bluuebunny/crossref_metadata_2025 huggingface dataset:
Development of Indian Council of Medical Research (ICMR) Standard Treatment Workflows for Skin Diseases: A Step Toward Universal Health Coverage
Authors: Khurana Ananta , Grover Ashoo , Pandhi Deepika , Khaitan Binod , George Renu , De Dipankar , Mahajan Rahul , Gupta Vishal , Srivastava Saumya , Cherian Jerin Jose , Dhaliwal Rupinder Singh , Kumar Dhiraj , Kumar Neeraj , Bajaj Anjali , Kant Mohan , Sharma Lokesh K. , Singh Ravinder , Bhargava Balram , Bahl Rajiv
Published: July 2024

Background:

Skin conditions form a major bulk of diseases in the community. With a disproportionately low number of dermatologists in the country, and a greatly unequal distribution between urban versus rural areas, ineffective treatment and mismanagement of skin conditions are, however, commonplace.

Objective:

To develop standard treatment workflows (STWs) for certain skin diseases for use by clinicians at primary, secondary, and tertiary care centers.

Methodology:

Seven members, from various academic institutes across the country, were selected for formulation of the STWs. They were provided logistic and technical support by the ICMR, Department of Health Research (DHR), and WHO India office. Multiple rounds of online and physical discussions were performed to identify topics that would be most useful in the management of skin diseases for the health care personnel (HCP) and subsequently to frame the STW content.

Results:

The selected diseases included acne and rosacea, alopecia, bacterial skin infections, cutaneous adverse drug reactions, dermatophytosis, eczema/dermatitis, immunobullous dermatoses, psoriasis, scabies, varicella and herpes, vitiligo, and urticaria. There was one separate module on rational use of topical corticosteroids. The STWs for these conditions have been finalised and are available as physical posters in health centers and can also be accessed online and through mobile applications.

Conclusion:

Thirteen STW modules have been prepared with a view to optimize management of skin diseases at various levels of health care system of the country.
Human Immunodeficiency Virus Preexposure Prophylaxis Awareness and Acceptability among Men Who Have Sex with Men and Transgender Persons in India: Systematic Review and Meta-analysis
Authors: Sethi Adhish Kumar , Haldar Partha , Kant Shashi , Rai Sanjay Kumar , Rajan Shobini , Kumar Parveen
Published: July 2024

With increasing importance being given to preexposure prophylaxis (PrEP) for human immunodeficiency virus prevention among men who have sex with men (MSM) and transgender persons (TG), we undertook a systematic review and meta-analysis of PrEP awareness and acceptability among these key populations in India, and their sociodemographic and behavioral determinants. The systematic review was registered with PROSPERO (CRD42023390508). Studies were included if they provided quantitative data on PrEP awareness or acceptability among MSM or TG in India. MEDLINE, Scopus, Web of Science, and Embase were searched from inception to February 29, 2024, using keywords and database-specific terms. Relevant websites were also searched. Critical appraisal was done using the Joanna Briggs Institute Checklist for Prevalence Studies. Random-effects meta-analysis was done for common outcomes reported by the studies. Reporting was as per the Preferred Reporting Items for Systematic Reviews and Meta-analyses 2020 statement. Ten studies providing cross-sectional data, mostly from South West India, were included for qualitative synthesis. All were conducted in settings where PrEP was not available. The pooled prevalence among MSM and TG was 18.7% (95% confidence interval [CI] 8.7%, 28.7%) for awareness and 79.8% (95% CI 57.4%, 100.0%) for willingness to use daily oral PrEP. This review highlights the felt need for PrEP among MSM and TG in India. Further research is needed to understand user attitudes in different parts of the country.
A Novel Extended Susceptible, Exposed, Infected, and Recovered Model with Surveys for Analysis of COVID-19 Pandemic in Rajasthan
Authors: Malik Meena , Prabha Chander , Soni Punit , Bhardwaj Khushboo , Arora Anshu
Published: July 2024

The impact of COVID-19 on human life has been catastrophic. It is the greatest crisis that humankind has ever faced. It already caused over 21 million confirmed cases and 758,000 deaths as of July 2021. Modeling frameworks, underlying assumptions, available datasets, and the region/time frame being modeled, predictions are possible, but the projections might vary widely, making it difficult to rely on one model universally way. This article presents the prediction and forecasting technique for COVID-19, using the widely adopted susceptible–exposed–infected–recovered (SEIR) model. The modified SEIR model is presented to model the pandemic to represent an open system where the mass movement of the population is considered. Spreading patterns of the pandemic over time, in actual and as per the model, are compared to check the authenticity of the model.
Air Quality and Public Health Risk Assessment: A Case of an Industrial Area in Haridwar City, Uttarakhand (India)
Authors: Pant Alka , Joshi Ramesh Chandra , Sharma Sanjay , Pant Kamal
Published: July 2024

Background:

Air pollution is a significant issue for a developing country like India and the air quality index (AQI) forecasting helps to predict air quality levels in advance and allows individuals to take precautionary measures to protect their health.

Objectives:

The study aimed to forecast the AQI for an industrial area (SIDCUL, Haridwar City) using a time series regression model.

Materials and Methods:

Three years of existing AQI data points (post-COVID-19) were collected from the Uttarakhand Pollution Control Board for the SIDCUL area of Haridwar City and tried to know the status of AQI values for the following 12 months. Trend and seasonality components were seen through the decomposition process. Further, the augmented Dickey–Fuller test was applied to check the stationarity of the series before finalizing the best-suited time series model for forecasting the AQI values.

Results:

With the help of autocorrelation function (ACF)/partial ACF plots, a seasonal autoregressive integrated moving average (ARIMA) (0,1,0) (1,0,0)[12] model was selected with the minimum akaike information criterion (253.143) and mean absolute percentage error (17.42%). The AQI values have also been forecasted for this industrial area (SIDCUL) for the following year.

Conclusion:

The seasonal ARIMA (0,1,0) (1,0,0)[12] model may be helpful to forecast the AQI values for a nonstationary time series dataset. Research indicates that the air of the SIDCUL area will become moderately polluted and may cause breathing discomfort to asthma patients’ health. The scientists might apply this model to other polluted regions of the country so that the public and the government can take preventive measures in advance.
Acceptance of Mass Drug Administration for Prophylaxis against Lymphatic Filariasis in a Tribal Endemic Area: A Descriptive Cross-sectional Study
Authors: Agarwal Asmit , Maharshi Vikas
Published: July 2024

Background:

India is at a critical stage to eliminate filariasis. Uncovering the factors governing may help taking appropriate measures to achieve the goal.

Objectives:

This study evaluated the acceptance of “mass drug administration” (MDA) for prophylaxis against filariasis and the factors facilitating and interfering with it.

Materials and Methods:

A cross-sectional study was conducted in a tribal endemic area of India from May 2022 to October 2022. A validated 29-item self-administered questionnaire was used to collect the data. Items were grouped under “knowledge,” “social processes,” “think and feel,” “practical factors,” and “motivation/hesitancy” domains.

Results:

Of 101 participants, majority were aware of the disease (92.1%), its vector (74.3%), at least one disability caused (87.2%), and governmental scheme of MDA (69.3%). Two-thirds never received and 85.1% did not receive MDA within 1 year. 68.3% refused of distribution of MDA to their doorstep. Majority were concerned for getting MDA for self and their family/friends; however, 49.5% showed inability to take independent decision. More than 30% disagreed to get MDA had it been available. The region with the highest concerns for adverse drug effects showed minimum MDA consumption than others (P < 0.05). MDA acceptance/consumption was significantly associated with knowledge about disability caused, distribution of drugs by a health-care representative to doorstep, behavior of the representative, and concerns about potential adverse drug effects.

Conclusion:

MDA coverage was inadequate in the study population. Level of knowledge, practical difficulties in getting drugs, inapt thinking/concerns, motivation, awareness about disabilities caused, door-to-door drug distribution, and behavior of health-care representative(s), were identified as factors significantly affecting acceptance of MDA.
Chronic Illnesses and Depression among Community-based Adolescents in Rural Haryana, India
Authors: Mohta Aditi , Malhotra Sumit , Kalaivani Mani , Patra Bichitra Nanda , Nongkynrih Baridalyne
Published: July 2024

Evidence on the association of chronic illnesses with depression among adolescents in the Indian community setting is limited. A simple random sample of 583 adolescents, comprising 56.6% of boys and 43.4% of girls, were interviewed on home visits. Self-reports on chronic illnesses were elicited, followed by administration of Patient Health Questionnaire-9 (PHQ-9) questionnaire to screen for depression, and for confirmation of diagnosis by age-appropriate Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI Kid), or MINI. The prevalence of chronic illnesses was 8.4% (95% confidence interval [CI]: 6.3–11.0). Of these participants, 42.8% screened positive for depression. The prevalence of depression was 10.2% (95% CI: 3.4–22.2) among adolescents with chronic illness. The prevalence of physical–mental multimorbidity was 0.8% (95% CI: 0.3–2.0). The presence of chronic illness was associated with depression identified using both PHQ-9 (adjusted odds ratio [AOR] =3.1 [95% CI: 1.7–5.8], P < 0.001) and MINI Kid/MINI (AOR = 3.2 [95% CI: 1.1–9.4], P = 0.037). Adolescents with chronic illnesses can be targeted for mental morbidity screening in a bid to improve functional outcomes.
Does Price Really Matter for Generic Alternatives? Supervised learning Approaches in Deciding the Right Price for Acceptable Quality Attributes of Amlodipine Besylate among Generic Alternatives
Authors: Chenkual Laltanpuii , Mariyappan Mahindran , Lalchandani Dimple S. , Shaikh Khajapeer , Sathala Pavan Kumar , Porwal Pawan Kumar
Published: July 2024

The price and safety of finished pharmaceutical preparations are two major concerns while prescribing medicine. In this work, machine learning-based classification models were developed with respect to the quality attributes of 258 samples covering 9 marketed amlodipine (AMLO) formulations. The quantitation of AMLO and its three sulfonate ester genotoxic impurities of besylate counter ion was settled using a validated high-performance liquid chromatography-diode-array detection method. The classification of correlation between dependent and independent variables was exercised using linear discriminant analysis models. The linear dispersion of acceptable quality attributes was significantly different for AMLO besylate formulation with unit price per tablet “<1 Rs.” Although the correlations between price and quality are well-understood associations group centroid distance for price group “2–3 Rs.” and “1–2 Rs.” reveal that acceptable quality dispersion was similar for both groups. Nonetheless, a higher price could allow storage of the finished formulation to be kept on the shelf for a longer period.
Perception and Acceptance of the Newly Introduced COVID-19 Precaution (THIRD) Vaccination Dose among Health Workers at an Indian Medical College
Authors: Gupta Shibaji , Chakraborty Arup , Maji Sucharita , De Abhishek , Lahiri Arista , Das Debasis
Published: July 2024

Introduction:

India has run a nationwide vaccination campaign against COVID-19, which has recently introduced a precaution (third) dose for health workers. This study assessed the perception and attitude of health workers toward the Indian vaccination campaign against COVID-19, with an emphasis on this major change.

Materials and Methods:

A printed questionnaire was distributed among health-care workers at the Medical College of West Bengal. The completed forms were analyzed.

Results:

Most of the participants were doctors (83.7%). Although all had received two doses of vaccine before, 44.4% were unwilling to be vaccinated with the third dose in the present scenario. The majority (63.8%) of the patients were concerned about side effects. The emergence of new COVID strains (65.6%) was viewed as a threat to the effectiveness of the vaccines. Participants with higher age, comorbidities, and those with the perception that the third dose was being introduced appropriately and would be effective against newer strains of the vaccine tended to be more willing to get vaccinated with the precaution dose compared to their counterparts.

Conclusion:

A dilemma regarding the acceptance of precaution doses was noted among health workers. This warrants the availability of more comprehensive information to increase acceptance of these vaccines.
Mapping the Consequences – An Exploratory Study on the Use of Body Mapping Technique to Assess Perceptions of Health-care Workers on the Effects of Uncontrolled Diabetes Mellitus and Hypertension
Authors: Sridhar Pooja R. , Francis Liya , Johnson Avita Rose , Fathima Farah Naaz , Goud Ramakrishna B.
Published: July 2024

Knowledge of the consequences of uncontrolled diabetes mellitus and hypertension on various body organs among health workers is necessary to educate patients. Body mapping is a tool used for exploring perceptions as a part of qualitative research. This study assesses the perceptions of health-care workers on the effects of uncontrolled diabetes mellitus and hypertension on the human body using the body mapping technique. All 19 staff members of an Urban Primary Health Center were asked to draw a human body and map the parts affected by uncontrolled diabetes mellitus and hypertension. The mean age of the participants was 35.42 ± 10.54 years, and median years of work experience were 4 (3, 7) years. Fourteen (74%) participants had mapped kidneys and 11 (58%) participants had mapped head/brain indicating stroke to indicate damage due to uncontrolled diabetes mellitus and hypertension. Only 7 (37%) and 4 (26%) participants perceived that feet and eyes could be affected.
Impact of evidence-based pedagogical approach on clinical reasoning among undergraduate physical therapy students
Authors: Venugopal Pavithra , Subramanian Hariharasudan , Manoharlal Manoj Abraham
Published: July 2024

Background:

Various educational methods have been used by professional physical therapy teachers for their students. Since physical therapy includes both theory and practical, students may need to critically think about each patient’s intervention based on the stage of their illness. It is necessary to teach and assess students’ clinical reasoning abilities, so as to deal with the patients. The aim of the study was to find the impact of evidence-based pedagogical approach on clinical reasoning among undergraduate physical therapy students.

Materials and Methods:

The study was conducted in our institution and it was a pre- and post-test experimental study design. Forty students in their 3rd year of undergraduate physical therapy (BPT) degree program were randomly assigned to experimental group (evidence-based pedagogical approach, n = 20) and to control group (traditional pedagogical approach, n = 20). They were assessed with Self-Assessment of Clinical Reflection and Reasoning (SACRR), clinical reasoning assessment tool (CRAT) (3 domains), and multiple-choice test, at the baseline and after 4 weeks of training. Data were analyzed using an independent t-test.

Results:

Experimental group showed a significant difference in SACRR (t = 3.4446, P < 0.05), CRAT (Content knowledge and Conceptual reasoning domains showed significant differences with t = 3.2110; 2.7973, P<0.05, but Procedural knowledge domain was not significant with t = 0.7791, P<0.05), and multiple-choice test (t = 5.8538, P < 0.05) scores than the control group.

Conclusions:

The use of evidence-based pedagogical approach may be more effective than the traditional pedagogical approach for improving clinical reasoning among undergraduate physical therapy students.
An observational study on prescription pattern of drugs and psychiatric disorders occurring in elderly patients in a tertiary care hospital
Authors: Sowmya Akella Krishna , Pandey Sunil Kumar
Published: July 2024

Background:

Elderly age group is the most vulnerable age group for various health-related issues. Psychiatric disorders and their management are quite important, especially in this vulnerable population. With increased availability of newer drugs, rational prescription of drugs is essential.

Objectives:

The objectives of this study were as follows: (1) To assess the prescription pattern of antipsychotic drugs and other psychiatric drugs prescribed to elderly psychiatry patients, (2) to determine the psychiatric illness occurring among the elderly psychiatric patients, and (3) to estimate the polypharmacy and cost burden of drugs prescribed.

Materials and Methods:

It was an observational study conducted over a period of 6 months in “Government Hospital for Mental Care.” The prescriptions were collected from the outpatient medical records and were thoroughly analyzed to assess antipsychotics and other psychiatric drugs being prescribed and the disorders frequently came across in the elderly patients who visited the psychiatry outpatient department.

Results:

Two hundred and fifty prescriptions were analyzed during the study. Male patients outnumbered female patients. The majority of the patients were of age group 50–60 years. Schizophrenia was the most common disorder encountered in the study population followed by psychosis and bipolar. Among the drugs, trihexyphenidyl followed by quetiapine, olanzapine, risperidone, and so on were the most common drugs prescribed.

Conclusion:

In the current study the prescribing pattern of drugs is as per the norms with rational usage of more efficacious drugs. Polypharmacy is limited. Periodic drug utilization studies help to solve the issues related to polypharmacy and improve the quality of treatment given to the patients.
Clinical profile of patients with atrial fibrillation in an outpatient setting of a hospital in India: A cross-sectional study
Authors: Reddy K. Shivaraj , Juvvadi Rithima , Reddy K. Sindhuja
Published: July 2024

Background:

There has been an increasing trend of prevalence of atrial fibrillation (AF) globally. As per estimates, there is a possibility of doubling or tripling of AF cases by 2050. Early diagnosis by common symptom screening can help prevent complications in patients with AF.

Objective:

The objective of this study was to study the causes, symptoms, and complications of AF.

Materials and Methods:

A hospital-based cross-sectional study was carried out among 100 cases of AF who presented to the outpatient department for follow-up. History, thorough clinical examination, and investigations such as electrocardiogram (ECG) and echocardiogram were carried out for all cases. For all cases, 12-lead ECG was recorded. M-mode two-dimension echocardiography was done in all cases.

Results:

As age increased, the proportion of AF increased. The most important and leading cause of AF across all age groups and both sexes was rheumatic heart disease (RHD). There was a slight female preponderance. The most common valvular lesion in RHD was a combination of mitral stenosis and mitral regurgitation in 40%. The most common symptom was dyspnea (92%) followed by palpitations (84%). The most common complication was heart failure (40%) followed by left atrial clots (10%).

Conclusion:

RHD was the most common cause of AF. Mitral valve was affected in almost all cases. Dyspnea and palpitations were the most common presenting symptoms. Heart failure was the most common complication. Screening for AF in all cases with dyspnea and palpitations can help with early diagnosis and prompt treatment of AF and can prevent further complications.
Need and Rationale of the Adult Immunisation in India: A Review
Authors: Gupta Madhu , Bansal Adarsh , Mehta Aprajita , Sharma Nikita
Published: July 2024

A comprehensive literature review of published articles (till October 2023) was done through PubMed, Embase and Google Scholar search engines to delineate the need for adult immunisation, recommended adult vaccines, barriers to adult immunisation, future research areas and way forward in the Indian context. A total of 29,894 articles were screened from PubMed, Embase and Google Scholar. Of these, a full-text review of 53 articles was done. The findings emphasised the need for adult immunisation in India because of the growing vulnerable elderly population with comorbidities, immunosenescence, waning immunity, rising incidence of VPDs leading to higher morbidity and mortality amongst them, rising cost of hospitalisation and the emergence of antimicrobial resistance. The recommended adult vaccines include human papilloma virus vaccine, pneumococcal vaccine, influenza and typhoid vaccine for healthy adults and special population groups, respectively. Challenges include less prioritisation in the National Vaccination Policy, insufficient awareness amongst healthcare providers and vaccine hesitancy.
Quality of Life of the Family Caregivers of Children with the Cerebral Palsy and its Determinants: A Study from India
Authors: Vaidya Manasi S. , Domple Vijay K.
Published: July 2024

abstract

Introduction:

The responsibility of caring for a child with cerebral palsy (CP) at home can be challenging to the caregiver’s and children’s quality of life (QoL). This study was designed to assess the QoL and its determinants amongst family caregivers of children with CP.

Materials and Methods:

A study was conducted in a Tertiary Care Hospital in Yavatmal, Maharashtra, from March to May 2021, involving 126 participants selected through systematic random sampling. QoL was assessed using the World Health Organization QoL Brief Version scale. The data were analyzed using the statistical software, Epi Info Version 7.2.

Results:

The mean ± standard deviation of the overall QoL of family caregivers of CP children was 66.7 ± 1.44. The study found a significant association of QoL with the age of the caregiver, residence, education, socio-economic class, total number of children, health insurance and accessibility of services.

Conclusion:

More than half of the study participants exhibited low overall, physical, social and environmental QoL, influenced by various determinants.
Mô hình khám phá ý kiến khách hàng về ứng dụng IoT tại các cửa hàng bán lẻ dựa trên phương pháp phân tích quan điểm và máy học kết hợp
Authors: Nguyên Hồ Thị Minh , Uyên Thẩm Thị Tú , Hảo Đinh Hoàn , Hòa Phạm Thị Minh , Phương Phạm Nguyễn Hiền , Thành Hồ Trung
Published: July 2024

IoT (Internet of Things) đã cách mạng hóa ngành bán lẻ nhờ đem lại những trải nghiệm mua sắm tối ưu và tạo ra hiệu quả kinh doanh cho doanh nghiệp. Công nghệ này ngày càng được ứng dụng rộng rãi tại các cửa hàng trên thế giới, và mở ra nhiều cơ hội mới cho ngành bán lẻ Việt Nam. Bài nghiên cứu hướng đến việc phân tích ý kiến khách hàng, những người quan tâm hoặc đã trải nghiệm mua sắm tại 06 cửa hàng bán lẻ nổi tiếng có ứng dụng IoT, theo các nhóm quan điểm tích cực, tiêu cực và trung lập. Bộ dữ liệu bao gồm 77,043 bình luận được thu thập từ các trang website và nền tảng mạng xã hội. Dữ liệu sau xử lý sẽ được đưa vào thực nghiệm mô hình phân tích quan điểm với 05 thuật toán máy học bao gồm K-Nearest Neighbors (KNN), Decision Tree, Random Forest, Hồi quy Logistic và mô hình học kết hợp (Ensemble model). Trong đó, kết quả phân tích và dự đoán quan điểm của khách hàng cho thấy mô hình học kết hợp đem lại hiệu quả tốt nhất với độ chính xác trung bình là 89%. Mô hình và kết quả nghiên cứu sẽ giúp các nhà quản trị phát triển chiến lược chuyển đổi số và kinh doanh phù hợp trong việc ứng dụng công nghệ IoT vào các cửa hàng bán lẻ, đặc biệt là tại thị trường Việt Nam.
Mối quan hệ giữa trải nghiệm thương hiệu điểm đến trực tuyến và sự tin cậy thương hiệu đến ý định của du khách hướng tới điểm đến du lịch tại các tỉnh Duyên hải Nam Trung Bộ Việt Nam
Authors: Ký Trương Minh
Published: July 2024

Thói quen sử dụng các nền tảng trực tuyến để tìm kiếm thông tin nhằm chuẩn bị cho chuyến du lịch sắp đến của du khách là rất phổ biến vì vậy nếu hiểu rõ sự trải nghiệm thương hiệu và sự tin cậy thương hiệu điểm đến trực tuyến sẽ hữu ích trong việc triển khai các hoạt động marketing điểm đến trực tuyến. Nghiên cứu này đã phân tích mối quan hệ và ảnh hưởng của chúng đến ý định của du khách hướng tới điểm đến của các tỉnh duyên hải Nam Trung Bộ Việt Nam. Bài viết này làm rõ vấn đề trên bằng cách khảo sát 325 người dùng Website, Facebook, TikTok và YouTube về các địa danh của duyên hải Nam Trung Bộ ở các nền tảng trực tuyến này, đồng thời áp dụng mô hình PLS SEM để đánh giá các mối quan hệ giữa các nhân tố trong mô hình nghiên cứu. Nghiên cứu cho thấy tác động trực tiếp và gián tiếp của trải nghiệm thương hiệu của du khách trên các nền tảng trực tuyến đối với điểm đến du lịch đến ý định của du khách hướng tới điểm đến du lịch, trong đó có vai trò trung gian của sự tin cậy thương hiệu. Từ đó bài báo này giúp hoàn thiện cơ sở lý thuyết cho nghiên cứu của Jiménez-Barreto, Rubio, Campo, và Molinillo (2020) và đưa ra hàm ý quản trị để giúp các nhà quản lý cải thiện chính sách thu hút du khách đến vùng duyên hải Nam Trung Bộ.
Tiền tố và hậu tố của ý định mua hàng đa kênh: Trường hợp nghiên cứu tại Thành phố Hồ Chí Minh
Authors: Việt Cao Quốc , Thanh Tô Lê Minh
Published: July 2024

Bán lẻ đa kênh ngày càng trở nên quan trọng vì sự thay đổi của thị trường. Phương thức này tăng cường hiệu suất kinh doanh và tạo ra lợi thế cạnh tranh mạnh mẽ. Nhằm xác định các yếu tố ảnh hưởng đến ý định mua hàng đa kênh và hành vi mua hàng đa kênh, bài báo đã áp dụng lý thuyết thống nhất chấp nhận và sử dụng công nghệ kết hợp lý thuyết lan tỏa đổi mới và lý thuyết nhận thức rủi ro. Nghiên cứu được thực hiện với 376 người trả lời có trải nghiệm mua hàng đa kênh, mẫu khảo sát được thu thập theo phương thức thuận tiện. Phương pháp PLS-SEM được áp dụng để phân tích và báo cáo. Kết quả thực nghiệm cho thấy đổi mới cá nhân nổi lên như là yếu tố tác động đáng kể nhất đối với ý định mua hàng đa kênh. Bài báo cung cấp thêm kết quả điều tiết của nhóm nhân khẩu học lên mối quan hệ giữa ý định mua hàng đa kênh đối với hành vi mua hàng đa kênh. Dựa trên kết quả nghiên cứu, các tác giả đề xuất một số hàm ý đối với lý thuyết và hoạt động quản lý.
Créations de plateformes numériques dans le secteur agricole français et logiques relationnelles : découplage ou encastrement ?
Authors: Chapus Quentin , Potier Victor , Brailly Julien
Published: July 2024

Cet article porte sur les dynamiques de l’encastrement relationnel des créateurs et créatrices de plateformes numériques dans le secteur agricole français, entreprises qui se sont considérablement développées ces dernières années. A partir d’une analyse qualitative et quantitative reposant sur des données mixtes collectées auprès d’entrepreneur.e.s, nous observons d’abord un processus de découplage, qui est majoritaire parmi les entrepreneur.e.s rencontré.es. Ces dernier.e.s n’échapperaient donc pas à la dynamique propre à « l’activité entrepreneuriale », à savoir le recours de plus en plus faible aux relations personnelles à mesure que l’entreprise se développe, phénomène qui a déjà été documenté par de nombreuses études. Toutefois, une analyse plus fine des profils montre que le taux d’encastrement d’une partie non négligeable des enquêté.e.s s’écarte de la distribution générale, ce qui interroge les conclusions d’ensemble. Un type de profil retient notamment notre attention, pour lequel le taux d’encastrement progresse au fil du temps. Nous montrons dans cet article que si cela est le signe pour certain.e.s d’une baisse d’activité de l’entreprise, pour d’autres il pourrait s’agir d’un mode original de développement. La singularité du monde professionnel sur lequel porte notre analyse (les mondes agricoles) et du type d’entreprise créée pourrait alors expliquer de tels résultats.
A GENERAL VIEW REGARDING THE ENVIROMENTAL NOISE IN MEXICO
Authors:   Facultad de Ciencias Químicas  / Universidad Veracruzana, Xalapa, Veracruz, Mexico
Published: July 2024

Pollution caused by environmental noise is known as a corresponding set of noise emissions which are developed in an urban context. It is also imperative to mention that its characteristics detrimentally affect the quality of life of human beings, as well as intervening in the devaluation of buildings and attack ecosystem integrity. This article compiles a wide variety of terms and vital key tools which are necessary to approach the subject matter and presents a worldwide overview of the current condition of environmental noise pollution in Mexico. The intended purpose of this paper is to function as a guide for the general knowledge and development of projects which might successfully help with the identification of feasible risk scenarios in order to considerate measurement, prevention, mitigation and control strategies.
El ecosistema emprendedor y la intención de emprendimiento en estudiantes universitarios
Authors: Briseño-Aguirre Nadia de la Luz , Saavedra-García María Luisa , Velázquez-Rojas Karen Gisel
Published: July 2024

El objetivo de esta investigación es identificar y describir los principales dominios y subdominios del ecosistema emprendedor que favorecen el emprendimiento en México, y establecer su relación con la intención de emprendimiento, para ello se elaboró un cuestionario directo estructurado el cual fue aplicado a 1,141 estudiantes de las carreras de contaduría, administración e informática, de la Facultad de Contaduría y Administración de la Universidad Nacional Autónoma de México, se realizó un análisis descriptivo, correlacional y multivariado. Los resultados permiten saber que la formación de un emprendedor integra conocimientos sociales, culturales y económicos, lo cual incrementa las probabilidades de crear emprendimientos exitosos, sin embargo, el conocimiento del ambiente empresarial no representa una fortaleza para los estudiantes, específicamente carecen de conocimientos sobre las fuentes de financiamiento. Respecto a la percepción de los estudiantes acerca del mercado y del capital humano, se encontró que estos tienen noción de los elementos que permiten incrementar las ventas en una organización y saben reconocer la importancia del capital humano. Por otra parte, los estudiantes manifiestan preocupación por los trámites y la corrupción que son barreras que suelen impedir el emprendimiento en México; asimismo, requieren de más información sobre de los servicios de apoyo al emprendimiento.
Implementación de Herramienta Ofimática para el Avance de la Gestión Empresarial: Un Análisis de Caso Bioeko
Authors: Vega Catalina Rocío , Ramírez Daniel Alfredo , Grillo-Torres Camilo Mauricio
Published: July 2024

En este artículo, se aborda el diagnóstico empresarial a través de un estudio de caso centrado en Bioeko. El contexto del problema se centra en la necesidad de comprender los factores que afectan al logro de los objetivos estratégicos de una organización. El objetivo del artículo es realizar un análisis exhaustivo de Bioeko, utilizando una herramienta de diagnóstico organizacional. La metodología adoptada se basó en un enfoque descriptivo e inductivo respaldado por un análisis cualitativo. Se desarrolló una herramienta de diagnóstico organizacional en Excel que permite evaluar la organización en cinco áreas clave: estrategia, finanzas, marketing, operaciones y gestión de recursos humanos. Esta herramienta se complementa con cuestionarios específicos automáticos y se basa en diversas dimensiones de análisis para evaluar y mejorar áreas clave de la empresa, incluyendo la situación actual, previsiones, diagnóstico general y resultados. El estudio reveló que, a pesar de contar con fortalezas en la gestión del capital humano, Bioeko necesita mejorar su coordinación, marketing y administración financiera para impulsar su competitividad. En conclusión, se sostiene que la implementación de herramientas de diagnóstico impulsará mejoras constantes en las Mipymes, fomentando la innovación y el aprendizaje a través de un entorno laboral colaborativo. Estos esfuerzos son fundamentales para el crecimiento y el éxito sostenible de las pequeñas y medianas empresas.
Competitividad en las PyMEs del municipio de Umán, Yucatán
Authors: Pech-Nah Irving Francisco , Ojeda-López Ruth Noemí , Sánchez-Limón Mónica Lorena
Published: July 2024

La competitividad de las PyMEs resulta relevante para analizar su desarrollo en el mercado, el cual cada vez exige un mejor desempeño para que se mantengan vigentes. La competitividad debe ser analizada de forma integral para tener un mejor panorama de estas empresas y conocer cómo interactúan con sus competidores. El objetivo del presente artículo es presentar un análisis del nivel de competitividad de las PyMEs del municipio de Umán, Yucatán. El presente trabajo es con enfoque cuantitativo y de corte transversal. En esta investigación se empleó el modelo de la competitividad sistémica, la población de estudio fueron 95 empresas con una muestra de 77. Los principales hallazgos del trabajo indican que las empresas estudiadas presentan un alto índice de competitividad, donde el factor de aseguramiento de la calidad es uno de los mejores evaluados, mientras que el factor de la gestión ambiental es uno de los que obtuvieron menor puntaje
Gebelerin Sağlık Uygulamaları ile Gebelik Stresi İlişkisi ve Etkileyen Faktörlerin İncelenmesi
Authors: Solmaz Ebru , Şahin Ebru
Published: July 2024

Giriş: Gebelik dönemi boyunca uygulanan sağlık uygulamalarının bu dönemde bir takım psikolojik etkilere neden olduğu bildirilmektedir.

Amaç: Bu araştırma gebelikte sağlık uygulamalarının gebelik stresi üzerine etkisini incelemek amaçlanmıştır.

Yöntem: Gebelerin sağlık uygulamalarını tanımlayan ve gebelik stresi ile ilişki arayan bu çalışma Temmuz 2021-Ağustos 2021 tarihlerinde Türkiye’nin doğusunda yer alan bir hastanenin kadın doğum polikliniğine başvuran 368 gebe üzerinde yürütülmüştür. Veriler, Kişisel Bilgi Formu, Gebelikte Sağlık Uygulamaları Ölçeği (GSUÖ) ve Gebelik Stresini Değerlendirme Ölçeği (GSDÖ-36) kullanılarak toplanmıştır. Verilerin analizinde; tanımlayıcı istatistiksel yöntemler kullanılmıştır.

Bulgular: Katılımcıların GSUÖ puan ortalamasının 103.90±15.46 ve GSDÖ-36 puan ortalamasının 73.20±20.52 olduğu bulunmuştur. Gebelerin yaşı, eğitim düzeyi, meslekleri, aile tipi, gebelik dönemi, gebelik sayısı, doğum sayısı, gebeliğin planı olma durumu, iki gebelik arası süre ve cinsiyet tercihine göre GSUÖ puan ortalamasının farklı olduğu görülmüştür (p<0.05). Katılımcıların yaş, gebelik sayısı, doğum sayısı, gebeliğin planlı olma durumu ve cinsiyet tercihine göre GSDÖ-36 puan ortalamasının farkının istatistiksel olarak anlamlı olduğu bulunmuştur (p<0.05). Gebelerin GSUÖ puan ortalaması ile GSDÖ-36 puan ortalaması arasında düşük düzeyde istatiksel olarak anlamlı pozitif yönlü ilişkinin olduğu belirlenmiştir (r=0.132).

Sonuç: Gebelikte sağlık uygulama kalitesi arttıkça gebelik stresinin arttığı görülmüştür.
Simülasyona Dayalı Hemşirelik Oryantasyon Eğitiminin Çalışan Memnuniyetine Ve Çalışanın Kendine Olan Güvenine Etkisi
Authors: Koç Aslan Saliha , Kitapçıoğlu Dilek , Küçük Semra , Özkol Saygı Hülya
Published: July 2024

Giriş: Simülasyona dayalı eğitimlerin etkinliğinin değerlendirilmesinde, simülasyon eğitimi sonrası eğitim alanların, memnuniyet ve özgüven düzeylerinin belirlenmesi önemlidir.

Amaç: Simülasyona dayalı hemşirelik oryantasyon eğitiminin hemşirelerin memnuniyetine ve hemşirenin kendine olan güvenine etkisinin belirlenmesi amaçlanmıştır.

Yöntem: Bu araştırma tanımlayıcı ve retrospektif olarak yapılmıştır. Araştırmaya katılmayı kabul eden 209 hemşire araştırmanın örneklemini oluşturmuştur. Veriler öğrenci memnuniyeti ve öğrenmede kendine güven ölçeği ile toplanmıştır. Tanımlayıcı istatistiklerle tablo haline getirilmiştir. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, Kruskal Wallis testi ve post hoc Bonferroni Dunn testi Spearman’s Rho testi kullanılmıştır.

Bulgular: “Simülasyonda kullanılan öğretim yöntemleri yararlı ve etkiliydi” (%95,3) maddesi en yüksek katılıma sahip olup, en fazla olumlu yanıtın verildiği memnuniyet ölçeği maddesi olarak belirlendi. Memnuniyet ölçeğinden alınan toplam puan ortalaması 21,61±2,75’dir, kendine güven ölçeğinden alınan toplam puan ortalaması 31,57±3,29’dur. Öğrenci Memnuniyeti ve Öğrenmede Kendine Güven Ölçeği toplam puan ortalaması 53,18±5,70’dir.

Sonuç: Simülasyona dayalı hemşirelik eğitimi hemşirelerin kendilerine olan güvenlerini ve memnuniyetini artırmaktadır.
El presupuesto y el control de los costos de producción de una empresa en la provincia de El Oro
Authors: Morales Pineda Doris Adriana , Uriguen Aguirre Patricia Alexandra , Señalín Morales Luis Octavio
Published: July 2024

En la Empresa AGROP SA no todos los departamentos participan en la toma decisiones, aunado al hecho que las áreas administrativas, financieras y productivas no manejan en forma oportuna información de los costos de producción, lo que limita el manejo en forma adecuada la contabilidad de costos, en consecuencia, no es posible estudiar y medir los costos para incrementar la rentabilidad. Por ello, el presente artículo ha sido elaborado en la Empresa AGROP SA, con la finalidad de ayudar a corregir los procesos de determinación de costos de producción que aplican en la institución, esencialmente con la identificación precisa de los costos directos e indirectos; ya que de estos depende en gran manera el éxito o fracaso de esta y a partir de esto la empresa. Como conclusiones, en la empresa la aplicación de un modelo presupuestario contribuyó con la identificación de los costos reales del proceso productivo; por ende, el incremento de la relación costo–beneficio. La empresa AGROP S.A sustenta las estimaciones presupuestarias en los costos de la materia prima en la que existe mayor variación en sus precios.
Impacto de la actividad física en la salud femenina: Consecuencias y ejercicios habituales
Authors: Guachi Loma Raquel Estefania , Ayala Garofalo Nelly Rosmery , Apolo Castillo Josselyn Esthefanía , Ruiz Malla Yadira Abigail
Published: July 2024

El presente artículo tiene como objetivo describir los efectos positivos de la práctica de ejercicio físico en la salud femenina, abordando tanto aspectos físicos como mentales. Se empleó un enfoque cualitativo y el método bibliográfico para analizar la literatura científica, la cual fue recopilada de diversas bases de datos, incluyendo Redalyc, Scielo, Dialnet y Google Scholar, y destacando referencias a nivel nacional, regional e internacional en los campos de la salud, el deporte y la educación. Se concluye que la incorporación de la actividad física como hábito, especialmente en mujeres, tiene un impacto positivo en su participación social y promueve la mejora tanto de su salud física como mental.
Métodos de análisis para mecanismos planos aplicables en procesos productivos
Authors: Santillán Mariño Ernesto Ramiro , Manjarrés Arias Félix Javier , Morales Villegas Hernán Vinicio
Published: July 2024

La mayoría de los elementos de nuestro entorno están en constante movimiento y muchos de ellos desempeñan un papel activo en la vida diaria. Es fundamental contar con herramientas que nos permitan realizar actividades diarias fundamentales como exprimir, triturar, picar, entre otras. De manera similar, existe una necesidad continua en la industria de sistemas mecánicos que ayuden en una variedad de procesos y subprocesos, como sellado, moldeado, mecanizado y transporte. Estos procesos producen elementos que facilitan la vida humana. El objetivo de este artículo es presentar al lector métodos para analizar mecanismos planos a través de técnicas matemáticas, gráficas y computacionales, así como modelamiento matemático. El objetivo es lograr estudios cinemáticos y cinéticos de mecanismos planos complejos en plazos más cortos en comparación con los análisis tradicionales. La participación de computadoras y software especializado reduce significativamente el tiempo de análisis, que es un factor crucial en la productividad industrial.
Memoria de trabajo e indicadores sociodemográficos en personas con discapacidad
Authors: Luna Aguirre Michelle Estefanía , Flores Hernández Fernanda Verónica
Published: July 2024

Las personas con discapacidad enfrentan limitaciones en sus capacidades, lo que puede afectar a las funciones ejecutivas, incluyendo la memoria de trabajo, la cual permite retener temporalmente y manipular información relevante para realizar tareas mentales complejas. La investigación tuvo como objetivo determinar si existe relación entre memoria de trabajo e indicadores sociodemográficos en personas con discapacidad, tomando en cuenta factores como la edad, sexo y sector de domicilio. Se empleó un enfoque cuantitativo con un diseño no experimental y un alcance descriptivo correlacional. Se trabajó con 90 personas registradas en centros de discapacidades de la provincia de Tungurahua-Ecuador. Mediante la aplicación del Ineco Frontal Screening y la ficha sociodemográfica. Los resultados mostraron una asociación entre sexo y memoria de trabajo. Además, no se encontró una correlación significativa entre memoria de trabajo y edad, ni asociación entre el rendimiento de la memoria de trabajo y el sector de residencia.
Catéter Venoso Central: Complicaciones
Authors: Lucero Mariela , Sumba Veronica , Mesa Isabel
Published: July 2024

Los catéteres venosos centrales están indicados para los pacientes que requieren terapia a corto o a largo plazo para la administración de nutrición parenteral, medicación, infusiones o transfusiones. Las complicaciones más comunes incluyen perforación arterial por mala colocación, infecciones, entre otros, que provocan serios problemas en la salud. La mitología fue la revisión bibliográfica descriptiva de artículos científicos, los trabajos revisados fueron publicados entre los años 2019–2024; se encontraron en la búsqueda inicial un total de 643, excluyendo 593, finalmente seleccionando 50 artículos que cumplieron con las pautas de inclusión y aquellos que dieron respuesta a las preguntas de investigación. Los resultados dieron el uso del CVC es en un 46% usado para procedimientos de diálisis y el 23% cuando existe algún problema durante la cateterización de una vena periférica, los inconvenientes por el uso de este dispositivo son: bacteriemia, sangrado, embolismo, neumotórax, hemotórax, malposición, trombosis venosa y migración del catéter, entre las características que aumentan el riesgo está el nivel de experticia del personal de salud tanto en su colocación como en su mantenimiento, factores propios del dispositivo y factores relacionados con el paciente; para evitar complicaciones se deberá cumplir con técnicas asépticas y usar medios complementarios como la ecografía guiada para verificar su correcta inserción. Para concluir el rol de enfermería en el mantenimiento del dispositivo debe ser metódico y aséptico; con el desarrollo de habilidades y destrezas para un correcto empleo en la administración de medicaciones, fluidoterapia, nutrición parenteral o toma de muestras y su correcta desinfección al terminar los procedimientos.
cine y la televisión durante la dictadura en España
Authors: Barbancho Juan Ramón
Published: July 2024

En este artículo presentamos los trabajos cinematográficos que abordan la homosexualidad y el lesbianismo, realizados en España durante los últimos años de la Dictadura. El periodo comprende desde 1961 hasta 1975. Nos interesa aproximarnos a las representaciones cinematográficas de homosexuales y lesbianas durante esta etapa. Para ello analizaremos algunas de las películas más representativas del cine español.
Factores psicosociales y el no-uso del preservativo, en mujeres usuarias de pruebas rápidas de VIH
Authors: Salinas Boldo Claudia , Be Ramírez Pedro Antonio , Almanza Avendaño Ariagor Manuel
Published: July 2024

Este trabajo tiene el objetivo de analizar los factores psicosociales vinculados al no‐uso del preservativo, de 48 mujeres de entre 20 y 49 años de edad, usuarias de pruebas rápidas de detección de VIH/sida, en Mexicali, Baja California. Las usuarias se sometieron de manera confidencial, anónima y voluntaria, a la aplicación de una encuesta y una entrevista, que se llevaron a cabo a la par de la aplicación de la prueba rápida de detección de VIH/sida. Los resultados indican que el uso del preservativo es insuficiente, ya que el uso del mismo no es consistente o no se aplica en todas las prácticas sexuales por igual. También se encontró que las mujeres eligen métodos anticonceptivos hormonales, que únicamente evitan los embarazos no planeados, más no las infecciones de transmisión sexual. Se sugiere la capacitación integral en materia de salud sexual, para mujeres adultas sexualmente activas, con el objetivo de informar en torno a la utilidad del preservativo, así como de desarrollar la asertividad sexual y la toma de decisiones libre, informada y responsable.
LIBRO BLANCO SOBRE METODOLOGÍAS INNOVADORAS DE FORMACIÓN EN LA ADMINISTRACIÓN PUBLICA (VOL I): Innovación, Metodología y Nuevos Roles de Formación en las Organizaciones del Siglo XXI.
Authors:   INSTITUTO ANDALUZ DE ADMINISTRACIÓN PÚBLICA
Published: July 2024

Se presenta el Libro Blanco sobre Metodologías Innovadoras de Formación en las Administraciones Públicas (Vol. I), como un doble ejercicio de reflexión sobre nuestra propia práctica formativa y de investigación sobre los nuevos modelos de formación que ya están desarrollando otras Administraciones Públicas. Dirigido al personal docente que colabora con el Instituto y los equipos gestores de formación de la Administración Pública andaluza con el propósito de servir como guía y fuente de inspiración para una organización innovadora.
MEMORIA ANUAL 2014.
Authors:   INSTITUTO ANDALUZ DE ADMINISTRACIÓN PÚBLICA
Published: July 2024

Memoria de actividades del Instituto Andaluz de Administración Pública de 2014.
THE RELATIONSHIP BETWEEN ENERGY CONSUMPTION AND ECONOMIC GROWTH IN TÜRKİYE
Authors: Dereli Deniz Dilara , Ertek İsmail
Published: July 2024

The interplay between energy resource distribution and usage is pivotal for sustainable economic growth and development. Addressing global warming and climate change is essential, necessitating a shift towards renewable energy sources and reducing reliance on harmful energy types. Central to this endeavor is producing within the bounds of global steps and measures, fostering a sustainable relationship between humanity and resources, and achieving economic growth without depleting our natural endowments. The industrial sector's reliance on fossil fuels primarily contributes to rising carbon emissions, causing environmental degradation and climate change. This study scrutinizes the dynamics between energy consumption and economic growth in Türkiye from 1980 to 2020. Utilizing the Granger Causality Test, Johansen Cointegration Test, and Vector Error Correction Model, a causal link between energy consumption and economic growth was identified. Based on these findings, policy recommendations have been proposed to guide sustainable energy use and economic expansion.