bluuebunny/crossref_metadata_2025 huggingface dataset:
Analysis of promotion of the Clinical Propedeutics subject in a Faculty of Medical Sciences
Authors: Garzón Cutiño Lisbel , Wainshtok Tomás Daisy María , Herrera Wainshtok Ana Claribel , Valdés Izquierdo Libertad Engracia
Published: April 2024

Introduction: plan E in the Medicine Career is designed so that developer learning prevails with a broad and active participation of the student in their training. As of the 2022 academic year, the Cuban students who began the Clinical Propedeutics and Medical Semiology subject did so in this new study plan. Objective: to determine the results of the promotion in the Clinical Propedeutics subject of Plan E of the Medicine career.Methods: an observational, exploratory, retrospective and cross-sectional study was carried out, based on the analysis of the promotion report of 3rd year medical students in the Clinical Propedeutics and Medical Semiology subject, at the “Miguel Enríquez” Faculty of Medical Sciences, corresponding to the course academic 2022-2023. Results: the average final grade obtained was 4.2 points. 242 evaluations were carried out, 35 % obtained a Good evaluation, 13 % were classified as Excellent. In the first partial, 74,6 % passed and in the final exam it increased to 84%. After the extraordinary exam, 48 % of the students obtained a grade of Good, with 100 % passing.Conclusions: the results show that a 100 % promotion of the students in the Clinical Propedeutics and Medical Semiology subject with the new plan E, and the quality of the grades obtained improves as the evaluative cuts are made
Regional Educational Policies and Critical Interculturality in Rural Areas of the Province of Abancay - Apurímac, 2023
Authors: Choccata-Cruz Ernestina , Villanueva-Figueroa Rosa , Galvez-Aurazo Veronica , Zarate-Ruiz Gustavo , Miranda-Aburto Elder
Published: April 2024

The research work was carried out with the aim of analyzing regional educational policies and critical interculturality in secondary education in rural areas of the province of Abancay, department of Apurímac, 2023. The research is basic, qualitative and design-based, phenomenological-hermeneutic. The study population consisted of specialists, principals, teachers and students of the secondary education level of rural areas of the UGEL (Local Educational Management Unit) Abancay and the sample consisted of: 4 specialists from the DREA (Regional Directorate of Education of Apurímac), 3 specialists from the UGEL Abancay, secondary level, 6 rural education teachers from the EBR (Regular Basic Education),  secondary school level, 6 directors and 6 students from rural schools in the province of Abancay. The following data collection instruments were used: semi-structured interview guide, documentary review form and non-participant observation guide. From the research it is concluded that the PERs (Regional Educational Policies) of Apurimac do not implement strategies of CI (critical interculturality) and the educational communities of rural schools do not know about the current PER (Regional Educational Project), but the native students demand the vindication of their language in educational and social processes
An Energy-Efficient Cluster Head Selection and Secure Data Transmission in WSN using Spider Monkey Optimized Algorithm and Hybrid Cryptographic with Security
Authors: Yuvaraja M. , Sureshkumar S. , James S. Joseph , Thillaikkarasi S.
Published: April 2024

To conserve energy in wireless sensor networks, clustering is the well-known strategies. However, choosing a cluster head that is energy efficient is crucial for the best clustering. Because data packets must be transmitted between cluster members and the sink node, improper cluster head selection (CHs) uses more energy than other sensor nodes. As a result, it lowers the network's performance and lifespan. Due to the requirement that this network implement appropriate security measures to guarantee secure communication. This paper  provides a novel cluster head selection technique that addresses issues of  networks’ lives and  energy usages using Spider Monkey Optimised Fuzzy C-Means Algorithm (SMOFCM). The CH is chosen using the Spider Monkey Optimisation method in the proposed SMOFCM approach, which builds on the Fuzzy C-means clustering framework. The hybrid cryptographic technique is appropriate for WSN for safe data transmission because it can address sensor challenges such processing power, storage capability, and energy. The Rivest-Shamir-Adleman (RSA), advanced encryption standards (AES), and the suggested algorithm are all used at various stages. Because asymmetric key cryptography makes key management simpler but symmetric key cryptography offers a high level of security. The AES algorithm has been created for phase 1. Phase 2 employed RSA, and all phases were carried out concurrently. According to the simulation results, it reduces energy use, lengthens the network's lifespan, and offers faster encryption, decryption, and execution times for secure data transmission
Efficacy of Northern Organic Fertiliser on Sustainable Sugarcane Production in Bangladesh
Authors:   Bangladesh Sugarcane Research Institute, Paul G C , Bokhtiar S M , Alam KM , Haque A , Hossain G M A
Published: April 2024

A field study was conducted to evaluate the efficacy of northern organic fertiliser on sugarcane yield and economic return at Ishurdi (High Ganges River Flood Plain) and Thakurgaon (Old Himalayan Piedmont Plain) sites in Bangladesh. Results revealed that the combined use of northern organicfertiliser @ 750 kg per hectare and 75 per cent recommended inorganic fertilisers gave higher average sugarcane yield of 72.33 tonnes and the highest net economic benefit of Taka 27653 per hectare with benefit cost ratio of 1.52 from the sites under study. The average yield increasefrom that was 142.4 per cent over control and 4.7per cent over recommended inorganic fertiliser alone. Keywords: Efficacy, northern organic fertiliser, sustainable, sugarcane, production
Controlling White Leaf Disease (WLD) Incidence of Sugarcane by Heat Therapy
Authors:   Bangladesh Sugarcane Research Institute, M A T Sohel , Begum F , Alam M N , Islam N , Rashid M A
Published: April 2024

An experiment was conducted to find out the effect of heat therapy on germination and white leaf disease incidence of sugarcane at Sreepur, Gazipur, Bangladesh. Germination was significantly increased in moist hot air treatment (MHAT) treated plot. No white leaf disease was found in MH,AT at 540C for 4 h, 3 h and 2.30 h treated settlings. Similarly, millable cane and cane yield were positively affected by heat therapy. Heat therapy with MHATand hot water treatment (HUT) performed better in increasing sugarcane yield compared to control. Keywords: Moist hot air treatment, hot water treatment, white leaf disease
Composting of Oil Palm Empty Fruit Bunch and Decanter Cake Slurry with the Addition of Palm Oil Mill Effluent
Authors:   Universiti Putra Malaysia, Yahya Azmi , Sye Chong Puay , Ishola Tajudeen Abiodun , Suryanto Hadi
Published: April 2024

Formation of compost from oil palm empty fruit bunches (EFB) and decanter cake slurry by adding palm oil mill effluent (POME) with regular turning operation was investigated. The addition of decanter cake slurry has hastened the composting process of the EFB. The C/N ratio after 51 days for the mature compost with the decanter cake slurry was 18.65 while for the matured compost without the decanter cake slurry remained high at 28.96. The compost formed from the addition of decanter cake to EFB and POME had 46.4 per cent nitrogen, 17.9 per cent phosphorus, 17.7 per cent potassium and 23.1 per cent calcium more than that without decanter cake. The use of compost produced from EFB, POME and decanter cake slurry could solve more environmental problems and enhance economic benefits in the oil palm industry. Keywords: Empty fruit bunches, palm oil mill decanter cake slurry, palm oil mill effluent, waste management
Capacity Building Efforts on Viral Hepatitis under National Viral Hepatitis Control Program
Authors: Pandey Pragya , Bhadoria Ajeet Singh
Published: April 2024

The “National Viral Hepatitis Control Program” (NVHCP) was launched in India as a stepping stone towards combating viral hepatitis as a public health threat. The program was launched on the occasion of world hepatitis day 2018 with the target of eliminating viral hepatitis by the year 2030. The program has provisions for developing infrastructure, nominating human resources, and building their capacity for successful service delivery. A time-bound cascade of training approaches is being adopted by the program to orient the designated healthcare workers on the standard operating protocols. The training is being conducted following a top-to-bottom approach, where master trainers are first identified and sensitized at the national level under the mentorship of the National Center for Disease Control (NCDC), the master trainers then sensitize the designated healthcare workers at the state level in collaboration with the state National Health Mission (NHM). Here is an outline of the Capacity-building efforts on Viral Hepatitis under NVHCP in Uttarakhand State.
Differences in Perception and Practices Among Unmarried and Married Men Regarding Women Empowerment in the Rural Areas of Himachal Pradesh
Authors: Nadda Rohit , Kumari Banita
Published: April 2024

Introduction: This article explores the intricate dynamics of women empowerment in selected rural areas of Himachal Pradesh, India, where traditional gender norms and socioeconomic disparities persist. It investigates the perceptions and practices related to women's empowerment, taking into account the influence of tradition, modernity, socio-economic conditions, and regional variations. The aim is to provide insights that can inform context-specific interventions to promote rural women's empowerment. Methodology: The study employed an unmatched case and control design, categorizing married men as the case group and unmarried men as the comparator group. It was conducted in selected villages within the Nagrota Bagwan and Shahpur health blocks of Himachal Pradesh. The participants were selected using cluster sampling technique. The total sample size of 268 males (134 in each group) was determined with an 80% study power and a 5% level of significance, using EpiInfo (7.2.3.1) software. Results: The study analysed the socio-demographic profiles, education status, occupation, and socioeconomic status of both groups. It found significant differences in family type, caste, and religion among married and unmarried men. Education levels and occupations also displayed significant differences between the two groups. The participants' knowledge about women's empowerment revealed that both married and unmarried men supported women's education and work opportunities. Notably, a higher proportion of married men believed that women should share their earnings among family, partner, and themselves. However, there was no significant difference in opinions about women's decision-making in family planning and pregnancy termination. Conclusion: The study highlights the need for an awareness approach to reinforce existing knowledge and address specific gaps among both married and unmarried men in Himachal Pradesh.
Enabling Community: A missing link in Establishing End of Life Care continuum
Authors: Barik Rashmi Ranjan , Radhakrishnan Rehana Vanaja , Rustagi Neeti
Published: April 2024

Palliative care including end of life care is marginally available, accessible, and affordable to chronically ill patients in India. When emotional, practical, and informational support are essential for these individuals, it is imperative to identify and implement effective public health intervention to address inequity linked to End of Life. Various forms of social support have proved to be beneficial for patients dealing with such conditions. Establishing community networks towards providing end of life care is the need of everyone. Proactively building care networks in families, neighborhoods, or workplaces is essential for continuum of care in providing end of life care.
Artificial Intelligence in Medicine: Navigating Ethical Challenges
Authors: Sharma Nandita , Gupta Divya
Published: April 2024

Artificial Intelligence (AI) has revolutionized the field of medicine, offering unprecedented opportunities to improve patient care, diagnosis, and treatment. AI presents a myriad of ethical issues, especially when it comes to making medical decisions, as technology is incorporated into healthcare more and more.  This article examines the various ethical issues surrounding AI in medicine and clarifies how these technologies and medical ethics interact.
Patient confidentiality and data security are major concerns because artificial intelligence (AI) mainly depends on huge databases for training and analysis. Maintaining the confidence among individuals and their healthcare providers requires ensuring that private medical information is secure and not easily compromised. (1)
Addressing Non-Communicable Diseases: Unveiling “Collateral Damage” and Pursuing Solutions at the Grassroots
Authors: Bhattacharya Sudip , Garg Suneela , Madan Gopal K
Published: April 2024

Public health professionals are crucial in developing strategies to prevent and manage diseases while promoting overall population health. Despite some successes in controlling diseases like smallpox and polio, the 21st century has seen a shift in disease dynamics, with non-communicable diseases (NCDs) disproportionately affecting low- and middle-income countries. These nations bear over three-quarters of global NCD-related deaths annually, posing a significant challenge to healthcare administrators. It's essential to view NCDs as unintended consequences of lifestyle decisions, allowing policymakers to reformulate policies accordingly. “collateral damage”, whether in military contexts or medicine, refers to unintended harm or negative consequences. Adverse effects like antibiotic resistance or antibiotic-associated diarrhoea illustrate this concept in healthcare. Furthermore, NCDs often result from factors outside the healthcare sector, such as poverty-driven dietary choices or inadequate urban planning, leading to sedentary lifestyles. Globalisation exacerbates NCDs by promoting unhealthy Western lifestyles, including the consumption of fast foods with inferior quality in low-income countries. Uncontrolled urbanisation further compounds the issue by fostering unhealthy behaviours. Aging populations also contribute, with elderly individuals adopting sedentary lifestyles that increase their risk of NCDs. Health promotion offers a proactive approach to address “collateral damage”, emphasising action through advocacy, policy formulation, and health education. Effective control of NCDs requires primary prevention measures like healthy diets and physical exercise, alongside public health legislation and collaborative efforts among various sectors. Preventing NCDs necessitates auditing decisions across industries to assess potential “collateral damage”s, involving the Ministry of Health and Family Welfare(MOHFW) in authorising new ventures like liquor shops or fast-food centres. While the battle against NCDs has yet to begin, concerted efforts are required to implement strategies and actions effectively and efficiently. This paper discusses innovative grassroots strategies and intersectoral collaborations that have shown promise in combating NCDs, aiming to inspire actionable solutions.
Suicide risk among rural youths, a public health concern – Voicing the unvoiced
Authors: RC Manish , M Renuka , M Kishor , Kundu Rituparna
Published: April 2024

Background: Youth transition from dependence to independence with fluid boundaries, facing challenges like anxiety and peer pressure despite good health. Prior suicide attempts stand out as a significant risk factor, highlighting its importance in the broader population. Aim & Objectives: This study aimed to assess suicidal risk prevalence among rural youths in Southern Karnataka and identify associated risk factors. Methods: This study employed population proportionate sampling of 15-24-year-olds from four villages of Sutturu, a rural field practice area of JSS Medical College, Mysuru for six months. Socio-demographic data were collected using a pre-tested proforma, while suicide risk was assessed via the SAFL app. Data analysis utilized IBM SPSS Version 25. Results: Of 239 participants, 35.2% were males and 64.8% females, with a majority aged 20-24. Notably, 41.2% of females attended school. Depression prevalence was high (65.2%), with 51% experiencing minimal depression, more so in males. Treatment-seeking for psychiatric issues was low, with varying suicide attempt rates. Conclusion: The study emphasizes significant associations between youth suicide risk and factors like prior attempts, family history, and psychiatric conditions, particularly among males aged 20-24. Lower educational attainment also correlates with increased risk, highlighting the multifaceted nature of this issue.
Navigating the Epidemiological Landscape of Aging in Rural India: Imperative for Policy Pathways
Authors: Joshi Nitin Kumar , Bhardwaj Pankaj
Published: April 2024

India is currently experiencing a significant demographic transition characterized by a remarkable increase in its elderly population, particularly in rural areas.(1) The country’s aged population is expected to grow by 279% between 2022 and 2050, with the expectation that by 2046 they will outnumber children aged 0-15 years (2,3). This demographic change comes with a range of challenges including poverty, gender inequality, social isolation and limited access to quality healthcare (4).
There are complex and varied healthcare needs of elderly people in rural India, with declining physical and mental health, vulnerability to multiple health problems such as chronic diseases, mobility difficulties and cognitive decline (4). During this period of life, access to quality healthcare becomes very essential but many aged individuals in India do not have the means or support required to maintain their wellness (1).
Role of Artificial Intelligence (AI) in physiotherapy
Authors: Tanna Monali
Published: April 2024

With the growing demand of technological advancements and real time technical support, ARTIFICIAL INTELLIGENCE (AI) has emerged as one of the integral parts of the healthcare system, especially after post pandemic era (1) Synthetic intelligence plays a significant role in assessment and patient management. So, the time is not far where learning and implementing it in current practice will be the need of an hour. Physiotherapy course curriculum would need to add it on in the coming times to become rational about accepting or rejecting the AI advices.
With the fast paced growing time, at times it becomes difficult for patients to even visit physiotherapy clinic on a daily basis or the post operative bed ridden patients or individuals who are bed ridden due to other reasons such as stroke, spinal cord injury or other neurological impairment, home bases treatment with AI instruments can prove nothing less than a blessing
Effect of Science Learning on Students' Critical Thinking Ability: A Review
Authors: Pratiwi Rosi , Doyan Aris
Published: April 2024

Critical thinking ability is one of the high-level thinking abilities in solving problems. Several learning models can be applied to improve students' critical thinking skills. Some of these models include problem based learning, discovery learning, project based learning, and so on. This research is a literature study or literature review of 25 articles related to students' critical thinking abilities. The articles reviewed are articles published during the last 5 years, 2018 to 2022. Based on the results of a literature review that was carried out on 25 national and international articles, the highest average score for critical thinking ability was 92.56. This value was obtained by applying the discovery learning model through integrated science practicum activities. Therefore, it can be concluded that the discovery learning model is the most effective model for improving students' critical thinking abilities. The value of critical thinking ability that most often appears in the range of 71-80 in 11 articles.
Role of logistics innovation capabilities in supply chains operations at manufacturing firms
Authors:   Iqra University, Pakistan, Iqbal Faisal ,   Universiti Sultan Zainal Abidin, Malaysia
Published: April 2024

This study aims to examine the impact of Logistics Innovation Capabilities and mitigating the disruption risk in supply chain operations in the manufacturing Industries of Karachi Pakistan. With the fast growth in Pakistan's economy and vision 2025 seeks to enhance the national transport infrastructure and logistics network system. The demand for logistics services in Pakistan has been steadily expanding. Pakistan's Industry focuses more on adopting logistics innovation capabilities to provide their customer with better services. Quantitative research is designed to study the link between the capabilities of dependent and independent variables to minimize the risk. By empirically analyzing survey data SPSS is a popular method to validate the study model. The impact of innovation in logistics technologies has a huge positive influence affect by firm performance, environment uncertainty, technology implementation & customer side. Through Logistics Innovation capabilities, many empirical studies have been conducted to minimize the supply chain risk. This study provides empirical support for dependent and independent variables. Our results can help Pakistan's manufacturing industry develop logistics strategies and adopt innovation capabilities to reduce supply chain risk.
THE INFLUENCE OF EFFECTIVE COMMUNICATION AND PATIENT SAFETY CULTURE ON PHYSICIAN BEHAVIOR IN FILLING OUT MEDICAL RECORDS WITH WORK ENGAGEMENT AS AN INTERVENING VARIABLE IN A TYPE B PRIVATE HOSPITAL IN WEST JAKARTA
Authors: Andani Evi , Hosizah  , Mutiara Rina
Published: April 2024

This research is based on doctors' disciplinary problems in filling in complete patient medical record data, which has caused several patient safety incidents to occur. The aim of this research is to empirically reveal the influence of effective communication and patient safety culture on doctor behavior with work engagement as an intervening variable. This research is included in quantitative research with a causality approach, the population used is doctors, the sampling technique uses purposive sampling with determining the number of samples using the Slovin formula with an error rate of 5%, so that a sample size of 97 respondents is obtained, with a sampling technique using non-probability sampling . The analysis method uses the three box method and PLS-SEM with the help of the samrt-PLS program. The results of the analysis conclude that work engagement positively intervenes in the influence of effective communication and patient safety culture on doctor behavior, effective communication and patient safety culture have a positive and significant effect on work engagement and doctor behavior, and work engagement is able to influence doctor behavior positively and significant, and also dominates its influence compared to effective communication and patient safety culture.
Suitability of Worker Characteristics and Job on Work Environment In the Furniture Industry of West Java, Indonesia
Authors: Rizki Dwiki Fatur , Yewon Kim , Alfin Muhammad
Published: April 2024

This research aims to describe the work environment in the furniture industry based on the suitability of workers and job characteristics. This research uses descriptive qualitative methods and is conducted on cases in the furniture industry in West Java, Indonesia. Data collection techniques are performed using interviews, observation, and documentation and analyzed inductively. The research results show that the work environment in the carved furniture industry can be identified based on the suitability of job characteristics. They are work risks faced by establishing safe work environment boundaries, worker characteristics regarding their role by work procedures and work experience, and the value of the agreement norms that form safe environmental behavior and interactions. Furthermore, the results can be used as recommendation material for further research related to work environment issues that dig deeper into other phenomena based on cultural characteristics, safety behavior, and wage mechanisms so that the utility value of wages and risks received can be known.
Evaluasi Penggunaan Antibiotik Pada Pasien Infeksi Saluran Kemihrawat Inap di Rumah Sakit Ibu Dan Anak Lombok Dua Dua Surabaya Tahun 2023
Authors: Sari Sania Puspita , Probosiwi Neni , Siswidiasari Arifani , Ilmi Tsamrotul
Published: April 2024

Infeksi saluran kemih berdasarkan pemeriksaan biakan kemih diketahui disebabkan oleh bakteri. Perempuan umumnya empat hingga lima kali lebih mudah mengalami infeksi saluran kemih dibandingkan dengan pria. Antibiotik  merupakan terapi utama  ISK untuk mencegah infeksi semakin parah. Penata laksana anterapi antibiotik pada ISK didasarkan  pada  jenis bakteri,  tanda dan  gejala  yang  dialami pasien,  letak infeksi, dan kondisi klinis infeksi. Tujuan penelitian ini adalah untuk mengetahui rasionalitas penggunaan anti biotic berdasarkan tepat antibiotik, tepat dosis, tepat rute pemberian, tepat interval pemberian dan tepat lama pemberian. Metode penelitian yang digunakan adalah metode deskriptif dan data yang diambil secara retrospektif. Populasi penelitian ini seluruh data pasien rawat inap dengan diagnosis infeksi saluran kemih di Rawat Inap Rumah Sakit Ibu dan Anak Lombok Dua Dua Surabaya Tahun 2023. Sampel penelitian ini adalah seluruh data rekammedis pasien ISK selama bulan Januari – September  2023. Hasil rasionalitas penggunaan antibiotic didapatkan evaluasi Rasionalitas penggunaan anti biotic meliputi tepat diagnosis (75,25%),  tepat pasien (100%), tepat antibiotik (77,84%), tepat dosis (72,5%), tepat rute pemberian (100%), tepat interval pemberian (72,36%) dan tepat lama pemberian (74,02%). Rata – rata rasionalitas penggunaan antibiotik sebesar 91,70%, sedangkan 46,56% masih belum rasional dikarenakan pemberian antibiotik masih belum memenuhi aspek ketepatan diagnosis, pasien, antibiotik, dosis, rute, interval dan lama pemberian kepada pasien.
Ultrasound Guided Maxillary Nerve Block for Perioperative Pain Management for Patients Undergoing Endoscopic Sinus Surgery: Randomized Control Trial
Authors: Badry Ahmed Mahmoud , Zaghloul Ahmed , Maarouf Ahmed , Maarouf Mohammed M , Elshafie Minatallah
Published: April 2024

Background: Proper perioperative pain management remains a cornerstone of well-conducted functional endoscopic sinus surgery (FESS). In such a context, proper pain management entails the adequate provision of prolonged postoperative analgesia, the avoidance of overusing opioids, and consequently limiting their unwanted side effects. Objectives: We aimed to evaluate the effect of bilateral ultrasound-guided suprazygomatic maxillary nerve block (MNB) on postoperative pain in patients undergoing FESS. Methods: Patients eligible for FESS were randomized into two groups: The MNB group (n = 30), who underwent bilateral ultrasound-guided suprazygomatic maxillary nerve block after induction of anesthesia, and a control group (n = 30), who received multimodal analgesia, including opioids. Postoperatively, patients were observed for 48 hours. Pain scores were evaluated upon arrival to the sPACU and at 2, 6, 12, 24, 36, and 48 hours postoperatively, particularly at the time of removal of the hemostatic agent after 36 hours postoperatively. Total rescue analgesia, postoperative complications (including nausea and vomiting [PONV], hypotension, bradycardia, headache), and patient satisfaction were also diligently recorded. Results: Sixty patients who were candidates and underwent FESS surgery were enrolled randomly in both groups. The NRS pain score in the MNB group was significantly lower than that of the control group (P < 0.001), especially the NRS during the removal of the hemostatic agent at T10 was significantly lower in the MNB group (P < 0.001). However, at the 24 - hour point post-surgery, there were no significant differences between both groups (P = 0.568). Total rescue analgesia required was significantly lower in the MNB group compared with the control group (P < 0.001) throughout the first 48 hours postoperatively. The percentage of patients with no postoperative complications (nausea, vomiting, and headache) was higher in the MNB group (76.7 %) compared with the control group (40 %). Patient satisfaction was statistically significantly higher in the MNB group (P < 0.001). Conclusions: Bilateral ultrasound-guided suprazygomatic MNB appeared to be safe and advantageous, as its use was associated with a decrease in total analgesic consumption, a reduction in postoperative morbidities such as pain, nausea, and vomiting, and greater patient satisfaction.
The Hospital Cost Reduction Strategies from the Managers’ Point of View: A Qualitative Study in Iran
Authors: Seyedin Hesam , Moghimi Mona , Goharinezhad Salime , Azmal Mohamad , Kalhor Rohollah
Published: April 2024

Background: Nowadays, hospitals are increasingly facing a shortage of resources, posing a significant challenge. This situation has led to competition, where a successful organization is defined by its ability to cut costs while upholding the quality of services. Objectives: This study aimed to identify cost reduction strategies from the viewpoint of hospital managers in Tehran Province, Iran. Methods: This qualitative study was performed between April and September 2021 in Tehran Province, Iran. The data were collected using in-depth semi-structured interviews with 24 managers of public and private hospitals affiliated with Iran University of Medical Sciences. The participants were selected using purposive sampling. The obtained data were analyzed using the content analysis method in NVivo 10 software. Results: Through analyzing the interviews conducted with aware key participants, cost reduction strategies were presented in 3 themes, 10 categories, and 42 subcategories. Key themes for cost reduction strategies include human resources in 4 categories, management and organization in 4 subcategories, and building equipment and facilities in 2 subcategories. Conclusions: Policymakers, especially hospital managers, can cut costs by adding economic insight into health services and providing a platform to increase efficiency and optimal use of available resources. Formulation of strategies in the field of human resources management, equipment and construction facilities, and organization of hospitals can play a significant role in reducing hospital costs and achieving the goals of the health system.
Comparison of the Efficacy of Comfort Scale with State Behavioral Scale in Critically Ill Pediatrics Patients Under Mechanical Ventilation for Developing Sedation Protocol and Reducing Ventilator-Associated Pneumonia
Authors: Ahmadizadeh Seyede Narjes , Mahdavi Seyyed Alireza , Khanbabaee Ghamartaj , Saeedi Hossein , Razavi Seyyed Sajjad , Hashemi Sabour Nazanin
Published: April 2024

Background: Proper sedation in ill children can enhance treatment outcomes, provide comfort, control pain, reduce delirium, and prevent self-extubation. This study aimed to compare the “Comfort Scale” with the “State Behavioral Scale” (SBS) in children under mechanical ventilation in the ICU to develop a sedation protocol. Methods: This study assessed 50 children, ranging from one month to 15 years of age, who were hospitalized in the ICU of Mofid Hospital for over four months. The convenience sampling method was used to select participants, who were then divided into two groups of 25 each (one for the Comfort Scale and one for the SBS). Data were analyzed using SPSS version 20, with a P-value of less than 0.05, which is considered statistically significant. Results: The mean age of the patients was 30.3 months (ranging from 1 to 150 months), with 19 female patients (38%) and 31 male patients (62%). The time taken for scoring by hospital staff was significantly shorter in the SBS group than in the Comfort Scale group (P < 0.0001). There were no significant differences between the two groups in terms of hospitalization duration and the amounts of benzodiazepines and opiates used (P > 0.05). Both tools were associated with a decrease in the length of hospitalization. Conclusions: The findings suggest that the SBS requires less time to administer than the Comfort Scale and can be considered a rapid method. Utilizing both the SBS and Comfort Scale can reduce the length of hospital stays and, consequently, the incidence of ventilator-associated pneumonia.
The Effectiveness of Positive Psychological Interventions on Social Isolation of Girl Students During the COVID-19 Pandemic
Authors: Karimi Ziba , Kord Tamini Bahman , Nourimoghadam Sana
Published: April 2024

Background: Past studies have revealed that positive psychological intervention has a positive impact on social isolation. Objectives: The purpose of this investigation was to examine the effect of positive psychological interventions on students' social isolation during the COVID-19 pandemic. Methods: The research design of the study was quasi-experimental, comprising post-test and pre-test types with experimental and control groups. The population of this study included all female students of the 10th grade at Isfahan Conservatory during the academic year 2022 - 2023. The sample size consisted of 30 female students who were selected through convenience sampling and randomly assigned to two groups: The control group (15 students) and the experimental group (15 students). Eight sessions of positive psychological intervention were conducted with the experimental group, while the control group did not receive any intervention. Results: The results of Fisher’s Exact test and chi-square test did not reveal any significant difference between the two groups of fathers in terms of education level (P = 0.169), and there was also no significant difference between the two groups of mothers in terms of education level (P = 0.715). The mean scores of social isolation (control: 50.00 ± 7.44, intervention: 30.00 ± 7.60) significantly decreased in the intervention group (P = 0.0001), but there was no significant decrease in the control group (P = 0.45). Accordingly, the pre-test mean scores of social isolation (P = 0.143) did not show significant between-group differences, and the post-test mean scores of social isolation (P = 0.001) in the intervention group were significantly lower than in the control group. Conclusions: The positive psychological intervention had a significant effect on the students' social isolation in the experimental group during the COVID-19 pandemic, indicating that this intervention can be used to reduce the social isolation of students.
Hyperspace pro formativní hodnocení a badatelsky orientovanou výuku: Koncepce – vývoj – aplikace
Authors: Stuchlíková Iva , Janík Tomáš , Rokos Lukáš , Minaříková Eva , Samková Libuše , Najvar Petr , Hošpesová Alena , Janíková Marcela
Published: April 2024

Badatelsky orientovaná výuka a formativní hodnocení jsou představiteli moderních metod a postupů ve výuce. Aby mohly být smysluplně a efektivně používány, je nutné vytvořit příležitosti k tomu, aby se s nimi učitelé seznamovali, promýšleli je a propojovali je s cíli a obsahy výuky. Tento text si klade za cíl představit online multimediální vzdělávací prostředí Hyperspace, které formou videozáznamů, textových a obrázkových popisů výuky představuje badatelsky orientovanou výuku a formativní hodnocení, a vede uživatele k jejich reflexi. Cílovou skupinou pro toto prostředí jsou (budoucí) učitelé i vzdělavatelé učitelů. Text nejprve představuje teoretická východiska, na kterých je prostředí postaveno, poté jeho design a vývoj. Detailně jsou popsány jednotlivé komponenty i možnosti práce s Hyperspace pro různé cílové skupiny. Na závěr jsou diskutovány výzvy pro budoucí rozvoj Hyperspace. Text je určen především vzdělavatelům učitelů, kteří chtějí využívat multimediální prostředí pro podporu (budoucích) učitelů.
Khảo sát sức căng nhĩ trái ở bệnh nhân suy tim có phân suất tống máu ≥ 40% bằng siêu âm tim đánh dấu mô
Authors: Nguyễn Thị Hải Yến , Lương Hải Đăng , Lê Văn Tuấn , Nguyễn Quốc Thái , Đỗ Văn Chiến
Published: April 2024

Cơ sở nghiên cứu: Bệnh nhân suy tim phân suất tống máu bảo tồn chiếm khoảng hơn một nửa tổng số người bệnh suy tim. Siêu âm tim là phương pháp phổ biến được sử dụng để đánh giá rối loạn chức năng tâm trương thất trái. Các chỉ số sức căng nhĩ trái trên siêu âm tim đánh dấu mô giúp phát hiện sớm tình trạng rối loạn chức năng nhĩ trái, góp phần vào điều trị và tiên lượng các bệnh cảnh lâm sàng. Vì vậy, mục tiêu của nghiên cứu là khảo sát chức năng của nhĩ trái bằng siêu âm đánh dấu mô (2DSTE ) ở những bệnh nhân suy tim có EF ≥ 40% thay đổi như thế nào? Phương pháp nghiên cứu: Mô tả cắt ngang. Kết quả: Khảo sát trên 75 bệnh nhân suy tim có EF ≥40 bằng siêu âm tim đánh dấu mô, kết quả cho thấy sức căng nhĩ trái dẫn máu 4 buồng là: -8,95 ± 5,69%; 2 buồng là: -10,21 ± 9,24%; chức năng trữ máu 4 buồng: 22,09 ± 5,99%, 2 buồng: 26,23 ± 10,43%, chức năng tống máu 4 buồng: -13,21 ± 4,54%, 2 buồng: -16,37 ± 8,24%. Các chỉ số này đều thấp hơn so với nhóm quần thể người khỏe mạnh. Chỉ số sức căng chức năng trữ máu và tống máu nhĩ trái của nhóm HFmrEF thấp hơn so với nhóm HFpEF, (LASr là 20,19 ± 5,91% so với 27,78 ± 5,16 %, LASct là -11,88 ± 4,4 % so với -17,48 ± 4,32 %, tương ứng, p<0,05). Kết luận: Ở những bệnh nhân suy tim phân suất tống máu ≥ 40%, sức căng nhĩ trái trên siêu âm đánh dấu mô cho thấy giảm hơn so với quần thể người khỏe mạnh ở cả chức năng trữ máu, tống máu và dẫn máu. Chỉ số sức căng nhĩ trái tống máu và trữ máu trên siêu âm tim đánh dấu mô giảm hơn ở nhóm HFmrEF so với nhóm HFpEF.
Gastronomi Turizmi
Authors: Gülten Suna , Erol Ersan
Published: April 2024

Bu çalışmanın amacı, gastronomi ve gastronomi turizminin önemini akademik bir çerçevede ele alarak bu alanların kültürel mirasın korunması, toplumsal bağların güçlenmesi ve turizm endüstrisinin çeşitlendirilmesi gibi önemli amaçlara nasıl katkı sağladığını incelemektir. Gastronomi ve gastronomi turizmi, yerel ekonomilere katkıda bulunurken aynı zamanda kültürel çeşitliliği korur ve sürdürülebilir kalkınma hedeflerine ulaşmada önemli bir rol oynamaktadır. Bu bağlamda, çalışma, gastronomi ve gastronomi turizminin toplumsal, ekonomik ve kültürel boyutlarını derinlemesine inceleyerek bu alanların önemini vurgulamayı amaçlamaktadır.
How Space Art Shaped National Identity
Authors: Russo Carolyn
Published: April 2024

Carolyn Russo explores how artists’ depictions of space exploration over the years bridged gaps between scientific, sociopolitical, and cultural viewpoints, inspiring the nation to dream bigger and reach for the stars.
Watcher
Authors: Trethewey Natasha
Published: April 2024

Poem
Boost Opportunities for Science Learning With Regional Alliances
Authors: Singer Susan , Schweingruber Heidi , Brenner Kerry
Published: April 2024

Local collaborations among schools, higher education institutions, businesses, and community groups can achieve what top-down directives cannot.
Literacy Alley: Efforts to Enhance Literacy Passion Among Students at Kanisius Demangan Baru Yogyakarta Elementary School
Authors: Nurhayati Nurhayati , Herwanto Agus , Marwan Marwan
Published: April 2024

This study aims to explore and evaluate the efforts made in increasing literacy love in students of Kanisius Demangan Baru Elementary School (SD) in Yogyakarta. Literacy plays a crucial role in students' intellectual and social development, and an understanding and appreciation of literacy can enrich their educational experience. This research method involves collecting qualitative data through classroom observation, interviews with teachers and students, as well as analyzing documents related to literacy programs that have been implemented, and finally drawing conclusions. The results showed that efforts to increase love for literacy involve innovative teaching strategies and integrating literacy into the curriculum. Teachers actively promote students' interest in reading through activities such as book discussion groups, story and storytelling performances, library visits, promoting literacy corner projects in classrooms, and enlivening school walls and hallways with student literacy works. In addition, science literacy programs can also improve students' knowledge of nature, and storytelling teacher programs can improve teachers' and students' abilities with literary appreciation. The evaluation results showed a positive increase in students' reading interest and literacy understanding. The findings may provide insight for other schools looking to increase the love of literacy at the primary level, emphasizing the importance of collaboration between teachers, students, and parents in creating an educational environment that supports children's literacy development.
Epistemologi Pendidikan Agama Islam Alam Melayu
Authors: Miswari Miswari
Published: April 2024

This article aims to review the history of the development of Islamic religious education in the Malay World, especially West Sumatra and North Sumatra. This qualitative research uses a descriptive analytical approach. Data is collected from various library sources, then analyzed, verified and presented narratively. The results of the research show that West Sumatra is not only the heart of the renewal of Islamic religious education in the Malay World, but also a source of energy for the renewal of Islamic thought in Indonesia. The renewal of Islamic religious education in West Sumatra influenced thinking about Islamic religious education in other regions, including North Sumatra. The most massive renewal of Islamic religious education in North Sumatra occurred in the modern Islamic boarding school education curriculum.
SECOND ORDER DIFFERENTIAL OPERATORS WITH
ALGEBRAIC SOLUTIONS
Authors:   “Alexandru Ioan Cuza” University, LITCANU RAZVAN , PLESCA IULIA-CATALINA ,   “Alexandru Ioan Cuza” University
Published: April 2024

We are surveying recent results that describe second order differential operators
having only algebraic solutions in the sense of Galois theory. We call such operators
algebraic. For hypergeometric operators, this problem was studied by
Schwarz and Klein who also gave results that describe all second order linear
differential operators with a full set of algebraic solutions. Starting from their
work, we see algebraic operators as pull-backs of algebraic hypergeometric operators
via Belyi functions. We are surveying some of the main results describing
second order operators with a full set of algebraic solutions, especially those obtained
by using the properties of the pull-back functions. Using the Grothendieck
correspondence, these properties transfer to properties for their corresponding
dessins d’enfants.
ON THE NORMALITY AND ASSOCIATED PRIMES OF COVER
IDEALS OF A CLASS OF IMPERFECT GRAPHS
Authors:   Sultan Qaboos University, AL-AYYOUB IBRAHIM , NASERNEJAD MEHRDAD ,   Institute for Research in Fundamental Sciences (IPM), ROBERTS LESLIE ,   Queen’s University
Published: April 2024

In this paper, we show that the cover ideals of Jahangir’s graphs are normal,
and also satisfy the (symbolic) (strong) persistence property. In addition, we
determine when the unique homogeneous maximal ideal appears in the set of
associated primes of powers of the cover ideals of Jahangir’s graphs.
The Life and Work of Monk Raphail of Hurezi Monastery (II)
Authors:   Institutul de Lingvistică Iorgu Iordan-Alexandru Rosetti, Mutalâp Daniar
Published: April 2024

The present paper attempts to reconstruct the life and work of monk Raphael from Hurezi Monastery in the context of both his activity from Oltenia (The Diocese of Râmnic and Hurezi Monastery) and from Moldova (Dragomirna Monastery).Born around 1725, Radu became monk at Hurezi Monastery on the 2nd of April 1754, changing his name to Raphael. In 1781 he was named hegumenos of Hurezi. Close to his death (circa 1791), he received the great schema, becoming hieroschemamonk Roman. His intellectual activity is remarkable, scoping the production of more than 20 Romanian manuscripts, the correction of the Octoechos (1763), the Psalter (1764, 1779), the Anthologhion Prayer Book (1766) and the Menologies (1776-1780) printed in the Diocese of Râmnic, the emendation of texts translated from Slavonic and Greek, the production of short poems and the instruction of young monks.
Agrarian and Electoral Reform in the Romanian Parliament's Debates
Authors:   Institutul de Istorie Nicolae Iorga, Dristaru Gabriela , Simon Alexandru ,   Centrul de Studii Transilvane, Cluj-Napoca
Published: April 2024

The lack of ample studies on the impact of the Russian Revolution on Romania and Romanian society led to the general belief that its impact was rather modest. Studying the debates in the Romanian parliament and the political oposition to the agrarian and electoral reforms, using new available records from the British archives, this article aims to demonstrate that the Romanian political elite was deeply affected by the February Revolution and concerned about its possible consequences.
George Oprescu's Appointment to the Secretariat of the League of Nations: A Biographical Episode
Authors:   Institutul de Istoria Artei George Oprescu, Apostol Ioana
Published: April 2024

As an important Romanian art historian and critic, G. Oprescu (1881–1969) is primarily recognized for his scholarly contributions and his role as founder and director of the Art History Institute in Bucharest.
New Reference Books on Romanian Historiography. A Review Essay
Authors:   Huntington University, Michelson Paul
Published: April 2024

A review of Doru Radosav, ed., Istoriografia românească (București: Editura Academiei Române/ Univers Enciclopedic Gold, 2019), xi + 404 pp. + illustrations; and Victor Spinei and Dorina N. Rusu, eds., Enciclopedia reprezentanților scrisul istoric românesc, five volumes (Suceava: Editura Karl A. Romstorfer al Muzeului Național al Bucovinei, 2021), Vol. I (A–C), XL + 699 pp.; Vol. II (D–K), XXVII + 588 pp.; Vol. III (L–N), XXVII + 443 pp.; Vol. IV (O–R), XXVII + 431 pp.; Vol. V (S–Z), XXVII + 553 pp.; and Victor Spinei and Dorina N. Rusu, “Addenda la Enciclopedia Reprezentanților Scrisului Istoric Românesc,” Memoriile Secției de Științe Istorice și Arheologie a Academiei Română, Seria V, Vol. 41 (2022), pp. 195–250.
Protecting the HA Solar Spectrum Filter in Winter Low Temperatures
Authors:   Astronomical Institute of the Romanian Academy, BLAGOI Octavian , Dănescu Cristian ,   Astronomical Institute of the Romanian Academy
Published: April 2024

In this article we describe the developement of an insulated box with a thermostat controller to protect the sensitive Baader Solar Spectrum H alpha filter in the low temperatures of winter. Our goal is to facilitate daily solar synoptic observations in all seasons.
HIGHER POWER MOMENTS OF COEFFICIENTS ATTACHED TO THE DEDEKIND ZETA FUNCTION
Authors:   Weinan Normal University, HUA GUODONG , CHEN BIN ,   Weinan Normal University
Published: April 2024

Let K3 be a non-normal cubic extension over Q. In this paper, we investigate
the higher moments of coefficients aK3 (n) of the Dedekind zeta function of the
following type X n≤x al K3 (n), where l ≥ 4 is any fixed positive integer.