bluuebunny/crossref_metadata_2025_split huggingface dataset:
Traducción al español y análisis de confiabilidad del inventario de estilos de aprendizaje de Vermunt en residentes de pediatría
Authors: Gamboa-Salcedo Tamara , García-Durán Rocío , Peña-Alonso Yolanda Rocío 
Published: February 2024

Introducción: “Estilo de aprendizaje” es la aplicación de un estilo cognitivo, en una situación de aprendizaje determinada. Resulta de la interacción temporal de influencias personales y del contexto. Su identificación resulta fundamental para optimizar el proceso de enseñanzaaprendizaje, pues se ha descrito la necesidad de que exista congruencia entre los estilos de enseñanza y aprendizaje. El Inventario de Estilos de Aprendizaje de Vermunt (IEAV) es una herramienta, que evalúa elementos que no han sido estudiados de manera conjunta. Actualmente no existe un instrumento con características similares, que pueda ser aplicado a la población de habla hispana, pues la mayoría de las herramientas para evaluar los estilos de aprendizaje han sido diseñadas para poblaciones anglosajonas.
Objetivo: Contar con una herramienta la cual posea evidencia de validez, para aplicar en nuestro medio.
Métodos: Para la traducción se siguió la metodología sugerida por Brislin. Se hizo una traducción inicial al español, la revisión gramatical de la versión traducida, una traducción inversa y finalmente, se cotejaron uno por uno los ítems tanto de la versión original como de la traducción inversa. El análisis estadístico fue tanto descriptivo como inferencial.
Resultados: Se obtuvo la versión en español de los 120 reactivos del inventario, el coeficiente α de Cronbach fue de 0.91.
Conclusiones: Las traducciones en diferentes idiomas presentan diferencias lingüísticas y culturales. La globalización educativa, permite el intercambio de herramientas que pueden traducirse y adaptarse al contexto de la población blanco. La traducción de un instrumento de medición, es un paso importante en el proceso de adopción de la herramienta a otra lengua y resulta fundamental, pues la calidad del instrumento traducido será directamente proporcional a la del proceso de traducción y su validación.
Educación médica basada en evidencias: ¿Ser o no ser?
Authors: Sánchez-Mendiola Melchor 
Published: February 2024

Introducción: La práctica de la enseñanza en las ciencias de la salud, requiere incorporar el cuerpo de literatura científica disponible en educación y ciencias sociales. La Educación Médica Basada en Evidencias (EMBE) ha surgido como un movimiento, que propone utilizar la evidencia publicada para informar las decisiones y prácticas educativas, en las instituciones de salud académicas y las escuelas de medicina. Su diseminación e implementación han sido lentas por múltiples razones, es necesario reflexionar sobre sus avances y obstáculos en el escenario actual de la educación médica.Objetivo: Proveer una actualización y reflexión crítica sobre la EMBE.Método: Revisión narrativa de la literatura y ensayo crítico sobre el tema utilizando viñetas educativas. El análisis se estructuró de la siguiente manera: definición e historia de la EMBE, semejanzas y diferencias con la Medicina Basada en videncias (MBE), y los retos y oportunidades actuales.Discusión: El uso de la evidencia publicada en las actividades del ser humano (como la medicina y la educación), está lleno de retos conceptuales y prácticos. Muchos profesionales basan sus decisiones y prácticas educativas principalmente en la experiencia, sin ser conscientes de los enormes avances en el campo de la educación y ciencias sociales ni tomar en cuenta la amplia literatura científica disponible para informar sus actividades de enseñanza y evaluación. Las escuelas de medicina y los hospitales deberían adquirir por lo menos el material profesional básico de educación en ciencias de la salud (libros, revistas, bases de datos), entrenar a sus educadores en la búsqueda de bases de datos sobre educación y en la evaluación crítica de artículos de las ciencias sociales, y promover colaboración interdisciplinaria con académicos de la educación y ciencias sociales entrenados formalmente.
Conclusiones: El enfoque de la EMBE para el desarrollo profesional de la práctica educativa debería integrarse en las iniciativas de mejoría de calidad en las escuelas de medicina e instituciones académicas de salud. La enseñanza reflexiva es esencial para el aprendizaje significativo en las profesiones de la salud.
Descripción y usos del método Delphi en investigaciones del área de la salud
Authors: Varela-Ruiz Margarita , Díaz-Bravo Laura , García Durán Rocío 
Published: February 2024

El presente manuscrito aborda un panorama general de la técnica Delphi, desde su origen hasta las etapas que la integran para lograr la premisa de la misma: llegar a un consenso entre expertos. La dinámica de la técnica gira en torno a una problemática compleja, de ahí se derivan una serie de cuestionamientos que el grupo coordinador va guiando, analizando y supervisando a modo de hacer fluir la información entre el grupo de expertos y el mismo grupo coordinador. Dentro de este proceso surge oportunamente el feedback, elemento importante para lograr establecer un nivel de acuerdo entre los expertos. La técnica favorece la investigación en el área de las ciencias de la salud, pues una de las fortalezas que tiene es no requerir de la presencia de los expertos y la dinámica del manejo de la información se gestiona a través de correo postal o vía internet. En el caso de los expertos del área de las ciencias de la salud, quienes suelen ser de los profesionales con mayor saturación de agendas, por medio del uso de las tecnologías de la comunicación es posible contar con ellos para que formen parte del grupo y contribuyan con juicios y opiniones en pro de la investigación en esta área.
Liderazgo en medicina: ¿debemos enseñarlo y evaluarlo?
Authors: Sánchez-Mendiola Melchor 
Published: February 2024

Introducción: La enseñanza y práctica de las ciencias de la salud se ha convertido en una tarea cada vez más compleja, saturada de retos que requieren habilidades de liderazgo y cambio organizacional. En las últimas décadas la producción académica sobre liderazgo ha tenido una verdadera explosión, y se requiere que los docentes y educandos que viven la formación de recursos humanos sean conscientes de la necesidad de usar esta información en su desarrollo personal.
Objetivo: Proveer un panorama actualizado sobre el liderazgo en medicina y sus implicaciones educativas.
Método: Revisión narrativa de la literatura sobre el tema. Se analizaron los siguientes temas: relevancia del liderazgo en la práctica y enseñanza de la medicina; definición de liderazgo; liderazgo como rasgo vs. proceso; liderazgo asignado vs. emergente; administración vs. liderazgo; enseñanza de liderazgo en el continuo de la educación médica; reflexiones sobre su enseñanza y evaluación.
Discusión: La aplicación apropiada de los conceptos modernos de liderazgo puede ser determinante en los resultados educativos y clínicos de nuestros hospitales y universidades. Existe gran cantidad de literatura académica sobre el tema que puede informar a clínicos y docentes de ciencias de la salud, así como una cuantiosa disponibilidad de actividades educativas sobre el tema, presenciales y en línea. Dos ejemplos fundamentales de la aplicación de este concepto han ocurrido en Canadá y el Reino Unido. La mayoría de los estudios sobre el tema de liderazgo en medicina y en educación médica se han publicado en Norteamérica, es necesario que realicemos investigación original y desarrollo curricular sobre el tema en el contexto nacional y local, sin perder de vista la perspectiva global.
Conclusión: La competencia en liderazgo efectivo debe tomarse en cuenta en la planeación educativa de las escuelas e instituciones de ciencias de la salud.
Effects of diet on the bacterial and eukaryotic microbiota across the gastrointestinal tract of healthy rabbits (Oryctolagus cuniculus)
Authors: Rahic-Seggerman Faith M. , Rosenthal Karen , Miller Craig , Iske Cayla , Graham Jennifer , Schmitz-Esser Stephan , Kohles Micah R. 
Published: February 2024

Abstract

OBJECTIVE
This study aimed to characterize the bacterial and eukaryotic microbiota of the gastrointestinal (GI) tract in domestic rabbits and to evaluate the effect of different diet characteristics, such as pelleting, extrusion, and hay supplementation.

ANIMALS
30 New Zealand White rabbits (15 male and 15 female; 6 to 7 months old) were fed 1 of 6 diets (5 rabbits per diet) for 30 days after an initial acclimation period. At the end of the trial, samples were collected from the stomach, small intestine, cecum, large intestine, and hard feces.

METHODS
The samples were analyzed using 16S rRNA and internal transcribed spacer 1 region-targeted amplicon sequencing.

RESULTS
The bacterial microbiota was distinct between the foregut and hindgut. The most abundant bacterial genera included an unclassified genus in the Bacteroidales order and Alistipes. Candida was the most abundant genus in the eukaryotic dataset. In the bacterial dataset, diet No Hay/Pellet E was shown to have lower diversity (Shannon diversity, P < .05) compared to all diet groups except for No Hay/Pellet M. Few significant differences in alpha-diversity indexes between diet groups were detected in the eukaryotic dataset.

CLINICAL RELEVANCE
Our findings demonstrated that feeding hay had a significant effect on the beta diversity of the bacterial microbiota. Given the prevalence of gastrointestinal disease in the domestic rabbit population, furthering our understanding of what constitutes a healthy rabbit microbiota and the effects of different diets on the microbial community can help veterinarians implement better intervention strategies and allow pet owners to provide the best level of care.
Effectiveness of nurse-led fever, sugar-hyperglycemia, and swallowing bundle care on clinical outcome of patients with stroke at a tertiary care center: A randomized controlled trial
Authors: Sridhar Dinesh , Ramamoorthy Lakshmi , Narayan Sunil K. , Amalnath Deepak , Lalthanthuami H. T. , Ganapathy Sachit , Puliyakkuth Unnikrishnan 
Published: February 2024

Objectives:
Stroke is a medical emergency, the leading cause of death, and a significant cause of disability in developing countries. The primary goals of stroke management focus on reducing disability, which needs prompt treatment in time. Fever, sugar-hyperglycemia, and swallowing (FeSS) bundle are a promising nurse-led composite for reducing disability and death. The present study aims to assess the effect of FeSS bundle care on disability, functional dependency, and death among acute stroke patients.

Materials and Methods:
A randomized controlled trial was conducted among 104 acute stroke patients, who were admitted within the first 48 h of stroke symptoms and had no previous neurological deficits. Randomization was stratified based on gender and type of stroke. The intervention group received FeSS bundle care, which included nurse-led fever and sugar management for the first 72 h, and a swallowing assessment done within the first 24 h or before the first oral meal. A follow-up assessment was done after 90 days to assess the disability, functional dependency, and mortality status using a modified Rankin scale and Barthel index.

Results:
No significant difference was noted in the 90-day disability and functional dependency between the groups. A reduction in mortality was noted in the intervention group. The risk ratio for mortality between groups was 2.143 (95% confidence interval: 0.953–4.820).

Conclusion:
Although no significant reduction in disability, there was a reduction in mortality in the intervention group. Hence, the study suggested the promotion of nurse-led intervention using the FeSS bundle in stroke units.
Synthesis and Study Medical Application of Nanocomposites Based on grafted Chitosan /Polyvinyl alcohol
Authors: Ruwaidah S.Saeed  , Widad Abed Shlaka  , El-Sayed Negim  
Published: February 2024

In the present study, synthesis of bis Schiff base [I, II] by reaction of one mole of terephthalaldehyde with two mole of 2-amino-5-mercapto-1,3,4-thiadiazole or 4-amino benzene thiol in the ethanol absolute, then compounds [I,II] were reacted with Na2CO3 of distilled H2O, then chloroacetic acid was added to yield compounds [III,IV]. O-chitosan derivatives [V,VI] were synthesized by reaction of chitosan with compounds [III,IV] in acidic media in distilled water according to the steps of Fischer. O–chitosan (grafted chitosan) [V,VI] was blended with synthetic polymer polyvinyl alcohol (PVA) to produce polymers [VII,VIII], then these polymers were blended with nano: Gold or Silver by using a hotplate stirrer for 3 hours to produce nanocomposites [IX- XII]. The synthesized polymers were identified using spectral analysis techniques, including FTIR,1H-NMR, and scanning electron microscope (SEM). Molecular docking was studied, where operations are used to predict the binding status of compounds with the enzyme and to calculate the free energy (ΔG) of the prepared compounds. Finally, the study of biological activities was screened via two types of bacteria. Also, the anti-cancer activity against human lung adenocarcinoma cells (A549) was studied and compared with standard cell line [REF(R7540) Rat Embryonic Fibroblasts] of some of the blended polymers and nanocomposites, then the acute toxicity test of some nanocomposites was performed.
Rekontruksi Asesmen Formatif Modul Ajar Teks Deskripsi Bagi Siswa SMP di Era Merdeka Belajar
Authors: Aulia Rifa , Michael Johan Sulistiawan  , Wagiran Wagiran , Deby Luriawati Naryatmojo  
Published: February 2024

Penelitian ini bertujuan untuk merekontruksi asesmen formatif pada soal dan rubrik penilaian dalam modul ajar teks deskripsi. Asesmen formatif memiliki peran penting dalam mengukur kemajuan belajar siswa dalam proses pembelajaran. Penelitian ini menggunakan pendekatan deskriptif kualitatif. Sumber data penelitian ini adalah modul ajar bahasa Indonesia materi teks deskriptif kelas VII. Dapat penelitian berupa butir soal dan rubrik penilaian. Penelitian ini menggunakan metode pengumpulan data berupa teknik baca catat. Teknik analisis data meliputi; tahap reduksi data, penyajian data, dan tahap terakhir yaitu penarikan kesimpulan. Hasilnya menunjukkan bahwa rekonstruksi asesmen formatif dapat meningkatkan efektivitas penilaian siswa dan tujuan pembelajaran yang ingin dicapai. Revisi modul ajar dan instrumen penilaian diperlukan untuk memperbaiki spesifikasi pertanyaan, rubrik penilaian, dan tingkat kognitif yang diinginkan. Oleh karena itu, diperlukan rekonstruksi asesmen formatif pada soal dan rubrik penilaian dalam modul ajar teks deskripsi untuk meningkatkan kualitas penilaian dan pembelajaran bahasa Indonesia.
Advantages of AI for healthcare in developing countries
Authors: Camci Arif , Alperen Aydin  
Published: February 2024

Artificial intelligence (AI) refers to the capacity of computers or computer-controlled machines to undertake tasks typically necessitating human intelligence, encompassing processes such as reasoning, comprehension, generalisation, and learning from previous experiences. Over the past few decades, AI has experienced a significant surge and has witnessed a societal transformation, particularly with the advent of OpenAI's public models. Subsequently, its applications have extended to various domains, including the medical field. Artificial Intelligence has been a game-changer in various fields, and healthcare is no exception. AI can learn how to predict the outcome based on the input data meaning these algorithms can analyse medical images to detect signs of diseases such as cancer or heart disease. For developing countries, the focus often lies more on improving diagnostic capabilities rather than fine-tuning accuracy, given that lack of access to accurate diagnosis is a pressing issue. AI could help bridge this gap by providing faster and more reliable diagnostic support, especially in regions where there is a shortage of healthcare professionals or specialised medical facilities. This prompts the question: "Can AI find utility in healthcare within developing countries struggling with a great demand for doctors, and if so, how dependable and impactful could it potentially be?" We must also consider ethical, privacy, and regulatory aspects while advancing these technologies to ensure responsible and equitable deployment.
Pre and post impact of GST on medicines: Retailers’ perspective
Authors: Malini Ramu , J. Ebanisha  , Veni K. Sorna 
Published: February 2024

GST is known as the Goods and Service Tax levied to improve economic condition of nation. The implementations of GST have impact on the entire sector including the pharmaceutical industries. The GST Rates for medicines were decided by the GST council. GST is levied under 5 different rates, namely NIL, 5%, 12%, 18% and 28% based on the HSN code of the item. The general statement is GST is positively impact on the Indian Pharmaceutical Industries via the four different taxes levied on the medicines and it reduced the cost of production and it helps to business daily operations. Retailers are supplying medicine to the ultimate customers from manufacturers; but the medicine retailers’ survival depends on Government rules and regulation. To trace out the reliability of the statement “GST makes some positive impact and some negative impacts” the researchers have chosen the research area entitled “Pre and Post Impact of GST on Medicines: Retailers’ Perspective”. The researchers to attain the objectives, the primary data collected from 67 retailers by adopting Convenient Sampling method with help of structural questionnaire. Garrett Ranking Techniques has been adopted to prove the result qualitatively as well as quantitatively.
Impulse control disorders and its association to medication use and other associated factors in patients with Parkinson's disease
Authors: Lira Juarez Luisa Guadalupe , Dominguez Garcia Ariadna , Rodriguez Violante Mayela , Cervantes Arriaga Amin , Santiago De La Cruz Elba Citlali , Medrano Delgado Maria de los Angeles Guadalupe , Hernandez Medrano Ana Jimena , Regalado Mustafa Andres Yamil , De La Rosa Patlan Giovanni Elivt 
Published: February 2024

Objectives: Impulse control disorders (ICDs) are behaviors that are performed repeatedly, to the point of interfering with the patient's functionality and daily life, without regard for their consequences and with the sole purpose of obtaining immediate gratification. ICDs have been have been related to dopaminergic treatment. This study analyzes the association of different risk factors for the development of ICD in the Mexican population.
Methods: A cross-sectional study including 244 patients diagnosed with PD was carried out. The data collected were from the year 2021 to 2023. Data were collected through structured interviews including age, gender, year of symptom onset, year of diagnosis, levodopa equivalent dose, antiparkinsonian treatment, and history of smoking and alcohol use was evaluated.
Results: 244 patients with a diagnosis of Parkinson's disease were included, of whom 146 (59.8%) were men and 98 (40.2%) women with a mean age of 63+/-12.10 years. The sample population was divided into two groups, Group 1 were patients with ICD(ICD-PD) (n=35), and Group 2 Non-ICD (n=209). ICD was associated with alcohol use 2.390 (95% CI 0.02 - 1.72).A trend was found for the use of dopamine agonists (p=0.07) No statistically significant difference was found between groups regarding smoking habits, age at diagnosis, age at symptom onset, age, diagnostic delay, and levodopa equivalent doses.
Conclusions: Use of alcohol and agonist dopaminergic were the main associated risk factor after multivariate logistic regression.
Online Shopping and Customer Satisfaction in College–Level Students in Kathmandu Valley
Authors: Manandhar Raju Bhai , Timilsina Jagat 
Published: February 2024

Background: Online shopping is becoming a popular electronic business day by day even in. Consumers can directly buy goods or services through the internet using a web browser when they engage in online shopping.
Objectives: The primary objective of the study is to investigate how factors such as product quality, information accessibility, and shipping costs affect customer satisfaction toward online shopping in Kathmandu Valley.
Methods: The study used an analytical research design. By utilizing a convenience sampling technique, 400 respondents were chosen from college-level students in Kathmandu Valley. The questionnaire survey was used to gather the primary data, which was then analyzed using cross-tabulation, an independent t-test, correlation analysis, and regression to produce the study's findings.
Results: There is an association between information availability, product quality, and shipping cost with customer satisfaction toward online shopping, however, there is a strong association between the information availability and customer satisfaction. Customer satisfaction was highly impacted by the product quality and information availability, whereas it was not affected by the shipping cost. The quality of the product, the availability of information, and customer satisfaction were not impacted by gender; only shipping costs were affected.
Conclusion: In conclusion, the online company needs to provide accurate information about their products and their business to draw potential customers and maintain the standard of websites with up-to-date information to retain regular customers. The company also needs to sell a high standard of its products and services to improve the company’s reputation to fulfill customers’ expectations. The company should also consider providing better service by timely delivering items at low cost. Future researchers will have access to a larger sample size across a variety of geographic concentrations to evaluate customer satisfaction in online shopping together with other independent factors of the general public.
Quarter Life of Crisis in the Millennial Group in terms of Social Comparison and Resilience
Authors: Argasiam Brigitan , Adinda Prabowo Putri Siska 
Published: February 2024

Quarterlife of crisis (QLC) is becoming a new trend for individuals who are confused about their role in society. The demands of social roles and expectations from the environment are increasing as individuals enter more complex stages of adult life. The tendency of QLC is experienced by many millennials today, especially in Semarang City. The conduct of this study aims to analyze the relationship between social comparison and resilience to quarterlife of crisis in the millennial group. The sample criteria used were aged 22-29 years and lived in the city of Semarang with a sample of 105 people. The sampling technique used is purposive sampling. The research instruments were quarterlife crisis scale (α = .898), social comparison scale (α = .859), and resilience scale (α = .943). The data analysis method used was regression analysis of two predictors and product moment correlation with JASP 0.16 software. The results of this study showed R = 0.919; R2 = 0.845 and F = 279.002 (p < .0001) means that social comparison and resilience affect the quarterlife of crisis in the millennial group. The value of the coefficient of determination of social comparison variables and resilience to quarterlife crisis variables was 84.5%. The conclusion of the study is that social comparison and resilience simultaneously affect the quarterlife crisis. The implications of the results of this study are expected to be useful not only for millennials but also parents and the surrounding community in understanding their condition about their readiness to face the future by not giving much "pressure" in the form of stigma / negative labels if they do not meet the expected standards.