bluuebunny/crossref_metadata_2025 huggingface dataset:
Frequency of Etiological Factors Involved in patient of Epistaxis presenting at D.G Khan Hospital, D.G Khan
Authors: Saleem Muhammad Wahid , Khan Ghulam Dastgir , Hussain Ashfaq , Bhutta Muhammad Farooq , Afzal Muhammad , Nasir Rao Ammar
Published: May 2023

Objective: To determine the frequency of etiological factors involved in patient of epistaxis presenting at D.G Khan Hospital, D.G Khan. Study design: Cross sectional study Place and duration: Department of ENT, D.G Khan Hospital, D.G Khan from January 2022 to September 2022. Methodology: Total 167 patients with acute episode of nasal bleeding, either male or female, age between 10-60 years were recruited and etiological factors of episode were evaluated. Results: Total 167 patients with Epistaxis were selected. Mean age was 39.03 ± 14.97 years. Age range was 10-60 years, Males were 103 (62%) while females were 64 (38%). The commonest cause of epistaxis was idiopathic 86 (51.5%) cases, followed by nasal trauma 39 (23.4%), Nasopharyngeal carcinoma 11 (6.6%), sinusitis 9 (5.4%), tumors 5 (3%) bleeding disorder 8 (4.8%) and hypertension in 9 (5.4%) patients. Practical implication: Understanding the frequency of etiological factors involved in patients with epistaxis is a critical objective. The practical implications of this research could have significant benefits for the community: 1. Improved Clinical Practice: By determining the common causes of epistaxis, healthcare professionals can improve their diagnostic approach, providing more accurate and timely treatment, ultimately leading to better patient outcomes. 2. Early Intervention and Prevention: Understanding the etiological factors may enable the development of preventative strategies or early intervention approaches, potentially reducing the overall incidence of epistaxis. 3. Education and Awareness: This study could lead to increased public awareness about the common causes of epistaxis, encouraging individuals to take necessary precautions and seek early medical attention when needed. 4. Resource Allocation: Health resources could be better distributed based on the findings of this study, ensuring that facilities and personnel are adequately equipped to handle the most common causes of epistaxis. Overall, this study could substantially contribute to the community's overall health by enhancing the management and understanding of epistaxis. Conclusion: Results was present study showed that most common etiological factor of epistaxis was Idiopathic and nasal trauma was second in number. In most of cases, right nasal cavity was involved. Male were more victim of epistaxis as compared to females and epistaxis was commonly seen in 4th and 5th decade of life. Keywords: Epistaxis, Nosebleed, Idiopathic, etiology, nasal tumor, hypertension, nosebleed
Diagnostic Accuracy of complete Blood Count versus Serum Ferritin in Diagnosis of iron deficiency Anemia in Pregnant Women
Authors: Wajid Rabia , Ahsan Amna , Fayyaz Saira , Sehar Nadia , Masood Hina , Tariq Rizwana
Published: May 2023

Objective: To determine the frequency of confirmation of iron deficiency anemia in pregnant female on serum Ferritin who are labeled to have iron deficiency anemia on CBC in third trimester. Study Design: Cross-sectional study Study duration: October 2021 to March 2022. Setting: Department of Obstetrics & Gynecology Lady Willingdon Hospital. Patients and Methods: A total of 200 patients who came to OPD were selected. Detailed history was obtained from patients and physical examination performed. CBC and serum ferritin was determined for every patient. All data was entered into the especially designed proforma. Results: Anemia was diagnosed in 74(37%) women. Highest frequency of anemia was seen in women in age group 20-30 years (33.78%), and in women with household income of Rs.15000/- to 50000/- per month. Mean hemoglobin of women was 11.41±1.05 gm. /dl. Mean MCV of women was 83.12±8.45 fl. Minimum and maximum MCV was 68 and 95 fl respectively. Mean serum ferritin level of women was 13.14±2.34 µ/l .Anemia was diagnosed in 75(37.50%) women as per complete blood count criteria. Anemia was diagnosed in 74(37%) women as per serum ferritin level criteria. Practical implication: This study will significantly contribute to the understanding and management of iron deficiency anemia in pregnant women, particularly during the third trimester. By confirming diagnoses through serum Ferritin tests in addition to complete blood count (CBC), the study can enhance the accuracy of diagnosis and treatment. Accurate detection of iron deficiency anemia will allow for more targeted and efficient treatment, thereby improving maternal and fetal health outcomes. Furthermore, this research could inform public health policies and intervention strategies aimed at preventing and managing iron deficiency anemia in pregnancy, ultimately improving the overall well-being of the community. Conclusion: Results of this study revealed that Serum ferritin level is a better diagnostic test for early detection of iron deficiency anemia in pregnant women. Keywords: Confirmation, Iron deficiency, Anemia, Pregnant, Serum Ferritin, Complete blood Count, Third trimester.
Antenatal Anxiety in Pregnant Women Undergoing Cesarean Section
Authors: Ashraf Saima , Faisal Sanober , Huma Zill E , Nadeem Nida , Khan Aamir , Shahid Fareeha
Published: May 2023

Objective: frequency of antenatal anxiety in pregnant women undergoing cesarean section Methodology: A total of 100 patients fulfilling selection criteria were enrolled in the study through OPD Department of Obstetrics & Gynaecology, Nishter Medical University, Multan. Demographical information like age, gestational age and parity was recorded. All the cases were evaluated through The Hamilton Anxiety, rating scale (HAM-A) and positive cases (anxiety) were recorded on a pre-designed proforma as described in operational definitions. Severity of anxiety was also recorded. Patients with anxiety were managed as per standard protocols. Results: In our study, of 100 cases, mean age as 30.45+5.02 years, mean gestational age was 39.35+1.17 weeks, mean parity was 2.34+0.93, mean Hamilton Anxiety Rating scale of the patients was 17.48+7.42 with minimum 3.00 and maximum 30.00. Frequency of anxiety status of the patients shows that 13(16.3%) had no anxiety, 29(36.3%) had mild, 20(25%) had moderate and 18(22.4%) had severe anxiety. Practical Implication: determination of the antenatal anxiety in pregnant women undergoing cesarean section would help in the prevention and early management of anxiety in our population. Conclusion: According to this study, 16.3% of pregnant women undergoing cesarean section had antenatal anxiety Keywords: Pregnant women, cesarean section, elective, emergency antenatal anxiety, Hamilton Anxiety, rating scale
Effect of Carica papaya Leaf Juice on Bone Marrow Aspirate of Busulfan-induced Chronic Bone Marrow Aplasia in Mice
Authors: Abbasi Sofia Yasmeen , Qayyum Muniza , , Saghir Gul Pash , Chiragh Sadia , Rashid Nazia , Kanwal Fauzia
Published: May 2023

Introduction: Aplastic anemia is a disorder characterized by peripheral pancytopenia and hypoplastic bone marrow. Papaya, botanical name Carica Papaya, is a tropical fruit with a wide range of benefits. In past couple of years, researches have been carried out on beneficial outcomes of papaya leaf juice on blood and bone marrow, particularly platelet count. Aim: Taking into consideration the beneficial effects of papaya leaves on bone marrow, current research was done to probe the effects of C.papaya leaf juice on bone marrow differential cell count and cellularity in myelosuppressed mice where busulfan was used to induce myelosuppression. Study Design: Experimental. Place and Duration of Study: our study was performed in Post Graduate Medical Institute, Lahore in one year time. Materials & Methods : It was an animal experimental study of 23 days in which 36 adult healthy swiss albino mice weighing 30-35 g of either sex were segregated into three groups with 12 mice in each group. Busulfan at a dose of 14mg/kg was given orally to the busulfan group to induce myelosuppression and to the C.papaya +busulfan group on 8 occassions (0, 3,8,11,15,18,21&23) for a duration of 23 days. To observe the myeloprotective effect of Carica papaya leaf juice 10ml/kg of juice was given to the C.papaya + busulfan group daily for 23 days. After the final dose of busulfan and Carica papaya leaf juice on day 23, the samples for bone marrow aspirate were collected on same day. Results: The current study has revealed that C.papaya leaf juice not only prevented a decrease in all parameters of bone marrow aspirate but also maintained their normal values close to normal. The megakaryopoiesis was however found to be significantly higher than the normal. Keeping in view these beneficial effects carica papaya leaf juice can be used in chemotherapy induced thrombocytopenia and other related clinical conditions. Conclusion: it can be concluded from this study that C.papaya can be used in all such conditions that lead to fall in chemotherapy induced thrombocytopenia because of its property to increase megakaryopoiesis. Keywords: C.papaya, Busulfan, Megakaryopoiesis, Bone marrow failure.
Neuroimaging in Cerebral Small Vessel Disease
Authors: Awan Inayatullah , Khaskheli Muhammad Asif , Akbar Ali , Ali Muhammad Munwar , Narejo Mumtaz Ali , Shaikh Khairunisa
Published: May 2023

Objective: To determine the role of neuroimaging in cerebral small vessel disease’s diagnosis and treatment. Study Design: Cross-sectional study. Place and Duration of Study: Department of Neurology, Khairpur Medical College, Khairpur Mir’s from 1st January 2022 to 30th September 2022. Methodology: Seventy five patients were enrolled. The patients were divided in to 5 groups depending on a 5 year interval in their age. The cases of CSVD were included suffering from transient ischemic attack (TIA), lacunar syndromes, stoke with subacute symptoms as cognitive as well as motor disturbances. The age of the patients was >45 years. Clinical examination was conducted through standard procedure and each patient underwent brain magnetic resonance index (MRI) imaging. The neuroimaging features including white matter hyperintensities (WMH), lacunar infarcts (LI), enlarged perivascular spaces (EPVS), microbleeds, lacunae, brain atrophy, and subcortical infarcts. Binswanger’s disease, as well as leukoaraiosis, lacunar strokes and cerebral microbleeds (CMBs) were also observed. The MRI used 3.0 MRI system, using 32-channel head coils.The regions scoring was done through Kippss or Dacies score, as well as through MTA-scale, Koedam score, and GCA-scale, ranging within 0-3 points Results: There are more cases of females suffering from CSVD than males, however only in year 70 there was an equal incidence within gender. There was a significance association of CSVD markers with age wherein the WMH has a significant increase in trend with the ascending of year interval. Fazekas scale was applied quantify amount of the white matter T2-hyperintense-lesions which are accredited to CSVD. It was observed that presence of SVD markers in various age stratification showed highest incidence of MTA scale, Koedam score, Kippss/Dacies score and 3 markers numbers The WMH, CMBs, LI and EPVS were observed highest in the age group of 61-65 years while BA was observed highest in 66-70 years of age Conclusion: Neuroimaging techniques prove beneficial in exact and timely diagnosis of cerebral small vessel disease. Increasing age has higher risk of CSVD presented through increase incidence in CSVD markers. Keywords: White matter, Cognitive, Recurrence, Mortality, Etiology
Comparison of Estimated Blood Loss between Tranexamic Acid and Control in Women Undergoing Elective Cesarean Section
Authors: Masood Javeria , Hayat Zartaj , Ahmed Nadia , Jabeen Robina , Shifa Nazish , Masud Faiza
Published: May 2023

Background: Tranexamic acid is being utilized related to uterotonic agents to treat hemorrhage post-delivery. Evidence suggests that tranexamic acid may reduce bleeding and resultant chances of postpartum hemorrhage. However, limited data is available on the prophylactic utilization of tranexamic acid in local women undergoing elective lower segment cesarean section. This study aimed to compare reduction in mean blood loss between control and tranexamic acid group during and after elective lower segment cesarean section. Methodology: This randomized controlled trial was done in a period of 6 months i.e. 17th December 2018 to 17th June 2019 in the Department of Gynecology and Obstetrics, FUI, Fauji Foundation Hospital, Rawalpindi. Sixty women were randomly equally allocated to Group A (tranexamic acid) and Group B (non-tranexamic acid). Patients were given tranexamic acid 1gm intravenous 15 minutes before skin incision. Hemoglobin and hematocrit levels were estimated on second post cesarean day (before discharge) as well to measure outcome i.e. estimated blood loss. Results: In tranexamic acid group, mean estimated blood loss following elective lower segment cesarean section found to be 301.66±64.97 ml while in non-tranexamic acid group it was 433.33±137.29 ml. The significant (P<0.05) difference was noted. Conclusion: The mean estimated blood loss reduced significantly in patients who were given tranexamic acid before elective lower segment cesarean section than those who were not given tranexamic acid. Keywords: Postpartum hemorrhage, tranexamic acid, elective lower segment cesarean section (E:-LSCS)
Assessment of Body Image Distress in Women with Polycystic Ovarian Syndrome
Authors: Zaman Salma , Yunus Saira , Noor Khadija , Asif Uzma , Hayat Rabia , Raana Gul-e , Khan Anosha , Noor Khaula , Khan Misha
Published: May 2023

Background; Polycystic ovary syndrome (PCOS) is one of a common hormonal issue among women of childbearing age. Multiple cysts formation in ovaries, high level of androgen hormone and lack of ovulation and abnormal body appearance could be symptoms of PCOS that leads of severe negative effects on women mental health. Objective: To find out the association of body-appearance and mental health with PCOS. Study Design: Prospective cross-sectional study Place and Duration of Study: Department of Obstetrics & Gynaecology, Services Institute of Medical Sciences Lahore from 1st July 2022 to 31st December 2022. Methodology: This was questionnaire base study in which 54 PCOS suffering women and 67 control females were participated. Questions were asked about their body-image satisfaction and behavior towards sexual activities in routine life. Results: Average age in years of PCOS patients was 37.3±17.2 and control group was 44.8±13.7, average weight was 88.6±23.9 kg and 79.5±17.2 kg respectively. All were married and more than 60% of them were housewives. 9 questions were asked related to body image of PCOS patients and 63% of them were not feeling depressed about their physical appearance while only 13% were very much concerned and not satisfied with their physical appearance. Conclusion: Although PCOS has some negative effects on body appearance due to increased androgen level that might has some impact on self-confidence and less satisfaction with routine sexual life end up with depression and anxiety or some other mental disturbances, but there was no significant association was found between PCOS body-image and mental health. Keywords: Assessment, Body image distress, Polycystic ovarian syndrome
Sociodemographic Characteristics and Forensic Evidence of Sexual Assault Victims
Authors: Samad Abdul , Khalid Aisha , Imran Shahla , Akhter Naseem , Bibi Ishrat , Naz Ramlah
Published: May 2023

Objective: To evaluate sociodemographic characteristics and forensic evidence of sexual assault victims. Study Design: Retrospective study. Place and Duration of Study: Medicolegal section of Peoples Medical College Hospital (PMCH) and Department of Forensic Medicine & Toxicology, Peoples University of Medical & Health Sciences, Nawabshah District Shaheed Benazirabad from 1st January 2019 to 31st December 2021. Methodology: One hundred and forty female victims of sexual assaults were enrolled. Results: The reports of sexual assaults were higher in females of 15-25 years age group (55.71%) as compared to the age group of 26-35 years (34.29%). With reference to marital status, occupation, and socio-economic class, most of the females were unmarried (66.43%), nonworking (44.29%), and from the lower class (65.71%). A discrepancy was found between positive penetration history (72.14%) and positive laboratory findings (43.57%) which could be attributed to reporting of a sufficient number of sexual assaults after 48 hours (37.86%). Conclusion: The women of younger age (15-25 years) and having low access to paid employment were more prone to sexual assaults. The time-lapse between the occurrence of incidence and collection of forensic evidence could impact the agreement between penetration history and laboratory analysis. Keywords: Sociodemographic, Forensic evidence, Sexual assault victim
Recent developments in goods imports in light of certain determinants
Authors: García Esteban Coral , Gómez Loscos Ana , Martín Machuca César
Published: May 2023

Rationale

Spanish goods imports grew in 2022 above what could be expected based on their traditional determinants (final demand and price competitiveness). It is therefore worth studying which additional elements underpinned purchases abroad.

Takeaways

•Energy market tensions caused by the Russian invasion of Ukraine boosted energy imports, due to stockpiling strategies against possible supply problems and for re-export to other EU countries.

•Imports of goods with energy-intensive productive processes appear to have benefited from the loss of competitiveness of domestic production resulting from higher energy commodity prices.

•The strong import growth also seems to have stemmed from the shift in industrial production towards sectors with a higher import content, the demand for which would have increased due to changes in habits in the wake of the pandemic (e.g. pharmaceuticals, IT and telecommunications) and the recovery in mobility (e.g. textiles).
Preliminary procedures and characteristics underlying the application of consolidation techniques
Authors: Curagau Natalia , Cusmaunsa Rodica , Tugulschi Iuliana
Published: May 2023

The need to form financial and industrial groups in the Republic of Moldova was determined by the development of market relations, large-scale privatization, structural changes in production, the predominance of international trade over domestic production, etc. Consolidation is a technique that allows the presentation of unified information for groups of organizations that are legally independent but financially connected or dependent on a common decision-making center. This procedure allows you to present the financial statements, overall results, economic benefits of these economic units, as for a single entity.
The challenges of an inclusive study on sedimentary rocks for students in the 6th grade of elementary school
Authors: Santos Cibelle Dirce dos
Published: May 2023

Understanding Physical Geography and its learning processes in the school environment often leads us to a traditionalist conception that was perpetuated for many years, with a descriptive geography with German characteristics and many contents that involve memorization. Currently, thinking about learning results in enabling a practical and interactive content that should be worked with children aged 11 and 12 years. As a methodological proposal, we seek to build paths for the understanding of Physical Geography, valuing the student's daily life. To this end, this extensionist proposal includes integrative activities on the theme of Sedimentary Rocks, thinking about pedagogical strategies integrating socio-environmental practices in the elaboration of didactic materials, scripts for field practices, including students in local and global realities, valuing their place and their learning time.
Exploring the Impact of Green Employee Training on Employee Performance: A Case Study of Nairobi City County Government, Kenya
Authors:   Kenyatta University, Anyona Beatrice Orenja
Published: May 2023

The aim of this study was to investigate the GHRM on Employee Performance in the department of HRM in the Nairobi City County Government. The study was a survey, which sought to make inquiries from the staff members of the department of HRM in the Nairobi City County Government on the Green HRM practices. In order to ensure that the objectives of the study are met, validity was tested by having objective questions included in the questionnaires to ensure that they measure the variables as required. The finding revealed that green employee training had a positive and significant effect on employee performance at the department of human resource management in the Nairobi City County Government (β =.367, p=.000<.05). Based on the findings, the study concludes that green employee training has positive and significant effect on employee performance. Also, the type and quality of green employee training provided can have a significant impact on its effectiveness because training that is well-designed, relevant to the employee's job role, and delivered in an engaging and interactive way is more likely to result in improved employee performance. Investing in green employee training can be a cost-effective way to improve employee performance in Nairobi City County Government. By providing employees with the knowledge and skills to carry out their job roles in a more environmentally sustainable way, organizations can contribute to the achievement of sustainable development goals while also improving their own performance. The study thus recommends that the management of Nairobi City County should develop strategies and systems for green employee training activities that are more integrated in the Human Resources management system. Companies can create programs to motivate employees to have green environmental behavior at work. Keywords: Green employee training, Employee performance, County Government, Human resource practices
Technology Adoption, Human Resource Management Strategies and Employee Satisfaction in the Hospitality Industry in Malaysia
Authors:   Universiti Malaya, Twan Tash W.
Published: May 2023

Human resource management strategies in the hospitality industry remain critical area of study; nonetheless, it has become an integral part of people’s daily lives. ICT and by extension IMT are everywhere with major economic sectors adopting the technique to enhance their operations. The purpose of this study was to investigate the role of hospitality human resource management strategies in enhancing competitiveness through customer satisfaction in Malaysia with a focus on five 5-star hotels in Kuala Lumpur. The study aimed at investigating how IMT enhanced consumer product awareness, service quality, and employee performance toward customer satisfaction. The study mostly used open-ended questionnaires administered to 91 participants who involved employees and customers of the 5 hotels. Quantitative data was analyzed descriptively using Excel and presented through charts and narrative form. The response rate was 84%. Findings from the study indicated that product awareness, service quality, and employee performance enhance customer satisfaction within the hotel sector. The study recommended that managers in the hospitality sector design better ways of using IMT to ensure competitive advantage. Suggestions are made on further research should focus on the role played by IMT in enhancing customer preference and buying behaviours, using in-depth approaches in other service sub-sectors like tour operators and travel agents. Keywords: Human Resource Management, Employee Satisfaction, Hospitality Industry, HRM Strategies, Malaysia
Systemic and oral health status of older adult inpatients in an intensive care unit
Authors: Miranda Alexandre Franco , Félix Rodrigo Alexandre , Sá Josiane Costa Rodrigues de , Oliveira Maria Liz Cunha de
Published: May 2023

Objective: To assess the systemic and oral health status of geriatric patients hospitalized in an intensive care unit (ICU). Methods: A cross-sectional descriptive study of a convenience sample of 78 older ICU inpatients. A single calibrated examiner collected demographic and clinical data by analyzing patients’ records and assessing their oral cavities. Descriptive data analysis was performed to a 5.00% significance level. All patients provided informed consent and were conscious during the oral health assessment. Results: The mean age was 77.69 years and 51.28% of the sample were male. The main reasons patients were admitted to the ICU investigated were postoperative conditions (23.08%) and cardiac abnormalities (20.51%). Systemic arterial hypertension (69.23%) was the most prevalent comorbidity and patients were being treated with anticoagulants (57.69%) and antimicrobials (53.85%). Most patients did not receive oral care (64.10%), while 29.49% of them received it only once, and 57.69% were denture users. The mean decayed, missing, and filled teeth index was 23.74 (17.44 missing teeth, on average) and majorities had tongue biofilm (71.79%) and unsatisfactory oral hygiene during their time in hospital (84.62%). Conclusion: The oral status of hospitalized geriatric patients was characterized by poor hygiene and edentulism.
CITRA DAN KEPRIBADIAN MANUSIA DALAM PERSPEKTIF PSIKOLOGI ISLAM
Authors: Elawati Susila , Warsah Idi , Purnama Sari Dewi
Published: May 2023

This paper aims to examine the image and personality of human beings in the perspective of Western psychology and Islamic psychology. The writing method used is a qualitative method (qualitative research). As for the process of analyzing the data, the author uses the descriptive-analytical analysis method. This paper proves that the study of human image in the review of Western psychology and Islamic psychology has similarities. Similarly, in the humanistic school of psychology the image of the human being is seen as a good being and has unlimited potential (homo ludens). This view is consistent with the teachings of Islam as well as the Eastern people's view of man. However, in understanding human personality, Western psychology and Islamic psychology have differences. First, in the perspective of Western psychology, the study of human personality is ethically neutral, that is, it only displays the personality that appears as it is.In the perspective of Islamic psychology, the study of human personality is ethically laden, that is, it displays the personality that should be. Second, in the perspective of Western psychology, the study of personality only looks at the empirical (environmental) aspect, without looking at the mental (spiritual) aspects behind the human personality.In the perspective of Islamic psychology, the study of personality not only looks at the empirical (environmental) aspects, but also looks at the mental (spiritual) aspects that underlie the human personality. Third, in the perspective of Western psychology the study of personality is anthropocentrically oriented, which means that the human personality is influenced by human potential alone, and negates the existence of interference or will from God Almighty. Meanwhile, the study of human personality in the perspective of Islamic psychology is anthropo-religiouscentric oriented, which means that human personality is not only influenced by human potential, but also there is interference or will from God Almighty.
Next step of: Publishing Research Output Continuously (PROCess): The case of modular publishing
Authors: van Ravenzwaaij Don
Published: May 2023

New module based on: A grant proposal for the Dutch Research Council's Open Science Fund. The summary: Many new tools are built in the effort to open science, some with the idea that their mere presence will resolve underlying problems. Making impactful cultural change, however, is an ongoing social effort. In this project, we team up with ResearchEquals to create a community of practice for modular publishing in the Netherlands. Specifically, we provide multiple training sessions on how to get started with publishing each step of the research process, accompanied by an ethnographic study of the participating researchers. To sustain the training materials beyond the grant runtime, we create an open educational handbook.
The Impact of Nursing Handover on Nurses’ Mood
Authors:   Faculty of Nursing, International Hellenic University, Thessaloniki, Greece, Manomenidis Georgios , Mavrogiannakis Ioannis ,   School of Medicine, University of Crete, Heraklion, Crete, Greece
Published: May 2023

Objective: To estimate the impact of nursing handover on nurses’ mood after the end of the nursing shift report. Methods: A cross-sectional, repeated-measures design study involving a diary questionnaire was conducted during November - December 2019. Data were collected from 125 nurses working in a public hospital in Northern Greece. 375 diaries were returned. Mood change was measured using the UWIST Mood Adjective Checklist instrument that describes three mood factors (Hedonic Tone, Tense Arousal and Energetic Arousal). Results: A significant change in nurses’ mood before and after the nursing handover was reported and more specifically, an increase in positive and a decrease in negative mood state was observed. A change in all mood groups - Hedonic Tone, Tense Arousal and Energetic Arousal was also identified. Nurses with many years of experience who work in internal medicine, increased their Hedonic Tone (P=0.001) and decreased their Tense Arousal (P=0.005). Conclusion: The benefits of nursing handover are long established and is suggested as the most appropriate period of time for nurses to achieve emotional change before leaving from work. Nurses are advised to use the nursing handover as an opportunity to psychologically disengage from work and increase their positive mood.
Characterization of Patients with Noonan Syndrome-Type Rasopathies by PTPN11 Variant
Authors: de Beldjenna Liliana Mejía
Published: May 2023

Introduction: RASopathies are a set of phenotypically overlapping syndromes caused by mutations in genes that play a role in the RAS/MAPK pathway involved in development through growth factors. The most common is Noonan Syndrome (NS) which is an autosomal dominant genetic disorder, of low prevalence and which in 50% of cases is associated with variants in the PTPN11 gene. Clinical manifestations are short stature, dysmorphic facial features, congenital heart defects, most commonly pulmonary valve stenosis, typical chest, and cryptorchidism. Results: We describe 4 patients with RASopathy Noonan syndrome due to alteration in the PTPN11 gene: 3 males, and 1 female, with an average gestational age of 37.6 weeks, 2.9 kg of weight, and 45.5 cm of height at birth. 100% had: palpebral ptosis, winged neck, pectum carinatum, and short stature, 75% had heart diseases such as subaortic stenosis and ventricular septal defect, and 33% had hypoacusis and altered genitalia. The genetic variants found in the PTPN 11 gene, all heterozygous were: in the sporadic males: Exon 7 c.836 A>G. pTYR:279cys, and c.417G>C (p. Glu139Asp) and p.Asn 308 Ser , c..923A>G heterozygosis. The female with a variant in c.417G>C (p. Glu139Asp) whose mother has SN. Analysis: We found the PTPN11 gene variant in all our patients with NS, 75% being sporadic and 25% familial. Although the diagnosis of Noonan syndrome is clinical, this variant according to the literature is found in 50% of patients, in almost 60% of familial cases, and in almost 40% sporadic. There is a phenotype-genotype correlation in these patients and it is suggested that they should be monitored for predisposition to malignancy. Conclusions: It is essential to typify the clinical and genetic alteration in patients with RASopathies so that physicians involved in the care of these patients are familiar with the diagnosis, genetic variant, manifestations, and clinical follow-up, especially because of their predisposition to malignancy
The Educational Journey: Bildningsresa (Swedish), Bildungsreise (German), and Personal Development
Authors: Kraus Anja , Pemsel Maria
Published: May 2023

The focus of this article is on the social and personal development of children. The essay's point of departure is a specific idea about holistic personal development in the classroom with reference to the philosopher Michel Serres. A historical perspective will be added by the concept of the bildungsreise (in French, Le Grand Tour; in English, educational or cultural journey). This perspective allows us to raise the question of how the idea of increasing self-awareness, coping with life challenges, and the tuning of long-standing aspirations through an educational journey can be related to the concepts of bildung (German) and bildning (Swedish). To understand bildning, a girl's survival in a wide, mystical forest in Astrid Lindgren's novel Ronia, the Robber's Daughter will be sketched as an example of a bildningsresa. A bildningsresa differs somewhat from a bildungsreise. We subsume bildungsreise and bildningsresa under the concept of the educational journey, with the awareness that this term has its own history that we cannot thematize. Modelling the idea of bildung and bildning within the glocalized world, the idea of an educational journey will be connected to personality development in the classroom, seen in Serres's terms.
The Aesthetic Value of Film
Authors: Franco Abel B.
Published: May 2023

I defend that the distinctive object of our aesthetic evaluation of films is the full emotional experience, taken as a unified whole, that we go through as we watch a film and that I call the viewer's film emotional life. The aesthetic value itself—the positive quality we perceive in the experience of having had a certain film emotional life—is in the significance we experience in that film emotional life insofar as it contributes to the discovery and the exploration of the viewer's human and individual emotional nature. I finally suggest that the explanation of the positive felt quality of such experience is in the progress it represents regarding our resourcefulness as emotional subjects toward the realization of our individual ideal of life.
An Empirical Study on Green Finance and High-quality Economic Development in Yangtze River Delta Region
Authors: Liang Beibei , Zhang Jinjing , Liu Qi , Fang Jie , Gao Lefan , Zhou Zejiong
Published: May 2023

As a "lubricant" and "booster" for green development, green finance plays an important role in promoting high-quality economic development. As one of the most active regions in economic development, the Yangtze River Delta region leads the country in the development of green finance. This paper takes the Yangtze River Delta region as the research object, uses the relevant data of green finance and high-quality economic development from 2010 to 2021, uses the coupled coordination model to analyze the coordinated development of green finance and high-quality economic development in the Yangtze River Delta region, and uses the grey correlation model to analyze the correlation degree of the two systems. It provides an empirical basis for the formulation of green finance policies in the Yangtze River Delta.
Recent progress of cryogenic thermoelectric materials
Authors: Zhou Min
Published: May 2023

Solid-state thermoelectric (TE) materials can directly convert heat into electricity and vice versa without any mechanically moving parts or emissions. In recent years, the research of thermoelectric materials has made great progress, especially in the field of waste heat power generation at middle or high temperatures. However, the applications at cryogenic temperatures have not been paid much attention to. Here we review the recent progress of cryogenic thermoelectric materials. Some new trends, strategies and opportunities are discussed. Finally, some prospects for the future research of cryogenic thermoelectric materials are presented.
Bucco-maxillo and systemic repercussions of the mouth breathing syndrome: a comprehensive review
Authors: Menezes Maria Paula Ustulin , Pontes Camila Said , Costa Edilaine Aparecida Rodrigues , Beneti Igor Mariotto
Published: May 2023

Introduction: Mouth breathing syndrome is characterized by full or partial breathing through the mouth. Its most frequent causes are allergic rhinitis and enlarged tonsils and/or adenoids. These conditions interfere with the passage of air through the nose and upper airways, causing the child to breathe through the mouth. The treatment of the syndrome is done in a multidisciplinary way and counts on the participation of the dental surgeon, who will monitor and take care of any damage to oral health. Objective: It was to present, through a comprehensive review, the main considerations of mouth breathing syndrome in childhood and youth and the role of orthodontics in the management of this problem. Methods: The research and development of the work were carried out from January to March 2023 in the Scopus, PubMed, Science Direct, and Scielo databases, using scientific articles from 2009 to 2022, following the PRISMA rules. Results and Conclusion: It was found 94 studies performed eligibility analysis. The final sample had 28 eligible studies and only 13 studies were described in the comprehensive review. The major cause of mouth breathing syndrome is nasal obstruction, but nasal and facial deformities, allergic rhinitis, septum deviation, tonsils, and nasal conchae, and adenoid hypertrophy also frequently occur. Mouth breathing syndrome negatively affects the respiratory system, cardiovascular system, sleep, hematopoietic system, gastrointestinal tract, endocrine system, and Dental-Skull-Facial development. Thus, the dental surgeon needs to acquire in-depth knowledge about the subject, so that he can develop educational-preventive programs in the place where he works, to promote health and quality of life.
O BASQUETE EM UM PROJETO SOCIAL: DESENVOLVIMENTO E QUALIDADE DE VIDA FRENTE AO TRANSTORNO DO ESPECTRO AUTISTA
Authors: De Freitas Lessandro Antonio , Palma Thiago , Teixeira Felipe da Silveira
Published: May 2023

O esporte quando praticado por pessoas com deficiência auxilia na redução dos estereótipos que qualificam esse grupo como incapaz e sem autonomia, de modo que devem ser assistidos a todo o momento. Assim, é possível fortalecer a discussão e compreensão sobre a necessidade de valorizar as diferenças individuais. O objetivo deste trabalho foi analisar como que um projeto social de basquete desenvolvido no estado de Minas Gerais (MG) melhorou a qualidade de vida de um aluno com o transtorno do espectro autista (TEA), discutindo como as intervenções realizadas pelo projeto afetaram o cotidiano do mesmo. Para a coleta de dados foi utilizado o questionário, a primeira parte foi destinada à caracterização do respondente, já a segunda parte totalizou cinco questões e tratou diretamente do tema pesquisado. Conclusão: o projeto de basquete impactou no desenvolvimento motor, onde o aluno apresentou uma melhora quantitativa no deslocamento (corrida), além disso, demonstrou desenvolvimento das capacidades cognitivas (atenção), e consequentemente melhorou a comunicação verbal.
The Direction of Housing Policy for the Elderly of Various Types
Authors:   Korean Association of Aggregate Building Law, Kim Sung-Wook
Published: May 2023

In the case of Korea, as the entry into a super-aged society becomes a reality, various policies targeting the elderly are being implemented. In this dissertation, I have examined from what perspective it is rational to set the direction of housing policy, among various policies for the elderly. The main contents are summarized as follows. First, the supply entity of public (rental) housing should be diversified, and policies should be implemented to manage and quickly supplement aging housing.
Second, rather than separating only the elderly and providing an integrated legal basis, it may be more appropriate to design and implement various types of housing models in each law in cooperation with related government agencies. Third, it is necessary to develop various types of housing models for the elderly. Fourth, it is necessary to allow the elderly to receive various services while living at home, and for the elderly in rural areas in poor conditions, it is necessary to ease the conditions of service. Fifth, in the case of housing renovation services for the elderly, it is necessary to establish a policy by receiving universal services rather than limiting the eligibility for application.
The Issue of Claims for Return of Unjust Unrichment between the Land Co-owner who are not the Sectional Owner and the Sectional Owner
Authors:   Korean Association of Aggregate Building Law, Kim Seong-eun
Published: May 2023

The Supreme Court Decision 2017Da257067 changed the previous precedent on the issue of claim for return of unjust enrichment between the land co-owner who are not the sectional owner and the sectional owner.
In the case of joint ownership of the site of the condominium building, the general rule of co-ownership under the Civil Act does not apply, and a new legal principle was proposed that the land co-owner who are not the sectional owner cannot claim the return of unjust unrichment against the sectional owner who has an proper share of the site according to the area ratio of the section for exclusive use.
This decision was based on the concept of ‘proper land share’ as well as the integral indivisibility of the section for exclusive use and the right to use site. However, I think that excluding the application of general legal principles regarding co-ownership under the Civil Act in the joint relationship of the site of the condominium building is an interpretation that goes beyond the contents of the Act on Condominium Buildings. Therefore, it is reasonable to assume that even in the sharing relationship of the site for condominium building, the co-owner of the site, not the sectional owner, can claim the return of unjust unrichment from the use and profit of the site against the sectional owner.
The Geographic Scope Of Opposition Challenges In Malaysia's Parliament
Authors: Dettman Sebastian
Published: May 2023

During the long rule of the BN (Barisan Nasional) coalition prior to 2018, Malaysia's parliament, the Dewan Rakyat, was largely absent from analyses of political contestation between the ruling government and its opposition. Nevertheless, during this period, opposition MPs were active
users of available legislative tools such as parliamentary questions, offering a rich source of data about their priorities and political positioning. This article investigates how MPs from the opposition used parliamentary questions to build their public reputations, and whether those reputations
were built around attention to local, subnational, or national issues. It uses an original dataset of over 37,000 oral questions submitted by MPs in Malaysia's House of Representatives from 2008 to 2018. I find that opposition MPs were more likely to focus on local and subnational reputation-building
compared to ruling government MPs. These differences were especially pronounced in East Malaysia, where opposition MPs were heavily oriented towards local infrastructure and issues of state underdevelopment and autonomy. I explain these findings as a result of the opposition's need to build
a constituency reputation in lieu of access to state resources, as well as a greater responsiveness to local- and region-specific grievances. This focus both complements, and differs from, how Malaysia's MPs used extra- parliamentary strategies to cultivate personal and party reputation.
Effect of Progressive Tax on Regional Income
Authors: Maharani Deswita , Mudzakar Mochamad Kohar
Published: May 2023

This study aims to explore the effect of Progressive Tax on Regional Original Income, one of the SAMSAT Revenue Management Centers in Cimahi City, for 2018-2022. Progressive Tax is an independent variable, while Local Own Revenue is the dependent variable. This research method uses quantitative research methods with a descriptive approach. The results of this study indicate that Progressive Taxes have a significant effect on Regional Original Income. To increase the effect of Progressive Tax on Regional Original Income, one of the SAMSAT Revenue Management Centers in Cimahi City. It is best to strengthen related laws and regulations and improve the performance of regional apparatus to optimize tax revenue and original regional income.
The Impact of Information & Communication Technology on Land Transportation Service Business on Indonesia (Case Study in Central Sulawesi Province)
Authors: Djawa Sutrisno K
Published: May 2023

The development of information and communication technology (ICT) has an impact on the land transportation service business in Indonesia. ICT enables efficiency and effectiveness in business processes, but also has an impact on changing consumer behavior and competition between companies. Therefore, this study was conducted to determine the impact of ICT on land transportation service business in Indonesia. The purpose of this study is to determine the impact of ICT on the land transportation service business in Indonesia, both in terms of efficiency and effectiveness of business processes as well as in terms of changes in consumer behavior and competition between companies The research method used is a qualitative approach by conducting in-depth interviews with key speakers, observing the symptoms and phenomena of transportation flows, and conducting a rigorous literature review. The results obtained from this study are that the use of ICT in the land transportation service business in Indonesia has a positive impact on the efficiency and effectiveness of business processes, as well as has an impact on changing consumer behavior and competition between companies. In terms of efficiency and effectiveness, the use of ICT helps companies in increasing productivity and reducing operational costs. Meanwhile, in terms of changes in consumer behavior, the use of ICT allows online ordering and payment, making it easier for consumers to use land transportation services. The impact of ICT on competition between companies can be seen from the existence of new companies that emerge with different business models and are more innovative in using ICT.
The Mediating Role of Attitude Toward Product Towards Halal Cosmetic Purchase Intention in Female Consumers in Indonesia
Authors: Letsoin Boginskaya , Riorini Sri Vandayuli
Published: May 2023

The halal industry has now become a world rend and has increased consumer opportunities every year.  The State Global Islamic Economic Report 2020-2021 shows that world consumption in  the halal industry  reached USD 2.02 trillion The purpose of this research is to identify factors that can increase the purchase intention of local Indonesian halal cosmetic brands with attitude mediation. The sample of this study were female consumers who had bought serum, lip cream and lipstick from local halal cosmetic brands (Wardah, Emina and Make Over). In this study, the amount of data processed was 258 respondents who were analyzed using the SEM statistical analysis method with the help of LISREL 8.0. The results of the study show that brand image, perceived value, religious belief, halal certification have a positive and significant role in attitude. Brand image, perceived value, religious belief, halal certification and attitude have a positive and significant role on purchase intention. Subjective norms do not have a significant role on attitude or purchase intention. The results of the mediation role test found that attitude has a role as a mediator between brand image, perceived value, religious belief and halal certification on purchase intention. The conclusion of this study is that subjective norms are not one of the factors that can increase halal cosmetic purchase intention and attitude has a role as a partial mediator on purchase intention. The implication of this research is that managers must improve brand image, perceived value, religious belief, halal certification, subjective norms, attitude and purchase intention to attract consumers to buy local halal cosmetic brands. In future research, it is necessary to expand the respondent's domicile to better describe Indonesian female consumers in general.