bluuebunny/crossref_metadata_2025 huggingface dataset:
Mobile Health Apps, Family Caregivers, and Care Planning: Scoping Review
Authors: Kelley Marjorie M , Powell Tia , Camara Djibril , Shah Neha , Norton Jenna M , Deitelzweig Chelsea , Vaidy Nivedha , Hsiao Chun-Ju , Wang Jing , Bierman Arlene S
Published: March 2024

Background

People living with multiple chronic conditions (MCCs) face substantial challenges in planning and coordinating increasingly complex care. Family caregivers provide important assistance for people with MCCs but lack sufficient support. Caregiver apps have the potential to help by enhancing care coordination and planning among the health care team, including patients, caregivers, and clinicians.

Objective

We aim to conduct a scoping review to assess the evidence on the development and use of caregiver apps that support care planning and coordination, as well as to identify key factors (ie, needs, barriers, and facilitators) related to their use and desired caregiver app functionalities.

Methods

Papers intersecting 2 major domains, mobile health (mHealth) apps and caregivers, that were in English and published from 2015 to 2021 were included in the initial search from 6 databases and gray literature and ancestry searches. As per JBI (Joanna Briggs Institute) Scoping Review guidelines and PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews), 2 authors independently screened full texts with disagreements resolved by a third author. Working in pairs, the authors extracted data using a pilot-tested JBI extraction table and compared results for consensus.

Results

We identified 34 papers representing 25 individual studies, including 18 (53%) pilot and feasibility studies, 13 (38%) qualitative studies, and 2 experimental or quasi-experimental studies. None of the identified studies assessed an intervention of a caregiver app for care planning and coordination for people with MCCs. We identified important caregiver needs in terms of information, support, and care coordination related to both caregiving and self-care. We compiled desired functionalities and features enabling apps to meet the care planning and care coordination needs of caregivers, in particular, the integration of caregiver roles into the electronic health record.

Conclusions

Caregiver needs identified through this study can inform developers and researchers in the design and implementation of mHealth apps that integrate with the electronic health record to link caregivers, patients, and clinicians to support coordinated care for people with MCCs. In addition, this study highlights the need for more rigorous research on the use of mHealth apps to support caregivers in care planning and coordination.
Quantitative Analysis of Isometric Ankle Torque and Muscle Activity during Dorsiflexion and Plantarflexion
Authors: A. Almasiri Osamah A. , Buniya Ali K. , Abdul-Ameer Hussam K.
Published: March 2024

الخلاصة
تعتبر حركات القدم والكاحل ، مثل الثني الظهري (رفع القدم لأعلى) والثني الأخمصي (توجيه القدم لأسفل) ، أساسية لمجموعة من الأنشطة اليومية مثل المشي والجري والحفاظ على التوازن. حيث تعتمد الميكانيكا الحيوية المناسبة في هذه الحركات على تنسيق عالي بين لكل عضلة حول مفصل الكاحل.
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في هذا البحث تم التحقق من العلاقة بين عزم دوران الكاحل متساوي القياس والنشاط العضلي لعظلة الظنبوب الأمامية  وعضلة الساق البطنية أثناء الثني الظهري والثني الأخمصي. اشتملت الدراسة على ثمانية أشخاص أصحاء ، وتم استخدام قياس النشاط الكهربي للعضلة السطحي (sEMG) لتسجيل نشاط العضلات. أظهرت النتائج أن عزم الكاحل كان أعلى أثناء الانثناء الأخمصي مقارنة بالانثناء الظهري. علاوة على ذلك ، أظهر عضلة الظنبوب الأمامية نشاطًا عضليًا أكبر أثناء الانثناء الظهري ، بينما أظهر عضلة الساق البطنية نشاطًا أعلى أثناء الثني الأخمصي. تلقي هذه النتائج الضوء على الميكانيكا الحيوية للكاحل ولما لها من آثار محتملة على التدخلات السريرية واستراتيجيات إعادة تأهيل القدم. هذه الدراسة تعطي تبريرا كافية لإجراء مزيد من البحث حول أدوار عضلات الثني الأخرى في حركات الكاحل للحصول على رؤى شاملة حول تنشيط العضلات وعزم دوران الكاحل متساوي القياس.
Rationale for Embedding Soft Skills in Teaching and Assessment in Higher Learning Institutions
Authors: SANGA PHILIPO
Published: March 2024

The digital age has witnessed the educational systems preparing students for employability with 21st-century skills, which comprise skills and abilities for success in society and the workplace. To this effect, one of the most significant discussions in higher education in Tanzania and elsewhere is the quality of university graduates. Graduates demonstrate deficiencies in mastery of essential competencies referred to as soft skills. Universities can play a significant role in soft skills development, but implementation in the classroom has faced diverse challenges that have obstructed effective teaching and assessment. One alternative solution is embedding soft skills within the extant program curricula because the academic infrastructure is already in place, so few additional resources may be required.   Guided by attribution theory, this paper presents findings from the thematic analysis of semi-structured in-depth interview responses from university teacher educators working with a public university. By and large, the paper unveils that teacher educators recommend that soft skills play a fundamental role in shaping graduates’ personalities and enhancing social competencies. Nevertheless, teacher educators find themselves in dilemmas while pursuing teaching and assessment strategies that improve the furtherance of soft skills.
Protestas y desmovilización social en Chiapas (2018-2021) en el marco de la Cuarta Transformación y la contingencia por covid-19
Authors: Gómez-Abarca Carlos de Jesús
Published: March 2024

El objetivo de este trabajo es explorar la dinámica y los patrones de la protesta social en el estado de Chiapas entre 2018 y 2021, así como los procesos que influyen en la desmovilización social. Entre estos últimos destacan dos acontecimientos de gran magnitud: el triunfo de Morena en el plano electoral y la contingencia sanitaria causada por el virus SARS-CoV-2. Para lo anterior se problematiza la articulación entre los procesos electorales, la movilización y la desmovilización social, tomando como referente empírico el análisis de una serie de eventos de protesta. Entre los resultados se describe un pico de protestas ocurrido entre 2018 y 2019 que permite relativizar tanto los efectos desmovilizadores del triunfo morenista como los de la pandemia y observar la emergencia de nuevos actores sociales.
investigación sonora como ejercicio de composición musical
Authors: Ramos Zabdiel
Published: March 2024

Este ensayo explora la conexión entre investigación sonora y composición musical al reconocer el paisaje sonoro como un espectro que se compone con múltiples capas. El sonido se nos presenta en dos momentos y una posibilidad: el visible, el invisible y la posibilidad de lo revelable.
Leveraging Fog Computing, Blockchain, and IoT for Enhanced Healthcare Monitoring Services
Authors: Aryan Khunaal
Published: March 2024

Abstract: With the rapid evolution of technology, smart cities have emerged as geographic areas powered by advanced information and communication technologies. These advancements have been significantly influenced by integrating smart technologies, such as the Internet of Things (IoT), blockchain, and fog computing. This paper aims to explore the impact and potential of these technologies on healthcare services within the context of smart cities. Fog computing, as a solution to the challenges faced by integrated Cloud Computing (CC) in IoT applications, offers a promising approach by bringing computation closer to the edge devices. Unlike traditional cloud-based approaches, fog computing enables local data processing and storage, resulting in improved performance, security, and reduced latency. Furthermore, fog computing acts as a middle layer between IoT sensors/devices and cloud data centers, facilitating efficient resource provisioning and service administration. In smart cities, IoT, blockchain, and fog computing are pivotal in enhancing healthcare services. While IoT is widely integrated into healthcare systems, it faces challenges such as cost efficiency, data privacy, and data interoperability. In contrast, blockchain technology offers solutions for safeguarding private data, establishing decentralized databases, and enhancing data interoperability.
Caracterización experiencial de la hoja de achira: un abordaje exploratorio desde el diseño industrial
Authors: Caicedo Moncayo Carlos Esteban , Ascuntar-Rivera María Cristina
Published: March 2024

En este artículo se presentan los resultados de un taller de caracterización experiencial de hojas naturales, cuyo abordaje se despliega desde el campo de conocimiento del diseño industrial. El propósito del ejercicio fue integrar, en un escenario académico, tanto la comprensión de los materiales como la indagación contextual respecto al uso de hojas naturales, en procura de generar una experiencia que logre trascender el entendimiento técnico habitual de los materiales. En el aspecto metodológico, el estudio se inscribió en el enfoque cualitativo y su alcance es exploratorio, a la vez que transita entre cuatro niveles de caracterización: sensorial, interpretativo, afectivo y performativo. El ejercicio se realizó con un grupo de catorce estudiantes del Departamento de Diseño de la Universidad de Nariño, en Pasto (Colombia). En términos de resultados, se hizo énfasis en la hoja de achira, debido a su versatilidad y uso recurrente en el contexto local; los hallazgos revelan una amplia gama de percepciones y caracterizaciones por parte de los participantes en cada uno de los niveles explorados, que van desde apreciar su belleza estética hasta atribuirles significados simbólicos personales. Entre las conclusiones se resalta la importancia de generar espacios que permitan la comprensión holística de los materiales naturales, como es el caso de las hojas y su potencial aplicación en el diseño, a la vez que se enfatiza en la necesidad de adoptar un enfoque multidimensional con respecto a las materias primas, considerando como prioridad su impacto en el medio ambiente y en el entorno cultural.
Penanggulangan Gejala Stres Pasca Melahirkan Melalui Desain Arsitektural Untuk Komunitas Ibu Hebat Jabodetabek
Authors: Satwikasari Anggana Fitri , Sari Yeptadian , Romdhona Nur , Aisy Karlina Rohadatul
Published: March 2024

Post-partum Depression atau PPD adalah depresi yang terjadi setelah melahirkan disebabkan oleh ketidakseimbangan zat kimia di otak dan dialami oleh 10% ibu yang melahirkan. Ibu pasca melahirkan dapat mengalami stres dikarenakan beberapa penyebab, salah satunya adalah kualitas tempat tinggal yang kurang nyaman. Kegiatan pengabdian kepada masyarakat ini dilaksanakan dengan tujuan untuk meningkatkan pengetahuan bagi para ibu yang sedang hamil maupun baru saja melahirkan mengenai upaya-upaya yang dapat dilakukan untuk mengurangi stres dan meningkatkan mood mereka. Upaya-upaya ini difokuskan pada penyuluhan dan konsultasi ide-ide penataan ulang ruang dalam dan ruang luar hunian yang sekiranya dapat dilakukan oleh masing-masing ibu. Dari sekitar 15-25 anggota Komunitas Ibu Hebat yang berlokasi di Perumahan Bumi Cimanggis Indah 2 Kota Depok, sebagian besar mengeluhkan beberapa permasalahan di hunian mereka seperti buruknya kualitas pencahayaan dan penghawaan alami, keberadaan vegetasi/penghijauan yang kurang, dan sulitnya aksesibilitas ruang tidur ke fasilitas lain di dalam rumah seperti kamar mandi dan dapur. Tim pengabdian kepada masyarakat kemudian mengusulkan 2 opsi perubahan tata ruang dalam dan luar yang dapat diupayakan para ibu dengan harapan jika hunian mereka lebih sesuai dengan kebutuhan kenyamanan para ibu, maka kualitas kebahagiaan keluarga mereka juga dapat meningkat.
Pelatihan Digitalisasi Rekam Medis Dalam Persiapan Implementasi RME Di RSGM Maranatha
Authors: Herfiyanti Leni , Febriana Ceria
Published: March 2024

Routine and quality data integration is a component that must be realized in digital transformation. In health care facilities, this digital transformation is urgently needed for continuity of patient medical history information and to facilities the process of managing complex health data. One of the digital transformations needed is in the field of medical records and health information. Digitization of medical records is the process of converting medical records document media into a digital document. RSGM Maranatha has implemented hospital information system but not yet based on Electronic Medical Records (EMR), several applications have not been integrated and medical records still manual. Digitization of medical records is expected to supports the preparation for the implementation of EMR at RSGM Maranatha. The solution to solving these problems is by holding training activities. Training activities are carried out by counseling, demonstrations starting from how to scan, save and import files as well as a reflection process to assess the success of the activity. The pre and post tests show an increase in knowledge and understanding regarding the digitization of medical records. The application of digitizing medical records at RSGM Maranatha can already by applied.
Literacy and Self Regulation to Overcome Social Media Addiction in Z Generation
Authors: Briandana Rizki , Dwityas Nindyta Aisyah , Saleh Mohamad Saifudin Mohamad
Published: March 2024

Social media platforms today allow people to communicate with anybody, anywhere, and at any time. Social media not only has a beneficial impact but also a harmful one. Users that use social media excessively may develop addiction, which is closely tied to one's mental health. Self-regulation has been found to negatively impact social media addiction in previous studies, although this particular study only included high school students. Thus, the goal of this civic duty is to ascertain how self-control affects social media addiction among Generation Z students. The offline portion of this activity will be done in association with Universiti Sains Malaysia. 54 people from SMK 60 Jakarta participated in this activity on March 15, 2023. These actions were posted on JPNN and Rakyat Merdeka online Media.
THE ROLE OF LIBRARIES IN THE LEARNING PROCESS OF ELEMENTARY SCHOOL STUDENTS
Authors: Prasetia Anggi , Syahrilfuddin Syahrilfuddin , Mulyani Eva Astuti Mulyani
Published: March 2024

The library is an integral part of a school, as well as a source of learning and a medium of self-development for students in literacy activities. But in practice, it still has problems, such as a lack of a sincere understanding of the role and function of school libraries in the quality learning process. This study aims to describe the role of libraries as learning resources for elementary school students. In addition to the quality of student literacy at SDN 011 Bangko Bakti, Rokan Hilir Regency. This research uses a descriptive quality approach, with interview techniques to students, library managers, principals, and class teachers. Data analysis techniques used with data collection, data reduction, displaying data and drawing conclusions. Test the validity of the data, namely by triangulation technique. The results of the study revealed that the role of school libraries as a source of learning for elementary school students has a close relationship between the two, libraries with a good management system tend to influence students' interest in visiting and using the library as a means of learning and also refer to the quality of the impact of literacy. This is studied through the results of interview analysis data and observations.
EDUKASI PRANIKAH DENGAN METODE AUDIO VISUAL TERHADAP PENGETAHUAN DAN PERSEPSI MENIKAH PADA REMAJA
Authors: Ahmad Deni , Ansori Ansori
Published: March 2024

Indonesia berada pada urutan ketujuh dengan jumlah 1.408.000 kasus pernikahan dini. Badan Pemberdayaan Perempuan Perlindungan Anak dan Keluarga Berencana (BP3AKB) Bandung Barat mencatat, angka pernikahan dini di Kabupaten Bandung Barat (KBB) masih tinggi, rata-rata diseluruh kecamatan di KBB angka pernikahan dini masih termasuk pada kategori tinggi, termasuk kecamatan Lembang dan Padalarang. Pernikahan dini ialah pernikahan pada remaja dibawah usia 20 tahun yang seharusnya belum siap untuk melaksanakan pernikahan. Pernikahan yang dilakukan saat seseorang belum siap secara fisik dan mental ini menimbulkan dampak negatif. Dampak yang paling banyak dialami adalah dampak psikologis, kesehatan, dan sosial ekonomi. Pernikahan dini ini perlu dicegah untuk mengurangi dampak buruk yang dihasilkan dimasyarakat nantinya. Salah satu upaya dalam mengurangi dan mencegah dampak buruk tersebut adalah dengan pemberian edukasi tepat sasaran. Penelitan ini dilakukan dengan tujuan mengetahui penerapan edukasi pranikah dengan metode audio visual, gambaran pengetahuan dan persepsi remaja sebelum dan setelah edukasi diberikan serta hubungan perubahan pengetahuan dan persepsi remaja di Kec. Padalarang Kab. Bandung Barat setelah diberikan edukasi pranikah. Penelitian ini dilakukan dengan metode Pre experiment one group pretest-postest design dengan teknik pengambilan sampel purposive sampling. Sample pada penelitian ini adalah 25 remaja berusia 18-25 tahun. Berdasarkan hasil pengujian statistik, diketahui bahwa terdapat perubahan pengetahuan (p=0,000) dan persepsi remaja (p=0,000) di Kec. Padalarang Kab. Bandung Barat yang signifikan setelah diberikan edukasi mengenai pranikah dengan metode audio visual. Perubahan nilai rata pengetahuan remaja dari 10,16 ± 3,21 menjadi 12,16 ± 1,97. Sedangkan nilai rata persepsi remaja dari 53,04 ± 5,09 menjadi 56,48 ± 4,61. Edukasi pranikah dengan metode audio visual diterapkan pada remaja di Kec. Padalarang Kab. Bandung Barat diberikan berupa bentuk pembekalan sebelum remaja melanjutkan pada tahapan pernikahan berupa video youtube. Materi edukasi pranikah ini memuat 6 aspek. Aspek yang disampaikan pada video adalah landasan pernikahan, perencanaan pemilihan pasangan, dinamika kehidupan pernikahan, kebutuhan dalam kehidupan berkeluarga, keberlanjutan generasi yang berkualitas, dan ketahanan keluarga. Aspek-aspek yang disampaikan tersebut dikemas dalam bahasa yang familiar dan mudah dipahami oleh remaja
PERAN PENGELOLA POSDAYA AL-BAROKAH DALAM PENGEMBANGAN KEWIRAUSAHAAN MASYARAKAT DESA SEKARWANGI KECAMATAN RAWAMERTA KABUPATEN KARAWANG
Authors: Sadili Dadan , Santika Tika , Dewi Ratna
Published: March 2024

Tujuan penelitian ini adalah untuk mengungkapkan dan menganalisis data: (1) peran pengelola posdaya Al-barokah dalam pengembangan kewirausahaan masyarakat, dan (2) faktor pendukung dan penghambat pelaksanaan posdaya dalam pengembangan kewirausahaan Desa Sekarwangi Kecamatan Rawamerta Kabupaten Karawang. Penelitian ini menggunakan pendekatan kualitatif dengan metode studi kasus. Teknik pengumpulan data yang digunakan adalah:(1) observasi, (2) wawancara, dan (3) dokumentasi. Hasil penelitian ini menunjukan bahwa: (1) peran pengelola posdaya Al-Barokah Desa Sekarwangi secara umum cukup baik, dapat terlihat dari hasil pengelolaan dari 4 bidang garapan posdaya yaitu pendidikan, kesehatan, ekonomi, dan lingkungan yang mengalami perkembangan dalam motivasi belajar, hidup sehat, berwirausaha, dan produktivitas.  (2). faktor pendukung yang muncul adalah adanya motivasi yang tinggi para pengelola dan dukungan dari masyarakat. Sedangkan faktor penghambatnya adalah pengelolaan posdaya dalam bidang pendidikan adalah kekurangan tenaga pendidik di Pendidikan anak usia dini, terbatasnya alat peraga edukatif, gedung masih membagi waktu dengan madrasah. Penghambat pengelolaan bidang ekonomi yaitu kekurangan modal dan belum tertatanya pembukuan administrasi. Bidang kesehatan masih mengalami kendala kekurangan kader serta minimnya sarana dan prasarana
EVALUASI PEMBELAJARAN DARING PADA MASA PANDEMI COVID-19
Authors: Sandri Myti
Published: March 2024

This aims research aims to know the result evaluation of online learning pandemic era at Universitas Mitra Karya. The research method uses the CIPP evaluation model developed by Stufflebeam. The research technique uses open survey with questionnaire instrument from Google Form. The result of research showed that the implementation of online learning in covid-19 pandemic era had been carried out well. In terms of the context of indicator, input, process and product are in good category, with the quality of lectures, students and media facilities being quite good in managing online learning. However, it was found that there were obstacles are intermittent signal or network and limited quota. It can be conclusion than online learning in the era of covid-19 pandemic had been quite effective. Besides that, this can be a concern of the government as well as to evaluate, policy or agree on the impact of online learning in covid-19 pandemic era.
PENINGKATKAN KEMAMPUAN PEMAHAMAN KONSEP MATEMATIS DENGAN MODEL OPEN ENDED BERBANTUAN MEDIA BLOK PECAHAN KELAS IV SD N 2 SURODADI
Authors: Setyanti Zeni , Ratnasari Yuni , Wanabuliandari Savitri
Published: March 2024

Tujuan dari penelitian ini adalah untuk mendeskripsikan peningkatan pemahaman konsep pecahan peserta didik kelas IV SD 2 Surodadi dengan penerapan model open ended berbantuan media balok pecahan dan mendeskripsikan peningkatan keterampilan mengajar guru. Penelitian ini menggunakan metode penelitian tindakan kelas yang terdiri dari 2 siklus. Variabel terikat dalam penelitian ini adalah keterampilan mengajar guru dan pemahaman konsep matematis, sedangkan variabel bebas dalam penelitian ini adalah model open ended berbantu media blok pecahan. Â Teknik pengumpulan data meliputi teknik wawancara, observasi, tes, dan dokumentasi. Analisis data yang digunakan yaitu analisis data kualitatif dan kuantitatif. Hasil penelitian menunjukkan bahwa; (1) kemampuan pemahaman konsep matematis peserta didik dengan menerapkan model open ended siklus I mencapai 77% dan meningkat pada siklus II dengan rata-rata 81%; dan (2) keterampilan mengajar guru dalam mengelola pembelajaran matematis dengan menerapkan model open ended pada siklus I pertemuan 1 sebesar 65% sedangkan pada siklus II sebesar 70%, dan meningkat pada siklus II pertemuan 1 sebesar 77% serta pada pertemuan 2 sebesar 80%. Kesimpulannya adalah pemahaman konsep matematis peserta didik meningkat dengan menggunakan model open ended berbantuan media blok pecahan dan keterampilan guru dalam mengajar dengan menggunakan model open ended berbantuan media blok pecahan juga mengalami peningkatan.Â
Analysis of the Effectiveness of Drug Management Systems in Tangerang Selatan General Hospital in 2021
Authors: Zaafira Reyhan Diva , Yardi Yardi
Published: March 2024

Background: Pharmaceutical services are closely related to an optimal drug management system, where with optimal drug management, drug availability can be guaranteed, and patient demand can be fulfilled. Objectives: This study aimed to analized the effectiveness of the drug management system at the distribution stage at the Tangerang Selatan General Hospital in 2021. Material and Methods: The method used wasbased on a book by Satibi in the form of percentage of compatibility of drugs with drug stock cards, Turn Over Ratio (TOR), drug availability levels, percentage of expired and damaged drugs, and percentage of dead stock as measured usedstandards. Data taken prospectively for compatibility of drugs with drug stock cards, and retrospectively for other indicators by looking at generic drug stock cards in 2021. Results: The results showed that the drug compatibility indicators with drug stock cards and the level of availability of drugs were in accordance with the standards, while the Turn Over Ratio (TOR) and dead stock indicators did not meet the standard indicators. Conclusions: The drug management system at the South Tangerang City General Hospital can still be improved.
What makes mothers feel competent? The relationship between parental reflective functioning, attachment style, parental competence, and stress
Authors: Szabó Brigitta , Miklósi Mónika , Futó Judit
Published: March 2024

Adolescence is a time of changes; nevertheless, the mental health of
adolescents' parents receives little attention. This study aimed to explore
the relationship between parental mentalizing, attachment style, parental
sense of competence, and stress among parents of adolescents. One hundred
eighty-six mothers completed validated questionnaires measuring these
constructs. We conducted a moderated mediation analysis with maternal
attachment style as the independent variable. The dimensions of parental
sense of competence, efficacy and satisfaction were chosen as the dependent
variables, and stress was the moderator. The mediator was the certainty
about the mental states (CMS) aspect of parental mentalizing. CMS mediated
the relationships between dismissing attachment style, efficacy and
satisfaction at low-stress levels. Our results suggest that in the case of
the dismissing attachment style, besides the attachment style itself,
mentalizing and stress levels are also important predictors of the parental
sense of competence among mothers of adolescents.
Religions grow in tighter (vs. looser) cultures: Two studies of inter & intra-country data
Authors: Senay Ibrahim
Published: March 2024

Religious affiliations and non-affiliations in society can grow through
personality ? environment correlation and interaction. In Study 1,
mixed-effects analyses of moderated mediation conducted on online data
collected from 111 countries (N = 4,270) showed that personality factors
could predict religious affiliations growing faster in tighter (vs. looser)
countries between the years 2000 and 2015. Through a multi-level SEM
analysis of serial mediation, Study 2 investigated the survey responses of a
random sample (N = 4,963) recruited through random digit dialing from the
U.S. population. Results showed that personality could anticipate
preferences to live in a relatively looser (vs. tighter) country region with
a higher religious non-affiliation rate by first predicting identification
with the religious ingroup and then religiosity. The results have
implications for showing culture and personality?s impact on religions?
population growth, religiosity, and religious ingroup identification,
sometimes independently of religious affiliation/non-affiliation
self-reports.
Diversity, Equity, Inclusion and Belonging: Practice Problems of Real Consequence
Authors: Brown-Liburd Helen L. , Ghio Alessandro , Roberts Andrea Alston
Published: March 2024

SYNOPSIS

This essay sets the stage for the papers in this special issue by illustrating the ongoing challenges related to diversity, equity, inclusion and belonging (DEIB) in accounting. Although DEIB appears to be gaining momentum in the public debate and among accounting firms, marginalized communities still face significant challenges in the workplace. This special issue documents ongoing trends and experiences related to DEIB in both the accounting profession and accounting practice. Numerous practical suggestions pave the way for improving DEIB in accounting and open the dialogue for future research in accounting on DEIB.
Hyperuricemia Predisposes to the Onset of Diabetes via Promoting Pancreatic β-Cell Death in Uricase Deficiency Male Mice
Authors: Admin Ada , Lu Jie , He Yuwei , Cui Lingling , Xing Xiaoming , Liu Zhen , Li Xinde , Zhang Hui , Li Hailong , Sun Wenyan , Ji Aichang , Wang Yao , Yin Huiyong , Li Changgui
Published: March 2024

Clinical studies have shown a link between hyperuricemia (HU) and diabetes, while the exact effect
of soluble serum urate on glucose metabolism remains elusive. This study aims to characterize the glucose metabolic phenotypes and
investigate the underlying molecular mechanisms using a
novel spontaneous HU mouse model which is in absence of Uricase (Uox) gene. In an attempt to study the role of HU in glycometabolism, we
implemented external stimulation on Uox-knockout (KO) and wild-type (WT)
males with high-fat diet (HFD) and (/or) multiple-low-dose
streptozotocin (MLD-STZ) to provoke the potential role of urate. Notably, while Uox-KO mice developed glucose intolerance
in basal condition, none had spontaneously developed into diabetes even
with aging. HFD-fed Uox-KO mice manifested similar insulin sensitivity compared with WT
controls. HU augmented the existing glycometabolism abnormality induced by MLD-STZ, and eventually lead
to diabetes evidenced by the increased random glucose. Reduced β cell masses and increased the terminal
deoxynucleotidyl transferase mediated dUTP nick end labeling (TUNEL) positive β cells suggested HU-mediated diabetes was cell death
dependent. However, urate-lowering treatment (ULT) cannot ameliorate the
diabetes incidence nor reverse β-cell apoptosis with
significance. While, ULT displayed a significant therapeutic effect of
hyperuricemic-crystal associated kidney injury and tubulointerstitial damage in
diabetes. Moreover, we present transcriptomic analysis of isolated islets, using Uox-KO versus WT mice and streptozotocin-induced diabetic WT (STZ-WT) versus diabetic Uox-KO (STZ-KO) mice. Shared differentially expressed genes of HU primacy revealed Stk17β is a possible target gene in HU related β-cell death. Together, this
study suggests that HU accelerates but not causes diabetes by inhibiting islet β-cell survival.
Biochemical Urine Testing of Medication Adherence and Its Association With Clinical Markers in an Outpatient Population of Type 2 Diabetes Patients: Analysis in the DIAbetes and LifEstyle Cohort Twente (DIALECT)
Authors: Beernink Jelle M. , Oosterwijk Milou M. , Khunti Kamlesh , Gupta Pankaj , Patel Prashanth , Boven Job F. M. van , Heerspink Hiddo J. Lambers , Bakker Stephan J. L. , Navis Gerjan , Nijboer Roos M. , Laverman Gozewijn D.
Published: March 2024

Objective: To assess adherence to the three main drug
classes in real-world patients with type 2 diabetes using biochemical urine
testing and to determine the association of non-adherence with baseline
demographics, treatment targets and complications.

Research Design and Methods: Analyses were performed in baseline
data of 457 patients in the DIAbetes and LifEstyle Cohort Twente (DIALECT)
study. Adherence to OADs (oral antidiabetics), antihypertensives and statins was determined by
analyzing baseline urine samples using LC-MS/MS. Primary outcomes were micro/macrovascular
complications and treatment targets of LDL-cholesterol, HbA1c and blood
pressure. These were all assessed cross-sectionally at baseline.

Results: Overall, 89.3% of the patients were identified as
being adherent. Adherence rates to OADs, antihypertensives and statins were 95.7%,
92.0%, and 95.5%, respectively. The prevalence of microvascular (81.6% vs
66.2%, p = 0.029) and macrovascular complications (55.1% versus 37.0%, p =
0.014) was significantly higher in non-adherent patients. The percentage of
patients who reached an LDL-cholesterol target of £2.5 mmol/L was lower (67.4% versus 81.1%, p = 0.029) in non-adherent patients. Binary
logistic regression indicated that a higher BMI, current smoking, elevated serum
LDL-cholesterol, high HbA1c, the presence of diabetic kidney disease and the
presence of macrovascular disease were associated with non-adherence.

Conclusion: Despite
medication adherence of real-world type 2 diabetes patients managed in
specialist care was relatively high, the prevalence of microvascular and
macrovascular complications was significantly higher in non-adherent patients
and treatment targets were reached less frequently. This emphasizes the
importance of objective detection and tailored interventions to improve non-adherence.
Whole-Class Discussions About Literary Texts: Engaging in Dialogue and Eliciting Literary Competence
Authors: Nissen Anna
Published: March 2024

This study examines literary discussions from Scandinavian lower secondary school classrooms, specifically the different ways in which teachers provide opportunities for students’ development of literary competence. Moreover, it discloses what kinds of literary competence these teachers elicit and encourage. Three extended video-recorded discussions, in which a large number of students actively shared their understanding of literary texts, were selected and analysed qualitatively with regard to the interaction between teachers and students and the content of the discussions. It was found that teachers used both open-ended and closed questions to introduce new themes, and that their frequent use of follow-up questions promoted dialogicity. The teachers generally favoured one particular aspect of literary competence, yet several aspects of students’ literary competence were visible in the discussions. For example, students were encouraged to pay attention to content, formal characteristics and contextual issues. Implications for teachers’ literature instruction and for students’ development of literary competence are discussed.
A Glance on Lemon Grass-Extraction, Applications and Uses
Authors: K Monika
Published: March 2024

Lemongrass is widely available herb belonging to family Poaceae having biological souse leaf of plant Cymbopogon Citratus. The name Lemon originates from its typical odour, because of presence of citral a cyclic monoterpenes. It consists of many phytoconstituents like alkaloids, flavonoids, tannins, and essential oil. Many of active secondary metabolites are also available in these herbs which are used as pharmaceutical aid. This plant is of Indian origin mostly found in South India but widely spread in throughout world. Active ingredient is an essential oil which is extracted and isolated from fresh leaves of this plant by various extraction methods. Lemongrass oil is an essential oil having various pharmacological activity as well as used in various pharmaceutical formulations as a flouring agent, additives etc. Its fresh infusion is widely used in India to treat sore throat and runny nose. It shows many pharmacological actions such as Anti-Oxidant, Anti-Inflammatory, Anti-Bacterial and Anxiolytic. This article gives you and basic idea about Lemon Grass its sources, Chemical Constituents, Method of Extraction, Pharmacological Action, applications and future scope.
Unveiling the Therapeutic Landscape of Oseltamivir: Exploring Drug Utilization, Adverse Reactions and Interactions with Comorbidities-A Prospective Study
Authors: K Satyender
Published: March 2024

Objective: This study aimed to investigate adverse drug reactions (ADRs) associated with Oseltamivir in the presence of various co-morbidities. The objective was to analyze prescription patterns, administration rationale, and ADR prevalence among patients receiving Oseltamivir for therapeutic or preventative purposes. Material and Methods: The study, conducted over six months at St. Philomena’s Hospital in Bengaluru, involved patients of all ages and genders. Ethical approval secured, the research gathered data from diverse sources for 140 patients. Naranjo’s scale was employed for causation, severity, and preventability assessments of Oseltamivir-related ADRs. Descriptive statistics were utilized to compare ADR frequencies between patients using Oseltamivir for prevention and those for therapeutic purposes. Results: The study revealed a 3.57% incidence of Oseltamivir-related ADRs, with co-morbidities contributing to 2.8% of cases, predominantly associated with hypertension. The research shed light on the importance of monitoring ADRs, particularly in the context of co-morbidities during Oseltamivir treatment. Conclusion: This research underscores the importance of monitoring ADRs in the context of co-morbidities during Oseltamivir treatment. The prevalence of hypertension as the most common co-morbidity highlights the need for careful prescription practices, especially for individuals with underlying medical conditions. These findings provide valuable insights into optimizing Oseltamivir usage in diverse patient populations.
Analysis of the effectiveness of intrapleural analgesia after minimally invasive coronary artery bypass grafting on a beating heart
Authors: Dossov Mukhit , Seitenov S. , Babashev B. , Zhailauova A. , Kazmagambetov A. , Kulchukov R. , Salakhanov R. , Bekseitova A.
Published: March 2024

Purpose: To determine the effectiveness of intrapleural analgesia (IPA) for pain relief after minimally invasive coronary artery bypass surgery on a beating heart.

Methods: We prospectively studied 35 patients who underwent coronary artery bypass grafting on a beating heart through a mini thoracotomy access on the left. Patients were divided into two groups: group I received IPA with a catheter (n=16) and group II patients were not introduced intrapleural analgesia (n=19). Postoperative pain was assessed according to the visual analogue scale (VAS), consumption of analgesics, extubation time, arterial blood gas parameters. Adequacy of respiration and lung ventilation were estimated by electrical impedance tomography.

Results: Extubation time after surgery did not differ in both groups. Arterial oxygen partial pressure was higher (p<0.05) in the first group (160.82±46.98) compared to the second group (111.42±49.26). Regarding the EIT in the quadrant mode, distribution of tidal volume was better in the first group (p<0.05) in the 2nd, 3rd quadrant and in the layer mode, the second layer of the first group showed better results compared to the same layer of the second group. After extubation, average pain score according to VAS was four points for the first group and six points for the second group. On the 1st and 2nd day pain scores were the same in both groups. Postoperative analgesia by promedol was required only for 1 patient (6.25%) from the first group, and 14 patients from the second group (73.7%). Additionally, tramadol was administered to 43.5% (7 patients) of the first group and 26.3% (5 patients) of the second group.

Conclusion: IPA can be used as one of the effective treatments for postoperative pain in minimally invasive coronary artery bypass surgeries. IPA promotes less use of opioids. An improvement in respiration was observed with reduction in postoperative pain.
Questioning editors who blame COVID-19 for their editorial failures
Authors: Teixeira da Silva Jaime A.
Published: March 2024

The Covid-19 pandemic has provided an opportunity to appreciate how delays in medical treatments can negatively impact the healthcare of patients in need. However, not much – if anything – has been researched on how the pandemic has been used as an excuse within professional settings. In this letter, I take note of a personal case in which an editor of a ranked and indexed medical journal, having taken four months to issue a desk rejection, promptly blamed Covid-19 for the journal’s editorial failures, without providing proof of this claim. Currently, editors who issue such statements cannot be held accountable, and the system of publication needs to change in order to prevent editors from making such ludicrous claims without publicly verifiable evidence. Absent concrete measures to safe-guard authors’ rights to know why their papers’ intellect has been held up for so long, they become victims of a system that offers unprecedented unchecked powers to editors.
Unilateral linguofacial trunk
Authors: Harre Simsar Rana Didem , Yıldız Yetkin , Erdem Cem Doğa , Demirci Gökşin Nilüfer
Published: March 2024

The external carotid artery is the main artery of the head and neck region. It has eight branches, and there are various variations in the emergence and distribution of these branches. In particular, frequent changes can be observed in the emergence of facial artery, and lingual artery. Knowledge of the vascular anatomy of the lingual artery and facial artery is important in terms of neck surgery and radical treatments. For this reason, in the present case report we aimed to report a case with linguofacial trunk and its morphometric and morphological features.
Magnetic resonance imaging evaluation of coccyx morphology and morphometry in childhood
Authors: Öztürk Muhsin Özgün , Uçan Berna , Memiş Kemal Buğra , Aydın Sonay
Published: March 2024

Objectives: Pain around the coccyx is referred to as coccydynia. Inter coccygeal and sacrococcygeal angles as well as some types of coccyx may be associated with idiopathic coccydynia. The aim of this retrospective study was to evaluate the morphology and morphometry of the coccyx using MRI and to determine whether morphologic-morphometric features are associated with coccydynia in the pediatric population. Methods: This study was performed retrospectively on children aged 10–17 years who underwent pelvic and sacral magnetic resonance imaging for non-trauma related reasons. Inter coccygeal-sacrococcygeal angles and coccyx types were determined using sagittal T1- and T2-weighted images. Gender-specific assessments were made for intercoccigeal and sacrococcygeal angles as well as coccyx types based on Postacchinni and Massobrio classification. In statistical analysis, a p-value less than 0.05 was considered statistically significant. Results: One hundred and fifty-six children were included in the final analysis (108 girls, 48 boys). The mean age of the cases was 13.8 years (10–17). Type 1 was the most common type overall, accounting for 57.7% of the population. The sacrococcygeal angles of boys were significantly higher than those of girls. A significant negative correlation was found between age and sacrococcygeal angle. In children with Type 1 and Type 2 coccyx, girls had significantly higher intercoccigeal angles than boys. The intercoccigeal angle varied significantly in each coccyx type and the intercoccigeal angles increased significantly as the coccyx type increased (from Type 1 to Type 4). The most common coccyx type in the coccidynia group was Type 2, while the most common type in the control group was Type 1. The mean intercoccigeal angles of children with coccidynia were significantly higher than those of the control group. Conclusion: Coccydynia is a symptom with many possible reasons rather than a diagnosis. Coccyx morphology and morphometry can be associated with idiopathic coccydynia. To better understand these morphological and morphometric features, especially in the pediatric population, larger population studies are required.
Evaluation of the morphometric features of Achilles tendon with tendinopathy: an MRI study
Authors: Kösetürk Taner , Senbil Düzgün Can , Sunar Mukadder , Aydın Sonay , Kantarcı Mecit
Published: March 2024

Objectives: The Achilles tendon, the biggest tendon in the body, transmits the mechanical force received from the body to the ankle through the calcaneus. The aim of this study was to evaluate the effects of morphometric characteristics of the soleus and gastrocnemius muscles that make up the Achilles tendon on tendinopathy by MRI. Methods: Foot magnetic resonance images of 128 patients (121 males and 107 females) were retrospectively analyzed. The cases were divided into two groups, the tendinopathy group and the control group. The length and the thickness of the Achilles tendon and the distance of the maximum thickness from the calcaneal insertion were measured in both groups and evaluated for differences between the groups and between genders.Results: In the comparison between genders, the thickness of the Achilles tendon and the distance of the maximum thickness to the calcaneal insertion were higher in males than in females. The length and the thickness of the Achilles tendon was significantly increased in the tendinopathy group compared to the control group. Conclusion: In this study, we investigated the relationship between Achilles tendinopathy and the morphometric properties of the muscles forming the Achilles tendon. The results of our study showed that Achilles tendon length and tendon thickness increased in patients with tendinopathy compared to the control group.
Management of Intracanal Separated Instrument Using Bypassing and Braiding Techniques: Case Reports
Authors: Doumari Bouchra , Drouri Sofia , El Kharroubi Soukaina , Skalli Radia , Benkiran Imane
Published: March 2024

The separation of an endodontic instrument during a root canal procedure is a complication that can significantly hinder successful treatment. Separated instruments blocked access to the apical portion of the root, impeding adequate apical canal debridement and potentially compromising disinfection efficacy, thereby jeopardizing the long-term success of the endodontic therapy. Recent advancements in endodontic technology and methodology have facilitated the management of separated instruments (SIs), potentially enhancing treatment prognosis This article presents a case series of the management of SI using bypassing and braiding techniques. Separated instruments were lodged at various levels in the middle and apical third of the maxillary and mandibular incisor and canine teeth. Today, the majority of broken instruments can potentially be removed safely and effectively. However, instrument removal techniques lead to significant loss of tooth substances, which increases the risk of tooth fracture. The choice of the most appropriate technique for removing the fractured fragment depends on several parameters. The two techniques used in these clinical cases are conservative, simple and less invasive for instrument removal.
Position and Length of Appendix among Delhi Population-An Autopsy Based Study
Authors: Nupur Nisha , Jena Satyakam , Singh Mukesh , Naik Shrabana Kumar , Hiriyur Thipperudrappa Thejaswi , Mittal Sachin
Published: March 2024

Vermiform appendix reportedly shows lots of variations in its position and length among different individuals. The signs and symptoms presented by acute appendicitis requiring medical or surgical intervention may vary accordingly. Hence, medical practitioners should have a fair knowledge of such variations to diagnose the underlying pathology. Knowledge about variations in the position and length of the appendix is also equally important for its removal through minimally invasive surgery. The present study was conducted at Lady Hardinge Medical College, New Delhi from October 2018 to March 2020 to observe the variations in position and length of appendix in the dead bodies brought for routine medico-legal autopsies. Among 200 randomly selected deceased individuals, males were 88.5% whereas females were 11.5%. Maximum numbers of individuals were found in the age group 31–40 years (23%), followed by 41–50 years (22.5%) and then 21–30 years (22%). The mean age of the individuals was 43 ± 14.98 years, with an age range varied from 14 to 90 years. Position of the appendix was found pre-ileal in 6.5%, post-ileal in 10%, promonteric in 12%, pelvic in 21%, retro-caecal in 27.5%, para-colic in 13.5%, sub-caecal in 6.5% and others in 3% cases. Retro-caecal position was the most common position in the present study. The mean length of the vermiform appendix was found to be in the range of 0–5 cm in 10.5%, 5–10 cm in 63%, 10–15. cm in 21.5%, 15–20 cm in 4.5%, and more than 20 cm in 0.5% cases. The mean (average) length of the vermiform appendix was 8.4 ± 3.07 cm, with a range varied from 4.2 cm to 21.1 cm. The position of the appendix could not be related to the sex and age of the individual or to the length of the appendix.
Analisis dan Evaluasi Kepuasan Mahasiswa Peserta Ujian Daring Mata Kuliah Umum di Universitas Negeri Padang Menggunakan PIECES Framework
Authors: Rusdi Muhammad , Waskito Waskito
Published: March 2024

Penelitian ini bertujuan untuk mengukur tingkat kepuasan mahasiswa terhadap sistem ujian daring berbasis web di Universitas Negeri Padang menggunakan kerangka PIECES. Instrumen pengukuran berupa kuesioner online diisi oleh 100 responden pada salah satu kelas mata kuliah umum di Universitas Negeri Padang. Penelitian menganalisis enam aspek kepuasan yaitu kinerja, informasi, biaya, pengamanan, efisiensi, dan layanan. Hasil analisis menunjukkan bahwa aspek kinerja memperoleh nilai rata-rata 3,99 dengan predikat "Puas". Aspek informasi mendapatkan skor 4,06 dengan predikat "Puas". Aspek biaya memperoleh nilai 4,20 dengan predikat "Puas". Sedangkan aspek pengamanan memperoleh skor rata-rata 4,03 dengan predikat "Puas". Untuk aspek efisiensi didapatkan nilai rata-rata 4,12 dengan predikat "Puas". Terakhir, aspek layanan memperoleh skor rata-rata 4,09 dengan predikat "Puas". Secara keseluruhan dapat disimpulkan bahwa sistem ujian daring tersebut mampu memberikan tingkat kepuasan yang "Puas" pada semua aspek evaluasi menurut kerangka PIECES. Hasil ini diharapkan dapat memberikan masukan kepada perguruan tinggi untuk terus meningkatkan kualitas sistem ujiannya guna memenuhi kebutuhan mahasiswa.