bluuebunny/crossref_metadata_2025_split huggingface dataset:
Analisis Dampak Estetika Katalog dan Tampilan Media Sosial terhadap Keputusan Pembelian Generasi Z
Authors: Gosal Chatrine 
Published: December 2024

Penelitian ini bertujuan untuk menganalisis dampak estetika katalog dan tampilan media sosial terhadap keputusan pembelian Generasi Z. Generasi Z dikenal sebagai generasi yang sangat terhubung dengan media sosial, sehingga mereka memiliki preferensi unik dalam mengambil keputusan saat berbelanja. Estetika katalog yang menarik dan media sosial yang memiliki desain yang menarik, tata letak yang rapi, penggunaan warna yang tepat dapat mempengaruhi persepsi dan minat Generasi Z terhadap suatu produk. Metode penelitian yang digunakan adalah metode campuran (mixed methods) yang mengombinasikan pendekatan kualitatif dan kuantitatif. Penelitian ini menggunakan metode kualitatif dengan menggunakan teknik utama dalam mengumpulkan data yaitu wawancara yang mendalam kepada informan yang merupakan bagian dari Generasi Z. Sementara itu, pendekatan kuantitatif dilakukan melalui penyebaran kuesioner kepada 30 responden Generasi Z untuk mengukur pengaruh estetika terhadap keputusan pembelian dan didukung oleh jurnal yang berkaitan dan didukung oleh jurnal. Hasil penelitian ini menunjukkan bahwa bagi brand yang ingin menargetkan Generasi Z, diperlukan perhatian khusus terhadap estetika visual pada katalog dan media sosial untuk meningkatkan daya tarik dan meningkatkan penjualan.
Current position of brucella infection among the hospitalized human population
Authors: Feroz Khan  , Sarmir Khan  , Khan Rahmat , Matiullah  , Shafiq ur Rehman  , Ihsan Ullah  
Published: December 2024

This study aimed to examine the incidence of Brucella infection among hospitalized patients. This study was conducted during February to August 2022 in District Headquarters Teaching Hospital (DHQTH) district Bannu, Pakistan. A 2mL of venous blood was collected from those individuals who visited the hospital with the complaint of joint inflammation and high grade fever. The Brucella infection was detected by Standard Plate Agglutination Test (SPAT) and Serum Tube Agglutination Test (STAT). A total of 150 samples were examined in the present study, 100 (66.66%) of them were found to be negative and 50(33.33%) to be positive for various bacterial infections. Among male positive patients 17 (56.66%) reported to have B. melitensis and 13 (43.33%) had B. abortus while in female patients 9 (45.00%), 11(55.00%) were positive of B. melitensis and B. abortus respectively. The study showed that prevalence of the disease appears to be more common in males as compared to female and age group between 41 to 50 years were more prone to the infection. In Pakistan, brucellosis continues to be a persistent and posing public health risk. Individuals who are exposed to brucellosis at work are more likely to develop infection; therefore all the exposed persons should get themselves screened.
The induction process of novice teachers in primary schools: experiences of school management teams
Authors: Mkhabele Thelma , Kgwete Ephraim , Sing Nevensha 
Published: December 2024

The need for induction is to prepare newly appointed teachers for the classroom and to adapt to the school’s environment and culture. Schools approach teacher induction differently. The study argues that, if novice teachers are expected to perform their duties optimally, support structures should be in place to enhance the quality of their work. This study explored how quintile one to three primary schools’, School Management Teams members experienced the implementation of the induction process of novice teachers. SMT members are expected to induct novice teachers successfully. A sample of nine SMT members from three quintile one to three primary schools was purposively selected. Data were collected through semi-structured interviews and analysed employing thematic analysis technique. In this regard, all relevant ethical considerations were adhered to. Three of the SMT members demonstrated that, the induction process is not implemented effectively due to a lack of knowledge and understanding of how it should be implemented. Six SMT members revealed that the induction process is not given serious attention and the novice teachers are unintentionally left to swim or sink. Furthermore, challenges such as, inadequate time for induction activities, work overload, interruptions due to other administrative activities, unscheduled workshops and meetings, and attending to disciplinary matters concerning learners and staff, contribute towards poor implementation of the induction process of novice teachers. Therefore, it is recommended that, the DoE should develop a standardised induction policy that should assist all schools in following consistent structured procedures on how to induct novice teachers. Furthermore, District officials should monitor the induction process of novice teachers.
Morphological variation in liverworts traits influence community assemblage along an elevational gradient in northern Madagascar
Authors: Marline Lovanomenjanahary , Ah-Peng Claudine , Flores Olivier , Hedderson Terry 
Published: December 2024

Background and aims &ndash; Epiphyte bryophytes play a crucial role in forest ecosystems by contributing to water retention, nutrient cycling, and microhabitat creation. However, despite their ecological importance, epiphyte bryophytes in Madagascar remain poorly studied, especially in terms of their functional traits and responses to environmental change. This study addresses this gap by investigating epiphytic liverwort communities along an elevational gradient in northern Madagascar. We aim to assess the relationship between liverwort species&#39; functional diversity and community assembly using a trait-based approach, focusing on how habitat filtering and niche differentiation shape community structure.
Material and methods &ndash; Epiphytic bryophytes were collected across 10 elevational belts along a 2230 m elevational transect. We measured 12 morphological traits related to resource use, life history, defense, desiccation resistance, and photosynthetic activity. Functional evenness (FEve) and functional dispersion (FDis) were calculated for each community. To investigate functional responses underlying community assembly, we measured community-weighted means (CWM) and variances (CWV) for each trait along the transect. We analyzed trait-environment relationships using multiple general linear models and evaluated community assembly processes (convergence or divergence) across the gradient.
Key results &ndash; Community assembly is influenced by environmental conditions and vegetation structure. At lower elevations, higher temperatures and taller vegetation lead to trait convergence, particularly in size-related traits. In contrast, at higher elevations, increased species richness increased trait divergence. Habitat filtering drives trait convergence at lower elevations, while niche differentiation becomes more important at species-rich higher elevations.
Conclusion &ndash; Morphological traits reveal how habitat filtering and niche differentiation jointly influence species distribution. Including physiological traits like water-holding capacity and carbon fixation in future studies will provide deeper insights into ecosystem processes. These findings contribute to understanding tropical forest ecosystems.
“Yo, a quien cabe tanta parte de su felicidad”. Pacheco, Velázquez y el retrato ecuestre perdido de Felipe IV
Authors: Soto Héctor Ruiz 
Published: December 2024

Este artículo estudia un cuadro perdido de Velázquez, el retrato ecuestre de Felipe IV de 1625, pintado durante la estancia de Francisco Pacheco en Madrid. El soneto dedicado por Pacheco al lienzo presenta a Velázquez como un héroe artístico alentado por Felipe IV. No obstante, Velázquez tuvo que corregir su lienzo tras la difusión del soneto, convirtiéndose este en la clave de interpretación de las dos versiones, inicial y corregida, del retrato. A partir de la documentación conservada sobre el mismo, presentamos los conceptos poético-artísticos que manifiestan, en ambas versiones, el ingenio de Velázquez. Por último, presentamos un retrato ecuestre que podría ser una copia del cuadro perdido, lo que matizaría la percepción de la rivalidad entre Velázquez y Rubens, permitiendo así reevaluar la importancia del retrato perdido en la obra de Velázquez.
Athletic Training Educators’ Perceptions and Integration of Digital Health
Authors: Winkelmann Zachary K. , Games Kenneth E. , Annaccone Adam R. , Wilkerson Gary B. 
Published: December 2024

Context
Digital health represents a transformative shift in health care, emphasizing patient-centric outcomes over mere technological advancements. Digital health tools include artificial intelligence, telehealth, augmented or virtual reality, wearables and sensors, and electronic health records to enhance patient care and outcomes. However, challenges persist in preparing future health care providers for this evolving landscape, particularly in athletic training programs.

Objective
To explore current trends in integrating digital health tools within professional athletic training programs. Specifically, we assessed educators’ teaching practices related to digital and computer skills, their anxiety toward technology, and the incorporation of digital health tools in both classroom and clinical settings.

Design
Cross-sectional study.

Setting
Online survey.

Patients or Other Participants
One hundred twenty-eight athletic training educators from Commission on Accreditation of Athletic Training Education–accredited professional athletic training programs.

Data Collection and Analysis
Between February 2024 and April 2024, participants completed an online survey that explored teaching practices, technology anxiety using the Abbreviated Technology Anxiety Scale, and integration of digital health tools. Descriptive statistics were used for data analysis.

Results
Findings indicated that a significant portion of educators needed to be teaching foundational computer literacy or digital health equity. Most participants expressed low to mild technology anxiety. Although educators are open to adopting digital health tools, only 45% had previous preparation in digital health, suggesting a need for formal faculty training in this area. Despite this, there was a high level of interest in integrating digital health tools into curricula, though uncertainty remained about expanding Commission on Accreditation of Athletic Training Education standards related to digital health.

Conclusions
The study highlights a gap between the rapid advancement of digital health technologies and the current educational practices in athletic training programs. Enhanced instructional strategies and continued professional development focused on digital health tools are needed to prepare future providers. Addressing these gaps will ensure that emerging technologies are effectively integrated into athletic training education and future patient care.
Exploring the Effects of Tomatidine ((3β, 5α, 22β, and 25β)-Spirosolan-3-ol) on Voltage-gated Na+ currents: Insights Into Its Ionic Mechanisms of Action on Current Magnitude, Gating, and Frequency Dependence
Authors: Lin Tso-Lin , So Edmund Cheung , Wu Sheng-Nan 
Published: December 2024

Abstract
Tomatidine, a major tomato glycoalkaloid, is effective for the prevention of skeletal muscle wasting and enhancing mitophagy. However, its effects on transmembrane ionic currents are not well explored. In this study, we explored the interactions between tomatidine and Na+ current. GH3 or Neuro-2a cells were used for recording the ion currents employing modified patch-clamp technique under whole-cell configuration. Tomatidine increased both the peak, (transient Na+ current [I
Na (T)]) and sustained (late Na+ current [I
Na (L)]) components of voltage-gated Na+ current (I
Na) in a concentration-dependent manner, with the concentration required for 50% stimulation values of 43.3 μM and 3.1 μM, respectively. The steady-state current-voltage relationship of I
Na (T) remained unchanged; however, the steady-state inactivation curve of I
Na (T) in the presence of 3 μM tomatidine was shifted to less depolarized potential by around 6 mV. Tomatidine enhanced the window I
Na (window Na+ current [I
Na (W)]), which were attenuated by the ranolazine (Ran) and carbamazepine (CBZ). During a train of depolarizing pulses, tomatidine slowed the exponential decay of I
Na (T), and this effect was reversed by Ran or dapagliflozin. Tomatidine increased both fast and slow recovery time constants from I
Na (T) block, affecting the recovery time course. Tomatidine increased the amplitude of persistent Na+ current in response to a sinusoidal waveform. In neuro-2a cells, tomatidine increased I
Na (T) amplitude and slowed its inactivation, with this effect being attenuated by Ran or CBZ. In conclusion, tomatidine enhanced magnitude and modified its gating behaviors.
Correlation of serum Vitamin D levels and disease severity in patients with atopic dermatitis: A hospital-based, cross-sectional study from North India
Authors: Malhan Shreya , Kaur Loveleen , Kaur Maninder , Chopra Dimple , Gupta Sharang , Kaur Snehdeep 
Published: December 2024

Abstract:

INTRODUCTION:
Atopic dermatitis (AD) is a chronic, inflammatory relapsing, and remitting skin condition with a profound impact on the quality of life of the patient as well as the caregivers. Although its pathogenesis is multifactorial, Vitamin D is now postulated to play a complex and multifaceted role in the development and progression of AD.

AIMS AND OBJECTIVES:
This study was designed to determine the serum levels of Vitamin D in children with AD and to establish a correlation between serum Vitamin D levels and disease severity.

MATERIALS AND METHODS:
This hospital-based, cross-sectional study was conducted at the department of dermatology of a tertiary care hospital in North India over a 1-year period. Two hundred children clinically diagnosed with AD were enrolled in the study. Disease severity was determined according to the SCORing Atopic Dermatitis (SCORAD) index, and Vitamin D levels were estimated by performing an enzyme-linked immunosorbent assay technique on the blood sample taken from the study participants.

RESULTS:
The prevalence of AD among the pediatric patients visiting our dermatology outpatient department was 8.12%. The mean age of the study participants was 4.18 ± 3.88 years (ranging from 4 months to 16 years), and the majority of the children (74%) were <5 years of age. As per the SCORAD index, mild disease was noted in 99 (49.50%) children, followed by moderate disease in 81 (40.50%) and severe disease in 20 (10%) children. The majority of the children, i.e. 165 (82.5%) had low levels of serum Vitamin D, of which 149 (74.50%) had insufficient levels, whereas 16 (8%) had deficient levels. Sufficient Vitamin D levels were present only in 35 (17.50%) children with AD. In the study sample, there was a highly significant inverse correlation (r = -0.772, P = 0.001) between the SCORAD index and serum Vitamin D levels. It was found that a higher SCORAD index was associated with lower serum Vitamin D levels among children with AD.

CONCLUSION:
Thus, Vitamin D supplementation could open a new corridor for the treatment of severe and resistant AD.
From Swelling to Resolution: Percutaneous Polidocanol Injection for Aneurysmal Bone Cyst Management in a 14-Year-Old Female
Authors: Anwer Adnan , Chowdhry Madhav , Harun Faisal , Aziz Mohd Hadi , Adnan Mohd. , Ansari Mohd Owais 
Published: December 2024

Abstract
Aneurysmal bone cyst (ABC) is a benign, locally destructive lesion occurring mostly in the metaphyseal region of long bones. While traditionally this condition was managed operatively, an increasing number of cases are now being managed using percutaneous sclerosant due to their numerous advantages including ease of administration and patient acceptance. In this case report, we present the case of a 14-year-old female who presented to us with swelling over her left proximal arm, which was diagnosed to be a case of ABC and subsequently managed using percutaneous polidocanol injection.
Bridging Bone Gaps: An Accelerated Approach to Nonunion Healing with Dual Corticotomy and Trifocal Osteosynthesis—A Case Report
Authors: Khan Abdul Qayyum , Abbas Mohammad Baqar , Khurana Shivank , Thelakkadan Abdul Rafi , Biswas Chinmay , Sudarsan Akash 
Published: December 2024

Abstract
Open tibial diaphysis fractures carry a high risk of infection and present significant surgical challenges, particularly in cases of infected nonunions. This case report details the successful treatment of a 25-year-old female patient who experienced an open segmental tibial fracture due to a motor vehicle accident. Initially, she underwent wound debridement and internal fixation; however, she later developed a chronic infected nonunion that resulted in severe functional limitations and ongoing infection. The surgical approach utilized the Ilizarov technique, which involved extensive debridement, sequestrectomy, and trifocal osteosynthesis. After applying the Ilizarov apparatus and performing dual corticotomy, distraction osteogenesis was initiated to address bone defects and restore limb length. Throughout her treatment, the patient adhered well to the regimen and was closely monitored, ultimately achieving successful bone union and improved function. This case underscores the effectiveness of the Ilizarov technique for managing complex infected tibial nonunions, highlighting its importance in controlling infections, facilitating fracture healing, and maintaining joint function. The outcomes support the use of Ilizarov external fixators as a practical solution for challenging tibial nonunion cases, despite the discomfort associated with the device.
Healthcare workers’ perspectives on Ayushman Bharat Yojana in Kashmir: Insights for policy and practice
Authors: Nabi Shahroz , Ayub Taha , Khan S. Muhammad S. , Pandit Mohammad Iqbal , Haq Inaamul , Qurieshi Mariya Amin 
Published: December 2024

ABSTRACT

Background:
In India, the Ayushman Bharat Program aims to provide comprehensive healthcare coverage to underprivileged communities, guided by the 2017 National Health Policy and aligned with Sustainable Development Goals. This study explores healthcare workers’ perspectives on the implementation, impact, and challenges of Ayushman Bharat Yojana (ABY) in Kashmir, focusing on primary care services.

Methods:
A mixed-methods study was conducted over ten months (October 2020 to August 2021) across ten districts in Kashmir. Fifty healthcare professionals, including 30 mid-level healthcare providers (MLHPs) and 20 medical officers, participated in semi-structured interviews and completed structured questionnaires. Data were analyzed using thematic analysis for qualitative data and descriptive statistics for quantitative data.

Results:
Demographics: Among the respondents, 64% were under 30 years, and 56% were female. Positions included 40% medical officers and 60% MLHPs. Qualitative Findings: Both MLHPs and medical officers had varying levels of awareness about ABY. Key challenges included inadequate infrastructure, staffing shortages, additional duties, and long commutes. Effective communication and collaboration between MLHPs and medical officers were deemed crucial for successful implementation. Ongoing training and support were highlighted as essential needs. Quantitative Findings: Significant issues included irregular payments (66.6% MLHPs reported receiving regular incentives), staffing shortages (50% medical officers), and lack of training (35% medical officers). Common ailments managed included hypertension (33.33%) and infections (26.66%).

Conclusion:
The study highlights the challenges and insights from healthcare workers regarding the ABY program in Kashmir. Addressing infrastructure deficiencies, improving communication, and providing ongoing training and financial stability are essential for enhancing the program’s effectiveness. Policymakers must consider these findings to improve healthcare delivery and ensure the sustained success of the Ayushman Bharat initiative.
Clinical pattern and burden of strabismus in a teaching institute of Northeast India
Authors: Natung Tanie , Devi Oinam S. , Thangkhiew Lanalyn , Paul Subhankar 
Published: December 2024

ABSTRACT

Purpose:
To determine the clinical pattern and burden of strabismus in a teaching institute of Northeast (NE) India.

Methods:
In this hospital-based, cross-sectional study, detailed clinical evaluation of patients with manifest strabismus was carried out for a period of one and half years.

Results:
Out of the 7222 new outpatient department attendances, a total of 110 new patients with manifest strabismus were found, with a hospital-based burden of 1.52% [95% confidence interval: 1.3–1.8]. Comitant strabismus was seen in 84.55%, and incomitant in 15.45%. Exotropia comprised 70%, esotropia 26.36%, hypertropia 10%, and hypotropia 2.72%. The angle of deviation was large in most of the participants (69.09%) with a mean of 34.90 ± 17.08 PD for horizontal and 13.29 ± 8.97 PD for vertical deviations. A cause of strabismus could be identified in 30.91%. Paralytic strabismus was seen in 15.45%, sensory in 11.82%, infantile in 1.82%, and accommodative in 1.82%. Amblyopia was found in 5.45%. In our study, 25.45% patients underwent strabismus surgery, while 74.55% patients either needed conservative management or were being worked up for surgery till the end of this study.

Conclusion:
This study determined the pattern and burden of strabismus in a teaching institute of NE India. Since the institute caters to patients from different states of NE India, this study gives an indirect picture of the burden of strabismus of the whole of NE India. It is hoped that these data will aid in determining the overall burden of strabismus in the country. They will also help the family medicine and primary care physicians to have an idea about the burden and pattern of strabismus in the community, thus enabling them to create awareness about strabismus, remove the undue apprehensions of patients, and do timely referrals for treatment and prevent irreversible visual loss.