bluuebunny/crossref_metadata_2025 huggingface dataset:
Modelo de predicción de regresión múltiple para identificar las capacidades tecnológicas que influyen en la Competitividad de las MYPES de Tepic y Xalisco, Nayarit, México
Authors: González Cobián Miriam Fabiola , Sánchez González Mónica , Ledesma Hernández Silvia , Estrada Neri Xochitl
Published: May 2022

Propuesta de un modelo de regresión múltiple, para identificar las capacidades tecnológicas que influyen en la Competitividad de las MYPES de los municipios de Tepic y Xalisco del estado de Nayarit, realizado durante el año 2020. El estudio tiene un enfoque cuantitativo, exploratorio y transversal, las variables independientes del modelo: Proveedores Innovación, Uso de Tecnología en procesos productivos, Métodos de información, Respaldo de información, Innovación – Productos; el modelo resulta con r2 = 0.146 sin embargo no es significativo estadísticamente, se concluye que se debe agregar la variable: Uso de Tecnología en procesos productivos.
Abstract
 A proposal of a multiple regression model was made to identify technological skills which influence competitiveness in MSEs from the municipalities of Tepic and Xalisco, Nayarity State, developed in 2020. The research has a quantitative, exploratory and cross-sectional focus, the independent variables of said model are: innovation suppliers, the use of technology within production processes, information methods, information back-up, innovation-products; the model results with r2= 0.146; however, it is not statistically significant; it is concluded that the variable: Use of technology in production processes, should be added.
responsabilidad social de las micro y pequeñas empresas de América Latina
Authors: Falcón Muñoz Victoria de Jesús , Aguilar Rascón Oscar Cuauhtemoc
Published: May 2022

En la presente investigación se muestra la correlación de las variables de ventaja competitiva, dirección y valoración del entorno en el resultado de la responsabilidad social en las micro y pequeñas empresas en México, Perú, Ecuador y Colombia. Teniendo como objetivo el encontrar nuevos patrones en el ejercicio del liderazgo para la obtención de resultados de responsabilidad social en estos unidades económicas.

Se aplicó el instrumento a una muestra representativa en los países en mención. El enfoque metodológico utilizado en la presente investigación es cuantitativo, explicativo, observacional, transversal, siendo correlacional, ya que se analiza la relación mutua entre las variables y fue utilizado el método de regresión lineal.

Abstract

In this research, we show the correlation of the variables; competitive advantage, management and environmental valuation in the achievement of social responsibility in micro and small enterprises (MSEs) in Mexico, Peru, Ecuador and Columbia, with the objective of finding new patterns in leadership practices in order to obtain results of social responsibility in said economic units.

An investigative instrument was applied to a representative sample in the countries in question. The methodological approach used is quantitative, explanatory, observational, cross-sectional and correlational, as it analyzes the mutual relationships found among variables and a linear regression method.
UYDU GÖRÜNTÜLERİNİN ULUSLARARASI ADALET DİVANI ÖNÜNDE KANIT OLARAK KULLANILMASI
Authors: ÇAKIR Tuğrul
Published: May 2022

Uzaktan algılama uyduları tarafından elde edilen verilerin kullanım alanı gün geçtikçe artmaktadır. Son dönemde, bu verilere özellikle ulusal ve uluslararası mahkemelerin yargılama sürecinde kanıt olarak başvurulmaya başlanmıştır. Uzaktan algılama uydusu tarafından elde edilen ham verinin işlenmesinden son ürün olana kadarki süreçte birçok insan/bilgisayar müdahalesi bulunmaktadır. Bu nedenle, uydu verilerinin güvenilirliği önemli bir mesele oluşturmaktadır. Bu çalışma Uluslararası Adalet Divanı önündeki davalarda uydu verilerinin kanıt olarak nasıl bir yer tuttuğu üzerine yoğunlaşacaktır. Bu bağlamda, uydu verilerinin kabul edilebilirlikleri ve kanıt değeri gibi meseleler ele alınacaktır.
Nidanatmaka (Epidemiological) Study in Patients Suffering From Impairment of Dhee Dhriti Smriti w.s.r. to Mild Cognitive Impairment
Authors: Sharma Anshu , Sharma Surendra Kumar , Gavali Preeti
Published: May 2022

Introduction: In Ayurveda Dheemeans intelligence, Ability to correct judgement, Discriminative power etc Dhritimeans–Self-control, patience, will power. Smriti means recalling the past experience or retention of memory. Aim: Present study was intended to assess the causative factor of dheedhriti smriti vibhransha.Methods: A Nidanatmaka study was conducted at NIA Jaipur in which 500 subjects of both sex and age above 18 years were included after informed consent and the data were collected to assess the causative factors of dheedhriti smriti vibhransha.Results:Virudha Ahara,vidahi usana tiksna ahara, puti paryusit bhojan,dusta ,ashuchi , ruksha ahara katu amla lavana rasa,chinta, shoka, moha,kama, krodha,lobha,irshya bhavare important nidana of manas rogain the current Nidanatmaka survey. Discussion: In this study it was concluded that therenidana, the foremost component ofNidanaPanchaka, not only gives the knowledge of causative factors of a disease but also helps in treatment by avoiding them.Acharya Shushrut mentioned that Nidana Parivarjana (avoidance of causative factors) is the basis of Cikitsa.Since, the prevention of occurrence of disease is simple rather than treating the patient after developing disease.
Literature Review of Panchvalkaladya Churna & Kashaya in the Management of Non-Healing Wound
Authors: Balara Rajkumar , Gupta Rajesh Kumar , Srivastava Sanjay
Published: May 2022

Ayurvedais a science of life and is presumed when the origin of life on this earth is mentioned in Samhita. In many references or ancient books miracle of Ayurvedais described. This miracle is proven in the form of enhanced quality for longer life. Moreover, Ayurvedaprovides newlife by eradicating severe diseases. Ayurvedais broadly described in eight parts. Knowledge Vranais one of them that are governed by human from the dawn of civilization. Human beings have been vulnerable to harm since beginning, prompting them to consider healing from an early stage of development. The injury from various causes lead to Vranaunder many circumstances (wound). Vranais an awful and alarming condition that can influence individuals of all ages. At the same time, wound recuperating is quite difficult for all. Thus, mending of wounds is essential. Many elements influence wound mending. Hardship-free aseptic nature of the injury is the first and most significant element to consider for its mending. Afterward the arrangement of a solid injury bed which brings about mending from now on.
A Conceptual and Applied Study of Trividha Karmain Shalyatantra
Authors: Gupta Anshuma , Singh Sudha
Published: May 2022

All types of Ayurvedictreatments are described under Ashtang Ayurvedawhich means eight branches of Ayurveda. Shalya tantrais one of them and Sushruta Samhitais the oldest text available on Shalya Tantra(surgery).The Sushruta Samhita acts as a training manual and educativetext for surgery, and enabled a move away from the more primitive forms of surgery practiced beforehand. Many procedures and methods of surgery were described and in some way acts as a basic manual from which surgery in the modern day has grown from.SutraSthanaof Sushruta Samhitadeals with basic concepts of surgery, surgical instruments and appliances, practical training, duties of the surgeon, Sandhan Karma,causes and classification of diseases etc.Being a surgeon Acharya Sushrutawas well aware aboutthe complications of surgery so before talking anything about the surgery first he told about the concept of Trividh Karmai.e. poorva karmameans accessories to be obtained before the commencement of main surgical procedure, pradhan karmameans main surgical procedure, paschat karmameans measures that should be taken to cure the patient after main surgical procedure until the patient is discharged.
INTERNET A TRAVÃ‰S DE LA LUZ LUMINOSA CON TECNOLOGÃA LI-FI
Authors: Lopez Pincay Maria Fernanda
Published: May 2022

RESUMEN

Cuando hablamos de tecnologÃ­a de comunicaciÃ³n inalÃ¡mbricas nos referimos  a Wifi como lo seÃ±ala Significados.com â€œnos permite conectar a internet equipos electrÃ³nicos mediante el uso de radiofrecuencias para la trasmisiÃ³n de la informaciÃ³n. Con el paso del tiempo Wifi ha presentado diversas complicaciones de cobertura, ancho de banda, interferencias en la conexiÃ³n y hasta de seguridadâ€ (Significados.com, 2018).Debido a las problemÃ¡ticas que presentaba WiFi se desarrollÃ³ una nueva tecnologÃ­a que cubriera las necesidades de los usuarios como lo es Li-Fi una tecnologÃ­a inalÃ¡mbrica que permite enviar datos a travÃ©s de la luz. La tecnologÃ­a Li-Fi tiene sus inicios en el aÃ±o de 1880 por Alexander Graham Bell con la transmisiÃ³n de un mensaje de voz, luego fue retomada por el  profesor Harald Haas de  la Universidad de Edimburgo en Reino Unido con el fin de crear un sistema de comunicaciÃ³n inalÃ¡mbrica que utiliza el espectro visible de la luz como medio de transmisiÃ³n de datos.Li-Fi es una mejora de innovaciÃ³n de las tecnologÃ­as inalÃ¡mbricas no es el sucesor de  Wi-Fi al contrario es un  complemento, la nueva tecnologÃ­a Li-Fi se caracteriza por transmitir informaciÃ³n a travÃ©s de la luz led  a diferentes dispositivos electrÃ³nicos capaz de receptar la luz luminosa conectados a una distancia de 3 metros  con una velocidad de transmisiÃ³n de 1Gb por segundo  siendo mucho mÃ¡s econÃ³mico y de fÃ¡cil implementaciÃ³n  ademÃ¡s de que es mucho mÃ¡s rÃ¡pido, seguro y mÃ¡s eficiente que los otros tipos de acceso a Internet que conocemos en la actualidad. Para  la investigaciÃ³n  se utilizÃ³ mÃ©todo investigativo para identificar los problemas, mÃ©todo bibliogrÃ¡fico para la recolecciÃ³n de datos de los diferentes sitios web y el mÃ©todo explorativo para el respectivo anÃ¡lisis y resultados de las diferentes investigaciones a tratar, con esto se da a conocer los conceptos que son de ayuda para lograr un resultado y asÃ­ conocer el uso del internet a travÃ©s de la luz luminosa con tecnologÃ­a li-fi.

 

Palabras clave: comunicaciÃ³n, innovaciÃ³n, transmisiÃ³n, tecnologÃ­a.
las HERRAMIENTAS TECNOLÃ“GICAS QUE IMPACTAN DENTRO DE LA EDUCACIÃ“N BÃSICA EN EL ECUADOR EN TIEMPO DE PANDEMIA
Authors: Villacreses David , Moran Kevin , Maldonado Kirenia , Hernandez Jairon
Published: May 2022

Hoy en dÃ­a es importante contar con herramientas tecnolÃ³gicas sea la actividad que se realice o el Ã¡rea en que se desempeÃ±e laboralmente, dentro de la educaciÃ³n  bÃ¡sica en el Ecuador es  parte fundamental el uso de estas herramientas, debido al grado de importancia que estas tienen en los tiempos que se viven actualmente por los estragos causados por la pandemia en cada rincÃ³n del mundo lo cual obligo de forma total a toda la poblaciÃ³n a recibir clases por medio virtual, tal es el caso en el Ecuador, el uso de estas herramientas impactan en la educaciÃ³n por sus grandes beneficios que conlleva al usarlo entre esos estÃ¡n evitar la aglomeraciÃ³n en los planteles educativos y salvaguardar la integridad de cada uno de los estudiantes y familiares, ademÃ¡s de llevar un mejor manejo organizado y planificado de toda la enseÃ±anza a recibir por parte de los estudiantes. Es importante destacar el uso de herramientas tales como lo son zoom, classroom, meet entre otros que son muy utilizados por cada docente para impartir sus actividades como maestros y trasmitir enseÃ±anzas a cada uno de sus estudiantes, estas herramientas tecnolÃ³gicas a mÃ¡s de facilitar las clases no presenciales son de fÃ¡cil uso e instalaciÃ³n en cada telÃ©fono celular de los padres para que sus hijos puedan seguir a la par de este mundo tecnolÃ³gico. Las herramientas tecnolÃ³gicas son el futuro educativo no solo en la educaciÃ³n bÃ¡sica sino tambiÃ©n en educaciÃ³n primaria y en la superior, con Ã©nfasis al mundo laboral.
El CONTAMINACION POR DESECHOS EN LA ZONA URBANA DE LA CIUDAD DE JIPIJAPA
Authors: Bacusoy Barcia Diana , Vera Lino SofÃ­a Griselda , Sisalima Moreno Jennifer Katherine , Lucio Villacreses Luis Fernando
Published: May 2022

El presente artÃ­culo ha sido relacionado con los objetivos de desarrollo sostenible 12 â€œProducciÃ³n y Consumo Responsableâ€ con la finalidad de conocer la contaminaciÃ³n producida por el mal manejo de los desechos sÃ³lidos que contaminan al ambiente por no tener un sistema de recolecciÃ³n adecuado y por ello son quemados y lanzados a terrenos baldÃ­os o a esteros cercanos. Para el efecto se utilizaron el mÃ©todo deductivo, exploratorio y cuantitativo que nos permitiÃ³ consolidar una encuesta aplicada a moradores de la zona urbana del cantÃ³n jipijapa. Entre los resultados mÃ¡s importantes encontramos que el 29.4% de la muestra encuestada cuenta con el servicio de recolecciÃ³n de basura dos veces a la semana sin ningÃºn problema, de los cuales los residuos que mÃ¡s reutilizan son las botellas plÃ¡sticas con un 36.7%, por otro lado, el 80.6% de la poblaciÃ³n encuestada estÃ¡n de acuerdo que desde la escuela se enseÃ±e EducaciÃ³n Ambiental. TambiÃ©n se tomÃ³ en cuenta el Objetivo de Desarrollo sostenible 12 â€œProducciÃ³n y consumo responsableâ€, meta 12.5 â€œDe aquÃ­ a 2030, reducir considerablemente la generaciÃ³n de desechos mediante actividades de prevenciÃ³n, reducciÃ³n, reciclado y reutilizaciÃ³n, que indica â€œse lograrÃ­an niveles mÃ¡s altos de reducciÃ³n de desechos medites la reducciÃ³n. Con esta investigaciÃ³n se concluyÃ³ que el manejo inadecuado de los desechos comunes se presenta debido a la falta de capacitaciones.
IMPORTANCIA DE LOS CHATBOT EN CONTRIBUCION A LA SALUD EN EL AÃ‘O 2020 POR LA PANDEMIA EN JIPIJAPA
Authors: Parrales Baque Joel Jair
Published: May 2022

RESUMEN

El presente proyecto relata sobre la importancia que tiene los chatbot y como estos contribuye en la salud, donde la tecnologÃ­a es tendencia a un nivel englobado y en donde la salud es lo primordial en la vida, por tal razon durante el aÃ±o 2020 ha tomado por sorpresas a paÃ­ses, ciudades desarrolladas, que habÃ­a estado dormido y ahora ha despertado con gran fuerza el uso de las tecnologÃ­as por la emergencia sanitaria. Como objetivo que se dieron en el anÃ¡lisis de la importancia que tiene los chatbot en la salud durante la emergencia sanitaria, donde los chatbot cumple una funciÃ³n servicial tanto para los usuarios o pacientes, que, para aquellos profesionales, instituciones que tomaron la decisiÃ³n de implementarlos para beneficiar a la comunidad. Este trabajo se realizÃ³ para encontrar indicios de como los chatbot es Ãºtil en el Ã¡rea de medicina, claro estÃ¡ que como atenciÃ³n al cliente es su papel importante porque distribuye la informaciÃ³n de manera conversacional, para poder llegar estos alcances se utilizaron mÃ©todos de recopilaciÃ³n de informaciÃ³n, tÃ©cnicas que permitiÃ³ aclarar dudas en la ciudad de Jipijapa, con ayuda de mÃ©todo histÃ³rico-lÃ³gico y encuestas realizadas a la comunidad que dieron como resultados obtenidos, ademÃ¡s se concluyeron que los chatbot arrasa como asistentes virtuales en la salud con grande hazaÃ±as en la ciudades como EspaÃ±a, MÃ©xico y que en Ecuador tambiÃ©n involucra importancia durante la recopilaciÃ³n de contagios del covid-19 durante la pandemia establecida como contribuciÃ³n a la salud durante el gobierno Lenin Moreno.
Las tecnologías y su déficit en las entidades públicas del Ecuador
Authors: Córdova Parrales Jean Steven , Gonzabay Ponce Robinson Joel , Maldonado Zúñiga Kirenia , Macías Parrales Tania Maricela
Published: May 2022

Se conoció los desafíos que nos presenta el deficit tecnológico en las entidades públicas del Ecuador, por el motivo de no ser capaz de generar una tecnología propia y lo que realiza es adaptar productos importados, para asi incorporarla en los servicios que se requieren, la cual deja un saldo negativo en el pago de las artículos adquiridos, pero si una entidad pudiera crear su propia herramienta, no existiría es pago innecesario, porque lograría ser importador de ciencias aplicadas, los combates que presenta el proceso en el sector público son los financiamientos, debido al presupuesto para innovar y ganar eficiencia; operaciones de los sistemas; analfabetismo es un gran desafío a la hora de implementar un gobierno digital, dando acceso a enfatizar y demostrar las ventajas que obtendrán las personas al usar la plataforma especializada; desconfianza dio un recelo ante la prestación de servicios debido a los procedimientos telemáticos de la distancia entre persona-persona y capacitación al recurso humano, dio un reto importante a la hora de la preparación y capacitación de los servicios diariamente; para esto se utilizó método investigativo para identificar los problemas, método bibliográfico contiene la recolección de datos de los diferentes sitios web y el método explorativo hacia el respectivo análisis y resultados de las diferentes investigaciones a tratar, con esto se conoce los conceptos que son de ayuda para lograr un resultado y asi se logró conocer las diferentes errores en esta Institución Pública.
Kaedah Penguasaan Mufradat Bahasa Arab Melalui Surah Al-Fatihah
Authors: Ismail Noor Effendi Bin , Nik Yusoff Nik Mohd Rahimi Bin
Published: May 2022

Penguasaan terhadap mufradat atau kosa kata bahasa Arab boleh berlaku dalam pelbagai kaedah pengajaran. Surah al-Fatihah merupakan surah yang wajib dipelajari dan diingati oleh semua umat Islam untuk menyempurnakan rukun solat yang ketiga. Surah ini pula telah mula diajarkan kepada murid-murid sekolah rendah yang berada pada tahun satu. Kajian ini dibuat bertujuan untuk melihat kaedah yang boleh digunakan dalam meningkatkan penguasaan pelajar dalam kosa kata bahasa Arab melalui kefahaman surah al-Fatihah. Penguasaan mufradat dalam surah ini amat penting agar bacaannya lebih difahami dan dijiwai dalam solat. Pada masa yang sama juga dapat meningkatkan lagi keinginan murid untuk memahami surah-surah yang lain di samping menambah kosa kata dalam Bahasa Arab. Kajian ini menggunakan metodologi kajian tinjauan. Kaedah kepustakaan juga digunakan dengan mengkaji jurnal dan artikel yang berhubung rapat dengan cara pengajaran dan penguasaan bahasa Arab.
Ruben Saillens et la Mission populaire évangélique
Authors: Travier Daniel
Published: May 2022

Ruben Saillens (1855-1942) n’est pas un inconnu au Musée du Désert, pour y avoir présidé des cultes mais aussi comme auteur de La Cévenole qui est systématiquement chantée aux assemblées annuelles.
Ruben Saillens est né à Saint-Jean-du-Gard dans des familles cévenoles touchées par le Réveil et appartenant soit à la communauté darbyste, soit à l’Église Évangélique Libre. Répondant à un appel pour être évangéliste, il rencontre en 1873 le révérend Robert McAll qui vient de fonder la Mission aux ouvriers de Paris. Il y est engagé l’année suivante et en devient une des chevilles ouvrières. Il fonde en 1878, à Marseille, une mission sur le modèle parisien. Elle se développe très rapidement, multipliant les salles sur la côte méditerranéenne. En 1883 l’œuvre bien lancée fusionne avec la mission McAll qui devient alors la Mission Populaire Évangélique. Ruben Saillens retourne à Paris auprès de son mentor. En 1888 il fonde une Église baptiste et les liens se distendent avec la mission en 1890. Il s’en détachera totalement quelques années plus tard.
Baptiste convaincu, Ruben Saillens poursuivra un riche ministère pastoral et d’évangéliste de manière indépendante dans toute église faisant appel à lui, quelle que soit son obédience. Il initie les missions sous la tente, les conventions chrétiennes et fonde l’Institut Biblique interdénominationnel de Nogent-sur-Marne en 1921.
Investigation Of The Effect Of Vermiculite (Yıldızeli/Sivas) Addition On The Properties Of Sanitaryware Ceramic
Authors: BOYRAZ Tahsin , ÖNEN Umut , TAPİK Şaban
Published: May 2022

Sanitaryware is the generic term used to describe items which traditionally were made from pottery. i.e. toilets, washbasins, pedestals, bidet, urinals, sinks, bathtubs installed within a bathroom or washroom. Sanitaryware products are primarily made of clay, kaolin, feldspar and quartz but they may also include small quantities of other raw materials. Its high gloss, stain resistant surface is ideal for use in both bath-rooms and kitchens. Vermiculite, a mineral in which the hydromicas group occurs naturally, becomes a high-efficiency thermal insulation material when heated above 300 ℃. The expanded vermiculite can be used as a filler for heat insulating materials due to its unique properties, low bulk density, low thermal conductivity, relatively high melting point, chemical inertia, durability and environmental safety. In this study, the effects of vermiculite obtained from Yıldızeli/Sivas region on sanitaryware body properties were investigated. The materials used in this study are calcined vermiculite, quartz, clay, kaolin and feldspar ceramic raw materials. Sanitaryware compositions were prepared by using kaolin-feldspar-quartz ternary equilibrium diagram according to the appropriate recipe from the raw material. In accordance with this purpose; prepared sanitaryware bodies %0, 10 and 20 by weight calcined vermiculite (1050 oC 1 hour) was added to formed the body compositions. The samples were coded as S20V1100 (S: Sanitaryware; 20V: 20% vermiculite addition and 1100: 1100 °C firing temperature). Mixtures homogenized in Alumina ball mills (60 rpm, 24 hours) were shaped by uniaxial dry pressing (100 MPa). Then, the prepared pressed samples were fired at 1050-1100 and 1150 °C for 1 hour. Microstructure (SEM), phase analysis (XRD), mechanical (hardness, 3-point bending) and physical properties (% shrinkage, water absorption, porosity and density) tests were performed on the sanitaryware bodies produced. The obtained data were presented in graphs and tables and commented. Accordingly, the properties of the vermiculite doped specimens were successfully developed and the optimum parameters were clearly shown. According to the results, it has been shown that sanitaryware properties are improved with the increase of calcined vermiculite.
Компетентностный подход в инклюзивной практике
Authors: Поникарова В.Н. , Андреева Е.Л. , Антонова Л.А. , Артеева М.С. , Ермолина А.С. , Староверова Т.С. , Химич А.С.
Published: May 2022

В монографии рассмотрены компетентностные аспекты к инклюзивной практике. Монография включает теоретический анализ проблемы, вопросы диагностики, описание типологии компетенций, которые формируются у субъектов инклюзивного образования (родителей детей с ОВЗ, лиц с ОВЗ, педагогов, реализующих инклюзивное образование). Авторами представлен обширный практический материал, который включает прикладные методы и приемы формирования различных компетенций. Издание может быть интересно российским и зарубежным ученым, практическим работникам в области инклюзивного образования, бакалаврам, магистрантам и аспирантам.
ESTRATEGIAS DE MERCHANDISING DE LA EMPRESA LETERAGO, JABÓN ASEPXIA, EN LA PARROQUIA LETAMENDI DE LA CIUDAD DE GUAYAQUIL
Authors: Velastegui Peñafiel Mariella Angelina , Bonín Campos Edith Vanessa
Published: May 2022

La microempresa “BrasaMaster” se encuentra ubicada al norte de la Ciudad de Guayaquil. Se dedica a la comercialización de parrillas de asar y es representante oficial de marcas importadas como Char-Broil y  Oklahoma Joe’s. Para determinar optimiza la microempresa BrasaMAster a través de la realización de estrategias de diferenciación, planeándose como objetivo Diseñar estrategias de diferenciación para la microempresa “BrasaMaster”, en la parroquia la Puntilla de la ciudad de Samborondón. Metodología empleada se construyó bajo un enfoque misto cualitativo y cuantitativo, modalidad de proyecto factible con apoyo en una revisión documental e indagación de campo. Las técnicas de recolección empleada fue la encuesta y para el análisis de los datos se empleó la estadística descriptiva. La muestra quedó constituida por 50 clientes. Los resultados evidenciaron debido a la existencia de varias marcas de parrillas de asar que hacen ver a los asadores como un producto commodity, que no presenta diferencia alguna en calidad frente a su competencia en el mercado, lo que afecta la comercialización de las parrillas por lo que se propone estrategias de diferenciación que permitan distinguir la marca en el mercado.
ABSTRACTThe microenterprise "BrasaMaster" is located north of the city of Guayaquil. He is engaged in the marketing of grills and is an official representative of imported brands such as Char-Broil and Oklahoma Joe’s. To determine optimizes the  BrasaMAster microenterprise through the realization of strategies of differentiation, planning as objective Design strategies of differentiation for the microenterprise "BrasaMaster", in the parish of La Puntilla of the city of Samborondón. The methodology used was based on a qualitative and quantitative approach, a feasible project modality supported by a documentary review and field investigation. The collection techniques used were the survey and descriptive statistics were used for data analysis. The sample consisted of 50 customers. The results showed due to the existence of several brands of grills that make the grills look like a commodity product, which does not present any difference in quality compared to its competition in the market, which affects the marketing of the grids so it is proposed differentiation strategies that allow to distinguish the brand in the market.
Correlation between Body Mass Index and Nonalcoholic Fatty Liver Disease
Authors: Alrubaie Abdulhadi Liebi , Rezqallah Raed E , Ahmed Mohanad A , Musa Salam , Al-Qanbar Maitham H
Published: May 2022

Background: Non-alcoholic fatty liver disease (NAFLD) is the most common liver disorder globally. The prevalence is 25% worldwide, distributed widely in different populations and regions. The highest rates are reported for the Middle East (32%). Due to modern lifestyles and diet, there has been a persistent increase in the number of NAFLD patients. This increase occurred at the same time  where there were also increases in the number of people considered being obese all over the world. By analyzing fatty liver risk factors, studies found that body mass index, one of the most classical epidemiological indexes assessing obesity, was associated with the risk of fatty liver.
Objectives: To assess age, sex, and body mass index (BMI) as risk factors in NAFLD.
Subjects and Methods: It is a case-control cross-sectional study from September 2020 till June 2021  which included all obese patients consulted the obesity research and therapy unit during the period of the study. Age and sex were recorded, body mass indices were calculated for all patients and categorized into normal with BMI < 25kg/m2, overweight with BMI 25-30 kg/m2, and obese with BMI > 30 kg/m2, ultrasonography was done to them to diagnose fatty liver changes which were categorized into three grades; mild, moderate and severe
Results: 192 patients were enrolled in the study with an age range from 18-55 years with a mean of 38.09, males were 48 and females were 144. Sever NAFLD is present in 2.8% of obese females and 5.5% of obese male with 0% in normal and overweight individuals.
Conclusion: NAFLD was more prevalent with increasing BMI and age in all sexes.
Time-Trend Analysis of Bladder Cancer and its Association with Bilhariziasis in Egypt
Authors: Muter Samir
Published: May 2022

Background: Both bladder cancer and schistosomiasis are endemic in Egypt. The former has a unique epidemiological pattern, which has been linked to bladder infestation by Schistosoma. The last decades have witnessed a great reduction in the infection rate of schistosomiasis and a decline in the incidence and changes in the patterns of bladder cancer. Whether these changes are linked to each other or a co-incidence is a subject of investigations.
Method: Literature on epidemiological data of bladder cancer and Schistosoma in Egypt was searched for in Medline, Scopus, PubMed, and Google Scholar. Furthermore, a hand search for literature and reports released by the Egyptian government and involved agencies was performed.
Results: Studies describe an overall reduction in Schistosoma infection rate from 80% in 1920s to 1.2% in 2006. Studies on bladder cancer epidemiology, on the other hand, agree on a decline in incidence and changes in the pattern, but differ in figures describing the magnitude of these changes. Many studies tried to ling the changes in Schistosoma and bladder cancer patterns. The evidence for this link, however, seems to be insufficient for a cause-and-effect relationship.
Conclusion: The relationship between the reduction in schistosomiasis infection rate and the changes in bladder-cancer epidemiological pattern in Egypt cannot be overlooked, but needs to be proved by more reliable evidence like prospective studies that include local health facilities and tertiary cancer centers.
Objective: explore the possible cause-and-effect relationship between the changes in Schistosoma infection rates and incidence and patterns of bladder cancer in Egypt.
Surrogates Markers of Insulin Resistance
Authors: Hameed Ekhlas Khalid , Al-Ameri Laith Thamer
Published: May 2022

Insulin resistance is a fundamental feature of obesity, diabetes, and cardiovascular diseases and contributes to many of the metabolic syndrome's abnormalities. It is defined as a subnormal reaction to normal insulin concentrations or a situation in which greater than normal insulin concentrations are necessary for normal response.
Two Decades in the Journey of Al-Kindy College Medical Journal: Key Barriers, Achievements, and Prospects
Authors: Al-Mendalawi Mahmood D.
Published: May 2022

Apart from graduating five-star doctors, a particular medical college has the mission to motivate and offer researchers the opportunity to publish high-quality researches on various health problems and disseminate updated medical knowledge to a wide range of local and international readers. This could be accomplished by establishing a medical journal and releasing issues regularly
Classroom Practices of Senior High School Physics Teachers in the Hohoe Municipality
Authors: Dah Maxwell , Dognia Rose
Published: May 2022

The purpose of the study was to investigate the activities and practices of physics teachers in terms of their pedagogical skills and assessment practices. The study was limited to physics teachers and students in eight (8) senior high schools in the Hohoe Municipality of the Volta Region, Ghana. Descriptive cross-sectional survey design was employed in carrying out the study. A total sample of 200 senior high school physics students and 2 physics teacher were involved in data collection. A questionnaire consisting mainly of closed ended items and observation schedule were used in collecting data from respondents. Data collected was analysed using simple frequencies, percentages, mean and standard deviation. It was found that, most of the physics teachers do not often respond appropriately to students’ wrong answers and misconceptions. Most physics students also raised concerns about their physics teachers not often linking what they teach to their daily life occurrences. However, evidence from observation indicates that physics teachers possess and exhibited sufficient knowledge on diverse pedagogical skills. Physics teachers often use interactive formative assessments such as oral question and answer technique. Based on the findings, it was recommended that, physics teachers should carefully pay attention to and often address their students’ wrong answers and misconceptions, make learning of physics interesting by making students appreciate the importance of what they teach.
A Review on Access to Agriculture Finance by Farmers and its Impact on their Income
Authors: Kambali Ujwala , Panakaje Niyaz
Published: May 2022

Purpose: Agricultural financing is a critical component of all agricultural development operations aimed at improving the productivity. Farmers must have access to sufficient and timely financing for irrigation, farm mechanisation, and land expansion. The main goal of the study is to identify and explore the factors affecting agriculture finance, understand the challenges faced by the farmers, to compare the growth of farmer’s income before and after availing finance support and the strategies required to improve the agriculture credit to farmers.
Design/Methodology/Approach: The study is based on secondary data gathered from several publications, websites, and other pertinent substance from NABARD and RBI annual reports.
Findings: The study revealed that smallholder systems, policies, and investments are meant to improve infrastructure, boosting efficiency to expand and finance services, and increasing labour availability or automation; formal financial outlets have improved in region regions; financial institution violations are regulated by regulatory frameworks, such as charging exorbitantly high interest rates or taking excessive risks with people’s savings or investors’ assets; and financial institution violations are controlled by regulatory frameworks, such as charging exorbitantly high interest rates or taking unnecessary.
Originality/Value: This study is infrequent in that it endeavours to trace the access of agricultural finance by farmers, as well as its impression on farmer’s income level varying to numerous agricultural strategies that have been enacted as a result of agricultural finance.
Paper type: Review Paper
Various Cancer Detection Using Machine Learning
Authors: Prof. Naved Raza Q. Ali  , Rushabh Shaha  , Sudhanshoo Sarage  , Vaibhav Bhat  , Amrit Razdan
Published: May 2022

Breast cancer is the most common disease among women, affecting 2.1 million women each year, and it also causes the most cancer-related deaths among women, according to the World Health Organization (WHO). Breast cancer claimed the lives of 627,000 women in 2018, or around 15 percent of all women. While incidence of breast cancer are greater among women in more developed countries, they are rising in practically every location around the world. Early detection is crucial for improving breast cancer outcomes and survival. The goal of this study is to find effective image enhancing techniques for detecting the early signs of skin cancer. Oncologists will need to identify the bulging regions on skin pictures in order to make a proper diagnosis. We think about well-known image improvement.
Impact of continuous infusions of opioids on discharge opioid prescriptions
Authors: Morocco, PharmD, BCPS Vincent , DeWitt, PharmD, BCPS, BCCCP Jordan , Harding, PharmD, BCCCP Angela , Geiger, PharmD, MS, BCPS, CPE Jessica , Ayres, MPH, CHES Shauna
Published: May 2022

Introduction: The 2018 Pain, Agitation/Sedation, Delirium, Immobility, and Sleep guidelines from the Society of Critical Care Medicine recommend opioids as a first-line treatment option for non-neuropathic pain among critically ill adults and prioritize pain management optimization before the administration of sedatives. Although analagosedation is recommended, the downstream effects, such as intensive care unit (ICU)-acquired opioid dependence, are not well described. The purpose of this study is to determine the impact of continuous infusions of opioids for mechanically ventilated patients prescribed opioids on discharge.Methods: This was a single-center, retrospective chart review of mechanically ventilated patients admitted to the medical ICU at a tertiary medical center from July 1, 2018 to June 30, 2019. The primary objective of this study was to compare the incidence of opioid prescriptions at discharge between those who received opioid infusions versus intermittent administrations. Secondary objectives included risk factors for receiving opioid prescriptions at discharge and readmission within 90 days with an active opioid prescription and/or a diagnosis of opioid use disorder.Results: A total of 100 patients were included. There was no statistically significant difference in the incidence of opioid prescriptions at discharge between the groups (p = 0.933). Only one patient was readmitted within 90 days with documented opioid use disorder and 11 patients with prescription opioids on their home medication list. A best-fit logistic regression model including the type of opioid administration (p = 0.275), length of stay (p = 0.018), and opioid dose (p = 0.137) showed that length of stay was the only significant predictor of discharge opioid prescribing.Conclusion: The incidence of opioid prescriptions at discharge for critically ill, mechanically ventilated patients did not differ based on opioid administration strategy. ICU length of stay appears to be a predictive factor of opioid discharge prescriptions.
Post-operative opioid analgesic prescribing patterns in gynecologic oncology patients following the implementation of a statewide prescription monitoring and reporting system
Authors: Potter Molly , Morosky, MD Christopher M. , Whitcomb, MD Bradford P.
Published: May 2022

Objective: To analyze the effect of the Connecticut Prescription Monitoring and Reporting System (CPMRS) on the number of opioid tablets prescribed to gynecologic oncology patients post-operatively.Design/participants: This was a retrospective chart review of patients who received surgery for suspicious masses, premalignant, or malignant conditions of uterus, tubes, ovaries, or cervix. Charts were divided into two groups before and after the implementation of an updated prescription monitoring system in July 2016. Quantitative data were collected on the number of opioids prescribed from hospital discharge summaries. Qualitative data included prescription and/or recommendation of nonopioid analgesics and type of procedure (open versus minimally invasive). Demographic information included age, ethnicity, and insurance coverage.Outcomes: We identified a statistically significant, 50 percent decrease in opioid tablets in the After July 2016 group (n = 226) compared with the Before July 2016 group (n = 136) (p < 0.001). As anticipated, fewer opioid tablets were prescribed following minimally invasive procedures compared to open cases (p = 0.007). On examining nonopioid analgesic data, we found more patients received a prescription for nonopioid analgesics in the After July 2016 group compared with the Before July 2016 group (p < 0.001).Conclusion: This study confirms a decrease in opioid tablets prescribed to postoperative gynecologic oncology patients since July 2016. This difference cannot be attributed to the implementation of the CPMRS alone, but chronologically relates to updated requirements. Additionally, our results re-emphasize that minimally invasive surgery has a reduced number of prescribed opioids. A multi-institutional study is required with more patients to detail the factors involved in further decreasing opioid prescribing.
Impact of ketamine versus fentanyl continuous infusion on opioid use in patients admitted to a surgical-trauma intensive care unit
Authors: Pazhani, PharmD Yogitha , Roth, PharmD, BCPS, BCCCP Jennifer , Kataria, PharmD, BCCCP Vivek , Nguyen, MD, MS, PhD Hoa L. , Ramos, RN, MSN, AGACNP Adrian , Mooney, MD, FACS Jennifer
Published: May 2022

Objective: Ketamine has been shown to decrease opioid utilization as an adjunct, but limited evidence is available on ketamine as a primary analgesic strategy.Design: A retrospective chart review.Patients and participants: Mechanically ventilated adult patients (≥18 years) in the surgery-trauma intensive care unit (STICU) with continuous infusion ketamine or fentanyl with concomitant propofol for at least 12 hours were screened for inclusion. The final analysis included 22 patients in the ketamine/propofol (KP) group and 24 patients in the fentanyl/propofol (FP) group.Interventions: Patients in the STICU received KP or FP continuous infusions.Main outcome measures: The primary outcome compared opioid requirements between both groups during mechanical ventilation.Results: The median opioid requirement during mechanical ventilation was significantly higher in the FP group compared to the KP group (median 1,392 milligrams of morphine equivalents (MMEs) [interquartile range (IQR) 709.5-2,292] versus 206.3 MME [IQR 87-510], p < 0.001). After extubation, there was no difference in opioid utilization. Patients in the KP group spent less time at goal Critical Care Pain Observation Tool compared to the FP group (median 77.6 percent, IQR [71.9-85.2] versus 88.9 percent, IQR [76.9-97.4], p = 0.003). The proportions of patients developing adverse effects were not significantly different between the two groups.Conclusions: Among critically ill mechanically ventilated patients in the STICU, continuous ketamine resulted in significantly less opioids during mechanical ventilation. Further studies with a larger sample size are needed to assess the appropriate dosing strategy for ketamine to produce adequate analgesia when used as a primary analgesic in mechanically ventilated patients.
Spirituality Led Ethical Decision Making with Yogic Yamas and Niyamas
Authors: Nandram Sharda S. , Bindlish Puneet K. , Sukhada  , Shrestha Arjun Kumar
Published: May 2022

If reason isn't the primary anchor in extraordinary crises, then what drives decision making? Is there a spirituality led ethical foundation to reality that goes beyond decision makers' perceptions of dichotomies? We examine how ethics and spirituality are part of one holistic framework
shaping the organizational decision making processes. This conceptual paper addresses: How can Yogic Yamas and Niyamas (disciplinary restraints and observances) as expressions of spirituality led ethics, enrich ethical decision making towards a trustful environment sustainably?
Three philosophical texts for Astānga Yoga in Indian spiritual traditions were used through hermeneutics based qualitative-research methodology. Among the salient contributions, we explore the concepts of Āstikya (belief or trust in higher consciousness) and Īsvarapranidhāna
(committing what one does to higher consciousness) for enriching the discourse on spirituality led ethical decision making. We propose an integrative approach to achieve coherent decisions by bringing a universal and contextual spiritual base for coping with crises.
The Impact of Buddhist Religion on Entrepreneurial Intention
Authors: Dissanayake Srinath
Published: May 2022

Research about the role of Eastern religion in entrepren- eurial intention is sparse. As individuals tend to integrate their religious beliefs with venturing intentions, there is a greater call on religion and entrepreneurial intention research to understand entrepreneurial activity
more fully. Drawing from qualitative case studies, this study examined 13 Buddhist entrepreneurs to consider 'How does Buddhist religion impact on entrepreneurial intention?' Findings revealed that entrepreneurs applied the Noble Eightfold Path of Buddhism in terms of ethical conduct (Sīla),
mental discipline (Samādhi), and wisdom (Paññā) to their venturing intentions. These findings showed Buddhist religion plays an important role in understanding how entrepreneurial action unfolds. This study, therefore, contributes to understanding how entrepreneurial
intention is shaped by the interaction between the entrepreneur and Buddhist religious context.
Seismic-risk Mitigation for Brittle Museum Exhibits
Authors: Bedenko Ana , Jelčić Dubček Dajana
Published: May 2022

A strong ML5.5 earthquake, that struck Zagreb in March 2020 caused significant damage to many buildings in the city centre and several museums had to be temporarily closed or relocated. However, what is sometimes being overlooked, are the many valuable museum collections that were severely damaged or irreparably destroyed due to the excessive seismic vibrations. Mainly due to a lack of financial resources and inadequate spatial conditions and capacities, even the most valuable and unique artifacts in Croatian museums are often insufficiently seismically protected. The paper addresses seismic risk mitigation for sculptures and other brittle artworks that are particularly sensitive to strong seismic accelerations. In contrast to the traditional rigid securing of protected objects, a novel technique, namely base isolation, benefits from their partially unrestrained sliding movement, which accommodates the ground vibrations. Although it has proven effective for many valuable sculptures around the world, it is however, extremely costly and mostly out of reach of the limited financial resources of the Croatian cultural sector. The experiences of the Zagreb museums and the implemented protection mechanisms before and after the March 2020 earthquake are being examined, with the aim of discussing feasible solutions that suit local means and circumstances.
Cáncer gástrico: historia de la enfermedad y factores de riesgo
Authors: Pérez Cala Tania Liseth , Cardona Estepa Alejandra , Martínez Alonso
Published: May 2022

Las enfermedades crónicas no transmisibles, incluido el cáncer, están sobrepasando a las enfermedades infecciosas como la principal amenaza de salud en países como Colombia. La economía colombiana está creciendo rápidamente, conduciendo al aumento en la calidad de vida. Este crecimiento se acompaña de cambios como: aumento del tabaquismo, estilos de vida sedentarios, consumo de alcohol, hábitos alimentarios no saludables, mayor exposición a contaminantes ambientales cancerígenos y envejecimiento de la población, lo que explica el aumento de los casos de cáncer relacionados con factores de riesgo prevenibles. Esto diverge de lo encontrado en países desarrollados, en donde la mortalidad específicamente para el cáncer gástrico muestra tendencia al descenso, ya sea como resultado de su detección temprana, por intervenciones preventivas, o por acceso a terapias efectivas. Por esto es importante desarrollar estudios que ayuden a determinar y caracterizar todas las variantes implicadas en la aparición y desarrollo de esta enfermedad en el país. El cáncer gástrico es un problema de salud pública en Colombia, presentando la mortalidad más alta por cáncer. Esta enfermedad es multifactorial y de larga evolución, se caracteriza por no presentar síntomas o signos específicos. Son necesarias las investigaciones orientadas a disminuir la carga de este cáncer, mediante la reducción del riesgo y por medio de la identificación de los posibles factores involucrados. Considerando la necesidad de recopilar información que permita identificar los factores involucrados en el desarrollo del cáncer gástrico en la región, se realizó esta revisión que busca recopilar la literatura publicada sobre factores de riesgo.
Cemiplimab (Libtayo)
Authors: CADTH
Published: May 2022

CADTH reimbursement reviews are comprehensive assessments of the clinical effectiveness and cost-effectiveness, as well as patient and clinician perspectives, of a drug or drug class.

The assessments inform non-binding recommendations that help guide the reimbursement decisions of Canada's federal, provincial, and territorial governments, with the exception of Quebec.

This review assesses cemiplimab (Libtayo) 350 mg for IV use.

Indication: For the treatment of patients with locally advanced basal cell carcinoma (BCC) previously treated with a hedgehog pathway inhibitor.
Scientific and theoretical foundations of the study of the technology of physical reabelitation of children with disorders of the musculoskeletal skills
Authors:   Abai Kazakh National Pedagogical University, Almaty, Kazakhstan, Baigaliev A.M. , Butabayeva L.A. ,   Abai Kazakh National Pedagogical University, Almaty, Kazakhstan
Published: May 2022

One of the main and important methods of rehabilitation of children with disorders of the musculoskeletal system is physical rehabilitation. The most important task of physical rehabilitation is to promote the motor development of children with disorders of the musculoskeletal system. Physical rehabilitation is aimed at developing the ability to move independently, with the help of sticks or in a wheelchair, to develop fine motor skills of the hands, etc. Mastering these skills, how to dress independently, use objects, etc. will greatly facilitate the life of children and help increase social adaptation in society. The article deals with the scientific and theoretical foundations of the study of the technology of physical rehabilitation of children with disorders of the musculoskeletal system.