bluuebunny/crossref_metadata_2025_split huggingface dataset:
Communication Methods Used with Conscious Intubated Patients: Scoping Review
Authors: Karmakar Mahuya , Panduragan Santhna Letchmi , Said Faridah Mohd 
Published: December 2024

Background
Intubated conscious patients often experience communication difficulties. The present narrative review outlines the current evidence on communication methods adopted and the experience of conscious intubated patients in critical care areas.

Objectives
To our knowledge, studies have attempted to examine communication with conscious intubated patients. The present review had two objectives: (1) to identify the methods adopted by nurses and conscious intubated patients to ease the communication difficulties faced due to intubation and (2) to identify the experience of nurses and conscious intubated patients with the adopted communication methods.

Methods
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist was followed throughout this review. PubMed and ProQuest databases were searched with the terms “intubated conscious patients,” “communication,” and “nurse”, including original research articles published between January 2019 and May 2024 on conscious patients needing intubation. Dissertations, review papers, non-interventional research, and articles written in languages other than English were excluded. Only eight of the original 2,041 studies, which included 137 intubated patients and for 545 nurses, met the inclusion criteria. The authors used the Mixed Method Appraisal tool (MMAT) and the Critical Appraisal Skills Program (CASP) to collect data and assess quality.

Results
After the first search of generated 2041 papers, only eight articles—representing various studies—were able to meet the inclusion requirements. The included studies were six (6) quantitative, one (1) qualitative study and one (1) mixed-method study. Four communication intervention types were identified, namely: (1) Communication boards/charts (two studies), which improved communication and increased patient satisfaction. (2) Gestures and facial expressions (four studies) were reported to be frequently initiated for communication by the nurses with the patients. (3) Multiple methods (three studies) used were found to be insufficient to communicate with the patients. (4) Digital technology program, including Communicative Digital Technology Program was found to be effective means of communication in three such studies.

Conclusion
Results imply that communication techniques may be useful in enhancing patient–nursing professional communication with conscious intubated patients. However, in developing countries with fewer resources, a low-cost communication tool addressing both physical and emotional needs may be developed to aid in communication among patients and nurses.
The Effect of Emotional Intelligence, Caring Efficacy, and Social Support on Clinical Competency of Nursing Students
Authors: Park Jaewoo , Rajaguru Vasuki , Kim Jeoungmi 
Published: December 2024

Aim
The purpose of this study was to determine the effects of emotional intelligence, caring efficacy, and social support on the clinical competency of Korean nursing students.

Methods
We conducted a descriptive correlational study from 5th March to 10th June 10, 2020, among 257 nursing students in 3rd and 4th years who participated in clinical practice at four universities in two cities. We collected the data using a self-structured questionnaire that included 129 items from the Wong and Law Emotional Intelligence Scale (WLEIS), the General Self-efficacy (GSE) scale, and scales on social support and clinical competency. We analyzed the data using frequency analysis, t-test, ANOVA, Scheffe test, Pearson correlation coefficient, and stepwise multiple regression analysis.

Results
The majority of the students, i.e., 80.2%, were female, 57.6% were in their 3rd year, and the students’ average age ranged from 22.91 to 4.75. The participants’ clinical competency was linked to their emotional intelligence (r =.457; p<.001), their ability to care for others (r =.516; p<.001), and their social support (r =.515; p^.001). There was a statistically significant difference in clinical competency based on the participants’ religion, academic performance, and satisfaction with their major and clinical practice. Factors, such as care efficacy, social support, emotional intelligence, religion, and significant satisfaction, influenced clinical competency.

Conclusion
Overall, 39.3% of the participants demonstrated clinical competency. The results have highlighted the need for the development of an effective educational program that can enhance emotional intelligence, care efficacy, social support, and major satisfaction, thereby promoting the clinical competency of nursing students.
The Role of Daivavyapashraya Chikitsa in Ayurveda: A Focus on Upavas Chikitsa
Authors: Shivani R. Naxine  , Harish Kumar Purohit  , Brijesh R. Mishra  
Published: December 2024

Introduction: The disease preventive and health leading approach of ‘Ayurveda’, which takes into consideration the whole body, mind and spirit while dealing with the maintenance of health. In the realm of traditional Indian medicine, Ayurveda, and its holistic approach to health and wellness, the concept of Daivayavpashraya Chikitsa holds significant importance. Daivavyapashraya Chikitsa is one of the three treatment modalities listed in Charak Samhita for Shririk Dosha (bodily elements) and Manasik Dosha (psychological attributes). This ancient healing philosophy emphasizes the integration of natural elements and practices to restore balance and promote well-being. Among its various modalities, Upavas Chikitsa, or therapeutic fasting, stands out as a potent therapeutic tool. Objectives:1)To review literature related to the concept of Daivavyapashraya Chikitsa.2)To find out details about Upavas Chikitsa. Material and Methods: Ayurveda text, Ayurveda Samhita, published articles are review for compilation and analysis of the concepts. Discussion and Conclusion: Daivavyapashraya Chikitsa works on the basis on Prabhava (unknown /unexplainable mode of action, not undergoing digestion but showing its action) Upavas Chikitsa is not merely about abstaining from food; it involves a structured approach tailored to individual constitution (Prakriti), health conditions, and seasonal variations.
Contribution of Ayurveda to achieve Sustainability Development Goal-03 “Good Health and Well Being”
Authors: Rangaswamy N  , M.B. Gaur  
Published: December 2024

Ayurveda is an ancient Indian Medical Science which was developed by the cumulative efforts of our ancient Rishis and is still practiced for over 3000 years. Ayurveda is Life Science. Ayurveda teaches a range of practices and natural remedies for leading a healthy lifestyle. Ayurveda is known for its therapeutic, promotive and curative concepts. Western medicine is the most conventional form of treatment across the globe today. However, the role of Ayurveda in health and well-being has started gaining worldwide acceptance after it was recognized by WHO as a Traditional medicine system by virtue of its essential elements of health, qualitative strength, and important clues for consistent functioning of life. Ayurveda medicines are time and again proved as medicines with least side effects. It is a holistic approach to cure the root cause and not just the symptoms. Ayurveda mainly focuses in preventing the diseases in a healthy person and treating the disease of an ill. Sustainable Development - Goal 3 aims to ensure healthy lives and promote well-being for all, at all ages. Health and well being are important at every stage of one’s life. Sustainable Developmental Goal-3 addresses all major health priorities:- Reproductive, Maternal, Newborn, Child and Adolescent health; communicable and non-communicable diseases; universal health coverage and access for all to safe, effective, quality and affordable medicines and vaccines. The Sustainable Development Goals makes a bold commitment to end the epidemics of AIDS, tuberculosis, malaria and other communicable diseases by 2030.
The Influence of Stress and Inactivity on Health: An Ayurvedic Perspective
Authors: Ranu Rajpurohit  , Dichen Angmo  , Akhilesh Srivastava  
Published: December 2024

Sedentary behavior, defined as activity that involves little to no movement of the body and, consequently, low energy expenditure, has recently gained attention as a potential indicator of the physical and mental health of adult populations. Sedentary behavior has been linked to mental health problems like anxiety, depression, and low self-esteem. These days, life is extremely busy - almost chaotic. Despite our increased productivity, we still feel there is never enough time to accomplish our true goals. This extremely rapid pace and the pressure that follows to "get things done" are serious issues that have a deeper impact on our bodies and minds than we may realize. We are all making ourselves sick by stressing about something that is not even a small inconvenience. The body contains thousands of homeostatic regulatory mechanisms. Among the most crucial ones are the control of body temperature, the maintenance of cell nutrition, the removal of waste, and the proper balance of hormones. So, the term "stress" is fairly wide and can take many various forms, it can interfere with several vital physiological processes.
Evaluation of RMES, an Automated Software Tool Utilizing AI, for Literature Screening with Reference to Published Systematic Reviews as Case-Studies: Development and Usability Study
Authors: Sugiura Ayaka , Saegusa Satoshi , Jin Yingzi , Yoshimoto Riki , Smith Nicholas D , Dohi Koji , Higuchi Tadashi , Kozu Tomotake 
Published: December 2024

Background
Systematic reviews and meta-analyses are important to evidence-based medicine, but the information retrieval and literature screening procedures are burdensome tasks. Rapid Medical Evidence Synthesis (RMES; Deloitte Tohmatsu Risk Advisory LLC) is a software designed to support information retrieval, literature screening, and data extraction for evidence-based medicine.

Objective
This study aimed to evaluate the accuracy of RMES for literature screening with reference to published systematic reviews.

Methods
We used RMES to automatically screen the titles and abstracts of PubMed-indexed articles included in 12 systematic reviews across 6 medical fields, by applying 4 filters: (1) study type; (2) study type + disease; (3) study type + intervention; and (4) study type + disease + intervention. We determined the numbers of articles correctly included by each filter relative to those included by the authors of each systematic review. Only PubMed-indexed articles were assessed.

Results
Across the 12 reviews, the number of articles analyzed by RMES ranged from 46 to 5612. The number of PubMed-cited articles included in the reviews ranged from 4 to 47. The median (range) percentage of articles correctly labeled by RMES using filters 1-4 were: 80.9% (57.1%-100%), 65.2% (34.1%-81.8%), 70.5% (0%-100%), and 58.6% (0%-81.8%), respectively.

Conclusions
This study demonstrated good performance and accuracy of RMES for the initial screening of the titles and abstracts of articles for use in systematic reviews. RMES has the potential to reduce the workload involved in the initial screening of published studies.
Serologic Response to Hepatitis B Vaccination in People Living with HIV in Cali, Colombia
Authors: Muñoz-Solano Lina Marcela , Vera-Polaní Felipe , Acevedo Carlos Alberto , Muñoz-Solan James Enrique , García Martínez Juan Sebastián , Osorio Lyda 
Published: December 2024

Introduction: Hepatitis B virus (HBV) and HIV coinfection is common, with reported prevalence of up to 20%. This coinfection is associated with an increased risk of chronicity and complications compared with the general population. HBV vaccination is the cornerstone of prevention; however, people living with HIV (PLWH) exhibit a reduce immune response to the vaccine. The objective of this study was to determine the incidence and factors associated with the lack of seroconversion after HBV vaccination in PLWH in Cali, Colombia.
Materials and methods: This was a retrospective cohort study in two HIV outpatient clinics. We included HIV-confirmed adult patients admitted between 2017 and 2020, with no evidence of HBV infection and with under the protective levels of HBV surface antibodies (anti-HBs < 10 IU/ml) on admission, who received at least one dose of HBV vaccine, and had reported anti-HBs post vaccination. The outcome was lack of seroconversion (anti-HBs < 10 IU/ml post vaccination) Results: Of 512 patients screened, 73.8 % (95 % CI: 73.4–74.2) had anti-HBs < 10 IU/ml on admission of whom 224 were included. The incidence of anti-HBs < 10 IU/ml post vaccination was 39.7% (95% CI: 39.5–39.9). Age (aOR 1.03 95% CI: 1-1.05), CD4 count < 200 cells (aOR 7.8 95% CI: 2–29.8), BMI > 30 kg/m2 (aOR 5.1 95% CI: 1.9–14.1), and smoking in females (aOR 6.8 95% CI: 1–81) were risk factors for lack of seroconversion.
In contrast, two (aOR 0.2 95% CI: 0.06–0.9) or three (aOR 0.2 95% CI: 0.06–0.6) HBV vaccine doses instead of one were protective. Discussion: A significant proportion of PLWH are eligible for HBV vaccination in Cali. In those who received at least one HBV vaccine dose, the incidence of lack of seroconversion is comparable to reports in Latin America. The factors associated with lack of seroconversion could be considered to adjust the guidelines for HBV vaccination in PLWH in Colombia.
Assessment of SDG 6: Clean Water and Sanitation in Kampung Baru, Bandar Lampung
Authors: Melitania Melitania , Andandaningrum Della , Panggabean Siti Munawarah 
Published: December 2024

This study aims to review the achievement of drinking water and sanitation indicators in the context of the Sustainable Development Goals (SDGs) in Kampung Baru Subdistrict, Bandar Lampung City. The study reviews the achievement of drinking water and sanitation indicators within the context of SDGs, specifically the sixth goal related to clean water and sustainable sanitation. Data were collected through interviews, observations, and documentation from 53 respondents in the subdistrict. The results showed that 49.1% of households use bottled drinking water, 41.5% use protected water sources such as drilled wells or pumps, while 37% still use unprotected wells, which have the potential to cause contamination. In terms of sanitation, only 32.1% of households have access to adequate sanitation, and 83.2% of the population has the habit of washing hands with soap before and after meals. These results indicate that access to clean water and adequate sanitation remains a challenge, even though efforts to improve infrastructure have been made. The data show that not all households can optimally access these services. Therefore, more focused policies are needed to improve the quality of safely managed drinking water and to improve sanitation systems to support public health and a better standard of living, as well as further efforts from the government and the community to achieve the SDG targets by 2030. AbstrakPenelitian ini bertujuan untuk meninjau capaian indikator air minum dan sanitasi layak dalam konteks Sustainable Development Goals (SDGs) di Kelurahan Kampung Baru, Kota Bandar Lampung. Penelitian ini meninjau capaian indikator air minum dan sanitasi dalam konteks SDGs, khususnya tujuan keenam terkait air bersih dan sanitasi berkelanjutan. Data dikumpulkan melalui wawancara, observasi, dan dokumentasi terhadap 53 responden di kelurahan tersebut. Hasil penelitian menunjukkan bahwa 49,1% rumah tangga menggunakan air minum dalam kemasan, 41,5% rumah menggunakan sumber air terlindungi seperti sumur bor atau pompa, sementara 37% rumah masih menggunakan sumur tidak terlindung yang berpotensi menyebabkan kontaminasi. Pada bidang sanitasi, hanya 32,1% rumah yang memiliki akses sanitasi layak, dan 83,2% penduduk telah memiliki kebiasaan mencuci tangan dengan sabun sebelum dan sesudah makan. Hasil ini menunjukkan Akses terhadap air bersih dan sanitasi yang layak masih menjadi tantangan, meskipun upaya peningkatan infrastruktur telah dilakukan. Data menunjukkan bahwa belum semua rumah tangga dapat mengakses layanan tersebut secara optimal. Oleh karena itu, diperlukan kebijakan yang lebih fokus untuk meningkatkan kualitas air bersih yang dikelola secara aman dan memperbaiki sistem sanitasi guna mendukung kesehatan masyarakat dan standar hidup yang lebih baik serta memerlukan upaya lebih lanjut dari pemerintah dan masyarakat untuk mencapai target SDGs pada tahun 2030.
Masculinization of Cupang Fish (Betta splendens) Using Rujak Polo Fruit (Tribulus terrestris) Through Immersion Method
Authors: Rudini Mahmud , Hidayat Nurul , Kuswanto Eko , Listiana Ika 
Published: December 2024

Male betta fish have high commercial value, making it more effective and profitable if only males are produced and reared. The aim of this study was to determine the effect of Tribulus terrestris fruit on the masculinization of betta fish (Betta splendens) using an immersion method. This research is quantitative. The population in this study consisted of the entire larval population of betta fish. A sample of 300 seven-day-old betta fish larvae was taken from this population and divided into 5 containers, each containing 20 larvae. The sampling technique used was Probability Sampling. Data collection was conducted with 5 treatments, each with 3 repetitions. The data obtained were tested using a One Way ANOVA or analysis of variance with a 95% confidence level. The results showed that the average data obtained from each treatment group differed significantly. The best dosage concentration in this study was treatment P2 with a concentration of 2 mg/L, resulting in the highest percentage of male betta fish at 84.49%.AbstrakIkan cupang jantan memiliki nilai komersial tinggi, sehingga akan lebih efektif dan menguntungkan bila hanya diproduksi dan dipelihara jenis jantan. Tujuan penelitian ini untuk mengetahui pengaruh buah tumbuhan rujak polo (Tribulus terrestris) terhadap maskulinisasi ikan cupang (Betta splendens) dengan metode perendaman. Jenis Penelitian ini adalah penelitian kuantitatif. Populasi dalam penelitian ini adalah keseluruhan larva ikan cupang. Dari populasi tersebut diambil sampel 300 ekor larva ikan cupang berumur 7 hari, dan dibagi dalam 5 wadah setiap wadah berisi 20 ekor larva ikan cupang. Tehnik pengambilan sampel yang digunakan yaitu probability sampling. Pengambilan data sampel penelitian dilakukan sebanyak 5 perlakuan dengan 3 kali pengulangan. Data dianalisis mengunakan Uji One Way Anova dengan uji BNT dengan tingkat kepercayaan95%. Hasil penelitian bahwa maskulinisasi ikan cupang (Betta splendens) menggunakan buah rujak polo (Tribulus terrestris) melalui metode perendaman dengan dosis yang berbeda memberikan pengaruh yang nyata terhadap persentase ikan cupang. Konsentrasi dosis terbaik yang dapat digunakan dalam maskulinisasi ikan cupang adalah pada perlakuan P2 yaitu sebanyak 2mg/L yang menghasilkan persentase ikan cupang jantan tertinggi yaitu sebesar 84,49%.
Analysis of The Antioxidant Potential of Ethanol Extracts from Pacing Plant (Costus speciosus) With DPPH Method
Authors: Riany Hesti , Wahyuningtyas Regita Kusuma 
Published: December 2024

Antioxidants are reducing compounds utilized to protect the body from oxidative degradation. One of the plants, Costus speciosus, commonly known as pacing, is believed to have potential as a natural source of antioxidants. The aim of this research is to determine the antioxidant content and secondary metabolite compounds present in the ethanol extracts of pacing stems, leaves, and flowers. Antioxidant measurements were conducted using the 1,1-diphenyl-2-picrylhydrazine (DPPH) method. The antioxidant content was analyzed using probit analysis and calculating the IC50 value. The content of secondary metabolite compounds was analyzed using thin-layer chromatography (TLC) tests. The research results indicate that the ethanol extracts of pacing stems, leaves, and flowers contain antioxidants. The highest antioxidant content was found in the leaves with an IC50 value of 17.8 ppm, followed by the stems with an IC50 value of 24.22 ppm, and the flowers with an IC50 value of 24.85 ppm. The secondary metabolite content in pacing plants showed the presence of flavonoids and alkaloids in the leaves, flavonoids and phenols in the stems, while only flavonoids were detected in the flowers.AbstrakAntioksidan adalah senyawa pereduksi yang digunakan untuk melindungi tubuh dari degradasi oksidatif. Salah satu tanaman yaitu Costus speciosus atau yang biasa dikenal dengan nama pacing diyakini memiliki potensi sebagai sumber antioksidan alami. Penelitian ini bertujuan untuk mengetahui kandungan antioksidan dan senyawa metabolit sekunder yang terdapat pada ekstrak etanol batang, daun, dan bunga pacing. Pengukuran antioksidan dilakukan dengan menggunakan metode 1,1-difenil-2-pikrilhidrazil (DPPH). Kandungan antioksidan dianalisis dengan menggunakan analisis probit dan menghitung nilai IC50. Kandungan senyawa metabolit sekunder dianalisis menggunakan uji kromatografi lapis tipis (KLT). Hasil penelitian menunjukkan bahwa ekstrak etanol batang, daun, dan bunga pacing mengandung antioksidan. Kandungan antioksidan tertinggi terdapat pada bagian daun dengan nilai IC50 sebesar 17,8 ppm, diikuti oleh bagian batang dengan nilai IC50 sebesar 24,22 ppm, dan bagian bunga dengan nilai IC50 sebesar 24,85 ppm. Kandungan metabolit sekunder pada tanaman mondar-mandir menunjukkan adanya flavonoid dan alkaloid pada daun, flavonoid dan fenol pada batang, sedangkan pada bunga hanya terdeteksi adanya flavonoid
Features of building a successful logistics business in the USA
Authors: Mardonova E. 
Published: December 2024

The very intensive development of e-commerce and changing consumer behavior in the United States have provoked an unprecedented increase in freight traffic. This trend is increasing every year. Existing logistics models sometimes demonstrate the inability to effectively cope with the increased workload, which necessitates a rethink of traditional approaches to business organization in the area under consideration.There is no common position in the scientific community regarding optimal scaling strategies for logistics companies in the context of digital transformations. A number of researchers advocate the priority of technological modernization, while others focus on strengthening regional partner networks. The indicated contradiction is aggravated by the lack of knowledge of synergetic effects when integrating various options for action.The purpose of the study is to identify key success factors in building and scaling a logistics business in the United States through the prism of technological transformation of the industry and changes in market conditions.It is noted that companies integrating elements of classical logistics with digital platform solutions demonstrate an increase in the profitability of operations. At the same time, the critical success factor is not the volume of investments in technological modernization, but the ability to create effective synergy between various parts of the entrepreneurial model. The author’s view on the options for the development and scaling of logistics entrepreneurship in the United States is proposed.The article is of value to the heads of logistics companies, investors considering the possibility of entering this sector in the United States, as well as researchers dealing with the digital transformation of the analyzed industry.