bluuebunny/crossref_metadata_2025 huggingface dataset:
Diagnóstico da Candidíase Vulvovaginal
Authors: BARROS DE MACEDO RYAN RAFAEL , FERREIRA LUCENA GUILHERME THOMAS , HOFFELDER CORRADI LEANDRA , GRASSO ISABELA VITÓRIA , CAIRES REBOUÇAS FERNANDA , KAPP RANGEL LAURA , MEDEIROS SHEYLLA KARINE , RAVEL LOPES ARRAIS MATHEUS , SOUTO LOPES JOÃO VITOR , DOS SANTOS SIMÕES BEATRIZ , MATOS DE ALMEIDA BRIANA , MAGNO LEONHARDT RAFAEL
Published: February 2025

A candidíase vulvovaginal (CVV) é uma infecção comum do trato genital feminino, causada principalmente por espécies de Cândida, com destaque para C. albicans, embora infecções por espécies não albicans (NAC), como C. glabrata, estejam se tornando mais prevalentes. O diagnóstico de CVV é desafiador devido à sobreposição de sintomas com outras condições vaginais e à variedade de métodos diagnósticos disponíveis. A microscopia do corrimento vaginal, embora amplamente utilizada, possui sensibilidade limitada, especialmente na detecção de C. glabrata, que não forma hifas. A cultura fúngica, considerada o padrão-ouro, leva de 48 a 72 horas para resultados, o que pode atrasar o início do tratamento. Recentemente, os testes moleculares, como a reação em cadeia da polimerase (PCR), têm mostrado alta sensibilidade e especificidade, representando uma alternativa promissora para o diagnóstico rápido e preciso da CVV. No entanto, o uso de PCR ainda enfrenta limitações em termos de custo e acessibilidade. O tratamento da CVV deve ser baseado na identificação precisa da espécie causadora, considerando a possibilidade de resistência, especialmente em infecções por espécies de Cândida menos comuns. A combinação de métodos clínicos e laboratoriais é essencial para o diagnóstico e manejo eficaz da CVV.
Tratamento do Acidente Vascular Cerebral Hemorrágico
Authors: BARROS DE MACEDO RYAN RAFAEL , AUGUSTO JESUS FIUZA YURI , MAYWORM SCHMIDT JULIA , SENA VIEIRA CAROLINA , CHOQUE FULGUERA VICTORIA DIANIRA , CORREA DE SOUZA ALEX SANDRO , SICHIERI GESSOLO JAILSON PAVIN , DE OLIVEIRA ALVES DIEGO ALESSANDRO , DE ARAÚJO FERREIRA GLEDJA AKYTHIARA , MEDEIROS SHEYLLA KARINE , DE CASTRO VOSS GABRIEL , CARVALHO DE ANDRADE JOAO PEDRO
Published: February 2025

A recuperação pós-acidente vascular cerebral (AVC) hemorrágico é um desafio clínico significativo, com a terapêutica atual buscando restabelecer funções motoras e cognitivas prejudicadas. As abordagens terapêuticas incluem tratamentos farmacológicos e de reabilitação, sendo a fisioterapia e as terapias baseadas em robôs promissoras para a recuperação motora. O tPA, embora aprovado pelo FDA, tem limitações quanto à janela terapêutica e aos pacientes elegíveis. Terapias farmacológicas alternativas, como agonistas do receptor GABA, bloqueadores de canais de sódio e cálcio, e agentes antitrombóticos, também estão em investigação, mostrando resultados variados. Abordagens inovadoras, como o uso de inibidores de cofilina e agentes depletores de fibrinogênio, têm se mostrado promissoras, mas ainda precisam de validação em ensaios clínicos. A combinação de abordagens terapêuticas, aliada à monitorização cuidadosa dos fatores de risco, é essencial para otimizar a recuperação de pacientes com AVC hemorrágico.
QUADRO CLÍNICO DO TRANSTORNO BIPOLAR INFANTIL: UMA REVISÃO DA LITERATURA RECENTE
Authors: BARROS DE MACEDO RYAN RAFAEL , TEIXEIRA PEREIRA JÉSSICA KÉSSYLA , PEREIRA ROQUE HUMBERTO , SOUSA ANDRADE MARIA NAZARÉ , KAPP RANGEL LAURA , DE OLIVEIRA ALVES DIEGO ALESSANDRO , DE OLIVEIRA SOLTEIRO MARCELA , MEDEIROS SHEYLLA KARINE , NUNES THIAGO CORONATO , CASTILHO SIMÃO LILIAN , LOPES ARRAIS MATHEUS RAVEL , SOUTO LOPES JOÃO VITOR
Published: February 2025

O Transtorno Bipolar (TB) infantil é uma condição psiquiátrica complexa que, embora compartilhe os mesmos critérios diagnósticos do CID-10 e DSM-5 para todas as idades, apresenta características específicas na população pediátrica. Crianças e adolescentes com TB apresentam um quadro clínico distinto, com sintomas como irritabilidade, labilidade de humor e comorbidade com Transtorno de Déficit de Atenção e Hiperatividade (TDAH) mais frequentes do que em adultos. Além disso, a doença inicia, comumente, com episódios depressivos, o que pode levar a diagnósticos errôneos. Estudos mostram que crianças e adolescentes com TB também têm taxas mais altas de transtornos psiquiátricos comórbidos, como TDAH, transtornos de ansiedade e uso de substâncias psicoativas. Fatores como antecedentes familiares de transtorno afetivo, eventos traumáticos precoces e sinais clínicos como distúrbios do sono, mudanças de energia e dificuldades escolares são preditores importantes para o desenvolvimento do transtorno. O reconhecimento precoce e o tratamento agressivo são fundamentais para prevenir complicações, como o abuso de substâncias, suicídio e disfunções cognitivas. O tratamento do TB infantil é desafiado pela falta de ensaios clínicos sistemáticos e diretrizes definitivas, com os antipsicóticos atípicos sendo frequentemente prescritos, mas o lítio mostrando-se uma opção mais eficaz para o controle a longo prazo.
PERDA AUDITIVA INDUZIDA POR RUÍDO: PREVENÇÃO, DIAGNÓSTICO PRECOCE E TRATAMENTOS EMERGENTES
Authors: Rodrigues de Carvalho Daniella , Reis Geovana Nabak dos , Contini João Pedro Vigano , Faria Theo Carneiro de Almeida , Maiolini Maria Paula , Sant'Ana Isabelle , Felicidade Matheus , Rocha Emanuelle Carmo , Pedroso Isabela Barros , Junior Glauber Farias da Silva , Salgado Maria Thereza Santos Bandeira , Ramos Diogo de Lima , Oliveira Milena Souza de
Published: February 2025

Este artigo revisa a literatura científica sobre a perda auditiva induzida por ruído (PAIR), com foco na prevenção, diagnóstico precoce e tratamentos emergentes. A pesquisa foi realizada nas bases de dados PubMed, Scopus e Web of Science, utilizando os termos "Perda auditiva induzida por ruído, Prevenção, Diagnóstico precoce, Tratamentos emergentes". A análise revela que a perda auditiva induzida por ruído é uma condição progressiva e irreversível, causada pela exposição prolongada a níveis elevados de som, principalmente em ambientes de trabalho, lazer ou música. A prevenção é considerada a estratégia mais eficaz, com ênfase no uso de proteção auditiva adequada e na conscientização pública sobre os riscos do ruído. Além disso, o diagnóstico precoce é fundamental para interromper o avanço da condição, com a utilização de exames audiométricos regulares, especialmente em populações expostas a ruídos intensos. Avanços no tratamento da PAIR incluem o desenvolvimento de terapias farmacológicas e genéticas, bem como o uso de dispositivos auditivos mais sofisticados, como implantes cocleares e sistemas de amplificação auditiva. Estudos recentes também exploram o potencial de terapias regenerativas, como a estimulação de células ciliadas e terapia com células-tronco, mostrando resultados promissores. Essas abordagens emergentes podem, no futuro, transformar o tratamento e a recuperação da função auditiva em pacientes com PAIR.
Memoria :
Authors: Sánchez García Lorena
Published: February 2025

Debido, entre otros factores, a la creciente demanda de servicios vinculados a la sostenibilidad, el presente Trabajo de Fin de Grado consiste en el desarrollo de un plan de negocio para Senda Áurea Comunicación, una agencia/consultora de marketing y comunicación especializada en sostenibilidad, con un modelo boutique y operada bajo un régimen de autónomo. Con el proyecto se busca diseñar un plan factible, realista y detallado que permita evaluar la viabilidad económica, estratégica y operativa del negocio. A través de diferentes etapas –entre las que se incluyen el análisis externo e interno, la definición del propósito, el planteamiento del modelo de negocio y el desarrollo de los planes de marketing, operaciones, financiero y de contingencia–
se da lugar a un proyecto estructurado que logra demostrar la rentabilidad y pertinencia del
emprendimiento propuesto. Las conclusiones destacan que existe una oportunidad real para una
agencia de este tipo en el mercado y que el proyecto no solo refleja el potencial real de Senda
Áurea para posicionarse como una agencia innovadora, adaptada a las necesidades actuales
del mercado y comprometida con un impacto positivo a nivel social y medioambiental, sino que
también brinda un marco estratégico para la implementación del proyecto.
El Barrileño :
Authors: SanJuan González Tomás
Published: February 2025

El Barrileño es una sección radiofónica semanal de “Más de Uno Madrid” en Onda Cero que, tras una renovación integral, combina humor e historia para ofrecer una visión fresca de los rincones de Madrid. Antes limitado a comentarios repetitivos sobre barrios, el segmento ha evolucionado hacia un producto original que mezcla relatos históricos, ironía y testimonios de los madrileños recogidos directamente en la calle. Este Trabajo de Fin de Grado tiene como objetivo transformar la sección en un espacio dinámico y atractivo, aportando valor tanto informativo como de entretenimiento. Para ello, se sigue un procedimiento que incluye la selección e investigación de lugares emblemáticos, entrevistas espontáneas, edición de audios y elaboración de guiones diseñados para el directo. Además, el proyecto abre nuevas líneas de trabajo, como la adaptación del formato a plataformas digitales realizando videos de la propia sección, y la exploración de temáticas más profundas sobre la memoria y el patrimonio cultural
de la ciudad.
Examining the Impact of Financial Literacy Among Working Women in Haryana
Authors: Priyanka  , Dr. Vinay Nandal  , Dr. Kiran Yadav
Published: February 2025

This study explores the relationship between demographic variables (age, education and income) and financial literacy levels among working women across four cities in Haryana: Rohtak, Sonipat, Panipat and Karnal. A structured questionnaire was used to collect primary data from a sample of 440 participants (110 from each city). The data was screened, coded and analyzed using SPSS 23, employing descriptive statistics and regression analysis. Key findings reveal that while age does not moderate the relationship, education and income significantly influence financial literacy levels. Models with educational qualifications and income as moderators demonstrated statistically significant effects, underscoring their critical role in shaping financial literacy. The study provides actionable insights for policymakers and educators to tailor financial literacy programs to demographic needs, enhancing economic empowerment among women.
A MULTIMODAL SENTIMENT ANALYSIS OF INTERNET MEMES IN THE COURSE OF PHILIPPINE ELECTIONS
Authors: Karl Patrick B. Amper  , Danilo G. Baradillo
Published: February 2025

As internet memes increasingly dominate political communication, concerns about their role in reinforcing biases, fostering polarization, and oversimplifying complex political issues have intensified. Employing Natural Language Processing (NLP) in the context of Sentiment Analysis, the Darth Sentiment Analyzer—a dedicated web-based software based on Valence Aware Dictionary and sEntiment Reasoner (VADER) —was utilized to examine the sentiments (positive, negative, neutral) expressed in a dataset of over 20,000 memes, revealing that neutral sentiment is the most prevalent, followed by positive and negative tones. The study applies Halliday’s Systemic Functional Linguistics and Kress and Van Leeuwen’s Grammar of Visual Design to analyze both the textual and visual elements of memes, providing deeper insights into how these components collaboratively influence public sentiment. Key findings demonstrate significant variation in sentiment across political affiliations, with liberalism being the most prominent ideology, while fascism and green ideologies are underrepresented. The study also identifies the ideological appeals that shape political engagement in online spaces, with implications for educational practices. The research contributes to the growing body of research on the intersection of technology, politics, and education, emphasizing the need for responsible digital citizenship in an era of widespread online influence.
KEYWORDS: Education, Applied linguistics, Internet memes, natural language processing, sentiment analysis, Filipino voters, Philippines
WOMEN EMPOWERMENT THROUGH RESERVATION IN LOCAL GOVERNANCE IN NAGALAND
Authors: Lamminlen Apollo Khongsai  , Dr. S. Suchitra Varma
Published: February 2025

Nagaland became the first Indian state to institute a quota for female citizens. The Nagaland Municipal (First Amendment) Act, 2006, which established quotas for women in urban local bodies, was passed by the Nagaland Legislative Assembly. This change aimed to advance gender parity and guarantee women's representation in municipal decision-making. Women's reservation in Nagaland has helped increase their political representation and economic independence. It has allowed women to have their voices heard, fight for their rights, and participate in policymaking at the local level. In addition, political groups have been motivated by the reservation policy to run more women candidates in the next elections. As a result, more women are participating in politics and gaining experience in administration, which can help drive them into positions of greater authority. The Nagaland Municipal (Second Amendment) Act of 2016 legally established women's reservations in Nagaland. All urban local authorities were required to set aside one-third of their seats for women following this law, and so elections were held in February 2017 to form these bodies. The methodology taken is descriptive analysis.
KEYWORDS: Reservation, Local Governance, Gender Equality, Women’s Representation, Women’s Rights
Strategic management of marketing activities of agrarian enterprises in conditions of digitalization based on the influence of macro-environmental factors
Authors:   State Biotechnological University, Moskalenko Moskalenko Olena , Sahachko Yuliia , Yefremova Nataliia , Kozlov Roman ,   State Biotechnological University
Published: February 2025

In the conditions of active digitization and an unstable macro-environment, Ukraine’s agricultural enterprises face several significant challenges that complicate the strategic management of marketing activities. These challenges include limited access to resources, a changing economic situation, ever-increasing competition, and socio-demographic and environmental changes that require agribusinesses to adapt to new market conditions quickly. The goal is to carry out a comprehensive analysis and assessment of the impact of macro-environmental factors on the activity of the agrarian sector of the economy. The article thoroughly examines aspects of the external marketing environment, including economic, socio-cultural, demographic, political, legal regulation, technological innovations, and natural-geographical environmental factors. This work also emphasizes the importance of using advanced technologies that help minimize risks and costs. The study’s recommendations aim to increase the efficiency of strategic management and optimize the use of resources, which contributes to the sustainable development of enterprises in the agrarian sector. Promising directions of adaptation and transformation of the agricultural sector of the economy will allow agricultural enterprises to effectively respond to modern challenges, meet new market requirements, and contribute to the long-term development of the industry in the conditions of global changes, in particular, digitalization. Prospects for further research include a more detailed analysis of the impact of digital tools on the marketing strategies of agricultural enterprises, especially in the context of new environmental requirements and socio-demographic changes. It is also important to continue research on integrating digital solutions into the production and management processes of agricultural enterprises, for a more accurate assessment of the effectiveness of these solutions and their impact on economic indicators.

Keywords: strategic management, marketing activity, digitalization, macro environment, agricultural enterprises, agricultural sector of the economy.
The methodology for classifying the factors of organizational support for omnichanel marketing in retail enterprises
Authors:   Simon Kuznets Kharkiv National University of Economics, Grynevych Liudmyla , Smotrova Darya ,   Simon Kuznets Kharkiv National University of Economics, Shayban Vitalii ,   Khmelnitsky Cooperative Trade and Economic Institute
Published: February 2025

This article presents a detailed methodology for categorizing the key factors influencing the organizational support of omnichannel marketing. The proposed approach classifies these factors into four primary groups: economic benefits, cost-efficiency, operational effectiveness, and customer satisfaction. The urgency of this research stems from the growing role of digital transformation and the evolving needs of consumers who expect smooth and personalized interactions with businesses across online and offline channels. By addressing existing gaps in resource allocation and strategy development, the study highlights the shortcomings of traditional approaches to omnichannel integration. The newly developed classification model reflects the unique characteristics of the Ukrainian retail sector, where market dynamics and shifting consumer demands require tailored marketing strategies. By aligning business goals with operational processes, enterprises can more efficiently distribute resources, optimize service delivery, and improve customer experiences. This classification system also enables decision-makers to identify and address performance bottlenecks with targeted interventions. Moreover, practical recommendations are provided for managing marketing activities, coordinating cross-channel interactions, and optimizing campaign effectiveness. The study emphasizes that adapting the proposed methodology to various industries is crucial for its successful application beyond retail businesses. As a flexible tool, the classification framework is applicable to enterprises of varying scales and complexities. The practical relevance of this research lies in helping businesses enhance competitiveness through resource optimization and improved customer loyalty programs. Future research directions include empirical testing of the model across different sectors and evaluating its impact on long-term profitability and customer retention metrics.

Keywords: omnichannel marketing, factor classification, economic benefit, cost-efficiency, customer satisfaction.
Digitalization of educational services: prospects for the development of enterprise personnel in the context of modern business models
Authors:   Simon Kuznets Kharkiv National University of Economics, Revenko Olena , Polezhaieva Olena ,   Simon Kuznets Kharkiv National University of Economics
Published: February 2025

Human resource development in the post-war period of Ukraine’s recovery is becoming crucial for sustainable economic growth, primarily through effective education and retraining systems. Digitalizing educational services creates opportunities for rapid and high-quality personnel training, which is especially relevant in limited resources and damaged infrastructure conditions. The purpose of the study is to identify the features of the digitalization of educational services and analyze the prospects for developing enterprise personnel in the context of modern business models. It was determined that it is important to pay attention to educational services that help adapt to changes and introduce innovations to ensure sustainable business development and the country’s human resources potential. Innovative business models based on digital technologies provide access to modern knowledge and skills regardless of location, which is a critical place for residents of regions who know. A list of principles for ensuring effective interaction between the state, higher education institutions, and employees of enterprises (partnership, accessibility, quality, adaptability, technologization (digitalization), inclusiveness, practice-orientedness, continuity) is substantiated. The key roles in the interaction process of the prominent participants in providing educational services are analyzed. It is proven that timely digitalization creates the prerequisites for transforming educational business models in response to the challenges of modernity. Gamification has proven to be a practical element of modern business models of educational services, stimulating engagement and improving learning outcomes. In modern conditions, it is advisable to create new approaches that integrate gamification into educational business models adapted to the specifics of the Ukrainian context. This includes both the development of innovative technological solutions and socio-economic analysis of the effects of their implementation.

Keywords: educational service, digitalization, business models, human resources policy, skills, gamification, personnel development, principles of interaction.
Exploring Advancing Social Equity through Sustainable Development: Challenges and Opportunities
Authors: Ahmad Israr
Published: February 2025

This study investigates the integration of social equity considerations into sustainable development initiatives within the United Kingdom using a quantitative research methodology. Data were collected through a structured survey administered to 500 policymakers, practitioners, and community members involved in sustainability projects. The analysis reveals a significant positive relationship between social equity integration and the perceived effectiveness of these initiatives. Key findings indicate that initiatives incorporating social equity considerations are more effective in addressing social inequalities, although challenges such as funding constraints, inadequate policy support, and stakeholder resistance persist. Additionally, successful initiatives often involve inclusive decision-making processes that engage marginalized communities. The study underscores the need for comprehensive evaluations of the long-term impacts of equity-focused sustainability initiatives, the development of inclusive processes that integrate traditional and local knowledge with modern practices, and context-specific solutions tailored to different socio-economic and environmental conditions. These insights offer valuable guidance for policymakers and practitioners aiming to promote both environmental sustainability and social equity in their efforts.
Off-Grid Dreams: How Solar Energy Is Lighting Up The Forgotten Villages of Zimbabwe
Authors: Madziyauswa Victor
Published: February 2025

This study aims to identify how solar adoption can alleviate energy poverty and sustain development in rural Zimbabwe, Chivi District. The research was qualitative, consisting of semi-structured interviews with locals, government officials and stakeholders, and secondary data collection. These results indicate large socioeconomic upsides, such as increased study time with solar lighting, better storage and healthcare provision through solar-powered refrigeration, and greater agricultural yields through solar irrigation. Despite these advantages, major impediments like the high initial cost of installing solar systems and the lack of technical support in-country hinder widespread deployment. Those outcomes require specific interventions, such as subsidies, capacity building to raise technical knowledge, and new forms of financing to improve affordability. Addressing these challenges allows governments, NGOs and the private sector to scale solar technologies for energy equity, economic empowerment and environmental sustainability, as defined by SDGs 7 (Affordable and Clean Energy) and 13 (Climate Action).
Evaluación de variables morfognósticas del cráneo para la determinación sexual en poblaciones actuales de Mendoza (Argentina) con aplicación forense
Authors: Marchiori Julián Ignacio , Alit Mansegosa Daniela , Giannotti Pablo Sebastián
Published: February 2025

La determinación del sexo es un elemento fundamental para definir el perfil biológico de un cuerpo sin identidad conocida. Por lo tanto, es uno de los principales temas de interés en las ciencias forenses en general, ya que las pericias judiciales requieren de la máxima precisión para lograr una identificación positiva. Hay una gran variedad de métodos de determinación sexual en restos óseos. Sin embargo, estos solo son aplicables con altos grados de confiabilidad en las poblaciones para las que fueron generados. Consecuentemente, resulta necesario que estos sean probados en restos óseos pertenecientes a la población local, con la finalidad de conocer su eficacia y el margen de error de la investigación. El objetivo de este trabajo es evaluar el grado de acierto en la determinación sexual de una serie de variables cualitativas clásicas compiladas para el cráneo en una población moderna mendocina. La muestra utilizada corresponde a 80 individuos de la Osteoteca Humana para la Investigación Arqueológica y Forense de Mendoza (FFyL, UNCuyo). Los  resultados demostraron que los métodos superaron los niveles de confianza requeridos (más del 80%), el Método 1 obtuvo el 84% y el Método 2 el 80,26%. Esto los hace aplicables a las pericias antropológicas forenses.
The Effect of Stretching and Ergonomic Sitting Posture on Low Back Pain (LBP) in Workers
Authors: Martatias Syna Yusterien , Putri Diyanah Syolihan Rinjani , Saelan Saelan
Published: February 2025

LBP is the main cause of decreasing work productivity and work absence in most of the big countries in the world. Office employees generally use computers for a long duration with incorrect or non-ergonomic sitting posture. Incorrect or non-ergonomic sitting posture and long sitting duration increase the risk of LBP. Efforts that can be made to control LBP are stretching and ergonomic sitting posture. Objective: the aim of this study is to determine the effect of stretching and ergonomic sitting posture on Low Back Pain (LBP) in workers at PT ADMEDIKA Surakarta. Method: This study used an observational analytical design with a cross-sectional approach. Sampling used a total sampling technique. There were 52 workers who experienced LBP. This study was conducted in PT Admedika Surakarta from Apri 24 to May 26, 2024. The instrument used the Numeric Rating Scale (NRS) questionnaire. The intervention of stretching and ergonomic sitting posture was 2-3 minutes long for 2 rounds and carried out 3 times per week. The data analysis used a parametric test in the form of a Paired T-test. Results: The results of data analysis obtained a significance value of 0.000 < 0.05. Conclusions: which can be concluded that there is an effect of stretching and ergonomic sitting posture on Low Back Pain (LBP) in workers of PT ADMEDIKA Surakarta.
Improving Effective Communication Competence Through Team Building Training in Nursing Students: Quasi Eksperimen Study
Authors: Sriyanti Nur , Musharyanti Lisa
Published: February 2025

To support the learning process of North Kalimantan Polytechnic nursing students regarding effective communication in cognitive and psychomotor aspects within the scope of patient safety, namely SBAR, a learning method is needed that is considered capable of meeting these two aspects. Team Building Training is a learning method in the form of training that provides a complete package of the latest learning methods because it can improve effective communication, train team cohesion and learn how to solve problems and create solutions. The aim of this research is to determine the effect of Team Building Training on improving cognitive and psychomotor aspects related to effective communication in diploma III students of the North Kalimantan Nursing Polytechnic. Quantitative research with a quasi-experimental design is this research method. From the research results, it is known that students who took part in team building training experienced an increase in effective communication by 85.7% in the cognitive aspect and 76.2% in the psychomotor aspect. In the control group, students did not experience an increase in percentage. Through the research results, it can be concluded that it is very important to provide a variety of learning methods to nursing students so that they can obtain different learning experiences through experiential learning which is considered capable of building students' self-confidence in carrying out tasks. effective communication.
The Effect of Giving A Heating Lamp on Increasing the Body Temperature of Patients with Postoperative Shivering
Authors: Sari Gevi Melliya , Ana Karisma Dwi , Puspita Sylvie , Amrullah Erfan Zitni
Published: February 2025

Shivering is closely related to hypothermia and is one of the seriously problems in surgical patients that can hurt the patient's condition because it affects patient comfort and increases metabolic needs that cause cardiovascular complications. The causes of shivering are the temperature of the operating room, the extent of the surgical wound, age, body mass index, fluids, gender, type of anesthesia, and duration of surgery. The aim of this study was to determine the effect of giving a heating lamp on increasing the body temperature of patients with postoperative shivering. This study was a quantitative study with a pre-experimental design type one group pretest-posttest. The population in the survey was postoperative patients. The sample in this study amounted to 32 respondents using the accidental sampling technique. The instruments in this study were thermometers, heating lamps, and observation sheets. Data analysis used the Wilcoxon sign rank test with P <0.05. This study showed that the average body temperature of patients before being given a heating lamp was 35.10 C. After being given a heating lamp, the average patient temperature was 36.70C. The results of the statistical analysis test obtained a P value of 0.00, which means that there is an effect of providing a heating lamp on increasing the body temperature of patients with postoperative shivering. Postoperative shivering can be treated by minimizing heat loss during surgery with various mechanical interventions such as providing a heating lamp.
The Effect of Lavender Aromatherapy on Insomnia in the Elderly
Authors: Aini Apriyanti , Apriyanti Popy , Lamdayani Rinda
Published: February 2025

The elderly are at risk of experiencing sleep disturbances caused by many factors. Insomnia is difficulty getting or staying asleep. Aromatherapy is a non-pharmacological treatment with essential oils obtained from plants to help improve health problems and improve sleep quality. One of the aromatherapy that can be used to overcome the problem of decreased sleep quality is lavender aromatherapy. This research was conducted to determine the effect of lavender aromatherapy on insomnia in the elderly at the Margo Mulyo Health Center, Jalan 16, Muara Sugihan District. The design of this study is to use a pre-experimental design. The sample of this study were elderly people aged 60 years and over who were obtained by purposive sampling technique with a population of 25 elderly people with insomnia. After that given lavender aromatherapy. Data analysis used the Paired T test statistic. The results showed that before giving lavender aromatherapy, the average was 17.96, which means that the respondent had insomnia behavior and after giving lavender aromatherapy, the average was 6.68, meaning that the respondent experienced a decrease in insomnia. Based on the results of bivariate analysis using the paired t-test statistic, a significance value of 0.001 was obtained with a p-value <0.05, indicating that there was an effect of giving lavender aromatherapy to insomnia in the elderly at the Margo Mulyo Health Center, Jalan 16, Muara Sugihan District.
Development of Early Detection Assessment Questionnaire for Type 2 Diabetes Mellitus for Health Cadres
Authors: Rahmawati Fuji , Herliawati Herliawati , Rizona Firnaliza
Published: February 2025

In 2021 Diabetes Mellitus (DM) type 2 contributes to more than 90% of the total diabetes cases globally, which means more than 482.94 million individuals suffer from this disease. This figure is believed to be higher because there are still many residents who have not been detected. In Indonesia, early detection of type 2 DM is integrated with the Posbindu program, but it is still not running optimally because there is no instrument that can identify high-risk community groups. Objective: This study aims to design an early detection assessment questionnaire for type 2 DM that can be used by health cadres. Method: This study used research and development method. According of the 10 steps of the research and development method, researchers only used 9 steps due to environmental conditions, limited time and research costs. The product that will be produced in this research is an early detection assessment instrument in the form of a questionnaire consisting of questions related to signs and symptoms as well as risk factors for type 2 DM. The population consists of people in the working area of the Puskesmas Simpang Timbangan. The data analysis technique used during product testing is validity testing using Pearson product moment and reliability testing using Cronbach's alpha with validity value r count > r table (0.3008) and reliability value 0.746 (> 0.60). Results: From the development of the questionnaire, 15 closed questions were obtained that were valid and reliable for use. Conclusions: This early detection assessment questionnaire can be used by health cadres in early detection of risk factors for DM Type 2 in the community.
The Relationship between Breastfeeding History and the Incindence of Picky Eating in Preschool
Authors: Putri Abel Aprilia , Zukhra Ririn Muthia , Tampubolon Nurhannifah Rizky
Published: February 2025

Picky eater behavior is an eating problem characterized by a lack of desire to try new food variations that often occurs in preschool-aged children. Picky eaters can be influenced by many factors, one of which is the early experience of eating including breastfeeding. The introduction of various flavors through breast milk transmission can make children later become more familiar with new flavors. This study aims to determine the relationship between breastfeeding history and the incidence of picky eaters in preschool children. This study used a cross sectional approach. The sample was 157 respondents who were taken using proportionate random sampling technique at 3 kindergartens in Pekanbaru. The instruments used to obtain data on picky eater behavior in this study were Child Eating Behavior Questionnaire (CEBQ) and Breastfeeding History Questionnaire. This study used univariate and bivariate analysis with chi-square statistical test. The results of the analysis showed that there were 60 respondent children who had picky eater behavior and 97 respondent children who had non-picky eater behavior. A total of 110 respondent children have a history of exclusive breastfeeding, 4 respondent children have a history of predominant breastfeeding and 43 respondent children have a history of partial breastfeeding. The results of the chi square statistical test showed that there was a significant relationship between breastfeeding history and the incidence of picky eaters in preschool children with p value = 0.001 (< α 0.05).
Effectiveness of Complementary Therapy on Blood Pressure in Hypertension Patients: A Literature Review
Authors: Sapardi Vivi Syofia , Desnita Ria , Surya Defrima Oka
Published: February 2025

Management of hypertension can be done pharmacologically and non-pharmacologically. Pharmacologically by consuming medication to control blood pressure. Whereas non-pharmacologically, it can be done through the provision of complementary therapy. Complementary therapy is not only for lowering blood pressure but also for addressing various physical and psychological complaints related to hypertension. Some complementary therapies found to help lower blood pressure include progressive muscle relaxation, slow stroke back massage, guided imagery, hypertension exercise, aromatherapy, music therapy, and murotal. The purpose of this literature review is to determine the effectiveness of several types of complementary therapies on blood pressure in hypertensive patients. The literature review search uses the PubMed and Google Scholar databases. The literature search started with articles published from 2019 to 2024. The inclusion criteria used in the selection of this literature review are original research, full text, the period from 2019 to 2024, experimental studies with complementary therapy interventions, and research results showing the effectiveness of the therapy. Whereas the exclusion criteria are studies that do not focus on complementary therapy for hypertension patients. Based on the literature review, 6 articles were found that examined complementary therapy interventions showing significant results in lowering blood pressure in hypertensive patients. The conclusion of this literature review is that complementary therapies such as progressive muscle relaxation, slow stroke back massage, guided imagery, hypertension exercises, aromatherapy, music therapy, and murotal are effective in lowering blood pressure in hypertensive patients.
Utilizing Monopoly Game Media to Enhance Students' Motivation Acquisition about the Fulfillment of Balanced Nutrition
Authors: Rizona Firnaliza , Rahmawati Fuji , Purwanto Sigit , Padiana Rijal Akbar Difa
Published: February 2025

The limited knowledge and motivation of balanced nutrition among school children poses a significant challenge to their health and overall development. Inadequate motivation in fulfillmnet of balanced nutrition among school children contributes significantly to the triple burden of malnutrition, encompassing undernutrition, micronutrient deficiencies, and overnutrition. One such approach is the use of interactive educational tools, such as monopoly-based games, which combine learning with play to effectively enhance motivation retention. This study examines the potential of a monopoly game as a health education tool to improve students' understanding and motivation the fulfillment of balanced nutrition. This study was quantitative research which used pre-experimental with one group pre posttest design. A total of 30 students participated in the study, selected through purposive sampling. A pre-test and post-test design was employed to measure the motivation level before and after the intervention. Statistical analysis using the Wilcoxon test revealed a significant improvement in students' motivation, with a p-value of 0.000 (p < 0.05), indicating the effectiveness of the intervention by using monopoly games about balanced nutrition. Implementing educational media through games, such as the monopoly game, significantly enhances students' motivation in fulfillment of balanced nutrition.
Factors Influencing the Incidence of Stunting: A case-control study at Balikpapan Primary Healthcare
Authors: Marini Rina , Wisnuwardani Ratih Wirapuspita , Rohmah Nur
Published: February 2025

Drug management and pharmaceutical services in hospitals often face two main problems: stockouts and overstocking. This research aims to apply the Triple Exponential Smoothing (TES) additive method to forcast cardiovascular drug needs for the period of January–March 2024 at RSUD Dr. Kanujoso Djatiwibowo. This research employs a retrospective method using cardiovascular drugs data collected between January 2021 and December 2023. The forecasting results were interpreted using Mean Absolute Percentage Error (MAPE). The forecasting conducted in the range of January - March 2024, there four drug items distribute in highly accurate forecasts (MAPE<10%), while four drugs exhibited good forecasting performance (MAPE 10%-20%). Additionally, two drug items showed fair forecast results (MAPE 20%-50). This study concluded that RSUD Dr. Kanujoso Djatiwibowo could use TES Additive forecasting method.
Comparison of Minimally Invasive Plate Osteosynthesis and Intramedullary Nailing for Tibial Shaft Fracture: A Systematic Review and Meta-Analysis
Authors: Subawa I Wayan , Darma Anak Agung Ngurah Bagus Surya
Published: February 2025

Tibia shaft fractures are thought to affect 4% of the elderly population. Both low energy and high energy mechanisms have the potential to damage the tibia. Two frequently utilized surgical procedures that are superior to other available choices (external fixation and conventional plate fixation) for the treatment of tibia shaft fractures are intramedullary nailing (IMN) and minimally invasive plate osteosynthesis (MIPO). We compare minimally invasive plate osteosynthesis versus intramedullary nailing for tibial shaft fracture in terms of return to work, hospital stay, and complications over the duration of 1-2 years of follow-up.Methods: A PRISMA guided systematic review was done. A comprehensive literature search was performed to find study in English comparing between MIPO and IMN for tibial shaft fracture from January 2017 until August 2022. PubMed, Google Scholar, and Cochrane Library. The focus in this systematic review and meta-analysis is to compare outcome between MIPO and IMN for tibial shaft fracture. ((“Minimally Invasive Plate Osteosynthesis”, “Intramedullary Nailing”), AND (“Tibial Shaft Fracture”), AND (“Outcome Measure”)) were utilized in the search.Results: This meta-analysis included a total number of 214 patients with 91 patients undergoing MIPO and 123 patients undergoing IMN. The follow-up period was 1-2 years after the treatment. There were found no significant differences statistically in terms of hostpital stay, return to work, infection, malunion, and non union. Conclusion: Our investigations show that both IMN and MIPO are safe and effective methods in treating tibial shaft fractures, and our results show that both methods provide similar outcomes in length of stay, return to work, infection, malunion, and non-union aspects.
Effects of Caring Leadership in Nursing Services: Scoping Review
Authors: Ariestianti Roselien Putri , Dwiantoro Luky , Dwidiyanti Meidiana
Published: February 2025

Nurses have many complex problems when carrying out their nursing services affected high number of nursing turnover. The head nurse plays an important role in solving the problems faced by her staff. One of the leadership styles that can be used is caring leadership. The results of previous studies show that caring leadership has a positive impact to nurses. The purpose of this paper is to determine the effect of caring leadership carried out by the head nurse in nursing services. Method: The method used in this writing is scoping review. Literature search was taken from data based on Pubmed, Science Direct, Proquest, and EBSCO with restrictions on the year of publication 2019 – 2023.  There are 2 outlines of the effects of caring leadership in nursing services including: direct effects on nursing service work and indirect effects. Caring leadership is one of the leadership styles that can be used by the head nurse. The results of this paper can be used as a consideration in nursing for the selection of leadership style to be used.
Factors Related to the Implementation of Patient Safety
Authors: Anitha Anitha , Dwisusanti Oktina , Nuraidah Nuraidah , Wijiarti Kunti , Pratiwi Tiara Zakiyah , Maemun Siti
Published: February 2025

Patient safety is a critical global health issue. Despite solutions from JCI and WHO, 70% of medication errors still occur in many countries, including Indonesia. Objective: To identify factors influencing patient safety implementation by nurses at Sulianti Saroso Infectious Diseases Hospital (SSIDH). Methods: This cross-sectional observational study was conducted at SSIDH in October-November 2024. The population included 150 nurses, midwives, and heads of inpatient wards, selected using purposive sampling. Data were analysed using Kolmogorov-Smirnov, chi-square, and multiple logistic regression (p<0.05). Results: Most respondents were female and held a bachelor’s degree in nursing. Knowledge, attitude, and motivation were not significantly associated with patient safety implementation. Factors significantly influencing patient safety were age, duty room, and tenure (p<0.05). Nurses aged ≥40 years were four times less likely to implement patient safety standards compared to those <40 years (OR=4.04; 95%CI=1.68-9.72). Those working in non-intensive wards were 0.11 times less likely to implement standards (OR=0.11; 95%CI=0.05-0.27). Conclusion: Nurses/midwives should enhance patient safety implementation based on the six patient safety goals. Healthcare providers are encouraged to create programs to support quality improvement and reduce adverse events.
Factors Influencing Nurse Retention in Conflict Zones: A Systematic Review
Authors: Resubun Clara Cassandra , Efendi Ferry , Wahyuni Sylvia Dwi
Published: February 2025

Nurse retention in conflict zones remains a critical global issue, significantly influencing the sustainability of healthcare services. Nurses in these areas face numerous challenges, including safety risks, emotional stress, and inadequate compensation, which impact their decision to continue working in such environments. This systematic review aims to identify and analyze factors influencing nurse retention in conflict zones and propose intervention strategies to address these challenges. A systematic review was conducted following PRISMA guidelines. Data were extracted from Scopus, PubMed, Web of Science, and CINAHL databases. Studies focusing on nurse retention in conflict zones were included, with data extraction guided by the PICOS framework. The quality of the included studies was assessed using Joanna Briggs Institute tools. A total of fifteen studies were reviewed, identifying key factors for nurse retention. These include improved working conditions, adequate safety measures, financial incentives (e.g., risk allowances), and emotional support systems. Job satisfaction, influenced by job security and a supportive work environment, was also a significant determinant of retention. Emotional and psychological support systems were found to reduce burnout, thereby fostering nurse retention. A multifaceted approach, incorporating improved working conditions, enhanced financial incentives, and robust emotional support, is essential for retaining nurses in conflict zones. Future research should focus on the long-term impact of these strategies and their adaptation to region-specific needs.
Optimizing the Role and Function of Managers in Nurse Performance Assessment or Ongoing Professional Practice Evaluation
Authors: Wildan Wildan , Wilda Andi Amalia , Dewi Sarvita
Published: February 2025

The success of healthcare organizations depends heavily on the quality of human resources, particularly nurses, who play a critical role in the organization's growth and sustainability. Performance evaluation, such as Ongoing Professional Practice Evaluation (OPPE), is essential to assess nurses' contributions, productivity, and competencies. Objective: This study aims to optimize the role and function of managers in nurse performance evaluation through the OPPE approach.Methods: The study employed a case study method with a pilot study approach involving 21 nurses at RSAB Harapan Kita. Data collection was conducted through interviews, observations, and questionnaires. Problems were analyzed using the Ishikawa diagram, followed by problem prioritization, action planning, and implementation based on the POSAC method (Planning, Organizing, Staffing, Actuating, Controlling). Results : The analysis revealed that performance evaluation was not optimal, with outdated guidelines, the absence of standard operating procedures (SOPs), and irrelevant assessment tools. Current OPPE evaluations showed behavior scores at 48.5%, clinical performance at 93.5%, and professional development at 55.5%. Interventions included developing updated guidelines, SOPs, and relevant assessment tools. Conclusion: Optimizing managers' roles through updated guidelines, SOP development, and improved assessment tools significantly enhanced the effectiveness of performance evaluations. The implementation of tiered supervision and periodic evaluations is expected to improve nursing service quality and support the sustainable achievement of organizational vision and mission.