bluuebunny/crossref_metadata_2025_split huggingface dataset:
Caracterización de una serie de casos de pacientes con diagnóstico de Osler Weber Rendu en un centro de atención en Cali, Colombia
Authors: Orjuela Quiroga Jhoan Emmanuel , Moreno Soto Karen Juliana , Montoya Juan Manuel , Aristizábal David , Orrego Soto Gloria Elena , Gómez Rigoberto 
Published: December 2024

Hereditary hemorrhagic telangiectasia or Osler-Weber-Rendu syndrome is a hereditary disease rarely caused by multisystem vascular dysplasia. It is characterized by visceral or mucocutaneous angiodysplasias in the cardiovascular system, skin, lungs, gastrointestinal tract, and brain. Initial detection is based on the Curaçao criteria. Treatment is based on support according to the ongoing manifestation. Methods: in order to characterize a case series of 13 patients diagnosed with Osler Weber Rendu in a reference medical center in the city of Cali, Colombia an active search was carried out patients diagnosed with Osler Weber Rendu between January 2010 and January 2023 in the electronic clinical history system of the Hematology clinic for and descriptive statistics were applied for the results analysis. Results: 13 patients with a diagnosis of Osler Weber Rendu were identified, most of them had involvement of the skin and gastrointestinal tract, the treatment was support and correction of iron deficiency anemia. Conclusions: There are few national epidemiological data regarding this entity. A better characterization of the population in question can encourage systematic decision-making and the creation of protocols and local consensus for timely management. The findings in this case series are similar to those reported in the world population.
Ingesta diaria de líquidos y uso de hidroxiurea en pacientes con enfermedad falciforme de un centro de referencia de Cartagena de Indias, Colombia
Authors: Iglesias Jiménez Oscar Giovanny , Sierra Merlano Rita Magola 
Published: December 2024

In sickle cell disease (SCD), fluid intake is decisive because dehydration increases the polymerization of HbS and the appearance of vaso-occlusive crisis (VOC). The use of hydroxyurea (HU) in SCD has shown an increase in survival and reduction of complications. Objectives: Compare the daily fluid intake and the use of HU independently in a population with FD with scientific recommendations, determine therapeutic compliance and difference between sexes. Methods: Cross-sectional and analytical study. Results: Men had higher fluid intake by a difference of about 0.5 L compared to women, p= 0.003. 16% of the sample ingested more than 3 liters per day. 78.5% of the sample had HU indicated and 42.2% of women and 25.8% of men used it, p= 0.09. The average fluid intake was 1.92 L/day, 1.5 liters lower than the intake recommendation for PE, p<0.05. The average dose of 14.86 mg/kg/day of the 35 patients with HU showed no statistical difference compared to the standard recommended starting dose, p= 0.88. Conclusions: Daily fluid intake was sub-optimal and constituted 54.8% of the recommended requirements. It was determined that there was underuse of HU due to lack of indication. Low fluid intake or the use of HU had no association with factors such as age, gender, education, and living area. Sex differences show a higher frequency of acute chest syndrome (ACS) and HU use in the female population with SCD, findings opposite to what has been documented in other cohorts.
AUTONOMIA DA MULHER NA ESCOLHA DE MÉTODOS CONTRACEPTIVOS: ATUAÇÃO DO ENFERMEIRO
Authors: Araujo Camilla Mello , Luz Ester Borges da , Santos Larissa Pires dos , Dias Stephany Siqueira , Souza Ana Teresa Ferreira de 
Published: December 2024

Esse estudo buscou analisar a relevância das intervenções do enfermeiro durante a consulta de enfermagem na escolha de métodos contraceptivos, sendo um estudo exploratório da bibliografia com abordagem qualitativa, apresentando resultados como evidências de que, eventualmente, os serviços e profissionais de saúde não contribuem para que os direitos reprodutivos sejam exercidos, reforçando mais uma vez a necessidade de capacitações e reciclagens profissionais. O comando da mulher sobre a própria fecundidade é considerado um dos grandes alicerces do processo de empoderamento, recaindo, consequentemente, sobre o ser feminino as decorrências de uma possível gravidez indesejável, sendo inevitável que ela assuma o compromisso da contracepção. O estudo evidencia o avanço na autonomia das mulheres na saúde sexual e reprodutiva, com destaque para o Planejamento Familiar, que amplia escolhas conscientes. Apesar disso, o machismo estrutural e a limitada oferta de métodos contraceptivos masculinos ainda sobrecarregam as mulheres. O enfermeiro desempenha um papel fundamental, oferecendo orientação sobre métodos contraceptivos, garantindo a equidade e promovendo um atendimento humanizado, especialmente para mulheres em situação de vulnerabilidade. Capacitações contínuas são essenciais para assegurar um cuidado de qualidade, estimulando a autonomia feminina e respeitando suas escolhas de forma consciente e segura.
A Self-Acceptance of Children in Conflict with the Law After Serving the Court Decision
Authors: Hendariyanto Vendy Ichwan , Suryanto Suryanto , Uktubara Ade Lily Reakid Arin , Rizkika Haressa Lintang 
Published: December 2024

Penelitan memiliki tujuan untuk mengetahui aspek-aspek penerimaan diri pada anak yang pernah berkonflik dengan hukum setelah pulang dan kembali ke masyarakat. Anak yang berkonflik dengan hukum adalah sebutan bagi anak yang sudah berusia 12 tahun hingga 18 tahun yang diduga sebagai pelaku atas tindak pidana alias tersangka. Penelitian ini menggunakan metode kualitatif deskriptif serta menggunakan pendekatan studi kasus. Informan dalam penelitian ini adalah empat orang anak berkonflik dengan hukum berusia antara 14-16 tahun dan telah menjalani putusan pengadilan. Dalam penelitian ini, metode yang digunakan adalah metode wawancara dengan menggunakan pedoman wawancara. Berdasarkan dari hasil penelitian yang dilakukan, diketahui bahwa keempat infroman memiliki penerimaan diri yang baik. karena masing-masing memiliki aspek-aspek penerimaan diri seperti: persepsi mengenai diri dan sikap terhadap penampilan, sikap terhadap kelemahan dan kekuatan diri sendiri dan orang lain, perasaan inferioritas sebagai gejala penolakan diri, respon atas penolakan dan kritikan, keseimbangan antara “reals self” dan “ideal self” penerimaan diri dan penerimaan orang lain, menuruti kehendak dan menonjolkan diri, spontanitas, dan menikmati hidup, aspek moral penerimaan diri dan sikap terhadap penerimaan diri
Optimalisasi Paket Wisata melalui Pelatihan bagi Kelompok P4S Lau Kawar di Sungai Merdeka, Samboja Barat, Kutai Kartanegara.
Authors: Rini Koen Iswandari  , M Fauzan Noor  , Sabalius Uhai  
Published: December 2024

Lau Kawar merupakan pusat pelatihan dan pedesaan Swadaya (P4S) di Sungai Merdeka, Kecamatan Samboja Barat, Kabupaten Kutai Kartanegara, Provinsi Kalimantan Timur yang memiliki lahan pertanian dan peternakan yang cukup luas. Pengabdian ini bertujuan untuk mengembangkan potensi agrowisata diwilayah tersebut melalui pelatihan pembuatan paket wisata, Pengabdian Masyarakat dilaksanakan pada bulan september 2024 dengan melibatkan pengelola dan anggota pusat pelatihan dan pedesaan Swadaya (P4S) Lau Kawar. Metode yang digunakan dalam pengabdian ini menggunakan metode ceramah, demonstrasi langsung dan tanya jawab. Dalam kegiatan pelatihan pembuatan paket wisata peserta pelatihan diberikan pengetahuan dan keterampilan dalam dalam merancang dan mengemas paket wisata yang mencakup daya tarik wisata alam, edukasi, pertanian, serta budaya lokal, sekaligus menyusun strategi pemasaran yang efektif melalui pembuatan brosur wisata. Hasil dari pengabdian ini menunjukkan peningkatan pengetahuan dan keterampilan peserta dalam mengelola dan memasarkan agrowisata, yang diharapkan dapat meningkatkan daya tarik wisata Lau Kawar dan memberikan manfaat ekonomi yang berkelanjutan bagi masyarakat setempat.
Industry Payments to Orthopaedic Surgeons: A Geospatial Analysis of the Open Payments Database
Authors: Farivar Daniel , Condron Nolan B. , Peterman Nicholas J. , Illingworth Kenneth D. , Skaggs David L. 
Published: December 2024

Introduction:
There has been an increasing demand for transparency between industry and physicians. Several studies have evaluated the distribution of payment value and types to orthopaedic surgeons, but little is known about the spending patterns from an industry-centric perspective. The purpose of this study was to describe the payment patterns of top medical device companies in orthopaedics while presenting a geospatial analysis of these trends.

Methods:
The Open Payments database was assessed for all records of industry financial relationships with orthopaedic surgeons from 2015 to 2021. Value of financial relationships was expressed on a per orthopaedic surgeon basis, with the numerator representing total value of payments and denominator representing number of orthopaedic surgeons, and was geographically analyzed according to United States Census Divisions.

Results:
Based on averages during the study period, the top 10 paying companies were (1) DePuy, (2) Zimmer Biomet, (3) Stryker Corporation, (4) Arthrex, (5) SpineFrontier, (6) Medtronic, (7) Smith and Nephew, (8) Renovis Surgical Technologies, (9) NuVasive, and (10) Paragon 28. Payments in the South Atlantic ($6,854 ± $1,265) Division were significantly greater than all other eight divisions (P < 0.001), with the next leading division being the Pacific Division ($4,114 ± $643). Five companies strongly favored one particular division, directing more than double the amount of payments to this division compared with the next leading division (SpineFrontier, 99% South Atlantic; Renovis Surgical Technologies, 81% Pacific; Paragon 28, 59% South Atlantic; NuVasive, 43% West North Central; DePuy, 35% South Atlantic). Only 3 of 10 companies were headquartered in the same division where most payments were made.

Conclusion:
From 2015 to 2021, companies preferentially supported surgeons in certain geographic regions, irrespective of where they were headquartered in. Surgeons in the South Atlantic Division received significantly more payments than any other division by a wide margin.
HÌNH THÁI KHÔNG GIAN TRUNG GIỚI TRONG TIỂU THUYẾT NHỮNG ĐỨA CON CỦA NỬA ĐÊM CỦA SALMAN RUSHDIE
Authors: Diễm Huỳnh Thị 
Published: December 2024

Bài viết phân tích các hình thái không gian nổi bật trong tiểu thuyết Những đứa con của nửa đêm của Salman Rushdie. Tính chất đa dạng văn hóa, bản sắc quốc gia và thách thức sinh thái của Ấn Độ hậu thuộc địa được tập trung làm rõ thông qua những cách tân về thi pháp. Trong đó, cốt lõi của phân tích này là mô hình Không gian Trung giới, phát triển lên từ Third Space, được mô tả như một môi trường “trung chuyển” mang cảm thức “hoài hương”, có vai trò quan trọng trong cơ chế lai tạo và chuyển giao bản sắc. Từ mối quan hệ với các hình thái không gian, hệ thống nhân vật gồm nhiều giai tầng, xuất thân, lãnh thổ có cơ hội tái tạo diễn ngôn và căn tính của mình. Dựa trên nền tảng đó, những mô hình mang tính chất thử nghiệm như Lok Sabha “hư ảo”, rừng núi sinh thái, u linh góp phần làm phong phú thực tiễn sáng tác cho lý thuyết văn học. Rushdie đã nới rộng biên độ không gian sang ý niệm trừu tượng mới, thúc đẩy những truy vấn về quyền lực, bản sắc và sinh thái trong bối cảnh đương đại. Qua đó, Không gian Trung giới phản ánh sự năng động của tri thức, dự phóng những thách thức mới của quá trình phát triển bền vững.
Online en offline bedreiging en intimidatie bij jongeren
Authors: Rosielle Lisa , Wolthuis Annemieke , Bouma Suzanne , Claes Bart , Janssen Janine 
Published: December 2024

Online and offline threats and intimidation among youngsters – A comparison
Around 1 in 5 youngsters in the Netherlands experiences online violence. They often become victims of online threats and intimidation. This can have severe emotional and psychological consequences. Girls and lgbtq+ youth are more frequently affected by online violence and suffer greater impact than boys and heterosexual peers. Online and offline violence often overlap, complicating victim experiences. Despite increasing attention and support services, many young victims struggle to find help. It is recommended that police and support organizations address the overlap between online and offline violence. Next to that specialized training regarding the influence of gender norms and heteronormativity is needed.
Wat zijn de verschillen tussen narcisme en psychopathie?
Authors: Palmen Désiré , Janssen Janine 
Published: December 2024

How can narcissism be differentiated from psychopathy? – Investing in a thorough differential diagnostic proces can significantly elevate intervention quality in cases of Intimate Partner Violence (IPV)
In this article we will discuss that certain psychological disorders may be strenuous to separate from other specific psychopathologies. In this article we will focus on the differential diagnosis between narcissism and psychopathy in particular. Both psychopathologies show correlations with aggression and violence in intimate partner relationships. One important part of the differential process is to master the discriminating symptoms. We will elaborate on these discriminating factors between narcissism and psychopathy. We also propose that it is important to invest in educating health care professionals who work on cases of Intimate Partner Violence (IPV) about the possible role of narcissism or psychopathy in such cases, the separate disorders but also about the differences between these two disorders so they can elevate and adjust their practise of care, intervention and prevention.
Gezond verstand zit in elke familie
Authors: Stellingwerff Jolanda 
Published: December 2024

Common sense is in every family Children safe faster through collaboration with informal network
The Dutch Eigen Kracht Centrale organizes conferences to address cases of major concerns regarding juveniles acquiring governmental intervention. In co-operation with amongst others Safe Home, cases are dealt with on a regular basis. Experience shows that a successful conference requires attention to issues such as to apply a step by step approach to share what’s going on, to create avenues to break the silence, isolation and intimidation that accompanies family violence, to acknowledge the importance of the circle’s input and to welcome the thinking along of family, friends and other acquaintances in order to provide for multiple perspectives. Moreover, welcoming collaboration amongst professionals and the informal circle is of importance to increase safety, including the transfer of information. There’s a need for bridge builders in order to find a balance in the circle, implying the need to invest in informal network, indicating a right to set up a family group recovery plan.
Caracterização físico-química do óleo do patauá (Oenocarpus bataua) extraído com diferentes tipos de solventes
Authors: Fernandes Erlane da Rocha , Oliveira Sandra da Silva , Costa Ondina Cunha da , Guarda Patrícia Martins , Guarda Emerson Adriano 
Published: December 2024

Considerando a importância cultural e nutricional do óleo de patauá, a presente pesquisa trata da caracterização do óleo de patauá obtido por meio de diferentes solventes, com o intuito de proporcionar um maior conhecimento desse produto e comparar a eficiência e características dos óleos extraídos por solvente tradicional (hexano) e um solvente alternativo (etanol). A extração dos lipídeos foi efetivada utilizando um aparelho de Soxhlet com solventes hexano e álcool etílico, foi verificado a densidade, acidez, pH, índice de refração e compostos fenólicos totais dos óleos extraídos. A análise estatística foi realizada por intermédio do Software BioEstat 5.3. O hexano extraiu 17,2% a mais de lipídeos que o etanol. Todos os parâmetros testados apresentaram diferença significativa ao nível de 5% de significância entre os óleos extraídos por etanol e com hexano. Os valores de pH, densidade e índice de refração foram mais elevados no óleo obtido com hexano, por outro lado a acidez do óleo oriundo da extração com etanol foi mais elevada. A utilização do etanol demonstrou-se uma alternativa viável pelas características do óleo, com destaque no teor de compostos fenólicos.
FRAGILIZAÇÃO DOS VÍNCULOS MEDIANTE VIOLÊNCIA INTRAFAMILIAR: UM ESTUDO SOBRE VULNERABILIDADE AO ABUSO SEXUAL INFANTIL
Authors: Campiol Sara Estéfani , Almeida Stéfany Antunes de , Campiol Jaqueline 
Published: December 2024

O presente estudo aborda a importância dos vínculos familiares no contexto de proteção infantil, destacando especialmente o enfrentamento da violência intrafamiliar e do abuso sexual que parte de pessoas próximas, contra estas crianças. objetivo compreender como os vínculos fortalecidos entre o responsável e a criança, poderá auxiliar como preventivo deste menor não ser alvo de abuso sexual, destacando a fragilização da criança em famílias que cometem violência intrafamiliar. Este artigo revisa a literatura atual sobre a dinâmica familiar, destacando como a fragilização desses vínculos pode resultar em um aumento da vulnerabilidade da criança à violência, incluindo o abuso sexual. Diante disso, realizou-se uma revisão de literatura narrativa, buscando-se nas plataformas SciELO e Google Scholar entre os anos de 2020 a 2024 e páginas em português. Os resultados encontrados sugerem que a conscientização e fortalecimento dos laços familiares são essenciais para este processo, assim como a colaboração entre família, governo e sociedade. Também, a atuação de profissionais capacitados, juntamente com a rede de apoio formada pelos serviços sociais e pela escola, auxilia na identificação e prevenção de abusos.
Greening Organizational Culture in Relation to Employees' Green Human Resources Management; The Mediating Role of Environmental Commitment and Citizenship
Authors: Abousoliman Ali D. , Ali Zoromba Mohamed , El-Gazar Heba Emad 
Published: December 2024

Background: The growing awareness of environmental issues is prompting organizations to proactively implement environmental management strategies. Green human resource management (GHRM) practices are being used to convert strategy into results.Methodology: Employing a quantitative approach, data were gathered from 271 faculty members through structured questionnaires. The analysis involved descriptive statistics using SPSS and SEM using AMOS to understand the relationships among green culture, environmental commitment, environmental citizenship, and GHRMP along with the mediating role of faculty' commitment and environmental citizenship.Results: The study revealed that green organizational culture is significantly associated with both employees' environmental commitment and citizenship. Specifically, green culture had a strong positive correlation with environmental commitment and environmental citizenship. Moreover, environmental commitment and citizenship were significantly correlated with GHRMP, indicating the pivotal role of green culture in fostering a supportive environment for green HR practices. The mediation analysis highlighted the significant indirect effects of green culture on GHRMP through environmental commitment and environmental citizenship. Conclusion: The study underscores the significant influence of green organizational culture on fostering environmental commitment and citizenship among employees. The mediating role of GHRMP is pivotal in translating this culture into practical and measurable outcomes. These findings suggest that institutions aiming to enhance their environmental stewardship, and sustainable practices should focus on nurturing a green culture and implementing robust green HRM practices.Implications: The results provide valuable insights for university administrators and policymakers on the importance of integrating green principles into organizational culture and human resource management. By doing so, they can significantly improve the commitment and active participation of staff in environmental sustainability initiatives.
Impact of Azolla-Based Vermicompost on Water Quality Parameters and Growth Performance of Amur Carp (Cyprinus carpio var. haematopterus) in Sodic Soil Ponds
Authors: Bharti Tanuj , Kumar Dinesh , Prasad Laxmi , Maurya Mitrasen , Patel Puneet Kumar , Saroj Shivm , Singh Vipendra , Singh C. P. 
Published: December 2024

The present work was designed to evaluate the efficacy of Azolla-based vermicompost on the water quality and Amur carp growth potential sodic soil condition. A 90 days experiment was conducted in FRP tanks measuring containing Sodic soil bed to simulate pond conditions. Three experimental groups, each with duplicate tanks, were established. In each tank, 10 Cyprinus carpio var. haematopterus fry (with an average weight of (1.23 ± 0.03g) were stocked. Using a Completely Randomised Design (CRD), three different fertilization treatments were administered: T1 with Cow dung (CD) @ 15 t/ha/yr, T2 with manure containing cow dung-based vermicompost (CDV) at the same rate, and T3 with manure containing Azolla-based vermicompost (ABV), also @ 15 t/ha/yr. Throughout the experiment, the fish were fed an artificial diet @ 5% of total body weight while also consuming natural food (plankton) available in the tanks. Water quality parameters were found to be within the optimum range for Amur carp culture in all the treatments. Fish growth in terms of total weight gain, total length gain, percentage weight gain and specific growth rate was recorded maximum in treatment ABV followed by CDV and CD.
Pencegahan Penyakit Tidak Menular Pada Remaja Di Sekolah
Authors: Rahayu Sri , Sudrajat Agus 
Published: December 2024

Pemberdayaan dan peningkatan peran serta masyarakat adalah salah satu cara pengendalian PTM (Penyakit Tidak Menular) yang efektif dan efisien di masyarakat. Cara yang tepat di lakukan dengan pencegahan PTM dan pemberian makanan yang mengandung banyak vitamin. Pencegahan PTM dan pemberian makanan mengandung banyak vitamin di mulai dalam pelaksanaan Posyandu Remaja di Sekolah. (Rofiqoch, I. (2020).(Kemenkes, 2019). Pengabdian masyarakat pada posyandu remaja dilakukan di SMK NU 4 Patebon Kendal yang dilaksanakan pada tanggal 4 Agustus – 6 Agustus 2024. Pelaksanaan posyandu terbagi dalam 3 tingkatan dengan melibatkan petugas puskesmas pada hari ke tiga, yang sebelumnya siswa telah di lakukan pemberian pengetahuan tentang gizi pada remaja dan penyuluhan tentang pemanfaatan lahan dengan ditanami sayuran. Deteksi dini antara lain adalah pemeriksaan tekanan darah ,cek gula darah ,Tinggi Badan, Berat Badan dengan didapatkan siswa yang terimunisasi TT 100 % pada siswa perempuan. dan terdapat 1 siswa laki-laki yang terdeteksi pada pemerikasaan cek gula darah didapatkan hasil diatas normal. Kemudian di lakukan rujukan serta di beri pemberian konseling dalam pola makannya. Diharapkan peran serta Pembina UKS atau guru, sangat penting dalam memberikan motivasi kepada siswa agar datang rutin di posyandu dan posyandu tetap berjalan setiap bulan guna cepat terdeteksi secara dini masalah kesehatan yang terjadi pada remaja.