bluuebunny/crossref_metadata_2025 huggingface dataset:
Improving Prehospital Interventions: A Review of Evidence-Based Practices in Emergency Medical Services
Authors: Alsagoor Hussain Salem , Al Haydar Naif Abdullah , Al Haydar Fayez Abdullah , Alasiri Saber Mohammed , Alsagoor Mohammed Ahmed Hussain , Gassim Abdullah Mohammed , Alhashel Ali Mohamed Ali , Almasad Saleh Mana Mohammad , Al jumhur Mohammed Ali Mutlaq , Alhaydar Ibrahim Mana
Published: November 2024

Emergency Medical Services (EMS) play a critical role in providing urgent care and stabilizing patients before they reach the hospital. The effectiveness of EMS interventions can significantly influence patient outcomes, making evidence-based practices essential in prehospital care. This review explores the latest evidence-based prehospital interventions in airway management, hemorrhage control, cardiac arrest response, pharmacological support, and trauma stabilization. By evaluating the current literature, this article highlights the impact of specific interventions on patient survival rates, recovery quality, and overall morbidity. Additionally, it examines challenges faced by EMS providers, including training limitations, resource disparities, and protocol adherence issues. Best practices such as standardized protocols, technology integration, and continuous training programs are discussed to address these challenges and improve EMS care. The findings underscore the importance of adopting and adhering to evidence-based practices in EMS to enhance patient outcomes and provide a foundation for future research on advanced prehospital interventions.
The Role of Nursing in Managing Chronic Illness: A Review of Patient Outcomes and Quality of Life
Authors: Alruwaili Majdah Jalal Juhayyim , Alwallah Suyuf Ahmed , ALRuwaili Faizah Shuwayhit , Asmari Mashael Ali , AlRowily Reem Thamer Salam , Alghamedi Fatimah Hussien , Alenazi Eman Mudhhi , Alanazi Amlak Dhumayri , Alshammari Wansah Fahad , Alghamedi Nawal Hussein Abdullah
Published: November 2024

The management of chronic illness is a growing priority in healthcare, with nursing playing a critical role in improving patient outcomes and quality of life. This review explores the various nursing interventions that support chronic illness management, including patient education, symptom monitoring, and emotional support. By providing personalized care and fostering self-management skills, nurses contribute to reduced hospital readmissions, improved medication adherence, and enhanced physical and mental health outcomes. Additionally, nursing care significantly influences patients' quality of life, offering emotional support that positively impacts their mental well-being and overall satisfaction. Despite the benefits, challenges such as limited resources, time constraints, and nursing burnout remain barriers to effective care. This review emphasizes the need for continued support for nursing roles in chronic illness management, policy adjustments to address resource limitations, and integration of technology to enhance care delivery. Overall, a strengthened nursing role in chronic illness management not only benefits patient outcomes but also enhances patients' quality of life, underscoring the importance of investment in nursing care to meet the demands of chronic illness in healthcare.
Integrating Nursing and Family Medicine: A Comprehensive Review of Interdisciplinary Approaches in Patient-Centered Care
Authors: Alshehri Haya Muhaysin , Alharbi Majed Hulayyil , Juharji Hanaa Mohammedzakary , Albishry Mohammed Ahmad , Omairan Aisha Mohib , Albeshri Yousef Mansoor Ahmed , Albarkatee Eman saleem , Almuwallad Abeer Abduraboh , Kassem Etaf ali , Alharthi Amirah hasan
Published: November 2024

This review explores the integration of nursing and family medicine in promoting patient-centered care through interdisciplinary approaches. Family medicine and nursing play complementary roles in primary healthcare, with nurses increasingly involved in collaborative efforts to address complex patient needs. This article examines current models of interdisciplinary collaboration, including team-based care and the Patient-Centered Medical Home (PCMH), and their impact on patient outcomes, cost-efficiency, and holistic care delivery. Additionally, the review highlights barriers to integration, such as role ambiguity, communication challenges, and institutional constraints, and offers strategies for overcoming these obstacles, including interdisciplinary training, supportive policies, and integrated health IT systems. Case studies of successful integration are presented, underscoring the practical benefits of collaborative care. The review concludes with implications for practice, suggesting that integrating nursing into family medicine enhances patient-centered care, especially in managing chronic conditions and preventive care. Further research is encouraged to establish best practices and policies that support effective interdisciplinary collaboration in primary care
Positive Influences of Integrating Information Communication Technology in Teaching English at a Technical and Vocational Training College
Authors: Mogashoa Tebogo , Makaring Busisiwe
Published: November 2024

The paper investigated the positive influence of integrating Information Communication Technology (ICT) in teaching English to National Certificate NC (V) students at a Technical and Vocational Education and Training (TVET) college. A qualitative research approach was used in this research to explore and determine ways in which ICT can be used in teaching English. The research’s participants were fifteen NC (V) lecturers offering English. Semi-structured interviews and focus group interviews were conducted with Heads of Departments (HODs), Senior Education Specialists (SES), Education Specialists (ES), and NC(V) English lecturers. This paper found that there are barriers when it comes to integrating ICT in teaching English, and these were teacher-level barriers, student-level barriers, and school-level barriers. It is hoped that this research will contribute towards strategic ways that will ensure that ICT is integrated in teaching English at Nkangala TVET College, as this will improve students’ class attendance and enhance teaching and learning.
Machine Learning Integration in Econometric Models
Authors: Silahtaroğlu Yenilmez Oğuz
Published: November 2024

The integration of machine learning (ML) into econometric models represents a transformative advancement in the field of econometrics, enabling researchers to tackle complex, high-dimensional datasets while maintaining the interpretability and rigor of traditional econometric approaches. This research investigates the synergies between machine learning and econometrics, focusing on how ML techniques can enhance model flexibility, predictive accuracy, and causal inference in economic analysis. By leveraging methods such as regularization, ensemble learning, and deep learning, the study explores applications in macroeconomic forecasting, policy evaluation, and market analysis. Furthermore, it addresses the challenges of balancing interpretability with predictive performance, emphasizing the need for hybrid frameworks that merge machine learning's adaptability with econometrics' theoretical foundation. The findings demonstrate the potential of ML-enhanced econometric models to revolutionize economic research and policy-making by providing robust, data-driven insights.
Advanced Applications and Methodologies in Mathematical Optimization and Operations Research: Insights into Linear Programming, Nonlinear Programming, and Decision-Making Frameworks
Authors: Tunçel Kaya
Published: November 2024

Mathematical optimization and operations research are pivotal disciplines in solving complex decision-making problems across industries. This research delves into advanced methodologies within these fields, with a focus on linear programming (LP), nonlinear programming (NLP), and their applications in optimizing processes and resource allocation. Linear programming, with its capacity to model and solve large-scale problems, remains a cornerstone for optimization, particularly in logistics, finance, and manufacturing. Nonlinear programming, characterized by its ability to handle complex, real-world systems with non-convex functions, expands the scope of optimization to include dynamic and intricate challenges such as energy management and machine learning. This study investigates state-of-the-art algorithms, including interior-point methods, dual simplex techniques, and gradient-based approaches, to enhance the efficiency and accuracy of solutions. By addressing theoretical advancements and practical implementations, this research bridges the gap between mathematical rigor and real-world applications. The insights gained are expected to contribute significantly to operational efficiency, strategic planning, and decision-making in diverse fields.
REPUBLIQUE DEMOCRATIQUE DU CONGO AU CŒUR DE LA DIPLOMATIE ENVIRONNEMENTALE ET CLIMATIQUE : PERSPECTIVES D’UNE NOUVELLE GEOPOLITIQUE EN AFRIQUE SUBSAHARIENNE
Authors:   Assistant de premier mandat à l’Université Pédagogique Nationale et Chercheur Associé à l’Institut de Recherche en Géopolitique et d’Etudes Stratégiques (IRGES)/Kinshasa-RDC et Membre de la Coalition Nationale contre l’Exploitation illégale du Bois (CNCEIB), MAMVE Christian NKUPAR
Published: November 2024

Dans cet article, il est démontré que l’écosystème de la RDC est un atout majeur dans l’équilibre climatique, celle-ci est au cœur des Relations internationales environnementales. D’où la nécessité pour ce pays de mettre en place une diplomatie environnementale assez forte pour qu’elle trouve une place d’honneur dans le concert des nations. Cette étude admet que du point de vue des Relations Internationales, un Etat qui possède plus des ressources naturelles fait objet de convoitise, et cette concupiscence engendre des conflits voire même des guerres. Il est donc important de miser sur une bonne diplomatie environnementale qui consisterait à anticiper les conflits futurs afin que les ressources naturelles soient exploitées de manière équitable et raisonnable. Mots-clés : relations internationales environnementales, géopolitique environnementale, RDC.
AMATEURISME DANS LA GESTION DE LA RES PUBLICA AU CŒUR DES CRISES POLITIQUES EN REPUBIQUE DEMOCRATIQUE DU CONGO
Authors:   Chef de Travaux au Département des Sciences Politiques et Administratives à l’Université Chrétienne Cardinal Malula/Kinshasa-RDC, WA KABONGO Jean SIKATENDA
Published: November 2024

Dans cette étude s’est fixé l’objectif de décortiquer et de comprendre la raison de l’amateurisme politique comme source des crises en République Démocratique du Congo. Il est démontré que malgré l’indépendance que la République Démocratique du Congo acquise par l’effort des Congolais, le comportement des politiciens de la République Démocratique du Congo n’a pas vraiment connu une nette évolution. La classe politique congolaise est restée caractérisée par l’improvisation, l’égoïsme et l’irrationalité. Ce sont les intérêts égoïstes qui sont mis à l’avant-garde au détriment de l’intérêt général. Mots-clés : amateurisme, res publica, crise politique, RDC.
TASHKENT NEIGHBORHOODS (MAHALLAS) IN THE DESCRIPTION OF SCIENTISTS AND RESEARCHERS
Authors: Nargiza Shonazarova  , Hayitboy Kholmirzaev  , Barno Urazimbetova  , Kamola Umarkulova  , Tursinali Kholkuziev
Published: November 2024

the article examines the reflection of the history of Tashkent mahallas in historical sources, literature and official documentsand their historical-ethnographic and socio-demographic description. It analyzes the works of scientists and researchers whoconducted scientific research on urban mahallas from a historical point of view. The article studies historical materials andliterature related to the way of life of the Uzbek people as a neighboring community, that is, the specific content and essenceof mahallas, from the point of view of historiography.
Producciones cerámicas con decoración excisa en el Alto Ebro
Authors: Romero Carnicero Fernando , de Pablo Martínez Roberto
Published: November 2024

La zona del Duero Medio mantuvo relaciones indudables con el Alto Ebro desde finales de la Edad del Bronce, como ponen de manifiesto las cerámicas decoradas con la técnica de la excisión. En ocasiones este proceso es evidente, aunque en otras se encuentran más delimitadas en el tiempo y ajustadas a ciertos contextos geográficos. En estas producciones, ya en la segunda Edad del Hierro, destacan las cajitas celtibéricas, que presentan rasgos propios, y las placas con función arquitectónica fabricadas en el territorio de los berones, algunas de las cuales muestran en su decoración zoomorfos en perspectiva cenital, motivo recurrente de la cultura vaccea.
El colectivismo de los vacceos, entre el mito y la realidad histórica
Authors: Salinas de Frías Manuel
Published: November 2024

Desde hace pocos años, con el mejor conocimiento de los datos arqueológicos y con la reconsideración del significado de las fuentes clásicas en su propio contexto, se ha podido analizar de una manera crítica su verdadero alcance, colocando al pueblo vacceo y su estructura económica en el marco de lo que sabemos acerca de la economía de los pueblos prerromanos de la península ibérica.
Cincuenta años de arqueología vaccea
Authors: Romero Carnicero Fernando , Sanz Mínguez Carlos
Published: November 2024

Breve semblanza de la vida y obra de Federico Wattenberg Sanpere quien, con obras como «La región vaccea. Celtiberismo y romanización en la cuenca media del Duero» o «Las cerámicas indígenas de Numancia», revisó las bases para el conocimiento de las etnias prerromanas de la meseta gracias a su gran conocimiento de los distintos yacimientos. Sus estudios han sido completados y ampliados por varias generaciones de investigadores que han dado continuidad al conocimiento arqueológico de la región durante la segunda Edad del Hierro, desmontando viejas visiones unitarias.
CIBERCRIMES: ESTELIONATO VIRTUAL NO DIREITO BRASILEIRO
Authors: Vale Samya Gama do
Published: November 2024

The research addresses the topic of cybercrimes, focusing on virtual fraud in the context of Brazilian law. The main objective is to analyze the elements that make up the practice of virtual fraud, investigating its insertion in the Brazilian legal system and the evolution of the rules that govern this crime. In addition, the research discusses the emergence of virtual fraud, its distinctive characteristics and the punishments provided for in current legislation. The study also seeks to understand virtual crimes in Brazil and evaluate preventive measures aimed at victims, aiming to reduce and inhibit the practice of this crime, which has grown with the digitalization of everyday transactions. Strengthening digital education policies and creating protection mechanisms for users, especially the most vulnerable, are strategies that should be adopted in conjunction with the application of criminal laws. The conclusion highlights the need for more effective educational and legal policies to mitigate the damage caused by this type of fraud in the cyber environment.
PERCEPÇÃO CORPORAL E EQUILÍBRIO DINÂMICO DE PACIENTES AMPUTADOS POR MEIO DE TÉCNICAS DE ENFAIXAMENTO DOS COTOS
Authors: Belineli Núbia Alves , Assis Querem Danielle Rocha , Foresti Bruno Bonfim
Published: November 2024

Amputation, often caused by trauma, tumors or complications from vascular diseases such as diabetes mellitus, can lead to a series of emotional reactions in patients, including depression, imbalance and disorganization of the body's schema. Objectives: To evaluate amputee patients who use stump bandaging in terms of body perception and balance. Analyze the evolution of patients in relation to sensitivity, balance and body perception; identify the benefits or harms it may present and compare body perception with and without the aid of bandaging. Methods: Field research will be carried out, observational and descriptive, quantitative, longitudinal, exploratory and descriptive. with a sample of 10 amputee participants who answered a questionnaire about balance and body perception, which will be administered together with a professor from the institution. Results: Binding had a positive impact on the balance of amputee patients, with average scores of 21.9 points with bandaging, compared to 16.8 points without bandaging. Regarding functionality, patients with transfemoral amputation demonstrated greater ease in placing the prosthesis compared to patients with transtibial amputation. Conclusion: Berg Balance Scale has been shown to be effective in the results and qualification of functionality in patients with lower limb amputation. However, it is essential to highlight that the topic still requires further studies.
DOENÇAS RESPIRATÓRIAS EM MENORES DE 15 ANOS NO NORDESTE ENTRE 2019 E 2023: UM ESTUDO ECOLÓGICO
Authors: Batista Thaynar Cavalcante , Silva Coautores: Gielson de Sousa , Silva Alice Rayane Ferreira da , Aguiar Maria Carolina Silva , Cavalcanti Diogo Cleto , Carvalho Filho Luís Carlos
Published: November 2024

As doenças respiratórias, que incluem sintomas como tosse, expectoração, congestão nasal e dispneia crônica, são frequentemente associadas a infecções virais como influenza, rinovírus e coronavírus. Condições crônicas como a asma também são comuns em crianças. Com morbidade e mortalidade significativas, observa-se a importância do estudo contínuo dessas condições em crianças e adolescentes.
A EXIGÊNCIA DE POLÍTICAS PÚBLICAS PARA A CONTENÇÃO DA LITIGÂNCIA PREDATÓRIA
Authors: Januário Gustavo Roberto
Published: November 2024

This article aims to analyze the phenomenon of predatory litigation, which consists of the abusive use of the Judiciary with the intention of causing financial harm to third parties. Initially, the history of predatory litigation in the United States is presented, with the creation of antitrust laws and jurisprudence on the subject. Next, the metaprocedural effects of predatory litigation are addressed, which go beyond the judicial decision and may have strategic motivations. The article also analyzes the perception of the phenomenon by the Brazilian Judiciary, with the identification of emblematic cases and the adoption of measures to curb this practice. Finally, public policies are proposed to address predatory litigation, with an emphasis on awareness, prevention, institutional strengthening, and the promotion of alternative dispute resolution methods. The goal is to contribute to the construction of a more efficient and fair justice system, capable of curbing the abusive use of the Judiciary.
ASSISTÊNCIA DE ENFERMAGEM A MULHERES VÍTIMAS DE VIOLÊNCIA SEXUAL
Authors: Cruz Fernanda Bispo Da , Rodrigues Francyleide Da Silva , Gois Hellen Thais Vieira , Silva Joélio Pereira da , Cavalcante Conceição Ceanny Formiga Sinval
Published: November 2024

Sexual violence is a public health problem affecting millions of women worldwide, with severe consequences for their physical and mental health. In this context, nursing plays a fundamental role in attending to women who suffer domestico/sexual violence, highlighting the need for a victim-centered approach. Objective: To analyze the role of nursin in attending to victims of sexual violence, identifying challenges and perspectives for improving assistance. Methodology: Integrative literature review using databases: PubMed, Google Scholar, SciELO, and Virtual Health Library-BVS, including articles and publications from the last five years (2019-2023). Results: Significant challenges were identified in care, including lack of training, inadequate resources, and social stigma. Nursing plays a crucial role in welcoming and caring for victims, requiring a humanized and empathetic approach. Discussion: Nursing assistance to victims of sexual violence is essential for their recovery. It is necessary to invest in continuous training, adequate resources, and combating social stigma.Conclusion: Implementing standardized care protocols and providing psychosocial support to nursing professionals is also essential. Improving nursing assistance can enhance care effectiveness and promote the integral recove of affected women.
ANÁLISE SOBRE HERANÇA DIGITAL E A IMPORTÂNCIA DA REGULARIZAÇÃO JURÍDICA
Authors:   Wellington Martins da Silva, Pantoja Johabe Ferreira
Published: November 2024

The digital legacy, consisting of the data and digital assets that individuals leave after their death, is a topic that is becoming increasingly relevant in the digital age. This article provides an analysis of the importance of the succession of intangible digital assets. Aspects such as the definition and meaning of digital inheritance, its absence in legislation and relevant issues regarding its applicability are discussed, considering both supporters and opponents of digital inheritance. We also explain what hereditary succession is in Brazil and how it occurs according to court, decisions and precedents, as well as how cases involving the succession of digital assets are currently resolved. Thus, contributing to a better understanding of the application of inheritance rules to specific cases of digital inheritance and to legislative projects under consideration in the Chamber of Deputies to amend the 2002 Civil Code.
FLARE UP ENDODÔNTICO REVISÃO DE LITERATURA
Authors: Santos Ana Vitoria De Almeida dos , Arouca Ana Gabriela Reis
Published: November 2024

O flare up endodôntico é uma complicação que pode ocorrer durante ou após o tratamento endodôntico, também conhecido como tratamento de canal. É caracterizado por uma resposta inflamatória aguda nos tecidos periapicais, resultando em dor intensa, inchaço e sensibilidade ao toque.Existem várias justificativas possíveis para o flare up endodôntico, incluindo a presença de uma infecção bacteriana persistente nos canais radiculares, irritação dos tecidos periapicais devido à manipulação dos instrumentos endodônticos, substâncias químicas utilizadas no processo de limpeza e desinfecção dos canais, anatomia complexa do sistema de canais radiculares e dificuldades técnicas durante o tratamento.
OS AVANÇOS DA JURISDIÇÃO NO DIREITO BRASILEIRO
Authors: Sória Sílvia Gusmão , Nogueira Stefani Santiago , Cury Letícia Vivianne Miranda
Published: November 2024

Este trabalho tem por objetivo mostrar os avanços da jurisdição brasileira no intuito de tornar a justiça mais célere e acessível aos cidadãos, utilizando-se dos meios alternativos de solucionar conflitos, bem como uso de plataformas digitais.
MULHERES NA LIDERANÇA: PROMOVENDO A EQUIDADE NOS CONSELHOS ADMINISTRATIVOS ATRAVÉS DE ESTRATÉGICAS INOVADORAS.
Authors: Costa Adrielly Cristina Santos , Rosendo Ana Karolyne Barbosa , Silva Emily Caroline de Siqueira , Bezerra Taina dos Reis
Published: November 2024

O artigo apresenta a trajetória histórica e os desafios atuais da participação feminina no mercado de trabalho, com foco na representatividade nos conselhos administrativos das empresas. Inicialmente limitadas ao trabalho doméstico, as mulheres viram suas oportunidades expandirem-se ao longo dos séculos, especialmente com os movimentos sociais e mudanças econômicas. No Brasil, esse processo foi marcado por avanços significativos, mas também por desafios persistentes, como discriminação de gênero, disparidades salariais e dificuldades para conciliar trabalho e vida familiar. O estudo ressalta a importância da diversidade de gênero nos conselhos administrativos, evidenciando uma baixa representatividade feminina nesses espaços-chave de liderança empresarial. Para enfrentar esses desafios, são propostas diversas iniciativas e estratégias, incluindo políticas governamentais de incentivo à equidade de gênero, equidade salarial, promoção da flexibilidade no ambiente de trabalho, programas de desenvolvimento de liderança específicos para mulheres e mudanças na cultura organizacional. Essas medidas visam não apenas promover uma maior participação feminina nos cargos de liderança, mas também criar ambientes de trabalho mais inclusivos, diversificados e produtivos. Esse artigo defende que a equidade de gênero nos conselhos administrativos não é apenas uma questão de justiça social, mas também uma estratégia crucial para impulsionar o sucesso empresarial e a inovação.
PINK TAX: RELAÇÃO ENTRE O DIREITO TRIBUTÁRIO E A SEGURANÇA JURÍDICA
Authors: Santos Thayanara Picanço dos
Published: November 2024

A relação entre a Pink Tax, o direito tributário e a segurança jurídica são complexas. A segurança jurídica é fundamental para proteger os direitos dos consumidores e garantir que práticas discriminatórias, como a Pink Tax, sejam efetivamente combatidas. Assim, é imprescindível que as políticas tributárias considerem a equidade de gênero, promovendo uma abordagem que não apenas assegure justiça fiscal, mas também dignidade e direitos às mulheres no acesso a bens essenciais. Dessa forma, o tema convida à reflexão sobre a necessidade de regulamentação específica que elimine a discriminação de preços e reforce a segurança jurídica, assegurando que todas as pessoas, independentemente do gênero, tenham igualdade de condições no mercado de consumo. A análise da Pink Tax serve como um chamado à ação para a promoção de um sistema mais justo e inclusivo, que respeite a diversidade e combata as desigualdades econômicas e sociais.
Cardiovascular Profile of Patients With COVID-19 Infection Admitted in a Tertiary Care Hospital in Manila, Philippines: A 2-Year Single-Center Retrospective Study
Authors: Tugade Reynald Evan R , Ongjoco Edgar Y , Turalba Manolito M , Yabon Antonio , Bisquera Nichole Andrea N , Gonzales Leonico C , Maderazo Donna Aurea L , Santos Alyssa Maxine V , Suguitan Eleazar T
Published: November 2024

INTRODUCTION: Respiratory symptoms are the most commonly observed clinical manifestations in patients with COVID-19 infection; however, some patients may present with cardiovascular complications. Patients with underlying cardiovascular diseases are associated with increased mortality risk. This study aimed to provide local data on the clinical profile and cardiovascular outcomes and to determine predictors of in-hospital mortality among COVID-19 patients admitted to a tertiary care hospital in the Philippines.

METHODS: This single-center retrospective study included hospitalized patients diagnosed with COVID-19 between March 2020 and May 2022. Clinical parameters were subjected to univariate and multivariate regression analyses, with in-hospital mortality as the dependent variable.

RESULTS: A total of 1341 patients were admitted with a mean age of 50 years, half of whom were males. Hypertension is the most common comorbidity (728 [54.3%]), followed by diabetes mellitus (393 [29.3%]) and heart disease (136 [10.1%]). Patients admitted to the intensive care unit had significantly higher systolic blood pressure than non–intensive care unit patients (127 ± 19 vs 139 ± 26 mm Hg; P < 0.001), as well as higher plasma erythrocyte sedimentation rate, C-reactive protein, D-dimer, troponin, ferritin, and lactate dehydrogenase. The most common cardiac complications observed were heart failure (39%), acute cardiac injury (30%), and arrhythmia (30%). During hospitalization, 100 patients (7.4%) died; almost half were admitted to the critical care unit, and 84 had cardiac complications, with heart failure (21%) being the most common. Sinus tachycardia was the most common electrocardiographic abnormality (436 [32%]). Univariate analysis showed diabetes (odds ratio [OR], 2.7; P = 0.029) and hypertension (OR, 3.4; P = 0.11). Multivariate analysis revealed that age (OR, 1.095; P < 0.05) and admission duration (OR, 0.906; P < 0.05) were significantly associated with mortality.

CONCLUSION: This study highlights the clinical characteristics of patients contracted with COVID-19 who may experience several cardiac conditions. Therefore, particular attention should be given to the role of preexisting cardiovascular diseases and cardiac complications that may contribute to long-term outcomes. 

KEYWORDS: cardiac complications, COVID-19, cardiovascular outcomes
Impact of family financial pressure on voluntary work performances OCB & CWBs: Mediating role of family motivation and self-control
Authors: Samina Yaqoob  , Sana Afzal
Published: November 2024

This study aims to highlight the determinants and pathways that trigger employee functional and detrimental voluntary work performances i.e. OCB & CWBs. It is unclear whether family financial pressure is functional or nonfunctional for generating voluntary work behaviors. This study spotlights the paradoxical nature of family financial pressure. We theorize that family financial pressure is a double-edged sword that can produce positive OCB and negative CWBs employee voluntary work behaviors. We have collected data from manufacturing and service sector employees working in different organizations in Pakistan. This study found that family financial pressure is the salient determinant that can generate both functional voluntary work performance OCB and counterproductive voluntary work performance CWBs through unique pathways i.e. family motivation, state self-control failure. Family motivation acts as a partial mediator between family financial pressure and OCB and state self-control failure also partially mediated the link between family financial pressure and CWBs. The practical and theoretical implications are also discussed in this study.
Forehead Flap - A Salvage Option for Failed Anterolateral Thigh Flap in Buccal Mucosa Carcinoma Reconstruction
Authors: C Dr. Chandoorya , N Dr. Deenadayalan , Dr. Muralidharan
Published: November 2024

Introduction: Pedicled lateral forehead flap could be a valuable option for reconstruction in the floor of the orbit and floor of the mouth in the absence of other resources available.
Case presentation: A-57-year-old male with multiple comorbidities, underwent partial maxillectomy, hemi mandibulectomy and hemiglossectomy with infratemporal fossa clearance due to a rapidly spreading buccal mucosa carcinoma on the left side. The last resort was the pedicled lateral forehead flap after unsuccessful reconstructive attempts with an anterolateral thigh flap.
Discussion: The pedicled forehead flap which has rich vascularity, decreased donor site morbidity and reliable anatomy made it a favorable locoregional flap for oral reconstruction.
Conclusion: Flaps should be chosen considering the patient’s condition and resources available. Forehead flap due to its proximity is an ideal option for reconstruction of oral cavity defects.
The Impact of Antenatal Care and Pre-Referral Emergency Management on Eclampsia-Related Maternal Mortality in a Low-Resource Setting
Authors: Baskoro Boyong , Laksana Muhammad Ardian Cahya , Prasetyo Budi
Published: November 2024

Backgrounds: Maternal mortality due to eclampsia had a high case fatality rate. This is frequently due to a failure in detection and monitoring during the ANC, as well as inadequate emergency management of eclampsia.
Objective: To determine the impact of ANC and pre-referral emergency management of eclampsia-related maternal death at Dr. Soetomo and Airlangga University Hospital, Surabaya, Indonesia
Methods: Analytical study with a retrospective cohort design from 2022-2023, using medical records of eclampsia patients referred to Dr. Soetomo Hospital and Airlangga University Hospital to investigate the relationship between ANC, pre-referral emergency management of eclampsia-related maternal death. Bivariate analysis used the Chi-square test, while multivariate analysis used logistic regression.
Results: A total of 59 out of 65 patients met the inclusion criteria. Statistical analysis showed that study subjects aged ≥ 35 years had an association with maternal mortality in eclampsia cases (p = 0.007). A significant relationship also occurred in subjects who were not screened for preeclampsia (p = 0.013) and subjects who did not receive inadequate management of eclampsia (p = 0.000).
Conclusion: Pre-referral emergency management of eclampsia is associated with eclampsia-related maternal death, hence health facilities must increase their ability to address eclampsia emergencies before referral.
Covid-19 Policy Responses, Digital Health Apps and Data Sharing: Attitudes of Swiss Medical Students
Authors: Brall Caroline , Jox Ralf J. , Porz Rouven
Published: November 2024

Background: In this paper we present findings from a survey with 256 medical students in Switzerland about their perception of Covid-19 public health measures, their attitude towards digital health apps to respond to the pandemic, and whether the Covid-19 crisis changed their willingness to share their health data in the future for public health research purposes.
Results: Results show that most respondents indicated to be somewhat negatively affected by the pandemic, but deemed the public health policy responses to the pandemic in Switzerland as just right or even as slightly too unrestrictive. Most respondents evaluate the use of apps to respond to the pandemic as positive, and 61.7% indicated that they used the contact tracing app and 97.6% the immunity certificate app. The latter was evaluated more positively than the former. They indicated that a better communication about its benefits or the possibility to share health data for research (e.g. by listing Covid-19 symptoms and vaccination status) would improve the contact tracing app. Nearly all respondents indicated that they would share their health data or samples for research purposes in the future. The types of data they would be willing to share are mostly questionnaires about their health status, blood samples and other biological samples, with social media being the least willing to share. Our findings highlight that most respondents believe that their attitude towards sharing data for public health research did not change during or with the Covid-19 pandemic.
Conclusions: Recent developments in digital health app use were fuelled by the Covid-19 pandemic and the public – as a central actor – defined social trends with regard to digital health app uptake and willingness to share health data. With this survey we aimed to fill the gap of empirically examining how Swiss medical students – a young, technology- and medicine-inclined subpopulation, perceived the Covid-19 pandemic response, how they evaluate the related use of apps to respond to the pandemic as well as their willingness to share data for health research. The results may shed light on how the Covid-19-related use of technology and health data is changing the health landscape in Switzerland.
The Role of Epigallocatechin-3-gallate (EGCG) In Inhibiting MMP3 Expression and Human Pterygium Fibroblast Migration: A Review
Authors: Azhar Ahmad Aiman , Evelyn Komaratih  , Yulia Primitasari  , Purwanto Djoko Agus , Sasono Wimbo , Indriaswati Luki , Budy Surakhman
Published: November 2024

Background: Pterygium is characterized by the overgrowth of fibroblasts and the remodeling of the extracellular matrix (ECM), driven by MMPs. The review outlines the pathophysiology of pterygium, emphasizing the role of MMP-3 in cell motility, proteolysis, and angiogenesis. The recurrence rate of pterygium following surgical excision remains a significant challenge, with current adjuvant therapies like mitomycin-C presenting serious side effects. Methods: The review synthesizes findings from various studies on the effects of EGCG on MMP-3 expression and fibroblast migration. It discusses the mechanisms by which EGCG inhibits MMP-3 activity and its potential impact on pterygium progression. Findings: EGCG has been shown to inhibit MMP-3 expression and activity in several models, including mouse Lewis lung carcinoma-derived cells and photoaged hairless mouse models. It also suppresses the migration of human pterygium fibroblast cells, potentially preventing pterygium formation. EGCG's ability to reduce oxidative stress and modulate inflammatory pathways further supports its therapeutic potential. Conclusion: EGCG emerges as a promising agent for inhibiting MMP-3 expression and human pterygium fibroblast migration, offering a safer alternative to current adjuvant therapies. Its anti-inflammatory, antioxidant, and anti-angiogenic properties make it a potential therapeutic option for managing pterygium, warranting further clinical investigation.
A Preliminary Study: Neurological, Immunological, and Endocrine Aspects of Healthcare Workers without Burnout Syndrome
Authors: Ardani Yanuar , Shatri Hamzah , Koesnoe Sukamto , Yunir Em , Wiguna Tjhin , Wibowo Heri , Sawitri Dian Ratna , Sarwono Sugeng Joko , Mansyur Muchtaruddin , Ricardo William , Matilda Katarina  , Anggono Rendi Faris
Published: November 2024

Summary: Healthcare workers are vulnerable to stress and burnout, which can affect the Hypothalamus-Hypophysis Axis (HHA) pathway. This pathway can involve psychological, neurological, immunological, and endocrine aspects. These can be evaluated using the Maslach Burnout Inventory Human Services Survey (MBI-HSS), a heart rate variability tool, laboratory tests using salivary immunoglobulin-A (sIg-A), T-cell regulator (TC), endorphins, and salivary cortisol (SC) levels.
Purpose: This study aimed to describe the neurological, immunological, and endocrine aspects of healthcare workers without burnout syndrome
Methods: A quantitative descriptive study was conducted to describe the psychological, neurological, immunological, and endocrine aspects of healthcare workers. Purposive sampling was used.
Findings: Sixty-two participants took the MBI-HSS, and 30 participants without burnout were selected. There were 28 nurses, with an average age of 28 years old. About 93,3% of the participants were female, 80% worked at the emergency department, and 60% had over three years of working experience. From HRV test results, 14 participants were within the normal range (50-100 ms). The average -endorphine serum level is 481,93 pg/ml. Around 60% of participants showed normal SC levels, and 40% showed low SC levels (mean 5,72 ng/ml). Around 90% showed normal sIg-A and 10% high sIg-A levels (mean 501,6 g/ml). The average TC was 23% CD4, with 8,1% CD25 and 6,4% CD127.
Conclusion: This study found that average healthcare workers showed normal HRV, endorphins, SC, sIg-A, and T cell regulators, representing neurological, immunological, and endocrine aspects. Therefore, further study is needed to determine the impact of burnout syndrome on these aspects.
Intrauterine Infections and Preterm Birth: Literature Review
Authors: Rahmawati Yessi , Wihastuti Titin Andri , Hariyanti Tita , Raharjo Bambang
Published: November 2024

Objective: Premature birth is involved in the worldwide health sector problem and an important part challenge. This incidence rate continues to increase and currently, premature births occur in developing countries at 12.5% of all births. Infections within the uterus are associated with at least 40% of births occurring prematurely. Genitourinary tract infections can affect around 41% of women in their reproductive years worldwide may be affected, with 60-80% of these pregnancy-related infections being symptom-free. This article attempts to review the link relating intrauterine infections to premature birth. Data source: This study was taken from six electronic bibliographic databases, namely PubMed, Science Direct. ProQuest, Scopus, EBSCO and DOAJ employing the terms "intrauterine infection", or "premature delivery". Data from all journal articles, summarized according to the categories of the framework of concepts. The following summarization involves the compilation, analysis, and understanding of study data. Results: 10- 12% of intrauterine infections were found in pregnant women, and 20% of premature births were caused by intrauterine infections. The risk factors for this infection are known to be nullipara, lifestyle, and generally women of reproductive age who frequently change partners. There are several types of intrauterine infections, including Bacterial vaginosis, Chlamydia, Asymptomatic bacteriuria, Trihcomonas, and Syphilis. Conclusion: preterm birth has several risk factors, one of which is intrauterine infection that occurs during pregnancy. A quick and accurate diagnosis will help the process of treating intrauterine events in pregnant women to prevent preterm birth.
The Effect of Coaching Support Method on Interdialytic Weight Gain (IDWG) Changes Among Hemodialysis Patients
Authors: Patimah Iin , Nugraha Andri , Desri Silvia
Published: November 2024

This research aimed determine impact of Coaching Support Method on IDWG values in CKD patients receiving hemodialysis. This quasi-experimental analysis, conducted in 2023, engaged 28 hemodialysis patients in Garut, Indonesia. Subjects were randomly assigned to the control (n = 14) and intervention (n = 14) groups, The intervention was performed in case group as 4 training sessions during 2 weeks based on coaching support. IDWG values were rechecked before and after intervention. Data analysis was performed using SPSS, applying dependent and independent t-tests, with statistical significance set at p < 0.05. The mean scores of IDWG values showed statistically difference before and after intervention in the intervention group (p-value < 0.05)). Additionally, the mean scores of IDWG values showed statistically difference in intervention group and control group (p-value < 0.05) following the two-week session. Coaching Support Method can be done as an effective method in hemodialysis patient for reducing IDWG values in CKD patients receiving hemodialysis.
Romantic Concerns About Toxicity and Public Health: Literary Exploration of Contaminated Environment and the Significance of Literature in Historical Toxicology
Authors: Aftab Hariz , Rahaman Valiur
Published: November 2024

Poems of William Blake, William Wordsworth, S. T. Coleridge, Lord Byron, P. B. Shelley, and their contemporaries are freighted with allusions to the contaminated environment during the industrial revolution and post Tambora eruption (1815), reflective of socio-environmental realities of the Romantic period and their concerns about public health. This paper endeavors to examine Romantic poetry and assess early 19th-century toxic English landscapes to comprehend how environmental contamination was culturally perceived during this period. The study follows a critical convergence design between historical toxicology and Romantic literature for the synthesis of scientific analysis to reveal the thematic preoccupations of Romantic writing. Findings of the study demonstrate substantial references to the impact of direct release of industrial toxins into atmosphere and Tambora eruption’s toxic fallout. Literary engagements such as these foreground profound socio-ecological ramifications of toxic pollutants and offer richer insights for modern environmental policy-making and sustainable development. The study also follows an interdisciplinary approach to serve as a resource for the integrative analysis presented here and benefit the future research from its insights in filling out the understanding of how early 19th-century poets approached industrial and volcanic pollution.
Exploring the Nexus of Electric Vehicles, Environmental Health and Sustainability: A Comprehensive Bibliometric Review
Authors: Sehgal Simran , Malhan Divya , Nain Neha , Gothwal Ruby
Published: November 2024

This study analysed 636 papers from the Scopus database using bibliometric and graphical techniques to trace the evolving research on sustainability, environmental health (EH), and electric vehicles (EVs). Research patterns, notable authors, most contributing nations, associations, leading journals, and the most widely referenced publications were all noted. Although the top journals for EV policy research are Sustainability and Journal of Cleaner Production, Sovacool Bk is acknowledged as the most active contributor. The top two contributions are the USA and China, underscoring their vital roles in the creation of EVs and creative policies. The primary contributor to the field research is Tsinghua University. With the maximum citations, the study by Egbue (2012) in Energy Policy suggests a significant long-term influence. The study uses Bradford's Law to confirm that important research is concentrated in specific publications and Lotka's Law to analyse author productivity. The results indicate that certain authors are quite prolific, which are in line with Bradford's Law but not Lotka's Law. The seven thematic clusters that emerged were (a) "Sustainable transportation and policy," (b) "Sustainable mobility and energy," (c) "Environmental Impact and Circular Economy," (d) "Electric Vehicles Adoption and Climate Change," (e) "Battery and Lithium-Ion Technology," (f) "Shared and Connected Mobility," and (g) "Smart Grid and Vehicle-to-Grid Integration." Overall, the study highlights the importance of interdisciplinary EV research as well as the need for infrastructure, regulatory, and technology improvements to support sustainable EV adoption. By employing keyword co-occurrence analysis, the study offers academics and policymakers valuable information, establishing the framework for resolving problems and promoting innovation in the EV ecosystem.
Validity and Execution of Stress Ulcer Prophylaxis in Surgical Patients: A Single-Center, Retrospective Cohort Analysis in Islamabad, Pakistan
Authors: Malik Samana , Shakeel Sadia , Asad Mahnoor , Shanmugham Suresh , Szabó Zita Lívia , Jamshed Shazia
Published: November 2024

Introduction: Stress ulcer prophylaxis (SUP) is recommended in critically ill patients to prevent stress-related mucosal damage, however, there is inconsistent adherence to established standards and guidelines for those who receive SUP medications outside of this patient group. The present study aimed to evaluate the appropriateness of SUP medications for surgical patients at the tertiary care hospital in Islamabad, Pakistan. Methodology: A 1-year, retrospective cohort study was conducted, using a convenience sampling approach, involving patients undergoing surgical procedures at the Surgical Wards of a tertiary care hospital located in Islamabad. Data collection was performed using a pre-designed checklist, with main areas including demographic characteristics, data on their presenting complaint, SUP medications (dosage, route of administration and duration) and presence of stress ulcer risk factors.Results: n=418 patient records were assessed: the majority of the patients were female (62.6%; n=262), with a mean age was 53.6±11.7 years, treated at the General Surgery department (81.8%; n=342). All patients managed for SUP were prescribed PPIs; the most commonly used PPI was omeprazole, both orally (37.7%; n=158) and parenterally (39.7%; n=166). The majority of patients (72.2%; n=302) were prescribed SUP for an appropriate indication or an associated risk. 46.1% (n=193) received SUP as a discharge medication with no records showing a follow-up, and there was no clear evidence that suggested that SUP had been stopped. Conclusions: This study highlights the irrational prescribing of PPIs in non-critical patients and the improper continuing of PPI prescriptions after discharge in a real-world setting, indicating the need to address suggested protocols for rationalizing the use of SUP and limiting the use of PPIs for appropriate purposes.