bluuebunny/crossref_metadata_2025 huggingface dataset:
Impactos del Uso del Internet en Estudiantes de Media Académica
Authors: Gallego Hurtado Andrés Felipe , Bermúdez Duque Andrés , Jensen Gómez Clyde
Published: September 2024

El presente estudio se desarrolló para evaluar la prevalencia de comportamientos potencialmente adictivos relacionados con el uso de Internet entre estudiantes de educación media, específicamente de décimo y undécimo grado. Se inició con una introducción a la creciente preocupación sobre el impacto de las Tecnologías de la Información y Comunicación (TIC) en los patrones conductuales juveniles, particularmente en el ámbito educativo. El objetivo de esta investigación fue determinar la frecuencia de comportamientos asociados a la adicción a Internet, utilizando la Escala de Adicción a Internet de Young (IAT) para medir las dimensiones y el impacto de estos comportamientos en las actividades académicas y sociales de los estudiantes. En cuanto a la metodología, el estudio se caracterizó por adoptar un enfoque cuantitativo, implementando un método descriptivo y correlacional. El diseño fue transversal y no experimental, se empleó la técnica cuantitativa de la Encuesta, y el instrumento principal fue el cuestionario basado en la Escala de Adicción a Internet de Young (IAT), diseñado para evaluar diversos factores del uso de Internet, incluidos los comportamientos adictivos y su influencia en la vida diaria de los estudiantes. La población objeto del estudio incluyó a 174 estudiantes de décimo y undécimo grado, seleccionando una muestra por conveniencia de 45 estudiantes, tras recibir el consentimiento informado de los padres. Sin embargo, la muestra efectiva se redujo a 39 debido a la exclusión de seis cuestionarios por ser incompletos o por falta de respuesta. El análisis de los resultados indicó una prevalencia notable de uso problemático de Internet entre los estudiantes, correlacionándose esto con efectos adversos tanto en su rendimiento académico como en sus interacciones sociales. Las conclusiones sugirieron la implementación de políticas educativas y programas de intervención dirigidos a fomentar un uso responsable de Internet y a mitigar los riesgos de adicción.
Variación de la Calidad del Aire Causada por Actividades de Mejoramiento y Conservación Vial en la Ruta Desvió Limbani Phara
Authors: Condori Ilaquita Oliver Fernando
Published: September 2024

La infraestructura viaria contribuye al progreso socioeconómico de una nación, tanto en términos de impactos sociales como ambientales positivos y negativos, Por lo tanto, el objetivo de la investigación es determinar la variación en la calidad del aire y el ruido ambiental, causada por las actividades de mejoramiento y conservación de la carretera en la ruta Desvió Limbani Phara. Empleando una metodología de tipo Aplicada - descriptiva, nivel exploratorio – descriptivo, diseño experimental y con un enfoque mixto, se recopilo información ejecutando Monitoreos Ambientales de calidad del Aire y Ruido ambiental, obteniendo resultados de concentración de PM10, SO2, NO2, CO y LAeqT, los cuales no superan los ECAS del Perú. En conclusión, la producción de PM10, SO2, NO2, CO y LAeqT, durante la ejecución de actividades de mejoramiento y conservación vial, cumplen con los valores límites establecidos en la Republica de Perú; sin embargo, no sucede lo mismo con los lineamientos establecidos por México y la Organización Mundial de la Salud, recomendando a las entidades como el Ministerio del Ambiente y Ministerio de Salud adecuar los estándares de calidad ambiental con las directrices de la OMS, para asi reducir los impactos negativos a la salud y Medio ambiente producto de las industrias en nuestro País.
Políticas Públicas Peruanas: La Exclusión Juvenil
Authors: Arana Huarancca Fiorella Yvonne
Published: September 2024

El Estado peruano debe promover la creación de organizaciones distritales conformadas y lideradas por jóvenes, debido a que generará beneficios para la población y en la formulación de políticas. En primer lugar, los jóvenes se incorporarán a un nuevo sistema de formación, el cual consistirá en el otorgamiento de cargos y obligaciones; de esta manera, se estimulará el fortalecimiento de su responsabilidad. En segundo lugar, se aprenderá a trabajar de manera organizada, debido a que previamente a la distribución de cargos los jóvenes recibirán un proceso de capacitación, puesto que en la programación y el desarrollo de las diversas actividades se necesitará el uso de esta habilidad. En tercer lugar, la participación activa dentro de las organizaciones sociales, integradas por la sociedad civil, desarrollará y reforzará de manera positiva su liderazgo. En cuarto lugar, la participación de los jóvenes dentro de las organizaciones sociales permite la creación de políticas juveniles con un enfoque realista acerca de la problemática juvenil, puesto que desarrollarán una participación directa respecto a los proyectos anteriormente mencionados; de esta manera, se incentivará a los jóvenes a tener incidencia sociopolítica activa. Finalmente, los jóvenes de la comunidad que tengan incidencia sociopolítica realizarán actividades sociales y a su vez, a través del desarrollo de mismas, obtendrán perspectivas nuevas y realistas respecto a las diferentes realidades que afrontan otros individuos; ello fomentará una conciencia crítica en la población joven.
Integración de la Inteligencia Artificial en Estrategias Digitales: Un Análisis Cuantitativo en la Formación Universitaria en Ecuador
Authors: Acaro Rogel Mayra Alexandra , Coyago Loayza Ximena Solange , Bonisoli Lorenzo , Fajardo Aguilar Graciela Maribel
Published: September 2024

El propósito de esta investigación es evaluar la aplicación de la inteligencia artificial en las estrategias de las plataformas digitales empleadas en la formación universitaria ecuatoriana, a través de las siguientes variables: formación universitaria, moocs en la innovación de la educación, chatgpt e inteligencia artificial. El siguiente estudio tiene un enfoque cuantitativo con carácter exploratorio. Se desarrolló un cuestionario de 4 preguntas descriptivas y 20 indicadores medidos por la escala de Likert de 5 puntos. Se optó por un muestreo no probabilístico de conveniencia, reclutando a 150 estudiantes de la Universidad Técnica de Machala, de los cuales 91 resultados contestados correctamente sirvieron para analizar datos realizados con la técnica del SEM-PLS. El presente análisis nos muestra 3 hipótesis sobresalientes, las cuales 2 hipótesis tienen una relación significativa que son inteligencia Artificial (IA) – (FU) Formación universitaria y Massive Open Online Course (MOOCS)-(FU) Formación Universitaria y la hipótesis que tiene la relación no significativa es la de Chatgpt (CG)-FU Formación Universitaria. Es fundamental enfatizar los estos resultados ya que nos ofrecen información relevante de cómo la inteligencia artificial (IA) puede potenciar las estrategias en las plataformas digitales de las universidades públicas del Ecuador
Psicopedagogía y Teorías del Aprendizaje: Una Revisión Documental
Authors: Campos Ramiro
Published: September 2024

El propósito de este artículo de revisión documental es realizar un análisis crítico de la relación entre la psicopedagogía y las teorías del aprendizaje. Las teorías del aprendizaje son marcos conceptuales que buscan explicar cómo las personas adquieren conocimientos y habilidades. Estas teorías ofrecen distintos enfoques sobre cómo se produce el aprendizaje y los factores que influyen en él. En este artículo, se examinan las principales perspectivas teóricas del aprendizaje, incluyendo el conductismo, el cognitivismo, el constructivismo y el humanismo, cada una con sus propias particularidades y enfoques educativos. El conductismo se centra en el aprendizaje observable y el papel del refuerzo y el castigo, mientras que el cognitivismo explora los procesos mentales internos y la forma en que la información es procesada y almacenada. Por su parte, el constructivismo destaca la importancia de la construcción activa del conocimiento por parte del aprendiz, y el humanismo se enfoca en el desarrollo del potencial humano y la autorrealización. Además de describir estas teorías, el artículo discute sus implicaciones prácticas para la educación, la formación y la intervención psicopedagógica. Se analizan cómo estos enfoques pueden ser aplicados en diversos contextos educativos para mejorar la enseñanza y el aprendizaje. Finalmente, se enfatiza la relevancia de integrar múltiples perspectivas teóricas para abordar de manera más completa las necesidades y desafíos educativos actuales.
Penguatan Soft Skill Digital Enterpreneurship Bagi Anak Panti Asuhan Putra Muhammadiyah Pekanbaru
Authors: Okmayura Finanta , Khairul Anshari  , Rahayu Setianingsih
Published: September 2024

Anak-anak Panti Asuhan Putra Muhammadiyah Pekanbaru seringkali menghadapi serangkaian tantangan yang khas dalam perjalanan hidup mereka. Masalah utama yang mereka hadapi adalah ketidakpastian masa depan dan keterbatasan sumber daya. Mereka sering kali tumbuh tanpa dukungan keluarga yang stabil, akses terbatas terhadap pendidikan yang berkualitas dan peluang pekerjaan yang terbatas. Selain itu, mereka mungkin menghadapi stigma sosial yang dapat menghambat perkembangan mereka dalam masyarakat. Di tengah revolusi digital yang terus berlanjut, pelatihan soft skill digital entrepreneurship menjadi semakin penting. Ini membantu anak- anak panti asuhan untuk mengatasi hambatan-hambatan tersebut, memungkinkan mereka untuk memperoleh keterampilan yang relevan dalam era teknologi dan memberikan peluang untuk berdiri di atas kaki mereka sendiri, menciptakan peluang karier, dan meraih kesuksesan yang lebih besar di dunia yang semakin terhubung digital. Anak-anak Panti Asuhan Putra Muhammadiyah Pekanbaru saat ini belum memiliki keterampilan soft skill sebagai bekal setelah menamatkankan diri dari panti asuhan maupun sekolah sehingga perlu diberikan penguatan soft skill melalui digital enterpreneurship untuk mewujudkan enterpreneur muslim yang unggul di masa depan. Dengan adanya pengabdian ini, maka diharapkan akan melahirkan entrepreneur muslim yang cerdas dan unggul di masa depan nanti.
Numerical Study of Cavitation Phenomenon in a Venturi Tube
Authors: Rachman Muhammad Nanda Fatur , Rhakasywi Damora , Fahrudin Fahrudin
Published: September 2024

This research aims to understand and numerically analyze the cavitation phenomenon that occurs in Venturi tubes with variations in throat length and pressure changes. This research uses Ansys Fluent 2023 R2 numerical simulation with venturi tube geometries of 25 mm, 30 mm, and 35 mm and pressures of 300,000, 600,000, and 900,000 Pa. A multiphase flow model with water liquid and water vapor is applied to predict cavitation using a mixture model. RANS steady state conditions with the k-ε turbulence model are used to solve the continuity, momentum, energy and volume fraction equations. The Schnerr-Sauer cavitation model calculates the phase transition between water-liquid and water vapor. Geometry varies by reference journal with different converging and diverging angles, outlined in tables and figures. 2D simulations are carried out using a pressure based solver with specified boundary conditions, using the Presto! for pressure solutions, and upwind and Quick schemes for discretization. The results of this research show that 1) Length throat 25 mm has the most stable distribution compared to 30 and 35 mm geometries at a pressure of 600,000 Pa. 2) The cavitation phenomenon is influenced by changes in geometry where at 35 mm geometry greater cavitation occurs in the area near the wall inlet convergent. 3) At a pressure of 900,000 Pa, the cavitation area that forms becomes larger and becomes a critical point in this journal.
Evaluation of Information Technology Governance Maturity Using COBIT 2019: A Case Study on the IT Security Industry
Authors: Hidayat Rachmad Syarul , Indrajit Richardus Eko , Dazki Erick
Published: September 2024

This study aims to evaluate the maturity of IT governance in the IT security industry using COBIT 2019. The assessment covered 13 COBIT 2019 domains, namely APO03—Managed Enterprise Architecture, APO07—Managed Human Resources, APO12—Managed Risk, APO13—Managed Security, APO14—Managed Data, BAI02—Managed Requirements Definition, BAI03—Managed Solutions Identification & Build, BAI05—Managed Organizational Change, BAI06—Managed IT Changes, BAI07—Managed IT Change Acceptance and Transitioning, BAI09—Managed Assets, BAI10—Managed Configuration,  and BAI11—Managed Projects. The research methodology included observation, domain-based question formulation, RACI interviews, data collection, and question validation testing, with maturity calculation performed using appropriate formulas. Results indicate that most domains are at Level 2 (Managed), with significant contributions to maturity at Levels 3 and 4. Significant gaps were found between the current state and the desired maturity targets for many domains, such as APO03 and BAI03. The percentage contribution from Level 2 is the highest, while contributions from Levels 3 and 4 vary, with very low contributions from Level 5. The total maturity score is 2.49, with percentage contributions from Levels 2, 3, 4, and 5 being 74%, 26%, 11%, and 3%, respectively. Recommendations include improving processes to achieve Levels 3 and 4 across more domains and investing in training and development for relevant teams.
Heat Transfer Improvement by Exploitation of Nanofluids in a Tubular Heat Exchanger
Authors: Bennoud Salim , Salhi Merouane
Published: September 2024

The enhancement of heat exchanger performance without an increase in its surface area constitutes a real challenge. It is vital to consider this challenge to improve processes and increase the efficiency of energetic and thermal systems. Nanofluids have recently been used in many industries and engineering applications, especially in heat exchangers. The increase in the application of nanofluids is due to their numerous attractive properties, such as the capacity to improve heat transfer and thermal conductivity. Most contemporary problems of nanofluid heat exchangers, such as determining nanofluid characteristics and their exploitation in CFD software, have been the subject of recent scientific papers. This work focuses on clarifying all the steps that must be taken to carry out any correct study concerning nanofluid heat exchangers. The properties of nanofluids are calculated using adapted models and formulas. This modeling uses mathematical expressions permitted to cover a large range of applications. The evolution depends on the chosen nanofluid, the variation of the temperature and the concentration rate of the nanofluid. Polynomial interpolations for these properties are obtained and injected into CFD software (FLUENT code) to carry out simulations using various nanoparticles. This paper conducts a numerical analysis of a microtubular heat exchanger to investigate its thermal impact, particularly on the Nusselt number and the coefficient of heat transfer convection. The application was developed for six different nanoparticles (Al, Al2O3, Cu, CuO, TiO2, and SiO2) with a concentration of nanofluids ranging from 0.5% to 5%. The obtained results present the behavior of nanofluids and the heat transfer improvement. The Nusselt numbers of SiO2 and TiO2 are greater than the other nanofluids (Al2O3, Al, Cu, CuO). They can reach up to 64% and 61% for SiO2 and TiO2 respectively, compared to water. For a fixed temperature, the effect of the concentration on conductivity, density, and dynamic viscosity is proportional for all considered nanofluids. On the other hand, the Prandtl number, specific heat, and volume expansion decrease with an increase in concentration. The improvement of the exit temperature at m=0.05kg/s can reach up to 12.2% and 2.1% for Al and Cu respectively, compared to water.
Genomic variants associated with inborn errors in carbohydrate metabolism in southwestern Colombia
Authors: Viafara Belalcazar Jaime David , Satizabal Soto Jose María , Moreno Giraldo Lina Johanna
Published: September 2024

Introduction: Carbohydrate Inborn Errors of Metabolism (IEMs) result from disruption of the catabolic or anabolic pathways of different carbohydrates, fructose, galactose and glycogen being the most common and belong to a heterogeneous group of disorders that may be inherited or may occur as a result of spontaneous genetic variants. In IEM, there are altered carbohydrate pathways, both catabolic and anabolic pathways, including fructose, galactose and glycogen metabolism, resulting in a heterogeneous group of disorders. However, data on these pathologies in Colombia are scarce. The aim of our study was to identify genomic variants associated with carbohydrate IEM in the southwestern Colombian population lacking clinical diagnosis. Results: We performed a cross-sectional study, sequencing 320 exomes and classifying variants according to standard guidelines. We identified 286 variants, including 206 new variants and 73 benign or probably benign variants. Notably, six variants in genes such as GALT, GAK1, ALDOB, GAA and SLC2A1 were of uncertain significance, and one pathogenic variant in the GALT gene was associated with classic galactosemia. Interestingly, 18% were intronic, 5% missense, 10% synonymous, and 67% unreported variants.
Conclusions: These findings highlight the need for early diagnostic programs to implement targeted treatments, including transdisciplinary management to minimize morbidity and mortality. Genetic counseling and risk education are crucial, facilitating anticipatory and preventive medicine approaches, thus advancing precision medicine.
Intelligent Banking Chatbot: Intention to Continue Through Millennial Customer Satisfaction in Indonesia Using the TAM Method
Authors: Humairoh Humairoh , Limakrisna Nandan , Moeins Anoesyirwan
Published: September 2024

This study examines the impact of perceived usefulness and ease of use on the intention to continue utilizing banking chatbots in Indonesia. The sample comprises Generation Millennials enrolled in Master's degree programs in Tangerang Raya, Banten Province. These individuals have utilized the banking chatbots MITA, VIRA, AISYAH, CINTA, and SABRINA. The sample comprised 230 individuals, and the sampling method employed was simple random sampling. Data collection employs a survey methodology with a questionnaire instrument. The data underwent processing utilizing path analysis techniques facilitated by SPSS Version 26 software. The study yielded findings indicating that both partial and simultaneous judgment of usefulness and ease of use had a favorable and substantial impact on customer satisfaction and intention to continue. Customer satisfaction was discovered to impact the level of ongoing interest. Similarly, the ongoing attraction of millennials towards utilizing banking chatbots in Indonesia is driven by their perception of the chatbots' usefulness and ease of use, with customer satisfaction as a mediating factor. The coefficient of determination for customer satisfaction is 74.4%, while the coefficient of determination for intention to continue using chatbots is 83.2%.
PENDAMPINGAN PEMBUATAN MURAL BANDUNGKU ANU GENAH TUMANINAH DI SDN 077 SEJAHTERA BANDUNG DENGAN GAYA DEKORATIF
Authors: Pandanwangi Ariesa , Dewi Belinda Sukapura , Effendi Ismet Zainal , Pattipawaej Olga , Suryana Wawan , Rahim Muhammad Ali
Published: September 2024

Sekolah Dasar Negeri 077 Sejahtera yang terletak di jl Sejahtera 12 Bandung memiliki dinding sekolah sepanjang 30 m yang belum dimanfaatkan sebagai media edukasi bagi anak-anak sekolah. Permasalahannya pihak sekolah ingin memanfaatkan dinding kosong melalui mural dengan tema Bandungku Genah Tumaninah, Tujuannya untuk dapat menciptakan lingkungan sekolah yang bersih dan nyaman sehingga tercipta suasana belajar yang kondusif. Mitra dalam pengabdian ini adalah SDN 077, Ikatan Kekeluargaan Perempuan Maranatha (IKPM), dan Lions Club. Solusinya dibuat strategi dengan cara menggarap mural sepanjang 30 m. Tim abdimas menggunakan metoda Asset Based Communities Development (ABCD). Hasilnya objek yang divisualisasikan selesai dalam waktu 1 hari dengan mengusung wujud visual flora dengan warna-warni yang kontras, mendominasi bidang dengan komposisi center.
EDUKASI KESEHATAN GIGI DAN MULUT DENGAN MEDIA LEAFLET DAN APLIKASI POKEMON SMILE DI SD NEGERI MOJOSONGO I
Authors: Amir Nikmah Ayu Ramadhani , Alfiyani Lina , Fatimah Nurul , Rahmah Anindita Hasniati
Published: September 2024

Menjaga kesehatan gigi dan mulut sejak dini merupakan faktor penting dalam pertumbuhan dan perkembangan anak. Pengenalan dan perawatan gigi secara dini menjadi penting mengingat banyak anak dengan tingkat frekuensi karies atau gigi berlubang yang belum tertangani dengan benar. Berdasarkan hasil Survei Kesehatan Indonesia (SKI) tahun 2023 masalah kesehatan gigi dan mulut pada penduduk berumur ?3 tahun adalah 56,9% dengan prevalensi terendah di provinsi Bali (46,5%) dan tertinggi di provinsi Sulawesi Barat (68,4%). Ironisnya dari sekian banyak penduduk yang mengalami masalah gigi dan mulut hanya 11,2% yang berobat ke pelayanan kesehatan. Kelompok umur 3-5 tahun masih berada pada indeks DMF-T tinggi. Hal tersebut menunjukkan tingginya masalah kesehatan gigi dan mulut yang terjadi di usia anak- anak. Pengabdian Masyarakat ini bertujuan untuk memberikan edukasi kesehatan gigi dan mulut pada anak usia sekolah agar mereka dapat mengetahui cara menjaga kesehatan gigi dan mulut dengan benar. Sekolah Dasar Negeri (SDN) Mojosongo I merupakan sekolah dasar inklusi sehingga terdapat siswa disabilitas. Pemberian edukasi kesehatan gigi dan mulut pada para siswa kelas 2 menggunakan media leaflet dan aplikasi pokemon smile. Edukasi tersebut terbukti meningkatkan pengetahuan anak tentang kesehatan gigi dan mulut dilihat dari peningkatan hasil pretest dan posttest. Para siswa antusias mencoba aplikasi pokemon smile yang membuat mereka lebih semangat untuk praktik menggosok gigi dengan benar.
EDUKASI AUDIOVISUAL UNTUK MENINGKATKAN KESIAPSIAGAAN BENCANA GUNUNG MELETUS PADA ANAK USIA DINI
Authors: Nirmalasari Novita , Susilowati Latifah , Yuliasari Hesty
Published: September 2024

Provinsi Daerah Istimewa Yogyakarta (DIY) adalah salah satu kawasan rawan bencana karena memiliki gunung aktif yaitu Gunung Merapi dengan kategori siaga Level III. Hal ini merupakan peringatan untuk mempersiapkan diri dan meningkatkan kewaspadaan dalam menghadapi ancaman bencana gunung meletus. Peristiwa bencana ini terkait dengan upaya untuk mempersiapkan diri untuk menghadapi bencana gunung meletus. Pengabdian kepada masyarakat bertujuan untuk meningkatkan pengetahuan dan sikap terhadap bencana gunung meletus pada anak usia dini. Kegiatan dilakukan di TK Islam Gunungjati yang merupakan salah satu sekolah di wilayah Kabupaten Bantul, DIY dengan jumlah 50 peserta. Metode kegiatan dengan memberikan materi dan praktik terkait kesiapsiagaan bencana gunung berapi melalui edukasi audiovisual. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan anak terhadap kesiapsiagaan bencana gunung berapi dengan rata-rata sebesar 17 poin (rentang penilaian 0-100). Pendidikan bencana memainkan peran penting dalam menanamkan budaya kesiapsiagaan di kalangan siswa dan menumbuhkan ketahanan dalam menghadapi bencana.
PENINGKATAN KESIAPSIAGAAN LANSIA TERHADAP KEBAKARAN MELALUI PENYULUHAN DAN PELATIHAN PENGGUNAAN APAR DI YAYASAN MINNAN BANDUNG
Authors: Andrijanto  , Novi  , Sarvia Elty , Halim Winda , Yudiantyo Wawan
Published: September 2024

Kebakaran merupakan ancaman serius yang dapat mengancam nyawa manusia dan harta benda. Pengetahuan tentang pencegahan dan penanganan kebakaran sangat penting, terutama bagi lansia yang merupakan kelompok yang lebih rentan. Yayasan Minnan adalah salah satu yayasan di Bandung yang menfasilitasi berbagai kegiatan lansia untuk dapat bersosialisasi, seperti kegiatan belajar bahasa dan kegiatan lainnya. Yayasan Minnan berupaya meningkatkan kesadaran keselamatan dan kesehatan kerja, terutama bagi lansia dalam organisasi ini. Penyuluhan diberikan untuk memberikan pemahaman tentang pencegahan dan penanggulangan kebakaran. Terdapat kuesioner dan wawancara yang dilakukan diawal dan akhir sesi kegiatan, yang bertujuan untuk mengevaluasi efektivitas pelatihan keselamatan dan kesehatan kerja terhadap lansia dalam memahami, mencegah, dan menanggulangi bahaya kebakaran di lingkungan tempat tinggal mereka. Hasil analisis menunjukkan bahwa sebelum penyuluhan, peserta memiliki pemahaman, tingkat kepercayaan diri, dan kemampuan yang terbatas dalam mencegah dan menanggulangi kebakaran. Hasil dari kuesioner sebelum dilakukannya penyuluhan sangat rendah yaitu rata-rata hanya berkisar 26,32%. Namun, setelah penyuluhan terjadi peningkatan signifikan dalam pemahaman, kepercayaan diri, dan kemampuan peserta dalam hal tersebut. Rata-rata persentase peningkatan mencapai 54.16%, menunjukkan efektivitas pelatihan dalam meningkatkan kesadaran dan kesiapan peserta terhadap menangani bahaya kebakaran. Hasil PkM ini memberikan wawasan penting dalam upaya meningkatkan keselamatan dan kesehatan kerja lansia, khususnya terkait bahaya kebakaran, melalui pendekatan pelatihan yang tepat dan terukur.
PELATIHAN KOLABORATIF INTENSIF KRESNA: MENINGKATKAN PENGETAHUAN KESEHATAN REPRODUKSI REMAJA DESA GUNUNG GEULIS
Authors: Lathifah Suci Siti , Raihana Naura , Zahwa Devalya Khumaila , Nurhaliza Syifa Qatrunnada , Susanto Lufty Hari , Irpan Aip M.
Published: September 2024

Permasalahan di desa Gunung Geulis yaitu tingginya angka stunting yang salah satu penyebabnya adalah tingginya usia pernikahan dini karena rendahnya pengetahuan mengenai pentingnya menjaga kesehatan reproduksi untuk mencegah stunting. Program Pelatihan Kolaboratif Intensif KRESNA dilaksanakan di Desa Gunung Geulis dengan tujuan meningkatkan pengetahuan kader remaja tentang kesehatan reproduksi sehingga dapat mencegah pernikahan dini yang berkonstribusi kepada penurunan angka stunting. Partisipasi aktif dari 50 remaja dihasilkan melalui metode interaktif dan kolaboratif yang mencakup diskusi kelompok, simulasi kasus, dan permainan edukatif. Hasil evaluasi menunjukkan peningkatan signifikan dalam pengetahuan peserta, dari rata-rata skor pre-test 40% menjadi 85% pada post-test. Tantangan yang dihadapi, seperti keterbatasan waktu dan stigma sosial, berhasil diatasi melalui pendekatan yang inklusif dan sensitif. Feedback positif dari peserta mengindikasikan kepuasan tinggi dan permintaan untuk program berkelanjutan. Rekomendasi mencakup pendampingan berkelanjutan dan pengembangan lebih lanjut untuk mendalami topik-topik tertentu. Program KRESNA terbukti efektif dan dapat menjadi model untuk peningkatan kesehatan reproduksi remaja di komunitas lainnya.
Six new species of Globba L. (Zingiberales, Zingiberaceae) from the Eastern Himalayas and Northeast India
Authors: Yadav Ritu , Gowda Vinita
Published: September 2024

We describe six new species in the genus Globba L.: Globba corniculatasp. nov., Globba paschimbengalensissp. nov., Globba polymorphasp. nov., Globba tyrnaensissp. nov., Globba janakiaesp. nov., and Globba yadavianasp. nov. collected from the Indian part of the Eastern Himalayas (West Bengal) and Northeast India. We provide a detailed morphological description of all six species along with photographic plates, distribution maps, and tentative conservation assessments. We also provide a dichotomous identification key for all the Indian Globba species and discuss the newly described species in relation to those that are morphologically similar to them. Finally, we highlight the taxonomic collection challenges in the ecologically sensitive Eastern Himalayas and Northeast regions of India.
A new species of genus Acrossus Mulsant, 1842 (Scarabaeidae, Aphodiinae, Aphodiini) from South Korea
Authors: Lim Changseob , Minkina Łukasz
Published: September 2024

A new species of the genus Acrossus Mulsant, 1842, Acrossus baeisp. nov. from South Korea, is described and illustrated on the basis of morphology and mitochondrial COI sequences. The species was compared with four related species; Acrossus atratus (Waterhouse, 1875), A. humerospinosus (Petrovitz, 1958), A. luridus (Fabricius, 1775), and A. superatratus (Nomura & Nakane, 1951). The taxonomic status and diagnostic characters of the new species are discussed. A key to species of the genus Acrossus in the Korean Peninsula is given.
Simulation Training to Increase Holding of Fragile Infants in Cardiac Intensive Care Units
Authors: Rachwal Christine , Smith-Parrish Melissa , Rofeberg Valerie , Graber Kelsey , Smith-Freedman Duncan , Millman Marlena Smith , Garafalo Meagan , Almeida-Santos Sonia , Panaccione Michelle , Sorensen Angela , Stuzynski Suzanne , Horn Karen , Ubertini Gina , Peruti Shana , Butler Samantha C.
Published: September 2024

Background

Promoting bonding and neurodevelopmental care is an important element in the cardiovascular intensive care unit (CICU); however, holding of infants by family members is inconsistently practiced.

Objectives

This quality improvement study aimed to safely increase the holding of medically complex infants in the CICU by developing a holding guideline and offering simulation-based staff education.

Methods

Using consensus methodology and high-fidelity simulation, an expert work group created a holding guideline and training to increase staff confidence and competence in holding critically ill infants in the CICU. The effectiveness of the intervention was tested via a postintervention survey used to assess participants’ confidence in and comfort with holding critically ill infants and elicit suggestions for further support. Participants who engaged with the mannequin were surveyed to assess the validity of the simulation trainer.

Results

After the intervention, participants (N = 130) reported increased confidence with infant holding (76%) and greater confidence in preparing families to hold their infants. Participants (95%) strongly agreed that the simulation enabled realistic, safe practice in holding a medically complex infant with catheters and tubes. More years of experience and engagement with the simulation trainer were associated with increased posttraining confidence. Participants cited increased resources, practice, and adherence monitoring as key supports for infant holding.

Conclusions

Expert group consensus with high-fidelity simulation training is a feasible, safe, and reliable method for teaching higher risk skills and guiding protocol development.
Effect of Sepsis-3 Definition on the Classification of Patients with Sepsis or Septic Shock in South Korea
Authors: Oh Tak Kyu , Song In-Ae
Published: September 2024

Background

Little is known about differences in patient characteristics before and after implementation of the new definition of sepsis (Sepsis-3) and whether the new definition is affecting clinical practice in intensive care units.

Objective

To examine and compare the clinicoepidemiologic characteristics of patients with sepsis or septic shock before and after implementation of Sepsis-3.

Methods

In this population-based cohort study, a nationwide registration database in South Korea was used to identify patients with sepsis or septic shock. Patients admitted to hospitals from 2012 to 2015 constituted the Sepsis-2 group, and patients admitted from 2017 to 2020 constituted the Sepsis-3 group.

Results

The study involved 443 217 patients, of whom 170 660 (38.5%) were in the Sepsis-2 group and 272 557 (61.5%) were in the Sepsis-3 group. The mean (SD) age was 73.3 (14.5) years in the Sepsis-2 group and 75.5 (14.5) years in the Sepsis-3 group. The intensive care unit admission rate was higher in the Sepsis-2 group (34.6%, 59 081 of 170 660) than in the Sepsis-3 group (21.3%, 57 997 of 272 557). Multivariable Cox regression analysis showed that 1-year all-cause mortality was 21% lower in the Sepsis-3 group than in the Sepsis-2 group (hazard ratio, 0.79; 95% CI, 0.78–0.79; P < .001).

Conclusions

Implementation of the Sepsis-3 definition was associated with an increased number of patients with sepsis. Other findings suggested that patients in the Sepsis-2 group had more severe illness, with increased 1-year all-cause mortality, compared with those in the Sepsis-3 group.
Blockchain in the logistics sector: A systematic literature review of benefits and constraints
Authors: Mvubu Mandla , Naude Micheline J.
Published: September 2024

Background: Blockchain technology is recognised in logistics and supply chain research for its ability to enhance transparency and traceability, offering real-time tracking and authentication of goods. However, constraints persist in the implementation of blockchain technology (BCT) in the logistics industry.Objectives: The purpose of this article is to provide insight into the benefits of BCT and the constraints hindering the logistics industry from implementing it.Method: Data were collected through a systematic literature review. The study followed the six steps of the PRISMA framework. A total of 56 journal articles published between 2018 and 2024 were included in the study.Results: The findings reveal seven constraints that hinder the implementation of BCT in the logistics industry. These include the following: organisational constraints; technological constraints; environmental constraints; implementation risks and costs; interoperability; supply chain fragmentation; and data issues. In addition, we highlight how the implementation of BCT could benefit the logistics industry.Conclusion: While the logistics industry faces many constraints in blockchain implementation, this technology is a digital solution for improved communication and collaboration with suppliers in the industry.Contribution: In addition to filling a gap in existing literature, this article serves as a valuable resource for driving BCT implementation in the logistics industry. The practical strategies presented for overcoming the identified barriers can assist stakeholders and policymakers in the adoption of BCT.
Apigenin ameliorates diabetic neuropathy in rats by modulating the TLR4/MyD88 signaling pathway
Authors: Yu Yan-Bo , Qiu Mi-Zhen , Zhang Da-Ying
Published: September 2024

Objective:

To determine the neuroprotective effects of apigenin against streptozotocin (STZ)-induced diabetic neuropathy (DN).

Methods:

To induce DN, Wistar rats (150-200 g) were administered with STZ (55 mg/kg, i.p.). Then they were randomly assigned to various groups, viz., normal, diabetic control, insulin (10 IU/kg, s.c.), apigenin (5, 10, and 20 mg/kg, p.o.), and insulin (10 IU/kg) plus apigenin (20 mg/kg, p.o.). Various behavioral, biochemical, and molecular markers [tumor necrosis factor-alpha (TNF-α), interleukin (IL)-1β, IL-6, Toll-like receptor 4 (TLR4), myeloid differentiation primary response 88 (MyD88), and nuclear factor erythroid 2-related factor 2 (Nrf2)] were assessed.

Results:

Apigenin (10 and 20 mg/kg, p.o.) substantially reduced plasma glucose levels, lipid profile, aspartate transaminase, alanine transaminase, glycated hemoglobin, and neural advanced glycation end products in STZ-induced DN rats (P<0.05). After apigenin intervention, STZ-induced changes in food and water intake, body weight, urine output, allodynia, hyperalgesia, and insulin levels were markedly improved (P<0.05). Neural antioxidant enzymes (superoxide dismutase and glutathione) and Na+K+ATPase activity were also considerably elevated (P<0.05) while the level of lipid peroxidation was diminished following apigenin therapy (P<0.05). Furthermore, apigenin markedly upregulated the Nrf2 mRNA level while downregulating the mRNA expressions of TNF-α and ILs and the protein expressions of TLR4 and MyD88 (P<0.05). STZ-induced histological abnormalities in the sciatic nerve were also improved by apigenin treatment.

Conclusions:

Apigenin exerts its neuroprotective effect by modulating the inflammatory and oxidative stress pathways via regulating the TLR4-MyD88 signaling pathway.
In Hospital Mortality in Acute Heart Failure with Idiopathic Cardiomyopathy and Type II Diabetes
Authors: Al-Jarallah Mohammed , Alajmi Salem Mohammed , Dashti Raja , Bulbanat Bassam , Ridha Mustafa , Sulaiman Kadhim J , Al-Zakwani Ibrahim , Alsheikh-Ali Alawi A. , Panduranga Prashanth , Alhabib Khalid F. , Al Suwaidi Jassim , Al-Mahmeed Wael , Al-Faleh Hussam , Elasfar Abdelfatah , Al-Motarreb Ahmed , Bazargani Nooshin , Asaad Nidal , Amin Haitham , Kobalava Zhanna , Brady Peter A. , Baca Georgiana Luisa , Setiya Parul , Alsaber Ahmad , Rajan Rajesh
Published: September 2024

Background:

Clinical characteristics and outcomes in patients with type 2 diabetes mellitus (T2DM) and acute heart failure (AHF) patients with idiopathic cardiomyopathy are not well known.

Objective:

The objective of our study is to determine all-cause mortality in patients with idiopathic cardiomyopathy presenting with AHF.

Methods:

We analyzed the data from 509 consecutive patients with idiopathic cardiomyopathy presenting with AHF to 47 hospitals in seven Middle Eastern countries (Saudi Arabia, Oman, Yemen, Kuwait, United Arab Emirates, Qatar, and Bahrain) between February and November 2012. All patients were stratified according to T2DM. The analyses were performed using the univariate and multivariate statistical techniques.

Results:

The mean age of the cohort was 52.0 ± 14.8 years. Of the 509 patients, 123 (24.2%) had T2DM and had a higher incidence of major stroke than the nondiabetic group (11.4% vs. 2.8%; P = 0.001). Diabetic patients were also more likely to be associated with hypertension than those without diabetes mellitus (78.9% vs. 21.8%; P < 0.001). Multivariate logistic regression demonstrated that those with cardiogenic shock (adjusted odds ratio [aOR], 59.3; 95% confidence interval [CI]: 20.1–207; P = 0.001) and noninvasive ventilation (NIV) (aOR: 4.19; 95% CI: 1.33–13.1; P = 0.013) were associated with higher odds of all-cause in-hospital mortality. However, age (aOR: 1.00; 95% CI: 0.96–1.03; P = 0.792), T2DM status (aOR: 0.43; 95% CI: 0.10–1.51; P = 0.207), and atrial fibrillation (aOR: 3.95; 95% CI: 0.82–17.2; P = 0.07) were not associated with higher odds of all-cause inhospital mortality.

Conclusions:

In AHF patients with idiopathic cardiomyopathy, T2DM was not associated with higher odds of all-cause inhospital mortality. Patients on NIV and cardiogenic shock were demonstrated as the independent predictors of increased inhospital mortality.
Melatonin induced Ventricular Arrhtymias
Authors: Panattil Shaju Padman , Muralidharan Priya , Panduranga Prashanth
Published: September 2024

Idiopathic ventricular arrhythmias are frequently encountered in clinical practices. Melatonin is a frequently used medication for treating insomnia. Melatonin is usually considered a safe option among the drugs used to control insomnia. Here, we report a patient with ventricular ectopics induced by melatonin. The patient’s ventricular ectopics and symptoms disappeared on stopping melatonin. This case illustrates the importance of history taking specifically all medication history in clinching the etiology before proceeding for invasive electrophysiological studies.
Predictors of Early and Late Mortality after Transcatheter Aortic Valve Implantation: A Multicenter Retrospective Chinese Study
Authors: Al-Jarallah Mohammed , Alajmi Mohammad , Rajan Rajesh , Dashti Raja , Setiya Parul , Alsaber Ahmad , Al-Zakwani Ibrahim , Zhanna Kobalava Davidovna , Brady Peter A. , Albalool Joud , Tse Gary
Published: September 2024

Background:

Patients undergoing TAVR constitute a high-risk population given their comorbidities and out-of-hospital mortality rates remain high despite significant improvements in the overall procedural outcomes.

Objectives:

The objective of this study was to determine the early and late mortality rates following transfemoral transcatheter aortic valve replacement (TAVR) and identify the risk factors for poor outcomes.

Methods:

This study population examined patients extracted from 43 publicly funded hospitals in Hong Kong between 2010 and 2019. The study constitutes retrospective analysis of mortality outcomes for severe aortic stenosis patients undergoing TAVR. The primary end points include out-of-hospital 30-day, 1-year, 1–2-year, and 2–5-year mortality rates.

Results:

A total of 448 patients underwent TAVR and were included into the study. The rates of mortality following TAVR were 1.7%, 3.3%, 1.3%, and 0.22% at 30 days, 1, 1–2, and 2–5 years, respectively. Age and chronic renal failure (CRF) were concluded to be associated with postprocedural mortality. Further analysis of the baseline echocardiographic parameters revealed a higher prevalence of right atrial enlargement (RAE) and tricuspid and pulmonary regurgitation in the deceased subgroup.

Conclusion:

We report the 30-day, 1-, 1–2-, and 2–5-year all-cause mortality for TAVR of 1.7%, 3.3%, 1.3%, and 0.22% at 30 days. Factors associated with a higher prevalence of mortality include age, CRF, RAE, and tricuspid and pulmonary regurgitation.
Safety of Discontinuation of Oral Anticoagulants in Patients with Atrial Fibrillation following Ablation: A Systematic Review and Meta-analysis
Authors: Fikri Yusuf Ananda , Lidvihurin Afina Syarah
Published: September 2024

The safety of discontinuing oral anticoagulants (OACs) in patients with atrial fibrillation (AF) following ablation remains controversial. The European Society of Cardiology stated that the long-term continuation of anticoagulants beyond 2 months following ablation should be based on the patient’s stroke risk profile; however, the decision remains challenging considering the lack of explicit guidelines. Furthermore, a worldwide survey showed that some centers implement a policy of withdrawing OAC therapy even in the majority of patients at high risk of thromboembolic events. To address this issue, we conducted a systematic review to investigate the safety of discontinuing OACs in patients with AF following ablation. A systematic review of cohort studies was performed. A comprehensive search for relevant literature was conducted using predefined keywords in five scientific databases (PubMed, ClinicalKey, Cochrane, EBSCOhost, and ScienceDirect). Studies that compared the incidence of thromboembolic events in the off-OAC group and on-OAC group were considered. Duplicated articles were removed. Eight studies (n = 16037) were retained for the final analysis. These studies were published between 2010 and 2021. Overall, there was no difference in the incidence of thromboembolic events between the off-OAC and on-OAC groups (odds ratio [OR] 0.81; 95% confidence interval [CI] 0.52–1.29) with lower bleeding risk in patients who discontinued OAC compared to those who remained on OAC (OR 0.30; 95% CI 0.15–0.62). Patients who discontinued OAC after AF ablation generally had a similar incidence of thromboembolism (TE) to patients who remained on OAC. This review indicates that the risk-benefit ratio favors the discontinuation of OAC in patients with successful AF ablation. However, randomized controlled trials with larger samples involving a more generalizable population are warranted to address the safety and efficacy of OAC discontinuation in patients with AF undergoing catheter ablation.
The Interplay of Personality Factors and Gender and their Correlation with Academic Achievement, Coping Mechanisms and Ego Resilience in MBBS Interns: A Cross-sectional Study
Authors: Dabholkar Devina Devdatt , Maithili Umate S. , Ramachandra V.
Published: September 2024

Context:

Both personality and gender influence academic performance, coping skills, and resilience. Studying these factors together could help identify methods to improve academic achievement, coping mechanisms, and ego resilience.

Aim:

The aim of the study was to analyze the correlation of personality factors and gender with academic achievement, coping mechanisms, and ego resilience.

Materials and Methods:

Online forms were filled out by 112 interns in a government medical college. Sociodemographic details and academic scores were asked. Appropriate questionnaires for personality factors, coping mechanisms, and ego resilience were used. Data were analyzed using descriptive and analytic statistics using the Statistical Package for the Social Sciences software version 26.

Results:

Emotional stability had a statistically significant negative correlation with female gender, academic achievement, emotion focused, and avoidant coping. Openness to experiences and emotional stability showed a positive correlation with ego resilience. Gender did not show significant correlations with academics, coping, or resilience, although men were statistically more emotionally stable than women.

Conclusion:

Emotional stability having majority of the significant correlations may emphasize the relative importance of particular personality dimensions at different times across the lifespan. Males being more emotionally stable may indicate how they are using healthier coping styles and are more resilient compared to their female counterparts.
Trichotillomania – An Ayurvedic Perspective
Authors: Mamidi Prasad , Gupta Kshama
Published: September 2024

Trichotillomania (TTM) also known as a hair-pulling disorder is a debilitating psychiatric condition characterized by the recurrent pulling out of one's own hair, leading to hair loss and functional impairment. If untreated, TTM may lead to life-threatening medical problems. In DSM-5-TR, TTM is kept under the category of “Obsessive-compulsive and related disorders.” As there is no established treatment in contemporary medicine for TTM, many patients seek other interventions such as Ayurveda (traditional Indian system of medicine). There is no clarity regarding ayurvedic diagnosis and management of TTM. This has created a major diagnostic and management dilemma in clinical ayurvedic psychiatry practice while approaching a patient of TTM. The aim of the present study is to understand TTM according to Ayurveda and to propose an ayurvedic diagnosis and treatment protocol for it. The present study has explored the similarity between Bhutonmada/Grahonmada (psychiatric condition having idiopathic manifestation) and TTM. Although some references related to hair-pulling behavior are available in ayurvedic texts, they may not represent TTM exactly as an independent disease entity. There is some similarity between Bhutonmada and TTM in terms of etiology, pathology, course and prognosis, and clinical features. Hair-pulling behavior and other self-injurious behaviors can be understood as Bhutonmada with the intention of Himsa. Spiritual or divine therapies, ayurvedic psychotherapy, and virtuous code of conduct, along with ayurvedic medicines, may provide relief to TTM patients. The present study provides new insights for diagnosing and managing the patients of TTM according to Ayurveda.
Indian Cow Urine as a Therapeutic Alternative in Treatment of Human Diseases
Authors: Meghana Aallani , Obulapathi Ummadistty , Singh Sanjiv
Published: September 2024

Oxidative stress plays a vital role in implicating various pathological conditions in the development of various human diseases. Cow urine therapy has strong scientific evidence for its various therapeutic actions on cancer, oxidative stress, diabetes, dyslipidemia, obesity, epilepsy, inflammation, wound healing, neurotoxicity, genotoxicity, hepatotoxicity as an antitoxic agent and kidney diseases, etc. This shows cow urine derived from animal source as an effective antioxidant very much useful to counteract oxidative stress-mediated diseases. In this review, we aim to summarize the research updates on implications of Indian cow urine for its role as a potential antioxidant as a therapeutic alternative in treating various human diseases in preventing and repairing the deleterious damage caused due to oxidative stress. This review helps in understanding the potential role of cow urine as an antioxidant in treating various human diseases triggered by oxidative stress as a therapeutic alternative.