bluuebunny/crossref_metadata_2025 huggingface dataset:
The Role of Macrophages in the Pathogenesis of Celiac Disease
Authors: Khavkin A. I. , Loshkova E. V. , Kondratieva E. I. , Shapovalova N. S. , Grishkevich I. R. , Doroshenko I. V. , Yankina G. N.
Published: October 2024

Aim: to present data on the involvement of macrophages in the pathogenesis of celiac disease and the development of possible treatment methods for this disease aimed at changing the function of macrophages.

Key points. Celiac disease is an autoimmune disease with a characteristic serological (antibodies to tissue transglutaminase, endomysium, deamidated gliadin peptides) and histological profile (inflammatory infiltration of the villous epithelium by lymphocytes and their atrophy, crypt hyperplasia) caused by gluten consumption in genetically predisposed individuals. Macrophages, as key cells that provide a link between innate and adaptive immunity, are of significant importance in the pathogenesis of celiac disease. Gliadin peptides stimulate the activation of macrophages according to the proinflammatory phenotype with the production of cytokines, which causes the immune response of T-helpers 1 and T-helpers 17. The result of these processes is the development of an inflammatory reaction and damage to the intestinal mucosa due to the production of matrix metalloproteinases and reactive oxygen species by macrophages. Therapeutic tactics for celiac disease today include a gluten-free diet, which is not so easy to follow. Of interest is the study of the possibility of using polyphenols in celiac disease, which are capable of precipitating gliadins and inhibiting the polarization of macrophages towards a proinflammatory phenotype, while simultaneously stimulating an increase in the population of macrophages of an anti-inflammatory phenotype associated with a decrease in tissue damage.

Conclusion. Impaired macrophage function/differentiation results in either inadequate, excessive immune activation or failure to mount effective protective immune responses against pathogens, which may result in the development of gastrointestinal diseases. Studying the involvement of macrophages at different stages of celiac disease progression is important for the development of new treatments for this disease.
Taxonomy of wealth taxation literature: A study of implementation, effects, responses and regulatory policy context
Authors: Ola Mariam Hilda
Published: October 2024

This paper presents a systematic review of wealth tax literature examining the challenges of wealth taxes for countries that have implemented and repealed them. We comprehensively analyzed 96 papers published in 14 reputable journals from 2000 to 2023. These papers are classified into three primary thematic areas: wealth tax implementation, effects of wealth tax (EWT), and taxpayer behavioral responses (BRT). We find that most countries that have implemented wealth taxes face challenges of accurate valuation of net worth (NW) and assets and high administrative costs (ADCs) due to the high ADCs associated with implementing and enforcing wealth taxes and double taxation. The implication of the results is to enhance understanding of the challenges influencing wealth tax implementation for researchers and policymakers and also bridge historical experiences into the present context, offering practical guidance for the United States of America (USA) states considering wealth tax adoption, thereby supporting their decision-making process.
Skewed general variable neighborhood search to solve the multi-compartment vehicle routing problem
Authors: Arousse Amina , Ben Aouicha Ahmed , Cheikh Mohamed , Jarboui Bassem
Published: October 2024

Skewed General Variable Neighborhood Search (SGVNS) is shown to be a powerful
and robust methodology for solving vehicle routing problems. In this paper
we suggest new SGVNS for solving the multi-compartment vehicle routing
problem (MCVRP). The problem of multi-compartment vehicle routing is of
practical importance in the petrol and food delivery and waste collection
industries. A comparison between our algorithm and the memetic algorithm and
the tabu search is provided. It was clear that the proposed algorithm is
capable of solving the available instances. Skewed General Variable
Neighborhood Search was used because it makes it easy to explore the space
of realizable solutions for MCVRP. As a result, the SGVNS is much faster and
more effective. It is able to solve 50 to 484 customers from the literature.
A comparison of oral health-related quality of life and satisfaction among patients undergoing root canal treatment or tooth extraction – A prospective controlled cohort study
Authors: Wigsten Emma , Camci Emine , Levinsson Anna , Kvist Thomas , Sebring Dan , EndoReCo  , Davidson Thomas
Published: October 2024

Objective: This study aimed to evaluate the impact of root canal treatment on Oral Health-Related Quality of Life (OHRQoL) in general dental practice and compare it with tooth extraction. Additionally, patient satisfaction following tooth-preserving treatment was assessed.
Material and methods: In all, 65 patients were recruited from 6 general dental clinics in Västra Götaland over 8 weeks, with 37 starting root canal treatment and 28 having extractions. Questionnaires, including Oral Health Impact Profile-14 (OHIP-14) and 9 questions assessing patient satisfaction, were administered at treatment initiation, and at 1, 6, and 12 months. The responses from both modalities were analysed using descriptive and analytical statistical methods. 
Results: The response rate ranged from 73.8% to 92.3%. Regarding OHRQoL, differences between the groups were few compared to baseline. However, significant improvements were observed in the extraction group at the 6- and 12-month follow-ups, in the ‘total score’, and the dimensions ‘pain’, ‘discomfort’, and ‘handicap’. Patient satisfaction was generally high, with cost being the least satisfactory item. Pain intensity remained consistently low.
Conclusions: In this prospective cohort study few differences were found between the two treatment modalities. However, significant improvements were observed in the extraction group in several dimensions. The patient satisfaction regarding root canal treatment was considered high.
Red Deer Antler Artefacts from Gordineşti II- ”Stînca goală” and Vynnyky-”Zhupan”: Shape-and-Trace Formation Processes in Natural, Functional and Depositional Contexts
Authors: Pankowski Walenty , Rybicka Małgorzata , Małecka Joanna Piątkowska
Published: October 2024

The paper scrutinizes the red deer hard tissues from the contexts attributed to the Trypillia Culture’s final phases. Having once been reported elsewhere, the objects under study are this time conceptualized in terms of shape-and trace formation processes, with an eye to incorporating them into research advances under the topic of the late Trypillia transformation, including typological affiliation, radiocarbon dating, archaeoecology, subsistence studies, etc. Particular attention is paid to artefacts that lack the overwhelming power of the tiniest wear marks, but do display extensive topographic features of manufacture and use. The formalized shape-and-trace aspects for the antler artefacts are proposed, which are considered to be suitable rather for a morphological than for a morphographicsystematization of a prehistoric antler assemblage. An interpretative application of the shape-and-trace approach for the sake of clarification of both past currents in morphogenesis of artefacts and praxis of their use is only possible in a systemic context of knowledge about habitats and lifestyles of the past.
Kazimierz Żurowski (1909–1987): life and work in Lviv till 1945
Authors: Bulyk Natalia
Published: October 2024

The Lviv stage of life and scientific activity of the famous Polish archaeologist Kazimierz Żurowski is covered in this article. Based on documents preserved in the Lviv region State Archive and private archival collections, his studies at the Department of Prehistory of the Jan Kazimierz University of Lviv, the first archaeological research, site protection documentation, and conservator’s reports on the work done are examined. Special attention is paid to the topic of scientific research conducted in his Lviv period and the influence of Lviv on the further scientific life of the archaeologist. Studies and cooperation with such famous archaeologists as Leon Kozłowski, Tadeusz Sulimirski, and Markiyan Smishko, who played an important role in the development of K. Żurowski as an archaeologist, seem to be important. A particular place in the article is given to photos from excavations conducted by K. Żurowski and his scientific travels, which are introduced into the scientific literature for the firsttime.
New data on fossils in the Mesolithic of the Polish Plain
Authors: Płonka Tomasz , Diakowski Marcin , Chłoń Marcin , Niedźwiedzki Robert
Published: October 2024

Two fossil shark teeth (B1 and B6/2014) were discovered in a cluster of flints excavated in 2014 on the Mesolithic site Wierzchowo 6, in Pomerania, NW Poland. Found a small distance apart the surface of both teeth displays natural modifications. The apex of tooth B1/2014 was broken off after deposition, and on its surface were some marks of trampling and transport. On tooth B6/2014 marks clustered on three surfaces labelled G1-G3. The most apparent striations and irregular points seen on surface G1are interpreted as trampling marks caused by low intensity action of the sand deposit. The occasional occurrence of fossil shark teeth in Quaternary sediments in Poland suggests the specimens from Wierzchowo were brought deliberately to the camp site by Mesolithic settlers. Fossilized shark teeth are recorded in Palaeolithic and Mesolithic sites in Europe and have been used for various practical and symbolic purposes by modern age foragers.
Unusual transformations of sickle-shaped knives made of Ożarów flint
Authors: Budziszewski Janusz , Pyżewicz Katarzyna
Published: October 2024

Three raw materials played the greatest role in the flintworking of the Samborzec group of the Mierzanowice culture. Chocolate flints were used to make small arrowheads, banded flints were used to make bifacial axe blades, sickleshaped knives were made from Ożarów flint. The latter were systematically transformed during their use, changing their shape and size. When the blade reached a length of about 11 cm, it could not be shortened any further. However, it was then also not possible to convert the specimen into some other core tool. For this reason, the conversion of sickle knives into other tools was something of an exception. Among the materials from the Małopolska Upland are only two flat bifacial axes made from fragments of damaged sickle-shaped knives from the Ożarów flint. These will be analysed in detail. The creation of these tools was possible due to unusual damage to the sickle-shaped knife (Samborzec) or was due to difficulties in obtaining good quality flint (Majkowice).
Grinding Installations in Pre- and Protohistoric Eurasia
Authors: Tetruashvili Ana
Published: October 2024

The paper investigates grinding installations found across diverse archaeological sites in Eurasia, spanning from the Neolithic (10000-8800 BCE) to the Early Roman period (2nd century BC) in regions such as Georgia, Bulgaria, Turkey, Israel, and Moldova. The study employs typological, traceological, experimental and comparative analyses. A significant focus is on the interdisciplinary examination of an installation at Grakliani Gora, representing the first comprehensive study within Georgia’s territory.
This study aims to fill knowledge gaps regarding the origin, types, and functions of grinding installations found at archaeological sites like Gesher, Ulucak H.yük, Varvarovka VIII, Branzeni III, Kodzadermen, Liga, Ilipinar, Shiqmim, Tel Rehov, Grakliani Gora, Tsikhiagora, and Dedoplis Gora. Notable shared characteristics include indoor placement, using clay in platform construction, surrounding walls to contain scattered flour and the incorporation of side recesses for the material being ground or the produced flour. These installations were constructed to enhance the efficacy of working devices, increase flour yield, and minimize physical strain during daily activities.
On the polysemic nature of traces and co-occurring patterns in anthropized material — contribution of a “Retoucher” with a flaked bone aspect from Roc-en-Pail (France)
Authors: David Éva
Published: October 2024

This article presents a new archaeological material to discuss methodological issues encountered by scientists working both on minimally-modified bones from Mousterian assemblages, to those dealing with the identification of “retouchers” having a flaked bone aspect. The technological approach integrates complementary analytical study-frames in order to assess archaeological information. On the one hand, analogies with similar experimentally produced patterns reduce the functional identification of the archaeological specimen. They do not deal with a single artefact-type in the category of “retouchers”, which thus remains generic. On the other hand, the recording of the patterns in their chronological order, combined together with that of modifications relative to the diagenesis of the bone as an artefact, suggests the “retoucher” was reduced in a relatively fresh state by a carnivorous predator also. The evidence of this co-occurrence, if characterizing the successive anthropic-originated bone beds ultimately degraded by predators in situ, would suggest a relatively short period of human occupation generated by the use of the site in a singular cyclical conception “prey-hunter-predator” at regional scale.
What has the sea taken from us? Cognitive possibilities of studying artefacts from newly-discovered submerged prehistoric sites in Puck Bay (Gulf of Gdańsk, Baltic Sea)
Authors: Kurzyk Krzysztof , Osipowicz Grzegorz , Orłowska Justyna , Kuriga Justyna
Published: October 2024

The article presents the latest results of research in the area of the Bay of Puck. After the last glaciation, the Bay of Puck was gradually flooded by sea water. As a result, we can expect submerged Stone Age sites in this area. The article discusses the latest results of underwater research in this area and analyses in detail four new underwater sites from this region, including a loose find of a bâton percé from Hel dated to about 7000 BC, a collection of flint artefacts, including a flint dagger and pottery from Late Neolithic/Protobronze Age site on Seagull Sandbar and two antler adzes from Site 23 in Puck. A typological and technological analysis of the artefacts was carried out, including analyses of working traces and radiocarbon dating.
Navigating the Complexity of Non-Alcoholic Fatty Liver Disease
Authors: Hidig Sakarie Mustafe
Published: October 2024

Non-alcoholic fatty liver disease (NAFLD) has emerged as a significant public health concern, paralleling the global rise in obesity rates.
Alternative Treatments for the Cure of Dogs Infested by Demodex canis Leydig, 1859 (Arachnida: Acarina)
Authors: Duarte Rigoberto Fimia
Published: October 2024

Demodicosis is a very common cutaneous parasitic disease that afflicts dogs, usually inflammatory, does not produce contagion and is related to the excessive proliferation of mites of different species of the genus Demodex, which are commensal hosts, in small quantities, in the skin of canids. The objective of the research work was to propose a series of alternative treatments for the cure of demodicosis in dogs, using traditional natural medicine. The diagnosis was made by direct observation of D. canis in multiple skin scrapings, trichogram, acetate tape test, skin biopsy among others. In addition, data collection and processing methods were used. A total of 25 dogs infested by D. caninus, with generalized demodicosis (12 males and 8 females) aged between 6 months and 12 years were studied. The SPSS statistical program was used for data processing. As a result of the application of alternative treatments, with the use of traditional natural medicine, it was found that 100% of the specimens of Canis familiaris Linnaeus, 1758, were cured in different periods, taking into consideration the severity of the lesions and their breed. It is considered that the use of alternative treatments can substitute the use of industrial pharmaceuticals.
Osteoporosis in Chronic Obstructive Pulmonary Disease
Authors: TN Santhosh Kumar
Published: October 2024

The common risk factors for Chronic Obstructive Pulmonary Disease (COPD) and Osteoporosis are age, smoking and inactivity
Laser Based Multi-Quantum Wells
Authors: Haddou El Ghazi
Published: October 2024

The basic advantage of using multiple quantum wells (MQWs) in a laser system is that the threshold current density is reduced relative to conventional lasers due to the increased carrier density in MQWs and the associated increase in the optical gain due to the huge confinement factor. The temperature sensitivity of this gain is also reduced compared to bulk material so that the MQWs-based laser can be designed to operate efficiently at room temperature much higher than conventional semiconductor lasers
On the Origin of the Moon and the Continents
Authors: Barbiero Flavio
Published: October 2024

All astronomical bodies originate inside clouds of gas and dust, therefore there should be a common process that leads to their condensation. In a galactic cloud there is always a gradient of speeds from point to point. Thanks to it, vortices originate that rake the material of the surrounding cloud gradually forming large gaseous disks, inside which vortices of second order develop that concentrate the matter of their orbits forming smaller and much denser disks, within which third order vortices further concentrate the matter. The dense cores of these vortices finally condense in massive bodies: sun, planets and satellites. The result should be a well ordered planetary system with no “debris” around and where both planets and satellites obey to a precise rule of the distances from their central body. The solar system complies with these conditions with three main exceptions. First, in an orbit where a large planet should be there is only a huge number of scattered asteroids. Second, Earth and its moon with all evidence were not formed in the same vortex, which means that Moon originated somewhere else. Third, Neptune’s satellite system has been shattered by the intrusion of a foreign body, Triton, and its largest satellites are missing. These exceptions seem to be strictly connected to each other and all due to a unique event, that is: Triton has diverted the largest Neptune satellite towards the Sun. This satellite impacted at high speed against the missing planet, scattering myriads of fragments from its mantle and pushing it towards the sun, where it eventually fell. The planet had at least 4 satellites some of which remained in their previous orbit, but two of them were dragged towards the sun and were captured by Earth. The largest became its lonely moon while the second fell on its surface giving origin to the continents. This event happened about 3,96 billion of years ago, as it is proven by the ages of the numerous samples brought from the moon.
Biostimulatory Activity of Pyroligneous Acid Enhanced Metabolites Accumulation in Grape Wine
Authors: Nutsukpo Efoo Bawa , LR Gunupuru , R Ofoe , SMN Mousavi , PA Ofori , SK Asiedu , C Emenike , L Abbey
Published: October 2024

Pyroligneous acid (PA) is a known biostimulant in agriculture, but its effects on metabolite accumulation in grape berries and wine are not well understood. This study investigated the impact of varying PA concentrations (0%, 2%, 4%, 8%, and 12%) on metabolite profiles in grape wine (Vitis vinifera cv. KWAD7-1). Using a randomized complete block design, PA was applied to grape leaves at 14-day intervals. Wine samples were analyzed using NMR spectroscopy, identifying 52 metabolites across seven compound groups. The 12% PA treatment resulted in the highest o Brix content: 0.14-fold higher than the control. This treatment significantly (p<0.05) altered the concentrations of organic acids, increasing most except for malic and acetic acids, which decreased by 0.16-fold and 0.60-fold, respectively. Notably, 12% PA increased total amino acid content by 5.96- fold compared to the control and enhanced glucose and fructose contents by 0.25- and 1.40-fold, respectively. A 0.53-fold increase in myo-inositol was also observed with 12% PA, suggesting potential improvements in nutritional value. Principal component analysis revealed distinct metabolic profiles for grapes treated with 12% PA, characterized by elevated levels of phenolics, alcohols, volatiles, and carbohydrates. These findings suggest that PA application can be used to manipulate grape wine metabolites, potentially enhancing sensory attributes and nutritional value. This study provides insights into the use of PA as a tool for modulating wine quality to meet consumer preferences.
Navigating the Emotional and Psychological Landscape of Cancer: A Narrative Inquiry into the Stages of Grief and the Role of Religion and Social Support
Authors: Botchway Cynthia Naa Anyimah
Published: October 2024

This study delves into the multifaceted nature of the cancer diagnosis journey, revealing the intricate interplay between emotional responses, religious beliefs, and social support. Utilizing narrative inquiry and reflexivity, the research aligns with established literature on grief, demonstrating that cancer patients' emotional experiences often diverge from Kübler-Ross's linear stages of grief, reflecting a more individualized and dynamic process. The methodology involved personal narrative analysis and qualitative examination of emotional stages—shock, anger, fear, hope, acceptance, sorrow, and bargaining— each influencing coping mechanisms in unique ways. Fear of death emerges as a prominent response to a cancer diagnosis, profoundly impacting patients' behavior and emotional state. This fear, often marked by distress and anxiety, can either deter individuals from seeking care or motivate them to pursue treatment, depending on how it is managed. Hope, in contrast, plays a crucial role in sustaining resilience and promoting positive coping strategies. The presence of hope, bolstered by supportive medical teams and loved ones, significantly enhances quality of life and treatment outcomes, while its absence can lead to psychological distress and hinder recovery. Religious beliefs and spirituality offer a framework for understanding and managing illness, providing meaning and purpose that can alleviate distress. Strong social support networks are essential in buffering against depression and improving overall quality of life. Conversely, the absence of such support exacerbates negative outcomes and affects treatment efficacy. Depression, a prevalent but often underdiagnosed condition among cancer patients, significantly impacts quality of life and treatment success. Effective cancer care must encompass both physical and mental health dimensions, with accurate diagnosis and comprehensive support being critical. The findings underscore the need for a holistic approach to cancer care that addresses the complex emotional and psychological landscape of terminal illness, incorporating strategies to manage fear and foster hope while providing culturally sensitive and robust support systems for patients.
Reflections on Reformulating Psychology, Guided Imagery and Integrative Medicine
Authors: Finney Kimberly
Published: October 2024

The first step in implementing guided imagery is reflecting on its start in psychology. To appreciate this start is to give homage to “Man and His Symbols” by C. G. Jung, though at times a difficult read its concepts are important because Jung incorporates and discusses the role of the unconscious mind
How does Stress Affect the Body's Scheme?
Authors: Becerra Jesús Dueñas
Published: October 2024

In this communication, the author explores the relationship between stress and body schema, and exposes the interstices in which this relationship is structured, in which not only physical aspects intervene, but also biochemical, psychological and spiritual ones.
Progressão referencial pela utilização da relação hiponímia-hiperonímia em notícias
Authors: Leite Louise Christine Oliveira da Silva , Freitas Marília Fernanda Pereira de
Published: October 2024

Este artigo aborda uma das estratégias de referenciação, a progressão referencial, utilizando a relação hiponímia-hiperonímia, em notícias de jornais. O objetivo é mostrar como ocorre esse processo de retomada na concepção da Linguística Textual e propor atividades que auxiliem no desenvolvimento de habilidades ligadas às estratégias de referenciação na compreensão e na produção de textos, relacionadas ao uso de hipônimos e hiperônimos. Para o levantamento bibliográfico sobre estratégias de referenciação, recorreu-se a Antunes (2003 e 2005), à Fávero (1998), à Koch e Elias (2022), além de Lage (2023), para a conceituação do gênero notícia. Buscou-se amparo, ainda, na BNCC (Brasil, 2018), documento oficial que norteia a educação em nosso país. Por fim, apresenta-se uma proposta de sequência didática baseada em Dolz, Noverraz e Schneuwly (2011), a partir das notícias de jornais, a fim de fazer com que os estudantes tenham acesso à habilidade de gerenciar adequadamente a referenciação e a progressão referencial, contribuindo para a qualidade da produção textual.
Terveydenhuollon työntekijöiden eri sukupolvien välinen digitaalinen osaaminen
Authors: Uljas Reetta-Maria , Mikkonen Kristina , Hammarén Mira , Oikarinen Anne , Kääriäinen Maria , Kanste Outi , Jarva Erika
Published: October 2024

Sosiaali- ja terveydenhuollon palvelujen ja rakenteen uudistus pyrkii rajoittamaan kustannusten kasvua ja edistämään palveluihin pääsyä. Sosiaali- ja terveydenhuollon palveluita kehitetään yhä asiakaslähtöisimmiksi, oikea-aikaisimmiksi, vaikuttavammiksi ja tehokkaammiksi digitalisaatiota hyödyntäen. Muutokset vaikuttavat etenkin terveydenhuollon työntekijöiden työtapoihin ja sisältöihin, sillä digitalisoituvat palvelut vaativat digitaalista osaamista. Aikaisemman tutkimustiedon mukaan työntekijän ikä ja valmistumisvuosi vaikuttavat hänen kykyynsä käyttää digitaalisia järjestelmiä, ja digitaaliseen osaamiseen liittyvät tietotaidot heikkenevät jo 45-ikävuodesta eteenpäin. Tämän tutkimuksen tarkoituksena oli selvittää sukupolvien välisiä eroja terveydenhuollon työntekijöiden digitaalisessa osaamisessa.
Tutkimus toteutettiin poikkileikkaustutkimuksena. Tutkimuksen aineisto (n=817) kerättiin sähköisellä kyselylomakkeella terveydenhuollon ammattilaisilta yhdeksästä terveydenhuollon organisaatiosta kansallisesti. Kysely sisälsi taustakysymyksiä sekä kysymyksiä vastaajan itsearvioidusta digitaalisesta osaamisesta ja digitaaliseen osaamiseen vaikuttavista tekijöistä neliportaisella asteikolla. Aineisto analysoitiin tilastollisin menetelmin SPSS-ohjelmistolla.
Tulosten perusteella voidaan todeta, että Z- ja Y-sukupolvet kokevat vahvempaa digitaalista osaamista, kuin X-sukupolvi ja suuret ikäluokat. Suuret ikäluokat arvioivat digitaaliseen osaamisen vaikuttavien tekijöiden tuen nuorempia sukupolvia merkittävämmäksi. Terveydenhuollossa olisikin tulevaisuudessa tärkeää kohdentaa osaamisen kehittämisen menetelmiä sukupolvien väliset digiosaamisen erot huomioiden. Organisaatioiden ja työyhteisöjen tulisikin tehdä aktiivista ja systemaattista työtä eri sukupolvien digitaalisen osaamisen tarpeiden tunnistamiseksi, jotta digitaalisia palveluja ja ratkaisuja otetaan jatkossa käyttöön entistä ennakkoluulottomammin.
Sairaanhoitajien kokemuksia tietojärjestelmistä hyvinvointialueiden toiminnan alussa
Authors: Vehko Tuulikki , Kyytsönen Maiju , Kaihlanen Anu-Maria , Saranto Kaija , Kinnunen Ulla-Mari
Published: October 2024

Sairaanhoitajien kokemuksia tietojärjestelmistä on selvitetty osana Sote-tieto hyötykäyttöön -strategian ”Kyvykkäille käyttäjille fiksut järjestelmät” osa-alueen toteutuksen seurantaa. Arviointitutkimuksen kehyksessä toteutettua seurantatutkimusta tarvitaan tuottamaan ajantasaista tietoa siitä, millaisia kokemuksia sairaanhoitajilla on asiakas- ja potilastietojärjestelmistä.
Vuosien 2017 ja 2020 tiedonkeruiden tapaan Tehy ja Sairaanhoitajat ry lähettivät sairaanhoitajakoulutuksen saaneille jäsenilleen keväällä 2023 sähköisen kyselylomakkeen. Yhden muistutuksen jälkeen kyselyyn saatiin 2 970 vastausta. Poikkileikkausasetelmassa toteutetun kyselyn analyyseissä käytettiin kuvailevia menetelmiä.
Suurin osa (70 %) vastaajista arvioi olevansa erittäin kokeneita tai kokeneita asiakas- ja potilastietojärjestelmien (lyhennettynä järjestelmien) käyttäjiä. Järjestelmät tukevat yhteistyötä ja tiedonvaihtoa omassa organisaatiossa, mutta eivät eri organisaatioissa toimivien sairaanhoitajien tai sairaanhoitajien ja asiakkaiden välillä. Vähintään puolet sairaanhoitajista arvioi, että tietojärjestelmät auttavat varmistamaan hoidon jatkuvuuden ja auttavat estämään lääkitykseen liittyviä virheitä, mutta osuudet olivat matalammalla tasolla, kun tarkasteltiin tietojärjestelmien potentiaalia välttää päällekkäisten tutkimusten tekemistä tai niiden potentiaalia parantaa hoidon laatua. Enemmistö (76 %) vastaajista arvioi, että olennaisen hahmottaminen on vaikeaa suuresta tekstimäärästä. Enemmistö (75 %) totesi myös, että tietojärjestelmät vievät liikaa aikaa työajasta potilaiden kanssa. Terveyskeskuksissa 29 % käytti päivittäin Kanta-palveluja potilastietojen hakemiseen toisesta organisaatiosta, mutta osuudet olivat matalammat julkisissa sairaaloissa (11 %) ja yksityisellä (10 %). Terveyskeskuksissa 58 % arvioi, ettei saanut hyvää tietojärjestelmäkoulutusta työnantajalta uutena työntekijänä ja 59 % ilmoitti, ettei työnantaja ole tarjonnut järjestelmän käyttöön jatkuvaa koulutusta. Julkisissa sairaaloissa osuudet olivat matalampia (46 % ja 49 %).
Hyvinvointialueiden toiminnan alussa, sairaanhoitajien kokemuksissa järjestelmien käytöstä ei ollut merkittäviä muutoksia verrattuna vuoden 2020 tuloksiin. Kanta-palveluiden käyttö tiedonhakuun oli kasvanut vuodesta 2020 ja kehitystä pitää seurata. Organisaatioiden tulee tarjota täydennyskoulutusta henkilöstölle muuttuvissa työprosesseissa.
Informed consent in the age of smart technologies
Authors: Leikas Jaana , Halkoaho Arja , Lanne Marinka
Published: October 2024

Technology is increasingly being brought into the home care of older people. Digitalization is seen as an enabler for efficient and resource-saving operations. In the use of technology, informed consent is considered an ethical practice and part of a responsible home care service system. The aim of this article is to describe the problem of informed consent in situations where emerging technologies, such as artificial intelligence (AI) and mass data, are used as part of welfare services and home care for older people. The article discusses principles and ways to better integrate informed consent as an ethical practice into a responsible home care service system.
A qualitative study was carried out to gather the views of experts in the field of elderly care and ethics. A content analysis of a semi-structured focus group was used to explore perceptions of the changing nature of informed consent. According to our findings, the informed consent model requires updating. The key is to embrace the idea that consent is a living process designed to respect people's autonomous choices and protect them from risk. If the nature of the use of the data collected from individuals changes significantly in the future, the consent should also be updated to reflect this change. This aspect is important because new technologies will change the nature of the collection and use of the data. Mass data collection combines multiple databases so that the resulting data can be used even far from the original purpose or context in which it was collected. Therefore, consent should always be tailored to the context, allowing sufficient time for the person seeking and giving consent to clarify the content of the consent. This process highlights the importance of understanding the agency of the consent giver.
Potilaiden kaatumisten ennaltaehkäisy – tutkittuun tietoon perustuvan Fall T.I.P.S. -mallin käyttöönotto erikoissairaanhoidon osastoilla
Authors: Kansanen Tarja , Mykkänen Minna , Haatainen Kaisa , Saranto Kaija
Published: October 2024

Kaatumisten ennaltaehkäisy edellyttää kaatumisiin johtavien tilanteiden taustalla vaikuttavien tekijöiden tunnistamista ja turvallisuutta ylläpitävien tekijöiden vahvistamista. Asiakas- ja potilasturvallisuuden toimintaohjeiden laatimisesta vastuu on organisaatiolla, mutta kaikilla henkilökunnan jäsenillä on vastuu niiden toteuttamisesta. Kaatumisriskin arvioinnin työnkulkuun on Yhdysvalloissa kehitetty tutkittuun tietoon perustuva Fall Tailoring Intervention for Patient Safety (Fall T.I.P.S.) -malli, joka korostaa erityisesti ehkäisevien toimenpiteiden merkitystä. Tämän laadullisen rekisteritutkimuksen tarkoituksena on tunnistaa potilaiden kaatumisiin liittyviä myötävaikuttavia tekijöitä Fall T.I.P.S. -mallin käyttöönoton alkuvaiheessa yliopistollisen sairaalan osastoilla.
Tutkimusaineisto muodostui vaaratapahtumien HaiPro-raportointijärjestelmään tehdyistä kaatumisiin liittyvistä ilmoituksista (N=224) yliopistosairaalassa, vuosi Fall T.I.P.S. -mallin käyttöönoton jälkeen. Aineisto ryhmiteltiin Atlas.ti -ohjelmistolla. Tapahtumakuvauksista poimittiin ja ryhmiteltiin kirjaukset, joissa kuvattiin Fall T.I.P.S. -mallin osatekijöitä ja kaatumiseen myötävaikuttaneita tekijöitä. Kirjaukset analysoitiin sisällön analyysilla.
Tulosten mukaan sairaalakaatumisten myötävaikuttaviksi tekijöiksi (n=202) tunnistettiin potilaan toimintakyky ja sairaudet (86 %), lääkehoito (14 %) sekä liikkumisen apuvälineet (12 %). Vaaratapahtumien toistumisen ehkäisevinä toimenpiteinä (n=124) kirjattiin Fall T.I.P.S. -mallin mukaan potilaan henkilökohtainen hoitosuunnitelma (72 %), johdonmukainen interventio ja epäkohtiin puuttuminen (18 %) sekä riskien arviointi (9 %). Fall T.I.P.S. -malli koettiin kaatumisia ehkäisevää toimintaa tukevana. Ilmoituksissa tuotiin esille myös Fall T.I.P.S. -mallin koulutuksen ja käyttöönoton tuen merkitys sekä henkilökunnan tiedontarpeiden tunnistaminen. Tiedontarpeiden tunnistaminen, moniammatillinen osaaminen ja tutkitun tiedon hyödyntäminen ovat merkittäviä tekijöitä potilasturvallisuuden edistämisessä.
Midwives’ account of virtual reality childbirth education
Authors: Siivola Marjaana , Malmi Lauri
Published: October 2024

In Finland, prenatal clinics and birthing hospitals struggle with resources to provide expectant parents with childbirth education (CBE) and a tour of the hospital birthing unit. Not preparing for birth is common, and not knowing how and where to give birth causes parents unnecessary stress during pregnancy. One new possibility to complement CBE is using virtual reality (VR) to deliver content.
The aim of this study is to describe midwives' views of the status of parents' preparation for birth and provide information on the VR CBE program's advantages and challenges from the midwife's perspective. The study consisted of two focus group sessions with seven participants. Participants were midwives with experience from a hospital birthing ward and had provided childbirth education. The data was analysed using a thematic content analysis approach.
According to the midwives, the parents do not prepare for birth well enough. Preparing for birth affects the parents' knowledge about childbirth, their cooperation with the healthcare personnel, and how they trust the birthing process, themselves, and the healthcare personnel. Preparation can also have adverse effects if the birthing person is trying to give birth with a detailed plan or has false expectations. Parents should focus on knowledge, attitude, and mental and physical exercise in preparing for childbirth. By preparing from trusted sources, parents can make informed decisions. They have the skills to stay calm, relaxed, and open-minded during labour and birth. Physical and mental exercise will help them cope with labour and relax their mind and bodies during birth.
Midwives see VR as offering great potential for concrete, realistic, and flexible childbirth education that can address current challenges. They were also worried that VR could replace face-to-face contact. However, since there is minimal such contact in the current CBE, VR could enhance childbirth education and offer a realistic and concrete image of birth and a hospital tour.
Midwives want families to prepare better for birth and work on their knowledge, attitude, and exercise. By preparing, parents understand childbirth, trust themselves, the birthing process, and the midwives; cooperation works better. Midwives see VR as an excellent addition to childbirth education by offering realistic and concrete online childbirth education. VR should not replace face-to-face contact.
The Function of Honorific Term Ité: Cultural Perspectives from Manggarai, Indonesia
Authors: Menggo Sebastianus
Published: October 2024

Culture pertains to human existence and encompasses the various aspects of a civilization’s way of life. On the other hand, language refers to the complex communication system employed by individuals inside a specific culture or group. Language utilization typically represents the societal customs, cognitive processes, cognitive functioning, historical context, and interconnections within a given human civilization. Utilizing the inclusive personal pronoun "ité" in the Manggarai language facilitates identifying a connection between linguistic elements and cultural principles. This study examines the relationship between the two specified elements, particularly emphasizing the arguments offered. The data were obtained using observations and interviews conducted with fifteen traditional representatives. Subsequently, a qualitative analysis was performed on the collected data. The findings suggest that its utilization in its various manifestations indicates the cultural norms and customs observed by those living in the Manggarai region of Indonesia. Based on the presented data, this study asserts that the first personal pronoun plural inclusive "ité" in the Manggarai language and culture serves as a means for the speaker to communicate politeness and humility towards the hearer or listener. It signifies a genuine respect for the interlocutor, particularly when they hold a high position. In addition, ité shows familiarity, brotherhood, and sincerity in interpersonal relationships by expressing respect, appreciation, and enthusiasm. Furthermore, it functions as a deep gratitude towards the Divine Father.
Alienation of Female Characters in the Movie Fair Play (2023) as Main Breadwinners in the View of Jaggar
Authors: Istinara Terra , Sinaga Hariati
Published: October 2024

The capitalist patriarchal system materializes in every aspect of life, even in the workplace, resulting in men and women's alienation. Unlike previous studies on women's alienation, this article examines the alienation of women as main breadwinners in a financial sector. Through film analysis, this article discusses the movie Fair Play released by Netflix in 2023. The movie focuses on a woman named Emily who gets a higher position than her fiancé in a securities company, causing jealousy. The movie Fair Play tries to distort the reality of how women are able to get higher positions in a male-dominated system. Drawing on Alison Jaggar's alienation theory, this article attempts to show how the form of alienation experienced by Emily as a woman is different from the alienation experienced by men in a capitalist patriarchal system. Using qualitative method in analyzing Fair Play movie scenes, the study reveals that alienation experienced by workers, whether female or male, is the result of an exploitative capitalist system. The article also argues that Emily experiences alienation of sexuality and intellectuality because of her femininity. This implies that women experience double standards because of the double burden caused by gender roles. It concludes that women experience alienation differently from men because of their gender. By eliminating of the concepts of masculinity and femininity, this alienation experienced differently by women can be overcome.
Veiled Exploitation: The Maintenance of Power through False Consciousness in The Netflix Series Arcane
Authors: Hakim Ananda Lukmanul , Chusna Inayatul
Published: October 2024

The focus of this research is to identify and reveal how false consciousness is created and utilized to retain the authority of the industrialist Silco in the Netflix series Arcane. This research aims to show how false consciousness is through the creation of class consciousness, and how it is spread and maintained through state apparatuses and commodity fetishism as a method of exploitation to maintain his authority and status as a leader in Zaun. In this research, the Marxist theory of ideology and state apparatuses by Louis Althusser and commodity fetishism by Karl Marx were employed to answer the research questions. The research used a qualitative method of content analysis. The data is collected and identified by watching the series, where the relevant data is collected from visuals, activities, and dialogues within the series so that it can be analyzed further. Based on the data analysis, the series Arcane depicts false consciousness as a method to exploit the people from the proletariat and bourgeois classes to benefit certain people or groups. Silco creates and maintains false consciousness by utilizing state apparatuses such as ideological state apparatus and repressive state apparatus through ideology. Silco also utilizes commodity fetishism from Shimmer as a way to control the people through false consciousness. As a result, Silco managed to maintain his power as a leader in Zaun, which reveals how false consciousness can be utilized to benefit a certain people, group, or classes to maintain their power within society.
The Use of English Relative Clauses by Indonesian Authors: A Case Study in Business, Engineering, and Science Journal Articles
Authors: Sutrisno Adi , Denistia Karlina
Published: October 2024

The ability to effectively use relative clauses is pivotal in English journal articles, as it allows authors the flexibility to modify various noun phrases within sentences to convey clearer and more precise writing. This research explores the strategies employed by Indonesian authors from three distinct disciplines - business, engineering, and science. To accomplish this, we analyzed thirty papers published in Electrical Engineering and Computer Science, Makara Journal of Science, and Gadjahmada International Journal of Business. In total, 1453 relative clauses were collected and analyzed. A cross-classification analysis was performed to examine the distribution of relative clauses. The findings of the study indicate a preference among Indonesian writers to use non-reduced relative clauses, specifically those that serve as restrictive modifiers for objects. We also observe that the past participle is employed with greater frequency than the present participle. The results reveal that Indonesian authors prefer non-reduced relative clauses over reduced ones, opt for restrictive clauses over non-restrictive ones, and consistently favor relativizing the subject (S-form) in their relative clauses over the object (O-form). Our results also show that the choice of relative clauses is subject-specific, influenced by the distinct communicative requirements and preferences within each field. Our examination of relative clauses has provided insights into the syntactic choices, including their reduction status, restrictiveness, the use of participles, connectors, and the syntactic category modified by the clause.
Ars Erotica: Sex and Somaesthetics in the Classical Arts of Love: Exploring Shusterman’s Writing Identity in the Discourse on the Art of Lovemaking and Body Aesthetics
Authors: Sugiharto Setiono
Published: October 2024

Standing in marked contrast with Foucauldian notion of “the care for the self” which seeks bodily pleasure by advocating violent practices of consensual homosexual sadomasochism and drugs, Shusterman’s Ars Erotica takes up the notion further by unveiling the idea of somaesthetics that alternatively favors such tranquil, less violent somatic practices as a pursuit of bodily pleasure and cultivation. Rich in its cross-cultural perspectives of how artistic body practices (including the art of love making) are cultivated, Ars Erotica combines important ideas from different philosophical traditions with literary works emanating from varied cultural, religious, and linguistic legacies. The mixture of both philosophy and literature in the book helps reconcile the long-standing disputes regarding the divide between the two scholarships, thus making Shusterman’s writing worthy of investigating. Drawing on these notions of aspects of identity – “self as author” and “discoursal self” (Ivanic, 1998), this article is an attempt to explore these aspects of identity. Thematic coding was used as a technique of data analysis. Findings revealed that aspects of identity can be categorized and suggested as follows: (1) taking control by evaluating while averring to reliable sources, (2) interfering credible sources by infusing personal positioning (3) translanguaging to create aesthetic textual postures.
A Focused Literature Review of Missed Care in Residential Aged Care
Authors: Kardan Moghaddam Vida , Olley Richard , Milligan Eleanor , Vuong Kylie
Published: October 2024

Missed care is any aspect of required care that is omitted (either in part or whole) or delayed. Residential Aged Care Facilities (RACFs) are susceptible to missed care due to a range of factors, including residents’ complex needs, workforce composition, and constraints placed on resource availability. This focused literature review aims to evaluate the current evidence on missed care, including an analysis of the concept, causes, and outcomes of missed care in residential aged care in Australia.
Within most of the available literature, missed care is typically considered only within the context of nursing. It is noted that although the nature and identification of missed care were discussed extensively to provide a broad picture of the phenomenon, including possible prevalence and outcomes, they need to explicitly discuss the impact of missed care on residents, families, and other clinical and operational staff. Further research is needed to inform and improve the care of the elders in RACFs, considering this gap in the literature. This review has identified potential areas for enquiry into missed care to inform policy and practice to improve the care of elderly residents in RACFs.
Evaluating Boil Water Advisory Policies and Practices: Health Outcomes in Hong Kong
Authors: Tam Simpson Shiu Chung , Fong Ben Yuk-fai
Published: October 2024

Boiling water (BW) is a common global practice, especially in Asia, for ensuring safe drinking water, though it does not remove chemical contaminants. The World Health Organisation recommends BW as an emergency measure against microbial contamination. In Hong Kong, the Water Supplies Department ensures water quality through strict regulations and extensive monitoring. Comparisons with Norway and Canada reveal effective practices such as water safety planning and risk-based advisories. Norway mandates water safety planning and uses messaging notifications for water advisories, ensuring high compliance, while Canada issues site-specific BW advisories based on risk assessments. Hong Kong faces unique challenges, such as a warm climate and complex building infrastructure, which impact water quality. Many buildings lack proper maintenance, leading to potential health risks and necessitating regular maintenance. Health management, public health education and expert guidance are essential for promoting efficient practices and ensuring safe drinking water.