bluuebunny/crossref_metadata_2025 huggingface dataset:
Exploring the Impact of Self-Leadership on Work Motivation and Nursing Performance
Authors: Prastito Firman Prastito , Suminar Ervi , Fitrianur Widya Lita
Published: November 2024

Background: Self-leadership is a process that exists within a person to increase motivation and direct himself to behave in a way that is in accordance with what other people expect of him. Individuals who have self-leadership are able to build themselves up in achieving their goals and to provide the needed direction and/or support to ensure that their goals are aligned with the general goals of the group or organization. The purpose of this study was to determine the relationship between Self Leadership and work motivation and performance of nurses.
Methods: The design of this study was an analytic descriptive study with a cross sectional approach with a population of 86 nurses and a sample of 71 nurses, using a simple random sampling technique. The instrument in this study used a questionnaire. The analysis in this study used the Spearman Rho correlation test (p <0.05).
Results: The results of the study show that there is a very significant relationship between self- leadership and work motivation. The level of relationship is very high in the number of respondents 71 people with r correlation = 0.618 (r minimum 0.234). The statistical test shows that p = 0.000 so that p < α (0.05) which means that the hypothesis (H1) is accepted. And from the test results there is a very significant relationship between self-leadership and nurse performance. The level of relationship is very high in the number of respondents 71 people with r correlation = 0.620 (r minimum 0.234). The statistical test shows that p = 0.000 so that p < α (0.05) which means that the hypothesis (H1) is accepted.
Conclusion: There is a Relationship between Self Leadership on Work Motivation and Nurse Performance at Muhammadiyah Gresik Hospital.
 
 
Keywords: Self Leadership, Work Motivation, Performance
Gembala Manusia dalam Naskah Film The Island: Nekropolitik Mbembe
Authors: Maharanny Setiawan Poetri
Published: November 2024

The Island menceritakan tentang bagaimana perusahaan bernama The Sanger Institute mengelola investasi kesehatan dengan memproduksi agnate (budak donor). Dalam perusahaan ini, para agnate terisolasi dalam matriks-matriks birokrasi totaliter. Penelitian ini bertujuan untuk menyingkap nekropolitik dalam naskah film The Island karya Caspian Tredwell-Owen dengan menggunakan metode deskriptif-kualitatif. Perspektif nekropolitik Mbembe digunakan sebagai lensa untuk melihat bagaimana perusahaan memiliki necropower, dan agnate sebagai subjek the living death. Hasil penelitian ini diuraikan sebagai berikut: 1)  Perusahaan sebagai kedaulatan tertinggi karena menciptakan agnate —menerapkan nekropolitik; 2) The Island merupakan istilah yang digunakan perusahaan untuk mengkonstruksi tatanan sosial-politik yang ditujukan untuk agnate —berupa tujuan akhir (terbunuh) bagi agnate sebagai subjek the living death.
Analisis Gaya Bahasa pada Novel Merindu Baginda Nabi Karya Habiburrahman El Shirazy
Authors: Hasnur Ruslan  , Pratama Bayu Santoso
Published: November 2024

Fokus permasalahan dalam penelitian ini adalah gaya bahasa apa saja yang digunakan pada novel Merindu Baginda Nabi karya Habiburrahman El Shirazy?. Penelitian ini bertujuan untuk mendeskripsikan gaya bahasa yang digunakan pada novel Merindu Baginda Nabi karya Habiburrahman El Shirazy. Penelitian ini merupakan jenis penelitian deskriptif kualitatif. Data dalam penelitian ini adalah keseluruhan gaya bahasa yang digunakan oleh Habiburrahman El Shirazy dalam menulis novel Merindu Baginda Nabi. Dalam pengumpulan data, penelitian ini menggunakan teknik baca dan catat, sedangkan teknik analisis data yang digunakan pada penelitian ini, yaitu reduksi data, penyajian data dan penarikan kesimpulan. Berdasarkan hasil penelitian dan analisis data terdapat 16 gaya bahasa yang digunakan dalam novel Merindu Baginda Nabi karya Habiburrahman El Shirazy, yaitu : 1) Metafora, 2) Pleonasme, 3) Alegori, 4) Simile, 5) Perifrasis, 6) Antonomasia, 7) Anafora, 8) Tautologi, 9) Epifora, 10) Pertanyaan Retoris, 11) Hiperbola, 12) Apostrof, 13) Ironi, 14) Sinisme, 15) Sarkasme, 16) Asidenton
Nama-nama produk makanan instan di Indonesia: Kajian Onomastika
Authors: Deni Nugroho Irianto  , Tri Mastoyo Jati Kesuma
Published: November 2024

Penelitian ini bertujuan untuk menganalisis hubungan antara bentuk dan makna dalam penamaan produk makanan instan Indofood dan Unilever. Metode penelitian yang digunakan untuk menganalisis bentuk dan makna adalah metode kualitatif dengan pendekatan deskriptif. Metode analisis data dilakukan dari dokumen dan dianalisis dengan teori onomastika. Dengan demikian, penelitian ini mengonfirmasi bahwa penamaan produk dalam pemasaran dipandu oleh konvensi sosial, nilai budaya, dan simbolik. Hasil penelitian menunjukkan bahwa nama-nama produk Indofood dan Unilever mengandung unsur lingual. Pertama, pada tataran fonologis terjadi perubahan fonem dan substitusi fonem. Pada tataran morfologis terjadi kode-kode bahasa, proses morfologis, dan kelas kata. Pada tataran sintaksis terdapat unsur frasa nomina, frasa adjektival, frasa numeralia dan berbagai prinsip paduan leksem, serta dua jenis urutan frasa, yaitu frasa DM dan frasa MD. Kedua, onomastika berisikan relasi semantis dan ideologi dalam nama-nama produk ditemukan melalui berbagai makna yang terkandung dalam nama-nama tersebut, seperti makna berdasarkan waktu (kala), makna berdasarkan bahan baku/asal, makna nasionalisme, nama tempat dan barangluar negeri, makna asosiasi, penemu, profesi, benda alam, kandungan gizi, asosiasi warna, asosiasi sifat, asosiasi rasa, asosiasi nama orang, hewan dan tumbuhan.
Memayu Hayuning Bawana : Falsafah Ekoteologi Jawa Mengenai Keselarasan Manusia dengan Alam Dalam Cerita Pendek
Authors: Ulfa Rizqi Putri  , Roekhan Roekhan , Maryaeni Maryaeni
Published: November 2024

Penelitian ini bertujuan untuk mengetahui etika lingkungan pada diri manusia dalam mengemban amanah dari Tuhan untuk menjaga keselarasan dengan alam. Metode yang digunakan dalam penelitian ini adalah deskriptif kualitatif. Sumber data dalam penelitian ini adalah cerita pendek "Ayah Menjadi Pohon" karya Surya Gemilang, "Apakah Langit Akan Biru Hari Ini?" karya Rizqi Turama, "Pohon Larangan di Bengayoan" karya Nafi’ah Al-Ma’rab, "Minyak yang Ditukar dengan Air" karya Riska Wdiana, dan "Pemanggil Air" karya Ahmad Taufik Budi Kusumah. Teknik yang digunakan dalam penelitian ini adalah menggunakan dokumentasi dan catat. Hasil penelitian ini menunjukkan bahwa terdapat tiga aspek dalam keselarasan manusia dengan alam yaitu memayu hayuning tirto (air), memayu hayuning wono (hutan), dan memayu hayuning howo (udara). Pada aspek memayu hayuning tirto (air), ditemukan dua cerita pendek yang memiliki nilai menjaga ekosistem air yakni cerita pendek “Minyak yang Ditukar dengan Air” dan “Pemanggil Air”. Pada aspek memayu hayuning wono (hutan), ditemukan dua cerita pendek yang memiliki nilai menjaga ekosistem hutan yakni cerita pendek “Pohon Larangan di Bengayoan” dan “Ayah Menjadi Pohon”. Pada aspek memayu hayuning howo (udara), ditemukan satu cerita pendek yang memiliki nilai menjaga ekosistem udara yakni cerita pendek “Apakah Langit Akan Biru Hari Ini”.
Bentuk Ungkapan Tabu dan Makna Ikonis pada Makanan Tradisi Adat Pranikah Suku Dayak Maanyan
Authors: Veronika Vonny Kartika Sari  , Kunjana Rahardi  , Yuliana Setyaningsih
Published: November 2024

Penelitian ini bertujuan untuk mendeskripsikan bentuk ungkapan tabu dan makna ikonis pada makanan saat tradisi pranikah suku Dayak Maanyan dengan tujuan  untuk mendeskripsikan bentuk ikonis Daya dan mendeskripsikan makna ikonis pada kuliner khas Dayak Maanyan Kalimantan. Penelitian ini dikaji menggunakan kajian antropolinguistik. Jenis penelitian ini adalah deskriptif kualitatif. Metode dalam penelitian adalah metode wawancara (etnografi). Data dalam penelitian berupa gambar makanan kuliner khas Dayak Maanyan. Sumber data yaitu masyarakat dan mahasiswa yang memiliki pengetahuan mengenai kuliner khas Dayak Maanyan Kalimantan. Pengumpulan data penelitian melalui dokumentasi dan catat. Teknik analisis data dilakukan dengan tahapan mengidentifikasi data hasil temuan, mengklasifikasikan data tuturan berupa gambar, menginterpretasikan data dan menyimpulkan. Temuan dari penelitian ini berkontribusi pada bidang linguistik, studi budaya, dan antropologi. Dengan mendalami signifikansi nama-nama makanan saat tradisi pranikah suku Dayak Maanyan, penelitian ini akan memperkaya pemahaman tentang lanskap tradisi adat pranikah suku Dayak Maanyan dan hubungannya dengan sosial budaya yang dapat diketahui masyarakat umum.
Situações de refúgio prolongado: uma análise sobre a (des)proteção no complexo de Dadaab
Authors: Silva Thalita Franciely de Melo , Moura Nayanna Sabiá de
Published: November 2024

O presente artigo se propõe a discutir as formas de proteção dos refugiados no complexo de Dadaab, Quênia. Parte-se de uma compreensão à luz das situações de refúgio prolongado que ocorrem quando as soluções duráveis propostas pelo Alto Comissariado das Nações Unidas falham, acarretando na permanência de solicitantes de refúgio e refugiados em campos. O Quênia, embora seja signatáriao dos instrumentos internacionais e regionais que versam sobre refúgio, tem estabelecido medidas restritivas a esses grupos. Quanto à metodologia, trata-se de uma pesquisa exploratória, de abordagem qualitativa e de procedimento técnico bibliográfico. O estudo revela que as situações de refúgio prolongado, por ser um fenômeno complexo, demanda que os Estados de acolhimento busquem novas estratégias que forneçam maior segurança, qualidade de vida e meios de subsistência para os solicitantes de refúgio e refugiadosue vivem nos campos de Dadaab, Quênia.
Finding Ways to Spain: migration experiences in the navigation of Beni Ensar-Melilla border
Authors: Coelho João Paulo Rossini Teixeira
Published: November 2024

Existing literature has examined transnational migration in the border zone of Beni Ensar (Morocco) and Melilla (Spain) from various perspectives. However, there is relatively little exploration of the experience of crossing this border. This article aims to address this gap by utilizing qualitative research conducted with migrants assisted by the Spanish Red Cross. The work employs a theoretical framework of migration trajectories and focuses on three types of border crossing experiences: by land, by sea, and as unaccompanied minors. The objective is to comprehend how participants describe the Beni Ensar-Melilla border area, the strategies they employ to navigate the border, and the significance of crossing it for them. I argue that, firstly, in order to navigate this challenging borderland, participants needed to cooperate with other migrants and demonstrate persistence. Additionally, unaccompanied minors relied on specific laws and reception conditions. Secondly, the act of migrating is linked to ideal plans in Europe that, if realized, have the potential to enhance the lives of participants and their families.
Imigração Galega em Salvador: deslocamentos de subjetividades
Authors: Alonso Adriana
Published: November 2024

Este artigo analisa a interação da tríade conceitual, colonialidade, etnicidade e branquitude, enquanto elementos para uma análise de práticas migrantes a partir do olhar do Sul Global. As experiências migratórias entre o Sul e Norte Global são representadas pelo fenômeno imigratório de galegos para Salvador durante parte do período da ditadura franquista e o seu desdobramento através do deslocamento de seus descendentes para a Espanha. Analisamos as formas como as três conceituações dialogam entre si e se movimentam, interpretam corpos, subjetividades e espaços no processo de ascensão socioeconômica de imigrantes galegos em Salvador e por meio das experiências da chamada “migração de retorno” de seus descendentes. O texto busca contribuir para a produção crítica sobre práticas e experiências migratórias partindo-se da percepção migrante sobre a própria experiência. Reconhece a relevância das subjetividades para uma compreensão profunda sobre as desigualdades nas relações entre os países e suas sociedades, explorando como fenômenos localmente situados podem ser entendidos em uma perspectiva global. Para isso, utilizamos uma metodologia teórico-empírica que fundamenta o aterramento conceitual com a literatura acadêmica e entrevistas focadas no sujeito com as quais interajo diretamente como parte do universo das pessoas entrevistadas.
ENGLISH SPEAKING BARRIERS IN VOCATIONAL EDUCATION: A STUDY OF SMK SPP SNAKMA STUDENTS
Authors: Efrizah Doni , Fadly Yossy , Putri Vivi Oxana
Published: November 2024

The English-speaking skills of students at SMK SPP SNAKMA remain underdeveloped due to specific challenges in using the language within a vocational context. This study explores and analyzes these barriers to understand the underlying factors that hinder effective English communication among vocational students. Employing a qualitative approach, the research gathers data through interviews, observations, and questionnaires to capture students’ perspectives and real-time experiences with English language use. Findings reveal four primary obstacles: limited vocabulary, grammatical difficulties, speaking anxiety, and insufficient practice opportunities. These factors collectively impact students’ confidence and fluency in speaking English, which is critical in vocational settings where practical language skills are increasingly required. The study suggests that a more communicative teaching approach, combined with structured and frequent speaking practice, could significantly address these challenges. By focusing on interactive and supportive teaching methods, educators can create an environment that encourages active language use, helping students overcome barriers and develop essential English-speaking skills for their careers.
FEMINISM IN SUZANNE COLLINS’ NOVEL THE HUNGER GAMES
Authors: Romadon Emha Fadlan , Siwi Purwanto , Pratiwy Devi
Published: November 2024

This study explores the feminist themes embedded within Suzanne Collins' The Hunger Games, focusing on the character of Katniss Everdeen as a symbol of resistance and empowerment. The research aims to analyze the different types of feminism manifested in the novel, examining how Collins challenges traditional gender roles and societal expectations through her protagonist. The study applies sociology of literature approach, which considers the social context and implications of literary works, and utilizes feminist theories, including liberal and radical feminism, to interpret Katniss’s journey. The findings suggest that Katniss embodies both liberal and radical feminist ideals, using her defiance of oppressive authority to fight for personal freedom and gender equality. Katniss’s actions, from assuming the role of family provider to resisting the Capitol’s control, exemplify the themes of self-determination, independence, and the rejection of traditional gender norms. The portrayal of Katniss as a resourceful and brave figure, often adopting traits typically associated with masculinity, reveals the novel's critique of gender stereotypes and its call for a more inclusive understanding of strength and leadership. Ultimately, The Hunger Games serves as a powerful narrative for discussing feminism, challenging the boundaries of gender roles, and highlighting the potential for individual actions to spark social change.
SEGBİS YOLU İLE YAPILAN CEZA YARGILAMASININ ADİL YARGILANMA HAKKINI İHLAL ETMESİ MESELESİ: SUÇLULARIN İADESİNE İLİŞKİN BİR FEDERAL ALMAN ANAYASA MAHKEMESİ KARARININ TEKRAR AKLA GETİRDİKLERİ
Authors: Duygun Ahmet Mert , Özyüksel Özgün
Published: November 2024

Ceza yargılamasının çeşitli evrelerinde videokonferans sisteminin kullanılması, yargının djitalleşmesi açısından ilk bakışta oldukça etkili ve faydalı bir yöntem olarak görülse de bu durum uygulamada birçok sorunu beraberinde getirmiş ve adil yargılanma hakkının ceza yargılaması için geçerli olan birçok temel ilkesinin ihlal edilmesi ihtimalini doğurmuştur. Bu durum sadece ulusal hukuk açısından sonuç doğurmamakta, suçluların iadesi gibi sınırı aşan uyuşmazlıklar açısından da uyuşmazlıklara yol açmaktadır.
Bu çalışmada Federal Alman Anayasa Mahkemesinin 18 Kasım 2023 tarihli bir ihlal kararından yola çıkılarak videokonferans sisteminin ceza yargılamasında kullanılmasının adil yargılanma hakkı açısından doğurduğu tartışmalar, insan hakları hukuku, anayasa hukuku ve ceza muhakemesi hukuku açısından ayrı ayrı detaylı biçimde ele alınacaktır.
Digital Archives of Buddhist Cultural Heritage on the Eastern Silk Road: Status and Utilization in Dunhuang, Turfan, and Kucha
Authors: Ha Jungmin
Published: November 2024

The advancement of digital humanities in the 21st century has significantly enhanced the importance of digital archives in Buddhist art research. The digitization of the extensive and geographically diverse Buddhist cultural heritage along the eastern Silk Road has greatly improved the efficiency and accessibility of scholarly research. This paper examines seminal digital archives initiatives pertaining to the region's Buddhist legacy.Notable examples analyzed in this study include the International Dunhuang Project (IDP); the Database of Medieval Chinese Texts, a collaborative effort between Belgium's Ghent University Centre for Buddhist Studies and Taiwan's Chung-Hwa Institute of Buddhist Studies; the Digital Silk Road projects at Japan's Tōyō Bunko and Ryukoku University; the Dunhuang Academy's Dunhuang Documents Database and Digital Dunhuang platform; and Germany's Turfan Archive and Buddhist Murals of Kucha Archive. These digital archives offer access to high-resolution images and rare materials, encompassing Buddhist scriptures, Dunhuang manuscripts, paintings, and sculptures.These digital archives are crucial for art historical research, contributing to the understanding of original contexts, meanings, and religious functions through the virtual reunification of dispersed artworks. Moreover, these digital archives transcend time and space constraints, facilitating comprehensive research, aiding in cultural heritage preservation, and increasing public accessibility. As these digital repositories continue to expand and interconnect, they are poised to deepen our understanding of Silk Road Buddhist art, paving the way for innovative research approaches and promoting international scholarly cooperation.
Effects of the COVID-19 Pandemic on the Health of Nursing Staff: Qualitative Research
Authors: Aydoğdu Ana Luiza Ferreira
Published: November 2024

Purpose: To explore the effects of the COVID-19 pandemic on the physical, psychological, social, and spiritual health of the members of the nursing team and to identify the coping measures adopted by them.
Methods: This is a descriptive study with a qualitative approach. The study involved 42 Brazilian nursing professionals. Data were collected between June and July 2022 and analyzed using the qualitative content analysis method.
Results: Three themes emerged: (I) Effects of the pandemic on the health of nursing professionals, (II) Major difficulties faced by nursing professionals during the pandemic, and (III) Protection measures adopted by nursing professionals during the pandemic. Also, eleven sub-themes were identified. Nursing professionals participating in this study reported that the COVID-19 pandemic affected their physical, psychological/mental, social, and spiritual health. Lack of material and human resources, increased demand and professional devaluation, social distancing, facing death, and lack of information and social commitment were cited as the main problems faced by the participants. Nursing professionals resorted to different measures to protect their health.
Conclusion: The health of nursing staff was enormously impacted during the COVID-19 pandemic. It was determined that nursing professionals and health institutions need to be better prepared to face crises. Continuing education should be developed to better train nursing staff for future outbreaks. Health administrators have key roles in protecting the physical and psychosocial health of healthcare workers by providing sufficient and quality protective personal equipment, training in occupational health, and developing psychosocial support programs.
Correlation of Perceived Social Support with Medication Adherence and Quality of Life in Individuals with Chronic Obstructive Pulmonary Disease
Authors: Parlak Ebru , Efil Sevda , Akpınar Esmehan
Published: November 2024

Background/Purpose: It is known that declining social support increases the disease burden in individuals with chronic obstructive pulmonary disease. The association between perceived social support with medication adherence and quality of life in COPD patients is unclear. The aim of this study was to show the correlation of perceived social support with medication adherence and quality of life in individuals with chronic obstructive pulmonary disease.
Methods: A descriptive and correlational study was conducted. A Patient Information Form, the Multi-Dimensional Scale of Perceived Social Support, the St. George Respiratory Questionnaire and the Medication Adherence Report Scale were used to collect data. A total of 221 patients with COPD were included in the study. Descriptive statistics, the Mann–Whitney U test, Kruskal-Wallis tests, and Spearman's correlation analysis were used to analyze the data.
Results: Perceived social support was negatively correlated with the respiration score (r=-0.23, p≤0.01), and positively with medication adherence (r=0.17, p
Evaluation of Microbiota Awareness Among the Healthcare Professionals in Kars Harakani State Hospital
Authors: Selen Halime , Tazegül Hediye , Çifçi Elif Ebru , Kenç Merve , Çelik Besne
Published: November 2024

Purpose: This study aimed to evaluate microbiota awareness among the healthcare professionals in Kars Harakani State Hospital by their gender, educational status, marital status, and occupational groups.
Methods: This descriptive and cross-sectional study was conducted between 1-31 December 2023 with the participation of the healthcare professionals (n=329) working at Kars Harakani State Hospital. In the study, a questionnaire form inquiring about sociodemographic characteristics and Microbiota Awareness Scale (MAS) were used. MAS consists of the subfactors of “general information”, “product information”, “chronic disease”, and “probiotic and prebiotic”.
Results: Product information, chronic disease, and probiotic and prebiotic subscale scores and MAS total scale scores of females were found to be higher than males. The general information mean score of those with graduate education levels was higher than those with associate degree levels. The product information score of the married participants was determined to be higher than the single participants. The general information mean score of physicians was higher compared to the mean scores of nurses and technicians, while the product information mean score of technicians was lower than the mean scores of physicians, nurses, and midwives. The chronic disease mean score of nurses was higher than that of physicians, and their probiotic and prebiotic mean score and MAS total scale mean score were higher compared to the mean scores of technicians.
Conclusion: Microbiota awareness levels among healthcare professionals vary according to their occupational groups.
EVALUATION OF SEXUAL LIFE ACCORDING TO PREGNANCY TRIMESTERS
Authors: Kalkan Yılmaz Betül , Meydan Begüm Naz
Published: November 2024

EVALUATION OF SEXUAL LİFE ACCORDİNG TO PREGNANCY TRİMESTERS

ABSTRACT
Aim: Changes that occur during pregnancy physiologicaly; affects the couple's sexual life. Sexuality, which is an important part of health, is disrupted during pregnancy due to some beliefs and taboos. With the strong influence of hormones, changes in sexual desire and arousal are inevitable. The aim of the study was to evaluate the sexual function levels of pregnant women according to trimester periods.
Materials and Methods: The study was conducted prospectively; Those who applied to the Gynecology and Obstetrics polyclinic in between November 2023 and December 2023; Women whose pregnancy was between 6 and 40 weeks were included. After obtaining consent from patients who met the inclusion and exclusion criteria, the 'Female Sexual Function Index-FSFI' questionnaire was administered face to face and age, parity, educational status, employment status, and body mass indexes were calculated and recorded.
Results: A total of 198 pregnant women between 6-40 weeks of gestation who applied to the gynaecology and obstetrics outpatient clinic accepted to participate in the study. Of the pregnant women who participated in the study, 64 were in the first trimester, 64 were in the second trimester and 67 were in the third trimester. When the groups were compared, 93.75% of the first trimester pregnant women, 93.75% of the second trimester pregnant women and 98.5% of the third trimester pregnant women were diagnosed with sexual dysfunction and the rate of sexual dysfunction was significantly higher in the third trimester.
Conclusion: One of the important factors affecting the quality of life and relationship of women is to have a healthy sexual life. During pregnancy, interest in sexual intercourse decreases in most women as pregnancy progresses. This study also showed that sexual function problems of women increase in the first and last trimesters of pregnancy; sexual desire and satisfaction with sexuality, arousal and orgasm decreases.
Key words: pregnancy, sexual function, trimester
Risk Factors for Colonization of Vancomycin-Resistant Enterococci in Patients in the Intensive Care Unit: A single-center Retrospective Study
Authors: Semet Cihan
Published: November 2024

Background: Patients colonised with vancomycin-resistant enterococci (VRE) remain a problem worldwide, especially in intensive care units (ICU), necessitating the identification of associated risk factors. Understanding these factors is crucial for implementing effective infection control measures. The aim of this single-centre retrospective study was to determine the risk factors for VRE colonisation in patients admitted to medical and surgical ICUs.
Methods: We analyzed data from 190 patients admitted to the ICUs between January 2020 and December 2022. Demographic information, clinical characteristics, laboratory results, antimicrobial usage, and comorbidities were obtained from digital patient records. Rectal swabs were collected weekly within 48 hours of ICU admission to detect VRE colonization. Independent risk factors causing VRE colonisation were determined by logistic regression analyses.
Results: Out of 190 patients, 54 were colonized with VRE. Significant independent risk factors for VRE colonization included higher APACHE II scores on ICU admission (OR: 1.26, 95% CI: 1.03-1.55, p=0.024), longer hospital stay (OR: 1.25, 95% CI: 1.14-1.36, p
Applicability Of Balanced Scorecard In Private And Public Hospitals: A Comperative Analysis
Authors: Gün Mahmut Fevzi
Published: November 2024

ABSTRACT

Hospitals carrying on their activities within a dynamic and open systematic, have reached their today's competitive, modern place as a result of development in not only medical and health sciences but also in many different sciences. For that reason, hospitals, like every institution, business, had to use modern management applications which is open ended for outer change and development as a critical success factor.
Achieving long term sustainable successes for businesses depends on measuring skill of harmony degree of their internal and external environment with current strategies. Balanced Scorecard (BSC), which is a strategical management tool prepared for this target and direction and also expressed as balanced scorecard, performance measurement and balanced score sheet in our language, also considered to have benefits in today's providing health service.
In this article, hospitals and changing management concept, strategical management, balanced scorecard revealing as strategical management tool, its use, aspects and a survey work done by managers related to factors effecting its success to applicability in health foundations, and more specifically in private and public hospitals together with investigation results and advices oriented to results takes place.
A Spatial Simulation of Early Medieval England
Authors: Horgan D
Published: November 2024

This paper simulates the Early medieval or Anglo-Saxon period in England using the spatial predatory model of state formation. Comparison is made with maps of early medieval kingdoms and the growth of kingdom size is fitted by a growth curve
Urban Land Cover and Use Changes in Istanbul Remote Sensing and Hyperspectral Imaging Advances from 2000 to 2025
Authors: Zhang Hao , Liu Yifei
Published: November 2024

The urban land cover and use changes in Istanbul, Turkey, have been marked by rapid population growth and urbanization, particularly from 2000 to 2025. Istanbul, the largest city in Turkey, has experienced a significant surge in population, from approximately 10 million in 2000 to nearly 16 million by 2020, driving extensive urban development. This growth has led to the encroachment on green spaces and agricultural lands, exacerbating environmental challenges such as the loss of biodiversity, alteration of ecosystems, and increased vulnerability to natural hazards like earthquakes and floods. Remote sensing and GIS technologies have proven vital in monitoring these land cover changes and assessing ecological impacts. The paper explores the socio-economic implications of urbanization, including increased pressure on urban infrastructure, labor market dynamics, and land use conflicts. It highlights the need for sustainable urban planning that integrates ecological conservation, socioeconomic factors, and resilience to climate change. Future research directions emphasize the role of hyperspectral remote sensing, machine learning, and interdisciplinary collaboration in fostering more effective urban development strategies. Achieving a balance between urban growth and environmental sustainability is crucial for Istanbul’s future.
Wastewater Heat Recovery in Industrial Food Production in Zambia: Pilot Plant Implementation, Performance Monitoring, and Wider Uptake Potential
Authors: Murali Madhu K. , Mancusi-Ungaro Eleanor , Tembo Derrick Bwalya , Hampwaye Godfrey , Coughlan Paul , McNabola Aonghus
Published: November 2024

Wastewater heat recovery (WWHR) has been the focus of recent research efforts to improve the efficiency of hot-water intensive activities in industrial settings. WWHR comprises the transfer of waste heat from hot wastewater effluent to clean cold-water inflows. Recent assessments have found significant energy saving potential using WWHR in Zambian food and beverage manufacturing processes. This paper reports on the design, installation, and operation of a pilot WWHR system at a food processing facility in Zambia to exploit this potential. The paper presents the first real-world assessment of such an industrial WWHR pilot system in a sub-tropical Southern African context. The pilot WWHR system was designed based on data gathered from an initial WWHR resource monitoring campaign and was installed and operated for a period of 49 production days across 4 months. The results of the assessment show that WWHR from intermittent boiler blowdown was feasible in the selected Zambian food processor, with around 119-158 MWh/year of heat recovery possible, resulting in emissions reductions of 40-60 tonnes CO2e/year through reduced coal use. More broadly, these results indicate that similar WWHR systems would be feasible across 24% of the food and beverage manufacturers with boilers in Zambia, demonstrating the potential for significant national and regional impacts on industrial energy efficiency and emissions from the food processing sector in Southern Africa.
Effective workflow from multi-modal MRI data to model-based prediction
Authors: Jung Kyesam , Wischnewski Kevin J. , Eickhoff Simon B , Popovych Oleksandr V.
Published: November 2024

Predicting human behavior from neuroimaging data remains a complex challenge in neuroscience. To address this, we propose a systematic and multi-faceted framework that incorporates a model-based workflow using dynamical brain models. This approach utilizes multi-modal MRI data for brain modeling and applies the optimized modeling outcome to machine learning. We demonstrate the performance of such an approach through several examples such as sex classification and prediction of cognition or personality traits. We in particular show that incorporating the simulated data into machine learning can significantly improve the prediction performance compared to using empirical features alone. These results suggest considering the output of the dynamical brain models as an additional neuroimaging data modality that complements empirical data by capturing brain features that are difficult to measure directly. The discussed model-based workflow can offer a promising avenue for investigating and understanding inter-individual variability in brain-behavior relationships and enhancing prediction performance in neuroimaging research.
Sexual Functioning and Eating Disorders: Examining the Role of Gender and Internalizing Symptoms
Authors: Nation Maegan , Kraus Shane Winfield , Garcia Melanie , Borgogna Nicholas , Pacella Kara Christensen
Published: November 2024

Objective: Eating disorders (EDs) are frequently associated with sexual dysfunction; however, no research has tested this relationship while adjusting for the known effects of anxiety and depression on sexual functioning. Furthermore, there is a notable lack of research on sexual functioning problems and ED symptoms among men.Method: Undergraduate women (n = 1488) and men (n = 646) completed measures of ED psychopathology and sexual functioning problems. Hierarchical linear regressions predicting sexual functioning problems were conducted separately by gender including BMI, age, sexual orientation, anxiety and depression symptoms in Step 1 and an ED psychopathology variable (e.g., global score, dietary restraint, preoccupation and eating concern, or shape/weight overvaluation) in Step 2.Results: For women, changes in proportion of the variance in sexual functioning problems when adding global score, dietary restraint and preoccupation and eating concern to the models were statistically significant, but effect sizes were very small. Change in variance when adding weight and shape overvaluation was not significant. For men, all ED psychopathology variables accounted for significant changes in the proportion of variance in sexual functioning problems.Discussion: Sexual functioning problems observed in women may be better explained by depressive symptomology, as variance explained by ED variables, while statistically significant, was small and likely of lower clinical relevance. Sexual functioning problems in men may be minorly influenced by ED psychopathology, independent of depression and anxiety symptoms. Results suggest the importance of screening for sexual functioning problems among adults with EDs, particularly men.
Why do attention-deficit/hyperactive disorder and/or autism traits place adolescents at risk for depression? Protocol for a longitudinal comparison of the mediating role of deficits in emotional processing and control versus emotional burden
Authors: Sonuga-Barke Edmund , Palmer Melanie , Griffiths Kirsty , Wyatt Anna , Danese Andrea , Chandler Susie , Stahl Daniel , Lukito Steve , Pavlopoulou Georgia , Simonoff Emily
Published: November 2024

Background: Depression levels increase dramatically during adolescence in the general population. This effect is exacerbated in adolescents with a diagnosis of attention-deficit/hyperactivity disorder (ADHD), autism, or both. Here we detail the protocol for the My Emotions and Me Over Time (MEMO) study, a 12-month longitudinal study with the primary aim to compare the two competing accounts for why this is the case. The first established notion is that depression risk associated with ADHD and/or autism is due to associated deficits in emotional processing and control (DEPAC). The second new perspective is that it is due to the experience of elevated emotional burden (EB) created by (i) greater exposure to upsetting events and encounters, which are (ii) experienced more intensely. Cross-lagged path models will test the relative importance of the DEPAC and EB pathways to the relationship between autism and ADHD traits and depression symptoms. Exploratory analyses examining secondary mediators (i.e., self-esteem) and moderators (rumination, stress sensitivity, resilience and alexithymia) will also be conducted. Methods: A sample of 600 adolescents aged 11 to 16 years, enriched for the presence of autism and ADHD diagnosed cases, and their parent/guardian will be recruited via schools, local NHS (South London and Maudsley) and ADHD and autism charities. Measures of ADHD, autism and depression, DEPAC, EB, self-esteem, rumination, stress sensitivity, interpersonal resilience and alexithymia will be completed at baseline, 6 months and/or 12 months by parents and/or participants. Background factors such as age, sex, cognitive abilities and socioeconomic status will also be collected as covariates. Results: The pathways between ADHD/autism and depression, along with their mediators and moderators, will be analysed using structural equation modelling.Conclusion: The findings from MEMO will feed into the other studies within the RE-STAR programme to support the development of an intervention to reduce ADHD and/or autism-related depression risk in adolescence.
Investigating Individual Intuitive Expression: Norms and Patterns in the Noetic Signature Inventory
Authors: Wahbeh Helané , Kriegsman Michael , Glick Beth
Published: November 2024

Noetic experiences, which often transcend conventional perceptions of space and time, areuniversal, although research investigating them is scant. The Noetic Signature Inventory (NSI) isa validated 44-item self-report questionnaire that measures an individual’s unique noeticsignature or how an individual receives inner wisdom or intuitive information. Using data from3,884 participants, the current study evaluated NSI norms, clustered patterns across its 12factors, and examined whether individuals fell into noetic types. Means, standard deviation, andstandard errors were calculated by demographic categories for norms. Results showed higherfactor means for participants who identified as female than male and those who identified withmultiple ethnicities rather than one ethnicity. The correlational structure among the 12 NSIfactors was explored with correlation Principal Component Analysis, followed by clusteringtechniques to reveal the optimal configuration to reduce the 12 factors into fewer super-factors.Confirmatory Factor Analysis was then used to compare the model fit of the original 12 factorsversus the proposed super-factors, which supported the original model. Clustering methods usedto evaluate noetic types revealed high variability on the Dreams factor, even after accounting foroverall noetic score differences (high, mid, low). Future investigations with diverse populationsare essential for further exploring these findings. The NSI holds promise as a tool in education,career development, and mental health fields, with the potential to destigmatize noeticexperiences.
Enhanced Vectorized Ransomware Detection: A Novel Spectral Segmentation Approach Using Nonlinear Frequency Patterns
Authors: Bennett Elvis , Ellington Jasper , Blackstone Gideon , Whitfield Hugo , Ashcroft Leon
Published: November 2024

The escalating sophistication of cyber threats necessitates the development of advanced detection mechanisms to safeguard digital infrastructures. The Spectral Segmentation Detection (SSD) model introduces an innovative approach to ransomware detection through the analysis of frequency patterns inherent in malicious activities. By employing spectral segmentation algorithms and nonlinear feature vectorization, the SSD model effectively identifies and isolates unique ransomware behaviors, thereby enhancing detection accuracy and reducing false positives. Empirical evaluations demonstrate the model's robustness across various ransomware variants, highlighting its adaptability and potential for broader application in cybersecurity defenses. The integration of frequency pattern analysis within the SSD framework offers a comprehensive methodology for identifying ransomware, setting a new standard for future developments in this critical area.
Behavioral interventions targeting treatment adherence in chronic kidney disease: A systematic review and meta-analysis
Authors: Ekholm Malin , Aulbach Matthias , Walsh Sara , Phipps Daniel John , Rauta Virpi , Knittle Keegan Phillip
Published: November 2024

Adherence to dialysis, medication regimens and dietary and fluid intake recommendations can improve quality of life and survival in chronic kidney disease (CKD), but non-adherence is prevalent. This review and meta-analysis investigated the effects of behavioral interventions on treatment adherence in CKD and sought to identify intervention characteristics (Behavior Change Techniques (BCTs) and delivery methods) associated with direct and indirect measures of adherence. Literature searches in five databases identified 128 eligible studies (222 study arms; 14108 patients). Random-effects meta-analyses revealed mostly small and statistically significant beneficial effects on outcomes, ranging from g = 0.26 (95% CI [0.04, 0.48]; p = 0.02) for albumin to g = 0.89 (95% CI [0.11, 1.67]; p = 0.02) for sodium. Moderator analyses revealed 15 BCTs and 7 delivery related moderators associated improvements in adherence. This includes intervention methods targeting behavioral regulation, health beliefs and knowledge, increasing social support, and involving a dietitian or a nurse. The BCTs ‘information about health consequences’, ‘social support (unspecified)’, and ‘goal setting (behavior)’ were associated with beneficial changes in several adherence outcomes. These results can be used to inform the development of new interventions to improve CKD treatment adherence. Keywords: Chronic kidney disease, treatment adherence, self-management, behavior change interventions
Diet, gym, supplements, or maybe it is all in your mind? A systematic review and meta-analysis of studies on placebo and nocebo effects in weight loss in adults
Authors: Żegleń Magdalena , Kryst Łukasz , Bąbel Przemysław
Published: November 2024

IntroductionThere is evidence that placebo and nocebo effects are significant for many conditions, but their impact on weight loss has not yet been well described.Material and methodsA systematic review of studies indexed on PubMed, Cochrane, PsycINFO, PsycARTICLES, TripDatabase, and Embase was carried out. Studies (1) with at least two study groups — placebo and a corresponding control group; (2) published in English; and (3) focusing on adults participating in weight loss programs or on placebo/nocebo effects in weight loss were included. Synthesis and meta-analysis of the results of studies with comparable research plans were performed.ResultsSome preliminary trends suggesting placebo and nocebo effects in weight loss were found. Placebo effects manifested in trends towards a slightly greater reduction of Body Mass Index (BMI) and body fat ratio in the placebo compared with the control groups. On the other hand, in one study, it was found that the expectancy effects of taking oral weight-loss agents might be disadvantageous (i.e., because they elicit a nocebo effect on weight loss).ConclusionThe findings suggest a possibility that the nocebo effect may occur when an intervention has a medical context. In contrast, the placebo effect can be observed in cases where the intervention is of a different nature. However, considering the low number of studies analyzing the use of placebos in weight loss, new primary research is needed.
Assessing Wastewater Heat Resources in Zambian Food and Beverage Processing: Case Studies, Regional Assessment, and Implications
Authors: Mancusi-Ungaro Eleanor , Murali Madhu K. , Coughlan Paul , Hampwaye Godfrey , Tembo Derrick Bwalya , McNabola Aonghus
Published: November 2024

Wastewater heat recovery (WWHR) aims to recycle low-grade thermal resources embedded in wastewater discharges and lower the energy requirements for hot-water production in various settings. WWHR has received growing attention in recent years, however, limited attention has been given to potential WWHR resources or the technologies required to exploit these in hot-water-intensive industrial settings, such as food and beverage processing. In addition, very limited attention has been given to WWHR in a Global South context. To address these gaps, and an additional gap on WWHR in subtropical locations, this paper seeks to quantify the thermal resources available in Zambia's food and beverage industry. Two potential WWHR resources were selected for deeper analysis based on site assessments: boiler blowdowns and cleaning-in-place. This analysis shows a significant heat resource in both processes based on analysis of on-site data and nationwide extrapolation. Cleaning-in place processes also represent a new avenue for WWHR currently not explored in the literature. Extrapolating the WWHR findings to a country-wide scale showed that boiler blowdowns have an annual thermal potential of about 4 GWh and cleaning-in-place had an annual thermal potential closer to 4 GWh. In summary, this paper demonstrates that the Zambian food and beverage processing sector has a significant wastewater heat resource. Recovering this heat could reduce sector emissions by up to 3.5 kilotonnes CO2e a year. These results also demonstrate the potential of industrial WWHR in subtropical climates and the potential for this source of renewable heat warrants exploration regionally beyond the national context of Zambia.
Why Does Household Chaos Affect Parenting? Examining Multiple Pathways Through Parents' Self- Control and Emotional States
Authors: Chung Gerard , Cheng Sophie , Lanier Paul
Published: November 2024

Objective:To examine how household chaos affects parents' positive and negative parenting behaviors throughthe mediating roles of emotional distress (depression, anxiety, stress) and diminished self-controlcapacity.Background:Recent societal changes including dual-earner households, increased digital device use, and pandemicdisruptions have increased household chaos, potentially impacting family functioning. While researchhas documented household chaos's effects on children, less is known about its impact on parents,particularly through emotional and cognitive pathways.Method:The study analyzed two waves of longitudinal data from 696 parents (88% mothers, 70%White/Caucasian) of adolescents in North Carolina. Using structural equation modeling with bootstrapanalyses, researchers tested mediation models examining how household chaos influenced positiveparenting and inconsistent discipline through parents' emotional states and self-control capacity, whilecontrolling for socioeconomic factors.Results:All four mediators (depression, anxiety, stress, self-control) significantly mediated the relationshipbetween chaos and inconsistent discipline, with depression showing the strongest effect (0.087) amongthe emotional states. The strongest indirect effect of household chaos was in the pathway through self-control to positive parenting (partial standardized coefficient = -0.137). These effects persisted evenafter controlling for family economic circumstances, suggesting household chaos represents a uniqueenvironmental risk factor beyond socioeconomic status.Conclusion:Household chaos primarily affects parenting by diminishing parents' self-control capacity, while negativeemotions mainly influence inconsistent discipline rather than positive parenting behaviors.Implications:Interventions to reduce household chaos should focus on supporting parents' self-control capacity andemotional regulation to improve parenting practices, particularly in maintaining consistent disciplineand family routines.