bluuebunny/crossref_metadata_2025_split huggingface dataset:
Intervention package on stress management: Improving comprehensive well-being among nurses
Authors: Phuke Manda Jaywant , Zagade Tukaram , Mohite Vaishali Rajsinh , Salunkhe Jyoti , Ingale Swati , Choudhari Samir Kasam 
Published: December 2024

ABSTRACT

Objective:
The main objective of this study is to investigate the effectiveness of the stress management intervention package in improving stress-related burnout.

Materials and Methods:
An experimental study was done on 300 nurses selected by a nonprobability convenience sampling technique and a quasi-experimental one-group pre- and posttest research design was utilized. Modified expanded nurses stress scale and self-structured three-point Likert scale on the challenges that nurses may face following stressful life events utilized to collect information. The nurses signed up for six interactive sessions on various stress-coping methods by utilizing a variety of teaching strategies such as lecture cum discussion, video slides, group work, and direct interaction with the experts to explore stress-related issues.

Results:
Continuous stress affects both the body and the mind, causing psychosomatic symptoms. Data found that 2% to 10% of nurses frequently suffered with physical symptoms such as exhaustion, backache, acidity, headache, shoulder stiffness, and insomnia. Following the intervention, the number of nurses who had these symptoms frequently and sometimes decreased. Previously, 10% of nurses experienced emotional symptoms frequently; however, after intervention, this figure was reduced to < 2%. The greatest proportion of nurses (18%) reported frequently worrying, while 1.3% expressed frequent worrying after intervention. Maximum (5%) of nurses had a tendency to eat too little or too much; this has been reduced to 0.3% after the intervention. The intervention package on stress management significantly improved nurses’ comprehensive well-being (P < 0.0001).

Conclusion:
An intervention package for stress management was helpful in lowering physical, emotional, psychological, and behavioral stress-related symptoms among nurses.
Examining the impact of Buerger-Allen exercises on alleviating muscle cramps in extubated patients
Authors: Rashmita Sahoo , Mamata Swain , Pravati Tripathy 
Published: December 2024

ABSTRACT

Objective:
This study aimed to evaluate the effectiveness of Buerger-Allen exercise (BAE) in reducing muscle cramps among recently extubated patients in the intensive care unit (ICU).

Materials and Methods:
A quantitative, quasi-experimental design was employed, involving 92 recently extubated ICU patients randomly assigned to either an experimental or control group. The experimental group underwent BAE, a three-step intervention targeting lower extremity circulation and muscle cramp reduction. The exercises included the elevation of lower extremities, foot and leg exercises, and a rest and recovery phase, administered twice daily for 10 days. The control group received standard nursing care without any specific exercise regimen. Muscle cramp severity was assessed using the modified Penn Spasm Frequency Scale before and after the intervention.

Results:
The experimental group showed a significant reduction in muscle cramp severity score postintervention, with the mean scores decreasing from 6.83 ± 1.66 to 4.22 ± 1.45 (t = 10.21, P = 0.001). The control group experienced a smaller reduction, with scores decreasing from 6.98 ± 1.57 to 6.43 ± 1.37 (t = 2.810, P = 0.007). Between-group analysis confirmed a significant difference postintervention, with the experimental group improving more (t = 8.242, P = 0.001). The Mann–Whitney U test also highlighted a significant difference between groups after the intervention (U = 494.5, P = 0.001), validating the effectiveness of BAE.

Conclusion:
BAE significantly reduces muscle cramp severity in recently extubated ICU patients, suggesting that this nonpharmacological intervention can effectively improve patient outcomes and aid in postextubation recovery.
Aortic Aneurysm: Dissection from the Root to Pelvis
Authors: Jhang Lan-Sin , Chao An-Shine , Chien Chih-Wei 
Published: December 2024

Abstract
Isolated pelvic pain caused by aortic dissection is a very uncommon clinical presentation. This life-threatening cardiovascular lesion needs prompt diagnosis and intervention to prevent rupture. We report the case of a 45-year-old woman with Marfan syndrome who presented to our gynecologic clinic with low abdominal pain. Bedside point-of-care ultrasound revealed the bilocular echo lucent cystic lesion indicating the dissection of common iliac artery in her pelvis.
Evaluation of referral documentation in pediatrics emergency transfers: A cross-sectional observational study
Authors: Agrawal Nitika , Kumar Rakesh , Pandey Savita , Gupta Alpa , Das Kunal , Simalti Ashish 
Published: December 2024

Abstract

Background:
Inadequate handover documentation may result in delay and adverse outcomes during continuity of care. This is much more important in interfacility transfers where improper or missing documentation of prior events from a referring point may result in a break in the continuity of care.

Subjects and Methods:
This was a cross-sectional observational study done to evaluate the quality of referral documentation available with the patients who were referred to a tertiary care center after consultation in a peripheral center between March 2024 and May 2024. A semi-structured pro forma was used to collect transfer characteristics and quality of transfer documents at the time of admission.

Results:
A total of 156 children were enrolled in the study. The mean age of children was 6.81 ± 5.79 years. 68 (43.6%) were referred from a private nursing home. Healthcare workers accompanied only 19 (12.2%) children. Referral documentation was available in 121 (77.6%). 96/121 (61.5%) had handwritten referral papers. Pretransport communication was received only in one patient. Patients being referred by private physicians (70.8%) and smaller hospitals (80.9%) have better documentation than medical colleges (40.9%) (P = 0.03), patients being transported in an ambulance (87.23% vs. 73.4%, P = 0.05) have higher chances of having referral documentation.

Conclusions:
There is a lack of pretransfer referral communication and quality referral documents. Pediatric referral services in the region are fragmented and nonuniform. There is a need to improve pediatric referral documentation and transfer services.
Incidence of excess oxygen use in critically ill children and its impact on clinical outcomes: A single-center, retrospective study from Pakistan
Authors: Naz Rubab , Ahmed Sahira , Irfan Muhammad , Alam Safa , Haque Anwarul 
Published: December 2024

Abstract

Background:
Oxygen therapy is crucial yet costly, with limited research on hyperoxemia in children, often relying on invasive PaO2 measurements. This study aims to assess the prevalence of excessive oxygen use in critically ill children using noninvasive SpO2 as a substitute for invasive arterial blood gases and explores its association to morbidity and mortality outcomes.

Subjects and Methods:
We conducted a retrospective study at the pediatric intensive care unit (PICU) of a tertiary care hospital in Pakistan between January 2022 and July 2023. Critically ill children between the age of 1 month and 15 years receiving oxygen therapy through high-flow nasal cannula (HFNC) or mechanical ventilation (MV) for over 24 h were studied. Cumulative excess oxygen exposure (CEOE) was quantified as the mean hourly FiO2 exceeding 0.21, while SpO2 was ≥95% during the first 24 h of ventilation and categorized into quartiles.

Results:
Of the 191 children, 126 (66%) were ventilated using MV, while 65 (34%) received HFNC. Common diagnoses included respiratory illnesses (48.2%), neurological disorders (18.3%), sepsis (12%), and surgical cases (10.5%). The median CEOE was 32.46 (interquartile range = 21.08–42.75). 50.3% were in higher CEOE quartiles (>32.46). No statistically significant differences were observed in multiorgan dysfunction syndrome (MODS) and mortality rates between the lower quartiles (first and second) and the higher quartiles (third and fourth).

Conclusions:
Fifty percent of the critically ill children were exposed to excess oxygen. There was no significant difference in the incidence of MODS and mortality across the lower and higher quartiles of CEOE.
Evaluation de la qualité des huiles alimentaires utilisées en friture dans la ville de Ouagadougou, Burkina Faso
Authors: Sankara Souleymane , Zio Souleymane , Cisse Hama , Gueye Abdoulaye , Bougma Sibiri , Savadogo Aly 
Published: December 2024

Les huiles alimentaires pour friture sont fortement consommées à Ouagadougou au Burkina Faso. Une mauvaise qualité de ces huiles est responsable de nombreuses maladies notamment les cancers et les maladies cardio-vasculaires. Le but de cette étude était d’évaluer la qualité des huiles alimentaires pour friture dans la ville de Ouagadougou. Ainsi, douze échantillons d’huiles ont été collectés et les caractéristiques organoleptiques, les résistances à l’oxydation et les paramètres physicochimiques ont été évaluées par des méthodes standards. Les résultats ont montré que certaines huiles ne répondaient pas à la réglementation de vente en vigueur. Aussi, seulement 33,33% des échantillons faisaient mentions de l’étiquetage et la date de production, 66,66% pour la date de péremption et 75% pour le lot. Certaines huiles résistaient très peu à la chaleur avec des temps d’induction au Rancimat faible de 2,71 h et 2,73 h, respectivement. L’analyse physicochimique avait montré des cas de nonconformités de certaines huiles en ce qui concerne l’indice d’acide, l’indice de peroxyde et les traces de savon. En conclusion, la qualité des huiles dites de friture, commercialisées dans la ville de Ouagadougou était moyenne. Il est donc indispensable que l’Etat entreprenne et maintienne des contrôles réguliers de ces huiles afin de préserver la santé du consommateur.

Evaluation of the quality of edible oils used for frying in the city of Ouagadougou, Burkina Faso
Edible frying oils are widely consumed in Ouagadougou, Burkina Faso. Poor quality cooking oil is responsible for a number of diseases, including cancer and cardiovascular diseases. The aim of this study was to assess the quality of frying oils in the city of Ouagadougou. Twelve oil samples were collected and their organoleptic characteristics, resistance to oxidation and physicochemical parameters were assessed using standard methods. The results showed that some oils did not comply with current sales regulations. Only 33.33% of the samples were labelled with the production date, 66.66% with the expiry date and 75% with the batch number. Some oils had very poor heat resistance, with low Rancimat induction times of 2.71 h and 2.73 h respectively. Physico-chemical analysis showed that some oils were non-compliant in terms of acid value, peroxide value and traces of soap. In conclusion, the quality of frying oils marketed in Ouagadougou remains average. It is therefore essential for the government to undertake and maintain regular checks on these oils in order to protect consumer health.
Caractérisation des pratiques paysannes post récoltes de stockage et de conservation du maïs (Zea mays, Linné) au sud et au centre du Bénin
Authors: Tonato Olivier , Dannon Elie Ayitondji , Hounsou Saturnin , Chougourou Daniel C. 
Published: December 2024

Au Bénin, la protection des stocks de maïs contre les nuisibles reste un problème majeur pour les producteurs. L’objectif de cette étude était d’identifier les différentes technologies post récoltes de stockage et de conservation adoptées par les maïsiculteurs du sud et centre du Bénin. Pour cela, une enquête à l’aide d’un questionnaire digitalisé avait été réalisée auprès de 530 maïsiculteurs répartis dans 24 arrondissements de 7 communes du sud et centre du Bénin à raison d’une commune par département. La commune ayant la plus forte production moyenne en maïs sur les cinq (05) dernières années avait été retenue dans chaque département. L’enquête quantitative était accompagnée de focus groupes et des observations. Trois modes de stockage de maïs avaient été observés chez les maïsiculteurs à savoir : en épis avec spathes (64,7%), en épis sans spathes (18,5%) et en grains (16,8%) avec une variation en fonction de la commune de provenance du producteur (p=0,00). Au total, 24 technologies de stockage et de conservation du maïs dont 4 (technologies D, H1, B2 et D2) principales avaient été identifiées chez l’ensemble des producteurs du sud et centre du Bénin. La plupart de ces technologies impliquaient les greniers en matériaux locaux et les chambres d’habitation comme structures de stockage et les pesticides chimiques non homologués avec des doses d’application non maîtrisées par les producteurs comme produits de conservation. Les producteurs justifiaient la forte variabilité des technologies post récoltes de stockage et de conservation observée par leur statut socioéconomique et l’absence d’accompagnement des conseillers agricoles pendant la conservation du maïs. Il s’avère donc nécessaire d’organiser des formations sur les techniques post récoltes de stockage et de conservation du maïs afin de réduire les risques de pertes post récoltes et de rendre disponible le maïs grain de bonne qualité commerciale.
3D Printing in Fashion Manufacturing: Applications, Challenges and Opportunities Toward Achieving Sustainable Development Goals
Authors: Dhiwar Komal , Ambtkar Mrinal Milind , Bedarkar Madhura 
Published: December 2024

Objective: This study discusses the current impact of 3D printing technology on the applications, challenges, and future opportunities in the fashion manufacturing business. It aims to understand how 3D printing reshapes manufacturing, customization, and supply chains, particularly in alignment with Sustainable Development Goals (SDGs) 9, 12, and 13.

Theoretical Framework: The research is based on theories of innovation adoption, supply chain management, and sustainability. Key concepts like waste reduction, local production, and customization guide the investigation.

Method: We have adopted a qualitative research approach, drawing from structured interviews with 14 industry professionals. These interviews have given us new insights into the creative functionalities of 3D printing in the fashion context, as well as challenges that retard its entry into the mainstream and new trends.

Results and Discussion: 3D printing—a revolutionary technology—has significantly changed manufacturing processes, customization, and supply chain dynamics, aligning with SDG objectives by offering environmental benefits, such as waste reduction and localized production. The findings highlight current limitations of the technology and future opportunities for expansion.

Research Implications: This study aims to provide important lessons that can be gleaned from the different stakeholders in the fashion and technology industries. It attempts to form a basis for further research into the practical application of 3D printing within fashion manufacturing.

Originality/Value: This research contributes to understanding how 3D printing can transform fashion manufacturing. It highlights the potential of the technology to drive sustainable practices and shape future industry trends.
Improving Public Sector Procurement Methods in International Practices: a Comparative Study
Authors: Aboelazm Karem Sayed , Tawakol Fady , Ibrahim Emad , Sharif Hanadi 
Published: December 2024

Objective: This paper presents the methods of public sector procurement in some public procurement laws such as UNITRAL law, Egyptian Law, Indian Law, Kenyan Law, and UAE law.

Theoretical Framework: Some of the modern methods used by many countries, the research also sought to develop a clear definition of public sector procurement and relied in this research on the comparative approach as a significant approach to study for comparing the laws of countries.

Method: This paper used descriptive-analytical methodology to analysis the legal frameworks of public sector procurement methods in Egypt, UAE, and other laws in comparison, the research reached to a result that the new Egyptian system and UAE system were influenced by modern international practices by including in the new law on administrative contracts modern methods of public procurement applicable in many countries.

Results and Discussion: This research dealt with government procurement methods in international practices and their impact on the Egyptian case in a comparative legal context, as it also dealt with government procurement methods in international experiences, Egypt, and UAE.

Research Implications: The government procurement methods contained in the UNCITRAL Model Law for Public Procurement, which was developed by the United Nations Commission on International Trade Law, were presented so that countries Which is in the process of reforming or improving their procurement systems or developing new systems for government procurement to be guided by it.

Originality/Value: By reviewing several Arab literatures, we find a gap in this aspect. In addition, many fallacies are spread in this field, as some limit this definition to purchasing in the narrow sense. However, in the governmental field, it is considered broadly by the UNCITRAL Model Law and some laws of other countries.
Policies of Civil Service Leadership Reform in Egypt and the United Arab Emirates in Light of the United Kingdom's Experience
Authors: Aboelazm Karem Sayed , Ibrahim Emad , Sharif Hanadi , Tawakol Fady 
Published: December 2024

Objective: This paper presented the developments in civil service in the United Kingdom from 1997 until now, beginning with Margaret Thatcher's period and her prominent role in reforming civil service in the United Kingdom.

Theoretical Framework: This is based on the committees formed and the shift from non-competitive appointment to reliance on open competition to raise public service efficiency and effectiveness in the United Kingdom.

Method: This paper relied mainly on a descriptive approach to examine the state of the civil service in the United Kingdom and the challenges it faces towards reform. This study also relied on the analytical approach to analyze the reports of the committees formed in the United Kingdom to carry out reform tasks in the British civil service.

Results and Discussion: Artificial intelligence plays a significant role in all fields, including legal and judicial. However, we cannot rely on the AI systems 100% and replace human judges.

Research Implications: This paper examines the reformo f human resources system in UK and how to use this experience in Egypt and the United Arab Emirates.

Originality/Value: This study contributes to the literature by presenting the civile servant reform in UK.
Project Management Office of IT Projects in Information System Departments of the Moroccan Public Sector: The Added Value and Challenges
Authors: AKHLAFFOU Mohamed , Mustapha BINDGUIGNE  
Published: December 2024

Purpose: Since the 90s, Moroccan Ministries have begun to see the digital transition as a necessity rather than a luxury. A great deal of attention has been paid to project management methods, particularly at structural level, with the strengthening of project management offices (PMOs). Research in this field has multiplied in an effort to define a better method for ensuring the success of IT projects. The aim of the present work is to highlight, via a literature review, the birth of the project management discipline, PMO, and the benefit and challenges of this entity for IT projects in the Moroccan public sector.
Materials and Methods: The methodology adopted is mainly based on a comparative study of the various contributions (theoretical and empirical) of the literature on the success of project management
Findings: The present work focuses, firstly, on a general overview of project management in the public sector, then, secondly, on the emergence of this discipline in the Moroccan public sector in relation to the sector's Digital Transition and the birth of the PMO of IT projects, to end, thirdly, with a presentation of the added value of the PMO of IT projects and its challenges in the Moroccan public sector.
Implications to Theory, Practice and Policy: By continuously integrating public input and prioritizing user experience, PMOs can help build trust in government institutions and demonstrate the tangible value of digital transformation in improving everyday life.
Multi-fold increase in rainforest tipping risk beyond 1.5–2 °C warming
Authors: Singh Chandrakant , van der Ent Ruud , Fetzer Ingo , Wang-Erlandsson Lan 
Published: December 2024

Abstract. Tropical rainforests rely on their root systems to access moisture stored in soil during wet periods for use during dry periods. When this root zone soil moisture is inadequate to sustain a forest ecosystem, they transition to a savanna-like state, losing their native structure and functions. Yet the influence of climate change on ecosystem's root zone soil moisture storage and the impact on rainforest ecosystems remain uncertain. This study assesses the future state of rainforests and the risk of forest-to-savanna transitions in South America and Africa under four Shared Socioeconomic Pathways (SSP1-2.6, SSP2-4.5, SSP3-7.0, and SSP5-8.5). Using a mass-balance-based empirical understanding of root zone storage capacity (Sr), defined as the maximum volume of root zone soil moisture per unit area accessible to vegetation's roots for transpiration, we project how rainforest ecosystems will respond to future climate changes. We find that under the end-of-the-21st-century climate, nearly one-third of the total forest area will be influenced by climate change. As the climate warms, forests will require a larger Sr than they do under the current climate to sustain their ecosystem structure and functions, making them more susceptible to water limitations. Furthermore, warming beyond 1.5–2 °C will significantly elevate the risk of a forest–savanna transition. In the Amazon, the forest area at risk of such a transition grows by about 1.7–5.8 times in size compared to the immediate lower-warming scenario (e.g. SSP2-4.5 compared to SSP1-2.6). In contrast, the risk growth in the Congo is less substantial, ranging from 0.7–1.7 times. These insights underscore the urgent need to limit the rise in global surface temperature below the Paris Agreement to conserve rainforest ecosystems and associated ecosystem services.
PENGEMBANGAN E-MODUL KERAGAMAN BUDAYA INDONESIA BERBASIS TPACK TERINTEGRASI TRI N UNTUK MENINGKATKAN DIMENSI KREATIF SISWA
Authors: Sakti Dewanti Novita , Maria Zulfiati Heri , Wibawa Sutrisna 
Published: December 2024

Penelitian pengembangan ini dilakukan berdasarkan hasil observasi dan wawancara yang dilakukan pada salah satu sekolah dasar di Kabupaten Sleman. Diketahui siswa kelas IV belum memahami berbagai macam keanekaragaman budaya yang ada di Indonesia, karena Indonesia mempunyai banyak sekali keanekaragaman budaya. Hal ini terjadi karena bahan ajar yang digunakan guru masih terbatas. Guru hanya fokus pada bahan ajar cetak, sehingga pembelajaran pun terkesan sedikit monoton atau hanya terbatas pada buku. Tujuan penelitian ini adalah menghasilkan bahan ajar praktis e-modul keragaman budaya Indonesia berbasis TPACK Terintegrasi Tri N untuk meningkatkan dimensi kreatif siswa. Model pengembangan yang digunakan adalah ADDIE yang terdiri dari lima tahap yaitu (1) Analisis, (2) Desain, (3) Pengembangan, (4) Implementasi dan (5) Evaluasi. Melalui tahap validasi media, materi dan bahasa diperoleh hasil sebesar 82,17% sehingga modul baru layak digunakan. sedangkan respon siswa sebesar 86,5% Keterterimaan pada tataran praktis dan dapat digunakan siswa dalam pembelajaran IPS maupun Pendidikan Pancasila yang didalamnya terdapat materi tentang keragaman budaya Indonesia.