bluuebunny/crossref_metadata_2025 huggingface dataset:
Impact of Surgeon Case Volume on Outcomes After Reverse Total Shoulder Arthroplasty
Authors: Girdler Steven J. , Maza Noor , Lieber Alexander M. , Vervaecke Alexander , Kodali Hanish , Zubizarreta Nicole , Poeran Jashvant , Cagle Paul J. , Galatz Leesa M.
Published: October 2023

Introduction:

Despite a rapid increase in utilization of reverse total shoulder arthroplasty (rTSA), volume-outcome studies focusing on surgeon volume are lacking. Surgeon-specific volume-outcome studies may inform policymakers and provide insight into learning curves and measures of efficiency with greater case volume.

Methods:

This retrospective cohort study with longitudinal data included all rTSA cases as recorded in the Centers for Medicare & Medicaid Services Limited Data Set (2016 to 2018). The main effect was surgeon volume; this was categorized using two measures of surgeon volume: (1) rTSA case volume and (2) rTSA + TSA case volume. Volume cutoff values were calculated by applying a stratum-specific likelihood ratio analysis.

Results:

Among 90,318 rTSA cases performed by 7,097 surgeons, we found a mean annual rTSA surgeon volume of 6 ± 10 and a mean rTSA + TSA volume of 9 ± 14. Regression models using surgeon-specific rTSA volume revealed that surgery from low (<29 cases) compared with medium (29 to 96 cases) rTSA-volume surgeons was associated with a significantly higher 90-day all-cause readmission (odds ratio [OR], 1.17; confidence interval [CI], 1.10 to 1.25; P < 0.0001), higher 90-day readmission rates because of an infection (OR, 1.46; CI, 1.16 to 1.83; P = 0.0013) or dislocation (OR, 1.43; CI, 1.19 to 1.72; P = 0.0001), increased 90-day postoperative cost (+11.3% CI, 4.2% to 19.0%; P = 0.0016), and a higher transfusion rate (OR, 2.06; CI, 1.70 to 2.50; P < 0.0001). Similar patterns existed when using categorizations based on rTSA + TSA case volume.

Conclusion:

Surgeon-specific volume-outcome relationships exist in this rTSA cohort, and we were able to identify thresholds that may identify low and medium/high volume surgeons. Observed volume-outcome relationships were independent of the definition of surgeon volume applied: either by focusing on the number of rTSAs performed per surgeon or anatomic TSAs performed.

Level of evidence:

III.
Đánh giá văn hóa tổ chức của các doanh nghiệp tại thành phố Đà Nẵng dựa trên mô hình văn hóa denison
Authors: Nguyễn Trường Sơn , Lê Nguyễn Hương Quỳnh , Ngô Tấn Nhị
Published: October 2023

Bài viết sử dụng mô hình văn hóa tổ chức của Denison để nhận diện và đánh giá các giá trị văn hóa của các doanh nghiệp tại Đà Nẵng. Việc nghiên cứu được thực hiện qua hai giai đoạn, nghiên cứu định tính bằng phỏng vấn sâu các chuyên gia để hiệu chỉnh và bổ sung thang đo; nghiên cứu định lượng nhằm kiểm định mô hình, thang đo và đánh giá các đặc trưng văn hóa. Dữ liệu được thu thập từ mẫu khảo sát gồm 625 phần tử là người lao động đang công tác tại 204 doanh nghiệp tại Đà Nẵng. Kết quả nghiên cứu cho thấy các đặc trưng văn hóa tổ chức của doanh nghiệp tại Đà Nẵng theo mô hình Denison đều chỉ ở mức chấp nhận được hoặc yếu, chưa có những đặc trưng văn hóa nổi bật. Mô hình văn hóa có sự cân bằng giữa hướng nội và hướng ngoại, thiên về linh hoạt ứng phó với thay đổi hơn là duy trì sự ổn định. Mô hình cũng thể hiện sự thiếu cân bằng giữa tính thích ứng và tính nhất quán; giữa định hướng sứ mệnh và tính tham gia. Các đặc trung văn hóa có mức đánh giá yếu là định hướng sứ mệnh và tính nhất quán. Việc nhận diện và đánh giá được các đặc trưng văn hóa tổ chức sẽ giúp cho các nhà doanh nghiệp tại Đà Nẵng có căn cứ vững chắc hơn để đề xuất các chính sách và giải pháp nhằm hiệu chỉnh và thay đổi văn hóa cho phù hợp với chiến lược phát triển. Phương pháp nghiên cứu, mô hình và thang đo điều chỉnh có thể áp dụng cho các doanh nghiệp tại Việt Nam nói chung.
Nghiên cứu ảnh hưởng của nguồn thông tin đánh giá trực tuyến tới quyết định mua trực tuyến của người tiêu dùng Việt Nam
Authors: Nguyễn Trần Hưng
Published: October 2023

Internet đã cung cấp cho người tiêu dùng phương tiện dễ dàng để có được thông tin sản phẩm từ những người tiêu dùng khác và cũng để chia sẻ kinh nghiệm tiêu dùng sản phẩm của chính họ. Hoạt động của người tiêu dùng đánh giá và xếp hạng sản phẩm trực tuyến, sau đó lan tỏa những nhận định hoặc đánh giá này tới những người tiêu dùng khác được gọi là đánh giá trực tuyến (Chatterjee, 2001). Trong bối cảnh TMĐT nói chung và bán lẻ trực tuyến nói riêng đang có sự phát triển mạnh mẽ, các bài đánh giá trực tuyến cung cấp cho người tiêu dùng trực tuyến những thông tin bổ sung về thương hiệu và sản phẩm, đồng thời thúc đẩy họ tiến tới quyết định lựa chọn mua hoặc không. Trên cơ sở tổng quan các nghiên cứu có liên quan, bài viết đã đề xuất mô hình nghiên cứu ảnh hưởng của nguồn thông tin đánh giá trực tuyến tới quyết định mua trực tuyến của người tiêu dùng tại Việt Nam. Kết quả nghiên cứu đã cho thấy, chất lượng nguồn thông tin đánh giá trực tuyến có tác động đáng kể tới quyết định mua hàng của người tiêu dùng trực tuyến. Thông qua kết quả nghiên cứu, tác giả cũng đưa ra một số thảo luận để làm rõ đặc trưng trong tiêu dùng trực tuyến của người tiêu dùng Việt Nam, đồng thời xác định một số hạn chế trong nghiên cứu và các hướng phát triển của nghiên cứu trong thời gian tới.
Head Over Heels - Romantic Relationship Ensuing Conflict among Peer Interactions of Dycian Freshmen Class
Authors: De Leon Renedict B , Sevilla Jazel JR B
Published: October 2023

It is the very nature of human individuals to feel love and be loved, the need for intimacy and romantic love from their fellow and love from their friends. From there, people slowly learned and grew as individuals. Hence, all people yearn to be held by someone, to have a partner with whom they may spend the rest of their lives. The objective of this study is to explore and understand the conflicts that may ensue in entering romantic relationships towards their peer interactions. Anchored in this study are Duck’s Model of Relationship Breakdown, Aristotle’s Theory of Friendship, and the Social Penetration Theory. Specifically, it sought to answer the following questions: 1. What are the perspectives of the informants about: A. romantic relationship, B. friendship. 2. What are the conflicts that may arise in entering a romantic relationship to their peer relationship? 3. What are the remedies to the conflicts that may ensue while engaging in a romantic relationship in regards to their peer interaction? Semi-structured interviews and non-probability sampling were used in the study, which was qualitative phenomenological research. Significant statements were chosen from the verbatim transcripts of the interviews. Then, in order to identify the emerging themes, these were divided into theme clusters. The following themes emerged from the interviews: Matter of Choice, Inevitable Connection, Conventional Stressors, and Relationship Key Factors. The researchers’ findings were as follows: 1. A. Romantic relationship can be seen as a choice to make, B. Friendship is built through inescapable connections made from the very start; 2. Conflicts arising are the common stressors in a relationship; and 3. There are key factors to mitigate these ensuing conflicts as entering romantic relationships impacts peer interactions.
Effect of serum lipid subfractions on nuclear magnetic resonance spectroscopy's ability to detect coronary atherosclerosis early
Authors: Wei Chen , Shi Yubing , Zhang Hongge , Fang Huihui , Zuo Yangjie , Dong Jing
Published: October 2023

Nuclear magnetic resonance spectroscopy, also known as NMRS, is a cutting-edge method based on nuclear magnetic induction theory and quantum optics that has found extensive usage in the domains of chemical analysis, life science, and other disciplines. The method is quantitative and repeatable, making it particularly effective for detecting and analyzing tiny compounds in complicated solutions like blood and urine. With a high degree of standardization and automation, it can assess 114 hemo lipoprotein subfractions and particles in human serum/plasma in a targeted way (exact quantification) and produce precise and dependable detection findings. All processes may be tracked back to fulfill our requirements for non-targeted analysis, which is suited for biological fluid specimens and water-soluble specimens from tissue or cell extracts. The 114 lipoprotein subfractions and particles can be targeted using nuclear magnetic resonance spectroscopy (NMRS), which can detect the serum lipid profile in its entirety. The analysis of the serum lipid profile, the correlation between the levels of lipid subfractions and lipid particles and the degree of coronary stenosis, and the development of a coronary stenosis early warning system can therefore improve the current risk model on the inadequacy of the risk stratification of the patients. These studies are based on a cohort of individuals with varying degrees of coronary atherosclerosis. The development of a coronary artery stenosis early warning system might enhance the patient risk classification models already in use. To analyze the correlation of lipid subfractions and particle levels with cardiovascular events and therapeutic efficacy, to explore more effective biomarkers for lipid-lowering monitoring, and to evaluate the efficacy of classical Chinese medicinal preparations.
Особливості корпоративної культури європейських країн
Authors: Філіпова Н. В.
Published: October 2023

У статті досліджено корпоративну культуру Франції як відображення її культурного спадку. Автор розглядає особливості французького підходу до мистецтва, елегантності та креативності в контексті бізнесу. Основна увага приділяється ролі міжособистісних відносин та комунікацій у французьких компаніях, а також значущості навчання та професійного розвитку.  В  статті також розглядаються правові аспекти робочого часу та захисту прав працівників в Франції. Також увагу приділено ключовим аспектам корпоративної культури Італії, акцентуючи увагу на центральні поняття "famiglia" та "rispetto". Досліджено важливість особистих зв'язків у італійському робочому середовищі, а також механізми взаємодії між колегами, керівниками та клієнтами на засадах взаємної поваги. Особливу увагу приділено ролі формальних титулів у професійному спілкуванні, пунктуальності та кадровій політиці великих компаній. Аналізується корпоративна культура Німеччини в контексті її унікальних культурних та історичних коренів. Досліджується значущість спільноти, командної роботи та колективізму в німецькому робочому середовищі. Акцентується висока професійність, увага до деталей, та стратегічне планування, яке характеризує більшість німецьких підприємств. Особливий акцент корпоративної культури Польщі зроблено на роль сімейних цінностей, вертикальну взаємодію між різними рівнями керівництва та прагнення до корпоративної гармонії. Висвітлюється роль освіти в польському бізнесовому контексті, акцентуючи на значущість неперервного навчання та професійного росту. Визначено особливості, які слід враховувати Україні для підвищення рівня корпоративної культури.
Розвиток цифрової економіки в Україні: фіскальні інструменти : монографія
Authors:   Higher Education Institution «Academician Yuriy Bugay International Scientific and Technical University», Yakushko Іnnа
Published: October 2023

У монографії розглянуто теоретичні, методологічні та прикладні аспекти використання фіскальних інструментів для розвитку цифрової економіки в Україні. Зокрема, обґрунтовано сутність та види таких інструментів, розглянуто можливості їх використання для розвитку національної економіки в умовах цифровізації. Також проаналізовано сучасні тенденції впливу інформаційно-комунікаційних технологій на господарські процеси в країні та сучасний стан фіскального стимулювання створення та використання таких технологій. У монографії розглянуто світовий досвід застосування податкових та бюджетних інструментів для активізації цифрової трансформації національних економік. Within the monograph, theoretical, methodological and applied aspects of the use of fiscal tools for the digital economy development in Ukraine are examined. In particular, the essence and types of such tools are substantiated, the possibilities of their use for the national economy development in the digitalization conditions are considered. Modern trends in the influence of information and communication technologies on economic processes in the country and the current state of fiscal stimulation of the creation and use of such technologies are also analyzed. In the monograph, the global experience of using tax and budget tools to activate the digital transformation of national economies are examined. As a result of the study, the conceptual provisions of the formation and implementation of the mechanism of fiscal stimulation of digital transformation of the national economy were deepened. Taking this into account, the strategic determinants of the digital economy development in Ukraine are also defined and described, and the specifics of the use of fiscal tools to stimulate such development are specified. Teachers, students of higher education, researchers, as well as a wide range of readers interested in the issues of fiscal stimulation of the digital economy development can be interested in this monograph.
Le soutien financier aux études postsecondaires a-t-il un impact sur les choix des jeunes ?
Authors: Belzil Christian , Pernaudet Julie
Published: October 2023

Le Programme de prêts et bourses du Québec permet à des dizaines de milliers d’étudiantes et d’étudiants dont les ressources financières sont insuffisantes de poursuivre des études postsecondaires. En juillet 2023, la ministre de l’Enseignement supérieur a confirmé l’entrée en vigueur dès la rentrée scolaire de bonifications au programme qui représentent des investissements 140 millions de dollars. Du côté fédéral, les intérêts sur les prêts aux étudiants et aux apprentis ont été supprimés depuis 2022, ce qui n’est pas le cas au Québec. Il s’agit là de changements importants, mais savons-nous s’ils découlent d’un processus d’évaluation rigoureux ? Une récente étude CIRANO s’intéresse à la question. En s’appuyant sur les données d’une expérience randomisée unique au monde, les auteurs montrent que l’augmentation du soutien financier aux études postsecondaires a très peu d’impact sur les choix éducationnels des jeunes.
Stroke Prediction Using Bi-directional LSTM
Authors:   Bannari Amman Institute Technology Erode ,India, S Gowthami , S Srivanth , M V Matisvar
Published: October 2023

Abstract—The greatest cause of disability in adults and the elderly—including many social and financial challenges—is stroke. A stroke can result in death if it is not addressed. Patients who have had a stroke typically have aberrant biosignals, such as an altered ECG. Individuals can therefore immediately obtain the right therapy if they are observed and have their bio-signals precisely analyzed and analysed in real-time. However, the majority of stroke diagnostic and prediction systems rely on pricey, challenging to use image processing technologies like CT or MRI. In this study, we created an artificial intelligence (AI)-based stroke prediction system that uses real-time biosignals to identify stroke. Our system made use of both deep learning (Long Short-Term Memory) and machine learning (Random Forest) methods. Real-time EMG (Electromyography) bio-signals from the thighs and calves were gathered, the key characteristics were identified, and prediction models based on regular activities were created. For our suggested system, prediction accuracy values of 90.38% for Random Forest and 98.958% for LSTM were found. This approach may be viewed as an alternative, affordable, real-time diagnosis tool that can accurately anticipate strokes and may one day be used to other illnesses like heart disease. Keywords— Bone Mass Density (BMD), feature extraction, evolutionary algorithm - genetic algorithm, Deep learning modules, Jaccard index
House Price Prediction using R language
Authors:   Department of Computer Engineering Vishwakarma Institute of Technology, Pune, Gawali Prof. Palomi
Published: October 2023

The purpose of this project is to use the R language to predict house prices based on various features, such as location, size, number of rooms, and other characteristics, using a dataset from Kaggle. In order to gain a better understanding of the data, we conducted exploratory data analysis, which included assessing the distribution of variables, identifying missing values, and detecting potential outliers. Additionally, we examined the correlation between the features and the target variable After performing data cleaning and pre- processing, we employed multiple machine learning algorithms, such as linear regression, random forests, and XGBoost, to construct predictive models. We evaluated the performance of these models using various metrics, such as mean absolute error, mean squared error, and root mean squared error. Our findings revealed that XGBoost had the best performance, achieving a root mean squared error of 0.13, indicating high predictive accuracy. We also performed a feature importance analysis to identify the most critical variables for predicting house prices. In summary, our project highlights the effectiveness of using R language and machine learning techniques to predict house prices while providing valuable insights into the key factors that influence house prices. Keywords— House price Prediction, Machine Learning , Regression
The Effect of School Principals' Agile Leadership Behaviors on Entrepreneurial Teacher Behaviors through Innovative Organizations
Authors: BAYDAR Fatih
Published: October 2023

The purpose of this study is to reveal the mediating role of innovative organizations in the effect of school administrators' agile leadership behaviors on entrepreneurial teacher behaviors. Based on the relationship between the variables, a model was proposed and the proposed model was tested. Before testing the SEM model, the relational survey model was used to determine the relationship between the variables and the model was tested. The study group of the research consists of 479 teachers working in Kartal, Tuzla, Maltepe and Sultanbeyli districts of Istanbul in 2023. According to the research findings, the agile leadership characteristics of school principals positively affect the entrepreneurial behaviors of teachers and the innovative structure of schools. As a result of the analysis of SEM model, innovative organizations have a partial mediating role between agile leadership behaviors of school principals and entrepreneurial teacher behaviors. This research contributes both theoretically and practically to the effect of agile leadership on teachers' entrepreneurial behaviors and innovative organizational structure of organizations, and the effect of innovative organizations on entrepreneurial teacher behaviors. In the light of the findings, implications related to agile leadership, teachers' entrepreneurial behaviors and innovative organizational structures are discussed and suggestions are made for future research.
Student Management in Inclusive Education in Improving the Quality of Graduates (Multicase Study at SDN Betet 1 Kediri City and MI Unggulan Darussalam Gembongan Ponggok Blitar)
Authors:   UIN Sayyid Ali Rahmatullah (SATU) Tulungagung, East Java, Indonesia, Umar Muallief , Fu’adi Imam ,   UIN Sayyid Ali Rahmatullah (SATU) Tulungagung, East Java, Indonesia, Sulistiyorini Sulistiyorini ,   UIN Sayyid Ali Rahmatullah (SATU) Tulungagung, East Java, Indonesia, Maftukhin Maftukhin ,   UIN Sayyid Ali Rahmatullah (SATU) Tulungagung, East Java, Indonesia, Akhyak Akhyak ,   UIN Sayyid Ali Rahmatullah (SATU) Tulungagung, East Java, Indonesia
Published: October 2023

The aim of this research is to describe in depth 1) the process of accepting new students in improving the quality of graduates. 2) coaching and developing students in inclusive education in improving the quality of graduates. 3) supervision of students in inclusive education in improving the quality of graduates. This research uses descriptive qualitative research methods with absolute participation of the researcher. Data was taken from informants or primary data sources including: school principals, inclusion teachers, regular teachers, shadow teachers, student guardians and therapy officers as well as educational staff at both loci, as well as informants from the PLA (Autism Service Center). Accepting new students to improve the quality of graduates in inclusive education at these two educational institutions, all students who register will be accepted without selection. Next, a classification is held based on student competency and grouped into regular and inclusion classes. For those who are detected to have special needs, an assessment will be carried out by the therapist assigned to SDN Betet 1 Kediri. Meanwhile, MI Unggulan was handed over to PLA Blitar for further observation. Meanwhile, the guidance and development of students is carried out intensively, both co-curricular and extra-curricular, based on the students’ abilities and adhering to the 2013 curriculum. The evaluation carried out is adjusted to the stages set so that the graduation of students with special needs becomes a priority. Meanwhile, in carrying out supervision and evaluation in filtering the quality of graduates using various methods, including control and supervision by the Head of the Madrasah, from the intense coaching, this madrasah is also able to maintain itself as a superior madrasah in the city of Blitar and 100% of its graduates continue on to higher education, both state and private.
Digitalization for Public Expenditure Accountability and Transparency (d4PEAT)
Authors: Iyer Indira , Chowdhury Soumi Roy
Published: October 2023

Reforms in public expenditure management in India, especially in accounting and administrative processes, have lagged behind the reforms in public revenue management. Lack of uniform accounting codes, limited data standards, and standalone systems across different tiers of governments have led to issues related to data comparability, data aggregability, and misclassification of data. In addition, lack of a single source of truth and inadequate end-to-end digital data capture limits the efficiency, tractability, and accountability of public funds. Limited just-in-time fund-flows, where fund disbursals and actual expenditures are not in tandem, further increases the uncertainty in government transactions. This study identifies the touchpoints where mainstreaming digitalization could address these fundamental challenges of public expenditure management through an actionable roadmap in the form of d4PEAT framework. A composite score under d4PEAT framework for each level of government is calculated, which can be used to rank their performances and assess the progress made in mainstreaming digitalization of public expenditure management.  The framework charts a process for debate, suggest areas where policy reforms can be initiated in India, leading to enhancing accountability and transparency in public spending.
Neuroprotective effect of 1,25‑dihydroxyvitamin D3 against hyperoxia‑induced brain injury in premature rats
Authors: Chen Rong , Yao Fahua , Deng Xiaodan , Yuan Xiaofeng , Wei Nian , Xiao Dongfan , Yu Benli
Published: October 2023

Studies have shown that vitamin D plays a crucial role in brain development, brain metabolism and neuroprotection. There is little evidence for the neuroprotective effect of 1, 25‑dihydroxyvitamin D3 (1,25‑(OH)2D3) on various brain injury models. The aim of this study was to investigate the neuroprotection effect of 1,25‑(OH)2D3 against hyperoxia‑induced brain injury in premature rats. Sprague‑Dawley rats were exposed to 95% oxygen or room air for 24 h and treated with 1,25‑(OH)2D3 or normal saline for 14 consecutive days. The histopathological changes of optic chiasma tissue were observed by hematoxylin‑eosin staining. Immunohistochemistry, qRT‑PCR, and western blot were performed to detect the expression of integrin‑β1 and yes‑associated protein (YAP) in the organization of the optic chiasm. Histopathological sections of optic chiasma showed visible optic nerve swelling, expanded nerve fiber space, uneven staining, obvious oligodendrocyte proliferation and disordered cell arrangement accompanied by inflammatory cell infiltration and exudation after 7 days and 14 days of hyperoxia exposure. The hyperoxia group treated with 1,25‑(OH)2D3 were showed improvement of brain injury with reduced inflammatory exudation, uniform nerve fiber staining and less obvious oligodendrocyte proliferation. Immunohistochemical staining, qRT‑PCR and western blot indicated that 1,25‑(OH)2D3 treatment upregulated the expression of integrin‑β1 and YAP in the hyperoxia group on day 7. However, the expression of YAP was significantly increased compared with control group and treatment with 1,25‑(OH)2D3 reduced the expression of YAP in the hyperoxic group on day 14. 1,25‑(OH)2D3 may regulate the expression of integrin‑β1 and YAP to alleviate hyperoxia‑induced brain injury in premature rats.
Campaña educativa e informativa para mejorar los conocimientos y actitudes frente a la enfermedad del dengue en la Población de Morro Solar – Jaén, Año 2022
Authors: Arellano Ubillus Juan Enrique , Rodríguez Neyra María Robertina , Fernández Guerrero Robert Manuel , Guerrero Becerra Alex Vilder , Villanueva Sosa Adán Joél
Published: October 2023

Esta investigación tuvo por objetivo determinar los conocimientos y la actitud frente a la enfermedad del dengue en población Morro Solar-Jaén 2022, antes y después de una Campaña Educativa e Informativa. Es importante destacar que se empleó una metodología de diseño descriptivo, enfoque explicativo y estudio transversal. Los datos fueron recopilaron en un formato aleatorio simple probabilístico y utilizando la fórmula de población finita para obtener la muestra de 360 ​​personas. La encuesta se realizó mediante un cuestionario que contenía 19 items que cuantifica los conocimientos y 12 items que evalúa las actitudes. El conocimiento de los pobladores de Morro Solar ha mejorado significativamente (60,3%) tras la campaña educativa e informativa, aumentando el 13,3% respecto a la campaña anterior. Además, los pobladores antes de la Campaña Educativa demostraron una actitud desfavorable (72%), después de la campaña la actitud cambió a favorable (60,3%).
Social Needs in the Prehospital Setting (SNIPS)
Authors: Berger Daniel , Caldwell Catherine , Robbins Meghan , Mann Jessica , Gurley Amelia
Published: October 2023

Introduction:

There has been increasing interest in utilizing EMS to address patient social determinants of health, which are thought to be the cause of many unnecessary transports, particularly for “superutilzing” patients. However, existing research is limited regarding EMS providers’ attitude toward addressing patient social needs and willingness to utilize potential interventions.

Methods:

This cross-sectional study was conducted using an internet-based survey with multiple methods of recruitment of providers across the United States. Descriptive statistics and Chi Square Tests were utilized to analyze the data.

Results:

A total of 1,112 EMTs and paramedics completed the survey with 43.4% reporting familiarity with the term social determinants of health and 87.7% screening positive for burnout. Greater than 60% reported willingness to use proposed interventions to address patient social needs. Those who were more familiar with the term social determinants of health were more likely to indicate willingness to utilize most interventions and to believe they were responsible for addressing their patients’ social needs whereas burnout had no effect on willingness to use most resources.

Discussion:

Respondents showed substantial interest in using the proposed resources to address patient social determinants of health. EMS providers familiar with the term “social determinants of health” were more likely to believe they were responsible for addressing patient social needs and willing to use interventions, supporting the need for more education on the topic. Additionally, provider burnout was not found to significantly impact willingness to use resources, which evidence suggests may reduce burnout. 

Conclusion:

EMS providers should be offered more education on social determinants of health both in their initial training and through continuing education. Furthermore, EMS services should make resources available to allow EMS providers to address their patients’ social needs with the goal of improving patient health and reducing unnecessary transports.
Assessment of Maize Storage Techniques Utilized by Small- Scale Farmers in Anambra State, Nigeria
Authors: Nenna M.G , Osegbue E.G , Ojiako-Chigozie C.G
Published: October 2023

The study accessed maize storage techniques utilized by small-scale farmers in Anambra State, Nigeria, due to lack of modern and appropriate storage technologies for grains. The specific objectives includes; socio-economic characteristics; methods of storage techniques; reasons for storing; effects of socio-economic factors on maize revenue; and challenges faced by the respondents. Multi- stage sampling techniques were employed to select sample size of 120 respondents. Primary data were collected through the use of questionnaire and interview schedule. Data obtained were analyzed with descriptive and inferential statistics. The results revealed that 65.8% were female, 67.5% married, 80.0% were literate, and annual income of N511.13. 80.0% stored maize in cribs and identified household consumption and increased income as their major reasons for storing maize. The regression analysis indicated a significant and positive relationship between total revenue and storage cost at 1% and 5% probability levels. The factors that constrained the respondents includes; pests and insects (m=2.92); lack of modern method and management (m=2.83); and lack of extension agents (m=2.75) The study suggests that the maize storage farmers should be encouraged to reduce pests and diseases, trained and motivated to use modern storage facilities. Finally, extension agents should sit-up to its responsibilities in the dissemination of useful information to maize farmers.
Appraisal of Soil Conservation Practices Utilized by Crop Farmers in Orashi Region of Rivers State, Nigeria
Authors: Nnah M. B , Ahiakwo A. A.
Published: October 2023

This study investigated soil conservation practices utilized by crop farmers in Orashi Region of Rivers State consisting of Ogba/Egbema/Ndoni, Ahoada East and Ahoada West Local Government Areas. Data were collected using structured questionnaire based on 4-point Likert rating scale and interview schedule. A population sample of one hundred and twenty (120) respondents was selected to elicit information using the stratified sampling technique. Forty (40) crop farmers from each Local Government Area were selected for the study. Data were analyzed using descriptive and inferential statistics such as the arithmetic mean. Findings show that more than half (76.7%) were married and 45.8% had formal education. Majority of the respondents were within the ages of 40-49 years. The type of soil conservation practices adopted were application of manure ( =3.37), planting of cover crops ( =3.73), use of multiple cropping system ( =3.93), use of reduced tillage methods/direct seeding ( =3.83), bush fallowing ( =3.86), incorporation of crop residue ( =3.74), mulching ( =3.85), construction of bonds/other structures ( =3.93), shifting cultivation ( =3.54), and crop rotation ( =3.53). The level of adoption and utilization of the identified measures tends to agree with the farmer’s year of experience, level of awareness of soil conservation measures, age-long cultural practices or cultural barrier and technical knowhow. The study concluded that government should enact favourable agricultural policies that will enlighten farmers on soil conservation practices in their cultivation exercise. The services of extension workers will be helpful in this direction.
Assessing The Level of Corruption in the Public Sector in Nigeria. A Study of Gombe State Public Service
Authors: Taimin Audu Ardo , Auwalu Salisu , Ahmadu Macmilan
Published: October 2023

This study seeks to assess the level of corruption in the public sector in Nigeria, with a focus on the public service in Gombe State. The research aims to identify the factors that contribute to corruption in the Gombe State public service, as well as potential ways to reduce its prevalence. A comprehensive review of the existing literature is conducted, wherein the causes of corruption in public offices in Nigeria are discussed. Data collected from both primary and secondary sources, such as surveys and interviews, is analyzed to understand the prevalence and nature of corruption in the Gombe State public service. Descriptive analysis is used to understand the underlying relationships between the various factors that contribute to corruption. The results from this analysis are discussed to identify key areas where corruption can be reduced. The findings from the study are expected to be of benefit to the public service in Gombe State, as well as to the nation as a whole.
Unlocking Investment Opportunities: Role Of Economic Growth on the Relationship Between Accounting Fundaments and Share Price of Firms in North Eastern Nigeria
Authors: Abubakar Sadeeq Garba , Mutalib Yusuf Ova
Published: October 2023

Accounting fundamentals has been described as one of the key factors considered by investors when taking investment decisions. Previous studies focused on the role of accounting information on share price and completely underestimated the influencing role of real Gross Domestic Product (RGDP) on the relationship. Scholars have suggested that RGDP is important in understanding and explaining the change in share prices. Therefore, this study extended on the Ohlson model to incorporate RGDP so as to examine the moderating role of RGDP on the relationship accounting fundamentals and share price of listed manufacturing firms in Nigeria Exchange Group. The study covers 65 firms listed on the NGX for the period 2012 to 2021. The data for the study was sourced from NGX fact book and the Central bank Bulletin. The methods used for testing the information content of various accounting information were Ordinary Least Squared (OLS), Random Effects Model (REM), Fixed Effects Model (FEM). The findings from the analysis indicate that RGDP has significant moderating role on the relationship between accounting fundamentals and share prices. The study also reveals that Earning per share and Net book value per share and Price Earnings ratio are positively and significantly related to share price of listed manufacturing companies in NGX. Also reveals that PE is positively and insignificantly related to share price of listed manufacturing companies in NGX. On the basis of these findings, it was concluded that RGDP is a determinant for unlocking investment opportunities through accounting fundamentals in NGX. By implication, the reliability of accounting Fundamentals of listed manufacturing companies for investment decision could be enhanced in the NGX when the changing prices of shares are identified, captured, presented and equally published in the financial information of such firms by the preparers of accounti
Cloud Accounting and Financial Reporting Quality of Selected Deposit Money Banks in Nigeria
Authors: Akpan Dorathy Christopher , Ubokudom Abasiofon Inimfon , Udiong Nkereuwem James , Akpanowo Rita Etop
Published: October 2023

This study examined the effect of cloud accounting on financial reporting quality of selected deposit money banks in Nigeria. Platform as a service (Paas), network as a service (Naas) and software as a service (Saas) were the cloud accounting proxies employed to ascertain their effects on financial reporting quality. The research design adopted in this study was the survey research
Tratamento cirúrgico do carcinoma de células basais: Cirurgia curativa e manejo paliativo
Authors: Marangoni Igor Parada , Toqueton Tainá Rodrigues , Guimarães Ana Carolina Campos Moraes , Mendes Filho Edivaldo Bezerra , Frota Marcus Antonio Studart da Cunha , Santos Neto Durval Lins dos , Nascimento Raoan Silva do , Prado Guilherme Camelo do , Neto Pegolo Gabriella Giuliana Pereira , Zanoni Rodrigo Daniel
Published: October 2023

O carcinoma de células basais (CCB) é o tipo mais comum de câncer de pele, originando-se nas células basais da epiderme. Embora seja caracterizado por crescimento lento e baixa taxa de metástase, a necessidade de tratamento adequado é crucial para prevenir complicações locais e promover a saúde do paciente. Duas abordagens principais são empregadas: a cirurgia curativa, que visa a remoção completa do tumor, e o manejo paliativo, utilizado em situações onde a cura completa é inviável ou quando o paciente apresenta condições clínicas desfavoráveis. Objetivo: sintetizar a literatura científica disponível sobre as abordagens cirúrgicas curativas e o manejo paliativo no tratamento do carcinoma de células basais. Metodologia: A revisão sistemática seguiu as diretrizes do PRISMA, as bases de dados utilizadas foram PubMed, Scielo e Web of Science. Foram utilizados os seguintes descritores para a busca: "carcinoma de células basais", "tratamento cirúrgico", "cirurgia curativa", "manejo paliativo” e “tratamento paliativo”. Resultados: Foram selecionados 15 artigos. A revisão apresentou no âmbito da cirurgia curativa, que a excisão cirúrgica emergiu como a principal intervenção. A remoção completa do tumor, juntamente com uma margem de tecido saudável, garantiu altas taxas de cura em tumores de tamanho moderado. Além disso, técnicas como curetagem e eletrodissecção, assim como a criocirurgia, foram consideradas eficazes em tumores menores e superficiais. No que diz respeito ao manejo paliativo, diversas estratégias foram investigadas. A terapia fotodinâmica, que combina um agente fotossensibilizante e exposição à luz, mostrou-se promissora para tumores superficiais e áreas de difícil acesso. A radioterapia, por sua vez, foi indicada para lesões inoperáveis ou quando a cirurgia era contraindicada. Terapias médicas direcionadas, visando vias de sinalização específicas, também foram consideradas em casos avançados. Conclusão: A revisão sistemática reafirma a importância de abordagens cirúrgicas curativas e manejo paliativo no tratamento do carcinoma de células basais. A excisão cirúrgica continua sendo o pilar da abordagem curativa, enquanto as terapias paliativas oferecem alternativas valiosas para cenários clínicos desafiadores. A compreensão aprofundada dessas estratégias auxilia os profissionais de saúde na tomada de decisões informadas e na oferta do melhor tratamento possível para os pacientes com CCB.
Human-Wildlife Interactions and Community Livelihoods
Authors: Hussein Swalehe Twahir , Yanda Pius Zebhe
Published: October 2023

In developing nations, particularly in Africa, interactions between humans and animals (HWIs) are widespread as local populations heavily rely on natural resources such as forests, which serve as habitats for flora and fauna. This paper draws from a study which investigated human-wildlife interactions (HWIs) in four villages—Mvuha, Mbwade, Milengwelengwe, and Kisaki Gomero— surrounding the Selous Game Reserve (SGR). A mixed methods approach was adopted to aid data capturing from 312 households and 11 key informants. Spatial analysis was employed to depict land use and land cover changes around the SGR over time due to human influence. The results indicated that HWIs were influenced by changes in water and pasture availability caused by two elements of weather: temperature and rainfall. People in WMA-designated villages complained about the lack of employment and unfair distribution of benefits, whereby the main concern of non-WMA-designated villages was on the need for policy review, with emphasis on the holistic conservation approach. Nonetheless, bush lands have increased in recent decades at the expense of woodland due to the proliferation of human interference. The paper concludes that the intersection of community livelihoods and wildlife ecology was the most common HWI pattern observed. However, typical forms of interaction were often hostile and instigated human-wildlife conflicts.
Rhetoric and Reality of Result-based Monitoring and Evaluation in Tanzania: An Experience from the Public Sector
Authors: Kengera Zabron
Published: October 2023

As part of efforts to make its plans and development interventions more responsive to poverty alleviation and economic growth, Tanzania has in the last ten years adopted result-based monitoring and evaluation (RBME). This paper assesses the status of RBME practices in Tanzania. Specifically, it assesses the forces that triggered the adoption of result-based evaluation practices in the public sector, while noting key factors constraining the implementation of RBME in the country. Data were collected through a rigorous review of literature with particular focus on papers, documents and reports about resultbased management, result-based monitoring and evaluation, and the theory of change. These were complemented with input from key informants, including monitoring and evaluation officials within the public sector, NGOs and the business sector. Data analysis followed the traditional qualitative inductive approach, which categorizes and discusses information based on thematic areas as they emerge from the study results. Obtained results suggest that the adoption of RBME within the public sector is limited by low result-based culture among government officials. There is also inadequate capacity to implement different forms of M&E at the different levels of the government system, poor coherence, and incomprehensive guidelines of M&E in the public sector. The paper concludes and recommends that, to improve the RBME practices in the country, the government, in collaboration with other stakeholders, should cultivate and promote a result-based and accountability culture by making M&E an integral part of the entire government functioning; and institutionalizing and professionalizing the M&E sector by establishing independent M&E units with clear reporting mechanisms, mandates and capacity to execute plans.
Quantitative Evaluation of the Impact of Artificial Intelligence on the Automation of Processes
Authors: Palomino Quispe Justiniano Felix , García Huamantumba Camilo Fermín , García Huamantumba Elvira , García Huamantumba Arturo , Pacherres Serquen Edwin Eduardo , Villar Requis Carbajal Luis , Castro León Alisson Lizbeth , Choque Flores Leopoldo , Zapana Diaz Domingo , Guanilo Paredes Carlos Enrique
Published: October 2023

Introduction: in the current era, Artificial Intelligence (AI) has profoundly transformed the operation and management of business processes, being essential for competitiveness. This article focuses on quantitatively evaluating the impact of AI on the automation of business processes, seeking to support decision making.Objective: this study aims to carry out a quantitative evaluation of the impact of AI on business processes. Robust methods are used to measure and analyze key variables related to AI adoption.Methods: the methodology combines secondary data and company surveys. Public business databases are accessed and financial data is collected, in addition to analyzing Key Performance Indicators (KPI). A random selection of companies is made for the surveys, a structured questionnaire is used and the data is subjected to rigorous statistical analysis.Result: quantitative results show significant impact of AI on business processes. The average reduction in operating costs reaches 26 %, the improvement in the quality of products and services is 30 %, and an average increase of 20 % in profit margins is observed. Possible moderators that influence these results are identified.Conclusion: this quantitative study supports the strategic importance of AI in business, demonstrating substantial improvements in efficiency, quality and decision making. Despite its limitations, it offers a solid framework for decision-making and future research in the field of AI and business automation
“Alman” Kapitalistleşme Literatürüne Genel Bir Bakış: Bazı Kuramsal Çıkarım ve Öneriler
Authors: ALPASLAN Barış
Published: October 2023

Bu çalışmanın temel amacı, oldukça yoğun çalışılmış bir süreç, bir örnek olay olması nedeniyle “Alman” literatüründen ve temel olarak 20. yüzyılda ortaya atılmış bir dizi yeni yaklaşımdan hareketle kuramlar ve fiili tarihsel süreçler arasındaki uyumsuzlukları azaltabilecek bir kuramsal perspektifin mümkünlüğünü tartışmaktır. Çalışmaya özgü temel araştırma sorusu, ““Alman” kapitalistleşme literatürü, bir toplumun ya da genel olarak toplumların değişim süreçlerini etkileşimsel bir bağlamda ele alan çalışmalar için ne söylemektedir? Bazı genel kuramsal açılımlar sentezlendiğinde, kuram ile gerçeklik arasındaki uyumsuzlukları azaltabilecek bir alternatif perspektif mümkün olabilir mi?” biçiminde özetlenebilir. Çalışmada kullanılan yöntem ise kapsam ve bağlam gereği betimleyici bir yöntem olmuştur. Çalışma, başka şeyler dışında, değişim halindeki kapitalist toplumsal gerçekliğe daha fazla yaklaşabilmek açısından toplumsal alt grupların aşağı ve yukarı doğru sürekli hiyerarşileşmesi yönündeki eğiliminin incelemelere dahil edilmesinin belirleyici bir gereklilik olduğu sonucuna ulaşmaktadır.
Anthrax Disease amongst Livestock and the Associated Human Exposure in Northern Nigeria: An Incidence Report
Authors: Nkem Benjamin , Azudialu Bede , Asomugha Adaora
Published: October 2023

Anthrax disease is of public health significance worldwide and has not been reported in Nigeria hence the present study which highlighted it’s incidence profile among animal population and the associated human exposure in Northern Nigeria. The incidence occurred in a multispecies livestock farm at Gajiri along Abuja-Kaduna express way in Suleja Niger state, Nigeria on the 13th day of July 2023 leading to sudden mortality of eight livestock. A remarkable observation was that the dead animals were bleeding from every external orifice without blood clotting. The farm attendants and management team alerted the Federal ministry of Agriculture and Rural Development for urgent intervention, which prompted rapid laboratory investigation on the 14th July 2023. They collected samples from multiple species in the livestock farm and transported to National Veterinary Research Institute Plateau state for analysis. The samples yielded positive results for Anthrax. However, there are reports of human exposure, but they have reported no symptoms or mortality at the time of this report. Currently ongoing identification and contact tracing is being conducted for humans and other farm animals to prevent spread. Relevant authorities have taken necessary measures to quickly detect, control and contain any outbreak of Anthrax in the human population. Epidemiological tracing showed that the disease is not enzootic in the area and there was no evidence of anthropozoonotic transmission to animals. As the disease has not spread widely and has not affected humans in the area, it is recommended that animal carcasses be disposed of properly by either burning or burying them in a lime pit. Livestock attendants should always wear protective clothing and gloves while attending to farm animals. Ensuring decontamination of animal products and providing active immunization of domestic animals and people at high occupational risk is important. Thus excellent prognosis hinges on early detection and treatment of case.