bluuebunny/crossref_metadata_2025 huggingface dataset:
Avances Tecnológicos en el Diagnóstico Precoz de Cáncer de Piel
Authors: Cerón Hernández Katya Montserrath
Published: June 2024

Este artículo de revisión examina los avances tecnológicos en el diagnóstico precoz del cáncer de piel, con el objetivo de evaluar la precisión, accesibilidad y eficiencia de las herramientas disponibles. Se utilizó la metodología PRISMA para identificar y analizar estudios relevantes publicados en bases de datos científicas. Los principales hallazgos destacan la eficacia de herramientas como la dermatoscopia digital, la inteligencia artificial, la imagenología de alta resolución y los dispositivos portátiles en la detección temprana de lesiones cutáneas sospechosas. Estas tecnologías ofrecen un enfoque integral para mejorar la precisión diagnóstica, reducir los tiempos de espera y optimizar los recursos de atención médica. Sin embargo, se requiere una validación clínica rigurosa y consideraciones éticas para garantizar su implementación segura y efectiva en la práctica clínica. Este artículo destaca la importancia de continuar investigando y desarrollando nuevas estrategias para mejorar la detección precoz y el manejo del cáncer de piel.
Mejorando la Comunicación en el Aula: Modelo de Educación Basado con Inteligencia Artificial
Authors: Ayala Hernández Pablo , Haro Esquivel Gisela
Published: June 2024

Este artículo analiza una investigación de tipo documental  del proceso de comunicación en el aula en los escenarios educativos usando herramienta de inteligencia artificial (IA).  La implementación de la acción comunicativa por parte de los docentes implica la ejecución de un discurso planificado y el establecimiento de oportunidades para que los estudiantes interactúen con el conocimiento, permitiéndoles acceder a contenidos que de otro modo estarían fuera de su alcance. Este enfoque se basa en la creencia de que la eficacia de un docente no debe estar determinada únicamente por su extenso discurso sobre la materia, sino más bien por su capacidad para crear un entorno que fomente el aprendizaje mediante el uso de la comunicación verbal o no verbal en temas específicos. áreas, facilitadas por la inteligencia artificial.  La capacidad de un profesor para comunicarse eficazmente en el aula no se limita únicamente a su dominio del contenido, sino que también se relaciona con el ambiente que crea mediante sus actitudes y emociones, al igual que los usuarios con la herramienta ChatGPT y su interacción con ella.
Determinant Factors for Learning Model Development: Their Influence on Employee Performance
Authors: Yulianto Erwin , Sya’roni Deden Abdul Wahab , Hayati Neneng , Suwandi Yudi Wahyudin , Hardianti Rida
Published: June 2024

Business competition and high demands for services in the banking industry currently require companies to have increasingly high organizational capacity that relies on human resource performance and learning models. This research aimsto identify, study,and analyze Learning Models to Improve the Performance of Banking Industry Employees.The purpose of this study is to identify, investigate, and evaluate the factors that will be incorporated into the learning model and how they affect worker performance. ASystematic Literature Review (SLR) is the research method approach that is employed. It is completed by finding pertinent research, evaluating its caliber, and producing a scientific summary of the findings of the earlier study. Research talks yielded variables that will be used as learning models to enhance worker performance. A human resource management method is used in this study, particularly when examining the variables that affect employee performance. It was discovered that five variables—three independents, one intervening, and one dependent—were employed as research items in this study. Toincrease employee performance, the learning management system, learning instructional design, learning assessment, and competency development were implemented. What makes the ensuing research unusual is that no learning model emerged from these processes.
Intersectional Experiences of Rural Women: Analyzing Impact of Gender and Class in Aysha Baqir’s Beyond the Fields
Authors: Anwer Qurat ul Ain , Chaudhary Amna Zahid
Published: June 2024

The present study aims to analyze the impact of gender and class on rural women. The study focuses on intersectional experiences of female characters. In Beyond the Fields (2019), Baqir reveals how multiple layers of oppression intersect and shape identities of female characters and how these females, Zara, Tara, and Amma, resist and navigate the situations. The purpose of this research is to investigate the various struggles, self-determination, and fortitude demonstrated by rural women in the novel. The present study is descriptive in nature. Close reading and text-based analysis methods are applied. It centers on rural women’s experiences within various social and political contexts. The intersectional framework addresses important axes of social division, including race, class, gender, and disability, which interact and have an impact on one another. These social axes control the hierarchies of power in a given society, which can lead to prejudice and inequality. In literary studies, representation of women is no longer limited to European and American academic writings. The South Asian fiction writers also exhibit a feminist approach in their works, within the feminist paradigm. The study has been limited to the analysis of intersectional experiences of rural women in the text. For the analysis, intersectionality theory is used as the theoretical framework presented by Patricia Hill Collins. The findings of the present study show that rural women face intertwined oppressions of gender and class. Rural women’s resistance changed their experiences. The novel provides an insight into the intersectional nature of rural women in a patriarchal society where gender and class play a vital role in shaping individual identity. This study will provide a deeper understanding of their experiences and their potential to ignite revolutionary societal change by investigating their intersecting realities.
Pengaruh Penerapan Model Pembelajaran Kooperatif Tipe STAD Terhadap Hasil Belajar Matematika Pada Materi Persamaan Garis Lurus Siswa Kelas 8 SMP Katolik Aquino Amurang
Authors: Adriaan Erica , Kumesan Selfie , Manurung Ontang
Published: June 2024

Penelitian ini dilatarbelakangi oleh masalah rendahnya hasil belajar siswa yang disebabkan karena siswa kurang aktif dalam mengikuti kegiatan pembelajaran, siswa hanya sanggup menyelesaikan soal yang benar – benar mirip dengan contoh yang dijelaskan oleh guru, beberapa siswa tidak mengerjakan latihan, hanya berharap jawaban dari teman lainnya dan banyak siswa menganggap materi ini cukup sulit. Selain itu model pembelajaran yang diterapkan juga masih menggunakan model pembelajaran langsung atau Direct Instraction atau berpusat pada guru, akibatnya siswa kurang paham tentang materi yang diajarkan tidak ada kesempatan untuk mengembangkan kererampilan  mereka sendiri.. Tujuan dari penelitian ini adalah untuk meneliti pengaruh penerapan model Studendt Team Achivement Division  terhadap hasil belajar siswa pada materi Persamaan Garis Lurus. Penelitian ini merupakan penelitian yang menggunakan desain posstest-only control grup design. Populasi dari penelitian ini adalah seluh siswa kelas 8 dan sampel dalam penelitian ini adalah kelas VII B sebagai kelas eksperimen yang terdiri dari 20 siswa dan kelas VII A sebagai kelas kontrol yang teridir dari 20 siswa di SMP Katolik Aquino Amurang tahun ajaran 2023/2024 yang dipilih secara acak. Data yang diperoleh adalah hasil posstest pada kelas eksperimen dan kelas kontrol, dengan rata-rata hasil belajar pada kelas eksperimen ????̅???? = 78,65 dan rata-rata hasil belajar pada kelas kontrol ????̅???? = 65. Pengujian data setelah menggunakan taraf nyata ???? = 0,05 diperoleh ????ℎ???????????????????? = 4,97 > ???????????????????????? = 1,68 dan disimpulkan ????0 ditolak. Kesimpulan penelitian ini adalah rata-rata hasil belajar siswa yang belajar menggunakan model pembelajaran student team achievement division pada materi persamaan garis lurus lebih tinggi dibandingkan dengan hasil belajar siswa yang belajar menggunakan model pembelajaran langsung atau Dirrect Instruction (DI)
Semantic Explanatory Relations of Verbal Structure in Holy Qur’an the Two Verbs (Saqata, Habata) Analytical Explanatory Study
Authors: Alybroudi Yusra Ahmad Tafiq
Published: June 2024

This study, entitled “The semantic and interpretive relationships of the verbal structures in the verses of the Holy Qur’an, the two verbs (Saqata, Habata), an analytical and interpretive study,” aimed to determine the relationships of the two verbs (Saqata, Habata) from their semantic and interpretive aspects. The study stopped first at the lexical dimension of the two verbs, then the common semantic dimension of the two verbs in terms of the linguistic usage significance and the interpretive significance of the Qur’an text contained therein as stated in Qur’an interpretations. The study reached a number of results, the most important of which are: The two verbs Saqata/ Habata are among the important verbs in the Holy Qur’an that have common relationships, and are separated by multiple connotations, such as lexical, linguistic, and interpretive connotations, they represent an aesthetic verbal state as a result of the moral correspondences that they create in the Qur’an verses, each verb achieved its moral, verbal, and linguistic connotations in the context in which it mentioned in a balanced and precise manner.
Assessing the Moderation Effect of Financial Technology on the Development and Growth of MSMEs
Authors: Asiedu Esther , Pasca Ndjoh , Boakye Afia Nyarko , Malcalm Ebenezer
Published: June 2024

Technology has advanced and played an important role in the financial sector and it is one of the reasons financial technologies (FinTech) were born. Many micro, small and medium enterprises (MSMEs) are compelled by the expansion of the digital economy to adopt technological advancements. The main aim of this study is to assess how FinTech boosts the growth of MMSMEs.The stratified sampling method was used to select a sample size of 316 from the population for the study. Three FinTech indicators were used namely mobile/online banking, digital lending and mobile money. A partial least square model was used to ascertain the study objectives. The study concluded that FinTech had a direct significant impact on the expansion of MSMEs in Ghana. However, marketing strategy did not have a direct impact on the growth of MSMEs. Examining each FinTech indicator, it was found that mobile/online banking significantly moderates access to finances, marketing strategy and customer services for the development and growth of MSMEs. Whereas digital lending is only significantly moderate with access to finances and mobile money is significantly moderate with access to finances and marketing strategies on the development and growth of MMSMEs. Finally, the study suggested increased use of FinTech (mobile money, online banking and banking lending) as its positive effect on the factors that lead to the expansion of micro, small and medium enterprises in Ghana. In addition, marketing strategies are more effective when FinTech is involved.  This empirical study contributes to the novel understanding of how FinTech (mobile money, online banking and banking lending) impacts the development and the growth of MSMEs
Bibliometric Computational Mapping Analysis of Publications on Supply Chain Management
Authors: Razati Girang , Arifianti Ria , Muftiadi Anang , Purnomo Margo , Juliana Juliana , Lubis Ridwan , Kusumadewi Ade Nurhayati , Maulana Indra
Published: June 2024

This study uses a bibliometric approach to computational mapping analysis with VOSviewer to look at the evolution of supply chain management research. Using the ‘publish or perish’ reference manager tool, the Scopus database was queried for the article data. The search is directed by using the keyword "Supply Chain Management" in the article's title and abstract. There were 182 items that were deemed to be pertinent. The research period considered for the study is the most recent ten years of Scopus-indexed articles (2018 to 2023). The findings demonstrated that the terms "Supply Chain Management", “Retail” and "Supplier" can be used to categorize research on Supply Chain Management research. The term "supply chain performance" is connected to by 60 different sources, with a total link strength of 549.
Evaluation Study of Basic Education in Palu City Central Sulawesi Province
Authors: . Mahfuzat , . Sumartono , . Mardiyono , Rochmah Siti
Published: June 2024

The stipulation of Law No. 23 of 2014 concerning Regional Government causes the implementation of basic education to be handed over to district/city governments. However, once this research was carried out, an evaluation model could only improve the quality of basic education delivery in Palu City, raising the question of how the Palu City Government could evaluate the implementation and maximize the quality of basic education. This study uses the CIPP Model because the CIPP model provides a comprehensive evaluation offer, including evaluation of Context, Input, Process, and Product, and can find where there are deficiencies to correct them. The method used in this study is qualitative, using triangulation techniques to obtain an overview and concept of basic education implementation, which is the authority of the government of Palu City. In addition, efforts were made to search through various sources, from official government documents and other media, to describe those related to implementing basic education in Palu City. The results of this study indicate that the context evaluation carried out by looking at the implementation of the strategic plan has yet to be optimally implemented due to the earthquake, tsunami, and liquefaction that hit Palu City on September 28, 2018, and the covid 19 pandemic. Input evaluation related to the condition of human resources (teachers) shows an increase in educational qualifications but has yet to be followed by an increase in teacher competence. Meanwhile, concerning the education budget, there have been inconsistencies in financing it because of budget politics in the DPRD, and in 2020 it still needs to reach 20% as per laws and regulations.
The Paradox of Effective Bureaucratic Reform in Enhancing Tax Institution Performance toward Optimal Tax Ratio: A Study on the Directorate General of Taxes
Authors: Amaludin Mochamad , . Sumartono , . Tjahjanulin , Muluk M. R. Khairul
Published: June 2024

Bureaucratic reform in the Directorate General of Taxes (DJP) is one of the Indonesian government's efforts to improve the performance of tax institutions and optimize the tax ratio. This study aims to examine this paradox using a qualitative approach, evaluating how the reforms implemented have affected DJP's performance, and how this contributes to the tax ratio. However, despite various reforms being implemented, the results often reveal a paradox. Reforms expected to enhance efficiency and effectiveness sometimes encounter obstacles that diminish their impact.
How to Gain Prime Performance? Lessons from the Pandemic
Authors: . Amalia , Marwa Taufiq , . Zunaidah , . Isnurhadi , Hadjri Muhammad Ichsan
Published: June 2024

The significant effects of perceived organizational support, employee engagement, and employee creativity on organizational performance have been widely studied, but their interrelationships and the potential mediating role of employee creativity remain unexplored, especially in the context of state-owned companies in developing countries. This study aimed to investigate the direct and indirect effects of perceived organizational support and employee engagement on organizational performance, with employee creativity as the mediating variable.The research was conducted in an Indonesian state-owned company operating in the non-banking sector, using a quantitative approach and structural equation modeling. The findings revealed that perceived organizational support and employee engagement positively influenced employee creativity, while employee engagement had a direct positive effect on organizational performance. However,perceived organizational support did not directly affect organizational performance. Importantly, employee creativity fully mediated the relationship between perceived organizational support and organizational performance, and partially mediated the relationship between employee engagement and organizational performance. The study highlights the critical role of employee creativity in driving organizational performance, particularly in the post-COVID-19 pandemic era, and provides insights for practitioners and policymakers in optimizing organizational performance through fostering employee creativity.
Time Management Model in the Personnel Security System for Sustainable Development Planning
Authors: Chepets Olha , Shevchenko Serhii , Vynnychuk Roksolana , Bardadym Mariya , Darmits Rostyslav
Published: June 2024

The purpose of this study is to develop an effective time management model for a personnel security system focused on sustainable development planning. The object of the study is time management processes in organizations dealing with personnel issues in the context of sustainable development. The scientific task is to identify key factors influencing the effectiveness of personnel policies and implement this knowledge into practical time management techniques. To achieve the set goals, the IDEF0 methodology was used, which made it possible to systematically approach the analysis and modeling of time management processes. A detailed IDEF0 model was developed, including analysis of current processes, identification of key functions, identification of areas of responsibility and resource allocation. As a result of applying the developed time management model, a reduction in time spent on completing personnel tasks, increased productivity and compliance of the company's activities with the requirements of sustainable development were obtained.
OPINIONS OF HEALTHCARE PROFESSIONALS ON GREEN ACCOUNTING: THE EXAMPLE OF KOCAELİ PROVINCE
Authors: Güngör Tanç Şükran , Sağlam Şengül
Published: June 2024

Healthcare institutions aiming to provide world-class service have increased awareness of providing environmentally friendly healthcare services by both the public, international organizations, and patients and healthcare professionals. One of these conservation activities is the accounting of transactions carried out for the purpose of protecting the environment. In this context, it is thought that it would be beneficial for employees in the healthcare sector to be aware of green accounting. By examining the concept of green accounting, which is a new concept for hospitals, the importance of green accounting for hospitals has been tried to be revealed and it has been aimed to raise awareness about this issue among healthcare professionals. In this study, the data obtained from 370 health professionals working in public and private health institutions in Kocaeli were analyzed with the SPSS program. Descriptive statistics and explanatory factor analysis were used as the analysis method in the research. As a result of the research, it has been determined that the vast majority of healthcare professionals have not received education about green accounting, they reconcile green accounting practices with environmental sustainability. The statement they most agreed with was ‘everyone should do their part to protect the environment due to social responsibility’ and it was found that their awareness of green accounting was high. This study supports the literature with its findings that healthcare professionals relate their views on green accounting to environmental issues and environmental sustainability. In this direction, it was emphasized that green accounting practices can be applied in health institutions and the necessity of green accounting education.
HEMŞİRELERDE PRESENTEİZM VE TIBBİ HATA EĞİLİMİ ARASINDAKİ İLİŞKİ
Authors: Sarı Emine , Demirbağ Birsel Canan
Published: June 2024

Bu araştırmanın amacı hemşirelerin presenteizm davranışı ile tıbbi hata eğilimleri arasındaki ilişkiyi belirlemektir. Tanımlayıcı ve ilişki arayıcı türde yapılan araştırma Trabzon ilinde bir kamu hastanesinde yürütülmüştür. Araştırmanın evrenini 110 hemşire oluşturmuş; çalışmaya katılmayı kabul eden 96 hemşire ile veri toplama süreci tamamlanmıştır. Veriler, Bilgi Formu, Stanford Presenteizm Ölçeği (SPS6) ve Hemşirelerde Tıbbi Hataya Eğilim Ölçeği (HTHEÖ) ile 1 Nisan-1 Haziran 2023 tarihleri arasında toplanmış ve korelasyon, Kruskal Wallis, Mann Whitney U, t testi ve Anova testleri ile analiz edilmiştir. Çalışma için kurum ve etik kurul onayı (23/03/2023, Sayı: 2023/35) ve hemşirelerden onam alınmıştır. Hemşirelerin %95,8’i kadın ve yaşları 38,53±8,15’tir. Çalışma yılı 16,30±8,62; aylık nöbet sayıları 6,02±3,83’tür. Hemşirelerin %57,3’ü lisans mezunu; %56,3’ü yataklı serviste çalışmakta; %67,7’si çalıştığı birimde isteyerek çalışmakta ve %41,7’si hastayken rahatlıkla izin kullanabilmektedir. Hastayken izin almaktan alıkoyan sebepler en çok çalışma arkadaşlarının iş yükünü artırma duygusu (%79,2) ve maaşa yapılan ek ödemelerde kesinti olması (%59,4) olarak belirtilmiştir. Hemşirelerin %87,5’i meslek hayatı süresince hasta güvenliğini etkileyecek tıbbi hata yapmadığını ifade etmektedir. Hemşirelerin presenteizm düzeyleri yüksek (3,41±,40), tıbbi hata yapma eğilimi düzeyleri ise oldukça düşük (4,38±,65) bulunmuştur. Presenteizm ile tıbbi hata yapma eğilimi arasında istatiksel olarak anlamlı bir ilişki bulunamamıştır (p>0,05; r=0,157). Hemşirelerin presenteizm davranışı ile tıbbi hata yapma eğilimi arasında bir ilişki olmadığı saptanmıştır. Ancak sağlık kurumlarında presenteizm olgusu, hasta güvenliğini tehdit eden önemli bir sorundur. Çalışmanın daha geniş örneklem grubu ile yapılması ve tıbbi hataların belirlenebilmesi için gözlemsel çalışmalar yapılması önerilebilir.
LİDERLİK ÖZELLİKLERİ İLE KULLANILAN GÜÇ KAYNAKLARI ARASINDAKİ İLİŞKİNİN İNCELENMESİ: BİR SAĞLIK KURUMU ÖRNEĞİ
Authors: Açıkgöz Ramazan , Esen Ülkühan Bike
Published: June 2024

Liderlik, kişinin, başkalarını etkisi altına alıp kendi istediği davranışa yönlendirme sürecidir. Yönlendirmenin gerçekleştirilmesi esnasında lider bazı güç kaynaklarından faydalanmaktadır. Bu sebeptendir ki güç önemli bir liderlik vasfı olarak kabul edilmektedir. Liderlik tarzları ve liderin kullanmış olduğu güç kaynakları her lidere göre farklılık göstermektedir. Bu çalışmanın amacı, bir sağlık kurumunda çalışan klinik yönetici hemşirelerin sergilemiş oldukları liderlik özellikleri ve kullandıkları güç kaynakları arasındaki ilişkinin, kurumdaki diğer sağlık çalışanları tarafından değerlendirilmesi ile ölçülmesidir. Bu amaçla, öncelikle değişkenler ile ilgili literatür taramasına yer verilmiş, daha sonra da değişkenler arasındaki ilişkiler analiz edilmiştir. Analiz için gerekli olan veri, Çok Yönlü Liderlik Yönelimleri Ölçeği ve Yönetici Hemşirelerde Algılanan Güç Ölçeği kullanılarak oluşturulan veri toplama formları vasıtasıyla 250 çalışandan toplanmıştır. Toplanan veri SPSS 23.0 programı kullanılarak, Yapısal Eşitlik Modellemesi ile analiz edilmiştir. Analizin sonucunda, karizmatik gücün hem sembolik liderliği hem de politik liderliği; zorlayıcı gücün ise yapısal liderliği diğer güç türlerine göre daha yüksek derecede yordadığı tespit edilmiştir. Ayrıca ödüllendirme gücünün, sembolik liderliği negatif yönde etkilediği de araştırmanın sonuçları arasında yer almaktadır.
Assessment of Nutritional Status in School and Non-School Going Children of Age 5-12 Years
Authors: Huda Mahmood  , Naveena Masood  , Amina Ali  , Palwasha Qamar
Published: June 2024

Background: Nutritional problems are prevalent among children, particularly in countries like Pakistan. A balanced diet and physical activity are essential for the normal growth of children between the ages of 5 to 12 years.
Objective: To assess the nutritional status of children aged 5 to 12 years in Lahore.
Methods: A cross-sectional study was conducted among 310 children, including both school-going and non-school-going individuals, from four schools—two from Bhamman and two from Taqipur, Lahore. Participants were selected using a convenient sampling technique. Anthropometric measurements (height and weight) were taken using standardized instruments. Dietary intake data were collected using a Food Frequency Questionnaire (FFQ). The Body Mass Index (BMI) for age, height for age, and weight for age z-scores were calculated using WHO growth standards. Data were analyzed using SPSS version 25, employing descriptive statistics and chi-square tests to assess associations between nutritional status and various factors. Ethical approval was obtained from the Ethical Review Committee of the University Institute of Diet and Nutritional Sciences, Faculty of Allied Health Sciences, The University of Lahore. Informed consent was obtained from the parents or guardians of all participating children.
Results: Out of 310 subjects, 42.9% were stunted, and 18.4% experienced wasting. Underweight prevalence was 40%, while 16.5% were overweight, and 9.7% were obese. The gender distribution included 101 females (32.6%) and 209 males (67.4%). The mean age was 8 ± 2.38 years, with the minimum and maximum ages being 5 and 12 years, respectively.
Conclusion: The study indicates a significant prevalence of both undernutrition and overnutrition among children aged 5 to 12 years in Lahore. There is a critical need for targeted interventions to address these nutritional issues through education, policy development, and community-based initiatives.
Keywords: Malnutrition, Stunting, Wasting, Nutritional Status, Underweight, Overweight, Obesity, BMI, Lahore, Child Nutrition, Public Health, Dietary Intake, Anthropometric Measurements
Prevalence of Diabetes Mellitus in People Aged 40 Years and Above
Authors: Muhammad Usama Maooz Awan  , Ramsha Shahid  , Nimra Khan  , Zahra Yousaf  , Verda Asif  , Maria Munir  , Mahnoor  , Sana Javaid  , Zainab Shabbir
Published: June 2024

Background: Diabetes Mellitus (DM) is a chronic metabolic disorder characterized by hyperglycemia, which leads to severe complications affecting multiple organs. The prevalence of DM, particularly Type 2 diabetes, has been increasing globally, exacerbated by factors such as poor diet and lack of physical activity. Previous research, including a study conducted in 2014 at DHQ Hospital Sargodha, indicated that the prevalence of diabetes can be reduced through proper diet and healthy activities.
Objective: To determine the prevalence of diabetes and its associated factors in individuals aged 40 years and above in Sargodha.
Methods: This observational cross-sectional study was conducted on a sample of 150 participants aged 40 and above, selected from the general population and patients at DHQ Hospital Sargodha. Purposive sampling was employed due to time and budget constraints. Data were collected using a self-developed questionnaire covering demographics, medical history, lifestyle factors, and diabetes status. Ethical approval was obtained, and informed consent was secured from all participants. Data were analyzed using SPSS version 25. Descriptive statistics summarized the demographic characteristics, while chi-square tests assessed associations between diabetes status and various factors. Multivariate logistic regression identified independent predictors of diabetes.
Results: Among the 150 participants, 58 were diagnosed with diabetes, resulting in a prevalence rate of 38%. Of the diabetic individuals, 62% were male and 38% were female. The age group with the highest prevalence was 50-60 years (38%), followed by those above 60 years (33%) and 40-50 years (29%). A significant number of diabetic participants were obese (43%) or extremely obese (5%). Additionally, 74% of diabetic individuals had hypertension, and 40% had ischemic heart disease. Lifestyle analysis revealed that 59% had irregular dietary habits and 81% led a sedentary lifestyle. Among diabetic participants, 60% had controlled diabetes while 40% had uncontrolled diabetes.
Conclusion: The study found a 38% prevalence of diabetes among individuals aged 40 and above, with a higher prevalence in males and those aged 50-60 years. Obesity, hypertension, and ischemic heart disease were significantly associated with diabetes. These findings underscore the need for targeted interventions, including lifestyle modifications and regular screening, to manage and prevent diabetes in this population.
Keywords: Diabetes Mellitus, Type 2 Diabetes, Prevalence, Obesity, Hypertension, Ischemic Heart Disease, Lifestyle Factors, Cross-Sectional Study, Sargodha, Public Health.
Mediating Role of Quality of Life between Perceived Stress and Sleep Quality among Patients with Rheumatoid Arthritis
Authors: Munir Mahpara , Javaid Zartashia Kynat , Mahmood Khalid , Fareed Mazhar , Mubeen Amna
Published: June 2024

Background: Arthritis is a chronic illness that affects millions of people worldwide. This study aimed to investigate the effects of perceived stress, life satisfaction, and sleep quality on people with arthritis. Its specific goal was to ascertain how this population's quality of life influences the relationship between perceived stress and sleep quality.
Objective: To examine the mediating role of quality of life in the relationship between perceived stress and sleep quality among patients with rheumatoid arthritis (RA).
Methods: A cross-sectional study design was employed, involving 200 RA patients aged 20 to 90 years from various hospitals in Faisalabad. Participants were recruited through support groups and outpatient programs. Data were collected using the Sleep Quality Scale (SQS), Perceived Stress Scale (PSS), and the WHO Quality of Life (WHOQOL) Questionnaire. The study adhered to ethical guidelines set forth in the Declaration of Helsinki. Statistical analyses, including descriptive statistics, Pearson correlation, independent samples t-tests, and mediation analysis using Sobel, Aroian, and Goodman tests, were conducted using SPSS version 25.
Results: The mean sleep quality score was 40.52 (SD = 5.34), the mean perceived stress score was 22.36 (SD = 3.22), and the mean quality of life score was 85.45 (SD = 14.13). Significant gender differences were found in perceived stress (p = 0.026), with males reporting higher stress levels. Sleep quality negatively correlated with perceived stress (r = -0.38, p < 0.05) and positively correlated with quality of life (r = 0.82, p < 0.01). Perceived stress and quality of life were negatively correlated (r = -0.62, p < 0.05). Mediation analysis showed that quality of life significantly mediated the relationship between perceived stress and sleep quality (Sobel test statistic = 2.32, p = 0.021).
Conclusion: Perceived stress and sleep quality were significantly associated among RA patients, with quality of life serving as a mediating factor. Higher perceived stress correlated with poorer sleep quality and lower quality of life. Addressing stress and improving quality of life could enhance sleep quality and overall well-being in RA patients. Further research, particularly longitudinal studies, is recommended to deepen understanding and develop targeted interventions.
The Role of Therapeutic Taping Techniques in Enhancing Motor Function and Reducing Pain in Patients with Rotator Cuff Tendinopathy: A Randomized Controlled Trial
Authors: Saba Ayoub  , Maria Naeem Malhi  , Fatima Tariq  , Usama Mahmood  , Mishal Khan  , Arsla Sajjad
Published: June 2024

Background: Rotator cuff tendinopathy is a prevalent condition that impairs shoulder function and quality of life. While conventional treatments exist, they often have limitations in terms of invasiveness and effectiveness. Therapeutic taping has emerged as a non-invasive alternative that may enhance motor function and alleviate pain through mechanisms such as increased proprioceptive feedback and pain modulation.
Objective: This randomized controlled trial aimed to evaluate the effectiveness of therapeutic taping in enhancing motor function and reducing pain in patients with rotator cuff tendinopathy compared to standard physical therapy alone.
Methods: Fifty-six participants diagnosed with rotator cuff tendinopathy were randomly assigned to two groups: an intervention group receiving therapeutic taping along with standard physical therapy, and a control group receiving standard physical therapy only. Assessments were conducted at baseline, 4 weeks, and 8 weeks, measuring outcomes through the Shoulder Pain and Disability Index (SPADI) and range of motion (ROM).
Results: The study demonstrated that the intervention group experienced significant improvements in pain reduction and shoulder mobility over the 8-week period, with SPADI scores decreasing and ROM increasing notably compared to the control group. These outcomes suggest that therapeutic taping effectively supports the shoulder, reduces pain, and facilitates healing in patients with rotator cuff tendinopathy.
Conclusion: Therapeutic taping proves to be a valuable adjunct to physical therapy, offering significant benefits in pain reduction and enhanced motor function for patients with rotator cuff tendinopathy. The findings advocate for the integration of therapeutic taping into standard treatment protocols, though further research is needed to standardize taping techniques and understand patient-specific responses for broader clinical application.
Association Between Neck Pain and Level of Disability Among Females Going to Beauty Parlor or Aesthetic Clinics
Authors: Ahsan Fatima , Ijaz Izzah , Izhar Nabira , Irfan Anam , Anwar Mamoona
Published: June 2024

Background: Neck pain, often perceived in the posterior cervical spine, is a prevalent condition that can be associated with various levels of disability. Cervical arterial dysfunction, also known as Bow Hunter’s syndrome, results from vertebral artery compression during neck rotation and extension. This study explores the relationship between neck pain and the level of disability among females frequenting beauty parlors or aesthetic clinics.
Objective: To determine the association between neck pain and the level of disability among females attending beauty parlors or aesthetic clinics.
Methods: This observational study included 180 female participants recruited through non-probability convenient sampling from various beauty parlors and aesthetic clinics in Lahore. Data collection involved a standardized questionnaire divided into demographic details, Visual Analog Scale (VAS) for neck pain, and the Neck Disability Index (NDI) for disability assessment. A self-administered questionnaire evaluated symptoms of cervical arterial dysfunction, including double vision and speaking difficulty. Data analysis was conducted using SPSS version 25.0, employing descriptive statistics, chi-square tests, and setting the significance level at p<0.05.
Results: The mean age of participants was 21.95 years (SD = 6.15). The mean NDI score was 3.16 (SD = 0.68) and the mean VAS score was 1.29 (SD = 0.99). There was no significant association between neck pain and disability levels (p = 0.095). However, significant associations were found between NDI scores and double vision (p = 0.012) as well as speaking difficulty (p = 0.010).
Conclusion: The study concluded that there was no significant association between neck pain and the level of disability. However, a strong association was found between the level of disability and symptoms of double vision and speaking difficulty. These findings suggest the need for ergonomic interventions and comprehensive assessments in beauty parlors and aesthetic clinics to prevent and manage neck pain and associated symptoms effectively.
Keywords: Neck pain, Neck Disability Index, Visual Analog Scale, Cervical arterial dysfunction, Beauty parlors, Aesthetic clinics, Ergonomics, Occupational health, Double vision, Speaking difficulty.
Forensic Pathology Education in Turkey: Insights From the National Forensic Pathology Awareness Survey
Authors: Gün Eylül , Ozgun Sahin Ayse
Published: June 2024

Background&Aim: In the field of medicolegal investigations in Türkiye, autopsies are typically performed by forensic medicine specialists while postmortem histopathological examinations are performed by pathology specialists. However, the absence of forensic pathology from the core curriculum for residency in pathology has led to a significant lack of awareness and proficiency among pathologists in this subspecialty. To address this issue, a survey study aimed at evaluating the status of forensic pathology within pathology residency programs, increasing awareness and understanding of the significance of incorporating forensic pathology into pathology residency was conducted.

Material and Methods: A survey consisting of a total of 14 questions was sent to all pathology residents and young specialist pathologists within the first five years of their specialization via e-mail and social media channels.

Results: A total of 212 participants, including pathology residents and young specialist pathologists in their first five years of specialization, took part in the survey. The institutions where the participants received training were university hospitals (53.8%), training and research hospitals (34.9%), affiliated university hospitals (9%), and private university hospitals (9%), respectively. 92.9% of respondents indicated the absence of forensic pathology training in their residency programs, and only 13.8% reported exposure to forensic pathology on external rotations during their training. Additionally, 84.8% of the participants expressed a desire for the inclusion of forensic pathology rotations in the core curriculum. The majority of the participants stated that they lacked knowledge about the job descriptions and activities of forensic pathologists, emphasizing the need for such training during their residency and some young specialist pathologists disclosed difficulties in handling forensic matters throughout their expertise.

Conclusion: The results of the survey reveal a significant deficiency in forensic pathology education across institutions in Türkiye, accompanied by a low level of awareness, To address this issue and prevent a major gap in specialty training, it is crucial to incorporate forensic pathology training into the core curriculum for pathology and provide external rotations in cases where in-departmental training is not feasible.
Tıbbi Malpraktis Davalarında Yeni Bir Dönem: Mesleki Sorumluluk Kurulu
Authors: Beşkoç Caner , Şahin Hüseyin Çağrı , Kestioğlu Bilal Nuri
Published: June 2024

Tıbbi Malpraktis Davalarında Yeni Bir Dönem: Mesleki Sorumluluk Kurulu
2.	SUBORDINATE WORK FULLY PERFORMED IN REMOTE WORK MODE
Authors: Benevides Camila Martins dos Santos
Published: June 2024

2. SUBORDINATE WORK FULLY PERFORMED IN REMOTE WORK MODE 2.1 INDUSTRIAL REVOLUTIONS AND WORK IN THE DIGITAL ERA 16 2.2 THE CONCEPT OF REMOTE WORK 23 2.3 THE FUTURE OF REMOTE WORK AND METAVERSE 30 2.4 REMOTE WORK THROUGH DIGITAL PLATFORMS (CROWDWORKING) 35 2.5 STATISTICAL DATA ON THE USE OF REMOTE WORK IN THE EUROPEAN UNION 43
4.	TRANSNATIONAL REMOTE WORK IN THE EUROPEAN UNION
Authors: Benevides Camila Martins dos Santos
Published: June 2024

4.1 THE LAW APPLICABLE TO THE INDIVIDUAL INTERNATIONAL EMPLOYMENT CONTRACT 80 4.1.1 General rules established in the Rome I Regulation (REG. (EC) nº 593/2008 80 4.1.2 Limitation to the contractual autonomy of the employee and the employer in choosing the national social legislation applicable to the international employment contract, Case C-152/20 and C-218/20 of the Court of Justice of the European Union 85 4.1.3. The concept of “workplace” in transnational remote work 97 4.1.3.1 The application of Art. 8, No.3 and the impossibility of identifying the “place of service provision” in employment contracts executed via the internet 97 4.1.3.2 Application of Article 8, No.3 to promote decent work and to avoid situations of social dumping 106 4.1.3.3 Application of criterion lex loci laboris by the Court of Justice of the European Union when analyzing the law applicable to transnational work contract 111 4.1.4 Overriding mandatory provisions: Art. 9 of the Rome I Regulation (REG. (EC) No. 593/2008. Case C-135/15 of the Court of Justice of the European Union 115 4.1.5 The limit of public policy in the application of international private law norms 122 4.2 THE DETERMINATION OF THE JURISDICTION APPLICABLE TO TRANSNATIONAL REMOTE CONTRACTS (BRUSSELS I-BIS) 126 4.2.1 Using the forum of residence of the employee. Similar application of case Petrus Wilhelmus Rutten (C-383/95) 134 4.3 THE CONCEPT OF “PLACE OF WORK” AND THE PROPOSAL OF THE DIRECTIVE ON THE IMPROVEMENT OF WORK CONDITIONS OVER DIGITAL PLATFORMS (2021/0414/COD) 139
5.	INTERDISCIPLINARY TOPICS RELATED TO TRANSNATIONAL REMOTE WORK IN THE EUROPEAN UNION
Authors: Benevides Camila Martins dos Santos
Published: June 2024

5. INTERDISCIPLINARY TOPICS RELATED TO TRANSNATIONAL REMOTE WORK IN THE EUROPEAN UNION 142 5.1 PERSONAL DATA, SECURITY AND PRIVACY OF REMOTE WORKERS 142 5.1.1 A brief overview of the legislation on personal data protection of workers in Europe 142 5.1.2 Monitoring and controlling remote workers according to the European jurisprudence 147 5.2 DISPLAY SCREENS AS PIECES OF EQUIPMENT AND THE HEALTH OF REMOTE WORKERS – JUDGMENT C-392/21 OF THE CJEU 153 5.3 SOCIAL SECURITY ISSUES RELATED TO TRANSNATIONAL REMOTE WORKERS 159 5.3.1 General rules of Regulation (EC) No. 883/2004 of the European Parliament and the Council of 29th April, 2004 159 5.3.2. Suspension of the application of conflicts rules on social security matters during the pandemic 162 5.3.3 The Framework Agreement on the application of Article 16, No 1, of Regulation (EC) No. 883/2004 in cases of habitual cross-border teleworking – in force since 01/07/2023 165 5.4 TAX ISSUES RELATED TO TRANSNATIONAL REMOTE WORKERS 168
Exploring Academic Competitions: A Phenomenological Study of Foreign Teachers Coaching Students for Local and International Competitions
Authors: Alfante Anna Marie V , Orencia Dario M , Del Rosario Ligaya Z , Buhain Vivian , D Henson Luzale , B De Castro Luningning
Published: June 2024

This study sought to explore the experiences of foreign teachers coaching for academic competitions. Applying transcendental phenomenological research. Following Moustaka's four main processes in conducting phenomenological research, the researcher transcribed the interview material, then read and re-read it to develop codes and classified them into categories and themes. The researcher determined six themes from the interview recordings by considering the Conservation of Resources Theory by Hobfoll (1989) as the basis, which were then thoroughly evaluated. The data analysis revealed that foreign teachers' experiences in coaching for academic competitions could be described using the following themes: Teacher educational career, remarkable experience, support, strategies in coaching, challenges in coaching and teacher reflection. Coaching experiences might inspire teachers to continue developing and coaching students. However, not all cases are the same due to the circumstances they face. The results revealed that teachers who received support from the school and other stakeholders were content with their experience, which gave them a positive attitude toward academic competition. The findings suggested that students, teachers, and schools should be adequately prepared before participating in a competition, whether local or international. Teachers and students must be willing to confront any problems that may arise throughout the preparation process. The school can provide assistance to teachers by offering training, materials, and emotional support, as well as other support such as time, money, or tokens of appreciation.
Incidencia del HPV en mujeres con relación a cáncer cervicouterino durante el periodo 2017-2022 en el Ecuador
Authors: Martínez Tubón Jenny del Rocío , Vilcacundo Córdova Mario Fernando
Published: June 2024

El siguiente artículo de revisión bibliográfica recopila información acerca de la incidencia del HPV en mujeres de 25-40 años y su relación con el cáncer cervicouterino durante el período 2017-2022 en el Ecuador, mediante el cual se busca información relevante sobre la principal causa del cáncer cervicouterino. Se han tomado en cuenta los datos estadísticos relevantes que nos indica el incremento o disminución de casos de cáncer cervicouterino u otros tipos de cáncer relacionados (cáncer anogenital y orofaríngeo) en mujeres, pero sobre todo la presencia de estos casos de los tipos y subtipos del HPV de bajo o alto riesgo, reconociendo al genotipo 16 como el de más alto riesgo y alta peligrosidad por ser el causante de casi todos los cánceres del cuello uterino. Los resultados recopilados de la base de datos muestran una progresión del virus del papiloma humano (HPV) desde una simple infección hasta el desarrollo de cáncer cervicouterino a lo largo de los años (2017-2022). Además, se observa cómo esta progresión afecta a diferentes grupos de edad (25-40 años), con énfasis en la posible incidencia en grupos más jóvenes y mayores. Así como también su impacto en la salud mental de la persona, resaltando su peligrosidad.
Interaction with AI robots: machine translators, text generators, chatbots & co - an empirical study among first-year students
Authors: Seufert Sabine , Spirgi Lukas , Delcker Jan , Heil Joana , Ifenthaler Dirk
Published: June 2024

Artificial Intelligence (AI) increasingly influences people's lives by fostering enhanced interaction between humans and machines (Kim, 2022). AI robots are considered agents that undertake tasks traditionally performed by humans through AI programming. There are two categories of AI robots: those with human-like performance and those with human-like appearance for social interaction. Based on this concept, seven specific use cases were developed for this study. An online survey conducted among students (N = 636) in September 2022 (shortly before the release of ChatGPT) examined both the frequency of usage and the ethical evaluation of each of the seven use cases by students. Additionally, a risk and an opportunity index were formed to assess students' general perception of AI. The perceived risks outweigh the recognized opportunities. The frequency of students' usage of AI robot types is generally considered relatively low. The acceptance of ethical principles varies depending on the kind of AI robot, with students particularly valuing fairness for AI robots involved in (human-like) text generation and transparency for AI robots engaged in human-like social interactions.
Learning about artificial intelligence: results from a training program to promote startup skills in the AI field
Authors: Hangen Jule , Wuttke Eveline
Published: June 2024

Artificial intelligence (AI) is key to productivity growth in the 21st century; thus, startups offering AI innovations are considered vital for the economy. However, many new businesses fail in their first few years, and the effectiveness of entrepreneurial training programs seldom is evaluated systematically. In this study, we investigate the knowledge, motivation, beliefs, and attitudes of potential founders of AI startups upon starting and completing a training program we designed for such potential entrepreneurs. We administered a questionnaire and conducted interviews with people enrolled in the program. We found participants had varying and often multiple reasons for enrolling in the training program, for example, to find business partners and get a motivational boost, and they rated the usefulness and job relevance of AI greater than its ease of use. Although we found no significant change in participants’ knowledge about AI, we noticed a substantial increase in their knowledge about starting a business. Interestingly, their intrinsic motivation was significantly lower after the program. Overall, our training program for AI startups was effective in providing general startup knowledge but needs to emphasize the AI focus to support creation of AI or data-driven ventures.