bluuebunny/crossref_metadata_2025_split huggingface dataset:
Atuação da suplementação simbiótica e da microbiota intestinal sobre prevenção e tratamento das alergias alimentares
Authors: Souza Anderson Liberato de , Carvalho Ana Clara Lacerda Cervantes de , Chagas Camila Lima , Capitó Mayara Santos , Nascimento Gesika Assunção do , Silva Tatiane Pontes , Nascimento Gabriela Ferreira Araújo do , Machado Camilla Caroline , Nascimento Ana Jessika Santos do , Barbosa João Paulo da Nóbrega , Pereira Josicleibson Nunes , Costa Uyara Correia de Lima , Pereira Giovanna Maria Lins , Santos Iago Alves Miranda , Sousa Bruno Soares de 
Published: February 2025

Alergia alimentar é uma reação adversa desencadeada por uma resposta imune específica mediada pela imunoglobulina E, a qual o intestino desempenha um importante papel. O estudo buscou apontar a relação da microbiota intestinal e da suplementação simbiótica como agente determinante no surgimento e no tratamento das alergias alimentares. Para tanto foi realizada uma revisão integrativa e utilizados os artigos originais publicados nos últimos cinco anos que tratam sobre o tema proposto. Estudos propõem que a alergia alimentar está relacionada a alterações na composição da microbiota intestinal. Foi observado diferenças na microbiota de indivíduos alérgicos entre indivíduos sadios. Além disso, estudos apontam a primeira infância como uma janela importante para moldar os resultados da alergia alimentar. Conclui-se que manter a microbiota intestinal equilibrada é essencial para prevenir e tratar os sintomas da alergia alimentar, contudo são necessários mais estudos clínicos para ampliar a compreensão da função da microbiota intestinal na alergia alimentar.
Assessing the Impact of Telemedicine on Healthcare Management and Delivery in Rural Areas
Authors: Sahoo Lulup Kumar , Hasan Fazil , RenukaJyothi S. 
Published: February 2025

Introduction: Telemedicine is increasingly used to provide health care in rural areas [1]. It also highlights on telemedicine being the solution for the management and delivery of healthcare in such regions. Methods: MATERIALS AND METHODSThis is a literature review for obtaining data pertaining to the use of telemedicine in managing and delivering healthcare in rural locations. To gain firsthand perspectives, the researchers interviewed healthcare professionals and telemedicine providers as well.Results: This study demonstrates the impact of telemedicine in providing greater access to health service in rural areas, especially in remote and underserved areas. It has also overall improved the healthcare management by DHHS in terms of communication and coordination between healthcare providers leading to a reduction in costs and increase in efficiency.Conclusions: To conclude, this study shows that telemedicine has a major and a positive influence on healthcare management and delivery in area. It can help solve the dissonance of disadvantaged people not being able to get proper healthcare services and potentially bettering the overall healthcare system. Yet, expansion is dependent upon resources and training surrounding this adaptation system.
Children with autism spectrum disorder's sleep patterns: a research analysis
Authors: Bhushan Bharat , Varma Pooja , Rastogi Sameer , Upadhye Vijay Jagdish , Jena Banani , Dev Anoop , Lawand Sunil 
Published: February 2025

Sleep issues are common in young with autism spectrum disorder (ASD), and although the Children's Sleep Habits Questionnaire (CSHQ) is widely used for assessment, concerns about its ideal variable structure still exist. This research looked at the CSHQ's variable structure in young children with ASD and explored the relationship between CSHQ variables and emotional, cognitive, and behavioral dysregulation. Children with ASD between the ages of 4 and 5 (n = 270) took part in the research. Two previously published CSHQ variable frameworks were tested for data using confirmatory factor analysis (CFA), and other frameworks were investigated using exploratory factor analysis (EFA). Regression analysis evaluated how differences in dysregulation symptoms were explained by the values of the variables.previously published frameworks for validated, a novel five-variable system discovered by EFA showed a great fit with the Although sleep characteristics were not generally linked to autistic symptoms, there was evidence of particular associations between them and aggression, stress, depression, and attention deficit problems. These results highlight how common sleep issues are in young children with ASD and indicate that the recently discovered CSHQ five-variable approach may be useful in future studies.
Exploring the Impact of Transformational Leadership on Healthcare Quality Improvement
Authors: Mohanty Rakesh , Saini Ramesh , Rampal Sourav , Mane Avinash , Malathi H , Bansal Shivangi , Shah Bijal 
Published: February 2025

Introduction: Transformational leadership has also become a well-accepted means to improve quality of care in practice. What it means is that leaders need to lead with motivation and inspiration to embrace the changing landscape of the business world and instill this urge to achieve higher standards. The purpose of this study is to examine the effect of transformational leadership on healthcare quality improvement. Methods: A systematic literature review was performed, and articles were chosen from different electronic databases. Inclusion criteria had been studies that focused on transformational leadership and healthcare quality improvement. Fifteen articles were included in the analysis.Results: Overall the results indicated positive effects of transformational leadership regarding healthcare quality improvement across studies in hospitals, long-term care, and community health settings. The findings showed components of transformational leadership, like individualized consideration, inspirational motivation, and intellectual stimulation, were integral to facilitate the quality improvement initiative. They create an environment for healthcare teams to learn and collaborate, leading to improved patient outcomes and satisfaction.Conclusions: Caution about potential hidden variable persistency in research applications of this type should be applied. When organizations commit to transformational leadership, their healthcare environment can sustain continuous improvement. There is a need for additional study to determine how transformational leadership affects healthcare quality specifically and what solutions can be developed to determine its best application.
The Influence of Environmental Policies on Public Health Outcomes
Authors: Frederick Sidney Correa Frederick , Parmar Yuvraj , Varma Pooja , Ahmed Wakeel , Zagade Tukaram , Gajendra Mohapatra Satya Sundar , Sharma Anil 
Published: February 2025

Introduction: This study examines the relationship between environmental policies and public health outcomes. The authors hypothesized that more stringent environmental policies would benefit public health.Methods: A systematic review of existing literature was conducted to identify whether or not there was previous research done on environmental policies in relevance to public health outcomes. Results: The results revealed a consistent positive correlation between stronger environmental policies and improved public health outcomes. Stricter air quality regulations were correlated with lower rates of respiratory diseases, and regulations on the quality of water were correlated with reduced rates of water-borne illnesses. Tied in with this were studies showing that policies intended to limit the carbon footprint also yielded benefits in terms of public health lower rates of cardiovascular disease and premature death.Conclusions: This review provides strong evidence of the link between environmental policies and improved public health outcomes. The results imply that more excellent ecological policies can significantly enhance human health by lessening the incidence of persistent diseases and wariness of pollution-related diseases.
Das Übernatürliche erzählen
Authors: Wehrle Jan 
Published: February 2025

Die Isländersagas zählen zu den beeindruckendsten Prosawerken des Mittelalters. In den Sagas wird eine Vielzahl von übernatürlichen Phänomenen beschrieben, die von ehrfurchtgebietenden Wundern über prophetische Träume bis zu bösartigen Wiedergängern reicht.

Die Art und Weise, wie die Erzähler des mittelalterlichen Islands diesem Übernatürlichen in ihrer Darstellung begegnen, verrät viel darüber, wie die beschriebenen Phänomene im Denken der Zeit verstanden wurden.

Es offenbaren sich somit faszinierende Einblicke in das Weltbild des mittelalterlichen Islands, das von einem Spannungsgefüge zwischen christlicher Gelehrsamkeit und heidnischen Traditionen geprägt ist. Es wird aber vor allem auch die große Erzählkunst der Verfasserinnen und Verfasser der Sagas deutlich, die den verdienten Platz dieser Texte in der Weltliteratur begründet.

Biographische Informationen

Jan Wehrle studierte in seiner Heimatstadt Freiburg im Breisgau Nordgermanische und Englische Philologie an der Albert-Ludwigs-Universität. Er forscht und lehrt zur Altnordischen Literatur und Kultur.

Reihe

Münchner Nordistische Studien - Band 46
Akademische Arbeiter-Unterrichtskurse – Volkshochschule München – Volksbildungsstätte München
Authors: Schoßig Bernhard 
Published: February 2025

Dieser Sammelband enthält eine Studie zur Entwicklung der Volkshochschule in München zwischen 1914 und 1927 und einen Beitrag zum Zeitabschnitt 1933 bis 1945, in dessen Zen­trum die „forcierte Selbstgleichschaltung“ der Volkshochschule München in den Jahren 1933/34 steht.

In mehreren Kurzbeiträgen und Skizzen werden Hinweise zur Problematik von Jubiläen und Datierungen gegeben, das Volksheim und Publikationsorgane der Volkshochschule vorgestellt sowie das Verhältnis von Stadt und Volkshochschule beleuchtet.

Vervollständigt wird der Band durch ein Gedenkblatt für zwei führende Mitarbeiter der nachmaligen Volkshochschule, die während des nationalsozialistischen Terrorregimes ermordet wurden, einen Ausblick auf die noch zu schreibende Geschichte der MVHS in der zweiten Hälfte des vergangenen Jahrhunderts, einen „Wasch­zettel“ aus dem Jahr 1971 und verschiedene biographische Hinweise.

Reihe

Dachauer Diskurse - Band 11
Правовое регулирование медицинского использования генетических исследований и технологий в России
Authors: Хайруллина Р.С. 
Published: February 2025

в данной статье поднимается вопрос о возможности полноценного применения правовых норм, которые в настоящее время регулируют научные исследования, а также практическое применение результатов данных исследований, в области генетики человека. Автором рассматривается законодательство в части генетических технологий, предлагаются внесение изменений в отечественное законодательство. Автор приходит к выводу, что в настоящее время существует объективная потребность в разработке и утверждении отдельного законодательного документа под названием «О генетической диагностике, профилактике и терапии», при разработке которого должны быть учтены существующие правовые принципы, а также принципы этики и нравственности. По мнению автора, разработка данного документа позволит регулировать генетические исследования, а также процессы применения результатов данных исследований на практике. Особое внимание следует уделить таким вопросам, как генетическая диагностика, исследование генома, вмешательство в геном человека, накопление и хранение генетического материала.
this article raises the question of the possibility of full-fledged application of the legal norms that currently regulate scientific research, as well as the practical application of the results of these studies in the field of human genetics. The author examines the legislation in terms of genetic technologies, proposes amendments to domestic legislation. The author concludes that currently there is an objective need to develop and approve a separate legislative document entitled "On genetic diagnosis, prevention and therapy", the development of which should take into account existing legal principles, as well as the principles of ethics and morality. According to the author, the development of this document will allow regulating genetic research, as well as the processes of applying the results of these studies in practice. Special attention should be paid to such issues as genetic diagnosis, genome research, intervention in the human genome, accumulation and storage of genetic material.
Jump into hopscotch: A game-based approach in enhancing students’ proficiency in triangle congruence
Authors: Payot Joylie Mae E , Tandog Netchie Jane , Evardo Orville J Jr. 
Published: February 2025

Triangle congruence postulates is a crucial concept in Geometry. The integration of games into mathematics education is a significant development that can enhance student engagement and understanding. This research investigates the effectiveness of Jump into Hopscotch, a game-based approach, in enhancing students’ proficiency in triangle congruence postulates. The study, employing a quasi-experimental research design, aims to determine the difference in students' proficiency between gamified and non-gamified learning instruction. A total of 61 grade 8 students from two heterogeneous sections in a public junior high school in the province of Davao de Oro, Philippines participated in the study. Results from a 30-item pre-test showed that both groups were comparable with low proficiency. After the intervention, the post-test result suggests a highly significant difference in the students’ proficiency in triangle congruence postulates between the experimental and control groups, with the experimental group obtaining higher scores than the control group. The finding suggests that implementing a game-based approach, specifically Jump into Hopscotch, effectively enhances the students’ proficiency in triangle congruence postulates. This study underscores the significance of integrating a game-based approach in learning, especially in mathematics, a subject often perceived as difficult and feared, to inform educators and researchers in the field of mathematics education.
Analysis of the Effect of Ct Angiography Combined with Three Tests, Mmp-9 and Paf, On the Assessment of Postoperative Vascular Stenosis in Acute Coronary Syndrome
Authors: Sun Jia , Gao Yiling , Ma Jing , Zhu Minghui , Li Kefei , Hou Yiyong , Xie Chunqiao , Zhang Huang 
Published: February 2025

Background: Acute Coronary Syndrome (ACS) is a very common cardiovascular disease in clinical practice with a very high risk of death. In this study, we observed the effectiveness of CT angiography (CTA), Matrix metalloproteinase-9 (MMP-9) amd Platelet activating factor (PAF) in the assessment of ACS.
Materials and Methods: A total of 124 patients with ACS admitted to our hospital from June 2022 to March 2024 were enrolled as study subjects. All study subjects were examined by Coronary angiography (CAG) and CTA. To compare the detection rate of ACS by CAG and CTA, and the difference in effectiveness in assessing coronary plaque stenosis and plaque calcification. In addition, the levels of MMP-9 and PAF were detected in the patients to analyze their relationship with the degree of stenosis and plaque grade.Subsequently, the effect of the three combined tests, CTA, MMP-9 and PAF, was analyzed for the assessment of postoperative vessel restenosis. Finally, we analyzed the factors associated with poor CTA image quality.
Results: There was no difference in the effectiveness of CTA in detecting ACS, assessing coronary plaque stenosis and plaque calcification compared with CAG (P>0.05). There was a positive correlation between MMP-9, PAF and the degree of coronary stenosis and plaque severity (P<0.05).The diagnostic accuracy of the combination of CTA, MMP-9, and PAF in the diagnosis of stenosis in postoperative ACS was 97.58% (Kappa=0.946). It was determined that 124 patients 21 patients had poor CTA images, and logistic regression analysis showed that shorter breath-hold time and arrhythmia were independent risk factors for poor CTA image quality.
Conclusions: CTA, MMP-9 and PAF are excellent for the diagnosis of stenosis after ACS and shorter breath-hold time and arrhythmia are all independent risk factors for poor CTA image quality.
Consumo de alcohol en estudiantes de bachillerato y su incidencia en el rendimiento academico en unidades educativas del canton duran
Authors: Morales Delgado Leticia Alexandra , Navarrete Cusme Germania Eduviges , Quiroz Vinces Maritza Elizabeth , Toro Álava Juan Alberto , Pizarro Gonzalez Jose Andres 
Published: February 2025

El consumo de alcohol tiene efectos significativos sobre la salud tanto en adolescentes como en adultos. Aunque los efectos varían según la edad, la cantidad de alcohol consumido y la frecuencia del consumo, los riesgos son importantes en ambas etapas de la vida. El estudio tiene como objetivo Investigar el consumo de alcohol en adolescentes del 3er año de bachillerato y su incidencia en el bajo rendimiento académico, la presion social y los daños fisicos. Se utilizó un enfoque cuantitativo de tipo descriptivo y toma como muestra 150 estudiantes adolescentes entre los 17 y 19 años que se encuentran cursando el ultimo año de bachillerato en 2 unidades educativas del canton Duran. Entre lo principales resultados, encontramos que mayoritariamente los adolescentes que mas alcohol consumen por género son las mujeres, otro dato revelador es que los adolescentes contestaron que no recibieron ninguna instrucción o capacitacion preventiva sobre lo nocivo que es el consumo del alcohol a temprana edad, que no hay ninun tipo de control dentro de las unidades educativas ni planes de accion puntuales para hacer seguimiento estudiantil por parte de las autoridades académicas cuando reportan casos de alcoholismo en sus unidades académicas, los jóvenes enfrentan diferentes desafíos como el bajo rendimiento académico y la presión social.
THE ROLE OF POLITICS OF PROTECTION ECONOMIC COMPETITION IN INCRESING THE COMPETITIVENESS OF RA / ՏՆՏԵՍԱԿԱՆ ՄՐՑԱԿՑՈՒԹՅԱՆ ՊԱՇՏՊԱՆՈՒԹՅԱՆ ՔԱՂԱՔԱԿԱ-ՆՈՒԹՅԱՆ ԴԵՐԸ ՀՀ ՄՐՑՈՒՆԱԿՈՒԹՅԱՆ ԲԱՐՁՐԱՑՄԱՆ ԳՈՐԾՈՒՄ
Authors: Hajoyan Ruzanna , Ghantarchyan Ruben 
Published: February 2025

In a market economy, the key to effective economic activity of organizations is customer focus and flexible adaptation to changes in market competition. Competition is evident in all areas of the company's activities.
Economic competition is one of the most important tools for increasing economic efficiency. Competitive relations are among the complex, diverse and most relevant concepts of modern economies.	State regulation of the competitive environment is a set of laws, regulations, rules, the purpose of which is to regulate prices for goods, conditions of competition, as well as to prevent manifestations of unfair competition.
Being one of the main tools of the economy, competition not only stimulates, but also ensures the effective operation of the organization, development along all indicators.
The article presents the ways of state regulation of the level of competition, the methods of resolving the conflict between competitors.
Integration of Primary Health Care Services at Puskesmas in East Pekalongan Sub-district with a Formative Evaluation Approach
Authors: Irawan Teguh , Maulana Jaya , Widhowati Siwi Sri , Laila Arni Zulfa 
Published: February 2025

Primary care integration (ILP) is a pillar of health transformation to strengthen primary health care by bringing health services closer to the village level, targeting the entire life cycle, and strengthening local area monitoring (PWS). The purpose of the study was to analyze the implementation of Primary Care Integration (ILP) at Puskesmas in East Pekalongan District. The research method used qualitative analysis with a case study approach. Data collection was carried out at the Puskesmas in the East Pekalongan sub-district of Pekalongan City. Data collection with in-depth interviews involving 20 informants and data processing using thematic analysis with CIPP variables. This study found that in the context aspect, the goal has not been achieved optimally to bring health services closer and expand due to the lack of cadres, influential factors are family support and officer involvement and infrastructure, targeting the entire life cycle. In the input aspect, human resources are not sufficient, especially medical personnel and cadres for many targets, funding is insufficient for activities, infrastructure for tools is sufficient but the place of implementation is still not large enough and health test kits are still lacking. In the process aspect, planning has gone well, organizing is well structured, it's just that the number of cadres and health workers is still lacking to serve all life cycles, for Pekalsanaan it is still running as much as possible and for evaluation it still refers to the old mechanism and for evaluations carried out regularly every month. In the product aspect, the results of activities can increase the level of visits and the community becomes more enthusiastic in participating in the ILP posyandu.
Strategies To Accelerate The Reduction Of Stunting Prevalence Through Mapping The Physical, Biological And Socio-Cultural Environment At Risk With The Trias Epidemiology Approach
Authors: Maulana Jaya , Fitriyani Nur Lulu , Nugroho Santoso Tri , Pangestu M. Luhur 
Published: February 2025

Stunting is a serious problem that must be addressed because it has an impact on the quality of human resources that will be dated. The prevalence of stunting cases in Indonesia in 2022 has decreased compared to 2021, which was 21.6%. However, this figure is still above the government's expectations which determine a decrease of up to 14% in 2024. This determination requires comprehensive handling from various parties in reducing the incidence of stunting and preparing a better next generation. This study aims to determine environmental factors that are risk factors for stunting in Pekalongan City through the trias epidemiological approach. This study is a mixed methods study using an explanatory sequential design with a case control approach. The independent variables to be studied include host and environment variables. The data obtained will be analyzed bivariate and multivalent with data reduction and drawing conclusions from qualitative data. Furthermore, the results of the mix methods analysis will be included in the SWOT analysis to formulate a strategy to accelerate the reduction of stunting prevalence in Pekalongan City.