bluuebunny/crossref_metadata_2025 huggingface dataset:
Role of online education in building brand image of educational institutions
Authors:   University of Jammu, Jammu,Tawi, India, Manhas Parikshat S.
Published: September 2021

In this article we try to present the general impression that online learning/real time virtual learning conveys. The myriad interpretations of online education are depicted elaborately along with its advantages and influence on various stakeholders. The disadvantages of online education reveal their apparently potent drawbacks, which are then trailed by «opposing views». These views give concrete justifications against the so-called shortcomings of online learning and enlist the techniques used to tackle them. Besides of what online education does for students, learners and tutors at large, it also confers some potential by-products, such as helping build a strong brand image of educational institutions that offer it. Although educational institutions worldwide are employing online learning resources to create a brand image for themselves, a well-worn discussion has to be mooted to understand the implications of their usage.
Psycho-pedagogical counseling of the family as a factor in streamlining intergenerational communication and relationships
Authors:   ", Carolina Calaras ,   Ion Creanga",   State Pedagogical University, Moldova
Published: September 2021

The article contains a theoretical study with practical implications, which shows the specifics and content of family psycho-pedagogical counseling, approached as a factor in streamlining intergenerational communication and relationships. The characteristics of psycho-pedagogical counseling, its dimensions (psychological and pedagogical) and basic aspects, which require the attention of the specialist in the family counseling process in order to harmonize communication and family relationships, were listed and explained in an original way.
Increasing Physical Activity In Older Australians to Reduce Falls: A Program Evaluation
Authors: Robson Kristy , Ahasan Nazmul , Barnes Carly , Murphy Kylie , Pope Rodney
Published: September 2021

Purpose: As people age, they are at greater risk of injurious falls. Falling has a significant impact not only on the individual but also the wider community. Undertaking physical activity is effective in reducing the rate of falls in this population. Therefore, providing targeted education during group-based falls prevention programs may increase the awareness and amount of physical activity older people undertake to assist in reducing their risk of falling. Methods: A longitudinal cohort design involving a pre-post intervention survey was conducted over an eight-month period with community-dwelling older adults who participated in a fall-prevention program. Participants were N = 161 (123 female and 38 male), aged 65 years and over, with the most common age bracket being 75 to 84 years. Demographic information was collected at baseline. It included falls history and self-reported physical activity levels. Immediately post-intervention, self-reported changes in the awareness of the role of physical activity and awareness of falls risks were measured. Six months post-intervention, participants self-reported their physical activity levels and post-program fall history. Results: An increase in awareness of the role of physical activity in reducing falls risk as well as falls risk factors was reported in most participants after completing the program. Despite this, only around a third of participants increased their physical activity levels during the six months after the program even though a decrease in falls rates was noted. Conclusions: The targeted education within the falls prevention program demonstrated an increase in awareness of falls risk factors and the importance of regular physical activity to minimise the risk of falling. However, this awareness did not seem to result in an increase in the amount of physical activity participants undertook after the program, even though falls rates across the participants reduced. Further research is needed to explore why older people who understand the benefits of undertaking regular physical activity did not increase their activity levels.
“Where I am weak, they are strong”: Students’ Perceptions and Attitudes Toward Interprofessional Education
Authors: Page Christen , Christopher Karina , Simpkins Leah , Humphrey Casey , Jones Lisa , Sciascia Aaron
Published: September 2021

Purpose: Healthcare professionals strive for interprofessional practice to achieve optimal patient care. Extant research suggests that to best prepare students for interprofessional practice, interprofessional education (IPE) should be a key element in curriculum. The purpose of this mixed-methods study was to evaluate the impact of an IPE activity on participants’ attitudes and perceptions of IPE across five academic programs. Methods: This study utilized a modified version of the Readiness for Interprofessional Learning Scale Questionnaire (RIPLS) pre and post IPE and reflective essays. Participants included 67 students from nursing, occupational therapy, athletic training, dietetics, and speech-language pathology programs. After reviewing a hypothetical case study, participants collaboratively developed assessment and treatment recommendations. Questionnaires were analyzed using statistical procedures and reflective essays underwent thematic analysis. Results: Collectively, data revealed significant changes in participants’ perceptions, attitudes, and implementation readiness. Occupational therapy student participants had statistically significant increases in the RIPLS composite score, Teamwork and Collaboration, and the Positive Professional Identity components (p≤0.03). Participants with previous IPE experience scored 4-points higher on the RIPLS composite score (p=0.03). The reflective essays revealed the themes of barriers associated with collaboration, a deeper understanding and appreciation of other discipline’s roles and the value of teamwork in achieving optimal patient care. Participants reported beginning the interprofessional education experience with anxiety and uncertainty about not only their involvement but also the roles of other healthcare professionals. Throughout the experience, participants emerged with an increased knowledge of their role, others’ roles, and the value of working together within a professional setting to achieve the same goal, optimal patient care. Conclusions: Our findings reveal the benefits of interprofessional education and the necessity to include several healthcare professionals associated with rehabilitation in interprofessional research and education. With more disciplines represented, students receive a broader, more in-depth understanding of not only patient care but also the roles of multiple disciplines they will collaborate with during actual rehabilitative practice.
Assessing Participant Feedback to Dental Screenings Provided by Dental Hygiene Students and Follow-up Dental Hygiene Care in New York City
Authors: Davide Susan , Rivera Margarita
Published: September 2021

Objectives: The purpose of this study was to validate the association between dental screenings and follow-up care to support the level of awareness of dental hygiene services available in the community by increasing access to care and determine patients’ knowledge of dental insurance status. Methods: A first-time dental screening was conducted, and complimentary care was provided for those who followed through with dental hygiene care at the clinic. Survey questionnaires were administered to participants following screening and clinic care. Results: Ten participants of the 50 screened received care at the clinic. Less than half of those screened (41 %) had a dental visit over a year ago. Most participants were not aware of the low-cost dental services available. Twenty percent (20%) of participants did not know if they had dental insurance coverage. Conclusions: Dental screening participants are likely to schedule an appointment for dental services. Raising awareness of low-cost dental care services available in the community by offering screenings at local events may increase access to care.
Interprofessional Education at a Distance: The Hybrid Interprofessional Education Model
Authors: Lazinski Melissa , Ross Lynda , Wolf Suzanne , Finck Megan , Cherry Lance
Published: September 2021

Background: Interprofessional education (IPE) is a critical component of health professions education but planning and implementation are challenged by logistical, physical, personnel, and recently global pandemic COVID-19 barriers. Purpose: This report describes the development and design of the proposed Hybrid Interprofessional Education (HIPE) model, a blended learning IPE model developed to mitigate barriers using a flexible framework and online collaborative technologies to deliver experiences based on Interprofessional Education Collaborative (IPEC) core competencies. Operational principles, model design, an example of model implementation, and outcomes are reported. Method: Fifty-four student physical therapists and physician assistants attending remote campuses of the same university participated and completed an exit survey. Descriptive statistics were calculated for Likert scale and semantic differential scale survey items and thematic analysis was conducted for open question responses. Results: Analysis revealed students felt improved understanding of interprofessional practice, the other profession’s role, teamwork, and communication. Responses supported online, asynchronous delivery and the web application used but not the synchronous activity portion. Three themes arose from comments: learning with and from, interactions, and activity design. Conclusion: The HIPE model was used to deliver IPE that supported perceptions of student learning in IPEC core competencies when physical proximity was not possible. Further iterative research and model refinement are needed. Future research should include investigation of student learning outcomes when using the HIPE model.
Rapid Transition of an Allied Health Clinic to Telehealth During the COVID-19 Pandemic: Satisfaction and Experience of Health Professionals, Student Practitioners, and Patients
Authors: Krahe Michelle , Conway Maya , Howells Simone , Roffey Kara , Reilly Sheena
Published: September 2021

Purpose: With COVID-19 social distancing measures requiring a shift in how healthcare is delivered, telehealth service provision allows patients to receive care remotely while adhering to relevant safety regulations. This study investigated the perceptions and experiences of allied health practitioners and their patients at a multidisciplinary allied health clinic that rapidly transitioned to telehealth service delivery. Method: Allied health practitioners (both qualified and student) and patients were recruited during the transition to telehealth across a large healthcare facility located on the Gold Coast, Australia. Participants were surveyed after each telehealth session rating their satisfaction and experience across four areas (technical, administrative and operational, privacy, communication). Descriptive statistics were used to express categorical variables and a chi-square test of independence was applied to determine the presence of any associations. Results: Surveys (n=197) were collected from allied health practitioners (n = 31) and their patients (n = 70). Overall, high levels of satisfaction and experience with telehealth among patients and a consensus in satisfaction and experience among exercise physiology, physiotherapy and psychology practitioners were reported. Speech pathology student practitioners rated their satisfaction and telehealth experience significantly (p < 0.001) lower than other disciplines. A significant relationship [χ2 (2, n = 127) = 7.49, p = .02] between student practitioners and the impact of telehealth on achieving session goals and outcomes was also identified. Conclusions: This study highlights complexities related to the acceptability and adoption of telehealth, technical aspects, and user functionality which contribute to the growing body of evidence supporting digital health technologies in the delivery and access to allied health services. In a multidisciplinary context, this study advocates for the consideration of discipline-specific issues when designing and implementing digital health services.
Artrite séptica
Authors: Souza Filho Vani Abreu de , Castro Camille Constanza Codogno Postigo , Pugliesi Alisson Aliel Vigano
Published: September 2021

A artrite séptica representa urgência médica, necessitando de rápido diagnóstico e tratamento pela sua rápida capacidade de destruição articular. O Staphylococcus aureus é o principal patógeno causador do quadro, embora micro-organismos gram-negativos entéricos devam ser lembrados em pacientes imunossuprimidos. Embora não figure mais entre os principais agentes etiológicos, a artrite séptica gonocócica merece considerações especiais por suas particularidades. O avanço nas técnicas laboratoriais não substituiu o reconhecimento da bactéria em líquido sinovial como padrão ouro para o diagnóstico, não havendo nenhum achado em história clínica, exame físico ou laboratorial que o substitua. A antibioticoterapia é a modalidade terapêutica de eleição, devendo ser guiada por culturas e epidemiologia local. O tempo ideal de tratamento, assim como as questões que envolvem os procedimentos cirúrgicos adjuvantes, ainda são motivos de debate.

Unitermos: Artrite séptica. Artrite gonocócica. Staphylococcus aureus. Análise de líquido sinovial. Artrocentese.
Dor neuropática – investigação e tratamento específico
Authors: Kubota Gabriel Taricani , Andrade Daniel Ciampi Araújo de
Published: September 2021

A dor neuropática é uma condição clinicamente definida e provocada por uma lesão ou doença de vias neurológicas somatossensitivas. Ela ocorre em aproximadamente 7% a 10% da população mundial, e resulta em grande impacto econômico e sobre a qualidade de vida dos doentes. Os seus critérios diagnósticos levam em consideração: a história compatível com dor neuropática por uma lesão e/ou doença relevante; distribuição neuroanatomicamente plausível da dor, e testes diagnósticos que confirmem a presença da lesão e/ou doença em questão. Instrumentos de rastreio, como o Douleur Neuropathique en 4 Questions (DN-4) podem auxiliar em sua identificação, especialmente por não especialistas. Cuidados multidisciplinares são parte importante do tratamento destes doentes, porém a farmacoterapia é ainda hoje o seu elemento fundamental. As diretrizes da NeuPSIG (Neuropathic Pain – Special Interest Group) recomendam ligantes da subunidade α2δ de canais de cálcio sensíveis a voltagem (gabapentina e pregabalina), inibidores de recaptação de serotonina e noradrenalina (duloxetina e venlataxina) e antidepressivos tricíclicos como primeira linha terapêutica; emplastros de lidocaína 5% e de capsaicina 8%, e tramadol como segunda linha; e onabotulinumtoxina A e opioides fortes (morfina e oxicodona) como terceira linha. A escolha da melhor estratégia terapêutica, no entanto, deve ser individualizada e levar em consideração o tipo de dor neuropática (periférica vs. central), extensão da área acometida, comorbidades e preferências do paciente, riscos de interações farmacológicas e de efeitos colaterais. Casos refratários devem ser conduzidos preferencialmente por médico especialista em dor, e para eles modalidades terapêuticas invasivas e neuromodulação podem ser considerados.

Unitermos: Dor crônica. Dor neuropática. Analgesia, diagnóstico, tratamento.
Atualização na fisiologia da dor/vias da dor
Authors: Provenza José Roberto , Martinez José Eduardo
Published: September 2021

Despretensiosamente a apresentação deste conteúdo tem por objetivo abordar alguns aspectos básicos na compreensão dos múltiplos mecanismos de transmissão e controle da intensidade de dor, desde a sua origem até o sistema nervoso central. A importância da nocicepção, das diferentes fibras neuronais, como diferenciar a dor nociceptiva, neuropática e nociplástica, os neurotransmissores, o fenômeno do wind up, a teoria do portão, a importância dos interneurônios, as vias descendentes analgésicas até o corno posterior da medula, a sensibilização central e o papel das células da glia no mecanismo relacionado com a dor crônica.

Unitermos: Dor. Nocicepção. Sensibilização central. Modulação da dor.
Impact of Financial Ratios on Stock Price: Evidence from Indian Listed Banks on NSE
Authors: Rane Nitish , Gupta Pooja
Published: September 2021

This study aims to examine the impact of financial ratios on the stock prices of companies listed on NIFTY Bank. Nifty Bank is a sub-index of NIFTY 50 and has various listed banks included based on the criteria given by NSE. This study data has been taken from the period 2010-2019 and taken from the company annual reports. The analysis is done using panel data regression and other tests to verify the best model for the dataset. The results obtained from this study show that the capital adequacy ratio and the dividend payout ratio do not impact the stock price. In contrast, earnings per share, net NPA ratio, and basic earnings per share, net profit margin, and net interest margin exhibited a relationship with the stock price. In the Indian context, there is less research available on this topic, and the idea chosen for the study is original. Along with this, the data collected for the study and the code used for analysis is original work. New investors can use the results of this study in the Indian stock market to analyze a stock and take proper investment decisions. Another practical usage of this study is that banking sector companies can improve their ratios to attract new investors.
Organizations Take Initiatives for the Development of Women Leaders
Authors: Bhardwaj Saloni , Sinha Vinita , Mandal Sucheta
Published: September 2021

Purpose: 1. To Understand the male to female ratio prevailing in the organization 2. To Understand how effective are women development initiatives in organizations from a women's perspective to determine if they will be appreciated and perceived as positive by the women. 3. To understand if the presence of women leaders in the organization leads to better engagement. 4. To understand, as suggested by research, are women leaders warmer and more male leaders more aggressive? Research Methodology: Sample - The sample size would be 50 men and women from all over India belonging to different age groups between 25-50 and are currently working in various corporations • Primary Research: In-Depth Interview, Survey. • Secondary research: literature review. • Analysis of the collected data. Practical Implications: This will help identify why, even though there is awareness about the importance of having women leaders, the initiatives were taken for their development have not contributed significantly. This paper will help understand if these initiatives are enough in the given culture of the organization that has pre-defined norms and expectations from a woman's standpoint of view. Originality: This research will mainly focus on the view of women about development initiatives in the organization.
Everyday Life of Slum Children: A Case Study from Education Perspective
Authors: Deshpande Aditi
Published: September 2021

Every year, the city of Pune attracts migrant workers due to urbanization, and these migrants form residential pockets called slums. Today, around 40% of Pune's population lives in urban slums, around 11% of children, who have little or no access to education with the everyday hand-to-mouth struggle for survival. This study explores the lives of slum children and their educational conditions. Three case studies were conducted with three slums from uptown areas of Pune. Focus group discussions, interviews, and visual survey methods were employed, leading to qualitative analysis. Analysis threw light on the everyday challenges faced by slum children in accessing education. The visual studies imply the need for architectural intervention. The findings also suggest policy implications towards the provision of education towards the betterment of the lives of slum children. Working and learning are the two social processes; without breaking the legal structures on child labor, children working within the home as domestic labor or in the household enterprise is a common occurrence in urban centers, particularly among those who are household income is derived from the informal sector and who have lower income levels. Working modes and times differ depending on the situation. Owing to the size of India's informal economy and attempts to reduce child labor trafficking, a strong emphasis has been placed on developing and implementing social policies that address child labor.
Decoding the Role of Advertisements and Exploring the Motivators that Influence the Perception of Self - Image
Authors: Thapliyal Niharika , Ghosh Mun Mun
Published: September 2021

The study of a person's opinion of their own body is the study of "body image." While the definition was not much complicated, the arguments around the "Body Image" have numerous folds, from weight and size to appearance and normality. There can be a long list of things that can affect a person's body image concept and make them feel good about themselves or even dread being in their bodies. The source can be anything from one’s peers to the brands advertising their products with the help of models and celebrities. In this research, we will focus on the advertisements impacting the self-body image. The advertisers take the help of models and celebrities to impact the minds of their viewers and nudge them to try their product. In today’s world, a consumer’s self-image is targeted by how an advertisement is made. The research used a mixed-method approach to imply the finding of the study. The study validated and established the identified and the proposed construct and implied that the advertisements impact the viewers to attain or aspire for the sure self-body image. However, for a brief period, the effect and impact it creates cannot be overruled entirely.
Exploring an Approach to Estimate Runoff in an Ungauged Mixed Urban Micro Catchment - A Case Study, Pune, India
Authors: Kshirsagar Mugdha , Satpute Rushikesh , Chavda Digant , Khare Kanchan
Published: September 2021

Sustainable and integrated water resource management needs an hour, and achieving accurate estimation of runoff is key. The decision-making on urban landscaping planning for low-impact development techniques depends largely on the accuracy of rainfall. The haphazardly developed cities in India are encountering flooding crises due to the unexpected expansion. These mixed urban catchments comprise a muddle of residential, commercial, urban-rural, and industrial zones in any combination. Due to this change in urban catchments, the hydrological cycle gets affected and results in elevated runoff volume. The solutions to these are therefore necessary to be planned at a micro catchment level. This paper aims to explore an approach to calculate the runoff of such a micro mixed urban catchment. The geographical scope of this study is the fringe boundary of Pune city. For this ungauged basin, the basic mass balance equation was used to estimate runoff values compared with the runoff values calculated from empirical equations previously developed. From this comparison, it is observed that runoff values obtained from empirical equations were underestimated, which may be due to rapid land-use caused by urbanization. Hence, a need was felt to re-evaluate the coefficients of these empirical models, which take into cognizance the current scenario and its allied changes over the years. An attempt is made to modify the coefficients of empirical equations considering precipitation as the primary parameter. These modified coefficients fetched better runoff results than the runoff results obtained from the coefficients of previously established empirical equations. However, even with these modified coefficients, the runoff results were underestimated, which may be because of not considering the physical characteristics of the catchment in these equations. Therefore, to increase the accuracy of these results, a numerical model that considers these catchment characteristics was chosen. In the present study, a dynamic rainfall-runoff model - stormwater management models (SWMM) is used and compared to assess runoff for an ungauged micro-catchment. The runoff results achieved from these SWMM models better reproduced the hydrologic and hydraulic behavior of the study area (with RMSE of 2.51) by considering detailed catchment characteristics compared to those obtained from all the other empirical models.
Intimate Partner Violence and Psychological Attributes - Violation of Right to Live with Dignity
Authors: Shanthi K. , Nittala Saritha
Published: September 2021

Human Rights are inalienable. As stated by the UN Charter, gender equality is the fundamental right of every human being. As stated by the Vienna Declaration, women's and girls' rights are inalienable, integral, and form an indivisible part of universal human rights. The entire world has raised its voice and has reached its peak in the 1990s. India, precariously being a male-dominated society, has always looked down on a woman as a vulnerable group, to be dependent, owing to certain sociological, political, and biological conditions. Gender-based violence, as stated by the UN declaration, includes violence against women. It brings within it the broader framework of gender-based discrimination. In every nook and corner, we see and hear about violence against a girl child/ women irrespective of their age, caste, creed, social and economic conditions, and the happenings that shackle all humanity with ignominy. These instances profligately eliminate their basic human rights. Intimate Partner Violence is such a kind of violence, which is distinct from domestic violence and is most common among couples. It is a behavior prevailing in an intimate relationship that leads to physical, psychological, or sexual harm. It is restricted to marital status and extends to non-marital, extramarital relationships, dating couples, live-in relationships, and non-discriminatory. There are instances where women also abuse men in intimate relations. In cases of self-defense, women can be more violent against men. However, overwhelming instances illustrate women as victims in the hands of their male partners, existing or ex-partners. Though attached a social stigma to these relationships, the abuse meted in the hands of their perpetrators affects the physical and psychological traits. This paper mainly emphasizes the nature of Intimate Partner Violence, its instincts, the psychological disorders, and its effects on their right to live with dignity and concludes with possible suggestions and recommendations.
A Study to Identify the Possibilities of Implementing Robotic Process Automation for the Processing of Loans in Banks
Authors: Menon Varsha , Aslekar Avinash
Published: September 2021

Today, various studies are going on in every part of the globe to minimize operational costs, increase efficiency, and improve the Return on Investment by almost all organizations. Technology is one of the key factors that aid in the change process happening all over the world. Today, organizations are ready to implement any technology to help them maintain their market position in this highly competitive environment. Robotic Process Automation is a technology that could be considered of prime importance. It can solve these issues in an organization once it is implemented efficiently. RPA finds use in those organizations. The amount of manual processes is more, and the works are repetitive and time-consuming. Financial institutions are among those organizations that can take advantage of having RPA improve their operational efficiency. Financial institutions contain a lot of manual and repetitive tasks in several departments. This paper is based on the study conducted to find out the key areas in which RPA can be implemented so that it helps the financial institutions to make their lending process easier.
A Clinico-Pharmacological Aspect of Kwatha Kalpana in ENT Disorders
Authors: Pravin Bhat  , Patil Sandip
Published: September 2021

Ayurveda is split into many branches. The branch which deal with the drug and use within the style of medicine for the treatment of diseases is thought as Bhaishajya Kalpana (Ayurvedic Pharmaceutics). Bhaishajya Kalpana endorses the five fundamental dosage form, namely Swaras (juice), Kalka (paste), Kwatha (decoction), Hima (cold infusion), Phant (hot infusion). This is often the real source of success for physicians. Among them, Kwatha Kalpana (decoction types of medicine) is that the most vital and widely used dosage form in Ayurvedic pharmaceutic. Shalakyatantra (treatment of disorder above clavicle) is one in all Ashtanga Ayurveda (eight clinical branches of Ayurveda), coping with the study of diseases occurring above the Jatru (part of body above the clavicle), which has Shiras (head), Karna (ear), Nasa (nose), Netra (eyes) and Mukha (mouth) and their management. Shalakyatantra is primarily concerned with preserving and restoring the health of the Indriyas (senses). In modern science ear, nose and throat are studied collectively within the specialized field called otolaryngology or upper tract diseases which is colloquially referred to as ENT. The monotonous mechanical life style, faulty food habits, restless schedule, stress, overpopulation, overcrowding of vehicle leading to the sound and air pollution, junk food habits is causing hazardous effects of receptor. Ayurvedic system of drug enunciates more of preventive measures which are lacking in contemporary science. Identifying the Nidana (etiology) and avoiding it forms the key role in preventing most of the ENT disorders. Hence, it’s is highly essential to spot and treat the common ENT disorder seen in clinical practice with Ayurvedic measures specially Kwath Kalpana. In present article a clinic-pharmacological aspect of the Kwath Kaplana is discussed with reference to ENT diseases.
Effect of Apatyakara Ghrita Followed by Koshtha Shuddhi with Haritakyadi Churna in the Management of Ksheena Shukra w.s.r. to Oligozoospermia: A Case Study
Authors: Devesh Jaiman  , HML Meena  , Bharat Kumar Padhar  , Harish Bhakuni
Published: September 2021

Oligozoospermia is a condition where sperm count is below 15 million/ml and a common finding which is related to male infertility. Some of the known responsible factors for male infertility are poor semen quality, genetic factors, testicular dysfunction and endocrine inter relationship etc. According to Ayurvedic classics, Oligozoospermia can be correlated with Ksheena Shukra which is due to increased Vata and Pitta Dosha being more prevalent in Madhyama Vayas. According to WHO, in India, the overall prevalence of primary infertility ranges between 3.9% and 16.8%.  Methods: In this study, a male patient aged 40 years was presented with a desire to get a child and other associated symptoms were Daurbalya (weakness), Mukha Shosha (dryness of the mouth), Sadana (loss of rigidity), Shrama (post act exhaustion), Alpachestata (early ejaculation), Maithune Ashakti (problematic or not satisfactory coitus), Rati Anabhimukhata (loss of sexual desire) etc. The patient was managed with Apatyakara Ghrita followed by Koshtha Shuddhi with Haritakyadi Churna. For the assessment of the effect of therapies on sexual parameters, the scoring pattern prepared by Mehra & Singh, 1995 and Seminal Parameters has been adopted. Results and Conclusion: Apatyakara Ghrita is found effective to increase sperm count from 12 million/ ml to 45 million/ml and motility from 20% to 75% and no adverse effect of the adopted management was seen during treatment and even after the 2 months of follow-up.
Successful Treatment of Unexplained Secondary Infertility by Ayurveda- A Case Study
Authors: Bhavsar Megha Nandkishor  , Mehere Seema Chandrakant
Published: September 2021

Secondary infertility indicates previous pregnancy but failure to conceive subsequently. Incidences of secondary infertility are increasing day by day. Many factors like age, hectic schedule, stress, diet, unhealthy lifestyle are responsible for it. Psychological stress disturbs overall health of women by inducing generation of reactive oxygen species and thereby oxidative stress. This oxidative stress may hamper the health of ovaries, oocyte quality and causes female reproductive health disorders. Aim: To study the effect of Ayurvedic treatment in management of unexplained secondary infertility. Objective: To access the effect of Ayurvedic management of unexplained secondary infertility. Methodology: It is a single case study of unexplained secondary infertility. Case description: A 38 years old female Hindu patient came in YMT OPD of Streeroga and Prasutitantra anxious for child since 3 years. She had a history of 2 MTPs, one before and one after her 5 year old female child. Her last MTP was done in 2015. After that she was actively trying to conceive around last 3 years but couldn’t conceive again in spite of regular unprotected coitus. She was advised to do ovulation study and HSG but she was not willing to do investigations, but as per history, her schedule was very hectic and stressful treatment: She was advised Ayurvedic oral medications along with Panchkarma. Outcome: After four months of treatment she conceived. Conclusion: Ayurvedic management can act as an anti-stress and antioxidant agent thereby improving the reproductive health of women and increasing their chances of conception.
Methods and problems of the nosological analysis of mortality in the period of COVID-19 pandemic
Authors: Drapkina O. M. , Samorodskaya I. V. , Kakorina E. P. , Perkhov V. I.
Published: September 2021

The article discusses different approaches to assessing mortality during the COVID-19 pandemic. The analysis of inter­national data shows that different countries use different approaches to assessing mortality from COVID-19 and the increase in mortality from all causes. The most probable reasons for the variability of the increase in mortality rates are the rate of spread of infection, the quality of isolation and quarantine measures, the commitment of the population to their implementation, the resource capacity of the healthcare system and the quality of medical care (both for the treatment of COVID-19 and other diseases), features of living conditions, socio-economic and political processes that are difficult to formalize (and therefore assess the contribution by methods of mathematical statistics). For a correct comparison of excess mortality rates, it will be necessary to calculate standardized indicators and compare data in five-year age groups.

In 2021, serious problems should be expected with the comparison of mortality rates in different countries from individual causes. The methodology for recording deaths from COVID-19 and other causes is not uniform at the global level, prob­lems are associated with differences in approaches to determining the primary cause of death, difficulties in determining the cause of death if a patient has multimorbid pathology (especially without postmortem examination). A full-fledged analysis is possible only with transdisciplinary cooperation under the auspices of the WHO of doctors, mathematicians, economists, and information technology specialists.
The Lagged Effect of Advertising Expenditures on the Financial Measures of Brand Equity in the Egyptian Context
Authors: Gohar Nermin M.
Published: September 2021

This research intends to fill the gap in the literature by studying the impact of lagged real advertising expenditures on different perspectives of brand equity in the Egyptian context, which are: Firm-based and Market-based brand equity. The research follows the quantitative research-based approach, with the descriptive explanatory method. Secondary data was collected from firms’ financial reports of sixteen sectors for the period 2013 - 2020 to consider the effect of real advertising expenditures on firm-based and market-based brand equity models. Data was collected from 168 listed companies in the Egyptian stock exchange market, after deleting the financial institutions. The unit of analysis was the corporate brands and data collected was panel data analyzed using Eviews program – version 10, using GLS regression. Results showed that market risk significantly moderates the relationship between advertising expenditures and Firm-based and Market-based brand equity.
Bild und Spiegelbild: Kleiner Unterschied – große Auswirkungen
Authors: Brunner Henri
Published: September 2021

Henri Brunner, Looking Glass Chemistry: Small Differences—Gigantic Effects (Lives in Chemistry–Lebenswerke in der Chemie) “A different sort of chemistry is needed”. In 1966 this rather disconcerting thought led HENRI BRUNNER to create the hitherto unknown, optically active transition metal complexes—and so to his lifelong interest in image/mirror image molecules and other objects. Nowadays it is textbook knowledge that minute quantities of optically active transition metal complexes can act as catalysts to allow the synthesis of large quantities of organic and pharmaceutical products. In 1971 his outstanding chemistry resulted in his appointment as the youngest university professor in Germany and founder of the inorganic chemistry department in Regensburg. His mother always taught him to “Keep your eyes open”. Henri Brunner, born in 1935, did just that—whether he was drawing, playing chess, doing sports, collecting Colorado potato beetles, demonstrating, obtaining grants, teaching, appointing academic staff, or looking after his tie and snail collections – and he continues to do so aged 85+!
Anal Necrosis - A Rare Entity Following Treatment with Herbal Supplements and Herbal Injections
Authors:   Department of General Surgery, Manipal Hospital Whitefield, Haridas Mannjunath , Tenneti Venkata Jaya Divya ,   Department of General Surgery, Manipal Hospital Whitefield, Poduri Divya ,   Department of General Surgery, Manipal Hospital Whitefield
Published: September 2021

Anal necrosis is an extremely rare and uncommon disease. It has a rich collateral blood supply. The most common etiology of anal necrosis in the elderly is ischemic secondary to atherosclerosis but anal necrosis in young with no predisposing factor is infrequent thus impeling the authors to write a report. A young middle aged male presented to our emergency department with pain and foul smelling discharge from the anal canal. There was prior history of anal fistula and a recent treatment with herbal medication. The patient underwent computed tomography and magnetic resonance imaging confirming anal canal necrosis with infection. The patient was in septic shock. Antibiotics and supportive volume resuscitation was carried out for managing sepsis. He also underwent prompt debridement with defunctioning loop colostomy. Early reconstruction of the anal canal spinchters and flap construction of the skin and subcutaneous tissue was done to prevent loss of anal canal spinchters control and further morbidity.
MANAGING WORKPLACE DISCRIMINATION, HARASSMENT AND RETALIATION: AN ASSESSMENT OF KENYAN WORKPLACE
Authors: Ochieng Olayo , Kamau Lewis
Published: September 2021

Purpose: This paper sought to examine whether workplace training in mitigating discrimination, harassment and retaliation has been effective.

Methodology: This study adopted exploratory research methodology. Exploratory research design is used to investigate a problem which is not clearly defined. It is conducted to have a better understanding of the existing problem, but will not provide conclusive results. It explored studies conducted on the topic. This means that the study relied on desk-top review of the existing studies and documented case laws.  Further, it relied on the cases laws. A narrative analysis was done and at this point the information was interpreted by comparing the findings with the findings of other empirical studies. This information was interpreted together with the ‘Stories within stories’ and related to the existing literature

Findings: The results found that while workplace training increases sensitivity, it is associated with less accuracy in detecting discrimination, harassment, and retaliation. This is based on the fact that there are many cases on the matter before the courts. Further, the study shows that there is no relationship between training and the ability of the manager to propose the required response after the act.

Unique contribution to theory, practice and policy: The study recommends that there is need for organizations to develop action plans that will measure the effectiveness of trainings. There is need to regularly review policies to ensure that they are modern realities such as online harassment. Finally the study recommends amendment of the current employment Act to exclusively require that employers must conduct training on the issues.
Naive Bayes Dalam Menentukan Penerima Bantuan Langsung Tunai
Authors: Arfanda Indri , Ramdhan William , Yusda Riki Andri
Published: September 2021

Bantuan Langsung Tunai merupakan program bantuan pemerintah dalam bentuk bantuan tunai. Pada penerapannya pada Desa Perkebunan Air Batu III/IX dan Desa Sei Alim Ulu masih belum optimal dan tidak sesuai target. Teori data mining akan mempermudah mengatasi masalah yang belum maksimal di Kantor Kepala Desa Perkebunan Air Batu III/IX dan Kantor Kepala Desa Sei Alim Ulu. Proses pembagian/klasifikasi juga untuk mendapatkan pola yang memisahkan data kelas dengan target serta memperhitungkan kelas dari suatu objek yang label/kelasnya tidak diketahui. Maka dari itu, algoritma naive bayes dapat melihat probabilitas di masa depan menurut kejadian pada masa sebelumnya. Pada penelitian ini data latih dan 5 data uji dengan enam kriteria yaitu kepala rumah tangga, status PKH, status BPNT, hilang mata pencaharian, tidak terdata, dan anggota keluarga sakit kronis. Hasil akurasi datanya sebesar 80% dengan adanya metode yang diterapkan dalam penerima Bantuan Langsung Tunai, diharapkan bisa mempermudah serta mempersingkat waktu untuk menentukan penerima Bantuan Langsung Tunai.
Sistem Pendukung Keputusan Dengan Metode AHP Untuk Menentukan Lokasi Tempat Pembuangan Akhir Sampah di Asahan
Authors: Panjaitan Pahrunnisa , Azhar Zulfi
Published: September 2021

Keberadaan Tempat Pembuangan Akhir Sampah (TPA) saat ini seringkali menjadi permasalahan ditinjau dari kesehatan lingkungan, kehidupan sosial, keadaan budaya dan pertumbuhan ekonomi. Komponen tersebut kerap kali menjadi hambatan dalam pengadaan sarana TPA dan seringkali menjadi suatu permasalahan yang besar dalam suatu daerah terlebih pada daerah perkotaan. Di daerah Asahan khususnya kota Kisaran mempunyai permasalahan mengenai banyaknya sampah yang harus dikelola dengan baik sementara tempat pembuangan sampah yang ada tidak mampu sebagai tempat pembuangan akhir sampah. Hal tersebut sering muncul dalam penanganan sampah kota, yang berhubungan dengan biaya operasional yang tinggi, semakin sulitnya ruang yang layak untuk pembuangan dan terbatasnya lahan yang layak untuk lokasi pembuangan sampah. Untuk memberikan solusi dari permasalahan yang terjadi, maka digunakan suatu sistem pendukung keputusan (SPK) dengan menggunakan metode AHP agar memudahkan dalam memberikan solusi permasalahannya. Metode yang dilakukan penelitian ini dengan pengumpulan  data dari pengisian formulir yang diberikan kepada petugas sampah sebagai responden.  Hasil yang didapatkan pada implementasi penelitian ini adalah dengan menghasilkan kriteria Permukiman(C1) dengan alternatif yang terpilih yaitu, Silo Laut(A1).
Oral Cancer Lethality in the Dental Department of Kinshasa University Hospital, Democratic Republic of the Congo
Authors: Mfutu Charly Mana , Sekele Jean-Paul Isouradi , Bushabu Fidèle Nyimi , Nzudjom Foche Adelin Baudouin , Loposso Matthieu Nkumu , Kamangu Erick Ntambwe , Tshiupkane Dieudonné Nyembue , Ileboso Jacques Bolenge , Mawi Clarisse Falanga , Ngbolua Koto-te-Nyiwa
Published: September 2021

Background: Despite the scientific advances achieved during this century in cancer management, nevertheless, the cancer disease remains one of the most fatal sickens globally and little data are available on oral cancer mortality in most low-income countries including the Democratic Republic of the Congo. Aim: To assess the frequency of oral cancer mortality in the Department of Dental medicine at the Kinshasa University Hospital. Patients and Methods: A cross-sectional study based on the records of patients who died from oral cancer was conducted in the Department of Dental Medicine, Kinshasa University Hospital spanning over a period of 20 years (2000 to 2019). The data were collected from the records of patients with a histologically proven diagnosis of cancer. Pertinent parameters included Age, sex, stage of disease, histological type of tumor and probability of survival of patients were evaluated. Results: During the study, 889 patients were hospitalized in the Department. Out of 91 patients who died while in hospital, 49 deaths (53.8%) were from oral cancer in 57% males. Median age was 46.02±19.6 years and sex ratio of male/female of 1.3. The epidermoid or squamous cell carcinoma (63.3%) was the most frequent histological type of malignancy, and the majority of deaths (96%) occurred at and advanced cT4NM clinical stage with 90% having less than 200 days prognostic survival chance. Conclusion: The frequency of lethality in the present study was high and constitutes a health problem concern in the Democratic Republic of Congo. This study emphasizes the primary role devoted to oral health professionals in education, population, prevention, early detection and early management of oral cancer.
Understanding and Assessing Flood Risk Management in Balochestan Iran: With Integrated River Basin Approach, Future Direction
Authors: Anwar Zainudini Mohammad , Sardarzaei Asadollah
Published: September 2021

A holistic perspective on changing rainfall-driven flood risk is provided for the late 20th and early 21st centuries. Balochistan is exposed to different types of floods that cause severe economic losses, damage to infrastructures, and loss of lives. Reliable information on the drivers, patterns and dynamics of flood risk is crucial for the identification, prioritization and planning of risk reduction and adaptation measures. Here, we present a systematic review of existing flood risk assessments in Balochistan. We evaluate the current status, persisting gaps, and challenges regarding the understanding and assessment of flood risk in this large province. A society well-aware of risks must not only give attention to the prevention of flood risks but must also consider disaster management, i.e. minimizing casualties and flood damages, and enhancing recovery. Balochistan has No solid network of levees along any of the rivers that protect the many low-lying polders from flooding, however the government trying to build few in Sarbaz river from Shirgwaz to Kolani and in Kajo river from Kalat to Dalgan. Well, nature is unpredictable, extreme events may happen, and absolute protection against flooding cannot be offered. It is common practice to perform technical and economic analyses to determine the feasibility of flood protection plans and also institutional and administrative aspects are addressed. But how the people that live in the polders feel about the flood risk and protection plans seldom gets attention.