bluuebunny/crossref_metadata_2025_split huggingface dataset:
Challenges and Solutions in Teaching and Learning for Students with Disabilities in Higher Education Institutions
Authors: Rosli Hazlin Falina , Ahmad Sabri Safura , Takril Nur Fikhriah 
Published: December 2024

Raising public awareness about People with Disabilities (PWD) requires addressing
accessibility challenges within the educational systems of higher education institutions (HEIs).
Advocacy efforts and ensuring equal opportunities for PWD demand serious attention. This study
examines the role of academic staff, focusing on fostering an understanding of the needs of PWD
within HEIs using a qualitative approach through in-depth interviews. Five participants were
selected, including academic faculty who work closely with PWD students and PWD students
from various disability categories, such as visual and auditory impairments. The findings indicate
that the ability of academic staff in HEIs is perceived as limited due to insufficient knowledge
of teaching practices. Additionally, the lack of necessary resources and support for PWD students
poses significant challenges for academic staff. Consequently, the study explores the challenges and
responsibilities of educators in incorporating specialized education into higher education. Addressing
these challenges is crucial in strengthening intervention efforts and promoting inclusive discussions
aimed at raising awareness of PWD issues in society.
تطوير أداء مديري إدارات التدريب التربوي في المملكة العربية السعودية في ضوء إدارة الابتكار
Authors: أ. سعيد عبدالله محمد الشهراني  , د. طارق محمد الثويني  
Published: December 2024

هدفت الدراسة إلى التعرف على واقع ممارسات مديري إدارات التدريب التربوي في المملكة العربية السعودية لأبعاد إدارة الابتكار، والكشف عن معوقات تطوير ممارسات مديري إدارات التدريب التربوي في المملكة العربية السعودية لأبعاد إدارة الابتكار. وتنتمي هذه الدراسة إلى نمط الدراسات الوصفية والتي اعتمدت على المنهج الوصفي التحليلي لجميع أفراد مجتمع الدراسة المتمثل في مديري ومديرات إدارات التدريب التربوي والذي بلغ عددهم (94) فرداً منهم (47) مدير لإدارات التدريب التربوي بنين، و (47) مديرة لإدارات التدريب التربوي بنات بالمملكة العربية السعودية. وقد توصلت الدارسة إلى العديد من النتائج أبرزها: أن من أهم أساليب بناء ونشر ثقافة الابتكار داخل إدارة التدريب هي استخدام وسائل تقنية حديثة للاتصال بين العاملين، وإشراك العاملين في عملية صنع القرارات الإدارية لتعزيز قيم الانتماء والحوار مع العاملين. كما أظهرت نتائج الدراسة أيضاً أن من أهم أساليب تحفيز وتشجيع منسوبي إدارات التدريب التربوي لأداء مهامهم هي التشجيع على العمل الجماعي والتعاون بين الافراد، وكسب ولاء العاملين. فيما تمثلت طرق المحافظة على المبدعين والمبتكرين من خلال إشراك الكفاءات من منسوبيهم في تطوير برامج التنمية المهنية، وتحفيز منسوبيهم من خلال منحهم فرص الترشح لمناصب قيادية أعلى. كما بينت نتائج الدراسة أيضاً أن من أهم معوقات تطوير ممارسات مديري إدارات التدريب التربوي في المملكة العربية السعودية لأبعاد إدارة الابتكار هي نقص التمويل والموارد المالية الذي يحد من الابتكار وفعاليته. وقد أوصت الدراسة بضرورة تطوير النظام في إدارات التدريب التربوي للمواءمة بين العمل الفعلي للمتدرب والبرامج التدريبية المرشح لها، من خلال التعرف على مهام المتدربين الفعلية بالوظيفة، وتقديم برامج تدريبية وفق الاحتياج الفعلي وبما يتوافق مع قدراتهم ومهاراتهم.
تجارب الجامعات السعودية في تبني الشهادات الاحترافية والتحديات التي تواجهها
Authors: ندى علي الاسمري  , د. نهى فهد الطويرق  
Published: December 2024

يهدف هذا البحث إلى تحليل تجربة الجامعات السعودية في تبني الشهادات الاحترافية في التعليم والتدريب الإلكتروني، مثل شهادة التدريب على التعليم الإلكتروني (OTT)، شهادة تصميم تجربة التعلم الإلكتروني (eLXD)، وشهادة ضبط جودة التعليم الإلكتروني (eLQA). تمحورت الدراسة حول التعرف على الخطط الاستراتيجية والممارسات العملية التي اعتمدتها الجامعات السعودية لتنفيذ تقديم هذه الشهادات، إضافة إلى تحديد الممكنات و المعيقات التي واجهتها الجامعات خلال مرحلة التنفيذ. كما تم تسليط الضوء على دور المركز الوطني للتعليم الإلكتروني في دعم عملية التبني لضمان التوافق مع معايير الجودة الوطنية. اعتمد البحث على المنهج النوعي باستخدام دراسة الحالة، حيث تم جمع البيانات من مقابلات شبه مقننة مع ثمانية مشاركين تم اختيارهم من جامعتين سعوديتين حكوميتين والمركز الوطني للتعليم الإلكتروني. أظهرت النتائج تقديم الشهادات الاحترافية يتطلب تعاون مثمر بين المركز الوطني للتعليم الالكتروني مع الجامعات المشاركة يتمثل في وضع الخطط الاستراتيجية للحصول على التراخيص اللازمة يليها تصميم البرامج بناء علي معايير الجودة المعتمدة والحصول على الاعتماد من قبل المركز، ثم يبدأ التنفيذ و التقويم المستمر. وجود دعم فني، ارشادي، و تربوي منذ بدء التخطيط انتهاء بعملية التنفيذ و التقويم كان احد الممكنات الرئيسية التي ساهمت الجامعات للوصول الى المخرجات المرجوة. بناءً على هذه النتائج، قدم البحث توصيات لتحسين استراتيجيات تطبيق الشهادات الاحترافية، مع التأكيد على أهمية تقديم تدريب مستمر ودعم تقني لضمان الاستفادة القصوى من هذه المبادرات.
FREQUENCY OF INSOMNIA AND ITS ASSOCIATION WITH ACADEMIC PERFORMANCE AMONG MEDICAL AND DENTAL STUDENTS
Authors: Hassan Muhammad , Shahjehan Shabnam , Mustafa Adeela , Ibrahim Syed Muhammad , Tu Zara Huma Fatima , Karim Aalia , Yasir Muhammad 
Published: December 2024

Objectives: To determine the frequency of insomnia among medical students and to assess the effects of insomnia on the academic performance of medical and dental students.Materials and Methods: A descriptive cross-sectional study was performed on medical and dental students of Peshawar, after obtaining approval from IREB. A simple random sampling technique was used to collect data through questionnaires distributed among students. The calculated sample size was approximately 153, determined using the WHO sample size formula. Selection criteria included medical and dental students, both males and females aged 18 to 25 years who were willing to participate. Data was collected using the Sleep Quality Scale, an item of question assessing academic performance, and a demographic information sheet. Data was stratified in different age groups and by gender. As variables in our study were qualitative so chi-square test was applied to fi nd the association between qualitative variables. A p value of P<0.05 was considered significant.Results: In this study,153 students were enrolled. Out of these 37% were females and 62% were males.Prevalence was found to be 46%. 92% of participants were in the age range of 21 to 23 years. The prevalence of poor-quality sleep was 18% among medical and dental students while 54% rated their sleep quality as good even after sleeping for 5 to 6 hours at night. 53% of participants took 15-30 minutes to fall asleep and 41% of participants usually got up around 10 am during the past month. A signifi cant association p< 0.05 was found between Pittsburg sleep quality index and academic performance with a P-value of 0.04. Conclusion: From the result of our study, it was concluded that Insomnia or bad sleep quality effects the academic performance of medical and dental students.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PENGOBATAN HIPERTENSI PADA LANSIA DI WILAYAH KERJA PUSKESMAS KOTA TENGAH, KOTA GORONTALO
Authors: Lasanuddin Hamna Vonny , Febriyona Rona , Hunowu Sri Yulian , Mohamad Fajri Alvionita 
Published: December 2024

Background: Hypertension or high blood pressure is one of the major health problems affecting the global community, especially the elderly. Compliance is a term used to describe the behavior of the elderly when taking medication correctly in the right dose, frequency, and time. The purpose of this study was to determine the factors related to Hypertension Treatment Compliance in the Elderly at health center, Gorontalo City.Method: This research method is a quantitative study, an analytical survey research method with a cross-sectional approach. The population in this study was 145 elderly people in the working area of the Kota Tengah City Health Center, Gorontalo City, and a sample of 59.Results: The results of the study showed that family support with medication compliance had a chi-square with p value 0.001, motivation with medication compliance had a chi-square with p value 0.004, and between health services and medication compliance had a chi-square with p value 0.000, where the third factor had a value of <0.05, so Ha was accepted.Conclusion: There is a relationship between family support, motivation, and health services with medication in the elderly. Keywords: Hypertension Medication Compliance, Elderly, Family Support, Motivation, Health Services
Câncer de mama no Brasil: um estudo sobre os impactos dos programas de rastreamento na atenção primária
Authors: Pinheiro de Andrade Gabrielle , Martinussi Leticia , Stefanello Palaoro Gabriela , Santos da Rocha Antony , Lopes do Vale Janaina , Bernardes da Silva Dantas Eduarda , Oliveira Martins Jade , Alencar dos Santos Adler , Kin Obuti Kato Eduardo , Martins Olsen Valentina , Souza Dias Emanuele , Brazzolino Porto Renon Carvalho Luana , Dos Santos Nepomoceno Vitória , Maria Arantes Vieira Ângela 
Published: December 2024

O câncer de mama é uma neoplasia maligna que se origina no tecido mamário e é caracterizado pela proliferação desordenada e desregulada de células epiteliais. De acordo com a Organização Mundial da Saúde (OMS), o câncer de mama é o tipo de câncer mais comum entre as mulheres em todo o mundo e também no Brasil. Sua alta incidência e prevalência tornaram-no um dos principais desafios de saúde pública no país, destacando a necessidade de estratégias eficazes para sua detecção precoce e manejo. No Brasil, a estimativa do Instituto Nacional de Câncer (INCA) é de que, em 2024, ocorram mais de 70 mil novos casos de câncer de mama, com uma taxa de mortalidade também elevada, refletindo um grande impacto social e econômico. Este estudo visa aprofundar a compreensão dos fatores que influenciam o sucesso ou fracasso dessas iniciativas, bem como propor soluções práticas que possam melhorar a detecção precoce e, consequentemente, reduzir os índices de mortalidade e morbidade relacionadas ao câncer de mama. Trata-se de uma revisão sistemática da literatura, a qual investigou sobre o rastreamento do câncer de mama no Brasil, pela coleta de dados nas plataformas PubMed, LILACS, Periódicos CAPES, EMBASE e Scielo. Assim, a análise dos estudos revisados revela que a detecção precoce do câncer de mama no Brasil, especialmente no contexto da Atenção Primária à Saúde (APS), enfrenta uma série de desafios e limitações que comprometem a eficácia das políticas públicas e a adesão das mulheres ao rastreamento. A implementação da mamografia, apesar de apresentar boas taxas de cobertura em algumas regiões, ainda encontra barreiras significativas, principalmente no acesso à Atenção Especializada (AE), com taxas de detecção do câncer relativamente baixas, o que sugere deficiências no processo de diagnóstico e encaminhamento.
PENGARUH KOMITMEN ORGANISASI DAN RELIGIUSITAS TERHADAP ORGANIZATIONAL CITIZENSHIP BEHAVIOR PADA PEGAWAI SATUAN POLISI PAMONG PRAJA KABUPATEN BANYUMAS
Authors: Diah Ayu Prawesti K  , Retno Dwiyanti  , Ugung Dwi Ario Wibowo  , Dyah Astorini Wulandari  
Published: December 2024

Organisasi kini mencari sikap pegawai yang mencakup bukan hanya perilaku dalam pekerjaan, melainkan perilaku ekstra-peran (extra-role) yang dimana perilaku tersebut adalah perilaku sukarela dari seorang pegawai untuk melaksanakan tugas diluar tugasnya demi kemajuan organisasi. Tujuan penelitian ini yakni untuk megetahui pengaruh komitmen organisasi dan religiusitas terhadap organizational citizenship behavior pada satuan polisi pamong praja di Purwokerto. penelitian ini menggunakan teknik pengambilan sampel simple random sampling pada 138 pegawai satuan polisi pamong praja di Purwokerto, Jawa Tengah. Alat ukur yang digunakan dalam penelitian ini ada 3 yakni skala organizational citizenship behavior, skala komitmen organisasi, dan skala religiusitas yang dimodifikasi dari aspek-aspek yang ada pada setiap variabel. Adapun hasil uji reliabilitas pada skala organizational citizenship behavior diperoleh alpha cronbach’s sebesar 0,887. Pada skala komitmen organisasi diperoleh alpha cronbach’s sebesar 0,820. Kemudian pada skala religiusitas diperoleh alpha cronbach’s sebesar 0,800. Pada hasil keseluruhan bahwa nilai perhitungan statistik sebesar (Fhitung = 124,083, thitung = 7,772, sig (p) = 0,000 (p<0,05), dengan hasil koefisien determinasi menunjukkan Rsquare sebesar 0,648. Menunjukkan bahwa komitmen organisasi dan religiusitas memberikan sumbangan efektif sebesar 64,8% terhadap organizational citizenship behavior sedangkan 35,2% merupakan sumbangan dari faktor lainnya, di luar faktor yang teliti.
Modern organizations seek employees who not only exhibit job-related behaviors but also engage in extra-role behaviors, which are voluntary actions performed by employees beyond their formal duties to advance the organization. This study aims to examine the effects of organizational commitment and religiosity on organizational citizenship behavior (OCB) among employees of the Civil Service Police Unit (Satpol PP) in Purwokerto. This study employed simple random sampling to select a sample of 138 employees from the Satpol PP in Purwokerto, Central Java. Three measurement scales were used in the research: organizational citizenship behavior, organizational commitment, and religiosity scales, all modified from existing aspects of each variable. The reliability tests yielded Cronbach's alpha values of 0.887 for the OCB scale, 0.820 for the organizational commitment scale, and 0.800 for the religiosity scale. The statistical analysis results showed a significant effect, with F-value = 124.083, t-value = 7.772, and significance (p) = 0.000 (p 0.05). The coefficient of determination (R-square) was 0.648, indicating that organizational commitment and religiosity contribute effectively by 64.8% to organizational citizenship behavior. In comparison, the remaining 35.2% is affected by other factors not examined in this study.
La proportionnalité en éthique des soins
Authors: Cléro Jean-Pierre 
Published: December 2024

Nous nous proposons d'analyser la notion de proportionnalité, comme une sorte d'analogie. Sans doute, les mathématiques peuvent-elles, sur des modes variés, nous permettre de donner forme à cette notion et n'y a-t-il pas d'éthique de la proportion sans elles. En particulier, il paraît important d'essayer de fabriquer des « espaces éthiques » avec des notions telles que : équivalence, équilibre, proximité, distance, symétrie, dissymétrie ; et des notions assez semblables de logique du temps. Mais les mathématiques ne sauraient suffire par elles-mêmes à déterminer ce qui est juste. Dès lors, comment fonctionne la normativité qu'enferme la proportionnalité ? Y a-t-il une rationalité de la proportionnalité ? comme norme ?
Unilateral or Bilateral Laparoscopic Ovarian Drilling in Polycystic Ovary Syndrome: A Meta-analysis of Randomized Trials
Authors: Zakerinasab Faezeh , Behfar Qumars , Al Saraireh Taif Haitham , Naziri Mahdyieh , Yaghoobpoor Shirin , Deravi Niloofar , Khademi Reza , Mojeni Fariba Arbab 
Published: December 2024

Abstract

Objectives:
On the first line of polycystic ovary syndrome (PCOS) treatment, ovulation with clomiphene citrate (CC) is induced. However, 25% of patients need alternative therapy. Laparoscopic ovarian drilling (LOD) can result in successive ovulations and is not linked to ovarian hyperstimulation. In this systematic review and meta-analysis, we aimed to consider the efficacy of unilateral LOD (ULOD) versus bilateral LOD (BLOD) for enhancing fertility and improving fertility outcomes in women with CC-resistant.

Materials and Methods:
A comprehensive literature search was conducted up to July 15, 2023, to identify relevant randomized controlled trials in PubMed, Scopus, Google Scholar, and Cochrane Library databases. Thirteen articles were included in the meta-analysis. After data extraction, we performed a meta-analysis.

Results:
As the main unit of analysis for each variable, the standardized mean difference was used between the two groups. The random effects model was used for analysis and heterogeneity was assessed by I
2 statistics. Publication bias was inspected through funnel plots and Begg’s and Egger’s regression tests. The included studies were divided into two general categories. In the first category, surgical treatment of LOD was compared with other treatments. Whereas, in the other category, ULOD was compared with BLOD.

Conclusion:
In summary, this meta-analysis did not find a significant difference in the rate of ovulation, pregnancy, miscarriage, and live birth between the two groups. However, LOD could cause damage to the ovarian reserve, but it has long-term effects on improving the menstrual cycle and reproduction. In general, LOD is a significant method for the treatment of infertility in PCOS, which needs further investigation.
Effect of Mind Sound Resonance Technique on Pulmonary Function and Smoking Behavior among Smokers – A Prospective Randomized Control Trial
Authors: Girishankara K. S. Moodala , Shetty Shivaprasad , Ramaswamy Krithika A. , Shetty Prashanth 
Published: December 2024

Background:
Smoking is one of the leading causes of death in the world, and the respiratory tract is the major body system affected by smoking. Yoga has shown promising effects in improving lung function in previous studies. Mind sound resonance technique (MSRT) is one of the Yoga-based relaxation techniques, which improves internal awareness and reduces impulsivity.

Aim:
Hence, we aimed to assess the efficacy of MSRT on pulmonary function and smoking behavior among smokers.

Methodology:
A total of 197 subjects were screened among whom 80 were recruited and randomly allocated (1:1) to a study group (SG) (n = 40) who received 10 days of 25-min MSRT intervention and a control group (CG) (n = 40) who received health education during the same period. Baseline assessment was taken before intervention for both the groups. Pulmonary function was assessed by spirometry. All subjects were administered the Smoking Abstinence Self-Efficacy Questionnaire (SASEQ) to assess the motivation to quit smoking, the Minnesota Tobacco Withdrawal Scale-Revised (MTWS) to assess withdrawal symptoms on smoking cessation, and the Questionnaire of Smoking Urges to evaluate the urge to smoke, before and after the 10-day intervention. The data were analyzed based on the intention-to-treat principle.

Results:
There were no baseline differences across all parameters between the two groups. There was a statistically significant change in all pulmonary function variables including FVC (P < 0.001), FEV1 (P < 0.001), FEV1/FVC ratio (P < 0.05), forced expiratory flow 25%–75% (P < 0.001), peak expiratory flow rate (P < 0.001), and breath-holding time (P < 0.001) both within the SG and when compared to the CG. Within the CG, only FEV1 (P = 0.002) showed a significant change when compared to baseline. Within-group comparison showed a significant change in all the domains of SASEQ (P < 0.001) and few of the domains of MTWS-Revised (P < 0.001) and Questionnaire of Smoking Urges (P < 0.001) in both the groups. Between-group comparison showed a statistically significant difference in all three smoking behavior assessments in the SG when compared to the CG after 10 days of intervention.

Conclusion:
The practice of MSRT might help in improving the lung function and also reduce the withdrawal symptoms, craving, urge, and negative affect among smokers. Hence, it can be explored as a low-cost, easy to self-administer, and adjuvant intervention in aiding smoking cessation among smokers.
Trataka: A Promising Intervention to Reduce Anxiety in Children? A Randomized Controlled Trial with Cognitive and Electrodermal Measures
Authors: Pandya Parth Rajesh 
Published: December 2024

Background:
One in five children suffers crippling dental anxiety, and traditional calming methods often fall short. Trataka, an ancient yogic technique, offers a powerful new approach to manage this anxiety.

Objective:
The objective is to investigate whether Trataka practice is more effective than relaxation techniques in reducing anxiety in children undergoing dental procedures.

Methodology:
A two-arm, parallel-group, randomized controlled trial was conducted with 120 children aged 8–11 years requiring local anesthesia for dental procedures. Participants were randomized to either a Trataka group (n = 60) or a relaxation techniques group (n = 60). Both groups received 4 weeks of training on their assigned intervention. The primary outcome was anxiety level measured by the Mood and Anxiety Symptom Questionnaire (MASQ) administered pre- and postintervention. Secondary outcomes included electro-dermal activity (EDA) test results and the Stroop Colour Word Test (SCWT), both performed pre- and postintervention, and observed anxiety-related behaviors during procedures.

Results:
Children in the Trataka group exhibited a significantly greater reduction in anxiety compared to the relaxation techniques group, as measured by the MASQ score (P < 0.001) and lower EDA response during the SCWT (P < 0.01). The Trataka group also displayed fewer observed anxiety-related behaviors during procedures (P < 0.001).

Conclusions:
The findings suggest that Trataka may be more effective than relaxation techniques in reducing anxiety in children undergoing dental procedures.
Yoga Therapy Attenuates the Progression of Diabetes – Insights from Proteomics and Metabolomics Analysis
Authors: Sonwane Babasaheb P. , Raut Pooja , Chitalkar Jyotsna , Godbole Smita , Sabnis Shanta , Gupta Jyoti , Santhakumari B. , Deshpande Mukund V. , Kulkarni Mahesh J. 
Published: December 2024

Objective:
Diabetes management remains challenging despite advancements in therapeutics, with many subjects developing complications. Yoga has been shown to aid diabetes management. This study investigates the impact of yoga therapy on diabetes progression, utilizing proteomics and metabolomics analyses to explore underlying molecular mechanisms.

Methodology:
A 3-month longitudinal study involving healthy subjects with prediabetes and diabetes was conducted. Blood glucose, glycated hemoglobin (HbA1c), lipid profile, and malondialdehyde (MDA) levels were measured before and after the yoga intervention.

Results and Conclusion:
Healthy subjects showed no significant changes in blood glucose, lipid profile, HbA1c, or MDA levels. However, subjects with prediabetes and diabetes experienced positive changes, with decreases in HbA1c and MDA levels. Proteomics and metabolomics analyses provided insights into the molecular mechanisms by which yoga attenuates diabetes progression in subjects with prediabetes and diabetes. This study is a pioneering effort to understand the molecular basis of yoga’s beneficial effects on diabetes management.