bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Effect of Postoperative Pain on Sleep Quality in Patients with Brain Tumor Surgery
Authors: Kocasli Sema , Öner Karaveli Emine , Bal Ercan 
Published: September 2023

This descriptive study investigated the effect of postoperative pain on sleep quality in patients who underwent brain tumor surgery in neurosurgical clinics.The study population consisted of all patients who underwent surgery for a brain tumor between April and October 2022 in the neurosurgical units of a university hospital and a city hospital. The sample consisted of 90 volunteers. Data were collected using a patient information form, the Numerical Rating Scale for Pain (NRS), and the Richards-Campbell Sleep Scale (RCSQ). The data were analyzed using the number, percentage, mean, standard deviation, correlation, and regression analysis. Participants had a mean age of 47.36±16.17 years. Half of the participants were men (50%). Less than half of the participants had a primary school degree (44.4%). Most participants were married (82.2%). Less than half of the participants slept ≥8 hours before hospitalization (43.3%). Most participants had no sleep problems (88.9%) and were not on sleeping pills (98.8%). Participants’ pain scores significantly differed by measurement times (ꭓ2=60.715; p=0.000). They had significantly lower mean second- (4.20±2.58) and third-measurement (3.13±2.36) NRS scores than the first-measurement NRS score (5.57±2.83) in the morning. In the morning, they had a significantly lower mean third-measurement NRS score (3.13±2.36) than the second-measurement NRS score (4.20±2.58). There was a weak negative correlation between the mean first-measurement RCSQ score and the first-measurement NRS (morning) and NRS (evening) scores (p<0.05).There is a negative correlation between sleep quality and pain in patients who underwent surgery for a brain tumor
Impact of Acceptance and Commitment Therapy (ACT) on Medication Adherence of People with Schizophrenia
Authors: Apri Rahma Dewi  , Hamid Achir Yani S , Susanti Herni 
Published: September 2023

Ineffective health management and adherence are the problems of mentally ill patients. Thus, if left untreated, they could create significant disadvantages for clients, their families, the community, and even the government. This case study aimed to identify the effect of Acceptance and Commitment Therapy (ACT) on clients with Ineffective health management and to identify adherence, acceptance, and commitment to the regimen. The research approach used in this study was case study conducted on 5 respondents consisting of mentally ill patients with Ineffective health management. The ACT was given for 4 sessions through two to four meetings. The analyzed clients were measured using MARS (Medication Adherence Rating Scale). After the client was given ACT and nursing intervention, the adherence increased by 71% (14 points), and the acceptance ability and commitment increased to 70% on five clients. Medication adherence, acceptance, and commitment levels were lower in the younger clients, who get stigma and lack of family support. Mentally ill patients given ACT will survive more than others without ACT because they have agreed to stay healthy by taking medication regularly. So, this study recommended ACT to increase the health management of mentally ill patients as the approach to increase adherence and commitment to treatment.
GENOME EDITING FOR EARLY AND LATE FLOWERING IN PLANTS
Authors: IRFAN U , HAIDER MZ , SHAFIQ M , SAMI A , ALI Q 
Published: September 2023

The use of genome editing to change the blooming period of plants has emerged as a valuable approach in contemporary agricultural research. This chapter delves into the complex processes that control early and late flowering in plants and how genome editing techniques such as CRISPR-Cas9 have altered the field. The chapter begins with an overview of the genetic pathways and regulatory networks that determine flowering time and then dives into the vital functions of key genes such as FLOWERING LOCUS T (FT), CONSTANS (CO), and FLOWERING LOCUS C (FLC). The chapter then delves into the many genome editing methods used to modify blooming time, focusing on augmentation and delay. Researchers have improved agricultural productivity, stress tolerance, and adaptation to changing climatic conditions by targeting regulatory genes. Case studies show effective genome editing applications in various plant species, indicating the possibility of crop development with personalized flowering time alterations. The ethical concerns and potential ecological implications of genome-edited plants with changed flowering times are also discussed, highlighting the significance of responsible research and environmental risk assessment. Furthermore, the chapter investigates the challenges and potential paths in the realm of genome editing for modifying flowering times in plants. This includes a comprehensive review of techniques to achieve more precise genetic modifications, strategies for reducing unintended alterations, and establishing regulatory guidelines.
Um conceito específico de corpo para a psicomotricidade
Authors: Rennó Eline Maria Fernandes , Santos Marilane de Cascia Silva , Campos Mariana Perdigão Bello , Martins Melissa Castro Pito 
Published: September 2023

A descoberta neurofisiológica da área cortical psico-motora, em 1870, originou a história da Psicomotricidade. Quando recebeu o status de ciência, em 1960, várias práticas eram conhecidas, baseadas em noções de tonicidade, motricidade, lateralidade, organização de espaço e tempo, coordenação global e fina, ritmo, controle e equilíbrio motor. Considerada a ciência do corpo, no entanto, é uma ciência sem corpo teórico próprio. Com as influências das abordagens neurofisiológicas, psicológicas, psicanalíticas e fenomenológicas, ao longo de sua história, a Psicomotricidade herdou diferentes formas de conceber e intervir no fenômeno psicomotor. Tendo como parâmetro a unicidade do ser humano, tais diferenças levam a constantes paradoxos. É necessário um conceito específico de corpo, fundamentado no princípio da unidade do ser vivo, mais coerente com sua prática, abarcando tais diferenças? Ultrapassar a concepção dicotômica corpo/mente, em direção ao paradigma psicomotor? Revigorar essa ciência, neste momento importante do seu reconhecimento como profissão no Brasil? Diante das transformações que envolvem as subjetividades, atualmente, reconhece-se que há uma ligação entre subjetividade - forma-sujeito; tempo- história; corpo – potência resistente de diferenciação. Subjetividades essas captadas pelos saberes e poderes dos processos de subjetivação. As práticas psicomotoras, ao se voltarem para o corpo, resistem criativamente aos processos de subjetivação historicamente constituídos. Revisaram-se as abordagens clássicas utilizadas pela Psicomotricidade, identificando-se os conceitos de corpo cortical (neurofisiológicas), consciente (psicológicas), erógeno-fantasmático e psicossoma (psicanalíticas) e vivido (fenomenológicas). E as contribuições sobre corporificação da Teoria da Enatividade e de algumas teorias contemporâneas da Neurociência. Na necessidade de um objeto de estudo, sugere-se o conceito de corpo plural, corpo que se transforma, fundamentando as noções originadoras, as teorias clássicas e contemporâneas, utilizadas em diferentes práticas, norteando outras.
Purchase Intention Model Based on Storytelling, Product Innovation, Value Co-Creation, and Empowerment of Farmers in Indonesian Natural Cosmetic Products
Authors: Tilaar Kilala , Mulyana Asep , Komaladewi Rita , Saefullah Kurniawan 
Published: September 2023

Objective: This study aimed to examine and explain the effect of storytelling and product innovation on the purchase intention of cosmetics made from natural ingredients through value co-creation and moderated by farmer empowerment.

Method: The method used is a quantitative approach using Structural Equation Model Partial Least Square (SEM-PLS) models technique on SmartPLS 3.0. The sampling technique used is a non-probability sampling technique, and the respondent was natural cosmetic users in Indonesia.

Results: The results show that storytelling is related to purchase intention and is also related to value co-creation which in the end value co-creation can increase purchase intention. In addition, product innovation can also increase purchase intention and value co-creation, which can escalate purchase intention. Empowerment does not significantly affect purchase intention directly, but the empowerment that moderates storytelling proves to exert a significant influence on purchase intention. Value co-creation significantly mediated the effect of storytelling on purchase intention, and it mediated the effect of product innovation on purchase intention.

Conclusion: New product innovations are proven to have a significant effect on the purchase intention and value co-creation process. Value co-creation is proven to be able to increase purchase intention and also able to mediate storytelling and product innovation to increase purchase intention. Finally, farmer empowerment has been able to provide reinforcement when storytelling seeks to increase purchase intention.
Towards Sustainable Downstream Production: Upstream Innovation and Business Model Development for Low-Graded Ribbed Smoked Sheet Natural Rubber in Thailand
Authors: Chanthes Suteera , Sawangloke Weerasak , Pattiya Adisak , Srithep Yottha 
Published: September 2023

Objective: This study from Thailand examined business model development to help transform low-graded ribbed smoked sheet (RSS) rubber into cow shoe production targeting dairy farming. With the Industry 4.0 concept of the knowledge-based economy in the central focus, the research objective was to examine both the supply and demand sides for developing a practical knowledge-based cow shoe business model.

Methods: This qualitative research adopted the concepts of knowledge-based entrepreneurship (KBE) and Osterwalder's business model canvas to guide the investigative design. It used documentary analysis, in-depth interviews, and a focus group discussion as the data collection instruments. The data analysis technique was a generic interpretive approach allowing the researchers to analyze the data by constructing codes, categories, and result conceptualization based on the underpinning conceptions of KBE and the business model canvas.

Results: This study confirmed cow shoe production as a potential downstream business for rubber production in Thailand with the possibility of KBE characterization of innovation, growth, and competitive advantage. Cow shoes could be sold throughout the year for cattle nourishing routines to ease the pain from hoof and claw trimming. Critical success factors for KBE development in this business included creating production technology transfer networks, promoting financial and knowledge support from rubber promotional authorities and regional universities, and developing a sustainable ecosystem for rubber production to be linked in the value chain with rubber biofuel and cattle farming industries.

Conclusion: Considering that innovative rubber production was often suggested at the policymaking level, this paper has filled the knowledge gap by delivering a novel practical framework, supported by empirical evidence, to promote KBE in cow shoe business development as a sustainable downstream business.
Democratic Leadership of the School Principle in Growing Teacher Professionalism
Authors: Heryanto Deny , Supratno Haris , Sujarwanto  , Roesminingsih Erny 
Published: September 2023

Purpose: Leadership is one of the factors that determine the success of a school. Principals have various references regarding leadership styles. Choosing the right leadership style will encourage teachers to follow the policies set by their superiors to advance the quality of education for their students. The purpose of this study was to describe the democratic leadership style of the principal of Kindergarten Kemala Bhayangkari 13, Kepanjen District, Malang Regency, in fostering teacher professionalism and to see how far the principal's personality supports the democratic leadership style.

Method: The descriptive qualitative technique and case study research design are used in this study, while Participant observation, interviews, and documentation studies were employed to obtain data.

Results: The findings of this investigation revealed: 1. The principal of Kindergarten Kemala Bhayangkari 13 Kepanjen Malang Regency applies a democratic leadership style, which can be seen from six (six) aspects of activities, including: a. The school principal plans a learning program in conformity with the vision and objective of the school; b. The school principal makes decisions jointly based on deliberation; c. The principal manages school resources to produce optimal resources; d. Principals communicate and cooperate harmoniously; e. The principal is able to manage conflicts that occur in schools until they subside; f. The school principal always gives awards for the achievements of his teacher.

Conclusion: The principal of Kindergarten Kemala Bhayangkari 13 Kepanjen has used a democratic leadership style well, as seen from the close relationship between the principal and the teacher which like a big family, so that it can encourage teacher professionalism. This school principal's democratic leadership assessment includes 6 (six) aspects of activity and 5 (five) aspects of personality.
La violencia intrafamiliar durante el confinamiento: experiencias de jóvenes de educación media superior
Authors: Márquez González Mónica , Campos Bedolla Mónica Leticia , García Uribe Ma. Isabel 
Published: September 2023

Este artículo presenta los resultados de una investigación sobre la violencia intrafamiliar llevada a cabo durante el confinamiento por Covid -19 con estudiantes de educación media de una institución pública y una privada del municipio de Querétaro, México. El objetivo es describir las experiencias de violencia intrafamiliar que vivieron los y las jóvenes de este sector durante el tiempo que duró el confinamiento. La descripción de lo que los y las jóvenes expresaron estará acompañada de la teoría de enfoque ecológico de Bronfenbrenner (1987) dado que la violencia intrafamiliar no sólo es un fenómeno de carácter endógeno, sino que es un entramado de varios contextos interconectados entre sí (laboral, social y educativo) y contextualizados en el momento histórico que se vivió y el impacto que provocó en el entorno familiar y en lo personal. Los hallazgos se sustentan en datos empíricos arrojados por encuestas (estudio cuantitativo) y entrevistas semiestructuradas (cualitativo) realizadas a la población participante del estudio, 211 de la preparatoria privada y 217 de la pública, dando un total de 428 estudiantes. El método fue mixto y descriptivo. Desde una mirada ecológica las conclusiones muestran que el confinamiento vino a generar un cambio súbito en el sistema macrosocial que exacerbó las prácticas de violencia en el microsistema familiar observándose sobre todo en las relaciones violentas y la resolución violenta de conflictos, y se objetivizan en la violencia verbal, emocional y física. Siendo la escuela pública la que presenta un mayor porcentaje.
Diseño de una turbina eólica espiral de arquímedes mediante software cad - cae
Authors: Porras Jefferson , Navarrete Luis , Ramírez Jorge , Paredes Sebastián 
Published: September 2023

Para modelar y simular una turbina eólica con éxito, hay que seguir un proceso de diseño detallado esto incluye determinar el tamaño y la forma de las palas del rotor, calcular el par requerido por el generador, seleccionar los materiales adecuados para la construcción el funcionamiento de un aerogenerador de espiral de Arquímedes que ha sido expuesto a fenómenos meteorológicos existentes en el casco urbano. en el cantón Latacunga provincia de Cotopaxi. Utilizando la estación meteorológica se logró determinar la velocidad media del viento en la zona, que es de 3,89 m/s, y la velocidad máxima medida, que es de 9,6 metros por segundo. Se planteó en una primera hipótesis de generar 1 kW de potencia eléctrica con los recursos en el sitio, sin embargo, debido a que la velocidad del viento en el lugar de recolección de datos fue insuficiente para alcanzar dicha potencia. Otra opción era aumentar el diámetro del rotor, pero esto no resultó práctico porque el proyecto estaba enfocado al área urbana. En cambio, se especificaron parámetros de diseño mediante cálculos de generación de energía que permitan aprovechar al máximo la energía cinética. Con la ayuda de estas mediciones, se puede generar una potencia de 33,25 W y 485,73 W, respectivamente, a las velocidades media y máxima medidas, respectivamente. Se requiere una velocidad del viento de al menos 15 m/s para generar la potencia máxima de 1 kW bajo las mismas restricciones de diseño.
El ejercicio físico mejora la calidad de vida de los pacientes con la enfermedad de Parkinson. Revisión Sistemática
Authors: Llerena Karen , Carrasco Jesenia , Pilco Cynthia , Ribes Diana 
Published: September 2023

La enfermedad de Parkinson (EP) es un trastorno progresivo y neurodegenerativo que afecta al estado físico, psicológico, social y funcional de las personas. El ejercicio físico deviene en una alternativa en el control de los síntomas y mejora de la calidad de vida de los pacientes, se utiliza para el tratamiento de algunos de los síntomas motores y no motores. Este estudio se enfoca en delimitar el efecto que tienen en la calidad de vida de los pacientes con la enfermedad de Parkinson las diversas técnicas de rehabilitación con ejercicios físicos, reportadas en la literatura científica seleccionada, mediante la revisión sistemática. Se escogen 20 estudios sobre el tema, constatando en los artículos revisados el empleo y efecto de los ejercicios aeróbicos, los entrenamientos de fuerza y flexibilidad, postura, coordinación y equilibrio; también ejercicios multifacéticos como taichí, yoga y danza, todos en diversas variantes. Las diferentes formas de ejercicio producen disímiles mejoras en la capacidad aeróbica, fuerza, equilibrio, marcha, calidad de vida y mejora funcional en general. Se evidencia que el ejercicio físico revierte síntomas y atenúa la evolución de la EP. Los programas de rehabilitación deben iniciarse precozmente, ser multifacéticos, seguros y divertidos para mantener la adherencia y las estrategias personalizadas deben ser consideradas. Hay cuestiones sin una respuesta aun avalada científicamente por las limitaciones en las investigaciones, entre estas: el tipo de ejercicio más eficaz, frecuencia de realización, intensidad y series de entrenamiento.
Editor’s Welcome
Authors: Guo Joyce , Ju William 
Published: September 2023

Tēnā koutou katoa and welcome to Issue 36 of Te Hautaka o ngā Akongā Rongoā, the New Zealand Medical Student Journal (NZMSJ). The theme of this issue is “Advocacy in Health,” which is crucial in the betterment of the healthcare system for both patients and health professionals. It is our privilege to share with our readers a wide range of insightful and high-quality articles by health care professional students, clinicians, and academics from Aotearoa. Advocacy plays a core role in the realm of healthcare, serving as a powerful catalyst for positive change and improved outcomes on both individual and systemic levels. Healthcare advocacy for the individual involves standing up for the rights, needs, and well-being of patients, ensuring that their voices are heard and their concerns addressed. On a broader scale, advocacy in healthcare contributes to the refinement of healthcare policies, regulations, and services. As providers working on the front lines, health professionals often better identify areas of necessary improvement than policy-makers. Advocacy campaigns and initiatives can shed light on systemic issues, drive policy changes, and influence healthcare regulations that ultimately shape the healthcare experience for everyone. We believe that by holding stakeholders accountable and pushing for transparency, advocacy serves as a counterbalance to potential shortcomings in the healthcare sector. Overall, the significance of ad- vocacy in healthcare extends beyond individual cases, contributing to a more inclusive, patient-centric, and effective healthcare system for entire communities and populations.
The JAK/STAT signalling pathway: Tiny molecules transforming therapeutics
Authors: Men Velia 
Published: September 2023

Why is an understanding of the JAK/STAT signalling pathway important in common skin diseases and how will that knowledge transform therapeutics? From genomes to vaccines, organ transplants to biotechnology, it is fair to say that modern medicine has seen magnificent breakthroughs in the last century. Fundamentally, what has enabled these advancements is an understanding of basic cellular and molecular biology. Among the pivotal discoveries in this field, the Janus kinase/ signal transducer and activator of transcription (JAK/STAT) pathway has emerged as a critical player in some of today’s most debilitating and deadly human diseases, including various cancers, autoimmune disorders, and chronic inflammatory diseases. Now, an understanding of the JAK/STAT pathway has become important in common skin diseases, from predictive biomarkers and disease prognosis to tiny molecules transforming therapeutics.
Do Swiss urologists and Swiss internists screen themselves and their relatives for prostate cancer? A questionnaire study
Authors: Scherer Thomas P. , Saba Karim , Wettstein Marian S. , Lucca Ilaria , Mortezavi Ashkan , Waisbrod Sharon , Aujesky Drahomir , Capaul Regula , Strebel Raeto T. 
Published: September 2023

PURPOSE: Prostate-specific antigen (PSA) screening for men at risk of prostate cancer is controversial. The current recommendation is to raise awareness of prostate cancer and offer PSA screening in accordance with shared decision- making. Whether the possibility of a PSA screen is discussed with the patient depends on the treating physician, but data on physicians’ attitudes towards PSA screening are scarce. This study aimed to examine internists’ and urologists’ personal PSA screening activity as an indicator of their attitude towards PSA screening.
MATERIALS AND METHODS: Members of the Swiss Society of Urology and the Swiss Society of General Internal Medicine were asked in 08/2020 to anonymously complete an online survey about personal PSA screening behaviour for themselves, their fathers, brothers and partners. Categorical and continuous variables were compared by chi-squared tests and t-tests, respectively.
RESULTS: In total, 190/295 (response rate: 64%) urologists and 893/7400 (response rate: 12%) internists participated in the survey. Of the participants, 297/1083 (27.4%) were female. Male urologists >50 years of age screened themselves more often than male internists >50 years of age (89% vs 70%, p <0.05). Furthermore, urologists reported recommending screening statistically significantly more often than internists to their brother, father or partner regardless of their sex (men: 38.1% vs 18.5%; p <0.05; women: 81.8% vs 32.2%; p <0.05).
CONCLUSIONS: Most participating male physicians >50 years of age have screened themselves for prostate cancer. Furthermore, PSA screening of relatives was significantly associated with the urology specialty. The reasons physicians screen themselves substantially more often than the public and why male and female urologists as well as male internists perform PSA screening more frequently in their private environment than female internists should be further examined.