bluuebunny/crossref_metadata_2025_split huggingface dataset:
Role of Symbolism in Reader Understanding and Interpretation in Nigeria
Authors: Oson Adebayo 
Published: May 2024

Purpose: The aim of the study was to assess the role of symbolism in reader understanding and interpretation in Nigeria.
Methodology: This study adopted a desk methodology. A desk study research design is commonly known as secondary data collection. This is basically collecting data from existing resources preferably because of its low cost advantage as compared to a field research. Our current study looked into already published studies and reports as the data was easily accessed through online journals and libraries.
Findings: The role of symbolism in reader understanding and interpretation is profound, as symbols serve as powerful tools for conveying deeper meanings and themes within literary works. Through symbolism, authors imbue objects, characters, and events with additional layers of significance, allowing readers to engage with the text on multiple levels. Symbolism facilitates the exploration of complex ideas, emotions, and societal issues, often transcending language barriers and resonating with diverse audiences. Moreover, it encourages readers to actively participate in the interpretation process, fostering personal connections and insights that enrich their reading experiences. Consequently, the study of symbolism underscores its crucial role in shaping reader comprehension and interpretation, highlighting its capacity to evoke profound reflections on the human condition and the world around us.
Implications to Theory, Practice and Policy: Reader-response theory, semiotic theory and cognitive theory of metaphor may be used to anchor future studies on assessing the role of symbolism in reader understanding and interpretation in Nigeria. Educators should implement evidence-based instructional strategies for teaching symbolism in educational settings, including guided discussion, close reading, and scaffolded instruction. Educational policymakers should consider integrating symbolism into curriculum standards and assessments to ensure that students develop symbolic literacy skills alongside other critical reading competencies.
FACTORS ASSOCIATED WITH MALNUTRITION OCCURRENCE AMONG CHILDREN UNDER 5 YEARS IN KIHENDA VILLAGE HOIMA DISTRICT. A CROSS-SECTIONAL STUDY.
Authors: Musimenta Nelson , Onyango Richard 
Published: May 2024

Background
Malnutrition refers to deficiency, excess, or imbalance in a person’s energy and/or nutrient intake). The study aims to assess the Factors associated with malnutrition occurrence among children under 5 years in Kihenda village Hoima district.
Methodology
A cross-sectional descriptive study where the Simple Random sampling method was used to select the 100 respondents from which quantitative data was collected.
Results
The majority 46(77%) reported that working long hours of parents contributed to malnutrition and the minority 14(23%) reported that it did not affect malnutrition. 48(80%) majority of teenage mothers reported that age contributed to malnutrition whereas the minority of 10(17%) and 02(03%) of adult mothers never agreed. Majority of children in families 78(78%) were found to be normal while the minority 07(07%) stunted, 06(06%) underweight and 09(09%) wasted. Majority of the respondents’ families had children 64(64%) of 3 to 5 whereas 23(23%) of 0 to 2, 08(08%) of 6 to 8, and 05(05%) of 10 to 12 as the minority.The majority of the respondents 60(60%) had ever heard about malnutrition while the minority 40(40%) of them had not. The majority of the respondents 55(55%) did not know that the first breast milk was important to the child whereas the minority 45(45%) knew that the first breast milk was important.
Conclusion
A Variety of factors like age of caretakers, number of children in the household, long working hours of caretakers, insufficient Knowledge, and poor attitudes about proper nutrition were closely associated with Malnutrition.
Recommendation
There should be increased campaigns with feasible knowledge that is applicable in rural areas, and this could be through empowering the Village Health Teams in these areas by the government of Uganda and the Ministry of Health to improve the nutrition status of children below 5 years.
Analysis of the risk of diabetes mellitus type 2 in women workers at a reference hospital in Asuncion, Paraguay
Authors: Sosa María Luisa , Jara Cynthia Mireya , Pratt Paola , Quintana María Elida , García-Salinas Héctor 
Published: May 2024

Introduction: Obesity, age, sedentary lifestyle, and family history of diabetes mellitus are risk factors for type 2 diabetes mellitus (T2DM). Objective: determine the probable risk of developing T2DM in the next 10 years in working women at a reference hospital in Asunción, Paraguay. Methodology: This cross-sectional observational descriptive study was conducted with physicians, nurses, and administrative staff. Data were collected over three months using the FINDRISK test to assess diabetes risk, which consists of eight questions about age, body mass index, waist circumference, physical activity, fruit and vegetable consumption, history of blood pressure, high blood pressure and high glucose, and diabetes diagnosed in family members. Descriptive statistics in the form of frequencies and percentages, as well as analytical statistics using the Mann-Whitney and Kruskal-Wallis tests, were used to analyze the data. Results: A total of 112 women participated in the study, with more than 40% in the age range of 31–40 years. The waist circumference of 80-88 cm was the most common (38.4%). It was found that 33% of participants were overweight. Almost 60% of the participants did not perform daily physical activities. More than 38% of the first-degree relatives had a history of diabetes. Of the surveyed participants, 67.9%had some risk of developing T2DM in the next 10 years and 22 had a high or very high risk according to the FINDRISK test. Participants aged 35 years had a significantly higher risk (p=0.008). Conclusion: A high prevalence of overweight and obesity was observed, with 67.9% of the respondents showing some degree of risk for developing T2DM in the next 10 years, of which nearly 20% were categorized as high or very high risk.
Fear of monkeypox and intention to vaccinate against monkeypox: a network analysis
Authors: Caycho-Rodríguez Tomás , Ventura-León José , Carbajal-León Carlos , Vilca Lindsey W. , Gallegos Miguel , Delgado-Campusano Mariel , Noe-Grijalva Martin , Muñoz-del-Carpio-Toia Águeda , Barria-Asenjo Nicol A. , Torales Julio , Hualparuca-Olivera Luis , Ayala-Colqui Jesús , Reyes-Bossio Mario 
Published: May 2024

Introduction: The presence of fear of an infectious disease triggers psychological factors associated with perceived behavioral control over vaccination acceptance, subjective norms of vaccination acceptance, attitudes toward vaccination acceptance, and perceived infectiousness from disease. Objective: The study evaluated how symptoms of fear of Monkeypox specifically relate to intention to be vaccinated against Monkeypox in a sample of 506 Peruvian individuals with a mean age of 27.11 years (SD = 9.77). Methods: Participants responded to the Monkeypox Fear Scale (MFS) and a single item of Intention to be vaccinated against Monkeypox. Using network analysis, central fear symptoms and associations between symptoms and intention to vaccinate were identified. Results: The results suggest that the node with the highest centrality was item 5 of the MFS. Regarding the connection between the intention to be vaccinated and the MFS items, a direct relationship was observed with item 1 and an inverse relationship with item 6. In addition, the relationship between these MFS items and intention to vaccinate is higher in men compared to women. While it would be expected that a greater presence of symptoms of fear of Monkeypox could lead people to have a greater intention to be vaccinated against the disease, the results could lead other researchers to generate evidence to explain this relationship in other Latin American countries. Discussion: The evidence is useful for developing policies that favor vaccination against Monkeypox in Peru and other Latin American countries.
Evolución de los parámetros hematológicos y óbito en internados con COVID-19 en un hospital de Paraguay, 2021
Authors: Santacruz Lorena , Samudio Margarita , Mereles Aranda Eva Fabiana , Vargas Correa Arturo , Poullion Daniela , Santacruz Gabriela , Ojeda Leticia , Fretes Doria , Villalba Blanca 
Published: May 2024

Introducción: Los parámetros hematológicos proporcionan al equipo médico marcadores pronósticos útiles en la evolución clínica de la enfermedad de COVID-19. El objetivo fue analizar la relación entre la evolución desfavorable de los valores hematológicos y el óbito de los pacientes internados con COVID-19. Metodologia: El estudio es observacional, correlacional y longitudinal. Se realizó la revisión de fichas clínicas de los pacientes mayores a 18 años internados entre enero y marzo del 2021. Se registró en una planilla Excel el resultado de los parámetros hematológicos al ingreso, a las 48 horas, a los 8 días y al egreso. Los datos fueron analizados con Epi Info 7.1 (CDC, Atlanta) según estadística descriptiva. Resultados: De 144 pacientes, se observaron 68 (47,2%) muertes, con predominio del sexo masculino (63,2%) y, mayores a 60 años (47,1%). Los factores asociados a mortalidad fueron la hipertensión (52,9% vs 31,6%; p=0,009), la diabetes (50% vs 26,3%; p=0,003) y, la obesidad (41,2% vs 25%; p=0,039). Los parámetros hematológicos desfavorables asociados a la mortalidad se presentaron a partir de los 8 días de internación con leucocitosis (64,1% vs 33,3%; p=0,003), linfopenia (96,8% vs 79%; p=0,008), neutrofilia (98,5% vs 87,7%; p=0,029) y, un elevado índice neutrófilo/linfocito (INL) (96,9% vs 75,4%; p=0,001). Discusión: Los parámetros hematológicos que se asociaron con la mortalidad fueron leucocitosis con neutrofilia, linfopenia e INL elevado. Estos parámetros podrían tener valor pronóstico en el seguimiento para contribuir en el manejo de estos pacientes.
Efectividad de un programa de capacitación intensiva en reanimación cardiopulmonar y uso del desfibrilador externo automático entre representantes de centros de concurrencia masiva en Asunción 2023
Authors: Rolón Ruiz-Diaz Angel Ricardo , Ríos-González Carlos Miguel , Ortellado-Maidana José , González Graciela , Rolón Ruiz-Diaz Lilian , Ríos-González Dilce 
Published: May 2024

Introducción: La capacitación en reanimación cardiopulmonar (RCP) y uso correcto del desfibrilador externo automático (DEA) permite la intervención de los ciudadanos legos en situaciones de paro cardíaco extrahospitalario (PCEH). En Paraguay, la Ley n° 5.578/2016 establece el uso obligatorio del DEA en centros de concurrencia masiva (CCM). Objetivo: Evaluar la efectividad de un programa de capacitación intensiva en reanimación cardiopulmonar y uso del desfibrilador externo automático entre representantes de centros de concurrencia masiva en Asunción julio-setiembre 2023. Metodología: Estudio cuasiexperimental antes/después en representantes de CCM (Universidades, Shoppings, Clubes sociales/deportivos Gimnasios, Consecionario Automotríz, Complejos residenciales y Supermercados). Se obtuvieron datos de universidades del Ministerio de Educación y Ciencias, de fuentes municipales y la Cámara de Comercio. Se capacitó entre 1-3 representantes/CCM mediante talleres teórico-práctico sobre RCP básico y uso correcto del DEA en PCEH con un cuestionario validado (alfa de Cronbach: 0,75). Se compararon datos con ?² y prueba t o U de Mann-Whitney (p-valor significativo =<0,05). Resultados: De 194 participantes, la edad meda fue; 29±5años; el 60,31% (117) del sexo masculino, 38,65%(70) representantes de shoppings, 60,82% (118) tenian formación universitaria, y el 45,36% (88) se desempeñaban en atención al cliente. El 59, 228% (115) no habia recibido capacitación en RCP anteriormente y el 86,08% (167) tampoco tenia entrenamiento en uso del DEA. Se pudo observar una diferencia estadisticamente significativa entre la puntaje antes y después, observandose una diferencia de 4,791± 1,012 puntos (p=0,0001). Discusión: El programa de capacitación intensiva es efectivo para elevar el nivel de conocimiento y práctica en RCP básica y uso del DEA entre representantes legos de CCM.
Older Age and Advanced Kidney Disease
Authors: Schofield Guy , Dani Melanie , Brown Edwina , Beckwith Hannah , Shivakumar Oshini 
Published: May 2024

Our leading expert will use 4 patient stories to illustrate learning points in ethics, frailty, dementia, supportive care and patient expectations.Schedule:1. 14:00-14:20 Ethics Focused Patient Story
2. 14:20-14:40 Frailty and Advanced Kidney Care and Dialysis
3. 14:40-15:00 Supportive Assisted Peritoneal Dialysis and Dementia
4. 15:00-15:20 Inpatient Care and Patient Expectations
5. 15:20 General Discussion with Delegate QuestionsEthics Focused Patient StoryA lot of the literature examines ethical challenges in palliative care from the theoretical level and describes the implications these theories have for bedside practice. Very little research has looked at what the landscape looks like at the bedside and what that might mean for the usefulness of the various theoretical perspectives for guiding day-to-day clinical practice. Guy will use a patient story to illustrate his research in this area.
Adoptive cell immunotherapies for cancer
Authors: Svane Inge Marie , Fraietta Joseph A. , Rezvani Katy , Zhang Jin 
Published: May 2024

In this webinar, our panelists will discuss recent developments and challenges for adoptive cell therapies for cancer treatment. Our speakers will introduce the different therapeutic approaches (tumor-infiltrating lymphocytes-therapy, chimeric antigen receptor (CAR)-T, CAR-NK, CAR-macrophages). The presentations will be followed by a panel discussion and Q A session. The webinar will be hosted by [Nature Communications](https://www.nature.com/ncomms/) and [Communications Medicine](https://www.nature.com/commsmed) editors. The journals also invite you to consider the related collection on [Immune cell engineering for cancer therapy](https://www.nature.com/collections/dahdifegah), welcoming future submissions.
Towards enhancing self-management
Authors: Johansson Lina , Surendran Shone 
Published: May 2024

Schedule:1] 10:20-10:40 Health Literacy in Kidney Care - Lina Johansson
2] 10:40-11:00 Are your patients taking their antihypertensive medication? If not, why not? New understandings to improve health equity and self-management - Shone SurendranHealth Literacy in Kidney CareHealth literacy is critical to managing one's health. During this session, you will understand the different health literacy frameworks and how they relate to kidney disease. Health literacy will be viewed from an analytical perspective as well as the perspectives and voices of people with CKD. You will become more aware of the challenges faced by different communities and how this impacts on health. Finally the session will close with increasing awareness of what can be done to support improved health literacy in people with CKD. Are your patients taking their antihypertensive medication? If not, why not? New understandings to improve health equity and self-management.This presentation explores insights from a scoping review of qualitative research on medication adherence in hypertension management and patient health. Examining the theoretical foundations of 'adherence', the study traces its historical development, presents alternative conceptions, and outlines implications for future research. The authors discuss this conceptual shift in acknowledging how the role of patients' experiences and sociocultural diversity have been neglected in healthcare research. Furthermore, it foregrounds systemic health equity issues embedded in research methodologies and embodied within professional practice and healthcare interactions. Highlighting recent developments in community-based research, the authors illustrate how participatory approaches engage in patient and community education as a cultural process. These approaches demonstrate engagement with lay perspectives and patient beliefs, displaying cultural humility while avoiding epistemic harm and fostering trust and opportunities for dialogue and meaningful learning and understanding. In conclusion, the study suggests how disciplinary boundaries not only limit research findings but may serve to perpetuate health inequities, which research and practice seek to eliminate. The study underscores the importance of interdisciplinary approaches and multicultural perspectives in collaborative community research in forging fruitful pathways toward health equity and self-management.
Haemodialysis Research
Authors: Shivakumar Oshini , Thomson Tina , Cromm Krister 
Published: May 2024

Leading young researchers describe their current patient-centred research from epidemiological, immunological and psychological perspectives Schedule:1. 13:30-14:00 Dialysis After Graft Loss - Survival Factors
2. 14:00-14:30 Dialysis After Graft Loss - Immune Injury
3. 14:30-15:00 Patient Related Outcomes with HaemodiafiltrationDialysis After Graft Loss - Survival FactorsKidney transplant failure contributes to a considerable proportion of new dialysis starters. In some centres there are dedicated clinics for patients with failing kidney transplants, however, the specific needs of patients with dialysis after graft loss (DAGL) may be lost in the non-specific clinical review practiced in the general dialysis community. This talk examines the mortality and morbidity risk in patients returning with DAGL. We will discuss the epidemiology of patients returning to dialysis after graft loss to identify areas of concern in management that warrant a more specialised approach.Dialysis After Graft Loss- Immune HarmAdvancements in clinical practices and improved management of chronic conditions have resulted in kidney transplant recipients living longer, which has caused a rise in patients returning to dialysis after graft failure and being waitlisted for re-transplantation. Additionally, there has been an increase in the use of deceased donor organs in transplantation. Most patients who return to dialysis after graft failure are taking at least one immunosuppression medication, which can lead to increased morbidity and mortality with prolonged use. However, balancing the risk of withdrawal of these medications with the risk of sensitisation for future transplantation is crucial. Therefore, patient selection and timing of relisting should be approached with an individualised and tailored approach to immunosuppression regimes.New Developments in Patient-Reported Outcomes with Results for Use in Person-Centered Kidney CareThe presentation will introduce how a current, structured, science-based patient-reported outcomes questionnaire look like, what its uses are, and how to recognize well-designed questionnaires beyond legacy instruments such as the KDQOL. Examples from recent studies such as the CONVINCE trial on hemodiafiltration will be presented showing new results that demonstrate their benefits in making treatment gaps and improvements visible from the perspective of the patient. There will also be an outlook into new developments of electronic patient-reported outcomes, including computer-adaptive testing using item-response theory that allows for interactive questionnaires that aim to reduce response burden and increase information content.
Challenges in healthcare access for young people living with HIV: A review
Authors: Soomar Sarmad Muhammad , Qamar Warisha , Azizullah Zahida , Ali Tazeen Saeed 
Published: May 2024

Background Young People Living with HIV (YPLH) face numerous obstacles when trying to get medical care. In some parts of the world, AIDS-related mortality, and infection rates among people in this age continue to rise. The main causes of this include infrastructural challenges, concerns about unintentional disclosure and confidentiality, and the still-limited attitudes of healthcare professionals towards these age groups. This review article highlights the key aspects of access-related problems based on a thorough literature search and a synthesis of the available data about the difficulties the YPLH experiences. Methods We looked through the last 15 years’ worth of English-language studies that were conducted worldwide and published in the databases MEDLINE, PUBMED, MEDILINE, GOOGLE SCHOLAR, COCHRANE, and SCIENCE DIRECT. 35 articles fully meeting the inclusion criteria were included. Results The literature review identified four overarching themes in terms of accessibility, including financial and insurance-related issues, workforce challenges, lack of knowledge and approachability issues associated with infrastructure and long travel distances. Furthermore, acceptability issues related to stigma, disclosure, discrimination, and low social support. The information was categorized from literature synthesis and was listed under the specific category that were decided earlier while beginning the search. These subcategories defined challenges to young people’s access to HIV healthcare regarding affordability, acceptability, availability and approachability. Conclusions YPLH encounters a multitude of challenges. These difficulties may be caused by structural reasons like social pressure, personal & societal ignorance about HIV, restricted access to HIV prophylaxis, and regulatory impediments. The findings imply that to facilitate the readily accessible HIV care services for youth it is vital to increase society’s and healthcare professionals’ awareness of HIV at every level.
Beyond Digital Protection(ism)
Authors: Grover Rohan , Jang Kyooeun , Su Li Wen 
Published: May 2024

Abstract
What values and conceptualizations of data are being advanced through new data protection regulations in Asia? This article answers this question with a comparative analysis of data protection regulations in China, India, and South Korea. The article identifies four key dimensions of divergence: conceptualizations of personal and sensitive information, cross-border data transfer restrictions, state exceptions, and considerations for platforms. This leads to three conclusions: local notions of “privacy” are animated by complex domestic priorities and geopolitics, data protection regulations contribute to platform governance, and local exceptions to data protection regulations reveal diverse political strategies to manage citizen-state relations.
Strategi Pemasaran Digital dan Peningkatan Usaha UMKM Noor Batok Kelapa di Desa Kemang Kecamatan Bojongpicung Kabupaten Cianjur
Authors: Djuarni Wenny , Rahmat Asep Deden , Resmana Maman , Marlian Nanan 
Published: May 2024

Tempurung kelapa merupakan bahan mentah yang dapat digunakan untuk membuat produk – produk yang memiliki nilai jual yang cukup tinggi. Namun banyak kendala yang ditemui pemilik usaha UMKM di desa Kemang Kecamatan Bojung Picung Kabupaten Cianjur, salah satunya UMKM “Noor Batok Craft”. Kendalanya di dalam strategi untuk meningkatkan usaha, cara memasarkan produknya secara online, serta kurangnya kemampuan penggunaan teknologi informasi sebagai media pemasaran. Untuk mengatasi kendala tersebut, maka tujuan dilaksanakannya program kerjasama ini adalah untuk meningkatkan penjualan produk kelapa, dengan pembuatan akun social media, dan akun e-commerce Metode yang digunakan untuk membangun aplikasi penjualan berbasis website dari berbagai Platform teknologi (laptop, handphone dan sebagainya), yaitu metode waterfall. Hasil dari dilaksanakannya program kerjasama ini pemilik UMKM untuk memasarkan produknya ke pasar yang lebih luas dan menjadi pengusaha yang lebih kreatif di era digitalisasi 5.0 saat ini.