bluuebunny/crossref_metadata_2025 huggingface dataset:
REHABILITATION APPROACHES TO ADOLESCENT IDIOPATHIC SCOLIOSIS IN INTERNATIONAL PRACTICE
Authors: Bakaliuk T.H. , Rozheliuk O.V. , Panasiuk Ya.V. , Stelmakh H.O. , Makarchuk N.R.
Published: October 2023

Актуальним завданням є вивчення сучасних підходів до використання фізичної терапії для лікування сколіотичної хвороби у підлітків з метою визначення ефективних методів, які мають належну наукову підтримку та доказову основу. Мета дослідження полягає в пошуку сучасних підходів до використання фізичної терапії у підлітків з сколіозом для визначення ефективних науково підтверджених методик консервативного лікування сколіозу та світових тенденцій у цьому напрямку.

В статті проведений аналіз реабілітаційних підходів, які використовуються у пацієнтів з підлітковим ідіопатичним сколіозом (ПІС) у міжнародній медичній практиці. Розглянуті актуальні методи та стратегії, спрямовані на поліпшення фізичного стану, якість життя та зменшення деформації хребта у підлітків з сколіозом.

Був проведений аналіз наукових статей, опублікованих в PubMed та Google Scholar з 2012 по 2022 рік, що стосувалися методів фізичної терапії для сколіотичної хвороби у підлітків.

Згідно з Оксфордським центром доказової медицини, фізіотерапевтичні специфічні вправи для лікування сколіозу (Physiotherapeutic Scoliosis Specific Exircises (PSSE)) можуть бути рекомендовані як перші заходи для запобігання прогресуванню сколіозу. Якщо PSSE не допомагають запобігти прогресуванню, рекомендується застосовувати корегуюче ортезування (тривимірний корсет Шено). У випадках, коли консервативне лікування не зупиняє прогресування сколіозу, може бути прийняте рішення про проведення оперативного втручання.

Всі науково обґрунтовані методики фізичної терапії для лікування сколіозу базуються на використанні фізіотерапевтичних специфічних вправ, які враховують зміни в трьох площинах.

Виходячи з аналізу публікацій, зроблено висновки про важливість інтегрованого підходу до реабілітації підлітків з ідіопатичним сколіозом та необхідність подальших досліджень для вдосконалення методів та підтвердження їхньої ефективності.

Ключові слова: підлітковий ідіопатичний сколіоз, фізична терапія, реабілітація
EFFECTIVENESS OF THE USE OF NORDIC WALKING IN PATIENTS AFTER CHOLECYSTECTOMY AT THE LONG-TERM STAGE OF REHABILITATION
Authors: Golod N.R.
Published: October 2023

Мета дослідження – визначити ефективність застосування скандинавської ходьби (СХ) у пацієнтів після холецистектомії на довготривалому етапі реабілітації. 

Матеріали і методи У дослідження включено 79 пацієнток після лапароскопічної холецистектомії на довготривалому етапі реабілітації. 

Методи: Просте рандомізоване дослідження із засліпленням оцінювачів. Оцінювали 6-ти хвилинний тест ходьби, Модифіковану Шкала Борга, частоту серцевих скорочень (ЧСС),    артеріальний систолічний тиск (САТ) артеріальний, діастолічний тиск ДАТ. Використовували СХ як засіб фізичної терапії. Методи математичної статистики: Вірогідність розходжень оцінювали за допомогою парного t-критерію Стъюдента для залежних вибірок. Розходження вважали статистично достовірними при р<0,05.

Результати В обох групах при первинному обстеженні виявлено підвищення рівнів систолічного, діастолічного артеріального тиску, підвищення ЧСС у стані спокою, зниженя від норми показники 6-ти хвилинного тесту ходьби та наявності відчуття задишки при виконанні тесту.  При проведенні заключного обстеження було виявлено статистично достовірне (< 0,05) покращення показників у групі Б у порівнянні із групою А та у порівнянні із результатом первинного обстеження, а саме: параметрів 6-ти хвилинного тесту ходьби, у зменшенні відчуття задишки при ходьбі за Модифікованою Шкалою Борга, у зменшенні ЧСС, САТ та ДАТ у стані спокою.

          Висновки Методика реабілітаційного втручання із застосуванням фізичної терапії у групі В, яка включала у себе скандинавську ходьбу є більш ефективною для збільшення толерантності до фізичного навантаження.
MONITORING OF ASSESSMENT OF HAND FUNCTIONING OF CHILDREN IN NEED OF NON-ONCOLOGICAL PALLIATIVE CARE
Authors: Nagorna O.B. , Primacok L.L.
Published: October 2023

Анотація. Оцінка функції руки є невід’ємною частиною особистісного розвитку дитини, оскільки це передбачає здатність використовувати руку в щоденній діяльності. Ця здатність залежить від її анатомічної цілісності, чутливості, координації, сили та спритності. Мета дослідження: проаналізувати динаміку функціонування рук дітей, які потребують неонкологічної паліативної допомоги. У ході дослідження були використані наступні методи: аналіз та узагальнення даних науково-методичної та спеціальної літератури, документальних матеріалів, інформаційних ресурсів мережі Інтернет; опитування, збір анамнезу, об’єктивне обстеження, методи лінійно-економетричної моделі та множинної регресії. Результати дослідження. У дослідженні брали участь 47 (100%) пацієнтів з паліативними патологічними станами і моторним розвитком на рівні IV-V за GMFCS, які були розподілені на основну групу 24 (ОГ = 51%) та групу порівняння (ГП = 49%). Для оцінювання рук використовувалася система класифікації дрібної моторики МАСS, тонусометрія, відео-контроль. Проведено первинне, поточне, контрольне обстеження функціонування рук. Первинна оцінка педіатричних паліативних пацієнтів засвідчила порушення функціонування рук, патологічно змінений тонус, несформованість зорово-моторної координації. Засобами фізичної терапії виступали вправи за методикою «рука в руці», вербалізація всіх дій, виконання змістовно-ціннісних для дитини завдань, використання візуалізованих засобів, масаж, позиціонування, виконання терапевтичних вправ перед дзеркалом. Контрольне оцінювання показало позитивну динаміку у пацієнтів обох груп, однак у дітей основної групи оцінювання засвідчило якісно кращі показники. Висновки. Довготривала, системна терапевтична практика з реабілітації верхньої кінцівки пацієнтів неонкологічної паліативної групи дозволяє досягти позитивних результатів. Математично підтверджено, що нормалізація тонусу м’язів, формування зорово-моторної координації покращує функцію хапання та рівень класифікації руки. Внаслідок вивчення цієї залежності можливий підбір терапевтичних засобів для вдосконалення функціонування руки.
ENSINO POR COMPETÊNCIA
Authors: Oliveira Tarcisio Dorn de , Johann Diane Meri Weiller , Souza Matheus Cargnelutti de , Soares Igor Norbert
Published: October 2023

Ensinar por competência traz consigo uma construção de conhecimento pessoal e singular, ao passo que, torna-se única e, tão somente, do sujeito, pois emerge quando, por meio de determinada circunstância. Considerando os procedimentos, metodologicamente, o artigo estrutura-se por uma revisão bibliográfica, pesquisa documental e relato de estudo de caso, tendo como objetivo apresentar e refletir uma intervenção artística, desenvolvida por estudantes do Curso de Arquitetura e Urbanismo da Universidade Regional do Noroeste do Estado do Rio Grande do Sul (UNIJUÍ) na Estação Cidadania Cultura e Esporte  (ECCE), espaço este, que integra o Parque Popular da Pedreira de Ijuí/RS. Torna-se evidente que o ensino por competência deve ser traduzido na habilidade do estudante em estar apto a articular, relacionar e desenvolver, de forma conjunta, diversos saberes, conhecimentos, atitudes e valores por meio de ações cognitivas, afetivas e sociais sendo capaz de reconhecer-se na ambiência que o rodeia.
POLÍTICA DE RESPONSABILIZAÇÃO EDUCACIONAL PARA OS PROFISSIONAIS DO ENSINO
Authors: Ferreira Viviane Maria da Silva , Givanildo da Silva
Published: October 2023

O objetivo da pesquisa foi compreender a Política de Responsabilização Educacional e suas incidências para o trabalho docente, tendo como ponto de partida a percepção de que os profissionais da educação são cobrados por resultados no cenário das avaliações externas, repercutindo nas dinâmicas de organização escolar, nas concepções de currículo e de avaliação da aprendizagem, interferindo diretamente na atuação dos envolvidos. A metodologia utilizada foi por meio da Revisão Sistemática de Literatura sobre a Política de Responsabilização Educacional. As análises demonstraram que no âmbito da cultura de responsabilização dos profissionais da educação, por meio dos resultados das avaliações externas, destaca-se que é uma tendência global que repercute/interfere diretamente nos modos de organização das redes, dos sistemas de ensino e das escolas, sinalizando os preceitos de cunho neoliberal e gerencial na educação brasileira.
AGENCIAMENTO ECONÔMICO-ADMINISTRATIVO DA EDUCAÇÃO NO CAMPO NO ACRE
Authors: De Lima Nicácio Marcondes
Published: October 2023

Este artigo apresenta um exame dos programas e projetos educacionais do campo no Vale do Juruá-Acre, verificando suas articulações com a agenda global dos organismos multilaterais e seus reflexos sobre a pobreza. Tendo como base a análise dialética, a pesquisa articula concepções teóricas e análise documental, pelo enfoque de natureza qualitativa. Na pesquisa, identificou-se a preponderância da dimensão econômico-administrativa, tanto nos aparelhos e organismos estatais quanto no discurso de desenvolvimento sustentável, em que a base de exploração do trabalho captura o modo de vida dos povos da floresta, produzindo simbólica e materialmente a impressão de melhoria de qualidade de vida, enquanto a própria natureza filosófica da escola é remodelada para o interesse de mercado.
Health Care Trainees’ and Professionals’ Perceptions of ChatGPT in Improving Medical Knowledge Training: Rapid Survey Study
Authors: Hu Je-Ming , Liu Feng-Cheng , Chu Chi-Ming , Chang Yu-Tien
Published: October 2023

Background

ChatGPT is a powerful pretrained large language model. It has both demonstrated potential and raised concerns related to knowledge translation and knowledge transfer. To apply and improve knowledge transfer in the real world, it is essential to assess the perceptions and acceptance of the users of ChatGPT-assisted training.

Objective

We aimed to investigate the perceptions of health care trainees and professionals on ChatGPT-assisted training, using biomedical informatics as an example.

Methods

We used purposeful sampling to include all health care undergraduate trainees and graduate professionals (n=195) from January to May 2023 in the School of Public Health at the National Defense Medical Center in Taiwan. Subjects were asked to watch a 2-minute video introducing 5 scenarios about ChatGPT-assisted training in biomedical informatics and then answer a self-designed online (web- and mobile-based) questionnaire according to the Kirkpatrick model. The survey responses were used to develop 4 constructs: “perceived knowledge acquisition,” “perceived training motivation,” “perceived training satisfaction,” and “perceived training effectiveness.” The study used structural equation modeling (SEM) to evaluate and test the structural model and hypotheses.

Results

The online questionnaire response rate was 152 of 195 (78%); 88 of 152 participants (58%) were undergraduate trainees and 90 of 152 participants (59%) were women. The ages ranged from 18 to 53 years (mean 23.3, SD 6.0 years). There was no statistical difference in perceptions of training evaluation between men and women. Most participants were enthusiastic about the ChatGPT-assisted training, while the graduate professionals were more enthusiastic than undergraduate trainees. Nevertheless, some concerns were raised about potential cheating on training assessment. The average scores for knowledge acquisition, training motivation, training satisfaction, and training effectiveness were 3.84 (SD 0.80), 3.76 (SD 0.93), 3.75 (SD 0.87), and 3.72 (SD 0.91), respectively (Likert scale 1-5: strongly disagree to strongly agree). Knowledge acquisition had the highest score and training effectiveness the lowest. In the SEM results, training effectiveness was influenced predominantly by knowledge acquisition and partially met the hypotheses in the research framework. Knowledge acquisition had a direct effect on training effectiveness, training satisfaction, and training motivation, with β coefficients of .80, .87, and .97, respectively (all P<.001).

Conclusions

Most health care trainees and professionals perceived ChatGPT-assisted training as an aid in knowledge transfer. However, to improve training effectiveness, it should be combined with empirical experts for proper guidance and dual interaction. In a future study, we recommend using a larger sample size for evaluation of internet-connected large language models in medical knowledge transfer.
Characteristics Associated With Telemonitoring Use Among Patients With Chronic Heart Failure: Retrospective Cohort Study (Preprint)
Authors: Auener Stefan L , van Dulmen Simone A , Atsma Femke , van der Galiën Onno , Bellersen Louise , van Kimmenade Roland , Westert Gert P , Jeurissen Patrick P T
Published: October 2023

BACKGROUND

Chronic heart failure (HF) is a chronic disease affecting more than 64 million people worldwide, with an increasing prevalence and a high burden on individual patients and society. Telemonitoring may be able to mitigate some of this burden by increasing self-management and preventing use of the health care system. However, it is unknown to what degree telemonitoring has been adopted by hospitals and if the use of telemonitoring is associated with certain patient characteristics. Insight into the dissemination of this technology among hospitals and patients may inform strategies for further adoption.

OBJECTIVE

We aimed to explore the use of telemonitoring among hospitals in the Netherlands and to identify patient characteristics associated with the use of telemonitoring for HF.

METHODS

We performed a retrospective cohort study based on routinely collected health care claim data in the Netherlands. Descriptive analyses were used to gain insight in the adoption of telemonitoring for HF among hospitals in 2019. We used logistic multiple regression analyses to explore the associations between patient characteristics and telemonitoring use.

RESULTS

Less than half (31/84, 37%) of all included hospitals had claims for telemonitoring, and 20% (17/84) of hospitals had more than 10 patients with telemonitoring claims. Within these 17 hospitals, a total of 7040 patients were treated for HF in 2019, of whom 5.8% (409/7040) incurred a telemonitoring claim. Odds ratios (ORs) for using telemonitoring were higher for male patients (adjusted OR 1.90, 95% CI 1.50-2.41) and patients with previous hospital treatment for HF (adjusted OR 1.76, 95% CI 1.39-2.24). ORs were lower for higher age categories and were lowest for the highest age category, that is, patients older than 80 years (OR 0.30, 95% CI 0.21-0.44) compared to the reference age category (18-59 years). Socioeconomic status, degree of multimorbidity, and excessive polypharmacy were not associated with the use of telemonitoring.

CONCLUSIONS

The use of reimbursed telemonitoring for HF was limited up to 2019, and our results suggest that large variation exists among hospitals. A lack of adoption is therefore not only due to a lack of diffusion among hospitals but also due to a lack of scaling up within hospitals that already deploy telemonitoring. Future studies should therefore focus on both kinds of adoption and how to facilitate these processes. Older patients, female patients, and patients with no previous hospital treatment for HF were less likely to use telemonitoring for HF. This shows that some patient groups are not served as much by telemonitoring as other patient groups. The underlying mechanism of the reported associations should be identified in order to gain a deeper understanding of telemonitoring use among different patient groups.
Using Theories, Models, and Frameworks to Inform Implementation Cycles of Computerized Clinical Decision Support Systems in Tertiary Health Care Settings: Scoping Review (Preprint)
Authors: Fernando Manasha , Abell Bridget , Tyack Zephanie , Donovan Thomasina , McPhail Steven M , Naicker Sundresan
Published: October 2023

BACKGROUND

Computerized clinical decision support systems (CDSSs) are essential components of modern health system service delivery, particularly within acute care settings such as hospitals. Theories, models, and frameworks may assist in facilitating the implementation processes associated with CDSS innovation and its use within these care settings. These processes include context assessments to identify key determinants, implementation plans for adoption, promoting ongoing uptake, adherence, and long-term evaluation. However, there has been no prior review synthesizing the literature regarding the theories, models, and frameworks that have informed the implementation and adoption of CDSSs within hospitals.

OBJECTIVE

This scoping review aims to identify the theory, model, and framework approaches that have been used to facilitate the implementation and adoption of CDSSs in tertiary health care settings, including hospitals. The rationales reported for selecting these approaches, including the limitations and strengths, are described.

METHODS

A total of 5 electronic databases were searched (CINAHL via EBSCOhost, PubMed, Scopus, PsycINFO, and Embase) to identify studies that implemented or adopted a CDSS in a tertiary health care setting using an implementation theory, model, or framework. No date or language limits were applied. A narrative synthesis was conducted using full-text publications and abstracts. Implementation phases were classified according to the “Active Implementation Framework stages”: exploration (feasibility and organizational readiness), installation (organizational preparation), initial implementation (initiating implementation, ie, training), full implementation (sustainment), and nontranslational effectiveness studies.

RESULTS

A total of 81 records (42 full text and 39 abstracts) were included. Full-text studies and abstracts are reported separately. For full-text studies, models (18/42, 43%), followed by determinants frameworks (14/42,33%), were most frequently used to guide adoption and evaluation strategies. Most studies (36/42, 86%) did not list the limitations associated with applying a specific theory, model, or framework.

CONCLUSIONS

Models and related quality improvement methods were most frequently used to inform CDSS adoption. Models were not typically combined with each other or with theory to inform full-cycle implementation strategies. The findings highlight a gap in the application of implementation methods including theories, models, and frameworks to facilitate full-cycle implementation strategies for hospital CDSSs.
Co-designing a user-centred digital health tool for supportive care needs of brain tumour patients and carers: An interview analysis (Preprint)
Authors: Kalla Mahima , Bradford Ashleigh , Schadewaldt Verena , Burns Kara , Bray Sarah , Cain Sarah , McAlpine Heidi , Dhillon Rana , Chapman Wendy , Whittle James R. , Drummond Kate , Krishnasamy Mei
Published: October 2023

BACKGROUND

Brain tumours are a cancer with a high burden of disease that profoundly impact quality of life. Digital health tools hold tremendous potential to revolutionise support that enhances supportive care and quality of life for brain tumour patients and their carers. While co-design with patients and carers is well recognised to contribute to the use and effectiveness of digital health tools, there is frequently a trade-off between best-practice experience-based co-design methods and the ability of patients to participate in co-design workshops within project timelines. This study details interview methods effectively used at the generative co-design phase when workshops may be limited by time, burden of participant disease, and other feasibility issues.

OBJECTIVE

This study aimed to generate ideas and concepts, through a co-design paradigm, to inform the development of a digital health tool to address the unmet needs of people affected by brain tumours.

METHODS

By exploring what brain tumour patients want from a digital health platform, we were able to incorporate the patient, carer and health professional voice into a design and development project through 35 qualitative interviews focusing on unmet needs and concepts for a digital health tool. Interviews were audio recorded and transcribed and a five-step Framework Analysis approach used to analyse data.

RESULTS

Four themes of support needs emerged: emotional and psychological; information; physical and practical; and social connectedness.

CONCLUSIONS

Results indicated that a safe, supportive online tool enabling information sharing as well as connectedness between patients, carers, and health professionals would address key unmet needs of this population, laying the design groundwork for the digital health platform.
Handling missing data methods for estimating the incidence rate of COVID-19 pandemic data: A case study in Vietnam (Preprint)
Authors: Pham Hai-Thanh , Do-Thi Thanh-Toan , Baek Jonggyu , Nguyen Cong-Khanh , Pham Quang-Thai , Nguyen Hoa L , Goldberg Robert J , Pham Loc Quang , Le Giang Minh
Published: October 2023

BACKGROUND

The COVID-19 pandemic, characterized by varying lockdown durations across different nations and overcrowding in healthcare facilities, has introduced novel challenges in the realm of disease forecasting. One of the pressing issues has been the management of missing data stemming from diverse sources

OBJECTIVE

To show how handling missing data can effect estimates of the COVID-19 incidence rate (CIR).

METHODS

The current study used data from the surveillance system of COVID-19/SAR-CoV-2 patients treated at the National Institute of Hygiene and Epidemiology, Hanoi, Vietnam. We randomly removed missing data that were completely at random (MCAR) from 5% to 30% with a break of 5% each time in the variable daily case load of COVID-19. We selected six analytical methods to assess the effects of handling missing data which were backfill imputation, moving average, median imputation, maximum likelihood, linear interpolation, and the Autoregressive integrated moving average (ARIMA) model.

RESULTS

During the Zero-COVID period, the median imputation method yielded lower mean absolute crude bias (ACB) and mean crude root mean square error (RMSE) values compared to the other methods, irrespective of the extent of missing data; the median imputation method exhibited the lowest mean absolute percentage change (APC) in the CIR. During the Transition period, the ARIMA model of imputation demonstrated the lowest mean ACB across all levels of missing data and the lowest mean APC values. During the New-normal period, the backfill and linear interpolation methods demonstrated the lowest mean ACB across all levels of missing data and relatively lower mean APC values compared with the other imputation methods.

CONCLUSIONS

Our study emphasizes the importance of choosing the most appropriate missing data handling method, in the context of a specific disease situation, to ensure reliable estimates of the CIR.
EVALUATION AND MANAGEMENT OF POSTPARTUM HYPERTENSION IN A TERTIARY CARE HOSPITAL
Authors: MISHRA SETUMA , Kaur Parneet , PAL KAUR SATINDER
Published: October 2023

Objective: The objective is to study the causative factors of postpartum hypertension (PPHTN), time taken for control of blood pressure (BP) in postpartum period and to study the anti-hypertensive drugs used in control of PPHTN.
Methods: The study was conducted for 1½ years. During the study, 190 women in postpartum period with high BP were enrolled in the study. A detailed record of history and general physical examination and local examination was done as per pro forma after written informed consent.
Results: Out of 190 subjects, 168 had a history of hypertension (HTN) in the antenatal period, and the rest 22 went on to develop HTN in the postpartum period. Gestational HTN and preeclampsia were the most frequent types of hypertensive disorders seen among subjects. In 42.1% of patients, PPHTN developed after 48 h and in 23.7% of cases developed within 48 h. BP normalized post-delivery in 22.6% of subjects. The majority (74.1%) of subjects took tablet labetalol post-delivery. 62.1% of patients took anti-hypertensive for more than 7 days and were discharged on treatment with advice to follow-up. 15.3% took treatment for <7 days. No treatment was required by 22.6% of subjects.
Conclusion: Our data identified a high prevalence of PPHTN. We found a significant correlation between the levels of severity of antepartum BP with the level of severity of postpartum BP. Monitoring of HTN is important in the postpartum period for all patients as the majority develop hypertension after 48 h.
EMERGING AND RE-EMERGING BACTERIAL ZOONOSES SCREENING OF HIGH RISK GROUPS FOR LEPTOSPIRAL SEROVARS
Authors: Clitus A , Anupriya A , PRABHUSARAN N
Published: October 2023

Objective: To collect information related to leptospirosis among high-risk groups: agricultural workers, butchers, construction workers, and hospital sanitary workers through questionnaires and to determine the presence of leptospires among these high-risk groups (both genus and serovarspecific).
Methods: A total of 367 eligible subjects were included (112 agricultural workers, 108 construction site workers, 89 sanitary workers, and 58 butchers).
Results: The genus-specific enzyme-linked immunosorbent assay was performed for all the serum samples (n=367) and showed reactiveness among 149 subjects. The results were compared with the serovar-specific microscopic agglutination test, which showed positivity in 158 subjects.
Conclusion: Screening the occupational risk group for the presence of leptopsiral prints in order to provide appropriate medical check-ups and the earliest treatment. An educational program for rodent control and infection control where the seroprevalence is high should be organized.
COMPARISON BETWEEN RENOPROTECTIVE EFFECTS OF FEBUXOSTAT AND ALLOPURINOL IN CHRONIC KIDNEY DISEASE PATIENTS WITH HYPERURICEMIA
Authors: Matta Saksham , Bhutani Garima , Arora Tarun , Garg Renu , Rani Seema , Saini Rahul
Published: October 2023

Objective: The objective of the study was to compare the renoprotective effects of febuxostat versus allopurinol in chronic kidney disease patients with hyperuricemia.
Methods: One hundred and ten patients were divided randomly into two equal groups: group F (febuxostat) and group A (allopurinol). Group F patients received tablet febuxostat 40 mg OD for 4 months and group A patients received tablet allopurinol 100 mg TDS for 4 months. Following parameters such as estimated glomerular filtration (eGFR) assessment, serum creatinine, serum uric acid (SUA), total serum protein, urine creatinine, urine protein, blood urea, and number of dialysis were carried out and repeated at the end of 1st–4th month to check for the effect of the test drugs on the status of kidney function.
Observations: Febuxostat caused more rise in eGFR than allopurinol. Meanwhile, the number of patients with eGFR ≤15/mL/min/1.73 m2 showed no difference between the groups. No patient showed >10% decrease in the eGFR values. Febuxostat showed more decline in SUA levels than allopurinol, although the number of patients reaching the target SUA levels was the same in both groups. Febuxostat led to a more reduction in serum creatinine levels than allopurinol. Urine creatinine and urine albumin levels decline were associated more with febuxostat. No remarkable difference in comparison of both the groups in terms of total serum protein and serum globulin, although a significant rise was seen with febuxostat in serum albumin levels. Both drugs had a similar sequel in declining blood urea nitrogen levels. No discernible difference in the number of dialysis sessions needed by patients in the previous month was seen in the study groups.
Conclusion: The present study concluded that febuxostat appears to be a better alternative to allopurinol for chronic kidney disease patients with hyperuricemia. Febuxostat has a superior renoprotective effect than allopurinol.
DENTAL IMPLANTS AS AN OPTION FOR MISSING TOOTH/TEETH REPLACEMENT: A STUDY ON PATIENT AWARENESS AND SOURCES OF INFORMATION
Authors: MISHRA AMBRISH , TIWARI RAJNARAYAN , TRIPATHI GEETA MISHRA , SHARMA DIVASHREE
Published: October 2023

Objectives: This study was designed with an aim to assess the level of awareness regarding dental implant as a treatment modality for the replacement of missing teeth in the patients reporting to dental outpatient department and to determine their sources of information regarding implants.
Methods: This was a questionnaire-based study to assess the awareness about dental implants and the related sources of information in 350 patients who reported to Department of Dentistry, Shyam Shah Medical College Rewa, Madhya Pradesh from 1st October 2022 to 31st December 2022.
Results: Only 36.86% (n=129) of participants had heard of dental implants. Among these patients (N=129), only 30.23 % (n=39) received information about dental implants from dentists. Only 4 (3.10%) patients had themselves undergone treatment with dental implants. Awareness regarding implant composition was poor with only 6.98% (n=9) participants being aware that implants are made of titanium. Fear of surgery (33.33%) and high treatment cost (30.23%) were the most common limiting factors that governed the decision of patients regarding undergoing treatment with dental implants.
Conclusion: The findings of the study indicate a low level of awareness about dental implants as a treatment option for replacing missing teeth. A very less number of participants received information from reliable sources. It is important to create awareness in general population regarding feasibility of implants for prosthetic rehabilitation and to make implant treatment easily accessible and affordable.
Obtención de Arrabio Aleado con Ni y Cr por Reducción Carbotérmica en un Horno de Arco de Corriente Continua de Colas de Nicaro de la Producción de Níquel
Authors:   Universidad Central “Marta Abreu” de Las Villas, Cruz-Crespo Amado , Ortiz-Bárcenas Jesús ,   Grupo Empresarial de la Industria Sidero Mecánica, Perdomo-González Lorenzo ,   Universidad Central “Marta Abreu” de Las Villas, Quintana-Puchol Rafael ,   Universidad Central “Marta Abreu” de Las Villas, Pons-Herrera josé ,   Universidad de Moa “Antonio Núñez Jiménez”, Rosales-Martín Gualberto ,   Ministerio de Industrias
Published: October 2023

La existencia de residuales de la producción de níquel (Ni) que pueden ser usados para obtener materiales metalizados en la producción de acero, junto a la insuficiente disponibilidad de coque, lleva a pensar en procesos alternativos sustentables, basados en reductores de mayor accesibilidad, como carbones no coquificables. El objetivo de la investigación fue evaluar la obtención de arrabio aleado con Ni y Cr, mediante la reducción carbotérmica en horno de arco de corriente continua de colas del proceso de producción de Ni en Nicaro (Cuba), sin beneficiar, empleando carbón antracita como reductor, con vistas a la sustitución de chatarra en el proceso de obtención de aceros aleados. Para ello, se realizaron cálculos teóricos para la obtención de arrabio por reducción carbotérmica para establecer la composición de la carga y se realizó la validación experimental de la obtención del arrabio. Se determinaron las cantidades de los productos de colada, sus rendimientos, la composición del arrabio obtenido y los recobrados de Fe, Ni y Cr. El estudio muestra que es viable la obtención de arrabio aleado con Ni y Cr mediante la reducción carbotérmica en horno de arco de corriente continua de colas de Nicaro sin beneficiar, empleando carbón antracita como reductor
Anxiety level and compliance with health protocols during the covid-19 pandemic in Madura Indonesia
Authors: Arfianto Muhammad Ari , Triandini Aprillia , Muhammad Rosyidul Ibad
Published: October 2023

Introduction: The COVID-19 pandemic has caused changes in various aspects of life, one of which is the culture of implementing health protocols to prevent transmission. The level of anxiety about illness is considered to have a role in adherence to health protocols. There are not many studies that explain the relationship between anxiety levels and adherence to health protocols. Objectives: This study aims to determine the relationship between anxiety levels and adherence to health protocols in the Madura Indonesian. Methods: This study used a cross-sectional design. The number of samples is 400 people of Madura Regency, the samples were selected using purposive sampling technique. The inclusion criteria were at least 17 years old and able to read and write. The research instrument used the Zung Self Rating Anxiety Scale and Adherence to COVID-19 Prevention Measures questionnaires. Results: The level of anxiety was dominated by mild anxiety (49.3%), while adherence to health protocols was dominated by low compliance (44.8%). The results of the Spearman rho test showed that there was a relationship between the level of anxiety and adherence to health protocols with a value of p = 0.000. Conclusions: This study shows that there is a significant relationship between anxiety levels and adherence to health protocols.
application of islamic values in the health services: a nurse perspective
Authors: Qowi Nurul Hikmatul , Harmiardillah Sylvi , Lestari Trijati Puspita
Published: October 2023

Introduction: Public awareness of the need to practice Islam in all aspects of life is increasing, including in health services. High motivation of the hospital in implementing Islamic health services has not been followed by clinics which are under Muhammadiyah charity businesses. Objectives: This study aimed to describe Islamic values at the Muhammadiyah Clinics in Lamongan Regency. Methods: The researchers used a descriptive method with a survey approach. All nurses at eleven Muhammadiyah Clinics in Lamongan Regency were selected to be the sample using purposive sampling. Seventy-one health workers filled out a 21-item-questionnaire on the application of Islamic values which had been modified by the researchers. The data were analysed by using descriptive analysis. Results: The application of Islamic values by health workers in the Muhammadiyah clinics was categorized poor (42.3%), and good (35.2%). The analysis of instrument items showed a low mean value in guiding prayer activities before surgery (1.67), reminding the spiritual guidance officers to make visits to the room (1.69), and giving prayer guidance to patients by the spiritual guidance officers (1.79). A high mean value was obtained for having prayer facilities/mosque (4.00), employees who prayed 5 times a day (3.96), and employees who recited bismillah for every medication and medical procedure (3.94). Conclusions: The role of the spiritual guidance officers at the clinic is very important to help fulfil spiritual needs and increase patient comfort. Clinic facilities that support the formation of an Islamic atmosphere need to be maintained, including monitoring employee attitudes and behaviour in daily life in accordance with Islamic teachings. The application of Islamic values can be an attraction for people in choosing a place to get health services.
Discovering optimal fermion-qubit mappings through algorithmic enumeration
Authors: Chiew Mitchell , Strelchuk Sergii
Published: October 2023

Simulating fermionic systems on a quantum computer requires a high-performing mapping of fermionic states to qubits. A characteristic of an efficient mapping is its ability to translate local fermionic interactions into local qubit interactions, leading to easy-to-simulate qubit Hamiltonians.All fermion-qubit mappings must use a numbering scheme for the fermionic modes in order for translation to qubit operations. We make a distinction between the unordered labelling of fermions and the ordered labelling of the qubits. This separation shines light on a new way to design fermion-qubit mappings by making use of the enumeration scheme for the fermionic modes. The purpose of this paper is to demonstrate that this concept permits notions of fermion-qubit mappings that are optimal with regard to any cost function one might choose. Our main example is the minimisation of the average number of Pauli matrices in the Jordan-Wigner transformations of Hamiltonians for fermions interacting in square lattice arrangements. In choosing the best ordering of fermionic modes for the Jordan-Wigner transformation, and unlike other popular modifications, our prescription does not cost additional resources such as ancilla qubits.We demonstrate how Mitchison and Durbin's enumeration pattern minimises the average Pauli weight of Jordan-Wigner transformations of systems interacting in square lattices. This leads to qubit Hamiltonians consisting of terms with average Pauli weights 13.9% shorter than previously known. By adding only two ancilla qubits we introduce a new class of fermion-qubit mappings, and reduce the average Pauli weight of Hamiltonian terms by 37.9% compared to previous methods. For n-mode fermionic systems in cellular arrangements, we find enumeration patterns which result in n1/4 improvement in average Pauli weight over naïve schemes.
ARRANGEMENT OF ABANDONED LAND IN INDONESIA
Authors: Widyatmojo S. jati
Published: October 2023

And in a country cannot be owned, controlled, and used freely by humans but is bound by the provisions stipulated by the government or the State as the ruler of general rights regulated by the State in the agrarian law. The granting of rights by the State in the form of certificates of land rights must be balanced with strict provisions on the obligations of the holder of land rights. Rights and obligations appear together. Rights and obligations arise at the same time. Although their nature is different and opposite, their existence cannot be separated. The State has experienced many difficulties in controlling the neglect of land rights, especially those with ownership certificates. There is much speculation by individuals or legal entities that make Land an object of investment, especially land with property rights, because it has a more substantial and fuller legal force than other land rights recognized by the State. It was not utilizing the Land optimally because it is used as an investment object, so it is neglected. Abandoned Land is a violation of the law, so the form of controlling abandoned Land is the principle of legal certainty. Law enforcement on abandoned Land is the personification of the State for law violators who are detrimental to the nation, State, and people of Indonesia. Private rights granted by the State are more substantial and fuller in terms of property rights granted by the State because of their nature regulated by law. The ambiguity of the norms governing the criteria for abandoned land results in the difficulty of the State being able to prove a land as abandoned Land. The State is still focused on controlling other primary land rights. This can be seen from the different criteria for controlling land ownership rights with other primary land rights when viewed from the arrangement. It is necessary to regulate abandoned Land, which is more emphasized in land laws and regulations under the principles of good legislation so that the State can implement it as a form of law enforcement. Whereas the purpose of the stipulation of abandoned Land is that Land that is not cultivated according to the granting of its rights can be used as an asset of the Land Bank and Land Reserves for the State to ensure an even distribution of optimization of land use, thereby creating prosperity for all Indonesian people.
BUILDING USE RIGHTS OVER LAND MANAGEMENT RIGHTS IN SHOPPING CENTERS
Authors: Sidiq Azhar
Published: October 2023

This article discusses arranging building use rights (HGB) over management rights (HPL). Management rights are rights to control land that the state directly controls. Which authorizes the right holders to plan the designation and use of the land in question, use the land to carry out their duties, hand over parts of the land to third parties with use rights for 6 (six) years, and receive annual income and or obligatory money. This research uses an empirical juridical method with the Wiltop Trade Center (WTC) Mall case approach that occurred in the Jambi Province area. In the discussion, it was found that the WTC management adhered to Article 2 of the Minister of Agrarian Regulation No. 9 of 1965 concerning the Implementation of the Conversion of Tenure Rights over State Land and Provisions Concerning Policy Further.  It stipulates the conversion of tenure rights over State land into Management Rights, namely "If State land is given to Departments, Directorates, and Autonomous Regions, other than used for the agencies' interests.  Also intended to be granted with a right to a third party, the right to control the State land is converted into a Management Right. Therefore, the WTC is a third party that uses Management Rights as the basis for Building Use Rights in conducting its business. Building Use Rights are used to construct buildings, including in the form of residential or residential houses, shop houses (shops), office houses (office houses), shops, hotels, offices, and industries (factories).
THE ROLE OF THE DISTRICT GOVERNMENT INTEGRATED TEAM IN RESOLVING LAND CONFLICTS BETWEEN CORPORATIONS VS SUKU ANAK DALAM
Authors: Hijriah Nurul Khoirotul
Published: October 2023

This study aimed to determine the role and mechanism of the integrated Team in Batang Hari Regency in resolving land conflicts between PT.Berkat Sawit Utama  with the 113 Anak Dalam Tribe in Bungku Village, Batang Hari Regency. The role of the Batang Hari Regency Integrated Team is regulated in the Batang Hari Regency Regional Regulation Number 72 of 2022 concerning the establishment of an Integrated Team for Social Conflict Resolution at the Batang Hari Regency Level in 2022, which is regulated in Permendagri No. 42 of 2015 concerning Implementation of Coordination of Handling Social Conflicts. This research method is empirical juridical because it uses secondary data as supporting data and primary data collected through literature and field research. Based on the results of the study, it can be concluded that the Batang Hari District Integrated Team in resolving land conflicts between PT.Berkat Sawit Utama with the SAD 113 group, namely by facilitating, mediating, and maximizing the dispute resolution process through the establishment of the Batang Hari Regent's Decree Number 72 of 2022 concerning the establishment of an Integrated Team for handling social conflict at the Batang Hari Regency level in 2022. This integrated Team carried out the settlement, considered ineffective for both parties, where the conflict that should have been resolved became hampered and prevented both parties from obtaining legal certainty regarding this land dispute. Therefore, it is necessary for a party that has higher authority than the district government, which has limitations because of the regional autonomy system, to participate in settling land dispute cases
ARRANGEMENT OF FLATS OWNERSHIP RIGHTS BY FOREIGN NATIONALS AFTER THE OMNIBUS LAW
Authors: Adhayaksa Putra Prasetyo
Published: October 2023

This research aims to know How the above Property Rights arrangement apartment units in agrarian Tree Law and Apartment Law. Besides, this article analyzes the legality of foreign nationals in unit ownership apartment buildings from the perspective of omnibus law, fundamental agricultural law, and law about apartment buildings. The research method used in researchers this tian is a normative juridical method. In implementation research, the problem will be assessed based on the applicable norms or laws. The research found that legal certainty regarding man the registration of land for the construction of flats cannot be guaranteed by the omnibus law and other technical regulations, such as government regulation number 18 of 2021 concerning Management rights, land rights, apartment units, and land registration. The cause of not guaranteed ownership of land rights by foreign nationals is that the rules that applied previously have remained the same.
Corporate governance and cultural diversity in Lebanese banks
Authors: Daw Dory N. , Tawk Charles J. , Nair Kiran
Published: October 2023

This study’s scholarly significance lies in its exploration of the intricate connection between culture and corporate governance within Lebanon’s banking sector. Utilizing Hofstede’s established cultural dimensions model and employing a rigorous qualitative research methodology, the study investigates ten Lebanese banks, delving into specific cultural elements like “wasta”, social belonging, and quota. It uncovers the complexities of Lebanon’s cultural landscape, revealing that a uniform corporate governance model is unsuitable due to its cultural diversity. The research advocates extending Hofstede’s model to incorporate Lebanese-specific cultural dimensions, such as wasta and group affiliations, recognizing their pivotal roles. By addressing these cultural nuances, the study contributes to both academia and practical application within Lebanese banks, enhancing our understanding of corporate governance and cultural diversity in a concise manner.
The impact of online identity theft on customers’ usage intention of e-banking transactions in uncertain context
Authors: Le Thanh Tam , Tran Do Thu Ha , Nguyen Mai Khanh , Do Le Hoang Giang , An Quynh Trang , Chu Hoang Minh , Tran Manh Dung , Nguyen Thi Thanh Nhan
Published: October 2023

During the fierce national and international competition, many organizations are taking digital technology into action to provide new products to customers via modern interactive channels (Sepashvili, 2020). This research is conducted to provide empirical evidence on the effects of online identity theft on consumers’ usage intention to engage in e-banking transactions in uncertain context. Using structural equation modeling (SEM) and survey data from 441 individuals, the main findings of the study are: 1) Security and privacy concerns (SAPC) should be divided into two sub-factors: a) e banking security and privacy concerns, and b) internet security and privacy concerns. It differs from previous studies that combined the Internet and e-banking. We found that trust (T) is negatively impacted by Internet concerns and positively impacted by e-banking concerns; 2) Trust positively impacts the usage intention of e banking (UIEB); 3) Fear of online identity theft (FOIT) has a positive effect on trust; 4) FOIT positively impacts SAPC. Theoretically, this study has focused on investigating potential determinants influencing customer intention when gradually adapting to new technology services. In practice, the proposed study will go into depth on the limitations faced by clients in the hidden dimension, which prevent them from engaging in online banking activities.
Speech spoken: Two monologic transcripts and the return of interspersed sections of them to speech that oscillates between sense and non-sense
Authors: Mike Croft
Published: October 2023

The exposition brings into and adapts a previous recent practice concerning speaking while simultaneously drawing, audio-visually recording two states of the process, transcribing the monologues, and alternately interspersing them line-by-line. Such a practice is taken up at the level of the interspersed monologues to show and reconsider their content as potentially readable. To Editing and enabling such readability, however, returns spoken content to written, while reading it maintains the role of voice. The read content as short audio-recordings, termed cameos, wavers between sense and non-sense, while being read as if it were making sense. The particularities of this are discussed, with some theoretical reference. The reader can, if they wish, also view the drawings that generated, and had in their turn been generated by, the speech – although this is not essential to the purpose of the exposition.