bluuebunny/crossref_metadata_2025_split huggingface dataset:
IMPROVING THERAPEUTIC ADHERENCE IN ELDERLY OUTPATIENT AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL: SOME SUPPORTIVE SOLUTIONS
Authors: Pham Thi Thanh Anh , Nguyen Lan Thuy Ty , Nguyen Hoang Bach , Huynh Tuan An , Tran Khang Thinh 
Published: November 2024

Background: Improving treatment adherence in elderly patients needs to be addressed to enhance treatment effectiveness and reduce healthcare costs. Treatment adherence improvement solutions often focus on patient education in medication use and lifestyle changes. Objectives: Determine the rate of treatment adherence and survey the need for some adherence improvement solutions in elderly outpatients. Methods: A cross-sectional survey was conducted involving 196 elderly outpatients aged 60 and above at Can Tho University of Medicine and Pharmacy Hospital from March 1st to March 31st, 2024. Data was collected through face-to-face interviews using a structured questionnaire adapted from the Morisky Medication Adherence Scale (MMAS-8) to assess medication adherence and additional questions to evaluate lifestyle habits. Data analysis was performed using Microsoft Excel and SPSS software. Results: All participants had chronic diseases, with 63.78% being female. The medication adherence rate according to MMAS-8 was 22.96%. A small proportion of patients reported smoking, alcohol consumption, lack of exercise, and unhealthy dietary habits (high salt/sugar intake, excessive caffeine consumption). Over 90% of patients expressed a need for support to improve treatment adherence, including dedicated medication counseling areas, patient education materials about diseases and medications, and medication labels with clear instructions. Conclusion: This study highlights the low medication adherence rate among elderly outpatients and the need for targeted solutions to enhance adherence and improve patient outcomes. Implementing patient education and support methods focused on disease management, medication adherence, and lifestyle modifications is crucial to optimize healthcare outcomes for this vulnerable population.
GESTATIONAL DIABETES MELLITUS IN LOW-RISK POPULATIONS: TO SCREEN OR NOT TO SCREEN?
Authors: Tran Khanh Nga , Tran Khanh Dung , Nguyen Nhu Nghia , Nguyen Thi Thu 
Published: November 2024

Background: Gestational Diabetes Mellitus (GDM) is characterized by glucose intolerance first recognized during pregnancy, posing significant health risks to both mother and fetus. The prevalence of GDM varies globally, influenced by ethnicity, diagnostic criteria, and population characteristics. Despite extensive research, the optimal strategy for GDM screening remains debated, especially in low-risk populations. Objectives: This study aims to evaluate the prevalence of GDM in low-risk pregnant women in the Mekong Delta and determine whether routine screening in this population is justified. Materials and methods: A cross-sectional study was conducted from June 2017 to June 2022 in four maternity hospitals in the Mekong Delta. Pregnant women with a gestational age between 24 and 28 weeks, based on the first trimester ultrasound or last menstrual period, were included. The 75g Oral Glucose Tolerance Test (OGTT) was performed according to the American Diabetes Association (ADA) 2018 standards. Demographic, clinical characteristics, and plasma glucose levels were compared between low-risk and higher-risk groups. Results: The study included 347 low-risk and 1380 higher-risk pregnant women. The prevalence of GDM was significantly lower in the low-risk group (9.5%) compared to the higher-risk group (19.1%, p < 0.001). Plasma glucose levels were significantly lower in the low-risk group across all measures (FPG, 1-hour PG, and 2-hour PG). Conclusion: The rate of GDM in the low-risk group is about half that of the higher-risk group; however, it is still approximately ten percent. Therefore, universal screening for all individuals is necessary, but more optimal strategies for each group are needed in the future to both avoid missing cases and ensure economic efficiency.
EVALUATING THE EFFECTIVENESS OF THE IMPLEMENTATION OF POLICY DOCUMENTS RELATED TO DISEASES PREVENTATION BY WILDLIFE PROTECTION IN PERIOD 2010 - 2020
Authors: Nguyen Huy Nga , Nguyen Duy Long , Nguyen Trong An , Tran Thi Khuyen 
Published: November 2024

The project was conducted to evaluate the effectiveness of the implementation of policies on wildlife protection on the awareness and practice of party members. Within the framework of the study, 261 party members in 3 clusters were questioned with a set of quantitative questions. The results showed that policy documents were covered at a high rate in a variety of forms. However, the level of awareness and practice of the participants is not commensurate with this coverage, and there are differences between groups. 78,2% of respondents identified violations specified in policy documents related to wildlife consumption and use. The reason for not carrying out wildlife trade was chosen by 91,6% of respondents; Reasons for protecting wildlife; prevention of diseases transmitted from animals to humans; Ensuring the implementation of international commitments has 83,1% respectively; 71,3% and 65,9% identified. The rate of good practice accounted for the highest rate with 67,1%. The rates of good and bad practice were 26,8% and 6,5%, respectively. Changes in the form and method of dissemination are needed to improve the effectiveness of wildlife protection policy documents implementation.
Analysis of the role of technological advancements in agriculture: A systematic literature review of evidence from Ethiopia
Authors: Shibeshi Fekadu Tolesa  , Yonas Muleta Gejea  
Published: November 2024

The article discusses the pivotal role of technology in modern agriculture, highlighting its transformative impact on farming practices. It explores various technological innovations such as precision agriculture, smart farming, genetic engineering, and automation, which have enabled farmers to boost productivity, optimize resource use, promote sustainability, and address global food security challenges. Technology provides small farmers with access to valuable information and knowledge. Through the internet, mobile applications, and online platforms, farmers can access weather forecasts, market prices, agricultural practices, and crop management techniques. This information enables them to make informed decisions, adopt best practices, and optimize their farming operations. Precision Farming: Precision farming technologies, such as Global Positioning System (GPS), Geographic Information System (GIS), and remote sensing, help small farmers optimize resource use and improve crop yields. These technologies enable precise field mapping, soil analysis, and monitoring of crop health, allowing farmers to apply fertilizers, water, and other inputs only where and when needed. This reduces resource wastage, enhances efficiency, and minimizes environmental impact. Technology has improved the availability and effectiveness of agricultural machinery and equipment, even for small-scale farmers. Small agricultural projects can benefit from compact and affordable machinery, such as mini-tractors, tillers, planters, and harvesters, which help increase productivity, reduce labor requirements, and improve overall efficiency..
Keywords: Technology, Agriculture, Ethiopia.
CUIDADOS PALIATIVOS, O LUTO E O PROFISSIONAL DE PSICOLOGIA: BREVE REFLEXÕES SOBRE OS CONCEITOS
Authors: Moreira Anazilia Gabriele , Torres Kailany Rodrigues , Netto Adrielly Martins Porto 
Published: November 2024

Este artigo aborda os conceitos dos cuidados paliativos na psicologia, entende que os cuidados paliativos de acordo com seus princípios demonstra a necessidade de ter um profissional que cuide da saúde mental uma vez que requer atendimento às demandas de saúde da doenças e da morte e o morrer. Aborda os processos do luto, e as suas fases na visão de Elizabeth Kubler-Ross. Ressalta a importância do papel do psicólogo no manejo emocional diante de todo esse processo, fornecendo apoio aos pacientes e suas famílias para enfrentarem as dificuldades emocionais e passarem por esse processo de forma digna e respeitando a autonomia dos pacientes.
The Pléiades Glacier Observatory: high-resolution digital elevation models and ortho-imagery to monitor glacier change
Authors: Berthier Etienne , Lebreton Jérôme , Fontannaz Delphine , Hosford Steven , Belart Joaquín Muñoz-Cobo , Brun Fanny , Andreassen Liss M. , Menounos Brian , Blondel Charlotte 
Published: November 2024

Abstract. Spaceborne digital elevation models (DEMs) of glaciers are essential to describe their health and their contribution to river runoff and sea level rise. Publicly available DEMs derived from sub-meter satellite stereo imagery were, up to now, mainly available in the polar regions and High Mountain Asia. Here, we present the Pléiades Glacier Observatory (PGO), a scientific program acquiring Pléiades 0.7 m satellite stereo pairs for 140 sites from Earth's glacierized areas. The PGO product consists of freely available DEMs at 2 and 20 m ground sampling distance together with 0.5 m (panchromatic) and 2 m (multispectral) ortho-images. PGO stereo acquisitions began in July 2016 in the Northern Hemisphere and February 2017 in the Southern Hemisphere. Each site is revisited every 5 years (cloud permitting), close to the end of the melt season, to measure glacier elevation change with an average uncertainty of 0.49 m (95 % confidence level, for a glacierized area of 1 km2), i.e., 0.1 m yr−1. PGO samples over 20 000 km2 of glacierized terrain, which represents about 3 % of the Earth's glacier area. This small sample, however, provides a first-order estimate (within 0.07 mw.e.yr-1) of the global glacier mass change and its decadal evolution.
3. KẾT QUẢ ĐIỀU TRỊ HẸP ỐNG SỐNG THẮT LƯNG BẰNG PHẪU THUẬT NỘI SOI HAI CỔNG MỘT BÊN
Authors: Nhân Nguyễn Thành , Tuấn Hoàng Nguyễn Anh , Viễn Lê Tường , Thôi Nguyễn Ngọc , Sơn Lê Viết , Duy Đoàn Thái , Khanh Bùi Hồng Thiên 
Published: November 2024

Đặt vấn đề: Hẹp ống sống thắt lưng là chỉ định phẫu thuật thường gặp nhất ở người lớn tuổi. Phẫu thuật xâm lấn tối thiểu là một xu thế tất yếu, trong đó phẫu thuật nội soi (PTNS) cột sống hai cổng một bên là một hướng đi mới nhiều triển vọng. Điều trị hẹp ống sống thắt lưng bằng PTNS cột sống hai cổng một bên là một phương pháp điều trị mới, nhiều thuận lợi.
Mục tiêu: Đánh giá kết quả lâm sàng của bệnh nhân (BN) hẹp ống sống thắt lưng được điều trị bằng phẫu thuật nội soi cột sống 2 cổng một bên giải ép làm rộng ống sống.
Phương pháp: thiết kế nghiên cứu mô tả loạt ca, khảo sát 30 BN hẹp ống sống thắt lưng được điều trị với kỹ thuật nội soi hai cổng một bên tại Bệnh viện Đại học Y Dược Thành phố Hồ Chí Minh từ tháng 01 năm 2019 đến tháng 07 năm 2022. Thang điểm đau lưng, đau chân (VAS), điểm chức năng (ODI-Oswestry Disability Index) trước mổ được ghi nhận và so sánh với thời điểm đánh giá lần cuối. Tiêu chuẩn Macnab cũng được đánh giá tại lần theo dõi cuối cùng.
Kết quả: Thời gian theo dõi hậu phẫu trung bình là 17,3 ± 9,4 tháng, với trường hợp có thời gian theo dõi ngắn nhất là 6 tháng và dài nhất là 41 tháng. Thời gian phẫu thuật trung bình là 144,1 ± 57,3 phút, ngắn nhất 50 phút và dài nhất 260 phút, thời gian nằm viện trung bình là 3,97 ± 2,04 ngày, ngắn nhất 1 ngày và dài nhất 11 ngày. Điểm VAS trung bình cho đau chân giảm từ 6,63 ± 2,66 điểm trước phẫu thuật xuống 0,79 ± 1,01 điểm ở lần tái khám cuối cùng và điểm VAS trung bình cho đau lưng giảm từ 7,00 ± 1,95 điểm xuống 1,10 ± 1,11 điểm. Điểm số ODI trung bình đã cải thiện đáng kể từ 62,55 ± 9,68 điểm % trước phẫu thuật giảm còn 22,31 ± 14,72 điểm % tại thời điểm 6 tháng sau mổ và 21,06 ± 15,67 điểm % ở lần đánh giá sau cùng. Kết quả theo Macnab cải biên là 46,6% bệnh nhân có kết quả điều trị rất tốt, 26,7% có kết quả tốt và 26,7% có kết quả trung bình. Về hình ảnh học, đường kính trước – sau ống sống hẹp nhất và thiết diện cắt ngang ống sống hẹp nhất đã cải thiện rõ rệt có ý nghĩa sau mổ, từ 4,65 ± 1,21 mm tăng lên 8,93 ± 3,32 mm (p<0,05), và 0,44 ± 0,21 cm2 tăng lên 0,94 ± 0,42 cm2 (p<0,05). Không có trường hợp nào có kết quả điều trị kém. Không có BN nào phải phẫu thuật lại do giải ép không hoàn toàn. Có 2 ca có biến chứng : 1 trường hợp tràn dịch đa màng, 1 trường hợp máu tụ ngoài màng cứng.
Kết luận: Kỹ thuật nội soi hai cổng một bên giải ép cho hẹp ống sống thắt lưng có thể được thực hiện một cách an toàn và hiệu quả. Kết quả theo dõi bước đầu là rất khả quan. Có thể ứng dụng rộng rãi kỹ thuật này trong tương lai.
6. KẾT QUẢ ĐIỀU TRỊ NGOẠI KHOA NHIỄM TRÙNG VẾT THƯƠNG PHẦN MỀM PHỨC TẠP ĐA KHÁNG THUỐC
Authors: Tuấn Hoàng Nguyễn Anh , Khanh Bùi Hồng Thiên , Linh Nguyễn Thị Phương , Nhân Nguyễn Thành , Sáng Lê Nhật , Đôn Lê Đức 
Published: November 2024

Đặt vấn đề: Nhiễm trùng đa kháng thuốc nói chung là một vấn đề y tế toàn cầu ngày càng nghiêm trọng, kéo dài thời gian nằm viện, và tăng tỷ lệ tử vong. Nhiễm trùng vết thương phần mềm phức tạp, đa kháng thuốc mang đến thử thách lớn cho các nhà ngoại khoa khi các kháng sinh điều trị bị hạn chế. Phẫu thuật cắt lọc và gần đây hệ thống hút áp lực âm (VAC) có tưới rửa ra đời cho thấy là một phương pháp hiệu quả điều trị vết thương nhiễm trùng phức tạp.
Đối tượng - Phương pháp nghiên cứu: Nghiên cứu mô tả loạt ca các trường hợp nhiễm trùng vết thương phần mềm phức tạp do tác nhân đa kháng thuốc được điều trị bằng phẫu thuật cắt lọc kết hợp đặt VAC tưới rửa nhiều lần tại khoa Chấn Thương Chỉnh Hình bệnh viện Đại Học Y Dược TPHCM.
Kết quả: Từ 04/2024 đến tháng 10/2024, chúng tôi có 6 trường hợp nhiễm trùng vết thương phần mềm phức tạp, kết quả cấy vi khuẩn đều thuộc nhóm đa kháng thuốc : Methicillin-resistant Staphylococcus aureus (MRSA), Klebsiella pneumoniae ESBL (-), AmpC(-), Pseudomonas aeruginosa, AmpC (-) ; Enterobacter aerogenes ESBL (-), AmpC(-). Một trường hợp nhiễm trùng huyết, nhiễm trùng phần mềm nhiều nơi do Burkholderia pseudomallei. Các bệnh nhân được thực hiện trung bình 3,16 lần phẫu thuật cắt lọc và 3 chu trình đặt VAC, 100% kết quả cấy dịch âm tính, bilan nhiễm trùng về bình thường. 4/6 trường hợp vết thương đã được đóng kín khi xuất viện, 1 trường hợp tiếp tục được đặt VAC tại nhà sau đó quay lại ghép da, 1 trường hợp còn đang theo dõi chăm sóc vết thương ngoại trú.
Kết luận: Phẫu thuật cắt lọc kết hợp đặt VAC tưới rửa nhiều lần cho thấy là 1 phương pháp hiệu quả điều trị các trường hợp nhiễm trùng vết thương phần mềm phức tạp, đa kháng thuốc.
Optimization in Neural Networks with Mathematics: Efficiency in Architectures of Deep Learning
Authors: Anandhavalli Muniasamy  
Published: November 2024

Optimization is essential for improving the effectiveness and performance of neural networks specially in deep learning. In this paper the concepts of mathematical optimization methods are discussed that improves generalization, convergence speed, and model training. The paper will discuss both traditional and contemporary techniques, such as gradient-based methods, second-order optimization, and new developments like meta-optimization and adaptive learning rate strategies. There are some mathematical formulations that helps to reduce loss functions while maintaining the computational efficiency. There are many optimization challenges in large-scale networks which will be discussed in the paper and hence provides innovative ways to strike a balance between speed, accuracy, and resource usage. The paper also discusses the role of mathematical optimization techniques which helps to enhance the accuracy, convergence, speed, etc in detail.
Assessing the Competence of Digital Tools in Quality Education: A Scale Development for Supporting SDG4
Authors: Akanksha Singh, Mukta Martolia, Sonali Srivastava  
Published: November 2024

This study aims to develop a comprehensive scale for assessing the competence of digital tools in fostering quality education, aligning with Sustainable Development Goal 4. The research addresses the need for a robust evaluation framework to measure the effectiveness of digital tools used in educational settings. The scale development process involves three key stages: item generation, validation, and data collection.
Item Generation: Initial items for the scale are derived from an extensive review of literature, expert consultations, and user feedback. This process ensures the scale encompasses a wide range of relevant factors impacting digital tool effectiveness. The study employed a 7- & 5-point Likert scale & Binary scale encompassing 27 items along with 6 demographic items, with a sample size of 202 participants.
Validation Process: The scale undergoes pilot testing with educators/instructors & Learners. Reliability is assessed using Cronbach’s Alpha, while Confirmatory Factor Analysis (CFA) is
employed to establish construct validity.
Participants and Data Collection: Data is collected through structured surveys administered to a diverse group of stakeholders including educators, instructors, students, professionals and academicians.
Findings: Preliminary results from pilot testing indicate strong reliability and validity of the scale, with Cronbach’s Alpha demonstrating internal consistency and CFA confirming the scale’s factor structure. Key findings suggest that the scale effectively measures various dimensions of digital tool competence, providing actionable insights for educators, policymakers, and technology developers to enhance the integration of digital tools in education. The evaluation study revealed valid results in terms of scale fit criteria, internal validity, and reliability.
Implications: The developed scale offers a valuable tool for evaluating digital open resources, guiding improvements in educational technology, and supporting the achievement of SDG 4 by ensuring that digital tools contribute effectively to quality education.
Apatite and Monazite Geochemistry Record Magmatic and Metasomatic Processes in Rare Earth Element Mineralization at Mountain Pass, California
Authors: Benson Erin K. , Watts Kathryn E. 
Published: November 2024

Abstract
The largest rare earth element (REE) deposit in the United States is a carbonatite intrusion at Mountain Pass in the Mojave Desert, California. Despite a clear spatiotemporal association of alkaline silicate and carbonatite intrusions at Mountain Pass, a genetic model of their mutual formation has not been resolved. The Mountain Pass carbonatite has long been upheld as an example of a primary magmatic body, but this has not been investigated in detail at the mineral scale. This study investigates the geochemistry of apatite and monazite grains from the alkaline silicate and carbonatite stocks and dikes of the Mountain Pass district to elucidate the magmatic history of the intrusive suite and identify the potential role of fluids in REE mineralization. Three apatite populations are identified in the alkaline silicate rocks. A primary magmatic apatite group supports intrusion of the stocks as separate pulses of magma derived from a spatially extensive metasomatized mantle source region. The second group implicates the role of a regional fluid that mobilized light REEs from apatite grains. Low Sr concentrations and negative Eu anomalies in cores of a minor group of inherited apatite support assimilation of crustal material in the formation of the intrusive suite. Analyses of monazite and apatite grains from the carbonatite orebody also reveal a mix of primary magmatic and metasomatic (fluid related) minerals. Compositional similarities between primary phosphates in the carbonatite and alkaline silicate rocks support a genetic link between the intrusions. The impact of fluids on mineralization in the carbonatite orebody indicates the Mountain Pass carbonatite should not be classified as a purely magmatic REE deposit.
Pengaruh City Branding terhadap City Image Serta Dampaknya pada Tourist Loyalty
Authors: Terra Saptina Maulani  
Published: November 2024

To develop the economy and empower the community, one of the activities in developing the regional economy besides the industrial sector is the tourism sector. Tourism has a strategic role in creating jobs and generating foreign exchange and regional income. To restore the economy, there is a policy of 5 (five) pillars of economic, social, and cultural recovery, one of which is to increase marketing by strengthening the image of tourism. To improve the image of Bandung City tourism through a City Branding strategy to be more competitive and able to compete with other cities as a tourist destination. City Branding is not just a logo, symbol, or slogan but rather the delivery of a promise of an impressive trip so that it can make tourists loyal. Loyal tourists may want to make repeat visits and recommend to others. This research was done in Bandung City as the research object. . The data analysis method used in this study is quantitative, for testing the hypothesis using path analysis. The results of this study, show that City Branding influenced Tourist Loyalty through City Image by 26.7%.
The Mean Capture Time on Horizontal Divided Nested Networks
Authors: Xiang Zuodong 
Published: November 2024

In this paper, we consider the division of nested networks with a horizontal division line , where is the division coefficient. The problem of capture on the surplus network obtained after the division is studied. In addition, by studying the structure of the surplus network, we obtain the relationship between the transmission efficiency on the surplus network and the division coefficient . When is larger, the capture time is shorter and the network transmission efficiency is higher. At the same time, we also solved the mean capture time of each node on the bottom edge of the surplus network.
Prevalence Study of Anisometropia and Isometropia at Cheaa Optical Eyewear Clinic Magelang in 2020 - 2024
Authors: Michael Michael , Simarmata Murni Marlina , Doringin Ferry 
Published: November 2024

This study aims to determine the prevalence of eye conditions in clients who come to the Cheaa Optical Glasses Clinic, Magelang City, namely among clients who have isometropia and anisometropia eye conditions. This study uses a qualitative approach with univariate analysis and is presented in the form of frequency distribution. This research took data from clients who came to opticians from 2020 to 2024. The data obtained was then divided into four conditions, namely isometropia, anisometropia, isometropia accompanied by presbyopia, and anisometropia accompanied by presbyopia. The results of the analysis were that there were more clients with isometropia eye conditions than clients who had anisometropia eye conditions. the number of patients who had isometropia eye conditions was 4,785 people (58.94%), and the number of patients who had anisometropia eye conditions was 3,334 people (41.06%). Therefore, early detection can help prevent long-term vision issues and enhance treatment outcomes.