bluuebunny/crossref_metadata_2025 huggingface dataset:
Towards Resilience and Sustainability: Exploring the Pharmaceutical and Life Insurance Frontiers
Authors: Reshmi Menon, Dipti Gadhavi, Alex Bhatiya
Published: January 2025

Value creation and getting above average returns have been the foundation of all strategy formulation and implementation processes across businesses worldwide. However, with the pandemic having brought in the element of great unpredictability and crisis, incorporating sustainability and enhancing resilience has emerged as the buzzwords across strategies, systems and processes in organizations. With the pharmaceutical industry and the life insurance sector impacting the global health systems during the pandemic and thereafter, the focus towards sustainability and resilience enhancement continues to be the evolving frontier in strategizing for these sectors. This study is based on the review of literature to understand the factors affecting the agility, sustainability and resilience of various value chain elements holistically, the intertwining of the themes of sustainability and resilience from a sectoral perspective – pharmaceutical industry and life insurance – and the emergence of any collaborations across sectors or value chains which may have or would contribute towards sustainability practices and enhanced resilience. The findings from this study may contribute towards enhancing and incorporating sustainability and resilience across other sectoral frontiers and may pave the way towards a sustainable and thriving future.
A Study on Consumer Perception Toward Pureit RO With Reference To Ahmedabad City
Authors: Supriya Bhutiani
Published: January 2025

This study explores consumer perception toward Pureit RO water purifiers in Ahmedabad City. It aims to understand consumer awareness, preferences, satisfaction levels, and factors influencing purchase decisions. By analyzing consumer feedback and market trends, the study seeks to identify strengths and areas for improvement in Pureit's offerings. Insights derived from the study will help the brand align its strategies with customer expectations and enhance its market presence in Ahmedabad. The findings also provide a framework for understanding consumer behavior in the water purifier segment.
A Study on Investors’ Preferences and Satisfaction Toward Online Trading Platforms
Authors: Khushboo Vachhani Talati
Published: January 2025

Purpose- This study analyses the preferences and satisfaction levels of investors using online trading platforms, focusing on user interface, brokerage fees, customer support, and security features, while also examining demographic factors like gender, age, education, and income.
ANALYSIS OF THE IMPLEMENTATION OF FINANCIAL ACCOUNTING STANDARDS (SAK EMKM) IN SCARVEIL MSME FINANCIAL REPORTS
Authors: Meilani Melan Nur , Drajat Alvira Zulfa , Andaresta Tita , Prayoga Muhammad Adam Khayla , Armayza M. Adnan , Kurniati Fitrina
Published: January 2025

This study aims to analyze the impact of implementing the Financial Accounting Standards for Micro, Small, and Medium Enterprises (SAK EMKM) on the financial performance of Scarveil and provide recommendations for improving the quality of financial reports. A descriptive qualitative approach was used, involving interviews, observations, and documentation. Data collected includes financial reports and transaction records from Scarveil. The analysis indicates that although some accounting practices are adequate, further improvement in compliance with accounting standards is essential for enhancing profitability and business sustainability. This study focuses solely on Scarveil, so the findings may not be generalizable to all SMEs in Indonesia. The study contributes to a deeper understanding of the importance of SAK EMKM implementation for MSMEs in Indonesia, helping business practitioners and policymakers improve financial report transparency and accountability, offering new insights into the relationship between accounting standards and financial success in this sector.
ANALISIS FAKTOR-FAKTOR KEUANGAN YANG MEMENGARUHI KETEPATAN WAKTU PELAPORAN KEUANGAN PERUSAHAAN DI INDONESIA.
Authors: Anggraini Astanti Veny , Alliyah Siti
Published: January 2025

Tujuan penelitian ini adalah untuk mengevaluasi dampak profitabilitas, solvabilitas, ukuran perusahaan, dan komite audit terhadap ketepatan waktu pelaporan keuangan. Metode purposive sampling digunakan untuk mengakses sampel, ditemukan 78 perusahaan yang terdaftar di Bursa Efek Indonesia (BEI) selama tahun 2020-2022. Data didapatkan melalui dokumentasi, dan analisis dilakukan menggunakan metode regresi logistik. Temuan penelitian mengindikasikan bahwa profitabilitas memiliki dampak positif tetapi tidak signifikan terhadap ketepatan waktu pelaporan. Solvabilitas dan ukuran perusahaan memiliki dampak negatif namun tidak signifikan, sedangkan komite audit menunjukkan dampak positif yang tidak signifikan. Nilai Nagelkerke R Square 0,075 mengindikasikan bahwa variabel independen hanya dapat mengklarifikasi 7,5% variasi ketepatan waktu laporan, sementara 92,5% dipengaruhi oleh faktor-faktor lain yang tidak dimasukkan dalam penelitian model.
Kata kunci: Profitabilitas, solvabilitas, ukuran perusahaan, komite audit, serta ketepatan waktu pelaporan keuangan.
SHORT- AND LONG-TERM SIDE EFFECTS OF CONCOMITANT CHEMORADIATION TREATMENT FOR CERVICAL CANCER
Authors: Tiwari Dr. Harihar Nath , Choubey Dr. Subhadra , Byahut Dr. Ravi , Singh Dr. Rajesh Kumar
Published: January 2025

Concomitant chemoradiation (CRT) for locally advanced cervical cancer has become an established treatment based on randomised trials. Major concerns, however, remain over the acute and late toxicity and hence the generalisability of the conclusions of these studies. The study period was from October 2020 to May 2022. A total of 126 patients with Stage IIB to IIIB Cervical Cancer were taken for the study from Patna Medical College Hospital, Patna, Bihar, with consent from the patients. Most patients were of stage IIIB (47.60%) in group A and (54%) in group B. Most patients had parity >5 (68.30%) in group A and (87.30%) in group B. Most patients (58.73%) in group A and (66.66%) in group B completed EBRT within 35 days. Twenty-seven (42.85%) patients in group A and twenty-three (36.50%) patients in group B had a break during EBRT due to toxicity. In conclusion, observation during follow-up after 6 months group A patients, 74.60%, had no evidence of disease; in group B, 76.19% had no evidence of disease or residual disease. In group A, 25.40% had the residual disease; in group B, 24.60% had residual disease.
Reflexión crítica sobre el espacio público en el centro de Guayaquil: Plaza de la Administración
Authors: Camacho Vásquez Edmundo
Published: January 2025

El presente artículo realiza una reflexión crítica sobre los espacios públicos en el contexto ecuatoriano, centrándose en la Plaza de la Administración de Guayaquil. A través de un análisis teórico basado en los conceptos de Michel Foucault, Henri Lefebvre, Edward Soja y Yi-Fu Tuan, se exploran las diversas dinámicas sociales, que influyen en la configuración y resignificación de este espacio. La Plaza de la Administración, ubicada en el corazón de Guayaquil, ha pasado de ser un espacio representativo del poder administrativo a convertirse en un lugar multifuncional, donde se entrelazan actividades gubernamentales, culturales y de protesta. Además, el análisis compara el rol de la Plaza de la Administración con el del Parque Seminario, antiguamente la Plaza de Armas de la ciudad, evidenciando la desvinculación entre estos dos espacios históricos debido a barreras urbanísticas como la red de transporte público municipal. A través de la observación directa y revisión bibliográfica, se examina cómo el espacio público es percibido, concebido y vivido por los ciudadanos, revelando las tensiones entre poder, identidad y resistencia que caracterizan los espacios urbanos en Guayaquil.
Taliban’s Return to Power in Afghanistan - Key Factors
Authors:   Department of Political Science, Mangalore University, Mangala Gangotri, Mangalore, Karnataka, India, Rahmany Aabid Rahman ​ , Shani K R
Published: January 2025

After two decades of conflict with the Taliban, they seized control of Kabul and proclaimed victory. The failure to establish a robust military force with high morale, significant casualties, and the economic toll of war, along with the inability to cut off the Taliban's financial support, USA's missteps in the conflict, corruption and ethnic biases within the Afghan government, the rise of extralegal governing bodies, shifts in the Taliban's military strategies and domestic policies, support from regional nations under the guise of combating ISIS, and USA's policy of appeasement towards the Taliban, all played pivotal roles in the Taliban's resurgence to power. With the international recognition of the Taliban government and continued global assistance to Afghanistan, the prospect of security and relative peace in the country remains viable.

Keywords

USA, Afghanistan, Taliban, ISIS, International community
Adivasi Identity and Accommodation in Assam
Authors:   Assam University, Silchar, Assam, India, Harsha S
Published: January 2025

The present paper examines the issue of Adivasi identity and accommodation in Assam. Although Adivasis have been inhabiting Assam from time immemorial, they have been subjected to exploitation and neglect by the state and rival ethnic groups of Assam. The present paper reviews the issues plaguing the community and discusses the viability of alternative institutional arrangements which could resolve the crisis.

Keywords

Identity, Accommodation, Land-grabbing
UN Peacekeeping in the DRC: Examining MONUSCO’s Withdrawal and the Road Ahead
Authors:   Centre for International Politics, Organization and Disarmament, School of International Studies, Jawaharlal Nehru University, New Delhi, India, Syamkumar V
Published: January 2025

Democratic Republic of Congo (DRC) has had numerous conflicts since gaining independence from Belgium in 1960, which has disproportionately and negatively impacted the nation’s political and socio-economic development. Currently, more than 120 Non-State Armed Groups (NSAG) is present in the DRC, and they are constantly attacking public properties and institutions. It has resulted in an increase in displacement, refugee problems, and recruitment of children to the NSAGs, a decrease in agricultural products, poverty, and human rights violations. The United Nations (UN), since the first civil war in Congo (1996-97), has been trying to decrease the conflicts and support the government in various ways to construct institutional mechanisms to ensure the welfare of the Congolese people. The UN deployed a peacekeeping mission named MONUC in 1999, and in 2010, this mission was renamed MONUSCO. Due to various factors, in December 2023, the UN withdrew MONUSCO from DRC by the end of 2024. This paper examines MONUSCO's contributions to DRC and analyzes its achievements and challenges.

Keywords

Conflict, Democratic Republic of Congo, Non-State Armed Groups, MONUSCO, Challenges
A hibridização das mídias: da serigrafia ao NFT
Authors: Lage Celina Figueiredo , Menezes André Araújo de
Published: January 2025

Este artigo apresenta uma pesquisa em Artes Visuais sobre como o diálogo entre o físico e o digital se instaura na produção de uma coleção de serigrafias que parte do digital, materializa-se no analógico e depois retorna ao digital na forma de NFT, GIF, animação e performance. Sob a égide da Intermidialidade, este artigo apresenta a relação da gravura física com a digital e as possibilidades das edições múltiplas, desde o processo criativo até a curadoria de uma exposição figital. Assim, propomos uma reflexão sobre as relações entre arte, tecnologias digitais e transferências entre meios, bem como alternativas à circulação tradicional de arte pela utilização dos meios de comunicação e da criptoarte.
Pelatihan Penggunaan Tanaman Belimbing Wuluh (Averrhoa Bilimbi L.) untuk Kesehatan di Pekon Banjar Agung Udik, Kecamatan Pugung Kabupaten Tanggamus Provinsi Lampung
Authors: Yulianty Yulianty , Rosa Emantis , Nurcahyani Endang , Pertiwi Prima Sari
Published: January 2025

Belimbing wuluh termasuk salah satu jenis tanaman yang dapat ditemui di pekarangan rumah. Nama ilmiah tanaman ini adalah Averrhoa bilimbi L. Masyarakat di Pekon Banjar Agung Udik umumnya menggunakan buah belimbing wuluh untuk campuran dalam suatu masakan, namun bagian-bagian lain seperti daun, bunga, dan batang kurang mendapat perhatian, sehingga perlu dilakukan suatu upaya untuk melakukan pelatihan dan praktik dalam menggunakan tanaman belimbing wuluh untuk meningkatkan kesehatan. Metode yang dilakukan dalam kegiatan pengabdian ini adalah ceramah, diskusi, pelatihan dan dilanjutkan dengan praktik penggunaan tanaman belimbing wuluh. Hasil dari kegiatan pengabdian ini diperoleh peningkatan pengetahuan dan keterampilan dalam menggunakan tanaman belimbing wuluh yang lebih bervariasi. Hasil rerata nilai pretest yang diberikan adalah 74,29 . Hasil rerata nilai post-test yaitu 95,71. Terjadi peningkatan sebesar 21,42 poin. Hasil kegiatan dalam pengabdian ini masyarakat di Pekon Banjar Agung Udik dapat menerapkan penggunaan semua bagian tanaman belimbing wuluh untuk meningkatkan kesehatan dan dapat menyebarluaskan informasi tentang manfaat tanaman belimbing wuluh.
Pelatihan Implementasi Pendekatan Restorative Justice dalam Penanganan Tindak Pidana Ringan di Desa Sepanjang, Kecamatan Tawangmangu, Kabupaten Karanganyar
Authors: Maradona Maradona , Aprilianto Sapta , Cahyani Prilian , Agustin Erni , Brouwer Darryl Evan
Published: January 2025

Restorative Justice bertujuan untuk penyelesaian hukum dengan menciptakan kesepakatan atas penyelesaian perkara pidana. Restorative justice sebagai prinsip penegakan hukum dalam penyelesaian perkara yang dapat dijadikan instrumen pemulihan sudah dilaksanakan oleh Mahkamah Agung dalam bentuk pemberlakuan kebijakan, namun tata pelaksanaannya dalam sistem peradilan pidana Indonesia belum dilakukan secara optimal. Restorative justice fokus pada pemidanaan yang diubah menjadi proses dialog dan mediasi yang melibatkan pelaku, korban, keluarga pelaku/ korban, dan pihak lain yang terkait. Desa Sepanjang, Kecamatan Tawangmangu, Kabupaten Karanganyar memiliki rumah restorative justice yang telah diresmikan oleh pemerintah daerah. Tujuan kegiatan ini adalah untuk meningkatkan pengetahuan dan ketrampilan masyarakat dalam penyelesaian perkara pidana yang adil dan seimbang antara para pihak dapat memulihkan pola hubungan yang baik dalam masyarakat. Metode pengabdian masyarakat ini adalah pelatihan bagi masyarakat Desa Sepanjang, Kecamatan Tawangmangu, Kabupaten Karanganyar. Sebagai hasil kegiatan ini, masyarakat meningkat pengetahuan dan ketrampilannya dalam menerapkan konflik di bidang pidana ringan yang terjadi di desanya.
Pendampingan Hukum dalam Sertipikasi Tanah: Langkah Konkret Mewujudkan Kepastian Hukum Penguasaan Tanah di Desa Sambogunung Kabupaten Gresik
Authors: Wijoyo Suparto , Prihatiningtyas Wilda , Noventri Ardhana Christian
Published: January 2025

Peningkatan jumlah penduduk dan aktivitas pembangunan berimplikasi pada meningkatnya kebutuhan atas tanah, baik untuk permukiman, pertanian, peternakan, maupun infrastruktur. Hal ini menyebabkan permasalahan pertanahan menjadi semakin kompleks, tidak terkecuali di Desa Sambogunung, Kabupaten Gresik. Sebagian besar tanah di desa tersebut diwariskan secara turun-temurun namun belum terdaftar atau bersertipikat sehingga mengakibatkan ketidakpastian hukum dan rentannya terjadi sengketa. Oleh sebab itu, pengabdian masyarakat ini bertujuan memberikan kepastian hukum atas kepemilikan tanah melalui penyuluhan hukum dan pendampingan sertifikasi tanah. Dengan metode penelitian meliputi: observasi dan identifikasi masalah; penyuluhan hukum; dan pendampingan penerbitan sertipikat. Hasil akhir dari pengabdian masyarakat ini ialah terciptanya pemahaman masyarakat akan pentingnya pendaftaran tanah dan sertpikat tanah sebagai bukti kepemilikan hak atas tanah yang sah hingga bermuara pada terlaksananya koordinasi pengumpulan persyaratan pendaftaran tanah bagi warga yang akan mengajukan sertipikasi ke Kantor Pertanahan Kabupaten Gresik. Dampak jangka panjang yang diharapkan dari pengabdian ini ialah terwujudnya tertib administrasi pertanahan, perlindungan hukum bagi masyarakat, dan pengurangan potensi konflik pertanahan di Desa Sambogunung, Kabupaten Gresik.
On Modules Related to Homomorphism Their Kernel Equal Zero in Neutrosophic Theory
Authors:   General Directorate of Anbar Education, Ministry of Education, Ramadi, Anbar, Iraq, Firas Firas ,   Department of Mathematics, College of Education for Pure Sciences, University Of Anbar, Ramadi, Iraq,   Department of Mathematics, College of Education for Pure Sciences, University Of Anbar, Ramadi, Iraq, Hammad Fawzi N. , Abed Majid Mohammed
Published: January 2025

Neutrosophic set is a modern branch as a generalization of fuzzy concept. Zadeh in 1965 presented fuzzy concept and later he introduced more applications in more subjects of mathematics. On of the type branch of mathematics is fuzzy algebra. In this work, we present and clarify several results of several modules, which has zero-kernel, and zero homomorphism in neutrosophic theory. The aim modules are mnonoform and small monoform modules. Several concepts have been studied in this paper like Quasi-dedekind and uniform modules. We proved that if ( ( )) is a module over neutrosophic ring ( ). If ) is a directed sum of simple submodules an is monoform, then ) is monoform module. Also, if 𝒯) is a semi simple ring and 𝒯) is a 𝒯)-module, so 𝒯) is small and satisfies all conditions of monoform with Q-dedekind property. On the other hand, let be an R-module. is a neutrosophic modules and generated by and . So, is a weak neutrosophic. Finally, we presented more results, examples and properties about the topic with new results in neutrosophic algebra.
Sağlık Çalışanlarının İş Yaşam Dengesi, Sessiz İstifa ve Tükenmişlik Düzeylerinin Araştırılması
Authors: BAKIR NİHAL , ÖZCAN ALİ
Published: January 2025

Günümüzde işyerinde çalışan ilişkileri, son salgının da dayattığı yeni yaşam biçimleri ile yönetilmesi oldukça zor ve karmaşık bir hal almıştır. Çalışanların iş yaşam dengesi sağlamalarında iş dışı unsurların ağırlıkları gittikçe artmaktadır. Özellikle salgın sonrasında sağlık çalışlarında yaşam doyumu düzeyi, iş yaşam dengesi ve sessiz istifa düzeyleri merak konusudur. Bu çalışma vardiyalı ve uzun çalışma saatlerinin olduğu sağlık çalışanlarının iş yaşam dengesi, tükenmişlik düzeyi, yaşam doyumu ve sessiz istifa durumlarını ortaya koymayı amaçlamaktadır. Bu araştırmada nicel yöntemlerden faydalanılarak tasarlanmıştır. Araştırmada kullanılan veriler sıklıkla kullanılan yöntemlerden biri olan anket yöntemi kullanılarak elde edilmiştir. Araştırmanın birinci kısmında kavramsal çerçeve, ikinci kısımda literatüre ve son bölümde ise araştırmanın modeli ve bulgulara yer verilmiştir. Araştırmanın verileri SPSS kullanılarak analiz edilmiştir. Araştırmanın bulgularında Sessiz istifa, işe bağlı duygusal tükenmişlik ve iş yaşam dengesi ölçeklerinde yer alan puan ortalamaları incelendiğinde her ölçek türünde en yüksek iki maddeye ilişkin puan ortalamaları korelasyon analizi ile gösterilmiştir. Sessiz istifa, işe bağlı tükenmişlik ve iş yaşam dengesi ile orta düzeyde pozitif yönde ilişki tespit edilmiştir ve %99 güven düzeyinde istatistiksel olarak anlamlı olup orta düzeyde pozitif yönde ilişki tespit edilmiştir.
Major considerations of nutrology, adult stem cells, and gut microbiota in the process of muscle regeneration in athletes: a systematic review
Authors: Pereira Juliana da Silva , Alves Márcia Cavalheiro , Nogueira Mateus Antunes , Lopes Hugo Menezes , Carvalho Ricardo de Oliveira , Cano Ana Claudia Santana , Soares Vittor Cândido , Izidorio Frederico Teixeira , Salvá Marília de Andrade , Alves Thamyres Veras
Published: January 2025

Introduction: Regular physical training associated with nutritional health has broad benefits for the health of the gut microbiota, acting positively on almost all organic systems in the body. In this sense, microRNAs (miRs) have emerged as critical regulators of numerous biological processes, modulating gene expression at the post-transcriptional level. Objective: It was to carry out a systematic review to elucidate the main considerations of nutrology, microRNAs, adult stem cells, and gut microbiota in the process of muscle regeneration in athletes. Methods: The systematic review rules of the PRISMA Platform were followed. The research was carried out from August to September 2024 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 237 articles were found, and 107 articles were evaluated in full, and 52 were included and developed in this systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 47 studies with a high risk of bias and 70 studies that did not meet GRADE. miRs play an important role as regulatory molecules during the muscle healing process. Myoblasts are known to secrete exosomes enriched with miRs into the inflammatory environment, whereby miR-224 is transferred to macrophages to inhibit M2 polarization. Additional data demonstrate that WNT-9a may be a direct target of miR-224 for macrophage polarization. The results showed that miR-122 and myogenic markers were down-regulated in C2C12 cells after TGF-β stimulation, and overexpression of miR-122 can restore myogenesis inhibited by TGF-β. Evidence suggests that the exosome derived from mesenchymal stem cells exhibits functions similar to mesenchymal stem cells with low immunogenicity and without tumorization. High rates of intestinal self-renewal are enabled by intestinal stem cells (LGR5+) at the base of intestinal crypts. LGR5+ activity, including proliferation and differentiation rates, is affected by large shifts in nutrient availability, as occurs on a high-fat diet or fasting. The practice of physical activity, endogenous metabolites, and dietary nutrients can directly influence epigenetic enzymes. Dietary manipulations and metabolites can affect tissue stem cell fate decisions. Self-renewal and differentiation of mesenchymal stem cells can be regulated by manipulating vitamin C, A, or D levels and valine restriction.
Salvaging From Limb Amputation in an Acute Complicated Type B Aortic Dissection Patient
Authors: Tuan Pham , Quang Nguyen , Hung Pham , Than Le
Published: January 2025

Background: Aortic dissection is a condition in which there is an intimal tear that allows the blood to pass through the tear and into the aortic media, splitting to a true lumen and a newly formed false lumen. It is associated with genetic disorders such as Marfan syndrome, Ehlers-Danlos syndrome, and Loeys-Dietz syndrome, or may result from cardiovascular risk factors including smoking, hypertension, and familial hyperlipidemia. Objective: The aim this article was to report a complicated Stanford B aortic dissection with acute limb ischemia and compartment syndrome, successfully managed with limb preservation and aortic repair. Methods: A 60s male patient with poorly controlled hypertension presented with severe chest pain radiating to the back and right leg ischemia, characterized by coldness, numbness, motor loss, and absent arterial pulses. Case presentation: The patient was treated with intensive medical management, including pain control, heart rate and blood pressure stabilization, while preparing for emergency intervention. A thoracic aortic endovascular stent-graft was placed to seal the entry tear and restore blood flow to the right lower limb. The intervention utilized a Relay thoracic stent-graft (32–28 mm diameter, 200 cm length, Bolton Medical), with access via the left common femoral artery Stanford Type B aortic dissection complicated by limb ischemia is a cardiovascular emergency requiring urgent intervention. Conclusion: Timely monitoring, insight consultation with orthopedic physician to understand the pathophysiology of acute compartment syndrome, the importance of early diagnosis and precise management of acute compartment syndrome following intervention are crucial to preserving the limb and ensuring the success of endovascular aortic repair.
Systematic review of teacher’s perception about adoption and effectiveness of learning management systems
Authors: Badhe Pallavi , Nair Deepa , Baburdikar Rupali
Published: January 2025

COVID-19 has forced universities around the world to adopt online learning. A learning management system (LMS) is a platform for online teaching. Educational institutes are facing difficulties in adopting LMS teaching and learning methods. Research on LMS adoption is still needed for effective implementation. Studying LMS adoption can help universities to understand their teacher’s needs better. This review attempted to determine the factors that influence the adoption and effectiveness of the LMS with respect to teachers’ perspectives. We planned search strategy, inclusion and exclusion criteria, data extraction, and data analysis. Manual search of articles from indexed journals using Google Scholar, Scopus, and PubMed central electronic databases. The keywords used were “LMS and Adoption”, “Factors affecting LMS Adoption”, and “LMS and teacher’s perspective”. Inclusion/exclusion criteria: Only full-text journal articles published in peer-reviewed journals, in the English language, were selected. Articles with only abstracts and not full texts were excluded. Data extraction was conducted using the following themes: author name, year of publication, research approach, factors affecting adoption according to teacher’s perspective, and research context. Only qualitative information is presented from the extracted data. Anxiety and knowledge about the use of the LMS, time factors, technical challenges, perceived usefulness, efficiency payoffs, student feedback, and faculty training were important factors affecting LMS use. Factors affecting the attitude of teachers considering individual values and virtues were not well documented in the literature until 2023. Attitude depends on the values and virtues of the individual.
A cross-sectional study on knowledge, attitude, and level of preparedness of medical interns in a teaching hospital from India on antibiotic use and antimicrobial resistance
Authors: Scariah Kunjumary , Krishna Keerthi , Rajan Boney , Kumar Puzhikunnathu
Published: January 2025

Background:
The topic of antibiotic resistance is part of the Indian medical under graduate curriculum, yet the newly passed out medical interns finds it difficult to prescribe the appropriate antibiotics when they practice. The impact of teaching about antimicrobial resistance and misuse in medical colleges still remain uncertain.

Aim:
This study aims to assess the knowledge, attitude, and level of preparedness regarding antibiotic resistance among medical interns from a teaching hospital in Kerala, India.

Methods:
This questionnaire-based study evaluated the knowledge, attitude, and level of preparedness among medical interns towards antibiotic resistance. The assessment included 20 knowledge questions (max score: 26), five attitude questions (max score: 5), and eight preparedness questions (max score: 8). A passing score of 60% was set for each category, with scores below this threshold considered poor performance. Participants included interns from the 2018 batch, nearing the end of their internship, and those from the 2019 batch, who had just started their training. This study was done from June 2024 to October 2024.

Results:
The study involved 85 interns (43 from 2018 batch and 42 from 2019 batch). Results indicated that 98.8% (84) had a strong understanding of antibiotics, but only 44.7% (38) recognized antibiotic resistance, and 47.1% (40) could analyse clinical scenarios. Alarmingly, 55.3% (47) and 52.9% (45) lacked knowledge in these areas. Overall, 70.6% (60) understood antibiotic use well, while 29.4% (25) did not. Towards attitude, 94.1% (80) had good score, but 43.5% (37) and 37.6% (32) had poor score on over-the-counter and leftover antibiotics. In terms of preparedness, 55.3% (47) felt capable of using antibiotics. Both batches showed similar knowledge (69.8% for 2018 and 71.4% for 2019) and attitude scores (90.7% and 97.6%), but the 2018 batch was significantly more prepared for antibiotic application (74.4% vs. 35.7%, p = 0.0001).

Conclusion:
The study finds that interns had a basic understanding of antibiotics. 2018 batch was better prepared than the 2019 batch, emphasizing the need for practical training. It is suggested to include antimicrobial stewardship education in the undergraduate curriculum to enhance understanding of antibiotic use and resistance.
Cardiotoxic profile of CHOP/R-CHOP regimen in patients with non-Hodgkin Lymphoma
Authors: Thettummal Aswathi , Yadavalli Annapurna , Kuruvadangal Abdul
Published: January 2025

Background:
Non-Hodgkin Lymphoma is the most common hematological malignant tumor, and its prevalence is increasing worldwide. It usually presents with enlarged lymph node along with other symptoms such as weight loss, night sweats, and fever collectively known as B symptoms. Medical history, physical examination, biopsy, computed tomography, magnetic resonance imaging, and PET scan all form the basis of diagnosis. Chemotherapy, radiotherapy, immunotherapy, surgery and stem cell transplantation are the various treatment options available for Non-Hodgkin Lymphoma. Among the different chemotherapeutic regimens available, the CHOP or R-CHOP regimen is the gold-standard first-line therapy for non-Hodgkin’s lymphoma. It includes Cyclophosphamide, Doxorubicin, Vincristine, and Prednisolone for the CHOP regimen and Rituximab in addition for the R-CHOP regimen. Cardiotoxicity caused predominantly by doxorubicin and cyclophosphamide is the major adverse effect of this regimen, which can manifest as heart failure. Early identification of cardiotoxicity can improve patient outcomes.

Aim:
This study aimed to determine the cardio toxic profile of the CHOP/R-CHOP regimen in patients with NHL in a tertiary care center in northern Kerala and to study the risk factors associated with the development of cardiotoxicity.

Methods:
This prospective observational study was conducted in patients attending the Department of Medical oncology and Hematology, in collaboration with the Departments of Pharmacology and Cardiology, Government Medical College, Kozhikode, with a diagnosis of Non-Hodgkin’s lymphoma who received CHOP/R-CHOP chemotherapy regimen for the same. A total of 55 participants were enrolled in the study according to the inclusion criteria and after obtaining informed consent. All the patients needed 6 cycles of chemotherapy which was given 3 weekly. Follow-up evaluation performed with history, physical examination, blood investigation (Random Blood Sugar – RBS, Renal Function Test - RFT), electrocardiography, and echocardiography after completing 3rd cycle and 6th cycle of chemotherapy. Reduction in ejection fraction ≥ 10 percent from baseline along with other symptoms and signs of heart failure and ECG changes were evaluated during follow-up.

Results:
The analysis was performed after completing 3rd and 6th cycle with a total of 55 participants. Only one patient (1.82%) experienced a reduction in ejection fraction ≥ 10% from baseline without any signs, symptoms, or ECG changes. Thus, it was subclinical cardiotoxicity. Various risk factors for the development of cardiotoxicity with the CHOP/R-CHOP regimen were also analyzed using Fisher’s exact test. None of the risk factors had statistical association with cardiotoxicity (P value>0.05).

Conclusion:
The cardiotoxicity of the CHOP/R-CHOP regimen in patients with NHL was low, and there were no proven associations with risk factors and cardiotoxicity.
Analysis of antimicrobial prescriptions in surgical wards of a tertiary care hospital using the WHO AWaRe classification
Authors: Kota Urmila , Lella Meenakshi , Kurli Sankar
Published: January 2025

Background:
In 2019, WHO has developed ‘AWaRe’ (Access, Watch, Reserve) classification to enhance the quality of antibiotic use in hospitals and to combat antimicrobial resistance.

Aim:
The current study evaluated usage of antimicrobial pattern in the surgical wards of a tertiary care hospital based on the AWaRe classification.

Methods:
We have retrospectively collected prescriptions from the hospital medical records of surgery ward for 6 months duration (January-June 2023). All prescriptions were analyzed for antimicrobial precribing pattern using WHO AWaRe classification. To quantify antimicrobial use, Defined Daily Dose (DDD) and DDD/100 bed days were calculated.

Results:
Out of 1209 admitted patients, 1124 (92.9%) received antibiotics. The mean age of patients was 34±16.9 years. The majority of antimicrobials were prescribed to male patients (71.8%) and in patients aged 45-63 years (39.2%). A total of 15 antibiotic agents were used in the study, including 4 from access group, 10 from the watch group and one from reserve group. A total of 60.8% antimicrobials from the Watch group and 36.9%from the Access group were prescribed. Ceftriaxone (26.4% and Metronidazole (24.1%), were the most frequently prescribed antimicrobials. The overall systemic doses of Piperacillin and Metronidazole used in surgery ward were 6.6 and 7.3g DDD/100 bed-days, respectively. The average number of drugs prescribed per prescription was 5.3, and only 49.1% of antibiotics was prescribed according to generic name. Injectable antibiotics accounted for 76.7% of prescriptions, and 96.8% were prescribed from the Essential Drug List.

Conclusion:
The prescribing indicators in this study surpassed the WHO standard values with the most antibiotics being prescribed from the watch group in the AWaRe classification rather than the Access group. Insufficient use of generic drugs and polypharmacy contributed to antimicrobial resistance. To reduce the use of Watch group antibiotics, strict standard treatment guidelines should be implemented in hospitals. Further more, motivating health care professionals to prescribe more Access group antibiotics by their generic names could support rational prescribing and aids to minimise antimicrobial resistance.
Role of red cell distribution width in the evaluation of anemia in children aged less than 12 years
Authors: Viswanathan Shyamnath , Varghese Anne
Published: January 2025

Background:
From the viewpoint of healthcare, anemia is one of the major health problems in India. Early diagnosis and treatment of anemia is crucial for a healthier generation. Studies have shown that red cell distribution width (RDW) values have a potential relation with anemia.

Aim:
To determine the association between RDW and anemia and to study the correlation between RDW and anemic status in different age groups.

Methods:
Cross-sectional study design and standard statistical methods were used. Sensitivity, specificity, and receiver operating characteristics (ROC) were determined.

Results:
Out of 245 children studied, The first category (up to 6 years) and the second category (6-12 years) includes 132 children (54%) and 113 children (46%), respectively. Sensitivity and specificity were obtained using receiver operating characteristic (ROC) curves with a cut off RDW of 14.05% and 12.95% in the two age groups, respectively. Anemic status was categorized according to hemoglobin levels in the two age groups. Patients with hemoglobin levels below the WHO cutoff values are considered anemic. Pearson correlation coefficient calculation observed that, there was a weak negative correlation (-0.24) between hemoglobin and RDW (p=0.012). There was a moderate negative correlation (-0.3) between MCV and RDW (p=0.001).

Conclusion:
As a diagnostic test, RDW alone was more specifically and sensitively associated with the detection of anemia in children aged 6 years compared with RDW in children aged 6–12 years. There was a weak negative correlation between hemoglobin and RDW.
Self-directed learning readiness among first-year MBBS students in a Government Medical College of Kolkata, India: A cross-sectional observational study
Authors: Sharmistha Biswas , Anjan Adhikari
Published: January 2025

Background:
SDL plays a crucial role in inculcating the habit of reading and learning in medical students. A successful medical student should have the ability to plan, coordinate, and oversee his or her own learning experience. In India, usually students start their journey in medical field quite early, they are yet to come out of the concept of relying on teachers for guidance on what and how to learn. Many of these young adults find the concept of SDL unfamiliar. While everyone possesses some level of self-direction in learning, learners differ in their readiness for SDL. CBME curriculum has made implementation of SDL mandatory.

Aim:
The present study aimed to assess the readiness for SDL among first-year MBBS students in a Government medical college of Kolkata, West Bengal, using Fisher’s SDLRS.

Methods:
This study was carried out at the department of Anatomy, of a government medical college, Kolkata, after obtaining institutional ethics committee clearance. Eighty (80) first-year MBBS students were included in the study. Two SDL sessions were conducted weekly, for gross Anatomy of two abdominal viscera. Pre-tests and Post-tests were taken before and after each session to assess students’ progress after SDL sessions. In the following week, the students were asked to answer the questionnaires applying Fischer’s Self Directed Learning Readiness Scale (SDLRS). The Fisher’s SDLRS consists of 40 items categorised in three domains. The items of Fisher’s SDLRS were scored on a five-point Likert. The total score of the Fisher’s SDLRS can range from 40 to 200. The data collected were statistically analysed in consultation with statistician.

Results:
Out of 80 students, 35 students scored more than 150 in Fischer’s Readiness scale, while 45 scored less than 150, indicating that majority of the students (56.25 %) were not ready for SDL. The mean score for SDL readiness was 140.07. The mean self- management (SM) score was 41.25, mean score for desire for learning (DL) was 42.95, and mean self- control (SC) score was 54.35.

Conclusion:
Majority the eighty first-year medical students (56.25%) were not ready for self-directed learning, and 43.75% of the students were ready. Our study threw light on the fact that despite having a high desire for learning and ability of self-control, students need to be supported in their self-management skills. Their self- directed learning readiness can be improved if guided properly.
Participación ciudadana en los programas de vivienda en Venezuela (segunda parte)
Authors: Farias Eilyn
Published: January 2025

Este escrito, que se presenta en tres entregas, siendo esta la segunda, pretende destacar el establecimiento transversal de la relación Estado-sociedad en la Constitución de la República Bolivariana de Venezuela, siendo esto posible a través de la presencia de mayores espacios de participación ciudadana. Lo mencionado se traduce en la defensa y garantía de los derechos sociales, civiles y políticos. Es por esto que, a través de las acciones gestionadas en períodos anteriores en materia de vivienda, destacando en la actualidad a la “Gran Misión Vivienda Venezuela”, por su transformación en un programa social que promueve el surgimiento de nuevos liderazgos, figuras organizativas e involucramiento del ciudadano en el abordaje de temas colectivos que interfieren y le proporcionan mejor calidad de vida. Es así como mediante un abordaje cualitativo, con el objetivo de conocer el rol del ciudadano en este programa social, se presenta una aproximación al rol de este en espacios de participación ciudadana identificados en este programa social. Para esto, se tomó como referencia la nueva propuesta de la construcción de Ciudades Socialistas, con la finalidad de poder realizar una aproximación de la participación ciudadana en estos espacios, además de las estrategias gestionadas para la garantía de tal derecho. Se resalta entonces, el cómo estas propuestas otorgan protagonismo y corresponsabilidad al individuo, a las comunidades organizadas y a entidades asociativas en el manejo de los asuntos públicos.
Derechos de las personas mayores: análisis del marco normativo internacional y el caso venezolano
Authors: Barrientos Marialejandra
Published: January 2025

En el presente artículo se incursiona en el debate sobre el abordaje de las personas mayores desde el campo de los derechos humanos. Para ello, se analizan distintos elementos asociados a la concepción social de la vejez y del envejecimiento que están en la base de la discriminación que sufre este grupo y que inciden en la vulneración de sus derechos. Esta revisión documental aporta un marco relevante que permite entender a las personas mayores como grupo diferenciado que requiere especial protección y garantías en materia de derechos humanos. A partir de estas consideraciones, se hace un recorrido sistemático por los principales instrumentos en materia de derechos de las personas mayores que se han desarrollado tanto en el ámbito internacional como en el regional y se analiza el estatus del marco legal venezolano con respecto a los derechos de este grupo. Se concluye que, si bien se han realizado avances relevantes en el marco normativo, sigue presente la necesidad urgente de avanzar hacia una mayor protección jurídica y social de las personas mayores, no solo a través del reconocimiento formal de sus derechos, sino mediante la implementación de políticas efectivas que promuevan su dignidad y autonomía. El caso venezolano refleja las limitaciones y desafíos que persisten en este ámbito, destacando la importancia de la ratificación y aplicación de instrumentos internacionales para asegurar la protección integral de este grupo.
Unveiling the Link between long COVID-19 and Fibromyalgia
Authors: Parvez Sidrah , Fatima Ghizal
Published: January 2025

The ongoing evolution of the COVID-19 pandemic has led to an increasing amount of study on Long COVID-19, defined by persistent symptoms that may remain for weeks or months following initial infection. Fibromyalgia (FM), a chronic disorder marked by pervasive pain, fatigue, and cognitive impairments, has become a notable issue among these symptoms. A literature study examining long COVID patients reveals that its predominant symptoms, such as fatigue, generalized pain, cognitive impairments, sleep problems, and mood disorders, closely resemble those associated with FM. A substantial percentage of long COVID patients fulfil the criteria for chronic overlapping pain conditions (COPCs), and the clinical progression of these illnesses is analogous. The potential mechanisms linking Long COVID-19 and FM are multifaceted, involving a combination of pathophysiological processes are discussed in this review paper.
The Impact of International aid on state building Stability and Development: Case study of Somalia
Authors: Mohamed Ibrahim Abdulahi
Published: January 2025

International aid plays a critical role in shaping the socio-economic landscape of Somalia, a country facing numerous challenges related to conflict and governance. This study assesses the perceived benefits and drawbacks of international aid, evaluates changes in local production and self-sufficiency due to aid, and examines the relationship between aid and governance/state building and development while providing actionable recommendations for improving aid effectiveness. Utilizing a mixed-methods approach, a survey was conducted among 251 participants from NGOs, government institutions, and the business sector. Quantitative analysis using SPSS revealed significant correlations (p < 0.05) between aid and local production, while qualitative interviews provided insights into perceptions. Findings indicate that 68% of respondents view international aid as beneficial, especially in healthcare and education, but 45% reported negative impacts on governance. A notable 30% increase in local production attributed to aid initiatives was observed. The study underscores the necessity for improving aid effectiveness in Somalia through enhanced local stakeholder involvement and comprehensive monitoring frameworks.
Inclusive education practices in rural communities: A community-based empowerment model for gender equality
Authors: Mardliyah Sjafiatul , Widyaswari Monica , Dewi Putri Aisyiyah Rachma , Nugroho Rivo , Firman Shobri , Mardiani Desika Putri , Suji Suji
Published: January 2025

This study examines the role of Tanoker Ledokombo in promoting gender equality and social inclusion in Jember through a community-based approach. Using Pierre Bourdieu's theoretical framework, this study explores the use of social and cultural capital in creating a new habitus that supports diversity. The findings show that Tanoker successfully facilitates women's empowerment through skills training, active participation in economic activities, and cultural festivals. This approach gives women increased financial independence and builds self-confidence and societal position. Cultural festivals become inclusive spaces that celebrate diversity, facilitate dialogue between community members, and strengthen social networks. Cultural practices such as local craft-making preserve traditions and create equal economic opportunities for all community members. This approach shows that women's empowerment involves creating an environment that supports active participation and collaboration. Tanoker also successfully reconfigures gender norms by transforming community habitus, allowing women to challenge traditional stereotypes and strengthen their agency. By leveraging social and cultural capital, Tanoker promotes community solidarity and builds inclusive social structures. This study provides practical implications for developing community empowerment policies, highlighting the importance of cross-sector collaboration and evidence-based approaches. The Tanoker empowerment model can be adapted to other contexts to support gender equality and social inclusion. This study confirms that cultural and community-based social practices are important catalysts for sustainable social change.
Virtual try-on and analysis of haenyeo suits using digital technology
Authors: Eom Rani
Published: January 2025

This study aims to digitize information about Korean haenyeo suits and reveal their characteristics and current status to preserve the culture of Jeju haenyeo in South Korea. We created an avatar of a woman in her 60s—the typical wearer of haenyeo suits—measured the physical properties of the haenyeo suit fabric, generated patterns reflecting these properties, and conducted virtual try-on simulations. After analyzing haenyeo suits according to the morphological criteria of shape, dimensions, and clothing pressure, this study identified the following regarding their characteristics and current status. A haenyeo suit has activeness to facilitate the movements of a haenyeo during work and protectiveness to prevent seawater from entering. At a time when the number of haenyeo suit manufacturers is continuously decreasing, the pattern dimensions of the suits must be standardized. Moreover, a haenyeo suit has patterns that closely fit the wearer’s body. Hopefully, this study will inspire further research on the haenyeo culture.