bluuebunny/crossref_metadata_2025 huggingface dataset:
Gestational Diabetes Mellitus Prevention: A Commentary
Authors: Gallagher Catherine , Hill James
Published: September 2024

Gestational diabetes mellitus (GDM) poses a significant global health challenge. Well-established risk factors include a body mass index (BMI) above 30, maternal age over 40, previous GDM instances, a history of delivering babies weighing over 4.5kg, and specific ethnic backgrounds. This commentary discusses the Cochrane umbrella review by Griffith, et al., (2020) evaluating various lifestyle-focused interventions for GDM prevention.
https://doi.org/10.55975/ZLDC3497
Authors: McAllister Sophie
Published: September 2024

Cervical stenosis can affect pregnancy and birth. This article explores a case report relating to cervical stenosis diagnosed in labour, and the implications for midwifery practice.
Percepción y Potencial del Agroturismo: Análisis de la Frecuencia de Visitas y Preferencias de Actividades de los Visitantes en el Centro Experimental de Investigación y Producción Amazónica de la Universidad Estatal Amazónica
Authors: Arias-Pastuña Mayra Alexandra , Silva-Diaz Marco Vinicio , Coyago-Durán Adriana Daniela , Guamán-Cali Andrea Yessenia
Published: September 2024

El estudio tuvo como objetivo identificar el potencial del desarrollo de agroturismo en las instalaciones del “Centro Experimental de Investigación y Producción Amazónica” (CEIPA) de la “Universidad Estatal Amazónica”. Para ello, se analizaron la frecuencia y el número de visitantes, así como la percepción de los mismos. Se llevó a cabo un estudio longitudinal, registrando las visitas durante aproximadamente un año para determinar la frecuencia de visitantes. La muestra se seleccionó aleatoriamente por conveniencia, debido a la naturaleza imprevisible de las visitas. La herramienta utilizada para la recolección de datos fue una encuesta, utilizando el instrumento denominado “Percepción y potencial del Agroturismo en el CEIPA”. Para el análisis de los datos se empleó la estadística descriptiva. Al finalizar el estudio, se encontró que la percepción y el potencial del agroturismo en las instalaciones son positivos. Además, se identificaron hallazgos importantes como la estacionalidad, las preferencias de actividades y los aspectos a considerar para la implementación del agroturismo, información que será clave para su ejecución.
Aplicación de la gamificación para las enseñanzas de las matemáticas en estudiantes de décimo año de básica superior
Authors: Zambrano-Delgado Abilio Armando , Aray-Andrade Carlos Alberto , Guanoluiza-Carreño José
Published: September 2024

La enseñanza de las matemáticas ha sido un desafío en la educación, especialmente en estudiantes de nivel básico superior que, debido a cambios biológicos, psicológicos y sociales, pueden mostrar apatía hacia la materia. La gamificación surge como una estrategia educativa que busca mejorar la motivación y el aprendizaje al incorporar elementos de los videojuegos en el aula. Desde los años 70, los videojuegos han demostrado ser efectivos para captar la atención y motivar comportamientos positivos, lo que ha llevado a su integración en contextos educativos desde 2011. La gamificación consiste en aplicar dinámicas y mecánicas de juego en situaciones no lúdicas, como la educación, para aumentar el compromiso y mejorar el rendimiento de los estudiantes. Se ha demostrado que esta estrategia motiva a los alumnos y facilita el aprendizaje, especialmente en matemáticas. El estudio, realizado en la Unidad Educativa Amazonas con estudiantes de décimo año, comparó un grupo que recibió clases tradicionales con uno que usó gamificación para enseñar factorización. Los resultados mostraron que el grupo experimental, que utilizó gamificación, tuvo un rendimiento significativamente mejor que el grupo de control, lo que indica que esta metodología puede ser efectiva para mejorar la enseñanza de las matemáticas. La gamificación demostró ser una herramienta valiosa para aumentar la motivación y facilitar la comprensión de conceptos matemáticos, lo que sugiere que su aplicación puede mejorar el proceso educativo al adaptarse mejor al contexto digital de los estudiantes actuales.
Dynamics of Gender and Health in Bama’s Sangati and Kadeeja Mumtas’ Barsa
Authors: Mahima Gupta
Published: September 2024

Gender and health are two separate disciplines having a strong connection with each other. According to the World Health Organization (WHO), gender is a core social determinant of health and health inequalities. These health inequalities are associated with the lifestyle, accessibility and care provided to men and women. In most Indian societies, women are perceived as child-bearers, caregivers having no say in the communities they live in. Moreover they have been shoved into margins and an indifferent attitude is formed for them. From the viewpoint of gender, class or ethnic disparities women in India face a multitude of health and hygiene problems. This marginalization causes inequitable access to essential human needs such as water, proper health and sanitary facilities. Consequently women have poorer health than men.  Another form in which women are suppressed and oppressed are sexual harassment, violence, physical abuse, occupational and environmental hazards due to which they not only suffer from physiological problems but it also affects their mental health like psychological stress and strain. These health issues deteriorate their well- being. Due to casteism prevalent in our society the so- called power holders exploit Dalit women treating them as lower than humans and ‘other’. Bama’s Sangati is a look at the part of the lives of those Paraiya women. Kadeeja Mumtas’ novel Barsa is a commentary on the position of women in Muslim society focusing on the illegal practices like circumcision. This paper aims to examine the issues which the Tamil Christian Dalit women and Muslim women face in terms of health and sexuality as discussed in Bama’s Sangati and Kadeeja Mumtas’ Barsa through depicting a critique of several generations of women.
PENGARUH BEBAN KERJA DAN KOMPENSASI TERHADAP KINERJA KARYAWAN PADA PT. TELKOMSEL GRAPARI KOTA BALIKPAPAN
Authors: Triadito Drista Putra , Fareis Althalets
Published: September 2024

Penelitian ini bertujuan untuk menguji pengaruh beban kerja dan kompensasi terhadap kinerja karyawan pada PT.Telkomsel GraPARI Kota Balikpapan. Metode yang digunakan pada penelitian ini adalah teknik sampling jenuh dengan jumlah sampel sebanyak 50 responden. Sumber data yang digunakan adalah data primer yang berfokus pada jenis data kuantitatif. Teknik analisis data yang dilakukan pada penelitian ini menggunakan uji data instrument penelitian, uji asumsi klasik, uji statistik dan uji hipotesis. Hasil penelitian ini menunjukkan bahwa: beban kerja berpengaruh negatif dan signifikan terhadap kinerja karyawan, kompensasi berpengaruh positif dan signifikan terhadap kinerja karyawan.
Engaging the Classic
Authors: Alagunfon Sulaiman A.
Published: September 2024

This paper explores the literary characteristics of the Nigerian maqāmāt, which are inspired by the classical Arabic prototypes. Nigerian Arabic writers have actively embraced the maqāma genre since the early 21st century, producing various collections that consciously or unconsciously emulate the classical models. Throughout their maqāmas, Nigerian writers recalibrate the features of the genre by showcasing the influence of their primary model, al-Ḥarīrī’s Maqāmāt (446-516/1054-1122). Through techniques such as allusion, borrowing, continuation, and more, these works raise important themes of originality, literary emulation, competition, and homage, thereby highlighting the impact of classical Arabic heritage on contemporary Arabic writing. In this paper, the analysis of these emulating features is complemented by textual examples from four recently published maqāma collections in Nigeria, which are compared to their classical prototypes.
Key words:  maqāma, Nigeria, rewriting, emulation, literary influence, Classical Arabic.
Heat Transfer and Fluid Flow Over A Bank of Longitudinally Finned Flat Tubes: A Numerical Study
Authors: Hasan Ahmed , H. Zaidan Maki , S.M. Al-Jethelah Manar
Published: September 2024

This computational study investigates the heat transfer rate and fluid flow characteristics of a staggered arrangement of longitudinally finned flat tube banks ( ) with a constant surface temperature. The finite volume method ( ) is used to solve the governing equations using the commercial software . This study considers longitudinal pitch ratios ( ). In addition, the dimensionless transverse pitch ratio ( )=3 and both the dimensionless upstream fin length ratio ( )= ( ) =0.8 is the dimensionless fin angle . The focus of the investigation is a Reynolds number range between  with constant physical properties. The analysis examines pressure drop, dimensionless heat transfer rate, and the average Nusselt number. Results indicate that as Reynolds numbers increase and dimensionless longitudinal pitch ratios decrease, the heat transfer rate between tube surfaces and airflow increases to reach maximum value of 275. In addition, the Reynolds number affects the pressure drop, Began number, average Nusselt number, and thermal hydraulic performance.
Cluster Heat Selection Optimization in Wsn Via Genetic Based Evolutionary Algorithm and Secure Data Transmission Using Paillier Homomorphic Cryptosystem
Authors: M Yuvaraja , R Priya , S Uma Maheswari , J Dhanasekar
Published: September 2024

Introduction: Wireless Sensor Networks (WSNs) consist of sensor nodes requiring energy-saving measures to extend their lifespan. Traditional solutions often lead to premature node failure due to non-adaptive network setups. Differential Evolution (DE) and Genetic Algorithms (GA) are two key evolutionary algorithms used for optimizing cluster head (CH) selection in WSNs to enhance energy efficiency and prolong network lifetime.Methods: This study compares DE and GA for CH selection optimization, focusing on energy efficiency and network lifespan. It also introduces an improved decryption method for the   Paillier homomorphic encryption system to reduce decryption time and computational cost.Results: Experiments show GA outperforms DE in the number of rounds for the first node to die (FND) and achieves a longer network lifespan, despite fewer rounds for the last node to die (LND). GA has slower fitness convergence but higher population fitness values and significantly faster decoding speeds.Conclusion: GA is more effective than DE for CH selection in WSNs, leading to an extended network lifespan and better energy efficiency. Despite slower fitness convergence, GA's higher fitness values and improved decoding speeds make it a superior choice. The enhancements to the Paillier encryption system further increase its efficiency, offering a robust solution for secure and efficient WSN operation
Hybrid Elephant Herding Optimization Approach for Cluster Head Selection And Secure Data Transmission In Wsn Using Hybrid Approach Cryptography Techniques
Authors: M. Yuvaraja , D. Sumathi , Rajeshkumar M. , Ahamed Ayoobkhan Mohamed Uvaze
Published: September 2024

Introduction: The wireless nature of sensor networks makes safe transfer of data from one node to another a major challenge in communications. Sensing tasks connect these sensor nodes which have limitations of memories and energies. Cryptography techniques are utilised to handle critical issues of security in these networks. The performance of large-scale networks is enhanced in this case by optimisation algorithm mimicking natural behaviours.Methods: This work uses H-EHO (Hybrid Elephant Herding Optimisation technique based on Individual strategies to enhance cluster head selections in WSNs (Wireless Sensor Networks) and thus extend networks’ lifetime. WSNs complete cluster head selection processes, and proposed optimisation approach which selects cluster heads based on tracking of sensor nodes for enhancements. The clan operators of optimisation algorithms are adjusted to handle random walk scale factors of elephants. Clusters of WSNs elect updated sensor nodes in principle. Hybrid algorithm HSR19, a novel security symmetric technique offers greater security during data transfers. It offers integrity, confidentiality, and authentication for cryptographic primary keys. Results: The output of the simulation demonstrates the energy consumption, network longevity, end to end delay, and secure data transfer metrics. The results for choosing an effective and time-efficient cluster head selection process for WSNs are improved by contrasting the two approaches. Conclusion: This comparison also shows the efficiency of communication devices in terms of calculation times for encoding, decoding and energies consumed for various file sizes
Recommender System for E-Health
Authors: Abdullah Aljabr Ahmad , Kailash Kumar Kailash
Published: September 2024

Introduction; E-healthcare management services can be significantly enhanced through the implementation of recommender systems, as highlighted in various research papers. These systems, such as Healthcare Recommender Systems (HRS) and Health Care Recommender Systems (HCRS), utilize advanced algorithms and machine learning techniques to provide personalized health recommendations based on user input and medical data. Objective; Recommend healthcare services based on patient's state. Model healthcare information network for efficient service recommendation.Methodology; Recommends healthcare services based on patient's critical situation and requirements. Offers re-configurable healthcare workflows to medical staff. Machine learning method classification is applied using decision tree and its result is presented which reflects 70 to 75% accuracy in predictive models which ensure that health recommender system is a full proof system.Result; Hospital recommender systems represent a significant advancement in healthcare, providing personalized and data-driven recommendations to patients.Conclusion; The integration of recommender systems in e-healthcare management services holds great potential in improving personalized patient care, promoting health awareness, and optimizing the quality of healthcare recommendations. In this paper author analyzed and estimated the level of accuracy of recommendation systems in healthcare for personalized medical treatment. It surveys current applications, challenges, and future directions in this field.
Evaluation of internal and external factors for clinical applications of biogenic metallic nanoparticles in dentistry
Authors: Ponce Reyes Nathalie Steffy , Grijalva Palacios Miryan Margarita , Grijalva Bueno Antonella
Published: September 2024

The study explored the use and clinical applications of biogenic metallic nanoparticles synthesized by green methods in dentistry. It focused on evaluating the internal and external factors that influence their efficacy and application, with the aim of identifying both the opportunities and limitations of these emerging technologies in the dental field. A systematic literature review was conducted following the PRISMA procedure. 19 scientific articles published between 2018 and 2023, obtained from the PubMed and Scopus databases, were analyzed. The articles were selected based on specific inclusion and exclusion criteria. In addition, a SWOT analysis was conducted with the help of five dental experts to assess the factors affecting the implementation and impact of metallic nanoparticles. The analysis revealed that the weaknesses identified in the application of metallic nanoparticles had a greater weight than the strengths, indicating the need to develop defensive strategies to address the weaknesses. Opportunities outweighed threats, suggesting that the positive aspects of nanomaterials could be amplified to mitigate negative impacts. It was concluded that continued research and optimization of green synthesis methods is crucial to improve clinical efficacy and reduce negative impacts. It was suggested that future research focus on refining these processes and further evaluating the clinical applications of these materials
Optimization of dental restorations through immediate dentin sealing based on multi-criteria decision methods
Authors: García Novillo Adriana María , Freire Villena Diana Carolina , del Rocío Salvador Arroba Janeth Alexandra , León Veintimilla Kinverly Marilyn
Published: September 2024

Dentistry has advanced considerably in recent decades, standing out especially in the field of restorative dentistry with the development of techniques and materials that optimize clinical results and prolong the durability of restorations. Among these advances, immediate dentinal sealing has become a crucial technique to improve the effectiveness of indirect dental preparations. This study reviews the current literature on immediate dentinal sealing, analyzing its impact on reducing postoperative sensitivity, preventing bacterial infiltration and improving the adaptation of restorations. Neutrosophia is used to model and analyze the uncertainty associated with the various factors that can influence the effectiveness of immediate dentinal sealing. The methodology includes a review of recent studies and the use of multi-criteria decision methods to evaluate the performance of immediate dentinal sealing in different clinical contexts. The results obtained from a neutrosophic decision matrix show that immediate dentin sealing has a positive impact on the reduction of sensitivity, the adaptation of the restoration and the prevention of bacterial infiltration, with a favorable relationship between cost and benefits. benefits of the procedure. However, questions remain about the consistency of these benefits and the clinical variables that may influence their effectiveness, highlighting the need for continued research to optimize the use of this treatment in clinical practice
Intervention strategies to reduce the incidence of omphalitis and septic arthritis in neonates
Authors: Villarroel Castillo Victoria Pamela , Quevedo Andino Hipatia Marisol , Durán Moya Erick Alejandro , Donoso Noroña Riber Fabián
Published: September 2024

Omphalitis, an infection of the umbilical cord in neonates, is a critical concern in Latin America due to its potential serious complications, such as septic arthritis and systemic sepsis. In developing countries, the incidence is notably high, highlighting the need to investigate the factors that contribute to this condition. The objective of this study is to analyze the risk factors associated with omphalitis and its complications, especially septic arthritis, in neonates. A synthetic analytical study was developed to process and interpret the information found and it was illustrated in a comparative table between Latin America and Europe. The deductive-inductive method was also used to reach the causes and the empirical method that covers the review. A survey was carried out. to 85 mothers residing in Riobamba. As a result, it was found that the intervention with chlorhexidine is effective in preventing infections and that mothers have little knowledge of the subject and care for the umbilical cord based on customs. The variability in cord care methods and prevalence of infections indicate the need to standardize practices and improve education on umbilical cord management. Regular medical care and the use of sterile methods are essential to reduce the risk of serious complications, in addition to developing prevention strategies
Comprehensive Nursing Care Strategies in the Postoperative Craniotomy: A Multidisciplinary Approach
Authors: Rodríguez Plasencia Adisnay , Luzuriaga Carrillo Evelyn Fernanda , Donoso Noroña Riber  Fabián , Vilema Vizuete Elisabeth Germania
Published: September 2024

Craniotomy, although vital for treating various intracranial conditions, carries significant risks in the postoperative period. Patients undergoing this surgery require intensive monitoring and comprehensive management to optimize their recovery. Nursing interventions play an essential role in this context and their effectiveness can make a difference in clinical outcomes and patient quality of life. The objective of this work is to evaluate the effectiveness of nursing interventions in improving clinical outcomes and quality of life of critically ill post-craniotomy patients. A systematic review of the literature and relevant clinical studies was performed. Saaty's (AHP) was applied to weight and compare the effectiveness of these interventions. The results indicated that intensive neurological monitoring improves early detection of complications and reduces morbidity. It was concluded that well-structured interventions by nursing professionals are crucial to improve clinical outcomes and quality of life of post-craniotomy patients. The implementation of evidence-based protocols can optimize the effectiveness of these interventions and ensure a faster recovery with fewer complications
Acute and long-term treatments for neuromyelitis optica
Authors: Acurio Padilla Piedad Elizabeth , Bohórquez Rivera Danny Stuart , Latorre Barragán Fernanda , Altamirano Guerrero Olivia Elizabeth
Published: September 2024

Introduction: Spectrum neuromyelitis optica has been an autoimmune disease of the central nervous system that presents challenges in both diagnosis and treatment. The complex pathophysiology, together with varied clinical manifestations, makes its management especially critical. Therefore, the present study has focused on describing and analyzing spectrum neuromyelitis optica, by focusing on the pathophysiology, clinical presentation and therapeutic options. As well as the understanding and management of the disease in medical practice.Method: A descriptive bibliographic review of the current literature on NMOSD was carried out, covering studies on the pathophysiology, clinical presentation and therapeutic strategies used. Results: Severe demyelination in NMOSD was observed to be mediated by antibodies against aquaporin-4, leading to significant axonal damage. Acute therapies, such as intravenous methylprednisolone and plasmapheresis, as well as long-term treatments, such as mycophenolate mofetil and rituximab, have shown efficacy in managing the disease. Furthermore, early diagnosis and appropriate treatment turned out to be essential to improve patients' quality of life.Conclusions: The research highlighted the need for early diagnosis and a multimodal therapeutic approach for NMOSD. The combination of current treatments and the continued need for research to develop new therapeutic options are essential to advance the treatment of the disease
Adolescence and Nursing, Together for the Promotion of Healthy Nutritional Habits
Authors: Alonzo Pico Olga Mireya , Muepaz Chamba Emerson Javier , Zuly Rivel Nazate Chuga
Published: September 2024

Unhealthy eating habits during adolescence increase the risk of developing chronic diseases in the future. The lack of knowledge about nutrition among adolescents is a problem that must be urgently addressed. In the Tulcán canton, the existence of nutritional diseases among adolescents from different areas has been confirmed. The objective of this research is to propose nursing strategies to reduce nutritional complications in adolescents from the Tulcán canton. A diagnosis was made regarding adolescents' knowledge of nutritional complications in the canton. A mixed methodology was used in the research, which was non-experimental with a cross-sectional design, action-oriented, descriptive, bibliographic, field-based, and applied. The theoretical methods employed were inductive-deductive, analytical-synthetic, and historical-logical. The empirical method used was scientific observation. The study population consisted of 75 adolescents attending the Tulcán Sur Health Center. A survey was used to obtain information. Among the results, it stands out that more than 45% had no knowledge of nutritional diseases; 53% practiced inadequate eating habits, at inappropriate times, without engaging in physical activity. Strategies related to Education, Promotion, Prevention, and Evaluation were taken into account. Addressing these challenges from a comprehensive perspective, promoting policies and programs that foster the availability, accessibility, and affordability of healthy foods, as well as nutritional education and the promotion of healthy lifestyles from adolescence, benefits the well-being of the Ecuadorian population.Keywords: Adolescence, nutrition, healthy habits
Comparing Some Negative Binomial Regression with Simulation
Authors: Ali AL-Mosawy Zahraa AbdulAmeer , Habeeb Nadia Abed
Published: September 2024

This paper presented a comprehensive comparative study of various negative binomial regression models using simulation techniques. Negative binomial regression models are widely employed in statistical analyses, particularly in situations involving count data with over dispersion. Zero amplified binomial distribution regressions are considered as important regressions because they have many applications for many experiments. The research aims to compare the two estimation methods (moments Estimation method, Maximum likelihood Estimation method and shrinkage estimation method) for zero inflation for a binomial distribution through a number of experiments with deference (random sample size, value of the distribution parameters and the estimation method). Our findings aim to provide practitioners and researchers with valuable insights into the strengths and limitations of different negative binomial regression models. By understanding the relative performance of these models through simulation studies
Enhancing Work-Life Balance of Teachers in Self-Financing Schools
Authors: Antonyinico I. , Pravin Durai F. R. Alexander
Published: September 2024

Introduction: Teachers contribute significantly to the growth of schools and students by determining each child's future. Teachers support young minds and help them do great things. So, a teacher's work-life balance needs to be taken care of and is a must for every teacher. The school teachers can better balance their family and work life by adopting a work-life balance strategy. In order to maintain work life balance, teachers should prioritise their time and balance their work with their family, health, holidays, and other commitments. Objectives: To study the demographic factors on stress level among teachers, to assess the variables that affect work-life balance and to determine the consequences of not maintaining the work-life balance of teachers at self-financing schools.Method: The primary data were gathered using questionnaires, and a total of 200 samples were chosen. The methodology includes specific statistical tools such as percentage analysis, chi-Square, correlation, and one-way ANOVA for analysis and interpretation. Results: The analysis suggests that the factors affecting work-life balance, including heavy household work, financial commitments, childcare challenges, lack of recognition, job dissatisfaction, and family time constraints, are significantly correlated with higher stress levels among the teachers of self-financing schools. The findings suggest that achieving work-life balance is possible with the help of school support through counseling programmes, transparent flexible working hours, and accommodating leave for family emergencies. Conclusion: Neglecting work-life balance can have a negative impact on teachers in self-financing schools, limiting their ability to manage domestic tasks, causing physical health concerns, and leading to professional and personal errors. However, teachers can truly enjoy the blessings of life by developing the necessary life coping skills to effectively manage work-life balance
Trends in Nutrition and Andean Food for People with Celiac Disease: A review study
Authors: Viteri Carmen , Arteaga Cristina , Robayo Verónica , Hidalgo Kattyta , Guevara Deysi
Published: September 2024

Celiac disease is characterized by nutritional imbalances due to intestinal inflammation caused by gluten, which hinders the absorption of essential nutrients. Iron deficiency anemia is common, as well as the lack of vitamins and minerals, some of which are reversed with a gluten-free diet. Andean foods constitute an option in the diet of celiac patients due to their high nutritional quality in proteins, carbohydrates, vitamins, minerals, and fiber, which are generally deficient nutrients. Studies suggest that products such as quinoa, corn, and rice can be viable substitutes in baking, extruded products, and beverages, offering nutritious and acceptable options. However, despite the positive trend towards including these foods in the diet of people with CD, challenges are identified, such as nutritional education to promote their consumption. In conclusion, it is suggested that Andean nutrition and food offer valuable options for people with CD, but effective strategies are needed to integrate them into patients' diets
Assessment and comparison of defense sufficiency levels of some countries of the world
Authors: Semenenko Oleh , Tolok Polina , Ostrovskyi Serhii , Tkachenko Volodymyr , Remez Artem
Published: September 2024

The article explores the evolving concept of security and defense, emphasizing recent EU initiatives that address a wide range of threats and aim to enhance national and European security through integrated and innovative approaches. The purpose of the study is to calculate and evaluate the defense capability levels of individual countries, explain them using the proposed approach, assess them within permissible limits, and compare various national economic sectors affecting the needs of the security and defense sector (SDS). The main research methods are empirical methods (analysis and synthesis), deduction, and graphic analysis. The article provides a schematic algorithm for assessing defense capability levels, introduces the use of a “need coefficient” for SDS calculations, and includes sector-specific data (using US indicators) on material and non-material values. It also suggests using an efficiency ratio to compare current and optimal defense capabilities. The level of defense capability of the countries was assessed according to the scales defined by the authors. Using a system of indicators, rather than a single complex indicator, provides a comprehensive view of defense sufficiency and allows for a detailed evaluation of its components. Thus, an approach is provided not only to determine the current and optimal levels of the country’s defense capability, but also to assess the nature of the influence of individual branches of the national economy on ensuring the defense and security needs of the state (by area)
The theoretical path of constructive journalism and practical experience in China
Authors: Jiang Lin , Duyshekeeva Aina T.
Published: September 2024

The purpose of this study was to examine the stages of the formation of constructive journalism in the world and the practical implementation of this concept using evidence from modern Chinese media discourse. The study examined two theoretical approaches to constructive news: one based on positive psychology and the other on Buddhist philosophy. The Chinese journalism community was the first to pay attention to constructive news in terms of the supervision of public opinion. Based on the study of the official WeChat account of Xinhua News Agency, particularly the topics, genre specificity, emotional colouring, and formal indicators of news, the patterns of Chinese constructive journalism were identified. The rule of law, cultural life and education, health, and travelling were identified as the main themes. The emotional colouring of news reports is most often positive and neutral. It is worth noting the genre diversity: news, news bulletins, news essays, newsletters, investigative reports, and diversity in terms of formal indicators: “text only”, “text + image”, “image only”, “text + video + image”. It was found that the purpose of constructive journalism reporting in China coincides with the government’s public order goals. The concept of Chinese constructive journalism was reflected in the following aspects: using positive psychology to stimulate the vitality of news reports for social development, creating positive narrative strategy, improving news management, and promoting moral values. In the future, this study can be used to analyse patterns of social behaviour, illuminate media literacy, and study national media practices
Neural Plasticity after Traumatic Brain Injuries. Importance of neurological rehabilitation
Authors: Acurio Padilla Piedad Elizabeth , Latorre Barragán Fernanda , Altamirano Guerrero Olivia Elizabeth , Barragán Martínez Cristina Elizabeth
Published: September 2024

The research aimed to deepen the understanding of the role of neuroplasticity in post-traumatic injuries that cause physical damage to neuronal tissue. The study focused on how the brain, through epigenetic remodeling, adapts and responds to these initial injuries to facilitate recovery. The methodology included a descriptive bibliographic review, limited to articles in English and Spanish published between 2019 and 2023, using databases such as Clinical Key, PubMed, Scopus, Science Direct, Web of Science, and Google Scholar. Relevant scientific articles, books, and recognized guides were included. Additionally, five clinical cases of patients with traumatic brain injury were evaluated through a review of medical histories and interviews with the medical care team to analyze the effectiveness of neurorehabilitation. The results highlighted that neuronal plasticity, the ability of the nervous system to adapt and reorganize, is fundamental for recovery after a traumatic brain injury. It was observed that neuroplasticity processes, both structural and functional, allow the formation of new synapses and the strengthening of existing ones, facilitating the recovery of motor and cognitive functions. Neurorehabilitation, which includes techniques such as physical therapy, occupational therapy, speech therapy, and neurostimulation, proved effective in improving the quality of life of patients. The research concluded by emphasizing the importance of neuroplasticity and neurorehabilitation in the recovery of patients with post-traumatic brain injuries, recommending the implementation of individualized and advanced therapeutic approaches to optimize outcomes
Heart transplant as a treatment for heart failure in some patients
Authors: Torres Yanez John Alex , Viteri Rodriguez Paula Nicole , Regalado Montesdeoca Mateo Sebastian
Published: September 2024

There are several diseases that affect the population worldwide, among the best known are those that are characterized by heart failure, a condition caused by a decrease in the function of the heart, where in many cases a transplant is required in the treatment. . The background of the study highlights the increase in the prevalence of heart failure and the challenges it presents in terms of its treatment. The main objective of this work is to analyze the current situation, obstacles and possible perspectives related to heart transplantation as a therapeutic alternative for patients with advanced heart failure. The methodology used consists of a systematic analysis of recent literature, focusing on different groups of patients. The review indicates that heart transplantation represents a promising option for patients with end-stage heart failure who do not respond to conventional treatments.Keywords: therapeutic alternative, study, advances
Evaluation of the quality of postgraduate studies in Ecuador, indicator of relevance and effectiveness
Authors: Proaño Reyes Gladis , Molina Mayorga Edison , Espinosa Huanca Dayana , Proaño Toapanta Claudia
Published: September 2024

Postgraduate Higher Education studies constitute an important element in the improvement of professionals and the scientific development of the country due to the levels of specialization and research to be achieved in them. The quality with which postgraduate programs are developed is of significant value in all Institutions. Higher Education in Ecuador since 2023 has an instrument called “Generic model for the evaluation of the learning environment of Graduate Programs” approved by the Higher Education Quality Assurance Council (CACES) that establishes a set of criteria and sub-criteria indicators that allow the assessment of the quality and relevance of the postgraduate studies taught. The research carries out an analysis of the Model. The results show a high level of satisfaction and relevance of the approved Model, which contributes to the evaluation of postgraduate programs and the increase in quality and relevance.Keywords: Postgraduate, professional training, evaluation
Ethical and clinical aspects of tooth whitening in adolescents
Authors: Molina Ramón José Arturo , Mena Silva Paola Andrea , Fiallos Sánchez Johanna Elizabeth
Published: September 2024

This study aimed to analyse the ethical aspects to be considered in the practice of tooth whitening in adolescents, with the aim of establishing a solid basis for clinical decision-making and ensuring the well-being of young patients. A systematic review of the scientific literature was carried out to identify relevant studies on tooth whitening in adolescents. Databases such as PubMed, Cochrane and LILACS were used, using MeSH terms and DeCS descriptors. The selected studies were evaluated based on predefined inclusion and exclusion criteria. Subsequently, the TOPSIS method was applied to analyse and rank the most important ethical aspects in clinical practice. The results of the review showed that, although tooth whitening in adolescents is technically possible, its use must be clinically justified and based on informed consent. Several key ethical aspects were identified, such as patient autonomy, protection of the minor's well-being and clinical justification. The TOPSIS analysis allowed these aspects to be prioritised and a hierarchy of importance to be established. The results of this study can serve as a guide for dental professionals, promoting ethical and safe clinical practice in the treatment of adolescents. Future research is recommended to further investigate the long-term impact of these treatments and develop specific clinical protocols for this population
Analysis of the causes of Domestic Violence against men in Ecuador
Authors: Hurtado Serrano Karla Indira , Gordon Llerena Carlos Eduardo , Torres Romero Leslie Domenica , Tenorio Lagla Dayana Mercedes
Published: September 2024

The research aimed to analyze the causes of domestic violence against men in Ecuador, identifying aggressors' behavioral patterns and the social context contributing to this phenomenon. A bibliographic review of articles in English and Spanish published between 2018 and 2023 was employed, using databases such as PUBMED and DIALNET. The final selection included 27 relevant studies, of which 17 were used for analysis. The methodology focused on using the Pareto chart, which allowed for identifying and prioritizing the main causes of violence. These factors were distributed in a bar chart, showing that a small number of causes are responsible for most of the effects. The results indicated that violence against men is an underestimated and underreported problem due to social stigmas and gender expectations. Additionally, a lack of specific public policies and legal resources for male victims of violence was observed, perpetuating their invisibility and lack of adequate support. Men who suffer violence can develop severe psychological disorders, including depression and post-traumatic stress disorder. It was concluded that this problem must be addressed comprehensively by implementing awareness campaigns, psychological and legal support, and promoting cultural changes to recognize violence against men as a public health issue. The creation of specific public policies and early intervention programs was also recommended to mitigate this phenomenon and provide adequate support to victims.Keywords: male abuse, violent acts, psychological harm, preventive actions
Contemporary panorama of suicide prevention in adolescence
Authors: Mayorga Aldaz Elizabeth Cristina , Salas Granda Set Isaí , Pacheco Mayorga Nicole Anahí , Nevárez Yugcha Nadia Paulette
Published: September 2024

Each year, more than 800,000 people die by suicide, a figure that could be even higher when considering that a significant number of deaths attributed to overdose and traffic accidents may actually be suicides. The majority of these deaths occur in low-income countries. Furthermore, suicide has a ripple effect, impacting the community, friends, and family members who have lost a loved one to this cause. It is estimated that for every person who dies by suicide, more than 20 others attempt it, with the majority being adolescent males. This alarming situation led to the aim of the research, which was to identify the current state of prevention efforts regarding suicide attempts among adolescents within healthcare institutions. A documentary bibliographic methodology was employed, with consultations of high-impact databases. The review concluded that prevention is the primary measure to address suicidal behavior. This includes support services aimed at preventing the occurrence of suicidal acts, intervention when an attempt occurs to ensure the safety and health of the patient, and post-incident measures, such as mental health support and family counseling, to improve the quality of intrafamilial relationships and thereby prevent future recurrences among adolescents. As a solution, a prevention and control strategy encompassing three fundamental pillars of the affected individual's environment is proposed
Modeling risk factors in preeclampsia for late pregnancies using fuzzy cognitive maps
Authors: Nazate Chuga Zuly Rivel , Chamorro Nazate Jesly Vanessa , Guerrero Morán Paola Estefania
Published: September 2024

As women delay motherhood, concerns arise about the risks associated with pregnancy at advanced ages. Pregnant women aged 35 and older face an increased likelihood of complications, such as spontaneous abortions and preexisting conditions that can complicate pregnancy, such as hypertension and diabetes. The incidence of hypertensive disorders, such as preeclampsia, also significantly increases in this age group, which can lead to a higher use of cesarean sections and instrumental deliveries, as well as an increase in neonatal morbidity and mortality. This study aims to model the risk factors for preeclampsia in late pregnancies using fuzzy cognitive maps, seeking a better understanding of the complexity of this condition and facilitating the early identification of women at risk. Data collection will be conducted through the review of clinical records and structured interviews with participants, which will complement the existing clinical information. The identification of risk factors, such as obesity and a history of hypertension, is crucial for optimizing prenatal care and improving maternal-fetal outcomes. Additionally, prevention strategies are proposed that include education about the risks, promoting healthy lifestyle habits, and ensuring access to adequate prenatal care, in order to reduce the incidence of preeclampsia and its associated complications in pregnant women aged 35 and older
Influence of combined treatments on the regeneration of periodontal tissues
Authors: Villacís Tapia Ángel Fabricio , Cevallos Lascano Karen Daniela , Amaguaña Palate Joselyn Dayana
Published: September 2024

Introduction: Chronic periodontitis is an inflammatory disease that affects the supporting tissues of the teeth, with conventional treatment based on scaling and root planing. Therefore, the use of laser has emerged as a potential complementary technique to improve clinical outcomes. Therefore, the present study has focused on analyzing the use of laser as an adjunct in the treatment of chronic periodontitis, by comparing the clinical effects with conventional methods of scaling and root planing.Method: A bibliographic review of recent studies published between 2018 and 2023 was carried out in databases such as PubMed, Scielo and Google Scholar. The search focused on articles that evaluated the impact of laser in periodontal treatment compared to conventional techniques.Results: The inclusion of laser in periodontal treatment has shown a significant reduction in the depth of periodontal pockets and a decrease in bacterial plaque compared to conventional treatment alone. The results indicated that the laser has offered additional benefits, such as a reduction in inflammation and more effective regeneration of periodontal tissues.Conclusions: Laser has proven to be an effective complement to scaling and root planing in the treatment of chronic periodontitis, optimizing clinical results. However, optimal treatment protocols need to be defined by evaluating the long-term effectiveness of the laser and adapting its use to the individual characteristics of the patients
Factors affecting oral health in children and adolescents in Ecuador
Authors: Salinas Goodier Carmen
Published: September 2024

Globally, the highest prevalence of caries in permanent teeth is found in the Andean region of Latin America. In countries such as Ecuador, the burden of oral diseases has shown an increase in recent years. The present study aimed to identify the risk factors associated with dental pain in children and adolescents aged 5 to 18 years in Ecuador, in order to base preventive actions to improve oral health in this population. Using the database of the National Health and Nutrition Survey, a sample of 23,621 participants was analyzed. The analysis included variables such as ethnic self-identification, region of residence, housing area, and maternal educational level, in addition to the economic impact of dental pain. The results showed that approximately one third of children and adolescents experienced dental problems that affected their quality of life in the last 12 months. The data revealed that dental pain, difficulties in chewing, speaking, and sleeping, as well as school absences due to dental problems, were common. Significant differences were found in the impact on quality of life associated with ethnicity, region, area of residence and maternal educational level. Residents of rural areas, indigenous people and children of mothers with basic education had a higher prevalence of dental problems. The conclusions highlight the need to develop preventive strategies adapted to risk groups, promoting specific interventions to reduce dental pain and improve oral health
Beyond weight loss: Complications and benefits of gastric bypass
Authors: Torres Yanez John , Carrillo Lalaleo Kevin
Published: September 2024

The global increase in obesity has generated growing concern, driving the search for solutions to address this epidemic and its repercussions. In this context, gastric bypass has established itself as a surgical intervention for treating morbid obesity and its comorbidities. This systematic review of the scientific literature examines the complications and benefits of gastric bypass, beyond weight loss, considering its short- and long-term effects. Through a comprehensive analysis, relevant studies were selected that demonstrate the effectiveness of gastric bypass in weight reduction and the improvement of associated medical conditions, such as type 2 diabetes and hypertension. However, postoperative complications were also identified, such as dumping syndrome and intestinal obstructions, which require rigorous follow-up. Surveys conducted revealed a high level of satisfaction with the results of the surgery, indicating that expectations were met or exceeded. Additionally, the qualitative analysis of interviews with patients and healthcare professionals highlighted the importance of comprehensive support that addresses both the physical and emotional aspects of treatment. Long-term follow-up showed that, although patients experience sustained weight loss, continuous monitoring is essential to manage potential complications and optimize long-term health. It is evident that gastric bypass is a viable solution for morbid obesity, but its success depends on a multidisciplinary approach and adequate follow-up