bluuebunny/crossref_metadata_2025_split huggingface dataset:
SOCIALIZATION OF COUNSELING ON THE BENEFITS OF NONI FRUIT FOR HYPERTENSION PATIENTS
Authors: Novianti Dian , Widhiani Pahla , Triono Wahyu , Bastoni Bastoni , Yuliananda Devi , Perwitasari Fitri Dian 
Published: November 2024

Hypertension or high blood pressure is a health problem that is increasingly encountered in Indonesia. Traditional medicine using natural ingredients, such as noni fruit (Morinda citrifolia), has long been used by the community as an alternative therapy. This community service activity aims to discuss the effectiveness of socialization and counseling regarding the use of noni fruit in helping lower blood pressure in hypertensive patients. The time and place of the event is August 20, 2024, in Lingsana Village with a total of 20 participants. Community service activities consist of:1. Material preparation, 2. Implementation: distribution of leaflets, lectures, and questions and answers, 3. Evaluation. Counseling about the benefits of noni fruit for hypertensive patients can increase public knowledge about this herbal treatment, which was previously tested by 62% and increased to 86%. However, to avoid side effects, paying attention to the dosage and how to use it is necessary.
Women Entrepreneur Success Through Women Empowerment: An Approach of Motivational Need Theory.
Authors: Hariguna Taqwa , Siddique Quba 
Published: November 2024

The major aim of this study is to analyze the key factors contributing to women’s entrepreneurial success in Pakistan. Based on motivational need theory this study has three independent variables, family & social support, need for achievement, and creativity & innovation; while women’s entrepreneurial success is the dependent variable of the study. Women empowerment has a critical role in women’s professional life. Therefore, women’s empowerment is taken as the moderator in this study. The sample of the study is based on 193 businesswomen in Pakistan. The data is gathered through a Questionnaire, which is analyzed on SPSS. The results of regression analysis show that all the hypotheses are accepted. However, family & social support has a high influence among all the independent variables on women’s entrepreneurial success. This study strengthens the current literature regarding women’s entrepreneurship, as well as gives beneficial insights into the society of Pakistan to enhance women’s entrepreneurial success. Further study should explore other determinants of women’s entrepreneurial success, and also used a large sample to get more generalized results.
Accuracy of the Apple Watch in Detecting Atrial Fibrillation Among Patients Undergoing 24-Hour Holter Monitoring: A Prospective, Pragmatic Study
Authors: Inocian Elrey P , Junia Alex T , Cordovez Mary Gertrude Ong , Katada Kevin T , Paday Louis Marie William 
Published: November 2024

BACKGROUND: As smartwatches with atrial fibrillation detection features gain popularity, it is important to assess the accuracy of these devices to guide decision-making.

OBJECTIVES: Our study aimed to assess the sensitivity and specificity of the irregular rhythm notification and the electrocardiogram (ECG)–based detection features of a commonly used smart wearable device (Apple Watch) in detecting atrial fibrillation.

METHODS: This was a prospective, pragmatic study conducted in Perpetual Succour Hospital–Cebu Heart Institute from August 2023 to January 2024. To assess the irregular rhythm notification feature, participants were asked to wear an Apple Watch alongside a 24-hour Holter monitor to verify notifications. For the ECG-based detection feature, participants had to tap the crown of the Apple Watch for 30 seconds to get a single-lead ECG similar to a lead I ECG tracing. They were instructed to get manual ECGs hourly, or more often while awake. Irregular rhythm notifications and ECG readings were then compared with that of the 24-hour Holter monitor. Sensitivity and specificity were then computed.

RESULTS: A total of 140 participants consented to join after full study disclosure. The irregular rhythm notification feature of the Apple Watch exhibited a low sensitivity of 21.4% but achieved a high specificity of 100% in detecting atrial fibrillation. Meanwhile, the ECG-based detection feature, analyzed from 1295 manually taken ECGs with interpretable sinus rhythm or atrial fibrillation, demonstrated a high level of agreement with the Holter monitor, with a sensitivity of 100% and a specificity of 99.1%.

CONCLUSION: The low sensitivity of the irregular rhythm notification feature of the Apple Watch in detecting atrial fibrillation cautions against relying on it as a primary screening tool. However, the high concordance of manually taken Apple Watch ECGs positions the device as a robust tool for detecting atrial fibrillation through manual ECG detection.

KEYWORDS: Apple Watch, atrial fibrillation, smartwatches
Safety and Efficacy of Aspiration Thrombectomy With Intracoronary Tirofiban in Patients Undergoing Primary Percutaneous Coronary Intervention: A Systematic Review and Meta-analysis
Authors: Marcellana Gwen R , Jimenez Rodney , Tan Armand Delo , Tiongco Richard Henry 
Published: November 2024

BACKGROUND: Primary percutaneous coronary intervention (PPCI) may be complicated by heavy intracoronary thrombus burden leading to decrease in myocardial perfusion and increase in infarct size. The current meta-analysis aims to investigate the clinical outcomes of aspiration thrombectomy (AT) with intracoronary tirofiban during PPCI.

METHODS: A systematic search for randomized controlled trials that evaluate the safety and efficacy of AT with intracoronary tirofiban in ST-elevation myocardial infarction (STEMI) patients who underwent PPCI was done using PubMed, MEDLINE, EMBASE, Cochrane, ClinicalTrials.gov., and Herdin PH. Studies included those published between 2010 and 2023 and involved human subjects. Search terms included “aspiration thrombectomy,” “intracoronary tirofiban,” “primary percutaneous coronary intervention,” and “STEMI patients.”

RESULTS: Four randomized controlled trials (n = 490 participants) were included in this metaanalysis comparing AT with intracoronary tirofiban versus AT alone in STEMI patients undergoing PPCI. The results revealed no statistically significant difference in ST-segment resolution (risk ratio [RR], 1.02; 95% confidence interval [CI], 0.97–1.08; P = 0.41, I2 = 0%), myocardial blush grade 2–3, (RR, 1.04; 95% CI, 0.97–1.12; P = 0.22, I2 = 62%), and Thrombolysis In Myocardial Infarction 3 flow (RR, <1.0; 95% CI, 0.95–1.04; P = 0.87).

The occurrence of major adverse cardiovascular events did not significantly differ between the two groups (RR, 0.46; 95% CI, 0.19–1.09; P = 0.08, I2 = 0%). There was no statistically significant difference in terms of bleeding when combining intracoronary tirofiban to standard medical therapy (RR, 1.35; 95% CI, 0.64–2.84; P = 0.78, four trials [490 patients]).

CONCLUSION: In PPCI, major adverse cardiovascular event outcomes of AT with intracoronary tirofiban were similar to those for AT alone in terms of improving myocardial perfusion in STEMI patients without increasing the risk for bleeding. Our meta-analysis suggests that AT alone may be the more acceptable standard during PPCI when encountering heavy thrombus burden. Future validated studies may help further investigate the strategy of adding tirofiban during AT.
“Bead to death,” Fibromuscular Dysplasia Presenting as A Rapidly Enlarging Right Anterior Axillary Mass
Authors: Banluta Andre Russell F , Macabeo Renelene A 
Published: November 2024

Fibromuscular dysplasia (FMD) is a rare non-inflammatory, non-atherosclerotic arterial disease characterized by abnormal cellular proliferation and distorted architecture. It commonly affects the renal and extracranial carotid and vertebral arteries, but nearly all arterial beds may be affected, and multivessel involvement is common. We report a rare case of a 31-year-old Filipino female who presented with a rapidly enlarging right anterior axillary mass. Initial consideration was a bleeding soft tissue sarcoma as seen on chest CT scan, while whole abdominal CT scan with IV contrast revealed incidental findings of multiple aneurysms in the superior mesenteric artery, both renal arteries and right common iliac artery, suggestive of fibromuscular dysplasia. Further vascular imaging studies showed a looped left internal carotid, and a tortuous left brachial artery with beading pattern.
In Search of Best Practices for Improving the Operational Efficiency of the Primary Healthcare Hospitals in Thailand through Benchmarking
Authors: Juthamanee Siripattra , Wattanaburanon Aimutcha , Rodjarkpai Yuvadee , Thongnopakun Saowanee , Puttakul Winai 
Published: November 2024

Background: Thailand's public health policy emphasizes equitable access to healthcare services, leading to a rapid increase in primary healthcare demands. Enhancing efficiency has become a crucial solution to address this challenge, especially amidst the constraints of limited resources.
Aims: To measure the operational efficiency of sub-district or tambon health-promoting hospitals (THPHs) in the Eastern Economic Corridor (EEC) by applying the mathematical technique of Data Envelopment Analysis (DEA) and to identify best practices from efficient THPHs that can be applied to improve the operational efficiency of other THPHs.
Methods: First, the operational efficiency of 104 THPHs in Chachoengsao, a province in EEC, was measured using the DEA method. Second, 13 efficient THPHs were selected as benchmarks for operational best practices. In-depth interviews were conducted with five individuals from each selected THPH, including the director and four key stakeholders. The interview data were analyzed and synthesized using directed content analysis to formulate a list of best practices. Finally, the identified best practices were evaluated using the Delphi technique to produce a final list of best practices to improve the operational efficiency of THPHs.
Results: 76 best practices were initially generated from the content analysis of the benchmark interviews. However, after the Delphi experts' evaluation, 66 best practices met the required criteria (Mdn > 3.50 and IQR < 1.50) and were ultimately accepted as potential general strategies for improving the efficiency of THPHs. Of these, 35 best practices were related to input management, and 31 were related to output management.
Le bilinguisme dans les écoles primaires de Guyane chez les Kali’na et les Wayana : un facteur de « réussite scolaire » ?
Authors: Meunier Olivier 
Published: November 2024

Dans cet article, nous allons examiner si le bilinguisme mis en place dans les écoles de Guyane chez les populations autochtones Kali’na et Wayana valorise suffisamment la langue maternelle et la culture des élèves pour les préparer à réussir scolairement. Notre hypothèse repose sur l’idée que cette valorisation culturelle et linguistique doit concerner à la fois les familles, les élèves et les enseignants pour que les enfants présentent une estime de soi et des capacités cognitives suffisantes permettant de dépasser les conflits de valeurs afin d’être en mesure d’élaborer des stratégies et des modes de résolution efficaces à l’école. Après une analyse historique de la scolarisation en Guyane, nous allons présenter les formations concernant les intervenants en langue maternelle et les enseignants bilingues, puis, à partir de nos données de terrain, dévoiler les pratiques enseignantes en résultant, tout en prenant en considération leur rapport aux familles et leurs effets sur les élèves en termes d’estime de soi, de bien-être et de « réussite scolaire ».
Cognitive Function in Frail Older Adults With Multiple Sclerosis: An Exploratory Study Using Secondary Data Analysis
Authors: Sebastião Emerson , Siqueira Vitor A. A. A. , Bakare Jemimah O. , Kamari Mahgolzahra , Motl Robert W. 
Published: November 2024

ABSTRACT

BACKGROUND:
Studies addressing frailty in the context of multiple sclerosis (MS) are emergent. This study explores cognitive function in older adults with MS as a function of frailty status.

METHODS:
This cross-sectional study used baseline data from a feasibility randomized controlled trial of a home-based exercise program for older adults with MS. Frailty was verified using performance scores from the Short Physical Performance Battery (SPPB) and cut points available in the literature. Cognitive function was assessed using the Brief International Cognitive Assessments for Multiple Sclerosis (BICAMS). Data were analyzed using inferential statistics adopting a significance of P &lt; .05.

RESULTS:
Data from 26 older adults with MS (≥60 years) were analyzed. The majority of the participants were women, and over 85% of the sample had the relapsing-remitting form of MS. Participants reported a mean of more than 20 years of disease and a moderate level of disability (Expanded Disability Status Scale score = 4). Nearly 58% of the sample was classified as frail based on SPPB scores. Univariate analysis demonstrated that frail older adults performed significantly worse (P &lt; .05) on all 3 BICAMS tests. However, after controlling for age and disability level, only visuospatial memory remained significant between frailty groups (P = .043).

CONCLUSIONS:
Our findings suggest reduced cognitive function in frail older adults with MS compared with their nonfrail counterparts. This highlights the need to develop interventions to improve cognitive function and to reverse frailty for older adults with MS.
Examination of optical coherence tomography findings in patients with pregabalin use disorder
Authors: Kılıç Osman Hasan Tahsin , Bayram Zehra Nur , Kiyat Pelin , Karti Omer , Aral Arzu , Munis Nazlı Deniz , Mutlu Berfin Gurbet 
Published: November 2024

Background
Pregabalin abuse is a rapidly growing health problem worldwide, and little is known about the effects of prolonged high-dose use in patients with pregabalin use disorder.

Objective
In this study, the effects of pregabalin abuse on retinal layers were investigated in patients with pregabalin use disorder (PGUD).

Methods
This study included 35 controls and 34 patients with PGUD, according to Diagnostic and Statistical Manual of Mental Disorders (DSM)-5 criteria. Optic coherence tomography (OCT) measurements including the retinal nerve fiber layer (RNFL), ganglion cell layer-inner plexiform layer (GCL-IPL) and ganglion cell complex (GCC) were performed. RNFL thickness was evaluated in four quadrants (inferior, superior, nasal, temporal). GCL-IPL and GCC thickness were evaluated in six sectors (superior, superonasal, inferonasal, inferior, inferotemporal, superotemporal).

Results
GCC inferonasal (p = 0.040, r = 0.354), GCC inferior (p = 0.018, r = 0.402) GCL-IPL inferior (p = 0.031, r = 0.370) and GCL-IPL inferotemporal (p = 0.029, r = 0.376) thickness were positively correlated with the duration of pregabalin use. There was no significant sector or quadrant-wise difference between groups (p > 0.05).

Conclusion
Our findings emphasized the drug’s potential neuroprotective effect. It should be taken into consideration that neurodegenerative changes due to substance use disorder occur with long-term. Longitudinal prospective studies investigating dose-duration relationship are needed.
Begait Sheep Production Systems and Breeding Practices of Smallholder Farmers in Tigrai, Ethiopia
Authors: Tsigab Teklehaimanot , Tadese Yosef , Tesfay Zelealem 
Published: November 2024

Reconnaissance tour, focus group discussion and semi-structured interview were used to generate the dataset from 144 randomly selected small holder Begait sheep owners in two districts of Tigrai region, namely Tahtayadyabo and Kaftahumera, Ethiopia. The study was made to understand Begait sheep production systems: breeding practices, breeding objectives, and constraints to develop breeding strategies for Begait sheep smallholder farmers in the two districts of Tigrai regional state. Data were analyzed using descriptive statistics of SPSS 2010. The study area was characterized by mixed crop-livestock system where farmers livelihood depends on both crop and livestock production, and most farmers in the study area keep sheep primarily as source of income. The mean (±SE) overall livestock holding per households are 55.69 ±4.88 sheep, 28.36 ±2.43 goats, 9.23 ±1.05 cattle, 9.87 ±1.08 poultry, 1.33±0.11 donkeys, 0.14 ±0.02 camels, and 0.39 ±0.19 honey bee. The main feed sources for sheep in the area were crop residue (index =0.38), range land (index =0.31), hay (index =0.16), and natural pasture (index =0.14) (what is the difference between range land and natural pasture?). The majority of the farmers (77.78 %) shelter their sheep in separate housing during the night to prevent from thefts and predators. Even though controlled breeding poorly practiced in the study area, 99.31% and 87.50 % of the respondents practiced selection for breeding male and females respectively. Color, body size, facial profile, libido and tail size were the - traits of choice in selecting Begait rams for breeding across the two districts. Milk yield, body size, color, tail size and facial profile were traits used in selecting future Begait breeding ewes. Disease, feed and water shortage, limitation of grazing land, predator and market demand were identified production constraints to utilize the potential of Begait sheep breed that need special attention in designing breeding and effective management strategy.
Eco-Habitat Assessment of One of the Most Expensive Edible Mushrooms (Tricholoma matsutake) in Genekha, Thimphu, Bhutan
Authors: Tshering Nythri , Verma Praveen Kumar 
Published: November 2024

Tricholoma matsutake (S. Ito & Imai) Singer is most expensive edible mushroom, naturally grown dispersed in temperate oak pine forested areas in Bhutan. It is ectomycorrhizal fungi with high ecological and economic value requiring an important ecological niche and symbiotic tree associates. The present study is an attempt to give an account on floristic composition and vegetation structure of Tricholoma matsutake habitat in Genekha, Thimphu. A total of 10 plots were enumerated with plot size of 20m X 20m, 5m X 5m and 2m X 2m for trees, shrubs and herbs respectively. PAST (Paleontological Statistics) 4.10 software was used for diversity analysis. A total of 58 species under 44 genera belonging to 26 families were recorded in the natural habitat of matsutake. The study revealed that T. matsutake is associated with Quercus semecarpifolia Sm., Pinus wallichiana A.B. Jack., Rhododendron spp., and Pieris formosa (Wall.) D. Don. J-shaped distribution curve of DBH and height class with fair regeneration status is obtained for associated species in the habitat. The Menhinick’s species richness of (2.26, 2) for both North facing habitat (NFH) and South facing habitats (SFH) indicated high species richness. Moderate and low diversity is indicated with Simpsons index 0.94 (NFH) and 0.76 (SFH), Shannon index 3.06 (NFH) and 2.49 (SFH) with moderately even distribution 0.74(NFH) and 0.73 (SFH) of species in the habitats. Sorensens similarity index of 0.9 indicated highly similar species composition between two habitats. This research provides current floristic and vegetation structure of Tricholoma matsutake habitat, that will have high significance in habitat management and conservation.
Evaluation of Watershed Development Programme: A Framework for Selection and Aggregation of Key Indicators
Authors: Raut P. V. , Atre A. A. , Gavit B. K. , Dingre S. K. , Nandgude S. B. 
Published: November 2024

The measure of the effectiveness of watershed development programmes depends on selecting the right set of evaluation indicators that reflect the programme’s goals, including resource management, environmental sustainability, and socio-economic benefits. In this paper, the focus is on the process of selecting and aggregating the key indicators to assess the success of watershed development initiatives. By categorizing indicators into relevant themes such as Terrain Management, Water Resources Utilization, Agronomic Vitality, Livestock Vitality, Employability, Human Empowerment, and Sustainability. This paper highlights the importance of using a structured approach to ensure comprehensive evaluation. Proper selection and aggregation of indicators emphasize the importance of context-specific indicators to ensure accurate and effective programme evaluation and lead to providing valuable insights for programme assessment and future improvements.
Assessing the Adoption and Utilization of Drip Irrigation Technology among Tapioca Farmers in Thuraiyur Taluk, Tiruchirappalli District, Tamil Nadu, India
Authors: S Ragunath. , M Nethaji. , V Keerthana. , T Thanga Durai. , G Abirami. , M Cibichakkaravarthy. , G Dhaarnesh. , N Gangashree. , M Iyyappan. , K. G Keerthana. , A Lincy Arockia Mary. , D Reshma. , M Sharma. 
Published: November 2024

Aims: The study examines the adoption and utilization of drip irrigation technology among tapioca farmers in Thuraiyur taluk, Tiruchirappalli district, Tamil Nadu.
Study Design: An ex-post-facto research design is used to collect data from 90 farmers across four villages.
Place and Duration of Study: Thuraiyur taluk, Tiruchirappalli district, Tamil Nadu. The study has been conducted for a period of six months (April – September, 2024)
Methodology: Out of the district’s eleven taluks, Thuraiyur had the highest number of tapioca farmers, making it ideal for this study. Four villages—Naganallur, Settikadu, Sobanapuram and Koppampatti—were chosen from Thuraiyur taluk for their significant tapioca cultivation and large farmer populations. A stratified random sampling method is used to select participants. The primary data are collected through structured questionnaires and personal interviews with farmers. Secondary data are obtained from relevant literature, reports and government records. The dependent variables are the adoption level of drip irrigation and the extent to which the farmers use the drip irrigation technology. Descriptive statistics mean, percentage and frequency distribution are used in the study.
Results: Findings reveal that the majority of farmers (82.22%) demonstrated medium to high adoption of drip irrigation technology. Key practices like checking the workability of the foot valve and maintaining pipeline fittings are widely adopted, while more advanced techniques such as fertigation showed lower adoption levels. Drip irrigation was used universally for water management, with 87.80% of farmers acknowledging its role in reducing water usage and 83.30% citing reduced labor needs.
Conclusion: However, only 46.70% of respondents reported increased yields, indicating potential gaps in system optimization. The study suggests the need for greater technical training, financial assistance and improved extension services to enhance the adoption of advanced drip irrigation practices. Policy measures, such as increased awareness of government schemes like PMKSY and accessible training programs, are recommended to maximize the benefits of drip irrigation in improving water efficiency, crop yield and sustainable farming practices.
Effect of Irrigation and Foliar Nutrition on Yield and Economics of Rice Fallow Blackgram
Authors: Ganesh V. Jai , Amarajyothi P. , Rao M.M.V Srinivasa , Naidu G. Mohan 
Published: November 2024

The present investigation, entitled “Effect of Irrigation and Foliar Nutrition on Yield and Economics of rice fallow blackgram” was carried out at the Agricultural College Farm, Naira, during the rabi season of 2023-24. The experiment was laid out in Strip-plot design with 3 main plots viz., M1- No Irrigation; M2-Irrigation at flower initiation and M3-Two irrigations one at flower initiation one at early pod development and 4 Sub Plots viz., S1- water spray; S2- 1%19:19:19(NPK); S3-2% Urea; S4-2% DAP; S5-4 ml Nano urea; S6-3ml Nano DAP with two replications for each treatment. The results showed that irrigation at flower initiation and early pod development stage and foliar spray of 2% DAP at flower initiation and early pod development stage recorded maximum seed yield, haulm yield and economics.