bluuebunny/crossref_metadata_2025 huggingface dataset:
The Impact of a Psychological Counselling Program on Unconscious Conflicts and Free Will among Coaches of Selected Athletic Disciplines
Authors: Liqaa Abdul Zahra Obeid
Published: December 2024

هدف البحث إلى بناء مقياسين تخصصين للنزاعات اللاشعورية وحرية الإرادة لمدربي بعض ألعاب القوى والتعرف على مستوى كل منهما لديهم، وإعداد برنامج إرشادي نفسي مستند لرفع مستوى الحالات اللاشعورية وحرية الإرادة للمدربين الذين يعانون من انخفاض مستوى النزاعات اللاشعورية وحرية الإرادة، والتعرف على تأثير البرنامج الإرشادي نفسي في النزاعات اللاشعورية وحرية الإرادة لدى مدربي بعض ألعاب القوى، لتفترض بذلك الباحثة بإنه توجد فروق ذات دلالة إحصائية بين نتائج الاختبارات القبلية والبعدية لقياس النزاعات اللاشعورية وحرية الإرادة لدى عينة البحث، وأعتمد المنهج التجريبي بتصميم المجموعة التجريبية الواحدة على عينة بلغت (11) مدرباً من مدربي أندية ألعاب القوى للموسوم الرياضي (2023/2024) اختيروا عمدياً بالطريقة الإجرائية بنسبة (7.7692%) من مجتمع البحث، كما أختير عشوائياً للعينة الإستطلاعية (6) مدربين يمثلون ما نسبته (4.196%) من مجتمع البحث، كذلك أختير المتبقي منهم البالغ عددهم (126) مدرباً لعينة التحليل الإحصائي الخاصة ببناء المقياسين وهم يمثلون ما نسبته (88.112%) من مجتمع البحث، وبعد إتمام بناء المقياسين بالإجراءات المنهجية والمعالجات الإحصائية، تم إعداد (12) جلسة تم تطبيقها بمعدل جلستين في الأسبوع الواحد، ليستمر تطبيق البرنامج الإرشادي النفسي الرياضي (6) أسابيع في تجربة البحث للمدة الممتدة من (7/1/2024) ولغاية (15/2/2024) وبعد الانتهاء منها تم معالجة النتائج بنظام SPSS، لتكون الإستخلاصات والتطبيقات بإن مقياسي النزاعات اللاشعوية وحرية الإرادة لمدربي ألعاب القوى يصلحان لِما أعدا لهما ويتمتعان بالأُسس والمعاملات العلمية لأدوات القياس السايكومترية في علم النفس الرياضي، ويلائمان خصوصية المدربين، وإن إعداد البرنامج الإرشادي النفسي المستند لزيادة المستوى المطلوب للنزاعات اللاشعوية وحرية الإرادة يلائم مدربي أندية ألعاب القوى، ويساعد تطبيق البرنامج الإرشادي النفسي في زيادة النزاعات اللاشعوية المطلوبة وزيادة مستوى حرية الإرادة العقلانية الملائمة لطبيعة عمل مدربي أندية ألعاب القوى، ومن الضروري الأهتمام بمراعاة الحالة النفسية لمدربي ألعاب القوى غير الطبيعية والتركيز على معالجتها إرشادياً لِما لهذهِ المشكلات النفسية من إنعكاسات سلبية تجاه اللاعبين، ومن الضروري بإن يكون إعداد البرامج الإرشادية النفسية التي تعنى بتنمية مستوى النزاعات اللاشعوية المطلوبة وحرية الإرادة العقلانية للمدربين مبنية على القياس السايكومتري لهاتين الظاهرتين وتضمين  مفاهيم علم النفس الرياضي في جلساتها الإرشادية لما لها من مردودات إيجابية على الحالة النفسية والإنفعالية للمدربين. وهذا ما يحقق احد اهداف التنمية المستدامة للامم المتحدة في العراق (التعليم الجيد).
IMPACTOS DO CÂNCER CERVICAL NA QUALIDADE DE VIDA: ESTUDO COM MULHERES DE RIO BRANCO, ACRE
Authors: Santos Júnior Gilberto Braga dos , Arruda Eder Ferreira de
Published: December 2024

O câncer no colo do útero é um importante problema de saúde pública e seus impactos vão além dos sinais e sintomas da doença. Diante disso, este estudo teve como objetivo analisar a qualidade de vida das mulheres em tratamento para o câncer do colo do útero no município de Rio Branco, Acre. Para tanto, foi realizado um estudo observacional descritivo, de corte transversal, com abordagem quantitativa. Foi realizado com 71 mulheres em tratamento para CCU em uma unidade terapêutica de referência do Acre por meio da aplicação de um questionário acerca das características sociodemográficos e questões relacionadas à qualidade de vida (QV). A maioria das mulheres estava na faixa etária de 41 a 50 anos de idade (28,1%), era de cor parda (70,4%), tinha o ensino fundamental incompleto (36,6%), era casada ou com união estável (56,4%), sendo que 15,4% eram aposentadas e 54,9% recebia 1 salário mínimo. Com relação à QV, as capacidades físicas (52,96), funcional (47,20) e emocional (36,90) apresentaram os menores escores indicando baixa qualidade de vida nestes aspectos. Assim, O câncer cervical e o tratamento da doença influenciaram na QV das mulheres, sobretudo, nas capacidades físicas, emocionais e sociais. Portanto, se fazem necessárias ações e medidas para amenizar tais impactos.
REFORMA DE MÁQUINAS PESADAS: UMA ALTERNATIVA SUSTENTÁVEL A AQUISIÇÃO DE NOVOS EQUIPAMENTOS
Authors: Fernandes Paulo Ricardo Romero , Mendes Marcos Vinicius Agapito
Published: December 2024

O crescimento da mineração mundial impulsiona uma demanda constante por máquinas pesadas, essenciais para operações de grande escala e alta produtividade. No entanto, essa necessidade traz altos custos para as empresas, considerando o investimento inicial em novos equipamentos e os gastos contínuos com manutenção e substituição. Portanto, torna-se vital adotar estratégias mais econômicas e sustentáveis, capazes de equilibrar desempenho e custo-benefício. Uma solução importante envolve a análise entre reformar máquinas usadas ou adquirir novas. Utilizando a metodologia de estudo de caso e análise bibliográfica, o presente estudo buscou identificar os fatores que influenciam na viabilidade de cada tipo de reforma em detrimento da compra de um novo equipamento. Ao final conclui-se que, observadas as particularidades de cada caso, a reforma pode se mostrar como uma solução mais vantajosa do ponto de vista econômico e ambiental, preservando-se também a produtividade do equipamento.
SAÚDE PÚBLICA E EPIDEMIOLOGIA: INTERVENÇÕES E POLÍTICAS EFICAZES NO CONTROLE E PREVENÇÃO DE DOENÇAS CRÔNICAS E INFECCIOSAS
Authors: Costa Safira Monteiro , Souza Brenda Mota de , Brito Januza Pereira de , Meneses Thamires Bahia
Published: December 2024

Este artigo oferece uma revisão minuciosa e detalhada das estratégias e políticas de saúde pública que têm se mostrado mais eficazes no enfrentamento de doenças crônicas e infecciosas, uma problemática de crescente importância no panorama global da saúde. Através de uma análise cuidadosa, enfatiza-se o papel crucial da epidemiologia na formulação de políticas de saúde bem informadas e na avaliação criteriosa das intervenções em saúde. Este estudo destaca como a integração de dados epidemiológicos pode levar a políticas mais eficientes e intervenções direcionadas, capazes de impactar positivamente a saúde pública ao enfrentar desafios complexos impostos por doenças crônicas e infecciosas. Abordamos as mais recentes inovações em políticas de saúde, discutindo como estas se adaptam para enfrentar os desafios emergentes, como o aumento da resistência antimicrobiana e a globalização de doenças infecciosas.
CONHECIMENTO DAS ACADÊMICAS DE FERNANDÓPOLIS SOBRE OS RISCOS DO USO DO CONTRACEPTIVO DE EMERGÊNCIA
Authors: Faria Emilly Rodrigues de , Borges Gabriella Leal , Parisi Talita da Trindade
Published: December 2024

No Brasil o Levonorgestrel é amplamente utilizado, porém a fácil acessibilidade e a falta de orientação de um profissional habilitado, torna esse medicamento prejudicial à saúde da mulher. O estudo tem como objetivo analisar o conhecimento das acadêmicas da Faculdade Educacional de Fernandópolis sobre os riscos causados pelo uso inadequado do Contraceptivo de Emergência (CE). Foi realizada uma pesquisa de campo, de caráter descritivo e quantitativo, no qual foi elaborado e aplicado um questionário estruturado. A amostra foi composta por acadêmicas de diversos cursos. A maioria das entrevistadas não tem conhecimento dos seus riscos causados pelo contraceptivo de emergência e não foram orientadas por um farmacêutico.
Balancing the legal, ethical, and practical aspects of using digital health technologies in clinical research
Authors: Avigdor Gabriel
Published: December 2024

Digital health technologies bring innovation to participants in clinical trials. They enable the collection, use, and sharing of large amounts of data for medical and scientific research purposes, which ultimately benefits patients. In the context of drug development, traditional clinical trials face significant privacy challenges due to a lack of harmonisation and diverging interpretations of privacy laws and authorities’ guidance. Given the use of digital health technologies, decentralised trials in particular have to manage an additional level of complexity. Involving technology providers increases concerns around the access, storage, and security of study data. Authorities, ethics committees, and healthcare institutions often ask for various additional or bespoke requirements that may diverge from or even conflict with each other, which can lead to unintended consequences for research initiatives and for individuals who are willing to participate in innovative clinical trials. This article outlines some legal, ethical, and practical issues as well as their consequences when using digital health technologies in the research sector.
Embracing innovation: A patient advocacy perspective on evolving trial designs
Authors: Gusset Nicole
Published: December 2024

SMA Schweiz and SMA Europe, two patient advocacy organisations for the rare condition spinal muscular atrophy (SMA), work towards promoting the fastest possible access to safe and effective medicines for all individuals who can benefit from them. Their experience has shown that patient and public involvement at the design stage of clinical research directly impacts a product’s pathway to patients and leads to a better understanding of a product’s value later on. Furthermore, recent discussions about how complex clinical trial designs and decentralised clinical trials use innovative methods to conduct clinical research indicate their potential to make trials more flexible, personalised, and convenient for participants. In addition to helping shift current paradigms, innovative trial designs hold enormous potential to further advance medicines for the good of patient communities, especially in the area of rare diseases.
Trials within cohorts (TwiCs): A novel design to efficiently embed pragmatic randomised trials into cohort studies
Authors: Schönenberger Christof M. , Gerber Felix , Amstutz Alain
Published: December 2024

Trials within cohorts (TwiCs) is a novel trial design that promises to overcome frequent challenges of traditional randomised clinical trials, such as high cost, slow recruitment, and a limited generalisability of results. In studies with a TwiCs approach, a randomised comparison is nested into an observational cohort by design in order to use synergies in infrastructure for recruitment and data collection. The TwiCs design has been applied to the assessment of interventions in different medical fields in several countries using three different consent patterns. In Switzerland, the Swiss HIV Cohort Study is taking a pioneering role as the first cohort in the country to implement the TwiCs design.
EDUKASI KESEHATAN TENTANG MANAJEMEN KEBERSIHAN MENSTRUASI PADA REMAJA PUTRI SEBAGAI PENERAPAN PERILAKU PERSONAL HYGIENE
Authors: Laska Yulinda , Ikha Paramitha Risma
Published: December 2024

Remaja putri memerlukan informasi yang memadai terkait menyambut kedatangan menstruasi pertama kali. Hal ini bertujuan agar remaja putri tidak mengalami ketakutan saat menstruasi pertama tiba. Informasi diperlukan agar remaja putri bisa menyikapi kedatangan menstruasi pertama dengan tentram dan nyaman. Di sisi lain banyak wanita dan anak perempuan mengalami kesulitan dalam pengolalaan kebersihan menstruasi mereka sehingga berdampak pada kebersihan, kesehatan dan kesejahteraan sehingga mempengaruhi kemajuan pencapaian Tujuang Pembanguan Berkelanjutan untuk keseteraan gender. Informasi terkait Manajemen Kebersihan Menstruasi sangat dibutuhkan oleh remaja putri untuk menjaga kesehatan reproduksinya. Pengetahuan yang buruk berpengaruh pada perilaku yang buruk pula. Oleh sebab itu informasi Manajemen Kebersihan Menstruasi sangat diperlukan oleh para remaja putri untuk meningkatkan kebersihan, kesehatan, dan kesejahteraan mereka. Dalam usaha peningkatan pengetahuan remaja putri tentang Manajemen Kebersihan Menstruasi maka dilakukan kegiatan pengabdian kepada masyarakat yang berbentuk penyuluhan kesehatan yang dilakukan secara daring melalui Zoom Cloud Meeting pada tanggal 21 Juli 2022 yang dihadiri oleh remaja putri berjumlah 36 orang dengan kisaran umur 14-22 tahun. Kegiatan pengabdian kepada masyarakat berjalan dengan baik dan lancar ditandai dengan antusiasme para peserta yang tinggi saat mengikuti sesi pemberian materi dan tanya jawab terkait Manajemen Kebersihan Menstruasi. Manfaat yang didapatkan oleh para peserta dalam kegiatan ini yaitu para peserta memperoleh peningkatan pengetahuan terkait Manajemen Kebersihan Menstruasi yang bisa dimanfaatkan untuk menjaga kebersihan dirinya sendiri.
Sugarcane Yield Estimation Using UAV-Based RGB Images and Allometric Equations
Authors: Pratum Chitsanuphong , Kachenchart Boonlue , Konglum Paramaporn , Phutthai Thammarat
Published: December 2024

Accurately estimating pre-harvest sugarcane yield has long been a challenge. There are many methods for predicting sugarcane yield, ranging from simple empirical equations to complex physiological models. This paper reports a study on a method for predicting sugarcane yield using allometric equations combined with UAV-based RGB images (UAVI). UAVI were used for the estimation of the sugarcane height, which is in the form of the sugarcane height model (HM). Sugarcane height is one of the key factors in calculating sugarcane yield in the allometric equation. The results showed that the HM could be used in the allometric equation. There was only a slight discrepancy compared to measurement with a tape measure in the field. In developing the allometric equation, the authors created regression models to estimate aboveground biomass weight in leaf bush (Wl) and millable stalk (Wms) based on sugarcane height (H) and diameter measured from the first segment of sugarcane aboveground (Dfs). The model estimated aboveground biomass weight sufficiently for all stages of cultivation. Based on this model, the authors developed two general equations: Y = 0.0842 H * Dfs0.9827; R2 = 0.93 (used for leaf bush), and Y = 0.1254 H * Dfs1.3926; R2 = 0.93 (used for millable stalk). The decision correlation coefficient (R2) was 80% reliable. The HM models were slightly different from field measurements with a tape measure. Also, there was a little inaccuracy in the root-mean-square error (RMSE) between the sugarcane heights analyzed from UAVI and field measurements using tape measure. The RMSE values, arranged from highest to lowest according to the sugarcane growth stage were: 0.35 m (tillering phase, TP), 0.25 m (grand growth phase, GP), and 0.24 m (ripening phase, RP). Using the HM value in the allometric equation effectively estimated the sugarcane yield at different growth stages. Sugarcane growth at TP and GP phases gave the highest sugarcane yield at 200 cm of the HM value, with total yields of 11.49 and 16.75 ton/hectare, respectively. Whereas, RP gave the highest sugarcane yield at 350 cm of the HM value (total yield at 42.97 ton/hectare). Overall, an accurate estimation of the aboveground biomass of leaf bush and millable stalk can be obtained using these equations. The authors believe that the research methods presented here can help sugarcane farmers to better estimate yield prior to harvest.
Plankton Assemblages and Water Quality in Kirulapone, Wellawatte, and Dehiwala Canals, Colombo, Sri Lanka
Authors: Kolambage Madhavi , Batugedara Inoka , Perera Chalani , Senanayake Indunil
Published: December 2024

Plankton are significant bioindicators that can be employed in water quality assessments. However, there is a notable scarcity of plankton-based water quality studies in the Colombo South canal system. The present study was carried out to assess water quality in three selected canals belonging to the Colombo South canal system with special reference to the plankton community. Plankton and water samples were collected from November 2022 to February 2023 from twelve locations along the three canals of the Colombo South canal system. During the study, nine physiochemical parameters were measured and the biotic indices were calculated. Pollution status and the suitability of the canals for aquatic life were assessed using the water pollution index (WPI) and the weighted arithmetic water quality index (WAWQI), respectively. Overall, forty-six phytoplankton species and seventeen zooplankton species were recorded during the study. Chlorophyceae (48%) and Rotifera (59%) were the dominant plankton groups. More than 50% of the total recorded plankton species were pollution indicators. According to Principal Component Analysis (PCA), plankton abundance showed a weak positive correlation with nitrate, phosphate, TDS, BOD5, salinity, electrical conductivity, and temperature while negatively correlated with dissolved oxygen. The Shannon-Weiner diversity index and WPI revealed a moderate pollution level in the canals. WAWQI indicated that the canals were unsuitable for aquatic life. Moreover, moderate and high pollution-tolerant organisms were more dominant in the canals. Hence, the proper measures must be taken to restore the canal ecosystem. This study could significantly guide future research and highlight the importance of plankton in water quality assessments.
Synthesis and Cytotoxicity Evaluation of Novel C-3 Aminocarbamate Pregnenolone Derivatives
Authors: Charoenying Patchanee , Chotsaeng Nawasit
Published: December 2024

Cancer is one of the leading causes of death worldwide. There are many ongoing studies in the search for new treatments or drugs to combat cancer. Similarly, in this research, twelve 3-aminocarbamate pregnenolones (2a–2l) were designed, synthesized, and evaluated for their cytotoxicity against five cancer cell lines: Human hepatocellular carcinoma (HepG2), Human colon adenocarcinoma (HT-29), Human oral cavity carcinoma (KB), Human breast adenocarcinoma (MCF-7), Murine leukemia (P388), and one normal cell line, African green monkey kidney fibroblast (Vero), using the MTT assay. Notably, 3-aminobenzylcarbamate pregnenolone (2b), 3-diaminoheptylcarbamate pregnenolone (2f), and 3-diaminopropanolcarbamate derivative (2i) were the most potent against these cancer cell lines. Specifically, for P388 cell lines, these compounds were more potent than the positive control drug, vinblastine sulfate salt. Results from the SAR study demonstrated that the length of the alkyl chain of diaminocarbamate derivatives was crucial for their anticancer properties. These findings will be useful in the future research and development of anticancer drugs.
The Effects of Different Plant Growth Regulators and Nutrient Solutions on Leaf Bud Propagation in Different Cassava Varieties
Authors: Moun Sovannara , Janket Anon
Published: December 2024

Cassava mosaic virus is a growing threat to cassava cultivation, and the rapid propagation of disease-free cassava stems offers an alternative approach to producing planting material. This study investigated the effects of different plant growth regulators and nutrient media on leaf bud propagation among different cassava varieties. A 3 x 4 factorial with a randomized complete block design (RCBD) was used with three replications. Three cassava varieties, Kasetsart 50 (KU50), Rayong 9 (RY9), and Huay Bong 60 (HB60) were assigned as factor A, and four different media, i.e., control treatment (distilled water), indole-3-butyric acid (IBA) at 500 mg/L, Semi-Autotrophic Hydroponic (SAH) nutrient solution, and IBA+SAH, were assigned as factor B. Data were recorded for growth and survival traits at 30 days. The results showed that the RY9 variety exhibited superior growth parameters, whereas the KU50 and HB60 varieties showed a higher survival rate. Applying IBA, alone or with SAH, negatively affected cassava plantlet growth and survival rate. On the other hand, applying SAH alone yielded results comparable to the control treatment, significantly differing from the IBA and IBA+SAH treatments. This study also noted that IBA applications enhanced root traits in the RY9 variety but not in other varieties. The HB60 variety outperformed the survival rates and dry shoot weights of RY9 and KU50 under SAH treatment. This finding can be used to select an effective method for leaf bud multiplication in response to the demand for disease-free cassava planting materials.
Making It Sound - The Performative Qatal and Its Explanation
Authors: Andrason Alexander
Published: December 2024

The Biblical Hebrew (henceforth, BH) suffix conjugation qatal— besides other meanings and functions1—is occasionally employed in order to perform acts (1.a) rather than to describe a situation or an activity (1.b). This means that, if determined conventional cir- cumstances are respected, the fact of uttering a given proposition with the verb in the qatal triggers a new state in the speaker’s reality. This is what scholars have been referring to as the ‘performative qatal,’ a use of the suffix conjugation where it appears2 with a clear performative force. This particular sense or function of the BH gram3 constitutes the object of the present paper.
EDİP CANSEVER’İN İLK ŞİİR KİTABI: İKİNDİ ÜSTÜ
Authors: Turna Murat
Published: December 2024

Türk şiiri, İkinci Yeni olarak adlandırılan hareketle değişir ve yenilenir. Edip Cansever, bu hareketin önde gelen simalarındandır. Onun ilk şiir kitabı olan İkindi Üstü, eleştirmenlerin üzerinde pek durmadığı bir eserdir. Cansever’in kendisi de bu eserinden pek bahsetmez. Oysa sanatçının çıkış eseri olması ve şiir serüvenini kavramak bakımından İkindi Üstü’ndeki şiirler mühimdir. Bu boşluğu doldurmayı amaçlayan makale, sanatçının ilk kitabındaki şiirlerine tematik ve teknik yönleri ile odaklanmaktadır.İncelemede önce şiirlerin tematik özellikleri ele alınmıştır. Ardından biçim ve söyleyiş özelliklerine yoğunlaşılmıştır. Tespit edilen hususların Edip Cansever’in tuttuğu şiir izleğiyle bağlarına değinilmiş, sanatının karakteristiği ile bu ilk kitabı arasındaki ilişki yorumlanmıştır.
Elde edilen sonuca göre, şairin yayımlanmış bu ilk tecrübeleri, şiir sanatı adına güçlü bir varlık gösteremez; ancak onun izleğini, vazgeçemediği imge ve temleri henüz yolun başında iken işaret eder. İkindi Üstü’nün Garip tesiri altında kaleme alınan şiirlerden oluştuğu, araştırmadan çıkan bir başka sonuçtur. Cansever’in kendi sesini bu nevi temrinlerin ardından bulduğu anlaşılmaktadır.
A Dual Burden Dilemma: Navigating the Global Impact of Communicable and Non-Communicable Diseases and the Way Forward
Authors: Goswami Nisarg
Published: December 2024

The global burden of disease has shifted significantly, with communicable diseases (CDs) like HIV/AIDS, tuberculosis, and malaria increasingly intersecting with the rising prevalence of non-communicable diseases (NCDs) such as cardiovascular diseases, cancers, and diabetes. This narrative review explores the dual burden posed by CDs and NCDs, emphasizing their interconnections, societal impacts, and regional disparities. While CDs continue to challenge healthcare systems in low- and middle-income countries, NCDs dominate global mortality, driven by aging populations, urbanization, and lifestyle changes. The review highlights how infectious agents contribute to chronic diseases, such as hepatitis B leading to liver cancer or COVID-19 exacerbating diabetes and cardiovascular risks. It underscores the necessity for integrated healthcare approaches that address both disease categories to reduce health inequities. Regional and demographic disparities, such as higher disease burdens in sub-Saharan Africa and Southeast Asia, are also discussed, along with their socio-economic drivers. Global efforts, including vaccination programs, lifestyle interventions, and sustainable health policies, are evaluated for their effectiveness and challenges. The review concludes with a call for innovative, equity-focused strategies to mitigate the dual burden and strengthen global health resilience.
UPPER EYELID RECONSTRUCTION SURGERIES; COMPARISON OF OUTCOMES BETWEEN REVERSE TENZEL FLAP VERSUS CUTLER BEARD FLAP PROCEDURE
Authors: Abbasi Sabeen , Zeeshan Kamil  , Syed Muhammad Faisal  , Syed Muhammad Saad  , Tanweer Hassan
Published: December 2024

Background: Objective of this study was to compare Reverse Tenzel flap and Cutler Beard flap for upper eyelid defects. Methods: This interventional study was carried out at occuloplasty department of LRBT (Layton Rahamatullah Benevoloent Trust), Karachi. Patients diagnosed with upper eye lid defect between 50 and 75 years were included after ethical approval from institutional ethical review committee and briefing patients about study dynamics. The patients were randomly divided in two groups, group A in whom reverse tanzel flap was done, while in group B Cutler beard procedure was done. Main outcome measure was eyelid contour, complete lid closure and surgical procedure time. SPSS version 25.0 was used for data analysis. Results: Reverse Tenzel flap mean age 64.00±6.17 years, mean duration of surgery 33±5.78 minutes, and mean healing time 2.2±0.41 weeks. Cutler Beard flap mean age 59.60±6.26 years, mean duration of surgery 32±5.78 minutes, and mean healing time 5.7±0.8 in 3 weeks. 60% of patients were female. 30 (50%) patients each underwent Reverse Tenzel flap and Cutler Beard flap. In Reverse Tenzel flap, no complications were observed. In Cutler Beard flap, 06 (20%) patients reported mild entropion, 04 (13.3%) retraction of flap and 02 (6.7%) were found to have mild incomplete lid closure. Conclusion: Reverse Tenzel flap was superior to Cutler Beard flap as it reported no complications, being single stage surgery with early healing. Cutler-Beard flap reported mild entropion and retraction of flaps which required second surgery and delayed healing.
ANTIBIOTIC RESISTANCE PATTERN OF ACINETOBACTER BAUMANNII ISOLATED FROM BACTEREMIA PATIENTS IN PAKISTAN
Authors: Jabeen Fauzia , Khan Zaman , Muhammad Sohail  , Tahir Ali , Tipu Imran , Saleem Hafiz Ghulam Murtaza
Published: December 2024

Background: Acinetobacter baumannii causes a number of life threatening infections in Hospitalized patients attributed to its ability to develop resistance against multiple antibiotics. The current scrutinisation is aimed to observe the prevalence and antibiotic resistance profile of A. baumannii strains isolated from blood of tertiary care Hospitalized patients in Lahore, Pakistan. Methods: This research is a retrospective study conducted over a period of one year where 1864 blood samples were collected from both male and female patients with septicaemia. Total 156 A. baumannii species were identified by conventional method and their antimicrobial resistance pattern against 22 antimicrobials (representing all known classes of antibiotics) was evaluated by Kirby Bauer disc diffusion method. MICs of colistin, polymyxin B and vancomycin against A. baumannii were calculated by E test and broth dilution method. Results: More males (n=97, 62%) were found infected than females (n=59, 38%). The spreading rate of A. baumannii was highest (n=101, 65%) in patients of age ‰¤20 years, and lowest (n=12, 7%) in the patients with the age of 41-60 years. Most of the strains of A. baumannii (n=118, 75.6%) were found to be MDR (multi drug resistant), 37 (23.7%) strains were XDR (Extensively drug-resistant) and only 1 (0.05%) strain was PDR (pandrug resistant). All the strains were sensitive to minocycline and tigecycline whereas highest non-susceptibility (n=144, 92%) was seen against Ampicillin-Sulbactam. Most of the strains demonstrated resistance against carbapenem and cephalosporin beckoning that A. baumannii can no longer be considered for salvage therapy by carbapenem. MICs of colistin, polymyxin B and vancomycin against A. baumannii divulged polymixin B as the most effective drug. Conclusion: Use of wide range of drugs has made A. baumannii multidrug resistant. Colistin, polymyxin B and vancomycin are the preferable drugs for the treatment of A. baumannii infections.
The COMPARISON OF VASCULAR CALCIFICATION AND MINERAL BONE DISEASE IN NON-DIALYSIS (CKD4/5ND) VS DIALYSIS DEPENDENT (CKD5D) PATIENTS
Authors: Salahuddin  , Malik Nadeem Azam  , Khalid Mehmood Raja  , Abdul Wahab Mir  , Taleah Tahir  , Faryal Riaz Khan  , Abdul Rehman Arshad  , Batool Butt  , Wahaj  , Ahsan
Published: December 2024

Background: Chronic kidney disease (CKD) has been a highly prevalent medical condition in all parts of the world affecting the haemostasis of the body in number of ways. Epidemiological data suggest that no region of the world has been spared from this condition and both developing and developed countries equally share the burden of this disease. Objective was to compare the vascular calcification and mineral bone disease in non-dialysis vs dialysis patients suffering from chronic kidney disease at a tertiary care hospital of Pakistan. It is a Comparative study, conducted at the Department of nephrology Pak Emirates Military Hospital Rawalpindi. Four months from November 2020 to February 2021. Methods: A total of 310 cases were included in the study, which were diagnosed as chronic kidney disease in nephrology department by a consultant nephrologist on basis of National Kidney Foundation/Kidney Disease Outcome Quality Initiative (NKF/KDOQI) 2002. They were divided into two equal groups by block randomization. Group I had the patients who were not dependent on dialysis (CKD4/5ND) while group II had dialysis dependent patients. Abdominal aorta, mitral and tricuspid valves were assessed to look for vascular calcification. Calcium, phosphate and parathyroid hormone levels were done to assess the mineral bone profile. Results: Out of 310 patients, 192 (61.9%) patients were males and 118 (38.1%) were females. 98 (31.6%) had evidence of vascular calcification while 212 (68.4%) did not have vascular calcification. 147 (47.4%) had hypocalcaemia, 167 (53.8%) had hyperphosphatemia while 98 (31.6%) patients had raised Parathyroid hormone levels. Regression analysis revealed that vascular calcification and abnormal mineral bone profile was significantly present more among patients who were dependent on dialysis (p-value<0.05). Conclusion: Bone mineral disease and vascular calcification were consistent findings among patients suffering from chronic kidney disease. Patients who were dependent on dialysis were more prone to develop these complications as compared to those who were not dependent on dialysis.
OUTCOME OF SHORT AND LONG DURATION STEROID THERAPY IN CHILDHOOD NEPHROTIC SYNDROME IN TERMS OF FREQUENCY OF RELAPSE RATE
Authors: Abdul Ahad Jamshaid  , Akhtar Naureen , Adnan Aneeqa , Perveen Shahida , Chaudhry Adeela , Tatima Tehreem
Published: December 2024

Background: Nephrotic syndrome is a clinical syndrome defined by massive proteinuria (greater than 40 mg/m2/hour) responsible for hypoalbuminemia (less than 30 g/L) resulting in oedema and hyperlipidaemia. Objective of the study was to compare the frequency of relapse rate with short and long duration steroid therapy in Nephrotic syndrome. It was a Quasi-experimental control group design, conducted at the Department of Paediatric Nephrology, The Children's Hospital and Institute of Child Health, Lahore. Duration of study: One year. Method: The data of 150 patients with steroid sensitive nephrotic syndrome was included with clinical presentation and diagnostic investigations. The children were randomly divided into long and short duration steroid treatment groups. Outcome was determined in terms of relapse rate after achieving remission with both treatment strategies. Independent sample t test was applied to compare the outcome in both groups with p‰¤0.05 considered as significant. Data was stratified for all the effect modifiers like age and gender and post-stratification chi square test was applied to see the effect on the outcome, taking p‰¤0.05 as significant. Results: The relapse rate of the disease was 0.8±0.72 per year in short-duration group and 1.28±0.61 per year in subjects receiving long-duration steroids, and difference between the two groups was found to be statistically significant (p<0.001). The relapse rate was less in the short duration therapy group as compared to the long duration therapy 62.7% (n=47) patients in group A had one or more relapses of the disease within one year of follow up in contrast to 94.7% (n=71) children in group B (p<0.001). Conclusion: Patients receiving short duration steroid therapy showed a lower relapse rate as compared to those who were administered long term steroids.
Возможности рекреационного туризма для проведения оздоровительных занятий в вузе
Authors: Головко О.Н. , Михайлова А.Г. , Лей В.А.
Published: December 2024

Вопросы укрепления здоровья обучающихся в условиях нарастающего экологического кризиса сегодня актуальны. Необходимо переосмысление учебных занятий с позиций природосообразной организации образовательного процесса. Именно высшая школа может предоставить условия сохранения здоровья во время обучения, формирования умений у обучающихся для здорового образа жизни. Проблематика влияния оздоровительных мероприятий на физическое состояние и самочувствие студентов в литературных источниках раскрыта недостаточно. Целью данного исследования является рассмотрение возможности реализации оздоровительных занятий в образовательном процессе вуза. Наличие физических и эмоциональных нагрузок у студентов, стремительный ритм жизни могут привести к нарушению состояния здоровья обучающихся. Представлены подходы к решению проблемы сохранения и укрепление здоровья студентов. В заключении авторы описывают оздоровительные занятия для экологизации образовательного процесса.

The issues of improving students’ health in the context of a growing environmental crisis are relevant today. It is necessary to consider training classes from the standpoint of a nature-conforming organization of the educational process. It is the higher school that can provide conditions for keeping health during training and developing students’ skills for a healthy lifestyle. The issue of the influence of health-improving activities on students’ physical state and well-being is not considered in literary sources sufficiently. The purpose of this study is to define the possibility of implementing recreational activities in the educational process of a university. The presence of physical and emotional stress among students, the fast life movement can lead to disruption of the students’ health. Approaches to solving the problem of preserving and strengthening students’ health are presented. In conclusion, the authors describe health activities for ecological educational process.
Wheat Response to NPK Nutrients and Its Economics in Punjab Province
Authors: Iqbal Muhammad Nadeem , Chishti Zia , Rehman Ubaid Ur , Hamid Samina , Muslim Nafeesa , Raza Nadeem , Ahmad Hafiz Riaz , Waheed Abdul , Hussain Nadeem , Malik Ali Hassan
Published: December 2024

Balanced use of fertilizer is important to achieve optimum yields of wheat. Present study was conducted at farmers’ fields in Rice-Wheat and Central mixed cropping zones of Punjab Pakistan for four years from 2019-20 to 2022-23. The objectives of the study were to determine economic optimum dose of nitrogen, phosphorus and potash nutrients for obtaining optimum wheat yields under irrigated conditions. The levels of N used in this study were (0, 53, 106, 160 and 212), for P2O5 were (0, 57, 114 and 171) and for K2O were (0, 30, 60) kg ha-1 of nutrients. These levels were incorporated in 11 treatments combination according to FAO central rotatory design. All P and K were applied at sowing whereas half N was applied at sowing and remaining N was top dressed at first irrigation. Results of 56 field trials conducted in these two zones indicated that 160 and 114 kilograms of N and P2O5 respectively per hectare proved economical doses for getting highest wheat grain yield in both these cropping zones. However, for K2O, the economical doses were 30 and 60 kg ha-1 for central and rice zones respectively. The study will help revisiting the current fertilizer recommendations. More experimentation is needed to go for imparting site-specific nutrient recommendations for economical crop production.
Impact of Preserved Semen on Fertility and Hatchability of Fayomi Hen Eggs
Authors: Khoso Zafar Ali , Rajput Nasir , Leghari Imdad Hussain , Kaka Asmatullah
Published: December 2024

This study aimed to evaluate the effects of various extenders on fertility, hatchability, and embryonic development in Fayomi breed chickens. Twenty males and two hundred females were divided into four treatment groups: control, grand pharma (gp) commercial based extender, short-term storage in AD2E (alone) extender at 4°C for 72 hours AD2E extender supplemented 10 ml pomegranate juice at 4°C for 72 hours, and on-farm storage in garlic extract for 3 hours. Each treatment group consisted of five males and fifty females. Statistical analysis was conducted to compare the results among treatment groups. Egg production rates ranged from 74% to 78%, with no significant difference observed among treatment groups (P > 0.05). Yolk weight, albumin weight, shell weight, and egg weight showed no significant differences among groups (P > 0.05). However, fertility rates ranged from 20.05% to 77.43%, with significant differences observed among treatment groups (P < 0.05). Similarly, chick hatchability ranged from 17.76% to 78.51%, and embryonic mortality ranged from 21.71% to 81.27%, both showing significant differences among treatment groups (P < 0.05). Chick liveability remained high across all groups, with no significant differences observed (P > 0.05). Hatch window ranged from 24 to 33 hours, showing no significant differences among groups (P > 0.05). Overall, egg quality parameters and chick liveability were unaffected by the extenders, fertility, chick hatchability, and embryonic mortality were significantly influenced by storage methods. Further optimization of preservation methods may be warranted to improve these outcomes in Fayomi breed chickens.
Application of Video Based Learning Method to Increase Student Engagement in the Digital Age
Authors: Morisson Buci , Sutisna Uken , AnwarulUmam Rayhan
Published: December 2024

The rapid development of digital technology has revolutionized the educational landscape, which demands more innovative and engaging teaching methods. One such method is Video-Based Learning (VBL), which utilizes multimedia resources, such as videos, to enhance students' learning experience. This article discusses the application of VBL as a strategy to enhance student engagement in the classroom in the context of the digital age. The research examines the effectiveness of VBL in encouraging active participation, enhancing understanding and strengthening students' motivation to learn. By integrating video content in the learning process, educators can provide a dynamic and interactive learning environment that suits various learning styles. In addition, VBL facilitates access to resources beyond traditional teaching, allowing students to interact with learning materials according to their pace and preferences. This research demonstrates the positive impact of VBL on student engagement, especially in subjects that benefit from visual and auditory stimulation, and discusses challenges and solutions in effective implementation. This article aims to provide insights and practical guidelines for educators in integrating Video-Based Learning in their teaching practices, so that students are better equipped to thrive in the digital age.
Sales, Marketing, Branding, and Community Relations
Authors: Spellman Michael
Published: December 2024

Becoming a successful healthcare entrepreneur necessitates objectivity and clear thinking, often requiring a reevaluation of preconceived ideas about sales, marketing, and branding, which have gained negative connotations. Distinguishing marketing from sales is crucial: marketing involves promoting awareness, whereas sales focus on convincing customers to purchase. Effective marketing campaigns, especially in healthcare, often are educational rather than competitive. Building relationships and understanding the needs and preferences of potential clients are essential for both marketing and sales. Repeated exposure to marketing messages is necessary to establish brand recognition. Networking and community engagement are vital for building and maintaining a practice. Savvy healthcare entrepreneurs differentiate themselves, maintain their networks, and continuously seek opportunities to market their services effectively.
O efeito mediador da orientação para o mercado externo na relação entre as capacidades de inovação e o desempenho exportador: o contexto de pequenas e médias empresas
Authors: Marques Paola Tramontin , Didonet Simone Regina
Published: December 2024

Objetivo:  Analisar o efeito mediador da orientação para o mercado externo na relação entre as capacidades de inovação e o desempenho exportador de pequenas e médias empresas (PMEs).Método: A pesquisa foi realizada com gestores de áreas correlatas ao marketing de empresas brasileiras exportadoras de alimentos e bebidas. A coleta de dados foi feita por meio de questionário e a amostra final foi composta por 120 empresas de diversas regiões do Brasil. Os dados foram analisados por meio de estatística descritiva e o teste de hipóteses foi feito por meio de modelagem de equações estruturais com o auxílio do software SmartPLS®.Relevância: Considerando os desenvolvimentos recentes na literatura sobre os temas de orientação para o mercado externo, capacidades de inovação e desempenho exportador, o presente estudo busca contribuir para o processo de internacionalização e melhoramento do desempenho internacional das PMEs.Resultados: Este estudo confirma o efeito mediador completo da orientação para o mercado externo (OME) na relação entre as capacidades de inovação (CI) e o desempenho exportador das PMEs, assim como o efeito positivo direto da CI na OME e o efeito positivo direto da OME no desempenho exportador. Na presença da OME, o efeito positivo direto da CI no desempenho exportador não aconteceu.Contribuições teóricas: O presente estudo contribui teoricamente ao identificar que o conhecimento de mercado externo, proveniente da OME, fortalece a relação entre as capacidades de inovação e o desempenho exportador de PMEs.
A aceitação de veículos elétricos: um modelo derivado da TAM
Authors: Soares Filho Flavio Garcia de Oliveira , Figueiredo Paulo S. , Coelho Rodrigo Santiago , Bernardino Lis Lisboa , Travassos Xisto Lucas
Published: December 2024

Objetivo: Este estudo tem por objetivo desenvolver e testar empiricamente uma derivação do Modelo de Aceitação de Tecnologia (TAM) sobre a aceitação de veículos elétricos (VEs).
Abordagem Teórica/Método: A análise foi baseada num modelo teórico original adaptado e derivado do Modelo de Aceitação de Tecnologia (TAM), uma teoria baseada em sistemas de informação que modela como os usuários passam a aceitar e usar uma tecnologia. Utilizou-se um questionário online aplicado em estudantes de pós-graduação no território Brasileiro, e as respostas analisadas por meio de equações estruturais. A amostra final foi composta por 209 pós-graduandos de três universidades no Brasil. O instrumento de coleta de dados foi validado por Análise Fatorial Confirmatória. Para o teste de hipóteses, foi aplicada a análise de caminhos (Path Analysis).
Resultados: Os resultados indicaram que há uma relação positiva entre as intenções de uso de veículos elétricos e as percepções de Facilidade de Uso, Utilidade Verde, e Prontidão da Infraestrutura em Potencial. Os resultados também demonstraram que não há evidências de uma relação positiva direta entre o fator Preocupação Ambiental e a intenção de uso de VEs.
Contribuições teóricas e para a gestão: O modelo teórico original aqui proposto e testado contribui para a teoria do TAM. Ao estudar fatores que estimulam a intenção de uso e o comportamento do consumidor em potencial de VEs no mercado brasileiro, contribui-se para futuras políticas gerenciais e governamentais neste segmento.
Relevância/Originalidade: O modelo teórico acrescenta fatores originais ao TAM, para explicar a aceitação dos VEs.
Enhancing quality in online surveys: uncovering foundational themes and strategies
Authors: Yoda Fernanda Sayuri , Freire Otávio Bandeira de Lamônica
Published: December 2024

Purpose: This study aimed to identify the foundational themes and strategies to enhance response quality in online surveys.
Method: The term "online survey" and its variations were employed as broad keywords for the article selection process to identify methodological and empirical articles about online survey quality. The selected database was characterized using bibliometric techniques, the foundational themes were identified through co-citation analysis, and recommended strategies were determined using bibliographic coupling analysis.
Findings:  The foundational themes in online survey literature encompass Device, Mode of Administration, Question Design, Careless Responses, Response Rate, Paradata, Statistical Adjustment, Incentives, and Household Survey. Device and Mode of Administration emphasize the description and comparison of online collection methods with traditional approaches and explore the use of different devices. The remaining themes investigate strategies aimed at enhancing online survey response, focusing on specific strategies, quality indicators, or participant behaviors.
Originality/Value: This study serves as a valuable guideline for survey researchers. To the authors’ knowledge, this is the first review using co-citation analysis to identify the main strategies for improving response quality in online survey research.
Theoretical/Methodological contributions: This research contributes across many disciplines by uncovering the main strategies to improve response quality in online survey research and providing guidance for survey researchers.
Social/Managerial contributions: By highlighting the importance of survey protocols and the potential biases and errors associated with unplanned research, the findings offer practical insights for social and managerial contexts.
Entrevistas, anotações e análises preliminares na pesquisa qualitativa: cuidados fundamentais
Authors: Lima Edmilson de Oliveira , Harta Mimba Ni Putu Sri
Published: December 2024

Objetivo: Dada a recorrência de problemas ligados à tomada de nota durante as entrevistas e à análise preliminar de dados ao longo da coleta destes, o presente editorial visa a explorar a literatura e nossa experiência dando mais evidência a esses problemas e sugerindo caminhos para superá-los.
Métodos: Revisão da literatura e uso de nossas próprias experiências, de modo fundamentado e com exemplos, em argumentações, explicações e recomendações úteis no aperfeiçoamento de pesquisas.
Originalidade/relevância: O editorial detalha justificativas e modos de se tomar notas durante entrevistas semi-estruturadas, algo geralmente negligenciado até mesmo nas publicações sobre entrevistas, mas necessário para dar mais qualidade, profundidade e potencial de contribuição a elas. Também trata da análise de dados entre as entrevistas, tema ainda carente de atenção, somada às anotações como modo de se avançar com resultados e definir como continuar as entrevistas.
Contribuições: Trazemos numerosas referências bibliográficas sobre entrevistas úteis para (futuros) pesquisadores. Fazemos a caracterização da realização e recomendações sobre entrevistas semi-estruturadas, assim como quanto à tomada de notas e à análise de dados ao longo das entrevistas para se acessar o melhor do potencial dos informantes, entrevistas, dados e resultados.