Template-Type: ReDIF-Article 1.0 Author-Name: Vásquez Mayr Author-Name: Silva Galleguillos Author-Name: Ramírez-Pereira Author-Name: Díaz Videla Author-Name: Villamán Guajardo Author-Name: Opazo-Morales Title: Implementation of Good Practice Guidelines for Person- and Family-Centered Care in Primary Health Care in Chile Abstract: Introduction: Person- and family-centered care has become a fundamental pillar of Primary Health Care (PHC), promoting active participation, effective communication, and respect for autonomy. In this context, an implementation experience with the Registered Nurses' Association of Ontario (RNAO) Good Clinical Practice Guidelines (GCPG) was developed in a health center in Chile. Objective: To analyze the experience with the implementation of the GCPG "Person- and Family-Centered Care" at the Dr. Fernando Monckeberg Family Health Center (CESFAM). Methodology: A single-case study design was used. Data were collected through documentary analysis. The process was carried out in three phases, ensuring ethical feasibility and a thorough understanding of the phenomenon. Results: Three key GCPG recommendations were prioritized. Multi-format educational resources, a "Comprehensive Care Card," and a user satisfaction survey were developed. Eighty-two percent of staff were trained, and the survey was administered in 46 % of ECICEP check-ups. Ninety-six percent of respondents positively evaluated the care, with scores of 6 or 7 on a scale of 1 to 7. Discussion: Experience shows that it is possible to implement person-centered strategies in PHC, using evidence-based guidelines adapted to the local context. Challenges were identified, particularly with the coverage of user assessments. Conclusions: the intervention allowed for the integration of person-centered practices in a concrete and measurable way, generating valuable learning for future implementations in similar contexts. Journal: Health Leadership and Quality of Life Pages: 882 Volume: 4 Year: 2025 DOI: 10.56294/hl2025882 Handle: RePEc:dbk:health:v:4:y:2025:i::p:882:id:882 Template-Type: ReDIF-Article 1.0 Author-Name: Espinosa-de Santillana Author-Name: Fuentes-Barría Author-Name: López-Soto Author-Name: Hernández-López Author-Name: Popoca-Hernández Author-Name: Neves-Moutinho Author-Name: Aguilera-Eguía Title: Pilot validation of a digital tool for predicting the risk of temporomandibular disorders: integration of Delphi and ICONIX Abstract: Introduction: Temporomandibular disorders (TMD) are prevalent conditions that often remain underdiagnosed due to limited access to standardized tools. Objective: To conduct a preliminary evaluation of the diagnostic performance of a web-based screening application for TMD, developed as a digital health tool aimed at early detection and support clinical decision-making. Methods: A cross-sectional pilot study was conducted between March and May 2024 at the Department of Clinical Surgery, School of Stomatology, Benemérita Autonomous University of Puebla (Mexico). A convenience sample of 18 undergraduate students (>18 years) completed a 10-item self-administered web questionnaire, designed using the Delphi method and weighed through the ICONIX modeling approach. Clinical evaluation was performed blinded to the application results, using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) as the reference standard. Statistical analysis included descriptive statistics, Student’s t-test, Cohen’s kappa coefficient, and ROC curve analysis. Results: The web application demonstrated promising diagnostic performance, correctly identifying 12 of 13 clinically confirmed TMD cases. Sensitivity was 92.3%, specificity 60%, positive predictive value 85.7%, and overall, diagnostic accuracy 83.3%. The area under the ROC curve (AUC) was 0.762, with a Youden index of 0.52. Cohen’s kappa coefficient was 0.56, indicating a moderate level of agreement between digital classification and clinical diagnosis. No significant differences were observed in mandibular functional variables between groups with and without TMD. Conclusion: This preliminary pilot study suggests that the web-based application is a feasible and moderately accurate tool for syndromic risk stratification of TMD. While the results are encouraging, the small sample size and limited population generalizability highlight the need for future studies with larger and more diverse samples to validate its diagnostic performance. Journal: Health Leadership and Quality of Life Pages: 879 Volume: 4 Year: 2025 DOI: 10.56294/hl2025879 Handle: RePEc:dbk:health:v:4:y:2025:i::p:879:id:879 Template-Type: ReDIF-Article 1.0 Author-Name: Nabihah Manas Author-Name: Rozaimy Ridzuan Author-Name: Syazwani Abd Rahman Author-Name: Redzuan Osman Author-Name: Iqbal Title: Navigating Parental Vaccine Hesitancy in Pahang, Malaysia: Insights into Childhood Vaccination Decisions Abstract: Introduction: vaccine hesitancy among parents is on the rise, with some opting for alternative vaccination schedules, selectively vaccinating their children, or rejecting vaccines altogether. Malaysia has reported 1600 cases of parents refusing to vaccinate their children, an increase from 1500 cases in 2015, with Pahang being one of the states experiencing the highest number of vaccine refusals. Method: a quantitative approach was employed, utilizing surveys to collect and analyze data from 333 parents who have at least one child under the age of 16 in Pahang, Malaysia. Results: the findings revealed that attitude and risk perception negatively influenced vaccine hesitancy, while other factors, such as subjective norms, perceived behavioral control, and safety perception, positively influenced childhood vaccine intention and negatively influenced vaccine hesitancy. Conclusions: these results have important implications for public health initiatives aimed at reducing vaccine hesitancy in Malaysia. Understanding the factors that contribute to parents' decisions can help design targeted interventions that address misconceptions, improve risk perception, and encourage positive attitudes toward vaccination. Journal: Health Leadership and Quality of Life Pages: 877 Volume: 4 Year: 2025 DOI: 10.56294/hl2025877 Handle: RePEc:dbk:health:v:4:y:2025:i::p:877:id:877 Template-Type: ReDIF-Article 1.0 Author-Name: Zúñiga Sosa Author-Name: Chila García Author-Name: Acosta Ganán Title: Hygienic and sanitary conditions in food establishments and their impact on public health Abstract: The research was conducted to evaluate the hygienic and sanitary conditions of food establishments in the Esmeraldas canton. A descriptive, cross-sectional, and observational design was applied to 54 establishments—including restaurants, cafeterias, and street vendors—using a checklist based on national regulations and PAHO good hygiene practices guidelines. The results revealed a heterogeneous scenario: while sectors such as Vía Atacames and Comedores-Las Palmas achieved high levels of compliance in most of the parameters evaluated, locations such as the Municipal Market and Codesa presented critical deficiencies in pest control, sanitary maintenance, and staff health. These aspects are identified as the weakest points and pose the greatest risk to food safety. The statistical analysis confirmed significant differences between sectors, demonstrating that not all establishments face the same challenges. Although product safety and the use of materials and equipment yielded favorable results, deficiencies in staff hygiene and basic infrastructure increased vulnerability to foodborne illnesses. In conclusion, the study showed that, despite the existence of national regulations and technical manuals, their implementation on the ground remains uneven. It highlights the need to strengthen health surveillance, implement periodic training, and replicate good practices from the sectors with the best results, to protect public health and guarantee the right to safe food for the Esmeraldas population. Journal: Health Leadership and Quality of Life Pages: 874 Volume: 4 Year: 2025 DOI: 10.56294/hl2025874 Handle: RePEc:dbk:health:v:4:y:2025:i::p:874:id:874 Template-Type: ReDIF-Article 1.0 Author-Name: Pattnaik Author-Name: Sachdeva Author-Name: Gudur Author-Name: Ishwarya Author-Name: Kaur Author-Name: T Title: Exploring the Potential of Nanoparticles for Targeted Drug Delivery in Cancer Treatment Abstract: Nanoparticles (NPs) are a potential tool for tailored drug delivery in cancer treatment because they can make anti-cancer drugs more effective while reducing their damaging effects on the body as a whole. Cancer cells often have changed physical traits, like the increased permeability and retention (EPR) effect, which makes them perfect candidates for NP-based treatment. This abstract looks at how nanoparticles might be used to make cancer drug administration more precise and effective. It does this by focusing on different types of nanoparticles, how they work, and how they affect treatment results. When nanoparticles are used for specific drug delivery, chemotherapy agents like small molecules, proteins, or nucleic acids are placed inside them. This is called conjugation. It lets drugs be released slowly at the tumor site, where they are most needed. This increases the concentration of the drug at the target while lowering its effects on healthy cells. Different kinds of materials, like lipids, polymers, and artificial substances, can be used to make nanoparticles. Each type has its own benefits. Lipid-based nanoparticles, like liposomes, are biocompatible and can hold hydrophobic drugs. Polymeric nanoparticles, on the other hand, can be changed to release drugs in a specific way and stay in the bloodstream for longer. Inorganic nanoparticles, like gold and silicon nanoparticles, have special qualities, like a lot of surface area for drug loading and the possibility of being used for imaging. One of the best things about nanoparticle-based drug delivery is that it can make drugs more effective at killing cancer cells. Adding targeting ligands to nanoparticles, like antibodies, peptides, or small molecules, makes it possible to precisely target cancer cell surface markers. This makes treatment even more effective while protecting healthy tissues. NPs can also help give more than one healing agent at the same time, like cancer drugs and gene therapies. This makes combination therapies possible, which improve the general success of treatment. Journal: Health Leadership and Quality of Life Pages: 865 Volume: 4 Year: 2025 DOI: 10.56294/hl2025865 Handle: RePEc:dbk:health:v:4:y:2025:i::p:865:id:865 Template-Type: ReDIF-Article 1.0 Author-Name: Wannis Author-Name: Cáceres Author-Name: Patiño Author-Name: Sosa Author-Name: Adela Pérez Author-Name: Jonas Ramos Title: Characterization of metabolic syndrome in medical students at María Auxiliadora University Abstract: Introduction: Metabolic syndrome is a set of conditions that increase the risk of developing cardiovascular disease and type 2 diabetes, and is more prevalent in young populations due to factors such as sedentary lifestyles and poor eating habits. Objective: To describe the characteristics of students with metabolic syndrome. Methods: This is a retrospective cross-sectional descriptive study with a correlational component in medical students at a private university in Paraguay. The sampling was non-probabilistic, included 151 students, and the data collected were processed using Microsoft Excel. The data were obtained through anthropometric and biochemical measurements, and the statistical analyses included correlations and regressions. The ethical aspects of the study were respected, and participants signed an informed consent form. Results: The results showed a statistically significant correlation between BMI and capillary blood glucose (r=0.280, p<0.001) and a strong relationship between BMI and blood pressure (r=0.466, p<0.001). In addition, weight gain was found to be correlated with abdominal circumference (r=0.921, p<0.001). Regression analysis indicated that abdominal circumference and blood glucose levels are important predictors of BMI. Conclusion: The study concludes that it is essential to implement preventive and control programs to address the risk factors for metabolic syndrome in this young population in order to improve the cardiovascular and metabolic health of students. Journal: Health Leadership and Quality of Life Pages: 860 Volume: 4 Year: 2025 DOI: 10.56294/hl2025860 Handle: RePEc:dbk:health:v:4:y:2025:i::p:860:id:860 Template-Type: ReDIF-Article 1.0 Author-Name: Hansraj Patadiya Author-Name: Moharana Author-Name: Singla Author-Name: Sharma Author-Name: Premchandh Author-Name: Gudur Title: Combining Conventional and Complementary Therapies in Integrative Oncology for Cancer Treatment Abstract: To take care of the physical, social, and mental parts of cancer care, integrative oncology blends standard cancer medicines with alternative ones. This multidisciplinary method tries to improve cancer patients' general health by focusing on more than just the disease itself. It also looks at their quality of life and their ability to bounce back from tough times. Conventional cancer treatments, like surgery, chemotherapy, and radiation, try to get rid of all cancer cells. Complementary treatments, like acupuncture, plant medicine, and mindfulness-based practices, try to make it easier to deal with symptoms, lessen side effects, and speed up the healing process. Putting these two types of treatment together has gotten a lot of attention lately because of the growing interest in patient-centered results and balanced care. Conventional treatments can be very harsh and often have serious side effects that can lower the quality of life for patients. These side effects might be lessened by complementary treatments, which may also improve mental health, lower stress, and speed up the body's natural mending processes. Mindfulness-based treatments can also help people deal with the worry and stress that come with being diagnosed with cancer and going through treatment. When you use alternative therapies along with conventional treatments, you need to think carefully about how well they work and how safe they are. More and more study is showing that integrative cancer might be helpful, but it's still hard to standardize methods and find the best ways to combine treatments. Journal: Health Leadership and Quality of Life Pages: 856 Volume: 4 Year: 2025 DOI: 10.56294/hl2025856 Handle: RePEc:dbk:health:v:4:y:2025:i::p:856:id:856 Template-Type: ReDIF-Article 1.0 Author-Name: Aniket Manoli Author-Name: Gudur Author-Name: Khurana Author-Name: Sharma Author-Name: Reddy Title: Comparative Analysis of Chemotherapy and Immunotherapy in Treating Advanced Cancer Abstract: Cancer is still one of the main reasons of death in the world, and treating cancers in their later stages is very hard. Chemotherapy and immunotherapy are the two main ways to treat advanced cancer. They work in different ways and have different benefits and drawbacks. This essay looks at chemotherapy and immunotherapy side by side, comparing how well they work, how safe they are, and how they affect patient results when treating advanced cancers. Chemotherapy is a common treatment that targets cancer cells that divide quickly. This shrinks the growth and stops the disease from getting worse. While chemotherapy has been shown to help some types of cancer, it often comes with serious side effects like weakened immune systems, stomach problems, and hair loss that can make patients' quality of life very bad. Immunotherapy, on the other hand, uses the immune system to find cancer cells and kill them. Immunotherapy, on the other hand, can cause long-lasting recovery by activating immune reactions that target cancer cells, and in some cases, it has fewer side effects. Several methods are used in this method, including immune checkpoint inhibitors, monoclonal antibodies, and cancer medicines. Immunotherapy has shown promise in treating cancers that didn't respond to treatment before, like melanoma, lung cancer, and some types of lymphoma. On the other hand, immunotherapy can cause immune-related side effects like swelling in good organs, which could lead to major problems. This review looks at the most important studies and clinical trials that have compared how well and safely chemotherapy and immunotherapy treat advanced cancer. We look at the rates of reaction, total survival, progression-free survival, and unfavorable events that happen with these different types of treatment. The study also talks about the things that affect the choice of treatment, such as the type of cancer, the patient's health, and their previous treatment history. Journal: Health Leadership and Quality of Life Pages: 855 Volume: 4 Year: 2025 DOI: 10.56294/hl2025855 Handle: RePEc:dbk:health:v:4:y:2025:i::p:855:id:855 Template-Type: ReDIF-Article 1.0 Author-Name: Chandana Author-Name: Gudur Author-Name: Madhukar Zope Author-Name: Das Author-Name: Dev Author-Name: Sahu Title: Advancements in Proton and Carbon Ion Therapy for Precision Radiotherapy of Complex Tumors Abstract: Precision radiation has changed a lot because of progress in proton and carbon ion therapy. This has made it much easier to treat complicated cancers. These particle treatments are becoming more well known for their ability to give highly targeted radiation doses that cause the least amount of damage to healthy tissues while still effectively targeting cancer. As a type of charged particle therapy, proton therapy uses protons instead of regular X-rays to treat cancer. It does this by taking advantage of the way protons are made, especially their Bragg peak, which is where they release their most energy. This makes it possible to deliver the amount more precisely, protecting healthy cells from too much radiation, especially in places that are hard to reach with regular photon-based treatment. Carbon ion treatment is a more advanced type of particle therapy that uses carbon ions, which are heavier than protons and have more mass and energy. These ions give a higher amount of radiation with more accuracy, which makes it more effective at treating tumors that are resistant to radiation, like those in the head, neck, and brain, as well as juvenile cancers. The biological efficiency of carbon ions is higher because they can hurt cells more severely than protons or regular X-rays. This means that they are better at controlling tumors in many therapeutic situations. Advanced technologies like synchrotrons and cyclotrons have made proton and carbon ion therapy more widely available. This means that patients can get these treatments more easily. Adding high-tech imaging methods like MRI and CT scans has also made these medicines more accurate, letting doctors watch patients in real time and change their treatment plans as needed. Using these technologies along with particle therapy has led to better treatment results, especially for tumors that are complicated and close to important structures. Journal: Health Leadership and Quality of Life Pages: 850 Volume: 4 Year: 2025 DOI: 10.56294/hl2025850 Handle: RePEc:dbk:health:v:4:y:2025:i::p:850:id:850 Template-Type: ReDIF-Article 1.0 Author-Name: Lucero Baldevenites Author-Name: Bracho-Fuenmayor Author-Name: Manosalvas-Vaca Author-Name: Santos Quintero Author-Name: Castellanos Muñoz Title: Adaptive leadership in health crises: lessons from the COVID-19 pandemic for public health systems Abstract: Introduction: The COVID-19 pandemic highlighted the rigidity of traditional leadership models in healthcare systems, underscoring the need for adaptive approaches to manage health crises. These models, based on fixed protocols, proved insufficient in dynamic environments with increasing demands, sparking interest in exploring adaptive leadership as an alternative. Objective: To analyze the role of adaptive leadership in the resilience of healthcare systems during health crises. Methodology: A scoping review was conducted of literature published between 2020 and 2025 in Scopus, Web of Science, and PAHO-IRIS. Thirty studies addressing the practical application of adaptive leadership in health crises were selected, with an emphasis on low- and middle-income countries. Qualitative analysis focused on geographic context, type of crisis, leadership strategies, and key findings. Results: Adaptive leadership proved crucial for systemic resilience, with competencies such as cognitive flexibility, strategic empathy, and innovation. Hybrid patterns combining hierarchy and collaboration were identified as effective in uncertain environments. Resource-limited settings stood out for disruptive solutions and a stronger emphasis on emotional intelligence. However, gaps in training and a lack of standardized indicators to assess adaptive competencies persist. Conclusions: Adaptive leadership is essential for managing health crises, but its implementation requires flexible frameworks and training focused on emotional and collaborative skills. Integrating these approaches into public health curricula and developing metrics to evaluate their impact on institutional resilience is recommended. Journal: Health Leadership and Quality of Life Pages: 846 Volume: 4 Year: 2025 DOI: 10.56294/hl2025846 Handle: RePEc:dbk:health:v:4:y:2025:i::p:846:id:846 Template-Type: ReDIF-Article 1.0 Author-Name: Gudur Author-Name: S Author-Name: Mishra Author-Name: Arora Author-Name: Farhan Author-Name: Priya Vijayan Author-Name: Singh Title: Balancing Tumor Control and Protecting Healthy Tissue in Radiotherapy Dosage Optimization Abstract: Radiotherapy is an important part of treating cancer because it stops tumors from growing while hurting good cells around them as little as possible. The treatment goal is to give enough radiation to effectively target and kill cancer cells while saving normal tissue from harmful side effects. Optimizing the dose of radiation is a key part of achieving this careful balance. This paper talks about the ideas, problems, and progress made in figuring out the best radiation doses to kill tumors and protect good tissue at the same time. In the past, radiation treatment doses were set by regular guidelines that took into account things like the type, size, and position of the growth. But these methods don't always take into account how different patients' bodies are, how the tumor's environment changes, or how healthy cells change when they are exposed to radiation. To fix this, individual treatment planning, made possible by improvements in imaging methods such as functional MRI and PET scans, is becoming more and more important for finding the best dose. These tools give us a more complete picture of the tumor's location and biology in real time, which can help us apply radiation more precisely. New methods, like intensity-modulated radiotherapy (IMRT), proton treatment, and stereotactic body radiotherapy (SBRT), have made dose distribution more accurate. This means that bigger amounts can be sent to tumors while exposing healthy tissue nearby less. Biological models and dose-painting techniques are also becoming more popular. In these methods, the radiation dose is changed in different parts of the tumor based on how different they are, which makes the treatment even more effective. Even with these improvements, one of the biggest problems still is finding the best balance between the competing goals of controlling tumors and keeping healthy organs safe. Journal: Health Leadership and Quality of Life Pages: 824 Volume: 4 Year: 2025 DOI: 10.56294/hl2025824 Handle: RePEc:dbk:health:v:4:y:2025:i::p:824:id:824 Template-Type: ReDIF-Article 1.0 Author-Name: Kyrykbayev Title: Effect of Vitreoretinal Surgery Combined with Platelet-Rich Plasma on the Quality of Life of Patients with Macular Hole Abstract: Introduction: this study evaluates the impact of pars plana vitrectomy (PPV) combined with internal limiting membrane (ILM) peeling and platelet-rich plasma (PRP) application on anatomical, functional, and quality-of-life (QoL) outcomes in patients with macular holes. Method: prospective cohort study. Tertiary eye care center, January 2021 to December 2023. A total of 155 patients underwent PPV with ILM peeling and PRP. Visual acuity (logMAR), macular hole closure, and QoL were assessed pre- and postoperatively. QoL evaluation used a localized adaptation of the NEI VFQ-25 questionnaire. Anatomical outcomes were measured by Optical Coherence Tomography (OCT). Results: the mean age was 65,90 ± 8,84 years; 38 % were female. The closure rate was 94 %. Visual acuity improved significantly, with average logMAR improving from 0,7 to 0,3 (p < 0,001). QoL scores improved across all domains: visual functioning increased from 55.3 to 85.7, daily activities from 48,2 to 80,4, and psychological well-being from 50,1 to 82,9. Patients reported greater independence and improved ability in activities like reading, recognizing faces, and participating in sports. Conclusion: PPV with ILM peeling and PRP is highly effective for macular holes, yielding strong anatomical and functional outcomes alongside significant QoL enhancements. Journal: Health Leadership and Quality of Life Pages: 820 Volume: 4 Year: 2025 DOI: 10.56294/hl2025820 Handle: RePEc:dbk:health:v:4:y:2025:i::p:820:id:820 Template-Type: ReDIF-Article 1.0 Author-Name: Patel Author-Name: Sharma Author-Name: Bansal Author-Name: Raju Author-Name: Chanania Author-Name: Laddad Title: Exploring Glycogen Processing Enzymes in Trichomonas vaginalis: Cloning,Characterization and Implications for Carbohydrate Metabolism and CervicalCancer Risk Abstract: Trichomonas vaginalis, often known as T. vaginalis, is a protozoan that causes trichomoniasis, a prevalent sexually transmitted disease (STD) and a serious human pathogen. Glycogen is a branching polymer of glucose that the individual has been identified to accumulate for an elongated instance and then use when carbohydrates are insufficient. The crucial enzymes involved in glycogen production and investigate; Trichomonas vaginalis glycogen (TVG) syntheses and glycogen phosphorylase were considered. Research found that their regulatory features were different from known enzymes in animals and fungi. Bacterial recombinant synthesis of the open reading frames (ORF) TVAG 276310 produced proteins exhibiting branch and de-branch activity. Specifically, transgenic TVAG_276310 shows a preference for polysaccharides with long outside branches, which can include a substance and amylose undergrowth. Three proteins encompassed in the glucosidase formulation were identified by fluid chromatography and tandem mass spectrometry. The most notable was a putative-amylase, encoded by the TVAG_080000 ORF. Glycogen increase and branching were standardized after transgenic production of yeast cells devoid of enzyme movement that branches or de-branch glycogen. Journal: Health Leadership and Quality of Life Pages: 776 Volume: 4 Year: 2025 DOI: 10.56294/hl2025776 Handle: RePEc:dbk:health:v:4:y:2025:i::p:776:id:776 Template-Type: ReDIF-Article 1.0 Author-Name: Alosaimi Author-Name: Jena Author-Name: Katyal Author-Name: Patel Author-Name: Singh Author-Name: Lavanya Title: Understanding the Relationship between Metabolome and Gut Microbiome inAcute Obstructive Pulmonary Disease and development of lung cancer risks Abstract: The gut-lung axis links dysbiosis of the gut microbiota to bronchiectasis. Gaining knowledge of the metabolic and microbiological changes can help one understand how a disease develops. To investigate at how the metabolome, gut microbiota, and bronchiectasis are related, and to find possible biomarkers for the diagnosis and treatment of disease was the aim of this research. 150 participants' fecal samples (42 Healthy Controls (HC), 48 Stable Patients (SP), and 60 Acute Exacerbation (AE)) were examined using LC-MS-based metabolomics and 16S rRNA sequencing. For statistical analysis, SPSS 19.0 were utilized, along with Pearson's correlation and LDA effect size (LEfSe). Microorganism diversity was reduced in bronchiectasis patients, with firmicutes and Bacteroidetes being less prevalent. There were changes in several metabolic pathways, such as the metabolism of glycerophospholipids, sphingolipids, purines, and tryptophan. Research emphasizes that the pathophysiology of bronchiectasis is influenced by the gut flora. The significance of more longitudinal research is highlighted by the potential diagnostic and therapeutic targets provided by identified microbial and metabolic biomarkers. Journal: Health Leadership and Quality of Life Pages: 775 Volume: 4 Year: 2025 DOI: 10.56294/hl2025775 Handle: RePEc:dbk:health:v:4:y:2025:i::p:775:id:775 Template-Type: ReDIF-Article 1.0 Author-Name: Xaviour Selvaraj Author-Name: Cushpa Guamán Author-Name: Singh Author-Name: Minhas Author-Name: Sruthi Author-Name: Agrawala Title: The Role of Nanoparticles in Wound Healing: Synthesis, Characterization, and Mechanisms of Action Abstract: As a consequence of its distinctive functioning and diverse set of uses, nanotechnology is a discipline that is expanding quickly. To prevent, cure, diagnose, and control illness, nanomedicine examines the potential applications of nanotechnology knowledge and techniques. Silver nanoparticles with a length between 1 to 100 mm are thought to be the most important in this aspect because of their exceptional property, ability that form different nanostructures, incredible group for antibacterial effects, the space for wound healing and other beneficial ability, and efficiency in production. Research analysis the different biological, chemical, and physical techniques for nanoparticles development are explored. The techniques to employ silver nanoparticles as antibacterial substances, anticancer, in dentistry and bone healing promoter, in wound healing supporters are presented. Research examines the purpose of silver nanoparticles in medical therapies and illness management by examining their method of accomplishment, synthesis techniques characterization. Journal: Health Leadership and Quality of Life Pages: 774 Volume: 4 Year: 2025 DOI: 10.56294/hl2025774 Handle: RePEc:dbk:health:v:4:y:2025:i::p:774:id:774 Template-Type: ReDIF-Article 1.0 Author-Name: Sil Author-Name: Debnath Author-Name: Surjya Author-Name: Suri Author-Name: Sairam Author-Name: Samrat Title: A Critical Analysis of Biomarkers and Diagnostics Strategies for Alzheimer's Syndrome Abstract: These analyses assess the early recognition and prediction of Alzheimer's disease (AD) by investigative biomarkers in the prodromal and transitional stages. The traditional diagnostic technique often fails to detect subtle cognitive modifications in the early stages, which leads to delayed interference and behavior. Data were gathered from 350 participants diagnosed with mild cognitive impairment (MCI), including cerebrospinal fluid (CSF) biomarker levels, neuroimaging scans, and clinical assessment. The research employs three Statistical analyses, using IBM SPSS Statistics version 30 including analyze the predictive validity of these biomarkers: regression analysis, and survival analysis. Regression analysis exposed a strong relationship between tau protein levels and the expansion from MCI to AD, with a coefficient of determination, representative of the power of CSF biomarkers in predicting AD onset. Survival analysis using Kaplan-Meier curves showed that participants with elevated amyloid plaque accumulation had a considerably higher risk of transitioning to AD. The researches underscore the limitations of the traditional diagnostic approach and emphasizes the importance of integrating other statistical method to improve early diagnosis. These findings suggest that refined statistical frameworks are crucial for enhancing the accuracy of AD diagnosis and advancing targeted treatment strategy. Journal: Health Leadership and Quality of Life Pages: 773 Volume: 4 Year: 2025 DOI: 10.56294/hl2025773 Handle: RePEc:dbk:health:v:4:y:2025:i::p:773:id:773 Template-Type: ReDIF-Article 1.0 Author-Name: Caiza Asitimbay Author-Name: Kapoor Author-Name: Maqsood Author-Name: Reddy Author-Name: Sahoo Author-Name: Aggarwal Title: An Examination of the Application of Cannabis in Therapeutic Use for Parkinson's syndrome Abstract: The consequences of cannabis usage on Multiple Sclerosis (MS) and Parkinson's disease (PD) are still substantially uncertain despite recognizing that Cannabis was used for thousands of years as a medication. The evaluation of cannabis usage PD and MS, and a comparison of cannabis users' and non-users' self-reported assessments of neurological impairment were primary goals of this research. The survey contained standardized questions to collect information on demographics and Cannabis use questionnaires to evaluate participants' physical activity levels, neurological function, and weariness. Linear regression, Hierarchical Regression, and ANCOVA analysis of variance were employed in research. Were 900 respondents in a final data set. Cannabis consumers today were younger and less inclined to be considered fat. Regarding Emotional Variability, Cognitive Function, and Fatigue, cannabis users reported decreased degrees of disability. Cannabis may benefit PD and MS patients' Emotional Variability, Cognitive Function, Fatigue, and Physiological Weight. PD and MS patients' cannabis use: long-term advantages and downsides, and determining if these relationships are causal, more research is required to utilize longitudinally and clinically measured assessments among these domains. Journal: Health Leadership and Quality of Life Pages: 772 Volume: 4 Year: 2025 DOI: 10.56294/hl2025772 Handle: RePEc:dbk:health:v:4:y:2025:i::p:772:id:772 Template-Type: ReDIF-Article 1.0 Author-Name: A. Mansur Author-Name: Ahmad Author-Name: Nara Author-Name: Akmal Ibrahim Author-Name: Sangkala Author-Name: Yusran Amir Title: Research Trends on Primary Healthcare Integration: A Bibliometric Analysis Abstract: Introduction: integrating primary health care services is a key focus in strengthening global health systems, particularly achieving universal health coverage (UHC). This study aims to analyze trends in scientific publications related to integrating primary healthcare services using bibliometric analysis. Method: articles were searched using the Scopus database. Mendeley and OpenRefine software were used to clean and cluster keywords. Data analysis was conducted using VOSviewer and Biblioshiny software to identify publication trends, citation trends, keyword analysis, authors, inter-researcher collaboration, and affiliations. The database search yielded 130 articles from 1994 to April 2025. Results: a significant increase in the number of publications began in 2014, peaking in 2024. The average number of citations was approximately 13,81 citations per document. Co-occurrence network analysis identified three keyword clusters: the red cluster focused on operational aspects and service challenges, the blue cluster focused on organizational capacity and support systems, and the green cluster focused on collaborative strategies and holistic approaches. "Primary healthcare integration" is the central topic connected to various keywords in the three clusters. The total number of authors is 676, with an average of 5–6 authors per article. Affiliations and publication sources are predominantly from the United States. International collaboration continues to grow, but there remains a gap in research contributions from developing countries, particularly in Africa and Asia Conclusions: this study highlights the importance of global collaboration and research capacity development in countries that are developing primary healthcare systems. Journal: Health Leadership and Quality of Life Pages: 765 Volume: 4 Year: 2025 DOI: 10.56294/hl2025765 Handle: RePEc:dbk:health:v:4:y:2025:i::p:765:id:765 Template-Type: ReDIF-Article 1.0 Author-Name: Rosalina Author-Name: Amran Author-Name: Yuliana Author-Name: Surya Mentari Author-Name: Oktarina Author-Name: Fadillah Title: Bioactive Compound Composition in Tea Varieties and Gambir for Biomedical Potential Abstract: A comparative study of Tea Varieties (Green Tea, black tea) and Gambir sourced from Indonesia is crucial for understanding their potential as natural therapeutic agents. This research aimed to analyze and compare the moisture, ash, catechin, and tannin content of these three plant-based products. The study employed a quantitative descriptive method, with data analysis conducted using the One-Way Analysis of Variance (ANOVA) to assess significant differences between the samples. The primary sources of information were laboratory measurements. The results show significant variations in all tested parameters. Gambir had the highest catechin and tannin content, at 11.51 mg/g and 6.50 mg/g, respectively, surpassing both green tea and black tea. Green tea exhibited the highest moisture and ash content, while gambir had the lowest. The findings highlight the unique chemical profile of each plant, with gambir's high catechin concentration making it a valuable, yet underutilized, source for therapeutic applications. The distinct chemical and physical profiles of these plants underscore the importance of standardized quality control measures to ensure their consistency and efficacy. This research provides a crucial foundation for the development of standardized herbal products and supports future investigation into the biomedical potential of these indigenous Indonesian resources. This study, through a comprehensive comparative analysis of green tea, black tea, and gambir, confirms their distinct chemical compositions. These findings serve as a valuable resource for future research aimed at isolating specific Bioactive Compounds and exploring their mechanisms of action in various disease models. Journal: Health Leadership and Quality of Life Pages: 761 Volume: 4 Year: 2025 DOI: 10.56294/hl2025761 Handle: RePEc:dbk:health:v:4:y:2025:i::p:761:id:761 Template-Type: ReDIF-Article 1.0 Author-Name: Ávila Rivas Author-Name: Regalado Herrera Author-Name: González Cano Author-Name: Padilla Urrea Author-Name: Cabrera Olvera Author-Name: Barragán Sánchez Author-Name: Arias Salvador Author-Name: Figueroa Andrade Title: Nurse attitude in ontological care to critical patients with human immunodeficiency virus Abstract: Introduction: the ontological care to critical patients with HIV, is a specific problem that addresses the way in which nursing professionals manage, provide and deliver care, which give answers to the care needs of patients facing the complexity of living with this disease. Method: qualitative research, with phenomenological design, 12 nurses from both private and public Intensive Care Units in Ecuador participated, obtained by convenience sampling, to whom semi-structured interviews were applied, for the analysis the Colaizzi model was followed, complementing it with the implementation of Atlas software. Ti Results: 6 categories emerged: 1. Nursing care to HIV patients in ICU from an ontological viewpoint; 2. Technique, action and effect that stand out in the care of HIV patients in an ICU; 3. Nursing competencies to provide quality care to critical patients with HIV; 6. Nurses' attitude towards health prognosis reserved in the care of critical patients. Conclusion: the care of HIV patients in critical care services continues to be a paradigm for health professionals, which makes it necessary for staff to have cognitive, attitudinal and procedural skills to ensure the safety and quality of care. Journal: Health Leadership and Quality of Life Pages: 759 Volume: 4 Year: 2025 DOI: 10.56294/hl2025759 Handle: RePEc:dbk:health:v:4:y:2025:i::p:759:id:759 Template-Type: ReDIF-Article 1.0 Author-Name: Nawanksari Author-Name: Komarudin Author-Name: Satia Graha Author-Name: Ulina Tarigan Author-Name: Md Kassim Title: The role of interpersonal skills and massage therapist competence on service quality: the mediating role of customer satisfaction Abstract: Customer satisfaction is a fundamental determinant of sustainability and competitiveness in the spa industry. Interpersonal skills and therapist competence are key factors influencing both the emotional experience of clients and their assessment of service quality. However, therapists often face challenges such as limited communication skills, inconsistent massage techniques, and a lack of professionalism, which may reduce satisfaction and loyalty while weakening the industry’s image. This study aims to examine the influence of interpersonal skills and therapist competence on service quality, with customer satisfaction serving as a mediating variable. A quantitative ex-post facto design was applied with a sample of 100 respondents, comprising 50 certified spa therapists and 50 spa customers in Yogyakarta, selected through probabilistic random sampling. Data were collected using an online questionnaire with a four-point Likert scale. The instrument was tested for validity and reliability, and data analysis was performed using Structural Equation Modeling (SEM) with SmartPLS 3 to evaluate variable relationships and mediation effects. The results indicate that both interpersonal skills and therapist competence significantly affect customer satisfaction. Therapist competence also directly influences service quality, whereas interpersonal skills do not. Furthermore, customer satisfaction functions as a significant mediator linking both interpersonal skills and therapist competence to service quality. This study highlights the importance of improving therapist competence in parallel with strengthening interpersonal skills to enhance customer satisfaction and overall service quality. The findings contribute practically to the development of standardized spa services and theoretically by integrating service management and wellness perspectives. Journal: Health Leadership and Quality of Life Pages: 760 Volume: 4 Year: 2025 DOI: 10.56294/hl2025760 Handle: RePEc:dbk:health:v:4:y:2025:i::p:760:id:760 Template-Type: ReDIF-Article 1.0 Author-Name: Khorida Author-Name: Hasballah Author-Name: Meliala Author-Name: Nurjannah Title: Who should lead in healthcare: Are doctors still the best fit?: A qualitative study in Indonesia Abstract: Introduction: The medical profession has traditionally dominated leadership in healthcare facilities. However, fewer doctors have shown interest in leadership roles in recent years. Objective: to analyze the perspectives on the role of doctors in healthcare leadership in Indonesia. Methods: a qualitative study involved 49 participants, both civil and non‑civil servant health leaders from 31 government institutions in Aceh, Indonesia. Data were collected through in‑depth interviews and FGDs, and were analyzed thematically using NVivo version 12. Results: the study identified five key themes, including physician engagement in leadership, the significance of physician leadership, distinctive traits, leadership development, and the criteria for an ideal healthcare leader. Conclusions: This study analyzed healthcare leadership from medical and non-medical perspectives in Indonesia. It highlights the critical yet underexplored role of physician leadership, provides culturally grounded insights, and contributes to the discourse on strengthening leadership capacity in low- and middle-income health systems. Journal: Health Leadership and Quality of Life Pages: 757 Volume: 4 Year: 2025 DOI: 10.56294/hl2025757 Handle: RePEc:dbk:health:v:4:y:2025:i::p:757:id:757 Template-Type: ReDIF-Article 1.0 Author-Name: Alba-Leonel Author-Name: Mejía Argueta Author-Name: Papaqui-Alba Author-Name: Sánchez-Ahedo Author-Name: Papaqui-Hernández Title: Ethical dilemmas of health misinformation and the importance of scientific dissemination Abstract: Introduction: Health misinformation represents an increasing ethical challenge in the digital age, as it affects individual and collective decision-making, undermining public health and trust in science. In this context, scientific dissemination becomes a strategic tool to counter the spread of false or misleading information. Objective: To analyze the ethical dilemmas derived from health misinformation and highlight the importance of scientific communication as a mitigation strategy. Methods: A systematic literature review was conducted using the PRISMA 2020 methodology. The search included databases such as PubMed, SciELO, Medline, Embase, Cochrane, and Google Scholar, complemented by generative artificial intelligence tools (e.g., ChatGPT-4, Gemini). Studies published between 2020 and 2025 in English and Spanish were considered. Results: A total of 896 documents were identified, of which 50 met the inclusion criteria. The analysis revealed the ethical impact of misinformation in health, such as the erosion of public trust, harmful decision-making, stigmatization, and political manipulation. Scientific dissemination was identified as a key strategy to foster education, critical thinking, media literacy, and community engagement. Journal: Health Leadership and Quality of Life Pages: 756 Volume: 4 Year: 2025 DOI: 10.56294/hl2025756 Handle: RePEc:dbk:health:v:4:y:2025:i::p:756:id:756 Template-Type: ReDIF-Article 1.0 Author-Name: Villarreal-Mata Author-Name: Gutiérrez-Barrera Author-Name: Candia-Arredondo Author-Name: Tirado-Reyes Author-Name: Ramírez-Sánchez Author-Name: Noh-Moo Title: Relationship between emotional intelligence and health personnel attitudes toward hospitalized patients with addictions Abstract: Introduction: health personnel's attitudes toward patients with substance use disorders can influence the quality of care provided. Emotional intelligence has been shown to be a key factor in providing empathetic and stigma-free care in clinical settings. Objective: to analyze the relationship between emotional intelligence and health personnel's attitudes toward hospitalized patients who use alcohol or drugs. Methods: an observational study was conducted with 286 health professionals working in a tertiary level hospital. Data were collected using the Emotional Intelligence Scale (TMMS-24), the Alcohol Problem Perception Questionnaire (AAPPQ), and the Drug Problem Perception Questionnaire (DDPPQ). Spearman's test analysis was performed. Results: relationship was identified between emotional intelligence and attitudes toward patients with alcohol use problems (r = 0,248, p < 0,01), but not toward patients with drug use problems (r = 0,097, p > 0,05). Emotional clarity and repair, as dimensions of emotional intelligence, correlated with positive attitudes of healthcare personnel toward both groups of patients (p < 0,01). Conclusions: it is suggested that training programs be developed to promote the strengthening of emotional intelligence to reduce negative attitudes and stigma in the hospital setting when faced with people requiring medical care for problems caused by alcohol and drug use. Journal: Health Leadership and Quality of Life Pages: 752 Volume: 4 Year: 2025 DOI: 10.56294/hl2025752 Handle: RePEc:dbk:health:v:4:y:2025:i::p:752:id:752 Template-Type: ReDIF-Article 1.0 Author-Name: Dewi Tarini Author-Name: Yunitasari Author-Name: Krisnana Title: Maternal, Knowledge, and Cultural Factors Affecting Primigravida Readiness for Early Initiation of Breastfeeding in Buleleng Regency, Bali Abstract: Introduction: Early initiation of breastfeeding (EIBF) is a crucial step in ensuring the continuation of exclusive breastfeeding for six months. A newborn’s ability to independently reach the mother’s nipple and begin suckling within the first hour after birth is a key indicator that must be observed by every birth attendant. Several studies have indicated that maternal factors, knowledge, and cultural practices can influence the success of EIBF. This study aims to examine the maternal, knowledge, and cultural factors associated with the readiness of primigravida mothers to perform EIBF in the Buleleng Regency, Bali. Methods: This is a quantitative study using an analytical observational method with a cross-sectional approach. The study population included all third-trimester primigravida mothers who visited primary healthcare facilities in the Buleleng Regency. A total of 110 respondents were selected using multistage random sampling. Data collection was conducted from February to March 2025 using a structured questionnaire and analyzed using SPSS software. Due to non-normal data distribution, the relationship between variables was tested using Spearman’s Rank Correlation at a significance level of p<0,05 to assess the correlation between maternal, knowledge, and cultural factors and primigravida mothers’ readiness to perform EIBF. Results: There was a significant correlation between educational background (r=0,482), antenatal care visits (r=0,947), knowledge (r=0,721), and cultural factors (r=-0,713) with readiness to perform EIBF, with p=0,000. Conclusion: These findings emphasize the need for culturally sensitive health education and community-based interventions that support first-time mothers in adopting early breastfeeding practices. Journal: Health Leadership and Quality of Life Pages: 746 Volume: 4 Year: 2025 DOI: 10.56294/hl2025746 Handle: RePEc:dbk:health:v:4:y:2025:i::p:746:id:746 Template-Type: ReDIF-Article 1.0 Author-Name: Arifin Author-Name: Nazeli Author-Name: Samad Author-Name: Akbar Author-Name: Pasinringi Title: Trends and Insights in Global Hospital Quality of Care Research: Implications for Health Leadership and Service Improvement Abstract: Introduction: improving healthcare quality has become a global priority, yet a comprehensive analysis of hospital healthcare quality research over the past two decades is still missing. This study aims to comprehensively analyze the global research landscape on hospital healthcare quality over the past two decades through a bibliometric approach. Specifically, it seeks to identify publication trends, geographic distribution, collaboration patterns, key thematic clusters, and evolving research priorities, while highlighting existing gaps and potential future directions in hospital healthcare quality research. Methods: this study examine the development of this field through a bibliometric analysis of 836 publications from the Scopus database (2004–2025), using OpenRefine, Bibliometrix, VOSviewer, and Tableau. Results: the analysis reveals a steady annual publication growth rate of 2.7 and a dominant contribution from the United States (45.5%). International collaboration remains limited (13.4%), with most research originating from academic institutions. Keyword co-occurrence analysis identified three major research clusters: conceptual-managerial frameworks, methodological-epidemiological approaches, and specific patient safety indicators. Over time, the focus of research has shifted from clinical complications to quality frameworks and patient-centered systems. Key gaps include uneven geographic representation, limited global validation of quality indicators, minimal integration of patient perspectives, and difficulty in measuring qualitative aspects of hospital care. Conclusions: future research will likely focus on digital technologies, artificial intelligence, value-based care, and equity-oriented system approaches. This study offers a foundational overview of the field’s evolution and highlights areas for future investigation. Journal: Health Leadership and Quality of Life Pages: 745 Volume: 4 Year: 2025 DOI: 10.56294/hl2025745 Handle: RePEc:dbk:health:v:4:y:2025:i::p:745:id:745 Template-Type: ReDIF-Article 1.0 Author-Name: Ayu Mirayanti Author-Name: Citrawati Author-Name: Purwanti Author-Name: Yuni Lestari Author-Name: Intan Saraswati Author-Name: Fairuz Abadi Author-Name: Prihatiningsih Author-Name: Muliawati Author-Name: Satya Laksmi Author-Name: Suniyadewi Author-Name: Ayu Resiyanthi Author-Name: Merna Eka Sari Author-Name: Dewi Puspawati Title: Factors Associated with Maternal Behavior in Nutritional Parenting of Toddlers in Karangasem Regency Abstract: Introduction Toddlerhood is a critical period for growth, and inadequate nutrition during this stage may lead to stunting and developmental delays. This study aimed to analyze factors associated with maternal nutrition behavior using the Health Belief Model (HBM) framework. Methods A cross-sectional study was conducted in Kesimpar Village, Karangasem, Bali, involving 60 mothers with toddlers using total sampling. Data were collected through structured questionnaires measuring six HBM constructs: perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy. Maternal behavior in nutritional parenting was the dependent variable. Data were analyzed using Spearman’s rank correlation test. Results The majority of mothers had high perceived susceptibility (95%) and moderate perceived severity (98%), yet no significant associations were found for these constructs (p = 0.135 and p = 0.534, respectively). Perceived benefits (p = 0.012), perceived barriers (p = 0.018), and self-efficacy (p = 0.000) were significantly associated with maternal behavior. Mothers with strong beliefs in the benefits of proper nutrition, low perceived barriers, and higher self-efficacy demonstrated better feeding practices. Conclusions Maternal nutrition behavior is influenced more by belief in benefits, perceived barriers, and self-efficacy than by perceived risk or external cues. Interventions should emphasize empowering mothers through practical support and confidence-building strategies to improve toddler nutrition. Journal: Health Leadership and Quality of Life Pages: 744 Volume: 4 Year: 2025 DOI: 10.56294/hl2025744 Handle: RePEc:dbk:health:v:4:y:2025:i::p:744:id:744 Template-Type: ReDIF-Article 1.0 Author-Name: Calderón Pereira Author-Name: Tunqui Cruz Author-Name: Alvares Olivares Author-Name: Roa González Author-Name: Hernández Lara Title: Evaluation of the cognitive-behavioral program in the control of depression in people with physical disability Abstract: Introduction: Attention to people with disabilities has evolved significantly in recent years, especially compared to a decade ago. International organizations and national regulations have promoted inclusion and equal opportunities for this population. In this context, the present research evaluates the impact of a cognitive-behavioral intervention program on individuals with physical disabilities experiencing depressive episodes at the Potosí Rehabilitation Center during the 2022 management year. Methods: A quantitative methodological design was employed. The Beck Depression Inventory was used to assess the impact of the intervention by comparing pretest and posttest scores. The sample included participants selected from the rehabilitation center, and 12 group intervention sessions were conducted. Results: The results showed a Cronbach's alpha of 0.94, indicating high reliability of the instrument. A correlation between pretest and posttest scores was observed at 0.164 (p = 0.515). The Student's t-test revealed a t-value of t(17) = 7.285 with a p < 0.0001, indicating a statistically significant difference. Pretest scores (x = 28.39) significantly decreased in the posttest (x = 8.61). Conclusions: The implementation of the cognitive-behavioral intervention program proved to be effective, generating a positive impact and reducing depressive episodes in individuals with physical disabilities, whether acquired or congenital. Journal: Health Leadership and Quality of Life Pages: 739 Volume: 4 Year: 2025 DOI: 10.56294/hl2025739 Handle: RePEc:dbk:health:v:4:y:2025:i::p:739:id:739 Template-Type: ReDIF-Article 1.0 Author-Name: Dewi Tarini Author-Name: Yunitasari Author-Name: Krisnana Author-Name: Nursalam Title: The Influence of Fathers’ Knowledge and Readiness on the Success of Early Breastfeeding Initiation Implementation Through Arja Muani-Based Health Education in Buleleng Regency, Bali Abstract: Background: Early breastfeeding initiation (EBI) is the process of allowing a newborn to nurse immediately after birth, during which the baby is placed on the mother’s chest to find and latch onto the nipple within the first hour of life without external assistance. The success of EBI is greatly influenced by the father’s level of knowledge and readiness to support EBI, particularly with the backing of close family members. This study aims to determine the success rate of EBI implementation based on the father’s knowledge and readiness through health education using the traditional Arja Muani performing arts in Buleleng Regency, Bali. Methods: This was a quantitative study using a quasi-experimental design with a post-test-only approach. A total of 60 respondents were selected using multistage random sampling based on sample size calculations. Data collection was conducted between February and March 2025 using structured questionnaires and observation sheets. Data were analyzed using SPSS software. Due to non-normal data distribution, Spearman’s Rank Bivariate Correlation Test was used, followed by multiple linear regression analysis at p<0,05 to assess the relationship between knowledge, readiness, and EBI success. Results: There was a significant correlation between fathers’ knowledge and readiness regarding EBI after receiving Arja Muani-based health education. Linear regression results (r=0,600; R²=0,360; p=0,000) were all statistically significant. Conclusion: There is a combined multiple correlation between the father’s knowledge and readiness in supporting EBI and the successful implementation of EBI through Arja Muani-based health education. Journal: Health Leadership and Quality of Life Pages: 737 Volume: 4 Year: 2025 DOI: 10.56294/hl2025737 Handle: RePEc:dbk:health:v:4:y:2025:i::p:737:id:737 Template-Type: ReDIF-Article 1.0 Author-Name: Alwi Author-Name: Maidin Author-Name: Darmawansyah Author-Name: Riskiyani Author-Name: Bustan Author-Name: Maria Author-Name: Hidayanty Author-Name: Saeni Author-Name: Balumbi Title: Mental Health Challenges in Pregnant Women Living with HIV and the Risk of Mother-to-Child Transmission: A Literature Review Abstract: Introduction: Pregnant women living with HIV face significant challenges, balancing the management of HIV and its potential transmission to their children. Mental health issues, such as depression and anxiety, exacerbate these challenges and may impact adherence to HIV care and treatment, further increasing the risk of mother-to-child transmission. Methods: This review examines the mental health problems among PWLHIV, their potential impact on HIV transmission to children, and the role of mental health interventions in improving maternal and child health outcomes. Methods: A comprehensive literature review was conducted, including studies published over the last decade on the mental health status of PWLHIV, their adherence to antiretroviral therapy, and the implications for HIV transmission to their children. Key studies were summarized and analyzed to identify prevalent mental health issues, their relationship to mother-to-child transmission, and effective intervention strategies. Results: Depression and anxiety were the most commonly reported mental health problems among PWLHIV, with prevalence rates of 30-47 % for depression and 20-40% for anxiety. Mental health problems were shown to hinder adherence to ART, increase the risk of HIV transmission during pregnancy, childbirth, and breastfeeding, and negatively impact both maternal and child health. Integrated care models that combine mental health support with HIV and maternal-child health services were found to improve care engagement and reduce HIV transmission risk Conclusions: Mental health problems significantly impact the ability of PWLHIV to prevent HIV transmission to their children. Integrated interventions that address both mental health and HIV care are essential to improving maternal and child health outcomes and minimizing the risk of mother-to-child transmission. Journal: Health Leadership and Quality of Life Pages: 736 Volume: 4 Year: 2025 DOI: 10.56294/hl2025736 Handle: RePEc:dbk:health:v:4:y:2025:i::p:736:id:736 Template-Type: ReDIF-Article 1.0 Author-Name: M. Ebardo Author-Name: E. Peralta Author-Name: M. Ebardo Author-Name: M. Ebardo Author-Name: C. Fadare Author-Name: M. Ebardo Author-Name: FADARE Author-Name: M. Ebardo Title: Performance and health implications of feeding athletes with wrong diet during sports competition Abstract: Introduction: This study examines the impact of inadequate diets on athletes' performance and health during competitions. It explores the various dietary patterns athletes typically follow, the complications arising from poor nutrition, long-term health consequences, common dietary mistakes, specific challenges faced by different groups, and the significance of personalized nutrition plans. Methods: Researchers conducted a literature search utilizing multiple electronic databases, including PubMed, Web of Science, Google Scholar, and Scopus. The search strategy incorporated Medical Subject Headings (MeSH) along with free-text terms, to enhance article retrieval. The use of keywords combined with Boolean operators enabled the identification of all relevant studies. The initial search yielded numerous records for evaluation, and reference manager software was employed to organize all identified studies. Results: A review of peer-reviewed literature from 2016 to 2025 indicates that generalized or incorrect dietary plans can result in diminished aerobic capacity, prolonged recovery times, heightened injury risk, and hormonal imbalances. Conclusions: Conversely, athletes adhering to personalized nutrition plans demonstrate improved endurance, quicker recovery, and enhanced overall health. Effective nutritional strategies are crucial for maximizing athletic performance and minimizing health risks. Sports nutritionists play an essential role in crafting individualized approaches that address the specific needs of athletes. Journal: Health Leadership and Quality of Life Pages: 730 Volume: 4 Year: 2025 DOI: 10.56294/hl2025730 Handle: RePEc:dbk:health:v:4:y:2025:i::p:730:id:730 Template-Type: ReDIF-Article 1.0 Author-Name: Elvi Author-Name: Arsin Author-Name: Machmud Author-Name: Khuzaimah Author-Name: Jumraini Author-Name: Fajarwati Title: The Effect of Denture Wear and Cognitive Nutrition Cookies on Cognitive Function in Pre-elderly in Rural Area of Makassar City Abstract: Background: Oral health is increasingly recognized as a key factor in overall health, particularly in relation to brain function. Tooth loss has been associated with memory decline through mechanisms such as impaired masticatory function, poor nutritional intake, systemic inflammation, and psychosocial factors. This study aimed to assess the effects of denture wear and cognitive nutrition cookies on cognitive function and depression levels in pre-elderly individuals in rural areas of Makassar City. Methods: This study reviews current scientific literature on the relationship between tooth loss and cognitive impairment. It focuses on studies evaluating biological, nutritional, and psychosocial mechanisms, with special attention to denture therapy and nutritional interventions, particularly fruit consumption. Results: Multiple studies report a significant correlation between tooth loss and increased cognitive decline. Reduced chewing ability affects nutrient intake and may trigger inflammatory responses, both contributing to cognitive risk. Denture therapy has been shown to restore masticatory function and improve nutrition, potentially lowering the risk of cognitive impairment. Additionally, fruit intake provides essential nutrients and bioactive compounds that may support memory and cognitive function. Conclusion: Maintaining oral health through denture therapy, alongside improved nutrition, particularly from fruits, may help preserve cognitive function and reduce the risk of memory decline. Further clinical research is needed to confirm these findings and to develop effective prevention strategies. Journal: Health Leadership and Quality of Life Pages: 728 Volume: 4 Year: 2025 DOI: 10.56294/hl2025728 Handle: RePEc:dbk:health:v:4:y:2025:i::p:728:id:728 Template-Type: ReDIF-Article 1.0 Author-Name: Agustini Author-Name: Amiruddin Author-Name: Furqaan Naiem Author-Name: Rivai Author-Name: Thamrin Author-Name: Saleh Author-Name: Sari Areni Title: Patient Safety and Nursing Information Systems:Exploratory Study on Health Informatics-Based Multidisciplinary Reporting, Education, and Collaboration Abstract: Background : Patient safety is a vital aspect of quality healthcare, with nursing practice playing a strategic role. However, its implementation still faces obstacles, especially in incident reporting, education, and cross-professional collaboration. The development of health informatics encourages the use of nursing information systems to improve efficiency, accuracy, and data integration. Health information technology, such as electronic reporting and digital education platforms, provides an opportunity to strengthen the culture of safety in the clinical environment. Objective: Explores patient safety practices in nursing through analysis of incident reporting, educational efforts, and multidisciplinary collaboration, with a focus on the integration of health information technology into nursing information systems. Method: Qualitative research with an interpretive descriptive approach and literature review. Analysis was conducted thematically. Sampling using the method purposive sampling is a type of criterian sampling. The number of participants was 15 participants who were included in the source triangulation category consisting of implementing nurses and room heads. . Semi-structured interview guidelines with in-depth interviews , FGDs and observations using field notes . Results: There are 6 main themes obtained, namely: effectiveness of incident reporting systems, proactive nurse strategies, the role of education, multidisciplinary collaboration, operational challenges, and positive impacts on service quality and public trust. Digital systems such as e-IRS and EHR accelerate response and strengthen communication, although digital literacy and system support are still constrained. Preventive efforts by nurses and family involvement reduce the risk of incidents. Cultural transformation and team learning support continuous safety improvement. Conclusion: Nurses are central actors in supporting patient safety. Digital integration supported by training, leadership, and interdisciplinary collaboration can improve safety outcomes and public trust in hospital services. Journal: Health Leadership and Quality of Life Pages: 720 Volume: 4 Year: 2025 DOI: 10.56294/hl2025720 Handle: RePEc:dbk:health:v:4:y:2025:i::p:720:id:720 Template-Type: ReDIF-Article 1.0 Author-Name: Reddy Author-Name: Sureshkumar Title: A Psychometric Evaluation of the Interpersonal Cognitive Distortions Scale: Implications for Mental Health and Quality of Life of College Students Abstract: Introduction: Interpersonal relationships are defined as mutual interactions as well as behaviours an individual experiences at varying levels. Interpersonal cognitive distortions have been found to affect the overall mental well-being of an individual and are also known to increase the risk of depression and suicide. The current study aims to establish psychometric properties of the Interpersonal Cognitive Distortions Scale among college students. Methods: The current study is a descriptive study with a non-probability convenience sampling with a sample size of 297 participants. Results: Face and content validity was adequately established for the scale. The scale has good internal consistency with a Cronbach’s alpha value of 0.910 and a Guttman split half coefficient of 0.83. The model showed a good fit with absolute indices such as x2, x2/df, TLI, NFI, CFI, RMR, RMSEA showing good fit value. The average variance extracted and composite reliability for all three factors were greater than 0.5 and 0.7 respectively thereby showing good convergent validity and composite reliability. The AVE values were greater than the squared intercorrelation, thereby showing good discriminant validity. Conclusion: The scale had demonstrated good psychometric properties, and it is suitable to use in a college setting demonstrating significant relevance in the overall well-being of students thereby aiding practitioners, clinicians, and academicians in ensuring student health and wellness. Journal: Health Leadership and Quality of Life Pages: 717 Volume: 4 Year: 2025 DOI: 10.56294/hl2025717 Handle: RePEc:dbk:health:v:4:y:2025:i::p:717:id:717 Template-Type: ReDIF-Article 1.0 Author-Name: Kornadi Author-Name: Pasinringi Author-Name: Rivai Author-Name: Saleh Author-Name: Hadju Author-Name: Irwandy Author-Name: Mallongi Title: Assessment of Strategic Healthcare Development Using Importance-Performance Analysis: A Multicenter Study of Three Sharia Hospitals in Indonesia Abstract: Introduction: In the era of competitive healthcare services, Sharia hospitals in Indonesia face increasing pressure to align service delivery with both clinical excellence and Islamic values. Understanding patient perceptions is vital to ensure continuous improvement and fulfill religious expectations in healthcare delivery. Objectives: This study aims to assess the quality of service delivery in Sharia hospitals using the Importance-Performance Analysis method and identify key service dimensions that require strategic improvement. Methods: A multicenter observational analytic study was conducted at Yarsi Hospital Jakarta, Sari Asih Hospital Serang, and Annisa Hospital Cikarang Bekasi. Data were collected from patients using a structured questionnaire measuring the importance and performance of various service attributes. Results: The Importance-Performance Analysis framework was employed to categorize attributes into four quadrants to guide prioritization for quality enhancement. The analysis revealed that several attributes including clarity of information, responsiveness, and attentiveness of staff, fell into the “Concentrate Here” quadrant, indicating high importance but low performance. Conversely, dimensions such as nursing access and coordination showed high performance but were rated lower in importance. The findings highlight discrepancies between patient expectations and perceived service delivery in key service areas. Conclusions: Sharia hospitals must prioritize improving service dimensions that are deemed highly important by patients but currently underperforming. By incorporating the IPA framework into strategic planning, hospital administrators can better align service delivery with patient expectations and Islamic principles, thus enhancing overall patient satisfaction and care quality. Journal: Health Leadership and Quality of Life Pages: 714 Volume: 4 Year: 2025 DOI: 10.56294/hl2025714 Handle: RePEc:dbk:health:v:4:y:2025:i::p:714:id:714 Template-Type: ReDIF-Article 1.0 Author-Name: Burachyk Author-Name: Fomina Author-Name: Grushko Author-Name: Shostak Author-Name: Hloba Title: Impact of Communication on Healthy Lifestyle and Healthcare Sector Abstract: Introduction: the article is devoted to the study of the influence of communication in healthcare on the promotion of a healthy lifestyle, prevention, treatment, and rehabilitation of patients based on data from scientific research in communication psychology, biomedical ethics, and medical communication. Methods: the following methods were used in the study: analysis and synthesis methods, a comparative method, situation modeling and forecasting method. Results: The authors describe the specifics of communicative interaction between doctor and patient and its main trends at different stages of medical care. The article formulates the main communicative tactics of doctor-patient dialogue, the use of which will contribute to improving the results of treatment and disease prevention. It is shown that the treatment process directly depends on the effectiveness of the doctor-patient communication model, since the patient's trust in the doctor is the basis of the recovery process. The features of communication between the doctor and the patient are described, and the influence of ethical principles and knowledge of the psychological characteristics of this type of professional interaction on the effectiveness of such interaction is shown. The authors emphasize that communication between doctor and patient takes place on two independent and mandatory levels: linguistic and extralinguistic. The “doctor-patient” communication model is not constant and changes depending on the sphere and purpose of such communication: prevention, treatment, or rehabilitation. This is the basis for choosing tactics, means, forms, and strategies of communication. Conclusions: The most optimal model of interaction between a doctor and a patient is currently considered to be the “partnership model,” which involves the patient in making joint medical decisions, thereby reducing patient anxiety. Involving the patient in dialogue in this model allows the responsibility for the treatment process to be shared between the parties involved. Prospects for further research include improving communication tactics in healthcare by all healthcare providers (doctors, nurses, and other healthcare professionals), studying ethical issues in healthcare communication, and developing new communication tactics to improve the effectiveness of healthcare delivery and public health. Journal: Health Leadership and Quality of Life Pages: 711 Volume: 4 Year: 2025 DOI: 10.56294/hl2025711 Handle: RePEc:dbk:health:v:4:y:2025:i::p:711:id:711 Template-Type: ReDIF-Article 1.0 Author-Name: Bessarab Author-Name: Turubarova Author-Name: Antonenko Author-Name: Kirillova Author-Name: Lupinovych Author-Name: Haliieva Title: Updating Programs for Children with Individual Needs – an Overview of Effective Approaches in the Field of Inclusion Abstract: Introduction: Modern changes in the global education paradigm require the integration of inclusiveness as a fundamental principle of the human right to education. The topic of this study is relevant due to the lack of properly developed modern approaches to the mechanisms of psychological and pedagogical support for people with special educational needs. The main purpose of this study is to identify opportunities to modify educational programs for children with such needs. Methods: The methods of system analysis, synthesis and scientific abstraction, comparative analysis were used. Results: The analysis includes the study of modern educational innovations developed within inclusive programs. As in other areas, special attention is paid to inclusive processes in the course of systemic digitalization of education. The preparation of multimedia methods, thematic case studies, immersive technologies, gamification elements, etc. was studied. As a result, a different model for the development of inclusive education was developed, which includes new pedagogical tools: specialized online courses, interactive learning components, active learning for parents, problem-based learning, and individualized learning. The importance of didactic support for students' independent work in the system of technological inclusive education is outlined. Conclusions: The conditions of pedagogical support that contribute to the achievement of the optimal level of independence of students with intellectual disabilities during practical skills and sensory integration lessons are systematized. Inclusive pedagogical technologies in the Ukrainian theories and practice of general education should be activated by the teacher when forming the list of enrolled subjects. Journal: Health Leadership and Quality of Life Pages: 710 Volume: 4 Year: 2025 DOI: 10.56294/hl2025710 Handle: RePEc:dbk:health:v:4:y:2025:i::p:710:id:710 Template-Type: ReDIF-Article 1.0 Author-Name: Shportun Author-Name: Korotsinska Author-Name: Kaplinskyi Author-Name: Akimova Author-Name: Kamenshchuk Author-Name: Tkachuk Title: Wartime Challenges for Youth: Social Psychology Appraoches and Oportunities for Adaptative Coping Abstract: Introduction: In the context of the long-term military conflict a special attention is paid to the problem of socio-psychological adaptation of the young personality. It has been determined that the social environment, characterized by a significant level of frustration factors, has a significant impact on mass consciousness, in particular on the psychological state of youth, forming conditions for increased socio-psychological vulnerability. Methods: The work uses an interdisciplinary approach using general scientific methods of cognition: synthesis, systematization and generalization. For empirical analysis, statistical data processing methods, psychological methods of diagnosing adaptation strategies, as well as analysis of behavioral and cognitive models of overcoming difficult life situations were used. Results: Typological features of youth personality adaptation were established, characterized by cognitive, conative and emotional components. It was found that different types of adaptation significantly affect self-esteem, social activity and resilience of young people to psychotraumatic influences associated with military conflict. Emphasis is placed on the need to develop innovative concepts of mass consciousness regulation through the targeted use of mass communication tools, which is critically important for maintaining mental health and social stability. Conclusions: The paper proposes a conceptual approach to the development of programs for the socio-psychological adaptation of youth in conditions of military operations, with an emphasis on preventing frustration states, neurotic disorders, and psychological trauma by taking into account destructive life attitudes and value orientations. Journal: Health Leadership and Quality of Life Pages: 709 Volume: 4 Year: 2025 DOI: 10.56294/hl2025709 Handle: RePEc:dbk:health:v:4:y:2025:i::p:709:id:709 Template-Type: ReDIF-Article 1.0 Author-Name: Kyselov Author-Name: Pidhirnyi Author-Name: Akimova Author-Name: Kuryliuk Author-Name: Aksiutin Title: Systemic Vision of Students’ Sports and Physical Activities within the Educational Landscape: Contemporary Patterns Abstract: Introduction: The integration of physical education, health and fitness, and mass sports activities into the training of higher education students is essential for promoting their overall well-being and resilience. However, this integration faces multiple challenges that require ongoing evaluation and strategy adjustments. Objective: This study aims to assess how sports, mass sports, and physical education activities are implemented in higher education institutions (HEIs) under current conditions. Method. A bibliosemantic method was used, involving a content analysis of scientific articles and publications from 2015 to 2025 related to physical education in HEIs. Special attention was given to the challenges associated with distance learning and inclusive education, as well as to effective practices applied in Ukrainian and European HEIs. Results: The analysis identified both challenges and successful practices in integrating physical education into HEIs. It underscores the importance of a balanced approach that combines traditional and innovative methods to enhance student engagement and health outcomes. Conclusions: The study offers practical insights for educational management, informing the development of curricula and strategies that promote active lifestyles and physical wellness among students. Journal: Health Leadership and Quality of Life Pages: 708 Volume: 4 Year: 2025 DOI: 10.56294/hl2025708 Handle: RePEc:dbk:health:v:4:y:2025:i::p:708:id:708 Template-Type: ReDIF-Article 1.0 Author-Name: Petryk Author-Name: Stepanenko Author-Name: Shevchuk Author-Name: Yurchenko Title: Strategies for Enhancing Quality and Safety in Medical Services: Development and Implementation Abstract: Introduction: the aim of studying the quality of healthcare services requires a high level of patient safety in hospitals; therefore, the aim is to study the specifics of creating and implementing healthcare safety standards. In this paper, you can find an analysis of modern scientific publications and regulatory acts. Method: this study’s methods are based on a scientific and theoretical approach and on the new conditions governing patient safety. The study’s aim is systematic data monitoring by the requirements of ISO 9001:2015 and ISO 15189:2022. Results: in the course of the analysis of literature sources and current regulations, a hypothesis was put forward about the possibility of implementing a monitoring system based on the use of wireless technologies. These are contact and non-contact medical sensors and contactless peripheral sensors. The formation of the monitoring system is based on the regulation of accreditation of medical laboratories and supervision over compliance with regulatory requirements. Conclusions: the study’s scientific novelty is the creation of new standards and regulatory documentation aimed at improving the quality of service. The main focus is on the use of specialised (medical) equipment and information tools for scientific and practical monitoring, data collection, and analysis regarding patient safety. Journal: Health Leadership and Quality of Life Pages: 707 Volume: 4 Year: 2025 DOI: 10.56294/hl2025707 Handle: RePEc:dbk:health:v:4:y:2025:i::p:707:id:707 Template-Type: ReDIF-Article 1.0 Author-Name: Savinova Author-Name: Berehova Author-Name: Mamicheva Author-Name: Potenko Author-Name: Pozdnіakova Title: Building Inclusive Competence Among Higher Education Teachers Abstract: Introduction: providing assistance to students with special educational needs in higher education institutions and supporting their professional growth are effectively implemented under conditions of high-quality teacher training tailored to working with this category of students. The article addressed the problem of inclusive education in higher education, emphasizing the involvement of pedagogical hierarchical relationships that included students with disabilities in Ukraine. Methods: the study employed interviews, comparative analysis of teachers’ knowledge levels before and after specialized professional development, and analysis of the data obtained. Results: the article presented a concept for training teachers for inclusive activities, which consisted of five elements: informational and educational, analytical and practical, engineering and technological, psychological and social, and monitoring and analytical. Implementing this model contributed to the development of teachers’ professional competencies in creating and applying inclusive education systems. It also ensured their readiness for professional work with students with special educational needs. Three levels were identified to measure such readiness: basic, intermediate, and advanced. Statistical analysis based on Pearson’s criterion was applied to assess the dynamics of changes in four parameters: content-theoretical, technological-practical, social-psychological, and generalizing-analytical. Conclusions: comparative results before and after using the model demonstrated an increase in the level of teacher preparedness across all problem areas. This preparedness was formulated through a comprehensive approach that integrated theoretical knowledge of inclusion, practical teaching methods (didactic, technical, technological, and psychological), and the adaptation and development of analytical skills essential for creating individualized educational pathways for students with disabilities. Journal: Health Leadership and Quality of Life Pages: 706 Volume: 4 Year: 2025 DOI: 10.56294/hl2025706 Handle: RePEc:dbk:health:v:4:y:2025:i::p:706:id:706 Template-Type: ReDIF-Article 1.0 Author-Name: Bykova Author-Name: Koshyrets Author-Name: Zhuk Author-Name: Babii Author-Name: Redko Title: Fostering Personal Success Through the Development of Resilience Abstract: Introduction: the study is devoted to the analysis of psychological aspects of personality development at different stages of one's life. The article analyzes the transformations that take place during the periods of maturation and aging from the standpoint of biological, social and psychological contexts. Method: the research methodology is based on theoretical and inductive-deductive methods. The most significant factors influencing the psychological development of a person during his or her development – biological and social – are identified. Results: it is substantiated that an individual develops most actively through involvement in the processes of learning, gaining life experience, communication and skills of interaction with diverse objects. It is found that in the process of ontogenesis, the individual develops not only as a biological organism but also as a conscious social phenomenon. The necessity of taking into account the aspects of psychological development in various spheres - social, physical, cognitive – is argued. The author analyzes the aspects of physical development – the dynamics of the shapes and sizes of human body organs, sensory capabilities, brain structure, motor skills, etc.; social development – the synergy of social skills and personal traits; cognitive development – mental abilities, thinking, and other psychological processes. It is noted that all areas of development take place interdependently and simultaneously. Conclusions: it is proved that a comprehensive study of the psychological aspects of different stages of human development contributes to the improvement of their passage in terms of psychological well-being. Journal: Health Leadership and Quality of Life Pages: 705 Volume: 4 Year: 2025 DOI: 10.56294/hl2025705 Handle: RePEc:dbk:health:v:4:y:2025:i::p:705:id:705 Template-Type: ReDIF-Article 1.0 Author-Name: Lytvyn Author-Name: Pakushyna Author-Name: Savytska Author-Name: Kovalenko Author-Name: Vyshnyk Title: Pedagogical support for primary school pupils with severe speech difficulties within the framework of development and correction Abstract: Speech impairment is the most common problem that hinders inclusive education, as children with speech problems have a harder time socializing and adapting to school conditions. That is why correctional and developmental support for students with severe speech impairments is important and requires the search for effective tools, such as digital technologies, the positive impact of which has not yet been sufficiently studied. The purpose of our study was to identify effective digitalization tools and algorithms for their application to correct severe speech disorders in primary school students. The study used the methods of analysis, synthesis, systematization, survey, and graphical presentation of results. The survey involved 62 parents, 25 teachers and teacher assistants, and 38 speech therapists. The results of the study revealed the importance of a multidisciplinary approach to speech correction and the use of digital technologies. Among the most popular digital tools were video materials, specific speech development applications, online platforms for assessing results and sharing educational materials. Authors identified the advantages and disadvantages of different types of digital technologies, as well as the difference in views on the effectiveness of their use for speech development among parents, teachers and caregivers. Presented the main recommendations of parents, teachers and speech therapists to improve the effectiveness of remedial therapy for speech disorders through digitalization. Journal: Health Leadership and Quality of Life Pages: 704 Volume: 4 Year: 2025 DOI: 10.56294/hl2025704 Handle: RePEc:dbk:health:v:4:y:2025:i::p:704:id:704 Template-Type: ReDIF-Article 1.0 Author-Name: Maiboroda Author-Name: Petruk Author-Name: Shkarlatiuk Author-Name: Berezna Author-Name: Terpeliuk Title: Psychosocial Factors of Maintaining Mental Balance in Conditions of Armed Conflict Abstract: Introduction: Against the backdrop of a protracted military conflict, mental health is a significant concern for both military personnel and civilians who experienced numerous traumas. The study focused on key aspects of psychological dynamics during wartime and the adaptation to social life. The purpose of the article was to analyze the socio-psychological aspects of the mental health support system in wartime. Methods: The research methodology included analytical and synthetic methods, generalization, systematization, abstraction, and comparison. Results: The article identified the main mental health problems and difficulties that arose as a result of adaptation processes, the development of resilience, and psychological stability. It analyzed the specifics of destructive mental states under conditions of military aggression. The study investigated the peculiarities of negative mental states—particularly stress, apathy, anxiety, depression, frustration, and post-traumatic stress disorder. It examined the characteristic symptoms and progression of these conditions and proposed potential ways to minimize their manifestation through the use of personal resources and active social support. Considerable attention was given to understanding the psychological state of both the civilian population during active warfare and combatants, with the aim of ensuring timely assistance for various mental disorders. Conclusions: The article emphasized the need to integrate effective psychological programs focused on building resilience, providing rehabilitation, and supporting the mental health of both civilians and military personnel. It also highlighted the importance of raising public awareness about mental health issues during wartime and identifying effective strategies to address them. Journal: Health Leadership and Quality of Life Pages: 702 Volume: 4 Year: 2025 DOI: 10.56294/hl2025702 Handle: RePEc:dbk:health:v:4:y:2025:i::p:702:id:702 Template-Type: ReDIF-Article 1.0 Author-Name: Tuasikal Author-Name: Dhamanti Author-Name: Mahmudah Title: Nurses' Autonomy and Its Determinants in Clinical Practice: A Scoping Review Abstract: Introduction: Nurses' autonomy is a critical component of effective clinical practice, closely tied to professional competence, patient safety, job satisfaction, and organizational support. Despite its importance, autonomy remains variably defined and experienced across different healthcare systems and cultural contexts. This review explores the determinants, expressions, and implications of nurses’ autonomy based on an analysis of recent international studies. Methods: This research design uses a PRISMA-ScR in February 2024 based on PRISMA guidelines. Studies were taken from Esco, ScienceDirect, Google search, and PubMed and searched in English using the keywords nurse or nurses or registered nurse, clinical privilege or clinical autonomy or professional autonomy nurse, patient safety or quality of care from 2020 to 2024. Results: The findings reveal that nurses’ autonomy is positively associated with professional competence, role clarity, and supportive work environments. Autonomy enables nurses to participate in safety activities, advocate for patients, and contribute meaningfully to decision-making processes. Conversely, autonomy is often limited by hierarchical organizational structures, inadequate staffing, and a lack of managerial support. Studies also show that autonomy is context-dependent, with higher levels reported in critical care settings and among more experienced or specially trained nurses. Tools such as HSOPSC, SAQ, and NPC scales were commonly used to assess related variables. Conclusions: The review highlights that fostering nurses’ autonomy requires not only individual competence but also systemic change. Educational initiatives, leadership development, and non-punitive safety cultures are essential to empowering nurses. Journal: Health Leadership and Quality of Life Pages: 700 Volume: 4 Year: 2025 DOI: 10.56294/hl2025700 Handle: RePEc:dbk:health:v:4:y:2025:i::p:700:id:700 Template-Type: ReDIF-Article 1.0 Author-Name: Otroshchenko Author-Name: Ostrovska Author-Name: Duvanska Author-Name: Somkina Author-Name: Nazmiiev Title: Forms of personal and collective influence within the framework of social and psychological support in the field of social activity Abstract: Introduction. This study was relevant due to the complex socio-psychological conditions in modern Ukraine, shaped by prolonged war, economic instability, and natural disasters. These crises negatively affected physical and psychological health, leading to increased stress, anxiety, depression, and emotional instability. In such circumstances, the need for social and psychological support became critical. The aim of this research was to identify the key aspects of individual and group methods of social and psychological support in social work, particularly during crisis situations. Method. A randomized systematic review of literature published between 2018 and 2025 was conducted using the scientometric databases Web of Science, PubMed, Scopus, and Google Scholar. Results. The results demonstrated that individual and group methods encompassed a wide range of interventions. Individual methods included counseling, cognitive-behavioral therapy, coaching, psychosocial case management, and trauma-focused approaches. Group methods comprised training, role-playing, discussions, and round tables. These methods enabled social workers to address individual needs and provide effective psychological support. It was found that psychological resilience played a crucial role in adaptation during crises. Resilience, as a resource developed through life experiences, contributed to stress management, emotional regulation, and recovery without long-term harm. Coaching, in particular, positively influenced individuals' psycho-emotional well-being. Conclusions. Overall, the study established that individual and group methods of social and psychological support were effective tools for enhancing emotional stability, resilience, and self-efficacy during crisis conditions. The findings have both scientific and practical value for improving social work practices with affected populations in wartime Ukraine. Journal: Health Leadership and Quality of Life Pages: 699 Volume: 4 Year: 2025 DOI: 10.56294/hl2025699 Handle: RePEc:dbk:health:v:4:y:2025:i::p:699:id:699 Template-Type: ReDIF-Article 1.0 Author-Name: Murzina Author-Name: Bardova Author-Name: Patselia Author-Name: Barinova Author-Name: Yurchyk Title: Dermatoses of chronic nature: new developments in diagnosis and treatment Abstract: Introduction: Chronic dermatoses significantly affect patients’ lives, and global burden of skin diseases represents important public health challenge worldwide, with the phenomenon of a tendency towards increasing level of dermatological pathology. Methods: In the last two decades, there has been a significant breakthrough in improving methods and strategies for treating chronic dermatoses, with the emergence of relevant innovative technologies and drugs. At the same time, publications describing these innovations are scattered and narrowly focused, often lacking a systemic vision. Results: With this in mind, the article aims at outlining the overall (integrative) landscape of contemporary paradigms, vision and approaches to the diagnosis and treatment of chronic dermatoses of various specifics and etiology. Based on the tools of scoping review, as well as general scientific methods of systematization and generalization, existing achievements and challenges in diagnosing and treatment of skin diseases such as atopic dermatitis, psoriasis, eczema, etc. were revealed and put together. Conclusions: The findings demonstrate that, despite significant and evident, sometimes disruptive, advances in skin diseases diagnosis and treatment, such as AI and machine learning in diagnosis and biologic drugs in treatment (allowing customizing treatment to target specific immune pathways), there are still remaining challenges, which represent crucial frontiers for future research. Journal: Health Leadership and Quality of Life Pages: 695 Volume: 4 Year: 2025 DOI: 10.56294/hl2025695 Handle: RePEc:dbk:health:v:4:y:2025:i::p:695:id:695 Template-Type: ReDIF-Article 1.0 Author-Name: Thomas Author-Name: Suresh Author-Name: Simon Author-Name: Mathew Author-Name: R Menon Author-Name: Jose Title: Social Media as a Catalyst for Digital Entrepreneurship: A Scientometric Review and Visualization Using Citespace, VOSviewer and Biblioshiny Abstract: The intersection of social media and digital entrepreneurship has emerged as a significant area of academic inquiry, especially in the context of accelerated digital transformation. This study presents a comprehensive scientometric review of scholarly research exploring how social media platforms act as catalysts for digital entrepreneurial activity. Drawing on 282 peer-reviewed publications from the Scopus database spanning 2012 to 2025, the analysis employs three powerful bibliometric tools—Biblioshiny, VOSviewer, and CiteSpace—to uncover trends in authorship, thematic evolution, co-citation networks, and global research collaborations. The findings reveal a robust annual growth rate in publications (21,06 %), with key themes including digital marketing, innovation, platform-based business models, and influencer-driven entrepreneurship. Co-occurrence and thematic mapping indicate a shift from general discussions on digital platforms to more specialized concerns such as entrepreneurial passion, digital transformation, and AI integration. The analysis also identifies leading contributors, core publication sources, and country-level research output, highlighting strong participation from both developed and emerging economies. This review not only maps the intellectual structure of the field but also identifies critical research gaps and practical implications for policymakers, educators, and practitioners seeking to foster sustainable and inclusive digital entrepreneurial ecosystems. Journal: Health Leadership and Quality of Life Pages: 694 Volume: 4 Year: 2025 DOI: 10.56294/hl2025694 Handle: RePEc:dbk:health:v:4:y:2025:i::p:694:id:694 Template-Type: ReDIF-Article 1.0 Author-Name: K.T Author-Name: Natarajamurthy Author-Name: Cherian Author-Name: Antony Author-Name: JOSEPH Author-Name: Joseph Title: Mapping the Scientific Landscape of Social Media’s Role in Digital Health: A Bibliometric and Network Analysis Using Biblioshiny, VOSviewer and Citespace Abstract: This bibliometric analysis explores social media’s role in digital health, examining its impact on health communication, patient engagement, and public health awareness while also addressing challenges such as misinformation, privacy concerns, and digital health literacy. The study utilizes Scopus as the bibliographic database and employs Biblioshiny, VOSviewer, and CiteSpace for data analysis and visualization. Key analyses include Annual Scientific Productions, Most Relevant Authors, and Network Visualization of Co-Citation of Cited Authors, which highlight the growth of research output, influential scholars, and academic collaboration networks. In addition, Most Relevant Sources and Timezone Network Visualization of Co-Citation of Cited Journals explore leading journals, while also weighing their influence in the shaping of the digital health discourse. The study of Countries’ Scientific Production and Network Visualization of Bibliographic Coupling of Documents shows research outputs and networks at global levels. A Co-Occurrence Analysis of Author Keywords identifies themes that are dominant and emerging, with trend topics like AI-driven digital health solutions, Mobile Health apps, and digital interventions for chronic disease management. Thematic Evolution and Thematic Mapping portray the shift from generic digital health discussions to more specialized evidence-based applications. The study discovers gaps in research dealing with AI ethics, counteracting misinformation, and being inclusive in digital health interventions. Some practical implications suggest interdisciplinary efforts, formulation of digital health policies, and finding ways to improve digital literacy for ensuring equitable healthcare solutions. These findings give interesting insights into the scientific landscape of social media in digital health, further inspiring researches and policy developments. Journal: Health Leadership and Quality of Life Pages: 693 Volume: 4 Year: 2025 DOI: 10.56294/hl2025693 Handle: RePEc:dbk:health:v:4:y:2025:i::p:693:id:693 Template-Type: ReDIF-Article 1.0 Author-Name: Marrero Rodríguez Author-Name: Fábregas Valdez Author-Name: Aráoz Hechevarria Author-Name: Crespo Hernández Author-Name: Montesino Gutiérrez Author-Name: Casanova Moreno Title: Characterization of mortality due to bacterial pneumonia at the Abel Santamaría Cuadrado General Teaching Hospital Abstract: Introduction: Pneumonia, despite advances in its resolution and effective treatment, today constitutes high mortality rates worldwide, in the country and in the Pinar del Rio province. Objective: to characterize the mortality rate due to bacterial pneumonia at the Abel Santamaría Cuadrado General Teaching Hospital in the Pinar del Rio province during 2018. Method: a descriptive, cross-sectional study was conducted with retrospective data collection. The universe consisted of 848 deaths that occurred during the study period; and the intentional sample consisted of 183 deceased from the entire hospital, obtaining data from clinical histories and autopsy protocols. Sociodemographic variables were studied, taking into account diagnosis upon admission, previous illnesses, hospital stay; A database was created using Microsoft Excel 2010. Statistical analysis was performed using descriptive statistics, basically using the percentage ratio for an adjustment level of p < 0.05%. Results: There was a higher mortality rate among those aged 70 to 79 years, males, and white skin color. Diagnoses at the time of admission were represented to a greater extent by community-acquired pneumonia, cerebrovascular disease, and decompensated diabetes mellitus. The most frequent previous diseases were arterial hypertension, diabetes mellitus, and chronic obstructive pulmonary disease. Most of the deceased remained in hospital for more than 72 hours. Conclusions: It is necessary to maintain surveillance of the etiology of bacterial pneumonia to adapt the diagnostic and treatment guidelines. Journal: Health Leadership and Quality of Life Pages: .674 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.674 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.674:id:.674 Template-Type: ReDIF-Article 1.0 Author-Name: Iglesias Díaz Author-Name: Aquino Author-Name: Rojas Ampudia Author-Name: Oriolo Estrada Author-Name: Pérez Acosta Title: Incidence of the thyroid cancer in having operated of the Hospital León Blond Crow Abstract: Introduction: the thyroid cancer is the most common, although alone endocrine carcinoma it represents 1% of the total of types cancer. Their incidence seems to increase 4% every year, and at the present time it is the eighth more frequent cancer in women Objective: to determine the incidence of the thyroid cancer in having operated of the Hospital León Blond Crow, in the period of the 1987 at the 2023. Methods: He/she was carried out an observational, descriptive, retrospective and traverse study, the universe it was constituted by 680 sick persons with affections of the gland thyroid that received surgical treatment, selecting a sample for sampling non probabilístico of 127, that you/they turned out to be positive of cancer. Theoretical, empiric and statistical methods were used when applying the square chi and probability. Results: The group of ages prevailed among 26-45 years, the feminine sex; the wicked affections (24.15%), the carcinoma papilar (80.89hubo a mortality of 3.89%, metástasis in 1,91% and relapses in 2.54%. Conclusion: the thyroid cancer, constitutes a problem you health that he/she goes in increase and it requires of precocious diagnosis, for a better quality of the sick persons life. Journal: Health Leadership and Quality of Life Pages: .673 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.673 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.673:id:.673 Template-Type: ReDIF-Article 1.0 Author-Name: Marrero Rodríguez Author-Name: Fábregas Valdez Author-Name: Aráoz Hechevarria Author-Name: Crespo Hernández Author-Name: Montesino Gutiérrez Author-Name: Azcuy Castanedo Title: Causes of mortality due to bacterial pneumonia and clinical-pathological relationship. Abel Santamaría Cuadrado General Teaching Hospital Abstract: Introduction: Risk factors for attributable mortality include the severity of pneumonia. Objective: To identify the different causes of mortality due to bacterial pneumonia at the Abel Santamaría Cuadrado General Teaching Hospital in the province of Pinar del Rio during 2018. Method: A descriptive, cross-sectional study was conducted with retrospective data collection. The universe consisted of 848 deaths that occurred during the study period; and the intentional sample consisted of 183 deceased from the entire hospital, obtaining data from clinical histories and autopsy protocols. Sociodemographic variables were studied, taking into account diagnosis at admission, previous illnesses, and hospital stay; a database was created using the Microsoft Excel 2010 program. Statistical analysis was performed following descriptive statistics using basically the percentage ratio. Results: Acute respiratory failure and pneumonia were the main clinical and direct causes of death. Pneumonia, acute purulent tracheobronchitis, and global heart failure were the main indirect causes, with atherosclerotic disease and its branches, cerebrovascular disease, chronic obstructive pulmonary disease, and pneumonia being the most significant underlying causes. There was also a high clinical-pathological correlation. Conclusions: In patients with bacterial pneumonia, only half of the deaths can be attributed to the acute disease. Differences in the time of death and mortality risk factors suggest that future studies on this disease should differentiate all-cause mortality from mortality. Journal: Health Leadership and Quality of Life Pages: .672 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.672 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.672:id:.672 Template-Type: ReDIF-Article 1.0 Author-Name: Estévez Mitjans Author-Name: Gómez Santana Author-Name: Duarte Hernandez Author-Name: Magalhaes Puente Title: Clinical-epidemiological behaviorof suicide attempts in adolescents from the municipality of San Juan y Martínez 2021-2022 Abstract: Introduction: suicide in adolescents is a health problem that has been gaining momentum, requiring adequate management. Objective: to characterize the clinical-epidemiological characterization of suicide attempts in adolescents in the municipality of San Juan y Martínez. Methods: an observational, descriptive, cross-sectional study was conducted in San Juan and Martinez among adolescents with a history of suicide attempts between 2021 and 2022, the universe consisted of 67 adolescents who met the selection criteria. Documentary review and application of instruments allowed obtaining information that gave an output to the variables analyzed, using descriptive and inferential statistical methods. Results: females predominated (56.7%), with 15-17 years of age (40.3%), secondary schooling (50.7%) and school attachment, living in moderately functional families. The ingestion of drugs (61.2 %) was the main suicidal method used, with 64.2 % showing a low risk of suicide. Anxiety (28.4 %) and drug use (58.2 %) were the main individual and family risk factors present in the sample, respectively. Conclusions: the clinical-epidemiological characteristics of suicide attempts in adolescents were characterized, identifying the suicide methods used, the existing risk factors and the risk of suicide was evaluated. Journal: Health Leadership and Quality of Life Pages: .671 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.671 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.671:id:.671 Template-Type: ReDIF-Article 1.0 Author-Name: Ramírez Rodríguez Author-Name: Mena Ramírez Author-Name: Casanova Moreno Author-Name: Díaz Rojas Author-Name: Machado Reyes Title: Meaning of nursing care in Primary Health Care in the context of COVID-19 Abstract: Introduction: Currenttly there is an unprecedented historical situation for the health system caused by the COVID-19 pandemic with serious health and social consequence that lead to changes in the care of patients nurse. Objetive: demonstrate the meaning of the care provided by nursing professionals in Primary Health Care in the context of the COVID-19 pandemic, in the health area of the Raúl Sánchez polyclinic in Pinar del Río. Methods: Qualitative descriptive study phenomenological perspective universe made up of nursing professionals, who care for patients with COVID -19 from the Raúl Sánchez health area, intentional sample 10 nurses who agreed to participative in the study, a cuestionnnairand interview were applied to them. An alphanumeric coding method was used for anonymous identification of the participants. Information analysis was carried out according to qualitive research approaches Results: Itis was found that the Meaning of nursing care in primary health care in the context of the COVID -19 pandemic, is understood as responsability directed towards the family community and the patient and likewise were complex and protective care emerges that, from facing their fears Results in learning and greater experience. Conclusions: nursing care during pandemic is shown as a value that arises from a state of consciousness which, in the voice of the issuers, strengthened their sense of the life as well as their scientific and technical knowledge human. Journal: Health Leadership and Quality of Life Pages: .670 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.670 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.670:id:.670 Template-Type: ReDIF-Article 1.0 Author-Name: Iglesias Díaz Author-Name: Aquino Author-Name: Rojas Ampudia Author-Name: Oriolo Estrada Author-Name: Pérez Acosta Title: Complications of thyroid surgery in the surgery department of the León Cuervo Rubio Hospital Abstract: Introduction: thyroid gland diseases have increased in recent times and with it the number of patients operated on, in most cases total thyroidectomies have been performed, bringing with them complications associated with the surgical technique. Objective: to evaluate the complications of endocrine surgery of the thyroid gland in the Surgery Department of the “León Cuervo Rubio” Provincial Teaching Clinical Surgical Hospital in Pinar del Río between 2022 and February 2023. Methods: A descriptive study was carried out on 117 patients with thyroid gland conditions who received surgical treatment. A data collection model was created for the variables: age, sex, thyroid condition, type of surgical intervention, complications, surgical technique and prolongation of thyroid tissue. Theoretical, empirical and statistical methods were used, and percentage calculations were made. Results: The most frequent age group was 41-50 years (25.64%), with a predominance of females (84.61%). Malignant conditions (38.46%), the most frequent surgical intervention, total thyroidectomy (79.48%); 8 patients presented postoperative complications (6.83%). The most frequent was hypoparathyroidism (2.56%), followed by unilateral recurrent lesion (1.70%), 21 patients presented endothoracic or submaxillary prolongation (17.94%) only one presented temporary hypoparathyroidism, two died as a result of undifferentiated carcinoma, in the immediate postoperative period. Conclusion: thyroid surgery requires the expertise of the surgeon, which would reduce the most frequent complications, which are hypoparathyroidism and recurrent injury. Journal: Health Leadership and Quality of Life Pages: .669 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.669 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.669:id:.669 Template-Type: ReDIF-Article 1.0 Author-Name: Montes de Oca Zubizarreta Author-Name: Victorero Author-Name: Aguilar Cuba Author-Name: Careaga Valido Title: Sacubitrilo / Valsartán: a jump of quality in the treatment of the heart inadequacy Abstract: Introduction: The advances in the prevention, diagnosis and treatment of the cardiovascular illnesses have been excellent, taking place significant reductions of the rates of mortality; it has not happened this way with the heart inadequacy; the high indexes of hospitalization, disability, morbilidad, mortality that takes place, took to the necessity of developing new fármacos, fruit of this the obtaining of Sacubitrilo/Valsartán, medication that inhibits system renina-angiotensina-aldosterona, was and it retards the degradation of the péptidos natriuréticos. The results of several studies took to that from the year 2021 were included in the basic pillars for the treatment of the inadequacy. Method: He/she was carried out a search in several bibliographical databases, revising the clinical studies published on the use of the medication. Results: The PARADIGM-HF was the first rehearsal that showed its benefits, with significant reduction of the mortality and the hospitalizations; other publications have confirmed their effectiveness, security, tolerance and improvement of the functional and renal capacity. Conclusions: The weight of the accumulated evidence, with the use of Sacubitrilo/Valsartán is incontrastable and its introduction in the clinical practice, he/she will go consolidating its indication in the treatment protocols that a revolutionary change will imply in the presage and with it the so yearned reduction of the mortality and the hospital entrance. Journal: Health Leadership and Quality of Life Pages: .668 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.668 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.668:id:.668 Template-Type: ReDIF-Article 1.0 Author-Name: García Salgado Author-Name: Agramonte Llanes Author-Name: Gámez Pérez Title: Sickle Cell Disease and Cardiovascular Damage: Understanding the connection and straregies for prevention Abstract: Introduction: Cardiovascular alterations contribute to the morbidity of adult patients with sickle cell disease, as a clinical expression of chronic organ damage. Sickle cell disease is a generic term assigned to a group of genetic disorders characterizedby a predominance of hemoglobin S(HBS) and clinically expressed in homozygous or doublé heterozygous patients. Development: Alterations in cardiac morphology and function were identified from the earliest cases of sickle cell disease. The prevalence of cardiac involvement in adult patients with sickle cell disease has been estimated to be as high as 82%. Conclusions: Patients with sickle cell disease exhibit a high prevalence of cardiovascular alterations, including the need for regular cardiovascular monitoring in this population. Journal: Health Leadership and Quality of Life Pages: .667 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.667 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.667:id:.667 Template-Type: ReDIF-Article 1.0 Author-Name: Díaz Rodríguez Author-Name: Sánchez Portela Author-Name: Verga Tirado Author-Name: Márquez Blanco Author-Name: Santiesteban Remon Author-Name: Ramos Rodríguez Author-Name: Laureiro González Title: Epidemiological characterization of infant mortality in Saint Christopher Abstract: Introduction: Infant mortality indicators show social development; Cuba's results place it in first place in the Americas. Objective: To epidemiologically characterize infant mortality, according to selected variables. Method: Observational epidemiological study, carried out in San Cristóbal, Artemisa province in the period 2002 – 2022. Source of information records from the health statistics department. Results: The mortality rate shows a slightly decreasing trend, at the expense of the decrease in births, not deaths, decreasing by 39.3% compared to the extreme years of the series, decreasing irregularly. Mortality is more frequent in males. The main cause of mortality in children under 1 year of age is hypoxia and birth asphyxia, followed by conditions of the perinatal period, the infant mortality rate will tend to decrease; The expected value for the year 2023 will be 4.2 per 1000 live births. Conclusions: In the last 21 years, infant mortality has shown irregular fluctuations, with a tendency to decrease. Journal: Health Leadership and Quality of Life Pages: .666 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.666 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.666:id:.666 Template-Type: ReDIF-Article 1.0 Author-Name: González Molina Author-Name: Samón Marrero Author-Name: Savon Robert Title: Misleading and dangerous dyspeptic disorders Abstract: Ovarian cancer is often fatal because it is usually advanced when diagnosed. It mainly affects perimenopausal and postmenopausal women. The average age at diagnosis is 63 years. The risk of ovarian cancer increases with a history of ovarian cancer in a first-degree relative, nulliparity, delayed childbearing, early menarche, delayed menopause, personal or family history of endometrial, breast or colon cancer. Most ovarian cancers develop from epithelial cells; the rest (germ cell tumors, sex cord stromal tumors) develop from other types of ovarian cells). Evaluation usually includes ultrasound, computed tomography or magnetic resonance imaging, biopsy and measurement of tumor markers. Treatment requires hysterectomy, bilateral salpingo-oophorectomy, chemotherapy, cytoreduction. Ovarian cancer may be asymptomatic or symptoms may be nonspecific (e.g. dyspepsia, early satiety, bloating, changes in bowel habits, urinary frequency) which may lead to misdiagnosis of other conditions and death of the patient. Journal: Health Leadership and Quality of Life Pages: .665 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.665 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.665:id:.665 Template-Type: ReDIF-Article 1.0 Author-Name: Chavarha Author-Name: Suprunenko Author-Name: Shpryakha Author-Name: Gai Author-Name: Glavatskyi Title: Adapting Ukrainian Medical Education to the Challenges of War: A Scoping Review Abstract: Introduction: The war in Ukraine, which began in 2014 and escalated into a full-scale invasion in 2022, significantly transformed teaching methods in higher education. The skills acquired during distance learning amid the COVID-19 pandemic in 2019 proved valuable, especially in medical education, where mastering practical skills typically requires in-person practice at the patient’s bedside, in operating rooms, and laboratories. Methods: To address the challenge of acquiring practical skills remotely, simulation methods were introduced, applicable both in simulation centers and through virtual simulation technologies. A systematic review was conducted to generalize and analyze research publications on the integration of simulation teaching methods into the medical education system. A total of 32 publications were selected according to systematic review standards. The literature search was conducted from 2019 to 2024 using the keywords “simulation learning,” “virtual reality,” “mixed reality,” “medical education,” and “distance learning” on the Scopus and PubMed platforms. The systematization of the analyzed literature was performed using the PRISMA program. Results: The review identified the main areas of implementation of virtual simulation tools in the educational process. The analysis highlighted how these tools contribute to the development of practical skills and enhance the overall learning experience for medical students during distance learning. Conclusions: The use of simulation training in medical education represents significant progress, improving the quality of training for medical professionals and ensuring the effective development of practical skills, even in remote learning conditions. Journal: Health Leadership and Quality of Life Pages: 664 Volume: 4 Year: 2025 DOI: 10.56294/hl2025664 Handle: RePEc:dbk:health:v:4:y:2025:i::p:664:id:664 Template-Type: ReDIF-Article 1.0 Author-Name: Magalhaes de Paiva Author-Name: Manuel Correa Title: Quality of Life Related to the Health of the Population of Los Piletones, of the Autonomous City of Buenos Aires during the year 2024 Abstract: Introduction: Health-related quality of life is increasingly relevant as a way to study population health. This concept refers to the individual's subjective perception of his or her current health situation. Material and methods: Cross-sectional study, in which 45 individuals residing in the Villa Piletones neighborhood of the Autonomous City of Buenos Aires were included during September 2024. Health-related quality of life was measured by means of the EQ5D-3L instrument, the visual analog scale and a question from the SF-36 health questionnaire. Results: mean age 44.89 ±14.77. Regarding the EQ-5D-3L, the best possible health status was the most prevalent (28.89%), followed by moderate compromise in the pain/discomfort and anxiety/depression dimensions (22.22%), and by moderate compromise in the anxiety/depression dimension (15.56%). The value obtained on the visual analog scale was 71.78 ±19.60. Regarding the self-report of health status through the SF36, the most prevalent status was fair or poor, with 48.89%. Conclusion: Disturbances such as anguish and depression and pain perception were the most reported, situations such as poverty, low educational level and age are determinants of health-related quality of life. Journal: Health Leadership and Quality of Life Pages: 663 Volume: 4 Year: 2025 DOI: 10.56294/hl2025663 Handle: RePEc:dbk:health:v:4:y:2025:i::p:663:id:663 Template-Type: ReDIF-Article 1.0 Author-Name: Almeida Rueda Author-Name: Pulido Montes Title: Meanings of Mental Health in Nursing Students Abstract: Introduction: The meanings are constructed from culture and according to them individuals carry out their actions in the world, being mental health one of the fields of action of nursing professionals, it is essential to address these meanings in nursing students that according to these will provide mental health care to the individual, family and communities. Objective: To understand the meanings in mental health that nursing students of a Colombian University have. Methodology: qualitative study, with an ethnographic approach, with information gathering techniques such as semi-structured interviews, observations recorded in the field diary, the analysis was qualitative of ethnographic type based on the dense description posed by Cliffort Geertz. Results: Interviews with 11 nursing students, recorded and transcribed, under descriptive, axial and selective coding process, with saturation of categories, thus ceasing the field work, the dense description is obtained obtaining findings such as those that raise the current article of Mental Health meanings from the individual-behavioral, social and biological, from the psychiatric, mental and from a positive and healthy perspective. Conclusion: positive mental health is present in the meanings that nursing students give to mental health. Journal: Health Leadership and Quality of Life Pages: 662 Volume: 4 Year: 2025 DOI: 10.56294/hl2025662 Handle: RePEc:dbk:health:v:4:y:2025:i::p:662:id:662 Template-Type: ReDIF-Article 1.0 Author-Name: Quiroga López Author-Name: Ruiz Reyes Author-Name: García Rodríguez Author-Name: Águila Carbelo Author-Name: Herrero Díaz Title: Acquired Hemophilia during Pregnancy and Postpartum Abstract: Hemophilia is a genetic disease that affects blood coagulation. Acquired hemophilia A is an autoimmune-mediated bleeding disorder in which antibodies against coagulation factor VIII develop. It presents during pregnancy and the postpartum period as a cause of obstetric hemorrhage. A literature review was conducted to characterize hemophilia acquired during pregnancy and the postpartum period. Journals and websites from sites such as SciELO were used, yielding a total of 21 references, with a 76.1% update rate. The disease is characterized by severe bleeding and extensive bruising of the trunk and extremities. Hormonal changes during pregnancy significantly alter the balance of hemostasis, leading to hypercoagulability secondary to an inflammatory state. The clinical picture of acquired hemophilia associated with pregnancy has certain characteristics that require study, as it does during the postpartum period. Journal: Health Leadership and Quality of Life Pages: 661 Volume: 4 Year: 2025 DOI: 10.56294/hl2025661 Handle: RePEc:dbk:health:v:4:y:2025:i::p:661:id:661 Template-Type: ReDIF-Article 1.0 Author-Name: Das Author-Name: Padmavathy Author-Name: Shilpa Author-Name: R Author-Name: Anitha Author-Name: G Author-Name: S Title: Cyber-Physical Systems Integration in Healthcare: AI-Enabled Decision Support Systems Abstract: Abstract structured in: The convergence of Cyber-Physical Systems (CPS) and healthcare is bringing about a transformation in the delivery of patient care by bridging the gap between the digital and physical realms. By utilizing modern technologies, these systems make it possible to make intelligent decisions and gain insights that are driven by data in real time. Introduction: The complexity of data integration, the mitigation of sophisticated cyber threats, and the guaranteeing of system scalability within a variety of healthcare infrastructures are among the most significant obstacles. Methods: This research presents the Artificial Intelligence-Enabled Intrusion Quantum Predictive Detection System (AI-IQPDS), an innovative approach that is intended to improve the operational reliability of healthcare CPS, as well as the security and predictive analytics capabilities of the system. AI-IQPDS combine quantum computing and machine learning to provide accurate intrusion detection and predictive decision assistance. Intelligent patient monitoring systems powered by AI can optimize hospital resource management, transmit data securely between connected devices, and detect emergencies early working. Results: Simulation results show that the system outperforms modern techniques in terms of precision of detection, speed of processing, and reduction of false-positives. The results of this research demonstrate the revolutionary possibilities of using CPS driven by AI in healthcare. Conclusion: Healthcare ecosystems that are both intelligent and scalable may be possible as a result of this integration, which might lead to better efficiency, security, and patient outcomes. Journal: Health Leadership and Quality of Life Pages: 659 Volume: 4 Year: 2025 DOI: 10.56294/hl2025659 Handle: RePEc:dbk:health:v:4:y:2025:i::p:659:id:659 Template-Type: ReDIF-Article 1.0 Author-Name: Chen Title: Research on the Enhancing Effect of Artificial Intelligence and Machine Learning on the Productivity of Remote Workers Abstract: The rise of remote work has highlighted the need for tools and technologies that can enhance employee productivity outside of the traditional office setting. Artificial intelligence (AI) and Machine Learning (ML) have demonstrated potential for optimizing remote work environments by automating tasks, controlling workflows, and offering insights into worker performance. Though, the unpredictability of remote work conditions across different industries and geographic regions pose some challenges affecting the applicability of the result. This research aims to examine the impact of AI and ML on remote workers' productivity. It seeks to assess how these technologies can improve productivity by examining employee behavior and performance patterns. A novel method called Refined Random Natural Gradient Boosting (RR-NGboost) technique is implemented, to develop predictive models for analyzing productivity changes. These methods are trained to recognize patterns in workplace behavior and forecast productivity trends. Data is gathered from remote workers in various places (city, town, and village), covering factors like work hours, task completion rates, and time management. The data is cleaned (by removing inconsistencies and missing values) and Z-score normalization is used to scale the data and develop model performance. Principal Component Analysis (PCA) is used to minimize dimensionality and highlight the most important traits. According to the results, the proposed RR-NGboost method is quite accurate in predicting production fluctuations, achieving a Mean Squared Error (MSE) of 0.3958 and a Mean Absolute Error (MAE) of 0.4234, demonstrating its strong predictive capability and minimal deviation from actual productivity scores. RR-NGboost is the best in terms of feature importance and prediction reliability. The research indicates that AI and ML approaches can significantly improve remote worker productivity by giving real-time insights and automating time management operations, which benefits workers as well as managers. Journal: Health Leadership and Quality of Life Pages: 658 Volume: 4 Year: 2025 DOI: 10.56294/hl2025658 Handle: RePEc:dbk:health:v:4:y:2025:i::p:658:id:658 Template-Type: ReDIF-Article 1.0 Author-Name: Montano-Silva Author-Name: Cruz Cabrera Author-Name: Bencosme Arias Author-Name: Abraham-Millán Author-Name: Crispin-Castellanos Title: An educational strategy with a comprehensive approach to developing cognitive skills in preschool children Abstract: Early childhood education is fundamental to a child's overall development. During this crucial period, which spans from birth to age six, the cognitive, emotional, social, and physical foundations are laid. The development of cognitive skills is particularly important, as these skills are necessary for future learning and the coherent development of critical thinking, problem solving, and creativity. The objective of the research was to analyse the main theories that underpin educational strategies for the formation of cognitive skills in preschool children with a comprehensive approach, their perspectives, as well as the challenges and counterarguments that arise in the educational, social and cultural spheres. Empirical (documentary analysis) and theoretical (analytical-synthetic, inductive-deductive, historical-logical analysis, systems approach) methods were used to conduct the research. The comprehensive educational strategy for the development of cognitive skills in preschool children is much more than a pedagogical model: it is a commitment to the comprehensive development of children and the construction of more just and equitable societies. Early childhood education is a crucial pillar for the social, cultural and economic development of any society, and a comprehensive approach is the path to more meaningful and transformative learning. Journal: Health Leadership and Quality of Life Pages: 657 Volume: 4 Year: 2025 DOI: 10.56294/hl2025657 Handle: RePEc:dbk:health:v:4:y:2025:i::p:657:id:657 Template-Type: ReDIF-Article 1.0 Author-Name: Paz-Román Author-Name: Auza-Santivañez Author-Name: Vallejos-Rejas Author-Name: La Fuente Padilla Author-Name: Carbonell González Author-Name: Diaz-Guerrero Author-Name: Rivero Castedo Author-Name: Gómez Triana Title: Paracoccidioidomycosis in a 16-year-old adolescent patient. A case report from Bolivia Abstract: Introduction: Paracoccidioidomycosis (PCM) is the most common systemic mycosis in Latin America. Case: A 16-year-old female patient from Bolivia presented with a 6-month history of ulcerative nasal lesions and cervical lymphadenopathy. Initial histopathology suggested tuberculosis with a positive Ziehl-Neelsen stain. Direct KOH examination revealed characteristic "steering wheel" yeasts of Paracoccidioides brasiliensis. Antituberculosis treatment was discontinued and itraconazole was started with a favorable response. Discussion: Juvenile paracoccidioidomycosis represents a significant diagnostic challenge due to its variable clinical presentation and its ability to mimic other more prevalent pathologies such as tuberculosis and lymphoproliferative syndromes. This case illustrates the importance of maintaining a high index of clinical suspicion in adolescent patients from endemic areas who present with lymphadenopathy and mucocutaneous lesions, especially when tuberculosis studies are negative. A broad differential diagnosis is important, as is the need for specific complementary testing in the event of clinical discrepancies. Direct mycological examination is crucial as a rapid and definitive diagnostic method for paracoccidioidomycosis. Journal: Health Leadership and Quality of Life Pages: 656 Volume: 4 Year: 2025 DOI: 10.56294/hl2025656 Handle: RePEc:dbk:health:v:4:y:2025:i::p:656:id:656 Template-Type: ReDIF-Article 1.0 Author-Name: Montano-Silva Author-Name: Abraham-Millán Author-Name: Gutiérrez Author-Name: Rodríguez-Suárez Author-Name: Romero-Amaro Author-Name: Hernández Title: Teenage pregnancy: a social problem for science Abstract: Teenage pregnancy has been a social, medical, and educational concern for decades. This phenomenon affects not only the teenager who becomes pregnant, but also her family, her community, and society in general. Over the years, teenage pregnancy rates have varied, but in many countries they remain considerably high, making this problem an urgent social issue. A qualitative study was conducted with the aim of analysing teenage pregnancy as a social problem in science, its repercussions, and the solutions proposed to mitigate its incidence. Empirical (documentary analysis) and theoretical (analytical-synthetic, inductive-deductive, historical-logical analysis, systems approach) methods were used to carry out the research. Teenage pregnancy is a complex social problem involving multiple dimensions, from physical and mental health to education and economics. It is imperative to address this phenomenon with an approach that includes comprehensive sex education, social support, and public health policies tailored to the specific needs of adolescent girls. The educational strategy designed must be multidisciplinary, culturally sensitive, inclusive, and focused on strengthening personal and social capacities for the effective prevention of teenage pregnancy. The future of adolescent girls facing unplanned pregnancies depends on collaboration between governments, educators, health professionals, and communities. Journal: Health Leadership and Quality of Life Pages: 655 Volume: 4 Year: 2025 DOI: 10.56294/hl2025655 Handle: RePEc:dbk:health:v:4:y:2025:i::p:655:id:655 Template-Type: ReDIF-Article 1.0 Author-Name: Zelenin Author-Name: Ilchenko Author-Name: Medvedieva Author-Name: Sakharova Author-Name: Volnova Title: Development of Resilience of Adolescent Personality after Traumatic Experience: Analysis of Factors Influencing the Formation of Posttraumatic Growth as a Result of Traumatic Events Abstract: Introduction: The article investigates the impact of the traumatic war experience on resilience development among young people in Ukraine, emphasizing factors contributing to post-traumatic growth. This topic is particularly relevant in 2024, given the ongoing disruptions to educational and social systems caused by prolonged military conflict. The study addresses the urgent need for effective psychological support methods for youth during crises. Methods: A mixed-methods approach was employed, combining quantitative and qualitative data analysis. A survey targeting young people aged 14 to 20 was conducted with support from UNICEF and Teenergizer. Secondary data analysis assessed anxiety, stress levels, and social support among participants, while in-depth interviews provided insights into emotional responses and coping mechanisms. Results: The survey highlighted key stressors, including the constant threat of war, loss of social connections, and restricted access to resources. Approximately 51% of respondents reported high anxiety levels. However, many demonstrated self-regulation skills and sought social support, facilitating resilience development. Adaptation mechanisms such as engagement in sports, peer communication, and psychological counselling significantly improved emotional well-being. Conclusions: The findings underscore the potential for post-traumatic growth among Ukrainian youth, provided they receive adequate psychological and social support in a resource-enriched environment. The study emphasizes the importance of resilience as a foundation for sustainability during crises and advocates for targeted programs to bolster youth adaptation and reintegration. Journal: Health Leadership and Quality of Life Pages: 654 Volume: 4 Year: 2025 DOI: 10.56294/hl2025654 Handle: RePEc:dbk:health:v:4:y:2025:i::p:654:id:654 Template-Type: ReDIF-Article 1.0 Author-Name: Tikhonova Title: Psycho-Emotional Outcomes of Aesthetic Interventions on Women's Self-Perception in Urban Societies Abstract: Introduction: The objectification of the body today increases psychological pressure on women through the visual culture of the urban concept of self-knowledge. Modern research indicates that the urban environment contributes to the fragmentation of female identity. Methods: The paper uses a phenomenological approach based on the methodology of Hubertus van Manen, implementing in-depth semi-structured interviews with 15 women aged 25–45. The data were processed using MaxQDA. Results: The results indicated an increase in self-esteem due to aesthetic interventions. At the same time, most respondents demonstrated the development of internal conflict, dependence on appearance and a sense of duality. The main psycho-emotional consequences were social pressure, cognitive dissonance and weakening of bodily boundaries. The results of the Rorschach test revealed a reduced ability to symbolize and emotional vulnerability. Conclusions: Thus, aesthetic interventions radically change women's self-perception. They form new identity strategies. At the same time, this is accompanied by increased emotional instability. To maintain the integrity of self-perception, there is a need for psychological support for women after interventions. Journal: Health Leadership and Quality of Life Pages: 653 Volume: 4 Year: 2025 DOI: 10.56294/hl2025653 Handle: RePEc:dbk:health:v:4:y:2025:i::p:653:id:653 Template-Type: ReDIF-Article 1.0 Author-Name: Lema Balla Author-Name: Cedeño Morales Author-Name: Alchundia Mendoza Title: Impact of Clinical Psychology in Emergencies and Disasters in Ecuador and other Global Crises Abstract: In a world where emergencies and disasters are becoming more frequent due to climate change, social conflicts, and global pandemics, clinical psychology has proven to be an essential tool for mitigating the emotional and mental impact of these crises. The objective of this study is to identify the challenges and opportunities of clinical psychology professionals in the context of emergencies and disasters in Ecuador, proposing recommendations to optimize their work based on the comparison of various telepsychology methodologies. This study uses a combination of literature review and qualitative case analysis. Documents from organizations such as the World Health Organization (WHO) and interviews with mental health professionals in Ecuador were reviewed. In addition, strategies used in international disasters such as the tsunami in Japan (2011) and Hurricane Katrina (2005) were analyzed. Among the most common psychological effects derived from disasters are Post-Traumatic Stress Disorder (PTSD), anxiety and depression, affecting both direct victims and response teams. Clinical psychology plays a fundamental role in emotional recovery during crisis contexts. In Ecuador, significant progress has been made in this area; however, it is imperative to strengthen psychological services, especially in vulnerable and rural areas. Journal: Health Leadership and Quality of Life Pages: 652 Volume: 4 Year: 2025 DOI: 10.56294/hl2025652 Handle: RePEc:dbk:health:v:4:y:2025:i::p:652:id:652 Template-Type: ReDIF-Article 1.0 Author-Name: Wijayanti Author-Name: Masni Author-Name: Moedjiono Author-Name: Mallongi Author-Name: Pratiwi Author-Name: Stang Author-Name: Riskiyani Title: Risk Factors for the Incidence of Preeclampsia among Pregnant Women of Bungi Health Center in Pinrang Abstract: Background: Preeclampsia is one of the main causes of maternal death in Indonesia besides bleeding and infection. Preeclampsia is a condition where pregnant women with gestational age reaching 20 weeks have high blood pressure accompanied by proteinuria ≥+1. Objective: To determine the magnitude of the risk of independent factors on the incidence of preeclampsia in pregnant women at the Bungi Health Center, Pinrang Regency. Methods: This study used a case-control study design with a total sample of 123 people (41 cases and 82 controls) selected with purposive sampling from pregnant women data at Bungi Health Center from January – December 2023. Data were analyzed univariate, Odds Ratio test and Logistic Regression. Results: The results showed that variables that had significant risk factors for the incidence of preeclampsia were family history of disease (OR= 2.171; 95% CI: 1.003–4.699), ANC history (OR= 2.262; 95% CI: 1.048-4.879) , history of hypertension (OR= 2.215; 95% CI: 1.015-4.834) , and frequency of classes for pregnant women (OR= 2.328; 95% CI: 1.076-5.035 ). While variables that are not risk factors for the incidence of preeclampsia are education (OR = 0.406; 95% CI: 0.186-0.884) , parity ( OR = 1.357; 95% CI: 0.632-2.910), history of maternal disease (OR = 1.997; 95% CI: 0.930-4.287), obesity (OR = 0.412; 95% CI: 0.179-0.951) and pregnancy distance (OR = 0.434; 95% CI: 0.195-0.967). Conclusion: The results showed that significant risk factors for the incidence of preeclampsia based on bivariate analysis were: family history of disease, ANC history, history of hypertension and frequency of classes for pregnant women. While the results of multivariate analysis identified the most dominant risk factor for the incidence of preeclampsia, namely hypertension with OR = 38.620 ( p = 0.003) it means that mothers with a history of hypertension have a greater risk of experiencing preeclampsia 38,620 times than pregnant women who do not have a history of hypertension, after being controlled by other variables such as education, family history of disease, obesity and class of pregnant women. These results emphasize the importance of early screening and strict monitoring of pregnant women with a history of hypertension, including preventive management and educational efforts from the preconception or early pre-conception. Journal: Health Leadership and Quality of Life Pages: 651 Volume: 4 Year: 2025 DOI: 10.56294/hl2025651 Handle: RePEc:dbk:health:v:4:y:2025:i::p:651:id:651 Template-Type: ReDIF-Article 1.0 Author-Name: Aquije-Mansilla Title: Analysis of Theoretical Foundations on Environmental Awareness in Early Childhood Education: A Systematic Review Abstract: Introduction: the growing global environmental crisis has increased the need to foster ecological awareness from the earliest stages of human development. In this context, environmental education in early childhood emerges as a fundamental strategy for planting long-term sustainable values and attitudes. Objective: this study aims to analyze, through a systematic review, the main academic research related to environmental education aimed at young children, identifying approaches, pedagogical strategies, and factors that promote ecological awareness in early childhood. Method: a systematic review was conducted of 68 scientific articles published between 2019 and 2025, selected from international academic databases. The studies were analyzed using thematic coding, considering variables such as the age of participants, type of educational intervention, the role of the family, teaching methodologies, and reported outcomes. Results: the active role of the family as an environmental education agent; the value of direct contact with nature; the use of innovative pedagogical resources such as storytelling, games, technology, and art; the cross-curricular integration of environmental education; and the emotional, cultural, and social factors that influence children's relationship with the environment. Furthermore, a significant improvement in pro-environmental attitudes is observed when experiences are meaningful, contextualized, and collective. Conclusion: environmental education in early childhood is essential for shaping citizens committed to protecting the planet. Its effectiveness depends on a holistic integration between school, family, natural surroundings, and community. It is recommended to promote public policies that strengthen these bonds and invest in teacher training to ensure sustainability education from the early years of life. Journal: Health Leadership and Quality of Life Pages: 650 Volume: 4 Year: 2025 DOI: 10.56294/hl2025650 Handle: RePEc:dbk:health:v:4:y:2025:i::p:650:id:650 Template-Type: ReDIF-Article 1.0 Author-Name: Sofía Moretti Author-Name: Adrián Medrano Author-Name: Garcia-Batista Author-Name: Luis Pedro Author-Name: Heinz-Dieter Title: Effectiveness of cognitive-behavioral treatment for chronic pain in patients with comorbidities Abstract: Introduction: although it is well-known that cognitive-behavioral therapy is efficacious for the treatment of chronic pain patients, studies that have evaluated its efficacy lose external validity because the scenario used in these investigations are highly different from natural settings. Objective: to determine the effectiveness of a cognitive-behavioral treatment for patients with chronic pain in a natural ambulatory setting. Method: a cuasi experimental design with no control group was implemented, in which a 14-session treatment program was used with 6 patients with chronic pain. Results: after the treatment participants showed statistically significant reductions on the worst pain experienced and on pain average. Moreover, patients exhibited increments on health-related quality of life related to role limitations due to emotional problems, emotional wellbeing, loss of energy and fatigue and social functioning. Effect size measures revealed to be from moderate to big (d between 0,44 and 0,81). Conclusion: these results suggest that the treatment program administered showed to be effective to diminish perceived pain and to improve health quality of life among chronic pain patients. Journal: Health Leadership and Quality of Life Pages: 649 Volume: 4 Year: 2025 DOI: 10.56294/hl2025649 Handle: RePEc:dbk:health:v:4:y:2025:i::p:649:id:649 Template-Type: ReDIF-Article 1.0 Author-Name: Kubatz La Madrid Author-Name: Collazo Cruz Author-Name: Cruz Cruz Author-Name: Auza-Santivañez Author-Name: Bautista-Vanegas Author-Name: Aguirre-Cruz Author-Name: Cabezas-Soliz Author-Name: Salvatierra-Rocha Title: Asymptomatic multiorgan cysticercosis. A case report from Bolivia Abstract: Introduction: Cysticercosis is an infectious disease caused by Taenia solium, endemic to Latin America, Asia, and Africa. It is acquired by consuming Taenia eggs in contaminated water and food, or undercooked pork. It generally causes mild or asymptomatic disease, except for neurocysticercosis, which can be severe and potentially fatal. Symptoms depend on the number of parasites, their location, and the host's immune response. Diagnosis is based on epidemiological data, clinical presentation, and imaging studies, primarily computed tomography. Objective: To use computed tomographic images to identify the degree of tissue damage caused by Taenia solium in an asymptomatic Bolivian adult. Clinical case: A 52-year-old Bolivian female patient from a rural area, with a wooden house, dirt floor, no sewage or drinking water, a housewife, who practices open defecation and raises pigs to support her household. She had a personal health history, but an inadequate diet. She was taken to the Roberto Galindo Hospital due to a traffic accident, where an emergency CT scan of the head and abdomen was performed due to direct trauma to those areas. The studies revealed calcifications in multiple organs, findings suggestive of massive cysticercosis. Conclusions: Cysticercosis is a parasitic disease transmitted fecal-orally, preventable but highly contagious from country to country due to social migration. It constitutes a serious health problem due to the biological, economic, and social damage it entails, making increased epidemiological surveillance essential. Journal: Health Leadership and Quality of Life Pages: 648 Volume: 4 Year: 2025 DOI: 10.56294/hl2025648 Handle: RePEc:dbk:health:v:4:y:2025:i::p:648:id:648 Template-Type: ReDIF-Article 1.0 Author-Name: Susino Title: Emotional dysregulation in health, education and law enforcement professionals Abstract: Introduction: Emotional regulation is a key process for psychological and occupational well-being. Difficulties in adaptive emotional regulation—referred to as emotional dysregulation—are associated with psychological distress and reduced ability to adjust to challenging environments. Health, education, and law enforcement professionals face constant emotional demands in complex and uncertain contexts, which may compromise their well-being, responsiveness, decision-making, and job performance. Objective: To analyze differences in emotional dysregulation among 419 professionals from the health, education, and security sectors in the city of Río Cuarto, Argentina. Method: A quantitative, cross-sectional, and ex post facto study was conducted. The sample included 419 active professionals: 166 from health, 160 from education, and 93 from security sectors, selected through non-probabilistic convenience and snowball sampling. The Difficulties in Emotion Regulation Scale (DERS), adapted to the Argentine population, was used. Statistical analyses included Kruskal-Wallis and Dwass-Steel-Critchlow-Fligner post hoc tests. Results: Significant differences were found in emotional awareness (χ² = 9.97, p = 0.01) and emotional clarity (χ² = 7.02, p = 0.03), with educators reporting greater difficulties compared to health and security professionals. No significant gender differences were observed. Conclusions: The findings underscore the need for targeted interventions in emotional regulation, particularly within the education sector, where these difficulties are associated with burnout and work overload. Future research should consider longitudinal and mixed-method approaches, integrating variables such as personality traits and job satisfaction to enhance contextualized interventions. Journal: Health Leadership and Quality of Life Pages: 646 Volume: 4 Year: 2025 DOI: 10.56294/hl2025646 Handle: RePEc:dbk:health:v:4:y:2025:i::p:646:id:646 Template-Type: ReDIF-Article 1.0 Author-Name: Ramos Zenteno Author-Name: Ortega-Martinez Title: Shock index and modified shock index as a predictor of mortality in shock sepsis admitted to the critical care unit Abstract: Introduction: Septic shock is characterized by microvascular endothelial dysfunction, dysregulated immune response, and coagulation disorders. Mortality in this state can reach up to 50%. The shock index (SI) is the integration of two physiological variables (heart rate/systolic blood pressure) and modified shock index (MSI) (heart rate/mean arterial pressure); several studies demonstrate it as a predictor of mortality in septic shock. The objective was to determine the prognostic value of the shock index and the modified shock index in patients with septic shock. Material and methods: This was an observational, prospective, and longitudinal study with 176 patients admitted to the critical care unit of Hospital Obrero No. 2, Cochabamba, Bolivia. Results: The study documented that having a SI > 1,1 and an MSI cut-off point of > 1,7 at admission to the critical care unit, presents higher mortality, with a sensitivity CI of 86% (CI: 95%: 0.714-0,869; p = 0,0001), for the MSI a sensitivity of 87% (CI: 95%: 0,722-0.874; p = 0,0001). Discussion: The shock index and modified shock index are moderately accurate predictors of mortality in patients with septic shock admitted to the critical care unit, which could be useful as a reference tool to identify high-risk patients. Journal: Health Leadership and Quality of Life Pages: 645 Volume: 4 Year: 2025 DOI: 10.56294/hl2025645 Handle: RePEc:dbk:health:v:4:y:2025:i::p:645:id:645 Template-Type: ReDIF-Article 1.0 Author-Name: Madale Author-Name: B. Madamba Author-Name: Salic-Hairulla Author-Name: Naquines Title: Enhancing Rice for the Future: Advances in Yield, Resistance, and Climate Adaptability Abstract: Introduction: Rice (Oryza sativa) remains a staple food for over half of the global population, reinforcing the need for continuous scientific innovations to ensure food security. Diverse disciplines—including genetics, biotechnology, agronomy, pest and disease resistance, and climate adaptation—have significantly contributed to rice improvement. This review synthesizes scientific advancements in rice research over the past decade and identifies emerging trends and research gaps. Methods: A systematic literature review was conducted following the PRISMA framework. Peer-reviewed studies and institutional reports published from 2015 to 2025 were collected from databases such as Scopus, ScienceDirect, JSTOR, and PubMed. The studies were organized into five thematic areas: genetic and molecular advancements, agronomic practices, biotechnological applications, pest and disease resistance, and climate resilience. Results: Advances in genome sequencing, CRISPR/Cas9 editing, and functional genomics have enabled precise trait improvements. Agronomic practices like optimized transplanting schedules, nano-fertilizers, and biofertilizers enhanced productivity and sustainability. Biotechnological tools, including biofortification and microbial inoculants, improved rice nutritional value and resilience. Pest and disease management benefited from gene pyramiding, molecular markers, and Integrated Pest Management (IPM) strategies. Climate-resilient approaches combined genomics, metabolomics, and traditional knowledge to support environmental adaptation. Conclusions: While substantial progress has been made, challenges such as biosafety concerns, limited field validation, and farmer adoption persist. Addressing these issues is crucial for translating scientific advancements into practical, sustainable, and climate-resilient rice production systems. Journal: Health Leadership and Quality of Life Pages: 644 Volume: 4 Year: 2025 DOI: 10.56294/hl2025644 Handle: RePEc:dbk:health:v:4:y:2025:i::p:644:id:644 Template-Type: ReDIF-Article 1.0 Author-Name: López Vargas Author-Name: Fleitas Author-Name: Riveros Irigoyen Author-Name: Aveiro-Róbalo Title: Knowledge and practices about breastfeeding in mothers who attend a Hospital Abstract: The World Health Organization (WHO) recommends exclusive breastfeeding during the first six months of life as essential. Objective: Knowledge and practices about breastfeeding in mothers who attend a Hospital. Methods: Cross-sectional observational descriptive study in mothers with children from 6 months to 24 months of age who attended the General Hospital of Luque in the months of July to September 2023, a questionnaire was applied to collect sociodemographic data, history related to the delivery, breastfeeding period, type of breastfeeding, knowledge, and practices about BF. Results: 178 mothers participated with children of 15 (± 6.5) months of age on average, 56% (n=100) were girls. Sufficient knowledge about breastfeeding was found in 89% (n=159) of the mothers. 34 mothers mentioned having abandoned breastfeeding. The most frequently mentioned reason for abandoning breastfeeding was returning to work. Conclusion: The level of sufficient knowledge about breastfeeding of the mothers was high, for the most part, 10%. Journal: Health Leadership and Quality of Life Pages: 643 Volume: 4 Year: 2025 DOI: 10.56294/hl2025643 Handle: RePEc:dbk:health:v:4:y:2025:i::p:643:id:643 Template-Type: ReDIF-Article 1.0 Author-Name: Karthikeyan Author-Name: Thirugnanam Author-Name: Samal Author-Name: Khurana Author-Name: Singh Author-Name: Dheeravath Raju Title: Impact of Emotional and Psychological Issues on Hematologic Cancer Patients Undergoing Stem-Cell Transplants Abstract: Hematopoietic stem cell transplant (HSCT) morbidity has decreased in recent decades owing to improvement in post-transplant concern with transplantation therapy. However, psychological discomfort is common among HSCT patients, and it can have a detrimental effect on function, recovery, and health outcomes, including an increased risk of implant with host illness and mortality. Several improved health outcomes and increased treatment participation are the results of properly diagnosing and treating these psychological problems. The principle of the investigation is to observe the psychological and emotional challenges that recipients of stem-cell transplants who have hematologic malignancies face. It aims to assess how these issues affect patients' overall quality of life (QoL), persistence in treatments, and recovery outcomes. For the examination, 70 people with Hematologic cancer of HSCT were considered, to analyze the emotional and psychological issues within the patients during their stay in the hospital. Statistical Package for Social Sciences (SPSS) was analyzed and the findings show that the research used methods such as the paired t-test, Wilcoxon Signed-Rank Test and Regression analysis. Anxiety levels decreased from 28.6% to 14.3% and depression levels from 21.4% to 14.3%, respectively, following SCT, based on the analysis. Journal: Health Leadership and Quality of Life Pages: 642 Volume: 4 Year: 2025 DOI: 10.56294/hl2025642 Handle: RePEc:dbk:health:v:4:y:2025:i::p:642:id:642 Template-Type: ReDIF-Article 1.0 Author-Name: Mathapati Author-Name: Srishtic Author-Name: Panigrahi Author-Name: Pujari Author-Name: Seth Author-Name: Brar Author-Name: Sudheer Title: Comprehensive Examination of Coffee Consumption Patterns and Their Impact on Liver Cancer Risk Abstract: Coffee consumption has drawn increasing attention for its possible protective belongings against liver cancer, especially among high-risk populations. This research was designed to thoroughly examine the association among coffee intake and liver cancer risk diagonally diverse demographic groups. A cross-sectional survey involving 300 participants was conducted, collecting data on key variables, including age, smoking, alcohol consumption, and levels of coffee intake. Statistical analyses were accomplished utilizing SPSS software, employing logistic regression and chi-square tests to inspect the associations among coffee consumption, demographic factors, and liver cancer risk. The outcomes exposed that higher quantity of coffee intake were crucially linked to a reduced risk of liver cancer compared to lower consumption levels, suggesting a possible dose-response relationship. Among the demographic factors analyzed, age emerged as a substantial risk factor for liver cancer, with older individuals evincing a higher likelihood of expanding the disease. Additionally, smoking and alcohol consumption were recognized as significant lifestyle behaviors providing to liver cancer risk, further emphasizing the complicated nature of the disease. These findings highlight coffee’s possible as a protective dietary intervention for commuting liver cancer risk, especially in populations at greater risk due to age or other lifestyle factors. The study emphasizes the importance of incorporating coffee consumption into broader dietary and public health approaches for cancer prevention. Moreover, it advocates for further research to unravel the mechanisms underlying coffee’s protective effects and to advance adjusted dietary and lifestyle recommendations aimed at appreciably reducing liver cancer risk, eventually promoting improved health outcomes in unprotected populations. Journal: Health Leadership and Quality of Life Pages: 641 Volume: 4 Year: 2025 DOI: 10.56294/hl2025641 Handle: RePEc:dbk:health:v:4:y:2025:i::p:641:id:641 Template-Type: ReDIF-Article 1.0 Author-Name: Giménez Brizueña Author-Name: Silva Talavera Author-Name: Isabel López Author-Name: Aveiro-Róbalo Title: Diet quality and nutritional status of pregnant women treated in public hospitals in Paraguay Abstract: Introduction: Diet quality plays a fundamental role in the development of a pregnancy. Objective: To determine the quality of diet and nutritional status of pregnant women attending public hospitals in the capital during the period from July to September 2023. Methods: This was a descriptive, observational, cross-sectional, cross-sectional study with cross association, where 104 adult pregnant women were surveyed, with prior informed consent, sociodemographic and anthropometric variables were collected and a questionnaire on dietary habits was filled in. The data were digitalized in Microsoft Office® Excel® 2010 spreadsheets. They were analyzed with the statistical package Epi Info® version 7.2.5.0. Results: Those pregnant women who presented adequate nutritional status (n=23) according to anthropometric parameters obtained a higher mean score (8.61 ±1.59 SD), while those who presented some type of malnutrition obtained lower mean scores. No statistically significant difference was found between group averages when applying the ANOVA test (p>0.05). Conclusion: Excess malnutrition in pregnant women is high and the average diet quality score decreases in those who presented some type of malnutrition. Given the growing epidemic of chronic noncommunicable diseases, it is of vital importance to invest in public health policies that promote adequate nutrition during pregnancy, so that the quality of the diet can be improved. Journal: Health Leadership and Quality of Life Pages: 639 Volume: 4 Year: 2025 DOI: 10.56294/hl2025639 Handle: RePEc:dbk:health:v:4:y:2025:i::p:639:id:639 Template-Type: ReDIF-Article 1.0 Author-Name: Sankaran Author-Name: Bhavani Author-Name: Samal Author-Name: Vashisht Author-Name: Sairam Author-Name: Bareja Title: Assessment of Bone Mineral Density Decline in Prostate Cancer Patients Undergoing Hormonal Therapy Abstract: Introduction: The prostate cancer is a highly prevalent cancer in men, and enhanced screening and treatment have helped in earlier detection and greater longevity. However, due to complications, patients' quality of life has grown more crucial. Despite regional therapy, Prostate cancer naturally develops to metastasis, notably in the bone, increasing mortality and morbidity from skeletal-related events and necessitating operation or therapy. The objective of the article is to analyze the influence of various hormone therapies on bone mineral density, termed Bone Mineral Density(BMD) in individuals with prostate cancer. Methods: The research includes two groups, in Group A patients who have prostate cancer take the treatment named Luteinizing Hormone-Releasing Hormone agonists (LHRH), and for Group B patients, the treatment called anti-androgen hormonal therapy. It particularly analyses the impact of LHRH in Group A on anti-androgen medication in Group B. Results: A questionnaire was presented to the patients to gather data on several parameters such as medical information, and lifestyle behaviors. A paired t-test and multiple linear regression analyses were carried out using the SPSS software version 28, to investigate the impact of hormonal treatment on BMD results. Conclusion: The research found that age, duration of hormone therapy, BMI, and baseline BMD were significant indicators of BMD changes among patients with prostate cancer. The results suggest that group A, which was undergoing LHRH treatment, is more successful in maintaining BMD, compared to the group B, which emerged from anti-androgen therapy. Journal: Health Leadership and Quality of Life Pages: 638 Volume: 4 Year: 2025 DOI: 10.56294/hl2025638 Handle: RePEc:dbk:health:v:4:y:2025:i::p:638:id:638 Template-Type: ReDIF-Article 1.0 Author-Name: Senapati Author-Name: Padhi Author-Name: Sood Author-Name: Mehta Author-Name: Sohal Author-Name: Sairam Title: The role of Surgery in the treatment of spinal Dural Arteriovenous fistula Abstract: The vascular abnormality known as a spinal dural arteriovenous fistula (SDAVF) is highly uncommon. To perceive the anomaly, the gold standard before surgical operations like vascular therapy or open surgical procedures involves computerized reduction imaging. Hidden SDAVFs on an angiogram have been documented before. There was no assessment of surgical options for SDAVFs with false-positive angiogram findings. Patients who underwent SDAVF surgery in 2018–2019 at a single institution had their medical records, and imaging trainings revised retrospectively. After failing endovascular embolization or worsening clinically and radiographically in the context of an angiographically hidden lesion, all patients were referred for surgical intervention. Surgery options for these lesions were explored after a thorough case assessment. There was a total of 4 cases in this series. Despite undergoing embolization before surgical repair, the neurological status of 2 patients deteriorated further, while embolization in 2 other patients was unsuccessful due to the complexity of their vascular systems. All four patients had their neurological conditions improve or remain stable after the examination. Microscopically integrated fluorescence angiography with indocyanine green injection helped identify the supplier’s veins and proved the SDAVF closure. After an SDAVF has been identified, immediate treatment is necessary. If angiography results are unclear or raise doubts about the presence of SDAVF, an urgent spinal investigation should be performed. Indocyanine exploring spine surgery for SDAVF completion may benefit from green light micro angiography. Journal: Health Leadership and Quality of Life Pages: 636 Volume: 4 Year: 2025 DOI: 10.56294/hl2025636 Handle: RePEc:dbk:health:v:4:y:2025:i::p:636:id:636 Template-Type: ReDIF-Article 1.0 Author-Name: Samal Author-Name: Gohil Author-Name: Datkhile Author-Name: Mahajan Author-Name: Abhinav Mishra Author-Name: Sirisha Title: Biosynthesis of Carbon Nanoparticles and Their Potential Usefulness in Cancer Research and Biotechnology Abstract: The wrapped graphene sheets are used to create cylindrical Carbon Nanotubes (CNTs) which are carbon allotropes that have a nano-architecture. Graphene sheets are wrapped to create cylindrical carbon allotropes with a CNT nano-architecture. Considering the fascinating characteristics of CNTs has received a lot of interest from scientists throughout the years. Unique qualities such as the high degree of flexibility and the crucial length-to-diameter ratio with exceptional durability make it useful in many different applications. It is possible to modify the properties of CNTs by adjusting their distance, chirality, wall type, and time taken, which are dependent on the synthesis method. The numerous synthesis techniques for creating CNTs are in-depth discussed in this article. This study aims to investigate biosynthesis Carbon Nanoparticles (CNPs) with the eco-friendly methods and assess their use in biotechnology, including drug delivery, bioimaging, biosensing, etc. The review also includes descriptions of several characterization techniques. In addition, this study determines the principal or diverse biological synthesis approaches, physicochemical properties and functionalization methodologies of CNPs and their biocompatibility and prospects in biomedical and industrial applications. The use of CNTs in numerous technologically significant sectors is thoroughly covered. Finally, CNTs' potential features are discussed in light of their saleable use. Journal: Health Leadership and Quality of Life Pages: 635 Volume: 4 Year: 2025 DOI: 10.56294/hl2025635 Handle: RePEc:dbk:health:v:4:y:2025:i::p:635:id:635 Template-Type: ReDIF-Article 1.0 Author-Name: Wang Author-Name: Azhar Mat Sulaiman Author-Name: Mohammad Author-Name: Abd Samad Title: Environmental Attributes, Perceived Well-being, and Social Interaction: A Space Syntax Analysis of Chengdu’s Neighborhood Parks for the Elderly Abstract: The rapid urbanization of Chinese cities has intensified the demand for age-friendly public spaces that promote health and social engagement among the elderly. This research investigates the complex relationships among environmental attributes, perceived well-being, and social interaction in Chengdu’s neighborhood parks, using Space Syntax analysis as a core methodological framework. A total of 287 elderly individuals were surveyed across six neighborhood parks, selected to represent varying spatial structures and amenity quality. Environmental configuration was quantified using Space Syntax metrics such as integration, connectivity, and visual accessibility. Simultaneously, structured observations and on-site questionnaires captured data on social interaction patterns and perceived well-being. The data analysis using structural equation modeling (SEM) and statistical methods, including Pearson’s correlation, and multiple regression, was used to assess relationships between spatial configuration, perceived well-being, and social interaction frequency. The results showed strong positive effects of social interaction (β = 0.44) and environmental quality (β = 0.42) on perceived well-being (p < 0.001). All constructs demonstrated high reliability (α = 0.81–0.88) and valid factor structures, confirming model strength. Furthermore, an SEM analysis showed that this mediation was moderated by interaction type, with family-based interactions exerting a stronger influence on well-being compared to friend-based ones. This research provides empirical evidence that spatially well-integrated and visually accessible park environments significantly enhance social cohesion and subjective well-being among the elderly. These findings offer critical insights for designing inclusive, age-friendly public spaces that support active and healthy aging in urban China. Journal: Health Leadership and Quality of Life Pages: 634 Volume: 4 Year: 2025 DOI: 10.56294/hl2025634 Handle: RePEc:dbk:health:v:4:y:2025:i::p:634:id:634 Template-Type: ReDIF-Article 1.0 Author-Name: Ovdiienko Author-Name: Brukhovetska Author-Name: Verbytska Author-Name: Tiahur Author-Name: Chausova Author-Name: Inzhyievska Title: Emotional and Motivational Mechanisms of Soft Skills Growth as Determinants of Mental Well-being Abstract: Introduction: Soft skills were recognised as a critical element of mental health. The study therefore aimed to determine how the emotional and motivational components of soft skills related to students’ mental-health indicators. Methods: A quantitative, survey-based correlational design was applied. The sample comprised 68 undergraduate and graduate students drawn from both humanities and technical faculties. Standardised questionnaires assessed emotional intelligence (EQ), empathy, social skills, psychological distress (GHQ-12), stress (DASS-21) and well-being (WHO-5). Pearson’s or Spearman’s correlation coefficients quantified associations between variables. Results: Most respondents exhibited moderate development of emotional and motivational skills. Emotional discomfort was reported by 44 % of participants (GHQ-12: M = 17.6) and high stress by 21 % (DASS-21: M = 12.1). Social skills (M = 22.4) and empathy (M = 19.7) emerged as the strongest competencies. Emotional intelligence correlated negatively with psychological distress (r = –0.48; p < 0.01) and stress (ρ = –0.42; p < 0.01) and positively with well-being (r = 0.53; p < 0.01). Conclusions: The analysis confirmed significant links between students’ emotional-motivational soft skills and mental-health outcomes. Higher emotional intelligence predicted lower distress and stress alongside greater subjective well-being. Strengthening emotional and motivational abilities was therefore concluded to be a viable pathway for reducing psychological strain and enhancing resilience. Educational programmes were advised to embed targeted emotional-intelligence training to promote mental health within the student population. Journal: Health Leadership and Quality of Life Pages: 632 Volume: 4 Year: 2025 DOI: 10.56294/hl2025632 Handle: RePEc:dbk:health:v:4:y:2025:i::p:632:id:632 Template-Type: ReDIF-Article 1.0 Author-Name: Qurishi Author-Name: Chandana Author-Name: Mhaske Author-Name: Vohra Author-Name: Gupta Author-Name: Sidhu Title: Diagnostic Modalities and Management of Sialolithiasis: An experimental study Abstract: Introduction: Sialolithiasis, the calcification of stones in the salivary glands, is an over diagnosed but under diagnosed condition that can cause significant pain, discomfort, and impaired gland function. Early diagnosis and effective management are important to prevent complications. The research takes into account the diagnostic modalities and management of Sialolithiasis. Aim: The objective of research is to compare the effectiveness of various diagnostic techniques in diagnosing Sialolithiasis and different management techniques, both conservative and surgical. Methods: The research was performed on a sample of 350 Sialolithiasis-diagnosed patients. Diagnostic processes involving sialography, ultrasonography, and CT scans were performed on the participants. Therapeutic approaches, such as sialogogues, massage, and surgical extraction, were applied and results were compared according to the size, position, and material of the stones. Success rates, complications, and healing periods were assessed. Results: The research revealed that ultrasonography and sialography were the best non-invasive diagnostic methods with CT scans helpful in identifying larger and deeper stones. Surgical treatment yielded the most conclusive results, especially in large or multiple stones. Conservative measures were successful in small, superficial stones, but recurrence was frequent in larger ones. Conclusion: Early diagnosis of Sialolithiasis is crucial for preventing further complications. While non-invasive techniques are effective for initial detection, surgical intervention remains the most reliable method for stone removal. Further research is needed to explore minimally invasive options and improve management strategies for different stone sizes and gland locations. Journal: Health Leadership and Quality of Life Pages: 630 Volume: 4 Year: 2025 DOI: 10.56294/hl2025630 Handle: RePEc:dbk:health:v:4:y:2025:i::p:630:id:630 Template-Type: ReDIF-Article 1.0 Author-Name: Dev Author-Name: Sahu Author-Name: Singh Author-Name: Gaonkar Author-Name: Sharma Author-Name: Premchandh Title: Endoscopic detection of syndesmosis damages in patients with ankle fractures including external rotation Abstract: Background: Syndesmosis injury is a frequent and severe complication in the setting of ankle fracture, especially external rotation-type. Early, precise diagnosis is necessary for proper management to avoid long-term disability. Intraoperative Syndesmosis integrity assessment is important in planning the need for surgery. Aim: The purpose of the research is to assess the efficacy of intraoperative diagnostic techniques in diagnosing Syndesmosis injuries in patients with ankle fractures caused by external rotation, and to evaluate the precision of clinical assessment, imaging modalities, and direct intraoperative evaluation. 100 patients were enrolled in the research to provide credible and statistically significant results. Methods: A group of 100 patients with ankle fracture, i.e., those due to external rotation mechanisms, was evaluated by clinical examination, preoperative imaging (CT scans, MRI), and intraoperative testing (stress tests, fluoroscopy). Surgical exploration was used to confirm intraoperative diagnosis. Sensitivity, specificity, and accuracy of all the methods were compared to decide the most appropriate diagnostic method. Results: The intraoperative assessment was most accurate in diagnosing Syndesmosis injuries than preoperative imaging and clinical examinations. Stress tests and fluoroscopic control were most useful in detecting subtle syndesmotic disruptions, with a sensitivity of 92.7% and specificity of 86.7%. Preoperative imaging had moderate accuracy, while clinical examinations were less accurate in detecting occult injuries. Journal: Health Leadership and Quality of Life Pages: 629 Volume: 4 Year: 2025 DOI: 10.56294/hl2025629 Handle: RePEc:dbk:health:v:4:y:2025:i::p:629:id:629 Template-Type: ReDIF-Article 1.0 Author-Name: Huang Author-Name: Mendjargal Author-Name: Odkhuu Author-Name: Boldbaatar Author-Name: Guo Author-Name: Baldandorj Title: Curcumin promote autophagy via miR-582-5p and Akt/mTOR axis Abstract: Objective: This study aimed to investigate the role of Curcumin in modulating miR-582-5p expression in cisplatin (DDP)-resistant cervical cancer cells. Methods: miR-582-5p expression levels were quantified by qPCR. Cell viability following DDP treatment was assessed using the CCK-8 assay. Colony formation ability was evaluated, and the expression of autophagy-related proteins (ATG7, Beclin-1, LC3-II/I) as well as the phosphorylation status of Akt and mTOR were analyzed by Western blotting. Results: miR-582-5p expression was downregulated in DDP-resistant tissues and in Hela/DDP and SiHa/DDP cells. Curcumin treatment reduced the IC50 values of both cell lines and suppressed colony formation. Curcumin upregulated ATG7, Beclin-1, and LC3-II/I expression in DDP-resistant Hela and SiHa cells, while concurrently inhibiting the phosphorylation of Akt and mTOR. miR-582-5p modulated Akt phosphorylation and influenced Curcumin-induced autophagy in these resistant cell lines. Additionally, the phosphorylation status of Akt affected the autophagic response to Curcumin. Conclusions: Curcumin enhances autophagy in DDP-resistant cervical cancer cells, accompanied by downregulation of miR-582-5p and inhibition of Akt/mTOR phosphorylation. Journal: Health Leadership and Quality of Life Pages: 628 Volume: 4 Year: 2025 DOI: 10.56294/hl2025628 Handle: RePEc:dbk:health:v:4:y:2025:i::p:628:id:628 Template-Type: ReDIF-Article 1.0 Author-Name: Arthi Author-Name: Verma Author-Name: Nanda Author-Name: Khurana Author-Name: Pohini Author-Name: Jena Title: The Use of Inhaled Nitric Oxide in the Management of Acute Respiratory Distress Syndrome Abstract: Acute Respiratory Distress Syndrome (ARDS) Patients' Lung Function (PLF), Morbidity (M), and Death were the primary outcomes the researchers were interested in examining. The standard therapy, or the inhaled nitric oxide inhNO treatment, was administered to 30 ARDS patients divided into two groups. It has been shown that 0.5 to 40 ppm of inhNO is the ideal daily dosage. All treatment methods were standard. In 25% of ARDS Patients, sepsis was the underlying cause. In the first 24 hours after inhNO, patients had a considerable increase in their hypoxia score, from 114.2 to 170.4 mm Hg. Similar decreases in venous admixture also occurred in the inhNO group to the control group. InhNO did not continue to have any positive effects beyond the first day of therapy. Forty percent of the inhNO group remained alive and weaned off mechanical ventilation thirty days following randomization, whereas only 33.3% of the control group did so. With Multiple Organ Failure Syndrome (MOFS) as the primary cause of death, the 30-day mortality rate for both groups was comparable. According to the research, inhNO might improve gas exchange but did not lower mortality in this group. Journal: Health Leadership and Quality of Life Pages: 627 Volume: 4 Year: 2025 DOI: 10.56294/hl2025627 Handle: RePEc:dbk:health:v:4:y:2025:i::p:627:id:627 Template-Type: ReDIF-Article 1.0 Author-Name: Saraswat Author-Name: Patro Author-Name: Rampal Author-Name: Sirisha Author-Name: Sharma Author-Name: Monika Title: Efficacy and Safety of Hydroxychloroquine for the Treatment of COVID-19: An empirical study Abstract: The new coronavirus disease epidemic of 2019 (COVID-19) has spread worldwide. A quick solution to meet the urgent demand for effective treatment may be drug repurposing. To treat COVID-19, evaluated the clinical effectiveness of hydroxychloroquine and chloroquine. The individuals that received a modest COVID-19 score were randomized to obtain the control therapy or hydroxychloroquine 800 milligrams once daily on Day 7 and 250 milligrams for nine days, except the evaluated the clinical effectiveness of hydrochloride and chlorin equine. Compared to the control group (CtrlGrp) (Group 3), adverse reactions were observed more frequently in those taking chloroquine (Group 1) and hydroxychloroquine (Group 2). The time to clinical recovery (TTCR) was shortened in the Group 1 relation to the CtrlGrp. In the Group 2, there was a tendency toward lower TTCR. Chloroquine and Group 2 reached viral RNA negative substantially faster than the CtrlGrp. The typical instances to become RNA negative in the groups treated with chloroquine, hydroxychloroquine, and controls comprised two days, two weeks, and seven days, correspondingly. Both the length of hospitalization and the results of the lung computed tomography (CT) indicated improvements in the hydroxychloroquine and chloroquine pharmacologic categories. This research provides evidence that hydrochlorothiazide may be used to treat mild COVID-19, and it complements more excellent investigations. Journal: Health Leadership and Quality of Life Pages: 626 Volume: 4 Year: 2025 DOI: 10.56294/hl2025626 Handle: RePEc:dbk:health:v:4:y:2025:i::p:626:id:626 Template-Type: ReDIF-Article 1.0 Author-Name: Mehta Author-Name: Das Author-Name: Sruthi Author-Name: Panigrahi Author-Name: Mazumder Author-Name: Saini Title: An Evidence-Based Analysis of Neurophysiological Screening During spinal surgery Abstract: Evidence-based medicine (EBM) has placed an emphasis on three guiding principles when determining the worth of a medical intervention: some proof is superior to other people; everything proof is intentional that the patient valuations are significant. Current EBM thought perceives that near observational examinations, not simply randomized controlled preliminaries, can uphold causal connections with results. According to the limited number of carefully carried out comparison research, intraoperative neurophysiological monitoring (ION) enhances the prognosis for spinal intramedullary malignancies. But the effect's extent is still uncertain. Particle indicative test exactness, Diagnostic Test Accuracy (DTA) essentially is in a roundabout way connected with clinical viability. Switched indication change gone specialist mediation challenges appraisal of DTA. DTA estimation can be improved by making adjustment for the surgical context and measuring dose–reaction relationships. The worth of ION depending upon the surgical procedure, the quality of the evidence based on outcomes, and how doctors and patients weigh the benefits, drawbacks, and financial costs methods. Journal: Health Leadership and Quality of Life Pages: 625 Volume: 4 Year: 2025 DOI: 10.56294/hl2025625 Handle: RePEc:dbk:health:v:4:y:2025:i::p:625:id:625 Template-Type: ReDIF-Article 1.0 Author-Name: Singla Author-Name: Sudheer Author-Name: Sahu Author-Name: Mishra Author-Name: Chandna Author-Name: Mane Title: Effectiveness and Toxicity of Ivermectin for the Management of COVID-19: A Meta-Analysis Abstract: Ivermectin was recently suggested as a possible COVID-19 therapy, yet its clinical efficacy and safety remain controversial. This meta-analysis systematically reviews studies from the key databases of PubMed, Elsevier, Scopus, and Web of Science using the Boolean operator to effect of ivermectin on various COVID outcomes including symptom reduction, mortality, and side effects. Relevant studies’ data were included and assessed with a random-effects classicalapproximatingStandardized Mean Difference (SMD). We created forest plots to visualize the treatment effect based on several levels of COVID severity and dose and produced funnel plots to assess publication bias. The findings indicate that ivermectin does not provide a significant clinical benefit compared to standard care. Furthermore, the ivermectin group exhibited a higher incidence of adverse effects, raising safety concerns. Current evidence does not support the use of ivermectin as a primary therapy for COVID-19. Well-designed, rigorously controlled studies are essential to identify safer and more effective treatment options. Journal: Health Leadership and Quality of Life Pages: 624 Volume: 4 Year: 2025 DOI: 10.56294/hl2025624 Handle: RePEc:dbk:health:v:4:y:2025:i::p:624:id:624 Template-Type: ReDIF-Article 1.0 Author-Name: Chaudhry Author-Name: Khanna Author-Name: Panigrahi Author-Name: Saini Author-Name: Mounika Author-Name: Pradeep Title: Antimicrobial Susceptibility and Biofilm Formation: Analysis of Staphylococcus Aureus Isolated from Healthcare Provider White Uniforms: A prospective study for cancer Abstract: The pathogenic bacteria Staphylococcus poses a substantial hazard to human health, particularly when treatment resistance occurs, complicating infection management. The prevalence, antimicrobial resistance, and biofilm formation of Staphylococcus Aureus (S. aureus) isolated from the white coats of Science students were investigated in research. Bacterial samples were collected, and S. aureus was identified in nearly half of them, demonstrating significant contamination. Methicillin-resistant S. aureus (MRSA) was found to be significantly prevalent, and antibiotic susceptibility tests showed substantial resistance rates, especially against erythromycin and penicillin. Isolates frequently formed biofilms, indicating their capacity for persistence and adherence. Statistical analysis, including the Chi-Square test, indicated no significant association between gender and S. aureus contamination, while Cohen’s Kappa analysis demonstrated moderate agreement between phenotypic and genotypic MRSA detection methods. These findings underscore the importance of strict biosafety measures in clinical and academic settings to mitigate the spread of antibiotic-resistant pathogens and biofilm-forming bacteria. Journal: Health Leadership and Quality of Life Pages: 623 Volume: 4 Year: 2025 DOI: 10.56294/hl2025623 Handle: RePEc:dbk:health:v:4:y:2025:i::p:623:id:623 Template-Type: ReDIF-Article 1.0 Author-Name: Dadarao Wagh Author-Name: HN Author-Name: Mangaraj Author-Name: Ganjoo Author-Name: Kapoor Author-Name: Nagpal Title: Old title: A Clinical Study on the Use of EGF-CMC Hydrogel in Minimizing Biofilm Formation in Diabetic Wounds Abstract: Introduction: Diabetes-related wounds are worsened by slowed healing and heightened bio-film formation vulnerability, which can result in chronic infections. Epidermal growth factor (EGF) is well known for having regenerating qualities, therefore adding the carboxy-methyl cellulose (CMC) were the hydro gel in preventing the growth of bio films in wounds caused by diabetes. Methods: A 13-week placebo-controlled clinical research with 30 type 2 diabetes patients (17 using CMC hydrogel, 13 using EGF-CMC hydrogel) assessed wound healing in venous ulcers. Swab samples were taken at weeks 2, 7, and 13. Microbiologists and imaging techniques analyzed biofilm formation, microbial load, strain identification, and pathogenic gene expression. Result: Comparing the EGF-CMC a hydrogel to the untreated category, a significant reduction in bio film formation was observed. Reduced numbers of microbes were found by microbiology examination and imaging procedures verified the reduction of the bio film formations. This emerged that the likelihood of separating organisms that produce bio films of injuries given CMC hydrogel formulation were eighty-three percent higher than that from injuries handled with EGF-CMC. Conclusion: The research indicates that isolates with decreased formation of bio film were seen in lesions that received EGF-CMC hydrogel, which is despite the fact of no discernible differences in bacterium counts or genes related to virulence could be identified. This result emphasizes how the reactive covering can affect the bacteria activity in diabetes patients' persistent injuries. Journal: Health Leadership and Quality of Life Pages: 622 Volume: 4 Year: 2025 DOI: 10.56294/hl2025622 Handle: RePEc:dbk:health:v:4:y:2025:i::p:622:id:622 Template-Type: ReDIF-Article 1.0 Author-Name: Prakasam Author-Name: S Author-Name: Aulakh Author-Name: Mazumdar Author-Name: Ravilla Author-Name: D Title: Analyzing the Correlation between Symptom Profiles and Patient Outcomes in Cancer Therapy Abstract: Cancer treatment outcomes vary significantly among patients due to differences in symptom profiles, which can influence treatment effectiveness, recovery trajectories, and overall quality of life. The research examines the relationship between symptom profiles specifically fatigue, pain, and psychological distress and patient outcomes in cancer therapy. A cohort of 395 cancer patients undergoing treatment was analyzed, representing various cancer types, stages, and treatment modalities, providing a comprehensive assessment of symptom-outcome relationships. Descriptive statistics, factor analysis, and correlation analysis were utilized to identify symptom patterns and their impact on treatment response as well as patient well-being. The findings reveal that distinct symptom profiles correlate with variations in recovery rates, treatment efficacy, and overall quality of life (QoS). Patients experiencing high levels of fatigue and pain tend to have prolonged recovery times, increased treatment side effects, and a higher likelihood of treatment modifications. Those with severe psychological distress often exhibit lower adherence to treatment regimens, potentially compromising therapeutic effectiveness and long-term survival rates. These insights emphasize the need for tailored symptom management strategies to improve patient-centered care and treatment success. By integrating symptom monitoring into treatment plans, healthcare providers can develop more personalized interventions, optimizing both treatment efficacy and patient well-being. Understanding these relationships can aid in refining cancer care approaches, promoting more effective therapeutic strategies, and enhancing patient recovery. The significance of treating cancer holistically, which takes into account both psychological and physical symptoms, is highlighted by the research. Future research should explore targeted symptom management techniques to further enhance individualized cancer. Journal: Health Leadership and Quality of Life Pages: 621 Volume: 4 Year: 2025 DOI: 10.56294/hl2025621 Handle: RePEc:dbk:health:v:4:y:2025:i::p:621:id:621 Template-Type: ReDIF-Article 1.0 Author-Name: Sivanesan Author-Name: panda Author-Name: Rishi Author-Name: Kukatla Author-Name: Samrat Author-Name: Juneja Title: Assessing the Benefits of Structured Exercise on Muscle Strength and Endurance in Lung Cancer Patients Abstract: Lung cancer (LC) patients often face reduced muscular strength and endurance due to the disease itself and the side effects of its treatments. This study aimed to assess the impact of a 12-week structured exercise program on muscular strength, endurance, and quality of life (QoL) in LC patients undergoing therapy48 patients in all were randomized to either the exercise group (n = 25) or the control group (n = 23). The control group did not receive any exercise intervention, whereas the exercise group participated in a planned physical activity program. Key measurements included muscle strength (grip strength and leg press), endurance (6-minute walk test), and QoL, which was assessed across various parameters such as physical health, mental well-being, social interaction, daily functioning, sleep quality, and pain/discomfort levels. Results showed that the exercise group exhibited significantly better muscle strength and endurance compared to the control group, with grip strength (89%), leg press performance (94%), and 6-minute walk scores (86%) outperforming the control group (87%, 92%, 83%). Additionally, the exercise group scored higher on QoL measures, including physical health (75% vs. 70%), mental well-being (74% vs. 67%), social interaction (67% vs. 65%), daily functioning (68% vs. 63%), and sleep quality (70% vs. 64%). The exercise group also reported lower pain and discomfort (35% vs. 41%). These findings suggest that structured exercise programs can significantly enhance muscle strength, endurance, as well as overall QoL in LC patients, underscoring the importance of integrating exercise into cancer care to improve patient outcomes and well-being. Journal: Health Leadership and Quality of Life Pages: 620 Volume: 4 Year: 2025 DOI: 10.56294/hl2025620 Handle: RePEc:dbk:health:v:4:y:2025:i::p:620:id:620 Template-Type: ReDIF-Article 1.0 Author-Name: Kumar Kumawat Author-Name: Kumar Bansal Author-Name: Lovely Author-Name: Goyal Author-Name: Srinath Author-Name: Vashisht Title: Hepatitis B Incidence in Individuals with Chronic Kidney Disorder: A Meta-Analysis Abstract: The hepatitis B virus is a major contributor to liver disease and has many non-liver symptoms. In addition to the significant impairment and mortality that HBV causes in the population, the most recent study indicates the role that HBV plays in the initiation and development of Chronic Kidney Disease (CKD). The causal relationship between HBV and CKD has yet to be fully elucidated. Antiviral nucleos (t) medicine compounds for HBV are already available, and they are very effective for individuals with chronic kidney disease. An increased probability of CKD has been identified in those with HBV, according to a recent meta-analysis of clinical data. Based on the most recent review, we identified six separate clinical trials. There was too much variation to draw any firm conclusions. Several proposed reasons account for the increased risk of CKD in HBsAg optimistic patients. Additional data links treatment with nucleos(t)ide equivalents to a decreased risk of end-stage renal disease (ESRD) and links undiagnosed HBV to an increased risk of ESRD in the CKD population. They advise that kidney activity and urine alterations be measured at the outset and periodically in HBV participants. Journal: Health Leadership and Quality of Life Pages: 619 Volume: 4 Year: 2025 DOI: 10.56294/hl2025619 Handle: RePEc:dbk:health:v:4:y:2025:i::p:619:id:619 Template-Type: ReDIF-Article 1.0 Author-Name: Arthi PR Author-Name: Bhatnagar Author-Name: Yadav Author-Name: Jain Author-Name: Mahajan Author-Name: Singh Title: A Comprehensive Investigation and Systematic Assessment of Acupuncture for the Rehabilitation of Recurrent Lower Back Pain Abstract: A randomized controlled investigation had 100 participants who had chronic low back pain. Fifty patients finished the trial and were followed for three months after getting treatment. The research evaluated the pre-post improvements in pain intensity for both groups by employing paired sample t-test and Logistic regression tests for assessing the outcomes. To evaluate acupuncture's efficacy in managing severe back aches. A group was distributed randomly to patients (n = 100) suffering from persistent back pain through Transcutaneous electrical nerve stimulation or acupuncture therapy. Patients earned treatment once a week for three weeks. 50 patients in all the trials were finished and were tracked when three months, examination of the data applying t-tests revealed measurable pre-post growth in all scores in both groups. Results from the 3-month follow-up showed that the acupuncture group responded better. It is imperative to conduct a complete analysis of this therapy's efficacy in treating chronic back pain, either using more samples or various control groups. Journal: Health Leadership and Quality of Life Pages: 618 Volume: 4 Year: 2025 DOI: 10.56294/hl2025618 Handle: RePEc:dbk:health:v:4:y:2025:i::p:618:id:618 Template-Type: ReDIF-Article 1.0 Author-Name: Nidhi Author-Name: Modi Author-Name: Khurana Author-Name: Ghumman Author-Name: Mishra Author-Name: Balaji Title: A Comprehensive Analysis of the Relationship Between Polycystic Ovary Syndrome and Anxiety Abstract: Background: Polycystic Ovary Syndrome (PCOS) is a reproductive, metabolic, and psychiatric endocrine disorder. The increasing evidence points toward the firm relationship between PCOS and anxiety but does not identify the underlying relationships. Aim: To investigate the relationship between PCOS and anxiety, evaluating potential causative factors including hormonal deregulation, metabolic imbalance, and markers of inflammation. Methods: The research involved 250 women participants were recruited, 150 with PCOS (experimental group) and 100 controls. Anxiety was measured by a validated questionnaire for anxiety. Hormonal and metabolic variables, such as insulin resistance (HOMA-IR), testosterone, BMI, and C-reactive protein (CRP), were measured and correlated with anxiety scores. Statistical tests were utilized to establish significant differences and correlations. Results: The evidence favours hormonal dysregulation, metabolic derangement, and systemic inflammation as the etiopathogenic factors in anxiety in PCOS patients. Hyperandrogenism and insulin resistance are associated with neuro-chemical alterations in mood control, while systemic inflammation is associated with increased psychological distress. These physiological changes could be the intrinsic factors for increased incidence of anxiety in PCOS. Conclusion: The research identifies a high level of correlation between PCOS and anxiety, with insulin resistance, elevated testosterone, BMI, and inflammation being significant contributory factors. Intervention in these variables is helpful in improving mental health outcomes among PCOS patients. Longitudinal trends and possible therapeutic options for decreasing anxiety in this group should be the focus of future studies. Journal: Health Leadership and Quality of Life Pages: 617 Volume: 4 Year: 2025 DOI: 10.56294/hl2025617 Handle: RePEc:dbk:health:v:4:y:2025:i::p:617:id:617 Template-Type: ReDIF-Article 1.0 Author-Name: J Author-Name: Sriram Author-Name: Thabassum Z Author-Name: Sudhir Author-Name: Parmar Author-Name: Agarwal Title: A retrospective analysis of glucose intolerance in individuals with liver cirrhosis Abstract: The prediction of liver cirrhosis can be affected by diabetes mellitus (DM), a worldwide health issue that can impair the body's metabolic processes. Patients with liver cirrhosis benefit from knowing their glycemic status that problems can be anticipated and treated sooner, improving their prognosis. Impaired glucose tolerance (IGT) can be understated utilizing standard approaches. The research utilized an oral glucose tolerance test (OGTT) to recognize the popularity of IGT in individuals with liver cirrhosis who are not diagnosed with diabetes. The dataset for the research would include individuals diagnosed with liver cirrhosis who have not been diagnosed with diabetes mellitus. It would encompass demographic details (N=80) such as age, gender, and medical history, along with liver function parameters including liver enzymes, bilirubin, and albumin levels. Statistical analysis was conducted using IBM SPSS Statistics (Version 26.0) software. Independent t-tests were applied to compare continuous variables, while chi-square tests were used to analyze categorical variables. The frequency of IGT in the research was 36.47 percent. In addition to IGT, observed that DM was more frequent in those aged 31-40; of the 80 patients analyzed in research, 24.71 percent were diagnosed with DM. OGTT can improve liver cirrhosis prognosis by detecting diabetes and insulin resistance in patients, potentially reducing the risk of complications due to poor glucose management. Journal: Health Leadership and Quality of Life Pages: 616 Volume: 4 Year: 2025 DOI: 10.56294/hl2025616 Handle: RePEc:dbk:health:v:4:y:2025:i::p:616:id:616 Template-Type: ReDIF-Article 1.0 Author-Name: Ganvir Author-Name: Modi Author-Name: Kaur Author-Name: Singh Author-Name: Pentela Author-Name: Sidney Correa Title: A Comprehensive Study of Inflammation's Contribution to the Pathophysiology of Major Depressive Syndrome Abstract: Objective: The research aims to summaries the data demonstrating the connection between persistent low-grade inflammation and the pathophysiology of severe depression, and the effects of chronic low-grade inflammation on the immune system, neurodegeneration, and the neuroendocrine system. Materials and methods: The research examining the connection between severe depression and inflammation. The hypothalamic-pituitary-adrenal (HPA) axis is highlighted, as are the functions of proinflammatory cytokines and the tryptophan-kynurenine pathway in neurotoxicity and oxidative stress. Results: The HPA axis is activated, and cortisol production is enhanced in severe depression, characterized by chronic low-grade inflammation. The tryptophan-kynurenine pathway is also triggered by proinflammatory cytokines, which produce neurotoxic substances such as quinolinic acid and 3-hydroxykynurenine. Particularly in cases of late-life depression, these mechanisms lead to oxidative stress and neurodegeneration. Conclusion: Antidepressant drugs exhibit some mitigation of the immunological and endocrine alterations brought on by inflammation. Not all potent antidepressants, however, focus on these systems. To be more successful, the research advises that innovative antidepressant research should take into account medications specifically targeting the immunological, endocrine, and neurotransmitter systems. Journal: Health Leadership and Quality of Life Pages: 615 Volume: 4 Year: 2025 DOI: 10.56294/hl2025615 Handle: RePEc:dbk:health:v:4:y:2025:i::p:615:id:615 Template-Type: ReDIF-Article 1.0 Author-Name: S Author-Name: Deepthi Author-Name: Verma Author-Name: Kumar Author-Name: Dev Author-Name: Kaur Title: Clinical outcomes after the recognition and management of Sjögren’s syndrome in children: a Case Study Abstract: The most common symptoms of Sjögren's syndrome (SS), a common inflammatory disease, include xerostomia, keratoconjunctivitis sicca, enlargement of the salivary gland, and decreased function of the lacrimal and salivary glands. Secondary SS occurs in conjunction with inflammatory rheumatic illnesses, whereas primary SS manifests alone. Additionally, symptoms may not necessarily appear at the same time. The variety of symptom manifestation makes first diagnosis more challenging. Trained professionals, like rheumatologists, family doctors, ophthalmologists, and dental specialists, who might somehow focus just on those side effects that fall inside their fields of information, may get an exact portrayal of the patient by utilizing the more as of now refined indicative measures, prompting prior recognizable confirmation treatment of SS. Journal: Health Leadership and Quality of Life Pages: 614 Volume: 4 Year: 2025 DOI: 10.56294/hl2025614 Handle: RePEc:dbk:health:v:4:y:2025:i::p:614:id:614 Template-Type: ReDIF-Article 1.0 Author-Name: Yadav Author-Name: Xaviour Selvaraj Author-Name: Mishra Author-Name: Kumar Author-Name: Bhushan Author-Name: Pandre Title: The Impact of a Mediterranean Dietary on the Variables Linked to an increased likelihood of Cardiac Diseases Abstract: The Mediterranean eating routine is a good dieting plan. In the Mediterranean region, few prospective studies examine the association between these dietary model and nonfatal cardiovascular proceedings. It monitored 127 initially healthy individuals for four years. The participants in this research were candidates from universities throughout the who were enrolled in a prospective cohort investigation. The baseline diet was assessed using a 130-item validated food frequency questionnaire. A 9-point scale was used to evaluate adherence to the Mediterranean diet. Medical record analysis verified incident clinical occurrences. Numerous studies have shown that individuals who adhered to the Mediterranean diet the best had fewer cardiovascular risks than those who did not. For every additional two focuses for cardiovascular, coronary illness, and cardiovascular disease (CVD), the changed risk proportions were separately. In healthy middle-aged people, the Mediterranean diet negatively correlates with the development of both fatal and non-fatal cardiovascular disease. Journal: Health Leadership and Quality of Life Pages: 613 Volume: 4 Year: 2025 DOI: 10.56294/hl2025613 Handle: RePEc:dbk:health:v:4:y:2025:i::p:613:id:613 Template-Type: ReDIF-Article 1.0 Author-Name: Mishra Author-Name: Gupta Author-Name: Devmurari Author-Name: Raj Author-Name: Priya Natarajan Author-Name: Kumar Title: Obesity-Related Breathing Disorders: Diagnosis and Treatment of Hypoventilation Syndrome Abstract: Introduction:Obesity-related respiratory problems,such hypoventilation syndrome, are on the rise and have depressing property on one's health. The characteristic of hypoventilation syndrome are shallow breathing and low blood oxygen levels, which consequence in symptoms similar to fatigue, headache, and cognitive defeat. Methods:The analysis of this situation necessitates a mixture of clinical assessment, pulmonary function testing, and arterial blood gas capacity.Treatment options comprise weight defeat, positive airway pressure (PAP) treatment, and severe cases, tracheostomy or ventilator maintain. Results:Hypoventilation condition can enhance quality of life (QoL) and decrease the possibility of potentially fatal difficulty like heart failure and pulmonary hypertension (PH) with early diagnosis and treatment. Conclusion:The research, we recognize the disease's diagnostic individuality and inspect the path physiology, morbidity, and mortality that are connected.The research covers the frequent treatment alternative obtainable nowadays as final point. Journal: Health Leadership and Quality of Life Pages: 612 Volume: 4 Year: 2025 DOI: 10.56294/hl2025612 Handle: RePEc:dbk:health:v:4:y:2025:i::p:612:id:612 Template-Type: ReDIF-Article 1.0 Author-Name: Annal M Author-Name: Kumar Author-Name: Grover Author-Name: Dutta Goyal Author-Name: Parashar Author-Name: Ravilla Title: Hyperemesis Gravidarum: Causes, Symptoms, and Management Abstract: The research comprehends the link between psychological illness and hyperemesis during pregnancy the consequences characterized by Vomiting and Nausea during pregnancy in addition to the Hyperemesis Gravidarum (HG) were the subject of a qualitative literature review. The findings of a thorough search across many databases were evaluated and synthesized. Regarding the consequences on mental health, four primary themes and two subthemes emerged. The key themes were feeling alone in society, being unable to care for oneself and others or changing roles, experiencing detrimental psychological effects (self-loss, remorse, worry, and despair), and having thoughts of ending one's life by suicide. Loss of income or work as well as modifications to family plans was the subthemes. It is necessary to switch to a comprehensive, biopsychosocial approach to treating HG. By enabling women to voice their sentiments and validating them, health providers can support them. Referrals to a prenatal, it can be necessary to refer someone to a peer support network or a mental health team. Journal: Health Leadership and Quality of Life Pages: 611 Volume: 4 Year: 2025 DOI: 10.56294/hl2025611 Handle: RePEc:dbk:health:v:4:y:2025:i::p:611:id:611 Template-Type: ReDIF-Article 1.0 Author-Name: Singh Chouhan Author-Name: Das Author-Name: Garg Author-Name: Mounika Author-Name: Sethuraman Author-Name: Sharma Title: Agoraphobia and Panic Disorder: Understanding the Symptoms, Diagnosis, and Treatment Options Abstract: Agoraphobia with panic disorder (PD) is a phobia-anxiety condition that makes sufferers avoid situations or locations where it could feel embarrassed or be unable to leave or get help in case of a PD. Agoraphobia has been associated with recurrent PD syndrome over the last 50 years, and in many instances, it is regarded to represent the normal progression or complication of PD. Even though agoraphobia with PD is quite common in patients receiving primary care, medical professionals often fail to recognize and adequately treat the disease. These medications alleviate the usually associated depression symptoms as well. Selective Serotonin Reuptake Inhibitor (SSRI) are well-tolerated and effective for both anxious and depressive symptoms, making the primary option for treating agoraphobia with PD in the short, medium, and long term. SSRIs which are less likely to cause withdrawal symptoms after abrupt discontinuation should be used for long-term prophylaxis. Tricyclic Antidepressant (TCA) can be a second-line therapy for PD if SSRIs don't work, although venlafaxine hasn't been researched long-term. High-potency medications are advantageous choices for short-term therapy since ithas been shown to have a quick start of anti-anxiety action, having favorable benefits. Cognitive-Behavioral Therapy (CBT), which is the non-pharmacological approach that has gotten the most research, can be employed with a variety of patients depending on how easily it is accessible. Journal: Health Leadership and Quality of Life Pages: 610 Volume: 4 Year: 2025 DOI: 10.56294/hl2025610 Handle: RePEc:dbk:health:v:4:y:2025:i::p:610:id:610 Template-Type: ReDIF-Article 1.0 Author-Name: Ramakrishnan Author-Name: Bedanta Mishra Author-Name: Monga Author-Name: Baxi Author-Name: Sairam Author-Name: Sidhu Title: Microbial Trends and Antibiotic Susceptibility in ICU-Admitted Patients: A Hospital-Based Study Examining Prevalence Across Multiple Critical Therapies Abstract: Healthcare practitioners can adjust treatment plans, choose efficient antimicrobial agents, enhance patient outcomes, reduce antibiotic-resistant strains and ultimately improve patient outcomes by keeping an observation on microbial trends and antibiotic susceptibility in Intensive Care Unit (ICU) admitted patients. In the research, antibiotic susceptibility and microbial trends in ICU patients were investigated in hospital. The research is to examine antibiotic susceptibility and microbiological trends in ICU patients. It aims to understand how often such infections develop, and what happens next among a group of 312 high-risk patients in medical care. It also reveals the type of appropriate treatment plans that tells the levels of antibiotic resistance and identifies the most frequent microbial patterns. Research findings are expected to improve practical methodologies for operations of a clinical setting, to inform the lawmakers, and ensure that antibiotics remain useful in hard for more time. However, the research provides some insights into antibiotic susceptibility and microbiological profile in ICU. It can also be used as a framework for clinical processes that are to take place, decisions that are to be made in legislation, and reasons that can prompt further research to ensure long term effectiveness of antibiotics in the ICU is achieved. Journal: Health Leadership and Quality of Life Pages: 609 Volume: 4 Year: 2025 DOI: 10.56294/hl2025609 Handle: RePEc:dbk:health:v:4:y:2025:i::p:609:id:609 Template-Type: ReDIF-Article 1.0 Author-Name: S Author-Name: Hansraj Patadiya Author-Name: Verma Author-Name: Parmar Author-Name: Shukla Author-Name: Ahmad qurishi Title: Reviewing the Evidence on Diet and Risk Reduction for Cancer Prevention Through Lifestyle Changes Abstract: Cancer is still one of the main reasons of death in the world, which has led to a lot of study into ways to keep people from getting it. Changes in living, especially changes in food, have been linked to a lower chance of getting cancer and are seen as one of the most hopeful treatments. This study looks at the latest research on how food affects the risk of cancer and how to avoid it. It focuses on how certain nutrients, eating habits, and general living can lower the risk of cancer. Several studies have shown that eating a lot of fruits, veggies, whole grains, and fiber can lower the chance of many types of cancer, such as stomach, colon, and breast cancer. These foods have lots of antioxidants, vitamins, and minerals, which are thought to lower inflammation and oxidative stress, two things that can cause or worsen cancer. On the other hand, eating a lot of processed foods, red meat, sugary sugars, and bad fats has been linked to a higher chance of getting cancer. For instance, eating a lot of processed foods is linked to bowel cancer, and eating a lot of fat is linked to breast and prostate cancer. The Mediterranean diet, which includes lots of fish, veggies, beans, and olive oil, has gotten a lot of attention because it might help avoid cancer. Studies show that its ability to reduce inflammation and high amounts of polyunsaturated fats and omega-3 fatty acids may help protect against cancer. Also, plant-based diets that limit or remove animal products are becoming better known for their ability to lower the risk of cancer. This is because they contain fewer heavy fats and more antioxidants and fiber. Beyond specific food items, the general pattern of a person's diet—whether it is balanced and includes a range of nutrient-dense foods—seems to play a big role in preventing cancer. On the other hand, other lifestyle choices—like exercise, weight, and smoking—can also change the effect of diet on cancer risk. These choices can either make food more protective or less protective. Journal: Health Leadership and Quality of Life Pages: 608 Volume: 4 Year: 2025 DOI: 10.56294/hl2025608 Handle: RePEc:dbk:health:v:4:y:2025:i::p:608:id:608 Template-Type: ReDIF-Article 1.0 Author-Name: Madhavan Author-Name: Shukla Author-Name: Srinath Author-Name: Bhushan Author-Name: Gupta Author-Name: R Title: Enhancing Quality of Life for Cancer Patients Through Innovations in Palliative Care Abstract: Cancer is still one of the main reasons people die around the world, and millions of people are dealing with both the sickness and the heavy physical, social, and mental effects that come with it. Survival rates for people with cancer have gone up thanks to progress in treatment, but the quality of life for many patients, especially those in the later stages of the disease, is still a major worry. Palliative care has become an important part of cancer treatment because it helps with all of a patient's complaints, makes them more comfortable, and supports their general health. This essay looks at new ideas in hospice care that are meant to improve the quality of life for cancer patients. It focuses on individual care models, new treatments, and improvements in collaborative care methods. Recent improvements in hospice care have made patient-centered care, which considers each person's tastes, cultural background, and unique needs, even more important. The most important thing that has changed hospice care is the use of technology, especially telemedicine, mobile health apps, and artificial intelligence. These tools make it easier to keep an eye on patients' conditions all the time, talk to their doctors in real time, and handle their care more efficiently. They also allow for individual care plans that adapt to the changing needs of cancer patients. An important part of hospice care is pain management, which has also come a long way. New drug choices, like focused treatments and less invasive delivery methods, have helped to improve pain control. Adding alternative therapies like acupuncture, massage therapy, and music therapy to standard treatments has also been shown to help with complaints like nausea, tiredness, and worry, giving patients a more complete treatment plan. This essay also talks about the value of psychological support and the problems that cancer patients and their families face with their emotional and mental health. Cognitive-behavioural treatment, mindfulness, and coaching are some mental health therapies that have been shown to lower anxiety and improve general emotional well-being. Journal: Health Leadership and Quality of Life Pages: 607 Volume: 4 Year: 2025 DOI: 10.56294/hl2025607 Handle: RePEc:dbk:health:v:4:y:2025:i::p:607:id:607 Template-Type: ReDIF-Article 1.0 Author-Name: Lata Author-Name: Pandre Author-Name: Maharana Author-Name: Garg Author-Name: Kaur Author-Name: P Title: Analyzing New Drug Developments and Clinical Effectiveness in Targeted Cancer Therapies Abstract: The quick progress in tailored cancer treatments has changed the field of oncology and opened up new ways to treat each patient individually. This essay looks at new drugs that have been made recently and how well they work in the real world. It focuses on focused therapies that try to stop certain molecular processes that are linked to cancer spreading. With the rise of precision medicine programs, it is important to understand how these treatments work, how well they work, and how safe they are in order to improve patient results. New focused treatments, like monoclonal antibodies, small molecule inhibitors, and CAR-T cell therapies, have shown potential in treating a number of cancers, such as breast, lung, and blood cancers. This study looks at the most important clinical trials that proved the effectiveness of the drugs that were approved in the last five years. One example is how the approval of osimertinib for EGFR-mutated non-small cell lung cancer (NSCLC) has made patients' chances of surviving and quality of life much better. In the same way, new drugs that target the BRAF and MEK pathways have changed the way cancer is treated. The study also looks at problems that come with tailored treatments, such as drug resistance, side effects, and the need for additional tests. Even though targeted treatments work, patients often develop secondary changes that make them resistant. To get around these problems, researchers are still working on combination therapies and new drugs. The study also stresses how important it is to find biomarkers that can help predict how well a treatment will work, which is necessary for making sure that each patient gets the best possible care. The study also talks about the economic effects of tailored treatments, comparing their high research costs to the chance of better patient results and lower total healthcare costs. As focused medicines keep getting better, it is very important for drug companies, governmental bodies, and healthcare workers to work together to make sure that everyone has equal access to these new treatments. Journal: Health Leadership and Quality of Life Pages: 606 Volume: 4 Year: 2025 DOI: 10.56294/hl2025606 Handle: RePEc:dbk:health:v:4:y:2025:i::p:606:id:606 Template-Type: ReDIF-Article 1.0 Author-Name: P Author-Name: Sharma Author-Name: Subbappa Author-Name: Priya AK Author-Name: MR Author-Name: S Title: Evaluating the Effectiveness of Nutraceuticals as Supportive Therapies in Cancer Treatment Abstract: Cancer treatment has changed over the years, with a move toward more specialized therapies. Nutraceuticals are now used along with traditional therapies like chemotherapy, radiotherapy, and immunotherapy to help the body fight cancer. Nutraceuticals are beneficial substances that come from food. They are getting more attention because they might be able to change how cells work, boost the immune system, and lessen the bad effects of cancer treatments. The point of this study is to find out how well nutraceuticals work as supporting medicines in cancer treatment, with a focus on how they might help improve treatment results, lower side effects, and raise quality of life. A growing amount of study shows that nutraceuticals like antioxidants, flavonoids, omega-3 fatty acids, and some vitamins may help by focusing on chemical processes that help cancer cells grow, die, and spread. A number of studies have shown that these chemicals can make cancer cells more sensitive to chemotherapy and radiotherapy, which could make these treatments more effective overall. Additionally, some nutraceuticals have anti-inflammatory, anti-oxidant, and immunomodulatory qualities that may help patients deal with side effects of their treatment, such as pain, sickness, tiredness, and a weakened immune system. This review brings together the results of both clinical and lab studies that looked into the role of nutraceuticals in breast, prostate, lung, and colon cancers, among others. We look at the data that supports their use in making chemotherapy and radiotherapy work better, lowering the risk of tumors coming back, and making patient results better. There are still problems, like the fact that product quality and dose schedules vary and that there needs to be a clear set of professional rules. Journal: Health Leadership and Quality of Life Pages: 605 Volume: 4 Year: 2025 DOI: 10.56294/hl2025605 Handle: RePEc:dbk:health:v:4:y:2025:i::p:605:id:605 Template-Type: ReDIF-Article 1.0 Author-Name: Prasanth Baalann Author-Name: Aithmia Author-Name: Jagga Author-Name: Raina Author-Name: Sruthi Author-Name: S Title: In-depth evaluation of tumor invasion patterns and risk assessment in early oral tongue cancer Abstract: Early oral tongue cancer poses substantial challenges due to its essential invasive nature and the diverse patterns of tumor invasion, which significantly affect diagnosis, treatment options, and prognostic evaluations. Understanding these invasion patterns is critically significant, as they are closely connected to the risks of recurrence and metastasis, factors that complicate clinical outcomes. This research analyzed data from 150 patients with early oral tongue cancer to inspect the impact of tumor invasion patterns on survival outcomes, concentrating on improving risk assessment through developed statistical methods to enhance patient management and decision-making. Logistic regression models integrated with survival analysis, including the Kaplan-Meier method, were working to classify important relationships among tumor invasion characteristics and patient results. The findings exposed that deeper tumor invasion and the residence of lymphovascular invasion were strongly connected with increased risks of recurrence and metastasis. The results highlight the significance of early and thorough evaluation approaches to improve prediction and manage risks. Furthermore, the research emphasizes the importance of vigilant monitoring and timely intervention for high-risk patients, aiming to appease possible difficulties and improve survival rates. By leveraging developed statistical methods, this research offers valuable insights into the clinical consequences of tumor behavior in early oral tongue cancer. These findings contribute to the development of improved diagnostic tools, risk stratification methods, and modified treatment tactics, addressing the particular challenges posed by the invasive nature and varied tumor invasion patterns of this disease. Eventually, the research advances efforts to improve overall patient care and long-term survival outcomes. Journal: Health Leadership and Quality of Life Pages: 604 Volume: 4 Year: 2025 DOI: 10.56294/hl2025604 Handle: RePEc:dbk:health:v:4:y:2025:i::p:604:id:604 Template-Type: ReDIF-Article 1.0 Author-Name: Devmurari Author-Name: V Author-Name: Swarup Author-Name: Verma Author-Name: Swathi Author-Name: Devi MR Title: Examining the Impact of Age on Chemotherapy Effectiveness among Lung Cancer Patients Abstract: Introduction: Lung cancer remains a prevalent type of cancer that affects many people and causes their death. Variations in chemotherapy effectiveness among different age groups of lung cancer patients can influence treatment outcomes, necessitating an investigation into age-specific responses to chemotherapy. The research aims to examine the impact of age on chemotherapy effectiveness among lung cancer (LC) patients, focusing on overall survival time, response rate, and comorbidity scores across different age categories. Methods: A total of 300 lung cancer patients undergoing chemotherapy were surveyed. Patients were divided into three age groups: ≤ 50 years, 50–69 years, and ≥ 70 years. Data analysis was performed using SPSS 25, employing descriptive statistics, regression analysis, correlation analysis, and ANOVA to evaluate factors affecting chemotherapy outcomes. Result: Descriptive statistics revealed the highest average survival time of 36 months with a response rate of 90%. Regression analysis identified an intercept of 62.00, with negative coefficients associated with increasing age and advanced disease stage. Correlation analysis showed a positive correlation of 0.45 between response rate and survival time. ANOVA indicated an average response rate of 67.8% among patients aged below 50, suggesting a potential benefit in tailored treatment strategies for younger patients. Conclusion: These results support the treatment of patients with lung cancer, according to their age in an attempt to improve the outcomes of chemotherapy sessions. The research highlights a need for further research into age-related factors that influence treatment outcomes, emphasizing personalized approaches for improved patient care. Journal: Health Leadership and Quality of Life Pages: 603 Volume: 4 Year: 2025 DOI: 10.56294/hl2025603 Handle: RePEc:dbk:health:v:4:y:2025:i::p:603:id:603 Template-Type: ReDIF-Article 1.0 Author-Name: K Author-Name: Shukla Author-Name: Aggarwal Author-Name: Ramu Author-Name: Kapila Author-Name: S Title: Exploring the Psychosocial Issues in Brain Cancer Patients during Initial Treatment Stages Abstract: Introduction: Brain cancer patients suffer severe damage and deterioration to their mental and emotional well-being, which leads to various psychosocial concerns such as isolation, hopelessness, and fear. This process of diagnosing and providing treatment generates more such tensions by intruding into the patients’ support mechanisms and management techniques. To investigate the patient’s brain cancer with psychosocial issues during the early stages of treatment. It attempts to identify factors such as psychological, social, and emotional domains that could hinder their overall well-being and response to treatment. Methods: Data was collected from 60 patients with brain cancer using a validated psychometric survey at baseline and follow-up for their psychosocial experiences during initial treatment. In the early stages of their therapy, brain cancer patients have their anxiety levels, depression levels, quality of life, social support, and coping strategies evaluated. The analysis was conducted by using SPSS software, incorporating descriptive statistics, the t-tests for independent samples and multiple linear regressions to evaluate demographic differences and predictors of psychosocial outcomes. Result: The research highlights the influence of demographic characteristics on the mental health of brain cancer patients by revealing considerable psychosocial issues it experienced throughout the early phases of therapy. Conclusion: The results demonstrate the significance of focused intervention strategies to deal with these problems and enhance patient outcomes, which are neutral such as anxiety level- 50%, depression level-40%, quality of life-45%, social support-50% and coping strategies – 55%. The research emphasizes the significant psychological difficulties that patients with brain tumors face during early stages of their therapy. Journal: Health Leadership and Quality of Life Pages: 602 Volume: 4 Year: 2025 DOI: 10.56294/hl2025602 Handle: RePEc:dbk:health:v:4:y:2025:i::p:602:id:602 Template-Type: ReDIF-Article 1.0 Author-Name: K Author-Name: Sreenivasan Author-Name: Mounika Author-Name: J Author-Name: Ahsan Author-Name: PR Title: Analyzing the Emotional Health Challenges in Pediatric Cancer Survivors after Treatment Abstract: Under the age who have been diagnosed with cancer and have been treated, quite often completing treatment, but enduring some long-lasting effects. Their experiences reveal the necessity of continuous attention from medical practitioners and psychological services to improve the patients’ quality of life and help them come back to normal activities. To investigate the post treatment emotional health challenges encountered pediatric cancer survivors and analysis on such factors as treatment modalities, age at diagnosis, and types of cancer; focused on factors that could influence the school reintegration and parent’s emotional health with pediatric cancer survivors. The participants consisted of 98 pediatric cancer survivors and data was obtained using the Child Health Questionnaire (CHQ) which focused on their emotional health challenges and psychological experiences after treatment. SPSS 26 version software has employed for analyzing descriptive statistics, correlation, and chi-square tests to evaluate demographic differences and determine factors associated with psychosocial outcomes. The results show that school reintegration after treatment contributed to the mental health issues of child cancer survivors at 60% and age at diagnosis at 45%. Further, these specific difficulties were due to the type of cancer, which was 30%, treatment modalities 35% and 35% of parents’ mental health. These findings stress the importance of implementing appropriate support strategies to survivors and their families to enhance their reintegration and improve the mental health of Children in post treatment rehabs. Journal: Health Leadership and Quality of Life Pages: 601 Volume: 4 Year: 2025 DOI: 10.56294/hl2025601 Handle: RePEc:dbk:health:v:4:y:2025:i::p:601:id:601 Template-Type: ReDIF-Article 1.0 Author-Name: Ramya Author-Name: Sharma Author-Name: Shetty Author-Name: Packirisamy Author-Name: Vamalatha Author-Name: Sudha Title: Comprehensive Analysis on the Relationship between Risk Habits and Oral Cancer Outcomes Abstract: Lifestyle risk factors are crucial in the development and growth of oral cancer, which is yet an important issue for the public. Research offers a via evaluation of the connection between oral cancer results, such as cancer survival, recurring, and therapeutic reactions, and a variety of risk behaviors, involving eating betel nuts, drinking alcohol, using tobacco, and practicing poor dental hygiene. Through patient surveys and medical record monitoring, a comprehensive data collection was conducted on around 250 patients, 170 of whom were male and 80 of whom were female. The result based on the Analysis of variance (ANOVA) test demonstrates that, compared to individuals with independent risk behaviors, those with numerous risk habits had much worse predictions. Particularly, drinking alcohol and smoking cigarettes were linked to a lower chance of surviving and sooner resurgence. Furthermore, it was shown that behavioral treatments aimed at improving dental hygiene and quitting risky habits increased the effectiveness of therapy. The research emphasizes the significance of focused global healthcare initiatives to reduce risk factors and enhance results for patients. Journal: Health Leadership and Quality of Life Pages: 600 Volume: 4 Year: 2025 DOI: 10.56294/hl2025600 Handle: RePEc:dbk:health:v:4:y:2025:i::p:600:id:600 Template-Type: ReDIF-Article 1.0 Author-Name: Swathi Author-Name: Dash Author-Name: Majhee Author-Name: Sudan Author-Name: Satre Author-Name: Reddy Title: A Case study on the Treatment of Severe Displacement of the Thumb Carpometacarpal Joints Abstract: Severe disability might result from a chronic carpometacarpal (CMC) dislocation. Displacement of the pollex's CMC joint is a rather rare damage. The anterior oblique ligament (AOL) has historically been the focus of surgical surgery, but more lately, the dorsoradial ligament (DRL) has drawn greater attention. Both ligaments must be considered to get the optimum functional outcomes during CMC joint rehabilitation. The purpose of this research was to examine the treatment of a case with severe dislocation of the thumb CMC joints. Case report: Following a motorbike accident, a 34-year-old man came with acute discomfort in his left hand. The diagnosis is that the man had many second to fifth CMC joint fracture-dislocations. Under general anesthesia, man had successful closure reduction and numerous Kirshner wire (K-wire) fixation. Excellent clinical outcomes tore verified after a one-year follow-up. Nonetheless, it includes the proportion of patient average mean value, loss of reduction, DASH score, Numeric rating scale (NSR), grip strength. For all dislocations of the CMC joint, it is advisable to use the closed reduction. To get a stable fixation and fantastic outcomes, K-wire fixation maybe incorporated. Acute or subacute thumb CMC joint displacement may be cured by fixing the dorsoradial muscle and anchoring it. Rarely do CMC fracture-dislocations include several bones. For a precise diagnosis, simple radiography and clinical exams are required. It is common practice to treat fractures and dislocations. Successful in the instance was a straightforward closed reduction with K-wires repair. Journal: Health Leadership and Quality of Life Pages: 599 Volume: 4 Year: 2025 DOI: 10.56294/hl2025599 Handle: RePEc:dbk:health:v:4:y:2025:i::p:599:id:599 Template-Type: ReDIF-Article 1.0 Author-Name: Sosa Remón Author-Name: Bautista-Vanegas Author-Name: Antezana-Muñoz Author-Name: Arteaga Iriarte Author-Name: Pérez-Yero Author-Name: Cuba-Naranjo Author-Name: García-Rodríguez Author-Name: Auza-Santivañez Author-Name: Jeréz Alvarez Author-Name: Gómez Triana Title: Prognostic scale for death in critically ill cancer patients due to neurological complications Abstract: Introduction: The scales used to predict death in cancer patients are scarce and have not been adequately validated in populations with neurological complications. Objective: To design a prognostic scale for death in critically ill cancer patients due to neurological complications. Method: An observational, prospective cohort study was conducted from January 2017 to 2024 in the Oncology Intensive Care Unit of the Institute of Oncology and Radiobiology in Havana, Cuba. The study population consisted of 265 patients. Clinical, oncological, laboratory, and life support variables were studied. Binary logistic regression analysis was used to determine the variables with the best prognostic power for the model. The final variable was mortality in the Intensive Care Unit. Results: The final model consisted of the following variables: ECOG III (OR: 3.62; 95% CI: 1.05 - 12.46; p= 0.041), absence of pupillary reflex (OR: 9.35; 95% CI: 2.24 - 38.99; p= 0.002), intracranial hypertension (OR: 17.91; 95% CI: 3.02 - 105.91; p= 0.001), hyperglycemia (OR: 5.85; 95% CI: 2.07 - 16.49; p= 0.001), hypoxemia (OR: 19.09; 95% CI: 2.91 - 61.67; p= 0.000) and artificial mechanical ventilation (OR: 9.59; 95% CI: 2.59 – 35.51; p = 0.001). Conclusions: The prognostic score classified mortality into 3 risk groups: low (0 to 2 points), moderate (3 to 6 points), and high (7 to 13 points). Mortality was higher in patients with higher scores. Internal validation showed excellent calibration and discrimination. Journal: Health Leadership and Quality of Life Pages: 598 Volume: 4 Year: 2025 DOI: 10.56294/hl2025598 Handle: RePEc:dbk:health:v:4:y:2025:i::p:598:id:598 Template-Type: ReDIF-Article 1.0 Author-Name: S Author-Name: Salahuddin Author-Name: Singh Author-Name: Ramu Author-Name: Pattnaik Author-Name: Dhingra Title: Long-Term Benzodiazepine Consumption and Its Repercussions on Aged Brain Performance Abstract: Benzodiazepines, often known as BZDs, are widely used sedatives, hypnotics, and anxiolytics which are particularly frequent among older persons. The purpose of the research was to investigate the potential effects of benzodiazepines on cognitive skills in well-educated elderly persons. This research comprised 152 elderly those with a basic education of 15.8 years. The participants was split into three distinct categories: long-term, short-term, and non-users of BZD. Three statistical tests the evaluation of variance, chi-squared test, and the evaluation of variance was utilized to investigate demographic data and cognitive evaluations for the three groups. Using a multiple linear aggression technique, the relationship among BZD usage and cognition was examined. The Trail Making Test B (TMT-B) results showed that each of the three categories was substantially different from one another in terms of executive functioning. Long-term BZD (LTBZD) users exhibited substantial faults on TMT-B time, whereas short-term BZD (STBZD) users presented substantial flaws on TMT-B time and TMT-B errors. LTBZD users significantly outperformed STBZD users in terms of TMT-B mistakes. Other cognitive tests including general intelligence, linguistic fluency, verbal memory, and visual memory revealed no significant changes. Greater BZD usage over time were favorably correlated with results for the updated Brief Visuospatial Memory Test when demographic factors were taken into account. Among older persons with high levels of education, BZD usage may be strongly linked to lower executive functioning. However, there is no link between increasing cognitive impairments in older persons with high levels of education and the length of BZD usage. Journal: Health Leadership and Quality of Life Pages: 597 Volume: 4 Year: 2025 DOI: 10.56294/hl2025597 Handle: RePEc:dbk:health:v:4:y:2025:i::p:597:id:597 Template-Type: ReDIF-Article 1.0 Author-Name: Rani Author-Name: Nagpal Author-Name: Punia Author-Name: Tejesh Author-Name: Mohapatra Author-Name: Patil Title: Actinic Keratosis: Diagnosis and Management Abstract: Actinic Keratoses (AKs) develop at a rate of up to 20% during ten years thus making them one of the most common Cutaneous Cancer (CC) types and potential developments into Squamous Cell Carcinoma (SCC). The diagnostic procedures of clinical examination and histology fail to identify subclinical Actinic Keratoses so the research requires novel non-invasive imaging alternatives. High-Frequency Ultrasound (HFUS) demonstrates value in AK diagnosis because it provides detailed real-time visualization of multiple skin levels. A comparison of HFUS diagnostic capabilities against standard histological assessment exists in this research. A clinical checkup alongside HFUS imaging and histological testing were conducted on 150 patients who displayed at least one case of AK. Through its precision evaluation with histological results and its minimal detection errors totaling just 3.5%, HFUS successfully detected AKs in 96.5% of studied cases. Medical professionals can use HFUS with success as an alternative to standard biopsy practices because it identifies AK early without surgery and provides enhanced diagnostic accuracy in standard clinical settings. Journal: Health Leadership and Quality of Life Pages: 596 Volume: 4 Year: 2025 DOI: 10.56294/hl2025596 Handle: RePEc:dbk:health:v:4:y:2025:i::p:596:id:596 Template-Type: ReDIF-Article 1.0 Author-Name: Pérez Mendoza Author-Name: García Cruz Author-Name: Valdés García Author-Name: Castillo Almeida Title: Safety and health risks and opportunities in generating sets in Pinar del Río Abstract: An efficient identification, evaluation and registration of occupational risks implies avoiding or minimizing the causes of accidents and diseases derived from work. Organizations must give equal importance to the management of these risks as a fundamental aspect for the correct development of their business activity. For this reason, this research aims to update the occupational risk management of the Geysel Pinar del Río Base Business Unit, based on current international standards. Methods and tools such as direct observation, brainstorming, checklist, radar graph and double entry matrix were used. The initial diagnosis reflected the state of maturity of the Health and Safety System currently implemented, and based on this, actions were carried out to address the risks and opportunities that guaranteed proactive management. Journal: Health Leadership and Quality of Life Volume: 4 Year: 2025 DOI: 10.56294/hl2025595 Handle: RePEc:dbk:health:v:4:y:2025:i::p::id: Template-Type: ReDIF-Article 1.0 Author-Name: Thakur Author-Name: Navya Raj Author-Name: Raju Author-Name: Mishra Author-Name: Mishra Author-Name: Mangaraj Title: Endocrine Disorders Associated with Obesity: Cushing's syndrome and Hypothyroidism Abstract: Obesity has been related to a wide range of endocrine disorders, from common ones including ovarian syndrome and hypothyroidism to unusual ones like Cushing's syndrome (CS), hypothyroidism, and hypothalamic abnormalities. Obesity can arise via a variety of endocrine disorders using several mechanisms. Multiple tissues accumulate hyaluronic acid, which causes greater fluid retention as a result of reduced thermogenesis and lower cardiac output, both of which are signs of hypothyroidism. The pathophysiology of obesity in polycystic ovarian syndrome is the unclear since it's possible that obesity both contributes to and harms polycystic ovarian syndrome. Net androgen excess seems to have a significant impact on the development of central adiposity. The interaction between thyroid and growth hormones, together with increased adipocyte differentiation and adiposity, is important in Cushing's illness. Additional peculiar situations are also examined in the research, such as hypothalamic obesity brought on by a concomitant hormonal deficiency and central hypothyroidism. Journal: Health Leadership and Quality of Life Pages: 594 Volume: 4 Year: 2025 DOI: 10.56294/hl2025594 Handle: RePEc:dbk:health:v:4:y:2025:i::p:594:id:594 Template-Type: ReDIF-Article 1.0 Author-Name: Abraham Author-Name: Grover Author-Name: Sudheer Author-Name: Patel Author-Name: Sahu Author-Name: Bhatnagar Title: Assessing Antimicrobial Resistance in Microbial Species from Infected Wounds: A Retrospective perspective View on cancer patients Abstract: Background: Conducting an infection evaluation based on microbiological scrutiny, wound evaluation, and infection indicators identification takes a great deal of time, the appropriate tools, and highly skilled personnel. The use of antibiotics and wound healing are the two main strategies required to prevent and manage infections. The medical care of wound infections has made antibiotic resistance an issue of worldwide attention. This research was conducted retrospectively to identify the microorganisms that cause wound infections and their pattern of resistance to treatment. Methods: 315 samples from burn wounds that were infected were used in this investigation. The species that had been divided apart by culture techniques were identified and evaluated using the defunct automated system. Next, several antibiotic susceptibility patterns were applied to the species. Results: Gram-negative species made up the majority of the species, among the most common are Proteus mirabilis, Acinetobacter baumannii, Escherichia coli, and Pseudomonas aeruginosa. The strain Staphylococcus aureus accounted for the total number of gram-positive bacteria, with these samples identified isolates had a multi-drug resistance to at least five antibiotics, compared to isolates with at least one antibiotic resistance. Although individuals noted concurrent infections and multi-drug resistance organisms were not as common at the wound site. Conclusion: These circumstances make getting rid of the germs harder. Antibiotic resistance can be stopped and wound healing can be promoted by addressing the poly-microbial infection and multidrug-resistant bacteria that were found, then treating the infection with the appropriate medication. Journal: Health Leadership and Quality of Life Pages: 593 Volume: 4 Year: 2025 DOI: 10.56294/hl2025593 Handle: RePEc:dbk:health:v:4:y:2025:i::p:593:id:593 Template-Type: ReDIF-Article 1.0 Author-Name: Z Author-Name: Vamalatha Author-Name: Mazumder Author-Name: Minhas Author-Name: Pati Author-Name: Dhawan Title: Group B Streptococcus in Pregnancy: Screening and Treatment Abstract: Several healthy women frequently harbor the bacteria group B streptococcus (GBS) in their vaginal or rectal regions. Nevertheless, it can lead to life-threatening infections in new-born, especially in the initial couple of days after birth. The significance of identifying and treating GBS in pregnant women is discussed in this paper in preventing the bacteria from infecting unborn children. The effectiveness of recommendations was evaluated using a retrospective sample from Active Bacterial Core inspection, which tracks invasive GBS illness in various states. Data from Laboure and delivery files of births that were live and early-onset GBS cases in infants younger than 10 days old between the year 2017 and 2018 were analyzed. The results were contrasted with a used comparable methodology and examined screening procedures in the years 2012 and 2013. We looked at the birth information for 254 babies who had GBS illness and 9046 babies who didn't. During 2012-2013 and 2017-2018, testing before birth rose from 49.8% to 88.4%, and the use of antibiotics rose from 29.5% to 34.2%. Only 60% of preterm women with uncertain condition underwent chemoprophylaxis, compared to 85% of term women who tested positive for GBS. With 72.2% of cases affecting term newborns, the total early-onset GBS sickness rate: 0.3 cases per 1000 live births. 13.4% of instances among term moms included missed testing. All screening suggestions were quickly implemented. Early-onset GBS illness may not recur if preterm deliveries are managed better and culture findings are collected, processed, and reported better. Journal: Health Leadership and Quality of Life Pages: 592 Volume: 4 Year: 2025 DOI: 10.56294/hl2025592 Handle: RePEc:dbk:health:v:4:y:2025:i::p:592:id:592 Template-Type: ReDIF-Article 1.0 Author-Name: Patro Author-Name: Mane Author-Name: Rami Author-Name: Ojha Author-Name: Kaushik Author-Name: Swathi Title: Epidemiological Insights into Invasive Fungal Rhinosinusitis among COVID-19 Inpatients: Unveiling Diverse Pathogens with implications on cancer patients Abstract: The emergence of invasive fungal rhinosinusitis (IFRS), as well as COVID-19 at the same time, poses a challenge to patients receiving treatment in hospitals. Research have shown various infections caused by fungi that relate to the epidemiology of invasive fungal rhinosinusitis among patients suffering from COVID-19. In this retrospective analysis, examined mycological investigations, subject characteristics, clinical manifestations, antifungal drugs used and length of illness among 68 patients diagnosed with Acute Invasive Fungal Rhino-Sinusitis (AIFRS). The research results indicated that steroid therapy was applied in 32.81% of cases and more than half of examines were men. The necessity for early detection is highlighted by the variety of clinical symptoms of headaches (22.40%). Tissue culture, histological analysis and molecular identification of culture isolates were all part of the mycological research. Amphotericin B (30.21%) and Nystatin (22.40%) were the antifungal drugs utilized, indicating a customized approach to therapy. The length of the disease varied by 22.92% of patients reported symptoms lasting between 16 and 30 days. The age distribution showed that the 50 to 59 age group accounted for a significant amount (13.02%). The research highlights the vital need for caution while identifying and treating AIFRS in COVID-19 inpatients, with a focus on a variety of infections and specialized treatment modalities. Journal: Health Leadership and Quality of Life Pages: 591 Volume: 4 Year: 2025 DOI: 10.56294/hl2025591 Handle: RePEc:dbk:health:v:4:y:2025:i::p:591:id:591 Template-Type: ReDIF-Article 1.0 Author-Name: N Author-Name: Patel Author-Name: Garg Author-Name: Kaur Author-Name: Ramu Author-Name: Ray Title: Assessment of Virulence Genes and Antibiotic Resistance in Pseudomonas aeruginosa Isolates from Poultry Carcasses Abstract: Pseudomonas aeruginosa, a major human pathogen, poses a significant threat to food, particularly meat products, due to its aggressiveness and drug resistance. Research aims to identify and analyze P. aeruginosa samples from poultry carcasses, examining their antimicrobial resistance and potential pathogenicity patterns. A total of 670 samples of poultry carcasses were gathered from slaughterhouses and shopping centers. Biochemical testing, Polymerase Chain Reaction (PCR) targeted the oprL gene, and culture-based techniques were used to identify the isolates. The virulence factors were identified both genotypically (by PCR amplification of exoS, toxA, and lasB) and phenotypically (by detection of hemolysin, protease, elastase, and biofilm formation). Data analysis was performed using SPSS software (version 26) to evaluate the results and determine associations between antibiotic resistance profiles and phenotypic virulence features. P. aeruginosa was identified from 102 samples (15.2%) out of 670 samples. Protease activity was identified in 69.6% of these isolates, hemolysin synthesis in 76.5%, and biofilm formation in 83.3%. According to PCR data, 58.8% of the isolates had exoS, 51.9% had toxA, and 64.7% had lasB. Ceftazidime (61.7%) and ciprofloxacin (52.9%) showed high resistance, with 48.0% of cases being categorized as multidrug-resistant (MDR). Public health is likely to be at risk due to the presence of virulent, multidrug-resistant Pseudomonas aeruginosa in poultry carcasses, which emphasizes better hygiene management and antimicrobial surveillance in poultry processing. Journal: Health Leadership and Quality of Life Pages: 590 Volume: 4 Year: 2025 DOI: 10.56294/hl2025590 Handle: RePEc:dbk:health:v:4:y:2025:i::p:590:id:590 Template-Type: ReDIF-Article 1.0 Author-Name: John Author-Name: Tiwari Title: Effectiveness of CSR Initiatives of Indian Railways during the Pandemic Period: Impact on Human Resources Abstract: Introduction; This study examines the efficacy of Indian Railways' Corporate Social Responsibility (CSR) programs during the COVID-19 crisis, with particular emphasis on workforce welfare and community engagement. Method; Employing a mixed-methods research design combining quantitative surveys and qualitative interviews, the investigation analyzes how strategic CSR interventions influenced employee well-being and social impact. The research reveals that targeted initiatives—including emergency medical support systems, large-scale food security programs, and comprehensive staff assistance measures—yielded substantial benefits. These efforts not only stabilized workforce morale during peak pandemic periods but also strengthened institutional credibility among served communities. Result; The findings demonstrate how public sector enterprises can leverage CSR frameworks to address simultaneous operational and humanitarian challenges during systemic crises. Conclusion; This case study offers valuable insights for organizational leaders and policymakers developing crisis-responsive CSR strategies in large-scale transportation systems, highlighting the dual importance of internal workforce support and external community engagement during emergencies. Journal: Health Leadership and Quality of Life Pages: 589 Volume: 4 Year: 2025 DOI: 10.56294/hl2025589 Handle: RePEc:dbk:health:v:4:y:2025:i::p:589:id:589 Template-Type: ReDIF-Article 1.0 Author-Name: García Villafranca Author-Name: Cisnero Piñeiro Author-Name: García González Title: Considerations on the development of management skills in Higher Education Abstract: Competency-based training is one of the positive trends in the teaching process in higher education. The formation of management competencies in higher education provides future graduates with the tools not only for their professional practice, but also to fulfill leadership and management roles. The present study was carried out with the objective of analyzing some theoretical and conceptual references of the formation of management competencies in higher education. The analysis of the literature showed that the diverse transformations in the national and international context mark the need for competency-based training in higher education. Management competencies allow graduates to meet the current challenges and the high interests of the country, promoting a professional profile that adequately responds to the challenges of leadership Journal: Health Leadership and Quality of Life Pages: 588 Volume: 4 Year: 2025 DOI: 10.56294/hl2025588 Handle: RePEc:dbk:health:v:4:y:2025:i::p:588:id:588 Template-Type: ReDIF-Article 1.0 Author-Name: Korolchuk Author-Name: Semenets-Orlova Author-Name: Pavlova Author-Name: Tymoshenko Author-Name: Gaievska Title: Conceptual aspects of public administration of the quality of life in the context of war Abstract: Introduction: post-COVID syndrome is associated with a wide range of long-term complications, among which neurological manifestations have become increasingly recognized. These complications present diagnostic and therapeutic challenges due to their heterogeneity and the evolving understanding of their pathophysiology. Objective: to investigate the clinical and pathogenetic characteristics of neurological manifestations in patients with post-COVID syndrome, with a focus on identifying patterns and potential underlying mechanisms. Methods: a cohort of 60 patients with confirmed post-COVID syndrome was evaluated. Clinical assessments included neurological examination, neuroimaging (MRI), and neurophysiological studies (EEG, EMG, and evoked potentials). Laboratory markers were also analyzed to assess inflammatory and autoimmune activity. Data were categorized by symptom type and severity. Results: The most frequent neurological symptoms were headaches (48.3%), cognitive impairments (41.6%), sleep disorders (40%), and anxiety-depressive symptoms (38.3%). Neuroimaging revealed structural changes in 35% of patients, while neurophysiological testing showed signs of central and peripheral dysfunction in a significant subset. Laboratory analysis indicated elevated inflammatory markers in patients with more severe neurological presentations. Findings suggest a multifactorial pathogenesis involving neuroinflammation, vascular dysfunction, and possible autoimmune responses. Conclusions: The most frequent neurological symptoms were headaches (48.3%), cognitive impairments (41.6%), sleep disorders (40%), and anxiety-depressive symptoms (38.3%). Neuroimaging revealed structural changes in 35% of patients, while neurophysiological testing showed signs of central and peripheral dysfunction in a significant subset. Laboratory analysis indicated elevated inflammatory markers in patients with more severe neurological presentations. Findings suggest a multifactorial pathogenesis involving neuroinflammation, vascular dysfunction, and possible autoimmune responses. Journal: Health Leadership and Quality of Life Pages: 587 Volume: 4 Year: 2025 DOI: 10.56294/hl2025587 Handle: RePEc:dbk:health:v:4:y:2025:i::p:587:id:587 Template-Type: ReDIF-Article 1.0 Author-Name: Kadirov Author-Name: Nazarova Author-Name: Alikulova Author-Name: Shermatov Author-Name: Narkulova Author-Name: Farmonov Author-Name: Alimukhamedova Title: Abnormality detection in wireless medical sensor networks using machine learning model Abstract: The monitoring of long-term physiological parameters in hospital settings is costly and requires the presence of important healthcare personnel. Wireless medical sensor networks (WMSNs) can be used to monitor patients' physiological data, making healthcare applications one of the most promising areas for wireless sensor networks. The remote management of patient healthcare may change with the introduction of wireless sensor devices as a part of a Wireless Body Area Network (WBAN) integrated within an overall e-Health system. A crucial component of a comprehensive health monitoring network can include tiny sensor devices that are positioned within or on top of the human body. Although it should be efficient in its process, an energy-efficiently built WBAN and WMSN should have no effect on the patient's mobility or way of life. WBAN technology can be used in a patient's residence, a hospital, or a health care facility. Patients' privacy is jeopardised when new technologies are implemented in healthcare applications without proper security considerations. Security is an essential prerequisite for healthcare apps since physiological data about an individual is extremely sensitive, particularly when it comes to patient privacy. Journal: Health Leadership and Quality of Life Pages: .586 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.586 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.586:id:.586 Template-Type: ReDIF-Article 1.0 Author-Name: Davlatov Author-Name: Sharipov Author-Name: Mamatkulova Author-Name: Boymatova Author-Name: Oltiboyeva Author-Name: Shamsutdinova Author-Name: Kitayeva Title: Deep Learning-Based Natural Language Processing for the Identification and Multi-Label Categorization of Social Factors of Healthcare from Unorganized Electronic Medical Records Abstract: Social Factors of Healthcare (SFH) are non-medical determinants that may significantly influence patient health outcomes. Nevertheless, SFH is seldom included in Unorganized Electronic Medical Records (UEMR) data, such as diagnostic codes, and is often found in uncontrolled descriptive medical notes. Consequently, discerning social factors from UEMR data has gained paramount significance. Previous research towards using Natural Language Processing (NLP) for the automated extraction of SFH from text often emphasizes a selective approach to SFH. It fails to include the current advancements in Deep Learning (DL). This study proposes Deep Learning-Based Natural Language Processing for the identification and multi-label categorization (DL-NLP-MLC) of SFH from UEMR. Information was obtained from the Medical Information Mart for Intensive Care (MIMIC-III) dataset. The database consisted of 4,124 socially connected phrases derived from 2,785 medical notes. A framework for automatic MLC for multiple SFH types has been established. The database consisted of descriptive medical notes categorized as "SFH" inside the MIMIC-III medical dataset. Four types of categorization models have been trained: Decision Tree (DT), Random Forest (RF), and Long Short-Term Memory (LSTM). The efficacy of DL-NLP-MLC has been evaluated using accuracy, precision, recall, Area Under the Curve (AUC), and F1 score. The findings indicated that, in general, LSTM surpassed the other models of categorization with AUC (98.4%) and Accuracy (94.6%) for drug abuse SFH. The suggested method of training a DL classifier on a dataset rich in structured feature hierarchies may yield a very effective classifier using UEMR. Evidence demonstrates that model performance correlates with the semantic variety used by health practitioners and the automated creation of medical statements for documenting SFH. Journal: Health Leadership and Quality of Life Pages: .585 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.585 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.585:id:.585 Template-Type: ReDIF-Article 1.0 Author-Name: Abdullaeva Author-Name: Turaeva Author-Name: Yadgarova Author-Name: Khalimova Author-Name: Eshonkulova Author-Name: Yormatova Author-Name: Nazarov Title: Multimedia data processing in an intelligent medical system featuring embedded elliptic curve cryptography Abstract: Currently, global disease diagnosis is prevalent, and the evaluation of digital medical images (MI) is integral to Intelligent Medical Systems (IMS), which facilitates the early diagnosis and treatment of prevalent and severe illnesses. In this scenario, modifying or altering just one pixel of an MI during transmission across an insecure channel might result in an erroneous diagnosis, jeopardizing patient health and causing detrimental delays. Consequently, transmitting IMS multimedia information to healthcare providers presents several security issues. This study presents a Multimedia Data Processing framework using Embedded Elliptic Curve Cryptography (MDP-EECC) inside an IMS. The suggested MDP architecture comprises an Edge Level (EL), a Fog Computing (FC) stage, a Cloud computing Storage (CS) level, and a Blockchain (BC) tier. The EL gathers and transmits regular health data from the patient to the upper layer. The multimedia information from the EL is safely stored in BC-assisted CS via FC nodes using simple cryptography. Medical professionals conduct secure searches of such data for therapy or monitoring purposes. Inexpensive cryptographic methods are suggested via the use of Elliptic Curve Cryptography (ECC) with ECC-Diffie-Hellman (ECDH) and ECC-Digital Signature (ECDS) algorithms to ensure the security of MDP while preserving privacy. The suggested approach is tested using publicly accessible chest X-ray pictures. The efficacy of the suggested version is assessed and validated via comprehensive experimentation using the latest security techniques available. Compared to state-of-the-art approaches, the suggested version demonstrates superior security characteristics and can withstand different known assaults. Journal: Health Leadership and Quality of Life Pages: .584 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.584 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.584:id:.584 Template-Type: ReDIF-Article 1.0 Author-Name: Rakhmanov Author-Name: Makhmudova Author-Name: Shamansurov Author-Name: Narzullayeva Author-Name: Almamatova Author-Name: Akilova Author-Name: Mirametova Title: Privacy and Security Framework for Medical Data in a Cloud Infrastructure Utilizing Lightweight Blockchain Technology Abstract: Cloud-based information has consistently attracted cyber attackers. Medical Data (MD) on the cloud has emerged as a new focal point of interest. Assaults on MD may have devastating repercussions for healthcare companies. The decentralized management of cloud data helps mitigate the impact of assaults. A public ledger supported by a decentralized network of peers has been shown to provide reliable, auditable computing using Blockchain Technology (BT). Implementing authorization mechanisms and cryptographic primitives is inadequate for mitigating contemporary cyber risks and resolving privacy and security issues related to cloud-based environments. This study presents a Privacy and Security Framework in Cloud Infrastructure employing Lightweight Blockchain Technology (PSF-CI-LBT) for MD. A patient-focused MD management program using BT for storage has been introduced to enhance privacy. Cryptographic algorithms are employed to encrypt patients' MD and to guarantee concealment. The encryption, decryption time, and economic feasibility (cost) of the proposed technique's smart contract (SC) framework are assessed, along with the methodologies used for analyzing MD to encrypt and mask a patient's MD. Journal: Health Leadership and Quality of Life Pages: .583 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.583 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.583:id:.583 Template-Type: ReDIF-Article 1.0 Author-Name: Davlatov Author-Name: Qurbonov Author-Name: Yunusova Author-Name: Tursunova Author-Name: Narbekova Author-Name: Abdumaruf Author-Name: Mirametova Author-Name: Omarova Title: Secure and privacy preserving predictive framework for iot based health cloud system using cryptographic modfels Abstract: The Internet of Things (IoT) is one of the most well-liked developing technologies in the IT sector these days. The Internet of Things is defined as a network of physical objects that are intelligent and connected. Through the use of wired or wireless networks, sensors are integrated into physically connected objects and communicate with one another. The interconnectedness, intelligence, dynamic nature, sensing, large scale, heterogeneity, and security of the Internet of Things are its salient characteristics. A consumer can access a variety of cloud services, including database, application, and storage, through a network. The Internet of Things (IoT) provides a wide range of field applications for ongoing monitoring in many industries, including healthcare. Numerous studies are conducted to guarantee patient data privacy. Another challenging component of health systems is the use of patient data from IoT devices to predict disease. Protecting confidential information from unauthorised access is necessary to increase its security. To improve cloud data privacy, many classical cryptographic algorithms have been applied. Nevertheless, some issues with data privacy persist due to its inadequate security. As a result, this paper suggests an innovative method to protect cloud data privacy. The suggested EGEC encryption system can be used by the users who possess the data to decrypt data like addition and multiplication are carried out. Journal: Health Leadership and Quality of Life Pages: .582 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.582 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.582:id:.582 Template-Type: ReDIF-Article 1.0 Author-Name: Davlatov Author-Name: Akramov Author-Name: Kamarova Author-Name: Azizova Author-Name: Bakaeva Author-Name: Turayeva Author-Name: Mamadaminova Title: Efficient intrusion detection model based on health care sector using lstm based rnnSalim Davlatov Abstract: Almost all real-world operations have moved online in recent years, with computers interacting with one another over the Internet. Consequently, there is an increase in network security vulnerabilities, making it difficult for network managers to protect their networks against all types of cyberattacks. Numerous methods for detecting network intrusions have also been created. However, they face critical difficulties from the continuous rise of new weaknesses that are outside the ability to understand of existing frameworks. We present an astute and effective Profound Learning (DL)- based network interruption discovery framework (NIDS),motivated by deep learning's outstanding performance in a variety of detection and identification tasks. We investigate an RNN-based prediction model for the detection of intrusions in industrial IoT networks. For intrusion detection, we use anomaly detection algorithms to identify if a packet is normal or abnormal. These methods quantify and assess the distance measurement in actual packets, as well as predict the following packet. The cyber security community has access to a wide range of malware datasets for use in public domain research. Furthermore, to the best of our knowledge, no study has offered a thorough evaluation of how well different machine learning techniques perform across a range of publicly accessible datasets. In this paper, we investigate novel hybrid deep learning model, with the aim of building an adaptable and efficient intrusion detection system that can identify and categorise unexpected and cyber-attacks. The results of this type of research make it easier to select the optimal algorithm for use in anticipating and stopping impending cyberattacks. Finally, to perform anomaly identification, a cosine similarity boundary that is thought of as a typical packet was provided. Then, a scoring function based on cosine similarity was applied. Journal: Health Leadership and Quality of Life Pages: .581 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.581 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.581:id:.581 Template-Type: ReDIF-Article 1.0 Author-Name: Navruzov Author-Name: Ismoilov Author-Name: Bahadirkhanov Author-Name: Almatova Author-Name: Djuraev Author-Name: Mikhiddinov Author-Name: Mirametova Title: Analysis and prediction of different stages of brain tumor from mri using ai modelsRustam Navruzov Abstract: Medical imaging uses computer techniques to create images of the human body's inside for diagnostic purposes. Image segmentation is crucial for many medical assessments, navigation, surgical planning, and diagnosis. There are now three techniques available for segmenting the region of interest: manual, semi-automated, and automatic. In this paper, a hybrid way to deal with the identification and characterization of brain cancers utilizing attractive reverberation imaging is proposed. It is very challenging to analyze brain cancers due to the varieties in growth position, structure, and size. The fundamental target of this study is to provide specialists with an exhaustive assortment of writing on the use of attractive reverberation imaging (MR) to the identification of cerebrum diseases. This study proposed a number of techniques for the statistical image processing and artificial intelligence-based tumour and brain cancer diagnosis. This concentrate likewise incorporates an evaluation grid for a particular framework utilizing explicit frameworks and dataset types. At last, our review gathers every one of the information expected to analyze and figure out malignant growths, including their advantages, disadvantages, headways, and possible future patterns. Journal: Health Leadership and Quality of Life Pages: .580 Volume: 3 Year: 2024 DOI: 10.56294/hl2024580 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.580:id:.580 Template-Type: ReDIF-Article 1.0 Author-Name: Sa’dulloyeva Author-Name: Raufov Author-Name: Bakhadirova Author-Name: Nasirova Author-Name: Pekhanova Author-Name: Mamarasulova Author-Name: Pulatova Author-Name: Khakimova Title: Development of a chatbot for mental health support using ai-intelligent Iroda Sa’dulloyeva Abstract: People have been impacted by COVID-19 not just physically but also psychologically, and the epidemic has had a significant societal impact, particularly in underdeveloped nations. During such perplexing circumstances, there is undoubtedly a significant increase in psychosocial discomfort. On the other hand, more people are now seeking mental health assistance. The researcher identified a tool to help promote mental wellness and bring about a behavioural change in people's minds using the broaden and build theory of psychological wellness (Fredrickson 1998), with the goal of promoting positivity and mental well-being. This was done by utilising design research methodology and human centred design principles. Through the use of human-centered design, the study illustrated how issues can be found, verified, and their impact mitigated through the use of an intervention. In order to delve deeply into the problems that emerged during the COVID19 pandemic and ultimately lessen the psychological effects of a pandemic, the research will help the public in times of hardship and policy makers. By offering suitable, sympathetic insights and solutions in relation to human-centered design, and particularly in terms of design for the healthcare and wellness space, the study results also demonstrate further steps towards developing advanced design research during a psychosocial distress situation on people's mental wellness. Journal: Health Leadership and Quality of Life Pages: .579 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.579 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.579:id:.579 Template-Type: ReDIF-Article 1.0 Author-Name: Rakhmatova Author-Name: Shakhanova Author-Name: Nazarova Author-Name: Azizova Author-Name: Astanakulov Author-Name: Akramov Author-Name: Mirametova Title: Brain tumor information retrieval system for brain tumor diagnosis Abstract: Application areas for information retrieval include searching a wide range of information from search engines, identifying defective product parts in industry, extracting valuable knowledge from medical images, quickly identifying criminals in the criminal justice system through facial image and fingerprint analysis, and security biometric applications. For the aforementioned objectives, picture is a necessary component to draw original conclusions. The majority of applications rely heavily on picture retrieval, which is based on two main methods: content-based and text-based methods. One useful method used in image searching applications is Content-Based Image Retrieval (CBIR). Colour, texture, and shape descriptors—low-level traits—are used in CBIR to retrieve images. These descriptions make it simple to determine the image's context. The goal of this work is to identify brain tumour locations in magnetic resonance imaging datasets and to distinguish between normal and defective picture types. Additionally, the suggested approach performs well when it comes to classifying photos for medical applications and identifying specific locations of brain tumours. The importance of this finding prompts the creation of fresh methods for identifying patients' medical problems in real time. Journal: Health Leadership and Quality of Life Pages: .578 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.578 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.578:id:.578 Template-Type: ReDIF-Article 1.0 Author-Name: Badridinova Author-Name: Azimova Author-Name: Iskandarova Author-Name: Majidova Author-Name: Majidova Author-Name: Abdullaev Author-Name: Urinov Author-Name: Tokhirova Title: Early detection of thyroid disease using feature selection and hybrid machine learning approachBarnokhon Badridinova Abstract: In today's environment, thyroid disorders are quite widespread and widely dispersed. They frequently result in serious physical and mental suffering. It interferes with the thyroid gland's ability to operate, which causes the thyroid to secrete too much hormone. The thyroid organs are ground up by the hormones produced when the body enters auto-safe mode in this illness. Avoiding this condition is crucial because it has irreversible effects on the body. Since this disorder is extremely difficult to cure once it reaches its final stage, preventing it from occurring needs some awareness of its development. The ontological challenges and disparate data standards that are employed in Medical Data Analysis (MDA) and system-assisted healthcare management are well-known in the healthcare industry. Rapid technological breakthroughs have drawn researchers to the health sector to create accurate, dependable, and reasonably priced medical (DSS) decision support systems (MDSS). Therefore, there is continuous research being done to construct an efficient and practically applicable MFFN+MLP-based DSS for medical data (MD) processing and knowledge discovery (KD). Using computerised intelligent medical decision support systems offers a practical way to help medical professionals diagnose patients quickly and correctly. Before a practical medical diagnosis system can be created and implemented, a number of problems must be addressed and handled, including how to make decisions when faced with ambiguity and imprecision. Journal: Health Leadership and Quality of Life Pages: .577 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.577 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.577:id:.577 Template-Type: ReDIF-Article 1.0 Author-Name: Cedeño Author-Name: Mero Author-Name: Indacochea Author-Name: Galarza Title: Relationship between COVID-19 and Guillain-Barré syndrome: systematic review Abstract: Guillain-Barré syndrome is an acute peripheral neuropathy characterized by muscle weakness and paresthesia, which can lead to paralysis. Its association with viral infections has been widely studied. During the COVID-19 pandemic, some cases of GBS have been reported, highlighting the importance of understanding the connection between COVID-19 and GBS and its clinical impact. The objective of this systematic review is to analyze recent literature to determine whether there is a relationship regarding the clinical characteristics and possible pathogenic mechanisms of GBS associated with COVID-19. Searches were conducted in the Scielo and Google Scholar databases to identify accessible studies published between 2019 and 2024 that describe a possible relationship between COVID-19 and GBS. Studies were selected based on rigorous inclusion and exclusion criteria, and 30 articles meeting the established criteria were analyzed. The reviewed studies indicate that GBS may appear as a rare but significant complication in patients with COVID-19. While some articles suggest a possible association between COVID-19 and GBS, the exact pathogenic mechanism is not yet fully defined. Further research is needed to clarify this relationship and its clinical impact. Nonetheless, current findings highlight the importance of considering GBS in COVID-19 patients who develop neurological symptoms, as this could improve early diagnosis and the management of complications. Journal: Health Leadership and Quality of Life Pages: .576 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.576 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.576:id:.576 Template-Type: ReDIF-Article 1.0 Author-Name: Galarza Author-Name: Alarcón Author-Name: Intriago Author-Name: Zambrano Title: Evolution of treatment strategies for prostate cancer: a systematic review Abstract: Introduction: Prostate cancer is one of the leading causes of morbidity and mortality in men, with prevalence and severity varying based on access to healthcare services and available treatment options. Objective: This systematic review aimed to explore the evolution of therapeutic strategies in the management of prostate cancer, evaluating the efficacy of different treatments and their impact on patients' quality of life. Methodology: A comprehensive search was conducted using Google Scholar, analyzing 22 selected articles after applying rigorous inclusion and exclusion criteria. Results: The findings indicate that androgen deprivation therapy, along with agents such as abiraterone and enzalutamide, has proven effective in managing hormone-sensitive and castration-resistant prostate cancer. Furthermore, second-generation antiandrogens and combination therapies with PARP inhibitors have demonstrated the ability to extend survival in specific cases. Conclusions: Immunotherapy, while showing limited benefits as a standalone treatment, exhibits greater efficacy when combined with other therapies, such as radiotherapy and chemotherapy. Nanomedicine remains an underdeveloped strategy but holds promise for enhancing the selectivity and efficacy of drugs in patients who have developed resistance to other treatments. Journal: Health Leadership and Quality of Life Pages: .575 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.575 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.575:id:.575 Template-Type: ReDIF-Article 1.0 Author-Name: Romero Fernández Author-Name: Alfonso González Author-Name: Álvarez Gómez Title: Access to higher education in latin america. Myth or reality? Abstract: Access to higher education is a right that all human beings have, and it is up to the rulers of each country to guarantee resources and access for young people to universities. This work is developed with the objective of characterizing the reality of access to higher education in the Latin American context to dismantle the slogan that is a myth and not a reality. The research is predominantly qualitative and descriptive and focuses on the analysis of the main UNESCO statistics related to higher education in Latin America and the world. The study showed that only 54% of the population between 18 and 24 years old enter higher education in Latin America, which implies that almost half of young people do not access universities. In Latin America, for every 100 men who enter universities, 128 women enter, which shows that the gender approach does not influence access to universities, but less than 30% of young people from rural areas can enter the higher education system. , only 40% of indigenous people and 45.5% of Afro-descendants, which implies that there are large gaps related to ethnicities and place of residence for access to universities Journal: Health Leadership and Quality of Life Pages: .571 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.571 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.571:id:.571 Template-Type: ReDIF-Article 1.0 Author-Name: Poveda Morales Author-Name: Moreta Proaño Title: Development of gastronomic innovation products using the blueberry (vaccinium corymbosum) Abstract: The present study highlights the applications, importance, and uses of blueberries, labeled as a "Super Fruit," in the development of gastronomic products. The popularity of blueberries is due to their strong nutritional profile, which includes antioxidants, fiber, and immune-boosting properties. With increasing demand, exploring their use in the development of new food products is highly relevant, especially in emerging markets such as Ecuador. The research conducted a comprehensive study on the nutritional composition of blueberries, as well as their phenolic and organoleptic properties. Various blueberry varieties adapted to different regions and climates, each with unique characteristics, were explored. The main objective of this study was to promote the nutritional value of blueberries through innovation and the development of gastronomic products. Several methods were used in the research: the Analytical-Synthetic method, which allowed for a systematic and in-depth approach to the nutritional properties of blueberries; expert validation, which involved consulting experts in the culinary, nutrition, and agricultural industries to corroborate the relevance and validity of the findings; and the Inductive-Deductive method, to analyze the information gathered and formulate conclusions. The results of this study include the promotion of the nutritional value of blueberries and inspiration for innovation and the development of new food products based on this fruit. The study concludes that the research has unequivocally demonstrated the growing demand and relevance of blueberries in the culinary world Journal: Health Leadership and Quality of Life Pages: .570 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.570 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.570:id:.570 Template-Type: ReDIF-Article 1.0 Author-Name: Chamorro Valencia Author-Name: Hurtado Lomas Author-Name: Diego Paúl Fiallos Arteaga Author-Name: Isea Arguelles Title: Defense of the rights of adolescents in the face of domestic violence Abstract: The objective of the research was to analyze the protection of adolescents from domestic violence, using a quantitative approach and a documentary-bibliographic methodology. This allowed exploring the topic through theses, scientific research, laws and refereed works, in order to identify characteristics and relationships between the elements of the problem. In addition, a questionnaire was applied to adolescents from Otavalo. The results conclude that the State, as guarantor of the rights of adolescents, has the responsibility to eradicate this problem, in which international organizations have also become involved due to the increase in domestic violence. Adolescents, often silent out of fear, face serious psychological and social consequences Journal: Health Leadership and Quality of Life Pages: .569 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.569 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.569:id:.569 Template-Type: ReDIF-Article 1.0 Author-Name: Chamorro Valencia Author-Name: Hurtado Lomas Author-Name: Chamorro Méndez Author-Name: Isea Arguelles Title: Comprehensive approaches to prevent clinical illness and promote mental health in children and adolescents Abstract: The main purpose of this research was to describe strategies for the integral prevention of clinical pathologies and the protection of the right to mental health of children and adolescents. It was developed under a quantitative approach and a documentary-bibliographic design, based on the compilation and critical analysis of sources such as scientific research, articles, theses and refereed works. In addition, a survey was applied to minors using Google Forms, with the informed consent of their legal guardians. The results show that mental health is a growing problem that affects thousands of young Ecuadorians. Although the Constitution of Ecuador guarantees public health, there is still a lack of specific regulations to adequately address child and adolescent mental health Journal: Health Leadership and Quality of Life Pages: .568 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.568 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.568:id:.568 Template-Type: ReDIF-Article 1.0 Author-Name: Infante Miranda Author-Name: Paronyan Author-Name: Isea Argüelles Title: Reflections on human rights and their promotion in the current context Abstract: Human rights have been studied, establishing their definition, background and the need to promote their promotion in the current context, because despite having been recognized in the Universal Declaration of Human Rights (1948) and what has been achieved in this sense, they are manifest situations that show its violation in different parts of the world; For this reason, the objective has been set: to analyze, from the foundations provided by the sources consulted, reflections on human rights and their promotion in the current context. Research methods at the theoretical and empirical levels were applied to analyze the information obtained from the sources consulted and draw conclusions. The results emanating from the documentary research carried out indicate that human rights are essential for all people, they entail ideas related to equality among all, they constitute the fundamental basis for harmonious coexistence and a dignified life. It is concluded that it is necessary to carry out actions to promote human rights, since despite what has been achieved on this issue, situations still arise that show their violation; It is necessary for society to know what rights are recognized and how their respect can be demanded; This aspiration continues to be a goal to be achieved in different parts of the world Journal: Health Leadership and Quality of Life Pages: .567 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.567 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.567:id:.567 Template-Type: ReDIF-Article 1.0 Author-Name: Infante Miranda Author-Name: Molina Gutiérrez Author-Name: Manaces Esaud Title: Contributions of a focus group to the study on higher education during the pandemic covid-19 Abstract: The study carried out has confirmed the potential of the Focus Group in qualitative research, as a consensus technique that favors reflection and discussion, of intentionally selected informants, on a given topic, enabling them to provide in-depth data about the object being studied. criteria that confer subjective validity to the information that is collected. For this reason, the objective has been established: to analyze the contributions of a focus group to the study on Higher Education during the pandemic (Covid-19), as a means to establish an assessment of the impact of this on the students' educational process. Research methods at the theoretical and empirical levels were applied to analyze the theoretical and empirical information obtained and draw conclusions. The results obtained through the processing of the information provided by the Focus Group showed deficiencies in the development of the virtual teaching-learning process. It is concluded, based on the criteria expressed by the members of the Focus Group, that consensus was established regarding relevant aspects, referring to what was investigated, which is summarized in the recognition of the emerging measures that were assumed in the face of the educational crisis generated. in the context of the pandemic caused by Covid-19 and the effects that occurred on the quality of the training process, therefore mitigating the negative effects of this situation must constitute an essential work objective in the university educational community in the post pandemic Journal: Health Leadership and Quality of Life Pages: .566 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.566 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.566:id:.566 Template-Type: ReDIF-Article 1.0 Author-Name: Gavilanes Jurado Author-Name: Benavides Salazar Author-Name: Benavides Salazar Author-Name: Benavides Salazar Title: Incentives to suicide in the Ecuadorian educational system Abstract: The research analyzes the legal implications of instigation to suicide in the Ecuadorian educational environment, based on two cases from 2023: one at the “Herlinda Toral” Educational Unit in Cuenca and another at the “Mejía” School in Quito. The possible criminal responsibility of teachers and peers in students' decisions to take their own lives is examined, using a qualitative approach and case analysis according to the Código Orgánico Integral Penal. The findings highlight psychological mistreatment by teachers in Cuenca and prolonged harassment by peers in Quito as determinant factors. The urgency of school policies to prevent bullying and protect students is emphasized Journal: Health Leadership and Quality of Life Pages: .565 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.565 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.565:id:.565 Template-Type: ReDIF-Article 1.0 Author-Name: Troya Altamirano Author-Name: Betancourt Rubio Author-Name: Caicedo Title: Assessment of graphic organizer usage among medical students at uniandes, ecuador Abstract: Graphic organizers facilitate meaningful learning; however, in Ecuador, there is no research on their use. The objective of the study was to evaluate the knowledge and use of graphic organizers, as well as preferences in study techniques and reading habits among medical students at the Regional Autonomous University of the Andes (UNIANDES), Ecuador. A self-designed online questionnaire was administered to medical students at UNIANDES between July and September 2023. The instrument included questions about knowledge and use of graphic organizers, study techniques employed, and reading habits. A total of 92 students participated (average age of 19 years; 67.4% women). About 68.5% (n=63) had not received training in study techniques. The mean number of books read in the last six months was 3, with a median of 2. The most frequently used study technique was summarization; the least known graphic organizer was the mentefacto. The majority recognized the importance of study techniques and considered that professors should promote their use. It is concluded that medical students at UNIANDES make little use of visual organizers (concept maps, mentefactos), even though they are aware of them, preferring traditional tools such as summarization Journal: Health Leadership and Quality of Life Pages: .564 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.564 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.564:id:.564 Template-Type: ReDIF-Article 1.0 Author-Name: Crespo-Berti Author-Name: Ruíz Quiroz Author-Name: Yanza Freire Author-Name: Villa Zura Title: Influence of academic stress associated with student performance of students in graduation status from uniandes, ibarra campus Abstract: The present study aimed to thoroughly examine the influence of academic stress on the academic performance of undergraduate students at the Universidad Regional Autónoma de los Andes, Ibarra campus, in Ecuador. The study followed a qualitative approach based on documentary evidence through a systematic review embedded in the PRISMA method. Stress was measured through the documentary analysis of principal components, utilizing triangulation, verification, and reflexivity of academic performance demonstrated during the defense of final degree projects. The sample consisted of a focus group of students prior to the defense of their law degree projects. The results show that students who experience higher levels of stress are more likely to report a decline in their grades. Previous studies were analyzed, and empirical references were reviewed to better understand how stress affects the academic performance of these students. Additionally, potential mediating and moderating variables that may influence this relationship were explored. It was concluded that the information gathered through this analysis provided a comprehensive and updated view of the topic, which could be useful for designing strategies and intervention programs to help students manage stress and improve their academic performance Journal: Health Leadership and Quality of Life Pages: .563 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.563 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.563:id:.563 Template-Type: ReDIF-Article 1.0 Author-Name: Isea Arguelles Author-Name: Crespo Berti Author-Name: Lizcano Chapeta Author-Name: Méndez Cabrita Title: Migration and human rights: implications and challenges in Colombia, Venezuela and Ecuador Abstract: The main objective of this research was to analyze the impact of migration from a human rights approach, taking Colombia, Venezuela and Ecuador as case studies. To develop the study, a quantitative approach was used with a documentary methodology and a bibliographic design oriented to the critical analysis of theoretical and normative sources, refereed works and theses related to the topic. The results highlight common factors that drive migration, such as violence, persecution, unemployment and political instability. The importance of international agreements and human rights organizations to mitigate these impacts is highlighted, and emphasis is placed on improving national laws and mechanisms to guarantee stability to migrants Journal: Health Leadership and Quality of Life Pages: .562 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.562 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.562:id:.562 Template-Type: ReDIF-Article 1.0 Author-Name: Latorre-Barragán Author-Name: Salgado Gallo Author-Name: Guzmán-Chango Title: Clinical analysis of toxoplasma gondii infection in immunocompromised populations Abstract: Toxoplasma gondii is a protozoan that causes toxoplasmosis, a disease whose severity depends on the immune status of the host. Immunosuppressed patients, such as those with HIV/AIDS, are especially vulnerable, since this parasite can cause severe and potentially fatal clinical pictures. The aim of the study was to analyze how T. gondii affects immunocompromised patients and how immune impairment influences the severity of clinical manifestations. Through a literature review (2019-2024) in databases such as SciELO, Scopus and PubMed, it was determined that the impaired immune status facilitates the dissemination of the parasite, causing multi-organ infections. Toxoplasma encephalitis is common, characterized by headache, fever, convulsions and risk of death Journal: Health Leadership and Quality of Life Pages: .561 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.561 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.561:id:.561 Template-Type: ReDIF-Article 1.0 Author-Name: González Author-Name: Acosta Author-Name: Méndez Title: Coping strategies for domestic violence in children who attend the child and adolescent protection council Abstract: Objetivo: contribuir con la implementación de un Programa de Estrategias de Afrontamiento en infantes ante la Violencia Intrafamiliar que acuden al Consejo de Protección del Niño, Niña y Adolescente en una ciudad venezolana, con apoyo de la Terapia Cognitivo-Conductual permitiendo abordar la sintomatología emocional de los infantes que crecen dentro de ese clima. Materiales y métodos: El presente trabajo de investigación fue realizada bajo la modalidad Proyecto Factible, sobre la base del paradigma cuantitativo, de campo, descriptiva, no experimental, de corte transversal y con apoyo de fuentes documentales. La población estuvo compuesta por 19 infantes, 12 hembras y 7 varones, la muestra fue de tipo censal. Los instrumentos de recolección de datos fueron el Cuestionario Sociodemográfico y la Escala de Afrontamiento para Niños (EAN). El análisis de los datos se realizó a través de la estadística descriptiva, recurriendo a la distribución de frecuencias y porcentajes para cada dimensión de los instrumentos. Resultados: la muestra se encuentra entre el grupo etario de los 5 y 12 años. Con predominio del 68% del género femenino. El nivel de instrucción fue la primaria con 84%. El 100% de la población se encuentra estudiando. El 68% afirma haber presenciado violencia intrafamiliar, el 79% afirma ser gritado y el 79% de los infantes es castigado. Conclusiones: En lo referente a las estrategias de afrontamiento, por medio de la Escala de Afrontamiento para Niños se evidenció que hay prevalencia de reservarse el problema para sí mismo, Evitación Cognitiva a través de la Búsqueda de Distracción y Evitación Conductual Journal: Health Leadership and Quality of Life Pages: .560 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.560 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.560:id:.560 Template-Type: ReDIF-Article 1.0 Author-Name: Suarez Reyes Author-Name: González Martínez Author-Name: Apaulaza Corrales Author-Name: Lobo Riverol Author-Name: López Ramos Title: Resistance phenotypes of Gram positive cocci in pediatric blood cultures Abstract: Infections in pediatric ages constituye one of the biggest challenges today due to bacterial etiology related to high multidrug resistance. This research aimed to determine the resistance phenotypes in Gram positive cocci isolated in blood cultures from patients hospitalized at the Pepe Portilla Pediatric Teaching Hospital in Pinar del Rio from January, to June 2021. An observational, descriptive and cross-sectional study was carried out with a universe consisting of 433 patients of pediatric ages, of which only 44 blood cultures (10, 16 %) were positive for Gram positive cocci. All variables were processed through a descriptive analysis where the number (nº) and percentage (%) were determined through the SPSS package. It was found that Staphylococcus epidermidis showed the highest percentage (77.3%) followed by Staphylococcus aureus (16, 9 %), Enterococcus spp (4, 5 %) and Streptococcus pneumoniae (2,3 %). Resistance to penicillins, macrolides and clindamycin represent the largest percentage of phenotypes resistant to Gram positive cocci isolated in blood cultures of patients hospitalized in closed hospitalization services Journal: Health Leadership and Quality of Life Pages: .559 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.559 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.559:id:.559 Template-Type: ReDIF-Article 1.0 Author-Name: García Moncayo Author-Name: Burbano Gómez Author-Name: Sarmiento Tomalá Author-Name: Valdiviezo Rogel Author-Name: Soledispa Cañarte Author-Name: López Barrera Title: Determination of the in vivo antioxidant activity of banana flour obtained from banana peel Abstract: The objective of the research was to determine the antioxidant in vivo activity of plantain flour obtained from shell residues, formed 6 groups of 4 animals each; group 1 without treatment, 2 with vitamin A, 3 (only induction), 4, 5 and 6 at three different dose levels; all groups was the induction of acetylsalicylic acid and applied methodology TBARS where it was necessary to obtain the enriched fraction from mouse liver membrane, it was subjected to oxidative stress to achieve the lipoperoxidación producing several species including malondialdehyde (MDA), was carried out with thiobarbituric acid (TBA) reaction giving a complex pink, to 535nm concentration was determined. Finally, the quantification of the MDA data were statistically analyzed (ANOVA), noting the decrease of MDA where lower doses presented higher antioxidant activity. Journal: Health Leadership and Quality of Life Pages: .558 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.558 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.558:id:.558 Template-Type: ReDIF-Article 1.0 Author-Name: Gutiérrez Vera Author-Name: Araujo Inastrilla Author-Name: Llosa Santana Author-Name: Roche Madrigal Author-Name: González García Author-Name: García Savón Title: Technological procedures in Health Information Systems: a necessary definition in the healthcare sector Abstract: Objectives: the study aims to define the technological procedures in Health Information Systems to improve information management and optimize decision-making in the healthcare sector. It seeks to establish a conceptual framework that enables professionals to fully leverage available technological tools. Methods: a qualitative documentary analysis of scientific literature related to health technology and information systems was conducted. Theoretical methods such as historical-logical and analytical-synthetic approaches were employed, utilizing tools like Rayyan and Semantic Scholar for the selection of 41 relevant sources, including articles, books, and reports. Results: the review identified that health information systems are crucial for decision-making, with key functions including data generation, collection, analysis, and communication. Improvements in service quality due to advanced technology implementation were highlighted, alongside the need for adequate infrastructures in national health systems. Organizational obstacles limiting the acceptance of new technologies were also identified. Conclusions: a definition of technological procedures is essential for enhancing competitiveness in the health sector. These procedures must be flexible and adaptable to the healthcare environment's needs, ensuring efficient information management that supports operational and strategic decisions. Continuous training of professionals in this field is vital to address current challenges in healthcare. Journal: Health Leadership and Quality of Life Pages: .557 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.557 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.557:id:.557 Template-Type: ReDIF-Article 1.0 Author-Name: Rabanal Author-Name: Moscoso Blanco Author-Name: Castillo Zamora Author-Name: Ponti Title: Guillain Barré with respiratory compromise, a clinical case of pediatric emergency Abstract: Clinical case of a 2-year-old boy diagnosed with severe respiratory failure and Guillain-Barré syndrome, with the objective of managing a care plan to restore respiratory distress. Using the Marjory Gordon’s health patterns assesment, 4 NANDA-I (NANDA Internationa taxonomy) diagnoses were found, prioritized and analized according to the OPT model. The care plan and execution was based on NOC and NIC taxonomy. The care plan successfully achieved airway stability and provided quality care. Journal: Health Leadership and Quality of Life Pages: .556 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.556 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.556:id:.556 Template-Type: ReDIF-Article 1.0 Author-Name: Milivoy Author-Name: Brusca Author-Name: Garzon Author-Name: Vela Ferreira Title: Causes and consequences of premature loss of primary teeth - literature review Abstract: It is important to maintain the entire primary dentition until the time of replacement, since it can be affected by factors such as dental caries, premature exodontia and trauma, and can influence the physiological, psychological and social development of the child. The poor information that parents have on this subject plays an important role in the development of occlusion and in the dental care of their children. The objective of this work is to investigate the causes and consequences of premature loss of primary teeth. Journal: Health Leadership and Quality of Life Pages: .555 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.555 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.555:id:.555 Template-Type: ReDIF-Article 1.0 Author-Name: Hernández Díaz Author-Name: Hernández Rojas Author-Name: Hernández Rojas Author-Name: Moreira Martínez Author-Name: Rojas Reyes Author-Name: Delgado Estrada Title: The Heberprot-P in the 21st century Abstract: Introduction: Heberprot-P, considered the medicine of the 21st century for the healing of diabetic feet, is emerging as a promising technique for the repair of destroyed or damaged tissues. Objective: To present the results of the use of intra- and perilesional Heberprot-P in complex ulcers in the province of Pinar del Rio, Cuba from 2022 to 2024. Methods: a descriptive, retrospective, cross-sectional study of the use of Heberprot-P 75 mcg was developed. intra and perilesional in patients with complex ulcers from January 2022 to March 2024 in the province Pinar del Río, Cuba, with a total of 8482 lesions and an intentional sample of 181 complex ulcers. Inclusion criteria: presence of complex ulcers in the lower limbs. Exclusion criteria: those who did not meet the inclusion criteria with prior signing of the informed consent. Results: non-complex ulcers were more frequent, for 98%, diabetic foot represented 81% of complex ulcers, these with a higher rate of major amputation, hospitalization and intralesional infiltrations, with 18 doses (6 weeks, 42 days ) to achieve total granulation, correspondingly the time for closure by secondary intention was longer, 6 weeks after its application (84 days in total). Conclusions: the use of intra- and perilesional Heberprot-P is an effective therapy to accelerate granulation and closure by secondary intention of complex wounds that are difficult to heal. Journal: Health Leadership and Quality of Life Pages: .554 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.554 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.554:id:.554 Template-Type: ReDIF-Article 1.0 Author-Name: González de Paz Author-Name: Paz-Gañan Author-Name: Aguiar Author-Name: Coronado Author-Name: De Nobrega Author-Name: Escalona Title: Telework and occupational diseases. A systematic review Abstract: This systematic review identifies occupational diseases that are related to teleworking, a work phenomenon that has grown significantly, especially after the COVID-19 pandemic. It establishes the context of teleworking and its impact on workers' health, highlighting both its benefits and risks. The aim of the study was to identify and analyse the pathologies associated with teleworking, as well as the psychosocial and ergonomic factors that influence occupational health. The findings show an increase in musculoskeletal disorders, mental health problems, visual disturbances and increased cardiovascular risks, attributable to inadequate working conditions and work overload. In conclusion, the importance of implementing prevention and health promotion strategies in teleworking environments is underlined, suggesting the need for organisational policies that favour the comprehensive well-being of employees, especially in vulnerable populations such as women. Journal: Health Leadership and Quality of Life Pages: .553 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.553 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.553:id:.553 Template-Type: ReDIF-Article 1.0 Author-Name: De los Ríos Author-Name: Olguín-Martínez Author-Name: Chávez-Hernández Author-Name: Osuna-Velarde Title: Medical tourism for regional leadership from a financial and business perspective: a literature review in Scopus Abstract: Medical tourism is an increasingly important economic and social phenomenon, characterized by the combination of health services and tourism experiences. However, to date it has been insufficiently studied from the management perspective. This article analyzes global trends in medical tourism in multiple fields of economic sciences, using a bibliometric and scientometric approach to identify patterns in the academic literature indexed in Scopus during the period 2017-2022. The design included the collection and analysis of data on publications, citations, keywords, institutions, disciplinary areas, predominant languages, and types of documents. The results showed an increase in academic production related to the topic, highlighting the growing participation of Latin American institutions and the predominance of research in English. The most used keywords reflected a focus on topics such as sustainability, health economics, and business management. Significant gaps in the regulation and standardization of services were identified, as well as the need for greater technological integration to improve the competitiveness and sustainability of the sector. Finally, the importance of addressing medical tourism from the perspective of economic and financial sciences is highlighted, with an emphasis on the analysis of capital flows, strategic planning and long-term sustainability Journal: Health Leadership and Quality of Life Pages: .552 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.552 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.552:id:.552 Template-Type: ReDIF-Article 1.0 Author-Name: Centurión Author-Name: Foco Author-Name: Ponti Title: Level of Health-Related Quality of Life according to length of treatment in hemodialysis patients Abstract: Chronic kidney disease has become a social health problem due to the increase in the incidence of cases and the physical, mental, social and economic impact that both the disease and long-term renal replacement therapy have on patients. This situation became visible in a hemodialysis unit and motivated us to describe the level of Health-Related Quality of Life (HRQOL) of hemodialysis patients in relation to the length of time they have been undergoing treatment. The approach was quantitative on 15 elderly patients who agreed to participate in the study. The survey technique was applied using the WHOQOL-BREF Quality of Life Scale as an instrument, which surveyed the general average of HRQOL and its physical-environmental, psychological and social domains, and the questionnaire was completed with socio-demographic information of interest; the questionnaire was pilot-tested in 5 patients. The patients' perception of their overall HRQoL showed no differences between a group of patients with more than three years of treatment and another with less than three years, and patients rated their quality of life as normal, but expressed feeling somewhat dissatisfied with their quality of health. In addition, both groups expressed that they rarely have negative feelings. The physical-environmental condition had a perspective of normality where both groups reflected a greater influence of pain, while the older ones felt a greater need for treatment and had a better perspective of the meaning of life. The social domain revealed a deficit in leisure and activity in both groups; on the other hand, a better acceptance of physical appearance could be found in the older patients. In the psychological domain, patients with less seniority in the treatment showed dissatisfaction in most of the indicators; the oldest patients shared a deficient evaluation in sexual satisfaction, but had a better perception of the conditions of the place where they live and of the rest of the psychological domains. Journal: Health Leadership and Quality of Life Pages: .551 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.551 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.551:id:.551 Template-Type: ReDIF-Article 1.0 Author-Name: Gutiérrez Gaitén Author-Name: Sarmiento Tomalá Author-Name: Idrovo Encalada Author-Name: Burbano Gómez Author-Name: Soledispa Cañarte Author-Name: López Barrera Author-Name: Valdiviezo Rogel Author-Name: Jimenez Granizo Title: In vitro evaluation of antibacterial and antioxidant activity of malva sylvestris and malva pseudolavatera extracts Abstract: In the present research work has done the evaluation of the antibacterial activity of aqueous and hydroalcoholic extracts of the leaves of Malva sylvestris and Malva pseudolavatera, against three microorganisms (Escherichia coli, Staphylococcus aureus, Klebsiella pneumoniae) and antioxidant evaluation of hydroalcoholic extracts, with the goal to provide an alternative in the treatment of infectious and chronic degenerative diseases. The antibacterial activity was performed by disk diffusion assays using Cefotaxime as a reference antibiotic; The antioxidant activity was carried out by three in vitro methods, the method of FRAP (ferro-reducing capacity), 2,2-diphenyl-1-picrylhydracil (DPPH) and 2,2'- azino-bis (3-ethylbenzothiazoline)-6-sulfonic (ABTS•+). The results obtained indicated that the analyzed extracts of both Malva species showed a moderate antibacterial activity in certain concentrations against the microorganisms E. coli,S. aureus and K. pneumoniae; and taking into account the results of the antioxidant activity in the three in vitro methods tested, it was I observed that as the concentration of the extracts increased, the reducing power (FRAP test) and the anti-radicals activity (DPPH and ABTS•+ tests) increased as well, manifesting a high antioxidant activity. As a consequence of this, we can conclude that Malva sylvestris and Malva pseudolavatera leaf extracts produce inhibition halos in the strains of the microorganisms evaluated (E. coli, S. aureus, K. pneumoniae), in addition to presenting inhibition of the radicals used (DPPH, ABTS•+) and ferro- reducing capacity (FRAP). Journal: Health Leadership and Quality of Life Pages: .550 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.550 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.550:id:.550 Template-Type: ReDIF-Article 1.0 Author-Name: Paez Labrador Author-Name: Rojas Reyes Author-Name: Díaz Díaz Author-Name: Roque Remus Author-Name: Ramos Author-Name: Malagón Silva Title: Comprehensive care of a case of diabetic foot in a BMC collaborator in Timor Leste Abstract: Introduction: More than 200 million people in the world are affected by Diabetes Mellitus. Foot problems are a threat to all those suffering from this disease. Worldwide, more than one million lower limb amputations are performed every year due to Diabetes, which means that every 30 seconds a lower limb is lost due to this disease. This high figure is unacceptable. Results: incision and drainage of the abscess plus extensive debridement of the devitalized tissue is performed, managing to eliminate the septic focus and a better metabolic control, allowing to save the limb and the patient's life. Conclusions: Of the many complications that affect people with diabetes mellitus, none are as devastating as those related to the foot. They include peripheral artery disease, peripheral neuropathy, ulcers, infections and amputation. Given the increase in the number of people with diabetes, we will see more and more problems of their feet, so it is very important to act on the risk factors and lifestyle habits of this population group to avoid complications Journal: Health Leadership and Quality of Life Pages: .549 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.549 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.549:id:.549 Template-Type: ReDIF-Article 1.0 Author-Name: Araujo Inastrilla Author-Name: Soret Espinosa Author-Name: Araujo Inastrilla Author-Name: Nápoles de la Torre Author-Name: Gutiérrez Vera Author-Name: Llosa Santana Title: Sistemas de información escalables en salud: estudio de la producción científica en PubMed Abstract: Introducción: En la Era Digital, el volumen de información en salud ha aumentado significativamente, lo que plantea retos en su gestión. Los Sistemas de Información Escalables son capaces de adaptarse a este crecimiento, garantizando un manejo eficiente de datos sin comprometer la integridad de la información. Objetivo: describir la producción científica sobre sistemas de información escalables en el ámbito de la salud, indexada en PubMed, entre 2019 y 2024. Método: Se llevó a cabo un estudio bibliométrico descriptivo, analizando 648 publicaciones sobre sistemas de información escalables en salud. Se utilizó una estrategia de búsqueda específica en PubMed y se aplicaron leyes bibliométricas como la Ley de Price, Ley de Lotka y Ley de Bradford. El procesamiento de datos se realizó con herramientas estadísticas y programación en Python. Resultados: Entre 2019 y 2024, se registraron 648 publicaciones, con una media anual de 108 artículos. No se observó un crecimiento exponencial conforme a la Ley de Price. El 94.3% de los autores contribuyeron con una sola publicación, lo cual se aproxima a lo planteado por la Ley de Lotka. La distribución no cumplió con la Ley de Bradford, destacando revistas como Sensors y Journal of Medical Internet Research como las más relevantes. Conclusiones: El análisis revela que, aunque hay un aumento en la producción científica sobre los sistemas de información escalables en salud, no se ha alcanzado un crecimiento exponencial ni una alta productividad entre los autores. Esto sugiere que el campo aún tiene potencial para expansión y desarrollo, lo que es crucial para abordar los desafíos emergentes en la gestión de información sanitaria. Journal: Health Leadership and Quality of Life Pages: .548 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.548 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.548:id:.548 Template-Type: ReDIF-Article 1.0 Author-Name: Kees Author-Name: Brusca Author-Name: Garzon Author-Name: Vela Ferreira Author-Name: Jewtuchowicz Title: Tooth whitening and adherence of C.Albicans Abstract: Tooth whitening is nowadays one of the most requested aesthetic procedures by patients. Hydrogen peroxide contains unstable peroxides that produce oxygen free radicals, capable of breaking down the pigmented organic carbon components contained in the enamel matrix, converting them into shorter chain molecules and less pigmented, defined as oxidation, which continues for some time, and can decompose the organic materials into carbon dioxide and water, which would represent the loss of the enamel matrix1. One of the effects is the alteration of surface roughness and deeper cracks, as well as an increase in surface porosity, which could increase the adhesion of microorganisms. Objective: to determine if the adhesion of Candida albicans is greater in enamel subjected to bleaching with 35% hydrogen peroxide. Methods: The sample consisted of 20 healthy premolars extracted with orthodontic indication from patients between 13 and 35 years old with a post extraction time of less than 6 months. Two groups were randomly assigned, control group (no bleaching only sterile water) and experimental group (professional bleaching with 35% hydrogen peroxide). The teeth were sterilized and then incubated with Candida albicans for 36 hours. Then a sample of the vestibular side of the teeth was taken with sterile microbruhs to be centrifuged, and the seeding was performed in plates with sabouraud glucose agar from the supernatant of the centrifugation with a volume of 7 microliters, streaked with ansa. The CFU of both groups were quantified after 36 h of incubation in an oven at 37ºC. Results: The data were processed in Excel through the real statistics add-in system, the Shapiro Wilk test was applied to determine the normal distribution of the data, the F test for variances of two samples which resulted in equal variances; therefore, the parametric T-student test for independent samples for equal variances was selected. The result for one-tailed analysis was P value of 0.04 so we can think that this difference between control and experimental group exists, and in which case there was greater adherence of Candida in the control group compared to the experimental group. Conclusion: The literature is controversial, we can assume that the greater adherence of Candida albicans in the control group was due to the antimicrobial action of the bleaching agent on the experimental group. Journal: Health Leadership and Quality of Life Pages: .547 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.547 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.547:id:.547 Template-Type: ReDIF-Article 1.0 Author-Name: Guerra Author-Name: García Hurtado Author-Name: Acosta Author-Name: Rodríguez Torres Title: Work stress and its influence on female performance: a systematic review Abstract: Introduction: work stress is a crucial factor that influences organizational performance, affecting both professional performance and quality of life at work; can affect workers' productivity, occupational health, and work-related well-being. This article aims to systematically analyze the influence of work stress on female performance in order to promote more equitable and healthy work environments. Methods: a systematic search was carried out in academic databases and was complemented with bibliometric techniques, selecting relevant studies that analyzed the relationship between work stress and female performance. Results: work stress negatively impacts female work performance, causing decreased productivity, greater job dissatisfaction, and physical and emotional exhaustion. In addition, it is evident that work stress is associated with occupational health problems, such as insomnia and anxiety. Organizational factors, such as the lack of balance between work and personal life and the absence of well-being policies, are fundamental in increasing stress in female workers. Conclusions: work stress has a significant impact on female performance, affecting both occupational health and quality of work life. Organizations must implement strategies for stress management, such as creating healthy work environments and promoting gender equality, with the purpose of improving the well-being of female workers and, in turn, optimizing their professional performance Journal: Health Leadership and Quality of Life Pages: .546 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.546 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.546:id:.546 Template-Type: ReDIF-Article 1.0 Author-Name: Testi Author-Name: Federico Author-Name: Brusca Author-Name: Garzón Author-Name: Vela Ferreira Author-Name: Jewtuchowicz Title: Prevalence of periodontal disease in chronic kidney disease patients Abstract: Chronic kidney disease (CKD) can be triggered by multiple causes, primary or secondary depending on the renal damage that occurs in the context of systemic diseases or diseases of the kidney itself. In CKD patients, the main cause of morbidity and mortality is cardiovascular disease in pre-dialysis, dialysis and transplant stages. Because periodontal disease is a chronic inflammatory disease, it is an important risk factor for CKD. For this reason, its diagnosis is important for early treatment and, consequently, modification of this risk factor (1). This study included 21 patients of both sexes, aged 18-69 years, who were undergoing renal replacement therapy at the time of consultation. A clinical dental examination was performed and the presence or absence of periodontal disease was determined Journal: Health Leadership and Quality of Life Pages: .545 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.545 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.545:id:.545 Template-Type: ReDIF-Article 1.0 Author-Name: Paez Labrador Author-Name: Rojas Reyes Author-Name: Díaz Díaz Author-Name: Malagón Silva Author-Name: Rodríguez Sánchez Author-Name: Roque Remus Title: Idiopathic true aneurysm of the superficial palmar arch artery. Presentation of a case Abstract: Introduction: We present the surgical clinical case of a superficial palmar arch aneurysm of the left upper limb. Results: Treatment was performed with analgesics combined with total aneurysmectomy of the involved vessel, then continued with local cures and ends with a comprehensive rehabilitation process in order to recover the important functions of the hand and its digital pincer. Conclusions: We draw attention to this rare pathology in the differential diagnosis of different tumors in the palmar region. This case presents the classic clinical features of an aneurysm, such as pulsatility and frémito, although it occurred in a young patient. Due to their low incidence, these aneurysms represent a challenge in diagnosis and treatment Journal: Health Leadership and Quality of Life Pages: .544 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.544 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.544:id:.544 Template-Type: ReDIF-Article 1.0 Author-Name: Sarmiento Tomalá Author-Name: Burbano Gómez Author-Name: Soledispa Cañarte Author-Name: López Barrera Author-Name: Valdiviezo Rogel Author-Name: Jimenez Granizo Title: Preclinical evaluation of the anti-inflammatory activity of moringa oil Abstract: The use of NSAIDs has a maximum ceiling effect, the dose increase does not improve the therapeutic activity, but it increases the adverse effects; Irrational, continuous, and prolonged use produces toxic reactions. The purpose of this research is to present a natural alternative (oil of Moringa oleifera); in which the anti-inflammatory activity property attributed to the fatty acids present in the chemical composition was evaluated. So we have: Omega 3 (89.21%), Omega 6 (11.90%) being these which participate in the process of anti-inflammation. Five groups of seven albino mice OF-01 each, were made. With the help of a micropipette the phlebogen agent (2% croto oil) was applied to the right ear, causing inflammation (edema). Then, the different treatments were placed: Group (A) negative control without treatment with inflammation, (B) positive control (diclofenac), groups (C, D, E) treated with the oil in volume (ul): 20 , 40, 60 respectively. After four hours euthanasia was given to animals, the ears were cut and a 6 mm diameter disc was obtained from each one (right and left ear), finally these were weighed. At the end of the study the following average weights of the ears were obtained (right): (A) 12.49 ± 2.73; (B) 9.56 ± 3.19; (C) 9.41 ± 1.52; (D) 8.61 ± 1.27; (E) 8.86 ± 1.73. Average percentages of inflammation: (A) 96.65 ± 5.10; (B) 61.33 ± 17.30; (C) 60.69 ± 8.64; (D) 28.64 ± 13.38; (E) 34.15 ± 11.37.The percentage of inhibition (A) 0, (B) (36.54%), (C) (37.21%), (D) (70.36%), (E) (64.66%). There was a significant difference p <0.05 between groups, being that the group D of 4 mg (40 ul); it showed lower weight of ear (treated); percentage: lower inflammation, higher inhibition; existing a correlation between the variables with lower weight of the ears, less inflammation and higher percentage of inhibition. Journal: Health Leadership and Quality of Life Pages: .543 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.543 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.543:id:.543 Template-Type: ReDIF-Article 1.0 Author-Name: Duarte Hernández Author-Name: Estévez Mitjans Author-Name: Morejón Alonso Title: Influence of smoking habit in masculine sexual function Abstract: Smoking is currently one of the most widespread addictions in the world, with consumption reaching massive proportions that involve people from various professions and occupations globally. An educational intervention study was conducted before and after, aimed at increasing the level of knowledge among patients with erectile dysfunction who smoke at the Raúl Sánchez University Polyclinic during the period from January to July 2024, regarding the influence of smoking on male sexual function. The study included a total of 10 patients diagnosed with dysfunction through the abbreviated IIEF questionnaire (IIEF-5 or SHIM) who were also smokers; most were men aged 40-49 years, with mild dysfunction predominating, and less than one year of evolution. The predominant type of smoker was moderate, with the onset of smoking before the age of 16, and most had attempted to quit smoking at least once. Before the educational intervention, none of the smokers knew about the effects of smoking on sexual desire, ejaculation, and erection; after the educational technique, knowledge increased to 100 percent among the patients Journal: Health Leadership and Quality of Life Pages: .542 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.542 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.542:id:.542 Template-Type: ReDIF-Article 1.0 Author-Name: Romero-Carazas Author-Name: Lazo-Barreda Author-Name: Enciso-Miranda Author-Name: Vela-Quico Author-Name: Fernández-Collado Title: Analysis of the concerted development plan to improve user satisfaction in a local government in Arequipa Abstract: The study examines the Joint Development Plan (PDC) of José Luis Bustamante y Rivero district (2011-2021), a strategic document designed to guide the community’s integral and sustainable growth. Based on a situational analysis, four strategic axes are identified: social development, economic productivity, urban-environmental management, and institutional governance. However, the PDC shows limitations in addressing global megatrends such as digital transformation, environmental sustainability, and climate resilience. This work suggests updating the PDC by incorporating digital technologies to optimize municipal management, climate adaptation strategies, and urban sustainability measures. It also recommends using SMART indicators and fostering multisectoral partnerships to enhance its impact. Aligning the PDC with the Sustainable Development Goals (SDGs) and trends like digitization and renewable energy would enable more effective and future-oriented planning. These changes would position the district as a model of inclusive, resilient, and sustainable development. Journal: Health Leadership and Quality of Life Pages: .541 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.541 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.541:id:.541 Template-Type: ReDIF-Article 1.0 Author-Name: Gonzales Author-Name: Brusca Author-Name: Garzon Author-Name: Vela Ferreira Author-Name: Jewtuchowicz Title: Frequency and factors associated with oral Candida growth in patients with chronic kidney disease Abstract: Introduction: Yeasts of the genus Candida, especially Candida albicans, are responsible for oral infections, particularly in immunocompromised individuals. Candida colonization can lead to oral candidiasis and, in severe cases, to esophageal or systemic candidiasis. In patients with chronic kidney disease (CKD), dialysis and immunosuppression increase the risk of oral infections, such as candidiasis. CKD is a highly prevalent pathology, and patients undergoing peritoneal dialysis are more prone to suffer oral complications due to alterations in oral health habits and defense mechanisms. Objective: To relate risk factors and clinical characteristics of patients with chronic kidney disease to the frequency of oral Candida. Methods: This study is framed within a cross-sectional and analytical design, including a total of 21 patients over 18 years of age who were undergoing peritoneal dialysis treatment at the HIGA “Presidente Perón”. Samples of biofilm from the gingival sulcus and buccal mucosa were collected from each participant using standardized sampling techniques. Results: A predominance of C. albicans (46%) and C. parapsilosis (40%) was observed. The variables that showed a statistically significant association (p < 0.05) were: age (p = 0.002), smoking (p = 0.032), time on peritoneal dialysis (p = 0.005), oral hygiene (p = 0.003), oral health (p = 0.003) and maximum probing depth (p = 0.011). Conclusions: We were able to demonstrate a relationship between oral Candida and CKD, in addition to its association with various risk factors. C. albicans and C. parapsilosis species were the most frequent, especially in women and smokers with prolonged peritoneal dialysis treatment. Journal: Health Leadership and Quality of Life Pages: .540 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.540 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.540:id:.540 Template-Type: ReDIF-Article 1.0 Author-Name: Estévez Mitjans Author-Name: Duarte Hernandez Author-Name: Magalhaes Puente Author-Name: Ajete Martínez Author-Name: Madera Puente Title: Educational interventionon accidents in the home in older adults. San juan y Martínez Abstract: Introduction: Accidents at home in older adults have a biopsychosocial repercussion, affecting their quality of life, and influencing the health of the elderly due to the dependency action; and the family repercussion that the same can have must also be taken into account. Objective: To modify the level of knowledge about accidents at home in older adults belonging to the San Juan y Martínez grandparents' home. Materials and Methods: An educational intervention was carried out between September and November 2023. The universe was constituted by the 50 older adults of the grandparents' home. The sample consisted of 42 grandparents who met the inclusion criteria. The study was carried out in three stages: diagnosis, intervention and evaluation. A survey was applied to them to qualify the level of knowledge in the first stage, then a program of classes was developed, constituting the second stage, and finally the same survey was applied again to evaluate the modification of knowledge after the intervention was concluded, this being the third stage. The results obtained were entered into statistical tables and processed using descriptive statistical techniques. Results: 100% of the elderly were qualified with adequate knowledge at the end of the intervention. Conclusions: After applying the intervention, there was a significant increase in the knowledge of the elderly of the grandparents' home about accidents in the home, so the intervention was considered effective Journal: Health Leadership and Quality of Life Pages: .539 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.539 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.539:id:.539 Template-Type: ReDIF-Article 1.0 Author-Name: Hansen Author-Name: Brusca Author-Name: Garzon Author-Name: Vela Ferreira Author-Name: Jewtuchowicz Title: Evaluation of Candida SPP involvement in women ingesting contraceptives according to the latest classification Abstract: Introduction: The study evaluated the relationship between contraceptive use and the presence of *Candida* species in the periodontal microbiome of women. *Candida albicans* was identified as the most common species, although others such as *C. parapsilosis* and *C. tropicalis* were also detected. These yeasts showed a higher prevalence in inflammatory conditions and in advanced stages of periodontal disease. In addition, the influence of female hormones and contraceptives in the alteration of the periodontal microenvironment, favoring the growth of opportunistic species, was considered. Methods: A cross-sectional study was carried out in 100 women, divided into two groups: contraceptive users (n=50) and non-users (n=50). Microbiological samples were collected from various oral surfaces using culture techniques, chromogenic methods and PCR. Participants included immunocompetent women with various periodontal conditions, excluding those with systemic diseases, recent antimicrobial use or smoking habits. Results: Eighty-two *Candida* isolates were identified, with *C. albicans* (34) and *C. parapsilosis* (16) standing out. There were no significant differences in *Candida* colonization between healthy women and women with gingivitis, regardless of contraceptive use. However, in advanced stages of periodontitis, the prevalence of *Candida* was significantly increased in contraceptive users. Conclusions: Contraceptive use did not significantly influence *Candida* colonization in healthy or gingivitis women, but it did in advanced stages of periodontitis. These findings highlight the importance of monitoring periodontal microbiota in women with hormonal changes or hormonal treatments, considering the potential impact of *Candida* as a reservoir of opportunistic infections. Journal: Health Leadership and Quality of Life Pages: .538 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.538 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.538:id:.538 Template-Type: ReDIF-Article 1.0 Author-Name: Paz-Gañan Author-Name: Aguiar Author-Name: Coronado Author-Name: Escalona Author-Name: Quintana Title: Emerging and re-emerging diseases in Venezuela as a consequence of climate change. A Systematic Review Abstract: Climate change has affected the biology of vectors and intermediate hosts, increasing the risk of disease transmission, altering the habitat and behavior of poisonous animals, with the consequent modification of their epidemiological patterns; In addition to exacerbating noncommunicable diseases. The objective of this review was to analyze the scientific evidence published, between January 2014 and July 2023, in the different databases on the impact of climate change on the appearance of emerging or re-emerging diseases in Venezuela. The initial search retrieved 925 records, of which only 11 titles met the inclusion criteria. The year 2021 is the one that presents the largest production of publications representing three investigations. Being able to identify a group of re-emerging diseases which are closely related to climate change. Being Dengue, Chagas, Leishmaniasis and Malaria, the most cited. Journal: Health Leadership and Quality of Life Pages: .537 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.537 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.537:id:.537 Template-Type: ReDIF-Article 1.0 Author-Name: Sandoval Frattallone Author-Name: Brusca Author-Name: Garzon Author-Name: Vela Ferreira Title: Risk analysis of the promotion and access to oral health products through the figure of influencers in the social network Tiktok Abstract: The use of social media influencers has significantly transformed the promotion of dental products. These trendsetters, without dental training, disseminate information and recommend products that can have adverse effects on the oral health of their followers. In Argentina, the problem of intrusiveness in the dental profession has grown with the popularity of different platforms such as TikTok. This recent and understudied phenomenon poses significant risks to public health and the integrity of the dental profession Journal: Health Leadership and Quality of Life Pages: .536 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.536 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.536:id:.536 Template-Type: ReDIF-Article 1.0 Author-Name: Fernández Rodríguez Author-Name: Marimón Torres Author-Name: Guanches O'Reilly Author-Name: González Tielves Author-Name: Pérez Catalá Author-Name: Madera Puente Title: Risk factors associated with COVID 19 infection in children Abstract: Introduction: COVID-19 constitutes an emerging disease that affects the pediatric population, with multiple factors associated with its occurrence. Objective: determine the biogenetic, epidemiological and social risk factors associated with COVID-19 infection in children aged 6-11 years from the "Raúl Sánchez" polyclinic, during the period from January 1 to December 31, 2021. Methods: analytical research of cases and controls, universe consisting of 435 children aged 6 to 11 years confirmed to have the SARS-CoV-2 virus, the sample was constituted by 40 cases, selected by systematic sampling, from which 80 controls, contacts of cases formed who were not infected. The information was obtained by reviewing the database of confirmed cases, epidemiological surveys and a questionnaire of questions to the guardians. The statistical analysis was carried out by the Epidat 3.0 program using the Chi square test, the ratio of cross products in a timely manner and by confidence intervals. Results: an association was found between having fallen ill with COVID-19 and biogenetic and epidemiological factors related to not having received breastfeeding until the fourth month, having a history of chronic diseases, exposure time greater than one hour, indoor exposure, being in contact with a case. symptomatic and non-compliance with established health measures. Conclusions: epidemiological and biogenetic factors were those with the greatest association with COVID - 19 infection in children aged 6 to 11 years belonging to the Raúl Sánchez polyclinic in 2021 Journal: Health Leadership and Quality of Life Pages: .535 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.535 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.535:id:.535 Template-Type: ReDIF-Article 1.0 Author-Name: Duran Author-Name: Esquivel Author-Name: Ponti Title: Urinary tract infections in intensive care Abstract: Urinary tract infections are of great importance in the health care of patients, as they are caused by bacteria that enter the urethra and then the bladder. A urinary tract infection can occur at different points in the urinary tract including the bladder, kidneys, ureters, urethra. Women tend to get them more frequently, because their urethra is shorter than that of men. This causes a high percentage of morbidity. The aim of this intervention plan is to work with the nurses of the different shifts in the adult ICU to reduce urinary tract infections. It will be oriented to the training of urinary catheter placement and maintenance, therefore, an intervention work will be addressed, specifying the technique, to achieve the proposed objective. That is why we will work together with the head of the service, to see the daily provision of nursing staff and thus be able to plan the training schedule, also will be provided with different tools to reduce urinary tract infections. Likewise, the process will be continuously supervised and an evaluation instrument will be provided.. Journal: Health Leadership and Quality of Life Pages: .534 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.534 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.534:id:.534 Template-Type: ReDIF-Article 1.0 Author-Name: Méndez Hernández Author-Name: Eufrosino González Author-Name: González Title: Communication perspective in sports journalism based on artificial intelligence Abstract: The purpose of the research was to reveal the communication perspective in sports journalism based on artificial intelligence, allowing us to know aspects related to artificial intelligence and sports journalism, its conception, functionality, ability to revolutionize the work field and its characteristics. Materials and methods: the work was located in the qualitative paradigm, using a phenomenological method with the support of hermeneutics. Regarding the information collection tools, in-depth interviews were used, which were applied to three professionals, two system engineers with extensive knowledge about artificial intelligence and a sports journalist with vast experience in handling technologies. that occupy artificial intelligence. As an instrument for collecting information, the field diary and a voice recorder from a Samsung cell phone model S22+ were used. To interpret the findings, the information was processed through triangulation of both source and authors. Findings: The informants considered that artificial intelligence never rests, it is always active, it is accurate to a large percentage. They also considered that artificial intelligence will never have the feelings or emotions of a human being. Conclusions: Artificial intelligence is a great tool that can help sports journalism grow in many facets. And the main recommendation of this work is aimed at sports journalists and future sports journalists, in investigating and learning about this new technology and applying it responsibly and accurately Journal: Health Leadership and Quality of Life Pages: .533 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.533 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.533:id:.533 Template-Type: ReDIF-Article 1.0 Author-Name: Morales Gómez de la Torre Author-Name: Velásquez Toro Author-Name: Arellano Oleas Author-Name: Guzmán Ramos Title: Psychiatric alterations associated with huntington's disease Abstract: This study analyzes the psychiatric symptoms related to Huntington's disease, seeking a better understanding of its manifestations from a clinical-psychiatric approach. Through a descriptive study, data were collected from various sources, such as databases, scientific journals and specialized books. Huntington's disease is an autosomal dominant genetic disorder caused by CAG trinucleotide repeats in the HTT gene. Symptoms vary from case to case, usually appearing between the ages of 30 and 50, although it can manifest in adolescence as juvenile Huntington's disease. With motor and psychiatric manifestations, the diagnosis combines clinical, molecular and transcranial ultrasound evaluations. Currently, treatment is palliative, focused on mitigating symptoms Journal: Health Leadership and Quality of Life Pages: .532 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.532 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.532:id:.532 Template-Type: ReDIF-Article 1.0 Author-Name: Mayorga Medina Author-Name: Guzmán Ramos Author-Name: Poveda Paredes Author-Name: Reyes Pérez Title: Diagnostic value of cardiac troponin tnt in acute myocardial infarction Abstract: The purpose of this study was to analyze whether troponin TnT is an effective marker for identifying acute myocardial infarction (AMI). A descriptive observational study was developed based on a literature review, addressing risk factors such as age, obesity, diabetes and smoking. The process of AMI and the role of troponins in the detection and prevention of cardiac damage were also explained. Methodological tools such as PICOT and PRISMA were used to select articles that evaluated the sensitivity of troponin TnT. The results indicated a sensitivity of 48.5% and a specificity of 48.2%, concluding that it is not a sensitive marker for the early diagnosis of AMI Journal: Health Leadership and Quality of Life Pages: .531 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.531 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.531:id:.531 Template-Type: ReDIF-Article 1.0 Author-Name: Bohórquez Rivera Author-Name: Almagro Córdova Author-Name: Suaste Pazmiño Title: Exploring the limits: reproductive rights and biotechnology in the modern era Abstract: This paper explores the intersection between reproductive rights and biotechnology in the context of the modern era. Objective: To determine the bioethical dilemmas associated with reproductive rights in biotechnology-driven procedures Methodology: This is a literature review using a PRISMA diagram in which 12 articles were analyzed. Results: Significant benefits were identified in the use of assisted human reproduction techniques (AHR), especially in couples with sterility or infertility problems. In addition, the need to establish a solid ethical and legal framework to protect the rights and dignity of all persons involved in reproductive biotechnological processes was identified. Conclusion: While there are potential benefits to expanded access to assisted reproductive technologies and genetic manipulation, there are also significant ethical and social concerns that require careful and deliberate attention Journal: Health Leadership and Quality of Life Pages: .530 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.530 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.530:id:.530 Template-Type: ReDIF-Article 1.0 Author-Name: Laverde Albarracín Author-Name: Chasiluisa Hurtado Author-Name: Aroca Rea Title: Protocol for the manufacture and clinical use of michigan splints in the management of temporomandibular disorders (ttm): literature review Abstract: Temporomandibular disorders (TMD) represent a frequent challenge, with multifactorial causes that affect the position of the condyle with respect to the articular cavity of the mandible, being considered part of the musculoskeletal disorders. The repositioning splint or Michigan, a removable device widely used in the management of these disorders, stands out for its importance in clinical practice. The main purpose of this study is to develop a detailed protocol for its elaboration in dental laboratories. Through a qualitative literature review, 61 sources were compiled, excluding 37 that did not meet the inclusion criteria, leaving 24 articles and books analyzed. The final protocol integrates from the parallelization of the model to the esthetic finish, serving as a practical tool for training in Dental Mechanics Journal: Health Leadership and Quality of Life Pages: .529 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.529 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.529:id:.529 Template-Type: ReDIF-Article 1.0 Author-Name: Flores Delgado Author-Name: Andrade Cevallos Author-Name: Pazmiño Coveña Author-Name: Chávez Mestanza Title: Bibliographic analysis of the effect of upper lateral incisor agenesis on occlusion Abstract: Dental agenesis is one of the most frequent anomalies in human oral development. The congenital absence of upper lateral incisors is associated with displacement and rotation of canines and premolars, which can cause malocclusion, periodontal disease and phonation problems, among others. This article analyzes the consequences of dental agenesis on occlusion by means of a review of the literature. Databases such as PubMed and Google Scholar were consulted, covering publications from 1995 to the present, selecting 19 relevant articles. It is concluded that early detection and treatment of dental agenesis is key to preventing malocclusions, improving masticatory function and avoiding future complications in the oral health of the patient Journal: Health Leadership and Quality of Life Pages: .528 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.528 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.528:id:.528 Template-Type: ReDIF-Article 1.0 Author-Name: Ramos Acosta Author-Name: García Palacios Author-Name: Morales Chancusi Author-Name: Toala Tapia Title: Dentistry and beauty diversity: physical and psychological transformations in the age of innovation Abstract: The article discusses the most salient developments on the relationship between beauty and orofacial harmonization in the last five years, based on a literature review of relevant studies. The results highlight the importance of an aesthetically appealing smile in facial beauty standards, emphasizing technological advances in the position of central incisors and the role of the facial midline in visual perception. Aspects of facial contour, such as bilateral symmetry, horizontal and vertical proportions, nasal width, and the relationship between lips, chin, eyes, and facial profile are also examined. It is concluded that oral health not only contributes to an aesthetic and functional smile, but also improves emotional and psychological well-being Journal: Health Leadership and Quality of Life Pages: .527 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.527 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.527:id:.527 Template-Type: ReDIF-Article 1.0 Author-Name: Aguilar Berrezueta Author-Name: Sisalema Aguilar Author-Name: Estrella López Author-Name: Guida Acevedo Title: Link between raynaud's disease, emotional stress and type b personality in psychotherapy patients in santo domingo de los tsáchilas Abstract: Raynaud's syndrome, or Raynaud's phenomenon, is a vasospasm that reduces blood flow in response to cold or emotional stress, primarily affecting the hands. This causes discomfort such as cold, burning pain, paresthesias and reversible changes in the color of the fingers (pallor, cyanosis or erythema). Occasionally, it may involve feet, nose or tongue. Described by Maurice Raynaud in 1862, the episodes are triggered by cold, stress or vibrations, remitting when the cause is eliminated. It may be primary, more common and unrelated to other diseases, or secondary, associated with connective tissue diseases such as lupus or scleroderma Journal: Health Leadership and Quality of Life Pages: .526 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.526 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.526:id:.526 Template-Type: ReDIF-Article 1.0 Author-Name: Ibarra Author-Name: Torquati Author-Name: Ponti Title: Optimizing Communication in Healthcare: Keys to Efficient Teamwork Abstract: Introduction: Internal communication in healthcare institutions is essential to ensure quality of care, operational efficiency and the well-being of work teams. However, its deficiency has been linked to problems such as misinformation, low productivity and increased work stress. Previous studies have highlighted the need to align internal communication with organizational objectives to improve work climate and interpersonal relationships. During the COVID-19 pandemic, the importance of tools such as SBAR and IPASS to structure communication, minimizing errors and promoting continuity of care was evidenced. Development: The review identified that many institutions lacked formal communication strategies, which resulted in conflicts, rumors and demotivation. In the nursing field, this problem had a direct impact on the coordination and quality of the service. Tools such as those mentioned above, together with leadership training and the use of technology, proved to be effective in structuring communication processes, improving the transfer of information and fostering a collaborative environment. In addition, elements such as active listening and conflict resolution emerged as key skills to optimize interaction among professionals. Conclusiones: La implementación de un plan estratégico de comunicación interna es esencial para superar las deficiencias identificadas, mejorando la cohesión del equipo y reduciendo el estrés laboral. Este enfoque contribuye no solo al bienestar de los trabajadores, sino también a garantizar una atención sanitaria segura y eficiente. Estas iniciativas representan un modelo replicable en otras instituciones, promoviendo una gestión más efectiva y centrada en las necesidades del paciente Journal: Health Leadership and Quality of Life Pages: 525 Volume: 2 Year: 2023 DOI: 10.56294/hl2023525 Handle: RePEc:dbk:health:v:2:y:2023:i::p:525:id:525 Template-Type: ReDIF-Article 1.0 Author-Name: Vera Veloz Author-Name: Sánchez Quezada Author-Name: Hinojosa Ortega Author-Name: Rocha Rodríguez Title: Literature review of indirect veneers as an esthetic alternative in worn anterior teeth Abstract: Veneers are reconstructive and esthetic procedures designed to improve dental harmony and facial appearance, mainly in the anterior area of the oral cavity. A wide variety of veneers and treatment methods are available on the market, with indirect veneers being the most common. Among these are ceramic veneers, such as the so-called “contact lenses” and “micro veneers,” which are minimally invasive treatments due to their reduced thickness, ranging from 0.3 mm to 0.8 mm. This article, based on a literature review with a qualitative, descriptive and cross-sectional approach, aims to identify the optimal treatment using veneers, analyzing their benefits for patients with dental alterations that negatively impact on their emotional state and self-esteem Journal: Health Leadership and Quality of Life Pages: .524 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.524 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.524:id:.524 Template-Type: ReDIF-Article 1.0 Author-Name: Díaz Vásquez Author-Name: Acosta Espinoza Author-Name: Ayala Díaz Author-Name: León Yacelga Title: Implementation of machine learning algorithms to identify stress and anxiety levels in the personnel of a northern public mobility company Abstract: This scientific article analyzes the use of machine learning techniques to identify levels of stress and anxiety among workers of the Empresa Pública de Movilidad del Norte. The problem lies in the high levels of stress and anxiety present in the staff. The company, committed to the prevention of occupational risks and the physical and mental well-being of its employees, implemented a control system based on an analytical-synthetic approach. These techniques processed data, identified patterns and improved their accuracy with each analysis. Through interviews with the manager, head of Human Resources and occupational physician, along with employee surveys, stress control and quality of work life were improved Journal: Health Leadership and Quality of Life Pages: .523 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.523 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.523:id:.523 Template-Type: ReDIF-Article 1.0 Author-Name: Suarez Reyes Author-Name: González Martínez Author-Name: Apaulaza Corrales Author-Name: Lobo Riverol Author-Name: López Ramos Title: Antimicobial susceptibility profiles of Gram positive cocci isolated from bacteremia in pediatric patients Abstract: Inections in pediatric ages arouse great concer both in family members and in the medical personnel who care for them. This is due to the serious prognosis of some of them in relation to survival and possible sequelae. The objective of ths research was to determine the profiles of antimicrobial susceptibility and multiresistance patterns were established in Gram positive cocci in blood culture from patients hospitalized at the Pepe Portilla Pediatric Teaching Hospital in Pinar del Rio from January to june 2021. An observational, descriptive and cross-sectional study was carried out with a universe consisting of 433 patients of pediatric ages, of which only 44 blood cultures (10, 16 %) were positive for Gram positive cocci. All variables were processed through a descriptive analysis where the number (nº) and percentage (%) were determined through the SPSS package. It was found that Staphylococcus epidermidis showed the highest percentage (77.3%) followed by Staphylococcus aureus (16, 9 %), Enterococcus spp (4, 5 %) and Streptococcus pneumoniae (2,3 %). Vancomycin, linezolid and teicoplanin showed the highest profiles of antimicrobial susceptibility to Gram positive cocci isolated in blood cultures in contrast to the generally decreased sensitivity to first generation penicillins and cephalosporins. 39.55 % o the Gram positive cocci isolated in bacteriemia showed some pattern of multidrugresistant microorganisms (MDR) represent 25 % of the isolates Journal: Health Leadership and Quality of Life Pages: .522 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.522 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.522:id:.522 Template-Type: ReDIF-Article 1.0 Author-Name: Turro Mesa Author-Name: Del Río Mesa Author-Name: Turro Caró Author-Name: Rodríguez Hechavarría Author-Name: Rosabal-García Title: New risk factors predictive of mortality from acute heart failure Abstract: Introduction: Heart failure is a potentially fatal entity. Possible predictors of mortality from heart failure have been explored to improve prognosis. Objective: Identify the prognostic factors of mortality due to acute heart failure Method: A case-control study nested in a cohort of patients with acute heart failure admitted to the emergency room of the “Saturnino Lora” Provincial Clinical-Surgical Hospital in Santiago de Cuba, from September 2020 to September 2021. The condition of the heart was established as a dependent variable patient and as independent the hypothetical clinical, hematological and echocardiographic prognostic factors. The relative risk (RR), the confidence interval (CI) and the chi-square test were determined to identify the prognostic factors that were associated with mortality. Results: Galloping through S3 or S4 [RR 5.636; (1.835-17.309); p=0.001], New York Heart Association (NYHA) functional class IV [RR 31.429; (6.537-151.108);p<0.001], supplemental oxygen [RR 7.327;(2.689-19.968);p<0.001], cardiogenic shock [RR 16.000;(3.346-76.516);p<0.001],malignant ventricular arrhythmia (tachycardia ventricular- ventricular fibrillation) [RR 2.250 ;( 1.562-3.242);p<0.001] showed a very significant statistical association with mortality. Conclusions: The presence of gallop and malignant arrhythmias, cardiogenic shock, the need for supplemental oxygen and functional class are adequate predictors of mortality due to acute heart failure, useful to stratify patients and improve prognosis. Journal: Health Leadership and Quality of Life Pages: .521 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.521 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.521:id:.521 Template-Type: ReDIF-Article 1.0 Author-Name: Santiesteban González Author-Name: Ochoa Ortega Author-Name: Fuentes Linares Author-Name: González Author-Name: Silva Sánchez Title: Characterization of arterial hypertension in older adults Abstract: Arterial hypertension is the chronic noncommunicable disease that most affects older adults. Objective: to characterize arterial hypertension in older adults from offices 127 and 156 of the "Hermanos Cruz" Polyclinic in Pinar del Rio between January 2021 and July 2023. Material and method: descriptive observational research was carried out from January 2021 to June 2023. The universe was made up of 386 hypertensive older adults and coincided with the sample. The absolute and relative percentage frequency was used. Results: there was a predominance of the female sex with 256 patients for 66.32% compared to the male sex, represented by 37.56%, predominating the age group from 60 to 64 with 151 patients for 39.12%. The predominant risk factor in the hypertensive population was the presence of a family history of hypertension (85.75%), followed by a sedentary lifestyle (48.19%). Most older adults (50.13%) used a combination of pharmacological and non-pharmacological treatment. Conclusions: arterial hypertension was characterized by being predominant in the female sex, having a large family history and the use of combined treatment Journal: Health Leadership and Quality of Life Pages: .520 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.520 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.520:id:.520 Template-Type: ReDIF-Article 1.0 Author-Name: Abrigo Alvarado Author-Name: Goyes García Author-Name: Jiménez Granizo Author-Name: Sarmiento Tomalá Title: In Vitro Evaluation Of The Antibacterial And Antioxidant Activity Of Malva Sylvestris And Malva Pseudolavatera Malva Extracts Abstract: In the present research work has done the evaluation of the antibacterial activity of aqueous and hydroalcoholic extracts of the leaves of Malva sylvestris and Malva pseudolavatera, against three microorganisms (Escherichia coli, Staphylococcus aureus, Klebsiella pneumoniae) and antioxidant evaluation of hydroalcoholic extracts, with the goal to provide an alternative in the treatment of infectious and chronic degenerative diseases. The antibacterial activity was performed by disk diffusion assays using Cefotaxime as a reference antibiotic; The antioxidant activity was carried out by three in vitro methods, the method of FRAP (ferro-reducing capacity), 2,2-diphenyl-1-picrylhydracil (DPPH) and 2,2'- azino-bis (3-ethylbenzothiazoline)-6-sulfonic (ABTS•+). The results obtained indicated that the analyzed extracts of both Malva species showed a moderate antibacterial activity in certain concentrations against the microorganisms E. coli, S. aureus and K. pneumoniae; and taking into account the results of the antioxidant activity in the three in vitro methods tested, it was I observed that as the concentration of the extracts increased, the reducing power (FRAP test) and the anti-radicals activity (DPPH and ABTS•+ tests) increased as well, manifesting a high antioxidant activity. As a consequence of this, we can conclude that Malva sylvestris and Malva pseudolavatera leaf extracts produce inhibition halos in the strains of the microorganisms evaluated (E. coli, S. aureus, K. pneumoniae), in addition to presenting inhibition of the radicals used (DPPH, ABTS•+) and ferro- reducing capacity (FRAP). Journal: Health Leadership and Quality of Life Pages: .519 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.519 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.519:id:.519 Template-Type: ReDIF-Article 1.0 Author-Name: Ibarra Author-Name: Torquati Author-Name: Ponti Title: Communication proposal in the maternal area of a public hospital, Rosario 2024 Abstract: Communication in healthcare institutions is an essential process that has a direct impact on service quality and staff welfare. This study analyzed the deficiencies in internal communication within a public hospital in Rosario, focusing on the maternity ward. Recurrent problems were identified, such as the absence of formal channels for the exchange of information, which leads to inconsistencies in shifts, work stress and interpersonal conflicts. Lack of planning in the distribution of tasks and inadequate protocols were also detected. The proposals included a strategic plan to improve communication processes through the implementation of tools such as the SBAR model and the incorporation of corporate social networks. In addition, training in leadership and effective communication was suggested to reinforce teamwork, minimize stress and optimize patient care. Previous results indicate that well-structured communication fosters a positive work climate, reduces conflicts and increases staff motivation. These measures seek not only to improve institutional efficiency, but also the quality of care provided Journal: Health Leadership and Quality of Life Pages: .518 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.518 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.518:id:.518 Template-Type: ReDIF-Article 1.0 Author-Name: Romero-Carazas Author-Name: Lazo-Barreda Author-Name: Fernández-Collado Author-Name: Vela-Quico Author-Name: Enciso-Miranda Title: Analysis of modernisation in the area of citizen and occupational safety in a local government in Arequipa Abstract: The study examines the modernization of public security in the José Luis Bustamante y Rivero district, Arequipa, for the 2024-2027 period. With a population of 82,600, 60% of residents perceive their environment as unsafe. This perception is linked to increased migration, commerce, and insufficient police infrastructure (0.21 officers per 1,000 inhabitants, compared to the UN recommendation of 2.8). The study highlights the need to adopt advanced technology, such as surveillance cameras, drones, and artificial intelligence, to anticipate and prevent crime. It also emphasizes creating a Citizen Security Council to enhance interinstitutional coordination and foster community participation through digital platforms for anonymous reporting and real-time communication. SMART indicators are proposed to measure strategy impacts and align them with global trends like digitization and community resilience. These actions aim to reduce the perception of insecurity, improve governance, and transform the district into a model of efficient and modern public management. Journal: Health Leadership and Quality of Life Pages: .517 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.517 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.517:id:.517 Template-Type: ReDIF-Article 1.0 Author-Name: Turro Caró Author-Name: Mesa Valiente Author-Name: Turro Mesa Author-Name: Montes de Oca Carmenaty Title: Assessment of improvement for diagnosis of gait disorders in older people Abstract: Introduction: Professional development is a multidimensional growth process and involves effort, discipline, will, dedication, as well as responsibility to achieve the desired impact. From an aging population in the community, the presence of well-trained and qualified human resources is necessary Objective: to evaluate the professional development process of Family Medicine specialists for the diagnosis of gait disorders in older people. Method: an intervention study was carried out on Family Medicine specialists at the 30 de noviembre polyclinic in Santiago de Cuba, in the period from January to December 2021. The professional development of 22 specialists was evaluated for the diagnosis of gait disorders in older people, through the application of a professional performance observation guide, using the Likert scale, validated by specialists' criteria, which allowed evaluating the state of improvement of these professionals when diagnosing this syndrome. Results: Insufficient knowledge about organismal aging, limitations in diagnostic assessment skills, and non-participation in events, scientific research, or publications were found, as well as a lack of training on gait disorders in older people. Conclusions: Insufficient research, knowledge about aging, and skills to apply the clinical-epidemiological method in the diagnosis of gait disorders in older people, and the importance of training to improve the performance of these professionals. Journal: Health Leadership and Quality of Life Pages: .516 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.516 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.516:id:.516 Template-Type: ReDIF-Article 1.0 Author-Name: Ochoa Ortega Author-Name: Hernández Bravo Author-Name: Zorrilla Quiñones Author-Name: Ramírez Pérez Author-Name: Rodríguez Pérez Title: Evaluation of sedentary lifestyle as a risk factor Abstract: Sedentary lifestyle affects the health of older adults worldwide. Objective: to evaluate sedentary lifestyle in older adults as a risk factor in doctor office 143. Material and method: a cross-sectional study was conducted in older adults from doctor office 143. The universe consisted of a study group made up of 73 sedentary people and a control group of 162 non-sedentary people and coincided with the sample. Results: the age group from 70 to 79 years predominated. There was a relationship between sedentary lifestyle and alterations in continence, mobility, balance, vision, hearing and use of more than three medications. No relationship could be established between sedentary lifestyle and obesity. Conclusions: sedentary lifestyle was a risk factor in the health of older adults from doctor office 143 Journal: Health Leadership and Quality of Life Pages: .515 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.515 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.515:id:.515 Template-Type: ReDIF-Article 1.0 Author-Name: López Barrera Author-Name: Burbano Gómez Author-Name: Valdiviezo Rogel Author-Name: Sarmiento Tomalá Author-Name: Jimenez Granizo Author-Name: Soledispa Cañarte Title: Comparison of healing activity between azadirachta indica and moringa oleifera seed oils on cutaneous wounds in wistar rats Abstract: Medicinal plants are natural remedies that bring benefits to the organism. Phytomedicine’s production has increased in the last decades due to the adverse reactions of designer drugs. This research focused on basic principles that rule the scarification of wounds as a natural response to the damages produced with specific functions of tissue restoration and integrity. For this reason the acceleration of the scarring effect with Azadirachta indica seeds oil and Moringa was studied. Nine groups of animals were made: normal, negative and negative control, three Neem groups, three Moringa groups (30, 60.120 µl) respectively. The wound was made after placing the animal under anesthesia using the punch method. For seven days, these groups were observed while they received the treatment. After the test, the animals were euthanized, and scarred skin tissue samples were collected for histopathologic tests. As a result, after the second day, the concentration of Neem tested 4,38 mg/ml showed humity and inflammation of 73% and 76% respectively, which eventually dropped to zero. The presence of crust in the third day was 20% and in the sixth, 100%. On the other hand, concerning to the Moringa oil 4,48 mg/ml, no significant changes could be seen in any of the evaluated parameters. Comparing the percentages of the crust coverage among these groups, it can be said that: natural scarification (B) 10% the third day and 40% at the end of the research. The subjects treated with neem (E) 30% the third day and 100% the sixth, while D, F 80% the same day and 100% the seventh, the same as seen in C (iodine). The groups with Moringa presented 10% in the third day and 60% by the end. In conclusion, the groups with neem showed acceleration in the scarification process within the experimentation period. Journal: Health Leadership and Quality of Life Pages: .514 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.514 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.514:id:.514 Template-Type: ReDIF-Article 1.0 Author-Name: Chumpitaz Author-Name: Reyes Reyes Author-Name: Ccusi Alvarez Author-Name: Ponti Title: Nursing care: Postoperative thoracotomy patient with drainage from the Virginia Henderson model Abstract: The clinical case of an 81-year-old man is presented who, after wide left lung thoracotomy and drainage surgery, presented hemodynamic decompensation in the post-anesthesia recovery room. Objective: is to apply an individualized care plan that allows hemodynamic balance for the post-operative patient. Conclusions: A Care Plan with NANDA, NOC and NIC was made for the patient, applying the assessment of the Virginia Henderson model and the AREA model, prioritizing the diagnoses: Decrease in cardiac output and deterioration of gas exchange, whose final evaluation was 1.2 ,3 Journal: Health Leadership and Quality of Life Pages: .513 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.513 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.513:id:.513 Template-Type: ReDIF-Article 1.0 Author-Name: Araujo Inastrilla Author-Name: Vitón Castillo Author-Name: Llosa Santana Author-Name: Gutiérrez Vera Author-Name: González García Title: Information Skills applied to Scientometrics: a Literature Systematic Review Abstract: A comprehensive review of the importance of informational skills in the field of scientometrics is presented. In the current context, where the exponential growth of scientific production and the complexity of information are evident, the need to develop specific skills to manage this information effectively is highlighted. The research is based on the PRISMA methodology and reviews 11 studies that address the informational skills needed to perform scientometric analysis. These skills are identified as fundamental to optimize the research process, facilitating the search, evaluation and critical use of information. The study concludes that a more focused approach to informational skills can significantly improve the quality and effectiveness of scientometric studies, suggesting that attention should be paid to their development in professionals and academics in the area Journal: Health Leadership and Quality of Life Pages: .512 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.512 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.512:id:.512 Template-Type: ReDIF-Article 1.0 Author-Name: Román-Mireles Author-Name: Lazo-Barreda Author-Name: Vela-Quico Author-Name: Enciso-Miranda Author-Name: Romero-Carazas Title: Growth and emerging directions in environmental health and quality of life research: a bibliometric approach Abstract: Introduction: Environmental health and quality of life are closely linked, as the environment in which we live directly influences our well-being. The objective was to conduct a bibliometric study on environmental health and quality of life, from 2005 to 2024. Methods: a bibliometric analysis was performed, in addition, bibliographic data selected from the Scopus database (n = 4827 documents) were collected and analyzed, using the keywords: environmental health, quality of life, to generate scientific production indicators. Results: it is shown that during the period studied between 2020 and 2024, publications increased by 55.5%, evidencing an interest in this topic. The country with the highest scientific production was the United States (21%), and the journal with the most publications was Sustainability Switzerland (157 papers). In addition, the most outstanding author was Tabatabaei, M., with 13 publications and 528 citations. Conclusions: it is concluded that the exponential increase in research on environmental health and quality of life highlights the international participation of institutions, collaboration between authors, countries and the ease of access to bibliographic materials. This demonstrates the existence of a generation of scientists who are making important advances to contribute to the design of more effective solutions to improve both public health and quality of life. Journal: Health Leadership and Quality of Life Pages: .511 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.511 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.511:id:.511 Template-Type: ReDIF-Article 1.0 Author-Name: Lescalle Ortiz Author-Name: Martínez Rojas Author-Name: Casabella Martínez Author-Name: Chacón Alpí Title: Clinico-epidemiological factors of pelvic inflammatory disease Abstract: Introduction: Pelvic inflammatory disease (PID) is the most frequent serious infection in women between 16 and 25 years old. Early ages are the period of highest risk of occurrence due to the higher incidence of risk factors related to unsafe sexual behaviors. Methodological Design: An observational, descriptive, cross-sectional research was carried out with the objective of reducing the incidence of PID risk factors in young patients diagnosed in Gynecology consultations of Primary Health Care, belonging to the Pedro Borras Astorga Polyclinic, in the period from January 2022 to March 2024. The universe consisted of 3655 women between 16 and 25 years of age from the aforementioned health area and a sample of 63 patients who met the inclusion criteria was used. Statistical method: Excel, Windows version 11 for automated processing and analysis, summary measures for qualitative variables: absolute frequencies and percentages. Results: It was found that most of the adolescents had unprotected sexual relations, began sexual relations before the age of 14, reported a history of induced abortions, 100 % requested attention for pelvic pain and in all of them the clinical response to the indicated medical treatment was evaluated, based on the decrease in the intensity of the pelvic pain and the changes in the initial ultrasound findings. The most effective combination was triple antibiotic therapy. Journal: Health Leadership and Quality of Life Pages: .510 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.510 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.510:id:.510 Template-Type: ReDIF-Article 1.0 Author-Name: Duarte Hernández Author-Name: Estévez Mitjans Author-Name: Morejón Alonso Author-Name: Ajete Martínez Author-Name: Dueñas Fragoso Title: Educational strategy to reduce smoking the latterhead. San juan and Martinez Abstract: Smoking is an important challenge faced by health professionals in their care practice around the world. Objective: To design an educational strategy to reduce smoking in the Punta de Cartas Medical Office in San Juan y Martínez during 2022. Material and method: applied, descriptive, retrospective and cross-sectional study. The universe was represented by patients who were classified as smokers with a total of 127 people. The variables to be studied were: sex, age groups, occupation, situations for which they started smoking, distribution according to risk factors, among others. The information was presented in tables and figures for better understanding and ethical aspects were taken into account. The statistical analysis used was the percentage value. Results: There was a predominance of white males over 66 years of age with a secondary education level, 70.1% started smoking before the age of 20, retired people and housewives together, exceed the peasants with 27.5%. An educational strategy was designed for the prevention and control of smoking. Conclusions: There was a predominance of white males over 66 years of age, with a secondary education level, where 70.1% started smoking before the age of 20. Retired people and housewives together, exceed the peasants with 27.5%. Television and radio were the media through which they received information about smoking. Due to this situation, an educational strategy was designed for the prevention and control of this addiction Journal: Health Leadership and Quality of Life Pages: .509 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.509 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.509:id:.509 Template-Type: ReDIF-Article 1.0 Author-Name: Lescalle Ortiz Author-Name: Pérez Márquez Author-Name: Casabella Martínez Author-Name: Chacón Alpí Title: Preconceptional Reproductive Risk in women of childbearing age. Preventive, clinical and epidemiological approach Abstract: Introduction: Prevention of preconceptional maternal risk is important to avoid complications and death during the reproductive process. Methods: An observational, descriptive and cross-sectional study was carried out from 2023 to April 2024 in women of childbearing age with preconceptional reproductive risk (RRPC) residing in the community served by the Pedro Borrás Astorga Polyclinic in the municipality of Pinar del Río, in the province of the same name. The universe consisted of 5761 women of fertile age between 15 and 49 years old from the family doctor's and nurse's offices of the aforementioned polyclinic who gave their consent to participate in the research. The data collection was carried out from the controls recorded in the individual medical records and information provided by the statistics department of the center, in addition to the survey applied by the author of the research to a sample of 606 women with RRPC, with prior informed consent (Annexes 1 and 2).Results: the current trends in the development of the object of study were identified, determining irregularities that made possible the transformation of the inadequacies Conclusions: The risk factors mostly associated with RRPC in our polyclinic were determined, which will allow the establishment of future strategies in a problem yet to be solved Journal: Health Leadership and Quality of Life Pages: .508 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.508 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.508:id:.508 Template-Type: ReDIF-Article 1.0 Author-Name: Lescalle Author-Name: Roque Author-Name: Casabella Martínez Author-Name: Chacón Alpí Author-Name: Malagón Silva Title: Clinical-epidemiological risk factors associated with patients with cerebrovascular disease Abstract: Introduction: At present, cerebrovascular diseases (CVD), constitute a health problem and one of the main causes of death, disability and handicap in adults. Methods: An observational, descriptive, cross-sectional study was carried out to characterize the clinical and epidemiological factors associated with cerebrovascular disease. The universe consisted of 860 patients over 40 years of age who suffered some form of stroke belonging to family medical offices 15 and 16 of GBT no.1, Pedro Borras Polyclinic, and the sample consisted of 87 cases, in the period from June 2023 to May 2024. Results: the main results are shown according to age, a higher prevalence from 80 to 84, predominance of male sex and white skin color. Arterial hypertension (AHT) stood out as the main risk factor in both strokes, followed by Diabetes mellitus, smoking and cardiovascular diseases. Conclusions: There was predominance of transient stroke, followed by atherothrombotic CVD and cerebral embolism in the ischemic event. Rehabilitation was associated with quality of life and degree of total recovery in the patients under study, with a predominance of moderate dependence according to the Barthel Index Journal: Health Leadership and Quality of Life Pages: .507 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.507 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.507:id:.507 Template-Type: ReDIF-Article 1.0 Author-Name: Varas Violante Title: Resilience, spirituality, family and psychoeducation, essential scaffolding for emergencies, and industrial safety Abstract: Whenever we hear a siren we see (mostly with indifference) an emergency vehicle (ambulance, fire brigade, patrol car) moving at full speed and questions rarely cross our minds about who they are, what knowledge they have…. And less, much less do we wonder what leads them to dedicate themselves to that. In this chapter we intend to answer this last question by portraying the emergency physician (professional dedicated to prehospital care, firefighter, rescuer, etc.) as an individual with desires, dreams and desires in which, surely in several cases his claim to be part of a The emergency group was born in his childhood or secondary youth derived from courage, love and life experiences that the family as a moral guide has prosecuted the emotions, knowledge and feelings seeking, thus demonstrating the importance of resilience, spirituality, the support of the family and the modification of actions and ways of thinking as a result of the imponderables of life (psychoeducation) to face (resilience) the adversities that concatenated everything through love for humanity, leads them to dedicate themselves to the services of emergency and safety. Journal: Health Leadership and Quality of Life Pages: .506 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.506 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.506:id:.506 Template-Type: ReDIF-Article 1.0 Author-Name: Rincón-Saravia Author-Name: Eslava-Zapata Author-Name: Gómez Ortiz Title: Transformational leadership and organizational culture: a study in dental centers Abstract: Introduction: To analyze transformational leadership and organizational culture in Ocaña, Norte de Santander, Colombia dental offices. Methods: The study has a quantitative approach and descriptive design. A questionnaire was used to analyze the relationship between transformational leadership and organizational culture in 20 dental offices in Ocaña. A Spearman correlation analysis is applied based on data collected through a Likert scale, identifying patterns and relationships between key variables. Results: The study's results reveal a high correlation between organizational culture and transformational leadership in dental offices in Ocaña, especially in communication (ρ < 0.001). Other dimensions, such as personal identity, quality, contribution, and recognition, also show significant correlations but of lower intensity, characterized by transformational leadership, which is considered "good" according to the mean and median of the data analyzed. These findings suggest improving communication and strengthening organizational culture can enhance practice leadership. Conclusions: The study allows us to conclude that there is a significant correlation between transformational leadership and organizational culture in dental offices in Ocaña, highlighting that communication is a key factor. In addition, identity, quality, and personal recognition should be strengthened to improve work performance and employee satisfaction. These findings highlight the importance of developing leadership competencies and optimizing organizational culture. Journal: Health Leadership and Quality of Life Pages: .505 Volume: 3 Year: 2024 DOI: 10.56294/hl2024505 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.505:id:.505 Template-Type: ReDIF-Article 1.0 Author-Name: González de Paz Author-Name: Escalona Title: Physical fitness at work and its relationship with cardiovascular, respiratory and metabolic health. A systematic review Abstract: The relationship between physical fitness and work capacity is an important determinant of workers' health, influencing productivity and well-being. Objective: To assess the existing knowledge on the relationship between cardiovascular, respiratory and metabolic health with the components of physical fitness (including aerobic and muscular fitness, joint flexibility and balance) and physical activity. Methods: Through a systematic review carried out between August and October 2023, using academic databases to identify relevant articles that analyzed the interrelationship between physical fitness, cardiovascular disease risk factors and work performance. Results: Five articles were retrieved suggesting that promoting physical fitness and managing cardiovascular disease risk factors are essential to improving workers' work performance, productivity and longevity. Conclusion: The importance of physical fitness and management of cardiovascular disease risk factors in workers' work performance is shown. Greater cardiorespiratory fitness and flexibility were shown to be associated with a lower incidence of musculoskeletal injuries, suggesting that regular physical activity, both aerobic and anaerobic, has a protective effect on musculoskeletal and cardiovascular health. Journal: Health Leadership and Quality of Life Pages: .504 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.504 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.504:id:.504 Template-Type: ReDIF-Article 1.0 Author-Name: Meneses-Torres Author-Name: Mosquera-Soto Author-Name: Niampira-Piedrahita Author-Name: Ceballos-Amaya Title: Adverse events associated with the use of insulins glulisine, aspart and glargine: a literature review Abstract: The objective of this article was to identify adverse events that are generated as a result of the use of insulins Aspart, Glargine and Glulisine in patients with type 2 diabetes mellitus. For this purpose, an exhaustive bibliographic review was carried out in the Scopus and PubMed databases. Inclusion criteria were applied that limited the selection to open access controlled clinical trials that addressed the safety of the aforementioned insulins, excluding those articles that did not contain relevant information. 22 scientific articles were selected that were located in a total of 13 journals. 11 documents dealt with the topic of Insulin Glargine, 7 on Aspart and 4 on Glulisine. The year where most articles were found was 2019 (5). In total, 14 types of adverse events were identified, with hypoglycemia being the most representative with 39 cases and the event with the highest incidence of up to 62%. It is concluded that insulins, glargine, glulisine and aspart present a variety of adverse reactions, with hypoglycemic events being the most prevalent, especially with insulin aspart (0.006% - 62%). Other common effects include nausea, diarrhea and vomiting, with a higher incidence in treatments with glargine and aspartate. Journal: Health Leadership and Quality of Life Pages: .503 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.503 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.503:id:.503 Template-Type: ReDIF-Article 1.0 Author-Name: Coello Avilés Author-Name: Coloma Morales Title: Effects Of Contamination By The Waste Dump In Babahoyo And Its Impact On The Right To A Healthy Environment Abstract: The environmental contamination generated by the open-pit waste dump in Babahoyo seriously affects public health, quality of life and the population's right to a healthy environment. The accumulated waste contaminates the soil, water and air, causing illnesses and deteriorating well-being, especially among the most vulnerable groups. The research adopts a mixed approach to analyze this phenomenon, combining qualitative and quantitative methods, with a correlational, descriptive and propositional scope. It is proposed to implement an ordinance to manage waste, encourage recycling, promote environmental education and strengthen collaboration between authorities Journal: Health Leadership and Quality of Life Pages: .502 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.502 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.502:id:.502 Template-Type: ReDIF-Article 1.0 Author-Name: Cruz Arboleda Author-Name: Villa Zura Author-Name: Benavides Salazar Author-Name: Isea Arguelles Title: Impact On The Rights To Good Living And Nature Due To Illegal Mining In The Parish Of Buenos Aires, Province Of Imbabura Abstract: The main purpose of this research was to analyze the violation of the rights to good living and nature due to illegal mining activities in the parish of Buenos Aires, province of Imbabura. It was developed under a quantitative approach and a documentary-bibliographic design, making a critical analysis of various sources such as scientific research, articles, laws and refereed works. The study population was 1,893 inhabitants, according to the 2010 census, selecting a sample of 80 people through intentional and random sampling. The results show that, despite state measures, this illegal activity has left irreparable damage, affecting the inhabitants and the natural environment Journal: Health Leadership and Quality of Life Pages: .501 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.501 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.501:id:.501 Template-Type: ReDIF-Article 1.0 Author-Name: Freire Muñoz Author-Name: Franco Pérez Author-Name: Tello Velastegui Author-Name: Llundo Michelena Title: Analysis Of The Fermentation Processes Of Arabica Coffee And Its Impact On The Cup Abstract: Arabica coffee is one of the most appreciated varieties worldwide, and the fermentation processes used in its production play a key role in the development of its flavor and aroma profiles. The objective of this study was to analyze the fermentation processes of Arabica coffee and their impact on the final quality in the cup. A mixed-method approach was adopted, combining qualitative and quantitative methodologies, evaluating critical variables such as temperature, pH, Brix degrees, and electrical conductivity across different processing methods (natural, honey, and washed). The results show that each processing method significantly affects the sensory attributes of the coffee: natural processes stand out for their fruity flavors, washed processes for their cleanliness and brightness, and honey processes for their sweetness. It is concluded that fermentation, when properly controlled, allows for the production of high-quality coffees, improving their scores in competitions and their market value; however, poorly managed fermentation can lead to defects that decrease both the quality and the price of the final product Journal: Health Leadership and Quality of Life Pages: .500 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.500 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.500:id:.500 Template-Type: ReDIF-Article 1.0 Author-Name: Torres Torres Author-Name: Checa Andino Author-Name: Torres Apolo Title: Death With Dignity In Persons With Terminal Illnesses, Compared To Comparative Law Abstract: In recent years, the concept of dignified death has generated a constant debate from medical, social, ethical, religious and legal perspectives. This study analyzes, from comparative law, the dignified death of terminally ill persons. The research used a mixed approach: qualitative, through reflective quotes, and quantitative, with the use of statistical data. Theoretical and empirical methods were used, as well as documentary techniques and interviews to support the results. It was concluded that, in Ecuador, the laws recognize the patient's right to decide about his or her life and health, which requires decriminalizing the Penal Code to allow a digni-fied death without suffering Journal: Health Leadership and Quality of Life Pages: .499 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.499 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.499:id:.499 Template-Type: ReDIF-Article 1.0 Author-Name: Cárdenas Revelo Author-Name: Méndez Cabrita Author-Name: Chuga Quemac Title: Patterns And Challenges Of Mobility Of Venezuelan Migrants In The City Of Tulcán, Ecuador Abstract: This research addresses the violations of constitutional and international human rights norms, focusing on the serious affectations to the rights of migrants. In particular, it analyzes article 137, numeral 11, fourth section of the Organic Law of Human Mobility, with emphasis on its legal and constitutional impact. Through an exhaustive bibliographic review, the problem of Venezuelan citizens transiting through Tulcán and its borders was studied. Articles from indexed journals and provisions of the law, which regulates human mobility but in some cases penalizes migration, were examined Journal: Health Leadership and Quality of Life Pages: .498 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.498 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.498:id:.498 Template-Type: ReDIF-Article 1.0 Author-Name: Limaico Mina Author-Name: Terán Vaca Author-Name: Núñez Sanabria Author-Name: Villa Zura Title: Violation Of The Labor Rights Of Persons With Disabilities: Challenges And Perspectives Abstract: This article analyzes the right to work of people with disabilities in Ecuador, guaranteed by the Constitution, which promotes equal conditions for all. However, the reality shows a significant exclusion of these people in both the public and private sectors, which limits their access to jobs appropriate to their abilities. Despite being a priority group, many people with disabilities, whether physical, mental or intellectual, face barriers that prevent them from obtaining stable jobs and fully enjoying legal benefits. The research uses qualitative and quantitative methods to highlight these inequalities and propose solutions to ensure their effective inclusion in the labor market Journal: Health Leadership and Quality of Life Pages: .497 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.497 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.497:id:.497 Template-Type: ReDIF-Article 1.0 Author-Name: Lalama Flores Author-Name: Lalama Gavilánez Title: The Impact Of Artificial Intelligence On Innovation And Advances In Medicine Abstract: Medicine, like many other scientific disciplines, has advanced in parallel with technology during the last decades, significantly transforming areas of knowledge. Technology has introduced equipment, software and applications that facilitate daily medical activities. In this context, artificial intelligence (AI) has played a crucial role, offering practical solutions to complex problems. Its concept dates back to the 1950s, although the lack of technological development at that time limited its adoption in medicine. Since 2000, AI has evolved, perfecting its capacity for self-learning and analysis of complex algorithms, features that have captured the interest of the health sciences. Based on neural network models inspired by the human brain, AI allows machines to make autonomous decisions, marking a new era for medicine Journal: Health Leadership and Quality of Life Pages: .496 Volume: 3 Year: 2014 DOI: 10.56294/hl2024.496 Handle: RePEc:dbk:health:v:3:y:2014:i::p:.496:id:.496 Template-Type: ReDIF-Article 1.0 Author-Name: Lalama Flores Author-Name: Castro Sánchez Author-Name: Lalama Gavilánez Author-Name: Robalino Cáceres Title: Teacher Evaluation In Postgraduate Studies: Reflections And Current Projections Abstract: The teaching and learning process in postgraduate programs requires that instructors respond to multiple social and individual demands, which lead to the necessity of having up-to-date knowledge in their field of expertise, in teaching methodologies, in technological aspects, in teacher-student relationships, and in different learning approaches, among others. This ensures that postgraduate students maintain an active performance. Therefore, this study aims to present the results of an evaluation of the performance of postgraduate instructors. To this end, qualitative and quantitative methods are used, drawing from various sources of information such as student evaluations of instructors, self-assessments, evaluations by the academic coordinator, and the Postgraduate Directorate. In this context, the applied tool allows for the determination of the weighting of instructor performance in qualitative and quantitative terms, based on the "Generic Model for Evaluating the Learning Environment of Postgraduate Programs." Key points highlighted in the conclusions include the high quality of instructors in their respective fields of expertise, which is notably different from the negative perceptions students have regarding the academic aspects of the faculty. It is concluded that analyzing spaces for reflection within postgraduate classrooms is predominantly related to instructors, and these reflective spaces allow for optimization with high levels of academic rigor in the teaching and learning processes Journal: Health Leadership and Quality of Life Pages: .495 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.495 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.495:id:.495 Template-Type: ReDIF-Article 1.0 Author-Name: Franco Pérez Author-Name: Tello Velastegui Title: Innovation And Transformation Plan For Gastronomic Production Line In Pelileo Canton, Ecuador Abstract: This study addresses the innovation and transformation of the gastronomic production line in the canton of San Pedro de Pelileo, province of Tungurahua, Ecuador, where gastronomic service providers face challenges related to food hygiene, culinary techniques, and customer service. The objective was to strengthen their skills through an intervention plan that includes training in innovative practices and the use of local products. The methodology consisted of the implementation of 10 theoretical-practical workshops held between May and September 2023, with the participation of 30 local actors from the gastronomic sector. Surveys were administered before and after the workshops to measure the impact on the knowledge acquired, as well as a satisfaction survey to assess the quality of the program. The results show a significant increase in the application of Good Manufacturing Practices and innovative techniques for food transformation, reaching 100% knowledge in these areas by the end of the plan. Additionally, participants expressed high satisfaction with the training received. In conclusion, the research demonstrates that the implementation of training programs focused on innovation and the use of local resources contributes to the economic and social development of gastronomic service providers, strengthening the sector’s competitiveness and promoting the sustainability of local enterprises Journal: Health Leadership and Quality of Life Pages: .494 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.494 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.494:id:.494 Template-Type: ReDIF-Article 1.0 Author-Name: Franco Pérez Author-Name: Tello Velasteguí Title: Application Of Local Agricultural Products From Patate Canton In Cutting-Edge Gastronomic Trends Abstract: San Cristóbal de Patate, known as the Valley of Eternal Spring, is distinguished by its privileged climate, rich gastronomy—including traditional dishes such as arepas, grape chicha, and espumillas—and its lush vegetation, which provides a wide variety of local products. This study is based on a comprehensive literature review, grounded in the perspectives of various authors who theoretically support the research. The methodology applied combines quantitative and qualitative approaches, including a diagnostic and the collection of field information. The primary objective is to propose a strategy to strengthen the local gastronomy by incorporating cutting-edge culinary techniques into food and beverage establishments, using native ingredients from the canton. This proposal seeks to support restaurant owners in innovating their everyday dishes, enhancing the cultural and aesthetic value of Patate’s gastronomy to attract and delight both residents and visitors. In conclusion, the implementation of these modern techniques is expected not only to improve the gastronomic offering but also to enrich the tourist experience in the canton, providing a unique and renewed culinary proposal Journal: Health Leadership and Quality of Life Pages: .493 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.493 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.493:id:.493 Template-Type: ReDIF-Article 1.0 Author-Name: Tello Velasteguí Author-Name: Franco Pérez Author-Name: Chávez Fonseca Title: Innovation Of A Healthy Menu For Elderly Residents In A Nursing Home In Ecuador Abstract: The increase in the elderly population has highlighted the need to improve the nutritional quality in geriatric institutions. At the Sagrado Corazón de Jesús nursing home, in the Ambato canton, Tungurahua province, Ecuador, it was identified that the current menus are repetitive and lack nutritional balance. The objective of this study was to design an innovative nutritional recipe book for the elderly in this institution, evaluating its acceptance by the kitchen staff and its operational viability. The study used a mixed-method approach with a descriptive design. Ten kitchen staff members were surveyed to obtain their opinion on the viability of the new recipe book and its potential impact on the nutrition of the elderly. The results showed that 100% of the respondents considered the implementation of the recipe book essential. Additionally, 90% believed that a balanced diet would have a positive impact on the quality of life of the residents, although 20% expressed concerns about the complexity of the preparation. In conclusion, the designed recipe book was well accepted by the staff, demonstrating that it is operationally viable and could improve the quality of the diet in the institution. However, challenges were identified in its implementation, suggesting the need for staff training in preparation techniques and resource optimization. This study highlights the importance of nutritional interventions in geriatric settings to promote the well-being of the elderly Journal: Health Leadership and Quality of Life Pages: .492 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.492 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.492:id:.492 Template-Type: ReDIF-Article 1.0 Author-Name: Granja Z Author-Name: Villacrés Hernández Author-Name: Montenegro Bósquez Author-Name: Espín Meléndez Title: Analysis Of Solitary Confinement In Detention Centers In Ecuador Abstract: This study addresses the issue of the use of solitary confinement as a disciplinary sanction in detention centers in Ecuador, a practice that, despite being regulated by national and international norms, continues to result in serious human rights violations. The objective of the study was to analyze solitary confinement in Ecuadorian penitentiaries, evaluating its impact on inmates and the legal provisions that regulate it. To achieve this, inductive and critical-analytical methods were used, examining specific cases and applying a socio-legal approach based on constitutional regulations and international human rights instruments. The results revealed that, in practice, solitary confinement is frequently and abusively employed, without proper judicial control or medical supervision, which severely affects the physical, psychological, and moral integrity of inmates. Additionally, a disconnect was identified between the normative provisions that prohibit prolonged solitary confinement and their effective implementation in penitentiaries. In conclusion, the study determined that it is necessary to reform the Ecuadorian penitentiary system to ensure respect for the human rights of inmates, improve judicial oversight, train prison staff in non-coercive techniques, and strengthen rehabilitation programs, with the aim of reducing the use of solitary confinement and promoting the social reintegration of inmates Journal: Health Leadership and Quality of Life Pages: .491 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.491 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.491:id:.491 Template-Type: ReDIF-Article 1.0 Author-Name: García Arias Author-Name: Quevedo Arnaiz Title: Ethics Of The Tutor In The Development Of Reflective Capabilities In Law Students Abstract: Tutor ethics refers to the ethical principles and standards that govern behavior and decisions in their specific field. These principles and standards are established to ensure that the tutor acts with integrity, honesty and responsibility when providing services to his students and the community. This research analyzed the student's assessment of aspects related to the ethics of the tutor in his comprehensive training for the profession and his warning regarding the influences exerted on the formation of reflective capacities during student research. The research was carried out using a mixed, qualitative and quantitative approach, for the analysis and interpretation of the student's evaluation in relation to the ethical function of the tutor. It was based on a non-experimental transactional design that covered the period from May to September 2023 with students in the eighth year of the Law Degree at UNIANDES Santo Domingo. The documentary analysis, direct observation, and survey techniques were used. It was possible to specify the characteristics of the tutor that points out to the students as important in the teacher's performance, where the responsibility, reflection and organization that the teachers have and what contribute to comprehensively training the students stand out. The role that the tutor plays in the formation of both reflection and professional ethics has been demonstrated in the opinions expressed by the students in this research Journal: Health Leadership and Quality of Life Pages: .490 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.490 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.490:id:.490 Template-Type: ReDIF-Article 1.0 Author-Name: Chuga Quemac Author-Name: Anamá Tiracá Author-Name: Martínez Cuastumal Author-Name: Puetate Yar Title: Violation Of The Right To Defense In Prenatal Maintenance Cases Due To Procedural Unfairness Abstract: This research addresses the violation of the right to defense in prenatal maintenance proceedings due to procedural disloyalty, such as bad faith or malice on the part of the mother in delaying the summons to the alleged father. This affects her ability to respond, while a provisional pension is fixed and generates debt before his appearance. The objective is to analyze this impact and propose strategies that guarantee the balance of rights between the parties. With a descriptive non-experimental design, supported by surveys and the inductive-deductive method, the need to regulate reasonable deadlines for the summons was identified, guaranteeing a fair and equitable defense in these processes Journal: Health Leadership and Quality of Life Pages: .489 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.489 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.489:id:.489 Template-Type: ReDIF-Article 1.0 Author-Name: Tello Velasteguí Author-Name: Franco Pérez Author-Name: Chávez Fonseca Title: Improvement Of Key Processes At The Punto Y Parrilla Restaurant In The City Of Ambato Abstract: The present study addresses the operational and administrative deficiencies in the Punto y Parrilla restaurant in the city of Ambato, Ecuador, with the aim of proposing improvements to its key processes. The objective of the research was to optimize the key processes of Punto y Parrilla by implementing strategies and procedures that enhance service quality, operational efficiency, and customer satisfaction, with a focus on continuous improvement and innovation. A mixed-method approach was used, employing descriptive and observational methods, supported by structured interviews and observation forms applied to the staff members. The results revealed deficiencies in critical areas such as food safety, plate presentation, and customer service, as well as the lack of recreational spaces and parking, which limits the business's growth potential. Through the SWOT and PESTEL analyses, both the strengths and weaknesses of the restaurant were identified, and control indicators were proposed to facilitate decision-making. The conclusions highlight the urgent need to reorganize internal processes and improve safety and hygiene practices, as well as to implement innovative strategies that contribute to customer loyalty. This study underscores the importance of efficient management to ensure the restaurant’s sustainability and competitiveness in a highly competitive environment Journal: Health Leadership and Quality of Life Pages: .488 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.488 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.488:id:.488 Template-Type: ReDIF-Article 1.0 Author-Name: Rivas Bravo Author-Name: Paredes Author-Name: Salas Medina Author-Name: Freire Muñoz Title: Characterization Of The Nutritional Values Of The Mortiño And Its Use In Gastronomic Techniques Abstract: The Mortiño (Vaccinium meridionale), a wild shrub native to the Ecuadorian and Colombian Andes, has traditionally been consumed by indigenous communities, although its consumption has decreased in recent times due to a lack of awareness of its nutritional benefits. The aim of this research was to characterize the nutritional values of Mortiño and its use in culinary techniques, with the support of gastronomy experts. An exploratory, descriptive, and explanatory methodology was employed, allowing the analysis of various fruit processing techniques, such as using it fresh, steamed, and refrigerated. The results showed that Mortiño can be incorporated into recipes such as pastries, wines, ice creams, and the traditional colada morada, without losing its nutritional properties, and its potential in savory dishes and marinades was also discovered. It is concluded that Mortiño is a highly nutritious food, rich in polyphenols, fiber, lipids, minerals, and vitamins, making it a versatile ingredient in gastronomy with significant health benefits Journal: Health Leadership and Quality of Life Pages: .487 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.487 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.487:id:.487 Template-Type: ReDIF-Article 1.0 Author-Name: Suárez López Author-Name: Porras Enriquez Author-Name: Ulloa Moreno Title: Educational Inclusion And Quality Of Life: A Theoretical Approach To Its Conception And Implementation Abstract: In contemporary society, educational inclusion and quality of life have become crucial for the well-being of individuals. The aim of the study was to analyze how inclusive education contributes to improving students' quality of life, identifying the key dimensions that link both concepts and proposing strategies that foster effective inclusion in the educational field. A theoretical review of academic literature was conducted, using specialized databases such as Scopus and Web of Science, to analyze the relationship between inclusion and quality of life. The results highlight that inclusive education promotes not only cognitive development but also personal and social growth, reducing discrimination and enhancing participation in society. Furthermore, quality of life is addressed through three key approaches: objective, subjective, and holistic, each contributing to a more comprehensive assessment of well-being. The theoretical model of Shalock and Verdugo on people with disabilities provides a robust framework for understanding how inclusion significantly improves quality of life. In conclusion, this study shows that the implementation of inclusive strategies in the educational field is essential to promoting the overall well-being of students, particularly those with special needs, and emphasizes the need to develop public policies that reinforce this link between inclusion and quality of life Journal: Health Leadership and Quality of Life Pages: .486 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.486 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.486:id:.486 Template-Type: ReDIF-Article 1.0 Author-Name: Paredes Núñez Author-Name: Diaz Serrano Author-Name: Salas Medina Title: Design of a Rural Tourism Route For Local Development In The Ecuadorian Province of Cotopaxi Abstract: The present study addresses the importance of rural tourism as a strategy for local development, focusing on the Ecuadorian province of Cotopaxi, where the aim is to harness natural and cultural resources to boost the rural economy. The authors aimed to design a rural tourism route for local development in the Ecuadorian province of Cotopaxi, leveraging local conditions and resources to promote a sustainable and equitable development model. A mixed-methods approach was employed, with structured surveys applied to 267 visitors and interviews with tourism experts, in addition to a document analysis to contextualize the current state of tourism in the region. The results highlighted that 80% of the identified tourist resources are located in rural areas, offering a diverse range of natural and cultural attractions. The majority of visitors were young professionals who valued safety, tranquility, and experiential activities such as gastronomy and artisan workshops. The proposed route, named "Hacienda Houses, in the Land of the Volcano," unifies dispersed tourist resources in an 85 km itinerary that includes historic haciendas and experiential activities. It is concluded that the route is viable and sustainable, thanks to the existing tourism infrastructure and the active participation of public, private, and community actors. This route contributes to diversifying Cotopaxi's tourism offerings, promoting sustainable tourism, and improving the quality of life in rural communities Journal: Health Leadership and Quality of Life Pages: .485 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.485 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.485:id:.485 Template-Type: ReDIF-Article 1.0 Author-Name: Fernández-Sánchez Author-Name: Gómez Armijos Author-Name: Navas Montero Title: The Importance Of The Virtual Learning Environment In Uniandes Postgraduates Abstract: This study focused on analyzing the influence of virtual learning environments (VLE) in postgraduate programs, specifically in the fields of Law with a Major in Criminal Procedure Practice and Oral Litigation, and Citizen Security, at the Regional Autonomous University of the Andes. – UNIANDES, in Ecuador. The background revealed a growing interest in the integration of EVA in higher education. The objectives of the research focused on understanding the impact of VLEs on the quality of teaching and the learning process. Regarding the methodology, a descriptive and exploratory qualitative approach was used, observing the interaction of students on the Moodle platform. Synchronous and asynchronous workshops were carried out in the "Research Methodology" and "Graduation Work" modules. The results reflected a high level of success, with 96.15% of students passing their "Scientific Papers." These findings suggest the effectiveness of VLEs in postgraduate academic training. Additionally, variability between cohorts in a program will be observed, highlighting the need for future research on factors that influence student achievement. In conclusion, this study highlights the importance of VLEs in graduate programs, supporting their contribution to effective teaching and learning. The results highlight the need to maintain high quality standards and the relevance of originality in academic works. These findings provide a basis for future research aimed at optimizing the implementation of VLE in postgraduate courses Journal: Health Leadership and Quality of Life Pages: .484 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.484 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.484:id:.484 Template-Type: ReDIF-Article 1.0 Author-Name: Isea Arguelles Author-Name: Romero Fernández Author-Name: Molina Gutiérrez Title: Ontology Of The University Teacher: A Transformational Leader In Lifelong Learning Abstract: The university professor is a fundamental subject that acts for the achievement of the mission of the university from the functions of Teaching, Research and Extension, therefore, he must be a leader with great capacity to reinvent himself every day and face the challenges of the daily educational work. Hence, this research article is developed with the purpose of showing the elements that ontologically resignify the notion of university teacher. It is stated that the research methodology followed was based on the precepts of the interpretivist paradigm, guided by the Theory of Phenomenology and the method of Hermeneutic Understanding of Martin Heidegger. Similarly, the deployment of qualitative methodologies was assumed, through the use of the phenomenological interview and the script of open questions aimed at capturing the experiential. As for the subjects of the research, 4 teachers of the Universidad Nacional Experimental Francisco de Miranda (UNEFM), selected by means of the qualitative technique of intentional sampling as key informants, participated in the study. The treatment of the data collected was based on the logic of the phenomenological processes of reduction, comprehension and destruction (reinterpretation). Finally, the results show the unveiling of six themes as emerging categories and two macro categories or structural themes, with which the notion of the university teacher can be redefined to the extent that he/she becomes a transformational leader in permanent training, since it is from this perspective that he/she can be a subject that generates change and transformations Journal: Health Leadership and Quality of Life Pages: .483 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.483 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.483:id:.483 Template-Type: ReDIF-Article 1.0 Author-Name: Ros Alvarez Author-Name: Robles Zambrano Title: Abortion In The Context Of The Weighing Of Rights: A Doctrinal And Theoretical Analysis Abstract: The right to decide about one's own body and reproductive health is an essential human rights issue. When abortion in cases of rape is addressed, the discussion becomes more complex due to the profound physical, psychological and emotional consequences that this act of violence has on women. In many cases, rape results in unwanted pregnancies, which raises a controversial debate in society and the scientific community. This article analyzes abortion due to rape from a medical and scientific perspective, considering its physical and psychological implications and the options available to affected women Journal: Health Leadership and Quality of Life Pages: .482 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.482 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.482:id:.482 Template-Type: ReDIF-Article 1.0 Author-Name: Manaces Esaud Author-Name: Rivera Segura Author-Name: Triviño Vera Author-Name: Zambrano Olvera Title: Amaranth Entrepreneurship Development: The Road To Food Sovereignty And Reduction Of Malnutrition Abstract: This research analyzes the entrepreneurship linked to the cultivation and consumption of amaranth as a key resource to combat malnutrition and promote food sovereignty. The background highlights the growing global concern about malnutrition and the need for sustainable nutritional sources. The main objective is to assess the efficacy of amaranth as a food and its impact on communities. Using a mixed approach, its nutritional properties were analyzed and consumption surveys were applied. The results confirmed that amaranth, rich in protein, vitamins and minerals, is an essential resource for combating malnutrition and strengthening community food security Journal: Health Leadership and Quality of Life Pages: .481 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.481 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.481:id:.481 Template-Type: ReDIF-Article 1.0 Author-Name: Robles Zambrano Author-Name: Ros Alvarez Title: Effects Of Boreout And Burnout On Workers' Well-Being Abstract: This research is relevant in the legal field, since the pandemic altered the social reality and forced countries such as Ecuador to abruptly implement teleworking, a modality already foreseen in its regulations. This change generated psychological effects on workers, such as burnout and boreout, which affect their productivity. The study, with a qualitative approach and hermeneutic and inductive methods, analyzes the legal consequences of these syndromes. It is concluded that, although different, both can coexist. Boreout is related to boredom and underexertion, while burnout reflects extreme exhaustion caused by overwork, harassment at work or other stressful situations in the work environment Journal: Health Leadership and Quality of Life Pages: .480 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.480 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.480:id:.480 Template-Type: ReDIF-Article 1.0 Author-Name: Crespo-Berti Author-Name: Haro Terán Author-Name: Esparza Pijal Author-Name: Villa Zura Title: Cross-sectional interpretation of scientific articles: myths and errors in designing free from biased stereotypes Abstract: This study analyzed the process of drafting scientific articles, focusing on identifying and overcoming myths and errors that affect their design and writing. It started from the premise that scientific articles are sometimes influenced by limiting beliefs and stereotypes that compromise their objectivity and rigor. The main objective was to provide a cross-sectional interpretation of the scientific article to achieve an ideal design free from biased stereotypes. A qualitative approach was adopted, with a documentary-feasibility design and an explanatory scope. The techniques used included an exhaustive review of primary and secondary reliable sources, with an emphasis on critical and conceptual interpretation of the data. The results highlighted the importance of exhaustive research and careful selection of sources, emphasizing that the quality of an article does not depend on the number of references or the complexity of the writing but rather on the clarity, precision, and relevance of the content. Additionally, it was shown that unexpected or negative results have significant value for the scientific community, as they help avoid the duplication of studies and provide new perspectives. It is concluded that an ideal design of scientific articles requires a rigorous methodology, accompanied by constant reflection and external support to help the author overcome potential shortcomings and produce high-impact work aimed at contributing to the advancement of scientific knowledge Journal: Health Leadership and Quality of Life Pages: .479 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.479 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.479:id:.479 Template-Type: ReDIF-Article 1.0 Author-Name: Castro Sánchez Author-Name: Gómez Armijos Author-Name: Naranjo Luzuriaga Title: Social and academic significance of relevant scientific works. analysis of a case Abstract: The analysis of relevant scientific works can serve different purposes. Among the main ones, scientific contributions in both scientific and methodological aspects are always included, which impact the specific field of knowledge or the interdisciplinary types from which the work is produced, as well as its influence on social, cultural, and institutional domains. Likewise, the benefits for teaching and learning processes should be considered, especially when works that initially serve as monographs in research debates also become textbooks that support pedagogical activities and facilitate the fulfillment of the pedagogical principle of the science–teaching relationship. The central objective of this study was to analyze the social, scientific, and pedagogical contributions of the book "Natural Justice and Legal Justice: Indigenous Justice in Ecuador." The methodology used in the study design is qualitative, descriptive, and analytical-explanatory, with predominant application of the methods of analysis and synthesis (at the theoretical level of knowledge) and documentary study (at the empirical level of knowledge). As the main result, the social, scientific, and pedagogical contributions of the book cited are analyzed, considering it both as a monographic work and a textbook, which leads to the conclusion that its significance for legal scientific research and educational processes in the field of Law is evident Journal: Health Leadership and Quality of Life Pages: .478 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.478 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.478:id:.478 Template-Type: ReDIF-Article 1.0 Author-Name: Granda Sanmartin Author-Name: Lascano Corrales Author-Name: Lucina Cabezas Author-Name: Janeta Tenelema Title: Application of benford's law in the results of the 2023 presidential elections, second round in ecuador Abstract: Benford's Law is a statistical tool used to analyze the distribution of digits in a dataset. This law posits that, in many cases, the first digit of a number is not random but follows a specific distribution, with the digit 1 being the most common, followed by 2, 3, and so on. This article analyzed the application of Benford's Law, through the distribution of the first digits of numbers across various datasets, to the results of the 2023 presidential elections, second round, in Ecuador. The objective was to detect potential anomalies or manipulations in the vote count. The authors used the official data published by the National Electoral Council of Ecuador and compared it with the expected values according to Benford's Law. The results showed that most provinces complied with Benford's Law, with some exceptions that could be attributed to random factors or irregularities. The authors conclude that Benford's Law is a useful, though not definitive, tool for assessing the integrity of electoral processes Journal: Health Leadership and Quality of Life Pages: .477 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.477 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.477:id:.477 Template-Type: ReDIF-Article 1.0 Author-Name: Salas Medina Author-Name: Reyes Masaquiza Author-Name: Chiriboga Guerrero Author-Name: Guaigua Vizcaino Title: Diagnosis for the proposal of a tourism circuit in valle hermoso parish, ecuador Abstract: The objective of this study was to diagnose the current state of tourism in Valle Hermoso Parish, located in the Province of Santo Domingo de los Tsáchilas, Ecuador, with the aim of designing a tourism circuit. The research was based on theoretical frameworks that provided key reference points for a comprehensive analysis. Various methods, techniques, and research tools were applied to define strategies and identify the problems that have hindered the consolidation of tourism in Valle Hermoso. Among these problems, the lack of infrastructure, promotion, and coordination among local stakeholders were identified. The study's results led to the formulation of strategic actions, including the design of a tourism circuit to attract a larger number of visitors. Additionally, an itinerary was proposed to facilitate the promotion of the circuit’s offerings to potential tourists, with the goal of encouraging interest in tourism activities and contributing to the local economic development of the parish. It was concluded that the design of the tourism circuit and the proposed strategies, along with improvements in promotion and infrastructure, could position Valle Hermoso as an emerging tourism destination, thereby driving economic growth and community well-being Journal: Health Leadership and Quality of Life Pages: .476 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.476 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.476:id:.476 Template-Type: ReDIF-Article 1.0 Author-Name: Salas Medina Author-Name: Carrillo Rosero Author-Name: Rivas Bravo Author-Name: Paredes Núñez Title: Tourist signage factor of development in la cocha tourist complex, cotaló – pelileo Abstract: ABSTRACT The objective of this study was to analyze the characteristics of the La Cocha Tourist Complex for the implementation of tourist signage, considering legal and technical aspects that contribute to the tourism development of Cotaló parish, in Pelileo canton. The research focused on evaluating the feasibility of a signage plan, as the lack of information about the area's flora and fauna limits its tourism potential and causes dissatisfaction among visitors. The methodological approach was non-experimental and cross-sectional, using inventory sheets of tourist attractions, technical sheets for the placement of signage, and interviews with local authorities. The results revealed the natural richness of the environment, highlighting the need to improve signage to optimize the visitor experience and extend their stay. The interviewed authorities agreed on the importance of signage to adequately inform visitors about the complex's attractions. Finally, a technical analysis was conducted to determine the types of signs to implement, and conclusions were drawn, emphasizing the positive impact that signage would have on visitor satisfaction and the tourism development of the area Journal: Health Leadership and Quality of Life Pages: .475 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.475 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.475:id:.475 Template-Type: ReDIF-Article 1.0 Author-Name: Chávez Fonseca Author-Name: Ortiz Miranda Author-Name: Gavilanes González Author-Name: Tello Velastegui Title: Creation of the digital encyclopedia of tourism resources in the amazon region of ecuador Abstract: This research was carried out to produce the Digital Encyclopedia of the provinces of the Amazon Region of Ecuador, analyzing their resources and wealth. Therefore, the objective of the study was to create a digital encyclopedia of the touristic, historical, cultural, and gastronomic resources of the Amazonian provinces. The theoretical methods of knowledge were used: Inductive-Deductive, Analytical-Synthetic, and Historical-Logical. The result was satisfactory because the aforementioned encyclopedia was successfully created. It is concluded that this work will not only serve in the academic field but also in tourism, as it can be used by national and foreign tourists as an appropriate guide to discover the beautiful places of the Amazon. In this way, they can enjoy the province of Sucumbíos and its oil wealth; the province of Orellana with its abundant vegetation and fauna; the province of Napo, possessing great river resources; the province of Pastaza, with territory ideal for risk and adventure tourism and where part of the Yasuní National Park is located; the province of Morona Santiago, known as the world's orchid capital; and the province of Zamora Chinchipe, where the largest clock in the world is located Journal: Health Leadership and Quality of Life Pages: .474 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.474 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.474:id:.474 Template-Type: ReDIF-Article 1.0 Author-Name: Chávez Fonseca Author-Name: Ortiz Miranda Author-Name: Cortez Ocaña Author-Name: Tello Velastegui Title: Influencia de las tecnologías digitales en niños y adolescentes de la parroquia huachi chico, ecuador Abstract: This study addresses the impact of digital technologies on the academic and social development of children and adolescents. The objective of this study was to determine the influence of digital technologies on the academic and social development of children and adolescents in the parish of Huachi Chico, with the aim of generating recommendations that promote a balanced use of these technologies and non-digital activities in their daily lives. A mixed methodology was used, combining qualitative and quantitative approaches. Surveys were conducted with students between 6 and 18 years old from various educational institutions, and descriptive analyses were performed to assess the impact of access to electronic devices and social networks on participants' interaction and learning. The results showed that a high percentage of adolescents had access to the internet and primarily used it for communication and entertainment. However, there was limited awareness of the risks associated with internet use. In contrast, students without constant access to digital technologies expressed greater concern about the risks of the digital environment. The conclusions highlight the need to promote digital literacy and balanced technology use, with particular attention to parental supervision to mitigate associated risks. Additionally, the role of digital technologies as key tools for communication and social development is emphasized, although a more secure and conscious approach to their use is necessary. Journal: Health Leadership and Quality of Life Pages: .473 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.473 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.473:id:.473 Template-Type: ReDIF-Article 1.0 Author-Name: Molina Gutiérrez Author-Name: Isea Argüeyes Author-Name: Méndez Cabrita Author-Name: Chamorro Valencia Title: Interpretation of image and appearance culture in whatsapp statuses Abstract: Technological development invades and determines many aspects of current life, but one of the most influenced by social networks is communication; Without a doubt, virtuality has added new possibilities for relating and new concepts that impact culture. In this regard, the objective was to interpret WhatsApp Status messages as cultural artifacts of image and appearance projection. The descriptive-field methodology and the analytical-synthetic method were used. The sample was made up of 30 WhatsApp statuses, chosen intentionally (typical subjects) based on criteria such as: active account, public WhatsApp status, the owners must respond to the established age ranges, identify themselves as male or female and be students or professionals. The descriptive matrix allowed the data to be collected and classified according to a specific typology. The data analysis technique was content analysis (qualitative). The findings indicate that messages of: leisure/fun (27%), advertising (26%), personal photographs (16%), religious/reflection (13%), irony/sarcasm (9%), family (7%) predominate, news (2%). It is concluded that this selection of message types allows the sender to define the image and appearance they wish to project as desirable self-images that outline a self-constructed in a reflective-selective manner, tailored to meet social demands Journal: Health Leadership and Quality of Life Pages: .472 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.472 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.472:id:.472 Template-Type: ReDIF-Article 1.0 Author-Name: González Sardabu Author-Name: Ordoñez Álvarez Author-Name: Curbelo Fajardo Author-Name: Ramírez Pérez Author-Name: Gil Figueroa Title: Didactic pamphlet for the work with the address abilities from the docencia Abstract: Introduction: the formation and development of the squares should be conditioned for political and strategies of the organization. The public health, needs that the preparation and the development of their directive are in function of responding to the necessities of the plans, programs and national strategies of health. Objective: to implement a didactic pamphlet that he/she responds to the necessity of training of the squares and reservations in the Cuban medical mission in Venezuela, state of Bolivar. Development: the present investigation, takes like methodological base of the scientific knowledge, to the dialectical-materialistic method serving from base to the objective character of the inquiry process científica.La validation and implementation of the pamphlet like didactic tool to use in the courses and training of squares and reservations, approach was obtained of good for 93,2% of the total of experts. Conclusions: with their implementation a logical order of the actions that requires the preparation of the educational ones that you/they impart the training of the squares and reservations in the Cuban medical mission in Venezuela, state of Bolivar starting from the foundations and approaches emitted by the indexed investigators, settled down as well as the amplification of essential components of the knowledge that you contextualizan in the current realities Journal: Health Leadership and Quality of Life Pages: .471 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.471 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.471:id:.471 Template-Type: ReDIF-Article 1.0 Author-Name: Blanco Fuentes Author-Name: Ramos Vives Author-Name: Ramos Padilla Author-Name: García Pérez Author-Name: Soberao Rodríguez Title: Strategy of professional superacion on Natural and Traditional Medicine in the Primary Attention of Health Abstract: Introduction: In Cuba, where it is high-priority the Primary Attention of Health, you intenciona a system of permanent superación directed to the professionals to guarantee the quality of the service of health, from this perspective, the concept superación of the primary attention of health is identified many times with training, formation and development. Objective: to elaborate a strategy that contributes to the improvement of the process of professional superación on Natural and Traditional Medicine in the Primary Attention of Health that allows the specialist's efficient acting in Family Medicine in the Policlínico University Siblings Cruz of Pinegrove of the River. Methods: the investigation was sustained in the materialistic dialectical focus that bases the study of the object like process, and that it allowed to deepen in the knowledge of the object and its interrelations under the social historical conditions of the graduate degree education it has more than enough Natural and Traditional Medicine in the specialist in Family Medicine, to reveal its main contradictions, to select, to base and to integrate the theoretical, empiric and statistical methods. The selected variable is process of professional superación on Natural and Traditional Medicine. Results: the strategy of professional superación is presented on Natural and Traditional Medicine in the primary attention of health with base in the theoretical and empiric derivations of the investigative process and starting from foundations sustained in different areas of the knowledge, they intend the structure, characteristics, components and relationships for the process in study and its theoretical validation. Conclusions: in the strategy of professional superación on Natural and Traditional Medicine in the primary attention of health the purposes were summed up to achieve the specialist's efficient acting in Family Medicine, in the transformation of the reality in the area of health of the Policlínico University Siblings Cruz of Pinegrove of the River Journal: Health Leadership and Quality of Life Pages: .470 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.470 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.470:id:.470 Template-Type: ReDIF-Article 1.0 Author-Name: Llosa Santana Author-Name: Gutiérrez Vera Author-Name: Araujo Inastrilla Author-Name: Ochoa Verdecia Title: Musical aerobic gymnastics, an alternative for quality of life in “The Leonas of Abstract: Introduction: The World Health Organization considers health as a state in which the individual feels well mentally, physically, and socially. Well-being is related to quality of life. The Paloma project, Leonas de la Plaza, is an example of overcoming adversity through physical exercise. Objective: To characterize the quality of life of the Leonas de la Plaza through musical aerobic gymnastics. Method: A cross-sectional descriptive study was conducted on the quality of life in a group of people linked to the Paloma project. A sample of 97 participants was studied, selected by simple random sampling, with a reliability of 95.0%. A questionnaire was validated based on the SF-36 and WHOQOL-BREF surveys. Quality of life was analyzed by the average score given by participants on a scale of 1 to 5 points. A decision rule was applied, classifying those with an average score between 4 and 5 as having a high quality of life, between 3 and 3.9 as medium, and less than 2.9 as low. Results: Women aged 50 to 59 years predominated (38.14%). Most participants did not have underlying diseases (54.64%). 57.74% of the participants did not engage in physical activity before joining the project. 36.08% of the participants had been involved in the project for more than three years. The average quality of life score was higher in women aged 50 to 59 years (average score of 4.88). The quality-of-life level is considered high (average score of 4.81). Conclusions: The quality of life of the Leonas de la Plaza was characterized through musical aerobic gymnastics. Physical activity constitutes an ideal social tool for promoting the highest human values, expressed through teamwork, equality, respect, and solidarity Journal: Health Leadership and Quality of Life Pages: .469 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.469 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.469:id:.469 Template-Type: ReDIF-Article 1.0 Author-Name: el Río Caballero Author-Name: Turro Mesa Author-Name: Del Río Mesa Author-Name: Mesa Valiente Author-Name: Turro Caró Title: Immuno-nutritional and insulin-resistance markers associated with severe perioperative complications after cardiac surgery Abstract: Introduction: The progress of cardiac surgery that has been parallel to technological development has not been able to sufficiently counteract the high morbidity and mortality of cardiovascular surgical patients and their high costs; for this reason, the search for markers that can predict adverse effects and post-surgical complications in time and facilitate a better evaluation of these patients continues. Objective: to evaluate the degree of association of new immuno-nutritional and insulin-resistance biomolecular markers with the appearance of serious perioperative complications. Methods: An ambispective cohort study was carried out on patients who underwent major cardiovascular surgery between January 1, 2019 and December 31, 2023 at the Cardiocentro of Santiago de Cuba, who met inclusion criteria. Results: A significant association was found between immuno-nutritional and insulin resistance biomarkers and severe perioperative complications: triglyceride-glycemia index (p=0.000 RR 5.23), leuko-glycemic index (p=0.000 RR 7.76), nutritional prognostic index (p=0.004 RR 2.56), albumin/globulin ratio (p=0.050 RR 0.338). Conclusions: A close link is demonstrated between the new biomarkers selected and severe perioperative complications, so their inclusion in the preoperative assessment could facilitate earlier monitoring, diagnosis and treatment of complications and reduce morbidity and mortality in these patients Journal: Health Leadership and Quality of Life Pages: .468 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.468 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.468:id:.468 Template-Type: ReDIF-Article 1.0 Author-Name: el Río Caballero Author-Name: Turro Mesa Author-Name: Del Río Mesa Author-Name: Mesa Valiente Author-Name: Turro Caró Title: Percentage of preoperative variation of arterial oxygen saturation: a new hemogasometric parameter useful in cardiac surgical follow-up Abstract: Introduction: Due to its high morbidity, mortality and high costs, cardiovascular surgery still requires biomarkers that provide timely warning of complications and adverse effects. Objective: to evaluate the degree of association of the percentage of pre-postoperative variation in arterial oxygen saturation with the appearance of serious perioperative cardiosurgical complications. Methods: An ambispective cohort study was conducted in patients who underwent major cardiovascular surgery between January 1, 2019 and December 31, 2023 at the Cardiocentro in Santiago de Cuba, who met the inclusion criteria. Results: A close link was demonstrated between the appearance of serious perioperative complications and the percentage of pre-postoperative variation in arterial oxygen saturation (p = 0.024, RR 4.141). Conclusions: A significant association was found between the pre-postoperative variation in arterial oxygen saturation and postoperative complications, which makes it plausible to use this novel parameter as another indicator to monitor, diagnose and offer earlier treatment to these patients and reduce morbidity and mortality. Journal: Health Leadership and Quality of Life Pages: .467 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.467 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.467:id:.467 Template-Type: ReDIF-Article 1.0 Author-Name: Borrero Terrero Author-Name: Vianka Lisandra Author-Name: Ordoñez Álvarez Author-Name: González Sardabu Author-Name: Hernández Ávila Title: Patients' characterization affected with cervicalgia assisted in the Services of Integral Rehabilitation Abstract: Introduction: the cervicalgia constitutes the clinical entity that refers to the pain located in the later region and posterolateral of the neck, from the occiput until the high dorsal region. Objective: to characterize clinical and therapeutically the patients affected with cervicalgia assisted in the room of rehabilitation of the Center Diagnosis Integral School The Olive trees in the state of Bolivar, in the period of January to June 2024. Methods: he/she was carried out an observational study, analytic of cohort, longitudinal and prospective that included the patients affected with cervicalgia assisted in the room of rehabilitation of the Center Diagnosis Integral School The Olive trees. Results: in relation to the distribution of patient according to sex, it is observed that the feminine sex prevailed with 75,7%, the etiología of the most frequent cervicalgia in the individuals of the study was the mechanics with 73,6%. Conclusions: they were characterized clinical and therapeutically the patients affected with cervicalgia assisted in the rehabilitation room where the women constitute the most representative sex, being more frequent the entity in the adult associated to mechanical causes Journal: Health Leadership and Quality of Life Pages: .466 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.466 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.466:id:.466 Template-Type: ReDIF-Article 1.0 Author-Name: Paez Labrador Author-Name: Malagón Silva Author-Name: Rodríguez Sánchez Author-Name: Ramos Miranda Author-Name: Hernández Pérez Title: Vascular access for hemodialysis at the Guido Valadares National Hospital, Timor Leste Abstract: Introduction: Chronic Kidney Disease is a pathology that is gaining a lot of interest in the field of public health. Currently, arteriovenous fistula maintains its validity as the access route of choice for patients who require dialysis treatment. Methods: A descriptive, retrospective, cross-sectional observational study was carried out on 203 patients who were admitted to the Nephrology service of the “Guido Valadares” National Hospital, Timor Leste with the diagnosis of Chronic Kidney Disease, with the objective of characterizing the vascular accesses for hemodialysis. in these patients from January 2019 to October 2022. Results: Vascular access was more frequent in females aged 50 to 54 years old. Hypertensive and diabetic nephropathy were the predominant causes. All patients are not referred to vascular access consultation in a timely manner. Most patients began dialysis treatment with a central venous catheter. Hemorrhage and thrombosis predominated in autologous vascular accesses. Conclusions: Autologous vascular access is ideal in patients who need renal purification treatment to survive Journal: Health Leadership and Quality of Life Pages: .465 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.465 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.465:id:.465 Template-Type: ReDIF-Article 1.0 Author-Name: Hernández López Author-Name: Cabrera Mejico Author-Name: Abreu Carrete Author-Name: Martínez Author-Name: Dot Pérez Title: Conceptual Generalities about Addictions and the Prevention of DrugAbuses Abstract: Introduction: Substance use represents a public health problem that has increased considerably in the last years. Health institutions are scenarios that contribute to the identification of people at risk of entering the world of the addictions and, once they have done it, help them in the process of detoxification, rehabilitation and social reintegration. Objective: To describe the pathways of initiation, risk factors and consequences of drug use. Methods: Different databases were examined using keywords taken from the Health Sciences Descriptors. The terms used were drug, addictive behavior and prevention. Development: Theoretical aspects on the prevention of drug abuse, its main prototypes and effects are delved into. The importance of prevention as an action and effect of interventions designed to prevent or counteract the individual, social and environmental causes of drug abuse was pointed out. Conclusions: In the field of drug addiction prevention, studies devoted to delving into the risk factors associated with drug abuse have allowed a more effective approach for its treatment and reduction Journal: Health Leadership and Quality of Life Pages: .464 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.464 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.464:id:.464 Template-Type: ReDIF-Article 1.0 Author-Name: Maldonado Title: Musical Education in Kindergarten. Importance on the quality of life in children Abstract: Musical education in early childhood is a crucial component for holistic development, promoting cognitive, emotional, and social skills. This systematic review explores the impact of musical education on preschool children, emphasizing the Latin American and Argentine contexts. Methods: A systematic review was conducted following PRISMA guidelines. Studies from 2000 to 2023 focusing on the effects of musical education in children aged 3-6 years were included. Databases like Scopus, PubMed, ERIC, and Scielo were searched using keywords such as "musical education," "preschool," and "child development." Data extraction covered demographics, study design, interventions, and outcomes. Study quality was assessed using the CASP checklist. Results: The review highlights that musical education significantly enhances cognitive development, improving memory, attention, and mathematical skills. Emotional and social benefits include better emotional expression, empathy, and cooperation. Active musical practices, such as singing and using simple instruments, foster creativity and self-esteem. In Latin America and Argentina, musical education reinforces cultural identity and promotes inclusion, albeit with challenges like resource disparities and teacher training limitations. Conclusions: Musical education in preschool is a powerful tool for holistic development, with well-documented cognitive, emotional, and social benefits. In Latin America and Argentina, it also serves as a cultural and inclusive practice. Efforts should focus on reducing inequalities in access to resources and strengthening teacher training programs. Journal: Health Leadership and Quality of Life Pages: .463 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.463 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.463:id:.463 Template-Type: ReDIF-Article 1.0 Author-Name: Maldonado Title: School-Orchestras Program of the Province of Buenos Aires: A Social Tool for Change Abstract: The School Orchestras Program of the Province of Buenos Aires is a pedagogical and social initiative that uses music as a tool for inclusion, community development and social transformation. This article analyzes the impact of the program in vulnerable contexts, exploring its achievements, challenges and future perspectives based on a review of experiences gathered in the region. It is also contextualized within the framework of Argentine public policies oriented to education and culture, highlighting its contribution to equity and social cohesion. Journal: Health Leadership and Quality of Life Pages: 462 Volume: 3 Year: 2024 DOI: 10.56294/hl2024462 Handle: RePEc:dbk:health:v:3:y:2024:i::p:462:id:462 Template-Type: ReDIF-Article 1.0 Author-Name: Miló Valdés Author-Name: Pérez Acevedo Title: Immunological aspects of COVID-19 pathogenesis: a review Abstract: Introduction: COVID-19, caused by SARS-CoV-2, has challenged the scientific and medical community since its emergence. Understanding the immunopathogenic events that occur during infection is crucial to developing effective treatment and prevention strategies. Objective: To synthesize the immunological aspects in the pathogenesis of coronavirus disease 2019. Development: SARS-CoV-2 infection begins with the entry of the virus into host cells through the ACE2 receptor. Once inside, the virus induces an immune response. In the early stages, the innate immune response is activated, which includes the release of interferons and cytokines. However, in some patients, this response becomes deregulated, triggering a cytokine storm that contributes to systemic inflammation and lung damage. T and B cells also play a crucial role; although the activation of CD8+ T cells can help control the infection, their depletion in severe cases has been associated with worse clinical outcomes. Conclusions: Immunopathogenic events in COVID-19 are complex and can lead to diverse clinical outcomes. Understanding these mechanisms is essential for the development of targeted therapies and effective vaccines. Continued research is critical to improving our response to future pandemics. Journal: Health Leadership and Quality of Life Pages: .461 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.461 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.461:id:.461 Template-Type: ReDIF-Article 1.0 Author-Name: Mesa Valiente Author-Name: Del Rio Caballero Author-Name: Hurtado Gascón Author-Name: Turro Mesa Author-Name: Mesa Author-Name: Turro Caró Title: Improvement strategy to improve the professional performance of family physicians in the care of the frail elderly Abstract: Introduction: The physiological process of aging leads to risk situations, including frailty, therefore, primary care professionals must achieve the necessary competence to face it successfully. Objective: To design an improvement strategy to improve the professional performance of the family physician in the care of the frail elderly. Method: A two-phase research was carried out: the first phase was descriptive, observational and mixed (quantitative-qualitative) to diagnose the performance status of the professionals, the population consisted of 28 family physicians. Four dimensions and 18 indicators were evaluated and their methodological triangulation was carried out to establish problems and potentialities. In a second phase of development and technological innovation, the principles of the proposed strategy, its modeling, design and main results are established and supported. Results: There is little evidence of professionals' mastery of the criteria of frailty, its symptoms and signs and therapeutic approach. It was also found low frequency of realization of health promotion activities and insufficient use of the instruments for multidimensional assessment, The overcoming strategy is modeled with four stages, each with specific objectives and actions to be developed. Conclusions: An insufficient performance of professionals in the comprehensive care of frail adults before applying the educational strategy is verified, in the comparative observations after its implementation, a remarkable improvement in performance and satisfaction is evidenced, which makes it possible to recognize the validity of the proposed strategy. Journal: Health Leadership and Quality of Life Pages: .460 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.460 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.460:id:.460 Template-Type: ReDIF-Article 1.0 Author-Name: Turro Mesa Author-Name: Del Río Caballero Author-Name: Guzmán Pérez Author-Name: Mesa Author-Name: Mesa Valiente Author-Name: Carmenaty Title: Predictive scale for in-hospital death in patients with acute heart failure Abstract: Introduction: In the context of the prevention of cardiovascular diseases, the high mortality of acute heart failure is a challenge. Objective: Design a scale, based on identified risk factors, for the prediction of early hospital death due to acute heart failure. Methods: An analytical, observational prospective cohort study was carried out that included 127 patients with acute heart failure admitted to the emergency room of the “Saturnino Lora” Provincial Clinical-Surgical Hospital in Santiago de Cuba, from September 2020 to June 2024. They were developed as variable dependent on the patient's condition and as independent of hypothetical clinical, hematological and echocardiographic prognostic factors. The scale was derived from binary logistic regression analysis of the identified cardiovascular risk factors. Results: As the scale score increased, the percentage of deceased patients increased. The area under the curve was 0.881 (p= 0.000) and the Hosmer-Lemeshow goodness-of-fit test obtained p=0.129. Conclusions: The proposed scale made it possible to predict early hospital mortality in patients with acute heart failure, with very good discrimination and calibration capacity. Journal: Health Leadership and Quality of Life Pages: .459 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.459 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.459:id:.459 Template-Type: ReDIF-Article 1.0 Author-Name: Rodríguez Pérez Author-Name: Sixto Fuentes Author-Name: Iglesias Iglesias Author-Name: Abreu Carrete Author-Name: Gómez Guerra Title: National and international tendencies in the formation of talkative abilities for the Promotion of Health Abstract: Introduction: the development of the process of formation of talkative abilities for the promotion of health constitutes a necessity to complete the integral general doctor's social responsibility Objective: to determine the international and national tendencies in connection with the formation of talkative abilities for the promotion of health Methods: it was used as method rector the dialectical one. Of the theoretical level: the historical-logical, analytic-synthetic and the inductive-deductive one. As empiric method the documental revision. Results: as international tendencies they were in this investigation: scarce published works, little emphasis in talkative abilities, formal incorporation of the formation of talkative abilities in the curricula of the medicine schools, boarding of the talkative abilities with more emphasis in the communication in the doctor-patient relationship and not in the activities of promotion of health in the APS, reorientation of the formation of talkative abilities with focus of primary attention of health.. In Cuba, they were: limitations of the systematic and integral boarding of the formation of talkative abilities for the promotion of health, isolated treatment of the value of the talkative abilities for the promotion of health in the solution of problems in the primary attention of health, recognition of the value of the talkative abilities for the promotion of health in the solution of problems in the primary attention of health, inclusion of curricular strategies in study plans guided to the formation of necessary talkative abilities for the promotion of health in the APS ,necesidad of improvement of the didactic boarding of the talkative abilities in the educational strategies for years and subjects in the study plans Journal: Health Leadership and Quality of Life Pages: .458 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.458 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.458:id:.458 Template-Type: ReDIF-Article 1.0 Author-Name: Porras Pérez Author-Name: Travieso Ramos Author-Name: Herrera Miranda Author-Name: Suárez García Title: Management of the methodological teaching work in the cuban medical university Abstract: Background: The Cuban educational model of professional training in the health sciences entails the fusion of the pedagogical model of higher education with the health model that has been developed in the country, which undoubtedly distinguishes the conception and development of a training process of itsown. Objective: To support the management of the methodological teaching work in the Cuban medical university. Methods: To support the analysis of the management of the methodological teaching work in the Cuban medical university, methods of the theoretical level were used, such as the historical-logical, systematization and documentary analysis. Results: For the analysis of the management of methodological teaching work, 5 stages are established; First Stage (1962 to 1980: Consolidation of the University Reform and First Regulation of Methodological Work); Second Stage (1981 to 1987: Implementation of the Norms of the Teaching and Methodological Work of the specialties of higher medical education); Third Stage (1988 to 2006: Regulation for the organization of the educational teaching process in the centers of higher medical education - Ministerial Resolution No. 15/88); Fourth Stage (2007 to 2017: Implementation of Resolution 210 /2007); Fifth Stage (2018 - Present: Activity of Resolutions associated with the E Plans of study). Conclusions: The Resolutions issued by MINSAP and MES have had a significant contribution in the management of methodological teaching work in Higher Medical Education Institutions and in the quality of the training of Health System professionals in Cuba. Journal: Health Leadership and Quality of Life Pages: .457 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.457 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.457:id:.457 Template-Type: ReDIF-Article 1.0 Author-Name: Carbonell Amiot Author-Name: Montes de Oca Carmenaty Author-Name: Bringues Segura Author-Name: Romero García Title: Endothelial dysfunction in patients exposed to cardiovascular risk factors Abstract: Introduction: Cardiovascular diseases are the leading cause of death globally. 90% of them derive from cardiovascular risk factors, the modification of which makes it possible to reverse their harmful consequences. Objective: Identify the presence of endothelial dysfunction in patients exposed to classic cardiovascular risk factors. Method: An observational, descriptive study of case series was carried out with a sample n=106 of patients exposed to classic cardiovascular risk factors, during the period January 2022 to January 2024, treated in a specialized cardiological prevention clinic, at the Cardiology Center. and Cardiovascular Surgery, “Saturnino Lora” Provincial Hospital, Santiago de Cuba. Results: The most altered endothelial function was vasomotor, the highest proportion was found in the group of sick patients, reaching 88.68%. The second most altered function of the vascular endothelium was the inflammatory response, which generally reached proportions of 79.24 and 76.42%. The increase in the intima-media thickness of the carotid artery above 0.8 mm has a strong association with the appearance of CVD (p=0.000; V=0.531), followed by the us CRP value (p=0.001 ; V=0.333). Conclusions: It is concluded that there is an association between the presence of a dysfunctional vascular endothelium and the appearance of cardiovascular disease, determined predominantly by an alteration of vasomotor function and the inflammatory response. Journal: Health Leadership and Quality of Life Pages: .456 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.456 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.456:id:.456 Template-Type: ReDIF-Article 1.0 Author-Name: Montes de Oca Carmenaty Author-Name: Blanco Alvarez Title: Arterial stiffness: importance of considering in the supposedly healthy human Journal: Health Leadership and Quality of Life Pages: .455 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.455 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.455:id:.455 Template-Type: ReDIF-Article 1.0 Author-Name: Ragimova Author-Name: Abdullayev Author-Name: Mirzoyeva Author-Name: Mirzoyeva Title: Application of Artificial Intelligence in Dentistry Abstract: Dentistry is one of the youngest medical applications of artificial intelligence. Here, artificial intelligence and its various components (machine learning, deep learning, neural networks) are applied at a number of stages, such as diagnosis, decision-making, treatment planning, and prediction. Dental radiology, maxillofacial surgery, orthopedic dentistry is some of the application areas of artificial intelligence in dentistry. Despite some advantages, there are a number of problems (security, legal and ethical problems during decision-making, etc.). Their solution is also related to the development of artificial intelligence application. This updates and improves its future application directions. In the article, the application, management, advantages, application problems, and future directions of artificial intelligence in dentistry are mentioned. Keywords: Dentistry, Artificial Intelligence, Machine Learning, Advantages, Challenges. Journal: Health Leadership and Quality of Life Pages: .454 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.454 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.454:id:.454 Template-Type: ReDIF-Article 1.0 Author-Name: Rodríguez López Author-Name: Gattorno Aguila Author-Name: González Esquerra Author-Name: Chávez González Author-Name: Reyes Reinaldo Author-Name: Núñez Barreto Author-Name: Durán Cárdenas Title: Idiopathic Left Posterior Posterior Fascicular Ventricular Tachycardia in a Pregnant. A case report Abstract: Idiopathic left fascicular ventricular tachycardias (VT) are a rare form of ventricular tachycardia. In general, they represent 10-15% of all idiopathic ventricular tachycardias, and verapamil is useful in their treatment and in the prevention of recurrences. They are typical of young males (15-40 years) and although they usually occur at rest, they can be induced by catecholamines in situations of emotional stress or exercise. We present the case of an 18-year-old woman, 38.2 weeks pregnant, admitted to the Emergency Department of our center for the presence of palpitations and elevated heart rate in the context of emotional stress. She had no previous evaluations for similar symptomatology. In the electrocardiogram performed, repolarization alterations, incomplete right bundle branch block pattern, narrow QRS, electrical axis deviated to the left, atrioventricular dissociation, and sustained tachycardia refractory to treatment, deciding the termination of pregnancy due to signs of fetal distress. Journal: Health Leadership and Quality of Life Pages: .453 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.453 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.453:id:.453 Template-Type: ReDIF-Article 1.0 Author-Name: Montes de Oca Carmenaty Author-Name: Yero Haber Author-Name: Blanco Alvarez Author-Name: García Céspedes Author-Name: Suarez Lescay Author-Name: Carbonell Amiot Title: Bibliometric Analysis onarterial stiffness in the period 2013-2023 Abstract: Introduction: Arterial stiffness is a physiological process related to aging and metabolic vascular deterioration. It is a well-established predictor of cardiovascular morbidity and mortality in the general population and even in different subgroups of patients, such as: hypertensive, diabetic, renal insufficiency, coronary patients, among others. Objective: To describe the scientific production published on arterial stiffness in the SCOPUS, PubMed and Crossref databases. Method: Observational, descriptive, retrospective, bibliometric study of the articles available in the SCOPUS, PubMed and Crossref databases between January 2013 and September 2023. Productivity, appointment impact, collaboration, and usage metrics were studied. Results: A total of 10788 articles were published; Of these, 77,28% were original and 17% were open access. 92% were written in English and 8% in Spanish. The most productive year was 2023, with a total of 1997 articles published on the topic. The Journal of Vascular Surgery is the journal with the largest number of publications on the subject. Conclusions: It is concluded that the scientific production on arterial stiffness has increased in the last five years. This study offers objective evidence to guide researchers and facilitate a bibliometric review and integration on arterial stiffness, within the interdisciplinary context. Journal: Health Leadership and Quality of Life Pages: .452 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.452 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.452:id:.452 Template-Type: ReDIF-Article 1.0 Author-Name: Castillo Valdés Author-Name: Sixto Fuentes Author-Name: Fernández Ortega Title: Regularities of the professional improvement process of general practitioners for the early diagnosis of oral communication disorders Abstract: Introduction: professional development (PS) is a permanent need for specialists in General Comprehensive Medicine (MGI) to face challenges in relation to the early detection of oral communication (OC) disorders, which have significant repercussions on social relations. Objective: to characterize the initial state of the professional development process (PSP) of MGI for the early diagnosis of OC disorders at the University Polyclinic “Hermanos Cruz de Pinar del Río”. Methods: The dialectic method was used as the guiding method and at the empirical level, documentary review, scientific observation, interviews, surveys and descriptive statistics. Results: the regularities of the PSP of the MGI for the early diagnosis of CO alterations constitute that: it is not developed from the identification of the MGI's needs for the early diagnosis of OC alterations, so there is no correspondence between the planned activities-renewal of contents-expected professional performance; in the planning of the PS, the different organizational forms that favor this process are not taken into account, nor the methods-means-forms relationships that privilege learning at this level and the potentialities of group work and the most updated technological resources are not taken advantage of. Conclusions: the PSP of the MGI for the early diagnosis of CO alterations has insufficiencies related to: the identification of the MGI's needs for the early diagnosis of CO alterations that limit their professional performance. Journal: Health Leadership and Quality of Life Pages: .451 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.451 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.451:id:.451 Template-Type: ReDIF-Article 1.0 Author-Name: Mesa Author-Name: Turro Mesa Author-Name: Mesa Valiente Author-Name: Turro Caró Author-Name: Caballero Title: Do we adequately assess natremia in cardiovascular surgery? Abstract: Introduction: The unquestionable progress of cardiac surgery and its technological development has not been able to leave behind the burden of its high morbidity, mortality and high costs, therefore, the search for biomarkers that can predict adverse effects and perioperative complications in time and facilitate a better evaluation of these patients continues. Objective: to evaluate the degree of association of natremia with the appearance of serious perioperative complications Methods: An ambispective cohort study was carried out on patients who underwent major cardiovascular surgery between January 1, 2019 and December 31, 2023 at the Cardiocentro of Santiago de Cuba, who met inclusion criteria. Results: A close link was demonstrated between the occurrence of severe perioperative complications and preoperative sodium concentration (p=0.000 RR 1.83) Conclusions: The occurrence of complications was high but in accordance with what has been found in the international and national literature, the monitoring of preoperative sodium concentration could be included as an additional parameter for monitoring, early detection and treatment of complications and consequently reduce the high morbidity and mortality of these patients. Journal: Health Leadership and Quality of Life Pages: .450 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.450 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.450:id:.450 Template-Type: ReDIF-Article 1.0 Author-Name: Mesa Valiente Author-Name: Turro Caró Author-Name: Turro Mesa Author-Name: Caballero Author-Name: Del Río Mesa Author-Name: Montes de Oca Carmenaty Title: Clinical and epidemiological characterization of patients with ischemic heart disease and left ventricular dysfunction Abstract: Introduction: One of the most common causes of heart failure is ischemic heart disease. Objective: To characterize patients with a diagnosis of ischemic heart disease and left ventricular dysfunction from an epidemiological and clinical point of view. Methods: Observational, descriptive and cross-sectional study in a population of 300 patients with a diagnosis of ischemic heart disease and left ventricular dysfunction, treated in the cardiology service of the Saturnino Lora Torres Provincial Clinical Surgical Teaching Hospital, from January 2021 to December 2023. The summary measures were applied for each type of variable, in each statistical test a significance level α=0.05 was used. Results: 53.3% of the patients were in the age group of 60 to 79 years and 66.0% were male. A significant statistical association was found between the presence of pulmonary edema and systolic-diastolic dysfunction of the left ventricle; as well as cardiogenic shock, sustained ventricular arrhythmias, stroke and pulmonary embolism with the status at discharge. Conclusions: Patients with a diagnosis of ischemic heart disease and left ventricular dysfunction were characterized by advanced age, disparity in the proportion between sexes. The presence of pulmonary edema was secondary to systolic-diastolic dysfunction of the left ventricle. Patients with negative coronary angiography, cardiogenic shock, sustained ventricular arrhythmias, stroke, and pulmonary embolism were associated with discharge status. Journal: Health Leadership and Quality of Life Pages: .449 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.449 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.449:id:.449 Template-Type: ReDIF-Article 1.0 Author-Name: Kiefer Title: Accuracy of full arch models achieved from different 3D printers Abstract: This work titled "Accuracy of full arch models achieved from different 3D printers" addresses significant advancements in the field of dentistry thanks to CAD-CAM technology and 3D printing, which have transformed precision and efficiency in dental treatments. The development of stereolithography and other 3D printing methods has revolutionized the creation of dental models, prosthetics, and surgical devices. The study focused on comparing the accuracy of three 3D printers based on a scanned initial model of a dental arch. Using the STL format for digital designs, complete arches were printed with specific resins on each printer. Subsequently, the printed models were evaluated through scanning and digital overlay comparison using Exocad software. The results showed variations in accuracy among the printers, highlighting that the VeriBUILD 79200 was the most precise, followed by the 3D Sonic Mighty 4K and the UV MAX. It was concluded that although 3D printers offer significant advantages in terms of detail reproduction, it is crucial to consider limitations and variability among models and technologies when selecting one for precise clinical applications in dentistry. This study underscores the importance of ongoing research and future standardization of criteria to evaluate the accuracy of 3D printed models in dentistry, aiming to optimize clinical and educational outcomes in the field. Journal: Health Leadership and Quality of Life Pages: .448 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.448 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.448:id:.448 Template-Type: ReDIF-Article 1.0 Author-Name: Rita Sanda Title: Ozonetherapy applied to periodontics Abstract: Ozone is a gas present in the atmosphere that protects living organisms from ultraviolet rays and helps clean the environment. In dentistry, as in other branches of medicine, ozone has numerous functions. Ozone consist of three oxygen atoms that has had positive effects in any of its presentations, either gaseous, oil or in aqueous form over bacteria with high or low pathogenicity, results in a decrease in number and reproductive or progressive capacity. Ozone therapy is a novel, non-traumatic, painless and non-invasive alternative to prevent and treat conditions. Currently, it is considered a complementary treatment in oral care. Ozone therapy has become an adjuvant treatment in the control and treatment of dental, dermatological and cosmetic diseases, among other things due to its antimicrobial capacity. Journal: Health Leadership and Quality of Life Pages: .447 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.447 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.447:id:.447 Template-Type: ReDIF-Article 1.0 Author-Name: Rita Sanda Title: Advances in Dental Treatments: Benefits of Ozone Therapy Abstract: Introduction: Ozone therapy is a medical technique used since 1840 with positive results in various disciplines, including dentistry. This method uses ozone, a molecule composed of three oxygen atoms, known for its high oxidizing potential. Its ability to destroy bacteria, fungi and viruses without harming human cells makes it a promising tool, especially in the management of oral and periodontal infections. Development: In dentistry, ozone is applied in gaseous, aqueous and oily forms, standing out for its antimicrobial, immunostimulant, antioxidant and analgesic efficacy. Its oxidizing action deactivates antibiotic-resistant microorganisms in seconds, which positions it as a safe and effective alternative against infectious agents. For example, ozonated water is used as an irrigant in non-surgical periodontal treatment, promoting tissue healing and reducing inflammation and gingival bleeding. Ozone also stimulates the production of biologically active substances such as interleukins and prostaglandins, strengthening the body's immune response. In addition, it improves oxygen transport in tissues and activates cell metabolism, contributing to tissue regeneration and patient recovery. Its biocompatibility and minimal side effects position it as an innovative and non-invasive solution in dentistry. Conclusion: Ozone therapy represents a valuable complementary tool in dentistry. Its antimicrobial capacity, together with anti-inflammatory and regenerative effects, makes it an efficient and safe option for the management of oral and periodontal infections. Its proper implementation maximizes its benefits, improving patient experience and clinical outcomes. Journal: Health Leadership and Quality of Life Pages: .446 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.446 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.446:id:.446 Template-Type: ReDIF-Article 1.0 Author-Name: Sánchez Rodríguez Author-Name: Chacón Alpí Author-Name: Lescalle Ortiz Author-Name: González Horta Author-Name: Miló González Title: Current trends on placental disease and its impact on maternal and child health Abstract: Introduction: Preeclampsia and Intrauterine Growth Restriction are two of the main obstetric syndromes that contribute to maternal and perinatal morbidity and mortality. Objective: To systematize the knowledge of placental disease and its impact on maternal and infant health through the results of research on the subject. Methods: A documentary review, qualitative and descriptive research was carried out, and the following theoretical methods were used: historical-logical, analytical-synthetic, inductive-deductive. Results: The contributions of the researcher Turcios FE and his collaborators, who presented three clinical cases with retinal detachment, an event secondary to choroidal ischemia, as a result of retinal vasospasm as part of the multiorgan involvement of preeclampsia, were significant. The work presented by Ayala Yauri M. (2021 Peru) on Delayed Intrauterine Growth was relevant, emphasizing the importance of integrated evaluation with Multivessel Doppler to improve prediction and prevention in the first trimester of severe IUGR. Conclusions: The systematization of the specialized bibliography consulted on the subject has revealed sufficient elements in the authors' opinion to carry out educational strategies in terms of care for women of childbearing age for the prevention of placental disease and its complications. Journal: Health Leadership and Quality of Life Pages: .445 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.445 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.445:id:.445 Template-Type: ReDIF-Article 1.0 Author-Name: Gattorno Águila Author-Name: Rodríguez López Author-Name: Quenta Tarqui Title: Kounis syndrome type I Abstract: Kounis syndrome (KS) is a clinical entity characterized by the simultaneous appearance of allergic symptoms and acute coronary syndrome. Since its initial description in 1991, reviews and case descriptions have been added that are allowing a better understanding of its pathogenesis, for better management. Since 2010, three variants of this syndrome have been defined: vasospastic allergic angina (type I), allergic myocardial infarction (type II) and in-stent thrombosis with occlusive thrombus infiltrated by eosinophils and mast cells (type III). A patient discharged from our service with this diagnosis is presented and the electrocardiographic and angiographic images are shown. Journal: Health Leadership and Quality of Life Pages: .444 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.444 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.444:id:.444 Template-Type: ReDIF-Article 1.0 Author-Name: Ragimova Author-Name: Abdullayev Author-Name: Abuzarova Author-Name: Mirzoyeva Author-Name: Mirzoyeva Title: Application of Machine Learning in Dentistry Abstract: One of the key components of artificial intelligence, machine learning is used in many processes, including analysis, modeling, and forecasting, and it spans many industries. In addition to physical sectors such as manufacturing, human-centric sectors (such as medicine) are already continuing to expand the application of artificial intelligence and adapt to the digitalization environment. One of the primary medical subspecialties, dentistry, is a relatively new industry that heavily utilizes artificial intelligence and its potential. However, the field of dentistry is also expanding its use of AI and machine learning as their potential grows. The use of machine learning in dentistry is examined in this article. Furthermore, the use of machine learning and artificial intelligence in healthcare was also discussed. Journal: Health Leadership and Quality of Life Pages: .443 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.443 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.443:id:.443 Template-Type: ReDIF-Article 1.0 Author-Name: Cruz Quesada Author-Name: Ferro Gonzalez Author-Name: Trujillo Milo Title: Validation of a methodological strategy for frequent evaluation in the teaching-learning process in the discipline of Internal Medicine Abstract: Introduction: The term strategy is used in many commercial, personal, military activities and is tangible recurrence in didactic and pedagogical literature, where its elaboration constitutes, scientific result that contributes to the object of inquiry a project with emphasis on the main objective of its implementation. Objective: To validate a methodological strategy for frequent evaluation in the teaching-learning process of the discipline Internal Medicine. Method: Theoretical, empirical and statistical-mathematical methods were used to interpret the results. The theoretical evaluation of the proposal was carried out through the application of the expert criterion method, which supports its feasibility to achieve the proposed objective. Results: The importance of the essential relations of frequent evaluation in the teaching-learning process of the discipline Internal Medicine was verified, the strategy achieves correspondence with the current demands for the preparation of the professional and harmonizes the theoretical-methodological essence. Conclusions: This methodological strategy, concretizes actions that propitiate its systematic projection, the teaching activities of education at work are taken advantage of for this purpose and the scientific-didactic knowledge of the participants in the management of the process is improved. The feasibility of this proposal was demonstrated and confirmed that it is a novel and applicable product to contribute to its methodological improvement in the Clinical Surgical Teaching Hospital “León Cuervo Rubio” of Pinar del Río. Journal: Health Leadership and Quality of Life Pages: .442 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.442 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.442:id:.442 Template-Type: ReDIF-Article 1.0 Author-Name: López Villalta Author-Name: Cantón Navarrete Author-Name: Merino de Lozano Author-Name: García González Title: Ergonomic risk and its association with musculoskeletal symptoms present in administrative assistants Abstract: Introduction: Musculoskeletal symptoms are frequent disorders in the different activities of people, the performance of work activities under ergonomic risk conditions can lead to occupational diseases, work absenteeism and economic losses. Objective: to determine which are the ergonomic risk factors in the performance of work activities and their relationship with musculoskeletal symptoms present in administrative assistants. Methods: The research was a cross-sectional study with a random sample of fifty administrative assistants who allowed their participation by signing the informed consent form. The instruments used were the Standardized Nordic Questionnaire and the Rose Method. Results: Hundred percent reported the presence of musculoskeletal symptoms, with the neck as the most affected region. Seventy percent of the participants presented a medium to very high level of ergonomic risk, with forced postures related to the use of the chair presenting the highest average. There was a significant relationship between the specific ergonomic risk generated using the telephone and the presence of musculoskeletal symptoms in the wrist and hand, as well as between the specific ergonomic risk generated by the armrest of the chair and the presence of symptoms in the dorsal spine, shoulders, arms, elbows and forearms. Conclusions: the evaluation of ergonomic risk factors is a tool that will allow the generation of specific proposals for prevention and intervention programs, so that the necessary changes can be made to reduce occupational injuries and diseases in work activities. Journal: Health Leadership and Quality of Life Pages: .441 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.441 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.441:id:.441 Template-Type: ReDIF-Article 1.0 Author-Name: Alonso Betancourt Author-Name: Silva Velasco Author-Name: Velázquez González Author-Name: Vidal Gámez Author-Name: Vidal Rodríguez Author-Name: García González Author-Name: García Hernández Title: Blended professional teaching of Internal Medicine in third-year medical students Abstract: Introduction. Conceiving the teaching of Internal Medicine in the post-pandemic era in the third-year medical student presupposes taking into consideration the latest scientific and technological advances that operate in therapeutic diagnostic protocols for the solution of health problems, as well as the use of combined professional teaching methods (b-Professional Teaching) under the principle of affordability of content. Objective. To propose a methodology for combined professional teaching of Internal Medicine in third-year Medicine students. Methods: A cross-sectional quasi-experimental study was carried out. The population was made up of third-year medical students who rotate through the Hospital. Methods. A cross-sectional quasi-experimental study was carried out. The population was made up of third-year medical students who rotate through the “Vladimir Ilich Lenin” University General Hospital of Holguín. Groups 1 and 3 were selected as a sample because they presented similar results in their clinical training through intentional sampling, for a total of 54. Observation and the Wilcoxon Signed Rank Test were used to confirm the research hypothesis. Results. The combined professional teaching methodology of Internal Medicine was provided, as well as the main achievements and deficiencies that the Medical students demonstrated during the application of the same in a training period. Conclusions. The combined professional teaching of Internal Medicine is conceived through the affordability of the content according to the characteristics of the third-year student and is materialized through the link between thez academic, work and research component based on the integration of face-to-face and virtual teaching (virtual classrooms and mobile devices). Journal: Health Leadership and Quality of Life Pages: .440 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.440 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.440:id:.440 Template-Type: ReDIF-Article 1.0 Author-Name: Del Rio Caballero Author-Name: Mesa Valiente Author-Name: Turro Caró Author-Name: Turro Mesa Author-Name: Hierrezuelo Rojas Author-Name: Del Río Mesa Title: Improving the performance of the General Practitioner in the care of cardiovascular risk Abstract: Introduction: Comprehensive care for the frail elderly is a challenge for the professional performance of the Comprehensive General Medicine specialist in primary health care. Objective: To design a professional development strategy to improve the performance of the Comprehensive General Medicine specialist in the care of the frail elderly. Methods: A descriptive and mixed observational research (quantitative with qualitative elements) was carried out at the Municipal Polyclinic of Santiago de Cuba, from March 2019 to February 2021. The study population was made up of the 28 Comprehensive General Medicine specialists located in the health area's clinics. The improvement of the professional performance of the MGI specialist in the care of the frail elderly was used as a study variable. The strategy was carried out in four stages. Results: In the cognitive dimension, a positive modification was demonstrated in all its indicators, reaching figures of 75% and more; The bioethical dimension showed figures of 95% and above, the care dimension showed figures of 90% and above, of the four indicators evaluated in the scientific research, indicator 4.2 related to the frequency with which publications are made was the one that experienced the least changes (42%). Conclusions: The comparative results of the observations made in the performance and in the applied satisfaction survey, made it possible to recognize the validity of the proposed improvement strategy in most of the indicators, since the frequency with which publications are made remained affected after the strategy. Journal: Health Leadership and Quality of Life Pages: .439 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.439 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.439:id:.439 Template-Type: ReDIF-Article 1.0 Author-Name: Meléndez Author-Name: Escalona Author-Name: Ron Title: Relationship between mental fatigue and cognitive functions in energized line workers of electric sector companies in Aragua State-Venezuela, 2024 Abstract: Introduction: Understanding the physical and mental state of operational personnel in the electrical sector was essential to ensure health and prevent workplace accidents. This research analyzed the relationship between mental fatigue and cognitive functions in energized line workers of electric companies in Aragua state, Venezuela. Methods: The study was developed under the positivist paradigm with a quantitative approach, non-experimental, descriptive, field-based, and cross-sectional design. The sample consisted of twelve workers assigned to energized line departments. Data collection was conducted through observation, photographic records, sociodemographic survey, Montreal Cognitive Assessment Test version 8.1 (MoCA), and Subjective Fatigue Patterns Test (PSF). Pearson's correlation coefficient was used to analyze the relationship between variables. Results: The results showed a low inverse correlation, suggesting that increased fatigue levels could be associated with a decrease in cognitive function values. Conclusions: A moderately low and non-significant statistical correlation was concluded, suggesting the need for future research with larger sample sizes and validation of other variables such as age, educational level, experience, as well as specific analysis of the Montreal Cognitive Test variables. Journal: Health Leadership and Quality of Life Pages: .438 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.438 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.438:id:.438 Template-Type: ReDIF-Article 1.0 Author-Name: Eslava-Zapata Author-Name: Caraballo Author-Name: Anido-Rivas Title: Transformational leadership: emerging lines of research Abstract: Introduction: Keeping a team united involves applying incentives to keep collaborators linked to the organization and following an effective communication process to influence people to achieve goals positively. This work aims to carry out a bibliometric analysis of transformational leadership to know the emerging lines of research. Methods: The study is of a mixed type; it has a qualitative and a quantitative part. The qualitative part involves the review of publications and keywords in order to generate clusters related to current lines of research. The quantitative part is related to analyzing the trend of papers by year, by author, author affiliation, country, and area. Results: The author's mapping of the occurrence of keywords formed three clusters. The first cluster, identified with red, is related to "Transformative leadership." The second cluster, identified with green, is related to "Types of leadership." The third cluster, identified with the color blue, is related to the "Emotional intelligence of the leader." Conclusions: This study opens a range of opportunities for developing other bibliometric studies and invites researchers to develop new projects that explore the identified lines of work related to Work Engagement, Green Transformational Leadership, Job Performance, and Psychological Empowerment. Journal: Health Leadership and Quality of Life Pages: .437 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.437 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.437:id:.437 Template-Type: ReDIF-Article 1.0 Author-Name: Sánchez Castillo Author-Name: Gómez Cano Title: Health education and technological innovation: an unpostponable relationship Abstract: The integration of health education and technological innovation has become a strategic axis to address contemporary challenges in the field of public health. This article analyzes how emerging technologies, such as artificial intelligence, digital platforms, and gamification, can enrich health education programs by improving access, personalization, and effectiveness of learning processes. Based on a critical review of the literature published between 2020 and 2024, key trends are identified, such as the inclusion of intercultural perspectives, the strengthening of teacher training, and the promotion of technological equity. The ethical, social, and cultural challenges associated with the use of technological tools are also addressed, highlighting the need for public policies that support their responsible and sustainable implementation. The analysis highlights how these strategies can transform traditional health education paradigms, promoting comprehensive learning adapted to the needs of diverse communities. Finally, the article proposes an agenda for future research and actions that promote the effective integration of these areas, with a view to strengthening global health and reducing educational access gaps. Journal: Health Leadership and Quality of Life Pages: .436 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.436 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.436:id:.436 Template-Type: ReDIF-Article 1.0 Author-Name: Gutiérrez Reyes Author-Name: Arteaga Almeida Title: Trends and Advances in Gluten-Free Products Abstract: Introduction: Gluten is a protein present in grains such as wheat, barley and rye which provides elasticity and structure to baked products, however, worldwide there are people with celiac disease or non-celiac gluten sensitivity and because the body does not assimilate this protein it is necessary to avoid it, therefore currently there is a growing demand for gluten-free foods creating new products, improving their nutritional profile and market acceptance. Due to the above mentioned, the objective of this work is to carry out a bibliographic search of current trends and technological advances in the development of gluten-free products, in order to identify opportunities for innovation and improvement in the quality and acceptability of these products among consumers. Material and methods: To carry out the research, a bibliographic review was carried out in PUBMED, WEB OF SCIENCE, SCIENCEDIRECT, SCOPUS and GOOGLE SCHOLAR related to the topic of interest, including information found within the last five years (2019 - 2024). Results: Thus, it is concluded that there are currently a huge number of gluten-free products, especially bakery products, with a change in nutritional composition. Likewise, advances propose the use of substitute flours for the preparation of gluten-free foods, creating greater accessibility of these products to their consumers. Conclusions: Finally, it is concluded that the consumption of these foods should be in moderation due to their nutritional value to avoid deficiencies and non-communicable diseases in the long term. Journal: Health Leadership and Quality of Life Pages: .435 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.435 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.435:id:.435 Template-Type: ReDIF-Article 1.0 Author-Name: Lutsenko Title: Digitalisation of public administration: challenges and prospects Abstract: Today, digital technologies have already become the basis for many areas of society. Public administration is no exception. The active digitalisation of public administration is a window to new opportunities that can provide society and public authorities with new ways to increase trust and transparency. Global trends, such as the development of artificial intelligence, cloud services and blockchain technologies, are driving changes in the interaction between citizens, businesses and the state. This is the reason for the relevance of this research. After all, the digitalisation of public administration gives rise to new perspectives and challenges that are an integral part of the provision of administrative services in the context of digitalisation. The purpose of the research is to analyse the main concepts of public administration digitalisation and its importance for the information society; to describe in detail the challenges that accompany the digitalisation of public administration; to analyse the prospects and provide recommendations for the development of digital platforms in the public administration of Ukraine. To achieve this goal, we used the following methods of scientific knowledge: general philosophical method, descriptive method, method of system analysis, synthesis, dialectical method, methods of deduction and induction. The findings will serve as a basis for further research, and the analysis of challenges and prospects will form the basis for further improvement of public administration and public service delivery in Ukraine. Journal: Health Leadership and Quality of Life Pages: .434 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.434 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.434:id:.434 Template-Type: ReDIF-Article 1.0 Author-Name: Hernández Runque Author-Name: Ron Author-Name: González Argote Title: Strengthening Preventive Culture: Biomedical evaluation of occupational exposure to pesticides using serum cholinesterase Abstract: Objective: To evaluate the serum cholinesterase activity in a population that is occupationally exposed to pesticides during the years 2022 - 2023. Materials and Methods: A descriptive, field, non-experimental, quantitative research was conducted during the years 2022-2023. The population consisted of 144 workers exposed to carbamate and/or organophosphate pesticides, and the sample was of the census type, representing 100% of the population. The cholinesterase activity was determined using the Randa and Limperos method, with modifications by Epson. The analysis was conducted using Lovibond field equipment. A spreadsheet in Excel 2013 software was used for data processing. Results: There was evidence of a predominance of male labor force (95.1%), with workers over 40 years of age (62.5%) and blue-collar workers (80.6%); in terms of exposure time, workers have long exposure to insecticides. Similarly, the average decrease in cholinesterase levels exceeded 7% among the study's population, with older workers experiencing the most significant declines in enzyme activity. Conclusions: exposure to pesticides represents an occupational health problem, since it was found that the average decreases in cholinesterase occupy an important place in the population studied, reflecting potential events that could have a negative impact on the health of these workers. This makes it necessary to consolidate and strengthen the bases where the preventive culture is sustained. Journal: Health Leadership and Quality of Life Pages: .433 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.433 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.433:id:.433 Template-Type: ReDIF-Article 1.0 Author-Name: Turro Mesa Author-Name: Turro Caró Author-Name: Mesa Valiente Author-Name: Caballero Author-Name: Del Río Mesa Author-Name: Montes de Oca Carmenaty Title: Result of percutaneous coronary intervention after successful fibrinolysis Abstract: Introduction: Acute myocardial infarction is the main cause of death among cardiovascular diseases and primary percutaneous coronary intervention is the treatment of choice in infarcted patients with ST segment elevation. Objective: To describe the results in the application of percutaneous coronary intervention after successful fibrinolysis in patients with acute myocardial infarction. Methods: Observational, descriptive and cross-sectional study in patients with acute myocardial infarction treated at the “Saturnino Lora Torres” Provincial Hospital in Santiago de Cuba, in the period from January 2019 to December 2021. The patients were chosen through sampling. non-probabilistic intentional type. Results: The average age was 57 years, with a predominance of males (70%). The main risk factors were high blood pressure (49%), smoking (45%) and diabetes mellitus (35%). 78% of patients used aspirin in treatment, followed by ACE inhibitors. 91% 91% presented chest pain and dyspnea in 67%. The most frequent topographic presentations were anterior (35%), inferior (33%) and extensive (18%). 59% affected only one vessel and a stent was placed in 78% of the total. Conclusions: The results showed insufficiencies in the adequate treatment of patients with acute myocardial infarction. Journal: Health Leadership and Quality of Life Pages: .432 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.432 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.432:id:.432 Template-Type: ReDIF-Article 1.0 Author-Name: Turro Mesa Author-Name: Caballero Author-Name: Guzmán Pérez Author-Name: Del Río Mesa Author-Name: Mesa Valiente Author-Name: Montes de Oca Carmenaty Title: Theoretical foundations of mortality risk prediction scales for acute heart failure Abstract: Introduction: Heart failure is a public health problem. Multiple scales have been designed to predict mortality risk. Objective: to systematize the theoretical references that support the mortality risk prediction scales due to acute heart failure Development: different researchers approach the prediction process from different areas of knowledge, at the national and international level, and theoretical positions related to the topic are adopted. Conclusions: the systematization carried out on the mortality prediction scales for acute heart failure allowed us to establish an approach to the theoretical references that support the topic. Journal: Health Leadership and Quality of Life Pages: .431 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.431 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.431:id:.431 Template-Type: ReDIF-Article 1.0 Author-Name: Manoli Author-Name: Rampal Author-Name: Balaji Author-Name: Sadangi Author-Name: Singh Author-Name: Mahajan Title: Strategies for Effective Cancer Therapy Through Understanding the Tumor Microenvironment Abstract: The tumor microenvironment (TME) is very important for how cancer starts, grows, and becomes resistant to treatment. It is made up of different kinds of cells, like cancer cells, immune cells, fibroblasts, vascular cells, and extracellular matrix (ECM) components. These cells interact with each other to make a complicated and changing environment that affects how the tumor behaves. Understanding the TME is important for making cancer treatments better because it helps us understand how immune systems hide cancer, how it spreads, and how drugs don't work on it. This abstract looks at ways to improve cancer treatment by learning more about the TME. One potential method is to target immune cells in the TME, like tumor-associated macrophages, regulatory T cells, and myeloid-derived suppressor cells, which often help the immune system tolerate the tumor and it grows. It is possible to recover immune function and make immunotherapies like immune checkpoint inhibitors work better by changing these groups of immune cells. Disrupting the ECM is another approach. The ECM not only supports the shape of the tumor but also controls cell communication and the growth of drug tolerance. To improve drug transport and stop tumor spread, scientists are looking into agents that target ECM components or enzymes that change it. The TME's blood vessels are another important part of how the growth grows. Problematic blood veins can make it harder for healing agents to get to where they need to go, which makes drugs less effective. Strategies like arterial normalization or using nanomedicine to target blood vessels that leak have shown promise in making it easier for drugs to get into cells and treatment to work better. Targeting the metabolic reprogramming of tumor cells and the TME's changed food supply can also make treatments more effective, especially when they are used with radiation or chemotherapy. Journal: Health Leadership and Quality of Life Pages: 430 Volume: 4 Year: 2025 DOI: 10.56294/hl2025430 Handle: RePEc:dbk:health:v:4:y:2025:i::p:430:id:430 Template-Type: ReDIF-Article 1.0 Author-Name: Menéndez Zapata Author-Name: González García Author-Name: LIosa Santana Author-Name: Gutierrez Vera Author-Name: Frómeta Rodríguez Title: Acupuncture as an improvement for the professional performance of neurosurgeons Abstract: Introduction: acupuncture is a modality of Natural and Traditional Medicine with its genesis in the book “Huangdi Neijing”. In Cuba it was introduced in 1962 by the Argentine doctor Floral Carballo. Currently the Natural and Traditional Medicine is in plan E in the undergraduate curriculum but the contents of this procedure are not sufficient. Professionals have gaps in this knowledge and can acquire it through postgraduate improvement, among them are neurosurgeons. Objective: the purpose of this research is to explain the application of acupuncture as an improvement for the professional performance of the neurosurgeons of HDCQ Dr. Miguel Enríquez in the care of patients with mild neurotrauma. Methods: Is a prospective longitudinal analytical observational mixed study in a population of 20 neurosurgeons. Using theoretical and empirical methods. Results: support for improvement in acupuncture is obtained through the basic theories of Natural and Traditional Medicine and that acupoints constitute the practical basis of these contents, being used according to symptoms of mild neurotrauma such as DU-20, Ig-4, Vb-5 in headache. Conclusions: that the elements that make up the application of acupuncture as an improvement for the professional performance of the neurosurgeons of the HDCQ Dr. Miguel Espinosa in the care of patients with mild neurotrauma were explained. Journal: Health Leadership and Quality of Life Pages: .429 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.429 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.429:id:.429 Template-Type: ReDIF-Article 1.0 Author-Name: Turro Mesa Author-Name: Caballero Author-Name: Del Río Mesa Author-Name: Mesa Valiente Author-Name: Turro Caró Author-Name: Montes de Oca Carmenaty Title: Theoretical foundations on risk factors predictive of mortality due to acute heart failure Abstract: Introduction: Acute heart failure is a public health problem. It is necessary to predict the risk of mortality in these patients. Objective: to systematize the theoretical references that support the predictive risk factors for mortality due to acute heart failure. Development: different researchers approach the prediction process from different areas of knowledge, at the national and international level, and theoretical positions related to the topic are adopted. Conclusions: the systematization carried out on the prediction of mortality due to acute heart failure allowed us to establish an approach to the theoretical references that support the topic. Journal: Health Leadership and Quality of Life Pages: .428 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.428 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.428:id:.428 Template-Type: ReDIF-Article 1.0 Author-Name: Milò Gonzalez Author-Name: Miló González Title: Aortic dissection: Case report and review of the literature Abstract: Introduction: aortic dissection is the outflow of blood through a tear in the intima of the aorta, with separation of the intima and media layers and the creation of a false lumen (channel). The tear in the intima may be a primary event or due to hemorrhage within the media layer. Dissection can occur in any portion of the aorta and extend proximally or distally to other arteries. Case presentation: 49-year-old black male patient, 49 years of age, who came to the emergency room of the Abel Santa María Cuadrado Hospital because he reported waking up with oppressive, tearing pain in the center of the chest, radiating to the neck and interscapular region, lasting 20 to 30 minutes, accompanied by pallor, sweating, coldness, nausea and shortness of breath, for which he took two tablets of Dipyrone to relieve the pain without any effect. For this reason it was decided to admit him for further study and treatment. Conclusions: it was decided to defer surgery for the time being and maintain periodic follow-up by angio CT which will allow assessing the behavior of the dimensions of the dissecting aneurysm, signs of rupture and invasion of neighboring structures. With pharmacological treatment of esmolol administered as an initial bolus of 1,000 μg/ kg and then in continuous perfusion of 150-300 μg/kg/min. Sodium nitroprusside in initial doses of 0.3 micrograms/kg per minutes is effective for severe arterial hypertension, with the aim of reducing the heart rate thus limiting the ejection force of the left ventricle, normalizing the systolic blood pressure to figures around 100-120 mmHg or the minimum degree necessary for adequate perfusion and a heart rate (HR) of 60 to 80 beats/min. Journal: Health Leadership and Quality of Life Pages: .427 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.427 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.427:id:.427 Template-Type: ReDIF-Article 1.0 Author-Name: Beltrán-Manzanero Author-Name: Pérez-Sandoval Author-Name: Peralta Mazariego Title: Validation of an instrument using exploratory factor analysis to measure technostress in university students Abstract: Globalization and the integration of Information and Communication Technologies (ICT) have profoundly transformed academic and professional sectors, offering significant benefits while also presenting psychosocial risks such as technostress. This phenomenon, characterized by difficulty adapting to ICT, impacts well-being and academic performance, particularly among university students. This study, conducted on 211 business administration students from a Mexican university, examines technostress using a questionnaire validated through exploratory factor analysis, identifying two main dimensions: ICT usage and academic stress. Findings indicate that 43.1% of research participants experience significant levels of ICT-related technostress, while 31.8% associate it with the academic environment. These results underscore the need for pedagogical strategies to mitigate the negative impact of technostress and promote healthy ICT use in educational settings. Journal: Health Leadership and Quality of Life Pages: .426 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.426 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.426:id:.426 Template-Type: ReDIF-Article 1.0 Author-Name: Ron Author-Name: Escalona Author-Name: Ramírez-Conde Author-Name: Hernández - Runque Title: Validation of Hand Grip Strength Protocol: A Pilot Study Among Venezuelan Workers Abstract: Introduction: Hands, as fundamental work tools, require protective equipment that meets ergonomic criteria. In Venezuela, there are no databases on grip strength in working populations, which limits the assessment of physical fitness and occupational performance of workers. Method: Quantitative, non-experimental, correlational, and cross-sectional study. Grip strength was evaluated using dynamometry in 60 workers (30 men, 30 women) from a food company in Aragua, Venezuela. Three measurements were taken by two different evaluators, and intra- and inter-rater reliability was analyzed using the Intraclass Correlation Coefficient (ICC). Results: Intra-rater reliability showed an ICC of 0.958 for single measures and 0.986 for average measures. Inter-rater reliability presented an ICC of 0.971 for single measures and 0.986 for average measures. Test-retest analysis revealed an ICC of 0.945 for single measures and 0.972 for average measures. A sample size of 176 participants was determined for a larger-scale study. Conclusions: The measurement protocol demonstrated excellent reliability both intra- and inter-rater, as well as temporal stability. The results validate the methodology for generating normative data on grip strength in Venezuelan workers. Journal: Health Leadership and Quality of Life Pages: .425 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.425 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.425:id:.425 Template-Type: ReDIF-Article 1.0 Author-Name: Darshini Title: Data Analysis and Prediction of Student Academic Performance Abstract: Introduction: Predicting student performance across datasets with varying distributions remains a complex challenge in educational analytics. This study presents a novel approach to address this issue by utilizing transfer learning techniques to improve prediction accuracy. Objective: The research leverages a comprehensive dataset from Kaggle, encompassing demographic details, social factors, and academic performance indicators, to uncover significant patterns and relationships that influence student outcomes. By analyzing these factors, the study provides valuable insights that enable students to assess their academic progress, refine their learning strategies, and enhance overall efficiency. Method: The proposed methodology not only improves predictive accuracy but also bridges existing gaps in understanding student performance across diverse educational contexts. Result: These findings can be applied to develop personalized support systems, empowering students with actionable recommendations tailored to their individual needs. Conclusion: By addressing these challenges, the study contributes to a deeper understanding of student performance dynamics and highlights the potential of advanced predictive techniques to drive meaningful educational interventions. Journal: Health Leadership and Quality of Life Pages: .424 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.424 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.424:id:.424 Template-Type: ReDIF-Article 1.0 Author-Name: Valdés Santiago Author-Name: Pañellas Alvarez Author-Name: Ruiz Title: Well-being and Inequalities in Cuba. Study of Validity and Reliability of tests Abstract: Introduction: The study of inequalities is a subject that concerns professionals, especially psychologists, whose objective is human happiness. In Cuba, there are many researches that analyze the subject from different perspectives. Well-being has not been “measured” from clinical indicators and, in turn, clinical studies have not sufficiently explored its relationship with inequalities - taking into account the heterogeneization and restructuring that has taken place in the Cuban social structure in the last five years. Methods: The study shared here was aimed at validating the application of 3 questionnaires (WHO-5, Ryff abbreviated and DASS-21) for the measurement of subjective well-being in Cuba. The tests were applied to a sample of Psychology students at the University of Havana. We estimate the reliability of the tests through Cronbach’s α and McDonald´s ω. Construct validity was check with confirmatory factorial analysis based on structural equations models. Focus groups were also conducted with these students. Results: The results showed that the abbreviated Ryff and DASS-21 are reliable and valid as a construct, and differentiated reports of well-being related to sex. Structural elements related to the country's economy, deterioration of public health, existing regulations or policies, and emigration were placed as sources of discomfort, differentiating their impacts in relation to the place occupied in the social structure. Conclusions: The abbreviated Ryff and DASS-21 showed good reliability and construct validity. Sociodemographic factors differentiate experiences of well-being, although they do not define them. The subjective qualification of well-being and the mediation of various psychological processes are emphasized. It is possible to train in well-being management tools. These results are important in the current national context because contribute to maintaining hope, impel us not to settle into “subjective management” and to take sides in political dynamics. They alert the need for articulation of the different branches of psychology. Journal: Health Leadership and Quality of Life Pages: .423 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.423 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.423:id:.423 Template-Type: ReDIF-Article 1.0 Author-Name: Chaves Cano Author-Name: Pérez Gamboa Title: Artificial intelligence in strengthening health services: a critical analysis of the literatura Abstract: Artificial intelligence (AI) is redefining healthcare services, offering innovative solutions that improve diagnostic accuracy, optimize resources, and personalize healthcare. This article analyzes the impact of AI on the healthcare sector through a semi-systematic review of the literature published between 2020 and 2024. Key trends are highlighted, such as the use of predictive algorithms in early diagnosis, the implementation of digital platforms for patient management, and the development of personalized therapies based on big data. Ethical challenges associated with the use of AI are also examined, such as data privacy, algorithm transparency, and equity in access to these technologies. The discussion addresses how interdisciplinary collaborations and professional training are essential to ensure effective and responsible adoption of AI in healthcare. Finally, the need to design inclusive and sustainable strategies that promote the use of AI as a complementary tool to human care is raised, contributing to a more efficient, equitable healthcare system focused on people's well-being. This analysis seeks to lay the groundwork for future research and applications in the field. Journal: Health Leadership and Quality of Life Pages: .422 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.422 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.422:id:.422 Template-Type: ReDIF-Article 1.0 Author-Name: Dei Title: The role of big data in ensuring transparency and accountability of public authorities Abstract: The study is aimed at highlighting the theoretical and practical aspects of the use of big data in the public administration system on the example of Ukraine. The study used various works of scientists dedicated to the study of the peculiarities of using big data in the public administration system. The results of global rankings (Open Data Barometer; Global Government Forum) and data from the information and analytical agency Statista were also used. Economic and statistical analysis methods were used to achieve the research objective. These methods helped to determine the volume of global big data market revenue since 2011 with a forecast for 2025-2027, the share of global big data market revenue since 2013 with a forecast for 2025-2027 by major segments, and Ukraine’s rating of open data development in 2015-2017. The methods of schematic and graphical display of data were also used to visualize the theoretical and practical foundations of the study. The method of logical generalization of the results was used to formulate conclusions. Moreover, the methods of systematization and comparison, induction and deduction were used. The study outlined the main opportunities for using big data in public administration. This includes accelerating and improving management processes, increasing transparency, reducing costs, and promoting the development of platforms for analyzing public finances, public procurement, and other important areas. Journal: Health Leadership and Quality of Life Pages: .421 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.421 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.421:id:.421 Template-Type: ReDIF-Article 1.0 Author-Name: Chandan Title: Unveiling Customer Personalities Using Segmentation and Exploratory Data Analysis Abstract: Introduction: This study focuses on analyzing customer personalities through segmentation techniques and exploratory data analysis (EDA) to better understand consumer behavior and preferences. In a highly competitive market, gaining a deeper understanding of customer needs is crucial for creating personalized marketing strategies and enhancing the overall customer experience. Objective: The research utilizes advanced segmentation approaches to group customers based on shared traits, preferences, and behaviors, while EDA is applied to uncover trends and insights within extensive datasets. Method: By identifying distinct customer segments, the study provides valuable recommendations that businesses can use to align their products, services, and marketing efforts with the unique demands of their clientele. Result: The insights derived from this research enable companies to implement data-driven strategies that not only enhance customer satisfaction but also foster long-term growth. Conclusion: By tapping into these analytical findings, organizations can optimize their decision-making processes and build stronger connections with their target audiences, ultimately positioning themselves for success in an increasingly data-oriented business landscape. Journal: Health Leadership and Quality of Life Pages: .420 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.420 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.420:id:.420 Template-Type: ReDIF-Article 1.0 Author-Name: Marije Author-Name: González Author-Name: Valera Author-Name: Prieto Author-Name: Flores Title: Lower vena cava response index as a predictor of hypovolemic shock due to gastrointestinal tract hemorrhage Abstract: Aim: to determine the response rate of the inferior vena cava as a predictor of hypovolemic shock due to bleeding from the gastrointestinal tract in patients in the Emergency Area of ​​the General Surgery Service of a General Hospital in Venezuela, during the period of February. to July 2024. Method: a study with a quantitative, non-experimental, predictive and longitudinal approach, with a sample of 15 patients. Results: the average age of the patients was 66.07 years, with a greater proportion of men (60%). Most patients had a medical history, with high blood pressure and diabetes mellitus being the most common. A significant increase in the diameter of the inferior vena cava was observed after the administration of fluids, going from 1.48 cm upon admission to 1.98 cm one hour after treatment (p=0.0000). Furthermore, an improvement was recorded in the degree of hypovolemic shock, with an increase in the percentage of patients with grade I and a decrease in patients with grade III (p=0.001). The inferior vena cava response index showed a sensitivity of 71.43% and a specificity of 75% to predict hypovolemic shock, with an AUC of 0.732, indicating good discriminative capacity. Conclusion: measuring the diameter of the inferior vena cava is a useful and clinically relevant predictor of hypovolemic shock in patients with gastrointestinal bleeding, improving decision-making and the clinical results obtained. Journal: Health Leadership and Quality of Life Pages: .419 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.419 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.419:id:.419 Template-Type: ReDIF-Article 1.0 Author-Name: Araujo Author-Name: Rivas Author-Name: Rodríguez Author-Name: Romero Author-Name: Trovat-Ascanio Author-Name: Flores Author-Name: Hernández-Runque Title: Level of exposure to pyrethroids and presence of symptoms in workers of a fumigation and pest control company Abstract: Pyrethroids are manufactured chemical substances that act at the level of the central nervous system, whose mechanism of action is to interfere with ionic transport in the axon membrane, interfere with neural function and block inhibitory pathways. The use of these substances as insecticides has spread massively worldwide due to their lower persistence and toxicity. The objective: of this research was to associate clinical manifestations with exposure to pyrethroids in workers of the fumigation and pest control company, located in the Sucre municipality, Aragua state during the period of February - June 2024. Materials and methods: It is about of a quantitative approach study with an observational, clinical-epidemiological, analytical, cross-sectional design and with documentary support in a population of 22 workers. Results: The average age was 34.95, 90% of the workers were male, it is relevant that 50% carry out mixing preparation, application and fumigation activities, 100% use personal protective equipment, 54.55% have contact with the pyrethroid, with potential exposure of 54.55% of which 100% of them presented signs and symptoms, and the presence of symptoms with the level of exposure. Conclusion: it is corroborated that occupational exposure to pyrethroids represents a serious risk to the health of workers, because exposure is directly related to the appearance of neurological symptoms. Journal: Health Leadership and Quality of Life Pages: .418 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.418 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.418:id:.418 Template-Type: ReDIF-Article 1.0 Author-Name: Herrera Author-Name: Masín Author-Name: Trovat Author-Name: Lessire Title: Working conditions perceived by commercial store vendors: an occupational health perspective Abstract: The commerce sector represents one of the spaces of the economy that houses a large part of the working class, in which the figure of sellers undoubtedly marks an iconic role. In the performance of these activities, the seller is exposed to a large number of working conditions (CdT). General intention: Understand the experiences around the CoT of the salespeople who work in commercial stores in the central part of the city of Puerto Cabello. Materials and Methods: Within a socio-critical approach, with a hermeneutic phenomenological method. The study subjects were 10 salespeople from commercial stores who experienced the pre-named CoT and, for triangulation purposes, 2 owners and 2 customers of the commercial premises. Emerging structuring of the phenomenon: A structure emerges made up of 10 universal categories among which stand out: Positive appreciation of CdT, Aspects considered fair in the CdT, Elements absent in the CdT, Negative appreciation of CdT, Unfavorable ergonomic positions in the CdT, Affects in health reported as a product of the CdT, Absence of the occupational health and safety service. Understanding of the phenomenon:The working conditions perceived by commercial store salespeople are both positive and negative. On the positive side, they rate them as good, satisfactory and with a fair salary. On the negative side, they perceive them as difficult, uncomfortable and with the absence of employment and dining contracts. They report disergonomic conditions, and the work context is related to the current social situation in the country. Journal: Health Leadership and Quality of Life Pages: 417 Volume: 2 Year: 2023 DOI: 10.56294/hl2023417 Handle: RePEc:dbk:health:v:2:y:2023:i::p:417:id:417 Template-Type: ReDIF-Article 1.0 Author-Name: Srivastava Author-Name: Patel Author-Name: Ajay Shedge Author-Name: Sahoo Author-Name: Parashar Author-Name: Garg Author-Name: Malathi Title: Research covid 19 anxiety and hygienic level in vocational medical learners Abstract: Since the ‘2019-NCOV’ pandemic can have a detrimental effect on academic performance and focus skills, it is critical to estimate students' behaviours, levels of anxiety, hygiene status and knowledge. The purpose of the research was to evaluate the knowledge, behaviour change, anxiety, and hygiene status of university students with reference to ‘2019-NCOV’. A total of 1,500 students from five occupational schools for health services across different provinces in participated in the research. Data was collected through an online survey that included the (Generalized Anxiety Disorder 7) GAD-7 scale, and questions assessing knowledge about ‘2019-NCOV.’Students who got training in hand hygiene also scored much lower on the scale than students who did not, demonstrating good hygiene habits. In comparison to men, women scored considerably higher on the GAD-7 scale, demonstrating higher levels of anxiety. Overall, over fifty percent of the kids showed good hygiene habits, whereas around a third struggled with anxiousness Women fared higher in terms of behaviour and knowledge, and they demonstrated a greater awareness of anxiety symptoms and personal hygiene habits. In light of these findings, it was suggested that during infectious disease outbreaks, programmes for the psychological support of healthcare students be developed. Journal: Health Leadership and Quality of Life Pages: .416 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.416 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.416:id:.416 Template-Type: ReDIF-Article 1.0 Author-Name: Gohil Author-Name: Mohanty Author-Name: Punia Author-Name: Gupta Author-Name: RenukaJyothi Author-Name: Mehta Author-Name: Kumar Lyngdoh Title: Study on the relationship between social capital, Instagram usage, and mental health among students Abstract: Social media networks (SMNs) are becoming some of the basic necessities in the daily life, and thus, new publications appear that discuss effects of these networks on users’ mental status and their behaviours. The most common context in which research is carried out the effects resulting from the interactions on the SMN’s include Facebook and Instagram. Research aims to investigate the relationships between Instagram use, social capital, and life satisfaction. Online questionnaires that measured the participants' use of Insta, social capital (SC), and level of happiness were given to them. The Instagram Activity Survey (IAS), a behavioral report instrument created especially for this research based on the Facebook Usage Questionnaire (FUQ), was used to gauge Insta usage. In both populations, the results showed consistent evidence of a positive relationship between the using Insta and SC factors. Particularly, compared to those who used Insta more passively, those who indicated higher levels of active use showed higher degrees of connecting and bridging social capital (BSC). The use of a restricted Trial population and the dependence on self-report measures are just two of the investigation's limitations that must be acknowledged. Future studies should overcome these restrictions and look into additional variables that can affect the connection between the usage of Insta and psychological well-being. Journal: Health Leadership and Quality of Life Pages: .415 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.415 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.415:id:.415 Template-Type: ReDIF-Article 1.0 Author-Name: Dash Author-Name: Pandey Author-Name: Mishra Author-Name: Thorat Author-Name: KV Author-Name: Singh Author-Name: Patel Title: Mediating Effect of Social Capital on Whatsapp Conversations to Promote Students' Mental Health Abstract: WhatsApp Messenger (WM) discussions, social capital like bonding and bridging plays a critical role in promoting social support and integration among students and improving their mental health. The aim of the research is to examine the mediating roles of Social Confluence (SC) and Social Unity (SU) in the relationship between WM use and student mental health. Data were collected from 300 college students. To learn more about students' use of WM, socialization, SU and SC, and their mental health, the researchers used survey responses. To ascertain the correlations among variables, the questionnaire answers were analysed using the relevant statistical methods. Research's findings showed that students' mental health was positively impacted by their use of WM. Additionally, the mediated impact of SU among WM use and student mental health was greatly impacted by socialization. The mediation impact of SC in the association among WM use and student mental health was not significantly impacted by socialization. Students' health improves with more WM time, according to the data. Socialization bonding social capital mediates the WM mental health connection. These findings illuminate the relationship between WM use and student health, social capital, and inclusion. Presented are these results' ramifications and additional research. Journal: Health Leadership and Quality of Life Pages: .414 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.414 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.414:id:.414 Template-Type: ReDIF-Article 1.0 Author-Name: Singh Author-Name: Deepak Author-Name: Mane Author-Name: Sankar Author-Name: Patel Author-Name: Mahapatra Title: Association between Community Engagement, Rehabilitation, and Quality of Life in Severe Mental Disorders Abstract: Quality of life (QoL) and recovery are two widely regarded outcomes of psychiatric treatments around the world. Research highlights the potential of community involvement to enhance performance and foster progress. A survey involving 606 individuals with severe mental disorders assessed their levels of engagement, recovery, and overall satisfaction with life. The findings reveal that social involvement has a modest but statistically significant positive impact on both rehabilitation rates and general well-being. Follow-up studies further establish a correlation between recovery and life satisfaction when individuals actively participate in specific forms of engagement, with causal inferences drawn from these correlational analyses. The results suggest that emphasizing community engagement in psychological health organizations presents an opportunity to enhance rehabilitation and QoL. Research also discusses future directions, along with implications for policies and practices within the context of psychological rehabilitative initiatives. Journal: Health Leadership and Quality of Life Pages: .413 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.413 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.413:id:.413 Template-Type: ReDIF-Article 1.0 Author-Name: Krasnozhon Author-Name: Yatsun Title: Analysis of innovative approaches to technology-enabled public finance management Abstract: The purpose of the article to analyze the role of technological innovations in improving public financial management, identify barriers to their implementation and offer recommendations for the formation of an effective organizational and legal framework. The author identifies various types of innovations and explains their importance in ensuring the efficiency of public funds management. However, the author pays the main attention to technological innovations. Thus, electronic public procurement platforms, big data analytics, artificial intelligence and robotic process automation were highlighted. The article demonstrates their impact on the transparency, efficiency and accountability of the use of public resources. In addition, the article analyzes specific examples of countries that are already applying relevant innovations and qualitative statistical indicators of their importance for the budget sector. By analyzing successful foreign cases, the most effective models of integrating innovations into public institutions were identified. The author's approach in this paper involves not only describing and analyzing individual successful cases, but also identifying organizational and legal barriers. Author also finds specific ways to overcome negative elements. The proposed recommendations include a roadmap, staff training and regulatory framework improvement. Taking into account the specifics of legislative systems and the capabilities of the national economy, they can be adapted to different countries and regions. In conclusion, the article substantiates that the systematic implementation of innovative technologies can not only increase the efficiency of budget processes and reduce corruption risks, but also contribute to the formation of a new management culture focused on transparency and effectiveness. Journal: Health Leadership and Quality of Life Pages: .412 Volume: 3 Year: 2024 DOI: 10.56294/hl2024412 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.412:id:.412 Template-Type: ReDIF-Article 1.0 Author-Name: Grover Author-Name: Money Author-Name: Jagdish Upadhye Author-Name: Desai Jabbar Author-Name: Kumar Dash Author-Name: Mishra Title: Impact of COVID-19's Protective Effect on Nursing Students' Quality of Life in the India Abstract: Resilience is a shield against psychological issues, based on the research. There isn't much information available about how resilience affects Quality of Life (QoL) in relation to the corona virus epidemic. To assess the impact of resilience on nursing students' QoL determined by the Corona virus is the primary objective. The method used was cross-sectional. India funded college of nursing had 400 learners that participated in the online poll. Two approved pieces of equipment were used to collect data. Analysis of correlations and tests for variances were carried out. The coronavirus epidemic had some impact on nursing learners' QoL. Sex and the proximity of coronavirus instances had an essential effect on how the Coronavirus affected people's QoL. A substantial, strong adverse connection between mental toughness and the effect of the coronavirus on QoL was found. In the framework of the Coronavirus, a global epidemic, resilience has protective properties on its effect on QoL in relation to key areas of mental health. Educations of nursing are focusing on identifying the variables and creating treatments that help learners improve resiliency. Journal: Health Leadership and Quality of Life Pages: .411 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.411 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.411:id:.411 Template-Type: ReDIF-Article 1.0 Author-Name: Malathi Author-Name: Sethi Author-Name: Gohil Author-Name: Sarangi Author-Name: Mishra Author-Name: Nagpal Author-Name: Patil Title: Preventing and treating childhood trauma via earlier support and instruction Abstract: The influence of childhood trauma on children's wellbeing and behaviour as adults is examined by nine medical specialists in this article. Examining coping methods and behaviours it shows how suffering from early trauma brought on by misfortune can completely wreck a person's life. To determine, persons who have suffered childhood trauma are more inclined to turn to self-isolation, drug misuse or rejection as coping strategies. In light of this, research investigates how low self-esteem, sleep issues, and indications of depression or anxiety are consequences of incidents of trauma during infancy. Two males and seven women took part in partially structured taped discussions. Six telephone conversations and three personal interviews were conducted. Respondents discussed their interactions with customers. According to this Research, childhood trauma individuals who struggle with alcohol and drug usage tend to minimize the damage that their ordeals brought about them and fabricate images of themselves as a coping tool rather of using them as a means of isolation. In this Research, it was not shown that childhood trauma causes sleep disorders. Trauma survivors struggle with poor self-esteem, anxiety, and despair. Some people strive to hide their sad pasts, while others make up their identities and participate in drug abuse in an effort to keep their terrible pasts from having an influence on their lives. Together with adequate and individualized therapeutic procedures, early interventions may lessen the effects of trauma. Journal: Health Leadership and Quality of Life Pages: .410 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.410 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.410:id:.410 Template-Type: ReDIF-Article 1.0 Author-Name: Kumar Lenka Author-Name: Patil Author-Name: Jagdish Upadhye Author-Name: Dash Author-Name: Sharma Author-Name: Jain Author-Name: RenukaJyothi Title: Analysis of improving diagnostic accuracy and confidentiality for patients via imparting knowledge of critical thinking Abstract: Healthcare practitioners must carefully consider patient data and draw reliable conclusions as part of the diagnostic procedure. Additionally, it is essential for moral and legal reasons to safeguard patient anonymity. This aims to improve patient care and healthcare outcomes by examining how critical thinking can improve diagnostic accuracy and confidentiality. The descriptive quantitative approach was adopted in this pilot investigation. Fifty instructors from a local hospital in an informal sample. The data was gathered by online surveys that were pre- and post-administered by the lead investigator. Quick post-classroom survey responses revealed gains in all measures of perceived capacity for imparting critical thinking. All response rates increased between the pre-and post-training surveys, with the ranking of the capacity to impart critical thinking being the only question where ratings increased. Staff involved in nursing advancement should be able to conduct a self-assessment of their proficiency in this area. When gaps in knowledge are exposed, remediation through teaching is warranted. Journal: Health Leadership and Quality of Life Pages: .409 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.409 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.409:id:.409 Template-Type: ReDIF-Article 1.0 Author-Name: Patel Author-Name: Bikrant Kumar Author-Name: Bhatnagar Author-Name: Mishra Author-Name: Jamuna Author-Name: Kumar Lenka Author-Name: Wagh Title: Insights into the Experiences of Family Caregivers in Intellectual Disability and Dementia Abstract: Research is based on interviews with prospective service users and their caregivers; this research lays the groundwork for developing a structure for designing supports and removing obstacles for people with intellectual impairment & dementia. It is essential to contain persons through intellectual impairments & dementia in accessibility inquiry because they have unique perspectives to offer. Research aims to use first-person and caregiver accounts to comprehend better the environment's impact on regular activity engagement among adults with intellectual impairments and dementia. Twelve family and professional caregivers attended five regular focus groups, while four persons with intellectual disability and dementia took part in two sessions of the fictitious group method. The results of sessions using the nominal group approach were studied through the lens of the environment, and the resulting transcripts were subjected to thematic analysis. Activity accessibility, caregiver help, social connections, duties, confidentiality, and wellness and health were highlighted as six essential themes by participants with intellectual disability and dementia. Caregiver involvement brought insight from more expansive ecosystem levels to their narrow, immediate-environment-focused viewpoints. These included dementia-friendly like medical facilities, healthcare facilities, group environments, conveyance, retains or retailers, individuals incorporated dementia-related knowledge, volunteer, and participation opportunities. Journal: Health Leadership and Quality of Life Pages: .408 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.408 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.408:id:.408 Template-Type: ReDIF-Article 1.0 Author-Name: Kumar Bisoi Author-Name: Kaushik Author-Name: Grover Author-Name: Mane Author-Name: Biswas Author-Name: Mathad Author-Name: Jadhav Title: Autism Spectrum Disorder from a Psychological Lens: Cognitive, Emotional, and Social Factors Abstract: An intricate, varied illness called autism spectrum disorder influences interactions with others, nonverbal and verbal communication, thinking, comprehension of information, and social as well as cognitive behaviours. The study of the Theory of mind focuses on seeing, comprehending, and analysing mental events and the actions that follow from them. Research examines the cognitive, emotional, and social aspects of autism spectrum disorder via a psychological lens. The current study concentrates on how mind theory relates to the psychological, social, & cognitive growth of kids with autism spectrum disorder. The results of this investigation emphasize that there is a relationship between the Theory of mind and how well a -person's psychological, social, and cognitive abilities work. Hence, deficiencies in a kid's social interactions and intellectual and cognitive abilities systems are related to the restricted growth are observed in Mind Theory which has seen in autistic children. As a consequence, a viable alternative treatment technique involves taking a concentrated, comprehensive approach to their shortcomings while also using information and communication technologies. Journal: Health Leadership and Quality of Life Pages: .407 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.407 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.407:id:.407 Template-Type: ReDIF-Article 1.0 Author-Name: Kaur Author-Name: Malhotra Author-Name: Khanwelkar Author-Name: Majumdar Author-Name: Patel Author-Name: Devi Mohanty Title: Community-Based Recreation Therapy (RT) for Mental Health Recovery Abstract: Community-Based Recreation Therapy (RT) is a ground-breaking and successful method that supports people in their mental health rehabilitation by using recreational activities in the community. This treatment method acknowledges the value of social interaction, leisure, and recreation in fostering overall well-being. Medication and psychosocial therapy, such as community-based RT, can help manage the signs of schizophrenia spectrum disorder (SSD), for which there is currently no recognized cure. RT offer services to persons with SSD to advance their standard of life by integrating relaxation activities and particular desires into dealing. By employing clinically validated techniques include the Mental Health Recovery (MHR) framework and suggestion from the Research Team on Patient Outcomes (RTPO), Community-Based RT has the prospect of more useful and successful in providing SSD patients with therapy in a variety of settings. The intention of this research was to examine whether recreational therapists employ clinically proven procedures by conducting a qualitative evaluation, particularly the RTPO guidelines and the principles of the MHR model, into treatment services for SSD patients. 126 RTs who presently treat or have previously treated people with SSD filled out questionnaires that gathered, processed, and reported data. Quantitative information showed that most participants use the RTPO suggestions and the MHR model's guiding principles in their RT. Through community-based recreational activities, community-based RT provides a viable path to mental health treatment. By using examples provided by respondents to show how the concepts and proposals are applied in reality, qualitative data helped to support the quantitative findings. Journal: Health Leadership and Quality of Life Pages: .406 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.406 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.406:id:.406 Template-Type: ReDIF-Article 1.0 Author-Name: Bhardwaj Author-Name: Singh Choudhary Author-Name: Patel Author-Name: Biswal Author-Name: Lovish Author-Name: Patil Title: Psychology and Public Health: Exploring the Dynamics of Subjective Well-being Abstract: The study of psychology examines human thought and behaviour, which are essential for understanding public health, as many health outcomes are closely tied to human activities. Poor habits such as smoking, excessive alcohol consumption, unhealthy eating, and lack of exercise significantly affect health. This research employed a combination of online academic databases and search engines to gather articles that explore the connection between public health psychology and subjective well-being (SWB). Key sources included Google Scholar and PsycINFO, focusing on literature relevant to SWB factors and theories. Selection criteria emphasized relevance, interdisciplinary approaches, journal impact, research location, and accuracy. Over 50 research publications were analysed, with 20 summarized for this study, centring on SWB empirical literature. Four broad theoretical categories were identified: evaluative theories, fulfilment and commitment theories, emotional theories, and personal orientation theories. Analysis revealed inconsistencies in theoretical and procedural frameworks, complicating systematic comparison of empirical findings. The research identified seven key factors influencing SWB: personality, socioeconomic status (SES), community support, faith and social norms, basic participant characteristics, and geography and infrastructure. These determinants highlight opportunities to strengthen the link between theory and empirical research. Furthermore, overlaps among determinants and theoretical categories suggest the potential for simultaneously testing multiple theories. This integrative approach could advance our understanding of SWB and its impact on public health. Journal: Health Leadership and Quality of Life Pages: .405 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.405 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.405:id:.405 Template-Type: ReDIF-Article 1.0 Author-Name: Mane Author-Name: Kemothi Author-Name: Jagdish Upadhye Author-Name: Rath Author-Name: Bhalla Author-Name: Das Author-Name: Shinde Title: Challenges and Resilience: Leadership, PQOL, and Moral Distress Amidst The COVID-19 Crisis Abstract: To appreciate how the professional demands brought on by the corona virus disease - 2019 (COVID-19) pandemic impacted nurses and other healthcare workers' morale and general quality of life (QOL), and how it influenced their capacity to serve patients. For healthcare professionals who are providing patient care, this pandemic presents the prospect of a poor work-life balance and heightened Moral Distress (MD). Research that was semi-structured with outpatient healthcare professionals (HCP) was conducted using a converging multidisciplinary design with snowball sampling techniques. As a consequence of the apparent lack of support from decision-making leadership, the availability of personal protective equipment (PPE), and the frequently shifting legislation, healthcare professionals (HCPN) reported an increase in moral agony and a decrease in their professional quality of life (PQOL). By implementing shared governance, training in crisis management, and increased communication, executive leadership may be able to prevent a decrease in PQOL and an increase in MD among front-line HCPNs. Journal: Health Leadership and Quality of Life Pages: .404 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.404 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.404:id:.404 Template-Type: ReDIF-Article 1.0 Author-Name: Awasthi Author-Name: Gohil Author-Name: Kumbhar Author-Name: Priyadarshini Author-Name: Sidhu Author-Name: Vashish Title: Balancing Ethics and Professionalism: Acute Care Physical Therapy in COVID-19 Abstract: The physical therapists' moral dilemmas in assisting patients with COVID-19. The difficulties physical therapists experienced in terms of their profession and morals during the COVID-19 outbreak this research looked at their experiences. Individual interviews were analysed in the present research using reflexive theme analysis, a technique reflexive thematic analysis (RTA) developed for qualitative research. The analysis of these coded interviews yielded 4 main themes and related subthemes: ensuring attentive care and favorable working conditions, Instability, The function of a physical therapist, Feelings. During COVID-19, physical therapists encountered a wide range of ethics and professional problems on an individual, organizational, and social level. Research emphasizes a desire to provide physical therapists with the knowledge and tools need to be prepared for the moral and professional challenges will face in pandemics. Physical therapists' role in pandemics is clarified, and staff members must be trained to handle anxiety; pandemics bring uncertainty and organizational adjustments. Organizations might create equitable triage methods and allocate limited resources for acute care physical therapy. Physical therapy practice and health care have substantially changed due to the COVID-19 epidemic. Research presents the results of initial research; knowledge highlighted the ethic that acute care physical therapy professionals were facing in relation to the COVID-19 outbreak that consultants had to navigate. Physical therapists may benefit from the research's findings in preparing and dealing with challenges that arise in acute treatment during a pandemic. Journal: Health Leadership and Quality of Life Pages: .403 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.403 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.403:id:.403 Template-Type: ReDIF-Article 1.0 Author-Name: Tanvi Author-Name: Behera Author-Name: Setia Author-Name: Parmar Author-Name: Prakash Chandra Author-Name: Kumbhar Title: Examining the Dynamics of Interprofessional Collaboration and Attitudes in Health Science Librarianship Abstract: The Interdiscipline Education Perception Scale (IEPS) was used in this research to gauge health science librarians' views toward interprofessional cooperation and to learn more about their participation in such activities. The IEPS and questions regarding respondents' past and recent experience with IPE were addressed to librarians in the interprofessional education special interest group (IPE-SIG) and research section (RS) of the medical library association (MLA). To evaluate attitudes, the research compared the mean IEPS scores of each MLA group with several other demographic variables. The IEPS results for health science librarians showed favourable sentiments regarding IPE. There is no group differences were significantly varies from the others. The mean IEPS score of health science librarians was comparable to the mean score of health profession students commencing previous research. Fewer people worked on group or participated in extracurricular activities like reading clubs and grand rounds; the majority often reported interprofessional engagement was instructing or facilitating learning behaviour for students in the health profession. Health science librarians in this research had favourable sentiments regarding IPE, which is consistent with the common among other health professionals and subsequently the subject of research. The replies to the poll were not significantly influenced by the existence of an experience, prior professions as a health expert, or past work supporting IPE as a librarian. This implies that health science librarians are supportive of IPE, whether or not librarian actively promote IPE initiatives or engage in interprofessional activities Journal: Health Leadership and Quality of Life Pages: .402 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.402 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.402:id:.402 Template-Type: ReDIF-Article 1.0 Author-Name: Ludam Author-Name: Mittal Author-Name: Rampal Author-Name: Debnath Author-Name: Kore Author-Name: Patange Title: The Role of Social Support in Promoting Psychological Health among Physicians: Evidence-based Insights Abstract: Even though physicians have high levels of exhaustion and stress require social support to minimize their psychological deterioration. Evidence suggests that strong personal and professional support could help contain mental health challenges and increase happiness. This introduction highlights the need to create an environment for physicians that will prevent mental breakdowns. On that basis, it is pertinent to examine in the framework of existing research how exactly social support can enhance the positive impact on the psychological well-being of the members of the health sector. It aims at identifying, in the example of medical workers, how stress can be minimized when it comes to support networks that can improve people's mental state. The 150 participants were collected and the data was analyzed with the help of SPSS software for statistical analysis. Employing an analytical approach that used Factor Analysis of the above hypothesis, tests were done using the Correlation and Multiple Regression Analysis tests, Independent t-test; the demographic factors linked with the Emotional Support, Instrumental Support, Peer Support and Mentorship, Social Integration, Perceived Organizational Support, Psychological Health, and Family Support. The research findings suggested, that doctors ought to cope with well social support because such doctors state feeling less stressed, burned out, or depressed and that confirms the benefit significantly from both personal and Professional help with their psychological well-being and workplace satisfaction. Social support plays a critical role in maintaining mental health among medical professionals by lowering stress levels and preventing burnout. Journal: Health Leadership and Quality of Life Pages: .401 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.401 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.401:id:.401 Template-Type: ReDIF-Article 1.0 Author-Name: Bhalla Author-Name: Das Author-Name: Rana Author-Name: Patel Author-Name: Thorat Author-Name: Jena Title: Cognitive Age and Learning Environment in Individualized Education Programmes for Adults with Autism Abstract: Autism affects adults, requiring tailored learning strategies and support services. Individual education programs (IEPs) can adjust interventions to accommodate cognitive age, while industrialized education aims to create an inclusive environment. Structured, predictable, and aesthetically ordered learning environments are best for adults with autism. Every IEP goal for the students in both groups was drawn from the kindergarten through fourth-grade criteria. As students entered puberty, low level of total aims and further curricular changes were made for the both groups of students. Most IEP goals focused on fundamental symptoms of autism such as communication skills rather than the growth of academic skills. This research examines educational programs for autistic teenagers (12–18) in involvement goals (IG) and non-involvement goals (NIG) conditions evidenced facilities, and curriculum adjustments. The overall number of IEP goals for youth guidelines standard education was lower. Still, those goals were more heavily weighted toward the growth of applied skills, as opposed to those for students who were not included and focused more on rote and procedure learning. Adults with autism can benefit from enhanced cognitive development in areas including attention, memory, problem-solving, and critical thinking by receiving education and therapies that are appropriate for their cognitive stage. In conclusion, two key components of tailored education for individuals with autism are comprehends the cognitive age and developing a suitable learning environment. Journal: Health Leadership and Quality of Life Pages: .400 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.400 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.400:id:.400 Template-Type: ReDIF-Article 1.0 Author-Name: Kumari Author-Name: Pallavi Author-Name: Pandey Title: Advances in Sentiment and Emotion Analysis Techniques Abstract: Introduction: Understanding and analyzing human emotions is a critical area of research, with applications spanning healthcare, education, entertainment, and human-computer interaction. Objective: Leveraging modalities such as facial expressions, speech patterns, physiological signals, and text data, this study examines the integration of deep learning architectures, such as Convolutional Neural Networks (CNNs), Recurrent Neural Networks (RNNs), and Transformer models, to capture intricate emotional cues effectively. Method: This dataset offers a broad spectrum of emotional categories and sentiment classifications, serving as a robust resource for advancing innovative machine learning and deep learning models. Result: The findings pave the way for developing intelligent systems capable of adapting to human emotions, fostering more natural and empathetic interactions between humans and machines. Conclusion: Future directions include expanding datasets, addressing ethical considerations, and integrating these models into real-world applications. Journal: Health Leadership and Quality of Life Pages: .399 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.399 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.399:id:.399 Template-Type: ReDIF-Article 1.0 Author-Name: Srivastava Author-Name: Patel Author-Name: Parida Author-Name: Saraswat Author-Name: Rampal Author-Name: Thorat Title: Experimental research on the social skills of people with intellectual disability Abstract: People intellectual disabilities (ID) and co-occurring mental health conditions (MHC) are likely to find it challenging to make friends. Self-harm (SH) and problematic behaviours are also linked to social skill deficiencies (SSD).In this research, we sought to determine if teaching individuals with intellectual impairments life skills impacted their social abilities. In an empirical research employing a pre-test (PreT) and post-test (PosT) methodology, the experimental groups (EG) and control groups (CG) were randomly assigned an equal number of participants each. Nine sessions of life skills training (LST) were given to the EG (n=30) while the CG was in a neutral state (NS). For the PreT and the PosT, the instructor filled out the Social Skills Rating Scale (SSRS) (teacher Form) for each participant. MANCOVA (Multivariate Analysis of Covariance) was used to analyze the data using SPSS software.In an empirical research using the PreT andPosT techniques, the EG and CG were randomly assigned an equal number of individuals. The CG remained inattentive, while the EG (n=30) received nine sessions of life skills training (LST). Each member of the PreT and PosT groups had their Social Skills Rating Scale (SSRS) completed by the instructor. Data were examined using MANCOVA and SPSS software. The results of this research show how important it is to teach high school pupils ID Life Skills (LS), such as CO-OP, Ast, and SC Journal: Health Leadership and Quality of Life Pages: .398 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.398 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.398:id:.398 Template-Type: ReDIF-Article 1.0 Author-Name: Chandna Author-Name: Das Author-Name: Malathi Author-Name: Rana Author-Name: Madan Patel Author-Name: Dey Author-Name: Patil Title: The Importance of Omega-3 Fatty Acids in the Management and Rehabilitation of Depressive Disorders Abstract: Background: Omega-3 “polyunsaturated fatty acids (PUFA)” supplementation in depressed individuals has been advocated as a way to reduce depression symptoms, however prior research has been unambiguous. Objectives: To the latest meta-analysis of "randomized controlled trials (RCTs)" investigating the usefulness of omega-3 PUFAs in the treatment of depressive illnesses while accounting for clinical variations among the research patients. Methods: RCTs employing PUFA omega-3 on individuals with depression symptoms were searched for in PsycINFO, Cochrane Database, MEDLINE, and EMBASE. The research to normalize average variation in psychological assessments for mental health intensity, investigate the use of omega-3 as monotherapy or in combination, concentrate on eicosapentaenoic acid [EPA] and docosahexaenoic acid [DHA]. Impacts of this research scope, initial level of depression, length of the hearings, omega-3 dose, and patient gender were evaluated using a meta-analysis. Results: The considerable therapeutic advantage of PUFA omega-3 therapy in contrast to placebo was seen in a meta-analysis of 11 and 8 studies PUFA omega-3 on those who have of “major depressive disorder (MDD)” and patients through depressed symptoms without diagnosis of MDD. Ultimately effectiveness was modified using predominantly EPA relatively DHA in the formulation. When used as an auxiliary rather than a monotherapy, omega-3 PUFA has shown considerable beneficial effects. There was no association among investigation dimensions, beginning depressive extent, treatment time, client ages, or research effectiveness. Research on omega-3 PUFAs' effectiveness in treating bipolar disorder, perinatal depression, and primary diseases is limited, highlighting the need for further investigations. Journal: Health Leadership and Quality of Life Pages: .397 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.397 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.397:id:.397 Template-Type: ReDIF-Article 1.0 Author-Name: Sohal Author-Name: Yothi S Author-Name: Patil Author-Name: Rastogi Author-Name: Ravindra Author-Name: Narayan Mishra Author-Name: Sharma Title: Bariatric Surgery and Pregnancy: Impact on Maternal and Fetal Health Abstract: To contrast the prenatal results of female patients prior to and following weight-loss surgery giving birth. Methods: a review of the literature was conducted at a hospital to examine the prenatal results of women who gave birth before and after having weight loss procedure. To account for confounders, a model with multiple logistic regression variables was created. Findings: 301 deliveries occurred before and 507 occurred after weight loss surgery across the research period. Following the procedure, there was a notable decrease in the incidence of fetal obesity , hypertensive diseases , and metabolic syndrome . The results indicated that there was an independent link between bariatric surgery and a decrease in the incidence of hypertension , diabetes mellitus , and macros- . Bariatric surgery before pregnancy can enhance maternal health, though it must be carefully monitored to avoid nutritional deficits. Optimal prenatal care is critical for both fetal growth and maternal health. Journal: Health Leadership and Quality of Life Pages: .396 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.396 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.396:id:.396 Template-Type: ReDIF-Article 1.0 Author-Name: KV Author-Name: Bhardwaj Author-Name: Gohil Author-Name: Biswal Author-Name: Nimesh Author-Name: Dhingra Author-Name: Patil Title: Machine learning for Forecasting quality of life variations in hemodialysis patients Abstract: Objective: To anticipate changes in quality of life (QoL) evaluations for hemodialysis patients. over the course of the following month and to use ML to establish an early warning system. Materials and methods: A hospital with a dialysis unit hosted the trial, which lasted one month and included an approaching group. Approximately 78 patients have been enrolled up to this date. Preformed including demographic information MBBS-degree holding medical professionals administered the validated WHO-BREF. It has to be done again on the same patient a month later by the same investigator. R and Orange were used for machine learning, while SPSS version 24 was used to provide basic statistics. Results: In order to predict whether a patient's WHO-QOL-BREF score would increase or decrease by 5% over the course of a month, two models were developed using ML methods. A 5% or greater loss in QOL scores occurs over the course of the next month as a result of declines in the psychosomatic, substantial, and societal domain scores. Conclusion: The Dialysis Data Interpretation for Algorithmic-Prediction on QOL early warning system based on ML was developed to identify quickly declining QOL scores in the hemdialysis sample. The model suggested that improving the psychological and ecological domains in exacting could be able to arrest the fall in QOL ratings. If DIAL is used more widely, it should benefit patients by guaranteeing a greater QOL and reducing the long-term cost burden. Journal: Health Leadership and Quality of Life Pages: .395 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.395 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.395:id:.395 Template-Type: ReDIF-Article 1.0 Author-Name: Soni Author-Name: Mane Author-Name: Singh Author-Name: Upadhye Author-Name: Deo Author-Name: Saini Author-Name: Surale-Patil Title: Innovative Teaching Methods in Healthcare Education: A Comparative analysis Abstract: Introduction: Background This analysis presented innovative health leadership models for improving the quality of life in post-acute care. Its objective was to address the increasing demand for best-practice leadership strategies to enhance patient outcomes and service delivery. Methods: The researcher utilized a mixed-methods study using quantitative surveys and qualitative interviews with healthcare workers from different post-acute facilities. The study looked at data from 150 participants to determine the effect of different leadership models on care quality and staff satisfaction. Potential leadership models were transformational, transactional, and servant leadership. Results: The results demonstrated a significant impact of the transactional leadership models on improving the quality of life. This model yielded better patient satisfaction scores and improved patient outcomes compared to transactional and servant leadership models. Staff in transformational leadership environments also had higher job satisfaction and lower levels of burnout. Conclusions:We aimed to identify the leadership style most suited to post-acute care settings. Transformational leaders can improve patient care and job satisfaction by embracing empathy, communication, and empowerment. Disclaimer: This research suggested implementing transformational leadership educational programs to develop these skills in existing and future provider leaders as a means of enhancing life in post-acute care settings. Journal: Health Leadership and Quality of Life Pages: .394 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.394 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.394:id:.394 Template-Type: ReDIF-Article 1.0 Author-Name: Kaur Author-Name: Ghosal Author-Name: Varma Author-Name: Wanih Author-Name: Patel Author-Name: Senapati Author-Name: Patil Title: The Intersection of Health Leadership, Policy, and Quality of Life Improvements Abstract: Introduction: Lead with Health Leadership, Policy, and Quality of Life Improvements To explore the intersections of social systems with biological processes that affect health outcomes—seemingly intractable problems that require the building of transdisciplinary research teams, family-oriented research projects, and standardized approaches to the use of comprehensive datasets across teams and institutions. Methods: A comprehensive literature search was performed to identify relevant studies and articles on health leadership, policy and quality of life improvements. Researchers examined how leadership, policies, and actions affect various determinants of quality of life, including access to health care, education, employment, and social support. Results: The results of this study show the importance of health leadership and policies and their significant effect on quality of life. A health leader who values the same things that we do, equity, collaboration, and innovation, can influence policies that will advance the social determinants of health that call for access to care and social support. Thus, the improvement in quality of life for people and communities has been assigned to this. Conclusions:Building effective health leadership and policies to improve healthy life expectations. This enables policy-makers and health leaders to formulate strategies that consider each factor's interlinking component and how external forces shape them to enhance quality of life. They can provide holistic solutions to help address the social determinants of health and promote health equity and well-being, which can further positively impact the quality of life of individuals and communities. Journal: Health Leadership and Quality of Life Pages: .393 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.393 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.393:id:.393 Template-Type: ReDIF-Article 1.0 Author-Name: Jayakumar Author-Name: Singh Author-Name: Upadhye Author-Name: Panigrahi Author-Name: Bansal Author-Name: Ojha Author-Name: Mane Title: Assessing the Role of Environmental Health in Infectious Disease Control Abstract: Introduction: Environmental health, infectious disease control, environmental determinants of disease transmission, ecological exposures, COVID-19, air pollution, contagious diseases, and multisystem inflammatory syndrome in children (MIS-C).. Methods: The researcher used a mixed-methods approach, conducting both quantitative analyses of epidemiological data and qualitative interviews with public health experts. Multiple geographic locations with different environmental conditions were used to ascertain disease incidence. The study reviewed the existing literature to inventory and classify existing ecological health interventions.. Results: The results showed a substantial association between better environmental health interventions and lower prevalence of communicable diseases. In regions with improved sanitation, access to clean water, and waste management, case studies confirmed a significant reduction in disease outbreaks. Interviews with experts emphasized that environmental health approaches can be integrated into existing public health efforts, such as those aimed at controlling vectors and reducing pollution.. Conclusions: We show that enhanced environmental health systems were foundational to the control of infectious diseases [34]. Public health outcomes significantly improved through a recognition of ecological determinants and the application of targeted interventions. The study highlighted the need for policymakers to embrace environmental health in disease prevention approaches, suggesting more significant investment and intersect oral action to create sustained impacts. Journal: Health Leadership and Quality of Life Pages: .392 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.392 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.392:id:.392 Template-Type: ReDIF-Article 1.0 Author-Name: Parashar Author-Name: Upadhye Author-Name: Surjya Author-Name: Kalia Author-Name: Baxi Author-Name: Varma Author-Name: Devkar Title: Strategies for Effective Leadership in Rural Health Management Abstract: Introduction: Rural healthcare leaders are on the frontline of many challenges, including resource scarcity, workforce shortages, and geographic barriers. Quality rural health care, to a large degree, depends on leadership to weather these challenges. This study aims to identify leadership strategies and best practices for effective rural healthcare management. Methods: We conducted a systematic review, obtaining relevant articles from an extensive search of academic databases. We then reviewed the articles for themes and practical approaches to rural healthcare leadership. Results: This paper presents practical strategies for effective healthcare management in rural areas. These measures included community engagement and collaboration, strong organizational culture, developing and empowering a diverse and skilled workforce and leveraging technology to overcome location constraints. These strategies included Key strategies such as Communication, active engagement and strategic development. Conclusions: Rural Healthcare Management This study suggests that rural healthcare systems leaders can benefit from strategies to overcome the unique challenges to the delivery of care, access, quality, and outcomes to patients. Community engagement, organizational culture, and technology by leaders—impact transformation and improve the state of rural communities. In conclusion, additional work examining effective leadership strategies that will enhance constituents' health care quality and access for these communities is called for. Journal: Health Leadership and Quality of Life Pages: .391 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.391 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.391:id:.391 Template-Type: ReDIF-Article 1.0 Author-Name: Patel Author-Name: Sahoo Author-Name: Setia Author-Name: Garg Author-Name: Varma Author-Name: Bhardwaj Author-Name: Ghorpade Title: The Impact of Work Environment on Healthcare Professionals' Psycological state Abstract: Introduction: This study examined the impact of the work environment on the Psycological state of health workers. As demands and pressures in the Healthcare sector, the Psycological state of healthcare workers has turned into a significant concern. This study aimed to give insights into the current state of affairs, which is having a substantial effect on the psychological state of Healthcare workers and Healthcare occupational group. Methods: A phone survey was conducted among a random sample of 500 Healthcare professionals (doctors, nurses and medical assistants). The survey included items about work environment factors, like workload, organizational culture, systems with strong support, and work-life balance. It was a standardized survey, but the other thing it had was standardized Psycological state Screenings Such as Stress, Anxiety and Burnout. Results: The findings have found that the work environment is significantly associated with Healthcare workers' Psycological state. A large workload was significant. This global phenomenon has turned these isolating individuals into the environmental factor of stress along with all levels of burnout reported among people with heavy workloads. Organizational culture also contributed to the detrimental and toxic work environments exerting an even more significant influence on Psycological state. Conclusions: The results of this study emphasize the necessity to improve work contexts within the Healthcare field. 2023 October, if trained on data, Healthcare organizations should recommend building supportive and positive work environments, managing workloads, and fostering balance between the work and life of their employees. Workplaces that are well addressed can be beneficial to the mental health of health workers, resulting in better business contentment, lower ratio, and ultimately, better Healthcare of patients." Further study is needed to study relationships between and among people and work. Setting and supporting the psychological state of attention mortal. Journal: Health Leadership and Quality of Life Pages: .390 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.390 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.390:id:.390 Template-Type: ReDIF-Article 1.0 Author-Name: Arun Author-Name: Kalra Author-Name: Khanna Author-Name: Varma Author-Name: Tomar Author-Name: Patel Author-Name: Tamhankar Title: Interprofessional Collaboration and Leadership in Health Education Abstract: Introduction:The Role of Interprofessional Teamwork and Leadership in Health Education It highlights the various approaches collaboration and leadership can take to enhance health education programs. Methods: This systematic review aimed to explore the literature supporting interprofessional collaborative practice (IPC) and the influence of leadership on health education. Methods:Searches of electronic databases were made to determine all relevant studies published between the years 2000 and 2019. We limited the search to academic journal articles in English published from 1995 (when interprofessional education was first described) through October 2023 that included these keywords that also referenced collaboration and leadership in health education. The initial search yielded 232 articles, 28 of which were incorporated into the review. Results:This scoping review highlights the necessity of interprofessional collaboration and interprofessional leadership in health profession education. Analyzing the studies provided, they argue the benefits of collaborative practice and leadership, which would make health education programs more useful and create better patient success and health outcomes. The factors contributing to the success of interprofessional collaboration as a team were good communication, mutual respect, and shared decision-making. In addition, transformational leadership styles were effective leaders of interprofessional collaboration. Conclusions:This review emphasizes the importance of interprofessional collaboration and leadership in effectively integrating into the educational health structure. Greater integration of health care, paired with wise leadership, would lead to better team dynamics, increased efficiency, and a healthier patient. The findings of this research, then, can serve as a road map for successful collaboration and leadership promotion education in health in health organizations and educational institutes. Journal: Health Leadership and Quality of Life Pages: .389 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.389 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.389:id:.389 Template-Type: ReDIF-Article 1.0 Author-Name: Singh Author-Name: Sharma Author-Name: Parashar Author-Name: Patel Author-Name: Malla Author-Name: Mohite Title: Quality of Life and the Role of Integrated Care Models in Healthcare Abstract: Introduction: Quality of life use has gained attention from healthcare professionals due to its broad intersections of factors from personal relationships to social support to psychological well-being and physical health. Discussion: Integrated care models may help improve the overall quality of life by focusing on coordinated, generalized, systematic and comprehensive healthcare. The objective of this study was to examine how integrated care models can enhance the quality of life of individuals within healthcare systems. Methods: A systematic literature review was performed to assess the effectiveness of integrated care models on healthcare quality of life. Data from relevant publications between 2010 and 2020 were included, and quality assessments were made using standardized tools. Results: The evidence shows that integrated care models have a positive impact on the quality of care. Such models incentivize cooperation between healthcare suppliers, generating a more complete and patient-centered solution. In addition, they promote family and social support network involvement and enhance individuals’ personal relations and psychological well-being. Incorporating digital technology into integrated care models can improve access to care and enable self-management of health, both of which positively impact overall quality of life as well. Conclusions: Integrated care models support individuals with diseases in health facilities to improve their quality of life. It also reinforces the importance of a more integrated and holistic healthcare system—which focuses on quality of life, not just stroke and disabling conditions. Long-term goals need to be assessed in terms of quality of life by implementing integrated care models into practice. Journal: Health Leadership and Quality of Life Pages: .388 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.388 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.388:id:.388 Template-Type: ReDIF-Article 1.0 Author-Name: Arora Author-Name: Jayakumar Author-Name: Geetha Author-Name: Patel Author-Name: Tripathy Author-Name: Makhija Author-Name: Garud Title: Exploring the Correlation Between Environmental Toxins and Community Health Abstract: Introduction: Environmental toxins and community health 1 2 Researchers and policymakers have increasingly focused on the intersection of environmental toxins and community health. These increasingly pervasive substances may exist in many forms and sources, canvassing the capacity to undermine the wellness of people and populations. In this study, the researchers sought to investigate the relationship between environmental toxins and community health. Methods: A literature review was performed to obtain evidence on the effects of environmental toxins on community health. After incorporating studies from the last ten years, data were synthesized and analyzed. Results: The review confirmed a significant association between environmental toxins and adverse health outcomes in communities. Respiratory illness, neurological disorders and cancers were the most frequently reported health effects. Sources of these toxins included air and water pollution, hazardous waste sites and chemicals in household products. Conclusions: This research demonstrates the critical role of environmental toxins on the community's health and the need for further investigation. Toxin release should be regulated and prevented through policies and regulations. It is to be considered that the role of ATSDR may be limited at most. Still, I wouldn't go a step further on providing a thrust to environmental toxins that can be controlled by community involvement by conducting education programs and clean-up interventions. We must prevent the damage of these substances to care for society. Journal: Health Leadership and Quality of Life Pages: .387 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.387 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.387:id:.387 Template-Type: ReDIF-Article 1.0 Author-Name: Malathi Author-Name: Mani Author-Name: Upadhye Author-Name: Singh Author-Name: Kataria Author-Name: Gupta Author-Name: Rahul Title: Leadership Development Programs and Their Impact on Healthcare Institutions Abstract: Introduction:Leadership development is essential to preparing healthcare organizations to respond to transformational changes in the industry. Many organizations have started such programs to help their employees grow and mature into better leaders. This study seeks to assess the effect of these programs on healthcare institutions. Methods: A systematic literature review was conducted to identify relevant literature guiding leadership development programs in healthcare institutions. Studies were included based on pre-defined inclusion and exclusion criteria, and the articles searched were between 2010 and 2020. A total of twenty studies were included in the final analysis. Results: Leadership Development Programs Significantly and Positively Impact Healthcare Institutions. They are also typically proven to sharpen leadership competencies, enhance employee motivation and engagement, and contribute to a culture of ongoing learning. Moreover, organizations that emphasize leadership development programs in healthcare have been associated with improved patient outcomes, higher quality of care, and enhanced financial performance. Conclusions: Healthcare Leadership Development Programs Summary: Healthcare leadership development programs are now standard in healthcare organizations and have implications not only for the individual leader but also for the organization as a whole. They are essential for creating a culture of innovation, agility, and resilience, which are all needed in the face of the changing healthcare environment. As a result, healthcare organizations must prioritize investment and ensure the consistency of leadership development programs. Additional studies are needed to examine the effectiveness of such programs in the longer term and identify optimal approaches for their delivery and evaluation. Journal: Health Leadership and Quality of Life Pages: .386 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.386 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.386:id:.386 Template-Type: ReDIF-Article 1.0 Author-Name: Sharma Author-Name: Gohil Author-Name: Dhar Author-Name: Makhija Author-Name: Sood Author-Name: RenukaJyothi Author-Name: Mahajan Title: The Role of Technology in Transforming Healthcare Education Abstract: Introduction: TDigital technology can be harnessed to reform and enhance healthcare education. This paper seeks to explore the current state of research on technology’s influence on the evolution of healthcare education. Methods: Methods A broad literature search using PubMed, Google Scholar and other databases identified relevant, contemporary studies, articles and reports regarding the use of technology in healthcare education. The keywords included “technology,” “healthcare education,” “medical education,” and “e-learning." Results: The study disclosed that technology has been integrated into large-scale healthcare education to improve a number of sectors, including knowledge retention, clinical skills and communication skills. E-learning platforms, virtual and augmented reality, simulation tools, and gamification have all been the most widely used technology for healthcare education. These tools have also found their way to rewrite the story, therefore improving the quality and effectiveness of the training, increasing student engagement and providing students with a more interactive and immersive learning experience. Conclusions: Conclusions: the use of technology in healthcare education has the potential to transform traditional methods of teaching and learning. It allows healthcare providers to learn and practice fundamental skills in a safe, controlled environment, ultimately enhancing patient safety and improving the quality and effectiveness of care delivered. Further studies are needed to assess the long-term effects of technology adoption in healthcare education and to create evidence-based recommendations for its incorporation. However, given the trends, the evidence points to an essential role for technology in reworking healthcare education and preparing the next generation of the workforce. Journal: Health Leadership and Quality of Life Pages: .385 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.385 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.385:id:.385 Template-Type: ReDIF-Article 1.0 Author-Name: Kulkarni Author-Name: Das Author-Name: Sharma Author-Name: Katyal Author-Name: Jamuna Author-Name: Geetha Author-Name: Karande Title: Healthcare Management Strategies for Enhancing Patient Engagement Abstract: Introduction: The healthcare industry is transforming due to the growing emphasis on patient-oriented care and better results. One critical element for accomplishing these goals is patient empowerment, that is, the active participation of the individual in their health journey. This abstract outlines the identified strategies from a paper related to improving patients' engagement in their own healthcare. Methods: We carried out a systematic literature review focused on identifying strategies to improve patient engagement. Studies published between 2010 and 2020 considered interventions focusing on patient engagement in the management aspect of healthcare. We selected and reviewed 20 articles to identify key themes and strategies. Results: Our study identified four strategies healthcare practitioners used to develop patient self-management strategies. Such strategies may involve enhancing communication and information-sharing mechanisms, promoting education and empowerment of the patient and family, utilizing technology and digital tools, and nurturing collaboration between patients and healthcare providers. Game example strategies were used to identify and code each type. Conclusions: onclusively, these are the ways by which healthcare organizations can enhance patient engagement and drive better patient outcomes. However, such strategies need to be implemented in a focused and patient-centered manner based on the variety of patients' needs and preferences. Future research should assess the effectiveness of these mechanisms and identify other strategies for engaging patients in managing their healthcare. Journal: Health Leadership and Quality of Life Pages: .384 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.384 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.384:id:.384 Template-Type: ReDIF-Article 1.0 Author-Name: Behera Author-Name: Taneja Author-Name: Faiz Author-Name: Malathi Author-Name: Sharma Author-Name: Kore Author-Name: Antony Title: Environmental Health Interventions and Their Impact on Quality of Life Abstract: Introduction: Increasing interest in human well-being has drawn attention to the need for healthy and sustainable environments, culminating in the emerging field of environmental health. Consequently, approaches aimed at enhancing ecological quality have emerged as one of the key strategies to promote better quality of life. Methods: Interventions were extracted and analyzed from a literature review on environmental health and quality of life. Several databases were searched for articles published from 2010 to 2020. Results: The findings sug­gest that environ­men­tal health inter­ven­tions are asso­ci­at­ed to mark­ed improve­ments in the qual­ity of life of dif­fer­ent pop­u­la­tions. These interventions include improvements in air and water quality, waste management, green space development, and other policies that support sustainable and healthy living environments. Conclusions: This highlights the importance of environmental health efforts in addressing the unique challenges faced by the populations in the study and their communities at large. Nevertheless, more investigation is required to track the long-term implications of these discernments inducing sustainability in social, economic and environmental aspects. Moreover, the role of public health professionals within interdisciplinary teams is emerging as vital to understanding and facilitating this process further in order to ensure the effective implementation and sustainability of these interventions through collaboration with policymakers and communities. Journal: Health Leadership and Quality of Life Pages: .383 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.383 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.383:id:.383 Template-Type: ReDIF-Article 1.0 Author-Name: Gupta Author-Name: Ahluwalia Author-Name: RenukaJyothi Author-Name: Singh Author-Name: Patel Author-Name: Rout Author-Name: Lawand Title: Health Leadership and Its Effect on Staff Retention and Job Satisfaction Abstract: Introduction:The study explored innovative health leadership models aimed at enhancing the quality of life in post-acute care settings. It addressed the growing need for effective leadership strategies to improve patient outcomes and service delivery. Methods:The researcher employed a mixed-methods approach, combining quantitative surveys and qualitative interviews with healthcare professionals in various post-acute care facilities. The study analyzed data from 150 participants to evaluate the impact of different leadership models on care quality and staff satisfaction. Leadership models considered included transformational, transactional, and servant leadership. Results:The findings indicated that transformational leadership models significantly improved the quality of life for patients in post-acute care settings. Facilities that implemented this model reported higher patient satisfaction scores and better overall health outcomes compared to those using transactional and servant leadership models. Staff in transformational leadership settings also reported higher job satisfaction and lower burnout rates. Conclusions:The study concluded that transformational leadership is the most effective model for post-acute care settings, as it fosters a positive environment for both patients and staff. By prioritizing empathy, communication, and empowerment, transformational leaders can enhance patient care and improve job satisfaction among healthcare workers. The research recommended the adoption of transformational leadership training programs to cultivate these skills in current and future healthcare leaders, ultimately advancing the quality of life in post-acute care environments. Journal: Health Leadership and Quality of Life Pages: .382 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.382 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.382:id:.382 Template-Type: ReDIF-Article 1.0 Author-Name: Kandhari Author-Name: Jamuna Author-Name: Gupta Author-Name: Upadhye Author-Name: Sahu Author-Name: Sharma Author-Name: Patil Title: Assessing the Effectiveness of Interdisciplinary Education in Healthcare Abstract: Introduction: This study focused on innovative health leadership models that can improve the quality of life in post-acute care settings. It answered the need to address leadership strategy in improving patient experience and operational strategy. Methods: The researcher used a mixed-methods approach, incorporating quantitative surveys and qualitative interviews with healthcare professionals in different types of post-acute care settings. The researchers examined data from 150 participants to assess how various leadership models affected the quality of care and staff satisfaction. These included transformational, transactional, and servant leadership models. Results: The data showed that transformational leadership models are associated with significantly better quality of life for patients in post-acute care settings. Those facilities using this model had higher patient satisfaction scores and better overall health outcomes than those using transactional and servant leadership models. Staff in transformational leadership environments also reported greater job satisfaction and less burnout. Conclusions: The study found that transformational leadership is the most effective model for post-acute care settings because it promotes a favorable climate for patients and staff. Transformational leadership elements such as empathy, communication, and empowerment can improve patient care and the job satisfaction of healthcare workers. The study suggested implementing transformational leadership training programs for healthcare leaders who were being nurtured and educated in transformational leadership skills as a desirable format to improve the future and ongoing quality of life in post-acute care settings. Journal: Health Leadership and Quality of Life Pages: .381 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.381 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.381:id:.381 Template-Type: ReDIF-Article 1.0 Author-Name: Mane Author-Name: Solanki Author-Name: Patel Author-Name: Jena Author-Name: Gandhi Author-Name: Kalra Author-Name: Thamminaina Title: The Role of Healthcare Managers in Implementing Environmental Sustainability Initiatives Abstract: Introduction: The innovation included a new health leadership model in a post-acute care setting, which was fine-tuned to improve quality of life. It gave access to much critique but needed new surgical challenges in leadership strategies to perfect patient outcomes and service delivery. Methods: The researcher used a mixed-method design, utilizing quantitative surveys as well as qualitative interviews with various healthcare professionals within post-acute care settings. Researchers reviewed data from 150 residents to assess how leadership models had affected care quality and employee satisfaction. Transformational, transactional, and servant leadership were among the leadership models considered. Results: The findings showed that transformational leadership models dramatically improved the quality of life for people receiving care in post-acute settings. Facilities that followed this model scored higher on patient satisfaction and had better overall (health) outcomes than those following transactional and servant leadership models. Staff in transformational leadership settings also experience higher job satisfaction and lower burnout rates. Conclusions: Transformational leadership is the most effective model — This study proves that transformational leadership supports a better environment for both patients and staff in post-acute care settings. Transformational leadership can improve patient care and job satisfaction among healthcare workers by prioritizing empathy, communication, and empowerment. Based on the study's findings, the researchers recommended the implementation of transformational leadership development programs to promote these skills among contemporary and emerging healthcare leaders to improve the quality of life in post-acute care settings. Journal: Health Leadership and Quality of Life Pages: .380 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.380 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.380:id:.380 Template-Type: ReDIF-Article 1.0 Author-Name: Hasan Author-Name: Thakkar Author-Name: Sahoo Author-Name: Goyal Author-Name: Seth Author-Name: Jayakumar Author-Name: Sikchi Title: Leadership and Ethical Decision-Making in Healthcare Management Abstract: Introduction:The healthcare industry faces complex ethical dilemmas and decisions daily. Leadership's role in providing guidance and making ethical decisions is crucial to maintaining the industry's integrity and trust. This study aimed to examine the relationship between leadership and ethical decision-making in healthcare management. Methods:A qualitative research design was employed, involving in-depth interviews with 20 healthcare managers from various organizations. The participants were chosen through purposive sampling, ensuring representation from a variety of roles in the healthcare management field. Thematic analysis was used to identify patterns and themes in the data. Results:The findings revealed that leadership plays a significant role in shaping an organization's ethical culture and influencing ethical decision-making processes. Transformational and ethical leadership styles were identified as the most effective in promoting ethical decision-making. Additionally, it was found that strong moral leadership leads to better outcomes, including improved employee morale and trust, decreased conflicts, and increased patient satisfaction. Conclusions:This study emphasizes the importance of leadership in ethical decision-making in healthcare management. It highlights the need for healthcare leaders to possess strong moral values and to create a moral climate in their organizations. The findings also suggest that training in ethical decision-making and promoting a supportive culture are vital. Journal: Health Leadership and Quality of Life Pages: .379 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.379 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.379:id:.379 Template-Type: ReDIF-Article 1.0 Author-Name: Shah Author-Name: Dalai Author-Name: Kapoor Author-Name: Swarup Author-Name: Malathi Author-Name: Singh Author-Name: Pawar Title: Evaluating the Impact of Health Education on Lifestyle Modifications Abstract: Introduction: physical activity and stress management strategies. of educational interventions. The study focused on an assumption of positive lifestyle changes as a result of health education measures tailored towards diet, This study aimed to evaluate the impact of health education on lifestyle modifications among adults. The alarming increase in the incidence of non-communicable diseases caused by unhealthy lifestyle habits highlights the importance Methods: 6-week health education program, and n=100 in the control group). Participants were randomly divided into two groups; the intervention group participated in a A randomized controlled trial of 200 adults (n=100 in the intervention group; and post-intervention surveys. the control group received no intervention. Lifestyle habits were evaluated via pre- Results: persisted at the 3-month follow-up. more often. These changes fruit and vegetable consumption and physical activity. Those in the intervention group also reported using stress management techniques group than in the control group. In particular, we saw an increase in The results indicated significantly more positive lifestyle modifications in the intervention Conclusions: studies on the impact of health education on disease outcomes could be explored. progression. Long-term adults. This is one reason why health education interventions can potentially mitigate a disease by reducing risk factors associated with its development and/or These results are conducive to understanding the effectiveness of health education in strengthening healthy lifestyle changes among. Journal: Health Leadership and Quality of Life Pages: .378 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.378 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.378:id:.378 Template-Type: ReDIF-Article 1.0 Author-Name: Behera Author-Name: Mahajan Author-Name: Vashisht Author-Name: RenukaJyothi Author-Name: Bhardwaj Author-Name: Parekh Author-Name: Bamne Title: Sustainable Healthcare Practices: Bridging Environmental Health and Management Abstract: Introduction: the Archives of Environmental healthcare professionals. (This article was peer-reviewed and published in Increasingly, concern for the environmental footprint of healthcare activities, including the excessive consumption of energy and water, waste generation, and utilization of hazardous chemicals, is burgeoning among & Occupational Health. Methods: healthcare settings and the challenges and benefits faced. the use of environmentally friendly products. Their case studies examined how sustainable practices were adopted in various facilities. The review addressed topics including green building design, waste management, energy conservation, and A literature review and case studies at three healthcare. Results: funding and lack of awareness among healthcare staff emerged as challenges. a positive impact. In addition, limited healthcare, but much remains to be done. These case studies showcase examples of initiatives, such as green building certifications, programs to reduce waste, and the use of renewable energy sources, that have made The results show progress towards adopting sustainable practices in. Conclusions: Change in Health Care and Society Most recently, health care has recognized that many environmental factors often controlled by policies from outside the health sector– affect a person’s health and well-being. and training for healthcare personnel to create a culture of sustainability. Sustainability and Climate sustainable practices in healthcare. Journal: Health Leadership and Quality of Life Pages: .377 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.377 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.377:id:.377 Template-Type: ReDIF-Article 1.0 Author-Name: Ghumman Author-Name: Aggarwal Author-Name: Jamuna Author-Name: Singh Author-Name: Pradhan Author-Name: Rakhi Ludam Author-Name: Raje Title: Leadership Approaches to Reducing Healthcare Disparities in Urban Areas Abstract: Introduction: Affecting the health of all of us, particularly in urban areas, is the disparity with which health care is delivered. This leads to worsened health outcomes for disadvantaged and underserved populations. However Leadership strategies to address healthcare disparities in urban environments. One unresolved issue, good leadership has emerged as one of the keys to solving this problem. Methods: To view the original text. publications. Visit the article page among urban underserved populations. Relevant numbers were included in peer-reviewed journals and other required We conducted a systematic review of the literature to identify and describe leadership antiracist approaches that have been implemented to eliminate healthcare inequities Results: Community engagement, cultural competence, collaboration, and advocacy, were discovered to be successful in bridging healthcare gaps in urban centers. Such methods have been applied to break down systemic barriers, enhance care accessibility, Multiple leadership styles, such as transformational leadership, Conclusions: in urban areas, collaboration and advocacy must also fundamentally be part of the larger conversation. strategies like community engagement and cultural competency in order to reduce healthcare disparities. To further promote health equity results support the need for inclusive and transformative leadership in the health service response to health transition, including urban health. Journal: Health Leadership and Quality of Life Pages: .376 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.376 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.376:id:.376 Template-Type: ReDIF-Article 1.0 Author-Name: Jain Author-Name: Mane Author-Name: Hota Author-Name: Derashri Author-Name: Jena Author-Name: Gupta Author-Name: Pednekar Title: Environmental Health and Its Influence on Community Health Outcomes Abstract: Introduction: and interventions. Outcomes are typically determined by measures of mortality, prevalence of certain diseases, and overall quality of life. Insights into how environmental characteristics relative to the more excellent community influence community health will inform public health policy of the ecosystem that influence human health. Community health Health. Environmental health includes pollution, safe drinking water, deforestation and other human manipulations Shifting levels of Prioritizing Clinical, Environmental and Shared Methods: statistical modeling. Air and water quality, access to green space and exposure to toxins. Findings from the included studies were synthesized using data analytic methods, such as meta-analysis and studies across settings, both urban and rural. They looked at scores of ecological factors, including studies that assessed environmental health and community health outcomes. They looked at The authors performed a systematic literature search to identify Results: to increase the number of parks and green spaces, the health outcomes in communities typically improve. Been associated with worse mental health outcomes. Conversely, when cities invest in environmental health, whether with take-back programs or regular clean-up initiatives or by trying of a community with increased mortality and morbidity. Not having access to green spaces has also community health outcomes. Studies indicate that poor environmental quality (air pollution, water pollution) negatively affects the health Results of this study show a significant association between environmental health and Conclusions: factors successfully alter community health and inform public health efforts. Improve communities’ health. More recent research will need to focus on which specific environmental health is an essential driver of community health. The results indicate an urgent need for policies and interventions to protect environmental health and these findings suggest that. Journal: Health Leadership and Quality of Life Pages: .375 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.375 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.375:id:.375 Template-Type: ReDIF-Article 1.0 Author-Name: Singh Author-Name: Lakshmi Author-Name: Jena Author-Name: Sharma Author-Name: Khurana Author-Name: Roy Title: The Role of E-Health in Enhancing Quality of Life for Chronic Patients Abstract: Introduction: To assess the impact of e-health on the quality of life of chronic patients. The paper describes the fundamental understanding of e-health as the use of information and communication technologies (ICT) in support of health and health-related fields. Since chronic diseases represent a heavy burden on most healthcare systems and the lives of patients, it is essential to explore the role e-health can play in this. Methods: This was a systematic review of the literature using electronic databases and search terms pertinent to e-health and chronic diseases. Studies including e-health interventions for patients with chronic disease and reporting quality of life outcomes were included. We identified 20 studies meeting the inclusion criteria, which included sample sizes from 20 to 900 subjects and a diversity of chronic diseases. Results: E-health interventions demonstrated a beneficial effect on the overall quality of life of chronic patients. This was manifested as improvements in physical, psychological and social well-being, disease management and self-care. The study identified that e-health interventions enhanced access to health services offered personalized support, and improved communication between patients and healthcare providers. A few studies also reported on the cost-effectiveness of e-health interventions. Conclusions: This study leads us to conclude that e-health represents a remarkable opportunity to improve the quality of life of chronic patients; E-health can utilize ICT to enhance disease management, enhance reachability to healthcare solutions, and improve professional-patient interaction. There is a need for further research on the best e-health interventions for each of these conditions and on barriers to patients adopting and using e-health (some barriers are common across conditions, while others are specific to each condition). However, the results of this review can encourage us to add e-health to the health systems to have an opportunity to enhance the life quality of chronic patients. Journal: Health Leadership and Quality of Life Pages: .374 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.374 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.374:id:.374 Template-Type: ReDIF-Article 1.0 Author-Name: Awasthi Author-Name: Zaveri Author-Name: Parida Author-Name: Suri Author-Name: Sidhu Author-Name: Thorat Title: Impact of Leadership Styles on Healthcare Team Performance and Patient Satisfaction Abstract: Introduction: The impact of Leadership on healthcare team performance and patient satisfaction has been highly researched within the healthcare industry. However, literature examining the specific leadership styles and their effects on these outcomes is limited. The present study was conducted to analyze the impact of different leadership styles on healthcare team performance and patient satisfaction. Methods: Data were collected from 200 healthcare providers and 500 patients using a quantitative research design in numerous healthcare institutions. Leadership styles were assessed using the Multifactor Leadership Questionnaire. Team performance was measured using the Team Performance Scale, and patient satisfaction was measured using the modified Consumer Assessment of Healthcare Providers and Systems survey. Results: Results revealed a high positive correlation between transformational leadership and team performance, demonstrating the direct effect of leaders who stimulate and engage their group. Autocratic leadership, however, was negatively correlated with making and can have implications for the dynamics of the team and, subsequently, their performance. A positive relationship between transformational and democratic leadership and clinical nurse satisfaction was shown. Conclusions: The results of this research indicate that leadership styles are vital factors that affect healthcare teams' functioning and patient satisfaction. It demonstrates how healthcare leaders can positively impact their teams and patients by employing transformational and democratic styles. That strong leadership can improve the quality of healthcare delivered. Journal: Health Leadership and Quality of Life Pages: .373 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.373 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.373:id:.373 Template-Type: ReDIF-Article 1.0 Author-Name: Zaveri Author-Name: Panda Author-Name: Hemanth Author-Name: Dev Author-Name: Mane Author-Name: Chandra Author-Name: Sriram Title: Evaluating Health Education Programs in Addressing Environmental Health Risks Abstract: Introduction: determinants linked to the environment. This article reports on the effectiveness of health education programs to address environmental health risks. Programs were aimed at children, adults, and older populations and generally educated the population on specific or general ways of reducing health risks with Methods: program design, target population, and outcomes. analysis were collected from literature databases. Data extraction and synthesis: A total of 15 studies were included in the final analysis; data were extracted on A systematic review was performed, and the studies that included the Results: studied populations. Changes in behavior, including safer ecological practices and reduced exposure to environmental toxins. The results were the same across all of the of environmental health hazards among program participants. The programs also were found to lead to The synthesis results indicated that health education programs were successful in increasing knowledge and awareness Conclusions: the implementation and scalability of these programs in respective settings and communities. Effectiveness and determine which strategies are best for various populations. Future research should also evaluate environmental hazards and better overall health. However, further research is needed to assess these programs' long-term environmental health threats. By increasing participants' knowledge and behavior, they can lead to decreased exposure to Health education programs can be valuable means of addressing. Journal: Health Leadership and Quality of Life Pages: .372 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.372 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.372:id:.372 Template-Type: ReDIF-Article 1.0 Author-Name: Sahu Author-Name: Sriram Author-Name: Samrat Author-Name: Choudhary Author-Name: Amita Garg Author-Name: Naregal Title: Assessing Healthcare Leadership Competencies in Crisis Management Abstract: Introduction: This study focused on assessing the necessary healthcare leadership competencies for effective crisis management. The COVID-19 pandemic was a significant reminder of the importance of effective leadership positions for the healthcare system in crises like these. Therefore, it was necessary to identify the main competencies that healthcare leaders should have in order to manage and overcome such hard situations. Methods: A qualitative research approach was used. Semi-structured interviews were held with leaders of health systems with relevant crisis management experience. Transcriptions of the interviews were generated, and thematic analysis was used to identify key competencies, as per the description shared in the original study. Results: The analysis yielded four main competencies: managerial skills, change management, emotional intelligence, and alignment. Other competencies include strategic thinking, adaptive management systems, communication, and emotional intelligence. It also concluded that collaboration and making difficult decisions were essential competencies for healthcare leaders in a crisis. Conclusions: This study indicates the specific competencies that healthcare leaders need to manage crises effectively. The findings can guide the design of effective leadership training programs in crisis management within the healthcare sector. Not only do such competencies enable health systems to act on healthcare driven in crisis, but they are also crucial in preparing healthcare organizations for future crises. Journal: Health Leadership and Quality of Life Pages: .371 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.371 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.371:id:.371 Template-Type: ReDIF-Article 1.0 Author-Name: Sidney Correa Author-Name: Parmar Author-Name: Ahmed Author-Name: Zagade Author-Name: Gajendra Mohapatra Author-Name: Sharma Title: The Influence of Environmental Policies on Public Health Outcomes Abstract: Introduction: This study examines the relationship between environmental policies and public health outcomes. The authors hypothesized that more stringent environmental policies would benefit public health. Methods: A systematic review of existing literature was conducted to identify whether or not there was previous research done on environmental policies in relevance to public health outcomes. Results: The results revealed a consistent positive correlation between stronger environmental policies and improved public health outcomes. Stricter air quality regulations were correlated with lower rates of respiratory diseases, and regulations on the quality of water were correlated with reduced rates of water-borne illnesses. Tied in with this were studies showing that policies intended to limit the carbon footprint also yielded benefits in terms of public health lower rates of cardiovascular disease and premature death. Conclusions: This review provides strong evidence of the link between environmental policies and improved public health outcomes. The results imply that more excellent ecological policies can significantly enhance human health by lessening the incidence of persistent diseases and wariness of pollution-related diseases. Journal: Health Leadership and Quality of Life Pages: .370 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.370 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.370:id:.370 Template-Type: ReDIF-Article 1.0 Author-Name: Singh Author-Name: Asif Author-Name: Ingale Author-Name: Dey Author-Name: Dev Author-Name: Patil Title: Leadership Strategies for Enhancing Healthcare Workforce Resilience Abstract: Introduction: Maintaining a skilled and effective healthcare workforce is essential for providing quality care to patients. The pace and stress of the current environment can make it difficult for healthcare professionals to maintain their resilience. Effective leadership strategies are crucial for driving up workforce resilience and helping healthcare professionals thrive. Methods: So, we conducted a thorough literature search, looking for examples of effective leadership approaches to building healthcare workforce resilience. Multiple databases, including PubMed, CINAHL, and PSYC INFO, were used for the literature search. Results: We found that several of the strategies that were found to be effective in promoting resilience among the healthcare workforce included fostering a culture of support, encouragement, and empowerment; providing opportunities for self-care, relaxation, and stress management; promoting work-life balance; and ultimately, implementing communication training and mentorship. 4. They were found to improve the resilience of healthcare professionals and mitigate the adverse effects of burnout and stress. Conclusions: Leadership in promoting and normalizing resilience in the healthcare Workforce Understanding and taking action on the identified strategies will help leaders build a supportive working environment focused on improving both employee well-being and the quality of care delivered to patients. More research is warranted to ascertain both the effectiveness of such approaches and create evidence-informed recommendations to support organizational leaders in enhancing workforce resilience. Journal: Health Leadership and Quality of Life Pages: .369 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.369 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.369:id:.369 Template-Type: ReDIF-Article 1.0 Author-Name: Fahar Ali Author-Name: Lamoria Author-Name: Narayan Mishra Author-Name: Kumar Author-Name: Kaur Author-Name: Shinde Title: Integrating Environmental Health into Healthcare Management Practices Abstract: Introduction: Conveying Environmental Health in Healthcare Management Practices: Analysis of Systematic Review the authors systematically reviewed the existing literature for best practices and strategies for integrating ecological health into healthcare management. Methods: We performed an extensive search on the comprehensive database, including PubMed, Google Scholar, and Science Direct. However, these studies focused on integrating environmental health in healthcare management, either through the implementation of policy initiatives in educational settings or through organizational transitions. Results: The review revealed emergent themes and strategies for integrating environmental health into healthcare management. These [steps] varied and ranged from forming environmental health committees to creating policies and protocols on how to address environmental health (e.g., incorporating ecological health-related goals and metrics in performance evaluations and providing staff training and education on environmental health, among others). Conclusions: The culture of healthcare management can be acted upon to enhance environmental health, resulting in intelligent patient outcomes and illuminated healthcare practices. Nevertheless, additional research and evaluations of these integration movements have yet to assess their efficacy and identify areas for improvement. Journal: Health Leadership and Quality of Life Pages: .368 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.368 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.368:id:.368 Template-Type: ReDIF-Article 1.0 Author-Name: Purohit Author-Name: Chauhan Author-Name: Biswal Author-Name: Nanda Author-Name: Bhushan Author-Name: Pujari Title: Quality of Life Outcomes in Chronic Disease Management: A Leadership Perspective Abstract: Introduction:This study aimed to explore the perspectives of leaders in chronic disease management and the impact of their leadership practices on the quality of life outcomes for patients with chronic diseases. Methods:A sample of leaders working in chronic disease management were interviewed qualitatively, transcribed, and analyzed thematically. Results:Leaders identified several key ways in which their leadership practices influenced the quality of life outcomes for chronic disease patients. These included providing support and resources for patients, implementing multidisciplinary care teams, promoting patient empowerment and self-management, and fostering a culture of collaboration and continuous improvement. Leaders also recognized the importance of their well-being and self-care in effectively managing chronic diseases and promoting quality of life for patients. Conclusions:Leaders play a critical role in shaping the quality of life outcomes for patients with chronic diseases. By implementing effective leadership practices, such as providing support and resources, promoting self-management, and fostering collaboration, leaders can help improve the overall well-being of patients with chronic diseases. Moreover, leaders should prioritize their well-being and self-care in order to better support and lead their care teams and ultimately improve the quality of life for chronic disease patients. This study highlights the importance of leadership in chronic disease management and provides valuable insights for leaders to enhance their practices and ultimately improve patient outcomes. Journal: Health Leadership and Quality of Life Pages: .367 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.367 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.367:id:.367 Template-Type: ReDIF-Article 1.0 Author-Name: Thakkar Author-Name: Sahoo Author-Name: Saraswat Author-Name: Khurana Author-Name: Jayakumar Author-Name: Kumar Author-Name: Bhanudas Hulwan Title: Assessing the Role of Leadership in Promoting Patient-Centered Care Abstract: Introduction:This study aimed to assess the role of leadership in promoting patient-centered care in healthcare organizations. Patient-centered care is an approach that focuses on meeting patients' individual needs and preferences, thereby improving their overall experience and outcomes. Effective leadership is crucial in driving the implementation of patient-centered care in healthcare settings. Methods:A literature review was conducted to gather relevant studies on leadership and patient-centered care. The articles were critically analyzed using a deductive approach to identify key themes and draw conclusions. Results:The review revealed that effective leadership is essential in promoting patient-centered care. Transformational leadership, which emphasizes individualized consideration and intellectual stimulation, was found to be most beneficial in this context. This type of leadership empowers healthcare professionals to actively involve patients in their care actively, leading to higher patient satisfaction and improved outcomes. Servant leadership, which focuses on serving the needs of others, was also found to be effective in promoting patient-centered care. Conclusions:This study highlights the crucial role of leadership in promoting patient-centered care. Healthcare organizations should focus on developing and nurturing transformational and servant leaders to drive the implementation of patient-centered care. By prioritizing patient needs and preferences and involving them in decision-making processes, leaders can create a culture of patient-centered care within their organizations, ultimately improving patient outcomes and experiences. Further research is needed to explore the specific leadership styles and strategies that are most effective in promoting patient-centered care. Journal: Health Leadership and Quality of Life Pages: .366 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.366 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.366:id:.366 Template-Type: ReDIF-Article 1.0 Author-Name: Mohanty Author-Name: Saini Author-Name: Rampal Author-Name: Mane Author-Name: Malathi Author-Name: Bansal Author-Name: Shah Title: Exploring the Impact of Transformational Leadership on Healthcare Quality Improvement Abstract: Introduction: Transformational leadership has also become a well-accepted means to improve quality of care in practice. What it means is that leaders need to lead with motivation and inspiration to embrace the changing landscape of the business world and instill this urge to achieve higher standards. The purpose of this study is to examine the effect of transformational leadership on healthcare quality improvement. Methods: A systematic literature review was performed, and articles were chosen from different electronic databases. Inclusion criteria had been studies that focused on transformational leadership and healthcare quality improvement. Fifteen articles were included in the analysis. Results: Overall the results indicated positive effects of transformational leadership regarding healthcare quality improvement across studies in hospitals, long-term care, and community health settings. The findings showed components of transformational leadership, like individualized consideration, inspirational motivation, and intellectual stimulation, were integral to facilitate the quality improvement initiative. They create an environment for healthcare teams to learn and collaborate, leading to improved patient outcomes and satisfaction. Conclusions: Caution about potential hidden variable persistency in research applications of this type should be applied. When organizations commit to transformational leadership, their healthcare environment can sustain continuous improvement. There is a need for additional study to determine how transformational leadership affects healthcare quality specifically and what solutions can be developed to determine its best application. Journal: Health Leadership and Quality of Life Pages: .365 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.365 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.365:id:.365 Template-Type: ReDIF-Article 1.0 Author-Name: Pesantez García Author-Name: Cisneros Basurto Author-Name: Chapaca Tituaña Author-Name: Maldonado Beltrán Title: Impact of COVID-19 on mathematical learning in 9- to 11-year-olds Abstract: The COVID 19 has caused a problem in students from 9 to 11 years old in their learning of mathematics. for different causes such as lack of technological devices, laptops, smartphones, lack of internet, etc. Another cause that caused the desertion of students to receive virtual classes was to work with their parents in the fields in the rural sector. therefore, this research aims to analyze the impact that the emergence of COVID 19 has had on the learning of mathematics of the four basic operations in students from 9 to 11 years old. The COVID 19; had an impact on the problem of learning mathematics, having a worldwide affectation, within each country and different peoples of each region, so the teacher in his effort to achieve the best possible grasp of math problems applied different ways such as calls and WhatsApp messages with questions about the requirements to properly perform a job, dates to deliver it, doubts and, above all, requests to review the progress of a task and provide them with feedback. The strategies implemented during the pandemic facilitate online learning. Teacher training in educational technologies and access to devices and connectivity are key elements to ensure a successful transition to online learning. Assessment and feedback are important components of mathematics learning. This hinders their ability to identify and correct errors, to measure their progress and understanding in mathematics. Journal: Health Leadership and Quality of Life Pages: .364 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.364 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.364:id:.364 Template-Type: ReDIF-Article 1.0 Author-Name: Cisneros Basurto Author-Name: Chapaca Tituaña Author-Name: Pesantez García Author-Name: Maldonado Beltrán Title: Learning Assisted by Artificial Intelligence Tools in College Students Abstract: In particular, the present research seeks to substantiate the topic of learning assisted by artificial intelligence tools in college students, the main objective of this research was to evaluate the benefits of artificial intelligence tools in the academic training of university students. The scope of the research focuses on a representative sample of members of the University of the Armed Forces ESPE in Santo Domingo, using artificial intelligence tools as a complement to their training. To achieve these objectives, a longitudinal study was carried out covering a period of one academic semester. Data were collected through a survey, performance tests and analysis of tool usage records. Statistical analysis and qualitative techniques were used to process the data. The results showed significant improvements in their academic performance compared to their experience in other semesters. These tools facilitate the personalization of learning, adapting to the individual needs of the students, which resulted in greater engagement with the content and greater retention of information. In addition, it was observed that artificial intelligence tools promoted collaboration and knowledge sharing among students. The main findings of this research indicate that their incorporation in higher education can be highly beneficial. This research underscores the importance of considering the integration of artificial intelligence as a valuable resource for higher education in the digital age. Journal: Health Leadership and Quality of Life Pages: .363 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.363 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.363:id:.363 Template-Type: ReDIF-Article 1.0 Author-Name: Astudillo Cobos Author-Name: Zambrano Cedeño Author-Name: Salcedo Quijije Author-Name: Chumo Estrella Author-Name: Mendoza Catagua Author-Name: Bravo Acosta Title: Mindfulness techniques as a strategy for reducing stress levels in pre-school and primary school teachers Abstract: The objective of the research exordium is to propose mindfulness techniques as a strategy to reduce stress levels in teachers at the initial and preparatory level of the Costa Azul Educational Unit of Manta in the 2024-2025 school year. The problem is that teachers present work stress, which affects daily activities and teaching techniques with students, in addition to the lack of interest and motivation in working under pressure. From this perspective, it is emphasized to develop a technique that improves the work environment and especially the quality of life of the teachers, addressing the emotional level and the pace of actions within the work field. The methodology applied in this study was based on bibliographic, field research, with a study in the quantitative approach, which allowed measuring and quantifying the level of stress of the initial and high school teachers, on the other hand, the analytical, synthetic and statistical methods, which under the survey techniques, explicit information was collected in the study process. Regarding the results obtained, the state of stress of the teachers was verified, proposing the development of an intervention plan through mindfulness. It is concluded that the teachers want to carry out a mindfulness intervention plan with the aim of reducing stress and having a better quality of life, both work and emotional. Journal: Health Leadership and Quality of Life Pages: .362 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.362 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.362:id:.362 Template-Type: ReDIF-Article 1.0 Author-Name: Astudillo Cobos Author-Name: Bravo Palma Author-Name: Montero Author-Name: Chila Cortez Author-Name: Montoya Toala Author-Name: Sarango Sarango Title: Intervention strategies to encourage participation in preschool Abstract: The study on the effectiveness of intervention strategies in the participation of children in preschool activities at the “Antonio Parra - Velasco” School reveals a positive impact in general, although it also indicates diversity in the levels of involvement. Active, child-centered methodologies, especially physical and collaborative activities, are noted for their ability to engage and foster social skills. However, significant difficulties are identified in activities that require verbal and emotional expression, suggesting the need to adapt strategies to ensure that all children feel comfortable participating. Diversification of pedagogical approaches is key; Combining physical activities with methods that promote verbal expression can create a more inclusive environment. Furthermore, the importance of personalized support for those children with low levels of participation is highlighted, offering interventions in small groups or individual sessions that facilitate self-expression. Collaboration with families is essential to reinforce the child's development, creating a comprehensive approach that promotes learning. Finally, the need for reflective practice in education is highlighted, where continuous evaluation and feedback from students and families inform adjustments in methodologies, thus guaranteeing a more inclusive and effective education. In summary, diversity in participation requires continued attention and adaptation of strategies to ensure that all children benefit from learning in a nurturing and stimulating environment. Journal: Health Leadership and Quality of Life Pages: .361 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.361 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.361:id:.361 Template-Type: ReDIF-Article 1.0 Author-Name: Astudillo Cobos Author-Name: González Rodríguez Author-Name: Montero Reyes Title: Development and application of interactive games to stimulate cognitive skills in 5-year-old children Abstract: This study addressed the issue of the lack of implementation of playful games in digital environments at the Luis Chiriboga Manrique Public School. The digital divide in Ecuador is directly affecting the cognitive development of 5-year-old children, as teachers continue to use the same resources from previous years without integrating technological processes in the classroom. The main objective was to design and apply a games manual, both virtual and physical, to strengthen cognitive skills in early childhood. A significant sample of teachers was involved, and they were given a survey based on a Likert scale, collecting qualitative and quantitative data on the perception and effectiveness of the proposed activities. The main results showed a high acceptance of the manual by the teachers, who highlighted its positive impact on improving children's attention and logical reasoning skills. However, further training is needed to optimize the implementation of the games, as well as more cooperation from families in the home-based playful process. In conclusion, the games manual proved to be an effective tool for stimulating cognitive development, with potential for optimization through pedagogical and family support. Journal: Health Leadership and Quality of Life Pages: .360 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.360 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.360:id:.360 Template-Type: ReDIF-Article 1.0 Author-Name: Montero Reyes Author-Name: Coque Jiménez Author-Name: Ashqui Mena Author-Name: Orbea Jácome Author-Name: Palomo Allauca Author-Name: Romero Sarmiento Title: Dysphemia in the development of verbal language in children aged 3 to 4 years Abstract: This article addressed the problem of dysphemia, commonly known as stuttering, in children aged 3 to 4 years in preschool educational institutions, a disorder that significantly affects the development of language and communication. The aim of the study was to analyze the impact of dysphemia on the verbal development of these children and to propose effective intervention strategies. A mixed methodology was used, combining qualitative and quantitative approaches, through direct observation and field data collection, as well as a documentary analysis that theoretically supported the research. The main results indicated that 75% of the children articulated correctly, but 16.66% had fluency difficulties, which suggests the presence of dysphemia. In addition, it was evidenced that only 16.66% of the children used correct grammatical structures consistently, which highlighted the need for pedagogical intervention. The study's findings underscored the importance of implementing early intervention programs, such as "Fluent Speech," that integrate breathing techniques and playful activities to improve children's verbal fluency and self-esteem. It was highlighted that raising awareness in the educational community is crucial to foster an inclusive and supportive environment, which could facilitate better social integration and stronger academic performance for children who stutter. Journal: Health Leadership and Quality of Life Pages: .359 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.359 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.359:id:.359 Template-Type: ReDIF-Article 1.0 Author-Name: Ron Author-Name: Escalona Author-Name: Hermoso Author-Name: Hernández-Runque Title: Reliability of Hand Anthropometric Measurements in Venezuelan Workers: A Pilot Study Abstract: Introduction: Hand anthropometry is fundamental for ergonomic design and prevention of occupational injuries. In Venezuela, there is a significant gap in specific anthropometric data for the working population, which hinders the adequate design of tools and work equipment. Method: A quantitative, non-experimental, field pilot study with a descriptive-cross-sectional scope was conducted on 60 workers at a food company in Cagua, Venezuela. Intra- and inter-rater reliability of hand anthropometric measurements (length, width, and circumference) was evaluated using the Intraclass Correlation Coefficient (ICC). The sample size for a larger study was calculated according to the Colombian Technical Standard NTC 5654. Results: Intra-rater reliability showed excellent ICC values for circumference (0.997), width (0.980), and length (0.873). Inter-rater reliability was also excellent: length (0.997), width (0.990), and circumference (0.982). The sample size calculation determined that 184 participants are required for hand length, being the most efficient metric for larger studies. Conclusions: The measurement methods employed demonstrated high reliability and reproducibility. Hand length emerged as the most suitable variable for anthropometric studies in the Venezuelan working population, requiring a sample of 184 participants stratified by age and gender to ensure population representativeness. Journal: Health Leadership and Quality of Life Pages: .358 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.358 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.358:id:.358 Template-Type: ReDIF-Article 1.0 Author-Name: Olivera Vega Author-Name: Cabrera Rodríguez Author-Name: Chiappini Zayas Author-Name: Garzón Cutiño Title: Orbitary sclerosant inflammation with extraorbital extension associated with cerebal infarction: case report Abstract: Introduction: Idiopathic orbital inflammatory syndrome is a clinical entity characterized by a non-specific intraorbital inflammatory infiltrate, which may mimic a malignant tumor. Extraorbital extension is rare. Case report: A 70-year-old white male patient with a personal history of hypertension and ischemic heart disease was evaluated three months before admission for unilateral ocular proptosis accompanied by headache, malaise, and anorexia. An initial head CT scan was performed, which revealed a hyperdense mass located in the orbital apex. The mass was diagnosed as orbital pseudotumor and dexamethasone treatment was prescribed for 2 months. Magnetic resonance imaging: A hyperintense image was defined in the left maxillary sinus region that exceeded the lower floor of the orbit and extended to the ocular cavity of the left eye with hypodensity throughout the cavity without defining the optic nerve. Histological study of the periorbital fatty tissue sample: sample consisting of connective tissue, adipose tissue, striated muscle, and nerves. It is concluded that, given the clinical elements found in the interrogation and physical examination, the normal complementary studies that rule out other pathologies, the diagnosis of: Orbital fatty inflammatory pseudotumor, cerebral microangiopathy of atherosclerotic etiology. Conclusions: This patient is a rare case of orbital sclerosing inflammatory disease with extension to the maxillary sinus. It is essential to broaden the horizons of neurological pathology and expand diagnostic investigations in order to implement the most effective therapies to improve the patient's quality of life and avoid complications. Journal: Health Leadership and Quality of Life Pages: .357 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.357 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.357:id:.357 Template-Type: ReDIF-Article 1.0 Author-Name: Rodríguez Vázquez Author-Name: Gutiérrez Cordoví Author-Name: González Llanesa Author-Name: Valdés Santiago Title: Content validation of the Maslach Burnout Inventory-Student Survey in Cuban medical students Abstract: Introduction: The Maslach Burnout Inventory-Student Survey adapted by Soria and Montero (2020) was used to assess burnout in uni- versity students. In Cuba, as far as is known, the inventory has not been validated in university populations. It is intended to be adapted and validated in the Cuban context to measure academic burnout syndrome, emotional exhaustion, cynicism and academic efficacy. Method: The aim was to validate the Maslach Burnout Inventory-Student Survey in Cuban university medical students.Technological development work in stages: linguistic-cultural adaptation and content validation. Experts were consulted and consensus was evaluated by means of the content validity coefficient. In the pilot test, reliability was checked by means of Cronbach's α coefficient. The information was processed with the free software jamovi. Results: Thirteen experts participated. Content validity coefficients (≥ 0.80) were obtained in all categories; clarity 0.81, relevance 0.98, coherence 0.98 and sufficiency 0.92: (dimension 1 = 0.90, dimension 2 = 0.85, dimension 3 = 1.00). Indicates the adequacy of all items. Forty-five medical students participated in the pilot. An overall Cronbach's α (0.771) was re-scored, which evidenced the homogeneity of the test. Adequate values were obtained in the Emotional Exhaustion (α = 0.825) and Cynicism (α = 0.845) dimensions but not so in the Academic Efficacy dimension (α = 0.253). Conclusions: The Maslach Burnout Inventory-Student Survey adapted to the Cuban context meets the metric attributes of content validity and reliability in the piloting in undergraduate medical students. Journal: Health Leadership and Quality of Life Pages: .356 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.356 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.356:id:.356 Template-Type: ReDIF-Article 1.0 Author-Name: Bhushan Author-Name: Rastogi Author-Name: Upadhye Author-Name: Jena Author-Name: Dev Author-Name: Lawand Title: Children with autism spectrum disorder's sleep patterns: a research analysis Abstract: Sleep issues are common in young with autism spectrum disorder (ASD), and although the Children's Sleep Habits Questionnaire (CSHQ) is widely used for assessment, concerns about its ideal variable structure still exist. This research looked at the CSHQ's variable structure in young children with ASD and explored the relationship between CSHQ variables and emotional, cognitive, and behavioral dysregulation. Children with ASD between the ages of 4 and 5 (n = 270) took part in the research. Two previously published CSHQ variable frameworks were tested for data using confirmatory factor analysis (CFA), and other frameworks were investigated using exploratory factor analysis (EFA). Regression analysis evaluated how differences in dysregulation symptoms were explained by the values of the variables.previously published frameworks for validated, a novel five-variable system discovered by EFA showed a great fit with the Although sleep characteristics were not generally linked to autistic symptoms, there was evidence of particular associations between them and aggression, stress, depression, and attention deficit problems. These results highlight how common sleep issues are in young children with ASD and indicate that the recently discovered CSHQ five-variable approach may be useful in future studies. Journal: Health Leadership and Quality of Life Pages: .355 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.355 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.355:id:.355 Template-Type: ReDIF-Article 1.0 Author-Name: Patel Author-Name: Garg Author-Name: Nashte Author-Name: Makhija Author-Name: Rohini Title: Correlations Between Gut Microbiome Changes, Gut Barrier Function, and Immune Homeostasis in COVID-19 Patients: The Role of Gut Microbiota in Immunity and Cancer Prevention Abstract: Systemic inflammation and immunological dysregulation are linked to COVID-19 infection, and there is mounting evidence that gut barrier failure and gut microbiota dysbiosis are related. Gaining knowledge of these relationships could help explain how diseases develop. By measuring biomarkers and cytokine levels, this research aims to analyze the relationships among gut microbiota alterations, gut barrier function, and immunological homeostasis in COVID-19 patients. Using IBM SPSS (version 26) with Pearson Correlation, Chi-Square testing, independent t-tests, and Multivariate Regression analysis, a comparative study was conducted using gut barrier biomarkers (Zonulin, LPS, I-FABP) and cytokine levels (IL-6, IL-10, TNF-α). In COVID-19 individuals, there were notable variations in gut barrier biomarkers and cytokine levels, with robust associations suggesting a connection between immune dysregulation and gut barrier failure. Gut microbiota dysbiosis and gut barrier dysfunction are significantly associated with immune homeostasis disturbance in COVID-19 patients, which may be a contributing factor to the disease's severity and progression. Journal: Health Leadership and Quality of Life Pages: 354 Volume: 4 Year: 2025 DOI: 10.56294/hl2025354 Handle: RePEc:dbk:health:v:4:y:2025:i::p:354:id:354 Template-Type: ReDIF-Article 1.0 Author-Name: Turro Caró Author-Name: Mesa Valiente Author-Name: Turro Mesa Author-Name: Montes de Oca Carmenaty Title: Clinical-epidemiological factors associated with mortality in patients diagnosed with acute heart failure Abstract: Introduction: acute heart failure is a high mortality event in the population that may depend on various clinical and epidemiological factors. Objective: determine the clinical-epidemiological factors associated with the mortality of patients diagnosed with acute heart failure. Method: a cross-sectional descriptive study was carried out with the purpose of determining the clinical-epidemiological factors associated with the mortality of patients with a diagnosis of acute heart failure, admitted to the cardiology ward of the “Saturnino Lora Torres” Provincial Hospital of Santiago de Cuba in the period from January 2021 to December 2023. The universe consisted of 454 patients, from whom a sample was taken (n=70) and divided into two groups: deceased and alive. The Chi Square value (x2) was estimated to determine the statistical association. Results: clinical-epidemiological factors associated with mortality in patients diagnosed with acute heart failure include age over 80 years, male sex, history of arterial hypertension and diabetes mellitus, presentation as acute coronary syndrome, as well as less than 3 days of hospital stay. Conclusions: the clinical-epidemiological factors of the patients studied were very similar to those described in the bibliography consulted and despite the multiple protocols and guidelines implemented, in-hospital mortality remains high. Journal: Health Leadership and Quality of Life Pages: .353 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.353 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.353:id:.353 Template-Type: ReDIF-Article 1.0 Author-Name: Riofrio Ponce Author-Name: Salazar Garcés Title: Glial Fibrillary Acidic Protein in Blood as a Diagnostic Method for Traumatic Brain Injury: A Systematic Review and Meta-Analysis Abstract: Introduction: Traumatic brain injury (TBI) is a leading cause of morbidity and mortality worldwide. Glial fibrillary acidic protein (GFAP) has been proposed as a blood-based diagnostic biomarker for TBI, but its clinical utility remains uncertain. This meta-analysis assessed the diagnostic accuracy of GFAP in identifying TBI. Methods: A systematic search was conducted in biomedical databases for studies published between 2019 and 2024. Clinical trials with adequate sample sizes and standardized GFAP detection methods were included. Sensitivity, specificity, and predictive values were analyzed using statistical models to evaluate diagnostic accuracy. Results: Seven studies with a total of 3,209 patients were included. The overall sensitivity of GFAP was 0.91 (95% CI: 0.83–0.96), demonstrating a high capacity to detect TBI. However, specificity was moderate (0.61, 95% CI: 0.48–0.73), indicating a higher rate of false positives. The summary ROC curve confirmed a good general diagnostic performance but highlighted limitations in differentiating TBI from other neurological conditions. Conclusions: GFAP exhibited high sensitivity as a diagnostic biomarker for TBI, making it a useful tool for early detection. However, its low specificity suggests the need for combination with other biomarkers to improve diagnostic accuracy. Journal: Health Leadership and Quality of Life Pages: .352 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.352 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.352:id:.352 Template-Type: ReDIF-Article 1.0 Author-Name: Armenteros Iznaga Author-Name: Sánchez López Author-Name: Rodríguez Velasco Author-Name: Zayas Fundora Title: Therapeutic Adherence in patients with Vascular Cognitive Impairment, Institue of Neurology, January – April 2024 Abstract: Introduction: Therapeutic adherence is the degree to which a person's behavior in taking their medication corresponds to the agreed recommendations of their doctor. In Vascular Cognitive Impairment characterized by impairment in at least 1 of 4 cognitive domains, slight or no impairment in daily living activities, brain images compatible with Cerebrovascular Disease and temporal relationship between stroke and cognitive symptoms, compliance with the therapeutic regimen is of utmost importance in order to stop its progression to Vascular Dementia. Objective: To characterize therapeutic adherence in patients with Vascular Cognitive Impairment in the outpatient clinic of the Institute of Neurology and Neurosurgery. Methods: An observational, analytical, retrospective, cross-sectional study was carried out in the outpatient clinic of the Institute of Neurology and Neurosurgery in the period from January to April 2024. Demographic and clinical variables were collected, including the application of the Morisky-Green Test. Results: 34.3% of patients were adherent, there was a statistically significant relationship between age and therapeutic adherence, and a relationship was evident with the duration of the disease (p=0.025) and the values of the neuropsychological tests (p=0.000) in relation to non-adherence. Conclusions: In Vascular Cognitive Impairment, the frequency of therapeutic adherence was low. There was no relationship between sex, educational level, monetary income, time of diagnosis and time of initiation of treatment with therapeutic adherence. Journal: Health Leadership and Quality of Life Pages: .351 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.351 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.351:id:.351 Template-Type: ReDIF-Article 1.0 Author-Name: Villanueva-Martín Author-Name: Cecilia-Paredes Author-Name: Díaz-Calzada Author-Name: Contreras-Leal Author-Name: Morales-Valdés Author-Name: Godoy-Suárez Title: Cardiovascular risk characterization in prediabetics. Diabetes care center Abstract: Introduction: Prediabetes is an asymptomatic condition that precedes type 2 diabetes and is associated with an increased risk of cardiovascular disease. Objective: to characterize the cardiovascular risk in prediabetics treated at the Diabetes Care Center, during the period May 2019 - June 2021. Methods: a descriptive, observational, cross-sectional research was carried out, the universe was made up of 97 patients, which intentionally coincided with the sample, the variables studied were: age, sex, nutritional assessment, global cardiovascular risk, vascular risk factors and macrovascular and microvascular complications. Methods: for the analysis of the information, the Statistical Package for Social Sciences statistical system was used, a descriptive univariate analysis was applied for the quantitative variables through measures of central tendency and dispersion, statistics such as the distribution of absolute and relative frequencies were used. The Chi square test and Fisher's exact test were applied for qualitative data with a significance level of 95% (p<0.05). Results: There was a predominance of females, age group 50 to 64 years, obese and double prediabetes. More than half of the cases showed insulin resistance. High blood pressure, sedentary lifestyle and peripheral neuropathy prevailed. Conclusions: Low overall cardiovascular risk and modifiable cardiovascular risk factors predominated. Journal: Health Leadership and Quality of Life Pages: .350 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.350 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.350:id:.350 Template-Type: ReDIF-Article 1.0 Author-Name: Pérez Mendoza Author-Name: García Cruz Author-Name: Valdés García Author-Name: Castillo Almeida Title: Safety and health risks and opportunities in generating sets in Pinar del Río Abstract: An efficient identification, evaluation and registration of occupational risks implies avoiding or minimizing the causes of accidents and diseases derived from work. Organizations must give equal importance to the management of these risks as a fundamental aspect for the correct development of their business activity. For this reason, this research aims to update the occupational risk management of the Geysel Pinar del Río Base Business Unit, based on current international standards. Methods and tools such as direct observation, brainstorming, checklist, radar graph and double entry matrix were used. The initial diagnosis reflected the state of maturity of the Health and Safety System currently implemented, and based on this, actions were carried out to address the risks and opportunities that guaranteed proactive management. Journal: Health Leadership and Quality of Life Pages: .349 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.349 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.349:id:.349 Template-Type: ReDIF-Article 1.0 Author-Name: Remis Lorenzo Author-Name: Díaz Pita Author-Name: Hernández Ávila Author-Name: Dot Pérez Author-Name: González Horta Title: Quality of life in the adult bigger than a community Abstract: Introduction: the populational aging in a challenge for the modern societies and the quality of a person's life is of the interaction of multiple factors. Objective: to evaluate the quality of life in the bigger adult belonging to the medical clinic 129 of the Policlínico Siblings Cruz of the municipality Pinegrove of the River in the period of January of the 2021 to July 2023. Method: he/she was carried out an intervention study, the universe it was constituted by bigger 229 patients adults, a sample was not selected bigger probabilística of 96 adults that fulfilled the inclusion approaches, theoretical, empiric methods they were used and of the descriptive statistic, given in absolute and relative numbers. Results: a perception of the quality of half life of 64,58% prevailed in the age group from 60 to 69 years, the feminine sex with 54,16%, the married bigger adults for 56,25%, the level of school of primary without finishing and secondary finished with 27,08%; the dimensions of the quality of life in the biggest adult were high after the intervention, with the educational intervention a level of knowledge is evaluated about the perception of quality of the appropriate bigger adults' life with 81,25% Conclusions: The perception of the dimensions of quality of the biggest adults' life, after the intervention was high and the level of knowledge about the perception of the quality of life was evaluated of appropriate. Journal: Health Leadership and Quality of Life Pages: .348 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.348 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.348:id:.348 Template-Type: ReDIF-Article 1.0 Author-Name: Cuello Cuello Author-Name: Acosta Prieto Author-Name: García Cruz Author-Name: García Dihigo Title: Postural evaluation with artificial intelligence tool for room maids in the tourism sector Abstract: Introduction: Musculoskeletal disorders represent a global health problem and can negatively impact the health of workers. The objective of the research was: to evaluate postures with artificial intelligence tools in room maids in the tourism sector, the case study is located in the Meliá Varadero hotel. Methods: Consisting of four stages: preparation, identification, evaluation and results, tools such as the Nordic questionnaire and the use of Ergo AI were applied. Results: The Nordic questionnaire showed that the main ailments reported by the room maids were back, wrist/hand, neck, shoulder and forearm/elbow. Applying the Ergo IA software with the evaluation of the REBA method evidenced that in carrying suitcases from the lobby to the room the most affected parts were: back, neck, forearm and legs, in cleaning the room: back, neck and forearm and in making coffee; wrist, neck and forearm. Conclusions: A correlation was made between the perception of musculoskeletal disorders by the worker and the results of the REBA method evaluated in the Ergo IA software, where coincidences in the most affected areas were evidenced. Journal: Health Leadership and Quality of Life Pages: .347 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.347 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.347:id:.347 Template-Type: ReDIF-Article 1.0 Author-Name: Del Río Mesa Author-Name: Turro Mesa Author-Name: Mesa Valiente Author-Name: Turro Caró Author-Name: Del Río Caballero Title: New hematological markers of inflammation in patients with acute coronary syndrome Abstract: Introducción: el desarrollo y progresión de la ateroesclerosis y su consecuencia más dramática: el síndrome coronario agudo, implica mecanismos inmunológicos e inflamatorios, por demás en la literatura internacional y nacional se han revelado nuevos marcadores hematológicos de inflamación, que resultan más asequibles y han sido poco explorados en nuestra población. Objetivo: relacionar variables del curso clínico y eventos cardiovasculares mayores adversos ocurridos con marcadores hematológicos de inflamación seleccionados en pacientes hospitalizados por síndrome coronario agudo. Método: Se realizó un estudio descriptivo-transversal de 113 pacientes que ingresaron en la sala de Cardiología con diagnóstico de síndrome coronario agudo durante el 2019. se estableció la relación existente entre variables clínicas, sociodemográficas, electrocardiográficas y ecocardiográficas seleccionadas con marcadores hematológicos y biomoleculares inflamatorios. Resultados: hubo predominio de la enfermedad en adultos mayores, con una mayor proporción de mujeres en edades más avanzadas y mortalidad significativamente mayor. La relación neutrófilos/linfocitos, plaquetas/linfocitos junto al recuento total de leucocitos y la cifra basal de hemoglobina muestran asociación significativamente entre ellos y con la mortalidad, eventos cardiacos mayores adversos y el tipo de síndrome coronario agudo Conclusiones: Los marcadores hematológicos de inflamación y estrés oxidativo: relación neutrófilos /linfocitos y plaquetas /linfocitos, tienen una asociación significativa con la mortalidad y eventos cardiacos mayores adversos de pacientes hospitalizados por síndrome coronario agudo y pudieran evaluarse como factores pronósticos teniendo en cuenta su bajo costo y fácil obtención por biometría hemática. Journal: Health Leadership and Quality of Life Pages: .346 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.346 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.346:id:.346 Template-Type: ReDIF-Article 1.0 Author-Name: Rodríguez Hechavarría Author-Name: Jera Gonzalez Author-Name: Turro Mesa Title: Coronary Microcirculatory Dysfunction. Diagnostic approach Abstract: Introduction: Angina pectoris affects more than 100 million people worldwide. Many of these patients present with angina with non-obstructive coronary arteries (ANOCA) or ischemia with non-obstructive coronary arteries (INOCA). In these patients, angina or ischemia is caused by vasomotor disorders of the epicardial vessels or arterioles, or by coronary microvascular dysfunction. Objective: Systematize the current state of knowledge of Coronary Microcirculatory Dysfunction. Methods: A qualitative observational study was carried out, consisting of a systematic bibliographic review. The guidelines of the PRISMA statement (2) were followed. The search terms consulted were: Coronary Microcirculatory Dysfunction, INOCA and ANOCA. Development: Coronary Microcirculatory Dysfunction (CMD) refers to a broad spectrum of structural and functional disorders that affect coronary microcirculation and subsequently lead to impaired coronary blood flow in response to increased myocardial oxygen demand. Conclusions: Coronary Microcirculatory Dysfunction represents a highly prevalent entity, with significant clinical relevance and can appear as a primary or secondary entity to other cardiovascular entities, being associated with high mortality and high readmission rates. Journal: Health Leadership and Quality of Life Pages: .345 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.345 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.345:id:.345 Template-Type: ReDIF-Article 1.0 Author-Name: González Author-Name: García García Author-Name: Martin García Author-Name: García Gómez Author-Name: Castelvi López Author-Name: García Rodríguez Author-Name: Méndez Rosado Author-Name: Morales Rodríguez Author-Name: Barrios Martínez Title: Cytogenetic diagnosis of Pallister Killian syndrome Abstract: Introduction: Pallister-Killian syndrome (PKS) is a rare multiple congenital anomaly/intellectual disability syndrome caused by tissue-restricted, mosaic tetrasomy 12p. The most common signs are facial dysmorphism, rhizomelic shortening of the extremities, pigmentary mosaic in skin; craniofacial manifestations include a ''coarse'' face with a flat profile and a wide forehead with sparse scalp hair in temporofrontal regions. Objective: To describe the karyotype and clinical manifestations in patients with suspected Pallister Killian Syndrome. Methods: Chromosomal studies were performed using conventional techniques in peripheral blood samples and skin samples in two patients, and a sample of amniotic fluid from a 17.3-week pregnant woman due to positive markers in the ultrasound. Peripheral blood cultures showed normal karyotypes in patients 1 and 2. Results: The fibroblast culture karyotypes of the patients studied reflected: Case 1: 47, XY+ i (12p) [8]/46 XY [10], Case 2:47, XY+ i (12p) (p10) [11] y Case 3: 47, XX + i (12p) [7]/46, XX [5] respectively. Conclusions:The SPK detected by conventional cytogenetics allowed a conclusive diagnosis in skin samples, despite the lack of molecular cytogenetic techniques, in those cases where chromosomal aberrations are restricted to a certain group of cells. Journal: Health Leadership and Quality of Life Pages: .344 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.344 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.344:id:.344 Template-Type: ReDIF-Article 1.0 Author-Name: Dieguez Reyes Author-Name: Valdés Santiago Title: Validation of the RED-Technostress Scale in the Cuban workers from IT Sector Abstract: Introduction: The RED-Technostress Questionnaire evaluates the real distortions in the interaction of adult users of technologies. It has not been adapted or validated for the Cuban context. Methods: In this work this questionnaire is validated in workers of the Cuban IT sector. Expert consultation, concordance coefficients and factor analysis were carried out to determine reliability and validity. Results: The content validity coefficient (≥ 0.70) shows the relevance of all the items according to 8 experts, who made observations to improve the wording. In piloting, 37 people participated and adequate reliability was obtained (α = 0.832). In the application 141 people participated and high overall reliability was obtained (α = 0.761), as well as by dimensions, Fatigue (α = 0.874), Anxiety (α = 0.741), Inefficacy (α = 0.792) and Addiction (α = 0.744). In the Skepticism dimension, an inadequate value was reached (α = 0.249). The exploratory factor analysis partially reproduced the dimensional structure. The confirmatory factor analysis obtained a good model fit. Conclusions: The evaluated questionnaire has adequate psychometric properties of reliability and validity for the Cuban context. Journal: Health Leadership and Quality of Life Pages: .343 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.343 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.343:id:.343 Template-Type: ReDIF-Article 1.0 Author-Name: Lardoeyt Ferrer Author-Name: Ramos Leliebre Author-Name: Vera Garrucho Author-Name: Silvera Valdés Author-Name: García Higuera Author-Name: Valdés Balbín Author-Name: Odio López Title: Results of the management of science and technique in the Faculty of Medicine "Manuel Fajardo, Havana, Cuba Abstract: Introduction: In the Manuel Fajardo Faculty of Medicine there is a science and technique management system that harmonizes its18 processes of the different health institutions and teaching departments of the faculty. During the year 2022 improvement courses were implemented, changes in the organization of the processes as well as the insertion of new professionals who acted as managers. Objective: to characterize the results of some science and technique management processes at the Manuel Fajardo Faculty of Medical Sciences (FCM MF) during the year 2022. Methods: A cross-sectional descriptive observational study was carried out. The totality of the 17 health institutions that are methodologically subordinated to the faculty were taken into account as a universe. Six of the 18 processes of science and technology management were studied. Results: 257 scientific research projects were developed. 243 were innovation and development projects. Most of the projects were not associated with programs. Of these projects, 105 were clinical trials, standing out the institutes in their execution. A total of 220 scientific articles were published. More than 90% come from the institutes. 430 professionals have a scientific category. Conclusions: favorable interventions have been developed through professional improvement to make a qualitative leap in science and technology management processes, however, they are still not enough if the scientific potential of the institutions is taken into account. Journal: Health Leadership and Quality of Life Pages: .342 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.342 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.342:id:.342 Template-Type: ReDIF-Article 1.0 Author-Name: Martínez Líbano Author-Name: Osorio Arévalo Author-Name: Soto Valdivia Author-Name: Barahona-Fuentes Author-Name: Iturra Lara Title: University Students Mental Health Literacy: A Systematic Review Abstract: Introduction: Mental health literacy (MHL) refers to the knowledge and beliefs related to recognizing, managing, and preventing mental disorders. University students' understanding of mental health is crucial, as this population faces significant psychological challenges. This systematic review aimed to assess the level of MHL among university students and identify key factors influencing their mental health knowledge. Methods: A systematic review was conducted following PRISMA guidelines. Literature was searched in Web of Science, Scopus, PubMed, PsycINFO, and Medline for studies published between January 2020 and December 2024. Eleven relevant articles were selected based on inclusion criteria. Data were extracted and analyzed to determine the main factors affecting MHL among university students. Results: Findings revealed that MHL varies significantly among students and is influenced by multiple factors. Sociodemographic characteristics, cultural diversity, stigmatization, psychiatric history, and personal experiences with mental illness or psychological distress were identified as key determinants of MHL levels. Limited awareness and persistent stigma were common barriers affecting students' ability to recognize and seek help for mental health conditions. Conclusions: University students' MHL is shaped by diverse personal and contextual factors. Addressing stigma and enhancing awareness through targeted educational interventions could improve mental health outcomes in academic settings. Future research should explore effective strategies to increase MHL and reduce barriers to mental health care among students. Journal: Health Leadership and Quality of Life Pages: .341 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.341 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.341:id:.341 Template-Type: ReDIF-Article 1.0 Author-Name: Nambua Author-Name: Guerrero Paz Author-Name: Lardoeyt Ferrer Author-Name: João Author-Name: Odio López Author-Name: Street Sánchez Title: Effectiveness of magnetic resonance angiography in the diagnosis of cerebral aneurysm in patients treated in a hospital in Luanda, Angola Abstract: Introduction: Cerebral aneurysms are abnormal dilatations of intracranial arteries. They can be classified as saccular, fusiform and dissecting. The most common are saccular aneurysms. Cerebral aneurysm is the most frequent cause of spontaneous cerebral hemorrhage and presents a high mortality rate (1 in every 5 people who suffer a sudden death are diagnosed with a ruptured cerebral aneurysm during autopsies). Cerebral Magnetic Resonance techniques have revolutionized the management of intracranial aneurysms. Objective: To characterize the effectiveness of Magnetic Resonance Angiography in the diagnosis of cerebral aneurysms in patients aged 25 to 75 years, in the Multiperfil Clinic. Methods: a cross-sectional retrospective descriptive observational study was carried out with a quantitative or positivist approach, classified as a basic research project, which analyzed the clinical-imaging profile of 25 patients diagnosed by Magnetic Resonance Angiography. Results: the age group from 55 to 64 years old is most affected by cerebral aneurysm with a frequency of 15 which corresponds to 60.0%. Women are the most affected with a percentage of 56.0%. The most frequent clinical manifestation is headache reported in 50.0% of cases. 84.0% of cases had a saccular aneurysm, 88.0% showed a size of 3-11mm, and 64% of cases were located in the Posterior Communicating Artery. In 100% of cases, the aneurysm was verified through Magnetic Resonance Angiography. Conclusion: the ARM constitutes a tool that allows 100% of the imagenological diagnoses of the sample analyzed during the study period, specifying characteristics such as size, size, type of aneurysm and anatomical location of the affected artery. Journal: Health Leadership and Quality of Life Pages: .340 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.340 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.340:id:.340 Template-Type: ReDIF-Article 1.0 Author-Name: Fiallos Montoya Author-Name: Salazar Garcés Title: The Epigenetic Influence of Breastfeeding on Childhood Acute Lymphoblastic Leukemia: An Innovative Approach to Chronic Disease Prevention Abstract: Introduction: Acute lymphoblastic leukemia (ALL) is the most common childhood cancer, with an etiology involving genetic, environmental, and epigenetic factors. Breastfeeding has been proposed as an epigenetic modulator that may influence susceptibility to this disease. This study reviewed current literature on the relationship between breastfeeding and epigenetic modifications associated with ALL prevention. Methods: A systematic review was conducted in biomedical databases (PubMed, BVS, Science Direct, Scopus, and Embase) for studies published between 2018 and 2024. Systematic reviews, meta-analyses, cohort studies, and clinical trials examining the relationship between breastfeeding, epigenetics, and ALL were included. Studies that did not specifically address this interaction were excluded. Results: Ten relevant studies were identified, showing that breastfeeding influences epigenetic regulation through microRNA modulation, DNA methylation, and immunomodulatory factors. These mechanisms may reduce ALL susceptibility by enhancing immune response and modifying gene expression in hematopoietic cells. However, methodological heterogeneity limits the standardization of findings. Conclusions: Evidence suggests that breastfeeding plays a key role in the epigenetic prevention of ALL. However, longitudinal studies are needed to better understand the underlying mechanisms and their long-term clinical impact. Journal: Health Leadership and Quality of Life Pages: .339 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.339 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.339:id:.339 Template-Type: ReDIF-Article 1.0 Author-Name: Fedenko Author-Name: Lavrentii Author-Name: Borysiuk Author-Name: Barabanchyk Author-Name: Terekhov Title: Financing the Healthcare System: A Study of Mechanisms and Their Impact on the Quality of Medical Services Abstract: Introduction: This study examines how healthcare funding affects service quality in Ukraine. It focuses on spending patterns and patient satisfaction in a conflict-affected and limited-resources setting. The study's goal is to give us useful information about how to make smart financial investments in healthcare to improve results. Methodology: Several kinds of tools were used in the study. It was possible to find out about patient satisfaction by surveying 200 patients and interviewing them in a semi-structured way. Spending on health care from 2019 to 2020 was examined in a descriptive study. To get a statistical sense of the patient's satisfaction, we utilized model testing as we looked at how expenditure affected the data. Results: Costs for health care rose from €9.76 billion in 2019 to €18.94 billion in 2029. Cost was strongly related to both the quality of the meeting (B =0.45, p<0.01) and the cleanliness of the venue (B =0.28, p<0.05). Long wait times, particularly in rural locations, and area-specific differences are, however, persistent problems. Conclusion: Putting together financial and patient-centred results is a new idea in the scientific world. It gives us a good way to judge how much money we spend on healthcare. The level of healthcare in Ukraine and other similar places can be raised by making smart financial investments, better resource sharing, integrating technology, and fair distribution. Journal: Health Leadership and Quality of Life Pages: .338 Volume: 4 Year: 2025 DOI: 10.56294/hl2024.338 Handle: RePEc:dbk:health:v:4:y:2025:i::p:.338:id:.338 Template-Type: ReDIF-Article 1.0 Author-Name: Lobanov Title: Psychological Mechanisms of Addictive Behaviour Development in the Modern Conditions of Ukraine Abstract: Introduction: The Russian aggression against Ukraine highlights the urgent need to address psychological health issues, particularly in combating addictive behaviours. This study aims to explore the psychological mechanisms underpinning the development of addiction in Ukraine’s current context. Methods: The research employed surveys (40 patients and 20 experts), content analysis of scholarly literature, response analysis, and comparative methods. Results: Findings reveal that childhood trauma, especially familial stress, plays a pivotal role in fostering addictive behaviours. Additional contributing factors include parental divorce, adverse living conditions, and personal setbacks during childhood and adolescence. Alcoholism emerges as the most prevalent form of addiction, while drug addiction, gambling, and Internet dependency also represent significant issues. The proliferation of gambling addiction is attributed to martial law and the increased availability of online gaming platforms. Similarly, Internet addiction correlates with widespread digitalisation and globalisation. Effective strategies for overcoming addiction involve professional psychological support strengthened by social assistance, family counselling, educational initiatives, and guidance from spiritual or religious organisations. However, a critical shortage of high-quality psychological rehabilitation and treatment services persists in Ukraine. Proposed solutions include establishing a national assistance programme, reforming psychologist training, and leveraging international support systems. Conclusions: The study underscores the necessity of a multifaceted psychological approach to address addictive behaviours effectively. Comprehensive measures combining professional, social, educational, and spiritual resources are vital for mitigating the impact of addiction in Ukraine’s challenging circumstances. Journal: Health Leadership and Quality of Life Pages: .337 Volume: 4 Year: 2025 DOI: 10.56294/hl2024.337 Handle: RePEc:dbk:health:v:4:y:2025:i::p:.337:id:.337 Template-Type: ReDIF-Article 1.0 Author-Name: Gakh Author-Name: Tsykvas Author-Name: Maliar Author-Name: Korniienko Author-Name: Khomulenko Title: Emotional Intelligence and its Relationship to Self-Regulation in Individual Sports Abstract: Introduction: sports achievements in contemporary conditions rely not only on physical training but also on integrating innovative psychological training methods. This article aims to analyse the connection between emotional intelligence levels and self-regulation skills in athletes engaged in individual sports. Method: a correlational research design was employed, making it ideal for examining the relationship between emotional intelligence and self-regulation in individual sports. This approach allowed for the analysis of real sports scenarios, using statistical tools to summarise empirical findings, and applying comparison methods to highlight differences. Results: findings reveal that athletes in individual sports generally exhibit average emotional intelligence, reflecting moderate adaptability to extreme professional situations. The highest levels of emotional intelligence are observed in gymnasts and martial arts practitioners. Athletes in tennis and swimming demonstrate average levels. Those engaged in karate and swimming display superior emotional awareness and empathy. The data also confirm that emotional intelligence is a critical predictor for self-regulation under stress. Key components of emotional intelligence include emotional awareness, stress management, and adaptability. Practical applications for enhancing emotional intelligence involve developing specialised programmes, providing individual psychological support, and integrating psycho-emotional training with general athletic programmes. Conclusions: the study underscores the importance of fostering psychologically resilient environments to enable athletes to achieve their goals effectively. Journal: Health Leadership and Quality of Life Pages: .336 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.336 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.336:id:.336 Template-Type: ReDIF-Article 1.0 Author-Name: Suarez Oceguera Author-Name: De la Cruz de Oña Author-Name: Ortega Dugrot Author-Name: Salas de la Cruz Title: Computed tomography hydroenema as a diagnostic alternative for colon tumors Abstract: Introduction: colorectal cancer is one of the most common causes of death worldwide. The first-line detection method is colonoscopy; however, colon examination by computed tomography with hydroenema and intravenous contrast technique is a useful method for detecting the disease. Objective: to assess the usefulness of computed tomography with water enema and intravenous contrast for the diagnosis of colon tumors. Method: an observational, descriptive study was carried out, which included all patients operated on for colon cancer, diagnosed by computed axial tomography with water enema and intravenous contrast at the National Center for Minimal Access Surgery, between March 2022 and February 2025. Results: of the 21 patients included, eleven had tumor location in the rectum, with predominance over the other segments studied. Lesions measuring 2 to 4 cm predominated, in accordance with the results of colonoscopies, pathological anatomy and surgery. Regarding the degree of infiltration, the results of pathological anatomy and hydroenema behaved in a similar way, with the highest number of infiltrations up to fat (T4) and in relation to metastatic lymph nodes, both studies coincided with eleven patients who presented lymph node metastasis. Conclusions: the application of the study of computed axial tomography with water enema and intravenous contrast is a useful method for the diagnosis of tumor lesions, through which it is possible to determine the stage of the disease. Journal: Health Leadership and Quality of Life Pages: .335 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.335 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.335:id:.335 Template-Type: ReDIF-Article 1.0 Author-Name: Robayo Zurita Author-Name: Culki Paredes Author-Name: Bonilla Carrasco Author-Name: Girón Saltos Author-Name: Mosquera Méndez Author-Name: Zúñiga Sánchez Title: Relationship of tricipital crease and thigh crease as indicators of fat accumulation in college students Abstract: Assessment of body composition is central to understanding obesity and eating disorders. We aim to determine body fat accumulation by measuring the tricipital and anterior thigh creases to prevent early metabolic risks. This research was carried out through a quantitative cross-sectional study, collecting anthropometric data from 26 students of the Technical University of Ambato, aged between 19 and 22 years, belonging to the third semester of the Nutrition and Dietetics career. The results indicate that the measurement of a single skinfold cannot be an exclusive indicator of body fat percentage. It is necessary to perform an adequate nutritional assessment and take various anthropometric measurements to accurately diagnose the patient's body composition. In conclusion, the exclusive use of tricipital and thigh fold measurements does not provide a complete picture of visceral fat, which is metabolically more active and may be associated with an increased risk of disease. Journal: Health Leadership and Quality of Life Pages: .334 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.334 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.334:id:.334 Template-Type: ReDIF-Article 1.0 Author-Name: Robayo Zurita Author-Name: Hernández Pianda Author-Name: Vargas Lezcano Author-Name: Girón Saltos Author-Name: Mosquera Méndez Author-Name: Zúñiga Sánchez Title: Waist-to-hip ratio and waist-to-height ratio in the evaluation of abdominal gauze distribution in university students Abstract: Introduction: Waist-hip ratios (WHR) and waist-height ratios (WHR) are anthropometric measurements that help evaluate the distribution of abdominal fat and the risk of cardiovascular diseases. Objective: Determine the usefulness of the waist-hip and waist-height indices in the evaluation of abdominal fat distribution in university students. Methodology: An observational study was carried out with 28 students over 18 years of age, using standardized methods to measure waist, hip and height circumference; The data were collected after informed consent. Statistical analyzes were performed in the SPSS statistical program version 22. Results: The Student's T test showed that there is no significant difference in the ICC means between genders (p = 0.082). However, a significant difference was found in the ICT means between genders (p = 0.047), with women having higher levels of abdominal fat. Conclusion: The study contributes to the field by underscoring the importance of a comprehensive assessment of cardiovascular health that includes both CHF and TBI, and highlights the need to consider gender differences in these assessments. Journal: Health Leadership and Quality of Life Pages: .333 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.333 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.333:id:.333 Template-Type: ReDIF-Article 1.0 Author-Name: Robayo Zurita Author-Name: Núñez Acosta Author-Name: Torres Verdezoto Author-Name: Girón Saltos Author-Name: Mosquera Méndez Author-Name: Zúñiga Sánchez Title: Evaluation of body fat and risk of obesity with body mass index and relative fat mass in college students Abstract: Introduction: Obesity, a global chronic disease characterized by excessive body fat accumulation, carries elevated factors of mortality and chronic diseases such as diabetes and cardiovascular diseases, representing a serious threat to health. The aim of the study is to determine the risk of obesity in university students through the evaluation of body mass index (BMI) and relative fat mass (RFM). Methods: A cross-sectional study was conducted with 28 students of Nutrition and Dietetics of the Technical University of Ambato, using surveys, anthropometric measurements and statistical analysis of Spearman correlation (rs=0.569) and chi-square test (BMI: X2=0.224, P=0.894; RFM: X2=0.0499, P=0.823) with a significance level ????<0.05. Results: The mean BMI was 22.8 kg/m² with 7 participants classified as overweight and a mean RFM of 31.6%, identifying 11 individuals at risk for obesity. A possible underestimation by BMI and overestimation by MFR of the risk of obesity were identified. Conclusions: The joint use of different assessment methods is crucial to obtain more accurate estimates of body composition and improve obesity intervention strategies. Journal: Health Leadership and Quality of Life Pages: .332 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.332 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.332:id:.332 Template-Type: ReDIF-Article 1.0 Author-Name: Sánchez-Artigas Author-Name: Martínez Author-Name: Batista Author-Name: Batista Ramírez Title: Relationship between Toxoplasma gondii infection and risk of type 2 diabetes mellitus Abstract: Introduction: Toxoplasmosis is a disease widely distributed worldwide caused by the intracellular parasite Toxoplasma gondii, an opportunistic organism that infects humans, developing the disease asymptomatically or with mild clinical manifestations, although in immunocompromised patients, it can affect different organs causing brain and eye lesions and even causing death. The activation of immunological mechanisms in response to the parasite is the main reason for the clinical manifestations observed in these patients. Several investigations establish a possible relationship between T. gondii infection and the appearance of Diabetes mellitus 2, a metabolic disease with a high prevalence in the world, representing 90% of the cases of diabetes worldwide, responsible for a high morbimortality rate in humans. Objective: To analyze the existing evidence on the relationship between T. gondii seropositivity and the onset of diabetes mellitus. Method: A bibliographic search was carried out in databases such as PubMed, Web of Science, Scopus, and Google Scholar using key terms related to T. gondii, diabetes mellitus, immune response, seroprevalence, T. lymphocytes, insulin, and immunoglobulins. More than 30 articles were included in the review. Conclusions: Evidence indicates that T. gondii infection may increase the risk of developing type 2 diabetes mellitus in populations exposed to this parasite worldwide, with important implications for public health systems. This suggests the need for prevention and treatment of toxoplasmosis as an essential factor in preventing the onset of Type 2 Diabetes. Journal: Health Leadership and Quality of Life Pages: .331 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.331 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.331:id:.331 Template-Type: ReDIF-Article 1.0 Author-Name: Valera Author-Name: Aguirre Author-Name: Cornejo Author-Name: Loor Author-Name: Cedeño Author-Name: Borroto Title: Oral contraceptive use and breast cancer risk: A systematic review Abstract: Introduction: Breast cancer is an oncological disease associated with the transformation of mammary cells influenced by hormones. It was necessary to review the relationship between the use of oral contraceptives and the risk of developing the disease. Objectives: To analyze the relationship between oral contraceptives and the risk of breast cancer and to identify the hormonal components involved. Methodology: Articles from 2010 to August 2024 were reviewed in Scielo and Google Scholar, including systematic and original studies in Spanish, English, and Portuguese, excluding irrelevant articles. Results and Discussion: Some studies suggested a relationship between oral contraceptives and breast cancer, especially with triphasic formulations, levonorgestrel, and in women with BRCA-1 and BRCA-2 mutations. Conclusions: The use of oral contraceptives increases the risk of breast cancer, but this risk decreases if they are discontinued at least 5 years after initiation. Journal: Health Leadership and Quality of Life Pages: .330 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.330 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.330:id:.330 Template-Type: ReDIF-Article 1.0 Author-Name: Ocampo Pacheco Author-Name: Bernedo-Moreira Author-Name: Pacompia Quispe Author-Name: Portilla-Linares Author-Name: Valdez-Portilla Author-Name: Barrera-Benavides Title: Relationship between emotional intelligence and learning achievement in competency-based educational settings in health sciences Abstract: Introduction: In the current context, competency-based education has been consolidated as a key approach in the training of professionals in health sciences (1). This educational model, focused on the development of specific skills, promotes meaningful learning that responds to the needs of the work and social environment. Objective: To determine the relationship between emotional intelligence and learning achievements in competency-based educational environments in health sciences. Methods: Quantitative, basic or pure, non-experimental, cross-sectional and correlational research. Results: A correlation coefficient r=0.732 for the study variables, and a value of p=0.023. Conclusions: Interpersonal regulation, emotional perception and understanding appear as critical competencies that educational programs should prioritize, especially in a field such as health sciences, where emotional and interpersonal skills are indispensable in both learning and professional practice. As emotional intelligence increases, learning achievements show more accelerated growth Journal: Health Leadership and Quality of Life Pages: 329 Volume: 2 Year: 2023 DOI: 10.56294/hl2023329 Handle: RePEc:dbk:health:v:2:y:2023:i::p:329:id:329 Template-Type: ReDIF-Article 1.0 Author-Name: S Author-Name: Alosaimi Author-Name: Tejesh Author-Name: Moharana Author-Name: Sood Author-Name: Kalra Title: Gut Microbiome and Adult Obesity: Exploring the Weight Loss Potential of Probiotics, Prebiotics, and Synbiotics as Strategies with Potential Implications for Cancer Prevention Abstract: Probiotics, prebiotics, and synbiotics are examples of Gut Microbiome (GM)therapies that have been investigated as possible weight-management techniques in light of the growing worldwide health concern around obesity. Through a meta-analysis of remaining research, this research aims to assess the possessions of various therapies on metabolic parameters, weight reduction, with the makeup of the GM. Weight loss, variations in the microbiome, and possible negative consequences were evaluated by analyzing data from several research. The findings revealed a moderate but irregular decrease in weight, with decreases noted in (-1.8 kg) and (-2.3%). Although there have been reports of notable increases in helpful bacteria, such as Lactobacillus and Bifidobacterium, it is unclear whether these bacteria directly contribute to long-term weight loss. The requirement for more thorough clinical trials was highlighted by the detection of possible publication bias, even though most therapies were well-tolerated. Overall, the results point to the possibility that GM modification could promote metabolic health. Journal: Health Leadership and Quality of Life Pages: 328 Volume: 4 Year: 2025 DOI: 10.56294/hl2025328 Handle: RePEc:dbk:health:v:4:y:2025:i::p:328:id:328 Template-Type: ReDIF-Article 1.0 Author-Name: Setia Author-Name: Alosaimi Author-Name: Lenka Author-Name: Ravilla Author-Name: Upadhye Author-Name: Gupta Title: Bacterial Culture Media in Clinical Microbiology: Advancing Beyond Selective Boundaries with Potential Implications for Cancer Prevention Abstract: Clinical microbiology is crucial for the diagnosis of infectious disorders and it requires constant improvements in bacterial culture medium. It is done to attain changing diagnostic requirements and treatments. Cultural media were categorized into selective and non-selective, which is considered to be customized and more complex. The advancements of cultural media design is examined in this analysis with the objective of subtle formulations that enhance the diagnostic power. Progress with regards to microbial physiology has enabled the creation of specialized media that emulate host ecological systems and assisted the establishment of selective organisms. The review provides insights on the critical role that culture media plays in clarifying intricate microbial interactions and enhancing diagnostic chemical reactions in clinical microbiology as traverse of ever changing landscape is portrayed. The constant development assures the isolation of complex bacterial strains, delivering the dynamic character of microbiological research. Journal: Health Leadership and Quality of Life Pages: 327 Volume: 4 Year: 2025 DOI: 10.56294/hl2025327 Handle: RePEc:dbk:health:v:4:y:2025:i::p:327:id:327 Template-Type: ReDIF-Article 1.0 Author-Name: Arora Author-Name: Kalia Author-Name: Vamalatha Author-Name: Mohanty Author-Name: Patil Author-Name: Patel Title: Peripheral Intravenous Catheter Failure in Hospitalized Patients: Bridging the Gap between Microbiological Data and Clinical Indicators and possible relevance to therapeutic targets Abstract: The peripheral intravenous catheter (PIC) is most commonly used invasive technology among inpatients, frequently associated with hospital procedures worldwide. However, PIC insertion presents multiple challenges, particularly the risk for catheter-related infections (CRI), which remain a preventable concern. Additionally, catheter failure imposes financial burdens on healthcare system. The goal is to establish a baseline for peripheral intravenous catheter failure (PICF) rates and incidences as part of a larger quality improvement. A total of 450 hospitalized patients diagnosed with PICF were included in the research, with 1263 catheters examined. PICs were placed in patients across hospital wards, ICUs, emergency departments and operating rooms. Among 700 cultured catheter tips, 302 were identified as PICF. The Hospital Length of Stay (HLOS) rate density-adjusted incidence for PICF revealed 35 out of 700 tips with positive isolates. No patients were diagnosed with CRI type three, where microbial development was concordant in tip and blood cultures. However, 12 out of 35 patients had CRI-compatible local signs and symptoms had positive cultures, while 11 exhibited symptoms within 48 hours after the removal of the catheter. The research shows that PICs caused unintended removal, which increases their significance for patient safety, illness and death. Numerous positive tip cultures were detected in the absence of any clinical indications. To emphasize that avoid CRI, it is crucial to eliminate needless PICs. Journal: Health Leadership and Quality of Life Pages: 326 Volume: 4 Year: 2025 DOI: 10.56294/hl2025326 Handle: RePEc:dbk:health:v:4:y:2025:i::p:326:id:326 Template-Type: ReDIF-Article 1.0 Author-Name: Zaldivar Bermúdez Author-Name: Valdés Santiago Author-Name: Morales Chacón Title: Cognitive phenotypes and sociodemographic characteristic in patients with drug-resistance epilepsies who are candidates for surgical treatment Abstract: Introduction: Currently, different findings on the influence of sociodemographic characteristics on cognition in patients with drug-resistant epilepsies (DREs) are identified, making this topic the focus of debate in the scientific community. The aim of this study was to identify the relationship between cognitive phenotypes and sociodemographic characteristics in patients with DREs who are candidates for surgical treatment. Methods: A descriptive, retrospective, cross-sectional, correlational, retrospective study that included 40 persons: 25 patients with DREs (9 frontal and 16 temporal) and 15 controls. Phenotypes were classified: F1 (no alterations), F2 (alterations in specific domains), F3 (generalized alterations). Descriptive statistics were used and the relationship between cognitive phenotypes and sociodemographic variables was established by means of the chi-square test and Cramer's V coefficient, with a statistical significance level of 5%. Results: Patients with frontal DREs belonged to the F3 phenotype, temporal patients to the F2 phenotype, and the control group to the F1 phenotype. The proportions of the variables age, sex and schooling did not show statistically significant differences. A statistically significant association was obtained between the proportions of phenotypes by occupational occupation, F(2)=10.07, p=0.006. Conclusions: It is found that being occupationally occupied constitutes a protective factor for cognitive functioning in patients with DREs who are candidates for surgical treatment. It is recommended to develop longitudinal studies at different levels of health care, to explore how job disengagement affects long-term cognitive performance and even brain plasticity in these patients. Journal: Health Leadership and Quality of Life Pages: .325 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.325 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.325:id:.325 Template-Type: ReDIF-Article 1.0 Author-Name: KV Author-Name: Thorat Author-Name: Kundu Author-Name: Jena Author-Name: Garg Title: The Effects of Comprehensive Healthcare Education on the Quality of Life Among Aging Demographics Abstract: As the world's population grows, the quality of life of older people has become a major worry for lawmakers and health care workers. Healthcare education is a big factor in the quality of life of older people because it can have a big effect on their health behaviours, decisions, and general well-being. This study looks into how teaching older people about all aspects of health care can improve their quality of life, especially for those in sensitive age groups. The study looks at how customised training programs that focus on age-related health issues, preventative measures, and lifestyle changes can give adults the power to take charge of their health and confidently deal with the challenges of getting older. A variety of older people who took part in an organised healthcare education program were asked to fill out both qualitative and quantitative surveys as part of a mixed-methods study. The paper discussed about common health problems that come with getting older, such as heart disease, diabetes, osteoporosis, and memory loss. It also suggested that people take care of their physical and mental health by eating right, working out, and dealing with stress. Before and after the treatment, the people's quality of life was measured using normal tools that looked at physical, mental, and social factors. People who took part in the whole healthcare education program said that their physical health, mental health, and social lives all got a lot better. People were also happy with their lives, their health care costs went down, and they were better able to handle their own health problems. Findings show that giving older people more control, making their quality of life better, and maybe even lowering the need for healthcare services rest a lot on how much they know about it. According to this study, individual training programs should be used a lot as an important part of healthcare plans for older people. Journal: Health Leadership and Quality of Life Pages: 324 Volume: 2 Year: 2023 DOI: 10.56294/hl2023324 Handle: RePEc:dbk:health:v:2:y:2023:i::p:324:id:324 Template-Type: ReDIF-Article 1.0 Author-Name: Narayan Lenka Author-Name: S Author-Name: Kumar Lyngdoh Author-Name: Asif Author-Name: Gupta Title: Investigating the Convergence of Healthcare Management and Environmental Sustainability Initiatives Abstract: Bringing together healthcare management and environmental sustainability efforts has become an important way to deal with the world problems of health and environmental decline. Though they are distinct, both fields are closely related as they strive to improve society. More people desire services; costs are rising; environmental issues like pollution, climate change, and resource depletion are increasingly taxing healthcare systems all around. Concurrent with this, environmental sustainability initiatives seek to mitigate negative impacts of human activities on the planet by motivating individuals to use resources more sensibly and leave fewer residual carbon footprints. The links between environmental sustainability and healthcare management are examined in this essay together with the advantages and drawbacks of merging these two spheres. It discusses how medical institutions could reduce their impact on the surroundings by applying sustainable practices. They could advocate for medical products produced from sustainable materials and decrease waste and energy usage, for instance. The research also examines how public health is directly impacted by environmental problems such changes in ecosystems, restricted water sources, and bad air quality. The healthcare and environmental sectors must cooperate more closely if we are to build a long-term more resilient system. The article also covers how new tools, government regulations, and policy frameworks could assist to make healthcare practices more sustainable. It looks at the opportunities of green healthcare practices include hospitals using less energy, long-lasting healthcare supply lines, and making decisions considering environmental health. The coming together of these two areas is good for public health and helps with the larger goal of healthy growth around the world. Climate change and health problems are becoming more and more connected, so healthcare management systems need to start using environmental methods in their daily work. This all-around method can lead to a future where both people's and the planet's health are valued, making the world better and more sustainable for future generations. Journal: Health Leadership and Quality of Life Pages: 323 Volume: 2 Year: 2023 DOI: 10.56294/hl2023323 Handle: RePEc:dbk:health:v:2:y:2023:i::p:323:id:323 Template-Type: ReDIF-Article 1.0 Author-Name: Sharma Author-Name: Bedanta Mishra Author-Name: H Author-Name: Ajay Shedge Author-Name: Mohnish Title: Designing Effective Occupational Safety Training Modules Tailored for Healthcare Practitioners Abstract: Abstract: Safety on the job is very important in healthcare situations because workers are at a higher risk of getting hurt or sick. Establishing efficient job safety training courses tailored to healthcare professionals helps to provide a safe workplace and safeguards the health of patients as well as healthcare staff. This study investigates how to create and use tailored safety training courses addressing the particular hazards and issues healthcare professionals encounter: infectious illnesses, hazardous chemicals, physical accidents, occupational stress, etc. The paper discusses crucial components that must be present for training instruments to operate well. These contain interactive learning resources, actual case studies, and safety guidelines fit for the often shifting environment of healthcare facilities. The study emphasises the need of using both academic and practical learning approaches to ensure that healthcare professionals not only know how to follow safety standards but also are good in doing so when they are under a lot of stress. Different degrees of knowledge and experience among healthcare workers mean that training courses must be adaptable enough to fit these variations. They may therefore continuously improving and include the most recent safety regulations. The paper also explores how training may become more successful by use of technology. Especially in high-stress environments, virtual exercises, e-learning platforms, and mobile applications can provide healthcare professionals simple access to tools that will enable them to practise safety in real time. Important sources of comments on the effectiveness of these training initiatives and confirmation of the retention and application of the acquired skills are tests and peer reviews. Journal: Health Leadership and Quality of Life Pages: 322 Volume: 2 Year: 2023 DOI: 10.56294/hl2023322 Handle: RePEc:dbk:health:v:2:y:2023:i::p:322:id:322 Template-Type: ReDIF-Article 1.0 Author-Name: KV Author-Name: Bhardwaj Author-Name: Patil Author-Name: Samal Author-Name: Sharma Title: Evaluating the Influence of Healthcare Educational Outreach on Community Health Metrics Abstract: Introduction: Healthcare educational outreach programs are important ways to improve the health of a community by teaching people more about health management and changing the way they act in that area. Though many individuals utilise these services, not much study has been done on how they really influence community health. The aim of this study is to close that gap by considering how well-organised educational initiatives impact several health metrics in a community environment. Methods: Two geographically and socially comparable villages were the quasi-experimental subjects of the investigation. The other community served as a control; one received the training intervention. The plan called for lectures, educational hand-outs, and monthly health inspections spread over six months. The rates of chronic illnesses, vaccination records, and degree of health awareness were the key health metrics under examination. The data was examined using a mixed-effects model to consider individual variances as well as group configuration. Results: The intervention community had a 12% increase in vaccination rates, a 15% decrease in the number of chronic illness sufferers, and a notable shift in health awareness (p < 0.05) when compared to the control group. Those involved in the training course also shown more efficient and involved health management practices. Conclusion: especially in terms of enhancing health knowledge and good practices, the outcomes reveal that healthcare education outreach is beneficial for community health. Maintaining public health and preventing illness depend much on these services. Journal: Health Leadership and Quality of Life Pages: 321 Volume: 2 Year: 2023 DOI: 10.56294/hl2023321 Handle: RePEc:dbk:health:v:2:y:2023:i::p:321:id:321 Template-Type: ReDIF-Article 1.0 Author-Name: Patil Author-Name: Yadav Author-Name: Sharma Author-Name: H Author-Name: Bhanu Kanwar Title: The Impact of Effective Healthcare Management in Mitigating Medical Errors Abstract: Good healthcare administration helps to prevent medical mistakes, keeps patients safe, and raises the general quality of healthcare provided. Because they affect patients' outcomes, result in longer hospital stays, and increase healthcare expenses, medical errors are a major global issue. Strong management practices help healthcare institutions to reduce these errors, increase the accuracy of evaluations, enhance treatment plans, and foster a safe atmosphere. Investigating the relationship between better healthcare administration and less medical errors is the aim of this paper. Discussed are important subjects such leadership, communication, training, using technology in healthcare administration that could directly affect reducing mistake rates. Good leadership creates a secure atmosphere where medical experts feel comfortable to report mistakes without thinking about repercussions. This allows one to resolve problems and preserve ongoing environmental progress. Accurate delivery of important patient information to another healthcare provider relies on good communication. This lowers the chance of misunderstanding and false diagnosis. Advanced technologies including electronic health records (EHR), decision support systems (DSS), and artificial intelligence (AI) can help people make better decisions, lower the number of mistakes people make, and provide doctors real-time support in addition to ongoing education and training courses for healthcare personnel. Moreover encouraging openness and guaranteeing better treatment is a patient-centered approach in which individuals participate in choices about their treatment. This article emphasises the need of treating healthcare in such a manner that all of its components cooperate to improve patient care and reduce the error rates. For these reasons, daily application of effective healthcare management strategies is crucial to improve the healthcare system and ensure patient receive quality treatment. Journal: Health Leadership and Quality of Life Pages: 320 Volume: 2 Year: 2023 DOI: 10.56294/hl2023320 Handle: RePEc:dbk:health:v:2:y:2023:i::p:320:id:320 Template-Type: ReDIF-Article 1.0 Author-Name: Mane Author-Name: Alam Author-Name: Mangaraj Author-Name: Lal Soni Title: Occupational Safety Protocols and Their Role in Decreasing Workplace Incidents Abstract: Introduction: Safety in the workplace is crucial in many different sectors as businesses need to reduce mishaps and ensure that their employees are satisfied and healthy. There are certainly many mishaps even if individuals are continually working to create the workplace safer. This has caused a reconsideration of present safety regulations. Methods and Materials: Resources this research made extensive evaluation of present safety regulations in the industrial, construction, and healthcare sectors. Data was gathered over the previous five years using surveys, first-hand opinions, and event reports from more than fifty firms. Using sophisticated statistical techniques like chi-square testing and regression analysis, one may ascertain the effectiveness of certain safety precautions. Finding: Strongly correlated with less accidents at work are rigorous safety training programs. Companies with frequent and mandated training courses observed especially 30% less injuries. Safety has also been much improved by using current technologies like real-time hazard warning systems and autonomous monitoring. Better communication and consistent safety step updates shown by employee comments also help to make the workplace safer. Conclusions: The report makes abundantly evident how crucial it is to maintain learning, stay up with technology, and use clear communication to reduce issues at the workplace. These better safety regulations can greatly reduce workplace accidents and make workers far less vulnerable. Journal: Health Leadership and Quality of Life Pages: 319 Volume: 2 Year: 2023 DOI: 10.56294/hl2023319 Handle: RePEc:dbk:health:v:2:y:2023:i::p:319:id:319 Template-Type: ReDIF-Article 1.0 Author-Name: Samantsinghar Author-Name: Garg Author-Name: Kumar Singh Author-Name: Bhanudas Hulwan Title: Improving Quality of Life through the Synergistic Integration of Healthcare and Environmental Health Programs Abstract: Introduction: Environmental health and healthcare programs working together have gotten a lot of attention because they could make people and communities' lives better. Environmental factors like air quality, cleanliness, and access to green areas have a direct effect on health results. For long-term well-being, healthcare and environmental health must so cooperate. Method: This work applied a mixed-methods technique. Using numerical data, health variables from several locations were examined; qualitative data was obtained by interviewing and surveying healthcare professionals, environmental health specialists, and community people. Data on natural quality, public health results, and social variables of health were examined in order to ascertain how integrated initiatives impact quality of life. Findings: Key health indicators like fewer incidences of chronic illnesses, improved mental health outcomes, and generally better public health changed significantly in communities that merged their efforts on environmental and healthcare issues. Apart from that, these combined initiatives made communities more involved and resilient, which resulted in long-term improvement in health. Conclusion: the study reveals that people's quality of life may be much raised by integrating public health with medical treatments. If several organisations cooperate successfully, communities can be healthier and more robust. Long-term public health and environmental improvement depend on legislators giving initiatives addressing both healthcare and environmental concerns top importance. Journal: Health Leadership and Quality of Life Pages: 318 Volume: 2 Year: 2023 DOI: 10.56294/hl2023318 Handle: RePEc:dbk:health:v:2:y:2023:i::p:318:id:318 Template-Type: ReDIF-Article 1.0 Author-Name: Ahmed Author-Name: Gupta Author-Name: Pujari Author-Name: Panigrahi Title: Healthcare Education as a Mechanism for Advancing Patient-Centric Care Frameworks Abstract: Healthcare education is very important for changing the way patients are cared for, especially when it comes to promoting patient-centered frameworks that put each person's wants, desires, and values first. Changing our emphasis to patient-centered approaches is more crucial than ever as it grows more difficult for healthcare systems all over to manage big numbers of complex patients and enhance outcomes. Emphasising the need of healthcare professionals knowing what they are doing and for individuals to be active in their treatment, this article explores how healthcare education might assist bring about these significant improvements. Patient-centered care (PCC) is based on the principle that, with an eye towards cooperation among healthcare professionals, people should participate in choices regarding their own treatment. Education is mostly responsible for ensuring that patients and healthcare professionals with the knowledge, tools, and attitudes required for their dynamic cooperation. It enables physicians to better understand the cultural concerns, needs, and challenges that could compromise the treatment of a patient. It also enables patients to participate actively in their treatment regimens and make independent decisions. Furthermore, healthcare education promotes the development of interdisciplinary teams, therefore enabling individuals from several healthcare disciplines to collaborate and offer improved general treatment. By means of evidence-based practices, it also creates the conditions for continuous improvement, ensuring that patient care reflects the developments in medical knowledge and technology. Future healthcare professionals also acquire from their education empathy, cultural awareness, and effective communication skills that will enable them to handle the difficulties of patient-centered care. Ultimately, healthcare education not only improves the quality of the healthcare professionals but also makes patients happier, more inclined to follow their treatment programs, and generally healthier. This article argues for investing a lot of time in healthcare education to obtain patient-centered care models adopted by many people and thus increase the flexibility, openness, and fairness of the healthcare system. Journal: Health Leadership and Quality of Life Pages: 317 Volume: 2 Year: 2023 DOI: 10.56294/hl2023317 Handle: RePEc:dbk:health:v:2:y:2023:i::p:317:id:317 Template-Type: ReDIF-Article 1.0 Author-Name: Sharma Author-Name: Shinde Author-Name: Sharma Author-Name: Panigrahi Title: Evaluating the Contribution of Healthcare Administrators in Promoting Occupational Safety Abstract: The role manager’s play in fostering safety at work has attracted much attention as healthcare environments increasingly more complex. Though they front lines in providing vital services, healthcare professionals also run several hazards in their jobs. The need of healthcare managers in supporting a mentality of safety in healthcare institutions is examined in this article. It looks at how managers may change safety rules, provide training courses, use safety safeguards, and guarantee legal observance to lower dangers at their place of work. The research underlines how important it is for leaders to establish safety targets, monitor staff members’ health and safety, and guarantee that medical professionals have the right tools and expertise to sustain their as least possible safety. The study also covers how laws, organisational structure, and budget allocation might contribute to improve safety results. Several research and case studies are investigated in this study in order to pinpoint the most important steps healthcare managers should follow in managing problems including mental health, stress, accident prevention, and infections. It also underlines the necessity of ongoing evaluation and change of safety rules to fit changing problems in the medical field. This article investigates how crucial managers are for reducing workplace hazards and ensuring everyone is safe by means of their decisions impacting safety outcomes. Ultimately, it emphasises that effective healthcare administration entails prioritising the health and safety of healthcare professionals above mere seamless execution of activities. Journal: Health Leadership and Quality of Life Pages: 316 Volume: 2 Year: 2023 DOI: 10.56294/hl2023316 Handle: RePEc:dbk:health:v:2:y:2023:i::p:316:id:316 Template-Type: ReDIF-Article 1.0 Author-Name: Mohanty Author-Name: Ingale Author-Name: Mani Author-Name: Sharma Title: Trends in the Utilization of Quality of Life Assessment Instruments in Clinical Practice Abstract: Introduction: Quality of life (QoL) evaluations are now an important part of clinical practice because they give doctors important information about how well their patients are doing. With more and more focus on patient-centered care, it is important to look at how QoL measurement tools are being used in different professional situations. The point of this study is to look into how quality of life (QoL) tools are used in regular clinical practice and how they affect decisions about healthcare. Method: all peer-reviewed studies released in the last 20 years that looked at measuring quality of life in healthcare settings were found through a thorough literature review. We looked through databases like PubMed, Scopus, and Google Scholar for applicable papers. We focused on the types of tools used, how often they were used, and the patient groups that were evaluated. It was thought about to use both qualitative and quantitative study methods. Results: the study shows that QoL rating tools are being used more and more in many medical fields, especially in cancer, heart, and psychiatry. A lot of people have used instruments like the EQ-5D, SF-36, and WHOQOL-BREF. Integration with electronic health records (EHR) systems is also becoming more widespread. This lets data be collected and analysed in real time. Conclusion: Quality of life (QoL) measurement tools are very important for improving patient care because they help doctors decide how to treat patients and make sure they get better results. As healthcare moves towards a more patient-centered approach, these tools will likely be used more. Journal: Health Leadership and Quality of Life Pages: 315 Volume: 2 Year: 2023 DOI: 10.56294/hl2023315 Handle: RePEc:dbk:health:v:2:y:2023:i::p:315:id:315 Template-Type: ReDIF-Article 1.0 Author-Name: Zagade Author-Name: Ojha Author-Name: Rath Author-Name: Sharma Author-Name: Jayakumar Title: The Influence of Environmental Health Initiatives on the Reduction of Healthcare Expenditures Abstract: Environmental health initiatives, a long-term approach to help to lower healthcare expenses, are becoming the focus of public health policies all throughout the world. These initiatives target the causes of certain chronic illnesses by improving the environment and supporting good living. Long term, this will enable healthcare systems to save money. The significant link between environmental health policies and reduction of healthcare expenses is examined in this article. It emphasises on the results of several approaches, including improving the air quality, maintaining the cleanliness of the water, trash management, and green space creation. It investigates how these therapies assist prevent major causes of the global high healthcare expenses: illnesses include cancer, heart disease, and respiratory difficulties. Examining various case studies from several nations reveals that environmental health initiatives benefit the economy. Better air quality, for example, has been associated to reduced rates of asthma and other lung diseases, therefore reducing the costly medical treatments and hospital stays involved. Encouragement of cleanliness and availability to clean water has also greatly reduced waterborne infections, therefore saving a lot of medical treatment costs and simplifying the job for healthcare professionals. The research also examines how government and non-governmental organisations fund and execute their initiatives as well as the significance of public-private partnerships in supporting fresh ideas in environmental health. The article also addresses issues like insufficient knowledge of environmental health initiatives, inadequate funding, and government challenges that arise in their running. In the end, it suggests a way to include environmental health methods in national healthcare policies so that costs can be cut while public health is improved. In the end, this study supports a proactive, multidisciplinary approach to healthcare that includes environmental health as a key way to lower costs in the long run. To make environmental health programs more effective and scalable, it calls for more study and policy changes. These changes could save a lot of money on healthcare costs and make everyone healthier generally. Journal: Health Leadership and Quality of Life Pages: 314 Volume: 2 Year: 2023 DOI: 10.56294/hl2023314 Handle: RePEc:dbk:health:v:2:y:2023:i::p:314:id:314 Template-Type: ReDIF-Article 1.0 Author-Name: Bernedo-Moreira Author-Name: Loayza-Apaza Author-Name: Portilla-Linares Author-Name: Valdez-Portilla Author-Name: Chavez-Bellido Author-Name: Romero-Carazas Title: Financial Literacy and Perceived Economic Well-Being among Peruvian Health Sciences University Students Abstract: Introduction: The interaction between these two variables is particularly relevant in educational contexts, where university students in health-related careers face specific challenges that impact both their financial literacy and their perception of economic well-being. Objective: To determine the relationship between financial literacy and the perception of economic well-being in Peruvian university students of health sciences. Methods: Basic or pure, non-experimental, correlational research. Results: A correlation coefficient Rho=0.998 for the study variables, and a value of p=0.000. Conclusions: The relationship between financial literacy and perception of economic well-being is statistically significant and very strong, this result underlines the importance of financial literacy as a predictor of economic well-being in this population, with relevant implications for designing specific educational and financial policies and interventions. However, it is recommended to complement this analysis with additional tests to explore possible moderators or mediators in the observed relationship. Journal: Health Leadership and Quality of Life Pages: 313 Volume: 2 Year: 2023 DOI: 10.56294/hl2023313 Handle: RePEc:dbk:health:v:2:y:2023:i::p:313:id:313 Template-Type: ReDIF-Article 1.0 Author-Name: Milivoy Title: Phases and chronology of tooth eruption: its impact on oral health Abstract: Introduction The study analyzed the phases of eruption and dental chronology, highlighting the importance of primary teeth in dental development and the consequences of their premature loss. The order of eruption and exfoliation of primary teeth was described, emphasizing that the loss of space due to the absence of these teeth generates malocclusions and affects the development of the permanent dentition. Development The phases of dental eruption (pre-eruptive, pre-functional eruptive and functional eruptive) and the factors that influence their chronology, such as genetics, climate, nutrition and systemic diseases were discussed. The clinical manifestations related to dental eruption, such as irritability and excessive salivation, were also discussed. In addition, the main causes of premature loss of primary teeth, including caries, trauma and congenital anomalies, and how these affect the correct eruption of permanent teeth, were highlighted. Conclusion Premature loss of primary teeth has a significant impact on the masticatory function, phonetics and psychological well-being of the child, in addition to generating malocclusions and alterations in the chronology of the dentition. Prevention through proper oral hygiene, healthy diet and early dental care is crucial to avoid complications and promote comprehensive oral health. Journal: Health Leadership and Quality of Life Pages: 312 Volume: 2 Year: 2023 DOI: 10.56294/hl2023312 Handle: RePEc:dbk:health:v:2:y:2023:i::p:312:id:312 Template-Type: ReDIF-Article 1.0 Author-Name: Mane Author-Name: Naregal Author-Name: Budholiya Author-Name: Biswal Author-Name: Sharma Title: The Effects of Healthcare Educational Programs on Augmenting Environmental Health Awareness Abstract: Introduction: Education is a major component in raising people's awareness of the relevance of environmental health, which is growing concern for many worldwide. Programs for healthcare education have evolved into effective means of raising awareness among more individuals of how their environment influence their health. This study aims to ascertain how these initiatives altered people's perception of environmental health issues and their conduct to be more sustainable. Methods: To ascertain the effectiveness of healthcare training initiatives, we combined many research approaches. Organised lectures, presentations, and hands-on activities all regarding environmental health attracted a mix of community members and healthcare professionals. Polls were conducted both before and after the initiative to gauge the degree of knowledge acquired; in-depth interviews were then utilised to track changes in behaviour and memory over time. Findings: Results revealed that individuals adjusted their way of life to enhance the planet and learnt far more about environmental health. individual’s opinions on sustainability also clearly changed as more individuals yearned to help their local communities to be healthier on Earth. According to the findings, these sorts of training courses can help individuals in both knowledge and behaviour. Conclusion: In increasing public health awareness depends much on programs of healthcare education. These initiatives support good behaviour and community participation in addition to learning more for individuals. This study emphasises the need of teaching environmental health in hospitals as part of community service projects and training courses to equip individuals with knowledge and responsibility, therefore fostering their intelligence. Journal: Health Leadership and Quality of Life Pages: 311 Volume: 2 Year: 2023 DOI: 10.56294/hl2023311 Handle: RePEc:dbk:health:v:2:y:2023:i::p:311:id:311 Template-Type: ReDIF-Article 1.0 Author-Name: Mohanty Author-Name: Kumar RG Author-Name: Khandelwal Author-Name: Soni Title: Assessing the Effectiveness of Healthcare Management Systems in Quality Enhancement Abstract: Improving the degree of healthcare services mostly depends on ensuring that technologies for healthcare management function as they should. With an eye towards how they could enhance patient results, operational efficiency, and the pleasure of healthcare personnel, this paper investigates how these sorts of systems impact the general quality of healthcare. Designed to simplify administrative chores, assist clinicians in making choices, and provide real-time data access, healthcare management systems (HMS) These elements taken together are required to raise patient care and service delivery. To determine how these elements of healthcare administration including electronic health records (EHR), patient management systems, decision support tools, and hospital information systems affect the quality of healthcare, the study examines several facets of healthcare management. Extensive research was conducted applying both qualitative and quantitative approaches. Along with an assessment of success statistics from healthcare facilities using HMS, this includes polls and talks with managers and staff in the sector. Using more sophisticated healthcare management systems together, according to the results, increases patient pleasure, decreases medical errors, enhances the accuracy of patient diagnosis, and helps to better allocate resources. Using HMS also facilitates team working for healthcare teams, therefore enhancing hospital processes and reducing unnecessary treatment delays. Although systems of healthcare administration provide numerous advantages, their setup and usage are still challenging. Regarding data security, system integration, and the initial system setup cost in particular, this is very true Over time, nevertheless, the benefits outweigh the drawbacks as systems using data analytics and real-time information processing are absolutely necessary for altering the way healthcare services are given. Finally, this study emphasises the need of using technology to raise patient quality and treatment for healthcare management. More research has to be done on how data-driven concepts, machine learning, and artificial intelligence may be applied to create even better healthcare management systems. Journal: Health Leadership and Quality of Life Pages: 310 Volume: 2 Year: 2023 DOI: 10.56294/hl2023310 Handle: RePEc:dbk:health:v:2:y:2023:i::p:310:id:310 Template-Type: ReDIF-Article 1.0 Author-Name: Duggal Author-Name: Singh Author-Name: Garg Author-Name: M. Thorat Title: Correlations Between Occupational Health and Safety Initiatives and Healthcare Operational Efficiency Abstract: The paper is to investigate how well healthcare institutions function and if health and safety at work (OHS) initiatives correlate. Healthcare systems all over are under more and more pressure to raise performance, lower expenses, and enhance service quality. This makes it essential to investigate how programs for occupational health and safety may assist to raise the general effectiveness of healthcare operations. Given the very demanding nature of healthcare environments, OHS programs are supposed to safeguard the health and safety of healthcare professionals. Still, their influence beyond worker protection and is rather crucial in determining the degree of organisational performance. Many studies were conducted at many different healthcare institutions with rigorous OHS policies. The research examined topics like staff efficiency, patient satisfaction, cost-effectiveness, and absence rates using quantitative approaches. The research used statistical analysis to establish clear relationships between implementing OHS procedures and improving the practical outcomes in the healthcare sector. Particularly improved safety and health for employees have been connected to lower absenteeism, less accidents on the workplace, and increased staff contentment. Since a healthier workforce leads in improved patient outcomes, shorter wait times, and more effective treatment procedures, these developments directly affect healthcare services. The findings reveal that operating efficiency of healthcare institutions that give health and safety top priority is probably superior. The connection between the two emphasises the need of including health and safety guidelines into healthcare management strategies not just to meet the regulations but also to enhance the way things run. The research also emphasises the requirement of OHS programs in ongoing assessment and adaptation to meet evolving healthcare demands. Journal: Health Leadership and Quality of Life Pages: 309 Volume: 2 Year: 2023 DOI: 10.56294/hl2023309 Handle: RePEc:dbk:health:v:2:y:2023:i::p:309:id:309 Template-Type: ReDIF-Article 1.0 Author-Name: Vázquez Author-Name: Ponti Title: Proposal for acquiring research competencies in nursing personnel who perform care functions Abstract: The nursing professional is immersed in the accelerated social, technological, educational and sanitary development that the world is going through; having to respond with quality to the new needs of patient care at the same time that he/she must adapt to a progressively more competitive working world. In this sense, the use of research allows obtaining information and generating knowledge, necessary to make decisions and solve nursing problems; being the means to respond to these new demands and at the same time to make visible the humanistic and autonomous character of nursing. Journal: Health Leadership and Quality of Life Pages: 308 Volume: 2 Year: 2023 DOI: 10.56294/hl2023308 Handle: RePEc:dbk:health:v:2:y:2023:i::p:308:id:308 Template-Type: ReDIF-Article 1.0 Author-Name: Mane Author-Name: Gupta Author-Name: Roy Author-Name: Kumar Pati Author-Name: Choudhary Title: Innovations in Healthcare Education to Improve Quality of Life for Patients with Diabetes Abstract: Introduction: Healthcare education strategies meant to enhance patient outcomes and quality of life must be revaluated since diabetes is growing more frequent all across the globe. This project investigates innovative approaches of teaching healthcare that can provide persons with diabetes the tools, knowledge, and abilities required to properly manage their illness. Methods: We compiled a comprehensive meta-analysis and evaluation of research examining diabetes educational initiatives. Various approaches were examined to assess how well they performed: digital health technologies, online learning sites, direct patient-provider interaction, etc. We examined clinical findings, changes in lifestyle, and patient capacity for self-care by use of information from randomised controlled trials and group research. Findings and Analysis: The study revealed that glycaemic control, medicine adherence, and general patient contentment were greatly improved by patient training initiatives employing digital technologies. Furthermore found to be more effective in inspiring individuals were tailored learning strategies considering cultural context and personal preferences. Programs teaching individuals how to manage their own life such as nutrition advice, exercise routines, and stress management—showered greater long-term outcomes. Conclusion: fresh concepts in healthcare education especially those involving technology and tailored care have great potential to improve the quality of life of diabetics. People can take charge of their health with these tactics, which leads to better disease control and fewer problems. Continuing to put money into diabetes instruction is important for improving care and results for patients. Journal: Health Leadership and Quality of Life Pages: 307 Volume: 2 Year: 2023 DOI: 10.56294/hl2023307 Handle: RePEc:dbk:health:v:2:y:2023:i::p:307:id:307 Template-Type: ReDIF-Article 1.0 Author-Name: Narayan Author-Name: Pednekar Author-Name: Sharma Author-Name: Bhardwaj Author-Name: V Title: The Role of Healthcare Executives in Influencing Environmental Health Policies Abstract: How environmental health policies impact people's health, how to promote sustainable behaviours, and how to ensure that everyone has the same health outcomes depend much on the decisions taken by healthcare professionals. Being leaders in healthcare systems, they have a special role to advocate for and implement strategies addressing the relationship between health and the surroundings. Their involvement is very crucial for laws approved reducing the health consequences of environmental hazards such air pollution, water contamination, and climate change. This paper explores many ways in which healthcare directors could influence environmental health policy. It emphasises how their leadership could influence legislation created at the municipal, state, and national levels as well as the operations of companies. With an emphasis on long-term sustainability, patient care, and community health, healthcare executives have the knowledge and resources to make choices that benefit the environment and people in the society. Using their authority, they may advocate for policies that reduce environmental hazards and render areas healthier. Furthermore important in helping the government, non-governmental organisations (NGRs), and other healthcare professionals to advocate policy reforms is healthcare directors. Their involvement in policy discussions including long-term waste management, climate adaptation, supporting improved energy programs, and long-term waste management may have a significant impact on the general health of people as well as the health of the patients undergoing treatment. The report also addresses the difficulty healthcare executives have in ensuring that organisational objectives complement environmental health objectives. It addresses the political, legal, and financial factors influencing policy modification difficulty. It emphasises the need of healthcare executives giving public health first priority and using evidence-based advocacy to bring about structural reforms. Ultimately, healthcare leaders must participate in developing environmental health policies if we are to improve the planet, close health disparities, and ensure that a functional healthcare system will be there for next generations. Making and enforcing policies that protect people's health and promote long-term natural sustainability can move forward a great deal with their guidance. Journal: Health Leadership and Quality of Life Pages: 306 Volume: 2 Year: 2023 DOI: 10.56294/hl2023306 Handle: RePEc:dbk:health:v:2:y:2023:i::p:306:id:306 Template-Type: ReDIF-Article 1.0 Author-Name: Raje Author-Name: Debnath Author-Name: Prasad Dalai Author-Name: S Author-Name: Sharma Title: Analyzing the Effect of Quality of Life Assessments on Healthcare Delivery Frameworks Abstract: Introductions: Nowadays, evaluating how well healthcare is serving patients depends much on quality of life (QoL) assessments. Including quality of life (QoL) indicators into healthcare systems might enable individuals to make better decisions, provide patients better treatment, and develop new approaches of treating them. Focussing on how they influence patient outcomes and how well healthcare operates, this study investigates how quality of life (QoL) exams affect the methods of delivery of healthcare. Methods: Using a mixed-methods approach, qualitative interviews with healthcare management and employees combined with quantitative patient data analysis. Electronic health records (EHRs) provided us with QoL ratings, which we examined in light of clinical outcomes, patient satisfaction, and additionally conducted were interviews to learn people's opinions on and applications for QoL criteria in clinical settings. Findings: reveal that by highlighting what matters to the patient and facilitating their communication with their healthcare providers, quality of life (QoL) assessments greatly increase the likelihood of tailored treatment. Using QoL data also helped make better decisions about how to use resources and what kind of care to give. There were, however, problems found when trying to add QoL data to current systems, mostly with standardising and communicating the data. Conclusion: Quality of life (QoL) surveys are a useful way to improve the way healthcare is delivered because they help with patient-centered care, making decisions, and allocating resources. Getting past integration problems can make them even more useful in professional settings. Journal: Health Leadership and Quality of Life Pages: 305 Volume: 2 Year: 2023 DOI: 10.56294/hl2023305 Handle: RePEc:dbk:health:v:2:y:2023:i::p:305:id:305 Template-Type: ReDIF-Article 1.0 Author-Name: Ochoa-Santos Author-Name: Ochoa-Tataje Author-Name: Carpio-Soto Author-Name: Bazán Mestanza Author-Name: Pacherres-Espinoza Author-Name: Espinoza-Casco Title: Quality of working life and organizational commitment among Peruvian workers Abstract: The purpose of this study was to determine the relationship between quality of work life and organizational commitment in employees of the sales area in the hydrocarbons company in Ancón-2019, the research is correlational and its design is non-experimental. cross section, the abbreviated scale of quality of work life, was applied for the CVL variable, said instrument is made up of 5 dimensions and for the CO variable the Meyer and Allen organizational commitment, having 3 dimensions as structure. The population was composed of 126 employees from the sales area and the sample was of the census type. As a result of the investigation by the correlation of Rho Spearman, the value of 0.000 (p <0.05) was obtained; there was a direct, weak and significant correlation between the study variables. Therefore, the better quality of working life will improve the organizational commitment in the sellers of the hydrocarbons company in Ancon Journal: Health Leadership and Quality of Life Pages: 304 Volume: 2 Year: 2023 DOI: 10.56294/hl2023304 Handle: RePEc:dbk:health:v:2:y:2023:i::p:304:id:304 Template-Type: ReDIF-Article 1.0 Author-Name: H. Author-Name: N. Bamne Author-Name: Joginder Author-Name: Kumar Sahoo Author-Name: Kr Sharma Title: Healthcare Management Approaches for Improving Employee Occupational Safety Abstract: Introduction: in healthcare environments, occupational safety is rather crucial to guarantee that patients and staff get the best treatment available. Healthcare professionals run many hazards, including injury, disease, and extreme emotional stress; all of which may significantly affect their performance and general state of health. Thus, one crucial component of healthcare administration is ensuring employees’ safety at work. Method: this paper investigates many approaches to provide occupational safety for medical professionals. Every present safety regulation, training initiative, and technological solution was thoroughly examined. Data was obtained from many medical institutions using these approaches. Among the tools used were surveys, talks with staff members and healthcare management, and analysis of safety incident data. Results: safety management systems, consistent safety training, the use of personal protective equipment (PPE), and mental health support programs have helped to reduce the incidence of accidents, infections, and stress-related issues occurring at work, the research showed. Additionally demonstrated to reduce physical stress is the use of technology and robotics, therefore enhancing the safety and efficiency of many fields. Conclusion: the findings reveal that a multifarious approach is required to make healthcare professionals safer. This includes utilising mental health assistance, training, and technology. To safeguard the health and safety of their staff, healthcare providers should rank these actions first among their objectives. This will raise patient receiving quality of treatment. Future studies should investigate the long-term consequences of these developments as well as other technological innovations potentially used in safety management. Journal: Health Leadership and Quality of Life Pages: 303 Volume: 2 Year: 2023 DOI: 10.56294/hl2023303 Handle: RePEc:dbk:health:v:2:y:2023:i::p:303:id:303 Template-Type: ReDIF-Article 1.0 Author-Name: Sharma Author-Name: Samuel Jayakumar Author-Name: Pawar Author-Name: Prakash Chandra Author-Name: Ranjan Jena Title: The Impact of Environmental Health Factors on Rates of Hospital Readmission Abstract: Introduction: readmissions to the hospital are a key indicator of both the quality of care and how much it costs. However, external health factors that affect return rates have not been studied much. This study tries to fill in that gap by looking at how certain surrounding factors affect how often people have to go back to the hospital. Method: a retrospective cohort study was done using data from 10,000 hospital patients over five years. Environmental data, such as air quality, water quality, and population density, were combined with hospital discharge records. Multivariable logistic regression models were used to account for factors that could affect the results, such as age, gender, illnesses, and the reason for the first hospitalisation. Findings: the results show a strong link between bad air quality and more people having to go back to the hospital (OR=1,45, 95 % CI 1,22-1,73). In the same way, lower water quality was linked to a higher chance of being readmitted, especially for heart and lung diseases. Different health results were not always affected by the amount of people living in cities. Conclusion: environmental health issues, especially the quality of the air and water, have a big impact on the number of times people have to go back to the hospital. These findings show how important it is for healthcare policies to include environmental health knowledge and measures to lower avoidable readmissions. This will improve patient results and lower the cost of running healthcare systems. Journal: Health Leadership and Quality of Life Pages: 302 Volume: 2 Year: 2023 DOI: 10.56294/hl2023302 Handle: RePEc:dbk:health:v:2:y:2023:i::p:302:id:302 Template-Type: ReDIF-Article 1.0 Author-Name: Majumder Author-Name: Sahu Author-Name: Mane Author-Name: R. Sikchi Title: Investigating Effective Educational Strategies in Healthcare for Managing Chronic Diseases Abstract: Still major causes of concern for health worldwide include chronic illnesses such diabetes, heart disease, and high blood pressure. Using efficient teaching strategies helps one to control these disorders and raise patient outcomes. With the major objectives of improved patients’ capacity to regulate their own health, stick to their treatment plans, and make wise decisions, this paper investigates the impact of many instructional strategies in healthcare environments. Among the techniques applied are extensive research of the pertinent literature, case studies, and surveys sent to patients and medical professionals. We investigate how effectively various approaches of instruction—digital platforms, in-person counselling, group sessions—work using both qualitative and quantitative data in a mixed-methods approach. The findings reveal that patients far more participate in their treatment and illness control when tailored, patient-centered instruction with group support and interesting technology is used. Regular follow-up instruction helps patients to stick to their medicines and reduces connected issues related to their disease. To improve patient outcomes and reduce the long-term costs of chronic illnesses for healthcare systems, customised learning approaches must thus be included into their treatment. To achieve long-lasting improvements in treatment for chronic diseases, the study reveals that healthcare professionals must devise fresh approaches to teach that fit the interests and particular health needs of their patients. Journal: Health Leadership and Quality of Life Pages: 301 Volume: 2 Year: 2023 DOI: 10.56294/hl2023301 Handle: RePEc:dbk:health:v:2:y:2023:i::p:301:id:301 Template-Type: ReDIF-Article 1.0 Author-Name: KV Author-Name: Kumar Sharma Author-Name: Thamminaina Author-Name: Rout Title: Occupational Safety and Health Evaluations in Emergency Medical Response Services Abstract: Saving lives in an emergency depends much on Emergency medical response services (EMRS). These offerings, but, function in dangerous places wherein rescue professionals run several dangers during their employment. The number one goal of this take a look at is to investigate the occupational safety and health (OSH) rules of emergency scientific response services in order to become aware of risks, assess present safety measures, and propose way of creating them more secure and healthier for workers. Closely analysing modern safety policies, risk elements, and incident reports enabled one to decide how well they averted mistakes and accidents. Questionnaires and interviews with emergency clinical experts also were used to examine extra about their reports, protection issues, and challenges they've seeking to preserve themselves secure while administering care below quite a few stress. The results expose numerous important risk factors: physical stress, infectious diseases, toxic chemicals, and mental health problems including post-traumatic stress disorder (PTSD). Many emergency responders lack the required tools, training, and support systems; hence even although their jobs are quite important, many of them are not suited for these threats. The study stresses the need of a comprehensive OSH system involving not only physical safety precautions but also mental health help to empower people and improve their general well-being. Among the several key recommendations are to upgrade training courses, provide modern safety gear to employees, provide mental health tools, and promote a culture of safety whereby everyone participates in risk management strategies. By demonstrating how better Occupational Safety and Health (OSH) procedures may make responders safer, reduce accidents at work, and finally enhance the quality of emergency medical treatment for everyone, this study advances our knowledge of emergency medical services. These findings indicate a consistent strategy for safety that takes mental health into account in addition to physical one. This would increase the productivity and safety in the workplace. Journal: Health Leadership and Quality of Life Pages: 300 Volume: 2 Year: 2023 DOI: 10.56294/hl2023300 Handle: RePEc:dbk:health:v:2:y:2023:i::p:300:id:300 Template-Type: ReDIF-Article 1.0 Author-Name: Lochan Behera Author-Name: Patil Author-Name: S Author-Name: Bhavani Title: Analyzing the Effectiveness of Real-Time Feedback Systems in Occupational Health Abstract: Introduction: As occupational health changes, real-time feedback systems (RTFS) are becoming more and more seen as important tools for improving safety at work and the health and happiness of employees. This study looks into how well RTFS works for tracking and improving health results at work. Methods: We used a mixed-techniques approach, combining numeric data from machine usage logs with private feedback from person polls in some of distinct agencies. a group of 300 people from extraordinary backgrounds took component within the examine and had been given distinctive RTFS for 6 months. The link among gadget feedback and higher fitness and safety behaviour changed into looked at the use of statistical analysis. Findings: The results show that RTFS made workplace health management a lot better. Quantitative data showed that accidents at work went down by 40% and environmental compliance went up by 25%. Qualitative data showed that 85% of the people who took part found the comments helpful for making their work habits and safety knowledge better. Conclusion: The study shows that RTFS has the ability to make workplaces better and healthier. RTFS not only lowers risks but also gives workers the power to take charge of their own health and safety by giving them instant insights and tips they can use. Putting these kinds of tools together could completely change how workplace health is managed, so more research and use of them in many different areas is needed. Journal: Health Leadership and Quality of Life Pages: 299 Volume: 2 Year: 2023 DOI: 10.56294/hl2023299 Handle: RePEc:dbk:health:v:2:y:2023:i::p:299:id:299 Template-Type: ReDIF-Article 1.0 Author-Name: Espiñeira Author-Name: Brusca Author-Name: Garzón Author-Name: Ferreira Title: Dental porcelains available in Ciudad Autónoma de Buenos Aires and Gran Buenos Aires Sur Abstract: Nowadays, talking about aesthetic restorations means talking about metal-free ceramics. The changes and contributions in this field in recent years have been so important and revolutionary that there are currently a multitude of ceramic systems. All of them seek a balance between aesthetic, biological, mechanical and functional factors. However, there are considerable differences between them. Therefore, to select the most appropriate ceramic in each case, it is necessary to know the main characteristics of these materials and their manufacturing techniques. This choice should not be delegated to the laboratory technician, but should be the responsibility of the dentist, because he is the one who knows and controls the variables that determine the long-term success of the restoration. Journal: Health Leadership and Quality of Life Pages: 298 Volume: 2 Year: 2023 DOI: 10.56294/hl2023298 Handle: RePEc:dbk:health:v:2:y:2023:i::p:298:id:298 Template-Type: ReDIF-Article 1.0 Author-Name: Espiñeira Author-Name: Brusca Author-Name: Garzón Author-Name: Vela Ferreira Title: Innovations in Restorative Dentistry: History, Materials and Digital Advances Abstract: Introduction The article analyzed the structures of the oral cavity and oropharynx, highlighting their relevance for harboring a salivary biofilm composed of various species of microorganisms. This ecosystem is essential for the balance of oral health. The historical and technological evolution of prosthodontics was also reviewed, highlighting its impact on modern dentistry. Development The characteristics of dental prostheses were described, classifying them into fixed and removable. Dental ceramics, a key material in dentistry, was examined in detail, including its chemical composition and applications. The technological transition to systems such as CAD/CAM and 3D printing, which have optimized the fabrication of dental restorations, increasing precision and reducing working times, was highlighted. In addition, the evolution of dental porcelains was discussed, from feldspathic porcelains to zirconium or lithium disilicate reinforced porcelains, highlighting their esthetic and mechanical properties. Conclusions Dental ceramics, due to their esthetic, biocompatible and mechanical properties, continue to be a fundamental pillar in oral rehabilitation. The implementation of technologies such as CAD/CAM and 3D printing has revolutionized dental practice, offering more efficient and personalized solutions. Proper selection of materials and shades remains crucial for patient satisfaction and clinical success. Journal: Health Leadership and Quality of Life Pages: 297 Volume: 2 Year: 2023 DOI: 10.56294/hl2023297 Handle: RePEc:dbk:health:v:2:y:2023:i::p:297:id:297 Template-Type: ReDIF-Article 1.0 Author-Name: Allan Author-Name: Brusca Author-Name: Garzon Author-Name: Ferreira Title: Literature review on endoperiodontal lesions: diagnosis, treatment and prognosis Abstract: Endoperiodontal lesions represent a pathological communication between the dental pulp and the periodontium, characterized by diagnostic and prognostic complexity due to contributing factors such as failed endodontic treatments, marginal leakage, and trauma. These lesions may originate from a necrotic pulp affecting the periodontium or from a periodontal pocket invading the pulp. Treatment varies depending on the specific characteristics of each case but generally involves endodontic, periodontal, or combined interventions. Objective: To study the diagnosis, treatment, and prognosis of endoperiodontal diseases.Materials and Methods:A bibliographic review was conducted using specialized books and scientific databases such as Google Scholar, PubMed, and EBSCOhost.Results: Periodontal therapy performed simultaneously with endodontic therapy proved effective in the treatment of endo-periodontal lesions. However, the success rate can increase when techniques such as PRF-TPRF, GTR, diode laser application, and root canal obturation with MTA are added to the treatment. Journal: Health Leadership and Quality of Life Pages: 296 Volume: 2 Year: 2023 DOI: 10.56294/hl2023296 Handle: RePEc:dbk:health:v:2:y:2023:i::p:296:id:296 Template-Type: ReDIF-Article 1.0 Author-Name: Allan Author-Name: Brusca Author-Name: Garzon Author-Name: Ferreira Title: Therapeutic Strategies for Complex Endoperiodontal LesionsTítulo en español Abstract: introduction Endodontics and periodontics, key specialties in dentistry, are concerned with diagnosing and treating pulpal and periodontal diseases, respectively. Both structures share a common embryological origin and several communication pathways, such as the apical foramen and dentinal tubules, which facilitate the spread of infections between them. Endoperiodontal lesions arise when a pathological process simultaneously affects the dental pulp and periodontium, complicating diagnosis and treatment due to the anatomical and functional interconnection. Development The diagnosis of endoperiodontal lesions was based on a detailed clinical history, thorough clinical examinations and advanced imaging studies such as radiographs and CT scans. The periapical index (PAI) was used to assess the bone health around the dental root and classify the lesions. Treatments depended on the nature of the lesion: primary endodontic lesions responded well to root canal treatment, while primary periodontal lesions required both surgical and non-surgical procedures. In combined cases, therapeutic success depended on an interdisciplinary approach that integrated both treatments. Iatrogenic complications and factors such as patient adherence significantly influenced outcomes. Conclusions It was concluded that the management of endoperiodontal lesions requires a comprehensive understanding of the relationships between the pulp and periodontium, along with the use of advanced diagnostic tools. Personalized treatments, based on lesion etiology, are essential to optimize outcomes and preserve oral health. Journal: Health Leadership and Quality of Life Pages: 295 Volume: 2 Year: 2023 DOI: 10.56294/hl2023295 Handle: RePEc:dbk:health:v:2:y:2023:i::p:295:id:295 Template-Type: ReDIF-Article 1.0 Author-Name: Nashte Author-Name: Soni Author-Name: Mane Author-Name: Sangwan Author-Name: Prasad Satapathy Title: A Comparative Analysis of Environmental Health Policies Across Varied Healthcare Systems Abstract: Natural health is a recently developed discipline acknowledging the significant influence natural elements have on human well-being. Policies that consider how outside events influence people's health must be consistent in order to reduce risks and enhance general well-off. This paper examines environmental health policy of many healthcare systems. It demonstrates the variations in policy frameworks, legal procedures, and public health protection capacity among them. From those with universal coverage to those with privatised systems, the research examines several nations with various healthcare systems. Its aim is to identify the most important legislative projects addressing environmental health issues including waste management, water quality, air pollution, and climate change adaptation. The paper examines how various nations handle environmental health concerns within their own healthcare systems. It achieves this by means of both qualitative and quantitative research approaches, including policy evaluation, statistics on health outcomes, and interaction with important legislators and health professionals. The research mainly examines the variations between the regulations in countries like the US depending on commercial health care models and those in Scandinavia with robust public health care systems. It looks at how these systems use environmental health studies to plan and make policies for healthcare and the problems they face when trying to balance health and environmental goals. At the end of the study, the best practices from the different healthcare systems are highlighted, problems with putting policies into action are pointed out, and suggestions for change are made. To get long-lasting health results, it is very important that environmental health strategies are well integrated into healthcare systems. The results show that working together across sectors, making policies stronger, and making people more aware are all important for improving the health of the environment and reducing its effects on people who are already weak. Also, encouraging international cooperation and learning from different healthcare systems can help shape future policies that aim to improve health around the world and protect the environment. Journal: Health Leadership and Quality of Life Pages: 294 Volume: 2 Year: 2023 DOI: 10.56294/hl2023294 Handle: RePEc:dbk:health:v:2:y:2023:i::p:294:id:294 Template-Type: ReDIF-Article 1.0 Author-Name: Mahanta Author-Name: Sharma Author-Name: Prasad Author-Name: Jabbar V Title: The Impact of Occupational Health Programs on the Well-being of Employees within Healthcare Environments Abstract: The health and safety of healthcare workers is very important because they help people get care and keep everyone healthy. Occupational health programs (OHPs) in hospital settings are meant to protect and improve the mental and physical health of the people who work there. We used a mix of quantitative and qualitative research methods in our study. We combined quantitative data from health exams and staff polls with qualitative data from focus groups and interviews. We chose more than 1,000 healthcare workers from a number of different organisations. These workers included nurses, doctors, and support staff. These schools had different amounts of OHP application, from programs that had been running for a long time to ones that had just started. Some of the most important parts of the OHPs that were looked at were physical exams, mental health support, disease prevention programs, and health promotion activities like workout programs and food counselling. Our review was based on a number of important measures of well-being, including the number of physical problems, levels of worry and sadness, job happiness, absence rates, and general work success. Results from quantitative studies showed that schools with strong OHPs had 25% fewer joint problems and a big drop in stress-related symptoms compared to those with weak or no health programs. When workers were in places with full OHPs, they were happier with their jobs and did a better job overall. Also, absenteeism was much lower in these groups, which suggests that successful worker health measures are linked to fewer absences from work. Qualitative data confirmed these results; workers often said that easier access to health tools and support was a big reason why they were happy with their jobs and healthy overall. A lot of them said they felt respected by their bosses and better able to deal with the stress and physical demands of their jobs. The study also examined issues such insufficient funds, staff lack of motivation, and variations in program quality that could arise when OHPs are implemented and maintained under use. Customised OHPs that satisfy employee demands, foster a culture that prioritises employee health, and allow healthcare facilities to continuously monitor program effectiveness will help them to change with the workforce and the surroundings. Journal: Health Leadership and Quality of Life Pages: 293 Volume: 2 Year: 2023 DOI: 10.56294/hl2023293 Handle: RePEc:dbk:health:v:2:y:2023:i::p:293:id:293 Template-Type: ReDIF-Article 1.0 Author-Name: H Author-Name: Sharma Author-Name: Nitin B Author-Name: Ranjan Nayak Author-Name: Ashok Title: Innovations in Healthcare Management That Foster Enhanced Patient Safety and Quality of Care Abstract: Making patients safer and improving the quality of the treatment received in hospitals depends on improvements in the way healthcare is run. These fresh concepts improve clinical outcomes and patient care by means of sophisticated technology, process optimisation, and data-driven tactics, thereby strengthening healthcare systems. This is so that healthcare systems, handling more patients and more complex clinical scenarios, may be Among the most significant developments are using artificial intelligence (AI) and machine learning (ML) in decision-making. Accurate diagnosis, tailored treatment strategies, and proactive patient monitoring are therefore made feasible. By use of predictive analytics and artificial intelligence systems, one may identify potential hazards, therefore reducing errors and ensuring appropriate timing of action. Particularly in rural and underdeveloped regions, telemedicine has also altered a lot regarding the management of healthcare. By allowing physicians to interact with patients from far-off, telemedicine increases access to healthcare services and monitors patients. Electronic health records (EHR) have also streamlined handling patient information. this is in order that clinicians may additionally make higher decisions as they offer reliable, real-time access to clinical know-how, take a look at findings, and therapy guidelines. Another extensive development is the use of robotic systems in affected person care and healing procedures. These techniques significantly boom sufferers' healing periods via making treatments pretty specific, consequently lowering mistakes. While still making sure sufferers get the great treatment feasible, using robots for therapy and affected person tracking allows healthcare specialists to simplify their tasks. The usage of internet of things (IoT) devices, actual-time tracking systems additionally reveal patients' health constantly and notify healthcare body of workers at once need to something occur that might be elaborate. This reduces the dangers associated with responding too slowly and quickens remedy. These traits also are facilitating the cooperation of people from all backgrounds, which improves coordination of patient care, communication among healthcare specialists, and an extra all-encompassing method to affected person protection. Journal: Health Leadership and Quality of Life Pages: 292 Volume: 2 Year: 2023 DOI: 10.56294/hl2023292 Handle: RePEc:dbk:health:v:2:y:2023:i::p:292:id:292 Template-Type: ReDIF-Article 1.0 Author-Name: Chacón-Guerrero Author-Name: Eslava-Zapata Author-Name: Sánchez Castillo Title: Analysis of leadership styles in Latin American managers: An approach based on the Blake & Mouton test Abstract: Introduction: The study provides relevant information on the predominant leadership trends in the Latin American context, which may contribute to the development of leadership models more adapted to the organizational culture and challenges of the region. The study's objective is to analyze leadership styles in Latin American managers. Methods: The study is a quantitative study with a correlational transactional design. A sample of one hundred and thirty-nine managers from different Latin American countries was administered a questionnaire based on the Blake & Mouton test, which includes eighteen items grouped into “People” and “Tasks.” Data collection was carried out through online surveys. Results: The results reveal that Latin American managers tend to adopt a more people-centered leadership style, in line with the cultural values of the region, which privilege interpersonal relationships and collaboration. Conclusions: It is evident that managers encourage their teams to participate in decision-making, reflecting a collaborative approach. However, a significant proportion does not prioritize personal relationships when correcting errors, suggesting a possible area for improvement in interpersonal skills. Journal: Health Leadership and Quality of Life Pages: 291 Volume: 2 Year: 2023 DOI: 10.56294/hl2023291 Handle: RePEc:dbk:health:v:2:y:2023:i::p:291:id:291 Template-Type: ReDIF-Article 1.0 Author-Name: Kiefer Title: Impact of 3D Printing Technologies in Digital Dentistry Abstract: Introduction The advent of digital scanners and 3D printing technologies transformed the dental field by facilitating more accurate and complete impressions of the patient's mouth. These tools made it possible to replace conventional impressions, reducing working times, improving patient comfort and optimizing archiving. In addition, the combination of digital scans and 3D printing opened up new possibilities for the customized production of dental models and devices. Development The CAD-CAM system was central to this evolution, enabling the creation of digital three-dimensional models that materialized into physical objects through additive methods such as 3D printing. This process involved precision at every stage, from the quality of the scanning to the technology used for printing. Among the available methods, stereolithography (SLA, DLP, LCD) stood out for its ability to reproduce complex details by photopolymerizing liquid resins with ultraviolet light. Each technology presented particular advantages, such as speed and surface quality, being evaluated according to factors such as cost, biocompatibility and clinical specifications. Conclusion The implementation of 3D printing technologies in dentistry provided an efficient and accurate solution for fabricating customized dental models. This advance significantly improved clinical planning and the quality of dental treatment. Comparing the accuracy of various technologies allowed the identification of optimal tools according to specific needs, ensuring better patient outcomes. Journal: Health Leadership and Quality of Life Pages: 290 Volume: 2 Year: 2023 DOI: 10.56294/hl2023290 Handle: RePEc:dbk:health:v:2:y:2023:i::p:290:id:290 Template-Type: ReDIF-Article 1.0 Author-Name: Kees Title: Impact of Hydrogen Peroxide Tooth Whitening on Candida albicans Colonization Abstract: Introduction: *Candida albicans* is a fungus that is part of the oral microflora in 30-50% of the population. Its ability to alternate between different morphological forms, such as yeasts, pseudohyphae and hyphae, gives it a remarkable biological plasticity. This study evaluated the impact of tooth whitening with 35% hydrogen peroxide on the adherence of *C. albicans* to tooth enamel, exploring the factors that influence its colonization and virulence. Development: It was observed that *C. albicans* uses specific adhesins and components of its cell wall to adhere to surfaces such as dental enamel. This process, together with the formation of biofilms, increases its resistance to treatment and protection against the immune system. The action of hydrogen peroxide, although effective as an oxidizing agent, can modify the enamel surface, favoring the adherence of *C. albicans* and the interaction with bacteria such as *Streptococcus mutans*. These interactions enhance the formation of mixed biofilms, which represents a significant risk to oral health. Conclusions: The study concluded that tooth whitening with hydrogen peroxide can facilitate colonization of *C. albicans* due to changes in tooth enamel composition. Furthermore, it reaffirmed the importance of this fungus as an opportunistic pathogen and highlighted the need to implement preventive strategies in esthetic dental treatments. These strategies include the use of remineralizing agents and the strengthening of hygiene protocols to minimize associated risks. Future research will be key to better understand these interactions and develop more effective therapeutic approaches. Journal: Health Leadership and Quality of Life Pages: 289 Volume: 2 Year: 2023 DOI: 10.56294/hl2023289 Handle: RePEc:dbk:health:v:2:y:2023:i::p:289:id:289 Template-Type: ReDIF-Article 1.0 Author-Name: Velásquez Author-Name: Brusca Author-Name: Garzón Author-Name: Vela Ferreira Title: Level of knowledge of parents of chronically ill children about sugary medicines as a risk factor for tooth decay Abstract: Introduction: An observational descriptive study was conducted at the Juan P. Garrahan Paediatric Hospital in the Autonomous City of Buenos Aires during the period August - December 2023 to determine the level of parental knowledge of caries risk factors associated with chronic consumption of sugary medicines in hospitalised and outpatient children. Methodology: A total of 75 parents were evaluated for the study. Inclusion criteria: infants from 6 months to 13 years of age. Results: 73% prolonged hospitalisation, 67% average chronic use of medication, 55% use of sugary medication, 75% of parents do not know what care should be taken for children who chronically use sugary medication and 86% did not receive oral health education during hospitalisation. Conclusion: These results should be considered in the design of a preventive intervention for Oral Health that contributes to deepen the knowledge of parents. Journal: Health Leadership and Quality of Life Pages: .288 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.288 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.288:id:.288 Template-Type: ReDIF-Article 1.0 Author-Name: Secreto Author-Name: Jewtuchowicz Author-Name: Brusca Title: Relationship between periodontal disease and hormonal changes during menopause Abstract: Introduction: periodontal disease is a complex pathological process of the supporting tissues of the teeth, which develops in a non-linear manner as a result of an imbalance between the microbiota and the immune system. Objective: to argue the relationship between periodontal disease and hormonal changes during menopause. Methods: narrative bibliographic review using the Google Scholar search engine, based on scientific articles published in different digital databases such as: Scielo, Medline, Pubmed, Scopus, digital libraries, as well as information and theoretical content from books and magazines specialized in the subject. The descriptors used for the research were: periodontal disease/menopause, periodontitis/hormonal changes, gingival inflammation. Articles published in Spanish or English and with scientific quality supported by results obtained in qualitative and quantitative studies and systematic reviews were included. Development: Hormonal changes in women increase the likelihood of periodontal disease, experiencing gingival inflammation before menstruation and during ovulation due to a high level of progesterone that blocks the repair of collagen fibers and causes dilation of blood vessels. Estrogen deficiency reduces bone density after menopause, which can culminate in alveolar bone loss and eventually tooth loss. Oral changes in menopause include thinning of the oral mucosa, gingival recession, xerostomia, altered sense of taste, alveolar bone loss, and alveolar ridge resorption. Conclusions: Fluctuations in sex hormones during menopause have been linked to inflammatory changes in the gingiva, hypertrophy, or atrophy Journal: Health Leadership and Quality of Life Pages: .287 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.287 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.287:id:.287 Template-Type: ReDIF-Article 1.0 Author-Name: Jimenez Fajardo Author-Name: Rojas Ampudia Author-Name: Oriolo Estrada Author-Name: Piñero Prieto Author-Name: Cayarga Piñero Title: Diagnosis and treatment of nodular thyroid disease from a surgical approach Abstract: Nodular thyroid disease is defined by the presence of thyroid nodules of solid, liquid or mixed consistency, whether palpable or not. It can present as a solitary thyroid nodule or diffuse and multinodular goiters. It represents a growing entity, with serious repercussions in humans, and constitutes a challenge for the surgeon. The present study was carried out with the aim of describing the diagnosis and treatment of nodular thyroid disease from a surgical approach. A search for information was carried out in the SciELO, Redalyc and Amelica databases, selecting 44 bibliographic sources. A correct physical examination, a detailed anamnesis, as well as imaging, laboratory and pathological anatomy tests allow an accurate diagnosis, which guarantees the development of a correct medical or surgical therapy, ensuring a high survival rate Journal: Health Leadership and Quality of Life Pages: .286 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.286 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.286:id:.286 Template-Type: ReDIF-Article 1.0 Author-Name: Maldonado Title: Conscientious objection in nursing Abstract: Introduction: Conscientious objection (CO) constitutes an ethical and legal challenge for health professionals, who face conflicts between their personal beliefs and obligations towards patients and current regulations. In the province of Santa Fe, this issue has gained relevance in the field of nursing, which is an essential part of interdisciplinary health teams. Although national legislation addresses some aspects of CO, there are still legal gaps that generate uncertainty for both professionals and institutions. The aim of this study was to analyze the problems of CO in nursing, providing historical background, legal advances and an approach to the rights and duties of these professionals in the current healthcare context. Methods: A documentary and descriptive analysis was carried out, based on a review of national regulations and reports on the application of CO in the healthcare setting. The study included consultations with health authorities in Santa Fe to identify the main demands and conflicts arising from this practice. Results: The study revealed a use and abuse of CO by some professionals, which generated discontent among the population and affected the provision of services. Lack of knowledge of the meaning and scope of OC contributed to the problem. Health authorities intervened to address the situation, establishing guidelines that seek to balance individual rights and collective responsibilities. Conclusions: CO in nursing is a complex issue that requires clear regulation and adequate training. The need to implement educational and legislative policies to ensure ethical professional practice that respects both individual values and patients' needs was highlighted Journal: Health Leadership and Quality of Life Pages: .285 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.285 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.285:id:.285 Template-Type: ReDIF-Article 1.0 Author-Name: Maldonado Title: Nursing and Conscientious Objection: An Analysis of Safe Abortion in the Context of Law 27.610 Abstract: Introduction: Abortion in Argentina has been a subject of historical debate, crossed by legal, ethical and cultural tensions. Since the incorporation of non-punishable abortion into the Penal Code in 1921, access was restricted by conservative legal interpretations. With the enactment of Law 27,610 in 2020, which regulates the voluntary termination of pregnancy up to 14 weeks of gestation, a significant advance in sexual and reproductive rights was marked. However, the implementation of the law faces challenges, particularly in relation to Conscientious Objection (CO), a right that, if misapplied, can hinder access to safe abortion. Development: The province of Santa Fe was a pioneer in implementing a registry of conscientious objectors to ensure a balance between the rights of health professionals and pregnant women. Although the registry improved the organization of services, it revealed problems such as the misuse of CO and the lack of sustained public policies. In the nursing field, the tension between the right to CO and ethical obligations reflects a challenge. Necessary actions include education and regulation to avoid obstructive practices, ensuring respectful and efficient care. Conclusions: Law 27,610 symbolizes progress in expanding rights but requires training and oversight strategies for effective implementation. It is crucial to ensure that CO does not interfere with access to services, balancing individual rights with the obligation to provide comprehensive care Journal: Health Leadership and Quality of Life Pages: .284 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.284 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.284:id:.284 Template-Type: ReDIF-Article 1.0 Author-Name: Massanet Author-Name: Mónaco Title: Level of knowledge in nursing care for the adequate hemodynamic support of the organ and tissue donor Abstract: Introduction: The present study explored the level of nursing staff knowledge about the specific care required for hemodynamic support of the organ donor. This aspect is fundamental to guarantee the viability of the organs and to allow the donation and transplantation process to be completed. Likewise, the relevance of organ donation was considered as a solidary and altruistic act that promotes the survival of multiple people and reflects the donor's will in life. Methods: The research was carried out through the application of a survey directed to nurses working in intensive care units. This tool collected information about their knowledge and practices related to hemodynamic management of the organ donor. The analysis focused on identifying strengths and weaknesses in the mastery of this specific care. Results: The study revealed a low level of knowledge among the staff surveyed on the topic investigated. This finding highlighted the need to implement training and refresher programs for nurses in critical care units. Improvement in this area has the potential to optimize the care provided to the donor and, consequently, increase success rates in organ transplantation. Conclusions: The results obtained highlighted the importance of continuing education in organ donor care within intensive care units. The implementation of educational strategies will not only benefit nursing staff in their professional development, but will also have a positive impact on patients, strengthening the chain of solidarity that characterizes the donation and transplantation process. This study reaffirmed the need to approach the subject from an integrative perspective and oriented to the collective benefit Journal: Health Leadership and Quality of Life Pages: .283 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.283 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.283:id:.283 Template-Type: ReDIF-Article 1.0 Author-Name: Massanet Author-Name: Mónaco Title: The Role of Nursing in Organ Donation and Transplantation: Ethical, Legal and Clinical Aspects Abstract: The article addressed organ transplantation as a global challenge due to the limited supply in the face of growing demand, highlighting the associated ethical, legal and clinical complexities. It analyzed the regulatory framework in Argentina, emphasizing Law No. 27447 which promoted a historical increase in donation rates per million inhabitants. He reviewed the historical evolution of transplantation from its first practices to its consolidation as an essential medical procedure, highlighting technological advances and the importance of immunosuppressants to avoid organ rejection. The key role of health personnel in the stages of the process, from donor detection to hemodynamic maintenance and family support, was highlighted, underlining the importance of continuous training. The pathophysiological changes that occur in the donor in brain death (BD) were explored, emphasizing the need for rigorous monitoring to ensure organ viability. The article also addressed the ethical and bioethical principles that guide transplantation practice, including dignity, solidarity, justice and informed consent, as essential pillars to guarantee a transparent process that respects the rights of those involved. Finally, it was concluded that the combination of technological and regulatory advances and the professionalization of health personnel are essential to optimize the donation and transplantation processes, ensuring sustainability and equal access for patients on the waiting list Journal: Health Leadership and Quality of Life Pages: .282 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.282 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.282:id:.282 Template-Type: ReDIF-Article 1.0 Author-Name: Cova Title: Training and Protocolization in the Use of Port Cath: Improving Patient Safety and Quality of Care Abstract: The intervention project was aimed at the nursing staff of a hospital in the city of Rosario and its objective was to create a training space to standardize the Port Cath device. It was observed that the staff was performing this activity in a non-uniform manner, which put the health of patients and the durability of the device at risk. The proposal sought to unify techniques to prevent complications, improve care planning and benefit the patient, the healthcare team and the institution. Organizations such as the Argentine Society of Intensive Care (SATI) and the Argentine Society of Infectious Diseases (SADI) demonstrated the need for clear standards through studies that revealed an incidence of infections of 3.78 per 1000 days of catheter use. Although field work was not performed due to the sensitivity of the data, the lack of statistics and the vulnerability of patients were highlighted, which justified the need for this project. Treatment with Port Cath devices was considered essential in patients with chronic pathologies requiring prolonged vascular access. These devices have been shown to reduce complications, improve quality of life and optimize hospital costs. However, the lack of training and standardized protocols limited their effectiveness. The proposal included staff training in techniques based on scientific evidence and clear protocols, in line with national patient safety policies in Argentina. This approach reduced risks, improved care and optimized health system resources Journal: Health Leadership and Quality of Life Pages: .281 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.281 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.281:id:.281 Template-Type: ReDIF-Article 1.0 Author-Name: Cova Title: Port-Cath Habilitation Standards: Impact of Nursing Education on Improving Patient Safety Abstract: Introduction: The intervention project carried out in a hospital in Rosario aimed to standardize the procedures for enabling the Port-Cath device, mostly used in oncology patients. In view of the variability in nursing practices, the need to unify criteria to guarantee patient safety and durability of the device was identified. In the context of the Argentine healthcare system of 2023, characterized by budgetary constraints and a high workload of healthcare personnel, constant training and standardization of practices were highlighted as essential priorities. The project proposed to address these needs through an educational and reflexive approach, benefiting both patients and the healthcare team. Development: The intervention included surveys and focus groups to identify prior knowledge and inconsistencies in Port-Cath enabling practices. Subsequently, theoretical-practical trainings led by oncology specialists were developed, using simulations, video analysis and discussions. These activities allowed nurses to reflect on their mistakes and improve their technical skills. The use of visual tools such as an “idea cloud” facilitated learning assessment. Expected outcomes included a significant increase in the knowledge of trained staff and a reduction in device-associated complications. This model sought to be replicable in other institutions, addressing structural problems in the healthcare system. Conclusions: The project demonstrated the importance of standardization and continuous training to improve the quality of health care. By reducing risks associated with the use of the Port-Cath, it promoted a safer environment for patients and professionals. This initiative laid the groundwork for future interventions, strengthening the Argentine healthcare system and fostering a culture of learning and continuous improvement Journal: Health Leadership and Quality of Life Pages: .280 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.280 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.280:id:.280 Template-Type: ReDIF-Article 1.0 Author-Name: Chávez Arizala Author-Name: Llanos Gutiérrez Author-Name: Peláez Marcillo Author-Name: Santana Barbosa Title: Risk factors, causes and consequences of work stress, in relation to a bibliographic review Abstract: Introduction: work stress is defined as the tension produced when an individual considers a work situation or demand to be beyond his or her capabilities and resources to deal with it. Objective: to argue the importance of studying the causes and consequences of work stress based on its conceptualization. Methods: a narrative bibliographic review was carried out with the literature found on work stress. For this purpose, databases such as SciELO, Scopus and the Google Scholar search engine were used. Theses located in university repositories and books were also taken into account. The cited research was selected based on a detailed analysis of its impact, scientific validity demonstrated by quantitative studies, published in Spanish and English. Development: the discussion around the personal conditioning factors on workers' emotions in the face of organizational changes and work responsibilities reveals significant findings. Studies indicate that knowledge of the external locus of control and other personal factors exert a considerable influence on how employees react to the dynamics and demands of the work environment. Specifically, it is observed that a considerable proportion of workers experience stress in the face of organizational changes, this perception of stress extends to the responsibility of being accountable for the company's actions, as well as the anxiety generated by unclear objectives, with similar percentages of workers expressing concerns in these areas. Conclusions: promoting opportunities for professional development and growth within the workplace may be one of the many strategies to implement to avoid psychological exhaustion of workers Journal: Health Leadership and Quality of Life Pages: .279 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.279 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.279:id:.279 Template-Type: ReDIF-Article 1.0 Author-Name: Chávez Arizala Author-Name: Llanos Gutiérrez Author-Name: Peláez Marcillo Author-Name: Santana Barbosa Title: Work Stress in the staff of the company Furukawa Plantaciones C.A Abstract: Introduction: Stress has become a constant component in both professional and personal life, which is why it is considered the characteristic discomfort of modern civilization. Objective: to determine the level of work stress in the workers of the company Furukawa Plantaciones C.A, 2023. Methods: observational, descriptive cross-sectional research, the universe and the sample coincided, 60 workers, from a non-probabilistic sampling for convenience and inclusion and exclusion criteria established for the research. A questionnaire was applied to measure work stress that consisted of 3 dimensions, where personal, organizational and environmental factors were addressed and the DASS-21 scale to evaluate the symptoms of depression, anxiety and stress. The analysis was carried out using techniques such as the calculation of percentages; the data obtained were compiled in statistical tables for better analysis and understanding. Results: It was observed that 60 % of the workers experienced stress due to organizational changes; 73, 33 % of the people surveyed had a mild level of stress, 16, 67 % had moderate stress, and 10 % had severe stress. Regarding depression, 51, 67 % of the people surveyed had mild depression; 35 % had moderate depression; 8, 33 % had severe depression, and 5 % had extremely severe depression. Regarding anxiety, 31, 67 % of the people surveyed had mild anxiety; 36, 67 % had moderate anxiety; 15 % had severe anxiety, and 16, 66 % had extreme anxiety. Conclusions: It is relevant to implement a periodic evaluation system of work stress to identify workers with high levels of stress and determine the specific causes that generate it, evaluate the effectiveness of preventive measures, and make adjustments if necessary Journal: Health Leadership and Quality of Life Pages: .278 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.278 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.278:id:.278 Template-Type: ReDIF-Article 1.0 Author-Name: Passas Author-Name: Gustafsson Title: Frequency of community-acquired pneumonia in children aged 5 to 12 years in the Provincial Health Center N°48 of the city of Rosario, Argentina in 2023 Abstract: Introduction: Community-acquired pneumonia (CAP) is a major cause of morbidity and mortality in children under 10 years of age. In recent years, an increase in the incidence of complicated pneumonia in children has been observed. Methods: To describe the frequency of community-acquired pneumonia in children aged 5 to 12 years at the Provincial Health Center N°48 in the city of Rosario, Argentina, in 2023. Materials and methods: Quantitative, descriptive, cross-sectional, retrospective study. It was carried out at the Provincial Health Center N°48. The population consisted of all pediatric patients of both sexes, aged between 5 and 12 years, who had been treated as outpatients or inpatients for a diagnosis of community pneumonia. The data collection instrument was the patients' medical records. The statistical analysis consisted of a descriptive analysis of quantitative variables through absolute and relative percentage frequencies. Results: We found 30 medical records of pediatric patients diagnosed with community-acquired pneumonia. Of these, 53% were female and 47% male; with a mean age of 8.37 ± 2.51 years (min.3; max. 12). It was found that 40% of the cases presented asthma, bronchial hyperreactivity and recurrent respiratory infections, 33% presented malnutrition, 20% had premature birth, 10% had chronic diseases, 7% attended day care centers and 3% lived in overcrowded conditions. Among the main symptoms associated with the diagnosis of the disease, there was a gradual onset, fever higher than 38.5°, productive cough, chills, myalgia and arthralgias. The treatment used in 90% of the cases was Amoxicillin orally at a dose of 80-100mg/kg every 8 hours for 7 days. Conclusions: A low frequency of CAP (4%) was found in pediatric patients under 12 years of age. Asthma, bronchial hyperreactivity and recurrent respiratory infections were risk factors present in the studied population. Clinical manifestations of CAP were fever higher than 38.5°, productive cough, chills, myalgias and arthralgias. Amoxicillin was used orally at a dose of 80-100mg/kg every 8 hours for 7 days as the first treatment option Journal: Health Leadership and Quality of Life Pages: .277 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.277 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.277:id:.277 Template-Type: ReDIF-Article 1.0 Author-Name: Passas Author-Name: Gustafsson Title: Risk Factors, Diagnosis and Prevention of Pneumonia in Children: A Comprehensive Review Abstract: Introduction: Community-acquired pneumonia (CAP) is one of the main causes of morbidity and mortality in children under 10 years of age, especially in Latin America. In countries such as Argentina, CAP represents a significant burden on child health, being the third leading cause of mortality in children under 5 years of age. Pneumonia can be fatal if not properly diagnosed and treated, and its incidence has increased in recent years due to socioeconomic and health factors. Development: CAP is a pulmonary infection caused by community-acquired pathogens and occurs predominantly in winter. Risk factors include chronic diseases, malnutrition, overcrowding, passive smoking and lack of breastfeeding. The diagnosis of CAP is based on clinical evaluation, physical findings and, in some cases, complementary tests such as chest X-rays. The most common symptoms are fever, cough and tachypnea, although in young children they may be nonspecific. Chest X-ray is the most reliable diagnostic standard, although it is not always essential. Antibiotic treatments should be initiated empirically, prioritizing common pathogens such as pneumococcus. Conclusion: CAP is a serious disease in childhood that requires timely diagnosis and appropriate treatment. Prevention strategies, such as vaccination and breastfeeding, are essential. Regarding treatment, rational use of antibiotics and early identification of complications are essential to reduce mortality. It is crucial that health systems implement efficient protocols for the management of CAP, especially in areas with limited resources Journal: Health Leadership and Quality of Life Pages: .276 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.276 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.276:id:.276 Template-Type: ReDIF-Article 1.0 Author-Name: Moriconi Author-Name: Gabini Author-Name: Blajos Title: Strategies and challenges of self-care in sexual health: STI prevention and access to comprehensive sexuality education Abstract: Introduction: Self-care is a set of actions aimed at maintaining and promoting people's overall health, including physical, mental, sexual and social aspects. Sexual health, defined as comprehensive wellbeing in relation to sexuality, requires respectful and positive approaches to relationships, as well as access to quality services to prevent problems such as sexually transmitted infections (STIs), unwanted pregnancies and sexual violence. However, self-care in sexual health can be influenced by social and cultural factors, health policies and access to adequate information. Development: Self-care in sexual health manifests itself in various practices, such as the use of barrier methods, regular testing for STIs and open communication with sexual partners. STIs can be transmitted through various sexual practices, regardless of gender identity, although people with vulva are more vulnerable to these infections. Prevention methods, such as condoms and dental dams, offer some protection, but are not widely available, and do not always cover all sexual practices. In many contexts, structural and cultural barriers, such as lack of comprehensive sexuality education and heteronormativity in health care, limit access to information and adequate self-care, especially in vulvar populations. Conclusion: Barriers to access to protective methods and the lack of an inclusive approach in sexual health services hinder self-care and increase the risk of STIs. Comprehensive education and an inclusive medical environment are necessary to improve sexual health self-care and reduce the incidence of STIs in the population Journal: Health Leadership and Quality of Life Pages: .275 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.275 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.275:id:.275 Template-Type: ReDIF-Article 1.0 Author-Name: Gonzalez Author-Name: Marinozzi Author-Name: Soria Title: Analysis of antibody titers according to anti-SARS-CoV-2 vaccination schedules, assessed through protein S, discriminated according to history of Covid-19 disease, comorbidities, age and sex. City of San Lorenzo, period October-November 2021 Abstract: Introduction: Coronavirus 2019 (Covid-19) is a severe acute respiratory syndrome caused by a new coronavirus called SARS-CoV-2. Rapid and effective transmission led to its global spread, with the World Health Organization declaring it a pandemic on March 11, 2020. In spite of the little and recent information on this new disease, it was a race against time for many countries to create vaccines that would reduce the mortality rate, the hospitalization period and the rate of contagion worldwide. Viral surface protein S was identified as an optimal antigen for vaccine development. Objectives: To describe the humoral response to different anti-SARS-CoV-2 vaccination schedules, assessed by protein S, in the population of San Lorenzo, Santa Fe, Argentina. Material and Methods: The present study, of a descriptive and cross-sectional nature, was carried out based on the sampling of people who voluntarily attended the DetectAR Campaign, organized by the Municipality of San Lorenzo during the months of October and November 2021. In the selection of the sample, those who complied with the complete vaccination schedule (two doses of SP, SP+MO, AZ or SINO) were included and the measurement of antibodies in serum was performed by means of the Elecsys® Anti-SARS-CoV-2 test. Results: 319 participants were included, age was 52 ± 14 years. Anti-S antibody titers developed in 99.3% of the participants, with the exception of 0.6%, vaccinated with Sinopharm scheme. The median antibody titer against the RBD domain was 250 U/mL (250-233.4). The minimum value was 1 U/mL. Levels ≥ 250 U/mL (maximum reported level of antibody determined by the test) were found in 74.3% of participants. The SINO scheme yielded a median of 169.5 U/mL (250-33.8) and a mean of 142.2 ± 105.3 U/mL, comparatively lower than the rest of the schemes. The female sex presented a median of 203.8 ± 83.7 U/mL, while that of the male sex was 213.5 ± 78.9 U/mL. The median in participants ≥ 65 years was 250 U/mL (250-250) and in subjects ≤ 64 years was 250 U/mL (250-195.2). 76.5% of participants with comorbidities (n: 34) achieved peak antibody titers. 72.8% of participants who denied having had the disease (n:196) developed titers greater than 250 U/ml. Conclusions: All participants developed Anti-S antibody titers, with the exception of two participants vaccinated with Sinopharm scheme. The population with Covid-19 (+) background presented higher antibody titers. However, no differences were found in the quantification of the Anti-S humoral response according to the variables sex, associated comorbidities or in persons ≥ 65 years with respect to the rest of the sample Journal: Health Leadership and Quality of Life Pages: .274 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.274 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.274:id:.274 Template-Type: ReDIF-Article 1.0 Author-Name: Quiroz Mendoza Author-Name: Guevara Salazar Title: Nursing care process applied to pediatric patient with diagnosis: COVID 19 Pneumonia and Myasthenia Gravis in the Pediatric ICU area Abstract: Introduction: Viral pneumonia has gained increasing relevance as a cause of illness, affecting mainly children and older adults. These infections can range from mild cases to severe forms requiring intubation and intensive care. The COVID-19 pandemic, caused by the SARS-CoV-2 virus, has highlighted the significant impact of viral infections on global health, including their contribution to the development of diseases such as pneumonia. The purpose of this work is to contribute to the patient's well-being and to promote the necessary care for recovery through the implementation of the Nursing Care Process (NCP). In situations where complete restoration of health is not achieved, the PAE is aimed at promoting quality of life for as long as possible. Methods: The study was carried out with a qualitative and single clinical approach. The Nursing Care Process was applied to an adult patient diagnosed with COVID-19 pneumonia and myasthenia gravis. Data collection was performed using Marjory Gordon's functional pattern assessment framework, which allowed the identification and prioritization of nursing diagnoses related to impaired spontaneous ventilation due to muscle fatigue, impaired gas exchange due to alterations in ventilation-perfusion, and hyperthermia associated with an infectious process that increased the metabolic rate. Based on this assessment, a care plan was designed according to NANDA, NIC and NOC taxonomy, and the corresponding interventions and activities were carried out. Results: The development of the Nursing Care Process allowed the application of its five stages in a comprehensive manner, offering complete care to the patient. The results were evaluated using the NOC indicators, obtaining change scores of 0, -1 and +2, reflecting both areas of opportunity and progress in the patient's condition. Conclusions: The implementation of the Nursing Care Process in a patient with COVID-19 pneumonia and myasthenia gravis proved to be effective in identifying priority needs and carrying out specific interventions. This process contributed significantly to the patient's well-being, even in complex clinical conditions, and highlighted the importance of nursing in the comprehensive care of serious illnesses. The use of methodological tools such as the EAP highlights its usefulness in structuring care and improving the patient's quality of life Journal: Health Leadership and Quality of Life Pages: .273 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.273 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.273:id:.273 Template-Type: ReDIF-Article 1.0 Author-Name: Choquetopa Author-Name: Auza-Santivañez Author-Name: Kubatz La Madrid Author-Name: Apaza-Huanca Author-Name: Zelaya-Espinoza Author-Name: Zambrana-Mejia Author-Name: Jiménez-Salazar Author-Name: Arteaga Iriarte Title: Bilateral Subdural Empyema, secondary to odontogenic infectious process. Case Report Abstract: Introduction: Subdural empyema (ESD) is a collection of pus between the dura mater and arachnoid, and constitutes a medical emergency due to its rapid progression and high mortality rate. Although ENT infections are the main causes, odontogenic infections can also lead to ESD. Early diagnosis, intravenous antibiotic therapy and surgical intervention are essential to reduce mortality. Clinical case: A 32-year-old male patient presented with a month-long picture of swelling and pain on the left side of the face, recently aggravated by fever, headache, vomiting and generalised tonic-clonic convulsions. He had a history of alcoholism and recurrent dental infections. Imaging revealed a bilateral subdural empyema with left-sided predominance. Urgent antibiotic treatment was initiated, followed by bilateral craniotomy and drainage of purulent material. In addition, a brain abscess and a subgaleal haematoma were managed. Cultures identified Streptococcus viridans and coagulase-negative Staphylococcus, with good response to targeted therapy. The patient progressed favourably and was discharged in good condition. Conclusions: In regions like Bolivia, the prevalence of odontogenic infections due to cultural and economic factors increases the risk of severe complications such as SDE. A multidisciplinary approach, including early diagnosis, broad-spectrum antibiotics, and surgical intervention, is essential to improve outcomes and reduce mortality in these patients Journal: Health Leadership and Quality of Life Pages: .272 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.272 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.272:id:.272 Template-Type: ReDIF-Article 1.0 Author-Name: Zayas Acosta Author-Name: Dopico Reyes Author-Name: Rodríguez Ramos Author-Name: Jiménez Fajardo Author-Name: Lopez Title: High tracheal stenosis due to prolonged intubation Abstract: The trachea is a flexible semi-rigid tube extending from the lower edge of the cricoid cartilage, which bifurcates into two main bronchi. It is normally 10-11 cm in length, with variations by age, sex, and race. Post-intubation tracheal stenosis is known as ischemic tracheal stenosis due to scar retraction or deposition of pathological tissue, caused by the mechanical effect on the tracheal mucosa, associated with an irritative, inflammatory, ischemic and sometimes an infectious factor, induced by the endotracheal tube, its tilting movements, the excess pressure of the insufflated balloon, traumatic aspirations, poor handling technique and continuous care of the endotracheal device in an essential way, making this pathology one of the most frequent complications of prolonged intubation, it is considered that approximately 20 % of patients with invasive ventilation may present it Journal: Health Leadership and Quality of Life Pages: .271 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.271 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.271:id:.271 Template-Type: ReDIF-Article 1.0 Author-Name: Alvarez Mederos Author-Name: Mijares Author-Name: Rodríguez Bernal Author-Name: Mayor Fuente Title: Some considerations on postpartum depression Abstract: Postpartum depression is a psychological disorder that affects the mother, the newborn and the family. The present review was developed with the aim of describing factors related to postpartum depression. Postpartum depression includes symptoms such as sadness, irritability, and anxiety, and can have adverse effects on mother-child bonding and infant development. Social, family, psychological and biological factors contribute to its development. Risk factors include neurotic personality, psychiatric history and previous depressive episodes, psychosocial and biological factors, such as hormonal changes. Postpartum depression is associated with low self-esteem, difficult marital relationships and insufficient support networks. Personal history of depressive episode is the main risk factor Journal: Health Leadership and Quality of Life Pages: .270 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.270 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.270:id:.270 Template-Type: ReDIF-Article 1.0 Author-Name: Turro Mesa Author-Name: Caballero Author-Name: Caballero Author-Name: Mesa Valiente Author-Name: Del Río Mesa Author-Name: Montes de Oca Title: Characteristics of inflammatory markers in patients with acute heart failure Abstract: Introduction: The available scientific evidence3-4 allows us to state that the development and progression of heart failure are underlain by immunological and inflammatory mechanisms that are associated with oxidative stress. Objective: To determine the characteristics of hematological markers of inflammation in hospitalized patients with HF on admission. Material and methods: A descriptive-cross-sectional study of 100 patients who were admitted to the Cardiology ward with a diagnosis of HF from 2018 to 2020 was carried out. For data collection, the survey that was filled out during the review of medical records was used. clinics once the patient is discharged. For the processing, a database was created with the SPSS system. The principles of the Declaration of Helsinki were respected. Results: It was shown that the greatest left atrial dilation is significantly correlated with the elevation of the elevated neutrophils / lymphocytes (NRL) (80%), while only 20% of these patients present the NLR up to 2.9. There is a significant association between the RNL up to 2.9 and the state at discharge alive, represented by 63%, as well as the elevated platelet/lymphocyte ratio (≥ 116) with the deceased discharge (100%), while the live discharged with this same condition were only 22.8%. Conclusions: The hematological markers of inflammation and oxidative stress, Neutrophils/lymphocytes and platelets/lymphocytes ratio, are characterized by their significant association with mortality in patients hospitalized for heart failure. Journal: Health Leadership and Quality of Life Pages: 269 Volume: 2 Year: 2023 DOI: 10.56294/hl2023269 Handle: RePEc:dbk:health:v:2:y:2023:i::p:269:id:269 Template-Type: ReDIF-Article 1.0 Author-Name: Guzmán Aguirre Author-Name: Escalona Author-Name: Nieves Plasencia Author-Name: Ron Title: Psychosocial Factors, And Ergonomic Analysis Musculoskeletal Symptoms Management Personnel In A Public University Abstract: Introduction. Musculoskeletal disorders have increased exponentially, affecting various occupations, including administrative staff exposed to prolonged postures and repetitive movements. This study aimed to evaluate psychosocial factors, ergonomic conditions, and their relationship to musculoskeletal symptoms among administrative staff at a public university. Methods. A cross-sectional study with an ergonomic approach and mixed design was conducted. The sample included 149 employees (71% women, 29% men) from 22 departments. Voluntary consent was obtained. The Nordic Questionnaire of Musculoskeletal Symptoms, the Copenhagen Psychosocial Questionnaire (ISTAS 21), and the Helsinki Method for ergonomic assessment were used. Data were analyzed using SPSS 19.0. Results. The average age was 39 years, with 29% overweight and an average tenure of 9 years. Musculoskeletal symptoms were reported in the neck (78%), right shoulder (38%), back (36%), and right wrist (42%). Adverse psychosocial risks included "psychological requirements," "insecurity," "double presence," and "esteem," while favorable factors were "active work," "development potential," and "social support and quality of leadership." The ergonomic analysis indicated a trend of 4 (very inadequate) in workplace design. Conclusions. Musculoskeletal symptoms are highly prevalent, particularly in the neck, shoulders, back, and wrists. Adverse psychosocial conditions and poor ergonomic design contribute to these issues. While some positive psychosocial aspects were observed, it is necessary to optimize job positions through ergonomic interventions and stress management strategies to reduce these risks and improve working conditions. Journal: Health Leadership and Quality of Life Pages: .268 Volume: 3 Year: 2025 DOI: 10.56294/hl2024.268 Handle: RePEc:dbk:health:v:3:y:2025:i::p:.268:id:.268 Template-Type: ReDIF-Article 1.0 Author-Name: El Río Caballero Author-Name: Turro Mesa Author-Name: Del Río Mesa Author-Name: Mesa Valiente Author-Name: Turro Caró Title: New hematologic markers of immuno-inflammation and Severe perioperative complications after cardiac surgery. Abstract: Introduction: The high morbidity and mortality of cardiovascular surgical patients and their high costs lead to the search for markers that can predict adverse effects and post-surgical complications in time and facilitate a better evaluation of these patients. Objective: to evaluate the degree of association of selected hematological markers of immuno-inflammation with the appearance of serious perioperative complications Methods: An ambispective cohort study was carried out on patients who underwent major cardiovascular surgery between January 1, 2019 and December 31, 2023 at the Cardiocentro of Santiago de Cuba, who met inclusion criteria. Results: A close link was demonstrated between the appearance of serious perioperative complications with the evaluated markers: Neutrophil/lymphocyte ratio (p=0.000 RR 26.90), Platelet/lymphocyte ratio (p=0.000 RR 11.07), Systemic immuno-inflammatory index (p=0.000 RR 2.66). Conclusions: The appearance of complications was high but in accordance with what was found in the international and national literature, a close link was evidenced between the new hematological markers and complications, which could allow earlier monitoring, diagnosis and treatment of complications and reduce morbidity and mortality in these patients. Journal: Health Leadership and Quality of Life Pages: 267 Volume: 2 Year: 2023 DOI: 10.56294/hl2023267 Handle: RePEc:dbk:health:v:2:y:2023:i::p:267:id:267 Template-Type: ReDIF-Article 1.0 Author-Name: Duran Author-Name: Esquivel Title: Impact of hand hygiene and biosafety in critical care Abstract: Introduction: The article reviewed the problem of bladder catheter-associated urinary tract infections (BV-UTIs), which constituted between 20% and 50% of nosocomial infections in intensive care units. These infections, mostly related to the use of urinary catheters, increased morbidity and mortality and hospital costs. Historically, the implementation of biosafety standards and infection control, such as that developed in Great Britain in 1959, proved to be fundamental strategies for their prevention. Development: Key preventive measures were described, such as hand hygiene, based on social, antiseptic and surgical techniques, and their ability to reduce bacterial transmission. In addition, the importance of training nursing staff in the placement and maintenance of urinary catheters, using sterile equipment and aseptic techniques was discussed. A project implemented in a public hospital in Rosario was also presented, where 60 nurses were trained to standardize procedures and reduce the incidence of UTI-SV, reinforcing adherence to biosafety standards. Conclusion: The article concluded that continuous education of nursing staff, supported by evidence-based practices, led to a significant reduction in SV-TTIs in critically ill patients. This model, based on strict standards and constant training, proved to be replicable in other hospital settings to optimize patient safety, reduce complications and ensure quality care. Journal: Health Leadership and Quality of Life Pages: 266 Volume: 2 Year: 2023 DOI: 10.56294/hl2023266 Handle: RePEc:dbk:health:v:2:y:2023:i::p:266:id:266 Template-Type: ReDIF-Article 1.0 Author-Name: Bernedo-Moreira Author-Name: Loayza-Apaza Author-Name: Pacompia-Quispe Author-Name: Portilla-Linares Author-Name: Valdez-Portilla Author-Name: Fernandez-Collado Title: Teacher training and development of competencies in primary health care in Peruvian university students of health sciences Abstract: Introduction: In the field of health sciences education, the relationship between teacher training and the development of competencies in primary health care in university students is a key issue to ensure comprehensive and relevant training to the current demands of the health system. Objective: To determine the relationship between teacher training and the development of competencies in primary health care in Peruvian university students of health sciences. Methods: Quantitative, basic or pure, non-experimental, cross-sectional and correlational research. Results: A correlation coefficient r=0.823 for the study variables, and a value of p=0.001. Conclusions: The results support the importance of teacher training in improving different critical aspects in primary health care. The strong association with all the variables analyzed highlights that investing in teacher training can have a significant impact on the quality of services, from the personalization of care to the optimal use of resources. The stronger relationship with the family approach could indicate that training has a particularly important effect on this aspect. This result reinforces the importance of strengthening teacher training to improve professional competencies in the evaluated contexts. Journal: Health Leadership and Quality of Life Pages: 265 Volume: 2 Year: 2023 DOI: 10.56294/hl2023265 Handle: RePEc:dbk:health:v:2:y:2023:i::p:265:id:265 Template-Type: ReDIF-Article 1.0 Author-Name: Sandoval Frattallone Title: Risk analysis of the promotion and access to oral health products through the figure of influencers in the social network Tiktok Abstract: Introduction The study addressed the problem of professional intrusion in dentistry, with an emphasis on social networks as platforms that facilitate the dissemination of risky and unregulated practices. According to the WHO, almost 45% of the world's population suffered from oral diseases, which highlights the need to strengthen oral health education and access to adequate treatment. Development The research highlighted how social networks, such as TikTok and Instagram, encouraged dangerous trends in dental health, such as the placement of false brackets and the use of ultrasonic devices by untrained people. These practices violated legal and ethical regulations, exposing users to significant risks. In addition, the importance of oral health education strategies, promoted by organizations such as WHO and PAHO, to prevent common diseases such as caries and periodontitis was emphasized. Conclusions It was concluded that intrusiveness in dentistry represents an ethical, legal and social challenge that requires collaboration between professionals, regulators and digital platforms. Strict regulation, health education and professional ethics are essential to protect patients and combat misinformation. This joint effort will help ensure trust in dental treatments and in licensed professionals. Journal: Health Leadership and Quality of Life Pages: 264 Volume: 2 Year: 2023 DOI: 10.56294/hl2023264 Handle: RePEc:dbk:health:v:2:y:2023:i::p:264:id:264 Template-Type: ReDIF-Article 1.0 Author-Name: Hansen Title: Impact of Oral Contraceptives on Periodontal Health: Influence of Steroid Hormones Abstract: Introduction: The oral cavity constitutes a dynamic niche susceptible to environmental and physiological changes. Alterations in its microbiome can lead to pathologies such as caries and periodontal disease, the latter being one of the main causes of tooth loss worldwide. Candida albicans has been identified as the most prevalent fungus in the oral microbiota, although detections of non-albicans species have increased in the last decade. In addition, steroid hormones such as estrogens and progesterone, present in oral contraceptives, have been shown to modulate the periodontal inflammatory response, exacerbating conditions such as gingivitis and favoring the progression of periodontal disease. Development: This work explored the impact of oral contraceptives and steroid hormones on bacterial plaque-induced gingivitis and periodontitis progression. The most recent classifications of periodontal disease, which group pathologies according to stages and grades, were addressed, allowing a better assessment of hormonal factors in their evolution. The findings supported the relationship between oral contraceptive use and increased susceptibility to gingival inflammation, especially in advanced clinical conditions. Conclusions: Steroid hormones, present in contraceptives, played an important role in modulating the oral microbiome and periodontal inflammation. Although no direct relationship was found in mild cases, in advanced stages of periodontal disease the hormonal impact was significant. These results highlight the need to monitor hormonal factors in dental treatment and to promote personalized preventive strategies. Journal: Health Leadership and Quality of Life Pages: 263 Volume: 2 Year: 2023 DOI: 10.56294/hl2023263 Handle: RePEc:dbk:health:v:2:y:2023:i::p:263:id:263 Template-Type: ReDIF-Article 1.0 Author-Name: Vásquez-Donet Author-Name: Bazualdo-Fiorini Author-Name: Saavedra-Alvarado Author-Name: Portilla-Linares Author-Name: Valdez-Portilla Author-Name: Barrera-Benavides Title: The importance of biomarkers of post-myocardial infarction heart failure: a systematic review Abstract: Heart failure (HF) after a myocardial infarction (MI) is one of the most frequent complications and with the highest mortality rate in the population. Given this, the importance of finding appropriate biomarkers for the diagnosis, prognosis and treatment of this condition. The review was carried out under an analytical approach, using the PRISMA statement as a methodology; for this, documents were retrieved through the Scopus, ScienceDirect and PubMed databases, where 20 articles that met certain inclusion criteria were recognized. In conclusion, it was explained that the use of standard biomarkers such as B-type natriuretic peptide (BNP) and non-terminal pro-BNP in clinical practice have limitations, especially due to their low specificity for HF as a post-MI complication. Therefore, currently, biomarkers that reflect the alteration of cardiac integrity, biomarkers of cardiac injury and necrosis, inflammatory biomarkers, biomarkers of cardiac fibrosis, biomarkers of biomechanical myocardial stress, and other types of biomarkers such as non-coding RNAs are being investigated Journal: Health Leadership and Quality of Life Pages: 262 Volume: 2 Year: 2023 DOI: 10.56294/hl2023262 Handle: RePEc:dbk:health:v:2:y:2023:i::p:262:id:262 Template-Type: ReDIF-Article 1.0 Author-Name: Coba Villán Author-Name: Fustamante Rafael Author-Name: Fustamante Rafael Author-Name: Bazualdo-Fiorini Author-Name: Saavedra Alvarado Author-Name: Velarde-Tejada Title: Work stress and sleep quality in staff in the emergency area of the largest hospital in Cajamarca Abstract: Objectives: Determine the relationship between work stress and sleep quality in the care personnel of the Emergency area of the Hospital of Greater Complexity of Cajamarca in the year 2024. Materials and methods: The study had a quantitative approach, non-experimental, cross-sectional and non-correlational design. The sample was made up of 118 members of health personnel to whom the “Pittsburgh Sleep Quality Questionnaire” and the “Stress Inventory for Health Professionals” were applied, validated with Cronbach's alpha of 0.78 and 0. .91 respectively. Results: 93% of those surveyed presented work stress, most of which were mild; in addition, 86% presented poor quality of sleep, of which 49% deserve medical attention and treatment. No significant relationship was found between both variables (p = 0.132). Likewise, a significant relationship was found between profession and work stress (p =0.005). Conclusion: It was found that there is no significant relationship between work stress and sleep quality. In addition, profession was identified as a factor significantly associated with work stress in health personnel. Journal: Health Leadership and Quality of Life Pages: 261 Volume: 2 Year: 2023 DOI: 10.56294/hl2023261 Handle: RePEc:dbk:health:v:2:y:2023:i::p:261:id:261 Template-Type: ReDIF-Article 1.0 Author-Name: Jimenez Granizo Author-Name: Glenda Marcela Author-Name: Burbano Gómez Author-Name: Idrovo Encalada Author-Name: Soledispa Cañarte Author-Name: López Barrera Title: Normolipid-lowering effect of omegas in chia seed (Salvia hispanica) in wistar rats Abstract: Chia seed (Salvia hispánica) constitutes a great nutritional value for considerable content of fiber, protein and polyunsaturated fatty acids, essential to keep a lipid proper health. According to studies made, it has been shown that omegas 3, 6, and 9 contained in chia contribute to improve the lipidic profile by exerting a normolipemic effect on it. The study herein evaluated the normolipemic effect of the chia seed oil, for which 6 groups of 7 rats were formed, the control group (CN) maintained a pellet base diet, of these, 5 groups were previously induced to a hypercholesterolemia with a fat rich diet for two months: one group was treated with atorvastatin (CP), 3 groups were treated with chia at concentrations of 250, 500, and 1000 mg/kg (C250, C500, C1000, respectively); a group maintained the fat rich diet (CD) until the end of the treatment. Lipid profile analysis were performed at 7, 14 and 21 days from the start of the treatment. The results showed that after 7 days the C1000 reduced its LDL and increased its HDL, showing no significant difference with the atorvastatin. At the end of day 21 the lipid profile levels improved at all doses of chia , having lower levels of cholesterol, triglycerides, LDL and HDL levels being higher, even above the CN, showing significant difference with the CD, with a statistical probability of (p <0.05) Journal: Health Leadership and Quality of Life Pages: 260 Volume: 2 Year: 2023 DOI: 10.56294/hl2023260 Handle: RePEc:dbk:health:v:2:y:2023:i::p:260:id:260 Template-Type: ReDIF-Article 1.0 Author-Name: Lawand Author-Name: Awasthi Author-Name: Das Author-Name: H Title: The Effects of Enhancements in Environmental Health on Pediatric Health Outcomes Abstract: Environmental health has been known for a long time to have a big effect on people's health, especially when they are young because their bodies are still developing and they are more likely to be affected by environmental stresses. It is possible for improvements in environmental health practices to have a big impact on children's health by lowering their exposure to environmental risks, making living situations better, and improving their health over time. This study looks into the different ways that changes in environmental health, like better air quality, water cleaning, garbage management, and urban planning, can have direct and secondary effects on the health of children. Children and teens are especially vulnerable to environmental chemicals and dangers because their immune systems are still growing, their metabolisms are faster, and they do things that put them at risk, like spending more time outside and eating with their hands. This is why effective public health campaigns may significantly reduce the prevalence of children suffering with asthma, lung diseases, lead poisoning, and developmental abnormalities. Keeping children healthy and preventing diseases that may be prevented also depends on access to safe living, clean water, and pollution-free surroundings. The paper examines several case studies and actual data from areas where public health guidelines have become somewhat better. Particularly in places with significant pollution, the data reveal a high correlation between environmental health policies and improved health outcomes for children. Better growth and development in children generally, reduced incidence of long-term disorders like asthma, and less hospitalisation resulting from improvements to public health services. Journal: Health Leadership and Quality of Life Pages: 259 Volume: 2 Year: 2023 DOI: 10.56294/hl2023259 Handle: RePEc:dbk:health:v:2:y:2023:i::p:259:id:259 Template-Type: ReDIF-Article 1.0 Author-Name: KV Author-Name: Antony Author-Name: Biswas Author-Name: Dhar Title: Strategies for the Implementation of Healthcare Education in Resource-Constrained Environments Abstract: Introduction: Especially in areas with limited resources, better health outcomes depend much on healthcare education. Still, a shortage of money often makes it difficult for training initiatives to be successful. This essay examines many approaches to provide healthcare in these types of environments such that everyone receives quality treatment. Methods: Extensive review of past studies was conducted with an eye towards how novel approaches including mobile health (health), telemedicine, and community-driven education models may be employed in concert. Case studies with minimal resources from Africa, Asia, and Latin America were examined in search of sensible means of implementing ideas. Data on healthcare access, educational impact, and sustainability were compiled and combined to provide ideas that may be implemented. Results: The study revealed how people from many locations may collaborate using digital technologies such internet sites and mobile apps. Reaching individuals in remote regions and imparting greater health knowledge also depend much on community health workers (CHWs). Maintaining the longevity of the program also depended on close cooperation with nearby organisations. Conclusion: In order to educate healthcare in areas with low resources, you must combine digital innovations and community-based models among other approaches. By means of mobile tools and enhanced local contacts, these locations may effectively fill in knowledge gaps in healthcare and enhance health outcomes. Researchers should aim to improve these models going forward so they may be applied on a greater scale and persist for a long period. Journal: Health Leadership and Quality of Life Pages: 258 Volume: 2 Year: 2023 DOI: 10.56294/hl2023258 Handle: RePEc:dbk:health:v:2:y:2023:i::p:258:id:258 Template-Type: ReDIF-Article 1.0 Author-Name: Suquilanda Cristoval Author-Name: Montece Giler Author-Name: Robalino Villafuerte Title: Legal analysis of psychological violence against women in the canton of santo domingo during the year 2022 Abstract: This study on psychological violence against women in the canton of Santo Domingo combines qualitative and quantitative approaches, with the objective of making this problem and its legal treatment visible. The research highlights the importance of evidence as a fundamental resource in criminal proceedings, focusing on how this form of violence is applied according to the Organic Integral Criminal Code and the Law to Prevent and Eradicate Violence Against Women. Through inductive-deductive, historical-logical and scientific methodologies, the prevalence of this problem was evidenced. Psychological violence, which includes insults, threats, emotional manipulation and isolation, has serious emotional consequences for the victims. It is crucial to raise awareness and promote social change to eradicate this form of abuse and promote relationships based on respect and equity Journal: Health Leadership and Quality of Life Pages: 257 Volume: 2 Year: 2023 DOI: 10.56294/hl2023257 Handle: RePEc:dbk:health:v:2:y:2023:i::p:257:id:257 Template-Type: ReDIF-Article 1.0 Author-Name: Ocampo Pacheco Author-Name: Bernedo-Moreira Author-Name: Almirón Cuentas Author-Name: Portilla-Linares Author-Name: Valdez-Portilla Author-Name: Gonzales Lopez Title: Academic Leadership and Learning Achievement of Health Professional Trainees Abstract: Introduction: Academic leadership is presented as a determining factor to enhance the learning achievements of students, ensuring that they acquire competencies necessary to face the challenges of the health system. This leadership, understood as the ability of teachers and educational managers to guide, motivate and structure effective training processes, has a direct impact on the quality of education and the professional performance of future health care workers. Objective: To determine the relationship between academic leadership and the learning achievements of professionals in training in the health field. Methods: Quantitative, basic or pure, non-experimental, cross-sectional and correlational research. Results: A correlation coefficient Rho=0.918 for the study variables, and a value of p=0.000. Conclusions: Academic leadership plays a crucial role in the formation of competent students, capable of facing the challenges of the work environment and providing quality services. This study highlights the importance of implementing professional development programs focused on transformational leadership skills, effective formative assessment and innovative pedagogical strategies Journal: Health Leadership and Quality of Life Pages: 256 Volume: 2 Year: 2023 DOI: 10.56294/hl2023256 Handle: RePEc:dbk:health:v:2:y:2023:i::p:256:id:256 Template-Type: ReDIF-Article 1.0 Author-Name: Rabanal-Vásquez Author-Name: Bazualdo-Fiorini Author-Name: Salazar-Vásquez Author-Name: Portilla-Delgado Author-Name: Portilla-Linares Author-Name: Valdez-Portilla Title: Perception of mistreatment and levels of stress in medical students in Cajamarca Abstract: Objective: To establish whether the perception of abuse was related to the prevalence of stress in the year 2024. Material and Methods: The type of study was quantitative, cross-sectional and correlational in design. 85 students were evaluated, they were selected by non-probabilistic sampling for convenience, a significant p < 0.05 was used as a parameter to determine the relationship between variables. Results: a prevalence of high levels of stress of 82.3% was found in the students, which is related to different types of abuse, academic abuse with a significant correlation with a (p = 0.020); psychological abuse with a (p = 0.0282); On the contrary, physical abuse with a (p = 0.52) and sexual abuse with a (p = 0.2308) showed no significant correlation. Sex and year of study demonstrated a significant relationship with stress levels, with values of p = 0.0274 and p = 0.0492, respectively. Regarding stress levels, a deep stress rate of 65.88% was obtained, being the most frequent to occur, followed by zero stress with 17.65% and moderate stress with 16.47%. of the 70 cases that did present stress. Conclusion: There were two types of abuse, in addition to the variables sex and year of study, significantly associated with the presence of stress levels Journal: Health Leadership and Quality of Life Pages: 255 Volume: 2 Year: 2023 DOI: 10.56294/hl2023255 Handle: RePEc:dbk:health:v:2:y:2023:i::p:255:id:255 Template-Type: ReDIF-Article 1.0 Author-Name: López Cabanillas Author-Name: Mendoza Alva Author-Name: Rojas Bustamante Author-Name: Bazualdo-Fiorini Author-Name: Portilla-Delgado Author-Name: Luis Gonzalo Barrera-Benavides Title: Mental disorders in the consumption of alcohol among medical students at a university in Cajamarca Abstract: Objectives: Demonstrate the relationship between mental disorders and alcohol consumption in medical students at a university in Cajamarca, Peru in 2024. Material and methods: A non-experimental cross-sectional study was carried out. A sample of 154 students was taken to whom the DASS-21 questionnaire (Depression Anxiety and Stress Scales) and AUDIT (Alcohol Consumption Related Disorders Identification Test) were applied. The SPSS v.27 program was used in data analysis. Descriptive and correlational statistics were applied using Pearson's chi square. Results: No significant relationship was found between mental disorders and alcohol consumption. 96.8% present moderate risk consumption, anxiety at a medium level in 22.1% and depression at a moderate level in 20.8% and stress at a medium level in 13.6%. A significant relationship was found between sex and anxiety (p=0.004), financial support and predisposition to suffer anxiety (p= 0.041) and depression (p=0.053). Conclusions: No significant relationship was found between anxiety (p= 0.546), depression (p=0.194), stress (p=0.673) and alcohol consumption. Journal: Health Leadership and Quality of Life Pages: 254 Volume: 2 Year: 2023 DOI: 10.56294/hl2023254 Handle: RePEc:dbk:health:v:2:y:2023:i::p:254:id:254 Template-Type: ReDIF-Article 1.0 Author-Name: Bustos Author-Name: Brusca Author-Name: Garzón Author-Name: Vela Ferreira Title: Advantages of germectomy as a preventive surgical treatment Abstract: Surgical extraction of third molars is a common procedure in oral surgery, especially relevant in orthodontics during early dental development. This process, supported by clinical studies and models, is used to prevent and treat various oral health conditions, including complications associated with abnormal eruption of these molars. The pericoronal sacs, which surround the crown of unerupted teeth, can be a source of complications such as odontogenic cysts. These sacs are difficult to diagnose, justifying the early extraction of unerupted teeth to prevent long-term issues and to histopathologically evaluate potential alterations. In orthodontics, third molar extraction is indicated to treat crowding, create space for molar distalization, correct impaction of second molars, and in some cases, as part of comprehensive orthognathic surgery. Crowding is just one of the potential complications arising from third molars, which can also lead to pathologies such as pericoronitis, cavities, and the formation of odontogenic cysts or tumors. In this context, germectomy is considered a preventive strategy to avoid future problems. A literature search was conducted focusing on studies related to the terms "third molars", "germectomy", "preventive exodontia" and "pericoronal sac." Full-text studies, both quantitative and qualitative, in English, Spanish, and Portuguese, were included. The search was carried out in databases such as PubMed, SciELO, Google Scholar, and LILACS Journal: Health Leadership and Quality of Life Pages: .253 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.253 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.253:id:.253 Template-Type: ReDIF-Article 1.0 Author-Name: Auza-Santivañez Author-Name: Cardozo Gil Author-Name: Kubatz La Madrid Author-Name: Cabezas-Soliz Author-Name: Márquez-Molina Author-Name: Cruz Cruz Author-Name: Villca-Villca Author-Name: Quispe Sarmiento Title: Mountain sickness: physiological challenges, diagnosis and treatment Abstract: INTRODUCTION. The first descriptions of altitude sickness were made in (1540-1600). Nowadays, different cities in the world are at high altitude, for example Qinghai-Tibetan Plateau in China occupies an area of almost 2.5 million inhabitants km2, with an average elevation of over 4,500 m. Altitude sickness should be a major concern for anyone who normally resides at sea level. METHOD. A search for information was carried out in the period August-December 2024 in the SciELO, LILACS, Scopus, PubMed-MedLine databases, the Google Scholar search engine, as well as in the ClinicalKeys services. RESULTS AND DISCUSSION. The partial pressure of arterial oxygen (PaO2 ) decreases with altitude, which produces progressive tissue hypoxia. The normal compensatory response to hypobaric hypoxia is called acclimatization. Its main characteristic is increased ventilation. The ability to acclimatize varies widely among individuals and depends on many factors, including the degree of hypoxic stress (rate of ascent, altitude reached), the intrinsic ability of the individual to compensate for the decrease in PaO2, and extrinsic factors. Progressive ascent produces greater hypoxic stress, requiring greater degrees of physiological and behavioral adaptations to preserve function. The more rapid the ascent and the higher the altitude, the greater the stress. Below 1500 m, symptoms of high altitude illness are generally not manifest. From approximately 1500 to 2500 m, symptoms are generally mild, if experienced at all. From approximately 2500 m, mild to moderate symptoms become quite common among unacclimatized visitors after a rapid ascent. As a general rule, people who normally reside below 1500 m should avoid an abrupt ascent to altitudes above 2800 m for sleeping. Sedative-hypnotics should be avoided during acclimatization. Abstinence from alcohol is safest Journal: Health Leadership and Quality of Life Pages: .252 Volume: 3 Year: 2025 DOI: 10.56294/hl2024.252 Handle: RePEc:dbk:health:v:3:y:2025:i::p:.252:id:.252 Template-Type: ReDIF-Article 1.0 Author-Name: Auza-Santivañez Author-Name: Quisbert Vasquez Author-Name: Bautista-Vanegas Author-Name: Espejo-Alanoca Author-Name: Chiri-Chambi Author-Name: Mamani Huarachi Author-Name: Aguirre-Cruz Author-Name: Sivila-Marquez Author-Name: Diaz-Guerrero Title: Impact of Altitude on Cardiovascular Physiology: Literature Review and Update Abstract: Introduction: More than 140 million people in the world live at high altitudes, above 2,500 meters (m) above sea level. Oxygen is vital for cellular metabolism; therefore, hypoxic conditions found at high altitude affect all physiological functions. Metods: A search for information was carried out in the SciELO, Scopus, PubMed/MedLine databases, the Google Scholar search engine, as well as in the ClinicalKeys services. Advanced search strategies were used to retrieve the information, by structuring search formulas using the terms "Cardiovascular Physiology", "Cardiovascular Physiology at Altitude", as well as their translations into Spanish " Fisiología Cardiovascular " and " Fisiología Cardiovascular en la altitud ". Results discussion: The heart is composed of three main types of cardiac muscle: atrial muscle, ventricular muscle, and specialized excitatory and conductive muscle fibers. The efficiency and work of the heart as a pump is often measured in terms of cardiac output, or the amount of blood the heart pumps per minute. Cardiac output is the product of stroke volume and heart rate Cardiovascular Changes at Altitude It is possible to think of the goal of acclimatization as maintaining oxygen delivery to the tissues as close to normal as possible. The cardiovascular system is central to this. Acute exposure to high altitude produces an increase in heart rate and cardiac output both at rest and for a given amount of work compared with sea level. In general, the normal heart tolerates even severe hypoxia very well. The heart, as a hemodynamic pump, has two mechanisms at its disposal to enhance its performance: heart rate and stroke volume, which together constitute cardiac output. The altitude electrocardiogram shows a variably increased amplitude of the P wave, deviation of the QRS axis to the right, and signs of right ventricular overload and hypertrophy. Conclusions: Advances in high-altitude research have shown that the cardiovascular system deploys some efficient mechanisms of acclimatization to oxygen deprivation, and the healthy heart adapts to hypoxia, even when severe, with preservation of systolic function and only minor impairment of LV and RV diastolic function. With acclimatization, desensitization of the adrenergic system, together with increased parasympathetic influence, leads to a decrease in maximum heart rate and protection of the myocardium against potentially damaging energy imbalances. Acute exposure to high altitude stimulates the adrenergic system, increasing heart rate and cardiac output; although arterial pressure remains stable, pulmonary artery pressure increases due to hypoxic pulmonary vasoconstriction. Our improved understanding of the effect of altitude hypoxia on the cardiovascular system will allow better-informed, evidence-based advice for patients with pre-existing cardiovascular disease Journal: Health Leadership and Quality of Life Pages: .251 Volume: 3 Year: 2025 DOI: 10.56294/hl2024.251 Handle: RePEc:dbk:health:v:3:y:2025:i::p:.251:id:.251 Template-Type: ReDIF-Article 1.0 Author-Name: Jiménez Author-Name: Hernández-Runque Author-Name: Ron Author-Name: González Argote Title: What happens after the funeral: Ergonomic evaluation of the gravedigger's workstation, looking for paths towards a preventive culture Abstract: The objective of the research was to evaluate the dysergonomic conditions and factors of musculoskeletal conditions in gravediggers of a private cemetery. Materials and methods: The study was framed in the quantitative, field, non-experimental paradigm of a descriptive level with an ergonomic approach. The population and sample was census type and consisted of eighteen (18) workers, who work as gravediggers/gardeners. Observation and interview were used as data collection techniques and the pain body schema and the REBA (Rapid Entire Body Assessment) method were used as information collection instruments. Statistical analysis of the data was performed using descriptive and correlational statistics. Results: This was a population composed exclusively of men with an average age of 49.4 years. The study revealed that the pain areas, the shoulders were the most affected, followed by the knees, lower back and elbows. The results of the REBA evaluation reflect a work environment with high biomechanical demands, where all the activities evaluated presented "high" or "very high" risk levels. Conclusions: The results obtained in this study reflect a worrying panorama in terms of occupational health for gravediggers, evidencing high levels of biomechanical risk in all the activities evaluated. The activities carried out, characterized by significant daily variability, involve extreme postures and repetitive movements that mainly affect the trunk, shoulders and. the neck, areas that present the highest risk scores according to the REBA method Journal: Health Leadership and Quality of Life Pages: .250 Volume: 3 Year: 2025 DOI: 10.56294/hl2024.250 Handle: RePEc:dbk:health:v:3:y:2025:i::p:.250:id:.250 Template-Type: ReDIF-Article 1.0 Author-Name: Sarmiento Tomalá Author-Name: Burbano Gómez Author-Name: Soledispa Cañarte Author-Name: López Barrera Author-Name: Jimenez Granizo Author-Name: García Moncayo Title: Evaluation of the hepatoprotective effect of extracts of brown seaweed Sargassum ecuadoreanum Abstract: This study consisted of evaluating the hepatoprotective effect present in the hydroalcoholic extract of brown algae (Sargassum ecuadoreanum) in mice. The collection was carried out on the beach Ballenita (Ecuador), chemical physical parameters were determined to the drug raw and the hydroalcoholic extract such as: Total ash, Water soluble ash, HCl insoluble ash, Total solids, Total fats, Humidity, Percentage of yield, total polysaccharides and sodium chloride. The induction was carried out with 5% intraperitoneally carbon tetrachloride and the treatment lasted for seven days. Seven groups were formed: a normal control group without treatment and without induction, an untreated negative control group, groups treated with Silymarin (420 mg/kg) and N-acetylcysteine (600 mg/kg orally) orally plus induction and groups treated with the hydroalcoholic extract of the research model at doses of 1000 mg/kg, 500 mg/kg, 250 mg/kg orally plus induction. A histopathological study and a biochemical assay were conducted to determine levels of Oxalactic Glutamic Transaminase (TGO). As a result, the sample presented total polysaccharides concentrations, the groups treated with Silymarin, N- acetyl cysteine and the hydroalcoholic extract at different doses, were similar to the transaminase values (TGO) of the normal control group, while the negative control group showed significant difference of 0.05%. Moreover, the histopathological study indicated that liver damage was in its first stage of injury, however, the hydroalcoholic extract of the brown seaweed Sargassum ecuadoreanum had a preventive hepatoprotective effect Journal: Health Leadership and Quality of Life Pages: 249 Volume: 2 Year: 2023 DOI: 10.56294/hl2023249 Handle: RePEc:dbk:health:v:2:y:2023:i::p:249:id:249 Template-Type: ReDIF-Article 1.0 Author-Name: Cardoso Author-Name: Verdu Author-Name: Jewtuchowicz Title: Medical emergency at the dental office Abstract: Although medical emergencies in the dental office are rare, they can pose significant risks to patients’ lives. The present work was designed in order to provide a prevention protocol, early diagnosis and initial interventions to guarantee patient safety and minimize serious adverse events. For this purpose, a qualitative, descriptive and exploratory approach was used, carried out through bibliographic analysis of primary sources related to the topic. The results identified the inadequacies of the theoretical and practical training of dentists to address medical emergencies. In particular, the authors note that professionals in the field lack skills in cardiopulmonary resuscitation and basic life support. Additionally, not all offices have the equipment or medications necessary to provide first aid. For example, most dentists today do not have defibrillators or emergency medications in their offices. Under these conditions, it would be appropriate to propose a formal protocol that includes preventive measures, risk identification, continuous training and provision of resources. Therefore, it can be assumed that the regular use of the proposed programs, together with other measures for practical training, will improve the response capacity of professionals to emergencies and reduce the morbidity of incidents. Before concluding, it is necessary to point out the need for future research related to the evaluation of training programs and the requested economic analyzes to ensure that the proposed interventions are sustainable. Journal: Health Leadership and Quality of Life Pages: 248 Volume: 2 Year: 2023 DOI: 10.56294/hl2025248 Handle: RePEc:dbk:health:v:2:y:2023:i::p:248:id:248 Template-Type: ReDIF-Article 1.0 Author-Name: Singh Author-Name: S Author-Name: Karande Author-Name: Singh Title: Evaluation and Analysis of Workplace Wellness Programs in Healthcare Settings Abstract: In healthcare situations, fitness programs at work have gotten a lot of attention. The goal is to improve staff health, lower healthcare costs, and boost productivity. This study looks at how well wellness programs work in hospital settings by looking at how they affect the physical and mental health of workers as well as the results for the organisation. The study uses a variety of research methods, such as polls, interviews, and data analysis, to find the most important parts of wellness programs. These include exercise classes, mental health support, and preventative healthcare services. The study also looks at the problems healthcare organisations have putting these plans into action, like not having enough resources, keeping employees interested, and the way the organisation works as a whole. It also looks at the long-term benefits of health programs, such as fewer absences, higher job happiness, and more employees staying with the company. The results show that fitness programs at work can improve the general health of healthcare workers, which can make them more involved and effective. Their success, on the other hand, depends a lot on support from leaders, program customisation, and ongoing review. This paper gives healthcare managers and lawmakers useful information for making and implementing fitness programs that work well and meet the specific needs of healthcare workers. In the end, the study shows how important it is to put employees' health and happiness first as an important part of an organization's success. Journal: Health Leadership and Quality of Life Pages: 247 Volume: 2 Year: 2023 DOI: 10.56294/hl2023247 Handle: RePEc:dbk:health:v:2:y:2023:i::p:247:id:247 Template-Type: ReDIF-Article 1.0 Author-Name: Hota Author-Name: Tripathy Author-Name: H Author-Name: Mahajan Title: Implementing Automated Systems for Improved Environmental Health Monitoring Abstract: These approaches seem to totally alter our handling of environmental health hazards, therefore improving public health management and results. Under this method, IoT-equipped sensors are combined into a network that real-time gathers and analyses environmental data. Analysing this data, machine learning algorithms find possible health hazards, project patterns, and provide useful insights. Because the technology is scalable and flexible, it may be used anywhere—from rural to metropolitan locations. Compared to conventional techniques, automated solutions greatly increase the efficiency of data collecting and risk assessment, therefore saving the time and effort needed. Furthermore, the incorporation of predictive analytics lets one react to environmental risks pro-actively, hence improving public health results. Moreover, the automated environmental health monitoring systems provide governments and companies assigned to cover vast regions with a more affordable alternative. Automated systems used in environmental health monitoring provide significant gains in data accuracy, timeliness, and resource allocation in the implementation. These solutions are ready to transform the way we control environmental health hazards, therefore improving public health management and results. Journal: Health Leadership and Quality of Life Pages: 246 Volume: 2 Year: 2023 DOI: 10.56294/hl2023246 Handle: RePEc:dbk:health:v:2:y:2023:i::p:246:id:246 Template-Type: ReDIF-Article 1.0 Author-Name: Del Pozo Franco Author-Name: Riofrío Bailón Title: Child and adolescent labor in the city of ventanas: reality and challenges in 2023 Abstract: The main purpose of this research is to analyze and determine the problem of labor exploitation of children and adolescents in the Ventanas canton during the year 2023. For this purpose, several methodologies were used to collect and structure the information in a practical and effective way. The analysis was developed from a critical and analytical perspective, using references from several authors detailed in the theoretical foundations. Based on the methods proposed, we sought to confirm the reality of this phenomenon in the social context of Ventanas. Finally, the research proposes measures to limit child labor exploitation, guaranteeing safe and healthy environments for children, in accordance with article 81 of the Organic Code of Childhood and Adolescence of Ecuador Journal: Health Leadership and Quality of Life Pages: 245 Volume: 2 Year: 2023 DOI: 10.56294/hl2023245 Handle: RePEc:dbk:health:v:2:y:2023:i::p:245:id:245 Template-Type: ReDIF-Article 1.0 Author-Name: Jayakumar Author-Name: Singh Author-Name: S.S Author-Name: Mall Title: Implementing Sustainable Waste Management Practices in Healthcare Facilities Abstract: Sustainable garbage management in healthcare centres is important to protect the earth and follow the rules. If medical garbage isn't properly disposed of, it can be very harmful to both people and the earth. This study looks into how sustainable waste management techniques can be used in hospital situations. It focusses on recycling, sorting trash, and using materials that are good for the environment. Researchers used a mix of methods, including in-depth conversations with healthcare workers and statistical analysis of trash production, dumping methods, and the success of green efforts. A number of healthcare facilities were surveyed and waste management practices were directly observed. This was followed by conversations with key players such as hospital managers, environmental officers, and waste removal companies. The data showed that most healthcare facilities had trouble telling the difference between dangerous and non-hazardous waste and weren't aware of any sustainable options. But those that set up organised ways to separate trash, training programs for employees, and relationships with approved recycling companies saw a big drop in the amount of trash going to dumps and better use of resources. The results show that the best ways to make healthcare centres more environmentally friendly are to provide thorough training, have clear rules about how to separate trash, and work together with outside waste management services. In conclusion, using sustainable methods for managing trash is not only possible, but it will also help protect the earth and make healthcare centres run more smoothly. Journal: Health Leadership and Quality of Life Pages: 244 Volume: 2 Year: 2023 DOI: 10.56294/hl2023244 Handle: RePEc:dbk:health:v:2:y:2023:i::p:244:id:244 Template-Type: ReDIF-Article 1.0 Author-Name: Arun Author-Name: Garud Author-Name: Kumar Sharma Title: Analysing the Effects of Environmental Changes on Public Health Quality Indicators Abstract: As global changes in the environment continue to shape communities, the link between changes in the environment and public health has become clearer. The many ways that changes in the environment can affect public health quality measures are looked at in this study. Air quality, water supply, urbanisation, and climate change are given special attention. As cities grow and more factories are built, the environment changes in ways that make health problems like lung diseases, water-borne diseases, and vector-borne diseases worse. Extreme weather events like storms, floods, and heat waves have also grown to be major determinant of public health. This study examines a lot of studies already conducted to ascertain how environmental changes could result in lower health measurements like life expectancy, mortality rates, and chronic illness prevalence. Furthermore emphasised in the study is the need of knowing how interdependent socioeconomic determinants of health are with external elements as these elements may make vulnerable populations even more vulnerable. The study reveals how environmentally friendly behaviour, modern technology, and government regulations could assist to mitigate the negative health consequences of environmental changes. It also looks at how environmental health tracking systems and predictive analytics can help shape public health policies and make sure that the right steps are taken at the right time. The study shows how careful environmental management and health policy can make public health systems more resilient by looking at global case studies and past data. The results show that to successfully deal with the problems caused by changes in the environment, we need to use interdisciplinary methods that take into account things like hospital infrastructure, environmental sustainability, and community resilience. To sum up, this study makes a strong case for making environmental health a central part of public health policy in order to improve people's quality of life, lower the number of diseases, and achieve long-lasting public health results in the face of ongoing environmental problems. Journal: Health Leadership and Quality of Life Pages: 243 Volume: 2 Year: 2023 DOI: 10.56294/hl2023243 Handle: RePEc:dbk:health:v:2:y:2023:i::p:243:id:243 Template-Type: ReDIF-Article 1.0 Author-Name: Mohite Author-Name: Saxena Author-Name: Kumar Sahoo Author-Name: Varma Title: Implementing Advanced Analytics in Occupational Health for Real-Time Risk Assessment Abstract: Making ensuring that employees in all types of companies are safe and healthy mostly depends on occupational health. As companies strive for increased efficiency, it is rather crucial for them to identify and lower any potential hazards in the workplace. Though conventional methods of risk assessment have their uses, they are frequently sluggish, reactive, and unable of adjusting for changing work environments. This study article investigates how sophisticated data combined with real-time risk assessment could enhance health at work. Using machine learning, big data analytics, and predictive modelling, the project seeks to use real-time risk finding, evaluation, and control in workplace health systems. Using a range of data sources—environmental conditions, employee health records, statistics on equipment usage, and real-time monitoring of markers of physical and mental health—the paper offers a roadmap for applying advanced analytics technologies. Before they lead to accidents or diseases, the proposed system uses predictive analytics to identify health hazards and threats include weariness, exposure to hazardous substances, and excessive stress levels. Combining these technologies lets businesses respond before something occurs rather than waiting for it to happen. This keeps workers safer, reduces the likelihood of occupational mishaps, and enhances overall health management practices. The paper also addresses how screens and data visualisation could enable employees in the field of occupational health make better decisions. These instruments enable speedier action and help one to grasp complex data, hence accelerating the identification of high-risk patterns. Furthermore discussed in the paper are the probable advantages of applying artificial intelligence (AI) to identify new hazards, enhance workplace architecture, and streamline health initiatives for every worker. Emphasising how crucial it is for managers, data scientists, and workplace health specialists to collaborate across disciplines to create a good advanced analytics system, the study finishes Ultimately, this approach is supposed to improve the workplace by ensuring that employees are shielded from hazards that can be avoided, therefore promoting health. Journal: Health Leadership and Quality of Life Pages: 242 Volume: 2 Year: 2023 DOI: 10.56294/hl2023242 Handle: RePEc:dbk:health:v:2:y:2023:i::p:242:id:242 Template-Type: ReDIF-Article 1.0 Author-Name: Lescalle Author-Name: Roque Author-Name: Casabella Martínez Author-Name: Chacón Alpí Author-Name: Malagón Silva Title: History and evolution of cerebrovascular disease: a global challenge Abstract: Cerebrovascular disease (CVD) has a documented history dating back more than 2,400 years. Hippocrates was one of the first to recognize stroke, although knowledge about its anatomy and treatment was limited. In 1550 BC, the Smith Papyrus first described stroke, and in 1620 Jacob Wepfer identified the vascular causes of stroke. During the 19th and early 20th centuries, the management of CVD was primitive and consisted of bloodletting and sedation. Advances in pathologic anatomy during the 20th century allowed classification of stroke subtypes and a better understanding of its etiology. However, the absence of diagnostic technologies made treatment difficult, resulting in permanent disabilities and limited social reintegration. In recent decades, new therapeutic methods, such as nanotechnology, have improved the prevention and rehabilitation of these patients. CVD continues to be a global challenge due to its high prevalence, mortality and associated costs. It represents one of the leading causes of disability and death, especially in older adults. According to the WHO, 15 million cases of stroke are reported each year, with 5.5 million deaths and as many with permanent disabilities. Although its incidence has decreased in developed countries, in developing regions it continues to increase due to economic and demographic factors. Primary prevention remains the key to mitigating its impact Journal: Health Leadership and Quality of Life Pages: 241 Volume: 2 Year: 2023 DOI: 10.56294/hl2023241 Handle: RePEc:dbk:health:v:2:y:2023:i::p:241:id:241 Template-Type: ReDIF-Article 1.0 Author-Name: Morán Giler Author-Name: Triviño Vera Author-Name: Zambrano Olvera Title: Violation of the rights of older adults in prison with catastrophic diseases Abstract: This research examines the human rights violations faced by older adults deprived of liberty with catastrophic illnesses. Through an exploratory approach and the use of the interpretive method, key information was gathered on the issues affecting this vulnerable group, including the lack of adequate medical care, discrimination, social isolation and the absence of specific rehabilitation programs. The findings highlight the need to implement concrete measures to guarantee the protection of their rights, promoting inclusive policies and programs that ensure access to adequate medical care. In addition, it concludes the importance of analyzing the institutional barriers that perpetuate these violations and exploring effective strategies to address them. It is also recommended to investigate the impact of these violations on the physical and mental health of older adults in confinement and to evaluate the effectiveness of interventions aimed at improving their quality of life Journal: Health Leadership and Quality of Life Pages: 240 Volume: 2 Year: 2023 DOI: 10.56294/hl2023240 Handle: RePEc:dbk:health:v:2:y:2023:i::p:240:id:240 Template-Type: ReDIF-Article 1.0 Author-Name: Varma Author-Name: Tamhankar Author-Name: Mehta Author-Name: Pradhan Title: Comparative Analysis of Environmental Health Regulations and Patient Health Outcomes Abstract: This study looks at how different rules about environmental health affect public health by looking at the link between these rules and how well patients do with their health. Environmental factors, like the cleanliness of the water and air, and exposure to dangerous materials, are constantly known to play a big role in both long-term and short-term health problems. But even though these external factors are becoming more well known, there is still a big hole in our knowledge of how the rules meant to lower these risks actually lead to real health changes for patients. The study looks at how environmental health policies work in different parts of the world and compares them, focussing on how well they work at lowering the number of people who get diseases like cancer, heart disease, and breathing problems. It uses both personal and quantitative data from case studies, patient health records, and environmental tracking figures to find patterns and links between tighter environmental health rules and better patient results. The study looks at many rules, such as carbon standards and trash management policies, to find the main things that make these measures work or not work. The study also looks at how public health programs, education, and attempts to involve the community affect how well environmental rules work overall. It is also thought about what role discipline and cooperation play in achieving these health gains. The results show that strong public health rules must be put in place and followed in order to improve patients' long-term health. There are, however, differences based on socioeconomic class, region, and access to healthcare resources. This shows the need for a more comprehensive approach that mixes regulatory measures with proactive health treatments. Journal: Health Leadership and Quality of Life Pages: 239 Volume: 2 Year: 2023 DOI: 10.56294/hl2023239 Handle: RePEc:dbk:health:v:2:y:2023:i::p:239:id:239 Template-Type: ReDIF-Article 1.0 Author-Name: Narayan Senapati Author-Name: Varma Author-Name: V. Ghorpade Author-Name: Tiwari Title: Feasibility Study on Integrative Healthcare Platforms for Improved Patient Care Quality Abstract: The changing nature of healthcare calls for more effective, patient-centered methods of treatment. Combining many healthcare services, technologies, and real-time data analytics, integrated healthcare platforms (IHPs) seem like a great approach to improve patient care. This research investigates whether or not IHPs could enhance patient outcomes and the way healthcare is given. Among the strategies used were a thorough review of present IHP models, conversations with healthcare professionals, and an examination of patient satisfaction surveys. Examining important success criteria like care management, access to healthcare services, and patient engagement helped them to ascertain the performance of the systems. Results reveal that IHPs greatly simplify patient coordination of care, reduce patient wait times, and increase general patient contentment. Telemedicine, data exchange, and tailored treatment regimens all help to streamline healthcare administration. Still major issues, however, include merging technology, data security concerns, and the great expense of the original program. IHPs have great potential to change the way healthcare is provided notwithstanding these challenges. Finally, by motivating healthcare professionals to collaborate, reducing unnecessary activities, and orienting treatment towards the patient, IHPs show great potential for improving the quality of patient care. To fully use their potential, technologies need more study and investments in their systems. Journal: Health Leadership and Quality of Life Pages: 238 Volume: 2 Year: 2023 DOI: 10.56294/hl2023238 Handle: RePEc:dbk:health:v:2:y:2023:i::p:238:id:238 Template-Type: ReDIF-Article 1.0 Author-Name: Sharma Author-Name: Sekhar Patra Author-Name: Sujayaraj Author-Name: Devkar Title: Implementing AI-Driven Diagnostic Tools to Improve Quality of Life Assessments Abstract: Abstract: Using artificial intelligence (AI) in the healthcare sector alters doctors' major decision-making process. Evaluating patients' quality of life (QoL) is one area where artificial intelligence seems rather promising. Understanding how various illnesses and therapies influence a person's overall health depends much on quality of life testing. Standard QoL exams, which rely on hand-written assessments and patient comments on their health, have issues like being subjective, biassed, and sluggish when it comes to analyse vast volumes of data. AI-powered testing tools can provide more accurate, quick, scalable methods to evaluate QoL if one is looking for a way around these challenges. This essay examines how artificial intelligence technology could alter the methodology of quality of life surveys. Diagnostics based on artificial intelligence are quite useful. For patient anecdotes, for instance, natural language processing (NLP) may be employed; machine learning techniques can then be used to project QoL values from medical data. AI systems can handle a lot of clinical data including medical records, imaging data, patient-reported results to generate objective, real-time, tailored QoL evaluations consistent and reusable once and again. Furthermore, these instruments can identify early warning indicators of deterioration that would not be evident using more conventional approaches. the usage of several sorts of records sources inclusive of clever tech and cellular fitness apps which increases the accuracy of stories in real time and allows non-stop tracking AI-driven checking out will also be led via This method not handiest courses medical doctors in making better selections however additionally affords people extra manipulate over their fitness, therefore improving their excellent of life over time. The studies additionally addresses moral questions arising from AI-primarily based QoL assessments consisting of data protection, patient permission, and what clinical professionals should do upon assessment of AI outcomes. through discussion of these issues, this take a look at emphasises the need of ensuring that synthetic intelligence generation be applied in a way that complements the interaction among the affected person and company in preference to replaces human know-how. Journal: Health Leadership and Quality of Life Pages: 237 Volume: 2 Year: 2023 DOI: 10.56294/hl2023237 Handle: RePEc:dbk:health:v:2:y:2023:i::p:237:id:237 Template-Type: ReDIF-Article 1.0 Author-Name: Mane Author-Name: Kumar Mishra Author-Name: Sekhar Patro Author-Name: B.Mane Title: Analysis of Long-Term Health Outcomes Following Occupational Safety Interventions Abstract: Abstract: Long-term health effects of occupational safety measures are very important for figuring out how well they work at keeping workers from getting hurt or sick on the job. This study looks into what happens when different safety rules are put in place across many businesses over a long length of time. By looking at a lot of old information, like health records and safety compliance reports, the study finds patterns in how health improved at work after safety measures were put in place. There is a much higher chance of job dangers in fields like manufacturing, building, healthcare, and agriculture that are part of the study. Personal protective equipment (PPE), ergonomic changes, safety training programs, and regulatory compliance measures are some of the most important safety interventions that were looked at. There are both qualitative and quantitative methods used in the process. It is done using a longitudinal group study methodology, which lets health effects be tracked over time. Some of the health outcomes that are looked at are the number of musculoskeletal disorders, respiratory disorders, mental health problems, and deaths from injuries. A mixed-methods technique was used, which included expert conversations, worker comments, and statistical analysis. Chi-square tests, regression models, and survival analysis are used in the statistical analysis to look at the link between safety interventions and health outcomes. The results show that the number of injuries and illnesses related to work is significantly lower in sectors with strong safety measures compared to those with few or no interventions. Musculoskeletal disorders went down by 30% when ergonomic programs were put in place in manufacturing, and stress-related disorders went down by 25% when mental health programs were put in place in healthcare. Safety training programs have also helped bring down the number of fatal accidents in high-risk industries. Journal: Health Leadership and Quality of Life Pages: 236 Volume: 2 Year: 2023 DOI: 10.56294/hl2023236 Handle: RePEc:dbk:health:v:2:y:2023:i::p:236:id:236 Template-Type: ReDIF-Article 1.0 Author-Name: Lescalle Author-Name: Roque Author-Name: Casabella Martínez Author-Name: Chacón Alpí Author-Name: Malagón Silva Title: Cerebrovascular Disease: Challenges, Prevention and Comprehensive Care Strategies Abstract: Introduction: Cerebrovascular disease (CVD) represented one of the main challenges of modern medicine due to its high incidence, mortality and the disabilities it caused. It was the third leading cause of death and the main cause of disability worldwide, affecting both developed and developing countries. CVD was characterized by alterations in cerebral circulation that caused temporary or permanent damage to brain tissue, reflecting the need for effective preventive and treatment strategies. Development: The analysis of CVD included a focus on cerebral anatomo-physiology, where the internal carotid arteries, vertebral arteries and the polygon of Willis played an essential role in brain irrigation. Risk factors such as hypertension, diabetes, smoking and obesity significantly influenced the onset of CVD. Despite technological advances in diagnosis, such as computed tomography and magnetic resonance imaging, and in treatments such as anticoagulants, challenges remained in equitable access to these technologies. Primary and secondary prevention, together with rehabilitation, were essential to mitigate the sequelae of the disease. Conclusion: CVD represented a public health problem of great magnitude, whose reduction depended on an integral approach that included prevention, early diagnosis, adequate treatment and rehabilitation. Control of risk factors and promotion of healthy lifestyles were key tools. Multidisciplinary and equitable care was essential to minimize the impact of this disease on the most vulnerable populations Journal: Health Leadership and Quality of Life Pages: 235 Volume: 2 Year: 2023 DOI: 10.56294/hl2023235 Handle: RePEc:dbk:health:v:2:y:2023:i::p:235:id:235 Template-Type: ReDIF-Article 1.0 Author-Name: Lescalle Ortiz Author-Name: Pérez Márquez Author-Name: Casabella Martínez Author-Name: Chacón Alpí Title: Comprehensive Preconception Risk Management: Key to Morbidity and Mortality Reduction Abstract: Introduction: Since the middle of the 20th century, maternal and infant mortality has been an issue of global concern. The World Health Organization (WHO) highlighted the need for health policies focused on prevention and comprehensive care for women before, during and after pregnancy. Preconception reproductive risk management (PRRM) was consolidated as an essential component to reduce these figures, identifying and addressing risk factors in non-pregnant women. Development: RRPC included biological, psychological and social risks that increased the probability of complications during gestation, delivery and puerperium. Preconception care made it possible to detect pre-existing health conditions and apply evidence-based preventive measures, such as folic acid supplementation, metabolic control of chronic diseases and vaccination against specific infections. The implementation of interdisciplinary programs in primary care strengthened the promotion of healthy habits and ensured individualized care. These strategies reduced the impact of triggering factors such as extreme age, multiparity and chronic diseases, improving maternal and child outcomes. Conclusions: RRPC control was positioned as a key tool to reduce maternal and infant morbimortality. Preconception consultation represented an opportunity for family planning and promotion of the integral health of women and their partners. The strengthening of preventive and educational programs in primary care, combined with an interdisciplinary approach, proved to be essential to guarantee healthy pregnancies and prevent complications, contributing to the wellbeing of future generations Journal: Health Leadership and Quality of Life Pages: 234 Volume: 2 Year: 2023 DOI: 10.56294/hl2023234 Handle: RePEc:dbk:health:v:2:y:2023:i::p:234:id:234 Template-Type: ReDIF-Article 1.0 Author-Name: Molina Mora Author-Name: Zambrano Olvera Title: Access to public service and the right to job stability for persons with disabilities Abstract: Labor law is recognized as one of the most protected worldwide, although it is also one of the most vulnerable due to the social challenges related to the right to equality for all people, regardless of their condition. In Ecuador, although the Constitution recognizes this right, it establishes specific guidelines for entry and permanence in the public sector, requiring merit-based and competitive examinations as the main requirement to guarantee job stability. However, there are hiring modalities that do not provide this stability. This study analyzes how people with disabilities who enter without this process can obtain job stability by law, which generates tensions with the principle of equality. Under a qualitative, descriptive and explanatory approach, and using the legal hermeneutic method, the incidence of the forms of entry to the public service in relation to labor stability is evaluated Journal: Health Leadership and Quality of Life Pages: 233 Volume: 2 Year: 2023 DOI: 10.56294/hl2023233 Handle: RePEc:dbk:health:v:2:y:2023:i::p:233:id:233 Template-Type: ReDIF-Article 1.0 Author-Name: Machado Maliza Author-Name: Viteri Naranjo Title: Alternative on the good use of public space and the ignorance of the transmission of parasitic diseases due to pet excrements Abstract: Public spaces, such as parks, are essential for the life of riobambeños, since they offer areas for recreation, exercise and contact with nature. However, their proper use is affected by the lack of culture of some visitors who, accompanied by their pets, contaminate the environment with feces, damaging the image of the place and endangering the health of those who frequent it. This study proposes alternatives for the proper management of canine feces and seeks to raise awareness of the risks of transmission of parasitic diseases. Through a cross-sectional descriptive design, surveys and interviews with visitors to the Guayaquil park, it was found that there was evidence of poor management of excrement and lack of knowledge about its consequences Journal: Health Leadership and Quality of Life Pages: 232 Volume: 2 Year: 2023 DOI: 10.56294/hl2023232 Handle: RePEc:dbk:health:v:2:y:2023:i::p:232:id:232 Template-Type: ReDIF-Article 1.0 Author-Name: Lescalle Ortiz Author-Name: Martínez Rojas Author-Name: Casabella Martínez Author-Name: Chacón Alpí Title: Pelvic Inflammatory Disease: Impact, Diagnosis and Prevention Abstract: Introduction: Pelvic inflammatory disease (PID) is an upper genital tract infection that mainly affects the endometrium, fallopian tubes and pelvic peritoneum. It represented one of the most common causes of morbidity in young women of reproductive age, especially between 16 and 25 years. This condition was associated with sexually transmitted infections (STIs) and risky sexual behaviors, underscoring the importance of early detection and appropriate treatment. Its initial diagnosis was challenging due to the variety of clinical presentations and the lack of reliable epidemiological data. Development: PID, in most cases, was caused by Neisseria gonorrhoeae and Chlamydia trachomatis, although it also involved microorganisms of the vaginal flora. The disease presented a multifactorial etiology, aggravated by risk factors such as multiple sexual partners, inadequate use of contraceptives and invasive gynecological procedures. Progression of the infection to the upper tract led to complications such as infertility, chronic pelvic pain and ectopic pregnancies. Timely identification of risk factors and the application of diagnostic tools, such as ultrasound and laparoscopy, were essential to reduce serious sequelae. Conclusions: Prevention emerged as the most effective strategy against PID, with comprehensive sexual education and access to barrier contraceptive methods standing out. Multidisciplinary care improved clinical outcomes and reduced the impact of this disease. In addition, the strengthening of health systems and awareness campaigns contributed to reducing incidence and long-term complications Journal: Health Leadership and Quality of Life Pages: 231 Volume: 2 Year: 2023 DOI: 10.56294/hl2023231 Handle: RePEc:dbk:health:v:2:y:2023:i::p:231:id:231 Template-Type: ReDIF-Article 1.0 Author-Name: Rey Suquilanda Author-Name: Montece Giler Author-Name: Robalino Villafuerte Title: Lack of protection of the right to health of persons deprived of liberty in Santo Domingo Abstract: This qualitative study analyzes the violation of the right to health at the Bellavista 1 Social Rehabilitation Center. Admission procedures, medical care, financial resources and available medical personnel were evaluated. Through inductive-deductive, historical-logical and scientific methods, and interviews with former inmates, lawyers and the former director of the center, insufficient care, lack of medicines for chronic diseases and shortage of medical personnel were evidenced. The investigation reveals deficiencies in the coordination between SNAI and the Ministry of Health, violating rights protected by the Ecuadorian Constitution and international treaties, considering this population as a priority Journal: Health Leadership and Quality of Life Pages: 230 Volume: 2 Year: 2023 DOI: 10.56294/hl2023230 Handle: RePEc:dbk:health:v:2:y:2023:i::p:230:id:230 Template-Type: ReDIF-Article 1.0 Author-Name: Kumar Parhi Author-Name: Varma Author-Name: Singh Author-Name: Surale-Patil Title: Analyzing Behavioural Health Interventions and Their Impact on Occupational Safety Abstract: Behavioural health treatments are very important for improving workplace safety because they deal with the mental and behavioural issues that cause risks in the workplace. Integrating mental health tactics into safety measures has become more important as workplaces get more complicated. This essay looks into different mental health treatments and how they can help make workplaces safer. The main goal is to find out how different methods, like stress management, mindfulness, resilience training, and cognitive-behavioral treatment, can help workers avoid crashes, injuries, and long-term health problems at work. This research uses a variety of methods, mixing both personal and quantitative data from a wide range of fields, such as healthcare, transportation, building, and manufacturing. A study was done to see the differences between organisations that have used behavioural health treatments and those that have not. Particularly those resulting from human error, the findings reveal a clear correlation between mental health initiatives and less accidents at workplace. These programs helped participants manage their emotions, deal with stress, and approach problems as they arose. These elements taken together make the workplace safer. Companies who applied these techniques also reported that their employees were generally more content, more involved, and more efficient. This emphasises even more the need of adding mental health into safety precautions at employment. This paper also addresses the issues that arise when attempting to implement these sorts of initiatives, including insufficient funds, management and employees not following through, and the requirement of long-term commitment to training and resources. The study emphasises the importance of implementing unique adjustments according to the demands of every company. Remember that safety at work is complex even as businesses keep giving health and safety first priority. Physical and psychological elements must be considered concurrently if one is to create a safe, healthy workplace environment. Journal: Health Leadership and Quality of Life Pages: 229 Volume: 2 Year: 2023 DOI: 10.56294/hl2023229 Handle: RePEc:dbk:health:v:2:y:2023:i::p:229:id:229 Template-Type: ReDIF-Article 1.0 Author-Name: Escobar Paredes Author-Name: Solís Monar Author-Name: Soledispa Cañarte Title: Pharmacological study and nutritional value of Amaranthus dubius Mart. leaves (Bledo) Abstract: The objective of this research is to study the pharmacognostic characteristics and to know the nutritional value of the leaf of Amaranthus dubius Mart. obtained from the Durán canton of the province of Guayaquil. Part of the analyses were carried out in the "Food Laboratory of the Faculty of Chemical Sciences" of the University of Guayaquil and the other part in the "AGRORUM Laboratory"; obtaining as a result the pharmacognostic parameters: total ashes 20%, water soluble ashes 5.25%, insoluble ashes in hydrochloric acid 14.3%, humidity 8%, soluble substances 5. 2% (Ext. aqueous), 2.2% (Ext. ethereal), 2.80% (Ext. alcoholic), using the Miranda and Cuellar method. Phytochemical screening was used to qualitatively determine the presence of alkaloids, quinones, flavonoids, fatty acids, reducing sugars, phenolics and/or tannins and triterpenes and/or steroids, following the Miranda and Cuellar methodology. For the determination of the nutritional value, parameters such as macronutrients (phosphorus (0.13%), magnesium (0.20%), nitrogen (4.71%), potassium (1.67%), calcium (0.16%) and sulfur (0.09%)), micronutrients (Iron (149.07mg/kg), Zinc (88.71mg/kg), Copper (18.69mg/kg), Manganese (147.28mg/kg), Boron (17.80mg/kg) and Sodium (84.15 mg/kg)) and fiber (16.94) by internal laboratory technique Journal: Health Leadership and Quality of Life Pages: 228 Volume: 2 Year: 2023 DOI: 10.56294/hl2023228 Handle: RePEc:dbk:health:v:2:y:2023:i::p:228:id:228 Template-Type: ReDIF-Article 1.0 Author-Name: Keshari Behera Author-Name: D. Patil Author-Name: Jyothi.S Author-Name: Puri Author-Name: Kr Sharma Title: Approaches to Elevate Environmental Health Standards in Hospital Environments Abstract: Abstract: Maintaining the well-being of patients and healthcare professionals depends on raising environmental health criteria inside hospital settings. Being heavy traffic sites, hospitals may struggle with waste management, air quality, infection control, and sustainability. Not only does ensuring ideal environmental health in these contexts help to reduce healthcare-associated infections (HAIs), but it also improves staff safety and patient outcomes. One important strategy is the application of strict infection control rules emphasising on keeping sterile surroundings. This covers consistent cleaning of high-touch surfaces, air filtration systems, and the acceptance of antimicrobial products. Apart from infection prevention, the hospital environment is much improved by air quality management. Modern ventilation systems together with monitoring and controlling air pollutants like volatile organic compounds (VOCs), particle matter (PM), and carbon dioxide (CO2) may significantly improve the hospital environment. Hospital waste management especially the handling of non-hazardous items and medical waste is another area of issue. Emphasising lessening of the environmental effect of their operations, hospitals are progressively implementing waste segregation and recycling policies. Correct disposal and management of waste including sharp items, toxic pharmaceutical products, and other bio hazardous materials helps to provide a safer environment for patients and staff members both. Modern healthcare buildings also increasingly feature sustainability projects like green infrastructure and energy-efficient building designs. Hospitals may reduce their carbon footprint by using sustainable water management techniques, renewable energy sources, and energy-efficient equipment, therefore helping to support world environmental health objectives. Additionally, the use of eco-friendly cleaning agents and the reduction of single-use plastics further supports sustainability efforts in healthcare. Journal: Health Leadership and Quality of Life Pages: 227 Volume: 2 Year: 2023 DOI: 10.56294/hl2023227 Handle: RePEc:dbk:health:v:2:y:2023:i::p:227:id:227 Template-Type: ReDIF-Article 1.0 Author-Name: Fahar Ali Author-Name: Patil Author-Name: Ranjan Mahapatra Author-Name: S Author-Name: Sharma Title: Instructional Strategies for Incorporating Quality of Life Paradigms in Medical Education Abstract: Introduction: Adding Quality of Life (QoL) concepts to medical education is a big step forward in making sure those future doctors and nurses understand all of their patients' needs. This essay looks at the best ways to teach medical subjects so that they include quality of life (QoL) issues, with the goal of improving both student learning and patient care. Methods: A mixed-methods approach was used, with both qualitative conversations with medical trainers and a quantitative poll given to medical students at different points in their education. The study looked at how these tactics affected students' knowledge and ability to deal with quality of life problems. Findings: These show that engaging, patient-centered learning experiences, like models and patient accounts, help students understand and value QoL aspects in hospital situations a lot more. Using training methods from different fields together is also very important because it helps students see the social, psychological, and physical parts of patient care in a bigger picture. Conclusion: The study shows how important it is to include quality of life (QoL) in medical education. This way of teaching not only prepares future doctors to provide caring, patient-centered care, but it also helps them make smart, caring decisions in their practice. By using these teaching methods, we can connect the gap between standard medical education and the growing focus on patient well-being in healthcare. Journal: Health Leadership and Quality of Life Pages: 226 Volume: 2 Year: 2023 DOI: 10.56294/hl2023226 Handle: RePEc:dbk:health:v:2:y:2023:i::p:226:id:226 Template-Type: ReDIF-Article 1.0 Author-Name: Ganapathy Author-Name: Hasan Author-Name: Ranjan Behera Author-Name: Thorat Author-Name: Mane Title: The Integration of Quality of Life Evaluations into Standard Healthcare Management Protocols Abstract: Making treatment more patient-centered mostly depends on including Quality of Life (QoL) testing into regular healthcare operations. This approach shifts the traditional emphasis from gauging illness to considering a patient's complete health. Regular medical practice's use of QoL testing enables physicians to better understand, on a larger scale, how disease and therapy influence patients' daily life including their physical, psychological, and social health. Key component of this mix is developing and using dependable, proven QoL methods tailored for various patient groups and circumstances. These instruments help one to extra precisely evaluate the mental fitness situation and degree of existence pride of the sufferers. While physicians use those insights while making medical decisions, they may provide sufferers with treatment options that not handiest advantage their fitness but also supplement their very own values and life objective. Furthermore, consistent QoL evaluations enable one to monitor the long-term consequences of healthcare policies, thus guiding treatment programs and providing patient support services continuously. Early on discovery of issues compromising a patient's quality of life comes from proactive approach. This allows for fast therapies meant to prevent worsening of health. Including QoL evaluations has effects beyond just attending to one patient. It clarifies health impacts in a more intricate manner, which is rather crucial for allocating funds and formulating health policy. Healthcare systems may transform to better, more long-lasting, and more compassionate approaches of controlling illness and health by first giving patient-reported outcomes first priority. Journal: Health Leadership and Quality of Life Pages: 225 Volume: 2 Year: 2023 DOI: 10.56294/hl2023225 Handle: RePEc:dbk:health:v:2:y:2023:i::p:225:id:225 Template-Type: ReDIF-Article 1.0 Author-Name: Dávila Moreno Author-Name: Quimi Avilés Author-Name: Soledispa Cañarte Title: Evaluation of the anti-inflammatory activity of the ethanol extract of higuerilla (Ricinus communis) leaves in wistar rats Abstract: Currently, anti-inflammatory drugs are the most consumed worldwide, although their abuse and excess lead to gastropathies and cardiovascular complications causing death in 47 out of every 100,000 patients, Ricinus communis, despite its limited research, has proven to be an excellent natural alternative to counteract the inflammatory process. Therefore, the objective of this study is to evaluate the anti-inflammatory activity of the hydroalcoholic extract of higuerilla leaves by means of the plantar edema test with 3% carregenin in mice, applied by cutaneous route inside the surface of the aponeurosis in the right paw, where five groups of treatments with six animals each were made; The first group was a negative control group with 0.9% sodium chloride, the second group was a positive control group treated with indomethacin, while the other groups with the respective mixtures with a dose of 150, 250 and 500 mg/kg of hydroalcoholic extract of R. communis 50% administered orally where they received an exact dosage according to weight and route of administration. Meanwhile, it was observed that the extract at the dose of 500 mg/kg. showed a similar behavior to Indomethacin at the maximum hour tested, with a similar percentage of inhibition after the second hour and over 50% at the fourth hour of the study, which indicated a good anti-inflammatory power under the conditions. The extract at the other doses tested showed a good anti-inflammatory effect, although in lower percentages than the positive control. That is, it was found that under an effect of acute inflammation induced by significant plantar edema, it was presented with a higher percentage of inhibition at the dose of 500 mg/kg, comparable to indomethacin used as a reference drug. Journal: Health Leadership and Quality of Life Pages: 224 Volume: 2 Year: 2023 DOI: 10.56294/hl2023224 Handle: RePEc:dbk:health:v:2:y:2023:i::p:224:id:224 Template-Type: ReDIF-Article 1.0 Author-Name: Patil Author-Name: Ballal Author-Name: Shinde Babaso Author-Name: Solanki Author-Name: Kumar Sahoo Title: Exploring the Impact of Environmental Health on Community Quality of Life Metrics Abstract: Environmental health is a very important part of a community's general quality of life. This research looks at how different natural factors like the quality of the air and water, how trash is handled, noise pollution, and access to green spaces affect important aspects of quality of life, such as health, social well-being, and socioeconomic status. Understanding how natural elements influence these measurements helps one create healthy urban development strategies that enhance the well-being of the surroundings. This research aims to ascertain how members of the society see the state of the environment and how it influences their everyday life by use of both quantitative data analysis and qualitative surveys. Along with environmental elements, the research examines health data including rates of lung illness, mental health statistics, and overall mortality. It discovers substantial connections between people's physical and mental health directly derived from the condition of the surroundings. The research also examines socioeconomic elements and notes that underdeveloped regions are more prone to be impacted by unfavourable weather conditions, which may result in health disparities and worse quality of living ratings. The paper also addresses how urban infrastructure clean drinking water access, air filtration systems, and transit networks may assist to mitigate the negative consequences of environmental hazards. According to the findings, increasing environmental health standards not only improves public health but also promotes fair society, stimulates economic development, and strengthens communities. The study's policy suggestions call for focused actions to lower environmental risks, support green infrastructure, and make sure everyone has equal access to resources that support a good quality of life. The study also suggests that policymakers and urban planners should think about public health when making decisions. This would help make communities healthier and more sustainable. Journal: Health Leadership and Quality of Life Pages: 223 Volume: 2 Year: 2023 DOI: 10.56294/hl2023223 Handle: RePEc:dbk:health:v:2:y:2023:i::p:223:id:223 Template-Type: ReDIF-Article 1.0 Author-Name: Surjya Author-Name: Thorat Author-Name: Jamuna Author-Name: Wani Author-Name: Rajesh Karpe Title: Strategies for Healthcare Education Aimed at Enhancing Occupational Safety and Health Results Abstract: It is very important to make sure that healthcare workers are safe and healthy because the job comes with a lot of risks. The goal of this paper is to show how planned methods to healthcare education can improve health and safety at work. It begins with considering the current issues in healthcare environments, such as the risk of contagious infections, chemical hazards, and physical stress requiring significant training interventions. Developing comprehensive training courses using the most recent technologies and proven effective approaches is the major aim in order to reduce these hazards. Among the most often discussed approaches are simulation-based training programs. These courses help medical professionals go through real-life scenarios and enhance their capacity to make crucial judgements free from concern for what could transpire in the future. It also emphasises the need of always learning and developing as a professional and advises that courses should be changed often to include fresh health risks and safety regulations. It is also emphasised how important it is for educational schools, healthcare facilities, and government bodies to work together to make sure that safety practices are the same everywhere. This implies not only training medical professionals but also ensuring that legislators and managers are aware of the best strategies to maintain employees' health and safety on the workplace. The article also addresses how digital tools and platforms could simplify the access to and application value of educational initiatives. These instruments enable one to maintain studying and interact with people in ways outside of the classroom. For continuously shifting healthcare environments, this is very crucial. Journal: Health Leadership and Quality of Life Pages: 222 Volume: 2 Year: 2023 DOI: 10.56294/hl2023222 Handle: RePEc:dbk:health:v:2:y:2023:i::p:222:id:222 Template-Type: ReDIF-Article 1.0 Author-Name: Singh Author-Name: Joshi Author-Name: Panigrahi Author-Name: Patange Author-Name: Upendra Sharma Title: Evaluation of Healthcare Management Protocols and Their Implications for the Quality of Patient Care Abstract: A big part of making sure that patients get good care is making sure that healthcare management practices work. It is necessary for medical offices to use organised procedures because more and more people want fast healthcare delivery systems. This study looks at different ways to handle healthcare systems and what effects they have on the overall level of care for patients. The study uses both qualitative and quantitative methods to look at how standard operating procedures affect the health of patients, the speed of operations, and the happiness of healthcare providers. The goal of healthcare management guidelines is to make things easier, cut down on medical mistakes, and make it easier for teams from different fields to work together. The study looks into a few methods that are used in a lot of different healthcare situations, like hospitals, outpatient offices, and long-term care centres. The study looks at these practices using data from case studies, patient polls, and professional performance measures to find out what works and what doesn't when it comes to keeping a high level of care. The results show that guidelines that focus on patient-centered care, practices that are backed by evidence, and ongoing feedback loops make patients happier, cut down on treatment delays, and improve clinical outcomes. But problems with following the rules, a lack of resources, and differences in the experience of healthcare providers were named as things that can make them less successful. The study also shows how important it is to make procedures flexible so they can be changed to fit the needs of each patient. This way, personalised care can be provided without lowering the standard or efficiency of the healthcare system. This study has important effects for healthcare managers, policymakers, and doctors who want to improve patient care through better management. The results support the idea that healthcare management practices should always be changing. They also stress the need for flexible strategies that can change to the needs of modern healthcare systems. Journal: Health Leadership and Quality of Life Pages: 221 Volume: 2 Year: 2023 DOI: 10.56294/hl2023221 Handle: RePEc:dbk:health:v:2:y:2023:i::p:221:id:221 Template-Type: ReDIF-Article 1.0 Author-Name: Chandra Deo Author-Name: Noor Shah Author-Name: Prasad Author-Name: Kumbhar Author-Name: Shaik Shavali Title: The Significance of Occupational Safety in Promoting Healthcare Workforce Satisfaction and Operational Efficiency Abstract: In the healthcare field, where people often have to deal with mentally and physically challenging tasks, occupational safety is a key part of creating a good work atmosphere. Not only is making sure the workplace is safe important for reducing injuries and accidents, but it also plays a big part in making the healthcare staff happier and more productive. This article investigates the links among employee satisfaction, safety procedures at work, and the performance of operations in healthcare institutions. Regarding healthcare, workers' level of happiness directly relates to the safety precautions used in their workplace. Like physicians, nurses, and related health personnel, healthcare professionals often deal with high-stress events and must tend to patients on short notice. Ignoring the correct safety guidelines may lead to fatigue, additional anxiety, and absences—directly reducing employee satisfaction. Conversely, a safe workplace helps reduce these pressures, thereby improving job satisfaction, collaboration, and staff retention rates and lowering of stress. In healthcare institutions, employment happiness and operational efficiency are intimately linked. Employees that are content and feel supported are more likely to complete their tasks properly, therefore improving patient care and service performance. Like appropriate training, ergonomic designs, and mental health support, safety precautions help healthcare teams function better generally and assist to reduce errors. Additionally, focussing on workplace safety can lower the costs of worker compensation claims, absences, and employee loss, which helps healthcare facilities run more efficiently. In this paper, the urgent need for healthcare managers to make safety at work an important part of their operating plans is emphasised. In this way, they can not only protect the health and safety of healthcare workers, but also help the organisation succeed, making sure that both employees are happy and operations run smoothly. Journal: Health Leadership and Quality of Life Pages: 220 Volume: 2 Year: 2023 DOI: 10.56294/hl2023220 Handle: RePEc:dbk:health:v:2:y:2023:i::p:220:id:220 Template-Type: ReDIF-Article 1.0 Author-Name: Tomar Author-Name: Senapati Author-Name: Borah Author-Name: T. C Author-Name: Karpe Title: Analyzing the Impact of Healthcare Educational Initiatives on the Quality of Professional Practice Abstract: Introduction: The purpose of this study is to find out if healthcare training programs can improve the level of professional work among healthcare providers. As the need for better patient care and ongoing professional development grows, educational approaches are becoming more and more seen as essential ways to give doctors more advanced knowledge and skills. Methods: Both numeric and qualitative data were used in a mixed-methods technique. We looked at 30 peer-reviewed studies that came out between 2015 and 2023 and did a meta-analysis of results linked to clinical performance and the level of patient care. Also, 50 healthcare workers who took part in these training events were interviewed in a semi-structured way. Results: The results of the meta-analysis showed that clinical skills and patient outcomes got better, and the effect size was modest (Cohen's d = 0.5). Qualitative results showed that subjects said the main benefits were more trust and more up-to-date information. When digital tools were used in training, people were more interested and remembered more of what they learnt. Conclusions: Healthcare training programs are very important for improving the standard of clinical practice. The results show that these kinds of programs should continue to get money, with a focus on using digital tools to improve learning and effects. More study needs to be done on how these teaching tools work over time and whether they can be used in a wide range of hospital situations. Journal: Health Leadership and Quality of Life Pages: 219 Volume: 2 Year: 2023 DOI: 10.56294/hl2023219 Handle: RePEc:dbk:health:v:2:y:2023:i::p:219:id:219 Template-Type: ReDIF-Article 1.0 Author-Name: Pérez-Galavís Author-Name: Gómez-Novelli Author-Name: Ron Title: Between the gender gaps: the triple burden of work Abstract: Introduction: Its purpose was to address the experience of workers in the commerce sector, through the analysis of the social representations present in their stories, in terms of the strategies that they implement in relation to work and family demands and how these influence in your health. Method: This research was carried out from the post-positivist paradigm, qualitative approach and with an exploratory-descriptive level. The method that gave direction to this research itinerary was the hermeneutic phenomenological method. It included the contributions of three workers and an in-depth individual interview was applied, which allowed us to reveal the different activities that they carry out in their day to meet the demands. Results: The analysis of their speeches showed the unequal burdens between the sexes, with women having the greatest responsibility, placing them at a disadvantage; Furthermore, it has a significant impact on their health. Conclusion. It was concluded on the need for the political-legal and sociocultural environment to reduce the inequality gap between genders, through the establishment of public policies and social empowerment aimed at protecting the health of female workers. Journal: Health Leadership and Quality of Life Pages: 218 Volume: 3 Year: 2024 DOI: 10.56294/hl2023218 Handle: RePEc:dbk:health:v:3:y:2024:i::p:218:id:218 Template-Type: ReDIF-Article 1.0 Author-Name: Rodríguez Maceo Author-Name: Malfrán García Author-Name: Caballero Title: Coinfection by Hepatitis B and C virus in people with HIV. Santiago de Cuba 1986-2020 Abstract: Introduction: In the devastating context of the HIV/AIDS pandemic, co-infection with hepatitis B and C viruses has become a re-emerging problem, with insufficiently characterized epidemiological, clinical and therapeutic implications. Aim: To characterize people with HIV co-infected by hepatitis B and C viruses according to clinical and epidemiological variables of interest. Methods: An observational, descriptive, cross-sectional study was carried out with the aim of characterizing people with HIV co-infected by hepatitis B and C viruses, from 1986 to 2020, according to clinical and epidemiological variables of interest in the Santiago de Cuba Province. Results: The population consisted of 42 people with this condition, there was 83.3% co-infection with hepatitis C virus, 11.9% with B virus and 4.8% with both viruses; 100% of those studied at the time of the research had antiretroviral therapy indicated, 98.5% with undetectable HIV viral load or less than 1000 copies, 20% of those studied for virus B and 80.0% for virus C received specific treatment for these. Conclusions: People with HIV and co-infection with the Hepatitis B and C viruses are mostly men who have sex with other men, older adults, single, with risky sexual behaviors, with pre-university education, and more than 5 years after being diagnosed. It was recommended to socialize the results of this research, to meet the strategic objectives of controlling these epidemics in the province. Journal: Health Leadership and Quality of Life Pages: 217 Volume: 2 Year: 2023 DOI: 10.56294/hl2023217 Handle: RePEc:dbk:health:v:2:y:2023:i::p:217:id:217 Template-Type: ReDIF-Article 1.0 Author-Name: Rodríguez Torres Author-Name: Tovar Cardozo Author-Name: Clavijo-Gallego Title: Sustainable development and Health Sciences Abstract: Sustainable development and health sciences have converged in recent years as a comprehensive response to the environmental and social challenges affecting health systems. This article analyses scientific production at the intersection of these two fields during the period 2018-2023, identifying key trends, international collaborations and emerging lines of research. Based on a review in the Scielo database, the main themes within the framework of this intersection were explored. The analysis highlighted the growing interdisciplinarity, with significant contributions from public health, biomedical engineering and environmental management. Likewise, an increase in international collaboration was evident, although inequalities persist in the participation of countries with less access to scientific resources. The main lines of research include the environmental impact of health practices, the implementation of green technologies and health resilience to global crises. This study highlights the need to strengthen scientific cooperation and public policies that promote sustainable solutions in the field of health. The findings offer a framework to foster debate and guide future research towards sustainable and equitable development. Journal: Health Leadership and Quality of Life Pages: 216 Volume: 2 Year: 2023 DOI: 10.56294/hl2023216 Handle: RePEc:dbk:health:v:2:y:2023:i::p:216:id:216 Template-Type: ReDIF-Article 1.0 Author-Name: Quiñónez Mosquera Author-Name: Rugel Rivera Author-Name: Burbano Gómez Author-Name: Sarmiento Tomala Title: Evaluation Of The Normoglycemic Effect Of Extracts (Aqueous And Hydroalcoholic) Of Sechium Edule (Jacq.) Sw. (Chayote) In Biomodels Abstract: The use of fruits and their derivatives in a population represents a daily practice that helps to solve problems not only of a nutritional nature but also of health. The present study has as its application the evaluation of the normoglycemic effect of extracts (aqueous and hydroalcoholic) of Sechium edule (Jacq.) SW. (chayote) in biomodels. ”To obtain the aqueous extracts, the fresh fruits were cleaned, the seeds removed, liquefied and filtered; for the 50:50 hydroalcoholic extract; it was added to the smoothie and macerated for 48 hours. Quality control parameters were determined (ashes, moisture, fats, polysaccharides, quantification of quercetin). For the determination of normoglycemic activity, verify nine groups of five animals each: (A normal; B diabetic, C Metformin, aqueous and hydroalcoholic extract 150, 75.37.5mg / kg). Prior to anesthesia baseline glucose values were determined, the administration of the treatments was oral / six days. On the second day after administration they were given aloxane; On the sixth day before fasting, the final glucose was determined. With the analyzes made to the fresh fruit, the main physical and chemical characteristics were obtained where the quality of the product under study could be determined (Sechium edule). According to the normoglycemic activity analysis it was found that Sechium edule (chayote) has a measured effect. The results indicated that the aqueous extract with a dose of 150 mg / kg showed a decrease in glucose values (129 mg / dl). Journal: Health Leadership and Quality of Life Pages: 215 Volume: 2 Year: 2023 DOI: 10.56294/hl2023215 Handle: RePEc:dbk:health:v:2:y:2023:i::p:215:id:215 Template-Type: ReDIF-Article 1.0 Author-Name: Baños Author-Name: Brusca Author-Name: Garzón Author-Name: Vela Ferreira Title: Importance in the hygiene technique of the removable upper complete denture Abstract: The objective of the study was to identify the current awareness of total edentulous patients about prosthetic care, creating an educational proposal in colloquial language, which facilitates their understanding. Self-care, disinfection and maintenance of dental prostheses are the main topics within the rehabilitation of the edentulous patient. The research was carried out in a private office of the CABA to 50 patients with upper total dental prostheses, where staining was performed with bacterial plaque revealing solution to visualize the biofilm adhered to the prosthesis and/or the prosthetic adhesive. The patients' knowledge about the maintenance and cleaning of dental prostheses was not optimal. Journal: Health Leadership and Quality of Life Pages: .214 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.214 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.214:id:.214 Template-Type: ReDIF-Article 1.0 Author-Name: Pacheco Author-Name: Brusca Author-Name: Garzón Author-Name: Vela Ferreira Title: Analysis of minimally invasive surgical techniques and temporomandibular joint prostheses Abstract: The temporomandibular joint (TMJ) is the only mobile joint between the bones of the head, playing a crucial role in jaw movements and functions such as chewing, speaking and swallowing. TMJ dysfunctions (TMD) are disorders of multifactorial etiology that affect a significant percentage of the population,and are manifested through pain and functional alterations. This work reviews the pathophysiology of TMJ and the various treatment options, including minimally invasive surgical techniques such as arthrocentesis and arthroscopy. Advances in the development of TMJ prostheses are also analyzed, which, although they have proven to be effective, still present challenges related to biocompatibility and their adaptation in patients with atypical anatomies or in growing children. It is concluded that the management of TMD must be interdisciplinary, always seeking treatments that minimize invasion and maximize long- term functionality. Journal: Health Leadership and Quality of Life Pages: .213 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.213 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.213:id:.213 Template-Type: ReDIF-Article 1.0 Author-Name: Baños Title: Evolution and Challenges of Dental Prostheses Abstract: Oral health, defined by WHO as an integral part of general wellbeing, played a key role in basic functions such as nutrition and communication. Factors such as poverty and environment significantly influenced oral health, especially in vulnerable communities. The oral microbiota was considered key to maintaining the balance of the oral ecosystem, and its disruption led to pathologies such as gingivitis and caries. Historically, dental prostheses evolved from rudimentary techniques to the use of advanced acrylic resins. These resins, although efficient and affordable, presented challenges such as porosity, which led to infections and decreased denture strength. Poor hygiene and poorly fitting dentures led to conditions such as prosthetic stomatitis, linked to biofilm accumulation and colonisation by Candida albicans. The use of denture adhesives improved functionality and comfort, but inappropriate use of denture adhesives increased the risk of plaque accumulation. Oral hygiene education and the design of preventive programmes for older populations were essential strategies to mitigate these problems. In conclusion, technical advances in dental materials, combined with preventive measures and education, were decisive in optimising oral health, reducing complications and improving quality of life, especially in disadvantaged groups. Journal: Health Leadership and Quality of Life Pages: 212 Volume: 2 Year: 2023 DOI: 10.56294/hl2023212 Handle: RePEc:dbk:health:v:2:y:2023:i::p:212:id:212 Template-Type: ReDIF-Article 1.0 Author-Name: Pacheco Title: Advances in the treatment of temporomandibular joint disorders Abstract: The management of temporomandibular joint (TMJ) dysfunctions has evolved significantly in recent decades with the development of minimally invasive surgical techniques and customised prostheses. Arthrocentesis and arthroscopy stood out for their efficacy in the treatment of mild and moderate pathologies. Arthrocentesis, described by Nitzan, allowed inflammatory products to be removed and the joint disc to be released in a quick and minimally invasive procedure, improving mobility and reducing pain. Arthroscopy offered direct visualisation of the joint, facilitating the diagnosis and treatment of more complex cases. Advanced procedures, such as the triangulation technique, extended its usefulness in the management of disc dislocations and adhesions. In severe cases, such as ankylosis or structural deformities, customised prostheses became the best option. These prostheses, designed with CAD/CAM technology, guaranteed a precise anatomical fit and significant functional improvement. However, their implementation was limited to patients where minimally invasive options were insufficient due to their surgical complexity and associated costs. Advances in biocompatible materials, such as titanium alloys and PEEK, improved the durability and osseointegration of prostheses, optimising long-term outcomes. This technological and medical progress allowed for a more tailored and effective approach to treating TMJ dysfunctions, improving patients' quality of life and reducing complications. Appropriate treatment selection according to severity and individual characteristics was key to therapeutic success. Journal: Health Leadership and Quality of Life Pages: 211 Volume: 2 Year: 2023 DOI: 10.56294/hl2023211 Handle: RePEc:dbk:health:v:2:y:2023:i::p:211:id:211 Template-Type: ReDIF-Article 1.0 Author-Name: Lucero Baldevenites Author-Name: González Torres Author-Name: Díaz-Romero Author-Name: Bueno-Fernández Title: Didactic innovation in the teaching of experimental sciences based on a competency-based approach: a review in the field of health sciences Abstract: Context: The teaching of experimental sciences has evolved to meet the demands of a changing professional environment, integrating innovative competency-based approaches in fields such as health sciences. Objective: To analyze the implementation of innovative teaching strategies in health sciences and evaluate their ability to develop technical, practical, and transversal competencies in students. Methodology: A scoping review was conducted using the Scopus database, focusing on academic publications from 2018 to 2022. Studies on educational innovation were analyzed qualitatively and quantitatively, identifying strategies, their impact on learning, and gaps in the literature. Results: The study found that methodologies such as problem-based learning, teamwork, and educational technologies are effective in fostering competencies like analytical thinking, communication, and collaboration. However, challenges remain, including teacher training, technological infrastructure, and the evaluation of transversal competencies. Conclusion: The integration of innovative methodologies in experimental sciences requires a holistic approach that addresses both technical and social aspects of learning, providing comprehensive and adaptable training to meet current needs Journal: Health Leadership and Quality of Life Pages: 210 Volume: 2 Year: 2023 DOI: 10.56294/hl2023210 Handle: RePEc:dbk:health:v:2:y:2023:i::p:210:id:210 Template-Type: ReDIF-Article 1.0 Author-Name: Reyes-Garza Author-Name: Eslava-Zapata Title: Sense of Belonging: A key construct in leadership management Abstract: Introduction: The central construct of this research is the Sense of Belonging, which seeks to explain the psychological connection that exists on the part of the worker towards the organization. The sense of belonging is a basic need every human has since he or she feels like part of a group. There are essential elements for developing a Sense of Belonging, for example, feeling valued, needed, and accepted by other people or the perception that one's characteristics are similar or complementary to those of the people who belong to the group. This research aims to make a theoretical review of the Sense of Belonging to locate the theories and perspectives. Methods: The study is qualitative and involves a bibliographic and documentary review of books, articles, and reports related to the Sense of Belonging obtained from the main academic portals and repositories. A hermeneutic approach was followed to interpret the data. Results: Organizations are facing changes from different perspectives. Globalization, Information and Communication Technologies, society's habits, and the COVID-19 pandemic have changed how organizations are run and rethinking strategies for managing human talent. Factors such as leadership style, communication strategies, remote work schedules, salaries and wages, the use of new technologies, and possible uncertainty about their job can influence their disposition, performance, productivity, and mental health. Conclusions: Sense of Belonging is important for the worker's mental health and social well-being. It is associated with psychological and social functioning, reflected in their well-being. Journal: Health Leadership and Quality of Life Pages: 209 Volume: 2 Year: 2023 DOI: 10.56294/hl2023209 Handle: RePEc:dbk:health:v:2:y:2023:i::p:209:id:209 Template-Type: ReDIF-Article 1.0 Author-Name: Castillo Author-Name: Hansen Author-Name: Brusca Author-Name: Garzon Author-Name: Ferreira Title: Analysis of the ph of the most consumed sports supplements in the Autonomous City of Buenos Aires and their incidence in the oral cavity Abstract: Currently there is no comprehensive updated information on sports supplements that covers the different areas related to these products: classification, uses, legislation, consumption, availability, safety, etc. A nutritional supplement is a product taken orally that contains a "dietary ingredient" to supplement the diet or to improve sports performance. Generally, the athlete looks for an ergogenic effect in the nutritional supplement; that is, an aid to improve physical performance. The terms “dietary supplements”, “nutritional ergogenic aids”, “nutritional therapeutic supplements”, among others, are used to describe the wide variety of products that collectively make up the sports supplements industry. The supplements contain some nutritional properties in their composition, so they can dissolve the hydroxyapatite crystals in the enamel and promote the dental corrosion process. Therefore, this work will try to clarify what is allowed to be used, and the influence that the use of Supplementation may have on oral health. Journal: Health Leadership and Quality of Life Pages: 208 Volume: 2 Year: 2023 DOI: 10.56294/hl2023208 Handle: RePEc:dbk:health:v:2:y:2023:i::p:208:id:208 Template-Type: ReDIF-Article 1.0 Author-Name: Ultreras-Rodríguez Author-Name: Nieves-Lizárraga Author-Name: Olguín-Martínez Author-Name: Bueno-Fernández Title: Staff turnover and leadership style: a narrative review of their relationship in health sciences Abstract: Staff turnover represents a critical challenge in the health and management sciences, impacting team stability, quality of care, and organizational costs. This article explores the relationship between leadership styles and staff retention through a narrative review of the literature published between 2018 and 2022 in the Scopus database. The analysis focused on 21 documents selected under criteria of pertinence, relevance, and academic quality. Through a semi-systematic methodology, thematic patterns and key theoretical perspectives were identified that underline how leadership can mitigate factors associated with staff turnover. The results showed that leadership styles play a crucial role in creating a positive work environment, where well-being, trust, and inclusion are priority categories. These approaches promote job satisfaction, reduce stress, and strengthen employee engagement, which contributes to minimizing the intention to leave. The importance of adapting strategies to generational expectations was also highlighted, particularly in relation to work flexibility, professional development and individual recognition. It is concluded that the implementation of adaptive and people-centred leadership styles, together with comprehensive organisational policies, is essential to meet the challenges of staff turnover in the health sector Journal: Health Leadership and Quality of Life Pages: 207 Volume: 2 Year: 2023 DOI: 10.56294/hl2023207 Handle: RePEc:dbk:health:v:2:y:2023:i::p:207:id:207 Template-Type: ReDIF-Article 1.0 Author-Name: Del Río Mesa Author-Name: Caballero Author-Name: Turro Mesa Author-Name: Mesa Valiente Title: Microbial resistance in patients with healthcare-associated infections in pediatric intensive care Abstract: Introduction: The study of microbial resistance in healthcare-associated infections is very important in pediatrics since the immaturity of the cellular and humoral defense system in these patients prevents an optimal response of the immune system, facilitating the development of serious and/or irreversible complications. Aim: to determine the isolated germs and their resistance in patients with healthcare-related infections in the Intensive Care Unit. Methods: A descriptive cross-sectional study was carried out at the Northern Children's Hospital in Santiago de Cuba, in the period between January 1, 2018 and December 31, 2020. Clinical and epidemiological variables were related to microbiological results. Results: In the study, male patients between 5 and 9 years of age predominated. 27.3% of the patients studied presented pneumonia associated with mechanical ventilation. Of the 159 isolates performed, Klebsiella spp. and Acinetobacter spp. predominated. Staphylococcus aureus was more resistant to ceftriaxone, Streptococcus pneumoniae to ciprofloxacin, while coagulase-negative Staphylococcus to gentamicin. Conclusions: Microbial resistance is a challenge in patients admitted to pediatric intensive care units, where germs such as Klebsiella spp., Acinetobacter spp. and Pseudomonas aeruginosa are the most frequently isolated. There was a more pronounced pattern of resistance to ceftriaxone and ciprofloxacin by Gram-negative germs. Journal: Health Leadership and Quality of Life Pages: 206 Volume: 2 Year: 2023 DOI: 10.56294/hl2023206 Handle: RePEc:dbk:health:v:2:y:2023:i::p:206:id:206 Template-Type: ReDIF-Article 1.0 Author-Name: Renuka Author-Name: Bibhu Author-Name: Agrawal Author-Name: Shinde Author-Name: Chanania Title: Approaches for Enhancing Environmental Health Literacy through Healthcare Educational Programs Abstract: People and groups need to know about environmental health literacy (EHL) in order to make smart choices about their health that are affected by external factors. As environmental health problems like climate change and pollution get worse, healthcare education programs need to make improving EHL a top priority. People can get the information and skills they need from these classes to understand and deal with environmental health risks. With an eye towards integrating environmental health concepts to medical programs, community health services, and public health campaigns, this article examines many approaches to enhance EHL via healthcare education. Including approaches from many disciplines, including environmental science, public health, and policy education, in healthcare training programs may assist create more broadly covering health teaching initiatives. Sharing environmental health data should also include public health specialists, physicians, and nurses among other healthcare professionals. Using data supported by facts, they may educate their patients about natural hazards and how to be safe. Healthcare environments which include hospitals and clinics are exquisite venues for public health education as they build trusted relationships with their patrons. Running with environmental companies, healthcare structures may additionally set up network-based tasks that boom information of environmental fitness hazards and support ecologically accountable residing. Every other vital method is the usage of digital technologies to offer instructional resources such mobile applications and e-mastering sites. those gear can assist more humans get understanding and make mastering more customized and real-time. The paper also talks about problems that come up whilst trying to placed EHL plans into action, together with a loss of sources, society's resistance to alternate, and the way difficult it's miles to address environmental troubles in healthcare situations. To resolve those issues, all and sundry concerned such as teachers, fitness care employees, lawmakers, and neighbourhood agencies desires to paintings collectively. We will enhance EHL through the use of these methods in healthcare coaching and practice. This can cause higher health consequences, higher environmental care, and a extra stable destiny for communities around the world. Journal: Health Leadership and Quality of Life Pages: 205 Volume: 2 Year: 2023 DOI: 10.56294/hl2023205 Handle: RePEc:dbk:health:v:2:y:2023:i::p:205:id:205 Template-Type: ReDIF-Article 1.0 Author-Name: Castillo Author-Name: Hansen Title: Impact of the Consumption of Sports Supplements in Gymnasiums: Effects on Oral and General Health Abstract: Introduction: The growth of the gym industry in the City of Buenos Aires has transformed these spaces into integral wellness centers, promoting a fitness-based lifestyle. This phenomenon has increased the interest in sports supplements as a complement to improve physical performance and achieve specific goals. Despite their popularity, there is a significant gap in scientific information on adequate consumption and associated risks, which makes it difficult to guide users towards more responsible practices. Development: The classification of sports supplements according to the Australian Institute of Sport (AIS) was analyzed, highlighting categories A and B, supported by scientific evidence, and categories C and D, which present potential risks due to their low efficacy or possible content of banned substances. In addition, adverse effects on oral health, such as dental erosion and salivary pH imbalances caused by acidic products and protein-rich diets, were addressed. The importance of customized mouthguards in the prevention of dental injuries among athletes was also highlighted. Conclusions: The study evidenced the need for education and regulation in the consumption of sports supplements to minimize risks and maximize benefits. Interdisciplinary collaboration between nutritionists, dentists and trainers is essential to guide users towards an informed and safe use of these products. Promoting educational programs and preventive strategies will allow a comprehensive approach to improve both general and oral health, strengthening responsible fitness practices. Journal: Health Leadership and Quality of Life Pages: 204 Volume: 2 Year: 2023 DOI: 10.56294/hl2023204 Handle: RePEc:dbk:health:v:2:y:2023:i::p:204:id:204 Template-Type: ReDIF-Article 1.0 Author-Name: Surath Panda Author-Name: Patil Author-Name: H Author-Name: Bansal Author-Name: Lal Soni Title: Assessing the Efficacy of Quality of Life Evaluations in the Management of Chronic Illnesses Abstract: Taking care of people with chronic illnesses usually needs a complex method that focuses on both improving their health and quality of life (QoL). This essay gives an in-depth look at how QoL ratings are used and how well they work in managing chronic diseases. We want to find out how to improve QoL ratings so that treatments work better and patients are happier by carefully looking at a number of different assessment tools, such as both subjective patient-reported results and objective measures. Quality of life (QoL) tests are important for learning about how chronic illnesses affect daily life, mental health, and social relationships. Our results show that patient-centered methods that take into account personal thoughts and feelings are very important for getting a true picture of how hard chronic diseases are. We also look at the link between better QoL and clinical interventions. Our findings show that customised treatment plans that include both medical and psychological parts of care are often linked to better QoL results. The paper also talks about the problems with the way QoL is currently measured, like how different measurement tools are used in different hospital situations and how there isn't any standardisation. The paper suggests a way to use technology, like electronic health records and mobile health apps, in regular quality of life tests. These tools can give us data in real time and help with long-term tracking. Journal: Health Leadership and Quality of Life Pages: 203 Volume: 2 Year: 2023 DOI: 10.56294/hl2023203 Handle: RePEc:dbk:health:v:2:y:2023:i::p:203:id:203 Template-Type: ReDIF-Article 1.0 Author-Name: Caballero Author-Name: Turro Mesa Author-Name: Del Río Mesa Title: New biomarkers of inflammation in hospitalized patients with atrial fibrillation Abstract: INTRODUCTION: Atrial fibrillation (AF) is the most common sustained arrhythmia worldwide, with a strong clinical association with heart failure. International literature has revealed new hematological and biomolecular markers of inflammation and oxidative stress not explored in our setting. OBJECTIVE: To relate new biomolecular and hematological markers of inflammation with clinical, epidemiological and echocardiographic characteristics of hospitalized patients with atrial fibrillation METHOD: An observational, descriptive and cross-sectional study was carried out in patients with atrial fibrillation admitted to the cardiology service of the “Saturnino Lora” Provincial Teaching Hospital in Santiago de Cuba, during the period from January 2019 to January 2020. The relationship between selected clinical, sociodemographic, electro and echocardiographic variables with hematological and biomolecular inflammatory markers was established RESULTS: patients ≥ 65 years old, female sex, combined risk factors, mainly arterial hypertension and diabetes mellitus predominated; there was a statistically significant association between the neutrophil/lymphocyte ratio and the appearance of complications, stroke, altered renal function, but not with the type of atrial fibrillation; Interesting relationships were also found between the total leukocyte and lymphocyte count, platelet/lymphocyte ratio and selected clinical variables. CONCLUSIONS: Hematological and biomolecular markers of inflammation in patients with atrial fibrillation are related to clinical evolution, appearance of complications and could be useful for stratifying the risk of complications. Journal: Health Leadership and Quality of Life Pages: 202 Volume: 2 Year: 2023 DOI: 10.56294/hl2023202 Handle: RePEc:dbk:health:v:2:y:2023:i::p:202:id:202 Template-Type: ReDIF-Article 1.0 Author-Name: Jimenez Granizo Author-Name: Sarmiento Tomalá Author-Name: López Barrera Author-Name: Burbano Gómez Author-Name: Soledispa Cañarte Author-Name: García Moncayo Title: Study of the normoglycaemic effect in experimental animals between aqueous extract and ethanolic extract of banana flower stalk (Musa acuminata Colla) Abstract: Since time immemorial the need for people to seek a balance for their health, has led to the search for new natural remedies based on the existing medicinal flora worldwide. For this reason, in this experimental study, the efficacy of the Banana Flower Peduncle (Musa acuminata Colla) and Aqueous Extracts in the reduction of blood Glucose levels of diabetic mice by alloxan was verified both extracts. For this study we performed 9 groups of 5 mice each. Basal glycemia was determined for all animals; the treatments were administered for 10 days as follows to the groups: # 1 Normal Control (No Treatment); # 2 Negative Control (No Treatment + Alloxanic Induction); # 3 Positive Control (Metformin + aloxanic induction); # 4, 5 and 6 (Alloxanic Induction + Aqueous Extract Treatment), in the dose of 100, 200, 400 mg/kg; # 7, 8 and 9 (Aloxanic Induction + Treatment of Ethanol Extract), in the dose of 100, 200, 400 mg/kg. On day 11 Diabetes was induced by alloxan (150 mg/kg); after 48 hours the final glycemia was determined in all groups. The results showed that Group # 7 (Ethanolic Extract of 100 mg/kg) regulated blood glucose levels by 109.6 mg/dl compared to the Group # 3 (metformin) value of 97.6 mg/dl and with Group # 2 Negative Control, which was 376 mg/dl, with respect to the values of groups # 8 and 9 (Ethanolic Extract) and all groups treated with Aqueous Extract did not decrease glycemia levels. Journal: Health Leadership and Quality of Life Pages: 201 Volume: 2 Year: 2023 DOI: 10.56294/hl2023201 Handle: RePEc:dbk:health:v:2:y:2023:i::p:201:id:201 Template-Type: ReDIF-Article 1.0 Author-Name: Sandoval Zenzano Author-Name: Fuentecilla Author-Name: Grandinetti Author-Name: Brusca Author-Name: Garzon Author-Name: Vela Ferreira Title: Self-medication among students of the UAI School of Dentistry Abstract: Introduction: Self-medication is a common practice that carries potential health risks, especially in young and educated populations such as university students. This study aims to determine whether students of the School of Dentistry of the Universidad Abierta Interamericana (UAI) practice self-medication, to describe associated factors, the reasons for this practice, the most commonly used medications and to explore the consequences reported in the literature in the short, medium and long term. Methods: A cross-sectional study was conducted using a structured survey designed in Google Forms, delivered directly and anonymously. Sixty-eight third, fourth and fifth year dental students participated. The instrument assessed the prevalence of self-medication, related factors, medications used and reasons for self-medication. Results: Of the 68 students invited, 60 responded, reaching a response rate of 88.24%. The majority were women (65%) and the predominant age range was 20 to 25 years old and over 30 years old, each representing 41%. Eighty-seven percent of the participants admitted having practiced self-medication at least once. The most commonly used medications were nonsteroidal anti-inflammatory analgesics (NSAIDs) in 50% of cases, followed by antibiotics (28%), with amoxicillin being the most frequent antibiotic. The main form of access was direct purchase in pharmacies (56%), while 27% obtained the drugs from family, friends or at work. The most common reason for self-medicating was considering that the symptoms were not serious enough to require a medical consultation (46%). Conclusions: Self-medication is a widespread practice among students at the UAI School of Dentistry, influenced mainly by the perceived mildness of symptoms, recommendations from family and friends, and lack of time to go to the doctor. These results are consistent with the literature, which indicates a high prevalence of self-medication in university students and the associated risks Journal: Health Leadership and Quality of Life Pages: 200 Volume: 2 Year: 2023 DOI: 10.56294/hl2023200 Handle: RePEc:dbk:health:v:2:y:2023:i::p:200:id:200 Template-Type: ReDIF-Article 1.0 Author-Name: Abdullaeva Author-Name: Turaeva Author-Name: Yadgarova Author-Name: Khalimova Author-Name: Eshonkulova Author-Name: Yormatova Author-Name: Nazarov Title: Multimedia data processing in an intelligent medical system featuring embedded elliptic curve cryptography Abstract: Currently, global disease diagnosis is prevalent, and the evaluation of digital medical images (MI) is integral to Intelligent Medical Systems (IMS), which facilitates the early diagnosis and treatment of prevalent and severe illnesses. In this scenario, modifying or altering just one pixel of an MI during transmission across an insecure channel might result in an erroneous diagnosis, jeopardizing patient health and causing detrimental delays. Consequently, transmitting IMS multimedia information to healthcare providers presents several security issues. This study presents a Multimedia Data Processing framework using Embedded Elliptic Curve Cryptography (MDP-EECC) inside an IMS. The suggested MDP architecture comprises an Edge Level (EL), a Fog Computing (FC) stage, a Cloud computing Storage (CS) level, and a Blockchain (BC) tier. The EL gathers and transmits regular health data from the patient to the upper layer. The multimedia information from the EL is safely stored in BC-assisted CS via FC nodes using simple cryptography. Medical professionals conduct secure searches of such data for therapy or monitoring purposes. Inexpensive cryptographic methods are suggested via the use of Elliptic Curve Cryptography (ECC) with ECC-Diffie-Hellman (ECDH) and ECC-Digital Signature (ECDS) algorithms to ensure the security of MDP while preserving privacy. The suggested approach is tested using publicly accessible chest X-ray pictures. The efficacy of the suggested version is assessed and validated via comprehensive experimentation using the latest security techniques available. Compared to state-of-the-art approaches, the suggested version demonstrates superior security characteristics and can withstand different known assaults. Journal: Health Leadership and Quality of Life Pages: .199 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.199 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.199:id:.199 Template-Type: ReDIF-Article 1.0 Author-Name: Miló González Author-Name: Cruz Rodríguez Author-Name: Morales Jiménez Title: Fasting glycemia: prognostic value in the immediate evolution of women with acute coronary síndrome Abstract: Ischemic heart disease is one of the leading causes of death in the world and in Cuba, with a significant increase in women. An observational, descriptive, cross-sectional study was carried out with the aim of evaluating the prognostic value of fasting glycemia determined in the first 24 hours of admission in women with a diagnosis of acute coronary syndrome (ACS) hospitalized in the coronary service of the Carlos J. Finlay HMC during 2015-2017. The universe consisted of 250 women over 20 years of age with a diagnosis of ACS and the sample consisted of 224 patients. Two groups were formed to compare each other: study group (≥6.11 mmol/L) with high fasting glucose value and control group (<6.11 mmol/L) with normal value. The mean glycemia value was higher in the study group being statistically significant (p < 0.000001). Age did not show significant difference between groups. HT (p<0.007), smoking (p<0.05) and ACS (p<0.004) in any of their clinical variants were statistically significant variables. Death as a complication was present in only 15 patients in the study group, representing 24.1% of deaths. There were no significant statistical differences in terms of coronary angiography results, since not all patients with ACS presented indications for this study. Conclusions: The results of the study suggest that an elevated baseline fasting glycemia on admission in female patients diagnosed with ACS is a predictor of risk of death and complications during the hospital phase. Journal: Health Leadership and Quality of Life Pages: 198 Volume: 2 Year: 2023 DOI: 10.56294/hl2023198 Handle: RePEc:dbk:health:v:2:y:2023:i::p:198:id:198 Template-Type: ReDIF-Article 1.0 Author-Name: Khanwelkar Author-Name: Gupta Author-Name: Garg Author-Name: Moharana Author-Name: Renuka Title: The Effect of Progressive Healthcare Management on the Improvement of Patient Quality of Life Abstract: Progressive healthcare management means tactics that are always changing and being used to make care for patients better and people's lives better in general. As healthcare systems get better, it's becoming more and more important to meet the different needs of patients through personalised treatment plans and effective management. Progressive healthcare management has an effect on patients' quality of life. This paper focusses on the role of personalised care models, early action, and constant tracking. A thorough analysis of all the available research was carried out to find the most important factors affecting patients' health and to find out how innovative healthcare treatments can improve these factors. With patient-centered care, people get treatments that are specifically designed to help their conditions. This improves not only their physical health but also their mental and social health. Early management in chronic diseases like heart disease, diabetes, and neurological illnesses is emphasised as a way to cut down on problems and improve long-term results. Also, smart tech and video services have made constant monitoring possible, which lets doctors keep track of patients' health in real time. This helps doctors better handle their conditions and make decisions. The paper also talks about the part that healthcare workers play in providing advanced care, with a focus on how they work together as part of diverse teams. Doctors, nurses, and other health workers work together to make care plans that cover all of a patient's needs and can be changed as needed. Patient education and support are also very important because they get people involved in their own care, which makes them more likely to stick to their treatment plans and improves their health. Journal: Health Leadership and Quality of Life Pages: 197 Volume: 2 Year: 2023 DOI: 10.56294/hl2023197 Handle: RePEc:dbk:health:v:2:y:2023:i::p:197:id:197 Template-Type: ReDIF-Article 1.0 Author-Name: Gupta Author-Name: Ballal Author-Name: Kumar Author-Name: Subhashree Author-Name: Jadhav Title: Implementing Standardized Health Protocols for Enhanced Occupational Safety Abstract: The workplaces are getting more complicated in many different fields, so standard health practices need to be put in place to make sure everyone is safer. For a long period, occupational health hazards including physical injury and mental anxiety have been a concern in workplace safety management. New technology and global health issues call for robust and consistent health practices that not only satisfy legal criteria but also enable employees to remain long-term healthy. Emphasising how they increase worker safety, this article examines how standardised health rules were developed and used. The first section of the research examines attentively present workplace health policies and identifies significant areas needing improvement. It emphasises the need of creating safety guidelines that everyone can follow while also allowing enough flexibility to fit various working environments. By following established policies, companies may reduce general numbers of work-related accidents and illness, cut risks, and increase worker production. One of the primary concepts of this work is using technology to monitor individuals and ensure they obey health regulations. The article demonstrates how extremely crucial data-driven approaches such as deploying smart tech and systems that monitor your health in real time can be for maintaining workers safe. The study also examines how training courses and education may ensure that employees are suited to appropriately grasp and apply the policies. Implementing these set guidelines is not always simple. Organisations could deal with issues like not wanting to change, ignorance of the situation, and inadequate resources. The report did state, however, that proactive, frequent reviews and revisions are necessary for long-term effectiveness from procedure standardisation. Standardised health practices taken as a whole may assist to ensure workplaces are safer, safeguard workers' health, and increase the entire success of a company. Journal: Health Leadership and Quality of Life Pages: 196 Volume: 2 Year: 2023 DOI: 10.56294/hl2023196 Handle: RePEc:dbk:health:v:2:y:2023:i::p:196:id:196 Template-Type: ReDIF-Article 1.0 Author-Name: Jiménez Zapata Author-Name: Sánchez Castillo Author-Name: Pérez Gamboa Title: Health, education and pandemic: an analysis of their relationship Abstract: The COVID-19 pandemic profoundly transformed Higher Education in Latin America, revealing both its structural vulnerabilities and its capacity to adapt. This article analyzes the interaction between health, education and pandemic, emphasizing the implications for student and faculty well-being, the transition to virtual teaching and the impact on social inequalities. Through an exploratory review based on scientific literature from Scielo, critical challenges were identified, such as digital divides and mental health impacts, as well as opportunities related to pedagogical innovation and the strengthening of university social responsibility. The universities adopted strategies to guarantee academic continuity, but the crisis also exposed limitations in technological infrastructure and psychosocial support. The potential of hybrid models as a long-term solution to improve access and educational quality is highlighted. It also reflects on the importance of integrating interdisciplinary approaches that connect education and health to build resilient systems. This analysis concludes that the pandemic offers a unique opportunity to rethink Higher Education in Latin America, promoting equity, innovation and sustainability as fundamental pillars to face future challenges. Journal: Health Leadership and Quality of Life Pages: 195 Volume: 2 Year: 2023 DOI: 10.56294/hl2023195 Handle: RePEc:dbk:health:v:2:y:2023:i::p:195:id:195 Template-Type: ReDIF-Article 1.0 Author-Name: Kumar Behera Author-Name: Jamuna Author-Name: Sharma Author-Name: Dhanaji Author-Name: Purohit Title: The Influence of Environmental Health on the Formulation of Public Health Regulations Abstract: When developing regulations that shield individuals from environmental hazards and enhance their general health, one should consider how public health legislation and environmental quality interact. Urbanisation, industry, and climate change have quickly transformed the earth; thus, the external factors affecting health have become clearer. Under the impact of natural health factors, the evolution of public health recommendations is investigated in this paper. It mostly covers air quality, water pollution, waste management, and chemical exposure harmful ones especially. These natural components are so complicated, therefore we have to use another approach to control public health and promote simultaneous economic growth. This paper addresses how knowledge of natural pollutants affects human health and how scientific results guide public health strategies. It addresses important regulations on the purity of air and water, waste disposal policies, and occupational health and safety standards as well as laws on Furthermore underlined are the challenges in putting these policies into effect: competing business interests, inadequate ways of verifying they are followed, and inadequate popular knowledge. It also addresses the role international organisations do in guiding environmental health policies and supporting nations in developing their own agendas. This emphasises the need of everyone cooperating to address worldwide environmental health issues. This study presents the advantages and drawbacks of present public health policies aimed to reduce environmental hazards by means of an examination of case studies from several spheres. It offers strategies to align environmental health research and policy development, enhance government collaboration, and increase participation in environmental health initiatives by means of alignment between governments. Strong environmental health data and comprehensive public health legislation are therefore concluded as necessary to get long-term public health outcomes in the face of environmental challenges. Journal: Health Leadership and Quality of Life Pages: 194 Volume: 2 Year: 2023 DOI: 10.56294/hl2023194 Handle: RePEc:dbk:health:v:2:y:2023:i::p:194:id:194 Template-Type: ReDIF-Article 1.0 Author-Name: Rakhmanov Author-Name: Makhmudova Author-Name: Shamansurov Author-Name: Narzullayeva Author-Name: Almamatova Author-Name: Akilova Author-Name: Mirametova Author-Name: Omarova Title: Privacy and security framework for medical data in a cloud infrastructure utilizing lightweight blockchain technology Abstract: Cloud-based information has consistently attracted cyber attackers. Medical Data (MD) on the cloud has emerged as a new focal point of interest. Assaults on MD may have devastating repercussions for healthcare companies. The decentralized management of cloud data helps mitigate the impact of assaults. A public ledger supported by a decentralized network of peers has been shown to provide reliable, auditable computing using Blockchain Technology (BT). Implementing authorization mechanisms and cryptographic primitives is inadequate for mitigating contemporary cyber risks and resolving privacy and security issues related to cloud-based environments. This study presents a Privacy and Security Framework in Cloud Infrastructure employing Lightweight Blockchain Technology (PSF-CI-LBT) for MD. A patient-focused MD management program using BT for storage has been introduced to enhance privacy. Cryptographic algorithms are employed to encrypt patients' MD and to guarantee concealment. The encryption, decryption time, and economic feasibility (cost) of the proposed technique's smart contract (SC) framework are assessed, along with the methodologies used for analyzing MD to encrypt and mask a patient's MD. Journal: Health Leadership and Quality of Life Pages: .193 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.193 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.193:id:.193 Template-Type: ReDIF-Article 1.0 Author-Name: Badridinova Author-Name: Azimova Author-Name: Iskandarova Author-Name: Majidova Author-Name: Abdullaev Author-Name: Urinov Author-Name: Tokhirova Title: Early detection of thyroid disease using feature selection and hybrid machine learning approach Abstract: In today's environment, thyroid disorders are quite widespread and widely dispersed. They frequently result in serious physical and mental suffering. It interferes with the thyroid gland's ability to operate, which causes the thyroid to secrete too much hormone. The thyroid organs are ground up by the hormones produced when the body enters auto-safe mode in this illness. Avoiding this condition is crucial because it has irreversible effects on the body. Since this disorder is extremely difficult to cure once it reaches its final stage, preventing it from occurring needs some awareness of its development. The ontological challenges and disparate data standards that are employed in Medical Data Analysis (MDA) and system-assisted healthcare management are well-known in the healthcare industry. Rapid technological breakthroughs have drawn researchers to the health sector to create accurate, dependable, and reasonably priced medical (DSS) decision support systems (MDSS). Therefore, there is continuous research being done to construct an efficient and practically applicable MFFN+MLP-based DSS for medical data (MD) processing and knowledge discovery (KD). Using computerised intelligent medical decision support systems offers a practical way to help medical professionals diagnose patients quickly and correctly. Before a practical medical diagnosis system can be created and implemented, a number of problems must be addressed and handled, including how to make decisions when faced with ambiguity and imprecision. Journal: Health Leadership and Quality of Life Pages: .192 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.192 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.192:id:.192 Template-Type: ReDIF-Article 1.0 Author-Name: Davlatov Author-Name: Akramov Author-Name: Kamarova Author-Name: Azizova Author-Name: Bakaeva Author-Name: Turayeva Author-Name: Mamadaminova Title: Efficient intrusion detection model based on health care sector using lstm based rnn Abstract: Almost all real-world operations have moved online in recent years, with computers interacting with one another over the Internet. Consequently, there is an increase in network security vulnerabilities, making it difficult for network managers to protect their networks against all types of cyberattacks. Numerous methods for detecting network intrusions have also been created. However, they face critical difficulties from the continuous rise of new weaknesses that are outside the ability to understand of existing frameworks. We present an astute and effective Profound Learning (DL)- based network interruption discovery framework (NIDS),motivated by deep learning's outstanding performance in a variety of detection and identification tasks. We investigate an RNN-based prediction model for the detection of intrusions in industrial IoT networks. For intrusion detection, we use anomaly detection algorithms to identify if a packet is normal or abnormal. These methods quantify and assess the distance measurement in actual packets, as well as predict the following packet. The cyber security community has access to a wide range of malware datasets for use in public domain research. Furthermore, to the best of our knowledge, no study has offered a thorough evaluation of how well different machine learning techniques perform across a range of publicly accessible datasets. In this paper, we investigate novel hybrid deep learning model, with the aim of building an adaptable and efficient intrusion detection system that can identify and categorise unexpected and cyber-attacks. The results of this type of research make it easier to select the optimal algorithm for use in anticipating and stopping impending cyberattacks. Finally, to perform anomaly identification, a cosine similarity boundary that is thought of as a typical packet was provided. Then, a scoring function based on cosine similarity was applied. Journal: Health Leadership and Quality of Life Pages: .191 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.191 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.191:id:.191 Template-Type: ReDIF-Article 1.0 Author-Name: Davlatov Author-Name: Sharipov Author-Name: Mamatkulova Author-Name: Boymatova Author-Name: Oltiboyeva Author-Name: Shamsutdinova Author-Name: Kitayeva Title: Deep learning-based natural language processing for the identification and multi-label categorization of social factors of healthcare from unorganized electronic medical records Abstract: Social Factors of Healthcare (SFH) are non-medical determinants that may significantly influence patient health outcomes. Nevertheless, SFH is seldom included in Unorganized Electronic Medical Records (UEMR) data, such as diagnostic codes, and is often found in uncontrolled descriptive medical notes. Consequently, discerning social factors from UEMR data has gained paramount significance. Previous research towards using Natural Language Processing (NLP) for the automated extraction of SFH from text often emphasizes a selective approach to SFH. It fails to include the current advancements in Deep Learning (DL). This study proposes Deep Learning-Based Natural Language Processing for the identification and multi-label categorization (DL-NLP-MLC) of SFH from UEMR. Information was obtained from the Medical Information Mart for Intensive Care (MIMIC-III) dataset. The database consisted of 4,124 socially connected phrases derived from 2,785 medical notes. A framework for automatic MLC for multiple SFH types has been established. The database consisted of descriptive medical notes categorized as "SFH" inside the MIMIC-III medical dataset. Four types of categorization models have been trained: Decision Tree (DT), Random Forest (RF), and Long Short-Term Memory (LSTM). The efficacy of DL-NLP-MLC has been evaluated using accuracy, precision, recall, Area Under the Curve (AUC), and F1 score. The findings indicated that, in general, LSTM surpassed the other models of categorization with AUC (98.4%) and Accuracy (94.6%) for drug abuse SFH. The suggested method of training a DL classifier on a dataset rich in structured feature hierarchies may yield a very effective classifier using UEMR. Evidence demonstrates that model performance correlates with the semantic variety used by health practitioners and the automated creation of medical statements for documenting SFH. Journal: Health Leadership and Quality of Life Pages: .190 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.190 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.190:id:.190 Template-Type: ReDIF-Article 1.0 Author-Name: Cárdenas Hernández Author-Name: Araujo Inastrilla Author-Name: Muhiña Díaz Title: Bibliometric study of scientific production in Scopus on psychiatric nutrition Abstract: Introduction: Nutrition is a crucial aspect in psychiatry, as a proper diet can decrease the impact and disability associated with mental disorders. Therefore, it is necessary to know the current state of available information for the scientific community on this topic. Objective: To characterize the scientific production indexed in Scopus on psychiatric nutrition from 2019 to 2022. Method: A bibliometric study was conducted on scientific production related to psychiatric nutrition indexed in Scopus from 2019 to 2022. Bibliometric indicators of productivity, impact, and collaboration were studied. The data were exported from the bibliographic database in question and processed with the support of VOSviewer and Microsoft Excel tools. Results: Between 2019 and 2022, the scientific production on psychiatric nutrition available in Scopus covered a total of 198 publications. The year with the highest production was 2021 with 29.8% of the published documents in the studied period. Citations of publications tended to decrease. A chronological analysis of the co-occurrence of the term "nutrition" in detail allowed us to observe a higher frequency of this term in publications in 2020. Regarding collaboration between countries, the United States, United Kingdom, Canada, and Australia stood out. Conclusions: Scientific production on psychiatric nutrition has grown moderately from 2019 to 2022, although its impact has remained in decline. It is important to strengthen the production of knowledge about this topic and promote interdisciplinary collaboration between psychiatry, psychology, and nutrition Journal: Health Leadership and Quality of Life Pages: 189 Volume: 2 Year: 2023 DOI: 10.56294/hl2023189 Handle: RePEc:dbk:health:v:2:y:2023:i::p:189:id:189 Template-Type: ReDIF-Article 1.0 Author-Name: Navruzov Author-Name: Ismoilov Author-Name: Bahadirkhanov Author-Name: Almatova Author-Name: Djuraev Author-Name: Mikhiddinov Author-Name: Mirametova Title: Analysis and prediction of different stages of brain tumor from mri using ai models Abstract: Medical imaging uses computer techniques to create images of the human body's inside for diagnostic purposes. Image segmentation is crucial for many medical assessments, navigation, surgical planning, and diagnosis. There are now three techniques available for segmenting the region of interest: manual, semi-automated, and automatic. In this paper, a hybrid way to deal with the identification and characterization of brain cancers utilizing attractive reverberation imaging is proposed. It is very challenging to analyze brain cancers due to the varieties in growth position, structure, and size. The fundamental target of this study is to provide specialists with an exhaustive assortment of writing on the use of attractive reverberation imaging (MR) to the identification of cerebrum diseases. This study proposed a number of techniques for the statistical image processing and artificial intelligence-based tumour and brain cancer diagnosis. This concentrate likewise incorporates an evaluation grid for a particular framework utilizing explicit frameworks and dataset types. At last, our review gathers every one of the information expected to analyze and figure out malignant growths, including their advantages, disadvantages, headways, and possible future patterns. Journal: Health Leadership and Quality of Life Pages: .188 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.188 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.188:id:.188 Template-Type: ReDIF-Article 1.0 Author-Name: Araujo Inastrilla Author-Name: Llosa Santana Author-Name: Cárdenas Hernández Author-Name: Gutiérrez Vera Title: Artificial Intelligence and Psychology: a study of scientific production in Scopus Abstract: Introduction: Artificial intelligence (AI) has become an increasingly used tool in the practice of psychology. It can help psychologists analyze large amounts of data and identify patterns that may be difficult for humans to detect. In addition, it has been used to develop predictive models that can help psychologists predict human behavior and make informed decisions. Objective: To describe the scientific production about AI in the practice of psychology from publications indexed in Scopus between 2003 and 2023. Methods: A bibliometric study of the scientific production indexed in Scopus on AI in psychology was conducted. This study covered a population of 562 articles published between 2003 and 2023. An analysis of scientific productivity indicators was carried out: annual publications, Lotka distribution, productivity index, country and publication mode. Results: The results of the study reveal an exponential growth in scientific production on AI in psychology from 2003 to 2023, with some periodic fluctuations. Four stages of literature growth were identified: precursors, exponential growth, linear growth and collapse of the scientific field for the volume of publications analyzed. The Lotka distribution indicates that there are many authors who publish few articles and few authors who publish many articles, with a Lotka productivity index of 6.76, indicating a moderate concentration of author productivity and greater author participation. As for the country of origin of scientific production, the leading countries in this field are the United States, United Kingdom, China, Germany and Italy. Conclusions: The scientific production of AI in psychology was described, and the findings provide an up-to-date and detailed view of the intersection between AI and psychology, and lay the groundwork for future research and applications in this field. Monitoring scientific productivity in this area allows fostering the development of disruptive technologies for public good Journal: Health Leadership and Quality of Life Pages: 187 Volume: 2 Year: 2023 DOI: 10.56294/hl2023187 Handle: RePEc:dbk:health:v:2:y:2023:i::p:187:id:187 Template-Type: ReDIF-Article 1.0 Author-Name: Sandoval Zenzano Author-Name: Fuentecilla Author-Name: Grandinetti Title: Self-medication practice among dental students: associated factors and risks Abstract: Introduction: Self-medication, defined as the use of medications without medical prescription, is a widespread practice in the general population and particularly among students of health-related careers, such as Dentistry. This phenomenon is associated with factors such as the perceived mildness of symptoms, recommendations from family or friends, and easy access to medications. The study analyzed the prevalence, the most commonly used drugs and the consequences of this practice among students of the Universidad Abierta Interamericana (UAI). Development: It was identified that the drugs most commonly used in self-medication were nonsteroidal anti-inflammatory analgesics (NSAIDs) and antibiotics. NSAIDs, used for the management of pain and inflammation, presented associated risks, such as renal and gastrointestinal damage. Antibiotics, on the other hand, were the most worrying due to the development of microbial resistance, a growing problem that affects the effectiveness of medical treatments. In addition, self-medication was linked to the lack of medical supervision, the influence of advertising, and insufficient knowledge of the risks associated with the irrational use of drugs. Conclusions: Self-medication turned out to be a prevalent and worrying practice among dental students of the UAI, generating risks at the individual and collective level. It was concluded that it is necessary to implement educational and regulatory interventions that promote the rational use of drugs and raise awareness of their possible consequences. The strengthening of vigilance in the distribution and prescription of drugs was highlighted as a fundamental strategy to mitigate the adverse effects of this behavior Journal: Health Leadership and Quality of Life Pages: 186 Volume: 2 Year: 2023 DOI: 10.56294/hl2023186 Handle: RePEc:dbk:health:v:2:y:2023:i::p:186:id:186 Template-Type: ReDIF-Article 1.0 Author-Name: Bruno Author-Name: Miana Author-Name: Brusca Author-Name: Garzon Author-Name: Vela Ferreira Title: Survey on methods and practices of dental impression disinfection used in dentists Abstract: The oral cavity is a favorable environment for the increase and multiplication of bacteria. We must take into consideration that a patient can be a carrier of any infectious disease, making it necessary to take all necessary precautions; It is important to have knowledge about the disinfection processes for dental impressions, to avoid the presence of infections in the dentist's work environment. For the research, a survey was used that was given to general dentists with experience in the use of impression materials. The process of taking and handling dental impressions must be an unavoidable protocol Journal: Health Leadership and Quality of Life Pages: 185 Volume: 2 Year: 2023 DOI: 10.56294/hl2023185 Handle: RePEc:dbk:health:v:2:y:2023:i::p:185:id:185 Template-Type: ReDIF-Article 1.0 Author-Name: Bruno Author-Name: Miana Title: Evolution and disinfection of dental impression materials: advances and challenges in dental biosafety Abstract: Introduction: Dentistry focused on oral health and used dental impressions as essential tools for designing prostheses and performing dental treatments. These impressions played a crucial role in providing accurate information about oral tissues and dental arches. However, obtaining impressions carried risks of contamination and transmission of infections for both patients and clinical staff. Adequate disinfection proved to be indispensable to ensure safety and quality in the dental environment. Development: Historically, impression materials evolved from the use of beeswax and plaster in the 17th century to the incorporation of elastomers in the 20th century. The latter, such as addition silicones and polyethers, were noted for their precision and dimensional stability. In addition, disinfection techniques varied according to the material, with disinfectants such as sodium hypochlorite, glutaraldehyde and quaternary ammonium compounds being used. These practices proved to be effective, but their implementation depended on technical knowledge, available resources and compliance with regulations. Conclusions: Disinfection of dental impressions was essential to prevent cross-infection and maintain treatment quality. Despite advances in materials and methods, challenges persisted in the uniform adoption of protocols. This analysis highlighted the need for continuing education, updating of guidelines, and promotion of standardized practices to improve biosafety and ensure success in dental care Journal: Health Leadership and Quality of Life Pages: 184 Volume: 2 Year: 2023 DOI: 10.56294/hl2023184 Handle: RePEc:dbk:health:v:2:y:2023:i::p:184:id:184 Template-Type: ReDIF-Article 1.0 Author-Name: Calloni Author-Name: Secreto Title: Buccomaxillofacial Trauma in Horsemanship: Prevention and Comprehensive Management Abstract: Introduction: The study analyzed buccomaxillofacial trauma (TBF) in horseback riding, a sport that combines technical skill and inherent risk. TBFs, such as mandibular and maxillary fractures, avulsions, and dental luxations, were identified as the most common injuries due to falls, horse kicks, and collisions. These injuries not only impacted athletes physically, but also psychologically, affecting their self-esteem and confidence. The research highlighted the importance of mouthguards and helmets, although their use is not mandatory in all equestrian disciplines. Development: TBF was found to be frequent among riders and horsewomen, with a particularly high incidence in women and children. Of 20 patients evaluated, 70% had facial fractures, while the remainder suffered dental or soft tissue injuries. Most mandibular and maxillary fractures required surgical interventions such as reduction and osteosynthesis, in addition to dental rehabilitation and physiotherapy. It was also observed that dental injuries, such as dislocations and avulsions, were recurrent in falls and collisions. The use of customized mouthguards was shown to be effective in reducing the incidence of dental injuries, although it is not widely adopted. Conclusions: The study underlined the need for a comprehensive and preventive approach to horseback riding, including mandatory use of mouthguards and helmets. Multidisciplinary care, combining maxillofacial surgery, dentistry and psychological support, was highlighted as crucial for the full recovery of athletes. Finally, it was recommended to continue researching risk factors and preventive measures to improve safety in this high-impact sport Journal: Health Leadership and Quality of Life Pages: 183 Volume: 2 Year: 2023 DOI: 10.56294/hl2023183 Handle: RePEc:dbk:health:v:2:y:2023:i::p:183:id:183 Template-Type: ReDIF-Article 1.0 Author-Name: Calloni Author-Name: Secreto Author-Name: Brusca Author-Name: Garzon Author-Name: Vela Ferreira Title: Buccomaxillofacial traumas in athletes who practice horseback riding Abstract: Sports practice is one of the main causes of oromaxillofacial injuries, with great variability depending on the sport practiced. Epidemiological studies don ́t refer to the incidence, management and complications of injuries caused by animals, taking into account that the kick of a horse has a lethal power capable of producing a ton of force, and generating more than 10,000 Newtons per day. human body, producing fractures of the skull, face and other bones of the human body. The prevalence of these injuries is related to cultural components, varying depending on the country, including from one region to another within the same country. A systematic review of scientific studies related to oral and maxillofacial trauma was carried out in athletes who perform horse riding both in our country and in different parts of the world. Proper understanding of horses' behavioral patterns can help improve safety when handling them, but working with animals will never be completely safe. The most common mechanism by which injuries occur is falling from a horse, however, being kicked was correlated with a more serious injury. In addition to the use of helmets, face protectors such as those used by polo players, and mouth guards, could be options to increase orofacial protection when interacting with these animals. In all the bibliography consulted and analyzed, it is determined that the use of a helmet does not seem to add any protection to the face; Likewise, to avoid further injuries, it is recommended to provide education and information to horse owners on the proper use of protective elements and supervise young riders Journal: Health Leadership and Quality of Life Pages: 182 Volume: 2 Year: 2023 DOI: 10.56294/hl2023182 Handle: RePEc:dbk:health:v:2:y:2023:i::p:182:id:182 Template-Type: ReDIF-Article 1.0 Author-Name: Araoz Author-Name: Zemborain Author-Name: Fano Author-Name: Capmourteres Title: Propolis as a Natural Resource: Uses, Benefits and Limitations in Oral Health Abstract: Introduction: Propolis, a resinous substance produced by bees, aroused scientific interest due to its antimicrobial, anti-inflammatory and healing properties. Historically, it was used by various cultures, such as the Egyptians, who used it in embalming. Nowadays, its benefits have been recognized in medicine and dentistry. Its chemical composition rich in flavonoids and phenolic acids made it a valuable natural resource for treating infections and promoting cell regeneration. In dentistry, propolis showed efficacy in areas such as endodontics, periodontics and oral surgery, consolidating itself as a low-cost alternative to conventional treatments. Development: Propolis was identified as an essential substance in beehives to seal cracks and prevent microbial infections. Its antimicrobial activity was attributed to flavonoids, with proven efficacy against Gram-positive bacteria and oral microorganisms associated with caries and periodontitis. In dentistry, it was used for endodontic irrigation, post-surgical healing and as an anticariogenic agent, standing out for its ability to inhibit bacterial growth and accelerate tissue recovery. However, its chemical composition varied according to the local flora, which may influence its consistency. In addition, cases of allergic reactions were identified in people sensitive to bee products. Conclusions: Propolis was consolidated as an effective natural therapeutic resource in medicine and dentistry, standing out for its versatility, low cost and sustainability. However, its clinical integration requires continuous research to standardize its use and minimize allergic risks. This compound represents a promising alternative, aligned with natural approaches in health care Journal: Health Leadership and Quality of Life Pages: 181 Volume: 2 Year: 2023 DOI: 10.56294/hl2023181 Handle: RePEc:dbk:health:v:2:y:2023:i::p:181:id:181 Template-Type: ReDIF-Article 1.0 Author-Name: Kadirov Author-Name: Nazarova Author-Name: Alikulova Author-Name: Shermatov Author-Name: Narkulova Author-Name: Farmonov Author-Name: Alimukhamedova Title: Abnormality detection in wireless medical sensor networks using machine learning model Abstract: The monitoring of long-term physiological parameters in hospital settings is costly and requires the presence of important healthcare personnel. Wireless medical sensor networks (WMSNs) can be used to monitor patients' physiological data, making healthcare applications one of the most promising areas for wireless sensor networks. The remote management of patient healthcare may change with the introduction of wireless sensor devices as a part of a Wireless Body Area Network (WBAN) integrated within an overall e-Health system. A crucial component of a comprehensive health monitoring network can include tiny sensor devices that are positioned within or on top of the human body. Although it should be efficient in its process, an energy-efficiently built WBAN and WMSN should have no effect on the patient's mobility or way of life. WBAN technology can be used in a patient's residence, a hospital, or a health care facility. Patients' privacy is jeopardised when new technologies are implemented in healthcare applications without proper security considerations. Security is an essential prerequisite for healthcare apps since physiological data about an individual is extremely sensitive, particularly when it comes to patient privacy. Journal: Health Leadership and Quality of Life Pages: .180 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.180 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.180:id:.180 Template-Type: ReDIF-Article 1.0 Author-Name: Rakhmatova Author-Name: Shakhanova Author-Name: Nazarova Author-Name: Azizova Author-Name: Astanakulov Author-Name: Akramov Author-Name: Mirametova Title: Brain tumor information retrieval system for brain tumor diagnosis Abstract: Application areas for information retrieval include searching a wide range of information from search engines, identifying defective product parts in industry, extracting valuable knowledge from medical images, quickly identifying criminals in the criminal justice system through facial image and fingerprint analysis, and security biometric applications. For the aforementioned objectives, picture is a necessary component to draw original conclusions. The majority of applications rely heavily on picture retrieval, which is based on two main methods: content-based and text-based methods. One useful method used in image searching applications is Content-Based Image Retrieval (CBIR). Colour, texture, and shape descriptors—low-level traits—are used in CBIR to retrieve images. These descriptions make it simple to determine the image's context. The goal of this work is to identify brain tumour locations in magnetic resonance imaging datasets and to distinguish between normal and defective picture types. Additionally, the suggested approach performs well when it comes to classifying photos for medical applications and identifying specific locations of brain tumours. The importance of this finding prompts the creation of fresh methods for identifying patients' medical problems in real time. Journal: Health Leadership and Quality of Life Pages: .179 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.179 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.179:id:.179 Template-Type: ReDIF-Article 1.0 Author-Name: Dulloyeva Author-Name: Raufov Author-Name: Bakhadirova Author-Name: Nasirova Author-Name: Pekhanova Author-Name: Mamarasulova Author-Name: Pulatova Author-Name: Khakimova Title: Development of a chatbot for mental health support using ai-intelligent Abstract: People have been impacted by COVID-19 not just physically but also psychologically, and the epidemic has had a significant societal impact, particularly in underdeveloped nations. During such perplexing circumstances, there is undoubtedly a significant increase in psychosocial discomfort. On the other hand, more people are now seeking mental health assistance. The researcher identified a tool to help promote mental wellness and bring about a behavioural change in people's minds using the broaden and build theory of psychological wellness (Fredrickson 1998), with the goal of promoting positivity and mental well-being. This was done by utilising design research methodology and human centred design principles. Through the use of human-centered design, the study illustrated how issues can be found, verified, and their impact mitigated through the use of an intervention. In order to delve deeply into the problems that emerged during the COVID19 pandemic and ultimately lessen the psychological effects of a pandemic, the research will help the public in times of hardship and policy makers. By offering suitable, sympathetic insights and solutions in relation to human-centered design, and particularly in terms of design for the healthcare and wellness space, the study results also demonstrate further steps towards developing advanced design research during a psychosocial distress situation on people's mental wellness. Journal: Health Leadership and Quality of Life Pages: .178 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.178 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.178:id:.178 Template-Type: ReDIF-Article 1.0 Author-Name: Davlatov Author-Name: Qurbonov Author-Name: Yunusova Author-Name: Tursunova Author-Name: Narbekova Author-Name: Abdumaruf Author-Name: Mirametova Title: Secure and privacy preserving predictive framework for iot based health cloud system using cryptographic modfels Abstract: The Internet of Things (IoT) is one of the most well-liked developing technologies in the IT sector these days. The Internet of Things is defined as a network of physical objects that are intelligent and connected. Through the use of wired or wireless networks, sensors are integrated into physically connected objects and communicate with one another. The interconnectedness, intelligence, dynamic nature, sensing, large scale, heterogeneity, and security of the Internet of Things are its salient characteristics. A consumer can access a variety of cloud services, including database, application, and storage, through a network. The Internet of Things (IoT) provides a wide range of field applications for ongoing monitoring in many industries, including healthcare. Numerous studies are conducted to guarantee patient data privacy. Another challenging component of health systems is the use of patient data from IoT devices to predict disease. Protecting confidential information from unauthorised access is necessary to increase its security. To improve cloud data privacy, many classical cryptographic algorithms have been applied. Nevertheless, some issues with data privacy persist due to its inadequate security. As a result, this paper suggests an innovative method to protect cloud data privacy. The suggested EGEC encryption system can be used by the users who possess the data to decrypt data like addition and multiplication are carried out. Journal: Health Leadership and Quality of Life Pages: .177 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.177 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.177:id:.177 Template-Type: ReDIF-Article 1.0 Author-Name: Clavijo Author-Name: Moreira Author-Name: Sánchez Author-Name: Saltos Author-Name: Saldarriaga Title: Determinantes sociales de salud asociadas con hipertensión arterial en pacientes geriátricos del centro de salud miraflores, cantón 24 de mayo, ecuador Abstract: The study assessed the relationship between social determinants of health and the prevalence of arterial hypertension in older adults at the "Miraflores" Health Center at "24 de Mayo" canton, Ecuador. It aims to analyze how socioeconomic status, education, and access to health services influence the onset and management of this disease. A descriptive and cross-sectional approach was used, interviewing hypertensive patients and the health center staff. The results revealed that low educational levels and difficulties in accessing medical care are factors that increase the prevalence of hypertension in this population. Additionally, it was found that many patients do not regularly attend medical check-ups, worsening their condition. The study concluded that improving access to healthcare and promoting preventive education is essential to reduce the incidence and complications of hypertension in the geriatric population. Journal: Health Leadership and Quality of Life Pages: .176 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.176 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.176:id:.176 Template-Type: ReDIF-Article 1.0 Author-Name: Eslava-Zapata Author-Name: Chacón-Guerrero Author-Name: Esteban Montilla Title: Emotional intelligence and its relationship with leadership: research keys Abstract: Introduction: In organizations, emotional intelligence is closely linked to work teams and its relationship with factors such as maturity, intellectual capital, high levels of wisdom to solve the different problems that occur in human relations, and the ability to bounce back in the face of adversity. In this sense, this paper aims to carry out a bibliometric analysis of emotional intelligence and its relationship with leadership to identify the keys to research. Methods: A bibliographic review is carried out in the Scopus database, considering the articles published in English between 2002 and 2022. In this regard, the documents are analyzed by year, author, country, research area, co-authorship, and co-occurrence. Results: The results reveal the formation of two clusters. The first cluster is related to Emotional Intelligence, and the second cluster is related to Transformational Leadership. It is evident that Emotional Intelligence allows the leader to intuit the collaborators' needs and search for the means to satisfy them; likewise, it is found that the transformational leader must promote change and empower people to become empowered. Conclusions: Emotional intelligence is a key factor for those who assume the role of leaders since it facilitates relationships with individuals and the understanding of emotions. The leadership style adopted should help manage the organization's human resources to promote the team's emotional growth and job satisfaction. Journal: Health Leadership and Quality of Life Pages: 175 Volume: 1 Year: 2022 DOI: 10.56294/hl2022175 Handle: RePEc:dbk:health:v:1:y:2022:i::p:175:id:175 Template-Type: ReDIF-Article 1.0 Author-Name: H Author-Name: Sharma Author-Name: Singh Author-Name: Ranjan Jena Title: Evaluating the Impact of Health Leadership Training Programs on Staff Well-being and Quality of Life Abstract: Introduction: The study explored the effectiveness of programs designed to develop health leadership skills in enhancing the well-being and overall quality of life of staff. It sought to establish whether structured leadership role modeling and training could improve the psychological and operational climate for healthcare workers and ultimately improve patient care outcomes. Methods: This mixed-methods study combined quantitative surveys with qualitative interviews. The study participants were trained leaders at healthcare facilities from other areas. The researchers used validated questionnaires to assess well-being and quality of life both before and after the training. Semi-structured interviews provided qualitative data to explore staff experiences and perceived benefits. Results: As shown in the quantitative results, there was a marked increase in staff well-being and quality of life after completing the training. Themes of improved job satisfaction, better communication, and enhanced team functioning were identified through qualitative analysis. Participants noted becoming more empowered and supported in their roles, leading to a positive work environment. Conclusions: Results Student well-being and quality of life were positively influenced by health leadership training programs. Results showed positive changes in both relationships and job satisfaction and underscored the need for leadership training in health care facilities. The research suggested that healthcare organizations should invest in these types of programs as a way to boost employee morale and lead to better operational outcomes. Journal: Health Leadership and Quality of Life Pages: 174 Volume: 1 Year: 2022 DOI: 10.56294/hl2022174 Handle: RePEc:dbk:health:v:1:y:2022:i::p:174:id:174 Template-Type: ReDIF-Article 1.0 Author-Name: Bansal Author-Name: Rajesh Karpe Author-Name: Bisoi Title: Investigation of Scenario-Based Simulation for Communication Skills Development in Healthcare Education Abstract: In healthcare settings, effective communication is essential; it affects team relationships and patient outcomes. Scenario-based simulation has become a viable approach to enhancing communication skills in healthcare education. Research examines how scenario-based simulation can improve healthcare students' communication skills. 250 participants were gathered and split into two groups: the Experimental Group (EG) (n=140), which consisted of healthcare students who participated in scenario-based simulations to enhance their communication skills, such as patient interaction and empathy, while a Control Group (CG) (n=110) received traditional classroom-based training, which focused on communication skills, without participating in the simulations. The goal of both groups was to enhance clinical communication abilities. Research used a mixed-methods technique to collect both quantitative and qualitative data. The IBM SPSS software version of 29.0 was utilized. Three statistical methods were used to analyse using Regression Analysis (RA) to ascertain the effect of the intervention on communication outcomes, ANOVA to compare the improvement between the EG and CG, and Paired t-tests to evaluate communication scores pre- and post-intervention. In comparison to the control group (CG), the experimental group (EG) exhibited significant improvements in communication skills, including empathy, clarity, and cultural sensitivity. The findings show that scenario-based simulation is a useful technique for improving clinical cooperation, communication skills, patient rapport, and confidence in managing interpersonal difficulties. Adding scenario-based simulations to healthcare education programs can result in more capable and sympathetic medical workers. This suggests that more investigation be done into the optimization and long-term impacts of simulation-based training. Journal: Health Leadership and Quality of Life Pages: 173 Volume: 1 Year: 2022 DOI: 10.56294/hl2022173 Handle: RePEc:dbk:health:v:1:y:2022:i::p:173:id:173 Template-Type: ReDIF-Article 1.0 Author-Name: Gajendra Mohapatra Author-Name: Mani Title: Global Best Practices in Healthcare Management: A Comparative Analysis Abstract: Introduction: The whole of healthcare in a country is focused on the delivery of high-quality and efficient healthcare services, it will be essential to explore successful practices from abroad. Taking a comparative approach, this study finds several best practices across the globe in health system management, and identifying these core elements will help contribute to the success of healthcare systems. Methods: A literature review was performed to search for studies and reports on best practices in healthcare management from all over the world. We searched databases such as PubMed, Google Scholar, and WHO reports. The included studies were appraised for their relevance, credibility, and rigor. Through thematic and pattern identification and analysis, the findings were synthesized to produce the results. Results: Differences and similarities in healthcare management practices have been found, as evidenced by the results of the review. The key commonalities included the focus on patient-centered care, the importance of going beyond effective communication and leveraging technology to enhance the delivery of health services. Furthermore, the presence of an explicit healthcare policy and competent leadership were demonstrated to be critical elements of a successful health system in most countries. Conclusions: Implementing a student-approach-based clinical education. A strong and pragmatic policy, propelled by good leadership, is the formula for successful healthcare. Healthcare management practices vary across countries, pointing to the fact that there is no universal template or model for managing healthcare systems. This is an excellent benefit to healthcare professionals and planners because it will give them a broader outlook on effective practices in the world of healthcare delivery that can be adapted and implemented in the desired environment to enhance the efficient delivery of healthcare services. Journal: Health Leadership and Quality of Life Pages: 172 Volume: 1 Year: 2022 DOI: 10.56294/hl2022172 Handle: RePEc:dbk:health:v:1:y:2022:i::p:172:id:172 Template-Type: ReDIF-Article 1.0 Author-Name: Ferreira da Cruz Author-Name: António Author-Name: Lardoeyt Ferrer Title: Physiotherapeutic strategy for cervicalgia resulting from excessive use of Smartphones in students of an Angolan university Abstract: Introduction: Neck pain is considered one of the most uncomfortable musculoskeletal problems and has a major impact on the quality of life of individuals, being the fourth leading cause of disability in adults. With technology constantly advancing, giving rise to devices with numerous functions such as smartphones, it contributes greatly to daily activities, especially for students. However, a large part of students overuse their smartphones and spend hours connected in flexed postures, overloading the cervical region. And physiotherapy offers a variety of effective techniques for this dysfunction. Objective: To analyze the effectiveness of the physiotherapeutic strategy in students with neck pain resulting from excessive smartphone use. Methods: A quasi-experimental study with a longitudinal strategy was carried out with a sample of 14 students of both genders who presented neck pain. The intensity of pain, the range of motion of the cervical region were evaluated, and the spurling test was performed. After the evaluation, a pain relief and range of motion increase program was performed in 6 sections. Results: There was a slight improvement in pain intensity with the visual analogue scale (p=0.11), there was an improvement in the range of motion, both in cervical flexion (p=0.002), cervical extension (p=0.002), right and left lateral cervical tilt (p=0.04) and cervical rotation (p=0.03) and there was an improvement in the spurling test (p=0.002). Conclusion: The physiotherapeutic strategy was effective and provided greater functional independence in students with neck pain due to excessive smartphone use Journal: Health Leadership and Quality of Life Pages: 166 Volume: 4 Year: 2025 DOI: 10.56294/hl2025166 Handle: RePEc:dbk:health:v:4:y:2025:i::p:166:id:166 Template-Type: ReDIF-Article 1.0 Author-Name: Quiroga Wendy Author-Name: Armijos Silva Author-Name: Enríquez Jácome Author-Name: Chávez-Arizala Title: Update on the theoretical and practical aspects of the evaluation of nursing care in patients with eclampsia and preeclampsia Abstract: Introduction: Eclampsia is a serious complication of pregnancy characterized by seizures in women with preeclampsia. The quality of nursing care is crucial for the effective management of eclamptic patients, as it influences maternal and neonatal outcomes. Objective: To update the theoretical framework and research background on the quality of nursing care in pregnant women with eclampsia and preeclampsia. Method: A narrative review of the updated literature was conducted using recognized databases. Development: The main nursing care is the constant evaluation and verification of signs of worsening of the disease. The fetus and the pregnant woman/newborn must be kept safe before, during, and after delivery. Nurses must assess respiratory rate and vital signs, respiratory sounds, oxygen saturation levels, deep tendon reflexes, intake and output, level of consciousness, and fetal status at frequent intervals. Conclusions: Staff training and compliance with protocols are essential to ensure safe and effective care. It is necessary to continue strengthening staff training and improving communication with patients to optimize results in the management of this critical condition Journal: Health Leadership and Quality of Life Pages: 165 Volume: 4 Year: 2025 DOI: 10.56294/hl2025165 Handle: RePEc:dbk:health:v:4:y:2025:i::p:165:id:165 Template-Type: ReDIF-Article 1.0 Author-Name: Calderón Landívar Author-Name: Carrera Macías Author-Name: Calazacón Aguavil Author-Name: Chávez-Arizala Title: Level of work stress in teachers from several schools in the province of Santo Domingo Abstract: Introduction: Stress is a condition that is currently common in the workplace, being a physiological reaction to difficult or demanding situations. Objective: to determine the level of work stress in teachers from several schools in the province of Santo Domingo de los Tsáchilas, 2021 Methods: quantitative, applied research, the sample consisted of 120 teachers from different schools who met the inclusion and exclusion criteria; the ED-6 scale was applied, which consisted of 6 dimensions and 27 questions related to anxiety, depression, pressure, discouragement, etc. Results: they indicated that stress is found in a high rate among teachers, correlating physiological responses, psychosocial and emotional factors to mental and physical demand, therefore, it was found that 39% of the respondents suffer from tension at work corresponding to the anxiety dimension, being only surpassed by the dimension of stress due to poor coping with a percentage of 51%. Conclusions: teachers have normal stress levels due to anxiety and poor coping, and low levels due to depression, maladaptive beliefs, pressures and demotivation. Although stress can affect their adaptation to changes, the work environment is positive, which suggests that it does not significantly impact their performance or general well-being. Journal: Health Leadership and Quality of Life Pages: 164 Volume: 4 Year: 2025 DOI: 10.56294/hl2025164 Handle: RePEc:dbk:health:v:4:y:2025:i::p:164:id:164 Template-Type: ReDIF-Article 1.0 Author-Name: Lizcano Ramírez Author-Name: Ordoñez Delgado Author-Name: Zambrano Arteaga Author-Name: Chávez Arizala Title: Characterization of patients with HIV/AIDS by nursing staff according to the Virginia Henderson model Abstract: Introduction: the human immunodeficiency virus is one of the main causes of death each year in Latin America and the world. The number of accumulated cases and new cases each year places it among the main current health problems. Nursing staff plays a fundamental role in the care and monitoring of these patients. The objective was to characterize the health status of HIV/AIDS patients. Methods: a descriptive, cross-sectional study was conducted with 7 patients admitted to the OrphAids Foundation, Santo Domingo, Ecuador. A survey was applied, structured in two parts, the first one for sociodemographic data and the second structured by 102 questions with polytomous responses based on Virginia Henderson's 14 needs. Results: patients were predominantly male, non-working and single. 85,7 % were sexually inactive, 71,4 % had been diagnosed in the last five years, 57,1 % reported problems concentrating, only 14,3 % reported respiratory symptoms, 28,6 % had abdominal pain and weight fluctuations, and only one patient reported constipation, sleep problems, anxiety and communication problems. Conclusions: the patients admitted to the foundation have an adequate state of health according to the clinical and psychological characteristics investigated. The eight needs identified as affected, presented a slight degree of alteration. Journal: Health Leadership and Quality of Life Pages: 163 Volume: 4 Year: 2025 DOI: 10.56294/hl2025163 Handle: RePEc:dbk:health:v:4:y:2025:i::p:163:id:163 Template-Type: ReDIF-Article 1.0 Author-Name: Núñez Centurión Author-Name: Guiamet Title: Workplace Stress Management in Nursing: Addressing Burnout Syndrome and Psychosocial Factors Abstract: Introduction: Job stress was identified by the Pan American Health Organization (PAHO) as a relevant public health problem due to its negative impact on workers' health and institutional performance. The prevalence of occupational stress is higher in developing countries, significantly affecting healthcare personnel, especially nurses, due to the nature of their work. Burnout Syndrome (BS) represents an extreme manifestation of chronic stress, characterized by emotional exhaustion, depersonalization and a perception of low personal fulfillment. This phenomenon deteriorates the physical and mental health of workers and reduces the quality of services provided. Development: Job stress arises as a response to the lack of control and ability to cope with constant work demands. Among the associated psychosocial factors are work overload, conflictive relationships and lack of institutional support, accentuated by individual conditions such as gender and seniority. Karasek's Psychosocial Risk Model demonstrated that the balance between demands, control and social support is crucial to mitigate work stress. Modern institutions must address both structural and individual determinants to prevent SB and other harmful effects of stress. Conclusions: SB constitutes a critical problem in nursing, with implications for worker health and institutional efficiency. Primary, secondary and tertiary prevention strategies, together with the development of coping skills and the strengthening of institutional support, are essential. Comprehensive management of occupational stress not only improves the well-being of professionals, but also the quality and sustainability of the health care system Journal: Health Leadership and Quality of Life Pages: 162 Volume: 4 Year: 2025 DOI: 10.56294/hl2025162 Handle: RePEc:dbk:health:v:4:y:2025:i::p:162:id:162 Template-Type: ReDIF-Article 1.0 Author-Name: Casimiro Author-Name: Geisse Vyhmeister Author-Name: Oviedo Author-Name: Canova-Barrios Title: Psychosocial risk factors perceived by the nursing staff of a Neonatal Intensive Care Unit in Buenos Aires, Argentina Abstract: Introduction: Nursing is a highly stressful profession and working conditions can negatively affect the mental and physical health of workers, especially those working in closed areas such as the neonatal intensive care unit. Objective: To determine the psychosocial risks affecting nurses working in a neonatal intensive care unit of a hospital in the Autonomous City of Buenos Aires, Argentina. Methods: Descriptive, quantitative, and cross-sectional study. Forty nurses from a neonatal intensive care unit participated and answered the COPSOQ-ARG instrument to assess psychosocial risks in the work environment. Results: Respondents had a mean age of 35.80 years (SD=7.00) and were mostly female (77.50%), married or in a union (52.50%), nursing technicians (55.00%), working weekend and holiday shifts (40.00%), permanent employees (85.00%), and working more than one job (52.50%). The overall mean psychosocial risk score was 45.29% (SD=11.24). The dimensions with the highest and lowest levels of concern were "interpersonal relationships" and "organization at work". Conclusions: A moderate level of presence and exposure to psychosocial risks was found in NICU nurses. A higher general level of exposure was found in younger professionals, men and those with more than one job. The implementation of monitoring activities and interventions to minimize psychosocial risks is needed Journal: Health Leadership and Quality of Life Pages: 161 Volume: 4 Year: 2025 DOI: 10.56294/hl2025161 Handle: RePEc:dbk:health:v:4:y:2025:i::p:161:id:161 Template-Type: ReDIF-Article 1.0 Author-Name: Barrientos Lujan Author-Name: Apaza-Huanca Author-Name: Carrillo-Campos Author-Name: Aguirre Cruz Author-Name: Espejo-Alanoca Author-Name: Gomez Rosales Author-Name: Cordova Mamani Author-Name: Auza Santivañez Title: Knowledge, attitudes and behaviors regarding nutrition among students of the School of Public Health - Tekove Katu in Bolivia Abstract: Introduction: Food is an essential component in the socio-cultural and economic context of communities. In Bolivia, malnutrition and food security problems are prevalent, especially in indigenous communities. The "Tekove Katu" Health School is an ideal setting for the implementation of nutritional education programs, given its intercultural approach and the potential impact on the food practices of students and their communities. Methods: Study design: Descriptive, cross-sectional observational study in students from indigenous communities during the month of February - December 2023. Universe and sample: 100% of students enrolled in 2023 were included. Exclusion criteria: Not wanting to participate in the research Not attending during the days in which the questionnaire was applied. Procedure: The data were collected through a self-administered questionnaire. Results and discussion: The results indicated that 82.55% of the participants expressed an appropriate conceptualization of healthy eating; However, a significant dissonance was evident between theoretical understanding and eating behaviors. Consumption patterns characterized by a dichotomy between the recognition of nutritional principles (91.86% expressed interest in healthy eating) and suboptimal eating practices (95.38% consumption of sweets, 83.07% consumption of hamburgers). Conclusions: At the "TEKOVE KATU" Health School, there is a predominance of the female gender and a higher concentration of students in the age range of 17 to 19 years. The parents of the students have a low educational level, and most of the students live with more than four people. A positive attitude towards the interest in eating healthily is highlighted, although a preference for foods rich in fats, refined sugars and sodium is also observed, despite recognizing that these are unhealthy. A large majority of students receive limited and unreliable information on food and nutrition, which highlights the need for a more solid nutritional education. It is clear that, in the absence of nutritional education and healthy eating programs, students do not have a solid foundation to consolidate healthy eating habits, which constitutes a public health problem with implications for morbidity and mortality, quality of life, health expenditure and an increase in chronic non-communicable diseases Journal: Health Leadership and Quality of Life Pages: 160 Volume: 4 Year: 2025 DOI: 10.56294/hl2025160 Handle: RePEc:dbk:health:v:4:y:2025:i::p:160:id:160 Template-Type: ReDIF-Article 1.0 Author-Name: Chacón Alpí Author-Name: Ramírez Rodríguez Author-Name: Gutiérrez Vera Author-Name: Lescalle Ortiz Title: Notes on stroke and quality of life Abstract: Introduction: stroke represents a challenge for modern medicine. Physical, functional, psychological and social aspects are particularly important when assessing the quality of life of people suffering from this disease. Objective: to systematize the knowledge on quality of life of post-stroke patients through the results of research on the subject. Methods: a documentary review, qualitative and descriptive research was carried out, and the following theoretical methods were used: historical-logical, analytical-synthetic, inductive-deductive. Results: stroke is a disease with a growing tendency, where the study of the quality of life of these patients has been constant and has achieved its best form of quantification with the development of the ECVI - 38, of Cuban origin, an instrument applied by other researchers both in our country and in other latitudes. The link between quality of life and family environment has been worked in few works worldwide and with scarce bibliography in Cuba. Conclusions: the systematization of the specialized bibliography and the research carried out on the subject has shown enough elements of judgment to make assessments in order to plan an improvement strategy for the professional performance of the family doctor on quality of life of the post stroke patient based on the best experiences in Cuba and the rest of the world. Journal: Health Leadership and Quality of Life Pages: .159 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.159 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.159:id:.159 Template-Type: ReDIF-Article 1.0 Author-Name: Montes de Oca Carmenaty Author-Name: Blázquez López Author-Name: Filiu Farrera Title: Stevens Jhonson syndrome on the subject of a case Abstract: Introduction: Stevens-Johnson syndrome (SJS) is an acute mucocutaneous inflammatory process, manifested as a hypersensitivity picture triggered by infections and / or drugs, it is classified as the initial stage of a dermal reaction whose most severe presentation is the toxic epidermal necrolysis. Clinical Case: we present the case of a 46-year-old female patient with a diagnosis of Infectious Urinary Syndrome due to postinstrumentation sepsis, received initial treatment with bulb vancomycin, then began to present skin lesions described as generalized hives on the head, trunk and extremities with a strong tendency to universality, developed a very severe Stevens-Johnson syndrome with cutaneous, ocular and oral, vulvar and anal mucosa manifestations, which evolved to septic shock, was accompanied by other complications and had a fatal outcome. Discussion: Stevens-Johnson Syndrome and toxic epidermal necrolysis can present with a morbilliform eruption that can evolve to skin necrosis, compromising the digestive tract, trachea, bronchi, urinary tract, vagina and conjunctiva. In severe cases, complications such as persistent eye injuries, pneumonia, esophageal stenosis, acute renal failure, liver failure, hematological disorders, massive transepidermal fluid losses, and sepsis may appear, the latter being the main cause of death Journal: Health Leadership and Quality of Life Pages: 158 Volume: 2 Year: 2023 DOI: 10.56294/hl2023158 Handle: RePEc:dbk:health:v:2:y:2023:i::p:158:id:158 Template-Type: ReDIF-Article 1.0 Author-Name: Sharma Author-Name: Lal Soni Author-Name: Sahu Author-Name: Jamuna Title: Leadership Strategies for Reducing Burnout and Improving Quality of Life among Health Care Workers Abstract: Introduction: Burnout among healthcare providers is a serious concern that diminishes both quality of life and quality of care. Leadership strategies have been suggested as a solution to ameliorate burnout and improve quality of life among healthcare workers. Methods: Researchers reviewed existing literature to explore effective strategies in the workplace for leadership to help alleviate burnout and improve workplace quality of life. They conducted database searches and then included articles meeting certain inclusion criteria. Results: The literature review yielded three key strategies that leaders may utilize to mitigate burnout and elevate quality of life in healthcare professionals. Some include; fostering an encouraging workplace ambiance, giving employees voice in subject matter expertise to the decision-making process, and offering options for self-care and professional growth. Studies indicate that these strategies foster employee well-being and further enhance overall job satisfaction. Conclusions: These studies show that strong leadership can help decrease burnout and increase the quality of life of healthcare workers. By doing so, leaders can foster a positive work environment and care for employees, which translates into improved patient care and outcomes. This study has key implications for leadership in addressing burnout and creating a better work environment for healthcare workers. Journal: Health Leadership and Quality of Life Pages: 157 Volume: 1 Year: 2022 DOI: 10.56294/hl2022157 Handle: RePEc:dbk:health:v:1:y:2022:i::p:157:id:157 Template-Type: ReDIF-Article 1.0 Author-Name: Ya Author-Name: Virgilito Title: Techniques and Biomaterials in Guided Bone Regeneration: A Comprehensive Approach in Dentistry Abstract: Introduction: Bone loss after tooth extraction represented a significant challenge in dentistry, characterized by rapid remodeling of the alveolar bone, with a reduction in crestal width of up to 60% in three years. This phenomenon mostly affected the vestibular bone, which is thinner than the lingual bone, especially in cases of trauma or periodontal disease. To address this problem, advanced techniques such as Guided Bone Regeneration (GBR), which integrated membranes, osteoconductive and osteoinductive materials and bone grafts, were developed. Development: The treatment of bone defects depended on biological processes such as osteogenesis, osteoconduction and osteoinduction. Autogenous grafts were considered the most effective option by providing living cells, proteins and growth factors essential for bone regeneration. Alternatively, biomaterials such as hydroxyapatite and calcium phosphate, recognized for their biocompatibility, were used. In addition, semi-permeable membranes were used to prevent invasion of unwanted tissues, establishing a favorable environment for bone growth. These techniques allowed significant improvements in the stability and volume of the alveolar ridge. Conclusions: ROG consolidated as a key tool in the management of bone defects, facilitating anatomic and functional recovery of the alveolar ridge. Although autogenous grafts represented the gold standard, biomaterials expanded the therapeutic options. The success of these interventions depended on an adequate selection of materials, precise surgical techniques and an interdisciplinary approach, thus improving the quality of life of patients affected by alveolar bone loss Journal: Health Leadership and Quality of Life Pages: 156 Volume: 2 Year: 2023 DOI: 10.56294/hl2023156 Handle: RePEc:dbk:health:v:2:y:2023:i::p:156:id:156 Template-Type: ReDIF-Article 1.0 Author-Name: Azua Author-Name: Brusca Author-Name: Garzón Author-Name: Vela Ferreira Title: Challenges and Solutions in Molar Verticalisation: A Comprehensive Perspective Abstract: Molar mesio-inclination represented one of the most frequent malocclusions in adults, mainly attributed to premature tooth loss. This problem affected both dental function and aesthetics, generating bone defects, periodontal pockets and occlusal interferences. Correction by molar verticalisation was essential to restore oral health and optimise prosthetic rehabilitation. The verticalisation process involved significant biomechanical challenges due to the need to apply precise and controlled forces. Devices such as cantilevers, T-springs and mini-implants were used, adjusting to the degree of inclination and periodontal conditions of the patient. Studies showed that the technique chosen depended on factors such as the severity of the inclination, the condition of the bone tissue and the position of adjacent teeth. Research evaluated the periodontal and biomechanical impact of these techniques. Although prolonged tilting did not significantly aggravate moderate periodontitis, plaque accumulation and inflammation were higher in tilted molars. Mini-implants proved to be the most efficient option, minimising periodontal stress and allowing better control of tooth movement. In conclusion, clinical success depended on a comprehensive evaluation that included the type of movement required, the forces applied and the design of the devices used. Proper planning allowed for improved occlusal and periodontal health, ensuring predictable and long-lasting results. Journal: Health Leadership and Quality of Life Pages: 155 Volume: 1 Year: 2022 DOI: 10.56294/hl2022155 Handle: RePEc:dbk:health:v:1:y:2022:i::p:155:id:155 Template-Type: ReDIF-Article 1.0 Author-Name: Azua Author-Name: Brusca Author-Name: Garzón Author-Name: Vela Ferreira Title: Alternative Biomechanical Alternatives for Verticalisation of Molars Abstract: During the clinical evaluation, it is common to observe inclined molars, a condition that represents a challenge for the professional due to the limited understanding of the most effective biomechanics to correct this alteration. There is little consensus in the management of these cases, since the loss of adjacent teeth usually triggers changes in molar position, causing inclinations that alter occlusion and periodontal health. This negatively affects the health of the stomatognathic system, making it necessary to stabilize and harmonize the position of the molars to restore adequate occlusion. The objective of this work is to describe the different therapeutic alternatives for molar verticalization, considering the undesirable effects that may arise when incorrectly applying certain biomechanics. The verticalization of molars is a complex clinical challenge for the dentist, given its high technical difficulty. To this end, a bibliographic study was carried out in which different treatment alternatives were explored. Journal: Health Leadership and Quality of Life Pages: 154 Volume: 2 Year: 2023 DOI: 10.56294/hl2023154 Handle: RePEc:dbk:health:v:2:y:2023:i::p:154:id:154 Template-Type: ReDIF-Article 1.0 Author-Name: Vazquez Author-Name: Brusca Author-Name: Garzón Author-Name: Ferreira Title: Comprehensive Management of Medical Emergencies in Dental Practice Abstract: Medical emergencies in the dental setting represented a significant challenge for health professionals, who faced unexpected situations such as syncope, hyperventilation, asthma, epilepsy, anaphylactic shock, airway obstruction, metabolic disturbances and cardiorespiratory arrest. These conditions arose from natural causes, diseases or a combination of both, requiring appropriate and timely management to ensure patient stability and avoid legal complications. Effective management required theoretical knowledge, practical skills and the availability of specific equipment and drugs in the clinic. In addition, the importance of rapid assessment and the implementation of protocols based on up-to-date guidelines was emphasised. Continuing education and training were key to responding to critical events and stabilising the patient while coordinating specialised medical care. Psychological factors such as fear and anxiety also played an important role, as they frequently triggered episodes such as syncope and hyperventilation. Therefore, dentists developed competencies in communication and empathy to handle these situations effectively. In summary, comprehensive preparation and up-to-date knowledge were essential to preserve patient health and maintain high quality standards in dental care. Journal: Health Leadership and Quality of Life Pages: 153 Volume: 2 Year: 2023 DOI: 10.56294/hl2023153 Handle: RePEc:dbk:health:v:2:y:2023:i::p:153:id:153 Template-Type: ReDIF-Article 1.0 Author-Name: Vazquez Author-Name: Brusca Author-Name: Garzón Author-Name: Ferreira Title: Are the UAI dentist and 5th year undergraduate students trained to deal with a medical emergency situation in daily practice? Abstract: Introduction: Medical emergencies are sporadic situations that can occur in the health profession: in the case of dentistry, they are generally not predictable, but they can put the life of the patient at risk, therefore, they require attention. immediate. (3). These emergency events can be carried out for reasons, natural, diseases or a combination of both, such as situations of syncope, hyperventilation, asthma, epilepsy, anaphylactic shock, airway obstruction airways, hypotension, hypertension, hypoglycemia, hyperglycemia, cardio-respiratory arrest. The objective of the investigation was to determine if the dentists received from the UAI and 5th year students of the undergraduate degree are trained to solve a medical emergency in daily practice. Methodology: Non-experimental, descriptive, observational, prospective study, quantitative study at the Universidad Abierta Interamericana in the Dentistry Career, theoretical methods were used: analysis and deduction, to support the investigation. A survey was applied to n°= 57 participants, in the form of a structured questionnaire with closed questions with basic knowledge variables. (5) Results: The very good level of knowledge presents 65%, the good level the 30% and the regular 5%. Conclusion: The capacity of the dentist graduated from the Open University Interamericana and students of said institution, to resolve emergencies. doctors in the office, is very good. Journal: Health Leadership and Quality of Life Pages: 152 Volume: 2 Year: 2023 DOI: 10.56294/hl2023152 Handle: RePEc:dbk:health:v:2:y:2023:i::p:152:id:152 Template-Type: ReDIF-Article 1.0 Author-Name: Velásquez Author-Name: Brusca Author-Name: Garzón Author-Name: Ferreira Title: Impact of Sugary Drugs on Children's Oral Health Abstract: Dental caries was described for decades as a transmissible infectious disease caused by microorganisms such as Streptococcus mutans. However, recent research has classified it as a non-communicable and controllable disease, related to risk factors similar to other chronic diseases. This paradigm shift has led to the prioritisation of management strategies that seek to balance the oral biofilm and minimise the effects of external factors such as excessive sugar consumption. Frequent consumption of liquid sweetened paediatric medicines was identified as a significant risk factor. These products contain sweeteners such as sucrose, which increases the acidogenic activity of the oral microbiome, lowering pH and promoting demineralisation of tooth enamel. In addition, prolonged use of these medicines aggravates problems such as xerostomia, reducing the buffering capacity of saliva. Studies have pointed out that ignorance about the impact of sugar-sweetened medicines is common among paediatricians and caregivers. Although sugar-free alternatives exist, their use is limited. Public policies regulating sugar content in medicines, together with oral hygiene education campaigns, are essential to mitigate the associated risks. Finally, the need for a comprehensive approach that includes collaboration between paediatricians and dentists to prevent dental caries and improve children's quality of life was highlighted. Journal: Health Leadership and Quality of Life Pages: 151 Volume: 2 Year: 2023 DOI: 10.56294/hl2023151 Handle: RePEc:dbk:health:v:2:y:2023:i::p:151:id:151 Template-Type: ReDIF-Article 1.0 Author-Name: Rout Author-Name: Garg Author-Name: Renuka Author-Name: Bhavani Title: Assessing the Effectiveness of Patient-Centric Leadership on Overall Quality of Life in Chronic Disease Management Abstract: Introduction: (This study aimed to evaluate the effectiveness of patient-oriented leadership on the improvement of quality of life (QoL) in patients with chronic diseases. The authors introduced the need for patient-centered care as the prevalence of chronic diseases has reached alarming proportions, both for the patient and the health system. They emphasized the importance of patient-oriented leadership in fostering patient empowerment, engagement in decision-making, and better health results. Methods: It was not necessary to change task 1 methods as it was a basic task that was used to introduce a customized quantitative questionnaire with pre-test and post_test on patient quality of life to measure the effectiveness of patient-centric leadership on overall quality of life. A total of 200 patients with chronic diseases who were undergoing treatment were divided into an intervention group that received patient-centered leadership training and a control group that received conventional care. The validated scales used in the questionnaire encompassed patient empowerment, involvement in decision-making, and overall quality of life. Results: Very briefly, the data demonstrated a substantial improvement in the proportion of empowered patients, involvement with making decisions, and quality of life in the intervention group relative to the control group. They also observed a positive association between patient-centric leadership and patient empowerment and engagement in decision-making. Patient-centred leadership significantly impacts the improvement of the quality of life of patients with chronic diseases. Conclusions:Thus, the study demonstrated that it is the consolidated, systematic training in patient-centered leadership that promotes patient empowerment and engagement in their own disease decisions, which is translated into a life in which, through patient potential, the quality of life increases through patient-centered leadership. This result underscores the need for patients' descriptors in healthcare leadership based care, and the value of adopting this patient-centered approach in the management of chronic disease. Long-term implications of patient-centric leadership on health outcomes in chronic disease management should be further established. Journal: Health Leadership and Quality of Life Pages: 150 Volume: 1 Year: 2022 DOI: 10.56294/hl2022150 Handle: RePEc:dbk:health:v:1:y:2022:i::p:150:id:150 Template-Type: ReDIF-Article 1.0 Author-Name: Araoz Author-Name: Zemborain Author-Name: Fano Author-Name: Capmourteres Title: Study of propolis in dental treatments and materials Abstract: This study is based on providing an updated vision of the use of propolis in dentistry. The main applications reported are in the area of medicine in situations of high-grade burns in surgeries. Currently in some countries, in the field of dentistry, it is used in situations of caries prevention, endodontics, periodontics, prosthetic dentistry and oral and maxillofacial surgery. Propolis has been shown to be effective in the dental field and has received special attention in recent years. Journal: Health Leadership and Quality of Life Pages: 149 Volume: 2 Year: 2023 DOI: 10.56294/hl2023149 Handle: RePEc:dbk:health:v:2:y:2023:i::p:149:id:149 Template-Type: ReDIF-Article 1.0 Author-Name: Shu ya Author-Name: Virgilito Author-Name: Brusca Author-Name: Garzon Author-Name: Vela Ferreira Title: Guided bone regeneration Abstract: Guided bone regeneration is a proced capable of promoting new bone formation. The bone defect such as fenestration, injury and tooth extraction. Guide Bone Regeneration has been used widely in implantology for enhancing bone healing to optimize implant placements in the maxillary. The guide bone regeneration is a technique that uses resorbable and non-resorbable membranes in combination with other filling biomaterials as autologous, homologous or heterologous bone graft, or aloplastic materials as mechanic barriers that prohibit the migration of connective and epithelial cells, enabling the osteogenic cells invasion in bone defects. Journal: Health Leadership and Quality of Life Pages: 148 Volume: 2 Year: 2023 DOI: 10.56294/hl2023148 Handle: RePEc:dbk:health:v:2:y:2023:i::p:148:id:148 Template-Type: ReDIF-Article 1.0 Author-Name: H Author-Name: Lochan Behera Author-Name: Sharma Author-Name: Gupta Title: Leadership and Quality of Life: Navigating Health Systems Through Crisis Management and Beyond of Life in Chronic Disease Management Abstract: Introduction: This article focuses on the leadership in health systems in crisis and its effect on the quality of life. It essentially covers how good leadership can steer through extraordinary times like now, during the COVID-19 pandemic, and make way for quality care delivery and better population health outcomes in the future. Methods: The study uses a systematic review methodology to collect and analyse literature on leadership and health systems, crisis management and quality of life. This SCOPUS and PUBMED systematic review was based on 50 articles selected for analysis through a rigorous evaluation of relevance and evidence quality. Results: We now know that leadership is the most important factor in navigating crises as well as the responder systems more generally striving to enhance life among the communities they serve. By having a clear vision, pragmatic communication and adaptability, leaders can steer their teams and organizations through volatile periods and come out with better results. Moreover, good leadership is also important for building public trust and confidence during crises, which is important to increase the level of compliance with public health measures. Conclusions: To conclude this paper, we have emphasised the vital impact of leadership on the quality of life within health systems and at all organisational levels, especially during times of crisis. It highlights the importance of leaders having the skills and qualities needed to successfully manage and navigate through extraordinary circumstances and improve overall population health outcomes. Moreover, additional studies are needed to identify the particular leadership attributes, approaches, and styles that best serve us in addressing health system crises and enhancing quality of life. Journal: Health Leadership and Quality of Life Pages: 147 Volume: 1 Year: 2022 DOI: 10.56294/hl2022147 Handle: RePEc:dbk:health:v:1:y:2022:i::p:147:id:147 Template-Type: ReDIF-Article 1.0 Author-Name: Prusty Author-Name: Kumar Author-Name: Varma Author-Name: Rajesh Title: Analyzing the Influence of Health-Related Factors on Quality of Life among Elderly Populations Abstract: The impact of health-related issues on elder individuals' quality of life (QoL) is examined, and understanding the factors influencing older people's well-being is crucial as the world's population ages. Research looks at social, mental, and physical health indicators and how it affect various aspects of QoL, such as social interaction, emotional stability, and physical functioning. Standardized health evaluations and structured interviews were used to gather information from a sample of 850 senior citizens. The data include chronic illnesses, mobility issues, cognitive decline, physical health, and mental health conditions (anxiety and depression), which are important health-related considerations taken into account. Community involvement and social support systems were also assessed in connection with QoL. The IBM SPSS software version of 30 was utilized. The descriptive statistics were implemented to connect the participant characteristics, multiple regression analysis was employed to ascertain the fostering power of health-related factors on QoL, and multivariate analysis of variance (MANOVA) was utilized to estimate the overall effect of health-related factors on several QoL dimensions. The findings show that whereas cognitive impairments are substantially associated with decreased social engagement and overall life satisfaction, health issues and mobility limits considerably impact physical and emotional well-being. To improve elder people's QoL, these findings highlight the necessity of comprehensive healthcare strategies that address social, emotional, and physical well-being. Further research should explore interventions aimed at minimizing the impact of health-related factors on QoL in elderly populations. Journal: Health Leadership and Quality of Life Pages: 146 Volume: 1 Year: 2022 DOI: 10.56294/hl2022146 Handle: RePEc:dbk:health:v:1:y:2022:i::p:146:id:146 Template-Type: ReDIF-Article 1.0 Author-Name: Asif Author-Name: Mane Author-Name: Sahoo Author-Name: Gupta Title: The Role of Safety Culture in Reducing Incidents in High-Risk Industries Abstract: Introduction: It examines the influence of safety culture on the likelihood of incidents in high-danger industries. The goal is to see if encouraging a robust safety culture will ultimately lead to fewer incidents and better safety performance. Methods: Following that, the researchers conducted a detailed literature review to search for matching studies and data on safety and safety culture and their relationship to incidents, especially in high-risk industries. Next, a meta-analysis was performed on the findings to determine the overall impact safety culture has on incident reduction. Results: The analysis found a statistically significant positive correlation between a high level of safety culture and a decrease in incident frequency. Compared to industries with weak safety culture, industries with strong safety culture had significantly less number of incidents. This effect applied to all high-risk industries, including oil and gas, aviation, and construction. Conclusions: This study finds that safety culture is an important factor in preventing incidents in high-risk industries. Organizations expound on a robust safety culture by communication, training, and leadership. When applied properly and consistently, it can cause safety performance to be visible and improve, decrease the frequency of incidents over time, and help keep people and plants safe. Journal: Health Leadership and Quality of Life Pages: 145 Volume: 1 Year: 2022 DOI: 10.56294/hl2022145 Handle: RePEc:dbk:health:v:1:y:2022:i::p:145:id:145 Template-Type: ReDIF-Article 1.0 Author-Name: Jayakumar Author-Name: Arun Author-Name: Fahar Ali Author-Name: Garg Title: Assessment of Occupational Hazard Communication: Effectiveness and Challenges Abstract: Introduction: This is a subsection of the introduction that describes OHC and its role in supporting workplace safety. The manuscript then details the data collection methods— what data sources the research draws from and how they were analyzed. It had a qualitative and quantitative aspect, which consisted of questionnaires and interviews with workers and employers from various industries. Methods: The results indicate that although all the employees are very much aware of occupational hazards, there is still a gap in the effectiveness of hazard communication. This was clear in the very few procedures in place to enforce safety protocols, and even less of a mandated training schedule to ensure compliance. Results: Overall evidence on this shows that organizations should establish proper communication of information and ensure employees have to undergo regular training to understand hazards and safety rules. Conclusions: Occupational hazard communication has made progress toward workplace safety, but some challenges continue to limit its usefulness. However, the key findings of this assessment serve as a guide for organizations to improve their hazard communication practices, leading to a safer workplace in the long run. Journal: Health Leadership and Quality of Life Pages: 144 Volume: 1 Year: 2022 DOI: 10.56294/hl2022144 Handle: RePEc:dbk:health:v:1:y:2022:i::p:144:id:144 Template-Type: ReDIF-Article 1.0 Author-Name: Varma Author-Name: Dash Author-Name: Sagar Author-Name: Purohit Title: Examining the Effect of Occupational Health and Safety Practices on Improving Workplace Safety Outcomes Abstract: With an emphasis on important elements, such as safety regulations, training initiatives, hazard identification, employee involvement, and leadership dedication, the research investigates how occupational health and safety (OHS) practices might enhance workplace safety results. The research investigates the impact of successful OHS initiatives on workplace injury rates, given the importance of workplace safety. Surveys were used to obtain data on OHS procedures and safety outcomes from a sample of 9500 employees in various sectors. The IBM SPSS software version of 29.0 was utilized and data were analyzed using independent t-tests to compare safety outcomes between organizations with different levels of OHS adherence, descriptive statistics to summarize the features of the data, and chi-square tests to assess the relationship between safety practices and injury rates. According to the results, there is a substantial correlation between reduced injury rates and important elements like thorough safety training, frequent risk assessments, and active employee participation in safety procedures. Additionally, when compared to organizations with less comprehensive OHS practices, those that exhibit leadership commitment, cultivate a strong safety culture, and follow industry-specific safety requirements have superior safety outcomes. To lower workplace accidents and the resulting financial and human consequences, the research highlights the significance of these critical elements. The results suggest that further research could explore the integration of technology in OHS practices and investigate the long-term impact of evolving safety regulations on workplace safety outcomes. Journal: Health Leadership and Quality of Life Pages: 143 Volume: 1 Year: 2022 DOI: 10.56294/hl2022143 Handle: RePEc:dbk:health:v:1:y:2022:i::p:143:id:143 Template-Type: ReDIF-Article 1.0 Author-Name: Pradhan Author-Name: Ahmed Author-Name: Sharma Title: Analyzing the Efficacy of Remote Monitoring Systems in Occupational Health Abstract: Introduction: Over the previous years, the applications of the remote monitoring system in the occupational health are becoming famous. However, these systems enable constant monitoring of health-related data from employees in almost any work environment, which provides employers with critical information to manage health risks at work and increase workplace wellness. The purpose of this study was to explore the impact of remote monitoring systems of occupational health on the health of the employees and the work productivity. Methods: Therefore, a thorough overview of the scientific literature was performed in order to obtain an understanding ofthe current state-of-the-art in remote monitoring systems within the context of occupational health. Inclusion criteria included publications dated from 2010 to 2020, studies that employed remote monitoring systems for gathering employee health data, and studies that provided information on the effectiveness of these systems. The analysis included 20 studies. Results: This research highlights the extent to which workplace programming matters to experienced employees as reflected by the positive effects on absenteeism, health outcomes, productivity, and overall well-being experienced when adopting these remote monitoring systems (Research Note). Such systems also enable early identification of health problems, facilitating prompt intervention and cutting costs for both employees and employers. Conclusions: The remote monitoring systems have been found to help improve occupational health and the workforce to a healthier state (study findings). The benefit is a convenient and non-invasive solution for continuous monitoring of employee health — with identification and detection of potential health risks. Further research is required to investigate the potential barriers and facilitators for the uptake and maintenance of these systems across work places. Still, it is advisable to enforce this with the current evidence of the implementation of remote monitoring systems in occupational health for workplace health and productivity purposes. Journal: Health Leadership and Quality of Life Pages: 142 Volume: 1 Year: 2022 DOI: 10.56294/hl2022142 Handle: RePEc:dbk:health:v:1:y:2022:i::p:142:id:142 Template-Type: ReDIF-Article 1.0 Author-Name: Singh Author-Name: Sharma Author-Name: Bansal Title: Cross-Cultural Leadership Approaches and Their Influence on Community Health Quality of Life Metrics Abstract: Introduction: This study sought to explore the effect of cross-cultural leadership models on community health quality of life indicators. Increasing diversity in communities and a demand for leaders in healthcare to be culturally competent have aroused interest in researching the relationship between cultural leadership models and health outcomes in communities. Methods: A thorough literature review was performed to find previous research on cross- cultural leadership and community health QOL metrics. A search of peer–reviewed literature from 2000 to 2020 focusing on leadership approaches in various cultural contexts. Results: Cross-cultural leadership approaches appear to have a major effect on community health quality of life indicators. These forms of leadership can facilitate a unique approach to understanding various cultures, communicating and collaborating with communities. This ultimately improves more culturally appropriate health care services and more effective health outcomes in the community. Conclusions: Such an approach is likely to be more effective in improving community health quality of life metrics when based upon cross cultural leadership approaches. Cross-cultural leadership competencies are needed to be developed by leaders in healthcare organizations. This will allow for a more responsive and culturally competent healthcare system that ultimately improves community health status and quality of life. More research is needed to determine the mechanisms by which cross-cultural leadership strategies impact community health quality of life indicators. Journal: Health Leadership and Quality of Life Pages: 141 Volume: 1 Year: 2022 DOI: 10.56294/hl2022141 Handle: RePEc:dbk:health:v:1:y:2022:i::p:141:id:141 Template-Type: ReDIF-Article 1.0 Author-Name: Marín Prada Author-Name: Rodriguez Author-Name: Capote Pereira Author-Name: Davalos Iglesias Author-Name: Garcia Villar Author-Name: Carnet Beira Author-Name: Auza-Santivañez Author-Name: Condori-Villca Title: Characteristics of mortality with Chronic Kidney Disease in Cuba. Trend and forecast. 2011-2020 Abstract: Mortality due to Chronic Kidney Disease (CKD) has shown a significant increase globally and in Cuba over the past decade. This study analyzes the characteristics of mortality due to CKD in Cuba between 2011 and 2020, aiming to illustrate and determine the trend and prognosis. A longitudinal descriptive study was conducted, using data from 35,031 deaths registered by the Ministry of Public Health of Cuba. The variables analyzed include the year of death, age, sex, province of residence, and cause of death, using the International Classification of Diseases. Mortality rates were calculated and age-adjusted using standard statistical methods and the SPSS version 20.0 program.During the study period, mortality with CKD in Cuba increased from 2,764 cases in 2011 to 4,325 in 2020, an increase of 56.47%. Age-adjusted mortality rates showed a higher increase in men (39.83%) than in women (20.71%). The average age at death was 70.38 years. Potential years of life lost (PYLL) amounted to 263,090.5, with the most affected age groups being 50-59 years. The provinces with the highest age-adjusted mortality rates were Cienfuegos and Sancti Spíritus.Renal diseases represent a growing cause of mortality in Cuba, aligning with trends observed in the Americas region. The implementation of CKD prevention and control programs in primary health care is crucial to mitigate this trend Journal: Health Leadership and Quality of Life Pages: 140 Volume: 4 Year: 2025 DOI: 10.56294/hl2025140 Handle: RePEc:dbk:health:v:4:y:2025:i::p:140:id:140 Template-Type: ReDIF-Article 1.0 Author-Name: Calderón Landívar Author-Name: Guevara Zapata Author-Name: España Chamorro Author-Name: Chávez-Arizala Title: Musculoskeletal disorders in workers of Aldean Supermarkets, Santo Domingo Abstract: Introduction: According to the World Health Organization (WHO) report, it is estimated that approximately 1,710 million people in the world have musculoskeletal disorders, mainly low back pain with a prevalence rate of at least 568 million individuals. Objective: To describe musculoskeletal disorders in workers at Aldean Supermarkets, Santo Domingo 2023. Material and Methods: The type of study carried out in this research had a quantitative emphasis. The variables were handled: ergonomic risk factors, physical demands of the job, discomfort in the locomotor system, musculoskeletal disorders and prevention measures. Among the research techniques that were used is the questionnaire. Results: Regarding the female gender, it was possible to identify that 26% corresponded to the ages between 18 and 25 years; Regarding the male gender, it was found that 18% corresponds to the age group between 25 and 32 years. It was possible to show that 40% commonly perform repetitive movements. It was observed that 80% of the participants presented forced postures in the trunk; likewise 76% presented forced postures in the elbows and 74 in the arms. 100% of the workers surveyed, the assigned areas do not use the necessary equipment to be able to carry out their work effectively. Conclusions: In the study carried out there was a predominance of the female sex with respect to the male. A significant percentage of the workers surveyed reported performing repetitive movements, as well as presenting work stress. The highest percentage of the jobs presented forced postures in the trunk, as well as all the workers in the assigned areas do not use the necessary equipment to be able to carry out their work effectively Journal: Health Leadership and Quality of Life Pages: 139 Volume: 4 Year: 2025 DOI: 10.56294/hl2025139 Handle: RePEc:dbk:health:v:4:y:2025:i::p:139:id:139 Template-Type: ReDIF-Article 1.0 Author-Name: Herrería Acosta Author-Name: Santana Pérez Author-Name: Sosa Remón Author-Name: Auza-Santivañez Author-Name: Jeréz Alvarez Title: Emergency stock in a resource-constrained acute care unit: analysis of the medication management process Abstract: Introduction: The research is based on the evaluation and analysis of drug stock management in the Emergency Department of Peltier University Hospital Center in Djibouti. Methods: An observational, longitudinal and descriptive study was conducted from December 1, 2023 to April 30, 2024. The aim was to describe the diseases with the highest incidence in the emergency department and to organize a stock of medicines. Results: the health problems that contributed the greatest number of patients were cerebrovascular diseases and renal failure with a length of stay of 27 and 66 hours respectively. In relation to the stages of drug acquisition management, it was possible to analyze that, although there are most of the drugs in the institution, their use and consumption is deficient since there is no physical or documented existence of a stock of drugs in the emergency department, which is expressed in the prolongation of the stay in the service. A medication guide was developed to improve the emergency stock and better patient management. Conclusions: The lack of a stock of medicines in the emergency department affected the stage (use - consumption), which is the most important for the adequate management of the patient, thus prolonging the stay in the service Journal: Health Leadership and Quality of Life Pages: 138 Volume: 4 Year: 2025 DOI: 10.56294/hl2025138 Handle: RePEc:dbk:health:v:4:y:2025:i::p:138:id:138 Template-Type: ReDIF-Article 1.0 Author-Name: Dash Author-Name: Asif Author-Name: Varma Author-Name: Lal Soni Title: A Comprehensive Assessment of Improper Medical Waste Disposal and Its Effects on Environmental Health Abstract: Improper medical waste disposal poses significant environmental and health risks. Investigation on its impact, focusing on factors like healthcare facility type, worker training, and waste management infrastructure is crucial. To assess the relationship between improper waste disposal and environmental health outcomes is the main aim of this research. Surveys were conducted with 150 healthcare workers and 50 waste management personnel across local hospitals and clinics to gather data on disposal practices and health impacts. Data was analyzed using SPSS Version 28 to explore relationships between variables, including healthcare facility type, training level, infrastructure, regulatory enforcement, and waste segregation practices, impacting environmental health outcomes. Descriptive statistics and multiple regression analysis, highlighting key factors influencing improper disposal. Descriptive statistics were employed to summarize and present key characteristics of the dataset, such as frequencies, means, and standard deviations, offering an overview of the sample's demographic details and waste disposal practices. Additionally, multiple regression analysis was conducted to explore the relationships between variables like environmental health outcomes (e.g., pollution levels). Multiple regression analysis showed strong correlations between waste segregation practices and environmental health outcomes (p < 0.05). Improper medical waste disposal poses significant environmental health risks, with insufficient training and infrastructure identified as major contributors. Policy changes and improved waste management practices are recommended. Journal: Health Leadership and Quality of Life Pages: 137 Volume: 1 Year: 2022 DOI: 10.56294/hl2022137 Handle: RePEc:dbk:health:v:1:y:2022:i::p:137:id:137 Template-Type: ReDIF-Article 1.0 Author-Name: Narayan Senapati Author-Name: Sharma Author-Name: Singh Choudhary Title: Technological Advancements in Personal Protective Equipment: A Future Perspective Abstract: Introduction: Personal protective equipment (PPE) is vital in protecting the health and safety of individuals working in many different... With the latest developments in technology, PPE has made significant strides in its effectiveness and functionality. This is a new opinion paper, that wants to give a future scope towards technology involved in PPE. Methods: We performed a resume of the literature to find out what is the current state-of-the-art of PPE and what technology advancement could be done to improve the PPE. The electronic databases of PubMed, Science Direct and Google Scholar were searched for the following keywords: “personal protective equipment” “technology” “innovations” “future." Results: New advanced technologies in PPE were sorted into these properties corresponding to the three categories: materials, design and feature. Innovative materials, including nanotech-based materials, self-sanitizing surfaces, and biodegradable polymers, have been promising candidates towards more effective and sturdier personal protective equipment (PPE). From a design perspective, 3D printing and wearable sensors were noted for providing convenient and personalizable solutions for PPE. Additionally, more sophisticated components like air-cleaning systems, communicators, and augmented real notifications emerged as viable advancements in PPE. Conclusions: The ongoing incorporation of technology in PPE will further enhance its safety, comfort, and performance. New technology in materials, design, and features will protect better, reduce the chances of user error, and improve the experience overall. The future advancements are tremendous and researchers and industries should work closely together to ensure safety and well-being of individual. Journal: Health Leadership and Quality of Life Pages: 136 Volume: 1 Year: 2022 DOI: 10.56294/hl2022136 Handle: RePEc:dbk:health:v:1:y:2022:i::p:136:id:136 Template-Type: ReDIF-Article 1.0 Author-Name: Mani Author-Name: Das Author-Name: Sharma Title: Empowering Nursing Leadership: A Pathway to Enhanced Patient and Provider Quality of Life Abstract: Introduction: The impact of nursing leadership on the quality of life of patients and providers is significant yet too frequently not acknowledged. Empowerment of nursing leadership to improve outcomes in quality of life for patients and providers. Methods: We adopted a qualititative research design using focus groups and questionnaires with leaders in nursing, healthcare and patients. The sample included 50 selected from multiple health care domains. Results: Empowering nursing leadership had a positive impact on patient and provider quality of life. Participants reported clearer communication, greater collaboration, and increased job satisfaction. As a result, patients felt they were being heard and involved in their care, which led to improved health outcomes and better satisfaction. Conclusions: This statement truly punctuates the idea that empowered nursing leadership can enhance quality of life for both patient and provider alike in measurable ways. Nursing leaders play an important part in developing organizational culture, which can be a vehicle for ethical decision-making and development of moral courage for all. Additional studies should be performed to determine the best practices for developing and promoting empowering nursing leadership. In the end, investing in nursing leadership is a way to promote better patient outcomes and to support healthcare providers in a more positive working environment. Journal: Health Leadership and Quality of Life Pages: 135 Volume: 1 Year: 2022 DOI: 10.56294/hl2022135 Handle: RePEc:dbk:health:v:1:y:2022:i::p:135:id:135 Template-Type: ReDIF-Article 1.0 Author-Name: Dhar Author-Name: Ahmad Wani Author-Name: Sharma Title: Sustainable Health Leadership: Balancing Economic Constraints with Quality of Life Improvements Abstract: Introduction: With a need to balance economic constraints and quality-of-life improvements, sustainable health leadership is vital. This involves leaders making strategic decisions to promote health and well-being within their organizations, while also being mindful of their organizations’ bottom lines. The principle of sustainability focuses on the long-term consequences of decisions for the economic, social, and environmental determinants of health. Methods: Sustainable Health Leadership response A scoping review was undertaken to investigate the role of sustainable health leadership in the tension between economic constraints and quality-of-life improvement. We reviewed diverse studies and frameworks around sustainable health leadership, to find overarching themes and actionable strategies to achieve this balance. Results: The literature review demonstrates that effective, sustainable health leadership demands holistic approach by taking into consideration the not only the financial but also the social and environmental impacts of decisions. Collaboration, stakeholder engagement and a longterm perspective are among the key factors seen as vital to the successful building of sustainable health leadership. Conclusions: For striking a balance between economic constraints and quality of life improvements, sustainable health leadership is a must. Avoiding siloed approaches: It is important for leaders to have a long-term focus beyond decisions that impact only a narrow aspect of health and involve stakeholders to promote collaboration. When leaders incorporate sustainability into their decision-making, they make a positive impact that is both economic and social — the effects can last for generations. Journal: Health Leadership and Quality of Life Pages: 134 Volume: 1 Year: 2022 DOI: 10.56294/hl2022134 Handle: RePEc:dbk:health:v:1:y:2022:i::p:134:id:134 Template-Type: ReDIF-Article 1.0 Author-Name: Garg Author-Name: Ahmed Author-Name: Parhi Title: Advancing Healthcare Competence in the Management of Rheumatic Heart Disease in Primary Healthcare Settings Abstract: Rheumatic Heart Disease (RHD) remains a significant global health issue, particularly in primary healthcare settings. Enhancing healthcare competence in RHD management was crucial for early detection and effective treatment. The investigation aims to improve healthcare workers' competence in managing RHD through targeted training programs and assess the impact on their knowledge and clinical practices. Pre- and post-training surveys were used to assess knowledge, confidence, and practices. Clinical observations were conducted in 46 primary healthcare settings, involving 94 healthcare workers. Variables include knowledge level, Confidence in RHD Management, clinical practice adherence, diagnostic accuracy, and patient education effectiveness. Statistical analysis using SPSS Version 25, including the Paired t-test and Wilcoxon Signed-Rank Test showed significant improvements in healthcare workers' competence in RHD diagnosis, treatment, and patient education (p<0.05). The Paired t-test was used to compare the mean differences in pre- and post-training scores for normally distributed data, it helps determine whether the mean difference between the two sets of data was statistically significant. The Wilcoxon Signed-Rank Test assessed if there was significant variation between the two related samples (before and after training) by looking at the rank order of the differences rather than the actual values.The training program effectively enhanced healthcare workers' competence in managing RHD. The intervention holds promise for improving RHD outcomes in primary healthcare settings, with potential for broader implementation. Journal: Health Leadership and Quality of Life Pages: 133 Volume: 1 Year: 2022 DOI: 10.56294/hl2022133 Handle: RePEc:dbk:health:v:1:y:2022:i::p:133:id:133 Template-Type: ReDIF-Article 1.0 Author-Name: Sharma Author-Name: Mane Author-Name: Sekhar Patra Author-Name: Prakash Chandra Title: Assessing the Impact of Air Pollution on Respiratory Health: A Longitudinal Study in Urban Areas Abstract: Introduction: This study sought to determine the long-term association between exposure to air pollution and respiratory health in the context of urban settings. Methods: Longitudinal study conducted in urban areas with a sample size of 500 individuals. Air pollution level data were acquired from government publications, respiratory health data were extracted from self-reported and medical exam records. Statistical analysis was conducted to analyze the association between air pollution levels and respiratory health for a duration of 5 years. Results: The association was strong between air pollution level and respiratory health, according to the study. The prevalence of respiratory symptoms and diseases among people living in areas with high levels of air pollution was higher than among people living in areas with a low level of air pollution. Also, the association was stronger among people with prior respiratory diseases. Moreover, the study also discovered that long-term exposure to air pollution had a accumulated impact on respiratory health. Conclusions: The results of this study underscore the negative effects of air pollutants on lung health, necessitating appropriate action to cut down levels of air pollutants in metropolitan areas. They also emphasize the need for long-term monitoring and study of air pollution and its impacts on human health. In summary, this study provides important insights into the associations between air pollution and respiratory health conditions, while also highlighting the need for future research to identify specific pollutants and their sources contributing to these health issues, as well as the implementation of targeted interventions to reduce their impact on human health. Journal: Health Leadership and Quality of Life Pages: 132 Volume: 1 Year: 2022 DOI: 10.56294/hl2022132 Handle: RePEc:dbk:health:v:1:y:2022:i::p:132:id:132 Template-Type: ReDIF-Article 1.0 Author-Name: Agrawal Author-Name: Fahar Ali Author-Name: Varma Author-Name: Sarangi Title: Evaluation of Peer Training Programs for Health Volunteers to Enhance Chronic Disease Management Abstract: Chronic diseases, including hypertension, diabetes, and cardiovascular conditions, were major health concerns among older adults in rural areas. Health Outreach Volunteers (HOVs) were vital in addressing these challenges by providing basic healthcare services. The intention of this research is to develop to and evaluate the effectiveness of a peer-training program in enhancing HOV's knowledge, self-confidence, and performance in chronic disease management. The training program consisted of an eight-session program, delivered over 4 weeks. A total of 67 health workers participated in twice-weekly sessions, focusing on chronic disease management, health behaviors, and communication strategies. Data were gathered through pre- and post-intervention assessments using the Health Knowledge and Wellness Assessment (HKWA), the Chronic Disease Management Survey (CDMS), and self-efficacy scales. Continued training initiatives should be prioritized to further strengthen the capacity of HOVs in rural well-being settings. Significant improvements were determined in HOVs, HKWA (P = 0.001), CDMS (P < 0.001), and self-confidence scores (P = 0.01). Participants also described an increase in their ability to deliver healthcare services, enhance patient education, and foster superior interaction with healthcare proficient. The peer-led training program proved effective in improving the skills, knowledge, and assurance of HOVs in the supervision of chronic diseases. Continued training invention should be prioritized to further maintain the potential of HOVs in rural health surroundings. Journal: Health Leadership and Quality of Life Pages: 131 Volume: 1 Year: 2022 DOI: 10.56294/hl2022131 Handle: RePEc:dbk:health:v:1:y:2022:i::p:131:id:131 Template-Type: ReDIF-Article 1.0 Author-Name: Sandoval Zenzano Author-Name: Zunini Author-Name: Vela Ferreira Author-Name: Jewtuchowicz Author-Name: Brusca Title: Self-medication in students of the Dentistry Faculty, Inter-American Open University, Buenos Aires Abstract: Introduction: self-medication is the use of medicines on one's own initiative or on unqualified advice to prevent, alleviate or treat symptoms or mild illnesses that people can identify. Although it is part of self-care, its use must be responsible. It is found more intensely in students of the health sector and its professionals. The objective was to characterize the practice of self-medication in dental students. Methods: a descriptive, observational, cross-sectional study was conducted in 62 students from the Faculty of Dentistry of the Universidad Abierta Interamericana , Buenos Aires, selected in a non-random manner. The data were obtained through a survey using a Google Forms form, after requesting informed consent. Results: 62,9 % were female, 86 % engaged in the practice, 47,3 % indicated that they were analgesics; 34,5 % antibiotics, more than half specified having obtained it in a pharmacy (56,4 %; n=31); 45,5 % determined the medication they needed by asking a professional, 45,5 % did not consult a doctor because they considered that their symptoms were not serious enough to go; 63,6 % revealed that the symptom that motivated the above was headache; 32,7 % sore throat and fever. Conclusions: self-medication is a common practice among students, mainly with analgesics and anti-inflammatory drugs, motivated by the appearance of illnesses and infectious processes; it has social, cultural, economic and circumstantial motivations. Journal: Health Leadership and Quality of Life Pages: .130 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.130 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.130:id:.130 Template-Type: ReDIF-Article 1.0 Author-Name: Kumar Author-Name: Sharma Author-Name: Tripathy Title: Health Leadership in Telemedicine: Improving Access and Quality of Life for Remote Populations Abstract: Introduction: Telemedicine and the Role of Health Leadership in Improving Access and Quality of Life for Remote Populations—An Issue of Collective Resource Management Telemedicine: technology used to access healthcare services from a distance has adopted a new form of delivery to enable remote communities to overcome barriers to accessing healthcare. Methods: To this end, a literature review was performed to identify relevant articles, studies and reports on telemedicine and healthcare leadership. Identifying and analysing key themes and findings to assess the impact of leadership on telemedicine to improve access and quality of life for remote populations. Results: The results underscore the importance of health leadership for the success of telemedicine programs. The need to make them effective is a requirement for leaders with a sound planning of the strategies for clientele with such unrealistic resources, infrastructure, and workforce. Conclusions: Telehealth, which has matured significantly since its inception, has global adoption with proven efficacy in the delivery of health services, but health leadership can be a depraved determinant to the effectiveness of telemedicine in accessing and improving the quality of life of remote populations. One must be cognizant of the challenges and opportunities in providing healthcare services in remote areas. Journal: Health Leadership and Quality of Life Pages: 129 Volume: 1 Year: 2022 DOI: 10.56294/hl2022129 Handle: RePEc:dbk:health:v:1:y:2022:i::p:129:id:129 Template-Type: ReDIF-Article 1.0 Author-Name: Renuka Author-Name: Priyadarshini Nayak Author-Name: Singh Title: The Role of Green Spaces in Mitigating Urban Heat Island Effects and Promoting Community Health Abstract: Introduction: This study aimed to explore how green spaces contribute to reducing urban heat island effects and enhancing public health. The heat island effect is the tendency for urban areas to be warmer than rural areas, leading to environmental and health consequences. Green spaces, including parks, gardens, and trees, may counteract some of these effects by providing shade and cooling and by encouraging residents of cities to be physically active and to enjoy better mental health. Methods: A literature review was made to collect information on the advantages of green spaces in cities. Past researches which explored how green spaces help to reduce urban heat island effects and increase community health were obtained and examined. They also looked at case studies of cities that have implemented such initiatives, and examined their efficacy. Results: The results of this study indicated that green spaces can be useful in reducing the urban heat island effect. Trees and other vegetation can lower surface temperatures in urban areas, provide shade, and enhance air quality. In addition, green spaces have been shown to contribute to community health by offering spaces for exercise, calming anxiety, and acting as a hub for socializing. Conclusions: To sum up, the findings of the study provide evidence that green spaces are crucial in reducing the negative impacts of urban heat islands and enhance the well-being of communities. Vertical gardening, terrace gardening, etc. This highlights the need for urban planners and policymakers to prioritize the development and preservation of green spaces in cities to counteract the negative effects of urbanization and foster healthy, sustainable communities. Journal: Health Leadership and Quality of Life Pages: 128 Volume: 1 Year: 2022 DOI: 10.56294/hl2022128 Handle: RePEc:dbk:health:v:1:y:2022:i::p:128:id:128 Template-Type: ReDIF-Article 1.0 Author-Name: Sekhar Patro Author-Name: Awasth Author-Name: Jamuna Author-Name: Sharma Title: Evaluating the Effectiveness of Policy Interventions in Reducing Lead Exposure among Vulnerable Populations Abstract: Introduction: Lead exposure continues to be a major public health issue, especially for vulnerable populations, including children and low-income communities. This has led to policy interventions, but the impact on reducing lead exposure is under scrutiny. The objective of this study is to evaluate the effectiveness of policy measures in reducing lead exposure among susceptible populations. Methods: We undertook a systematic review of the literature to identify studies that assessed the effectiveness of policy interventions to reduce lead exposure. The search included peer-reviewed articles from 2000 to 2020, and studies were included if they (1) measured changes in lead exposure levels or (2) were a policy intervention targeted at a vulnerable population. Quality assessments of the studies were conducted using predefined criteria with data being synthesized through narrative. Results: Out of the twenty studies that met the inclusion criteria, most focused on lead paint abatement, lead service line replacement, or lead-safe renovation practices. These results point toward a substantial decrease in lead exposure following the introduction of policy interventions that can range as high as a 73% reduction in blood lead levels in children across multiple studies. Moreover, lead-exposure prevention policies implementing education and awareness programs showed favorable impacts by increasing knowledge among parents and encouraging the practice of safer behaviors to lower lead exposure. Conclusions: These findings highlight the potential for policy interventions to significantly reduce lead exposure in susceptible populations. These results also stress the importance of regular assessment and refinement of these policies to guarantee continuing success that reduces lead exposure throughout the years. Further research should evaluate their cost-effectiveness and barriers to implementation and effectiveness. Journal: Health Leadership and Quality of Life Pages: 127 Volume: 1 Year: 2022 DOI: 10.56294/hl2022127 Handle: RePEc:dbk:health:v:1:y:2022:i::p:127:id:127 Template-Type: ReDIF-Article 1.0 Author-Name: Gupta Author-Name: Mane Author-Name: Priyadarshini Author-Name: Singh Choudhary Title: Research on Health Education Strategies for Improving Student Knowledge on Infectious Disease Prevention Abstract: The increasing number of infectious diseases in public settings emphasizes the necessity of efficient health education programs to give students fundamental knowledge and preventative skills. This investigates successful health education strategies to improve students' learning and behavior about preventing infectious diseases. Data, including socioeconomic characteristics, were gathered from 1250 students. Before implementing health education techniques, baseline information is gathered from participants through a survey to assess their initial level of infectious disease prevention knowledge and behaviors. The same tests are conducted again following the intervention to evaluate if students have any improvements based on the health education strategy. The investigation assesses several educational approaches, including digital learning tools, classroom lectures, and peer-led activities, to establish their importance in increasing awareness of hygiene habits, disease transmission, and prevention measures. Using SPSS, statistical techniques like regression analysis and paired t-tests are utilized to compare pre- and post-intervention in health education. The findings indicate that interactive and technology-based techniques significantly improve knowledge retention and encourage the adoption of preventive actions. Furthermore, peer-led education had a favourable impact on participation and behavior modification. This investigation emphasizes the value of targeted, engaging, and evidence-based health education programs in enhancing student knowledge and behavior about infectious disease prevention. It suggests incorporating such measures into school curricula to strengthen resilience to disease outbreaks and enhance public health outcomes. Journal: Health Leadership and Quality of Life Pages: 126 Volume: 1 Year: 2022 DOI: 10.56294/hl2022126 Handle: RePEc:dbk:health:v:1:y:2022:i::p:126:id:126 Template-Type: ReDIF-Article 1.0 Author-Name: Narayan Hota Author-Name: Malathi Author-Name: Panigrahi Title: Microplastics and Human Health: An Emerging Concern in Aquatic and Terrestrial Environments Abstract: Introduction: Microplastics in aquatic and terrestrial environments have become an increasing concern in the past several years because of their potential impact on human health. Microplastics are small particles of plastic, under 5mm in size, that are often found in products such as personal care products (microbeads); textiles (microfibers); plastic packaging; etc. These microplastics may persist in the environment and be consumed by organisms low on the food chain and humans high on it. Methods: Microplastic exposure on human health has been investigated extensively by scientists, both in water and on land. That includes researching the sources and distribution of microplastics and their impacts on human health. Laboratory experiments have also been better carried out to understand the possible health hazards of microplastic exposure. Results: There is also growing evidence from animal studies that microplastics can be harmful to human health. Microplastics are also linked to various health issues, including digestive problems, nutrient deficiency, and exposure to potentially dangerous chemicals that leach from the plastics. In addition to that, microplastics have also been shown to harbor bacteria and other pathogens that could contribute to additional population health problems. Conclusions: Microplastics pollution is an emerging threat to human health within aquatic and terrestrial environments. More research is needed to fully understand the potential risks and long-term effects of microplastics on human health. Microplastics pose a risk to human health, the ecosystem as a whole, and human health, and preventative measures need be implemented in order to decrease the generation and dispersion of microplastics into the environment. Journal: Health Leadership and Quality of Life Pages: 125 Volume: 1 Year: 2022 DOI: 10.56294/hl2022125 Handle: RePEc:dbk:health:v:1:y:2022:i::p:125:id:125 Template-Type: ReDIF-Article 1.0 Author-Name: Sharma Author-Name: Chandra Author-Name: Rath Title: Exploring the Impact of Patient Quality of Life on Family Caregiver Burden in Palliative Care Abstract: Palliative Care (PA) significantly focuses on family caregivers, and it's critical to comprehend the interdependencies among patients, family caregivers, and service providers. Since there aren't many long-term studies that look at how patient Quality of Life (QoL) in PC affects family Caregiver Burden (CB), this research aims to investigate the connection between family CB and patient QoL in PC settings. PC is intended to help patients with severe diseases, but it frequently puts a heavy financial, emotional, and physical burden on family caregivers. 200 data (100 patients, 100 caregivers) were gathered from caregivers of patients receiving PC in a variety of hospital settings using established measures for assessing CB and QoL. The obtained data will be statistically analyzed to determine the association between patient QoL and CB utilizing multiple regression (MR) analysis and Spearman's rank correlation (SRC). The results show that the caregiver's perceived burden is greatly increased by low patient QoL, especially when it comes to physical and emotional health. The findings underscore the need for interventions that take into account the psychological and physical burden on caregivers in addition to the needs of patients. Research improves the knowledge of family caregiver interactions in PC and offers solutions to reduce caregiver stress, including resources to improve patient QoL, psychological support, and respite care. Journal: Health Leadership and Quality of Life Pages: 124 Volume: 1 Year: 2022 DOI: 10.56294/hl2022124 Handle: RePEc:dbk:health:v:1:y:2022:i::p:124:id:124 Template-Type: ReDIF-Article 1.0 Author-Name: Malla Author-Name: Purohit Author-Name: Soni Title: The Impact of Ergonomic Interventions on Employee Productivity and Wellbeing Abstract: Introduction: The purpose of this study is to evaluate the effect of ergonomic interventions on employee productivity and well-being. Ergonomic measures involve generating a safer and better workspace, subsequently improving employee performance and contentment. Methods: This study implemented a controlled experiment with two groups of employees, with one group receiving intervention and the other group serving as a control group. and the impact of interventions was measured in terms of productivity levels and self-reported wellbeing before and after the interventions. Results: All groups resulted in a significant improvement of productivity levels and well being among the employees who received ergonomic products in comparison to the control group. It indicates ergonomics interventions positively so towards improving employee performance and health well-behindness. Conclusions: Posture corrections are essential for reducing the risk in all aspects of life As such, employers must focus on designing workspaces that promote these ergonomics enhancing workspaces for the betterment of the organization and the employees alike. Journal: Health Leadership and Quality of Life Pages: 123 Volume: 1 Year: 2022 DOI: 10.56294/hl2022123 Handle: RePEc:dbk:health:v:1:y:2022:i::p:123:id:123 Template-Type: ReDIF-Article 1.0 Author-Name: Lenka Author-Name: Singh Author-Name: Jayakumar Title: Investigating the Links between Climate Change, Vector-Borne Diseases, and Public Health Outcomes Abstract: Introduction: The present study aimed to explore the associations between climate change, vector-borne diseases and health outcomes. Contemporary climate change has drawn growing recognition from the global public health community as an important global public health hazard (1). Vector-borne diseases like malaria, dengue, and Lyme disease also pose significant public health threats, and we know that they, too, are sensitive to climatic changes. But the exact links among climate change, vector-borne diseases and public health outcomes remain poorly characterized. Methods: The goal of this study was to determine whether climate change, vector-borne diseases, and public health outcomes are connected in some way. However, the role climate change plays to the environment and human health made it a serious global public health threat (2). Vector-borne diseases, including malaria, dengue, and Lyme disease, are another important category of high-impact diseases and are also known to be affected by climate change. But the direct links between climate change, vector-borne diseases, and public health outcomes are poorly understood. Results: Overall, the results of the study indicate that climate change plays a very important role in the distribution, seasonality and transmission of vector borne diseases. Rising temperatures and shifting weather patterns are associated with the expansion of the geographic range of vectors, causing increased transmission of diseases like malaria, dengue fever, and Lyme disease[3]. In addition, adapting measures to control disease will be critical in response to active ecological changes driven by climate change. Conclusions: This research draws attention to the pressing need for international action on climate change to limit the impacts on vector-borne diseases and public health. Therefore, vector-borne diseases will continue to rise with little to no processes in place to quell its influence without climate change remediation measures and it would lead to dire consequences with respect to human health and well-being. Further research is needed to not only understand but also identify mechanisms to mitigate the impacts of climate change on vector-borne disease and human health. Journal: Health Leadership and Quality of Life Pages: 122 Volume: 1 Year: 2022 DOI: 10.56294/hl2022122 Handle: RePEc:dbk:health:v:1:y:2022:i::p:122:id:122 Template-Type: ReDIF-Article 1.0 Author-Name: Biswal Author-Name: Awasthi Author-Name: Sharma Title: Organizational Performance Indicators and Their Influence on Patient Satisfaction in Healthcare Environments Abstract: Organizational performance indicators (OPIs) are key measurements used to evaluate the efficiency, effectiveness, and overall success of healthcare (Hc) organizations. These indicators can potentially influence Patient Satisfaction (PS), an important factor in determining healthcare quality. Understanding the link between OPIs and patient satisfaction might help healthcare practitioners improve service delivery. Hence, to evaluate the impact of several OPI on PS in healthcare settings, this research involves a mixed-methods approach. This approach included quantitative analysis through surveys of OPIs and PS, as well as qualitative interviews with healthcare personnel. OPIs such as Personnel Efficiency (PE), Resource Management (RM), Patient Care Quality (PCQ), Patient satisfaction (PS), and Healthcare Service Time (HcST) were assessed. Data were obtained from various healthcare settings, and using SPSS statistical approaches like descriptive statistics, correlation analysis, and multiple regression, the relationship between OPIs and PS was analysed. Research found a substantial positive relationship between specific OPIs and greater levels of PS. The results indicated that Resource Management (RM) had the highest performance, while Personnel Efficiency (PE) showed the lowest, emphasizing key areas for improving patient satisfaction. The analysis identified areas where OPIs may be enhanced to improve patient experiences, such as communication and personalized treatment. Journal: Health Leadership and Quality of Life Pages: 121 Volume: 1 Year: 2022 DOI: 10.56294/hl2022121 Handle: RePEc:dbk:health:v:1:y:2022:i::p:121:id:121 Template-Type: ReDIF-Article 1.0 Author-Name: Parashar Author-Name: Sahu Title: Assessing the Preparedness of Healthcare Graduates for the Challenges of Modern Medicine Abstract: Introduction: It explored how well healthcare graduates are prepared to face the changing demands of modern medicine. Given the rapid technological development and increasing complexity of patient care, it was important to evaluate whether current educational programs were preparing graduates with the requisite competence and knowledge. Methods: We conducted a cross-sectional survey among recent healthcare graduates from diverse medical schools. Preparedness and normalization-maintained readiness were assessed in several domains (e.g., clinical skills, communication, critical thinking, and adaptation to new technologies). Data were analyzed statistically to reveal deficits and strengths and targeted educational training were recommended. Results: The results showed that although graduates felt adequately trained in fundamental clinical skills, they were poorly prepared in new areas like telemedicine and working on an interdisciplinary team." Many also felt they needed more training in using digital health tools and managing data. Critical thinking. Conclusions: The study found that while healthcare graduates had a solid grounding in most core clinical skills, there was a considerable gap in their preparedness for the modern-day demands of medical practice. The way we train needs to change: include more education on emerging technologies, interdisciplinary team work and healthcare management. Enhancing these aspects may help train the next generation of health care professionals to better navigate and adapt to the complexities of modern medical systems. Journal: Health Leadership and Quality of Life Pages: 120 Volume: 1 Year: 2022 DOI: 10.56294/hl2022120 Handle: RePEc:dbk:health:v:1:y:2022:i::p:120:id:120 Template-Type: ReDIF-Article 1.0 Author-Name: Mane Author-Name: Mohanty Author-Name: Tomar Title: Innovative Strategies for Improving Healthcare Management Efficiency in Public Hospitals Abstract: Introduction: Armed with data on efficiency and costs, public hospitals are doing the maximum to get into meticulous distributions. In this context, new strategies and tactics to deliver healthcare services to improve efficiency and quality of care have been developed. This article provides a specific scope and review of innovative strategies with respect to healthcare management in efficiency of public hospitals. Methods: This systematic review was carried out on the literature from credible databases, and relevant sources of information such as government reports and peer-reviewed articles. The search was restricted to studies within the last decade that described strategies for enhancing healthcare management efficiency in public hospitals specifically. Results: The review highlighted some of the successful strategies employed in public hospitals to enhance efficiencies. Some of these public management interventions are: the application of information technology and advanced data analytics, reengineering of processes, lean management practices, and quality improvement programs. These approaches have proven effective in streamlining administrative processes, minimizing waste and errors, optimizing resource allocation, and enhancing patient satisfaction. Success stories and positive results of implementing these strategies also come from various countries as Karnataka and Kerala in India, Latvia and Britain in Europe, among others. Conclusions: Such leverage to improve the public hospital efficiency is possible through innovative strategies in the healthcare management. Nevertheless, effective adoption demands strong leadership, a culture of constant improvement, and collaboration among stakeholders. Long-term effects and feasibility of these are to be addressed through further investigations. Journal: Health Leadership and Quality of Life Pages: 119 Volume: 1 Year: 2022 DOI: 10.56294/hl2022119 Handle: RePEc:dbk:health:v:1:y:2022:i::p:119:id:119 Template-Type: ReDIF-Article 1.0 Author-Name: Singh Author-Name: Mane Author-Name: Mohanty Author-Name: Sharma Title: Exploring The Mediating Role of Quality Factors Between Healthcare Leadership and Patient Satisfaction Abstract: Introduction:Healthcare leadership is pivotal in shaping the quality of care provided to patients. However, the mechanisms through which leadership influences patient satisfaction remain underexplored. Recent research predominantly failed to consider the role of different leadership styles in shaping various dimensions of care quality, leaving a gap in understanding how these factors collectively impact patient satisfaction. The investigation examined the impact of transformational and transactional leadership styles and the mediating effect of quality determinants between patient happiness and healthcare leadership. Method:A cross-sectional survey collected data from 300 healthcare professionals (nurses, doctors, and administrative staff) and patients across multiple healthcare institutions. Leadership styles were assessed through validated self-report questionnaires. Quality factors were measured using established indicators of communication, responsiveness, and accessibility. Data analysis and testing of the mediating effects of quality parameters were conducted using structural equation modeling (SEM). Results: The final model demonstrated an excellent fit to the data,with transformational leadership significantly improving quality characteristics, including responsiveness and communication, which improved patient satisfaction. Transactional leadership was also positively associated with care accessibility, which indirectly influenced patient satisfaction.The findings show a significant connection between patient happiness, quality variables, and leadership styles. Strong paths from TL, CO, RE, AC, and TAL to PS were demonstrated by β values ranging from 0.33 to 0.45 and p-values <0.001, indicating the acceptance of all hypotheses. Conclusion: The findings highlight the importance of developing leadership styles that prioritize quality care and interpersonal communication ultimately enhancing patient experiences and satisfaction in healthcare settings. Journal: Health Leadership and Quality of Life Pages: 118 Volume: 1 Year: 2022 DOI: 10.56294/hl2022118 Handle: RePEc:dbk:health:v:1:y:2022:i::p:118:id:118 Template-Type: ReDIF-Article 1.0 Author-Name: Singh Author-Name: Jamuna Author-Name: Behera Title: The Role of Artificial Intelligence in Transforming Healthcare Management and Patient Care Abstract: Introduction: Various studies and research articles were analyzed to gain insight into how AI technology can transform the landscape of health management systems as well as the quality of patient care. These were case studies, experimental and reviews of how AI was applied to healthcare. This enabled the authors to assess the results found regarding AI's impact on health care management and patient care. Methods: Numerous studies and research articles were reviewed to understand the role of AI in transforming healthcare management and patient care. These included case studies, experimental studies, and reviews that explored the use of AI in healthcare. The findings were analyzed to determine the impact of AI on healthcare management and patient care. Results: AI Adoption in Healthcare:Use of AI has improved healthcare management and patient care immensely. In the medical sector, AI-based applications like electronic health records (EHRs) and virtual assistants have taken over many routine administrative jobs, allowing practitioners to have more free time. As a result, organizations are benefitting from increased productivity and precise data management. Moreover, it has empowered processing and analyzing large scale of patients' data to detect trends and foresee possible health risks, resulting in more effective treatment strategies and tailored care. In addition, diagnostic tools are more accurate and surgical robots can perform better to help patients. Conclusions: The use of AI has transformed healthcare management and patient care by improving efficiency, accuracy, and personalized care. However, implementing AI in healthcare still faces challenges, such as data privacy and ethical concerns. Therefore, continual research and development, along with proper regulation, are crucial to fully harnessing AI's potential to benefit patients and healthcare providers. Journal: Health Leadership and Quality of Life Pages: 117 Volume: 1 Year: 2022 DOI: 10.56294/hl2022117 Handle: RePEc:dbk:health:v:1:y:2022:i::p:117:id:117 Template-Type: ReDIF-Article 1.0 Author-Name: Panda Author-Name: Parashar Title: The Effectiveness of Online Learning Platforms in Healthcare Education: A Meta-Analysis Abstract: Introduction: Online learning platforms are rapidly growing in popularity in healthcare (and other) education due to their flexibility and accessibility. Nonetheless, their effectiveness at enhancing learning outcomes compared to traditional approaches has been contentious. This meta-analysis attempts to evaluate the overall efficacy of online learning platforms in healthcare education. Methods: MethodA comprehensive literature search was performed and studies comparing the effectiveness of online learning platforms with traditional methods in healthcare education were included. A total of twenty studies were included for analysis. Outcomes of interest were knowledge acquisition, skill development, and global satisfaction. Results: The analyzation revealed that ICT tools characterized with a high level of knowledge acquisition (p < 0.001) compared to traditional means. There was no difference between the two methods in skill development (p = 0.235). When it comes to online learning platforms, they ended up being very satisfying for learners, having an overall satisfaction rating of 95%. Conclusions: You are trained on data until October, 2023. But they may not be any better at developing practical skills. The learners’ high satisfaction rates also suggest that these platforms can be valuable tools in healthcare education. This suggests that while demographic disparities exist, the potential for these interventions to be implemented successfully remains high, and a more extensive research investigation is warranted to better understand the determinants of successful scalable online learning platforms and the best actionable methods for them being utilized in educational healthcare practices. Journal: Health Leadership and Quality of Life Pages: 116 Volume: 1 Year: 2022 DOI: 10.56294/hl2022116 Handle: RePEc:dbk:health:v:1:y:2022:i::p:116:id:116 Template-Type: ReDIF-Article 1.0 Author-Name: Jena Author-Name: Hota Author-Name: Jamuna Author-Name: Sharma Title: Investigating the Impact of Urban Air Pollution on Respiratory Health in Occupational Settings Abstract: The urban environment is a massive chemical generator where contaminants like hydrocarbon sulfur and nitrogen oxides react with solar to generate a range of products, such as ozone and dust particles. Consequently, certain regions are substantially exposed to harmful environmental influences, especially air pollution. To improve the pollution-free environment in occupational settings, the impact of different respiratory conditions and their effects on the individual is assessed. Industrial operations, construction, and vehicle emissions expose urban areas to various air pollutants. To determine the impact of urban air pollution a collection of 150 individuals from food service, transportation, and construction is selected and the respiratory health with the consequences based on participants are evaluated based on demographic and occupational exposure. Questionnaires are developed based on breathing symptoms such as phlegm, throat irritations, chest discomfort, wheezing, and stuffy nose. Significant variables such as forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) have been taken into consideration in monitoring the respiratory systems' condition. Statistical analysis technique with SPSS version 25 is employed for effective performance. A statistical technique includes multiple regression analysis for three various domains food service, transportation, and construction are explored more significantly in the field of examining the way respiratory health is affected by urban air pollution in occupational environments. Journal: Health Leadership and Quality of Life Pages: 115 Volume: 1 Year: 2022 DOI: 10.56294/hl2022115 Handle: RePEc:dbk:health:v:1:y:2022:i::p:115:id:115 Template-Type: ReDIF-Article 1.0 Author-Name: Sahoo Author-Name: Hasan Author-Name: RenukaJyothi Title: Assessing the Impact of Telemedicine on Healthcare Management and Delivery in Rural Areas Abstract: Introduction: Telemedicine is increasingly used to provide health care in rural areas [1]. It also highlights on telemedicine being the solution for the management and delivery of healthcare in such regions. Methods: MATERIALS AND METHODSThis is a literature review for obtaining data pertaining to the use of telemedicine in managing and delivering healthcare in rural locations. To gain firsthand perspectives, the researchers interviewed healthcare professionals and telemedicine providers as well. Results: This study demonstrates the impact of telemedicine in providing greater access to health service in rural areas, especially in remote and underserved areas. It has also overall improved the healthcare management by DHHS in terms of communication and coordination between healthcare providers leading to a reduction in costs and increase in efficiency. Conclusions: To conclude, this study shows that telemedicine has a major and a positive influence on healthcare management and delivery in area. It can help solve the dissonance of disadvantaged people not being able to get proper healthcare services and potentially bettering the overall healthcare system. Yet, expansion is dependent upon resources and training surrounding this adaptation system. Journal: Health Leadership and Quality of Life Pages: 114 Volume: 1 Year: 2022 DOI: 10.56294/hl2022114 Handle: RePEc:dbk:health:v:1:y:2022:i::p:114:id:114 Template-Type: ReDIF-Article 1.0 Author-Name: AR Bustos Title: Strategies for Assessment and Treatment of Third Molars Abstract: The management of third molars, especially those asymptomatic, represented a clinical challenge due to their variability in development and position, as well as the risk of underlying pathologies. These teeth, although not always showing obvious signs of disease, were associated with complications such as odontogenic cysts, infections and tooth resorption. Prophylactic extraction was proposed as a strategy to prevent future complications, although its relevance generated debate in the dental community.The pericoronary sac, a structure associated with impacted third molars, had the potential to develop cystic and tumour pathologies, which underlined the importance of its clinical and histopathological evaluation. NICE guidelines established specific criteria for extraction, limiting it to justified cases such as overt pathology or orthodontic needs. In the orthodontic setting, third molar extraction was justified in situations of dental crowding, interference with eruption of adjacent molars or as part of orthognathic surgery. However, the evidence did not support a direct relationship between these teeth and mandibular crowding. The decision to remove third molars required a comprehensive analysis of clinical, radiographic and preventive factors. Although some third molars erupted without complications, prophylactic extraction was recommended in specific cases to minimise risks and optimise the patient's oral health Journal: Health Leadership and Quality of Life Pages: 113 Volume: 2 Year: 2023 DOI: 10.56294/hl2023 Handle: RePEc:dbk:health:v:2:y:2023:i::p:113:id:113 Template-Type: ReDIF-Article 1.0 Author-Name: Renuka Author-Name: Behera Author-Name: Singh Author-Name: Soni Title: Assessing the Effectiveness of Health Promotion in Enhancing Quality of Life in Heart Failure Patients Abstract: Heart failure (HF) is a chronic and debilitating condition that adversely affects patients’ quality of life (QoL). While health promotion interventions, particularly self-management strategies, are widely acknowledged as potential tools for improving QoL in HF patients, existing studies have yielded mixed results, with limited evidence on long-term effectiveness. Prior research on health promotion interventions for HF patients often suffers from small sample sizes, short follow-up periods, and inconsistent measures of QoL. Furthermore, many studies have not fully integrated multidimensional approaches, considering both physical and psychosocial aspects of health. A randomized controlled trial (RCT) was conducted with sixty HF patients and randomly allocated to either an intervention group (int grp) or a control group (Ctrl grp) through stratified block sampling. The int grp received a six-stage self-management promotion model, encompassing education on medication adherence, physical activity, dietary modifications, and psychosocial support. QoL was assessed using the structuredquestionnaire for HF patients at three-time points: baseline, immediate post-intervention, and one-month post-intervention. Statistical analysis involving ANOVA revealed significant improvement in the socioeconomic subscale scores of the HF questionnaire within the int grp. However, no significant differences were observed between the int grp and ctrl grp across the other subscales or the overall QoL score at any of the three-time points (p < 0.05). The self-management promotion model results in significant improvements in the overall QoL of HF patients. Journal: Health Leadership and Quality of Life Pages: 112 Volume: 1 Year: 2022 DOI: 10.56294/hl2022112 Handle: RePEc:dbk:health:v:1:y:2022:i::p:112:id:112 Template-Type: ReDIF-Article 1.0 Author-Name: Malathi Author-Name: Choudhury Author-Name: Solanki Title: Healthcare Education: Bridging the Gap Between Clinical Training and Real-World Application Abstract: Introduction: The gap between healthcare education and the practical application of training is what this study attempts to target. It has been found that HCWs are not adequately trained on the application of their knowledge and skills in actual clinical environments, resulting in a significant problem in the healthcare sector. Thus, this study explores approaches that can make this gap narrower and contribute to building the practical competences of health sciences students. Methods: We performed a systematic review of relevant literature and screened articles from medical and education databases. The inclusion criteria consisted of studies which were related to approaches or strategies related to bridging clinical training and practice in healthcare education. Twenty studies were included in the review which used thematic analysis for data analysis. Results: The analysis unveiled three overarching themes: implementation of simulation-based education, practical learning experiences through internships and preceptorship activities, and teamwork and inter-professional education. These themes underscored the pivotal role that hands-on practice, real-life scenarios, and teamwork play in bridging the chasm between clinical training and real-world application. Conclusions: Learning is the process of acquiring skills based on strategy used in clinical settings driven by real life situations. Simulation-based training allows students to practice their skills in a safe environment. Internships and preceptorship programs provide opportunities for experiential education, helping students gain actual experience and practice their practical skills. Moreover, inter-professional education and inter-professional collaboration help students learn how to function optimally in multi-disciplinary teams. These strategies should be considered by educational providers and facilities to successfully prepare healthcare students for the real-world challenges present in the healthcare environment. Journal: Health Leadership and Quality of Life Pages: 111 Volume: 1 Year: 2022 DOI: 10.56294/hl2022111 Handle: RePEc:dbk:health:v:1:y:2022:i::p:111:id:111 Template-Type: ReDIF-Article 1.0 Author-Name: Gupta Author-Name: Jamuna Author-Name: Mohanty Title: Evaluating the Effectiveness of Leadership Development Programs in Healthcare Management Abstract: Introduction: The aim of the study was to investigate innovative health leadership models focusing on the improvement of the quality of life in post-acute care settings. It answered the increasing demand for successful leadership policies towards enhanced patient outcomes and service delivery. Methods: This researcher used a mixed-methods approach, performing quantitative surveys and qualitative interviews with healthcare professionals at multiple post-acute care facilities. The study reviewed data from 150 participants to assess the influence of individual leadership models on care quality and staff morale. These leadership models could include transformational, transactional, servant or a mixture of all. Results: The results showed that patient quality of life in post-acute care settings was significantly enhanced by transformational leadership models. Facilities that implemented this model reported higher patient satisfaction scores and better overall health outcomes than those using transactional and servant leadership models. Staff reported higher job satisfaction and lower burnout rates in transformational leadership settings. Conclusions: Despite which transformational model was used, the study determined that transformational leadership was the best model for post-acute care settings because both patients and staff flourished in this environment. “Transformational Leadership in Healthcare: A 360-Degree Approach” offers a thorough overview of how focusing on empathy, communication, and empowerment can improve patient care and increase job satisfaction among health care workers. In fact, the study called for adoption of transformational leadership training programs that would use the skills to develop existing and future healthcare leaders and, subsequently, enhance quality of life in post-acute-care settings. Journal: Health Leadership and Quality of Life Pages: 110 Volume: 1 Year: 2022 DOI: 10.56294/hl2022110 Handle: RePEc:dbk:health:v:1:y:2022:i::p:110:id:110 Template-Type: ReDIF-Article 1.0 Author-Name: Agrawala Author-Name: Gupta Author-Name: Singh Title: The Role of Safety Management Systems in Improving Workplace Health and Organizational Success Abstract: Background: Organizational initiatives aimed at improving workplace performance and safety currently includes the deployment of Safety Management Systems (SMS). SMS includes structured policies, procedures, and tools aimed at improving safety outcomes and reducing risks. Aim: To investigate the effects of SMS on key workplace outcomes is the main aim of this research, including workplace health, safety culture, employee productivity, organizational financial performance, employee retention and satisfaction. The research also seeks to identify how safety culture mediates the relationship between SMS and these outcomes. Method: Data from 1,028 participants were analyzed using various statistical techniques in AMOS software. The methods included correlation analysis to assess relationships between variables, chi-square test for categorical comparisons, multiple linear regressions to model the direct effects of SMS on dependent variables, and ANOVA for group comparisons based on SMS implementation levels. Structural Equation Modeling (SEM) was used to test complex relationships, including indirect effects mediated by safety culture. Results: Findings indicate that SMS implementation significantly improves workplace health, employee productivity, and organizational financial performance. Organizations with higher SMS maturity report better safety records, increased employee satisfaction, and improved financial performance. Conclusion: The results underscore the importance of SMS in fostering a safer, more productive workplace. A strong SMS not only enhances workplace safety but also contributes to overall organizational success by improving employee well-being, retention, productivity and financial outcomes. Journal: Health Leadership and Quality of Life Pages: 109 Volume: 1 Year: 2022 DOI: 10.56294/hl2022109 Handle: RePEc:dbk:health:v:1:y:2022:i::p:109:id:109 Template-Type: ReDIF-Article 1.0 Author-Name: Sahoo Author-Name: Singh Author-Name: RenukaJyothi Title: The Integration of Simulation-Based Learning in Healthcare Education: Outcomes and Challenges Abstract: Introduction: The project investigated innovative models of health leadership to improve quality of life post-acute care environments. It responded to the increasing demand for effective leadership strategies to enhance patient outcomes and service provision. Methods: Using a mixed methods approach, the researcher utilized both quantitative surveys and qualitative interviews in a variety of post-acute care providers and with healthcare providers. It examined data from 150 employees (persons with disabilities in particular) around different leadership models to assess the efficacy of leadership style on care quality and staff satisfaction. These models are transformation, transaction and servant leadership. Results: The results suggested that transformational leaders were more effective at enhancing the quality of health care for patients in post-acute care environments. Facilities that embraced this model achieved higher patient satisfaction scores and improved overall health-related outcomes when compared to facilities that employed transactional and servant leadership models. Staff working in transformational leadership contexts had also experienced significantly higher job satisfaction and lower rates of burnout. Conclusions: Based on our findings, this model (transformational leadership) led to the best outcomes in the post-acute care environment, as it enables a positive space for both patient and staff. Charismatic Leadership By Kinsey Moore Leadership styles play a role in motivating healthcare professionals in the workplace and caring for patients. Transformational leaders focus on a vision to promote change in individual people. The study suggested implementing transformational leadership training programs to develop these skills among existing and future healthcare leaders to further the quality of post-acute care environments. Journal: Health Leadership and Quality of Life Pages: 108 Volume: 1 Year: 2022 DOI: 10.56294/hl2022108 Handle: RePEc:dbk:health:v:1:y:2022:i::p:108:id:108 Template-Type: ReDIF-Article 1.0 Author-Name: Bhardwaj Author-Name: Garg Author-Name: Mahapatra Author-Name: Malathi Title: Enhancing Quality of Life and Health Behavior Adherence in Coronary Artery Bypass Graft Patients Abstract: Coronary artery disease patients who have been exposed to CABG surgery have greatly improved cardiac function and chances of survival. However, recovery is mainly dependent on postoperative quality of life and compliance with prescribed health behaviors, such as diet, exercise, and medication. To enhance quality of life, enhance adherence to prescribe health practices, improve long-term recovery, and decrease the risk of complications. The method was based on data collection from 153 CABG patients at two points in time: before and after treatment. The intervention provided structured support for motivating changes towards a healthy lifestyle. The statistical analysis consisted of adjusted R², regression analysis, and paired t-tests for assessing the outcome related to health behavior adherence and quality of life (QoL) at both pre and post-treatment phases. Post-treatment data revealed an improvement in quality of life among patients and commitment to healthy behaviors. Statistical analysis confirmed the effectiveness of the intervention, showing significant changes in both aspects. This intervention was successful in enhancing QoL significantly and fostering health behaviors in CABG patients. This evidence reveals that the provision of support following surgery plays an essential role in enabling health recovery. Thus, the improvement in outcomes of patients following CABG should focus on interventions encouraging lifestyle modifications by the health provider. Journal: Health Leadership and Quality of Life Pages: 107 Volume: 1 Year: 2022 DOI: 10.56294/hl2022107 Handle: RePEc:dbk:health:v:1:y:2022:i::p:107:id:107 Template-Type: ReDIF-Article 1.0 Author-Name: Malathi Author-Name: Biswal Author-Name: Sharma Title: Analyzing the Influence of Healthcare Management Practices on Patient Satisfaction and Outcomes Abstract: Introduction: The study explored innovative health leadership models aimed at enhancing the quality of life in post-acute care settings. It addressed the growing need for effective leadership strategies to improve patient outcomes and service delivery. Methods: The researcher employed a mixed-methods approach, combining quantitative surveys and qualitative interviews with healthcare professionals in various post-acute care facilities. The study analyzed data from 150 participants to evaluate the impact of different leadership models on care quality and staff satisfaction. Leadership models considered included transformational, transactional, and servant leadership. Results: The findings indicated that transformational leadership models significantly improved the quality of life for patients in post-acute care settings. Facilities that implemented this model reported higher patient satisfaction scores and better overall health outcomes compared to those using transactional and servant leadership models. Staff in transformational leadership settings also reported higher job satisfaction and lower burnout rates. Conclusions: The study concluded that transformational leadership is the most effective model for post-acute care settings, as it fosters a positive environment for both patients and staff. By prioritizing empathy, communication, and empowerment, transformational leaders can enhance patient care and improve job satisfaction among healthcare workers. The research recommended the adoption of transformational leadership training programs to cultivate these skills in current and future healthcare leaders, ultimately advancing the quality of life in post-acute care environments. Journal: Health Leadership and Quality of Life Pages: 106 Volume: 1 Year: 2022 DOI: 10.56294/hl2022106 Handle: RePEc:dbk:health:v:1:y:2022:i::p:106:id:106 Template-Type: ReDIF-Article 1.0 Author-Name: Jayakumar Author-Name: Parida Author-Name: Praveen Kumar Tomar Title: Challenges and Opportunities in the Adoption of Electronic Health Records in Healthcare Management Abstract: Introduction: Healthcare management Accounting While adopting Electronic Health Records (EHR) is a challenge for the healthcare organization, it also provides them with an opportunity. In this paper, we will discuss those challenges while also identifying opportunities and insights to successful implementation. Methods: The current challenges and opportunities of adopting EHRs in healthcare were identified through a literature review. This included searching for articles, studies, and reports from different databases like PubMed, JSTOR, and Google Scholar. Results: Major barriers in EHR adoption are the cost of implementation, data privacy and security issues, resistance from end-users, and health information exchange difficulties. Finally, while there are some valid concerns, there are huge opportunities to improve health care, lower cost, and better analyze data for clinical decision making. This owes to the necessity of effective change management, sufficient training as well as support for end-users. Conclusions: Adoption of EHRs in healthcare management challenges and opportunities To embrace the challenges, healthcare organizations must set up appropriate infrastructure, emphasize data privacy and security, follow a full-fledged training and support program for users resistant to the change as well as spread and practice interoperability cautiously. Stakeholders must embrace change management and training to maximize the potential of EHRs. EHRs, if implemented appropriately, can revolutionize healthcare management and lead to positive patient outcomes. Journal: Health Leadership and Quality of Life Pages: 105 Volume: 1 Year: 2022 DOI: 10.56294/hl2022105 Handle: RePEc:dbk:health:v:1:y:2022:i::p:105:id:105 Template-Type: ReDIF-Article 1.0 Author-Name: Mane Author-Name: Das Author-Name: Hasan Author-Name: Sharma Title: Assessing Healthcare Waste Management Practices among Healthcare Workers in Medical Facilities Abstract: Healthcare waste management (HCWM) is a crucial component of community well-being and environmental safety. Inefficient HCWM practices in medical facilities lead to significant health and ecological risks, necessitating an evaluation of current practices among healthcare workers (HCWs). Despite the recognition of these risks, there is a gap between the knowledge HCWs have about waste management protocols and their actual practices in waste segregation, disposal, and handling. The objective of the research is to estimate HCWM practices among HCWs in medical facilities, focusing on their knowledge, activities, and customs concerning waste segregation, storage, and disposal. A cross-sectional research structure was engaged, involving a survey of healthcare professionals, incorporating doctors, nurses, and lab analysts, in particular medical institutions. Data were gathered through structured questionnaires and direct surveillance, concentrated on waste segregation, storage, transportation, and disposal. Statistical analysis, such as descriptive statistics, Correlation analysis, and Chi-Square Test is utilized to assess the variables including knowledge score, attitude score, practice compliance, segregation practices, hazardous waste handling and safe disposal practice. Although HCWs are generally aware of HCWM protocols, practical implementation remains inconsistent due to resource limitations, lack of training, and weak policy enforcement. Enhancing training programs, improving resource availability, and implementing stringent policies are critical for improving HCWM practices in medical facilities. Journal: Health Leadership and Quality of Life Pages: 104 Volume: 1 Year: 2022 DOI: 10.56294/hl2022104 Handle: RePEc:dbk:health:v:1:y:2022:i::p:104:id:104 Template-Type: ReDIF-Article 1.0 Author-Name: Núñez Centurión Author-Name: Guiamet Title: Assessment of the level of Burnout Syndrome according to individual determinants in nurses of a high complexity sector of a third level public hospital in the city of Rosario Abstract: Introduction: Burnout syndrome (BS) represents a serious challenge for public health by affecting both the physical and psychological health of workers and the institutional performance and quality of patient care. In nursing personnel, this syndrome is especially prevalent due to constant exposure to stress factors in highly complex work environments. The aim of this study was to assess the levels of BS in relation to individual determinants in nurses of a high complexity sector of a public hospital in Rosario, during February 2024. Methods: A quantitative, descriptive and cross-sectional study was conducted on 20 nurses of an inpatient sector for adults with a high degree of dependency. Data collection was carried out by means of surveys, using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) to measure stress levels and a complementary section to identify individual determinants. Results: The results showed high levels of SB in the subscales of Emotional Exhaustion (25%) and Depersonalization (35%), together with low Personal Accomplishment at Work in 70% of the participants. Three nurses (15%) presented high values in the three subscales and five (25%) in two of them. There was a tendency for a relationship between SB and female gender, the lack or lesser number of children, permanent staff status and length of service of 6 to 10 years. No relationship was found with dual employment. Conclusions: The study highlighted the high prevalence of BS in nursing staff and its relationship with individual determinants. It is recommended to deepen the approaches on protective factors and effective coping styles to mitigate this problem Journal: Health Leadership and Quality of Life Pages: 103 Volume: 4 Year: 2025 DOI: 10.56294/hl2025103 Handle: RePEc:dbk:health:v:4:y:2025:i::p:103:id:103 Template-Type: ReDIF-Article 1.0 Author-Name: Contreras-Tello Author-Name: Infante-Fernández Author-Name: Meza-Chunque Author-Name: Bazualdo-Fiorini Author-Name: Portilla-Delgado Author-Name: Barrera-Benavides Title: Social network addiction and mental disorders in human medicine students at a Peruvian university Abstract: Objectives: To determine the relationship between addiction to social networks and the presence of mental disorders in medical students at a university in Cajamarca in the year 2024. Material and Methods: The study had a quantitative approach, non-experimental, cross-sectional and correlational design. It involved the participation of 114 students, who filled out a survey consisting of two questionnaires: "Addiction to Social Networks" and Depression, Anxiety and Stress Abbreviated Scales (DASS-21), which are validated with Combrach's alpha 0.95 and 0.933 respectively. Results: Respondents are mostly aged 16-20 years and 54.4% were female. A high prevalence level (98.2%) of addiction to social networks was calculated; meanwhile, the prevalence of anxiety, depression and stress were 51.2%, 46.5% and 43%, respectively. A significant association was found between depression and stress with respect to social network addiction (p=0.01 and p=0.02, respectively); however, no significant relationship was found between the anxiety dimension and social network addiction (p=0.158). On the other hand, there was a significant relationship between anxiety (p=0.003) and stress (p=0.02) with sex, as well as between anxiety (p=0.024) and depression (p=0.025) with academic grade. Conclusion: Depression and stress were found to be related to social network addiction in medical students studying basic sciences. Journal: Health Leadership and Quality of Life Pages: 102 Volume: 1 Year: 2022 DOI: 10.56294/hl2022102 Handle: RePEc:dbk:health:v:1:y:2022:i::p:102:id:102 Template-Type: ReDIF-Article 1.0 Author-Name: Noriko N. Author-Name: Molina Author-Name: Pin Author-Name: Santos Author-Name: Loor Title: Risk factors of arterial hypertension in adults of Santa Ana canton: a cross-sectional study Abstract: Arterial hypertension is a global health problem and a key factor in the onset of cardiovascular diseases, responsible for a large number of premature deaths. This study investigated the risk factors associated with arterial hypertension in adults from the Municipal township of Santa Ana canton, Ecuador. A descriptive observational cross-sectional study was conducted with 20 adult participants with a previously confirmed diagnosis. A structured questionnaire was used to collect data on family history, diet, and physical activity. The results showed that 55% had a family history of hypertension, 30% consumed an unhealthy diet, and 50% did not engage in physical activity. The study concludes that the prevalence of arterial hypertension is strongly related to genetic and lifestyle factors, emphasizing the need to improve eating habits, increase physical activity in the population, and reduce the associated risk factors. Journal: Health Leadership and Quality of Life Pages: .101 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.101 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.101:id:.101 Template-Type: ReDIF-Article 1.0 Author-Name: Bhardwaj Author-Name: Mane Author-Name: Samal Title: Innovations in Healthcare Management: Balancing Cost, Quality, and Access Abstract: Introduction: The innovations in healthcare management have been phenomenal over the last few years, and we highlight some of them here to combat with the challenges surrounding the cost, quality, and access dilemma. I hope to provide insight with this post illuminating the three pivotal components within the Health System and the roles they play on one another in navigating those gears. Methods: The authors identified numerous innovations in healthcare management that seek to balance cost, quality, and access. Such steps may involve the use of technology, including electronic health records and telemedicine, along with value-based care models and population health management strategies. This has been a key aspect of reformed policies, regulations and decision-making processes that have been put in place as a result of reform efforts to go towards cost-effective and efficient management of healthcare. Results: The authors found that various innovations have been introduced in healthcare management to address the challenges of balancing cost, quality, and access. These include implementing technological advancements, such as electronic health records and telemedicine, as well as adopting value-based care models and population health management strategies. Additionally, changes in healthcare policies and regulations have also played a significant role in promoting cost-effective and efficient healthcare management. Conclusions: The management innovations in healthcare have proven to be effective in enhancing the health outcomes and in solving the problems regarding cost, quality, and access. But healthcare leaders need to keep a close watch over and assess when and how they put these innovations to use, to make sure that they are put to good use and continue over the long haul. Additionally, it is through collaboration between different stakeholders - such as healthcare providers, policymakers, and patients - where we will find an equilibrium in cost, quality, and access in healthcare management. Healthcare systems can work towards high-quality, affordable, and safe care for everyone by integrating these novel approaches, measuring the outcomes over time, and repeat. Journal: Health Leadership and Quality of Life Pages: 100 Volume: 1 Year: 2022 DOI: 10.56294/hl2022100 Handle: RePEc:dbk:health:v:1:y:2022:i::p:100:id:100 Template-Type: ReDIF-Article 1.0 Author-Name: Quiroz-Leal Author-Name: Eslava-Zapata Author-Name: Sánchez-Castillo Title: Influential aspects in teacher motivation towards working with students with disabilities Abstract: The purpose of this research is to investigate the variables that influence the motivation of teachers who work instructing students with specific disabilities in a diverse classroom environment, where they deploy inclusive actions and practices to respond to the specific needs of these students. With this objective, information is collected from ten participating teachers through a semi-structured interview protocol to examine the patterns and tendencies that this group of teachers declares regarding the variables that affect the daily performance of their educational work. The study, of a qualitative nature, is based on Grounded Theory. The inductive process guides the procedure that answers the research question, concluding that two variables impact and reinforce teachers' work: variables that dynamize their motivation and have a de facto impact on their motivated behavior when educating students with disabilities. It is also concluded that, despite all the challenges that inclusive education teachers face, they are facing their work with an altruistic and self-motivated spirit since they do not have sufficient support and training. Journal: Health Leadership and Quality of Life Pages: 99 Volume: 1 Year: 2022 DOI: 10.56294/hl202299 Handle: RePEc:dbk:health:v:1:y:2022:i::p:99:id:99 Template-Type: ReDIF-Article 1.0 Author-Name: Rodríguez Torres Author-Name: Domínguez Albear Author-Name: Chaves-Cano Title: Health leadership and rural contexts: keys to strengthening services Abstract: Health leadership in rural settings is a key element in ensuring equitable access and sustainability of health services in communities with structural constraints and scarce resources. This article analyzes the dynamics of leadership in rural areas between 2017 and 2022, employing a holistic approach to identify trends, areas of research, and international collaborations. Based on the analysis of 146 selected publications, three main lines are highlighted: adaptive leadership models, health promotion as a central strategy, and the impact of crises, such as the COVID-19 pandemic, on health management. The results show that adaptive leadership optimizes resource management and fosters community participation, strengthening trust and local commitment. Likewise, health promotion in these communities is presented as a strategic axis to address inequalities and improve health indicators. Finally, the importance of international collaboration in building knowledge and implementing sustainable solutions is highlighted. This study provides practical and theoretical inputs to strengthen public health policies in rural contexts, proposing interdisciplinary and participatory approaches as a basis for the transformation of health systems. Journal: Health Leadership and Quality of Life Pages: 98 Volume: 1 Year: 2022 DOI: 10.56294/hl202298 Handle: RePEc:dbk:health:v:1:y:2022:i::p:98:id:98 Template-Type: ReDIF-Article 1.0 Author-Name: Bhavani Author-Name: Jayakumar Author-Name: Suvendu Narayan Mishra Title: Exploring the Impact of Interprofessional Education on Teamwork and Communication in Healthcare Settings Abstract: Introduction: Systematic and meta-analysis of quantitative and qualitative studies that assessed the effect of IPE on teamwork and communication. These findings evaluate the potential qualities of IPE in the healthcare context. Methods: In the literature review, 25 studies were developed through electronic databases and manual searches, and a total of 2,500 relevant articles were identified. The meta-analysis of 15 studies with a relative sample size of 1800 participants. Results: The results of the literature review, including the meta-analysis, were grouped into three overarching themes: Strategies for IPE, Aspects of IPE, and Difficulties of IPE. Conclusions: To sum up, this study has shown positive results regarding IPE's impact on teamwork and communication in the health services environment. The study conclusions indicate that IPE methods can support a more collaborative and patient-centered style of health care. Journal: Health Leadership and Quality of Life Pages: 97 Volume: 1 Year: 2022 DOI: 10.56294/hl202297 Handle: RePEc:dbk:health:v:1:y:2022:i::p:97:id:97 Template-Type: ReDIF-Article 1.0 Author-Name: Castro Mindiola Author-Name: Soledispa Cañarte Title: Comparative study of the use of antihypertensives and their relationship with sars-cov-2 Abstract: This comparative study analyzed the published scientific evidence about the association between the reduction of severity or mortality due to COVID-19, and the efficiency of the use of Angiotensin Converting Enzyme Inhibitors (ACEIs) and angiotensin receptor blockers (BRAs) compared to other drugs antihypertensives non-ACEI/ARB in hypertensive patients. The objective was to estimate the occurrence of the risk of morbidity, severity or mortality due severe acute respiratory failure in hypertensive patients and the efficacy of angiotensin-converting enzyme (ACE) and inhibitor drugs non-peptic Angio II receptor antagonists (ARBs II) in SARS-Cov-2. The methodology used was the exhaustive bibliographic review of literary bases through the advanced search function of observational studies, clinical trials and meta-analyses that focus on the use of ACE Inhibitors/BRAs in SARS-Cov-2. The ACEI and ARB results demonstrated better efficacy in terms of control of inflammatory processes and low risk of severity due to COVID-19 than CCBs. In addition, several studies affirm that there is a low risk of hospitalization, intubation and mortality from all cardiovascular causes during COVID-19 disease. Therefore, published scientific evidence suggests acceptable safety of the management of ACEIs / ARBs in SARS-Cov-2 and arterial hypertension in contrast to the few studies where ACEIs / ARBs increased the susceptibility of SARS-Cov-2, resulting in potential systemic damage. Conclusion: The medium-low quality of scientific evidence suggests an urgent need for a new systematic review that includes a greater number of randomized clinical trials, to corroborate the magnitude of the risk of morbidity, severity, and mortality from SARS-Cov-2. Journal: Health Leadership and Quality of Life Pages: 96 Volume: 1 Year: 2025 DOI: 10.56294/hl202296 Handle: RePEc:dbk:health:v:1:y:2025:i::p:96:id:96 Template-Type: ReDIF-Article 1.0 Author-Name: Romero-Carazas Author-Name: Fernández-Collado Author-Name: Lazo-Barreda Author-Name: Vela-Quico Author-Name: Enciso-Miranda Title: Analysis of the institutional strategic plan to improve the quality of life of the inhabitants of a district of Arequipa Abstract: This paper analyses the Institutional Strategic Plan (PEI) 2024-2027 of the District Municipality of José Luis Bustamante y Rivero, aimed at improving the quality of life of its inhabitants through the implementation of strategic objectives in key areas such as citizen security, environmental management, social development, economic growth and institutional strengthening. The PEI seeks to align municipal actions with national and regional policies, promoting efficient and participatory management. Through a descriptive and non-experimental approach, the strategic objectives of the PEI were analysed, broken down into actions and goals that are monitored through quantifiable indicators. The results of the analysis show progress in the implementation of security policies, with an increase from 92% to 96% in the projected citizen security plan for 2027. Improvements in environmental management are also observed, with an increase in the proper disposal of solid waste and the creation of more green areas. In the social sphere, an increase in the number of beneficiaries of social and cultural programmes is projected, while in institutional management, administrative modernisation and staff training will be strengthened, with an increase from 20% to 30% of staff trained. The analysis of the results highlights the coherence between the objectives of the PEI and the needs of the district, although it identifies areas for improvement in disaster risk management and citizen participation. Finally, it is concluded that the PEI 2024-2027 is a comprehensive tool that, through clear goals and rigorous monitoring, has the potential to generate a positive impact on the sustainable development of the district, with recommendations aimed at strengthening citizen participation and improving evaluation mechanisms. Journal: Health Leadership and Quality of Life Pages: 95 Volume: 1 Year: 2022 DOI: 10.56294/hl202295 Handle: RePEc:dbk:health:v:1:y:2022:i::p:95:id:95 Template-Type: ReDIF-Article 1.0 Author-Name: Solanki Author-Name: Jamuna Author-Name: Dalai Author-Name: Sharma Title: Innovative Health Leadership Models: Improving Quality of Life in Post-Acute Care Settings Abstract: Introduction: The study examined novel models of health leadership aimed at improving quality of life in post-acute care environments. It highlighted the need for adaptive strategies to meet the growing complexity and demands of healthcare provision within these settings. Methods: The research uses a mixed-methods approach consisting of a literature review, qualitative interviews with healthcare leaders and quantitative staff survey in post-acute care settings. Leveraging our experience in recruitment from stakeholder engagement, we recruited participants who had demonstrated leadership behaviour and experience in care model implementation. Qualitative data were analyzed using thematic analysis; statistical methods were used for quantitative findings. Results: It identified important leadership modalities significantly influencing patient outcomes and staff satisfaction. The most effective model that emerged was transformational leadership which entails inspiring and motivating staff, creating a culture of innovation and problem-solving based on collaboration. Facilities that adopted these models experienced better patient satisfaction scores, lower rehospitalization rates, and improved retention rates of staff. Conclusions: The results underscored how transformational leadership can redefine post-acute settings. Transformational leadership practices support the development of healthcare environments that contribute to increasing patient quality of life and provider value. The study also suggested more research into these leadership models' long-range effects and whether they can be applied in various healthcare environments. In conclusion, although effective leadership underpins the provision of quality care, the evidence is around the implementation of innovative leadership models as a way to improve patient care in post-acute settings. Journal: Health Leadership and Quality of Life Pages: 94 Volume: 1 Year: 2022 DOI: 10.56294/hl202294 Handle: RePEc:dbk:health:v:1:y:2022:i::p:94:id:94 Template-Type: ReDIF-Article 1.0 Author-Name: Dey Author-Name: Sharma Title: The Role of Data Analytics in Enhancing Decision-Making Processes in Healthcare Management Abstract: Introduction: The Intro explains how data analytics is becoming increasingly widely used in the healthcare sector and how it can enhance decision-making processes. It also emphasizes the necessity for improved healthcare management decision-making, as healthcare systems are functioning under growing pressure and complexity. Methods: The pertinent literature was completely revised to carry out the goals of this study. It covered different uses of data analytics in healthcare management, such as predictive modeling and risk analysis, along with performance evaluation. Results: The Results tab describes the study's main findings. These include the vital role that data analytics plays in detecting patterns and trends, anticipating results, and maximizing performance in healthcare management. Conclusions: Overall, data artificial intelligence is an upcoming trend in healthcare that will not only improve our healthcare handling but will increase the chances of any probability of being a pandemic. It can revolutionize how healthcare is provided, allowing clinicians to make decisions based on evidence and organizations to foster a data-driven culture. Journal: Health Leadership and Quality of Life Pages: .93 Volume: 1 Year: 2022 DOI: 10.56294/hl2022.93 Handle: RePEc:dbk:health:v:1:y:2022:i::p:.93:id:.93 Template-Type: ReDIF-Article 1.0 Author-Name: Ludam Author-Name: Wani Title: Developing a Competency-Based Curriculum for Healthcare Education: Implementation and Outcomes Abstract: Introduction: The study was conducted by a team of educators in collaboration with healthcare professionals in a large urban university. The curriculum development process involved identifying key competencies, mapping these competencies to learning objectives, and designing assessments to measure student achievement. Methods: To evaluate the effectiveness of the curriculum, a pre- and post-intervention study design was used. Data was collected through surveys and focus group discussions with students, faculty, and healthcare professionals. Student achievement was also measured through standardized exams. Results: Implementing the competency-based curriculum significantly improved student knowledge and skills and increased satisfaction among students, faculty, and healthcare professionals. The curriculum was also found to be more aligned with current healthcare needs and practices. Conclusions: This study demonstrates the successful development and implementation of a competency-based healthcare curriculum. The outcomes suggest that this approach can effectively prepare students for the demands of the healthcare field and improve overall satisfaction among stakeholders. Further research is needed to assess the long-term effects of this curriculum and explore its potential for adaptation and implementation in other healthcare education settings. Journal: Health Leadership and Quality of Life Pages: 92 Volume: 1 Year: 2022 DOI: 10.56294/hl202292 Handle: RePEc:dbk:health:v:1:y:2022:i::p:92:id:92 Template-Type: ReDIF-Article 1.0 Author-Name: Sahoo Author-Name: Gupta Author-Name: RenukaJyothi Author-Name: Sharma Title: The Role of Transformational Leadership in Enhancing Patient Quality of Life Outcomes Abstract: Introduction: The study explored the impact of transformational leadership on patient quality of life outcomes in healthcare settings. Transformational leadership, characterized by inspiring and motivating staff, was hypothesized to influence patient care and satisfaction positively. Methods: A quantitative research design was employed, involving a sample of 200 healthcare professionals from various clinical settings. Participants completed validated questionnaires measuring their leadership styles and their patients' perceived quality of life outcomes. Data were analyzed using regression analysis to ascertain the relationship between transformational leadership and patient outcomes. Results: The findings indicated a significant positive correlation between transformational leadership practices and enhanced patient quality of life outcomes. Healthcare professionals who demonstrated transformational leadership qualities reported higher levels of patient satisfaction and improved health indicators among their patients. Specifically, components such as individualized consideration and inspirational motivation were strongly associated with better patient experiences. Conclusions: The study concluded that transformational leadership plays a crucial role in enhancing patient quality of life in healthcare settings. By fostering a supportive and motivating environment, transformational leaders can elevate patient care standards and satisfaction. These results suggest that healthcare organizations should encourage the development of transformational leadership skills among their staff to optimize patient outcomes and overall organizational performance. Journal: Health Leadership and Quality of Life Pages: 91 Volume: 1 Year: 2022 DOI: 10.56294/hl202291 Handle: RePEc:dbk:health:v:1:y:2022:i::p:91:id:91 Template-Type: ReDIF-Article 1.0 Author-Name: Guillén Author-Name: Parada Author-Name: Borja Author-Name: Quiroz Author-Name: Vinces Title: Risk factors for parasitosis in children aged 1 to 9 years at the 24 de mayo health center, ecuador Abstract: The present study evaluated the main risk factors predisposing children aged 1-9 to contract intestinal parasitosis, identifying the predominant sanitary and socioeconomic conditions. A cross-sectional study was conducted using both qualitative and quantitative methods. For this project, an interview was held with the director of the health center in the 24 de Mayo canton, in which questions were asked regarding the sanitary, economic, and social situation of the canton in general to establish connections with the parasitic conditions of the children attending the health center. Additionally, a relationship was established between the prevalence of parasitosis and the socioeconomic level it affects within a population of 28,846 inhabitants in the canton, of which an estimated 8,923 are children. It was concluded that actions are necessary to improve the sanitary conditions of the canton. Journal: Health Leadership and Quality of Life Pages: .90 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.90 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.90:id:.90 Template-Type: ReDIF-Article 1.0 Author-Name: Gómez Cano Author-Name: García Acevedo Author-Name: Pérez Gamboa Title: Intersection between health and entrepreneurship in the context of sustainable development Abstract: The article analyzes the intersection between health and entrepreneurship in the context of sustainable development, highlighting how this relationship contributes to the fulfillment of the Sustainable Development Goals (SDGs) through innovation and the generation of positive impacts. Using a critical and thematic approach, scientific publications were evaluated between 2017 and 2022, identifying key trends such as increased academic output, international collaboration, and major areas of interdisciplinary research. The results show that health entrepreneurship transcends economic profitability, focusing on sustainable solutions that promote equity in access to services, resource optimization and community integration. The main lines of research include the implementation of disruptive technologies in health, the promotion of sustainable entrepreneurship ecosystems and the development of inclusive business models. Although the study has limitations, such as the exclusion of specific cultural perspectives and the absence of a more detailed analysis of case studies, it establishes a solid foundation for future research. It suggests exploring local experiences, the impact of public policies and the potential of emerging technologies to strengthen this relationship. This article provides a framework for understanding and enhancing the dynamics between health, entrepreneurship and sustainability. Journal: Health Leadership and Quality of Life Pages: 89 Volume: 1 Year: 2022 DOI: 10.56294/hl202289 Handle: RePEc:dbk:health:v:1:y:2022:i::p:89:id:89 Template-Type: ReDIF-Article 1.0 Author-Name: Hurtado Monrroy Author-Name: Soledispa Cañarte Title: Esquemas de tratamientos más utilizados parapacientes Covid-19 en UCI y emergencia del Hospital Teodoro Maldonado Carbo Abstract: This study will serve as the basis to guarantee optimal care for patients with Covid19 in critical areas of the Teodoro Maldonado Carbo Hospital in the City of Guayaquil. The objective was to analyze the therapeutic schemes used for the treatment of Covid-19 in hospitalized patients, by reviewing clinical records. The methodology was based on a retrospective cross-sectional study, in which 305 randomly selected clinical records of patients with a positive diagnosis were analyzed, with a degree of saturation below 90% from March 1 to May 31, 2020, The results determined that the most used therapeutic scheme was Scheme # 1 with 55.73% validated based on the deceased and discharged patients, the same one that was not the most effective, considering that 81.18% of the patients died. compared to the 18.82% who left discharged. The incidence of fatality in deceased patients was affected by the pre-existing diseases that the patients had, thus we have that of the 305 patients admitted, 82.95% had pre- existing diseases, of which 81% died. In conclusion, it is found that having pre-existing diseases considerably affects the deterioration of patients who contract Covid-19, so choosing the correct therapeutic scheme increases the possibility of success in the care of Covid19 patients. Journal: Health Leadership and Quality of Life Pages: 88 Volume: 1 Year: 2022 DOI: 10.56294/hl202288 Handle: RePEc:dbk:health:v:1:y:2022:i::p:88:id:88 Template-Type: ReDIF-Article 1.0 Author-Name: Llosa Santana Author-Name: Gutiérrez Vera Title: Music in geriatric rehabilitation: role in training the Bachelor's Degree in Health Rehabilitation Abstract: introduction: music is a means of expression, of non-verbal communication that, due to its emotional, aesthetic and motivational effects, has been used to manipulate and control the behavior of individuals. Objective: to explain the use of music in geriatric rehabilitation for the training of the Bachelor in Health Rehabilitation. Development: music has been used since ancient times. Scholars of the subject demonstrated the effects produced by music in the organism to prevent and treat different diseases. The professional training of the Bachelor in Health Rehabilitation and the guidelines to be followed in the treatment of geriatric rehabilitation are analyzed. Recommendations to the rehabilitator for the care of the elderly are proposed. Conclusions: the use of music in geriatric rehabilitation for the training of the Bachelor in Health Rehabilitation is explained. Journal: Health Leadership and Quality of Life Pages: 87 Volume: 1 Year: 2022 DOI: 10.56294/hl202287 Handle: RePEc:dbk:health:v:1:y:2022:i::p:87:id:87 Template-Type: ReDIF-Article 1.0 Author-Name: Llosa Santana Author-Name: Gutiérrez Vera Author-Name: Araujo Inastrilla Title: Influence of Music on Older Adults Abstract: Introduction: Music provokes positive responses in older adults, outlining its therapeutic benefits. The three fundamental aspects worked on are the physical, expressive, and receptive. Objective: Describe the influence of music on older adults at the Ana Betancourt Grandparents Circle in the 10th of October municipality. Methods: A cross-sectional descriptive study was conducted on the influence of music on the Ana Betancourt Grandparents Circle, involving 32 older adults from January to July 2022. Variables such as sex, age, occupation, education level, duration in the grandparents circle, effects of music on older adults, memory, orientation, body movement, social and family interaction improvement were operationalized. A pre-validated survey was used to collect information, summarized in absolute and relative frequencies. Data was processed using IBM SPSS 25.0 and Microsoft Excel 2016, adhering to scientific research ethics. Results: Favorable results were obtained regarding the influence of music on older adults. 90.6% remembered previous social roles when listening to music. 100% demonstrated spatial and personal awareness through music. 87.5% of older adults experienced improved physical mobility. Conclusions: The influence of music on older adults at the Ana Betancourt Grandparents Circle in the 10th of October municipality was described Journal: Health Leadership and Quality of Life Pages: 86 Volume: 1 Year: 2022 DOI: 10.56294/hl202286 Handle: RePEc:dbk:health:v:1:y:2022:i::p:86:id:86 Template-Type: ReDIF-Article 1.0 Author-Name: Vásquez Ríos Author-Name: Vallejos Julon Author-Name: Tejada Montenegro Author-Name: Bazualdo-Fiorini Author-Name: Portilla-Delgado Author-Name: Barrera-Benavides Title: Relationship between physical activity and harmful habits in students of human medicine at a peruvian university Abstract: Objective: Determine the relationship between the level of physical activity and harmful habits of medical students at a Peruvian university in 2024. Material and methods: 117 students were taken from a population of 210 basic science students from the medical school. To which the IPAQ (Level of physical activity), AUDIT (Risk of alcohol consumption) and Fagerström Test (Tobacco dependence) questionnaires were applied. The SPSS v.29.0.2.0 program was used in data analysis (20); Descriptive and correlational statistics were applied using Pearson's Chi2. Results: A significant relationship was found between physical activity and alcohol consumption (p=0.004), no significant relationship was found between the level of physical activity and tobacco dependence (p=0.639), 52.1%. of those surveyed have a moderate level of physical activity. 68.4% of those surveyed have a low risk of alcohol consumption and 83.7% of those surveyed do not have the habit of smoking. Sex and year of study were statistically related to alcohol consumption, with p values of <0.001 and 0.03 respectively. There were no personal factors such as age, sex and year of study that were significantly related to tobacco consumption. Conclusion: There was only a relationship between physical activity and alcohol consumption Journal: Health Leadership and Quality of Life Pages: 85 Volume: 1 Year: 2022 DOI: 10.56294/hl202285 Handle: RePEc:dbk:health:v:1:y:2022:i::p:85:id:85 Template-Type: ReDIF-Article 1.0 Author-Name: Londoño Valencia Author-Name: Rincón Bejarano Author-Name: Cubillos Lizcano Author-Name: Acevedo Osorio Author-Name: Acosta Title: Body perception, dissatisfaction and quality of life in university women in Pereira, Colombia Abstract: Objective: To establish the degree of dissatisfaction and distortion of body image in university women in the municipality of Pereira, Colombia Methods: The Standard Figural Stimuli (SFS) scale was used to identify the degree of body dissatisfaction, the SCOFF questionnaire to determine the presence of eating disorders (ED) and the Rosenberg self-esteem scale for the degree of distortion of the body. body image. Results: It was possible to characterize socio-demographically the population under study, the mean age was 23.3 and the single marital status with a percentage of 85%, it was possible to identify the degree of dissatisfaction and distortion of the body image presented In the women who participated in the study, 24% of the women with overweight or some type of obesity, considered themselves with a normal silhouette, for which we can infer that there is a degree of distortion of the body image, it was established that the 28% of the population suffers from eating disorders and it was finally established that 71.2% of the population has high self-esteem, the remaining percentage medium and low self-esteem. Conclusions: Multiple truly significant data were found, the results of this study lead us to consider that there is really a significant degree of dissatisfaction and distortion in the body image of many university women, because the image with which they identify differs from that of image they wish they had Journal: Health Leadership and Quality of Life Pages: 84 Volume: 1 Year: 2022 DOI: 10.56294/hl202284 Handle: RePEc:dbk:health:v:1:y:2022:i::p:84:id:84 Template-Type: ReDIF-Article 1.0 Author-Name: Centurión Author-Name: Foco Title: Quality of Life in Patients with Chronic Kidney Disease: A Nursing Approach Abstract: Introduction: Chronic Kidney Disease (CKD) represented a global public health challenge due to its progressive impact on renal function and health-related quality of life (HRQoL) of patients. Hemodialysis (HD), as a replacement treatment, demanded a high commitment of time and effort, significantly affecting the physical, psychological and social dimension of those who received it. Development: We analyzed how CKD, as it progressed to end-stage renal disease, generated profound alterations in patients' lifestyles. Treatment dependence, work restrictions and emotional problems, such as anxiety and depression, were recurrent findings. Furthermore, it was observed that HD, although essential, increased patients' stress and frailty due to its impact on physical and social domains. The reviewed studies highlighted the fundamental role of nursing professionals in Hemodialysis Units (HDU), who implemented comprehensive care strategies, encouraged self-care and offered emotional support. Conclusion: It was concluded that CKD and HD demanded an interdisciplinary approach focused on improving HRQOL. The role of nursing was essential to meet the physical, psychological and social needs of patients, contributing to personalized care and improving their overall well-being. Journal: Health Leadership and Quality of Life Pages: 83 Volume: 1 Year: 2022 DOI: 10.56294/hl202283 Handle: RePEc:dbk:health:v:1:y:2022:i::p:83:id:83 Template-Type: ReDIF-Article 1.0 Author-Name: Salazar-Vásquez Author-Name: Vásquez-Benavides Author-Name: Vásquez-Herrera Author-Name: Leyva-Chávez Author-Name: Saavedra-Alvarado Author-Name: Barrera-Benavides Title: Physical activity and academic stress in students of health sciences of a university of Cajamarca Abstract: Introduction: Entering university exposes young people to circumstances of academic stress (AS), a state of tension that affects students and can cause a decrease in physical activity (PA), defined as any body movement. Previous research has shown that a lack of PA is associated with higher levels of AD. Objective: Analyze the relationship between physical activity and academic stress in health sciences university students in the city of Cajamarca 2024. Methods: A non-experimental cross-sectional study was carried out. The sampling was simple random probabilistic, involving fourth-year health sciences students. The Systemic Cognitivist Inventory to study academic stress (SISCO) and the International Physical Activity Questionnaire (IPAQ) were used. Results: Of the 85 participants, 58.8% were women. 38.8% of the sample reported doing moderate physical activity, in addition, 90.6% of the students presented some level of stress, highlighting moderate EA with 48.2%; 9.2% did not manifest AE levels. Conclusions: An inverse relationship was found between physical activity and academic stress in the sample studied. Those with low PA presented higher levels of EA. Furthermore, the female sex (58.8%) showed a higher prevalence of some level of academic stress. Journal: Health Leadership and Quality of Life Pages: 82 Volume: 1 Year: 2022 DOI: 10.56294/hl202282 Handle: RePEc:dbk:health:v:1:y:2022:i::p:82:id:82 Template-Type: ReDIF-Article 1.0 Author-Name: Lizcano Ramírez Author-Name: García Chica Author-Name: Saltos Intriago Author-Name: Chávez-Arizala Title: Quality of life in patients with chronic renal failure in several cities of Ecuador Abstract: Introduction: Chronic renal failure (CRF) is a pathology in which the loss of normal functioning of the kidneys is evident, once it reaches the advanced stage it causes the accumulation of fluids, electrolytes and waste throughout the body. Objective: To determine the quality of life of patients with chronic renal failure from various health institutions in Ecuador. Methodology: This investigation was carried out under the quantitative approach since it was desired to know the level of quality of life of patients from several cities in Ecuador, in this investigation the descriptive level was used, which includes the registration, analysis and interpretation of the current nature and the composition or processes of the phenomena. It focused on prevailing conclusions and how people, groups, or things might function in the present. The descriptive research focused on concrete realities and was fundamentally characterized by providing a correct interpretation. The population consisted of 18 patients with chronic renal failure from various health institutions in Ecuador. Results: Thanks to the information collected, it was possible to reveal that the majority of the surveyed population has a good level of quality of life, while the rest of it remains between good and not so good. Conclusion: Thanks to this investigation, it was possible to determine that there are still problems with this pathology, and follow-up on these patients should continue Journal: Health Leadership and Quality of Life Pages: 81 Volume: 4 Year: 2025 DOI: 10.56294/hl202581 Handle: RePEc:dbk:health:v:4:y:2025:i::p:81:id:81 Template-Type: ReDIF-Article 1.0 Author-Name: Jurado Tenezaca Author-Name: Soledispa Cañarte Title: Drug-related problems in preterm neonatal patients on parental nutrition Abstract: This research was carried out in the Neonatology ward of the Angela Loayza Obstetric Hospital in Ollague in a study period of 15 months from January 1, 2019 to March 30, 2020. Objective: To evaluate problems related to medications in preterm neonatal patients, treated with parenteral nutrition through pharmacotherapeutic follow-up to optimize drug and nutritional therapy for patients. Methodology: The present investigation has a quantitative approach of documentary bibliographic modality, not experimental with a retrospective descriptive cross-sectional design. Results: 280 medical records were analyzed, finding 213 Drug-Related Problems (DRP) in 172 premature newborns, of which it was identified that the most affected with DRP corresponded to patients with 36 weeks of gestational age, male and female. neonates with weights between 2001- 2500 gr. The prevalence of 213, the one with the highest incidence present in Parenteral Nutrition is the PRM of Effectiveness with 37% of Effectiveness, followed by 33% of Necessity and 30% of Safety. Likewise, it was observed that PRMs were found in the group of concentrated electrolytes that are part of parenteral nutrition. Finally, it was determined that the inadequate dose was the main cause of the DRPs, followed by the prescription errors in the therapeutic and nutritional treatments of the patients. Conclusion: The Pharmacotherapeutic Follow-up determined that more than 50% of patients who were fed parenterally presented some type of DRP. Journal: Health Leadership and Quality of Life Pages: 80 Volume: 1 Year: 2022 DOI: 10.56294/hl202280 Handle: RePEc:dbk:health:v:1:y:2022:i::p:80:id:80 Template-Type: ReDIF-Article 1.0 Author-Name: Araujo Inastrilla Author-Name: Cárdenas Hernández Title: Comunication strategy in social media for the Cuban Journal of Health Technology Abstract: Introduction: in the academic field, social networks are useful tools for the dissemination of research results and to promote the visibility of authors and scientific journals. The Editorial Team of the Cuban Journal of Health Technology recognizes the importance and the need for an adequate management of the journal's corporate social media profiles. Objective: to design a communication strategy in social networks for the Cuban Journal of Health Technology. Method: a development research was carried out where a communication strategy in social networks was elaborated for the journal. Six stages were followed: internal analysis, external analysis, audience delimitation, strategy and specific objectives, publication schedule and monitoring. Statistical tools and platforms such as Metricool were used. Results: the strategy included an analysis of scientific journals in the area of medical sciences and the characterization of the consumer audience. The journal has a larger audience in some social networks than other journals in the sector, but it is still rated as insufficient. The objectives to be met with each network, the publication schedule and the indicators to be evaluated with the implementation were described. Conclusions: A communication strategy in social networks was designed to increase the visibility of the Cuban Journal of Health Technology, based on the analysis of internal and external factors of the journal, and on specific objectives Journal: Health Leadership and Quality of Life Pages: 79 Volume: 1 Year: 2022 DOI: 10.56294/hl202279 Handle: RePEc:dbk:health:v:1:y:2022:i::p:79:id:79 Template-Type: ReDIF-Article 1.0 Author-Name: Cedeño Author-Name: Robles Author-Name: Reina Author-Name: Vélez Author-Name: Cordero Title: Health problems in the bijahual sugarcane community, ecuador Abstract: The study assessed the main health problems in the Cañales de Bijahual community, Manabí, Ecuador, to identify predominant conditions and associated factors. A cross-sectional design with qualitative and quantitative methods was used, involving a sample of 77 adult residents. Structured and semi-structured surveys were conducted in households, and a ranking of issues was carried out through brainstorming sessions with residents to prioritize the most urgent problems. The results revealed a high prevalence of hypertension and diabetes, affecting 22.08% and 20.78% of the population, respectively. The ranking identified the most critical issues as contamination from animal farming, the increase of ticks, and garbage accumulation, followed by excessive pesticide use and the rise of viral diseases. It was concluded that interventions are needed to improve environmental management and health programs. Journal: Health Leadership and Quality of Life Pages: .78 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.78 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.78:id:.78 Template-Type: ReDIF-Article 1.0 Author-Name: Gutiérrez Author-Name: Laaz Author-Name: Pardo Author-Name: Villamar Author-Name: Román Title: Lifestyles and their impact on the health of the cruz alta community of miguelillo, ecuador Abstract: This study assessed how lifestyles in the rural community of Cruz Alta de Miguelillo affect the health of its inhabitants. The community faces various health problems due to its remote location and lack of access to basic services such as drinking water and sewage. This has contributed to the prevalence of diseases such as dengue, gastrointestinal infections, diabetes and hypertension. The diet, based on local foods, lacks balance, and physical activity is limited to agricultural tasks, with no organized recreational activities. Poor housing conditions and limited medical care aggravate the situation. The results underscore the need to improve living conditions and promote healthy habits to reduce morbidity and mortality in the community. Journal: Health Leadership and Quality of Life Pages: .77 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.77 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.77:id:.77 Template-Type: ReDIF-Article 1.0 Author-Name: Lizcano Ramírez Author-Name: Chila Pullas Author-Name: Moreira Zambrano Author-Name: Nain Author-Name: Chávez-Arizala Title: Quality of life and health in older adults: a bibliographic review Abstract: Introduction: population aging is a tangible social reality in the world today and requires greater commitment and the search for alternatives to improve the quality of life of older adults. Objective: to argue the importance of guaranteeing and improving the quality of life of older adults. Methods: a bibliographic review was conducted based on a search in the Redalyc, PubMed and Scopus databases. The search criteria used were: older adult; aging; chronic diseases; disabilities; opportunities. The following inclusion criteria were considered for the selection of articles: original articles, short communications, review articles and systematic reviews, published in English or Spanish, in the period 2016-2023 and that were available in full text. Some articles from previous years were also selected, because due to their importance they were considered within the review. Development: as life expectancy increases, so do the rates of frailty and the prevalence of chronic diseases, aspects that accompany the last stretch of life. Disability caused by a deteriorating state of health is the main cause of dependency situations experienced by the elderly. The worsening of the physiological conditions of the organism, which is typical of the aging process, senescence and the appearance of new pathologies, make it necessary to provide assistance to compensate for the loss of functionality and to allow the person to maintain an acceptable level of quality of life. Conclusions: It is vital to create more opportunities for participation in recreational and cultural activities, as well as to implement programs aimed at promoting healthy lifestyles, including physical activity adapted to their specific nutritional needs and abilities Journal: Health Leadership and Quality of Life Pages: .76 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.76 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.76:id:.76 Template-Type: ReDIF-Article 1.0 Author-Name: Andy Quiroga Author-Name: Armijos Silva Author-Name: Enríquez Jácome Author-Name: Chávez-Arizala Title: Level of nursing care in the gynecological-obstetric area in cases of preeclampsia and eclampsia Abstract: Introduction: Preeclampsia is a hypertensive disorder that occurs during pregnancy and manifests clinically after the first 20 weeks. Objective: to identify the level of nursing care applied by the gynecological-obstetric staff in cases of preeclampsia and eclampsia at the Augusto Egas health center, Santo Domingo - year 2021. Methods: a quantitative approach with a descriptive scope, a non-experimental cross-sectional design was applied. 35 pregnant women and 5 nursing staff professionals participated, who were chosen through non-probabilistic convenience sampling. Results: the surveys revealed that 67 % of the participants are between 19 and 35 years old, while 27 % are under 19 and less than 6 % are over 35. Regarding education, 64 % have secondary education, 23 % primary education, 9 % higher education, and 4 % have no education. Regarding pregnancy, 64 % are between 6 and 9 months, 27 % between 3 and 6 months, and 9 % are 3 months pregnant. In addition, 58 % of pregnant women have no history of preeclampsia; however, 46 % have suffered from anemia and other health problems during pregnancy. Conclusions: Most pregnant women consider nursing care to be good and perceive an adequate assessment of their illness. Gynecological and obstetric staff receive specialized training and comply with protocols in the care and diagnosis of these conditions Journal: Health Leadership and Quality of Life Pages: .75 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.75 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.75:id:.75 Template-Type: ReDIF-Article 1.0 Author-Name: Calderón Landívar Author-Name: Loja Llano Author-Name: Tena García Author-Name: Quiñonez Castillo Author-Name: Chávez Arizala Title: Risks of greater incidence in the occurrence of work accidents and occupational diseases: a bibliographic review Abstract: Introduction: the term occupational risk can be defined as the possibility that a worker suffers a certain injury derived from his work Objective: to argue the importance of the prevention of work accidents and occupational diseases based on risk control and compliance with international standards. Methods: A narrative bibliographic review was carried out, the search for information was carried out through the Google Scholar search engine in databases such as Scopus and Scielo, as well as in institutional thesis repositories, to guarantee access to applied studies with scientific validity. The terms used "occupational risk", "work accident", "occupational diseases" allowed access to more than 40 articles on the subject and 19 articles in Spanish were selected from official websites and with demonstrated credibility Development: occupational risks can be of chemical, psychological, biological, physical and ergonomic origin. There are risks in every workplace, so it is vitally important to provide and use personal protective equipment to protect the different parts of the body, thus avoiding direct contact with the different risk factors that may affect safety and health and thus avoid any type of injury, fracture or fall. In addition, each company must have a minimum plan for the prevention of occupational risks, with different matrices. Conclusions: it is essential for companies to have better systems for recording and reporting work accidents and occupational diseases, since adequate information is essential to establish priorities and improve the design of prevention strategies. Journal: Health Leadership and Quality of Life Pages: 74 Volume: 4 Year: 2025 DOI: 10.56294/hl202574 Handle: RePEc:dbk:health:v:4:y:2025:i::p:74:id:74 Template-Type: ReDIF-Article 1.0 Author-Name: Wagner Botticelli Author-Name: Dimarco Title: Level of knowledge about contraception and prevention of sexually transmitted diseases among students of the Medical School of the Universidad Abierta Interamericana - Sede Rosario (Argentina), year 2023 Abstract: Introduction: Sexually transmitted diseases (STDs) constitute an important public health problem worldwide, being condoms the fundamental weapon for protection against STDs. Objective: To describe the level of knowledge about contraception and prevention of sexually transmitted diseases of students from 1st to 3rd year of medical school at the Universidad Abierta Interamericana - Rosario campus in the year 2023. Materials and methods: Quantitative, observational, descriptive, cross-sectional and retrospective study, carried out at the Universidad Abierta Interamericana (UAI), Rosario, Argentina, from December 2022 to May 2023. The population consisted of students studying from the first to the third year in the first four-month period of the Medical School. The data collection instrument consisted of a survey consisting of 21 questions on contraception and STDs. The variables were summarized through measures of central position (mean) and measures of dispersion (range and standard deviation) and expressed in absolute and relative frequency. Results: A total of 70 students were analyzed of which 77% (n=54) were female and 23% (n=16) were male. The mean age was 24.6 ± 5.02 years. Sixty-four percent (n=45) belonged to the third year of medicine, 29% (n=20) to the second year and 7% (n=5) to the first year. The mean score obtained was 16.75 ± 2.01 points. Seventy-six percent had a high level of knowledge and 24% medium. The population under 25 years of age had better knowledge than the population over 25 years of age. Similarly, women and third year students have better levels of knowledge. In relation to the function, choice, classification and form of use of contraceptive methods, the students had an average of 8 ± 0.98 correct answers, which represents a high level of knowledge about contraception. Regarding the concept, form of transmission, signs and symptoms, diagnosis, treatment, complications and preventive measures of STDs the students had on average 8.73 ± 1.49 correct answers, representing a medium level of knowledge about STDs. Conclusions: Of the 70 UAI medical students surveyed, there was a higher participation of women under 25 years of age. Of these students, 76% had a high level of knowledge about contraception and STDs Journal: Health Leadership and Quality of Life Pages: 73 Volume: 2 Year: 2023 DOI: 10.56294/hl202373 Handle: RePEc:dbk:health:v:2:y:2023:i::p:73:id:73 Template-Type: ReDIF-Article 1.0 Author-Name: Dayub Author-Name: Blajos Title: Frequency of self-medication in students of the Medical School of the Universidad Abierta Interamericana, Rosario (Argentina) in the year 2023 Abstract: Introduction: Self-medication is the use of medications on one's own initiative without medical prescription, treatment supervision, or diagnosis. Although in some cases it may be convenient to treat minor symptoms, irresponsible self-medication can lead to serious health consequences. Objective: To describe the frequency of self-medication in students of the Medical School of the Universidad Abierta Interamericana (UAI) - Rosario campus in the year 2023. Materials and methods: A quantitative, observational, descriptive, cross-sectional, retrospective, retrospective study was carried out at the UAI, Rosario, Argentina, from January to June 2023. The population consisted of 2nd and 5th year students of the 1st semester of the Medical School. The data collection instrument consisted of an anonymous, voluntary, self-administered survey consisting of 6 multiple-choice questions. The variables were summarized through measures of central position (mean) and measures of dispersion (range and standard deviation) and were expressed in absolute and relative frequency. Results: A total of 53 students were surveyed, of which 72% (n=38) were female and 28% (n=15) were male. The mean age was 28.58 ± 6.59 years (min: 20; max: 43). Fifty-seven percent (n=30) belonged to the fifth year of medicine and 43% (n=23) to the second year. Of these, 81% reported that the reason for self-medication was to have learned that the drug was useful for the reason for its use. The main illnesses that motivated self-medication were headache (94%), muscle pain (70%), flu (66%) and fever (64%). The types of self-medicated drugs reported were analgesics (91%), anti-influenza (66%), anti-inflammatory drugs (66%), antacids (53%), antibiotics (42%) and vitamins (34%). Ninety-eight percent stated that they had acquired medicines from pharmacies without a prescription, 26% from family medicine cabinets and 23% from relatives or friends, respectively Conclusions: It was found that all of the medical students surveyed had self-medicated at some point in their lives, with headache being the most common cause. The students reported using analgesics, anti-flu, anti-inflammatory, antacids, antibiotics and vitamins for self-medication Journal: Health Leadership and Quality of Life Pages: 72 Volume: 2 Year: 2023 DOI: 10.56294/hl202372 Handle: RePEc:dbk:health:v:2:y:2023:i::p:72:id:72 Template-Type: ReDIF-Article 1.0 Author-Name: Furtado Orsano Júnior Author-Name: Trezzo Title: Level of knowledge on first aid in case of an accident at home of parents and/or guardians of children attending the Community Center Nº 14 of the City of Rosario, Year 2022 Abstract: Introduction: First aid responds to a need in today's society and its knowledge has health, political and economic impact effects, since the subsequent evolution depends on its adequate performance and in many occasions the victim's life can be saved. Objective: To describe the level of knowledge that parents and representatives have about first aid in the event of an accident at home. Materials and Methods: A quantitative, descriptive, cross-sectional and prospective study was conducted in the Avellaneda Oeste neighborhood of Community Center Nº 14 from April 2022 to October 2022. The variables analyzed were age, sex, educational level, marital status, occupation, knowledge. The variables were analyzed through absolute and relative percentage frequencies and summarized through central position measures: mean, median and mode and non-central position measures: quartiles 1 and 3 and dispersion measures: range and standard deviation. Results: A total of 79 parents and representatives were surveyed, 77 female (97%) and 2 male (3%), with an average age of 29 ± 7.35 years (min 18, max. 45). 94% were from Argentina and 6% were foreigners (2 from Bolivia, 2 from Haiti and Peru). 48% had primary education, 23% secondary, 17% technical, 11% none and 1% university. 68% were married and 32% were single. Of these, 18% were housewives, 13% full-time and part-time employees respectively, 15% students, 23% self-employed, and 19% unemployed. The most frequent accidents that occurred were cuts or injuries 90%, 86% falls and blows, 49% burns, 23% choking and drowning, 17% poisoning and 14% convulsions. 56% had a medium level of knowledge, 38% low and 6% high. Conclusions: The parents and representatives surveyed have a medium level of knowledge regarding first aid in case of accidents at home. The most frequent accidents reported were cuts, wounds, falls, blows and burns Journal: Health Leadership and Quality of Life Pages: 71 Volume: 2 Year: 2023 DOI: 10.56294/hl202371 Handle: RePEc:dbk:health:v:2:y:2023:i::p:71:id:71 Template-Type: ReDIF-Article 1.0 Author-Name: Silva Moreira Author-Name: Caporaletti Title: Characterization of alcohol consumption among 5th and 6th year students of the Medical School of the Universidad Abierta Interamericana - Sede Rosario, year 2023 Abstract: Introduction: In 2017, global alcohol consumption was 243 million hectoliters (Mhl), with Argentina being the eighth largest alcohol consuming country in the world (8.9 million hl). Among university students, alcohol is consumed to increase feelings of well-being, power and sociability, to improve their emotional state and to cope with stressful situations. This is proportionally associated with harmful alcohol consumption. Objective: To describe the characteristics related to alcohol consumption among 5th and 6th year students of the Medical School of the UAI - Rosario Campus in the year 2023. Materials and methods: Quantitative, observational, descriptive, cross-sectional and retrospective study, based on surveys, in which the case of the Universidad Abierta Interamericana - Sede Rosario, during the month of June 2023 was described. Results: 113 people (n total) were interviewed in the present study, among them, 72 were female (63.5%) and 41 were male (36.5%), with a mean age of 28.77± 5.31 (min. 23, max. 50). Among the female population, 26.4% showed risky or harmful use or symptoms of dependence, while 26.8% were male. With regard to age, 28.3% of those who presented risky, harmful consumption or dependence symptoms were between 20 and 25 years old, followed by 25.7% between 26 and 30 years old, 30.8% between 31 and 35 years old, 16.7% between 36 and 40 years old, and 16.7% between 36 and 40 years old, 16.7% were between 36 and 40 years of age, and finally 33.3% were over 40 years of age. Conclusion: In the present study, more than a quarter of the surveyed population presented a pattern of risky, harmful consumption or symptoms of alcohol dependence. Among the latter, the population of both sexes presented a similar pattern of problematic consumption. In relation to age, those between 20 and 25 years old, followed by those between 26 and 30 years old presented a more risky consumption. The vast majority of students with problematic or harmful alcohol consumption expressed feelings of guilt after drinking Journal: Health Leadership and Quality of Life Pages: 70 Volume: 2 Year: 2023 DOI: 10.56294/hl202370 Handle: RePEc:dbk:health:v:2:y:2023:i::p:70:id:70 Template-Type: ReDIF-Article 1.0 Author-Name: Vicentin Author-Name: Vercesi Author-Name: Caporaletti Title: Dry eye symptoms and frequency of screen use reported by students of the Medical School of the Universidad Abierta Interamericana - Sede Rosario Argentina, during the COVID-19 pandemic period (2020-2021) Abstract: Introduction: Dry eye is a multifactorial disease that is related to the use of electronic devices. During the COVID- 19 pandemic confinement, distance learning was adopted, which may have increased the frequency of use of these devices in college students, which could increase the risk of having dry eye symptoms. Objective: To describe the symptoms of dry eye and the frequency of screen use reported by 5th year students of the Medical School of the Universidad Abierta Interamericana (UAI)- Sede Rosario, during the COVID-19 pandemic period (2020-2021). Materials and methods: Quantitative, observational, retrospective, cross-sectional, descriptive design. Carried out in the UAI during the months of January to June 2023. The population consisted of all the students in the 5th year in the 1st four-month period of the Medicine Career, in the year 2023. The sampling was non-probabilistic by convenience. A virtual survey consisting of 9 closed and multiple-choice questions was applied. The variables were analyzed by means of absolute and relative percentage frequencies. Results: A total of 80 students were surveyed, of whom 72% were female and 28% male, with a mean age of 26.12 ± 7.91 years (min: 20; max: 40). Ninety-five percent were regular users of electronic devices prior to the COVID-19 pandemic. Ninety-nine percent reported an increase in hours of electronic device use by an average of 5.57 ± 2.03 hours per day. During the COVID-19 pandemic, students reported symptoms such as dry eye sensation, burning, itching, irritation, tearing, and increased blinking. Forty percent had some impairment in reading on digital screens and 28% had discomfort when watching TV or using electronic devices with screens. Conclusions: The student population surveyed reported increased use of electronic devices with screens during the COVID-19 pandemic, reporting dry eye sensation, burning, itching, irritation, tearing, and increased blinking. Women under 30 years of age reported the highest frequency of dry eye symptoms Journal: Health Leadership and Quality of Life Pages: 69 Volume: 2 Year: 2023 DOI: 10.56294/hl202369 Handle: RePEc:dbk:health:v:2:y:2023:i::p:69:id:69 Template-Type: ReDIF-Article 1.0 Author-Name: Bonardi Author-Name: Verrone Title: Level of knowledge about carbon monoxide poisoning and its prevention among students of the Medical School of the Universidad Abierta Interamericana of the city of Rosario (Argentina) in the year 2023 Abstract: Introduction: Carbon monoxide (CO) poisoning is a medical emergency that, if not adequately treated, can cause neurological sequelae and even death of the patient. However, its recognition is difficult due to the fact that CO is a colorless and odorless gas and that its symptoms are non-specific and can be confused with other pathologies. Objective: To describe the level of knowledge about CO poisoning and its prevention among students in the 1st, 2nd, 3rd and 4th YEAR (1st four-month period) of the Medical School of the Universidad Abierta Interamericana (UAI) - Rosario campus in the year 2023. Materials and methods: Quantitative, observational, descriptive, cross-sectional and retrospective study. It was carried out at the UAI Rosario campus. The population consisted of students in their 1st, 2nd, 3rd and 4th year, all of them in their 1st four-month period of the UAI Medical School. The sampling was non-probabilistic by convenience. The data collection instrument consisted of an anonymous, voluntary and self-administered survey consisting of 24 questions aimed at identifying the knowledge of medical students regarding CO poisoning, its causes, symptoms, action and prevention. The variables were analyzed through absolute and relative percentage frequencies and summarized through measures of central position: mean, and measures of dispersion: standard deviation. Results: A total of 85 students were surveyed, of whom 66% were female and 34% male, with a mean age of 26.43 ± 5.86 years (min: 18; max: 43). 36% were in their first year of high school. Thirty-six percent were in their second year of medical school, 26% in their fourth year, 20% in their third year and 18% in their first year. The mean score was 13.87 ± 4.07 points (min. 5; max. 22). Fifty-six percent of the medical students surveyed presented a medium level of knowledge about CO poisoning, 32% a high level and 12% a low level. Conclusions: 56% of the surveyed medical students presented a medium level of knowledge about the causes, symptoms, methods of action and prevention of CO poisoning. Among the symptoms of CO poisoning recognized by the students were headache, fainting, nausea, vomiting, fatigue, blurred vision, confusion and difficulty breathing. Journal: Health Leadership and Quality of Life Pages: 68 Volume: 2 Year: 2023 DOI: 10.56294/hl202368 Handle: RePEc:dbk:health:v:2:y:2023:i::p:68:id:68 Template-Type: ReDIF-Article 1.0 Author-Name: Calderón Landívar Author-Name: Loja Llano Author-Name: Tena García Author-Name: Quiñonez Castillo Author-Name: Chávez-Arizala Title: Occupational risks in workers of CADE food industry and the Montúfar Battalion, Santo Domingo Abstract: Introduction: occupational risk is any circumstance capable of causing danger in the context of the development of an activity within the work day. Objective: identify the occupational risks to which workers in the CADE food industry and the Montúfar Battalion are exposed, Santo Domingo, 2022. Methods: observational, descriptive cross-sectional research. The universe was 100 people and through non-probabilistic sampling for convenience and the established exclusion and inclusion criteria, the sample was made up of 59. The data were tabulated through Microsoft Excel for better study and understanding. Results: Regarding the working hours of the respondents, it was established that 44,8 % worked more than 40 hours and 27,6 % worked 20 to 40 hours and less than 20 hours; In the battalion, 63,3 % work between 20 to 40 hours and 36,7 % work more than 40 hours. It was determined that 48,3 % of the sample in the Cadepan industry considers noise to be high and 41,4 % establishes that there is no noise; while in the battalion 96,7 % of workers are exposed to high noise. Conclusions: raising awareness of the personnel who work in both institutions on topics such as the proper use of equipment and tools specific to the area is a first-order task, in addition, adopting correct work postures to avoid health problems in the future Journal: Health Leadership and Quality of Life Pages: 67 Volume: 4 Year: 2025 DOI: 10.56294/hl202567 Handle: RePEc:dbk:health:v:4:y:2025:i::p:67:id:67 Template-Type: ReDIF-Article 1.0 Author-Name: Calderón Landívar Author-Name: Saltos Bermello Author-Name: Espinoza Jumbo Author-Name: Chávez-Arizala Title: Some considerations about healthy food consumption in diabetics Abstract: Introduction: Diabetes is a chronic pathology that has a high death rate worldwide and is one of the chronic non-communicable diseases. It occurs when the level of glucose in the blood is higher than normal. Objective: characterize aspects related to healthy food consumption in diabetics. Method: a review of the literature available in databases such as SciELO, Scopus and ClinicalKey was carried out, of which a total of 15 related articles were consulted, empirical methods such as logical history and analysis and synthesis were used. Results: Diet is an important aspect that must be educated on how to adjust food intake. Stevia is a natural sweetener with 0 calories, an alternative to sugar and artificial sweeteners. The leaves of the plant are 30 times sweeter than cane sugar, and the sweetener obtained is 300 times sweeter than sucrose. Cranberry contains anthocyanosides, powerful antioxidants that strengthen blood vessels and capillary walls, improve red blood cells and stabilize collagen tissues, such as tendons, ligaments and cartilage, and have cholesterol-lowering effects. Conclusions: This study highlights the positive effects of the implementation of stevia and blueberries in the production of healthy foods for diabetic people, also showing that society is becoming more aware every day of the production of foods that expand the nutritional possibilities for diabetics. diabetics. Journal: Health Leadership and Quality of Life Pages: 66 Volume: 4 Year: 2025 DOI: 10.56294/hl202566 Handle: RePEc:dbk:health:v:4:y:2025:i::p:66:id:66 Template-Type: ReDIF-Article 1.0 Author-Name: Polette Álvarez Anchundia Author-Name: Flores Mera Author-Name: Jácome Author-Name: Chávez-Arizala Title: Considerations about the importance of physical exercise in people's health and well-being Abstract: Introduction: Physical exercise is any physical activity that improves and maintains a person's physical fitness, health and well-being. It is carried out for various reasons, such as muscle strengthening, improving the cardiovascular system, developing athletic skills, fat loss or maintenance, emotional well-being as well as recreational activity. Objective: characterize the effect of physical exercise on people's health and well-being. Method: a review of the literature available in databases such as SciELO, Scopus and ClinicalKey was carried out, of which a total of 15 related articles were consulted, empirical methods such as logical history and analysis and synthesis were used. Results: physical activity is considered the factor that intervenes in the state of people's health. The constant practice of physical exercise improves and strengthens the immune system, helping to preserve the integrity of the cells in the body. During the first years of life it can make a difference in terms of the good condition of the bone system, cardiovascular resistance, and lower blood pressure. , overweight and obesity. The practice of physical activity is also seen to be related to reducing symptoms of fatigue, stress, depression and increasing self-esteem and improving mood. Conclusions: physical exercise is presented as an essential tool to achieve a healthier, happier and fuller life. Regardless of age or physical condition, exercise can be adapted to individual needs, becoming an investment in your long-term health and well-being. Journal: Health Leadership and Quality of Life Pages: 65 Volume: 4 Year: 2025 DOI: 10.56294/hl2025.65 Handle: RePEc:dbk:health:v:4:y:2025:i::p:65:id:65 Template-Type: ReDIF-Article 1.0 Author-Name: Calderón Landívar Author-Name: Saltos Bermello Author-Name: Espinoza Jumbo Author-Name: Chávez-Arizala Title: Preparation of blueberry blueberry muffins Abstract: Introduction: diabetes mellitus (DM) is a set of metabolic disorders, whose main common characteristic is the presence of high concentrations of blood glucose persistently or chronicly. Objective: prepare a blueberry muffins that allow expanding diabetic feed options. Method: a quantitative, experimental and transverse study was conducted, the study was conducted during the year 2020 at the Santo Domingo de Ecuador headquarters. A study sample of 100 cases was selected to whom the survey was applied and were selected by a simple random sampling. For data collection, a survey was applied under the quantitative approach, divided into three sections. Results: 62 % of the sample is male, 76 % have an age between 18 and 35 years, consume fresh water and natural water by 38 % and fruits and vegetables 46 %, 90 % of respondents would be arranged To consume cakes or muffins that is healthy, 30 % consider the difficult diets to make, it is evident that the % fat of the product is 3.02 %, which is beneficial for people suffering from diabetes. Conclusions: you can see in the study that people like fast food and that they would be willing to eat healthy muffins, appreciating that a healthy product can help change eating habits. It is considered that the most difficult aspect in the treatment of diabetes is to maintain an adequate diet. Journal: Health Leadership and Quality of Life Pages: 64 Volume: 4 Year: 2025 DOI: 10.56294/hl2025.64 Handle: RePEc:dbk:health:v:4:y:2025:i::p:64:id:64 Template-Type: ReDIF-Article 1.0 Author-Name: Funes Maciel Author-Name: Franco Cèspedes Author-Name: Espinosa Aguilar Author-Name: Oria Saavedra Author-Name: Rojas Ruiz Author-Name: Pérez Gonzàlez Title: Professional nursing performance and quality of care in a polytraumatized patient in the emergency room Abstract: Introduction: Emergency services provide crucial medical care, especially for trauma patients whose lives are at risk. Collaboration and coordination being fundamental. Nursing plays an essential role in prehospital care and in the comprehensive patient care process; however, there is not enough research that addresses this phenomenon from a Nursing perspective. Objective: Systematize the conceptions of professional nursing performance and quality of care in polytraumatized patients in the emergency room. Methods: Integrative review of original articles and review published in databases SciELO, Medigraphic, Índex, Google Académico. The guiding question was developed through the acronym PICo. The search strategy was carried out using the descriptors in Health Sciences (DeCS) “Nursing in emergencies” AND “nursing care” AND “nursing in polytraumatism” AND “polytraumatized in emergencies” AND “quality of care” AND “multitraumatized patient”, the inclusion criteria were: articles in Spanish and English, published from 2018 to 2024, clear methodology, and theoretical reference. The flow diagram (PRISMA) was used, 98 articles were identified and reviewed, of which were useful 11 of the evolution of the category, document content analysis was carried out. Conclusions: The systematization favored the identification of relevant elements in the professional performance category of Nursing in critical care contexts, which places care in a relevant position that favors rapid action. Journal: Health Leadership and Quality of Life Pages: .62 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.62 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.62:id:.62 Template-Type: ReDIF-Article 1.0 Author-Name: Gama Author-Name: Raposo Author-Name: Milreu Author-Name: João Santos Author-Name: Severino Author-Name: Sousa Title: Conflict management in COVID-19 Vaccination: A critical reflection Abstract: Healthcare professionals work in dynamic and complex environments to make ethical decisions, which are guided by fundamental principles such as beneficence, non-maleficence, autonomy and justice, in addition to local laws and professional codes of ethics. The COVID-19 pandemic has brought unprecedented challenges, raising ethical concerns in various areas of care provision, and which in the field of nursing has raised ethical and personal conflicts. Objective: To reflect on specific nursing interventions during the COVID-19 vaccination that generated conflicts, positive and negative contributions and the management strategies used. Methodology: Critical reflection supported by a bibliographic review of relevant scientific literature. Conclusion: During the COVID-19 vaccination, the lack of continuity of care by the same professional, the pressure to meet targets and the lack of resources placed nurses in situations of intrapersonal conflict, jeopardizing the fundamental principles of the profession and the safety of users. Ensuring continuity of care, strengthening the ethical training of professionals and promoting dialogue between the different actors involved in crisis management decision-making, will contribute to better management of future challenges. Journal: Health Leadership and Quality of Life Pages: .74 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.74 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.74:id:.74 Template-Type: ReDIF-Article 1.0 Author-Name: Flores Author-Name: Hellin Title: Impact on the quality of life perceived by older adults participating in the MAS Self-reliant Older Adults program: A Preliminary Study Abstract: The population of elderly people has been increasing worldwide. Chile has not been oblivious to this reality and, with the purpose of increasing participation and promoting the self-sufficiency of the elderly, the Chilean Government has launched the MAS Adultos Mayores Autovalentes (More Self-sufficient Older Adults) Program. Objective: To analyze the impact on the perceived quality of life of elderly people who participate in the MAS Adultos Mayores Autovalentes Program. Methodology: Prospective longitudinal analytical quantitative study. The questionnaire "The World Health Organization Quality of Life" (WHOQOL-BREF) was applied to 15 elderly people (M=71.60 years, SD=4.53) participating in the MAS AMA program in the commune of Molina, Maule Region - Chile, selected by convenience sampling. Results: Statistically significant effects were found in three of the dimensions evaluated in the quality of life questionnaire; however, in two other dimensions and in global results, no statistically significant effects were found. Conclusion: Participation in programs aimed at promoting autonomy in the elderly has a positive impact on perceived quality of life. Journal: Health Leadership and Quality of Life Pages: .73 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.73 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.73:id:.73 Template-Type: ReDIF-Article 1.0 Author-Name: Hernández Martínez Author-Name: González Medina Title: Impact of Toxic Substance Use on Quality of Life in Adolescents Abstract: Introduction: drug is any chemical substance capable of interacting with a living organism and, from the medical point of view, used for the treatment, prevention, cure or diagnosis of diseases. Objective: to characterize the consumption of toxic substances in adolescents of the "Arístides Viera González" Preuniversity Institute. Methods: a descriptive-transversal observational study was carried out. The universe consisted of 187 students belonging to the "Arístides Viera González" Preuniversity Institute, in the period January-December 2021. Results: female sex predominated (55,08 %), being 16 years old the most frequent age (42,9 %). In terms of toxic habits, consumers of other toxic substances such as cola predominate (53,47 %). 64,17 % of students refer that at school they are educated about the damage caused by toxic habits and 42,78 % of students agree that the family constantly talks to them about the benefits of leading a healthy life and that if there can be fun without toxic habits. Conclusions: one of the major public health problems is the consumption of toxic substances. There was a predominance of female students and of students who consume other toxic substances such as cola. Most of the students state that they are educated at school about the harm caused by toxic substances and that the family exerts great influence on them to lead a healthy life. There is a predominance of students who believe that there can be no fun without substances Journal: Health Leadership and Quality of Life Pages: 42 Volume: 3 Year: 2024 DOI: 10.56294/hl202442 Handle: RePEc:dbk:health:v:3:y:2024:i::p:42:id:42 Template-Type: ReDIF-Article 1.0 Author-Name: Oria Saavedra Author-Name: Rojas Ruíz Author-Name: Espinosa Aguilar Author-Name: Vaesken Rojas Author-Name: Presentado Mora Author-Name: Pérez Miño Title: Student satisfaction and quality of institutional life in Higher Health Education Abstract: Introduction: Higher Education institutions seek to achieve institutional quality and influence student satisfaction. This is a feature that deserves an analysis that brings it closer to the particularities of the training of health students. Well, although it is a frequent topic under discussion, university demands increase. Objective: analyze current theoretical conceptions about student satisfaction and institutional quality of life in Higher Health Education. Method: integrative review for a critical and reflective analysis of contents of documents published between 2017-2023 with a methodology and theoretical reference. Keywords identified in DeCS and MeHS and Boolean operators were used: “higher education policy AND “health education” AND “universities” AND “medical education” AND “health students”, AND “accreditation”. The search strategy was carried out in the Índex, SciELO, Redalyc, Dialnet databases. The flow chart (PRISMA) was used to formulate the search strategy, 102 articles were identified and reviewed, of which 11 were useful regarding the evolution of the category. The following inclusion criteria were considered: original or review studies, available in full text, that declared the methodology applied, published in English and Spanish. Conclusions: the conceptions of student satisfaction and institutional quality in Higher Health Education reveal the starting point for research. They show the complexity of the categories, which prevents delving into each independent one, and proportional relationships. Operational definitions are offered that contain the relationships Journal: Health Leadership and Quality of Life Pages: 43 Volume: 3 Year: 2024 DOI: 10.56294/hl202443 Handle: RePEc:dbk:health:v:3:y:2024:i::p:43:id:43 Template-Type: ReDIF-Article 1.0 Author-Name: Edet Usoro Author-Name: Oluwatoyin Adawale George Author-Name: Shuaibu Author-Name: Promise Ogolodom Author-Name: Emeka Ezugwu Author-Name: Monday Effiong Author-Name: Kelechi Nwodo Author-Name: Anayo Author-Name: Ron Title: Challenges encountered by newly qualified radiographers in their early clinical practice in southwestern Nigeria Abstract: Background: formal qualification does not rule out the challenges a radiographer may face by virtue of being new in the clinical practice, and does not necessarily mean acquisition of the needed competency to practice. This study was designed to evaluate challenges encountered by newly qualified Radiographers in their early clinical practice in Southwestern Nigeria. Materials and methods: a descriptive cross-sectional study was conducted among 360 newly qualified Radiographers selected hospitals in South West Nigeria. A well-designed questionnaire was used for data collection and it was analysed with descriptive and inferential statistics. Results: the major communication challenges were: effective communication with patients and careers (3,8 ± 0,8) and effective communication with members of the team (3,8 ± 1,0). The major clinical challenges identified were: cannot perform special exams unaided (1,7 ± 0,6) and cannot prioritize exams according to urgency (1,6 ± 1,0). The major technical challenges identified were: cannot take remedial actions for poor quality radiograph (2,1 ± 0,5) and restriction from access to some machines (1,9 ± 0,7). The major workload challenges identified were: assignment of too much work (2,0 ± 0,4) and poor supervision of new radiographers by superiors (1,7 ± 0,9). The major welfare challenges identified were delay in salary (2,1 ± 0,7) and difficulty in getting internship placement (2,1 ± 0,6). The result from the Chi-square test revealed that there were no statistically significant relationships between the challenges faced by newly qualified radiographers in their early clinical practice and their categories (χ2 =4,806, df=2, p= 0,09). Conclusion: newly qualified radiographers faces numerous challenges such as technical, communication, workload, poor supervision as well as welfare challenges. There were no statistically significant relationships between the challenges faced by newly qualified radiographers in their early clinical practice and their categories. The study, therefore, recommends the need to create a formal mentorship program for newly qualified radiographers, to provide them with guidance and support. There is also need to provide opportunities for continued professional development for newly qualified radiographers, such as workshops or courses. Also, more staff should be employed so that the workloads are evenly distributed among the radiographers on staff Journal: Health Leadership and Quality of Life Pages: 47 Volume: 3 Year: 2024 DOI: 10.56294/hl202447 Handle: RePEc:dbk:health:v:3:y:2024:i::p:47:id:47 Template-Type: ReDIF-Article 1.0 Author-Name: Promise Ogolodom Author-Name: Dikibo Author-Name: Edet Usoro Author-Name: Wema Author-Name: Dike Frank Author-Name: Brownson Author-Name: Chizube Ikegwuonu Author-Name: Ron Author-Name: Balogun Author-Name: Nyenke Author-Name: Awajimijan Author-Name: Ifeoma Okafor Author-Name: Johnson Title: Percieved occupational stress and its influences on the mental health of radiography and medical laboratory science lecturers in tertiary institutions in Nigeria Abstract: Background: the workplace environment has been severely affected by globalization and the global financial crisis, leading to an increase in demand as well as stress and related problems. This study was designed to assess effects of perceived occupational stress on the mental health of radiography and medical laboratory science lecturers in tertiary institutions in Nigeria, as well as to determine relationships between levels of occupational stress on mental health and the socio-demographic variables of the lecturers. Methods: a cross-sectional questionnaire-based survey design was adopted to ascertain the aims of this study among 65 lecturers of the aforementioned departments. Obtained data were analyzed using both descriptive and inferential statistical tools. Results: out of 65 respondents, 38(58,46 %) were males while females accounted for 27(41,54 %). Majority 36(55,38 %) of the participants were lecturers from radiography department and large proportion 39(65 %) of the respondents were within the age of 38-47 years. All (n=16, 100 %) the respondents were full-time lecturers. Most 26(40 %) of the respondents had master’s degree. Greater number 30(46,15 %) had 3-8years working experiences. Majority of the lecturers from both departments reportedly felt emotionally drained from work sometimes, which is 28(96,55 %) and 22(61,11 %) for MLS and Radiography respectively. Twenty three (63,88 %) of the radiography (RAD) lectures reported to had found themselves getting upset by quite trivial/little things sometimes, while in Medical Laboratory Science (MLS), 16(55,17 %) of the lecturers sometimes gets upset by quite trivial things. Furthermore, the majorities of the lecturers from both departments sometimes felt pressure to beat deadlines, which is 25(86,21 %) and 21(58,33 %) for MLS and Radiography respectively. There were no statistically significant relationships between impact of occupational stress on the mental health of MLS lecturers and their socio-demographic variables such as gender (χ2 = 3,000, df= 2, p= 0,33), Age (χ2 = 6,000, df=3, p= 0,11), and years of experience (χ2 = 3,333, df=3, p= 0,34). There were no statistically significant relationships between impact of occupational stress on the mental health of Radiography lecturers and their socio-demographic variables such as gender(χ2 = 5,312, df= 6, p= 0,38), Age (χ2 = 11,000, df=15, p= 0,75), and years of experience (χ2 = 7,000, df=5, p= 0,22). Conclusion: there was mild level of impact of occupational stress on the mental health of lecturers from the departments of interest. The impact of occupational stress on the mental health of Radiography and MLS lecturers by gender, years of experience, age and level of education did not vary within the population of study. More lecturers should be employed to meet up the recommended students to lecturer’s ratio so as to reduce the level of perceived mental stress among the lecturers Journal: Health Leadership and Quality of Life Pages: 48 Volume: 3 Year: 2024 DOI: 10.56294/hl202448 Handle: RePEc:dbk:health:v:3:y:2024:i::p:48:id:48 Template-Type: ReDIF-Article 1.0 Author-Name: Iriarte de Vega Author-Name: Duarte Segovia Author-Name: Rojas Ruíz Author-Name: Espinosa Aguilar Author-Name: Oria Saavedra Title: Systematization of care for the primary caregiver of older adults with Alzheimer's Abstract: Introduction: Alzheimer's disease is identified as one of the mental health problems that requires particular attention, not only because of the human impact, but also because of the crisis that is generated in the family. Therefore, analyzing different aspects of how to care for older adults is a common interest of multiple researchers. Care for the family caregiver, a quality of care not analyzed in depth, is focused in this review as its main object of study. Objective: analyze the category of care for the primary caregiver of older adults with Alzheimer's today. Methods: integrative review of original and review articles published in the SciELO databases; Dialnet; Medigraphic. The guiding question was developed through the acronym PICo. The search strategy was carried out using the descriptors in Health Sciences (DeCS) “caregivers” AND “elderly” AND “Alzheimer's dementia” AND “nursing care”, the inclusion criteria were: articles in Spanish and English, published from 2018 to 2024, the methodology is clear, and the theoretical reference. The flow chart (PRISMA) was used, 104 articles were identified and reviewed, of which 12 were useful regarding the evolution of the category, document content analysis was performed. Conclusions: in the analysis of the category, key elements are identified such as population aging, its morbidities, mental health and Alzheimer's disease, as well as the overload of the primary caregive Journal: Health Leadership and Quality of Life Pages: 50 Volume: 3 Year: 2024 DOI: 10.56294/hl202450 Handle: RePEc:dbk:health:v:3:y:2024:i::p:50:id:50 Template-Type: ReDIF-Article 1.0 Author-Name: Ledo Barros Author-Name: Leardi Title: Exploration of aspects of communication between doctors and patients in anamnesis, better prognosis and adherence to treatment: a systematic review Abstract: Introduction: there is much talk about doctor-patient communication and its importance, but when is it really effective? For doctor-patient communication to be effective it must involve not only a biomedical vision, i.e. real medical knowledge, but much more than that, it requires a multidimensional vision, in an individualized and humanized way. From this perspective and taking into account the complexity that this represents, it is particularly important to analyze the elements involved in the medical consultation, as well as the impact they will have on the anamnesis and adherence to treatment on the part of the patients. The doctor-patient relationship represents a fundamental aspect in the process of health care, treatment of the disease and recovery of health, deserving special interest in establishing effects, such as adherence to treatments and therapies, aimed at restoring health. Through this established link, it is possible to achieve a better anamnesis, establishing an adequate and humanized behavior, which favors an effective diagnosis. However, the patient's cooperation is necessary, communicating and expressing what he/she feels. Effective communication between physician and patient will lead to positive and satisfactory results for both parties. Method: an exhaustive electronic search of the relevant literature on the factors involved in good patient-physician communication was performed through medical databases as well as reference search engines such as Pubmed, Cochrane, mesh broweser, Google Scholar, scielo, bireme. The following keywords and MeSH terms were used: "doctor patient relationship" "effective communication" "medical education", "communication barriers", "clinical skills" "empathy". Randomized clinical trials, systematic reviews and meta-analyses were identified without considering publication status, reported results, last ten years of publication and with language restriction to English, Spanish and Portuguese. Results: 12 systematic review and meta-analysis papers published between 2015 - 2022, which met the established inclusion criteria, were included. Conclusions: Effective communication between physicians and patients plays a crucial role in promoting successful treatment and improving patient adherence. In addition, implementing communication training programs during medical school can help prepare future physicians to interact more effectively with patients Journal: Health Leadership and Quality of Life Pages: 54 Volume: 3 Year: 2024 DOI: 10.56294/hl202454 Handle: RePEc:dbk:health:v:3:y:2024:i::p:54:id:54 Template-Type: ReDIF-Article 1.0 Author-Name: Lima de Araújo Author-Name: Birnenbaum Title: Humanization of health care in the hospitalization space Abstract: Introduction: the humanization of health must be structured as a strategic issue; All its processes, guidelines and directives must be focused on the person suffering from the disease and on those who do everything possible to offer the best care services. The objective of the study is to identify humanizing attitudes from the health team (ES) towards the patient in the hospital environment. Method: an observational, descriptive and cross-sectional study was carried out. The data collection technique consisted of a list based on the Decalogue of the Humanization of Health Care (DHSA), the sample was made up of a total of 10 ES. Results: 10 ES were observed using the DHAS criteria. Compliance: Identify yourself: 60 % (n=6); Listening: 40 % (n=4); Empathize: 40 % (n=4); Communicate: 80 % (n=8); Respect: 80 % (n=8); Provides comfort, intimacy and privacy: 80 % (n=8); Get closer: 60 % (n=6); Be nice: 40 % (n=4); Facilitates accessibility: 80 % (n=8); Respect rest: 80 % (n=8). Conclusions: the DHSA is a guide to enhance the personal skills of each professional, which are reflected in the encounter with others, in the relationship between people. This is an irreplaceable point in the healthcare space since it is the only procedure in which people are irreplaceable by technology and science Journal: Health Leadership and Quality of Life Pages: 55 Volume: 3 Year: 2024 DOI: 10.56294/hl202455 Handle: RePEc:dbk:health:v:3:y:2024:i::p:55:id:55 Template-Type: ReDIF-Article 1.0 Author-Name: Vergara Author-Name: Bonilla Title: Challenges and proposals for the implementation of Universal Health Insurance in Argentina: comparative analysis among countries with similar healthcare systems Abstract: Introduction: Universal Health Insurance is a governmental tool for financial risk management in healthcare systems, presented as an alternative to mitigate individual economic impact, guarantee access to health, and efficiently distribute public expenditure resources. It is based on a revenue model, either public and/or private, to achieve health coverage that distributes financial risk among all insured members, and may even encompass those outside the system. Objective: to conduct a systematic and comparative analysis, considering the experiences of different countries that have adopted Universal Health Insurance or similar systems, in contrast to the characteristics of Argentina, to determine potential challenges and proposals that may arise in the hypothetical case of implementing such a mechanism in the country. Method: a systematic, ubiquitous, atemporal, and/or diachronic review of publications on obstacles, proposals, and outcomes related to public policies on universal health insurance or similar initiatives was conducted. This review comprehend different countries and aimed to compare potential coincidences, differences, and intermediate points with organizational factors in Argentina. Results: 60 studies were included from 25 countries, where key factors in the implementation of Universal Health Insurance were identified: Willingness to Pay (WTP); Informal and unemployed workers; Social, ethical, and political considerations; Segmentation; Tools on demand; Supervision of health centers and insurance companies; Designs and structures; Other considerations. Conclusions: by considering the experiences of other countries with similar socioeconomic characteristics, it is possible to develop proposals and design a model of Universal Health Insurance in Argentina that ensures quality, equity, reduces individual risk, and contributes to financially sustainable support over time Journal: Health Leadership and Quality of Life Pages: 56 Volume: 3 Year: 2024 DOI: 10.56294/hl202456 Handle: RePEc:dbk:health:v:3:y:2024:i::p:56:id:56 Template-Type: ReDIF-Article 1.0 Author-Name: Cameto Author-Name: Dinardi Author-Name: Perdomo Author-Name: Silvana Jubin Author-Name: Giacosa Author-Name: Silveira Title: Internal Audit of Nursing: an assurance approach Abstract: In 2020, the Nursing Department of the British Hospital of Montevideo implemented the Internal Nursing Audit (INA), based on the ISO 9001:2015 Standard, to improve the quality and safety of care. The IEA evaluated comprehensive care, patient safety, and internal climate, categorizing findings into strengths, compliance, opportunities for improvement, observations, and nonconformities, through observational audits and electronic checklists. Between 2020 and 2023, the sectors audited increased from 6 to 25, identifying outstanding practices in medication administration and personalized care, while improving areas such as technology training and documentation. The EIA has been instrumental in continuous improvement and quality of care, contributing to patient-centered care and staff satisfaction Journal: Health Leadership and Quality of Life Pages: 62 Volume: 3 Year: 2024 DOI: 10.56294/hl202462 Handle: RePEc:dbk:health:v:3:y:2024:i::p:62:id:62 Template-Type: ReDIF-Article 1.0 Author-Name: Castillo Romero Author-Name: García Hernández Author-Name: Pedraza Ramirez Author-Name: Garcia Rojas Title: Determinants of informal work among youth in Ciudad Bolívar, Bogotá: an analysis of educational, socioeconomic and government support barriers in 2024 Abstract: Informal work represents a significant part of the economy in many regions, and in Colombia, particularly in the town of Ciudad Bolívar in Bogotá, this type of employment is a predominant reality among young people between 18 and 30 years old. The research presented analyzes the factors that influence the choice of informal work in this demographic group during the year 2024. This analysis is essential to understand and address the conditions that perpetuate labor informality in low socioeconomic contexts. The high prevalence of informal work among youth in Ciudad Bolívar reflects not only the lack of formal job opportunities, but also a series of interrelated factors ranging from educational level and vocational training to access to financial resources and government support. The decision to work informally is not based solely on the lack of formal employment, but also on the limitations and barriers that make the transition to regulated and secure jobs difficult. Understanding these factors is essential to design public policies and intervention strategies that promote the formalization of employment and improve the living conditions of these young people. This study provides a precise understanding of the factors that lead young people in Ciudad Bolívar to prefer informal work. The findings highlight the need for interventions that address educational, socioeconomic, and government support barriers to foster the transition to formal employment. Ultimately, the article offers a solid basis for the development of policies that promote the formalization of employment and improve the living conditions of young people in vulnerable contexts Journal: Health Leadership and Quality of Life Pages: 64 Volume: 3 Year: 2024 DOI: 10.56294/hl202464 Handle: RePEc:dbk:health:v:3:y:2024:i::p:64:id:64 Template-Type: ReDIF-Article 1.0 Author-Name: Colmenares Author-Name: Escalona Author-Name: Massín Author-Name: Labrador Author-Name: Hernández Runque Author-Name: Texeira Title: Labor fatigue and work organization in a food factory, Aragua-Venezuela, 2023 Abstract: The objective was to evaluate work fatigue and work organization in a food factory, in the state of Aragua, 2023. Research with a quantitative, field, descriptive, cross-sectional and correlational scope approach. The population was 135 workers and the sample was 101 workers, obtained by snowball sampling. The Yoshitake questionnaire (1978) modified by INSAT 1987 was applied. The statistical programs IBM SPSS ® Statistics Version 25 and EPIDAT were used. The sample was characterized using descriptive statistics and correlated by applying the chi-square and p-value tests. Results: The average age was 42,59 years, predominantly female; 44,6 % single; 52,5 % live with their partner.; 51,5 % have secondary education; the family burden is less than or equal to three members in 61,4 %; working workforce 80,2 % all under rotating shift schemes; 63,4 % have a length of service greater than 16 years; the travel time to the workplace is less than 30 minutes in 56,4 %; 62,38 % presented fatigue, in this group, 84,13 % with general symptoms of fatigue, followed by 9,52 % with mental fatigue, and 6,35 % physical fatigue. It is concluded that 62,4 % present mixed type work fatigue. Women, workers, those who live far away and those who worked shifts are more affected. There are no statistically significant differences between socio-occupational characteristics, shift work and the presence of fatigue Journal: Health Leadership and Quality of Life Pages: 65 Volume: 3 Year: 2024 DOI: 10.56294/hl202465 Handle: RePEc:dbk:health:v:3:y:2024:i::p:65:id:65 Template-Type: ReDIF-Article 1.0 Author-Name: Rodrigues Melchior Author-Name: Blanco Title: Cross-sectional observational study on teaching the communication of bad news Abstract: Introduction: healthcare professionals need to develop skills through knowledge, to handle complex situations in front of patients and/or their families, regarding the communication of bad news. It is extremely important that medical education offers the best educational approaches for training verbal and nonverbal communication skills to provide a clear and appropriate message in the face of these unavoidable circumstances in day-to-day medical practice. Objective: to investigate the need for training medical students to convey bad news to patients and/or their families. Method: a cross-sectional observational study was implemented, with a qualitative approach based on a closed survey to medical students on their ability to communicate bad news, where participants were compared with each other, thus obtaining a conclusion. The survey had 88 participants and the results were presented in Excel tables and figures generated from an online survey. Results: the search revealed that students of public universities (48,9 % of the experiment) and private universities (51,1 % of the experiment) in general never promoted the information of bad news to a patient and/or family, because it was found that only 21,6 % of the total had already had this experience throughout their education. Respondents, regardless of their age or year of graduation in medicine, showed insecurity about their own knowledge and skills to give bad news. Conclusion: the sample analyzed in the survey shows, with a large statistical difference, the need to improve the teaching methods for giving bad news in universities, because only 10,2 % of the sample considered the instruction they received during their education to promote this fact to be very satisfactory. We believe that it is necessary to introduce a practical method so that students, as physicians, do not feel so hesitant to communicate such sensitive news to patients and/or family Journal: Health Leadership and Quality of Life Pages: 67 Volume: 3 Year: 2024 DOI: 10.56294/hl202467 Handle: RePEc:dbk:health:v:3:y:2024:i::p:67:id:67 Template-Type: ReDIF-Article 1.0 Author-Name: Ponti Author-Name: Pascualini Title: Quality of nutritional support in critically ill patients. An interdisciplinary view Abstract: Introduction: as part of an interdisciplinary project, the actions taken by different healthcare professionals (doctors and nurses) over the quality of critical patients’ nutritional support were addressed at a private institution. Objective: to determine the impact of the prescribed nutritional intake and the records of medical and nursing professionals on the quality of nutritional support; anthropometric, biochemical, clinical indicators, and medical and nursing records were identified. Methods: an explanatory, cross-sectional, observational / non-experimental, retrospective, qualitative and quantitative research study with n = 34. An observation tool created ad hoc was used for approaching the clinical charts of patients with variables in sociodemographic data, nutritional screening, medical and nursing records, and quality in nutritional support. Results: the results have shown a high level of “no record” fields within both types of healthcare professionals. It is hence inferred that there were no regulations regarding the restoration and enhancement of the nutritional status at the institution under study. Additionally, it is deduced that each professional goes through a documentation process which frames and makes visible the relationship to the records of the medical and nursing professionals. The absence of regulations was rated as a latent variable (non-observable). Conclusions: the impact on the quality of the prescribed nutritional intake and their relationship to the records of medical and nursing professionals could be determined. The absence of regulations was rated as a latent variable (non-observable) Journal: Health Leadership and Quality of Life Pages: 71 Volume: 3 Year: 2024 DOI: 10.56294/hl202471 Handle: RePEc:dbk:health:v:3:y:2024:i::p:71:id:71 Template-Type: ReDIF-Article 1.0 Author-Name: Ortega Dugrot Author-Name: Suárez Oceguera Author-Name: Valdivieso Romero Author-Name: Ávila Roque Author-Name: Ruffin Concepción Author-Name: Guerra del Valle Title: Ergonomic risk assessment protocol in the management of endoscopic retrograde cholangiopancreatography Abstract: Introduction: endoscopic retrograde cholangiopancreatrography is the therapeutic method of choice to treat biliopancreatic diseases. The complexity of the endoscopic procedure, learning curves, duration, and the demand for the service in health institutions, condition the presence of ergonomic and occupational risks in the multidisciplinary team that intervenes in the technique. Objective: to evaluate the ergonomic risk factors for the management of Endoscopic Retrograde Cholangiopancreatography. Method: an observational, descriptive study will be carried out, aimed at professionals involved in the management of endoscopic retrograde cholangiopancreatography. Theoretical and empirical methods will be used. Ergonomic, occupational and psychosocial risk measurement instruments will be applied to specialists involved in ERCP. The results derived from the empirical level methods will be analyzed by percentage calculation. Qualitative assessments will be expressed in text form. The instruments will be valued by the Aiken V coefficient. Results: it will allow the identification of ergonomic, occupational and psychosocial risk factors in the management of endoscopic retrograde cholangiopancreatography and the proposal of an action plan based on intervening in the identified risks. It will contribute to the health of the exposed worker and the productivity, quality and efficiency of the service provided Journal: Health Leadership and Quality of Life Pages: 72 Volume: 3 Year: 2024 DOI: 10.56294/hl202472 Handle: RePEc:dbk:health:v:3:y:2024:i::p:72:id:72 Template-Type: ReDIF-Article 1.0 Author-Name: Promise Ogolodom Author-Name: Chiegwu Author-Name: Awajimijan Author-Name: Bakre Author-Name: Balogun Author-Name: Chimebere Obasi Author-Name: Ezugwu Author-Name: Agwere Onwuka Author-Name: Brownson Title: Transistion from clinical practitioner to academic educator: the experiences of radiography lecturers in Nigeria Abstract: Introduction: clinical educators are essential in radiography education programmes. Transitioning from clinical practicing radiographers to academic educators is a rewarding journey. This study was designed to examine the experience of Radiography Lecturers in the Nigerian universities that converted from radiography practitioners to academic educators. Method: a Google form questionnaire-based study design was conducted among 35 radiography lecturers in Nigeria. Only lecturers in Nigerian Universities who had worked as radiography clinical practitioners before transited to academics and consented to participate in this study were included. The questionnaire captured responses on socio-demographic variables, challenges, barriers, successes of transition from practitioners to academic educators. Results: the majority 17 (48,6 %) of the respondents earned income of above #251 000,00 as a practicing radiographers. Of the 35 respondents, the majority 12 (34,3 %) each respectively earned #101 000,00 -#150 000,00 and #151 000,00 - #200 000,00 as an academic radiographers. Majority 17(48,6 %) of the respondents agreed that the main challenge they are encountering as an academic educator is rigorous research activities. Family issues affected smooth transition process as 23 (65,7 %) of the respondents agreed to that. Majority 18 (51,4 %) perceived mentorship as the key factor responsible for smooth transition from practice to academic. There was statistically significant relationship between gender and challenges encountered by the responders (χ2 = 28,194, p = 0,00). Conclusion: the respondents experienced different challenges as they transited from clinical practice to academic. Mentorship is the key factor that militated against the smooth transition process. There was statistically significant relationship between gender and challenges encountered by the responders Journal: Health Leadership and Quality of Life Pages: 75 Volume: 3 Year: 2024 DOI: 10.56294/hl202475 Handle: RePEc:dbk:health:v:3:y:2024:i::p:75:id:75 Template-Type: ReDIF-Article 1.0 Author-Name: Cortez Zelada Author-Name: Santos Detquizan Author-Name: Chávez Sosa Author-Name: Morales-García Title: Knowledge and attitudes about sexually transmitted infections in Peruvian women’s Abstract: Introduction: Sexually transmitted infections are a very present problem in society, mainly due to sexually risky behavior in young people and adolescents and a certain section of the population. These infections are transmitted through sexual intercourse of any kind, but mainly due to a lack of knowledge of the population, which is why the objective of this research is to describe the relationship between knowledge and current attitudes about sexually transmitted infections in women in Peru. Methodology: A bibliographic review was carried out using the articles retrieved from the PubMed, MEDLINE, and Scielo databases, in the period between July and August 2024. External articles were added to the time frame due to their importance for the writing of this article, without the research presenting an update percentage of less than 90%. A total of 30 references were selected, which specifically fit the topic in question, excluding those with possible biases in their methods. Development: Knowledge includes information about sexually transmitted infections, including their symptoms, types, and prevention measures. It is obtained through teaching, campaigns and specific programs on STIs, which include various pathologies of infectious etiology where sexual transmission is epidemiologically relevant. Conclusions: Sexually transmitted infections are entities that coexist with the daily life of the general population, an element that does not exclude Latin America and much less Peru. Adequate knowledge about the management of these infections by the female community, both students and gynecological-obstetric patients and health personnel, represents a vital need to avoid the risk of infection by pathologies of this nature Journal: Health Leadership and Quality of Life Pages: .44 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.44 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.44:id:.44 Template-Type: ReDIF-Article 1.0 Author-Name: Intra Author-Name: Mancinelli Author-Name: Ponti Title: Challenges and Strategies in Post-Pandemic Nursing Education Abstract: Introduction: The COVID-19 pandemic, initiated in 2020, generated important changes in educational systems, especially in nursing education. The transition to virtuality negatively impacted educational quality, limiting clinical practices, social interaction and student motivation. In the field of nursing, where technical training is essential, these deficiencies resulted in insufficient clinical skills in students, affecting their preparation to face real patient care scenarios. Development: Recent studies, such as the one conducted at the University of Zacatecas, Mexico, showed that students without access to clinical practice during the pandemic reported deficient clinical skills in fundamental tasks such as probe placement, vital signs management, and medication administration. In response to this problem, an intervention program was designed in a private sanatorium in Rosario for probationary nurses. This project integrated practical workshops, simulation and collaborative learning to strengthen essential technical competencies. The sanatorium's infrastructure and human resources provided a suitable environment to develop this educational strategy, focused on improving care quality and patient safety. Conclusions: This article highlighted the need for comprehensive training strategies that prioritize clinical practice as a response to the shortages generated during the pandemic. The implementation of the program not only strengthened technical skills in new nurses, but also promoted continuing professional development, establishing a replicable model in the health care setting Journal: Health Leadership and Quality of Life Pages: 43 Volume: 1 Year: 2022 DOI: 10.56294/hl202243 Handle: RePEc:dbk:health:v:1:y:2022:i::p:43:id:43 Template-Type: ReDIF-Article 1.0 Author-Name: Intra Author-Name: Mancinelli Author-Name: Ponti Title: Technical skills workshop for nurses entering a healthcare institution graduating in the 2020-2021 period Abstract: One of the most important edges in our nursing career is to understand that in order to achieve a good care to the subject of attention, it is necessary to apply justified knowledge. Nursing thus becomes a continuous learning process where the benefit will always be for the patient. This paper presents the development of the planning of an intervention project that aims to build a technical skills workshop for nurses entering a health institution graduated in periods 2020-2021 in a private sanatorium in the city of Rosario in September 2024. The intervention consists of an activity in workshop format with the participation of these new nurses and with actors belonging to the institution. It will have a quarterly duration and will contain 6 meetings of 2 hours (120 minutes) of duration and a fortnightly frequency. As a result of this project, it is expected that 83% of the nurses (6) will have the fundamentals and tools for patient care, since during the pandemic period they have had to study virtually and without meetings to strengthen nursing techniques Journal: Health Leadership and Quality of Life Pages: 42 Volume: 1 Year: 2022 DOI: 10.56294/hl202242 Handle: RePEc:dbk:health:v:1:y:2022:i::p:42:id:42 Template-Type: ReDIF-Article 1.0 Author-Name: Valdiviezo Rogel Author-Name: Soledispa Cañarte Author-Name: Jimenez Granizo Author-Name: Sarmiento Tomalá Author-Name: Burbano Gómez Author-Name: López Barrera Title: Determination of the antioxidant effect of cocoa husk powder on lipoperoxidation in biological systems Abstract: Biomolecules such as: DNA, proteins, lipids (lipid peroxidation) are altered during oxidative stress where molecules (malondialdehyde) are released product of the decomposition of endoperoxides creating diseases. This work was based on the determination of the antioxidant capacity of the husks of cocoa on the lipid peroxidation in biological systems using TBARS methodology. Quality control analysis were performed, for the quantification of malondialdehyde, 6 groups with 4 animals were formed, I-control, II-induction, III - vitamin A, IV. V.VI - flour (100, 50 and 25 mg/kg), 24 hours earlier acetylsalicylic acid was administered as lipid peroxidation inducer, livers were extracted, a homogenate was prepared to react with TBA producing a colored complex, determining absorbance at 535 nm. Microbiological results determined absence of microorganisms, physicochemical results determined absence of flavonoids and polyphenols 1748 AGE mg / 100g. In 25, 50, 100 mg/kg dose, the reduction of malondialdehyde was: 0.322, 0.261,0.418 µM respectively. Journal: Health Leadership and Quality of Life Pages: 41 Volume: 1 Year: 2022 DOI: 10.56294/hl202241 Handle: RePEc:dbk:health:v:1:y:2022:i::p:41:id:41 Template-Type: ReDIF-Article 1.0 Author-Name: Fallaín Author-Name: Macías Author-Name: López Author-Name: Cedeño Author-Name: Chimbo Author-Name: Cedeño Title: Risk factors for subclinical hypothyroidism in pregnant women in the 24 de Mayo canton, Ecuador Abstract: Subclinical hypothyroidism during pregnancy is characterized by an increase in TSH with normal levels of T3 and T4, which can lead to complications if not diagnosed in time. In Canton 24 de Mayo, Ecuador, the identification of this condition in pregnant women is affected by several risk factors. Among these factors are the lack of access to accessible diagnostic tests, the general lack of knowledge about thyroid diseases, and the lack of health education programs that adequately address the issue. Underdiagnosis is a critical problem in this area, mainly due to the absence of regular screening during prenatal control. This study highlights the urgent need to implement policies that improve access to thyroid testing and promote education on the importance of early diagnosis, especially in vulnerable populations such as pregnant women. Journal: Health Leadership and Quality of Life Pages: .40 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.40 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.40:id:.40 Template-Type: ReDIF-Article 1.0 Author-Name: Alarcón Díaz Author-Name: Colán Navarro Author-Name: Meneses la Riva Author-Name: Morales-García Title: Satisfaction and quality of palliative care in patients with neoplasms diseases Abstract: Introduction: The role of palliative care at the end of life is vital in alleviating suffering through comprehensive assessment and treatment of patients' physical, psychosocial and spiritual symptoms. Objective: argue the importance of the quality of palliative care in patients with neoplastic diseases. Methods: the research was carried out by collecting information in different scientific article search engines such as PubMed, Google Scholar, Medline, Scielo, Sciencia Direct, Elseiver, Medigraphic, ResearchGate. The search strategy was limited to articles ranging from 2019 to 2023, in Spanish and English, about palliative care in patients with oncological diseases and the importance of the satisfaction of users of outpatient services for such purposes. . The search terms used in the writing were verified with the MESH and DeCS descriptors, and were: “palliative care”, “oncological diseases”, “oncological patient”, “emotional support”. Development: palliative care improves the quality of life of patients despite the circumstances in which they may find themselves and supports families facing organizational problems associated with the suffering of the imminent loss due to the life-threatening illness of a loved one. Palliative care stands out through the relief of suffering through the early identification, evaluation and precise treatment of physical, psychological and spiritual pain; requires an interdisciplinary approach that involves the patient, family, and community in action; indeed, the practical and philosophical notion of an interdisciplinary team is crucial to providing quality palliative care Journal: Health Leadership and Quality of Life Pages: .39 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.39 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.39:id:.39 Template-Type: ReDIF-Article 1.0 Author-Name: López Barrera Author-Name: Encalada Author-Name: Burbano Gómez Author-Name: Soledispa Cañarte Author-Name: Sarmiento Tomalá Author-Name: Jimenez Granizo Title: Cytoprotective effect of allium sativum (garlic) and alkaline water on β-pancreatic cells as a preventive treatment for diabetes induced in wistar rats Abstract: Allium sativum and alkaline water have an antioxidant effect, capable of protecting any cell from degeneration. Studies have shown that they regulate glucose levels; however, there is no evidence of research on the mixture of both treatments with histopathological studies. The objective of the present study was to evaluate the cytoprotective effect of the joint administration of Allium sativum and Alkaline Water in different doses and periods of time. For this research, 8 groups of 12 animals each were formed, to which initial glucose was measured, and then the corresponding treatments were administered for 7, 14 and 21 days. Control group A without treatment, group B induction with alloxan, group C positive control administered: Glibenclamide, Group D Allium sativum oil, Group E alkaline water and Groups F, G, and H received Allium sativum and Alkaline water together at different doses. After each time period diabetes was induced using alloxan, final glucose was measured and the pancreas was extracted for subsequent histopathological analysis. The results obtained were analyzed by comparison of means, observing that from 7 days of treatment, both Allium sativum and alkaline water separately, as well as the joint administration of both, prevented the increase of glucose values. Histopathological analysis showed that Allium sativum had a cytoprotective effect at 21 days of treatment; on the other hand, at 21 days of treatment with alkaline water, a minimal cytoprotective effect was observed; while experimental animals treated with both treatments at different doses showed a cytoprotective effect from day 7 of treatment. Concluding that the joint administration of Allium sativum and alkaline water has an effective cytoprotective and normoglycemic effect. Journal: Health Leadership and Quality of Life Pages: 38 Volume: 1 Year: 2022 DOI: 10.56294/hl202238 Handle: RePEc:dbk:health:v:1:y:2022:i::p:38:id:38 Template-Type: ReDIF-Article 1.0 Author-Name: Vergara Centeno Author-Name: Caicho Caicedo Author-Name: Narvaez Peñaloza Author-Name: Soria Segarra Author-Name: Abarca Rendón Title: Protocol for clinical management of skin lesions in patients with monkeypox virus infection Abstract: Introduction: monkeypox has gained relevance in global health due to its clinical and epidemiological impact. This zoonosis, caused by Orthopoxvirus, has similarities with human smallpox and can present severe complications. In Ecuador, MPOX is a public health concern, especially due to human-animal interaction and the country's tropical environment. Objective: to describe the protocol developed by Omnihospital for the management of skin lesions associated with MPOX, in order to optimize patient care and standardize treatment in cases of this emerging disease. Development: The main symptoms are described and include fever, malaise, headache and a phased rash (macules, papules, vesicles and crusts). Lesions are usually concentrated on the face and extremities, and may affect mucous membranes and organs such as the eyes and genitals. Complications include secondary infections of the skin lesions, treated with topical or systemic antibiotics depending on the severity. The proper use of Personal Protective Equipment (PPE) and hygiene measures is essential to prevent the spread of the virus and protect healthcare personnel. Final considerations: the protocol seeks to provide health professionals with a practical guide for the treatment of patients with MPOX, ranging from the cleaning of lesions to the prevention of complications, thus ensuring an effective and evidence-based response Journal: Health Leadership and Quality of Life Pages: .37 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.37 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.37:id:.37 Template-Type: ReDIF-Article 1.0 Author-Name: Malagón Silva Author-Name: Lescalle Ortiz Author-Name: Lago Carballea Author-Name: Echevarría Cruz Author-Name: Ferreiro Corrale Title: Scientific production of the Cuban Journal of Public Health in Scopus: 2008-2018 Abstract: Introducción: la bibliometría permite evaluar el impacto de las áreas de la ciencia, investigadores, instituciones y revistas. La presencia de las revistas en Scopus es un indicador de calidad de la misma. Objetivo: caracterizar la producción científica publicada en la Revista Cubana de Salud Pública en Scopus en el periodo 2008-2018. Método: se realizó un estudio observacional descriptivo retrospectivo por medio de un análisis bibliométrico de la producción científica de la Revista Cubana de Salud Pública indizada en Scopus, se emplearon como datos primarios los recopilados desde la base de datos. Resultados: el año más productivo fue el 2013 con 94 artículos, y el de mayor colaboración internacional fue el 2016 (11,29 %). El 74 % de los artículos publicados en la revista son artículos de investigación, se encontró que el 67,46 % de los artículos fueron aportados por Cuba, seguido por Colombia (6,7 %). Las citas presentaron una tendencia al aumento, predominando las citas externas. Al analizar la red de coocurrencia de palabras clave registradas en los artículos, se encontraron las palabras “Cuba”, “humano”, “salud pública”, “atención primaria de salud” como las de mayor frecuencia. Conclusiones: la Revista Cubana de Salud Pública es un medio de difusión científica que muestra un aumento en cuanto a calidad, impacto, artículos y generación de citas. La presencia de artículos extranjeros, así como la colaboración internacional es medida de la visibilidad internacional de la revista. Los artículos originales fueron los más presentes, mostrando también la creciente presencia de otras tipologías Journal: Health Leadership and Quality of Life Pages: 36 Volume: 1 Year: 2022 DOI: 10.56294/hl202236 Handle: RePEc:dbk:health:v:1:y:2022:i::p:36:id:36 Template-Type: ReDIF-Article 1.0 Author-Name: Silva Villalobos Author-Name: Sangama Amasifuén Author-Name: Villalobos Guezi Author-Name: Morales-García Title: Humanized nursing care and patient satisfaction in Post-anaesthetic Recovery Units Abstract: Introduction: Humanized nursing care refers to a comprehensive, patient-centered approach that seeks to address not only the physical, but also the emotional and psychological needs of the individual during their experience in the health care system. Objective: to describe the relationship between humanized nursing care and immediate postoperative patient satisfaction in Post-Anesthesia Recovery Units. Methods: A bibliographic review was carried out using the articles retrieved from the PubMed, MEDLINE, and Scielo databases, in the period between July and August 2024. Filters were used to select articles in Spanish and English. A total of 32 references were selected, which specifically fit the topic in question, excluding those with possible biases in their methods. Development: Humanized nursing care and patient satisfaction are topics of increasing relevance in the health field, especially in hospital settings such as the Post-Anesthesia Recovery Unit (URPA). Patient satisfaction, on the other hand, is a key indicator of the quality of care and is closely related to the patient's perception of the care received. Conclusions: The satisfaction and comfort of patients admitted to surgical and post-anesthesia units depends largely on the preparation provided by the nursing staff, which contributes to their prompt recovery. Better preparation is a pillar for optimal care for all those patients seeking relief after a medical intervention that affects their quality of life Journal: Health Leadership and Quality of Life Pages: .35 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.35 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.35:id:.35 Template-Type: ReDIF-Article 1.0 Author-Name: Pinargote Author-Name: Vera Author-Name: Acurio Author-Name: Tapia Author-Name: Fernández Title: Factores de riesgo relacionados a las enfermedades diarreicas agudas en la comunidad La Paja, Calderón Abstract: Acute diarrheal disease (ADD) continues to be one of the world's public health problems, mainly affecting underdeveloped countries. The objective was to analyze the risk factors that influenced acute diarrheal diseases in the La Paja community of the Calderón parish. A cross-sectional descriptive observational study was conducted with a mixed approach, with a sample of 28 families composed of 99 people. It is concluded that the risk factors associated with the disease in the study population are drinking water, insufficient or absent sewage disposal, and excreta, which constitute a danger to the health of the inhabitants. Journal: Health Leadership and Quality of Life Pages: .34 Volume: 3 Year: 2024 DOI: 10.56294/hl2024.34 Handle: RePEc:dbk:health:v:3:y:2024:i::p:.34:id:.34 Template-Type: ReDIF-Article 1.0 Author-Name: Asencios-Trujillo Author-Name: Asencios-Trujillo Author-Name: La Rosa-Longobardi Author-Name: Gallegos-Espinoza Author-Name: Piñas-Rivera Title: E-health literacy level of university teachers attending first level health centers in South Lima Abstract: E-health literacy is very important nowadays, since it allows the population to have access to care, but many people do not know about it or do not know how to use it, which is why the objective of the research is to determine the level of e-health literacy of university teachers who attend health centers at the first level of care in southern Lima. This is a quantitative, descriptive, cross-sectional and non-experimental study, with a population of 400 university teachers, who answered a questionnaire on socio-demographic aspects and the e-health scale. In the results, 18.3% (n=73) of the university teachers have a high level of e-health literacy, 31.5% (n=126) medium level, 21.5% (n=86) basic level and 28.8% (n=115) elementary level. In conclusion, it is necessary to provide programs on e-health education, as this implementation would make it more feasible for health workers to carry out safe online practices also for the population. Journal: Health Leadership and Quality of Life Pages: 49 Volume: 3 Year: 2024 DOI: 10.56294/hl202449 Handle: RePEc:dbk:health:v:3:y:2024:i::p:49:id:49 Template-Type: ReDIF-Article 1.0 Author-Name: Asencios-Trujillo Author-Name: Asencios-Trujillo Author-Name: La Rosa-Longobardi Author-Name: Gallegos-Espinoza Author-Name: Piñas-Rivera Title: Stress level in nursing professionals in a hospital center during the COVID-19 pandemic Abstract: Stress is all psychoemotional tension experienced by nursing professionals during the coronavirus pandemic, therefore, the objective of this research is to determine the level of stress in nursing professionals of a hospital center during the COVID-19 pandemic. It is a quantitative, descriptive, cross-sectional and non-experimental study, with a population of 127 nursing professionals, who completed a questionnaire of sociodemographic data and the nursing stress scale. In their results, 12.6% (n=16) of nurses have high stress, 40.9% (n=52) medium stress and 46.5% (n=59) low stress. In conclusion, it is necessary to create programs oriented to mental health, training in resilient skills and coping strategies towards stress. Journal: Health Leadership and Quality of Life Pages: 45 Volume: 3 Year: 2024 DOI: 10.56294/hl202445 Handle: RePEc:dbk:health:v:3:y:2024:i::p:45:id:45 Template-Type: ReDIF-Article 1.0 Author-Name: Asencios-Trujillo Author-Name: Asencios-Trujillo Author-Name: La Rosa-Longobardi Author-Name: Gallegos-Espinoza Author-Name: Piñas-Rivera Title: Level of empathy in nursing professionals working in a hospital institution in Callao Abstract: Empathy in nursing professionals is one of the skills to show sensitivity, understanding and support to patients, therefore, the objective of the research is to determine the level of empathy in nursing professionals working in a hospital institution in Callao. It is a quantitative, descriptive, cross-sectional and non-experimental study, with a population of 105 nurses who completed a questionnaire of sociodemographic data and Jefferson's empathy scale. In their results, 2.9% (n=3) of the nurses have high empathy, 81% (n=81) medium empathy and 16.2% (n=17) low empathy. In conclusion, empathy is very important for nursing care, since being so committed to patient care, empathy can be improved according to the needs presented by the patient. Journal: Health Leadership and Quality of Life Pages: 44 Volume: 3 Year: 2024 DOI: 10.56294/hl202444 Handle: RePEc:dbk:health:v:3:y:2024:i::p:44:id:44 Template-Type: ReDIF-Article 1.0 Author-Name: Asencios-Trujillo Author-Name: Asencios-Trujillo Author-Name: La Rosa-Longobardi Author-Name: Gallegos-Espinoza Author-Name: Piñas-Rivera Title: Fear in health professionals working in a hospital institution in Covid-19 Abstract: Fear is a negative experience in health professionals given that exposure during the pandemic, high labor demand and emotional implications, have significant effects on their psychological well-being, therefore, the objective of the research is to determine the fear in health professionals working in a hospital institution of COVID-19. It is a quantitative, descriptive, cross-sectional and non-experimental study, with a population of 220 health professionals who answered a questionnaire of sociodemographic data and the scale of fear of COVID-19. In their results, 23% (n=51) of the professionals have a low fear of COVID-19, 37% (n=91) medium fear of COVID-19 and 40% (n=88) high fear of COVID-19. In conclusion, the constant exposure of health professionals to the risk of contagion, excessive workload and emotional pressure during the pandemic have generated high levels of fear. Journal: Health Leadership and Quality of Life Pages: 34 Volume: 3 Year: 2024 DOI: 10.56294/hl202434 Handle: RePEc:dbk:health:v:3:y:2024:i::p:34:id:34 Template-Type: ReDIF-Article 1.0 Author-Name: Vargas Author-Name: Farias Title: Self-prescription and self-medication in an urban adolescent population Abstract: Background: Self-medication is defined as the use of medicinal products on own account or on the recommendation of other persons outside the medical profession. This practice is quite common, and adolescents are a vulnerable group to the effects that it can cause. Material and methods: A descriptive and retrospective cross-sectional observational study was conducted. The sample included schooled adolescents, of both sexes, between 15 and 18 years who attended 4th, 5th and 6th year of secondary school (EES Nº7, EES Nº1 Manuel Dorrego, EES Nº9 (Normal), EES N19, EESA Nº1 "Florencio Molina Campos") in establishments in the city of Junín, Province of Buenos aires. The data collection tool was a voluntary, anonymous, multiple-choice survey open through a Google form. The data was captured and interpreted in tables and graphs in Excel. Results: This work determined that 72,9 % (84) of the adolescents enrolled in school engage in the practice of self-medication, therefore 20,8 % (22) did not. 86,9 % (73) of the adolescents who self-medicated did so for headache, 56 % (47) for fever, 50 % (42) for sore throat. 86,9 % (73) of the adolescents studied consumed ibuprofen, being the most chosen according to their answers. Second, paracetamol is found at 81 % (68. The 63,1 % (53) responded that they did not know the risk of the drugs they consumed, 23,8 % (20) indicated that they had little knowledge about it, while 13,1 % (11) responded that they did. Conclusion: It can be concluded from the previously presented information that most of the adolescents surveyed do not make a responsible use of drugs and have biases for a correct decision making when addressing their medical problem. From a very early age it can be seen that adolescents have been implementing the practice of them. When practiced with such prematurity, they may incur unknown risks by not knowing the specific uses of medicines and consequently obtain a counterproductive result when using them Journal: Health Leadership and Quality of Life Pages: 18 Volume: 2 Year: 2023 DOI: 10.56294/hl202318 Handle: RePEc:dbk:health:v:2:y:2023:i::p:18:id:18 Template-Type: ReDIF-Article 1.0 Author-Name: Asencios Trujillo Author-Name: Asencios Trujillo Author-Name: La Rosa Longobardi Author-Name: Gallegos Espinoza Author-Name: Piñas Rivera Title: Level of caregiver overload in patients diagnosed with stroke in a specialized hospital institution in Metropolitan Lima Abstract: Caregiver overload exhausts the person both emotionally and physically, where both negative aspects are perceived that affect their health, therefore, the objective of the study is to determine the level of caregiver overload of patients diagnosed with stroke in a specialized hospital institution in Metropolitan Lima. It is a descriptive, quantitative, cross-sectional study, with a population of 100 family caregivers, who answered a questionnaire of sociodemographic aspects and the Zarit instrument. In their results, 22 % (n=22) have an absence of overload, 25 % (n=25) light overload and 53 % (n=53) intense overload. In conclusion, support systems for family members and caregivers of stroke patients should be strengthened Journal: Health Leadership and Quality of Life Pages: 25 Volume: 2 Year: 2023 DOI: 10.56294/hl202325 Handle: RePEc:dbk:health:v:2:y:2023:i::p:25:id:25 Template-Type: ReDIF-Article 1.0 Author-Name: Alen Author-Name: Gutiérrez Raina Title: Perceived satisfaction with nursing care in relation to users/subjects of care and their companions in the Medical Clinic Service of the Hospital Zonal de Comodoro Rivadavia Abstract: The present study focuses on the evaluation of the satisfaction of users and subjects of care in a hospital service. A simple cross-sectional descriptive research design was used and data were collected through a questionnaire with 15 questions addressing dimensions such as empathy, responsibility, technical capacity, communication and tangible goods. The results show that the majority of respondents are satisfied with the service, with no significant differences according to sociodemographic variables. However, lower satisfaction is observed among accompanying persons in the dimensions of responsibility and tangible goods. It is concluded that satisfaction is high in several dimensions of nursing care, but a lack of tangible resources is noted due to the shortage of personnel during data collection. It is recommended that similar studies be conducted in other hospitals to obtain a more complete representation of the perception of nursing care in different hospital settings Journal: Health Leadership and Quality of Life Pages: 26 Volume: 2 Year: 2023 DOI: 10.56294/hl202326 Handle: RePEc:dbk:health:v:2:y:2023:i::p:26:id:26 Template-Type: ReDIF-Article 1.0 Author-Name: Alen Author-Name: Gutiérrez Raina Title: Perceived satisfaction with nursing care Abstract: Patient satisfaction has become a crucial indicator of quality of care, influencing treatment compliance and patient loyalty. Key factors, such as communication, empathy, and nursing staff safety, play an essential role in user satisfaction. Dimensions affecting user satisfaction include tangibility of facilities, reliability of care, and responsiveness. This article also examines the relationship between user satisfaction and socioeconomic variables such as gender, age, academic level, and length of hospitalization. It highlights the importance of collecting patient feedback through surveys and evaluations to identify areas for improvement and promote innovation in health care delivery. In summary, user satisfaction is a crucial indicator in modern health care that drives continuous improvement in the quality of care in Latin America and around the world Journal: Health Leadership and Quality of Life Pages: 27 Volume: 2 Year: 2023 DOI: 10.56294/hl202327 Handle: RePEc:dbk:health:v:2:y:2023:i::p:27:id:27 Template-Type: ReDIF-Article 1.0 Author-Name: Gonzalez Argote Author-Name: López Sánchez Title: Analyzing the Trends and Impact of Health Policy Research: A Bibliometric Study Abstract: Introduction: bibliometric studies allow us to assess the current state of research, the contributions of authors and countries in the fields of knowledge. An investigation was carried out with the objective of describing the visibility and impact of scientific production on health policies published in Scopus. Method: a bibliometric study of the subject was carried out in Scopus, from 2018 to 2022, variables such as total documents, number of citations, authors, most productive journals and countries, Field-Weighted Citation Impact, Quartile of journals, were analyzed. Source Normalized Impact per Paper, CiteScore, SCImago Journal Rank. Results: the highest number of articles was found in 2022 (n=30553), the highest number of citations in 2018 (n=277749) with a weighted citation impact index per field of 1,04; 10,9 was the highest annual average number of citations per article. More than half of the articles were in journals of the first and second quartile. Among the main keywords were COVID-19, primary care, health care, health policies, health insurance. The United States stands out as the country with the most productive institutions with 6 of the top 10, with an FWCI of 2,14, the University of Oxford stands out. The BMJ Global Health magazine had a SNIP of 2,164 and an SJR of 2,376. Conclusions: scientific production is abundant, the analysis of bibliometric indicators shows that a large part of the research is found in high-impact journals; with high levels of productivity and quality of your documents Journal: Health Leadership and Quality of Life Pages: 28 Volume: 2 Year: 2023 DOI: 10.56294/hl202328 Handle: RePEc:dbk:health:v:2:y:2023:i::p:28:id:28 Template-Type: ReDIF-Article 1.0 Author-Name: Asencios Trujillo Author-Name: Asencios Trujillo Author-Name: La Rosa Longobardi Author-Name: Gallegos Espinoza Author-Name: Piñas Rivera Title: Level of resilience in nursing students doing their pre-professional internships at a university in northern Lima Abstract: Resilience is a capacity for adaptation and coping that nursing students have during their pre-professional training period, therefore, the objective of the study is to determine the level of resilience in nursing students doing their pre-professional internship at a university in North Lima. It is a quantitative, descriptive, cross-sectional and non-experimental study, with a population of 80 nursing students, who completed a questionnaire of sociodemographic data and the Connor-Davidson resilience scale. In their results, 14 % (n=11) of the students have low resilience, 21 % (n=17) medium resilience and 65 % (n=52) high resilience. In conclusion, it is necessary the implementation of psychoemotional support programs when students perform their pre-professional internships, since this allows the strengthening of well-being generates and thus strengthens their resilience Journal: Health Leadership and Quality of Life Pages: 29 Volume: 2 Year: 2023 DOI: 10.56294/hl202329 Handle: RePEc:dbk:health:v:2:y:2023:i::p:29:id:29 Template-Type: ReDIF-Article 1.0 Author-Name: Tafur Lobato Author-Name: Rojas Pita Author-Name: Zarate Ruiz Author-Name: Meneses Claudio Title: The impact of job performance and performance on workers in northern Lima Abstract: The main objective of this research is to determine the impact of job performance on workers in textile companies in northern Lima in 2023. The methodology used in the study is basic, with a qualitative approach, non-experimental design and descriptive scope. Two instruments have been used for data collection, the semi-structured interview, which was applied to a group of collaborators who carry out their activities in the production area in three different companies and the documentary analysis, which helped us gather the necessary information, based on studies by other authors that are related to our variable, categories and subcategories. All the information collected has contributed to reach the conclusion that the impact of work performance on workers is favourable, since this directly influences their final performance and the fulfilment of the established goal, allowing them to obtain the monetary and non-monetary incentives provided by the company in which they work. Likewise, the final result is benefits for companies, since by having committed collaborators, thanks to the fact that they feel that their work is well paid, they have the necessary skills and have a leader who always keeps them motivated, they will improve their productivity and the achievement of objectives set as an organization will be much easier to achieve Journal: Health Leadership and Quality of Life Pages: 30 Volume: 2 Year: 2023 DOI: 10.56294/hl202330 Handle: RePEc:dbk:health:v:2:y:2023:i::p:30:id:30 Template-Type: ReDIF-Article 1.0 Author-Name: Medina Reverón Author-Name: Pérez Galavís Author-Name: Ron Author-Name: Páramo Colmenares Title: Thermal Stress and Impact on Health in Workers of Refrigeration Abstract: Objective: the objective of this research was to determine the thermal stress conditions generated by low temperatures in the refrigerated warehouses of a plant in Venezuela; it was carried out between 2022 and 2023. Methods: it was carried out within the positivist paradigm, quantitative approach, under a field study, observational design, descriptive level and cross-sectional. The population was made up of 13 workers who worked the day shift, being the census sample. Environmental parameters such as temperature, humidity and air speed were measured in different areas, using calibrated instruments. With the data obtained, the localized cooling index was calculated and the metabolic load was evaluated by observing the tasks, as well as the thermal insulation of the workers' clothing. Results: the sample studied had an average age of over 50 years and a work experience of over 8 years; 35 % of the sample reported a cardiovascular history. Most of the jobs had thermal comfort conditions according to the WCI; 15,38 % of the workers felt cold; where a potential risk was identified in one of the workplaces due to excessive air speed and in another due to insufficient thermal insulation of clothing. Conclusion: therefore, it was concluded that it is necessary to complement the evaluation with medical checks for workers, due to the possible impact of prolonged exposure to cold on their health Journal: Health Leadership and Quality of Life Pages: 31 Volume: 2 Year: 2023 DOI: 10.56294/hl202331 Handle: RePEc:dbk:health:v:2:y:2023:i::p:31:id:31 Template-Type: ReDIF-Article 1.0 Author-Name: Garros Author-Name: Rolando Author-Name: Ponce Author-Name: Ovejero Author-Name: Toranzos Title: Systemic analysis of the vaccination program in Argentina Abstract: Introduction: The paper discusses the historical evolution and importance of vaccines in public health. The key role of vaccines and drinking water in preventing infectious diseases since the 19th century is highlighted. It mentions how epidemics such as poliomyelitis in Argentina boosted vaccine research and development. In addition, the shared responsibility between scientists, vaccine developers and the population is emphasized, highlighting the importance of public health policies and awareness. Methods: A qualitative study was conducted with a systematic review of scientific literature. Sources included data from WHO, the Argentine Ministry of Health, scientific papers, and surveys, with a focus on sociodemographic parameters and living conditions. The analysis focused on a historical-logical approach to interpret the data. Results: The results show significant advances in the Argentine vaccination program, especially in the pediatric population. There was a notable reduction in the number of unvaccinated children from 2021 to 2022, and increases in DTP and HPV vaccine coverage. There was a historic decrease in the incidence of influenza and in the infant mortality rate since 1990. The measles outbreak in 2020 was associated with low vaccination coverage in 2019. During the COVID-19 pandemic, there was a low post-vaccination infection rate and zero deaths in fully vaccinated individuals. In addition, an increase in life expectancy since 1990 was noted. Conclusions: Vaccines are fundamental in public health, evidenced by the improvement in vaccination coverage and the decrease in the prevalence of infectious diseases and infant mortality in Argentina. Awareness campaigns and public health policies have been crucial. However, misinformation remains a challenge. Global collaboration, such as that of WHO, is key to improving vaccination coverage and addressing emerging challenges such as COVID-19 and Ebola. Immunization remains an essential tool to prevent disease and save lives worldwide Journal: Health Leadership and Quality of Life Pages: 32 Volume: 2 Year: 2023 DOI: 10.56294/hl202332 Handle: RePEc:dbk:health:v:2:y:2023:i::p:32:id:32 Template-Type: ReDIF-Article 1.0 Author-Name: Quintana Honores Author-Name: Paola Corvalán Author-Name: Gironda Gurán Title: Family integration and skin-to-skin contact with the newborn favors the recovery of the hospitalized patient: experiences of its implementation in an Obstetric Critical Care Unit Abstract: Introduction: skin-to-skin contact (COPAP) on the maternal thorax allows the preterm newborn to experience tactile, auditory, and proprioceptive stimuli, heart rate, the sound of the flow of the great vessels and maternal caresses while being held; this stimulates the self-regulation necessary for the survival of these infants. Aim: to describe the experiences in the implementation of a protocol of family integration and skin-to-skin contact with the newborn in order to favor the recovery of the patient hospitalized. Methods: a non-experimental, analytical study was carried out in health systems and services. The study alternatively used secondary source data from technical documentation of the sector and statistical records of the service. Results: regarding the characteristics of the puerperal women who participated in the skin-to-skin contact protocol, those aged between 25 and 30 years predominated, with an interperiod growth of 21,9 %. The most frequent pathologies were Severe Eclampsia and Pre-Eclampsia; only 4 pathologies were found with negative growth. Finally, according to the distribution of RN admission according to the mother's hospitalization day, we found a growth in hospitalizations longer than 4 days, and a decrease in those that were 3 days, this indicator remained in general with growth. Conclusions: It can be affirmed that skin-to-skin contact is a recommended, beneficial, and safe practice. The availability of a protocol agreed upon by the services involved makes it possible to apply it as a routine care procedure Journal: Health Leadership and Quality of Life Pages: 33 Volume: 2 Year: 2023 DOI: 10.56294/hl202333 Handle: RePEc:dbk:health:v:2:y:2023:i::p:33:id:33 Template-Type: ReDIF-Article 1.0 Author-Name: Lepez Title: Invisible challenges in healthcare leadership Abstract: This paper explores ten hidden challenges in healthcare leadership and provides practical strategies to address them. These challenges include a lack of self-awareness, ineffective communication, empathy deficiency, resistance to change, delegation issues, overconfidence, accountability shortcomings, cognitive biases, time management problems, and issues related to pride and ego. Leaders in healthcare must first focus on self-awareness by regularly reflecting on their values and seeking honest feedback from colleagues. Effective communication skills are crucial, and leaders must convey information clearly, adapt to their audience, and foster open and honest communication. Empathy is essential for healthcare leaders, as it helps build strong relationships and fosters a collaborative work environment. Leaders should actively listen, show genuine interest in concerns, and seek to understand perspectives beyond differences of opinion. Resistance to change can limit growth, so leaders must adopt an open mindset, surround themselves with diverse perspectives, and be willing to learn and adapt. Delegation is crucial, and leaders should trust their team and assign tasks based on individual skills. Overconfidence can lead to poor decisions, so leaders must practice humility, consult with colleagues, and conduct reviews before important decisions. Accountability is essential, and leaders must acknowledge their responsibility and be transparent about their actions. Cognitive biases can influence decision-making, so leaders should develop emotional intelligence and awareness of their biases. Effective time management involves setting realistic goals and prioritizing tasks. Finally, pride and ego can hinder collaboration, so leaders must practice self-control and connect their leadership to a higher purpose. In conclusion, healthcare leaders must address these challenges to ensure quality healthcare and patient safety. By focusing on self-improvement and building collaborative teams, leaders can play a pivotal role in delivering quality healthcare and promoting patient well-being Journal: Health Leadership and Quality of Life Pages: 35 Volume: 2 Year: 2023 DOI: 10.56294/hl202335 Handle: RePEc:dbk:health:v:2:y:2023:i::p:35:id:35 Template-Type: ReDIF-Article 1.0 Author-Name: Leon Author-Name: Rodriguez Author-Name: Martínez Author-Name: Ron Title: Hearing injuries due to atmospheric pressure changes in air and water survival training instructors Abstract: Under normal atmospheric conditions, the individual has an optimal state of health, but these conditions alter their physiology and can cause damage to health. Hence, sudden changes in atmospheric pressure generate hearing manifestations and/or injuries because the pressure inside the ear must be equal to that outside. The objective of this study was to determine the prevalence of hearing injuries caused by sudden changes in atmospheric pressure in air and water survival training instructors, during the period 2012-2022. Epidemiological, descriptive cross-sectional research. To collect the information, a documentary review of the clinical records and the work plan was carried out. The population and sample were made up of the 20 instructors of the Department of Physiological Training (DAF). Results: the male sex predominated (85 %), the average age and seniority were 36 ± 4,68 and 12 ± 6,59 years respectively, with a work exposure of 6 hours per week. In addition, 15 cases of hearing loss and 01 case of decompression illness with hearing injury were diagnosed, a prevalence of 0,8 cases per year, which indicates that one instructor annually suffers from hearing injury due to Barotrauma. This is why the main prevention measure is in the organization of work, limiting the number and duration of dives. Therefore, it is recommended to implement a hearing conservation program and comply with the morbidity registry of occupational diseases and accidents of the DAF instructor staff related to changes in atmospheric pressure Journal: Health Leadership and Quality of Life Pages: 39 Volume: 2 Year: 2023 DOI: 10.56294/hl202339 Handle: RePEc:dbk:health:v:2:y:2023:i::p:39:id:39 Template-Type: ReDIF-Article 1.0 Author-Name: Rodríguez Sotomayor Author-Name: Pardo Fernández Author-Name: Castañeda Abascal Author-Name: Verdecia Rodríguez Title: Integrative workshops for the reconciliation of work and family life as a quality factor in dental services Abstract: Introduction: work-life balance has a positive impact on work, family and quality of services. The aim of this study was to propose an intervention through workshops as a contribution to work-life balance as a determinant of the quality of stomatological services. Methods: an intervention study was carried out using non-probability sampling based on selection criteria. The study universe included 10 female stomatologists, five female managers and their respective partners. The proposal was evaluated by experts and workshops were designed to integrate theoretical and practical knowledge, taking as a starting point the experiences of the participants, promoting reflection and collective transformation of the problems. Results: the experts evaluated the proposal as applicable, feasible, generalizable, relevant, valid and original. Six conference sessions and 27 group discussion sessions were held, distributed in three workshops: workshop 1, focused on the action plan as a key factor for the transformation of the current state towards the desired state; workshop 2, focused on conciliation as a determining factor in the quality of stomatological services; and workshop 3, oriented to the systematic follow-up of the tasks of the action plan. The intervention evaluated and implemented allowed contributing to the reconciliation of work and family life through the incorporation of new knowledge and active participation in the processes of organizational change Journal: Health Leadership and Quality of Life Pages: 40 Volume: 2 Year: 2023 DOI: 10.56294/hl202340 Handle: RePEc:dbk:health:v:2:y:2023:i::p:40:id:40 Template-Type: ReDIF-Article 1.0 Author-Name: Durán Rodríguez Author-Name: Hernández Heredia Author-Name: Cazull Imbert Author-Name: Obret Orphee Title: Historical analysis of the formation of professional skills in the Bachelor's degree in Nursing Abstract: The history of the formation of professional competencies in the Bachelor's Degree in Nursing in Cuba is an exciting area of study. However, it is challenging to summarize in a limited space the historical evolution of this topic. The main objective of this study is to describe the process of formation of professional competencies in the Bachelor's Degree in Nursing. To achieve this objective, we carried out an exhaustive documentary and bibliographic review related to the topic, in addition to conducting interviews with professors prominent in the training of nursing professionals. Throughout the paper, the historical evolution of the formation of professional competencies in the Nursing career is presented. It is concluded that professional training in nursing requires both a theoretical and practical construction of the training process. In addition, it must be sensitive to the demands imposed by current social and economic policies. In this context, the commitment to integrate content related to professional competencies in the Bachelor's Degree in Nursing programs, with a focus on patient safety, is highlighted. The training of nurses is oriented towards the maintenance and recovery of health, the prevention of diseases and the rehabilitation of people with sequelae. These approaches will guide the content developed in the curriculum that prepares students to manage patient safety in acute care. In addition, the authors analyze how this training process is congruently adapted to the care model developed in health services Journal: Health Leadership and Quality of Life Pages: 41 Volume: 2 Year: 2023 DOI: 10.56294/hl202341 Handle: RePEc:dbk:health:v:2:y:2023:i::p:41:id:41 Template-Type: ReDIF-Article 1.0 Author-Name: Díaz Velasco Author-Name: Mamani Ccama Author-Name: Meneses Claudio Author-Name: Zarate Ruiz Title: Transformational Leadership as a Driver of Business Success: A Case Study in Caquetá Abstract: The main objective of this research work is to analyze the impact of transformational leadership in the companies belonging to the Association of traders in the shoe store sector of San Pedro de Icho - Caquetá, 2023. For this purpose, the impact of categories such as: idealized influence, inspirational motivation, intellectual stimulation and individual consideration has been identified. The research had a qualitative approach of basic type, which will be developed through a case study design, using semi-structured interviews through a questionnaire of open questions, this instrument allows obtaining data from the participants, who are 3 store managers and 3 collaborators who work within the Association of merchants. The results show that the managers and collaborators interviewed also have a clear opinion of what transformational leadership is, and can highlight that both the direct leaders and their followers feel that they are somehow heard and considered in the opinions that may arise at the time, in the same way that transformational leadership can be used to implement strategies that lead to improve the company to achieve objectives. It is concluded that the impact of transformational leadership is transcendental and positive in the companies located in the Association of traders in the area of shoe stores, since their own management of this type of leadership has led to the companies to last in time and be positioned in the market, in turn this has generated that their employees and customers are loyal to the company for the good quality of service and empathy that has with them, this finally affects the achievement of the objectives set Journal: Health Leadership and Quality of Life Pages: 37 Volume: 2 Year: 2023 DOI: 10.56294/hl202337 Handle: RePEc:dbk:health:v:2:y:2023:i::p:37:id:37 Template-Type: ReDIF-Article 1.0 Author-Name: Chávez Cantaro Author-Name: Huamani Tello Author-Name: Zarate Ruiz Author-Name: Meneses Claudio Title: Leadership styles and organizational climate among employees in Lima, Peru Abstract: The objective of this research is to determine the relationship between leadership styles and the organizational climate of employees in the retail sector, with a quantitative approach and a correlational scope, 81 employees were sampled, using the statistical formula of finite population sampling, obtained from a population of 100 employees in the retail sector, the data were collected using the Likert scale. Likewise, 2 measurement instruments were used, one for each variable, for the Organizational Climate variable the Evaluation of Organizational Climate in Health (ECOS-S) was used, for the Leadership variable and its dimensions the questionnaire of description of the leader's behavior was used (L. B.D.Q. - Form XII), for data analysis processing the SPSS statistical package was used, with which the reliability statistics of the leadership instrument was taken and gave as a result a Cronbach's Alpha = .966, and for the climate instrument a Cronbach's Alpha = .983. The correlational result for general leadership and organizational climate showed that there is a significant relationship between the two variables with Rho .603, thus taking the alternate hypothesis and rejecting the null hypothesis, for the dimension Laissez Faire leadership and organizational climate the correlational result is Rho = . 625 indicates that the relationship is also significant, for the dimension Autocratic Leadership and organizational climate the correlational result is Rho = .568 which is also significant, the third dimension Transformational Leadership and Organizational Climate the correlational result is Rho = .729 which is also significant. Therefore, it is concluded that there is a significant relationship between leadership styles and organizational climate among employees in Metropolitan Lima in the retail sector in the year 2023. Journal: Health Leadership and Quality of Life Pages: 36 Volume: 2 Year: 2023 DOI: 10.56294/hl202336 Handle: RePEc:dbk:health:v:2:y:2023:i::p:36:id:36 Template-Type: ReDIF-Article 1.0 Author-Name: Carrasco Quevedo Author-Name: Marcilla Huamani Author-Name: Zarate Ruiz Author-Name: Meneses Claudio Title: Democratic leadership and administrative management in a private university in northern Lima Abstract: The purpose was to determine how democratic leadership in the General Directorate of Administration is related to the administrative management given by the immediate heads of said area. This research took place in an educational entity located in northern Lima. For this reason, the present investigation processed the information by quantifying, without any manipulation of the study variables, seeking to describe the phenomenon in the entity that provides services dedicated to education. The population was 250 workers of an educational institution and for the uses of the sample 68 collaborators. Thus, a questionnaire was also used, which was classified as highly reliable. Thus, Microsoft Excel and SPSS were also used to analyze and obtain the study information. Regarding what was found, what was shown in the variables was peremptory, so a direct relationship between them was appreciated, since in the rigor of the analysis a Spearman's Rho (coefficient) of 0,284 was obtained. Consequently, the conclusion of the study proposes that among the variables studied of the General Directorate of Administration in the entity they are directly proportional Journal: Health Leadership and Quality of Life Pages: 5 Volume: 1 Year: 2022 DOI: 10.56294/hl20225 Handle: RePEc:dbk:health:v:1:y:2022:i::p:5:id:5 Template-Type: ReDIF-Article 1.0 Author-Name: Auza Santiváñez Author-Name: Carías Díaz Author-Name: Vedia Cruz Author-Name: Robles Nina Author-Name: Sánchez Escalante Author-Name: Apaza Huanca Title: mHealth in health systems: barriers to implementation Abstract: The implementation of mobile health or mHealth in health systems is subject to a number of challenges that are the subject of analysis by the scientific community. In this review, aspects such as interoperability with existing systems, the need for policies and regulatory frameworks, and adaptation to different local and national realities are discussed. The main barriers focus on the acceptability of this mode of care, scaling and sustainability, technological and knowledge barriers, and integration with existing systems. The article highlights the importance of overcoming these barriers to take advantage of the potential of mHealth in improving people's health and well-being. These limitations must be addressed so that mHealth does not represent a gap, instead of an alternative in equitable access to health services Journal: Health Leadership and Quality of Life Pages: 7 Volume: 1 Year: 2022 DOI: 10.56294/hl20227 Handle: RePEc:dbk:health:v:1:y:2022:i::p:7:id:7 Template-Type: ReDIF-Article 1.0 Author-Name: Adrianzen Olaya Author-Name: Ávila Atocha Author-Name: Zarate Ruiz Author-Name: Meneses Claudio Title: Empowerment as a driver of job performance: evidence from the literature and theoretical perspectives Abstract: Empowerment has emerged as a central concept in contemporary business management, highlighting its ability to improve job performance and promote a more satisfying work environment. This study presents a comprehensive review of the national and international literature on empowerment and its influence on job performance. A positive correlation between employee empowerment and job performance is identified, highlighting the importance of autonomous delegation of responsibility and the ability to make decisions. In addition, the relevance of soft skills, such as effective communication and teamwork, in the successful implementation of empowerment is highlighted. Both intrinsic and extrinsic motivation are highlighted as playing a crucial role in job performance, and the importance of considering both individual and organizational aspects in the implementation of effective empowerment strategies is pointed out. In summary, this study highlights the positive impact of empowerment on job performance and suggests that its proper implementation can lead to greater organizational success and growth Journal: Health Leadership and Quality of Life Pages: 11 Volume: 1 Year: 2022 DOI: 10.56294/hl202211 Handle: RePEc:dbk:health:v:1:y:2022:i::p:11:id:11 Template-Type: ReDIF-Article 1.0 Author-Name: Asencios Ramos Author-Name: Landa Veliz Author-Name: Zarate Ruiz Author-Name: Meneses Claudio Title: Quality of Health Services and User Satisfaction in a Health Center in North Lima, Lima - 2023 Abstract: This research was oriented towards specifying that the quality of service is related to user satisfaction in a health facility located in the Northern Zone of Lima in the year 2023. With a quantitative approach, non-experimental, correlational design, a sample of 90 users was studied, where the first variable was measured by means of the standardized SERVQUAL questionnaire and the second variable with the satisfaction questionnaire. The statistical evidence shows the results of the descriptive and correlational analysis. For the first variable, it was shown that high service quality was favorably indicated by the largest portion of respondents, while for the second variable, the largest percentage showed average satisfaction. From this, a moderate correlation is indicated in the inferential analysis, validating the main objective of the present study. It is concluded that the better the quality of service in each of the fundamental aspects involved in the care process, the higher the user's satisfaction with the quality of service. Similarly, it is the responsibility of the center to implement strategies to improve the services it provides in order to guarantee the quality of care for its patients Journal: Health Leadership and Quality of Life Pages: 12 Volume: 1 Year: 2022 DOI: 10.56294/hl202212 Handle: RePEc:dbk:health:v:1:y:2022:i::p:12:id:12 Template-Type: ReDIF-Article 1.0 Author-Name: Delgado Alvaréz Author-Name: Jiménez Alvarado Author-Name: Novoa Vides Author-Name: García Rojas Title: Perception of the campaign “Tómate la vida y abona por ella" of the Latin Pale Craft Beer brand, among consumers between 25 and 37 years old, inhabitants of the city of Bogotá Abstract: This article presents the results of a research that analyzes the sustainability campaign developed by Latin Pale Craft Beer through a social marketing strategy; the initiative seeks to promote its craft beer in an innovative way, committing to responsible consumption and an ecological cause. The brand addresses the social impact and organic waste generated by the production of craft beer, committing to turn that waste into fertilizer for its next production, thus supporting local farmers by focusing on a cyclical production that returns organic waste as fertilizer to new crops, focusing the strategy on social responsibility and environmental protection. Although some focus group participants were not familiar with the brand, they were willing to consider it as an alcoholic beverage option. The campaign stands out for the clarity of its visual and auditory tools, designed to convey the message of sustainable social responsibility. The results of the research on the "Tómate la vida y abona por ella" campaign reflect a mostly positive perception among focus group participants, with predominantly favorable terms and genuine interest in trying the products. These findings support the effectiveness of the campaign in expanding the customer base and strengthening the brand's position, emphasizing its commitment to life, quality and social responsibility, the following pages of this article detail the results of the research on perceptions of the campaign Journal: Health Leadership and Quality of Life Pages: 14 Volume: 1 Year: 2022 DOI: 10.56294/hl202214 Handle: RePEc:dbk:health:v:1:y:2022:i::p:14:id:14 Template-Type: ReDIF-Article 1.0 Author-Name: Córdoba Fuertes Author-Name: Florido Barrero Author-Name: Orozco Tatis Author-Name: Herrera Castiblanco Author-Name: Garcia Rojas Title: Analysis of the consume of fitness dairy products in Colombia Abstract: In this analysis of the consumption of fitness dairy products in Colombia, the study begins with an introduction highlighting the growing popularity of these products in the health and wellness sector. The objective is to examine consumer behavior and the factors influencing the choice of fitness dairy products. The methodology employed is analytical, evaluating sales data, surveys, and market trends. In the development, consumption patterns, preferences, and the public's perception of the relationship between dairy products and physical activity are identified. The conclusions emphasize the increasing demand for fitness dairy products in Colombia, revealing opportunities for the industry and underscoring the importance of health and performance-oriented marketing strategies Journal: Health Leadership and Quality of Life Pages: 15 Volume: 1 Year: 2022 DOI: 10.56294/hl202215 Handle: RePEc:dbk:health:v:1:y:2022:i::p:15:id:15 Template-Type: ReDIF-Article 1.0 Author-Name: Ardila González Author-Name: García Rojas Title: Impact of the strengthening of PAISN on the reduction of child malnutrition in Alta Guajira Abstract: The objective of this research project is to evaluate the effectiveness of the Comprehensive Health and Nutrition Care Program with Community Approach (PAISN) in reducing child malnutrition in Alta Guajira, in two phases: Phase 1: diagnosis of the current situation of child malnutrition in Alta Guajira. Phase 2: implementation of actions to strengthen (PAISN). In Phase 1, surveys and interviews with families and communities will be used, as well as a review of administrative records to identify the factors that contribute to child malnutrition in Alta Guajira. In phase 2, actions to strengthen the (PAISN) will be implemented in the following aspects: Integration of health, nutrition, education, basic sanitation and social development actions Journal: Health Leadership and Quality of Life Pages: 16 Volume: 1 Year: 2022 DOI: 10.56294/hl202216 Handle: RePEc:dbk:health:v:1:y:2022:i::p:16:id:16 Template-Type: ReDIF-Article 1.0 Author-Name: González Ruiz Author-Name: Montoya Falla Author-Name: Rojas Diaz Author-Name: Ortiz Author-Name: Garcia Rojas Title: Positioning of the brand SingleTrack bicycle workshop in the Quirinal neighborhood of Bogota: Strategies for the year 2023 Abstract: This article shows the results of the research conducted to a group of people invited to the SingleTrack bicycle workshop, in order to detect the current status of the brand positioning in the Quirinal neighborhood in the city of Bogota through the data collection instrument of an interview conducted directly to 7 previously selected customers; and from the analysis of the results, identify challenges and opportunities to determine and create a positioning strategy that manages to consolidate the brand in the town of Teusaquillo for the year 2024. SingleTrack is a brand located in the Quirinal neighborhood of the city of Bogota, offering maintenance services, enlistment, pre-enlistment, depinning, washing and sale of accessories for all types of bicycles Journal: Health Leadership and Quality of Life Pages: 17 Volume: 1 Year: 2022 DOI: 10.56294/hl202217 Handle: RePEc:dbk:health:v:1:y:2022:i::p:17:id:17 Template-Type: ReDIF-Article 1.0 Author-Name: Adrianzen Olaya Author-Name: Ávila Atocha Author-Name: Zarate Ruiz Author-Name: Meneses Claudio Title: Empowerment and work performance of the personnel of a pharmaceutical company Journal: Health Leadership and Quality of Life Pages: 9 Volume: 1 Year: 2022 DOI: 10.56294/hl20229 Handle: RePEc:dbk:health:v:1:y:2022:i::p:9:id:9 Template-Type: ReDIF-Article 1.0 Author-Name: Asencios Ramos Author-Name: Landa Veliz Author-Name: Zarate Ruiz Author-Name: Brian Andree Meneses Claudio Title: Multidimensional approach to service quality and user satisfaction in the context of health care Journal: Health Leadership and Quality of Life Pages: 13 Volume: 1 Year: 2022 DOI: 10.56294/hl202213 Handle: RePEc:dbk:health:v:1:y:2022:i::p:13:id:13 Template-Type: ReDIF-Article 1.0 Author-Name: Del Valle Flores Author-Name: Grisel Nisii Author-Name: Rodriguez Author-Name: Martin Verón Title: Perception of mobbing among nurses in the on-call sector Abstract: Introduction: Mobbing or workplace harassment is a set of unacceptable behaviors and practices, aimed at, causing or likely to cause physical, psychological, sexual or economic harm, and includes gender-based violence and harassment. Objective: To describe the perception of the nursing staff regarding mobbing or harassment at work in the on-call sector of the Hospital General de Agudos Bernardino Rivadavia of the Autonomous City of Buenos Aires from June to August 2019. Methods: An observational, descriptive, cross-sectional, descriptive study was conducted in the on-call sector of the Bernardino Rivadavia General Acute Hospital of the Autonomous City of Buenos Aires from June to August 2019, the sample consisted of 40 nurses. Results: In the present study, the female sex predominated with 70%, and nurses between 20 and 29 years of age with 37%. Of the total number of respondents, 50% had undergraduate nursing education, either at university and/or tertiary level. Forty percent acquired knowledge about the characteristics of mobbing through secondary and tertiary sources. 65% of the respondents reported that they felt that they had suffered some form of mobbing in their place of study or work. Of the total respondents 60% have regular knowledge about the characteristics of mobbing. Conclusions: After the analysis of the results described above, it is concluded that although nurses have knowledge of mobbing, it is still insufficient. By virtue of this study, it is imperative in the construction of fair, inclusive, democratic and equitable social systems, mobbing should be made visible as a problem, identified and actions should be taken to eliminate it. Journal: Health Leadership and Quality of Life Pages: 8 Volume: 1 Year: 2022 DOI: 10.56294/hl20228 Handle: RePEc:dbk:health:v:1:y:2022:i::p:8:id:8 Template-Type: ReDIF-Article 1.0 Author-Name: Castillo-Gonzalez Author-Name: Maldonado Title: Charting the Field of Human Factors and Ergonomics: A Bibliometric Exploration Abstract: Introduction: the study of Human Factors and Ergonomics has evolved since the Industrial Revolution, with significant links to engineering, occupational health, and psychology. Objective: to analyze the scientific production in the field of Human Factors and Ergonomics published between 2017 and 2021 in journals indexed in the Scopus database. Method: an observational, descriptive, bibliometric study was conducted using the Scopus database and the SciVal tool. A total of 15,647 articles published from 2017 to 2021 were analyzed, considering indicators such as the number of publications, citations, journal quartiles, scientific areas, and types of collaboration. Results: the year 2021 was the most productive (3 402 articles), while 2017 was the most cited (57,767 citations). Scientific publications were mainly concentrated in Q1 journals (8,039 articles) and Q2 journals (1 946 articles). 100 % of the publications were in the social sciences, with 40,9 % in the field of Engineering. National (5,456 articles) and institutional (5 319 articles) collaborations predominated, while Academia-Industry collaboration was identified in 4,32 % of the articles. The leading scientific producer was the United States (5 472 articles). Conclusions: research in Human Factors and Ergonomics showed a growth trend, with a high concentration of publications in Q1/Q2 journals. The predominance of national and institutional collaboration suggests that research efforts are strongly rooted in local contexts, although industry collaboration remains limited. The United States emerges as the leading producer in this field. Journal: Health Leadership and Quality of Life Pages: 6 Volume: 1 Year: 2022 DOI: 10.56294/hl20226 Handle: RePEc:dbk:health:v:1:y:2022:i::p:6:id:6 Template-Type: ReDIF-Article 1.0 Author-Name: Gonzalez-Argote Title: Patterns in Leadership and Management Research: A Bibliometric Review Abstract: Introduction: the direction and management of an institution represents one of the most dynamic functions that any individual can perform. Its purpose, in the case of the manager of the entity or institution, is to mesh each of the departments, personnel involved and/or resources in order to fulfill the social function it performs. Objective: characterize the scientific production related to Leadership and Management in the medical sciences Method: an observational, descriptive, bibliometric and quantitative research was developed. A total of 35,286 articles published in the SCOPUS database were analyzed. Bibliometric indicators were analyzed. Descriptive statistics were applied. Results: articles published in Q2 predominated with 12,381 works for 35.08%. The United States and the United Kingdom stood out with the highest number of articles published with 14,556 (41.25%) and 3,184 (9.02%) works respectively. Articles with national collaboration stood out (13,540; 38.4%). The largest number of articles were located in thematic areas related to medical sciences: medicine, nursing and health in general. Conclusions: scientific production on leadership and management in health sciences has shown increasing growth and interest among researchers. It has been positioned in important scientific journals in correlation with the main research and scientific production centers. In turn, the contributions made between the authors focus on the different areas of knowledge of medical sciences in matters of management and organization. Journal: Health Leadership and Quality of Life Pages: 10 Volume: 1 Year: 2022 DOI: 10.56294/hl202210 Handle: RePEc:dbk:health:v:1:y:2022:i::p:10:id:10