bluuebunny/crossref_metadata_2025_split huggingface dataset:
Governance Framework and Public–Private Partnership for Universal Health Coverage: Findings from India’s Federal Health Structure
Authors: Venkatraman A. , Lahariya Chandrakant 
Published: January 2024

Abstract

Background:
The role of private health sector in advancing universal health coverage is being recognised globally. A number of public–private partnership (PPP) strategies have been implemented across the states in India. States are primarily responsible for health service delivery in India.

Objectives:
To summarise various PPP schemes and projects in health sector across the states in India and to understand the ecosystem, i.e. policy, legal and institutional framework that are critical for effectively governing the partnerships.

Materials and Methods:
The study was carried out in two stages: a comprehensive desk review, followed by field visits for in-depth interviews (IDIs) of key stakeholders in selected states. A total of 52 IDIs were conducted from various levels of stakeholders.

Results:
Nearly 250 PPP initiatives in health sector across all Indian states were identified and studied. Partnership with the private sector was predominantly in the areas of emergency transport and laboratory diagnosis and in the delivery of selected primary care services. PPPs in health infrastructure (hospitals and medical colleges) and purchasing arrangements are rapidly emerging across most states. However, only few Indian states have health sector-specific PPP policy or legal and/or institutional framework governing PPPs and organisational units implementing partnership schemes. The capacity to conceive, design, implement and manage PPPs in health sector was found either absent or insufficient in most states.

Conclusion:
There is a need for developing mechanisms for effective and functional partnerships with the PHS for achieving national health policy goals in India. There is a need for well-enunciated policy and governance framework for private sector engagement. Indian union and state governments need to do detailed assessment of the PHS market behaviour; legal, regulatory and oversight mechanisms; building organisational structures with capacities and developing platforms for stakeholder dialogue. Findings from the Indian context could offer useful insights for other low- and middle-income countries aiming to advance towards achieving universal health coverage.
Can cutaneous sarcoid be a marker for metabolic syndrome? A case illustration
Authors: Monteiro Rochelle Cheryl , Kamath Suvidha D. , Martis Jacintha 
Published: January 2024

ABSTRACT
Sarcoidosis is a multisystem inflammatory disorder involving the organs such as lungs, lymph nodes, and eyes. Cutaneous involvement is seen in 20%–35% of the cases with systemic involvement. We report the case of a 46-year-old female, who presented with multiple skin-colored papules and nodules over the body, with no evidence of systemic involvement. On further investigation she was detected to have diabetes mellitus and metabolic syndrome (MetS). The association of MetS with systemic sarcoidosis has been described in the literature. However, there is no previous reported association of isolated cutaneous sarcoidosis with MetS. In our context, the presence of MetS was an incidental finding. Hence, cutaneous sarcoid should be considered a marker for underlying MetS and all cases of isolated cutaneous sarcoid should be extensively investigated for the same, even in the absence of systemic manifestations. We illustrate this case as this association is hitherto unreported.
Pleural effusion as the presenting feature in chronic myeloid leukemia
Authors: Bhat Archana S. , Nazar Rahma , Mascarenhas Don Gregory , Prasad Krishna , Kulkarni Manjunath Jeevanna 
Published: January 2024

ABSTRACT
Pleural effusion is rarely associated with chronic myeloid leukemia (CML). CML is asymptomatic and incidentally detected in majority of the patients. Few present with symptoms related to splenomegaly. Pleural effusion as the presenting symptom in CML has rarely been reported in the literature. We report the case of 58-year-old woman who presented with pleural effusion. Working diagnosis was lung malignancy or lymphoma. However, investigations and examination revealed CML in blast crisis. The patient was then treated with dasatinib, and she responded well. The exact mechanism for pleural effusion in CML is not known. It could be due to leukemia infiltration, extramedullary hematopoiesis, capillary obstruction, infections, or drug induced. Our case showed features compatible with extramedullary hematopoiesis. CML can rarely present with pleural effusion. Simple tests such as blood smear examination and pleural fluid cytology will aid in the diagnosis. The physicians and pathologists should be aware of this association.
Bacterial profile and antimicrobial resistance in a Tertiary Hospital in Mexico
Authors: Beltran Francisco , Vazquez Romo Kristian A. , Oyervides Alvarado Jose Arturo , Gonzalez Dibildox Laura Alejandra , Betancourt Nallely Ramos , León Manuel Garza , Quintela Everardo Hernandez 
Published: January 2024

Objective:
The objective of this study was to report the characteristics and the bacterial microbiological frequency of the etiological agents and the antibiotic sensitivity of the isolated pathogens in infectious keratitis in Mexico between 2012 and 2016.

Methods:
This was a retrospective, cross-sectional, and observational study; medical records of all patients who presented in the cornea department in Mexico with infectious keratitis from 2012 to 2016 were reviewed. Demographic data, Gram stain, and microorganisms obtained in the culture and antibiotic sensitivities were evaluated by disc diffusion test.

Results:
In the studied period, a total of 639 (40.67%) cases that had a positive culture were included; 54.5% were male with an average age of 48.50 ± 20.43. Gram-positive agents were the most frequent with 80.66% of cases. The most frequent causative agent was Staphylococcus epidermidis (36.61%). The most frequent Gram-negative agent was Pseudomonas aeruginosa (7.55%). The antibiotic with the highest sensitivity was netilmicin (90.3%), followed by moxifloxacin (82.3%) and gatifloxacin (81.3%). Among fortified antibiotics, ceftazidime had a sensitivity of 78% while vancomycin 43.8% (for Gram positive).

Conclusion:
Bacteria are the most common cause of infectious keratitis, Staphylococcus and Pseudomonas as the most common isolates. There was low resistance to netilmicin and fourth-generation fluoroquinolones for these isolates.
Visual outcome of pediatric ocular trauma in a Latin American population
Authors: Espinosa Natalia , Montoya Luisa , Gaviria Andrés , Solano Adriana 
Published: January 2024

Objective:
The aim is to assess associated factors regarding the type of pediatric ocular trauma and final visual acuity (VA) of the patients received ophthalmology service at tertiary care facility between 2013 and 2018.

Methods:
Retrospective cohort study. The clinical history of patients between 0 and 15 years of age diagnosed with ocular trauma was examined. The exposure variable was the type of ocular trauma (open or closed). Other variables related to ocular trauma were studied.

Results:
A total of 183 ocular trauma cases were studied. The median age was 9 years (interquartile range: 5–12), most patients were males (65.5%), blunt and sharp objects were the most frequent causes of ocular trauma (41% and 33.3%, respectively). Closed ocular trauma was found in 82.5% of the cases and zone 1 was the most frequently involved (76,5%). Sixty-four percent of cases required surgical management and 26% presented complications at the final follow-up. About 78.7% of the patients had VA equal or higher than 20/40. The risk factors associated with worse visual outcome (worse than 20/40) was found to be open ocular trauma (relative risk [RR] = 5.5; 95%IC: 3.3–9.2), the affected zone (higher risk in zone 3 with RR = 7.62; 95% confidence interval: 7.61–7.63) and time elapsed between the moment of trauma and receiving ophthalmological treatment (RR = 1.01; 95%IC: 1.01–1.01).

Conclusion:
Most patients that presented with ocular trauma had satisfactory final VA, considering that closed ocular trauma was more frequent. Open ocular trauma, the affected zone, and the time elapsed before starting treatment were associated with worse VA outcomes in our study.
Concordance between Goldmann, Icare Pro®, Corvis ST® and Tonopen® tonometry, and their correlation with corneal thickness
Authors: Mendieta Patricia Hernández , Puerto Mayerly López , Goyeneche Fernando Gómez , Guacaneme Aracelly Charris 
Published: January 2024

Introduction:
The objective is to evaluate the concordance of intraocular pressure (IOP) values by comparing three tonometers; Corvis ST (COR), Icare Pro (ICA) and Tonopen (TOP) with the gold standard, the Goldmann applanation tonometry (GAT and the effect of the measurements by the central corneal thickness (CCT).

Methods:
One hundred and eight eyes were selected (59 patients) who underwent IOP measurement with four instruments (Icare, Corvis, Tonopen and Goldmann). An univariate analysis was applied, and then a concordance analysis was performed in which the intraclass correlation coefficient (ICC) was calculated between the different instruments taking into account the corneal thicknesses to eliminate confounding effect in measurements.

Results:
109 eyes (59 patients) were included, 66% women and 34% men. Average age 52.2 years (SD 13.87). Univariate analysis was performed and a mean age 52.2 (SD ± 13.87) and mean IOP were obtained for Goldman 15 (SD ± 2.94), Icare 15 (SD ± 2.47), Tonopen 14 (SD ± 2.85), Corvis 14 (SD ± 2.67).
Analisis Sistem Informasi Merekrut Karyawan Berbasis WEB pada Perusahaan PT.Erafone Artha Retailindo
Authors: Damila Miesie Sasikirana , Rezeki Rezeki , Afrida Ayuni , Putra Rachel Pramana 
Published: January 2024

Efficient and organized employee recruitment management is very important for the success of a company. In this digital era, web-based technology offers a great opportunity to improve the recruitment process by reducing time, costs and increasing the quality of prospective employees. This study aims to analyze and design an innovative and easy-to-use web-based recruitment system for the company PT ERAFONE ARTHA RETAILINDO to increase efficiency and accuracy in the recruitment process. The research method we use is waterfall and interviews with HR managers and the company's recruitment team to understand the process. current recruitment. We also carry out document analysis, such as historical data on previous recruitment and the recruitment platform used. The results of the system implementation show a significant increase in the response time of the recruitment process and the quality of candidates invited to further selection stages. The HR team also reported reduced workload and increased productivity due to the efficiency of the new recruitment system
Keywords: Information systems, recruiting employees, system design, HR, waterfall
O marketing verde e sua influência sobre o consumo consciente
Authors: Moreira Milena Crepaldi , Ferreira Marlette Cassia Oliveira , Bizarrias Flavio Santino , Cucato Jussara Da Silva Teixeira , Silva Jussara Goulart Da 
Published: January 2024

Objetivo: analisar o comportamento do consumidor no processo de compra de produtos que empregam as estratégias de marketing verde identificando a efetividade das ações ecológicas segundo a percepção destes.
Método: A metodologia utilizada foi uma pesquisa quantitativa, descritiva com amostra por conveniência.
Principais resultados: identifica-se a distância entre o que os jovens pensam e suas verdadeiras ações em relação às questões ambientais.
Relevância/originalidade: A originalidade da pesquisa está no comportamento do consumidor pesquisado, pois apesar de reconhecer a importância do marketing verde nas empresas, em alguns casos o consumidor não entende, na prática, a importância que suas ações individuais para a preservação do meio ambiente, e o quanto seus hábitos de consumo podem influenciar as empresas a aderirem ao desenvolvimento sustentável.
Contribuições teóricas/metodológicas: emprego da escala de comportamento do consumidor ecologicamente consciente – Ecologically Conscious Consumer Behaviour de Straughan e Roberts (1999).
Contribuições sociais/para a gestão: As contribuições gerenciais e sociais da pesquisa permitem que gestores e profissionais afins se conscientizem da importância da divulgação de suas ações para o desenvolvimento sustentável para criar valor junto ao público consumidor. O poder público pode empregar ações para a conscientização do jovem, que tem a oportunidade de impactar positivamente em seu convívio social e em seu futuro ambiente profissional, adotando hábitos de consumo consciente.
A near-global multiyear climate data record of the fine-mode and coarse-mode components of atmospheric pure-dust
Authors: Proestakis Emmanouil , Gkikas Antonis , Georgiou Thanasis , Kampouri Anna , Drakaki Eleni , Ryder Claire , Marenco Franco , Marinou Eleni , Amiridis Vassilis 
Published: January 2024

Abstract. A new four-dimensional, multiyear, and near-global climate data record of the fine-mode (submicrometer in terms of diameter) and coarse-mode (supermicrometer in terms of diameter) components of atmospheric pure-dust, is presented. The separation of the two modes of dust in detected atmospheric dust layers is based on a combination of (1) the total pure-dust product provided by the well-established European Space Agency (ESA) – “LIdar climatology of Vertical Aerosol Structure” (LIVAS) database and (2) the coarse-mode component of pure-dust provided by the first-step of the two-step POlarization LIdar PHOtometer Networking (POLIPHON) technique, developed in the framework of European Aerosol Research Lidar Network (EARLINET). Accordingly, the fine-mode component of pure-dust is extracted as the residual between the LIVAS total pure-dust and the coarse-mode component of pure-dust. Intermediate steps involve the implementation of regionally-dependent lidar-derived lidar-ratio values and AErosol RObotic NETwork (AERONET) based climatological extinction-to-volume conversion factors, facilitating conversion of dust backscatter into extinction and subsequently extinction into mass concentration. The decoupling scheme is applied to Cloud-Aerosol Lidar and Infrared Pathfinder Satellite Observations (CALIPSO) observations at 532 nm. The final products consist of the fine-mode and coarse-mode of atmospheric pure-dust, of quality-assured profiles of backscatter coefficient at 532 nm, extinction coefficient at 532 nm, and mass concentration for each of the two components. The datasets are established primarily with the original L2 horizontal (5 km) and vertical (60 m) resolution of Cloud-Aerosol Lidar with Orthogonal Polarization (CALIOP) along the CALIPSO orbit-path, and secondly in averaged profiles of seasonal-temporal resolution, 1°×1° spatial resolution, and with the original vertical resolution of CALIPSO, focusing on the latitudinal band extending between 70° S and 70° N and covering more than 15-years of Earth Observation (06/2006–12/2021). The quality of the dust products is justified by using AERONET fine-mode and coarse-mode aerosol optical thickness (AOT) interpolated to 532 nm and AERosol properties – Dust (AER-D) campaign airborne in-situ particle size distributions (PSDs) as reference datasets, during atmospheric conditions characterized by dust presence. The near-global fine-mode and coarse-mode pure-dust climate data record is considered unique with respect to a wide range of potential applications, including climatological, time-series, and trend analysis over extensive geographical domains and temporal periods, validation of atmospheric dust models and reanalysis datasets, assimilation activities, and investigation of the role of airborne dust on radiation and air quality.
Origin and role of non-skeletal carbonate in coralligenous build-ups: new geobiological perspectives in biomineralization processes
Authors: Cipriani Mara , Apollaro Carmine , Basso Daniela , Bazzicalupo Pietro , Bertolino Marco , Bracchi Valentina Alice , Bruno Fabio , Costa Gabriele , Dominici Rocco , Gallo Alessandro , Muzzupappa Maurizio , Rosso Antonietta , Sanfilippo Rossana , Sciuto Francesco , Vespasiano Giovanni , Guido Adriano 
Published: January 2024

Abstract. The coralligenous build-ups located on the Mediterranean shelf in front of Marzamemi (SE Sicily, Italy) represent useful natural examples to use in studying the relationship between skeletal organisms and non-skeletal components in marine bioconstructions. Coralligenous build-ups are formed in open marine systems, and their comparison with coeval bioconstructions (biostalactites) of confined environments, like submarine caves, allows depicting the complex interactions between metazoans and microbial communities in the formations of recent bioconstructions in different Mediterranean settings. In this study, two coralligenous build-ups were characterized in terms of organisms and sediments involved in their formation. The framework mainly consists of coralline algae and subordinate bryozoans and serpulids. Sponges affect the general morphology of the bioconstructions both interacting with skeletonized organisms and through bioerosion activity. The micrite or microcrystalline calcite is present in minor amounts compared to other components that form the build-ups and consists of two types: autochthonous (in situ) and allochthonous (detrital). Fine autochthonous micrite mineralized directly inside the framework cavities and shows aphanitic or peloidal fabric, produced by organomineralization processes of soft sponge tissues and microbial metabolic activity, respectively. The detrital micrite occurring inside cavities derives from external sources or erosion processes of the bioconstructions themselves. This component has been classified as organic or inorganic based on the organic matter contents deduced by UV epifluorescence. A great quantity of sponges live in cavities of the coralligenous build-ups and compete with carbonatogenic bacteria for the same cryptic spaces, limiting the production of microbialites. The sharing of a similar relationship between sponges and microbial communities by coralligenous concretion and biotic crusts of particular submarine caves suggests that this competition is not habitat-specific. On the contrary, it may develop in a range of environmental settings, from open to cryptic systems, and could be used to clarify the role of metazoans vs. microbialites in palaeoecological reconstructions.
Monsoon-driven changes in aeolian and fluvial sediment input to the central Red Sea recorded throughout the last 200 000 years
Authors: Ehrmann Werner , Wilson Paul A. , Arz Helge W. , Schulz Hartmut , Schmiedl Gerhard 
Published: January 2024

Abstract. Climatic and associated hydrological changes controlled the transport processes and composition of the sediments in the central Red Sea during the last ca. 200 kyr. Three different source areas for mineral dust are identified. The dominant source is located in the eastern Sahara (Sudan and southernmost Egypt). We identify its imprint on Red Sea sediments by high smectite and Ti contents, low 87Sr / 86Sr, and high εNd. The availability of deflatable sediments was controlled by the intensity of tropical rainfall and vegetation cover over North Africa linked to the African monsoon. Intense dust input to the Red Sea occurred during arid phases, and low input occurred during humid phases. A second, less significant source indicated by palygorskite input is probably located on the eastern Arabian Peninsula and/or Mesopotamia, while the presence of kaolinite suggests an additional minor dust source in northern Egypt. Our grain size data reflect episodes of fluvial sediment discharge to the central Red Sea and document the variable strength in response to all of the precession-paced insolation maxima during our study interval including both those that were strong enough to trigger sapropel formation in the eastern Mediterranean Sea and those that were not. The African humid period most strongly expressed in our Red Sea record was the one during the Eemian last interglacial at ca. 125 ka (when the Baraka River was far more active than today), followed by those at 198, 108, 84, and 6 ka.
Kecemasan Sosial pada Remaja yang Mengalami Perundungan di Desa Ragajaya
Authors: Novianti Evin , Aminah Insyafiatul , Tobing Duma Lumban 
Published: January 2024

Abstrak
Latar belakang: Kecemasan sosial sebagai faktor yang dapat menyebabkan remaja menarik diri dari pergaulan. Penyebabnya adalah rasa takut yang muncul sebagai dampak perlakuan bullying dari teman sebaya. Tujuan penelitian ini adalah mengetahui gambaran kecemasan sosial pada remaja yang mengalami bullying.
Metode: Penelitian deskriptif melalui survei dengan jumlah sampel 85 responden diambil secara purposive sampling pada remaja dengan pengalaman perundungan di Desa Ragajaya. Pengambilan data dilakukan selama 4 bulan pada tahun 2021 melalui wawancara. Kuesioner yang digunakan yaitu Liebowitz Social Anxiety Scale (LSAS).
Hasil: Hasil penelitian didominasi dengan kecemasan sosial tinggi sebesar 45,9% dan 30,6% adalah kecemasan sedang. Kecemasan sosial lebih banyak dialami oleh perempuan dibandingkan laki-laki. Sumber cemas terbesar adalah karena ketidakcocokan dengan teman akibat perilaku buruk yang diterima sebesar 56,5%.
Kesimpulan: Hal ini menunjukkan bahwa kecemasan sosial pada remaja yang pernah mengalami perundungan cukup tinggi dan perlu ditindaklanjuti. Rekomendasi penelitian bermanfaat bagi perawat jiwa di komunitas dalam memberikan upaya preventif kepada remaja dengan pengalaman bullying.
Kata Kunci: Bullying, Kecemasan Sosial, Remaja

Abstract
Background: Social anxiety is a factor that can cause adolescents to withdraw from society. The reason is the fear that arises as a result of peer bullying. The purpose of this research was to know the description of social anxiety in adolescents who experience bullying.
Methods: Descriptive research through a survey with a total sample of 85 respondents was taken by purposive sampling on adolescents with bullying experiences in Ragajaya Village. Data collection was carried out for 4 months in 2021 through interviews. The questionnaire used is the Liebowitz Social Anxiety Scale (LSAS).
Results: The results of the study were dominated by high social anxiety at 45.9% and 30.6% were moderate anxiety. Social anxiety is experienced more by women than men. The biggest source of anxiety was incompatibility with friends due to bad behavior received by 56.5%.
Conclusion: This showed that social anxiety in adolescents who have experienced bullying was relatively high and needs to be followed up. Research recommendations are useful for psychiatric nurses in the community in providing preventive measures for adolescents with bullying experiences
Keywords: Adolescents, Bullying, Social anxiety