bluuebunny/crossref_metadata_2025 huggingface dataset:
Burnout in Hematologists: A Comprehensive Literature Review
Authors: Perolla Adela , Çalliku Elsuarta
Published: October 2023

Burnout is a pervasive concern in the medical profession, characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. Hematologists, who specialize in diagnosing, treating, and preventing blood diseases, are also susceptible to this psychological syndrome. This literature review synthesizes the current research on the prevalence, causes, consequences, and potential interventions for burnout in hematologists. Studies have reported a significant prevalence of burnout among hematologists and oncologists, with factors such as workload, work-home conflict, lack of supervisory support, and insufficient recovery opportunities contributing to this issue. The consequences of burnout are far-reaching, impacting the quality of patient care, increasing medical errors, and leading to physician attrition. In extreme cases, burnout has been associated with an increased risk of suicide among physicians. Effective interventions for reducing burnout include organizational strategies, such as workflow redesign and communication skills training, as well as individual-focused approaches, such as mindfulness-based stress reduction and cognitive-behavioural training. The review emphasizes the need for further research and targeted interventions to address the unique challenges hematologists face in their practice to ensure their well-being and maintain the highest quality of patient care.

Key words: burnout, hematologists, prevalence, causes, consequences, interventions, emotional exhaustion, depersonalization, personal accomplishment, work-life balance, job satisfaction, patient care, mental health, organizational interventions, stress management.
Review on Different Types of Discharges in a Tertiary Care Health Facility
Authors: Rahman Mallick Nehadur , Alam Syed Saif , Singh Tomar Mayank
Published: October 2023

Discharge planning is a multidisciplinary process of providing care at health process; it involves steps that is goal oriented, identifying the need, assessment, planning, implementation, coordination, and evaluation. It is a bridge between health facility, community health services, NGOs and care providers. These studies can provide us with wider range of problems that can occur during the admission of IPDs. These includes problems like A. what specialty is having highest discharge rate B. is the unplanned discharge is due to certain specific Provider in the speciality C. is the patient is not satisfying with the utility and other services D. Is nursing care not up to standard F. financial issues of the patients

Key words: planned discharges, unplanned discharges, hospital discharge
A Study to Observe the Clinical and Angiographic Profile of Diabetic and Nondiabetic Acute Coronary Syndrome (ACS) Patients Admitted in the Department of Cardiology of a Tertiary Care Hospital in Kolkata
Authors: Kundu Supratip , Kumar Bappaditya , Mukhopadhay Somnath
Published: October 2023

Background: A large body of literature documents that diabetes is an independent risk factor for cardiovascular diseases (CVD) in both men and women. Diabetic female seem to lose their inherent protections against developing CVD. CVDs are listed as the cause of death in 65% of persons with diabetes. Not only coronary artery diseases (CAD), diabetes acts as an independent risk factor for several other forms of CVD. Moreover, patients with diabetes have worse prognosis compared to their nondiabetic counterpart.
Aims & Objectives:
The aim of this study was-
To observe clinical and angiographic profile of diabetic and nondiabetic acute coronary syndrome (ACS) patients
To observe the difference between baseline characteristics, clinical profile and angiographic profile of these patients
Methods:
Study Area: Department of Cardiology, Tertiary Care Hospital in Kolkata
Study Population: Patient diagnosed as a case of acute coronary syndrome and admitted to cardiology ward of the Hospital.
SAMPLE SIZE: 637 consecutive patients, admitted to department of cardiology were selected for this study
Results: About one third patients in our study were diabetic. Compared to non-diabetic, these diabetic patients were older. Women patients were more in case of diabetic. STEMI and UA as presentation was more common amongst diabetic female. Prognosis of female ACS were also bad compared to their male counterpart. Hypertension, Dyslipidemia in the form hypertriglyceridemia, renal insufficiency was significantly more common among diabetics whereas smoking and family history of premature CAD were more common in nondiabetic patients. Atypical manifestation was more common among diabetic population which might be the reason of delayed presentation among diabetic patients. Less number of diabetic patients presented within the time period of thrombolysis. Compared to nondiabetic, diabetic patients had higher in hospital mortality, cardiogenic shock or heart failure. Higher in-hospital mortality could be predicted by higher admission hyperglycemia. Double and triple vessel disease were more common among diabetic patients. higher the HBA1c value, more was the chance of triple vessel involvement. Left main involvement was more common in diabetic population, however chronic total occlusion rates were same.

Key words: ACS, CVD, Diabetes
ОПРЕДЕЛЕНИЕ ДОЗЫ СЕЛЕНОСОДЕРЖАЩИХ ПРЕПАРАТОВ В РАЦИОНЕ СТЕЛЬНЫХ СУХОСТОЙНЫХ КОРОВ
Authors: Баязитова Кульбарам , Рамазанов Аяз , Иль Елена , Иль Дмитрий , Баязитов Тлеуберген , Кощугулова Гульзат
Published: October 2023

В статье рассматриваются вопросы выяснения оптимальной дозы селена в рационе стельных сухостойных коров на одной из молочно-товарных ферм Северо-Казахстанской области. Для этого были сформированы 4 группы коров (контрольная, Ⅰ опытная – с дозой 1,25 мг, Ⅱ опытная – 3,9 мг, ⅡⅠ опытная – 6,7 мг на 1 голову в сутки). Включение в рацион стельных сухостойных коров 3,9 мг селенита натрия повлияла на прирост живой массы, воспроизводительную функцию и качество приплода. За период сухостоя изменение живой массы контрольной группы коров заметно отставало от опытных групп, разница составила 6,6 кг, 8,8 кг и 6,8 кг соответственно при достоверности Р>0,999.

Введение в рацион селенита натрия благотворно отразилось на продолжительности сервис-периода. Так сокращение сервис-период до 71 дня при дозе селена 3,9 мг, позволило на 21 день опередить наступление плодотворного осеменения коров по сравнению с контрольной группой.

Добавление в рацион кормления селенита натрия в дозе 3,9 мг на голову оказало заметное влияние на качество и количество молозива, о чем свидетельствует более интенсивный прирост живой массы новорожденных телят по сравнению с остальными группами (более 4 кг, в контроле 3,2 кг) при Р>0,95.
Evaluasi Kebijakan Pemberian Fasilitas Pajak Penghasilan di Kawasan Ekonomi Khusus Kendal
Authors: Sion Debby , Nuryanah Siti
Published: October 2023

Dalam meningkatkan iklim investasi, pemerintah mengeluarkan kebijakan-kebijakan yang dapat menarik investor untuk menanamkan modalnya di Indonesia. Kebijakan tersebut antara lain pemberian fasilitas pajak penghasilan dalam bentuk Tax Holiday dan Tax Allowance. Penelitan ini membahas mengenai kebijakan pemberian fasilitas pajak penghasilan di Kawasan Ekonomi Khusus Kendal. Adapun alasan pemilihan KEK Kendal sebagai objek penelitian karena KEK Kendal merupakan Pilot Project bagi Kawasan Ekonomi Khusus lainnya. Untuk mendapatkan Fasilitas Pajak Penghasilan tersebut para pelaku usaha dan badan usaha harus memenuhi persyaratan-persyaratan tertentu. Saat ini ada 89 pelaku usaha dan 1 badan usaha yang melakukan kegiatannya di KEK Kendal. Dari 89 Pelaku Usaha, sebanyak 29 pelaku usaha yang telah beroperasi dan 12 pelaku usaha masih dalam masa konstruksi. Dari 29 pelaku usaha ada 13 perusahaan yang telah mendapatkan Surat Keputusan untuk mendapatkan Fasilitas Pajak Penghasilan. Dari data tersebut, terlihat masih minim investor yang telah mendapatkan Surat Keputusan untuk mendapatkan Fasilitas Pajak Penghasilan. Berdasarkan latar belakang tersebut, dilakukan penelitian yang bertujuan untuk mengevaluasi kebijakan pemberian fasilitas pajak penghasilan di KEK Kendal serta menganalisis hambatan-hambatan yang muncul selama proses pemanfaatan fasilitas pajak penghasilan tersebut. Penelitian ini merupakan penelitian kualitatif deskriptif dimana data yang dikumpulkan berdasarkan hasil wawancara terhadap badan usaha dan pelaku usaha yang melakukan kegiatan di KEK Kendal. Penelitan ini menggunakan kriteria evaluasi yang dikembangkan oleh William N. Dunn (2018).
The biochemical approach to thromboembolism: the relevance of molecular aspects
Authors: Croitoru Dan , Pavlovschi Ecaterina
Published: October 2023

Introduction. Arterial and venous thromboembolism is a disease with a high impact on morbidity and mortality. Their pathological mechanisms of aggregation directed by the clotting factors along with the variations in clinical manifestation are regarded to a high moiety of genetic polymorphisms along with a wide diversity of comorbidities. Material and methods. A comprehensive literature review was conducted, which included a total of 119 sources. Among these, 60 sources were systematically collected, while the remaining 59 sources were selected through non-systematic methods. Results. We have identified different treatment options that regard both the venous or arterial thromboembolism in contrast with numerous pathogenetic outcomes, population groups along with biomarkers that significantly modify the clinical aspects of the therapeutical and post-clinical treatment aspect. At the moment its diagnosis is continuously improving worldwide, taking into consideration a high diversity of experts’ opinions with a wide practical experience. Conclusions. Arterial and venous thromboembolisms are serious medical conditions that can be prevented and effectively managed with modern diagnostic and therapeutic techniques.
Pressurized liquid extraction and gas chromatography/mass spectrometry for determination of nitrated polycyclic aromatic hydrocarbons adsorbed on refractory diesel particles
Authors: Oukebdane Khalil
Published: October 2023

A pressurized liquid extraction (PLE) technique was evaluated in this study and optimized using response surface methodology (RSM) for the determination of polycyclic aromatic hydrocarbons and their nitro derivatives from diesel particulate matter. A central composite design (CCD) was applied for the study of three parameters (temperature, nature of solvent and static time) and the optimal conditions were determined for a time of 9 min and a temperature of 145 °C and dichloromethane as extraction solvent. With the GC/MS analytical technique, the limits of detection (LOD) obtained range from 0.3 to 1.5 µg.L-1 for PAHs and from 4.6 to 8 µg.L-1 for nitrated PAHs. Also, this method allowed excellent recoveries of NPAH adsorbed on diesel soot particles (R ≥ 90%) using a mixture of solvents (1% acetic acid in pyridine). The PLE process developed in this research is quantitative and reproducible while using much less solvent than conventional extraction methods.
Design and synthesis of novel N, N′-substituted benzamide derivatives as potential insecticidal agents against the white mango scale insect, Aulacaspis tubercularis (Hemiptera: Diaspididae)
Authors: Bakry Moustafa M.S. , Mohammed Liqaa H. , Dabour Noha A. , Gad Mohamed A.
Published: October 2023

The white mango scale insect Aulacaspis tubercularis (Newstead) (Hemiptera: Diaspididae), which causes defoliation, drying out of young twigs, dieback, poor flowering, and decreased fruit output, causes serious damage to mango trees in Egypt. Attacks on mango fruits result in pink imperfections that lower their value as a commercial and export item. The current report aims to support the development of integrated management plans to combat A. tuberculosis and to identify more effective, eco-friendly insecticides. The bug may cause a considerable decrease in mango production and jeopardize the sustainability of mango plantation production if no management measures are taken. Currently, the application of a small number of insecticides—the majority of which have poor performance and are disruptive is the primary method used to manage A. tubercularis. In order to suppress this insect, we created novel pesticides called insect growth regulators (N, N′-substituted benzamide derivatives). By using both traditional and elemental spectroscopic investigations (IR, 1HNMR, and 13CNMR), these synthesized compounds which are linked to the most well-known insect growth regulator insecticides had their structures validated. The findings showed that A. tubercularis nymphs were more responsive to the evaluated treatments than adult females. After one day of application, all tested treatments resulted in a sizable proportion of mortality; the percentage of mortality increased with time for both A. tubercularis nymphs and adult females. Furthermore, the treatment with compound 3b was more effective than other synthesized compounds, with a LC50 of 0.318 ppm against nymphs and a LC50 of 0.993 ppm against adult females of A. tubercularis. While the treatment with compound 5 was the least toxic for controlling this pest, many assessments are essential to studying the efficacy of these treatments on advantageous insects.
Effect of pH variation and temperature on pesticides sorption characteristics in calcareous soil
Authors: Fouad Mohamed R. , El-Aswad Ahmed F. , Badawy Mohamed E. I. , Aly Maher I.
Published: October 2023

The effect of pH value at three levels (5, 7, and 9) and temperature at two levels (25 and 50ºC) on the sorption properties of chlorantraniliprole-CAP, dinotefuran-DNF, bispyribac-sodium-BPS, and metribuzin-MBZ were studied in calcareous soil. The sorption of CAP at pH 5 (38.2%) was significantly higher than that at pH 7 (32.4%) and 9 (28.4%), whereas the sorption of DNF at pH 5 was lower than that at pH 7. The adsorption of BPS at pH 9 was statistically significantly higher than that at pH 5 and pH 7. Regarding the herbicide MBZ adsorption percentages were 47.0, 61.1 and 57.1 % at pH 5, 7 and 9. The number of tested pesticides adsorbed by the soil was significantly influenced by the temperature. The adsorbed amount of CAP was decreased from 37% to 33% as the temperature was increased from 25˚C to 50 ˚C, while no significant differences of adsorbed DNF. Data showed that the adsorption of BPS and MBZ statistically decreases with temperature. The data from the adsorption behaviour of CAP, DNF, BPS, and MBZ in tested soil at different temperatures correspond well with the Freundlich isotherm. The negative ΔG˚ indicated that the adsorption of CAP, DNF, BPS, and MBZ were spontaneous at different temperatures. There was an increase in the entropy of the pesticide-soil systems as shown by the positive values of ΔS˚.
Insight into a new discovery of SARS-CoV-2 inhibitor activated through Chloroquine derivatives
Authors: Salah Mohammed , Abdallaoui Oumaima El Alaoui El , Zeroual Abdellah , Acharjee Nivedita , idrissi Mohammed El
Published: October 2023

The inhibiting effect of chloroquine compounds (ChCs) on the SARS-CoV-2 virus represents a highly debated form of study owing to the emerging proposals of mechanistic implications for exploring the mode of action of ChCs on the virus. Keeping in view the emerging significance of chloroquine derivatives, the present study was performed to screen one hundred and ninety known chloroquine derivatives for their interaction with several SARS-CoV-2 target proteins by molecular docking and molecular dynamics simulations to obtain an in-depth understanding of the potential hits of these compounds against SARS-CoV-2. A total of 190 molecules from the chloroquine family were screened for the identification of potential new inhibitors of the three therapeutic target proteins of SARS-CoV-2, namely Mpro (master protease), PLpro (papain-like protease) and SGp-RBD (spike glycoprotein receptor binding domain). The ChCs bound to SARS-COV-2 Mpro, PLpro, and SGp-RBD were generated by molecular docking and molecular dynamics simulations. Herein, a comparative analysis of chloroquine family products and a well-known drug against SARS-CoV-2, called Remdesivir, has also been presented. This investigation is intended to study the mechanism of interaction between ChCs and the SARS-CoV-2 virus and explore the unprecedented areas associated with the inhibitory activity of ChCs against this virus.
Nanoparticle synthesis advancements and their application in wastewater treatment: A comprehensive review
Authors: Kumari Shubhangini , Singh Vandna , Singh Deepali
Published: October 2023

The global water crisis requires effective wastewater treatment methods where conventional approaches often face challenges related to cost, recyclability, efficiency, and overall effectiveness. In this regard, the significantly small size, large surface area, and enhanced photocatalytic properties of recently developed nanoparticles have opened new avenues for wastewater treatment. This comprehensive review focuses on recent advancements in the synthesis methods for different types of nanoparticles and nanocomposites based on metals, carbon, polymers, waste materials, and zeolites which have highly sustainable and innovative results in wastewater treatment. The introduction of silver and gold nanoparticles has enhanced photocatalytic and biological activities. Similarly, zeolite and seaweed composites have exhibited efficient dye degradation capabilities. Eco-friendly carbon soot nanoparticles have shown promising biological activities, while nitrogen-doped carbon quantum dots have exhibited long-term stability for various applications. Additionally, waste material-based calcium oxide nanoparticles and carbon quantum dot-carbon nanotube nanocomposites have also shown enhanced dye degradation activities.
Antifungal potential of mannopyranoside derivatives through computational and molecular docking studies against Candida albicans 1IYL and 1AI9 proteins
Authors: Sultana Shahin , Hossain d Ahad , Islam Md Mazherul , Kawsar Sarkar M. A.
Published: October 2023

Methyl α-D-mannopyranoside (MAM) is a naturally occurring carbohydrate derivative that has gained attention in drug discovery due to its potential therapeutic applications, particularly as an antifungal agent. In this study, we employed a computational approach to investigate the interactions between MAM and two Candida albicans antifungal proteins, 1IYL and 1AI9, through molecular docking simulations. Furthermore, we performed a PASS (Prediction of Activity Spectra for Substances) analysis to predict MAM potential biological activities, explored the pharmacokinetic properties and ADMET (absorption, distribution, metabolism, excretion, and toxicity) profiles, and optimized the MAM using the density functional theory (DFT) method. The molecular docking results revealed favorable binding interactions between MAM and the active sites of the 1IYL and 1AI9 proteins, suggesting potential antifungal activity. Additionally, the ADMET profiles indicated low toxicity and suitable drug-like properties, such as moderate metabolic stability and minimal risk of adverse effects. Furthermore, DFT optimization was performed to investigate the molecular geometry and electronic properties of MAM. The optimization results provided valuable information on the stability and reactivity of MAM, enabling a better understanding of its chemical behavior and potential modifications for enhanced activity. Finally, PASS prediction was employed to evaluate MAM's potential biological activities beyond its antifungal properties. The analysis revealed several potential activities, including antibacterial, antiviral, and immunomodulatory effects, expanding the scope for future research and therapeutic applications. In conclusion, this computational study sheds light on the molecular interactions, pharmacokinetic properties, ADMET profiles, DFT optimization, and PASSES predictions of MAM. These findings highlight the potential of MAM as a promising antifungal agent with favorable pharmacological properties.
A Study to assess the effectiveness of Structured Teaching Programme on knowledge and practice regarding infection control measures in labour room among fourth year BSc(N) students in selected Nursing Colleges of Tumkur
Authors: M Priya , Gandhi R. Menaga
Published: October 2023

Background: Pregnancy, delivery is a normal physiological process. Most of the time the women achieve normal pregnancy outcome without any complication. But too many mothers and children in the world are dying and suffering from the effects ill health, poor nutrition and inadequate health care. The Puerperal sepsis is the second leading cause for maternal mortality i.e. 15% of maternal death due to sepsis. Today’s student Nurses are Tomorrow staff nurses. Nurses being the backbone of health care services at all levels play vital role in achieving this goal. Aim and Objectives: To evaluate the effectiveness of structured teaching programme on knowledge and practice regarding infection control measures in labour room among fourth year BSc(N) students. Methodology: A Pre-experimental design was chosen for the study and conducted at selected Nursing colleges. The sample consisted of 60 students. The convenience sampling technique was used to select the samples. The pre test assessment of knowledge and practice were done using a Structured knowledge questionnaire and Observational checklist respectively. The structured teaching programme was administered to fourth year B.Sc Nursing students on Infection control measures in labour and the practice of Infection control measures were demonstrated to them. The Post test was conducted after a week. Result: The comparison of pre test and post test level of knowledge and practice revealed a calculated paired t value of 13.285 and 14.281 respectively which was found to be statistically highly significant at p<0.01. The post test knowledge and practice correlation value was 0.82 the value was more than table value, which shows that there is high correlation between knowledge and practice. It was highly significant at p<0.000 value. A statistically significant level of association was identified between the source of information and knowledge level of fourth year B.Sc Nursing students. Conclusion: The study was concluded that structured teaching programme on infection control measures in labour room was an effective method to improve the knowledge and practice level of student nurses on the significance of decreasing maternal mortality and morbidity.
Rare Blood Group: A Golden Blood
Authors: Pande Bhawana Sanjay
Published: October 2023

“Golden blood” is as uncommon in fact because it turned into in historic Greek mythology: simplest forty-3 humans withinside the global are recognised to have had this blood type1.There are four essential blood groups (forms of blood) – A, B, AB and O. The first case was found in india is in Gujarat a 65 year man who had a cardiac attack and was admitted for surgery.14-July-2022.In world wide Rhnull is thought to affect 1 in every 6 million people.The medical professional has keep the record of this blood group you can contact to them.The immunoglobulin G (IgG) antibodies referred to as Rh antibodies originate from exposure to Rh-positive blood, usually when pregnant or following transfusions of blood There are total 8 types of blood groups are there Blood types also need to be compatible for organ transplants. People with the blood types Rh null or golden may have, Mild to severe hemolytic anemia from birth.
A Comparative Study to assess the level of Cognitive function among hypertensive and normotensive elderly in selected areas of district Mohali, Punjab
Authors: Pratibha Pratibha , Kaur Brar Amarjot
Published: October 2023

Aging is a normal, universal and inevitable change. Elders usually exhibit multiple health problems with complex interactions. High blood pressure refers to the pressure of blood against your artery walls. Hypertension is a major health problem that is common in older adults. After decades of observational research, there's general agreement that high blood pressure in middle age is a risk factor for later-life cognitive decline, including overall cognition, memory, and processing speed. The aim of the study is to assess the level of cognitive function among hypertensive and normotensive elderly in selected areas of district Mohali, Punjab. A quantitative research approach with comparative research design was adopted. By purposive sampling technique 50 hypertensive and 50 normotensive elderly were selected. The data was collected by interview schedule using RUDAS scale to assess the cognitive level among the hypertensive and normotensive elderly. Cognitive function among hypertensive elderly indicated that the majority 72% of them exhibited with mild impairment, whereas 18% of the subjects had demonstrated normal intellectual functioning ability. When the results are compared with the normotensive, it has been found that 82% of elderly normotensive having normal cognitive functioning, and 18% having mild impairment. Association between cognitive function and demographic variables of hypertensive elderly revealed that there was significant association between cognitive functioning with their age and years of usage of antihypertensive (P < 0.05), whereas no significant association was with rest of the variables. There was no significant association between cognitive function and demographic variables of normotensive elders.
To Evaluate the awareness and perception regarding Cervical malignant disease between progenitive age cluster females in Alinagar Town, Lucknow
Authors: Arjita Arjita , Laxmi Verma Vijay
Published: October 2023

Cervical Cancer is a curable cancer, which needs time-based intervention and knowledge about it. It a kind of cancer which can be prevented with proper knowledge and frequent screening. From the get-go, ordinarily no indications are seen. Later manifestations might incorporate strange vaginal discharges, pelvic torment during sex. Around 71% of cervical malignant growth happens in agricultural nations. In low pay nations it is the most widely recognized reason for disease demise. Cervical malignant growth is the second most normal disease among women and is the essential driver of disease related to the demise of women in agricultural nations. There has been a normal mission against cervical malignant growth for quite a long time in India, however this has least affected the dreariness and mortality from the infection. Early discovery of cervical disease stays a fantasy in India even following decade of the acquaintance of immunization accessible with forestall cervical malignant growth. 53,000 women hadpassed from cervical disease in 2019, representing 31% of absolute malignant growth-related demise of women in India. The main gamble factor for cervical Cancer is contamination with the human papillomavirus (HPV) which can be contracted during sex. Other contributing factors can be changing sexual conduct for youthful adults that could prompt one more influx of cervical diseases. Early age at first intercourse, various sexual accomplices, poor sexual cleanliness, rehashed labor smoking, immunodeficiency, having a past filled with disease and so on, are a portion of the regenerative gamble factors for cervical malignant growth.
Assess the Knowledge regarding Schemes and Policies of Old age among Senior Citizen to Develop an Information Booklet
Authors: Shelly. P Subin , A. M Archana , T Akhilesh
Published: October 2023

Background: Demographic transition increased the proportion of elderly in India. Elderly persons experience increased economic dependency for their day to day existence.1 Government of India has provided various welfare services to support the elderly population but the knowledge regarding schemes and policies of elders and it's utilization of these services is questionable.2 Objective: 1) Assess the level of knowledge on geriatric schemes and policies among senior citizen. 2) Find out the association between knowledge on geriatric schemes and policies of senior citizen with selected socio demographic variables. 3) Develop and distribute an information booklet on geriatric schemes and policies among senior citizens. Materials and Methods: A quantitative research approach was adopted to assess the knowledge regarding schemes and policies of old age among senior citizen. The sample consist of 60 senior citizen, selected by simple random sampling technique and data collected using closed ended questionnaire with interview method. Result: The major findings of this study is majority 45(76.7%) samples have average knowledge regarding schemes and policies of old age and 23.33% of samples (14) have poor knowledge regarding schemes and policies of old age and 1.6% of sample (1) have good knowledge regarding schemes and policies of old age. Conclusion: The study showed that the majority of population has average knowledge regarding schemes and policies of old age. And there was no significant association between selected demographic variables and knowledge regarding schemes and policies of old age among senior citizens.
Work Environment and Mental Health of Employees in Health Care
Authors:   General Hospital of Thoracic Diseases Sotiria, 115 27 Athens, Greece., Theofilou Paraskevi
Published: October 2023

There are many causes of poor mental health in the health-care workplace care. These causes include excessive workload [1,2], limited autonomy
Detection of Extended Spectrum Beta-Lactamase (ESBLs) among Urinary Tract Patients in Khartoum State, Sudan
Authors: Abdelgader Leila M. Ahmed , Aldeen Areej Osman Shik , Mahjaf Ghanem Mohammed , Altaher Tibyan Abd Almajed , Hamad Mosab Nouraldein Mohammed
Published: October 2023

Background: Many different organisms can cause urinary tract infections, but Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, Enterococcus faecalis, and Staphylococcus saprophyticus are the most prevalent ones. 60% of all antibiotics used to treat infectious diseases around the world are beta-lactam antibiotics, one of the main classes used to fight gram-negative and gram-positive bacteria. Objective: The purpose of this study is to detect and isolate Extended-Spectrum Beta-Lactamases (ESBLs), which are responsible for urinary tract infections, as well as check for any potential medication resistance. Materials and Methods: The gram stain technique and biochemical assays were used to identify 100 urine samples from Khartoum state hospitals based on their cultural characteristics and morphological appearance. Using the disk diffusion method, the isolates were tested for antimicrobial susceptibility to third-generation cephalosporins (Cefotaxime, Ceftazidime, and Ceftriaxone). The Combination Disk Technique (clavulanic acid+third-generation cephalosporins) was used to inoculate the bacterial isolates to demonstrate their capacity to create ESBL. In comparison to non-ESBL producers, the ESBL producers were assessed. Results: E. coli, Klebsiella, S. aureus, Proteus, and Pseudomonas were among the microorganisms isolated from UTI patients. 61% of the participants in this study were female, whereas 39% were male. E. coli has an increased frequency among isolated bacteria, as it presented in 46% of urine cultures, followed by pseudomonas and Klebsiella, each with a 22% frequency. Growth of the majority of the bacteria was found among females more frequently than males, and it also seems to be among older age patients than younger. Amoxyl alone and in combination with Clavulanic Acid (AAMC) was the most medicine that bacteria were resistant to (76%), but Ceftriaxone (CTR) has higher sensitivity (45%) and resistance (50%). The growth of the bacteria in the media of antibiotics was sorted into sensitive, intermediate, and resistant. Conclusions: Tested antibiotic resistance was higher for AAMC than for CTR, which is typically taken without performing urine sample culture and sensitivity testing, which over time leads to increased resistance.
The Role of New Media Technologies in Improving Communication Skills of Intellectual Disabled Individuals
Authors: DURAK Eren , DURAK Özge , ÖZKAYAGİL Songül , KUŞÇU Serpil , GÜL Ziya
Published: October 2023

The communication and social skills of individuals with mental disabilities are considerably behind their peers with normal development. These individuals’ educational needs vary depending on their distinct traits. There is an increasing need to improve communication skills in order to minimize the problems experienced by these mentally handicapped individuals in the family, at school, at all levels of social life, and in interpersonal relationships. Considering their characteristics, educational environments designed for these individuals should be set up in such a way that they can make full use of educational opportunities. Emerging from the application of computer and information-processing developments to the field of communication and starting to direct the relations between individuals with the use of the Internet and technological devices together, new media has also been introduced into educational environments, and changes have started to be seen in the educational processes of individuals with intellectual disabilities. New media technologies aim to optimize learning settings for students who show different developmental characteristics than their peers and learn differently from them. Educational environments where new media technologies are used as auxiliary materials provide these individuals the opportunity to learn individually in line with their own abilities and therefore improve the quality of education. New media technologies support the development of communication skills in individuals with mental disabilities, as well as their reading, writing, and math skills, according to their disability area. This study, in this regard, provides information on the development of communication skills in individuals with mental disabilities to socially integrate and conduct interpersonal interactions in a healthy way and offers suggestions for the use of new media tools to improve the communication skills of individuals with mental disabilities.
Women-Based Welfare (WBW): Strengthening Women Based on Government Expenditure Formulations in Gunungkidul Regency, DI Yogyakarta
Authors: Setiawan Hendy , Erison Yendra
Published: October 2023

Women have played an important role in welfare development through government spending. There is a tendency for areas with a low level of welfare to be synonymous with development that does not provide space and opportunities for women. Whereas in reality women are part of the welfare element itself. This research uses a qualitative approach with the method of literature study. The author collects data through various relevant literature, either in online media, official media, and other literature. Meanwhile, researchers in carrying out this research stage used the Creswell concept. The stages of this research consisted of problem identification, literature search, research aims and objectives, data collection, data analysis and interpretation, and research reporting. The results of the study show that the low level of welfare in Gunungkidul is in line with the weak condition of women in the development budget. This can be traced with the logical implications of the development indicators that have been implemented in Gunungkidul. For example, if you see a high poverty rate, a weak human development index, a weak gender development index, and a low gender empowerment index, this shows how fragile well-being is from within. This is also relevant to the revenue budget, especially from tax collections which are also weak, reinforcing how welfare issues are still a problem today. Therefore, the main key in advancing welfare development in Gunungkidul is placing women not only as objects but also as subjects in building welfare that is inclusive and fair.
Mental Health Impacts of Climate Change Among Vulnerable Populations Globally: An Integrative Review
Authors: White Bradley Patrick , Breakey Suellen , Brown Margaret J. , Smith Jenny Rand , Tarbet Amanda , Nicholas Patrice K. , Ros Ana M. Viamonte
Published: October 2023

Background: Climate change has been shown to be directly linked to multiple physiological sequelae and to impact health consequences. However, the impact of climate change on mental health globally, particularly among vulnerable populations, is less well understood.
Objective: To explore the mental health impacts of climate change in vulnerable populations globally.
Methods: We performed an integrative literature review to identify published articles that addressed the research question: What are the mental health impacts of climate change among vulnerable populations globally? The Vulnerable Populations Conceptual Model served as a theoretical model during the review process and data synthesis.
Findings/Results: One hundred and four articles were selected for inclusion in this review after a comprehensive review of 1828 manuscripts. Articles were diverse in scope and populations addressed. Land-vulnerable persons (either due to occupation or geographic location), Indigenous persons, children, older adults, and climate migrants were among the vulnerable populations whose mental health was most impacted by climate change. The most prevalent mental health responses to climate change included solastalgia, suicidality, depression, anxiety/eco-anxiety, PTSD, substance use, insomnia, and behavioral disturbance.
Conclusions: Mental health professionals including physicians, nurses, physician assistants and other healthcare providers have the opportunity to mitigate the mental health impacts of climate change among vulnerable populations through assessment, preventative education and care. An inclusive and trauma-informed response to climate-related disasters, use of validated measures of mental health, and a long-term therapeutic relationship that extends beyond the immediate consequences of climate change-related events are approaches to successful mental health care in a climate-changing world.
Çok-Dinli Toplumların Din Eğitim ve Öğretiminde Fenomenolojik Yaklaşım
Authors: Abidoğlu İsa
Published: October 2023

Modern toplumlarda din eğitimi farklı inançlara sahip olanlar arasında anlayış ve hoşgörü yaratmak gibi seküler eğilimli sosyal amaçlara hizmet etmekle ilgili görülür. Fakat din eğitimini vermek isteyen dini örgüt ve organizasyonlar, din eğitimini sadece bir inancı teşvik ettiği ve bireyin dindarlaşmasını sağladığı taktirde anlamlı görürler. Bu açıklamaya göre dini eğitim başlığıyla kabul edilecek perspektifte eğitimin amacı dini inancı desteklemek ve güçlendirmek, böylece öğrencilerin ahlaki ve manevi duyarlılıklarını geliştirmektir. Nitekim dinler, bir dereceye kadar, özel bir bağlılık talep eder. Bu bağlılığa göre dindar insanların kendi inançlarına sadık kalmaları, hatta belki de dinlerini yaymaları beklenir. Ancak çoğulcu demokratik bir toplumda inananların aynı zamanda çatışmaya neden olmadan diğer inançlarla birlikte yaşamaları beklenir. Çoğu dinin ahlaki öğretileri asil ve iyidir, ancak doktrin veya dini uygulamalardaki farklılıklar yine de toplumda çatışmaya yol açabilir. Bu açıdan değerlendirildiğinde Din eğitim fikri, toplumda inanılan din konusunda homojen yapıya sahip olunduğunda ya da nüfusun çoğunluğunun Devletin, meşruiyet kaynağı olarak ilan ettiği herhangi bir dine bağlılığını resmileştirdiği durumlarda çok az zorluk çıkarmaktadır. Ancak, böyle bir konsensüsün sağlanamadığı bir toplumda, dinin devlet okullarından dışlanması şeklinde bir çözüm bulunmuştur. Fakat ikinci dünya savaşı sonrası dönemde Avrupa’da özellikle İngiltere’de din eğitiminin okullarda müfredata dahil edilmesi adına yeni yaklaşımlar geliştirilmeye çalışılmıştır. Bu yaklaşımlar içinde fenomenolojik din eğitimi yaklaşımı özellikle dikkat çekmektedir. Din eğitimine fenomenolojik yaklaşımda temel tez, kültürel çoğulculuk ve kişisel özerklik idealinin altında yatan temel ilkelerle uyumlu verilecek din eğitiminin modern toplumlarda din odaklı çatışmaya çözüm sağlayacağıdır. Dolayısıyla bu makalenin konusu, din eğitimine yönelik fenomenolojik yaklaşımın, hangi dini kökenden gelirse gelsin farklı din ve inanç gruplarının olduğu toplumlarda eğitim alan öğrencilerin, toplumdaki inançların çoğulluğuna ilişkin anlayışlarını geliştirmenin ve onları inancın doğasına ve insan varoluşunun dini boyutuna ilişkin bir anlayışa ulaştırmanın ideal yollarından biri olduğu tezini eleştirel yönden ele almaktır.
مدى إمتلاك طلبة قسم الرياضيات في جامعة فلسطين التقنية-خضوري لمهارات النمذجة الرياضية وعلاقتها بتصوراتهم نحوها
Authors: عبوشي مصعب
Published: October 2023

هدفت الدراسة لتقصي مدى امتلاك طلبة قسم الرياضيات في جامعة فلسطين التقنية – خضوري لمهارات النمذجة الرياضية وعلاقتها بتصوراتهم نحوها،واستخدمت الدراسة المنهج الوصفي التحليلي، وتكونت عينة الدراسة من (30) طالباً وطالبة في تخصص الرياضيات بجامعة فلسطين التقنية - خضوري، وتمثلت أدوات الدراسة من  اختبار أعد خصيصاً لقياس مدى توافر مهارات النمذجة الرياضية، بالإضافة إلى استبانة لقياس مستوى تصوراتهم نحوها، وقد أسفرت نتائج الدراسة إلى أن مستوى مهارات النمذجة الرياضية  كان متوسطاً بشكل عام حيث بلغت نسبته المئوية (59%)، وأشارت النتائج أيضاً إلى أن مستوى تصوراتهم نحو النمذجة الرياضية كانت مرتفعة بشكل عام حيث بلغت نسبته المئوية (80%)، كما بينت الدراسة عدم وجود فروق ذات دلالة إحصائية في مهارات النمذجة الرياضية والتصورات نحوها تعزى  لمتغير الجنس ، ووجود فروق ذات دلالة إحصائياً في مهارات النمذجة الرياضية والتصورات نحوها تعزى لمتغير للمستوى الدراسي  ولصالح طلبة سنة رابعة، بالاضافة إلى وجود علاقة ارتباطية دالة احصائياً بين مستوى مهارات النمذجة الرياضية لدى طلبة قسم الرياضيات وتصوراتهم نحوها، كما قدمت الدراسة مجموعة من التوصيات والمقترحات من أهمها : إبراز الدور الوظيفي والواقعي للرياضيات من خلال تضمين مقررات الرياضيات مسائل وقضايا واقعية متنوعة السياقات لتعزيز مهارات النمذجة الرياضية لدى الطلبة، وتوجيه المدرس الجامعي ليكون على دراية واسعة ومعمقة بكيفية تطبيق خطوات النمذجة الرياضية بشكل فاعل.
وأسفرت نتائج البحث إلى أن مستوى مهارات النمذجة الرياضية  كان منخفضاً بمتوسط عام(5.907) بلغت نسبتها(59%) العلامة العظمى(10)، بينما بلغ مستوى تصوراتهم نحو النمذجة الرياضية مرتفعاً بمتوسط(3.99) بنسبة(80%) العلامة العظمى(5)، كما بينت الدراسة عدم وجود فروق ذات دلالة إحصائية في مهارات النمذجة الرياضية والتصورات نحوها تعزى للجنس ، ووجود فروق ذات دلالة إحصائياً في مهارات النمذجة الرياضية والتصورات نحوها تعزى للمستوى الدراسي  ولصالح طلبة سنة رابعة، بالاضافة إلى وجود علاقة ارتباطية دالة احصائياً بين مستوى مهارات النمذجة الرياضية لدى طلبة قسم الرياضيات وتصوراتهم نحوها.
وقدمت الدراسة مجموعة من التوصيات والمقترحات من أهمها : إبراز الدور الوظيفي والواقعي للرياضيات من خلال تضمين مقررات الرياضيات مسائل وقضايا واقعية متنوعة السياقات لتعزيز مهارات النمذجة الرياضية لدى الطلبة، وتوجيه المدرس الجامعي ولفت نظره ليكون على دراية واسعة ومعمقة بكيفية تطبيق خطوات النمذجة الرياضية بشكل فاعل، والتفريق بين المواقف الحقيقية وحل المشكلات الافتراضية.
اتجاهات معلمي الرياضيات نحو استخدام التعليم الالكتروني بمدارس التعليم الثانوي الخاص في مدينة بنغازي
Authors: بوخطوة بثينة , الفرجاني سدينة , الكاسح أحلام
Published: October 2023

تهدف هذه الدراسة إلى معرفة مستوى اتجاهات معلمي الرياضيات نحو استخدام التعليم الإلكتروني بمدارس التعليم  الثانوي الخاص في مدينة بنغازي، كما هدفت إلى الكشف عن ما إذا كان هناك فروق في اتجاهاتهم وفقاً لمتغيرات الدراسة (الجنس، المؤهل العلمي، نوع المؤهل العلمي، التخصص، درجة المعرفة بتطبيقات التعليم الإلكتروني، عدد الدورات التدريبية)، ولتحقيق أهداف الدراسة تم استخدام المنهج الوصفي التحليلي، وتم تحديد عينة قصدية تكونت من (69) معلم و معلمة ممن يدرسون الرياضيات للمرحلة الثانوية بمدارس التعليم الخاص في مدينة بنغازي، ولجمع البيانات تم بناء استبانة تكونت من(30) فقرة. و قد أظهرت نتائج الدراسة الحالية أن اتجاهات أفراد العينة نحو التعليم الإلكتروني كانت عالية، كما أظهرت النتائج وجود فروق ذات دلالة إحصائية تعزى لمتغيرات (الجنس ولصالح الذكور, والمؤهل العلمي لصالح الدبلوم، ونوع المؤهل العلمي ولصالح المؤهل التربوي، والدورات التدريبية ولصالح المعلمين الذين التحقوا بدورات تدريبية أكثر باستخدام التقنيات الحديثة). ولم تظهر النتائج أي فروق ذات دلالة إحصائية تعزى لمتغيرات (التخصص العلمي، الخبرة المهنية، درجة المعرفة بالتطبيقات الإلكترونية).
مستوى التفكير التاريخي لدى طلبة مساق القضية الفلسطينية في جامعة فلسطين التقنية (خضوري)
Authors: عمار احمد , زيدان عفيف
Published: October 2023

هدفت هذه الدراسة إلى فحص مستوى التفكير التاريخي لدى طلبة مساق القضية الفلسطينية في جامعة فلسطين التقنية (خضوري)، أجريت الدراسة في الفصل الأول من العام الدراسي (2022/2023)، وقد تكون مجتمع الدراسة من جميع طلبة مساق القضية الفلسطينية في جامعة فلسطين التقنية ، والبالغ عددهم (505) طالبًا وطالبةً. تكونت عينة الدراسة من (152) طالبًا وطالبةً تم اختيارهم بالطريقة الطبقية العشوائية، وقد طور الباحثان أداة للدراسة، وهي استبانة خيارات تقيس مستوى التفكير التاريخي لدى الطلبة، إذ تكونت من (25) فقرة، موزعة في خمسة محاور هي: (التسلسل الزمني، الفهم والاستيعاب التاريخي، التحليل والتفسير التاريخي، البحث التاريخي، القضايا التاريخية واتخاذ القرار)، وقد تم التحقق من صدق أداة الدراسة وثباتها، فقد بلغ معامل الثبات (0.93). وقد أظهرت نتائج الدراسة أن مستوى التفكير التاريخي لدى طلبة كان بمعدل (61 %)، وقد أظهرت نتائج الدراسة عدم وجود فروق ذات دلالة إحصائية بين متوسطات درجات التفكير التاريخي تعزى لمتغيرات  (الجنس، التخصص، مكان السكن). وأوصت الدراسة بضرورة استحداث بعض المساقات ضمن متطلبات الجامعة التي تهتم بالتفكير بشكل عام والتفكير التاريخي بشكل خاص.
واقع الأنماط القيادية السائدة في المدارس الثانوية الحكومية في محافظة نابلس من وجهة نظر المعلمين
Authors: معاني ناجح
Published: October 2023

هدفت الدراسة التعرف إلى واقع الأنماط القيادية السائدة في المدارس الثانوية الحكومية في محافظة نابلس من وجهة نظر المعلمين، والتعرف إلى دور متغيرات الدراسة (الجنس، وسنوات الخدمة، والمؤهل العلمي) في واقع الأنماط القيادية السائدة لدى مديري المدارس الثانوية الحكومية من وجهة نظر المعلمين في محافظة نابلس، ومن أجل تحقيق أهداف الدراسة استخدم المنهج الوصفي بصورته التحليلية، والاستبانة كأداة للدراسة، وقد تكون مجتمع الدراسة من جميع معلمي مدارس محافظة نابلس، والبالغ عددهم (3458)، اختيرت عينة طبقية عشوائية على متغير الجنس مكونة من (300) معلماً ومعلمة، أظهرت النتائج أنَّ المتوسطات الحسابية والانحرافات المعيارية لواقع الأنماط القيادية السائدة في المدارس الثانوية الحكومية في محافظة نابلسمن وجهة نظر المعلمين جاءت بدرجة مرتفعة، وجاء متوسط استجابات أفراد العينة على المجال الأول مرتفعة والثاني والثالث متوسطة وهي بالترتيب: النمط التساهلي(3.78)، يليه النمط الأوتوقراطي(3.37)، ويليه النمط الديمقراطي(3.26)، أظهرت النتائج عدم وجود فروق ذوات دلالة احصائية عند مستوى الدلالة (α≥0.05) بين متوسطات استجابات المعلمين في المدارس الحكومية الثانوية في محافظة نابلس لواقع الأنماط القيادية السائدة تعزى لمتغير الجنس في مجال النمط الديمقراطي والنمط الأوتوقراطي والدرجة الكلية، بينما تبين وجود فروق ذات دلالة احصائية في مجال النمط التساهلي وجاءت الفروق لصالح الذكور، وعدم وجود فروق في متغيري سنوات الخبرة والمؤهل العلمي، أوصت الدراسة بضرورة الاهتمام بممارسة مديري المدارس الحكومية الثانوية في مدينة نابلس للقيادة الديمقراطية.
Introspection in the Disordered Mind: And the Superintrospectionitis Thesis
Authors: Billon Alexandre
Published: October 2023

In their target article, Kammerer and Frankish (K&F) wonder what forms introspection could take in non-human animals, enhanced humans, artificial intelligences, and aliens. In this short note, I focus on disordered or neurodiverse minds. More specifically, I assess a claim that
has often been made more or less implicitly to the effect that, in virtue of their conditions, people with schizophrenia or depersonalization disorder have superior introspective abilities that allow them to discern some important but normally hidden characteristics of our experiences —
call this the superintrospectionitis thesis. In the course of my argumentation, I introduce distinctions and questions concerning the nature of the architecture and the function of introspection that might enrich K&F's framework.
Subpersonal Introspection
Authors: Carruthers Peter , Masciari Christopher F.
Published: October 2023

Kammerer and Frankish (this issue) set up a broad tent, intended to encompass all forms of directly-useable self-awareness. But they omit an entire dimension of possibilities by restricting themselves to person-level self-awareness. Their account needs to be enriched to allow at least
for model-free meta-representational signals that are not consciously available, but whose appraisal issues in action-tendencies and/or states of person-level emotion.