bluuebunny/crossref_metadata_2025 huggingface dataset:
Enhancing Patient Quality of Life Following Percutaneous Coronary Intervention: An Examination of the Information-Motivation-Behavioral Skills Model
Authors: Vagharseyyedin Seyyed Abolfazl , Ghorbanimoghadam Zahra , Tabiee Shahnaz
Published: March 2024

Background: Ischemic heart disease stands as the foremost cause of death among cardiovascular conditions. The most commonly employed revascularization method for treating ischemic heart disease is percutaneous coronary intervention (PCI). An improvement in the patient's quality of life frequently serves as the primary measure of PCI's success. Objectives: The purpose of this study was to assess the impact of an educational program grounded in the information-motivation-behavioral skills (IMB) model on the quality of life of patients who have undergone PCI. Methods: This quasi-experimental study involved 84 patients selected from those referred to the Cardiovascular Clinic of Razi Hospital in Birjand city, located in eastern Khorasan. Participants were required to fill out a demographics form and the Short Form of the Quality-of-Life Questionnaire (SF-12). They were then divided into an intervention group (n = 42) and a control group (n = 42) through the use of the permuted block method. Those in the intervention group participated in a 6-week educational program (meeting once weekly) designed around the IMB model. The control group received the standard care available at the Cardiovascular Clinic. Both groups were asked to return to the Cardiology Clinic 6 weeks after the initial test to complete the SF-12 (posttest). All participants were surveyed again one month after the second questionnaire completion (follow-up). Results: The intervention group showed a significant increase in the mean score of physical health immediately and one month after the intervention, compared to the pretest scores (P = 0.001 and P = 0.004, respectively). Furthermore, the mean posttest score for psychological health in the intervention group significantly improved compared to the pretest (P < 0.001), and their follow-up score improved significantly compared to the posttest score (P = 0.02). There were no significant changes in the mean scores for physical and psychological health in the control group over time (P > 0.05). Conclusions: This study indicates that the quality of life for patients post-PCI can be significantly improved through participation in an educational program based on the IMB model. This research provides a foundation for the development of interventions with more enduring effects on post-PCI patient outcomes.
Level of Adherence to Dual Anti-platelet Therapy at 6 and 12 Months After Coronary Stenting; The Impact on Post-angioplasty Cardiovascular Events
Authors: Alizadehasl Azin , Saadat Habibollah , Bahramnejad Alia , Dousti Amir
Published: March 2024

Background: Dual antiplatelet therapy (DAPT) following coronary stenting is used to prevent thromboembolic events. Dual antiplatelet therapy discontinuation and poor compliance to the antiplatelet drugs are common and results in various complication, most importantly cardiovascular events. Objectives: Here, we designated a cross-sectional study to evaluate the association of DAPT adherence and post-angioplasty cardiovascular events. Methods: A total of 150 adult patients from Modarres Hospital undergoing successful stent implantation were included and adherence to DAPT following angioplasty were determined via telephone at 6 and 12 months by Persian version of the 8-item Morisky Medication Adherence Scale (MMAS-8). We also recorded the occurrence of ST segment elevation myocardial infarction (STEMI), acute coronary syndrome (ACS), coronary artery bypass grafting (CABG) and re-angioplasty 6- and 12-months following discharge. Results: During the trial, 50 patients were lost to follow-up due to failure to complete the MMAS-8 check list. We analyzed the association of STEMI, ACS, CABG and re-angioplasty with the level of DAPT adherence 6 and 12-month post-angioplasty. Our data suggested an important association of low and high DAPT adherence with lower cardiovascular events at 12 months post- Percutaneous Coronary intervention (PCI). However, at 6 months post-PCI, there was a minor cardiovascular event in patients with moderate DAPT adherence. Conclusions: Here, we observed a significant association of drug adherence along with patient’s risk factors in a course of antiplatelet therapy following coronary stenting.
Revitalizing Your Skin: The Power of Microneedling with PRP for Pigmentation Reduction
Authors: Shahraki Mehrdad , Khazaei Amir Hossein , Amirpour Haradasht Sadra
Published: March 2024

: Treating facial pigmentation disorders has become controversial, with patients requesting less invasive and more effective treatments that minimize side effects. Microneedling, combined with platelet-rich plasma (PRP), has recently emerged as a common treatment in the field of aesthetic medicine, with numerous articles highlighting its use in restorative treatments and its effectiveness. However, there have been no reports to date on the use of this technique for addressing facial pigmentation disorders. In this article, we present a successful case study utilizing microneedling in combination with PRP to eliminate facial pigmentation. Based on the available evidence, it appears that this treatment approach is highly effective and carries minimal risk of side effects when used to address facial pigmentation.
The Mediating Role of Social Health in the Relationships Between Depression, Lifestyle, and Control Over Negative Thoughts Among Mothers of Children with Intellectual Disabilities
Authors: Samadpour Javaheri Mahasti , Bavi Sasan , Hooman Farzaneh
Published: March 2024

Background: Caring for children with intellectual disabilities presents physical and emotional challenges for mothers, who may experience increased depression as a result. Objectives: This study aimed to explore the mediating role of social health in the association between depression, lifestyle, and control over negative thoughts among mothers of children with intellectual disabilities. Methods: In this descriptive correlational study, the research population comprised mothers of children with intellectual disabilities in Tehran in 2020. A sample of 213 mothers was selected via convenience sampling according to the number of variables under investigation. Data collection tools included the Beck Depression Inventory, Thought Control Questionnaire, Lifestyle Assessment Inventory, and Social Well-being Scale. Structural equation modeling was utilized to assess the proposed model. Results: There was a significant direct and inverse relationship between control over negative thoughts and depression, as well as between social health and depression, among mothers of children with intellectual disabilities (P < 0.001). The findings indicated a significant positive relationship between control over negative thoughts and social health and between lifestyle and social health (P < 0.001). No significant relationship was found between lifestyle and depression. The study also revealed a significant indirect relationship between control over negative thoughts and depression, mediated by social health. Similarly, the association between lifestyle and depression, mediated by social health, was significant (P < 0.001). Conclusions: The model demonstrated a strong fit and can inform the creation and implementation of interventions aimed at alleviating stress and reducing depression among these mothers.
Method for calculating the strength of massive structural elements in the general case of their stress-strain state (kinematic method)
Authors: Новоселов О.Г. , Сабитов Л.С. , Сибгатуллин К.Э. , Сибгатуллин Э.С. , Клюев А.В. , Клюев С.В. , Шорстова Е.С.
Published: March 2024

предложен вариант кинематического метода теории предельного равновесия; рассматриваются массивные элементы конструкций, материал которых, в общем случае, анизотропный. Принята жесткопластическая модель деформируемого твердого тела. Принято допущение, что массивные элементы конструкций разрушаются путем разделения на части, которые относительно мало деформируются («абсолютно жесткие конечные элементы»,АЖКЭ) и имеют 6 степенней свободы в трехмерном пространстве. Процесс разрушения материала идет по бесконечно тонким обобщенным поверхностям разрушения (ОПР), на которых учитывается работа всех действующих внутренних силовых факторов (ВСФ) – 9-ти сил и 9-ти моментов. Рассмотрены тела из однородных изотропных материалов, сопротивляющихся по-разному растяжению и сжатию. Поверхности прочности в пространстве ВСФ описываются соответствующими параметрическими уравнениями. С использованием уравнения равновесия в форме Лагранжа и принципа максимума Мизеса, а также предложенных параметрических уравнений предельной поверхности, задача определения минимального значения параметра кинематический возможной нагрузки сведена к стандартной задаче линейного программирования (ЛП), которая решается с использованием симплекс-метода.

Abstract: a variant of the kinematic method of the theory of limit equilibrium is proposed; massive structural elements are considered, the material of which, in the general case, is anisotropic. A rigid-plastic model of a deformable solid body is adopted. It is assumed that massive structural elements are destroyed by dividing into parts that deform relatively little (“absolutely rigid finite elements”, ARFE) and have 6 degrees of freedom in three-dimensional space. The process of destruction of the material goes along infinitely thin generalized destruction surfaces (GDS), on which the work of all acting internal force factors (IFF) is taken into account – 9 forces and 9 moments. Bodies made of homogeneous isotropic materials that resist tension and compression in different ways are considered. The strength surfaces in the IFF space are described by the corresponding parametric equations. Using the equilibrium equation in the Lagrange form and the Mises maximum principle, as well as the proposed parametric equations of the limiting surface, the problem of determining the minimum value of the possible kinematic parameter of the load is reduced to a standard linear programming problem (LP), which is solved using the simplex method.
Reflections
Authors: Quain David
Published: March 2024

This issue of Reflections recognises the hardy group of peer reviewers that support and drive the publication of papers in the Journal. It’s a hackneyed expression but these folk do make a difference. They deserve our huge thanks. As the first issue of the year, it is also ‘numbers’ time looking back at the metrics for the first year of the ‘new’ JIB. The publications in 2023 came from ten countries demonstrating the global nature of research into malting, brewing and distilling. Google Analytics shows there were nigh on 5000 visitors to the Journal website, from 111 countries with 29% originating from the USA, 27% from the UK, 13% from China and 7% from Germany. Of the 16 papers, four editorials and one letter to the Editor there were > 11,000 views of abstracts and > 6,100 downloads of pdfs.  Finally, there is an update on the KPIs that track the time for steps in the process and compares them with 2023.
Cardiac Memory T Waves After Termination of Fascicular Ventricular Tachycardia in the Emergency Room
Authors: Kara Suleyman Cihan , Canpolat Uğur
Published: March 2024

Left posterior fascicular tachycardia (LPFVT) is a common type of idiopathic ventricular tachycardia that might be misdiagnosed as supraventricular tachycardia. Memory T wave is an inverted T wave that is seen after altered depolarization states such as pacemaker rhythm, ablated accessory pathways, ventricular tachycardia, or intermittent bundle branch blocks. Herein, we presented a young male patient who was admitted to the emergency room with FVT. After termination of tachycardia negative T waves (memory T wave) were seen. Memory T waves might be seen after the termination of FVT and must be differentiated from other causes of inverted T waves such as ischemia.
Mapping on Islamic Microfinance Research: Lesson Learn from Indonesia and Turkey
Authors: Khairunnisa Hasna Luthfi , Rusydiana Aam Slamet
Published: March 2024

This study reviews the scientific literature on Islamic microfinance in Scopus-indexed journals. This analysis uses descriptive statistical analysis based on 345 papers from 2007 to 2023 related to the theme of Islamic microfinance. The export data was then processed and analyzed using the R-Biblioshiny application program to determine bibliometric visualization maps and topic trends in scientific literature. This bibliometric mapping research shows the mapping of sources, authors, affiliations, countries, documents, keywords, and thematic maps. This research finds that Islamic microfinance is essential in financial relations and sustainable development because it aligns with Islamic principles and encourages inclusive economic growth. In addition, this research also discusses more about Islamic microfinance from Indonesia and Turkey.
Early outcomes of fenestrated and/or branched endovascular repair of complex aortic aneurysms (F/B-EVAR); A single-center experience
Authors: Tzimkas-Dakis Konstantinos , Matsagkas Miltiadis , Kouvelos George , Spanos Konstantinos , Bareka Metaxia , Chaidoulis Athanasios , Arnaoutoglou Eleni , Giannoukas Athanasios
Published: March 2024

Background: Open surgical repair of juxta-, para- and thoracoabdominal aortic aneurysms (TAAA) has been the gold-standard for patients fit for surgery. However, endovascular repair of complex aortic aneurysms using devices implementing directional branches or fenestrations for incorporation of reno-visceral target vessels (TV) has gained widespread attention, due to its lower mortality and complication rate and its more attractive profile for high-risk patients. Nonetheless, complex endovascular technologies require meticulous abidance to protocols for successful application.
Methods: A retrospective analysis of prospectively collected data from a single, tertiary center was undertaken, including all patients undergoing complex aortic endovascular repair with fenestrated (F-EVAR) of branched devices (B-EVAR) from a 5-year time period (2018-2023). Primary outcomes included 30-day mortality, while secondary outcomes included primary TV patency, acute kidney injury (AKI), spinal cord ischemia (SCI), myocardial infarction (MI) and stroke rates.
Results: Of 74 patients (mean age: 69 ± 5.6 years-old, 98% males), 31 (42.6) and 43 (57.6%) were treated by F-EVAR and B-EVAR, respectively.  Mean aneurysm diameter was 68 ± 1.8cm, with 15 (20.5%) juxtarenal AAA, 27 (35.6%) pararenal AAA, 16 (21.9%) type IV TAAA, 6 (8.2%) type III TAAA, and 10 (13.7%) type II TAAA treated.  Sixteen (21.6%) patients were treated due to failed-EVAR. In total, 272 TV were successfully revascularized. Thirty-day mortality was 8.1%. Primary TV patency rate was 99.2% (270/272). Endoleak rate was 8.1% (6/74). No cases of AKI or MI were observed. One (1.3%) case of hemorrhagic stroke was observed. Three cases (4%) of SCI were observed, including one temporary paraparesis and two permanent paraplegia cases. Reintervention rate was 5.4%, including two cases of renal artery stent thrombosis revascularization procedures.
Conclusions: Endovascular repair of complex aortic aneurysms is feasible, with good perioperative outcomes. Adherence to precise protocols covering every technical aspect of patient care is warranted for satisfactory outcomes.
PROCESS DESIGN AND ECONOMIC ANALYSIS OF TRADITIONAL SHEA BUTTER PRODUCTION IN NIGERIA
Authors: Mohammed I. Y. , Lilonfe S. , Abakr Y. A.
Published: March 2024

The promotion of agricultural diversification emerges as a critical component of broader strategies aimed at mitigating greenhouse gas emissions and fostering the development of sustainable production systems. Nigeria stands out as a significant exporter of shea butter, which play a vital contribution to poverty alleviation, particularly in rural areas through creation of opportunities for participation of local women in the shea butter industry using local technologies in sheanuts pre-processing, roasting, grinding, oil extraction and refining. However, this production route is said to be severely affecting the final product yield and quality in addition to possible significant impacts on the environment. Evaluation of this production pathway is necessary for identification of areas of resource inefficiency, such as excessive utility (water, energy) consumption, implementation of more efficient and eco-friendly production processes. This study presents a process design and economic analysis of the local technology for shea butter production using advanced process simulation software (Aspen Plus
® V11) and Aspen economic analyser following 1
st quarter 2018 price basis. The simulation result showed that nearly 230 kg/day shea butter could be produced from 1 tonne shea fruit, which translate to only about 23 wt%. Pulp, shell and cake representing waste streams account for approximately 70 wt%. Utility analysis revealed daily water footprint of 585kg and 500 kJ heating requirement/day with carbon emission of 63 kgCO
2. The economic evaluations of the entire process plant showed that the traditional technology requires approximately $1.70M capital cost and $0.066M operating cost/year for 25-year economic life of the project with net present value of $158M. This study suggests that the local shea butter production technology is profitable with a payback period of 7years. However, the technology generates huge amount of waste streams and have negative impact on the environment. Consequently, there is need to adopt best practices in the shea butter processing that will generate more income and promote environmental sustainability.
Petrol Fiyatının Dış Ticaret Üzerindeki Asimetrik Etkisi: Türkiye’den Kanıtlar
Authors: Demir Zehra , Karagöz Kadir
Published: March 2024

Petrol modern yaşamın en önemli girdilerinden biridir. Türkiye’nin petrol ve doğalgaz konusunda yüksek derecede dış kaynağa bağımlı olması ekonomik kırılganlığını daha da artırmaktadır. Bu nedenle petrol fiyatlarındaki dalgalanmalar birçok ekonomik gösterge açısından önem taşımaktadır. Bu çalışmada petrol fiyatlarındaki dalgalanmanın Türkiye’nin dış ticaret hacmi üzerindeki etkisi Ocak 2000-Aralık 2020 dönemine ilişkin veriler kullanılarak doğrusal olmayan (asimetrik) ARDL yöntemi ile araştırılmıştır. Bulgular Türkiye’nin dış ticaretinin hem ihracat hem ithalat açısından genel olarak petrol fiyatındaki artışlardan pozitif yönde etkilendiğini ortaya koymaktadır. Asimetrik etkileşim dikkate alındığında ise ihracat açısından toptan-perakende ticaret ile imalat sanayiinde, ithalat bakımından ise tarım dışında diğer sektörlerde uzun vadeli asimetrinin varlığına dair kanıtlar elde edilmiştir. Asimetrik ilişkiyi araştıran modellerde de petrol fiyatının dış ticarete pozitif etkisi genel olarak doğrulanmıştır.
Prevalence of dysmenorrhoea and its associated factors among female medical students at Kampala International University Western Campus
Authors:   Department of Medicine and Surgery, Kampala International University, Uganda., Namawejje Eseza Teopistar
Published: March 2024

The study aimed to determine the prevalence of dysmenorrhea and its associated factors among female medical students at Kampala international University–western campus. A descriptive cross sectional study design was conducted in order to determine the prevalence of dysmenorrhea and its associated factors among female medical students at Kampala International University Ishaka. A cross sectional study is chosen due to its ability to provide quantitative data. The study was conducted among female medical students that is; those offering certificate, diploma and bachelor nursing at Kampala International University western campus Ishaka. The study sampled 259 respondents to represent the whole population. The data collected was statistically analyzed and documented using Microsoft Excel. The excel file was imported into a software Statistical Package Social Sciences (SPSS) version 21. Among the respondents 6.9% had experience their first menstrual period at age of 12, 37.8% of the respondents experience at age of 12-14, 44.8% of the respondents experience at age 15-16 while 10.4% of the respondents experience at age of 16. It was concluded that prevalence of the dysmenorrhea is high in our study population. So, from the study it can be concluded that dysmenorrhea is a very common problem among girls, such high prevalence makes dysmenorrhea a significant public health problem among young students that demands some attention from policy makers. The recommended that enlightenment programmes should be organized periodically by the school health nurses on the various management strategies for menstrual disorders and how to use them effectively. Keywords: dysmenorrhea, menstrual period and disorders
Large Language Models and Knowledge Graphs: Ways to combine them
Authors: He Xuzeng
Published: March 2024

Latest findings in multiple research directions for tackling reasoning and common sense challenges Author: Xuzeng He (

ORCID:

0009–0005–7317–7426) Knowledge Graphs, such as Wikidata, contain rich relational information between entities and have been widely used as a structured format for storing and representing relational information.
Subset selection: mind the complexity
Authors: Willighagen Egon
Published: March 2024

In a recent JCIM article, Schuffenhauer compares a few subset selection methods, and notes that some of them reduce the average complexity of the molecules. They put this in relation to other research that states that lead compounds with high complexity have higher activities. Recommended reading material for the holidays.
USPTO considers open source software prior art
Authors: Willighagen Egon
Published: March 2024

This is the best news I heard in weeks! The US Patent and Trade Offfice spoke with open source representatives about ways to deal with open source software as prior art. Apparently, their problem was how to be sure about release dates of open source, and authoritative sites like SourceForge.net, FreshMeat.net help a lot here, which extensive logging of releases.
Detecting anomeric effects in tetrahedral carbon bearing four oxygen substituents.
Authors: Rzepa Henry
Published: March 2024

I have written a few times about the so-called “anomeric effect”, which relates to stereoelectronic interactions in molecules such as sugars bearing a tetrahedral carbon atom with at least two oxygen substituents. The effect can be detected when the two C-O bond lengths in such molecules are inspected, most obviously when one of these bonds has a very different length from the other.
The relationship between disciplinary and dismissal procedures in the labor law of the Republic of Serbia
Authors: Midžović Milica
Published: March 2024

In the labor law of the Republic of Serbia, in the general employment regime, the institute of disciplinary liability is regulated within the institute of termination of employment, i.e., legal provisions on termination of employment contracts due to violation of work obligations and non-compliance with work discipline. However, the process of establishing employees' liability for severe breaches of work obligations and failure to adhere to work discipline during the employment contract termination notice period may not constitute an adequate solution. Firstly, this is due to the relevant regulations not addressing, even at a fundamental level, the specifics of the disciplinary procedure. Instead, they establish liability for work obligation breaches and failure to comply with work discipline within the termination procedure, where disciplinary actions are also determined and applied. Given that the mechanisms that limit the abuse of the employer's disciplinary powers are significantly weakened, the author points out the necessity of re-examining the concept of disciplinary liability and disciplinary procedure. Although disciplinary and dismissal procedures have certain similarities, they are two distinct labor law institutes with different objectives. By applying the normative and comparative legal methods, and analyzing the results obtained through empirical research and case law, the author will present the observed problems related to the current regulation of these institutes and propose potential solutions de lege ferenda.
The influence of loyalty programs on loyal consumer behavior
Authors: Đukić Suzana , Sokolov-Mladenović Svetlana , Stanković Jelena
Published: March 2024

A dynamic business environment and intense competition require companies to create numerous incentives for consumers to keep them loyal. Various incentives are available to marketing managers. Their combination depends on the company's goals on the one hand and consumer characteristics on the other. Loyalty programs have traditionally been based on financial incentives aimed at the average consumer. The means on which modern loyalty programs are based are more diverse and complex, and are often based on information technology. They are focused on personalization, that is, the creation of incentives for the individual consumer and the dominant provision of hedonic and symbolic values. The goal of such programs is consumer loyalty to the company/brand, not to the program itself. Starting from the differences between traditional and modern consumer loyalty programs, the author's intention in the paper is to investigate the impact of both programs on consumer loyalty. The impact of traditional programs on consumer loyalty was investigated through financial benefits, flexibility and program reliability, and the impact of modern loyalty programs through personalization, social benefits and gamification. Additionally, the paper analyzed the moderating role of gender and age as consumer demographic characteristics on the degree of loyalty to the program itself and loyalty to the company/brand. Identified relationships between the investigated variables enabled a comparison with the results of existing research and the formulation of recommendations necessary for managing consumer loyalty.
Importance and role of formal marketing education: Academic and practitioner perceptions
Authors: Veljković Saša , Hristov-Stančić Branislava , Lazić Milena
Published: March 2024

The significance of education for the development of knowledge and skills in the field of marketing is undeniable, but there is a limited number of scientific studies addressing the alignment of formal education with the needs of contemporary marketing practices. This research aims to bridge the identified gap. To achieve this, two studies were conducted. The first study analyzed the offerings of marketing programs and courses in 165 accredited higher education institutions within the territory of the Republic of Serbia. The findings indicate that subjects such as marketing, strategic marketing, consumer behavior, and market research have maintained their leading positions in the curricula, with a noticeable trend of rapid development in other areas (e.g., digital, internet, and social media marketing). In the second study, the attitudes and perceptions of 117 members of the academic and business communities in the field of marketing were examined through surveys. The results reveal a consensus regarding the importance of specific knowledge, skills, and attitudes for working in marketing practice, as well as the necessity of specialized formal education for positions such as executive marketing director, brand manager, and marketing consultant. Conversely, significant differences were observed in the perception of the academic and business communities regarding the preparedness of graduates to apply marketing knowledge and skills practically. The research results provide insight into the state and prospects of marketing, as well as the effectiveness of formal education in equipping graduates with knowledge and skills aligned with the demands of contemporary marketing practice.
Health in the function of fitness promotion in Serbia
Authors: Ratković Milijanka , Dašić Dejan , Petronijević Svetlana
Published: March 2024

Physical exercise is crucial for maintaining good health and well-being. Scientific research on the impact of physical exercise on health is fundamental for advancing our understanding of the subject, informing public health policies, promoting evidence-based medical practices, and ultimately improving the health and well-being of individuals and communities. The basic goal of this research is to determine the relevance of the term health as a carrier of a promotional message on the fitness market in the Republic of Serbia. The paper used descriptive statistics to describe the sample, T test of independent samples, one-factor analysis of variance (ANOVA) and Pearson's correlation analysis to examine the relationship between variables. The research results showed that the primary focus of the promotional message should still be health. Apart from this, the research found that a significant number of fitness centers use Instagram as the primary social network, and that there is great promotional potential in the relationships that develop between employees and service users.
Policy Recommendation for Strengthening Capacity for Urban Disaster Management through Open and Distance Learning in Bangladesh
Authors:   Bangladesh Open University, Ahmad Saima
Published: March 2024

The adverse effects of climate change-induced geo-environmental changes have turned Bangladesh prone to intensifying recurring hazards like- floods, erratic rainfall, landslides, cyclones, storm surges, riverbank erosion, deforestation, droughts, and many more. Earthquake has also been identified as a hazard in Bangladesh. In addition, congested and unhealthy residential areas with high population density, inadequate infrastructural transport and communication facilities, and limited urban disaster management capabilities have been worsening the situation. The main theme of the study was to explore the ways of capacity building of disaster management in Dhaka City Corporation (DCC) through the Open and Distance Learning (ODL) approach offered by the School of Social Sciences, Humanities, and Languages (SSHL), Bangladesh Open University (BOU). The BOU has extensive access to communicate and spread knowledge to its large number of learners within the shortest possible time. Hence, the present research attempted to explore the prospects of the Open and Distance Learning (ODL) approach for strengthening the capacity of urban disaster management through BOU by forming skilled Urban Disaster Volunteer (UDV) teams in different parts of the DCC. Creating and incorporating an Urban Disaster Management (UDM) knowledge pool regarding the hazard and disaster modes, types, seasons, and patterns should be developed to strengthen the Urban Disaster Management Capacity (UDMC). A dynamic cooperation between the national policymakers and local stakeholders has to be accomplished to establish improved awareness through acquiring hazard and disaster-relevant knowledge, and the ability to cope with inevitable disasters.
Vulvar Cancer, Version 3.2024, NCCN Clinical Practice Guidelines in Oncology
Authors: Abu-Rustum Nadeem R. , Yashar Catheryn M. , Arend Rebecca , Barber Emma , Bradley Kristin , Brooks Rebecca , Campos Susana M. , Chino Junzo , Chon Hye Sook , Crispens Marta Ann , Damast Shari , Fisher Christine M. , Frederick Peter , Gaffney David K. , Gaillard Stephanie , Giuntoli Robert , Glaser Scott , Holmes Jordan , Howitt Brooke E. , Kendra Kari , Lea Jayanthi , Lee Nita , Mantia-Smaldone Gina , Mariani Andrea , Mutch David , Nagel Christa , Nekhlyudov Larissa , Podoll Mirna , Rodabaugh Kerry , Salani Ritu , Schorge John , Siedel Jean , Sisodia Rachel , Soliman Pamela , Ueda Stefanie , Urban Renata , Wethington Stephanie L. , Wyse Emily , Zanotti Kristine , McMillian Nicole , Espinosa Sara
Published: March 2024

Vulvar cancer is annually diagnosed in an estimated 6,470 individuals and the vast majority are histologically squamous cell carcinomas. Vulvar cancer accounts for 5% to 8% of gynecologic malignancies. Known risk factors for vulvar cancer include increasing age, infection with human papillomavirus, cigarette smoking, inflammatory conditions affecting the vulva, and immunodeficiency. Most vulvar neoplasias are diagnosed at early stages. Rarer histologies exist and include melanoma, extramammary Paget’s disease, Bartholin gland adenocarcinoma, verrucous carcinoma, basal cell carcinoma, and sarcoma. This manuscript discusses recommendations outlined in the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for treatments, surveillance, systemic therapy options, and gynecologic survivorship.
ADVANCING MENTAL HEALTH AWARENESS AND RESILIENCE IN ACCOUNTING STUDENTS
Authors: Ison Isaac , Shonhiwa Trevor , Hogan Mark
Published: March 2024

The purpose of this article is to discuss the state of mental health in accounting education. Based on a survey of 250 students at a medium size AACSB accredited university, we identify causes of mental health problems such as stress and depression, and offer suggestions for university administrators and faculty in their goal to foster increased mental health awareness. Such an environment is not only conducive to a positive learning culture, but could alsolead to a more passionate and engaged alumni base. Survey results indicated the biggest causes of stress for students are workload and concerns for grades. Paradoxically, only 2% of the respondents would approach a professor, and only 4% would approach anacademic advisor when facing these struggles. These results suggest an opportunity for university officials and faculty to play a more supportive role in the psychological and emotional well-being of students.
MANAJEMEN PENGUATAN PENDIDIKAN KARAKTER PESERTA DIDIK (STUDI KASUS DI SMK CIPTA KARYA PREMBUN)
Authors: MUNFINGAH
Published: March 2024

Pendidikan karakter menjadi program nasional sejak satu dasawara terakhir. Manajemen Pendidikan karakter di sekolah sebagai salah satu usaha dalam meminimalisir adanya ketimpangan Pendidikan melalui 5 nilai Pendidikan karakter yaitu: Religius, Nasilonalis, Mandiri, Gotong Royong, dan Integritas. Metode yang digunakan dalam penelitian ini adalah metode kualitatif dengan analisis deskriptif. Teknik pengumpulan data menggunakan observasi, wawancara dan dokumentasi. Hasil penelitian menunjukkan bahwa manajemen penguatan Pendidikan karakter di SMK Cipta Karya Prembun diawali dengan perencanaan yaitu dengan menyusun kurikulum yang diintegrasikan dengan program PPK dan menyusun tim PPK, pengorganisasian yaitu dengan pembagian tugas tambahan sebagai tim PPK, Pelaksanaan PPK sudah mencakup 5 nilai dan dilaksanakan dengan baik serta melibatkan seluruh elemen yang ada disekolah seperti kepala sekolah, guru, siswa, tenaga kependidikan dan wali siswa, sedangkan evaluasi dilakukan setiap semester, rapat bulanan dan kondisional jika evaluasi tersebut dibutuhkan. Secara keseluruhan pelaksanaan manajemen penguatan pendidikan karkater telah dilaksanakan dengan baik. Penguatan Pendidikan karakter memiliki peran yang sangat penting, karena perubahan perilaku peserta didik sebagai hasil dari proses Pendidikan karakter membutuhkan dukungan dan peran serta pemangku Pendidikan.
Determination of Nurses’ Stress Levels and Interpersonal Problem Solving Skills
Authors: Kara Özçalık Cennet , Mert Duygu
Published: March 2024

This study aims to identify the stress levels experienced by nurses in providing healthcare services and their interpersonal problem-solving skills. A cross-sectional design was employed, and data were collected between March and May 2023 via face-to-face interviews with participants who had provided written informed consent. One hundred twenty nurses participated voluntarily in this study by completing the Nurse Information Form, Interpersonal Problem-Solving Inventory, and Nurse Stress Scale. Information gathered indicated that the nurses had an average age of 28.58± 4.92 years, with 82.5% of respondents being female and 64.2% were single. Additionally, 66.7% had a bachelor’s degree, 50.8% had 1-5 years of professional experience, and 79.2% worked on a rotating shift schedule. Furthermore, 73.3 % of nurses chose their profession voluntarily, and 27.5% worked between 46-50 hours per week. The study discovered that nursing professionals have moderate stress levels and interpersonal problem-solving skills.
Evolution of Islamic Education Teachers' Competence in Indonesia
Authors: Siregar Zulfikar Ali Buto , . Jarudin
Published: March 2024

This research aims to outline a study that examines the historical development, current status, and future direction of Islamic education teacher competency in the Indonesian context. Using a qualitative method approach from interviews with educators, policymakers, and academics.  This report highlights the role of government initiatives and Islamic education institutions in improving teacher competency, focusing on areas such as pedagogical skills, subject matter expertise, and the integration of information and communications technology (ICT) in teaching.  The results of the research show that teachers must reflect uswah alhasanah, teachers do good deeds, have an educational orientation to worship for Allah, have a clear mind in daily life, have a pure heart, master in-depth religious knowledge (ulumuddiniyah), have the ability to educate intellectually (tarbiatul aqliyah), have the ability to educate the heart (tarbiyatul qulubiyah), have the ability to educate character (tarbiyatul khulukiyah), have the ability to educate physically (tarbiyatul jismiyah) and have the ability to educate socially (tarbiyatul ijtimaiyah). These findings indicate that although significant progress has been made in improving the competency of Islamic education teachers in Indonesia, continued efforts are needed to address emerging challenges and to ensure that teachers are equipped to provide high-quality, relevant, and inclusive education. This research contributes to the broader discourse regarding teacher competency in Islamic education, offering relevant insights for educators, policymakers, scholars, and stakeholders involved in religious education globally.
Differences in Anthropometric Traits and Trend of Changes in High School Students
Authors: Pavlovic Ratko , Mihajlovic Ilona , Idrizovic Kemal , Vrcic Mensur , Stankovic Daniel , Joksimovic Marko
Published: March 2024

Objectives: Anthropometric traits are closely related to health improvement as well as motor skills, psychological and sociological development. Therefore, the aim of this study was to investigate the differences in anthropometric traits of high school students and trend of changes among them. Methods: The anthropometric parameters including weight, height and body mass index (BMI) were measured in 60 male and female students, aged 17 ± 0.5 years. Descriptive statistics and t-independent test was used to analyze the data. Results: The results suggested that there were statistically significant differences in the height (t = 7.40; P < 0.000) and body weight (t = 3.62; P < 0.001) of male and female students, while no significant difference was found in BMI values in the two groups (t = -0.33, P > 0.001). In addition, it was suggested that 68% of male and female high school with mean BMI of 25 and 13 respectively, had normal nutrition status. 14.6% of male and 10.5% of female students had malnutrition. 21% of female students and 17% of male students had an excessive malnutrition. Conclusions: Although, today’s development is moving towards the advancement of technology, the life style especially nutrition status and physical activity needs to be seriously considered. However, mush research is needed to understand the effective factors on life style of different age groups especially students who are so involved in threaten of hypokinesian lifestyle.
In-silico Functional and Structural Annotation of Rheumatoid arthritis linked Gene and Protein
Authors: Shan Fazal , Rahat Awais , Khan Arbaz , Khan Muhammad Khalid , Ali Sajid , Ikram Mehik
Published: March 2024

Background: Rheumatoid arthritis (RA) is an autoimmune disease marked by chronic inflammation and immune system dysregulation. The Ankyrin repeat domain 55 (ANKRD55) gene, located on chromosome 5q11.2, has been associated with RA susceptibility. Understanding the gene and protein characteristics could illuminate pathways involved in RA and aid in the development of targeted therapies.
Objective: To conduct a detailed analysis of the ANKRD55 gene and protein, focusing on its structure, expression profile, functional domains, and polymorphisms, thereby establishing its role in RA and potential as a therapeutic target.
Methods: Using bioinformatics tools, we analyzed ANKRD55's genomic localization (NCBI), peptide sequences (Uniprot), physicochemical properties (Protparam Server), signal peptides (SignalP v4.1), transmembrane helices (TMHMM), and glycosylation sites (NetNGlyc 1.0). Polymorphism and methylation patterns were examined using PolyPhen and MethyCancer, respectively. Splice variants were identified, and protein-protein interaction networks were assessed (STRING database). Protein domains were characterized, including the prediction of RhoGAP domains. Structural modeling was conducted to identify potential drug-binding pockets with the DoGSite Scorer server.
Results: ANKRD55's expression was predominantly observed in the testis (RPKM 1.8) and to a lesser extent in lymph nodes (0.8), appendix (0.6), and brain (0.2). It encodes a 614-amino-acid protein with a molecular weight of approximately 68.4 kDa and a pI of 6.72. Six splice variants were identified, enriching the understanding of its potential isoform diversity. No significant N-glycosylation sites were predicted, and methylation analysis suggested a nuclear localization without DNA methylation sites. Structural analysis revealed drug-binding pockets with volumes ranging from 233.35 to 5389.58 A^3, with drug scores between 0.78 and 0.82.
Conclusion: The study concludes that while several factors contribute to student satisfaction in public sector medical colleges, infrastructure and facilities, along with quality instructional materials and clinical exposure, are key drivers. Enhancing these areas could lead to a more positive educational experience for students.
Prevalence of Low Back Pain in Medical Students due to Prolonged Sitting
Authors: Asad Ghania , Alam Muhammad Mahmood , Akhtar Muhammad Waseem , Gul Muhammad Mustafa , Zafar Maimoona , Sharif Shahbaz
Published: March 2024

Background: Low back pain (LBP) is a prevalent condition among medical students, attributed to their sedentary lifestyle and prolonged periods of sitting due to the demanding nature of medical education. This health concern not only affects their academic performance and quality of life but also has implications for their future professional practice in healthcare.
Objective: This study aims to determine the prevalence and severity of low back pain among medical students at Akhtar Saeed Medical and Dental College, Lahore, and to assess its impact on their daily functioning and academic activities.
Methods: A cross-sectional study was conducted over six months, involving 169 medical students aged 18-25 years from various programs (DPT, MBBS, BDS, Pharm-D). Participants were selected through stratified random sampling. The study utilized the Oswestry Disability Index and the Visual Analog Scale to measure the severity of LBP and its impact on daily activities. Data were analyzed using SPSS version 25 for descriptive and inferential statistics.
Results: Out of 169 participants, 56.8% reported experiencing LBP. Among those with LBP, 69.8% described their pain as mild, 27.1% as moderate, and 3.1% as severe. Regarding disability, 63.5% of the affected students reported minimal disability, 25% moderate disability, 7.3% severe disability, and 4% were crippled. The study highlighted a significant correlation between prolonged sitting and the incidence of LBP among medical students.
Conclusion: The high prevalence of low back pain among medical students at Akhtar Saeed Medical and Dental College indicates a need for targeted interventions. These include ergonomic adjustments, promotion of physical activity, and incorporation of musculoskeletal health education into medical curricula. Addressing these factors is essential for improving the health and academic performance of medical students and preparing them for healthier professional practices.
Efficacy of Mulligan MWMs along with Conventional Physical Therapy in Knee Osteoarthritis
Authors: Tabassum Hashira , Qaiser Fizzah , Bhatti Hira Nadeem , Ashraf Shahbaz , Ijaz Amoluk , Janjua Usman Iqbal , Hassan Syeda Mahnoor
Published: March 2024

Background: Knee osteoarthritis is a prevalent degenerative joint disease that impairs mobility and causes significant pain, particularly in the aging population. Conservative management, including physical therapy, remains a cornerstone of treatment. The addition of Mulligan Mobilization with Movement (MWM) to conventional therapy has been proposed to improve outcomes, though its efficacy had not been robustly quantified.
Objective: The objective of this study was to compare the efficacy of Mulligan MWM in conjunction with conventional physical therapy to conventional physical therapy alone in reducing pain and stiffness and improving functional outcomes in patients with grade 2 knee osteoarthritis.
Methods: This randomized clinical trial included 28 participants with grade 2 knee osteoarthritis, randomly allocated into two groups: one receiving Mulligan MWM alongside conventional physical therapy and the other receiving only conventional physical therapy. The intervention lasted one month, with assessments conducted at baseline, two weeks, and four weeks using the Visual Analogue Scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) as outcome measures. Statistical analysis was performed using SPSS version 25.
Results: The MWM plus physical therapy group exhibited a greater reduction in VAS scores (baseline: 6.71, SD 1.729 to week 4: 2.21, SD 1.051) compared to the physical therapy alone group (baseline: 7.14, SD 1.562 to week 4: 3.86, SD 0.663), with a significant mean difference (P<0.001). Similarly, WOMAC scores for pain, stiffness, and physical function significantly improved in the MWM group compared to the physical therapy group at week 4 (Pain: 2.79 vs. 6.86, Stiffness: 1.14 vs. 3.36, Function: 9.79 vs. 27.57, all P<0.001).
Conclusion: Mulligan MWM combined with conventional physical therapy was more effective than conventional physical therapy alone in reducing pain, stiffness, and improving functional outcomes in patients with grade 2 knee osteoarthritis. These results support the inclusion of MWM in the management of knee osteoarthritis.