bluuebunny/crossref_metadata_2025 huggingface dataset:
Cross-Cultural Adaptation and Validation of European Organization for Research and Treatment of Cancer Quality of Life Questionnaire – Oral Health 15 into Hindi Version for Cancer Patients
Authors: Agrawal Neha , Gupta Narinder Dev , Siddiqui Shahid Ali
Published: February 2025

Objectives:

The multidimensional concept of quality of life (QoL) has become vital in cancer care, and research and is crucial for epidemiological investigations. The primary objective of the research was to translate and culturally adapt the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire – Oral Health15 (EORTC QLQ OH15) questionnaire into Hindi, assessing its reliability and validity for implementation among cancer patients of Aligarh.

Materials and Methods:

This study was carried out from June 2019 to May 2021. Permissions were obtained from the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) group for cross-cultural adaptation and translation of the Quality of Life Questionnaire-Oral Health15 (QLQ-OH15) and ethical clearance was secured from the Institutional Ethical Review Board at Aligarh Muslim University. Informed consent was provided by participating patients. The translation and cultural adaptation of the QLQ-OH15 followed an eight-phase procedure in compliance with the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire translation manual, ensuring consistency. Psychometric properties were evaluated using the Statistical Program for the Social Sciences 20, assessing content validity, convergent and discriminant validity, criterion validity, construct validity, reliability and test-retest reproducibility.

Results:

The content validity ratio exceeded 0.75, with Cronbach’s alpha values above 0.70 for each scale, confirming reliability. Factor analysis identified five factors: ‘Pain and discomfort,’ ‘Information,’ ‘Soreness,’ ‘Denture’ and ‘Xerostomia.’ Every item in every scale had its item convergent validity validated; all values were over 0.4 and there were no scaling mistakes observed. All of the items’ correlation coefficients for the other scales were lower than their scales, indicating discriminant validity. There were statistically significant associations between Hindi EORTC QLQ-OH15 scores and three proxy measures: Perceived oral health (P = 0.000), perceived satisfaction with the mouth (P = 0.000) and perceived dental treatment need (P = 0.001).

Conclusion:

The Hindi version of the QLQ-OH15 is a valid and reliable tool for assessing oral health-related quality of life in Indian cancer patients. This adaptation facilitates better symptom management and improved QoL in this population, emphasising the importance of oral health in comprehensive cancer care.
Efficacy and safety of Q-switched neodymium-doped yttrium aluminum garnet (532 nm) in freckles in skin of color patients
Authors: Sarkar Rashmi , Mendiratta Vibhu , Sonker Sneha , Dua Aishwarya , Verma Bharati
Published: February 2025

Objectives

The study aims to determine the efficacy of Q-switched neodymium-doped yttrium aluminum garnet (Nd:YAG) laser using physician and patient self-assessment and study the safety profile of Q-switched Nd:YAG for treatment of freckles in patients of the skin of color.

Material and Methods

A hospital-based prospective interventional study was conducted at a tertiary care center. A total of 40 subjects above 18 years of age with a minimum of 5 lesions on each side of the face were recruited and divided into two groups. All of them had IV and V Fitzpatrick skin types. In group A, only sunscreen was used as a control and in group B, a 532 nm Q-switched Nd:YAG laser was done along with the sunscreen (group B) application. The effectiveness was assessed using a photographic record by physician global assessment scale and by patient self-assessment. Side effects were classified as mild, moderate, and severe. Statistical analysis included Wilcoxon–Mann–Whitney test.

Results

Physician and patient assessment results concluded that statistically significant improvement (P < 0.05) was reported in group B as compared to group A. In group B, 6 cases (30%) had mild side effects such as erythema, burning, and stinging that resolved within 3 days post-procedure. Three (15%) cases developed post-inflammatory hyperpigmentation. No patient developed scarring.

Conclusion

We hereby conclude that Q-switched Nd:YAG laser is an efficacious and safe modality in the treatment of freckles, along with the judicious use of sunscreen.
Long-pulsed neodymium-doped yttrium aluminum garnet laser as a therapeutic modality in untreated and recalcitrant warts
Authors: Dani Ishita , Uikey Deepika , Ramesh V. , Passi Shanta
Published: February 2025

Objective

The objective of this study was to study the treatment efficacy of long-pulsed Nd:YAG laser in untreated and recalcitrant cases of verruca vulgaris.

Method and Materials

Nd:YAG long-pulsed laser (1064 nm) was used as a treatment modality in 40 patients of verruca vulgaris. Four sessions of laser treatment were done 2 weeks apart. Patients were given treatment for 2 months and monthly follow-up for the next 3 months after treatment to note relapse.

Results

Out of 40 patients in the study, varied clinical presentations were included – perioral warts, facial, plantar, palmar, periungual, and multiple warts on hands and feet. Response to treatment was recorded as the number of sessions required to clear the lesion, which varied depending on the site of the lesion and type of clinical presentation. Warts on the face and neck were cleared in a single session, whereas palmoplantar lesions required 3–4 sessions. Out of the 40 patients, 29 showed complete clearance without any relapse after 3 months of follow-up, whereas nine patients showed partial clearance, and two were lost to follow-up.

Conclusions

Long-pulsed Nd:YAG laser is an effective modality in clearing verruca vulgaris and preventing relapse as compared to conventional treatments.
Comparison of analgesic efficacy of fentanyl and dexmedetomidine as adjuvant to intrathecal hyperbaric 0.75% ropivacaine for lower abdominal surgeries—A prospective double-blind randomised controlled study
Authors: Prasad Rishi S. , Hungund Ashwini , Shirolkar Deepa V.
Published: February 2025

Aims and Objectives

Various adjuvants are used to prolong intraoperative and postoperative analgesia after spinal anaesthesia. This study aimed to compare the onset and duration of sensory and motor block, haemodynamic effects, postoperative analgesia, and adverse effects of intrathecal dexmedetomidine or fentanyl as adjuvants with hyperbaric 0.75% ropivacaine.

Material and Methods

100 American Society of Anesthesiologists I and II patients, between ages 20 and 60 years, undergoing elective lower abdominal surgeries were randomised to receive 3 ml of 0.75% hyperbaric ropivacaine with either 10 µg dexmedetomidine or 25 µg fentanyl as adjuvants intrathecally. Patients were assessed for the onset and duration of sensory and motor block, haemodynamic effects, two-segment sensory regression, duration of postoperative analgesia, postoperative pain scores, and any adverse effects.

Results

There was a significant difference (p = 0.033) between the two groups regarding the time for two-segment regression, with group D patients taking longer (144.88 ± 28.39 minutes) compared to group F (131.86 ± 31.61 minutes). The duration of analgesia was also significantly longer, p < 0.001, in group D (431.82 ± 85.38 minutes) than in group F (308.38 ± 66.92 minutes). Similarly, the duration of motor blockade was significantly longer in group D (360.86 ± 68 minutes) compared to group F (274.92 ± 70 minutes) (p < 0.001). A statistically significant difference in postoperative analgesic consumption between the two groups (p = 0.002), with patients in group F requiring more analgesics was observed.

Conclusion

10 µg of dexmedetomidine provides a longer duration of anaesthesia and analgesia compared to 25 µg of fentanyl as an intrathecal adjuvant to hyperbaric 0.75% ropivacaine for abdominal surgeries.
Anaesthetic management in syndromic paediatric patients undergoing dental procedures: A case series
Authors: Bakhshi Rochana Girish , Jadhav Mona Sanjeevkumar , Ranjan Niharika , Mishra Sarvesh
Published: February 2025

Rare congenital disease patients are a challenge to the anaesthesiologist especially when conducted under general anaesthesia. A thorough clinical examination and accurate history regarding previous anaesthetic management needs to be sought. This is a case series of paediatric patients who presented with congenital rubella, West syndrome, Down’s syndrome, mucopolysaccharidosis (MPS) and Pelizaeus-Merzbacher disease (PMD) for dental procedures. The key to managing West syndrome patients is to continue antiepileptic drugs perioperatively and avoiding epileptogenic drugs. Patients with PMD have poor pharyngeal muscle control and subsequent airway complications. Down’s syndrome is associated with multi-system comorbidities and atlantoaxial instability. Accumulation of glycosaminoglycans results in anatomical abnormalities and organ dysfunction in MPS patients. Congenital rubella syndrome poses challenges like unanticipated difficult airway and uncorrected cardiac defects.
The Effect of Risk Management on Sustainable Marketing Orientations in Fitness Businesses
Authors: Saki Ünal , Öztaş Mehmet
Published: February 2025

This study examines the effects of risk management on sustainable marketing orientation in fitness businesses. The sample of the research consists of 234 (X age=31.36±6.77) employees (81 female and 153 male) working in private fitness businesses in Ağrı and Van provinces. In the data collection part of the study, the ‘Personal Information Form’ prepared by the researcher, ‘Risk Management Scale in Health and Fitness Facilities’ developed by Eraslan and Çimen (2022) and ‘Sustainable Marketing Orientation Scale’ developed by Lučić (2020) and adapted into Turkish by Kara et al. (2023) were used. Pearson correlation coefficient was used to examine the relationship between risk management in fitness businesses and sustainable marketing orientations, and a regression test was used to determine the effect. As a result of the study, a strong positive correlation was found between RMSHFF and SMOS (r=.695, p=<0.001). A strong positive significant relationship was found between RMSHFF and strategic integration (r=.582, p=<0.001), social participation (r=.721, p=<0.001) and ethical abilities (r=.574, p=<0.001) which are sub-dimensions of SMOS. The regression analysis conducted to determine the effect of RMSHFF and SMOS showed that RMSHFF had a significant positive effect on SMOS (R2=.823; p<0.001). In this case, it can be said that effective risk management to be put forward by fitness businesses for structure design, policy, and member services can pave the way for sustainable marketing orientation by leading to strategic integration and supporting customer participation.
The Development of the Egyptian Technical Secondary Education Considering Some Contemporary Global Trends: An Analytical Study
Authors: Mahmoud Khaled Salah Hanafy
Published: February 2025

Technical education is the base for all development efforts in society. It plays an important role in pushing up the development wheel and in achieving its maximum rates. Whatever the development plans quality, they couldn't achieve their goals and targeted rates without the availability of scientifically and technically qualified human cadre in all work and production fields. Studies clarified that Egyptian technical secondary education suffers from many problems as the weak of its programs leading to negative effects on the proficiency of their students and their outcomes, their inconvenience to the labor market and making gap between the educational outcomes and technical education institutions and leading to the inferiority of the social status of this sort of education considering its relationship with hand work. Thus, reinforcement of the positive social sight towards vocational and technical education in Egypt represents a challenge. This study attempted through using the analytical method, through analyzing the educational literature to identify the contemporary global trends in developing technical education, how to apply every trend in the other world countries and to identify the positive and negative sides of applying every trend. Thus, the development of Egyptian technical secondary education could be identified and its requirements and means.
Ear Training Made Easy: Using IOS Based Applications to Assist Ear Training in Children
Authors: Serdaroglu Emine
Published: February 2025

It is an inevitable reality that in all developed countries and in most developing countries, smart phones and tablets are an indispensable part of most children’s lives. There are many discussions and heated arguments on the negative and positive effects of digital technology on the development of children. In this paper, accepting the fact that this technology is a part of most children’s daily lives, it will be questioned whether this technology may be used to reinforce certain components of music education in general classroom and especially in private music studios. In conservatories and music schools, a considerable amount of time is dedicated to aural training of younger students. However, during music lessons in the classroom and during the instrumental lessons in private studios, lesson time is mostly dedicated to other components such as improvement of technique, musicality and sight reading. Thus, a crucial part of music education “ear training” is neglected to some extent. In this paper, several IOS based ear training applications will be evaluated considering the target group, children between ages 6-11. The possible effects and incorporation of these applications into the classroom and private studios will be discussed. Each application will be evaluated on several components; the ear training modules, user-friendliness, possibility of the evaluation of students’ progress by the teacher and probable reaction of the children to these applications.
Polarities of Compulsory Education from the Perspective of Parents and Kindergarten Teachers
Authors: Majerčíková Jana , Navarátilová Hana
Published: February 2025

This empirical study deals with the issue of compulsory education in kindergartens, which was implemented in the Czech Republic in 2017. Children aged 5 must attend kindergarten or opt for individual home-schooling. The intention of this Czech educational policy step was to raise the preparedness and eligibility of children for compulsory primary school education and to eliminate or compensate for potential handicaps when detected. The aim of the research was to document the reflections of parents and kindergarten teachers on the realization of the compulsory pre-school education, specifically the concerns and other reactions of the adults and the children themselves. The data collection was performed by two means: a questionnaire filled in by 305 parents within which predominantly open questions were analyzed, and the method of thematic writing by kindergarten teachers. In the second case twenty-nine texts averaging 2500 characters were obtained. To process the data we used the content analysis method based on open coding. Several significant findings were disclosed characterizing compulsory pre-school education, notably regarding ambivalence. The parents’ attitudes are based on preferences and necessities of pre-school education (as opposed to individual home-schooling) for their children’s further educational career, however, the strict legal obligation to ensure children’s kindergarten attendance was disputed. The teachers welcome the expected improvement of the children’s preparedness; at the same time, they perceive a borderline shift regarding the follow-up childhood stage traditionally connected with entering primary school. The teachers also identify the changing attitudes of children in transition from an institution where they “go to play” while their parents work, to that of a learning place with a status similar to that of primary school.
The Role of Universities Sport in the Promotion of Social Equality and Integration
Authors: Lacerda-Magalhães Rui , Almeida Helena Neves
Published: February 2025

This paper understands Sports as a holistic phenomenon with a fundamental role in the promotion and maintenance of well-being as an historical and social practice, connected with the construction of the world and its significances. Universities Sports plays a fundamental role in the Higher Education Institution’s governance, as well as in the life of the students who attend them and the academic community. The role of Universities Sports is analysed according to the promotion of Social Equality and Integration, in the dimensions of Social Status perception, Respect, Mutual Consideration, Concern about the Similar One, as well as in the Notions of Community, Fraternity and Solidarity. Reflexions are established upon Gender Equality, Respect for Sexual Orientation, Ethnic Diversity, Violence and Access to Goods and Opportunities. Assuming a constructivist ontological understanding and an interpretative epistemological reasoning, this investigation presents a Transnational Multiple Case-Study, comparing Universities Sport organization in Portugal and in Italy, using Mixed Methods. The main outcome establishes a close relationship between Universities Sport and the Goals of the Southern European Social States, indicating a dialog between these and the production of a welfare society. The role of Sport as a catalyst for social change is also explored, as it diverts the focus from the individual to the community level, promoting the accountability and the training of the subject for a responsible and constructive social intervention in the public and private spheres.
Drama in Education Reaching Beyond the “Art Form or Teaching Tool” Dichotomy
Authors: Lešnik Irina
Published: February 2025

In the following article we try to re-evaluate, the place drama occupies in contemporary elementary education. By limiting the role of drama to literature studies and theatre productions, we lose a greater potential Theatre Pedagogy has to offer to a much broader educational spectrum. The participatory practices of Theatre and Drama in Education (TiE, DiE) promote active learning, based on a most organic children’s activity – play. While students co-create the fictional world of drama, teacher's guidance is crucial in setting new challenges, encouraging students to find creative solutions and reflect on often-complex social issues. Because of its art component, drama challenges the participants on a cognitive as well as emotional level, becoming a truly transformational experience. As such, Drama in Education is especially useful when approaching sensitive and controversial topics. This thesis is presented on a case study observing Year 6 students at St’ Michael’s CE Academy in Birmingham, UK, using Drama in Education method as part of History curriculum.
Revealing a novel intercalation nature of high-capacity conversion cathode materials for Fluoride-Ion Batteries by Operando Studies
Authors: Chen Hong , Schoch Roland , Chotard Jean-Noel , Thiebes Yannick , Wissel Kerstin , Niewa Rainer , Bauer Matthias , Clemens Oliver
Published: February 2025

To rationalize and improve the performance of high energy density electrode materials for all-solid-state fluoride ion batteries and abstract the increasing demands of energy storage, it is important to gain a fundamental understanding of structure/phase evolution during cell operation, which is closely correlated to capacity fading upon cycling. Here, we design an operando cell for laboratory X-ray diffraction, by which we monitor the real-time structure evolution of BiF3 cathode materials and the degradation of superior ionic conductor BaSnF4 over the negative cell potential range against Sn/SnF2 anode at an elevated temperature (100 °C). The results, together with ex-situ XRD measurements, reveal that BiF3 undergoes multiple-step phase transformations upon defluorination (from original o-BiF3 to c-BiF3 and then o’-BiF3) before the formation of Bi metal, showing an intercalation-type mechanism. In addition, the formation of Bismuth oxidefluoride (BiOF) at later discharged state (beyond a capacity of 200 mAh g-1) is observed, which is attributed to oxygen impurities from the solid electrolyte introduced by the applied solid state synthesis method. Operando XAS measurements confirm the continuous reduction of the Bi oxidation state from +3 to 0 and the formation of multi-intermediate phases during the defluorination process. Through Rietveld analysis on operando XRD patterns we obtain the quantification of phase fractions and crystal structure information of intermediate phases during the defluorination process, from which we are able to derive a model for the first defluorination process of BiF3 at elevated temperatures. Furthermore, the comparison between the results from operando XAS and operando XRD indicates that BaSnF4 plays a crucial role on the transport process of not only F- but also oxygen impurities within the BiF3 cathode composite, contributing to the formation of the oxidefluoride phase. In addition, BaSnF4 shows a rather wide potential window, with degradation taking place at a potential below -200 mV (against Sn/SnF2 anode).
Automation Accelerated screening of H-Bond-Rich Iridium Photosensitisers for Hydrogen Generation
Authors: Jones T. Harri , Bradshaw Christopher , Ward John , Blight Barry
Published: February 2025

In the pursuit of a stable hydrogen evolution photosensitiser, we demonstrate the incorporation of a series of our H-bond rich guanidine-styled iridium (III) complexes into a catalytic system. Using automation accelerated catalysis screening techniques we optimised our system quickly and effectively to observe how these strongly H-bonding complexes may perform. Proven to be photo-electronically suitable, and with effective electron transfer abilities evidenced by Stern-Volmer mechanistic studies, the complexes showed modest levels of H2 evolution in comparison to previously investigated photosensitisers with general formula [Ir(C^N)2(N^N)].
A quantitative figure of merit for battery SEI films and their use as functional solid-state electrolytes
Authors: Liu Bo , Zhao Dingyi , Lyle Katelyn , Yuan Xintong , Chen Po-Hung , Zhang Xinyue , Kim Jin Koo , Wang Tian-Yu , Wu Haoyang , Wang Chongzhen , Yu Jiayi , Liang Keyue , Kim Jung Tae , Liang Kaiyan , Li Yuzhang
Published: February 2025

As a key passivation film that governs battery operation, the solid electrolyte interphase (SEI) has long been credited for enabling high-performance batteries or blamed for their eventual death. However, qualitative descriptions of the SEI often found in the literature (e.g., “conductive”, “passivating”) highlight our incomplete understanding of this layer, where even the most basic properties foundational to SEI function remain difficult to measure. Here, we quantify SEI conductivities and SEI transference numbers using a separator-free Cu|SEI|Li architecture that treats the SEI as a functional solid-state electrolyte (SSE). We discover that while any SEI property alone (e.g., electronic conductivity) is weakly correlated (R2<0.71) with battery performance (e.g., Coulombic efficiency), a strong correlation (R2>0.99) can be achieved by defining the “SEI cT number” as a product between the SEI transference number (T) and the ratio of SEI conductivities (c). Analogous to the thermoelectric figure of merit (i.e., zT), SEI cT quantitatively benchmarks the holistic impact of SEI properties on battery performance and underscores the pitfalls of citing such properties in isolation. Perhaps most strikingly, we demonstrate that Li metal deposition and stripping at room temperature is possible in our separator-free Cu|SEI|Li cell, confirming that the SEI can function precisely as an SSE. Together, these results enrich our understanding of the SEI, not just as a passivation layer but as a functional structure that can potentially have important implications for solid-state batteries.
Pine Trees, Trolls and Golden Windows: A Tale of Two Grandfathers
Authors: Von Maltzahn Maia
Published: February 2025

In this brief personal essay, the author explores her relationship with her two grandfathers, and traces their influence in her path to Geriatric Medicine. She reflects on lessons and stories imparted by her grandfathers, and the wisdom that can be gained from listening to the perspectives of others.
Funcionalidad familiar, disposición al estudio y rendimiento académico en estudiantes universitarios
Authors: Martínez-Lara Verónica , Morales Ramirez Dionicio , Ramírez De León José Alberto
Published: February 2025

Objetivo: En este trabajo se analiza la influencia de la funcionalidad familiar y la disposición al estudio sobre el rendimiento académico en estudiantes universitarios. Metodología:  Se aplica la prueba FACES III y la Escala de Estrategias de Disposición al Estudio a una muestra de 300 estudiantes de una universidad pública de ingeniería ubicada en el noreste de México. Posteriormente se estima un modelo de regresión múltiple para identificar la relación entre las variables de estudio. Resultados: El 17.7% de los estudiantes provienen de una familia funcional, y es en este tipo de familias donde la disposición al estudio es mayor. Además, el modelo estadístico reveló que ambas variables contribuyen a explicar el rendimiento académico, aunque proceder de una familia funcional tiene un mayor efecto. Limitaciones: Debido a las características de la muestra, el trabajo no es generalizable. Valor: El estudio es novedoso porque identifica la relación entre funcionalidad familiar y el rendimiento académico en estudiantes de ingeniería en el contexto mexicano. Conclusiones: El funcionamiento de la familia es un factor que afecta el desempeño de los estudiantes; por desgracia el porcentaje de familias funcionales encontrado es bajo. Por ello, es urgente regenerar el tejido social de la familia.
Analysis of the Fast Track Method
Authors: De Amaral Chaves Sandra Maria , De Morais Rodrigues Luiz Eduardo , Rufino Silvia Cristina , Damasceno Calado Robisom
Published: February 2025

Overcrowding in emergency services has been a severe public health problem in all continents and it was aggravated by the COVID-19 health crisis. Through a partnership between public agencies, it was possible to conduct projects in the 24-hour Emergency Care Units (24-hour ECU) in two consecutive cycles, in which the Fast Track Method (Patient Flow Management) was implemented. In this intervention study, we sought to answer guiding questions with data mining of 1,793 improvements (Good Practices – Kaizens) with the Fast Track Method. The objective was to analyze the implementation of the Fast Track method in the 24h ECUs. The results point to risk classification as a target for improving measures to protect patients and teams in cycle 1. In cycle 2, the improvements made included the work process and visual management to reduce the waiting time for care. It was concluded through data mining analysis that the guiding questions were answered and that the implementation of the method contributed to reducing patients' length of stay and crowding, especially those caused by low acuity patients.
O Planejamento Em Saúde Como Proxy Do Nivel De Implementação Da Política Nacional De Medicamentos
Authors: Henrique da Silva Suzete
Published: February 2025

Este estudo analisou os Planos Estaduais de Saúde (PES) 2020-2023 como proxy do nível de implementação da Política Nacional de Medicamentos (PNM), no âmbito estadual. Os dados foram obtidos da Sala de Gestão Estratégica do Ministério da Saúde. Todos os estados contemplaram metas relacionadas à PNM, sendo a maioria sobre Reorientação da Assistência Farmacêutica (AF) e Promoção do Uso Racional de Medicamentos.  No campo da Reorientação da AF, não obstante o predomínio de Aquisição e Distribuição, parte significativa dos estados conseguiram avançar em algumas das categorias: Dispensação, Estruturação, Descentralização de Gestão, Modelo de AF e Descentralização de acesso. Apesar das importantes conquistas, é necessário progredir em metas sobre as diretrizes: Adoção de Relação de Medicamentos Essenciais, Regulamentação Sanitária de Medicamentos, Desenvolvimento Científico e Tecnológico, Promoção da Produção de Medicamentos, Garantia da Segurança, Eficácia e Qualidade dos Medicamentos e Desenvolvimento e Capacitação de Recursos Humanos. Além disso, muitos estados devem avançar na oficialização de suas políticas de medicamentos/AF. Os diferentes arranjos institucionais das secretarias estaduais podem explicar seus estágios desiguais na implementação desta política. A articulação institucional é imperativa para aproveitar a janela de oportunidades do PES 2024-2027. em construção.
Lean Healthcare
Authors: Barancelli Anna Maria , Schenk de Azambuja Marcelo , Souza Libânio Cláudia
Published: February 2025

Os serviços de emergência na maior parte dos países vivenciam um aumento substancial em seu volume de atendimento. À vista disso, gestores têm buscado alternativas para melhoria de processos, as quais permitam aprimorar o atendimento prestado. O    conceito lean estabelece o que é valor para o cliente, eliminando desperdícios e buscando a melhoria contínua dos processos. Esteestudo objetiva propor o aperfeiçoamento da gestão do atendimento aos pacientes da emergência pediátrica da Santa Casa de Misericórdia de Porto Alegre, utilizando a abordagem pela metodologia lean. Realizaram-se uma revisão sistemática da literatura para ampliar o conhecimento sobre o assunto e, posteriormente, um diagnóstico organizacional, que possibilitou o conhecimentoprofundo da unidade hospitalar. O mapeamento de fluxo de valor foi utilizado e, por fim, um plano de ação foi elaborado para alcançar as metas estabelecidas. Os resultados observados foram a presença de desperdícios em todas as etapas dos atendimentos aos pacientes. Diante di sso, oportunidades de melhorias centrais foram sugeridas, como a alteração das portas de entrada e saída da emergência pediátrica e a criação de área de check-in e checkout. Assim, busca-se aprimorar a gestão para prestar um bom atendimento e garantir pacientes mais satisfeitos.
Gestão de Leitos Hospitalares e o Processo Regulatório na Visão do Profissional Enfermeiro
Authors: Nascimento Eduarda Rodrigues , Vilarins Geisa
Published: February 2025

A gestão de leitos tem como finalidade otimizar a ocupação de leitos nos hospitais. Sob a ótica gerencial, é o enfermeiro o profissional que tem familiaridade em avaliar as particularidades relativas aos cuidados dos usuários e a adequada distribuição de leitos. O presente artigo se trata de um estudo descritivo, sob abordagem mista, que analisou o processo regulatório desenvolvido pelas gestões de leitos dos hospitais da Secretaria de Saúde do Distrito Federal, com ênfase nos profissionais enfermeiros. Deficiência de capacitação, desconhecimento de políticas e diretrizes operacionais, interferência na autonomia profissional e desalinhamento dos processos de trabalho foram alguns dos achados entre os 27 enfermeiros entrevistados. Faz-se necessário o redimensionamento de enfermeiros, ao considerar a importância desses profissionais para a organização e o funcionamento dos serviços de saúde. O déficit de conhecimento sobre regulação litiga por uma educação em serviço, uma vez que a capacitação periódica induz às melhorias. Ademais, a interferência na autonomia do enfermeiro perpassa questões estruturais. Urge, portanto, a necessidade de repensar as ações e os fluxos do processo regulatório, valorizando o papel dos enfermeiros para que se forneça o devido acesso dos usuários aos serviços públicos de saúde.
Atividade Física e Autocuidado com Diabetes Mellitus
Authors: Antonio Ceretta Renan , Marcel Jucas Matio , Tuon Lisane , Bisognin Ceretta Luciane
Published: February 2025

O Diabetes Mellitus é uma doença crônica cuja causa é multifatorial e apresenta complexo mecanismo de atuação. Esta pesquisa tem como objetivo investigar a adesão a autocuidados com diabetes e a prática de atividades físicas, em pessoas diabéticas de uma Unidade de Estratégia de Saúde da Família do Município de Criciúma–SC. Foi desenvolvido estudo transversal, descritivo e censitário, com coleta de dados em campo, por meio de questionários sociodemográficos, Questionário de Atividades de Autocuidado com o Diabetes e questionário Baecke Questionnaire of Habitual Physical Activity, tendo como local de coleta uma unidade de saúde de um bairro no sul de Santa Catarina. Os principais resultados indicaram adesão abaixo do esperado aos autocuidados com Diabetes Mellitus tipo 2 na maioria dos casos; o item que apresentou maior adesão foi o que avalia cuidados com medicamentos, em que 94% dos respondentes relataram ter esse cuidado por cinco dias ou mais na semana. Observou-se que, de modo geral, os indivíduos não aderem aos autocuidados com Diabetes Mellitus, sendo muitos os motivos que resultam em baixa adesão. Destacou-se o papel do apoio familiar bem como dos profissionais de saúde como importante fator na influência para melhorar o cuidado.
Práticas de lean healthcare sob a perspectiva da visão baseada em recursos: um estudo em um hospital de pequeno porte
Authors: Feit Graziela , Fabiana Gohr Cláudia , Costa Santos Luciano
Published: February 2025

O sistema lean healthcare busca aprimorar a eficiência e a qualidade dos processos hospitalares, reduzindo desperdícios para agregar valor aos pacientes. No entanto, sua implementação pode enfrentar desafios devido à ausência de recursos adequados para tal. Nesse estudo, a visão baseada em recursos será adotada como perspectiva teórica para compreender como a implementação do lean healthcare está ligada à aquisição, ao desenvolvimento, à manutenção e à melhoria de recursos específicos de uma organização hospitalar. A metodologia adotada foi um estudo de caso em um hospital de pequeno porte que possui iniciativas voltadas para a implementação do lean. Os dados foram coletados por meio de entrevista semiestruturada, observações in loco e registros documentais para identificar as práticas enxutas adotadas, os recursos de suporte e avaliar o valor, a versatilidade e a sustentabilidade dos mesmos. Os resultados demonstraram que o aproveitamento dos recursos, treinamento, reputação, sistema de informação e tecnologia, sistema de atendimento e sistema de planejamento e controle foi considerado fundamental para o sucesso da implementação do lean healthcare no hospital estudado. Esses resultados sinalizam que a melhoria contínua do sistema lean healthcare depende da atenção gerencial que se atribui aos recursos que dão suporte à sua implementação.
Fatores socioculturais da depressão: um contributo para as políticas sociais de saúde mental
Authors: José Robalo Amaro Fausto , Emilio Sampaio Correia António
Published: February 2025

Esta pesquisa visa contribuir para o desenvolvimento de novas políticas sociais de saúde mental, relacionadas com a depressão, tendo por base os fatores socioculturais. A pesquisa utilizou uma metodologia mista na recolha de dados tendo sido aplicado um questionário a 111 pessoas dos dois sexos (73,9% do sexo feminino) com diagnóstico de Transtorno Depressivo Major, residentes na região de Lisboa, Portugal, das quais 20 responderam ainda a uma entrevista qualitativa, presencial. Os principais fatores socioculturais encontrados foram situações de ‘stress’ e conflito laboral (24,3%); perdas afetivas (19,8%); e situações de conflito ou separação conjugal (18,0%). Perto de dois terços dos inquiridos (62,2%) consideram que algumas condições, além da assistência clínica, poderiam contribuir para aliviar o seu sofrimento (fatores de resolução). De entre estas foram referidas: ter melhor suporte humano (37,3%); ter melhor situação laboral (24,0%); ter maior apoio financeiro (18,7%). Baseados nos resultados encontrados, os autores propõem os seguintes tipos de políticas sociais preventivas da depressão: políticas laborais; políticas de coesão social; políticas de educação e literacia; e formação dos profissionais do setor na deteção precoce das situações de depressão.
Distribuição espacial da Hanseníase no Município de Apiaí, Estado de São Paulo, 2001-2023
Authors: Batista de Almeida Aparecido , Lafratta Tanya Eloise , Gottardi Lorenzo , Teixeira Mari  Angela Camargo
Published: February 2025

Dados da Organização Mundial da Saúde indicam o Brasil como o segundo colocado no ranking dos casos de hanseníase no mundo, atrás da Índia e à frente da Indonésia, no período 1980-2021. O objetivo deste estudo foi identificar as áreas de alto risco da hanseníase, de 2001 a 2023, no município de Apiaí, Estado de São Paulo. Trata-se de estudo ecológico descritivo de análise espacial dos novos casos de hanseníase detectados por residência no município, de 2001 a julho/2023, através da análise de varredura para definição das áreas de alto risco no espaço-tempo retrospectivo e prospectivo, utilizando o software Sastcan. Foram georreferenciados 25 casos detectados de hanseníase no período, sendo um caso novo de criança menor de 15 anos de idade. As análises espaciais de varredura detectaram um aglomerado no espaço-tempo retrospectivo e outro no prospectivo; nas outras análises de varredura não se obteve significância estatística nos aglomerados com valores de p<0,05. Concluiu-se que a vigilância municipal e estadual, em conjunto com a atenção primária do Programa de Saúde da Família, deve realizar a busca ativa dos contactantes dos casos detectados de hanseníase nas áreas com risco confirmado, para a efetiva quebra da cadeia de transmissão.
The effect of food waste behavior among Generation Z on sustainable food
security
Authors: Novitasari S.D. , Purwadi D. , Marseno D.W.
Published: February 2025

Generation Z, as the primary consumers in society, plays a crucial role in determining the
sustainability of global food security. Despite being known as environmentally-conscious
innovators, the gap between their attitudes and behaviors towards food wastage has
adverse severe impacts. High levels of food waste are associated with a decrease in the
amount of food available, increasing the risk of hunger and negatively impacting food
security. This study analyzed 150 Generation Z participants to understand the diversity of
socio-demographic characteristics and food consumption patterns. Through a holistic
analysis, this study aims to identify factors such as attitudes, subjective norms, and
behavioral control that underlie Generation Z's food wastage behavior, and explore their
relationship with sustainable levels of food security. The research method used was a
mixed method, which was analyzed using the theory of planned behavior (TPB). The
results showed that food waste behavior among Generation Z, through attitudes,
subjective norms, and behavioral control contributes 26% to food security, with attitudes
having the most significant influence. These findings highlight the importance of
increasing awareness and fostering positive attitudes towards sustainable food
management as key factors in strengthening food security. Therefore, policies focusing on
developing positive attitudes among Generation Z are essential to reducing food wastage
and supporting sustainable food security.
The role of base types and concentration in the deacetylation process of
manufacturing chitosan from green mussel shells (Perna viridis)
Authors: Sarofa U. , Rosida D.F. , Khafsa N.
Published: February 2025

n the food industry, chitosan is useful as a preservative, edible film, heavy metal binder,
and so on. Chitosan is produced by removing the acetyl groups in chitin using a strong
base. Green mussel (Perna viridus) shells, which are waste from the fishing industry, have
the potential to be utilized as raw materials for chitosan production because they are
estimated to contain about 15-35% chitin. The deacetylation process was conducted using
alkali at high temperatures, leading to the release of the acetyl group (CH3CHO-) from the
chitin molecule. The choice of a strong base over an acid for deacetylation, particularly in
the context of converting chitin to chitosan, is rooted in the mechanism of the reaction and
the desired product properties. The purpose of this study was to determine the influence of
the type and concentration of bases in the deacetylation process on the characteristics of
chitosan produced from green mussel shells. The experimental design used was a
completely randomized factorial design with two factors. The first factor was the strong
base (NaOH, KOH, and a mixture of NaOH and KOH) used, while the second factor was
the base concentration (40%, 50%, and 60%). The data obtained were analyzed using
analysis of variance (ANOVA) and Duncan multiple range test (DMRT). The results
revealed that the type and concentration of the base affected the yield, deacetylation
degree, water content, ash content, nitrogen content, and solubility. The best treatment in
this study was a KOH treatment with a concentration of 60%, resulting in a deacetylation
degree of 78.95%, a yield of 3.20%, a moisture of 2.035, an ash content of 0.26%, a
nitrogen content of 6.38%, and a solubility of 99.19%. Identification of chitosan
functional groups was conducted on chitosan from the best treatment using FT-IR
Spectrophotometer. From the results of FT-IR spectra analysis, the functional groups
present in the sample were –OH, C-H, and N-H, which were the main functional groups of
chitosan.
FACTORS AFFECTING THE EFFECTIVENESS OF APPLICATION AND TECHNOLOGY TRANSFER ACTIVITIES ON THE PRODUCTIVITY OF ENTERPRISES IN QUANG NINH PROVINCE, VIETNAM
Authors: Huong Tran Lan , Hieu Nguyen Thi Thanh
Published: February 2025

Objective: This research aims to develop a quantitative research method to evaluate the effectiveness of technology application and transfer activities on the productivity of enterprises in Quang Ninh province.
 
Theoretical Framework: This study has built a production function under the assumptions of constant efficiency according to scale and variable efficiency according to scale depending on the internal strength of the enterprise and factors related to technology transfer.
 
Method: The  methodology adopted for this research involves using building a model to assess the impact of technology transfer on labor productivity of enterprises in key industries of Quang Ninh province.
 
Results and Discussion: The estimated results showed that: Enterprises in key industries have returns to scale and for every 1% increase in capital intensity, there is a 0.4% - 0.44% increase in labor productivity. The transfer form through research cooperation, franchising and technical support in the condition that workers agree to implement the enterprise with sufficient technological and financial capacity will increase productivity significantly.
 
Research Implications: The practical and theoretical implications of this study are discussed, providing detailed information on the impact of application efficiency and technology transfer on labor productivity of enterprises.
 
Originality/Value: This study contributes to the literature due to its originality, whether through an innovative approach, new findings or practical contributions. The relevance and value of this study are demonstrated by the conclusion that mong the factors within the enterprise, the capital intensity factor has the effect of increasing labor productivity. This study also found that factors related to the form of technology transfer and the ability to absorb technology have positive and negative impacts on labor productivity. This study also found difficulties that reduce the productivity of enterprises.
OPTIMIZING JOINT VENTURES AND ALTERNATIVE FUNDING FOR NIGERIA'S OIL AND GAS INDUSTRY: IMPROVED FINANCING AND TRANSITIONING TO COMMERCIAL VENTURES
Authors: Osho Gbolahan Solomon
Published: February 2025

Objective: This study examines the feasibility and effectiveness of joint ventures and alternative funding mechanisms in Nigeria's oil and gas industry to address financial constraints, infrastructure deficits, and technological gaps. It aims to provide insights for stakeholders on sustainable financing strategies that can drive industry growth and resilience.
 
Theoretical Framework: The research is grounded in financial and economic theories related to energy finance, public-private partnerships, and risk-sharing models in joint ventures. It evaluates these frameworks in the context of Nigeria’s oil and gas sector, highlighting their impact on funding efficiency and industry sustainability.
 
Method: The study employs a qualitative approach, analyzing industry trends, policy frameworks, and case studies of successful joint ventures and alternative financing models. It synthesizes data from academic literature, government reports, and real-world implementations to assess the viability of different funding mechanisms.
 
Results and Discussion: Findings indicate that joint ventures and alternative funding mechanisms, such as public-private partnerships and project financing, significantly enhance financial sustainability and technological advancements in Nigeria's oil and gas sector. However, challenges such as conflicting interests, transparency issues, and regulatory bottlenecks must be addressed for these strategies to be effective.
 
Research Implications: The study provides policymakers and industry stakeholders with actionable insights on optimizing joint ventures and alternative financing to enhance Nigeria’s energy sector. It underscores the need for regulatory reforms, transparent governance, and strategic partnerships to foster long-term industry growth.
 
Originality/Value: This research contributes to the discourse on sustainable financing in emerging energy markets by comprehensively analyzing Nigeria’s joint venture framework and alternative funding options. It presents practical recommendations for overcoming financial and operational challenges, adding value to industry practitioners and policymakers.
EFEITOS DE CHOQUES NOS PREÇOS DO BOI NO DESMATAMENTO DA AMAZÔNIA LEGAL E NAS EMISSÕES DE CO2 DO BRASIL
Authors: Otero Enrique Porfirio Uceda , Silva Yuri Cesar de Lima e
Published: February 2025

Objetivo: O objetivo do presente trabalho foi determinar os efeitos de choques nos preços do boi no desmatamento da Amazônia Legal e nas emissões de CO2 do Brasil.
 
Referencial Teórico: Dentre os diversos problemas ambientais, que enfrenta a humanidade nos tempos atuais o desmatamento, contribui significativamente para o aquecimento global através da emissão de gases do efeito estufa para a atmosfera terrestre, trazendo como consequência mudanças climáticas que podem dificultar a existência da vida humana na Terra.
 
Método: Neste trabalho, utilizamos o método dos Vetores Autorregressivos Bayesiano (BVAR) com dados de periodicidade anual entre os anos de 1990 e 2019.
 
Resultados: Os resultados demonstraram que choques no preço do boi impactam positivamente o desmatamento e as emissões de carbono. Além disso, demonstramos que as exportações de carne bovina geram impactos significativos nos preços dessa commodity, afetando também as variáveis ambientais.
 
Conclusões: Fica evidenciado que o preço do boi é uma variável fundamental para explicar as variações no desmatamento da Amazônia Legal e, consequentemente, nas emissões de carbono do Brasil.
 
Implicações da Pesquisa: Esta pesquisa gera novo conhecimento para sustentabilidade, assim como ajudará a desenvolver um senso crítico sobre o estado atual das mudanças climáticas no planeta; além de mostrar aos governantes que devem agir com rapidez frente a esse problema. Diversos trabalhos de impactos sobre o meio ambiente tem sido publicados, porém esse é a primeira pesquisa na qual aplica-se o método dos Vetores Autorregressivos Bayesiano (BVAR) sobre os efeitos de choques dos preços nas variáveis desmatamento na Amazonia Legal e emissoes de CO2 do Brasil.
 
Originalidade/Valor: O estudo realizado é relevante para a humanidade, uma vez que contribui para a sensibilização da sociedade para uma das questões ambientais atuais. Este conhecimento pode ser utilizado para o desenvolvimento e/ou a procura de soluções que visem alcançar um equilíbrio com a natureza.