bluuebunny/crossref_metadata_2025 huggingface dataset:
The Process of Triple Elimination Program Implementation in Antenatal Care Batang Regency: Qualitative Study
Authors: Yulfiana  , Chriswardani Suryawati  , Ayun Sriatmi
Published: June 2024

Introduction: The Maternal Mortality Rate (MMR) of Batang Regency in 2023 is still high. Many efforts have been made to reduce the mortality of pregnant women and babies born with integrated ANC services, but have not received optimal results.
Objective: The purpose of this study is to analyze aspects of the process including planning, organizing, implementing and assessing in the triple elimination program.
Methods: The study used qualitative methods with process variables consisting of planning, organizing, implementing and assessing in a triple elimination program. Data collection through in-depth interviews with 8 main informants and 10 triangulation informants. The main informants are Midwives, Coordinators, and Analysts of the triple elimination program in 4 selected Puskesmas. Triangulated informants are selected based on management level. District level to the Head of Kesga and P2P Dinkes Batang, Puskesmas level to 4 selected Puskesmas Heads and grass-root level to 4 mothers who receive integrated ANC service benefits at Puskesmas. The instrument uses an interview guide. Analysis using qualitative descriptive methods.
Results: Planning is carried out in stages from the implementation of activities, namely the integrated ANC team of the Puskesmas by calculating needs. Furthermore, it was discussed with the team and submitted to the Head of the Puskesmas which was then submitted to the District through the Batang Health Office. Organizing is done from the Coordinator Midwife who manages his team. Team management is discussed together and approved by the Head of Puskesmas. Implementation is carried out in accordance with applicable SOPs. The triple elimination assessment is good but there needs to be improvement. Especially in the refusal of triple elimination examination from pregnant women during the implementation of the program.
Conclusion: The triple elimination program process in Batang Regency has been good. There needs to be a strategy to invite all pregnant women so that there is no rejection of the triple elimination program.
Attitudes and Family Support of the Barrang Caddi Island Community Related to the Utilization of Hypertension Services in Achieving Minimum Service Standards (SPM)
Authors: St. Rosmanely  , Nasrah  , M. Nabil Sakti Pahruddin  , Yuana Wira Dwi Satya Ilham Putra  , Eva Arista
Published: June 2024

Introduction: Based on Makassar City health profile data in 2021, several aspects of health services and health management still have not achieved the SPM targets for Health and SDG's. At the Barrang Lompoa Community Health Center, only 46.2% of patients suffering from hypertension received health services in 2021, far from the target set at 100%.
Objective: To understand the correlation between individual attitudes and family support towards the use of hypertension services at Pustu Barrang Caddi in 2024.
Method: The type of research used is Cross Sectional Study. This research was conducted on Barrang Caddi Island, Makassar City in March - April 2024. The population in this study was 351 households. The sample in this study was part of the population on Barrang Caddi Island, that is 188 households.
Result: The results of data analysis include univariate analysis with frequency distribution and bivariate chi-square test. Data analysis was carried out bivariate using the Chi-Square test with a significance level of 5% (?=0.05). influence between attitude (p=0.000), family support (p=0.000). From the results of the Chi-Square test, a relationship was found between attitudes and family support on the use of hypertension services at Pustu Barrang Caddi in 2024.
Conclusion: There is a relationship between attitudes and family support on the use of hypertension services at Pustu Barrang Caddi in 2024.
Moran’s Index Spatial Analysis On The New Case Detection Rate of Leprosy in West Java 2022
Authors: Jasmine Meuthia , Wibowo Arief
Published: June 2024

Introduction: Leprosy is a chronic infectious disease, neglected tropical disease caused by Mycobacterium leprae. Leprosy is divided into two types based on the number of lesions on the skin. If there are less than 5 lesions, leprosy is classified as paucibacillary (PB) and if there are more than 5 lesions, leprosy is classified as multibacillary (MB). Indonesia is ranked third in the world after Brazil with 762 new cases of grade 2 disability leprosy by 2022. Therefore, spatial analysis of the new case detection rate of leprosy in West Java 2022 is needed.
Objective: To determine wheter there are spatial dependency with the new case detection rate of leprosy in West Java 2022
Method: Quantitative research that utilises secondary data by conducting spatial analysis on the new case detection rate of leprosy in West Java 2022 using Moran's Index and LISA tests.
Result: There are 5 areas namely Bekasi, Karawang, Subang, Indramayu, and Cirebon that have not yet reached the national target in eliminating leprosy. The value of Moran's I = 0.241 and p-value 0.0090 < ? (0.05) which means that there is a weak positive spatial dependence on the number of new leprosy cases in West Java Province 2022. There is 1 region that is in the high-high quadrant, namely Cirebon and there are 4 regions in the low-low quadrant, namely Cimahi City, Bandung City, Garut, and Tasikmalaya.
Conclusion: A small number of areas in West Java Province still have not reached the national target of eliminating leprosy, which is a CDR of <5 per 100.000 population, namely Bekasi, Karawang, Subang, Indramayu, and Cirebon. There are 5 areas that have spatial linkages in the new case detection rate of leprosy in West Java Province in 2022 based on the significance value. The region in the high-high quadrant is Cirebon and there are 4 regions in the low-low quadrant, namely Cimahi City, Bandung City, Garut District, and Tasikmalaya District.
Coronary Heart Disease Risk and Associated Risk Factor Among Workers at PT.X in 2023
Authors: Haldy Jeanita , L. Meily Kurniawidjaja
Published: June 2024

Introduction: Coronary heart disease is also a major cause of death and permanent disability among workers. In Indonesia, the estimated loss due to decreased productivity and treatment costs for CHD is 6.8% of GDP per year. The risk of CHD in industry is increased due to stress from long working hours, shift work affecting work, eating, and sleeping patterns.
Objective: To evaluate the risk of CHD among workers at PT. X, an oil and gas company, and to describe the frequency distribution of CHD risk factors
Method: The research design is descriptive analytics with a cross-sectional design.  Sample data was collected from annual health examination data at PT. X in 2023. Framingham risk score (FRS) used to predict the incidence rate of CHD in the next 10 years.
Result: The data of PT. X indicates that man employees comprise 76.2%, age <40 years old 44.9%, 8.8% of employees have hypertension, 2.6% diabetes, and 62.1% obese. The results of CHD prediction risk calculations using Framingham are 0.4% of workers at high risk, 15.9% at intermediate risk. Risk factor of CHD found gender (pvalue = 0,000 ; OR 18,6), age (pvalue = 0,000; OR 54,3), SBP (pvalue = 0,002; OR 3,2), TC (pvalue = 0,032; OR 2,1), HDL (pvalue = 0,017; OR 0,4), fasting blood sugar (pvalue = 0,000; OR 6,5), smoking habits (pvalue = 0,000; OR 4,8), and BMI (pvalue = 0,013; OR 4,2).
Conclusion: The results of predicting the risk of coronary heart disease over the next 10 years using Framingham among PT.X workers indicate that 0.4% of workers have a high risk and 15.9% have a intermediate risk. Gender, age, systolic blood pressure, total cholesterol, HDL, fasting blood sugar, smoking habits, and body mass index (BMI) are significantly associated with the risk of coronary heart disease.
The Impact of Hydration Level on Groundhandling Officer at Bandara Soekarno Hatta
Authors: Siti Zubaidah  , Doni Hikmat Ramdhan
Published: June 2024

Background: Groundhandling workers are workers who are exposed to heat for quite a long time. A work environment that exceeds tolerance limits can cause health problems such as dehydration and fatigue. Lestari (2016) in his research stated that a hot work environment that exceeds the Threshold Limit Value (TLV) can increase the risk of dehydration.
Purpose: This research focuses on fatigue and the risk factors of fatigue, especially those caused by dehydration, without disregarding other risk factors among ground handling workers at Soekarno-Hatta Airport.
Method: The method used in this research is an observational analytic approach with a cross-sectional design. The sampling technique employed random sampling with a sample size of 219 respondents consisting of ground handling workers working both inside buildings and on the apron. The measuring instruments used were specific gravity urine tests to determine hydration status and IFRC questionnaires to assess workers' physical fatigue status.
Result: From the existing data it was found that the majority of respondenst experienced mild fatigue, namely 36,5% of the 219 respondents and others experienced severe fatigue 63,5%. With hydration status, most workers have good hydration status (euhydration), namely 70,3% and and some others experienced dehydration, namely 29,7%. The result of the analysis between hydration status and level fatigue showed 35,4% of respondents who werw dehydrated experienced severe fatigue, while 37% of respondents who were euhydrated/normohydrated experirienced severe fatgue. The results of the analysis test obtained was no relationship between hydratin status and fatigue level. The OR (Odd Ratio) shows a result or 0,932 meaning that respondents withs dehyration are protective factor of 0,93 times agains severe fatigue.
Conclusion: The conclusion of this research is that good hydraton status can prevent fatigue in workers, especially those who work with direct heat exposure.
CRUZAS SIMPLES PROGENITORAS E HÍBRIDO TRILINEAL DE MAÍZ H-53 AE: DENSIDADES Y PRODUCTIVIDAD
Authors: Martínez Díaz Francisco Sebastián , Tadeo Robledo Margarita , Espinosa Calderón Alejandro , Alonso Sánchez Homero , López López Consuelo , Zaragoza Esparza Joob Anastacio
Published: June 2024

Background. The use of improved seeds in Mexico is limited. To increase its use and improve its supply, it is necessary to promote the generation of micro-enterprises; for this, the Universidad Nacional Autónoma de México (UNAM) and Instituto Nacional de Investigaciones Forestales, Agrícolas y Pecuarias (INIFAP) work in a coordinated manner on the development of new varieties. Objective. To determine the seed productivity by effect of the population density of the trilinear hybrid of H-53 AE maize and its simple progenitor crosses in two environments of Valles Altos. Methodology. In the spring-summer cycle of 2014, in Cuautitlán Izcalli and Texcoco, State of Mexico, three genotypes were evaluated: the simple female cross androsterile (M53AE x M59) and fertile version (M53F x M59), as well as the trilineal hybrid H-53 AE. Population densities were 55,000, 70,000, and 85,000 ha-1 plants, respectively. The variables evaluated were male and female flowering, plant and ear height, volumetric weight, weight of 200 grains, ear length, grains per row, dry matter percentage, and grain percentage. The experimental design employed a factorial design with random complete blocks, and the Tukey method was used for mean comparison. Results. The simple crosses, androsterile and fertile, exceeded the performance of the hybrid trilineal H-53 AE (7280 Kg ha-1). The population density where genotypes expressed a higher yield was 70, 000 ha-1 plants, with 8602 Kg ha-1, significantly different to 7813 Kg ha-1, and 7748 Kg ha-1 for 85,000 and 55, 000 ha-1 plants, respectively. Implications. Further analysis of other environmental factors should be carried out to strengthen the recommendation of the evaluated trilinear hybrid. Conclusion. The best responses were presented in the population density of 70,000 plants ha-1, and the highest average yield of three genotypes and three population densities with 8768 Kg ha-1 was in the FESC environment (Cuautitlán Izcalli).
DEVELOPING MULTILINE COWPEA VARIETIES ADAPTED TO LOCAL CROPPING SYSTEMS AND SPECIFIC FARMERS’ PRODUCTION GOALS THROUGH PARTICIPATORY BREEDING
Authors: Moussa Tchoffo Rahilatou , Saïdou Abdoul-Aziz , Abdou Souleymane , Saadou Souley Mahamadou Nourou , Hamadou Hamidou Hadiara , Seyni Boureima , Tanda Yacouba , Ali Mamane Aminou , Hassane Mahamadou Sanoussi , Jangorzo Nouhou Salifou , Issoufou Hassane Bil-Assanou , Joly Helene I. , Bakasso Yacoubou
Published: June 2024

Background. Decentralized participatory breeding approach facilitate the development of varieties better suited for a diversity of farmers' contexts. To enhance breeding efficiency, formal methodological settings are needed to include, at early stage of selection, particular local practices and farmers’ preferences. Objective. Evaluate how location, farmers’ profile and local cropping system could be taken into account to optimize selection of cowpea varieties in a decentralized context. Methodology: Twenty-two candidate multiline varieties of cowpea (Vigna unguiculata L. Walp) were developed from a biparental family of recombinant inbred lines. These varieties were subjected to selection under edaphic and climatic conditions of three locations and two cropping systems (intercropping versus sole cropping). Trials were carried out in collaboration with farmers' federations. Participatory evaluations were conducted over two years by the three groups of farmers defined by the following production goals: grains production as priority (“Grain priority profile”), fodder as priority (“Fodder priority profile”) and grain quality as priority (“Food processing priority profile”). Results. The statistical analysis supported significant effects of location and cropping system on the agronomic traits, with interactions effects involving the variety. A strong correlation was observed between the varietal choices of the two farmers’ profiles which prioritized respectively grain and food processing. These farmers preferred varieties with higher grain yield and best grain quality. Farmers who prioritized fodder preferred more specific varieties, characterized by highest haulm yield. Implications. The clustering of farmers into specific profiles is an efficient method which allow expressing their diversified production goals through participatory evaluation. This led to more specific varietal choices for each of the profiles. Conclusion. This study set cropping systems and farmer profiles as formal design factors at early breeding stage. These factors acted efficiently to support the process of varietal choice. The participatory approach highlighted the congruence and complementary between farmers’ and researchers’ knowledges. It helped identifying, for intercropping and sole cropping systems respectively, the most suitable varieties preferred by each of three respective farmers’ group.
RELATIONS BETWEEN THE MASS OF THE FRUITS, THE NUMBER OF FRUITS PER PLANT AND THE AGRICULTURAL YIELD IN PEPPER, WITH INCREASING SILICON DOSES
Authors: Reyes-Pérez Juan José , Rivas-García Tomás , Rodríguez-Rodríguez Sergio , Torres-Rodríguez Juan Antonio , Llerena-Ramos Luis Tarquino , Preciado-Rangel Pablo , Hernández-Montiel Luis Guillermo , Maciel-Torres Sandra Patricia
Published: June 2024

Background: Statistical relations between the components of agricultural yield and the yield itself after Si treatment as possible non-destructive methods are important for predicting and monitoring the harvest. Objective: To measure the relationships between the mass of the fruit, the number of fruits per plant and the agricultural yield in pepper, with increasing silicon doses. Methodology: The research was carried out at Quevedo State Technical University, Ecuador in a completely randomized design and three repetitions per treatment. The treatments used were 0, 20, 25 and 30 g potassium silicate plant-1. The variables evaluated were fruit weight, number of fruits per plant and agricultural yield at the time of harvest. Path analysis, multiple and single linear regressions, and nonlinear regressions were performed. Results: The path analysis showed a greater direct effect of the number of fruits per plant with and without the presence of silicon. Fruit weight, number of fruits per plant, and agricultural yield increased linearly with increasing silicon dose. Implications: The best adjustment of fruit weight both in the presence and absence of silicon when it is related to the yield corresponded to a non-linear model, specifically to a Hill sigmoidal function. Conclusion: Through multiple linear regression, it was shown that both yield component variables, i.e. fruit weight and number of fruits per plant, have a greater influence on agricultural yield when fertilized with silicon. 
RESTRUCTURING THE AGRICULTURAL PRODUCTION IN THE TOTA LAKE BASIN (COLOMBIA): PROS AND CONS TO ACHIEVE THE CHANGE
Authors: Rodríguez-Robayo Karla Juliana , Pulido-Blanco Víctor Camilo , Martínez-Camelo Fabián Enrique , Meneses-Buitrago Diego Hernán
Published: June 2024

Background. Moorlands are strategic ecosystems that provide regulation and provision of water, and that face serious effects due to agricultural activities. Productive reconversion (PR) is a mixed environmental, and economic strategy for managing change in agricultural systems towards sustainable agroecological models. Objective. To investigate the factors that favor and prevent the implementation of PR. Methodology. The paper analyzed 26 variables of the productive (14), socioeconomic (6) and environmental (6) dimensions of 172 producers of long onion and potato growers in the Tota lake basin, Tota-Bijagual-Mamapacha moorland, Colombia. Results. It was found that 44% of the variables are identified in favor and the remaining 56% against the PR, highlighting the advances in training, social organization, environmental awareness and disposition of the producers for the PR, but being forced to continue the activity due to the economic profitability. Implication. The economic profitability is against sustainability, it is related to the implementation of harmful practices such as the indiscriminate, inefficient, unplanned use of agro-inputs for fertilization and pest and disease management, with highly toxic pesticides, composting without maturity, which affect both human and ecosystem health. Conclusion. The main challenges are from the productive dimension, in which strategies are consolidated aimed at promoting: a) the adequate selection of quality seed, b) better soil management, c) the management of pests and diseases based on phytosanitary plans that integrate monitoring traps, preventive actions, and restrict the use of agro-inputs of chemical synthesis and d) promote the efficient use of water resources based on the strengthening of participatory agroclimatic monitoring networks.
When minds meet machines: A pilot programme of using Chat-GPT to teach political speech translation in a Chinese-to-English translation classroom
Authors: Gao Fei
Published: June 2024

This piece of reflection draws on a pilot programme of using Chat-GPT in the teaching of political speech translation in a Chinese-to-English translation classroom. The conduction of this pilot was driven by, among others, a growing concern by the third-year undergraduates doing Chinese-English translation as their major; they have aired worries that human translators might be replaced by large language models capable of doing the translation. The students observed and compared the human translation (by institutional interpreters) and the Chat-GPT translation of four political speeches delivered by Chinese government officials at the General Debate of the United Nations General Assembly. While acknowledging some strengths of Chat-GPT, they found that the GPT translation stayed too ‘close’ to the source text Chinese, potentially leading to issues at the lexical, sentence, and contextual levels. The author (also the course convenor) then reflected on the strengths and limitations of Chat-GPT in conjunction with pedagogical considerations regarding the ethical and practical implications of GPT-enabled machine translation. The paper concludes that GPT is not, and will not be, an adequate substitute for the language expertise, cultural awareness, ideological sensitivity, and creative abilities to ‘re-write’ on the part of professional human translators.
The Effect of Work-Life Balance, Internal Communication, and Rewards on Employee Engagement and Employee Performance: A Study on Generation Z
Authors: Ambalika Ni Komang Ayu Diah , Azzahra Hurul A'ini Sekar , Rahmayanti Putu Laksmita Dewi , Ditha I Gusti Ayu Tara Laksemiyasa
Published: June 2024

The presence of a new workforce poses a potential challenge to the performance of the organization. This challenge arises due to differences and conflicts of values, needs, preferences and expectations among employees who come from four different generations, namely Baby Boomers, X, Y, and Z. Based on data from Good Stats, the Indonesian population is currently dominated by Generation Z where their work attitudes tend to be more unique than other generations so companies need to understand and adjust the needs of this dominating workforce. The purpose of this study is to analyze the influence of work-life balance, internal communication, and rewards, on employee engagement and employee performance of generation Z. The research was conducted using a quantitative method with a purposive sampling technique distributed to 226 respondents who were in the birth range of 1997 to 2012, had at least 1 year of work experience and are currently working as a permanent employee. This study uses Partial Least Square-Structural Equation Modelling analysis with SmartPLS software. Referring to the results of the analysis, it is known that work-life balance, internal communication, and rewards have a positive and significant effect on employee engagement, in addition to employee involvement has a positive and significant effect on the performance of generation Z employees.
Efforts to Increase Public Awareness of Sharia Insurance Products in Indonesia Through Management Functions
Authors: Wibowo Irawan Agung , Rohman Ibrahim Kholilul
Published: June 2024

Islamic insurance, known as Sharia Insurance, has become a crucial component in Indonesia's financial sector. Sharia insurance prioritizes Islamic economic principles by offering products such as takaful (collective insurance) and mudharabah (business partnership). The opportunities for the Sharia insurance industry in Indonesia are substantial, given that the Muslim population comprises 87.2% of the total population as of 2021. Additionally, the Financial Services Authority Regulation (FSAR) Number 11 of 2023, Article 15, mandates Sharia financial institutions to prioritize Sharia financial products. However, data indicates that the growth of Sharia insurance is still significantly low. As of December 31, 2022, the market share of Sharia insurance premiums is only 4.76%. In light of the above challenges and opportunities, this study aims to analyze the constraints, particularly the issue of product awareness, where many individuals still do not fully comprehend and appreciate the benefits of Sharia insurance products. Therefore, this article discusses 1) the factors influencing the lack of understanding and awareness among the public regarding the benefits of Sharia insurance products, and 2) the efforts to address this issue. This research adopts a qualitative approach, utilizing a systematic literature review method for data analysis. Books and other literature relevant to the predetermined theme were systematically searched to provide insights into the challenges and potential solutions for enhancing awareness and understanding of Islamic Insuranceproducts among the public.
Penyuluhan SSDI sebagai Upaya Meningkatkan Pengetahuan, Keterampilan dan Kesadaran Ibu dalam Menstimulasi Anak Usia Dini di Rusunawa Jatinegara Kaum Jakarta Timur
Authors: Kahdafi Delinia , Salsabila Arfina Syifa , Rizqianni Linda Khoiri , Fahmi Tahnia Nazlan , Kabbaro Hurriyyatun
Published: June 2024

Masa 0-6 tahun biasa dikenal dengan periode emas (golden age) dalam perkembangan anak. Pada usia ini, anak mengalami perkembangan yang pesat, baik secara fisik, kognitif, sosial, maupun emosional. Oleh karena itu, penting untuk memberikan stimulasi yang tepat bagi anak agar perkembangannya optimal. Orang tua memiliki peran strategis dalam menstimulasi perkembangan anak usia dini. Kegiatan ini bertujuan untuk meningkatkan jumlah orang tua yang memiliki pengetahuan tentang stimulasi anak usia dini agar dapat mengoptimalkan potensi anak. Peneliti bekerja sama dengan pihak BKB PAUD Cahaya Permata. Kegiatan ini dilaksanakan di BKB PAUD Cahaya Permata berlokasi di Rusunawa Jatinegara Kaum Blok A Lantai Dasar RT. 001 RW. 009, Jakarta Timur dengan populasi yaitu orang tua siswa BKB PAUD Cahaya Permata yang berjumlah 12 orang. Penyuluhan dengan menggunakan metode ceramah, diskusi, dan demonstrasi stimulasi anak yang melibatkan peran aktif dari orang tua balita. Hasilnya menunjukkan bahwa terjadi peningkatan jumlah orang tua yang memiliki pengetahuan mengenai stimulasi anak sejak dini dan peningkatan rata-rata pengetahuan orang tua sebesar 12,34% dari 61.66% menjadi 74%. Setelah dilakukan penyuluhan dan stimulasi anak, orang tua dapat memahami urgensi dan materi stimulasi anak sejak usia dini.
Role of Extrinsic and Intrinsic Religiosity on Muslim Consumer Purchase Intention Toward Religiously Sanctioned Food
Authors: Umair Tahira , Naeem Hafiz Muhammad , Rashid Muhammad Amir
Published: June 2024

Differences in religious beliefs can impact the choices people make, the products they select, and the satisfaction they derive from life. Food plays a crucial role in this as it often catalyzes interaction among diverse social and religious groups. For instance, in Islam, dietary laws are clear regarding what is considered Halal (permissible) and Haram (forbidden). Consequently, the surge in demand for halal products has mirrored the expansion of the halal food industry. However, the level of religiosity among Muslims can vary based on their upbringing and exposure to social norms and values. Previous literature has mostly examined religiosity as a determinant of an individual's religious commitment to Halal-certified food products, with very few studies exploring the role of the dimensions of religiosity in influencing consumer purchase intentions for such products. Therefore, this study aims to provide a clear understanding of how various dimensions of religiosity influence the intention of Muslim consumers, especially those living in non-Muslim countries, to purchase halal-certified food products. To achieve this, the study employed an online survey methodology, collecting 291 usable responses from Muslims in China. The research framework used the Theory of Reasoned Action and utilized Smart PLS 4.1.0.2 version and SPSS Statistics Version 27 for data analysis. The findings revealed several significant relationships. The study demonstrated that the intrinsic religiosity of a Muslim consumer has a substantial effect whereas extrinsic religiosity has an insignificant impact on the attitude of a consumer. Moreover, consumer attitude significantly influences the intention of Muslim consumers to purchase religiously sanctioned food. The Country of origin has moderated the relationship between consumer attitude and intention to buy religiously sanctioned food for Muslim consumers living in non-Muslim states. The insights provided by this study are expected to be valuable for policymakers, including government bodies and certification organizations, as well as foreign investors and global marketers, as they seek to develop or revise their strategies for targeting Muslim consumers in non-Muslim states when it comes to halal-certified food products.
Impact of Public Procurement Rules on the Efficient Procurement Processes Mediated by Technology Integration Health Sector: A Case of Punjab
Authors: Anjum Muhammad Nadeem , Khan Muhammad Kashif
Published: June 2024

This study explores the impact of public procurement rules on the efficiency of procurement processes in the health sector of Punjab, focusing on the mediating role of technology integration. In the context of public sector procurement, stringent rules and regulations are designed to ensure transparency, accountability, and fair competition. However, these rules can also introduce complexity and delays. This research examines how the adoption of advanced technology solutions can streamline procurement processes and mitigate the challenges posed by regulatory frameworks. Using a mixed-methods approach, data were collected through surveys and interviews with key stakeholders in the health sector, including procurement officers, suppliers, and policy makers. The findings indicate that while public procurement rules impose necessary checks and balances, their rigid application can impede procurement efficiency. The integration of technology, such as e-procurement systems, has shown significant potential in enhancing process efficiency by automating workflows, reducing manual errors, and improving transparency. The study concludes that technology integration acts as a crucial enabler in balancing the dual objectives of regulatory compliance and operational efficiency in the health sector's procurement processes. Recommendations for policy adjustments and further technology adoption are provided to optimize procurement practices and improve health service delivery in Punjab.
Exposing Vibriosis: A Scoping Review of the Literature Regarding Sequelae of Non-cholera Vibrio Infection
Authors: Armstrong Alexandra , Hoffmann Sandra , Boyd Kylie , Austhof Erika , McFadden Caitlyn , Schaefer Kenzie , Pogreba-Brown Kristen
Published: June 2024

: Vibriosis, non-cholera infection by marine bacteria of the genus Vibrio, is a relatively uncommon infection associated with high morbidity and mortality relative to other bacterial food and waterborne pathogens. The range and impact of these common marine organisms is likely to increase as global water temperatures rise in association with global warming. We have conducted a scoping review of available literature (2000 - 2020), including individual case studies, in order to provide the most current overview of reported sequelae and complications of this disease, including amputation, necrotizing fasciitis, organ failure, respiratory complications, and uncommon serious outcomes. Notably, we have found the available data indicate that route of exposure (contact with water, ingestion) may not be as reliably associated with disease presentation (soft tissue infection, gastroenteritis, sepsis) as has commonly been proposed. This information can be used to inform more accurate burden estimates for this disease, which have, to date, not included severe tissue sequelae including amputation as an outcome associated with foodborne exposure to non-cholera Vibrio. We have also identified knowledge gaps and priority research areas that may provide data allowing further refinement of cost and burden models.
An Outbreak of Pan-drug Resistant Providencia Species in an Intensive Care Unit: A Case-Series
Authors: Hadavand Fahimeh , Naseri Seyyed Rahim , Mardani Masoud , Tabarsi Payam , Keyvanfar Amirreza , Gachkar Latif , Shoaei Simin Dokht , Aghazade Kouros
Published: June 2024

Background: Providencia species are opportunistic pathogens that can rarely cause nosocomial infections. They possess numerous virulence characteristics, such as intrinsic antibiotic resistance, which enable them to cause lethal outbreaks. The emergence of pan-drug resistant (PDR) isolates amplifies the threat of Providencia spp. to human health. Objectives: We described an outbreak caused by PDR Providencia spp. in the intensive care unit (ICU) of our medical center. Methods: This outbreak occurred at Imam Hossein Hospital in Tehran, Iran, between 20 June and 28 July 2023. The majority of the 14 patients experienced ventilator-associated pneumonia (VAP); however, two others had surgical site infections (SSI) and peritoneal abscesses. Samples were subcultured on Blood agar, Chocolate agar, and MacConkey agar, as well as differential gallery mediums. Additionally, susceptibility to antimicrobial agents was determined by the disk diffusion protocol using Mueller-Hinton (MH) agar. Results: The rapid diagnosis of the outbreak and practical measures recommended by the infection prevention and control (IPC) committee (e.g., sampling from other patients, hands of healthcare workers, and the environment to identify further cases and the source of the infection, contact isolation, disinfection of the ICU with 1% chlorine solution, and combined antibiotic therapy) assisted us in managing it. Nevertheless, the outbreak resulted in the mortality of eight patients, despite these preventive and therapeutic measures. Conclusions: Clinicians should be aware of nosocomial infections caused by opportunistic pathogens such as Providencia spp., especially in ICU-admitted patients with prolonged hospitalizations and broad-spectrum antibiotic administration. Strong clinical suspicion and timely detection of outbreaks, investigation of further cases, contact isolation of infected patients, disinfection of the environment, treatment with combined antibiotic regimens, and re-sampling of patients and the environment are the cornerstones of managing outbreaks caused by Providencia spp.
Evaluation of the Knowledge Level of Dental Students Regarding the Dental Management of Medically Compromised Patients
Authors: Shooriabi Mohammad , Modarres Mousavy Sedigheh , Ezati Mahdiyeh
Published: June 2024

Background: The chances of survival for people suffering from various systemic diseases have increased due to medical advances and better access to medical services. This has led to an increase in the number of medically compromised patients in society. These patients undoubtedly need dental treatments during their lifetime. Dentists’ knowledge of these situations is crucial to prevent the health of these patients from being compromised during dental treatment. Objectives: Therefore, the present study evaluated the knowledge of students in the management of medically compromised patients using a questionnaire. Methods: This descriptive cross-sectional study was conducted among clinical students of the Ahvaz Faculty of Dentistry. A sample size of 150 people was selected using a convenience sampling method. Data was collected using a self-made questionnaire regarding the dental management of medically compromised patients. t-tests and Mann-Whitney tests were used for statistical analysis of quantitative variables. The significance level in statistical tests was considered to be 0.05, and P-values less than 0.05 were considered significant. Results: In this study, the mean score of knowledge was 9.60 ± 3.45, and the knowledge of dental interns was higher than that of other students. The analysis of variance test showed that the mean scores of total knowledge were significantly different in four entries (P < 0.001). More than seventy percent of students were not satisfied with the teaching method of this course. Conclusions: The level of awareness of dental students regarding the dental considerations for systemic patients is not high, and the students are not satisfied with the way this course is taught.
Epidemiological, Angiographic and Cardiovascular Outcomes of Patients Diagnosed with Myocardial Bridge
Authors: Pourbahador Reza , Kohi Mostafa , Hasandokht Tolou , Ahmadnia Zahra , Salari Arsalan
Published: June 2024

Background: Myocardial bridging (MB) is a congenital coronary anomaly that can lead to harmful cardiac consequences if not diagnosed and treated. Objectives: This study aims to evaluate the Epidemiological, angiographic, and cardiovascular outcomes of patients diagnosed with myocardial bridge. Methods: The current research was conducted as a retrospective study in which 151 patients who underwent angiography participated. These patients were admitted between May 2014 and May 2016 at Heshmat and Aria hospitals in Rasht. The collected information in the present study included age, gender, blood pressure history, diabetes mellitus, blood lipid disorders, ischemic changes in ECG, ischemic changes in heart scan, output fraction, ischemic changes in exercise test, number of bridges, name of vessel, length of muscle bridge, and distance from the opening. To analyze the variables, the Chi-square test and independent t-test were used. Results: As a result, we found that myocardial bridging was present in 57 patients, and 95.08% of the bridges were located above LAD. According to this study, there is no significant relationship between the length of the bridge and the distance of the bridge from the vessel opening with the occurrence of ischemic changes in ECG and myocardial perfusion scan (P > 0.05). However, the average distance of the bridge from the vessel opening in patients who had a positive exercise test was lower compared to the patients who had a negative test. They had a negative exercise test, and this difference was statistically significant (P < 0.05). Conclusions: Furthermore, in patients diagnosed with an MB by CAG, the most MB located in the LAD, and this issue can help to better understand the outcome and how to manage these patients.
Predictors of Happiness Among Hemodialysis Patients in Qazvin-Iran
Authors: Motalebi Seyedeh Ameneh , Yousefi Bahareh , Hosseinpour Fatemeh , Hosseinigolafshani Seyedehzahra
Published: June 2024

Background: The enhancement of happiness in patients undergoing hemodialysis is positively associated with improved physical and mental health outcomes. Objectives: This study was conducted to identify predictive factors of happiness among a group of Iranian hemodialysis patients. Methods: In 2021, a descriptive study was carried out involving 200 hemodialysis patients from a center in Qazvin province, Iran. The census method was utilized to select eligible patients. Data collection was conducted using a socio-demographic checklist, the Oxford Happiness Questionnaire, and Snyder’s Hope Scale. A multivariate regression model was employed to ascertain the predictors of happiness. Results: The average age of the patients was 59.23 ± 14.43, with an age range from 18 to 86 years. The majority were male (n = 122, 61.0%) and married (n = 134, 67.0%). A significant portion of the patients (69%, n = 138) reported moderate levels of happiness. The study also discovered that educational level (β = 0.248, P ≤ 0.001), marital status (β = -0.268, P ≤ 0.001), adequacy of hemodialysis (β = 0.268, P ≤ 0.001), and hope (β = 0.231, P ≤ 0.001) were significant predictors of happiness in patients undergoing hemodialysis. Conclusions: The findings indicate that the majority of hemodialysis patients in Qazvin experience a moderate level of happiness. Factors such as hope, educational level, marital status, and adequacy of hemodialysis were linked to their happiness. These insights can inform health strategies developed by decision-makers aimed at enhancing the happiness of this patient group.
Cytotoxic Activity and Molecular Docking Studies of the Fraction Containing Ergosta-14,22-dien-3-ol (3β, 5α, and 22E) from Dysidea avara Sponges
Authors: Nazemi Melika , Golshan Mahdi , Khaledi Mostafa , Shushizadeh Mohammadreza , Zare Masoud , Moradipoodeh Bahman , Jenabidehkordi Kiana
Published: June 2024

Background: Cancer is a global health burden, and the discovery of novel therapeutic agents remains a critical pursuit. Marine organisms, including sponges, have emerged as a promising source of structurally diverse natural products with potential anticancer properties. Objectives: In the present study, the cytotoxic activity of the fraction containing Ergosta-14,22-dien-3-ol (3β, 5α, and 22E), a steroid compound derived from Dysidea avara, was evaluated against Jurkat/E6-1 and Hek293 cells. Methods: Multiple analytical techniques, including column chromatography, TLC, and GC-MS, were used to isolate and identify the compound from marine sponges from the Persian Gulf. The XTT assay determined the cytotoxic activity and western blot for P53 expression in the Jurkat/ E6-1 cell line. The compound was also docked within the poly (ADP-ribose) polymerase-1 (PARP1) and E3 ubiquitin-protein ligase (MDM2) to investigate its potential mechanism of action. Furthermore, the pharmacological properties of the compound were predicted using PerADME, SwissADME, and Molinspiration tools. Results: The results showed that Ergosta-14,22-dien-3-ol (3β, 5α, and 22E) exhibited significant cytotoxic activity against Jurkat/E6-1 cells with an IC50 of 26.59 μg/mL. Western blotting analysis demonstrated a noticeable increase in the expression of P53 protein in cells treated with 50 and 100 µg/mL of the compound. In silico analysis revealed adequate binding energy against PARP1 and E3 MDM2 receptors. The compound also demonstrated favorable pharmacokinetic characteristics, specifically in absorption, distribution, metabolism, and excretion (ADME). Conclusions: Ergosta-14,22-dien-3-ol (3β, 5α, and 22E) has the potential to be developed as a promising anti-cancer agent.
Factors Associated with Cesarean Section in Preterm Births at a Tertiary Hospital in Rasht, Iran
Authors: Milani Forozan , Sharami Seyedeh Hajar , Attari Seyedeh Maryam , Rafiee Sorouri Zahra , Farzadi Sara , Kazemi Soodabeh
Published: June 2024

Background: Cesarean section (C-section) is increasing globally. Many studies have investigated factors associated with C-sections, but predictors of C-sections in preterm birth are not well documented. Objectives: This study aimed to evaluate Factors associated with C-sections in preterm births at a Tertiary hospital in Rasht, Iran. Methods: A retrospective cross-sectional study was conducted on all neonates born between 2017 and 2022. The data were collected from the medical records. Descriptive statistics, chi-square, and Fisher's exact test were performed. Multiple logistic regression was applied to identify factors associated with C-section. Results: The sample community included 1145 preterm neonates. Factors associated with C-section in preterm births included the mother's age (P < 0.001, OR = 1.06), gestational age (P < 0.001, OR = 1.24), neonate's weight (P = 0.042, OR = 0.62), infertility history, (P = 0.043, OR = 1.58), abortion history (P = 0.006, OR = 1.88), and iatrogenic preterm birth (P < 0.001, OR = 4.99). Conclusions: Clinicians and policymakers should give special attention to these factors for C-sections in preterm births, especially iatrogenic preterm birth.
How Effective Are In-Hospital Training Workshops on Infection Control for Physicians? First Report in Iran
Authors: Seifi Arash , Mohammadnejad Esmaeil , Miladi Ronak
Published: June 2024

Background: The treatment staff should properly understand infection prevention and control (IPC) methods. Adherence to IPC has significant implications and outcomes for maintaining treatment staff safety, patient protection, and environmental care. Objectives: This study was conducted to examine infection control training in doctors. Methods: This study was conducted in Imam Khomeini Hospital in Tehran, Iran, and practitioners in internal and surgical departments participated. The research focused on infection prevention and control (IPC) through specialized workshops and questionnaires using a pre-and post-test design. The sessions included topics such as infection control, transmission, hospital-acquired infections, and components of the IPC program. Questionnaires based on the KAP method evaluated participants' knowledge, attitude, and performance. This study was approved by the university's research vice department and the research ethics committee. Data were analyzed using SPSS software, and the significance of P < 0.05 was emphasized. Results: Of the 251 medical residents, 189 completed the study, 122 of whom were in internal medicine and 67 in surgery. Among the 158 faculty members, 60 completed the study, 39 were in internal medicine, and 21 were in surgery. The mean pre-test scores for internal medicine residents were 15.63 (out of 30) and 13.11 for surgical residents, respectively, which increased to 22.41 and 18.09 in the post-test. Conclusions: The results showed that regular and standard periodic training can improve doctors' knowledge and performance in implementing infection prevention and control programs.
Insights Into Down Syndrome Screening and Diagnostic Test Preferences Among Pregnant Women: Findings from a Cross-Sectional Study in Vietnam
Authors: Tang Hai Xuan , Tran Tu Anh , Le Anh Hoai , Nguyen Van Thi , Luu Ha Thi , Phung Toi Lam , Pham Hung Van
Published: June 2024

Background: Screening for Down syndrome (DS) conducted in the first trimester provides essential information for expectant parents and healthcare providers to make informed decisions about further diagnostic testing and potential interventions. Objectives: This study aimed to explore the preferences and influential factors for subsequent screening and diagnostic tests among Vietnamese women at risk for DS, including non-invasive prenatal testing (NIPT) and amniocentesis. Methods: A cross-sectional study was conducted from January 2022 to January 2023 with 125 pregnant women selected through convenience sampling at a public hospital in Vietnam. Data were collected from standardized medical records and analysis forms for each participant who underwent first-trimester Double test screening at the healthcare center. Participants were stratified by DS risk thresholds ranging from 1/51 to 1/1000. Chi-square and Fisher's exact tests were used to compare the acceptance rate of screening tests between groups. Logistic regression was utilized to explore factors related to participants' preferences. Results: The majority (71.2%) of participants were under 35 years old. The prevalence of consenting to further tests was 69.7% in the high-risk group (95% CI: [54.02%, 85.38%]) and 67.4% in the moderate-risk group (95% CI: [57.81%, 76.97%]), with all participants in the moderate-risk group selecting NIPT. In the high-risk group, 65.22% preferred NIPT and 34.78% chose amniocentesis. The key reasons for declining further testing included a preference for ultrasound monitoring (70%), financial constraints (7.5%), and religious beliefs (10%). Chi-square analysis indicated a statistically significant variation in diagnostic test selection by age group, with younger women more likely to choose NIPT (P < 0.0001). Conclusions: There is a marked preference for NIPT over invasive methods, especially among younger moderately risk women. These results emphasize the need for individualized counseling and education, as well as increased support for noninvasive testing options through healthcare policy and insurance coverage.
Monitoring And Controlling System Based on Internet of Things (IoT) for Ornamental Chrysanthemum Plants
Authors: Noval Roihan , Yanti Indri , Pauzan Muh
Published: June 2024

Monitoring and controlling system based on Internet of Things has been developed for ornamental chrysanthemum plants. User interface of the system is a website application created using PHP programming language and MySQL as Database Management Systems. The IoT system built are the result of literature review of chrysanthemum plants, such as an ideal soil moisture for chrysanthemum plants is in the range of 40% to 60%, the average plant water requirement is 16.05 ml/day, it is also recommended to apply liquid fertilizer with a high N content of 2g per litre of water every week. This knowledge then applied in the IoT system. Research findings indicated that the device could be controlled through the website and was capable of transmitting real-time soil moisture data. This system not only triggers watering when the soil humidity falls below 41%RH and stops it when reaching 60%RH but also incorporates scheduled fertilizer according to predetermined schedules, meeting the anticipated outcomes. Water and fertilizer pumps produced volumetric flow rate that changed as the level of liquid in the storage tank decreases. The lower the height, the smaller the volumetric flow rate produced, this is due to the influence of hydrostatic pressure.