bluuebunny/crossref_metadata_2025_split huggingface dataset:
Ovarian cyst mimicking acute appendicitis in children: a case report
Authors: Noor Hafni Zuchra , Wahyuni Alfaina , Retnowati Sulistiari 
Published: October 2024

Pediatric acute appendicitis is common; however, it is different from torsion ovarian cysts. The estimated incidence of ovarian torsion in children is 5 per 100,000 girls. Herein, we report two cases of ovarian torsion mimicking pediatric acute appendicitis mimicking ovarian cyst. In the first case, a girl who was being assessed for acute appendicitis was identified to have torsion of the ovarian cyst during the surgery. In the second case, a girl experienced a ruptured ovarian cyst but then got severe appendicitis following the surgical procedure. The simultaneous occurrence of appendicitis and ovarian cysts is rare. These two patients' acute gastrointestinal complaints and symptoms exhibit similarities and may coincide. Both patients underwent salpingo-oopherectomy and appendectomy. Both patients were healthy on hospital discharge in a healthy condition. Female patients with severe abdominal pain and amenorrhea should be evaluated for ovarian torsion. Diagnosing the condition may be challenging due to non-specific clinical signs.
World Health Organization Guidance on Health Practitioner Regulation: An Overview
Authors: Badr Elsheikh , Bealchew Ruth Nigatu , Benton David , Carzaniga Antonia , Das Jishnu , Dexter Mark , Fletcher Martin , Gariépy André , Kleiner Morris , Oywer Elizabeth , Rumsey Michele , Saks Mike , Sawadogo Natéwindé , Simeon Joan , Wafula Francis 
Published: October 2024

ABSTRACT:
The World Health Organization has released its first comprehensive Guidance document on health practitioner regulation, addressing a critical gap in global health policy. This Commentary provides an overview of the Guidance, which aims to support countries in strengthening their regulatory systems for health practitioners. The Guidance, developed through a rigorous process involving a literature review and expert consultation, covers a broad range of health practitioners and focuses on optimizing their utilization to meet population health needs. Key highlights include the description of the global regulatory landscape, identification of regulatory challenges in all societies, and policy considerations to realize dynamic, effective, and agile regulation. The COVID-19 pandemic is cited as an important example of a catalyst for regulatory reforms that enhanced workforce availability and access. This paper, co-authored by members of the World Health Organization Technical Expert Group, emphasizes the importance of aligning regulatory systems with broader health workforce and system priorities, adopting a risk-based approach, and addressing implementation gaps. It encourages policymakers, regulators, and researchers to use the Guidance to assess and update their regulatory systems and to generate more robust evidence on the impact of health practitioner regulation on health outcomes.
INFLUENCE OF POPULATION GROWTH, INFLATION AND HUMAN DEVELOPMENT INDEX ON ECONOMIC GROWTH AND POVERTY
Authors: Satria Wisnu , Fachrurrozi Kamal , Kadri Mirzatul , Mubarak Muhammad Syahrul 
Published: October 2024

This study aims to analyze and find out the influence of population growth inflation and the human development index on economic growth and the number of poor people in East Kalimantan Province. The analysis tool used is path analysis. The data used is secondary data from 2013-2022. The results of the analysis of path 1. Population growth has a positive and insignificant effect on economic growth, inflation has a negative and insignificant effect on economic growth, and the human development index has a positive and significant effect on economic growth in East Kalimantan Province. The results of the analysis of path 2. Population growth negatively and significantly affects the number of poor people, inflation has a positive and insignificant effect, and the human development index negatively and significantly affects the number of poor people, as well as economic growth, has a positive and significant effect on the number of poor people in East Kalimantan Province. Population growth and the human development index have a positive and insignificant effect on the number of poor people through economic growth, while inflation has a negative and insignificant effect on the number of poor people through economic growth in East Kalimantan Province. The effect of total inflation and economic growth is positive and un-negating on the number of poor people, population growth and human development index are negative and insignificant on the number of poor people in East Kalimantan Province.
Współczesna apokalipsa Ludmiły Ulickiej. O symbolice i wymiarze mądrościowym cyklu opowiadań "Шестью семь" („Sześć po siedem")
Authors: Sidor Monika 
Published: October 2024

Artykuł przedstawia analizę najnowszego dzieła Ludmiły Ulickiej z punktu widzenia poetyki kognitywnej, uwzględniającej warunki wydania książki, sytuację pierwszego spotkania odbiorców z cyklem Sześć po siedem oraz skojarzenia związane z obecną działalnością autorki. Ulicka należy do grona najbardziej rozpoznawalnych autorów współczesnej literatury rosyjskiej, a jej emigracja z państwa, które rozpoczęło wojnę, postrzegana jest jako deklaracja polityczna i moralna. Pociągnęło to za sobą nowe sposoby lektury dzieł opublikowanych przez pisarkę po opuszczeniu Rosji. W artykule symbolika zawarta w fabule opowiadań oraz struktura całego cyklu stanowią podstawę interpretacji sugerowanego w utworze sensu apokaliptycznego. Autorka opracowania stwierdza, że specyficzna narracja, przypominająca koncepcję „czułego narratora” Olgi Tokarczuk i zawierająca cechy bliskie wschodniej tradycji literatury mądrościowej, nieoczekiwanie wzmacnia pozytywny przekaz dzieła. Tym samym apokaliptyczna wizja przedstawiona w ostatniej części cyklu Ulickiej otwiera się na perspektywę wieczności i zakłada oczekiwanie na zbawienie.
Moda rápida y sostenibilidad: ¿un cambio de paradigma en marketing o una mera estrategia de greenwashing?
Authors: Alonso-Mosquera María-Henar , Sanz-Martín Marina , Rodríguez-Laiz Javier 
Published: October 2024

Introducción: Las empresas están cada vez más orientadas a gestionar su impacto en el medio ambiente y la sociedad, a través de estrategias responsables. La sostenibilidad se ha vuelto clave, aunque los consumidores no siempre valoran tanto como aseguran esta tendencia. La moda rápida, un sector especialmente contaminante, a menudo utiliza greenwashing para mejorar su imagen sin un compromiso real. Este estudio analiza cómo Zara, Mango y Springfield comunican su sostenibilidad en Instagram, y la interacción del público con estas publicaciones. Metodología: se ha realizado un análisis de contenido de las publicaciones de las tres marcas durante el mes de mayo de 2024 para medir la presencia de sus actividades de RSC en los contenidos difundidos, y el impacto de estos en sus seguidores. Resultados: Las publicaciones en Instagram de las marcas estudiadas respecto a sus esfuerzos en sostenibilidad son prácticamente inexistentes. Se verifica un desajuste entre las declaraciones y acciones en páginas web y en tiendas físicas con su forma de actuar en esta red social. Su uso, en este caso se limita a conseguir objetivos de posicionamiento e imagen o, simplemente, promoción y venta de producto.
El factor humano y la calidad de la loseta cerámica. Estudio de caso. Zacatecas, México
Authors: Pérez Veyna Oscar , Avelar Llamas Zayra Jovita 
Published: October 2024

Introducción: Calidad es un concepto frecuente en el ámbito administrativo. Se estima que el factor humano incide en la calidad de un producto, servicio o proceso. Objetivo: indagar las variables del factor humano (tangible e intangible) que inciden en la calidad final de la loseta cerámica de la organización manufacturera (Cesantoni) ubicada en Zacatecas, México. Metodología: Para el tangible se tomaron registros durante 56 meses; para el intangible, se aplicó una encuesta de eficiencia organizacional (EFO, Fernández-Ríos, 1997) a mandos medios y gerenciales(n=63). Resultados: Los trabajadores activos, incapacidades por riesgo de trabajo, desvinculaciones, horas extras y conflictos, fueron variables tangibles que inciden en la calidad. La formación y desarrollo de los miembros, sueldos y salarios, participación y habilidades interpersonales fueron las intangibles que inciden en la calidad de la loseta. Discusión: Se puso atención en el factor humano por lo complejo de la respuesta de los trabajadores al sistema de compensación, pero también por el contexto en el que se ubica la organización. Conclusiones: El adiestramiento puede incidir de manera positiva en la gestión de: ausentismo, incapacidades por enfermedad y riesgo de trabajo; lo anterior coincide con lo planteado por Batra (2002) y Tant y López (2003).
Pengaruh Penambahan Transformator Sisip pada Trafo Distribusi 200 kVA Kayu Merah Kabupaten Fakfak
Authors: Yulianto La Elo  , Lembang Naomi , Tianotak Siti 
Published: October 2024

Permasalahan ketenagalistrikan di Kabupaten Fakfak bukan hanya terjadi oleh akibat terbatasnya pasokan listrik yang disalurkan oleh PLN, namun juga terjadi akibat proses distribusi listrik ke Masyarakat. Salah satu masalah yang seringkali terjadi adalah presentasi penggunaan tranformator yang telah melebihi dari ketentuan PLN yang mana pembebanan normal transformator adalah 60 % - 80%. Penyulang Danaweria merupakan salah satu penyulang yang seringkali mendapat keluhan dari konsumen Listrik PLN di Kabupaten Fakfak dimana sampai mengakibatkan terjadinya pemadaman listrik oleh PLN. Jika hal ini terus dibiarkan, maka tentu akan mengakibatkan kerusakan pada gardu distribusi yang akan merugikan pihak PLN sebagai penyedia dan masyarakat sebagai konsumen listrik. Melalui pemasangan transformator sisipan, diharapkan dapat mengurangi beban pada gardu distribusi dengan memindahkan beban ke gardu sisipan. Dalam penelitian ini akan mengkaji terkait pemasangan transformator sisipan untuk mengurangi beban pada gardu distribusi FFK 058, 200kVA Penyulang Danaweria di PT. PLN (Persero) ULP Fakfak, dengan memindahkan sebagian beban ke transformator sisipan 100 kVA. Setelah pemasangan trafo sisipan, beban puncak siang hari dari trafo FFK 058, 200 kVA diperoleh presentase pembebanan sebesar 35,4% dari sebelumnya sebesar 61,07%. Sedangkan pada malam hari, presentase pembebanan sebesar 55,7 % dari sebelumnya 98,23%. Hasil tersebut menunjukan presentasi pembebanan dalam keadaan normal sesuai ketentuan PLN
ANALISA ANTRIAN PELAYANAN KESEHATAN PADA POLI UMUM PUSKESMAS X KOTA DUMAI DENGAN SIMULASI PROMODEL
Authors: Azmi  , Wetri Febrina  , Elisa Hafrida  , Trisna Mesra  , Fitra Fitra 
Published: October 2024

Penelitian ini bertujuan untuk menganalisis sistem antrian dan kinerja pelayanan kesehatan di Puskesmas X Kota Dumai dengan menggunakan simulasi komputer melalui Software Promodel. Fokus utama adalah pada loket pendaftaran, poli umum, dan tempat pengambilan obat, yang sering mengalami antrian panjang dan menjadi indikator penting dalam menilai kualitas layanan. Metodologi penelitian berorientasi pada pengembangan dan analisis sistem dengan menggunakan simulasi karena fluktuatifnya jumlah pasien yang datang setiap harinya, begitu pula dengan waktu pelayanan yang bervariasi untuk setiap pasien. Hasil simulasi menunjukkan bahwa waktu kedatangan pasien dan waktu pelayanan di setiap lokasi memiliki dampak signifikan terhadap durasi antrian dan kepuasan pasien. Berdasarkan hasil simulasi, ditemukan bahwa loket pendaftaran dan apotek merupakan dua area kritis yang memerlukan evaluasi dan peningkatan kinerja. Khususnya, disarankan penambahan satu petugas di loket pendaftaran dan satu petugas di apotek untuk mengurangi waktu tunggu dan meningkatkan efisiensi layanan.

Kata kunci: Antrian, Promodel, Puskesmas
Building An Android-Based Application For Teenage Women's Reproductive Health Education
Authors: Kusumaningrum Hesti , Herawati Dewi Marhaeni , Susiarno Hadi 
Published: October 2024

Background: Improper nutritional intake during adolescence can cause health problems, such as: impaired physical growth, increased risk of iron deficiency (Iron Deficiency Anemia), decreased intellectual capacity, impaired bone health, impaired sexual organ function, impaired concentration and performance at school, eating disorders and obesity, as well as malnutrition, but teenagers' knowledge about nutrition is very limited. Teenagers easily adapt to digital literacy. Providing digital interventions can have a positive impact on various aspects of health so that efforts to empower teenagers through increasing health promotion and early detection of adolescent health problems digitally are growing rapidly. Aim: The aim of this research is to explore the needs of young women for Android-based nutritional and reproductive health educational applications. Method: The qualitative research method is in-depth interviews via the Zoom application, WhatsApp video call, or WhatsApp voice call. Result: The results of qualitative research show that young women prefer educational media that is easy and fast in providing health information so that educational efforts via smartphones, namely Android-based applications, are an effective solution in providing precise and accurate information about nutritional intake and reproductive health. Keywords: Reproductive Health, Young Women, Application
Measurement and Analysis of the Relationship between General Revenues and Imbalance in Iraq's Export Structure For duration (2004-2021)
Authors: Muhammad Abdel Ghani  * Saja , Jabr Ashoor Ehsan 
Published: October 2024

The Iraqi economy relies primarily on oil exports to achieve necessary financial surpluses in order to finance economic and social development plans. Capital imports also contribute to improving the productive capacity of all sectors that directly or indirectly contribute to the country's economic growth if they actually exist. These imports, represented by the equipment and machinery necessary for building and developing infrastructure in Iraq, which cannot be provided except through foreign trade, make Iraq closely connected to broad economic relationships with most of the developed world economies. Oil revenues have had a positive impact on the general budget situation. However, on the other hand, the lack of a productive base has led to the leakage of revenues towards imports to meet domestic demand, resulting in an imbalance in the overall export structure. Moreover the research objective was to identify the relative importance of total exports in Iraq and how they are affected by oil revenues during the period 2004-2021. The hypothesis is fiscal policy has led to a disruption in the structure of Iraq's exports. And one of the most important result that appeared general revenues depend to a large extent on oil revenues compared to other revenues (non-oil), which means that the Iraqi economy is considered one-sided. With the weakness of revenues achieved from productive sectors (industry and agriculture) as well as weak tax revenues, this leads to an imbalance in the structure of the trade balance, evident through the dominance of oil exports over total exports in the country.

Paper type: Research paper.
Generación renovable eólica y fotovoltaica en Ecuador: Una revisión sistemática de literatura
Authors: Bautista Santiago 
Published: October 2024

INTRODUCTION. Photovoltaic and wind renewable generation has grown exponentially in recent years worldwide, in Ecuador this technology has not been the exception, as several photovoltaic and wind power plants have been installed, increasing the generation of renewable energy. OBJECTIVE. This article presents a systematic review of the literature on operational photovoltaic and wind power plants in Ecuador, offering a perspective on the renewable sources connected to the national energy system. METHOD. Through a bibliographic search in the Scopus database, 8 publications were obtained that met the eligibility criteria, in addition to reports issued by government entities, to ensure that the information and technical aspects are accurate. RESULTS. The documentary analysis allows us to know the current status of photovoltaic and wind power plants, identifying their installed capacity, technology used, and operational characteristics. DISCUSSION AND CONCLUSIONS. The information collected provides a solid basis for understanding the current status and development prospects of photovoltaic and wind power generation in Ecuador. Despite certain limitations related to the availability of data in open sources, it was possible to obtain significant information on the main renewable plants in the country. These results serve as a basis for future research aimed at the expansion and optimization of renewable energies in the national context..
Survival of white clover rhizobium isolate S11N9 in different delivery systems: assessment of potential for commercialisation
Authors: Shi Shengjing , Villamizar Laura , Barrett Elissa , Caradus John , O'Callaghan Maureen 
Published: October 2024

New Zealand pastoral farmers benefit from N2 fixed by the white clover-rhizobium symbiosis, but rhizobia isolates vary widely in their N-fixation ability. Rhizobium leguminosarum S11N9, isolated in NZ, outperforms the current commercial isolate TA1 in laboratory, glasshouse, and field trials. This study investigated production and shelf-life of S11N9 to establish its feasibility as a potential new rhizobium inoculant for white clover. Freeze dried and peat inoculants were prepared for both the S11N9 and TA1 rhizobia. s. Peat inoculants were subsequently formulated into granules and seed coatings using AgResearch technologies. Both isolates produced similar fermentation yields. S11N9 stored as freeze-dried powder at 4 oC survived longer than TA1 (12 vs. 10 months, respectively). Similarly, S11N9 peat inoculant had a longer shelf-life than TA1 when stored at 4 °C (44.7 vs. 21.7 months, respectively) and 20 °C (17.2 vs 9.1 months, respectively). Seeds coated with S11N9 had higher initial loadings than TA1 (107 vs 106 rhizobia/g seeds, respectively) but both declined on seeds stored at 20 °C at a similar rate. Both isolates were stable in peat granules for two months at 20 °C but TA1 dropped below target specifications after three months. Results suggest that isolate S11N9 is a promising alternative to TA1 and has high potential to be developed as a commercial inoculant for white clover.
Influence of gender, age, and body mass index on the gut microbiota of individuals from South China
Authors: Li Shenghui , Fan Shao , Ma Yufang , Xia Chuan , Yan Qiulong 
Published: October 2024

BackgroundThe symbiotic gut microbiota is pivotal for human health, with its composition linked to various diseases and metabolic disorders. Despite its significance, there remains a gap in systematically evaluating how host phenotypes, such as gender, age, and body mass index (BMI), influence gut microbiota.Methodology/principal findingsWe conducted an analysis of the gut microbiota of 185 Chinese adults based on whole-metagenome shotgun sequencing of fecal samples. Our investigation focused on assessing the effects of gender, age, and BMI on gut microbiota across three levels: diversity, gene/phylogenetic composition, and functional composition. Our findings suggest that these phenotypes have a minor impact on shaping the gut microbiome compared to enterotypes, they do not correlate significantly within- or between-sample diversity. We identified a substantial number of phenotype-associated genes and metagenomic linkage groups (MLGs), indicating variations in gut microflora composition. Specifically, we observed a decline in beneficial Firmicutes microbes, such as Eubacterium, Roseburia, Faecalibacterium and Ruminococcus spp., in both older individuals and those with higher BMI, while potentially harmful microbes like Erysipelotrichaceae, Subdoligranulum and Streptococcus spp. increased with age. Additionally, Blautia and Dorea spp. were found to increase with BMI, aligning with prior research. Surprisingly, individuals who were older or overweight exhibited a lack of Bacteroidetes, a dominant phylum in the human gut microbiota that includes opportunistic pathogens, while certain species of the well-known probiotics Bifidobacterium were enriched in these groups, suggesting a complex interplay of these bacteria warranting further investigation. Regarding gender, several gender-associated MLGs from Bacteroides, Parabacteroides, Clostridium and Akkermansia were enriched in females. Functional analysis revealed a multitude of phenotype-associated KEGG orthologs (KOs).Conclusions/significanceOur study underscores the influence of gender, age, and BMI on gut metagenomes, affecting both phylogenetic and functional composition. However, further investigation is needed to elucidate the precise roles of these bacteria, including both pathogens and probiotics.
Cardioneuroablation eliminating cardiac asystole associated with area postrema syndrome: a case report and literature review
Authors: Wang EnRun , Li YuanJing , Yu Gang , Liu Gang , Deng Jiang , Wang YanFei , Yang Wei , Chen GuoDong , Zhu Dennis W. , Jia FengPeng 
Published: October 2024

BackgroundThere have been few instances of symptomatic bradycardia-arrhythmia in the context of area postrema syndrome (APS), and some of them have been implanted permanent pacemakers. Cardioneuroablation (CNA) has emerged as a viable therapy for the treatment of syncope induced by neutrally mediated bradycardia or atrioventricular block.MethodsWe report a young patient with recurrent cardiac asystole and syncope following persistent hiccups caused by neuromyelitis optica spectrum disorder (NMOSD), who successfully completed CNA treatment and avoided permanent pacemaker placement. We also summarized and analyzed 20 previously reported cases that were relevant to APS with bradyarrhythmia.ResultsIn a patient with NMOSD, CNA can efficiently and safely eradicate symptomatic bradycardia-arrhythmia. A total of 21 cases were identified in the final analysis (including our case). The average age was 51 years old and female patients accounted for 38.1%. Brady-arrhythmia was presented in all patients, and 9 patients were implanted temporary or permanent pacemakers. 4 of the 9 patients were received permanent pacing therapy because they were not weaned off pacing support after etiological treatment.ConclusionsCardiac asystole and syncope after persistent hiccups may be the first signs of APS of medullary lesions, and CNA may be a useful therapy option for these patients in experienced centers. We believe that in this scenario, CNA may be a superior therapeutic option than permanent pacemaker placement. Additionally, the statement also serves as a cautionary reminder for health care professionals to establish an association between bradyarrhythmia and APS of medullary lesions in their clinical practice.