bluuebunny/crossref_metadata_2025 huggingface dataset:
Voices from the Ground: Ethnographic Perspectives on Strengthening the Ugandan National Mental Health System: An Ethnographic Needs Assessment
Authors: Dwanyen Lekie , Luberenga Ibrahim , Asiimwe Ronald , Galukande Pendo , Blow Adrian , Kasujja Rosco
Published: March 2024

Background
Mental health capacity building is a critical need and a growing priority in Ugandan health and education systems. Despite increased governmental attention to community mental health and mental healthcare needs, no published assessments garner qualitative perspectives directly from stakeholders in the Ugandan mental health system. Addressing this gap, the goal of the current needs assessment study was to systematically explore stakeholders’ perceptions of strengths, challenges, and recommendations for enhancing capacity in the national mental health system in Uganda.
Methods
Using qualitative ethnographic methods, data was collected from key informants through interviews and focus groups. A total of 44 stakeholders, who were engaged in the mental health system, were included in our final sample.
Results
Thematic analyses of data yielded several themes in each category, including system strengths related to existing policy and action plan, free medications, private sector, partnerships and collaborations; system challenges including socioeconomic constraints, stigma, and limited family engagement; and recommendations for improvement including enhanced education and training, integrating systemic approaches, and policy advocacy.
Conclusion
The results of this study have clinical, research, and policy implications that may inform mental health capacity, not only in Uganda, but in other global settings, advancing capacity to respond to pressing community mental health needs.
Developing a System for Evaluating the Business Processes’ Effectiveness Based on the SMART Approach
Authors: Novichkova Inna , Platov Aleksey , Udalov Denis
Published: March 2024

Aggressive and volatile business environment determines the need to study and use innovative and progressive management paradigms that are able to ensure the competitiveness of enterprises in target markets. The subject of the study is a set of theoretical and applied principles for evaluating the effectiveness of economic entity’s business processes based on a system of certain indicators. The purpose of the study is to develop a methodology for evaluating the effectiveness of enterprise’s business processes based on the SMART approach. The authors present their vision of the groups of indicators that can be used to determine the effectiveness of business processes. The study uses a SMART approach to setting goals, which helps to correctly formulate the desired result and provides an understanding of the direction. The authors propose an approach to evaluating the business processes’ effectiveness based on six criteria: process efficiency, efficiency of providing the necessary resources, product cost, resource productivity, length of one technological cycle, adaptability of the process. Based on the synthesis of concepts such as the balanced scorecard, functional and cost analysis, and key success factors the authors create an original model for evaluating the effectiveness of business processes.
REPORTING TWO BLACK AND RED WARE SITES AT DANTAN: THE CULT OF MOTHER GODDESS, MATERIAL CULTURE AND THE CHALCOLITHIC IMAGINATION
Authors:   Bhatter College, Dantan, West Bengal, India., Mukherjee Tarun Tapas
Published: March 2024

The author along with his colleagues undertook explorations at various places of Dantan over a long period from 2017 to 2021 and it resulted in the discovery of two large black and red ware sites, one at Satbahini sacred grove at the village, Kusturia and another at the village, Urisal. The article reports on the archaeological sites and the artefacts recovered from the places. Since the sites are a kind of conglomerates of various cultural phases, the article primarily comments on the early medieval Saptamatrika cult and the late medieval cult of Chandi and tries to locate the prehistoric cult of Mother Earth in the immediate context of the region. Based on the prehistoric and ancient artefacts, the author tries to comment on the Chalcolithic material culture of the region and makes an effort at relating them to other BRW sites recently discovered in the adjoining district of Purba Medinipur. Then, in the context of the Subarnarekha river and the larger techno-complex, the author tries to go beyond the material culture in order to explore their social formations based on totemic values. Finally, it seeks to explore the intellectual exercises reflected in the art of image-making and creating symbolic connections and representing through early art from the Chalcolithic times.
Cultural Documentation and Collection Development: Toda Tribes of Nilgiris
Authors:   Student B.Tech, Fashion Technology, Vellore Institute of Technology, Chennai, Nair K Lavanya , B Sneha ,   Student B.Tech, Fashion Technology, Vellore Institute of Technology, Chennai, Sunny Georgy ,   Assistant Professor, Vellore Institute of Technology, Chennai
Published: March 2024

The documentation focuses on the art of Toda embroidery. This document can be divided into an initial ethnographic study and collection development. The first part of the paper starts with understanding the research methodology, followed by in-depth research on Tamil Nadu, its cultures, festivals, and art forms. It moves towards studying Nilgiri and the several tribes that reside within it. Among the different tribes living in Ootacamund and the surrounding areas of the Nilgiri hills, the focus is on the Toda tribes, their life, and their embroidery. The second half of the document, collection development, attempts to incorporate Toda embroidery and traditional fabric into a ready-to-wear clothing line. This is done by understanding the embroidery technique plus additional data from market research, wardrobe study, client study, and trend research, which is feasible for the upcoming season. This project also focuses on providing the people of this community with an opportunity to earn and, at the same time, showcase their work through the project.
The Role of Emodin in the Treatment of Bladder Cancer Based on
Network Pharmacology and Experimental Verification
Authors: Liu Fule , Li Jianghao , Zhou Boruo , Shen Yang , Tang Jingyuan , Han Jie , Chen Changpeng , Shao Kang , Chen Haojie , Yuan Lin
Published: March 2024

Background and Purpose:

Emodin, a compound derived from rhubarb and various
traditional Chinese medicines, exhibits a range of pharmacological actions, including antiinflammatory,
antiviral, and anticancer properties. Nevertheless, its pharmacological impact on
bladder cancer (BLCA) and the underlying mechanism are still unclear. This research aimed to
analyze the pharmacological mechanisms of Emodin against BLCA using network pharmacology
analysis and experimental verification.

Methods::

Initially, network pharmacology was employed to identify core targets and associated
pathways affected by Emodin in bladder cancer. Subsequently, the expression of key targets in
normal bladder tissues and BLCA tissues was assessed by searching the GEPIA and HPA
databases. The binding energy between Emodin and key targets was predicted using molecular
docking. Furthermore, in vitro experiments were carried out to confirm the predictions made
with network pharmacology.

Results::

Our analysis identified 148 common genes targeted by Emodin and BLCA, with the top
ten target genes including TP53, HSP90AA1, EGFR, MYC, CASP3, CDK1, PTPN11, EGF,
ESR1, and TNF. Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG)
pathway enrichment analyses indicated a significant correlation between Emodin and the PI3KAKT
pathway in the context of BLCA. Molecular docking investigations revealed a strong affinity
between Emodin and critical target proteins. In vitro experiments demonstrated that Emodin
inhibits T24 proliferation, migration, and invasion while inducing cell apoptosis. The findings
also indicated that Emodin reduces both PI3K and AKT protein and mRNA expression, suggesting
that Emodin may mitigate BLCA by modulating the PI3K-AKT signaling pathway.

Conclusion::

This study integrates network pharmacology with in vitro experimentation to elucidate
the potential mechanisms underlying the action of Emodin against BLCA. The results of this
research enhance our understanding of the pharmacological mechanisms by which Emodin may
be employed in treating BLCA.
Identification of PDGFA as a Neutrophil-related Biomarker Linked to the Advancement of Diabetic Retinopathy through Integrated Bioinformatics Analysis
Authors: Liang Anran , Feng Tingting , Gao Xiang , Zhao Bowen , Chen Song
Published: March 2024

Background:

The dysregulation of the innate immune system plays a crucial role in the
development of Diabetic Retinopathy (DR). To gain an insight into the underlying mechanism of
DR, it is essential to identify specific biomarkers associated with immune cell infiltration.

Methods:

In this study, we retrieved the GSE94019 and GSE60436 datasets from the Gene Expression
Omnibus (GEO) database. By utilizing CIBERSORT, MCPcounter, and xCell algorithms,
we conducted a comprehensive analysis of the immune cell infiltration landscape in DR.
The limma package was employed to identify Differentially Expressed Necroptosis-related Genes
(DENRGs). Subsequently, enrichment analysis was performed to investigate the potential functions
of the DENRGs. To identify the core DENRGs, the CytoHubba plug-in in Cytoscape software was
utilized. The expression levels of these core DENRGs were verified in an independent dataset.

Results:

Our analysis identified 213 DENRGs, and among them, Platelet-derived Growth Factor
subunit A (PDGFA) was identified as a core DENRG. Notably, the expression of PDGFA was
found to be upregulated in DR, and this finding was further validated in the GSE102485 dataset.
Additionally, the results of GSVA and GSEA revealed that in the high PDGFA group, there was
activation of pathways related to inflammation and the immune system. Moreover, analysis of
immune infiltration demonstrated a significant association between PDGFA gene expression
and the infiltration levels of specific immune cells, including basophils, macrophages M1, macrophages,
neutrophils, monocytes, NK cells, and B cells.

Conclusion:

The involvement of neutrophils in the development and progression of DR is suggested.
PDGFA has emerged as a potential marker and is linked to the infiltration of immune
cells in DR. These findings shed new light on the underlying mechanisms of DR.
Emerging Role of Ionic Liquids in the Fabric Industry
Authors: Gazal Umaima
Published: March 2024

Profitable interest in the pervasive packaging of ionic liquids has continued to increase
due to its several advantages and environmentally pleasant nature. Fabric enterprise is stated to
be the most important enterprise as a result of a rapid increase in the populace across the globe.
Certain ionic beverages can dissolve textile fibers. Therefore, ionic liquids are doubtlessly
appropriate for material production and recycling. The dyeing of fabric substances involves
numerous financial and ecological risks, resulting in an excessive intake of water, power, and
chemicals. Ionic liquids surpass through their extraordinarily low vapor pressure, which enables
them to deal with commonly used natural solvents. Moreover, ionic liquids display excessive
temperature-associated dielectric constants, consequently displaying top-notch solvent strength
for distinct fabric-associated substances, inclusive of silicones, keratin, and cellulose. This article
provides a brief review of the pertinent literature that focuses on historical patterns and practical
commercial applications of ionic liquids before moving on to current developments in ionic
liquids and the fabric industry.
Investigating the Relationship between Creative Thinking and Entrepreneurial Spirit with STEMC-Based Project-Based Learning Models
Authors: Zatya I. , Sulastri S. , Saminan S. , Rahmi M.
Published: March 2024

Creative thinking is the cornerstone of entrepreneurship to encourage innovative ideas and entrepreneurial opportunities. The research aimed to determine a significant correlation between creative thinking and entrepreneurial spirit. The study used a correlation design. The sample was selected using purposive sampling. The sample was students in class X of SMAN 3 Langsa City. Data collection used a description test to determine the student’s level of creative thinking and questionnaires to determine the student’s entrepreneurial spirit. The data were tested using parametric statistics in the form of Pearson Product Moment correlations, which were analyzed using SPSS 20 statistical techniques. The results obtained that the correlation coefficient was 0.518. It shows that there is a correlation with sufficient criteria with an interpretation score between 0.40 r ≤ 0.60. Furthermore, with df = 52, it obtained a significance level of 0.05 at 0.2732, so rxy = 0.518 t table 0.2732. Then, Ha is accepted and Ho is rejected, which indicates a significant correlation between creative thinking and students' entrepreneurial spirit. It is recommended that in the future, educators implement entrepreneurship-based STEM learning, which focuses on creativity and fosters students' confidence to start entrepreneurship.
Cadena de la Yuca y su industria : anexo 5
Authors: Ruiz Diana María , Yepes Luz Andrea , Vila Flórez Otto , Sánchez L. German David
Published: March 2024

El presente documento se preparó con el fin de proveer información básica sobre el desempeño de la cadena productiva, sus vínculos con la orientación de la ciencia, la tecnología y la innovación y las demandas del sector sobre conocimiento técnico, para superar problemas productivos, mejorar la competitividad, la sostenibilidad, aprovechar oportunidades de mercado, potenciar capacidades y focalizar la inversión pública. Esta información se consolidó a través del proceso de revisión y ajuste de la Agenda Dinámica Nacional de Investigación, Desarrollo Tecnológico e Innovación (Agenda I+D+i), como insumo para orientar las estrategias del PECTIA.
Large Language Models and User Trust: Consequence of Self-Referential Learning Loop and the Deskilling of Health Care Professionals
Authors: Choudhury Avishek , Chaudhry Zaira
Published: March 2024

As the health care industry increasingly embraces large language models (LLMs), understanding the consequence of this integration becomes crucial for maximizing benefits while mitigating potential pitfalls. This paper explores the evolving relationship among clinician trust in LLMs, the transition of data sources from predominantly human-generated to artificial intelligence (AI)–generated content, and the subsequent impact on the performance of LLMs and clinician competence. One of the primary concerns identified in this paper is the LLMs’ self-referential learning loops, where AI-generated content feeds into the learning algorithms, threatening the diversity of the data pool, potentially entrenching biases, and reducing the efficacy of LLMs. While theoretical at this stage, this feedback loop poses a significant challenge as the integration of LLMs in health care deepens, emphasizing the need for proactive dialogue and strategic measures to ensure the safe and effective use of LLM technology. Another key takeaway from our investigation is the role of user expertise and the necessity for a discerning approach to trusting and validating LLM outputs. The paper highlights how expert users, particularly clinicians, can leverage LLMs to enhance productivity by off-loading routine tasks while maintaining a critical oversight to identify and correct potential inaccuracies in AI-generated content. This balance of trust and skepticism is vital for ensuring that LLMs augment rather than undermine the quality of patient care. We also discuss the risks associated with the deskilling of health care professionals. Frequent reliance on LLMs for critical tasks could result in a decline in health care providers’ diagnostic and thinking skills, particularly affecting the training and development of future professionals. The legal and ethical considerations surrounding the deployment of LLMs in health care are also examined. We discuss the medicolegal challenges, including liability in cases of erroneous diagnoses or treatment advice generated by LLMs. The paper references recent legislative efforts, such as The Algorithmic Accountability Act of 2023, as crucial steps toward establishing a framework for the ethical and responsible use of AI-based technologies in health care. In conclusion, this paper advocates for a strategic approach to integrating LLMs into health care. By emphasizing the importance of maintaining clinician expertise, fostering critical engagement with LLM outputs, and navigating the legal and ethical landscape, we can ensure that LLMs serve as valuable tools in enhancing patient care and supporting health care professionals. This approach addresses the immediate challenges posed by integrating LLMs and sets a foundation for their maintainable and responsible use in the future.
Smartwatch Versus Routine Tremor Documentation: Descriptive Comparison (Preprint)
Authors: van Alen Catharina Marie , Brenner Alexander , Warnecke Tobias , Varghese Julian
Published: March 2024

UNSTRUCTURED

We addressed the limitations of subjective clinical tremor assessment by comparing routine neurological evaluation with a Tremor Occurrence Score derived from smartwatch sensor data, among 142 participants with Parkinson disease and 77 healthy controls. Our findings highlight the potential of smartwatches for automated tremor detection as a valuable addition to conventional assessments, applicable in both clinical and home settings.
Nurse-Led Brief Intervention for Enhancing Safe Sex Practice Among Emerging Adults in Hong Kong Using Instant Messaging: Feasibility Study (Preprint)
Authors: Pak Sharon Hoi Lam , Wang Man Ping , Teitelman Anne M , Wong Janet Yuen Ha , Fong Daniel Yee Tak , Choi Edmond Pui Hang
Published: March 2024

BACKGROUND

The incidence of sexually transmitted infections has been increasing throughout the world. Additionally, substantial changes in emerging adults’ attitudes toward sex and the popularization of premarital sex could further affect the diagnosis and treatment of sexually transmitted infections. With the high acceptability and effectiveness of instant messaging (IM) interventions for health promotion, there is potential for such interventions to improve condom use knowledge and promote safer sex practice.

OBJECTIVE

The study evaluates the feasibility of a nurse-led IM intervention to promote safer sex practices in emerging adults.

METHODS

A 30-minute adaptive IM intervention and a 5-day booster dose of daily messages after 2 weeks through WhatsApp (Meta Platforms, Inc) were conducted with emerging adults in local universities in Hong Kong aged between 18 and 29 years with previous sexual experience. A questionnaire was distributed 1 week after the intervention that measured the consistency in condom use, the change in condom use knowledge and attitudes, and the acceptability of the intervention. The feasibility of the intervention was assessed by Bowen’s feasibility framework.

RESULTS

A total of 20 participants completed the intervention and questionnaire. Results showed (1) high satisfaction level (mean satisfaction score: 9.10/10), (2) high demand of the intervention (retention rate: 95%), (3) smooth implementation of the intervention, (4) high practicality (13/20, 65% of the participants viewed IM to be an effective means of intervention), (5) potential integration of the intervention, and (6) significant mean increase in condom use knowledge and attitudes (mean increase 9.05; t19=3.727; 95% CI 3.97-14.13; P=.001).

CONCLUSIONS

The IM intervention was feasible, acceptable, and had potential impacts on improving safer sex practices. These findings will support the future development of IM interventions in the arena of sexual health promotion.
Inferring Population HIV Viral Load From a Single HIV Clinic’s Electronic Health Record: Simulation Study With a Real-World Example (Preprint)
Authors: Goldstein Neal D , Jones Justin , Kahal Deborah , Burstyn Igor
Published: March 2024

BACKGROUND

Population viral load (VL), the most comprehensive measure of the HIV transmission potential, cannot be directly measured due to lack of complete sampling of all people with HIV.

OBJECTIVE

A given HIV clinic’s electronic health record (EHR), a biased sample of this population, may be used to attempt to impute this measure.

METHODS

We simulated a population of 10,000 individuals with VL calibrated to surveillance data with a geometric mean of 4449 copies/mL. We sampled 3 hypothetical EHRs from (A) the source population, (B) those diagnosed, and (C) those retained in care. Our analysis imputed population VL from each EHR using sampling weights followed by Bayesian adjustment. These methods were then tested using EHR data from an HIV clinic in Delaware.

RESULTS

Following weighting, the estimates moved in the direction of the population value with correspondingly wider 95% intervals as follows: clinic A: 4364 (95% interval 1963-11,132) copies/mL; clinic B: 4420 (95% interval 1913-10,199) copies/mL; and clinic C: 242 (95% interval 113-563) copies/mL. Bayesian-adjusted weighting further improved the estimate.

CONCLUSIONS

These findings suggest that methodological adjustments are ineffective for estimating population VL from a single clinic’s EHR without the resource-intensive elucidation of an informative prior.
Rank Ordered Design Attributes for Health Care Dashboards Including Artificial Intelligence: Usability Study (Preprint)
Authors: Malkani Melina , Madan Eesha , Malkani Dillon , Madan Arav , Singh Neel , Bamji Tara , Sabharwal Harman
Published: March 2024

BACKGROUND

On average, people in the United States visit a doctor 4 times a year, and many of them have chronic illnesses. Because of the increased use of technology, people frequently rely on the internet to access health information and statistics. People use health care information to make better-educated decisions for themselves and others. Health care dashboards should provide pertinent and easily understood data, such as information on timely cancer screenings, so the public can make better-informed decisions. In order to enhance health outcomes, effective dashboards should provide precise data in an accessible and easily digestible manner.

OBJECTIVE

This study identifies the top 15 attributes of a health care dashboard. The objective of this research is to enhance health care dashboards to benefit the public by making better health care information available for more informed decisions by the public and to improve population-level health care outcomes.

METHODS

The authors conducted a survey of health care dashboards with 218 individuals identifying the best practices to consider when creating a public health care dashboard. The data collection was conducted from June 2023 to August 2023. The analyses performed were descriptive statistics, frequencies, and a comparison to a prior study.

RESULTS

From May 2023 to June 2023, we collected 3259 responses in multiple different states around the United States from 218 people aged 18 years or older. The features ranking in descending order of importance are as follows: (1) easy navigation, (2) historical data, (3) simplicity of design, (4) high usability, (5) use of clear descriptions, (6) consistency of data, (7) use of diverse chart types, (8) compliance with the Americans with Disabilities Act, (9) incorporated user feedback, (10) mobile compatibility, (11) comparison data with other entities, (12) storytelling, (13) predictive analytics with artificial intelligence, (14) adjustable thresholds, and (15) charts with tabulated data.

CONCLUSIONS

Future studies can extend the research to other types of dashboards such as bioinformatics, financial, and managerial dashboards as well as confirm these top 15 best practices for medical dashboards with further evidentiary support. The medical informatics community may benefit from standardization to improve efficiency and effectiveness as dashboards can communicate vital information to patients worldwide on critically prominent issues. Furthermore, health care professionals should use these best practices to help increase population health care outcomes by informing health care consumers to make better decisions with better data.
Validation of the Hyfe cough monitoring system: a multicenter clinical study (Preprint)
Authors: Chaccour Carlos , Sánchez-Olivieri Isabel , Siegel Sarah , Megson Gina , Winthrop Kevin L. , Berto-Botella Juan , de-Torres Juan P. , Jover Lola , Brew Joe , Galvosas Mindaugas , Rudd Matthew , Small Peter
Published: March 2024

BACKGROUND

The ability to passively and continuously monitor coughing would significantly improve cough management and research. To date there is no automated clinically validated cough monitor that can be routinely used in clinical care and research. Here we describe the validation of such an automated cough monitor.

OBJECTIVE

To assess the overall performance of the Hyfe Cough Monitoring System when used by individuals with problematic cough, under common living conditions

METHODS

This multicenter observational study compared the results of the Hyfe CoughMonitor wrist-worn device with manually counted coughs in subjects with a variety of etiologies as they went about their usual daily activities. We collected 24 hours of continuous sounds from subjects while they simultaneously wore a CoughMonitor and an audio recorder. Coughs were labelled by multiple trained annotators who listened to the continuous audio recordings using validated methodology. The time stamps of these human-detected coughs were compared to those of the CoughMonitor to determine the system’s overall performance using event-to-event and hourly rate correlation analyses.

RESULTS

Over the 546 hours monitored, 4454 cough events were recorded; The overall sensitivity was 90.4% (95% CI of 88.3% to 92.2%). The overall false positive rate was 1.03 false positives per hour (95% CI of 0.84 to 1.24). The overall correlation between manual and CoughMonitor measured hourly coughing was high (Pearson correlation coefficient of 0.99 with OLS slope 0.94 and OLS intercept 0.68).

CONCLUSIONS

The present analysis of cough events demonstrated that the Hyfe CoughMonitor accurately reflects them with a high sensitivity and a low false positive rate. Future studies should confirm its potential role in the management of patients with cough in clinical practice.

CLINICALTRIAL

Clinicaltrials.gov: NCT05723159
A SYSTEMATIC REVIEW ON MALARIA DISEASE AND ITS TREATMENTS FOCUS ON ARTEMETHER DRUG
Authors: PHALAK SWAPNIL D. , BODKE VISHAL , BODKE VISHAL , PANDAV SATISH , RANAWARE MALOJI
Published: March 2024

Malaria is one of the infectious illnesses of the highest scientific significance and importance to international health organizations. Plasmodium falciparum, the parasite responsible for a highly severe form of the disease in Africa, has traditionally received the most attention. However, in the last two decades, the Plasmodium vivax parasite, which is linked to a large number of cases in Latin America, the Middle East, South and Southeast Asia, the Horn of Africa, and Oceania, has sparked enormous interest, owing to published evidence that it can cause severe malaria, among other things. Malaria is a worldwide public health problem, with a saw 247 million cases recorded in 2021. African countries accounted for approximately 94% of all reported cases. So far, over 200 distinct varieties of protozoa have been discovered and identified, with at least 13 of them being pathogenic to humans. The malaria parasite's life cycle is a complex process involving a mosquito with the species Anopheles and a vertebrate host.

Artemether is a lipid-soluble artemisinin derivative. It is available in both oral and intramuscular forms. It is also available as a fixed-dose formulation with lumefantrine. Artemether-lumefantrine is one of the ACTs authorized by the WHO and is being used by the majority of countries transitioning from less effective medications to ACTs. However, the emergence of antimalarial medication resistance poses a significant challenge to malaria control. It works by killing the pathogenic organisms responsible for malaria. It is known as an antimalarial medication, and it is more effective than quinine therapies.
Presence of Queer Sexuality in Memories of Latvian Non-Homosexuals of the Soviet Era
Authors:   Institute of Philosophy and Sociology, University of Latvia, Zellis Kaspars
Published: March 2024

The research aims to analyse oral history interviews of heterosexual people about their experience with homosexuals during the Soviet times. Eight interviews were selected for the analysis based on two criteria – the research participant belongs to the Soviet generation, and he/she has personally known homosexuals during the Soviet times. The paper presents interviews as a primary source, illuminating several challenges with obtaining the interviews and their interpretation. In addition, common narratives of communicative memories’ evidence and their influence on current views of homosexuals in Latvian society, including its historical metanarrative and historical record, which relies on the nation’s victimisation during the Soviet times, are analysed.
Peranan Pendidikan Kewarganegaraan dalam Membentuk Rasa Cinta Tanah Air pada Siswa
Authors: Julfian Julfian , Rejeki Sri , Handayani Sri , Sarilan Sarilan , Rizki Ardian Nur , Lasmi Lasmi
Published: March 2024

Pendidikan memiliki peran krusial dalam membentuk rasa cinta tanah air pada anak-anak. Artikel ini membahas peran pendidikan dalam membentuk rasa cinta tanah air pada siswa ICC Muar, Malaysia, dengan fokus pada pengenalan sejarah, budaya, dan nilai-nilai kebangsaan. Hasil penelitian menunjukkan bahwa pendidikan kebangsaan yang terintegrasi dalam kurikulum pendidikan dapat membantu anak-anak memahami aspek-aspek penting bagi bangsa Indonesia. Selain itu, pengenalan tentang keanekaragaman budaya Indonesia juga penting dalam mengembangkan rasa cinta tanah air yang kuat. Strategi pendidikan yang efektif menciptakan lingkungan belajar yang menyenangkan dan menarik, termasuk kegiatan kebangsaan dan kunjungan ke tempat bersejarah. Hasil observasi menunjukkan bahwa strategi pendidikan tersebut berhasil dalam membentuk perilaku positif pada siswa, seperti menghargai keanekaragaman budaya dan lingkungan serta memperkuat rasa cinta dan identitas kebangsaan. Penelitian ini juga mencakup pengembangan strategi pendidikan yang akan dievaluasi untuk mengukur efektivitasnya dalam membentuk rasa cinta tanah air pada anak-anak. Evaluasi ini melibatkan tes dan observasi terhadap perubahan perilaku anak-anak setelah mengikuti strategi pendidikan yang dikembangkan. Dengan hasil positif yang dicapai, diharapkan kesadaran akan pentingnya pendidikan bagi anak bangsa akan meningkat, dan masyarakat dapat lebih mendukung pendidikan di lingkungannya. Selain itu, pendidikan kewarganegaraan juga memiliki peran penting dalam membentuk karakter siswa, memperkenalkan nilai-nilai Pancasila, dan membina moral yang positif dalam kehidupan sehari-hari.
Peran Zakat dalam Mengatasi Stunting dan Gizi Buruk di Kabupaten Brebes
Authors: Abdul Haris  , Miftaakhul Amri
Published: March 2024

Stunting adalah kondisi gagal tumbuh pada anak berusia di bawah lima tahun (balita) akibat kekurangan gizi kronis dan infeksi berulang terutama pada periode 1.000 Hari Pertama Kehidupan (1000 HPK), yaitu dari janin hingga anak berusia 23 bulan. Anak tergolong stunting menurut WHO apabila panjang atau tinggi badannya berada di bawah minus 2 standar deviasi panjang atau tinggi anak seumurnya. Sehingga periode 1.000 Hari Pertama Kehidupan (HPK) harus mendapatkan perhatian khusus karena menjadi penentu tingkat pertumbuhan fisik, kecerdasan dan produktivitas seseorang di masa depan. Peran zakat, infak dan sedekah bagi umat islam adalah keniscayaan dalam implentasi keimanan seorang muslim untuk membantu saudara saudara sesama  muslim dalam Upaya mengentaskan kemiskinan dan menyejahterakan Masyarakat. Lembaga Negara yang bertugas mengumpulkan zakat, infak, sedekah ( ZIS ) BAZNAS, sebagai amil negara dan mendistribusikan kepada yang berhak, dan membantu program Pemerintah pengentasan kemiskinan, di kelola secara profesional, akuntabel, transparan, aman secara syari, aman regulasi dan aman NKRI. Mendayagunakan ZIS oleh Amil Baznas dan Pemerintah membantu mengatasi Stunting dan gizi buruk dengan meningkatkan Kesehatan balita, bentuk pendistribusian produktif dalam membantu program pemerintah mengatasi kemiskinan. Penelitian dengan metode kualitatif, akan membantu Amil dan Pemerintah mengambil kebijakan penguatan peran BAZNAS sebagai solutif peningkatan Kesehatan Balita dalam penurunan Stunting dan gizi buruk.
Стационарный сферически-симметричный вакуум с нарушенной четностью
Authors: Туракулов Зафар
Published: March 2024

Пространство-время, обладающее указанными свойствами представляется аналитически системой сферических координат и полем ортонормированных тетрад определенного вида. Явный вид этого поля содержит две неопределенные функции радиальной координаты. Вакуум, обладающий теми же свойствами, -- это такое пространство-время, но имеющее равный нулю тензор Риччи. Этот тензор находится из структурных уравнений Э. Картана и приравнивание его к нулю приводит к системе из трех обыкновенных дифференциальных уравнений для двух искомых функций. Эта система совместима и ее решение эквивалентно решению Тауба-НУТ.
Bauen. Towards the construction of design from a social and humanist vision
Authors:   UNIVERSIDAD AUTÓNOMA METROPOLITANA UNIDAD CUAJIMALPA, Bedolla Pereda Deyanira , Caballero Quiroz Aarón José , López Pérez Blanca Estela , Rodríguez Morales Luis Alfredo , Morales Gonzlález Celia Guadalupe , Mosqueda Gómez Claudia , Mora Cantellano María del Pilar Alejandra
Published: March 2024

There are numerous definitions of design as a discipline that point to creativity as a fundamental requirement, a central characteristic in the work of the designer, among them are, for example: “Industrial design is by definition creative work, which depends on its materialization in manufacturing by hands other than those of the designer…” definition by Black Misha from 1969, (in Simon Sol 2009, 53). “Design is a creative activity intended to define, according to a specific cultural context and as part of a productive process... the shape of objects”, definition by Hepp K., Carmen de 1974, (in Simon Sol 2009 , 85) “Design is a creative activity that uses a set of scientific and systematic disciplines to determine the shape of objects and environments”, definition by Montellano T., Carmen 1974, (in Simon Sol 2009, 87) “The Designer is one of those creative specialists, one who in this creative consultation is specifically interested in the problems of use”, definition by Ricard André from 1982, (in Simon Sol 2009, 119). “Design is a professional branch of art that combines the aesthetic and creative sensitivity of the artist with the scientific knowledge and intellectual discipline of the technician with a socially useful purpose…”, definition by Duran Horacio from 1969 (in Simón Sol 2009, 51) .
Plant-based diets in patients with chronic kidney disease
Authors: Wathanavasin Wannasit , Kittiskulnam Piyawan , Johansen Kirsten L.
Published: March 2024

Dietary protein restriction has been considered to be a nutritional-related strategy to reduce risk for end-stage kidney disease among patients with non-dialysis-dependent chronic kidney disease (CKD). However, there is insufficient evidence to recommend a particular type of protein to slow down the CKD progression. Recently, various plant-based diets could demonstrate some additional benefits such as a blood pressure-lowering effect, a reduction of metabolic acidosis as well as hyperphosphatemia, and gut-derived uremic toxins. Furthermore, the former concerns about the risk of undernutrition and hyperkalemia observed with plant-based diets may be inconsistent in real clinical practice. In this review, we summarize the current evidence of the proposed pleiotropic effects of plant-based diets and their associations with clinical outcomes among pre-dialysis CKD patients.
Management of ectopic pregnancy after in vitro fertilization/intracytoplasmic sperm injection and embryo transfer: a case series and mini-review
Authors: Zhang Yang , Zhai Yan , Qu Danni
Published: March 2024

Background

Ectopic pregnancy (EP), reflecting a fertilized ovum implanted outside the normal uterine cavity, represents a frequent cause of morbidity and possibly mortality in women of reproductive age.

Objective

To summarize the diagnosis and treatment of EP after in vitro fertilization/intracytoplasmic sperm injection and embryo transfer (IVF/ICSI-ET).

Methods

The medical records of patients who were diagnosed with EP after embryo transfer from 2017 to 2019, in a tertiary hospital were reviewed.

Results

Of the 24 cases analyzed, 21 (87.5%) had fallopian tube involvement, while 2 (8.3%) and 1 (4.2%) had cornual and cervical pregnancies, respectively. Clinical manifestations included vaginal bleeding (58.3%) and lower abdominal pain (16.7%); 9 (42.9%) cases had no symptoms. One cornual pregnancy was misdiagnosed as acute appendicitis and later correctly diagnosed by laparoscopic exploration. There were 2 cases of multiple-site EP and 2 of heterotopic pregnancy, including one with an intrauterine pregnancy with double chorionic and four amniotic sacs and right tubal ampullary pregnancy. Five of the 21 cases with fallopian tube involvement received conservative treatment, while the remaining 16 underwent surgeries, including laparoscopic ipsilateral salpingostomy and ipsilateral salpingectomy.

Discussion

Ectopic pregnancy after embryo transfer, mainly involving the fallopian tube, is very complex and is with diverse manifestations. Even with the pregnancy sac observed in the uterus, the pelvic cavity should be scanned thoroughly after embryo transfer.
Early interceptive treatment of a skeletal open bite using a vertical holding appliance in combination with myofunctional therapy, and a smile-clenching-swallow exercise: a case report with a 3-year follow-up
Authors: Noh Hyung-Kyu , Kim Ho-Jin , Park Hyo-Sang
Published: March 2024

This case report aimed to describe the effectiveness of myofunctional therapy involving a vertical holding appliance and a smile–clenching–swallow exercise for vertical control, in a growing patient who presented with a high-angle facial pattern. A 10-year-old girl sought treatment for a skeletal open bite. Early interception aimed to reduce the divergent skeletal growth pattern. The patient was asked to perform a smile–clenching–swallow exercise by pushing the tongue dorsum against a palatal resin pad on a transpalatal arch. The action exerted an upward force on the maxillary first molars, which reinforced the effects of myofunctional therapy. This interaction between the tongue and resin pad resulted in positive feedback, and a constant intrusive force delivered to the molars and balanced co-operation from the orofacial musculature. The initial vertical skeletal discrepancy was successfully resolved within 3 months. The subsequent fixed appliance treatment was straightforward. After 3 years of follow-up, the treatment outcome was stable.
Risk Factors Associated with Severe Systemic Allergic Reaction after Wasp Sting in Subjects with a History of European Hornet Sting Allergy
Authors: Perčič Simona , Košnik Mitja , Zaletel Kragelj Lijana , Bojanić Lidija , Kukec Andreja
Published: March 2024

Aim

To make the treatment approach in patients suffering a European hornet sting allergy reaction more personalized, preparing them also for possible future risks.

Methods

In Slovenia an extended retrospective observational cohort epidemiological study about the natural history of Hymenoptera venom sensitivity is in progress. The study is based on data from the healthcare records of the University Clinic Golnik (UCG) and data collected by a questionnaire sent to patients from May 2019 to April 2021. For a pilot study, we selected patients who were referred to UCG because of an allergic reaction to European hornet sting and had been re-stung later by a wasp (n=68). The association between severe systemic allergic reactions (SSAR) after wasp sting and potential risk factors in subjects with a history of hornet sting allergy was assessed univariately using the likelihood ratio test.

Results

Among 68 European hornet allergic patients 27 reacted with an SSAR and 41 reacted with a mild SAR. Among 27 patients with SSAR, 4 reacted with an SSAR also to a subsequent wasp sting. Among 41 patients with a mild European hornet sting SAR nobody reacted with an SSAR to a subsequent wasp sting. The association between the severity of the wasp SAR reaction in European hornet allergic patients was statistically significant (p=0.022).

Conclusion

Our results suggest that patients with severe European hornet SAR should be considered for wasp venom immunotherapy or prophylactic prescription of epinephrine auto-injector as they are at risk for an SSAR also after wasp string.
Unmet Needs in the Process of Chemotherapy Provision in Pancreatic Cancer Patients from the Healthcare Provider Perspective: A Phenomenological Study in Greece
Authors: Ploukou Stella , Papakosta-Gaki Εleni , Panagopoulou Efharis , Benos Alexios , Smyrnakis Emmanoui
Published: March 2024

Introduction

Pancreatic cancer is the fourth leading cause of cancer death overall, with 1.5 years life expectancy and minimal therapeutic progress in the last decades. Despite the burden it causes, there is little research on the needs of this specific population. This study aimed to explore healthcare professionals’ views on providing care and patients’ unsatisfied needs.

Methods

This qualitative descriptive study was carried out at a cancer hospital in Northern Greece. A total of 12 participants (6 physicians and 6 nurses), treating patients with pancreatic cancer undergoing chemotherapy, were recruited through purposive sampling and underwent face-to-face semi-structured interviews. Data were analyzed through the thematic analysis method in NVivo12 software.

Results

The analysis highlighted two themes: “needs of patients with pancreatic cancer” consisted of 6 subthemes (“daily activities”, “symptoms management”, “psychological support”, “information needs”, “multidisciplinary care” and “end-of-life care”) and “needs of healthcare professionals” had 3 subthemes (“psychological support”, “education” and “organizational support”). Several symptoms are identified and affect the daily activities of these patients, and psychological support is important for the majority of them, even at the time of diagnosis. The participants express dissatisfaction with the absence of palliative care structures and services and stated that an interdisciplinary approach would improve the quality of care.

Conclusions

Healthcare professionals report a wide range of unsatisfied needs of patients with pancreatic cancer, with the majority expressing their concerns about the complete lack of patient support in the last stages of their lives.
Enhancing Well-Being: Menstrual Sanitation Practices Amongst Rural Adolescent Girls in Tamil Nadu, India
Authors: Bhutia Pema Choden , S. Gnana Sanga Mithra , S. Suriya
Published: March 2024

Aim: A campaign to afford free sanitary pads to teen girls in countryside regions has been launched by the Tamil Nadu government in India. The menstrual well-being and sanitation follows of teens in a rural area of North Tamil Nadu, India are discussed in this paper, as well as their experiences utilising sanitary pads and discarded clothing.
 
Subject and Methods: 134 adolescent girls from four villages participated in a community-based study that lasted four months and used a pre- and post-design to collect qualitative and quantitative data. The awareness of menstruation and its practises, value of life, experience with and serenity with different clothes/pads, and symptoms of reproductive tract infections were all shielded in the questionnaires.
 
Results: At the baseline survey 90% of girls at the time were wearing worn-out clothing. Sixty-eight percent of teenage females who participated in the study stated pads remained their top optimal. None of them liked wearing worn-out clothing. The quality of life significantly increased after the insertion of pads (p 0.000). Self-reported signs of recurrent reproductive tract infections did not significantly decrease.
 
Conclusion: This study revealed that unhygienic behaviours, such as societal limitations on food and home chores, were extensively prevalent and that most adolescent females lacked the proper understanding regarding menstruation. This research underscores the need for menstrual hygiene education and awareness.
Law Enforcement Toward Illegal Limestone Mining in Gunungkidul Regency, Indonesia
Authors: Harjiyatni Francisca Romana , Hartanti  , Katu Chrismayanti Angelia Y.
Published: March 2024

Purpose: This paper aims to analyze law enforcement toward cases of illegal limestone mining in Gunungkidul Regency and its obstacles.
 
Methods: This research uses a social-legal approach. Data were obtained from in-depth interviews with resource persons and community members. Apart from that, data is also obtained through observations. Researchers analyzed the data obtained qualitatively.
 
Result and Conclusion: The results show that law enforcement against illegal limestone mining cases is not the same in every case, some are criminally processed, and some are not. Cases of illegal limestone mining that are criminally processed are caused by strong pressure from the community because illegal limestone mining damages the environment. Two cases of illegal limestone mining were criminally processed and subject to criminal sanctions and fines. This difference in handling illegal limestone mining creates legal uncertainty and difficulties in controlling limestone miners to comply with permits. Several obstacles arise in law enforcement against illegal limestone mining, namely the lack of public awareness of the importance of legal protection for the environment and differences in society between community groups that prioritize environmental protection and community groups that prioritize economic interests.
 
Research Implications: This research is useful for creating law enforcement that has a deterrent effect on illegal limestone miners, so that people have the awareness to carry out limestone mining legally based on permission from authorized officials. Apart from that, it is also to create law enforcement that provides certainty, so that there are no different solutions to each case of illegal limestone mining.
 
Originality/value: Finding effective solutions to limestone mining cases, so as to increase community compliance in carrying out limestone mining in accordance with the provisions of statutory regulations.