bluuebunny/crossref_metadata_2025 huggingface dataset:
Combined Single-Shot Intra-articular Injection of Ropivacaine and Contrast Media for Magnetic Resonance Imaging: Surgical Decision Making for Hip Arthroscopy in Young Patients
Authors: Sarna Neil , Onor Gabriel I. , Schenker Kathleen E. , Su Alvin W.
Published: November 2024

Introduction:

Hip impingement syndrome with labral tear is debilitating for young patients. When magnetic resonance arthrogram (MRA) is equivocal for surgical decision making, an additional intra-articular diagnostic injection (IA) can further confirm the diagnosis. We assessed the effectiveness on surgical decision making by combining hip MRA + IA in one single procedure.

Methods:

We conducted a retrospective review of a prospectively enrolled cohort of patients with hip impingement syndrome who underwent a combined MRA + IA procedure. A 10-mL cocktail containing 0.2% ropivacaine and Omnipaque 300 contrast media was injected into the hip joint, followed by magnetic resonance scanning, in one single outpatient procedure. Patient demographics and MRA findings were documented. Preinjection pain and immediate postinjection pain were assessed using the visual analog scale (VAS). Surgical finding under hip arthroscopy was documented in those who had positive symptomatic relief after injection.

Results:

26 patients (7 adolescent boys, 19 adolescent girls, median age 17 years) were analyzed. The VAS score improved from before injection to after injection (5.0 ± 2.6 vs. 2.2 ± 2.1, mean ± SD, P < 0.0001). 1 patient reported no postinjection improvement and had no labral tear identified under hip arthroscopy; all the other 25 patients reported postinjection improvement and had labral tears repaired under hip arthroscopy; 4 among these 25 had negative MRA findings. The average Cam lesion alpha angle was 63.4 ± 7.1°.

Conclusions:

Combined hip MRA + IA is effective for surgical decision making. One single injection procedure is efficient for both patients and surgeons by eliminating an additional visit and saving costs and lead time for surgical decision making. Avoiding a second needle insertion is also preferable among pediatric and adolescent patients.
ASSESSING THE IMPACT OF R&D ON ECONOMIC GROWTH: A SPATIAL ANALYSIS
Authors:   Chechen State Pedagogical University, Khadisov M-R. B.
Published: November 2024

Abstract. The article analyzes panel data using statistical indicators for the period 2014-2022 for 85 constituent entities of the Russian Federation, and constructs a spatial autocorrelation table. To construct a spatial model, linearization was performed by taking the logarithm of the studied indicators, and statistical software packages (MS Excel, Gretl, STATA) were used to conduct the analysis and construct scatter plots. When assessing the adequacy of the model using the Breusch-Pagan, Hausman tests and the Akaike and Schwartz information criterion, a spatial model with fixed effects was chosen rather than random ones. The author identified spatial heterogeneity across the entire data set using the global and local Moran's indices, interpreted direct, indirect and general spatial effects, and constructed geographic maps based on endogenous and exogenous parameters.
Gentamicin Induced Damage in Nephrotoxicity and Hepatotoxicity in Male Rabbits: The Protective Effect of Cinnamon
Authors: Fayrouz Alzobair  , Fadwa Nbaiwa
Published: November 2024

One common aminoglycoside antibiotic that is well-known for its ability to treat gram-negative bacterial infections is gentamicin. Its nephrotoxic and hepatotoxic side effects, which are mostly brought about by the production of free radicals that harm kidney and liver cells, frequently restrict its therapeutic application. On the other hand, strong antioxidants found in cinnamon, a popular spice and therapeutic plant, have been demonstrated to have protective properties against oxidative stress. In order to assess the protective role of cinnamon, the current study examines how cinnamon affects gentamicin-induced changes in biochemical markers, liver enzymes in male rabbits. Treatment groups included a control group, a gentamicin-only (GIN) group, a cinnamon-only (CIN) group, and a combined cinnamon-gentamicin (CIN+GIN) group. The results showed that GIN group elevated liver enzymes, specifically aspartate transaminase (AST) and alanine transaminase (ALT), suggesting possible hepatotoxicity. The dose of cinnamon decreased these enzyme levels, while the combination therapy kept the AST levels close to control. Biochemical examination revealed that cinnamon reduced these alterations, particularly in the combination therapy group, while gentamicin increased total protein, urea, and creatinine levels, indicating renal and hepatic stress. The study concludes by highlighting the potential of cinnamon in reducing gentamicin-induced toxicity, specifically through its effects on lipid profiles, liver enzyme activities, body weight, blood profiles, and biochemical markers. This suggests that cinnamon could be used as an adjuvant therapy to reduce the negative effects of gentamicin".
Apakah Leverage Keuangan Berpengaruh Terhadap Profitabilitas Perusahaan Di Jii70?
Authors: Welkom Syahfitri Suryaningsi , Syurmita Syurmita , Welkom Allysa Azzarah
Published: November 2024

Pasar saham syariah semakin berkembang pesat, namun kinerjanya mengalami penurunan selama beberapa kali dalam lima tahun terakhir. Investor tentu harus berhati-hati dalam berinvestasi di pasar ini, terutama perlu untuk memperhatikan tingkat penggunaan leverage keuangan. Dampak penggunaan leverage keuangan (tingkat penggunaan utang) bisa sekaligus meningkatkan dan juga menurunkan kinerja perusahaan sehingga perusahaan harus berhati-hati dalam menggunakannya. Tujuan penelitian ini adalah menganalisis pengaruh leverage keuangan terhadap profitabilitas perusahaan yang terdaftar di JII70. Metode penelitian yang digunakan adalah penelitian kuantitatif. Metode analisisnya adalah regresi data panel dinamis, dengan teknik System-GMM. Populasinya adalah perusahaan yang terdaftar di JII70 yang berjumlah 70 perusahaan. Sampel berjumlah 27 perusahaan, dengan metode pengambilan sampelnya adalah purposive sampling. Data diambil dari laporan keuangan perusahaan tahun 2019-2023. Hasil penelitian menunjukan bahwa leverage keuangan tidak memiliki pengaruh yang signifikan terhadap profitabilitas perusahaan. Baik variabel DFL, SDAR, maupun LDAR, ketiganya tidak memiliki pengaruh yang signifikan terhadap EPS.
On “A new three-step fixed point iteration scheme with strong convergence and applications”
Authors: Rafiq Arif
Published: November 2024

This note delves into the convergence analysis of several iterative methods and elucidates their behaviors. Furthermore, we demonstrate that the findings presented in “A new three-step fixed point iteration scheme with strong convergence and applications” are not entirely novel. In particular, some of the results either overlap with or restate previously established methods without introducing significant innovations.
De un cuestionamiento docente a una problemática de investigación: La propiedad de completitud de R
Authors: Fregueiro Alexandra , Bergé Analía
Published: November 2024

En este trabajo presentamos el proceso que nos permitió transformar un cuestionamiento docente inicial, surgido de la práctica, en una problemática de investigación en el área de la didáctica de la matemática. En primer lugar, describimos el contexto donde surgió el cuestionamiento docente inicial: un curso universitario de Introducción al Análisis de variable real y el aprendizaje de una noción en particular, la propiedad de completitud del sistema de los números reales. En segundo lugar, desarrollamos un estado del arte donde analizamos trabajos de corte histórico-epistemológico sobre la propiedad de completitud e investigaciones relacionadas con la enseñanza y el aprendizaje de esta propiedad. Esta revisión nos aportó elementos para elaborar una primera formulación de nuestra pregunta de investigación teniendo en cuenta los resultados ya establecidos en el área. Presentamos la formulación definitiva de la pregunta de investigación luego de haber hecho explícito nuestro posicionamiento teórico dentro del campo de la didáctica de la matemática. De esta manera detallamos las etapas de este proceso que se inicia en un problema que proviene de la práctica y culmina con un problema situado en el campo de investigación de la didáctica de la matemática.
Application of the Process Mapping for Identification of Waste for Sustainable Performance Improvement in the Service Processes
Authors: Malčic Tomáš , Staš David
Published: November 2024

This paper examines the pivotal role of high-quality aftersales service in maintaining global automotive industry competitiveness and sustainability. It presents the methodology for utilizing lean principles in sustainable performance improvement by identifying and eliminating waste in aftersales processes. The approach is exemplified through a case study in road freight vehicle service and maintenance using process mapping. The methodology involves developing a comprehensive process map, analyzing current inefficiencies, and proposing improvement measures. The methodology enhances operational efficiency and contributes to sustainable performance in terms of economic, environmental, and social factors. The methodology is generalized and outlines successful improvement phases and sub-steps.
Green Innovations in Foundry Production Processes of Automobile Castings
Authors: Bradáč Josef , Folta Martin , Machuta Jiří , Slabý Jiří , Beneš Michal
Published: November 2024

The paper deals with individual possibilities for energy savings and the use of chemicals in the production of automotive components. Specifically, it focuses on operating an aluminium foundry where shape-complex castings such as engine blocks and gear and clutch housings are produced using high-pressure die-casting technology. Regarding the production process, foundry operations are characterized by high energy consumption and high wastewater production. On the oth-er hand, there is also a great potential for introducing various innovations and seeking savings. This paper aims to pre-sent selected innovative solutions throughout the foundry operation and assess their benefits in energy consumption savings, reduced wastewater production, and chemicals usage. The impact of the presented savings is financial in terms of the production of components and environmental in terms of CO2 production.
Prospects for the Production of Niche Grain Crops in the Context of the Need to Ensure Food Security
Authors: Міrzoieva Тetiana , Stepasyuk Ludmila , Diachkov Dmytro , Nitsenko Vitalii , Velychko Oleksandr , Lozynska Tamara , Kapelista Iryna
Published: November 2024

One of the tools of strategic development of the agricultural sector, which plays a key role in ensuring food security, is diversification, which can be niche production, particularly the cultivation of niche grain crops. The concept of "niche crops" is briefly revealed in the context of the aggravation of the world's food security problem. Their economic importance and potential are detailed and disclosed using the example of oats and millet due to their inherent advantages in the economic, ecological, agrotechnical, and social plane, multifunctionality, and the possibility of producing various products with high benefits. Using the example of the main commodity producers, the dynamics of the production of niche grain crops in Ukraine in 2020-2022 were studied. Using the index method and the method of regional rating assessments, the competitiveness of oats and millet in agricultural enterprises was determined separately for each type and region of Ukraine.
IMPACTO DOS PSICOFÁRMACOS NA AUTOINTOXICAÇÃO INTENCIONAL: UMA ANÁLISE DE INTERVENÇÕES FARMACÊUTICAS PREVENTIVAS
Authors: Silva Alexandre Souza da , Pinto Thiago Serrão
Published: November 2024

Medicamentos psicotrópicos são substâncias que afetam o sistema nervoso central, alterando funções como percepção e comportamento. O autoenvenenamento intencional, especialmente entre jovens adultos, é um problema de saúde pública global, sendo o uso inadequado de psicotrópicos associado ao aumento de suicídios no Brasil. O farmacêutico, como profissional acessível, pode orientar sobre o uso seguro desses medicamentos e encaminhar pacientes de risco para avaliação médica. O estudo objetiva identificar o impacto dos psicofármacos na autointoxicação intencional em uma análise de intervenções farmacêuticas preventivas. O método aplicado é uma revisão bibliográfica, com abordagem qualitativa. Os dados foram coletados nas bases de dados Scientific Electronic Library Online (SciELO) e Literatura Latino-americana do Caribe em Ciências da Saúde (LILACS). Sendo utilizados os descritores: “Medicamentos psicofármacos’’, “Autointoxicação intencional’’, “Suicídio’’, “Suporte farmacêutico’’, em língua portuguesa e inglesa, no período de 2019 a 2024. Verificou-se que o consumo de psicofármacos tem sido uma busca às pressões contemporâneas por parte da população, no entanto, são grandes os riscos de dependência, prejuízo cognitivo e risco de doenças neurodegenerativas. Diante disto, emerge a importância da intervenção farmacêutica preventiva, destacando o farmacêutico como mediador para evitar o consumo descontrolado e promover o uso racional e seguro desses medicamentos. O estudo destaca a importância de identificar precocemente sinais de comportamento suicida ou abuso de medicamentos. As intervenções farmacêuticas podem reduzir casos de intoxicação intencional, com monitoramento ativo do uso de psicofármacos.
PSICOLOGIA E ENVELHECIMENTO SAUDÁVEL: ESTRATÉGIAS DE PROMOÇÃO DA QUALIDADE DE VIDA NA TERCEIRA IDADE
Authors: Rocha Alice Maris Ferreira , Veras Paulo Roberto Miranda , Amorim Marcelo Vinicius Costa
Published: November 2024

A qualidade de vida do idoso na atualidade está em destaque, tanto no Brasil, quanto no mundo, devido ao crescente envelhecimento da população, tecendo anotações sobre a prevenção de doenças, promovendo a saúde mental e física. Através dos pesquisadores: (Celich 2008), (Ferreira 2010), (Torquato 2011) e (Ilha 2016), que nos elucida sobre o assunto. O objetivo geral é: explanar sobre os aspectos relacionados à qualidade de vida do idoso. Os objetivos específicos são: Compreender sobre as necessidades pelas quais o ser humano passa ao envelhecer; pesquisar as etapas envolvidas em um envelhecimento saudável; identificar a importância de ter condições físicas, mentais e sociais na promoção de um envelhecimento saudável, com o auxílio psicológico. A justificativa deste trabalho e a realização deste estudo também permitiu um melhor conhecimento em relação a compreensão do idoso sobre a qualidade de vida na terceira idade, e de suas relações no convívio familiar e social. As hipóteses mediante a este trabalho são: O que a Terceira Idade pensa sobre o que é qualidade de vida? O que os idosos precisam para poderem envelhecerem de um modo saudável? Em quê a Psicologia pode ajudar a pessoas a passar pelo processo de transição para a Terceira Idade? Já em relação a metodologia, foi utilizado os métodos de pesquisa qualitativa, como também, havendo uma revisão integrativa da literatura realizada por meios de revistas eletrônicas e artigos científicos.
The Influence of Organizational Climate on Employee Performance: The Mediating Role of Perceived Work Stress
Authors: Utami Made Dwi Mas , Utomo Kabul Wahyu , Arifin Andi Harmoko
Published: November 2024

This research aims to determine and prove the influence of organizational climate on employee performance. The research was carried out quantitatively, namely using survey methods with specially integrated statistical analysis methods. The questionnaire was a data collection instrument and distributed online via Google Form with a sample size of 211 respondents. The research results obtained are that organizational climate has a significant influence on employee performance. Perceived work stress has a significant influence on employee performance. Organizational climate has a significant influence on perceived work stress and organizational climate has a significant influence on Employee Performance through the mediation of Perceived Work Stress. In an effort to maintain employee performance, we provide space for employees to be able to take certain initiatives in their work as long as their implementation is monitored and in accordance with standard work procedures. Leaders can support and monitor initiatives on a results-oriented basis. support from leaders and policies within the company so that all employees can manage expectations and make these expectations a reality in line with company goals and provide challenging tasks so that employees give their best effort in achieving the assigned tasks.
Desafios e perspectivas das políticas audiovisuais supranacionais na América Latina
Authors: Rossato Fernandes Marina
Published: November 2024

Este artigo analisa os desafios e potenciais das políticas audiovisuais supranacionais na América Latina, concentrando-se nas instituições RECAM e Programa Ibermedia. A partir da economia política da comunicação a análise foca em três elementos, política, pessoas, e poder, para avaliar as dinâmicas e resultados dessas instituições. Destaca-se a importância das pessoas e da informalidade no desenvolvimento e sustentação dessas políticas. O estudo ressalta a necessidade de redefinir os objetivos políticos, integrando as pespectivas culturais e econômicas, por meio de um processo participativo.
Inovação para o desenvolvimento produtivo e dos territórios do Nordeste
Authors: Apolinário Valdênia
Published: November 2024

O artigo objetiva analisar o papel da inovação para o desenvolvimento produtivo e dos territórios do Nordeste, considerando os desafios e transformações do atual paradigma técnico-econômico. A metodologia inclui uma revisão bibliográfica sobre a inovação e o papel do Estado; uma análise de dados sociais, econômicos e tecnológicos comparados; e, com base nas missões da Nova Política Industrial (NIB), explora caminhos para o desenvolvimento regional sustentável. O estudo confirma o potencial inovativo da região, avanços em importantes indicadores. E indica assimetrias como oportunidades para transformar fortemente a estrutura produtiva regional, valorizar a ampliação do ensino superior, gerar emprego e renda.
Soberania Digital e Desenvolvimento
Authors: Lacerda de Melo Ricardo
Published: November 2024

José Eduardo Cassiolato reflete sobre o contexto atual, desde a crise de 2007-2008, passando pela pandemia da COVID-19, até a guerra na Ucrânia. Destaca que essas crises sobrepõem-se a uma crise crônica multidimensional, que intensifica as desigualdades sociais, o baixo crescimento econômico e a financeirização. Cassiolato examina as oportunidades e desafios do Brasil em um cenário marcado pela digitalização e pela transição energética, com destaque para o controle de dados pelas grandes corporações digitais e seus efeitos no país. Também destaca a importância dos sistemas inovativos locais como componentes fundamentais para o desenvolvimento econômico e tecnológico do Brasil.
La rémunération des attributs linguistiques au Québec en 2020, son évolution depuis 1970 et le taux de rendement du bilinguisme des francophones en 2020
Authors: Vaillancourt François , Sintes Amélie , Grine Feriel
Published: November 2024

Ce texte présente la rémunération sur le marché du travail des attributs linguistiques des hommes et des femmes du Québec pour 2020 et son évolution depuis 1970. On y utilise des résultats produits avec des microdonnées mises à disposition des chercheurs par Statistique Canada et tirées de neuf Recensement du Canada et d’une enquête. Le cadre analytique retenu est celui de la théorie du capital humain. On présente les écarts de revenu de travail moyen et on les analyse en calculant les effets nets des attributs linguistiques sur le revenu de travail. Ceux-ci correspondent à la rémunération des attributs linguistiques en soi et sont obtenus par l’analyse multivariée (MCO). Dans la dernière partie du texte, nous présentons une estimation du taux de rendement interne (TRI) de l’apprentissage de l’anglais par les francophones. Les principaux résultats pour 2020 sont les suivants : - Les individus ayant les revenus moyens de travail (Figure 1) les plus élevés sont les bilingues (allophones (Allo B), anglophones (Anglo B) ou francophones (Franco B) : un bilingue connait l’anglais et le français). Suivent les unilingues anglophones (Anglo U) et francophones (Fran U) puis les allophones non bilingues. - En 2020, les groupes dont les attributs linguistiques sont mieux rémunérés (effet net, spécification de base) que ceux des francophones unilingues sont les francophones bilingues et les femmes anglophones bilingues (figure 2). Examinons maintenant l’évolution à travers le temps des effets nets des attributs linguistiques pour trois groupes-francophones bilingues (FB), anglophones unilingues (AU) ou anglophones bilingues (AB). La principale constatation est la nette rupture entre 1970 et 1980-2020 dans la sur-rémunération des hommes anglophones, unilingues ou bilingues (Figure 3). Une telle sur-rémunération n’était pas présente pour les femmes anglophones en 1970 (Figure 4). La conclusion générale que l’on peut tirer de ceci est que nos résultats sur les effets nets des attributs linguistiques pour 2020 sont similaires à ceux observés depuis le début du XXIème siècle. Le bilinguisme est mieux rémunéré que l’unilinguisme chez les francophones et les allophones, alors que les anglophones se tirent aussi bien d’affaire que les unilingues francophones. Le TRI d’un investissement linguistique varie fortement selon le niveau des coûts utilisé dans son estimation.
Teknologi dan inovasi dalam manajemen SDM kesehatan: Meningkatkan efisiensi melalui digital
Authors: Abdillah Ratu Puanurani Anggitya , Nabilah Hanifah , Wasir Riswandy
Published: November 2024

Teknologi dan inovasi memainkan peran krusial di era globalisasi dalam transformasi manajemen sumber daya manusia di sektor kesehatan. Tujuan dari studi ini adalah untuk mengevaluasi dampak digitalisasi dan inovasi teknologi dalam meningkatkan manajemen SDM di sektor kesehatan. Literatur diperoleh dari Google Scholar dan PubMed menggunakan kata kunci terkait, kemudian diseleksi sesuai kriteria dan tujuan studi. Hasil menunjukkan bahwa penggunaan digitalisasi dapat meningkatkan efisiensi dalam manajemen SDM kesehatan. Keseimbangan distribusi antara fasilitas kesehatan dan SDM Kesehatan, serta kekurangan dalam penyebaran tenaga kesehatan di berbagai daerah, menjadi masalah utama, sehingga masih diperlukan digitalisasi dalam manajemen SDM kesehatan. Era digital dan penerapan inovasi memberikan dampak yang signifikan dalam proses rekrutmen, pelatihan, dan pengembangan tenaga kesehatan. Melalui pendekatan inovatif, berbagai komponen dapat diintegrasikan secara efektif untuk mendukung transformasi digital yang dapat menjamin pemerataan layanan kesehatan.
Multivariate analysis of homicide and intentional crime rates in South America: An application of the HJ biplot
Authors: Contreras Franklin Raúl Espinoza , Quilligana Roberto Ivan Basurto , Barzola Jimmy Aldrin Cedeño , Quispillo Juan Mauricio Guaman , Gamboa Dennis Alfredo Peralta
Published: November 2024

This study aims to analyze the rates of homicide and other intentional crimes in various South American countries using the HJ Biplot multivariate analysis technique. The goal is to identify regional crime patterns and examine correlations with socioeconomic factors such as poverty, inequality, and unemployment. The research is a quantitative, descriptive, and exploratory study using data from the United Nations Data Portal for the year 2020. It employs the HJ Biplot to jointly represent variables and countries in a two-dimensional space, allowing for the visualization of crime patterns and identifying clusters of countries with similar crime profiles. The HJ Biplot reveals three clusters of South American countries based on crime characteristics. Countries like Brazil, Venezuela, and Colombia are associated with high homicide rates, while Ecuador, Peru, and Chile face higher rates of sexual violence and kidnapping. Socioeconomic factors such as economic inequality and lack of job opportunities are strongly correlated with higher crime rates in these regions. The study confirms that socioeconomic disparities contribute significantly to crime in South America, with specific countries displaying unique crime patterns that align with their social and economic contexts. These findings suggest that tailored public policies focusing on social inclusion and crime prevention are needed to address the distinct crime challenges in each country. Policymakers in South America should consider implementing targeted strategies that address the underlying socioeconomic causes of crime, such as promoting education and employment opportunities. Strengthening public security institutions and focusing on community-specific crime prevention efforts could reduce violence and improve safety in the region.
Geist und Materie, Gott und die Welt – ein verborgener Gesamtzusammenhang / Spirit and Matter, God and the World – a Hidden Overall Context
Authors: Ciompi Luc
Published: November 2024

Energie ist eine Urkraft unbekannter Herkunft mit einem ungeheuren Differenzierungspotenzial. „Tote“ wie lebende Materie ist zunehmend raffiniert organisierte Energie. Luc Ciompi sieht als organisierendes Prinzip den Weltgeist, ein grenzenloses abstraktes Potenzial von Kombinationsmöglichkeiten, die im Lauf der Evolution vom Big Bang bis heute immer differenzierter realisiert und materialisiert worden sind. Aspekte dieses Weltgeists werden von lebendigen Organismen sukzessive entdeckt und genutzt. Sowohl der Weltgeist wie auch die Energie können wahlweise als göttlichen oder natürlichen Ursprungs aufgefasst werden.
Examining the Effectiveness and Feasibility of Lockdown and Social Distancing Measures in Mitigating COVID-19 Transmission: Insights from Windhoek, Namibia
Authors: Inman Emilia N , Lewis Earl W
Published: November 2024

The study explored the impacts and feasibility of lockdown, social distancing, and personal protection measures in Windhoek, Namibia, focusing on informal settlements. We used a nested mixed-method research design to capture people’s perceptions of the impacts and adherence to lockdown, social distancing, and personal protection, as well as document the challenges experienced during lockdown. Social distancing and personal protection were challenging to many in informal settlements due to overcrowding and the use of communal facilities. Some could not afford masks and sanitizers; they had to choose between buying a mask or bread. The study found significant economic disproportions; informal settlement residents faced severe food shortages and job losses during the pandemic. Those living in affluent communities mentioned various benefits of the lockdown, such as reduced crime and enhanced family time. Government support, including a once-off stipend and free water, was welcomed but did not benefit all and was not sustainable. Children’s education was adversely affected, especially for those without access to technology. The research highlights the need for holistic and sustained support measures to tackle the multidimensional impacts of pandemics. The findings underscore the vulnerabilities exacerbated by the pandemic and the critical need for targeted interventions to support vulnerable communities in future crises. We recommend developing location-specific, need-based solutions unique for each community in future pandemics.
The need for productivity and quality training to meet the growing demand for high-quality human resources
Authors: Tuyet Nguyen Thi Anh , Phuc Tran Thien , Tuan Pham Ngoc
Published: November 2024

Training productivity and quality are crucial for the stability, continuity, sustainability, and success of an enterprise. The research aims to analyze the importance and the necessity of productivity and quality training in universities to increase highly qualified human resources in Viet Nam. This research surveyed 1,682 students and 368 lecturers in the specialized fields and majors and training programs related to the field of productivity. The result shows that the level of interest of lecturers and students in productivity and quality training programs is significantly high. Therefore, productivity and quality training programs at universities are necessary and significantly impact the success of the mission of expanding knowledge of productivity and quality at Viet Nam's universities in 2020-2030. Furthermore, a theoretical basis for developing productivity and quality training programs was proposed, and some suggestions to deploy productivity and quality training programs efficiently were also provided.
Physicochemical profile and antioxidant activity of mint honey from Ha Giang Province, Viet Nam
Authors: Nguyen Tran Van , Hanh Tran Thi Hong , Nhu Nguyen Thi Quynh
Published: November 2024

Monofloral honey samples (Mentha longifolia L.) from Ha Giang, Viet Nam, were chosen for this study. The samples were analyzed by their physicochemical properties, including total phenolic content (TPC), total flavonoid content (TFC), and total carotenoid content (TCC). The levels of hydroxymethylfurfural (HMF) (33.40-37.51) mg/kg and free acid (13.67-24.17) meq/kg in mint honey were measured. Moreover, the high levels of TPC (45.15-70.44) mg GAE/100 g, TFC (3.04-5.04) mg GE/100 g, and TCC (12.54-17.01) mg β-carotene/kg content in mint honey contributed to its antioxidant activity, as indicated by IC50 of 37.99-50.89 mg/mL. The findings of this study emphasize the significance of mint honey as a health-promoting substance.
THE EVOLVING FIELD OF PUBLIC HEALTH, THE GLOBAL DISEASE PATTERNS AND THE NEED FOR CAPACITY BUILDING OF PHYSICIANS FOR HEALTH IN PAKISTAN
Authors: Abdullah Muhammad Ahmed , Shaikh Babar Tasneem
Published: November 2024

Amongst all its South Asian and Eastern Mediterranean neighbors, Pakistan is still struggling with major public health hurdles, from elevated rates of stillbirths, infant, neonatal and under-five mortality, and maternal mortality compounded with low contraceptive prevalence rates, a surge in infectious diseases, and a notable burden of non-communicable diseases. The question arises: Are we nurturing a sufficiently skilled public health workforce? Complicating matters is a fragmented, unregulated healthcare system marked by non-uniform healthcare delivery and an acute dearth of proficient human resources. WHO’s health system strengthening framework considers the health workforce as one of six critical building blocks, essential for effective public health interventions. Yet, the existing undergraduate MBBS curriculum in Pakistan tends to conflate "community medicine" with "public health," despite the latter's much bigger canvas, applications and centrality in global health in today’s world. The subject of community medicine in medical colleges is still imparting rudimentary health concepts, definitions and an obsolete curriculum. To tackle evolving global health challenges, diseases patterns and cross border nature of infections, it's imperative to re-visit the MBBS curriculum. This would entail integrating scientific domains such as epidemiology, health economics, medical statistics, sociology, psychology, and health management sciences. Emphasis should be placed on cultivating research skills, promoting evidence generation, and fostering the use of information for informed decision-making. Furthermore, innovative methods for student assessment, program evaluation, and practical experiences are indispensable. Collaboration among public health practitioners, academics, and medical educators is indispensable for crafting a comprehensive and technically robust curriculum. Pakistan urgently needs an updated MBBS curriculum to confront the public health exigencies of the present era. Such a curriculum must embrace interdisciplinary subjects and inventive assessment techniques, ensuring that medical graduates are equipped to address contemporary public health emergencies.
CHRONIC DIARRHOEA: NOT A RARE PRESENTATION OF VITAMIN B 12 DEFICIENCY
Authors: Adil Noreen , Mehraj Adil , Khan Jamila , Bhutta Sohail , Jamil Muzamil , Aslam Mujahid
Published: November 2024

Background: Diarrhoea is defined as stool frequency of more than three times in twenty-four hours or a stool weight of more than two hundred grams and it is labelled as chronic diarrhoea if it persists for more than four weeks. Chronic diarrhoea is a common gastrointestinal problem worldwide that affects three to fifteen percent of population. Objective was to determine the efficacy of vitamin B 12 replacement in treatment of chronic diarrhoea in vitamin B deficient patients. It was a Quasi-experimental study carried out at Pakistan Ordinance Factory (POF) Hospital Wah Cantt, from September 2023 to February 2024. Methods: All the new patients of chronic diarrhoea of ages between 12–65 years who had low serum vitamin B 12 and normal serum folate levels were included in the study. The patients were booked from Medicine and Allied outpatient and they were given parenteral vitamin B12. The sub-set of patients in whom diarrhoea was settled was followed up till six months. The efficacy was defined as settlement of diarrhoea with parenteral vitamin B12 within one week. The secondary outcomes were adequacy of serum vitamin B12 levels at 2 weeks, three months and six months after treatment. All patients (100%) had adequate B12 levels till follow up. Data was analyzed through SPSS. Results:  Efficacy of parenteral B12 supplementation was seen in 16 (76.2%) patients. Out of sixteen patients who responded to vitamin B12 supplementation, 10 (47.6%) patients showed improvement in less than two days, 5 (23.8%) showed improvement in less than four days and 1 (4.8) patient stopped experiencing diarrhoea within seven days of intramuscular vitamin B12 with p-value of <0.001. Conclusion: Replacement of vitamin B 12 in patients with chronic diarrhoea having low vitamin B 12 results in settlement of diarrhoea.
TREATMENT OUTCOMES OF GESTATIONAL TROPHOBLASTIC DISEASE, EXPERIENCE FROM SAUDI ARABIA
Authors: Latif Muhammad Farooq , Azam Faisal , Tirmazy Syed Hammad Hassan , Bukhari Nedal
Published: November 2024

Background: This research aims to assess the treatment outcomes and chemotherapy duration required for the normalization of Human chorionic gonadotropin (HCG) levels in patients diagnosed with Gestational Trophoblastic Neoplasia (GTN), encompassing both benign and malignant forms of the condition. Methods: This retrospective study included GTD patients treated with chemotherapy in a single oncology clinic from January 2016 to May 2022. Clinical data were gathered from electronic records of the patients. Results: During the study period, a total of 24 patients diagnosed with GTD underwent chemotherapy, with a median age of 32 years (range: 18–51). Intramuscular Methotrexate was the primary single-agent chemotherapy utilized in 20 cases (83%) for low-risk disease, while the EMA-CO regimen was the predominant combination chemotherapy employed in 3 cases (13%) for high-risk disease. The median number of chemotherapy cycles administered was 2 (range: 1–16), with a median duration of 4 weeks (range: 1–16) required for Human chorionic gonadotropin (HCG) normalization. Approximately half of the patients (n=10, 47.5%) transitioned to second-line combination chemotherapy, with a median normalization duration of 4 months. Four patients (40%) subsequently received third-line combination chemotherapy using the EMA-CO regimen. Initial complete response was achieved in 11 patients (47%) with first-line treatment, while 10 patients (43%) required second-line chemotherapy and 4 patients (17%) necessitated third-line EMACO chemotherapy. Of the 24 patients, 22 achieved complete response, while 2 patients are currently undergoing treatment. Conclusion: All patients successfully attained complete response with chemotherapy. The median duration of chemotherapy for achieving normalization of HCG was 4 weeks, equivalent to 2 cycles. Notably, only 4 patients necessitated third-line chemotherapy following single-agent chemotherapy in the first and second lines.
Multidimensional Challenges and its Impacts on the Security of Pakistan
Authors: Ali Naeem , Arshad Faiza
Published: November 2024

Over the last decades, internal challenges faced by Pakistan include a fractured state and society, weak governance, fragile institutions, extremism and poor economy which are also affecting the image of Pakistan in the outer world as well.  This research explains the nature of security challenges and its impacts on the stability of the society and the state. It is an attempt to dig out the security issues and its influence on the state and society of Pakistan. According to complex mix of the nature of challenges has created the security threats for Pakistan, these are divided into two types, internal and external. The technological, cultural, political, social, religious, economic environmental and self-security are internal, while defense, nuclear proliferation, geography and foreign threats including in the major external threats or challenges for Pakistan. The greatest challenge that the Pakistani government and its people are facing, concerned with the national security. The inability of Pakistani security institutions are may not fully equip and ready to meet the internal and external security challenges effectively. The research is an attempt to create an alternative reading of various security threats related to the people at the social, political and economic levels in Pakistan. All these elements are negatively influencing the image of Pakistan at the international level as well
Integrating Blockchain Technology into Healthcare, A Decentralized Ledger That Improves Respect for Patients' Right to Privacy and Confidentiality
Authors: Hafiz Gulfam Ahmad Umar  , Mariam Fareed  , Sana Rubab  , Romiza Rubab
Published: November 2024

A patient's medical record is an essential tool for treatment and care. However, questions about privacy, interoperability, and data fragmentation have been brought to light by conventional EHR systems. The research here employs blockchain technology to safeguard the transfer and storage of patient data. Since blockchain transactions may be recorded across several computers in a decentralized manner, any future data changes will need updating each subsequent block. The study makes use of tools such as Ganache, Truffle, Metamask, ZKPs, IPFS and RemixIDE. Blockchain validation is used for patient record retrieval; this procedure generates an encrypted Content ID and a decryption symmetric key. Further assurance of privacy and security is provided by the integration of Zero-Knowledge Proofs (ZKPs), which enable users to demonstrate record access privileges without disclosing sensitive information. In addition to boosting resilience and interoperability across systems, this decentralized strategy increases the confidentiality, integrity, transparency, and access management of healthcare data. The combination of blockchain technology with zero-knowledge proofs (ZKPs) increases the reliability of healthcare transactions by safely confirming data access between nodes.
Impact of Deep Diaphragmatic Breathing with Virtual Reality on Blood Pressure in Patient with Hypertension: A mini Review
Authors: Younan Mona Eid , Ahmed Ahmed M , Ahmad Shimaa Hassan Hamdy , Abdel Ghaffer Heba Ali
Published: November 2024

Virtual Reality (VR) offers a promising drug-free approach to relaxation for people with psychiatric issues. Studies show VR relaxation not only helps manage stress but also promotes positive emotions and decreases blood pressure.
Compared to traditional relaxation techniques, VR requires less mental effort and delivers a more significant boost in positive feelings.
The results of the current review indicate that VR with deep diaphragmatic breathing may be associated with a blood pressure-lowering effects for adult people with hypertension. Also VR technology can be used as a good facilitator of different practices for stress reduction and treatment of chronic pain (for example by meditation practices). The immersive and interactive nature of VR adds a positive effects for different modalities as it creates a semi-real environment and give the patient the sense of achievement.
THE IMPACT OF CLIMATE-OPTIMIZED FARMING METHODS ON INCREASING COTTON YIELDS
Authors: Yessirkepova Altyn , Zhumagulova Asel , Makhmud Dinara , Mukhan Bakytzhan
Published: November 2024

Cotton is one of the main types of raw materials in the textile industry. Cotton yield is directly affected by the climatic conditions of the growing region. In case of favorable climatic conditions, cotton has a high productivity potential. The main factors that play a leading role in this process include temperature stability, humidity level, soil fertility, and the presence of pests. To successfully grow cotton, it is necessary to take all these factors into account and develop adaptive strategies, including the use of modern agronomic methods and technologies that will help optimize the production process in a changing climate. The introduction of climate-smart agricultural practices can have a long-term impact on cotton yield. Taken together, this implies the use of more climate-resistant varieties and new irrigation technologies. The paper analyzes the impact of climate-smart agricultural practices, and identifies and formulates the prerequisites for increasing cotton yield. The introduction of these methods will facilitate the adaptation of farms to changing climate conditions, which will be reflected in increased productivity and sustainability of agriculture in the long term.
Street Vendor Regulation Enforcement in Keputran Market Surabaya by Satpol PP
Authors: Pratama Edo Pandu , Tukiman Tukiman
Published: November 2024

Street Vendors (PKL) play a significant role in Indonesia's informal economy, although their presence often conflicts with the government regarding the use of public spaces. In cities like Surabaya, the government seeks to regulate PKL activities through local regulations enforced by the Municipal Police (Satpol PP), aiming to create a more orderly and cleaner urban environment. However, these efforts often face resistance from PKL, who feel their livelihoods are being threatened. This study aims to examine and describe the implementation of the policy for controlling street vendors by the Satpol PP of Tegalsari District in the Keputran Market area of Surabaya. The research employs a qualitative descriptive approach, with data collection techniques including observation, interviews, and documentation. Data analysis is conducted using an interactive analysis technique involving data collection, data reduction, data presentation, and conclusion drawing. The results show that communication, resources, and bureaucratic structure indicators support the policy implementation, but the disposition indicator is not yet optimal due to the lack of full support from the implementers, thus requiring improvements to enhance policy effectiveness.
O papel das missões de paz da ONU na proteção de civis em zonas de conflito
Authors: Miranda Janete Barbosa , Passos Júnior Edy César dos
Published: November 2024

Criada após a Segunda Guerra Mundial, a Organização das Nações Unidas – ONU é implantada com o objetivo principal de promover e manter a paz mundial, a qual possui em sua composição as chamadas operações da manutenção de paz. Sendo assim, o presente artigo tem por objetivo examinar o papel dessas missões na proteção de civis em zonas de conflito, avaliando seus desafios, sucessos e limitações, e destacando sua importância na mitigação do sofrimento humano e na construção de um ambiente propício à paz duradoura. Vale ressaltar, que se busca trazer análise não exaustiva sobre a temática, pois a matéria é ampla, sendo inviável esgotar todos meios sobre o assunto. Para viabilizar o estudo, adota-se o método dedutivo e as fontes são eminentemente bibliográficas, tendo como base revistas especializadas, livros e artigos científicos. O estudo está estruturado em três pontos basilares: primeiramente trata-se sobre o contexto histórico da ONU, notadamente as operações da manutenção de paz, discorrendo sobre seu conceito e características; em um segundo plano faz-se a abordagem das missões de paz e seus desdobramentos e como terceiro e último tópico, trata-se do papel das missões de paz na proteção de civis em zonas de conflito narrando sobre o assunto com casos práticos.
Fisioterapia na paralisia facial periférica ou paralisia de bell
Authors: Rocha Elisangela da Silva , Silva Fabiana Rosa da , Almeida Fernanda Barbosa de , Andrade Gláucia de Jesus , Freitas Iohana Nunes de , Barros Izabela de Souza , Pereira Leidiana Avila , Rodrigues Laura de moura , Cavalcante Fabrício Vieira
Published: November 2024

A paralisia facial periférica (PFP) ou paralisia de Bell (PB) é determinada pela fraqueza facial, ocasionada pela paralisia do sétimo par craniano de forma aguda, sem causa detectável, no qual controla os músculos da face. O objetivo desse trabalho é analisar como os fisioterapêuticos que estão na prática profissional, em relação as pessoas com paralisia facial periférica, com o intuito da melhoria do desenvolvimento funcional, psicossociais e físicos das pessoas com essa paralisia. Este trabalho será realizado através de uma revisão da literatura, com o propósito de examinar as evidências científicas relacionadas a fisioterapia na paralisia facial periférica ou paralisia de bell.  A revisão da literatura possibilita um levantamento teórico sistemático e abrangente, integrando diversas fontes para consolidar o entendimento acerca do tema em discussão.  Os resultados do estudo foram categorizados e planejados com base nos principais re-sultados clínicos observados, como a recuperação da simetria facial, a melhora da fun-cionalidade muscular e a redução de complicações, como a sincinesia. Foram utilizados como critérios de inclusão, artigos publicados no período de janeiro de 2018 a dezembro de 2023, que contemplavam o tema abordado, com data de publica-ção dentro dos padrões, sendo utilizados 11 (onze) artigos. Por fim, a fisioterapia desempenha um papel fundamental no tratamento da Paralisia Facial Periférica, também conhecida como Paralisia de Bell. Ela é essencial para a recuperação do paciente, oferecendo benefícios que vão além do aspecto físico, incluindo suporte psicológico e ajuda na reintegração social.
Tributação de produtos importados no Brasil: uma análise de seus efeitos econômicos
Authors: Sousa Felipe Dias de , Santos Lucas Gabriel Costa , Silva Matheus Brammer dos Santos , Silva Rhafaella Cleisma Costa , Carmo Vanessa Ferreira do , Luz Crislene Divina dos Santos
Published: November 2024

A tributação de produtos importados é um assunto de grande relevância para a economia brasileira, uma vez que as políticas fiscais relacionadas a esse tema podem impactar diversos setores e influenciar o comércio internacional do país. Neste artigo, realizamos uma análise das regras sobre tributação de produtos importados no Brasil e seus impactos econômicos. Exploramos as principais leis e regulamentações vigentes, examinando os impostos incidentes sobre as importações, como o Imposto de Importação, o Imposto sobre Produtos Industrializados (IPI) e o Programa de Integração Social (PIS) e a Contribuição para o Financiamento da Seguridade Social (COFINS) incidentes sobre as importações, hipótese de incidência, o fato gerador e a competência tributária. Neste estudo, serão analisados os impactos econômicos dessas políticas, como o efeito sobre os preços dos produtos importados, a demanda doméstica, a produção local, o investimento estrangeiro e o crescimento econômico, como também as regras de tributação das plataformas digitais (SHEIN, SHOPEE E ALIEXPRES).  Será discutido as práticas de sonegação fiscal e descaminho e a informalidade no comércio exterior, o que pode gerar perda de receita para o governo e prejuízos para a indústria nacional e como a tributação é um mecanismo de desenvolvimento econômico.