bluuebunny/crossref_metadata_2025 huggingface dataset:
Reliability of Hand-Held Dynamometry for Measuring Force Production in People with Parkinson’s Disease
Authors: Boom Matthew , Preston Elisabeth , Salmon Renee , Ada Louise , Flynn Allyson
Published: May 2023

Purpose: People with Parkinson’s disease (PD) have impaired force production, which is associated with decreased mobility and falls risk. Reliable measurement of force production is important. Design: A repeated-measures, intra- and inter-rater reliability study was undertaken. Participants: 24 people with mild PD were measured by one or two raters. Outcome measures: Isometric force of the major upper and lower limb muscle groups was measured using hand-held dynamometry. Results: Fourteen participants were measured by the same rater on two occasions to determine intra-rater reliability. Ten participants were measured on two occasions by two different raters to determine inter-rater reliability. The intra-rater reliability of hand-held dynamometry was excellent in every muscle group, except the dorsiflexors. Intra-rater reliability was highest when measuring wrist extensors (ICC(2,1) = 0.98, 95% CI: 0.94 to 0.99) and lowest when measuring ankle dorsiflexors (ICC(2,1) = 0.87, 95% CI: 0.43 to 0.97). Inter-rater reliability was variable ranging from poor (wrist flexors: ICC(2,2) = -0.15, 95% CI: -1.14 to 0.60) to excellent (grip strength: ICC(2,2) = 0.97, 95% CI: 0.88 to 0.99). Conclusion: Hand-held dynamometry has good to excellent intra-rater reliability, but poor inter-rater reliability, for measuring force in the upper and lower limb in people with mild PD.
“Pieces of Myself”: The Pedagogical Power of an Illness Narrative Assignment for Doctor of Physical Therapy Students
Authors: Gang Jeffrey , Gang Gina
Published: May 2023

Purpose: Narrative medicine in healthcare education is used to promote a deeper understanding of the illness experience to promote compassionate, patient-centered care. The purpose of this qualitative study was to explore first year physical therapy students’ perceived learning after completing a first-person illness narrative assignment within a required Whole Person Care course prior to clinical experience. Method: Fifty-nine first-year doctor of physical therapy students completed an illness narrative assignment of a known individual with an illness experience from the first-person perspective. Data from students’ reflections on completing the illness narrative assignment were analyzed. Themes organically emerged from the open-ended prompt “What do you feel you learned writing the illness narrative?” Results: Four primary themes of perceived student learning emerged: deeper understanding of oneself, cognizance of values, understanding the illness experience of others, and recognition of future professional role. Three of these primary themes correlate with constructs of professional identity formation. Results substantiate previous studies advocating the use of narrative medicine to facilitate patient-centered care and professional identity development in healthcare education. Conclusions: A single illness narrative assignment with reflection created deeper understanding of the human illness experience for patient-centered care and supported physical therapy student professional identity development prior to clinical experience. This study adds to the limited research on effectiveness of narrative in physical therapy curricula. It also informs educators of a pedagogical approach early in curricula to leverage student professional identity formation. The study additionally answers the recommendations for research on effective implementation of humanities, early integration of narrative pedagogy, and the creation of learning spaces to support student professional identity formation.
Early Identification of Barriers to Student Success in Physical Therapy Clinical Education: Utilization of a Week One Clinical Survey Tool
Authors: Eubanks Bridget , Bunn Jennifer , Shearin Heidi
Published: May 2023

Purpose: The purpose of this study was to evaluate the use of a week-one clinical survey tool for early identification of student perceived barriers, including personal and environmental safety, that may impact success during full-time clinical education experiences (CEE) in physical therapy. Methods: DPT students (n= 81) engaged in full-time CEE in their second and third years were required to complete an online self-designed survey tool regarding perceptions of safety, clinical instructor (CI) satisfaction, and clinical challenges. Students in their third year completed the survey for both experiences. Data were assessed to compare second versus third-year student responses overall using a Mann-Whitney U test. Qualitative data was analyzed using an incident coding process. Results: Most students (65.1%) indicated high satisfaction with their CI (≥ 9 on a 10-pt scale). Two students (1.8%) indicated feeling unsafe. There were no differences between cohorts for perception of personal safety or completion of orientation, but there was a difference in rating of their experience with the CI (p = .008). Narrative responses revealed that students’ perceptions of CI personality characteristics were related to their overall CI satisfaction. There were no differences between cohorts or levels of CEE in overall qualitative themes from the open-ended questions, but there was a difference in the impact of each qualitative theme and associated subcategories. Conclusion: During the first week of a CEE, students reported high CI satisfaction and low personal and environmental safety concerns. Further research is needed to examine the perspective of other stakeholders with the utilization of this week-one clinical survey tool. The results of this study are the first to contribute an understanding of the barriers to success during the first week of a CEE from the students’ perspective.
Ethnicity Does Not Impact Physical Therapy Students’ Clinical Readiness and Performance, a United States Exploratory Study
Authors: Campbell Derrick , Brismee Jean-Michel , Allen Brad , Hooper Troy , Domenech Manuel , Manella Kathleen
Published: May 2023

Purpose: To explore the impact of ethnicity on clinical readiness and performance among Doctor of Physical Therapy (DPT) students, as determined by 1) Physical Therapist Self-Efficacy (PTSE) score, 2) self-confidence treating patients, and 3) final American Physical Therapy Association (APTA) Clinical Performance Instrument (CPI) clinical reasoning and summative ratings during clinical experiences. Methods: This study is a survey-based, descriptive, and exploratory cross-sectional research design involving sample of 211 DPT students evaluated for differences across ethnic students’ groups 1) PTSE score during student clinical experiences, 2) confidence with treating initial and subsequent same-patient visits, and 3) final CPI clinical reasoning and summative scores during clinical experiences. Results: Kruskal-Wallis test showed no difference across ethnic groups (American Indian or Alaskan Native, Asian/Pacific Islander, Black or African American, Hispanic, White or Caucasian, prefer not to answer, and multiple ethnicity) in 1) clinical reasoning self-efficacy (PTSE), n=211, p=.438; 2) confidence treating at initial visit n=211, p=.088 and subsequent patient visits n=211, p=.584; and 3) clinical performance on the CPI for clinical reasoning n=211, p=.273 and summative n=211, p=.189 scores. Conclusions and Recommendations: All ethnic groups demonstrated strong clinical readiness and performance during each clinical experience level. Ethnic groups did not differ on clinical reasoning self-efficacy or confidence treating patients. Although the gap appears to be closing, there continues to be underrepresentation of ethnic groups in DPT programs. We recommend investigating factors impacting underrepresentation of ethnic groups in DPT academic programs to explore initiatives to close the diversity gap and best match societal representation.
Secondary School Coaches’ Perceptions of Sport-Related Concussions: A Qualitative Approach
Authors: Williams Richelle , Anglim Madyson , Ferguson Maggie
Published: May 2023

Purpose: This study was conducted to understand current perceptions of secondary school coaches on concussion culture, safety, and management. Method: In this consensual qualitative research study, 17 secondary school coaches participated (12 males, 5 females). Participants were recruited through the state secondary school athletic associations. Participants were interviewed over Zoom using a semi-structured interview guide to allow for flexibility (16 questions). All interviews (30 - 60 minutes in length) were recorded and transcribed. A codebook, including themes and subthemes, was created and data were analyzed using thematic analysis. The researchers each reviewed the transcripts separately. The initial codebook was determined using a sample of transcripts; following consensus, another subsection of transcripts was analyzed to determine codebook effectiveness. The research team went through 5 phases of analysis to ensure agreement on the themes and subthemes of each transcript. Trustworthiness was established through peer review and member checks. Results: We discovered four themes 1.) reporting, 2.) concussion education, 3.) awareness, and 4.) culture. Participants described their players’ preferences, attitudes, and willingness for reporting and to whom players report. Coaches indicated that players primarily report concussions to their coaches and may apprehensively report to the athletic trainer. The concussion education that coaches receive was described, including the platforms, type, frequency, and suggestive changes. Many participants described their annual concussion education as repetitive and needing updates. Emphasis was placed on the lack of player education. Coaches identified a need for content to improve players’ concussion reporting and education. Lastly, participants emphasized the culture surrounding concussions in their sport and the preferences on concussions from both player and coach perspectives, the attitudes of the players in their sport surrounding concussions, past attitudes and culture in their sport, player safety, and long-term concerns. Conclusions: Secondary school coaches expressed the current mandated concussion education video was the same annually and could be updated with new information and be more engaging, while also expressing the need for educational content for students. Further efforts should be placed on concussion informational videos, fact sheets, and education for students to increase reporting behaviors, improve sports culture regarding concussions and enhance player safety.
Exploring Family-Centered Care from the Perspectives of Home-Health Physical Therapists
Authors: Matthews James
Published: May 2023

Background and Purpose: Older adults often need caregivers to help them age in place successfully while maximizing their quality of life. These caregivers have the highest rates of burnout, injury, and turnover. Family-centered care (FCC) involves collaboration between the healthcare practitioner and the patient, family members, and caregivers. There is a paucity of evidence on how FCC is applied to older adults and their caregivers. The purpose of this general qualitative study was to explore how a group of home health physical therapists (HHPTS) deliver FCC to care-dependent older adults. Methods: This general qualitative study used individual, semi-structured interviews with a purposeful sample of 14 HHPTs working for a variety of home health agencies in San Diego County. The interview responses were hand transcribed, hand coded, thematically analyzed, and conceptualized in the International Classification of Functioning, Disability, and Health model (ICF model). The coding table and interview guide were modified based on reviews by experts in home health physical therapy. A proprietary coding software program called NVivo was used to triangulate the results. Results and Discussion: The 3 main themes that emerged were: (a) "FCC is Complex"; (b) "FCC Impacts Older Adults' Health Factors"; and (c) FCC is Impacted by Contextual Factors". Eleven subthemes also emerged. The themese and subthemes were conceptualized within the ICF Model. The first theme demonstrated that the HHPTs had a variety of understandings of, training on, and applications with FCC. The HHTP was conceptualized as an environmental factor that could impact the patient's health based on their knowledge and skills with FCC. The second theme demonstrated that FCC was utilized to address every ICF health factor by the HHPTs. This theme was conceptualized around the entire ICF Model. Neurological conditions and motivated families were seen as large factors in performing FCC. The third theme demonstrated that a wide variety of contextual factors impacted the HHPTs ability, time, and resources to perform FCC. This was conceptualized in ICF Model as personal and environmental factors that could facilitate or inhibit ("+/-") FCC approaches by the HHPTs. Conclusions: This study closed some of the gaps in the literature on how FCC is delivered to older adult clients, their caregivers, and their family members. This knowledge may help to foster changes in FCC approaches and research. Changes like these could lead to improved health outcomes for older adults through reduced hospital readmissions and improved caregiver satisfaction with care as seen in pediatrics. Key Words: Family-centered care, home health physical therapist, caregiver satisfaction, burnout, and International Classification of Functioning, Disability, and Health model.
Athletic Trainers Value the Intrinsic Rewards of Specialty Certifications More than Barriers and Extrinsic Rewards
Authors: Hudson Michael , Frank Eva , Harper Taylor , Corner Lundsey , LaMont Kelsey
Published: May 2023

Purpose: Health care professionals may earn specialty certifications to recognize their advanced knowledge and skills. Athletic training has implemented specialties; however, it is unclear what athletic trainers (ATs) know and perceive about specialty certifications. We developed a survey to examine the following issues: (1) analyze what ATs know about specialty certifications; (2) rank the rewards and barriers ATs perceive to be associated with earning/pursuing specialty certifications; and (3) examine differences in these findings based on ATs state practice acts being more restrictive or less restrictive. Method: We utilized a nonequivalent group, cross-sectional survey design and collected data for one month using an online survey and e-mail recruitment process. We validated our instrument using the content validity index. We utilized qualitative data analysis techniques to group states as having more restrictive practice acts and less restrictive practice acts. Using a single stage cluster sampling process, we selected 3 more-restrictive states and 3 less-restrictive states and sent recruitment emails to 4,503 potential participants in these 6 states. We received 342 responses for a 7.6% response rate and an 87% completion rate. Results: Our analysis demonstrated practicing ATs have limited knowledge about specialty certifications. The differences in state practice act restrictions did not affect the perceived rewards or barriers for specialty certifications; however, the participants reported statistically significant differences in their agreement about the intrinsic rewards, barriers, and extrinsic rewards, respectively. Conclusions: ATs have limited knowledge about specialty certifications, and the level of state practice act restriction did not influence perceptions about their potential rewards and barriers. Participants ranked the proposed intrinsic rewards for earning a specialty certification highest, and the potential barriers for earning these credentials second highest. Participants perceived the potential extrinsic rewards of these credentials lowest.
Preparedness of Doctor of Athletic Training (DAT) Credentialed Athletic Trainers to Take Roles in Academia
Authors: Schweitzer Andrew , Rivera Matthew , Welch Bacon Cailee , Eberman Lindsey
Published: May 2023

Purpose: The athletic training education landscape is shifting, which has opened new avenues for postprofessional education. Previous literature has investigated stakeholder perceptions and attitudes towards hiring a DAT degree holder in academia. Yet, there is no research investigating the experiences of DAT degree holders in academic roles. The purpose of this study was to explore the preparation and experiences of DAT degree holders related to their roles in academia. Methods: We used a consensual qualitative research design to explore the lived experiences of DAT degree holders in academia through semi-structured web-based interviews. Twelve DAT degree holders with at least one-year post-graduation that have been in their current academic role for at least 6 months (5 male, 7 female) were interviewed. Participants engaged in semi-structured interviews that were audio-recorded and transcribed verbatim. We used a constant comparative analysis and multi-analyst triangulation to create a consensus codebook including domains and categories identified from the transcripts. Credibility and trustworthiness were established through member checking, multiple researcher triangulation, and auditing. Results: Three domains emerged from the experiences of DAT degree holders in their preparation within their program and their transition into education: 1) Common program preparation 2) Program variability and 3) Integration. Participants indicated they were commonly prepared in the areas of advanced clinical practice skills, clinically meaningful research, the value of service, and academic culture. However, there was variability in preparation regarding instructional design and program administration. Finally, participants spoke to receiving system acceptance through the perceived benefits of hybrid faculty as well as their increased translational teaching skills. Conclusions: DAT degree holders are prepared to assume academic roles based on the preparation received in their DAT program, despite not being formally prepared for teaching. Doctor of Athletic Training (DAT) degree holders are accepted by academia due to the perceived benefit of hybrid faculty and their ability to bridge the gap between didactic and clinical learning in professional athletic training programs
A Realist Informed Study on Speaking up in Healthcare – Supervisors’ Perceptions of New Graduates Speaking Up
Authors: Friary Philippa , Purdy Suzanne , McAllister Lindy , Barrow Mark , Martin Rachelle
Published: May 2023

Introduction: For healthcare organizations to adapt and improve, staff need to speak up for patient safety and quality improvement. Speaking up has been explored in nursing and medicine with little known about speaking up in allied health. This study is part of a larger project investigating speaking up in allied health new graduates. This paper is taking a realist position to look at the perspectives of supervisors of allied health new graduates and further develop the Initial Program Theory (IPT) developed from the new graduate study. Method: Data was collected from two focus groups. Inductive thematic analysis was employed to develop themes and further realist informed analysis was completed using context-mechanism-outcome configurations leading to a refined IPT. FINDINGS: This study reports on the causal mechanisms and contextual features which supervisors believe activate speaking up in new graduates. A further developed IPT which combines findings from both studies will be introduced. CONCLUSION: Supervisors of allied health new graduates are aware of the complexity of speaking up in healthcare. Taking a realist position, this study has highlighted the importance of professional supervision and cultural supervision in speaking up for allied health new graduates.
Preceptor Training: Evaluation of an On-line Educational Module to Improve Preceptor Feedback
Authors: Gonzalez Karina , Drescher Matthew , Neil Elizabeth , Eberman Lindsey
Published: May 2023

Purpose: Effective feedback delivery is critical to behavior modification and skill improvement in novice learners and athletic training programs often use annual training to teach preceptors to develop feedback skills. The purpose of this research project was to evaluate the effectiveness of an on-line asynchronous educational module for improving feedback delivery. Method: We used a single cohort, repeated measures design (pre, post, post-post) and an eAuthoring tool (Softchalk©) and online assessments (Qualtrics® Provo, UT) to evaluate the educational module. Preceptors (n=351) from 17 post-baccalaureate programs began the study; 48 completed all 3 assessments. We delivered a content validated lesson and assessments using various learning theories including video demonstrations with paired reflections. The desired outcome was to enhance the knowledge of effective feedback characteristics to be used in practice. The pre-test assessed self-reported feedback behaviors on a Likert Scale and knowledge (score=25). The immediate post-test reassessed feedback knowledge. At least 8 weeks following completion of the module, participants were asked to reassess feedback delivery behaviors. Throughout the process, participants provided a definition of “effective feedback” scored on 7 key criteria for effective feedback delivery. Descriptive statistics and paired t-tests were used to analyze the data and significance was set at Pa-priori. Results: Significant improvements (P-3.298 P=.001, Cohen’s d=.889). There were no other significant differences between pre-test and follow-up behaviors (P>.05), as participants generally agreed they performed effective feedback behaviors (mode=4) at both time points. Conclusions: Behaviors regarding effective feedback were not changed over the long-term, which may have been a result of the method of performance feedback. Preceptor training is both a requirement and a need in effective athletic training clinical education. Future research should aim to identify mechanisms to improve preceptor feedback and confirm preceptor perceptions through student evaluations.
A Large Pericardial Cyst Presenting in a Healthy 31-Year-Old Female: A Case Study
Authors: Andreades Stephen
Published: May 2023

The following is a case presentation of a 31-year-old healthy female that presented to the emergency department with right anterior flank pain for one day. The day before she was blow drying her hair while leaning forward, and when she flicked her hair back with forceful extension of her torso, she felt the right flank pain immediately. The patient took over-the-counter NSAIDs that did not relieve her symptoms which prompted her visit to the emergency department. Upon arrival to the emergency department, she was examined in the triage area. At the initial exam of the patient, there was consideration of all differential diagnoses which included a mass, but based on her history of the pain being caused by her traumatic event, a muscle strain to the area was much higher on the list of potential diagnoses. However, a routine chest radiograph was ordered, and it came back demonstrating a right sided mass.
VERBAL DEVIATIONS IN CONTEMPORARY ENGLISH SOCIAL MEDIA PLATFORMS
Authors: Huichun Ning , Grigoryan Gevorg
Published: May 2023

The harnessing development of technology has drastically modified languages that people are using in all corners of the world. It is out of the question that world languages are constantly evolving to meet the needs and requirements of the society. Nowadays social media platforms have undoubtedly become an indispensable part of daily communication. Undeniably various platforms of social media attract millions of people with different ethnic, linguistic, racial and religious backgrounds to interact and take part in various discussions in blogs, microblogs, chat groups, discussion boards, forums, etc.
Over the last 20 years Internet mediated communication has generated many grammatical structures and lexical items that need to be studied and redefined. With the advent of new technologies new linguistic deviations have emerged in social media platforms. It is no wonder that scientists are holding opposing thoughts and conflicting viewpoints of the same or similar phenomena.
Being the most prevalent language of social media and having the highest frequency of usage on the Internet domain the English language has underwent large-scale changes and alternations. These non-standard forms are noted in all levels of language. Over the time linguistic deviations have the tendency to become standard forms. The latter may lead the English language to changes. The current article discusses the marked variations of English verbal system in contemporary English social media platforms.
MANIFESTATIONS OF POSTMODERNISM IN HERMANN HESSE'S NOVEL “THE GLASS BEAD GAME”
Authors: Arakelyan Ara
Published: May 2023

The paper attempts to consider the connections between postmodernism, aesthetics and Herman Hesse’s novel The Glass Bead Game referring to the history of the last most influential manifestation of the theoretical and aesthetic thought of the West – postmodernism, also characterized by paradoxes. Based on a number of fundamental principles of the aesthetics of postmodernism and data on the work of Hermann Hesse, the specific relations that connect Hesse’s work with postmodernism, are considered. This refers first to the ideas of the world as chaos, then aesthetic eclecticism, multiculturalism and finally game. Within the framework of the idea the world as chaos, the wide use of the concept of simulacrum in both Hesse’s and postmodernist works is considered. Aesthetic eclecticism, which is “the dominant sign of the culture of the postmodern era” (J.-F. Lyotard, I. Ilyin), is also found in Hesse’s novel in various manifestations. Multiculturalism, both as a social utopia and as an aesthetic principle, is also widespread among postmodernist aesthetes (especially L. Fiedler) and in Hesse’s novel. In the novel the East-West political and cultural dialogue also deepens. Finally, the game, being one of the stable European cultural codes, is rediscovered both in Hesse’s novel and in postmodernist aesthetics (U. Eco).
END OF HISTORY, THE DESTRUCTION OF THE STORY AND THE DEATH OF THE HERO IN POSTMODERN DISCOURSE
Authors: Sedrakyan Anush
Published: May 2023

The issue of the narrative is closely linked to the formation of the universal story and the individual interpretation of it within the dimensions of time, space and action. Postmodernism demonstrates the proclivity to destroy these three dimensions, in other words, to deconstruct them. The most effective way to destroy the story, and even worse, the universal story is to deprive it of the goal, and linear development, where past, present and future are carefully outlined, and the hero envisages the end of the story as the natural, logical and supernatural consequence of his actions or even inactions.
Principles of Aesthetics of Indonesian National Costumes in the Miss Universe Pageant: The Chronicle of Borobudur
Authors: Annandara Mutiara ,   Faculty of Art and Design, Bandung Institute of Technology, Bandung, Indonesia, Sunarya Yan Yan ,   Faculty of Art and Design, Bandung Institute of Technology, Bandung, Indonesia
Published: May 2023

The national costumes showcased in beauty pageants differ from the pre-existing national attire of a country. Indonesia has been participating in the Miss Universe pageant for a long time, showcasing various national costumes. However, it was only in 2014 that Indonesia was able to achieve the Best National Costume award with the national costume themed after the Borobudur Temple, known as “The Chronicle of Borobudur,” created by Dynand Fariz and the Jember Fashion Carnaval team. The national costume is of utmost importance as it serves as a representation of the nation it represents, therefore, every element incorporated should reflect that nation. Based on this achievement, the Indonesian national costume, “The Chronicle of Borobudur,” possesses its own beauty, which will be analysed using the aesthetic principles put forth by DeWitt H. Parker’s six aesthetic principles, namely: 1) The principle of organic unity, signifies that there is a connection between the different elements of costume design, 2) The principle of theme, where the costume is based on a main idea, with the primary source of inspiration being the Borobudur Temple, 3) The principle of thematic variation, where the costume represents the atmosphere of a sunset and incorporates additional ideas inspired by the reliefs found in the Borobudur Temple, 4) The principle of balance, showcasing the harmonious fusion of the inspirations derived from the Borobudur Temple, resulting in a beautiful and balanced work of art, 5) The principle of evolution, where the costume begins with the concept of the silhouette taken from the upper-class women depicted in the reliefs of the Borobudur Temple. It is then supplemented with other design elements aimed at completing the formation of a character and conveying a specific meaning to the audience. and 6) The principle of hierarchy in the costume lies in the meaning and representation of the Indonesian nation that it aims to convey.
Feasibility Analysis of Kale Farming in Jawara Farm Surabaya Hydroponic Farm
Authors: Idhoh Fitriana Nisa Hafi ,   Agribusiness Study Program, Faculty of Agriculture, UPN Veterans East Java, Jl. Rungkut Madya No. 1 Gunung Anyar, Gunung Anyar District, Kota Surabaya East Java, 60294
Published: May 2023

The feasibility of farming is an indicator of the success of a farm. This study aims to determine the economic feasibility of kale commodity farming in JawaRa Farm Surabaya Hydroponic Garden. Data collection was carried out by quantitative descriptive analysis using two approaches: the ratio of revenue to costs (R/C Ratio) and the break-even point (BEP). The results showed that the cultivation of kale commodities was JawaRa Farm Surabaya Hydroponic Garden. Average R/C Ratio 1.112; average BEP receipts Rp.403,937,-; average production BEP 43 kg; and an average BEP price of Rp. 17,993,. If the price of output is greater than the BEP price, then a farm can be said to be feasible to develop. In addition, farm income can be used as a measure in assessing a business's success and become one of the determining factors in the continuity of a business.
Discussion on Multi-Tiered Pension Insurance and Old Age Benefit in Vietnam: Overview Study and Policy Recommendations
Authors: Ha Bui Thi Thu ,   University of Labour and Social Affairs, Pham Minh Tu , Tran Ngoc Ha ,   University of Labour and Social Affairs,   University of Labour and Social Affairs
Published: May 2023

Ensuring income security for old age for workers is considered the main goal of any pension system in the world. In the context of rapid population aging, building and implementing a multi-tiered retirement system to ensure old-age benefits for all elderly people is an inevitable development trend, bringing about universal social security. This study focuses on analyzing and clarifying arguments about old-age benefits, multi-tiered pension insurance, and related issues. Based on the results of an overview, analysis, and comparison between the current retirement insurance and old-age benefits in Vietnam and the multi- tiered pension insurance models in the world, the authors propose some policy suggestions to build and implement a multi-tiered pension insurance system associated with the current context of the aging population in Vietnam.
AN EVALUATIVE STUDY TO ASSESS THE EFFECTIVENESS OF VIDEO ASSISTED TEACHING PROGRAMME ON KNOWLEDGE REGARDING BASIC LIFE SUPPORT AMONG STUDENTS IN SELECTED SCHOOL OF AMRITSAR PUNJAB.
Authors: gupta Dr. Bhawna
Published: May 2023

Basic life support is an emergency medical procedure for a victim with cardiac arrest or some emergency circumstances because of respiratory arrest. Cardio pulmonary resuscitation may be performed in clinical setup or in the periphery by common man or by emergency trained healer personnel. The main purpose of cardiopulmonary resuscitation is to maintain a flow of oxygenated blood to the brain and heart, there by delaying tissue death without permanent brain damage. Video assisted teaching provides a big avenue for research on innovative methods of creating awareness among the students on Basic life support. An evaluative study was conducted on 100 students in selected school of Amritsar. Total enumerative sampling technique was used to collect data by using self structured questionnaire tool. The data was analyzed by using descriptive and inferential statistics. Finding of the study showed that the post test mean knowledge value (25.51) was higher than pre-test mean knowledge value (12.04).
AN OVERVIEW ON PREMENSTRUAL SYNDROME
Authors: H. S Mrs. Deepa. , Edwin Dr. Sherene G
Published: May 2023

In the weeks leading up to menstruation, the majority of women of reproductive age experience some physical discomfort or distress. Although symptoms are frequently not severe enough to interfere significantly with daily activities, they can be. Thus, severe premenstrual syndrome (PMS) affects 5–8% of women; the majority of these individuals also match the criteria for premenstrual dysphoric disorder (PMDD). The most bothersome symptoms are those that affect mood and behaviour, such as irritability, tension, depression, weepiness, and mood swings, however physical issues like breast soreness and bloating can also be a concern. We discuss two basic treatments for severe PMS: one that targets the hypothalamus-pituitary-ovary axis and the other that targets brain serotonergic synapses. We also present theories regarding the underlying causes of severe PMS. The symptoms are caused by fluctuations in gonadal hormone levels, hence treatments that stop ovarian cyclicity, such as long acting analogues of gonadotropin-releasing hormone (GnRH) or oestradiol (given as patches or implants), can successfully diminish the symptoms. It is also widely known that serotonin reuptake inhibitors, whether used continuously or just during luteal stages, are helpful.
A STUDY TO ASSOCIATE BETWEEN THE DEMOGRAPHIC VARIABLES AND THE LEVEL OF KNOWLEDGE OF MOTHERS REGARDING BREASTFEEDING TECHNIQUE AMONG MOTHERS WITH NEWBORN IN HARITHA MULTISPECIALTY HOSPITAL, KAKINADA.
Authors: Puguloori Ms. Madhavi , A Dr. Raja
Published: May 2023

Breastmilk is conveniently available, without difficulty digestible, and without problems absorbed thru the neonatal gut. Breast milk is delivered to the infant at the proper temperature, preventing hypothermia. Breastfeeding is much less cumbersome and greater economical when in contrast to formulation feeds. The child can sense and hear the mother’s coronary heartbeats comparable to that of the intrauterine environment. Breastfeeding gives excellent herbal vitamins to fulfil the day-by-day dietary necessities for the increase and improvement of each physique and intelligence of the baby. A descriptive study approach was adopted. For the present study, a non-experimental questionnaire-based descriptive design was adopted as it is a virtue of a situation that naturally happens. The study was conducted in the pediatric and postnatal ward of Haritha Multispecialty hospital, Kakinada.
Cloud Computing Solutions for Speeding-up the Small-and Medium Sized Enterprise (SME’s) Businesses in China
Authors: Peredy Zoltán , Feierzhati Fukati
Published: May 2023

China has experienced rapid digitalization in the last decade. Cloud computing makes possible for different users to access data resources from any geographical location through the Internet. This new paradigm has the ability to benefit businesses by offering low-cost, flexible, and customizable solutions that provide companies significant competitive advantages in the strongly competitive business environment on long-term timescale. It can be essential for all business, but it is especially indispensable for small and medium-sized enterprises (SME’s) to make prosperity in today’s accelerating social, economic and technological changes. In recent years, the SME’s have allocated more budget to invest in implementing digitization and databased decision making processes as they have become more aware of the importance of technological development and managing information on boosting their competitiveness in values creation activities. However, they are restricted by the size of the business. Transformation of information construction and digitization process is still in its infant stage as a consequence of a shortage in experts and available resources. This situation has gradually changed with the advent of cloud computing technology. By leveraging cloud computing technology, SME’s could completely support the digital transformation process in an efficient and effective manner. Nevertheless, for those business organisations who make efforts for application of any cloud computing solution in their business processes, they have to face with some serious emerging questions. Whether the business deployed on the cloud provided by service providers has sufficient system robustness, and whether the data stored in the cloud has sufficient security. This review paper is aiming to provide comprehensive, relevant landscape about the different cloud computing solutions (Infrastructre as a Service -IaaS) Platform as a Service -PaaS; Software as a Service -SaaS) and services models (public, private and hybrid cloud). Besides that this study focuses on which cloud service model should SME’s choose and how Chinese SME businesses should take into account their own informational structure in the age of digital transformation improving businesses performance while minimizing operational expenses and risks at the same time
An Assessment of the Banking Sector Development in Economic Performance: A Case of Selected Countries
Authors: Nwagu Umunna , Onoriode Henry , Edeh Charles Chinonso
Published: May 2023

Purpose: The study examines economic growth and banking sector development in some G8 countries (United States, United Kingdom, Canada, Japan, and Germany) and three African countries (Nigeria, Ghana, and South Africa).
Approach/Methodology/Design: Study objectives include filling the gap occasioned by a lack of literature on this topic, especially as it concerns the selected countries. As a check for stationarity, we used the Levin-Lin-Chu and Im-Peseran-Shun unit root tests. In addition to Pedroni, long-run relationships between variables are also tested. Because the study is a cross-country study, it was necessary to perform the Hausman test to determine if random effect panel analysis is consistent and effective and to test long-run cointegration using the ARDL Bound test.
 Findings: According to the results, banking sector development, and exchange rate contribute positively to economic growth while CPI contributes negatively. In contrast, the results indicate a long-run relationship between economic growth, banking, and other determinants. 
 Originality/value: The study recommends that G8 countries and most African countries consider improving their banking sector and incorporating it into their economic development as one of the determinants.
Ponggawaian Problems in Creating Job Opportunities in the Maritime Sector
Authors: Mallebi We Ati Mega Daeng , Demmallino Eymal B. , Nadja Rahmawaty A. , Salman Darmawan , Summase Idris , Thamrin Muh
Published: May 2023

The success of maritime development must be felt by the surrounding coastal communities, most of whom work as fishermen and have low education, so it is necessary to pay attention to efforts to improve the standard of living of the people in coastal areas and overcome the problem of unemployment. The fishing community group which is a Bugis-Makassar fisherman organization has been formed for generations. In general, this Bugis and Makassar fishing organization is referred to as Ponggawa-Sawi with all the problems in it. The purpose of this research is to find out how the problem of professionalism is in job creation. The research method used is qualitative with data collection using the in-depth interview method with key respondents and analyzed using the APPAS method. The results of the study show that 1) the problem of employment in creating employment opportunities has been going on for a long time, both in a structured way, in this case mustard (workers) have a low bargaining position because there are not many alternative job opportunities available; 2) business owners have problems in terms of lacking managerial ability so that business results are less than optimal. The use of the APPAS method recommends several things related to the problems that occur, namely 1) make a clear work contract for workers (sawi); 2) carry out training or assistance related to increasing the managerial capabilities of business owners.
Elevating SMEs Performance through Entrepreneurial Innovation and Government Regulations in Bujumbura, Burundi
Authors: Muathe Stephen Makau , Dushime Eunice , Kavindah Lucy
Published: May 2023

In most developing countries including Burundi Small and Medium Enterprises are major players in growth of the economies. In Burundi they accelerate growth towards achieving Burundi’s vision 2025 by offering job opportunities, generating revenue for the government, reducing poverty and income inequality. However, they experience poor performance as indicated by reduced revenue turnover by 44.6 percent in 2014 to 2018. The focus of this study was to investigate the moderating effect of government regulation on the relationship between entrepreneurial innovation and the performance of small and medium enterprises in Bujumbura, Burundi. Resource-based view and dynamic capability theory guided the study, this was supported by Schumpeter’s theory of entrepreneurship and innovation. An explanatory research design was used to test the causal effect of the study variables. A sample size of 164 SMEs was selected from the target population of 279 SMEs in Bujumbura, data was analysed using multiple linear regression. The study found out that government regulations negatively and significantly moderate the relationship between entrepreneurial innovation and performance. Thus, the Government through the ministry of industry and trade of Burundi should create a good environment for SMEs to thrive by lowering license costs and the time taken to issue a license in order to create a better business climate for SMEs to flourish.
ISLAMIC VALUES AND THE CHALLENGES OF GLOBALIZATION
Authors: Manea Mohammed AL-JUMAILI Khawwam
Published: May 2023

Globalization is a modern scientific phenomenon that has invaded the entire world, and has brought about great changes on the face of the earth and in all areas of life, scientific, political and economic, and has affected the system of social and religious values. This is to discuss the nature of globalization and the extent of the relationship between it and the Islamic religion and the verses contained in the Holy Qur’an that urge the pursuit of knowledge, and to clarify the scientific precedent that the Holy Qur’an brought and proven by modern science, and to show how to deal with globalization while preserving Arab and Islamic values. The research was divided into three sections, the first section dealt with the elements of research and keywords. The title of the second topic: Globalization and Social Values. The third topic was entitled: Islamic values and globalization
IMPACT OF THE 2020 CONSTITUTIONAL AMENDMENT ON THE ADMINISTRATIVE AUTHORITIES OF THE PRESIDENT OF THE REPUBLIC
Authors: DJELLAKH Nassima
Published: May 2023

The various Algerian constitutions of the President of the Republic have recognized an important place and a privileged legal status, reflecting a President. The President of the Council of Ministers, as such, is empowered by the Constitutional Founder with several administrative powers: the power to appoint to State and regulatory functions and the power to maintain the security and integrity of the State territory. It should be noted that the last constitutional amendment, issued by Presidential Decree No. 20-442 of 30 March 2020, he did not change the legal status of the President of the Republic, maintaining the same administrative powers. So that he maintains the same administrative powers as him, but he expands on them. in particular with regard to the power to appoint civilian and military State posts, which extended to posts in oversight and control institutions, In addition to emphasizing the inherent competence of the President of the Republic in the area of regulatory power, The current constitutional amendment, similar to the previous amendments, also granted the President of the Republic the authority to preserve state security by declaring exceptional cases, but added additional restrictions that would preserve the constitutionally guaranteed freedoms of individuals.
THE DIPLOMACY OF JUSTINIAN I (527-565 AD) TOWARDS THE PEOPLES OF THE EASTERN BORDERS OF THE BYZANTINE EMPIRE
Authors: Mahmoud Farhan AL-KAHLI Nadia
Published: May 2023

The importance of studying the subject is one of the important topics in the history of the Arabs before Islam because it was the source of the impact that Emperor Justinian I (527-565 AD) followed in changing the course of historical events towards the borders, which were of great importance to its course, as the diplomatic methods it pursued in persuading peoples varied. and states, and the web varied between legitimate and other legitimate; She pointed out that there are some things that can play a role. Purpose of the study: The study aims first to reveal the methods and means practiced by Byzantine diplomacy in persuading and subjugating peoples and states, the most important of which is political marriage, gifts and titles, and the use of religion. And a list of sources and references, we dealt with the first axis: the borders of the Byzantine Empire and its eastern peoples before the advent of Justinian I, and in the second axis: Justinian's diplomatic methods towards those peoples.
The Future of Web Development and Emerging Technologies
Authors: Singh Vikram , Sachin Jain Sachin , Bang Chirag Bang
Published: May 2023

This research paper investigates the future prospects of web development and conducts an analysis of emerging technologies that have the potential to shape the industry in the forthcoming years. The field of web development is characterized by its dynamic nature, marked by constant evolution and the introduction of new technologies. The paper initiates by examining the present state of web development and the trends that are driving significant transformations within the industry. It subsequently conducts a comprehensive exploration of several nascent technologies, including artificial intelligence (AI) and machine learning (ML), serverless architecture, web assembly, progressive web apps, and blockchain.For each of these innovative technologies, the paper assesses their current stage of development, explores potential applications within web development, and evaluates the challenges and opportunities they present.
The research paper concludes by emphasizing the significance of keeping pace with emerging technologies to maintain competitiveness in the field of web development. It highlights the necessity for developers to exhibit adaptability and a willingness to acquire new skills as these technologies continue to evolve. By staying informed about the latest advancements and embracing innovation, developers can position themselves for success in the ever-evolving landscape of web development.