bluuebunny/crossref_metadata_2025_split huggingface dataset:
Malnutrition in tribal people living with tuberculosis in India: A systematic review & meta-analysis
Authors: Kannayan Silambu Chelvi , Watson Basilea , Thiruvengadam Kannan , Shamail M.H. Ghazala , Velayutham Banurekha , Krishnan Rajendran , Natarajan Saravanan 
Published: October 2024

Background & objectives
Tuberculosis (TB) remains a persistent public health challenge in India. The country also has high proportions of malnutrition in different areas, making the population susceptible to TB. Among vulnerable populations, such as tribal communities, TB and malnutrition pose significant threats. Tribal populations exhibit disproportionately higher TB prevalence rates compared to non-tribal groups. Also, malnutrition prevalence among tribal communities far exceeds national averages in India. Amidst fragmented data, a systematic review of nutritional status among tribal populations with TB in India is imperative to inform comprehensive intervention strategies.

Methods
Cross-sectional, case-control, cohort and interventional studies reporting the nutritional status of active TB affected individuals among tribal populations in India were specifically included if terms such as “malnutrition” or “low BMI” were used. This systematic review followed PRISMA guidelines and was registered with PROSPERO (CRD42020168328). The data was assessed using a random-effects model and standardized mean with 95% confidence interval (CI). The I2 statistics indicated heterogeneity. Publication bias was evaluated using funnel plots.

Results
Out of 124 studies, 20 were selected for initial screening, 15 were excluded due to a lack of appropriate data, and five were included for the final analysis. The pooled prevalence estimates of malnutrition among Indian tribes living with TB was 514 per 1000 people, with 95% CI: 232-791. The sensitivity analysis showed that no individual study influenced the estimation of pooled prevalence.

Interpretation & conclusions
In the background of India, contributing considerably to the burden of TB-related morbidity and mortality alongside undernutrition, reviews have underscored undernutrition as the predominant risk factor for TB, affecting over 50 per cent of the population in some States. This situation is exacerbated among the tribal communities in India due to the dual burdens of undernutrition and TB being more pronounced. Our systematic review consolidates evidence from five studies, revealing the prevalence of malnutrition among tribal TB patients. Conducting well-planned implementation research to address this dual burden among the underprivileged population would help achieve the ambitious goal of a TB-free India 2025.
Comparative Perceptions Influence Actions on Climate Change Between Eastern and Western Europeans
Authors: Koompai Somjintana , Royer Joël , Pathak Shubham 
Published: October 2024

Climate change is an important issue that countries worldwide are aware of and campaign to reduce. All parties must cooperate, whether the government, the private sector, individuals, etc. Many perception surveys have met the public's understanding and knowledge about climate change. Despite the odds, previous research supported environmental protection and sustainability in surveys, polls, and past research. However, the existing literary gap between intentions and actions and awareness and implementation has recently widened. The objectives of this research include comparing perceptions and climate change mitigation actions between Eastern and Western European countries because both regions are different, as well as searching for and comparing perceptions influencing climate change mitigation actions between them. The research adopts a quantitative methodology, emphasizing exploring secondary data from the European Investment Bank (EIB) climate change survey 2022–2023. It analyzed the data to compare the perceptions and actions of the two regions in mitigating climate change. The statistical tests included a t-test and stepwise multiple regression analysis to predict the influence of perceptions and actions on reducing climate change. The results showed that respondents' perceptions of climate change in Eastern and Western Europe were not significantly different. However, there was a significant difference in the number of reduction actions taken by Western Europeans compared to Eastern Europeans. Perceptions of climate change catastrophes and serious government mitigation actions positively influenced actions in Eastern Europe. This study found that businesses' attention to mitigation and their perception of the catastrophic effects of climate change positively influence mitigation actions in Western Europe. The recommendations guided governments, policymakers, and businesses to take action to reduce climate change, motivating people's adequate perceptions and actions. Stakeholders communicating climate change's impacts on catastrophe should present true information with honesty and transparency. Doi: 10.28991/HEF-2024-05-03-03 Full Text: PDF
The effectiveness of various approaches in the treatment of peripheral neuropathies in people with type 2 diabetes mellitus
Authors: Stefanenko A. V. , Bagriy A. E. , Orekhova A. O. , Efremenko V. A. , Mikhailichenko E. S. , Suprun E. V. , Rebrova S. A. , Stefanenko E. R. 
Published: October 2024

Introduction. Optimal therapeutic tactics for diabetic peripheral neuropathy (DPN) can reduce the risk of complications and improve the quality of life of patients with diabetes mellitus (DM).Aim: To evaluate the effectiveness of various approaches to the treatment of DPN.Materials and Methods. 67 patients were examined (36 men and 31 women, mean age 59.4 ± 9.7 years), duration of diabetes was at least 7 years. Patients underwent general clinical examinations, neurological examination and diagnosis of DPN with assessment of pain, tactile and vibration sensitivity. All patients underwent ultrasound of the peroneal nerve (PN): the structure and cross-sectional area (CSA) were assessed (≤ 11 mm2 was taken as the norm). Patients with symptoms of PN compression received mini-invasive treatment by perineural administration of 20 mg methylprednisolone under ultrasound control.Results. Clinical manifestations of DPN were identified in 33 (49.3%) cases. Changes in ultrasound PN occurred in 62 (92.5%) patients. 29 patients with echographic changes in PN and asymptomatic DPN received α-lipolic acid and benfotiamine: the CSA of the PN before treatment was 13,2 ± 2,4 mm2, after 6 months –10,4 ± 1,6 mm2; the proportion of people with CSA PN ≥ 12 mm2 before treatment was 82,7%, after 6 months –27,6% (all p < 0.05). 19 patients with symptoms of DPN, but without signs of compression of the MBN, received additional drugs and techniques. The average pain intensity before treatment was 4,93 ± 1,07, after 6 months –2,47 ± 0,61; CSA PN before treatment –17,3 ± 3,8 mm2, after 6 months –13,2 ± 2,2 (all р < 0,017). 14 patients with PN compression underwent mini-invasive treatment under ultrasound control. In the first 24–48 hours after manipulation, in all cases there was a moderate increase in local manifestations of compression. Then the pain intensity decreased (5.74 ± 1.19 points – before manipulation, 3.18 ± 0.97 – after 6 months, р < 0,0125), CSA decreased (22.4 ± 4.3 mm2 – to 15.3 ± 3.6 mm2 – after 6 months, р < 0,0125) and echographic characteristics improved.Conclusions. Ultrasound of the nerves can be a valuable method for the early diagnosis of DPN and a tool for choosing treatment tactics. The use of pathogenetic pharmacotherapy alone or in combination with other drugs was associated with satisfactory tolerability, favorable clinical and ultrasound dynamics. The use of mini-invasive treatment with perineural administration of drugs for compartment syndrome was characterized by a positive effect on compression symptoms and ultrasound characteristics of the nerve.
An analysis of a cadaver with a rare anatomical variation of thyrocervical trunk
Authors: Rydzewski Michał , Mysiorska Dominika , Klepacki Łukasz 
Published: October 2024

IntroductionThe course of the branches of the thyrocervical trunk (TT) such as the inferior thyroid artery (ITA), suprascapular artery (SSA), transverse cervical artery (TCA) and ascending cervical artery (ACA) has a range of anatomical variations. The available literature distinguishes between 4 to 9 types of TT variation and its branches.AimThe following paper presents an anatomical variation that was not included in any known classifications.Case studyDuring routine dissection of a body of a 84-year-old woman located in the Department of Anatomy of the University of Warmia and Mazury in Olsztyn, a following course of TT was observed. In the described case the SSA derives directly from the subclavian artery (SA), while the TT gives away ITA, ACA and TCA, which further bifurcates into two dorsal scapular arteries (DSA).Results and discussionThe analysis of the described cadaver showed that this anatomical variation of TT cannot be included in any known classification. This indicates, that it is a very rare anatomical variation of the TT.ConclusionsKnowledge of the course of the branches of TT has some significant clinical importance, inter alia during endovascular procedures, during which any mistakes may result in serious consequences for the operated patient. The most accurate understanding of the course of TT vessels and the dissemination of knowledge on this subject may reduce the risk of complications after the treatment.
Strategi Tukang Becak dalam Mempertahankan Pekerjaan Pasca Munculnya Transportasi Ojek Online ( Studi Kasus Kota Banda Aceh)
Authors: Setiawan Farhan 
Published: October 2024

Tujuan penelitian untuk mengetahui Strategi tukang becak dalam mempertahankan pekerjaannya. Penelitian ini menggunakan metode kualitatif. Teknik pengumpulan data menggunakan metode observasi, wawancara, dokumentasi. Hasil penelitian menunjukkan dibagi atas dua strategi yang pertama strategi Adiktif yang dimana diantaranya menambah waktu mangkal, menjaga kenyamanan dan kepuasan pelanggan, menjaga penampilan. Dan Strategi Survival, tidak menentukan tarif. Artinya dengan adanya ojek online tukang becak harus mengikuti atau menyesuaikan tarif yang sama agar keadilan juga bisa dirasakan keduanya. Mereka menggunakan cara tersebut untuk tetap brada pada pekerjaan tukang becak agar tetap bisa bersaing ditengah munculnya transportasi ojek online ini. Cara yang mereka lakukan pun beragam akan tetapi hanya sebagian saja yang memakai cara atau startegi. Ada juga yang tetap pasrah dan tetap berdoa agar dimudahkan rezeki. Pandangan tukang becak terhadap ojek online juga didapat dalam beberapa hal mulai dari salahnya pemerintah kenapa diberi izin sebanyak ini ojek online. Setalah itu menurunnya ekonomi mereka dengan adanya ojek online ini. Pendapatan mereka hanya 100 ribu dlam sehari berbanding jauh ketika belum adanya ojek online ini mereka bisa menghasilkan 150 hingga 200 ribu dalam sehari. Perbandingan ini membuat tukang becak mengeluh dengan kehidupan yang serba sulit
Eficiencia de uso del nitrógeno por el cultivo de papa (Solanum tuberosum L.) en suelos volcánicos de Chimborazo, Ecuador
Authors: Gaibor Fatima , Espinosa José , Cartagena Yamil , Parra Rafael , Torres Carrera Cristhian , Alvarado-Ochoa Soraya 
Published: October 2024

La provincia de Chimborazo es una de las zonas de mayor producción de papa (Solanum tuberosum L.) en el Ecuador y el manejo de la nutrición del cultivo es uno de los limitantes para alcanzar altos rendimientos. El objetivo de la presente investigación fue determinar la eficiencia de uso del nitrógeno (EUN) y las dosis de nitrógeno (N) necesarias para llegar a la meta de rendimiento de las variedades de papa Superchola e INIAP-Natividad. Los experimentos se implementaron bajo un Diseño de Parcela Dividida con tres repeticiones en dos localidades paperas (Cortijo Bajo y Chañag) de la provincia de Chimborazo-Ecuador, desde mayo a noviembre del año 2016. Las variables evaluadas fueron extracción de N y rendimiento total de tubérculos, con las cuales se calcularon la eficiencia agronómica de N (EAN) y las dosis de fertilización nitrogenada necesarias para las dos variedades de papa evaluadas. Los resultados indicaron que el aumento en rendimiento del cultivo de papa fue consistentemente menor a medida que se incrementaron las dosis de N con una clara respuesta cuadrática para las dos variedades. La EAN de la variedad Superchola varió entre 130 y 160, mientras que la EAN de la variedad INIAP-Natividad entre 120 y 150 kg de papa kg-1 de N aplicado; estos valores de EAN permitieron determinar la dosis de fertilización nitrogenada (120 kg-1 N ha-1 y 80 kg-1 N ha-1 para Superchola y 80 y 110 kg-1 N ha-1 para INIAP-Natividad en Cortijo Bajo y Chañag, respectivamente) que serán necesarias para lograr la meta de rendimiento en el siguiente ciclo de siembra de papa en el correspondiente dominio de recomendación de fertilización. Se concluye que el cálculo de la EAN permite ajustar efectivamente las recomendaciones de fertilización nitrogenada para el cultivo de papa bajo las condiciones edafo-climáticas estudiadas.
Faktor-Faktor Yang Mempengaruhi Perawat Dalam Penerapan Sasaran Keselamatan Pasien (SKP) Di Instalasi Rawat Inap
Authors: Lamohamad Moh . Fahmi S , Siauta Viere Allanled , Rahmayanti Elifa Ihda 
Published: October 2024

Keselamatan pasien merupakan parameter utama dalam sistem pelayanan kesehatan, yang diharapkan menjadi dasar untuk menghasilkan pelayanan yang maksimal dan menurunkan insiden bagi pasien. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang mempengaruhi perawat dalam penerapan sasaran keselamatan pasien di instalasi rawat inap Rumah Sakit Umum Daerah Undata Provinsi Sulawesi Tengah. Jenis penelitian ini adalah kuantitatif menggunakan desain analitik dengan pendekatan cross sectional dengan menggunakan teknik total sampling yang berjumlah 41 perawat, instrumen berupa pemberian kuesioner yang berisi pertanyaan terkait penerapan sasaran keselamatan pasien. Data yang diperoleh kemudian dianalisis univariat dan bivariat menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa ada hubungan lama kerja terhadap penerapan sasaran keselamatan pasien dengan p-value 0,003, ada hubungan pengetahuan perawat terhadap penerapan sasaran keselamatan pasien dengan p-value 0,004, ada hubungan motivasi perawat terhadap penerapan sasaran keselamatan pasien dengan p-value 0,033. Saran dari penelitian ini adalah Bagi Rumah Sakit Umum Daerah Undata palu Sulawesi Tengah Diharapkan dari hasil penelitian ini dapat meningkatkan pelayanan asuhan keperawatan tentang sasaran keselamatan pasien.
Strategi Dakwah Bil Hikmah Media Sosial Facebook Terhadap Akun @pecintaudud (Ustadz Maududi)
Authors: Anida  , Samsu  , Neneng Hasanah  , Zulqarnin  , Jamaluddin  , Muhsin Ruslan  
Published: October 2024

Da'wah, or spreading Islamic teachings, is an obligation for Muslims to guide them towards the right path. In the contemporary era, the integration of technology, especially social media platforms such as Facebook, plays an important role in conveying religious messages. This research explores the strategic approach to Bil Hikmah da'wah implemented by the Facebook account @pecintaudud, associated with Ustadz Maududi. This research aims to understand how these accounts use sentimental, rational and sensory strategies to convey Islamic messages effectively. Despite being faced with challenges such as negative perceptions and limited resources, @pecintaudud shows resilience and commitment in spreading positive messages through creative content. This study emphasizes the significance of social media in contemporary da'wah, while highlighting the role of dedication and integration of technology in overcoming various challenges. This research uses descriptive qualitative research methods. Which, to obtain data for this thesis using interview techniques, observation and documentation. Furthermore, so that this research can be focused, the theory that is used as a reference in this thesis is dakwah strategy theory.

Keywords: da'wah, bil hikmah, social media, facebook, ustadz maududi
Effectiveness of the Combination of Facial Acupressure and Honey on Facial Skin Moisture
Authors: Soekanto Ayly , Tania Putu Oky Ari , Al Aska Andra Agnez , Hardiyono Hardiyono 
Published: October 2024

Background: Facial skin is the most sensitive part, so it is important to take care of it. Facial skin care is a treatment to keep facial skin elastic and maintain facial skin moisture. Facial acupressure is a method of treatment that begins with massaging the meridian points so that blood flow becomes smooth and facial muscles feel more relaxed. Using honey is a facial skin care method that is made into a mask. Objective: The research aims to determine the effectiveness of the combination of facial acupressure and honey on facial skin moisture. Methods: This research is an analytical experimental study, with a sample of 30 women aged 40 - 50 years. In the first treatment, a moisture test was carried out, followed by the second treatment, the moisture test was measured for the facial acupressure and after the third treatment, the combination of the facial acupressure with a honey mask was subjected to a moisture test. The research was carried out twice a week for 4 weeks for a total of 8 times. The research was carried out in April – May 2024 at the Wijaya Surabaya clinic & in a doctor's practice and used a Skin Moisture Analyzer as a measuring tool to measure skin moisture. Using statistical analysis with the Mann-Whitney test (α= 0.05) with a p-value of 0.000. Result: The results of the third treatment showed an increase in facial skin moisture until it reached 93.4%, including moist skin and 6.6%, which was considered normal skin criteria. Conclusion: It has been proven that the combination of facial acupressure and honey is effective on facial skin moisture, experiencing very significant changes in humidity starting from the first, second and third treatments.
Nicotine in Vapor Exposure Decreases Hippocampal Neurons in Rats
Authors: Indrayani Tsaniya Ahda , Hamidah Ikhwan Salma Nur , Handayani Ety Sari , Kuswati Kuswati 
Published: October 2024

Background: Recently, many people have considered electronic cigarettes to be a safer alternative to conventional tobacco cigarettes, even though they still contain harmful substances such as nicotine, which is associated with a decrease in hippocampal neurons. Objective: This study aimed to examine the effect of exposure to e-cigarettes on hippocampal neurons in rats. Methods: An experimental study was performed using 26 tissue samples obtained from Wistar rats. The rats were randomly assigned to four groups and treated over an eight-week period as follows: the control group (K) (n=7) had no vapor exposure; the V0 group (n=6) received vapor without nicotine (0 mg/ml); the V6 group (n=7) was exposed to vapor and 6 mg/ml nicotine; and the V12 group (n=6) was exposed to vapor and 12 mg/ml nicotine. Hippocampal neurons were examined using hematoxylin-eosin staining at 400x magnification across 7 fields of view. Data were analyzed using the Kruskal-Wallis test with the Mann-Whitney post-hoc. Results: The number of hippocampal neurons was significantly reduced in both the V12 and V0 groups compared to that in the control group (p<0.05). The lowest number of hippocampal neurons was observed in the V0 group (0 mg/ml nicotine), followed by the V12 group (12 mg/ml), and then the V6 group (6 mg/ml).Conclusion: The present study showed that the variation of nicotine in vapor exposure decreases hippocampal neurons in rats.
English Communication Skills (ECS) of Grade 9 Learners: The Basis for Designing an ECS Intervention Program
Authors: Garcitos Angelyn , Gargar Ma. Corazon , Lomocso Zaillah , Amacna Ronjell , Bonganciso Ruel T. 
Published: October 2024

English Communication Skills (ECS) are crucial in the globalized context, yet the Philippines' ranking of 77th out of 81 countries highlights a significant proficiency gap. Consequently, there is an urgent need for targeted intervention programs to address these challenges among Filipino students. This research aimed to evaluate the English Communication Skills (ECS) of Grade 9 students at High School in Philippines, focusing on speaking and writing proficiency levels and the relationship between them, to develop an intervention program. Utilizing a descriptive research design with a quantitative approach, the study involved 40 Grade 9 students selected through random sampling. Data were collected using a researcher-made survey questionnaire, complemented by tests employing the WIDA Speaking and Writing Interpretive Rubrics for a detailed analysis of speaking and writing capabilities. The analysis was conducted using statistical methods to yield descriptive statistics and the Pearson R correlation for assessing the relationship between speaking and writing skills. The results indicated that while students perceived their ECS as satisfactory, the actual assessments did not meet the expected standards, and a very low correlation was found between speaking and writing proficiency. This gap emphasizes the necessity for targeted intervention programs tailored to the specific needs of students to enhance their ECS. The study concludes with the recommendation for developing pedagogical strategies that focus on the identified areas of improvement in ECS among Grade 9 learners.
Patient’s Satisfaction towards the Behavior of the Hospital Staffs
Authors: Bashyal Sukriti , Ghimire Ananda 
Published: October 2024

The study investigates the punctuality and behavior of hospital staff and examines the relationship between socio-demographic characteristics and these factors among patients in Kathmandu hospitals. Data was collected from 128 participants through structured questionnaires and their aged were above 20 years of age. Descriptive analysis shows that a majority are female, unmarried, and with a high school education. The findings indicated that most patients perceived the hospital staff, including registration, lab, blood bank, and nursing staff, as punctual and polite. Majority respondents realized improvements in their health compared to post-visit. Correlation analysis showed no significant relationships between gender and satisfaction, or between the number of hospital visits and satisfaction levels. These results highlight the generally positive perceptions of hospital services.