bluuebunny/crossref_metadata_2025 huggingface dataset:
On improving the understanding of software requirements by clients
Authors:   , Wing Jeanette Wendy
Published: May 2021

Motivated by the literature regarding the need for further research on client participation in software development, a systemic framework for the understanding of client requirements in Information System development projects is developed. This systemic framework is particularly relevant for project contexts characterized by diversity of stakeholder values and complexity. To address this complexity, research led to the selection of methods from three systems methodologies and the conclusion for the need to mix them in the process of requirements understanding by clients. The mixing of methods from various methodologies is justified through the principles of Critical Systems Practice, and the process of their use is guided by Action Design Research. In spite of the strong research tradition associated with Soft Systems Methodology and the growing interest in the Work System Method, the level of use of these by practitioners is not high because complex project situations require harnessing of the strengths of more than one methodology. The proposed framework also includes a third system methodology Critical Systems Heuristics. This study demonstrated how the meta-methodology Critical Systems Practice is applied in justifying the selection and the mix of methods from the above three methodologies in the proposed framework. The principles of design science were applied, where the framework is the design artifact that is developed. Action Research was used to guide evaluation of the framework in the pilot study. The framework was applied in a pilot study to the understanding of the management of a Wellness Centre which operates within the Kenneth Gardens Housing Estate, through action research. As a result of the pilot study some modifications were made to the framework and the process of its implementation. The modified framework was applied in a further main study concerning the management of the Kenneth Gardens Housing Estate which has a broader context than the pilot study. The contribution of this research to the field of Information Systems is both theoretical and practical. One theoretical contribution is provision of a framework for clearer understanding of software requirements by clients. The second theoretical contribution is that Action Design Research is enhanced by adding proper justification for the methods included in the framework through the application of Critical Systems Thinking and Critical Systems Practice. The practical contribution is through the demonstration of Action Design Research being applied to a real-world problem in both the pilot and the main study.
Risk of hepatocellular carcinoma and fibrosis evolution in hepatitis C patients with severe fibrosis or cirrhosis treated with direct acting antiviral agents
Authors: Hamoir C , Horsmans Y , Stärkel P , Dahlqvist G , Negrin Dastis S , Lanthier N
Published: May 2021

Background and study aims : Cirrhosis associated to chronic hepatitis C virus (HCV) is one of the leading cause of hepatocellular carcinoma (HCC). The goal of our study was to evaluate first the risk and determinants of HCC and second the evolution of fibrosis in patients treated for HCV with advanced fibrosis stages who achieved sustained virological response (SVR) after direct-acting antivirals (DAA) treatment.

Patients and methods : We conducted a prospective study on HCV patients with F3 or F4 Metavir fibrosis scores treated with DAA between October 2014 and February 2017. The annual incidence rate for HCC was calculated. We used Cox regression model in order to identify factors associated with HCC. Transient elastography (TE) was performed 12 and 24 months after the end of DAA treatment and non-invasive liver fibrosis biomarkers were performed twice a year during follow-up.

Results : 143 patients with severe fibrosis or cirrhosis were enrolled in the study. 6 patients developed HCC. The annual incidence rate of HCC in our cohort was 2.7 per 100 patients. Risk factors associated with HCC after DAA were genotype 2 and steatosis. Overall TE values significantly decreased after DAA treatment with a median value prior to treatment of 16.9 kPa to a median of 10.8 kPa 24 months after the end of the treatment. Biological fibrosis scores also significantly decreased following viral eradication.

Conclusions : DAA treatment does not seem to be associated with HCC promotion after HCV eradication in patients with severe fibrosis stages. DAA-induced SVR is associated with a reduced estimation of fibrosis.
Mantle cell lymphoma simulating inflammatory bowel disease
Authors: Lifrange F , de Wind R , Spilleboudt C , Karfis I , Van Gossum A , Demetter P
Published: May 2021

We report a case of colorectal involvement by a mantle cell lymphoma (MCL) that had been considered before as inflammatory bowel disease. Diagnosis of low-grade MCL can be difficult, and here we highlight the importance of thorough histopathological examination in case of supposed inflammatory bowel disease that does not react to therapy.
Platelet safety range before splenectomy for hypersplenism : based on 244 cases of splenectomy in hepatolenticular degeneration patients
Authors: Wang S.T. , Feng H , Peng H , Huang L , Zhou F.H. , Yu Q.S.
Published: May 2021

Background and study aims : To investigate the safety and efficacy of splenectomy for hepatolenticular degeneration (HLD) patients with PLT less than 20 × 109/L.

Patients and methods : A total of 244 HLD patients with hyper-splenism underwent splenectomy. According to the preopera-tive PLT values, the patients were divided into three groups : group A of 53 patients with PLT < 20 × 109/L ; group B of 92 patients with 20 × 109/L ≤ PLT ≤ 30 × 109/L ; group C of 99 patients with PLT > 30 × 109/L. General information including : blood cell counts, liver function , coagulation function 1 day before sugery and 1, 7, 14 days after surgery ; intraoperative blood loss ; operation time ; vital signs at the beginning, at 60 minutes and the end of the operation. Pressure and blood oxygen ; postoperative drainage ; postoperative complications and mortality.

Results : Blood cell counts, liver function, and coagulation func-tion were improved after splenectomy in three groups (P<0.05) ; there was no significant difference in blood loss, operation time, vital signs during the operation, postoperative drainage, postoper-ative complications and mortality between three groups (P>0.05).

Conclusion : For HLD patients with hypersplenism, it is safe and effective to conduct splenectomy under PLT < 20 × 109/L.
Health Status of School Going Children: A Cross sectional study in urban area of Jhalawar District, Rajasthan
Authors: Jain Manish , Jain Mayank , Kumar Vinod , Garg Kapil , Qureshi Asif A , Khichar Ravi
Published: May 2021

Introduction: The school going age is a formative period, both physically as well as mentally. Poor health status in school aged children is among the causes of poor class performance and high absenteeism. Objectives: to assess the health and nutritional status of the school going children in urban area and to determine the association of health problems with age and gender. Method: A cross sectional study was carried out in government schools of urban field practice area of tertiary care institute, Jhalawar, Rajasthan. Study was carried out among 2193 students in four government schools. A pretested, semi structured questionnaire was used for collection of data on socio-demographic characters and their health profile. A detailed clinical examination was done from head to toe for every child. Weight and height were measured. Data was entered into the Microsoft Excel 10. Chi square test of significance was used for statistical analysis. Results: Most common health problem was dental caries (15.0%) followed by refractive errors (13.1%) and pallor (12.6%). Proportions of pallor and refractive error were significantly increased with increase in age of study participants. 16.8% of the students were found to be having thinness. Moderate stunting was present in 7.3% students. Conclusion: Dental caries, refractive errors and pallor were the common morbidities. A significant proportion of school children were undernourished.
The Social Capital among Elderly Population of Chandigarh: Cross Sectional Study
Authors: Kaur Kiranjit , Goel Naveen Krishan , Sharma Manoj Kumar , Singh Navpreet , Bishnoi Mamta , Rohilla Ravi
Published: May 2021

Introduction: Social capital is defined as social cohesion among communities. This refers to processes between people which establish network, social trust and co-operation and mutual benefit. The present study was conducted to know the status of social capital among elderly population of Chandigarh city, India. Methods: The study was conducted from January to April 2017. The study was community based using convenience sampling. A total of 300 elderly subjects were selected for interview from the electoral rolls. The survey instrument was modified Onyx and Bullen scale consisting of 30 items with responses on likert scale from 1-4. Results: Mean age of respondents was 66.47 years. Male: Female ratio was 1.4:1. 45.7% owned their residence whereas 54.3% lived as tenants. Social capital score of majorities of elderly was good (63.7%) followed by average (19.3%).Highest mean scores were received for questions namely: would you help someone if their vehicle breaks down (3.03±0.69), do you agree to helping yourself when you help others (3.15±0.78) and have you visited your neighborhood in the past week (3.01±0.82). Poorest scorewere received for questions: while on shopping, are likely to run into friends (1.11±0.53) and have you done a favor for a sick neighbor in last 6 months (1.33±0.53). Conclusion: Social capital status among elderly of Chandigarh city was good andhigher scores were seenamong males. Highest mean scores were seen in factor 4 (proactivity in social context) and lowest among family and factor 5 (friend’s connections).
Comparison of Predictors of Mortality between Young and Elder Covid-19 Patients Admitted in Covid-19 Designated Tertiary Care Hospital
Authors: Shah Sonal , Kapdi Manisha , Vora Jyoti , Joshi Kuldeep , Patel Pratik , Malhan Sandip
Published: May 2021

Background: The outbreak of Covid-19 has led to a health emergency and economic crisis worldwide. Mortality in productive age further worsens the crisis, so it is important to understand reasons for death in productive age group. Objective: To identify predictors of mortality and to compare the intensity of rise in inflammatory markers of amongst young Covid-19 decedents in comparison with elder Covid-19 decedents. Method: Record based study of Covid-19 infected admitted patients was conducted in tertiary care hospital. Information of all (n=3131, 209 deceased and 2922 recovered patients) Covid-19 positive patient assessed . Their clinico epidemiological markers were compared between younger (18-45 years) decedents in comparision with elder decedents (>45 years). Mann–Whitney U-test and the Chi-square test for significance were used. Bivariate Multiple logistic regression was used to identify predictors in younger and elder decedents. Results: Case Fatality Rate (CFR) in Covid-19 infected patients was 2.4% and 9.7% amongst younger and elder group respectively. (OR 8.83 : 95% CI 5.9-13.2; p < 0.001). Biomarkers were raised and similar in both groups except Neutrophil Lymphocyte Ratio (NLR) was significantly higher in elder decedent while LDH was significantly higher in younger decedents. Conclusions: Males had higher CFR than females after 45 years of age, which was due to co-morbidity. Reaching late to the health care facility and high LDH were predictors in younger decedent, while male gender, co morbidities and high NLR were more important predictors in elder group.
¿Por qué la mayoría de la investigación clínica no es útil?
Authors: Franco Juan Victor Ariel
Published: May 2021

En este ensayo, el autor reflexiona sobre la relevancia de las investigaciones clínicas que se desarrollan con frecuencia en la actualidad. Destaca que a diferencia de la “investigación creativa, especulativa o basada en la curiosidad” (blue-sky research), que no puede ser juzgada directamente en base al impacto práctico, la investigación clínica debería ser útil: es decir, hacer una diferencia para la salud de los pacientes, o ser realizada con una perspectiva realista. Para ello realiza algunas propuestas de mejora, como ser; una correcta justificación y puesta en contexto del problema en estudio, procurar una adecuada ganancia de información, pragmatismo, estar centrada en los pacientes, ser viable, con una adecuada relación precio-calidad y transparente.

Muchos estudios, aún en la mayoría de las revistas médicas generales, no satisfacen ninguna de estas características, y muy pocos satisfacen la mayoría o todas ellas. Gran parte de la investigación falla en su utilidad no por sus hallazgos, sino por su diseño. Por otro lado, el autor sostiene que las fuerzas que guían la producción y diseminación de investigación clínica inútil son claramente identificables y modificables. Se necesita una reforma. Alterar nuestro abordaje podría producir fácilmente más investigación clínica útil y, al mismo tiempo, de menor costo.
Eficacia del tratamiento antibiótico en la bronquitis aguda
Authors: Volpi Mercedes
Published: May 2021

Partiendo de una viñeta clínica la autora plantea el siguiente interrogante: ¿En pacientes mayores de 65 años con diag- nóstico probable de bronquitis aguda, el uso de antibióticos produce mejora en algún parámetro clínico? Luego de realizar una busqueda bibliográfica se resumen la evidencia publicada en una reciente revisión sistemática, la cual concluye que si bien existen beneficios estadísticamente significativos en algunos resultados de interés, estos no parecen tener impacto clínico teniendo en cuenta la naturaleza habitualmente autolimitada y benigna de esta enfermedad y la posibilidad de efectos colateales relacionados con el tratamiento. Es importante destacar sin embargo que la eviden- cia resultó limitada para abordar cabalmente a la población anciana afectada por este problema.
EOP: Broncodilatadores en pacientes con bronquiolitis
Authors: Crimer Nicole
Published: May 2021

La bronquiolitis es una infección respiratoria aguda baja de causa viral, de aparición invernal, que es común en bebés de 0 a 12 meses de edad. Conduce a que las vías respiratorias pequeñas se inflamen y se llenen de desechos, obstruyéndose. El bebé tiene una tos fuerte, secreción nasal, generalmente fiebre y puede presentar sibilancias dificultad respiratoria y desaturación de oxígeno. Tras la presentación de un caso en la guardia se generó una controversia científica sobre la utilidad de los broncodilatadores en pacientes con bronquiolitis. Luego de realizar una búsqueda bibliográfica y seleccionar la evidencia más reciente y de mejor calidad, se concluye que la evidencia no apoya el uso de broncodilatadores en pacientes con bronquiolitis.
Adaptación transcultural de un cuestionario para evaluar la autopercepción de la práctica clínica basada en la evidencia. Una experiencia con licenciadas en obstetricia
Authors: Ammatuna Gabriela Paola , Terrasa Sergio Adrian , Vazquez Peña Fernando Ramon
Published: May 2021

Antecedentes. Dado que algunas intervenciones clínicas tienen un efecto contraproducente y hasta opuesto al deseado, es necesario contar con instrumentos para evaluar la actitud de los profesionales de la salud hacia la práctica clínica basada en la evidencia (PCBE).

 

Objetivos. Adaptar transculturalmente al español rioplatense y validar psicométricamente un cuestionario que permita investigar la percepción de licenciadas en obstetricia hacia la PCBE. Describir la percepción de una muestra de este colectivo profesional.

 

Métodos. Realizamos una adaptación transcultural del cuestionario EBPQ-19, un análisis de su validez de constructo a través de análisis factorial exploratorio y de su confiabilidad, mediante el coeficiente Alpha de Cronbach, y evaluamos la percepción de las licenciadas en obstetricia hacia la PCBE a través de la administración del instrumento obtenido a 150 profesionales matriculadas en el Colegio de Obstétricas V del partido de Quilmes, Buenos Aires.

 

Resultados. Luego de adaptar lingüísticamente tres ítems para optimizar su desempeño en nuestra región, documentamos adecuadas propiedades psicométricas del EBPQ-19. Los ítems 1, 2, 3, 4 y 5 (dominio 'prácticas') cargaron en un factor; los ítems 6, 7 y 8 (dominio 'actitud') presentaron cargas factoriales mayores a 0,79 en un mismo factor; y los ítems 10, 11, 12, 13, 14 y 15 (dominio 'habilidades y competencias') presentaron cargas mayores a 0,45 en un tercer factor. Los coeficientes Alpha de Cronbach de los tres factores y el general fueron mayores a 0,8. Más del 95% de las respuestas mostraron compromiso para con las pacientes respecto de buscar información para resolver dudas clínicas, pero 94 % de las encuestadas considera no tener habilidades y conocimientos para ejercer una PCBE.

 

Conclusiones. La versión adaptada del EBPQ-19 tiene buen desempeño y alentamos su utilización para la evaluación y el monitoreo de programas educativos que promuevan la PCBE.
La interrupción legal del embarazo en Argentina
Authors: Discacciati Vilda , Epstein Daniela , Musarella Nadia , Terrasa Sergio , Volij Camila , Volpi Mercedes
Published: May 2021

En el contexto de la publicación por parte del Ministerio de Salud de la Nación de Argentina del Protocolo para la atención integral de las personas con derecho a la interrupción legal del embarazo, resumido y comentado en este mismo número de EVIDENCIA, este comentario editorial ofrece: 1) una perspectiva amplia de lo que significa el aborto, desde la mirada estrictamente biologicista hasta definiciones basadas en el enfoque de género; 2) una descripción de los diferentes marcos jurídicos respecto del aborto que imperan actualmente en Latinoamérica y Argentina, haciendo especial hincapié en lo concerniente a las ILE; 3) información epidemiológica sobre la mortalidad materna en Argentina y la asociada al aborto inseguro; 4) estadísticas sobre la realización de ILE en la Ciudad Autónoma de Buenos Aires, Argentina.

Dada la situación actual de aislamiento social preventivo obligatorio en el marco de la pandemia de Covid-19, consideramos quienes integramos equipos de salud debemos estar más atentos/as que nunca a las situaciones de violencia potencial que podrían suceder en este contexto, para dar las respuestas pertinentes -entre las que se incluyen las ILE-, a las víctimas de embarazos no deseados consecutivos a situaciones de coerción.
Doble jornada laboral y percepción de la salud en mujeres: investigación cualitativa
Authors: Musarella Nadia , Discacciati Vilda
Published: May 2021

Introducción. El trabajo ocupa un lugar clave en la vida de la mujer, y a su vez comprende varias dimensiones. Dos de ellas son el trabajo doméstico no remunerado (TDNR) e invisibilizado, y el trabajo productivo remunerado (TPR) fuera de la casa. El objetivo de esta investigación fue comprender cómo es la percepción de salud en la mujer actual de clase media urbana con doble jornada laboral y cómo ella jerarquiza su TPR.

Métodos. Investigación con enfoque cualitativo realizada en un hospital privado universitario de la Ciudad de Buenos Aires, mediante entrevistas individuales a mujeres adultas y alfabetas de 30 a 60 años de edad, seleccionadas a través del método de bola de nieve a partir de sus médicos de cabecera. Se utilizaron fichas demográficas estructuradas y entrevistas en profundidad. Se registraron datos personales y prácticas médicas realizadas en los últimos años. Se realizó un análisis de contenido.

Resultados. Entrevistamos a 47 mujeres, la mayoría con hijos y la mitad, a cargo de las tareas domésticas en su hogar. Ninguna de ellas reconoció la tarea doméstica (TDNR) como trabajo, 76 % refirió no realizar controles habituales de salud, aunque más del 90 % hizo las prácticas preventivas recomendadas para su edad. Las mujeres entrevistadas expresaron diferentes significados atribuidos por ellas al TPR como independencia, desarrollo personal, mejoría en autoestima, calidad de vida, y sociabilidad. Sin embargo, ante su ausencia en el hogar se mostraron ambivalentes y con sentimientos de culpabilidad.

Conclusiones. Este estudio permite reconocer que las mujeres con trabajo TDNR y TPR valoran positivamente a este último, pero se cuestionan que éste les quite tiempo a su participación en el ámbito familiar. Esto resulta en una mayor autoexigencia y perpetúa la invisibilidad del TDNR. En relación al autocuidado, sienten que no realizan sus cuidados médicos, pero tienen buenos indicadores de prácticas preventivas. Quizás sea necesario propiciar la reflexión acerca del rol que tiene el TPR en su bienestar.
Erradicación de Helicobacter pylori en pacientes con dispepsia funcional
Authors: Chiodi Josefina
Published: May 2021

La dispepsia constituye un motivo de consulta frecuente en atención primaria. A propósito de un paciente con diagnóstico de dispepsia funcional, la autora se plantea si el tratamiento de erradicación del Helicobacter pylori podría mejorar los síntomas. Luego de una búsqueda rápida se encontró evidencia que señala que el tratamiento de la infección por este germen podría ser beneficiosa para aliviar los síntomas de la dispepsia funcional a largo plazo, aunque con mayor riesgo de efectos adversos, por lo que otros tratamientos alternativos continúan siendo ser una opción válida en el manejo de los pacientes con este problema de salud.
El desarrollo de las habilidades narrativas en niños: una revisión sistemática de la literatura
Authors: Portilla Anita Yolanda , Almanza Valeria , Castillo Andrés Darío , Restrepo Gerardo
Published: May 2021

Este artículo pretende identificar los modelos teóricos que describen el desarrollo de la narrativa oral en niños y establecer cuáles componentes del lenguaje influyen en dicho proceso. Con este propósito, llevamos a cabo una revisión sistemática de las investigaciones más recientes sobre este tema (2000-2019). Analizamos 10 estudios longitudinales que reportan resultados de medidas del lenguaje y la narrativa oral tomados durante el seguimiento de una población de niños y niñas por un periodo de al menos 12 meses. Estas medidas son la conciencia metalingüística, el lenguaje estructural y el discurso narrativo, entre otras. Nuestros resultados indican que la habilidad de contar un relato es uno de los mejores predictores del desarrollo del lenguaje en la etapa preescolar y del aprendizaje de la lectoescritura en la edad escolar. También encontramos que los modelos para explicar este proceso son escasos y que ignoran con frecuencia el componente pragmático.
Dialectally-sensitive norms of the Spanish version of Main Concept Analysis (Span-MCA) for quantifying neurogenically impaired spoken discourse
Authors: Kong Anthony Pak-Hin
Published: May 2021

Aphasia is an acquired language impairment caused by damage in the regions of the brain that support language. The Main Concept Analysis (MCA; Kong, 2016b) is a published formal assessment battery that allows the quantification of the presence, accuracy, completeness, and efficiency of content in spoken discourse produced by persons with aphasia (PWA). It utilizes a sequential picture description task (with four sets of pictures) for language sample elicitation. The MCA results can also be used clinically for targeting appropriate interventions of aphasic output. The purpose of this research is to develop a Spanish adaptation of the MCA (i.e., Span-MCA) by establishing normative data based on native unimpaired speakers of Spanish from four different dialect origins (Central American Caribbean, Andean-Pacific, Mexican, and Central-Southern Peninsular regions). A total of 91 unimpaired participants that consisted of different age groups, education levels, and dialect origins were recruited to establish four sets of dialect-specific norms and scoring criteria of Span-MCA, including target main concepts and corresponding lexical items related to the picture sets. The Span-MCA was also applied to one pilot native Spanish PWA. The normative data suggested that speakers who were younger or with a higher level of education levels produced significantly more accurate and complete main concepts in their spoken discourse. The application of Span-MCA to the pilot native Spanish PWA successfully identified impaired performance, as compared to the dialectally-sensitive norms established in this study. This study highlighted the clinical value of Span-MCA as a supplement to evaluate spoken discourse and target intervention by speech-language pathologists and related healthcare practitioners.
The 70th anniversary of the „Alexandru Ciubotaru” National Botanical Garden (Institute)
Authors:   ", Rosca Ion ,   Alexandru Ciubotaru",   National Botanical Garden (Institute)
Published: May 2021

The Botanical Garden was originally founded as a botanical sector in 1950, and in 1965, it was allocated a new territory of 104 ha, on which its construction began in 1968-1970. In 1975, the Botanical Garden obtained the status of scientific institution. The research activity is aimed at the study of the flora and the plant resources the Republic of Moldova, the use of valuable species for the national economy, the development of the Botanical Garden as a centre of environmental education and the popularization of landscape architecture in rural and urban areas.
Studiul anatomic comparativ al frunzelor speciei Lycium barbarum L.
Authors:   ", Tabara (Gorceag) Maria ,   Alexandru Ciubotaru",   National Botanical Garden (Institute), Ciorchina Nina ,   "Alexandru Ciubotaru" National Botanical Garden (Institute), Trofim Mariana ,   "Alexandru Ciubotaru" National Botanical Garden (Institute), Cutcovschii-Muştuc Alina ,   "Alexandru Ciubotaru" National Botanical Garden (Institute)
Published: May 2021

A study has been carried out on the anatomical structures of the species Lycium barbarum L. and of the goji varieties from the collection of the National Botanical Garden (I) “Alexandru Ciubotaru”, grown under the pedo-climatic conditions of the Republic of Moldova. The comparative anatomical study was performed on a complex of anatomical indices: cuticle type, bristles, stomata, calcium oxalate crystals.
The Mobilization and Use of Plant Genetic Resources with High Potential as Fodder, Honey and Energy Crops: achievements and prospects
Authors:   ", Titei Victor ,   Alexandru Ciubotaru",   National Botanical Garden (Institute)
Published: May 2021

This article presents the results of scientific research in the field of mobilization, acclimatization, introduction of new species and foundation and maintenance of fodder, honey and energy plant collections over the last decade and possibilities of using the mobilized plant resources in bioeconomy. The studies carried out made it possible to determine the biological peculiarities of growth and development, the productivity, the biochemical composition and the nutritional value of feed in 137 new taxa, and the mechanical and energy features of the biomass in 20 species. Besides, the foundation of the collection of potential honey plants was laid; currently, it includes 47 taxa. As a result of plant breeding 10 new cultivars were created, 9 new cultivars of plants with multiple uses have been registered in the Catalogue of Plant Varieties and 7 cultivars have been patented at the State Agency for Intellectual Property of the Republic of Moldova (AGEPI). Three technology transfer projects were implemented. The results of scientific research were presented at 66 national and international scientific events, 336 scientific papers published published in scientific periodicals and journals registered in national and international databases, awarded 33 medals and 6 diplomas at various Salons and Exhibitions of Inventions in the Republic of Moldova and abroad.
Satisfaction Survey of WeChat Mini Program Based on CCSI Model
Authors: Wu Quan-Cheng , Chang Rong-Fong
Published: May 2021

At present, WeChat’s Mini Program focuses on commercialization and new retail sales in China, but there is no related research in foreign countries. The research on customer satisfaction is blank. This paper adopts the literature analysis method and questionnaire survey method in the research method. Based on the user of WeChat’s Mini Program, the related theory of user satisfaction and the Chinese Customer Satisfaction Model (CCSI) are applied. Background and status quo of WeChat’s Mini Program development are analyzed first along with the user satisfaction survey analysis and SPSS 24.0 software to analyze and validate the collected data. Differences among the analysis dimensions of user satisfaction of WeChat’s Mini Program are found to modify the model, and suggestions are proposed thereafter.
The Competitive and Development Strategy of China’s Local Fast Fashion Apparel Enterprises under New Retail Model
Authors: Gong Mao-Jun , Wang Jing
Published: May 2021

China’s apparel industry has developed greatly and became the world’s largest apparel production and processing base. With its price advantage, popular style, offline stores and online purchase convenience, fast fashion appealed growing consumers of different ages and areas. In recent years, China’s fast fashion clothing has developed rapidly and the market has gradually grown through increases in Cross-border E-commerce activities. SheIn, a Chinese fast fashion apparel enterprise, neither targeted its home country nor sold well there. Instead, the fast fashion online retailer primarily targeted its overseas markets and earned billions of dollars in sales. This research takes the cross-border fast fashion brand SheIn, as an example, to explore the future competitive and development strategy of China’s local fast fashion apparel enterprises under new retail model. Our results suggest that paying more attention to domestic markets, increasing the stability of APPs, improving the quality of products, and choosing suitable Cross-border E-commerce platforms may be the competitiveness-increase strategies for SheIn in the future.
A Study on Pride and Prejudice from the Perspective of Social Psychology
Authors: Yan Loly , Chang Hong
Published: May 2021

Pride and Prejudice is one of Jane Austen’s early work. The novel mainly describes different love experiences of five daughters in the Bennet’s family, and shows the daily life in England’s townships from the late 18th to early 19th. Social psychology is usually used as an approach to analyze the psychological activities and behaviors via the analysis of the character’s cognitive pattern, family background and social influence. This article employs Social Psychology Theory to analyze the psychological behavior of Darcy and Elizabeth from the perspective of the first meeting, acquaintance, and love. Besides, the possible reasons that results in the facts of misunderstanding also is the concern of this article. Through the related reasons that made the changes in their attitudes, the answer is social psychology is the keynote that leads to the wrong personal interaction and a fine interpersonal communication.
The Structural Characteristics and Changes of Exhibition Industry in China
Authors: Yang Grant G.L. , Yang Xin-Yi
Published: May 2021

The development of China’s exhibition industry is based on the spatial distribution characteristics of regional economic development, which shows the self-correlation and spillover effect between the exhibition industry and the regional economy. The level of regional specialization begins from the industrial structure characteristic the province. This study reveals the characteristics of the industry structure and spatial differentiation pattern of China’s provincial exhibition industry from the perspective of industry distribution by comparing 2017 and 2019, and finds that the current distribution of the industry sector is obviously different, the structure of the industry sector in the central and western regions is superior to the eastern part. The entropy of the national exhibition industry in different industry sectors shows increasing law, and the degree of specialization of the provincial exhibition industry in different sectors and regions prevails. Relevant adjustment paths are proposed to optimize the sector structure and spatial layout of the development of China’s exhibition industry, to promote the transformation to the direction of content upgrading, to give full play to the advantages of industrial industry, and to build an industry-driven exhibition industry development model.
IS THE RUMERTIME PROCESS™ A VIABLE MULTISYSTEMIC CBT INTERVENTION? PERSPECTIVES FROM THE FIELD
Authors:   Indiana University South Bend, Larrier Yvonne , Allen Monica , Larrier Irwin ,   San Jose State University,   Capella University
Published: May 2021

We live in an increasingly borderless world, in which changes in one part of the globe rapidly influence all other areas. Increased international migration, along with the accompanying movement of information, affects the political, economic and cultural spheres in distant countries. Along with benefits that include increased knowledge and greater educational and cultural opportunities come drawbacks at the systemic level, including adverse impacts to cultural practices and beliefs, family relationships and the social cohesiveness of communities. In particular, changes that occur in high-income countries are experienced in a variety of ways in low and medium income countries. One way is how people view themselves and their places in the world; individuals need to re-equip themselves with skills, particularly intra- and interpersonal skills, to be productive global citizens. Two of the many barriers to doing this in the under-resourced parts of the world are access to resources and shortage of trained individuals to deliver these scant interventions. We introduce the RUMERTIME Process™, a five-step psychosocial problem-solving strategy as a possible multisystemic cognitive behavioral therapy intervention. The results of our pilot case studies, conducted in various formats, settings, and with diverse socio-demographic, demonstrate the success of the task-sharing approach of the RUMERTIME Process™ in training laypeople to deliver these psychosocial skills using our framework.
THE USE OF SCHOOL COUNSELOR LUNCH DUTY TO INCREASE STUDENT CONTACT
Authors: Cranmore Jeff , Conkling Dianna , Howard Melissa
Published: May 2021

This study explored a lunch time counseling station in a large suburban Texas high school. The purpose of the station was to give students access to school counselors to ask questions; however, less than one percent of the student body took advantage of this program. The authors noted that the large expense of personnel when compared to the low number of students served made this approach not an effective use of school counselor’s time. While students need access to school counselors, they perceived that counselors were not available, as they were not in their office. Further study is needed to find effective ways to provide counseling services to all students, and to utilize school counselors to their fullest extent.
Does corporate social responsibility reduce financial distress? Evidence from emerging economy
Authors: Khan Naeem , Malik Qaisar Ali , Saghir Ahsen , Rasheed Muhammad Haroon , Husnain Muhammad
Published: May 2021

This work investigates the relational behavior of corporate social responsibility (CSR) and its effect on firms' financial distress (FD). The population of the study consists of all the non-financial firms presently listed in the equity market of Pakistan. The yearly data set of 213 non-financial companies is selected from 2005 to 2017 with total observations of 2769. The analysis of the study based on OLS regression, fixed effect, and random effect models. The study also uses the GMM technique to guard against potential problems of endogeneity and heteroskedasticity that arise from the use of panel data. Results indicate that higher investment in CSR leads to reduced/lower financial distress. It suggests that investment in CSR raises the reputation and creditworthiness of firms. Key findings are robust as confirmed by alternative proxies of financial distress. Overall findings advocate that CSR helps in reducing default risk or financial distress and creates a better corporate environment that ultimately improves organizations' economic outlook.
Effectiveness of Laser Therapy and Ultrasound Therapy along with Muscle Energy Technique in subjects with Trapezitis
Authors: Kotteeswaran K. , Gaffar Syed , R Krishna. , Priya. R. Keerthana
Published: May 2021

Aim: To find the effectiveness of laser therapy and ultrasound therapy along with muscle energy technique in treatment of Trapezitis. Materials and Methods: Non-equivalent quasi experimental study design was used in this study. Total of 30 subjects with trapezitis were selected using non probability convenient sampling technique.30 Subjects was divided into two groups by lot system. Group A received laser therapy and Group B received ultrasound therapy and for both the group muscle energy technique was given. The outcome measures are Neck Disability Index (NDI) for measuring Functional Disability. Data collected and tabulated was statistically analyzed. Result: Statistical analysis of post-test, Neck Disability Index (NDI) revealed that there is statistically significant difference seen between Group A and Group B. Conclusion: From the result, it has been concluded that Laser therapy with muscle energy technique (Group A) was more effective than Ultrasound therapy with muscle energy technique (Group B) on improving functional ability in subjects with Trapezitis.
Fingerprint Analysis of Herbal Raw Materials available in Market Belongs to Combretacea And Fabaceae family by HPTLC technique using antioxidant markers
Authors: Arivukkarasu Ramasamy , Rajasekaran Aiyalu
Published: May 2021

The prime aim of the study is to notice the flavonoids, phenolic acids and xanthones in five commercial herbal raw materials namely Pterocarpum marsupium Bark, Ormocarpum cochinchinense leaf, Indigofera tinctoria leaf, Terminalia arjuna bark and Terminalia chebula fruit obtained from Fabaceae and Combretacea family used in daily domestic needs to confirm the presence of common antioxidant secondary metabolites in herbal raw materials. Results of the study clearly revealed that these raw materials from Fabaceae and Combretacea family contains flavonoids, phenolic acids and xanthones. The developed simultaneous HPTLC method can be employed for the routine investigations of flavonoids, phenolic acids and xanthones in herbal raw materials. Pterocarpum marsupium Bark, and Ormocarpum cochinchinense leaf, was ascertain the presence of Rutin and reveals 0.006%,0.051% respectively. Gallic acid was only orginate in Pterocarpum marsupium Bark of about 0.113%. Quercetin was found to be 0.061%, 0.239%, 0.336%,0.066% and 0.036% respectively in all tested five extracts. Catechin was found to be 0.203% in Terminalia arjuna bark. Mangiferin was found to be 0.009%. in Indigofera tinctoria leaf.
Clinical Study of Herpes Zoster In children CLINICAL STUDY OF HERPES ZOSTER IN CHILDREN
Authors: MEHDI DAGHER REYSAN
Published: May 2021

This disease is one of the acute viral diseases due to the reactivation of the virus that causes chicken pox (chickenpox). This study was done to determine the age and gender of the infected, as well as the location of the infection and the type of clinical signs of the infected. injury . (31) cases of infection were recorded during the one-year period of the study, the average age of the injured was 6.6 years, the number of males was 17 (54.8%) and the number of females (14) (46.2%). The injuries are as follows: the chest area (12) 38.7%) the lumbar region and the sacrum (14) (45.2%), the neck area (5) (16.1%), and for clinical signs the numbers were as follows: acute vesicular rash (22) (71%), covered or covered rash (8) (25.8%), post-infection neuritis (1) (3.2%)
اسلوبية التوظيف النفسي للأوامر العبادية في القرآن الكريم
Authors: Idan Hammoud Sabah
Published: May 2021

Each discourse aims, in its style and statement, to achieve the objectives of its creator, and in all its levels it has the intention of influencing the recipient to act upon it, and raise the potential of those aims It moves the recipient soul which is a group ((the forces latent in the human body, which is a complex of good emotions and evil impulses, and stable instincts, tendencies, emotions and desires that drive this physical body in its behavior and directions)). And she needs different stimuli to act with it and direct it towards Murad al-Qasid, who wants to be directed at it.

Modern linguistic studies, especially stylistic research, have turned to psycho-linguistic research and the issuance of general laws to explain human behavior towards spoken linguistic phrases. The human soul needs, in its existence and at all its mental levels, internal stimuli that move it to patterns of actual or emotional behavior, which makes us adhere to the definition of the psychological connotation that was known as ((those features and signals that are reflected on the human soul, so that a specific response occurs in it, whether a) It was verbal or kinetic, voluntary or involuntary)) and the stylistics and coordination of the speech at the time of its creation and the place of its birth are important psychological influences. Therefore, this discourse should possess the stylistic ability to provoke
Kết quả của phương pháp nong vòi tử cung qua soi buồng tử cung kết hợp với nội soi ổ bụng trên bệnh nhân vô sinh do tắc đoạn gần vòi tử cung
Authors: Thiết Nguyễn Bá , Tiến Nguyễn Viết , Du Vũ Văn
Published: May 2021

Nong vòi tử cung qua soi buồng tử cung kết hợp với sự hỗ trợ của nội soi ổ bụng là một trong những phương pháp điều trị vô sinh do tắc đoạn gần vòi tử cung có nhiều ưu việt so với các phương pháp nong vòi tử cung khác. Mục đích của phương pháp này nhằm mang đến cơ hội có thai tự nhiên cho bệnh nhân. Một nghiên cứu can thiệp không nhóm chứng áp dụng phương pháp trên cho 66 bệnh nhân vô sinh có tắc gần 2 vòi tử cung, cho kết quả nong tắc thành công là 44%. Trong đó 33,3% bệnh nhân có thai tự nhiên trong 9 tháng đầu sau nong. Việc dính phần phụ ở các mức độ khác nhau không ảnh hưởng đến tỷ lệ nong tắc thành công vòi tử cung cũng như tỷ lệ có thai sau nong tắc. Cơ hội có thai ở bệnh nhân chỉ nong tắc thành công 1 vòi tử cung với bệnh nhân nong tắc thành công cả 2 vòi tử cung là không có sự khác biệt. Vậy nên, trên bệnh nhân vô sinh dưới 40 tuổi có tắc đoạn gần 2 vòi tử cung nên thử phương pháp nong vòi tử cung trước, nếu không thành công thì mới nên chuyển sang làm thụ tinh trong ống nghiệm.
Phương pháp tạo keo Fibrin tự thân cố định mảnh ghép trong phẫu thuật cắt mộng ghép kết mạc
Authors: Liên Vũ Thị Kim , Châu Hoàng Thị Minh , Bình Nguyễn Huy , Thọ Đỗ Quang , Quỳnh Nguyễn Mạnh
Published: May 2021

Nghiên cứu nhằm đánh giá hiệu quả phương pháp tạo keo fibrin tự thân cố định mảnh ghép kết mạc trong phẫu thuật mộng nguyên phát. Nghiên cứu can thiệp không đối chứng ở 45 mắt mộng nguyên phát độ II. Lấy máu của bệnh nhân trước phẫu thuật li tâm tách chiết fibrinogen và thrombin. Kết hợp fibrinogen và thrombin tỉ lệ 1:1 tạo keo fibrin dính mảnh ghép. Đánh giá khả năng cố định mảnh ghép, thời gian phẫu thuật, mức độ đau, tái phát sau phẫu thuật. Keo fibrin tự thân cố định được mảnh ghép kết mạc ở 43/45 mắt (95,6%): cố định tốt 3 cạnh mảnh ghép ở 32/45 mắt (71,11%), bong mảnh ghép ở 2 mắt (4,4%). Sau phẫu thuật 1 ngày bệnh nhân đau ở mức độ trung bình (86%). Thời gian phẫu thuật trung bình 28,5 ± 2,7 phút. Kết quả phẫu thuật đánh giá sau 03 tháng đạt tốt ở 86%. Sau 10 tháng theo dõi chưa gặp tái phát. Keo dán fibrin tự thân là một lựa chọn có triển vọng trong cố định mảnh ghép kết mạc, dễ thực hiện, an toàn và có hiệu quả.
Kết quả điều trị phồng màng descemet do viêm loét giác mạc nhiễm trùng bằng ghép giác mạc lớp trước sâu
Authors: Hồng Nguyễn Thế , Đông Phạm Ngọc , Văn Phạm Trọng
Published: May 2021

Đánh giá kết quả điều trị phồng màng Descemet do viêm loét giác mạc nhiễm trùng bằng phẫu thuật ghép giác mạc lớp trước sâu. Thử nghiêm lâm sàng tiến cứu không đối chứng trên 24 mắt (của 24 bệnh nhân) phồng màng Descemet do viêm loét giác mạc nhiễm trùng được phẫu thuật ghép giác mạc lớp trước sâu tại bệnh viện Mắt Trung ương từ tháng 1 năm 2018 đến tháng 6 năm 2020. Trong nghiên cứu, 91,7% số mắt đạt kết quả bảo tồn và tái tạo cấu trúc nhãn cầu. 2/24 mắt (8,3%) loét giác mạc tái phát, phải phẫu thuật ghép giác mạc xuyên. Thị lực LogMAR sau mổ là 1,63 ± 0,28, có cải thiện so với thị lực LogMAR trước phẫu thuật 2,09 ± 0,16 (P < 0,05). Tỷ lệ mảnh ghép trong là 45,8% và 8.4% số mắt có mảnh ghép đục hoàn toàn. Biến chứng phẫu thuật gồm thủng màng Descemet (20,8%); tiền phòng kép (41,7%); nếp gấp màng Descemet (58,3%) và tân mạch mảnh ghép, diện ghép (41,7%). Ghép giác mạc lớp trước sâu là một lựa chọn hiệu quả và an toàn để bảo tồn và tái tạo cấu trúc nhãn cầu trong trường hợp phồng màng Descemet do viêm loét giác mạc nhiễm trùng.
Thực trạng bệnh răng miệng và một số yếu tố liên quan ở cán bộ chiến sĩ công an tỉnh Nam Định năm 2019-2020
Authors: Bản Nguyễn Hữu , Sơn Đào Anh , Tuấn Vũ Mạnh , Hạnh Nguyễn Thị Thúy
Published: May 2021

Mô tả thực trạng bệnh răng miệng và phân tích một số yếu tố liên quan ở cán bộ chiến sĩ của Công an tỉnh Nam Định năm 2019-2020. Nghiên cứu mô tả cắt ngang được thực hiện với 843 cán bộ chiến sĩ của Công an tỉnh Nam Định. Chọn chủ đích 03 vùng miền và chọn ngẫu nhiên mỗi vùng miền của tỉnh Nam Định là 2 đơn vị, trong mỗi đơn vị đã chọn, chọn mẫu toàn bộ cán bộ chiến sĩ công an của mỗi đơn vị. Thông tin được thu thập bằng bộ câu hỏi, thông qua hỏi trực tiếp và khám lâm sàng. Kết quả nghiên cứu cho thấy: Có 803 người (chiếm 95,2%) mắc bệnh răng miệng, trong đó 766 (chiếm 90,8%) bị sâu răng và 797 người (chiếm 94,5%) bị bệnh quanh răng. Các yếu tố liên quan đến bệnh răng miệng bao gồm trình độ học vấn, kiến thức về chăm sóc sức khỏe răng miệng, làm việc theo ca, vị trí công tác và đảm nhiệm công việc. Kiến thức về chăm sóc sức khỏe răng miệng còn khá hạn chế, nên cần đưa chương trình giáo dục truyền thông và hướng dẫn vệ sinh răng miệng, biện pháp dự phòng bệnh răng miệng cũng như khám sức khỏe định kỳ cho cán bộ chiến sĩ công an.
Kết quả bước đầu phẫu thuật một thì điều trị hội chứng hẹp khe mi - sụp mi – nếp quạt ngược
Authors: Hương Trần Thu , Tịnh Nguyễn Xuân , Xuân Lê Thị Kim
Published: May 2021

Nghiên cứu báo cáo kết quả bước đầu phẫu thuật một thì tạo hình góc trong Y-V kết hợp gấp ngắn dây chằng mi trong và treo mi trên vào cơ trán điều trị hội chứng hẹp khe mi-sụp mi-nếp quạt ngược. Nghiên cứu tiến cứu, can thiệp lâm sàng không nhóm chứng trên 39 bệnh nhân tại Bệnh viện Mắt Trung Ương 1/2017 - 6/2018. Độ rộng khe mi trung bình trước mổ 18,41 ± 2,26 mm, sau mổ 22,13 ± 2,48 mm. Khoảng cách hai góc trong mắt trung bình trước mổ 36,13 ± 4,32 mm, sau mổ 30,62 ± 3,98 mm. Tỷ lệ khoảng cách hai góc trong mắt/độ rộng khe mi trung bình trước mổ 1,98 ± 0,30, sau mổ 1,39 ± 0,19. Các thông số trên khác biệt có ý nghĩa thống kê (p < 0,05). Sau phẫu thuật, 92% hết sụp mi hoặc còn sụp mi nhẹ, 92,3% cân xứng mi, 100% hết nếp quạt ngược, 84,6% sẹo góc trong nhẹ, 92% hở mi nhẹ. Kết quả chung thành công 87,2%. Biến chứng sau mổ đều được điều trị khỏi. Phẫu thuật một thì bước đầu an toàn, hiệu quả cao về thẩm mỹ, phù hợp điều trị cho bệnh nhân mắc hội chứng này.