bluuebunny/crossref_metadata_2025 huggingface dataset:
Student Perceptions of Carleton University Mental Health Services
Authors: Creces Ella , Bullock Amanda , Howard Andrea
Published: November 2024

This Honours thesis is an exploration of student perceptions of Carleton University’s mental health services. There are a variety of issues facing emerging adults, such as the transition to post-secondary education, changing social roles, and difficulties surrounding the COVID-19 pandemic and online learning. These factors increased the need for effective mental health services. The research questions revolved around if participants accessed mental health services, if they found them helpful, and what stopped participants from accessing them. The data were examined using the thematic analysis. Results were collected during COVID-19 restrictions and revealed that most students did not access mental health services. Students who did access these services accessed two forms of mental health services: the disability centre and counselling services. The disability centre was largely found to be helpful, whereas opinions of counselling services were mixed. Forty-three percent of participants who did not access mental health services stated this was because they accessed services elsewhere or did not need them. This demonstrates that at least some of the remaining 57% may have not been able to access services when they needed them. This Honour’s thesis addresses how these services can better meet student needs and improve accessibility. This is novel research, which has not yet been discussed, which provides important information about improving these vital services.
Exploring School Absenteeism: Reasons Why, Mental Health Profiles, and Parental Involvement Perspectives
Authors: Darby Abbey , Krause Amanda , Rogers Maria
Published: November 2024

This study investigated school absenteeism among a sample of Canadian students (N = 88), links with mental health (ADHD, ADHD with depressive symptoms, and neither), and parents’ school involvement beliefs. Reasons as to why students with different mental health profiles missed school were also explored. As part of a larger longitudinal study, parent informants completed an online questionnaire about school absenteeism, mental health, and parent beliefs. The average number of school days missed in the past two weeks was 2.21 for students with both ADHD and depressive symptoms, 1.86 for those with neither, and 1.52 for those with only ADHD. Reasons for school absenteeism differed across groups and the main effect of mental health profile was significant when parent beliefs regarding school involvement were controlled for. These findings highlight features of school absenteeism following the COVID-19 pandemic, illustrating the importance of mental health profiles and parental school involvement beliefs when investigating school absenteeism.
An Analysis of Alternative Strategy Model for Agroindustry Business Development of Crystal Guava in Malang Raya
Authors: Tirta I Komang Wahyu Utama , Sudarma I Made , Djelantik A. A. Ayu Wulandira Sawitri
Published: November 2024

PT. Kreasi Tani Bumiaji is agroindustry company located in Banaran, Bumiaji Village, Bumiaji District, Batu City, East Java. This company focuses on processing agricultural products in the form of crystal guava and becomes a superior local product. This study aimed at analyzing alternative strategy of agroindustry business development of crystal guava as a product in PT. Kreasi Tani Bumiaji. Descriptive-quantitative method was used to collect the primary data from interviews and questionnaire items. Eight participants from the company were selected by using purposive sampling technique. The secondary data were obtained from academic articles. The data were analyzed by using SWOT analysis, Internal Factor Evaluation (IFE) Matrix, External Factor Evaluation (EFE) Matrix, Internal-External (IE) Matrix, and QSPM. The results of analysis showed that main internal factor is diversification of processed products with the score 0.277. Meanwhile, external factor is internship collaboration with the score 0.418. The position of company in IE matrix lies on the fifth cell which showed that stable growth with coordinate scores 2.930; 2.594. According to 15 alternative strategies identified using SWOT analysis, prioritized strategy based on QSPM analysis refers to business partnership with investors for the development of production facilities, business concept, and marketing with the highest score 7.23.
Level of Consumer Satisfaction Towards Brown Rice in Malang District: A Customer Satisfaction Index (CSI) Analysis
Authors: Ra'if Faishal Rafli , Ariadi Bambang Yudi , Mufriantie Fithri
Published: November 2024

In general, the current demand for brown rice does not receive the same attention from the public as white rice. So, it is important to further understand consumer behavior related to consuming brown rice because this has an impact on consumer satisfaction and has an impact on the strategies formulated by producers. Thus, this study aims to assess the level of consumer satisfaction with brown rice and evaluate the performance and importance of certain attributes. The variables analyzed include product quality, price, and benefits. This study applied a quantitative approach with Accidental Sampling technique, involving 100 respondents who were analyzed using the Customers Satisfaction Index (CSI) technique. The results of these findings indicate that the product quality variable (Taste) has the highest level of importance and performance, with values of 4.56 and 4.49, respectively. The level of satisfaction of brown rice consumers in Pakis District, Malang Regency, reached 74.53%, which is classified as satisfied (range 60.1% - 80.0%). The suggestions given are that producers need to improve the quality of brown rice in terms of taste, color, and texture, while marketers are advised to utilize social media and creative campaigns to attract young consumers and offer discounts for large purchases to increase customer satisfaction.
Management of Previable Rupture of Membranes with Prolonged Latency
Authors: Elias Heidi , Thiessen Kellie
Published: November 2024

Preterm prelabor rupture of membranes at pre-viable gestations (<23–24 weeks) complicates approximately 0.1–0.8% of pregnancies. Few cases of pre-viable preterm prelabor rupture of membranes (pPPROM) have resulted in term delivery, and even fewer have experienced no complications. The case presented sustained a 21-week (147-day) latency period after confirmed pPPROM at 18+6 weeks gestation, resulting in term delivery with exceptional outcomes for both mother and baby. Expectant management with minimal intervention, due to the client’s decline of more invasive options, makes this case unique. A focused literature review was conducted to identify other rare cases of pPPROM. We were particularly interested in understanding the different approaches to managing two similar cases with prolonged latency. We highlight the variations and outcomes of expectant management of pPPROM. Despite the demonstrated benefits of recommended interventions in the expectant management of pPPROM cases, the potential side effects and outcomes of these interventions may be undesirable for patients, leading to their decline. This case underscores the importance of careful counseling regarding management options and the individualization of care based on client risk tolerance.
RÉSUMÉLa rupture prématurée des membranes avant travail à des stades de gestation pré-viables (<23-24 semaines) complique environ 0,1-0,8% des grossesses. Peu de cas ont connu une rupture prématurée des membranes avant travail (RPMT), qui aboutit à un accouchement à terme, et encore moins de cas n’ont pas eu de complications. Le cas présenté a connu une période de latence de 21 semaines (147 jours) après une RPPM confirmée à 18+6 semaines de gestation et s’est soldé par un accouchement à terme avec des résultats exceptionnels pour la mère et le bébé. La gestion de l’attente avec une intervention minimale en raison du déclin de la cliente rend cette gestion de cas unique. Une analyse documentaire ciblée a été réalisée afin d’identifier d’autres cas rares de pPPROM. Nous voulions en particulier comprendre les différentes approches de la gestion de deux cas similaires avec une latence prolongée. Nous soulignons ensuite les variations et les résultats de la prise en charge attendue de la pPPROM. Malgré les avantages démontrés des  interventions recommandées dans la prise en charge des cas de pPPROM, les effets secondaires potentiels et les résultats des interventions peuvent être indésirables pour les patients et entraîner leur déclin. Ce cas souligne l’importance d’un conseil attentif sur les options de prise en charge et de l’individualisation des soins en fonction de la tolérance au risque du client.
Forced Displacement and Blockade Reviewed From International Humanitarian Law: A Case Study of the Humanitarian Attacks in Rafah
Authors: Ishaq Fadhli Muhaimin
Published: November 2024

Tulisan ini membahas mengenai pemindahan secara paksa yang diatur dalam Konvensi Jenewa 1949 dan penggunaan blokade dalam strategi perang dalam instrument Hukum Humaniter International. Tulisan ini bertujuan untuk menganalisis bagaiamana pemindahan secara paksa dan penggunaan blokade sebagai strategi perang dalam kasus insiden kemanusiaan yang terjadi di Rafah. Tulisan ini menggunakan metode penelitian normatif dengan pendekatan kasus dan perundang-undangan. Tulisan ini menemukan bahwa Pemindahan paksa juga dapat dikategorikan sebagai genosida jika disertai dengan niat memusnahkan kelompok tertentu. Kasus di Rafah menunjukkan contoh nyata pelanggaran hukum humaniter, di mana Israel memaksa warga Palestina mengungsi, melanggar Pasal 49 Konvensi Jenewa dan dapat dituntut oleh ICC. Blokade adalah strategi perang yang menutup akses wilayah, melemahkan pertahanan dengan memutus pasokan makanan dan medis. Meskipun diizinkan oleh hukum internasional, penerapan blokade harus diumumkan, efektif, imparsial, dan menghormati hak negara netral. Namun, blokade sering disalahgunakan dan mengakibatkan pelanggaran hak asasi manusia
DRIVING ICT ADOPTION AMONG REAL ESTATE AGENTS: AN EXTENDED TECHNOLOGY ACCEPTANCE MODEL
Authors: Mohamad Murni , Mohd Aini Ainoriza , Alias Anuar
Published: November 2024

TThe practice of real estate agents and the extent to which Information and Communication Technology (ICT) is applied in Malaysia appears to be more specialised and diverse with the exploration of technology and innovation. Due to the increasing interest in using more innovative marketing and negotiation techniques, this study focuses on real estate agents' acceptance as well as the intention to use ICT in Malaysia according to the extended Technology Acceptance Model (TAM). In this study, a sample including 400 real estate agency practitioners was surveyed and analysed using Partial Least Squares-Structural Equation Modelling (PLS-SEM). The findings show that Perceived Usefulness (PU), Perceived Ease of Use (PEOU), as well as Trust (TRU) affect Behavioural Intention (BI). On the other hand, PU is affected by PEOU as well as Service Quality (SERQ). Meanwhile, PEOU is affected by Perceived Enjoyment (ENJ) as well as Innovativeness (INNO). These results indicate that ICT acceptance among real estate agents can be improved by providing them with high-quality service, fostering perceived enjoyment, building trust, and establishing innovative ICT solutions tailored to real estate agents' needs.
Application of Strategic Planning Approach of a Cultural Centre Area: A Study of Atatürk Cultural Centre Area in Ankara
Authors: Tanrıvermiş Harun , Ahsan Md Moynul , Güneş Sinan
Published: November 2024

In order to preserve vitality of historic urban centre areas, it is necessary to deploy new and innovative strategies to ensure proper development and management, and avail potential opportunities. This study explores the strategic revitalization of the Atatürk Cultural Centre (ACC) area - a historic urban centre in Ankara, Türkiye. A mixed-method approach has been adopted in this study, which examines the area’s physical, economic, social, and environmental dimensions, conducting questionnaire surveys, stakeholder analysis, and SWOT analysis. Again, the most appropriate alternative was selected by using Analytical Hierarchy Process (AHP) method, concurrently, competitor analysis was performed, a strategic visionary plan was determined, and later on the plan aligned with the corporate strategic plan. According to the study, competitive advantage in real estate markets and the functioning logic of the studied area should be considered for long-term results and potential benefits through a strategic planning approach. The study concludes that strategic planning, stakeholder collaboration, and targeted interventions can transform the ACC area into a vibrant cultural hub, contributing to Ankara’s broader urban development goals. The proposed strategic plan provides a roadmap for realizing this vision, ensuring the preservation of historic cultural heritage while fostering sustainable urban growth.
International business expansion and merger investment risk strategies by promoting innovation and circular economy: A case study analysis
Authors: Kafestidis Stylianos , Chasiotou Aikaterini , Konstantinidis Christos , Lazos Grigorios
Published: November 2024

This research paper investigates how Alpha, a leading European company in the architectural aluminum systems sector, adopts its international business expansion and merger strategy and integration of innovation and circular economy principles. The study focuses on Alpha’s dedication to sustainability through innovative methods, emphasizing the company’s efforts in recycling, waste management, and energy efficiency. As companies recognize their responsibility to reduce their environmental impact, they have begun by making changes within their own production sites and offices and are now extending their efforts to their supply chains and beyond. The circular economy offers solutions to these problems. Various studies indicate that the circular economy fosters economic growth by increasing employment and utilizing resources more efficiently. By embracing a circular economy approach, Alpha illustrates how environmental sustainability and economic growth can coexist. This study could serve as a company example strategy that tries to follow and achieve a significant transformation necessary for net-zero emissions and is transformed in order to be committed to renewable energy, renewable resources, and high-grade recycling.
Nutritional Evaluation of Quinoa and its Practicability as a Principal Food in India: An Editorial
Authors: S* Mishra
Published: November 2024

The Quinoa food produce has been practically grown since very long time and is instinctive to Southern American region. Back then in the region it was well-thought-out a holy crop.
Fragmented Selves: Identity, Consciousness and Reality in the Digital Age
Authors: RL* Tripathi
Published: November 2024

In the digital age, the concept of identity has evolved in ways that challenge long-held philosophical assumptions about the self. No longer has fixed or continuous, identity become fragmented, shaped by multiple digital personas that people craft in response to the ever-expanding digital universe. Now, there is no sense of a fixed self that remains constant throughout space and time. Self and identity can be seen as a Heraclitean flux always in a state of becoming and never for a moment being in a state of being. The boundaries between the real and the virtual have blurred, and hyperreal experiences now often seem more significant than actual events. This review delves into the complex relationship between selfhood and digital representation, exploring how traditional theories like Baudrillard’s hyperreality and Buddhist notions of impermanence help explain this transformation. It examines the implications of digital simulations, especially in the context of digital immortality, which raises profound questions about consciousness, existence, and the essence of being. In a world where avatars, social media profiles, and virtual realities dominate, self-navigates an uncertain terrain between reality and simulation. This study is an exploration of the evolving nature of identity, consciousness, and human experience in the age of digital fragmentation, with a focus on the philosophical and psychological dimensions of selfhood in the modern, digitized world.
Effectiveness of functional communication training in the regulation of self-injurious behavior in children and adolescents diagnosed with autism spectrum disorder: an empty systematic review
Authors: Tejada-Flores Franco , Paredes-Gonzales Yscenia
Published: November 2024

Background: Self-injurious behaviors are highly prevalent in individuals with autism spectrum disorder (ASD), occurring frequently in those with associated intellectual disabilities as well as in those without intellectual impairment. Single-case studies have found that functional communication training helps regulate self-injurious behaviors and repetitive behaviors, particularly in children with ASD. However, no review identifies whether there is experimental evidence to support the use of this treatment. Objective: Our review aims to determine the efficacy of functional communication training for regulating self-injurious behavior in children and adolescents diagnosed with ASD. Methods: A systematic review was conducted.PubMed, Scopus, Web of Science, and Embase were searched for single-case experimental studies and randomized clinical trials. Results: A total of 67 studies were initially identified, of which 16 remained eligible after duplicate elimination and selection based on title and abstract. However, a thorough review of each text revealed that some needed to meet the inclusion criteria or had exclusionary elements. Therefore, they did not qualify for the next stage of the process. As a result, no publications were found that provided robust evidence to support the efficacy of functional communication training in regulating self-injurious behaviors in children and adolescents diagnosed with ASD. However, four publications met the secondary objective of identifying relationships between the proposed variables and presenting variations of the proposed intervention prototype. The quality of these publications was assessed and discussed according to the transparency recommendations of the Cochrane Effective Practice and Organization of Care guideline for reporting reviews without eligible or empty studies and the PRISMA 2020 guidelines. Conclusions: There is an urgent need for more research in this area, given the harmfulness and self-injurious behaviors, in addition to their high incidence in individuals diagnosed with ASD. This study's results help identify existing knowledge gaps and suggest new directions for research in this area.
Geneticheskie portrety hantov i mansi po gaplogruppam Y-hromosomy v kontekste genofondov Rossii
Authors: Пономарев Г. Ю. , Агджоян А. Т. , Потанина А. Ю. , Адамов Д. С. , Балановская Е. В.
Published: November 2024

Hanty i mansi — korennye malochislennye narody Zapadnoj Sibiri s unikal'nymi kul'turnymi, antropologicheskimi i lingvisticheskimi osobennostyami. Izuchenie ih genofonda pozvolyaet rekonstruirovat' geneticheskuyu strukturu naseleniya, govorivshego na ugorskih yazykah, ot kotorogo v sovremennosti sohranilis' tol'ko hanty, mansi, a takzhe vengry, v ch'em genofonde prisutstvuyut sledy srednevekovoj migracii ugroyazychnyh mad'yar. Detal'naya harakteristika genofonda hantov i mansi vazhna dlya rekonstrukcii ugorskih populyacij i geneticheskoj istorii regiona. Cel'yu issledovaniya bylo izuchit' reprezentativnye vyborki hantov (n = 83) i mansi (n = 74) na osnove bazovoj paneli iz 60 SNP-markerov i uglublennoj paneli 74 SNPmarkerov Y-hromosomy statisticheskimi i kartograficheskimi metodami v kontekste korennogo narodonaseleniya Urala i Zapadnoj Sibiri. Vyyavleny razlichiya genofondov hantov i mansi i po bazovoj paneli gaplogrupp Y-hromosomy, i po vetvyam gaplogrupp N2 i N3a4. Osnovnaya chast' genofonda hantov ravnomerno raspredelena mezhdu N2-Y3195 (26%), N2-VL67 (23%) i N3a4-Z1936 (23%). V genofonde mansi rezko preobladaet «zapadnaya» vetv' N2-Y3195 (69%). V mnogomernom geneticheskom prostranstve mansi tyagoteyut k populyaciyam Uralo-Povolzh'ya. Hanty po bazovoj paneli Y-gaplogrupp sblizhayutsya s populyaciyami Zapadnoj i YUzhnoj Sibiri. Analiz vetvej N3a4 pokazal, chto hanty zanimayut promezhutochnoe polozhenie mezhdu «ural'skim» i «sibirskim» klasterami: pri dvizhenii predkov hantov iz Priural'ya na severo-vostok oni vklyuchili oba geneticheskih komponenta. Genogeograficheskie karty 10 vetvej gaplogruppy N3a4 v populyaciyah Urala i Zapadnoj Sibiri otrazhayut dinamiku genofonda v period ot 4 do 2 tys. let nazad.
Cultivar la tierra para criar comunidades, una mirada a la experiencia argentina: posibilidades para la cultura y la educación
Authors: Duque-Cardona Natalia , Quintero López Dayro León , López Fernando A.
Published: November 2024

Este artículo se deriva de la investigación la educación lectora y su vinculación con las economías campesinas, familiares y comunitarias (ECFC): una mirada a través de contextos culturales (bibliotecas) y escolares (escuelas rurales), el caso de Argentina. Presenta un ejercicio crítico de revisión documental, bajo un enfoque de justicia social que retoma ideas de la Doctrina Peronista, para exponer un contexto sobre la configuración de lo rural en el país, mediante una exploración de la normativa, las instituciones líderes en los procesos rurales, algunos hitos y las políticas públicas actuales. Cierra con las posibilidades de articulación de las economías campesinas con la educación y la cultura.
Introducción Dosier Género y desigualdades regionales
Authors: Castrillo Belén , Favieri Francisco
Published: November 2024

Introducción Dosier Género y desigualdades regionales por B. Castrillo y F. Favieri.
La protección del trabajo hacia el sector del cuidado comunitario de la Economía Popular: los desafíos hacia el derecho
Authors: Timpanaro Berenice Laura
Published: November 2024

En Argentina, el principio protectorio del trabajo, de raigambre constitucional y convencional, planteauna tutela especial a los/as trabajadores/as, sin distinguir formas específicas en las que se desarrolleesa actividad. No obstante, esta cláusula se ha interpretado como destinada únicamente para la relaciónlaboral asalariada, dejando a un universo de trabajadores/as cada vez más grande por fuera de esatutela sin derechos, y en especial, a las mujeres de sectores populares que sostienen el cuidadocomunitario. El presente texto busca reflexionar sobre los alcances del principio protectorio del trabajohacia el sector del cuidado comunitario de la Economía Popular desde aquellas corrientes depensamiento que disputan la amplificación del término trabajo y, en consecuencia, de aquel principio.Se hará foco en la experiencia de sindicalización de estas trabajadoras dentro de la Confederación deTrabajadores de la Economía Popular (CTEP), luego transformada en Unión de Trabajadores yTrabajadoras de la Economía Popular (UTEP). Se analizarán los pasos recorridos de ese sector en labúsqueda de una protección reconocida por ley, abordando tanto la Personería Social como la Ley deEmergencia Social.
Un camino hacia el cupo laboral de las colectiveras en Jujuy, Argentina
Authors: Navarro Suárez Camila
Published: November 2024

Actualmente en Jujuy, 8 mujeres trabajan como conductoras en el transporte público provincial en una planta de 1200 choferes de colectivo. Esta brecha de género laboral se mantiene desde el año 2015, año de su incorporación, hasta la actualidad. En nuestro país existen dos antecedentes judiciales prioritarios que determinan que cada empresa de transporte público debe cumplir con un cupo mínimo de 30% personal femenino en conducción. En un contexto político nacional, donde las políticas públicas y el papel del Estado parecen no importar, desde el norte de Argentina, las colectiveras jujeñas nos demuestran con su lucha y perseverancia la exigencia de cumplir aquellos fallos judiciales que las amparan.
La implementación de la ESI y la reproducción social. Aportes desde una etnografía en una escuela media artística
Authors: Ontiveros Fernanda Lucía
Published: November 2024

Me propongo analizar las articulaciones entre el trabajo reproductivo remunerado y no remunerado en el ámbito escolar, a través de los sentidos y prácticas docentes en torno a la implementación de la Educación Sexual Integral (ESI). Para ello recupero los hallazgos de una investigación etnográfica desarrollada en una escuela media artística de gestión pública de la ciudad de Buenos Aires durante los años 2019 y 2020. A través de entrevistas antropológicas semi estructuradas a profesores, y de instancias de observación participante en clases y eventos especiales, busco entrelazar, desde un abordaje etnográfico, las experiencias de implementación de la ESI con las discusiones teóricas sobre el trabajo de la reproducción social. Siendo la docencia un trabajo feminizado, encontré que si bien la Resolución CFE N° 340/18 se propone la creación de un equipo de referentes docentes de ESI por cada institución educativa, esto implica una sobrecarga de responsabilidades que no son remuneradas y que habitualmente asumen las docentes. La ESI es entendida entonces como parte de las tareas de la reproducción social y “lo femenino”, replicando aquellas ideas que entienden a la escuela como el segundo hogar y a la docente como una segunda madre.
Trayectorias laborales femeninas en la agroindustria aguacatera de Michoacán, México
Authors: Saldaña Contreras José Luis , Cantero Ramírez Margarita
Published: November 2024

Se presenta un artículo en el que se plantea como objetivo analizar las trayectorias domésticas y laborales de empleadas en  empresas agroindustriales que maquilan  aguacates cosechados principalmente en la región de Michoacán, México. Lo anterior, desde un enfoque cualitativo con inspiración fenomenológica, al documentar 14 proyectos biográficos, por medio de entrevistas semiestructuradas analizadas desde el enfoque de la sociología del trabajo. Además, se consultaron determinadas bases de datos cuantitativas, analizadas por medio de estadística descriptiva con fines contextuales. Entre los resultados se muestra una variedad de configuraciones de trayectorias laborales femeninas en estos mercados de trabajo, resaltando la participación femenina en la agroindustria aguacatera, en la cadena de valor de esta mercancía agrícola, dentro de empresas empacadoras, y se identificaron retos que estas mujeres enfrentan para cumplir los roles domésticos y laborales en conjunto. Se concluye en una diferenciación en la movilidad en sus trayectorias laborales en relación con su rol familiar y doméstico, así como en la pertinencia de continuar con aproximaciones que permitan documentar la feminización de algunos puestos de  trabajo.
Relationship between the Farmers' Level of Compliance in Using Pesticides and Pests, Diseases, Natural Enemies and Product Safety of Rice
Authors: Amalia rahmadani Shinta , SHK Suparman , Irsan Chandra
Published: November 2024

The use of pesticides is one of the control alternatives that is widely used by farmers. However, continuous and inappropriate use of pesticides can have negative impacts on humans and the environment. This research aims to determine the relationship between the level of farmer compliance in using pesticides and pest attacks, disease, natural enemy populations and product safety. The research was conducted in two areas, namely Tanjung Lago and Pemulutan by interviewing farmers and direct observation of rice fields. The variables observed were the percentage and intensity of pest attacks, plant disease. and natural enemy populations. The level of farmer compliance is connected to field data and the correlation efficiency is calculated. The relationship between farmer compliance in the use of pesticides against pests and disease is negatively correlated, and positively correlated with the population of natural enemies.  Using herbal pesticides according to the dosage can reduce the negative impact of pesticides on the environment.
Stosowanie tadalafilu w zaburzeniach erekcji u pacjentów z chorobami sercowo-naczyniowymi
Authors: Skwarek Aleksandra , Ozierański Krzysztof
Published: November 2024

Zaburzenia erekcji są problemem częstym, lecz niedostatecznie rozpoznawanym i leczonym. Częstość ich występowania jest większa w grupach pacjentów obciążonych czynnikami ryzyka sercowo-naczyniowego oraz z rozpoznaną chorobą sercowo-naczyniową. Zaburzenia erekcji stanowią swoisty objaw postępującej dysfunkcji śródbłonka i zaburzeń krążenia w obrębie naczyń tętniczych. Inhibitory fosfodiesterazy 5 stanowią skuteczną grupę leków, gdyż hamują patofizjologiczne mechanizmy leżące u podstaw zaburzeń erekcji. Bezpieczeństwo tych leków udowadniają liczne badania naukowe oraz wieloletnie doświadczenia w ich stosowaniu. Tadalafil jest znanym lekiem z tej grupy, który wyróżnia się niższą częstością działań niepożądanych, dłuższym czasem działania oraz możliwością przyjęcia leku niezależnie od posiłku. Po uwzględnieniu chorób współistniejących, dotychczasowej farmakoterapii oraz preferencji pacjenta w większości przypadków możliwa jest skuteczna terapia zaburzeń erekcji inhibitorami fosfodiesterazy 5.
Żywienie jako element leczenia i gojenia ran
Authors: Jurek Joanna Michalina
Published: November 2024

Dieta stanowi istotny element leczenia wspomagającego proces gojenia ran, natomiast niedożywienie może znacząco wpłynąć na proces regeneracji. Pokarmy bogate w składniki odżywcze (zwłaszcza białko i nienasycone kwasy tłuszczowe) oraz dodatkowo zawierające liczne mikroelementy zapewniają odpowiedni poziom odżywienia, a w efekcie wspomagają proces gojenia ran. Szczególne znaczenie ma zapewnienie odpowiedniej podaży witamin i składników mineralnych (takich jak witaminy A, C, E oraz cynk i selen), ponieważ warunkuje optymalny przebieg procesu regeneracji tkanek z uwagi na udział tych składników odżywczych w syntezie kolagenu i późniejszym sieciowaniu, a także tworzeniu nowych naczyń krwionośnych.
Iniekcje tropokolagenu jako kluczowy element kompleksowego leczenia urazów sportowych
Authors: Gawda Piotr
Published: November 2024

Standardowe metody leczenia urazów sportowych, takie jak ograniczenie aktywności fizycznej, farmakoterapia, fizjoterapia i zabiegi chirurgiczne, pochłaniają czas pacjentów. Dlatego poszukujemy innych metod leczenia, które nie pomijają niezbędnych, naturalnych cykli gojenia, a jedynie przyspieszają ich fazy przebiegu. Ze względu na potencjalne korzyści w przyspieszaniu procesów regeneracyjnych iniekcyjne terapie tropokolagenem stają się coraz bardziej popularną metodą będącą istotną częścią kompleksowej terapii urazów sportowych. Tropokolagen, będący prekursorem kolagenu, odgrywa kluczową rolę w regeneracji tkanki łącznej. Celem tego artykułu jest przedstawienie mechanizmów działania tropokolagenu oraz ocena jego skuteczności jako istotnej terapii uzupełniającej w optymalnym leczeniu urazów sportowych na wybranych przypadkach klinicznych. Przedstawiono dwa przypadki zastosowania tropokolagenu: u pacjenta, lat 25, trenującego biegi sprinterskie, u którego doszło do naderwania mięśnia czworogłowego, oraz u pacjentki, lat 32, trenującej amatorsko biegi długodystansowe, u której pojawiały się nawracające bóle okolicy kręgosłupa w trakcie biegu. W obu przypadkach w ramach modyfikacji terapii zastosowano iniekcje z tropokolagenu i uzyskano pożądany efekt terapeutyczny.
Olanzapina i amisulpryd – praktyczne korzyści z ich stosowania
Authors: Sokół-Szawłowska Marlena
Published: November 2024

W artykule przedstawiono olanzapinę i amisulpryd jako dwie substancje od wielu lat stosowane z powodzeniem w praktyce psychiatrycznej.
Opisano mechanizm działania olanzapiny w OUN, a także przedstawiono analizę szerokich zastosowań klinicznych tego leku w dużym zakresie dawek terapeutycznych. Po omówieniu wskazań i przeciwwskazań oraz możliwych działań niepożądanych skupiono się na postaciach doustnych i domięśniowych olanzapiny, a następnie szerzej omówiono postać ulegającą szybkiemu rozpadowi w jamie ustnej. W praktycznych wnioskach przedstawiono profil pacjentów, u których warto rozważyć stosowanie olanzapiny w toku leczenia różnych zaburzeń psychicznych.
Drugą część opracowania poświęcono amisulprydowi. Opis mechanizmu działania, wskazań i przeciwwskazań rozszerzono o omówienie postępowania w przypadku hiperprolaktynemii polekowej. Ponadto wymieniono potencjalne sytuacje kliniczne, w których pacjenci mogą odnieść korzyści ze stosowania terapii amisulprydem.
Efekty kliniczne terapii złożonej z olanzapiny i amisulprydu stosowanych jednocześnie są obiecujące, lecz wymagane są dalsze pogłębione analizy tego zagadnienia.
Profile pacjentów, w leczeniu których stosowana jest lewofloksacyna
Authors: Nitsch-Osuch Aneta
Published: November 2024

Fluorochinolony to grupa syntetycznych antybiotyków bakteriobójczych o szerokim zakresie działania przeciwbakteryjnego, dobrej biodostępności i łatwym dawkowaniu.
Wskazania do stosowania fluorochinolonów są szerokie, zwłaszcza że niektóre leki są dostępne zarówno w postaci p.o., jak i i.v., co umożliwia wdrażanie leczenia sekwencyjnego.
Korzystne właściwości farmakokinetyczne lewofloksacyny, szerokie spektrum przeciwbakteryjne, skojarzenie skuteczności i bezpieczeństwa terapii oraz wygodne dawkowanie raz dziennie - stwarzają bardzo interesującą alternatywę wobec innych fluorochinolonów w leczeniu zakażeń bakteryjnych. Poniżej przedstawiono profile pacjentów, u których można w terapii zastosować lewofloksacynę: 1) pacjent z pozaszpitalnym zapaleniem płuc (gdy występuje alergia na antybiotyki betalaktamowe lub gdy podejrzewane jest atypowe zapalenie płuc (lub w przypadku zakażenia wywołanego przez Streptococcus pneumoniae opornego na penicyliny; 2) pacjent z zaostrzeniem POChP (gdy występuje alergia na antybiotyki betalaktamowe lub gdy podejrzewane jest zakażenie Pseudomonas aeruginosa); 3) pacjent z ostrym zapaleniem zatok obocznych nosa (terapia skorygowana w przypadku nawrotu lub nawrotowego ostrego zapalenia zatok przynosowych, w przypadku ostrego zakażenia nakładającego się na przewlekły proces zapalny zatok; w przypadku alergii na antybiotyki betalaktamowe); 4) pacjent z zakażeniem układu moczowego (ostre odmiedniczkowe zapalenie nerek i powikłane ZUM) – antybiotyk I rzutu u dorosłych; 5) pacjent z przewlekłym bakteryjnym zapaleniem gruczołu krokowego – antybiotyk I rzutu.
Laser vision correction and binocular vision – case reports
Authors: Truszkowski Wiktor , Janiszewska-Bil Dominika , Czarnota Barbara , Wierzbowska Joanna
Published: November 2024

Laser vision correction (LVC) is the removal of refractive errors, by changing the geometry of the cornea. It doesn’t directly affect binocular vision. However, the condition of the patient’s binocular vision is a very important. That affects the quality of life, which also indirectly translates into the patient’s satisfaction with the LVC procedure. Based on the presented cases, this article proves how important it is to examine binocular vision before laser vision correction. The influence of the prismatic effect of spectacle lenses on the control of binocular vision and the risk of strabismus decompensation, whichis most often associated with double vision. The described cases are people with problems with binocular vision. The article includes methods of treatment (contact lens test, vision therapy) to check and eliminate the above-mentioned problem.
The practice of protecting agricultural land in Jiangsu Province of China
Authors: Duan Zhuohao
Published: November 2024

The safeguarding of agricultural land is rooted in national land surveys and remote sensing data, which are enhanced by contemporary information technology. This framework facilitates the monitoring and regulation of unauthorized alterations in cultivated land usage. This paper aims to analyze land policies at the national, provincial, and local levels, investigate the cultivated land protection strategies implemented within the research region, where the policies have gained societal acceptance, and propose recommendations and countermeasures to enhance the development and utilization of land resources. The central issue of this study is to identify the challenges in achieving a balance between human activities and natural ecosystems. To address this issue, the research employs a combination of literature review, semi-structured interviews, text analysis, and content analysis, emphasizing the integration of empirical fieldwork and theoretical frameworks. Key areas of focus include: (a) the current state of the farmland protection system, (b) the legal foundations for local enforcement, (c) the systematic mechanisms for implementing arable land protection, and (d) the coordinated oversight system involving both the Party and government. Notably, the practice of cultivated land protection faces several challenges, primarily stemming from two factors. Firstly, there exists a disconnect between the economic interests of certain illegal land users and the objectives of land management, which hinders effective enforcement. Secondly, environmental repercussions arise from misinterpretations of land policy or non-compliant land development practices aimed at profit, which contradict the goals of ecological sustainability. The study examines two approaches to address the issue: the distribution and effective use of land resources, and the capacity for monitoring and early warning systems. Findings indicate that Dongtai City in Jiangsu Province has rigorously implemented all national land management policies, while also preserving the adaptability of local townships in practical applications, thereby ensuring the consistency of both the quality and quantity of arable land.
Assessing the awareness level, knowledge, and attitudes of the university community for sustainable development in Higher Educational Institutions in India—A review paper
Authors: Vikram Shardul , Tiwari Manish
Published: November 2024

Background: Sustainability plays a crucial role in the development of the education sector. It is analyzed that higher education institutions (HEIs) continuously working on the adoption of sustainable practices for carrying out business operations in the long run. Agenda 2030 is a comprehensive, multifaceted strategy that serve as an important framework for the comparison to uphold different principles. Additionally, the UN 2030 Agenda concerning sustainable development is introduced as global idea of balanced development. The 2030 Agenda and SDGs representing the program related to global development programs. Higher education institutions also working on the adoption of sustainable development perspective and the issues linked with them. Aim: The main aim of the study is to determine the level of knowledge, awareness, and attitude of the university community for achieving sustainability in HEIs. Policy Implementation: Adopting sustainable behavior is encouraged when policies are implemented well. Universities have the authority to develop and implement sustainability policies that set guidelines and requirements. Topics like waste reduction, environmentally friendly transportation, and environmentally friendly buying may be covered by the sustainability policies. Acting sustainably is encouraged among university community members through the implementation of sustainability policies. Conclusion: Findings stated efforts across sectors for the promotion of awareness and alignment with the 2030 Agenda consider a comprehensive strategy for addressing humanity, nature, and human rights. In higher education institutions, the role of education emerges as pivotal, developing green practices, development of campuses, and attracting students globally. In HEIs green practices are carried out for the development of the campus and activities in the future terms. Universities also supported in the adoption of sustainability in working education institutes international students are also attracted to them. It is identified that educators are playing an important role in achieving sustainability aspects in the education sector.
Calcite Dissolution-Reprecipitation Reactions Are a Key Control on the Sr/Ca, Mg/Ca and δ88/86Sr Compositions of Himalayan River Waters
Authors: Stevenson Emily I. , Burton Kevin W. , Parkinson Ian J. , James Rachael H. , Kisakürek Basak , Tipper Ed , Bickle Michael
Published: November 2024

Silicate weathering on the continents is thought to play a critical part in regulating global climate on geological time scales but determination of the magnitude of silicate weathering fluxes is frustrated by the complexity of the weathering processes. Here we present analyses of stable Sr-isotopic compositions (𝛿88/86Sr) in a suite of river waters and bedloads from the Himalayas in Nepal to establish the lithological controls on 𝛿88/86Sr values and the secondary processes that impact carbonate weathering. A control on 𝛿88/86Sr values is lithology with the rivers in carbonate-dominated catchments marginally lower (∼0.07 ‰) than in silicate-dominated catchments. However, as for 87Sr/86Sr ratios, 𝛿88/86Sr values of carbonates are altered by silicate-carbonate mineral exchange during metamorphism. The major potential secondary control on 𝛿88/86Sr values in Himalayan catchments is precipitation of secondary calcite responsible for the marked elevation of Sr/Ca and Mg/Ca ratios in the waters. We re-evaluate the mechanisms for secondary calcite formation and conclude that a balanced solution and re-precipitation process, driven by the relative instability of the primary Mg-rich calcite, provides a better explanation for the elevated Sr/Ca ratios than simple precipitation from a highly over saturated solution. This solution-re-precipitation process is akin to that invoked to explain diagenesis of deep-sea sediments. The mechanism of secondary calcite formation impacts the distinction of cation inputs from carbonate and silicate minerals. The correlation between 𝛿88/86Sr water-calcite fractionations, Sr/Ca partition coefficients and precipitation rates allows the calcite re-precipitation rates to be inferred from the covariation of water 𝛿88/86Sr values and Sr/Ca ratios. These rates are very low (<10-8 mol m-2 s-1) but are consistent with those inferred from field estimates of the amount of calcite re-precipitated, the surface area of carbonate exposed to weathering and the calcite weathering flux. The low precipitation rates are also consistent with previously reported 𝛥44/40Ca isotope fractionations of ∼−0.2‰. The calcite reprecipitation rates are comparable to silicate weathering rates previously inferred from Li-isotopic compositions which is consistent with calcite re-precipitation taking place very close to equilibrium following the initial rapid saturation of the fluids by calcite.
Taxonomic Status of Stingless Bee Lepidotrigona Arcifera (Hymenoptera: Meliponini) From The Southwest China - Tibetan Plateau
Authors: Yao Yuxin , Tang Xiangyou , Li Yaohui , Song Huali , Jiang Yan , Chen Xinlan , Zha Luo , Wang Wenfeng , Xu Jinshan
Published: November 2024

The stingless bee, Lepidotrigona arcifera, which was first reported in northeast India is a pollinating insect of the tropical and subtropical regions of the world. However, little information about this species is known in terms of taxonomic status as well as detailed morphological characteristics. In this study, we discovered a stingless bee in Tibet that belongs to an Alpine climate region. The morphological comparison with the India stingless bee, confirms that this newly discovered species is L. arcifera from the Tibet plateau. To determine the taxonomic status of this Tibetan stingless bee, we sequenced the 16S rRNA and COI genes of samples from a dozen colonies and compared them to some other known bee species. Phylogenetic analysis shows that Tibetan L. arcifera is grouped with the other stingless bee species and most closely sistered to the stingless bee, L. flavibasis. The genetic distance between Tibetan L. arcifera and the other stingless bee species is approaching those between pairwise bee species belonging to other such bee genera as Bombus and Apis. Hence, our results not only offer new information on species distribution and morphological characteristics of L. arcifera but also confirm its taxonomic status among stingless bees for the first time, which will contribute to understanding the biodiversity of stingless bees in the future.
Perception of sleep during hospitalisation from the nurses’ and patients’ perspective: an exploratory qualitative study
Authors: Locihová Hana , Šrámková Karolína , Slonková Jana , Zoubková Renáta , Šonka Karel , Maternová Klára , Jarošová Darja
Published: November 2024

Aim. To investigate how nurses and patients perceive sleep and point out the factors that negatively impact patients’ sleep during hospitalisation in selected departments in two hospitals in the Czech Republic.

Material and methods. An exploratory qualitative study – thematic analysis. We obtained data from three group interviews involving 16 nurses and eight inpatients from selected departments in two hospitals. We conducted an exploratory qualitative study and thematic analysis.

Results. The thematic analysis identified four main themes. Theme (1): Importance of sleep. Theme (2): Quality and organisation of nursing care. Theme (3): Experiencing intense emotions and feelings. Theme (4): Health.

Conclusions. Hospitalisation often negatively affects patients’ sleep. Patients’ emotions, experiences, and the hospital environment are essential to achieve good sleep. Nurses and the entire health care system have great potential to improve hospitalisation conditions concerning sleep and the emotional mood of patients and thus indirectly influence the general health of patients and their recovery.
Effects of Project Based Learning on Student Achievement: Understanding of Science Concepts, Intermediate Process Skills, and Creativity
Authors: Zakiyyah* Zakiyyah , Fatnah Nurwanti , Amelia Fera
Published: November 2024

The research explores the dynamic landscape of education in Indonesia, marked by ongoing changes and enhancements across multiple domains. These transformations encompass curriculum revisions, improvements in educational standards, upgrades in school infrastructure, and advancements in the professional capabilities of educators including teachers and educational administrators. A primary objective of these reforms is to equip students with the competencies requisite for success in the 21st century, notably critical thinking, collaboration, communication, and creativity, often referred to as the 4Cs.This research uses a mixed-methods model, combining qualitative and quantitative data. Initial research is conducted through observation and interviews, followed by pretest and posttest given to students. The results show a significant improvement in students' understanding of scientific concepts, scientific process skills, and creativity after implementing project-based learning (PjBL). Additionally, students' response to PjBL is positive.The research concludes that PjBL affects students' understanding of scientific concepts, scientific process skills, and creativity. However, internal and external factors such as students' interest, motivation, learning environment, teachers, and learning materials also influence the effectiveness of learning.This research employs a mixed-methods approach, integrating both qualitative and quantitative data. Initial investigation involves observations and interviews, followed by administering pretests and posttests to students. The findings demonstrate a notable enhancement in students' comprehension of scientific concepts, scientific process skills, and creativity subsequent to the implementation of PjBL. Moreover, students' reception of PjBL is affirmative.