bluuebunny/crossref_metadata_2025 huggingface dataset:
The effect of financial technology on financial performance in Jordanian SMEs: The role of financial satisfaction
Authors: Alkhawaldeh Bashar Younis , Alhawamdeh Hamzeh , Al-Afeef Mohammad Abdel Mohsen , Al-Smadi Arkan Walid , Almarshad Mohammad , Fraihat Baha Aldeen Mohammad , Soumadi Mustafa Mohamed , Nawasra Maher , Alaa Alrefai A.
Published: June 2023

The research paper investigates the relationship between financial technology (FinTech) adoption, financial satisfaction, and financial performance among consumers in Jordan. The study uses Partial Least Squares-Structural Equation Modeling (PLS-SEM) to analyze data collected from a sample of 500 SMEs in Jordan. The results of the study suggest that FinTech adoption positively affects financial performance, while financial satisfaction mediates the relationship between FinTech adoption and financial performance. The study also found that financial satisfaction has a significant impact on financial performance, suggesting that customers who are satisfied with their financial situation are more likely to achieve better financial performance. In conclusion, the study provides valuable insights into the role of financial satisfaction as a mediator in the relationship between FinTech adoption and financial performance, highlighting the importance of understanding the factors that influence customer satisfaction and the adoption of FinTech services in the financial industry. These findings have implications for financial service providers and policymakers in Jordan, as well as in other countries with similar economic and social conditions, where the adoption of FinTech is rapidly increasing.
An empirical investigation of effect of sustainable and smart supply practices on improving the supply chain organizational performance in SMEs in India
Authors: Ramakrishna Yanamandra , Alzoubi Haitham M. , Indira Logaiswari
Published: June 2023

Implementing sustainable and smart supply chain practices have a great impact on the performance of an organization. In today’s globalized and highly industrialized world, sustainability is recognized as one of the highest priorities of all organizations. Evolution of internet-based technologies, digital platforms and big data analytics have paved the way for redesigning supply chains to be smart, agile, and resilient. Therefore, the implementation of practices related to these two concepts is found to improve the supply chain related organizational performance. This research aims to investigate empirically the impact of these two practices on improving the supply chain organizational performance in the Small and Medium Enterprises (SMEs) of India. This research considered the dimensions and the variables related to sustainable supply chain and smart supply chain practices in SMEs in India which were not considered in research contributions prior to this. Therefore, this research becomes a unique contribution to the existing body of knowledge. Empirical analysis was carried out on data from 92 SMEs from Telangana State in India, collected using a questionnaire. The directory of SMEs of Government of Telanagana, India was used to select the cluster sample of SMEs as respondents, based on a criterion using exploratory research methodology. SPSS software was used to test the model. Regression and ANOVA were used for this purpose. Findings of this research reveal significant influence of sustainable and smart supply chain (SC) practices on improving SC organizational performance. Additionally, individually each of these practices also have a direct influence on the performance of SMEs. Obtaining responses from the representatives of SMEs was a challenge and limitation of this research while expanding the scope of this research to different geographical regions and clusters will be a topic for further research. The outcomes and results of this research provide significant contribution to the existing body of knowledge by filling the gaps and value-adding to the researchers, academicians, students, policy makers and industry practitioners.
The effect of supply chain integration capability and green supply chain management (GCSM) on manufacturing industry operational performance
Authors: Idris Sofyan , Musnadi Said , Djalil Muslim A , Tabrani Mirza , Yunus Mukhlis , Adam Muhammad , Ibrahim Mahdani
Published: June 2023

The purpose of this study was to determine the effect of supply chain integration capabilities on operational performance by mediating green supply chain management in manufacturing companies. This research method is quantitative and the sampling method in this study uses probability sampling. The primary data is obtained by distributing 490 online questionnaires to manufacturing companies. Validity and reliability testing were carried out using Structural Equation Modeling Partial Least Square (SEM-PLS) and data processing was accomplished using SmartPLS. The findings in this study found that supply chain integration capabilities had a direct positive and significant effect on operational performance while supply chain integration capabilities had a positive and significant effect on green supply chain management. In addition, green supply chain management had a direct positive and significant effect on operational performance. The ability of supply chain integration also maintained a positive and significant effect on operational performance mediated by green supply chain management.
Examining the impact of total quality management on the provision of healthcare services: A study of Jordanian healthcare organizations
Authors: Akhorshaideh Abdel Hakim O. , Hammouri Qais , Barqawi Basem Yousef , Shrafat Fayiz Dahash , Alfayez Diana F. , AL-Lozi Kholoud S. A.
Published: June 2023

This study investigates how Total Quality Management (TQM) influences the quality of Health care services in Jordan. To test this relationship, a survey was distributed to 220 employees working at different Jordanian hospitals. The results show significant and positive association between all TQM dimensions (customer focus, top management support, fact-based decision making, employees' involvement, and continuous improvement) and the quality of health care services in Jordan. The study concludes by emphasizing the importance of TQM in enhancing the quality of health care service and recommends hospitals ‘management and policy makers to adopt and integrate various TQM practices into the Jordanian health sector.
Performance of green supply chain management: Investigating the role of reverse logistics and green procurement aspects in SMEs
Authors: Dahliani Lili , Purnomo B. Laksito , Pattisahusiwa Salmah , Aryasari Devita , Ilahi Nurul Anggraeni Shinta , Wursan Wursan , Yenny Sri Risma , Rochmawati Nur Intan
Published: June 2023

The purpose of this study is to analyze the relationship between the performance of Reverse Logistics and Green Supply Chain Management, to analyze the relationship between Green Procurement Aspects and the performance of Green Supply Chain Management. This research method is quantitative, the analysis of research data uses the partial least square structural equation model (SEM-PLS) with a statistical data processing tool, namely SmartPLS 4.0 software. Research data was obtained by distributing online questionnaires through social media designed using a Likert scale of 7. Respondents in this study were 670 SMEs owners in Java Island, Indonesia. The stages of data analysis are validity test, reliability test and significance test or hypothesis test. The results of this study indicate that Reverse Logistics has a positive and significant effect on the performance of Green Supply Chain Management, Green Procurement Aspects has a positive and significant effect on the performance of Green Supply Chain Management. The novelty of this study is the relationship model between Reverse Logistics variables, the performance of Green Supply Chain Management and Green Procurement in SMEs which was not found in previous studies. Culinary SMEs are expected to be able to participate in supporting environmentally sound development. This is because the concept of Green Supply Chain Management (GSCM) is a concept that aims to minimize the negative impact of an organization and its supply chain on the environment related to climate change, pollution and resources that are not too large. In order to support GSCM, it is necessary to evaluate the extent to which this concept is carried out by Culinary SMEs. By conducting this evaluation, it is hoped that the constraints and obstacles faced by SMEs in carrying out GSCM can be identified. For this reason, it is necessary to have support from related parties, in this case the government, to conduct socialization and counseling and assistance in implementing GSCM.
RFID technology usage effect on enhancing warehouse internal processes in the 3pls providers: An empirical investigation in Jordanian manufacturing firms
Authors: AL-Shboul Moh’d Anwer
Published: June 2023

In the last two decades due to fast enhancing technology tools such as Radio frequency identification (RFID), which plays a crucial role in enhancing the ability of many firms to obtain a wide array of information about the site and features of any entity that can be physically tagged and wirelessly scanned within certain technical limitations. Furthermore, RFID technology can be adopted and implemented in a range of diverse functions, duties, and business-to-business systems (B2B) along the value chain, including services, intra-business logistics activities, as well as marketing and after-sales service applications. In total, 26 semi-structured interviews were involved in this study; several interviews were applied with senior, production, operations, facilitation, distribution, logistics, and warehouses managers, senior 3PLs provider managers, and supervisors and warehouses men from Alkasih and five 3PLs providers in Jordan country. Our forecast results for the third-party logistic providers' sample have shown an enormous growth that would reach 38.5% by 2030. Therefore, we have proposed RFID as a business process reengineering technique to mitigate the coming growth instead of expansion that would cost a huge amount of money due to land high costs. Moreover, we have noticed through our visits that the space utilization and warehouse capacity are very high and most of the warehouses are seeking expansion or employing additional operators to handle the current growth.
YENİ DOĞANLARDA DERİ BAKIMI: BEZ DERMATİTİ VE YÖNETİMİ
Authors: GIYNAŞ Tuba , YARDIMCI Figen
Published: June 2023

İnsan vücudunun yüzey alanı en geniş ve ağırlığı en fazla organı olan deri, dış çevreden gelebilecek fiziksel, kimyasal, biyolojik etkenlere karşı insan vücudu için koruyucu bir bariyer görevi görür. Ayrıca vücut sıcaklığının düzenlemesi, vücuttan çıkan aşırı kaybının önlemesi ve duyusal algıya katkı sağlama gibi önemli fonksiyonları vardır. Bu fonksiyonları yerine getirmek için deri epidermis, dermis ve derialtı dokusu olmak üzere üç temel katmandan oluşur. Cildin gelişimi ve olgunlaşma süreci yaş dönemlerine göre farklılık göstermektedir. Yenidoğan cilt yapısı; morfolojik ve fonksiyonel yönden yetişkin cilt yapısından farklıdır. Bunun nedeni yenidoğanların yaşamının ilk günlerinde, intrauterin ortamdaki sıcak ve sıvı ile dolu bir ortamdan, soğuk ve kuru olan dış ortama geçmesi, yenidoğan döneminden itibaren ciltte değişimlerin olması, yapı ve fonksiyonlarında gelişmelerin sürekli devam etmesidir. Bebek bezi dermatitinde temel unsur önlemektir. Geliştikten sonra genel amaç ise, enfeksiyonu azaltmak, ciltteki hasarı onarmak ve tekrar hasar oluşumunu önlemektir. Pişik cilt maserasyonu ve tahriş edici maddelerle uzun süreli temasta dahil olmak üzere birçok faktörün etkileşimi sonucu, cilt bariyerinin bozulmasına yol açan en yaygın cilt sorunlarından birisidir. Karmaşık ve multifaktöriyel bir etiyolojiye sahiptir. Pişiği önlemek ve yönetmek etiyolojisinin iyi bilinmesi ve nedensel faktörlerin ortadan kaldırılması ile mümkündür. Hem önleme hem de tedavi için farmakolojik olmayan pişik önleyici yaklaşımlar hava, bariyer, temizlik, bebek bezi ve eğitimi olmak üzere 5 maddede toplanmış ve “ABCDE” harfleri verilmiştir. Yenidoğanın deri bütünlüğünü korumak için önlemler, ebeveynler ve diğer bakım verenler tarafından güvenli bir şekilde sağlanmalıdır.
Pandemi Öncesi ve Sonrası Diş Hekimliğinde Evde Sağlık Uygulamaları
Authors: HORASAN Nevin , ÇETİNKAYA Ayhan
Published: June 2023

Giriş;

Diş hekimliğinde ESH, bakanlığa bağlı olarak faaliyet gösteren ağız ve diş sağlığı merkezlerinde kurulan birimler tarafından verilmektedir. Yaşlı nüfus; 65 ve üstü yaştaki nüfus olup 2021 yılında %44,3'ünü erkek nüfus, %55,7'sini kadın nüfus oluşturmaktadır. COVID-19 pandemi döneminde diş hekimliğinde zorunlu haller dışında elektif tedaviler ertelenmiş ve hastaların hizmet alması güçleşmiştir. Bu çalışmada pandemi öncesi (PÖ) ve sonrası (PS) diş hekimliği ESH uygulamaları araştırılmıştır.

Materyal ve Metod :

Etik kurul onayı alınan bu çalışma retrospektif, kesitsel bir çalışma olup PÖ ve PS merkezimizde diş hekimliği ESH talep eden olguların verileri karşılaştırılmıştır.

Bulgular:

PÖ 57 kadın (%59), 39 (%41) erkek olmak üzere 96 hastaya, PS 58 kadın (%61), 37 (%39) erkek olmak üzere 95 hastaya gidilmiştir. PÖ grupta kadın hastaların ortanca yaşının 75 (7-96) olduğu, erkek hastaların ortanca yaşının 67 (2-94) olduğu görülmüştür. PS grupta kadın hastaların ortanca yaşının 73 (9-101) olduğu, erkek hastaların ortanca yaşının 59 (2-88) olduğu görülmüştür. Gruplar arası yaş olarak anlamlı bir fark yoktu (p=0.7). Fakat her iki grupta da kadın cinsiyetin daha fazla ESH talep ettiği ve yaş ortalamasının kadın cinsiyette erkek cinsiyete göre daha fazla olduğu görülmüştür (p=0.02, p=0.00).

Tartışma:

Diş hekimliğinde ESH’nin değerlendirildiği ve PÖ ile PS karşılaştırıldığı ilk çalışma olması açısından önemlidir. Çalışmanın en önemli sonuçlarından birisi; diş hekimliğinde ESH’nin talep eden hastalarda kadın cinsiyetin hakim olduğunu ve kadın cinsiyette erkek cinsiyete göre yaş ortalamasının daha fazla olduğu ve bu sonucun PÖ ve PS değişmediğidir. Diğer bir önemli sonuç ise merkezimizde pandemi şartlarının özellikle diş hekimliği ESH klinik uygulamasını etkilemediğidir.
SPOR YAPAN BİREYLERDE EGZERSİZ BAĞIMLILIĞI, ORTOREKSİYA NERVOZA VE ETKİLEYEN FAKTÖRLERİN BELİRLENMESİ
Authors: KUZU Ayşe , ÇİÇEKOĞLU ÖZTÜRK Pınar
Published: June 2023

AAmaç: Bu çalışmada düzenli olarak spor yapan bireylerin egzersiz bağımlılığı ve ortoreksiya nervoza eğilimleri ve etkileyen faktörleri belirlenmek amaçlanmıştır.

Gereç ve Yöntem: Kesitsel ve tanımlayıcı nitelikte yapılan çalışma spor salonuna üye olan ve düzenli egzersiz yapan 272 birey ile yürütülmüştür. Veriler, Kişisel Bilgi Formu, Egzersiz Bağımlılığı Ölçeği-21 ve ORTO-11 ölçekleri kullanılarak toplanmıştır.

Bulgular: Katılımcıların egzersiz bağımlığı toplam puan ortalaması 56,62±15,95; ORTO-11 puan ortalaması 26,55±4,02; %3,3’ü egzersiz bağımlısı; %25,7’si ortoreksiya nervoza eğilimlidir. Egzersiz bağımlılığı ölçek puan ortalamaları karşılaştırıldığında erkeklerin, 18-28 yaşta olanların, üniversite düzeyinde eğitim alanların, alkol ve sigara kullananların ve 3-4 ve 5-6 gün spor yapanların egzersiz puan ortalamalarının daha yüksek ve gruplar arasındaki farkın istatistiksel olarak anlamlı olduğu belirlenmiştir (p
Devolusyon ve Sağlık Sonuçları
Authors: ÇEBİ Ezgi , PİYAL Birgül
Published: June 2023

Seksenli yıllardan sonra neoliberal ekonomik politikalar, küreselleşme ve siyasal gelişmelerle birlikte devletin kamu hizmetlerindeki rolünün sınırlandırılması amaçlanmış ve dünyanın çoğu ülkesinde devletin merkezi işlevi kapsamındaki bazı yetkiler yerel birimlere aktarılmıştır. Bu yetki aktarımı desantralizasyon kavramıyla açıklanmıştır. Bir desantralizasyon türü olan devolusyon ise merkezi yetkilerin bölgeler, belediyeler gibi alt düzey siyasi makamlara aktarılması, aktarılan bu yetkilerle merkezi hükümete bağlı yerel ve özerkliği olan yapılar oluşturulmasıdır. İncelenen çalışmalarda devolusyonun yerel yönetim bölgelerinde; kamusal sağlık hizmetinden memnuniyeti, sağlık göstergelerinde (bebek ölüm hızı, doğum öncesi bakıma erişim, doğumda beklenen yaşam süresi) iyileşmeyi, gelir düzeyini ve pandemi ve afeteler gibi olası halk sağlığı krizlerine müdahale kapasitesini artırdığı belirlenmiştir. Ancak bu artışlar sağlanırken yerel yönetim bölgeleri arasındaki gelir ve sağlık eşitsizliklerinden etkilenildiği ya da bu tip eşitsizliklere neden olduğu da gözlenmiştir. Çalışmamızda devolusyonun uygulandığı farklı ülkelerin sağlık sonuçları incelenmiş ve devolusyon uygulanan bölgelerde sağlık sonuçlarının iyileştirilebilmesi için çözüm önerileri sunulmuştur.
Prevalence and Associated Risk Factors of TB in People with HIV in Pakistani Population
Authors: Gardezi Syed Anees Ahmed , Tirmizi Syed Haider , Avais Elleyyeen , Uzair Muhammad , Rehman Muneeb Ur , . Hammad
Published: June 2023

Background: Mycobacterium tuberculosis infects 1/3rd of the world’s population. The second most common cause of death globally is tuberculosis TB. It has resulted in more than 2 million deaths annually. Due to the immunodeficiency in HIV patients’ opportunistic infections can easily get through the human defence system. TB infection is among the most common opportunistic infection present in PLHIV. Aim: To check the prevalence and associated risk factors of TB in patients having HIV in Pakistani population. Study Design: Descriptive cross-sectional study. Methodology: 138 patients above 18 years of age irrespective of gender, diagnosed with HIV undergoing antiretroviral therapy ART were included in the study. All the participants were screened for TB next. Following symptoms were noted current fever, cough, night sweats for more than 2 weeks, weight loss of more than 3 kg in last 4 weeks. A detailed physical examination was carried out. X-ray chest was done and findings suggestive of TB were noted. Further confirmation of TB was carried out using sputum microscopy taking spot sputum sample and the morning sputum sample. TB was further classified as pulmonary, extra pulmonary or mixed. The analysis of the data was done using SPSS 25.0. Results: Males constituted 90(65.2%) and females were 48(34.8%). Mean age of the patients was 36.1± 12.7 years. Tb was positive in 47(34.1%) of the cases diagnosed with HIV. Tb was more prevalent among younger age group (21-40 years) in PLHIV (p=0.3). Male patients having HIV were more at risk of developing TB as compared to females (p=0.5) as the disease (HIV) progressed from mild to severe stage the risk of contracting TB increases significantly (0.001). Literacy rate and CD4+ cell count was not significant risk factors. Practical Implication: Due to the emerging danger of the HIV, this study helped researchers investigate the risk factors associated with TB in people suffering from HIV. Conclusion: TB was present in 34.1% of the HIV affected individuals. The greatest risk for developing TB was among male gender with advanced stage HIV, younger age groups, those with No INH prophylaxis and a positive family history of TB. Keywords: antiretroviral therapy (ART), Human immunodeficiency virus HIV, INH prophylaxis, tuberculosis (TB)
Comparison of the Outcome of Fistulectomy Versus Fistulotomy in Treatment of Fistula in Ano
Authors: Mannan Sadia , Akbar Ali , Mehmood Rashid , Amir Wajahat , Siiddique Humayun , Ali Manzar
Published: June 2023

Aim: To compare the outcome of fistulectomy versus fistulotomy in treatment of fistula in ano. Study design: Randomized Controlled Trial Setting and duration: Department of General Surgery, CMH, Lahore from March 2019 to september2019. Methodology: Through the outpatient department of the general surgery unit at the Combined Military Hospital in Lahore, a total of 112 patients who met the selection criteria were invited to participate in the study. After that, each of the patients was assigned a number and placed into one of two groups. In the group A patients, a fistulectomy was performed. Fistulotomy was performed on members of group B. Each and every operation was performed under spinal anaesthetic. The number of minutes required for the operation was tallied beginning with the incision and continuing through the wound dressing. After surgery, patients were moved to the surgical ward to recover and get follow-up care for a period of twenty-four hours. After that, patients were monitored for a total of four weeks after their operations. It was determined how many days the wound would take to heal in total. SPSS was utilized in order to perform the data analysis. Results: In the fistulectomy group, the mean surgical time was 33.00 minutes with a standard deviation of 4.31 minutes, whereas in the fistulotomy group, the mean operative time was 19.55 minutes with a standard deviation of 2.87 minutes. In the fistulectomy group, the average length of time needed for healing was 31.84 4.67 days, whereas in the fistulotomy group, the average length of time needed for healing was 20.63 4.95 days. Conclusion: Fistulotomy is a therapeutic option that is both straightforward and successful for treating simple perianal fistulas. Keywords: Fistulectomy, fistulotomy, fistula in ano, operative time, duration of healing
Assessment of Firearm Injuries (FAIs) Based on Gender and Age: A Single Center Study
Authors: Samad Abdul , Bibi Ishrat , Akhter Naseem , Imran Shahla , Khalid Aisha , Memon Jamshed-Ul-Qadir
Published: June 2023

Aim: To assess the frequency of firearm injuries between gender and age from tertiary care hospital of Nawabshah, Sindh, Pakistan. Methodology: This descriptive retrospective study was carried at Medicolegal section of Peoples Medical College Hospital and Department of Forensic Medicine & Toxicology, Peoples University of Medical & Health Sciences, Nawabshah District Shaheed Benazirabad, Sindh, Pakistan from 1st January 2021 to 31st December 2021. A total of 216 patients data were analyzed via purposive sampling method. The consent was also taken from the hospital to access the patients’ record. The data were collected on pre-designed sheet based on objective without any gender and age difference. Results: One hundred and sixty one (74.5%) were males while remaining 55(25.5%) belonged to females and 42(19.44%) patients belonged 20-25 years of age. Ninety eight (45.37%) had affected head injury, 42(19.44%) had affected face injury, 37(17.13%) had affected abdominal injury, 39(18.05%) had affected hind limb injury. Practical implication: The practical implication of the study was to aware the current trends of the FAI based on gender and age. Therefore we are more vigilant towards the diagnosis and treatment strategies. Conclusion: Most of the firearm injuries were present in male due to more authority and will power as compared to female. Further mostly the age was from 20-25 years because in this age the persons are not so much mature. Another result was also assessed that most of the mortalities are due to head injury. Keywords: Firearm injuries, Gender, Age, Forensic medicine, Sindh, Pakistan
Sleep Quality in Patients Presenting with Rheumatoid Arthritis at Tertiary Care Hospital, Islamabad
Authors: Punshi Avinash , Prithiani Soman , Das Talreja Mohan Lal Kirpal , Bai Komal , Rasheed Uzma , Bhaktiarpuri Avinash
Published: June 2023

Aim: To assess the sleep quality in patients presenting with rheumatoid arthritis. Study design: Cross-sectional study. Place and duration of study: Department of Rheumatology, PIMS, Islamabad from 1st September 2022 to 28th February 2023. Methodology: One hundred and forty-three patients with rheumatoid arthritis (RA) were enrolled. The age of the patients was between 40-80 years. The sleep quality was assessed in both groups and compared to assess the effect of rheumatoid arthritis on sleep quality. The patients were divided into two groups. Group A was those having non-optimal sleep duration. In contrast, group B was those who had optimal sleep duration. The sleep quality assessing tool Pittsburg Sleep Quality Index was applied to assess the disease activity and the patient's sleep quality. Disease activity was assessed using Visual Analogue Scale (VAS), Clinical Disease Activity Index (CDAI), and Health Assessment Questionnaire Disability Index (HAQ-DI). Result: The mean age of the patients was 51.2±9.61 years, with patients having a non-optimal sleep slightly younger than optimal. Most of the cases were females. Non-optimal sleep group has slightly higher disease activity than the optimal sleep group. The optimal sleep was observed in only 44.2% of cases, while non-optimal sleep was observed in 55.8%. Higher sleep disturbance was observed in patients with high VAS and increased snoring and awakening short of breath with headaches. Practical implication: The significance of this study is providing factors associated with poor sleep quality in rheumatoid arthritis patients and thus assisting in generating management protocols of such cases for better health outcomes and sleep quality. Conclusion: Rheumatoid arthritis patients have an increased prevalence of non-optimal sleep strongly associated with increased pain levels. Keywords: Sleep quality, Rheumatoid arthritis, Tertiary care hospital
Learning Choices of Medical Students: An Experience from a Private Medical College in Lahore
Authors: Aslam Muhammad Sohail , Siddique Asma , Masood Atika , Warraich Neelofar Yousaf , Qamar Misbah-ul- , Sheikh Mariam
Published: June 2023

Aim: To determine the patterns of learning methods of undergraduate medical students. Study design: Descriptive cross-sectional study. Place and duration of study: Akhtar Saeed Medical & Dental College, Lahore from 15th November 2022 to 15th January 2023. Methodology: One hundred and six undergraduate medical students, comprising 54 males and 52 females. The questionnaire consisted of 16 items that identified four distinct learning choices: visual, aural, reading/writing and kinesthetic. Results: 14.33% students learned by seeing; 26.59%studied by hearing; 19.16%learned by reading/writing and 19.10% students liked to study by using physical methods.16.39% of students used bimodal sensory modalities and only 4.42% used more than one sensory modality for learning. The results of the study will help medical teaching faculty to modify their educational strategies in response to learning methods of their students. Conclusion: The valuable insight into students’ various approaches to learning and will help teachers to modify their teaching strategies. Keywords: Learning choices, VARK questionnaire, Medical students, Teaching strategies
Determination the Knowledge, Attitudes and Perceptions of Mothers (Caregiver) Towards Immunization of their Children in South Punjab Region of Pakistan
Authors: Abbas Syed Razi , Qadir Hamza , Naeem Tariq Hafiz Muhammad , Iqbal Samia
Published: June 2023

Aim: To assess the knowledge, attitudes and perceptions of mothers (caregiver) towards immunization of their children. Methodology: This community based cross-sectional KAP study was conducted in 15 UCs of south Punjab. Multistage random sampling technique, lottery method and bottleneck method was used to select the tehsils, UCs and households for the study. Households with children between eighteen to twenty-four months of age and Mothers/Caregivers with age between twenty to fifty years were included in the study. The semi-structured questionnaire was used to calculate the knowledge and attitude score of the study participants. Data were analyzed in SPSS version 25. Results: Parents/caregivers had good knowledge (50.80%), moderate knowledge (42.40%) and poor knowledge (6.80%)regarding routine immunization. Also, parents/caregivers had a positive attitude (86.40%), neutral attitude (8.70%) and negative attitude (4.90%).The majority of children (67.40%) were fully immunized followed by partially immunized children (25.80%) and non-immunized children (6.80%). Conclusion: The study concluded that parents were well aware regarding immunization and its health-related outcomes and showed positive attitude towards immunization. Majority of the children were completely immunized for all the childhood vaccine preventable diseases and the ratio of non-immunized children was very low as compared to completely and partially immunized population have awareness regarding immunization. Keywords: Knowledge, attitude, practice, Southern Punjab, Pakistan, Developing Country
Prevalence of Urinary Incontinence among Pregnant Women of Multan City
Authors: Iqbal Hira , Zafar Saman , Aslam Nida , Asif Namra , Almas Sabir Hafiz Muhammad , Saleem Iqra , Sabir Nimra
Published: June 2023

Background: Incontinence of urine (UI) is a type of lower urinary tract dysfunction that can occur when the natural urination process is disrupted. During pregnancy, incontinence, particularly stress UI, is a common issue. Aim: To identifying the prevalence, factors associated, and the effects of UI throughout pregnancy on health-related QoL. Methods: A cross - sectional descriptive research was carried out. 220 pregnant women who were attending an outpatient clinic at one of the hospitals in Multan were included in the study. As a means of measuring the results, the ICIQ—International Consultation on Incontinence Questionnaire—was utilized. The Questionnaire was distributed among pregnant women, and researcher filled the questionnaire by asking questions to them according to their response. Results: UI was present in 48(21.81%) of the study population. According to a frequency distribution analysis of urine incontinence in females, those b/w 29& 28 years of age, who have a B.M.I of range 18. 5 to 24.9 kg/m2 exhibit the most severe incontinence. Chi square test showed that p value is below 0.05 and study concluded that there is a statistically significant association between urinary incontinence and gravida, as well as between urinary incontinence and trimester.Understanding the prevalence of this condition can help healthcare providers to identify the risk factors associated with urinary incontinence in pregnant women and develop targeted interventions to prevent or manage the condition. Conclusion: UI occurs frequently in expectant mothers.Study concluded that there is a statistically significant association between urinary incontinence and gravida, as well as between urinary incontinence and trimester, among pregnant women in Multan CityA higher risk of UI throughout pregnancy was linked to age, the week of gestation & parity. Keywords: Pregnancy; Prevalence; Quality of life; Urinary incontinence
Determination of Anemia Iron Deficiency Anemia and β-thalassemia during Pregnancy
Authors: Batool Shazia , Sheraz Syeda Tahira , Noor Amna , Wasim Tayyaba , Javed Sana , Sial Ayesha Hussain
Published: June 2023

Aim: To observe the frequency of anemia, iron deficiency anemia and β-thalassemia during pregnancy. Study type, setting & duration: This cross sectional study was undertaken at antenatal clinic of gynecology, Unit V of Lady Aitcheson Hospital Lahore from October 2018 to March 2019. Methodology: The study was commenced after formal written permission. A total of 310 pregnant women were included in this study andtheir demographic information was taken on predesigned Performa. Blood samples from all females were collected from the peripheral vein of upper limb and was sent to hospital laboratory for analysis of Hemoglobin and other necessary parameters. All female were labeled as iron deficiency anemia or β thalassaemia as per operational definition. Data was entered and analyzed in SPSS. Results: Mean age of females was 26.23± 5.26 years and mean gestational age was remained to be 16.632±10.62 weeks. The mean hemoglobin 8.55±2.10 g/dl, mean iron binding capacity was 13.07 ± 6.55 µg/dl and mean serum ferritin was 43.50 ± 76.93 µg/L. Anemia was seen in 270(87.1%), iron deficiency anemia was diagnosed in 239(77.1%) while β thalassemia was seen in 29(9.4%) of the pregnant women. There was significant association between parity with anemia and β thalassemia, p-value < 0.05. While iron deficiency anemia was not associated with parity. Conclusion: Anemia, iron deficiency anemia and β-thalassemia are much high and require recognition at early gestations. Various factors are reported to be involved which may be controlled by early supplementation. Keywords: Anemia, Iron deficiency, β-thalassemia, pregnancy, trimester, parity.
Estimación del volumen de agua en la represa La Esperanza (Manabí, Ecuador), utilizando batimetría y sistemas de información geográfica
Authors: Velásquez Intriago Francisco Javier , Alcántara Bosa Francisco Alejandro , Cabrera Estupiñan Eric , Bazurto Meza Leonardo Sebastian
Published: June 2023

El presente estudio consistió en la determinación del volumen de explotación en el embalse La Esperanza mediante el método batimétrico de posicionamiento 3D, utilizando ecosonda Garmin echoMAP™ en conjunto con la aplicación de sistemas de información geográfica (SIG). Se acopló un modelo digital de elevación “DEM” de resolución 12,5 m x 12,5 m, descargado del satélite ALOS PALSAR para obtener el área y relieve topográfico digital de la cuenca. Además, se estimaron dos ecuaciones polinómicas en función del nivel, volumen y área del embalse, mediante un análisis de regresión por el que se obtuvo un volumen máximo de explotación de 428,64 Hm3 (cota 66 m.s.n.m.), con una extensión del espejo de agua de 2.348,55 ha. En conclusión, la determinación del volumen con dispositivos tecnológicos y software de construcción cartográfica es una parte clave del diagnóstico en la gestión del agua e imprescindible en el análisis para la correcta gestión del volumen embalsado en la represa La Esperanza.
Estado del conocimiento taxonómico de los poliquetos bentónicos de Ecuador continental
Authors: Soledispa Macias Jordy , Ramos Veliz John
Published: June 2023

Este estudio tiene como objeto proporcionar una actualización del conocimiento de poliquetos bentónicos registrados en Ecuador Continental. Se realizó una revisión de la información disponible sobre especies registradas desde 1865 hasta el 2020, de lo cual, se obtuvo el número de géneros y especies por familias proporcionando un listado de poliquetos bentónicos para el país. Se han reportado 143 especies en total, en donde, 20 han sido registradas anteriormente con su sinonimia. Existe un importante aumento en la biodiversidad de poliquetos para el país y su taxonomía ha tenido muchas controversias, lo que se ve reflejado en ciertas familias. Se menciona que, El Golfo de Guayaquil es el área donde se ha encontrado un mayor número de registros de poliquetos. Con las nuevas tecnologías y disponibilidad de información, se podría incrementar este dato; es necesario considerar la distribución biogeográfica de las especies para una mejor identificación, además de, con ayuda de análisis de ADN y la opinión de especialistas, esto permitiría realizar una actualización viable sobre el conocimiento taxonómico de las especies de poliquetos para Ecuador.
PENGARUH PENGGUNAAN PHYPHOX BERBASIS INKUIRI TERBIMBING TERHADAP HASIL BELAJAR FISIKA MAHASISWA
Authors: Valerius Andre , Marianus Marianus , Dungus Ferdy
Published: June 2023

The Physics learning process in this digital era still has many obstacles including limited laboratory equipment and media to facilitate physics learning. During the Covid-19 pandemic, using Phyphox as a physics learning media on Simple Harmonic Motion material is still lacking. This study aims to determine the effect of using the Phyphox application based on guided inquiry on student physics learning outcomes on simple pendulum material. This research is experimental research with one group pretest & posttest design. The population is physics students of Universitas Negeri Manado, and the sample is the Class of 2020. Analysis of the data obtained shows that there is an influence on the use of guided inquiry-based Phyphox on physics learning outcomes in physics student’s class of 2020. Based on the results of the average pre-test and post-test data, which increased from 59.33 -82.00. The t-test results obtained the value of tcount = 7.982 and tTabel = 1.761 with a significant level of 5%. therefore tcount < tTabel (-7.982 < 1.761) then: H0 is accepted and H1 is rejected. So, it can be concluded that with the application of the use of Phyphox applications can further improve student physics learning outcomes.
PENGARUH MODEL PEMBELAJARAN INQUIRY TRAINING MENGGUNAKAN MEDIA PhET TERHADAP KETERAMPILAN PROSES SAINS SISWA
Authors: Mahulae Parno
Published: June 2023

The purpose of this study was to: analyze whether the results of students' science process skills using the inquiry training learning model were better than conventional learning. This research was a quasi-experimental study with a two-group pretest-posttest design. The research population was all class X students of SMA Negeri 19 Medan in the even semester of the 2021/2022 academic year. Sampling was determined by random cluster sampling with two classes consisting of 66 students. Class X-2 as an experimental class with a scientific inquiry learning model totaling 33 students, class X-1 as a control class with conventional learning totaling 33 students. The research instrument used a science process skills description test that was valid and reliable. The results of data analysis using two-way Anava. The results showed that the science process skills of students using the inquiry training learning model were better than conventional learning.
Comparison of dynamic compression screw with trochanteric stabilization plate vs proximal femoral nail in intertrochanteric fracture
Authors: Nawaz Asif , Rehman Noor , Kamran Aamir , Anwar Waseem
Published: June 2023

Background: Fracture of hip is long considered a major contributor to disability. Unstable trochanteric fractures with coronal split continue to be a challenge for orthopaedic surgeons. Objective: Comparison of dynamic compression screw with trochanteric stabilization plate vs proximal femoral nail in intertrochanteric fracture. Methodology: The current study was prospective cohort study, carried out at the Department of Orthopedic Surgery, Hayatabad Medical Complex, Peshawar for duration of six months after approval of synopsis. Patients were divided into two groups each having 63 patients. Group DHS/TSP was treated by Dynamic hip screw with Trochanteric Stabilizing Plates and Group PFN was treated by Proximal Femoral nail. On each visit X-ray of hip Harris Hip Score was calculated. Data was analyzed by statistical analysis program (IBM-SPSS.Version.23). Results: In the current study, a total of 126 patients were enrolled. There were 63 patients in DHS/TSP group and 63 in PFN group. The mean age (SD) in DHS/TSP group was 56 (8.14) years while the mean age (SD) in PFN group was 58 (7.25) years. The mean (SD) incision length in DHS/TSP group was 7.60 (0.8) cm while in PFN group it was 4.68 (0.49) cm.
Human Rights Protection of Detainees and Victims? Is Mauritius Falling Behind?
Authors: Fulena Viraj , Chittoo Hemant B.
Published: June 2023

This paper examines the issue of human rights protection for detainees and victims in Mauritius and analyzes whether the country is falling behind in this area. There are significant gaps in human rights protection for detainees and victims in Mauritius, which need to be addressed by the government and civil society. The UK’s human rights mechanisms can play a crucial role in promoting and protecting human rights in Mauritius.
Individuals' Habits of Trust and Verification in Social Media News and their Literacy
Authors: GÜN-TOSİK Ezgi , BERTİZ Yasemin , HEBEBCİ Mustafa Tevfik
Published: June 2023

In this study, individuals' trust and verification of social media news and their digital literacy were examined according to the variables of gender, educational status and duration of social media engagement. 174 people participated in the study, which was designed with a cross-sectional scanning design. The results of t-test, ANOVA and Kruskall Wallis-H analysis revealed that gender made a significant difference in digital literacy, institutional and individual trust scores and that educational status produced the same effect in institutional and individual trust scores. According to the findings of the correlation analysis, while the duration of social media connections did not cause a significant difference in any of the variables.In addition, while the factors of trusting and verifying were related to each other at different levels, digital literacy was only associated with verifying.
Face-to-Face, Online or Hybrid, Which Model is Preferred by University Students And Why?
Authors: HOTAR Nükhet , ÖZCAN Mehmet Ali , BARAN Bahar , KARAGÖZ Emre , GÜNEY Lütfiye Özge
Published: June 2023

Teaching model preferences of current university students and the factors explaining them indicate educators and decision makers how to design future higher education system. The literatüre indicates the importance of teaching, social and cognitive presence, gender and experience for sustainability of online environments. Therefore, this study aims to examine to what degree university students' experiences and opinions affect their teaching model preferences (face-to-face, online, hybrid). 5504 university students participated to the study and the data were collected by an online questionnaire. gender, opinions about the complexity of the learning management system, the sufficiency of digital materials, knowing how to solve problems during online learning, course participation preferences, online teaching methods (synchronous, asynchronous, both) preferences and teaching, social and cognitive presence levels are the factors of the study. Two-way contingency table analyses using Pearson \chi^2 and multinomial logistic regression model (MLR) were applied to determine the factors affecting the teaching model preferences. The results indicated that 71.2 prefered online supported methods (online, hybrid) while only 25.8% preferred wholly face to face methods. Interestingly, more than half of the females preferred face-to-face and hybrid, while more than half of the males preferred online education. the teaching preferences of the students are dependent of the determined variables and Community of Inquiry elements that addressed in this study.
Examination of pre-service teachers' experiences in teaching practice with distance education
Authors: DEMİR Fehmi , ÇATAK Muzaffer
Published: June 2023

The COVID-19 epidemic, which affects the functioning of institutions in almost every field, has also affected pre-service teacher education. In this process, unlike the traditional practice, pre-service teachers carried out the teaching practice with distance education. However, since the application was sudden, urgent and new, it could not be adequately evaluated. In this research, it is aimed to examine the pre-service teachers’ experiences of teaching practice with distance education in the COVID-19 process. The research was designed as a case study. Research data were obtained by semi-structured interview and observation forms. The collected data were analyzed with descriptive, and content analysis methods. The participants are seven pre-service teachers and two practice teachers who guide these candidates. According to the results of the research, it has been revealed that pre-service teachers give distance education according to their own possibilities and adapt to the process in teaching practice. However, it was determined that they faced some problems in preparation, classroom management, teaching process and using technology. It is expected that future applications will be more effective if pre-service teachers receive training on distance education, are supported with distance education tools, and their infrastructure problems are resolved.
Cyber Terror Threats Against Nuclear Power Plants
Authors: KURU Hüseyin
Published: June 2023

After the Cold War period, with the restructuring of the world, globalization, the revolution in information technology and the reconstruction of capitalism have created a new type of society, the "network society". The dependence of countries on information technologies, especially the internet, has increased day by day, and it has become almost impossible for individuals, state institutions and private companies to continue their activities independently of cyberspace, which is described as the fifth operational area. This situation has made it a critical priority to ensure the physical and cyber security of nuclear power plants, which carry the energy burden of the societies and at the same time pose great security risks. In this period, states, state-sponsored and radical terrorist groups that wanted to close the power deficit against military and economically strong states, started to develop asymmetric methods of struggle. In the end new threat vectors such as cyber terrorism have emerged and states that have moved many institutions and services to cyberspace have become more vulnerable to malicious attacks and terrorist activities. In this study, the concept of terrorism and cyber terrorism have been examined and focused on the SCADA systems of nuclear power plants and in the last section cyber security of these systems have been evaluated. This Implementation of this model aims to simplify the process for all organizations in the Nuclear Sector—regardless of their size, cybersecurity risk, or current level of cybersecurity sophistication—to apply the principles and best practices of risk management. Ultimately, the framework and this implementation model are focused on helping individual organizations reduce and better manage their cybersecurity risks, contributing to a more secure and resilient sector overall.
Social Network Usage Related to Science Learning Approaches: Instagram
Authors: ERDOĞDU Funda , AYDIN ŞENGÜL Özge
Published: June 2023

This study aimed to determine the opinions of science teacher candidates about their experiences in the process by examining the effect of using Instagram in online learning environments on the sense of community. The study involved 41 teacher candidates, 21 in the experimental group and 20 in the control group. Convergent parallel design, one of the mixed-method designs that quantitative and qualitative research methods, was used in the study. The "Community Feeling Scale in Online Environments", "Structured interview form" and "Teacher candidates' diaries" were used for the data collection. Descriptive statistics and independent groups t-test methods were used for the analysis of the quantitative data and content analysis technique was used for the qualitative data. The quantitative findings revealed a significant difference in favour of the experimental group in the post-test scores of the teacher candidates between the experimental and control groups. It has been concluded that the use of Instagram in the learning environment has a positive effect on the sense of community in online learning so that teacher candidates can communicate with each other and with the instructor. According to the qualitative findings, the teacher candidates stated that the quality of these posts is guiding, clear, and precise. They stated that the posts enhanced the intelligibility, made the learning easier, and guided the process. In conclusion, it has been revealed with quantitative and qualitative findings that the posts related to various approaches used in science teaching using Instagram support the sense of community in online learning environments of science teacher candidates.
The Effect of Interactive Videos on Volleyball Education
Authors: TABAN Zeynep , İMAMOĞLU Mehmet
Published: June 2023

This study aimed to examine the effect of interactive videos on volleyball education, and the effects of gender and grade level on volleyball knowledge level were evaluated. A total of 105 (43 boys and 62 girls) fifth and sixth-grade students participated in the study. Participants were divided into three groups: Interactive Video Group (IVG), Video Group (VG), and Control Group (CG). The volleyball education program consisting of seven videos for two weeks was applied to the experimental groups. Interactive videos include single or multiple-choice questions, true-false statements, and drag and drop activities. ADDIE Model was used in instructional design. Gender has no effect on volleyball knowledge level (p>.05), but grade level has an effect in favor of sixth graders (p