bluuebunny/crossref_metadata_2025_split huggingface dataset:
Pengelolaan Pelayanan Posyandu Lansia dan Pembinaan Kader Kesehatan Sebagai Upaya Meningkatan Pengetahuan Kader Kesehatan dan Status Kesehatan Serta Kualitas Hidup Lansia
Authors: Taufik Daniel Hasibuan Muhammad , Yunita Sukma , Lusia Simatupang Lenny , Putri Nuradi Eka , Hadisti Rosidi Shakira 
Published: April 2024

Masalah kesehatan merupakan hal yang penting untuk diperhatikan, karena semua orang memiliki hak untuk dapat hidup sehat. Lanjut usia akan menyebabkan masalah degeneratif dan ini akan bersifat kronis dan multipatologis. Meskispun lansia bukan suatu penyakit, proses penuaan pada lansia akan memicu insiden penyakit kronik dan ketidakmampuan akan semakin meningkat. Pada lansia sering ditemukan masalah kesehatan berupa hipertensi, kelainan jantung, diabetes mellitus, rematik dan lainnya.
Posyandu lansia merupakan Pos Pelayanan Terpadu yang bertujuan untuk meningkatkan derajat kesehatan lansia dan didalam pelaksanaannya diperlukan kader kesehatan yang berasal dari masyarakat untuk dapat membantu Petugas Kesehatan didalam melaksanakan kegiatan posyandu. Tujuan kegiatan ini diharapkan untuk peningkatan pelayanan posyandu lansia, peningkatan pengetahuan kader kesehatan, peningkatan pengetahuan masyarakat lansia tentang pencegahan dan penatalaksanaan penyakit degeneratif, peningkatan status kesehatan dan kualitas hidup lansia. Kegiatan pengabdian ini terdiri dari beberapa tahapan yaitu : 1)Persiapan, 2)Pelaksanaan, dan 3)Evaluasi. Hasil kegiatan menunjukkan terjadi peningkatan pengetahuan kader tentang pengelolaan posyandu lansia, peningkatan pengetahuan lansia tentang pencegahan dan penatalaksanaan penyakit degeneratif, peningkatan status kesehatan dan kualitas hidup lansia. Kunjungan lansia keposyandu lansia diharapkan dapat menjaga status kesehatan dan kualitas hidup dalam kondisi yang normal dan sebagai cara untuk mendeteksi masalah kesehatan sehingga dapat segera atasi atau dicegah keberlanjutannya.
Penerapan Program Terapi Komplementer Secara Holistik Dengan Pemberdayaan Lanjut Usia (Lansia) dan Keluarga Dalam Self-Management Kualitas Hidup
Authors: Lusia Simatupang Lenny , Taufik Daniel Hasibuan Muhammad , Manta Tambunan Dior 
Published: April 2024

Lanjut usia (Lansia) merupakan seseorang yang telah mencapai usia diatas 60 tahun. Menurut WHO, di wilayah Asia Tenggara terdapat populasi lansia sebesar 8 % atau sekitar 142 juta jiwa. Masalah yang sering dialami lansia adalah kelelahan, gangguan pola tidur. Masalah Psikososial disebakan oleh kehilangan (finansial,status,teman). Proporsi disabilitas lansia berdasarkan penyakit yang diderita yaitu jantung, kencing manis, stroke, rematik dan cedera.Untuk mengatasi permasalahan pada lansia sangat dibutuhkan program yaitu dengan menerapkan terapi komplementer. Target yang akan dicapai pada pengabdian masyarakat ini adalah kemandirian lansia dalam melakukan terapi komplementer, terbentuknya beberapa kelompok lansia yang dipimpin oleh ketua kelompok dalam pengembangan terapi komplementer. Terlatihnya ketua kelompok lansia untuk melakukan terapi komplementer Yoga dan Guided Meditation. Terapi komplementer terinformasi bukan hanya kepada lansia saja tetapi kepada keluarga sehingga keluarga ikut berperan untuk meningkatkan kemandirian lansia pada saat di rumah. Metode pelaksanaan kegiatan terdiri dari : (1) Persiapan;(2) Pelaksanaan kegiatan terapi komplementer (Yoga dan Guided Meditation) kepada lansia dan keluarganya (3) Melatih ketua Kelompok lansia tentang terapi yoga dan Guided Meditation (4) Monitoring dan Evaluasi. Hasil Pengabdian Masyarakat adanya peningkatan kualitas hidup lansa . Kesimpulan ; Terapi Komplementer (Yoga dan Guided Meditation ) dapat meningkatkan kualitas hidup lansia di desa Laut Dendang hal ini dilihat dari hasil post tes kualitas hidup dimana ada peningkatan kualitas hidup sebelum dan sesudah dilakukan terapi komplementer.
The Association between Estrogen Levels and Prostate Volume in Obese and NonObese Benign Prostatic Hyperplasia (BPH) Patients
Authors: Khan Afsheen , Khan Naheed , Ahmed Syeda Bushra , Aijaz Asma , Raza Iffat , Haider Shaheen 
Published: April 2024

Objective: To investigate the association between prostate volume and estrogen levels in obese and non-obese individuals suffering from Benign Prostatic Hyperplasia (BPH).

Study Design and Setting: Cross-sectional, analytical study

Methodology: The International Prostatic Symptom Score (IPSS) was used in the study to recognize sixty participants with BPH. The study examined patients' height, weight, waist circumference (WC), and body mass index (BMI). An IPSS score of less than 7 was seen as healthy. Using standardized BMI (25) and waist circumference (90cm), patients were split into two groups, with obese patients being placed in group A and non-obese patients being placed in group B. Using trans-rectal ultrasonography(TRUS), prostate gland's dimensions were measured, and blood samples were taken to determine serum estrogen levels.

Results: In comparison to the non-obesity group, which had a mean prostate volume (PV) of 31.21±6.771 ml, the obese group's PV was 36.13±3.673ml. It was statistically significant that there was a difference between the two groups (p=0.001). In the non-obese group, average level of estrogen was 309.72±73.62pmol/l, compared to 328.21±115.05pmol/l in the obese group (p=0.462). Correlation study (r=0.279,p=0.031) revealed a significantly ideal relationship between participants' blood estrogen levels and PV. Among patients who were obese, there was a significant positive correlation among blood estrogen levels and prostate size(r=0.638, p=0.0001).

Conclusion: When compared to the non-obese group, obesity significantly raises prostate volume in study participants, leading to benign prostatic hypertrophy. In addition, prostate volume and blood estrogen levels in obese males showed a significant positive association.
Experiences and Challenges faced by Orthodontists while Treating Epileptic Orthodontic Patients: A Qualitative Study
Authors: Naureen Sadia , Kiani Huma Ghazanfar 
Published: April 2024

Objective: This study aimed to explore the experiences and challenges faced by orthodontists in treating patients with epilepsy.

Study Design and Setting: This was a qualitative study conducted in the Orthodontic Department at Rawal Institute of Health Sciences, Islamabad.

Methodology: The study period was almost three months from 4th August 2023 to 30th October 2023. Purposive sampling was done and 11 orthodontists with a minimum of 10 years of clinical experience, who had treated at least one patient with epilepsy in the past 5 years, were selected for an interview. Interviews were conducted in person or virtually, and a topic guide was used. Verbatim transcripts were analyzed using framework methodology, with triangulation techniques to minimize bias.

Results: All orthodontists were aware of their patients' epilepsy diagnoses, but none knew the specific type. The implementation of the orthodontic treatment strategy was less than optimal. Ceramic brackets were not used in any case. Limited single-arch treatments were preferred by orthodontists in some cases. Seizure and medicine intake history were not taken at every appointment. The emergency anti-epileptic drug was not available in the dental office. The primary challenges reported were patient motivation, poor oral hygiene, gingival hyperplasia, and bracket breakage.

Conclusion: Orthodontic treatment of epileptic patients is highly challenging. Modified treatment strategies should be adopted to ensure optimal care for such patients.
Gingival Health Status of Abutment Teeth in Acrylic Removable Partial Denture
Authors: Hussain Sajjad , Amjad Amna , Sharif Mubashir , Tasleem Robina 
Published: April 2024

Objective: To determine the change in gingival health status of removable partial dentures abutment tooth/teeth after 1month post-insertion

Study design and setting : Quasi-Experimental Study, Department of Prosthodontics, Armed Forces Institute of Dentistry Rawalpindi, from October 2021 to April 2022

Methodology: The patients underwent a thorough history and clinical examination after formal consent. Prior to recording the impression for provision of acrylic removable partial denture, the baseline scores for gingival index, plaque index and abutment teeth’s periodontal pocket depth were noted. After 30-days of placement of the acrylic removable partial denture, the patient was recalled for follow up and reassessment of score.

Results: Out of 90, there were 64 (71.1%) males and 26 (28.8%) females with average age of 31.1±5.8 years. The average value of plaque index at baseline was observed to be 0.39±0.03, while mean value of gingival index at baseline was found to be 0.19±0.01. At 30 days follow up, the mean value of plaque index significantly increased to 1.21±0.07 (p=0.001). Similarly, the mean value of gingival index after 30 days insertion of the acrylic removable partial denture significantly increased to 1.50±0.09 (p=0.001). No significant difference was observed between 30 days post-insertion indices between smokers and non-smokers, males and females, and <30 and >30 years age groups.

Conclusion: It is concluded that the gingival health of abutment teeth significantly gets affected due to removable partial denture. The plague and gingival index significantly worsen due to use of removable partial denture within a month’s time.
Assessment of level of Burnout among Health Professionals in Lahore, Pakistan
Authors: Khan Shehnaz , Shahid Noor , Hassan Mehrunnisa 
Published: April 2024

Objectives: The prime objective of this study is to access the level of burnout among healthcare professionals using BAT tool. Also, the association of job satisfaction and workload factors is tested with burnout.

Study Design and setting: A cross-sectional multi-centered study in Lahore during the month of August 2022 to Jan 2023. The data was collected from healthcare professionals in three tertiary care hospitals in Lahore. Methodology: The data was collected from clinicians and staff nurses. The required sample size was calculated as 172. Data was collected using Burnout Assessment Tool (BAT) proposed by Schaufeli (2020). BAT was initially proposed with 33 items. BAT-S was the proposed 33-item version with four core dimensions and two secondary dimensions. The average score for each dimension was calculated and interpreted as given by Schaufeli in user manual for BAT-S. Results: Exhaustion was high among 55.8% of the participants. Mental distance was high among 34.3% of the participants whereas it was normal among 46.5%. Nearly 90% of the participants were satisfied from their jobs, committed to their jobs and accept responsibilities. Job satisfaction was significantly associated with burnout level. Lack of organizational influence and poor internal communication were statistically significantly related with level of burnout. Conclusion: The study was conducted to highlight the level of burnout among healthcare professionals. We found that very high level of burnout was observed in cognitive impairment followed by emotional impairment. The average level of burnout was more common among participants with job satisfaction and good internal communication.
On some realizable metabelian 5-groups
Authors: Elmouhib Fouad , Talbi Mohamed , Azizi Abdelmalek 
Published: April 2024

Let G be a 5-group of maximal class and G' = [G, G] its derived group. Assume that the abelianization G/G' is of type (5, 5) and the transfers from H1 to G' and from H2 to G' are trivial, where H1 and H2 are two maximal normal subgroups of G. Then G is completely determined with the isomorphism class groups of maximal class. Moreover the group G is realizable with some fields k, which is the normal closure of a pure quintic field.
Discrete Wavelet Transformation based Multimodal Medical Image Fusion for Disease Identification
Authors: Bharti Gawali, Chitra Desai Santosh Gaikwad, 
Published: April 2024

In medical science, image processing techniques play a significant function. Computational automation of the treatment is the most authentic and prominent method. The disease of the brain is identified using Magnetic Resonance Imaging (MRI) and Positron Emission Tomography (PET). Many more scan variations of MRI and PET have been executed for the medical diagnosis. The medical expert needs a solid strain of the computational scan and it’s related for diagnosis. The current era of computer research is turning towards clinical diagnosis and etiological analysis based on multimodal image processing. Based on individual medical modalities the accuracy of diseases diagnosis is decreases. Medical community requires a high accuracy in the disease’s identification based on multimodal scan image data. For the diagnosis and treatment of disorders requires precise information that is attained through various modalities of medical images such as Computed Tomography (CT), Positron Emission Tomography (PET), and Magnetic Resonance Imaging (MRI). In image processing the image fusion is the method of merging two images into a single picture. The obtained single fused image using various multi-modality medical images is enhanced anatomical, highly desirable spectral information compared to the raw single scanned image. This multi – modal fused image is useful for clinical diagnosis of medical experts. In this research work, the system is prepared for the preprocessing of the MRI and PET scan images. The pre-processing techniques enhance the quality of the input images which are degraded and non-readable. For the pre-processing approach we have applied the Gaussian filters of spatial filtering techniques. The enhanced images passed to the fusion of different region of brain images using Discrete Wavelet Transform (DWT). The system achieved around 90- 95% more accurate outcomes by diluting the color change. The outcome fused image is achieved without losing the spectral and anatomical data. The experiment has been tested on Alzheimer’s, normal axis, and normal coronal brain disease images dataset. The quantitative and graphical analysis indicates that’s the Discrete Wavelet Transform (DWT) significantly improves the quality of fused images.
study about frequency, distribution and determinants of internet addiction in medical students of Khyber Pakhtunkhwa, Pakistan
Authors: Ahmad Usman , Gilani Amna , Khan Zeeshan , Akbar Siddiq , Waqas Muhammad , Memon Aisha Lareb , Amin Naeem , Hanfi Hanifullah , Khan Yaseen , Khan Kainat , Said Sadaf , Akhtar Aroosa 
Published: April 2024

Abstract: Background: Due to ease of access and affordability, globally 4.95 billion people are using the internet for multiple purposes. However, this use has resulted in the emergence of some novel problems. Objective: Our objectives were to find the frequency and distribution of internet addiction by gender and type (public/private sector medical students) in medical student of KPK. Methodology: This was an analytical cross-sectional study. A sample size of 365 was calculated using the Raosoft SPSS calculator. The sampling procedure was conducted through the non-probability consecutive technique. The data collection was carried out by using Young IAT scoring criteria. Demographic variables were sex and the type of medical student of KPK. The Chi-square test was used to find an association between variables. Result: Out of total 365 participants, 205(56%) were male and 160(43.8%) were female. According to the Young’s IAT form, 172(47.1%) were normal users 173(47.4%)were problematic and 20 (5.8%) were internet addicts. There was no statistically significant association between internet addiction with sex and the type of students with a p-value of 0.589 and 0.654. Conclusion: In our study, there was no significant association between internet addiction with gender and the type of medical student.
Impact of motivation and participative leadership style on employee performance: Mediating the role of job satisfaction
Authors: Mpuangnan Kofi Nkonkonya , Govender Samantha , Mhlongo Hlengiwe Romualda , Osei Frank Sarpong 
Published: April 2024

African higher educational institutions are characterized by limited resources hindering progress. Employees in such institutions are inclined to maintain dedication to their roles, address challenges and pursue excellence in their tasks. Motivation and leadership style play a crucial role in overcoming these challenges. Therefore, this study focuses on the relationship between motivation, participative leadership style, job satisfaction and employee performance at public universities in Ghana. It explored the impact of motivation and participative leadership style on employee performance as well as how job satisfaction plays a moderating role in achieving a goal. This study determined how work satisfaction mediated motivation, participatory leadership style and employee performance in six Ghanaian public universities. A quantitative approach was adopted and a structured questionnaire was administered to 306 university employees who were selected by using both cluster and simple random sampling techniques. The acquired data were analyzed quantitatively by using the Structural Equation Model (SEM) in response to the given hypothesis. The findings revealed that motivation and a participatory leadership style had a considerable positive impact on staff performance. Furthermore, the study revealed that job satisfaction served as a mediator in the relationship between motivation, a participative leadership style and employee performance. Based on the findings, it is recommended that employers at public universities enhance employee motivation and engagement. This can be done by fostering a work environment characterized by supportive leadership, opportunities for growth and development and cultivating a culture that emphasizes appreciation and acknowledgment of performance.
The mediating role of employee loyalty and job engagement relationship between job satisfaction and intention to leave among bank employees in Mongolia
Authors: Zanabazar Altanchimeg , Uvgunkhuu Gerelt-od , Jigjiddorj Sarantuya , Yondon Chimedtsogzol 
Published: April 2024

Organizations need to focus on employee loyalty, commitment and retention in a dynamic business environment to gain a competitive advantage over rural areas. The success factors for organizational development and well-being are excessively contingent on engaged and skilled employees. This study is anticipated to examine the mediating role of employee loyalty and job engagement on the relationships between job satisfaction and intention to leave in the case of bank employees in Mongolia. The study used data from 444 employees across two private banks in Mongolia. Reliability analysis, correlation analysis, and structural equation modeling (SEM) were used to analyze the data. Results showed a moderately positive relationship between job satisfaction and job engagement and a negative relationship with the intention to leave. Employee loyalty had a weak and negative correlation with job engagement. Employee loyalty was found to partially mediate the relationship between job satisfaction and the intention to leave while job engagement showed no mediation effect. Improving job satisfaction can enhance employee loyalty and reduce intentions to leave the bank. However, enhancing engagement may not affect turnover intentions. Banks should focus on building loyalty among satisfied employees to retain talent. The mediating role of loyalty highlights its importance in influencing whether satisfied employees consider leaving. This study demonstrates the importance of employee loyalty in partially explaining the mechanism behind the relationship between job satisfaction and retention among Mongolian bank employees. The findings provide insights to help banks improve talent management strategies and retention.
Adaptação e validação da Escala de Avaliação do Estigma Relacionado à Covid-19 (EAE-COVID-19)
Authors: Piris Álvaro Parrela , Pereira Victor Guilherme , Bispo Claudio dos Santos , Barbosa Tayna Gonçalves , Rios Bruna Roberta Meira , Martins Andréa Maria Eleutério de Barros Lima 
Published: April 2024

O estigma é um processo social associado às relações de poder, apoiado em raízes histórico-culturais. Pode ser consequente de vários fatores, como nas relações de gênero e as alterações do estado de saúde, como na pandemia por Covid-19. Diante deste cenário, objetivou-se avaliar as propriedades psicométricas de uma escala adaptada para estimar o estigma em mulheres que contraíram a Covid-19. Trata-se de um estudo transversal de prevalência, com abordagem quantitativa, de base populacional, no qual foram entrevistadas (n=228) mulheres que testaram positivo após terem sido notificadas por apresentarem sintomas da Covid-19. As participantes foram caracterizadas quanto às condições socioeconômicas e demográficas. Foi utilizada uma adaptação da escala de estigma quanto a hanseníase, que visa obter informações acerca da ocorrência do processo de estigmatização em decorrência da Covid-19. Aplicaram-se os testes de confiabilidade (consistência interna/Alfa de Cronbach e reprodutibilidade/Kappa) e, somado a isso, foi realizada a Análise Fatorial Exploratória. As medidas do coeficiente de Alfa de Cronbach dos 18 itens da escala variam entre (0,81-0,90) e do coeficiente de Kappa entre (0,72-0,87). Foram realizados os testes de Kaiser-Meyer-Olkin (0,85) e de Esfericidade de Bartlett (significância de 0,000). As pontuações da escala variaram de 10 a 55 pontos e a média do escore final apresentado pelas participantes foi de 43,6, com escores mais altos representando maiores níveis de estigma e pontuações mais baixas menores índices. Nenhuma das participantes esteve isentas de algum grau potencial de estigmatização. A escala EAE-COVID-19 apresenta propriedades psicométricas satisfatórias, permitindo mensurar adequadamente as dimensões do estigma relacionado à Covid-19.
Bergson and the Metaphysical Implications of Calculus
Authors: Bagby John Robert 
Published: April 2024

Abstract
Henri Bergson's philosophy is centered on forming a concept of lived time or durée, which he saw as a process of continuous variation and flux. He believed that the study of time should be the foundation of philosophy. By studying time, we find an integration of concrete, infinite, qualitative multiplicity within consciousness that we should use to understand the essence of reality. I show that his insights into the reality of duration come directly from a metaphysical or phenomenological interpretation of integral and differential calculus. Drawing on the recently published lectures from 1902–1905, I show how An Introduction to Metaphysics schematizes the methodology of Matter and Memory and Time and Free Will by means of this mathematical analogy. To Bergson, the concepts of calculus are not mere metaphors; they unleash certain metaphysical implications that problematize the mind's relation to movement, life, consciousness, time, and consequently, reality itself.
Carina Karlsson's Märket as “Glocal” Literature
Authors: Brantly Susan C. 
Published: April 2024

Abstract
“Glocal” is a term that refers to that which is both “global” and “local.” Åland is an island in the Baltic whose residents are deeply attached to a sense of place and that which is local. At the same time, due to a strong shipping industry, many of these residents have traveled widely. The people of Åland are both citizens of a region with a strong sense of local identity and citizens of the world, hence, “glocal.” Carina Karlsson's Märket (The mark; 2019) is a historical novel that tells of what happened to seven women who were executed for witchcraft on Åland in the seventeenth century. Witch trials, however, were not exclusive to Åland, and Karlsson finds that this local piece of history resonates with what happened across Europe. Moreover, the persecution of unusual or powerful women is something that can be seen in global headlines even today. Märket is a novel that describes a local history specific to Åland, and yet the tale extends well beyond the borders of Åland, depicting common human experience.