bluuebunny/crossref_metadata_2025 huggingface dataset:
Factors Affecting the Wellness Tourism Intention of Chinese Older Adults Tourists: Hainan Island as a Tourism Destination
Authors: Wang Ying , Deeprasert Jirawan , Jiang Songyu
Published: November 2024

This research aims to 1) examine how perceived benefits, perceived susceptibility, and cues to action influence the wellness tourism intention of Chinese older adults, specifically focusing on Hainan Island as a tourism destination; 2) explore the mediating roles of cognitive destination image and self-efficacy in the relationships between perceived benefits, perceived susceptibility, cues to action, and wellness tourism intention; and 3) analyze the moderating effect of social influence on the relationships between perceived benefits, perceived susceptibility, cues to action, and wellness tourism intention. Using a purposive sampling method, through online and onsite survey, we collect 551 valid questionnaires from older adults tourists aged 60 and above from major provinces in China, including Beijing, Shanghai, Guangdong, Zhejiang, and Sichuan.Structural equation modeling (SEM) was applied to analyze the data. the results show that perceived benefits, perceived susceptibility, and cues to action significantly influence wellness tourism intentions, with cognitive destination image and self-efficacy playing important mediating roles. Additionally, social influence, such as peer recommendations and family support, moderates these relationships, particularly enhancing the effects of perceived benefits and cues to action on wellness tourism intentions. These findings offer valuable insights for tourism stakeholders in Hainan, suggesting the importance of tailored marketing strategies that highlight both the health benefits and social influence, while promoting Hainan as an ideal wellness destination for older adults.
O uso de anti-inflamatórios para redução da sensibilidade dental pós-clareamento
Authors: Atayde de Santana João Victor , Trapiá Cristiany Sá , Silva Caroline Reis , Tourinho Filipe Baience , Passos Aylla Goes , Dantas Fabielle Silva , Alves Paulo Eduardo Falcão de Assis , Almeida João Victor Oliveira Falcão de , Bispo Larissa da Silva Amorim , Muller Nathalia Tilla Athayde , Conceição Luan Vitor Ferreira , Lima Wanessa Maria Aras
Published: November 2024

Introdução: Nos últimos anos,  tem-se  observado uma  crescente  busca  por  tratamentos estéticos  devido  á  alteração  de cor  dos  dentes,  entretanto, um  dos efeitos  colaterais do clareamento é a sensibilidade dental. Objetivo: Analisar a literatura a respeito da eficácia do uso de anti-inflamatórios no combate à sensibilidade dental após o clareamento. Métodos: Foi  realizado  um  levantamento  bibliográfico  do  período  compreendido entre  2009  e  2024 nas bases  de  dados  PubMed  e  BVS,  utilizando-se  as  palavras  chaves  Sensibilidade  da Dentina  (Dentin  Sensitivity),  Clareamento  Dental  (Tooth  Bleaching)  e  Anti-Inflamatórios (Anti-Inflammatory  Agents)combinados  com  o  operador  booleano  AND. Resultados: Os resultados   apresentados   pelos   estudos selecionados demonstraram   que   os   anti-inflamatórios   analisados   não   apresentam   eficácia   considerável   para   a   redução   da sensibilidade  ao  longo  do  tratamento,  mas  ao  serem  usados  logo  após  a  realização  do procedimento  apresentavam ação  satisfatória. Conclusões/Considerações: Foi possível observar que os fármacos anti-inflamatórios possuem uma ação analgésica quando utilizados logo após a realização do procedimento, podendo proporcionar tranquilidade e conforto aos pacientes.
Overcoming Feelings of Being Stuck: Strategies for Moving Your Career Forward
Authors: Westover Jonathan
Published: November 2024

It is inevitable that at some point in our careers, most professionals will experience feelings of being stuck, whether due to a lack of growth opportunities, unsupportive management, unclear responsibilities, or unfulfilling work that fails to engage talents and interests long-term. However, sticking with the status quo will only prolong negative feelings, so it is important to understand common reasons for getting stuck, like a lack of ongoing development limiting skills growth, ambiguity around career paths and advancement requirements, repetitive or unchallenging tasks lacking meaning, unsupportive managers who do not provide feedback, coaching or sponsorship, and rigid organizational structures and policies that hinder agility and autonomy. Research has shown taking ownership through proactive strategies can overcome even deeply entrenched sticking points. To address a lack of growth, prioritizing continuous self-directed learning through establishing annual skill-building goals and volunteering for special assignments expands competencies and pathways. Clarity on career direction comes from creating a professional development plan outlining short and long-term SMART goals, required skills, and action items to attain the next level. For unchallenging work, employees should advocate for job enrichment through leveraging strengths in more stimulating, complex and impactful tasks. An unsupportive manager can be offset by developing alternative mentor and sponsor relationships within the organization and externally. When faced with bureaucracy, cultivating an entrepreneurial mindset focused on self-generated projects, autonomy, initiative, and collaboration keeps professionals solution-oriented. Overall, continuous learning, deliberate career management, leveraging strengths, building support systems, and resourceful entrepreneurialism empower stuck individuals to identify fulfillment and advancement opportunities regardless of external constraints. Maintaining a growth mindset focused on solutions rather than complaints ensures no career need remain permanently stalled.
Interesante registro de Synechocryptus levaillantii (Lucas, 1849) para Marruecos (Hymenoptera, Ichneumonidae)
Authors: Barreda José Manuel , Royo Alquézar José Manuel
Published: November 2024

Interesting record of Synechocryptus levaillantii (Lucas, 1849) for Morocco (Hymenoptera, Ichneumonidae)
First report of three obligatory thrips predators in the Canary Islands
Authors: Mouratidis Angelos , Bastin Saskia , Marrero Elías , Montero Nancy , Hernández-Suárez Estrella
Published: November 2024

First report of three obligatory thrips predators in the Canary Islands
Tindak Pidana Pemerkosaan Terhadap Mahram Menurut Qanun Hukum Jinayat dan Pasal 285 KUHP
Authors: Muhammad Chairullah
Published: November 2024

Pemerkosaan merupakan tindak pidana (jarimah) yang diatur dalam KUHP dan Qanun Aceh Nomor 6 Tahun 2014 tentang Hukum Jinayat. Kedua sumber hukum materil ini berbeda dalam mendefinisikan dan menetapkan hukuman. Oleh karena itu, peneliti tertarik ingin melakukan suatu penelitian mengenai Hukuman Tindak Pidana Pemerkosaan Terhadap Mahram Menurut Qanun Aceh Nomor 6 Tahun 2014 Tentang Hukum Jinayat Dan Pasal 285 KUHP. Dengan menggunakan metode penelitian hukum normatif, Tindak pidana pemerkosaan terhadap mahram telah diatur dalam Qanun Aceh Nomor 6 Tahun 2014 tentang Hukum Jinayat dan Pasal 285 KUHP juga mengatur perihal pemerkosaan. Dalam konteks pemberlakuan hukum pidana Islam di Aceh, maka berlaku asas Lex Specialis Derogat Legi Generali. Asas tersebut menyatakan bahwa peraturan yang lebih khusus mengesampingkan peraturan yang lebih umum. Asas lex specialis derogat legi generali hanya berlaku terhadap dua peraturan yang secara hierarki sederajat dan mengatur mengenai materi yang sama.
Optimalisasi Pemberian Bantuan Hukum bagi Aparatur Sipil Negara yang Tersangkut Persoalan Hukum di Kota Lhokseumawe
Authors: Herlin
Published: November 2024

Indonesia merupakan negara hukum (Pasal 1 ayat (2) UUD 1945) yang memiliki kewajiban untuk melakukan perlindungan dan pengakuan akan hak asasi manusia dari setiap individu atau warga negaranya. Negara mengakui dan melindungi serta menjamin hak asasi setiap orang/individu sebagai warga negara atas perlakuan yang sama dihadapan hukum (equality before the law), termasuk seorang Aparatur Sipil Negara (ASN) yang terjebak dalam masalah hukum saat melaksanakan tugas negara dengan mempertimbangkan asas praduga tak bersalah. Penelitian ini hadir untuk meneliti pengaturan pemberian bantuan hukum bagi Aparatur Sipil Negara yang tersangkut permasalahan hukum di Kota Lhokseumawe. Dengan menggunakan metode penelitian yuridis empiris, hasil penelitian menunjukkan bahwa antuan hukum yang diberikan oleh Pemko Lhokseumawe hanya dilakukan pada tingkat penyidikan dan penyelidikan sementara pada proses persidangan di Pengadilan Tipikor Banda Aceh Tanggal 1 April 2024 dengan agenda pembacaan dakwaan terhadap para terdakwa, para terdakwa yang merupakan ASN Pemko Lhokseumawe tidak didampingi oleh kuasa hukum yang diberikan Pemko Lhokseumawe. Seharusnya selama proses hukum terhadap para terdakwa, pendampingan hukum yang diberikan oleh Pemerintah Kota Lhokseumawe juga dilakukan secara komprehensif dalam semua tingkatan, baik penyidikan, penyelidikan maupun penuntutan.
Perlindungan Hukum Bagi Anak Korban Pelecehan Seksual (Studi Putusan Nomor: 8/JN/2021/Ms.Lsm)
Authors: Nabhani Yustisi
Published: November 2024

Indonesia adalah negara hukum dimana Indonesia menjunjung tinggi harkat dan martabat serta menjamin kesejahteraan tiap-tiap warga negaranya. Aturan yang ada di Indonesia untuk melindungi anak-anak sudah banyak, baik aturan yang dari tingkat tinggi tingkat rendah walaupun di daerah Aceh juga masih beberapa yang tunfuk terhadap aturan pemerintah pusat. Akan tetapi dalam sehari-hari masih ada saja kejahatan yang mengakibatlan anak sebagai korban. Seperti yang terjadi di Kecamtan Banda Sakti Kota lhokseumawe, pelecehan seksual terjadi menjadikan seorang anak sebagai korban. Hal ini mendapat perhatian tersendiri bukan hanya kepada si pelaku tetapi juga bagi si korban akan perlindungan yang didapatkan selama kasus di adili. Penelitian ini bertujuan untuk mengetahui bagaimana pertimbangan hakim dalam memutuskan perkara kasus pelecehan ini dan juga untuk mengetahui bagaimana saja bentuk perlindungan hukum bagi anak yang menjadi korban kejahatan pelecehan seksual. Hasil penelitian menunjukan bahwa bentuk perlindungan yang didapat oleh anak yang menjadi korban yakni pendampingan dari pihak keluarga selama dalam proses hukum untuk mengurangi rasa trauma dan takut korban terhadap pelaku, adapun perlindungan lainnya tidak tertulis dalam putusan yang menjadi dasar peneliti. Dalam memutuskan perkara dari kejahatan pelecehan seksual hakim mempertimbangkan asas keadilan hukum, kepastian hukum dan kemanfaatan hukum.
The effect of smoking on the recovery time of surgical wounds
Authors: Tanayah Uma Sara , Cleo Denzel Dakari , Ayubi Azi Eifel , Clevon Dalmar Ferezie , Naaila Safiya Maisha , Maha Ismitta Lathaya
Published: November 2024

Background: Cigarette consumption inhibits wound healing as nicotine and carbon monoxide interfere with blood flow, oxygenation, and immune function, increasing the risk of infection and prolonging wound recovery time.
Purpose: To determine the effectiveness of modern dressing in wound care on diabetic wound healing.
Methods: This study used a cross-sectional model to observe two groups: smokers (with a history of cigarette use) and a control group (non-smokers). Using purposive non-probability sampling, 9 smokers and 9 non-smokers meeting research criteria were selected, all undergoing elective surgery with sterile wounds. Data were analyzed with Spearman Correlation using SPSS version 12
Findings: The study involved 20 respondents, split evenly between smokers and non-smokers. Among the smokers, 48% were in the productive age group, and 68% consumed more than 10 cigarettes daily. All smokers use filtered cigarettes. Regarding wound healing, 79% of respondents experienced slow healing, 11% had optimal healing, 7% had standard healing, and 3% had rapid healing. Spearman Correlation test results indicated a significant relationship between smoking and wound healing time (p < 0.05), suggesting that cigarette consumption adversely affects the wound healing process.
Conclusion: Smoking raises the risk of post-surgical infections, wound dehiscence, and delayed healing by causing inflammation, vasoconstriction, reduced oxygen delivery, and impaired cell recruitment. This highlights the importance of pre-surgery smoking cessation and further research to better quantify these effects and improve pre-operative treatments.
The Management and Outcomes of Stoma Care with Impaired Integrity: A Case Study
Authors: Carlos Antonio Fesarlo , Angela Miciella , Amelia Da Silva Domenica
Published: November 2024

Background: Colostomy globally affects not only physical but also psychological aspects in patients, and has been done for various reasons such as cancers of the colon and rectum. Tissue integrity disorders, irritations, and pain come up and require close service to care by nursing interventions and education for these conditions, especially in old patients.
Purpose: The goal of this study was to evaluate the management and outcomes of stoma care in patients after colostomy surgery who were seen with tissue integrity disorders.
Methods: The case-study approach was implemented into two male patients aged 76 and 80 years who were diagnosed with proximal rectal cancer and were given double-barreled colostomy treatment at Vila Alpina Hospital in São Paulo. Nursing intervention was on stoma care during cleaning and monitoring stoma characteristics as well as educating patients and their families on stoma care. Data were collected and analyzed over 3 days, while evaluation of outcome was done at tissue integrity and pain levels.
Results: After the intervention of 3 days, partial improvement in tissue integrity was observed. The physical condition of both patients with normal tissue perfusion, absence of infection signs or bleeding, and partial developmental progress was seen in stoma wound healing. In addition, pain reduction was observed from a level of 4 to 2. However, healing was not fully achieved within the study period because of its short observation time.
Conclusion: Nursing care considering observation, education, and therapeutic interventions will have improved outcomes of stoma and will also alleviate pain in colostomy patients. Further interventions of care and education to the patient will follow up these conditions for a long time.
A Comparison of B Cell-Targeting Treatments for Multiple Sclerosis
Authors: Verma Ryan
Published: November 2024

Multiple sclerosis (MS) is the most common chronic inflammatory neurodegenerative disease and
a leading cause of nontraumatic neurological disability in young adults. The cause of MS is not fully
understood, though certain genetic and environmental factors are believed to play a role. B cells are
an important part of the immune response and have been shown to play a significant role in MS. This
paper reviews studies on various B cell-targeting treatments for MS to determine which are the most
effective at specific stages of the disease. In the end, all of the treatments that were investigated were
found to be effective for treating relapsing-remitting MS, and results varied for primary progressive
and secondary progressive MS.
Polynomials Belonging To Galois Group Aand It’S Solvability Problems
Authors:   NIILM University Kaithal India, Pritee Pritee , Jakhar Manjeet Singh ,   NIILM University Kaithal India
Published: November 2024

The fundamental focus of field theory is the investigation of algebraic extensions of fields, while the investigation of the structures of algebra known as groups is what is covered in group theory. The Galois theory is a branch of algebraic mathematics that studies the connection between these two other subfields of the subject. Everest Galois, a French mathematician, is credited with being the first person to have the idea for it, which he had around the turn of the 19th century. Galois theory offers a complete view of the solutions that may be found for polynomial equations and investigates the symmetries that are already present in these solutions. This view can be used to solve polynomial problems. This mathematical concept was given its name in honor of the French mathematician Roger Galois. A connection between field extensions and the subgroups of the Galois group that is associated with the extension is forged as a direct result of the aforementioned fact, which links the extension. The Galois group helps in the categorization of the solutions to polynomial equations and is responsible for capturing the symmetries of the field extension. Additionally, it helps with the organization of the solutions into categories.
Digital Repositories and E-Publishing in Academic Libraries A Comprehensive Review
Authors:   NIILM University Kaithal India, Bala Renu
Published: November 2024

The aim of this paper is to investigate the role of digital repositories and e-publishing in academic libraries. The objectives of this research include examining the functions, benefits and challenges associated with digital repositories, as well as analyzing the trends and impact of e-publishing initiatives within academic library settings. Through this study, we hope to gain insights into the current state of digital repositories and e-publishing in academic libraries, as well as the future directions and challenges facing these initiatives
Leveraging AI in Traffic Engineering to Enhance Bicycle Mobility in Urban Areas
Authors: Che Chang , Tian Junchi
Published: November 2024

More With the rise of AI-driven technologies, urban cycling is becoming more accessible and appealing to many due to benefits such as health improvement and cost efficiency. Governments worldwide are promoting cycling as a sustainable transportation option to address environmental challenges. Ensuring seamless bicycle mobility in cities is essential to incentivize cycling. AI-powered Traffic Engineering can significantly enhance the flow of bicycle traffic in urban areas by optimizing infrastructure and safety. This article explores the benefits of cycling and the rationale for investing in AI-integrated cycling infrastructure. It provides examples of smart solutions such as AI-based vehicle-cycle segregation (including London's Cycle Superhighways), protected intersections enhanced by machine learning algorithms, and Intelligent Transport Systems (ITS) that incorporate AI for dynamic traffic management. Their implementation and impact on cyclists and overall traffic flow are analyzed, demonstrating that these advanced systems reduce accidents, boost road efficiency, and make cycling more enjoyable. Quantitative data on these improvements is also presented. In conclusion, AI-enabled Traffic Engineering solutions play a vital role in enhancing bicycle mobility and safety in urban environments.
Advances in Deep Reinforcement Learning for Computer Vision Applications
Authors: Li Zhengyang
Published: November 2024

Deep Reinforcement Learning (DRL) has become very popular for computer vision (CV), solving mostly visually complex environments with decision making and dynamic adaption to different situations. This article provides an introduction to the basic concepts of deep reinforcement learning with a special focus on their applications in computer vision tasks, including challenging problems and emerging solutions. It reviews various DRL algorithms such as Q-learning, policy gradient methods, and Actor-Critic models, explaining much of the modifications that are done to make it work on high-dimensional visual problems. Different applications of DRL in major CV applications like object detection, image segmentation, target tracking and image generation are reviewed to demonstrate the power as well as limitations of DRL in practice. More importantly, the novel paradigms such as hierarchical policy learning, adaptive reward design multi-task reinforcement learning and domain adaptation can be viewed as promising premises to improve model efficiency and generalizability in multiple scenarios. Finally, this paper mentions a few of the existing challenges like computational power cost and sample efficiency; as well as future paths for enhancing that can widen devout reinforcement learning in computer vision. Through this comprehensive overview, we aim to shed light on the promising synergies between DRL and CV, while identifying key areas for future research and application.
Interpretable Machine Learning: Explainability in Algorithm Design
Authors: Cheng Xueyi , Che Chang
Published: November 2024

In recent years, there is a high demand for transparency and accountability in machine learning models, especially in domains such as healthcare, finance and etc. In this paper, we delve into deep how to make machine learning models more interpretable, with focus on the importance of the explainability of the algorithm design. The main objective of this paper is to fill this gap and provide a comprehensive survey and analytical study towards AutoML. To that end, we first introduce the AutoML technology and review its various tools and techniques.
The Application of Generative AI in Virtual Reality and Augmented Reality
Authors: Lyu Shijie
Published: November 2024

This study explores the historical development of Virtual Reality (VR) and Augmented Reality (AR) technologies and their applications in various fields, such as education, tourism, and consumer experiences. Through a review of relevant literature, the paper analyzes how VR and AR enhance user engagement and satisfaction by providing immersive and interactive experiences. In education, VR and AR are used to create vivid learning environments, promoting students' understanding and interest; in the tourism industry, these technologies enhance visitors' exploration and experience of destinations; in business, AR applications improve consumer shopping experiences and brand loyalty.
Despite the widespread application of these technologies facing challenges such as high costs and user adaptability issues, research shows their potential remains significant. Future research should focus on optimizing user experience, lowering technological barriers, and expanding application scenarios. In conclusion, the development of VR and AR technologies will drive innovation and transformation across industries, offering richer experiences in daily life.
Real-time Detection of Abnormal Financial Transactions Using Generative Adversarial Networks: An Enterprise Application
Authors: Zheng Shuaiqi , Li Maoxi , Bi Wenyu , Zhang Yining
Published: November 2024

This paper presents a novel real-time financial fraud detection framework utilizing Generative Adversarial Networks (GANs) for enterprise applications. The proposed system addresses critical challenges in fraud detection, including class imbalance, real-time processing requirements, and enterprise scalability. Implementing a sophisticated multi-layered architecture, the system integrates advanced preprocessing techniques with an optimized GAN model explicitly designed for fraud pattern recognition. The framework incorporates parallel processing capabilities and adaptive batch processing mechanisms to maintain high throughput while ensuring sub-second latency. The experimental evaluation uses a subset of the European Credit Card Transaction dataset, comprising 50,000 transactions with a balanced representation achieved through strategic sampling and SMOTE technique. The proposed model achieves 97.8% accuracy, 96.5% precision, and 95.8% recall, demonstrating competitive performance compared to traditional machine learning approaches. Real-time performance analysis shows consistent sub-100ms latency while maintaining robust performance under varying load conditions. The system demonstrates linear scalability up to 32 nodes, with high availability and failover capabilities. The comprehensive assessment validates the framework's effectiveness in enterprise environments, providing practical solutions for financial institutions facing evolving fraud challenges. This research contributes to the advancement of financial security technology through the innovative application of adversarial learning in fraud detection.
How to Produce Cultural Space for Sustainable Development Towards Rural Revitalization: A Case Study of China
Authors: Wang Haiyu , Li Changcan , Ai Kunpeng
Published: November 2024

Cultural revitalization is a key factor in the sustainable development of the countryside and is included in the five-dimensional indicators of China's rural revitalization strategy. Although established studies have examined the spatial dimension of rural cultural revitalization, the internal structure of spatial production and the logic of action are still not entirely clear. Based on an interview survey in villages in northern Henan, China, this paper conducts a qualitative study of the structured characteristics of rural cultural spatial production and the actor logic behind it using a grounded theory research method. The results show that the production of local cultural space, socio-cultural space, mass recreational space, and cultural industries space constitute a composite structured rural cultural space. Public power, intellectual elites, residents' rights and industrial capital have demonstrated a “co-constructive” cooperative relationship This paper provides a theoretical and empirical basis for promoting rural cultural revitalization and sustainable development through the production of rural cultural space.
Pattern of Coronary Artery Diseases (CAD) in patients under 40 Years of Age with Acute Coronary Syndrome (ACS)
Authors: Sarwat Farooqui Khadija , Batool Zakra , Muneer Romaza , Zahid Khawaja Abdullah , Riaz Muhammad Hamza , Attiq Amna
Published: November 2024

Objectives

To assess angiographic patterns, risk factor profile, and outcome of patients below 40 years of age with acute coronary syndrome undergoing coronary angiography for confirmed CAD.

Materials and Methods

The present study was an analytical cross-sectional study in a tertiary care hospital, and all the participants were ≤40 years old with new-onset ACS. Demographic variables, cardiovascular risk factors, and angiographic characteristics were assessed. They were evaluated for other cardiovascular risk factors and stratified according to the patterns of CAD on angiography.

Results

Depending on the localization of atherosclerotic lesions, 72% of patients were characterized by single-vessel coronary involvement with predominant damage to the left anterior descending artery. A smoking history, 68% dyslipidemia, 59% known history of CAD in first-degree relatives, and 52% were the most common risk factors. Most patients had normal left ventricular systolic performance. Nevertheless, 16% of patients would have poor follow-up results.

Conclusion

The majority of young patients with ACS have single-vessel CAD, and conventional atherosclerotic risk factors contribute to the development of early-onset CAD. Prevention strategies, as well as CAD screening in this age group, are critical to avoid high incidences within this group.
Minimally Invasive Approach to Congenital Lung Malformations: A Comparative Study of Thoracoscopic Resection Techniques
Authors: Gul Sarooj , Fayaz Afnan , Khattak Aizaz , Zeb Mian Rahmat , Tahir Dawood , Khan Muhammad Daraz , Khan Adnan , Tahir Imran
Published: November 2024

Introduction: Congenital lung malformations (CLMs), encompassing a diverse range of pulmonary anomalies, are increasingly diagnosed in children due to advancements in prenatal imaging and early postnatal screening techniques.Objective: The main objective of the study is to find a clinical comparative study of thoracoscopic anatomical lesion resection and lobectomy in the treatment of congenital lung malformations in childrenMethodology: This comparative study was conducted at Hayatabad medical complex Peshawar from January 2024 to June 2024. Data were collected from 285 patients. Data included detailed demographic information such as the age, gender, and weight of each patient at the time of surgery.Results: The duration of surgery was significantly longer in Group A (130 ± 20 minutes) compared to Group B (90 ± 15 minutes). Intraoperative blood loss was lower in Group A (50 ± 10 mL) compared to Group B (120 ± 30 mL). Intraoperative complications were minimal, with only one complication in Group A (0.7%) and none in Group B (0%).In the comparison between Group A (Thoracoscopic Lesion Resection) and Group B (Lobectomy), Group A showed a significantly shorter hospital stay (4.2 ± 0.5 vs. 6.8 ± 0.8 days, p < 0.01) and quicker chest tube removal (2.1 ± 0.4 vs. 3.6 ± 0.6 days, p < 0.05). Postoperative pain levels were lower in Group A, with fewer air leaks (5% vs. 12%, p < 0.05) and recurrent respiratory infections (8% vs. 15%, p < 0.05).Conclusion: In conclusion, this study demonstrates that thoracoscopic anatomical lesion resection is a highly effective and lung-sparing approach for the treatment of congenital lung malformations in children. The study has several limitations also, In children, the importance of particularly lung maturation makes it necessary to save as much healthy lung tissue as possible for a child with this disease.
Consultation Liaison Psychiatry in a Tertiary Care Hospital
Authors: Quratulain  , Hazrat Ali Khan  , Silsila Sherzad  , Abdul Hameed  , Noorjhan Jaffar  , Muhammad Naseem  , Fiza Asif  , Sana Ullah kakar
Published: November 2024

Background: Consultation-liaison psychiatry (CLP) is a subspecialty that bridges the gap between psychiatry and general medicine, managing the psychiatric needs of patients with physical illnesses in hospital settings. It plays a crucial role in addressing the mental health comorbidities that accompany medical conditions, improving patient care and interdisciplinary collaboration. Objective: This study aims to explore the role of CLP services in a tertiary care hospital, examining the profile of referred patients, their reasons for referral, and the psychiatric diagnoses. It seeks to assess the effectiveness of CLP in addressing psychosocial care needs and enhancing the integration of psychiatric support in medical settings. Methodology: A qualitative approach was adopted, utilizing semi-structured interviews with 220 participants, including patients, healthcare staff, and psychiatric consultants. Data was analyzed to assess patient satisfaction, efficacy of interventions, and the challenges faced by medical professionals in managing psychiatric comorbidities. Results: Among the 220 referred patients, 60% were male. Most referrals came from the general medicine department (52%), followed by pulmonary medicine (12%) and nephrology (9%). The primary reasons for referral included psychiatric evaluation of medically ill patients (38.6%), substance use assessment (18.2%), and evaluation of self-harm/suicidal ideation (13.6%). Mood disorders were the most common psychiatric diagnosis (40.9%). Conclusion: CLP services in the tertiary care hospital provided significant benefits in managing patients with complex medical and psychiatric conditions, highlighting the need for integrated care to improve overall patient outcomes.
Efficacy of IV Paracetamol in Patients with Renal Colic in Emergency Department
Authors: Asad Ahmad Nasar  , Ayesha Ahmad  , Safa Saleem  , Abdul Bary  , Junaid Sarfraz  , Maliha Amjad  , Bilal Qammar
Published: November 2024

Background: Renal colic, characterized by excruciating flank pain radiating to the groin, arises from urinary tract obstruction, triggering prostaglandin production and increased intra-renal pressure. NSAIDs are the first-line analgesics but have limitations in vulnerable populations. Intravenous paracetamol has emerged as a safer alternative with rapid analgesic effects and fewer adverse outcomes, especially in resource-limited settings. Objective: The objective is to compare the analgesic efficacy of the intravenous paracetamol and intra muscular diclofenac sodium, in the early resolution of pain in acute renal colic. Methods: This randomized controlled trial was conducted from February 2024 to April 2024 at the Emergency Department of Mayo Hospital Lahore. Patients showing clinical signs and symptoms of acute renal colic were randomly assigned to two groups. Group I (n=35) received 1 gram of intravenous paracetamol, while Group II (n=35) was given 50 mg of intramuscular diclofenac sodium. The pain intensity was evaluated using the Verbal Rating Scale (VRS) 30 minutes after treatment. Results: In this study, there were 47 male patients and 23 female patients. The mean age was 38 12 years old. After 30 minutes of administration, the pain relief in the paracetamol group (p value: <0.01) was similar to that of diclofenac group (p value: <0.01). However, the requirement of rescue analgesia was lower in the paracetamol group than diclofenac group. Conclusion: In acute renal colic patients, with the heralded side effects of non-steroidal anti-inflammatory drugs, IV paracetamol is an excellent alternative, with low risk profile and a higher analgesic efficacy.
Cervical Screening Outcomes in Reproductive-Age Women at Peripheral Health Centers
Authors: Ali Ammad , Mehboob Dr memoona , Fatima Dr Sereen , Israr Dr Mohammad
Published: November 2024

Objective: to ascertain the prevalence of different cervical abnormalities in connection t pap smear results with age distribution of patient.
Method: The demographic makeup of the study population was deduced by calculating the percentages of patients in each age group. Numerous diseases were also identified using the results of the Pap smear test, and percentages associated with each diagnosis were computed. This methodology made it possible to thoroughly analyze the participants' diagnoses and age distribution, which revealed trends in cervical health. One hundred participants in all had Pap smears performed as part of the study. Four age groups were established based on the age distribution data gathered: 18–25, 25–35, 35–45, and 45–55 years old.
 
Result: The majority of participants (37%) were found to be between the ages of 25 and 35, while there was a wide variation of participant ages overall. Pap smear tests are crucial for identifying potentially malignant or precancerous diseases, as evidenced by the majority of patients (71%) receiving a diagnosis of cancer or intraepithelial lesions. There was also representation from the following age groups: 18–25 (9%), 35–45 (28%), and 45–55 (4%). Four percent of the cases had atypical squamous cell lesions, two percent had low-grade squamous intraepithelial lesions, and one percent had high-grade lesions.
 
Conclusion: These findings advance customized screening programs and therapies aimed at specific age groups and diagnostic categories as well as our knowledge of cervical health patterns. People who are fertile should definitely get screened for cervical cancer because the age group of 25 to 35 accounts for a substantial portion of diagnoses. The importance of Pap smear testing for early identification and preventive medicine is underscored by the prevalence of intraepithelial lesions or cancer.
Contemporaneous Role of Information and Communication Technology in the Australian Banking Sector in Adopting Online Transaction and Mobile Banking.
Authors: Sikder Abu Sayed , Allen Joe
Published: November 2024

The contemporary landscape of the Australian banking sector is significantly influenced by Information and Communication Technology (ICT), particularly concerning the adoption of online transactions and mobile banking services. Despite existing studies, notable research gaps persist, focusing on user adoption behaviors, cybersecurity challenges, and the evolving dynamics shaping this technological integration. This research endeavors to bridge these gaps by providing a comprehensive overview of ICT's role within the Australian banking sector, specifically delving into the adoption processes of online transactions and mobile banking. Through a mixed-methods approach, combining qualitative interviews with industry stakeholders and quantitative analyses sourced from secondary data, this study aims to unearth the drivers, challenges, and outcomes of ICT integration in this domain. Findings reveal the historical context of cybercrime in Australia during the mid-2000s, emphasizing the government and law enforcement agencies' proactive measures to enhance cybersecurity infrastructure. Leveraging data from qualitative interviews with key stakeholders and quantitative analyses from industry reports, the study sheds light on the user behavior patterns, preferences, and the influence of demographic variables on the adoption rates of online transactions and mobile banking services. Insights derived from the analysis of enterprise IT spending forecasts, transaction method distributions, customer satisfaction surveys, and the global cyber incident damages between 2000 and 2006 provide a nuanced understanding of the Australian banking sector's technological evolution. This research contributes to the existing body of knowledge by offering a holistic perspective on the role of ICT in shaping the Australian banking landscape. It provides valuable insights for banking institutions, policymakers, and stakeholders, facilitating informed decision-making processes, fostering trust among users, and steering the sector toward a secure and technologically adept future.
Leveraging Information Technology for Green IT and Sustainable Development: An Analysis of Environmental Sustainability, Energy Efficiency, and Carbon Footprint Reduction Initiatives.
Authors: Sikder Abu Sayed , Ahmed Shohel , Islam Jahedul
Published: November 2024

This research investigates the pivotal role of Information Technology (IT) in fostering environmentally sustainable practices, enhancing energy efficiency, and reducing carbon footprints within organizational frameworks. Employing a survey-based research design, the study examines the perceptions, practices, and attitudes of diverse organizations toward IT adoption for promoting environmental sustainability. A structured questionnaire, developed through extensive literature review and expert consultation, forms the basis for data collection, covering demographics, IT infrastructure, green IT practices, and future plans. The data undergoes statistical analyses, including descriptive statistics (frequencies, percentages), regression analysis, and cost-benefit assessments. Statistical models and regression equations are utilized to explore relationships between variables influencing IT adoption for sustainability initiatives. Qualitative insights and case studies complement quantitative findings, providing comprehensive perspectives on green IT initiatives' efficacy and challenges. Findings emphasize the need for increased integration of sustainable practices and broader industry engagement to address environmental concerns effectively. Recommendations derived from cost-benefit analyses and regression equations underscore opportunities for organizations seeking to implement effective green IT strategies. Overall, this research advances understanding of leveraging IT as a catalyst for sustainable development within organizational contexts, utilizing statistical methodologies to identify influential variables and offering strategic recommendations for fostering environmental responsibility.
The Power of E-Commerce in the Global Trade Industry: A Realistic Approach to Expedite Virtual Market Place and Online Shopping from anywhere in the World.
Authors: Sikder Abu Sayed , Rolfe Stephen
Published: November 2024

This research paper delves into the transformative influence of e-commerce within the expansive realm of global trade. Focused on elucidating the dynamics of cross-border online shopping, the study scrutinizes the intricate interplay between consumer behavior and cybersecurity measures, crucial in fostering trust and fortifying the online marketplace. Two key domains are meticulously examined. Firstly, an in-depth analysis probes into the multifaceted realm of Consumer Behavior in Cross-Border E-commerce Transactions. Through comprehensive surveys and literature reviews, the study explores the nuanced factors shaping consumer decisions, encompassing cultural disparities, risk perceptions, payment preferences, and logistical concerns. Secondly, the paper meticulously investigates Security Measures and Protocols vital in allaying consumer apprehensions. Employing empirical studies and industry reports, the research evaluates the efficacy of security measures in addressing data privacy, payment security, and product authenticity, pivotal in nurturing consumer trust and bolstering confidence in cross-border transactions. Leveraging a mixed-methods research approach encompassing statistical analyses, graphical representations, and historical cyber threat assessments from 2000 to 2011, this paper unfolds the evolving landscape of global e-commerce. It underscores the escalating significance of convenience, product diversity, competitive pricing, and robust cybersecurity in shaping consumer preferences and purchase behavior in the burgeoning digital marketplace. In conclusion, the findings underscore the critical need for continuous advancements in cybersecurity protocols and a comprehensive comprehension of consumer behavior to enhance the cross-border e-commerce experience. This study advocates for ongoing improvements in security frameworks and a holistic understanding of consumer behavior, pivotal in fortifying the global trade industry's resilience in the face of cyber threats while nurturing a trustworthy and seamless online shopping environment worldwide.
Evaluating Nurses' Competence and Perspectives on Bronchial Asthma Management A Study at Rajshahi Medical College Hospital
Authors: Rahman Md Hafizur
Published: November 2024

Background: Bronchial asthma is a chronic respiratory disease requiring competent management, where nurses play a pivotal role in patient care and education. Objective: The study aims to evaluate nurses' competence and perspectives on managing bronchial asthma at Rajshahi Medical College Hospital and identify gaps in knowledge and practice. Method: A cross-sectional study was conducted at Rajshahi Medical College Hospital from June 2017 to December 2018, involving 50 respondents. A structured questionnaire was divided into demographic data, nurses' knowledge of asthma management, and patients' knowledge of bronchial asthma. Descriptive statistics were used for analysis. Result: The study revealed that 96% of nurses were aware of bronchial asthma incidence, with 48 out of 50 nurses responding positively. All nurses (100%) provided health education, and 92% demonstrated proper inhaler use. Regarding treatment, 96% encouraged regular medication, and 94% advised patients to avoid dust. In terms of knowledge, 100% were familiar with oxygen therapy, 90% with systemic corticosteroids, and 94% with postural drainage. On complications, 64% identified Cushing's syndrome, 56% pericarditis, and 48% osteoporosis. For patients, 82% adhered to medication, 70% maintained inhaler use, and 74% avoided dust at work, highlighting areas for improvement in asthma management. Conclusion: The study indicates a high level of competence among nurses in asthma management but highlights the need for improved patient education and continued professional development to address identified gaps.
Nurses Knowledge Regarding Nosocomial Infection at Khulna Medical College Hospital in Bangladesh
Authors: Khatun Rehena
Published: November 2024

Background: Nosocomial infections, also known as hospital-acquired infections, pose significant challenges in healthcare settings, particularly in developing countries like Bangladesh. These infections, caused by bacteria, viruses, and parasites, are acquired during hospital care and are not present at the time of admission. Understanding nurses' knowledge of nosocomial infections is crucial for effective infection control and prevention. Objective: This study aims to assess the knowledge of nurses regarding nosocomial infections at Khulna Medical College Hospital, Bangladesh. Method: A descriptive cross-sectional study was conducted from December 2021 to November 2022, involving 110 nurses at Khulna Medical College Hospital. A non-random sampling technique was employed, and data were collected using a structured questionnaire divided into two sections: socio-demographic information and knowledge-based questions on nosocomial infections. Results: The study revealed that 13% of respondents had excellent knowledge, 23% had very good knowledge, 9% had good knowledge, 21% had average knowledge, and 34% had below-average knowledge. The mean age of respondents was 34 years (ranging from 24 to 51 years), and the mean duration of service experience was 8 years (ranging from 2 to 23 years). The highest knowledge score, 86%, was related to the concept of nosocomial infection, while the lowest score, 39%, was related to preventive measures. Overall, the nurses demonstrated a good level of knowledge, with a mean score of 71. Conclusion: Although the nurses exhibited a good level of knowledge regarding nosocomial infections, there is a need for continuous training, assessment, and supervision to enhance their understanding, particularly in preventive measures.
Práctica de hábitos de vida saludables en niños de escuelas públicas urbanas del Departamento de Guatemala
Authors: Porras Marroquín Enma Judith
Published: November 2024

OBJETIVO: analizar los hábitos de vida saludables que practican los niños de dos escuelas públicas de nivel primario del área urbana de Guatemala. MÉTODO: se empleó un enfoque cuantitativo, de tipo descriptivo y con diseño transversal, la muestra estuvo constituida por 206 niños, seleccionados mediante un muestreo no probabilístico. La recolección de datos se realizó a través de un cuestionario de preguntas cerradas aplicado con la autorización de padres de familia y el apoyo de maestros. RESULTADOS: mostraron que el 40% de los niños sigue un patrón de 3 comidas principales al día, mientras que el 23% añade varias refacciones. En cuanto a la actividad física, el 68% de los niños realiza caminatas diarias de 30 minutos, pero un 21% no lo hace. El 60% de los niños practica ejercicio, aunque un 30% no realiza ninguna actividad física. En términos de tiempo frente a pantallas, el 42% ve televisión 1 hora diaria, mientras que un 26% lo hace 3 horas o más. Respecto al sueño, el 39% duerme 8 horas y el 27% 9 horas, mientras que un 9% duerme menos de 7 horas. CONCLUSIÓN: Aunque la mayoría de los niños presenta hábitos relativamente saludables, especialmente en la promoción de la actividad física y la reducción del tiempo frente a pantallas. También se observó la necesidad de mejorar la cantidad de comidas diarias y refacciones, también las horas de sueño en una parte de la población, que puede resolverse a través de formación al estudiantado y a los padres de familia.
Aplicación de metodologías activas dentro del proceso de enseñanza aprendizaje
Authors: Girón Sánchez Iris María
Published: November 2024

OBJETIVO: determinar el uso de las metodologías activas en el proceso de enseñanza aprendizaje. MÉTODO: se utilizó el método hermenéutico por medio del proceso dialéctico de integrados con una muestra de 20 documentos consultados dentro de la revisión sistemática de la literatura científica de diferentes autores. RESULTADOS: los resultados del estudio  indican que el uso de las metodologías activas se vinculan al constructivismo, donde el docente es un orientador, mediador, guía, facilitador y acompañante al llevar a la acción la enseñanza hacia el aprendizaje del estudiante, quien es el centro del proceso educativo, tales como el Aprendizaje Basado en Proyectos, Aprendizaje Basado en Problemas, Aprendizaje Basado en  Juegos, Aprendizaje Basado en Competencias y Aprendizaje Basado en TIC, con el fin de desarrollar integralmente habilidades cognitivas, procedimentales y actitudinales. CONCLUSIÓN: los libros, estudios e investigaciones sobre las metodologías activas, las han definido, con sus características y elementos que vinculan las competencias y desarrollo de temáticas desde lo cognitivo, procedimental y actitudinal con la aplicación de cada una dentro del proceso de enseñanza aprendizaje, con la interacción y vínculo entre docente y estudiante.