bluuebunny/crossref_metadata_2025 huggingface dataset:
Knowledge and Awareness of HIV/AIDS, Mental Health Problems, and Stigma among HIV/AIDS Children: A Mediation Analysis
Authors: Singh Varsha , Lata Swaran
Published: August 2024

Stigma is a significant obstruction, restricting factor, and hurdle in HIV/AIDS prevention and treatment. It has serious psychosocial consequences for HIV/AIDS patients’ children. In India, 35% of maximum AIDS cases reported are in the most productive age bracket of 10–21 years, showing the younger population’s exposure to the infection. The goal of this study is to determine the stigma associated with HIV/AIDS, as well as HIV/AIDS knowledge and awareness, and mental health problems among HIV/AIDS children. It also intends to investigate the relationship between these variables. Children with HIV/AIDS (n = 90) from Motilal Nehru Hospitals in Allahabad, Uttar Pradesh, India, were included in the study. To achieve the study’s goal, descriptive statistics, correlational, and regression analysis, as well as mediation analysis, were used. Correlational analysis reveals that, HIV/AIDS knowledge and awareness are considerably adversely connected with HIV/AIDS related stigma (r [88] = −0.448, p = 0.01), but mental health problems are strongly positively correlated with HIV/AIDS stigma (r [88] = 0.753, P = 0.01). Using hierarchical regression analysis, it was discovered that HIV/AIDS knowledge and awareness contributed 18.8% of the variation in HIV/AIDS stigma, while HIV/AIDS stigma contributed 45.9% of the variance in mental health problems. The results of the mediation analyses support the significance of HIV/AIDS stigma in mediating the affiliation concerning HIV/AIDS knowledge and awareness and mental health problems (r = −0.19, CI: [−0.661]–[−0.038] P = 0.024). These findings add to empirical evidence about psychological predictors and the observable consequences of H/A related stigma.
Impact of Diet on Nutrient Intake, Glycemic Index and Glycemic Load of Meals of Urban Indian Diabetic Population
Authors: Bhankharia Hitha Parshva , Ibrahim Geeta , Rastogi Shweta
Published: August 2024

Background: India is heading toward becoming the global diabetic capital directly interconnected to poor lifestyle and obesity. Aims and Objectives: The aim of the study was to find an association between glycemic index (GI) and glycemic load (GL) with macronutrients and fiber in the diet of the urban Indian population. Materials and Methods: The dietary intake using food frequency questionnaire and 24–h dietary recall of 240 recruited subjects (male and female), between 25 and 60 years were taken in the study. GI and GL of all meals were calculated using values from National and the International Table of GI and GL. Results: Average mean and standard deviation of GI and GL of major meals were on the higher side. A significant correlation between GI of lunch and dinner with total available carbohydrate (CHO) and total starch intake. A positive significant correlation was observed between GI to energy intake at dinner, total available CHO, and total starch. GL of breakfast was negatively correlated to iron, zinc, insoluble, and soluble fiber intake in females. GL for lunch was positively correlated to the intake of total available CHO, total starch, insoluble, and soluble fiber. Conclusion: The present study showed high GI and GL of processed foods and refined CHO indicating that dietary habits with high GI and GL foods are an indicator to risk of diabetes and pre-diabetes among both genders.
Study on the Validity and Reliability of Turkish Cooking and Food Skills Confidence Measure
Authors: Comert Tugba Kucukkasap , Ozbek Yagmur Demirel
Published: August 2024

Background: The present study aimed to adapt the cooking and food skills confidence measures developed by Lavelle et al. (2017) to Turkish cuisine and investigate its reliability and validity. Materials and Methods: A total of 300 adults aged between 22.0 and 34.0 years who live in Ankara were included in the study. The data were collected using the Turkish version of the cooking and food skills confidence measures (composed of 33 items), and a questionnaire form, which measured the level of knowledge on cooking (17 items) and food storage methods (11 items). Results: The respective Cronbach alpha coefficients for the cooking and food skills confidence measures in general and their subdomains were 0.880, 0.772, and 0.852, respectively. The results of confirmatory factor analysis (CFA) have indicated that the standardized load values of all items were above 0.20. In addition, participants’ body mass index (kg/m2) values were negatively correlated with cooking skills scale score. Cooking and food skills confidence measures total score was found positively correlated with cooking and food storage methods knowledge score (P < 0.01). Conclusion: The Turkish language version of the cooking and food skills confidence measures can be used as a screening tool to evaluate healthy nutrition-related studies in Turkey.
Role of Kataka-Khadiradi Ghanavati Ayurvedic Formulation in the Management of Diabetic Retinopathy
Authors: Gadadi Malashree Sadashiv , Fiaz Shamsa , Singh Abhishek
Published: August 2024

Introduction: Metabolic disorders are considerable health issues due to their association with morbidities and mortalities. Diabetes is one of the metabolic disorders associated with every systemic morbidity. Diabetic retinopathy (DR) is one of such morbidity which is vision-threatening and the whole world is looking for a solution. In contemporary science, there are management techniques which are applicable when DR is completely manifested. Objectives: The objective of this study was to review existing pharmaco-analytical reports on Katakakhadiradi Kashaya (KKK) and Ghanavati and its contents, animal studies and clinical trials of management of diabetes, and its complications through the KKK and Ghanavati (KKG). Design: The literature research comprised an electronic database from January 2000 to February 4, 2023. The study included MEDLINE, PubMed, the Cochrane Library, Google Scholar, AYUSH Research Portal, and DHARA database. Search terms were used “KKK”, “DR”, “Katakakhadiradi Ghanavati”, and “Antioxidants.” No limits were used. The search strategy was adapted for each database as necessary. Pharmaco-analytical reports and animal studies were included in the current review. The study applied inclusion criteria while screening the records. Intervention: Phytochemical constituents and their effect on DR. Outcome measures: Number and results of studies identified in the review. Results: The integrative approach could open new hope for patients of DR and is a need of time.
Condensing Osteitis – A Review and Case Report
Authors: Gupta Sonal , Dutta Shilpi , Baby Abia , Langthasa Meghali
Published: August 2024

Condensing osteitis is pathological lesions of the maxillomandibular region which is seen in root apex of long standing untreated carious lesions or tooth having inappropriate endodontic treatment and generally occurs as a result of body’s defence mechanism against the infection. Dense trabeculae formation is seen within the bone marrow which appears as a radiopaque lesion near the apex of the affected tooth. Diagnosis of condensing osteitis depends on proper clinical and radiographic evaluation. In the present case report, condensing osteitis in a 12-year female is reported and with adequate endodontic procedure, healing and regression were seen after 6 months of follow-up.
An Introduction to Keraliya Panchakarma – A Systematic Review
Authors: Narine Avvinish , Moazzamipeiro Fatemeh , Vedpathak Surendra
Published: August 2024

Background: Panchakarma is an ancient Ayurvedic healing system that has been practiced in India for thousands of years. It is a holistic approach to wellness that focuses on balancing the body, mind, and spirit through a combination of procedures. In Keraliya Panchakarma, the Ayurvedic scholars in Kerala have adjusted some approaches and found them to be highly efficient based on Ayurvedic principles. While the treatment principles remain rooted in the ancient textual tradition of Ayurveda, their distinctive treatment techniques have been enhanced over centuries through an intimate interaction with Keralan folk medicine. The traditional Panchakarma procedures are Vamana (therapeutic emesis), Virechana (therapeutic purgation), Basti (medicated enema), Nasya (errhine therapy), and Raktamokshana (bloodletting). Keraliya Panchakarma is a more simplified process that includes Navarakizhi, Annalepana, Pizhichil, Dhara, and Thalapotichil. Objectives: This article lists the different types of Keraliya Panchakarma in detail and further goes on to describe how and when to perform each procedure, the materials required, the benefits, the indications, and contraindications. Materials and Methods: Inclusion criteria include books that focus on Keraliya Panchakarma and its various aspects. Exclusion criteria are those studies not written in the English language, studies with inadequate methodological quality, and those that do not meet the defined objectives of the review. Discussion: A detailed description of the following five Keraliya Panchakarma procedures was collected and presented. These are Navarakizhi, Annalepana, Pizhichil, Dhara, and Thalapotichil. The conciseness and simplicity of the procedures mentioned here can be reproduced and performed by any Ayurveda practitioner with a desire to do so. Some limitations of the study may be the limited availability of high-quality studies on the topic, language differences, and differences in the interpretation of cultural practices. Conclusion: Keraliya Panchakarma is recognized to be a highly efficient treatment modality based on Ayurveda principles of Panchakarma procedures developed and perfected by the Vaidyas of Kerala and it can be adopted by Ayurveda practitioners everywhere.
Hypoglycemic Encephalopathy – A Case Report and Review of the Literature
Authors: Myrou Athina , Aslanidis Theodoros , Kiouli Christina , Kachtsidis Vasileios , Kosmidis Georgios , Chatzintounas Antonios , Theodoridis Andreas
Published: August 2024

Glucose is an essential carbohydrate for brain function. Even a short-lasted acute drop in its levels can result in cerebral dysfunction and even death. Early treatment of and decreasing duration of hypoglycemia episodes increases life expectancy and improves the level of consciousness. Furthermore, pharmacological symptoms’ management should be continued for at least 2 weeks after hospital admission aiming to preserve the integrity of brain function and the wider well-being of patients.
Correlation Analysis between Multiple Mini-Interviews during Medical Student Selection and Their Academic Performance
Authors:   Medical Education Research and Innovation Unit, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia, Adam Siti Khadijah ,   Department of Human Anatomy, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia, Hod Rafidah ,   Medical Education Research and Innovation Unit, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia,   Department of Human Anatomy, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia, Mahayidin Hasni ,   Department of Pathology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia, Ahmad Zalinah ,   Department of Pathology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia, Salihan Safuraa ,   Medical Education Research and Innovation Unit, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia,   Department of Human Anatomy, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia
Published: August 2024

Multiple mini-interviews (MMI) have been used as a tool in the selection of medical students to evaluate their interpersonal and intrapersonal attributes. It is suggested that rigorous evaluation in MMI may predict academic performance during medical training. Thus, this study aims to determine the relationship between MMI scores and subsequent academic performance at the end of the preclinical phase. MMI scores for the academic session 2019/2020 intake in Universiti Putra Malaysia were gathered. The dependent variables were the students’ academic performance at the end of the preclinical phase involving the Professional Examination and Professionalism and Personal Development (PPD) course. No significant positive correlation was observed between MMI and total Professional Examination scores. Total MMI and empathy station scores have a weak positive relationship with objective structured clinical examination (OSCE) marks. There was also a significant positive correlation between resilience station scores and PPD peer assessment marks. In contrast, there was a negative correlation between Malay language station scores and the theory component of Professional Examination marks. This study suggests that MMI has the potential to predict in-programme clinical performance and professionalism characteristics. Studies with larger cohorts are essential to support this evidence.
A Study Protocol on Disaster Medicine Preparedness among Medical Students in a Public Military Medical School in Malaysia: Assessment of Knowledge, Attitude and Readiness to Practice
Authors:   Primary Care Medicine Unit, Faculty of Medicine and Defence Health, Universiti Pertahanan Nasional Malaysia, Kuala Lumpur, Malaysia, Abu Hassan Hasliza , Awaluddin S Maria ,   Institute for Public Health, National Institute of Health, Ministry of Health Malaysia, Selangor, Malaysia, Ramli Sarah Iziani ,   Emergency Medicine Unit, Faculty of Medicine and Defence Health, Universiti Pertahanan Nasional Malaysia, Kuala Lumpur, Malaysia, Awang Siti Salmiah ,   Institute of Aviation Medicine, Subang Airforce, Selangor, Malaysia, Panizan Nor Amir Zakuan ,   Military Medicine Unit, Faculty of Medicine and Defence Health, Universiti Pertahanan Nasional Malaysia, Kuala Lumpur, Malaysia
Published: August 2024

Disaster preparedness is defined as the measures taken to prepare for or decrease the impact of disaster. Medical students’ perception on disaster preparedness provides further insights into their learning needs, strengthens the disaster medicine curriculum, and improves their personal professional development. There is scarce information regarding this topic and disaster medicine education is scattered in the current medical curriculum. The aim of this study is to assess the knowledge (K), attitude (A) and readiness to practice (rP) towards disaster preparedness among medical students in a military university. A cross-sectional study will be conducted among all the medical students in Universiti Pertahanan Nasional Malaysia using a self-administered validated questionnaire via a Google Forms. The calculated minimum sample size is 176 using the twoproportion formula via Power and Sample Size (PS) software. The questionnaire consists of (a) demographic data; (b) knowledge of disaster; (c) attitude; (d) readiness to practice with responses categorised as high, moderate and low. Independent t-test and chi-square test are used to evaluate the bivariate association between demographic data with K, A and rP. Multiple linear regression is used to evaluate association of rP based on predictor variables (K, A and sociodemographic factors). A preliminary result of the study will be presented in conferences and scientific meetings. This research contributes valuable insights to the field of disaster medicine education, guiding curriculum development, and informing policy decisions within institutions.
Governance and Sustainability in Developing Countries: Intelectual Structure, Trends and Lessons From Brazil and China
Authors: Bizarrias Flávio Santino
Published: August 2024

Objective – The purpose of this research is to analyze the intellectual structure and existing interconnections between governance and sustainability in developing nations, examining the prevailing trends and emerging topics. Additionally, the study compares Brazil and China, which are two of the most significant and diverse developing countries globally, with the goal of elucidating specific differences. This comparison aims to exemplify the similarities and disparities concerning sustainability and governance in these contexts. Method – A mixed-methods approach through a systematic literature review to build the intelectual strucrure, with the use of the bibliometrix package in R software, and descriptive statistics and t-tests were employed with the World Bank Data to profile some aspects and compare both countries. Results – Results bring evidence of a main interests related to governance impact and determinants, poluent emissions, corporate responsability and organization/country performance, within the literature. The study also suggets an inverse profile regarding governance and sustainability, with Brazil pointing to better sustainable conditions than China, however, with lesser business aspects to leverage development. Originality – The study on governance and sustainability in developing countries stands out for its detailed analysis of governance factors affecting pollutant emissions and corporate responsibility. The study also performs a specific comparison between Brazil and China, in terms of sustainable development aspects. Theoretical contributions – The study highlights a growing academic interest in governance and sustainability in developing countries, broadens the discourse to include key issues like pollutant emissions and corporate responsibility and country performance in terms o patent registration.
Large deviations in the symmetric simple exclusion process with slow boundaries: A hydrodynamic perspective
Authors: Saha Soumyabrata , Sadhu Tridib
Published: August 2024

We revisit the one-dimensional model of the symmetric simple exclusion process slowly coupled with two unequal reservoirs at the boundaries. In its non-equilibrium stationary state, the large deviations functions of density and current have been recently derived using exact microscopic analysis by Derrida, Hirschberg and Sadhu in [J. Stat. Phys. 182, 15 (2021)]. We present an independent derivation using the hydrodynamic approach of the macroscopic fluctuation theory (MFT). The slow coupling introduces additional boundary terms in the MFT-Action, which modifies the spatial boundary conditions for the associated variational problem. For the density large deviations, we explicitly solve the corresponding Euler-Lagrange equations using a simple local transformation of the optimal fields. For the current large deviations, our solution is obtained using the additivity principle. In addition to recovering the expression of the large deviations functions, our solution describes the most probable path for these rare fluctuations.
Long-range entanglement and topological excitations
Authors: Torre Gianpaolo , Odavić Jovan , Fromholz Pierre , Giampaolo Salvatore Marco , Franchini Fabio
Published: August 2024

Topological order comes in different forms, and its classification and detection is an important field of modern research. In this work, we show that the Disconnected Entanglement Entropy, a measure originally introduced to identify topological phases, is also able to unveil the long-range entanglement (LRE) carried by a single, fractionalized excitation. We show this by considering a quantum, delocalized domain wall excitation that can be introduced into a system by inducing geometric frustration in an antiferromagnetic spin chain. Furthermore, we show that the LRE of such systems is resilient against a quantum quench and the introduction of disorder, as it happens in traditional symmetry-protected topological phases. All these evidences establish the existence of a new phase induced by frustration with topological features despite not being of the usual type.
A hierarchical estimation of road grade based on tire force observation
Authors: Luo Shuang , Huang Zixin , Chen Guiyuan , Yang Shuqun
Published: August 2024

Road grade is important for autonomous vehicles, but it is difficult to measure directly. To address this issue, a hierarchical estimation of road grade is suggested based on the observation of tire forces. First, a 7-degree-of-freedom (DOF) dynamics model, including vehicle longitudinal, lateral, and yaw motions together with wheel rotations, is developed while considering the road grade. Subsequently, a dual-layer road grade estimation strategy is proposed based on an unscented Kalman filter (UKF). The lower-layer UKF estimates the longitudinal and lateral tire forces for road grade observation, and the upper-layer UKF is employed to estimate the road grade by considering the vehicle’s lateral acceleration and yaw rate. Finally, CarSim and MATLAB joint simulations and road tests are performed under different conditions to validate the correctness and effectiveness of the proposed estimation method. The results show that the proposed tire force observation-based estimator exhibits a lower mean absolute error and root mean square error on sloping roads and combined curved and sloping roads, and presents a better overall estimation performance on road grade compared with the widely used kinematics and dynamics model-based estimators.
Damage deformation properties and acoustic emission characteristics of hard-brittle rock under constant amplitude cyclic loading
Authors: An Qi , Xu Ying , Fan Guoqiang , Li Chengjie , Xie Shoudong , Jiao Yanghaonan
Published: August 2024

In order to study the deformation and damage characteristics of the limestone specimens with high strength and brittleness under constant amplitude cyclic loading, the deformation and the acoustic emission (AE) characteristics were analysed, and the relationship between them was sought. The damage variables under different amplitude cyclic loading were defined by AE counts. The results showed that the radial deformation of the limestone specimens was more sensitive and unstable than the axial deformation. The concept of apparent residual strain was proposed to describe the specimen deformation characteristics, and it resulted that the radial apparent residual strain produced at higher stress state would recover at lower stress state. The limestone specimens showed obvious Kaiser effect and Felicity effect under cyclic loading. When the upper limit of the cyclic loading was close to the peak stress of the specimen, the AE counts generated in unloading sections were almost the same as that in the loading sections. The damage was increased as the amplitude and the stress level increased and the unloading process at higher stress level would also lead to the aggravation of damages. Specimens would absorb more energy under cyclic loading than under uniaxial loading. Reasonable driving parameters should be controlled in underground excavation practice, to ensure that the stress level of surrounding rock mass in a periodic stress state is located before peak stress and such that to limit the occurrence of rock burst to a certain extent.
How Does Listening to “Fetal Heartbeats” Affect the Feelings of Pregnant Women?
Authors: Beksac Mehmet Sinan , Unal Canan , Yalaniz Burcu , Cagan Murat , Tanacan Atakan , Fadiloglu Erdem , Donmez Hanife Guler
Published: August 2024

OBJECTIVES: This study was conducted to evaluate the impact of listening to fetal heartbeats (FHBs) on the feelings of normal and high-risk pregnancies (HRPs), and to learn the colors and geometrical figures representing their feelings.
STUDY DESIGN: This retrospective study consisted of 291 pregnant women who applied for a non-stress test (NST). Participants were divided into two groups; 1: Normal pregnancies (Group1) and 2: HRPs (Group2). Demographic variables, feelings in response to listening to FHBs (negative, neutral, positive), grade mark (0-10) of feelings, color (warm, neutral, cold), and figure (simple, complex) preferences were retrospectively evaluated.
RESULTS: Of the 291 women, 172 (59.1%) Group 1 participants were compared to 119 (40.9%) Group 2 participants. Group 1 and Group 2 had similar feelings (p>0.05), however, the rate of negative feelings was higher in Group 2 (11.6% vs. 20.2%). Higher marks were observed in Group 2 with happiness and peace/relaxation after listening to FHBs. Fear was the lowest mark in women with positive/neutral feelings in both groups. Women in Group 1 preferred warm colors regardless of their feelings. Women in Group 2 who have positive feelings chose warm colors, whereas women who felt neutral or negative more commonly chose cold (55.5%) and neutral (41.7%) colors (p=0.017). Independent of feelings, simple figures were predominately preferred (p=0.04).
CONCLUSION: NST is more than a perinatal surveillance method and listening to FHBs has a positive impact on the feelings of pregnancies. Warm colors were commonly related to positive feelings. Simple figures were preferred regardless of feelings.
Ethnobotanical Study of Potential Food-Utilization of Shade and Undercover Vegetation in the Coffee Agroforestry Landscape, Kalibaru District, Banyuwangi Regency
Authors:   Kembang Galengan Research Center, Pribadi Titanio Auditya , Nurrofik Agus ,   Kembang Galengan Research Center, Evabian Camelia Hanum Bilbina ,   Universitas Brawijaya, Yuwafi Hamdan ,   Kembang Galengan Research Center
Published: August 2024

Agroforestry is a cultivation system that integrates crops like coffee with various vegetation, as applied in the Kalibaru District. The local community utilizes an agroforestry system by combining shade and undercover plants that can be utilized as food. The objective of this study was to collect a diversity of edible vegetation and investigate the local utilization. Data was collected by vegetation analysis and ethnobotanical studies related to their use. The result showed that 22 species of shade plants and 22 species of undercover plants were edible. The highest use value of shade species in coffee agroforestry are Leucaena leucocephala, Musa paradisiaca, Syzygium aromaticum, Carica papaya, and Artocarpus heterophyllus. Meanwhile, the highest use values in undercover species are Capsicum frutescens, Manihot esculenta, Colocasia esculenta, and Maranta arundinacea. The highest index of cultural significance for shade species is shown in Carica papaya, Leucaena leucocephala, Parkia speciosa, and Musa paradisiaca. Meanwhile, the highest index of cultural significance for undercover species is C. frutescens, L. esculentum, P. amarylifolius, and C. longa. This area can support local food resources and serve as a means of cultural preservation.
Tweede kustlijn voor Nederland?
Authors: Butijn Dick , Pauli Henne
Published: August 2024

“Wanneer bij eb het strand woest is als een woestijn, en natte westenwinden gieren van venijn, dan vecht mijn land, mijn vlakke land.” Deze onvergetelijke tekst van Jacques Brel staat kustbewoners in Nederland en Vlaanderen in het geheugen gegrift als zij zich afvragen wat de beste verdediging is tegen de onafwendbare stijging van de Noordzeespiegel.
Zeeuwse kust zoekt balans
Authors: Korteweg Maris Diana
Published: August 2024

Toerisme en de Zeeuwse Noordzeekust zijn onlosmakelijk verbonden. Jaarlijks worden miljoenen vakanties en dagjes uit in Zeeland doorgebracht. Dit heeft veel impact op de Zeeuwse leefomgeving en samenleving, zowel positief als negatief. Hoe kan toerisme aan de kust in balans worden gebracht?
Terrein voor politieke geografen
Authors: Berkenbosch Karst
Published: August 2024

Voor veel omliggende landen is de Noordzee van economisch en cultureel belang, zo ook voor België en Nederland. In dit artikel duiken we eerst in de politieke geografie van de zee om vervolgens met een frisse blik naar het Noordzeebeleid van Nederland en België te kijken.
Experiences of Using a Digital Guidance and Assessment Tool (the Technology-Optimized Practice Process in Nursing Application) During Clinical Practice in a Nursing Home: Focus Group Study Among Nursing Students
Authors: Johnsen Hege Mari , Nes Andréa Aparecida Gonçalves , Haddeland Kristine
Published: August 2024

Background

Nursing students’ learning during clinical practice is largely influenced by the quality of the guidance they receive from their nurse preceptors. Students that have attended placement in nursing home settings have called for more time with nurse preceptors and an opportunity for more help from the nurses for reflection and developing critical thinking skills. To strengthen students’ guidance and assessment and enhance students’ learning in the practice setting, it has also been recommended to improve the collaboration between faculties and nurse preceptors.

Objective

This study explores first-year nursing students’ experiences of using the Technology-Optimized Practice Process in Nursing (TOPP-N) application in 4 nursing homes in Norway. TOPP-N was developed to support guidance and assessment in clinical practice in nursing education.

Methods

Four focus groups were conducted with 19 nursing students from 2 university campuses in Norway. The data collection and directed content analysis were based on DeLone and McLean’s information system success model.

Results

Some participants had difficulties learning to use the TOPP-N tool, particularly those who had not attended the 1-hour digital course. Furthermore, participants remarked that the content of the TOPP-N guidance module could be better adjusted to the current clinical placement, level of education, and individual achievements to be more usable. Despite this, most participants liked the TOPP-N application’s concept. Using the TOPP-N mobile app for guidance and assessment was found to be very flexible. The frequency and ways of using the application varied among the participants. Most participants perceived that the use of TOPP-N facilitated awareness of learning objectives and enabled continuous reflection and feedback from nurse preceptors. However, the findings indicate that the TOPP-N application’s perceived usefulness was highly dependent on the preparedness and use of the app among nurse preceptors (or absence thereof).

Conclusions

This study offers information about critical success factors perceived by nursing students related to the use of the TOPP-N application. To develop similar learning management systems that are usable and efficient, developers should focus on personalizing the content, clarifying procedures for use, and enhancing the training and motivation of users, that is, students, nurse preceptors, and educators.
Evaluating spatial analysis of tuberculosis prevalence to identify priority districts or municipalities that need policy attention in West Java
Authors: Emilia Pandin Madao  , Hermawati Ema , Putri Nur A’isyah Amalia , Makful Martya Rahmaniati
Published: August 2024

Purpose: This study assesses the spatial autocorrelation of tuberculosis (TB) with population density, poverty, personal hygiene and environmental sani- tation (perilaku hidup bersih sehat, PHBS), and housing quality to identify critical areas for targeted TB management in West Java.
Methods: This ecological study analyzes secondary data from all TB patients across 27 regencies/cities in West Java Province for 2022. Spatial patterns were examined using the Global Moran's Index and Local Indicators of Spatial Association (LISA).
Results: The analysis revealed significant clustering of TB prevalence with population density (p-value = 0.001) and PHBS (p-value = 0.047). At the same time, dispersion was noted with poverty (p-value = 0.355) and a non-significant clustering with housing quality (p-value = 0.270). Notably, ten regencies/cities exhibited significant local spatial autocorrelat- ion, indicating priority areas for intervention.
Conclusion: TB prevalence in West Java show a positive spatial correlation with population density and PHBS, indicating clustered patterns that necessitate focused policy attention. The absence of a spatial correlation between poverty and housing quality suggests different intervention strategies may be required. TB intervention should be prioritized in areas like Bekasi Regency, Bekasi City, Bogor Regency, Bogor City, Cianjur Regency, and Depok City, where TB prevalence is significantly associated with key spatial factors.
Strategies for increasing effective coverage of hypertension services in health care facilities: a scoping review
Authors: Djasri Hanevi , Alfajri Novi Zain , Asdary Rahma Novita , Wardoyo Muhammad Hardhantyo Puspo
Published: August 2024

Purpose: To identify supporting and inhibiting factors for effective coverage of hypertension services, as well as recommendations for improvement efforts that can be made.
Methods: A scoping review consists of five steps: Identification of research questions, identification of relevant research articles, study selection, data collection, and data synthesis.
Results: 19 articles met the research objectives. Supporting factors include information systems, electronic-based pharmaceutical services, self-management, health insurance, quality improvement cycles, support for professionals, patients’ interventions, and digital technology. Inhibiting factors include low health insurance coverage, inaccurate equipment, inappropriate diagnosis and treatment, lack of screening coverage, difficulty in access, and differences in policies and procedures between regions. Recommendations for improvement include changes to service systems, the use of defined hypertension thresholds, ensuring blood pressure measurement devices are functioning properly, and the implementation of consistent policies, systems, and processes throughout the healthcare system, including between regions.
Conclusion: There are various opportunities for improvement, both in utilizing existing supportive factors and reducing inhibiting factors, as well as in implementing various improvement recommendations, especially those that proved effective in published research.
The empowerment perspective of implementation one house one jumantik (G1R1J) in sub-urban area
Authors: Isnani Tri , Ramadhani Tri , Ikawati Bina
Published: August 2024

Purpose: To examine the effectiveness of one house one larva monitor program as a community empowerment.
Methods: The research was conducted using the PAR approach by collecting data by observation, in-depth interviews, and discussions with samples/informants including health workers at the public health center, cadres/jumantik, jumantik rumah, community leaders, and local village and sub-district government figures. The team formed jumantik followed by training and assistance for five months for jumantik. The research location is in an urban village in Mempawah Regency, West Kalimantan Province, with data collected from March to October 2019.
Results: The research location is an area with a socio-cultural geographical character that is between rural and urban characters. Knowledge about dengue fever and G1R1J is still lacking. Problems in the implementation of G1R1J are related to participation issues, namely the awareness and acceptance of residents towards activities, replacement of cadres/volunteers, and wrong perceptions. Socialization, which is the first step in empowerment, has not been carried out. Socialization is also a step in growing knowledge and awareness that will influence the growth of community participation.
Conclusion: The problems faced include the problem of participation of cadres and community members. The socialization stage as the introduction stage influences knowledge and behavior. The condition of the community as social capital is incredibly supportive in empowerment. Empowerment requires adjustment to each condition. Therefore, mapping of initial conditions and comprehensive mass outreach is needed.
Implementation of Binaan Inovatif Sehat Mandiri Aktif (BIMA): A Community Resilience Program for COVID-19 at Griya Lare Utami Bantul
Authors: Fithriyyah Yayu Nidaul , Saifudin I Made Moh. Yanuar , Martani Hersinta Retno , Arumningtyas Fajar , Khalish Gaviota , Ermamilia Aviria , Wanti Ipang Fitria , Aulawi Khudazi , Haryani Haryani , Kustanti Anita
Published: August 2024

Introduction: Resilience is the key to overcoming the significant challenges of pandemics or large-scale disasters. Methods: A cross-sectional study design was performed in the study report. The BIMA program implementation lasted from June to November 2022 at Griya Lare Utami, Bantul. DIY, through integrated community services (BIMA): Training (B: Building/Binaan): training for cadres to screen potential health problems, Innovative Activities (I: Inovatif): valid information literacy (anti-hoax) for families and Canva training for youth organizations, Independent of Menu (M: Mandiri menu): Independently develops menus, practical locally available for Small and Medium Enterprise (SME), and Active (A: Aktif); counseling actions, competitions to make fish products, and poster designs, and evaluation of activities for community society. Results: The BIMA program involved 172 people from health cadres (n=12), Youth Organizations (n=24), Innovative Families (n=12), and Small and Medium Enterprises (SME) (n=11), with community members (n=113). The results showed significant differences after the program in cadre roles (p=0.01), Canva training (p=0.01), innovation family training (p=0.04), and knowledge of balanced nutrition (p=0.002). Meanwhile, there was no significant difference in the respondents' understanding regarding the development of local food products after participating in the activity (p=0.082). These results indicate that the BIMA program succeeded in increasing the knowledge and skills of the respondents. Conclusion: The BIMA Program has effectively enhanced the roles of health workers, health literacy, and nutrition management. However, it requires further advancement in the development of local products. It is recommended that the initiative persists with activities aimed at extensive community empowerment, incorporating collaboration with pertinent sectors.
The impact of simulation training on enhancing the understanding of providing aid for injury cases among the Healthy Student Cadres (HSCs) at Assalafiyyah II Mlangi Islamic Boarding School
Authors: Farhany Fajrul Falah
Published: August 2024

Introduction: The students of Islamic boarding Schools, as agents of change, often experience complaints of muscle and joint injuries. Assalafiyyah II Mlangi Islamic Boarding School (IBS) was one of the pioneers of an integrated health system to improve health status. However, the condition of health facilities, especially those related to handling injuries, was still very minimal. In addition, the students had never received counseling regarding injury management. Therefore, it is necessary to conduct research related to the effect of health education in increasing knowledge about assisting in cases of injury to Healthy Student Cadres (HSCs) of Assalafiyah II Mlangi IBS. This study aimed to determine the effect of health education in increasing knowledge about assisting in cases of injury to healthy students Cadres Assalafiyyah II IBS. Methods: This study was carried out using a quantitative experimental design. A one-group, quasi-experimental pretest-posttest approach was adopted in this study. The 40 healthy student cadres from Assalafiyyah II Mlangi IBS were recruited. The knowledge scores of the pretest (before health education) and post-test (after health education) were compared using the paired sample t-test. Furthermore, the Kruskal-Wallis test examined the relationship between education level and knowledge score. Results: The pretest results showed that the level of knowledge of the subjects in the good category was 5%, adequate was 30%, and poor was 65%. In contrast, the post-test results showed an increase in knowledge scores. In particular, subjects in the good category were 47.5%, adequate was 40%, and poor were as much as 12.5%. This study also showed a significant change in the score of knowledge about assisting in cases of injury to subjects after providing health education in a positive correlation with p= 0.000. The level of education did not affect the results of the knowledge score about assisting in injury cases, with p= 0.072. Conclusion: Providing health education materials effectively increases knowledge about helping Healthy Student Cadres (HSCs) in injury cases. This increase in knowledge can make Healthy Student Cadres (HSCs) pioneers in the surrounding environment regarding the importance of assisting in injury cases.
An overview of knee osteoarthritis severity in Pandanwangi, Malang
Authors: Prastowo Bayu , Bai Matilda Novian , Prameswari Ni Nyoman Diah , Wiraningtyas Tria Hesti , Rassamee Nichapat , Chieochansin Kanyamon , Ertitri Fika
Published: August 2024

Introduction: The global prevalence of knee osteoarthritis in older adults is expected to continue to increase until 2050. This increase was consistent with the prevalence rates in Malang. This progression is simultaneously controlled by Sustainable Development Goals. This service is a measure to support the government in the early detection of severity and education of knee osteoarthritis patients. Methods: The method was adopted through Community-Based Participatory Research at Puskesmas Pandanwangi, Malang. The respondents included 58 elderly people with symptoms of knee osteoarthritis. According to the Indonesian Rheumatology Association, the symptoms often experienced in Indonesia are pain, crepitus when moved, joint stiffness for more than 30 min, indications of enlargement of the knee area, tenderness of the bone edge, and no warmth in the synovium area. Results: The results of the average mapping show that respondents experienced knee osteoarthritis severity in the mild category or had a Laquesne index score of more than 1-4. Conclusion: The severity of osteoarthritis in Pandanwangi is influenced by age and body mass index. These respondents were educated on sitting up and down, stair step up, knee flexion, heel slide knee extension, and tight booster exercises to prevent severity at the next level. Exercise parameters were adjusted according to the respondent's condition for 8-12 weeks, 2-3 sessions per week.
Manajemen Syok Hipovolemia pada Pasien Fraktur Patologis Neck-Femur Suspek Metastasis dengan Hemiarthroplasty: Studi Kasus
Authors: Retnaningsih Retnaningsih , Triyanto Arifin , Subekti Tri
Published: August 2024

Background: Hemiarthroplasty in a pathological neck-femur fracture of suspected Metastatic Bone Disease (MBD) case, increases the risk of intraoperative bleeding and hypovolemic shock. Case studies related to this phenomenon are scarce.Objective: Describe the management of hypovolemic shock in pathological neck-femur fracture patient with MBD suspect which was followed by hemiarthroplasty action.Case Report: A 59-year-old woman experienced bleeding of 1,000-1,300 cc during surgery, causing shock with low blood pressure, tachycardia, and cold acral. Management of hypovolemic shock during surgery included fluid resuscitation, administration of vasopressors, blood transfusion, and administration of tranexamic acid.Outcome: Hypovolemic shock management course of action was include hemodynamic and coagulation management, with the collaboration of a team of nurses and doctors. The role of instrument, circular, and anesthesia nurses was crucial to maintain patient stability during surgery. After being given management intervention hypovolemic shock, the patient's response to resuscitation therapy was in a fast category so that the shock was quickly resolved and the operation could be continued until completion.Conclusion: Monitoring and rapid treatment of shock in pathological neck-femur fracture patient with MBD suspect which is followed by hemiarthroplasty action, including intraoperative bleeding, can prevent morbidity and mortality.INTISARILatar belakang:Hemiarthroplasty pada fraktur patologis neck-femur suspek Metastatic Bone Disease (MBD) meningkatkan risiko perdarahan intraoperatif dan syok hipovolemia. Studi kasus terkait hal ini masih jarang ditemukan. Tujuan: Mendeskripsikan tata laksana manajemen syok hipovolemia pada pasien fraktur patologis neck-femur suspek mengalami MBD untuk kemudian mendapatkan tindakan hemiarthroplasty.Laporan kasus: Wanita 59 tahun mengalami perdarahan 1.000-1.300 cc selama operasi, menyebabkan syok dengan tekanan darah rendah, takikardi, dan akral dingin. Manajemen syok hipovolemia selama operasi, meliputi resusitasi cairan, pemberian vasopressor, transfusi darah, dan pemberian asam traneksamat.Hasil:Tindakan manajemen syok hipovolemia meliputi manajemen hemodinamik dan koagulasi, dengan kolaborasi tim perawat dan dokter. Peran perawat instrumen, sirkuler, dan anestesi penting untuk menjaga stabilitas pasien selama operasi. Setelah diberikan intervensi manajemen syok hipovolemia, respons pasien terhadap terapi resusitasi termasuk katagori cepat, sehingga syok segera teratasi dan operasi dapat dilanjutkan sampai selesai.Simpulan:Monitoring dan penanganan syok secara cepat pada pasien fraktur patologis neck-femur yang dilakukan tindakan hemiarthroplasty dengan perdarahan intraoperatif dapat mencegah morbiditas dan mortalitas.
Artificial Intelligence and International Law: The Impact of Emerging Technologies on the Global Legal System
Authors: Liu Jialing
Published: August 2024

With the rapid development of artificial intelligence technology, its impact on international law is becoming increasingly significant. This paper explores the application of AI in international relations and the challenges it poses to existing legal systems, analyzing AI regulation within the current international law framework and the exploration of emerging international legal norms. Through specific cases, the paper elaborates on legal issues in the fields of intelligent weapons, cybersecurity, and data protection, emphasizing the importance of international cooperation and global governance mechanisms in addressing these challenges. Finally, the paper looks forward to future trends in AI technology and international law’s response strategies, proposing the necessity of constructing effective legal frameworks and ethical guidelines to promote the sustainable development of AI technology and the healthy development of the global legal system.
Research Progress in the Prevention and Control of Hospital-acquired Infections in Neonatal Units
Authors: Zhang Wenxiao , Li Fei
Published: August 2024

Neonatal hospital-acquired infections are an important problem affecting the health and life safety of newborns. This paper reviews the research progress on the prevention and control of hospital-acquired infections in neonatology, discusses the risk factors of hospital-acquired infections in neonatology, summarizes the effective preventive and control measures such as strengthening the training and education on hospital-acquired infections, reducing invasive diagnostic and therapeutic operations, implementing disinfecting and isolating measures, rationally using antibiotics, and improving immunity for newborns, etc., and introduces common monitoring and detection techniques such as bacterial culture and drug susceptibility testing, molecular biology testing techniques, and biomarker detection and application. marker detection and application, and other commonly used surveillance and detection techniques. Future research should focus on strengthening the monitoring and study of pathogen resistance, optimizing the diagnosis and treatment process, strengthening the infection prevention and control training for healthcare workers, improving the infection prevention and control system in neonatal hospitals, and carrying out multidisciplinary collaborative research, so as to effectively reduce the incidence of infections and safeguard the health and safety of neonates.
The Influence of Sports Brand Image on Consumer Preferences and Behavioral Tendencies: Lululemon and Anta as Examples
Authors: Ge* Shutong , Zhou Yixun , Chen Jingwen , Wu Tong
Published: August 2024

Amidst the surging enthusiasm and demand for fitness activities, there is keen interest in understanding how sportswear brand preferences influence consumer behavioral tendencies. Given Lululemon's rapid global emergence as a contemporary brand icon and Anta's status as a popular national brand in China, this paper endeavors to compare the two, examining their impact on consumer behavior. The objective extends to offering recommendations for brand image cultivation and product design within the athletic apparel sector.