bluuebunny/crossref_metadata_2025 huggingface dataset:
Quality of Life and Associated Factors among Mothers with Gestational Diabetes Mellitus by using a Specific GDMQ-36 Questionnaire: A Cross-Sectional Study
Authors: Simbar Masoumeh , Mokhlesi Samira , Tehrani Fahimeh Ramezani , Kariman Nourosaddat , Majd Hamid Alavi , Javanmard Mitra
Published: May 2024

Background:

Gestational Diabetes Mellitus (GDM) has physical, social, mental, and psychological consequences that can affect mothers’ Quality of Life (QOL). This study was conducted with the aim to evaluate the QOL of mothers with GDM and its associated factors using a specific questionnaire.

Materials and Methods:

This cross-sectional study was conducted on 200 mothers with GDM who were referred to clinics affiliated with Shahid Beheshti University and Qom University of Medical Sciences, Iran, in 2019–2020. The specific QOL questionnaire for women with GDM (GDMQ-36) and the demographic questionnaire were completed for participants. Independent variables were entered into the multiple linear regression model and were analyzed.

Results:

The total Mean(SD) score of the QOL of mothers with GDM who participated in the study was 46.83 (11.66) based on percentage. The highest and lowest QOL Mean (SD) scores were obtained on the support 76.50 (14.50) and concerns about a high-risk pregnancy 31.40 (19.80), subscales, respectively. The total QOL score decreased by 7.14 and 5 points on average in mothers treated with medication regimens and mothers who had a pre-high school education, respectively. The support subscale score increased by 5 points in mothers who had a previous history of GDM.

Conclusions:

The present study showed that the QOL of women with GDM had been severely affected by concerns about a high-risk pregnancy. Some individual and social factors can be associated with the QOL of mothers with GDM and its subscales.
Professional Socialization of Nurses in Humanized Care: A Qualitative Study
Authors: Rakkarn Jiraporn , Visaetsilapanonta Porntida , Jiawiwatkul Uthaithip , Puckpinyo Apa
Published: May 2024

Background:

Professional socialization of nurses is the process of transferring knowledge, skills, techniques, attitudes, and values among nursing professionals in order to enhance their capacity consistently. The objective of this research was to study the professional socialization of nurses in humanized care in 2 phases: in a nursing study phase, and in a nursing professional phase.

Materials and Methods:

The study was implemented in the form of a qualitative study by using an in-depth interview technique for the data collection. The informants of the study were 12 professional nurses who were granted the Award of Ratchaphiphat Role Model of Best Moral Practice.

Results:

During the nursing study phase, it was found that the professional socialization of nurses operated through course content, teaching management, extra-curricular activities, the interaction between nursing instructors and students, interaction among peers, observation of nursing instructors, and observation of nurses. On the other hand, in the nursing professional phase, professional socialization is performed through orientation, on-the-job training, supervision, ethical and moral promoting activities, and interaction with and observation of colleagues.

Conclusions:

Based on the findings, some recommendations were proposed as guidelines to develop nursing educational management for promoting humanized care in the development of nursing students and professionals.
Factor Analysis of Iranian Version of Nursing Students' Incivility Questionnaire
Authors: Abedini Zahra , Saeedi Maryam , Khoramirad Ashraf , Nia Hamid Sharif
Published: May 2024

Background:

Uncivil student behavior is one of the challenging issues in the nursing schools that disrupts the learning process and teacher-student interactions. Planning to control student's incivility requires knowing the condition using valid tools. The purpose of this study was to investigate the validity and reliability of the incivility occurrence's questionnaire among Iranian students.

Materials and Methods:

This methodological study was conducted on 358 nursing students and 122 nursing faculty members. The samples were selected from the nursing students of second to fourth year from September to October 2019. McDonald's omega, Cronbach's alpha coefficients and composite reliability were calculated. Exploratory and confirmatory factor analysis were used to investigate the construct validity of tool.

Results:

Content validity index was 0.94 for the whole instrument. In factor analysis, three factors of irresponsible, violent, and unsound behaviors were identified. These factors explained more than 50.52% of the variance. Model fit indices Parsimonious Normed Fit Index) = 0.74, Root Mean Square Error of Approximation = 0.05, Parsimonious Comparative Fit Index = 0.78, Goodness-of-Fit Index = 0.92, Comparative Fit Index (CFI) = 0.92, Adjusted Goodness-of-Fit Index) = 0.89, CIMN=2.58) indicated the proportion of factors. Internal consistency was 0.77 to 0.89.

Conclusions:

This questionnaire is a three-dimensional tool with appropriate validity and reliability that can be used to evaluate occurrence rate of nursing student incivility in Iran.
Comparison between opposite clear corneal incision versus toric intraocular lens in correcting astigmatism
Authors: Priyamvada PV , Reddy Jagadeesh Kumar , Vijayaraghavan Prabhu , Thulasidas Mithun , Sundaram Vandhana
Published: May 2024

Purpose:

To compare the visual outcomes and efficacy of opposite clear corneal incision (OCCI) and toric intraocular lens (IOL) implantation in correcting preexisting astigmatism (PEA) in patients undergoing phacoemulsification.

Methods:

This prospective interventional comparative study was conducted between June 2022 and January 2023 in patients having cataract with PEA undergoing phacoemulsification. Patients were divided into two groups – group A underwent phacoemulsification with OCCI and group B underwent phacoemulsification with toric IOL implantation. Uncorrected distance visual acuity (UDVA), manifest refractive cylinder, and corneal astigmatism using corneal tomography were measured preoperatively and at 6 weeks postoperatively. The eyes were categorized into three groups with PEA ranging from 1 to 1.5 D, 1.6 to 2 D, and 2.1 to 3 D. Depending upon the white-to-white corneal diameter, the eyes were also categorized into four groups with corneal diameter ranging from 10.5 to 10.9 mm, 11 to 11.4 mm, 11.5 to 11.9 mm, and 12 to 12.4 mm.

Results:

Sixty eyes of 60 patients were studied. At postoperative 6 weeks, 83.3% (25 eyes) in the OCCI group and 96.7% (29 eyes) in the toric IOL group achieved UDVA of 6/9 or better. No statistically significant difference was noted between the groups (P= 0.37). The reduction in mean corneal astigmatism was 0.63 ± 0.37 D in the OCCI group and 0.15 ± 0.12 D in the toric IOL group (P< 0.001). The residual mean refractive cylinder was 0.60 ± 0.38 D in the OCCI group and 0.05 ± 0.15 D in the toric IOL group at 6 weeks (P= 0.007).

Conclusion:

Both OCCI and toric IOL are effective in correcting PEA. However, in a resource-limited setting, OCCI is a better alternative surgical option for correcting astigmatism of 1–1.5 D during phacoemulsification without requiring additional skills or instruments.
Chronic arsenic poisoning: A sinister cause of peripheral neuropathy in a young couple
Authors: Prakash PR , Narayan A , Jain S , Wig N
Published: May 2024

Arsenic compounds are colorless and odorless and toxicity can occur either acutely following ingestion of arsenicals with gastrointestinal disturbances or due to chronic exposure usually presenting with dermatologic lesions and peripheral neuropathy. We report a young couple who presented with signs and symptoms of painful sensorimotor peripheral neuropathy in a typical “stocking and glove” pattern. They had raised urinary arsenic levels with normal blood levels and thus, a diagnosis of chronic arsenic poisoning due to contaminated water intake was made after detecting elevated arsenic levels in their home water supply. Both patients underwent chelation therapy with dimercaprol for 14 days and reported subjective and objective improvement in symptoms with the reduction in urinary arsenic levels at the end of therapy.
The stalwart – Adolf Meyer
Authors: Makkena Ananya
Published: May 2024

Adolf Meyer (1866–1950), a Swiss-born American psychiatrist, was a prominent figure in the development of Anglo-American psychiatry. He rose to prominence as the president of the American Psychiatric Association. His psychobiological approach emphasized a holistic understanding of mental illness, integrating social, psychological, and biological factors. This laid the foundation for a new approach to psychiatry focusing on individualized care and the importance of social adaptation as a biological function. Meyer’s work challenged traditional biomedical views by advocating for a comprehensive model that considered the mind and body as interconnected entities. He was directly responsible for transforming “insane asylums” into “mental hospitals.”
Revisiting the concept of nuclear schizophrenia: A case series from North India
Authors: Prasad Anshu , Avinash Priyaranjan , Victor Robin , Singhania Rachit
Published: May 2024

Schizophrenia is a chronic illness characterized by a disorder of thought, perception, emotion, and behavior. The common presentation in patients with schizophrenia is delusion, hallucination, disorganized speech, and behavior. A rare variety of schizophrenia known as nuclear schizophrenia which was described by Langfeldt presents as depersonalization, derealization, emotional blunting, and autistic features. Currently, the concept of nuclear schizophrenia is no longer described in prevalent classification systems of ICD-10 or the Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5). We present cases of three male patients, aged between 16 and 25 years who presented to us in the outpatient department with the chief complaints of depersonalization, derealization, social aloofness, and a decline in social and academic and/or occupational functioning. The patients had an insidious and unremitting illness. These patients had different diagnoses during their course of illness and all had been diagnosed with depersonalization-derealization disorder once. We diagnosed them with unspecified schizophrenia spectrum and other psychotic disorders as per the current classification, but all of them had nuclear schizophrenia symptoms based on Langfeldt’s description. We started them on second-generation antipsychotics in adequate doses to which they showed a response. The phenomenology of each of the three cases takes us back to the concept of nuclear schizophrenia which has been lost to a time in the current diagnostic criteria of ICD-10 and DSM-5. Such cases are often not reported or diagnosed under the dissociative disorder spectrum. Our case series is a sincere attempt to highlight nuclear schizophrenia and the approach we took for its management.
The association of emotional intelligence with personality traits, anxiety in undergraduate medical students
Authors: Prasanna Velama Pooja , Harshitha Veeramachaneni , Manasa Sanagapalli S. V. L.
Published: May 2024

Background:

The capacity to recognize, regulate, and manage both our own and other people’s emotions is known as emotional intelligence (EI). Individual differences in EI are based on a person’s traits and actions, which define their personality. A time of transition should be present so that the students must adjust to their new social and personal duties as well as they meet their scholastic demands.

Aims and Objectives:

The study assesses the EI, personality traits, anxiety and to determine the association of EI with personality traits, anxiety in the medical students.

Materials and Methods:

A cross-sectional study was conducted on medical students who are pursuing 3rd–4th years of Narayana Medical College, Andhra Pradesh. One hundred and fifty participants were taken after obtaining written informed consent. A questionnaire consisting of sociodemographic data, the Schutte EI scale, ten-item personality inventory scale was administered. The means and proportions were calculated. Kruskal–Wallis test was used to test significance. P < 0.05 was considered statistically significant.

Results:

The mean age of subjects was 21.54 ± 1.17 years. Seventy-seven (51.3%) were males. 128 (85.3%) had satisfaction with career choice. Seventy-seven (51.3%) of students had high EI and 72 (48.3%) of students had moderate EI. A positive relationship (0.032) is present between EI and personality traits. Mild anxiety symptoms are seen with higher EI.

Conclusion:

The study states that personality traits and EI are related to one another. Conscientiousness emerged as the stronger relationship of EI and the students with higher EI have mild anxiety symptoms.
Current concepts in the management of non-cirrhotic non-malignant portal vein thrombosis
Authors: Willington Adam J , Tripathi Dhiraj
Published: May 2024

Non-cirrhotic non-malignant portal vein thrombosis (NCPVT) is an uncommon condition characterised by thrombosis of the portal vein, with or without extension into other mesenteric veins, in the absence of cirrhosis or intra-abdominal malignancy. Complications can include intestinal infarction, variceal bleeding and portal biliopathy. In this article, we address current concepts in the management of NCPVT including identification of risk factors, classification and treatment, and review the latest evidence on medical and interventional management options.
Chirotherapy Associated Vertebral Artery Dissection: Case Illustration and Literature Review
Authors: Kim El
Published: May 2024

Vertebral artery dissection (VAD) is a rare but serious safety concern associated with spinal manipulative therapy. This report highlights the occurrence of such condition in a 35-year-old male without predisposing risk factors. The patient has had dizziness and occipital pain of new onset following chirotherapy for the neck spines. On admission, magnetic resonance angiography depicted a dissecting dilatation at the intracranial portion of the right vertebral artery. He was placed on antithrombotic therapy and fluid supplementation. His presenting symptoms completely remitted without recurrence. Follow-up images 4 months later showed resolution of the arterial dissection without progression to rupture. The study with featured images facilitates the physicians better understand VAD in those with neurologic complaints following chiropractic manipulation of the cervical vertebra.
Is Digital Altruism the Same as Offline Altruism?: An Exploration of Strength-Based Determinants Among Generation Z during COVID-19 Pandemic
Authors: Sunil Nair Shravya , Chukkali Surekha
Published: May 2024

Digital altruism is a new form of altruism on social media platforms. Social media has been a vital tool for sharing and seeking information for day-to-day situations, enabling people to seek and render help. Engaging in helping behaviour could be purely out of altruism or can be traced back to their professional requirements. Social media platforms have brought out people’s altruistic side on multiple occasions. The present study looked at the altruism levels of Indian Generation-Z social media users and how it is influenced by the users’ strength-based determinants, i.e. empathy, compassion, social justice, optimism, social intelligence, and personality, compared to offline altruism. The altruism levels, both online and offline, and the strength-based determinants of 204 participants between the age group of 16-24 years were measured. A regression analysis was run to understand the nature of the relationship between the independent and dependent variables. The results indicated that certain strength-based determinants impacted the levels of digital altruism.
Experiences of Minoritized Learners in Preparation for Graduate Medical and Health Care Education
Authors: White Ashley M. , Eberman Lindsey E. , Drescher Matthew J. , Young Justin P. , Games Kenneth E.
Published: May 2024

Context: Disparities in the healthcare system persist in society today, affecting both minoritized patients and providers. A diverse healthcare workforce is ideal to treat a patient population that is also becoming increasingly diverse. We examined the experiences of minoritized students pursuing healthcare-related degrees, including athletic training, in pre-medicine and healthcare professions. Methods: We used a phenomenological approach to explore the lived experiences of 10 minoritized pre-medicine and healthcare profession students (age=20±2 years). Participants engaged in an online semi-structured interview (Zoom, San Jose, CA). All interviews were audio-recorded and transcribed. We used a consensual qualitative research (CQR) approach with a 3-person data analysis team and multi-phase coding approach to identify core ideas. The data analysis team established a consensual codebook that was applied to all the transcripts. The consensus codebook’s trustworthiness and credibility were established through member checking, multi-analyst triangulation, and auditing. Results: Three domains were identified regarding minoritized pre-medicine and healthcare profession students relating to their experiences while pursuing their respective graduate degrees, including athletic training (Figure 1): 1) Belonging 2) Relationships 3) Preparation. Minoritized pre-health profession students want to experience more diversity and inclusion in the healthcare system. Feelings of belonging, relationships with others, and prior experiences of preparation help to encourage these students to pursue careers in healthcare, although barriers still exist. Focused professional resources are needed to continue supporting minoritized students in their pre-healthcare programs. Conclusions: Minoritized learners want to see and be represented in healthcare. Colleges and universities must tailor individualized resources to minoritized learners to help increase diversity in the healthcare system.
Influence of Education on Awareness of Sports Specialization and Injury Prevention Recommendations among Health Care Providers
Authors: Fetchen DiCesaro Shelly , Post Eric , Valovich McLeod Tamara , Bell David , Snedden Traci R. , Mohrbacher Denise , Zaslow Tracy
Published: May 2024

Background: Sport specialization has been linked with overuse injury in youth sports, leading to the development of specific recommendations to reduce injury risk. However, the incorporation of these recommendations into formal educational and professional development of healthcare providers (HCP), and their effectiveness for raising HCP awareness of this topic, is unknown. Objective: To determine associations between formal education or professional development regarding overuse injury prevention and awareness of current recommendations among HCPs caring for youth athletes. Methods: This was a cross-sectional design using an online survey to assess HCP awareness of sports specialization recommendations pertaining to focused sport and participation volume. Emails were sent to 15313 HCPs, with the survey accessed by 810 respondents (access rate=5.2%) and 806 HCPs were included in the analysis (female N=453, 56.4%, mean age: 39.9±11.2 years old). Participants included 378 (46.9%) athletic trainers (AT), 123 (15.3%) nurse practitioners (NP), 36 (4.5%) physical therapists (PT), and 269 (33.4%) physicians (PHYS). Participants self-reported whether they received training on prevention of overuse injuries during their formal education and if they had completed any professional development regarding overuse injury prevention. Results: Participants who received formal training during their professional education were more likely to report awareness of recommendations regarding months per year of single sport participation, maximum hours per week of organized sport participation, and simultaneous participation on multiple teams. Participants who reported completing professional development were more likely to report being aware of recommendations regarding months per year of single sport participation, maximum hours per week of organized sport participation, and simultaneous participation on multiple teams. Conclusion: HCPs who received training on overuse injury prevention during formal education or continuing professional development were more likely to be aware of overuse injury prevention recommendations compared with those who did not.
Pengaruh Pelatihan, Kompetensi, dan Pengembangan Karier Terhadap Kinerja Karyawan PT. Indah Kiat Pulp and Paper Karawang
Authors: Sibarani Grin Dewi , Dwiarti Rina
Published: May 2024

Penelitian ini bertujuan untuk menguji pengaruh pelatihan, kompetensi, dan pengembangan karier terhadap kinerja karyawan. Sampel penelitian sebanyak 89 karyawan PT. Indah Kiat Pulp and Paper. Penelitian ini adalah penelitian asosiatif. Data penelitian dikumpulkan dengan menggunakan kuesioner dengan skala likert sebagai alat pengukuran data. Hasil uji intrumen dinyatakan semua butir pertanyaan adalah valid dan reliabel. Data penelitian berdistribusi normal dan terbebas dari gangguan multikolinieritas dan heteroskedastisitas. Hasil penelitian diketahui bahwa: 1) Pelatihan memiliki pengaruh yang positif dan signifikan terhadap kinerja karyawan. 2) Kompetensi memiliki pengaruh yang positif dan signifikan terhadap kinerja karyawan. 3) Pengembangan karier memiliki pengaruh yang positif dan signifikan terhadap kinerja karyawan. 4) Pelatihan, kompetensi, dan pengembangan karier memiliki pengaruh yang signifikan terhadap kinerja karyawan. Implikasi bagi penelitian selanjutnya adalah mengukur kompetensi maupun kinerja karyawan oleh atasan langsung dari karyawan yang bersangkutan dan menambahkan variabel independen lain yang relevan sebagai prediktor kinerja karyawan.
The influence of the type of microcirculatory disorders on the development of trophic changes in the skin of the hands in patients with vibration disease
Authors: Yamshchikova Anastasia V. , Shumeiko Nadezhda I. , Fleishman Arnold N. , Martynov Ilya D. , Bychkovskaya Tatiana A.
Published: May 2024

Introduction. Hypoxia caused by microcirculation disorders in patients with vibration disease leads to changes in the concentration and, accordingly, fluorescence of various biologically active substances-fluorophores in the skin of the hands, which are the markers of trophic disorders. Microcirculation disorders in this category of patients are shown to have a multidirectional character. The study of the effect of the type of microcirculatory changes on the development of trophic disorders in the skin of the hands is relevant for the patients with vibration disease.
The aim of the study was to evaluate the accumulation of biologically active substances based on their fluorescence in the skin of the hands in patients with vibration disease depending on the type and degree of microcirculation disorder.
Materials and methods. Thirty three miners with a proven diagnosis of vibration disease and 15 conventionally healthy men of close age without complaints and never exposed to industrial vibration were examined. Microcirculation was studied using laser Doppler flowmetry, the coefficient of fluorescent contrast of biological tissue was determined applying noninvasive optical tissue fluorescence spectroscopy.
Results. The multidirectional types of microcirculation disorders in the extremities in vibration disease were revealed. Regardless of the direction of microcirculatory disorders, occurred hypoxia leads to the accumulation of biologically active substances - markers of trophic skin changes, as well those involved in antioxidant protection. A reliable gain in the fluorescence of these substances was noted in both hyperemic and spastic disorders, more significant in the hyperemic type.
Limitations. The study was limited to assessing the microcirculation types and fluorescent contrast of biological tissues in 33 patients with vibration disease and in 15 conventionally healthy subjects who had never worked under the conditions of exposure to industrial vibration.
Conclusion. Changes in the trophism of the skin of the hands in patients with vibration disease develop as a result of chronic hypoxia, which is the main pathophysiological link of angiodistonic syndrome, regardless of the direction of microcirculatory disorders, however, the hyperemic type can be conditionally considered more unfavourable with respect to the development of trophic skin disorders.
Prediction of shear wall residential beam height based on machine learning
Authors: Wang Dejiang , Chen Lijun
Published: May 2024

The beam height is an important design parameter that influences structural properties such as load-bearing capacity and stability of beams. In the early stages of structural design, the existing methods for determining beam height mainly include empirical formulae. However, empirical methods are highly subjective, lack accuracy, and are poorly adapted to complex conditions. This paper establishes a beam height prediction model for shear wall residential structures. Using structural design data from projects built by a real estate company across various regions in China, a large dataset of beam heights was collected. The Permutation Feature Importance (PFI) method and six unique machine learning (ML) models were used to rank the importance of input variables. The Gradient Boosting (GB) model, consistent with the feature ranking obtained from PFI, was selected. The model evaluation method was then used to select the number of input features for the GB model, and grid search and K-fold cross-validation were employed to optimize the GB prediction model. This model was compared with a prediction model obtained from a Back Propagation Neural Network (BPNN). Finally, the SHAP method was used to interpret the "black box" machine learning model. The results show that the GB model has higher accuracy compared to the BPNN model, and the input features of the proposed GB model contribute to the beam height in accordance with mechanical laws, demonstrating the model's rationality. The research findings can provide a reference for initial beam height design.
The Impact of the Inflation Rate on the Economic Growth of the Netherlands.
Authors: Ceesay Abdoulie , Kurang Lamin J
Published: May 2024

This study analyzes the connection between the Netherlands’ economic growth and inflation rate. A quantitative research design will be employed in the study, and secondary data collected from credible sources will be used. Variables including GDP per capita growth, interest rates, inflation, currency rates, government spending, import and export rates, and wage growth will all be included in the statistics. Regression analysis will be used to look at the connection between the inflation rate and economic growth, and descriptive statistics will be utilized to evaluate trends and patterns in the data that was gathered. The regression analysis will incorporate control factors including net import growth, government spending, and interest rates. Colvin, Christopher L.; Fliers, Philip (2019) The literature evaluation emphasizes the intricate connection between the Netherlands’s economic growth and inflation rate. While high and unstable inflation rates can have negative effects, reasonable levels of inflation can boost economic activity. Government spending and monetary policy are two major factors that affect this relationship. The research study intends to add to the body of knowledge already in existence by providing a more precise understanding of how inflation impacts economic growth in the Dutch setting. The results will impact economists and policymakers in their creation of efficient plans to control inflation and enhance long-term economic growth Fischer (1993).
The Relationship between Occupational Stress and Self-Efficacy among Secondary School Teachers
Authors: Suico Chedee James S , Dy Janreel A , Tuazon Diana Rose A , Zenith Kaye S , Asople Artemio R , Barreza Jaymar E , Berte Jerwin Jade I , Jungco Eunizel Jean C , Piastro Eryk Psalm D , Sarin Rexel B , Supranes Judy Mark V , Clamares Krystal Joy M. , Pelandas Anna Marie O.
Published: May 2024

This study dealt the influence of occupational stress towards the self-efficacy of teachers in Lorenzo S. Sarmiento Sr. National High School. The primary goal of the study was to determine the level of occupational stress and teacher’s self-efficacy in terms of their respective indicators, the significant relationship between occupational stress and teacher’s self-efficacy, and what domains of occupational stress that significantly influenced teacher’s self-efficacy. Also, this study utilized a quantitative-correlational design with 60 respondents among teachers in Lorenzo S. Sarmiento Sr. National High School. The average weighted mean, Pearson R, and multiple regression analysis were the statistical tools used in this study. Along with this, results showed a very low level of occupational stress among teachers in terms of high job demand, job insecurity, and interpersonal conflict. Likewise, results showed very high level of teachers’ self-efficacy regarding of locus of control, persistent behavior, and professional mastery. Hence, there is an indirect relationship between Teacher Self-Efficacy and Occupational Stress. The correlation results show that teacher self-efficacy is often high when occupational stress is low.
Unraveling the Puzzle: Employee Retention Patterns among Young Generation in Malaysia
Authors: Ngah Nor Syamaliah , Ngah Nor Suraya Aini , Aziz Norazlin Abd
Published: May 2024

The formation of retention strategies has received little attention despite the difficulties in holding onto brilliant workers, which harms the performance of the organisation and its ability to grow sustainably. Therefore, to retain talented individuals for longer periods, the current study aims to evaluate and discuss employee retention strategies. This study looks at various strategies for keeping the young generation in the workforce in terms of work attitude (career advancement, work-life balance, and job security) to aid in their integration and retention, using Malaysia as a case study. 384 employees in the private sector completed a questionnaire, which was then evaluated using the Statistical Package for the Social Sciences (SPSS). Promotion, work-life balance, and job security were found to positively connect with employee retention, according to survey data. The study adds to a thorough analysis of the research on employee retention tactics in the Malaysian setting. To keep its personnel, the report suggests a strategy for updating its hiring and selection procedures. Moreover, the research offers targeted recommendations that will facilitate the development of employee retention tactics and procedures. The ramifications for management were also covered.
Inset techniques for the DIEP flap – what improves aesthetic outcomes?
Authors: Kadhum Murtaza , Symonette Caitlin , Javed Muhammad Umair
Published: May 2024

Introduction: The deep inferior epigastric perforator (DIEP) flap is widely considered as the gold standard in breast reconstruction. The inset technique of the DIEP flap is crucial in determining the overall aesthetic outcome; however, to date no systematic review is available that comprehensively assesses the various techniques. Evaluation of topic: A systematic review was performed according to the PRISMA guidelines. The methodology is outlined within our published protocol (Prospero CRD42023449477). Included articles met a minimal criterion compromising of the intervention (DIEP free flap for breast reconstruction) and outcomes (aesthetic and clinical outcomes). Six articles were included in this review, with a total of 346 patients and a follow-up ranging from 6 months to 4 years. Four articles were of a prospective case series study design, one article was a randomized controlled trial, and one article was a case-control study. The risk of bias was assessed to be high in the case series, but low and moderate in the randomized controlled trial and case-control study respectively. Conclusion: Although limited by the quality of the evidence, the single aesthetic unit principle, dual-plane inset, elimination of the need for a skin paddle, appropriate flap positioning and rotation, and algorithmic in-setting may all improve the aesthetic outcome of DIEP free flaps.
Congenital isolated juvenile xanthogranuloma of the sole – a unique case report in a newborn
Authors: Saoud Sarah , Karich Nassira , Belmaati Cherkaoui Ghita , Eladak Hanane , Zouaidia Fouad , Oufkir Ayat Allah
Published: May 2024

Juvenile xanthogranuloma (JXG) is a rare, benign non-Langerhans cell histiocytosis that primarily affects the skin, with infrequent extracutaneous manifestations. Lesions typically emerge during early childhood and often resolve spontaneously, obviating the need for treatment. This paper details the case of a child diagnosed with a solitary JXG on the sole, necessitating surgical excision due to its functional impairment, specifically a delay in walking and weight bearing.
Estimation and analysis of BDS-3 multi-frequency differential code bias using MGEX observations
Authors: Yuan Haijun , Hu Zhuoming , He Xiufeng , Zhang Zhetao
Published: May 2024

Differential code bias (DCB) significantly affects the ionosphere modeling, precise positioning, and navigation applications when using code observations. With the fully completed BeiDou navigation satellite system (BDS-3), there exist various DCBs of new frequencies and types which should be handled. However, limited types of DCB products for BDS-3 are provided by the analysis institutions (e.g., Chinese Academy of Science (CAS) and German Aerospace Center (DLR)). Hence, for some DCB corrections of new frequencies, they are generally generated by complex linear combinations, which are not friendly to users and may degrade the accuracy. In this study, the estimation method of DCB for BDS-3 is introduced first. Then, the BDS-3 observations from 40 globally distributed stations are selected to estimate the DCBs, including 19 types of DCBs of new frequencies for BDS-3. Moreover, the estimated DCBs are carefully analyzed in terms of inner consistency, external consistency, and stability. For the results of inner consistency, most closure error series are within 0.2 ns, and the closure error series of each satellite fluctuate near zero and have no obvious systematic deviations. For the results of external consistency, the mean deviations of estimated DCBs of each satellite are mainly within 0.3 ns and 0.2 ns for the common types of DCB products of CAS and DLR, respectively. For the results of stability, the mean values of monthly STDs for the estimated DCBs are all smaller than 0.12 ns, which exhibits good stability. The STDs of the directly estimated DCBs are generally smaller than that of the DCB combinations of DLR and CAS. In this sense, the directly estimated DCBs for BDS-3 exhibits good performance in terms of accuracy and stability in this study, which can further provide the DCB corrections for precise positioning and navigation applications.
Research on modeling and predicting of BDS3 satellite clock bias using the attention mechanism-based LSTM (AttLSTM) neural network model
Authors: Li Jiaxing , He Kaifei , Eken Tülay , Özener Haluk , Xu Xiang , Lu Xiaopeng , Ding Kai , Ma Xuchen
Published: May 2024

In the Global Navigation Satellite System (GNSS), the satellite clock bias (SCB) plays an important role in the application of real-time precise point positioning (RT-PPP). Based on the operation of Beidou satellite global service, it is very important to establish a reliable Beidou SCB prediction model. In this research, an attention mechanism-based long short-term memory neural network (AttLSTM) model is applied to SCB prediction. The attention mechanism introduced in modelling can make the model pay less attention to useless information through weight allocation. In this paper, the BeiDou-3 Navigation Satellite System (BDS-3) satellite precision clock product provided by GFZ is used for clock prediction experiments. The proposed AttLSTM model, long short-term memory neural network (LSTM) model and quadratic polynomial (QP) model are compared and evaluated, and 12h and 24h SCB prediction experiments of BDS-3 satellite are set up. The results show that AttLSTM model can achieve high SCB prediction accuracy, and the averaged prediction accuracy of 12h and 24h can reach 1.41ns and 1.75ns. Compared with LSTM and QP models, the prediction accuracy of AttLSTM model is improved by 26.1%, 38.4% for 12h and 29.1%, 43.1% for 24h, respectively. Then, the clock bias predicted by the three models is applied to the static PPP positioning experiment, respectively. Through the analysis of the positioning results of 15 MGEX stations, the averaged positioning accuracy of AttLSTM model in the East, North and Up directions can reach 0.074m, 0.019m and 0.154m, respectively. Compared with LSTM and QP models, the positioning accuracy of AttLSTM model is improved by 42.5% and 44.4% in the East direction, 44.7% and 58.9% in the North direction, and 21.7% and 21.8% in the Up direction.
Assessing the effectiveness of MRI, 18F-fluciclovine PET, SUVmax, and PSA in detecting local recurrence of prostate cancer after prostatectomy
Authors: Virarkar Mayur K. , Gruschkus Stephen K. , Ravizzini Gregory C. , Vulasala Sai Swarupa R. , Javadi Sanaz , Bhosale Priya
Published: May 2024

Purpose

The primary objective of this study was to evaluate the discriminatory utility of magnetic resonance imaging (MRI), 18F-fluciclovine positron emission tomography (PET), maximum standardized uptake value (SUVmax), prostate-specific antigen (PSA), and combinations of these diagnostic modalities for detecting local prostate cancer recurrence in the setting of rising PSA after radical prostatectomy.

Material and methods

Patients were characterised for clinical features such as Gleason score, PSA at surgery, PSA at follow-up, follow-up MRI result, follow-up PET result, follow-up SUVmax, and follow-up disease status. The utility of diagnostic parameters for detecting disease recurrence at the prostatectomy bed was assessed using receiver operating characteristics (ROC) analysis to determine the area under the curve (AUC) for each model. Sensitivity, specificity, and positive/negative predictive values were also calculated. Optimal cut-off points for continuous variables were determined based on maximum Youden’s J statistics.

Results

The study found that MRI had the highest concordance (96%), sensitivity (100%), specificity (91%), positive predictive value (93%), and negative predictive value (100%) among the diagnostic modalities. The AUC for MRI was 0.9545, indicating a high discriminatory ability for detecting prostate cancer local recurrence. When combined, PET and SUVmax (cut-off value of 2.85) showed an improved performance compared to using them individually, with an AUC of 0.8925.

Conclusions

The analysis suggests that MRI is the most effective imaging modality for detecting local prostate cancer recurrence, with 18F-fluciclovine PET and SUVmax also showing promising combined results. PSA has moderate discriminatory utility at follow-up but can still provide valuable information in detecting prostate cancer recurrence. Further research and recent references are needed to support these findings.
Elastography of nerves in the wrists of cyclists
Authors: Dąbrowska Agnieszka , Paluch Łukasz , Walecka Irena , Żelewska Marta , Noszczyk Bartłomiej
Published: May 2024

Purpose

This study aimed to investigate changes in the elasticity of the median and ulnar nerves in cyclists.

Material and methods

The study included 30 cyclists and 2 non-biking reference groups that included 32 healthy volunteers and 32 individuals with ulnar nerve entrapment neuropathies. All participants underwent physical, ultrasonographic, and elastographic examinations including assessment of nerve cross-sectional area (CSA) and stiffness (SWE). The cyclists’ group was tested before and after a 2-hour workout.

Results

The values of ulnar nerve CSA and stiffness in Guyon’s canal in resting cyclists were 5.30 ± 1.51 mm2 and 49.05 ± 11.18 kPa, respectively. These values were significantly higher than in the healthy volunteers, but not higher than in the nerve entrapment group. Median nerve CSA and stiffness at rest were 9.10 ± 2.61 mm2 and 38.54 ± 14.87 kPa, respectively. Both values were higher than respective values in the healthy group. Cycling induced an increase in all these parameters, although the increase in nerve stiffness was more noticeable than in CSA.

Conclusions

The elasticity of the median and ulnar nerve in cyclists remains within normal limits, questioning the belief that cyclists are at risk of nerve palsy in Guyon’s canal. However, cycling workout does exert compression, resulting in transient oedema of both nerves. The dynamics of changes was more noticeable in SWE examination than in conventional ultrasound, which may depend on SWE sensitivity.
AI For Bridging Socio-Economic Inequities in Indian Education Space
Authors: Goswami Arijit , Sharma Akshay
Published: May 2024

Over the past few years, Artificial Intelligence (AI), data analytics over edge and computer vision have ushered in a plethora of use cases that promise to transform the education landscape, particularly in the developing economies. The significant headways that AI has made in improving the quality of educational pedagogies and in enhancing the accessibility and inclusivity of the education models are now compelling the multiple stakeholders in the education space to reimagine the way learning is done and facilitated. Vast socio-economic inequities exist in the Indian education landscape, with poor infrastructural facilities, disparities in the technological competence of teachers and the gender & caste related divides plaguing the education space since decades. With a one-size-fits-all approach implemented for learning across the nation and with superficial insights into individual student’s cognitive capabilities, the education methodology in India faces serious limitations as students don’t receive personalized attention which leads to many students staying bereft of the value of education programs in the country. Artificial Intelligence enabled solutions can help identify the key areas of improvements in the education space, while analyzing the needs of each student in a personalized manner, to help every student derive the benefits of education, which can help bridge the socioeconomic inequities in the country. The report builds its arguments, analysis and future directions based on the data collected through secondary research. Industry benchmark reports by the leading consultancy firms and market research organizations will be leveraged, while also utilizing the data from open datasets on Unified District Information System for Education (UDISE), World Bank, NITI Aayog India and United Nations International Children’s Emergency Fund (UNICEF). Moreover, the authors have reached out to their respective common and divergent networks of educators, technologists and policymakers to understand the systematic approach that AI can take to transform the education landscape. The data-driven value case derivations quantify the benefits and opportunities for AI in education, which form the foundation of actionable and viable recommendations.
CHALLENGES AND IMPACTS
Authors: Silva Gusmão Anderson , Cleyton Felipe Gaudêncio Anderson , Bonifácio da Silva Júnior João , Nestor Felipe Gaudêncio Robson
Published: May 2024

This work presents a comprehensive literature review focused on the challenges and impacts generated by the pandemic on learning, highlighting the educational gap observed in different contexts. The central objective is to understand the multiple facets of this gap and propose ways to mitigate its effects. The methodology adopted involved the analysis of academic studies, reports from educational organizations and scientific articles published between 2020 and 2023, a period marked by significant interruptions in conventional education due to the restrictions imposed by the pandemic. The theoretical framework is anchored in concepts of pedagogy, educational psychology and sociology of education. The analysis highlights how the pandemic distinctly affected students at different education levels and socioeconomic contexts, highlighting the widening of educational disparities. Furthermore, the work addresses changes in teaching methods, with an emphasis on the abrupt transition to remote teaching and its challenges, such as the lack of adequate infrastructure and the inadequacy of assessment methods. The results show that the learning gap is multifactorial, involving aspects such as a reduction in the quality of teaching, an increase in school dropout rates and the emotional and psychological difficulties faced by students and teachers. The review points to the urgent need for inclusive and adaptive educational policies, which consider both the recovery of lost content and socio-emotional support. Furthermore, it emphasizes the importance of investments in educational technologies and teacher training for more effective hybrid teaching.
NURSING CARE FOR PATIENTS WITH HUMAN IMMUNODEFICIENCY - HIV
Authors: Pereira Nunes Adenilson , Lívia Silva Fonseca Moreira de Medeiro Renata , Gonçalves Leoncio Batista Aurélia , Rodrigues Feliciano Lucyo , Eveny de Abreu Jaddy
Published: May 2024

INTRODUCTION: The presence of the human immunodeficiency virus (HIV) triggers several consequences in the life of the carrier. Adequate treatment allows complications to be alleviated, including Acquired Immunodeficiency (AIDS), which benefits the patient. OBJECTIVE: To present the importance of nursing care for people with the human immunodeficiency virus (HIV). METHODOLOGY: The work developed is a literature review study. A search was carried out in the SCIELO and BVS databases, published between 2018 and 2023. 13 articles were selected that met the inclusion criteria in Portuguese, English and Spanish. This study identified activities related to nursing care and assistance for patients with human immunodeficiency. RESULTS AND DISCUSSION: The work of this professional covers this disease, in addition to providing safety, technical skills and training to intervene in the process of both infection and disease, making it clear that these professionals explain current knowledge, which when implemented in their daily practice In screenings related to sexually transmitted infections, great competence and completeness are observed for patients who have human immunodeficiency, as well as acquired immunodeficiency. CONCLUSION: In short, the importance of nursing professionals in treating people with the human immunodeficiency virus (HIV) was noted. Nursing professionals promote an improvement in the lives of sufferers, through rehabilitation actions and encouragement of self-care.