bluuebunny/crossref_metadata_2025_split huggingface dataset:
Marketing a kiugróan magas infláció időszakában
Authors: Nagy Róbert , Józsa László , Szalai Módosné Szilvia 
Published: September 2024

Publikációnk a marketing és a válságok közötti kapcsolatot vizsgálja a magas infláció időszakában. A harmadik évezred történetében Európában három jelentős válság történt: a 2007-2008-as pénzügyi válság, a Covid-19 járvány okozta gazdasági válság, és az inflációs válság, amelyet a pandémia utáni kereslet megugrása és az orosz agresszió súlyosbított. Az infláció kritikus problémává vált, amely világszerte befolyásolja a gazdaságokat. Magyarországon az energiaszektor különösen érintett, ami az árak drasztikus emelkedéséhez vezetett. A cikk célja, hogy megvizsgálja a magyar gazdaság és a marketing tevékenységek helyzetét a magas infláció időszakában, és meghatározza, mi tekinthető etikus és hatékony marketingnek. Kutatási feladataink a következők voltak. 1. A marketing és válságok kapcsolatának áttekintése. 2. Adatgyűjtés Észak-Dunántúlon és a fővárosban 2023 december és 2024 január között. 3. Az etikus marketing gyakorlatainak meghatározása. 4. A fogyasztói magatartás és preferenciák változásának elemzése. 5. Stratégiai ajánlások kidolgozása a vállalatok számára. Kutatásunk több fontos megállapítást eredményezett: A fogyasztók előnyben részesítik az ár-érték arányt, a nagyobb városok lakói ragaszkodnak kedvenc termékeikhez. Fontos a termékek csomagolása, adagolása, hogy a szavatossági időn belül elfogyjanak. A humoros reklámok vegyes reakciókat váltanak ki, miközben az értelmi alapú reklámokat előnyben részesítik az idegesítő stílusokkal szemben. A nők hajlamosabbak az alacsonyabb árakat gyengébb minőséggel társítani. Az alacsony jövedelműek hiszik, hogy az olcsóbb termékek rosszabb minőségűek. Bár mintánk nem reprezentatív, eredményeink logikailag következetesek, így érdemes lenne azokat egy reprezentatív mintán is tesztelni. Jövőbeni kutatásoknak érdemes lenne a digitális megoldások marketinghatékonyságára gyakorolt hatását is vizsgálni válság idején. A marketing stratégiáknak rugalmasnak kell lenniük a magas infláció időszakában. A vállalatoknak ki kell használniuk a digitalizáció adta lehetőségeket, meg kell őrizniük az átláthatóságot és hitelességet. Reméljük, hogy az inflációt kiváltó okok rövid időn belül megszűnnek, és Ukrajna újra a fejlődés útjára léphet.
Revaluating Igbo Political Communication: A Pathway to Achieving an Igbo Presidency
Authors: Aruku Kalita Joseph , Mensah Eyamba , Ewhenikang Denis Inakefe , Ikangkang Joseph 
Published: September 2024

There have been a long cry of marginalization from the majority people in the Southeast political zone of Nigeria who are largely Igbos. This cry has been expressed through various ways ranging from a demand for a Biafra Republic and a demand for an Igbo presidency. With various attempts made to actualize this goal failing, many youths from the zone have resorted to self help which is threatening the already precarious security situation we have in the country. This paper undertakes an in-depth analysis of the Igbo political communication strategy, identifying the strengths, weaknesses, opportunities, and threats (SWOT analysis) that have hindered progress towards an Igbo presidency. The paper identified; Ineffective communication strategies, tribal and identity based political messages, lack of political co-ordination and lack of strategic partnership among other issues as the major challenges of the Igbo political communication approach. The paper concluded that the absence of a clear, well-defined message has resulted in confusion and mistrust among potential allies and supporters and the time has come for the Igbo community to revaluate and restrategize its political communication approach by adopting a more effective communication strategy, so as to increase its chances of achieving an Igbo presidency and promoting a more inclusive, and peaceful Nigeria.
Health facility readiness, facilitators, and implementation challenges of package of essential non-communicable disease program in selected municipality of Lalitpur district: a mixed method study
Authors: Rimal Saroj , Bhandary Shital , Subedi Anjana 
Published: September 2024

Introduction: The global burden of non-communicable diseases constitutes a major public health challenge as well as a serious threat to social and economic development. The Nepal package of essential non-communicable disease (PEN) began in October 2016 with two pilot districts. The program was expanded to 77 Districts of Nepal by the year of 2021.The Program covers major NCDs like cardiovascular disease (CVD), diabetes, cancers (Breast and Cervical) and chronic respiratory diseases. This study assessed its status in Lalitpur district, Nepal. Aim of the study was to assess the health facility readiness, facilitators and implementation challenges of PEN program.

Method: A cross-sectional design with concurrent triangulation mixed method was used. All the primary government health facilities of Lalitpur metropolitan city and Mahalaxmi municipality were included in study. Duration of the study was one month. Readiness for PEN program was assessed using pre-validated tools. By using purposive sampling for qualitative data and it was analyzed by using Braun and Clarke’s six steps thematic analysis.

Result: The overall readiness index for PEN services was 2526(71.4%) but it was less than 70%(not read) in Lalitpur metropolitan city and more than 70% in the Mahalaxmi municipality. Nearby tertiary hospital, positive leadership and availability of medicines were identified as facilitators while lack of trained health workers, unavailability of equipments and essential medicines were considered as major implementation challenges for the program.

Conclusion: Despite of 71.4% overall readiness for PEN services, disparities exist between municipalities. Facilitators such as nearby tertiary hospital and positive leadership contrast with challenges like a shortage of trained health workers and essential supplies. Addressing these disparities and challenges is crucial for successful implementation of PEN program.
Use of national early warning score in emergency department among adults with febrile illness to predict admission, ICU admission and mortality
Authors: Maharjan Rony , Shrestha John , Mangal Joshi Dipesh , House Darlene Rose 
Published: September 2024

Introduction: National Early Warning Score (NEWS) is now a well-known tool used by many countries in the Emergency Department (ED) to predict the severity of the disease and intervene on time. The main aim of this study is to check the sensitivity of the national early warning score in finding sick cases that require possible ICU admission and possible mortality cases.

Method: A cross-sectional study was conducted in the Emergency Department at Patan Academy of Health Science (PAHS) over one year. The inclusion criteria of the data for this study were age>15 years old and patients with febrile illness (temperature ≥38°C) presenting to the Emergency Department. Data was analyzed using Microsoft Excel and Statistical Package for Social Sciences version 28.0.

Result: Predictive sensitivity of medical severity of overall cases was observed. The National Early Warning Score was highly sensitive in foreseeing and finding severe cases that required immediate ICU admission (0.74) or cases with high mortality (0. 94).

Conclusion: As per the findings from the study, introducing a National Early Warning Score tool for screening at the Emergency Department in Nepal can be very helpful in identification of deteriorating cases which need ICU admission or risk of mortality.
The unprecedented surge in mumps cases; time to think about vaccination in Nepal?
Authors: Twanabasu Sajal , Homagain Sushan , Tuladhar Sucharita , Mahaseth Ashika , Subedi Bhusan Kumar , Maskey Sujina , Regmi Dinesh , Rijal Ram Chandra 
Published: September 2024

Introduction: Mumps is a self-limiting, common vaccine preventable viral disease characterized by fever and swelling of the unilateral or bilateral parotid gland. . Nepal has not included mumps containing vaccines in the national immunization schedule and hence there are occasional outbreaks but the actual incidence is not known. We are trying to represent the burden of mumps in Nepal by reporting the cases visiting our center during the recent outbreak.

Method: This is a cross sectional study conducted at Dhading hospital for the period of 3 months from 15th of May 2023 to 14th of July 2023. All children that presented to pediatric OPD with age less than 14 years of age with symptoms of fever and parotid swelling were included in the study. Follow up was done after 5 days of presentation or immediately if any complications were noticed. Diagnosis of mumps was done clinically using Centers for Disease Control and Prevention (CDC)’s criteria. The data was analyzed using Microsoft Excel 2016.

Result: Out of 1875 outpatients, 124 (6.61%) were diagnosed as mumps among which67 (54.03%) were male. Mean age of the patient was 5.9 years (±1.71SD). All the patients complained of fever and swelling of the cheek with abdominal pain 10 (8.06%) as predominant additional symptom. All the patients presented at the pediatric outpatient clinic and none of the cases developed complications.

Conclusion: The burden of mumps is underestimated in Nepal due to lack of surveillance and documentation as it is not a notifiable disease.. It is evident that mumps pose a significant disease burden in Nepal and hence mumps vaccine should be considered in national immunization programme.
Knowledge of warfarin among patients on warfarin therapy, using anticoagulant knowledge assessment tool, in Patan Hospital
Authors: Das Sunil Kumar 
Published: September 2024

Introduction: Warfarin is commonly used to prevent and treat cardiac, thromboembolic, and hypercoagulable conditions Despite its benefits, it was one of the top ten drugs with the most serious adverse events reported to the FDA during the 1990s and 2000s. Warfarin’s narrow therapeutic window necessitates careful management to avoid bleeding from over-anticoagulation or thrombosis from under-anticoagulation. Various tools exist to assess patient knowledge of warfarin, including the validated Anticoagulation Knowledge Assessment (AKA) questionnaire. This study uses the AKA tool to evaluate warfarin knowledge among patients at Patan Hospital, Lalitpur, Nepal.
Method: It was a single center, cross-sectional study done among 85 patients. Study was done for one year from Nov 2020 to Oct 2021. Convenient sampling was employed. The Anticoagulation Knowledge Assessment (AKA) questionnaire was translated into Nepali, modified for local relevance, and validated. Adequate knowledge was defined as correctly answering at least 70% of the questions.
Result: The study included 85 participants, 54 (63.5%) male and 31 (36.5%) female, with a mean age of 40.5 years (range: 16-91 years). Majority of participants attended primary level education 27 (31.8%). Only 17.6% of participantsdemonstrated adequate knowledge of warfarin, with a higher proportion of males (12) than females (3). Adequate knowledge was significantly associated with education level, but not with sex or age.
Conclusion: The analysis revealed that 17.6% of patients had adequate knowledge of warfarin. Education level showed a significant association with knowledge, with a p-value of 0.002.
Analisis Motivasi Belajar Intrinsik Terhadap Persepsi Indeks Prestasi Kumulatif Mahasiswa Program Studi Ilmu Keperawatan Universitas Abulyatama
Authors: Cut Puri Purna  , Angga Satria Pratama  , Nursa’adah Nursa’adah  
Published: September 2024

Learning motivation can be divided into two types, namely intrinsic and extrinsic motivation. Intrinsic motivation comes from within the student's personality which can encourage them to take learning actions. Intrinsic motivation arises based on awareness of certain goals, not just attributes or ceremonies. The findings indicated that the level of intrinsic motivation of the nursing students at Abulyatama University was still low. The low level of motivation led to learning outcomes obtained that were not optimal. Hence, it was shown that the better the students’ perception regarding intrinsic motivation, the higher their GPA. In other words, their GPA was significantly influenced by their perception about the importance of having intrinsic motivation. This quantitative study was conducted by using a descriptive-correlational method and a cross-sectional design. The population of this study covered 269 nursing students at Abulyatama University. Out of this population, 65 students with GPA < 2.75 were chosen as the samples. The results of statistical tests using the chi-square tes obtained a value of p=0,032, which means there is a relationship between learning motivation and perception instudents of the nurrsing science study program at Abulyatama University.
Pengaruh Terapi Musik Terhadap Penurunan Tekanan Darah Pada Lansia Dengan Hipertensi di Wilayah Puskesmas Kedungwuni I Kabupaten Pekalongan
Authors: Rusmadhani Dwi Hajar Sobirin  , Dafid Arifiyanto  
Published: September 2024

Penuaan secara alami mengakibatkan penurunan struktur dan fungsi organ tubuh, sehingga memicu terjadinya gangguan degeneratif seperti hipertensi pada lansia. Meningkatkan sirkulasi darah dan menurunkan tekanan darah adalah tujuan terapi musik. Tujuan penelitian ini yaitu mengetahui bagaimana terapi musik alam mempengaruhi tingkat tekanan darah lansia dengan hipertensi menggunakan metode kuantitatif desain kuasi eksperimen pada dua kelompok, dimana salah satunya kelompok kontrol. Convenience sampling digunakan pada 30 responden, yang kemudian dipisah masing-masing 15 orang untuk kelompok intervensi dan kelompok kontrol. P-value 0,001 tekanan darah sistol ditemukan pada uji t dependen pada kelompok intervensi. Nilai p pre-test dan post-test 0,001 menunjukkan bahwa diastol mempunyai pengaruh yang besar pada kelompok intervensi. Uji t independen dengan nilai p-value 0,001 (?0,05) pada tekanan darah sistol dan diastol menampilkan perbedaan penurunan tekanan darah. Terapi musik adalah alat yang berguna dalam menurunkan tekanan darah lansia hipertensi, sehingga mereka dianjurkan melakukan terapi musik alam selain terapi farmasi guna menurunkan tekanan darahnya.
Efektivitas Pemberian Jus Alpukat (Persea Americana Mill) Terhadap Penurunan Dismenore Primer
Authors: Tri Marini SN  , Nilda Yulita Siregar  
Published: September 2024

Dysmenorrhea is menstrual pain that occurs in the lower abdomen and spreads to the back, waist, pelvis, upper thighs, and calves. The cause of dysmenorrhea is an increase in prostaglandin levels so that the contractility of the uterine muscle is ischemic as a result of the vasoconstrictive effect produced by prostaglandins. According to data from the World Health Organization (WHO) the prevalence of dysmenorrhea in adolescents is 90% consisting of 75% -80% primary dysmenorrhea and 10% - 15% experiencing secondary dysmenorrhea, while data from the Association of Southeast Asian Nations (ASEAN) prevalence of primary dysmenorrhea in Malaysia (69.4%), Thailand (84.2%), and Indonesia (65%). The prevalence of dysmenorrhea in Indonesia in 2018 was 64.25% consisting of 54.89% primary dysmenorrhea and 9.36% secondary dysmenorrhea. This study aims to determine the effectiveness of administering avocado juice (Persea americana Mill) on reducing the rate of primary dysmenorrhea in first-level students of applied undergraduate study programs at the Indonesian Ministry of Health Polytechnic in Medan in 2023.The type of research used was Quasi Experiment with One Group Pretest and Posttest design. The sample in the study amounted to 30 people. The results of the research on the experimental group obtained a decrease in menstrual pain scale with an average of 2.66. The results of the analysis using the Wilcoxon test with a 95% level of confidence show a Sig (2-tailed) value of <0.05, which means that there is an effect of giving avocado juice on a decrease in primary dysmenorrhea in first level female students of the Bachelor of Applied Midwifery Study Program, Poltekkes Kemenkes Medan in 2023. It is expected that Poltekkes Kemenkes Medan to be able to utilize avocado fruit which is processed into juice in reducing menstrual pain in female students and for future researchers to be able to use my thesis as a reference.
Hubungan Derajat Disabilitas terhadap Kualitas Hidup Pasien Pasca Stroke di Puskesmas Kedungmundu Semarang
Authors: Anggun Puspita Anggreini  , Sri Puguh Kristiyawati  , Novi Heri Yono  
Published: September 2024

A clot or bleeding in the brain causes a stroke or a cerebral vascular disease that damages the nervous system. Patients suffering from strokes may have physical, mental, sensory, and intellectual disabilities that impede their interaction with the environment and prevent them from performing daily activities and quality of life. This research determines the correlation between the disability level and the quality of life of patients suffering from stroke treated at the Kedungmundu Public Healt Care. The quatitative research applied a cross sectional approach and collected the samples from 67 respondents using proposive sampling. The applied measuring tools were mRS and SSQOL. The Spearmen Rank statistical test obtained a p-value of 0,000. The result accepts Ha, indicating a significant correlation between the disability level and the quality of life of the post-stroke patient with a value of r = -0,542. The value indicates a moderate and negative correlation between the level of disability and the life quality of post-stroke patients. The research result suggest the implementation of the intervention to lower the disability level because it influences post-stroke patients with low quality life.
Dampak Peran Media Sosial dalam Penyebaran Aliran Sempalan di Kelurahan Tegal Sari Mandala I
Authors: Shabrina Shabrina  , Indra Harahap  
Published: September 2024

Increasingly sophisticated technology provides major changes in communication carried out by every society in the modern era. Entering the era of globalization, teenagers are among those who often use internet media, especially social media, as a means of searching for information. With social media, we can see the latest information about what situations are happening. A splinter sect is a sect that is often seen as a protest against self-division from the majority, exclusive attitudes, firm but rigid stances, monopoly on truth, and fanaticism
Microtargeting político y vigilancia social masiva: impactos negativos en las democracias occidentales
Authors: Saura García Carlos 
Published: September 2024

This article focuses on the dangers to democratic processes of one of the main instruments of political propaganda, the so-called political microtargeting. This type of microtargeting allows you to direct specific content, towards specific people, at specific times and link them directly to their individual characteristics, biases, and vulnerabilities. The objective of this article is to expose the operation and the various types of political microtargeting, show the harmful consequences of this technique on democratic processes and propose solutions to address these negative consequences. To achieve this objective, on the one hand, the extraction, exploitation, and use of large data sets for the creation of various types of personalized political propaganda will be detailed and, on the other hand, the various existing proposals will be analyzed to limit the negative effects that can cause political microtargeting and to enhance the functioning of Western democracies.
Este artículo se centra en los peligros para los procesos democráticos de uno de los principales instrumentos de propaganda política, el llamado microtargeting político. Este tipo de microtargeting permite dirigir contenidos específicos, hacia votantes específicos, en momentos específicos y vincularlos directamente con sus características, sesgos y vulnerabilidades individuales. El objetivo de este artículo es exponer el funcionamiento y los diversos tipos de microtargeting político y mostrar las posibles consecuencias nocivas de esta técnica en los procesos democráticos. Para lograr este objetivo, por una parte, se detallará la extracción, explotación y utilización de grandes conjuntos de datos para la creación de diversos tipos de propaganda política personalizada y, por otra parte, se analizarán las diversas propuestas existentes para limitar los efectos negativos que puede causar el microtargeting político y para mejorar el funcionamiento de las democráticas occidentales.
Technology, Trade, Foreign Direct Investment and Income Inequality Nexus in GCC Countries
Authors: Bushra Khalil  , Uzma Ghafoor  , Muhammad Zubair Saeed  , Abbas Asad , Sheikh Muhammad Ramzan 
Published: September 2024

The purpose of this study is to analyze the nexus between Technology, Foreign Direct Investment, Trade and Income Inequality in GCC countries. The study used the panel dataset of GCC countries from the period of 1990 to 2021. The dependent variable used in a model is Income Inequality as measured by the GINI coefficient, while explanatory variables are GDP per capita growth, GDP per capita squared, foreign direct investment, inflation rate, unemployment rate, secondary school enrollment, trade, and information and communication technology. Different econometric techniques such as ARDL, Cross-Section, and Granger causality test are applied for data analysis. The Panel ARDL technique is used to estimate the results in which GDP per capita growth, inflation rate, unemployment rate, and information and communication technology index are positively and significantly related to income inequality while the variables square of GDP per capita, FDI, secondary school enrolment, and trade are negatively and significantly associated to the income inequality in GCC countries. Panel ARDL short-run outcomes found that the coefficient of the ECT (-1) is negative and also statistically significant. This indicates that 33.51 percent of errors are corrected when moving from the short-run to the long-run equilibrium. Panel Granger causality analysis found that there is a unidirectional causality between income inequality and GDP Per Capita, trade. There is no evidence of a causal relationship between income inequality and foreign direct investment, inflation, unemployment, secondary school enrolment, trade, the information and communication technology index. Additionally, there is no evidence of a causal relationship between the latter two variables and income inequality. Considering the study's findings, it is determined that technology, economic growth, unemployment, and inflation are encouraging income inequality in GCC countries while FDI and trade are playing an imperative role in declining the level of income inequality in GCC countries.