bluuebunny/crossref_metadata_2025 huggingface dataset:
AI-Driven Scaling of Sustainable Startups: Business Models and Environmental Impact
Authors: Subramanyam Dr. N , Bhavitha Yerru , Pallavi Vadlamanu , Jain D Aryan , Yeshwanth Seshu Goli
Published: November 2024

With fast growth in sustainable startups at variance with profitability, the likelihood of high profitability contrasted with minimal environmental impact becomes a great challenge and opportunity. In this article, the role of AI in scaling through innovative business models to meet sustainability goals is investigated. The latest development in optimized operating efficiency, lesser resource consumption, and improved scalability has seen AI use go unexplored in business models designed particularly for environmental sustainability goals. This paper addresses how AI-enabled business model innovation can facilitate scaling up of sustainable start-ups in renewable energy, waste management, and circular economy practices. In addition, resource reallocation under such a scenario comes with a double dividend: it brings better economic growth alongside lower ecological damage, while reduction in AI's adverse environmental impact arises as a by-product. Case studies are expected to summarize the complexity in practice and limitations of AI for sustainable business growth. This study, therefore, provides an answer that contributes to understanding how startups may leverage AI to drive not only economic value but also create environmental value, thus providing the much-needed roadmap for future research in a rapidly changing field.
Emotionally Intelligent AI: Revolutionizing Customer Service with Empathy and Precision
Authors: Krishna Pasupuleti Murali
Published: November 2024

Abstract: This chapter explores the transformative impact of Emotionally Intelligent AI on customer service, focusing on how AI systems are designed to understand and respond to human emotions with empathy and precision. It delves into the core technologies, such as sentiment analysis, emotion recognition models, and reinforcement learning, that enable AI to provide emotionally aware interactions. Practical applications are discussed, including AI-powered customer support, personalized experiences, and crisis management solutions. The chapter also covers the psychological foundations of AI-driven empathy, ethical and privacy considerations, and future trends in affective computing and integration with technologies like AR/VR and IoT. The potential business advantages of adopting Emotionally Intelligent AI for enhanced customer satisfaction and long-term relationship management are highlighted, emphasizing the balance between technology and the human touch. Keywords: Emotionally Intelligent AI, customer service, empathy, sentiment analysis, emotion recognition, reinforcement learning, affective computing, personalized interactions, ethical AI, data privacy, AR/VR, IoT, human-AI interaction, future trends, business impact.
Bridging Isolation with Crisis Support: Lessons from the Maniilaq Family Crisis Center in Kotzebue, Alaska
Authors: Lie Shylena
Published: November 2024

The Maniilaq Family Crisis Center, founded by volunteers in 1984, has evolved over decades to become a pivotal Domestic Violence and Sexual Assault emergency shelter serving individuals aged 18 and older across remote Alaskan communities. Relocating to its dedicated facility in Kotzebue in 1998, the center provides critical support to 11 outlying villages, including Ambler, Kobuk, Shungnak, Noatak, Selawik, Kiana, Noorvik, Kivalina, Deering, Buckland, and Point Hope. This paper offers a unique perspective on the center's expansion, informed by the author’s nine years of managerial experience in a region where access to crisis services is extremely limited. It explores the substantial growth in service scope, staff roles, and employee retention, along with the challenges and innovations required to deliver these services in isolated, culturally diverse communities. By presenting comparative statistics on domestic violence and sexual assault across Alaska, Texas, and California, the paper contextualizes the distinct challenges faced in Alaska's rural areas. It further addresses the leadership approach that has been essential in managing the center effectively, emphasizing the strategic balance of cultural sensitivity and operational sustainability. Concluding with future objectives for maintaining and advancing resources in this remote region, the paper underscores the indispensable role that the Maniilaq Family Crisis Center plays in safeguarding the welfare of some of Alaska's most geographically and socially isolated communities.
Telehealth’s Role in Modern Healthcare: Accessibility, Adherence, and Challenges
Authors: Carroll Chelsea
Published: November 2024

This paper examines the transformative impact of telehealth innovation on healthcare delivery and accessibility. Since the onset of the COVID-19 pandemic, the healthcare landscape has been reshaped, expanding the options available to both providers and patients. Telehealth enables virtual and telephone consultations, enhancing accessibility for individuals unable to attend in-person appointments. This shift has improved patient adherence to scheduled care, reducing the rates of appointment rescheduling or missed visits. Through a review of recent developments and empirical findings, this study highlights the dual benefits of telehealth for patients and healthcare providers, alongside the ongoing challenges associated with its integration into everyday practice. The insights presented here aim to offer healthcare professionals and stakeholders a comprehensive overview of the advantages and obstacles linked to telehealth, facilitating informed decision-making on future applications of this innovative approach.
Evaluating Market Segmentation Effectiveness: A LEGO Case Study
Authors: Tuchardt Bethany , Carruthers Caeden
Published: November 2024

This article examines LEGO's marketing strategies with a focus on its application of market segmentation, customer relationship-building, and product value development within key consumer segments. Specifically, it explores LEGO's approach to understanding and engaging young girls aged 6-10, a demographic historically underrepresented in the construction toy market. The study analyzes the launch and evolution of the LEGO Friends product line, which was crafted with input from young girls, highlighting LEGO's commitment to audience-driven design and adaptive marketing. By examining the success of LEGO Friends, this paper illustrates the effectiveness of LEGO’s market research and data-centric product development. The findings underscore how these strategies contribute to sustained growth and customer satisfaction.
Resnet for Blood Sample Detection: A Study on Improving Diagnostic Accuracy
Authors: Gopi Arepalli , Sudha L.R , Iwin Thanakumar Joseph S
Published: November 2024

Automated blood cell analysis plays a crucial role in medical diagnostics, enabling rapid and accurate assessment of a patient's health status. In this paper, we provide a unique technique for detecting and classifying WBCs,RBCs, and platelets inside blood smear pictures using ResNet (Residual Neural Network), a deep learning architecture. Because of its capacity to efficiently train very deep neural networks while minimizing the vanishing gradient problem, the ResNet architecture has exhibited excellent performance in a variety of image recognition applications. Leveraging the power of ResNet, we developed a multi-class classification model capable of distinguishing between WBCs, RBCs, and platelets within microscopic images of blood smears. Our methodology involved preprocessing the blood smear images to enhance contrast and remove noise, followed by image segmentation to isolate individual blood cells and platelets. The segmented images were then used to train and fine-tune a ResNet model, utilizing a large annotated dataset of labeled blood cell images. The trained model exhibited remarkable accuracy in identifying and classifying different blood cell types, even in the presence of overlapping cells or artifacts. We extensively tested our suggested technique, on a range of blood smear images to evaluate its performance. The findings demonstrated that ResNet effectively identifies and categorizes WBCs, (RBCs) and platelets. When compared to methods our approach showcased superior accuracy, robustness and generalization capabilities. After training the model with the Resnet algorithm we got 92% of Accuracy
Pengelolaan Ekstrakurikuler Kepramukaan dalam Meningkatkan Sikap Kepemimpinan di MI Darussalam Badang Jombang
Authors: Nur Afif Intan Warda , Bahrodin Ariga
Published: November 2024

Makna sikap kepemimpinan merupakan pandangan seseorang kepada suatu objek yang harus dimiliki dalam memimpin, itu artinya terkait erat dengan sikap pemimpin yang berkaitan dengan nilai karakter.  Setiap madrasah pasti punya strateginya masing-masing untuk membentuk sikap kepemimpinan pada setiap peserta didiknya. Seperti hal nya MI Darussalam Badang Ngoro Jombang, di sana juga mempunyai strategi tersendiri untuk meningkatkan sikap kepemimpinan melalui ekstrakurikuler. Salah satunya adalah melalui program ekstrakurikuler pramuka.
Ada tiga fokus dalam penelitian ini, yakni: (1) Pengelolaan ekstrakurikuler kepramukaan di MI Darussalam Badang Jombang (2) Pengelolaan Ekstrakurikuler Kepramukaan dalam Meningkatkan Sikap Kepemimpinan Peserta Didik di MI Darussalam Badang Jombang (3) Faktor Pendukung dan Penghambat Pengelolaan Ekstrakurikuler Kepramukaan dalam Meningkatakan Sikap Kepemimpinan Peserta Didik di MI Darussalam Badang  Jombang.
Pendekatan penelitian Kualitatif, jenis penelitiannya Studi Kasus. Teknik pengumpulan data menggunakan observasi, wawancara dan dokumentasi. Teknik analisis data menggunakan reduksi data, penyajian data, penarikan kesimpulan dan verifikasi. Sedangkan teknik pengecekan keabsahan data menggunakan triangulasi sumber dan triangulasi teknik. Adapun sumber penelitian ini yaitu, Kepala Madrasah, Waka Kesiswaan, Pembina Pramuka dan peserta didik.
Hasil penelitian tentang Pengelolaan Ekstrakurikuler Kepramkaan dalam Meningkatkan Sikap Kepemimpinan Peserta Didik di MI Darussalam Badang Jombang, adalah: 1) Kegiatan Ekstrakurikuler Pramuka ini merupakan kebijakan madrasah dan pelaksanaan program rutin tahunan, (2) Adanya perbedaan peserta didik yang aktif mengikuti kegiatan contohnya lebih disiplin dan berani dalam hal apapun dan peserta didik yang jarang mengikuti kegiatan cenderung masih malu-malu dan kurang disiplin, (3) factor pendukung adanya dukungan dari orang tua dan motivasi dari guru maupun diri peserta didik sendiri, dan factor penghambat nya yaitu kurangnya dana dan fasilitas serta kurang nya penerapan sikap kepemimpinan dari diri peserta didik.
Multidisciplinary Approaches in General Medical Practice: Enhancing Collaboration for Better Patient Care
Authors: Alsubaie Saad Saud , Bukhamseen Zainab Fadhle Abbas , Alyami Faisal Saeed Ahmed , Alotaibi Majed Faris , Alkahtani Fawaz Abdullah , Alkhamsan Mohammed Saeed , Alaseel Ahmed Jaffer , Albahri Mansour Awadh Saeed , Bahrani Janan Ibrahim Ali Al , Khamees Zainab Habib Al
Published: November 2024

Multidisciplinary approaches in general medical practice have become integral to providing comprehensive, patient-centered care, as the complexity of modern health issues often requires a diverse range of expertise. This review explores the role and benefits of multidisciplinary teams in enhancing patient outcomes, improving resource efficiency, and increasing patient satisfaction in general medical settings. By examining the contributions of various healthcare professionals—including primary care physicians, specialists, allied health professionals, and behavioral health specialists—this review emphasizes how collaborative efforts address complex health needs more effectively than traditional, siloed approaches. Key case studies illustrate successful multidisciplinary practices in managing chronic diseases and complex conditions, highlighting the advantages of coordinated care models. The review also addresses challenges, such as communication barriers, hierarchical dynamics, and logistical constraints, that can hinder effective collaboration. Furthermore, it discusses technological supports, such as electronic health records (EHR) and telemedicine, which facilitate real-time communication and care coordination. The article concludes with recommendations for expanding multidisciplinary teams in primary care, promoting educational initiatives for team-based care skills, and advocating for policy support to institutionalize multidisciplinary approaches in general medicine. These findings suggest that well-coordinated multidisciplinary teams can transform patient care, making it more holistic, efficient, and responsive to individual needs.
Integrating Artificial Intelligence Across Medical Clinics: Strengthening Collaborative Efforts for Improved Patient Outcomes
Authors: Alyami Mahdi Salem Mana , Alyami Mohammad Mahdi Mohammad , Khuraim Hamad Ali Muhammad Al , AL SALEM AWADH MOHAMMAD SALEM , Mohammed Al Hadi Ali , Albakri Khalid Ali Mohammed , ALsaqran Qubyl Nasser , Alyami Hamda Salem , Alzamanan Ahmed Saleh , Alharbi Fahad Monawer , Alharbi Mofleh Ali
Published: November 2024

The integration of Artificial Intelligence (AI) across medical clinics holds transformative potential for enhancing patient outcomes through improved collaboration. This review examines the applications of AI in fostering inter-clinic connectivity, with a focus on diagnostics, treatment planning, and patient management. By utilizing AI-powered data-sharing platforms, predictive analytics, and telemedicine solutions, clinics can collaborate more efficiently, ensuring continuity of care and reducing diagnostic errors. Despite these advancements, challenges persist, including data privacy, interoperability, and resistance to AI adoption among clinical staff. This review highlights case studies showcasing successful AI-enabled collaborations and proposes future directions to address current limitations. Overall, AI's role in linking medical clinics underscores its potential to revolutionize patient care by bridging gaps in communication and decision-making processes.
Advancements in Clinical Practice: A Comprehensive Review of Emerging Trends in Medical Development
Authors: Alajmi Abduruhman Fahad G , Otaibi Saud Bin Eid Al , Al Zahir Zahra Jaffer , Alzahrani Abdullah ahmed Mohammed , Hazzazi Abdurhman Mohammed Ali , Almutawa Abdulaziz Khalifa Ali , Alawadh Ekram Essa Ayesh , AlHubail Aqeelah Abdullah , Alakloby Rajawy Mohad Sultan , Alsadan Mashel Abdullah
Published: November 2024

This review article explores the latest advancements in clinical practice, focusing on emerging trends that are transforming healthcare delivery and patient outcomes. Key developments discussed include telemedicine and remote patient monitoring, personalized and precision medicine, artificial intelligence (AI) and machine learning (ML) in diagnostics, robotics and automation in surgery, as well as mobile health applications and wearable devices. Each of these advancements has the potential to enhance the accessibility, accuracy, and efficiency of clinical care. However, these innovations also introduce challenges, such as concerns about data privacy, ethical considerations surrounding AI, and the need for updated regulatory frameworks. The review highlights how these trends contribute to improved patient engagement, cost efficiency, and overall healthcare quality. By examining both the benefits and challenges associated with these developments, this article underscores the importance of innovation in driving the future of clinical practice. Recommendations for future research and policy are also provided to support the continued evolution of healthcare practices.
Oral Health and Systemic Disease: A Systematic Review of the Impact of Dental Care on Overall Health
Authors: Merza Randa fouad , Aljohani Rasha Bakheet , Alqahtani Nadeen Saeed , Al-sulami Sarah Bakheet Bakheet , Sindi Johara abid , Kabli Razan sadiq yousif , Alluqmani Shahad hamoud , Aljohani Rasha Bakheet , Saleh Muna Abdullah , Hawsawi Samiah Mohammed Abdullah , Aljahdali Bayan Abdullah Sadeq
Published: November 2024

Oral health is increasingly recognized as a critical component of overall health, with research highlighting its potential impact on various systemic diseases. This systematic review examines the current evidence on the association between oral health, particularly dental care, and systemic conditions such as cardiovascular disease, diabetes, respiratory illnesses, and adverse pregnancy outcomes. A comprehensive literature search was conducted across multiple databases, focusing on studies published from 2016 onward. Studies indicate that periodontal disease and other oral health issues may contribute to systemic inflammation, a common factor in many chronic conditions. Specifically, findings suggest that managing oral health can have beneficial effects on cardiovascular health, glycemic control in diabetic patients, and respiratory function, as well as reduce risks for adverse pregnancy outcomes. However, while associations are evident, causality remains difficult to establish, and further longitudinal research is needed to clarify these relationships. This review underscores the importance of incorporating dental care into holistic health approaches, advocating for greater collaboration between dental and medical professionals. Public health initiatives promoting regular dental check-ups and preventive care may play a crucial role in improving overall health outcomes.
Patient Safety and Medical Error Prevention in General Practice: A Comprehensive Systematic Review
Authors: Khard Marwah Hussain Alawi , Tobiqe Reem Fadhl , Barjas M Aldawsari. Maha , Khardali Amani Abdullah , khardali Khulud Mohsen , Alirfan Hamad Hussain , Alomari Faisal Mohammed , Al mansour Ali Saleh Mohammed , Hamad Alyami Mohammed Yahya , Mansoor H Al-Sadran, Ali
Published: November 2024

Patient safety and medical error prevention remain critical issues in general practice, where medical errors can lead to adverse patient outcomes and increased healthcare costs. This systematic review synthesizes recent evidence on prevalent types of medical errors, effective prevention strategies, and outcomes of patient safety interventions within general practice settings. Following a comprehensive search across multiple databases, 52 studies published from 2014 to 2024 were included. Findings highlight medication errors, diagnostic inaccuracies, and communication lapses as the most common types of errors. Effective prevention strategies include the adoption of electronic health records (EHR), structured team communication protocols, checklist systems, and staff training programs on safety practices. These interventions have shown significant reductions in error rates and improvements in patient outcomes, though implementation is often hindered by barriers such as limited resources, resistance to change, and lack of training. This review underscores the importance of a multifaceted approach that combines technological, organizational, and educational interventions to enhance patient safety in general practice. Future research should explore long-term impacts of these interventions and address context-specific challenges to foster a culture of safety in healthcare settings.
Accounting Standard for Private Entities: are They Truly Useful? (Survey among Accounting Stakeholders in West Java, Indonesia)
Authors: Pratama Arie , Ismail Rina Fadhilah , Muhammad Kamaruzzaman , Yadiati Winwin
Published: November 2024

This study examines the usefulness of new accounting standards for Indonesian private entities namely the Indonesian Private Entity Financial Accounting Standard (SAK EP), which will come into effect in 2025, in preparing private entities’ financial statements, from the perspective of various stakeholders: accounting students, accounting educators, financial statement preparers, and financial statement users. It is a simplified accounting framework that is tailored to smaller entities without public accountability and less complexity in reporting financial information while retaining essential information in meeting stakeholders’ need. This study uses two independent variables from accounting decision usefulness theory: (1) accounting stakeholders' level of understanding of the SAK EP and (2) accounting stakeholders' perceptions of the accounting profession. This study collected data from 515 accounting stakeholders in West Java Province, Indonesia, through an online survey. A quantitative research method is employed, and the data is analysed using two key statistical techniques: (1) one-way ANOVA to assess whether there are statistically significant differences in the mean scores of accounting stakeholders, and (2) multiple regression analysis to examine the relationship between the dependent variable (usefulness) and two independent variables (level of understanding of the SAK EP and perception of the accounting profession). The findings showed that: (1) the level of understanding of SAK EP varies among accounting stakeholders; (2) the perception of accounting stakeholders toward the accounting profession is generally high ; (3) the usefulness of SAK EP in preparing high-quality financial statements is highly perceived and (4) high understanding of the SAK EP and better perception of the accounting profession increase the usefulness of the SAK EP standard in the preparation of financial statements among private entities. This study suggests that the implementation of SAK EP in Indonesia is quite challenging, especially in improving the understanding of SAK EP and meeting high expectations of accounting stakeholders.
Economic Diversification through Knowledge-Based Industries 2024
Authors: Mohammed Halima Younis Abbas
Published: November 2024

This study aims to analyze the impact of the knowledge economy on economic diversification in Saudi Arabia and its contribution to sustainable development by developing supportive strategies and policies. To achieve this goal, the study employed an inductive approach, gathering data and information from diverse sources, including books, references, and both Arabic and international journals. Descriptive and analytical economic analyses were used to review and interpret data related to knowledge economy indicators. Additionally, statistical analysis was conducted using EViews software to examine regression relationships between independent and dependent variables, aiming to evaluate the knowledge economy's role in promoting economic diversification and sustainable development in Saudi Arabia. The study found that the knowledge economy plays a pivotal role in enhancing economic diversification. The results showed that regions focusing on knowledge-based industries exhibit higher levels of productivity, technological advancement, and employment in high-skill sectors. Investments in education, research, and development significantly bolstered the competitiveness of these industries in the global market, thereby supporting sustainable economic growth. Analysis results also revealed that economic diversification positively supports the growth of knowledge-based industries, particularly in Saudi Arabia, where diversification efforts have reduced reliance on traditional sectors and enhanced the economy’s resilience and adaptability to global changes.
Las representaciones zoomorfas en perspectiva cenital. Un estado de la cuestión
Authors: Romero Carnicero Fernando
Published: November 2024

Estas representaciones iconográficas se expresan en los más diversos soportes, tanto en lo que se refiere a su funcionalidad como a la materia prima en la que fueron elaborados, con técnicas diferentes y con una cierta uniformidad iconográfica, independientemente de su adscripción cultural o cronológica (siglos II a. C. a I d. C.). Aparecen en tierras del interior peninsular, con particular concentración en la meseta Norte y, más concretamente, en el Alto y Medio Duero, por lo que puede tratarse de un elemento característico de la iconografía arévaco-vaccea.
Iconografía vaccea: una aproximación a las imágenes del territorio vacceo
Authors: Alfayé Villa Silvia
Published: November 2024

La gran expansión y unidad del estilo decorativo vacceo sobre diferentes soportes y en diversos contextos demuestra su plena relevancia social y simbólica como expresión material de metáforas culturales propias de este pueblo, así como de su compleja cosmovisión.
El arte popular ante un nuevo milenio
Authors: Vega Herrero Elvira
Published: November 2024

Dentro del recurrente intento por delimitar el terreno de lo artístico encontramos ciertas diferencias entre arte culto y arte popular. Pese a que en la mayoría de los casos diferenciamos a cuál de las dos categorías pertenece una obra, existen otras más ambiguas o que, pese a ser fruto de la tradición, hemos convertido en cultas por su importancia. Además, con la llegada de la modernidad, asistimos a la aparición del arte de masas como fenómeno que, si bien no procede del folclore, está dirigido a un pueblo que se uniformiza bajo la homogeneidad de la masa, provocando así nuevas discusiones en el terreno de la reflexión estética. Este artículo pretende analizar las características esenciales de lo que consideramos arte tradicional y exponer la cuestión del arte de masas como nueva forma de arte popular adaptada a nuestro tiempo, en el cual las diferentes identidades culturales dejan paso a la uniformidad y el pueblo termina por convertirse en masa.
Un vacío vacceo historiográfico: sus necrópolis
Authors: Sanz Mínguez Carlos
Published: November 2024

El hallazgo escaso y tardío de los cementerios vacceos constituye uno de los factores principales para explicar la escasa atención historiográfica que ha recibido su caracterización material, contrariamente a como aconteció con otras etnias prerromanas próximas como los vetones o los celtíberos.
Semblanza de Federico Wattenberg
Authors: Wattenberg García Eloísa
Published: November 2024

Biografía personal y académica del "fundador" de la arqueología vaccea.
Excisión “a bisel” y producciones singulares de la segunda Edad del Hierro en territorio vacceo
Authors: Sanz Mínguez Carlos
Published: November 2024

Panorama general sobre la técnica decorativa de la excisión desarrollada en el territorio del pueblo vacceo con una expresión propia, que se manifiesta fundamentalmente en las piezas denominadas “producciones singulares”, de gran carga simbólica. En el caso vacceo, la cronología se extiende entre los siglos IV y I a. C. y manifiesta rasgos identitarios propios, ausentes en buena medida en regiones limítrofes. El estudio se basa en los materiales pintianos, ya que, no en vano, en conjunto suponen el 70% de los hallazgos realizados, aunque también se repasan los encontrados en otros yacimientos de la dispersa geografía vaccea.
La cerámica con decoración a peine: de “fósil-guía” a indicador de etnicidad
Authors: Álvarez Sanchís Jesús Rafael
Published: November 2024

Dentro del conjunto de materiales característicos de las poblaciones de la Edad del Hierro en la meseta, la cerámica decorada a peine suscitó desde muy pronto un destacado interés entre los investigadores por constituir uno de los elementos clave en el esquema cronológico del período y por sus implicaciones de marcado carácter histórico.
“La Ciudad” de Paredes de Nava y el problema de la identificación de la Intercatia vaccea
Authors: Abarquero Moras Francisco Javier , Pérez Rodríguez Francisco Javier
Published: November 2024

El yacimiento de La Ciudad se extiende sobre unas 50 hectáreas, de las que unas 35 corresponderían al límite urbano de época vaccea, con una estructura urbana muy desarrollada, según han desvelado las distintas fotografías aéreas. Estudiado desde la segunda mitad del siglo XIX, la mayoría de los materiales hallados, algunos excepcionales, lo han sido sin control arqueológico, esto es, sin referencia a los contextos estratigráficos originales, por lo que su estudio hasta ahora se ha limitado a las particularidades de cada pieza. Aunque su situación geográfica no parece coincidir con la Intercatia de las fuentes clásicas, las dos téseras de hospitalidad encontradas en el yacimiento mencionan el gentilicio intercatiense.
La cerámica vaccea
Authors: Blanco García Juan Francisco
Published: November 2024

La cerámica vaccea constituye un subgrupo de la celtibérica por presentar características similares pero con ciertas singularidades propias, teoría confirmada por el descubrimiento de alfares en territorio vacceo. No obstante, las producciones locales debieron de convivir en el tiempo con recipientes importados que completarían los ajuares de la aristocracia: vasos ibéricos de engobe rojo, grises antiguos también de origen meridional, vasos áticos o cerámica campaniense.
Functionality of Learning Sites for Agriculture as Farmers’ Field Schools in the Province of Benguet, Philippines
Authors: Killip Alexander
Published: November 2024

This study examines the functionality of Learning Sites for Agriculture (LSAs) as Farmers' Field Schools (FFS) in delivering key agricultural extension services in the BLISTT (Baguio, La Trinidad, Itogon, Sablan, Tuba, and Tublay) areas of the province of Benguet, Philippines. The research focuses on four primary services: training, technology demonstration, farm business advisory, and information and communication support. A cross-sectional comparative design was used, with a sample of 50 local farmers and 16 LSA cooperators. The study employed t-tests and ANOVA to compare perceptions of these services between the two groups. The findings revealed that local farmers and LSA cooperators generally shared similar perceptions, with no statistically significant differences across the four services (p > 0.05). Training and technology demonstration services were considered sufficient, while farm business advisory and information support services were moderately sufficient. Challenges in information and communication services were noted, particularly regarding limited internet connectivity in remote areas. Overall, the results indicate that LSAs effectively meet the needs of small-scale farmers in Benguet province. The improvements in information and communication infrastructure could further enhance their impact. Future research could explore the long-term effects of LSAs on agricultural productivity and the effectiveness of specific extension methods across different regions.
Cultural Diversity and Students’ Learning Outcomes in Social Science
Authors: Tabanao Eden Grace
Published: November 2024

This study investigates the levels of cultural diversity, learning outcomes in social sciences, and the differences in cultural elements across colleges of the graduating students at Central Philippines State University-Main Campus, Kabankalan City, Philippines. This research problem addresses the need to explore how students' awareness of cultural diversity within their classrooms impacts their academic achievements, particularly their adaptability to diverse learning environments. It also highlights the gap in understanding whether and how culturally responsive teaching strategies can positively affect academic performance, suggesting further investigation to generalize findings and enhance inclusive, effective learning environments. This descriptive-correlational study was designed to establish the relationship between cultural diversity and learning outcomes among 361 students across key areas in Social Sciences. The primary data were derived from examinations administered to the students to assess learning outcomes. A questionnaire consisting of ten-item statements for each component was administered to test the students' levels of cultural diversity. The largest number of respondents was from respondents in the College of Teacher Education, while the lowest number of respondents was from the College of Forestry. The diversity of cultural expressions among colleges manifests the heavy influence of academic settings in the design of students' cultural understanding. The study showed the necessity of more proper cultural diversity training at some colleges, such as Business Education and Teacher Education, where the knowledge of norms and values must be reinforced. The outcomes represented that students from the various colleges are exposed to a good understanding of cultural diversity, although aspects like cultural values and beliefs require improvement. Intercorrelation between the exposure to cultural diversity and the consequences implies that students' views, particularly the social sciences views, grow through greater exposure to cultural diversity.
Development of a metaverse model to enhance Renu Nakhon Phu-Thai cultural tourism in Nakhon Phanom Province, Thailand
Authors: Jarutkamolpong Suwisa , Nankhantee Athirach , Mikhama Kanlaya
Published: November 2024

This research aimed to: 1) develop a metaverse model to enhance Renu Nakhon Phu-Thai cultural tourism in Nakhon Phanom Province 2) assess the suitability of the metaverse model to enhance Renu Nakhon Phu-Thai cultural tourism, and 3) study the satisfaction of using the metaverse model of Phu-Thai cultural tourism. This research adopted a qualitative study approach. The research method comprised three steps: 1) developing a model synthesis using document synthesis techniques, 2) assessing the suitability of the metaverse model with input from 9 experts, and 3) implementing the metaverse model for Renu Nakhon Phu-Thai. The target group for the study included 400 tourists in the Mueang Nakhon Phanom area who used the metaverse model of Renu Nakhon Phu-Thai between November 2022 and January 2023, selected through purposive sampling. Data collection tools included: 1) a form for synthesizing the data, 2) a suitability assessment form, and 3) a web application satisfaction questionnaire. Statistical analysis of the collected data involved calculating the mean and standard deviation. The results indicated that the development of the metaverse model to enhance Renu Nakhon Phu-Thai cultural tourism in Nakhon Phanom Province comprised three elements: 1) cultural architecture, 2) local wisdom identity, and 3) creative local community. The developed metaverse model of Renu Nakhon Phu-Thai was found to be highly suitable for use (mean = 4.17, standard deviation = 0.54). Moreover, satisfaction with the developed metaverse model was high (mean = 4.30, standard deviation = 0.76). Suggestions for improvement included adding a distance calculation section and a map of nearby places to aid tourists in deciding whether they could travel at their desired time using the metaverse model.
INTERVENÇÃO FARMACÊUTICA NA INCIDÊNCIA DE ERROS DE PRESCRIÇÃO RELACIONADA A MEDICAMENTOS
Authors:   Rafael Pereira de Almeida Langhammer, Sousa Glendha Hynglend França De
Published: November 2024

The pharmacist plays a crucial role in healthcare by helping to reduce prescription and medication errors, as well as issues related to pharmacotherapy that could harm hospitalized patients. The aim of this study was to analyze, based on the literature, the contribution of the clinical pharmacist in the hospital setting, focusing on intervention and reducing the incidence of medication-related prescription errors. By working in collaboration with the multidisciplinary team, the clinical pharmacist provides guidance to professionals on the safe and rational use of medications, which enhances the quality of patient therapy. The impact of the clinical pharmacist is significant, as they are capable of reducing the occurrence of avoidable adverse effects by 66%, which can be controlled not only through the discontinuation of medication combinations but also through dose adjustment. It is important to highlight the central role of the pharmacist in medication dispensing, emphasizing the importance of technical and clinical analysis of prescriptions and medication releases in hospital settings, thereby promoting the rational use of medications.
PRINCIPAIS CAUSAS PARA O CANCELAMENTO DE CIRURGIAS ELETIVAS EM UMA INSTITUIÇÃO DE REDE PRIVADA
Authors: Pinheiro Pedro Paulo da Fonseca , Evangelista Alessandra Elias , Lima Andrey Werverton Lopes de , Cordovil Ana Beatriz Capela , Silva Luan Caio Amaral Pimentel da , Silva Karen Aline Silva e , Brito Marcus Vinicius Henriques , Andrade Natasha Cristina Oliveira
Published: November 2024

The objective of this study was to identify the main causes for the cancellation of elective surgeries in a private institution in a municipality in the Northern region of Brazil, from August 2021 to August 2022. This is a cross-sectional, retrospective, quantitative study carried out in a private health institution, located in the municipality of Belém, capital of the State of Pará, in the Northern region of Brazil. Considering a universe of 110 physical medical records according to the period established from August 2021 to August 2022, a sampling error margin of no more than 5% and a confidence level of 95% were used. Therefore, the sample of this study is composed of 86 medical records of patients who had their elective surgical procedure canceled. The following were excluded: medical records of urgent and emergency surgeries; medical records with inadequately filled out or incomplete information; duplicate medical records. The demographic profile of the patients analyzed, the majority are female (61.63%). The age group 60 to 69 years had the highest prevalence, with a total of 25.58% of surgical cancellations. The majority of patients were brown, with 76.74% of the patients analyzed. (53.49%) patients denied any type of comorbidity, either concomitantly or in isolation. Regarding the surgical specialties with the highest cancellations, orthopedics (52.33%) and otorhinolaryngology (24.42%) were found. Among the main causes of surgical cancellation with the highest rate is related to the unfavorable clinical conditions of the patients (30.23%). Regarding organizational issues, surgeries canceled at the request of the surgeon stand out, with 26.74%.
PJC 2.0: Four “Firsts”, the Eight Hundredth Article and The Top Five Journals of the PJC
Authors: Ramirez Marcellus Francis L
Published: November 2024

In this issue of PJC, we feature 5 original research articles, 3 case reports and 2 metaanalysis. How fortuitous it is that our 800th article is Accuracy of the Apple Watch in detecting atrial fibrillation among patients undergoing 24-Hour Holter monitoring by Elrey Inocian, et al (https://pjc.philheart.org/elib/journal/identifier/pjc.2024.0712.055060/pdf DOI: 10.69944/pjc.4dfc7cfcda), which by an unanticipated chance, fittingly heralds the new digital age of the Journal.
The Effect of Teacher Personality Competence on High School Students' Learning Motivation
Authors: Mardelita Fega Priti , Mutathahirin Mutathahirin , Rambe Anggi Afrina , Panyahatan Nasbin , Defrinal Defrinal , Bimantoro Rizal Tri
Published: November 2024

The personality competence of teachers plays a crucial role in shaping students' learning experiences and motivation. This study aims to analyze the personality competence of Islamic religious education teachers at Senior High Schools and its correlation with student learning motivation. This research is field research with a quantitative method that uses a correlational approach, aiming to determine whether there is a relationship between two variables. The sample in this study consisted of 176 students, with 25% of the population 44 students selected through simple random sampling to ensure equal opportunity for all students to be sampled. Based on the results of data analysis obtained using descriptive statistics, the personality competence of Islamic education teachers is in the quite high category, at 34.1%. Furthermore, a correlation exists between the personality competence of Islamic education teachers and student learning motivation, assessed using the pearson product moment correlation test. The correlation value is 0.312. These results indicate that the correlation between the personality competence of Islamic education teachers and student learning motivation is significant, as the calculated "r" value is greater than the table "r" value (0.312 > 0.297), thus rejecting the null hypothesis (H0). Therefore, the study concludes that there is a positive influence of the personality competence of Islamic education teachers on the learning motivation of students.
Carcinoma espinocelular: fatores para seu diagnóstico
Authors: Carla Cristina Maganhin  , Camilla Maganhin Luquetti  , Elson Assunção de Andrade Lima Júnior
Published: November 2024

RESUMO: Introdução: Carcinoma espinocelular é a neoplasia dos queratinócitos epidérmicos, em áreas de pele fotodanificada e com variedade de lesões cutâneas, incluindo pápulas, placas ou nódulos (lisos, hiperqueratóticos ou ulcerados). O diagnóstico é por meio da biópsia da pele. A aparência clínica reflete o grau de diferenciação tumoral, geralmente com 0,5-1,5 cm de diâmetro, mas podendo ser mais invasivas. Tumores mal diferenciados podem ter ulceração, hemorragia ou áreas de necrose. Objetivo: discutir a clínica do carcinoma espinocelular e o seu diagnóstico. Metodologia: Revisão de literatura a partir de bases de dados da Scielo, da PubMed e da BVS, de março a abril de 2024, com descritores “squamous cell carcinoma”, “clinical features” e “diagnosis”. Incluíram-se artigos de 2019-2024 (total 35), com exclusão de outros critérios e escolha de 05 artigos na íntegra. Resultados e Discussão: O carcinoma espinocelular ocorre em qualquer superfície, sendo mais comum em locais fotoexpostos. Quando em áreas anogenitais, há correlação com o HPV. Lesões de CCS invasivo são frequentemente assintomáticas. Os sintomas neurológicos locais (dormência, queimação, parestesias, paralisia ou alterações visuais) ocorrem em 1/3 dos pacientes de alto risco. Em particular, o carcinoma basocelular superficial e o CCS situ se parecem clínico e dermatoscopicamente. Assim, o exame histopatológico determina o diagnóstico. Além disso, é útil na invasão perineural, diferenciação e profundidade tumoral, importantes no estadiamento e prognóstico do tumor. Independentemente da técnica selecionada, as biópsias que se estendem pelo menos até a derme reticular média são preferenciais. Biópsias mais superficiais podem ser realizadas em pacientes com lesões sugestivas in situ. Conclusão: Há necessidade de diagnóstico precoce para manejo adequado, acompanhamento e estadiamento, para menor morbidade.
Síndrome dos ovários policísticos e o uso de hipoglicemiantes orais
Authors: Carla Cristina Maganhin  , Camilla Maganhin Luquetti  , Elson Assunção de Andrade Lima Júnior
Published: November 2024

Introdução: A síndrome do ovário policístico (SOP) é a oligo/amenorréia e excesso de androgênios. Inclui irregularidade menstrual, hirsutismo, obesidade e distúrbios cardiometabólicos. Objetivo: discutir o uso terapêutico da metformina para síndrome dos ovários policísticos. Metodologia: Revisão de literatura a partir de bases de dados da Scielo, da PubMed e da BVS, de abril a junho de 2024, com descritores “polycystic ovary syndrome”, “metformin” e “women”. Incluíram-se artigos de 2019-2024 (total 80), com exclusão de outros critérios e escolha de 05 artigos na íntegra. Resultados e Discussão: Estudos indicam que metformina em mulheres com SOP demonstrou pequeno benefício para redução de peso, diminuição nos andrógenos séricos (sem melhora do hirsutismo) e restauração dos ciclos menstruais em 50% das mulheres com oligomenorreia (embora nem sempre ovulatória). Os primeiros dados também sugeriram que a metformina era eficaz para indução da ovulação em mulheres anovulatórias com SOP. Como resultado, foi usada "off-label" para algumas condições. Porém, não há indicação de primeira linha em mulheres com SOP, embora seja prescrita e, seu uso depende dos objetivos individuais do paciente. Para mulheres com oligomenorreia que precisam de proteção endometrial, sugere-se contraceptivos orais combinados em vez da metformina. Quando a metformina é usada, a terapia com progestina cíclica pode ser adicionada nos primeiros seis meses de tratamento até que os ciclos fiquem regulares. As opções primárias para indução da ovulação em mulheres anovulatórias com SOP incluem letrozol e clomifeno. Não se indica metformina para prevenir diabetes mellitus gestacional e aborto espontâneo. Conclusão: Não há indicação de terapia de primeira linha com metformina em mulheres com SOP, sem ser diabetes tipo 2. No entanto, tem sido usada "off-label" em problemas clínicos associados à SOP, incluindo oligomenorreia, hirsutismo, infertilidade anovulatória, prevenção de complicações na gravidez e obesidade.
Si mis dedos tocan los tuyos
Authors: Agüero Jordi , Gómez Sánchez Santiago
Published: November 2024

Ce texte explore le concept de recherche-création (RC) en tant que catégorie émergente de production de connaissances dans les sciences sociales, les sciences humaines et les arts, ainsi que les défis qui y sont associés. Il ambitionne également d’examiner le potentiel d’une méthodologie collaborative (la création d’un court-métrage dans le cadre du projet interdisciplinaire TRYSPACES) de recherche-création pour répondre à trois défis et paradoxes relevés dans la littérature, à savoir les paradoxes associés au contexte, au processus et à la connaissance. Ces trois niveaux sont mis en correspondance avec le récit de l’expérience et une réflexion sur les apprentissages (sensibles et communautaires) pour mettre en lumière les contributions et avancer vers de nouveaux paradigmes de construction et de diffusion des connaissances au sein de la recherche-création.
Pour une recherche modulée aux besoins et aux réalités des adolescentes
Authors: Boucher Nathalie , Cossette Sarah-Maude
Published: November 2024

Dans cet article, nous présentons un examen critique de la démarche méthodologique du projet ADOES sur la relation d’adolescentes à l’espace public de leur quartier montréalais, à la lumière de la recherche participative (et féministe). L’objectif est de documenter la recherche participative avec les adolescentes et d’en encourager l’essor dans le respect de sa spécificité. L’exercice montre que les défis de conjugaison entre participantes adolescentes et recherche participative sont à la fois synonymes d’obstacles et d’opportunités. Après une caractérisation des facteurs relatifs à l’adolescence féminine qui peuvent influencer leur participation dans le cadre de la recherche, nous évaluons les apports d’une autre forme et mesure de participation à la recherche, plus en adéquation avec la réalité et les contraintes spécifiques des participantes. Ici, la figure du kaléidoscope est utilisée par analogie pour illustrer comment la succession de groupes de participantes à travers le temps, et donc la co-construction par étapes des savoirs et des modalités de la recherche, permet un processus très riche d’agencement-réagencement de méthodes, d’images et de connaissances.
L’Université McGill dans les relations sino-canadiennes1
Authors: Liu Yuxi
Published: November 2024

Cet article examine le rôle de l’Université McGill dans les relations entre le Canada et la Chine au cours des années 1960 et 1970. Il met en lumière le fait que l’implication des milieux universitaires dans les relations internationales ne se limite pas au cadre de la politique étrangère, mais s’étend à trois dimensions : accueillir des universitaires disposant de ressources pour établir des liens directs avec un pays étranger, transmettre des savoirs et des compétences, et cultiver un attachement sentimental.