bluuebunny/crossref_metadata_2025 huggingface dataset:
DENEYİMSEL PAZARLAMANIN MÜŞTERİ TATMİNİ ve MÜŞTERİ SADAKATİNE ETKİSİ: ERZURUM’DA KIŞ TURİZMİNE YÖNELİK HİZMET VEREN OTELLERDE UYGULAMALI BİR ARAŞTIRMA
Authors: ÖZER Meliha Nur , ÇUBUKCU Muhammed İhsan
Published: March 2023

Günümüzde işletmeler, rekabetin yoğunluğu, satış kanallarının artması-farklılaşması, zevk ve tercihlerin giderek değişime uğraması, satın alma davranışlarının sürekli değişmesi vb. sebeplerle müşterinin lider olduğu bir dünyada satış faaliyetlerini etkin bir şekilde gerçekleştirmek zorundadırlar. Bu doğrultuda günümüzde çok dikkat çeken gelişmelerden biri de geleneksel pazarlama fonksiyonlarının etkisinin azalması, tüketici deneyiminin de giderek önem kazanmasıdır. Tüketicilerin özellikle hizmet işletmelerindeki deneyimlerinden memnun kalması aynı işletmeyi tekrar tercih etmesini mümkün kılabilmektedir. Çalışmanın amacı; deneyimsel pazarlama modüllerinin, müşteri tatmini ve müşteri sadakati üzerindeki etkisini ölçmektir. Çalışmanın birinci bölümünde deneyimsel pazarlamanın teorik bilgilerine yer verilmiştir. Sonraki bölümde ise Erzurum ilinde kış turizmine yönelik faaliyet gösteren otel müşterilerine yönelik deneyimsel pazarlamayla ilgili uygulamalı bir araştırma gerçekleştirilmiştir. Araştırma, deneyimsel pazarlamaya yönelik geliştirilen bir ölçeğin otel müşterilerine uyarlanarak, yüz yüze anket yöntemiyle verilerin toplanması ve analiz edilmesiyle gerçekleştirilmiştir. Araştırma verilerinin analizinde SPSS programı kullanılmış, değişkenler kapsamında oluşturulan gruplar için t-testi, regresyon analizi ve ANOVA sonuçları yorumlanmıştır. Araştırma sonucunda duyusal, duygusal, ilişkisel ve davranışsal faktörlerin müşteri tatmini ve müşteri sadakati üzerinde istatistiksel olarak anlamlı sonuçlar doğurduğu tespit edilmiştir. Düşünsel faktörlerin ise müşteri tatmini üzerinde etkili olmadığı görülmüştür. Ayrıca duygusal, düşünsel, davranışsal ve ilişkisel faktörlerin müşteri sadakati üzerinde olumlu etkileri olduğu tespit edilmiştir. Müşteri tatmini ile müşteri sadakati arasında da pozitif yönlü bir ilişki olduğu belirlenmiştir. Otel işletmeleri deneyimsel pazarlama uygulamaları ile müşteri tatminini artırabilir ve müşteri sadakati oluşturabilirler.
Can the high intensity interval running in slope affect concurrently explosive strength performance?
Authors: Pereira Rocha Fernanda , Meireles Santos Tony , Oliveira-Silva Iransé , Albernaz Thiago , Querido Inacio Pedro Augusto , Barsanulfo Silvio Roberto , Coelho Silva Adriano , Sales Marcelo , Sardinha Leonardo Patrícia , Lopes-Martins Rodrigo Alvaro Brandão , De Conti Teixeira Gustavo , Santos Karllos Henrique , Machado Sérgio , Souza Sá Filho Alberto
Published: March 2023

Background: Physical exercise programs are typically composed of activities directed to the development of different physical abilities, usually stimulated in the same session. Objective: The aim of the study was to determine the effect of one session of aerobic exercise at high intensity to 1% and 10% gradient on the height (HJump) and kinematics of the depth jump (PExc - eccentric, concentric phase PCon, and contact time – CT). Methods: Twenty-five moderately trained men (VO2Max 53.2 ± 4.3 mL.kg-1.min-1) attended five visits in the laboratory. Familiarity with the procedures in depth jump, VO2Max measures and their velocity associated (VVO2Max), and time to exhaustion performance (TLim) were performed at two initial visits. Results: On the three subsequent visits, the volunteers were subjected to three maximum depth jumps before and 10 min after the following conditions: (1) running intervals at high intensity of 10% gradient (R10%), (2) at 1% gradient (R1%), and control condition (CON). The order of conditions was determined randomly. A running condition did not induce significant changes from HJump (R1% 1.1% vs 1.0% R10%) when expressed as percentage difference from the CON condition. The PExc, PCon, and CT also did not change after running sessions (P> 0.05). None of the intervals running strategies were able to generate significant change in height and kinematics of the vertical depth jump. Conclusion: The prescription of the running at VVO2Max in 1% or 10% gradient does not seem to lead to concurrent effect, is suggested to ensure the concomitant development of maximal aerobic power and explosive strength.
Different physiological, but similar affective responses, facing different workload quantification methods
Authors: Coelho Silva Adriano , Magalhães Sales Marcelo , Machado Sérgio , Ferreira Pedrosa Gustavo , Andre Barbosa de Lira Claudio , Augusto Querido Inacio Pedro , Pereira da Silva Rocha Fernanda , Rodrigues Vilela Gabriella , Carvalho Alessandro Oliveira , De Conti Teixeira Costa Gustavo , Sá Filho Alberto
Published: March 2023

Backgroung: The literature provides support for several different method by which it is possible to quantify, prescribe and control the aerobic workload. Objective: To compare physiological and the affective response among training methods prescribed by VO2 reserve, HR reserve, and rating of perceived exertion (RPE) self-adjusted. Methods: 27 participants were submitted to two trail sessions. In the 1st, a maximum treadmill effort test was performed to determine the VO2max. In the 2nd, the participants were randomly divided into 3 situations of 5 min, with 5 min interval among the situations. In situation 1 (C1), the participants ran at the velocity correspondent to 65% of the VO2 reserve; in situation 2 (C2), participants ran at 60% to 65% of HR reserve and in situation 3 (C3), the participants self-adjustment the velocity by a RPE scale, in a moderate effort (RPE 3-4). The level of body activation and the affective response were obtained pre and post-stimulus administered. An ANOVA was performed and the magnitude of the differences established, with a significance level of p ≤ 0.05. Results: There were no significant differences for velocity in the three situations (p = 0.458). The responses of HR induced by C1 and C3 were significantly higher vs. C2 (p = 0.027 and p = 0.043). The RPE did not show significant differences among the situations (p = 0.118). Finally, the level of activation and sensation perceived activity did not differ significantly (p = 0.168). Conclusion: It was concluded that the exercise responses from the HR reserve were significantly lower when compared to the VO2reserve and RPE. All prescription models provided similar affective responses.
Clinical case of development of thromboembolism after thyroidectomy with concomitant diseases
Authors: Styazhkina Svetlana N. , Kiryanov Nikolay A. , Zaitsev Dmitry V. , Tikhomirova Galiya I. , Fedulova Tatyana V. , Filonenko Maria V. , Shamilova Yazila F. , Rybakov Ivan V.
Published: March 2023

Objective. To study a clinical case after a planned thyroidectomy. Venous thromboembolism in the form of deep vein thrombosis or LE is the third most common in the world, being the second only to myocardial infarction and stroke. In epidemiological studies, the annual incidence of pulmonary embolism ranges from 39 to 115 persons per 100 000 of the population; for deep vein thrombosis, the incidence rates range from 53 to 162 per 100 000 of the population. The cross-sectional analysis data show that the frequency of venous thromboembolism is almost 8 times higher in persons over 80 years of age than in the fifth decade of life. Pulmonary embolism is a stop of blood flow in the branch of the pulmonary artery due to obstruction by a clot. The most frequent places of blood clots are the deep veins of the lower extremities. Risk factors for thromboembolism may be surgical operations, varicose veins, age, overweight. This is one of the most common and severe complications of the postoperative period. Our article considers a clinical example of the development of thromboembolism after thyroidectomy, presents the results of pathomorphological studies, autopsy, histological studies.

Materials and methods. The work consisted in the study of a clinical case of pulmonary embolism after a planned surgical intervention for nodular goiter. Histological sections of organs such as the heart, kidneys, gallbladder, thyroid gland, liver were studied.

Results. The results of our study showed that thyroidectomy refers to operations of a high complexity and high risk of multiple complications as well as the occurrence of a fatal outcome. Therefore, a thorough examination of all organs and systems in patients is necessary, especially those who belong to the elderly and severe comorbid pathology groups. This is due to the fact that the risk of death without a proper preparation for surgery with available concomitant diseases (nodular colloidal goiter, empyema of the gallbladder, Gilbert's disease, persistent hepatitis, type 2 diabetes mellitus, hypertension, chronic coronary heart disease) was very high for this patient.

Conclusions. Diffuse nodular toxic goiter is a complex surgical pathology involving many organs and systems. Patients with such a diagnosis require a thorough history collection, carrying out clinical, instrumental and laboratory research methods, including successful surgical intervention.
Immunogenetic parameters in children with atopic diseases
Authors: Illek Ya. Yu. , Suetina I. G. , Khlebnikova N. V. , Suslova E. V. , Savinova M. V. , Dudyreva E. V. , Zemtsova E. V.
Published: March 2023

Objective. To determine the features of the distribution of antigens of the major histocompatibility complex in children of preschool and primary school age with atopic diseases.

Materials and methods. Under observation there were children with a moderate course of the diseases such as atopic dermatitis, atopic dermatitis with concomitant persistent allergic rhinitis, independent persistent allergic rhinitis, atopic bronchial asthma. The patients were identified class I and class II antigens of HLA-complex.

Results. The studies have shown that patients with atopic dermatitis had a high incidence of HLA B15, DRB1*13 and DQB1*0602-8: in patients suffering from atopic dermatitis with concomitant persistent allergic rhinitis HLA B12, B13 and DQB1 * 01; in patients with independent persistent allergic rhinitis HLA A10 and DQB1 * 201; in patients with atopic bronchial asthma HLA B18.

Conclusions. Representation of these antigens of the HLA complex in the tissues was associated with an increase in the risk of atopic diseases by 2.34.6 times.
Plasma dyslipidemia: pathogenesis and diagnostic value. Literature review
Authors: Artemenkov Aleksey A.
Published: March 2023

This review discusses the problem of diagnostics of atherosclerosis from the standpoint of the need of developing new approaches and principles for more effective detection of this disease at the early stages of its course in the humans. The insufficiently studied basic stages and mechanisms of lipid metabolism are indicated, which in the future may have diagnostic value. The lipid composition of blood plasma and its fractions, which are associated with a high risk of the occurrence and development of cardiovascular disease (CVD) is assessed. The determining of the role of cholesterol, lipoproteins and apolipoproteins in the pathogenesis of atherosclerosis, a wide variability of the atherogenic lipid profile and its direct relationship with calcium metabolism in atherosclerotic damage of the vascular wall is accentuated. It is shown that the basis of dyslipidemia and civilization diseases (atherosclerosis, obesity, diabetes mellitus) is a disorder of the mechanisms of neurohumoral regulation of lipid metabolism. The immunological mechanisms of the pathogenesis of atherosclerotic process and the marker signs that identify this process are discussed in details. A generalized scheme of peroxidation of blood plasma lipoproteins and the subsequent molecular-cellular stages of the formation of atherosclerotic plaques in the intima of the vascular wall is presented. The current modern methods of diagnosing dyslipidemia are briefly described and the lipid-lowering effects of certain drugs are noted, a forecast is given for the creation of new, more effective statins. In conclusion, the work confirms the importance of studying the qualitative composition of lipids and the expansion of physico-chemical and molecular genetic diagnostic methods for studying metabolism.
Modeling and Analysis of Shoreline Change in the Sidi Abdel Rahman Coast Area, Egypt
Authors:   Al-Azhar University, Faculty of Engineering, Civil Engineering Department, Egypt, Badr Hussein Karim , Ibrahim Mohamed , Mousa B. G.
Published: March 2023

Estimating the coastline or shoreline is one of the crucial components in determining coastal accretion and erosion and in analysing coastal morph dynamics. In recent years, the socioeconomic pressure has increased on the Sidi Abdel Rahman coast area with the impact of climate change, which has led to the destabilisation of the coast. Therefore, this study aims to investigate the shoreline changes along the coast in the study area using remote sensing data for the period 2007 to 2021, modeling the shoreline change through the study area, and predicting shoreline change in the period from 2021 to 2024. It also suggests the type of protection required for the area from waves and sea currents.
Konseling Individu Teknik Behavior Contract untuk Mengurangi Perilaku Membolos Sekolah di SMK
Authors: Indari Titis
Published: March 2023

Abstract: Truancy behavior that are common are maladaptive behaviors that are often experienced by students at school. Behavior occurs due to the inability of students to adapt to environmental demands. The behavior contract technique which aims to change individual behavior can be a solution to this maladaptive action. This technique is done with good awareness and commitment between the counselor and the client. The basic principles in the behavior contract technique include: (1) contracts are carried out with reinforcement, (2) strengthening must be carried out immediately, (3) contracts are negotiated freely and openly and are mutually agreed upon, (4) contracts are fair and clear, (5) contracts have clear target behavior behavior, frequency and duration of contracts, (6) contracts integrated with school programs. The use of individual counseling services with the behavior contract technique can be applied by counselors so that clients have awareness and eliminate truancy in high school.

Abstrak: Membolos merupakan perilaku maladaptif yang sering dialami siswa di sekolah. Perilaku terjadi akibat ketidakmampuan siswa dalam menyesuaikan diri dengan tuntutan lingkungan. Teknik behaviour contract yang bertujuan mengubah perilaku individu dapat menjadi solusi atas tindakan maladaptif tersebut. Teknik ini dilakukan dengan kesadaran dan komitmen yang baik antara konselor dengan konseli. Prinsip dasar dalam teknik behaviour contract, antara lain: (1) kontrak dilakukan dengan penguatan, (2) penguatan harus segera dilakukan, (3) kontrak dinegosiasi secara bebas dan terbuka serta disepakati bersama, (4) kontrak adil dan jelas, (5) kontrak memiliki kejelasan target tingkah laku, frekuensi dan lamanya kontrak, (6) kontrak terintergritas dengan program sekolah. Penggunaan layanan konseling individu dengan teknik behavior contract dapat terapkan konselor sehingga konseli mempunyai mempunyai kesadaran dan menghapus perilaku membolos di sekolah.
Representasi Nilai-Nilai Pancasila dalam Film Animasi “Battle of Surabaya”
Authors: Anggraeni Defitasari Novia , Muchtar Muchtar , Mahanani Putri
Published: March 2023

Abstract: The film is one of the means of entertainment that is in demand by the public and has many fans from children to adults. A film can be used as a medium of education, especially for children. The purpose of this study is to describe the values of Pancasila contained in the animated film Battle of Surabaya. The research method used is qualitative with descriptive research types using content analysis. The data collection using document studies. Data analysis using three steps, data reduction, data display, and conclusion. The results showed that the value of the first precept appeared nine times, the value of the second precept appeared twenty-three times, the value of the third precept appeared thirty-five times, the value of the fourth precept appeared thirteen times, and the value of the fifth precept appeared six times. Based on the results of the study, it can be concluded that this battle of Surabaya animated film represents the values of Pancasila.

Abstrak: Film merupakan salah satu sarana hiburan yang diminati oleh masyarakat dan memiliki banyak penggemar mulai dari kalangan anak-anak hingga orang dewasa. Film dapat digunakan sebagai media pendidikan, terutama bagi anak-anak. Tujuan dari penelitian ini adalah untuk mendeskripsikan nilai-nilai Pancasila yang terkandung dalam film animasi Battle of Surabaya. Metode penelitian yang digunakan adalah kualitatif dengan jenis penelitian deskriptif menggunakan analisis konten. Adapun teknik pengumpulan data menggunakan teknik studi dokumen. Analisis data yang telah diperoleh dilakukan tiga tahapan yaitu reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan nilai sila pertama muncul sebanyak sembilan kali, nilai sila kedua sebanyak dua puluh tiga kali, nilai sila ketiga sebanyak tiga puluh lima, nilai sila keempat sebanyak tiga belas kali, dan nilai sila kelima sebanyak enam kali. Berdasarkan hasil penelitian tersebut dapat disimpulkan bahwa film animasi Battle of Surabaya ini merepresentasikan nilai-nilai Pancasila.
Urgensi Kompetensi Pribadi Bagi Calon Konselor dalam Mewujudkan Pelayanan yang Prima
Authors: Muwakhidah Muwakhidah , Hartono Hartono , Firmasyah Ryandika , Syamsiah Nur
Published: March 2023

Abstract: Implementationally, the role of counselors in practice guidance and counseling services in schools is actually inseparable from the problem of competence counselor. Counselor's competency issues refer to the ability of the counselor, particularly the personal competence of the counselor. Problems concerning true personal competence are not only experienced by counselors, but student college also experience such a thing. The process of implementing counseling that seems "rushed," lies in techniques that seem to run "stiff", prioritizing quantity over quality that results in "sterility" of the counseling process, and a series of "flat" activities without an underlying assist role, Is the impact of the low personal competence of student college. The low of personal competence has an impact on the quality of counseling and guidance services. This article describes the importance of personal competence for student college in realizing professional services.

Abstrak: Secara implementasi, peran konselor dalam praktik layanan bimbingan dan konseling di sekolah sebenarnya tidak terlepas dari masalah kompetensi konselor. Masalah kompetensi konselor mengacu pada kemampuan konselor, khususnya kompetensi personal konselor. Permasalahan mengenai kompetensi diri yang sebenarnya tidak hanya dialami oleh para konselor, tetapi mahasiswa juga mengalami hal yang demikian. Proses pelaksanaan konseling yang terkesan “terburu-buru”, terletak pada teknik yang terkesan berjalan “kaku”, mengutamakan kuantitas daripada kualitas yang mengakibatkan proses konseling menjadi “steril”, dan rangkaian kegiatan yang “datar” tanpa peran pendamping yang mendasarinya. Apakah dampak dari rendahnya kompetensi kepribadian mahasiswa perguruan tinggi. Rendahnya kompetensi personal berdampak pada kualitas layanan bimbingan dan konseling. Artikel ini menjelaskan pentingnya kompetensi personal bagi mahasiswa perguruan tinggi dalam mewujudkan pelayanan profesional.
Analisis Penggunaan Media Pembelajaran pada Pembelajaran Tematik Kelas II di SD
Authors: Praptaningrum Gita , Sukamti Sukamti , Suhartono Suhartono
Published: March 2023

Abstract: This study aims to describe and present data related to the use of learning media in the thematic learning process. The scope of this research is class II SD Negeri Bumiayu 2 Malang City. This study uses a qualitative approach with a descriptive type. In this study using data collection techniques in the form of interviews, observation, and documentation. The results of this study indicate that teachers use learning media in the form of concrete objects, song recordings, Power Point (PPT), videos, and printed books. The selection of learning media is adjusted to the material and KD. The use of learning media in theme 2 is adjusted to the learning objectives to be achieved. The steps in its implementation include the planning and implementation stages. At the planning stage the teacher prepares the lesson plans and media that will be used in the learning process. Furthermore, at the implementation stage, the teacher explains the material using learning media and reviews the material that has been delivered.

Abstrak: Penelitian ini bertujuan untuk mendeskripsikan dan menyajikan data terkait dengan penggunaan media pembelajaran pada proses pembelajaran tematik. Ruang lingkup penelitian ini yaitu kelas II SD Negeri Bumiayu 2 Kota Malang. Penelitian ini menggunakan pendekatan kualitatif dengan jenis deskriptif. Pada penelitian ini menggunakan teknik pengumpulan data berupa wawancara, observasi, serta dokumentasi. Hasil penelitian ini menunjukkan bahwa guru menggunakan media pembelajaran berupa benda konkret, rekaman lagu, Power Point (PPT), video, serta buku cetak. Pemilihan media pembelajaran disesuaikan dengan materi dan KD. Penggunaan media pembelajaran pada tema 2 disesuaikan dengan tujuan pembelajaran yang akan dicapai. Langkah-langkah dalam penerapannya meliputi tahap perencanaan dan pelaksanaan. Pada tahap perencanaan guru menyiapkan RPP dan media yang akan digunakan dalam proses pembelajaran. Selanjutnya, pada tahap pelaksanaan yakni guru menjelaskan materi dengan menggunakan media pembelajaran dan mengulas materi yang telah disampaikan.
Differently Thinking about Burial Data: An Attempt for Transfiguration of Korean Mortuary Archaeology
Authors:   Korean Ancient Historical Society, Kim Bum-cheol
Published: March 2023

Recognized their current status and future applicability, burial data have been limitedly used in Korean mortuary archaeology. A couple of prevalent dogmata, of which origins are not apparently known, could be attributed to the limitation. The dogmata premise that a specific burial style represents an ethnic group, that the phylogeny of new burial style should be explored, and eventually that burial data should be interpreted as package thing. Overcoming the limited ideas, I propose a methodological alternative that burials are constructed by a series of articulated activities, and that technological choice could exist in each stage of the whole procedure. This methodological shift is likely to spur the changes in theoretical orientation of Korean mortuary archaeology.
Modern diagnostic methods in oncogastroenterology
Authors: Pogosov G.R. , Osmanov G.G. , Ivanova E.R. , Mardanyan N.T. , Avetisyan L.R.
Published: March 2023

Diagnostic procedures occupy a special place in the activities of medical specialists, since the accuracy and timeliness of their implementation depends on the determination of the patient's treatment package, as well as the prognosis of the course of the disease. In the modern period, innovative technologies come to the aid of doctors, one of which is artificial intelligence. Along with other areas of medicine, artificial intelligence (AI) technology is widely used in oncogastroenterology and is used in the process of diagnosis, prediction and image analysis. AI makes it possible to determine with high accuracy the features of the diagnosed pathology and, accordingly, to develop the most effective strategy for the treatment of the patient. The future of oncogastroenterology is based, without a doubt, precisely on the results of high-precision diagnostics, since advanced methods of treating cancer patients can give a significant effect precisely at the early stages of the development of this disease. For this reason, the appeal to AI as an indispensable assistant to diagnosticians in the future should be widely implemented at all levels of polyclinic and inpatient oncological care to the population.
The phenomenon of glycated hemoglobin in patients with a new coronavirus infection (COVID-19) with type 2 diabetes mellitus
Authors: Sklyarov B.А. , Samoilova A.D. , Pavlov B.V. , Levina A.V. , Sinelnikova I.S. , Vardanyan S.М. , Papin V.А.
Published: March 2023

During the pandemic of coronavirus infection, medical staff around the world has faced the problem of a significant deterioration in the health conditions of patients, who have a history of type 2 diabetes mellitus and who have infected with COVID-19. The problem of the combination of the coronavirus infection and diabetes mellitus is urgent and requires an in-depth study in this context. This article presents and reviews some results of an experiment during which the clinical indicators of 15 patients with type 2 diabetes mellitus, with elevated glycated hemoglobin, infected with coronavirus infection, aged 45 to 65, were taken on the 14th day of observation.
Accuracy and precession of 3d printed cast produced by two printing techniques
Authors: Babeer W.A.
Published: March 2023

Aim: This study analyses the tolerance and accuracy of 3D printed casts created by two printing techniques and cast geometry deformations after six months. MISC. Methodology. An A 28-year-old volunteer with full dentition was scanned using 3shape's TRIOS3. 3Shape's Dental System converted the scan to STL. NextDent 5100 DLP and Forms Lab Form 2 SLA printers received the STL file. Each printer made 10 casts. Every cast was scanned using a 3Shape E3 Scanner (E3 Scanner from 3Shape). A cloud comparison tool compared each scan to the volunteer's original scan. The two printers' accuracy was measured at the time of the scan and six months afterward using IBM's SPSS 28 for a one-way ANOVA. Shapiro Wilk statistics were not significant P> 0.05, proving normality. ANOVA was used to compare printers' accuracy. Results. Table 1 shows the means and SDs. Wilk's Lambda of p.05 (F = 95.533 and partial eta squared = 0.841) reveals an initial and six-month accuracy difference. A P 0.05 within-subject’s tolerance effect was found. P=.503 demonstrates printer type doesn't affect participation. The study's mean was.995, with a standard error of.066 and CI of.856 to 1.134. Conclusion. The accuracy measurement decreased significantly between the initial and six-month measurements. There was no difference in accuracy between the two measurements for either printer. There was a statistically significant difference between each cast and each printer's first STL file information. However, the distinction was within the accepted tolerance of -/+ 42 µm (Envision TEC reported an accepted tolerance level).
The Effect of Empowerment And Self-Efficacy On Employees’ Perceptions Of Quality Of Care
Authors: Alduhaim R. , Alqasmi I.
Published: March 2023

Background: Empowerment in work palace denotes to better decision making power which enable the worker to have greater control of their jobs. In conventional organizational structures, functioning of the organization revolve around the designing of the set rules and methods. It was though that if organization makes employees obligatory to follow such structures the effectiveness and efficiency may improve. However, later, researchers found out that by fitting employees to the specific job structures, organizations lose their potential as well as performance because employees creativity and innovation got restricted. Therefore, conventional practices may not be suitable for operating in complex and dynamic healthcare environment. To achieve organizational goals with more efficiently, employee empowerment to some extent is in need because independence that comes with empowerment encourages employees to voice their opinions that benefit healthcare organizations in uplifting the patient safety and quality of care they offer. Therefore, study intends to assess the state of employees’ empowerment in public hospitals located in Al Qassim region, Saudi Arabia. Moreover, the study intends to explore the effect on employee’s empowerment has on employee’s perceptions of quality of care and patient safety. Methods Using a cross-sectional research design, the study collected data from 119 employees working in different public hospitals of Al Qassim region. The online questionnaire consists of 30 questionnaire items, was developed using Google Doc to address the research questions of the study. Results The healthcare employees responded to their demographic characteristics, empowerment, self-efficacy, and quality of care have been improvising in the facility. This finding showed that the respondents are empowered to make decisions and are better at performing their given jobs. Furthermore, the outcome of the study exhibited that employee empowerment is associated with respondents’ perceptions of quality care and patient safety. The results from the study may also help healthcare administrators and policy makers to understand the current level of employee empowerment and self-efficacy. The findings can immensely help healthcare administrators and policymakers to design policies and strategies to improve the quality of care in Saudi health organizations Conclusion The study explores the issue of empowerment in the context of Saudi public healthcare hospitals. It shows that in healthcare workers of Saudi Hospitals located in Al Qassim region believe that they possess certain decision-making authority to perform their jobs. The study also shows that the respondents think that their organizations deliver quality of care and are concerned about patient safety.
The assessment of Dystrophin and Titin in premenopausal thyroid women patients
Authors: Mahmod Z.S. , Jaffat H.S.
Published: March 2023

The aim, this study was designed to investigate the relationships between Dystrophin and Titin in patients with thyroid dysfunction. Materials and methods. The study included 90 patients; aged between 15 and 45 years, divided into three groups, 60 patients with thyriodism and 30 healthy subjects were taken as control group, all patients (n=60) were divided into two groups hypothyroidism and hyperthyroidism. This cross-sectional study was carried out in Al-Fadel foundation for training and development (research foundation) in Babylon province. Using 5 ml disposable syringes, healthy controls and patients were randomly punctured for blood samples. Blood was placed in a centrifuge tube and allowed to coagulate for 15 minutes before being spun for 10 minutes at 1000 xg to 2000 xg to separate the serum for immunological testing. Results. The Mean Serum Titin levels which indicated significant differences in studied groups of hypothyroidism, and hyperthyroidism patients, and the control groups. Remark that Titin levels decreased in Hypothyroidism and hyperthyroidism groups less than in the healthy control group. The statistical analysis results of Serum Dystrophin levels found significant differences in the three groups studied. These results revealed a significant decline in hypothyroidism patients, and hyperthyroidism patients, compared with the healthy control group, while Dystrophin level was increased in hypothyroidism more than in the hyperthyroidism patients. Conclusion. The results of T3, T4 &TSH level showed significant differences after the comparison between hyperthyroidism, hypothyroidism and control. There are significant differences in the levels of DMD and TTN in comparison between Hyperthyroidism, and Hypothyroidism as well as with control.
The assessment of immunological parameters (Anti- Thyroid peroxidase antibody and Anti-Thyroglobin antibody) in premenopausal thyroid women patients
Authors: Mahmod Z.S. , Jaffat H.S.
Published: March 2023

Background: Thyroid diseases may be complicated by anti-thyroglobin and anti-thyroid peroxidase antibodies. Objective: This research examined thyroid diseases and serum Anti-TPO Ab and Anti-Tg Ab levels. Methods: Al-Fadel foundation for training and development (research foundation) in Babylon province conducted this cross-sectional study. The research comprised 90 patients aged 15–45, separated into three groups: 60 patients with thyriodism, 30 healthy participants as a control group, and all patients (n=60) into two groups: hypothyroidism and hyperthyroidism. Results: Hyperthyroidism and hypothyroidism patients and healthy controls had similar mean Anti TPO levels. Compared to healthy controls, hypothyroidism and hyperthyroidism patient groups increased significantly. Hypothyroidism and hyperthyroidism patients had higher Anti Tg levels than the health control group. Conclusion: Anti-TOP Ab and Anti-Tg Ab vary significantly between Hyperthyroidism, Hypothyroidism, and control. Clinical labs should evaluate thyroidism patients for potential consequences using these biomarkers.
Comparative estimation of proteinuria using spot urine albumin creatinine ratio and 24 hour urine protein among diabetics for detecting nephropathy
Authors: Afzalpurkar S. , Deokar V.
Published: March 2023

Purpose: Although proteinuria has been established as an independent risk factor of diabetic nephropathy, the timely and accurate estimation of proteinuria has scope for improvement. Hence, this study intends to compare the accuracy of spot sampled urine albumin creatinine ratio (UACR) to 24 hour urine protein among diabetics in the quantification of proteinuria. Design/Methodology/Approach: This prospective study was conducted amongst 120 patients diagnosed with type 2 diabetes mellitus. Two types of urine samples namely spot samples and 24-hour samples were analysed across an array of clinical variables including urine biochemistry, kidney failure and glomerular filtration rate. UACR in spot samples was correlated with the 24-hour urine protein levels. The sensitivity, accuracy, specificity and predictive values of UACR for proteinuria were determined. A p
A Novel IoT-based Monitoring Device for Effective Prediction of Heart Failure
Authors: Bhongade R.A. , Goyal J. , Sharma S.
Published: March 2023

Heart disease is the biggest cause of mortality worldwide. Approximately 80% of deaths happened in underdeveloped and middle-income countries. By 2030, it is projected that 23.6 million people would die from cardiovascular disease if present patterns are allowed to persist. An opportunity to offer an Internet of Things (IoT) solution has become more accessible as the use of smart wearable technology has grown. Furthermore, people who are disabled have a low likelihood of surviving after discharge from the hospital. The present research proposed an IoT-integrated model evaluating temperature, heart rate, and oxygen saturation for predicting the likelihood of the occurrence of heart failure. It has been noted that the proposed model or the hardware system is cost-effective as compared to other expensive sensors that are available in the market. The proposed system used heart rate, oxygen saturation, and temperature as parameters, thus it can make accurate and precise decisions on whether or not an individual has the chance to encounter heart failure and hence can be warned and managed beforehand.
Optimization of Amyloidosis Detection Method for Right Ventricle and Its Deployment Using Machine Learning (ML) Approach
Authors: Dhanatwal M. , Jyothi S.R. , Kumar A.
Published: March 2023

When an aberrant protein called amyloid accumulates in our organs and tissues, it causes amyloidosis. When it happens, both their form and functionality are impacted and amyloidosis is a critical medical condition that may result in organ failure that is serious and may be lethal. In this present study, the author discussed about the amyloidosis in the right ventricle of the heart and its detection using the Machine Learning (ML). The methodology used for this research includes an infrastructure of amyloidosis detection, created by using supervised and unsupervised learning technique. The results show the precise diagnosis is crucial since the details of ailment will have a significant impact on the kind of therapy we get. The infrastructure gathers user input initially, which is utilised to prepare the data afterwards. Unsupervised data from the right ventricle is collected and supplied to the machine learning cycle after an effective data translation and model development. The study concludes that typical supervised machine learning datasets were used to train the algorithms. These methods may eventually enable longitudinal, automated, and objective monitoring of patients' ventricular function. Machine learning for vast and small datasets of Cardiac Amyloidosis (CA) and cardiac straining and functional parameters offers appealing diagnostics prediction accuracy for CA diagnosis when compared to state-of-the-art methods. The future potential of this research is the infrastructure can be used in an effective manner for the diagnosis of major diseases.
Development of Adaptive Spectrum Noise Cancellation Technique for Enhancing Heartbeat Rate Monitoring
Authors: Upadhyaya P. , Jyothi S.R. , Haria J.M.
Published: March 2023

Most of the Heart Rate Monitor (HRM) seems to be a portable monitoring device that can measure and displays real-time heartbeat rate in addition to storing heartbeat rate data for future studies. It is generally used to capture heart rate data during various types of physical exercise. Heart rhythm problems arise whenever the electrical impulses that coordinate the heartbeats aren't working properly. The ineffective signaling causes the heart to beat too fast (tachycardia), overly slowly (bradycardia), or sporadically. In present study, a focused approach on Adaptive Spectrum Noise Cancellation (ASNC) were used for enhancing heartbeat rate monitoring for humans. It finds that simply a photodetector and a source of light are applied to the surface of the skin to monitor the proportional changes in the blood flow. It is concluded that for accurate measurement of heart rate while moving or running, the proposed device ASNC utilizes the application of embedded accelerometer and gyroscope sensors to identify and eradicate the artifacts adaptively. In future, the proposed model may adopted for modification and commercialization of wearable heart-rate sensors based upon photoplethysmography (PPG), it would be better in terms of utility as well as adoptability.
Computational Characterization of Xyloketal B with Human C-Reactive Protein For Management of Kawasaki Disease (KD)
Authors: Gopal K. , Chaudhary A. , Thorat A.
Published: March 2023

The most common underlying cause of acquired cardiovascular disease in developed countries is Kawasaki disease (KD), a systemic vasculitis. The most serious and common consequence of KD is the growth of coronary artery involvement, however therapy with intravenous gammaglobulin can minimized this issue. There are various limitations of using intravenous gammaglobulin which further make researchers to look for alternative medicine. It has been found that marine natural products and compounds from natural sources are having cardioprotective nature. The present research aims at filling the gap with computational analysis to explore the target ability y of Xyloketal B on human C-Reactive Protein having vital role in Kawasaki disease. It has been found that the marine compound has the ability to inhibit CRP with considerable negative biding energy of-8.47Kcal/mol. The present stdy may aid researchers to explore new invention having the potential for enzymatic and chemical modification of the molecule for the management of KD. Patients having a history of coronary artery disease, involvement are encouraged to have long-term follow-up.
Evaluation of Neck Pain and Posture of Cervical Spine among Helmet Users Riding Motor Bike
Authors: Baruah P. , Samuel J.
Published: March 2023

Background: Helmet use is become mandatory by the Indian govt. in the year of 2016. After the helmet law the prevalence of helmet users increased up to 80%. Other 20% populations refused to wear helmet while riding due their own reasons such as some founds wearing of helmet causing suffocating, heaviness over neck muscles or some feels headache too. Among various postural disorders, forward head posture (FHP) has found to be commonest. It occurs when position of the head is forward to a plumb line passing over the centre of gravity. The good posture could be present, as the external auditory meatus allied with the plumb line. FHP can be assessed by using various assessment methods and Cranio-vertebral angle (CVA) method is highly reliable method to measure FHP, which indicates smaller the angle greater the FHP. The aim of the study was to evaluate the postural changes in cervical spine and presence of neck pain among helmet users riding motor bike. Method Total 300 subjects participated in the study and were assessed by self- made questionnaire, out of which 260(Male= 189, Female= 71) subjects were taken in the study as they were fulfilling the inclusion criteria. Then dividing them into two groups based on complaining of pain on neck (with neck pain and without neck pain) using Numeric pain rating scale (NPRS). CVA was measured using MB-Ruler software for both the groups. Result The results shows CVA has a significant correlation with helmet weight (p value=0.000), BMI (p value=0.04), years of riding (p value=0.037) and days of riding per week (p value=0.031). NPRS showed to have significant correlation with helmet weight (p value=0.046) and weight of the bag (p value=0.012). 45% of study populations were having FHP and 66% populations were having neck pain. Conclusion The study concludes that helmet weight has significant impact on both neck pain and forward head posture. The incidence rate of forward head posture was greater among with neck pain populations.
Effects of Smart Phone Gaming on Hand Strength and Dexterity
Authors: Tarannum H. , Anand M.
Published: March 2023

Background: Mobile phones are becoming an absolute need in routine life. Mobile gadgets have developed into a portal to a wide selection of creative and competitive activities. The ease of use and cost effective of mobile phones has led to an increase in their popularity of gaming in past decade. Prior reports show that students who involve themselves in gaming activities on mobile phones, spend approximately 3 to 4.5 hrs on the activity. Due to scarcity of information and need to explore the association between hand strength and dexterity among smart phone gamers and its consequences on functions of hand. Objective: To evaluate the hand strength and dexterity among gaming and non gaming population. Method: After getting consent 288 subjects were recruited based on the inclusion and exclusion criteria from College’s in and around Bangalore South for this study. Accordingly the candidates were divided into case and control group. The assessment for grip strength, pinch strength and dexterity using HHD, Pinch meter and Jebsen Taylor hand function test was done. The analysis of obtained data was done using descriptive and inferential statistics by SPSS. Results: There is a statistically significance association seen in grip strength, pinch strength and dexterity with the p-value < 0.05. Interpretation and Conclusion: There was a strong association existed between the hand strength and dexterity in gaming population compared to non gaming population.
Machine Learning Applied To Cervical Cancer Data
Authors: Senkamalavalli R. , Sahaai M.B. , Lakshmi V.V. , Kanchana A. , Rajulu N.S.
Published: March 2023

Cervical cancer is a type of cancer that occurs in the cells of the cervix. Cervix is the lower part of the uterus that connects to the vagina. It arises due to the abnormal growth of cells and spreads to other parts of the body. Smoking is also considered as one of the main causes for cervical cancer. Long term use of Oral contraceptive pills can also cause cancer. Also having multiple pregnancies can cause cervical cancer. Cervical cancer often has no symptoms in its early stages. It is fatal most of the time. The most common symptom is unusual vaginal bleeding. Here the machine learning algorithms are used to predict the occurrence of cervical cancer. Predicting the presence of cervical cancer can help the diagnosis process to start at an earlier stage.
Hiostopathological studies on gill, liver and brain of oreochromis mossambicus exposed to ethoxyquin
Authors: Seena P. , Narayanasamy K.
Published: March 2023

Water pollution greatly affects the life of aquatic ecosystem. Ethoxyquin (EQ) is one such toxic content, which is even present in the food being presented to the aquatic beings. In this research work, the effects of ethoxyquin on the Oreochromis mossambicus, called tilapia fish is studied. The aimed fish species is treated through the sublethal concentration of EQ. The effects of this toxic content on the aspects histopathological parameters were studied and the results were presented. Histopathological analysis was attempted on the gill, liver and brain of the tilapia fish taken up for the study. The histological abnormalities that were seen were curling of secondary lamella, which was followed by disorder and rupture in the secondary lamellae. These changes were more widespread and more apparent in the gills and liver of the Oreochromis mossambicus. A haemorrhage at the main lamellae and a swelling at the primary filament's tip were also seen during the examination. Analysis of the brain, inferred that no severe damages to the neurons are reported. As a conclusion, the results of the current histology examinations reveal that the EQ exposure caused moderate to severe damage to the gills and liver of the O. Mossambicus, whereas only moderate damage to the brain neurons.
Finite element analysis of fractured femur bone with prosthetic bone plates using ANSYS software
Authors: Sankar K. , Kalaiyarasan A. , Sasikala D. , Selvarasu S. , Rangarajan J. , Kirubakaran J. , Vijayakumar R.
Published: March 2023

Bones are living tissues made of calcium and phosphorus among other elements. In the early years, they replenish themselves and expand quickly. The bone is viewed as a homogenous, isotropic, linear-elastic material. The foundation of the human skeleton are the bones. It aids in supporting the body's softer areas. Trauma is a significant factor in both industrialised and developing nations in terms of mortality and disability. According to the World Health Organization (WHO), trauma will account for the majority of years of life lost in both developed and developing countries by the year 2020. One of the frequent traumas is a bone fracture. Using bone plates to connect the fractured bone is one way to treat the broken bone. This study compares bone plates constructed of several biomaterials (Stainless Steel, Titanium, Alumina, Nylon, and PMMA) to determine which one is the best. SOLIDWORKS is used to model the femur bone, while ANSYS is used for analysis. Also modelled, attached to a fractured bone, and examined are the fracture fixation plates.
Intelligent Technique for Stress Level Management for IT Employees in the Work from Home Environment using IoT Technology
Authors: Umamageswaran J. , Saravanan K. , Srinivasan V.P.
Published: March 2023

Working from home (WFH) online has raised stress during the COVID-19 epidemic. According to recent studies, the crisis has an impact on students and online employees. The body's natural reaction to both internal and external stimuli is stress. Even while stress is common, working online for an extended period of time can lead to major health problems if nothing is done to manage it. In our study, the most effective variables that are related to the stress level of online employees have been carefully examined.According to the results, our system as a whole was capable of generating outputs with an accuracy of more than 70%. It will offer the most precise forecasts for averting health problems. Our main goal is to give online workers the tools they need to live healthy lifestyles. Based on the comments we get from users in the future, we'll update users. In the future, our technology will be a very practical tool for online employees.