bluuebunny/crossref_metadata_2025 huggingface dataset:
Distraction techniques and pain in venous puncture in children aged 2 to 12 years in a Pediatric Intermediate Hospitalization Ward in the months of November-December 2020
Authors: Obando Alejandro , Pardal María Antonieta
Published: January 2025

Procedural pain management is an underutilized practice in children, despite the availability of effective treatments. In recent years, there have been several investigations on how to minimize pain in children during invasive procedures.The aim of this study is to describe the relationship between the use of distraction techniques and pain during venous puncture in children from 2 to 12 years of age, in a Pediatric Intermediate Hospitalization Ward during the months of November-December 2020.A qualitative, non-experimental, in-depth descriptive and cross-sectional research was conducted on 11 nursing professionals. A 14-item self-administered questionnaire collected information on the sociodemographic characteristics of the nurses, the knowledge and experience in distraction techniques and the assessment of pain outcomes when applied.A theoretical approach based on non-pharmacological techniques in pain prevention was used. The nurses participating in the study comprised a group with a majority of technical degrees (82%) and 45% with more than 5 years of seniority as pediatric nurses.All the nurses said they were aware of the existence of distraction techniques. Nine nurses (81.81%) stated that the techniques are effective because the patient calms down before starting the technique (4 nurses) and because the distractor distracts them from what is happening (5 nurses). Two professionals perceive that the technique does not change the patient's pain or stress situation because distrust of the technique or of the health care team outweighs the distractors. Post-technique respiratory and heart rate indicators contradicted the nurses' perception of usefulness
Nursing staff knowledge of COPAP and its correct application in a neonatal intensive care unit (NICU) of a public hospital in the city of Rosario
Authors: González Laura Marcelina , Miranda Analía
Published: January 2025

Skin-to-skin contact (COPAP) is an innovative approach to the care and treatment of premature and low birth weight infants. Warmth, exclusive breastfeeding and the kangaroo position are the basic principles of this method. But most importantly, it is the love and close relationship that develops between the caregiver and the baby that keeps these little ones alive. Meaningful and specific stimulation, whether emotional or organic, will improve and strengthen breathing and heart rate. Therefore, the objective of the study was to determine if there is a relationship between the knowledge of the COPAP method by the nurses under study and its correct application in a Neonatal Intensive Care Unit of a Public sector, between April 2023 to October 2023, a quantitative study was designed, for that a cross-sectional, descriptive, observational, non-experimental, with an evaluation with 16 simple questions and another to record what was observed in each study unit was used. In the results, the nurses showed an average level of knowledge, as a result of deficits in specific items that counteracted the good performance shown in most of the items observed. In contrast to the activity of each nurse as the level of compliance according to the observation of the application of the method was higher
Advanced Computational Techniques for Analyzing Cybersecurity Event Datasets Using Artificial Intelligence and Machine Learning
Authors: Kumari Neelam , Kumar Ashok
Published: January 2025

Introduction: The complexity and range of cyber threats continue to grow, presenting challenges that traditional security approaches struggle to address. Objective: Artificial intelligence is transforming cybersecurity by empowering organizations to proactively combat threats through automated response mechanisms and predictive threat analysis. Leveraging data analytics, behavioral insights, and machine learning, AI-driven systems can forecast cyberattacks, enabling faster and more accurate threat detection. Method: By automating responses and addressing threats in real time, these systems reduce the risk of human error and enhance damage control. Result: Key AI techniques, including anomaly detection, predictive modeling, and real-time threat evaluation, are explored alongside considerations of data privacy, ethical concerns, and the potential dangers of adversarial attacks. The advantages and limitations of applying AI in cybersecurity are examined as well. Conclusion: This article provides a foundation for the future of intelligent and automated cyber defense strategies, showcasing how AI can reshape the cybersecurity landscape through practical examples and real-world case studies.
A Study on the Selection of Residential Behavior by Clustered Types of Military Personnels
Authors:   Korea Real Estate Industry Society, Nho Youngho , Kim Seunghee
Published: January 2025

In order to study the difference in the choice of residential behavior of soldiers who have to move involuntarily, this study classified the residential environment of soldiers into four types and derived directions for improvement of military housing policy. In a survey on the housing status of 6,000 professional soldiers working across the whole country was conducted and analyzed. Based on the four factors of housing satisfaction (residential level, housing cost, accessibility, and community), the difference in residential behavior was analyzed by dividing it into four cluster types: soldiers living in good facilities in urban areas, soldiers living in urban areas, soldiers living in urban areas, urban and rural complex, and soldiers living in remoted areas.
First, in order to identify the difference in the choice of residential behavior of involuntary residential movement considering the characteristics of the residential environment, four types of factors influencing residential satisfaction were analyzed as variables. (Soldiers living in good facilities in urban areas, soldiers living in old facilities in urban areas, soldiers living in remote areas, and soldiers living in urban and rural complex) Second, there are significant differences in the current preferred military housing policy depending on the type of residential environment. Third, the policy needs for the future military housing policy were ① provided to military officials after purchasing private apartments, ② building military apartments in areas with convenient living conditions, ③ private lease funds loans (mixed residences with civilians), ④ providing housing allowances reflecting local real estate prices, and ⑤ building military apartments near the unit. The main opinion was that using private residential infrastructure, such as purchasing agencies, military lease loans, and self-funding, was more necessary for future housing policies. Soldiers and military families are objects of compulsory and involuntary residential movements by the state, and policy considerations must be given sufficient at the national level.
PENGARUH KEBISINGAN LALU LINTAS TERHADAP AKTIVITAS BELAJAR MENGAJAR DI GEDUNG V UNIVERSITAS SEMARANG
Authors: Fahrudin Ahmad  , Roni Kartika Pramuyanti  , Erlinasari  , Kukuh Wisnuaji Widiatmoko
Published: January 2025

Noise in educational environments can affect the effectiveness of teaching and learning processes. This study aims to analyze the impact of traffic noise on teaching and learning activities in Building V of Semarang University, located along the Soekarno-Hatta arterial road. The research method uses a qualitative descriptive approach by measuring noise levels using a Sound Level Meter on six floors of the building. Measurements were taken during active lecture hours with time intervals of 3 x 30 minutes. The results showed that noise levels on floors 1 to 3 were above the educational environment quality standard of 55 dB according to KepMenLH No. 48 of 1996. Meanwhile, on the 6th floor, the noise level averaged around 55 dB. Excessive noise makes it difficult for students to hear lecturers' explanations, reduces their ability to capture information, and decreases learning material retention. To address these issues, sound insulation installation, spatial planning improvements by designing room layouts farther from noise sources, vegetation planting, and lecture rescheduling to avoid peak traffic times are necessary.
Multiproxy synthesis at the Arlington Archosaur Site: New insights into Cretaceous paralic paleoenvironments and regional stratigraphy, Woodbine Group, Texas, USA
Authors: Noto Christopher R. , Flaig Peter P. , Lorente Maria Antonietta
Published: January 2025

Ecosystems of the 'mid' Cretaceous are significant but poorly understood, due in large part to a sparse fossil record. Existing fossils, particularly in North America, are not chronostratigraphically well-constrained, further hampering comparisons of species and ecosystems across Laramidia and Appalachia. Efforts to overcome this lack of temporal resolution typically involve systematic collection of ashfall deposits, geochemistry, and biostratigraphy. Here we describe a new, high-resolution palynological and sedimentologic dataset from the Arlington Archosaur Site (AAS) of the Lewisville Formation (Woodbine Group; Middle Cenomanian). The integration of these new data with existing biostratigraphic, macrofossil (vertebrate, invertebrate, botanical), lithologic, ichnologic, and geochemical data allows for a comprehensive paleoenvironmental reconstruction and assessment of paleoenvironmental evolution during AAS deposition. Depositional environments are paralic and include nearshore, shallow-marine tidal-flat, lagoonal, tidal-delta deposits, fluvial-distributary channels, and associated floodplain environments including wetlands (swamp-marsh-lakes) and paleosols. The presence of the Cyclonephelium compactum – C. membraniphorum (Ccm) morphological plexus throughout the AAS deposit suggests a younger minimum age of (early) late Cenomanian for deposits, indicating possible southward expansion of this group into the Cretaceous Western Interior Seaway (CWIS) coincident with the onset of the Plenus Cold Event (PCE) of OAE2. The revised age estimate for the AAS suggests that Woodbine deposition at more proximal clastic source areas continued into the late Cenomanian, coeval with down dip Eagle Ford Group sedimentation. This study has important implications for the biogeography of western Appalachia and the response of terrestrial and shallow marine ecosystems of the southeastern CWIS to the onset of OAE2.
Pengaruh Model Pembelajaran Problem Based Learning Terhadap Minat Belajar Siswa Kelas V Sekolah Dasar
Authors: Rustan Nurul Azmy , Putri Meyliani Wahyuni
Published: January 2025

Penelitian ini bertujuan untuk mengetahui pengaruh model pembelajaran Problem Based Learning terhadap minat belajar siswa. Adapun jenis penelitian yang digunakan adalah penelitian kuantitatif. Penelitian ini menggunakan jenis penelitian Pre eksperiment dengan desain penelitian one group pretest and postest. Sampel penelitian ini adalah 32 siswa kelas 5 SD di Gugus 24 Marioriwawo Kabupaten Soppeng. Data hasil penelitian dikumpulkan dengan menggunakan angket minat belajar. Dengan menggunakan teknik analisis data deskriftif inferensial. Hasil penelitian ini menunjukkan adanya pengaruh model pembelajaran Problem Based Learning terhadap minat belajar siswa. Adapun hasil penelitian menunjukkan bahwa minat belajar siswa pada saat pretest memperoleh nilai rata-rata 55 dan pada saat postets adalah 65. Hal ini dapat disimpulkan bahwa penggunaan model pembelajaran Problem Based Learning memiliki pengaruh terhadap minat belajar siswa
Comparative Analysis of Pre- and Post-COVID Integration of Digital Communications in Serbian Banks. Part I
Authors: Neogradi Sladjana , Vemic Milan
Published: January 2025

The main goal of the present study is to introduce and discuss the similarities and differences that have occurred in the Serbian banking business due to the impact of digitisation within five years (2019–2024). This is explored through focused bank surveys. Emphasis is placed on the attitudes and gender differences of bank managers regarding mobile and electronic banking in meeting the needs of clients. Other digital channels will also be evaluated, such as whether the orientation toward applying digital solutions within the banking sector will replace bank branches. At the time of the first survey in 2019, the authors could not even imagine what effect COVID-19 would have on the development of digitisation during the second survey in 2024. According to the research results, most bank managers predict that digital sales channels will replace traditional branches in the foreseeable future, that mobile banking holds an advantage due to its user-friendly nature, and that clients are now best informed about the bank's products via mobile phones. Personal interactions in bank branches have, therefore, significantly declined since 2019. The study helps bank managers identify e-banking components influenced by gender. Research results also show that to increase their profitability in the Serbian market; banks can turn their existing customers into online users by directing them to digital banking. This research contributes to the scientific literature by providing an overview of the relationship between the development of digital communication integration before and after the pandemic. Research results have implications for e-banking segmentation, strategies, and tactics. Gender aspects are significant for local, national, and global banks. However, the study’s focus on Serbia limits our understanding of banking sectors in other regions. Considering the scope of the research, the authors will present additional research results through the following two papers.
Using Correspondence Factor Analysis (CFA) to assess the quality of public transport services. A case study: Public transport in the Province of Boumerdes, Algeria
Authors: Zidani Omar , Alouat Mohamed , Tabti-Talamali Amina
Published: January 2025

This study aims to analyse passenger expectations in terms of service quality and to propose improvements to increase the attractiveness of public transport in the Province of Boumerdes (specifically in the Municipalities of Boumerdes, Bordj Menaiel, Ouled Moussa, and Dellys). This analysis has helped identify the aspects of the service that most influence user satisfaction, providing a solid basis for decisions to optimise the quality of public transport in the Province. The study is based on a model using evaluation indicators that comply with the NF EN 13816 standard, which is specific to the quality of passenger transport. A field survey was carried out to gather the views of public transportation users. Random sampling was used, with 1093 respondents showing a representative distribution of the different municipalities in the province of Boumerdes. Several statistical analysis tools were used to process and analyse the questionnaire data, including Excel, SPSS, and R, as well as the CFA method (Correspondence Factorial Analysis). This rigorous methodological approach allows an in-depth and reliable analysis of user satisfaction and the quality of public transport services in the Province. The study's results revealed significant differences in satisfaction regarding quality dimensions and a relation between the modalities of qualitative service quality variables used in the study area.
Analysis of Modern Investigate Techniques for Combating Drug Trafficking Network in Azerbaijan
Authors: Ibrahimli Namig Gubad
Published: January 2025

The study addresses the pressing issue of combating drug trafficking in Azerbaijan, which is of particular importance due to the country’s strategic location along major international smuggling routes. The research aimed to analyse contemporary methods and challenges in counteracting drug trafficking and to identify strategies for enhancing the effectiveness of national and global efforts. The research employed a combined methodological approach, including structured surveys, document analysis, and case studies of high-profile operations such as “Caspian”, “Silk Road”, and “Baku-Tehran”. The key findings included identifying the most effective methods, notably digital surveillance, undercover operations, controlled deliveries, and forensic analysis. It was revealed that the primary challenges remain inadequate legislation, limited technical capacity, and insufficient international coordination. The practical significance of the study lies in the formulation of recommendations for improving anti-drug trafficking strategies, which include the implementation of advanced technologies, modernisation of legal frameworks, and enhancement of international cooperation. The results may prove helpful in Azerbaijani law enforcement agencies and can be adapted for other countries facing similar challenges.
Interpretative Analysis of Religious Tolerance Practices in Urban Communities an Existentialist Philosophy’s Perspective
Authors: Saumantri Theguh , Muslim Farisan Primana , Zulkifli
Published: January 2025

Religious tolerance in urban communities is a crucial issue in the context of religious diversity and social interaction. In pluralistic city environments, interactions between individuals from different religious backgrounds often pose challenges related to freedom, moral responsibility, and authenticity. This study aims to explore how existentialist principles, such as individual freedom, moral responsibility, and authenticity, contribute to shaping attitudes and practices of religious tolerance in urban society. The research uses a qualitative approach. Data were collected through field observations of individuals from various religious backgrounds in urban settings. A philosophical approach was employed to analyse how individuals understand and practice religious tolerance in urban environments. The results of the study show that from an existentialist perspective, religious tolerance is a human effort to break free from irrational and immoral actions that bind the mind. Ultimate truth is returned to God as the absolute reference, while humans remain contingent beings. The analysis of religious tolerance practices in the city of Bandung reveals that tolerance there has a strong foundation, as long as it is grounded in authentic awareness and individual autonomy. This research concludes that the existentialist approach provides new insights into understanding the dynamics of religious tolerance in urban communities, and that authenticity and moral freedom play a crucial role in shaping tolerant attitudes amidst religious plurality.
Narrowcasting Innovation Model for Extension Projects during the New Normal
Authors: Mirasol Joy M. , Necosia Joanne Vivien B.
Published: January 2025

Due to the COVID-19 pandemic, restrictions on face-to-face training and mass gatherings impacted extension activities aimed at transferring knowledge and technology to beneficiaries. This study developed a narrowcasting innovation model based on radio-based instruction and digital innovation to address these challenges. Implemented as the BukSU Bayanihan IEC Initiative Kontra COVID-19, the model transitioned extension training to radio-based modalities augmented by social media live streaming. The mixed-methods approach involved quantitative feedback via Google forms and qualitative insights from interviews and focus group discussions. This methodology effectively captured participant satisfaction, knowledge gain, and practical application across nine dimensions of the new normal, including Health and Wellness, Governance and Management, and Education. The initiative aired 40 radio episodes, which, when live-streamed on Facebook, reached 66,389 views and 143,056 people. Impact evaluation revealed high levels of satisfaction, knowledge gain, and practical application, with respondents reporting significant improvements in personal hygiene, governance, mental health coping strategies, and media literacy skills. The integration of digital platforms facilitated real-time feedback and engagement, ensuring continuous adaptation and responsiveness to community needs. The model’s success underscores its potential for broader application in extension programs, particularly in crisis situations where traditional interactions are limited. This study provides valuable insights for enhancing extension services under restrictive conditions, demonstrating the narrowcasting innovation model’s efficacy and scalability.
Uterine Artery Embolization for Leiomyoma in Patient with Absent Unilateral Internal Iliac Artery Due to Previous Kidney Transplantation: Embolization via Lumbar Artery Collaterals
Authors: Noh Seung Yeon , Kim Mee-Ran , Chun Ho Jong
Published: January 2025

Introduction: Uterine artery embolization (UAE) is a well-established treatment option for symptomatic uterine leiomyomas. In cases where the internal iliac artery, from which the uterine artery normally originates, is ligated, blood flow to the uterus can be preserved through various collateral vessels. Here, we report a case of a 44-year-old patient who underwent UAE via collateral branches of the right lumbar artery due to a history of kidney transplantation. Case Presentation: A 44-year-old patient was referred for UAE for leiomyomas. She had a history of kidney transplantation with right internal iliac artery to graft renal artery anastomosis performed using the end-to-end method. The right uterine artery was successfully embolized through collaterals from the right lumbar artery, resulting in a positive outcome. Conclusion: We present a case in which collateral circulation was recruited during UAE in a patient with absent unilateral internal iliac artery flow due to prior kidney transplantation.
Right Mesocolic Dermoid Cyst: A Case Report and Literature Review
Authors: Haddadi Saiid , Djouimaa Seifeddine , Ourdane Rabah , Khelafi Ladjel , Yahia-Messaoud Yasmina , Touati Rezki
Published: January 2025

Introduction: A dermoid cyst (DC), also known as a mature teratoma, can arise from either an acquired epithelial inclusion or be linked to congenital ectodermal implantation during embryogenesis. Abdominal localization of DC is rare. In this study, we report the case of a DC discovered incidentally in a young patient following imaging performed after a blunt thoracoabdominal trauma. Case Presentation: This is a 36-year-old asthmatic patient in whom a right mesocolic cystic mass was discovered incidentally. The mass was the cause of right lumbago, which necessitated surgical removal by laparotomy due to its large size. The patient also had gallbladder lithiasis, which was removed during the same procedure. Conclusions: Abdominal DC is a rare form, especially when compared with gonadal forms, which are more common in women (such as teratomas of the ovary). Symptoms vary depending on the viscera compressed, and they may cause pain or provoke acute surgical conditions, such as volvulus or peritonitis due to intra-abdominal rupture of the cystic contents. Chemical peritonitis caused by rupture is difficult to treat and may require repeated laparotomies. Imaging strongly suggests the diagnosis, typically showing a well-defined liquid formation with calcifications. The main differential diagnoses include cystic lymphangioma and digestive duplicity. The treatment is surgical, and complete resection is essential to prevent complications and recurrence. Laparoscopic excision may be considered in selective patients with experienced surgical teams. Intraperitoneal localization of DC is rare, and its clinical presentation is highly variable. Diagnosis is suspected based on imaging and can only be confirmed histologically after surgery. All abdominal DCs should be surgically removed due to the risk of rupture. While malignant degeneration is possible, it remains exceptional.
The WBANs: Steps towards a comprehensive analysis of wireless body area networks
Authors: M. Iniyan  , A. Banumathi
Published: January 2025

The wireless sensor network (WSN) has been an active research topic for years, extensively used in the military, healthcare, automation and various other applications. Inspired by the WSN, the wireless body area network (WBAN) is a crucial infrastructure for remote health monitoring and treatment, with sensors installed in the human body to detect medical indicators and gather data. These sensor nodes function even in harsh conditions where human communication is difficult, all while operating on a minimal power budget. In this paper, we cover various aspects of wireless body area networks, such as on-body and in-body sensor communication, MEMS and NEMS technology, WBAN architecture, MAC protocols, security threats and applications.
Horizontal flow biochar amended constructed wetlands as a sustainable approach for rural wastewater treatment
Authors: Panghal Vishal , Singh Asha , Arora Dinesh , Ahlawat Nidhi , Arya Sunder S. , Kumar Sunil
Published: January 2025

Constructed wetlands (CWs) have provided an alternative technology to conventional wastewater treatment technologies for more than fifty years. Biochar is a carbon-rich porous material made in the absence of oxygen at higher temperatures that has recently been used as a substrate in constructed wetlands. The objective of this study was to measure the efficiency of horizontal flow (HF) biochar amended constructed wetlands planted with Eclipta alba (L) in treating rural wastewater in batch mode. A total of seven experimental sets were prepared. Two controls one without plantation (C1) and one with plantation (C2) were used in the study. In five sets, various soil and biochar ratios ranging from 5% to 25% were used as substrate, with a 5% biochar interval. Physio-chemical parameters like biological oxygen demand (BOD), chemical oxygen demand (COD), nitrate (NO3-), total kjeldhal nitrogen (TKN), sulphate (SO42-) and phosphates (PO43-) were analysed at various hydraulic retention time (HRT) of 24h, 48h, and 72h to check the performance of HFCWs. The maximum removal efficiency of BOD, COD, NO3-, TKN and SO42- were found to be 75%, 70%, 80%, 71%, and 46%, respectively at HRT 72hrs and in B25 variation. Removal efficiency increased with an increase in HRT and biochar concentration. However, the removal of phosphates was highest at B25 at HRT 48h.  The results reveal the critical role of wetland vegetation and biochar concentration as substrates. The biochar additions effectively removed organic contaminants and nitrates. Biochar-enhanced CWs can provide a long-term solution for treating rural home wastewater.
Improving classification precision for medical decision systems through big data analytics application
Authors: Archana G  , Vijayalakshmi V
Published: January 2025

The rapid evolution of machine learning (ML) and big data analytics has modernized medical decision-making procedure, offering promising path for improving classification precision and ultimately, patient outcomes. This research inspects methodologies for enhancing the classification accuracy of medical decision systems by leveraging ML algorithms and big data analytics procedure. In this study, a broad evaluation of existing literature on ML applications in healthcare and medical decision-making is carried out to discover current challenges and potential areas for improvement. The research explores the integration of diverse data sources, including electronic health records (EHRs), medical imaging, genomic data, and patient-generated data, to build robust predictive models. Moreover, the research emphasizes the importance of interpretability and transparency in ML models for medical decision-making, particularly in critical healthcare settings where the rationale behind predictions is crucial. Techniques for model explainability, such as feature importance analysis and model-agnostic interpretability methods, are explored to enhance trust and adoption of ML-driven decision systems by healthcare professionals. Furthermore, the study investigates advanced ML algorithms such as deep learning, ensemble methods, and feature engineering techniques to extract meaningful patterns from large and complex medical datasets. Through experimentation with real-world medical datasets, the efficacy of these algorithms in improving classification accuracy is evaluated and compared against traditional methods. The result of this research contributes to the advancement of ML-driven medical decision systems by providing insights into strategies for improving classification accuracy, thereby facilitating more exact diagnosis, prognosis, and treatment recommendations. Ultimately, the integration of ML and big data analytics holds immense potential for revolutionizing healthcare delivery and improving patient outcomes.
Tasks and responsibilities of graduate professors at public and private universities
Authors: Vélez Jiménez Teresa , Balderas Gutiérrez Ivonne
Published: January 2025

Universities are trying to provide material, physical and human resources to enable them to meet the three functions established by national and international organizations in different national meetings: teaching; research, which involves the production, dissemination and socialization of knowledge; and outreach as a form of communication between universities and society, whether through the dissemination and development of culture or social programs that generate social projection. However, although there has been a preponderance of efforts to improve the conditions of higher education, the demands that the university community, and in particular the professors, must meet are such that it is difficult to do so completely. Therefore, the purpose of this qualitative study with narrative biographical method was to approach, through interviews, the tasks performed by graduate professors. From the analysis performed with Atlas.ti, it was found that the diversity of tasks performed by these professors is due to a characterization of teachers proposed in this work. It is concluded that the tasks performed by professors go beyond the depth of the three functions indicated at the beginning; there are other responsibilities that should be included in the professional identity of graduate professors.
Incidence of dissemination strategies of school research results in teachers' methodological guides
Authors: Franco Gallego Darwin Valmore
Published: January 2025

This research work focused on analyzing the communication strategies of research results in the school context used by teachers in their methodological guides. The main objective was to identify how these results are implemented in teachers' pedagogical practices through documentary analysis of methodological guides and area plans. The methodology used was based on documentary analysis using settlement matrices and checklists to categorize and relate the information collected. The results highlighted using technology and digital resources as tools to strengthen pedagogical practices and learning processes. In addition, the findings showed the importance of including practical activities related to research in the study plans and promoting the development and implementation of research projects as part of teaching. Finally, the need to promote technological integration processes in research was evident, as well as the inclusion of the research competency approach in area plans.
Challenges in the integration of substantive processes in universities with accredited programs: a perspective from peer reviewers
Authors: Rodríguez Fromherz Fátima Rocío , Lezcano Mencia Alejandro , Avalos Morán Máxima
Published: January 2025

Higher education must assume its role in fulfilling the three mission axes: teaching, research, and extension. However, it is known that it faces multiple challenges that prevent it from achieving its goals effectively. The study's objective was to analyze the challenges of integrating teaching, research, and extension in universities with accredited programs from the perspective of the peer evaluators of the National Agency for Evaluation and Accreditation of Higher Education (ANEAES), year 2024. To achieve the purpose of the study, qualitative research with a descriptive exploratory scope was used. The semi-structured interview was applied to 24 peer evaluators that make up the National Registry of Peer Evaluators. The findings show the existence of multiple challenges to achieving the mission of higher education institutions; however, proposals are outlined that could help achieve this. It is concluded that higher education institutions must assume their role and work in a coordinated manner with educational actors to achieve the integration of teaching, research, and extension, which will result in the quality of the training process.
The Result Implementation Of Finger Hold On Laparatomy Post-Operative Patients at The HCU Cempaka Room Of Dr. Moewardi Regional General Hospital (RSUD) in Surakarta
Authors: Maiyun Niken Palupy , Prajayanti Eska Dwi , Wulandari Isti
Published: January 2025

Background: Surgery induces changes in the body's tissue structure, triggering the body's recovery response to maintain balance (homeostasis). This process involves chemical reactions in the body that produce pain sensations in patients. Finger hold technique is a combination of deep breathing relaxation and grasping the fingers relatively quickly. The sensation experienced during the use of this technique provides a deeper sense of comfort and relaxation, as well as increasing tolerance to pain.
Purpose:  To determine the outcomes of applying finger hold technique on laparatomy post-operative patients at the HCU Cempaka of Dr. Moewardi Regional General Hospital (RSUD) in Surakarta.
Methods: The type of research is descriptive research in the form of a case study involving 2 postoperative patients. The research instrument uses the Numeric Rating Scale (NRS) to measure the pain scale.
Results: The results of the study showed that before the application of finger grip therapy, Mrs. S obtained an NRS score of 8 (severe pain), while Mrs. N obtained an NRS score of 9 (severe pain). After the application of finger grip therapy for 3 consecutive days, Mrs. S obtained an NRS score of 3, likewise for Mrs. N after the application, an NRS score of 3 was obtained.
Conclusion: After applying finger grip for 3 consecutive days on Mrs. S and Mrs. N, it can be concluded that there was a decrease in the level of pain in both patients from severe pain to mild pain.
Level of Students' Knowledge Regarding Scabies Incidents
Authors: Khasanah Almar'ah Uswatun , Imamah Ida Nur
Published: January 2025

Background: Scabies is a type of contagious skin disease caused by the Sarcoptes scabiei mite. There are around 130 million people worldwide affected by scabies to date and scabies usually occurs in relatively densely populated places, such as prisons, orphanages, and Islamic boarding schools. Transmission occurs through direct contact with the sufferer's skin and if this disease is left untreated, secondary bacterial infections can occur due to scratching wounds in sufferers.
Purpose:  To find out the level of knowledge of students regarding scabies incidents at the Imam Syuhodo Modern Islamic Boarding School.
Methods: The type of research used in the study is descriptive research with quantitative analysis, where the sampling technique is carried out using the Quota Sampling method with a total of 89 respondents who are students of the Modern Imam Syuhodo Islamic Boarding School. The research instrument used is a questionnaire on knowledge about scabies.
Results: The research shows that there are 39 students (43.8%) who have good knowledge, then 45 students (50.6%) who have sufficient knowledge, and 5 students (5.6%) who have less knowledge.
Conclusion: The level of knowledge of students regarding scabies cases at the Imam Syuhodo Modern Islamic Boarding School shows that most of them have sufficient knowledge.
Length of Critical Patient Care is Related to Family Anxiety Level in the Intensive Care Unit of PKU Muhammadiyah Bantul Hospital
Authors: Poku Siti Rahmawati B. , Azizah Aisyah Nur
Published: January 2025

Background: Intensive Care Unit (ICU) is a hospital intensive care unit for patients who experience impaired vital organ function with critical conditions and require continuous care, treatment and monitoring. This makes the patient's family unable to fully accompany the patient while being treated in the ICU. This often causes family anxiety regarding the news and condition of the patient during treatment, so this psychological problem can reduce the family's quality of life if it continues for a long time.
Purpose: To find out the relationship between the length of critical patient care and the level of family anxiety in the ICU.
Methods: Quantitative research type with cross sectional survey design. The sampling technique used total sampling with a total sample of 40 people. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) instrument. Data analysis was carried out using the Spearman correlation test.
Results: The results of the Spearman rank test obtained a significant value of 0.001 <0.05 indicating that there is a significant relationship between the variable of the length of critical patient care and the level of family anxiety. The correlation coefficient value obtained a value of 0.517 which means that the relationship between the two variables is strong with a positive correlation number.
Conclusion: There is a significant relationship between the length of critical patient care and the level of family anxiety in the ICU. The longer the hospitalization of critical patients, the higher the level of family anxiety.
At-home Management of Food-induced Anaphylaxis
Authors: Ellis Anne K.
Published: January 2025

Anaphylaxis is an acute, potentially life-threatening, systemic reaction characterized by the involvement of two or more body systems. The National Institute of Allergy and Infectious Diseases and Food Allergy and Anaphylaxis Network (NIAID/FAAN) have well-established criteria for the clinical definition of anaphylaxis. Anaphylaxis is a severe allergic reaction that occurs suddenly after contact with an allergy-causing substance (e.g., peanuts), insect venom or medications (e.g., antibiotics). Anaphylaxis criteria include an acute onset of symptoms (within minutes to several hours) involving the skin, mucosal tissue, or both, which may present with generalized hives, pruritus or flushing, or swollen lips, tongue, and uvula. In addition, one or more of the following must be present: respiratory compromise, reduced blood pressure, or associated symptoms of end-organ dysfunction. Anaphylaxis results in a sudden release of mediators, including, but not limited to, histamine from activated mast cells and basophils following the cross-linking of specific immunoglobulin E. Together with downstream mediators, such as prostaglandin D2, platelet activating factor, and leukotrienes, this reaction manifests clinically through peripheral vasodilation, bronchoconstriction, and increased vascular permeability, presenting as a multi-organ emergency requiring immediate intervention.
It is estimated that up to 5% of the population has experienced anaphylaxis, although fatality rates are very low at approximately 0.3% and occur most commonly with drug-induced anaphylaxis. Older age, often consistent with pre-existing comorbidities, and delayed epinephrine administration, pose the most significant risk factors for anaphylaxis fatality. While the global rates of anaphylaxis appear to be on the rise, case fatalities fortunately do not seem to follow this trend.
Relapsed or Refractory Mantle Cell Lymphoma: Available and Emerging Therapies
Authors: Champagne Jean-Nicolas , Villa Diego
Published: January 2025

Mantle cell lymphoma (MCL) is a mature B-cell non-Hodgkin lymphoma (NHL) that accounts for 5–7% of all NHL. In most cases, it is characterized by t(11;14) leading to cyclin D1 overexpression. MCL displays a heterogeneous clinical behavior, ranging from a very indolent to a very aggressive clinical course. Biological features associated with aggressive disease include morphology (pleomorphic or blastoid), high proliferation index (Ki67 >30%), adverse clinical scores (Mantle Cell Lymphoma International Prognostic Index [MIPIb])3, and TP53 mutation status. Patients who relapse within 24 months of initial treatment (POD24) have a poor prognosis with median overall survival (OS) of approximately 12 months.
Most patients achieve long-term disease control with first-line treatment, which currently involves induction rituximab-containing chemotherapy with or without autologous stem cell transplantation, followed by maintenance rituximab. Trials assessing Bruton tyrosine kinase inhibitors (BTKi) and other novel agents in the first-line setting have been recently published or are ongoing. These options are currently not available in Canada outside of clinical trials but may become standard of care in the future.
Relapse after first-line therapy is inevitable, and curability outside the context of allogeneic stem cell transplant (alloSCT) remains unclear, with most patients eventually requiring second and subsequent lines of therapy. In the last decade, new therapies have changed the treatment landscape of relapsed/refractory (R/R) MCL, and their optimal sequencing or combination remain unclear. Treatment options will be described herein, with a proposed treatment algorithm for R/R MCL (Figure 1).
Minimal Residual Disease in Myeloma in 2024: Where We are Today
Authors: De la Torre Alfredo , Ramírez Ibarguen Ana-Florencia
Published: January 2025

Minimal residual disease (MRD) refers to a small population of cancer cells that persists in the body after treatment. Often undetectable using traditional diagnostic methods, these cells can eventually cause relapse in patients who appear to have achieved a complete response (CR) to treatment. For that reason, MRD has become a vital parameter in evaluating the effectiveness of cancer therapies, particularly in hematological malignancies, such as multiple myeloma (MM), and certain solid tumours.
Detection of MRD represents a challenge, as the disease may not cause symptoms or be detected through traditional methods (i.e., visible under a microscope). Nevertheless, these cells are often responsible for disease relapse; alternatively, sustained absence of these cells may portend a prolonged remission and presumably be required for disease cure. Therefore, monitoring and detecting MRD are increasingly recognized as essential for long-term patient care and treatment planning.
Can Non-invasive Monitoring Replace Ileocolonoscopy for Postoperative Recurrence of Crohn’s Disease?
Authors: Kishore Shreya B. , Lawrence Sally
Published: January 2025

The therapeutic landscape for Crohn’s disease (CD) has been reshaped by improvements in disease management and medical therapy, leading to a decrease in the necessity for intestinal resection. However, surgical intervention still plays a crucial role in treating medically refractory disease or complications such as strictures or fistulae. Recent biologic-era population studies have shown that the rate of CD-related abdominal surgery over 10 years is up to 49.9% in adult-onset CD and 37.7% in pediatric onset CD.
Echoes of Change: How Ultrasound Has Transformed Giant Cell Arteritis Detection
Authors: Powell Maria , Bardi Mohammad
Published: January 2025

Giant cell arteritis (GCA) is the most common form of vasculitis affecting adults. The diagnosis of GCA is suspected in patients older than 50 years of age with a new headache and elevated inflammatory markers. Once the diagnosis of GCA is suspected, patients require urgent treatment with glucocorticoids to prevent ischemic complications such as blindness and stroke. As there are many causes for headache, diagnosing GCA can be a ‘headache’ for many rheumatologists. For years, rheumatologists have relied on the temporal artery biopsy (TAB) as the gold standard for diagnosing GCA, despite the 33–92% sensitivity. As patients with suspected GCA remain on high doses of glucocorticoids, which have multiple side-effects and potential adverse events, rapid access to tests that have a greater impact on clinical decision‑making is essential. Vascular imaging is a non‑invasive tool that can help diagnose, monitor, and predict the course of GCA. This article will focus on how ultrasound has transformed the detection of GCA and its potential to reduce some of the ‘headaches’ faced by both rheumatologists and patients.
Contemporary Management of Raynaud’s Phenomenon
Authors: Turk Matthew A.
Published: January 2025

Raynaud’s phenomenon (RP) is defined as reversible pallor, and also rubor or cyanosis especially digits and it is very common on the general population. It can be an early sign of a connective tissue disease, especially scleroderma and may negatively impact patients’ quality of life. Lifestyle modifications including smoking cessation, cold-avoidance, and avoidance of medications that could worsen RP should be considered as first-line therapies. For those who are resistant to conservative measures, dihydropyridine calcium channel blockers (CCBs) are the preferred first-line treatment. The majority of treatment trials in RP study nifedipine, but other drugs such as amlodipine and felodipine. Otherwise, there is evidence supporting the use of topical nitrates and oral phosphodiesterase type 5 (PDE5) inhibitors. Intravenous prostaglandins (prostacyclins, PGI2 such as iloprost and PGE1 which is alprostadil) can be used for refractory cases. There remains a paucity of data for the benefit of botulism toxin, fluoxetine, or bosentan for treating RP in these patients.
The 2023 ACR/EULAR Classification Criteria for Antiphospholipid Syndrome: Implications for the Inclusion of Participants in Research vs Diagnosis in Clinical Practice
Authors: Sánchez-Guerrero Jorge
Published: January 2025

Antiphospholipid syndrome (APS) was first described in patients with systemic lupus erythematosus in 1983, and the primary version in 1989. Multiple clinical manifestations have been associated with antiphospholipid antibodies (aPL) including venous and arterial thromboses, transient ischemic attack (TIA), obstetric complications, thrombocytopenia, hemolytic anemia, livedo reticularis, transverse myelitis, cognitive dysfunction, cutaneous ulcers, Libman-Sacks endocarditis, and a peculiar type of nephropathy. Antiphospholipid antibodies include lupus anticoagulant (LAC), anticardiolipin antibodies  (aCL) IgG and IgM, and anti‑beta‑2‑glycoprotein antibodies (aβ2GPI) IgG and IgM. Other antibodies such as anti-prothrombin and anti-prothrombin/phosphatidylserine have been proposed as biomarkers of APS, particularly in cases where the standard antibodies are negative, but they are not officially accepted.
Since 1999, the original Sapporo Criteria and its revised 2006 version have been used for the classification of patients in research studies and for the diagnosis of patients with APS. Despite the broad spectrum of clinical manifestations and serological markers considered by physicians as part of the APS, the original and revised versions of Sapporo Criteria include only venous, arterial and microvascular thrombotic events and specific obstetric events among the clinical manifestations, and aCL IgG and IgM antibodies, aβ2GPI-I antibodies IgG and IgM or lupus anticoagulant as the serological markers. Consequently, APS was diagnosed as obstetric and/or thrombotic syndrome, not considering other non-criteria manifestations associated to aPL antibodies. The major limitation of these criteria is that they do not reflect the systemic nature of APS.
Due to the importance of classification criteria in research, the ACR and EULAR assumed the responsibility of encouraging the development and validation of new and improved classification criteria for various rheumatic diseases, including APS, based on the current standards of measurement.