bluuebunny/crossref_metadata_2025 huggingface dataset:
Optimising Multilateral Cooperation in Combating Cybercrime to Enhance National Vigilance
Authors: Lukman W Asep Dicky , Hermawan Rido
Published: February 2025

Purpose: The increasing sophistication of cybercrime poses a significant threat to national security, necessitating enhanced multilateral cooperation. This study examines the role of international collaboration in combating cyber threats, focusing on frameworks that bolster national vigilance. The research explores strategic initiatives, legal harmonisation, and intelligence-sharing mechanisms to optimise cyber resilience through coordinated multilateral efforts.
Study Design/Methodology/Approach: A qualitative research methodology underpins this study, incorporating literature reviews of primary and secondary data sources. The analysis applies a SWOT framework to assess strengths, weaknesses, opportunities, and threats in global cybercrime cooperation. Additionally, a deductive analytical approach evaluates existing theoretical cybersecurity models, refining them based on contemporary empirical data. This method allows for a structured examination of international cyber governance frameworks, providing insights into their effectiveness and areas for improvement.
Findings: The study identifies multilateral cooperation as essential in countering cyber threats. States engaged in intelligence-sharing, legal harmonisation, and coordinated cyber defences demonstrate stronger resilience. However, disparities in national regulations, trust deficits, and technological asymmetries impede effective collaboration. Strengthening cyber diplomacy, enhancing legal interoperability, and investing in joint cybersecurity capacity-building initiatives are critical to overcoming these challenges.
Originality/Value: This study advances cybersecurity governance research by integrating SWOT analysis and deductive reasoning to evaluate multilateral approaches. Unlike previous studies that focus on unilateral or regional cybersecurity policies, this research highlights how adaptive and harmonised strategies enhance national resilience. The findings provide policymakers with actionable insights to reinforce cyber defences through robust international cooperation.
Proyecto de desarrollo integral infantil y su incidencia en la educación nutricional de niños de la ciudadela San Cristóbal de Portoviejo, período 2023
Authors: Gómez-Alvarado Cindy Gissella , Eva Romero Vélez, Marisol
Published: February 2025

La presente investigación analiza el impacto del programa "Creciendo con Nuestros Hijos" (CNH) en la unidad de atención Ternurita San José, ubicada en la ciudadela San Cristóbal de Portoviejo, durante el período 2023. El estudio tuvo como objetivo evaluar cómo este programa influye en la educación nutricional y los hábitos de vida saludable de niños de 0 a 3 años y sus familias. Se utilizó un enfoque mixto (cualitativo y cuantitativo), aplicando encuestas a 36 padres de familia. Los resultados evidencian mejoras notables en la adopción de hábitos saludables, el conocimiento sobre nutrición y la reducción de la desnutrición. Sin embargo, persisten desafíos como el costo elevado de alimentos saludables y la falta de tiempo para preparar alimentos nutritivos. El programa ha sido fundamental para fortalecer la cohesión familiar y promover prácticas alimentarias adecuadas. No obstante, se recomienda implementar estrategias complementarias que faciliten el acceso a alimentos saludables y optimicen la participación familiar. Se concluye que el CNH ha tenido un impacto positivo en el desarrollo infantil integral, pero requiere ajustes y políticas complementarias para maximizar sus beneficios.
Análisis Tributario de los Ingresos de Creadores de Contenido en Redes Sociales en Ecuador y su Impacto en la Recaudación de Tributos
Authors: Arequipa-Cando Bryan Esteban , Caicedo-Tutin Erika Nicole , Villarroel-Maya Ángel Alberto
Published: February 2025

El presente estudio tuvo como objetivo principal analizar la relación entre los creadores de contenido digital y el sistema tributario ecuatoriano, con el fin de identificar los desafíos y ofrecer recomendaciones para mejorar el cumplimiento fiscal de este sector, basado en una metodología inductiva, descriptiva, exploratoria, de la investigación bibliografía y de campo donde se aplicaron encuestas a creadores de contenido, complementadas con entrevistas a expertos en el área. Revelaron que la descentralización de las plataformas digitales, como Instagram, Facebook, YouTube y TikTok, dificulta la fiscalización de los ingresos de los creadores debido a la falta de transparencia en el reporte de los ingresos y la dispersión de los mismos en diversas plataformas y métodos de pago. A pesar de que un alto porcentaje de los encuestados está al tanto de sus obligaciones fiscales, solo un pequeño grupo declara regularmente sus ingresos. Además, en conclusión, a pesar del conocimiento general sobre las obligaciones tributarias, existen barreras como la complejidad del proceso, la falta de herramientas adecuadas y la percepción de que el sistema tributario no está adaptado a la economía digital. Se recomienda mejorar la educación fiscal dirigida específicamente a los creadores de contenido y simplificar los procesos tributarios. Además, se sugiere una mayor cooperación entre el SRI y las plataformas digitales para facilitar la fiscalización de los ingresos generados a través de medios digitales.
POLÍTICA UNIVERSITÁRIA E CONDIÇÕES DE POSSIBILIDADE PARA O DEBATE ÉTNICO-RACIAL: UM ESTUDO SOBRE A UNIVERSIDADE FEDERAL DE MINAS GERAIS
Authors: Miranda Vanessa Regina Eleutério
Published: February 2025

INTRODUÇÃO: Este trabalho tem por objetivo apresentar e refletir sobre algumas ações e políticas de uma instituição universitária considerada uma referência no país para o debate da temática étnico-racial e a educação antirracista. Pretendemos caracterizar alguns aspectos que consideramos como condições que contribuíram para a emergência desse debate e das demandas relativas às questões étnico-raciais em seu contexto. O material utilizado é um excerto de tese de doutorado em educação, defendida em 2018.
O QUE NOS ENSINA OS POVOS INDÍGENAS SOBRE A INFÂNCIA - UM OLHAR PARA A EDUÇÃO INFANTIL
Authors: Nunes Jurema de Aquino , Canavieira Fabiana Oliveira , Vieira Edilene de Jesus Furtado Ferreira , Velôso Thayllon Monteiro , Trindade Josenice Silva , Rodrigues Bruna Monique Cunha , Carvalho Dania Rafaela Ferreira , Rosa Marise Marçalina de Castro Silva , Setúbal Arteane Gomes de Sousa
Published: February 2025

O presente artigo se origina a partir de um recorte da pesquisa do mestrado,  precisamente da observação das crianças de uma creche municipal em Floriano-Piauí, especificamente nas turmas de  2 e 3 anos,  tendo como objetivo aprofundar o debate por uma proposta de educação da pequena infância a partir da cosmovisão dos povos indígenas, se inspirado no brincar das crianças indígenas imersas na natureza. Apresentando a defesa do brincar livre em contato com a natureza e da cosmovisão indígena que foi evidenciada na pesquisa. Levantado alguns questionamentos: Por que o momento das brincadeiras livres, são tão reduzidos? Por que quase nunca acontece momentos de entrelaçamento com a natureza? Buscou-se respostas através da pesquisa exploratória que se fundamenta principalmente nos autores Prodanov e Freitas (2013), que afirmam [...] esse tipo de pesquisa tem as seguintes características de [...] orientar a fixação dos objetivos e a formulação das hipóteses ou descobrir um novo tipo de enfoque para o assunto (p. 51). Concluímos que uma proposta de educação de crianças pequenas, a partir da cosmovisão dos povos indígenas, passa pela ideia de colocar o coração no ritmo da terra, oportunizando a elas uma conexão profunda com o mundo ao seu redor, um contato fundamental para que incorporem em suas identidades valores como cuidado e pertencimento.
Assessing the Role of Leadership in Promoting Patient-Centered Care
Authors: Thakkar Axita , Sahoo Surjeet , Saraswat Vivek , Khurana Jatin , Jayakumar Sujayaraj Samuel , Kumar Adarsh , Bhanudas Hulwan Atul
Published: February 2025

Introduction:This study aimed to assess the role of leadership in promoting patient-centered care in healthcare organizations. Patient-centered care is an approach that focuses on meeting patients' individual needs and preferences, thereby improving their overall experience and outcomes. Effective leadership is crucial in driving the implementation of patient-centered care in healthcare settings.Methods:A literature review was conducted to gather relevant studies on leadership and patient-centered care. The articles were critically analyzed using a deductive approach to identify key themes and draw conclusions. Results:The review revealed that effective leadership is essential in promoting patient-centered care. Transformational leadership, which emphasizes individualized consideration and intellectual stimulation, was found to be most beneficial in this context. This type of leadership empowers healthcare professionals to actively involve patients in their care actively, leading to higher patient satisfaction and improved outcomes. Servant leadership, which focuses on serving the needs of others, was also found to be effective in promoting patient-centered care.Conclusions:This study highlights the crucial role of leadership in promoting patient-centered care. Healthcare organizations should focus on developing and nurturing transformational and servant leaders to drive the implementation of patient-centered care. By prioritizing patient needs and preferences and involving them in decision-making processes, leaders can create a culture of patient-centered care within their organizations, ultimately improving patient outcomes and experiences. Further research is needed to explore the specific leadership styles and strategies that are most effective in promoting patient-centered care.
Integrating Environmental Health into Healthcare Management Practices
Authors: Varma Pooja , Fahar Ali Syed , Lamoria Jayaprakash , Narayan Mishra Suvendu , Kumar Amit , Kaur Ashmeet , Shinde Ravindra
Published: February 2025

Introduction: Conveying Environmental Health in Healthcare Management Practices: Analysis of Systematic Review the authors systematically reviewed the existing literature for best practices and strategies for integrating ecological health into healthcare management.Methods: We performed an extensive search on the comprehensive database, including PubMed, Google Scholar, and Science Direct. However, these studies focused on integrating environmental health in healthcare management, either through the implementation of policy initiatives in educational settings or through organizational transitions. Results: The review revealed emergent themes and strategies for integrating environmental health into healthcare management. These [steps] varied and ranged from forming environmental health committees to creating policies and protocols on how to address environmental health (e.g., incorporating ecological health-related goals and metrics in performance evaluations and providing staff training and education on environmental health, among others). Conclusions: The culture of healthcare management can be acted upon to enhance environmental health, resulting in intelligent patient outcomes and illuminated healthcare practices. Nevertheless, additional research and evaluations of these integration movements have yet to assess their efficacy and identify areas for improvement.
The Role of E-Health in Enhancing Quality of Life for Chronic Patients
Authors: Varma Pooja , Singh Aruna , Lakshmi Vidhya , Jena Banani , Sharma Sorabh , Khurana Shivam , Roy Priya P.
Published: February 2025

Introduction:    To assess the impact of e-health on the quality of life of chronic patients. The paper describes the fundamental understanding of e-health as the use of information and communication technologies (ICT) in support of health and health-related fields. Since chronic diseases represent a heavy burden on most healthcare systems and the lives of patients, it is essential to explore the role e-health can play in this.Methods: This was a systematic review of the literature using electronic databases and search terms pertinent to e-health and chronic diseases. Studies including e-health interventions for patients with chronic disease and reporting quality of life outcomes were included. We identified 20 studies meeting the inclusion criteria, which included sample sizes from 20 to 900 subjects and a diversity of chronic diseases.Results: E-health interventions demonstrated a beneficial effect on the overall quality of life of chronic patients. This was manifested as improvements in physical, psychological and social well-being, disease management and self-care. The study identified that e-health interventions enhanced access to health services offered personalized support, and improved communication between patients and healthcare providers. A few studies also reported on the cost-effectiveness of e-health interventions.Conclusions: This study leads us to conclude that e-health represents a remarkable opportunity to improve the quality of life of chronic patients; E-health can utilize ICT to enhance disease management, enhance reachability to healthcare solutions, and improve professional-patient interaction. There is a need for further research on the best e-health interventions for each of these conditions and on barriers to patients adopting and using e-health (some barriers are common across conditions, while others are specific to each condition). However, the results of this review can encourage us to add e-health to the health systems to have an opportunity to enhance the life quality of chronic patients.
Assessing the Effectiveness of Interdisciplinary Education in Healthcare
Authors: Kandhari Harsimrat , Jamuna K.V , Gupta Kashish , Upadhye Vijay Jagdish , Sahu Samir , Sharma Dikshit , Patil Supriya
Published: February 2025

Introduction: This study focused on innovative health leadership models that can improve the quality of life in post-acute care settings. It answered the need to address leadership strategy in improving patient experience and operational strategy.Methods: The researcher used a mixed-methods approach, incorporating quantitative surveys and qualitative interviews with healthcare professionals in different types of post-acute care settings. The researchers examined data from 150 participants to assess how various leadership models affected the quality of care and staff satisfaction. These included transformational, transactional, and servant leadership models.Results: The data showed that transformational leadership models are associated with significantly better quality of life for patients in post-acute care settings. Those facilities using this model had higher patient satisfaction scores and better overall health outcomes than those using transactional and servant leadership models. Staff in transformational leadership environments also reported greater job satisfaction and less burnout.Conclusions: The study found that transformational leadership is the most effective model for post-acute care settings because it promotes a favorable climate for patients and staff. Transformational leadership elements such as empathy, communication, and empowerment can improve patient care and the job satisfaction of healthcare workers. The study suggested implementing transformational leadership training programs for healthcare leaders who were being nurtured and educated in transformational leadership skills as a desirable format to improve the future and ongoing quality of life in post-acute care settings.
Healthcare Management Strategies for Enhancing Patient Engagement
Authors: Kulkarni Bhagwan , Das Chandan , Sharma Pratibha , Katyal Ashu , Jamuna K.V , Geetha Bhavani A. , Karande G.S.
Published: February 2025

Introduction: The healthcare industry is transforming due to the growing emphasis on patient-oriented care and better results. One critical element for accomplishing these goals is patient empowerment, that is, the active participation of the individual in their health journey. This abstract outlines the identified strategies from a paper related to improving patients' engagement in their own healthcare.Methods: We carried out a systematic literature review focused on identifying strategies to improve patient engagement. Studies published between 2010 and 2020 considered interventions focusing on patient engagement in the management aspect of healthcare. We selected and reviewed 20 articles to identify key themes and strategies.Results: Our study identified four strategies healthcare practitioners used to develop patient self-management strategies. Such strategies may involve enhancing communication and information-sharing mechanisms, promoting education and empowerment of the patient and family, utilizing technology and digital tools, and nurturing collaboration between patients and healthcare providers. Game example strategies were used to identify and code each type.Conclusions: onclusively, these are the ways by which healthcare organizations can enhance patient engagement and drive better patient outcomes. However, such strategies need to be implemented in a focused and patient-centered manner based on the variety of patients' needs and preferences. Future research should assess the effectiveness of these mechanisms and identify other strategies for engaging patients in managing their healthcare.
The Role of Technology in Transforming Healthcare Education
Authors: Sharma Chetan Kumar , Gohil Jagdish , Dhar Srikant Kumar , Makhija Himanshu , Sood Gourav , RenukaJyothi S. , Mahajan Nikhilchandra
Published: February 2025

Introduction: TDigital technology can be harnessed to reform and enhance healthcare education. This paper seeks to explore the current state of research on technology’s influence on the evolution of healthcare education.Methods: Methods A broad literature search using PubMed, Google Scholar and other databases identified relevant, contemporary studies, articles and reports regarding the use of technology in healthcare education. The keywords included “technology,” “healthcare education,” “medical education,” and “e-learning."Results: The study disclosed that technology has been integrated into large-scale healthcare education to improve a number of sectors, including knowledge retention, clinical skills and communication skills. E-learning platforms, virtual and augmented reality, simulation tools, and gamification have all been the most widely used technology for healthcare education. These tools have also found their way to rewrite the story, therefore improving the quality and effectiveness of the training, increasing student engagement and providing students with a more interactive and immersive learning experience.Conclusions: Conclusions: the use of technology in healthcare education has the potential to transform traditional methods of teaching and learning. It allows healthcare providers to learn and practice fundamental skills in a safe, controlled environment, ultimately enhancing patient safety and improving the quality and effectiveness of care delivered. Further studies are needed to assess the long-term effects of technology adoption in healthcare education and to create evidence-based recommendations for its incorporation. However, given the trends, the evidence points to an essential role for technology in reworking healthcare education and preparing the next generation of the workforce.
The Intersection of Health Leadership, Policy, and Quality of Life Improvements
Authors: Kaur Prabhjot , Ghosal Shreya , Varma Pooja , Wanih Tanveer Ahmad , Patel Devanshu J. , Senapati Satyabhusan , Patil Shilpa C.
Published: February 2025

Introduction: Lead with Health Leadership, Policy, and Quality of Life Improvements To explore the intersections of social systems with biological processes that affect health outcomes—seemingly intractable problems that require the building of transdisciplinary research teams, family-oriented research projects, and standardized approaches to the use of comprehensive datasets across teams and institutions.Methods: A comprehensive literature search was performed to identify relevant studies and articles on health leadership, policy and quality of life improvements. Researchers examined how leadership, policies, and actions affect various determinants of quality of life, including access to health care, education, employment, and social support.Results: The results of this study show the importance of health leadership and policies and their significant effect on quality of life. A health leader who values the same things that we do, equity, collaboration, and innovation, can influence policies that will advance the social determinants of health that call for access to care and social support. Thus, the improvement in quality of life for people and communities has been assigned to this.Conclusions:Building effective health leadership and policies to improve healthy life expectations. This enables policy-makers and health leaders to formulate strategies that consider each factor's interlinking component and how external forces shape them to enhance quality of life. They can provide holistic solutions to help address the social determinants of health and promote health equity and well-being, which can further positively impact the quality of life of individuals and communities.
Innovative Teaching Methods in Healthcare Education: A Comparative analysis
Authors: Soni Ishika , Mane Manashree , Singh Sourabh Kumar , Upadhye Vijay Jagdish , Deo Ram Chandra , Saini Pavas , Surale-Patil S. A.
Published: February 2025

Introduction: Background This analysis presented innovative health leadership models for improving the quality of life in post-acute care. Its objective was to address the increasing demand for best-practice leadership strategies to enhance patient outcomes and service delivery.Methods: The researcher utilized a mixed-methods study using quantitative surveys and qualitative interviews with healthcare workers from different post-acute facilities. The study looked at data from 150 participants to determine the effect of different leadership models on care quality and staff satisfaction. Potential leadership models were transformational, transactional, and servant leadership.Results: The results demonstrated a significant impact of the transactional leadership models on improving the quality of life. This model yielded better patient satisfaction scores and improved patient outcomes compared to transactional and servant leadership models. Staff in transformational leadership environments also had higher job satisfaction and lower levels of burnout.Conclusions:We aimed to identify the leadership style most suited to post-acute care settings. Transformational leaders can improve patient care and job satisfaction by embracing empathy, communication, and empowerment. Disclaimer: This research suggested implementing transformational leadership educational programs to develop these skills in existing and future provider leaders as a means of enhancing life in post-acute care settings.
Machine learning for Forecasting quality of life variations in hemodialysis patients
Authors: KV Jamuna , Bhardwaj Uma , Gohil Jagdish , Biswal Jitendriya , Nimesh Raj , Dhingra Lovish , Patil V. C.
Published: February 2025

Objective: To anticipate changes in quality of life (QoL) evaluations for hemodialysis patients. over the course of the following month and to use ML to establish an early warning system. Materials and methods: A hospital with a dialysis unit hosted the trial, which lasted one month and included an approaching group. Approximately 78 patients have been enrolled up to this date. Preformed including demographic information MBBS-degree holding medical professionals administered the validated WHO-BREF. It has to be done again on the same patient a month later by the same investigator. R and Orange were used for machine learning, while SPSS version 24 was used to provide basic statistics.Results: In order to predict whether a patient's WHO-QOL-BREF score would increase or decrease by 5% over the course of a month, two models were developed using ML methods. A 5% or greater loss in QOL scores occurs over the course of the next month as a result of declines in the psychosomatic, substantial, and societal domain scores.Conclusion: The Dialysis Data Interpretation for Algorithmic-Prediction on QOL early warning system based on ML was developed to identify quickly declining QOL scores in the hemdialysis sample. The model suggested that improving the psychological and ecological domains in exacting could be able to arrest the fall in QOL ratings. If DIAL is used more widely, it should benefit patients by guaranteeing a greater QOL and reducing the long-term cost burden.
Bariatric Surgery and Pregnancy: Impact on Maternal and Fetal Health
Authors: Sohal Jagmeet , Yothi S RenukaJ , Patil Dhairyasheel D. , Rastogi Sameer , Ravindra Ravindra , Narayan Mishra Suvendu , Sharma Nittin
Published: February 2025

To contrast the prenatal results of female patients prior to and following weight-loss surgery giving birth. Methods: a review of the literature was conducted at a hospital to examine the prenatal results of women who gave birth before and after having weight loss procedure. To account for confounders, a model with multiple logistic regression variables was created. Findings: 301 deliveries occurred before and 507 occurred after weight loss surgery across the research period. Following the procedure, there was a notable decrease in the incidence of fetal obesity , hypertensive diseases , and metabolic syndrome . The results indicated that there was an independent link between bariatric surgery and a decrease in the incidence of hypertension , diabetes mellitus , and macros- . Bariatric surgery before pregnancy can enhance maternal health, though it must be carefully monitored to avoid nutritional deficits. Optimal prenatal care is critical for both fetal growth and maternal health.
Kompleks Permasalahan Ibu Nifas (Non Comunicable & Comunicable) di Berbagai Pelayanan Kesehatan
Authors: Nurlaela Emi , Kartikasari Dian
Published: February 2025

Tujuan : studi kasus ini memaparkan realita kompleksnya permasalahan ibu nifas, baik permasalahan kesehatan fisik, psikologis, serta permasalahan terkait keluarganya. Permasalahan enam ibu nifas dengan usia resiko (13 tahun dan 16 tahun), perdarahan akibat atonia uteri, infeksi saluran kemih, anemia, kurang penerimaan pada kelahiran bayi akibat kegagalan penggunaan kontrasepsi. 
Metode : Responden penelitian adalah ibu nifas yang mengalami permasalahan. Ibu nifas dilakukan kelolaan di berbagai tempat pelayanan. Asuhan keperawatan dilakukan dengan tahapan pengkajian, penentuan diagnosa keperawatan, penentuan rencana keperawatan, tindakan keperawatan dan evaluasi. Asuhan keperawatan dilakukan dengan melibatkan keluarga. Perawatan dilakukan dalam memenuhi kebutuhan biologis, psikologis, sosial, kultur, spiritual.
Hasil : Terpenuhinya kebutuhan kenyamanan, permasalahan perdarahan teratasi, permasalahan infeksi saluran kemih teratasi, terpenuhinya kebutuhan belajar mengenai nutrisi masa nifas, pijat oksitocin, adanya keterlibatan keluarga dalam memotivasi pemenuhan nutrisi ibu post SC, adanya penerimaan ibu terhadap bayinya.
Kesimpulan : Saran agar dapat dilaksanakannya pemeriksaan kadar haemoglobin pada semua ibu post partum baik post partum normal maupun patologis sebelum ibu dipulangkan dari tempat pelayanan kesehatan.
Pengaruh Pembekalan Spiritual Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi di Rumah Sakit Airan Raya
Authors: Afikirtiani Winda , Mustopa Mustopa , Susilo Dwi Joko , Sugiarto Sugiarto , Simanjuntak Betty , Larombia Sufiana
Published: February 2025

Tujuan : Untuk mengetahui pengaruh pembekalan spiritual terhadap tingkat kecemasan pada pasien pre operasi di Rumah Sakit Airan Raya.
Metode: Penelitian ini menggunakan desain penelitian two group pre-test post-test quasy eksperiment. Populasi dalam suluruh pasien yang menjalani persiapan operasi yang jumlahnya sebanyak 32 pasien. Jumlah sampel dalam penelitian ini sebanyak 24 responden. Analisis dalam penelitian ini yaitu menggunakan analisa univariat dan analisa bivariate mengggunakan uji T-Test.
Hasil: Rata-rata  kecemasan pada 12 responden sebelum diberikan intervensi  adalah 20.67 dan setelah dilakukan intervensi didapatkan rata-rata kecemasan menjadi 12.08 atau tidak mengalami kecemasan. Terdapat pengaruh pembekalan spiritual terhadap tingkat kecemasan pada pasien pre operasi di Rumah Sakit Airan Raya dengan p-value 0.00
Kesimpulan: Pembekalan spiritual berperan signifikan dalam menurunkan tingkat kecemasan pasien pre-operasi di Rumah Sakit Airan Raya. Pembekalan spiritual merupakan pelengkap dalam perawatan pre-operasi, dan sebagai intervensi yang dapat mengoptimalkan hasil klinis.
Pengaruh Pendidikan Kesehatan Tentang Leukorea Dengan Media Booklet Terhadap Tingkat Pengetahuan dan Sikap Remaja Putri Kelas XI di MAN 2 Ciamis
Authors: Sandriani Sandriani , Pramitha Shera Adya , Srinayanti Yanti , Solihah Rosidah , Asmarani Sri Utami
Published: February 2025

Tujuan: Tujuan dari penelitian ini untuk menganalisis pengaruh edukasi tentang leukorea dengan media booklet terhadap tingkat pengetahuan dan sikap remaja putri kelas XI di MAN 2 Ciamis.
Metode: Metode penelitian yang digunakan adalah pra-eksperimental dengan rancangan one-group pretest-posttest design. Populasi dalam penelitian ini adalah 188 orang. Sampel dalam penelitian ini menggunakan Simple random sampling dengan menggunakan rumus slovin dengan jumlah sampel 66 responden.
Hasil: Hasil penelitian berdasarkan tingkat pengetahuan pretest sebagian besar berada pada kategori baik sebanyak 53 orang (80,3%) dan hasil posttest mengalami perubahan pada kategori baik sebanyak 65 orang (98,9%). Hasil sikap pretest sebagian besar pada kategori positif sebanyak 38 orang (57,6%) dan hasil posttest pada kategori positif terdapat perubahan sebanyak 63 orang (97%). Berdasarkan hasil uji wilcoxon test menunjukkan nilai sig. (2-tailed) = 0,000 < α = 0,05.
Kesimpulan: Dengan demikian ada pengaruh pendidikan tentang leukorea dengan media booklet terhadap tingkat pengetahuan dan sikap remaja putri kelas XI di MAN 2 Ciamis.
Analisis Faktor-Faktor yang Mempengaruhi Durasi Penggunaan Ventilator Mekanik di Ruang Instalasi Care Unit RSUP Dr. Sardjito Yogyakarta
Authors: Sugiarto Sugiarto
Published: February 2025

Tujuan: Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi durasi penggunaan ventilator mekanik.
Metode: Metode dalam penelitian ini merupakan bentuk deskriptif retrospektif dengan pengambilan data rekam medis. Jumlah populasi dalam penelitian ini yaitu 171, berdasarkan kreteria inklusi dan eklusi didapatkan sampel sebanyak 53.Analisis yang digunakan dalam penelitian ini dengan menggunakan regresi logistik.
Hasil: Berdasarkan hasil uji regresi logistik didapatkan hasil nilai p-value 0.001.yang artinya faktor yang paling dominan mempengaruhi durasi penggunaan ventilator mekanik yaitu SpO2.
Kesimpulan: dari hasil penelitian dapat disimpulkan bahwa saturasi oksigen atau SpO2 dapat mempengaruhi durasi atau waktu penggunaan ventilator mekanik.
Case Study of The Application Warm Water Foot Soak Therapy in The Elderly With Hypertension The Hamlet of Gubuk Pande, Apitaik Village, Pringgabaya Sub-District
Authors: Hulyati Baiq
Published: February 2025

Background & Objective: Hypertension often occurs in the elderly and is a condition in which a person experiences an increase in blood pressure above normal which can result in morbidity and mortality. One of the nonpharmacological treatments for hypertension is foot soak using hanagt water. Warm water is able to provide a relaxing effect that causes a sense of relaxation to cause sopartifik (want to sleep) which can lower blood pressure.  
Method: This study aims to analyze the use of foot soaks using warm water against insomnia in the elderly to lower blood pressure in hypertensive patients in Gubuk Pande Hamlet, Apitaik Village, Pringgabaya District. The subject of this case study was a patient with hypertension.  
Result: The results of the treatment showed that after 5 days of intervention, blood pressure dropped from 160/100 mmHg to 150/90 mmHg.
Conclusion: The conclusion from the results of this study is that foot soak therapy using warm water can reduce blood pressure in hypertensive patients. It is hoped that medical personnel can improve the quality of service in providing nursing care to patients, especially in Hypertensive Patients with foot soak interventions using warm water.
Literature Review: Effect of Water-Based Exercise on Chronic Obstructive Pulmonary Disease (COPD) Patients
Authors: Iwandani Nuzhulul Lifqi , Rosyid Fahrun Nur
Published: February 2025

Background & Objective: Chronic Obstructive Pulmonary Disease is a chronic condition of injury to the respiratory tract due to exposure to toxic gases or substances. The various clinical manifestations caused have a major effect on the patient's quality of life. Water-based exercise is a non-pharmacological intervention that helps improve the functional of the lung organs so that the quality of life increases. The purpose of this study was to determine the effect of water-based exercise for COPD patients.
Method: This type of research uses the literature review method through google, google schoolar, ncbi, openknowledge and garuda in the range of published years 2018 to 2023 using the keywords water-based exercise; water exercise; water-based exercise; COPD; COPD; Chronic Obstructive Pulmonary Disease; Chronic Obstructive Pulmonary Disease.
Result: From the five journals analyzed, participants experienced functional improvements in lung function, respiratory muscle strength, and tolerance to physical activity or exercise.
Conclusion: Water-based exercise provides several benefits for people with COPD, including improving lung function, increasing respiratory muscle strength, and optimizing tolerance to physical activity so that quality of life can be supported slowly.
The Relationship Between Knowledge Level and Diet with Nutritional Status (Imt/U) in Adolescent Girls Aged 13-15 Years at SMP Negeri 4 Gading Rejo
Authors: Oktafiani Bela , Nurhayati Aftulesi , Muaharrahmah Alifiyanti , Abdullah Abdullah
Published: February 2025

Background & Objective: Adolescence is a transitional age from childhood to adulthood. This period will experience changes in lifestyle such as attitudes in choosing food to be consumed and paying attention to physical appearance (body image), which will affect the nutritional status of adolescents. Based on Lampung Province Riskesdas data, the prevalence of thin and very thin adolescents is 8.8%, and Pringsewu Regency adolescents with thin nutritional status are 11.26%. This study aims to determine the relationship between the level of nutritional knowledge and diet with nutritional status (IMT/U) in adolescent girls aged 13-15 years at SMP Negeri 4 Gading Rejo.
Method: This type of research is quantitative. The research design used a cross sectional approach. Sampling technique using purposive sampling. The subjects in this study amounted to 50 adolescent girls at SMP Negeri 4 Gading Rejo. Data were collected using nutrition knowledge questionnaire, Food Frequency Quentionaire (FFQ) and IMT/U measurement. Bivariate analysis in the study used the gamma correlation test.
Result: The results of the analysis showed that 30 respondents (60%) had insufficient knowledge, 23 respondents (46%) had a sufficient diet and 36 respondents (72%) had a poor nutritional status. So that the results of the analysis using the gamma test showed that there was no relationship between the level of nutritional knowledge and the nutritional status of adolescent girls at SMP Negeri 4 Gading Rejo with a p-value of 0.677 (>0.05) and there was a significant relationship between diet and the nutritional status of adolescent girls at SMP Negeri 4 Gading Rejo with a p-value of 0.016 (<0.05).
Conclusion: The conclusion of the results of this study is that there is no relationship between the level of nutritional knowledge and the nutritional status of adolescent girls but there is a relationship between diet and the nutritional status of adolescent girls at SMP Negeri 4 Gading Rejo.
The Relationship Between Self-Concept and Academic Achievement of 5th Semester Students at Stikes Hamzar East Lombok
Authors: Ikhwani Dina Alfiana , Farlina Baiq Fina , Aupia Anatun , Irwansyah Irwansyah
Published: February 2025

Background & Objective: Student academic achievement is one of the things that characterizes the quality of students. Academic achievement is a change in behavioral skills or abilities that can increase over time that is not caused by the growth process, but through learning situations. Relationship between self-concept and academic achievement of 5th semester students of STIKes Hamzar East Lombok.
Method: The type of research used is quantitative research with a cross sectional approach. The sampling technique in this study used total sampling with a total sample size of 56 samples.
Result: This study shows that most (58.9%) students' self-concept in the Moderate category as many as 33 people, students' academic achievement shows that most (83.9%) are categorized as very satisfying as many as 47 people. This study shows the results of statistical tests using Spearman rank on the Self-Concept variable with academic achievement with a p-value of 0.01 <0.05, which means that there is a significant relationship between student self-concept and academic achievement.
Conclusion: This study can be concluded that there is a relationship between student self-concept and academic achievement at STIKes Hamzar East Lombok.
The Relationship Between The Level Of Protein And Carbohydrate Adequacy, The Activity Of Weighing, The Level Of Maternal Knowledge With Nutritional Status In Toddlers Aged 12-59 Months In Ulak Rengas Village, Abung Tinggi Sub-District, North Lampung District
Authors: Archela Rara Qory , Muharramah Alifiyanti , Abdullah Abdullah , Khairani Masayu Dian
Published: February 2025

Background & Objective: Nutritional status is a reflection of the size of the fulfillment of nutritional needs obtained from the intake and use of nutrients by the body. One of the factors that affect nutrition in toddlers is the level of parental education. The purpose of this study was to determine the relationship between the level of protein and carbohydrate adequacy, the activeness of weighing, the level of maternal knowledge with nutritional status in toddlers aged 12-59 months in Ulak Rengas Village, Abung Tinggi District, North Lampung Regency in 2024.
Method: The type of research used was quantitative with a cross sectional design. Data collection was done by interview using a structured questionnaire and 2x24 hour food recall. The population in this study were mothers and toddlers 12-59 months, while the samples taken were 44 mothers and toddlers. Bivariate analysis in this study used the Gamma test.
Result: The results obtained ρ value 0.001 < 0.05 which means there is a relationship between the level of protein adequacy with the nutritional status of toddlers aged 12-5h9 months, ρ value <.001 < α (0.05) there is a relationship between the level of carbohydrate adequacy with the nutritional status of toddlers aged 12-59 months, ρ value 0.854 < α (0.05) there is no relationship between weighing activity with the nutritional status of toddlers aged 12-59 months, the results of ρ value 0.854 < α (0.05) there is a relationship between the level of maternal knowledge with the nutritional status of toddlers aged 12-59 months.
Conclusion: Answering the research objectives. Should consist of There is a relationship between the level of maternal knowledge and the nutritional status of toddlers aged 12-59 months.
The Relationship Between Age and Blood Sugar Levels in Patients with Type 2 Diabetes Mellitus Outpatient at Wonogiri Health Center, North Lampung in 2024
Authors: Wardhani Erma Septya , Junita Dera Elva , Wati Desti Ambar , Khairani Masayu Dian
Published: February 2025

Background & Objective: The purpose of this study was to determine the relationship between nutritional status, carbohydrate intake, and fiber intake on blood sugar levels of type 2 diabetes mellitus patients at Wonogiri Health Center.
Method: This study was conducted in December 2024. This research design uses analytic observational quantitative research with a cross sectional approach. The sample of this study were patients diagnosed with type 2 diabetes mellitus in the Wonogiri Health Center work area as many as 57 respondents. Bivariate analysis of this study using the Spearman Rho test.
Result: his study shows that there is no significant relationship between age and blood sugar levels of respondents (Sig. > 0.05). This happens because each individual has differences regarding other risk factors such as lifestyle, physical activity that may affect the condition of type 2 diabetes mellitus patients.
Conclusion: There is a significant relationship between age and blood sugar levels of respondents.
The Relationship Between Work Shifts And Work Stress Among Nurses In The Maternity Ward At Permata Bunda Hospital
Authors: Lufianti Anita , Azizah Nimas Nur , Fitriani Fitriani
Published: February 2025

Background and Objective: Stress is a symptom of the biggest disease of the modern century that is often experienced by nurses in hospitals. Stress in the workplace is where employees encounter conditions of overwork, low levels of job satisfaction. One of the causes of work stress is work shift arrangements. The data obtained is that nurses complain of work stress due to the continuing shift schedule or nurses replacing their colleagues' work shifts due to the lack of manpower in the room. The purpose of this study was to determine the relationship between work shifts and nurses' work stress in the maternity ward of Permata Bunda Hospital Purwodadi.
Method: This is quantitative research with a cross sectional research method, with a correlation approach, the sampling technique used total sampling, which amounted to 26 respondents. 
Results: The test results using spearman rank between work shifts and nurses' work stress, obtained p value (0.000) < α (0.05) which means H0 is rejected and Ha is accepted. With a correlation result of 0.723, it’s concluded that there is a significant relationship between work shifts and work stress.
Conclusion: There is a relationship between work shifts and nurses' work stress, meaning that there is a positive correlation between work shifts and work stress. This means that the more inappropriate the work shift, the heavier the nurse's work stress.
Golubchenko Evaluation of the Effectiveness of Strategic Management of Socio-Economic Development of the Region
Authors: Golubchenko Igor V.
Published: February 2025

The problem of assessing the effectiveness of strategic management of socio-economic development of the region remains relevant, despite the large literature and practice. The issues of selecting evaluation criteria, approaches to data generalization, etc. remain unresolved. The study proposes the author’s version of the evaluation method, with the help of which the assessment of strategic management of socio-economic development of the Krasnodar Region is carried out. The assessment is based on three groups of qualitative and quantitative indicators (two parameters in each group), and the final conclusion takes into account significant external factors influencing the development of the region. As a result, the region received an assessment close to the average. At the same time, a number of results of socio-economic development are clearly above the average level, but they were greatly influenced by external positive factors that are not related to the current actions of the authorities within the framework of strategic management.
Future Prospects for the Development of Russian-Kyrgyz Economic Relations
Authors: Osmonalieva Anara U.
Published: February 2025

This paper examines the future prospects for the development of economic relations between Russia and Kyrgyzstan. The research problem lies in the need to deepen and diversify bilateral economic cooperation to ensure the sustainable development of both countries. An online survey method was used in the study, with 91 Kyrgyz citizens participating. The survey helped identify public perception of the current state and future prospects of economic relations between the two countries. The main results of the study show a high evaluation of the current economic relations by the respondents and highlight potential risks such as dependence on energy prices and political tensions. Most survey participants expressed a desire to see increased economic cooperation in the future. Based on the collected data, practical recommendations are proposed for attracting investments, supporting migration, and developing the agro-industrial complex.
To the History of the Discovery and Study of the New Siberian Islands: Expedition of M.M. Gedenstrom 1809-1810
Authors: Beloglazova Svetlana B.
Published: February 2025

This article is devoted to a little-studied aspect of the history of Russian exploration of the North - one of the first Arctic expeditions of Russians at the beginning of the 19th century. The appeal to the historical experience of the discovery and study of the New Siberian Islands archipelago is determined by the growing interest in it on the part of world powers in connection with the development of coastal shelf resources that began here and the resumption of work on the Northern Sea Route. In Russian historiography the name M.M. Gedenshtrom for a long time remained a figure of silence in comparison with such researchers as F.P. Wrangel, P.F. Anjou, G.A. Sarychev, E.V. Toll, who studied this region of the Arctic. At the same time, the expedition of M.M. Gedenshtrom is marked not only by its connection with the specific tasks of Russian foreign policy and attempts to solve scientific problems that were pressing for that time, but also with the interests of developing business activity on the islands, the depths of which are still rich in valuable mineral raw materials. MM. Gedenshtrom was the first to create a general map of the New Siberian Islands, describe them, describe the coast between the mouths of the Yana and Kolyma rivers, and correct inaccuracies on previously compiled maps.
The Refraction of K.D. Ushinsky's Ideas in the Process of Professional Self-Determination of Modern Schoolchildren: the Organization of a Career Guidance Festival and the Creation of a Choral Group
Authors: Semenov Valery Y.
Published: February 2025

This paper presents the practical experience of creating a system of professional self-determination in a secondary school, based on the pedagogical ideas of K.D. Ushinsky. An approach to the formulation of the principles of professional self-determination of students in grades 8-10 according to the ideas of K.D. Ushinsky in the context of the implementation of the Federal Educational Standard of basic general education is described. The necessity of the transition of school education to the conditions of a system-activity approach is actualized. The goals and objectives of early professional orientation of schoolchildren and effective means of involving them in practical knowledge of professions are defined: the use of gaming technologies and the forms of the festival. The course of the author’s career guidance festival is described, indicating practical locations in the format of the legend of the creation of the “City of the Future”. The concept of creating a creative choral association on the basis of a general education institution is presented and justified, and the stages of its implementation are described with a detailed explanation of the content of each year of study. Not just studying, but personal comprehension of native culture through participation in the act of musical and creative performance of ensemble and choral music by Russian composers, the younger generation is able to emotionally experience native culture.