bluuebunny/crossref_metadata_2025_split huggingface dataset:
República de Panamá: Economía de la Provincia de Bocas del Toro Año: 2018-2022
Authors: Tuñón G Edwin A 
Published: September 2024

El objetivo del artículo es caracterizar la forma de la economía en cuanto sector, actividad económica y relación economía de mercado- economía de no mercado. En el mismo abordo el tema de los sectores de la economía de la Provincia de Bocas del Toro, el sector primario su aporte, de igual manera el sector secundario, la importancia de la generación eléctrica, el sector terciario. La actividad de no mercado, es la principal del conjunto de la economía en el periodo 2018-22..La revisión de las estadísticas del Instituto Nacional de Estadística y Censo(INEC) en sus cuentas nacionales nivel de provincias, nos develan que la economía bocatoreña en cuanto a sus actividades, la de no mercado es la mayor generadora de riqueza provincial , seguida de la generación eléctrica y la agricultura, ganadería .Métodos y Materiales; Para el desarrollo del mismo se utilizaron las estadísticas del INEC, Cuentas Nacionales provinciales. Periodo: año 2018-22. El nivel de profundidad descriptivo. Tipo de variable cuantitativa. Las citas corresponden principalmente a trabajos de instituciones nacionales y la producción local. Para determinar el sector y actividades se utiliza la participación porcentual solamente. Discusión: contrario a lo que la cultura popular panameña acepta que esta economía es bananera/ turística. El presente trabajo, devela la realidad de la economía de la provincia de Bocas del Toro, es sectorialmente terciaría y las principales actividades la de no mercado alcanzan el 25 % , y las actividades de mercado el 75 %, entre las principales develo la generación eléctrica, la actividad primaria.
Segurança e saúde no trabalho, setor petrolífero colômbia vs costa do marfim
Authors: Pabón Trujillo Herminio , Trigos Bayona Sergio Andrés , Patiño Oscar Fabián , Urbina Belcy , Gelvez Botello Sandra Milena 
Published: September 2024

Introdução: O objetivo principal é realizar uma revisão bibliográfica onde buscamos conhecer aspectos relacionados a questões que influenciam a proteção dos colaboradores, bem como o bem-estar do colaborador na indústria petrolífera da Colômbia vs Costa do Marfim, esta indústria petrolífera está em constante crescimento em ambos os países, sendo uma fonte importante na economia destes países e ajudando a reduzir as taxas de pobreza. Nesta investigação será realizada uma exploração sistemática relacionada com aspectos associados à segurança destes colaboradores nesta indústria, bem como regulamentos, leis, acordos, onde será revisto como são implementadas medidas para o bem-estar dos colaboradores e como eles cuidam de sua integridade aspectos físicos deles no local de trabalho e os desafios que enfrentam, também incidentes e outros aspectos. Objetivo: O objetivo principal centra-se em procurar identificar os parâmetros estabelecidos em cada país, que existem áreas associadas à segurança dos trabalhadores e medidas para cuidar da saúde do trabalhador e como promovem ambientes saudáveis ​​no trabalho. Esses parâmetros buscam gerar ambientes seguros e saudáveis ​​para a indústria do petróleo. Metodología: A metodologia desta pesquisa constitui-se através de uma revisão bibliográfica, que abrange uma revisão documental com parâmetro de 5 anos atrás, onde são revisados ​​documentos de diferentes fontes documentais confiáveis ​​e utilizando palavras-chave em diferentes idiomas para abranger uma visão mais ampla Informação. Resultados: Foi determinado que ambos os países têm regulamentos legais em vigor para abordar questões relacionadas com o cuidado e a segurança dos seus trabalhadores e promover ambientes de trabalho seguros. Além disso, estabelecem as obrigações que devem ser cumpridas para implementar estas normas nas empresas petrolíferas. Além disso, por serem empresas legalmente constituídas, tanto os trabalhadores como os empregadores têm obrigações em questões associadas ao bem-estar dos trabalhadores e contribuem para a criação de ambientes de trabalho saudáveis, gerando ambientes seguros para a indústria petrolífera em ambos os países.
Analisis Pengelolaan SDM, Kepuasan Kerja dan Produktivitas Karyawan Terhadap Kinerja
Authors: Julia Salsabila Putri , Primadi Andri , Tohir Muhammad 
Published: September 2024

Pengaruh Pengelolaan SDM, Kepuasan Kerja dan Produktivitas Karyawan terhadap Kinerja adalah artikel ilmiah studi pustaka dalam ruang lingkup bidang ilmu. Tujuan artikel ini membangun hipotesis pengaruh variabel independen terhadap variabel dependen yang akan digunakan pada riset berikutnya. Objek riset pada pustaka media online, Google Scholar, Semantic Scholar, Elsevier, Zotero dan media jurnal online lainnya. Metode riset dengan library risearch bersumber dari e-book dan journal ilmiah. Analisis pendekatan deskriftif kualitatif. Hasil artikel ini: 1) Pengelolaan SDM berpengaruh terhadap Kinerja; 2) Kepuasan Kerja berpengaruh terhadap Kinerja; dan 3) Produktivitas Karyawan berpengaruh terhadap Kinerja.
Analisis Pengaruh Kualitas Layanan, Citra Merek dan Harga Terhadap Kepuasan Pelanggan Perusahaan Logistik
Authors: Primadi Andri , Tohir Muhammad , Annisa Lestari Putri 
Published: September 2024

Pengaruh Kualitas Layanan, Citra Merek dan Harga terhadap Kepuasan Pelanggan adalah artikel ilmiah studi pustaka dalam ruang lingkupManajemen Logistik. Tujuan artikel ini membangun hipotesis pengaruh variabel independen terhadap variabel dependen yang akan digunakan pada riset berikutnya. Objek riset pada pustaka media online, Google Scholar, Semantic Scholar, Elsevier, Zotero dan media jurnal online lainnya. Metode riset dengan library risearch bersumber dari e-book dan journal ilmiah. Analisis pendekatan deskriftif kualitatif. Hasil artikel ini: 1) Kualitas Layanan berpengaruh terhadap Kepuasan Pelanggan Perusahaan Logistik; 2) Citra Merek berpengaruh terhadap Kepuasan Pelanggan Perusahaan Logistik; dan 3) Harga berpengaruh terhadap Kepuasan Pelanggan Perusahaan Logistik.
Analisis Pengaruh Perkembangan Teknologi Digitalisasi pada Bidang Transportasi dan Logistik Terhadap Sumber Daya Manusia
Authors: Tohir Muhammad , Primadi Andri , Putri Budianti Salsabila 
Published: September 2024

Revolusi Industri 4.0 memperkenalkan era baru dengan ekonomi digital yang berpusat pada Internet of Things (IoT). Standar Sumber Daya Manusia (SDM) yang lebih baik menjadi sangat dibutuhkan untuk implementasi Revolusi Industri 4.0, terutama dalam sektor transportasi dan logistik. Kemajuan teknologi dan digitalisasi industri mengubah cara barang dan jasa diproduksi serta berbagai pilihan pekerjaan di sektor ini. Teknologi digital seperti digital trucking memudahkan mekanisme perusahaan jasa logistik dalam mendapatkan informasi secara jelas karena sistem dan jaringan sudah terintegrasi, meningkatkan efisiensi pengiriman serta menciptakan mobilitas yang lebih baik. Penelitian ini menggunakan data sekunder yang diperoleh dari jurnal, website, dan makalah online. Diharapkan, karya ini dapat menjadi sumber informasi bagi semua pihak yang berkepentingan di bidang transportasi dan logistik.
Self Management For Adolescents With Emotion Control
Authors: Kurniawati Asyri Tri , Sholikhah Siti , Saifudin Moh. , Susanti Inta , Ubudiyah Masunatul , Suhariyati Suhariyati , Prihatama Rizky Putra 
Published: September 2024

Introduction: Emotional problems are conditions where someone experiences psychological distress and psychological change. Although it can recover, the emotional problems can get worse if they are not treated properly. The research aimed to investigate the effect of self-management therapy on emotional control in adolescents in Tuban Regency
Methods: The research applied pre-experimental one group pre-test-posttest design. The population was 39 respondents and used simple random sampling. The data were gathered by using questionnaire sheet. statistic test used Wilcoxon test
Results: The research results indicated that before self-management therapy was administered, 31 adolescents (79.5%) experienced high/abnormal emotions and 1 adolescent (2.6%) experienced low/normal emotions. After the therapy was administered, 34 adolescents (87.2) experienced low/normal emotions and only 1 adolescent (2.6%) experienced high/abnormal emotions. The data which were analyzed by the Wilcoxon test indicated significance value of p=<0.05 and the significance value of self-management therapy was p=0.000, meaning that there was an effect of self-management therapy on emotional control in adolescents
Conclusion: To control emotional problems in adolescents, one of the alternatives is by providing self-management therapy
Keywords: Adolescents, Emotional control, Self-management therapy
Qualitative Exploration of Nursing Students' Perceptions of the Implementation of Objective Structured Clinical Examination (OSCE)
Authors: Ramadhan Sukma Cahya , Septianingrum Yurike , Amanda Wardani Anandita , Mukarromah Lu'luul 
Published: September 2024

ABSTRACT

Introduction: The current method of measuring the clinical competency ability of nursing students is not only through CBT-based exams. One of the methods used to evaluate students' clinical skills is Objective Structured Clinical Examination (OSCE). The purpose of this study is to explore student perception of implementation (OSCE) as a method of evaluating student skills.
Methods: This study uses qualitative exploration studies with a phenomenological approach to explore into students' experiences with the OSCE. The population in this study is nursing students (2019–2020) at private University at Surabaya. A total of nine students participated in this study according to the established inclusion criteria. The data collection was conducted through in-depth interviews through Zoom with semi-structural interviews and recorded by the researchers according to the participant's consent. The study was conducted from January 14th to February 1st, 2024. Data were analyzed using the Colaizzi method to determine themes and sub-themes.
Results: According to the results of the study, five themes related to student perceptions of the implementation of the OSCE covered the level of knowledge, stressors, implementation management, coping mechanisms, and advantages of OSCE methods.
Conclusion: These findings are expected to serve as a basis for the strategy of implementing OSCE as a method of clinical evaluation, especially in the scope of the College of Nursing Sciences.
Keywords: Perception, Students, Nursing, OSCE.
The Impact of the Power of Nursing
TM
on Classroom Connectedness
Authors: Radwan LiliAnna Baz , Baudler Barbara , Scheller Suzanne 
Published: September 2024

Background

The coronavirus disease 2019 pandemic brought awareness to the benefits of creating cultures of belonging and connection in academic and professional settings. The Power of Nursing
TM
(PON), a transformative course focusing on shared experiences, permits the exploration of classroom connectedness from a unique interpersonal perspective where teachers and students meet as equals. The purpose of this study is to measure senior-level nursing students' perceived connectedness following a 5-week PON program.

Method
Undergraduate senior-level nursing students' perceived connectedness was measured using the Connected Classroom Climate Inventory. Additionally, a qualitative thematic analysis was applied to responses post-course.

Results
Results indicated a significant difference in students' perceived connectedness scores, while thematic analysis supported this finding with key themes of generous nonjudgmental listening, vulnerability, sharing experiences, and a want for connection enhancing meaningful learning.

Conclusion

The PON provides an excellent platform for cultivating connections with peers and mentors. Students can effectively utilize the insight gained from this course to form and build meaningful connections with their future patients.

[
J Nurs Educ
. 2024;63(12):850–853.]
Molecular Identification of Mycobacterium leprae in the Leprosy Patients
Authors: Warka Utma Laela , Hatta Mochammad , Muslich Lisa Tenriesa , Syamsuri Fadhilah , Hamid Firdaus , Sultan Andi Rofian 
Published: September 2024

Background:
Several discoveries about leprosy indicate that Mycobacterium leprae transmission mainly occurs by inhalation, and the nose is a major port of entry and exit. Molecular probes have shown certain potential for the detection and identification of M. leprae in patients. The aim of this study was to identify M. leprae in nasal swab specimens using polymerase chain reaction (PCR)-based assays followed by gene sequencing methods. This observational study examines 64 anterior nasal swab samples taken from pretreatment leprosy patients, on-treatment and completed leprosy treatment in Bulukumba, South Sulawesi, Indonesia.

Methods:
samples were analyzed by molecular detection methods according to the standard methods at the Clinical Microbiology Laboratory of Hasanuddin University. Descriptive statistics were utilized to summarize patient demographics and outcomes.

Results:
This study uses PCR to detect the M. leprae deoxyribonucleic acid (DNA) from nasal swab specimens. Data were collected from 64 patients with a percentage of male patients 51.54%. Based on the age category, the group 45–46 years was the most frequent (39.05%). PCR detection proline-rich antigen gene of a 531 bp DNA fragment from M. leprae, was positive in eight patients, and they were multibacillary. Furthermore, PCR was positive in 5 (31.25%) of 16 new leprosy patients, 2 (8.69%) of 23 on-treatment patients, and 1 (4%) of 25 treatment completed patients. Based on the results of the phylogenetic tree and analysis of 8 positive results detected by M. leprae from leprosy patients, almost all samples have a level of similarity, except for sample Ua7.

Conclusions:

M. leprae cannot grow in vitro, so molecular diagnostic tools were used to confirm the disease. This study predominantly of males with the age above 45 years of age being the most common. Eight M. leprae were positive from nasal swab leprosy patients. The sequencing findings provide insight into the genetic diversity of the genus M. leprae, so it is necessary to consider the detection of whole-genome sequence.
Affecting Factors Unfavorable Treatment Outcomes of Rifampicin-resistant/Multidrug-resistant Tuberculosis Patients Treated with Long-term Regimen
Authors: Babalik Aylin , Balikçi Ahmet , Turkar Ayla , Teke Nazli Huma , Demir Fatma Kübra , Yavuz Simge , Koç Emine Nur , Gündüz Senem , Ergeç Büşra , Alagöz Hasan Can , Sarioğlu Eren , Kiliçaslan Zeki 
Published: September 2024

Background:
Drug-resistant tuberculosis (DR-TB) poses a significant threat to global TB control and remains a major public health issue. This study aims to evaluate treatment outcomes and identify risk factors for unfavorable outcomes in patients with multi-DR-TB (MDR-TB) treated at a major reference hospital in Istanbul.

Methods:
We conducted a retrospective analysis of 413 patients with rifampicin-resistant and MDR-TB who received treatment between January 1, 2013, and December 31, 2023, at the University of Health Sciences Süreyyapaşa Chest Diseases Training and Research Hospital. Patients were treated following the World Health Organization and national guidelines, with regimens tailored to individual drug resistance profiles and side effect management. Demographic data, comorbidities, microbiological follow-up, drug resistance patterns, treatment regimens, and radiological findings were analyzed.

Results:
Treatment success was achieved in 350 patients (84.74%). Thirty-two patients (7.74%) were lost to follow-up, and 32 patients (7.74%) died. Logistic regression analysis identified several factors associated with unfavorable treatment outcomes: comorbidities (odds ratio [OR]: 7.555, P = 0.001), quinolone resistance (OR: 3.695, P = 0.030), and bronchiectasis (OR: 4.126, P = 0.013). Additional significant factors included male gender (P = 0.007), foreign-born status (P = 0.013), age over 35 years (P = 0.002), previous treatment history (P = 0.058), and drug side effects (P = 0.012).

Conclusion:
The long-term regimen for MDR-TB was found to be highly successful, with an 84.74% treatment success rate. Effective treatment regimens, close patient follow-up, early recognition of side effects, and comprehensive management are crucial for achieving successful outcomes. Identifying and addressing risk factors such as comorbidities, drug resistance, and specific patient demographics can further improve treatment success rates. This study underscores the importance of tailored treatment strategies and robust patient management in combating MDR-TB.
Identification of Nontuberculous Mycobacterium Species by Polymerase Chain Reaction - Restriction Enzyme Analysis (PCR-REA) of rpoB gene in Clinical Isolates
Authors: Yadav Raj Narayan , Chowdary Yellanki Yashwanth , Bhalla Manpreet , Verma Ajoy Kumar 
Published: September 2024

Background:
Nontuberculous mycobacteria (NTM) infections are an emerging global health concern with increasing incidence. Conventional identification methods for NTM species in clinical settings are prone to errors. This study evaluates a newer method, polymerase chain reaction-restriction enzyme analysis (PCR-REA) of the rpoB gene, for NTM species identification. The study identified NTM species in clinical samples using conventional biochemical techniques and compared the results with PCR-REA of the rpoB gene. This cross-sectional study was conducted at a tertiary health-care center in North India over 18 months, analyzing both pulmonary and extrapulmonary samples.

Methods:
Two hundred and forty-seven NTM isolates were identified using phenotypic and biochemical methods. The same isolates were subjected to rpoB gene amplification by PCR followed by REA using Msp I and Hae III enzymes.

Results:
Conventional methods identified 12 different NTM species (153 slow-growing and 94 rapid-growing), whereas PCR-REA identified 16 species (140 slow-growing, 107 rapid-growing). The Mycobacterium avium intracellulare complex was the most common species isolated. PCR-REA demonstrated higher resolution in species identification, particularly in differentiating within species complexes.

Conclusions:
PCR-REA of the rpoB gene proves to be a simple, rapid, and more discriminative tool for NTM species identification compared to conventional methods. This technique could significantly improve the diagnosis and management of emerging NTM infections in clinical settings.
Comparative Analysis of the Mass Spectra of Mycobacterium abscessus Complex Strains Isolated on Various Nutrient Media
Authors: Vyzhigina Ekaterina Vasilievna , Kovalyov Alexander Mikhailovich , Kokorev Daniil Andreevich , Borodulina Elena Alexandrovna , Ismatullin Danir Damirovich , Lyamin Artem Viktorovich 
Published: September 2024

Background:

Mycobacterium abscessus complex (MABSc) causes chronic infection in patients with concomitant structural changes in the respiratory tract, which is especially important for patients with cystic fibrosis. To isolate an MABSc culture from clinical material, a variety of nutrient media are used. For species determination of microorganisms isolated on these media, additional identification methods are used, for example, polymerase chain reaction, sequencing, or mass spectrometry. The latter method is relatively easy to implement but requires improvement, due to the identification inaccuracy of nontuberculosis mycobacterias in general. Consequently, a set of nutrient media may be important for subsequent identification by mass spectrometry.

Methods:
The study was conducted on 64 strains of MABSc representatives: 56 strains were obtained from patients with cystic fibrosis and 8 strains from patients with pulmonary pathology unrelated to cystic fibrosis. The obtained MABSc strains were transplanted to the universal chromogenic medium and the selective medium for the Burkholderia cepacia complex (BCC) isolation. Species identification was carried out by mass spectrometry based on matrix-activated laser time-of-flight desorption/ionization (MALDI-ToF MS). Microbial identification is based on a comparison of the obtained mass spectra with reference spectra from the database. Microorganisms were identified based on the coincidence degree (Score value). Sample preparation for microbial identification by mass spectrometry was carried out by an extended direct application method. Fragments of the rpoB and hsp65 genes with lengths of 752 bp and 441 bp, respectively, were used as molecular markers for subspecific identification of MABSc strains.

Results:
A comparison of the peaks obtained after mass spectrometry of MABSc strains isolated on the studied nutrient media showed significant differences between these indicators selective medium for the BCC isolation with the supplement of iron polymaltose hydroxide (III) and universal chromogenic medium (P < 0.001) and selective medium for the BCC isolation with universal chromogenic medium (P < 0.001). Twenty-five strains of MABSc representatives were sequenced: results of subspecies determination in strains isolated on the universal chromogenic medium coincided with the results sequencing in 13 (86.6%) strains out of 15.

Conclusion:
MALDI-ToF mass spectrometry allows microbial identification in a short time and with minimal cost, but it does not yet allow the proper identification of the subspecies of certain microbial groups, such as MABSc. Cultivation methods need optimization and new approaches to the extraction process of the bacterial protein fraction.
Optimal Positive End-expiratory Pressure Levels in Tuberculosis-associated Acute Respiratory Distress Syndrome
Authors: Hashemian Seyed MohammadReza , Khoundabi Batoul , Bahrami Ashkan , Jamaati Hamidreza , Varahram Mohammad , Saljoughi Leila , Rahimi Payam , Eshraghi Reza 
Published: September 2024

Background:
The objective is to assess lung compliance and identify the optimal positive end-expiratory pressure (PEEP) levels in patients with tuberculosis-associated Acute Respiratory Distress Syndrome (TB-ARDS) compared to non-TB-ARDS patients.

Methods:
This observational case–control study utilized electrical impedance tomography to evaluate lung mechanics in 20 TB-ARDS and 20 non-TB-ARDS patients. Participants underwent PEEP titration from 23 to 5 cm H2O in 2 cm H2O decrements. Lung compliance and the rates of hyperdistention and collapse were assessed at each PEEP level.

Results:
Delta impedance values showed higher amounts in a PEEP range of 11–17 cm H2O and in patients with TB-ARDS (P > 0.05). In addition, both hyperdistention and collapse rates were nonsignificantly higher in TB-ARDS patients (P > 0.05), and the compromised levels of hyperdistention and collapse rates were at 15–17 cm H2O, indicating the most favorable PEEP level.

Conclusions:
The observed patterns of hyperdistention and collapse rates across various PEEP levels provide valuable insights into the susceptibility of TB-ARDS patients to barotrauma. Notably, the identified optimal PEEP range between 15 and 17 cm H2O may guide ventilator management strategies in mitigating both hyperdistention and collapse; nonetheless, due to the high variability of lung compliances within groups, we strongly recommend individualized consideration for tailored respiratory support and evaluation.