bluuebunny/crossref_metadata_2025 huggingface dataset:
Análisis de costo-efectividad de los cuidados paliativos: una revisión sistemática de evidencias y desafíos
Authors: Mora Pacheco Jenny , Palacios María José
Published: February 2025

Desde los fundamentos establecidos por Cicely Saunders, la atención médica al final de la vida ha experimentado una significativa evolución. Aunque reconocidos como un derecho humano fundamental en la salud. Se ha demostrado un ahorro en los sistemas de salud, a nivel hospitalario exclusivo, representando una inversión costo efectiva. Pero la falta investigaciones de cuidados paliativos a nivel domiciliario provoca una brecha en la investigación, resalta la importancia de profundizar en el estudio de su valor económico y social. El objetivo de esta revisión es brindar información sobre los cuidados paliativos que deben considerarse como un beneficio económico y social de manera holística desde el ámbito biológico, psicológico y social. Métodos: Para comprender mejor esta dimensión, se realizó una revisión sistemática de estudios de análisis costo-beneficio de los cuidados paliativos, abarcando idiomas como el inglés, portugués y español. Con el fin de asegurar una búsqueda exhaustiva y representativa, se utilizaron criterios de búsqueda específicos en bases de datos reconocidas como PubMed, BVS, Cochrane y Scopus. De un total de 2167 artículos evaluados, se seleccionaron finalmente 6 estudios relevantes, destacando la rigurosidad en la selección para garantizar la calidad y relevancia de los datos analizados. Resultados: El análisis meticuloso de los estudios incluidos reveló diversas perspectivas sobre la costó-efectividad, incluyendo comparaciones entre tratamientos convencionales y cuidados paliativos, modelos de efectos mixtos, y evaluaciones de programas específicos. Esta variedad en los enfoques subraya la complejidad y naturaleza multifacética de medir el impacto económico de los cuidados paliativos. Conclusión: A pesar de los claros beneficios documentados, la mayor estandarización en la evaluación económica de los cuidados paliativos es imperativa para facilitar la comparabilidad y la extrapolación de resultados a diferentes contextos de atención médica.
Eficácia do Mounjaro em comparação à cirurgia bariátrica na perda de peso: evidências de uma revisão integrativa
Authors: Dallazen Vicenzo Bellincanta , Santos Thaís Costenaro dos , Queiroz Camila Ramalho Teixeira , Guimarães Marcela Menuci , Casarim Fernanda Caroline Pulido , Fernandes Maria Irismar Rabelo , Mourão Joao Paulo Lima , Brasileiro Flavia Sarmento , Frigeri Natasha Colla , Lippe Marcela Maria Ferreira , Estrêla Martha Silva , Carvalho Daniela Delgado , Ferreira Thiago Portilho Nogueira Rodrigues
Published: February 2025

A obesidade é uma condição multifatorial de crescente prevalência global, associada a significativos impactos metabólicos, cardiovasculares e psicossociais. Este estudo teve como objetivo comparar a eficácia do Mounjaro (tirzepatida), um agonista dual dos receptores GLP-1 e GIP, à cirurgia bariátrica, considerada padrão-ouro no manejo da obesidade grave. Por meio de uma revisão integrativa de literatura, foram analisados estudos publicados entre 2015 e 2024, avaliando perda de peso, controle de comorbidades, segurança, custo-efetividade e impacto na qualidade de vida. Os achados indicam que a tirzepatida promove perdas de peso significativas, aproximando-se dos resultados da cirurgia bariátrica, com benefícios adicionais no controle metabólico, especialmente em pacientes com diabetes tipo 2. A cirurgia bariátrica, embora altamente eficaz em termos de perda de peso e remissão de comorbidades, está associada a riscos cirúrgicos e maior custo inicial. A escolha terapêutica deve considerar o perfil do paciente, suas preferências e a disponibilidade do tratamento. Conclui-se que ambas as abordagens são eficazes, mas apresentam características complementares, reforçando a necessidade de individualização do manejo da obesidade. Este estudo contribui para o avanço do conhecimento e suporte à prática clínica, incentivando a pesquisa de longo prazo sobre intervenções combinadas.
Basil growth responses to fish farming wastewater irrigation across different growth environments
Authors: Ribeiro Everson dos Santos , Cavalari Nadine Tonelli , Santos Marcelly Eduarda da Cunha Lazaro dos , Cunha Henrique Henning Boyd da , Lacerda Luiz Francisco Ferreira , Bezerra Ana Carolina Mendes , Valença David da Cunha , Nascimento Luana Beatriz dos Santos , Silva Bianca Ortiz da
Published: February 2025

The increased demand for fish, combined with the ecological difficulties caused by overfishing, has produced a favorable environment for the expansion of aquaculture in recent decades. This increase also leveraged the irregular release of wastewater that contributes to the eutrophication of water bodies. This study assessed the cultivation of basil (Ocimum basilicum L.) irrigated with fish wastewater with different substrate types. The experimental design was a 2x2 factorial design, with two growth environments (organic substrate and washed sand) and two irrigation sources (fish farming wastewater and municipal water). Irrigation factor had shown significant difference in the fresh weight parameter of the plants grown in organic substrate, yet no other statistical difference was observed in the parameters evaluated. When considering the growth environment factor, the organic substrate performed better than washed sand. Therefore, it is observed that fish wastewater can be used as a water supply for the growth of basil without harming the culture.
Laboratório de experimentos de Internet das Coisas
Authors: Nobre Emily de Lima Ereira , Valiante Leandro Ferrarezi , Pereira Willians de Paula
Published: February 2025

Este estudo explora a Internet das Coisas (IoT), com foco em demonstrar a integração prática de tecnologias acessíveis em automação residencial. Motivado pela crescente relevância da IoT na conectividade e automação de processos, o trabalho busca ilustrar como soluções simples podem atender a demandas práticas. O experimento desenvolvido consistiu no controle remoto de um LED RGB, utilizando a placa ESP32, o protocolo MQTT e a plataforma Node-RED. A metodologia envolveu a configuração de um ambiente de desenvolvimento, a construção do circuito e a análise da troca de mensagens entre dispositivos, por meio do modelo de publicação/assinatura do MQTT. Os resultados evidenciaram a eficiência do protocolo na comunicação entre dispositivos conectados e a facilidade de uso da plataforma Node-RED, demonstrando que é possível criar sistemas funcionais e acessíveis, mesmo com recursos limitados. Além disso, o estudo destaca os desafios associados à IoT, como segurança de dados e interoperabilidade, ressaltando, ao mesmo tempo, o potencial transformador da tecnologia em áreas como saúde, agricultura e segurança. Conclui-se que a IoT é uma tecnologia promissora, capaz de promover maior conectividade e oferecer soluções práticas para melhorar processos cotidianos e atender às demandas de um mundo cada vez mais integrado.
A aplicação da teoria dos poderes implícitos ao controle interno
Authors: Oliveira Davi Soares de
Published: February 2025

A presente pesquisa tem por objetivo estudar as influências práticas da teoria dos poderes implícitos na atuação do controle interno. Ao se analisar a multiplicidade de estruturas de controle interno existentes na Administração Pública do Brasil, as quais também refletem na diversidade de atuação de cada sistema, percebe-se a necessidade de se examinar as causas e a fundamentação teórica que justifique essas peculiaridades. Dessa forma, buscou-se por meio de uma pesquisa qualitativa e bibliográfica, construir os contornos constitucionais do controle interno, expondo os seus limites para posteriormente analisar a possibilidade de se identificar poderes implícitos que motivem algumas hipóteses de sua atuação. As conclusões que puderam ser retiradas são que a teoria dos poderes implícitos permite a atuação do órgão de controle interno por meio de ferramentas consensuais no auxílio do gestor, tais como acordos, recomendações e consultas. Também poderá haver a atuação repressiva por meio de determinações cautelares ou não e aplicação de multas. Em ambos os casos, por uma imposição constitucional, não poderá haver a supressão das competências do controle externo.
Indicadores de saneamento básico na Amazônia ocidental: realidade dos municípios do Amazonas
Authors: Alves Rodrigo Couto , Pereira Henrique dos Santos , Marques Evely Laranjeira , Hinnah Rafael , Kuwano Ricardo Takashi
Published: February 2025

O presente estudo buscou analisar os indicadores de saneamento básico dos municípios do Amazonas, contemplando a análise das regiões imediatas e intermediárias do estado. Metodologicamente, foram correlacionados os indicadores do Sistema Nacional de Informações sobre Saneamento – SINISA com as metas dos Objetivos do Desenvolvimento Sustentável – ODS, delimitando seis indicadores para análise dos municípios, das regiões imediatas e intermediárias do Amazonas. Os resultados mostraram que os municípios do Amazonas têm pouca adesão à autodeclaração do SINISA, o que dificulta uma análise mais detalhada da sua realidade. Em relação aos indicadores de água, os municípios do Amazonas apresentaram valores positivos, entretanto ainda não alcançaram a universalização. Os indicadores de esgotamento sanitário foram bastante preocupantes, tanto pela ausência de declaração como dos valores declarados. Somente Manaus apresentou dados de evolução na coleta e tratamento, os demais estão com déficit nesse indicador. Os indicadores de resíduos apresentaram valores distintos. O indicador da coleta domiciliar regular apresentou bons resultados, enquanto os da coleta seletiva apresentaram resultados muito baixos. De forma geral, identificou-se que os municípios do Amazonas têm uma dificuldade quanto à declaração de seus valores, seja pela ausência ou pela discrepância encontrada em municípios da mesma região. Esse problema tem influência direta na elaboração de políticas públicas na área do saneamento, visto que não é possível entender com maiores detalhes a situação de cada um dos municípios pela análise de seus indicadores. Por consequência, o estado do Amazonas, na totalidade, continua aquém das metas estabelecidas pelos Objetivos do Desenvolvimento Sustentável.
The birth of the brazilian technoconservative ecosystem and the convergence of the attention economy with the culture war
Authors: Rosa Pablo Ornelas , Souza Aknaton Toczek , Camargo Giovane Matheus , Bordin Marcelo
Published: February 2025

ABSTRACTThe article proposes an analysis of the forms of organization as well as the techno-political strategies used by individuals, groups and companies that identify themselves as conservatives and that actively operate through their profiles in WhatsApp, Instagram and YouTube, not only monetizing their content, but also conforming what we are calling the Brazilian techno-conservative ecosystem. The text is based on an ethnographic research carried out on the mentioned platforms using the passive observer (lurker) technique, and is structured in two sections. The first section examines the transformations of the last two decades, highlighting the relationship between the growth of the extreme right in the 21st century, with speeches that revolve around a cultural war, intellectually and politically led in Brazil by Olavo de Carvalho and Jair Bolsonaro, respectively. The second section presents a diagram of this Brazilian techno-conservative ecosystem, linking its agenda with some of the main authors and books used to legitimize the speeches of digital influencers who have millions of followers on their social networks.
Desenvolvimento e avaliação de uma ferramenta computacional na tomada de decisão quanto aos encaminhamentos realizados para o serviço de nefrologia
Authors: Litchteneker Karina , Donin Cristiane Buzanello , Mombelli Monica Augusta , Gabriel Vagner , Martins Jeferson Gustavo
Published: February 2025

A doença renal crônica (DRC) é uma patologia com aumento exponencial em sua prevalência no mundo. Isso tem ocorrido principalmente pelo envelhecimento populacional e crescimento das condições crônicas (como diabetes e hipertensão). Neste sentido, a prevenção é um tópico prioritário em saúde pública, sendo que a busca ativa da detecção precoce em pacientes em situação de alto risco de desenvolvimento de DRC é uma estratégia válida e eficaz, juntamente com as equipes de Atenção Primária de Saúde. Tal fato justifica o desenvolvimento de uma proposta computacional (sistema especialista baseado em regras) para auxiliar os profissionais da área da saúde, em tempos em que os sistemas computacionais têm sido utilizados como ferramentas de apoio em diversas áreas do conhecimento, como a medicina e a especialidade de nefrologia. O objetivo do presente estudo, parte da dissertação de mestrado da primeira autora, contempla a implementação de uma ferramenta computacional, nomeada NefroCheck, e análise de sua influência nos encaminhamentos de pacientes realizados para a especialidade médica de nefrologia. Os resultados dos dados submetidos ao NefroCheck atingiram 100% de acertos de acordo com as definições do fluxograma. No entanto, questões inerentes a interferências humanas podem afetar a precisão, incluindo relatos incorretos do paciente, interpretações equivocadas dos profissionais de saúde e erros no processo de introdução dos dados no sistema. A validação da ferramenta computacional contribui para a construção de uma base de dados epidemiológicos dos pacientes com DRC na região. Espera-se que estudos futuros ampliem o acompanhamento pós-consulta inicial, permitindo avaliar a continuidade do tratamento na Atenção Primária a Saúde e a necessidade de intervenção nefrológica.
Atuação da suplementação simbiótica e da microbiota intestinal sobre prevenção e tratamento das alergias alimentares
Authors: Souza Anderson Liberato de , Carvalho Ana Clara Lacerda Cervantes de , Chagas Camila Lima , Capitó Mayara Santos , Nascimento Gesika Assunção do , Silva Tatiane Pontes , Nascimento Gabriela Ferreira Araújo do , Machado Camilla Caroline , Nascimento Ana Jessika Santos do , Barbosa João Paulo da Nóbrega , Pereira Josicleibson Nunes , Costa Uyara Correia de Lima , Pereira Giovanna Maria Lins , Santos Iago Alves Miranda , Sousa Bruno Soares de
Published: February 2025

Alergia alimentar é uma reação adversa desencadeada por uma resposta imune específica mediada pela imunoglobulina E, a qual o intestino desempenha um importante papel. O estudo buscou apontar a relação da microbiota intestinal e da suplementação simbiótica como agente determinante no surgimento e no tratamento das alergias alimentares. Para tanto foi realizada uma revisão integrativa e utilizados os artigos originais publicados nos últimos cinco anos que tratam sobre o tema proposto. Estudos propõem que a alergia alimentar está relacionada a alterações na composição da microbiota intestinal. Foi observado diferenças na microbiota de indivíduos alérgicos entre indivíduos sadios. Além disso, estudos apontam a primeira infância como uma janela importante para moldar os resultados da alergia alimentar.  Conclui-se que manter a microbiota intestinal equilibrada é essencial para prevenir e tratar os sintomas da alergia alimentar, contudo são necessários mais estudos clínicos para ampliar a compreensão da função da microbiota intestinal na alergia alimentar.
The Role of Remote Sensing and GIS in Sustainable Development and National Resilience
Authors: Ruuhulhaq Muhammad Saiful
Published: February 2025

Purpose: This study explores the critical role of Remote Sensing (RS) and Geographic Information Systems (GIS) in supporting Sustainable Development Goals (SDGs) and strengthening national resilience. It aims to highlight the originality and significance of RS and GIS as strategic tools for spatial data collection, analysis, and visualization.
Study Design/Methodology/Approach: This research employs a qualitative methodology based on a literature review and case studies. The study evaluates the application of RS and GIS in various sectors, including disaster mitigation, environmental preservation, and resource optimization.
Findings: The findings indicate that RS and GIS significantly contribute to SDGs by facilitating actions on climate change, biodiversity conservation, equitable resource distribution, and poverty alleviation. Additionally, RS and GIS strengthen national resilience through economic optimization, ecological disaster mitigation, conflict resolution, and strategic area monitoring.
Originality/Value: This study underscores the integrative role of RS and GIS in aligning SDGs and national resilience objectives, offering practical implications for decision-making across multiple sectors. The results provide a foundation for policymakers and practitioners to leverage RS and GIS for holistic and sustainable development.
Evaluation of porphyrin molecules as effective corrosion inhibitors for copper alloy in sulfuric acid using both experimental and computational approaches
Authors: Abdallah Metwally , Alfakeer Majda , Felaly Rasha N , Almohyawi Abdulaziz M. , Al-Fahemi Jabir H. , Al-Juaid Salih S. , Seyam Doaa F. , Mabrouk Elsayed M. , Soliman Kamal A.
Published: February 2025

The inhibition efficacies of two porphyrin molecules, namely, 5,10,15,20-tetra-[m-(methoxy) phenyl] porphyrin (m-TMPP) and 5,10,15,20-tetra-[p-(methoxy)phenyl] porphyrin (p-TMPP) on the corrosion of copper alloy (C12510) in 1.0 M H2SO4 solutions were examined. Some chemical, electrochemical measurements, density functional theory and Monte Carlo simulations were utilized to study the adsorption behaviour and corrosion inhibition efficiency of m-TMPP and p-TMPP on the Cu (111) surface in acidic media. Scanning electron microscopy analysis was employed to examine the surface morphologies of the tested C12510 surfaces. The outcomes of these techniques proved that the inhibition efficiency increases with increasing concentration of TMPP molecules and with lowering tempera¬tu¬res. The inhibition efficiency is reached to 96.23 and 97.61 % in the case of m-TMPP and p-TMPP, respectively, using the potentiodynamic polarization technique. The inhibitory effect of TMPP molecules is explained based on their spontaneous physicochemical adsorption on the surface of C12510. The adsorption process is obeyed by the Langmuir isotherm model. Additionally, some thermodynamic activation parameters were determined and discussed. It was discovered that the two TMPP compounds retarded the pitting corrosion of C12510 in chloride-containing solutions by shifting the pitting potential to a more noble direction. Based on all the approaches investigated, the inhibitory efficacy of p-TMPP is higher than that of m-TMPP at every concentration tested.
Curvas de rendimiento de equipos de rayos x en un servicio de radiodiagnóstico médico
Authors: Valencia-Mina Adrián Andrés , González-López Nadia Aimee , Dávila-Laprea Freddy Antonio , Guerrero-Guerrero Rosmary Yenlay
Published: February 2025

El conocimiento del valor de las curvas de rendimiento de los equipos de radiodiagnóstico es fundamental para el cálculo de las dosis impartidas a los pacientes. Las mediciones de las curvas de rendimiento a varias tensiones y su dependencia con la corriente del tubo son necesarias para la estimación de las dosis impartidas a los pacientes sometidos a procedimientos de radiodiagnóstico. Por ello, la presente investigación tiene como objetivo elaborar las curvas de rendimiento de equipos de rayos X en un servicio de radiodiagnóstico médico en una institución hospitalaria. Las mediciones de las curvas de rendimiento de tres equipos —Rayos X telecomandado, Rayos X cielítico y Rayos X portátil— se realizaron con un dosímetro de estado sólido marca Radcal, modelo AGP-P-RG, incluyendo la sonda marca Radcal, modelo AGMS-D+. Los datos obtenidos se tabularon y procesaron en una hoja de cálculo Excel. Para este estudio se realizaron un total de 101 mediciones de dosis de radiación a una distancia de 1 metro del punto focal, asegurando una alineación perpendicular entre el detector y el haz de rayos X. Se obtuvieron los valores medios del rendimiento (uGy/mAs) y su desviación estándar. Las curvas de regresión lineal entre las variables rendimiento (uGy/mAs) y el voltaje (kVn) de cada equipo de rayos X mostraron una alta correlación para cada uno de los equipos estudiados, lo que garantiza una base sólida para el análisis y la optimización de las dosis en pacientes sometidos a distintos procedimientos de radiodiagnóstico.
CARACTERIZAÇÃO LIMNOLÓGICA EM SISTEMA DE CULTIVO DE TILÁPIA EM TANQUES-REDE NO AÇUDE ESTEVAM MARINHO EM COREMAS-PB
Authors: Cavalcanti Robson Silva , Barbosa José Etham de Lucena
Published: February 2025

O estudo avaliou as características limnológicas em um sistema de cultivo de tilápia em tanques-rede no açude de Coremas-PB, um dos maiores reservatórios do Nordeste brasileiro. As coletas foram realizadas em 7 pontos amostrais, incluindo 5 tanques-rede, um ponto é chamado pelo autor, braço do açude e outro na captação, durante os meses de julho a novembro de 2005, período caracterizado como estiagem na região. Foram analisados parâmetros físico-químicos como temperatura, transparência, pH, condutividade elétrica, oxigênio dissolvido, DBO e série nitrogenada. Os resultados indicaram elevada transparência da água (média de 1,43m nos tanques-rede), com zona eufótica de aproximadamente 3,86m, demonstrando baixa quantidade de material em suspensão e boa penetração de luz. A temperatura média manteve-se em 26,47°C, dentro da faixa ideal para o cultivo, e os valores de oxigênio dissolvido apresentaram-se adequados para a produção (média de 6,4 mg/L nos tanques-rede). Os níveis de íon amônio apresentaram-se elevados nos tanques-rede (máximo de 0,76 mg/L), porém o pH levemente ácido (média 6,9) favoreceu a forma não tóxica do composto. A análise dos parâmetros permitiu classificar a água como Classe 1 segundo a Resolução CONAMA 357/2005, indicando adequação para o cultivo. O monitoramento contínuo destes parâmetros é fundamental para garantir a sustentabilidade da produção e a preservação do ambiente aquático.
A CRISE GLOBAL DA RESISTÊNCIA ANTIMICROBIANA: IMPACTOS NA SAÚDE PÚBLICA E DESAFIOS PARA O FUTURO DOS ANTIBIÓTICOS
Authors: Costa Luiz Filipe Santos , Saldanha Sasha Regina das Graças , Beserra Elijalma Augusto , Campelo Maria Jaciane de Almeida , Andrade Jennyfer Souza , Junqueira Marina da Silva , Schiavon Isabel Cristina Adão , Bragança Júlia Lodigiani Rodrigues , Galvão André Luiz Baptista , Da Silva Ana Claudia Rodrigues
Published: February 2025

A resistência antimicrobiana (RAM) representa um grave desafio global, comprometendo a eficácia dos tratamentos contra infecções bacterianas. Desde os primeiros casos de resistência à penicilina, o uso inadequado de antimicrobianos e a escassez de novos medicamentos favorecem o aumento de microrganismos multirresistentes. No Brasil, a RAM está associada a milhares de mortes anuais, evidenciando a urgência de estratégias para conter seu avanço e garantir tratamentos eficazes. Este artigo tem como objetivo explorar a crise global da resistência antimicrobiana, analisando seus impactos na saúde pública e os desafios enfrentados para assegurar o futuro dos antibióticos. Trata-se de uma abrangente revisão integrativa da literatura, conduzida em 2025, baseada em consultas as bases de dados LILACS, MEDLINE e PubMed. Projeções indicam que, até 2050, a RAM poderá causar até 10 milhões de mortes anuais, com impacto crescente em idosos, agravado pelo uso inadequado de antimicrobianos, automedicação e fatores estruturais como saneamento precário. A RAM dificulta o tratamento de doenças como tuberculose multirresistente e gonorreia, enquanto ambientes hospitalares favorecem o surgimento de microrganismos nutritivos. Estratégias inovadoras, como fagoterapia, edição genética e inteligência artificial, somam-se a campanhas educativas e programas de gerenciamento para mitigar esse desafio. A abordagem "Saúde Única", liderada pela OMS, reforça ações integradas em saúde humana, animal e ambiental, destacando a necessidade de políticas públicas robustas, vigilância epidemiológica e investimentos sustentáveis para controlar a disseminação da RAM e reduzir seus impactos. Conclui-se que, os mecanismos da RAM e a propagação de patógenos resistentes comprometem os tratamentos, aumentam os custos e agravam a morbimortalidade, especialmente em países de baixa e média renda. Nesse contexto, a educação em saúde, políticas públicas para o uso racional de antimicrobianos, vigilância epidemiológica e tecnologias inovadoras, são essenciais para mitigar os impactos da RAM. Profissionais de saúde, desempenham papel estratégico na conscientização e prevenção, contribuindo para práticas mais seguras e eficazes no enfrentamento desse problema global.
Assessing the Impact of Telemedicine on Healthcare Management and Delivery in Rural Areas
Authors: Sahoo Lulup Kumar , Hasan Fazil , RenukaJyothi S.
Published: February 2025

Introduction: Telemedicine is increasingly used to provide health care in rural areas [1]. It also highlights on telemedicine being the solution for the management and delivery of healthcare in such regions. Methods: MATERIALS AND METHODSThis is a literature review for obtaining data pertaining to the use of telemedicine in managing and delivering healthcare in rural locations. To gain firsthand perspectives, the researchers interviewed healthcare professionals and telemedicine providers as well.Results: This study demonstrates the impact of telemedicine in providing greater access to health service in rural areas, especially in remote and underserved areas. It has also overall improved the healthcare management by DHHS in terms of communication and coordination between healthcare providers leading to a reduction in costs and increase in efficiency.Conclusions: To conclude, this study shows that telemedicine has a major and a positive influence on healthcare management and delivery in area. It can help solve the dissonance of disadvantaged people not being able to get proper healthcare services and potentially bettering the overall healthcare system. Yet, expansion is dependent upon resources and training surrounding this adaptation system.
The Impact of Environmental Health Factors on Rates of Hospital Readmission
Authors: Sharma Mukesh , Samuel Jayakumar Sujayaraj , Pawar S.K. , Prakash Chandra Pallavi , Ranjan Jena Samir
Published: February 2025

Introduction: readmissions to the hospital are a key indicator of both the quality of care and how much it costs. However, external health factors that affect return rates have not been studied much. This study tries to fill in that gap by looking at how certain surrounding factors affect how often people have to go back to the hospital.Method: a retrospective cohort study was done using data from 10,000 hospital patients over five years. Environmental data, such as air quality, water quality, and population density, were combined with hospital discharge records. Multivariable logistic regression models were used to account for factors that could affect the results, such as age, gender, illnesses, and the reason for the first hospitalisation.Findings: the results show a strong link between bad air quality and more people having to go back to the hospital (OR=1,45, 95 % CI 1,22-1,73). In the same way, lower water quality was linked to a higher chance of being readmitted, especially for heart and lung diseases. Different health results were not always affected by the amount of people living in cities.Conclusion: environmental health issues, especially the quality of the air and water, have a big impact on the number of times people have to go back to the hospital. These findings show how important it is for healthcare policies to include environmental health knowledge and measures to lower avoidable readmissions. This will improve patient results and lower the cost of running healthcare systems.
Evaluating the Contribution of Healthcare Administrators in Promoting Occupational Safety
Authors: Varma Pooja , Sharma Yogita , Shinde Ravindra , Sharma Mahesh , Panigrahi Rajashree
Published: February 2025

The role manager’s play in fostering safety at work has attracted much attention as healthcare environments increasingly more complex. Though they front lines in providing vital services, healthcare professionals also run several hazards in their jobs. The need of healthcare managers in supporting a mentality of safety in healthcare institutions is examined in this article. It looks at how managers may change safety rules, provide training courses, use safety safeguards, and guarantee legal observance to lower dangers at their place of work. The research underlines how important it is for leaders to establish safety targets, monitor staff members’ health and safety, and guarantee that medical professionals have the right tools and expertise to sustain their as least possible safety. The study also covers how laws, organisational structure, and budget allocation might contribute to improve safety results. Several research and case studies are investigated in this study in order to pinpoint the most important steps healthcare managers should follow in managing problems including mental health, stress, accident prevention, and infections. It also underlines the necessity of ongoing evaluation and change of safety rules to fit changing problems in the medical field. This article investigates how crucial managers are for reducing workplace hazards and ensuring everyone is safe by means of their decisions impacting safety outcomes. Ultimately, it emphasises that effective healthcare administration entails prioritising the health and safety of healthcare professionals above mere seamless execution of activities.
Children with autism spectrum disorder's sleep patterns: a research analysis
Authors: Bhushan Bharat , Varma Pooja , Rastogi Sameer , Upadhye Vijay Jagdish , Jena Banani , Dev Anoop , Lawand Sunil
Published: February 2025

Sleep issues are common in young  with autism spectrum disorder (ASD), and although the Children's Sleep Habits Questionnaire (CSHQ) is widely used for assessment, concerns about its ideal variable structure still exist. This research looked at the CSHQ's variable structure in young children with ASD and explored the relationship between CSHQ variables and emotional, cognitive, and behavioral dysregulation. Children with ASD between the ages of 4 and 5 (n = 270) took part in the research. Two previously published CSHQ variable frameworks were tested for  data using confirmatory factor analysis (CFA), and other frameworks were investigated using exploratory factor analysis (EFA). Regression analysis evaluated how differences in dysregulation symptoms were explained by the values of the  variables.previously published frameworks for validated, a novel five-variable system discovered by EFA showed a great fit with the  Although sleep characteristics were not generally linked to autistic symptoms, there was evidence of particular associations between them and aggression, stress, depression, and attention deficit problems. These results highlight how common sleep issues are in young children with ASD and indicate that the recently discovered CSHQ five-variable approach may be useful in future studies.
Dysphemia in the development of verbal language in children aged 3 to 4 years
Authors: Montero Reyes Yilena , Coque Jiménez Nataly Paulina , Ashqui Mena Luz Angelica , Orbea Jácome Andrea Genoveva , Palomo Allauca Olga del Rocío , Romero Sarmiento Fernanda Carolina
Published: February 2025

This article addressed the problem of dysphemia, commonly known as stuttering, in children aged 3 to 4 years in preschool educational institutions, a disorder that significantly affects the development of language and communication. The aim of the study was to analyze the impact of dysphemia on the verbal development of these children and to propose effective intervention strategies. A mixed methodology was used, combining qualitative and quantitative approaches, through direct observation and field data collection, as well as a documentary analysis that theoretically supported the research. The main results indicated that 75% of the children articulated correctly, but 16.66% had fluency difficulties, which suggests the presence of dysphemia. In addition, it was evidenced that only 16.66% of the children used correct grammatical structures consistently, which highlighted the need for pedagogical intervention. The study's findings underscored the importance of implementing early intervention programs, such as "Fluent Speech," that integrate breathing techniques and playful activities to improve children's verbal fluency and self-esteem. It was highlighted that raising awareness in the educational community is crucial to foster an inclusive and supportive environment, which could facilitate better social integration and stronger academic performance for children who stutter.
Exploring the Impact of Transformational Leadership on Healthcare Quality Improvement
Authors: Mohanty Rakesh , Saini Ramesh , Rampal Sourav , Mane Avinash , Malathi H , Bansal Shivangi , Shah Bijal
Published: February 2025

Introduction: Transformational leadership has also become a well-accepted means to improve quality of care in practice. What it means is that leaders need to lead with motivation and inspiration to embrace the changing landscape of the business world and instill this urge to achieve higher standards. The purpose of this study is to examine the effect of transformational leadership on healthcare quality improvement. Methods: A systematic literature review was performed, and articles were chosen from different electronic databases. Inclusion criteria had been studies that focused on transformational leadership and healthcare quality improvement. Fifteen articles were included in the analysis.Results: Overall the results indicated positive effects of transformational leadership regarding healthcare quality improvement across studies in hospitals, long-term care, and community health settings. The findings showed components of transformational leadership, like individualized consideration, inspirational motivation, and intellectual stimulation, were integral to facilitate the quality improvement initiative. They create an environment for healthcare teams to learn and collaborate, leading to improved patient outcomes and satisfaction.Conclusions: Caution about potential hidden variable persistency in research applications of this type should be applied. When organizations commit to transformational leadership, their healthcare environment can sustain continuous improvement. There is a need for additional study to determine how transformational leadership affects healthcare quality specifically and what solutions can be developed to determine its best application.
The Influence of Environmental Policies on Public Health Outcomes
Authors: Frederick Sidney Correa Frederick , Parmar Yuvraj , Varma Pooja , Ahmed Wakeel , Zagade Tukaram , Gajendra Mohapatra Satya Sundar , Sharma Anil
Published: February 2025

Introduction: This study examines the relationship between environmental policies and public health outcomes. The authors hypothesized that more stringent environmental policies would benefit public health.Methods: A systematic review of existing literature was conducted to identify whether or not there was previous research done on environmental policies in relevance to public health outcomes.  Results: The results revealed a consistent positive correlation between stronger environmental policies and improved public health outcomes. Stricter air quality regulations were correlated with lower rates of respiratory diseases, and regulations on the quality of water were correlated with reduced rates of water-borne illnesses. Tied in with this were studies showing that policies intended to limit the carbon footprint also yielded benefits in terms of public health lower rates of cardiovascular disease and premature death.Conclusions: This review provides strong evidence of the link between environmental policies and improved public health outcomes. The results imply that more excellent ecological policies can significantly enhance human health by lessening the incidence of persistent diseases and wariness of pollution-related diseases.
Leadership Development Programs and Their Impact on Healthcare Institutions
Authors: Malathi H. , Mani Nija , Upadhye Vijay Jagdish , Singh Santosh , Kataria Ansh , Gupta Mohit , Rahul S.S
Published: February 2025

Introduction:Leadership development is essential to preparing healthcare organizations to respond to transformational changes in the industry. Many organizations have started such programs to help their employees grow and mature into better leaders. This study seeks to assess the effect of these programs on healthcare institutions.Methods: A systematic literature review was conducted to identify relevant literature guiding leadership development programs in healthcare institutions. Studies were included based on pre-defined inclusion and exclusion criteria, and the articles searched were between 2010 and 2020. A total of twenty studies were included in the final analysis.Results: Leadership Development Programs Significantly and Positively Impact Healthcare Institutions. They are also typically proven to sharpen leadership competencies, enhance employee motivation and engagement, and contribute to a culture of ongoing learning. Moreover, organizations that emphasize leadership development programs in healthcare have been associated with improved patient outcomes, higher quality of care, and enhanced financial performance.Conclusions: Healthcare Leadership Development Programs Summary: Healthcare leadership development programs are now standard in healthcare organizations and have implications not only for the individual leader but also for the organization as a whole. They are essential for creating a culture of innovation, agility, and resilience, which are all needed in the face of the changing healthcare environment. As a result, healthcare organizations must prioritize investment and ensure the consistency of leadership development programs. Additional studies are needed to examine the effectiveness of such programs in the longer term and identify optimal approaches for their delivery and evaluation.
The Relationship Between Peer Conformity and Bullying Behavior in the Work Area of Soropia Community Health Center
Authors: Wa Ode Nova Noviyanti  , Cece Indriani  , Nazaruddin Nazaruddin , Nurdin Nurdin
Published: February 2025

Introduction: Bullying is a deliberate activity aimed at hurting and intimidating through unequal power dynamics, with the potential to cause trauma and instil fear. This phenomenon occurs in various contexts, such as schools, workplaces, or online, and encompasses physical, verbal, social, and psychological violence. Its impacts are highly detrimental, including psychological trauma, decreased academic performance, depression, anxiety, and even suicide risk for victims, as well as potential future behavioural problems for perpetrators. Environments that tolerate bullying can create unhealthy and fear-filled atmospheres. This study aims to examine the relationship between peer conformity and bullying behavior in the working area of the Soropia Community Health Center.
Methods: This research used a quantitative study design with a cross-sectional approach. The study population consisted of 52 respondents, with a sample of 46 respondents selected using consecutive sampling techniques. The instrument utilized was a questionnaire.
Results: The Fisher Exact Test showed a significant relationship, with a ? value of 0.000 < 0.05 and X² calculated = 40.310 > X² table = 3.841. Therefore, H? was rejected, and H? was accepted, indicating a positive relationship between peer conformity and bullying behavior in the working area of the Soropia Community Health Center.
Conclusion: Relevant stakeholders are encouraged to collaborate, including individuals, families, educational institutions, and the broader community, in efforts to prevent and address bullying, thereby creating a safe and supportive environment for all. The findings of this study are expected to provide useful information for adolescents to avoid bullying behavior and maintain harmony.
Photovoice Communication on Elementary School Children's Anxiety in Rote Facing Vaccination and Its Impact on COVID-19 Vaccination Coverage
Authors: Mas’amah Mas’amah , Apris A. Adu  , Marylin. S. Junias
Published: February 2025

Introduction: The importance of vaccines lies in their ability to enhance the immune system. However, for elementary school children, vaccination programs often evoke fear, particularly due to the use of needles and the need for the program to be conducted twice. Teachers, as parental figures at school, are expected to play a critical role in communication to strengthen children's mental resilience, enabling them to participate in the vaccination program. This study aims to examine the use of photovoice communication to address elementary school children's anxiety about vaccination in Rote and its impact on COVID-19 vaccination coverage.
Methods: This qualitative study employed the photovoice technique as the primary method for data collection.
Results: The findings reveal that collaboration between teachers, healthcare workers, and parents in communicating about the vaccination program can foster supportive communication among students, strengthening their mental resilience. Synergistic communication between teachers, parents, and healthcare workers, along with providing incentives for vaccinated students, effectively reduces fear and contributes to the success of the vaccination program for children.
Conclusion: The study concludes that synergistic communication between teachers, parents, and healthcare workers is a key strategy in reducing children's fear and ensuring the success of vaccination.
Associations Between Cooking Fuel Exposure and Acute Respiratory Infection Symptoms in Children Under 5 Years
Authors: Areta Diga , Haryanto Budi
Published: February 2025

Introduction: Acute Respiratory Infection (ARI) has emerged as a significant public health issue due to its status as the primary cause of illness and death among children under the age of 5.
Methods: This study analyses the association between exposure of cooking fuel and risk factors for acute respiratory infection symptoms in children under 5 years of age. A cross-sectional approach using the 2017 Indonesia Demographic and Health Survey data. The data were analysed using logistic regression.
Results: Results of the study show that among 5473 households, 26% of children under 5 years old experience symptoms of ARI. In the final result of the multivariate analysis, cooking fuel was not significantly associated with ARI. ARI was significantly associated with poor wealth index (aOR = 0,9; CI 95% = 0,73?1,01) and unimproved drinking water sources (aOR = 1,3; CI 95% =1,03-1,52).
Conclusion: This study is expected to be a consideration for the government to immediately intervene for households with insufficient living habits and poor household sanitation. Also, increasing family awareness related to the risk of ARI in children under 5 years old.
Humanism and Constructivism Learning Theories (Their Application in Islamic Religious Education Learning)
Authors: Herman Darmawan  , M. Ramli
Published: February 2025

Humanistic learning theory emphasizes the importance of human aspects in the educational process. Meanwhile, constructivism focuses on the process of how students build knowledge and understanding through experience and interaction with their environment. Both of these theories are essential for educators to understand as a foundation for implementing learning activities. Based on previous research, it seems that there has been no research that examines Humanism and Constructivism Learning Theories (Their Application in Islamic Religious Education Learning) especially literature review research. The purpose of this study is to identify and highlight several publications that examine how humanism and constructivism learning theories (their application in islamic religious education learning). This research uses a literature review, where data is collected from scholarly writings or literature. The findings indicate that in humanistic learning theory, this approach encourages educators to consider students' needs, interests, and motivations, making the learning process more personal and meaningful. Meanwhile, constructivist theory helps students connect religious teachings to daily life, making the material more relevant and applicable. The integration of both theories in Islamic Religious Education (PAI) learning practice can create a holistic learning experience. This will contribute to the development of strong character and deep spiritual understanding in students.
Impact of Health on Labour Productivity in Morocco: Insights from Dynamic ARDL and KRLS Techniques
Authors: El BAOUCHARI Nabil , RAOUF Radouane
Published: February 2025

This study examines the impact of health, as measured by life expectancy (LE), on labour productivity, measured by GDP per capita (GDPC), in Morocco from 1990 to 2021. Utilizing a dynamic Autoregressive Distributed Lag (DYNARDL) model, along with the Kernel-Based Regularized Least Squares (KRLS) method, we assess the counterfactual impact of life expectancy while holding other variables constant. Our findings indicate that life expectancy has a significant and positive effect on labour productivity in both the short and long term. Specifically, a 1% increase in LE leads to a 6% increase in GDPC in the long run, while in the short run, this effect is even more pronounced, with a 1% change in LE resulting in a 14% variation in GDPC. These results highlight the critical role of health improvements in enhancing economic productivity in developing economies, aligning closely with the Sustainable Development Goals (SDGs), particularly Goal 3 - Good Health and Well-being and Goal 8 - Decent Work and Economic Growth. Additionally, DYNARDL simulations suggest that a projected 10% increase in life expectancy could initially accelerate labour productivity, although this acceleration rate diminishes over time, eventually stabilising. These findings underscore the importance of sustained health investments to achieve not only long-term economic growth in Morocco but also broader SDG targets, such as reducing inequalities and fostering sustainable, inclusive economic development.© The Author(s) 2024. Published by RITHA Publishing under the CC-BY 4.0. license, allowing unrestricted distribution in any medium, provided the original work, author attribution, title, journal citation, and DOI are properly cited.
Balancing Leadership Styles for Sustainable Public Sector Efficiency
Authors: BOGDAN Anca Mădălina , RIZA Ionuț
Published: February 2025

The study analyses the influence of various leadership styles - autocratic, transactional, transformational, and laissez-faire - on the efficiency and sustainability of public institutions. By applying the Spearman correlation coefficient, the research identified significant interrelationships among these leadership styles. The results showed that transactional and transformational styles are closely correlated, suggesting a synergy in promoting efficiency while uphold human rights principles. In contrast, the autocratic style is negatively correlated with the other styles, underscoring its limitations in fostering participatory and adaptive governance. Interestingly, laissez-faire leadership is positively linked to both transformational and transactional styles, emphasising the importance of autonomy in cultivating innovative and resilient organisational environments. The findings highlight that achieving a balance between diverse leadership approaches is essential for driving sustainable development within the public sector. This research provides actionable insights for public sector leaders, emphasising the role of adaptability, integrity, and collaborative leadership in advancing organisational performance and fostering sustainable institutional growth.© The Author(s) 2024. Published by RITHA Publishing under the CC-BY 4.0. license, allowing unrestricted distribution in any medium, provided the original work, author attribution, title, journal citation, and DOI are properly cited.