bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effectiveness of Nurse-led Educational Intervention on Therapeutic Communication of Undergraduate Nursing Students by Using SBAR tool
Authors: Ilyas Aleena , Ali Amjad , Ahmed Tanseer 
Published: November 2023

Efficient communication is most noteworthy because it impacts patient quality care. A prepared tool can useful to adequately impart patient data, lessen unfavorable incidents, improve patient safety, enhance quality of care, and amplify the healthcare team members’ satisfaction. Objective: To identify the effectiveness of nurse-led educational intervention on therapeutic communication of undergraduate nursing students by using the SBAR tool. Methods: This pre & post-quasi-experimental study was conducted from Jan-2021 to May-2021 among 120 undergraduate students from two different nursing institutions in Karachi by using a purposive sampling technique. Ethical approval was obtained and written informed consent was taken from each participant in the study. Data was collected by adopting the SBAR tool comprising 10 multiple-choice questions. Nurse-led educational intervention was provided after pre-assessment through lectures and discussion in the classroom. Data were analyzed using SPSS version-23. Results: Results showed a mean ± SD of age 30.44±5.40 varied from 23 to 51 years. Most of the participants (51.7%) were female and 70.8% of the participants had working experience ranging from 2 to 10 years. In the pre-test assessment, most of the participants secured a 4 out of 10 score (25.0%) whereas 8 out of 10 score (29.2%) in the post-test. A significant impact on the knowledge of undergraduate nursing students after educational intervention (p<0.001) was seen. Conclusions: This study concludes that undergraduate student nurses have very low knowledge related to the SBAR tool for therapeutic communication. Nurse-led education interventions improve nursing knowledge and understanding of the SBAR tool, as evident by post-test scores.
Frequency of Vitamin D Deficiency in Patients with Bacterial Vaginosis during First Trimester of Pregnancy
Authors: Baloach Shazia , Arshad Maria , Parveen Tahira , Seher Aisha , Sohail Farzana , Malhan Asifa , Fazal Adnan 
Published: November 2023

Bacterial vaginosis (BV) is an infection mainly results due to overabundance of germs. Because it affects a variety of immune system functions, it is crucial for BV. In order to timely assess, rationalize prospectively, and manage patients to combat vitamin D deficiency in bacterial vaginosis, this study planned to conduct on patients with bacterial vaginosis in relation to vitamin D deficiency, evaluate the magnitude, and generate local data. Objective: To determine the frequency of vitamin D deficiency in patients with bacterial vaginosis during first trimester of pregnancy. Methods: This cross-sectional study was conducted at Gynecology and Obstetrics department of Shaikh Zaid Women Hospital, SMBBMU Larkana from 10-September-2018 to 10-march-2019. A total of 192 pregnant women of first trimester with bacterial vaginosis were selected for this study. All the pregnant ladies with bacterial vaginosis were recruited and entered in the study and was screened for vitamin D deficiency. The data were collected on prepared proforma. Results: The age range from 25 to 35 years with a mean of 29.8±6.5 years, with mean gestational age of 8.09 ±2.29 weeks. Frequency of vitamin D deficiency was 47.4% in women with bacterial vaginosis in their first trimester. Conclusions: Findings of our study suggest association between vitamin D insufficiencies with BV during first trimester of pregnancy.
An Assessment of Radiolucencies Associated with Second Molar Adjacent Impacted Third Molar in Left in Comparison to Right Mandible
Authors: Shafique Maha , Farrukh Samra , Tajamal Hafiz Zain Bin , Babary Darab Fatima , Qasim Amna , Butt Hira 
Published: November 2023

Mandibular third molars are the most prevalently impacted teeth in the oral cavity. These partially impacted teeth in addition to being the root cause of pathologies in the third molar themselves also pose problems for their adjacent second molars. The second molars adjacent impacted third molars lead to the development of various pathologies that manifest themselves as radiolucencies on radiographic evaluation. Objective: To evaluate the radiolucencies of the left mandible's second molar next to the impacted third molar in comparison with right mandible. Methods: A cross-sectional and descriptive study was undertaken on patients visiting College of Dentistry, Sharif Medical and Dental College (SMDC). A total of 385 OPGs were assessed for the presence of radiolucencies in the second molars adjacent impacted mandibular third molars from December 2020 to February 2021. Results: The association between the availability of periapical radiolucencies (p≤0.001) and radiolucencies due to caries and external resorption in second molar in the right and left mandible (p≤0.001) was significant. Conclusion: It was seen that majority of the cases with periapical radiolucency in the right mandible also had them left mandible as well but most of the cases with caries and external resorption in the right mandible did not have them in left mandible as well.
Frequency of Temporomandibular Joint Dysfunction among Undergraduate University Students: A Cross Sectional Study
Authors: Ilyas Tamknat , Wadood Asma , Jawa Rabia , Ali Sidra , Ayub Rahat , Maqbool Sania , Qamar Saddiqa 
Published: November 2023

Temporomandibular joint dysfunction (TMJD) is an umbrella term covering pain and dysfunction of the muscles of mastication (jaw muscles). Disorder of temporomandibular Joint is one of the most common health problems. It is a term used to cover a number of multiple clinical issues related to temporomandibular joint, muscles of mastication and teeth. The trio that effects the arrangement and balance of TMJ, dental occlusion and muscles of mastication revolves mainly around “psychological, postural and structural elements. Objective: To find out Frequency of TMJD among undergraduate university students. Methods: Cross-sectional survey was conducted in duration of 3 months after approval of synopsis across University of Management and Technology (UMT). Self-designed questionnaire and TMJ dysfunction questionnaire was used. The sample size of this study was 200 calculated by Rao software. It took 9 months’ time period to complete the study. Random sampling technique has been used in this study to collect the data. SPSS version 21 was used to analyze data, frequency tables and bar charts were made. Results: Results showed that 63.5% (n=127) were considered themselves chronically fatigued and 77% (n=154) grinded their teeth at night. 64% (n=128) of the students were from health sciences background. This shows the association of prevalence of TMJDs and stress in university students. Conclusions: Study showed high frequency of TMD amongst students due to chronic fatigue, overload of study, poor ergonomics, and working hours, which are associating risk factors for TMD. Stress management & good ergonomics strategies are required.
Trastorno de diferenciación sexual por hiperplasia suprarrenal congénita. Reporte de un caso
Authors: Bustamante Jara Domenica Tatiana , Quizhpi Diana Elizabeth 
Published: November 2023

Introducción: La hiperplasia suprarrenal congénita (CAH) es una enfermedad autosómica recesiva causada por mutaciones en genes que afectan la producción de glucocorticoides, mineralocorticoides y esteroides sexuales por las glándulas suprarrenales. La causa más común es la deficiencia de esteroide 21-hidroxilasa debido a mutaciones en el gen CYP21A2.
Objetivo: El objetivo de este resumen es presentar un caso clínico de una paciente adolescente de 13 años con hiperplasia suprarrenal congénita y genitales ambiguos, resaltando los hallazgos clínicos y diagnósticos.
Exposición del caso: Se trata de una paciente adolescente de 13 años, de sexo femenino, con mala adherencia al tratamiento. Presenta genitales ambiguos, con un micropene (clítoris), labios mayores escrotalizados, ausencia de testículos, hipospadia perineal, talla baja e hiperpigmentación en genitales, cuello y rostro. Además, la paciente se identifica a sí misma como de sexo masculino. El diagnóstico se realizó a los tres meses de vida y en un estudio ecográfico se demostró la presencia de ovarios con características normales.
Conclusiones: Este caso clínico ilustra la presentación de una paciente adolescente con hiperplasia suprarrenal congénita, cuyos hallazgos clínicos incluyen genitales ambiguos y una identificación de género diferente a su sexo biológico. La importancia de un diagnóstico temprano y un manejo adecuado de la CAH se destaca en este caso, con el fin de mejorar la calidad de vida y evitar complicaciones asociadas a esta enfermedad.
Ecologia humana: uma relação com ensino-aprendizagem dos estudantes com deficiência
Authors: Pina Maria de Fátima Bela , De Azevedo Sérgio Luiz Malta , De Almeida Maria do Socorro Pereira 
Published: November 2023

Considerando que a ecologia humana é a relação do homem com o meio em que vive no contexto social, cultural, econômico e psicológico, é importante discutir a realidade das escolas quanto ao direito de escolarização da pessoa com deficiência. Para tanto, utilizou-se como recurso metodológico a pesquisa qualitativa de cunho bibliográfico, objetivando analisar o processo inclusivo de ensino-aprendizagem em 2 (duas) escolas municipais na rede de ensino de Ibipitanga/BA, sob o olhar da EH, no âmbito da política nacional de educação especial e inclusiva. Foi feito um percurso histórico sobre a pessoa com deficiência através de um levantamento de teses e dissertações que abordam o tema. A coleta de dados foi realizada em bases de dados eletrônicos, busca telemática, periódicos indexados, no Portal de Periódicos da Capes, SciELO (ScientificElectronic Library Online) e Google Acadêmico. Os resultados endossam a relevância da Ecologia Humana na vida social e educacional desses cidadãos, que devem viver de forma saudável consigo mesmo, com os outros e em qualquer ambiente.
Uma análise sobre bullying e direitos da personalidade no âmbito do estado democrático de direito
Authors: Franco Giovanna Back 
Published: November 2023

O ser humano, ente dotado de personalidade, é o centro do ordenamento jurídico e fundamento do Estado Democrático de Direito. Este, por seu turno, tem como finalidade precípua a garantia dos direitos ínsitos aos indivíduos, inclusive diante de atos, como o Bullying, que atentem à sua dignidade e a vários aspectos de seus direitos de personalidade. Para tanto, é fundamental o estabelecimento de políticas públicas, principalmente direcionadas aos cidadãos em desenvolvimento de sua personalidade, crianças e adolescentes, e ações conjuntas dos guardiões das garantias fundamentais dos mesmos, como respostas eficazes e adequadas ao problema em questão. A presente pesquisa justifica-se pelo exponencial incremento de casos de Bullying na atualidade e consequente desrespeito aos direitos da personalidade, tendo sido realizada pelo método bibliográfico. Objetiva-se, por meio desta, avaliar os direitos da personalidade abalroados pelas condutas configuradoras de Bullying e ponderar acerca das políticas públicas nesse sentido.
The Effects of Avatar’s Reality Level on Metaverse Application Compatibility and Use Intention
Authors: Lee Dong-Seok , Kim Gwi-Gon 
Published: November 2023

Objective: The aim of this study is to analyze metaverse application compatibility and application use intention depending on reality level of avatars and examine moderating effects of avatar-self-image identification and body ratio.

Theoretical framework: The Proteus effect is the tendency for people to be affected by their digital representations, such as avatars. The Uncanny Valley effect is a hypothesized relation between an object's degree of resemblance to a human being and the emotional response to the object.

Methodology: To test hypotheses, this study conducted an online and offline mixed survey to 219 respondents. To test validity and reliability of measurement tools, this study did factor analysis and reliability analysis. Hypotheses were tested with t-test and ANOVA analysis. To test mediating effects, it did mediating regression analysis.

Results: The findings of data analysis were as follows. First, the lower the reality level of avatars is, the higher the higher metaverse application compatibility gets. Second, the moderating effect of avatar-self image identification was not statistically significant. Third, the moderating effect of avatar body ratio was confirmed. Forth, metaverse application compatibility was found to have positive effect on application use intention. Fifth, the mediating effect of application compatibility on the effect of reality level of avatars on application use intention was confirmed.

Research, Practical & Social implications: The findings of this study will be good reference data for production of metaverse platforms using avatars, and scholastic and practical use of avatars.

Originality/value: This study is an empirical analysis of outside characteristics of avatars based on Proteus effect and uncanny valley effect.
Model of Global HR Development and Green Economy Diplomacy: Strengthening Global Environmental Governance in Indonesia
Authors: Rahmat Taufiq , Apriliani Diah 
Published: November 2023

Objective: This study analyzes the development of global human resources and green economy diplomacy in the Indonesian context and their impact on Global Environmental Governance, focusing on the renewable energy sector and the environment. This research highlights important issues related to environmental sustainability and the Indonesian government's efforts to promote sustainable practices through Global HR development and green economic diplomacy.

Methods: The research methodology involves a theoretical analysis and literature review. The HR Global Environmental Competency Model and Green Economic Diplomacy serve as the conceptual frameworks for the analysis. Data collected from various sources, including academic journals, books, government reports, and relevant publications, are systematically analyzed.

Results: The analysis reveals the Indonesian government's commitment to sustainable development and the implementation of policies and programs supporting renewable energy, investment in the renewable energy sector, and environmental protection. The HR Global Environmental Competency Model and Green Economic Diplomacy play crucial roles in enhancing human resources and promoting sustainable practices. These initiatives contribute to the strengthening of Global Environmental Governance in Indonesia.

Conclusion: The findings indicate that the Indonesian government's efforts in developing global human resources and implementing green economic diplomacy have a positive impact on Global Environmental Governance. However, this research has limitations in terms of its focus on Indonesia's renewable energy sector and the lack of empirical analysis. Future studies should involve empirical research, engage various stakeholders, and conduct comparative studies with other countries to gain a more comprehensive understanding of best practices and challenges in Global Environmental Governance.
Research and Construction of Government Data Security System Based on Hierarchical Protection
Authors: Du Min , Hu Guochao , Zhang Xu 
Published: November 2023

This article, starting from the background and requirements of government data security system construction, based on the data security protection requirements of the Hierarchical Protection 2.0 series standards (referred to as " Hierarchical Protection 2.0"), delves into the construction approach of the data security system. It elaborates on the construction plan of the government data security system and data security protection strategies, with a focus on aspects like organizational structure, classification and grading, lifecycle, and technical system. This aims to meet the confidentiality, availability, and integrity requirements of data and provide robust support for data security protection in information systems within the field of electronic government.
A EVOLUÇÃO DA ANÁLISE CITOPATOLÓGICA CITOLOGIA EM MEIO LÍQUIDO EM MANAUS
Authors: Paiva Lívia de Souza , Paiva Lívia de Souza , De Souza Patricia Campos , Rezende Gabriel de Oliveira 
Published: November 2023

Introdução: :O câncer do colo do útero (CCU), também chamado de câncer cervical, é causado pela infecção genital persistente por alguns tipos do Papilomavírus Humano - HPV (chamados de tipos oncogênicos). Esse vírus é sexualmente transmissível, muito frequente na população e seria evitável o contágio com o uso de preservativos. Objetivo: Apresentar através de pesquisas em artigos científicos o exame de Papanicolaou como sendo ainda o mais eficaz e utilizado para a prevenção do câncer do colo do útero, identificando as lesões pré malignas e malignas que antecedem este, através do esfregaço e análise microscópica citopatológica. Metodologia: Trata-se de estudo de revisão crítica de literatura, com procedimento descritivo, explicativo e qualitativo-quantitativo, realizado por meio da pesquisa em bancos de dados como SCIELO (SCIENTIFIC ELECTRONIC LIBRARY ONLINE), Google Acadêmico, além da utilização de livros com complementação da busca no acervo da biblioteca setorial da faculdade metropolitana de Manaus (FAMETRO). Resultado: Espera-se com este estudo propagar a divulgação deste novo método, que será implantado no SUS, deixando de ser realidade apenas no setor privado. Também abrindo ênfase no compartilhamento do exame preventivo de Papanicolaou, pois ainda há muito tabu para a realização do exame por parte das mulheres e cônjuges, e gerando atrasos na vacinação contra o HPV em crianças. Considerações Finais: Diante disso, o exame citopatológico em meio líquido será de grande benefício para a equipe de análises, trazendo revolução no mundo da Citologia Clínica e Oncótica. Com a implantação do novo método exame no SUS, juntamente com incentivos à vacinação em crianças e realização dos exames em mulheres, tende a diminuir os índices de câncer de colo de útero, principalmente nas classes sociais mais baixas e minoritárias, quais carecem e onde prevalece a incidência.
EDUKASI SEX EDUCATION PADA ANAK-ANAK SD
Authors: Nurmayani Winda , Halid Sopian , Syamdarniati Syamdarniati , Oktaviana Elisa 
Published: November 2023

Pendidikan sex di Indonesia masih menjadi kontroversi, masih banyak anggota masyarakat yang belum menyetujui pendidikan sex di rumah maupun di sekolah. Secara umum pandangan masyarakat tentang pendidikan sex merupakan hal yang dipandang “tabu” utuk dibicarakan terhadap anak, terutama anak usia dini. Masyarakat beranggapan bahwa ada masanya mereka akan memahaminya secara alamiah. Pendidikan seks yang yang tidak diberikan di usia dini mengakibatkan tingginya kekerasan seksual pada anak yang dilakukan orang-orang terdekat anak termasuk keluarga Tujuan dari pengabdian masyarakat ini adalah memberikan pemahaman tentang sex education pada anak. Pelaksanaan kegiatan pengabdian kepada masyarakat dilakukan di SDN 46 Ampenan dengan peserta yang diambil dari kelas V dan VI. Metode yang digunakan ceramah dan Tanya jawab, dengan media yang digunakan LCD proyektor dan leaflet. Hasil dari pelaksanaan kegiatan pengabdian kepada masyarakat ini dari peserta anak-anak murid kelas V dan VI yang hadir tampak sangat antusias, setelah kuesioner sebelum dan sesudah pemberian pendidikan kesehatan mengenai sex education tampak adanya peningkatan pengetahuan. Pelaksanaan pemberian pendidikan kesehatan mengenai sex education untuk meningkatkan pengetahuan bagi siswa-siswa SDN 46 Ampenan dengan resiko yang mungkin bisa terjadi dengan keadaan masyarakat sangat perlu dilakukan, selain sebagai penambah dan peningkat pengetahuan juga sebagai tindak untuk mengurangi resiko terjadi pelecehan seksual terhadap anak.
PENYULUHAN DAN SIMULASI BAHAYA KEBAKARAN AKIBAT GAS DAN LISTRIK
Authors: Lestari Putri Winda , Pamungkas Vieri Ferdyhanza , Guntoro Primady , Dewanto Alfa Agie 
Published: November 2023

Kebakaran menimbulkan banyak kerugian baik material maupun non-material. DKI Jakarta adalah salah satu wilayah dengan kasus kebakaran yang tinggi, baik karena korsleting listrik, gas maupun penyebab lainnya. Tujuan pengabdian masyarakat ini adalah untuk memberikan penyuluhan dan simulasi terkait bahaya kebakaran akibat gas dan listrik di Kelurahan Kebon Pala, Kecamatan Makasar, Kota Jakarta Timur. Kelompok sasaran adalah ibu rumah tangga di Kelurahan Kebon Pala sebanyak 50 orang. Metode pengabdian yaitu dengan metode penyuluhan dengan ceramah dan tanya jawab serta metode simulasi memadamkan kebakaran. Hasil diskusi menunjukkan banyak masyarakat masih panik dan takut ketika dihadapkan dengan situasi yang memungkinkan terjadinya kebakaran. Dalam kegiatan pengabdian masyarakat ini, diberikan penyuluhan tentang penyebab kebakaran, dampak kebakaran dan upaya mencegah dan menanggulangi kebakaran. Selain itu dilakukan pula simulasi memadamkan kebakaran. Kegiatan pengabdian ini mendapatkan respon positif dan dianggap bermanfaat bagi kelompok sasaran. Peserta pengabdian masyarakat menunjukkan antusiasme saat kegiatan dan aktif ketika diskusi maupun simulasi kebakaran.
Asuhan kebidanan Pada Ny. "N" Pada Ibu 2 Jam Post Partum dengan Preeklamsia di RS Amelia Pare Kediri Tahun 2022
Authors: Luqmanasari Endah , Yusriani Markus Jelita 
Published: November 2023

The puerperium period or also known as the puerperium period is a period when the reproductive organs slowly undergo changes like the state before pregnancy (Maritalia, 2014). In the puerperium, it is quite important for health workers to always monitor, especially related to complications of pre-eclampsia and eclampsia. It is a disease caused by pregnancy. The purpose of this case study is to provide Obstetric care to Mrs." N" with preeclampsia of the Puerperium period. The research design used is a case study with research subjects in Ny. "N" . Data collection methods through interviews, observation and documentation studies. The results of midwifery care in Mrs." N" obtained data on the puerperium of the mother experiencing mild preeclampsia. The problem experienced by the mother is high blood pressure. Problem management has been given according to the diagnosis and advice of the doctor. Midwifery care can increase the effectiveness of health care in mothers as a whole so that it does not endanger the mother and increase patient satisfaction in obtaining midwifery services.
Tingkat Kerawanan Demam Berdarah Dengue Berdasarkan Indeks Kerawanan Penyakit Di Kabupaten Kepahiang Provinsi Bengkulu
Authors: Denis Rica 
Published: November 2023

Penyakit Demam Berdarah Dengue (DBD) disebabkan oleh virus dengue yang ditularkan oleh nyamuk Aedes aegypti. DBD dapat menyebabkan kematian jika tidak ditangani secara cepat dan tepat. Di kabupaten Kepahiang provinsi Bengkulu, angka kejadian DBD cenderung meningkat dalam 5 tahun terakhir ini. Angka kejadian ini akan mempengaruhi derajat kesehatan dan indeks pembangunan kesehatan masyarakat di kabupaten Kepahiang. Penelitian ini bertujuan untuk mengetahui tingkat kerawanan penyakit DBD di kabupaten Kepahiang berdasarkan indeks kerawanan penyakit. Metode yang digunakan dalam penelitian ini adalah metode pendekatan perhitungan Indeks Pembangunan Desa oleh BAPPENAS. Indeks kerawanan penyakit berbasis lingkungan disusun menjadi 7 dimensi yaitu pelayanan kesehatan, tenaga kesehatan, kesehatan lingkungan, kependudukan, perilaku masyarakat, pengendalian penyakit dan pemerintah yang disusun menjadi 23 indikator. Indeks kerawanan DBD tingkat Kabupaten adalah 2,771 dan termasuk pada kategori potensi rawan. Jika kondisi ini dibiarkan saja dan tidak ada langkah pencegahan yang signifikan maka di tahun yang akan datang akan dimungkinkan untuk meningkat menjadi kategori rawan. Indeks kerawanan tertinggi di kecamatan Seberang Musi sebesar 3,348 dan terendah di kecamatan Kepahiang sebesar 2,304. Kesimpulan dari penelitian ini adalah tingkat kerawanan pada semua kecamatan di Kabupaten Kepahiang berada pada kategori potensi rawan.