bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Role of Telehealth in Transforming Nursing Care: Opportunities and Challenges
Authors: Badil . 
Published: January 2024

The global healthcare sector is experiencing significant transitions, with the emergence of telehealth into the nursing profession at the cutting edge of this development. The emergence of telehealth technology has not only changed the way healthcare is administered, but it has also given nursing practitioners with new potential and difficulties. Telehealth has eliminated geographical restrictions, allowing nurses to remotely supervise and care for patients in the privacy of their own homes. This interdependence provides real-time health evaluations, rapid treatments, and ongoing patient interaction possible. Nurses can reach underprivileged groups by using the potential of telehealth, making healthcare more accessible and inclusive than ever before [1].
The use of telehealth technologies improves nursing operations, lowering administrative hassles and allowing for more effective resource utilization. Nurses may now use digital platforms to conduct virtual consultations, remote patient monitoring, and manage electronic health records. This not only speeds up and increases the accuracy of information sharing, but it also allows nurses to focus more on direct patient care. As telehealth becomes more integrated into nursing practice, ethical concerns emerge. Patient privacy, data security, and the possibility of a digital divide must all be properly handled. Nurses must manage these ethical difficulties while maintaining patient confidentiality and ensuring that technology is used to empower rather than divide [2].
While telehealth has great potential, there are obstacles to overcome, such as the digital divide, technological literacy, and access concerns. Nurses are critical in bridging these gaps, pushing for fair access to telehealth services, and educating both healthcare professionals and patients. In the future, nurses' roles in a digital healthcare landscape will continue to expand. To educate nurses with the skills needed to understand and exploit the promise of telehealth technology, continuous education and training will be critical. Nurse leaders must advocate an innovation culture, ensuring that the profession adapts to new technology while upholding the profession's essential principles of compassion and patient-centered care [3].
In conclusion, the use of telehealth into nursing care gives an enormous amount of potential to improve patient outcomes, increase efficiency, and reinvent healthcare delivery. To take advantage of all these benefits, however, nurses must actively participate in creating the future of telehealth, resolving ethical concerns, and pushing for technology that promotes healthcare justice. Let us welcome the promise of telehealth to elevate the nursing profession and, more significantly, to improve the well-being of those we serve as we start on this revolutionary journey.
Assess the Burden of Caregivers of Cancer Patients at a Tertiary Care Hospital in Karachi, Pakistan
Authors: Arbani Shumaila , Bibi Afsha , Hyder Shehbaz , Javed Sundas , Muhammad Taj , Abid Shumaila , Ali Mahboob , Nasir Shumaila , Shakir Noreen 
Published: January 2024

The burden faced by caregivers of cancer patients is a critical aspect of healthcare, influencing both the well-being of the caregivers and the quality of patient care. Objective: To assess caregivers' burden of cancer patients at a Tertiary Care Hospital in Karachi, Pakistan. Methods: The cross-sectional study was conducted at Zareen Cancer and Research Centre (ZCRC) at Dr. Ziauddin Hospital Karachi, Pakistan. The target population for this study was adult informal family caregivers who were actively taking care of histologically diagnosed cancer patients receiving treatment. Moreover, a 22-item standardized validated Zarit Burden Interview (ZBI) questionnaire was used to collect data. Results: The study findings revealed that 18% of caregivers feel okay or have No to Mild Burden. The largest group 64%, is Mild to Moderate Burden. Around the same, 18%, Moderate to Severe Burden. Conclusions: Based on the findings, 64% face moderate burdens, with an additional 18% enduring higher, moderate to severe burdens. This reveals widespread challenges and stress among caregivers, emphasizing the need for enhanced support and resources to ease their strain and improve their well-being.
Emotional Intelligence as Predictor of Mental Health in Hospital Nurses, Pakistan
Authors: Aisha . , Ahmad Riaz , Ali Uzma 
Published: January 2024

Background: Emotional intelligence is a tool, as is the ability to understand, perceive, manage and utilize information. Therefore, an emotionally intelligence people could control their stressors and improve the individual’s productivity at the workplace.
Emotional intelligence is a tool, as is the ability to understand, perceive, manage and utilize information. Therefore, an emotionally intelligence people could control their stressors and improve the individual’s productivity at the workplace. Objective: To explore the relationship of emotional intelligence and mental health in female hospital nurses in Pakistan. Methods: The correlational design was used in this study. The sample comprised of (N=217) hospital nurses with the age range of 20 years to 45 years (Mean age=29.98; SD=6.37) were selected through systematic randomization procedure from different public hospitals of Hyderabad. The data collection was gathered about 8 months from January 2019 August 2019. The demographic Form, Trait Emotional Intelligence, Pakistani Urdu translated version (TEIQue-SF) & Aga Khan University Anxiety Depression Scale were used. Results: The results showed a significant predictive relationship of emotional intelligence with mental health of hospital registered female nursing (R²= .374, p< .001). Conclusions: The hospital nurses (who have high emotional intelligence) suffer less from mental health problems and are at low risk of anxiety and depression
Methodology: The Correlational design was used in this study. The sample comprised of (N=217) hospital nurses with the age range of 20 years to 45 years (Mean age=29.98; SD=6.37) were selected through systematic randomization procedure from different Public hospitals of Hyderabad. The data collection was gathered about 8 months from January 2019 August 2019. The demographic Form, Trait Emotional Intelligence, Pakistani Urdu translated version (TEIQue-SF) & Aga Khan University Anxiety Depression Scale were used.
Results: The results showed a significant predictive relationship of emotional intelligence with mental health of hospital registered female nursing (R²= .374, p< .001).
Conclusion: The hospital nurses (who have high emotional intelligence) suffer less from mental health problems and are at low risk of anxiety and depression.

Keywords: Emotional Intelligence, Mental Health, Hospital Nurses
Effects of Compressive Myofascial Release of Vastus Lateralis on Lateral Patellar Tracking in Patients with Knee Osteoarthritis
Authors: Batool Rubia , Amjad Fatima , Khan Lal Gul , Ali Sajjad , Arshad Anees , Bashir Kiran 
Published: January 2024

Knee osteoarthritis is highly prevalent around the world and 4th leading cause of disability. Lateral patellar tracking is a common complain of knee osteoarthritis. It causes Q-angle at knee joint to increase that further leads to gait abnormalities. Objective: To determine the effect of compressive myofascial release of vastus lateralis on lateral patellar tracking in terms of pain, range of motion, and functional disability in patients with knee OA. Methods: This Randomized controlled trial was conducted at the Ahad Medicare Clinic and Physiotherapy Centre, Rawalpindi, spanning from December 2020 to June 2021. In this study, 52 participants were carefully selected using the Open Epi software. These individuals were aged 50 years and above and had previously been diagnosed with Grade 2-3 knee osteoarthritis. Participants were then evaluated for the presence of lateral patellar tracking by measuring Q-angle. After meeting eligibility criteria participants were divided into two groups: the Experimental group (n=26) and the Control group (n=26). Numeric Pain Rating Scale (NPRS), Goniometer, and Western Ontario and McMaster Universities Arthrosis Index (WOMAC) were used to take measurements at baseline and at 15 days follow-up. Results: Statistical analysis revealed a significant difference (p<0.05) between the Experimental and Control groups in terms of pain reduction and knee extension range of motion (ROM). Conclusions: The study's findings revealed that the experimental group exhibited more significant improvements in pain reduction and knee extension compared to the conventional treatment group.
Assessment of Nurses’ Knowledge Regarding Personal Protective Equipment at Two Tertiary Care Hospitals, Peshawar
Authors: Nazar Gul , Ahmad Imran Waheed , Muhammad Dildar 
Published: January 2024

Personal Protective Equipment (PPE) include gloves, protective eye wear (goggles), mask, respirator, apron, gown, boots/shoe cover, hair cover and are aimed to shield Health Care Professionals (HCP) including nurses from workplace infections and injuries. Objective: To assess nurses’ knowledge regarding personal protective equipment at two tertiary care hospitals in Peshawar. Methods: A design of the study was descriptive cross-sectional survey. Overall, 150 nurses were involved by using consecutive sampling technique. Data were collected through structured, self-administered adopted questionnaire. Results: This study comprised of 150 contributors including 30% male and 70% female. The mean age of the participants was 29.15 with standard deviation ± 6.07. 53.3% of the participants had Diploma, 36.7% had Post RN, 8.7% of the participants had BSN and 1.3% of the participants had MSN degrees. The study showed that 58% of respondents had good knowledge due to their professional experiences while 36% had average knowledge level due to low professional experiences and lack of resource and availability of PPE’s and only 6% participants had poor knowledge level regarding personal protective equipment due to lack of professional experiences. Conclusions: This study concluded that knowledge level was good in majority of nurses. Despite the good knowledge level, some of the personnel practices and attitudes towards PPE remain unchanged. This study pleas for a need to educate Nurses on PPE; it may be with continuing education on infection control or other informative platforms. When there is low level of knowledge it will affect practice related to PPE.
Association between Obesity and Dental Caries among Young Population Presenting at Tertiary Care Hospital
Authors: Khatoon Reshma , Bughio Rashid Iqbal , Memon Khalida Naz , Memon Sikandar Munir , Soomro Zaheer Ahmed , Kandhro Rehmatullah 
Published: January 2024

Globally, dental caries and obesity are becoming issue of public health concern. There are inconsistent and contrasting results drawn from numerous studies seeking the association between obesity and dental caries. Objective: To ascertain the relationship between childhood obesity and dental caries at a tertiary care hospital. Methods: A cross-sectional descriptive research was carried out at department of dentistry of LUMHS hospital Jamshoro/Hyderabad.161 obese patients aged 18 to 35 years of both genders having BMI ≥ 25kg/m2 were selected by convenience sampling technique. After taking detailed history, clinical examination of mouth of each patient was performed by using mouth mirror and probe. Dental caries was recorded according to the WHO criteria using decayed, missing, and filled teeth (DMFT) index and the G. V. Black classification, while height and weight was measured using BMI index. All data were recorded in standard proforma for analysis by using SPSS version 23.0. Results: There was male preponderance i.e. 86 (53.42%) males as compared to 75 (46.58%) females. Themeanagerecordedwas25.7 ± 6.1 years. Majority of the subjects were belonged to rural areas (91.30%). THEMEAN and standard deviation of BMI was29.0 ± 3.1 (25.0-40.7) Kg/m2. The mean and standard deviation of DMFT score was 0.57 ± 1.0 with the range of 0-4. Dental caries was present in 45 (27.95%) patients and absent in 116 (72.05%) presents. The highly significant association was observed between high BMI AND dental caries (p< 0.001). Conclusions: Dental caries and obesity are significantly associated among young population. As the obesity level increased, risk of dental caries can also be increased.
Prevalence of Achilles Tendinopathy among Physical Therapists of Pakistan
Authors: Rafiq Rafia , Ilyas Yumna , Aftab Ayesha , Sohail Sidra , Zia Kashmala , Batool Sana , Jamil Komal 
Published: January 2024

It is a degenerative disease that affects the tendon of Achilles, which attaches the gastrocnemius muscle to the heel bone. The rate of prevalence in the general population is about 6 percent, in athletes about 24 percent, 36 percent in short-distance runners, and in middle and long-distance runners about 52 percent. Objective: To determine the frequency of Achilles tendinopathy in Physical therapists of Pakistan. Methods: The cross-sectional study was done through an online survey among the Physical Therapists of Pakistan. The estimated sample size calculated from the Raosoft.com software was 449 participants. The sampling technique used in this study was convenient. The data was collected through a validated questionnaire named a Victorian Institute of Sports Assessment- Achilles( VISA-A) measurement tool, ranging from 0 to 100 in which higher scores showed least symptoms while lower scores showed severe symptoms. Statistical analysis was done through SPSS version 23.0. Results: Out of 449 research participants between the ages of 22 to 50 years were evaluated through a validated questionnaire and the result shows 298 (66.36%) of participants participated in sports activities and the level of pain was evaluated as 95(21.15%) of participants fell in healthy, 238(53%) in mild, 97(21.60%) in moderate however 19(4.23%) participants fall in severe category of pain. Conclusions: Our study concluded that the occurance of Achilles tendinopathy is uncommon among the physical therapists population of Pakistan.
APLICAÇÕES DO PROCESSAMENTO DE LINGUAGEM NATURAL NO AMBIENTE EDUCACIONAL: UMA REVISÃO SISTEMÁTICA DA LITERATURA
Authors: Santana Fernanda Pereira , Magalhães Leandro Corrêa 
Published: January 2024

A utilização de recursos tecnológicos vem acontecendo com uma frequência cada vez maior dentro do ambiente educacional e as técnicas de processamento de linguagem natural podem ser aplicadas neste contexto. Este artigo apresenta uma revisão sistemática da literatura com o objetivo de levantar e analisar as diferentes maneiras pelas quais o PLN está sendo utilizado no contexto educacional, bem como examinar as contribuições específicas que essas aplicações trazem para os processos de ensino e aprendizagem. A revisão revela que, embora o campo do PLN na educação seja ainda pouco explorado, houve um aumento notável no interesse nos últimos anos, impulsionado pelo avanço tecnológico e pelas novas exigências resultantes da pandemia de Covid-19.
Determinantes de la disposición final del aceite domiciliario en la ciudad de Loja 2023
Authors: Cacay-Luzuriaga Juan , Ochoa-Salinas Noelia , Toledo-Macas Elisa 
Published: January 2024

La presente investigación tiene como objetivo determinar las variables que influyen en la disposición final del aceite domiciliario usado en la ciudad de Loja. Para este propósito la metodología consiste en la aplicación de 382 encuestas a los hogares de las parroquias urbanas del cantón Loja, a partir de los datos obtenidos se aplicó un modelo Logit Multinomial, en el cual la variable dependiente dispone de siete categorías y se cuenta con ocho variables independientes. Los resultados permiten concluir que las categorías más relevantes de la variable dependiente fueron; desechó junto a la basura común y desechó en el desagüe, así mismo, se obtuvo que las variables con más significancia fueron edad, sexo y nivel de instrucción.
Study of the Antibiotic Resistance Profile of Klebsiella Pneumonia in Patients Infected with Covid- 19
Authors: Koiava Tea , Tavadze Viktoria , Kalandadze Salome , Nagervadze Marina , Akhvlediani Leila 
Published: January 2024

Antimicrobial resistance (AMR) is a global public health challenge. AMR is the ability of a microorganism to resist antimicrobial attack, which in turn prevents successful treatment of an infection. Massive antibiotic therapy has led to an increase in the antibiotic resistance of pathogens of infectious diseases. The problem of antibiotic resistance is especially acute in the treatment of nosocomial infections. Nosocomial infections also called “hospital-acquired infections”, are infections acquired during hospital care which are not present or incubating at admission. Infections occurring more than 48 hours after admission are usually considered nosocomial. The main reason for the prolonged hospitalization of patients infected with COVID-19 is to internal infections of the hospital and complications caused by their influence. it was important to determine the bacterial spectrum of etiological agents of nosocomial infections in patients infected with COVID-19 and the profile of antibiotic resistance. The research materials were collected at the different hospital resuscitations from patients undergoing treatment for a long time and who were resistant to antibiotics. As the resalts showed the highest resistance to amp/sulbactam, Aztreonam, ampicillin, meropenem, moxifloxacin, cefepime, ceftazidime, cefotaxime, ciprofloxacin Levofloxacin, amox/clavulanate, norfloxacin, pip/tazobactam, ceftriaxone was detected in 100 %, resistance to cefoxitin, trim/sulfa and amikacin in 90%, resistance to tobramycin in 80%, and the relatively low resistance was detected to gentamycin in 20 %.
PENGENDALIAN PENYAKIT KARAT PURU PADA BIBIT SENGON (Falcataria moluccana) DENGAN PRIMING BENIH DAN FUNGISIDA NABATI DAUN MINDI (Melia azedarach)
Authors: Azzahro Fiona , Haryani Tri Saptari , Bramasto Yulianti 
Published: January 2024

Production of sengon continuously improved to meet the needs of the timber industry, but increased production sengon still face the problem of that disease gall rust fungus Uromycladiumtepperianum Sacc. that is causing inhibited growth of sengon, so it needs to be eco-friendly controlled by spraying fungicide from mindi leaves which contains active ingredient azadirachtin and margocyn as antimicroorganisms. The research was conducted by using Factorial Completely Randomized Design with 2 factors and 3 replications. Priming factors (A) consisted of A0 (control), A1 (immersion), and A2 (humidification). Fungicide factors (B) consisted of B0 (control), B1 (100 grams of Mindi leaves / 2L water), B2 (150 grams of mindi leaves/2L water), B3 (200 grams of mindi leaves/2L of water), and B4 (250 grams of mindi leaves/2L water). Fungicide was given every 7 days after inoculation with 7 times of applications. The results of the research proved that the treatment A2B3 (priming with humidification and fungicides 200 grams of mindi leaves/2L of water) was an effective treatment in reducing the intensity of gall rust disease on sengon with 8,36% of intensity.
Transtorno do Espectro Autista: a trajetória, desafios, necessidades e conquistas de direitos de crianças autistas na educação básica
Authors: Paiva Laressa Oliveira , Ramos Rosane Ferreira de Souza , Santos Rosely Ribeiro dos , Souza Antônio Adônnis Sátiro de 
Published: January 2024

O Transtorno do Espectro Autista (TEA) é uma condição neurológica caracterizada pela repetição de comportamentos, comprometimento da fala, dificuldades de manter um contato visual, de interação social, e por não ser diagnosticado através de exames, possui difícil conclusão e complexidade, pois abrange uma série de investigações e observações clínicas comportamentais. A pesquisa ganha relevância a partir das evidências estudadas acerca de fatores ambientais, genéticos e neurológicos. Para contextualizar este trabalho, foram realizados estudos sobre o autismo, com resgate histórico para compreensão da origem do temo (Transtorno do Espectro Autista) e suas complexidades, termo este, utilizado pela primeira vez no ano de 1911, pelo psiquiatra Euler Bleuler, que após vários estudos passa a adotar a nomenclatura TEA “Transtorno do Espectro Autista”. A problematização discorre sobre os anseios na busca de qualidade do ensino e aprendizagem dos alunos com TEA, na mudança de referência e estatísticas sobre a inclusão de forma individualizada e igualitária, a fim de proporcionar mudanças e qualidades nos serviços prestados aos alunos com autismo. O objetivo vem apresentar sobre as relevantes conquistas e os desafios dentro do contexto escolar, trazer evidências, especificar as barreiras enfrentadas ao longo dos anos pelos alunos com TEA e demonstrar o relevante papel da formação dos professores para o pleno desenvolvimento. A metodologia aplicada foi através da pesquisa bibliográfica, de caráter qualitativo, com objetivo exploratório e nas contribuições dos autores Marconi e Lakatos (2021). Quanto aos principais referenciais utilizados, seguem Silva, A. (2012) e Mantoan (2003) com denso referencial acerca do tema, seguidos de Dias (2019).
Navigating Paramedics' Safety
Authors: Delavary Milad , Tremblay Mathieu , Lavallière Martin 
Published: January 2024

Background: Ambulance drivers are more likely to be involved in fatal or injury collisions compared to other professional drivers.
Study Objective: This study is a retrospective study aimed to describe factors involved in paramedics’ collisions.
Method: Spanning over 10 years of data (2010-2019) from a paramedic agency covering Montreal (Qc, Canada), links between the number of ambulance injuries and non-injury collisions and diverse characteristics like experience, sex, and age of paramedics, day and time of the collision, weather and surface conditions, type of environment, and type of driving activity. The distribution of characteristics involved in the severity of collisions is presented with descriptive analysis. The evaluation of trends of monthly and yearly ambulance collisions is conducted using the Mann-Kendal test. The logit model is also used to examine the effect of such factors on the odds of collision severity.
Results: The results show although there is no significant reduction trend for the monthly ambulance collisions, the trend of incidence of annual non-injury collisions per paramedic is significantly decreasing. Also, young drivers with less experience are more involved in multiple collisions compared to their experienced colleagues. Furthermore, 62% of injury collisions happened when paramedics are responding to an emergency call. The logit model confirms a decrease in the odds of injury collisions (odds ratio: 0.48) during non-emergency activities. Also, intersections and traffic lights are the riskiest locations regarding injury collisions (43.5%, and 51%, respectively). In this case, collisions occurring at traffic lights can increase the odds of severity by 597%.
Conclusion: This study exemplifies that preventive policy regarding paramedics (e.g., training programs) should focus on younger and less experienced paramedics, and risky locations, especially while driving on emergency calls. More oriented awareness and training programs for emergency respondents are required to reduce the number of work-related collisions.