bluuebunny/crossref_metadata_2025 huggingface dataset:
Domain adaptation for contrast-agnostic CT volumetric kidney segmentation
Authors: Correa-Medero Ramon , Fathizadeh Sam , Al Khafaji Fatima , Abdul-Muhsin Haidar , Patel Bhavik , Banerjee Imon
Published: November 2024

The efficacy of segmentation models for CT volumes is limited to the contrast phase they were trained on and often do not work for the non-contrast images. We introduce a domain adaptation approach leveraging a single latent space discriminator to train a robust segmentation model for segmenting CT volume irrespective of the contrast dose. Our model is trained on two publicly available non-contrast and arterial phase image datasets, and validated on both public and private datasets. Evaluation of internal and external tests demonstrates improved segmentation quality while leveraging less data than baseline models.
UJI AKTIVITAS IN VIVO DAN IN VITRO ANTI PLATELET BROMELIN TERHADAP PENYAKIT KARDIOVASKULAR
Authors: Fadilla Utami Budhi , Aldi Yufri , Afriwardi Afriwardi , Umar Salman
Published: November 2024

Penyakit kardiovaskuler atau Cardiovascular Disase (CVD) adalah sekumpulan gangguan yang terjadi pada sistem jantung dan pembuluh darah. CVD dapat disebabkan oleh adanya agregasi platelet dalam saluran darah. Penggunaan anti platelet dapat meminimalkan angka kematian terhadap CVD, tetapi beberapa antiplatelet dibeberapa individu mengalami resistensi, dan bahkan menyebabkan efek samping lainnya, penggunaan fitomedika dapat menjadi alternatif dalam pengobatan CVD seperti penggunaan enzim bromelin. Enzim ini dapat digunakan untuk membantu mengurangi sensitivitas platelet terhadap ADP (Adenosine diphosphate) yang memicu agregasi platelet. Artikel ini merupakan review dari beberapa Original Research dan Review/ Open review yang diambil 10 tahun terakhir yang menjadi sumber referensi dalam artikel ini. Dari hasil telaah artikel pada sampel bromelin tersebut lebih banyak menggunakan uji in vitro dengan menggunakan metode PRP, dengan nilai aktivitas agregasi platelet bromelin berada diatas 40%. Sementara untuk pengujian in vivo pada mencit didapatkan dosis 210 µg/Kgbb sebagai dosis terbaik dan   pada tikus pada dosis 112 mg/kgbb. Sehingga dapat disimpulakan bahwa bromelin dapat menurunkan aagragasi platelet terhadap ADP yang menjadi parameter dalam CVD.
Studies on Piezoresistive Property of Thick Film Resistors
Authors: K. Saujanya
Published: November 2024

Purpose-The paper aims to study the variation of piezo resistivity of the thick film resistors, namely, PVC-graphite /Nickel thick film resistor, with parameters such as volume fraction, grain size, resistor dimension and strain.
Design / methodology / approach – A model is proposed to explain the observed variations, which assumes that the texture of thick film resistor consists of insulator granules coated with conducting particles both graphite and Nickel particles and also having cavities. The resistivity of those resistors is controlled mainly by the contact resistance between the conducting particles and the number of contacts each particle with its neighbors.
Findings- The variation of resistivity with resistor dimension and strain is explained with the help of the model and it is attributed to the change in conducting particles and the number of contacts.
Originality / Value- The variation of resistivity with strain has also been explained with the help of this model and is attributed to the change in number of conducting particles and conducting layers.
Optimization of HPMC Loaded Paroxetine HCl Controlled Release Matrix Tablet by Central Composite Design
Authors: Parmar Komal , Patel Mehul , Bhatt Punitkumar , Soni Tejal , Suhagia Bhanubhai
Published: November 2024

The main aim of the present study was to improve the release profile of Paroxetine (PXT) using Novel Drug Delivery System (NDDS). Therefore, Controlled Release Matrix tablet of PXT was prepared to extend the release of the drug from 8 hours to 12 hours. In the present research work, controlled release matrix tablet of paroxetine (PXT) was prepared by wet granulation method using various polymer grades of Hydroxypropyl methylcellulose (HPMC) and Polyvinylpyrrolidone (PVP) like HPMC K100M, HPMC K4M, HPMC K100M LV, and PVP K-30. Central Composite Design was applied to optimize the amount of polymers in the tablet. Infrared Spectroscopic analysis was done to check the interaction between drug and polymers. Results showed that all pre-compression and post-compression parameters were as per standard limits and not deviated when compared with the marketed formulation. The release profile of the tablet formulated using optimized batch was also improved significantly. Specifically, PXT matrix tablet released approximately 29.382%, 41.29%, and 93.47% of the drug at the second, fourth, and twelfth hours, respectively. In conclusion, the dissolution profile of the optimized batch aligns closely with the established USP guidelines for PXT extended-release formulations.
A Comprehensive New Approach to Method Development and Validation of Encorafenib using UV Spectroscopy in Bulk and Pharmaceutical Formulation
Authors: Gandi Anusha , Dudi Pavan Kumar , Pantala Eswar Sandeep , K Varaprasada Rao , Yarguntla Srinivasa Rao
Published: November 2024

Encorafenib is a class of anti-cancer medication used to treat cancer infections. It is a selective BRAF inhibitor, has emerged as a promising therapeutic agent in the treatment of metastatic melanoma. This research endeavors to introduce a fresh approach and authenticate a UV spectrophotometric technique for examining encorafenib in pharmaceutical formulations. A unique, precise, and cost-effective UV spectrophotometric procedure has been devised using a blend of phosphate buffer and acetonitrile (90:10). Various standard solutions ranging from 10 to 70 μg/ml of the drug were evaluated for their absorbance at 235nm against a blank solution. The method exhibited a linear dynamic range of 10.0–70.0 µg/ml with an impressive correlation coefficient (r2=0.9996) and a regression equation of y =0.0102x-0.0049. Intra- and inter-precisions displayed relative standard deviations (RSD) below 2.0%. The limits of detection (LOD) and quantification (LOQ) were determined as 0.159 µg/ml and 0.483 µg/ml respectively. All validation parameters adhered to the stipulated limits outlined in ICH guidelines. This approach has the potential to be a valuable asset for regular quality assessment in pharmaceutical labs contributing to the assurance of safety and efficacy in medications containing Encorafenib.
診所門診友善就醫環境作為之經驗分享
Authors: 張堂偉 張堂偉
Published: November 2024

感恩衛生福利部及醫策會對友善就醫環境之重視並舉辦「就醫無障標竿競賽」活動，讓基層院所有此機會展現與互相觀摩。友善就醫環境必須持續改善，才能提供民眾安全與舒適之就醫軟硬體。感謝訪查委員之專業提醒，更感恩大林慈濟醫院之支持，讓同仁可以勇於嘗試各種改善方案，以打造嘉義慈濟診所之友善就醫環境。

嘉義慈濟診所創建規劃時，就將友善就醫環境列入設計，硬體空間設施包括無障礙廁所、無障礙斜坡道、電梯、容膝空間服務窗口、多媒體叫號系統、輪椅體重計、輪椅、消防系統等。軟體服務流程則有警衛、醫療志工、緊急呼叫鈴、無障礙溝通圖卡等，不僅提供友善就醫環境同時也提供安全就醫環境。

We are grateful to the Ministry of Health and Welfare and the Joint Commission of Taiwan for their emphases on the importance of a friendly medical environment and for organizing the “Accessible Medical Care Award Program”, which provided an opportunity for primary healthcare institutions to showcase and learn from one another. A friendly medical environment requires continuous improvement to offer both safe and comfortable hardware and software services to the public. We sincerely thank the surveyors for providing their professional suggestions, and are especially appreciative of the support from the Dalin Tzu Chi Hospital, which encouraged our colleagues to actively explore and implement various improvement strategies to create a friendly medical environment at the Buddhist Tzu Chi Medical Foundation Chiayi Tzu Chi Clinic.

During the initial planning and construction of the Buddhist Tzu Chi Medical Foundation Chiayi Tzu Chi Clinic, considerations for a friendly medical environment were integrated into the design. The hardware facilities include accessible toilets, accessible ramps, elevators, service counters with knee space, a multimedia queuing system, wheelchair scales, wheelchairs, and a firefighting system. In terms of software service processes, we provide services such as security personnel, medical volunteers, emergency call bells, and accessible communication cards, ensuring an environment that is not only friendly but also safe for all patients.

 
發展本土化病人安全巡視WalkRoundsTM有助提升機構病人安全風氣
Authors: 莊可詠 莊可詠 , 盧品蓉 盧品蓉 , 侯甚光 侯甚光 , 蕭淑代 蕭淑代 , 張治瑤 張治瑤
Published: November 2024

本院自2021年實施病人安全巡檢(Patient Safety Leadership WalkRounds™)，為確保第一線同仁瞭解異常事件通報價值，於2023年優化WRs執行項目，增加事前匿名以調查同仁對病安通報認知，利用PFM模式於15分鐘內完成內部稽核。並由院級主管帶領巡視，共15個單位136位同仁接受事前問卷調查及參與訪談。

調查得知巡視前後同仁在「知道通報成案後有獎勵金」、「單位對病安通報落實度」及「病人無造成傷害就不須通報」後，通報次數顯著提升；接受巡視單位的通報率增加，其中醫事單位在安全風氣構面較去年提升。

此外，即時記錄問題於巡視活動結束後一個月內全數解決，並回饋周知單位知悉，使第一線同仁感受到院方的重視與支持，有效提升同仁通報意願與時效性。

 

Since 2021, we have been implementing Patient Safety Leadership WalkRounds™ at Taipei Medical University Hospital. To ensure that frontline staff understand the importance of reporting adverse events, we optimized the Patient Safety Leadership WalkRounds™ intervention in 2023 by introducing anonymous presurveys to evaluate staff’s knowledge about reporting patient safety events and by conducting 15-min internal audits through (Patient Focused Method, PFM). Senior management led the rounds, engaging 136 staff (from 15 departments) who had completed presurveys and participated in interviews.

Significant postintervention improvements were noted in staff’s awareness of the hospital’s reward system for reporting adverse events. Consequently, the rate of adverse event reporting increased. Furthermore, our findings highlighted the need to enhance staff’s understanding of the importance of reporting even harmless events. The rate of reporting increased in all departments visited. Compared with the results of the previous year’s assessments, current assessments revealed enhanced safety culture in clinical support departments.

All problems identified during the rounds were addressed within a month, with feedback provided to corresponding departments. Overall, the optimized intervention made frontline staff feel valued and supported by the hospital, effectively enhancing their willingness and timeliness in reporting.

 
運用多元措施降低老年病房的跌倒發生率
Authors: 楊嘉玲 楊嘉玲 , 林怡君 林怡君 , 黃婉宜 黃婉宜 , 林孟儀 林孟儀 , 曾莉涵 曾莉涵 , 李聰明 李聰明
Published: November 2024

本單位在2018至2020年發生84件跌倒，跌倒發生率0.14%；其中65歲（含）以上老年病人跌倒66件（佔78.86%），發生率0.17%。老年病人會因跌倒造成負向身心影響，也會產生後續健康問題，引發動機。本專案目的為降低老年住院病人跌倒發生率。確認跌倒原因有：下肢肌力變弱致步態不穩、24小時點滴滴注增加夜尿頻率、自認能力可行執意下床、主要照顧者離開病人不會告知護理師及確認設備。故擬定6項多元介入措施：使用彈力帶、床上腳踏車、減少夜間點滴、登記夜尿時間點，主動協助、使用臨床衰弱量表於入院評估、增加預防跌倒團體衛教場次。追蹤2021至2023年共發生4件跌倒，總跌倒發生率為0.01%；老年病人跌倒1件（發生率小於0.01%(0.004%）。本專案不僅降低老年病人跌倒發生率，也提升病人安全。

 

Falls compromise the physical and mental well-being of elderly, leading to prolonged health problems. Between 2018 and 2020, 84 falls were recorded in our geriatric ward, resulting in an overall incidence rate of 0.14%. Among these falls, 66 (78.86%) occurred in elderly patients (incidence rate: 0.17%). In this study, we evaluated the efficacy of multi-intervention measures in reducing the incidence of falls among elderly inpatients. Confirmed reasons for falls in this population are as follows: weak lower limb muscles leading to an unsteady gait, 24-h intravenous infusion increasing the frequency of nocturia, overconfidence resulting in patients insisting on getting out of bed, and caregivers leaving patients unattended without informing the nurse or ensuring that safety equipment is in place. Eligible elderly patients received a multi-intervention combining the following six interventions: using elastic bands, cycling in bed, reducing nighttime intravenous drips, recording nocturia time points and providing active assistance, administering the clinical frailty scale upon admission, and increasing group health education sessions on fall prevention. Between 2021 and 2023, four falls were recorded in our geriatric ward; the overall incidence rate was 0.01%. Among elderly inpatients, the incidence rate was 0.004%. Therefore, the multi-intervention measures successfully reduced the incidence of falls in the geriatric ward, particularly among elderly inpatients.

 
Citizen Science for Nature Conservation in Hungary A Three-Dimensional Approach
Authors: Soria Aguirre Johanna Maribel , Váczi Olivér , Biró Marianna , Juhász Erika , Soltész Zoltán , Barta Barbara , Márton Zsuzsanna , Szép Tibor , Halpern Bálint , Szentirmai István , Károlyi Balázs , Czeglédi Alexandra , Bela Györgyi , Tormáné Kovács Eszter
Published: November 2024

Nature conservation–related citizen science (NCCS) has grown rapidly worldwide in previous years. In Hungary, a few citizen science (CS) projects have been operating for years and some have only recently launched. Our aim herein is to assess the performance of eight Hungarian NCCS projects in three dimensions: a) science, b) nature conservation, and c) participants’ development. An evaluation framework was developed for the assessment. Our results show that the Common Bird Monitoring Program performed the best overall. This is also the oldest NCCS project in the country. When comparing the performance per dimension, the majority of the projects tended to have good performances in the science dimension. Most of the projects ensure data quality using different strategies. However, the need for open data and processing the project results for generating scientific publications still needs to be tackled by some NCCS initiatives. Regarding the nature conservation dimension, data generated have been mostly used in monitoring species/ecosystems, whereas data is less commonly used for conservation policy-making. It was identified that the participants’ development dimension has not received sufficient attention, and neither learning outcomes nor behavioral and attitude change has been evaluated by any projects. Our results of evaluating Hungarian NCCS initiatives in a complex way may offer insights for project managers and coordinators to identify which dimension are performing well and which areas need improvement. Also, our framework serves as a model that can be applied to current and future NCCS initiatives.
МОРФОЛОГИЧЕCКИЕ И AНAТОМИЧЕCКИЕ ОCОБЕННОCТИ ЛЕКAРCТВЕННОГО РACТЕНИЯ COUSINIA UMBROSA BUNGE
Authors: А.С. Жакупова , Н.З. Ахтаева , Б.Г. Махатова , У.М. Датхаев , Б.K. Махатов
Published: November 2024

Лекарственные растения играют важную роль в разработке новых фармацевтических препаратов благодаря наличию биологически активных соединений. Cousinia umbrosa Bunge является перспективным видом для терапевтического применения, однако научные данные о его диагностических признаках для надлежащей идентификации и оценки качества ограничены. Цель данного исследования — установить макро- и микроскопические характеристики Cousinia umbrosa, необходимые для точного определения вида и его потенциального использования в медицине. Методы: В исследовании использовались стандартные макро- и микроскопические методы для изучения структурных особенностей Cousinia umbrosa Bunge. Образцы были собраны, подготовлены и исследованы под микроскопом для выявления уникальных диагностических маркеров, с акцентом на ключевые морфологические и анатомические признаки. Результаты: В результате исследования выявлены четкие диагностические признаки Cousinia umbrosa, включая специфические особенности структуры листьев и стеблей, позволяющие надежно идентифицировать растение. Эти результаты создают основу для аутентификации растительного сырья, получаемого из данного вида, что важно для контроля его качества при медицинском использовании. Обсуждение: Выявленные диагностические характеристики Cousinia umbrosa важны для отличия его от родственных видов, что критично для его применения в медицине. Возможность точной верификации этого растения способствует его безопасному и эффективному использованию как в традиционной, так и в современной медицине. Для дальнейшего изучения рекомендуется исследовать фитохимические свойства и терапевтический потенциал Cousinia umbrosa. Заключение: Настоящее исследование предоставляет базовые диагностические критерии для Cousinia umbrosa Bunge, поддерживая его идентификацию и потенциальное применение в медицине. Полученные данные вносят вклад в развитие знаний о лекарственных растениях и подчеркивают важность контроля качества в ботанических исследованиях.
УРОВЕНЬ И ДИНАМИКА СМЕРТНОСТИ ПО ОСНОВНЫМ КЛАССАМ БОЛЕЗНЕЙ И ИХ ПРОГНОЗИРОВАНИЕ У НАСЕЛЕНИЯ ТРУДОСПОСОБНОГО ВОЗРАСТА ТУРКЕСТАНСКОЙ ОБЛАСТИ
Authors: С.А. Туктибаева , С.Н. Алипбекова , Ж.А. Ермаханова
Published: November 2024

В научной статье изложен результаты исследования смертности от ведущих классов болезней и их прогнозирование у населения Казыгуртского, Махтааральского, Ордабасинского районов Туркестанской области. Цель исследования. Определение показателей смертности от ведущих классов болезней и их прогнозирование у населения Казыгуртского, Махтааральского, Ордабасинского районов Туркестанской области. Материалы и методы исследования. В работе использованы ретроспективные данные Агенств статистики за 2011-2020гг. Результаты исследования. Результаты исследования позволяет определить показателей смертности от ведущих классов болезней и их прогнозирование у населения Казыгуртского, Махтааральского, Ордабасинского районов Туркестанской области за 2011-2020 гг. Заключение. 1. По результатам анализа показателей смертности населения Казыгуртского, Махтааральского, Ордабасинского районов Туркестанской области от ведущих классов болезней лидирующее место занимает – болезни системы кровообращения. 2. Уровни значений прогноза на 2021-2023 годы характеризуется слабо- и средневыраженным автоколебательным трендом с высокими значениями эпидемического процесса в 2015-2017 и 2020 годах.
DAHLIA HORTENSIS ЭФИР МАЙЫНЫҢ КОМПОНЕНТТІК ҚҰРАМЫ ЖӘНЕ МИКРОБҚА ҚАРСЫ БЕЛСЕНДІЛІГІ
Authors: А.Т. Медешова , П.З. Оразбаева , С.Б. Ахметова , М.Ю. Ишмуратова , Г.М. Абдрахманова , Е.А. Тулебаев
Published: November 2024

Нарғызгүл (Dahlia hortensis) — әлемдегі ең танымал гүлдердің бірі. Олар әдемілігімен, пішіндері мен түстерінің алуан түрлілігімен назар аударады, олар бақшалар мен саябақтарда сәндік өсімдіктер ретінде пайдаланылуы мүмкін, ал Dahlia hortensis медицина мен косметологияда да қолдануға болады. Зерттеулер көрсеткендей, Dahlia hortensis қабынуға қарсы, ісікке қарсы және антиоксиданттық әсерге ие болуы мүмкін. Оларды қант диабеті, асқазан-ішек аурулары, қандағы жоғары холестерин немесе триглицеридтер және семіздікпен ауыратын адамдар да емдік мақсатта пайдалана алады. Бұл жұмыста Dahlia hortensis эфир майының бактерияға қарсы белсенділігі зерттелді. Эфир майы Клевенджер аппаратының көмегімен 3 сағат бойы гидродистиляция арқылы алынды. Нарғызгүлдер микробқа қарсы қосылыстардың бай көзі ретінде ұсынылған. Осыған байланысты біз алғаш рет Dahlia hortensis эфир майының микробқа қарсы белсенділігі мен химиялық құрамын зерттедік.
PENGARUH KUALITAS KOMUNIKASI DAN KUALITAS PRODUK TERHADAP KEPUASAN NASABAH PADA PT. BANK NEGARA INDONESIA (Persero) Tbk. CABANG PEMBANTU PANAKKUKANG MAS MAKASSAR
Authors: Sugirayanti Sugirayanti , Wijayanto Ahmad , Harianto Abdul Salam , Mattarima Mattarima , Makkuradde A. Syahrul
Published: November 2024

In the era of digitalization, banks face intense competition. The increasing intensity of competition requires banks to always pay attention to the needs and desires of consumers by providing quality services and products that can satisfy customers compared to other banks. This study aims to determine the effect of communication quality on customer satisfaction at PT. Bank Negara Indonesia (Persero) Tbk. Panakkukang Mas Sub-Branch Makassar, determine the effect of communication quality on customer satisfaction at PT. Bank Negara Indonesia (Persero) Tbk. Panakkukang Mas Sub-branch Makassar, determine the effect of communication quality and product quality on customer satisfaction at PT. Bank Negara Indonesia
El podcast como espacio de apropiación para el activismo feminista en Argentina
Authors: Chilano María Belén , Craviolatti Celina , Frezzotti Yanina
Published: November 2024

A pesar de las brechas y desigualdades que persisten, las tecnologías digitales se han convertido en una herramienta aliada para la lucha por los derechos de grupos subalternos al ampliar sus oportunidades de expresión. En este contexto, el podcast surgió como una plataforma que permite a las mujeres hacer oír sus voces y promover temas de interés público. Los podcasts son considerados una forma de radio digital que ha democratizado la producción y difusión de contenidos, brindando a las mujeres la oportunidad de situar sus perspectivas en la agenda pública. Por tanto, el presente estudio propone una caracterización de los podcasts argentinos etiquetados como feministas en la plataforma Spotify como aproximación al estudio de sus potencialidades para el activismo. Para ello, se seleccionaron programas que se reconocen como parte del activismo feminista y se analizaron sus particularidades, como el formato, los temas y las modalidades de producción y difusión. Los resultados muestran que la mayoría de los podcasts están dirigidos y producidos por mujeres, y que exploran una variedad de temas en diferentes formatos, relacionados con la igualdad de género, la sexualidad, la maternidad y otros aspectos del feminismo. En resumen, el estudio sugiere que los podcasts desempeñan un papel importante en la promoción del activismo feminista a partir de la visibilización de la agenda de mujeres y al proporcionar una plataforma accesible para la expresión y el diálogo en la sociedad, dada su flexibilidad en términos de producción y acceso.
Representación LGBTIQ+ en la campaña #OrgulloTodoElAño: Un estudio Queer de las piezas publicitarias ‘Nunca es tarde para ser quién eres’ y ‘El mejor regalo’
Authors: López-Paredes Marco , García Alejandro
Published: November 2024

En los anuncios “El mejor regalo” y “Nunca es tarde para ser quién eres”, se evidencia una representación de disidencias desde una hegemonía heterosexual. Estos anuncios representan un avance en la visibilidad de la comunidad LGBTIQ+, pero reflejan problemas en cómo se sustentan los discursos de equidad. La Teoría Queer propone la deconstrucción y renegociación de la producción heteronormada, y la creación de nuevos espacios de representación. Estos anuncios presentan una sociedad representada desde el binarismo, encasillando las formas de representación de los sujetos. A pesar de estos desafíos, la promoción de nuevas formas de representación es un gran avance para la sociedad.
Reseña de libro: MUJERES. Análisis emocional en la ficción seriada multiplataforma.
Authors: Antezana Barrios Lorena
Published: November 2024

Datos del Libro: M.ª José Labrador, M.ª José Arrojo, M.ª Elena Martín, Carmen Romano, M.ª Teresa Nicolás, Carmen Vidal Tirant Humanidades, Valencia, 2023 195 pp. ISBN 978-84-1937-698-5
La televisión como medio de comunicación y en la actualidad, dispositivo de transmisión de productos audiovisuales, se ha ido diversificando en sus propuestas y expandiendo sus fronteras atendiendo a demandas cada vez más específicas de públicos ultra segmentados. Es en este contexto que se propone el libro de Labrador que hoy tengo en las manos.
Uno de los formatos que más se ha desarrollado en las últimas décadas es el de las series. Producciones de ficción que cuentan historias en unos pocos capítulos y episodios, permiten un mayor desarrollo y profundidad en la construcción de personajes y en sus arcos narrativos, incorporan recursos estéticos provenientes del cine, lo que agiliza su relato y mejora estéticamente su presentación haciendo sumamente atractivos estos productos.
Incluso si se trata de producciones históricas o de época, siempre están construidas y son visionadas e interpretadas desde el presente, eso hace que exista una relación cercana con los acontecimientos, preocupaciones y características de sus potenciales espectadores y por tanto facilite su identificación. En este sentido, las cuatro series que analizan las autoras del libro: La reina del sur, The good wife, Isabel y The Crown, realizadas en distintos países y épocas, con un número disímil de episodios y temporadas y que cuentan distintas historias, presentan al menos tres características comunes: sus protagonistas son mujeres, se emiten en plataformas de streaming, por tanto, sus audiencias ideales son globales y han tenido una buena acogida y recepción.
Integration of clinical pharmacy, nursing, and medical laboratories: The role of multidisciplinary collaboration in enhancing healthcare quality
Authors: Alanazi Ali Jamal , Alotibi Fares Saad N , Almutairi Nawal Hayef Bejad , Al-Khaldi Nahar Khalif Al-Khaldi
Published: November 2024

Background: Modern healthcare systems increasingly depend on interdisciplinary collaboration to address complex medical needs, enhance patient outcomes, and improve service quality. Effective integration among clinical pharmacy, nursing, and medical laboratories is vital in optimizing treatment accuracy, medication safety, and patient-centered care. However, challenges such as role ambiguity, communication gaps, and resource constraints often limit the success of these collaborations. Aim: This study investigates the role of interdisciplinary integration between clinical pharmacy, nursing, and medical laboratories in enhancing healthcare quality. It also identifies barriers and facilitators that influence the effectiveness of such collaboration. Methods: A systematic review was conducted on peer-reviewed articles published between 2000 and 2016. The search included databases such as PubMed, Scopus, and ScienceDirect, utilizing keywords like “interdisciplinary collaboration,” “clinical pharmacy integration,” and “nursing and laboratory coordination.” Studies were selected based on their focus on collaborative practices in healthcare and their measurable impact on outcomes. Results: The analysis revealed that interdisciplinary integration significantly improves patient safety, reduces medication errors, and enhances diagnostic accuracy. Effective collaboration is fostered by clear communication protocols, mutual respect among professionals, and the use of advanced digital systems for data sharing. Conversely, barriers such as insufficient training, hierarchical dynamics, and resource limitations were noted.
Antimicrobial stewardship: Integrating laboratory diagnostics, nursing interventions, and pharmacological strategies
Authors: Alanazi Ali Jamal , Al-Khaldi Nahar Khalif , Alotibi Fares Saad N
Published: November 2024

Background: Antimicrobial resistance (AMR) poses a global health threat, compromising treatment efficacy and increasing healthcare costs. Antimicrobial stewardship (AMS) programs optimize antimicrobial use, requiring a multidisciplinary approach involving laboratory diagnostics, nursing interventions, and pharmacological strategies. Aim: This paper explores how integrating these components enhances AMS effectiveness in combating resistance and improving patient outcomes. Methods: A narrative review synthesizing evidence from clinical trials, case studies, and guidelines was conducted. The roles of diagnostic technologies, nursing initiatives, and pharmacological strategies in AMS were analyzed. Results: Laboratory diagnostics enable precise and timely pathogen identification, improving antimicrobial targeting. Nursing interventions enhance adherence to AMS protocols through education, infection prevention, and monitoring. Pharmacological strategies, including de-escalation and targeted therapies, reduce inappropriate antimicrobial use. Together, these elements lower resistance rates, hospital infections, and healthcare costs. Conclusion: Integrating diagnostics, nursing, and pharmacology strengthens AMS programs, optimizing antimicrobial use and reducing AMR. Future studies should assess cost-effectiveness and scalability of multidisciplinary AMS models.
The synergy of pharmacy, nursing, and laboratory sciences: Innovations in patient care
Authors: Alharbi Saleh Helayyil Saleh , Alanazi Hamad Huran F , Alotibi Fares Saad N
Published: November 2024

Background: The increasing complexity of patient needs in modern healthcare requires a synergistic approach that integrates the expertise of pharmacy, nursing, and laboratory sciences. Pharmacy ensures accurate medication management and personalized pharmacotherapy, nursing provides patient-centered care and health education, and laboratory sciences contribute critical diagnostic and monitoring data. Despite their distinct roles, the collaboration of these disciplines is paramount to addressing challenges such as polypharmacy, antimicrobial resistance, and chronic disease management. Aim: This paper aims to examine the interplay between pharmacy, nursing, and laboratory sciences, highlighting how their collaboration fosters innovation in patient care. The study explores technological advancements, Interprofessional practices, and case-based evidence demonstrating the impact of this interdisciplinary approach on healthcare outcomes. Methods: A narrative review of existing literature, supplemented by analysis of case studies and reports on interdisciplinary healthcare models, was conducted. The methodology focused on identifying key areas of collaboration, evaluating their impact on patient outcomes, and highlighting innovations that bridge gaps between these fields. Results: Findings indicate that integrated approaches among pharmacy, nursing, and laboratory sciences significantly improve patient outcomes. These include enhanced medication safety, early disease detection, and efficient care delivery.
Epidemiologic research on childhood obesity and cardiovascular risk factors
Authors: Alnajie Ali Mohd Ahmed , Sabaea Mofreh Ahmad Yahya , Harazi Munirah Ahmed , Ayoub Hanouf Ali , Radwan Radwan Hadi , Alamar Amnah Mohammad , Tumayhi Raaed Mohammed , Alqarni Ali Khalofah
Published: November 2024

Childhood obesity has emerged as one of the most sizeable public health challenges of the 21st century, with far-achieving implications for cardiovascular health. This complete evaluation explores the epidemiological patterns, threat elements, and cardiovascular headaches associated with childhood obesity. The observation examines the complicated interplay among genetic predisposition, environmental elements, and way of life choices that contribute to weight problems and cardiovascular chance in youngsters. It emphasizes the importance of early intervention strategies and highlights the function of systematic epidemiological studies in understanding those relationships. The analysis underscores the critical need for evidence-based procedures for prevention and management, even as acknowledging the challenges in enforcing powerful interventions throughout numerous populations. The paper concludes by way of figuring out key studies' priorities and suggesting techniques for improving cardiovascular health outcomes in kids.
Attachment and mental health utilisation: A police perspective
Authors: Francis Kara-Rose
Published: November 2024

At present, many Police officers avoid support for mental illness due to perceived occupational stigma (POS), depleting their wellbeing and job satisfaction. The present study examined the predictive qualities of attachment type, attempting to identify those predisposed to avoiding support based upon help-seeking attitudes, intentions and POS. According to 153 survey responses, POS significantly mediates the relationship between help-seeking attitudes and intentions in both secure and insecure-avoidant UK Police officers. While attachment based predictions were not supported, findings do emphasise the significance of stigma, encouraging interventions to promote help-seeking behaviours, well-being and job satisfaction of Police officers.
Working memory influences on dyslexic university students’ writing
Authors: Stamp Marie
Published: November 2024

One explanation for lower quality texts produced by some dyslexic students in university is the indirect relationship that poorer working memory (WM) has on the link between spelling ability and academic writing. The current study compared 51 students with and without dyslexia on phonological WM capacity, executive function, and integration of sound and visual features (episodic buffer) relative to measures of the process and quality of writing. Participants with dyslexia completed significantly less in-text revisions and scored lower on grammatical accuracy. However, no significant differences were discovered in WM. The persistence of challenges in the process and quality of writing implies that university students need targeted support with specific learning strategies to ameliorate them.
Evaluation of a new long-Covid telephone triage service within clinical neuropsychology
Authors: Lovatt Steven , Das Laura , King Lorraine , Isherwood Anna , Melia Yvonne
Published: November 2024

Background:
The efficacy of telephone triaging has been championed for over a decade and more recent research has shown its value with certain neuropsychological populations (e.g. Traumatic Brain Injury), but further research is needed in other areas of clinical neuropsychology, such as long-Covid services.

Aims:
The primary aims of this evaluation were 1) to obtain service user feedback on the long-Covid telephone triage service, and 2) to use this feedback to inform future delivery of the long-Covid care and treatment pathway within the clinical neuropsychology service.

Method:
A cross-sectional survey design was employed, consisting of a 3-part questionnaire that was disseminated to 50 service users via the Smart Survey digital platform, to gain demographic and participant feedback on their experience of the service. Quantitative data was analysed using Smart Survey and a thematic summary of free-form text responses was conducted.

Results:
A high level of service user satisfaction was found across all elements of the triage service, including waiting time, call expectedness and convenience, satisfaction with clinician, symptom understanding, help/support received, call length, and post-triage follow-up. The evaluation is clearly reflective of the value of the long-Covid triage service, evidenced by service user feedback and how it synchronises with both local and wider NHS strategic visions. The data also corroborates findings from existing literature around the effectiveness of telephone triaging.
Assessing Village Development Institutions' Role in Responsible Tourism
Authors: Utama Dewayani Eka Kadharpa
Published: November 2024

This study explores the pivotal role of Village Development Institutions (VDIs) in fostering responsible tourism in Rewarangga, Indonesia. Using a case study approach, the research examines the socio-economic and human resource contributions of VDIs to sustainable tourism practices. The findings highlight VDIs’ efforts in promoting community participation, economic diversification, and the preservation of local culture within the tourism sector. The study also identifies the challenges faced by VDIs, such as resource limitations and competing interests, that hinder their ability to fully implement responsible tourism initiatives. These insights contribute to the broader understanding of sustainable tourism development, offering practical implications for policymakers, local communities, and stakeholders in the tourism industry. By showcasing the collaborative potential of VDIs, this research underscores their vital role in advancing responsible tourism and empowering local communities in rural tourism destinations.
How Supportive and Competitive Work Environments Influence Job Attitudes and Performance in French Sales Roles
Authors: Wang Tz-Li , Oscar Wong
Published: November 2024

This study explores the relationship between Supportive Psychological Climate (SPC), Competitive Psychological Climate (CPC), Job Attitude (JA), and Job Performance (JP) among sales employees in the French fashion industry. Using a sample of 259 respondents, this research investigates the direct effects of both SPC and CPC on JA and JP, while also examining the mediating role of JA between these psychological climates and performance outcomes. The findings reveal that SPC positively influences both JA and JP, while CPC does not significantly impact either variable. Furthermore, JA mediates the relationship between SPC and JP, but no such mediation is observed for CPC. These results highlight the importance of creating a supportive work environment to foster positive employee attitudes and improve performance. This study contributes to the growing literature on organizational climate by demonstrating how different types of psychological climates influence key job outcomes in a highly competitive industry.
Understanding the Dynamics of Tourist Experience through a Qualitative Lens
Authors: Yuli Sri Budi Cantika
Published: November 2024

This qualitative study explores the dynamics of tourist experiences in Indonesia, focusing on how cultural, environmental, and service-related factors shape tourist satisfaction and retention. Through in-depth interviews and thematic analysis, the research uncovers insights into the perceptions of both domestic and international tourists, offering practical recommendations for enhancing tourism services in Indonesia. Tourism is one of the main drivers of Indonesia’s economy, making it essential to understand tourist perceptions to promote sustainability and growth. The paper delves into multiple aspects of tourism, from cultural engagement to service quality, analyzing how these factors interact and contribute to the overall tourist experience. The results highlight key areas for improvement in the tourism sector and offer strategies for enhancing visitors' experience in Indonesia.
Modul Pengabdian Kepada Masyarakat Sosialisasi Pembuatan Logo Kemasan Pada Produk UMKM di Desa Luwang
Authors: Ardiansyah Ardian Ardiansyah , Kurniawan Hendra
Published: November 2024

Abstrak
Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memberikan edukasi kepada pelaku usaha mikro, kecil, dan menengah (UMKM) di Desa Luwang tentang pentingnya logo dan kemasan dalam membangun identitas produk. Produk lokal seperti Karak Rasa Bawang sebenarnya memiliki potensi yang besar, namun belum memiliki ciri khas yang jelas. Alasan pemilihan topik ini adalah untuk lebih memahami pentingnya identitas produk dalam meningkatkan pemasaran dan penjualan produk usaha mikro kecil dan menengah (UMKM). Desa Luwang memiliki produk unggulan seperti Karak Rasa Bawang Non Borak yang meskipun sudah dikenal secara lokal, namun masih belum memiliki identitas yang kuat untuk bersaing di pasar yang lebih luas. Metode pelatihan yang dilakukan meliputi observasi awal (Survey), identifikasi kebutuhan, pelatihan (Training), kreasi (Creating), evaluasi (Evaluation). Hasilnya, terjadi peningkatan pemahaman pelaku Usaha Mikro, Kecil, dan Menengah (UMKM) yang signifikan terhadap pentingnya identitas produk mulai dari logo, nama produk, hingga kemasan yang pada akhirnya membantu meningkatkan penjualan produknya.
Gambaran Pengetahuan Ibu tentang Pencegahan ISPA pada Balita di Puskesmas Bramban Kabupaten Hulu Sungai Selatan
Authors: Salihin M. Fauzan , Ikasari Filia Sofiani , Pusparina Iis
Published: November 2024

Pendahuluan: Infeksi Saluran Pernapasan Akut (ISPA) adalah penyakit infeksi akut yang menyerang saluran pernapasan atas dan bawah dan berlangsung sekitar 7-14 hari. Hal ini dikarenakan daya tahan tubuh yang lemah dan belum sepenuhnya terbentuk. Salah satu faktor yang memengaruhi ISPA adalah pengetahuan, kurangnya pengetahuan ibu tentang pencegahan ISPA pada balita dapat menyebabkan balita terserang penyakit ISPA. Saat ini belum terdapat data mengenai gambaran pengetahuan Ibu balita tentang pencegahan ISPA di Puskesmas Bamban.
Tujuan: Tujuan penelitian ini untuk mengetahui gambaran pengetahuan Ibu balita tentang pencegahan ISPA pada balita di Puskesmas Bamban Kabupaten Hulu Sungai Selatan tahun 2023.
Metode: Penelitian ini adalah penelitian deskriptif, teknik sampling yang digunakan adalah purposive sampling, dengan sampel sebanyak 82 responden. Instrumen yang digunakan pada penelitian ini adalah kuesioner tentang pencegahan ISPA yang terdiri dari 12 pertanyaan.
Hasil: Hasil penelitian ini menunjukkan bahwa pengetahuan ibu balita tentang pencegahan ISPA berada pada kategori kurang sebanyak 36,6%, kategori cukup sebanyak 54,9%, dan pada kategori baik sebanyak 8,5%.
Kesimpulan: Sebagian besar ibu balita di Puskesmas Bamban memiliki pengetahuan yang cukup tentang pencegahan ISPA.
Saran: Perlunya dilaksanakan pendidikan kesehatan tentang pencegahan ISPA kepada ibu balita di Puskesmas Bamban.
Análise do estudo de impacto ambiental do aterro sanitário e industrial de Campo Grande/MS
Authors: Cardoso Daiane Silva , Coimbra Emanoel Augustus Brito , Schaper Fernanda Junger , Farias João Victor Ferreira de , Silva Junior Francisco de Assis da , Aguilar Núbia Aparecida de , Franco Elton Santos
Published: November 2024

O aterro sanitário, uma das principais formas de disposição final de resíduos sólidos, é uma alternativa para minimizar os impactos negativos que estes podem causar ao meio ambiente e à saúde humana. Os aterros sanitários com capacidade superior a 100 ton/dia devem apresentar ao órgão ambiental competente, o Estudo de Impacto Ambiental (EIA) e respectivo Relatório de Impacto a Meio Ambiente. Assim sendo este artigo tem como objetivo principal analisar o EIA referente ao Aterro Sanitário e Industrial de Campo Grande em Mato Grosso do Sul (MS), a fim de verificar se está em conformidade com os Termos de Referência analisados e com as exigências legais ambientais para o referido empreendimento. A pesquisa foi realizada por meio da análise dos Termos de Referência elaborados pela Instituto de Meio Ambiente de MS e pela Fundação Estadual do Meio Ambiente (FEAM), em Minas Gerais em comparação ao EIA elaborado pela OCA Ambiental, como exigência para implantação do aterro sanitário. Os dados foram analisados de forma descritiva e crítica, selecionando os pontos de contradição e os entendimentos predominantes, para possibilitar uma melhor compreensão acerca do tema. A partir da análise do EIA é possível perceber que alguns requisitos acabaram não sendo completamente preenchidos conforme legislação do MS. Recomenda-se uma análise pela FEAM de termos de referência de outros estados para futuras atualizações das diretrizes exigidas nos seus termos de referência.
Potencial de cicatrização autógena em concretos com sílica ativa
Authors: Freitas Enilda Maria da Silva Garcia de , Formagini Sidiclei , Gonçalves Além-Mar Bernardes
Published: November 2024

As principais pesquisas buscam desenvolver compósitos cimentícios que permitam a redução de manifestação patológica, como a fissuração. A fissuração é uma manifestação patológica que afeta as estruturas de concretos e compromete a durabilidade, pois uma vez acometida torna-se entrada de agentes agressivos. Consequentemente, afetam a segurança, a estanqueidade dos elementos e comprometendo também a estética da peça e o lugar. A cicatrização é denominada autógena quando ocorre por processo natural no concreto. Objetivo foi avaliar o efeito da cicatrização de forma autógena em concreto classe C50 (50 MPa) com sílica ativa e abertura de fissuras entre 0,10 mm e 0,30 mm. Para tanto, discos de concreto (DCs) com dimensões 100 mm x 50 mm (diâmetro x altura) foram fissurados através do ensaio de tração diametral. Os DCs foram utilizados para os testes de percolação de água, o qual utilizou-se para determinar os índices de cicatrização (IC) de fissuras nos períodos de cura em água dos DCs 28, 56 e 84 dias. Os resultados colaboraram no entendimento da cicatrização autógenas em fissuras e identificou os limites das espessuras de fissuras com base no tempo e na de cura em água, pois a cicatrização autógenas em concretos com sílica ativa foi capaz vedar fissuras com e0 < 0,25 mm em um período de cicatrização de 84 dias em água e para fissuras com espessuras maiores, obtiveram a colmatação parcial com IC84 > 80%, apresentando um melhoramento quando comparado a condição inicial da abertura da fissura.
Análise crítica do estudo de impacto ambiental do Complexo Fotovoltaico Sol de Itaueira no Piauí
Authors: Melgaço Dayene Duarte , Oliveira Fausto Cyrano de , Ferreira Thiago Freire Alves , Mendes Viviane Pinto , Silva Junior Francisco de Assis da , Aguilar Núbia Aparecida de , Franco Elton Santos
Published: November 2024

A expansão acelerada da tecnologia fotovoltaica no Brasil, associada à diversidade de normas para o licenciamento ambiental entre os estados e municípios, pode gerar desafios para o aproveitamento pleno dessa fonte de energia renovável. A heterogeneidade regulatória pode acarretar distorções, como desigualdades no desenvolvimento de projetos e ineficiências operacionais, pois os empreendedores podem enfrentar requisitos e para evitar esses entraves, seria ideal a harmonização das normas, estabelecendo diretrizes nacionais claras que garantam a segurança ambiental sem comprometer a competitividade do setor. Justifica-se o posicionamento pelo fato de que os estados podem abrandar demasiadamente as exigências para o licenciamento, sob a justificativa da promoção do desenvolvimento sustentável. Em virtude da abordagem, analisou-se o Estudo de Impacto Ambiental do Complexo Fotovoltaico Sol de Itaueira/PI, submetido em 2022, relacionando-o na perspectiva da legislação de MG maior gerador de energia fotovoltaica do Brasil em 2024. A partir do levantamento de dados e análise qualiquantitativa, comprovou-se a hipótese de que um estudo apresentado em um estado brasileiro pode não ser adequado para atender as determinações de outro ente da federação. Tal disparidade das legislações locais traz riscos de ineficiência da gestão ambiental e desigualdades no desenvolvimento sustentável entre as regiões do país. Constatou-se, também, que a falta de conhecimento técnico aprofundado sobre o processo produtivo da energia fotovoltaica pode acarretar a ausência de importantes medidas para a prevenção de impactos ambientais, em estudos similares.
Utilização de Paclobutrazol em testes de vigor e germinação em sementes de pimenta
Authors: Honório Isabela Cristina Gomes , Almeida Augusto Borges Clemente de , Borges Diogo Gontijo , Brito Renata , Approbato Andressa Uehara , Moras Filho Luiz Otávio , Araújo Thaís Helena de , D’Avila Vinícius de Abreu
Published: November 2024

A pimenta está entre as especiarias mais consumidas e valorizadas na culinária mundial. Além de possuir grande importância na gastronomia, alguns tipos de pimenteiras do gênero Capsicum apresentam características que conferem valor estético, e podem ser utilizadas como plantas ornamentais. Na produção de pimentas, tanto para o uso na culinária ou como planta ornamental, o vigor das sementes e formação de mudas é uma das etapas mais importantes para o ciclo da cultura. Os reguladores de crescimento são utilizados na agricultura com o intuito de reduzir o crescimento vegetativo, promover os processos de floração e frutificação. Neste sentido, o uso do Paclobutrazol pode ser indicado, no entanto, é importante verificar seu efeito na germinação e vigor das sementes. O objetivo deste estudo foi avaliar o efeito das dosagens de Paclobutrazol na germinação e vigor das sementes de pimenta biquinho. Para tanto, o tratamento utilizado foi a aplicação de diferentes doses de paclobutrazol (0, 50, 100 e 150 mg.L-1) em sementes de pimenta biquinho. O estudo foi conduzido no Laboratório de Biodiversidade, da Universidade do Estado de Minas Gerais (UEMG), unidade Passos. A espécie utilizada foi uma cultivar pertencente ao grupo varietal popularmente conhecido como “biquinho vermelha” (Capsicum chinense). Os resultados obtidos indicaram que não houve diminuição na porcentagem de germinação para todas as doses de Paclobutrazol mesmo após o teste de envelhecimento acelerado. Entretanto, sementes submetidas a dosagens a partir de 100 mg. L-1 apresentaram menor comprimento de plântulas.