bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Efficacy of Virtual-based Nutritional Interventions on Knowledge, Attitude, and Practices of Individuals with Hypertension: A Comparative Study Analysis
Authors: Vasanthakumari P , Kumarakuru K , Yousuff Noorain 
Published: December 2023

Introduction:
Hypertension (HTN) is multifactorial, complex disorder predictable to affect all genders and foremost preventable risk factor for blood pressure and cardiovascular diseases.

Objectives:
The present study was assessing the knowledge, attitude, and practices (KAPs) regarding HTN and creating the awareness of its better management among the hypertensive population through nutrition education intervention.

Methodology:
A total of 82 participants were selected and questionnaire was used to elicit sociodemographic profile and KAP regarding HTN and its management. Nutrition education intervention was carried out through the online mode.

Results and Discussion:
Results observed in preintervention between knowledge with attitude in experimental group and control group (r =+0.273 and r =+0.271), practice (r =+0.275 and r =+0.263), and attitude with practice (r =+0.521 and r =+0.186) were positive correlation similarly postintervention of both group obtained significant positive correlation. The statistical analysis of various sociodemographic factors of pre and postintervention in the experimental group and control group revealed a significant improvement in the mean posttest scores of KAP. Meanwhile, various sociodemographic factors obtained had nonsignificant (P > 0.005) in experimental group; a control group of pretest and posttest reported significant differences (P < 0.05). The posttest total mean score on nutritional knowledge and practice in the experimental group also showed a large significant (P < 0.05) increase when compared to the pretest mean score. There was no significant improvement in the total mean scores in any dimensions of the control group.

Conclusion:
The study therefore helped the experimental group subjects in improving their overall knowledge about the importance of nutrition in HTN and also instilled positive attitude and practices toward the management of HTN through lifestyle modifications.
Menopausal Symptoms and Menopausal Rating Scale among Midlife Women: A Hospital-based Study
Authors: Nandan Neetha , Mohan Adithi 
Published: December 2023

Background:
Menopausal transition phase is a difficult time in a woman’s life. Many factors such as age, socioeconomic status, education, ethnic cultural, and body physique determine the presence of menopausal symptoms. This study helps us to understand the severity and perseverance of menopausal symptoms in women of this locality.

Aims and Objectives:
The aim of the study was to find distribution and severity of menopausal symptoms by self-rated Menopause Rating Scale (MRS) through different transition phases of menopause in women aged between 40 and 60 years.

Methodology:
It is a hospital-based observational study. All the participants answered an 11-item MRS questionnaire.

Results:
Out of 300 participants, 106 belonged to premenopausal state, 111 to perimenopausal state, and 83 were postmenopause. Overall, 47% of participants had one or the other menopausal symptoms. Most of them had mild-to-moderate symptoms. Only 3% had severe symptoms. Somatic subscale was the maximum reported symptoms in our study group. The most common symptom was physical and mental exhaustion (55%) and the least common was sexual problems (8%). Difficulty in sleeping and bladder symptoms were more and statistically significant in postmenopausal group where as hot flushes and irritability were more common in perimenopausal group.

Conclusion:
Somatic subscale symptoms are more common than urogenital or psychosocial subscales. Postmenopause women manifested higher symptoms than premenopause or perimenopause group women and most were mild to moderate in severity in women visiting our hospital.
Mucormycosis: Cytomorphological Spectrum in Fine-Needle Aspiration Cytology
Authors: Shastri Malvika , Srinivasan Radhika , Kundu Reetu , Dey Pranab , Gupta Nalini , Gupta Parikshaa , Rohilla Manish , Kang Mandeep , Kalra Naveen , Kaur Harsimran , Rudramurthy Shivaprakash M. 
Published: December 2023

Abstract

Background:
Mucormycosis is a fungal infection that can affect multiple organs. The role of fine-needle aspiration cytology (FNAC) in its diagnosis is not well documented.

Aim:
The objective of this study was to describe the detailed cytomorphologic features of mucormycosis on FNAC samples.

Materials and Methods:
A retrospective analysis of all cases diagnosed as mucormycosis on FNAC between January 2014 and July 2021 was performed for detailed cytomorphological evaluation and correlation to clinical data and microbiological studies wherever available. FNA was computed tomography-guided (n = 38), ultrasonography-guided (n = 31) or palpation-guided (n = 12), and slides were reviewed in two cases.

Results:
A total of 83 cases of mucormycosis were evaluated. An immunocompromised setting was observed in 48 cases. The most common site of FNA was the lung (n = 57) followed by liver, soft tissue, palate, mediastinum, orbital/ocular region, and lymph node. Isolated renal involvement, a unique feature, was seen in seven cases. The aspirates were necrotic to pus-like or blood-mixed particulate. Broad, nonseptate, foldable, ribbon-like fungal hyphae showing right-angled branching were seen. The tissue reaction was predominantly necro-inflammatory (n = 36), bland necrotic (n = 22), mixed inflammatory (n = 16), suppurative (n = 5), necrotizing granulomatous (n = 3), and granulomatous (n = 1). Immunocompromised patients showed mixed inflammatory responses more frequently. Fungal culture was positive for Rhizopus species in 2/13 cases and molecular testing in two additional cases corresponding to Rhizopus and Syncephalastrum spp.

Conclusion:
FNA provides quick and conclusive diagnosis of mucormycosis from varied anatomic sites enabling prompt institution of therapy. The tissue response is variable and to some extent dependent on the immune status of the patient.
Clinical potentials of metformin in cancer therapy
Authors: Sharma Nidhi , Dhingra Richa 
Published: December 2023

Abstract
Diabetes is a prevalent metabolic disorder that results in several comorbidities including cancer. Cancer becomes the most severe complication of diabetes patients. Growing evidence proved that impaired glucose homeostasis is an independent risk factor for the occurrence of various types of cancers including liver, pancreatic, gastric (stomach), colorectal, kidney, and breast cancers, and influences cancer prognosis. Diabetes mellitus and cancer have a bidirectional relationship, thus there is a need to look for drugs that can be beneficial in treating both diseases. Therefore, more research is focusing on evaluating the role of antihyperglycemic agents in the treatment of various types of cancers. Metformin, an FDA-approved first-line antihyperglycemic agent can be used as a monotherapy or as an adjuvant to chemotherapeutic agents in the treatment of various types of cancer. However, the exact mechanism of metformin as an anticancer agent is still unknown, the majority of the described putative mechanisms focus on promoting the activity of the AMP-activated protein kinase (AMPK) pathway. This review article thus gives insights into the prognosis of cancer in diabetes patients and aims to explore the possible mechanism of action of metformin in the prevention and treatment of cancer.
Evaluation of oral health literacy among medical interns in Saudi Arabia: A cross-sectional study
Authors: Alkadhi Ruba , Ali Abdulsalam Thekkiniyakath , Alotaibi Khulud , Alhassoun Raghad , AlNojaidi Lujain , Alharbi Nada , Almagati Nouf , Aldakheel Ghadah 
Published: December 2023

Abstract

Introduction:
Physicians can play an essential role in promoting their patients’ oral health by integrating oral health screening and education into their practices. Thus, physicians’ oral health literacy (OHL) level can determine their role in oral health promotion.

Aim:
The assessment of OHL and its related factors among medical interns in Saudi Arabia.

Materials and Methods:
A cross-sectional study was conducted on medical interns using the OHL- adult questionnaire (OHL-AQ) for data collection. This validated questionnaire has 17 close-ended questions listed in four sections: 1 – perception and knowledge of oral health, 2 – numeracy skills for prescriptions of antibiotic and mouthwash, 3 – communication skills, and 4 – decision-making skills regarding common oral health problems.

Results and Discussion:
A total of 266 medical interns participated in the study (113 male and 153 female). The mean score of OHL was 10.7 ± 4.24 (out of 17), which falls in the borderline range. About 34% of medical interns had an inadequate level of OHL. OHL was not significantly correlated with age, gender, grade point average, or parent’s level of education (P > 0.05).

Conclusion:
The present study shows that medical interns demonstrated a borderline level of OHL. Enhancement of oral health knowledge of those future physicians is recommended by the inclusion of oral health courses in their educational curriculum.
Relación entre gestión de investigación, desarrollo y producto bruto interno del Perú
Authors: Miraval-Fonseca Rosaura M. 
Published: December 2023

Objetivo. Determinar teóricamente y empíricamente las teorías que corroboran la relación entre la gestión de investigación, desarrollo y el producto bruto interno del Perú, adecuándola a la estructura peruana liderada por el INIA en función del modelo de Joseph Stiglitz en el marco del sistema nacional de innovación. Métodos. Se realizó un estudio cuantitativo, explicativo y transversal, la muestra representada se obtuvo de las estadísticas de la base de datos de la gestión de investigación y desarrollo, analizadas en las variables del conocimiento científico productivo y producción con valor agregado de un total de 512 publicaciones en SCOPUS de las variables que datan del periodo 2000–2020, la valoración fue según Joseph Stiglitz. Se utilizaron técnicas de análisis documental, extrayendo datos del Banco Mundial, BCRP, SCOPUS y RICYT, los datos fueron analizados con programas E-Views, Stata, Vosviewer y Ucinet; el nivel de significación establecido fue valor de p (Prob) menor a 0.05. Resultados. Los hallazgos evidenciaron que la gestión de investigación y desarrollo (I+D) explica el producto bruto interno del Perú en un 96%. Mientras tanto, la producción con valor agregado explica en un 89% y el conocimiento científico productivo en 67%, lo que indica que son significativos estadísticamente. Conclusión. La gestión del capital humano, investigación, desarrollo (I+D) y procesos de innovación son determinantes en los procesos productivos técnicamente eficientes desde todas las perspectivas. Sin embargo, en el caso peruano tal proceso tiene poca consistencia técnica para penetrar en mercados competitivos por el pobre impacto de la gestión del conocimiento científico productivo.
Pengaruh Gaya Kepemimpinan Situasional terhadap Partisipasi Kelompok Wanita Tani dengan Motivasi sebagai Variabel Intervening Kegiatan Pekarangan Pangan Lestari Kabupaten Bantul
Authors: Septi Wulandari  , Sunarru Samsi Hariadi  , Siti Andarwati  
Published: December 2023

Pekarangan Pangan Lestari (P2L) merupakan kegiatan pemberdayaan kelompok wanita tani (KWT) yang dapat menjadi pondasi ketahanan pangan terutama di tingkat keluarga. Penerapan gaya kepemimpinan yang tepat memiliki fungsi agar keterlibatan anggota dalam suatu organisasi atau kelompok lebih efektif dan efisien. Penelitian ini bertujuan untuk menganalisis pengaruh gaya kepemimpinan bantul terhadap partisipasi KWT dengan motivasi sebagai variabel intervening pada kegiatan P2L. Metode dasar yang digunakan dalam penelitian adalah deskriptif analisis dengan pendekatan kuantitatif. Penelitian dilaksanakan di Kabupaten Bantul pada bulan Mei sampai dengan Juli Tahun 2022. Pengambilan data primer dilakukan melalui wawancara secara langsung menggunakan kuisioner kepada 111 responden anggota KWT yang diambil secara sensus. Data dianalisis menggunakan path analysis dengan program AMOS 24. Berdasarkan hasil analisis jalur menunjukkan bahwa gaya kepemimpinan situasional ketua KWT yang terdiri dari gaya kepemimpinan telling, gaya kepemimpinan participating dan gaya kepemimpinan delegating mampu meningkatkan partisipasi anggota KWT melalui kuatnya motivasi anggota dalam kegiatan P2L. Namun, kesesuaian gaya kepemimpinan selling tidak memengaruhi kuatnya motivasi karena kondisi anggota yang tidak mampu melaksanakan kegiatan P2L dari segi waktu, tenaga ataupun pengetahuan. Peningkatan kapasitas ketua KWT dapat dilakukan melalui bimbingan teknis kepemimpinan situasional sehingga ketua mampu mengidentifikasi dan memahami kondisi anggota untuk mendukung keberlanjutan kegiatan P2L. Pemilihan ketua KWT sebaiknya diutamakan yang mempunyai kemampuan bidang pertanian. Motivasi anggota KWT dapat pula ditingkatkan melalui pelatihan teknik budidaya sayuran yang tepat pada musim hujan, inovasi penggunaan air saat musim kemarau, pengendalian hama penyakit menggunakan pestisida nabati serta olahan pasca panen.
Dukungan Kelembagaan Sistem Agribisnis dalam Pengembangan Usahatani Sayur di Kabupaten Jember
Authors: Tazkia Nurfauziana  , Diah Puspaningrum  
Published: December 2023

Desa Sukorambi merupakan salah satu wilayah yang memiliki potensi usahatani sayur dapat terlihat dari produksi sayur yang cukup tinggi, mayoritas masyarakat berprofesi sebagai petani sayur, pemasok terbesar tanaman sayur di Kabupaten Jember. Potensi tersebut seharusnya memberikan keuntungan kepada petani namun keadaan di lapang menunjukkan bahwa terjadi permasalahan fluktuasi harga karena kesamaan jenis dan musim yang menyebabkan oversuplay sehingga petani mengalami kerugian karena pembuangan hasil panen yang tidak terjual namun keterlibatan kelembagaan agribisnis masih belum memberikan dukungan seperti dalam permodalan dan pengolahan hasil. Fokus permasalahan dari penelitian ini yaitu bagaimana dukungan kelembagaan sistem agribisnis dalam mengembangkan usahatani sayur di Desa Sukorambi. Tujuan penelitian ini yaitu untuk menganalisis dukungan kelembagaan sistem agribisnis dalam pengembangan usahatani sayur di Desa Sukorambi. Pemilihan lokasi dan informan penelitian menggunakan purposive method. Penelitian ini menggunakan metode penelitian deskriptif kualitatif dengan pengumpulan data melalui metode observasi, wawancara mendalam, dan dokumentasi dan dianalisis menggunakan analisis data Miles dan Huberman (2009), yaitu pengumpulan data, reduksi data, penyajian data dan penarikan kesimpulan. Uji keabsahan data dilakukan dengan triangulasi sumber dan teknik. Hasil penelitian menunjukkan kelembagaan sistem agribisnis di Desa Sukorambi memberikan 4 dukungan dalam pengembangan usahatani sayur yaitu emotional support, informational support, instrumental support dan social companionship. Beberapa kelembagaan tidak memberikan semua dukungan yaitu kelompok tani pada subsistem produksi, petani dan tengkulak pada subsistem pasca panen dan pengolahan hasil, serta pemerintah desa pada subsistem pendukung. Dukungan yang dibutuhkan oleh petani adalah emotional support dan instrumental support sedangkan yang tidak terlalu dibutuhkan adalah social companionship.
Do contextual variables influence the spatial organisations of elite-level Brazilian professional soccer players?
Authors: Augusto Diêgo , Aquino Rodrigo , Daly Lorcan , Vasconcellos Fabrício 
Published: December 2023

Purpose.This study investigated the influence of contextual variables on individual and collective team spatial organisation in professional Brazilian players.Methods.Seventeen matches were analysed during the 1st division Brazilian National football League of 2019. Global Positioning System devices were used to track players’ in-game movements. The data were analysed using Matlab to calculate linear tactical variables. The selected tactical variables were ‘Distance from the last defender to the goal’; ‘Width and length’; ‘LpWratio’; ‘Spread’; ‘Space exploration index’ and ‘Stretch index’. Five contextual variables were considered: (i) playing time, (ii) match location, (ii) ranking of the opposition, (iii) match outcome, and (iv) match status.Results.Results demonstrated that the LpWratio values were significantly greater during the second half of matches when compared with the first half (<i>p</i> = 0.03; <i>d</i> = 0.62). Significantly greater length and spread values were identified when the team was playing against a bottom six team when compared with the medium eight teams (<i>p</i> = 0.05; <i>d</i> = 1.58–1.60). Significantly higher stretch index values were reported when playing a top six opposition team when compared with the medium eight opposition teams. During losses, the stretch index was significantly higher when compared with wins and draws, respectively (<i>p</i> = 0.01; <i>d</i> = 1.47–1.89). Finally, the LpWratio values were significantly higher during periods when the team was losing, when compared with periods of drawing and winning (<i>p</i> = 0.01; <i>d</i> = 1.07–1.12).Conclusions.In conclusion, the spatiotemporal organisations of professional-level Brazilian club players are significantly influenced by contextual variables. The current findings support the use of GPS devices in soccer as a time-efficient and logistically viable method to characterise tactical behaviour and examine spatiotemporal movement patterns.
Usefulness of scientific research in Homeopathy
Authors: Eizayaga Francisco , Von Ancken Adalberto , Ceballos Adriana , Bergstein Veronica , Aguilar Carolina , Junin Marcela , Nambu Bruna , Bonamin Leoni 
Published: December 2023

Introduction:
Homeopathy is being questioned mostly in developed countries, despite the growing body of basic and clinical research with positive results. Even though many meta-analyses show positive findings, there is an urge for large clinical studies to improve the perception that there is an effect. To test the awareness of homeopaths in the research needs, a survey was developed asking about usefulness, and everyday use of research findings.
Methods:
The respondents were identified by the degree of academic study, age, experience, kind of practice, region of practice, and scientific background. To understand the predominant thoughts, questions were asked to define whether Homeopathy should be considered and studied as science if the homeopath regularly reads scientific papers, and of what kind. Also, the definition of which kind of literature contributes the most to ameliorating the quality of medical attention, the usefulness of basic and clinical research, the source of the research budget, and the priorities for future research. The forms were created in Spanish and Portuguese, and distributed by email, mostly in South America during July and part of August 2023.
Results:
A total of 463 responses were analyzed. More than 90% of the respondents were practicing homeopaths and 209 were MDs, 64% participated in a scientific study in the past. When asked about developing homeopathy, 50% preferred clinical research, 19% meta-analysis, 11% basic research, 11% HPT and 6% clinical verification. Funding should be provided by public institutions, Universities, and pharmaceutical companies. When asked about prescribing 76% relied on experience transmitted by masters, 66% on their own experience, and 48% on clinical research. Clinical research was found useful in 88% of the sample. There was no clear response when asked about sources for improving clinical practice.
Conclusion:
Homeopaths are informed about scientific research but have no clear perception of how it may improve clinical practice.
Prototype Sistem Monitoring Kincir Air Tambak Udang Berbasis Mikrokontroler
Authors: Nurhadi Nurhadi , Khumaini Hayatullah , Tawakal Firman , Masrizal Masrizal , Nayoan Ferry , Suhaidi Mustazzihim , Latip Latip 
Published: December 2023

Kincir air pada tambak udang merupakan komponen yang berperan untuk meningkatkan kualitas air sebagai sumber oksigen terlarut. Dalam penelitian ini penerapan teknologi internet of things di bidang peternakan udang dilakukan untuk monitoring kincir air. Karena monitoring kincir air yang ada sekarang masih kurang efektif, proses monitoring masih dilakukan secara konvensional dan belummemanfaatkan teknologi jaringan internet. Maka perlu dibuat sebuah alat yang dapat memonitoringkeadaan kincir air pada tambak udang dengan memanfaatkan jaringan internet, menggunakan ModuleESP8266 NodeMCU sebagai mikrokontroller kemudian memproses prototype kincir air yang dibuatmenggunakan relay 4 channel dan sensor suhu DS18B20 yang mengkonversikan nilai suhu ke oksigen terlarut kemudian data dikirim ke aplikasi smartphone melalui jaringan internet, Dengan Firebase sebagai real-time database kita dapat memonitoring melalui aplikasi yang dibuat menggunakan Mit app Inventor dan sudah terhubung dengan firebase.

Kata kunci: Kincir Air,Tambak Udang, Internet Of Things, Sistem Monitoring
Przebieg wizytacji generalnej w diecezji krakowskiej w latach 1781-1785
Authors: Chromy Dariusz 
Published: December 2023

Wizytacja generalna biskupa K. Sołtyka zamyka po części staropolskie dzieje diecezji krakowskiej. Została ogłoszona 1781 roku i trwała do 1785 roku. W międzyczasie krakowski ordynariusz został ubezwłasnowolniony. Administrację nad diecezją przejął wówczas bpa płocki M. Poniatowski. Biskupi nie wykonali osobiście wizytacji. Uczynili to w ich imieniu wybrani wizytatorzy. Artykuł jest próba ukazania wysiłku jaki podjęli w czasie wykonywania tego obowiązku. Jedno z tłumaczeń łacińskiego słowa „visitatio” to „dopust Boży”. Z pewnością dla tych kilku delegowanych duchownych wykonywana praca mogła przynajmniej czasami wyglądać jak „dopust Boży”.
Strategi Pengembangan Pariwisata Alternatif Berbasis Pelestarian Minuman Arak Bali di Desa Les, Kecamatan Tejakula, Buleleng
Authors: Arcana I nyoman , Widuri Setyowati Ayu , Suastuti Ni Luh , Wiratnaya I Nyoman 
Published: December 2023

This study aims to examine feasible development strategies for the development of alternative tourism based on the preservation of Bali Arak Drink in Les Village, Tejakula, Buleleng using a SWOT analysis. There are two groups of respondents, the first is tourists totaling 125 people, and the second is the stakeholder group totaling 25 people. Data collection through questionnaire dissemination. This study concludes that the strength factors include: the cultural traditions, arak production process, Balinese food and arak pairing, natural attractions, close to the Tulamben, and souvenirs. The weaknesses include: lack of social media promotion, regulation and sales licenses. The opportunities include: the economy post Covid-19 Pandemic, the ease of bank credit, alcohol testing technology and product standardization. Threat factors are: the increases of fuel price, world geopolitics, licensing of spirits production, and enthusiasts of the younger generation to cultivate palm plantations. This research recommend to developing tour packages in the form of glamping in the coconut plantation area, Balinese culinary and educational tour packages, collaborations with influencers.