Salud, Ciencia y Tecnología (Journal)
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Effectiveness of Nurse-Led Education and Telehealth on Mental Health in Chronic Disease in Saudi Arabia: A Systematic Review
Get PDFBackground: Depression, anxiety, and chronic pain are highly prevalent among ambulatory patients and significantly impair their quality of life. Nurse-Led Education (NLE) and Telehealth (TH) interventions have emerged as promising strategies to address mental health challenges in outpatient settings. However, evidence comparing the effectiveness of these two approaches remains inconclusive, especially in culturally sensitive contexts like Saudi Arabia.
Objective: To systematically review and compare the effectiveness of NLE and TH interventions in improving mental health outcomes—depression, anxiety, and pain—among ambulatory patients, and to explore the mediating role of anxiety.
Methods: A systematic search was conducted across PubMed, Scopus, Web of Science, and Google Scholar from 2010 to 2024. The review adhered to PRISMA guidelines. Eligible studies included randomized controlled trials, quasi-experimental designs, and systematic reviews evaluating NLE or TH interventions for adult outpatient populations. Outcomes of interest included depression (measured by PHQ-9), anxiety (STAI), and pain (VAS). Risk of bias was assessed using the Cochrane RoB tool and ROBINS-I. Data synthesis was narrative due to heterogeneity in study designs.
Results: Of 1,124 records identified, 21 studies met inclusion criteria. Telehealth interventions were associated with significantly greater reductions in depression and pain scores compared to NLE. Anxiety was effectively managed by both interventions, with comparable outcomes. Several studies demonstrated that anxiety served as a key mediator in the relationship between intervention type and improvements in depression and pain. Cultural context, digital access, and patient preferences significantly influenced intervention effectiveness.
Conclusion: Both NLE and TH interventions are effective in improving mental health outcomes in ambulatory patients. Telehealth offers greater flexibility and impact on depression and pain, while NLE provides culturally grounded peer support, particularly valuable in collectivist societies. The choice of intervention should be informed by patient needs, technological access, and cultural acceptability
Analysis of students\u27 errors in drawing function graphs in three-dimensional space based on APOS theory
Get PDFThis research is aimed to investigate students\u27 conceptual understanding of drawing graphs in three-dimensional space through the application of APOS theory. Additionally, genetic decomposition is designed for graphs to facilitate conceptual understanding and assist lecturers in planning learning activities. A qualitative descriptive method is also adopted and data collection is performed through tests, interviews, and documentation, while the validity techniques use triangulation. The results show that students with high, moderate, and low abilities have an understanding of the action, process, and object stages in drawing graphs in three-dimensional space. However, those with moderate and low abilities lack understanding at the object stage. Some reported errors are challenges in creating graphs, with instances of being erroneously constructed in two-dimensional space. There are also errors in determining the intersection point of lines with Cartesian coordinate axis, as well as in drawing and connecting traces
Interpretive analysis of bamboo for the design and production of residential furniture in the Libertador Bolívar Commune: Ancestral techniques and a local development perspective
Get PDFIntroduction: This study aims to evaluate the potential of bamboo as a sustainable material for residential furniture design in the Libertador Bolívar Commune, Ecuador, integrating technical properties, sociocultural perceptions, and socioeconomic feasibility within the local context. Methods: A non-experimental, descriptive-interpretative design using mixed methods was applied. Data were collected over four months from 127 participants comprising 89 furniture users, 23 artisans, and 15 community leaders. Instruments included structured surveys, semi-structured interviews, focus groups, and structured observation. Results: Technical analysis showed that 78.3% of artisans rated bamboo’s mechanical strength as adequate for basic furniture, with an estimated durability of 8–15 years when properly treated. Sociocultural findings indicated a higher aesthetic acceptance among younger participants (mean=4.12) compared to older ones (mean=3.22, p<0.001), though traditional perceptions still influence overall acceptance. Economically, 73.6% of households allocated $50–200 annually for furniture, and 78.3% of artisans expressed interest in bamboo-related training. Housing conditions favored multifunctional and adaptable furniture designs compatible with bamboo’s properties. Conclusions: Bamboo presents promising technical qualities for residential furniture but faces sociocultural barriers and economic constraints. Its successful adoption requires integrated strategies involving technical training, cultural repositioning, and participatory community models to overcome local limitations and promote sustainable furniture production
Cultural adaptation of a web-based intervention to reduce alcohol consumption among adolescents in northwestern Mexico: a pilot feasibility and acceptability study
Get PDFIntroduction: alcohol consumption is a public health problem, and the current prevalence of alcohol consumption among adolescents is reported to be 20,6 %, and 5,2 % have reported excessive alcohol consumption in the past month. In this sense, cultural adaptations of affective interventions for alcohol consumption could generate beneficial results for behavior change. Objective: to culturally adapt a web-based intervention to reduce alcohol consumption among adolescents in northwestern Mexico and determine its feasibility and acceptability.Methods: a pilot study with a pre-experimental design (with one study group) and pre- and post-test measurements. Non-probability convenience sampling was used, comprising 13 high school adolescents. McKleroy\u27s Map of Adaptation Process (MAP) was used to culturally adapt the Alcohol Alert intervention. A screening form was used to identify adolescent alcohol consumers, along with a form containing personal data and alcohol prevalence. A scale designed by the authors of this study was used to measure the feasibility and acceptability of the intervention.Results: the emerging categories were; language, consumption scenarios, consequences, types of alcoholic beverages. On the other hand, when comparing the first measurement (pretest) with the second (posttest), favorable changes were identified in the decrease in alcohol consumption in adolescents (23,1 % vs 7,7 %).Conclusions: the intervention turns out to be feasible, acceptable and culturally sensitive. Future studies should evaluate its effectiveness
Influenza a pneumonia in the pediatric population in the post-pandemic era
Get PDFIntroduction:Influenza A pneumonia is an acute viral infection that affects the respiratory tract and is transmitted through droplets expelled when coughing or sneezing. In the pediatric population, it presents with symptoms such as fever, cough, rhinorrhea, and respiratory distress, which can lead to complications like respiratory distress or bacterial superinfection. Objective:The aim was to identify Influenza A as a cause of pneumonia in children aged 1 year to 10 years in the post-pandemic context. Methods:A prospective, observational, and analytical study was conducted in 265 children without previous comorbidities, admitted between 2023 and 2025 at the Ambato General Hospital IESS. Patients aged 1 year to 10 years, diagnosed through nasopharyngeal swabs for Influenza A, were included. Results: 53 % of the cases were female, and 47 % male, with the majority of cases in the 3 to 5 years group (27 %). 82 % had contact with individuals with prior respiratory symptoms. The most common symptoms were cough (23 %), fever (22 %), rhinorrhea (21 %), and respiratory distress (50 %). Radiological images showed hyperinflation (19 %) and interstitial patterns (18 %). Influenza A and Respiratory Syncytial Virus were the predominant etiological agents. Conclusions:Influenza A is a significant cause of pneumonia in children, particularly in those under 5 years old, with a higher incidence in winter months, especially in February. The implementation of epidemiological surveillance protocols and early treatment is recommended to reduce mortality.
Designing a CSCL-Based Instructional Model in E-Commerce Education to Promote Academic Help-Seeking in Higher Education
Get PDFThe integration of Computer-Supported Collaborative Learning (CSCL) in E-Commerce education aims to address the challenges of fostering academic help-seeking behaviors, which are often hindered by traditional teaching methods. Help-seeking is essential for academic success, but factors such as fear of embarrassment and lack of peer interaction limit students\u27 engagement. This study aims to design, implement, and evaluate a CSCL-based instructional model to encourage help-seeking behaviors and enhance collaborative competencies in E-Commerce education. A quantitative causal research design was employed, using a Likert-scale questionnaire to assess students\u27 perceptions of academic help-seeking and collaborative competencies. The study found that behavioral, normative, and control beliefs, along with opportunity, significantly influence students\u27 self-efficacy. However, higher self-efficacy showed a negative impact on learning outcomes, likely due to overconfidence leading to disengagement. The moderation analysis revealed that collaborative engagement negatively moderated the relationship between behavioral beliefs and learning outcomes, suggesting that excessive collaboration could weaken the positive effects of behavioral beliefs. The study concludes that while CSCL is an effective approach to enhancing engagement and learning outcomes, it requires careful structuring to prevent overconfidence and ineffective collaboration. Educators should focus on balancing self-efficacy with realistic self-appraisal and ensuring well-managed collaborative environments to maximize the benefits of CSCL in E-Commerce education. Further research should explore additional moderating factors to optimize CSCL implementation across different educational contexts
Utilization of Android Application-Based Learning Media With PowerPoint and I-Spring Suite
Get PDFIntroduction: Android smartphones are widely used by students but underutilized for educational purposes. Traditional learning approaches often fail to engage students effectively, while educators face challenges creating interactive learning materials. PowerPoint and I-Spring Suite integration presents a promising solution for Android-based learning media development.Objective: This systematic review analyzes the utilization of Android application-based learning media using PowerPoint and I-Spring Suite as innovative educational tools to enhance teaching effectiveness.Method: A systematic literature review following PRISMA guidelines was conducted across three databases (Google Scholar, SINTA, Scopus) for 2019-2024 publications. Two independent reviewers screened 847 initial records, with 644 remaining after duplicate removal. Following title/abstract and full-text screening, 12 studies meeting inclusion criteria were analyzed using standardized data extraction and quality assessment tools.Results: All 12 Indonesian studies demonstrated positive outcomes across various educational levels. Learning outcomes improved 15-65%, with completion rates increasing up to 325%. Expert validation scores ranged 4.1-4.8 on 5-point scales across material, media, and usability categories. Technology features showed universal PowerPoint and HTML5 adoption, with 91.7% using interactive navigation and 83.3% utilizing interactive quizzes. Student engagement improved in 75% of studies.Conclusions: Android applications integrated with PowerPoint and I-Spring Suite represent an evidence-based, cost-effective strategy for developing interactive educational resources. This approach addresses connectivity limitations and resource constraints while significantly improving learning outcomes, engagement, and motivation, supporting broader implementation in resource-constrained environments
Exploring Trends Topic on Steam Education in Elementary Schools Over the Last Decade: A Bibliometric Analysis
Get PDFIntroduction: at the elementary school level, STEAM education as a further development of STEM is increasingly recognized as a transformative approach that offers several benefits.Methods: the study used a type of analysis called a bibliometric analysis, which looks at the data in the Scopus database and gives us data about publication details, the countries and institutions involved, the authors who contributed the most, and the main trends in STEAM learning at elementary level. A study of 68 studies published between 2015 and 2024 using VOSviewer software.Results: the study discovered that the United States is at the top of the list for several amount of research on this issue. Clemson University in the USA has published the highest number of articles on this topic. Herro, Daniel, from Michigan Technological University in the USA, wrote the most papers on this issue that other researchers have cited most often. Conclusions: two recommended research trends are the integration of AI-based STEAM-based mobile learning and its impact on the cognitive load of elementary education students. Second, the integration of art aspects in robotics-based STEAM learning in elementary education is worthy of further study. These findings are of significant interest to the research community who want to explore further about STEAM in Elementary School
Exposure Analysis of Pulmonary Function Disorders in Workers At PT. X
Get PDFIntroduction: A preliminary survey at PT X, the largest cement producer in Eastern Indonesia, revealed that pulmonary function impairment is among the top 10 worker diseases due to exposure to high dust levels of PM2.5 and PM10 that exceed the threshold, especially in production areas, with an increased risk in workers who do not use personal protective equipment or smoke.Methods: This cross-sectional observational quantitative study measured respirable and cigarette dust exposure and PPE use in PT X workers, with Pulmonary Capacity checked using a digital spirometer, and data analyzed through SPSS using univariate, bivariate, and path analysis to assess the relationship between variables.Results: The analysis showed that dust exposure significantly decreased Pulmonary Capacity (estimate -0.029, p=0.00), while physical activity and PPE use increased Pulmonary Capacity with significant positive effects (p=0.021 and p=0.00). In addition, Pulmonary Capacity and physical activity had a significant positive effect on lung function impairment, while age, nutritional status, and smoking exposure had no significant effect either directly or indirectly through Pulmonary Capacity (p>0.05). Conclusions: The implication is that increased physical activity and use of PPE are important to maintain Pulmonary Capacity and prevent impaired lung function in workers exposed to dust in the work environment
Effect of physical exercise on the regulation of glycogenesis: a systematic review
Get PDFIntroduction: physical activity has been shown to be a crucial element in the regulation of glucose metabolism and glycogenesis, processes that are fundamental to maintaining energy homeostasis. The process of glycogenesis, which involves the generation of glucose from non-glucose precursors, is essential under conditions of prolonged fasting and during recovery after physical activity. Objective: the purpose of this systematic review is to examine the influence of physical exercise on the regulation of glycogenesis, focusing on research that examines how different types of exercise (aerobic, anaerobic, and resistance) affect this process. Method: research published between 2000 and 2023 was reviewed, using renowned scientific databases. Results: the findings suggest that physical exercise regulates glycogenesis through hormonal mechanisms, particularly the modulation of insulin, glucagon, and cortisol. Conclusion: additionally, variations in the response of glycogenesis based on the intensity and duration of exercise are highlighted. It follows that understanding the role of exercise in the regulation of glycogenesis is essential for the development of therapeutic strategies for the treatment of diabetes and other metabolic conditions