Priority Issues Research Articles

ORAL HEALTH, QUALITY AND ACCESSIBILITY OF DENTAL CARE SERVICES IN PEOPLE WITH DISABILITIES

Dental Education has an essential impact on providing comprehensive dental care services to people with disabilities (PWD). The World Health Organization (WHO) recognizes disability as a priority issue for global public health, human rights and development. Based on the aims and objectives of the research, a cross-sectional study was selected as a research design with quantitative, qualitative and observational methods. The research was conducted in Georgia, sample size was selected based on the data from the Social Service Agency, 740 respondents took part in the research. 370 of them were PWD, while 370 - a control group. The DMFT index in people with disabilities is signicantly higher (12.0) than in the control group (5.8). It was found that 90% of the clinic managers do not have information about the specic needs of people with disabilities, 66% of the dentists do not provide complete dental services to people with disabilities, and only 5% of the dentists participated in specic training courses in order to improve the quality of dental care services for PWD. Based on the specics of dental care services for people with disabilities, to assess and develop personalized treatment plans, it is necessary to establish an evidence-based concept in dental clinics. The oral health and comprehensive dental care services for people with disabilities are signicantly unsatisfactory in Georgia. Within the framework of continuous medical education, dentists need constant training in order to provide complete dental care services to people with disabilities.

A systematic literature review on sustainability issues along the value chain in insurance companies and pension funds.

Sustainability is now a priority issue that governments, businesses and society in general must address in the short term. In their role as major global institutional investors and risk managers, insurance companies and pension funds are strategic players in building socio-economic and sustainable development. To gain a comprehensive understanding of the current state of action and research on environmental, social and governance(ESG) factors in the insurance and pension sectors, we conduct a systematic literature review. We rely on the PRISMA protocol and analyze 1731 academic publications available in the Web of Science database up to the year 2022 and refer to 23 studies outside of scientific research retrieved from the websites of key international and European organizations. To study the corpus of literature, we introduce a classification framework along the insurance value chain including external stakeholders. The main findings reveal that risk, underwriting and investment management are the most researched areas among the nine categories considered in our framework, while claims management and sales tend to be neglected. Regarding ESG factors, climate change, as part of the environmental factor, has received the most attention in the literature. After reviewing the literature, we summarize the main sustainability issues and potential related actions. Given the current nature of the sustainability challenges for the insurance sector, this literature review is relevant to academics and practitioners alike.

Probiotic cheese as a functional food

Nutrition style and preference is one of the priority issues on which health-protective and disease-preventive measures are taken for a healthy life. For this purpose, functional foods that show beneficial effects on health as well as the nutrional value have become increasingly important. Among functional foods, probiotic foods which are produced by using probiotic microorganisms constitute the most important and interesting group. In order for a probiotic food to show its beneficial effect on health, it must contain minumum 106-107 cfu of microorganisms in grams or mililitres during its shelf life. Milk and dairy products are the foods in which probiotics are commonly used. However, the development of probiotic dairy products seems to focus on fermented milk (e.g., kefir) and yoghurt. Cheese has more advantages over fermented milk or yoghurts as a carrier food to intestinal environment due to the fact that it has a low oxygen content, high pH, high fat content and a firmer texture. In this review, the general characteristics of functional foods and probiotics are explained and evaluations are made using the potential of cheese as a probiotic carrier product. This study can shed light on new studies on the use of cheese as a functional probiotic food. Asian Australas. J. Food Saf. Secur. 2023, 7 (1), 20-32

FEATURES OF APPOINTING A FORENSIC-LINGUISTIC EXPERTISE ON "DEFAMATION OF A PERSON" CONTENT MATERIAL

In this article, recommendations are given for situations related to the assignment of linguistic expertise to defamatory materials. As society develops, protection of its life, honor and dignity is becoming a priority issue. Of course, taking into account that practical research of the social importance of language, in particular, determining the discrediting of a person, evaluating such features in words, phrases and sentences is considered an urgent issue, some recommendations are given to provide a solution in this regard.

Pemanfaatan Mobile Application Si-Apik bagi Perempuan Pesisir Pelaku Usaha Sektor Pariwisata Maritim

Covid-19 pandemic and Tropical Cyclone Seroja have had a negative impact on MSMEs in the tourism sector in Kupang City. The closure of tourist sites resulted in a decrease in the family's economic capacity. This phenomenon is agreed in priority issues of partners who are unable to measure their financial ability to deal with business uncertainty which then has an impact on low access to capital. The aim of PKM is to empower business actors to be able to maintain their business in order to improve the family economy. Empowerment of management aspects using the PRA method through Secondary Data Collection, Focus Group Discussion (FGD) and Participatory Modeling Mapping and implementation stages through outreach, training/simulation and mentoring as well as evaluating the use of the SI-Apik application and ultra-micro financing for tourism businesses in Lasiana City Beach Kupang. Partners are 5 housewives who have been running the business for more than 10 years. The analysis results showed an increase in understanding, knowledge, ability, and skills in utilizing financial applications between >50%-100% for 5 indicators and 20%-40% for 4 achievement indicators. Ultra micro financing activities reach ≥80%.

Defining priority issues for managing stray dog populations: The case of Greece

Recent literature on stray dogs offers evidence about their increasing overpopulation. However, very few studies have attempted to investigate and explain the overpopulation of stray dogs in Greece. The aim of this study is to define how different social and professional groups prioritize issues related to management practices and programs that could be adopted at national and regional level. The Delphi method was applied for drawing, experiences, information, knowledge and opinions of fourteen experts serving from different professions and positions the topic of the study in order to demonstrate how the participation and cooperation of all stakeholders will lead to a sustainable management of their population. The process was completed in three rounds of online meetings in which participants were asked to fulfill questionnaires to analyze their choices. It was concluded that stray dogs are overpopulated mainly due to the "irresponsible ownership of the pet dog" which usually leads to its abandonment (most often without neutering), and the uncontrolled reproduction of stray dogs. Also, the lack of interest in adopting stray dogs was a matter of high priority. Finally, neutering strays and pets was demonstrated by the majority of experts as a solution against overpopulation of stray dogs

KELOMPOK RISET (KERIS): STRATEGI PENINGKATAN PUBLIKASI ILMIAH BAGI DOSEN DI JURUSAN AKUNTANSI FE UNNES

There still needs to be a higher level of participation as a lecturer in implementing the Tridharma of Higher Education in producing scientific publications. One solution is to initiate the Kelompok Riset (Keris) to increase scientific publications for lecturers, especially lecturers in the Accounting Department, FE UNNES. The approach method used in this community partnership program is AKPL Criteria, USG Analysis, Fishbone Analysis, and Mc Namara Filtering Technique Analysis for determining priority issues and root causes of problems. In addition, the 7M Analysis and Constraint-Solution-Recommendation Analysis were used to prepare and implement Kelompok Riset (Keris)’s technical guidebook. As a result, the Kelompok Riset (Keris) can become the smallest format unit in the technical implementation and substance of research activities by lecturers of the Accounting Department to facilitate the planning, implementation, monitoring, and evaluation of research activities. Hopefully, It will spearhead the reputation of the Accounting Department, Faculty of Economics, Universitas Negeri Semarang on a national and international scale. So the lecturers of the Accounting Department can achieve the targets of articles for publication in Scopus-indexed journals that the faculty has set.

Implementing the learning health system paradigm within academic health centers.

The learning health system (LHS) concept represents a bold innovation that combines organizational learning, strategic analysis of patient data, stakeholder engagement and the systematic translation of research into practice - all in service of improving the quality of health care delivered across the organization. This innovation has been diffused and widely adopted by healthcare organizations over the past 15 years, but academic health centers (AHCs) have been slower on the uptake. The irony is that AHCs have the resources (e.g., trained researchers, sophisticated clinical data systems, informatics infrastructure) that are necessary to do the highest-quality and most impactful LHS work. Based on a review of publications describing how AHCs have implemented LHS work, as well as the authors' direct experience promoting the adoption of the LHS paradigm at Atrium Health Wake Forest Baptist (AHWFB), we:identify a set of factors that have inhibited broader adoption of the LHS paradigm among AHCs; distinguish between the forms of LHS work that are consistent and inconsistent with the mission of AHCs; and offer recommendations for broader adoption and fuller implementation of the LHS paradigm. The LHS paradigm represents an expansion of the scientific paradigm which serves as the foundation of research enterprise within AHCs. Both paradigms value rigorous studies of new treatments and practices, including pragmatic clinical trials. The LHS paradigm also places a high value on quality improvement studies, organizational learning, and the translation of research findings into improved patient care and operations within the local health system. The two paradigms differ on the origin of the research question, i.e., a pressing patient-care issue facing the health system versus the investigator's own research interests. Academic researchers have been disincentivized from pursuing at least some forms of LHS research. However, a growing number of AHCs are finding ways to integrate the LHS paradigm into their research enterprise, either by providing research faculty with institutional funding to cover their effort on studies that address the health system's priority issues, or by establishing an institute dedicated to LHS research. The LHS paradigm is a disruptive intervention for AHCs, one that was initially resisted but is increasingly being embraced. AHCs are developing strategies for conducting LHS research, typically in parallel to the more traditional biomedical science that is core to academic medicine. Full implementation of the LHS paradigm will require further alignment between LHS and science, including a shift in the criteria for promotion and tenure to support those researchers who choose to focus on the pressing issues facing the health system.

Risk of Femicide and Quality of Life Assessment of Women Victims of Intimate Partner Violence in Campinas, São Paulo, Brazil.

Violence against women is a public priority issue for epidemiological and public health sciences. Severe consequences of violence affect the quality of life of women victims. The objective of this study was to quantify the impact in the quality of life of the strengthening group in women victims of intimate partner violence who attend a reference violence center in Campinas, São Paulo, Brazil. Quasi-experimental before and after the study was designed. The danger assessment and WHOQOL-BREF scales were applied at admission, after 3 and 6months. Descriptive and statistical analysis of the variables was carried out to verify the difference between the measurements in the quality of life domains. Seventy-eight victims of intimate partner violence participated in the study. The most prevalent violence was psychological (96.2%), physical (79.5%), and moral (67.7%). Three months after participating in the strengthening group, there was an improvement in the 4 domains of quality of life, significantly in the psychological () and physical () domains. More than half of the participants were classified at the extreme level of risk of femicide (51.3%). The study was stopped early because of the restrictions of the COVID-19 pandemic. With the available data collected, the strengthening group proved to be a strategy that positively impacts the quality of life of women victims of intimate partner violence.

Exploring ecosystem-based approaches in MSP through actor-driven perceptual mapping

This paper introduces an interactive method which aims to map out perspectives on the state of ecosystem-based approaches (EbA) in marine spatial planning (MSP). MSP meets a need for organising the allocation of space to maritime uses. MSP should also control and limit the pressures induced by these activities on marine ecosystems. To evaluate how EbA is actually applied, this research proposes a participatory method to assess the effectiveness of current EbA practices within MSP process using perceptual maps. The mapping focuses on two dimensions: relevance and implementation of a set of 13 key elements of EbA. The method was tested on a sample of marine planners from ongoing MSP processes in northern European sea basins. The study shows that perceptual maps provide four main benefits: participatory, visualization capacity, qualitative and quantitative applicability, and easy to use. This tool has undoubtedly the potential to illustrate the state of integration of EbA in MSP and highlight the priority issues to develop in future plans, and consequently to provide keys to revise marine plans in a way that better takes into account EbA principles.

Modelling Stakeholders’ Knowledge and Perception in a Fuzzy Cognitive Map: The Case of the Extra-Virgin Olive Oil (EVOO) Value Chain in Central Italy

Italy is the second largest extra-virgin olive oil (EVOO) producer within the European Union. Despite its importance in preserving rural landscape and in supporting household economy, the EVOO sector faces several constraints due to high management costs, small farm size, lack of cooperation and investment, production vulnerability, and farmers’ ageing. Such a number of weak points suggests the need to identify and adopt innovative approaches, at both the farm and oil mill levels. In order to address these priorities, a fuzzy cognitive mapping (FCM) survey was carried out in Umbria region, central Italy, involving key local stakeholders of the EVOO value chain in the Orvieto district. Based on stakeholders’ perception and knowledge, this paper aims to identify and evaluate the most relevant components of the local olive oil value chain, and predict scenarios responding to hypothetical changes of the same components. These stakeholders were firstly invited to each build an individual fuzzy cognitive map and then, grouped all together, build a joint fuzzy cognitive map. Finally, the maps represented both the individual and the grouped stakeholders’ perceptions. The maps were translated into adjacency matrices in order to create an FCM model by applying the software “Mental Modeler”. In total, 24 participants, including practitioners, multipliers, researchers, suppliers and members of local administration, participated in the survey. The component analysis and the scenario analysis highlighted several priority issues: to preserve the ecosystem functioning, to implement cooperation, innovation and education, to adapt and mitigate climate change. The main novelty of this study is that all stakeholders’ categories in the EVOO sector recognize several challenges to sustain the EVOO value chain, in particular, climate change adaptation and mitigation.

Names, diagnoses and ‘Dead Names’: the case of Synedra pelagica

The case of Synedra pelagica Hendey is discussed in terms of its nomenclature, the taxonomic implications of priority issues and its characterization. Application of replacement names for specific epithets is reasonably straightforward as it is governed by the ICN – conditions for valid publication of any taxonomic name can be satisfied even if no one can subsequently identify the taxon. The lack of clear diagnostic characters, as opposed to a description, can obscure what the name actually represents. These issues are briefly discussed with Synedra pelagica in mind.

Food security management in Kazakhstan in the context of a pandemic

In general, economic security means high-quality satisfaction of the needs of the population in the nature of the national economy. Today, one of the priority issues for environmental reasons, etc., can be called food security. That is, physiologically complete coverage of the population with food determines its activity during the life period. At the same time, it shows the political independence of the state in ensuring economic stability. Therefore, if no state strives for a high-quality full provision of food security for its people, it is impossible to talk about other security considerations, that is, political, economic, national security. The issues of food security of the state are the main conditions for ensuring the general security of the population. In this context, the state is implementing plans to ensure food security, increase food security indicators, reduce the costs of the population for food products and provide consumers with safe products. This article analyzes the factors affecting the state of economic and food security of the country that have occurred in the world. The main threats to economic security have had a significant impact on the Republic of Kazakhstan. It should be noted that any of these security measures requires a fundamental analysis of the relevant conceptual proposals and the development of measures related to the state and business. Therefore, the purpose of the article is a comprehensive discussion of economic and food security issues and summing up. Based on the study of the state, the state of food security, economic, analytical, statistical methods focused on a systemic orientation were used. The findings of the study can be used for the social and economic development of the country, in measures to combat the pandemic.

Pediatrician-Reported Injury Prevention Anticipatory Guidance by Patient Age Group.

Unintentional injuries remain a leading cause of death for children and adolescents older than 1 year. Injury prevention has long been a cornerstone of anticipatory guidance. Previous studies have established the sustained efficacy of injury prevention anticipatory guidance in pediatric primary care. This study examines the topical emphasis of injury prevention anticipatory guidance by patient age, with special attention given to the rate of water safety anticipatory guidance across 4 patient age groups. A nationwide, random sample of AAP member pediatricians was surveyed on their experiences, attitudes, and practices related to injury prevention anticipatory guidance, including barriers to delivering anticipatory guidance. Of the respondents who reported providing direct patient care, 92% considered injury prevention anticipatory guidance a priority issue. The content of that injury prevention guidance varied considerably by patient age. Roughly half (53%) reported counseling families with adolescents on water safety/drowning prevention, which represents a statistically significant decrease relative to other patient age groups. Reported injury prevention anticipatory guidance is high across different mechanisms of injury. However, fewer pediatricians deliver drowning prevention anticipatory guidance to adolescents than to younger patients. Targeted outreach and education to increase injury prevention anticipatory guidance, especially for adolescent patients, should be part of a multipronged approach to decrease drowning and other injury deaths.

High burden of rheumatic heart disease confirmed by echocardiography among Pacific adults living in New Zealand

BackgroundDespite numerous echocardiographic screening studies of children in high incidence acute rheumatic fever (ARF)/rheumatic heart disease (RHD) communities, little is known about the prevalence of RHD in adults in these...

Monitoring of Lead and Some Heavy Metals in Wheat Flour of Corum Province, Turkey: An Air Quality Comparison

Food security is a priority issue for sustainable global development. Metal uptake by plants could have a significant impact on crop quality in areas of rapid industrialization with high fallout of airborne particles. In this study, concentrations of some heavy metals (copper, Cu; zinc, Zn; and lead, Pb) in flour samples supplied in Çorum, defined as one of the “New Industry Focus”, were investigated using inductively coupled plasma-optical emission spectrometry (ICP-OES) to determine the heavy metal contamination. The results showed that the concentration of Pb in all samples examined exceeded the maximum permissible limit. To monitor the increase in Pb concentration and its relationship with air pollution, a two-year laboratory experiment was conducted. It was found that the increase in Pb concentration of about 47% and 77% for two flour samples was consistent with the increase in annual average particulate matter with diameter 10 micrometers PM10 concentrations (55% and 82%) obtained from two stations.

Use of "The Knowledge-to-Action Framework" for the implementation of evidence-based nursing in child and family care: Study protocol.

Nurses are increasingly focused on a practice based on scientific knowledge. However, it is important to distinguish high-quality evidence that can be applied in practice from studies of low or dubious scientific quality. Therefore, nurses must base their practice on structural support that allows for the definition of personalized and context-specific interventions. The objectives of this study are to identify the main barriers and facilitators to the evidence-based nursing approach and to implement an Evidence-Based Practice model (EBP) in clinical practice settings. We seek to contribute to evidence-based nursing by promoting professional skills in nurses, using "The Knowledge-to-Action Framework" (KTA). The research focuses on a participatory action research methodology based on the cyclical process of the KTA framework, contemplating the creation of knowledge and the implementation of existing solutions or new solutions through an action cycle. The participants will be nurses and parents/caregivers) from a pediatric service in Northern Portugal. The study will be conducted in 3 phases: phase 1 will identify the priority issues by exploring the barriers and facilitators of EBP from the nurses' perspective and assessing the parents'/caregivers' satisfaction with nursing care. Phase 2 will be divided into (a) the planning and (b) the implementation of the KTA model, where we aim to build and validate (a) a training plan and (b) the implementation of the KTA model. Phase 3 is for the evaluation of the model implementation and sustaining knowledge. It is recognized that there is a large gap between knowledge production and the subsequent implementation of interventions based on the best available evidence. However, this reality is complex and involves several levels of decision and intervention that oscillate from the individual responsibility of each nurse to the organizational dimension.

Workshop Jurnalistik Online bagi Pemuda Desa Pengembur Kecamatan Pujut Kabupaten Lombok Tengah

The purpose of this community empowrement is to provide online journalism skills to youth in the Pengembur Village, Central Lombok. This activity was attended by the Head of Pengembur Village, Mosque Youth, Pengembur Youth Organization, village operators and other village apparatus. There is a lot of potential in the Pengembur Village, but the publication of information related to the Pembur Village is still very minimal. This is due to the lack of ability of youth to produce journalistic content, especially through online media. After doing this service, the youth have skills including; determine priority issues, divide tasks when carrying out coverage, write and edit coverage results, publish and distribute journalistic contexts that youth have worked on.

Remote health monitoring services in nursing homes

Aged people are challenged by serious complications from chronic diseases, such as mood disorder, diabetes, heart disease, and infectious diseases, which are also the most common causes of death in older people. Therefore, elderly care facilities are more important than ever. The most common causes of death in elderly care facilities were reported to be diabetes, cardiovascular disease, and pneumonia. Recently, the coronavirus disease 2019 (COVID-19) pandemic have a great impact on blind spots of safety where aged people were isolated from society. Elderly care facilities were one of the blind spots in the midst of the pandemic, where major casualties were reported from COVID-19 complications because most people had one or two mortality risk factors, such as diabetes or cardiovascular disease. Therefore, medical governance of public health center and hospital, and elderly care facility is becoming important issue of priority. Thus, remote health monitoring service by the Internet of Medical Things (IoMT) sensors is more important than ever. Recently, technological breakthroughs have enabled healthcare professionals to have easy access to patients in medical blind spots through the use of IoT sensors. These sensors can detect medically urgent situations in a timely fashion and make medical decisions for aged people in elderly care facilities. Real-time electrocardiograms and blood sugar monitoring sensors are approved by the medical insurance service. Real-time monitoring services in medical blind spots, such as elderly care facilities, has been suggested. Heart rhythm monitoring could play a role in detecting early cardiovascular disease events and monitoring blood glucose levels in the management of chronic diseases, such as diabetes, in aged people in elderly care facilities. This review presents the potential usefulness of remote monitoring with IoMT sensors in medical blind spots and clinical suggestions for applications.

Educational Training for Students' Self-Efficacy in Learning Science and Mathematics

This service is carried out by MTsS Safinatussalamah Al-Munawarah, Lhokseumawe City. The priority issue of partners (Safinatussalamah Al-Munawarah) is in terms of learning. In this case, in partner schools, students have not fully self-efficacy in learning mathematics and science. This is due to the lack of motivation in the form of educating students on the importance of self-efficacy abilities. The purpose of implementing the activities in this lecturer service program can be detailed as follows: a) To provide education to all students on the importance of having self-efficacy skills, especially in learning mathematics and science. b) Provide opportunities for all students to be able to explore the potential that exists within students. c) Train and improve students' caring attitudes, empathy for educational conditions, and provide practical scientific services and environmental knowledge assistance. The implementation method is a field survey and training method by determining partner problems, based on the results of a situation analysis on partners that has been carried out through a preliminary survey. The results of the service stated that students began to have a sense of independence in managing themselves after understanding the concept of self-efficacy. This is indicated by the acquisition of the highest percentage of the questionnaire score of 0.52. Or by 52% and in the very high category.