bluuebunny/crossref_metadata_2025 huggingface dataset:
Profissionais de saúde do serviço noturno: hábitos alimentares, causas e consequências
Authors: Da Silva Cristina , Tatiana de Souza  , Herlander Costa Alegre da Gama Afonso  , Júlio Cesar Santos da Silva  , Maria da Silva Vieira Pacheco Janaína
Published: May 2024

RESUMO: Delimitação do tema: Atualmente, são visíveis os impactos provocados na população em função de uma alimentação desregulada, e quando o assunto se refere aos profissionais de saúde, não é diferente. Por diversos motivos, uma quantidade de trabalhadores de períodos noturnos que atuam na área da saúde optam pela ingestão de determinados grupos alimentares ricos em sódio, gordura e açúcares. Justificativa: Associado ao trabalho noturno, como demonstrado por pesquisas, esses hábitos estão associados ao aumento do índice de massa corporal e doenças crônicas não transmissíveis-DCNT, o que leva a determinadas incapacidades e ao absenteísmo. Evitar essas práticas pode contribuir para aumento da produtividade laboral. Objetivo Geral: Esse estudo analisa os fatores que interferem no acesso à alimentação saudável desses colaboradores, à fim de evidenciar os impactos advindos da má alimentação durante a atuação nesse período. Metodologia: Trata-se de uma pesquisa qualitativo-descritiva, o qual foram realizadas buscas na literatura sobre a alimentação e qualidade de vida dos profissionais de saúde, inferidas a partir de  entrevistas realizadas por WhatsApp, tendo sido lhes envido um formulário do Google Forms contendo 10 questões estruturado de forma aberta e fechada. A amostragem investigada é não probabilística, pois a seleção dos elementos que compôs a amostra dependeu do julgamento do entrevistador. Discussão e resultados: Dentre as respostas, obtiveram-se: 63,6%dos entrevistados foram técnicos de enfermagem, 25% enfermeiros, 4,8% médicos e 6% outros; a maioria do sexo feminino (72,7%), na faixa etária entre 18 e 30 anos (59,1%), mães (59,1%); sendo que 84,1% relataram ter aumentado de peso corporal após admissão no trabalho noturno, em virtude de dificuldade de acesso a alimentos adequados. Conclusão: Conclui-se que a má alimentação prejudica a saúde dos profissionais que atuam em período noturno, sendo urgente a necessidade de se investir no acesso e na mudança dos hábitos alimentares dos mesmos.
E-sports e Jogos Eletrônicos no Brasil:
Authors: Mocarzel Rafael Carvalho da Silva , Savonitti Gabriel Almeida , Oliveira Marcelo Alberto de , Anastácio Bruna Santana
Published: May 2024

Os e-Sports são uma prática emergente que tem ganhado imensa visibilidade nos últimos anos em todo mundo, incluindo no Brasil. Destarte, seu crescimento vem chamando atenção de diferentes agentes, incluindo entidades como o Comitê Olímpico Internacional e importantes integrantes das classes políticas. Neste contexto, disputas de poder emergiram merecendo investigações. Dito isto, questiona-se: como se encontra o cenário contemporâneo dos e-Sports no Brasil? Nesse sentido, o objetivo do estudo é discutir o cenário contemporâneo dos e-Sports no Brasil sob óticas socioculturais, políticas e educacionais, apresentando informações relevantes na perspectiva de outros campos do conhecimento. O estudo tem abordagem qualitativa descritiva, levantando uma série de reflexões sobre o tema. Discutiu-se as possibilidades de inserção dos e-Sports nos Jogos Olímpicos, bem como a opinião de agentes políticos, além das questões socioculturais e educacionais que permeiam o universo dos jogos eletrônicos e de forma mais ampla, os e-Sports. As discussões apontam para uma constante disputa de poder no interior de um espaço social: o campo dos e-Sports.
A Pandemia de Covid-19 Interferiu no Conhecimento em Ressuscitação Cardiopulmonar Pré-Hospitalar por Alunos de Medicina?
Authors: Picone Borges de Aragão Ivana , Marques dos Santos Sara Cristine , Picone Borges dos Anjos Ivan Lucas , de Souza Cortes Junior João Carlos , Brito de Aragão Alexandre Augusttus , Rodrigues Braga Neto Antonio
Published: May 2024

A parada cardiorrespiratória (PCR) consiste na interrupção abrupta da contração cardíaca e ejeção do fluxo sanguíneo aos órgãos do corpo, incluindo o próprio coração seguido de óbito. As causas podem ser pela disfunção mecânica ou elétrica do coração. A ressuscitação cardiopulmonar (RCP) começou a ser discutida e ganhar visibilidade no século 18, através da toracotomia, evoluindo, no século 19, para as técnicas de compressões torácicas e abertura de vias aéreas combinadas, momento em que a American Heart Association (AHA) introduziu o primeiro guia de atendimento e suporte cardiopulmonar, dando início aos treinamentos direcionados a população. O objetivo foi avaliar e comparar o conhecimento do estudante de medicina sobre identificação da PCR e técnica da RCP no atendimento pré-hospitalar segundo o período pandêmico de COVID-19. Estudo observacional e transversal, quantitativo e qualitativo em alunos do primeiro período de medicina, através de questionário anônimo com 21 perguntas sobre conhecimento teórico em RCP. Foram divididos entre o período pré-pandemia (Pré-P) COVID-19 (entre 2018 e 2019); per-pandêmico (Per-P) (2020 e 2021); pós-pandemia (Pós-P) (2022) para comparação do conhecimento. Total de 536 questionários avaliados. Houve 296 (55,2%) alunos no grupo Pré-P, 171 (31,9%) no Per-P e 69 (12,9%) no Pós-P. O grupo Pós-P demonstrou maior conhecimento em relação ao primeiro, segundo e terceiro elos na cadeia de sobrevivência, em relação à região e a profundidade das compressões torácicas, sobre o que é um desfibrilador externo automático (DEA) e sobre identificar uma vítima de PCR. Porém, o grupo Pré-P informou saber manusear um DEA e aptidão em realizar uma RCP. O serviço de socorro ser acionado e o telefone de contato; a superfície onde a vítima deve estar apoiada; o posicionamento das mãos do socorrista no tórax da vítima e do socorrista foram semelhantes, contando com a maioria, entre os grupos. A minoria dos grupos conhecia a diferença entre os ritmos chocáveis e não chocáveis e sua importância em relação ao uso do DEA de forma semelhante. O grupo Pós-P demonstrou maior conhecimento sobre as técnicas de RCP, sobre o DEA e reconhecimento as PCR. Porém, o grupo Pré-P demonstrou ser mais capaz em proceder uma RCP e manusear o DEA, apesar do menor conhecimento nas respostas sobre as técnicas.
Palavras chaves: Reanimação Cardiopulmonar. Parada Cardíaca. Emergências.  Estudantes de Medicina. Conhecimento. Cardioversão Elétrica. Desfibriladores externo automático
Aromaterapia e sua aplicação em saúde
Authors: Souza Marta de Araújo Santos , Espirito Santo Fátima Helena do Espirito Santo
Published: May 2024

As Práticas Integrativas e Complementares em Saúde (PICS) utilizam recursos terapêuticos, baseados em conhecimentos tradicionais, que visam contribuir para a promoção da saúde e prevenção de desequilíbrios que levam a diversas doenças do corpo e da mente. Dentre essas práticas, a Aromaterapia utiliza concentrados voláteis, conhecidos como óleos, que podem ser absorvidos por inalação, uso tópico ou por ingestão, com a finalidade de proporcionar bem-estar físico e mental. Este estudo tem como objetivo analisar as evidências científicas sobre o uso da aromaterapia nos diversos setores de saúde. Trata-se de revisão integrativa, realizada no recorte temporal entre os anos de 2017 a 2021, nas bases de dados SCIELO, PUBMED, MEDLINE, LILACS, BDENF, IBECS. Os estudos foram analisados por meio de uma leitura exploratória e os resultados são apresentados de forma descritiva e em figuras. Observou-se nos estudos selecionados que a aromaterapia é uma técnica que contribui para aliviar estresse, ansiedade, angústia, fadiga, cansaço, sintomas de depressão e melhorar a qualidade do sono, bem como tem efeitos na redução da pressão arterial e da frequência cardíaca. O uso da aromaterapia foi evidenciado em diversos setores de Saúde, porém constatou-se ausência de trabalhos atuais voltados para setores que trabalham diretamente com usuários que sofrem com transtornos mentais, extensivo ao uso abusivo de álcool e drogas ilícitas, como os Centros de Atenção Psicossocial. Sendo assim, fazem-se necessários novos trabalhos abordando estes setores para ofertar melhores práticas baseadas em evidências que possam melhorar a saúde e qualidade de vida destes pacientes.
Palavras-Chave: Aromaterapia; Enfermagem; Terapias Complementares; Saúde Mental; Ansiedade.
Percepção da saúde bucal de caminhoneiros que trafegam pelas rodovias BR 116 e BR 324 no município de Jequié, Bahia
Authors: Santos Maria Vitória Araújo , Cafezeiro Amanda Sales , Yarid Sérgio Donha
Published: May 2024

Introdução: a condição de trabalho de caminhoneiros, com as longas e ininterruptas jornadas, compromete os cuidados com a saúde e bem-estar desses profissionais. Objetivo: verificar a percepção em saúde bucal de caminhoneiros que trafegam pelas rodovias BR 116 e BR 324 no município de Jequié – Bahia, no ano 2019. Método: aplicação de questionário com 7 perguntas sobre saúde bucal aos motoristas de veículos de cargas em geral que trafegam pelas Rodovias BR 116 e BR 324, durante a realização do evento Saúde na BR pelo Núcleo de Pesquisa em Bioética e Espiritualidade (NUBE). Resultados: a maior parte dos caminhoneiros entrevistados realizam a higienização bucal (96,3%; n=82), principalmente utilizando escova e creme dental, com frequência de três vezes ao dia (51,2%; n=82). A predominância de visita ao dentista foi de uma vez por ano (34,1%; n=82) da amostra. Sobre o uso e necessidade de prótese, 67,9% (n=81) não utilizam e 32,1% (n=81) utilizam prótese parcial removível, prótese total, prótese sobre implante ou prótese fixa. Conclusão: conclui-se que caminhoneiros executam o autocuidado e higienização da cavidade oral de forma regular e por isso deve ocorrer a continuidade das atividades de promoção e prevenção para o cuidado e manutenção da saúde bucal.  
Palavras - Chaves: Saúde do Trabalhador; Saúde Bucal; Estilo de Vida.
Sustainability Evaluation of the 'Batu Into Green' Village Based on the United Nation Sustainable Development Goals (SDGs)
Authors: Radika Sari Radika Sari , Adeputera Yusran Yusfan , Dwi Wulandari Lisa , Triwinarto Santoso Joko , Nordin Jestin
Published: May 2024

Nowadays, environmental issues deserve everyone's attention. People can actually improve their surrounding environment to be healthier and more comfortable, started with their own houses. This idea realizes an ecology village named 'Batu Into Green', located in Pattimura V, Temas, in the City of Batu, Indonesia. Originally, this village was a slum, but with the initiation of the local village head and with the increase of local public awareness for a healthier environment, the locals improved the ecology of their village. 'Batu Into Green' applies to the concept of environmental friendly village. Thus, an analysis was carried out to examine the level of sustainability of this ecology village. This research applied a qualitative approach to descriptively evaluate the current condition of the village based on the principles of the United Nation's Sustainable Development Goals (SDGs). The focus of the SDGs in this discussion is Sustainable Cities and Communities (SDGs No.11). From the analyses, the 'Batu Into Green' initiative has a great potential for economic, social, and cultural sustainability
Model of Kalitidu Traditional Market's Off-Street Parking Requirements
Authors: Widyawati Agustin Imma , Agus Heptafiansyah Rico , Aprilia Widartiningsih Nurizka , Wahid Hasyim Abdul , Munenge Sizyoongo , Simamba Habeenzu
Published: May 2024

The Market is one land use activity that can have an impact on congestion. Situated in Kalitidu District, Kalitidu Market serves as a Regional Service Center (PPK) for the Bojonegoro Regency. As Kalitidu Market is a market in the PKK region of Bojonegoro Regency, its operations frequently result in traffic jams. The study's goal was to predict Kalitidu Market's parking demands using multiple linear regression analysis, off-street parking user characteristic analysis, and the calculation of off-street parking capacity needs. For two-wheeled automobiles in the Kalitidu market, the following model is used to determine parking space requirements: Ya = 0,071 (X5) – (1,257 -0,005(X1) + 0,012(X2) + 0,012(X3) -57,044(X4) + 0,002(X6). The number of cars entering the area, the number leaving it, the number of vehicles entering the area initially, the amount of time the vehicles are parked, and the number of guests bringing vehicles are all factors that affect the requirement for parking for two-wheeled vehicles. 34 vehicles per hour are therefore required to have parking spaces for two-wheeled cars.
Periodontics and Orthodontics Integration to Enhance the Prognosis of Compromised Anterior Teeth: A Report of Two Cases
Authors: Nourah Dalia , Alhomaidhi Noura , Aldahlawi Salwa
Published: May 2024

Introduction. Modifying the prognosis of a periodontally compromised tooth from “questionable” to “fair” or “favorable” is a challenging clinical task. However, it has the potential to significantly impact the preservation of natural dentition over time and achieve satisfying results for both patients and clinicians.
The aim of this case series is to report on the multidisciplinary management of two periodontally compromised anterior teeth with “questionable” prognosis.
Case Presentation. Two adult patients were diagnosed with severe periodontal disease. Each patient exhibited a maxillary central incisor with deep periodontal pocket, mobility, pathological migration, radiological evidence of severe bone loss, and infrabony defect resulting in a “questionable” prognosis for the affected teeth. Function and esthetic were compromised in both teeth. The periodontal diagnosis was Stage III and Stage IV Grade C periodontitis. To save the teeth, a multidisciplinary management plan was implemented, including both surgical and non-surgical periodontal therapy followed by orthodontic tooth movement with light forces to eliminate the occlusal trauma and improve esthetics. Follow-ups were conducted for one year.
Treatment Outcomes. The periodontal condition improved significantly, with reductions in the periodontal pocket depth up to 9 mm, clinical attachment level gain up to 4 mm, and radiographic bone fill of up to 90%. The tooth prognosis improved from “questionable” to “fair”. All patients were enrolled in a strict maintenance program to prevent disease recurrence and maintain long-term stability.
Conclusions. In this case series, we demonstrated that a multidisciplinary treatment approach involving non-surgical periodontal therapy, regenerative periodontal therapy, and orthodontic treatment, can preserve periodontally compromised teeth, maintain long-term periodontal health, improve tooth prognosis, and achieve satisfying functional and esthetic outcomes.
Adherence to 24-Hour Movement Guidelines Among Chinese Older Adults: Prevalence, Correlates, and Associations With Physical and Mental Health Outcomes
Authors: Liang Wei , Wang Yanping , Huang Qian , Shang Borui , Su Ning , Zhou Lin , Rhodes Ryan E , Baker Julien Steven , Duan Yanping
Published: May 2024

Background

It is known that 24-hour movement behaviors, including physical activity (PA), sedentary behavior (SB), and sleep, are crucial components affecting older adults’ health. Canadian 24-hour movement guidelines for older adults were launched in 2020, emphasizing the combined role of these 3 movement behaviors in promoting older adults’ health. However, research on the prevalence and correlates of guideline adherence and its associations with health-related outcomes is limited, especially among Chinese older adults.

Objective

This study aimed to investigate the prevalence and correlates of meeting 24-hour movement guidelines among Chinese older adults. Furthermore, this study aimed to examine the associations of guideline adherence with older adults’ physical and mental health outcomes.

Methods

Using a stratified cluster random sampling approach, a total of 4562 older adults (mean age 67.68 years, SD 5.03 years; female proportion: 2544/4562, 55.8%) were recruited from the latest provincial health surveillance of Hubei China from July 25 to November 19, 2020. Measures included demographics, movement behaviors (PA, SB, and sleep), BMI, waist circumference, waist-hip ratio (WHR), percentage body fat (PBF), systolic and diastolic blood pressure, physical fitness, depressive symptoms, and loneliness. Generalized linear mixed models were employed to examine the associations between variables using SPSS 28.0 (IBM Corp).

Results

Only 1.8% (83/4562) of participants met all 3 movement guidelines, while 32.1% (1466/4562), 3.4% (155/4562), and 66.4% (3031/4562) met the individual behavioral guidelines for PA, SB, and sleep, respectively. Participants who were older, were female, and lived in municipalities with lower economic levels were less likely to meet all 3 movement guidelines. Adhering to individual or combined movement guidelines was associated with greater physical fitness and lower values of BMI, waist circumference, WHR, PBF, depressive symptoms, and loneliness, with the exception of the relationship of SB+sleep guidelines with loneliness. Furthermore, only meeting SB guidelines or meeting both PA and SB guidelines was associated with lower systolic blood pressure.

Conclusions

This is the first study to investigate adherence to 24-hour movement guidelines among Chinese older adults with regard to prevalence, correlates, and associations with physical and mental health outcomes. The findings emphasize the urgent need for promoting healthy movement behaviors among Chinese older adults. Future interventions to improve older adults’ physical and mental health should involve enhancing their overall movement behaviors and should consider demographic differences.
Education in Laparoscopic Cholecystectomy: Design and Feasibility Study of the LapBot Safe Chole Mobile Game
Authors: Noroozi Mohammad , St John Ace , Masino Caterina , Laplante Simon , Hunter Jaryd , Brudno Michael , Madani Amin , Kersten-Oertel Marta
Published: May 2024

Background

 Major bile duct injuries during laparoscopic cholecystectomy (LC), often stemming from errors in surgical judgment and visual misperception of critical anatomy, significantly impact morbidity, mortality, disability, and health care costs.

Objective

 To enhance safe LC learning, we developed an educational mobile game, LapBot Safe Chole, which uses an artificial intelligence (AI) model to provide real-time coaching and feedback, improving intraoperative decision-making.

Methods

 LapBot Safe Chole offers a free, accessible simulated learning experience with real-time AI feedback. Players engage with intraoperative LC scenarios (short video clips) and identify ideal dissection zones. After the response, users receive an accuracy score from a validated AI algorithm. The game consists of 5 levels of increasing difficulty based on the Parkland grading scale for cholecystitis.

Results

 Beta testing (n=29) showed score improvements with each round, with attendings and senior trainees achieving top scores faster than junior residents. Learning curves and progression distinguished candidates, with a significant association between user level and scores (P=.003). Players found LapBot enjoyable and educational.

Conclusions

 LapBot Safe Chole effectively integrates safe LC principles into a fun, accessible, and educational game using AI-generated feedback. Initial beta testing supports the validity of the assessment scores and suggests high adoption and engagement potential among surgical trainees.
Combination of Curcuminoids and Acupressure for Inflammation and Pain in Older People with Osteoarthritis Genu: Protocol for a Randomized Controlled Trial
Authors: Mahanani Srinalesti , Kertia Nyoman , Madyaningrum Ema
Published: May 2024

Background

Curcuminoids and acupressure have beneficial effects in reducing pain and inflammation in patients with osteoarthritis. However, only a few clinical trials are investigating biomarkers to prove this objectively.

Objective

This study aims to investigate the effect of acupressure and curcuminoids on inflammatory markers and pain in older people with osteoarthritis genu.

Methods

A randomized controlled trial (RCT) was conducted among older people with osteoarthritis. All participants were randomized to a group that received 30 mg of curcuminoids in turmeric extract capsules and acupressure (group 1) or a group that received a placebo and sham acupressure (group 2) for 3 weeks.

Results

The study was approved by the research ethics board; ClinicalTrials.gov reviewed this protocol. The extracts were manufactured from May 2023 to June 2023. Participant recruitment was conducted in September and October 2023; a total of 72 participants aged 60 years or older participated, of whom 75% (n=54) were female. Data were analyzed in April 2024, and dissemination of results is expected by the end of 2024.

Conclusions

Primary outcomes were assessed at baseline and after the intervention. Relationships were assessed with inflammatory markers, endorphin hormones, and blood level of cycloxygenase-2 hormone. Additionally, secondary outcomes included pain, ability to perform activities of daily living, and quality of life. The beneficial effects that may be found in this trial may be exceptionally relevant in clinical practice, justifying this scientific inquiry. The benefits of herbs and acupressure can be helpful as additional options in treating inflammation and pain in patients with osteoarthritis.

Trial Registration

ClinicalTrials.gov NCT06105840; https://clinicaltrials.gov/study/NCT06105840

International Registered Report Identifier (IRRID)

DERR1-10.2196/54970
Research on Traditional Chinese Medicine: Domain Knowledge Graph Completion and Quality Evaluation
Authors: Liu Chang , Li Zhan , Li Jianmin , Qu Yiqian , Chang Ying , Han Qing , Cao Lingyong , Lin Shuyuan
Published: May 2024

Background

Knowledge graphs (KGs) can integrate domain knowledge into a traditional Chinese medicine (TCM) intelligent syndrome differentiation model. However, the quality of current KGs in the TCM domain varies greatly, related to the lack of knowledge graph completion (KGC) and evaluation methods.

Objective

This study aims to investigate KGC and evaluation methods tailored for TCM domain knowledge.

Methods

In the KGC phase, according to the characteristics of TCM domain knowledge, we proposed a 3-step “entity-ontology-path” completion approach. This approach uses path reasoning, ontology rule reasoning, and association rules. In the KGC quality evaluation phase, we proposed a 3-dimensional evaluation framework that encompasses completeness, accuracy, and usability, using quantitative metrics such as complex network analysis, ontology reasoning, and graph representation. Furthermore, we compared the impact of different graph representation models on KG usability.

Results

In the KGC phase, 52, 107, 27, and 479 triples were added by outlier analysis, rule-based reasoning, association rules, and path-based reasoning, respectively. In addition, rule-based reasoning identified 14 contradictory triples. In the KGC quality evaluation phase, in terms of completeness, KG had higher density and lower sparsity after completion, and there were no contradictory rules within the KG. In terms of accuracy, KG after completion was more consistent with prior knowledge. In terms of usability, the mean reciprocal ranking, mean rank, and hit rate of the first N tail entities predicted by the model (Hits@N) of the TransE, RotatE, DistMult, and ComplEx graph representation models all showed improvement after KGC. Among them, the RotatE model achieved the best representation.

Conclusions

The 3-step completion approach can effectively improve the completeness, accuracy, and availability of KGs, and the 3-dimensional evaluation framework can be used for comprehensive KGC evaluation. In the TCM field, the RotatE model performed better at KG representation.
Health Technology Access and Peer Support Among Digitally Engaged People Experiencing Homelessness: Qualitative Study
Authors: Radó Nóra , Békási Sándor , Győrffy Zsuzsa
Published: May 2024

Background

Although the effects of digital health are receiving wide scientific attention, very little is known about the characteristics of digitally engaged people experiencing homelessness, especially in Central and Eastern Europe. Our previous research revealed a considerable level of internet use in the homeless population of Budapest, Hungary, for general purposes (350/662, 52.9%) and medical purposes (229/664, 34.6%). Moreover, a digitally engaged subgroup was identified (129/662, 19.5%).

Objective

The aim of this exploratory study was to map out the resources, attitudes, and behaviors of digitally engaged homeless individuals in relation to digital technology to set the basis for potential health policy interventions, which will enable better access to health services through strengthening of the digital components of the existing health care system.

Methods

Between August 18, 2022, and October 27, 2022, a total of 12 in-depth semistructured interviews were conducted in 4 homeless shelters in Budapest, Hungary. Upon analysis by 3 independent evaluators, 2 interviews were excluded. The interviewees were chosen based on purposive sampling with predefined inclusion criteria. Thematic analysis of the transcripts was conducted.

Results

In the thematic analysis, 4 main themes (attitude, access, usage patterns, and solutions for usage problems) emerged. Health-related technology use mostly appeared in health information–seeking behavior. Online search for prescribed medications (5 interviews), active ingredients of medications (4 interviews), medicinal herbs believed to replace certain pills (2 interviews) or foods, and natural materials (1 interview) were mentioned. Moreover, mobile health app use (3 interviews) was reported. The intention to circumvent or check on mainstream health care solutions was mainly associated with previous negative experiences in the health care system. Several gaps in the daily use of technology were identified by the interviewees; however, more than half of the interviewees (6/10) turned out to be contact points for their peers for digital problem-solving or basic digital literacy skill enhancement in the homeless shelters. Furthermore, a lack of institutional support or special programs targeting senior clients was noted.

Conclusions

Digitally engaged homeless individuals might become mediators between their peers and comprehensive digital health programs. They have the trust of their peers, can recognize and harness the benefits of digital technology, and are able to provide meaningful help in technology- and usage-related issues through experience. Digital health services have great promise in community shelters for managing and preventing health issues, and digitally engaged individuals might be important for the success of such services.
The Effects of Displaying the Time Targets of the Manchester Triage System to Emergency Department Personnel: Prospective Crossover Study (Preprint)
Authors: Bienzeisler Jonas , Becker Guido , Erdmann Bernadett , Kombeiz Alexander , Majeed Raphael W , Röhrig Rainer , Greiner Felix , Otto Ronny , Otto-Sobotka Fabian , AKTIN Research Group AKTIN Research Group
Published: May 2024

BACKGROUND

The use of triage systems such as the Manchester Triage System (MTS) is a standard procedure to determine the sequence of treatment in emergency departments (EDs). When using the MTS, time targets for treatment are determined. These are commonly displayed in the ED information system (EDIS) to ED staff. Using measurements as targets has been associated with a decline in meeting those targets.

OBJECTIVE

This study investigated the impact of displaying time targets for treatment to physicians on processing times in the ED.

METHODS

We analyzed the effects of displaying time targets to ED staff on waiting times in a prospective crossover study, during the introduction of a new EDIS in a large regional hospital in Germany. The old information system version used a module that showed the time target determined by the MTS, while the new system version used a priority list instead. Evaluation was based on 35,167 routinely collected electronic health records from the preintervention period and 10,655 records from the postintervention period. Electronic health records were extracted from the EDIS, and data were analyzed using descriptive statistics and generalized additive models. We evaluated the effects of the intervention on waiting times and the odds of achieving timely treatment according to the time targets set by the MTS.

RESULTS

The average ED length of stay and waiting times increased when the EDIS that did not display time targets was used (average time from admission to treatment: preintervention phase=median 15, IQR 6-39 min; postintervention phase=median 11, IQR 5-23 min). However, severe cases with high acuity (as indicated by the triage score) benefited from lower waiting times (0.15 times as high as in the preintervention period for MTS1, only 0.49 as high for MTS2). Furthermore, these patients were less likely to receive delayed treatment, and we observed reduced odds of late treatment when crowding occurred.

CONCLUSIONS

Our results suggest that it is beneficial to use a priority list instead of displaying time targets to ED personnel. These time targets may lead to false incentives. Our work highlights that working better is not the same as working faster.
A Social Network Analysis of Organ Donation Conversations on X: Developing the OrgReach Social Media Marketing Strategy for Organ Donation Awareness (Preprint)
Authors: Ahmed Wasim , Hardey Mariann , Vidal-Alaball Josep
Published: May 2024

BACKGROUND

The digital landscape has become a vital platform for public health discourse, particularly concerning important topics like organ donation. With a global rise in organ transplant needs, fostering public understanding and positive attitudes is critical.

OBJECTIVE

The goal is to develop insights into organ donation discussions on a popular social media platform (X) and understand the context in which users discussed the role of education. We investigate the influence of prominent profiles and meta-level accounts, including those seeking health information. We use credibility theory to explore the construction and impact of credibility within social media contexts in organ donation discussions.

METHODS

Data was retrieved from X between October 2023 and May 2024, covering a seven-month period. The posts were analyzed using social network analysis and qualitative thematic analysis. NodeXL Pro was used to retrieve and analyze the data, and a network visualization was created by drawing upon the Clauset-Newman-Moore cluster algorithm and the Harel-Koren Fast Multiscale layout algorithm.

RESULTS

Our analysis reveals an "elite tier" shaping the conversation, with themes reflecting existing societal sensitivities around organ donation. We demonstrate how prominent social media profiles act as information intermediaries, navigating the tension between open dialogue and negative perceptions. We use our findings, social credibility theory, and review of existing literature to develop the OrgReach Social Media Marketing Strategy for Organ Donation Awareness.

CONCLUSIONS

The study highlights the crucial role of analyzing social media data by drawing upon social networks and topic analysis to understand influence and network communication patterns. By doing so, the study identifies strategies that can feed into the marketing strategies for organ donation outreach and awareness.
Chất lượng dịch vụ, sự hài lòng và ý định sử dụng lại dịch vụ tổ chức sự kiện: bằng chứng thực nghiệm từ khách hàng tại thành phố Cần Thơ
Authors: Đặng Nguyễn Khánh Linh , Ngô Mỹ Trân
Published: May 2024

Nghiên cứu phân tích ảnh hưởng của chất lượng dịch vụ đến ý định sử dụng lại dịch vụ tổ chức sự kiện của khách hàng tại thành phố Cần Thơ (TPCT). Nghiên cứu sử dụng số liệu khảo sát từ 254 khách hàng cá nhân từng sử dụng dịch vụ tổ chức sự kiện. Kết quả phân tích bằng PLS-SEM cho thấy năm nhân tố gồm giá cả cảm nhận, hình ảnh thương hiệu, tính độc đáo khác biệt, sự thuận tiện trong dịch vụ và dịch vụ hướng tới khách hàng đều có tác động thuận chiều đến sự hài lòng của khách hàng. Kết quả nghiên cứu cũng chỉ ra tác động trực tiếp của sự hài lòng đến ý định sử dụng lại dịch vụ tổ chức sự kiện. Dựa trên kết quả nghiên cứu, một số hàm ý quản trị đã được đề xuất nhằm cải thiện chất lượng dịch vụ tổ chức sự kiện nhằm nâng cao sự hài lòng của khách hàng, qua đó nâng cao ý định sử dụng lại dịch vụ tổ chức sự kiện của khách hàng tại TPCT.
Các nhân tố ảnh hưởng đến sự phát triển du lịch nông nghiệp ở huyện Phong Điền, thành phố Cần Thơ
Authors: Trương Trí Thông , Nguyễn Trọng Nhân
Published: May 2024

Nghiên cứu này được thực hiện nhằm mục đích phân tích các nhân tố ảnh hưởng đến sự phát triển du lịch nông nghiệp ở huyện Phong Điền, thành phố Cần Thơ. Dữ liệu được thu thập từ 157 du khách thông qua phương pháp chọn mẫu thuận tiện và phát triển mầm. Phương pháp đánh giá độ tin cậy thang đo, phân tích nhân tố khám phá và phân tích hồi quy tuyến tính bội được sử dụng để phân tích dữ liệu. Kết quả cho thấy có sáu nhân tố ảnh hưởng đến sự phát triển du lịch nông nghiệp tại huyện Phong Điền bao gồm: an toàn và an ninh, giá cả, tài nguyên du lịch nông nghiệp, cơ sở vật chất kỹ thuật, nguồn lao động, và cơ sở hạ tầng. Kết quả nghiên cứu này là cơ sở để các bên liên quan trong phát triển du lịch nông nghiệp ở huyện Phong Điền có thể đưa ra một số định hướng và giải pháp nhằm phát triển du lịch nông nghiệp tại địa bàn huyện trong tương lai.
Đa dạng hệ thực vật bậc cao ở đảo Lại Sơn, tỉnh Kiên Giang
Authors: Hồ Thị Phi Yến , Trần Tú Trinh , Đặng Văn Sơn , Trương Bá Vương , Nguyễn Thị Kim Thanh , Đặng Minh Quân
Published: May 2024

Nghiên cứu được thực hiện nhằm cung cấp dữ liệu về thành phần loài thực vật bậc cao (TVBC) ở đảo Lại Sơn, làm cơ sở khoa học cho việc sử dụng, quản lý và bảo tồn nguồn tài nguyên thực vật tại đây. Các phương pháp được sử dụng bao gồm PRA; điều tra thực địa; so sánh hình thái để phân loại và tra cứu các tài liệu chuyên ngành về thực vật. Kết quả đã xác định được 663 loài thuộc 435 chi của 129 họ trong 5 ngành. Ngành Ngọc lan (Magnoliophyta) đa dạng nhất với số taxon ở mỗi bậc đều chiếm trên 86%. Các loài cây thu được thuộc 8 dạng sống và phân bố trong 6 sinh cảnh, nhưng chủ yếu là sinh cảnh rừng tự nhiên trên núi đá và vườn nhà. Nguồn tài nguyên thực vật cũng đã được thống kê với 652 loài cây có giá trị sử dụng chiếm 98,34% số loài và 46 loài cây có tên trong “Sách đỏ Việt Nam” (2007) và Nghị định 84/2021/NĐ-CP. Hệ thực vật ở đảo này có mối quan hệ gần gũi với hệ thực vật nhiệt đới châu Á.
Ý kiến của giáo viên về các yếu tố khách quan ảnh hưởng đến việc giảng dạy môn Ngữ Văn lớp 10 theo Chương trình Giáo dục phổ thông 2018
Authors: Nguyễn Hải Yến , Nguyễn Thanh Liêm , Bùi Thị Tuyết Phương , Bùi Điền Nguyên
Published: May 2024

Để tìm hiểu các yếu tố khách quan có ảnh hưởng đến việc dạy học Ngữ văn theo Chương trình Giáo dục phổ thông năm 2018, một nghiên cứu khảo sát được tiến hành nhằm xem xét ý kiến 144 giáo viên đang giảng dạy Ngữ văn lớp 10 ở Đồng bằng sông Cửu Long về năm yếu tố, gồm (1) Sách giáo khoa, (2) Điều kiện dạy học, (3) Người học, (4) Sự hỗ trợ của đồng nghiệp và lãnh đạo, (5) Học tập và trao đổi chuyên môn. Kết quả cho thấy giáo viên có xu hướng đồng ý rằng các yếu tố này có ảnh hưởng đến việc dạy học, trong đó “Sự hỗ trợ của đồng nghiệp và lãnh đạo” đem đến nhiều thuận lợi nhất, còn “Điều kiện dạy học” có nhiều yếu tố gây bất lợi nhất. Ngoài ra, trong sáu đề xuất nhằm hỗ trợ giáo viên thực hiện Chương trình 2018, đề xuất “Cần có văn bản hướng dẫn thực hiện Chương trình” được đánh giá cần thiết nhất với 63,9% tỷ lệ lựa chọn (N=144).
Phát triển năng lực giải quyết vấn đề cho học sinh tiểu học thông qua hoạt động STEM trong dạy học nội dung Âm thanh ở môn Khoa học 4
Authors: Trần Thị Phương Dung , Phạm Nguyễn Song Liên , Trương Vinh , Lưu Tăng Phúc Khang
Published: May 2024

Giáo dục STEM là mô hình đảm bảo giáo dục toàn diện trong việc hình thành và phát triển năng lực, phẩm chất cho học sinh (HS). Bài viết sử dụng phương pháp nghiên cứu thực nghiệm sư phạm để so sánh mức độ phát triển năng lực giải quyết vấn đề cho HS tiểu học thông qua 02 hoạt động STEM “Căn phòng cách âm” và “Loa khuếch đại âm thanh” thuộc mạch nội dung Âm thanh môn Khoa học 4. Nghiên cứu được tiến hành trên 01 lớp sau khi dạy học thông qua sự đánh giá sự khác biệt giữa các nhóm năng lực bằng kiểm định T-test về giá trị trung bình cho 02 mẫu độc lập (Independent Samples T-test). Thông qua tỉ lệ (%) các nhóm HS đạt được các thành phần năng lực giải quyết vấn đề, sau thực nghiệm thì kết quả nghiên cứu cho thấy điểm trung bình năng lực giải quyết vấn đề trong bài học STEM 2 cao hơn so với bài học STEM 1. Trong đó, biểu hiện hành vi D2.2 có sự tiến bộ rõ rệt. HS nâng cao khả năng tìm hiểu kiến thức và thiết kế sản phẩm, hiểu rõ cách thức xác định và đề xuất giải pháp dựa trên phân tích thông tin từ vấn đề thực tiễn.
Analyzing Free Economic Zones in Uzbekistan for Sustainable Growth
Authors: Ahn Young-Jin , Juraev Zuhriddin , Gu Ji-Yeong
Published: May 2024

This study examines the economic geography of Uzbekistan's free economic zones, focusing on their current significance and future prospects. It examines the historical and theoretical foundations of these zones, focusing on their role in shaping and organizing them. The study looks at the status of the free economic zones and examines their contribution to key economic indicators such as gross domestic production, trade, labor and tourism. In addition, the study uncovers the challenges faced by the free economic zones and provides targeted recommendations to effectively address these issues. The findings not only contribute to the existing economic geography literature, but also serve as a valuable resource for policy makers, researchers and stakeholders interested in promoting economic growth and regional development through free economic zones. This study provides a comprehensive analysis and a theoretical basis for understanding free economic zones in Uzbekistan and offers a broader perspective for improving their performance and potential to ultimately promote sustainable economic development in the country and beyond.
Mapping Lateral Offsets Along the Aceh Fault Zone of the Great Sumatran Fault: An Examination of Their Potential for Slip Rate and Paleoseismic Trenching Sites
Authors: Marliyani Gayatri Indah , Hady Aulia Kurnia , Klinger Yann , Setianto Agung , Helmi Hurien , Kurniawan Telly , Kambali Retno Agung Prasetyo , Sugito Zulham , Jihad Abdi , Setiawan Yosi , Rusdin Andi Azhar , Rohadi Supriyanto , Triyono Rahmat , Karnawati Dwikorita
Published: May 2024

We conducted a study on the Aceh Fault, an active right-lateral strike-slip fault in northern Sumatra, Indonesia. Despite its seismic hazard potential, the slip characteristics of this fault are not well-understood. Using a combination of remote sensing and field methods, we mapped the distribution of displacement recorded by offset channels along the fault. Our goal is to identify evidence of past surface rupture, characterize their tectonic geomorphology setting, and assess their potentials as slip-rate and paleoseismic sites. The documented right-lateral displacements of channels and ridges from 35 observation points are mostly in the order of magnitude of hundreds of meters, with only a few sites exhibiting meter-scale measurable offsets. Our results provide important first-order data that can be used to locate sites suitable for paleoseismic trenching or offset investigations. This information will support the development of a maximum magnitude and earthquake recurrence model of the fault, which are crucial for seismic hazard analysis in the region.
Continuities of Public Service Innovations (PSIs) in Indonesia's Local Governments' Health Services: Whose Initiative Has a Higher Success Rate?
Authors: Pratiwi Pratiwi , Amalia Shafiera , Wahyuadianto Agus , Masrully Masrully , Setya Nugroho Candra
Published: May 2024

Public Service Innovations (PSIs) have improved public services and increased public values. However, previous studies have shown that public servants saw PSIs as risky interventions because of the perceived uncertain outcomes, lack of support and recognition, opposition against incumbent culture, and negative public scrutiny in case of failure. These perceived risks have led to risk-averse behaviour in public service and incremental or discontinued innovations. Earlier studies on PSIs’ continuity have focused on leadership, engagement, collaborations, and organisational cultures in developed countries. However, the mechanism of engagements, collaborations, organisational culture, and leadership types remains unclear. This study aims to investigate the characteristics of sustainable PSIs in Indonesia and how authorities are exercised. In doing so, 11 PSIs in Indonesian health services—facilitated by staff or leaders—are compared and contrasted. The findings indicate that staff-initiated PSIs are prompted by community needs, use routine visits as a collaboration mechanism, and engage more stakeholders. The shortcoming is that the staff-initiated PSIs need more formal team assignments. The advantage is that they strengthen social capital and decrease community health problems. On the other hand, PSIs that were initiated by formal leaders are stimulated by formal antecedents, such as low achievement of development targets. Leaders-initiated PSIs also use capacity development programs to collaborate and increase the achievement of development targets. A novel finding to add to previous studies is that collaborating with other existing programs contributes to PSIs’ continuity. The managerial implication of this study is to stimulate front-liners in initiating PSIs.
Narrative of Religion: The Experiences of Muslim Worship on the Umrah Pilgrimage
Authors: Fernando Henky , Larasati Yuniar Galuh , Qudsy Saifuddin Zuhri , Santoso Try Riduwan
Published: May 2024

Narratives of Muslim experiences have simultaneously influenced the knowledge and meaningon the umrah pilgrimage to become increasingly complex and contextual. The narrative of the experiences of Muslim worship on the umrah pilgrimage has not been given much scientific attention in previous studies. This study focuses on the question “What is the narrative of the experience of Muslim worship on the umrah pilgrimage?” To answer this question, this study uses a qualitative descriptive approach in exploring the knowledge, meaning, and experiences of Muslim worship on the umrah pilgrimage which is disseminated online news. The process of collecting and reading the news is focused on news headlines that contain stories and events experienced by Muslims while performing the Umrah pilgrimage. Findings in this study show that the narratives of Muslim worship experience when carrying out the umrah pilgrimage are not least influenced by spiritual and cultural values that are evaluative and reflective in nature. Based on these findings it is possible to formulate a concept of Narrative of religion as a novelty in this study. This study also recommends the importance of comparing the experiences of Muslim in carrying out the umrah and Hajj pilgrimages, in order to comprehensive and more empirical understanding.
Navigating Ethics and Empathy in Disaster Photojournalism in Indonesia
Authors: Anis Elis Zuliati
Published: May 2024

This study is based on the scholars' critique of the Indonesian media reporting on disaster for focusing on vulnerable groups' suffering, sadness, and grief. The absence of comprehensive journalistic ethical guidelines for disaster published photographs in Indonesia, might contribute to the recurring choice and publication of such images in Indonesian print newspapers. Examining major disasters, including the 2004 Aceh Tsunami, the 2006 Yogyakarta and Central Java earthquake, the 2010 Mt. Merapi Eruption, and the 2015 Sumatra Forest fires, this research provides critical evidence for re-evaluating the Indonesian journalist’s codes of ethics, especially concerning the published photographs of disaster victims. Methodologically, this study draws on interviews with six Indonesian journalists and two media practitioners, exploring the ethical practices and dilemmas in photojournalism with a specific emphasis on disaster reporting in Indonesian print newspapers. The transcripts were analysed thematically, emphasising the repeating ideas or patterns present in the text. It also includes an analysis of three graphic/disturbing photographs from the 2010 Mt Merapi eruption coverage in Kompas and Kedaulatan Rakyat newspapers. The study highlights the complex balance between ensuring truthful reporting and honouring the dignity and privacy of those affected by disasters. It advocates for a nuanced method in disaster coverage that harmonizes journalistic integrity with a compassionate portrayal of victims. This research contributes to the discourse on ethical disaster photojournalism and has significant implications for policy development, journalist training programs, and the revision of journalistic codes of ethics, promoting a more empathetic and responsible approach in the field.
¡Quousque Tandem! La indignación que viene, de Oscar Ariel Cabezas
Authors: Urbano Astorga Freddy
Published: May 2024

Al aproximarse los 50 años del Golpe de Estado del 11 de septiembre de 1973, seguido por 17 años de una dictadura cívico militar que impulsó una política institucional sistemática de violencia y terror hacia la población, parece no estar del todo acabada la ascendencia de este hecho trágico en cada una de las manifestaciones y eventos político-sociales de la historia reciente de Chile. Recurrentemente, damos un vistazo al pasado para tratar de encontrar las claves que nos permitan dilucidar los hechos que presenciamos en el presente. Y es así que en las últimas dos décadas, sobre todo a partir de los movimientos de estudiantes secundarios, y posteriormente las masivas marchas contra la educación de mercado, han avivado un profuso debate sobre aquellas dimensiones sociopolíticas que han gestado la masividad de estas movilizaciones estudiantiles: en específico, hacemos referencia a aquel debate que confronta marcos interpretativos en torno a la gestación de este tipo de movimientos sociales y la espesura social que ha concitado su participación en los espacios públicos. Y que, a nuestro parecer, tuvo su máxima intensidad en los análisis sociales y políticos en torno a las revueltas populares que emergen a partir del 18 de octubre de 2019.
Formulation and Evaluation of Herbal Mouthwash
Authors: Shingare Mr. Vishal S. , Sonkamble Mr. Ajay L. , Sontakke Mr. Swapnil S. , Girbane Principal. Mr. Yuvraj , Deshmukh Assist. Prof. Mrs. Priyanka T.
Published: May 2024

Abstract: The goal of the existing work is to formulate and compare natural herbal mouthwash and to assess its effectiveness against microbial load of the oral cavity. The main combinations are Guava leaves, Neem, and other herbal ingredients. Patients and oral health practitioners are faced with a multitude of mouthwash products containing different active and inactive ingredients. Although many popular herbal products have helped to control dental plaque, anti-inflammatory activity, analgesic action, and gingivitis, they have been used for a short time and only as an Adjunct to unique oral hygiene measures in conjunction with brushing and flossing. Mouth ulcers are small sores that form on your gums, lips, tongue, inner cheeks, and roof of your mouth. Different formulations are used for mouth ulcers/canker sores, such as pastes, gels, tablets, paints, and mouthwashes. Psidium guajava Linn. (guava) is used as a meal and additionally as people's remedy in subtropical regions around the arena due to its pharmacologic activities. Hence there is a need for increased usage of herbal preparation to avoid the adverse effects. This answer may be used to lessen the microbial boom inside the oral. This examination is an try and define such herbal substances, that can be used as powerful and effective mouthwashes