bluuebunny/crossref_metadata_2025 huggingface dataset:
Understanding the impacts of climate change on the Northern Inuit community
Authors: Joshi Atharv , Grannary Mary
Published: December 2024

he increasing rate of anthropogenic climate change has a serious impact on weather and temperature, wildlife and vegetation patterns, and food and water availability. The dramatic effects of climate change are also experienced by the Indigenous communities of the North, making them the primary victims of this existential global health threat. While it is recognized that climate change can cause emotional and mental distress to a general population, the effects of climate have significant impacts on the Northern Inuit community who use the land to hunt, harvest, and practice their cultural beliefs. With the Indigenous population already at a higher risk and susceptibility to health disparities, climate change is an additional factor that further exacerbates the land-based relationality. Inuit mental health relies on the stability of land-based associations which allows the community to connect with their ancestors, nature, and history. A disconnect in relationality to the land, an involuntary diminishment of important cultural ties, and relocation are all involuntary environmental stressors that were thrust onto Indigenous communities due to climate change. While the impacts of climate change may contribute to re-traumatization, stress, and negative mental health, there is also strength found within the changes which demonstrate cultural resiliency. This paper aims to understand the impacts of climate change on the Indigenous communities of the north, with a key focus on Inuit mental health and land-based relationality within Inuit mental health.
The June 2021 British Columbia heat dome: A social autopsy
Authors: Kara Tasha-Aliya , Lo Lindsay A. , Tezol Ipek , Spence Nicole
Published: December 2024

Climate change and its associated extreme heat is one of the greatest risks to public health today. The sharp increase in mortality during the June 2021 British Columbia (BC) heat dome revealed inequities further exacerbated by the social and structural determinants of health. The fundamental causes of health injustices are well-established; however, contemporary solutions, such as increasing access to greenspace, require decisionmakers to pay close attention to structural and political determinants that continually perpetuate negative health outcomes. By conducting a social autopsy of the community deaths from the BC heat dome, we illustrate how material deprivation, social isolation, and access to greenspace are key risk factors that are the result of longstanding colonial legacies. Without paying close attention to this relationship, climate-health response risks further exacerbating inequities.
Evaluating limitations of current policies addressing climate change-induced food insecurity: A narrative review in the context of late menarche in African females
Authors: Khairzad Amama , Khan Bilal , Sharma Sonia , Yong Olivier
Published: December 2024

Menarche is a critical developmental milestone signalling the onset of female reproductive function. Food insecurity, induced by climate change, has contributed to irregularities in menarcheal age, which has been linked to potential harmful disease outcomes. Specifically, the incidence of a late menarcheal age has been observed in Africa. Various climate impacts, influenced by existing socio-economic conditions, cause Africa to be disproportionately impacted in the incidence of late menarche in adolescent females. This narrative review aimed to examine existing policies impacting health risks associated with late menarche, that are a consequence of climate change-induced food insecurity. Potential policy solutions included the utilization of renewable energy sources, climate-smart agriculture initiatives, and social cash transfer programs. These policies were appraised relative to the African context; barriers to successfully implementing these policies were found such as misalignment of governance objectives, limited financial evaluation, lack of contextual considerations during policy design, and the inability to foresee unintended consequences. These insights highlighted the importance of contextual factors, trade-offs, and contingencies when creating such policies and were used to inform suggested future directions for policy frameworks.
Western Canada’s 2021 heatwave will happen again: Why we need to better protect older adults
Authors: Mah Jasmine C. , Baral Prativa , O’Keefe Kowan T. V.
Published: December 2024

The sweltering heat experienced by Canadians during the 2021 heatwave in western Canada is a stark reminder that climate change is not just some far-off problem. It is already here, and we are already reeling from its impacts. Previously thought to be a once-in-a-millennium event, extreme events like this one could occur with a frequency of once every five to ten years. Compared to the rest of the population, older adults – an increasingly large share of the Canadian population – are more susceptible to heat-related trauma because of impaired thermoregulatory responses from aging and other chronic conditions. The compounded effect of climate change and an increasingly older population will necessitate that we expand the availability of health resources and the capacity of health systems in response to these stressors. Our current health care funding mechanisms, as they stand, do not address either of these problems. This commentary explores how the increasing frequency and intensity of temperature extremes impact older adults at both an individual and health systems level. Climate-related stressors in an aging demographic will require that we redefine health resilience – including a serious conversation about health systems resources – and how we currently operationalize it in the Canadian context.
Curricular nature-based learning in higher education to support mental and environmental health
Authors: Porter Elizabeth , Beltran Michelle , Jacobs Shoshanah
Published: December 2024

The relationship between human health and nature is increasingly recognized in diverse health science and environmental disciplines, demonstrating the fundamental interdisciplinary connection between humans and the natural environments we live in. Human-nature connectedness and a positive human-nature relationship have positive effects on mental health and well-being, and environmental benefits in the form of proenvironmental attitudes and behaviours, including environmental stewardship. However, nature deterioration associated with the climate crisis can directly and indirectly negatively impact human health, including mental health. The complex interconnections between mental health and nature in the context of the climate crisis, require a broad interdisciplinary perspective to understand the diverse elements contributing to and stemming from the global climate crisis. Yet, it is unrealistic for an individual person or even a community to address the entirety of the problem. Instead, individuals and communities should focus on implementing meaningful changes on a smaller local scale, which can be adapted and expanded for systemic implementation. One potential strategy is through education. There is strong evidence to support the mental health and environmental benefits of outdoor education, nature-based learning, and nature-based experiences, but these models focus on restricted age groups and may have considerable barriers to access. In this paper, we offer suggestions to empower individuals to make meaningful positive changes in their local environments for their own mental health, with the hope it will act as a path towards systemic change through embedding a model of curricular nature-based learning into education systems, including higher education.
Genetik Olarak Farklı ANADOLU-T Etlik Piliç Saf Hatları ve Hibritlerde Büyüme, Refah ve Bacak Sağlamlığı Özellikleri
Authors: Erensoy Kadir
Published: December 2024

Amaç: Bu çalışmada, genetik olarak farklı saf hat ve hibrit etlik piliçlerde büyüme, refah ve yürüme yeteneği özelliklerinin ortaya koyulması amaçlanmıştır.
Materyal ve Metot: Çalışmada yedi genotipin (A1, A2, A3, B1, B2, ANADOLU-T, ROSS-308) her birinden toplam 112 piliç 42 gün boyunca yetiştirilmiştir. Haftalık canlı ağırlık (CA), vücut uzunluğu, incik uzunluğu ve çapı, refah özellikleri (ayak tabanı dermatiti (FPD), diz yanığı (DY), göğüs yanığı (GY), parmak çarpıklığı (PÇ)), valgus-varus deformasyonu (VVD) ve yürüyüş skoru (YS) özellikleri incelenmiştir.
Bulgular: Kesim yaşında A1, A2 ve A3 hatları diğer genotiplere kıyasla daha düşük CA'ya sahipken, ROSS-308 en ağır olmuştur. Refah göstergeleri genotip ve cinsiyetten önemli düzeyde etkilenmiş, erkekler dişilere kıyasla daha yüksek DY, GY ve PÇ'ye sahip olmuştur. VVD yaşla birlikte artmış, 42. günde ROSS-308 en yüksek angulasyonu göstermiştir.
Yürüyüş skorları A1 hattında 28. günde, A3 hattında ise 35 ve 42 günlerde daha iyi bulunmuştur.
Sonuç: ANADOLU-T baba hatları ve hibritler 21. günden itibaren ana hatlarından daha yüksek CA'ya sahip olmuştur. Genel olarak baba hatları ve hibritlerde daha kötü refah ve yürüme kabiliyeti gözlenmiştir. Diğer yandan, ANADOLU-T baba hatlarında VVD ve yürüyüş skoru CA ile ilişkili olmadığından seleksiyon kriteri olarak kullanılabilir.
Groundwater Quality Assessment Using Water Quality Index and Geospatial Tools: Kabul Province Case Study
Authors:   Kabul Polytechnic University, Karte Mamourin, District 5, Kabul, 1001, Afghanistan, Omary Maiwand , Nasimi Mohammad Najim ,   Kabul Polytechnic University, Karte Mamourin, District 5, Kabul, 1001, Afghanistan, Nasimi Mohammad Nasim ,   Kabul Polytechnic University, Karte Mamourin, District 5, Kabul, 1001, Afghanistan
Published: December 2024

This study aimed to evaluate the suitability of Kabul Province’s groundwater for drinking by way of analyzing the data collected from 34 ground monitoring wells. The purpose was helped through the assessment of a set of groundwater physico-chemical parameters (pH, turbidity, total dissolved solids (TDS); sulfate, fluoride, nitrate, and boron content; total hardness (TH) as calcium carbonate, sodium, calcium, magnesium, and total iron), as well as the determination of the Water Quality Index (WQI) developed based on sampling the water points located in the districts of Kabul Province and Kabul City in the course of 3 years (2018 to 2020) to provide a clear and concise representation of water quality status, and cat-egorize groundwater into different quality classes ranging from “excellent” to “unsuitable for drinking”. Moreover, the spatial distribution of WQI and 12 physico-chemical parameter values was mapped using the Inverse Distance Weighted (IDW) Interpolation in Arcmap 10.7 environment, revealing distinct water quality patterns across the study area. The water qual-ity testing outcomes under this investigation show compliance of multiple water contaminant concentrations with the World Health Organization (WHO) Water Quality Guidelines and Afghanistan National Drinking Water Quality Standards (ANDWQS). The WQI values range between 27.5 and 112 (as per ANDWQS) and between 33 and 127.5 (as per WHO Guide-lines); the WQI (WHO) display 9% and WQI (ANDWQS) display 3% of groundwater unsuit-able for drinking. Spatial variation maps (IDW Interpolation) demonstate that turbidity, TDS, TH, and magnesium concentration values for the provinces’s central and eastern sec-tions exceed the permissible thresholds. The study’s findings underscore the need for target-ed groundwater management strategies, including pollution control and regular monitoring, to safeguard water quality and public health in Kabul Province.
Pelatihan Pembuatan Minuman Herbal Daun Pecut Kuda di SMA Darul Hikmah Mataram
Authors: Rahman Suburi , Dwiani Afe , Yuniartini Ni Luh Putu Sherly , Nugrahani Rizki , Arini Laili Azmiati , Patmawati Patmawati , Salsabila Riska Dia Salma , Riani Riani , Maulana Harpan , Miftahul Aini Diah
Published: December 2024

SMA Darul Hikmah Mataram merupakan salah satu Lembaga Pendidikan menengah swasta yang terdapat di Kota Mataram dengan keberadaan sekolah yang masih asri dan dikelilingi oleh banyak tanaman obat. Keberadaan daun pecut kuda (Stachytarpheta jamaicensis) di sekolah ini sangat berlimpah dan masih kurang dimanfaatkan. Daun pecut kuda bermanfaat sebagai antioksida dan antiinflamasi. Senyawa kimia yang terkandung pada daun pecut kuda yaitu flavonoid, terpenoid, alkaloid, tanin, steroid, dan saponin. Minuman herbal merupakan salah satu produk praktis yang dapat diolah menjadi minuman yang kaya antioksidan dengan menggunakan pengemasan yang sangat murah dan mudah. Kegiatan ini bertujuan untuk meningkatkan pengetahuan guru dan siswa di SMA Darul Hikmah Mataram mengenai pembuatan minuman, mengedukasi dan meningkatkan pemanfaatan daun pecut kuda sebagai minuman herbal di SMA Darul Hikmah Mataram, menunjukkan kepada peserta pelatihan mengenai proses pengolahan daun pecut kuda sebagai minuman herbal, dan meningkatkan nilai produk terkait pengemasan dan pengolahan daun pecut kuda sebagai minuman herbal. Metode yang dilakukan yaitu persiapan, pengolahan daun pecut kuda menjadi serbuk, dan evaluasi. Evaluasi dilakukan melalui wawancara secara langsung dan tanya jawab. Hasil dari pengabdian ini yaitu peserta mengikuti seluruh rangkaian kegiatan dengan baik dan mampu membuat minuman herbal pecut kuda dengan bentuk serbuk dan pengemasan dengan pouch, kegiatan ini diharapkan dapat menjadi inisiasi pemerintah untuk pengembangan produk lokal pertanian yang berupa herbal yang mempunyai nilai jual tinggi.
The Effect of Exposure to Polystyrene Microplastics in Feed on the Growth of Tilapia (Oreochromis niloticus)
Authors: Setyono Bagus Dwi Hari , Saomadia Baiq Triska , Affandi Rangga Idris
Published: December 2024

Indonesia is a country that is rich in natural resources and has various potentials that can be developed, especially in the field of aquaculture. Aquaculture activity that is often carried out by Indonesian people is the cultivation of tilapia (Oreochromis niloticus). Apart from that, Indonesia is known as the second largest contributor of plastic waste in the world after China. The scattered plastic waste will be degraded into microplastics which can then spread to tilapia farming locations. The aim of this research is to determine the effect of exposure to polystyrene microplastics given to tilapia feed on their growth. The research method used was a completely randomized design with 4 treatments and 3 replications with doses P1 = 0 mg/0.75 g feed (control), P2 = 0.01 mg/0.75 g feed, P3 = 0.1 mg/ 0.75 g feed, and P4 = 1 mg/0.75 g feed. The parameters tested were absolute weight growth, absolute length growth, spesific growth rate (SGR), feed conversion ratio (FCR) and water quality. The results obtained were that the effect of exposure to polystyrene microplastics in feed was significantly different on absolute weight growth, SGR, and FCR in tilapia (Oreochromis niloticus), but not significantly different on absolute length growth.
Gender Equality Expression as a Biological Homeostasis Principle Applied in Social Mechanisms of Child-Friendly Schools
Authors: Saliman
Published: December 2024

This research explores the application of gender equality principles within Child-Friendly Schools (CFS), specifically at Harapan Mandiri High School in Medan, through the lens of biological homeostasis principles applied to social mechanisms. Utilizing a descriptive qualitative approach, this study draws on primary data collected from guidance counseling teachers at the school, using observation and in-depth interviews as data collection techniques. The findings reveal that Harapan Mandiri High School effectively implements gender equality by ensuring equal access, opportunities, treatment, and participation for both male and female students. The fairness in treatment is evident in assessments, rewards, and discipline, while student engagement is fostered through participation in student organizations and extracurricular activities. The school’s focus on preventing discrimination and promoting gender awareness contributes to a safe and inclusive learning environment, enhancing respect for gender diversity. This successful implementation of gender equality principles reflects the school’s commitment to creating a balanced and inclusive educational environment, akin to maintaining homeostasis in biological systems, where equilibrium is achieved through equitable participation and treatment of all students.
Development of an Integrated Teaching Module for TaRL Approach Based on Differentiated Learning
Authors: Yantoro
Published: December 2024

This research focuses on the issue of students failing to achieve learning goals due to not learning at their ability level. Educators must have pedagogical competence, including the ability to develop good and creative learning tools to create an active and interesting learning atmosphere. The TaRL approach, developed in elementary schools using differentiated learning, The TaRL approach is designed in line with student achievement, abilities, and needs. Developing a differentiation-based TaRL approach will create an active learning atmosphere and provide learning opportunities according to student needs. Educators must realize that each student is unique and has different qualities from birth. Of course, we need to fulfill their educational needs as best as possible to adapt education to student's needs and skill levels, ensuring they meet the required learning outcomes. The research uses mixed methods, including research and development, validity, and practicality. Data was collected through practice angle and validity instruments, with quantitative and qualitative data used to assess the effectiveness of TaRL modules. The high validity category of product validation showed a high validation rate of 92%, with 96% media validity, 97.16% material validation, and 89.43% language validation. The study also included teachers' and students' opinions on the differentiation-based efficacy of TaRL modules.
EDUKASI PENCEGAHAN PERNIKAHAN USIA ANAK MELALUI SOSIALISASI PENINGKATAN KESADARAN HAK ANAK DALAM LINGKUNGAN KELUARGA DI DESA LANGKO, LOMBOK BARAT
Authors: Anjani Gesta Tri , Kusuma Ni Kadek Reisha Yuliantari , Wijaya Lalu Thouriq Andika , Rizki Khairur , Makhroja Mega Nisfa
Published: December 2024

Pernikahan usia anak merupakan salah satu isu global yang hingga saat ini masih menjadi perbincangan terkait solusi pencegahannya. Dalam konteks negara berkembang khususnya di Indonesia, kasus pernikahan usia anak masih menjadi salah satu permasalahan serius bagi masing-masing pihak, baik itu pemerintahan masyarakat, bahkan organisasi-organisasi non pemerintah yang berkaitan dengan isu tersebut. Provinsi Nusa Tenggara Barat merupakan salah satu provinsi dengan jumlah pernikahan usia anak terbanyak pada tahun 2021-2023. Dengan selisih yang tidak terlalu jauh, Lombok Barat dan Lombok Tengah menjadi kabupaten dengan tingkat pernikahan usia anak yang tertinggi di NTB. Hal tersebut menjadi motivasi bagi tim pengabdi untuk melakukan pendekatan yang ditujukan dengan fokus-fokus sasaran kasus seperti orang tua yang memiliki tanggung jawab untuk merawat anak melalui program sosialisasi dengan topik “Pentingnya Kesadaran Hak Anak di Desa Migran Produktif” yang bertempat di Desa Langko, Kecamatan Lingsar, Lombok Barat. Keluarga merupakan bagian terdekat dari kehidupan anak yang memiliki peran untuk memberikan bimbingan serta pembentukan karakter anak. Kurangnya pola asuh orang tua terhadap pengawasan lingkungan pertemanan anak akan menyebabkan anak terjerumus pergaulan bebas yang kemudian dapat berdampak pada peningkatan kasus pernikahan anak. Melalui sosialisasi ini, dapat terlihat bahwa pemahaman dari peserta yang sebagian besar merupakan orang tua, dapat meningkatkan kesadaran terkait pentingnya hak anak dalam lingkungan keluarga.
RELACIÓN ENTRE LA DURACIÓN DEL SUEÑO Y LA PRESIÓN ARTERIAL EN PACIENTES HOSPITALIZADOS
Authors: Castillo Martínez Guillemo , Morales Cruz Luis Fernando , Aspera Campos Teresa , Morelos García Edgar Noé , Pérez Vega María Elena , Acevedo Porras Adela
Published: December 2024

Objetivo: Identificar la relación del sueño con la tensión arterial de los pacientes hospitalizados. Material y Método: Estudio de tipo cuantitativo, descriptivo y correlacional de corte transversal, la unidad de análisis fueron los pacientes hospitalizados de dos instituciones hospitalarias públicas de Tamaulipas, México; el muestro fue no probabilístico por conveniencia, se obtuvo una muestra de 119 pacientes. La medición fue por medio de la técnica de entrevista en la que se aplicó una cédula de datos sociodemográficos, la medición de la tensión arterial y el instrumento Índice de Calidad de Sueño de Pittsburgh; la recolección de los datos concluyó en julio de 2022; para el análisis estadístico se aplicaron medidas de tendencia central, para las diferencias U de Mann-Whitney y H de Kruskal-Wallis y la correlación se aplicó con el coeficiente Rho de Spearman. Resultados: Los hombres presentaron cifras elevadas en la TAD (p= ,018) y los adultos mayores en la TAS (p= ,016). Se reportó que la hora de dormir (p= ,05TAS) y despertar (p= ,01 TAS, TAD) de los pacientes, así como la cantidad de horas dormidas (p= ,05 TAD) obtuvieron una correlación positiva significativa con la tensión arterial. Conclusiones: La disminución en las horas de sueño, hora de dormir y despertar se correlaciona con la tensión arterial en los pacientes hospitalizados.
THE EXPERIENCE OF A TERTIARY CENTER: DISTRIBUTION AND CONSISTENCY OF THE ELECTRONEUROMYOGRAPHY REQUESTS AND THE FINAL NEUROPHYSIOLOGICAL DIAGNOSIS IN OLDER AGE
Authors: ÇAKAR Merve Melodi , UZUNÇAKMAK UYANIK Handan , TEMUÇİN Çağrı Mesut , YILDIZ Fatma Gökçem
Published: December 2024

Introduction: Electroneuromyography is a test to evaluate peripheral nervous system disorders in a laboratory setting. Considering accompanying comorbidities, the geriatric age group constitutes a naive and unique segment of society. This study aimed to determine the ratio of electroneuromyography requests in individuals over 70 to all electroneuromyography requests and the compatibility of the requests and preliminary diagnoses with the results, applied procedures, and the departments making the requests.
Materials and Method: We retrospectively reviewed the electroneuromyography reports of individuals over 70 who applied to our electroneuromyography laboratory between 2018 and 2023.
Results: After a five-year query, 1,056 records, 11.4% of all electroneuromyography requests, were detected. A combination of nerve conduction studies and needle electromyography was performed in 68.2% of the patients. Polyneuropathy was the most requested electroneuromyography test protocol (n = 490, 42.7%). The most frequent electrophysiological diagnosis was polyneuropathy (n = 336), followed by lumbosacral radiculopathy (n = 297) and median nerve entrapment neuropathy in the wrist segment (n = 258). The primary diagnosis and electrophysiological findings were consistent in 55.2% of the cases. Most physicians referring patients to our electroneuromyography unit were neurologists. There were no significant differences among the departments in terms of the compatibility between the clinical preliminary and electrophysiological diagnoses (p = 0.15).
Conclusion: Polyneuropathy was the most common peripheral nervous system disorder in our study’s geriatric population. The combination of nerve conduction studies and needle electromyography was determined to be the most applied procedure. When we compared the departments’ requests, there was no significant difference in compatibility.
Keywords: Aged; Electromyography; Geriatrics; Neuromuscular Diseases.
Optimization of Morris Water Maze Protocols: Effects of Water Temperature and Hypothermia on Spatial Learning and Memory in Aged Female Rats
Authors: ORAN Duygu Sultan , TEMEL Zeynep , BAŞER İbrahim Gökşin , TEMİZYÜREK Arzu , SELCAN Ayşin
Published: December 2024

Introduction: Aging is a highly complex process driven by a multitude of factors. The use of humans in aging research is complicated by many factors (ethical issues; environmental and social factors; long natural life span). Therefore, rats are common models for the study of aging and age-related diseases. The Morris water maze test is one of the most common cognitive tests in studies investigating age-related learning and memory. However, standardized protocols are lacking, which could influence results. This study investigated the effects of water temperature and inter-trial interval on physiological parameters, hippocampus-dependent learning, and memory in aged female rats performing the Morris Water Maze.
Materials and Methods: Thirty-two female Wistar Hannover rats, aged over 18 months, were divided into four groups based on water temperature (20 °C or 24 °C) and inter-trial interval (30 seconds or 13 minutes).
Results: Rats exposed to 24 °C demonstrated better spatial learning and memory retention than those at 20 °C. The interaction between inter-trial interval and water temperature significantly affected memory, with higher temperatures improving memory, especially with shorter intervals. Inter-trial interval alone did not significantly affect learning, but longer durations were associated with more stable body temperatures. Neither water temperature nor inter-trial interval significantly influenced body weight.
Conclusion: These findings emphasize the need to standardize environmental conditions in Morris water maze protocols to enhance research validity and reliability. Optimizing these protocols is crucial to upholding ethical standards and ensuring animal welfare, advancing more effective and scientifically sound practices in gerontological research, and fostering a better understanding of aging processes.
Keywords: Aging; Animal Welfare; Body Temperature; Memory and Learning Test; Spatial Memory; Morris Water Maze Test.
Determination of symptoms and symptom clusters in breast cancer patients receiving adjuvant chemotherapy treatment
Authors: Kurt Berna
Published: December 2024

Aim: To examine the symptom clusters in breast cancer patients receiving adjuvant chemotherapy treatment.
Materials and Methods: This descriptive study examined 128 female patients between February 2022-August 2023 using Memorial Symptom Assessment Scale, and EORTC QLQ-C30 Scale.
Results: In cluster analysis, 23 symptoms with a prevalence of >25% were selected, and six clusters were identified. First cluster is nausea, loss of appetite, and fatigue/loss of energy; second cluster is taste change, dry mouth, mucositis, vomiting, weight loss, and diarrhea; third cluster is worrying, feeling nervous, drowsy, and difficulty sleeping; fourth cluster is feeling bloated, shortness of breath, and difficulty swallowing; fifth cluster is alopecia, not look like herself, feeling irritable, sad; and last cluster includes problems with sexual interest, activity, pain, and sweating.
Conclusion: It may be recommended to plan and evaluate applications or interventions in breast cancer patients receiving adjuvant chemotherapy treatment for the six symptom clusters identified.
Enhancing patient care with automated solutions: Smart bed positioning, communication, security, vital monitoring, and environmental control for bedridden individuals
Authors: Patil Parshwa Vinod  , Prathmesh Shankar Mali  , Ashutosh Anil Mahindrakar
Published: December 2024

The advancement of automation technology offers significant opportunities to improve the quality of care for bedridden patients. This paper presents a comprehensive approach to enhancing patient care through automated solutions designed to address critical aspects of daily living and health monitoring. We propose an integrated system that encompasses smart bed positioning, advanced communication methods, and robust security features, combined with vital signs monitoring and environmental control.
The system includes three primary interfaces for user interaction: voice commands, a dedicated app, and a joystick, allowing for intuitive control of bed positioning and environmental settings. Additionally, integrating temperature and pulse monitoring capabilities ensures continuous health assessment, while automated room temperature and light control contribute to patient comfort and well-being.
By implementing these features, the proposed solution aims to enhance the independence and safety of bedridden individuals, streamline communication with caregivers, and provide real-time health data for more responsive and personalized care. This paper details the design, functionality, and potential impacts of the system, highlighting its role in transforming the management of bedridden patients and setting a new standard in automated healthcare solutions.
Clinical profile of atopic dermatitis in children: demographics, skin lesions, and treatment approaches
Authors: Ordelia Nur Inayah Sunarto  , Sawitri  , Zahrah Hikmah  , Yuri Widia
Published: December 2024

Background: Atopic dermatitis (AD) has a high prevalence, especially in children (15-20%), with significant increases in industrialized countries. In Indonesia, AD ranks as the most common pediatric skin disease, affecting 23.67% of children. This condition significantly impacts the psychosocial well-being of both patients and their families and is often associated with asthma and allergic rhinitis, particularly in severe cases.
Purpose: This study aims to identify the clinical profile of pediatric AD patients at RSUD Dr. Soetomo Surabaya from 2020 to 2023.
Methods: This observational descriptive study uses secondary patient data with a retrospective design.
Results: Seventy-one samples met the inclusion criteria, with the highest number of visits occurring in 2020. Most patients were from Surabaya. The majority of cases were in the infantile age group, with a predominance of male patients. Itching was the most common primary complaint, and the majority of cases had symptoms lasting less than one month. In infants, erythema was the most common lesion, while in the pediatric group, erosion was most frequent, and in adolescents, erythema was also common. Lesions were most commonly located on the face in infants, while in the childhood and adolescence groups, lesions were primarily found on the lower extremities. A total of 11.26% of patients had a history of asthma, and 2.81% had allergic rhinitis. Recurrence was common, and 33.80% of patients had a family history of atopy. The most commonly used systemic therapy was cetirizine and the most common topical treatment was hypoallergenic emollients.
Impact of caregiver nutrition knowledge and status on stunting in children aged 12-59 months at Urangagung health center 2, Sidoarjo district
Authors: Aulia Rahmawati  , Widati Fatmaningrum  , Endyka Erye Frety
Published: December 2024

Stunting remains a critical global health issue affecting children, with Indonesia reporting high prevalence rates in 2022, particularly in Sidoarjo district. This study investigates the impact of caregiver nutrition knowledge and status on stunting among toddlers aged 12-59 months in the Urangagung 2 Health Center area, Sidoarjo District. . The study involved 100 children aged 12-59 months, with the majority of caregivers being the children’s biological parents (78%). Cross-sectional, quantitative observational research methodology is employed. Both direct child height measurement and structured questionnaires were used in the data collection process. The univariate and bivariate analyses of the data were performed, and the chi-square test was used to ascertain the association between the incidence of stunting and caregiver status and nutritional awareness. The findings showed a strong correlation between children's risks of stunting and their non-parental caregiver status and inadequate nutritional understanding. Stunting prevention in the area depends heavily on initiatives to increase caregiver empowerment and nutritional awareness.
Application of pharmacy management systems and digital marketing: Impact on highly efficiency and increased turnover
Authors: Nasri Nasri  , Sentosa  , R. Arvin I. Miracelova  , Alamsyah  , Sukirman Lie
Published: December 2024

The pharmaceutical industry, particularly pharmacies, is undergoing a significant transformation driven by the rapid advancement of technology and digital marketing. This review explores how implementing technology, such as pharmacy management systems (PMS), mobile applications, and point-of-sale (POS) systems, enhances operational efficiency by improving stock management, reducing errors, and speeding up transactions. Additionally, digital marketing strategies, including social media, search engine optimization (SEO), and email marketing, help increase pharmacy visibility, build customer engagement, and drive sales growth. A systematic review of literature from reputable sources over the past decade was conducted to identify the impact of these technologies on pharmacy operations and turnover. The findings indicate that technology adoption improves operational performance and customer satisfaction, while digital marketing expands market reach and strengthens customer loyalty. However, small pharmacies face high implementation costs and a lack of technological expertise. Despite these challenges, the potential for growth remains substantial. Pharmacies can leverage these tools to increase efficiency, customer retention, and revenue. In conclusion, adopting technology and digital marketing is essential for pharmacies to stay competitive in an increasingly digital world, provided they address the challenges in implementation.
The influence of the maturity level of coconut fresh fruit bunches palm oil to price sell and income in Saleh Mulya Village, Air Saleh District, Banyuasin Regency
Authors: Abdul Raup  , Nurilla Elysa Putri
Published: December 2024

The purpose of this thesis is to find out and describe what factors influence the maturity level of palm oil FFB in Saleh Mulya Village, Air Saleh District, Banyuasin Regency so that the author can also see the level of income of oil palm farmers in Saleh Mulya Village, Air Saleh District, Banyuasin Regency. The respondents taken by the author were oil palm farmers who had a minimum land area of 1 Ha and still lived in Saleh Mulya Village, Air Saleh District, so the number of samples in this study was 30 samples and the samples were drawn deliberately or purposively sampling. The research method used in this thesis is description and income calculation. where researchers describe things that influence the level of maturity of oil palm fruit based on data obtained from interviews with farmers in Saleh Mulya Village are harvesting time, transportation, transport distance, harvesting rotation and the type of seeds used, where each factor has a different level of influence. The author also carried out income calculations and obtained an average income from oil palm farming of IDR 54,429,267/year, average income from non-oil palm farming was IDR 24,066,667/year and average non-farming income was IDR 35,000,000. So the average total household income is IDR 85,495,933/year.
Cancer diagnosis and prognosis using multi-Omics data: A data science and machine learning approach
Authors: Lanre Shittu  , Foluke Ekundayo  , Damilare Olutimehin
Published: December 2024

Cancer remains one of the leading causes of morbidity and mortality worldwide, demanding innovative approaches for early diagnosis and accurate prognosis. Recent advances in multi-omics technologies, which integrate genomics, transcriptomics, proteomics, metabolomics, and epigenomics, provide comprehensive insights into the complex biological mechanisms underlying cancer. By capturing molecular signatures at multiple levels, multi-omics data offers unparalleled potential for identifying cancer biomarkers, stratifying patients, and predicting therapeutic responses. However, the volume, complexity, and heterogeneity of multi-omics data present significant analytical challenges, necessitating robust data science and machine learning techniques. Machine learning algorithms, including supervised, unsupervised, and deep learning approaches, are increasingly being utilized to unravel the patterns embedded in multi-omics datasets. These methods enable feature selection, dimensionality reduction, and the integration of multi-modal data, facilitating the identification of precise biomarkers and the development of predictive models for cancer progression. Furthermore, advanced frameworks such as explainable AI (XAI) provide interpretability to these models, ensuring their clinical applicability and enhancing trust among healthcare professionals. This review highlights recent breakthroughs in cancer diagnosis and prognosis using multi-omics data, emphasizing the synergy between data science and machine learning in transforming oncology research. It also explores the challenges in data integration, algorithmic bias, and model validation, proposing solutions to enhance predictive accuracy and generalizability. By bridging molecular biology and computational sciences, this interdisciplinary approach has the potential to revolutionize precision oncology, paving the way for personalized treatment strategies and improved patient outcomes.
Comparative analysis of carbon fibre and glass fibre in blade design
Authors: Pelumi Peter Aluko-Olokun
Published: December 2024

This study investigates the performance, environmental impact, and economic viability of single-blade carbon fibre wind turbines compared to traditional three-blade glass fibre designs. Finite Element Analysis (FEA) demonstrates carbon fibre's superior stiffness and vibration properties, while Computational Fluid Dynamics (CFD) simulations identify optimal aerodynamic performance at specific angles of attack. A Life Cycle Assessment (LCA) reveals that, despite significantly higher carbon emissions and energy consumption during manufacturing, carbon fibre blades produce fewer SO₂-equivalent emissions. Economically, single-blade carbon fibre turbines present potential cost-efficiency due to reduced maintenance and extended lifespan. However, challenges such as manufacturing energy demands, environmental effects, and cost remain barriers to widespread adoption. These findings underscore carbon fibre’s suitability for applications requiring high mechanical performance and dimensional stability, establishing it as a viable material for advanced wind turbine designs.
Ekonomik Büyüme, Ticari Açıklık ve Ekolojik Ayak İzi Arasındaki İlişkinin İncelenmesi: Türkiye’den Kanıtlar
Authors: Koç Sebahattin , Savaş Yunus
Published: December 2024

Ekonomik gelişme ülkelerin refah seviyesi için önem teşkil ederken çevresel bozulmaya olan etkisi önemli bir sorunsal olarak ortaya çıkmaktadır. Diğer taraftan, çevreye duyarlı üretim süreçleri sonucunda meydana gelen büyüme çevresel bozulmayı azaltıcı etkilerde gösterebilmektedir. Küreselleşen ekonomilerin çevresel bozulmalara olan katkısı literatürde birçok yönüyle tartışılmaktadır. Bu bağlamda, günümüz kompleks ekonomik ilişkilerin ve bunların çevresel bozulmaya olan etkilerinin incelenebilmesi amacıyla bu çalışma çevresel Kuznet eğrisinin geçerliliğini, ekolojik ayak izi ile ticari açıklık arasındaki ilişkiyi Türkiye özelinde test etmeyi amaçlamıştır. Çalışmanın incelediği zaman dilimi olan 1965 ve 2022 yılları arasında, ARDL metodolojisi kullanılarak değişkenlerin hem kısa hem de uzun dönemli birbirlerine olan etkisi incelenmiştir. Ayrıca, ekolojik ayak izi ile ticari açıklık arasındaki uzun vadeli denge ilişkisini değerlendirmek için sınır testi yaklaşımı kullanılarak eşbütünleşme testi gerçekleştirilmiştir. Elde edilen bulgular, ekonomik büyüme ile çevresel bozulma arasında ters "U" şeklinde bir ilişki olduğu tespit edilmiştir. Böylelikle, artan ekonomik büyümenin ilk aşamada çevresel bozulmayı arttırdığı ama sonraki safhalarda çevresel bozulmayı azalttığı gözlemlenmiştir. Ek olarak, ticari açıklığın uzun dönemde ekolojik ayak izini negatif yönde etkilediği bulgusu elde edilirken; kısa dönemde anlamlı bir ilişki tespit edilememiştir.
Sümer ve Akkad’da Siyasal Meşruiyetin Temel Kaynakları: Yazı, Din ve Yeniden-Dağıtım Ekonomisi (MÖ 2600-2004)
Authors: Çıvgın İzzet
Published: December 2024

Makalenin ilk hedefi, dünyanın en erken yazısı Sümer-Akkad çiviyazısının ticari-mali-ekonomik işlevleriyle siyasal-ideolojik-mitolojik işlevlerinin bir bütün oluşturduklarını; yazının kent-devlet seçkinleri ile Akkad ve Sümer bölgesel devletlerini yöneten seçkinler açısından bir meşruiyet aracı olduğunu göstermektir. Meşruiyetin ilk dayanağı, yersel krallıkların göksel krallıktan doğdukları önermesidir. Göğün efendisi Enlil, kentleri diğer tanrılara üleştirdiği için her kentin asıl kralı o kentin koruyucu tanrısıdır. Devletin meşruiyetinin ikinci dayanağı, yine gökten inmiş, kentin doğumunu mümkün kılan uygarlık sanatları-kurumları-kurallarıdır (Sümerce ME). Seçkinler, toplumsal işbölümünü, uzmanlaşmayı ve eşitsizliği devletleşmenin zorunlu sonucu olarak gösterirler. Meşruiyetin üçüncü kaynağını, kralların tanrılaştırılması oluşturur. Gerçekte tanrılaştırılan insan değil kurum olarak devlettir (kralın siyasal bedenidir). Tek tek devletler fani ama ME’ler sayesinde vücut bulan (Yaşamı-Düzeni sürdürme gücüne sahip olan) krallık fikrinin kendisi (devlet ideası) ebedidir, tarih-üstüdür. Meşruiyetin yersel bir kaynağı daha vardır: halkın-toplumun rızasını kazanmak. Dünyevi hiyerarşileri doğal gösteren siyasal seçkinler, kendilerinin sosyal adaleti yerine getirmek (refahı topluma yaymak) için çabaladıkları; kralların da güçsüzün-yoksulun dostu oldukları iddiasındadırlar. Mezopotamya kent-devletleri ve sonraki ülkesel-devletler, ekonomik yaşamın temel unsurları olan tarım, hayvancılık, zanaat ve ticaret üzerinde denetim kurmaya çalışmış; (Ortaçağ Avrupa malikânelerine benzer biçimde örgütlenen tapınak toprakları dâhil) kamusal arazilerde gerçekleştirilen üretimi artırmaya çabalamışlardır. Kral, tarımın sürdürülebilir olması için kanal açmak, güvenli ticaret için yol yapmak, yurttaşları dış tehditlerden korumak ve yoksulların eşitsizliğe yenik düşmelerini önlemek amacıyla yazılı yasalar çıkarmak zorundaydı. Mezopotamya uygarlığı, devletin ideolojik-mitolojik temellerinin kuruluşu ile ekonomik ilişkilerin rasyonel bir kayıt sistemiyle sürdürülebilmesini, dini-ideolojik ve mali-ekonomik alanları ayrılmaz biçimde birbirlerine yapıştıran sihirli bir yönetim aygıtı olan yazıya borçluydu.
Renklerin Simgesel Temsili: Pan-Arabizm Örneği
Authors: Gökcan Özkan
Published: December 2024

Bayraklar, bir milletin kimliğinin tanımlanmasında ve tanımlanan milli kimliğe ilişkin aidiyetin sürdürülmesinde başlıca rolü oynayan sembollerden biridir. Bayrağı, millet ve milliyetçilik için önemli kılan unsur, kullanılan renkler, desen ve hatta biçimlerden ileri gelmektedir. Çünkü kullanılan renkler, desenler veya biçimler rastgele değil bilinçli seçilmiş ve belirli bir kolektif bilince vurgu yapan unsurlardır. Bu durumun en önemli tarihsel örneklerinden biri Arap devletlerinin bayraklarında sıklıkla karşımıza çıkan siyah, beyaz, yeşil ve kırmızı renkleridir. Bu çalışmada Pan-Arabizmin sembolü olarak kabul edilen siyah, beyaz, yeşil ve kırmızı renklerinin Araplar için ne anlam ifade ettiği ve Arap devletlerinin bayraklarında neden sıklıkla kullanıldığı ele alınmaktadır. Ulusal devletlerin bayraklarındaki renklerin bilinçli bir tercihin ürünü olduğundan hareketle, söz konusu renklerin Arap milliyetçiliğinin sürdürülmesi noktasında nasıl bir işlevi olduğu incelenmektedir. Bu kapsamdan hareketle çalışmanın birinci bölümünde siyah, beyaz, yeşil ve kırmızı renklerinin Pan-Arabizm ideolojisi içi ne ifade ettiği ele alınmaktadır. Çalışmanın ikinci bölümünde söz konusu renklerin siyasal, dinsel ve tarihi temsilinin detaylı analizi, üçüncü bölümünde ise örnek devletler üzerinden dört rengin bayraklardaki temsili ve bu temsilin zaman içindeki değişimi incelenmektedir.
The Evolution of Development Agendas: A Content Analysis of World Bank Projects in Türkiye
Authors: Güdek- Gölçek Şeyda
Published: December 2024

The loans provided by the World Bank on a project basis play a significant role in shaping both international and national policy practices. This study conducts a content analysis of the 308 projects funded by World Bank loans in Türkiye. Covering all projects from the first one accepted in 1951 to those still in the pipeline as of 2025, the analysis is based on the projects’ objectives and content. MAXQDA software was used for the analysis and visualization of results. The findings reveal that the development goals of the projects between Türkiye and the World Bank have been predominantly shaped by the international policy agenda. There is a noticeable shift in project objectives from infrastructure and industry-focused initiatives toward themes like economic liberalization, social development, and environmental sustainability. Türkiye’s priorities and unique conditions, however, are mainly reflected in projects addressing economic crises, natural disasters, and refugee support. Future projects are likely to focus on areas emphasized by the global policy agenda, such as climate resilience, energy transitions, and digital innovation, with continued emphasis on sustainable and inclusive development.
Borçlanma Kararlarında Ekonomi Politikası Belirsizliğinin Rolü
Authors: Turnacıgil Seda
Published: December 2024

Ekonomi politikası belirsizliği işletme yönetiminde kararları etkileyen, finansal piyasaları ve ekonomik dinamikleri şekillendiren bir olgudur. İşletmelerin borçlanma yapıları da mevcut piyasa koşulları, yatırım ve büyüme fırsatları, sermaye maliyeti, risk toleransı gibi faktörlerden etkilenir. Bu faktörler aynı zamanda ekonomi politikası belirsizliği ile işletme borç yapısı arasındaki ilişkiyi destekleyen mekanizmalardır. İşletmelerin ve yatırımcıların belirsiz ortamlarda hareket edebilmeleri için belirsizliğin sonuçlarını kavrayabilmek, bunun olumsuz etkilerini azaltarak rekabet gücünü arttırabilir ve sürdürülebilir gelişmeyi teşvik edebilir. Bu çalışmada ekonomi politika belirsizliğinin işletmenin kısa ve uzun vadeli borçlanma kararlarında rolü olup olmadığı araştırılmıştır. Bunun için BIST’te işlem gören ve verilerine kesintisiz ulaşılabilen 83 adet imalat işletmesinin 2006:4-2023:3 dönemleri arasındaki verileri Panel EGLS yöntemiyle incelenmiştir. Çalışmada hem kısa hem uzun vadeli borçlanma kararlarında ekonomi politika belirsizliğinin etkisinin istatistiksel olarak anlamlı ve pozitif yönde olduğu sonucuna ulaşılmıştır. Bu etkinin uzun vadeli borçlanma kararlarında daha yüksek olduğu da çalışmanın bulguları arasındadır. Bunun yanında, çalışma sonuçlarına göre firmaya özgü diğer faktörler de kısa vadeli borçlanma kararları üzerindeki rolü istatistiksel olarak anlamlıdır.
Economic Determinants of E-Commerce: A Frequency-Domain Causality Analysis of CPI and Personal Loans in Türkiye
Authors: Türk Mehmet Mert
Published: December 2024

This study explores the relationship between e-commerce volume, the Consumer Price Index (CPI), and personal loan rates in Turkey, focusing on the period from 2015 to 2024. By employing time series analysis and frequency-domain causality tests, the research aims to identify the factors influencing the growth of e-commerce in Turkey, particularly in response to economic fluctuations. Traditional unit root tests, including the Augmented Dickey-Fuller (ADF) and Phillips-Perron (PP) tests, were used alongside the Zivot-Andrews test to account for structural breaks in the data. The findings suggest a significant positive impact of personal loans on e-commerce volume, while CPI fluctuations show a nuanced effect, with short-term inflation dampening consumer activity and long-term inflation promoting price-sensitive shopping behaviors. Frequency-domain tests further reveal that personal loans have a stronger long-term causal impact on e-commerce than CPI. These results underline the crucial role of digital finance mechanisms and consumer credit in supporting the expansion of Turkey’s digital economy. The study contributes to the literature by highlighting the interplay between economic indicators and e-commerce dynamics in emerging markets.