bluuebunny/crossref_metadata_2025 huggingface dataset:
The Mediating Role of Employee Engagement on the Link Between Person-Organization Fit and Turnover Intention: Evidence from Business Process Outsourcing Companies in the Philippines
Authors: Bernardo Alfredo Luigi , Lacap Jean Paolo , Talon Crizaldy , Bolante Pamela , Aumentado Zhervlyn Jane , Capalao Mc Wendell , Llado Ma. Carey Evan , Dubrea Edah Marie
Published: October 2023

This study is grounded in the social exchange theory. The present study aims to investigate employee engagement's intervening role in the relationship between person-organization fit and turnover intention of business process outsourcing (BPO) companies in Metro Manila, Philippines. The participants were identified using a purposive sampling technique from BPO employees (n = 302). Quantitative research and a predictive-causal approach were used to measure interrelationships among constructs, and partial least squares–structural equation modeling (PLS-SEM) was employed to estimate the parameters of the structural model. The findings revealed that person-organization fit and employee engagement significantly and negatively affect turnover intention. Moreover, a significant and positive relationship between person-organization fit and employee engagement was also observed. Employee engagement was also found to significantly and negatively mediate between person-organization fit and turnover intention. Future research includes developing a study comparing BPO companies to other industries based on the three latent variables used in this undertaking.
A Systematic Review of Agile-Adaptive Balanced Scorecard and Sustainable Performance: Bibliometric, and Future Direction
Authors: Alhamdi Mohammed , Sulaiman Suzana , Zin Norlaila Md
Published: October 2023

While sustainability initiatives have gained recognition and significance in modern organizations, they often encounter obstacles within firms, especially SMEs. Consequently, the adoption of integrated tools like AABSC has become crucial, replacing traditional BSC tools, to empower managers to make informed decisions amid sudden economic fluctuations. However, the adoption of AABSC remains limited in the literature review and is still in the process of dissemination and adoption by scholars and researchers. Therefore, this study aims to analyze the literature that has adopted AABSC in developing countries, particularly to focus on SMEs. The research methodology involved a systematic review of the ScienceDirect, IEEE, Scopus, and Web of Science databases from 2010 to 2021, resulting in the gathering of 1,841 papers. These articles were then filtered based on inclusion and exclusion criteria defined in the systematic review protocol. From the findings, a total of 39 articles were selected and divided into four distinct categories. The first category encompasses MAS, accounting for 20.50%, followed by AABSC at 10.26%. The third category pertains to sustainable performance, representing 30.77%, while the final category consists of Hybrid Studies, accounting for 38.46%. Nevertheless, the systematic review also highlights the necessity for more rigorous evaluations regarding the adoption of AABSC. This research has implications for both the body of knowledge and practice, as it sheds light on the outcomes and potential benefits of implementing AABSC in developing country firms, particularly SMEs.
Academic Entrepreneurship: A Systematic Review of Literature
Authors: Naseer Qudsia , Taha Azni Zarina , Hasan Haslida Abu
Published: October 2023

Academic entrepreneurship has received a lot of attention in the academic community and policy makers (Teixeira & Nogueira, 2016). The underlying objective to present study is to conduct the systematic literature review on academic entrepreneurship and its role in developed and developing countries. Total 365 papers from 1990 to 2016 and 158 papers were published during the 2017 to 2020 in Scopus and Web of Science databases, after considering the inclusion and exclusion criteria, total 146 papers were considered in current study. The findings of present study reveals that the definition of academic entrepreneurship is still unclear and most of the studies are from developed economies and so far, literature in unable to consider the research ambidexterity among the individual faculty members. The findings of present study will facilitate the academicians, researchers, universities, and policymakers in understanding the role and significance of academic entrepreneurship.
Artificial Intelligence for Sign Language Translation – A Design Science Research Study
Authors:   University Duisburg-Essen, Germany, Strobel Gero , Schoormann Thorsten ,   University of Hildesheim, Germany, Banh Leonardo ,   University Duisburg-Essen, Germany, Möller Frederik ,   TU Braunschweig/Fraunhofer ISST, Germany
Published: October 2023

Although our digitalized society is able to foster social inclusion and integration, there are still numerous communities suffering from inequality. This is also the case with deaf people. About 750,000 deaf people in the European Union and over 4 million deaf people in the United States face daily challenges in terms of communication and participation. This occurs not only in leisure activities but also, and more importantly, in emergency situations. To provide equal environments and allow people with hearing handicaps to communicate in their native language, this paper presents an AI-based sign language translator. We adopted a transformer neural network capable of analyzing over 500 data points from a person’s gestures and face to translate sign language into text. We have designed a machine learning pipeline that enables the translator to evolve, build new datasets, and train sign language recognition models. As proof of concept, we instantiated a sign language interpreter for an emergency call with over 200 phrases. The overall goal is to support people with hearing inabilities by enabling them to participate in economic, social, political, and cultural life.
EFFECTS OF BIAS, GAMIFICATION AND MONETARY COMPENSATION ON MOOC DROPOUTS
Authors: MEDINA-LABRADOR Manuel , GARCIA-VARGAS Gustavo Rene , MARROQUIN-CIENDUA Fernando
Published: October 2023

The dropout rate is the most significant disadvantage in Massive Open Online Courses (MOOC); most of the time, it exceeds 90%. This research compares the effect of cognitive bias, gamification, monetary compensation, and student characteristics (gender, age, years of education, student geographical location, and interest in the course certificate) on dropout. We use survival analysis to identify the predictors of dropout and its related factors. The results showed the lowest dropout (74.2%) for cognitive bias and gamification. The results showed that the Peanut effect bias favors the lowest risk of drop up. Likewise, the findings showed the interest in the final certificate as a predictor of retention to complete a four-week MOOC.
THE ROLE OF E-LEARNING READINESS ON SELF-REGULATION IN OPEN AND DISTANCE LEARNING
Authors: UCAR Hasan , UGURHAN Yusuf Zafer Can
Published: October 2023

In recent years, the proliferation of online and distance education has dramatically changed the landscape of education. With the growing demand for flexible and accessible learning opportunities, learners are increasingly turning to online and distance education programs to pursue their academic, personal, and professional goals. However, this modality of learning also presents unique challenges for learners, particularly when it comes to e-learning readiness and self-regulated learning. To explore these factors within the context of the online distance learning environment, this study used a cross-sectional quantitative research method to examine the differences in self-regulated learning skills of open and distance learners in terms of e-learning readiness in the Open Education System of Anadolu University. For the purpose of the study, an online survey was used to collect data. The participants of the study comprised 466 online distance learners. Results indicated that learners with high e-learning readiness levels had higher self-regulated learning skills compared to those with low levels. It was also determined that self-regulated learning skills did not differ in terms of the gender of the learners while they differed in terms of the time the learners spent on the learning management system.
Variability in the Sibiryachikha Assemblages of the Altai Mountains (Based on Materials from Okladnikov Cave Layer 2)
Authors: Kolobova K. A. , Tyugashev I. E. , Kharevich A. V. , Seletsky M. V. , Chistyakov P. V. , Markin S. V. , Derevianko A. P.
Published: October 2023

This article, based on new data from comprehensive studies of assemblage from Okladnikov Cave layer 2, explores the variability of Middle Paleolithic Sibiryachikha variant of the Altai Mountains. Using methods such as scar pattern analysis, experimental use-wear analysis, attributive analysis, etc., we specify the characteristics of the assemblage by extending the nomenclature of technical fl akes relating to radial fl aking, evaluating the share of the bifacial component including bifaces, their fragments, and bifacial technical fl akes, revising the typology of the tools. The Sibiryachikha assemblage of Chagyrskaya Cave layer 6c/1 is correlated with that of Okladnikov Cave layers 1 and 2, revealing not only common features but also differences in primary and secondary reduction. At Okladnikov Cave, unlike Chagyrskaya, the reduction cycle is incomplete, the tools are smaller, and the share of convergent scrapers and chips resulting from the processing of bifaces is higher. We conclude that the distinctive feature of Okladnikov industry is a considerably more intense modifi cation of raw materials owing to their less availability. Because Okladnikov Cave is situated in the immediate vicinity of the sources of raw material, implying its abundance, we suggest that pebbles of suitable quality and size were less available. As a result, rejuvenation of lithic tools was more intense, and bifacial thinning fl akes were used as tool blanks. The Okladnikov Cave industry reveals the complex behavioral models, previously unknown, among eastern Neanderthals, which do not rule out the import of bifacial tools or blanks made of high-quality raw material.
Ɖiem Cave: A Stratifi ed Late Pleistocene and Early Holocene Site in Northern Vietnam
Authors: Kandyba A. V. , Nguyen Khac Su , Chekha A. M. , Nguyen Gia Doi , Le Hai Dang , Nguyen Anh Tuan , Derevianko A. P.
Published: October 2023

This study presents the fi ndings of excavations at Ɖiem Cave, a Late Paleolithic site in Vietnam. Several lithological units and cultural layers are identifi ed. Archaeological materials, including stone and bone artifacts, are described in detail. Findings from the three lower layers include sumatraliths, axes, bone tools, and ornaments. All of these, as well as features of the funerary rite, are typical of the Hoabinhian period. Human bones in the earliest burial were found in anatomical order, whereas those in other burials were crushed and charred. The authors demonstrate that the three lower layers date to the Pleistocene and belong to the Hoabinhian stage, whereas the upper layer dates to the Holocene and belongs to the Đa Bút culture. Micromorphological and stratigraphic observations suggest that the sedimentation of two of the Hoabinhian layers occurred under a humid climate, whereas one Hoabinhian layer attests to a more arid environment. Judging by the absolute dates, the Hoabinhian period appeared in Northern Vietnam before 23 ka BP. During certain stages of the Pleistocene, human populations in the region were rather numerous.
Development of a short version of the test of anticipatory solvency
Authors: Agafonova Elena V. , Granitsa Alexander S. , Makaricheva Elvira V.
Published: October 2023

BACKGROUND. The Test of anticipatory consistency was developed by V.D. Mendelevich based on the anticipatory concept of neurosogenesis. The technique has been used in numerous studies and has proven itself as a diagnostic tool. At the same time, the substantial volume of questions makes the current version time-consuming for the subjects.
AIM. The purpose of this work was to create a short version suitable for screening studies of anticipation consistency.
MATERIAL AND METHODS. The study involved 315 students and 96 patients treated in the departments of the Republican Clinical Psychiatric Hospital of academician V.M. Bekhterev and Central Clinical Hospital No. 18 with established diagnoses of the heading Neurotic, stress-related and somatoform disordersof the International Classification of Diseases of the 10th revision. The development of the test included three stages: the study of the psychometric indicators of the original test, the development of the stimulus material of the short version, the study of the reliability and validity of the short version. To assess convergent validity, adapted Russian-language versions of the questionnaires Methods of coping behaviorby R. Lazarus and Melbourne Decision-making Questionnairewere used.
RESULTS. Confirmatory factor analysis revealed a sufficient level of agreement of compliance with the three-factor structure of the test: CFI=0.909; TLI=0.894; SRMR=0.0672; RMSEA=0.05 (CI 90% 0.03380.0648). The short version of the test has sufficient reliability: Kronbach =0.727, McDonald =0.742, the scales correlate with each other, individual statements correlate with their scales. The short version of the test correlates with the results of the original methodology, and retest reliability, criterion and convergent validity are confirmed.
CONCLUSION. A short version is possible for use in screening studies of anticipation viability.
Health Care Inequities in Puerto Rico
Authors:   , Rivera-González Alexandra C. , Ortega Alexander N.
Published: October 2023

There are significant health care inequities in the United States (US) territory of Puerto Rico. The local health system operates under continuous challenges, such as financial restrictions and shifts in the physician workforce. Population characteristics like pervasive island-wide poverty, substantial health care need, and poor economic conditions further burden its health care system. When coupled with frequent and increasing back-to-back public health emergencies, such as natural disasters and infectious disease outbreaks, these factors have led to an ongoing health care crisis in Puerto Rico. The multiple factors affecting health care access in Puerto Rico have rarely been studied and continue to be unclear, especially following recent major disasters such as hurricanes, earthquakes, and the COVID-19 pandemic. To help fill these knowledge gaps, this dissertation studies health care access and utilization in Puerto Rico and how they are affected by environmental, system, provider, and patient-level factors. The dissertation will be composed of three separate but interrelated papers addressing health care dilemmas in Puerto Rico by studying (1) federal health policy impact on health care access across different Medicaid funding structures, (2) physician prevalence and availability trends in Puerto Rico, and (3) crisis hotline use patterns across population characteristics.
Special Educator Perceptions of the Ohio Alternate Assessment
Authors:   , Husted Leigh , Piselli Katherine
Published: October 2023

Despite the pressure special educators are under to ensure that their students with significant cognitive disabilities learn the important skills necessary to live a productive life, the recent educational path in Ohio has been geared towards a standards-based curriculum to prepare them for the state assessment. The purpose of this qualitative study is to explore special educators' lived experiences and perceptions of the Alternate Assessment for Students with Significant Cognitive Disabilities (AASCD) as a measure of student progress and growth for students with significant disabilities in Ohio. It also seeks to understand factors that special educators believe are appropriate for assessing students with significant cognitive disabilities. With the conceptual framework being guided by Critical Disability Theory, Dis/ability Complex, and Experiential Learning Theory, this research is guided by the following questions: 1. How do Ohio special educators perceive the AASCD as a measure of student progress and growth for students with significant disabilities? 2. How do special educators in Ohio describe experiences using the data produced by the AASCD? 3. What factors do special educators in Ohio describe as appropriate for assessing students with significant cognitive disabilities? Data was collected from eight semi-structured interviews, notes from the researcher's reflective journal, and member checking interviews. The transcriptions were analyzed, and the researcher used affective and elemental coding methods to create themes and subthemes. The themes and subthemes assisted the researcher in reporting her findings and answering the research questions. This study has the potential to provide information regarding special educators' concerns about the current AASCD and the modifications that special educators feel are necessary to deem the obtained scores usable for lesson planning and writing IEP goals that focus on the needs of individual students with significant cognitive disabilities.
Utilizing Deep Learning to Identify Potentially Dangerous Routing Attacks in the IoT
Authors: Desamsetti Harshith
Published: October 2023

Due to the rapid increase of cyber-security difficulties brought about by sophisticated assaults such as data injection attacks, replay attacks, etc., the design of cyber-attack detection and control systems has emerged as an essential subfield within cyber-physical systems (CPSs) during the past few years. The outcome of these attacks could be a system failure, malfunctioning, or other undesirable effects. Consequently, it may be necessary to implement the cyber defense system in preparation for impending CPSs to have an improved security system. The various cyber-attack detection schemes based on deep learning algorithms have been intended to detect and mitigate the cyber-attacks that can be launched against CPSs, smart grids, power systems, and other similar infrastructure. This article comprehensively reviews several different deep learning algorithms suggested for use in CPSs to accomplish cyber defense. In the beginning, several methods devised by earlier academics are analyzed in great detail. After that, a comparison study is performed to determine the shortcomings of each algorithm and offer a recommendation for how further improvements to CPSs might be made more effectively.
The UTAUT Implementation Model in Defining the Behavioral Intention of Mobile Banking Users
Authors: Handayani Wahyu Prabawati Putri
Published: October 2023

Research aims: This goal is to comprehend how the UTAUT model was used to influence mobile banking behavior intentions and act as a mediator variable along with attitude.Design/Methodology/Approach: A quantitative approach and a sample size of 110 respondents using mobile banking were used. The deployment questionnaire for the retrieval technique sample was completed using Google Forms, and the sampling strategy was a snowball. In this study, both data analysis and hypothesis evaluation were performed utilizing PLS-SEM.Research findings: The study uncovered that out of ten hypotheses, seven were accepted, and three were rejected. In this study, performance expectancy, facilitating conditions, and social influence variables could all have an impact on attitude. With regard to behavioral intention, attitude served as a mediator between performance expectancy, social influence, and facilitating conditions. Aside from serving as a mediator, the attitude directly affected behavioral intentions. The results indicate that attitude was not significantly affected by effort expectations, and behavioral intentions were not significantly impacted by trust.Theoretical Contribution/Originality: The Unified Theory of Acceptance and Use of Technology (UTAUT) was employed in this study to understand better how the UTAUT model was applied in influencing mobile banking behavior intentions, as well as how attitude functions as a variable mediator.Practitioners/Policy Implications: Results from the study have implications for how mobile banking users' behavioral intentions may change depending on their performance expectancy, social influence, facilitating conditions, and attitudes.Research Limitations/Implications: Further research is required to observe other aspects, such as the desire to keep utilizing mobile banking, as it is the focus of this study, which was restricted to behavioral intention based on the considerations of UTAUT-based mobile banking users.
The Role of Internship Program and Entrepreneurship Training to Hole Entrepreneur Capability and Startup Performance
Authors: Febrianti Bella , Kussudyarsana Kussudyarsana , Setyawan Anton Agus , Sholahuddin Muhammad , Maimun Muhammad Halim
Published: October 2023

Research aims: This study aims to determine whether entrepreneurial capability mediates the association between an internship, entrepreneurship training, networking learning, and startup performance.Design/Methodology/Approach: This research design is quantitative. The population in this exploration totaled 869 UMS Independent Entrepreneurial Students. Purposive sampling was the sampling method used. The sample size of this study was 250 respondents. Utilizing SMARTPLS software, the Partial Least Square (PLS) was employed to analyze the data in this study.Research findings: Internships, entrepreneurship training, and networking learning had a significant positive effect on startup performance by fostering a portion of their entrepreneurial capabilities.Theoretical contribution/Originality: This research contributes to the field of entrepreneurship in startup companies. In addition, it provides insight into the millennial generation's entrepreneurship to motivate them to become young entrepreneurs. This research also discusses corporate entrepreneurship.Practitioners/Policy implications: Companies need to know what factors affect startup performance so that they can make policies based on the existing conditions for the creation of quality startup companies.Research limitations/Implications: Based on the research done and the research results obtained, several limitations to the research exist. The questionnaire in this study was closed so that each respondent only answered the answer criteria provided. It could allow each respondent to answer the questionnaire, not by the actual situation. Also, the respondents in this study were only limited according to the level of respondents who were within the sample criteria. In this study, it was only limited to the independent and mediating variables. As for other factors that might affect startup performance, they were not examined.
Relationship between infant hypothyroidism and maternal thyroid disease
Authors: Mirzarahimi Mehrdad , Barak Manouchehr , Katebi Leila , Kamran Aziz , Moghaddam Sanaz S.
Published: October 2023

Background: Due to the very high complications of neonatal hypothyroidism in the country, neonatal screening program is performed for timely diagnosis and treatment of neonates. The aim of this study to investigate the relationship between infant hypothyroidism and maternal thyroid disease.
Methods: This cross-sectional study was done on 195 neonates with a diagnosis of hypothyroidism. Necessary data were collected by a checklist and then analyzed by statistical methods in statistical package for the social sciences (SPSS) version 21 by statistical methods.
Results: Of all mothers, 21.0% had a history of thyroid disease. There was no statistically significant relationship between maternal age and infant thyroid stimulating hormone (TSH). There was no significant relationship between the history of maternal hypothyroidism and maternal hypothyroidism (during experiments) with the amount of TSH in the newborn. There was a direct and significant relationship between maternal TSH level and maternal free T4. But there was no statistically significant relationship between infant TSH level and maternal TSH level and free T4. There was no significant difference in neonatal TSH levels with maternal anti-TPO status. There was no significant relationship between the history of maternal diabetes and the history of maternal hypertension with neonatal TSH. There was no significant difference in neonatal TSH levels by maternal thyroid status.
Conclusions: In the present study, no significant relationship was found between the incidence of neonatal hypothyroidism and the presence of thyroid disease in mothers. The existence of different genetic and environmental factors and the significant impact of each of these factors can justify this result.
A study on awareness regarding universal precautions among medical students of tertiary teaching hospital, Bengaluru
Authors: Anuradha Rangenahalli Vasudev , Krishnamurthy  , Kaladi Anjinappa Suhasini , Bhat Kriti
Published: October 2023

Background: Health care staffs are at increased risk of acquiring various infection as they are exposed to infectious agents at their workplace hence having awareness regarding Universal precautions help them protect themselves and provide better health care services.
Methods: Descriptive study was conducted on 220 medical students of 5th, 7th and 8th term for a period of 2 months. Medical students were selected based on probability proportional to size sampling method. Semi-structured questionnaire was used to interview the study subjects
Results: Assessment regarding awareness on Universal Precautions among Medical students was done by administering questionnaire on Universal Precautions. Awareness on Hand hygiene among medical students was 92% (195/220). 98.1% (208/220) of them had awareness regarding gloves usage, 45.6% (124/220) of them were unaware about safe needle practices.
Conclusions: Medical students lack awareness regarding safe needle practices. They were aware of other aspects such as hand hygiene and gloves usage.
Correlation between hemoglobin levels of mothers and children aged less than two years attending the immunization clinics in Puducherry: a cross-sectional analytical study
Authors: V. P. Khadeeja Nasreen , Ramakrishnan Jayalakshmy , C. G. Delhi Kumar , Loganathan Vignesh
Published: October 2023

Background: Insufficient attention has been paid to the impact of maternal anemia on the hemoglobin status of children. This study aimed to estimate the correlation between the hemoglobin levels of mother’s antenatal and their current hemoglobin levels with the hemoglobin levels of their children and to find the co-occurrence of anemia among the family members of the children.
Methods: A total of 200 children aged nine months to two years with their mothers were enrolled in the immunization clinics in a tertiary care hospital, and from health centres attached to it. For assessing the triple burden of anemia within the family members of the children, 50 mother-child-sibling triads were approached. The hemoglobin values of the mothers during their third trimester in the antenatal period was noted from the antenatal records.
Results: 62% of the children aged less than two years were anemic and the mean hemoglobin level of the children was 10.33±1.33 gm/dl. The correlation between hemoglobin levels of children and mothers during their antenatal period was 0.15 (p: 0.03, 95% CI: 0.007 to 0.279) and 0.10 (p: 0.15, 95% CI: -0.038 to 0.236) was the correlation between current hemoglobin levels of children and mothers. 7 (14%) mother-child-sibling triads had co-occurrence of anemia in the sub-sample of 50.
Conclusions: The multiple linear regression analysis confirmed that there is a weak correlation between the hemoglobin levels of mothers and children. We concluded that treating an anemic individual in a family can somehow prevent anemia in other family members.
Dependency and associated factors among elderly in central Kerala
Authors: B. Prithiba , Baskar Anitha , Lucas Anupa , S. Rani Suhra , A. Sobha , Devi Geetha , Philip Sairu
Published: October 2023

Background: Globally the proportion of elderly has been increasing and physical dependency is one of major problem faced by elderly. Physical dependency will affect the quality of life. Despite this, very limited number of studies were done to assess the dependency among elderly. Aim was to estimate the prevalence of dependency and to determine the association between selected factors and dependency among elderly >60 years.
Methods: A cross-sectional study was conducted among 352 elderly in Athirampuzha Panchayat using simple random sampling. A semi-structured interview schedule using basic activities of daily living scale-BADL (Katz scale) was  used. Data was coded and entered in Microsoft Excel and analysed using IBM SPSS software version 22.
Results: The mean age of participants was 71.68 years with a standard deviation of 8.457 years and the prevalence of dependency was found to be 30.7%. Univariate analysis results revealed that  age (>85 years), occupation, living arrangement, presence of aphasia, hearing impairment, visual disturbances, locomotor disability, presence of comorbidity, onset of comorbidity and comorbid conditions like  diabetes mellitus, coronary artery disease and chronic arthritis were found to have significant association with dependency. Binary logistic regression results  revealed that  factors like age group (>85 years), presence of hearing impairment, loco motor disability, onset of comorbidity, presence of diabetes mellitus and coronary artery disease were found to be independent predictors of dependency.
Conclusions: Since dependency increases with age physical dependency is to be assessed periodically to achieve healthy ageing.
Prevalence of stress, anxiety, depression and its associated factors among undergraduate medical students of Thrissur district during COVID-19 pandemic: a cross-sectional study
Authors: M. V. Sruthi , V. Chandana , Benoy Bilhan , Anuda Ayisha , Krishnan Aswathi Krishnan
Published: October 2023

Background: The COVID-19 pandemic and lockdown has aggravated mental health problems among the student community. But due to pandemic restrictions the medical students lack the clinical exposure and interaction with patients and were forced to learn through online platform, which affected their procurement of clinical and communication skills. This led to lot of stress among medical students, which needs to be evaluated and managed. Objectives were to study the prevalence of stress, anxiety, depression and its associated factors among undergraduate medical students of Thrissur district during COVID-19 pandemic.
Methods:  A cross- sectional study was undertaken among undergraduate medical students from July 2021 to Jan 2022. Total 205 undergraduate medical students from all batches were included in the study and data was collected with the help of Google forms and a self-administered DASS 21 questionnaire was used as a tool for assessing the prevalence of depression, anxiety and stress among medical students. 
Results: Out of 205 undergraduate medical students, 106 (51.7%) were suffering from anxiety, 70 (34.1%) were suffering from stress and 119 (58%) were suffering from depression. Around 112 (54.6%) of students faced difficulty in paying academic fees and 127 (62%) of students had difficulty due to cut shorting of clinical postings. The female students had higher prevalence of stress and anxiety compared with males which was statistically significant (p=0.04, 0.01 respectively).
Conclusions: The presence of depression, anxiety and stress was prevalent among medical students. It has to be addressed with mentorship programmes, counselling and by ensuring leisure activities in the campus.
The relationship between intraocular pressure and random blood glucose levels with open angle glaucoma
Authors: Srivastava Namrata , Yadav Y. S. , Kumar Prashant
Published: October 2023

Background: Primary open-angle glaucoma (POAG) is a multifactorial chronic optic neuropathy, characterized by progressive loss of retinal ganglion cells (RGC), leading to structural damage to the optic nerve head (ONH), retinal nerve fibre layer (RNFL), with visual field defects. This study was carried out at the department of optometry GSVM Medical College, Kanpur, UP from December 2015 to September 2017. Objectives were determination of the relationship between intraocular pressure and blood glucose levels in patients with primary open-angle glaucoma.
Methods: A total of 74 subjects, 28 males and 46 females were used for the study. The Accu-Chek glucometer was used to measure the random blood glucose level and the intraocular pressure was measured using the Perkins applanation tonometer.
Results: The mean intraocular pressure was 16.57±3.97 while the mean random blood glucose level was 168.43±108.48. Analysis of the SPSS version 23 data using the Pearson product-moment correlation coefficient at a significance level of 0.05 and a 95% confidence interval revealed no correlation between IOP and random blood glucose (p and gt; 0.05). People with primary open-angle glaucoma are advised to have their blood sugar levels monitored frequently.
Conclusions: This study showed that there was no significant correlation between intraocular pressure and random blood glucose levels in patients with primary open-angle glaucoma. This would suggest that diabetics should be monitored regularly for intraocular pressure to detect an early onset of glaucoma.
Evaluation of the incidence and risk factors of ocular disorder in primary school children: a cross-section analysis
Authors: Srivastava Namrata , Chandra Mahesh , Srivastava Prashant
Published: October 2023

Background: School health is an essential part of any public health program. Poor vision in childhood can affect school performance and affect children later in life. Pupils can be affected by various eye diseases such as refractive errors, strabismus, color blindness, eyelid problems and cataracts. The aim of this study is to determine the incidence and risk factors of eye diseases in children aged 6-12 years.
Methods: This school-based cross-sectional study selected children aged 6-12 years from December 2018 to March 2019 from 09 primary schools in the Kanpur district. The institutional ethical clearance and appropriate permissions from the school authorities were obtained through the medical officer of Kalyanpur PHC and consent 51 from parents.
Results: A total of 2,100 students from 09 different schools, 1,070 boys and 1,030 girls, were tested. The most common eye diseases are myopic astigmatism with 16.6% (348 people), myopic astigmatism with 78.2% (272 people), 192 were against the rule astigmatisms, 80 were with the rule astigmatism astigmatisms, followed by simple myopic with 15.2% (53 people) and hypermetropic astigmatism with 1.7% (6 people). The next most common disease is allergic disease with 1.6% (34). The 1.4% (30) of children have strabismus. Blindness 0.26% (5), colour blindness 0.2% (4); eyelid and adnexal disease 0.13% (3) and cataract 0.03% (1)
Conclusions: Eye diseases in school-aged children can be easily detected by regular eye examinations; this research shows that vision deficiency is likely to be affected.
Comparative analysis of trending tweets in Twitter during the year 2022 on days of public health significance
Authors: D. Diana Constance , Subbiah Rohini , Madankumar Parangimalai D. , Sukumaran Aparna
Published: October 2023

The use of social media in healthcare communication has expanded, public dissemination of health-related information is less common. Objective of the study was to compare the number of tweets received by public health campaigns with trending tweet and likes in twitter on those specific days. Recent posts with hashtags of nine general health and five dental public health related campaigns between 01 January 2022 to 31 December 2022 were selected from Twitter based on public health importance. We looked for top trending campaigns that had the most global reach. Descriptive statistical analysis was performed. Among the nine general health campaigns, no likes were received for five campaigns and three campaigns got likes which were greater than the trending campaigns. Among the oral health related tweets, only National tooth brushing day campaign garnered 76000 likes and none of the other oral health related tweet garnered likes. Future Twitter-based health campaigns should emphasize image-based information endorsed by a reputable organization. Further support for this message from well-known twitter users could expand the information's reach.
Maternal health disparities in district Jhansi, Uttar Pradesh: a time series analysis using health management information system records
Authors: Gupta Arjita , Raj Utsav
Published: October 2023

This study focused on investigating the status of maternal health in Jhansi District, Uttar Pradesh, India. A comprehensive analysis of data obtained from the health management information system (HMIS) spanning the period from 2010 to 2020. The findings of this study indicate notable fluctuations in the percentage of first-trimester ANC registrations, accompanied by an overall improvement in compliance with the recommended number of ANC checkups. In addition, the study identifies a growing inclination towards institutional deliveries and increased utilization of cesarean section (C-section) procedures. This study emphasizes the urgent and continued implementation of measures to enhance timely access to ANC services and to ensure the presence of skilled birth attendants during all childbirths. These insights are of substantial significance to policymakers and healthcare providers in their efforts to advance maternal healthcare services, diminish maternal mortality rates, and enhance women’s overall well-being in Jhansi District, Uttar Pradesh, India. The study recommends reinforcing ANC services, promoting collaborative initiatives to improve maternal health outcomes, and establishing clear guidelines and regular quality audits to ensure the appropriate utilization of C-sections.
Social care services for addressing loneliness among inmates of old age homes
Authors: Rakesh Gurrapu , Antony Sojan , Ammapattian Thirumoorthy
Published: October 2023

Social isolation and loneliness among the elderly have garnered increasing attention in recent years. As more people live longer and age, there is a growing concern about the effects of social isolation on mental health and well-being. Social isolation and loneliness can lead to a range of negative physical and psychological effects, including depression, anxiety, and cognitive decline. These effects are particularly pronounced among elderly individuals living in old age homes (OAHs), where they may have limited opportunities to interact with others and maintain their social networks.
Establishing cephalometric norms using Arnett\'s soft tissue analysis for males and females of Jaipur population
Authors: Meena Randheer , Rai Divyaroop , Trehan Mridula , Gupta Garima , Gupta Shashank , Jhuntra Deepanshu
Published: October 2023

This study was aimed to determine and compare soft tissue cephalometric norms between male and female population of Jaipur and compare them with Arnett’s soft tissue cephalometric norms with 50 males and 50 females which fall under selected inclusion criteria.

One hundred samples (50 males and 50 females) were selected on random basis with harmonious facial appearances, good functional occlusions and first permanent molars in Angle's class I relation. Samples selected for the study were of age group between 18 to 25 years. Measurements were recorded and subjected to statistical analysis.

1.Cephalometric norms using Arnett's Soft tissue Analysis were established formales and females of Jaipur population. 2. Soft tissue cephalometric values show Sexual dimorphism with all the soft tissue thicknesses and the facial lengths being greater in males indicating longer faces, long upper & lower lips for males and more prominent the midfacial region in Jaipur females compared to males with more protrusive mandibular dentition with a prominent chin.
Comparison of perception on facial profile attractiveness of different antero-posterior proportions in a female subject among laypersons, dentist and orthodontists: An observational study
Authors: Mishra Sumita , Sahu Amrita Kumari , Nanda Smruti Bhusan
Published: October 2023

: Current Orthodontic diagnosis and treatment plan is based on the arrangement of the soft tissue complex. This makes the execution of treatment plan very challenging as beauty is a subjective factor leading to different facial evaluations. This study aims at comparing and evaluating the perception of facial attractiveness of different antero-posterior proportions of the chin which was altered digitally in a female subject among laypersons, dentists and orthodontists.

A digital profile photograph of a 26 year old female subject was selected for the study. The subject was randomly selected from the Department of Orthodontics and Dentofacial Orthopaedics, Institute of Dental Sciences & Sum Hospital, Bhubaneswar, Odisha and was advised for pre-treatment Orthopantomogram, Lateral Cephalogram. The profile image was digitally altered using Adobe Photoshop software to create 11 images which was given to 10 Orthodontists, Dentists and laypersons for evaluation of their perception of facial profile attractiveness on a VAS scale.

A straight profile in a female subject is perceived as the most attractive by all the three categories of evaluators.

It can be concluded that this study provides a basis for understanding facial profile preferences by different groups of people as well as their degree of sensitivity.
Comparison of upper airway post oral appliance therapy in patients with obstructive sleep apnea using 3 different modalities (lateral cephalogram, acoustic pharyngometry and CBCT)- A prospective clinical study
Authors: Banari Ashwina S , Datana Sanjeev , Agarwal SS , Chopra SS , Roy ID
Published: October 2023

Obstructive Sleep Apnea (OSA) is a condition that results due to partial or complete obstruction of airway when patient assumes a supine position and goes to sleep.

of study was to compare the changes in upper airway resulting with oral appliance in treatment of OSA using lateral cephalogram, Acoustic Pharengometry (AP) and CBCT and correlate with AHI changes.

OSA subjects treated with oral appliance therapy (OAT) had a significant improvement in upper airway diemensions.

Study assessed the changes in upper airway following oral appliance for treatment of OSA using Lateral cephalogram, AP and CBCT and correlated the changes with AHI. The following conclusions can be drawn from this study (a)There is a marked improvement in mean volume, mean area and minimum distance of constriction in upper airway following OAT assessed using Lateral cephalogram, AP and CBCT. (b) Among the above 3 modalities, CBCT shows a statistically significant correlation with change in AHI following OAT.
Los colectivos de arquitectura latinoamericanos en el siglo XXI. Revisiones en el quehacer profesional
Authors: Blázquez Florencia
Published: October 2023

Las primeras décadas del siglo XXI en Latinoamérica evidenciaron el crecimiento de equipos que trabajan en contacto directo con comunidades y plantean revisiones en el rol del arquitecto, que han tendido a desdibujar la figura del autor y privilegiar los procesos por sobre la obra terminada. En ese sentido, el artículo caracteriza los colectivos de arquitectura latinoamericanos para determinar sus roles e incumbencias profesionales. Se propuso, además, armar un estado de la cuestión que posibilite enmarcarlos dentro de un nuevo perfil profesional. Esto se plantea como un puntapié inicial para comprender lo que entendemos como un quiebre en la producción, gestión y enseñanza de la arquitectura reciente en Latinoamérica.
El uso de la inteligencia de enjambre en el diseño urbano
Authors: Fraile-Narvaez Marcelo
Published: October 2023

Como resultado de la evolución de las tecnologías digitales y de las redes de información, la inteligencia de enjambre se ha implementado en diferentes perspectivas de la investigación. A partir de estos supuestos, el objetivo del artículo es desentrañar la importancia del diseño urbano basado en inteligencia de enjambre, una nueva frontera bajo un enfoque emergente, capaz de usarse en un sinnúmero de aplicaciones. Para su análisis, este artículo utilizó un estudio de caso, centrado en el proyecto Melbourne, del estudio Kokkugia, un programa que, aunque no construido, ha abierto el camino para nuevas exploraciones y maneras de entender el diseño urbano.
Защитное действие новых производных ГАМК на β-клетки поджелудочной железы в условиях экспериментального сахарного диабета 2 типа
Authors: Тюренков Иван Н. , Бакулин Дмитрий А. , Великородная Юлия И. , Борисов Александр В. , Абросимова Елизавета А. , Смирнов Алексей В. , Снигур Григорий Л. , Сурин Святослав С. , Кавалерова Дарья А. , Васильева Ольга С.
Published: October 2023

Введение: Гамма-аминомасляная кислота (ГАМК) и ГАМК-ергические соединения в последние годы рассматриваются как потенциальные средства для лечения сахарного диабета и его осложнений. Помимо основной тормозной функции в мозге, ГАМК также является сигнальной молекулой в островках поджелудочной железы (ПЖ), оказывая влияние на секрецию инсулина и глюкагона, а также апоптоз, выживаемость бета-клеток и их регенерацию.
Цель: Сравнить защитное действие на β-клетки поджелудочной железы у ГАМК и ее новых производных у животных возрастом 18 месяцев с продолжительным стрептозотоцин-никотинамид-индуцированным сахарным диабетом.
Материалы и методы: Сахарный диабет моделировали белым аутбредным крысам-самцам (12 месяцев) посредством введения комбинации стрептозотоцина (65 мг/кг) и никотинамида (230 мг/кг). В течение последующих 6 месяцев осуществлялся контроль уровня гликемии каждые 4 недели. Далее для исследования были отобраны животные с уровнем постпрандиальной гликемии между 11 и 18 ммоль/л. После формирования групп, в течение 1 месяца животные соответственно получали ГАМК и ГАМК-ергические соединения (композиция 2 и 3), контрольная группа получала физиологический раствор. После лечения был выполнен пероральный тест на толерантность к глюкозе. Далее был произведен забор образцов крови и тканей ПЖ (селезеночная часть) для иммуноферментного анализа (уровень ГПП-1, TNF-α в сыворотке и уровень NF-Κb,Nrf2, Клото в гомогенате ПЖ), иммуногистохимического анализа (экспрессия NF-Κb, Nrf2 и Клото в островках ПЖ) и иммунофлуоресцентного анализа (экспрессия инсулина и глюкагона в островках ПЖ).
Результаты: Результаты исследования подтверждают выраженный гипогликемический эффект изученных производных ГАМК у животных возрастом 18 месяцев с продолжительной гипергликемией. Гипогликемическое действие исследуемых композиций сопровождалось увеличенной продукцией ГПП-1, улучшением функции и массы β-клеток ПЖ. Кроме того, повышенные уровни белка Клото и транскрипционного фактора Nrf2, а также подавление транскрипционного фактора NF-κB после лечения, могут играть ключевую роль в защитном действии исследуемых ГАМК-ергических соединений в отношении β-клеток.
Заключение: Новые производные ГАМК обладают значительным защитным эффектом для β-клеток ПЖ. Эффекты могут быть обусловлены увеличенной на фоне их введения продукцией ГПП-1, белка Клото и транскрипционного фактора Nrf2, а также подавлением транскрипционного фактора NF-κB. Эти результаты подчеркивают потенциал ГАМК-ергических соединений в качестве средств для лечения сахарного диабета и его осложнений.