bluuebunny/crossref_metadata_2025 huggingface dataset:
Pelatihan Pemahaman Teknis Peralatan, Keselamatan dan Efektivitas Penerbangan Bagi Pegiat Olahraga Tandem Paralayang di Bukit Meteseh Kota Semarang
Authors: Supriyono Supriyono , Wahyudi Agung , Priyono Bambang , Wahyu W Imam Santoso Ciptaning
Published: December 2024

Mitra dalam kegiatan pengabdian ini menghadapi beberapa permasalahan terutama terkait keselamatan dan efektifitas penerbangan tandem paralayang, sehingga pengabdian masyarakat ini bertujuan untuk meningkatkan pemahaman teknis instruktur tandem paralayang mengenai peralatan yang digunakan, serta mengkaji dampaknya terhadap keselamatan dan efektivitas penerbangan. Kegiatan ini melibatkan 24 instruktur dan pegiat olahraga tandem paralayang di Bukit Meteseh, Kota Semarang, dengan berbagai metode, termasuk survei peserta, wawancara, analisis data insiden, serta observasi langsung. Hasil menunjukkan adanya peningkatan signifikan dalam pengetahuan teknis dan keterampilan peserta setelah pelatihan, yang diukur melalui aspek pengetahuan, serta melalui observasi dan wawancara mendalam. Pemahaman teknis yang mendalam berkontribusi pada pengelolaan peralatan yang lebih baik, penanganan situasi darurat, dan briefing keselamatan yang lebih efektif. Kegiatan ini menekankan pentingnya pelatihan yang komprehensif untuk meningkatkan standar keselamatan dan kualitas penerbangan tandem paralayang
El uso de medios digitales como estrategia de sustentabilidad económica para ONG
Authors: González Elizondo Alicia Elizabeth
Published: December 2024

La digitalización y la automatización han provocado una profunda revolución, caracterizada especialmente por una expansión sorprendente de las redes sociales y la aparición de dispositivos multimedia. Los sistemas expertos y la inteligencia artificial aumentan de una manera muy rápida la interactividad. La velocidad de la evolución de la información crece constantemente. “La revolución tecnológica constituye a todas luces un elemento esencial para entender nuestra sociedad, en la medida que crea nuevas formas de socialización, e incluso nuevas definiciones de identidad individual y colectiva” (UNESCO, 1996, p.68). El interés de este escrito se encuentra especialmente en el concepto de sustentabilidad económica a través de los nuevas tecnologías, como lo son los medios digitales. Se abordan los temas de comunicación, Internet, la evolución de los medios tradicionales y  redes sociales. Finalmente, se pretende mostrar que ante los retos económicos que puede enfrentar una organización sin fines de lucro, existen nuevas tendencias de diseño y comunicación digitales, por ejemplo el crowdfunding.
THE ROLE OF PARENTAL MEDIATION AND EMOTIONAL APPEALS IN CHILDREN’S ADVERTISING LITERACY
Authors: Chaudhary Manisha , Singh Rupam
Published: December 2024

In the digital age, the prevalence of persuasive advertising targeting children has raised critical concerns about their ability to differentiate between entertainment and marketing content. This study investigates the role of parental mediation in enhancing children’s advertising literacy and evaluates the impact of emotional versus rational advertising appeals on brand recall and loyalty. Using a cross-sectional survey of 400 child-parent pairs, the research highlights how active parental involvement, such as discussing media content, significantly improves children’s critical thinking and resistance to advertising. Emotional appeals were found to be more effective in influencing brand recall and loyalty compared to rational appeals, with significant implications for ethical advertising practices. The findings also reveal the challenge children face in recognizing digital ads embedded in interactive content, emphasizing the need for improved media literacy education and regulatory measures. Practical recommendations are offered for parents, educators, and policymakers to better equip children to navigate and critically assess persuasive media messages in an increasingly complex advertising landscape.
THE ROLE OF PUBLIC OPINION IN SHAPING NEW CRIMINAL LAWS
Authors: Singh Gurpal
Published: December 2024

It is public opinion that shapes new criminal law by affecting those who make new criminal law by those who seek changes to the criminal law through the legislature and, ultimately, by creating society’s approval for new legal reforms. Public opinion serves as a barometer with which to register the concerns and values of the population regarding the issues raised by rising crime rate, new forms of criminal behavior, detrimental activity of criminal groups and gaps in the existing legislation. The laws that politicians draft usually match with public expectation and widespread concerns and public sentiment is usually harvested through surveys, social movements or the media. For example, in many countries, there has been swift legislative response to public outcry against, for example, gender based violence or cybercrime. In addition, public opinion also serves to check laws because public opinion permits the laws to remain legitimate and to be complied with, because of the fact that laws that have no relationship with public opinion fail to establish compliance and resistance. In the end however, the reliance on public opinion opens itself to challenges such as biased by misinformation, media sensationalism and populist agendas that will lead to reactive student behavior rather than conducive law reforms.
DESIGN AND OPTIMIZATION OF NONLINEAR ACTIVATION FUNCTIONS FOR ENHANCED NEURAL NETWORK PERFORMANCE
Authors: Tomar Archana , Patidar Harish
Published: December 2024

This paper presents T_Saf, an innovative hybrid activation function aimed at enhancing neural network training. T_Saf combines the benefits of Softplus and Tanh, providing improved gradient stability and convergence across various tasks. Through experimental assessments on MNIST and CIFAR-10 datasets, T_Saf outperforms traditional activation functions such as ReLU, Tanh, and Leaky ReLU in terms of accuracy, convergence stability, and training robustness. The comparative analysis highlights T_Saf’s adaptability, especially in scenarios susceptible to vanishing or exploding gradients, making it a promising candidate for deep neural network applications. These results indicate that T_Saf can be a preferred activation function in challenging training environments, contributing to the overall efficiency and reliability of neural network models.
A COMPARATIVE STUDY OF FEMALE CHARACTERS RUTH AND ESTHER IN BIBLE’S OLD TESTAMENT AND SETHE AND DENVER IN TONY MORRISON'S BELOVED
Authors: Masih Valentina , Sarkhel Ranjana Das
Published: December 2024

This work presents a comparative analysis of ‘Beloved ‘of the poem by the same name by Toni Morrison and the main female characters of the Old Testament found in the Holy Bible. Analyzing the themes, character development, and social ramifications in both- Beloved and the Old Testament stories helps the article to study the intersections and divergences in the representation of women, notably in the framework of suffering, resilience, and atonement.One cannot easily ignore the widespread influence of the Bible. Notable writers such Ernest Hemingway, William Faulkner, Nathaniel Hawthorne, and Toni Morrison either center their whole works around the Bible or make clear use of Biblical references. Beloved by Toni Morrison has several references, mostly to the Bible. Her epigraph, a passage from the book of Romans, helps her to capture the whole of her story. The comparative study would highlight the comparison of pain, agony and fate shared by the women in Old Testament of Bible and that of Beloved.
कामकाजी महिलाओं का कार्यस्थल पर यौन उत्पीड़न से संबंधित चुनौतियाँ और मुद्दे का विश्लेषणात्मक अध्ययन
Authors: Bibi Chand , Rishi Kamlesh
Published: December 2024

कामकाजी महिलाएँ निजी स्थल, कार्यस्थल पर आदि जैसे भिन्न- भिन्न क्षेत्रों में यौन उत्पीड़न की जानकारी रखती हैं। इस लेख के द्वारा कार्यस्थल पर कामकाजी महिलाओं के यौन उत्पीड़न से संबंधित हमले, कुव्यवहार और यौन उत्पीड़न को नियंत्रित करने वाले भारतीय कानूनों पर एक व्यापक विश्लेषण प्रस्तुत किया गया है। और इस के अलावा इस लेख में यह उल्लेख किया गया हैं कि यौन उत्पीड़न की रोकथाम अधिनियम ,2013 को आपराधिक कानून (संशोधन) अधिनियम 2013 के द्वारा कामकाजी महिलाओं के कार्यस्थल पर यौन उत्पीड़न से संबंधित कानून के अंतर्गत विविध धाराओं के अंतर्गत इसको पढ़ा कैसे जाता है, जिसका अभिप्राय यह हैं कि अपराधियों के द्वारा कामकाजी महिलाओं के साथ हमला, कपड़े उतारने की इच्छा से आपराधिक ताकत का इस्तेमाल करना , किसी का गलत इरादे से पीछा करना ,ताक -झांक करना और दूसरे तरह के अपराधों में शामिल होने से रोकना हैं | संदेहरहित यह वास्तविकता हैं कि महिलाओं को पूराने जमाने से ही मानव के द्वारा बहुत मुश्किल बुरे बर्ताव और प्रहार का सामना भी करना पड़ता हैं इस तरह के अपराधों को रोकने एवं नियंत्रित करने के लिए सरकार द्वारा कानून बनाए गये हैं ,परंतु इस तरह के कानूनों को लागू करने के लिए एक बहुत बड़ी शर्त रखी गई हैं और इन कानूनों को लागू करने में बड़ी मुश्किलों का सामना भी करना पड़ता है |इस लेख के द्वारा महिलाओ के यौन उत्पीड़न की (रोकथाम, निषेध और निवारण) अधिनियम, 2013 से संबंधित कार्यस्थल पर महिलाओ को यौन उत्पीड़न से बचाने में जो परेशानी और चुनौतियां आती हैं उनकी जांच इस के द्वारा की जाती है।.
Les défis dans les parcours entrepreneuriaux des jeunes en économie sociale au Québec
Authors: Dupuis Sandrine
Published: December 2024

L’économie sociale (ÉS) est un modèle d’entrepreneuriat de plus en plus attirant pour les jeunes, qui sont nombreux(euses) à y prendre place à travers différents rôles. Cependant, cet intérêt ne vient pas sans son lot de défis. Mieux connaître ces enjeux permettrait de mieux répondre aux besoins des jeunes sur le terrain. Cet article présente des résultats issus d’une recherche qualitative menée auprès de 20 jeunes entrepreneur(euse)s collectif(ive)s et 12 accompagnateur(trice)s en ÉS au Québec. Plusieurs catégories de défis ont été identifiées, et touchent à l’idéation et la conception, la gouvernance et la gestion, les finances, l’articulation entre les sphères de vie, le manque de soutien, ainsi qu’aux défis spécifiques à l’ÉS, comme une méconnaissance répandue à son sujet. Au bout du compte, nous constatons que les défis commencent à se manifester avant même le début des pratiques entrepreneuriales. Ces défis sont fréquemment vécus en dehors de l’ÉS, mais le manque de connaissances sur les modèles collectifs ainsi que les ressources inadaptées à ces modèles vont les amplifier.
Pusat Sumber Belajar Matematika Berbasis Website Untuk Meningkatkan Mutu Proses Pembelajaran Matematika
Authors: Junaidi Junaidi , Yulis Tyaningsih Ratna , Sripatmi Sripatmi
Published: December 2024

Limited access to printed materials, lack of interaction, and lack of multimedia-based learning media are significant problems, especially in remote areas such as NTB. In addition, the situation is further complicated by the limitations of infrastructure, internet connections, and teachers' technological capabilities. The purpose of this study is to create a web-based Learning Resource Center (PSB) that utilizes technology to support learning and offer interactive teaching materials. Needs analysis, PSB structure development, guideline preparation, and validation and usability test are all methods used to conduct this study. The inability of technology, the limitations of infrastructure, and the effects of print media on the environment are the main problems identified. Interactive teaching materials, teacher training, wider access to learning materials, and web-based multimedia are some of the solutions that come to mind.  The results show that the web-based PSB can function as a learning resource center and support the development of technology-based teaching materials, learning systems, and multimedia. This PSB also provides facilities such as multimedia labs, digital libraries, and access to interactive teaching materials, which improve the quality of learning. So, web-based PSBs help support technology learning, overcome limited access to teaching materials, and improve the quality and efficiency of education, especially in areas with limited infrastructure.
Analisis Karakteristik Volumetrik Campuran Laston Berdasarkan Dust Binder Ratio dan Ketebalan Film Aspal
Authors: Yuniarti Ratna , Widianty Desi , Rohani Rohani , Hasyim Hasyim , Mahendra Made
Published: December 2024

fine particles and asphalt in asphalt concrete. The dust binder ratio also influences the asphalt film thickness, which plays an important role in increasing the resistance of asphalt mixture to humidity and temperature. The aim of this study was to analyze the effects of the dust binder ratio and asphalt film thickness on the volumetric properties of mixtures with various aggregate particle size distributions. Based on the analysis results, it was concluded that the dust binder ratio is inversely proportional to the thickness of the asphalt film. The dust binder ratio and asphalt film thickness had a significant effect on the volumetric properties of the mixture. The greater the value of the dust binder ratio, the more voids in the mixture, whereas the voids in the mineral aggregates and the voids filled with bitumen decreased. The thicker the asphalt film, the fewer the voids in the mix, and the voids in the mineral aggregates and those filled with bitumen increased. In this study, the volumetric properties of the mixture that met the Bina Marga specifications were obtained through the use of filler and asphalt with a dust binder ratio value between 1.2-1.32.
WORKSHOP TEKNIK PEMBUATAN BAHAN AJAR IPAS KURIKULUM MERDEKA BERBASIS DIGITAL UNTUK MENINGKATKAN KEMAMPUAN TPACK (TECHNOLOGICAL PEDAGOGICAL CONTENT KNOWLEDGE) GURU DI SEKOLAH DASAR
Authors: Istiningsih Siti , Dewi Nurul Kemala , Erfan Muhammad
Published: December 2024

TPACK atau Technological Pedagogical Content Knowledge merupakan salah satu keterampilan yang wajib dikuasai oleh pendidik terutama di era digital saat ini. TPACK merupakan kerangka kerja yang berfungsi dalam mengintegrasikan teknologi, pedagogi, dan content knowledge. Jika dihadapkan dengan Kurikulum Merdeka, maka penguasaan TPACK bagi guru-guru terutama di sekolah dasar merupakan suatu keharusan karena peserta didik yang diampu merupakan peserta didik kelahiran Generasi Alpha yang sudah digital natives. Berdasarkan permintaan dari SDN 18 Ampenan mengenai perlunya dilakukan workshop teknik pembuatan bahan ajar IPAS Kurikulum Merdeka berbasis digital untuk meningkatkan kemampuan TPACK guru di SDN 18 Ampenan maka dilakukan kegiatan workshop yang diselenggarakan pada Jum’at, 23 Agustus 2024. Kegiatan workshop dilakukan dengan metode tutorial yaitu tim memberikan dan menjelaskan langkah-langkah membuat bahan ajar IPAS Kurikulum Merdeka menggunakan platform Scratch. Karena para guru-guru di SDN 18 Ampenan juga telah menguasai Canva sebagai platform desain dan pembuatan bahan ajar, maka dalam pelaksanaan kegiatan workshop juga ditambahkan pengembangan dari penguasaan canva guru dengan membuat desain stage (salah satu elemen) yang ada dalam scratch menggunakan platform canva. Kegiatan workshop teknik pembuatan bahan ajar IPAS Kurikulum Merdeka berbasis digital untuk meningkatkan kemampuan TPACK guru di SDN 18 Ampenan telah berjalan dengan baik, guru-guru antusias mengikuti workshop yang salah satu materinya adalah koding sederhana dalam pembuatan animasi. Selain itu, materi yang disajikan narasumber mudah dipahami dengan guru-guru berhasil membuat kuis interaktif di program Scratch.
Penanaman Mangrove Dalam Upaya Mitigasi Bencana Banjir Di Desa Bangket Parak
Authors: Ngudiyono  , Sideman Ida Ayu Oka Suwati , Hariyadi  , Fajrin Jauhar , Kencanawati Ni Nyoman , Anshari Buan , Miftahuddin  , Aqriansyah M. Yani
Published: December 2024

Banjir rob yang terjadi di Bangket Parak dusun Pasung menyebabkan beberapa rumah penduduk, sekolah dan lahan pertanian tergenang. Selain itu di daerah pesisir dusun pasung juga mengalami abrasi. Banjir rob sebagai fenomena alamiah, sebenarnya bukanlah hal yang baru bagi masyarakat pesisir, namun dengan meningkatnya intensitas dan frekuensi yang terjadi, masalah ini menjadi membahayakan lingkungan pesisir dan penduduk setempat, sehingga perlu segera untuk ditangani. Salah satu solusi yang dianggap efektif untuk mengatasi masalah tersebut adalah dengan penanaman sekaligus melakukan rehabilitasi dan konservasi ekosistem mangrove yang telah mengalami degradasi. Penanaman pohon mangrove sampai saat ini juga masih dianggap sebagai salah satu cara yang cukup efektif untuk mengurangi dampak negatif dari abrasi sehingga akan mampu menyelamatkan kawasan pesisir. Akar mangrove yang kuat mampu menahan erosi tanah, sedangkan daun dan rantingnya berperan sebagai pelindung dari hempasan ombak. Dalam kegiatan pengabdian kepada masyarakat telah dilakukan kegiatan penanaman mangrove guna mengurangi dampak banjir rob dan penyelamatan lingkungan pesisir di Desa Bangket Parak, Pantai Jebak. Kegiatan ini untuk mengenalkan dan memberikan pelatihan pada perangkat desa, karang taruna dan tokoh masyarakat dalam berkontribusi secara langsung dalam menjaga lingkungan.
Utilização de jogos para estimulação da memória em idosos: scoping review
Authors: Nascimento Wanessa Maria Silva do , Silva Susanne Pinheiro Costa e , Souza Thayzzy Fátima Araújo Santos de
Published: December 2024

Na direção de um envelhecimento bem-sucedido, entende-se que a capacidade funcional do idoso fundamenta-se num conceito ampliado de saúde, e que o componente cognitivo é fator essencial para a qualidade de vida. O objetivo é mapear a produção de conhecimento sobre as principais intervenções com uso de jogos para estimulação da memória de pessoas idosas. Desenvolveu-se uma scoping review com os descritores “games”, “memory” e “aged”, combinados por meio do operador booleano “AND”, nas bases de dados. Foram selecionados 33 artigos, publicados entre 1981 e 2023, com predominância de publicações nacionais, que abordavam o tema jogos, incluindo jogos tradicionais, eletrônicos e exergames. Os achados permitiram mapear a produção do conhecimento acerca do uso de jogos para estimulação da memória com idosos, demonstrando resultados positivos quanto à estimulação da memória, influenciando na funcionalidade e na qualidade de vida do idoso.
Sumário
Authors: Sadio-Ramos Fernando José , Ortiz-Molina María Angustias
Published: December 2024

Coleta todo o conteúdo do número de forma ordenada e com indicação das páginas em que aparecem.
Improving enterprise IT-service management methodology
Authors: Petrichenko Oleksandr V.
Published: December 2024

The article addresses the issues of improving the existing service management methodology in order to automate the operation management of web-based enterprise management information systems. A major contradiction has been identified that makes it difficult to use the existing service management methodology to manage the operation of web-based information systems. The existing service management methodology has been improved by introducing new concepts. The concept of management of operation of web-based information system of enterprise management has been developed. A visual model of ontology of management of IT-services of a web-based information system has been created. There are categorical models that establish the interaction of the main descriptions of the improved methodology for managing enterprise IT services at different stages of the information system management lifecycle.
Processing Events in a Cloud Application Using Serverless Computing
Authors: Kravets Natalia S.
Published: December 2024

Serverless computing is used in the development of software for the areas of retail, finance, media, medicine, social networks, and processing of streaming data in real time. Developers using serverless computing can achieve cost savings and scalability without having to have a high level of knowledge in the field of cloud computing. In addition, using the serverless paradigm reduces the application release time. This format is well suited for implementing applications with an event-oriented architecture. When processing events in real time by means of FaaS, the problem may be a «cold» start, ensuring the reliability of message processing. Thus, serverless solutions should be considered more as a way to complement different types of application architectures and event-oriented architectures in particular.
Forming the pedagogical skill of “self-management” in students of psychology-pedagogical classes
Authors: Alexandrova Irina Nikolaevna , Miroshnichenko Alexey Anatolievich
Published: December 2024

The research aims to justify the effectiveness of organizing systematic work with students in a psychology-pedagogical class to form the pedagogical skill component of “self-management”. To achieve this goal, a series of lessons in a specialized class is required. The article addresses the current problem of forming pedagogical skills in future teachers. An analysis of the scientific psychological and pedagogical literature on the research topic is presented. The research novelty lies in the description of the experience of working with students in this direction and the conclusion that, at the stage of training future teachers in specialized classes, they should be taught methods, techniques, and methodologies of self-regulation. This will allow them to achieve success in life and in their future professional activities, since a teacher’s ability to manage and regulate their internal state is one of the necessary conditions for effective work. Research was conducted to assess the formation of the pedagogical skill component of “self-management” in students. The research established that a series of lessons within the framework of a program to form self-management skills in a psychology-pedagogical class increased stress resistance in future teachers.
Exploring the relationship between corporate governance and competitive firm performance
Authors: Sekliuckiene Jurgita , Urbonavicius Julius
Published: December 2024

This paper explores the relationship between corporate governance, dynamic managerial capabilities, and competitive firm performance. In particular, we examine the role of dynamic managerial capabilities in the relationship between corporate governance and competitive firm performance. Using a sample of 323 firms, we demonstrate that the relationship between corporate governance and competitive performance is mediated by dynamic managerial capabilities. The research results also show that corporate governance has a positive effect on competitive firm performance. Consequently, firms tend to invest in their employees to improve their individual skills related to dynamic managerial capabilities, with the aim of achieving better results in competitive firm performance. Furthermore, firms tend to have clearer organisational structures, with the board and the top management team playing a crucial role.
Stories, Storytelling and Storylines for Geoscience Communication
Authors: Stewart Iain
Published: December 2024

Geoscientists need to recognize and embrace our role as storytellers, so that we can more effectively use storytelling to advance our science. As narrative-driven storylines become an increasing tool in disaster and climate risk communications, understanding the ‘science’ of stories and storytelling becomes an ever more critical geoscientific skillset.
Dataset for a qualitative interview study exploring the barriers and facilitators to using and recommending aspirin for cancer prevention
Authors: Lloyd Kelly , Smith Samuel
Published: December 2024

IntroductionAspirin is increasingly recommended for colorectal cancer prevention for people with Lynch syndrome, who are at higher risk. Before starting aspirin, patients should be reviewed by a healthcare professional for contraindications. We conducted interviews to explore the views of people with Lynch syndrome and healthcare professionals on aspirin for cancer prevention. While open data sharing is increasingly implemented for quantitative research, it is less likely to be adopted for qualitative data. We aimed to create and share a qualitative dataset of the interview transcripts in a restricted access repository.MethodsWe interviewed 15 people with Lynch syndrome, and 23 healthcare professionals. Healthcare professionals included general practitioners (GPs), community pharmacists, genetic counsellors, and specialist hospital clinicians (e.g., genetics, gastroenterology). The interview schedule was informed by the Theoretical Domains Framework. Interviews were conducted over video or telephone.ResultsParticipants could consent to their anonymised interview transcript being deposited in a restricted repository, with access limited to people using the data for non-commercial research, learning or teaching purposes. Those who did not consent could still participate in the interview. Several transcripts were removed due to identifiability concerns. In total, we deposited 12 transcripts with people with Lynch syndrome, and eight transcripts with GPs. DiscussionTo safeguard participants’ identities, we fully anonymised the dataset. While this acted to protect participants’ identities, it also potentially reduced its usability due to the removal of rich contextual detail. When sharing qualitative data, it is important to balance confidentiality with data reusability.
Names with /i/ Suit Positive Faces: The Naming Paradig
Authors: Körner Anita , Röth Larissa , Rummer Ralf
Published: December 2024

Features of word form (e.g., phonemes) are sound symbolically associated with word meaning. In valence sound symbolism, specifically, i-phonemes are associated with positive valence, whereas o-phonemes and other rounded vowels are associated with negative valence. Experimentally, sound symbolism is predominantly examined using pseudo-words. The present research employs a new experimental paradigm where participants are shown faces and are asked to choose a suitable name from memory for each face. In two experiments (total N = 399) and a corpus analysis, we tested whether valence (manipulated via facial expressions, Experiment 1a, or likability, Experiment 1b) is associated with the occurrence of i-phonemes and o-phonemes in first names. Consistent with previous findings, names given to positively (vs. negatively) valenced faces more frequently contained i-phonemes, whereas, unexpectedly, valence did not influence o-phoneme occurrence. Among consonants, exploratory analyses indicate that nasals were associated with positive valence (only in the Experiments), while back consonants, and plosives were associated with negative valence. Thus, the naming paradigm bridges the gap between controlled pseudo-word experiments and the natural use of real names and can be employed to examine whether sound symbolic associations are stable enough to generalize to meaningful words, thereby tapping into the development of language.
Effectiveness of a Nutritional Education Intervention Program for Reducing Anemia in Pregnant Women of Western Nepal: A Hospital-Based Study
Authors: Sakai Hiroko , Lee Kumsun , Thapa Yoko Oda , Kawata Rina , Iwakuni Akiko , Adhikari Rajesh , Bhandari Tulsi Ram
Published: December 2024

The anemia rate among pregnant Nepalese women remains high and has not significantly declined over the past 20 years. Thassess the effectiveness of a nutritional intervention program for reducing anemia in pregnant women. We conducted an intervention study among pregnant women visiting Western Regional Hospital in Pokhara, Nepal, from March 2019 to March 2020. We involved 138 participants in this study and divided them into three groups- education, distribution, and control. Hemoglobin levels were evaluated before and after the intervention. This study revealed that the mean hemoglobin values after the intervention were 11.65 ± 0.59 mg/dL in the education group, 11.15 ± 1.08 mg/dL in the distribution group, and 11.14 ± 1.19 mg/dL in the control group. The changes in hemoglobin levels were 1.40 ± 0.84 mg/dL in the education group, 0.96 ± 1.21 mg/dL in the distribution group, and 0.87 ± 1.11 mg/dL in the control group. The difference in the change in hemoglobin levels among the three groups was statistically significant. In conclusion, anemia during pregnancy can be effectively reduced through individual nutritional counseling using visual educational materials. Therefore, there is an urgent need to develop a national standard model of a nutritional education protocol for maternal women combined with training programs for maternal healthcare workers to upgrade their nutrition counseling skills.
Empowering Young Women with Polycystic Ovary Syndrome through Food and Nutrition Literacy
Authors: Mathema Sujala , Aryal Bhagwan , Subedi Sibila
Published: December 2024

Literature on Polycystic Ovary Syndrome (PCOS) suggests that women with PCOS have a higher prevalence of disordered eating behaviors, such as restrictive dieting and binge eating, and clinical eating disorders, compared to women without PCOS. Diet and nutrition are crucial for symptom control and lifestyle changes, including active lifestyle and dietary patterns. A comprehensive study on Food and Nutrition Literacy (FANLit) among women with PCOS and relevant healthcare organizations is yet to be fully explored. This study followed the PRISMA methodology to guide the review process and to explore FANLit in women with PCOS and the role of healthcare organizations in providing care and support. The findings show that adhering to healthy dietary principles, such as low low-calorie, low-glycemic diet, combined with lifestyle modifications, sleep improvement, and physical activity can help women with PCOS manage their physiological homeostasis and recover effectively. An integrated therapeutic approach is essential to reduce metabolic symptoms associated with PCOS. Improved nutritional literacy empowers women with PCOS to utilize food as a key strategy for symptom management, reducing reliance on medications. However, gaps in Health Literacy (HL) persist, as evidenced by the findings from this review. Functional HL issues include unsupported weight loss attempts and limited dietitian referrals, while interactive HL highlights the need for improved communication between healthcare professionals and patients, diagnostic clarity, and more tailored resources. These conclusions are derived from this PRISMA-guided scoping review that systematically analyzed relevant literature to map current knowledge and identify gaps in HL and FANLit for women with PCOS.
KI und Bibliotheken – bestehende Vorgaben, Guidelines und offene Fragen
Authors: Ivanović Marija
Published: December 2024

Dieser Artikel untersucht, wie bestehende rechtliche Vorgaben und Empfehlungen zum Umgang mit künstlicher Intelligenz die Arbeit in Bibliotheken beeinflussen und gestalten können. Dafür werden die Verordnung über künstliche Intelligenz der EU, die Ethik-Leitlinien für eine vertrauenswürdige KI der Hochrangigen Expertengruppe für künstliche Intelligenz, sowie die Living Guidelines on the Responsible Use of Generative AI in Research des European Research Area Forum betrachtet und auf relevante Aspekte hin analysiert. Außerdem wird exemplarisch ein Blick auf die Vorgaben und Angebote im Hinblick auf KI für Lehre und Studium einzelner wissenschaftlicher Bibliotheken geworfen und ihre Verantwortung nicht nur ihren Nutzer*innen, sondern der Gesellschaft im Allgemeinen gegenüber betont. Danach wird beleuchtet, welche Rolle künstliche Intelligenz in Bibliotheken für die Bereitstellung von Literatur, wissenschaftliches Publizieren und darauf basierende KI-Tools spielen könnte. Abschließend wird vorgeschlagen, den noch im Entwurfsstadium befindlichen Ethikkodex der Vereinigung Österreichischer Bibliothekarinnen und Bibliothekare (VÖB) als Dokument des bibliothekarischen Selbstverständnisses heranzuziehen, das auch bei Überlegungen rund um den Einsatz von künstlicher Intelligenz in Bibliotheken unterstützende Dienste leisten könnte.
Evaluation of a nurse practitioner-led post-discharge transitional care program for patients with liver disease: A retrospective cohort study
Authors: Naghshbandi Marjan , Huang Simon Y , Shah Hemant , Yim Colina , Lee Elizabeth , Caesar Michael , Hope Andrew , Chan Timothy CY , Sarhangian Vahid
Published: December 2024

Background:

We evaluated an outpatient, nurse practitioner-led transitional care program with respect to its efficacy in reducing unplanned readmission rates for patients with liver disease.

Methods:

We conducted a retrospective cohort study using data from an academic health system in Toronto, Ontario. The study included all admissions associated with an ICD10 code of R18 (ascites), I85.0 or I98.3 (variceal bleeding), or K70–K77 (diseases of the liver). Patients were selected to receive the transitional care (intervention group) or not (no-intervention group) by discretion of the hepatologists. We used a proportional hazard model to estimate the associations between receiving the intervention and the marginal probability of 30-, 60-, and 90-day readmission in the presence of death as a competing risk. We conducted sensitivity analyses to examine the robustness of our estimates to various sources of bias, including adjusting for propensity of receiving the intervention estimated using a logistic regression model.

Results:

A total of 803 admissions were included. Receiving transitional care was associated with a reduction in risk of 30-day readmission (HR 0.51; 95% CI 0.30–0.85), 60-day readmission (HR 0.60; 95% CI 0.40–0.91), and 90-day readmission (HR 0.55; 95% CI 0.37–0.83). The negative associations remained statistically significant under the sensitivity analyses, except for the propensity-adjusted estimate for the 60-day outcome.

Conclusions:

A nurse practitioner-led transitional care program could be effective in reducing the risk of readmission for patients with liver disease. Future studies are needed to standardize the referral process and prospectively measure the effectiveness and financial value of the program.
Colchicine for the management of refractory uremic pleuritis: A case report
Authors: Kim Dong Hyun , Elsherbini Tawfik , Ouellet Marie , Pichette Émilie , Camilleri-Broët Sophie , Cormier Maxime
Published: December 2024

We report a diagnostic odyssey of an unusual presentation of uremic pleuritis and subsequent successful treatment with low-dose colchicine in a patient already on dialysis for end-stage renal disease. To our knowledge, this is the first reported use of colchicine to treat uremic pleuritis, warranting further exploration and consideration in clinical practice.
Potentially preventable? A case of recurrent blastomycosis involving the central nervous system
Authors: Walkty Andrew , Wuerz Terence , Stein Markus , Beiko Jason , Embil John
Published: December 2024

Background:

Blastomycosis is a disease caused by infection with thermally dimorphic fungi belonging to the genus Blastomyces. Central nervous system (CNS) involvement occurs in an estimated 1% to 10% of patients with blastomycosis, and treatment requires at least 12 months of antifungal therapy.

Methods:

We describe a 32-year-old male who presented with recurrent blastomycosis involving the CNS.

Results:

The patient was initially diagnosed with pulmonary blastomycosis with possible involvement of the CNS approximately 1 year prior to his current presentation. At that time, he was treated with amphotericin B deoxycholate and then subsequently transitioned to oral voriconazole. On discharge he only filled his voriconazole prescription for 8 weeks out of a planned year-long treatment course, due to an inability to afford it. He subsequently re-presented with symptoms of headache, nausea, and ataxia, and was found to have a right-sided cerebellar abscess. The abscess was drained and Blastomyces sp was isolated on culture. Following surgery, the patient was once again started on voriconazole after completing a course of liposomal amphotericin B. Social work was engaged early on during this admission. Fortunately, the patient's financial situation had improved and medication cost was no longer a barrier. When seen in follow-up, he remained on oral therapy and was doing well.

Conclusions:

A case of recurrent blastomycosis with involvement of the CNS is presented, where treatment failure occurred due to an inability of the patient to afford the required medication. Medication cost should always be considered and discussed with a patient when developing a treatment plan.
Syphilis point-of-care tests (POCTs): Implementation considerations in Canada
Authors: Whyte Kathleen , Chittle Andrea , Tsang Raymond SW
Published: December 2024

Starting in the early 2000s, the rate of infectious syphilis in Canada began rising. Since the mid-2010s, the rate among females, particularly females in their reproductive years, has increased rapidly. Coincident with this shift, congenital syphilis has re-emerged in Canada in recent years. Infectious and congenital syphilis disproportionately impact communities affected by social and structural determinants of health, including homelessness and inadequate or inaccessible health care services. These realities underscore the importance of emerging strategies, including rapid diagnostic tests that can be deployed at the point of care, as tools to help reverse these trends. Increased access to testing is one of the pillars of the Pan-Canadian Framework for Action on Sexually Transmitted and Blood-Borne Infections (STBBI) and the Government of Canada's STBBI Action Plan 2024–2030. The National Microbiology Laboratory Branch of the Public Health Agency of Canada has worked towards introducing rapid diagnostic tests including point-of-care tests (POCTs) for STBBI testing. With Health Canada's first approval of a syphilis POCT (bioLytical's INSTI MULTIPLEX HIV-1/2 Syphilis Ab Test) in 2023, it is timely to reflect on important implementation considerations for this and other syphilis POCTs in Canada. In this article, we aim to review antibody-detecting syphilis POCTs that are commercially available, their performance in recent Canadian field studies, and key contextual considerations for Canada in implementing POCTs for syphilis.
Does a Simulated Patient Experience Improve Physiotherapy Students’ Confidence of Shared Decision-Making? A Mixed Methods Study
Authors: Liddle Nathan , Franklin Alice , Chesterton Paul
Published: December 2024

Background:

Physiotherapy entry-level programs are designed to equip graduates with the skills required to be autonomous practitioners. Innovative teaching methods, such as role-play simulation, are designed to support students' transition into practice. This study aimed to investigate whether a simulated patient experience could influence student confidence when facilitating behavioural change using a shared decision-making approach.

Method:

A mixed methods design comprising online pre- and post-surveys of student physiotherapists at one UK higher education institution, followed by an invitation to participate in a follow-up semi-structured focus group. Pre- and post-simulation surveys were completed in addition to the Modified Satisfaction with Simulation Experience (MSSE) survey. Likert scale data were treated as numeric variables with the median and Interquartile (IQR) range calculated for combined responses across potential answers. Focus groups included semi-structured questions with thematic analysis generating themes.

Results:

All 39 respondents “Strongly Agreed” that they were satisfied with the simulated experience, which could be transferred to clinical practice (5, IQR 4–5). The stimulation developed both confidence (5, IQR 4–5) and developed participants’ perception of their shared decision-making skills (4, IQR 4–5). Three key emergent themes from the focus groups included (1) Bridging the gap between clinical practice, (2) Authenticity, and (3) Psychological safety.

Conclusion:

The simulated role-play patient experience improved the confidence and participants’ perception of their ability to use shared decision-making to facilitate behavioural change. Themes from the semi-structured interviews suggested increased authenticity and psychological safety during the task, which could bridge the gap between theoretical teaching and clinical practice.
Proportion of uncontrolled asthma and its associated factors among adult asthmatic patients attending to the chest clinic at teaching hospital Kalutara
Authors:   Faculty of Medicine, University of Moratuwa, Sri Lanka, Nayanavee P.M.V.T. , Nethmini D.M.D.D. , Peiris W.A.D. , Peththanayake N.R. , Randeniya R.D.D.T.K. , Samarasekara N. ,   Department of surgery, Faculty of Medicine, University of Moratuwa
Published: December 2024

All ages of children, as well as adults worldwide, are affected by the dangerous chronic airway illness known as asthma. With the right medication and adherence, asthma can be effectively controlled; nevertheless, patient control over their asthma is influenced by a number of factors. This study was conducted to assess the proportion of uncontrolled asthma and its associated factors among adults’ asthmatic patients attending the chest clinic at Teaching Hospital (TH) Kalutara
Janusz Nagórny’s Interpretation of the Personalistic Category of Participation and Its Implementation in the Theological-Moral Reflection on Social Life
Authors: Zadykowicz Tadeusz
Published: December 2024

Moral theology, like any science, develops not only through the addition of new concepts but also through the explanation of phenomena with increasing accuracy and depth by applying adequate tools and methods, which can and should be improved. In describing the essence of social life and morally evaluating social attitudes, such a tool is provided by the personalistic category of participation. This category – extensively discussed by Karol Wojtyła in his book The Acting Person – was originally interpreted and applied to the theological-moral reflection on social life by Fr. Janusz Nagórny (1950–2006) – moral theologian from the John Paul II Catholic University of Lublin. What was his contribution to this implementation? What rendered his understanding of participation so original? What were the methodological and substantive consequences of such a reception? To answer these questions, the author analyses Nagórny’s publications, including those which so far – mainly due to their popular science and popularising character – have not been the subject of more in-depth study. The analysis presented here leads to the conclusion that Nagórny lent a theological character to a philosophical category by its biblification and, in such an interpretation, he applied it to detailed areas of social life. Furthermore, the use of elements of the historical method justifies the thesis that he was the initiator of this type of implementation and contributed to making it popular in Polish moral theology.
Sobre superlativos y cantidades «mínimas»
Authors:   Universidad Complutense de Madrid, Delgado Díaz Ulises
Published: December 2024

En este artículo se ofrece una descripción exhaustiva de las propiedades gramaticales y semánticas de las superlativas de cantidad mínima, esto es, expresiones superlativas, generalmente formadas con el superlativo léxico mínimo, que denotan una cantidad o un grado mínimos. Además de su significado cuantitativo, estas construcciones poseen un valor modal que distingue dos clases: aquellas formadas con un complemento restrictor de modalidad teleológica (las condiciones mínimas necesarias) y aquellas en las que el complemento restrictor es un modal dinámico de posibilidad (los mínimos errores posibles). A partir de las diferencias sintácticas y semánticas entre ambos tipos de superlativas, proponemos un análisis distinto para cada una: mientras que el mínimo teleológico es un modificador restrictivo, el mínimo dinámico es un auténtico cuantificador.
Image Management Member of the House of Regional Representative of the Republic of Indonesia Riau Electoral District 2019: A Case Study of Intsiawati Ayus
Authors: Sami'an  , Harmonis
Published: December 2024

This research discusses the Image Management of the elected Member of the Regional Representative Council Intsiawati Ayus in 2019 Riau electoral district, where building a good image in the community is an important thing for a politician to do, so that at the time of the election the public wants to vote for politicians who are running for legilative members. especially the competition between candidates is considered very significant which makes politicians have to make special strategies in the election process, Moreover, the competition between candidates is considered very significant which makes politicians have to make special strategies in the election process and the focus of this research is to understand the Political Public Relations (PR) Activities of Intsiawati Ayus' Image Management in the Election of Members of the Regional Representative Council of the Republic of Indonesia) Riau Electoral District in 2019 using qualitative methods reinforced by a literature study approach. Data collection techniques are carried out by interview where the information is determined by purposive sampling. The results obtained in this study found that there are interactions on social media that add to the positive image of Intsiawati Ayus in the community, because Intsiawati Ayus and the success team respond to the slightest interaction from the community, then advocacy in the agrarian sector carried out by Intsiawati Ayus also adds to the good image in the community, the attachment of the character's name through the organization is also an important part of Intsiawati Ayus' image, this name attachment is done through the Rumpun Melayu Bersatu Laskar Hulubalang Melayu Riau (RMB-LHMR) organization founded by Asman Yunus who is Intsiawati Ayus' father. The results of this study are expected to be used as a study material in the field of political PR, especially in the election of the Regional Representative Council of the Republic of Indonesia RI members in Indonesia.
Quality of Representation Women Legislators in the Manifestation of Public Policy Formation in Banyuwangi: Uthopis or Prosperity?
Authors: Riska Veren Septriana  , Hary Priyanto  , Leni Vitasari
Published: December 2024

Kodrati reproduksi merupakan tolak ukur masyarakat konservatif dalam memandang perempuan. Justifikasi fungsi wajib perempuan hanya seputar memasak, berdandan, dan melahirkan. Jikapun ada perempuan berkontribusi pada kelembagaan politik, masyarakat meragukan kualitasnya. Dari 50 jumlah legislator di DPRD Banyuwangi periode 2019-2024, terdapat 13 legislator perempuan, namun hanya 2 yang berhasil menjadi inisiator peraturan daerah. Realitas tersebut sebagai penjelas bahwa kontribusi legislator perempuan sekedar aktif kehadiran tapi tidak produktif dalam pemikiran. Tujuan penelitian ini untuk mendeskripsi, menganalisis, dan menginterpretasi partisipasi legislator perempuan DPRD Kabupaten Banyuwangi sebagai inisiator peraturan daerah. Metode yang digunakan berprinsip pada pendekatan kualitatif sesuai model konstruktif dan partisipatoris. Data primer dari hasil wawancara, dan data sekunder dari hasil kajian studi pustaka dan berbagai peraturan yang relevan dengan subtansi penelitian. Hasil penelitian menjelaskan meskipun ada kemajuan dukungan politik, namun realitas diskriminasi gender pada tiap proses politik merupakan hal nyata. Perlu kolaboratif dari semua pihak sehingga keraguan pada kualitas perempuan dapat hilang. Adapun simpulannya: Pangarusutamaan gender di DPRD Kabupaten Banyuwangi perlu di internalisasi legislator perempuan ke bentuk implementasi tugas pokok dan fungsinya agar terbentuk peraturan daerah yang holistik dan responsif.