bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cross-cultural Adaption of the Indonesian Version of the Withdrawal Assessment Tool Version-1
Authors: Puspaningtyas Niken Wahyu , Gustiany Erida , Mutifa Juanda , Primacakti Fitri , Priesley Fuka 
Published: December 2024

Background
Sedative and analgesic medications are commonly administered in the Pediatric Intensive Care Unit (PICU) but can cause complications, such as Iatrogenic Withdrawal Syndrome (IWS). The Withdrawal Assessment Tool Version-1 (WAT-1) questionnaire is a validated and reliable diagnostic tool for IWS, but it is not yet available in the Indonesian language.

Methods
This observational cross-sectional study was conducted in two phases at Ciptomangukusumo Hospital, Jakarta, Indonesia. The initial phase involved translating the WAT-1 and State Behavioral Scale (SBS) instrument into Indonesian. Subsequently, the validity and reliability of the Indonesian version of WAT-1 were tested on 30 patients who received sedative and analgesic medications for at least five consecutive days in the PICU. Evaluations were performed by two groups of nurses: PICU nurses and training nurses.

Results
The Indonesian version of WAT-1 was found to be valid and reliable. The validity showed correlations ranging from good to very strong (r = 0.490 to 0.836) among PICU nurses and strong correlations (r = 0.634 to 0.808) among trained nurses. The WAT-1 questionnaire demonstrated reliability with Cronbach's alpha values of 0.791 for PICU nurses and 0.785 for trained nurses. The Intraclass Correlation Coefficient (ICC) for WAT-1 indicated very good to excellent consistency in assessments, and the ICC for SBS indicated excellent consistency.

Conclusion
The Indonesian version of WAT-1 and SBS is a valid and reliable diagnostic tool for detecting Iatrogenic Withdrawal Syndrome in Children.
Comparative physicochemical study of Manjishta Kwatha prepared by using different proportion of water
Authors: Dongre Sushma  
Published: December 2024

Introduction: Due to ambiguity in literature regarding Kwatha preparation, exact proportion of water needed as per consistency of Dravya (Drug) for optimum quality of Kwatha is the need for standard pharmaceutical practices. For this purpose Manjishta was selected for Kwatha preparation using two different proportion of water. Aim and Objectives: To find out the difference in physicochemical parameters to access the quality of Manjishta Kwatha in order to save time and fuel required for Kwatha with the objective to prepare Manjishta Kwatha by using two different proportion of water and to compare time and fuel needed. Methods: Procurement and Authentication of Manjishta were done as per standard protocol. Manjishta Kwatha were prepared by using two different proportion of water one by using 16 parts of water and second by using 8 parts of water by reduced 1/8th and 1/4th respectively. In process and finished products observations were noted as per procedure. Analytical testing was done as per Ayurved Pharmacopeia of India. Observations and Results: In physicochemical analysis, the pH value, refractive index and specific gravity have not shown any remarkable difference however total solid content were found to be more in the Kwatha which used eight parts of water. The fuel and time consumed were three times more in the sample which used sixteen parts of water. So, Manjishta can be considered as Madhyam (Medium) consistency drug for Kwatha purpose. This study provided the preliminary physicochemical parameters for the Manjishta Kwatha. Further it needs to study qualitative parameters with highly sophisticated analytical techniques.
Diabetes Medical Group Visits and Type 2 Diabetes Outcomes: Mediation Analysis of Diabetes Distress
Authors: Reichert Matthew , De La Cruz Barbara A , Gardiner Paula , Mitchell Suzanne 
Published: December 2024

Abstract

Background
Group-based diabetes care, both technology-enabled and in-person, can improve diabetes outcomes in low-income minority women, but the mechanism remains unclear.

Objective
We tested whether diabetes group medical visits (GMVs) reduced hemoglobin A1c (HbA1c) by mitigating diabetes distress (DD), an emotional response affecting nearly half of adults with type 2 diabetes in community settings.

Methods
We conducted a mediation and moderation analysis of data from the Women in Control 2.0 comparative effectiveness study, which showed that both technology-enabled and in-person diabetes GMVs improve HbA1c. We tested whether DD mediated the relationship between diabetes GMV engagement and reductions in HbA1c. We also tested whether this relationship was moderated by depressive symptoms and social support. Participants were 309 low-income and minority women. Diabetes GMV engagement was measured using the Group Climate Questionnaire. The mediator, DD, was measured using the Diabetes Distress Screening Scale. The outcome was the 6-month change in HbA1c. Social support was measured using the Medical Outcomes Study Social Support Survey.

Results
DD mediated the relationship between engagement and 6-month HbA1c. Specifically, group engagement affected HbA1c by reducing distress associated with the regimen of diabetes self-management (P=.04), and possibly the emotional burden of diabetes (P=.09). The relationship between engagement and 6-month HbA1c was moderated by depressive symptoms (P=.02), and possibly social support (P=.08).

Conclusions
Engagement in diabetes GMVs improved HbA1c because it helped reduce diabetes-related distress, especially related to the regimen of diabetes management and possibly related to its emotional burden, and especially for women without depressive symptoms and possibly for women who lacked social support.
Evaluating the Impact of Assistive Technologies on Individuals With Disabilities in Benin: Protocol for a Cross-Sectional Study
Authors: Atigossou Orthelo Léonel Gbètoho , Capo-chichi Sègbédji Joseph Martial , Mitchaї Penielle Mahutchegnon , Honado Aristide S 
Published: December 2024

Background
A significant proportion of individuals with disabilities in resource-limited countries require at least 1 assistive technology (AT) device to enhance their functioning and autonomy. However, there is limited evidence regarding the actual needs of AT users in these regions concerning the adequacy of ATs.

Objective
This research aims to assess the effects of ATs on AT users in a resource-limited country.

Methods
A cross-sectional study will be conducted in Benin, a sub-Saharan African country, using a nonprobability sample of AT users. Participants will undergo evaluation using standardized tools to assess their psycho-affective status, satisfaction with ATs, perception of the functional effects of ATs, well-being, and quality of life. Additionally, a survey based on the World Health Organization's rATA (rapid assistive technology assessment) tool will be conducted to gather sociodemographic and other data concerning the use of ATs. The findings will be organized and discussed using the Consortium on Assistive Technology Outcomes Research taxonomy, focusing on aspects related to the effectiveness and social significance of ATs, as well as the subjective well-being of AT users.

Results
The process of identifying potential participants began in August 2024, and data collection is scheduled to start in January 2025 and continue for 12 months.

Conclusions
This research will provide an overview of the effects induced by the use of ATs, as well as describe the profile of AT users in Benin. To our knowledge, this will be the first study to examine the impact of ATs in Benin. It will therefore make a significant contribution to the existing data on the use of ATs in sub-Saharan Africa.

International Registered Report Identifier (IRRID)
PRR1-10.2196/60869
Effect on Response Rates of Adding a QR Code to Patient Consent Forms for Qualitative Research in Patients With Cancer: Pilot Randomized Controlled Trial
Authors: Wyse Rebecca , Forbes Erin , Norton Grace , Viana Da Silva Priscilla , Fakes Kristy , Johnston Sally Ann , Smith Stephen R , Zucca Alison 
Published: December 2024

Background
The successful conduct of health and medical research is largely dependent on participant recruitment. Effective, yet inexpensive methods of increasing response rates for all types of research are required. QR codes are now commonplace, and despite having been extensively used to recruit study participants, a search of the literature failed to reveal any randomized trial investigating the effect of adding a QR code on qualitative research response rates.

Objective
This study aimed to collect data on rates of response, consent, and decline among patients with cancer, and the average time taken to respond following randomization to receive either a QR code or no QR code on the patient consent form for a qualitative research study.

Methods
This was a pilot randomized controlled trial (RCT) embedded within a qualitative research study. In total, 40 eligible patients received a recruitment pack for the qualitative study, which included an information statement, a consent form, and an addressed, stamped envelope to return their consent form. Patients were randomized 1:1 to the control (standard recruitment pack only) or intervention group (standard recruitment pack including modified consent form with a QR code).

Results
In total, 27 out of 40 patients (age: mean 63.0, SD 14.8 years; 45% female) responded to the consent form. A lower proportion of the QR code group (60%) responded (odd ratio [OR] 0.57, 95% CI 0.14-2.37; P=.44), compared to 75% of the standard recruitment group. However, a higher proportion of the QR group (35%) consented (OR 1.84, 95% CI 0.41-8.29; P=.43), compared to the standard recruitment group (20%). A lower proportion of the QR group (25%) declined (OR 0.34, 95% CI 0.09-1.38; P=.13) relative to the standard recruitment group (55%). The mean response time of the QR code group was 16 days (rate ratio [RR] 0.79, 95% CI 0.47-1.35; P=.39) compared to 19 days for the standard recruitment group. None of the age-adjusted analyses were statistically significant.

Conclusions
This underpowered pilot study did not find any evidence that offering an option to respond through a QR code on a patient consent form for a qualitative study increased the overall patient response rate (combined rate of consent and decline). However, there was a nonsignificant trend, indicating that more patients who received the QR code consented compared to those who did not receive the QR code. This study provides useful preliminary data on the potential impact of QR codes on patient response rates to invitations to participate in qualitative research and can be used to inform fully powered RCTs.

Trial Registration
OSF Registries 10.17605/OSF.IO/PJ25X; https://doi.org/10.17605/OSF.IO/PJ25X
An Evaluation of the Proposed Serbia-Kosovo Land Swap Deal and its Potential Status under Applicable International Law
Authors: Mak Ryan 
Published: December 2024

With only about half of the members of the United Nations recognizing its declaration of independence, the lack of universal consensus on Kosovo’s independence in 2008 has put the country’s status legal status as a legitimate state in limbo. The Serbia-Kosovo land swap deal has been proposed as a way to break the deadlock and potentially lead to the international recognition of Kosovo. This article evaluates the applicable legal standards under international law form both of the scenarios—that Kosovo is and is not a sovereign state. It explored the issues from the perspectives of purely territorial exchange, groups of people in terms of the legality of population exchanges and rights of self-determination and minority rights. It also investigates the implication of the land swap on individual human rights issues under the existing legal framework, thereby considering if the deal is compliant with international law and providing food for thought.
Le projet d'échange de territoires entre la Serbie et le Kosovo : la perspective du droit international
L'absence de consensus sur l’indépendance du Kosovo en 2008 a laissé le statut juridique du pays en suspens : seulement la moitié des États membres des Nations unies le reconnaissent comme un État indépendant. L'accord d'échange de territoires entre la Serbie et le Kosovo a été proposé comme un moyen de sortir de l'impasse et d'aboutir à la reconnaissance internationale du Kosovo. Dans cet article, l’auteur évalue les normes juridiques applicables en vertu du droit international dans les deux scénarios, à savoir si on suppose que le Kosovo est ou n'est pas un État souverain. Les problèmes soulevés par le projet d’accord sont abordés sous les angles de l'échange purement territorial, des groupes de personnes (en termes de légalité des échanges de population), du droit à l'autodétermination et des droits des minorités. L'échange de territoires a également de fortes implications pour le cadre juridique actuel sur les droits des individus, ce qui pousse à une examination de la conformité de l’accord au droit international et fournit des pistes pour une réflexion plus approfondie sur ce type de projets territoriaux.
The specifics of knowledge transfer in franchising. The case of a beauty salon
Authors: Shutova T. S. 
Published: December 2024

The transition from a direct sales business model to a franchise model requires a review of the company’s strategy, structure and key business processes. One of the key tasks for the company’s management is knowledge management, which plays an important role in ensuring its competitiveness. Changing the business model involves alterations in the value chain and organizational structure of the company in the context of franchising.This study focuses on the business format franchise, where the management company not only transfers the right to a product and service, but also provides a complete business format, including a marketing strategy, quality standards, and a set of organizational knowledge about the specifics of providing services. Using the example of the 4hands manicure and pedicure salon network, practical aspects of transformation are demonstrated, such as the transfer of operational functions to franchisees and difficulties in communication within the network. The importance of effective knowledge transfer is emphasized as one of the factors of sustainable growth of the franchise network. Knowledge is also considered as a strategic resource that provides a competitive advantage of the company, which is confirmed by the analysis of the VRIO model.
The implementation of digital technologies in teaching a foreign language to future teachers of natural sciences within the context of successful communication and intercultural interaction
Authors: Alinder-Ismailova Ergidzhan 
Published: December 2024

Abstract
The article describes the variety of approaches, perspectives and experiments in the field of foreign language teaching within the context of successful communication and intercultural interaction. The knowledge of the language and the evaluation of the degree of its command is inevitably linked to the knowledge of history, culture, and moral issues of people who speaks this very language.
A healthy lifestyle score and healthy behaviour of adults in Bulgaria
Authors: Kuleva Ivayla , Koleva Vanya , Yaneva Galina , Atanasova Mariya , Nedretova Arzu , Dragoeva Asya 
Published: December 2024

Abstract
The positive impact of numerous healthy behaviours on human health and wellbeing is well known. This study is the first to provide a comprehensive single healthy lifestyle score for a heterogeneous adult population in Bulgaria. The aim of this study is to make single healthy lifestyle score of the adults in Bulgaria. The survey was carried out with 714 randomly selected participants. A relative lifestyle score (RLS) was based on smoking status, alcohol consumption, physical activity, diet and BMI of respondents. The RLS ranged from 0 to 5, and a higher score representing a healthier lifestyle. The relationship between respondents’ healthy behaviours and demographic features was determined via the Pearson correlation coefficient. We found that the healthy lifestyle score of the participants is 2.98 of 5.00. The relatively lifestyle score of halves (45.94%) of them is in the range of 3.9-4.29. Regarding smoking and alcohol consumption, respondents' behaviour is the healthiest: 63.31% nonsmokers and 68.63% abstainers. Low physical activity and mixed diet patterns are the main risk factors for optimal healthy lifestyle achievement. We identified the demographic groups that are most vulnerable. Our study provides a possibility for reliable comparisons of healthy lifestyle levels among populations across countries. The RLS is a reliable tool for assessment a healthy lifestyle both of individuals and the community.
Destination Eastern Rhodopes – opportunities for niche products through the development of esoteric and pilgrimage tourism
Authors: Petrova Antoaneta 
Published: December 2024

Abstract
Any form of tourism that deviates from the mainstream is classified as alternative tourism. In this context, esoteric and religious tourism play a pivotal role in fostering inclusive and sustainable development within the Eastern Rhodopes Destination. Religious tourism, depending on its specific purpose, can be further subdivided into several categories, including missionary tourism (specialized travel aimed at spreading Christian teachings), pilgrimage tourism (travel undertaken to visit sacred sites for spiritual purposes), educational tourism (trips with an academic or scholarly focus), and festival tourism (attending religiously motivated celebrations, often of a mass nature, such as those dedicated to saints or religious events).
Religious tourism is commonly regarded as a subset of cultural tourism, as many religious sites attract visitors who may not necessarily adhere to the religious beliefs associated with those locations. These sites are frequently included in broader tourist itineraries and are visited not only for their religious significance but also for their cultural, aesthetic, architectural, or historical values.
Pilgrimage, in its traditional sense, refers to a journey undertaken for religious reasons, often to a holy place, driven by a deeper, inward spiritual purpose and a quest for inner understanding. Pilgrimages are typically dedicated to sacred spaces such as churches, temples, mosques, holy mountains, and sites of divine visitation. The development of these specialized forms of tourism is crucial for attracting visitors seeking distinctive or alternative travel experiences, contributing to the diversification of tourism offerings. In Bulgaria, places of religious significance, such as holy sites, monasteries, icons, relics, and healing springs, continue to be central to pilgrimage tourism. These destinations often serve as focal points for individuals whose spiritual practices intertwine Orthodox Christianity with a variety of esoteric beliefs.
THE INFLUENCE OF PRODUCT QUALITY AND HALAL LABELING ON REPURCHASE INTENTION FOR EMINA COSMETIC PRODUCTS MEDIATED BY CUSTOMER EXPERIENCE ON FEMALE STUDENTS IN BANDA ACEH CITY
Authors: Juwita Dara , Sari Nurma 
Published: December 2024

This research aims to analyze the influence of product quality and halal labeling on the intention to repurchase Emina cosmetic products which is mediated by customer experience among female students in Banda Aceh City. The data used is primary data obtained from questionnaires distributed to 105 student respondents in Banda Aceh City. This study uses a quantitative approach. The sampling method used was non-probability sampling with a technique namely purposive sampling. The analysis techniques used are path analysis and Sobel test. The results of this research show that product quality and halal labeling have a positive and significant effect on customer experience. Product quality, halal labeling and customer experience have a positive and significant effect on the intention to repurchase Emina cosmetic products among female students in Banda Aceh City. Customer experience can mediate the influence of product quality and halal labeling on the intention to repurchase Emina cosmetic products among female students in Banda Aceh City. Keyword: Product Quality, Halal Labeling, Customer Experience, Repurchase Intention
Impact of Human Capital and Structural Capital on Competitive Advantage: Evidence from Indonesian Provincial Government Institutions
Authors: Sutrisno Ellen R. , Kindangen Paulus , Sendow Greis M. , Jan Arrazi Bin Hasan 
Published: December 2024

Purpose: This study investigates the influence of human capital, structural capital, and knowledge management on competitive advantage within the North Sulawesi Provincial Government, Indonesia. It aims to understand whether knowledge management mediates the relationship between human capital, structural capital, and competitive advantage in the context of public sector organizations.

Theoretical Reference: The research is grounded in the Knowledge-Based View (KBV) theory, which postulates that knowledge is a critical resource for competitive advantage. It also explores the role of intellectual capital (human and structural capital) as sources of knowledge and their interplay with knowledge management.

Method: A quantitative approach was utilized, involving 147 public officers from seven departments under the North Sulawesi Provincial Government. Data were collected through questionnaires and analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) via SmartPLS 3.0 software.

Results and Conclusion: The findings indicate that:

Human capital positively impacts competitive advantage.
Structural capital does not directly influence competitive advantage but has a significant effect through the mediation of knowledge management.
Knowledge management positively affects competitive advantage and mediates the relationship between structural capital and competitive advantage. However, it does not mediate the relationship between human capital and competitive advantage.These results highlight the critical role of knowledge management in leveraging structural capital for competitive advantage in public sector organizations.

Implications of Research:

Theoretical Implications: The study contributes to the literature on intellectual capital and competitive advantage in public sector contexts, providing novel insights into the mediating role of knowledge management.
Practical Implications: Policymakers should focus on enhancing human capital, improving structural capital, and fostering effective knowledge management processes to boost the competitive advantage of public sector organizations.

Originality/Value: This research addresses a gap in understanding competitive advantage within Indonesian public institutions by examining intangible resources and knowledge management. It provides a unique perspective on public sector competitiveness, particularly in the context of regional government institutions in North Sulawesi.