bluuebunny/crossref_metadata_2025 huggingface dataset:
Polyvalente immunoglobulines
Authors: De Meester Christophe , Bourgeois Jolyce , Devriese Stephan , San Miguel Lorena
Published: January 2025

Immunoglobulines zijn geneesmiddelen die met menselijk bloedplasma worden geproduceerd. Ze worden gebruikt voor de behandeling van aandoeningen die vaak zeldzaam en soms zeer ernstig zijn. Immunoglobulines zijn duur, en het risico op tekorten eraan neemt steeds toe, wereldwijd en in ons land. Er is daarom zeer dringend nood aan een strategie om de voorraad beter te beheren en het gebruik te optimaliseren. Het Federaal Kenniscentrum voor de Gezondheidszorg (KCE) kreeg de opdracht om hun werkzaamheid na te gaan, en in te schatten wat voor ons land de behoeften voor de komende jaren zijn.
Somatic health care in a psychiatric setting
Authors: Jespers Vicky , Christiaens Wendy , Kohn Laurence , Savoye Isabelle , Mistiaen Patriek
Published: January 2025

SCIENTIFIC REPORT .10 -- 1 GENERAL INTRODUCTION 10 -- 1.1 AIM OF THE STUDY 10 -- 1.2 SCOPE OF THE STUDY 11 -- 1.3 REPORT OUTLINE 14 -- 2 PREVALENCE OF SOMATIC DISORDERS IN PERSONS WITH SEVERE MENTAL ILLNESS .15 -- 2.1 OVERVIEW OF THE EXISTING INTERNATIONAL LITERATURE 15 -- 2.2 SITUATION IN BELGIUM .23 -- 2.3 DISCUSSION 31 -- 3 ORGANISATION OF SOMATIC HEALTH CARE FOR PERSONS WITH SEVERE MENTAL ILLNESS IN BELGIUM 33 -- 3.1 AIM AND METHODS 34 -- 3.2 GLOBAL DESCRIPTION OF THE FOUR SETTINGS 35 -- 3.3 BELGIAN LEGISLATION APPLICABLE TO SOMATIC HEALTH CARE FOR PERSONS WITH SMI 38 -- 3.4 ORGANISATION OF SOMATIC HEALTH CARE FOR PERSONS WITH SMI .39 -- 3.5 FINANCING AND COST OF SOMATIC HEALTH CARE OF PERSONS WITH SMI .41 -- 3.6 SUMMARY OF CHARACTERISTICS OF THE FOUR SETTINGS .46 -- 4 LITERATURE ON BARRIERS AND FACILITATORS OF SOMATIC HEALTH CARE 48 -- 4.1 METHODS .50 -- 4.2 LITERATURE REVIEW 50 -- 4.3 RESULT OF REVIEWS 51 -- 5 THE SOMATIC CARE OF PERSONS WITH SMI: QUALITATIVE RESEARCH ON THE HEALTHCARE PROFESSIONALS PERSPECTIVES .76 -- 5.1 METHOD 77 -- 5.2 FINDINGS .79 -- 6 THE SOMATIC CARE OF PERSONS WITH SMI: QUALITATIVE RESEARCH ON THE PATIENTS PERSPECTIVES 111 -- 6.1 METHOD .112 -- 6.2 FINDINGS 113 -- 6.3 DISCUSSION QUALITATIVE RESEARCH PART ON HEALTHCARE PROFESSIONALS AND PATIENTS PERSPECTIVES 129 -- 7 GUIDELINES ON SOMATIC HEALTH CARE FOR PERSONS WITH SMI 131 -- 7.1 METHODS 131 -- 7.2 SEARCH FOR DOCUMENTS 131 -- 7.3 QUALITY APPRAISAL .131 -- 7.4 RESULTS OF GUIDANCE BY COUNTRY 133 -- 7.5 SUMMARY OF CONTENT OF INCLUDED GUIDELINES 138 -- 7.6 APPRAISAL OF THE GUIDELINES AND EXAMPLE OF A PATIENT TRAJECTORY 161 -- 8 DISCUSSION 171 -- 8.1 THE PREVALENCE OF SOMATIC PROBLEMS IN PERSONS WITH A SEVERE MENTAL ILLNESS 171 -- 8.2 BARRIERS AND FACILITATORS OF SOMATIC HEALTH CARE 172 -- 8.3 THE GUIDELINES PRESENT SUFFICIENT EVIDENCE 178 -- 8.4 LIMITATIONS OF THE PROJECT .178 -- APPENDICES 179
Évaluation et soutien de la capacité décisionnelle des personnes atteintes de démence ou de maladie mentale
Authors: Vinck Imgard , Benahmed Nadia , Dauvrin Marie , Desomer Anja , Cornelis Justien , Jonckheer Pascale , Mistiaen Patriek
Published: January 2025

1. INTRODUCTION 6 -- 1.1. DÉCIDER SOI-MÊME DE SES TRAITEMENTS ET SOINS MÉDICAUX 6 -- 1.2. UN DÉFI POUR LE SOIGNANT 6 -- 1.2.1. La capacité décisionnelle, une notion rarement univoque dans la pratique 6 -- 1.2.2. Des décisions, mais à quel sujet ? 7 -- 1.2.3. Le cadre légal 8 -- 1.2.4. Évaluations implicites et explicites 8 -- 1.3. OBJECTIF DE CETTE ÉTUDE 8 -- 2. CONTEXTE DE CETTE ÉTUDE 9 -- 2.1. PORTÉE DES RECHERCHES 9 -- 2.2. SOURCES ET MÉTHODES 9 -- 2.2.1. Étude de la littérature scientifique 9 -- 2.2.2. Interviews qualitatives de patients 9 -- 2.2.3. Groupe de discussion en ligne avec des prestataires de soins 10 -- 2.2.4. Analyse de la législation et de la jurisprudence 10 -- 3. RÉSULTATS 10 -- 3.1. LA CAPACITÉ DÉCISIONNELLE, UN CONCEPT MULTIDIMENSIONNEL 11 -- 3.1.1. Une combinaison de raison, démotions et de valeurs 11 -- 3.1.2. Investir dans le soutien et dans une représentation bienveillante 11 -- 3.1.3. La capacité décisionnelle réduite dans le contexte belge 12 -- 3.2. MIEUX SOUTENIR LES PERSONNES AVEC UNE CAPACITÉ DÉCISIONNELLE RÉDUITE 14 -- 3.2.1. Partir du principe dune prise de décision partagée 14 -- 3.2.2. Besoin de formation 16 -- 3.2.3. Double impact des traitements médicamenteux 17 -- 3.2.4. Investir dans la planification préalable ou anticipée des soins 17 -- 3.3. ÉVALUER LA CAPACITÉ DÉCISIONNELLE 21 -- 3.3.1. Le soignant en tant quévaluateur 21 -- 3.3.2. Une approche fonctionnelle ou axée sur les tâches 22 -- 3.3.3. La législation seule ne suffira jamais 22 -- 3.3.4. Tout le monde est demandeur dun soutien accru 23 -- 3.4. LA REPRÉSENTATION DU PATIENT INCAPABLE DEXPRIMER SA VOLONTÉ 24 -- 3.5. GARANTIES EN CAS DE CONTRAINTE OU DOPPOSITION DU PATIENT 24 -- 3.6. ET MAINTENANT, COMMENT FAIRE ? 25 -- RECOMMANDATIONS 28 -- RÉFÉRENCES 33
Economische beoordeling van meerlaags siliconen schuimverband voor de preventie van doorligwonden in het ziekenhuis
Authors: Neyt Mattias , de Meester Christophe , Devriese Stephan , Marynen Lisa , Beeckman Dimitri
Published: January 2025

Meerlaagse siliconenverbanden worden al enkele jaren gebruikt voor de behandeling van doorligwonden, een veel voorkomende complicatie bij bedlegerigheid of langdurige immobilisatie. Onlangs stelde een klinische studie, gefinancierd door KCE Trials, vast dat ze ook doeltreffend zijn om doorligwonden te voorkomen. Een nieuwe studie van datzelfde Federaal Kenniscentrum voor de Gezondheidszorg (KCE) toont nu aan dat dit preventief gebruik niet alleen doeltreffend, maar ook kosteneffectief is
Performance of the Belgian health system: Report 2024
Authors: Gerkens Sophie , Lefèvre Mélanie , Bouckaert Nicolas , Levy Muriel , Maertens de Noordhout Charline , Obyn Caroline , Devos Carl , Scohy Aline , Vlayen Annemie , Yaras Huran , Janssens Christophe , Meeus Pascal
Published: January 2025

The fifth edition of the Belgian Performance Report was published in 2024. It analyses our health system along six dimensions: accessibility, quality, efficiency, sustainability, equity and resilience (NEW 2024). In addition, it also analyses four specific domains of care : preventive care, mental health care, care for the elderly and end-of-life care. The result is a dashboard containing 142 indicators. The report highlights the strengths and weaknesses of the system using green, orange and red “lights”. In this new report, for example, green lights were attributed to the use of low-cost medication and low-care dialysis, or to the number of contacts with GPs during the COVID-19 pandemic. Red lights alerted us to the overconsumption of medications like antibiotics or antidepressants, and to equity issues in access to care in general and preventive care in particular.
Indirecte ziekenhuiskosten als mark-up percentage op de directe kosten – Synthese
Authors: Van de Voorde Carine , Lefèvre Mélanie , Devriese Stephan , Obyn Caroline , Swartenbroekx Nathalie
Published: January 2025

De twee belangrijkste bronnen voor de financiering van de Belgische ziekenhuizen zijn vandaag het ziekenhuisbudget van de federale overheid en de afhoudingen op de erelonen van ziekenhuisartsen, om de praktijkkosten te dekken. Naast de hervorming van de nomenclatuur, voorziet minister Vandenbroucke een zogenaamd ‘all-in pathologieforfait per opname’, in de plaats van de huidige ziekenhuisfinanciering. Elk ziekenhuis ontvangt dan een forfaitair bedrag per (ernst van de) aandoening van de patiënt, gebaseerd op de reële kosten. Volgens diezelfde plannen zouden de praktijkkosten niet langer worden afgehouden van de erelonen, maar worden opgenomen in het forfait en vergoed via het federale ziekenhuisbudget. Aan het KCE werd gevraagd om de indirecte ziekenhuiskosten te berekenen, als een mark-up of toeslagpercentage op de directe kosten. Het stelde vast dat er aanzienlijke verschillen zijn tussen de ziekenhuizen in de manier waarop ze hun kosten aangeven, en dat er voor elke afdeling of groep van afdelingen best een mark-up percentage wordt berekend, in plaats van één globaal percentage. Voor deze berekening pleit het KCE voor een nieuwe, gedetailleerde kostentemplate, in te vullen door een representatieve steekproef van verschillende types ziekenhuizen.
Coûts hospitaliers indirects : pourcentage de majoration des coûts directs – Synthèse
Authors: Van de Voorde Carine , Lefèvre Mélanie , Devriese Stephan , Obyn Caroline , Swartenbroekx Nathalie
Published: January 2025

À l’heure actuelle, les deux principales sources de financement des hôpitaux belges sont le budget des hôpitaux des autorités fédérales et les retenues effectuées sur les honoraires des médecins hospitaliers pour couvrir les frais de fonctionnement associés à leurs prestations. À côté d’une réforme de la nomenclature, le ministre Vandenbroucke prévoit de remplacer le financement hospitalier actuel par un « forfait all-in » (« tout compris ») par pathologie et par admission. Dans ce système, chaque hôpital toucherait un montant forfaitaire en fonction de la (gravité de la) pathologie du patient, fixé sur la base des coûts réels. Dans la foulée, les frais de fonctionnement des médecins ne seraient plus prélevés sur leurs honoraires, mais repris dans le forfait et rémunérés par le biais du budget fédéral des hôpitaux. Le KCE a été chargé de calculer les coûts indirects des hôpitaux sous la forme d’un pourcentage de majoration des coûts directs. Il constate qu’il existe des différences considérables d’un hôpital à l’autre dans la manière de rapporter les coûts, mais aussi qu’il vaudrait mieux fixer un pourcentage de majoration pour chaque service ou groupe de services hospitaliers plutôt qu’un pourcentage de majoration global. Pour ce calcul, le KCE plaide en faveur d’un nouveau template détaillé pour la collecte des données de coûts, à compléter par un échantillon représentatif de différents types d’hôpitaux.
Budget impact projecties voor geneesmiddelen
Authors: Odnoletkova Irina , Reynders Dries , De Keersmaeker Frederik , Devriese Stephan , Goetghebeur Els , Cleemput Irina
Published: January 2025

Vandaag worden de toekomstige uitgaven voor geneesmiddelen vooral voorspeld op basis van uitgaven en trends uit het verleden. Dit volstaat echter niet om de impact van dure, opkomende geneesmiddelen, zoals cel- en gentherapieën, in te schatten. Om ze te identificeren en het systeem voor te bereiden op hun komst, moet de farmaceutische pijplijn systematisch worden gemonitord. Deze methode wordt ‘horizon scanning’ genoemd. Het RIZIV vroeg aan het Federaal Kenniscentrum voor de Gezondheidszorg (KCE) om aanbevelingen te formuleren voor het beter voorspellen van de uitgaven voor geneesmiddelen, met onder andere een focus op horizon scanning.
Recherche et publication scientifiques accélérées (ESRO) au KCE – Synthèse
Authors: Roberfroid Dominique , Castanares-Zapatero Diego , Chalon Patrice , Costa Elena , Dauvrin Marie , de Meester Christophe , Desomer Anja , Fairon Nicolas , Hourlay Luc , Jonckheer Pascale , Kohn Laurence , Lefèvre Mélanie , Levy Muriel , Ombelet Sien , San Miguel Lorena , Van de Voorde Carine , Van den Heede Koen
Published: January 2025

La réalisation d’une étude KCE « classique » demande souvent beaucoup de temps et de ressources. Dans un environnement en évolution rapide, il peut toutefois être nécessaire d’évaluer plus rapidement les données probantes disponibles. Pour se donner les moyens d’apporter plus rapidement une réponse scientifique aux questions urgentes en matière de soins de santé, le KCE a élaboré une nouvelle méthodologie « accélérée ».
Dépistage du cancer du col de l'utérus et recherche du Papillomavirus humain (HPV)
Authors: Hulstaert Frank , Arbyn Marc , Huybrechts Michel , Vinck Imgard , Puddu Marina , Ramaekers Dirk
Published: January 2025

Le Centre fédéral d’expertise des soins de santé (KCE), en collaboration avec l’Institut de Santé Publique (ISP), s’est penché sur l’utilité du frottis dans le dépistage préventif du cancer du col et plaide pour un encadrement de l’organisation du dépistage si les décideurs veulent réduire le nombre de décès par cancer du col en Belgique. Rien n’indique pour l’instant que la recherche du Papillomavirus humain (HPV) en dépistage primaire chez toutes les femmes cause plus de bien que de tort.
Hoe het nationale ziekenhuisbudget beheersen bij een DRG-financiering per opname?
Authors: Van de Voorde Carine , Lefèvre Mélanie , Van den Heede Koen
Published: January 2025

Om de toenemende uiteenlopende behoeften aan ziekenhuiszorg op te vangen, is er een hervorming van de ziekenhuisfinanciering nodig. Voorzien wordt dat het huidige systeem met een gesloten budget vervangen wordt door een systeem met een open budget, waarbij een ziekenhuis per opname voor een specifieke aandoening of APR-DRG (All Patient Refined Diagnosis Related Group) een forfaitair bedrag ontvangt. Om het nationale budget onder controle te houden, zijn er dan wel controlemechanismen nodig. Het Federaal Kenniscentrum voor de Gezondheidszorg (KCE) keek naar dergelijke mechanismen in het buitenland en raadpleegde Belgische experts over de haalbaarheid en randvoorwaarden ervan. Elk systeem heeft zijn voor- en nadelen, maar de experts bleken het meest voorstander te zijn van een volume-prijsplafond.
Renforcer et compléter l’offre palliative pour proposer les bons soins, au bon moment, au bon endroit
Authors: Dauvrin Marie , Desomer Anja , Savoye Isabelle , Adriaenssens Jef , Ricour Céline
Published: January 2025

Le nombre de patients qui devraient pouvoir bénéficier de soins palliatifs ne cesse d’augmenter ces dernières années, et on retrouve aussi dans cette population un éventail de situations de plus en plus large. Sans nier le travail remarquable déjà réalisé au quotidien par les acteurs des soins palliatifs dans notre pays, force est bien d’admettre que l’offre mériterait d’être développée en termes de capacité, mais aussi diversifiée pour que chacun et chacune puisse bénéficier d’un accompagnement palliatif correspondant à ses besoins et à ses préférences. Face à ce constat, deux études ont été lancées au sein du Centre Fédéral d’Expertise des Soins de Santé (KCE). La première, publiée début 2023, visait à identifier un outil pour évaluer les besoins des patients palliatifs en vue de mieux adapter le financement à l’aide nécessaire (rapport KCE 367). La seconde, celle qui nous occupe ici, formule des propositions pour renforcer et compléter l’offre existante.
Procédure d'évaluation des dispositifs médicaux émergeants
Authors: Vinck Imgard , Neyt Mattias , Thiry Nancy , Louagie Marleen , Ghinet David , Cleemput Irina , Ramaekers Dirk
Published: January 2025

Lorsque de nouvelles technologies apparaissent sur le marché, il n’est pas toujours possible de juger si elles représentent une plus-value pour le patient et si l’assurance maladie doit en assurer le financement. La diffusion et le remboursement rapide de ces implants sont cependant déterminants pour de nombreux patients. Le KCE et l’INAMI ont développé une nouvelle procédure, spécifique aux implants novateurs, qui met en balance d’un côté le coût financier pour l’assurance maladie et de l’autre la sécurité, l’efficacité et le rapport coût-efficacité de tels implants.
Leucoréduction. Une mesure envisageable dans le cadre de la politique nationale de sécurité des transfusions sanguines
Authors: Cleemput Irina , Ramaekers Dirk , Leys Mark , Bonneux Luc
Published: January 2025

Le sang est constitué de globules rouges et blancs, de plaquettes et de plasma. En cas de transfusion sanguine, les globules blancs amènent plus d'inconvénients que d'avantages. La déleucocytation, la leucoréduction ou la leucodéplétion sont des synonymes utilisés pour dénommer une technique de filtration qui élimine 99.99% des globules blancs. Transfuser du sang ne contenant pas de globules blancs est mieux, mais coûte 37% de plus que transfuser du sang non filtré. Il est raisonnable de consentir ces coûts pour des patients qui courent un risque élevé de réactions transfusionnelles négatives. Il est plus difficile de justifier ce surcoût pour des patients qui courent peu de risques d'accidents transfusionnels. C'est pourquoi, la Croix Rouge de Belgique applique une politique sélective : le sang filtré est réservé au groupe à haut risque.
Organisation et financement de la réadaptation locomotrice et neurologique en Belgique.
Authors: Cleemput Irina , Smet M. , Kesteloot Katrien , Taillieu Inge , Moldenaers Ingrid , Lona Murielle , Eyssen Marijke , PUTMAN K. , VAN OVERLOOP D. , Leys Mark , Van Rie K. , Kiekens C.
Published: January 2025

Studie nr 2005-18
De Implanteerbare Defibrillator
Authors: Van Brabandt Hans , Thiry Nancy , Neyt Mattias , van den Oever Rob , Galloo Patrick , Vanoverloop Johan , Kohn Laurence , Leys Mark , Wyffels Antonine , Ramaekers Dirk
Published: January 2025

Het Federaal Kenniscentrum voor de Gezondheidszorg (KCE) deed in samenwerking met het RIZIV en het Intermutualistisch Agentschap (IMA) een onderzoek naar de meerwaarde, de kosteneffectiviteit en de te verwachten budgetimpact van een verdere uitbreiding van de indicaties voor de inwendige hartdefibrillator. Het toestel wordt vaak ingeplant bij mensen die het achteraf niet nodig blijken te hebben. Het KCE berekende dat deze hartdefibrillator op langere termijn meer dan 150 miljoen euro per jaar zal kosten, bijna 1 % van het totale budget van de ziekteverzekering.
Indemnisation des dommages résultant de soins de santé, phase IV.
Authors: Maréchal Xavier , Denuit Michel , Vinck Imgard , Closon Jean-Pierre
Published: January 2025

Etude n° 2007-32-3
Het gebruik van kinesitherapie en van fysische geneeskunde en revalidatie in België
Authors: Leclercq Agnès , De Gauquier Kristel , Van den Steen, Dirk  , Paulus Dominique , Ceuppens Ann , Boly Jacques
Published: January 2025

Studie nr 2006-17
Chronisch Vermoeidheidssyndroom:
Authors: Stordeur Sabine , Thiry Nancy , Eyssen Marijke
Published: January 2025

Studie nr 2007-32-04
Nosocomiale infecties in België, deel 1
Authors: Vrijens France , Gordts Bart , De Laet Chris , Devriese Stephan , Van de Sande Stefaan , Huybrechts, Michel  , Peeters Gert , Hulstaert Frank
Published: January 2025

Studie nr 2005-20
NOK/PSY revalidatiecentra
Authors: Scheiris Jan , Pieters Stefanie , De Block Karen , De Graeve Diana , Eyssen Marijke , Van Erdeghem Sophie , Deboutte Dirk , Roeyers Herbert
Published: January 2025

Studie nr : 2007-03
Penerapan Layanan Konseling Individual dengan Pendekatan Mauidzah Al-Hasanah dalam Mengatasi Perilaku Membolos Peserta Didik Kelas X MAS Al Washliyah 22
Authors: Filja Padiahani
Published: January 2025

This study aims to evaluate the implementation of individual counseling services with the Mauidzah Hasanah approach in overcoming truancy behavior of class X students at MAS Al-Wasliyah 22. Truancy behavior is a form of deviation that affects the learning process and academic achievement of students. The Mauidzah Hasanah approach, which is based on gentle and wise verbal communication, was chosen to provide advice and guide students more effectively and touch on their moral aspects. This study uses a qualitative descriptive approach with data collection techniques through observation, interviews, and documentation. The subjects of the study included a guidance and counseling teacher who implemented individual counseling services and seven class X students who had a history of truancy behavior. The results showed that the implementation of individual counseling based on Mauidzah Hasanah had a positive impact on changes in student behavior. The guidance and counseling teacher began by building a warm and open relationship, so that students felt comfortable expressing their problems. Advice and motivation given in a gentle and empathetic manner were able to encourage students to reflect on their life goals, understand the importance of discipline, and improve their attitudes towards learning. As a result, students showed increased awareness, motivation, and self-confidence. This study recommends the implementation of counseling services based on Mauidzah Hasanah values ​​as one of the solutions to overcome student deviant behavior in the school environment.
Influence of Electronic Monitoring and Evaluation on Administrative Decision-Making in the Educational Sector
Authors: Kasimu Salihu , Maijama'a Ladan , Hamisu Idi , Abubakar Abdulkadir
Published: January 2025

This study investigates the essential role of Electronic Monitoring and Evaluation (EMAE) in enhancing the elementary education sector. EMAE frameworks offer systematic methodologies for assessing educational programs, fostering accountability, and facilitating data-driven decision-making. This research serves as a case study of the primary education authority in Bauchi Local Government, with a particular focus on their teachers. According to the 2023 Annual School Census, there are 4,226 staff members, from which 367 were sampled using the Yamane formula. The sampling frame was stratified to reach the target respondents effectively. Data were collected using a structured questionnaire comprised of closed-ended questions that were designed and validated, achieving a Cronbach’s Alpha of 0.83. Based on 358 completed questionnaires, the responses were analyzed using descriptive and inferential statistics. The findings emphasize how effective EMAE practices can lead to improved educational outcomes by identifying successful teaching strategies and fostering continuous enhancement. Additionally, the involvement of diverse stakeholders—including educators, parents, and community members—strengthens collaboration and ensures that educational reforms remain relevant and sustainable. The results highlight the significance of EMAE in aligning national education systems with global standards, such as the Sustainable Development Goals (SDGs). Ultimately, this research underscores that robust EMAE practices are essential for cultivating an effective, responsive, and equitable educational environment, ensuring that all students receive a quality education.
Remote Work and Productivity: Analyzing the Mediating Effect of Work-Life Balance
Authors: Ghalan Usham , Shrestha Sneha , Thapa Swastika , Bhatta Sushant , KC Sushan , Ghimire Sujal , Parajuli Suman Kamal
Published: January 2025

This study explores the relationship between remote work, employee productivity, and work-life balance, with a specific focus on the mediating role of work-life balance. Given the rise of remote work in various sectors, particularly in the IT industry, it becomes crucial to understand how remote work influences employee productivity and how work-life balance may play a central role in this relationship. A quantitative, cross-sectional design was used, surveying 110 IT professionals from Kathmandu Valley, Nepal. A pre-tested Likert scale questionnaire collected data, measuring variables such as work-life balance, employee productivity, and remote work. Descriptive analysis revealed that most respondents worked remotely (42.7%) or in a hybrid setup (37.3%). While the mean score for work-life balance (3.45) suggested a generally positive perception of remote work's role in balancing personal and professional lives, challenges like difficulty disconnecting and burnout were noted. Employee productivity ratings highlighted that work-life balance positively impacted productivity (mean = 3.83). The remote work factor demonstrated moderate satisfaction with tools, communication, and goal clarity but indicated areas for improvement, especially in technical support (mean for remote work = 3.55). Correlation analysis showed strong positive relationships between work-life balance, remote work, and employee productivity (p < 0.01). The study concludes that work-life balance acts as a key mediator between remote work and productivity, underscoring its importance in fostering an efficient remote working environment. Though employees report a generally positive view of remote work’s ability to provide flexibility, issues with communication and technical support may hinder overall productivity. Thus, improving these areas could maximize remote work's benefits.
Wieloaspektowa ocena doświadczeń osób podejmujących rekreacyjną aktywność fizyczną w rzeczywistości realnej oraz immersyjnej i nieimmersyjnej rzeczywistości wirtualnej
Authors: Szczechowicz Bartosz , Ryśnik Jakub , Polechoński Jacek , Tomik Rajmund
Published: January 2025

Celem badań było porównanie doświadczeń osób podejmujących rekreacyjną aktywność fizyczną (PA) w formie jazdy na rowerze w warunkach naturalnych oraz jazdy na rowerze stacjonarnym (cykloergometrze) w warunkach pozbawionych jakichkolwiek wizualizacji oraz w rzeczywistości wirtualnej nieimmersyjnej (nIVR) i immersyjnej (IVR). Przebadano 40 studentów. Do wieloaspektowej oceny doświadczeń wykorzystano autorski kwestionariusz badawczy. Na podstawie przeprowadzonej analizy wariancji Friedmana można stwierdzić, że warunki uprawiania kolarstwa istotnie wpływają na charakter doświadczeń w układach: wewnętrzne – zewnętrzne (χ^2=61,42(40;3); p<0,001), fizyczne – emocjonalne (χ^2=11,90(40;3); p<0,05), utylitarne – hedonistyczne (χ^2=29,38(40;3); p<0,001), postawa pasywna – postawa aktywna (χ^2=48,28(40;3); p<0,001), zanurzenie – absorpcja (χ^2=11,71(40;3); p<0,05), nieprzyjemne – przyjemne (χ^2=77,14(40;3); p<0,001), usypiające – pobudzające (χ^2=47,70(40;3); p<0,001). Warunki w jakich podejmowana jest jazda na rowerze istotnie wpływają na ogólny profil doświadczeń osób realizujących badaną PA. Doświadczenia te okazują się jednak podobne do siebie w dwóch przypadkach: (1) jazdy w warunkach naturalnych i jazdy w IVR oraz (2) jazdy na cykloergometrze bez jakiejkolwiek wizualizacji i jazdy w nIVR.
The human factor in contemporary organisations and changes in modern technology
Authors: Szelągowska-Rudzka Katarzyna Izabella , Mackiewicz Hanna , Spodarczyk Edyta
Published: January 2025

The development of technology, the increasingly widespread use of its achievements prompt reflection on the role and importance of the human factor in contemporary organisations. The question arises: Will machines replace humans, or are humans more important than the products of modern technology? Therefore purposes of the paper are: 1) to identify the role and importance of the human factor in selected organisational models in relation to its other subsystems, including the technical subsystem; 2) to identify challenges to the human factor related to technological change in contemporary organisations. The study is theoretical in nature. A critical analysis of the literature on the subject was used as the research method. The methodologies of traditional and systematic literature review of the Scopus and WoS databases were used to collect data. The human factor plays a special role in organizational models. Without it, the other subsystems of the organisation, including the technical subsystem, would not be able to interact with each other, achieve the organisation's goals, create added value and the organisation's competitive position. The development of modern ICT technology, and Industry 4.0, poses challenges and threats to the human factor. It requires the development of the technical, digital and social competencies of employees. These competencies are essential for the integration and effective collaboration of humans and ICT. Researchers should look for comprehensive solutions leading to the integration of ICT technology with the human factor in the organization, so that modern technology supports people in their work, rather than replacing them. This requires research on HRM instruments that will facilitate employees' proper use of ICT, avoiding mistakes and risks associated with its incompetent use. Employers should introduce training and other HRM tools that develop employees' technical, digital and social competencies; develop and integrate technical and social subsystems with equal commitment and care.
Determination of The Level of Paracetamol and Tramadol Hcl Mixture in Tablets by Chemometric Method by Fourier Transform Infrared Spectrophotometry
Authors: Purba Gratia Apulina Cindylawsa , Muchlisyam Muchlisyam , Putra Effendy De Lux
Published: January 2025

Fixed-dose combinations of paracetamol and tramadol HCl are effective in the treatment of moderate to severe pain. Therefore, the determination of the levels of the mixture of paracetamol and tramadol HCl is very important for the pharmaceutical industry. The purpose of this study was to determine the levels of paracetamol and tramadol HCl mixture using Fourier Transform Infrared combined with partial least square (PLS) chemometric method. This study was conducted by making a calibration model and chemometric validation of each of the five concentrations measured absorbance at specific wave numbers of paracetamol and tramadol HCl. The results of the study on PLS multivariate calibration of paracetamol and tramadol HCl with RMSECV values of 0.06279 and 0.03785, PRESS values of 0.02366 and 0.00860, and R2 values of 0.9995  0.9998, respectively. All validation parameters are within the acceptable range.  This indicates that the method can be used to accurately determine drug levels without separation
Percepción de los padres sobre efectos de la pérdida prematura de dientes temporales en niños atendidos en clínicas de la Universidad San Gregorio de Portoviejo.
Authors: Palacios Pérez María Pía , Roh Loor Jeny Christina , Adum Lípari Mirella Narcisa
Published: January 2025

La investigación sobre: Percepción de los padres sobre los efectos de la pérdida prematura de dientes temporales en niños atendidos en clínicas de la Universidad San Gregorio de Portoviejo (USGP) destaca la importancia de este problema en la salud bucal pediátrica. La pérdida temprana de dientes temporales, especialmente en niños con discapacidades, generar consecuencias a largo plazo, como maloclusiones y dificultades en el desarrollo de los dientes permanentes. Estos niños enfrentan barreras físicas, cognitivas y emocionales que dificultan la correcta higiene bucal, aumentando el riesgo de caries y otras enfermedades dentales. Se utilizó metodología cuantitativa, empleando encuestas dirigidas a padres para recopilar percepciones y actitudes respecto a la salud bucal de sus hijos analizando la prevalencia de la pérdida prematura de dientes temporales y los factores asociados, como la dificultad de los niños con discapacidades para mantener una higiene bucal adecuada.
La investigación señala que la falta de conocimiento y educación sobre la importancia de los dientes temporales contribuye a la desinformación y la demora en la atención odontológica preventiva. Observando que los niños con discapacidades tienen una mayor prevalencia de pérdida prematura de dientes debido a problemas de motricidad fina que afectan el cepillado adecuado, siendo la utilización de mantenedores de espacio, una estrategia para prevenir complicaciones futuras, pero insuficiente en muchas poblaciones. La necesidad de programas educativos dirigidos a padres y cuidadores, especialmente en comunidades con barreras de acceso a la salud, es fundamental para mejorar los resultados a largo plazo en la salud bucal de los niños.
CoARA-Empfehlungspapier für Berliner Forschungseinrichtungen und Hochschulen erschienen
Authors: Fischer Georg
Published: January 2025

Wie gelingt die Reform der Forschungsbewertung hin zu mehr qualitativen und transparenten Verfahren? Mit dem Zusammenschluss in der „Coalition for Advancing Research Assessment“ – kurz: CoARA – versuchen mehr als 700 Wissenschaftsorganisationen, eine Verbesserung der Forschungsbewertung zu erreichen. Zusammen mit der UB an der Freien Universität Berlin hat das OABB kürzlich ein Empfehlungspapier publiziert.
The Catabolic turn
Authors: Di Liberto Yuri
Published: January 2025

The Anthropocene has pushed thinkers to reconsider the agency of humans on natural historicity. Against the backdrop of idealism, different scholars have recently pointed out how human history has become increasingly dependent on how human action shapes the environment itself. Marxist authors, in turn, point out how environmental disruption caused by over-exploitation provokes a “metabolic rift” between humanity and nature. However, until now no account has explored what a post-metabolic reality might entail. The increasing desertification of various regions of the world, along with the transformation of critical zones into irreversibly unusable and uninhabitable ones calls for the concept of a “catabolic turn”, as opposed to “metabolic”. Catabolism is a condition in which an organism feeds on itself due to inaccessibility of resources. In this paper we define contemporaneity in terms of a global catabolic turn and explore its social and political repercussions.
Investigating and imagining human-nature-technology relationships through dance
Authors: Rijssenbeek Julia , Fraaije Aafke
Published: January 2025

An increasingly popular response to Western thinking about human dominance over nature is posthumanism. Rather than addressing the challenges of anthropocentrism by focusing on yet another grand perspective in response to it, we propose that environmental philosophers engage in arts-based research to reflect on how to relate differently to non-human life and our environment. This article explores how arts-based research, particularly dance-based methods, can enhance environmental philosophers’ moral imagination in rethinking human-environment relations. It discusses the dance film Cobalt (2024) as a case study to explore how embodied movement can explore the human-environment relationship beyond verbal discourse, leading to expressive and imaginative responses. Screenings of Cobalt in academic settings engaged participants in discussions that revealed diverse interpretations, demonstrating the film’s potential to challenge dominant perspectives on human-environment relationships and to foster the moral imagination essential for addressing current environmental crises.
A Streamlined Vgg-19 Classification Model for Multi-Crop Leaf Disease Prediction
Authors: D Karthikeyan
Published: January 2025

Every country economy is depending heavily on agriculture because it produces crops. Identifying leaf diseases is one of the most crucial parts of keeping a country that is agriculturally advanced. Artificial intelligence (AI) in agriculture has emerged as the most significant application in recent years. An early prediction of the type of disease affecting the plant leaves is an essential objective. To classify the current diseases type and distinguish between healthy and infected leaves, the proposed study mainly employs the Visual Geometry Group (VGG 19) classification model. The features extraction of images using a wavelet transform for extracting the features of the leaves. The model is trained and evaluated using the Apple Leaf Disease Symptoms dataset, and the adaptive wiener filter is used to enhance the images and remove noise from the leaf images, while the k means clustering algorithm divides the regions in the leaf images. Accuracy, sensitivity, specificity, recall, and F1 score were among the performance measure parameters that were computed and tracked. This classifier is implemented using the python software. The findings show that it offers greater accuracy and the results are then contrasted with those of earlier classification methods. By identifying plant illnesses early and implementing the right treatment, this approach aims to assist farmers in protecting resources and avoiding financial loss.
Application of the Talking Stick Learning Model to Improve Early Childhood Physical Motor Skills
Authors: Hadidja Sitti , Herlina Herlina , Bachtiar Muhammad Yusri , Wahira Wahira
Published: January 2025

The Talking Stick learning model  is interpreted as a learning model for playing sticks, designed to measure the mastery of learning materials, foster learning motivation and create a fun learning atmosphere for students by using sticks. This research focuses on the Application of  the Talking Stick  Learning Model by Utilizing Used Goods to Improve Physicalmotor Skills in Early Childhood. The purpose of this study is to find out  the Application of the Talking Stick Learning Model by Utilizing Used Goods to Improve Children's Physicalmotor Skills after early childhood The type of research used is a type of qualitative research with a case study approach. The results of the study are as follows: 1) The Talking Stick  learning model is implemented in early childhood, where teachers provide direct guidance. The application of the talking stick learning model  is carried out in the process of activities that can improve children's oral language skills in the future As for the inhibiting factors in Talking Stick learning that "one of the disadvantages  of Talking Stick is that when students do not understand the lesson, then students will feel anxious and worried when Talking Stick in his hands. Meanwhile, the Supporting Factors are to test students' readiness in mastering the subject matter, practicing reading and understanding the subject matter quickly, according to the material that has been delivered and to be more active in learning because students never know that the stick will be their turn.
The Use of Project-Based Learning on Early Childhood Financial Literacy Skills
Authors: Kalsum Syahrini , Rusmayadi Rusmayadi , Musi Muhammad Akil , Halik Abdul
Published: January 2025

Literacy is a set of individual abilities and skills in reading, writing, speaking, counting, and problem-solving at a certain level of expertise required in everyday life. Basic literacy consists of 6 things, namely language literacy, numerization literacy, science literacy, digital literacy, financial literacy, and cultural/civic literacy. Financial literacy is education on how to manage finances wisely as needed. Financial literacy education is given to children from an early age with the hope that children are used to managing finances well so that they can be free from financial problems in the future and can achieve their welfare This research is an experimental research that aims to find out whether there is an influence of project-based learning on early childhood financial literacy skills. The data analysis technique is analyzed using the paired sample t-test technique. Based on the paired sample test results, a t-value of -16.412 was obtained with a significance value of 0.001 < 0.05. It can be concluded that project-based learning has a significant effect on early childhood financial literacy skills.
Application of Experimental Methods in Science Learning to Improve Early Childhood Thinking Skills
Authors: Sapia Sapia , Herlina Herlina , Bachtiar Muhammad Yusri , Wahira Wahira
Published: January 2025

This study aims to: 1) provide a description of the application of experimental methods in science learning to improve early childhood thinking skills; 2) knowing  the  Supporting Factors and Inhibiting Factors in the Application of Experimental Methods in Science Learning to Improve Early Childhood Thinking Skills. The research subjects consisted of three information people, namely 2 teachers and 1 principal. The experimental method was chosen because it is considered to be able to provide direct experience that stimulates children's active involvement in learning, so that it can increase their understanding of science concepts in depth. This study uses a qualitative descriptive approach, collecting data through observation, interviews, and documentation. The results of the study show that the application of experimental methods in science learning is able to improve the ability to think critically, logically, and creatively in early childhood. The main supporting factors for the success of this method are the availability of adequate facilities and infrastructure, as well as the active involvement of teachers as facilitators. The obstacles faced include a lack of time in implementing the experiment and limited teachers' understanding of the use of this method.
The Effect of Problem-Based Learning Model on the Ability to Recognize Geometric Shapes in Children Aged 5-6 Years
Authors: Saining Munirah , Rusmayadi Rusmayadi , Musi Muhammad Akil , Halik Abdul
Published: January 2025

This study aims to find out the overview of the problem-based learning (PBL) learning model on the ability to recognize geometric shapes of children aged 5-6 years and to determine the influence  of the Problem Based Learning (PBL) model on the ability to recognize geometric shapes of children aged 5-6 years. The approach used is a quantitative approach with a type of Quasi Experimental  research with a research design, namely a nonequaivalent control group design. The population in this study is children aged 5-6 years. The sampling in this study is cluster random sampling. The sample in this study is 14 children with 7 children as the experimental group and 7 children as the control group. The data analysis techniques used are descriptive statistical analysis and non-parametric statistical analysis. The results of data analysis obtained Asym (2-tailed) = 0.017 < 0.05 HI accepted and H0 rejected, meaning that the geometry ability of children who were treated  with the problem-based learning  model in the experimental group experienced significant development compared to the control group. This shows that the problem-based learning learning model significantly influences the geometry ability of children aged 5-6 years.
¿Supera la colonoscopia asistida por Inteligencia Artificial a la colonoscopia convencional? Estudio comparativo. Primer reporte en Venezuela
Authors: Frágenas Andreina , Curbata Estyvales , Álvarez Oriana , Pérez Guillermo , Benitez Sylvia , Pérez-Ybarra Luis , Gumina Cono
Published: January 2025

Introducción: El desarrollo de la inteligencia artificial (IA) está revolucionando la práctica médica diaria y la gastroenterología no escapa de ello, éstos sistemas aplicados a colonoscopia incrementan tasas de PDR y ADR y logran disminuir la incidencia de cáncer colorectal. Objetivo: Determinar el índice de exactitud diagnóstica de la colonoscopia asistida por IA en la detección de pólipos y adenomas.Material y Métodos: Estudio observacional tipo transversal; muestra de 161 pacientes consecutivos con indicación de colonoscopia de pesquisa o de seguimiento en la Unidad de Endoscopia Servicio de Gastroenterología, Clínica de Prevención del Cáncer (Sociedad Anticancerosa de Venezuela). Equipos Fujinom Serie 4500 y 7000-IA, manejados por endoscopistas con experticia. Periodo enero 2022 – junio 2024.Resultados: %PDR total: 32%, %ADR total: 22% y al dividirla por grupos, serie 4450 %PDR=25,84% y el %ADR= 15,73%; serie 7000-IA, %PDR=41,63% y la %ADR= 30,77%.Conclusiones: La colonoscopia asistida por IA logra incrementar al doble el %PDR y %ADR cuando se compara con colonosocopia convencional; presentando una alta especificidad (95.12% vs 79.31%).ESCUCHE EL RESUMEN HANCIENDO CLIC EN EL IDIOMA DE SU PREFERENCIA:EspañolEnglishPortugues
Índice aspartato aminotransferasa-plaquetas y elastografía hepática como predictores de fibrosis en el seguimiento de pacientes pediatricos con infección por el virus de hepatitis c
Authors: Saavedra Vanessa , Colina Nina , Durán Osmary , Dagher Lucy
Published: January 2025

La biopsia hepática es el estándar de oro para la detección de fibrosis, recientemente se han desarrollado marcadores no invasivos para evaluar la fibrosis hepática con pocos estudios en la población pediátrica. Objetivo: Evaluar la relación entre el índice aspartato aminotransferasa-plaquetas y elastografía hepática de transición como predictores de fibrosis en pacientes pediátricos con infección por virus de hepatitis C. Pacientes y Métodos: Investigación analítica de campo, cuasi experimental, prospectivo, transversal, con una muestra de 8 pacientes. Resultados: ambos sexos obtuvieron igualdad de frecuencia 50%, los adolescentes representaron el 87,5%, promedio 13,62 años (rango 11-16 +/- 1,68 años). 87,5% eran estrato Graffar IV, 87,5% procedían de la región central. El 87,5% tenían patología oncológica asociada, los niveles de Aspartato Aminotransferasa fueron normales en el 87,5%, 100% de las cifras plaquetarias eran normales. El genotipo del virus de hepatitis C 1b fue del 75%. 50% de los pacientes tuvieron fibrosis grado F0, El 75% tuvieron Indice Aspartato Aminotransferesa-plaquetas <0,5, 25% 0,5-1; 12,5% con F0 y 12,5% F4 Conclusiones: La elastografía hepática de transición y el índice Aspartato Aminotransferasa-plaquetas son un método confiable para el diagnóstico de fibrosis en la población pediátrica.ESCUCHE EL RESUMEN HANCIENDO CLIC EN EL IDIOMA DE SU PREFERENCIA:EspañolEnglishPortugues
Hallazgos clínicos y endoscópicos en niños con hemorragia digestiva inferior
Authors: Ainslie Katherine , Gómez Eleana , Silva Carlos , Blanco Karolin , Colina Nina , Mosquera Nazareth
Published: January 2025

Introducción: La hemorragia digestiva inferior es aquella que tiene su origen en el tubo digestivo distal al ángulo de Treitz. Es más frecuente en sexo masculino, su incidencia aumenta con la edad. Puede variar de un evento no preocupante a un episodio agudo que compromete la vida cuyas causas son múltiples, por lo que es necesaria una investigación minuciosa y la realización de estudios endoscópicos. Objetivo: Determinar hallazgos clínicos y endoscópicos en niños con hemorragia digestiva inferior que acuden a la Unidad de Gastroenterología y Nutrición Pediátrica del Hospital Militar Universitario “Dr. Carlos Árvelo” en una serie de casos. Métodos: Enfoque cuantitativo, de diseño observacional, prospectivo, no experimental, nivel descriptivo de corte transversal. La población de estudio estuvo constituida por 20 pacientes, a quienes se les realizó estudio colonoscópico. Resultados: La edad promedio fue de 6,5 años, predominó el sexo masculino (60%), estrato sociodemográfico: Graffar IV (50,00%), uso de antibioticoterapia previa (60,5%) y dieta baja en fibra (96,79%). Los síntomas y signos más encontrados fueron dolor abdominal (40,00%) y rectorragia (85,00%) respectivamente. El hallazgo endoscópico más frecuente fue pólipo rectal(85,00%), histológicamente reportando: pólipo de retención juvenil: (95,00%). Conclusión: La rectorragia y dolor abdominal representan las manifestaciones clínicas más comunes de hemorragia digestiva inferior en niños, cuya etiología predominante fue el pólipo rectal de retención juvenil.ESCUCHE EL RESUMEN HANCIENDO CLIC EN EL IDIOMA DE SU PREFERENCIA:EspañolEnglishPortugues
Elastografía esplénica en niños con cavernomatosis de la porta
Authors: Malavé Maritza , Colina Nina , Dagher Lucy , Ruiz Maygreg
Published: January 2025

Introducción: La cavernomatosis portal, generalmente secundaria a la trombosis de la vena porta, provoca hipertensión portal que conlleva a sangramiento digestivo. Objetivo: Evaluar la utilidad de la elastografía esplénica en niños con diagnóstico de cavernomatosis de la porta. Pacientes y Métodos: Investigación de campo, cuasi experimental, prospectivo, longitudinal, muestra 10 pacientes. Resultados: El 100% estrato socioeconómico III. Ambos sexos frecuencia 50%, adolescentes (tempranos y tardíos) 50% cada grupo, promedio 14,8 años (rango 14-17 años DE +/- 1,03 años). 100% peso superior a 36 kg, promedio 45,51 Kg (rango 35-58 kg, DE +/- 9,17 kg), 80% talla mayor a 1,45 m, promedio 1,55 m (rango1,35-1,8 m DE +/- 0,13 m), IMC  50% los rangos bajo y normal, el 100% perímetro torácico mayor de 75 cm. 100% con várices esofágicas grandes, 100% niveles mayores 45 KPa en elastografía esplénica, 80% trombocitopenia moderada, 100% F0 de fibrosis hepática, el 90% esteatosis hepática S0. 100% flujo portal bajo y esplenomegalia, 40% entre 80 y 100 KPa en elastografía hepática. Conclusiones: La elastografía esplénica en pediatría es útil reportando IQR/MED promedio 2,52 KPa, el resultado > 45 KPa es un parámetro no invasivo funciona como predictor de riesgo de presentar varices esofágicas.ESCUCHE EL RESUMEN HANCIENDO CLIC EN EL IDIOMA DE SU PREFERENCIA:EspañolEnglishPortugues