero riflessione. Non solo interiore ma anche esteriore, allo specchio. Il nuovo numero di Groundbreaking vuole lanciare una grande sfida al lettore: guardarsi dentro e fuori, nel miglior modo possibile. E iniziare a conoscersi di più. Tra presente e futuro. Tra moda e personalità. Tra offline e sempre più online. In questo numero, i lettori potranno viaggiare nella realtà di oggi, legata a moda e lusso. Una realtà vanitosa, divertente, interessante da studiare, che strizza l’occhio al futuro più inaspettato. Come quello legato all’intelligenza artificiale: tanto amata, desiderata, criticata ma anche tanto temuta. All’interno del numero, si trova anche un articolo realizzato con l’aiuto di ChatGPT: provare per credere. Leggere per rimanere (positivamente o negativamente) sbalorditi. I contenuti sono molteplici: c’è l’intervista all’artista digitale Simona Murialdo, che in esclusiva per noi, ha realizzato, con l’aiuto dell’applicazione MidJourney, una super copertina. A chi apprezza l’arte e il lettering, invece, è dedicata l’intervista a Pietro Terzini, che ha collaborato con i più grandi brand di moda, come Tiffany&Co., Moncler e Hermès. E ancora la mostra veneziana di fotografia di moda “Chronorama”, il nuovo tour musicale mondiale e costosissimo di Beyoncé, il rapporto tra moda e politica, tra moda e cinema, e tra sfilata e only-show. Un numero davvero da non perdere. Un numero da collezione.Buona lettura!
EFFECTS OF GLOBAL CLIMATE CHANGE: ADAPTING AGRICULTURAL CROPS FOR A WARMER WORLD
Authors: KHAN NM , MUJTABA G , KHALID MN , AMJAD I
Published: September 2023

With changing weather patterns, increased CO2 levels, and more frequent extreme weather events, the need to adapt crops to a warmer world is paramount. This study aims to provide a comprehensive overview of the challenges and potential solutions in adapting crops to climate change. The approach taken in this review paper involves examining the greenhouse effect, the causes of climate change, and the evidence supporting its existence. We also explore how changing weather patterns affect crop growth and the physiological effects of increased CO2 on plants. Additionally, the impact of extreme weather events on agriculture is discussed. This study reveals the importance of developing heat-resistant crop varieties and implementing climate-smart agricultural practices. By embracing genetic modifications, innovative farming practices, and technology in agriculture, we can enhance agricultural resilience and mitigate the adverse effects of climate change on crop production. Adapting crops for a warmer world is crucial for ensuring food security and sustainable agriculture. The findings of this study emphasize the need for continued research, innovation, and policy interventions to address the challenges posed by climate change. The results underscore the importance of building resilient agricultural systems and promoting sustainable practices for the well-being of present and future generations.
DETERRENCE EFFECT OF COLORED DIVERSION SHEETS ON THE POPULATION DENSITY OF MELON FRUIT FLIES BACTROCERA CUCURBITAE (COQUILLETT) AND YIELD PARAMETERS OF BITTER GOURD (MOMORDICA CHARANTIA L.)
Authors: SAMI A , HAIDER MZ , IQBAL M , BHATTI MHT , AHMAD S , KHALID MN
Published: September 2023

The bitter melon, or the bitter gourd (Momordica charantia L.), is a tropical and subtropical area vegetable. Bactrocera cucurbitae (Coquillett), causes 30 to 100% crop loss. This study used refractive color sheets to examine reduced-risk insecticide spinosad formulations of prevalence and infestation of fruit flies on bitter gourd plants. Three different angles (30°, 60°, and 90°) of reflective sheets were put in M. charantia beds. Results showed that fruit flies were substantially more prevalent (60%) in the control condition. Compared to other color sheets, treatments using yellow refractive sheets showed the highest occurrence of fruit flies. Spinosad, a low-risk insecticide, had the lowest fruit FI% (6%) and the highest commercial yield (860g/bed), followed by blue-colored refractive sheets. Installation angles had no appreciable impact on any of the examined characteristics. Additionally, treatments using yellow-colored refractive sheets and the spinosad formulation (1:1.8), (1:4.9) were found to have the highest and lowest CBR. Installing refractive sheets in colors other than yellow at angles of 30° or 60° has been determined to be a more successful and cost-efficient technique for reducing fruit fly incidence on several vegetable crops. This is especially true when combined with biorational insecticides like spinosad.
IMPACT OF CLIMATE CHANGE ON FRUITS AND CROPS PRODUCTION IN SOUTH PUNJAB: FARMER’S PERSPECTIVE
Authors: AHMAD B , MAHMOOD A , SAMI A , HAIDER MZ
Published: September 2023

Pakistan is an agricultural economy. According to the Pakistan Bureau of Statistics, Pakistan earns most of its capital through production of crops and fruits. Approximately 53% of Pakistan's total labor has been employed by this sector. Pakistan’s 22.67% of GDP comes from agriculture. According to World Bank 2020 report, 47.64% of total land is occupied by agriculture which was 47.9% back in 2018. This change in cropped land may be due to various reasons like land use in residential schemes or climate change. Punjab is the most important province, especially Southern Punjab, regarding agriculture. Punjab covers 69% of the total cropped area of Pakistan, thus providing crops like Wheat 75.5%, Rice 70.2%, Cotton 68.5%, Sugarcane 67.8%, similarly fruits like Mango 79.6%, Banana 5.8%, Citrus 96.5%, Guava 76.8% and Dates 8.1%. Wheat and rice are included in the daily diet of the world’s population. Rice is an essential staple of the world that influences the livelihood and economies of a country. According to Statistics 2023 report, Pakistan is 4th largest country in the world that exports rice, with a total of 3.8 million metric tons
Utilization, depletion and conservation of Safed Musli (Chlorophytum spp.)
Authors: Sreevidya N. , Kumar Vivek , Kumar Santosh , Sikarwar R.
Published: September 2023

Chlorophytum tuberosum Baker, Chlorophytum laxum Br. and Chlorophytum borivilianum Sant. & Fern. are gaining economic importance because of their high medicinal value. Commonly known as Safed Musli, it is described as ‘desi viagra’ for its aphrodisiac properties. They are sold for Rs. 500/- to Rs. 2,000/- per kg in different herbal markets of India. Because of its high economic value it is ruthlessly collected from the forest area which has rendered the species threatened. The paper deals with utilization and conservation aspects.
Consumption of Medicinal Plants by the Drug Industry in Northern Kerala
Authors: Sasidharan N. , Muraleedharan P.
Published: September 2023

The study carried out to assess the consumption of raw drugs by the drug industry in northern Kerala revealed that the annual consumption of 140 major raw drugs is 11,350 tonnes of which 83 per cent is consumed by large units, 6 per cent by medium units and 11 per cent by small units. Among the 140 raw drugs, 117 occur in Kerala. Forty-five per cent of the raw drugs are collected from the forests, 14 per cent from non-forest areas, 14 per cent from cultivation and 8 per cent through imports. Another 20 per cent occurs in the forests as well as non-forest areas. The study also revealed that occasionally unrelated species are substituted for some of the preferred species of the raw drugs.
Data Management and Decision-Making Process Using Machine Learning Approach for Enterprises
Authors:   Technical Computer Engineering Department, Al-Kunooze University College, Basrah, Iraq, Diame Tamarah Alaa ,   Computer Technologies Engineering, Al-Turath University College, Baghdad, Iraq,   Department of Medical Devices Engineering Technologies, National University of Science and Technology, Dhi Qar, Nasiriyah, Iraq,   Technical Engineering College, Al-Ayen University, Thi-Qar, Iraq,   Medical instruments engineering techniques, Al-farahidi University, Baghdad, Iraq,   Biomedical Computing and Engineering Technologies (BIOCORE) Applied Research Group, Faculty of Information and Communication Technology, Universiti Teknikal Malaysia Melaka, Durian Tunggal 76100, Malaysia,   Department of Mathematics, Faculty of Education, Kafkas University, Kars, Turkey, M. M. Abdul Jaleel. , Ettyem Sajad Ali , Alubady Raaid , Adile Mohaned , Ghani Mohd K. Abd , Gunerhan Hatıra
Published: September 2023

Currently, Machine Learning (ML) seems very attractive since it may speed up business functions in enterprises, lower costs for supplying goods and services, and manage information to promote enterprise efficiency. Essential technological domains nowadays are the explosive period of growth in enterprise solutions, which are progressively used in almost all business platforms. The ML sessions will receive a thorough summary, and the relevant organizations will be shown procedures for relevant business processes. The data management unit is already been striving to solve related issues in ML applications for more than a generation, creating numerous customized analytical techniques. The approach described in the study uses a weighted directed graph displayed in an industrial environment to identify the core part of the neural network structure and then trains them using the relevant data source. The article proposed ML-assisted Enterprise Data Management (ML-EDM) for identifying the trade-off between ML growth in the financial sector and its consequences in precision and interpretability. According to the experimental findings, the ratio of AI for decision-making is 84.25%, the Speed and Agility proportion is 92.70%, the result of Earlier Prediction Management is 93.80%, the Infrastructure Development is 85.46%, with Data Efficiency is 84.5% and Performance efficiency of the system is 90.14%.
VR-based simulation training for de-escalation of responsive behaviours in persons with dementia: efficacy and feasibility
Authors: Holmes Jordan , Sokoloff Lisa , McNaughton Nancy , Gardner Sandra , Truong Linda , Nemethy Kataryna , Joseph Karen
Published: September 2023

Caregivers of persons with dementia (PWD) frequently face physical assault and emotional abuse when providing care. Providing experiential opportunities for caregivers to develop skills that maximize safe, compassionate care is a priority. Human simulation has demonstrated greater effectiveness than didactic activities in developing clinical skills. However, this requires consideration of physical safety for both learners and simulated participants (SPs), limiting the full expression of behaviours. To address this limitation, we conducted a proof-of-concept study engaging SPs on a synchronous, facilitated VR platform responding realistically, but safely, to learners’ communication approaches. Learners negotiated online with potential threats of violence from the SPs.

This study used a pre/post mixed-method research design. Both qualitative and quantitative approaches were used to explore the impact of this training on participants’ knowledge, confidence and comfort when providing care to PWD.

Overall, participant ratings of knowledge, confidence and comfort increased post-training, as compared to pre-training (

Our findings provide insights into the implications of VR-based training for managing responsive behaviours of PWD. VR training has the ability to increase caregiver knowledge, confidence and comfort working with PWD who are exhibiting responsive behaviours, as shown by participants.
‘La Oportunidad’ – simulation as an opportunity for training language among health care providers
Authors: Crawford Scott B. , Monks Stormy M. , Wells Radosveta N.
Published: September 2023

Medical training is an immersive process requiring the application of knowledge in practice. Training programmes can also be challenged by addressing cultural differences such as language barriers. This study examined learners’ perceived effectiveness of a traditional Spanish didactic training programme and an integrated Spanish-simulation training programme during their first month of training in an Emergency Medicine (EM) residency programme on the United States–Mexico border.

This study employed two groups of participants: (1) Post-graduate Year 2 (PGY2), PGY3 and immediate post-graduates from an EM residency programme and (2) incoming PGY1 residents over 4 years. Group 1 received traditional Spanish language training which was purely didactic. Group 2 received traditional classroom Spanish language training in addition to 25 simulation scenarios (integrated Spanish training). This training included five 1-hour didactic sessions specific to five patient complaints commonly seen in EM prior to the simulation. Participants completed pre- and post-surveys regarding their perceived Spanish language proficiency and training effectiveness.

Forty per cent of Group 1 participants (

Overall, study findings suggest that clinically applied Spanish training during simulation was seen as more effective than traditional didactic instruction and led to increased perceived proficiency across all levels of Spanish-speaking ability.
Social Innovation: An Impulsion for Resilience of One-Acre Fund Household Livelihoods in Kenya
Authors: Lihanda Boniface B , Oloo Caroline , Aila Fredrick O
Published: September 2023

The purpose of this study was to determine the effects of social innovation on the resilience of one-acre fund household livelihoods. Resilience is the ability to bounce back after a period of such shocks. . In that connection, there is a need to innovate alternatives that optimize resilience. Innovation has been studied in terms of technological innovation, business innovation, and or general innovation but not social innovation in connection to resilience. Social innovation uniquely matches resilience efforts at the vulnerable households’ level. However, this connection has not been studied rigorously. The findings revealed that social innovation contributed statistically significantly to resilience of one-acre fund household livelihoods (β =.832, p=.000) and accounted for 69.3% change in resilience of one-acre fund household livelihoods ΔR2=0.693, ΔF (1, 308) =167.748, p=.000.The study concluded that, if more emphasis is put in social innovation, more resilience of one-acre fund household livelihoods would be realized. Therefore, an enhanced leads to resilience for households’ livelihood. The study recommends that as a coping mechanism for food insecurity, farmers should adopt an acre fund model. this study advises the policymakers to consider the production of maize by use of one acre fund skills like social innovation to minimize the inefficiency levels and increase production by minimizing the cost of inputs and cost of capital The study highlights the applicability of social innovation in a new context and further facilitates creation of knowledge and growth of literature in the social innovation sphere.
Social Entrepreneurship Strategies and Resilience of One-Acre Fund Household Livelihoods in Kenya
Authors: Lihanda Boniface B , Oloo Caroline , Aila Fredrick O
Published: September 2023

Entrepreneurial activities, especially social entrepreneurship, are acclaimed to foster resilience. A social entrepreneurship One Acre fund program was introduced in western Kenya to help improve maize production on one acre pieces of land occupied by many households. However, One Acre Fund households in Kakamega county still suffer deficiency in income growth, job creation, meeting health and education obligations of their families, food security, and payment of other family bills despite engaging all the social entrepreneurship strategies, Literature identifies five social entrepreneurship strategies that help in fostering resilience of household livelihoods. These are: system reform, physical capital development, individual empowerment, collective action, and earned income strategies. All five strategies are seldom studied together in relation to resilience of household livelihoods but their impacts are unknown. Frequencies and percentages were used to analyze demographic factors while inferential statistics-moderated multiple regression was used to analyze how social entrepreneurship strategies and social innovation are related to resilience of household livelihoods. The findings revealed that social entrepreneurship strategies statistically significantly contributed to resilience of One-Acre Fund household livelihoods with (β=.652, t(311)=15.103, p=.000) that accounted for 42.3% change in resilience of One-Acre Fund household livelihoods(R2=0.423,F(1,309=228.101, p=.000), The study recommends that as a coping mechanism to food insecurity, farmers should adopt one acre fund model. This study advises the policy makers to consider the production of maize by use of one-acre fund skills as a social entrepreneurship to minimize the inefficiency levels and increase production by minimizing the cost of inputs and cost of capital The study highlights the applicability of social entrepreneurship in a new context and further facilitates the creation of knowledge and growth of literature in social entrepreneurship.
Chondrosarcoma: an analysis of clinical characteristics, treatment outcomes, and prognostic factors in a decade-long single center experience
Authors: Depboylu Bengu , Tasan Sinan , Tataroglu Canten
Published: September 2023

Aim: Management of chondrosarcoma patients is associated with histologic subtypes and clinical behaviors. This study describes our institution's management and outcome experience for 12 chondrosarcoma patients with higher grades in rarer locations.
Materials and Methods: Pathologically diagnosed chondrosarcoma patients between January 2013 and January 2023 were retrospectively scanned. Patients under 18 years, duplicate records, second primary malignancy, index surgery at another hospital were excluded, and data of remaining 12 patients were statistically analyzed.
Results: Twelve patients (6 female, 6 male) had median age of 62 (21-94) years. Locations of primary tumors were femur (n=4), larynx (n=1), left gluteus (n=1), lung (n=1), periscapular soft tissue (n=1), tarsal bone (n=1), distal metacarps (n=1), scapula (n=1), and sternum (n=1). There were local relapses in three cases (chest wall, ipsilateral femur, acetabulum, and ipsilateral gluteal region) and distant metastasis in three cases (contralateral lung, lung, bilateral lung, and pleura) during the follow-up. The median tumor size was 5.65cm (1.5-21.5cm). Histologic subtypes were Chondrosarcoma (Grade I) (n=4), Chondrosarcoma (Grade II) (n=1), Chondrosarcoma (Grade III) (n=2), Dedifferentiated Chondrosarcoma (Grade III) (n=2), Extraskeletal Mesenchymal Chondrosarcoma (n=3). Surgical treatment was eight wide resections, one lobectomy, one laryngectomy, one amputation, and one curettage. Five patients received chemotherapy (2 neoadjuvant chemotherapy, 3 adjuvant chemotherapy), two patients received low dose (50.4Gy) (3DCRT; IMRT), and two patients received high dose (>60Gy) (IMRT) adjuvant radiation therapy. The median follow-up was 26.5 months (2-121 months). The median survival was 26.5 months (2-121 months). Median relapse-free survival was three months (0-96 months). The overall and relapse-free survivals at two years were 81.5% and 50%; at five years, 71.3% and 25%.
Conclusion: Our results demonstrate that surgery is the gold standard treatment, but well-managed adjuvant oncologic treatment provides undeniable advantage for overall survival in selected cases.
Mapping the Private Healthcare Sector in Riyadh Region: Size, Services, and Alignment with the Saudi Ministry of Health Priorities
Authors: Alshahrani Hassan , Matrafi Naif , qahtani Nujud , Taliby Rajaa , Hassanein Muna , Rowilly Ibtehaj
Published: September 2023

Background: Mapping exercises are important to inform development of interventions aiming to enhance private sector's contribution towards achieving health systems objectives. Objective: To map size, types, and distribution of private health institutions, and to identify the services they offer, and their alignment with Ministry of Health priorities. Methods: A cross-sectional study targeted licensed, for-profit private health institutions in Riyadh Region, Saudi Arabia. Secondary data were collected from Department of Private Health Institutions in Riyadh and the Ministry of Health Year Statistical Book. Descriptive statistics were employed to analyze the collected data. Results: Private hospitals increased from 40 (2017) to 46 (2021), with private sector hospital beds rising from 5,426 (2017) to 6,339 (2021). Pharmaceutical institutions comprised 55.4% of private health institutions, followed by polyclinics (23%) and supportive health services centers (17.1%). Laboratories, hospitals, and clinics represented 2%, 1%, and 0.5% of private health institutions respectively. Ambulance and radiology service centers were least available private health institutions at 0.1%. Home healthcare, remote care, telemedicine, family medicine, and long-term care were offered by 1.3%, 0.5%, 0.4%, and 0.1% of private health institutions respectively. Private hospitals accounted for 41.4% of total hospitals and private hospitals beds constituted 30.9% of Riyadh's total, with an average of 137.8 beds per hospital. Around 82% of private health institutions were in Riyadh city, with around 18% in peripheral provinces. Conclusion: Private healthcare sector has witnessed substantial growth, primarily influenced by supply rather than demand dynamics. Incentives are essential to promote investment in Ministry of Health priorities.
Assessment of Medication Use Among Adolescents in Sarajevo Canton
Authors: Piljak Vanja , Skrbo Selma , Omerovic Naida , Trnka Anela , Lagumdzija Dina , S Nermina
Published: September 2023

Background: Adolescents are a susceptible population in terms of medication use. They are not only inclined to abuse illegal substances but are also prone to nonmedical medication use, which exposes them to a significant risk of various adverse drug reactions (ADR). Objective: This research aims to assess medication use among adolescents in Sarajevo Canton. Methods: This paper features information about the most frequently used medications, reasons for their use, sources of their procurement, ADR and concurrent use with other medications and/or alcohol. To obtain this data, a questionnaire with open- and close-ended questions was created. The survey was conducted online and 444 participants were included. Results: Medications were used by 90.1% of adolescents. The most commonly used medications were non-opioid analgesics, antibiotics, dietary supplements, antihistamines and benzodiazepines. Mild to moderate pain was the most frequent reason for medication use. Participants were at risk of ADR, drug-drug interactions (DDI), and drug-alcohol interactions. Conclusion: It is up to healthcare workers, especially pharmacists, to educate and guide adolescent patients on rational medication use and inform them about potential dangers following the use of these medications.
Knowledge and Attitudes in First Aid Practices for Thermal Burns: a Cross-sectional Study Among Adults in Northern Greece
Authors: Papachristodoulou Vasiliki , Tripsianis Gregory , Constantinidis Theodoros , Kakagia Despoina
Published: September 2023

Background: Burns are a major cause of morbidity, including prolonged hospitalization, disfigurement, disability, and emotional trauma. Long-term absence from work and high healthcare costs for burn treatment have a significant socio-economic impact. Objective: his study aims to evaluate the level of knowledge for burn management in the adult population of Thrace in Northern Greece and to determine factors associated with a better level of knowledge. Methods: A questionnaire-based cross-sectional study was conducted οn a random sample of the adult population of Thrace. Data were collected using a structured pre-coded questionnaire, which included subjects’ socio-demographic characteristics and the first aid practices for burns. Multivariate logistic regression analysis was used to determine the effect of subjects’ characteristics on their knowledge of burn first aid practices. Results: A total of 711 subjects (49.6% males; mean age, 41.89±16.48 years) were included in the study. The incidence of a previous burn was 55.4%. Only 10.5% of the subjects would apply the optimal practice, consisting of rinsing the burn wound with cool running water for at least 10 minutes, applying only non-adhesive dressing on it and leaving the blisters intact. The optimal practice was independently associated with female gender (aOR=1.86, p=0.016), high education level (aOR=2.00, p=0.023), the presence of >3 children (aOR=2.27, p=0.009) and previous training in first aid (aOR=2.36, p=0.001). A large number of participants reported the application of toothpaste (38%), moisturizer (35.4%), aloe (31.8%) or yogurt (27.7%) to the burn surface. Conclusion: Only a small proportion of the participants were aware of the optimal burn first aid practices, most of them female, of high socioeconomic status. We recommend a more targeted approach in the design of health campaigns in the future, in order to reach vulnerable parts of the population.
The current status of accounting apparatuses organization in small and medium-sized enterprises in Tuyen Quang Province
Authors: Tra Pham Thanh
Published: September 2023

Small and medium-sized enterprises (SMEs) are always regarded as a crucial component of the national economy. SMEs play a significant role in the socio-economic development of the country. In Vietnam as a whole, and specifically in Tuyen Quang province, the development of SMEs is a prerequisite for effectively harnessing the potential and strengths of the economy, promoting economic growth, and facilitating a modern economic restructuring. Despite the maintenance and development of SMEs in the province, there has been an increase in terms of quantity, but the average growth rate remains low. Moreover, according to statistics from the Department of Finance, the profit results of SMEs in the region remain low. To ensure sustainable survival and growth, SMEs must organize and operate their activities efficiently and effectively. To ensure sustainable existence and development, SMEs must organize and manage their operations efficiently and effectively. In this regard, improving the organization of the accounting apparatus will contribute to providing valuable information for managers in making decisions. However, due to their scale, SMEs have not placed significant emphasis on the organization of their accounting apparatus. Additionally, the legal framework governing financial and accounting matters for SMEs presents certain advantages and challenges. The research employs both qualitative and descriptive statistical methods with the aim of evaluating the current status of the accounting apparatus organization within SMEs in Tuyen Quang province. The research findings reveal that SMEs maintain a simplified and lightweight accounting structure. However, in SMEs, the accounting apparatus has not fully met the requirements for providing management accounting information for corporate governance (enterprises); the determination of the number of accountants for each position in the accounting apparatus is unreasonable; and analysis of accounting work has not yet been organized... etc. The research results contribute to systematizing legal documents related to the organization of the accounting apparatus and accounting personnel. Additionally, the research proposes policy implications and managerial recommendations to help SMEs enhance the organization of their accounting apparatuses.
PLANEJAMENTO ESTRATÉGICO: APLICAÇÃO DO DIAGNÓSTICO ESTRATÉGICO NO CASO DE UMA PROPRIEDADE RURAL PRODUTORA DE CAFÉ EM PASSOS-MG
Authors: Da Cruz Ester Aparecida , Bastos Filho Reinaldo Antônio , Pinto Reni Aparecido Norberto , Reis Davi Lemos , Nascimento Pedro Henrique , Costa Adriana Pereira
Published: September 2023

O planejamento estratégico tem um papel importante no desenvolvimento organizacional, principalmente em um mundo globalizado e de constante transformação, uma vez que, este consiste em um conjunto de deliberações nas quais possuem como objetivo atingir planos futuros. Já o diagnóstico estratégico tem como finalidade analisar a situação na qual a empresa está tendo como base seus aspectos internos e externos. Sendo assim, o objetivo geral deste trabalho é aplicar o diagnóstico estratégico em uma propriedade rural produtora de café em Passos-MG. Nessa proposta, os objetivos específicos são: Coletar as informações da propriedade utilizando a ferramenta análise SWOT; identificar possíveis problemas de gestão e por fim, propor medidas para auxiliar no desenvolvimento da organização. A pesquisa se caracteriza por ser um estudo de caso e uma pesquisa bibliográfica, além de se tratar de uma pesquisa-ação, tendo cunho qualitativo, possuindo como método de coleta de dados entrevista semiestruturada, aplicado junto ao proprietário rural. A partir dos resultados é possível analisar como a propriedade está posicionada no mercado, além do mais, foram propostos objetivos e estratégias a serem desenvolvidas ao produtor de café.
AVALIAÇÃO DA QUALIDADE DOS SERVIÇOS PRESTADOS EM UMA CONCESSIONÁRIA POR MEIO DA ESCALA SERVQUAL
Authors: Da Silva Kênia Aparecida , Bastos Filho Reinaldo Antônio , Pinto Reni Aparecido Norberto , Costa Adriana Pereira , Nascimento Pedro Henrique , Reis Davi Lemos
Published: September 2023

No cenário mundial atual, o rápido crescimento do setor de serviços em quase todas as economias do mundo criou uma quantidade significativa de operações nos serviços. E, um bom desempenho destas operações reforça a competitividade e estabelece um relacionamento com o cliente, consolidando a marca, a comunicação com o mercado e etc. O presente trabalho tem como objetivo avaliar a qualidade dos serviços prestados, em uma Concessionária de veículos e peças da FIAT na cidade de São Sebastião do Paraiso - MG, bem como identificar quais são as expectativas e percepções dos clientes, em relação aos serviços prestados. Para viabilizar o alcance dos objetivos desta pesquisa, foi realizado um estudo de caso de natureza exploratório-descritivo, com abordagem quantitativa. Para a coleta dos dados foi elaborado um questionário adaptado do modelo SERVQUAL, nas suas diversas dimensões da qualidade. A partir desta pesquisa foi possível compreender a qualidade do serviço a seus clientes e foi proposto uma ferramenta para a empresa realizar a manutenção dos pontos fortes e a melhoria dos pontos fracos encontrados.
A PERCEPÇÃO DOS EMPREENDEDORES DE CÁSSIA-MG EM RELAÇÃO AO EFEITO DA CRISE DO COVID-19 EM SEUS NEGÓCIOS
Authors: Carvalho Renata Teodoro , Bastos Filho Reinaldo Antônio , Nascimento Pedro Henrique , Pinto Reni Aparecido Norberto , Reis Davi Lemos , Costa Adriana Pereira
Published: September 2023

A pandemia da COVID-19 teve um impacto abrangente nos setores sociais, econômicos e políticos em todo o mundo. Os empreendedores foram particularmente afetados pela rápida propagação do vírus, o fechamento do comércio, a paralisação da produção industrial e a necessidade de adotar medidas de isolamento social. Este trabalho tem como objetivo descrever as dificuldades enfrentadas pelos empreendedores durante o período pandêmico, fornecendo uma visão das mudanças ocorridas. Os objetivos específicos incluem analisar os efeitos da crise da COVID-19 sobre os empreendedores e o processo de adaptação durante a crise. Para coletar os dados necessários, foram analisadas as respostas de empreendedores de diversos setores de negócios, a fim de identificar os desafios, oportunidades e diversificações ocorridas durante o período pandêmico. A coleta de dados foi realizada por meio de um questionário “online” no “Google Forms”, abordando questões relacionadas a novas oportunidades de negócios, problemas enfrentados durante a pandemia, adaptações realizadas e impactos financeiros. Verificou-se que durante a pandemia os empreendedores enfrentaram desafios e encontraram oportunidades de crescimento. Para permanecerem ativos, realizaram diversas mudanças que foram fundamentais para manter os seus negócios em funcionamento e se adaptar ao novo cenário imposto pela crise sanitária.
LAICIDADE À BRASILEIRA – CATÓLICOS ROMANOS, PROTESTANTES E LEIGOS EM CONCORRÊNCIA NA ESFERA PÚBLICA
Authors: Vieira Erlandia Pereira Sebastião
Published: September 2023

O presente artigo tem por principal objetivo debater questões inerentes à relação entre religião, pluralismo e esfera pública no Brasil. Sucintamente, primeiro analisa-se o conteúdo expresso pela multiplicidade, no qual o termo se restringe ao exercício da laicidade. Depois, o termo é problematizado a partir das concepções de secularização, identificando quais os desafios que se impõem à academia e aos mestrandos. Debate-se também o poder da Igreja Católica Romana ofertado no passado, mas que ainda influencia a atualidade. Por último, propõem-se três etapas para a construção de uma sociedade tolerante no Brasil. Portanto, busca-se promover a reflexão sobre os conflitos entre religiosos, por meio da comunicação com outros saberes e com o mundo real.
ENSINANDO CIÊNCIAS NATURAIS ATRAVÉS DAS TICS
Authors: Cunha Angélica Rangel do Nascimento
Published: September 2023

O projeto de ensinar ciências naturais com jogos de computador é fruto do planejamento diário de aulas em uma turma de Educação infantil, cuja rotina está incluída noções sobre a natureza, a água e o clima; onde o eixo temático perpassa as Ciências naturais, utilizando algumas Tics para auxiliar professores e alunos na construção do conhecimento, o que se torna uma novidade como aplicação no ensino da infância. Os jogos online confeccionados para crianças bem pequenas foi o alvo encontrado para motivar as aulas e proporcionar esse contato prematuro com as tecnologias, através de uma perspectiva de ensino qualitativa, onde o mais importante é o que foi alcançado na aprendizagem e não quanto se aprendeu; nos objetivos traçados para o ensino com jogos é a interdisciplinaridade que favorece o aprendizado mais amplo, a ludicidade que nesta faixa etária é um recurso que sempre é utilizado pelos docentes para ensinar na infância, a destreza motora onde as Tics auxiliam o desenvolvimento e preparam para outras atividades como pintar,desenhar e alfabetizar .Os softwares escolhido na preparação das aulas, pode ser usado por qualquer pessoa, e essa acessibilidade garante aplicação para a diversidade de alunos que encontramos nas salas de aula.
DIFERENCIAL DO E-PROCUREMENT COMO FERRAMENTA NA COMPRA DE INSUMOS EM UMA EMPRESA DO POLO DUAS RODAS NA ZONA FRANCA DE MANAUS
Authors: Soares Ketllen Lohane Pimentel , Branches Taina Garcia , De Freitas Thamires Costa , De Oliveira Júnior Manoel Carlos , Benones Adryne Pinheiro
Published: September 2023

O artigo tem por objeto de estudo o diferencial do e-procurement como ferramenta na compra de insumos em uma empresa do ramo de indústria automotiva na Zona Franca de Manaus, que consiste em mudar o formato de compra e conexão com fornecedores utilizando-se da tecnologia. A tecnologia tem se mostrado um aliado para que as empresas possam manter uma competitividade no que se refere à custos com componentes e materiais por um preço menor por licitações de internet. Para encontrar esse diferencial, foi realizado um estudo de caso com aplicação de questionário ao responsável do setor de compras de uma empresa multinacional com sede na cidade de Manaus, situada no Distrito Industrial 1, com linha de produção para fabricação de lâmpadas e equipamentos de iluminação, manutenção e reparos de veículos, comércio de peças e acessórios veiculares, entre outras, que adotou a plataforma de compras.Além disso, foram coletados referenciais acerca do tema na plataforma Periódicos Capes, utilizando os termos de busca: e-procurement, compra de insumos e seleção de fornecedores. Dos principais resultados encontrados, destaca-se a automatização de todo o processo de compra, a acessibilidade e facilidade de utilização, possibilitando o acompanhamento pelo comprador e pelo fornecedor de todas as fases desse processo de compra de insumos.
UMA ANÁLISE INSTITUCIONAL ACERCA DOS ÓRGÃOS PÚBLICOS
Authors: Granetto Luiz Fernando
Published: September 2023

Este artigo examina profundamente temas ligados à análise das instituições públicas, abordando características explícitas de ideologias e processos institucionais que regulam condutas em instituições e na sociedade. A análise institucional é considerada em três níveis: grupo, organização e instituição, de acordo com teorias de Lapassade. A contextualização é baseada em dados históricos, legislações, livros e artigos científicos. Os órgãos públicos desempenham papel essencial no Estado, divididos por composição, estrutura, atuação e posição estatal. Os servidores são classificados em estatutários, comissionados e temporários. A evolução dos órgãos públicos remonta a Esparta e passa por conselhos e transformações no Brasil. Objetivos incluem justiça, eficiência, bem-estar, igualdade e democracia. A estrutura, função e práticas requerem organização e governança eficazes. Dispositivos como automóveis, votação eletrônica e sistemas de gestão são essenciais. O artigo explora agentes grupais, suas funções e separações e conclui que as instituições públicas estão em constante transformação, sugerindo a necessidade de mais estudos para compreender a diversidade e evolução desse contexto.
The effect of environmental factors on accounting systems: a comparison between South Korea and Australia
Authors: Kim Sang Ho , An Yohan
Published: September 2023

As globalization of the business environment increases, cross-national accounting differences have been the main focus of international accounting research. Specifically, the relationship between accounting and environmental factors has been the subject of many debates over the last decade. In comparative studies of accounting history, culture and practices, researchers have become increasingly aware of the importance of environmental factors in shaping a country's accounting system. This study explores whether environmental factors influence accounting systems by comparing South Korea and Australia. Although both South Korea and Australia were colonies, they had different cultural backgrounds and different legal/judicial systems. Australia's accounting standards-setting process is based on business practices and is relatively open to public opinion, while Korea's accounting standards tend to be enforced by the government and harmonized to tax law. Many prior studies suggest that environmental factors can be a valuable tool in explaining and understanding differences in the way in which accounting operates in countries with different environments. Based on environmental factors, this study found that cultural factors and institutional structures have a significant influence on the development of accounting systems and cause their differences. This study is expected to provide a systematic framework for differences in the development of accounting systems by analyzing the effects of environmental factors on accounting systems.