bluuebunny/crossref_metadata_2025 huggingface dataset:
Adequacy of Rural Secondary Education Teachers’ Capacity Building on Safe School Measures in Katsina State, Nigeria
Authors: O. C. Okeke, , O. T. Ikwuakam, , M. Ibrahim,
Published: August 2024

This study examined adequacy of secondary education teachers' capacity building on safe school initiative in Katsina State. A sample size of 240 teachers was selected using multistage sampling techniques from all public secondary schools in the state. Descriptive survey design and structured questionnaire were adopted in collecting data on teachers’ participation, practice and adequacy of capacity building across state's three senatorial districts (SDs); Katsina North (KN), Katsina Central (KC), and Katsina South (KS). Frequency counts, percentages, means, Analysis of Variance (ANOVA) and multiple regression analysis were employed in data analysis. Findings revealed a relatively experienced teaching workforce with varied educational qualifications. Significant disparities in participation level were observed across districts, with KN and KC showing better engagement compared to KS. Practice levels varied, with strengths in students’ counseling and security collaboration, with weaknesses in intercultural competence and psychological first aid. ANOVA results indicated significant differences in practice and capacity building effectiveness across districts, with KS outperforming other SDs. Regression analysis identified participation in capacity building and practical application of learned skills as significant determinants of adequacy capacity building on safe school initiatives, while age and formal education were less influential.Though overall, adequacy of capacity building was low, significant disparities existed at SDs level with KS showing more positive perception than KN and KS. This highlights the need for equitable distribution of capacity building opportunities, targeted interventions in under performing districts.
The Rise of the Homo Sapiens Immodicus
Authors: L. Almeida,
Published: August 2024

This article explains the Homo Sapiens Immodicus model's entire cycle, an operationalization of what occurs inside technobrains in 2024. Each cycle phase is compared to characters in Ray Bradbury’s Fahrenheit 451 book, Mildred, Montag, and Faber, using Bradbury’s literary work and the teachings of Marshall McLuhan, Jaques Ellul, and Neil Postman.
MACE prediction in patients with STEMI and NSTEMI: from classic to novel markers in the estimation of coronary microcirculation disorder
Authors: Munteanu Mihaela
Published: August 2024

Evaluation of classic and novel markers of coronary microcirculatory disorder (CMD) which have a predictive value on the risk of major cardiovascular event (MACE) in patients with STEMI and NSTEMI. Material and methods. The research included the retrospective analysis of a prospective observational study carried out on 600 patients, of which have been formed equal 4 groups of 80 patients (STEMI+MACE; STEMI-MACE; NSTEMI+MACE; NSTEMI-MACE) in which the collected blood on the 5-th day after angioplasty, the circulating level of 16 markers referring to CMD in the field of estimating endothelial dysfunction and hemostasis was determined: 8 classic markers (hsCRP, IL-6, TNF-α, IL-10, myeloperoxidase, NO , angiopoietin 2, fibrin monomers) and 8 new markers (neopteirn, endocan, syndecan 1, L-Arginine/ADMA, Ang 1-7/Ang II, endothelial microparticles, platelet microparticles, von Willebrand/ADAMTS13). In order to assess the prediction of MACE (cardiac death, re-infarction, stroke) at 1-st year, the relative risk of markers that had significant differences in patients with MACE versus without MACE in both groups (STEMI and NSTEMI) was assessed. The control group consisted of 40 apparently healthy people. Results. The MACE rate in STEMI and NSTEMI patients at 1 year was similar, 29% and 28%, respectively. All markers of endothelial dysfunction explored had significant deviations from control. Of these, however, only 4 markers had significant different values in patients (STEMI and NSTEMI) with MACE vs without MACE: neopterin, endocan, L-Arginine/ADMA and Ang 1-7/Ang II. Remarkably, all 3 markers of hemostasis explored had circulating levels in patients who developed MACE significantly higher than patients without MACE, which significantly exceeded the control marker. The assessment of the relative risk value has allowed the delineation of markers regarding the prediction of MACE such as: von Willebrand/ADAMTS13, platelet microparticles, fibrin monomers, endocan, neopterin, Ang 1-7/ Ang II, L-Arginine/ADAMTS13. Conclusions. 1. Endothelial dysfunction and compromised hemostasis are pathophysiological pillars of CMD which influences the MACE risk, and thus new markers such as von Willebrand/ADAMTS13 ratio, platelet microparticles, endocan, the ratio Ang 1-7/Ang II and L/Arginine/ ADMAs have notable predictive value on MACE.2. Since CMD may be a key mechanism of cardiac ischemia in chronic non-obstructive coronary artery disease (<50%) its evaluation, including through the identified predictors, has a conclusive diagnostic and prognostic relevance.
Prediction factors of in-hospital mortality in NSTEMI
Authors: Munteanu Mihaela , Ivanov Victoria , Popovici Mihail
Published: August 2024

Despite remarkable progress in recent decades in the management of patients with non-ST-segment elevation myocardial infarction (NSTEMI), the in-hospital mortality rate remains high. This depends on a number of factors: demographic, anthropometric, temporal, socio-economic, ethnic and others. Thus, the detection of an algorithm of factors with predictive value on the risk of in-hospital mortality is announced as an important milestone in the context of their appropriate management. The aim of the study was to evaluate prognostic factors associated with in-hospital death in patients with NSTEMI revascularized by percutaneous coronary intervention with stenting (PCI). Methods. An observational study was conducted in the period 2020-2023. 550 patients with NSTEMI revascularized by PCI have been included. Based on clinical and paraclinical records from admission (demographic data, cardiovascular risk factors, history of cardiovascular disease, comorbidities, clinical presentation, Killip class, laboratory results, electrocardiogram, echocardiogram selected from the 180 points questionnaire) plausible predictors of mortality were assessed in the context of comparative estimation of 2 groups: the first group -those who died (n=23; 4.18%) and the second group - patients who survived (n=527, 95.82%).Results. The age of the deceased patients was 71.39±2.05 years vs 66.24±0.45 years, p<0.05, compared to those who survived. The first group presented with an advanced degree (Killip class III and IV) of heart failure (14 (60.8%) vs 56 (10.6%), p<0.001) and the heart rate (HR) was 92.36± 4.77 vs 79.71±0.83 beats/min, p<0.05 of survivors. NT proBNP values in the deceased were 14127.85±3953.53 ng/mL vs 3869.08±412.26 ng/mL, p<0.05, the erythrocyte sedimentation rate (ESR) was 31.09±4.08 vs 20, 59±0.70 mm/h, p<0.05, creatinine was 133.0±10.23 µmol/L vs 106.85±2.71 µmol/L, p<0.05 and urea was 16.00±2.77 mmol/L vs 8.12±0.20 mmol/L, p<0.05. In the deceased group, the neutrophil-to- lymphocyte ratio, one of the factors which reflects the state of systemic inflammation, was 6,607±0,099 vs 3.254±0.084, p<0.01, in the survivors. The GRACE score reached higher values in the deceased group (148.3±5.2 vs 121.9±1.2; p<0.001).Conclusions. The rate of NSTEMI patients who died in hospital remains high in Republic of Moldova (4.18%) compared to the one reported in the European multicenter registry (1.0-2.8%). According to the obtained data, the risk factors that negatively influence the prognosis of NSTEMI patients revascularized by PCI are: age older than >71 years, HR over 90 beats/min, advanced heart failure, increased values of NTproBNP, elevated creatinine, GRACE Score over 143 points, neutrophil-lymphocyte ratio over 6.607, as well as the presence of comorbidities such as chronic obstructive pulmonary disease (COPD).
Formação de professores e a inclusão de estudantes com deficiência intelectual nos Anos Finais do Ensino Fundamental
Authors: Oliveira Ana Lúcia Sodré de , Mafezoni Andressa Caetano
Published: August 2024

“O livro evidencia a inter-relação entre a formação continuada de professores e a inclusão de alunos com deficiência intelectual nos Anos Finais do Ensino Fundamental, para a educação de estudantes com deficiência. Refletiu-se sobre tal articulação por meio de um estudo de caso, tendo como foco a análise de um curso realizado com os profissionais da educação da rede de ensino de Vitória, denominado “Práticas pedagógicas inclusivas: desafios e perspectivas”, desenvolvido durante os anos de 2016 a 2018. A perspectiva histórico-cultural constituiu a base teórica e metodológica, considerando os estudos de Lev S. Vigotski e seu conceito de mediação. Os resultados apontam que existem desafios a serem superados na formação continuada para a consolidação de práticas pedagógicas inclusivas. Por fim, constata que a formação continuada de professores pode favorecer o desenvolvimento de práticas pedagógicas inclusivas que facilitem o processo de ensino e, consequentemente, de aprendizagem dos estudantes com deficiência intelectual” (As autoras).
The Constructivist Approach in English Language Teaching: A Psychological Review
Authors: Venkadeswaran N. , Ramanathan S.
Published: August 2024

By allowing students to interact with one another and draw from past experiences, constructivism is a novel approach that creates space for student-centric learning exposure and helps them to develop their language competence. Instead of being teacher-centered, it is student-centered, with the teacher acting as a facilitator. Constructivism held that an instructor at the front of the room cannot impart knowledge to students at their desks. As they create knowledge through an active, mental process of development, learners are the creators and builders of meaning. Students' interests, aptitudes both general and specialised, attitudes, success, goals, and drives all play a role. This method fosters motivation, flexibility, adaptability, creativity, and versatility in both the teacher and the students. It encourages students to learn via their own experiences, as well as with the help of others and relevant educational resources. If constructivism is successful in teaching and learning English, students' learning will be more enjoyable due to these distinctive features. It is an arrangement that will reduce students' reluctance and boost their confidence during English conversation because it involves working in mixed ability groups and rewarding the group based on its overall performance. In view of it, the current paper is focused has been done with a view to highlight the psychological review of constructivist approach in English language teaching.
Public Policy and Economic Development: The Government of India’s Role for its Development during the Covid-19 Pandemic in India
Authors: Rao Bonagani Rama
Published: August 2024

The world had witnessed several epidemics such as the Spanish Flu of 1918, outbreak of HIV/AIDS, SARS, MERS and Ebola. In the past, India had to deal with diseases such as the small pox, plague and polio. All of these individually had been pretty severe episodes. The Covid-19 which had originated in China in December 2019 and over the next few months rapidly spread to almost all countries of the world can potentially turn out to be the biggest health crisis in our human history. India recorded the first case of the Covid-19 disease on 30th January, 2020. Since then the new confirmed cases have increased steadily and significantly in India. The significant number of causalities also happened in many countries which includes India due to the Covid-19. Many experts have called this a Black Swan event for the global economy. The economic impact of the COVID-19 pandemic in India is largely disruptive. The growth of the economy has slowed down due to shutdown of different many productions channels. But the central government of India has managed through its public policies extremely well in order to overcome this economic slowdown and improved its economic development in a very remarkable speedy way.
A Study to Evaluate the Effectiveness of Self-Instructional Module on Knowledge regarding Lifestyle Modification of Renal Failure among patients undergoing Hemodialysis in selected hospital at Rajkot
Authors: Chudasama Jinali
Published: August 2024

The Prevention and its control of complication of renal failure has an important role in enabling effectiveness of self instruction module as an independent intervention. The objective of the study is to evaluate the effectiveness of self instruction module on knowledge regarding lifestyle modification of renal failure among patients undergoing hemodialysis. The research design adopted was pre-experimental. The conceptual framework applied for this study was Conceptual Framework based on Pender’s Health promotion model. The study was conducted in B. T. Savani hospital, Rajkot. The sample size was 40 as a self instruction module and lifestyle modification was administered for 7 days to according to feasibility and availability of patients again the level of knowledge was assessed by the use of questionnaires with the help of post-test scores.The collected data were analyzed by using inferential statistical method. Chi-square was used to evaluate the effectiveness of self instruction module on knowledge regarding lifestyle modification of renal failure. The obtained Chi-square value is more than the tabulated value at the level of 0.05 for these demographic variables. Hence their findings of the study revealed that the self instruction module on knowledge regarding lifestyle modification of renal failure among patients undergoing hemodialysis with selected demographic variables.
वैष्वीकरण के युग में भारतीय पत्रकारिता का योगदान
Authors: सिंह गुरूपंच कुबेर
Published: August 2024

आज भारतीय पत्रकारिता का महत्वपूर्ण योगदान है। अध्ययन का मुख्य उद्ेदष्य वैष्वीकरण द्वितीयक स्त्रोतों पर आधारित है। इसमें विभिन्न राज्यों में प्रेस क्लब में हिन्दी पत्रकारिता की दषा एवं दिषा पर प्रकाष डालते हुए विभिन्न परिस्थितियों पर चर्चा की आषा है। भारतीय लोकतंत्र में पत्रकारिता पर पूंजीवाद हावी हो रहा है। पत्रकारिता को निजी स्वार्थों के लिए इस्तेमाल कर रहे लोगों के चंगुल से बाहर निकालने की चुनौती है। वैष्वीकरण के युग में हिन्दी महत्वपूर्ण भूमिका निभा रही है। वैष्वीकरण ने सम्पूर्ण संसार को एक परिवार में परिवर्तित कर दिया है। वैष्वीकरण का व्यापक प्रभाव मीडिया] साहित्य] संस्कृति] कला और भाषा पर व्यापक स्तर पर पड़ रहा है। हिन्दी भाषा पर इसका प्रभाव स्पष्ट रूप से परिलक्षित किया जा सकता है। विष्व के 93 देषों में अपना स्थान बना चुकी है। आज का युग कम्प्यूटर और मीडिया का युग है। जैसे-जैसे इनका विकास होगा वैसा ही हिन्दी की प्रगति पथ पर अग्रसर होगी। आज हम देखते हैं कि भारत में ही नहीं विष्व में अनेक टी.वी. चैनल हिन्दी में अपन कार्यक्रम प्रसारित कर रहे हैं।
A Study to Assess The Effectivness of Structured Teaching Programme on Knowledge regarding Prevention and Management of selected Breast complication among LSCS mother in selected hospital at Vyara
Authors: Gamit Mahimakumari , Rajshree Rajshree , Justin Doss. K. Jeenath
Published: August 2024

A Pre-experimental study to assess the effectiveness of the structured teaching programme on knowledge regarding prevention and management of selected breast complication among LSCS mother in selected hospital at Vyara. The objectives of the study were (a) To assess the existing knowledge of LSCS mother regarding prevention and management of selected breast complication among LSCS mothers. (b) To assess the effectiveness of the structured teaching programme on knowledge regarding prevention and management of selected breast complication among LSCS mother in selected hospital at Vyara. (c) To find out the association between Pre-test level knowledge score and selected demographic variables among LSCS mother in selected hospital at Vyara. The research approach selected for the study was quantitative research approach and pre-experimental research –one group pre-test post-test design. The study was conducted at selected hospital at Vyara. Total 60 samples were selected from postnatal ward based on Convenience nonprobability sampling technique. The researcher used structured questionnaire for data collection regarding demographic variables and pre-test. As part of intervention structured teaching programme on management and prevention of selected breast complication among LSCS mothers admitted in Hospital. The Post test score was measured with same questionnaire. The collected data were analyzed by using inferential statistical method.t-test was used to evaluate the structured teaching programme on knowledge regarding prevention and management of selected breast complication among LSCS mother in selected hospital at Vyara. It revelead that the mean score of pretest was 10.35 and posttest was 20.5. The mean difference was 10.15. The obtained ‘t’ value 17.407. Hence it was highly significant p<0.05 level. Hence their findings of the study reveled that the structured teaching programme was effective in improving knowledge regarding prevention and management of selected breast complication and it will improve the quality of health regarding breast complication.
A Study to Assess the Knowledge on Disaster Management among B.Sc Nursing students at selected College of Nursing, Salem
Authors: Rajamanickam C. , Nalini R.
Published: August 2024

Background: A disaster is a natural or man made event that negatively affects the property, livelihood or human societies and environment. Natural disasters kill on a average 60,000 people per year globally. Globally, disasters were responsible for 0.1% of deaths over the past decade. The 2004 Indian ocean earthquake and tsunami; cyclone which struck Myanmar in 2008. In 2020, 389 natural disasters were reported killing 15,080 people, affecting 98.4 million others and costing 171.3 billion US$2, apart from COVID -19 pandemic ,the year was dominated by climate related disasters. Objectives: 1. To assess the level of knowledge on disaster management among B.Sc Nursing students. 2. To find out the association between knowledge on disaster management and their selected demographic variables of the B.Sc Nursing students. Methods: A descriptive research design was adopted to assess the knowledge on disaster management among B.Sc Nursing second year students at Kamala College of Nursing, Salem. A total sample of 25 B.Sc Nursing students were selected by simple random sampling technique. Results: The findings showed that majority 16 % had moderate knowledge, 72% had adequate knowledge, 12% had inadequate knowledge on Disaster management. Conclusion: There was a significant association between the level of knowledge and selected demographic variables among B.Sc Nursing second year students.
A Study to Assess the Effectiveness of Cabbage Leaf Application on Pain and Hardness in Breast Engorgement and its Effect on the Duration of Breast feeding among Postnatal mother in selected hospital at Dharampur
Authors: Sushmaben Dhoom , Maradiya Janaki , Justin Doss. K. Jeenath
Published: August 2024

Breast engorgement is a condition that affects breastfeeding mothers early in the postpartum. The discomfort and tenderness as a result of the engorgement is a major contributing factor to the early cessation of breastfeeding. The objective of the study is to examine the effectiveness of cabbage leaf treatment on pain and hardness of the engorged breasts of post-partum women and its influence on the duration of breastfeeding in women with breast engorgement. The research design adopted was Quasi experimental. The conceptual framework applied for this study was J.W.Kenny’ Open System model, 1990. The study was conducted in Shree Sainath hospital Dharampur. The sample size was 40 as an intervention the cabbage leave application for one day intervention. The collected data were analyzed by using inferential statistical method. t test was used to evaluate the effectiveness of cabbage leaves application to reduce level of pain, hardness and breastfeeding level in breast engorgement among postnatal mothers admitted in selected hospital. Study shows as the pre-test level of pain among selected 40 sample of breast engorgement patient admitted in selected hospital, reported 40(100%) of postnatal mother were having severe pain.pre-test level of breast engorgement among selected 40 sample of breast engorgement patient admitted in selected hospital, reported 24(60%) of postnatal mothers were having severe breast engorgement, 16(40%) of postnatal mothers were having moderate level of breast engorgement.The pretest reported 21(52.5%) of postnatal mothers were having poor breastfeeding, 19(47.5%) of postnatal mothers were having moderate level of breastfeeding. While in post-test 24(60%) had good level of breastfeeding and 16(40%) had moderate level of breastfeeding. Mean difference between the pre-test and post-test was 2.05 and the standard deviation of pre-test level was 0.80224 and post-test was 0.82275 and the calculated ‘t” value was 23.472 and the table value was 2.042 and this value is significant at <0.001 level hence the hypothesis was accepted. It is inferred that cabbage leave application therapy was effective in reducing the level of breast engorgement and improving the quality of life among patients of breast engorgement admitted in selected hospital. Improvement in breastfeeding level.
Tổng quan nghiên cứu về quản lý hoạt động giáo dục văn hóa sử dụng mạng xã hội của sinh viên đại học
Authors: Hồ Văn Thống , Lê Thị Vân Kiều , Nguyễn Đắc Nguyên
Published: August 2024

Sự bùng nổ thông tin, khoa học, kỹ thuật, mạng xã hội có vai trò kỳ diệu cho sự phát triển con người và xã hội. Nghiên cứu này nhằm tổng quan về văn hóa sử dụng mạng xã hội, hoạt động giáo dục văn hóa sử dụng mạng xã hội, quản lý hoạt động giáo dục văn hóa sử dụng mạng xã hội của sinh viên. Tập hợp các kết quả trên để làm sáng tỏ hơn cho nghiên cứu về quản lý hoạt động giáo dục văn hóa sử dụng mạng xã hội cho sinh viên các trường đại học vùng Đồng bằng sông Cửu Long. Tác giả đã dựa trên các quan điểm phương pháp luận và các phương pháp nghiên cứu lý luận để thu thập, xử lý, phân tích, đánh giá, khái quát hóa hệ thống luận cứ khoa học trong lịch sử và xác định rõ những khoảng trống: chưa xác định đủ các nội dung quản lý, chưa xác định rõ cách tiếp cận, cũng như thực hiện chưa hiệu quả trong quản lý hoạt động giáo dục văn hóa sử dụng mạng xã hội cho sinh viên.
Dạy học chủ đề ba đường conic Toán 10 theo định hướng kết nối tốn học với thực tiễn
Authors: Nguyễn Dương Hoàng , Phan Anh Tuấn
Published: August 2024

Teaching connecting mathematics with practice has a very important meaning. Doing this well will create motivation for learners to enjoy learning, contributing to the development of qualities and abilities, especially the ability to learn and apply mathematics into practice. The topic of three conics with highly practical requirements to meet makes up the majority of the topic of three conics. The article proposes some measures to strengthen the connection between mathematics and practice in teaching the topic Three conic sections - Math 10 for students in high school.
Thực trạng phát triển đội ngũ cố vấn học tập ở Trường Đại học Kiên Giang
Authors: Phạm Thị Mai Thảo
Published: August 2024

Cố vấn học tập có vai trò vô cùng quan trọng trong việc nâng cao chất lượng đào tạo của các cơ sở giáo dục đào tạo theo học chế tín chỉ. Vì vậy, để nâng cao hiệu quả công tác cố vấn học tập cũng như nâng cao chất lượng đào tạo, việc phát triển đội ngũ cố vấn học tập là vô cùng cấp thiết và quan trọng tại các cơ sở giáo dục đại học. Bài viết này trình bày kết quả khảo sát thực trạng công tác phát triển đội ngũ cố vấn học tập tại Trường Đại học Kiên Giang, từ đó đánh giá các điểm mạnh và các mặt còn hạn chế trong việc phát triển nguồn lực cố vấn học tập tại Trường Đại học Kiên Giang.
Vai trò của mảng văn học dịch trên Gia Định báo, Nông cổ mín đàm và Lục tỉnh tân văn với sự phát triển của văn học Việt Nam
Authors: Trần Huỳnh Tuyết Như
Published: August 2024

Bài báo sẽ tập trung khảo sát tình hình dịch các tác phẩm văn học phương Tây và Trung Quốc trên ba tờ báo để thấy rõ được vai trò tiên phong của báo chí, khi luôn là nơi đăng tải đầu tiên các tác phẩm văn học dịch. Cũng từ mảng văn học dịch, chúng ta cũng nhận thấy được một điểm độc đáo trong văn học Nam bộ lúc bấy giờ là dù sớm tiếp nhận những điều mới mẻ từ văn học phương Tây, nhưng vẫn còn giữ lại rất nhiều đặc trưng từ sự ảnh hưởng sâu đậm của văn học Trung Quốc. Bên cạnh đó, đội ngũ dịch giả vốn xuất thân đa dạng từ nhiều nghề nghiệp khác nhau, nhưng lại rất tiên phong trong quá trình chuyển ngữ các tác phẩm văn học, là một trong những yếu tố giúp họ rèn luyện kỹ năng, sáng tạo đa dạng hơn trong nghề viết văn, góp phần mang đến nhiều tác phẩm với nội dung và hình thức mới cho văn học hiện đại.
Electrical alternans
Authors:   Department of Hematology, Matsushita Memorial Hospital, Osaka, Japan., Yamane Yusuke , Kawasaki Tatsuya ,   Department of Cardiology, Matsushita Memorial Hospital, Osaka, Japan.
Published: August 2024

A 71-year-old woman presented with a two-month history of anorexia. Her medical history was notable for Mucosa-Associated Lymphoid Tissue lymphoma (MALToma) of the stomach and hemodialysis. Laboratory tests revealed electrolyte imbalances such as low levels of potassium, calcium, phosphorus, and magnesium. Gradual improvement was attempted to avoid refeeding syndrome, but ventricular fibrillation developed during routine hemodialysis and was immediately treated with electronic defibrillation. Later, a diagnosis of takotsubo cardiomyopathy and central pontine myelination was added. Follow-up electrocardiography showed a QTc interval of 633 ms and electrical alternans of the QRS complexes and T waves (Figure 1). Electrical alternans is a rare phenomenon and special attention should be paid when electrical alternans includes T-wave alternans, a finding indicative of severe electrical instability [1,2]. In our case, careful control of electrolytes and continuous administration of intravenous lidocaine prevented the recurrence of fatal arrhythmias, although nonsustained ventricular tachycardia was often seen on the monitor.
Medical Aid in Dying in Pakistan
Authors:   Resident Physician, Psychiatry, Baptist Hospitals of Southeast Texas, Beaumont, TX, USA., Elahi Adil , Subash Tushar ,   Medical Student (MBBS), The Aga Khan University, Karachi, Pakistan., Atif Shiza ,   Medical Student (MBBS), The Aga Khan University, Karachi, Pakistan., Atif Waqar Muhammad ,   Assistant Professor, Department of Oncology, Section of Palliative Medicine, The Aga Khan University Hospital, Karachi, Pakistan.
Published: August 2024

Medical Aid in Dying, or Physician Assisted Suicide, is the practice of hastening the death of those suffering from an incurable disease, such as cancer, or a debilitating disorder, such as amyotrophic lateral sclerosis. It is a practice that is gaining acceptance in many countries around the world, whereas in others it remains a taboo topic. Pakistan is a Muslim-majority country and is considered a developing country, with a multitude of healthcare deficiencies and barriers to care. In a setting such as Pakistan, the concept of medical aid in dying remains completely overlooked, and many healthcare professionals are not aware of the concept. While progress drives the acceptance of medical aid in dying in the West, religious zeal and other factors have snuffed the conversation in Pakistan. This article aims to define medical aid in dying, discuss the various arguments for and against the practice, and highlight its role in a country such as Pakistan.
External Value of the Currency and Its Impact on Exports and Imports.
Authors: AHMIMA Khaled KHEDIR Soufiane,
Published: August 2024

The external value of the currency is considered one of the channels of Economic conflict between countries, and to understand the extent to which the level of foreign trade of countries can be affected, the subject was studied by addressing the case of Algeria as an applied part of the study, where we studied the impact of the euro and the dollar on foreign trade in Algeria, so we reviewed the impact of these two. The two currencies affect Algerian exports and imports.
The results of the study showed that there is no strong impact of the exchange rate of the dollar against the euro on Algeria’s exports and imports, due to the nature of the period studied on the one hand and the inflexibility of Algerian imports on the other hand
Study on the Forecast Index of Quantitative and Snow Depth in Yangzhou
Authors: Xia Lu
Published: August 2024

Based on the scope of Yangzhou, this thesis explores the causes and development mechanisms of snowfall in the Yangzhou region in recent years. Combining with the analysis of climate background when blizzards occur, this thesis discusses the relevant indicators of local snowfall forecast, such as water vapor, dynamics, wet potential vorticity and other physical characteristics, and compares and verifies them with the results of model forecasts, so as to establish a suitable quantitative judgment standard for local areas and provide reference for future forecast ideas. Meanwhile, by comprehensively analyzing multiple physical quantity indicators, extracting local snowfall forecast models, providing reference for snowfall depth forecast, and providing reference basis for public services and transportation meteorological services.
Low Power-Area Implementation of 4-Bit ALU in Cadence Virtuoso Platform
Authors: D. R. V. A. Sharath Kumar
Published: August 2024

The 4-bit ALU designed using Cadence is a  arithmetic logic unit capable of performing various operations on 4-bit binary numbers. It takes in two 4-bit inputs, A and B, and producesa4-bitoutput, F, along with carry-out and overflow flags. The design incorporates a combination of combinatorial and sequential logic circuits to achieve the desired functionality. The ALU supports basic arithmetic operations like addition and subtraction, as well as logical operations such as AND, OR, XNOR and XOR. It utilizes multiplexers, adders, Code Converters and logic gates to perform the different operations. The inputs are decoded to determine the specific operation to be executed, and the output is generated accordingly. The 4-bit ALU designed using Cadence is a versatile and optimized circuit capable of performing various arithmetic and logical operations on 4-bit binary numbers. Its efficient design and use of advanced techniques ensure high performance and reliability. The Cadence tool set enables the seamless development and simulation of the ALU design
Entrepreneurial Proficiency, Financial Knowledge and Sustainable Functioning – Examining the Mediating Role of Business Resilience among Indian Entrepreneurs
Authors: Afaque Siddiqui
Published: August 2024

This study looked into how financial knowledge and entrepreneurial proficiency affected the performance of small, sustainable businesses. In parallel, we looked at how business resilience mediated the relationship between entrepreneurial proficiency and financial knowledge and long-term company success. Using an offline questionnaire, we employed a quantitative approach to gather data from 275 Indian small company owners. PLS-SEM was used to analyse the data that had been gathered. The findings show that resilience and entrepreneurial ability are very positively impacted by financial knowledge. The business resilience and sustainable performance of Indian SMEs are significantly enhanced by entrepreneurial competencies. Moreover, it was shown that business resilience moderated the influence of financial knowledge and proficiency on sustainable performance among Indian SMEs, while concurrently having a significant impact on sustainable performance. In keeping with India Vision of  Viksit Bharat@2047: Crystal Gazing through MSME Sector, which places a strong emphasis on entrepreneurship and the growth of a financially independent entrepreneurial community, this study helps to open up business options for regional business owners who oversee small businesses.  According to the most recent figures (2021–2022) from the Ministry of Statistics & Programme Implementation, MSMEs make up a startling 29.15% of India’s GDP. This indicates their critical significance in the development of the country as it equates to a sizeable portion of the economic pie. In addition to adding to the corpus of knowledge, this research can help policymakers develop relevant plans to motivate SMEs that have been most negatively impacted by the COVID-19 pandemic to operate sustainably. There are also several other ramifications for financial institutions and business owners.
СУЧАСНА ОСВІТНЯ ДІЯЛЬНІСТЬ СПРЯМОВАНА НА ПІДГОТОВКУ ВИСОКОКВАЛІФІКОВАНИХ ФАХІВЦІВ – ЛІКАРІВ ТА ФАРМАЦЕВТІВ, ЗДАТНИХ РОЗВ’ЯЗУВАТИ ПРОФЕСІЙНІ ЗАВДАННЯ І БРАТИ НА СЕБЕ ВІДПОВІДАЛЬНІСТЬ ЗА ЇХ ВИРІШЕННЯ В СИСТЕМІ ПРАВОВІДНОСИН «ЛІКАР-ПАЦІЄНТ-ФАРМАЦЕВТ»
Authors: Гайдучок Ігор , Гуменюк Ольга
Published: August 2024

ВООЗ свідчать про те, що щонайменше 140 країн визнають у своїх конституціях право громадян на здоров’я. Кожен громадянин чи пацієнт заслуговує на доступ до якісних, своєчасних і належних медичних послуг, не зазнаючи дискримінації чи фінансових труднощів. Розглянуто сучасну освітню діяльність ВПНЗ «Львівський медичний університет» з підготовки висококваліфікованих фахівців – лікарів та фармацевтів. Доведено, що випускники здатні розв’язувати професійні завдання і брати на себе відповідальність за їх вирішення в системі правовідносин «лікар-пацієнт-фармацевт». Проаналізовано удосконалення системи правовідносин «лікар-пацієнт-фармацевт» під час проведення медичної реформи та реалізації Плану дій Кабінету Міністрів України для самореалізації, працевлаштування та активної, відповідальної громадянської позиції відповідно до Європейського освітнього простору. Приведено пріоритети у діяльності ректорату, деканів, завідувачів кафедр, професорсько-викладацького і педагогічного складу ВПНЗ «Львівський медичний університет». Окреслено про викладання для студентів питань надання першої медичної допомоги в умовах бойових дій, майстер-класи з тактичної медицини. Приведено наукові результати роботи Університету. Акцентовано увагу до організації і проведення 14-15 листопада 2024 року ХХІ Міжнародної мультидисциплінарної науково-практичної конференції «Медичне та фармацевтичне право України: організація і економіка фармацевтичної і медичної справи, обіг ліків, технологія, безпека, ефективність, контроль якості, загальна, судова, доказова та клінічна фармація та медицина, фармакотерапія розладів здоров’я» (Реєстраційний номер Провайдера – №2102, відповідно до Положення про систему безперервного професійного розвитку працівників сфери охорони здоров’я затверджене Постановою Кабінету Міністрів України від 14 липня 2021 р. №725.
Influência dos identificadores de instrumental cirúrgico na contaminação microbiana de cabos para lâminas de bisturi após limpeza e esterilização
Authors: Souza Laura Bellini de , Barbosa Renan Pereira , Oliveira Mariana Simões de , Paula Marcelle Silva Alves de , Apolônio Ana Carolina Morais , Carvalho Matheus Furtado de
Published: August 2024

Objetivo: Avaliar a influência dos diferentes identificadores de instrumental no crescimento microbiano de dispositivos críticos após etapas de limpeza e esterilização. Método: Foram utilizados 15 cabos no 3 para lâminas de bisturi como corpo de prova, divididos em 3 grupos (n=5), sendo cada grupo composto de um instrumental sem identificador e outros quatro instrumentais com os seguintes identificadores: gravação a laser, anel de silicone, identiﬁcador vinílico com adesivo permanente e etiqueta adesiva personalizada. Após serem submersos no aspirado cirúrgico, os instrumentais foram processados de acordo com os requisitos de boas práticas da Resolução n. 15/2012 da Agência Nacional de Vigilância Sanitária (Anvisa). O crescimento microbiano foi avaliado em diferentes momentos de forma qualitativa, pela presença ou ausência de crescimento, e de forma quantitativa para os casos positivos, por meio de contagem de unidades formadoras de colônia viáveis (log UFC/cabo de bisturi). Resultados: Em algum momento, houve crescimento microbiano nos instrumentais independentemente do tipo de identificador. No entanto, não houve contaminação contínua e progressiva após repetição das etapas de limpeza e esterilização. Conclusão: O tipo de identificador de instrumental odontológico não interfere no crescimento microbiano desde que sejam respeitadas as normas de limpeza e esterilização.
Plasticity and variation of cirral attributes in Chelonibia spp. barnacles
Authors: Hyatt Emily C , Dunbar Stephen G
Published: August 2024

Prior studies suggest that many species of intertidal Balanomorph barnacles exhibit plastic responses to wave action and variable rates of water flow, with this environmental variability intrinsic to shaping the morphology of feeding cirri. However, this idea has not been quantitatively demonstrated in barnacles of the family Coronulidae, which exhibit obligatory epibiotic life-history patterns as adults. If the recent single-species classification of Chelonibia testudinaria continues to be upheld, the species represents a cosmopolitan and highly diverse life history with settlement on sea turtles, manatees, dugongs, and crustaceans. This species is therefore exposed to a wide variety of environmental conditions, including changes in ecosystems, water flow, pressure, and salinity. While spatial distribution of C. testudinaria on loggerhead turtle (Caretta caretta) carapaces–and therefore areas of variable flow–presents some evidence for potential plasticity in epibiotic cirri, interhost comparisons are lacking. To determine if morphology differs significantly by host, we conducted discriminant function analyses (DFAs) with twelve cirral measurements from barnacle specimens collected from both sea turtle and manatee hosts. Overall, we show greater than 94% discrimination in the classification of original grouped cases and cross-validated grouped cases in generalized and stepwise discriminant models. While plasticity remains evident within the Chelonibia genus, our data provide evidence contradictory to the currently accepted hypothesis that this plasticity is dependent upon, and strongly correlated with, host association. Therefore, we suggest that the singlespecies designation of the Chelonibia testudinaria complex be reevaluated.
The Application of The RATER Model in The Chinese Animal Feed Sales Services—Based on Customer Satisfaction and Customer Loyalty
Authors: Shougui Wang , Sukpasjaroen Khunanan
Published: August 2024

This comprehensive study explores the intricate dynamics of marketing strategies within the feed industry, focusing on the strategic positioning of N Group. Through an extensive literature review, various aspects of marketing, ranging from traditional methodologies to contemporary trends, were scrutinized. The insights gained contribute to a holistic understanding of the marketing landscape in the feed industry. Central to the discussion is the RATER model, comprising Reliability, Assurance, Tangibles, Empathy, and Responsiveness. This model serves as a robust framework influencing customer satisfaction and loyalty. The study delves into how the RATER model contributes to customer satisfaction. Furthermore, the RATER model is explored in the context of building customer loyalty. The study underscores how reliability, assurance, tangibles, empathy, and responsiveness collectively foster customer loyalty. The positive emotional connections forged through tangible elements, empathetic engagement, and responsive interactions contribute to sustained customer commitment. The integration of the RATER model with Reciprocal Attitudinal Loyalty (RETAR) reveals a synergistic relationship. Relationship Equity, formed through the dimensions of the RATER model, influences RETAR, creating a dynamic loop of reciprocal loyalty between customers and N Group. Acknowledging the study's limitations, future research directions are proposed to explore the applicability of the RATER model in diverse industry landscapes, considering evolving customer preferences and technological advancements. Longitudinal studies are recommended to track customer behavior over extended periods, providing insights into the sustainability of the RATER model's impact on loyalty. In conclusion, this study contributes valuable insights for enterprises in the feed industry seeking to enhance customer satisfaction and loyalty through the strategic application of the RATER model. The findings offer a roadmap for navigating the complexities of the evolving marketing landscape and fostering enduring relationships with customers.
PENDIDIKAN KESEHATAN UNTUK PENINGKATAN PENGETAHUAN KELUARGA MENGENAI PENATALAKSANAAN KEGAWATDARURATAN KEJANG DEMAM PADA ANAK
Authors: Yektiningsih Erwin , Quyumi Rahmawati Elfi , M. Ikhwan Kosasih  , Anawidhiyanti Resa
Published: August 2024

Abstrak  
Anak mengalami demam tinggi merupakan tanda dan gejala  terkena infeksi. Hal tersebut  dapat mempengaruhi gangguan neurologik bangkitan kejang yang mempengaruhi kondisi sasak nafas, sehingga berakibat kadar oksigen di jaringan menurun berefek pada kerusakan sel neuron otak. Kondisi anak tersebut dapat berada pada kondisi kegawatdarutan, jika tidak segera ditangani berakibat pada kematian. Sekarang ini masih terdapat banyak pada keluarga di komunitas yang belum memahami mengenai penatalaksanaan pre hospital   kegawatdarutan  kejang demam pada anak. Tujuan dari pengabdian kepada masyarakat ini untuk meningkatkan pengetahuan keluarga dengan cara pendidikan kesehatan. Tim pengabdian kepada masyarakat  melakukan kegiatan ini  menggunakan metode yang terdiri dari tiga tahapan  adalah  persiapan, pelaksaanaan, serta evaluasi. Hasil kegiatan ini menunjukkan mayoritas keluarga mengalami peningkatan tingkat pengetahuan setelah diberikan tindakan pendidikan kesehatan dengan sebanyak 60% . Oleh karena itu pendidikan kesehatan  direkomendasikan sebagai promosi kesehatan dalam penanganan kegawatdaruratan pada anak.
Kata kunci: anak, kejang demam, kegawatdarutan, pengetahuan, pendidikan kesehatan
 
Abstract  
A child having a high fever is a sign and symptom of infection. This can affect neurological disorders, and seizures, which affect the condition of shortness of breath, resulting in decreased oxygen levels in the tissue, which has an effect on damage to brain neuron cells. The child's condition could be in an emergency condition, if not treated immediately it could result in death. Currently, there are still many families in the community who do not understand the pre-hospital management of emergency febrile seizures in children. The aim of this community service was to increase family knowledge by means of health education. The community service team carried out this activity using a method consisting of three stages, namely preparation, implementation, and evaluation. The results of this activity will show that the majority of families experienced an increase in their level of knowledge after being given good health education measures by 60%. Therefore, this health education will be recommended as health promotion for handling emergencies experienced by childrent.
 Keywords: children, febrile seizures, emergencies, knowledge, health education
EDUKASI PENTINGNYA KONSUMSI TABLET FE BAGI IBU HAMIL
Authors: Meitia Sandy Deby , Suci Sulistyorini
Published: August 2024

Abstrak
Pemberian tablet Fe adalah salah satu strategi pencegahan dan penanggulangan  anemia  gizi  yang paling efektif dalam meningkatkan kadar hemoglobin pada ibu hamil.Upaya ini direkomendasikan secara universal di negara-negara berkembang. Tujuan pengabdian masyarakat ini memberikan edukasi dan meningkatkan pengetahuan ibu tentang pentingnya mengkonsumsi tablet Fe bagi ibu hamil. Sangatlah penting melakukan penyuluhan dan edukasi ini  sebagai upaya untuk mencegah terjadinya anemia defisiensi zat besi pada ibu hamil. Metode pelaksanaan kegiatan dilakukan dengan memberikan penyuluhan atau pendidikan kesehatan  yang  dilakukan  pada  ibu hamil di PMB Choirul Mala Palembang berjumlah 11 orang. Media yang digunakan adalah leaflet yang berisikan tentang informasi pemberian tablet Fe. Hasil dari penyuluhan menunjukkan adanya peningkatan pengetahuan ibu yang sebelumnya saat pretest sebesar 62%, setelah dilakukan penyuluhan mencapai 94%. Hal ini menunjukkan adanya peningkatan sebesar 32% dari penyuluhan materi tentang pentingnya konsumsi tablet Fe bagi ibu hamil. Sebagai petugas kesehatan perlunya melakukan edukasi kepada masyarakat dan memberikan informasi yang akurat tentang pentingnya pemberian tablet Fe dengan sasaran yang tepat sehingga dapat meningkatkan pengetahuan dan skill masyarakat dalam menangani permasalahan yang dihadapi semasa kehamilannya.
Kata Kunci : Edukasi, Tablet Fe, Ibu Hamil
 
Abstract
Providing Fe tablets is one of the most effective strategies for preventing and controlling nutritional anemia in increasing hemoglobin levels in pregnant women. This effort is universally recommended in developing countries. The purpose of this community service is to provide education and increase mothers' knowledge about the importance of consuming Fe tablets for pregnant women. It is very important to carry out this outreach and education as an effort to prevent iron deficiency anemia in pregnant women. The method of implementing the activity was by providing counseling or health education to 11 pregnant women at PMB Choirul Mala Palembang. The media used was a leaflet containing information about administering Fe tablets. The results of the counseling showed that there was an increase in the mother's knowledge, which previously at the pretest was 62%, but after the counseling was carried out it reached 94%. This shows an increase of 32% in educational material about the importance of consuming Fe tablets for pregnant women. As health workers, it is necessary to educate the public and provide accurate information about the importance of administering fe tablets at the right target so that they can increase people's knowledge and skills in dealing with problems faced during pregnancy.
Keywords : Education, Fe Tablets, Pregnant Woman