bluuebunny/crossref_metadata_2025 huggingface dataset:
The role of personnel management in ensuring the quality of medical activities
Authors: Lazviashvili Levaz
Published: December 2024

Personnel management is a field of knowledge and practical activity aimed at providing the organization with highly trained personnel who can perform the labor functions assigned to them and ensure optimal utilization. The quality of medical services is primarily related to the following indicators, which clearly indicate the role of the human factor: the timeliness of medical care; the correctness of the choice of methods of prevention, diagnosis, treatment and rehabilitation when providing medical care; the degree of achievement of the planned result. Social quality - is the quality of culture, which is formed by the behavior and position of medical personnel towards patients. Employees must know not only the technology of providing medical care, but also the rules of interaction and behavior with patients. The human factor plays an important role in the provision of medical care. Medical personnel give priority to obtaining new knowledge in the profile direction. The safety mechanism of medical activities and internal quality control are associated with the development of a corporate culture of medical service quality and safety. The goal of creating a competence center is to accumulate and promote the dissemination of positive experience in the field of quality management to medical organizations. Regular training of personnel should promote the development of skills in business communication, consultation, conflict resolution, and professional competence.
Antioxidant and antibacterial activity of root extracts of Georgian medicinal plants obtained using different extraction methods
Authors: Mittova Valentina , R. Tseskhladze Zurab , Makalatia Khatuna , Bidzinashvili Roza , Mindiashvili Tornike , Kobiashvili Mariam , N. Roviello Giovanni
Published: December 2024

This study was designed to investigate the impact of different extracting solvents (methanol and DMSO) on the biological activities of root extract of Paeonia daurica subsp. mlokosewitschii (Lomakin) D. Y. Hong and Sempervivum transcaucasicum Muirhead. In vitro assessment of the antioxidant activity of extracts was performed using 2,2-diphenyl-1-picrylhydrazyl (DPPH assays), while their antibacterial activity was tested against Escherichia coli ATCC 25922 strain. The analysis of the obtained results revealed that the highest anti-DPPH potential and the highest antibacterial activity were achieved in the methanolic root extracts of both plants. The methanolic root extracts of Paeonia daurica subsp. mlokosewitschii exhibited significantly higher antioxidant and antibacterial activities in comparison with Sempervivum transcaucasicum root extracts. The results of the study indicated the possible use of root extracts of Paeonia daurica subsp. mlokosewitschii in pharmacy.
Pueblo mágico Puerto Balleto Islas Marías, México. Su pasado penitenciario a través de las permanencias arquitectónicas y urbanas
Authors: Avilés Quevedo Evangelina
Published: December 2024

Se estudian las permanencias arquitectónicas asentadas en el conjunto urbano de pueblo mágico Puerto Balleto Islas Marías, que testimonian un pasado penitenciario de Colonia Penal Federal (1905-2010) a Complejo Penitenciario (2010-2019). Estas edificaciones históricas son reutilizadas en la actualidad para los fines turísticos de este pueblo mágico (hospedaje, servicios, paisaje urbano, etc.). Sin embargo, estas arquitecturas de Puerto Balleto, aún no han sido valoradas de su pasado penitenciario y se acreditan como herencia cultural edificada de la Colonia Penal Federal Islas Marías y, por ende, podría perderse un testimonio único de las extintas colonias penales insulares de América Latina debido a la forma del tratamiento penitenciario de mujeres y hombres privados de libertad desarrollados en espacios tipo comunitario y denominados “campamento”. El objetivo es la valoración de las permanencias arquitectónicas de Puerto Balleto, para su protección y conservación para la presente y futuras generaciones. Para ello se utilizó la metodología cualitativa del método descriptivo para el análisis de la arquitectura y urbanismo de Puerto Balleto, a partir de las comparaciones de su pasado penitenciario y su actualidad como pueblo mágico. Los resultados muestran que las permanencias urbanas y arquitectónicas son parte del recurso turístico, pero al mismo tiempo, se convierte en un reto su valoración para su protección y conservación. Se concluye que existe poca planeación del uso del territorio para fines turísticos que atañe a las edificaciones históricas, por lo cual, se requiere estrategias y planes de gestión para la protección y conservación de la herencia cultural edificada penitenciaria para las presentes y futuras generaciones.
Fostering Critical Thinking Skills: The Role of Simulations in Science Education
Authors: Karimi Amir , Sari Winda Purnama , Yassin Abdulnassir
Published: December 2024

This article explores the role of simulations in enhancing critical thinking skills within the realm of science education. In today's rapidly evolving world, the ability to think critically is paramount, particularly in scientific fields where understanding complex concepts and navigating uncertainty are essential. Traditional instructional methods often fall short in promoting critical thinking, necessitating innovative approaches. Simulations offer dynamic, experiential learning opportunities that engage students in active problem-solving, decision-making, and collaborative exploration. By simulating real-world phenomena and laboratory experiments, simulations provide students with immersive experiences that foster deeper understanding and the application of scientific principles. This abstract encapsulates the importance of simulations in cultivating critical thinking skills and highlights their potential to shape the next generation of scientifically literate individuals.
Dampak Senam Hamil pada Tingkat Kecemasan Ibu Hamil
Authors: Adelia Andi Ardhia Nadila , Muaningsih  , Pratiwi Rizky , Mikawati  , Suriyani
Published: December 2024

Kecemasan merupakan kondisi yang normal terjadi tetapi akan menjadi gangguan psikologis jika terjadi secara berlebihan. Hal ini dapat menimbulkan dampak yang tidak menguntukan bagi ibu hamil.Untuk mengurangi kecemasan ibu hamil menjelang kehamilan maka dilakukan senam hamil, karena dapat merileksasikan, menguatkan dan mengencangkan otot perut.dalam gerakan senam hamil terdapat efek relaksasi yang bisa menstabilkan psikologis ibu hamil. Tujuan kajian ini adalah untuk mengetahui pengaruh senam hamil terhadap tingkat kecemasan pada ibu hamil  di Puskesmas Mamajang Kota Makassar. Metode yang digunakan dalam penelitian ini adalah penelitian kuantitatif ini Quasy Eksperimental dalam bentuk one group pre-test post design. Sampel yang digunakan sebanyak 36 responden dengan menggunakan teknik purposive sampling. Analisis data menggunakan uji Wilcoxon. Hasil penelitian ini menunjukkan bahwa distribusi tingkat kecemasan berat relatif tinggi sebelum melakukan senam hamil. Namun, setelah senam hamil, tingkat kecemasan ibu menurun, dengan sebagian besar ibu hanya mengalami kecemasan ringan.
Peer Counselor as A Preventive Effort Against Early Marriage Using the Health Belief Model Approach
Authors: Damayanti Eka , Astuti Dhesi Ari
Published: December 2024

Early-age marriage presents a significant challenge in many developing countries, including Indonesia. Marriages occurring before the age of 18 often lead to adverse outcomes for adolescents, including pregnancy and childbirth complications that elevate maternal and infant mortality rates. Additionally, early marriage commonly disrupts adolescent education, limiting future employment opportunities. Effective preventive strategies, such as the "KOTESA" initiative, empower adolescents using the Health Belief Model (HBM) approach. This study employed qualitative methods with a descriptive phenomenological approach, gathering data through in-depth interviews. Most participants were adolescents married before age 16, many experiencing their first pregnancy at a similarly young age. Such early marriages impact adolescents’ health, education, and economic prospects. Intervention through peer counseling, guided by the HBM approach, proved effective in increasing adolescent knowledge about reproductive health and in serving as a preventive measure against early marriage. The KOTESA program involves adolescents as peer counselors utilizing the Health Belief Model framework, which emphasizes behavioral change by enhancing perceptions of risk, highlighting benefits, and reducing barriers to prevent early marriage. It is recommended that stakeholders promote and support the KOTESA peer counseling model to encourage behavioral change among adolescents and reduce early marriage rates.
Exploration of Wien Displacement Law: A Fundamental Concept in Quantum Physics
Authors: Yohakim Yoman Ribeta Ratu , Maodjud Siti Hamia , Ngaga Elisabeth Jaa , Jufriansah Adi , Sahlan
Published: December 2024

This study explores the relationship between the temperature of a black body and the wavelength of the radiation it emits based on the Wien Displacement Law. This experiment collected maximum temperature and wavelength data using PhET simulation software and other supporting devices. The Wien Displacement Law states that the wavelength at which the maximum intensity of blackbody radiation occurs (λmax) is inversely proportional to the absolute temperature of the object (T). To test this law, the temperature of the blackbody was set at various values in the simulation, and the resulting maximum wavelength was recorded. The linear regression method analyzed the data to determine the temperature and maximum wavelength relationship. The analysis results showed a linear relationship with a coefficient of determination R2 = 1, indicating that the model fits the observed data well. The value of Wien's constant (b) calculated from the slope of the regression line is close to the theoretical value of 2.897 × 10-3 m.K, supporting the validity of the Wien Displacement Law. In conclusion, this study confirms that the maximum wavelength of electromagnetic radiation is inversely proportional to the absolute temperature of a blackbody, which agrees with the prediction of the Wien Displacement Law.
Understanding the Concept of Photo Electricity: Applications and Implications in Quantum Physics
Authors: Subandi Yunita Kristianti , Sulastri Endang , Bukangdonu Feronika , Yohakim Yoman Ribeta Ratu , Jufriansah Adi , Sahlan
Published: December 2024

This research investigates the photoelectric effect using PhET Simulation to verify and test hypotheses related to this phenomenon. The study focuses on the interaction between ultraviolet (UV) light and sodium electrodes, analyzing the relationship between light wavelength and the resulting electron energy. Through experiments, critical constants in physics, such as Planck's constant, are calculated to validate the theories of the photoelectric effect. The findings demonstrate a non-linear relationship between UV light wavelength and current strength, with optimal photon energy required to induce maximum electron ejection at specific wavelengths. This research highlights the significance of simulation tools in understanding quantum physics concepts and aims to enhance teaching methods for more effective and engaging physics education.
Nutritional Status Overview of Toddler Development in the Coastal Region of Bengkulu City, Indonesia
Authors: Amalia Annisa , Dewiani Kurnia , Novianti  , Yusanti Linda , Purnama Yetti , Yulyani Linda
Published: December 2024

The problem of delays in toddler development can be caused by nutritional status. Good nutritional status can affect a person's development. A person's nutritional status depends on nutritional intake and individual needs, if nutritional intake and needs are balanced then the nutritional status will be good otherwise poor nutritional status in toddlers can cause developmental delaysThe purpose of this study was to determine the characteristics of toddlers, characteristics of mothers who have toddlers, frequency distribution of nutritional status and development of toddlers in the coastal area of Bengkulu City. This research method is descriptive-analytic, sampling technique using incidental sampling technique, the analysis used in univariate analysis. The results showed the characteristics of toddlers, namely, the age of the dominant toddler was 36 months old 22.0%, the gender of the dominant toddler was female 52.4%, toddlers had a history of exclusive breastfeeding 75.6%, the last month toddlers suffered from infectious diseases 86.6%. The average age of the mother is 26-35 years old as much as 64.7%. The last education of the mother is the majority senior high school (58.5%), and the majority of the mother's work is housewife (84.1%). Low family income is 58.5%, the number of family members is dominant 4 people 41.5%. Toddlers in the Coastal Region of Bengkulu City have appropriate development with a percentage of 100% accompanied by good nutritional status dominated by toddlers aged 36 months 94.4%, malnutrition dominated by toddlers aged 30 months 11.8%, at risk of overnutrition dominated by toddlers aged 24 months 9.1%. There are no toddlers who experience malnutrition, overnutrition, and obesity. This study concludes that toddlers in the Coastal Region of Bengkulu City have appropriate development and predominantly good nutritional status.
Development of an IREC Learning Model Based on Reliable Practices to Boost the Character Achievement of Elementary Students
Authors: Mulyawati Ismuningsih , Dewantoro M. Hajar , Joko Susilo Mohamad
Published: December 2024

The character crisis of elementary school students since online learning during the COVID-19 pandemic requires Islamic education teachers to improve the quality of learning models that can boost character achievements. This research aims to determine the factors that influence the development of the IREC model and the quality of the IREC model. IREC is the subject matter of Islamic Religious Education and Character. This development research uses the Research and Development model with the stages of definition, design, development, and dissemination. Data collection techniques include interviews, questionnaires, and documentation as well as Focus Group Discussions. Qualitative descriptive data analysis techniques are carried out by analyzing, describing, and summarizing events from data obtained through the interview process, documentation, and observation. The research results show that the success of implementing the IREC model is influenced by supporting factors, namely competent Islamic education teachers, active participation of students, and material moral support from the Principal, Teachers, and parents. The inhibiting factor is the lazy attitude of students. The reliable practice-based IREC model has met the quality of feasibility based on assessments by material and media experts and has been feasible in wide-scale testing. The implementation of the reliable practice-based IREC model can increase the achievements of religious character, responsibility, honesty, discipline, tolerance, and independence.
Tinjauan Pustaka Sistematis tentang Dampak Literasi Membaca di Sekolah terhadap Keterampilan Komunikasi
Authors: Faihah Gress , Sulisworo Dwi
Published: December 2024

Rekayasa Perangkat Lunak Berbasis Bukti (Evidence-based Software Engineering/ EBSE) adalah pendekatan yang mendorong penggunaan bukti ilmiah sebagai dasar untuk pengambilan keputusan dalam pengembangan perangkat lunak. Konsep EBSE yang dikembangkan pada tahun 2004,  diperluas dalam publikasi di IEEE Software dan Metrics05. Dalam konteks EBSE, tinjauan literatur secara sistematis (Systematic Literature Review/ SLR) menjadi penting karena mengumpulkan dan mensintesis hasil penelitian terbaik. Studi ini bertujuan untuk mengevaluasi status terbaru EBSE sejak tahun 2004, dengan fokus pada artikel-artikel yang menggambarkan SLR. Penelitian ini juga bertujuan untuk memberikan wawasan tentang bagaimana literatur ilmiah telah mengeksplorasi hubungan antara literasi membaca di sekolah dan kemampuan berkomunikasi siswa, dengan penekanan pada metode SLR dalam kerangka EBSE.
Analysis of Tuan Tewo Traditional Ceremony in Samparong Village, Sikka Regency
Authors: Sarnia  , Mayaputri Velmi , Naro Antonius M. K.
Published: December 2024

Traditional ceremonies are one of the traditions of indigenous peoples that are considered to still have values that are quite relevant to the needs of the supporting community. In addition to being a human effort to connect with the spirits of ancestors, it is also a form of human ability to actively adapt to nature or the environment in a broad sense. This research aims to analyze one of the traditional ceremonies in Indonesia, especially in Samparong Village, Sikka Regency. The traditional ceremony is called Tuan Tewo. The researcher uses qualitative methods. The data collection techniques used in this research are interviews and documentation. The results discuss several stages in the Tuan Tewo ceremony process. Tuan Tewo ceremony process has two stages, namely the ritual preparation stage and the implementation stage. In addition, this research found Samparong community perspectives towards the Tuan Tewo traditional ceremony in Samparong Village, where the Tuan Tewo traditional ceremony is only a form of preserving their culture and customs left by their ancestors. The impact of not implementing the Tuan Tewo traditional ceremony is that this is quite old ancestral heritage and various bad things hit the farmers' crops. Therefore, the Samparong community in Sikka Regency has to maintain the tradition of the Tuan Tewo ceremony as an expression of community identity. The local government should be able to continue mobilizing the community to be actively involved in the preservation of Tuan Tewo's traditional ceremony. In addition, it is also hoped that the government will include all traditions carried out by local communities in an educational aspect.
Socio-Economic Abuse of the Victims of Human Trafficking in Arusha Tanzania
Authors: Mkude Mathias , Sewando Ponsian , Magesa Rehema John
Published: December 2024

Human trafficking has been pervasive around the world with millions of people being trapped in this cycle. The victims of human trafficking encounter many grievances including physical, psychological, sexual, cultural, and even economic abuse. Economic abuse to victims of trafficking is used as a control measure by the perpetrators of human trafficking. In Tanzania, the problem has been persistent with great consequences. It is with this concern that this study embarked on a research journey to examine economic abuse inflicted on the victims of human trafficking. The study applied both probability and nonprobability sampling to select the respondents. A total of 400 respondents were selected for the study. The study revealed that most respondents (72.5%) complained of having big debts built from false accusations from their employers and 74% reported having irregular salary payments respectively. Also, a good number reported working long exhaustive hours with little or no pay (67%).  Only a few respondents (14.1%) reported that they are denied have bank account and if they have, they are not allowed to access it. Also, the study found that 13% of the respondents that their employers had control of their mobile money accounts. They reported that the bosses usually check to see the balance of the accounts.
Designing the Future: Exploring the Smart Manufacturing Ecosystem and Future Landscape
Authors: Bouguern Siham
Published: December 2024

The manufacturing industry has continuously evolved alongside technological advancements, progressing from steam engines to electricity, microprocessors, computers, automation, and most recently, artificial intelligence, the Internet of Things (IoT), and cyber-physical systems. This digital transformation has ushered in the era of smart manufacturing, characterized by the development of intelligent systems. In this paper, we provide a comprehensive exploration of the smart manufacturing ecosystem, assessing its current status and forecasting future trends. Key elements and technologies central to smart manufacturing and Industry 4.0 (I4.0) encompass digital manufacturing, big data analytics, cloud manufacturing, digital twins, IoTs, and smart factories. Our research adopts a qualitative approach, offering a broad perspective on the concept of smart manufacturing. This paper aims to explore these emerging trends and shed light on future opportunities associated with this digital transformation. Consequently, enterprises need to redesign their businesses and models to achieve the benefits disclosed by these new settings.
Optimizing Layout Structure in the ASOS Application Using the GeM Framework
Authors: Wardhani Nabila Kusuma
Published: December 2024

The study aims to identify key elements such as icons, text, and paragraphs within the ASOS application. The research seeks to provide insights into the application's design, emphasizing simplicity that appeals more to younger users compared to adults. The study employs a qualitative descriptive research method to analyze the data, which consists of screenshots from the ASOS application taken on a mobile phone. Data collection focuses on various screens, including the home screen, categories screen, Ramadhan edit screen, brand screen, my bag screen, and add address screen. The analysis reveals that the application contains numerous hyperlinks facilitating the selection and purchase of goods. From the examined screens, the author identifies 207 base units, which are further classified into 51 base layouts.
Pengembangan e-LKPD pada Materi Relasi dan Fungsi dengan Model PAKEM untuk Meningkatkan Kemampuan Berpikir Kreatif
Authors: Astiwi Wuri , Siswanto Deny Hadi
Published: December 2024

Penelitian ini bertujuan untuk mengeksplorasi pengembangan e-LKPD relasi dan fungsi bermodel PAKEM yang memenuhi kriteria valid, praktis serta efektif guna peningkatan kemampuan berpikir kreatif. Penelitian yang digunakan adalah penelitian dan pengembangan bermodel ADDIE yang diikuti 30 siswa kelas VIII A SMP Dr. Wahidin Mlati. Teknik pengumpulan data menggunakan obeservasi dan tes. Hasil penelitian menunjukkan bahwa hasil validasi ahli media mencapai skor 3,67, yang dikategorikan valid, dan validasi oleh ahli materi dengan skor 4,32, berkategori sangat valid. Dari angket yang diberikan kepada siswa, rata-rata skor respon mereka adalah 3,42, yang dikategorikan praktis. Skor rata-rata posttest adalah 81,46, sedangkan skor rata-rata pretest adalah 45,83. Uji T pada sampel berpasangan  menunjukkan sig. lebih besar dari α (0,00 < 0,05), yang mengindikasikan adanya perbedaan signifikan dalam kemampuan berpikir kreatif siswa sebelum dan sesudah penggunaan e-LKPD. Skor N-Gain yang diperoleh adalah 0,66, yang dikategorikan sedang.
Implementasi Pembelajaran Kooperatif Tipe Student Team Achievement Division Berbasis Blended Pengembangan E-Modul Berbantuan PhET pada Materi Listrik Dinamis
Authors: Yusuf Nurul Safira , Al farizi Zakaria , Rusdin Muhamad Epi
Published: December 2024

Kurikulum Merdeka menuntut peserta didik untuk berperan aktif, kreatif dan inovatif dalam proses pembelajaran. Oleh karena itu, dibutuhkan sebuah bahan ajar interaktif yang dapat membantu peserta didik dalam memahami konsep materi pembelajaran terutama pada pelajaran IPA. E-Modul merupakan salah satu media interaktif yang dapat membantu peserta didik dalam belajar secara mandiri, memahami materi, serta meningkatkan minat peserta didik. Pada penelitian ini bahan ajar yang dikembangkan berupa E-Modul interaktif sebagai bahan ajar peserta didik kelas IX dengan berbantuan PhET Simulation untuk memudahkan peserta didik dalam melakukan percobaan secara visual. Pengembangan E-Modul ini dilakukan dengan menggunakan aplikasi canva dan heyzeline. Penelitian ini memiliki tujuan untuk mengetahui tingkat kevalidan dari pengembangan E-Modul interaktif berbantuan PhET pada materi listrik dinamis kelas IX. Metode dalam penelitian ini adalah Research and Development (R&D) dengan menggunakan model ADDIE (Analyze, Design, Development, Implementation, Evaluation) dengan uji validasi produk. Uji validasi bahan ajar E-Modul menggunakan instrumen lembar validasi yang telah divalidasi oleh ahli instrument, dan juga produk pengembangan E-Modul divalidasi oleh ahli materi dan ahli media. Tingkat kelayakan E-Modul interaktif berbantuan PhET pada materi listrik dinamis  ini mendapatkan nilai menurut ahli materi yaitu 91% dengan kategori “sangat layak”, dan  ahli media mendapatkan nilai persentase sebesar 86% dengan kategori “sangat layak”.
Penerapan Teknik Mindfulness dalam Proses Pembelajaran di Sekolah Menengah Atas
Authors: Putri Helena Anggraeni , Hardi Yuwono , Alghiffari Eka Kevin , Siswanto Deny Hadi
Published: December 2024

Penelitian ini bertujuan mengeksplorasi penerapan teknik mindfulness dalam pembelajaran di Sekolah Menengah Atas negeri maupun swasta. Penelitian menggunakan pendekatan deskriptif kualitatif untuk pemahaman mendalam. Data dikumpulkan melalui observasi, wawancara, dan dokumentasi, lalu dianalisis untuk mengidentifikasi pola dan tren. Hasil penelitian menunjukkan praktik mindfulness diterapkan luas di beberapa sekolah swasta, sementara di sekolah negeri masih terbatas. Faktor utama yang memengaruhi penerapan meliputi keberadaan guru proaktif dan dukungan administratif. Penelitian ini memberikan gambaran menyeluruh tentang integrasi mindfulness, mencakup manfaat, tantangan, dan strategi penerapan. Tantangan seperti kurangnya pemahaman dan keterbatasan sumber daya menghambat penerapan luas. Penelitian lanjutan diperlukan untuk mengeksplorasi efek jangka panjang dan mengembangkan strategi efektif mengatasi hambatan, termasuk pelatihan dan pendampingan bagi pendidik serta dukungan administratif lebih kuat.
Fuentes de emisión de las partículas suspendidas en el aire de la ciudad de La Paz, Baja California Sur, México
Authors: Alonso-Lozano Lilia , Bermúdez-Contreras Alfredo Sergio
Published: December 2024

Al año ocurren 6.7 millones de muertes prematuras relacionadas con la contaminación atmosférica mundialmente. Las partículas suspendidas son uno de los contaminantes de mayor interés en la salud, debido a su impacto por tamaño, composición y forma. El uso excesivo de combustibles fósiles para la generación de electricidad y la alta tasa vehicular en la ciudad de La Paz, Baja California Sur, cumple un rol fundamental en la emisión de las partículas. El presente estudio examinó la composición de las partículas suspendidas en el aire de la ciudad de La Paz y sus posibles fuentes de emisión. Desde cuatro sitios de muestreo de 3 m de altura y durante un año se colectaron partículas suspendidas en filtros de teflón utilizando una bomba de succión de aire. Mediante análisis de composición química se identificaron 14 elementos en 96 muestras, destacando el níquel y vanadio por sus altas concentraciones. Los análisis estadísticos indican que los elementos se emiten por tres grupos de fuentes: natural; autos, pinturas, huella de plomo; centrales eléctricas. Las concentraciones de los elementos se incrementan durante el invierno debido a la disminución de la temperatura, inversiones térmicas y vientos estacionales. Estos hallazgos destacan su importancia para la salud pública.
Effectiveness of Clinical Training in Influencing the Outcome of Visual Inspection with Acetic Acid in Selected Facilities at a County in Kenya
Authors: Maina Evah , Maingi Nancy , Ongeso Abednego
Published: December 2024

Background: Cervical cancer remains a major health concern in developing countries, primarily due to the presence of human papillomavirus (HPV) types 16 and 18. Visual Inspection with Acetic Acid (VIA) is a common and affordable screening method, yet its effectiveness is closely tied to the skills and competency of healthcare providers. This study aimed to assess the impact of clinical training on improving VIA screening outcomes for cervical cancer in a county in Kenya.

Methods: Seven government health facilities equipped with cryotherapy machines were selected, with two healthcare providers sampled from each. A six-day VIA training intervention was conducted, combining theoretical instruction with hands-on clinical practice using preceptors to guide trainees. Baseline data were collected using questionnaires, abstraction tools, and observational checklists, followed by pre-and post-tests to measure knowledge and skill improvement.

Results: The training program significantly improved the healthcare providers’ knowledge and VIA skills (p<0.001). The cervical pre-cancer positivity rate increased from 0.8% at baseline to 14.1% post-intervention, indicating enhanced detection abilities.

Conclusion: VIA is a viable screening method in low-resource settings when healthcare providers are adequately trained. Enhanced provider confidence and competency contribute to better screening uptake and patient outcomes, highlighting the importance of integrating clinical practice with VIA training for sustainable cervical cancer prevention.
Impact of COVID-19 on Christian Wellness: A Study among Adventists in Kajiado County
Authors: Odhiambo Janet Nyaboke
Published: December 2024

Background: Pandemics disorganize society, and COVID-19 was no exception. COVID-19 significantly impacted the religious practices and lifestyles of millions of believers worldwide. Following COVID-19 guidelines from the World Health Organization, social gatherings, including church attendance, were discouraged, affecting members’ spiritual well-being and church life. This study aimed to determine how COVID-19 impacted Christian wellness from the perspective of church members.

Methods: This study used a descriptive survey design to collect data on how COVID-19 affected the Christian wellness of Seventh-day Adventists in Kajiado County through a questionnaire. Statistical analysis was performed to determine the extent of these changes and identify the key factors contributing to wellness outcomes.

Results: The findings indicated that spirituality, stewardship, and fellowship practices declined significantly during virtual worship compared to face-to-face worship.

Conclusion: These results provide insights that may enhance support mechanisms toward mitigating the unique challenges religious communities face during global health crises.
Knowledge of Mpox, Media Exposure, and Clinical Experience:
Authors: Mvuyekure Aime Fidele Ndayiragije , Muhayimana Daniel , MVuyekure Simon Pierre Ndayishimye , Tuyishime Jean Claude
Published: December 2024

Background: This study aimed to determine the predictors of nursing students’ preparedness for disease outbreaks and the relationships between knowledge of Mpox, media exposure, and clinical experience, as moderated by demographic variables. One hundred respondents were selected using stratified random sampling from four academic levels at the University of Gitwe.

Methods: The study employed a Quantitative research design. The results indicated that the respondents had high knowledge of Mpox (66%), high media exposure (mean = 2.69, SD = 0.743), and substantial clinical experience (mean = 2.58, SD = 0.794). Despite facing certain challenges, there was a high level of preparedness for disease outbreaks, particularly concerning Mpox (mean = 2.77, SD = 0.73).

Findings: The study found that knowledge of Mpox had a negligible and non-significant correlation with preparedness for disease outbreaks (rho = -0.077, p = 0.445). Conversely, media exposure exhibited a moderate positive correlation with preparedness (rho = 0.636, p < 0.001), while clinical experience showed a positive but non-significant relationship (R² = 0.142).

Conclusion: The findings suggest that media exposure and clinical training programs enhance students’ preparedness to manage disease outbreaks. Media exposure was identified as the most significant predictor of preparedness. Based on these findings, it is recommended to integrate media literacy, structured clinical training, and disaster preparedness workshops into nursing education curricula to strengthen students’ capacity to respond to public health emergencies effectively.
Psychiatric Morbidity among Primary Caregivers of Children with Neurodevelopmental Disorders at a Teaching Hospital in Kenya
Authors: Lusimbo Louise N. , Chesire Irene , Kinyanjui Daniel
Published: December 2024

Background: Psychiatric morbidities are often underdiagnosed among the primary caregivers of children with neurodevelopmental disorders who attend child clinics; however, they are frequent and are associated with adverse outcomes. An integrated management program, which is an evidence-based approach to psychiatric morbidity management, remains an exception in most hospital settings. This study investigated the prevalence of psychiatric morbidity and its associated factors among primary caregivers of children with neurodevelopmental disorders.

Methods: A descriptive cross-sectional study was conducted with 357 respondents in child clinics at a teaching hospital between January 2023 and December 2023.

Results: Most respondents (225, 63%) had at least one psychiatric morbidity, and the majority had major depressive episodes (147, 41.2%). Lack of family support was associated with at least one psychiatric morbidity (p = 0.009).

Conclusion: Primary caregivers of children with neurodevelopmental disorders attending outpatient child clinics experience psychiatric issues, especially major depressive episodes and anxiety disorders. Primary caregivers without an alternative caregiver or family support are more likely to suffer from psychiatric disorders.
Systematic Review of the Relationship Between Handgrip Strength and Blood Glucose Levels in Young Adults and the Elderly
Authors: Ojulari Lekan Sheriff , Agodirin Olayide Sulaiman , Swabirah Eniamire Sulaiman Swabirah Eniamire Sulaiman , Mohammed Amali Mohammed Amali
Published: December 2024

Background: Handgrip strength (HGS) is an indicator of overall muscle health and is affected by impaired blood glucose levels. This review discusses the relationship between HGS and blood glucose levels and provides solutions to the known problems of HGS and blood glucose regulation.

Methods: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. The articles were sourced from Google Scholar and PubMed. A total of 418 studies were screened, of which 19 articles were included in this study. The Newcastle–Ottawa Scale was used to assess the risk of bias.

Results: A relationship was observed between low HGS and high blood glucose levels. The suggested mechanisms involve insulin resistance, Caspase-3 activation, and the mitochondrial impact. Sarcopenia emerged as an independent risk factor for impaired glucose control. Interventions including insulin administration and exercise have been proposed to preserve muscle mass.

Conclusion: Resistance training and HGS exercises can be added to the rehabilitation practices for managing diabetes mellitus. HGS measurements are vital for predicting muscle mass loss in clinical practice.
Perceived Effects and Prevention of Polycystic Ovary Syndrome among Women Living in Ilorin-South LGA, Kwara State, Nigeria
Authors: Jamiu Abdulqudus Tosin , Ijaodola Tawakalitu Kikelomo , Obaditan Opeyemi Funke , Uthman Kamalud-deen Adekunle , Mutairu Khadijah Morenikeji
Published: December 2024

Background: Women of reproductive age are susceptible to polycystic ovarian syndrome (PCOS), one of the most prevalent hormonal disorders. The disease begins at puberty and symptoms could fluctuate over time. This condition is characterized by disruption of follicular development, which affects the ovaries and ovulation. This study aimed to identify obesity and infertility as perceived effects, while checking a healthy diet as perceived prevention of polycystic ovary syndrome among women living in the study area.

Methods: A descriptive survey was conducted with 258 respondents. The instrument used for gathering data was tested and verified questionnaire. The data obtained were tested using chi-square analysis.

Results: The study revealed that obesity (ᵪ2 =42.837) and infertility (ᵪ2 =76.729) are significant perceived effects of polycystic ovary syndrome and healthy diet (ᵪ2 =39.442) is a significant perceived prevention of polycystic ovary syndrome @ 0.05 alpha level.

Conclusion: The study concluded that there is a need for proactive interventions to reduce menace caused by PCOS. The study suggests that
BPA.BPS Histological Comparison of Splenic Hemosiderosis Toxic Effect of Bisphenol A (BPA) and Bisphenol S (BPS) in Mus Musculus
Authors: Manzoor Asif , MUHAMMAD BILAL SHAHID  , AYESHA SHAFIQ
Published: December 2024

Bisphenol A (BPA) and Bisphenol S (BPS) are phenolic organic compounds. These compounds are commonly used in the manufacturing of plastic containers, epoxy resins, food and drink cans, water pipes, electronic equipment, thermal paper, kitchen utensils, toys, and dental sealants. The general population exposed to bisphenol S, both directly (through oral and/or topical routes) and indirectly (through environmental pollution and/or food chain).? The main objective of the study was to evaluate the effect of Bipshenol A and Bisphenol S on the spleen of mice. Mice were equally divided into three groups, i.e., Control group (given water only), and dose group II (orally administrated 40mg/kg body weight, Bisphenol A for the period of 21 days) and dose group III (orally administrated 40mg/kg body weight, Bipshenol S for the period of 21 days) after dissection the spleen of the all mice were extracted and further processed for morphological, morphometric and histological analysis. The Bisphenol A treated group of mice shown that an evident (p<0.001) increased in the body weight and the spleen weight of the Bipshenol A treated dose II treated group as compared to the control group, where significant (p<0.001) decreased in the body and spleen weight were observed in the dose group III bisphenol S in comparison of with the mice of dose group II Bisphenol A. Histological analysis of dose group II Bisphenol A showed some abnormalities in the Spleen of mice like parenchymatic cells with an increased number of megakaryocytes, vacuolated cytoplasm, and irregular nuclei, thickening in the capsule, destruction of marginal zone red pulp and destruction in the white pulp. It concluded that the excessive and long-term use of Bisphenol A and Bisphenol S leads to impaired vital organs of albino mice, causing the impairment in blood parameters and splenic toxicity. This plastic product must be used with care, particularly for products underuse by children.
Detection of African Swine Fever Virus in Pigs Slaughtered at abattoir, Jos, Plateau State Nigeria.
Authors: YILTAWE SIMWAL WUNGAK  , LEKKO YUSUF MADAKI , ULARAMU HUSSAINI GULAK  , DANG JEMIMAH SUNDAY
Published: December 2024

African swine fever (ASFV) is a reportable disease of swine, with serious economic limitations associated with losses in terms of production and international trade. About 100 spleen tissue samples were collected from abattoir Jos, Plateau State over a period of five weeks. The samples were prepared and analyzed using blocking enzymatic immunoassay (Blocking ELISA) test kit to test for antigen against ASFV. The result revealed an overall prevalence of 17% (95 CI: 10.6-25.3).  The prevalence based on sex indicate a higher prevalence in male pigs 21.73 (95% CI 11.6 - 35.34) than in female pigs 12.96 (5.85 - 23.97); however, the difference in prevalence is not statistically significant p>0.05. The finding confirms that ASF is endemic in Plateau and the ASFV is prevalent in the study area. The circulation of the virus is a great risk and has a negative impact on the means of livelihood and food security in the state and the country at large. It is therefore recommended that further studies be carried out to investigate the possible source of the infection on ASFV positive pigs and also characterized the ASFV antibodies in pigs and pig's farmers should ensure strict adherence for biosecurity measures on their farms.
Preclinical Study of Celtis Occidentalis Leaves Extract on Pancreatic Injury and Inflammation Against Acetaminophen-Induced Acute Pancreatitis in Rats
Authors: ABDUL MUHSIN  , SAWAIRA NAZIR  , SAMI UR RAHMAN  , SHAHDIAR KHAN  , ABDULLAH  , MUHAMMAD WASEEM
Published: December 2024

Acetaminophen is used as a painkiller and to alleviate fever. With or without a prescription, overdoses of acetaminophen lead to acute inflammation of the pancreas, cause degeneration of pancreatic tissues, and elevate the blood pancreatic enzyme level. This research aims to investigate the protective and anti-inflammatory potential of the methanolic extract of Celtis occidentalis leaves against acetaminophen-instigated acute pancreatitis. Thirty adult male Swiss albino rats were divided into five groups; each group has six individuals (n = 6). Group I is considered a control group without any treatment. Group II was given a single dose of acetaminophen (1000 mg/kg/b.w.) for fourteen days consecutively. Group III was given a dose of acetaminophen (1000 mg/kg/b.w.) before Imipenem (500 mg/kg/b.w.) administration. Groups IV and V were also given a single dose of acetaminophen (1000 mg/kg/b.w.) before the administration of methanolic extracts of low dose (150 mg/kg/b.w.) and high dose (300 mg/kg/b.w.). Results clearly indicate that the pancreatic enzymes (serum amylase and serum lipase) significantly increased in the acetaminophen treated group, which shows the induction of acute pancreatitis. Animals treated with methanolic extracts of low dose (150 mg/kg) and high dose (300 mg/kg) significantly (P<0.01 and P<0.001) reduced the serum pancreatic enzyme level. Histopathological assessment of the pancreatic tissues of different treatment groups also revealed that acetaminophen severely altered the pancreas morphology, but treatment with methanolic extract (150 mg/kg and 300 mg/kg) vigorously recovered the alterations as compared to the Imipenem (500 mg/kg) treated group. It should be concluded that the methanolic extract of C. occidentalis has bioactive compounds with strong antioxidant and anti-inflammatory properties that potently regenerate histological alterations induced by acetaminophen in the pancreas.
Analysis of Public Services for Receiving Complaints at The Integrated Police Service Center of The Bali Region
Authors: Swandi Recky Tanzillazil Rachim , Mahendra I Made Agus , Widyantari Ni Luh Putu
Published: December 2024

This research analyzes public services related to receiving complaints at the Integrated Police Service Center (SPKT) in the Bali Region. SPKT serves as the frontline for the Indonesian National Police, which emphasizes the importance of effective complaint handling to gain the trust of the public. This study aims to evaluate service delivery through indicators such as response time, clarity of procedures, and officer professionalism. Using a qualitative approach, data was collected through interviews, observations, and document studies. The main findings show that although most respondents expressed satisfaction with the SPKT service, there are still some significant obstacles, including a lack of public understanding of the complaint procedure, limited facilities, and inadequate use of technology. These factors hinder effective service delivery and impact on public trust in the police. This study highlights the need for increased efforts, especially in socializing complaint procedures, optimizing the use of technology, and providing training for responsive and efficient services. Recommendations for Polri include improving communication strategies and infrastructure to better serve the community. Ultimately, this study contributes to the ongoing discourse to improve public services in law enforcement, aiming to foster greater community satisfaction and trust in the police institution.
SAFEty assessment of a REdirection process after TRIage (SAFE RETRI) by a triage nurse in an emergency department: a monocentric cohort study
Authors: Déglise Alexandre , Guechi Youcef , Le Terrier Christophe , Ribordy Vincent , Feral-Pierssens Anne-Laure , Schmutz Thomas
Published: December 2024

AIMS OF THE STUDY: As emergency department consultations rise across Europe, patients must be guided to obtain appropriate care at the right time and place.In Switzerland, the absence of a unique health number that would enable the avoidance of emergency services through telephone medical advice, and the shortage of general practitioners, redirecting low-severity patients from the emergency department before medical consultation to other healthcare facilities could help reduce emergency department overload. This study assessed the safety of a newly implemented redirection process by examining the rate of unexpected returns to any healthcare facility.
METHODS: This monocentric cohort study included patients aged 18 or older who presented to the emergency department of a regional hospital in Switzerland between 1 January and 31 May 2023 and who accepted redirection before medical consultation. Patients were identified from our electronic medical registry and retrospectively enrolled after telephone interviews. The primary outcome was the rate of unexpected returns to any healthcare facility within 2 days of redirection. The secondary outcomes were the rate of returns within 7 days, hospital admissions, and patient satisfaction.
RESULTS: Among 16,362 patients who came to the emergency department during the study period, 688 (4%) were redirected. A total of 321 patients were included in the final analysis after telephone interviews. The rate of unexpected returns to any healthcare facility after redirection was 4% within 2 days and 16% within 7 days. The rate of returns to any hospital was 1.2% within 2 days and 4.7% within 7 days after redirection. Six patients (2%) required hospitalisation, and no fatalities were reported. The mean satisfaction score was 3.9/5 (standard deviation [SD] = 1.1) for triage experience, 4.4/5 (SD = 1) for care received in partner clinics, and 3.7/5 (SD = 1) for the redirection process.
CONCLUSION: The rate of unexpected returns to any healthcare facility after redirection was 4% within 2 days and 16% within 7 days. The implementation of this protocol appeared to provide safe redirection to nearby clinics for redirected low-acuity patients. Satisfaction with care received in partner clinics was high, although it was lower for the redirection process and triage experience.
PENELITIAN PROSPEK PENGEMBANGAN TANAMAN DAUN BAWANG (Allium porum L.) DI KELURAHAN LANDASAN ULIN KECAMATAN LIANG ANGGANG KOTA BANJARBARU
Authors: Baparki Ahmad
Published: December 2024

The prospect of developing spring onion (allium porum l.) plants in Landasan Ulin Village, Liang Anggang District, Banjarbaru City, South Kalimantan Province”. This research was conducted on Jalan Sumber Murni, Landasan Ulin Utara Village, Liang Anggang District, Banjarbaru City, South Kalimantan Province. The average production is 462 kg/farmer, with the prevailing price of Rp. 15,000/kg, the average income of spring onion farmers is Rp. 6,975,000/farmer. The average income obtained by farmers in one harvest season is Rp. 2,586,781.85 per farmer
Gamificação e Wearables: Uma Proposta para Aumentar a Retenção e o Engajamento em Academias
Authors: Rodrigues Lucas B. , Orlow Gabriel , Emmanuel Lucca , Oliveira Murilo de , Moreira Julia , Alves Leonardo Antônio , Melo Paulo César Ferreira , Carvalho Luan Cesar Dutra
Published: December 2024

O presente estudo explora a integração de tecnologias de gamificação e dispositivos vestíveis em academias como método para aumentar o engajamento e a retenção de usuários. Analisamos a metodologia MOOVZ, que utiliza um sistema de recompensas e dispositivos vestíveis para criar uma experiência de fitness envolvente através de zonas alvo individuais para cada usuário. Propomos também uma abordagem estatística para avaliar o impacto de longo prazo dessas estratégias na retenção e engajamento dos usuários. Este estudo contribui para a literatura existente ao fornecer insights práticos para futuras implementações e estabelecer uma base para a avaliação de longo prazo do impacto da gamificação na retenção de clientes em estabelecimentos de fitness.