bluuebunny/crossref_metadata_2025 huggingface dataset:
Improving diabetes self-management and control through individualized patient counseling: A quasi-experimental study
Authors: Yogesh M , Nagda Jay , Babaria Dhruvam L. , Misra Swati
Published: November 2024

BACKGROUND:

Diabetes is one of the most common chronic diseases, affecting a large proportion of the global population. This study aims to evaluate the effects of individualized patient counseling on diabetes self-management.

MATERIALS AND METHODS:

This quasi-experimental study utilized a non-randomized two-arm pre-post design. It was conducted at the out-patient clinics of a tertiary care hospital, Gujarat, from February 2023 to August 2023. There were 300 type 2 diabetes patients who belonged to an intervention group receiving 3 monthly 30-minute individualized counseling sessions (n = 150) or a control group continuing usual care (n = 150). Assessments at baseline and 3 months post-intervention compared treatment effects. The outcomes measured were diabetes knowledge, attitudes/beliefs, medication/lifestyle adherence, self-reported quality of life, blood pressure (BP), and HbA1c. The intervention covered medication and lifestyle guidance, self-monitoring skills, barrier identification, and problem-solving with a focus on patient empowerment. The analysis compared within- and between-group changes.

RESULTS:

At 3 months, counseled patients showed significantly greater improvements in knowledge (difference 13.6 points), self-care abilities (lifestyle adherence difference 6.6 points), 5.9 mmHg extra drop in systolic BP, and 0.6% higher HbA1c reduction versus controls (all P < 0.05). Greater knowledge gain is strongly correlated with improved HbA1c (r = 0.42). Patients reported medication counseling as the most useful and cost and cultural dietary habits as key ongoing barriers.

CONCLUSION:

Individualized counseling promoted better self-management behaviors, improved clinical measures, and subjective well-being in diabetes patients versus usual care alone. Routine Counseling should be considered to complement medical management in high-risk chronic diseases.
Assessment of nursing student’s beliefs about healthy dieting
Authors: Ahmed Mahmoud M. , Hussein Ahmed A. , Younis Nasir M.
Published: November 2024

BACKGROUND:

A balanced diet can prevent the development of long-term health issues such as diabetes, obesity, high blood pressure, heart disease, and cancer. The study’s goal was to assess the nursing students’ attitudes toward sensible dieting.

MATERIALS AND METHODS:

The current study was conducted using a descriptive study design. The study ran from December 15, 2022, to April 15, 2023. The probability sampling method simple random was used to select (288) males and females. The sample was collected by direct interviews with students, face to face. The data were collected by developing a questionnaire based on the previous study and the collected data was arranged, analyzed, and presented in descriptive statistics by using “Statistical Package for the Social Sciences program version 26”.

RESULTS:

The research indicates that there are noteworthy obstacles to adopting a healthy diet among students, with a standard deviation of 0.611 and a mean of 3.1462. With a standard deviation of 0.569, the perceived benefits of healthy dieting were 4.110.

CONCLUSION:

The researchers concluded that maintaining a healthy state through adherence to a healthy diet is significantly hampered by personal, social, and organizational factors.
Population aging management from the perspective of the health field of Iran and other countries: A scoping review
Authors: Samouei Rahele , Keyvanara Mahmoud , Daei Azra
Published: November 2024

Population aging is one of the challenging phenomena where due to health changes and the importance of different levels of prevention, the country’s health system is most responsible for it. Therefore, it is responsible for providing responsible service and dealing with challenges and obstacles to successfully face the aging phenomenon. In this regard, the study was conducted aiming to identify inefficiencies and solutions to face the phenomenon of population aging from the perspective of the health field in Iran and other countries. The study is a domain review that was conducted by searching for specialized words in Web of Science, Scopus, PubMed, Cochrane, Mbase, and ProQuest databases and the Persian databases of the National Journals Information Bank, the Islamic Jihad Scientific Database, Irandoc, and the World of Islam Citation Database. The findings were analyzed based on 57 articles. In order to validate the findings, the opinions of five experts in the fields of health care management, social medicine, psychology, and health policy were used in the classification and completion of data. According to the findings, the challenges of the health system in facing the aging phenomenon were “inefficiencies of the health system”, “medication and treatment problems”, “costs and financing of the health system”, “inefficiencies related to health system employees”, “information and technology challenges”, “service challenges”, “health literacy and unfavorable lifestyle”, and “individual and social obstacles”, and the solutions to successfully face the aging phenomenon include “formulating laws and executive policies”, “prevention and treatment”, “supplying and developing resources”, “development of knowledge and technological performance”, “development of stakeholders’ participation”, “elderly centered”, and “social determinants of health”. The breadth and diversity of the findings indicate that the health system should be updated and strengthened in various social, economic, political, legislative, and executive dimensions in order to successfully tackle the aging phenomenon, and it should consider empowerment and attitude improvement programs of managers and health staff as well as the elderly.
Telemedicine and information technology in health care management: Perspectives and barriers among the nursing students
Authors: White N Sheeliya , Franklin S Sathya , Juliet N , Amalanathan Selvia Arokiya Mary , Kanagaraj Puvaneswari , Babu Anasani Somasekhara
Published: November 2024

BACKGROUND:

Telemedicine refers to using electronic information and telecommunication technologies to support numerous aspects of healthcare, including clinical care, patient and professional education and training, public health, and health administration. However, many challenges hinder the widespread adoption of telemedicine by healthcare providers. This study aimed to assess the perspectives and barriers in telemedicine and information technology in health care management among nursing students.

MATERIALS AND METHODS:

A cross-sectional study was conducted among 60 nursing students enrolled in the third and fourth years. The sample was selected using a nonprobability purposive sampling technique from students studying at the Applied Medical Science Colleges for Females, University of Bisha. Data collection was facilitated through a structured questionnaire, and the gathered data were analyzed using SPSS version 22. The study was conducted between August 15, 2022 and November 20, 2022.

RESULTS:

61% of students believe that telemedicine will lead to a reduction in travel time, costs, and effort. Approximately two-fourths of the sample’s perspectives revolve around concerns regarding privacy, medical errors, and camera comfort. However, more than 30% of participants agree that telemedicine will improve the quality of patient care, decrease waiting times, be beneficial for patient care in remote areas, and assist in providing appropriate information during emergency. 59% of respondents identified the lack of time or busy schedules as the most frequently reported barrier to using telemedicine. Following this, concerns regarding privacy, confidentiality, unreliable Internet connections, and inadequate knowledge about computer technology and Information Management Systems were also commonly cited as barriers. These factors were identified as the primary obstacles hindering the progress of telemedicine.

CONCLUSION:

This study concluded that telemedicine is a critical tool to address the challenges of limited medical resources in healthcare facilities. However, reduced healthcare costs and waiting time and improved patient access to healthcare in remote areas all helped promote telemedicine implementation. In these remote areas, telemedicine has the potential to bridge this distance and facilitate healthcare.
Improving the quality of psychiatric residency training in Isfahan University of Medical Sciences by learning teams and changing curriculum implementation: An action research study
Authors: Amel Afsaneh Karbasi , Jamshidian Sepideh , Haghani Fariba
Published: November 2024

BACKGROUND:

The deficiencies in the training of psychiatric residents in Isfahan, including the segregation of residency programs by year, the confinement of training to hospital departments, and the residents’ limited exposure to the perspectives of other faculty members, had not been given significant attention. However, the inevitable alterations in the Department of Psychiatry and the impact of the coronavirus disease 2019 pandemic have brought these issues to the forefront, highlighting the need for program modifications. The objective of this study is to enhance the quality of psychiatric residency training by changing the implementation of the curriculum.

METHODS AND MATERIALS:

This proactive action research was conducted in six steps. In the first step, the expectations of a new action were identified. In the second step, the new action – creating learning teams – was designed and implemented; thus, eight learning teams comprising experienced professors, novice professors, and residents from various academic levels were created, who collectively engaged in patient visits, psychotherapy, counseling, and educational sessions. Additionally, the portfolio was used in the training and evaluation of the residents. Steps 3 to 6 involved evaluation using a researcher-made questionnaire, analysis and interpretation of results, and reflection and making decisions for future actions.

RESULTS:

Step 1 resulted in preparing a list of department expectations from new action. The second step yielded the design of a new action. The survey results showed that more than 60% of respondents agreed that the program had a positive impact on 12 out of 15 items in the questionnaire, particularly in enhancing teamwork skills, facilitating discussions about patients, and fostering residents’ accountability. However, in items related to portfolio, this percentage ranged from 40% to 53%.

CONCLUSION:

The implementation of learning teams as the main action in the current study has yielded positive outcomes; however, the portfolio intervention requires some adjustments. Hence, it is advisable to employ learning teams in comparable circumstances. The research team anticipates that these outcomes will enhance the quality of psychiatric residency training, positioning the country among the leading and influential nations in the region.
Effectiveness of cognitive-behavioral therapy on mental health, life expectancy, and happiness in patients receiving methadone maintenance treatment
Authors: Amiri Parisa , Rasouli-Azad Morad , Afshari Behrooz , Chehri Azita , Amiri Mehdi , Rezaie Zeinab
Published: November 2024

BACKGROUND:

Nowadays, the issue of substance abuse is one of the major problems facing most countries in the world. The present study aimed to evaluate the effectiveness of cognitive-behavioral therapy (CBT) on mental health, life expectancy, and happiness in patients receiving methadone maintenance treatment (MMT).

MATERIALS AND METHODS:

The present study was performed from February 2021 to January 2022. The study was a clinical trial in which 60 people under MMT in psychology clinics in Kashan (Iran) were randomly assigned to the intervention and control groups (30 in each group) using purposeful sampling. Data were collected using the General Health Questionnaire, Schneider Hope Questionnaire, and Oxford Happiness Questionnaire in three stages: baseline, post-treatment, and follow-up. The data were analyzed using a mixed repeated-measures analysis of variance.

RESULTS:

The results showed that CBT is effective in improving mental health (P < 0.001), increasing life expectancy (P < 0.001), and increasing happiness (P < 0.001) in patients receiving MMT.

CONCLUSION:

Mental health, life expectancy, and happiness are important and influential issues in the lives of patients under MMT, which are promoted with CBT plus MMT. Therefore, in general, it can be concluded that CBT plus MMT has a significant effect on mental health, life expectancy, and happiness.
Iranian midwives’ experiences of using the World Health Organization’s Safe Childbirth Checklist: A qualitative research
Authors: Kamrani Atefeh , Iravani Mina , Abedi Parvin , Najafian Mahin , Khosravi Shahla , Alianmoghaddam Narges , Cheraghian Bahman
Published: November 2024

BACKGROUND:

The goal of natural childbirth care is to have a healthy mother and baby with minimal interventions that are contrary to health. Worldwide, there is concern that non-evidence-based interventions and care in labor and childbirth will remain standard practice. Therefore, access to care related to pregnancy and childbirth is considered a priority. To address safety concerns during organized births, the Safe Childbirth Checklist (SCC) was created by the World Health Organization (WHO). This checklist is a tool that combines evidence-based practices that should be provided before, during, and after childbirth. As midwives have a vital role in using this up-to-date evidence, this study was conducted to explore Iranian midwives’ perception of using SCC.

MATERIALS AND METHOD:

This qualitative study was conducted from January 2022 to April 2023 in two public (teaching and nonteaching) hospitals in Ahvaz, Iran. Seventeen semi-structured interviews were conducted with midwives who had more than one year of work experience in maternity wards. Participants were selected purposefully. A content analysis approach was used to analyze the data and extract themes.

RESULTS:

All midwives had a positive attitude toward using SCC. The midwives’ reasons for being in favor of using the checklist during the clinical procedures of childbirth are summarized in four main themes, namely “standardized maternity care practices,” “SCC as a guide for performing essential childbirth practices,” “self-efficacy of midwifery care,” and “improved maternal and neonatal outcomes.”

CONCLUSION:

Midwives have endorsed this checklist as a guide to standard childbirth management. It seems that the use of this checklist will help to improve the health outcomes of mothers and babies by strengthening the self-efficacy of midwives.
Awareness of plagiarism: Adaption, validity, and reliability of questionnaires in Iranian medical sciences for post-graduate students
Authors: Sabaghinejad Zivar , Parsaei-Mohammadi Parastoo , Khanfari Narges
Published: November 2024

BACKGROUND:

Academic plagiarism affects the ethical aspects of research and can be in relation with valid health information distribution. The aim of this research is designing, validating, and standardizing the plagiarism awareness questionnaire for awareness of plagiarism.

MATERIALS AND METHODS:

This study is cross-sectional and was done in medical sciences post-graduate students. Adaption, validity, and reliability were done. The validation population were 11 experts (one linguistics and ten medical library and information sciences). The reliability population includes 333 post-graduate students in Ahvaz Jundishapur University of Medical Sciences in 2022. Cultural adaption, face and content validity, reliability (exploratory and confirmed factor analysis), and correlation (Pearson coefficient) were checked using SPSS and Amos software ver24.

RESULTS:

Cultural adaption was confirmed based on the experts’ viewpoint using translation and re-translation. The CVR was 0.81, and content validity was confirmed. Exploratory factor analysis was conducted for a model with six factors and 30 items. Confirmatory factor analysis confirmed a model with six factors and 28 items (items 3 and 29 were removed). Cronbach’s alpha was 0.86. The plagiarism awareness model (PAM) has six factors, “authenticating”, “citing”, “understanding”, “insight”, “paraphrasing”, and “attitude”, which can explain 54.353% of variances. IFI = 0.759, CFI = 0.755, NFI = 0.717, AGFI = 0.789, GFI = 0.826, and RMSEA = 0.073, and the PAM model was confirmed. The results of Pearson correlation showed a significant correlation between all factors.

CONCLUSION:

The PAM model has six factors and 28 items and was confirmed for plagiarism awareness study. This model can be considered by managers and can be used in health promotion research studies.

PAPER TYPE:

Research Article.
A Large Calf Mass in a Patient with Rheumatoid Arthritis: Giant Pannus Filling Baker’s Cyst
Authors: Gupta Shivangi , Kanna Harish , Saran Sonal
Published: November 2024

Rheumatoid arthritis (RA) presents a significant challenge among autoimmune diseases, affecting millions globally with diverse clinical manifestations, primarily targeting joints and inducing inflammation, pain, and deformities. In some cases, it leads to the formation of Bakers cysts, fluid-filled bursae in the popliteal region, resulting from chronic inflammation of the synovial membrane and subsequent pannus growth. Our case, a young female patient with RA, presenting with calf mass, highlights this complex interplay. She presented with large swelling and pain in her left calf region which on high-frequency ultrasound revealed a large, well-defined heteroechoic mass lesion distending bursa between the medial head of the gastrocnemius and semimembranosus muscle, measuring 25 cm craniocaudally, without any color Doppler abnormality. Ultrasound-guided biopsy was performed to rule out the possibility of sarcoma and it revealed inflammatory changes. Final diagnosis of excessive pannus formation within the Baker’s cyst forming large mass was made, with RA identified as the underlying cause. The differential diagnosis of masses in the popliteal fossa includes synovial/meniscal/ganglion cysts, lipomas, vascular pathologies, and neoplastic conditions. High-resolution ultrasound is an important diagnostic modality for evaluating popliteal fossa masses. Magnetic resonance imaging is typically performed to assess for neoplastic causes and internal derangement of the knee. Our case of a massive pannus filling a Baker’s cyst in the context of RA emphasizes the intricate nature of the disease and its diverse clinical expressions. It is important for the radiologist to be aware of this imaging appearance for timely diagnosis and management.
Immunological determination of Toxoplasma gondii and Brucella canis in canines from shelters in Risaralda and Caldas, Coffee Region – Colombia
Authors: Mazo Margarita María , Caballero Méndez Lyda C. , Cardona Parra Ana María , Aragón Múnera Sara , Bedoya Tabares Cristian Camilo , Franco-Montoya Luz Natalia
Published: November 2024

The increasing dog population in Colombia has also raised the incidence of diseases that represent human and animal health risks. Brucella canis is a pathogen that is the primary cause of infertility in canines. It is easily transmitted between canines through body fluids, causing abortions in females, perinatal death of puppies, epididymitis, and infertility in males. On the other hand, Toxoplasma gondii is an easily transmitted parasite; its transmission is the majority between canines and felines, mainly through consuming contaminated food and water, which causes a disease that commonly has a subclinical presentation in canines. However, in immunosuppressed individuals this pathogen can cause neuromuscular, gastrointestinal, and respiratory signs. Currently, due to the increase and geographical distribution of the canine population, it is important to gather information about the prevalence and possible risk factors associated with the presentation of these diseases in the departments of Risaralda and Caldas from Colombia. In this sense, a descriptive cross-sectional study was carried out, and a population of domestic canines was sampled (n=93), females n=63 (67.74%), and males n=30 (32.26%). In total, 72% of animals were positive for Toxoplasma gondii, while for Brucella canis, a prevalence of 0% was estimated.
Atrial fibrillation – a comparative review of one of the most common arrhythmias in dogs and humans
Authors: Vlašić Miroslav , Jović Ines , Efendić Maša , Pongrac Elizabeta , Bratić Petra , Torti Marin
Published: November 2024

Atrial fibrillation is the most prevalent arrythmia in dogs and humans and is characterised by chaotic depolarisation of the atria, resulting in damage to the atrial myocardium. It can lead to heart failure or worsen an existing condition and cause sudden death. Electrocardiographically, atrial fibrillation is characterised by the absence of P waves and an irregularly irregular rhythm, with narrow QRS complexes. Treatment of atrial fibrillation requires knowledge of pathophysiology and the pharmacology of antiarrhythmic drugs. In contrast to human medicine, the treatment of dogs revolves mainly around rate control strategies, although new studies propose the consideration of several rhythm strategies. Considering the complexity of atrial fibrillation, there is strong need for a consensus on classification, diagnosis and treatment in dogs.
INFORMAL CAREGIVERS FOR BONE MARROW TRANSPLANTS – A QUALITATIVE STUDY ON OCCUPATIONAL LIFE
Authors: FERNANDES DE ANDRADE LETÍCIA , De Carlo Marysia Mara Rodrigues do Prado
Published: November 2024

OBJECTIVE: To understand the experience of informal caregivers' burden related to the task of caring for people undergoing hematopoietic stem cell transplantation. METHOD: Qualitative study based on interviews with six informal caregivers of onco-hematological patients who underwent hematopoietic stem cell transplantation and were admitted to the Bone Marrow Transplant Unit of a public, tertiary hospital, located in the interior of the State of São Paulo. Participants were selected through active search and recommendation from the unit's team. After ethical approval (CAAE: 64066622.9.0000.5393, on 05/29/2023), sociodemographic characterization data were collected and the interviews were audio-recorded and fully transcribed. The MAXQDA software was used for data analysis. Participant profile data were analyzed using simple descriptive statistics and qualitative data underwent thematic analysis according to Braun & Clarke. RESULTS: Two thematic units address the impacts of overload on the informal caregiver's occupational life and coping strategies for managing overload. CONCLUSION: The informal caregiver plays an important role, but this creates an overload that impacts the treatment of the sick person. Therefore, caring for caregivers and welcoming them as subjects of care can mitigate the impacts faced by caregivers during and after the transplant process.
The Role of Inflammatory Markers in Distinguishing Endometrial Polyp: Single Center Results
Authors: Şahin Büşra , Yaman Elif , Düzenli Fatma Nur , Davran Fatih
Published: November 2024

Objective: To investigate the role of inflammatory markers in predicting the presence of endometrial polyps in patients undergoing endometrial sampling due to abnormal uterine bleeding.
Methods: The pathology results of patients who presented to Akçakoca State Hospital with abnormal uterine bleeding and underwent endometrial sampling between May 2023 and July 2023 were retrospectively examined. The demographic characteristics of the patients, platelet-lymphocyte, neutrophil-lymphocyte and lymphocyte-monocyte ratios and systemic immune inflammation index were calculated. Patients were categorized into endometrial polyps and other benign pathologies according to the pathological diagnosis. Malignant and premalignant lesions were not included in the study. The examination results and inflammatory markers were compared between these two groups.
Results: 89 patients were included in the study. While the pathological finding in 38 patients was an endometrial polyp, other benign pathologies were found in 51 patients. No significant difference was found in terms of hemoglobin, hematocrit, lymphocytes, monocytes, platelets, neutrophils and PDW variables in patients with endometrial polyps (p>0.05). PLR (platelet-to-lymphocyte ratio) and SII (systemic immune-inflammatory index) were significantly higher in the endometrial polyp group compared to other benign pathologies (p
The Role of Peripheral Blood Inflammation Indices in Patients with a Diagnosis of Endometrial Hyperplasia and Cancer
Authors: Yıldırım Muradiye , Altınsoy Hasan , Ünlübilgin Eylem , Ustun Yaprak
Published: November 2024

Purpose: Endometrial cancer (EC) is an important problem with its increasing incidence, especially in developed countries. There is no generally accepted screening program yet. The management of endometrial hyperplasia (EH), which is the most important risk factor, is complex because it is an invasive process.
Methods: A retrospective study was conducted with a total of 72 patients. Patients between the ages of 35-65 with abnormal uterine bleeding, and increased endometrial thickness on transvaginal sonography were evaluated with pathology results. Sociodemographic characteristics of the patients and laboratory values at hospital admission were obtained from hospital records. White blood cells (WBC), neutrophils, lymphocytes, monocytes, eosinophils, basophils, and thrombocyte counts (x10⁹/L); plateletcrit (%), hemoglobin (Hb) (g/dL), and hematocrit (Htc) (%) values were recorded. Neutrophil lymphocyte ratio (NLR), monocyte lymphocyte ratio (MLR), and thrombocyte lymphocyte ratio (TLR) were obtained. Systemic immune-inflammation index (SII), systemic inflammation response index (SIRI) and pan-immune-inflammation value (PIV) were obtained.
Results: Thirty-seven patients diagnosed with EH and 35 patients diagnosed with endometrial malignancy were included. The mean age of the EH was 45.5 years and the mean age of the malignant group was 50.5 years (p=0.027). The sociodemographic characteristics of the patients were found to be similar. There was no significant difference in complete blood count parameters between two groups. Mean values of NLR were 2.33 and 2.52 in EH and EC groups, respectively, p = 0.448. Mean values of MLR were 0.20 and 0.21, respectively, p = 0.498. Mean values of TLR were 0.16 and 0.15, respectively, p = 0.811. Mean values of SII were 720.1 and 812.4 (x10⁹/L), respectively, p = 0.456. Mean values of SIRI were 943.1 and 1095.6 (x10⁹/L), respectively, p = 0.257. Mean values of PIV were 312753.6 and 352975.1 (x10⁹/L), respectively, p = 0.514.
Conclusion: Peripheral blood inflammation indices have recently been used in cancer diagnosis and follow-up. We did not find any statistically significant differences in the investigated parametrers between the EH and EC patient groups. Close follow-up is necessary in the presence of additional risk factors in women with EH.
Evaluación de las competencias digitales en bachillerato relacionadas a la dimensión de la información y uso de herramientas tecnológicas.
Authors: Saltos Layana Andrea Paola , Benavides Parra Mónica Maritza , Robles Pulecio Martha Narcisa , Rodríguez Romero Ana Lucía
Published: November 2024

Este artículo tiene como objetivo evaluar las competencias digitales relacionadas a la dimensión de la información y el uso de las herramientas tecnológicas de los estudiantes de bachillerato de la Unidad Educativa Brethren. El estudio se realizó en la ciudad de Quito a través de la aplicación de un cuestionario como método de investigación. Los resultados muestran que, si bien la mayoría de los estudiantes muestran habilidades básicas en el uso de tecnología, existen deficiencias significativas en áreas clave, como la capacidad para evaluar la calidad de la información en línea y la diversificación de herramientas tecnológicas utilizadas en el aula. Se destaca la necesidad urgente de implementar programas educativos que aborden estas deficiencias y promuevan un uso más eficaz y amplio de la tecnología en el entorno educativo, preparando así a los estudiantes de manera más efectiva para los desafíos futuros en un mundo cada vez más digitalizado.
Article RETRACTED due to manipulation by the authors and citations Human resource management of Physical Education teachers for students with special needs in inclusive schools
Authors: Rosidah Rosidah , Setyawan Hendra , Mardiyah Siti Umi Khayatun , Wisataone Voettie , Wolor Christian Wiradendi , Sabariah Sabariah , Rufi’i Rufi’i , Harmanto Harmanto , Safrudin Safrudin , Gontara Satria Yudi , Arien Wilasari , Susanto Susanto , Eken Özgür
Published: November 2024

This study used the systematic literature review to explore articles related to human resource management and physical education teachers who work with students with special needs in inclusive schools. Data were obtained from articles searched through Google Scholar. The keywords used were ("Human Resource Management" OR "HR Management") AND ("Physical Education Teacher" OR "PE Teacher") AND ("Special Needs Students" OR "Students with Disabilities" OR "SEN Students") AND ("Inclusive Schools" OR "Inclusive Education"). The search focused on articles published in Scopus-indexed journals between 2019 and 2024. During the search, inclusion and exclusion criteria were applied. The initial search generated 17,400 articles. Furthermore, the articles were screened again in several stages, and 16 articles that fit the theme and met the inclusion requirements were yielded. During the article selection, this study followed the PRISMA guidelines. The results of this study showed that inclusive education presents significant challenges in human resource management, especially regarding the readiness and competence of physical education teachers. For example, the teachers did not receive sufficient training in inclusive methodologies, leading them to feel underprepared for the diverse needs of students. Thus, comprehensive training that covers theory and hands-on practice was identified as a solution. Teachers with more in-depth training and experience showed more positive attitudes and abilities. In addition, adjustments to teaching methods and effective use of technology, with school support and collaboration between teachers, staff, and parents, were key to success. Furthermore, policy changes and adequate resource allocation were also crucial. Periodic evaluation of inclusive practices was necessary to ensure continuous development. Thus, increased training, supportive policies, and ongoing support from the government and schools were necessary to achieve effective, inclusive physical education.
The Impact of Training Distances (20 m, 50 m, and 70 m) on Concentration and Anaerobic Endurance in Archery Sub-Elite Athletes
Authors: Rusdiawan Afif , Handayani Lilies , Nurhasan Nurhasan , Setijono Hari , Wiriawan Oce , Kartiko Dwi Cahyo , Purnomo Mochamad , Ar Rasyid Muhammad Labib Siena , Jiménez José Vicente García
Published: November 2024

This study aims to investigate the effects of a new training method for archery athletes with different distances, namely 20 meters, 50 meters, and 70 meters, in improving concentration and anaerobic endurance. The pre- and post-control group design was used in this study with the sample selection method using the purposive sampling technique. The criteria for participants in this study include: actively practicing archery, aged 14-20 years, having at least 5 years of archery competition experience, domiciled in East Java Province, not injured, and willing to participate in the study until the end. 40 sub-elite archery athletes (20 males, 20 females) became participants in this study and were divided into 4 groups: conventional training (CON), training with a shooting distance of 20 m (NEAR), training with a shooting distance of 50 m (MID), and training with a shooting distance of 70 m (LONG) training groups. Each group underwent a 12-week training program specific to their assigned distance. The instrument used to measure concentration is the standardised archery mirror drawing test and to measure anaerobic endurance using the RAST test instrument. The results of the paired sample t-test analysis showed that in the anaerobic endurance variable, the NEAR, MID, and LONG groups had a p-value <0.05, while the CON group had a p-value > 0.05. In the concentration variable (time), all groups had a p-value <0.05, while in the concentration variable (error), there were only two groups (NEAR and CON) that had a p-value <0.05. The Anova Test results showed a significant difference between the CON and MID groups and CON and LONG (p <0.05) in the anaerobic endurance, while in the concentration (time) there was a significant difference between the CON and LONG groups and NEAR and LONG (p<0.05). In conclusion, the MID and LONG groups significantly improve anaerobic endurance and concentration, two important factors for archery success. Longer training distances appear to have a more pronounced effect on concentration.
How does the application of low impact out bound locomotor games affect the physical fitness of children with moderate disabilities?
Authors: Suhartini Bernadeta , Sukarmin Yustinus , Suryadi Didi , Indra Eka  Novita , Pradipta Galih Dwi
Published: November 2024

Physical fitness is an important element in the physical and mental development of children, including those with learning disabilities. Children with dementia often face various challenges that may hinder their participation in conventional physical activities. As a result, they are at risk of health problems such as obesity, cardiovascular disorders, and decreased overall quality of life. Therefore, this study aims to provide locomotor movement activities, namely playing outside the classroom or outdoors or outbound to improve the physical fitness of children with intellectual disabilities. This research is experimental research, research design with pretest-posttest control group design experimental research design used to measure the variable effect of outbound low impact locomotor games, namely game activities walking in a 10 m stove, running in a straight line 10 m, jumping times 30 cm, jumping holes 30 cm with light intensity. The population of the study was 42 children with disabilities at SLBN Marsudi Putra I Manding Bantul Yogyakarta, 30 children with moderate disabilities, the sampling technique was purposive sampling. The sample was divided into two groups, namely the control group and the treated group for 2 months per week twice. Initial data processing, the data was processed using descriptive statistics. Furthermore, the normality test was carried out using the Shapiro-Wilk test with a significance level of α = 0.01. The homogeneity test used Barlett's test with a significance level of α = 0.01. All data were tested using analysis with a significance level of α = 0.01. Before conducting the t test, the data was tested using the normality test and homogeneity test first as a prerequisite test.
There is an effect of giving outbound low impact locomotor games on increasing the physical fitness of moderate deaf children assessed from the aspects of running 30 m, moving the ball, shuttle run 10 m, lifting barbells, and lying down. This shows that the data for running 30 m, moving the ball, shuttle run 10 m the experimental group has a faster average time than the control group. While the data on lifting barbells and lying sitting and resting obtained by the experimental group average is higher or the number is more than the control group. This research highlights the importance of integrating fun and inclusive physical activities in fitness programs for children with disabilities. By doing so, they can enjoy better health benefits and improve their overall quality of life.
Effect of Political Stability on International Tourism in Kenya
Authors: Gikonyo James
Published: November 2024

Purpose: The aim of the study was to analyze the effect of political stability on international tourism in Kenya.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: Political stability is essential for international tourism in Kenya, as stability fosters a sense of safety that attracts foreign visitors. During peaceful periods, Kenya sees growth in tourist arrivals and revenue, while political unrest, such as the post-election violence in 2007-2008, results in sharp declines as safety concerns deter tourists. Tourism in Kenya is highly sensitive to political fluctuations, with even minor instability affecting tourist perceptions. To sustain and grow its tourism sector, Kenya must prioritize political stability through effective governance, peaceful elections, and strong conflict resolution strategies, which will help build a resilient tourism industry.
Unique Contribution to Theory, Practice and Policy: Social conflict theory, political economy theory & the institutional theory may be used to anchor future studies on the effect of political stability on international tourism in Kenya. Implementing robust governance practices, such as transparency, accountability, and anti-corruption measures, will enhance the overall tourist experience and foster trust among potential visitors. Formulating policies that promote good governance and strengthen institutions will create a conducive environment for political stability.
Effect of Cultural Heritage on Tourism Development in Italy
Authors: Galli Antonio
Published: November 2024

Purpose: The aim of the study was to analyze the effect of cultural heritage on tourism development in Italy.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: The cultural heritage of Italy plays a significant role in its tourism development, attracting millions of visitors annually to historic cities like Rome, Florence, and Venice. Italy's rich history, art, architecture, and traditions make it a global cultural destination, with UNESCO World Heritage Sites such as the Colosseum, the Vatican, and the Uffizi Gallery serving as major draws. This cultural wealth not only boosts the tourism industry but also supports local economies and preserves historical landmarks.
Unique Contribution to Theory, Practice and Policy: Cultural capital theory, sustainable tourism theory & heritage conservation theory may be used to anchor future studies on the effect of cultural heritage on tourism development in Italy. Implementing practical measures such as visitor quotas, dynamic pricing, and timed entry tickets can help regulate tourist flow to high-traffic cultural heritage sites. Policymakers should develop sustainable tourism frameworks that balance economic growth with cultural heritage preservation.
Role of Technological Advancements on Customer Satisfaction in Japan’s Hospitality
Authors: Ito Shota
Published: November 2024

Purpose: The aim of the study was to analyze the role of technological advancements on customer satisfaction in Japan’s hospitality.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: Technological advancements have significantly enhanced customer satisfaction in Japan’s hospitality industry by improving service efficiency, personalization, and overall guest experience. Innovations such as AI-driven customer service robots, automated check-in systems, and smart hotel rooms equipped with IoT devices offer convenience and seamless interactions for guests. These technologies reduce waiting times, streamline operations, and allow for personalized services, such as customized room settings and tailored recommendations, increasing guest satisfaction.
Unique Contribution to Theory, Practice and Policy: Technology acceptance model (TAM), service quality model (SERVQUAL) & expectancy-confirmation theory (ECT) may be used to anchor future studies on the role of technological advancements on customer satisfaction in Japan’s hospitality. Hospitality businesses should adopt integrated management systems that combine customer relationship management (CRM), property management systems (PMS), and online booking platforms. Industry regulators should promote standards for technology integration in the hospitality sector.
Reviewing the Standards for protection of Geographical Indications in Tanzania: A case of Kyela Rice
Authors: NDUNGURU ADRIAN , Haule Romuald , Mwanga Elia
Published: November 2024

This paper examines the standards for effective protection of Geographical Indications in Tanzania. The Trade-Related Aspects of Intellectual Property Rights Agreement (herein after the TRIPS Agreement) provides for obligations of state parties to the Agreement to protect intellectual property rights in their respective countries. However, the TRIPS Agreement does not specifically state the conditions or standards for the protection of geographical indications. This paper reviewed various legal instruments to establish the essential standards that can be adopted to protect geographical indications of Kyela Rice. The methodology used to collect data is documentary review and data are analyzed using content analysis.
The Influence of Persian Poetry on Urdu Ghazal
Authors: Dr. Yasmeen Sultana Siddiqui
Published: November 2024

Urdu ghazal is a poetic form that encapsulates the emotions of love, loss, and mysticism, resonating deeply with readers across cultures. While the origins of ghazal can be traced back to Arabic poetry, its most significant development occurred in the Indian subcontinent, heavily influenced by Persian poetry. This paper highlights the historical context and literary techniques that Persian poetry introduced to Urdu ghazal, enriching its thematic depth and aesthetic appeal.
Influence of Sustainability Concern in the Purchase Decisions of Customers: A Study on Electronic Goods
Authors: Ms. Reshmi Jose  , Dr. Sopna V Muhammed
Published: November 2024

Understanding how sustainability issues influence customer choices has become critical for sectors like electronics that have a significant environmental impact. This study looks at how customer choices in the electronic goods market are impacted by sustainability condition such energy efficiency, recyclability, product lifespan, and corporate social responsibility (CSR). This study investigates which sustainability features customers value most and how they react to sustainable product offerings utilizing a questionnaire. The results emphasise how critical environmentally friendly practices are in consumer electronics and provide producers data on how to match their goods to the growing demand from consumers for viable solutions
A framework for distributive equity of adaptation finance: how funders and implementers of adaptation finance can support the most vulnerable populations
Authors: Shawoo Zoha , Browne Katherine , Canales Nella , Nazareth Anisha
Published: November 2024

Key messages • Distributive equity of adaptation finance must consider not only whether finance is reaching the most vulnerable countries, but also the most vulnerable and marginalized groups within those countries. • Achieving equitable adaptation requires international funders and implementers to account for the root causes of climate vulnerability and redress underlying conditions of inequity. • Our framework helps funders and implementers to transparently define equity and the principles they are using to guide allocation of finance, and encourages them to strive for achieving not only equitable outputs of adaptation but also equitable outcomes and structural change.
Endüstriyel Ahşap Ürünlerin, Ahşap Hibrit Yapılarda Kullanımı
Authors: Al Adak Hüsna , Apay Ahmet Celal
Published: November 2024

Sürdürebilirlik, küresel ısınma, sera gazları ve ekoloji gibi kavramlar, günümüzde karşımıza çıkan en önemli kavramlardan bazılarıdır. Yapı ve mimarlık, sürdürebilirlik alanında en önemli paylardan birine sahiptir. Yapı malzemesi seçimi, yaşanabilir dünya için çok önemlidir. Çünkü yapım teknolojileri endüstrisi dünyanın enerjisinin bir kısmını kullanmaktadır. Yaşanabilir doğanın önem kazandığı dünyamızda ahşap çok önemli bir yere sahiptir. Ahşap malzemesi diğer yapı malzemelerine göre daha az karbon ayak izine sahip hem de üretiminde daha az enerjiye ihtiyaç duymaktadır. Ahşap malzeme fabrika ortamında dayanıklı hale getirilerek endüstriyel ürün olarak karşımıza çıkar. Endüstriyel ahşap ürünlerinin kullanıldığı bu sistemler ise Çağdaş Ahşap Yapım Sistemlerini oluşturmaktadır. Bu yapım sistemlerinin yenilikçi olan sistemi ‘Ahşap Hibrit Sistemler’ günümüzdeki kullanımı artarak yapı sektöründe, sürdürülebilir anlayışını oluşturmaktadır. Çalışma kapsamında Endüstriyel Ahşap elemanların, Ahşap Hibrit Yapılarda kullanımının incelenmesi amaçlamaktadır. Bu amaçla öncelikle ana malzeme olan ahşabın özellikleri incelenmiştir. Daha sonra ahşap malzemenin fiziksel ve mekanik özelliklerine değinilmiştir. Çalışmanın ilerleyen kısımlarında endüstriyel ahşap ürünler incelenmiş ve ahşap hibrit yapı örnekleri analiz edilmiştir. Çalışmanın sonuç bölümünde elde edilen veriler değerlendirilmiştir.