bluuebunny/crossref_metadata_2025 huggingface dataset:
Kautilya's Arthashastra as a Precursor to the Concept of Servant Leadership
Authors: Nallisamy Venoth , Muniandy Rajantheran
Published: November 2022

The Arthashastra is an Indian text which was written by Kautilya around 2500 years ago. Mainly intended to be a textbook on statecraft for kings, this treatise covers various aspects of leadership and management that are still relevant today. On the other hand, servant leadership is a growing leadership theory that is gaining popularity due to its unique focus on followers' wellbeing. Using hermeneutic techniques, the authors have analyzed the verses in the Arthashastra related to the servant leadership theory. Based on this analysis, the authors have identified at least four dimensions of modern servant leadership that are present in this ancient text, namely authenticity, stewardship, altruism, and interpersonal acceptance. The authors recommend that further research is conducted into Indian culture and literature (including the Arthashastra) to explore the Asian roots of servant leadership.
Privacy Paradox Amid E-Commerce Epoch
Authors: ElShahed Heba
Published: November 2022

Being an active informed citizen in the new-media era requires the ability to filter through overwhelming content and identify credible sources of information. The crucial element to such a filtration process requires digital literacy's cognitive and technical skills. Currently, media consumption is changing due to robust e-commerce presence, user-generated communication, and the availability of shared users' information. The goal of this research is to examine Egyptian youths' conceptualization of privacy, its application, and examine their knowledge of digital literacy principles and elements. The research methodology uses focus groups and in-depth interviews. The sample consists of Egyptian youth aged 18-30, in addition, interviews with media experts, policymakers, security experts, and psychologists are conducted. This chapter will generate insights relating to privacy-related online behaviors in relation to (a) familiarity with technical aspects of online platforms, (b) awareness of common institutional practices, and (c) understanding of platform's privacy policy.
The Effect of Online and Offline Touchpoints on Customer Experience and Brand Performance
Authors: Dinana Hesham Osama , Morsy Mohamed Fattouh
Published: November 2022

The chapter aims to discuss the effects of online and offline touchpoints on customer experience and the effect of customer experience on brand performance, which will help to establish the omnichannel strategy. The results indicate that touchpoints (digital, physical, and human) positively influence customer experience dimensions (sensory, cognitive, affective, behavioral, and social) and explain up to 60% of its variability. Customer experience positively influences customer satisfaction and explains 62% of its variability. Customer satisfaction positively influences brand performance in the form of repurchase intentions, which improves sales revenue and explains 65% of its variability, and brand equity dimensions (awareness, associations, perceived quality, and loyalty), which explain around 45% of its variability. Thus, online and offline touchpoints are the major determinants of customer experience and brand performance, with no impact from previous experiences to mitigate the impact of customer dissatisfaction on repurchase intention.
Commercial Bank Readiness for Adoption of Marketing 4.0
Authors: Kutu Shreeya , Devkota Niranjan , Upretee Sahadeb , Paudel Udaya Raj , Dhakal Krishna
Published: November 2022

This research aims to understand the status of commercial banks' readiness for adoption of Marketing 4.0. Exploratory research design was adopted to gain a better understanding of practical aspects of the issue of marketing 4.0. In-depth interview was conducted among 27 respondents of commercial banks in Nepal for detailed information to analyze status of Marketing 4.0. This study shows that commercial banks are aware regarding the concept of marketing 4.0. However, only Global IME Bank Limited and NMB Bank Limited have actually adopted the practice of Marketing 4.0. As the study shows the awareness regarding Marketing 4.0, it indicates that Marketing 4.0 has the potential to go from theory to practice and implementation in banking sector.
Green-Lean Practices and Production Performance
Authors: Ahsan Muhammad Junaid , Ahmed Rizwan
Published: November 2022

Environmental concerns and sustainability issues have attracted many practitioners and researchers. Still, numerous small- and medium-sized enterprises (SMEs) in emerging economies are reluctant to invest in environmentally friendly practices with a doubt that investment in such practices might lead to negative production performance outcomes. To settle this tension, this study examines the effect of green production practices on production performance and the intervening effect of lean practices between green production practices and production performance. The study employs a quantitative research method where survey-based data were collected from 227 SMEs in an emerging economy: Pakistan. Results unveil that green production practices have a significant positive impact on production performance. The interactive effect indicates a sharp rise in production performance when a firm implements lean practices in the production process. The study helps settle the current confusion among firm managers related to the investment in green and lean practices in the production system.
Lean, Green, and Agile Supply Chain Practices
Authors: Saeed Ayesha , Shoukat Rizwan
Published: November 2022

In response to increased competition in recent years, businesses have been pushed to adopt new procedures, such as establishing updated information and communication systems and creating more streamlined production processes. The potential for supply chains to facilitate the introduction of innovative management practices is seen as crucial to the sector's future success. Three ideas, “lean,” “green,” and “agile,” deserve serious consideration because of their potential to significantly improve supply chain efficiency. However, combining agile and lean principles to lessen environmental consequences is a relatively new issue that is not well-defined in terms of structure. Through a comprehensive analysis of the literature on lean, green, and agile paradigms, this chapter hopes to identify potential future lines of inquiry and identify knowledge gaps. This chapter is an effort to synthesize recent findings on the interconnectedness of lean, green, and agile practices in supply chain management.
Spatial association of socio-demographic, environmental factors and prevalence of diabetes mellitus in middle-aged and elderly people in Thailand
Authors: Tappo Suparat , Laohasiriwong Wongsa , Puttanapong Nattapong
Published: November 2022

The burden of diabetes mellitus (DM), one of the major noncommunicable diseases (NCDs), has been significantly rising globally. In the Asia-Pacific region, Thailand ranks within the top ten of diabetic patient populations and the disease has increased from 2.3% in 1991 to 8.0% in 2015. This study applied local indicators of spatial association (LISA) and spatial regression to examine the local associations in Thailand with night-time light, spatial density of alcohol/convenience stores, concentration of elderly population and prevalence of DM among middle-aged and elderly people. Univariate LISA identified the statistically significant cluster of DM prevalence in the upper north-eastern region. For multivariate spatial analysis, the obtained R2 values of the spatial lag model (SLM) and spatial error model (SEM) were 0.310 and 0.316, respectively. These two models indicated a statistical significant association of several sociodemographic and environmental characteristics with the DM prevalence: food shops (SLM coefficient = 9.625, p<0.001; SEM coefficient = 9.695, p<0.001), alcohol stores (SLM coefficient = 1.936, p<0.05; SEM coefficient = 1.894, p<0.05), population density of elderly people (SLM coefficient = 0.156, p<0.05; SEM coefficient = 0.188, p<0.05) and night-time light density (SLM coefficient = -0.437, p<0.001; SEM coefficient = -0.437, p<0.001). These findings are useful for policymakers and public health professionals in formulating measures aimed at reducing DM burden in the country.
Spatial analysis of the AIDS mortality rate among young people in a province of the Brazilian Amazon: An ecological study
Authors: Lago Sousa Sara Melissa , Pedroso Andrey Oeiras , Seabra Iaron Leal , Oliveira Naiff Ferreira Glenda Roberta , Pereira Cruz Ramos Aline Maria , Polaro Sandra Helena Isse , Pinheiro Botelho Eliã
Published: November 2022

Worldwide, policies to combat human immunodeficiency virus (HIV) have led to a small decrease in the acquired immunodeficiency syndrome (AIDS) mortality rate among young people. For greater policy efficacy, it is necessary to determine the influence of social determinants of health (SDHs) in each territory. The objective of this study was to spatially analyse the AIDS mortality rate among young people in a province of the Brazilian Amazon and the spatial variability of the rate promoted by SDHs. All reports of AIDS deaths between 2007 and 2018 among young people living in the state of Pará were included in the study. The mortality rate was analysed using spatial distribution and autocorrelation, spatial scanning, and geographically weighted regression (GWR). During the study period, there were 1,372 deaths from AIDS among young people with a territorial expansion. The spatial autocorrelation showed two high-high clusters in the period from 2007 to 2010, one formed by municipalities in south-eastern Pará and one in the metropolitan region of Belém, with only the latter remaining between 2011 and 2018. This region showed a higher spatial risk for AIDS mortality and was the only cluster with spatiotemporal risk in the 2013-2018 period. Spatial variability was promoted by the i) the youth homicide rate, ii) the elementary school dropout rate and iii) the number of families registered in the Unified Registry for Social Programs (CadÚnico). This study provides support for the implementation of effective focal policies to combat HIV and reduce the mortality rate among young people in Pará.
Unilateral Acute Parotitis
Authors: Sharma Sushil , Mahajan Vikas , Gupta Ravinder
Published: November 2022

Background:

Severe acute respiratory virus coronavirus-2 infection or coronavirus disease (COVID) is categorized into acute illness and late multiinflammatory syndrome in children (MISC). This has recently been challenged with recognition of presentations with mucocutaneous-enteric symptoms that display considerable overlap between the two. We recognized a similar overlap of manifestations when encountered the three cases of fever associated with unilateral parotitis.

Clinical Description:

The three patients were of different age groups ranging from 2 months to 7 years of age, all of whom presented with fever, unilateral swelling of face and neck consistent with the region of the parotid gland, and absence of other localizing symptoms or abnormalities on examination. All of them were positive for COVID antibodies, had negative COVID real-time polymerase chain reaction test, did not satisfy the diagnostic criteria of MISC, but had raised inflammatory markers. Since the workup for other common causes of acute parotitis was negative, a clinical diagnosis of post-COVID immune-mediated acute parotitis was kept.

Management:

All the three patients were managed with systemic steroids (oral or parenteral) and showed complete resolution of symptoms and normalization of laboratory parameters within a few days, a therapeutic response in alignment with an immune-mediated phenomenon.

Conclusion:

Acute unilateral parotitis with pyrexia may be a hitherto unreported late post-COVID manifestation that is immune mediated and shows an excellent therapeutic response to a short course of steroids.
Cutaneous Tuberculosis
Authors: Mahajan Akanksha , Garg Taru , Agarwal Kiran , Singh Varinder
Published: November 2022

Background:

Cutaneous tuberculosis (TB) is a rare disease seen by the pediatrician on an outpatient basis. It has a varied presentation and is classified on the basis of the source of infection and host's immune response to mycobacteria. Lupus vulgaris (LV) is a paucibacillary manifestation of cutaneous TB. It can mimic other infectious skin diseases such as TB verrucosa cutis and chromoblastomycosis.

Clinical Description:

We hereby present a case report of an adolescent female with a serpiginous, nodular, and warty hyperpigmented skin lesion over her buttock. The lesion had started following incidental injury 7 years back as a papule and continued to expand despite multiple medications.

Management:

A skin biopsy was done which was suggestive of cutaneous TB, but the absence of systemic features confounded the diagnostic type. She was finally diagnosed as having LV after a detailed review with a dermatologist and pathologist. The patient responded well to antitubercular treatment.

Conclusion:

Although cutaneous tuberculosis is well described, it is often not recognized by the primary care physician. Diagnostic dilemmas may arise due to clinical-histopathological mismatch.
Wilke's Syndrome
Authors: Arora Nikhil , Kaur Gurmeet , Kaul Varun , Singh Man
Published: November 2022

Background:

Superior mesenteric artery (SMA) syndrome or Wilke's syndrome is a rare, atypical cause of upper gastrointestinal tract obstruction. It occurs due to acute angulation between SMA and aorta causing compression of the third part of the duodenum inbetween them leading to proximal intestinal obstruction.

Clinical Description:

SMA syndrome occurs mostly in patients who have significant weight loss. It occurs mostly due to the loss of the retroperitoneal fat pad, which serves as a cushion for the duodenum protecting it from compression between the two arteries. Causes include prolonged supine bed rest, spine surgery, an unusual high insertion of ligament of Treitz, other causes leading to weight loss, and congenital anatomical defects. Symptoms include weight loss, bilious vomiting, pain abdomen, postprandial nausea, early satiety, and anorexia. We report a 14-year-old female, a known case of pulmonary tuberculosis, who developed pneumothorax followed by acute gastric dilatation superadded with septicemia and upper gastrointestinal tract obstructive symptoms during the hospital course.

Management:

Detailed history and radio imaging such as barium studies or contrast-enhanced computerized tomography abdomen are required for diagnosis. Treatment includes conservative management such as gastric decompression, maintenance of electrolytes, nutritional rehabilitation via nasojejunal feeding, orally or parenterally. Treatment aims to restore the mesenteric fat pad to increases the angle between the two arteries. If it fails, surgery needs to be planned wherein duodenojejunostomy can be performed.

Conclusion:

An increased index of suspicion should be kept for this rare syndrome in children, especially in cases associated with significant weight loss. This may lead to timely diagnosis and saving a precious life.
An Unusual Case of Tongue Entrapment in a Plastic Water Bottle
Authors: Ahmad Shafaat , Goel Prakhar , Meher Ravi , Wadhwa Vikram
Published: November 2022

Background:

Foreign bodies inside the oral cavity are commonly encountered among children. One peculiar occurrence is when the tongue gets entrapped in foreign bodies such as bottles. This happens as children often insert their tongues into the bottle and apply oral suction to ingest the last few drops from the bottle. There is a paucity of data in Indian literature and no recommended guidelines for the management of such cases.

Clinical Description:

The patient, a 12-year-old boy had a history of inability to remove a plastic water bottle sipper from around the tongue while swallowing water quickly. He was initially asymptomatic and then he started developing progressive pain and swelling on the anterior part of the tongue. On examination, the plastic sipper was constricting the tongue circumferentially and the patient felt a sharp pain on maneuvering the bottle. Minimal discoloration of the anterior part of the tongue had set in 1 h after the presentation.

Management:

Lubrication with 2% lignocaine jelly and ice packs circumferentially followed by attempts of gentle traction and manipulation to remove the foreign body were unsuccessful. Consequently, the patient was shifted to the emergency operation theater where the patient was sedated with intravenous (IV) ketamine and midazolam after securing a nasopharyngeal airway with 100% preoxygenation. An orthopedic bone cutter was used, and a radial cut was given on the impacted end of the bottle, and the constricted part was removed as pressure on the tongue was released, followed by 100% oxygenation with bag and mask ventilation.

Conclusion:

Immediate intervention in cases of the entrapped tongue can prevent grave consequences such as airway compromise and tongue ischemia and necrosis. Mechanical removal can be done safely using heavy scissors or orthopedic bone under IV sedation after securing the airway in collaboration with the anesthesia team.
Legal Imperatives of Medical Negligence and Medical Malpractice
Authors: Obaro Hassan King
Published: November 2022

Medical negligence and malpractice are becoming a growing concern in Nigeria; even though many victims do not know how to go about seeking redress or demand justice, medical practitioners, too, do not understand the legal implications of their actions. Medical negligence and malpractice are tortious liabilities that can also result in criminal liabilities. It is a fact that health-care practice will occasionally result in circumstances where health seekers suffer some distress or permanent injury in the course of handling by medical practitioners. This distress or injury can be a result of either commission or omission due to the actions or inactions of the medical practitioner. This review was embarked upon using thoroughly studied recent and older literature concentrating on research indications resulting from the fields of medicine and law within and without Nigeria. Common acts that could give rise to lawsuits on medical negligence and medical malpractice include doctor's illegible handwriting, prescription and medication errors, misdiagnosis or failure to diagnose, improper medical treatment, leaving surgical instruments in patients after surgery, lack of informed consent, failure to refer a patient to a specialist, breach of confidentiality, extortion, and deception among others. For liability to come up in negligence, it is imperative that the three main fundamentals of negligence, which include that a duty of care is owed, there was a breach of the duty of care, and injury or permanent disability suffered as a direct consequence of a breach of the duty of care must be well established and proved beyond a reasonable doubt. The inability of a victim to successfully prove a case of negligence against a medical practitioner does not totally absolve a practitioner from charges related to other offences under other aspects of the law, hence the fact that negligence is difficult to prove does not leave a patient deprived of other legal opportunities as may be considered appropriate. Even though the law protects the medical practitioner to the level that liability for medical negligence and medical malpractice has to be proved beyond a reasonable doubt, much more legal protection is needed to allow medical practitioners to discharge their duties of saving lives. Medical practitioners need to be aware of their limits as well as the legal implications of their work; this can be achieved by incorporating medicolegal principles into medical education for medical students, as well as periodic medicolegal lectures for medical practitioners.
Thyroglobulin as an Evolving Biomarker of Iodine Reserve in Thyroid Dysfunction Assessment in Pregnancy
Authors: Gbaa Terry Terfa
Published: November 2022

Background:

Despite the use of routine thyroid function tests, thyroid dysfunction is often missed in pregnant women, who may have fluctuating iodine reserves and this may be associated with an increased risk of adverse maternal and fetal outcomes due to thyroid dysfunction. Therefore, thyroglobulin (Tg) as a marker of iodine reserve may be added to improve the diagnostic value of the thyroid testing panel.

Materials and Methods:

This study was a multicenter descriptive cross-sectional study with 501 healthy pregnant women, carried out over 9 months, in which blood and urine (spot) specimens were collected and analysed for serum thyroid-stimulating hormone, free thyroxine, free triiodothyronine, and Tg using enzyme-linked immunosorbent assay, and urinary iodine concentration by modified Sandell–Kolthoff reaction.

Results:

The prevalence of thyroid dysfunction in pregnant women using thyroid function tests alone was 12.4% (62) with 9.6% (48) being hypothyroid and 2.0% (10) hyperthyroid. The addition of Tg was able to identify more participants with thyroid dysfunction who were iodine deficient, and initially missed using thyroid function tests alone. This newly added biomarker to routine thyroid function tests profile increased the prevalence of thyroid disorders in this study population from 12.4% (62) to 17.6% (88) (P < 0.01), whereas urine iodine concentration was adequate for each trimester falling within the WHO range of 150–249 μg/l.

Conclusion:

The true prevalence of thyroid dysfunction in pregnant women in Makurdi was 17.6%. The addition of Tg had an impact on thyroid function tests by identifying more participants with iodine-related thyroid dysfunction, who were missed in the initial assessment of the thyroid. The mean urine iodine concentration was adequate, falling within the WHO range of 150–249 μg/l.
Identifying Primary Health-Care Challenges using the Importance–Performance Analysis
Authors: Ogaji Daprim Samuel
Published: November 2022

Background:

Including patient's evaluation in the comprehensive measurement of primary health-care (PHC) performance is a valid and reliable approach for the assessment and improvement of local PHC system. Aim: This study demonstrates the use of the importance–performance analysis (IPA) for identifying challenges in PHC centers in Obio-Akpor.

Materials and Methods:

This was a quantitative survey of first-time visitors to four PHC centers in Obio-Akpor. A total of 337 participants were selected from a two-stage sampling approach and administered the Patient Evaluation Scale which was structured to elicit their ratings on the importance of PHC centers' attributes before and the performance on these attributes after their encounter with the facility. Descriptive and inferential statistics were performed using the SPSS version 21, and PHC centers' attributes were aggregated across each of the four IPA quadrants.

Results:

The response rate was 89% and the Cronbach's alpha coefficient was 0.91 and 0.94 for the importance and performance measurement scales, respectively. More of the respondents were below 40 years (87.7%), female (73.7%), and currently married (69.3%). Observed areas of concentration for PHC improvement were staff availability during operating times, ease of payment, waiting time, convenience of operating hours, and availability of electricity in the facility.

Conclusion:

Findings provide evidence of patients' concerns in the local PHC system. Subsequent validation and focused interventions aimed at resolving identified challenges can positively influence the demand and social relevance of PHC in this setting.
BLOG ETHICS - ETHICAL PRINCIPLES AND CODES
Authors: Stojanović Prelević Ivana
Published: November 2022

Abstract. Technology development facilitates numerous changes in different areas - social, economic, scientific, etc. New kinds of journalism have appeared, along with numerous questions and ethical problems. Citizens become prosumers, and the need for media literacy is growing. The author explores ethical aspects of media literacy. This research primarily focuses on the ethical regulation of blogs as one of the most widespread forms of expressing opinions among people. Blogging is a tool of citizen journalism which impacts the public sphere; it requires a critical reflection and ethical regulation. The pioneer of blogging, Tim Dunlop (2003), points out that blogs revive the art of argumentation and the idea of public debates. By using descriptive methods, the author analyzes ethical values - credibility, authenticity, justice and objectivity. At the end of the paper, the author compares the ethical Codes for Bloggers with the ethical Codes for Journalism in Norway with the aim of finding commonalities and differences among principles. The conclusion is that it is useful to the welfare of societies to ethically regulate blogs, which has already been done in certain countries. It is important to disseminate knowledge about the importance of ethics for bloggers to young people and journalists because they belong to public spheres. The Blogging Codes are akin to Codes for Journalists, since in both Codes basic ethical values prevail. Keywords: media literacy, weblog, citizen journalism, ethical values, ethical codes
METHODS OF WRITTEN COMMUNICATION IN MEDIEVAL SERBIA BASED ON THE LIFE OF SAINT SAVA WRITTEN BY DOMENTIAN
Authors: Milić Dragana , Đekić Đorđe
Published: November 2022

Abstract. Communication is essential in all aspects of social life and one of the most important factors in the formation of states. Written communication skills reached the medieval Serbian state from the Eastern Roman Empire. However, only a few traces of written communication from the Middle Ages in Serbia have survived. The Life of Saint Sava written by Domentian is significant for researching medieval Serbian correspondence. This hagiography mentions correspondence approximately twenty times, and it consists of epistles, short messages or orders, and messages delivered orally by messengers. Furthermore, information about the people included in the correspondence, as well as the method by which letters were sent, is essential. The paper examines the methods of communication mentioned in this hagiography to show how correspondence was carried out in Serbia in the 13th century. Key words: Communication, epistolography, Domentian, The life of Saint Sava, Serbia, the Middle Ages
El impacto del deterioro medioambiental del Mar Menor en los precios de Airbnb
Authors: Fernández Ferrero María del Mar , Teruel Gutiérrez Ricardo , Maté Sánchez-Val Mariluz
Published: November 2022

En 2008, la empresa Airbnb inició su actividad convirtiéndose en la empresa de oferta de alojamientos más representativa de economía colaborativa con más de 6.500.000 alojamientos en todo el mundo. Si bien se han realizado aplicaciones de modelos hedónicos sobre el mercado de alojamientos turísticos de este tipo de plataformas, la literatura sobre cómo afectan los factores relacionados con la contaminación medioambiental en este contexto es escasa. Los problemas de contaminación del agua marina preocupan a un gran número de ciudadanos de la zona turística del Mar Menor (región de Murcia). Gracias a los avances en bases de datos micro-territoriales de carácter abierto (como los datos obtenidos por el Satelite Senitel 3 de la Agencia Espacial Europea) podemos mejorar la precisión de los modelos hedónicos y determinar cuál es el impacto económico de la contaminación del agua marina en el precio de las ofertas de Airbnb localizadas en las zonas costeras. Este es el objetivo del presente estudio. Los resultados muestran un impacto significativo de niveles elevados de contaminación marina reduciendo los precios de los alojamientos Airbnb de la zona del Mar Menor. Por tanto, los gerentes de los servicios turísticos de esta zona tienen incentivos para adoptar medidas estratégicas con el fin de mejorar la situación medioambiental de la laguna.
Integrated strategies for sustainable local development. A notebook about innovations in planning, implementation and evaluation
Authors: Navarro Clemente J. , Guerrero-Mayo María José , Domínguez-González Alicia
Published: November 2022

This text contains some principles and methods for applying the strategy of policy integration in local sustainable development initiatives, as an aspect of the policy for territorial development initiatives promoted by the European Union's cohesion policy. It is the result of work carried out jointly by practitioners in charge of local projects and researchers in the framework of the Urban DUSI Lab, set up by the Centre for Sociology and Local Policies and the Andalusian Federation of Municipalities and Provinces (FAMP) on the basis of the Jean Monnet Chair in Urban Policies in the European Union.
Relația dintre percepția partenerului marital și satisfacția conjugală
Authors: DOLINSCHI Cristina
Published: November 2022

The present article reflects the results of an experimental approach that focuses on the relationship between marital partner perception and couple satisfaction. The research sample is 100 married couples. The analysis of the research results shows significantly positive relationships between marital satisfaction and the perception of positive traits (friendship and altruism) that the partner. The correlational analysis revealed the relationship between certain perceived traits possesses of the marital partner and ensuring the optimal level of satisfaction in a couple, depending on the gender of the respondents. Thus, the perception of the positive traits of the marital partners correlates with a high level of marital satisfaction, and the perception of the negative traits is associated with the dissatisfaction experienced by the partner in the couple.
Better Forests, Better Cities
Authors: Wilson Sarah Jane , Juno Edith , Pool John-Rob , Ray Sabin , Phillips Mack , Francisco Scott , McCallum Sophie
Published: November 2022

Better Forests, Better Cities evaluates how forests both inside and outside city boundaries benefit cities and their residents, and what actions cities can take to conserve, restore and sustainably manage those forests. This report is the first of its kind comprehensive resource on the connection between cities and forests, synthesizing hundreds of research papers and reports to show how all forest types can deliver a diverse suite of benefits to cities.
PERANAN PRAMBORS RADIO SEBAGAI MEDIA KOMUNIKASI MASSA DALAM MENYAMPAIKAN INFORMASI (STUDI DESKRIPTIF PADA MASYARAKAT DESA NAMO MBELIN DUSUN II KECAMATAN NAMORAMBE)
Authors: Sitorus Helen Vanhurk Sriwati Ningsih , Sembiring Yolanda Kristine
Published: November 2022

Penelitian ini bertujuan untuk mengetahui sejauh mana peranan Prambors Radio sebagai salah satu sumber informasi yang berfungsi mengedukasi dan menghibur pendengar setianya.sekaligus juga untuk melihat respon dari pendengarnya terhadap lagu-lagu di Prambors Radio. Kualitatif menjadi pilihan metode yang digunakan dan dengan menggunakan  teknik analisis data observasi, wawancara dan dokumentasi. Uses and Gratifications sebagai teori dimana media dapat memuaskan kebutuhan yang diinginkan pendengar ataupun pengguna. Masyarakat Desa Namo Mbelin sebagai pengguna media komunikasi massa dan Prambors Radio sebagai media yang memenuhi kepuasan akan informasi. Hasil penelitian menggambarkan bahwa Radio Prambors sebagai media komunikasi massa  mampu memberi kepuasan akan informasi kepada Masyarakat Desa Namo Mbelin Dusun II Kecamatan Namorambe. Hasil penelitian juga menunjukkan bahwa peranan prambors Radio sebagai salah satu media massa yang mampu menghibur dan menyampaikan informasi melalui acaranya yang banyak diminati telah menjadikannya menjadi Radio favorit kawula muda.
PERAN SATPOL PP (SATPOL PP) DALAM MELKSANAKAN PEMBENAHAN PEDAGANGKAKILIMA (PKL) DI PAJAK KABANJAHE KABUPATEN KARO
Authors: Panjaitan Doli Tua Mulia Raja , Simbolon Besti Rohana , Laia Arianto
Published: November 2022

Tujuan dari tulisan ini adalan untuk melihat peran dan tugas satpol pp dalam menertibkan pedagangkakilima di pajak kabanjahe dan untuk melihat cara pembinaan yng dilaksanakan oleh satpol pp terhadap pedagangkakilima di pajak kabanjahe kabupaten karo.  Penelitian ini tergolong pada tipe penelitian deskriptif dengan pendekatan kualitatif Hasil penelitian diperoleh bahwa usaha dan tindkan yng dilaksanakan oleh satpol pp bertautan dengan perencanaan,penyusunan,pengembangan,pengarahan,pemeliharaans erta pengendalian di bidang kenyamanan dan ketertiban umum secara berguna dan berhasil guna. Adapun pembinaan yng dilaksanakan oleh satpol pp adalah melksanakan patroli keliling dan sosialisasi. Factor penghambat dalam pembenahan PKL di pajak kabanjahe yaitu keterampilan yng dimiliki tidak sesuai bidang tugasnya satpol pp, minimnya kesadaran PKL dalam penguatan hukum dan minimnya permberdayaan masyarkat dari segi sosialisasi dan moril.
Does Periprostatic Block Increase the Transrectal Ultrasound (TRUS) Biopsy Sepsis Rate in Men with Elevated PSA?
Authors: Gan Valerie HL , Kuo Tricia LC , Lee Lui Shiong , Huang Hong Hong , Sim Hong Gee
Published: November 2022

Introduction: Periprostatic nerve block (PPNB) is a common local anaesthetic technique in transrectal ultrasound-guided (TRUS) prostate biopsy, but concerns remain over the increased theoretical risks of urinary tract infection (UTI) and sepsis from the additional transrectal needle punctures. This study reviewed our biopsy data to assess this risk. Materials and Methods: Retrospective data collected from 177 men who underwent TRUS biopsy between July 2007 and December 2009 in a single institution were analysed. PPNB was administered using 1% xylocaine at the prostatic base and apex and repeated on the contralateral side under ultrasound guidance. Complications, including UTI sepsis, bleeding per rectum and acute retention of urine (ARU) were noted. Every patient was tracked for the first 2 weeks for complications until his clinic review. Demographic profile, biopsy parameters and histological findings were reviewed. Univariate and multivariate analysis of possible risk factors for development of sepsis after TRUS biopsy were performed. Statistical analysis was performed using SPSS 17.0. Results: Ninety (51%) men received PPNB and 87 (49%) did not. The groups were matched in age (PPNB: mean 62.7 ± 5.8 years; without PPNB: mean 64.4 ± 5.7 years) and prebiopsy prostate specific antigen (PSA) levels (PPNB: mean 8.2 ± 3.9 ng/mL; without PPNB: mean 8.3 ± 3.7 ng/mL). The PPNB group had a larger prostate volume, with more cores taken (P <0.05). On univariate and multivariate analysis controlling for age, PSA, prostate volume, number of cores taken and histological prostatitis, PPNB was not a significant risk factor for sepsis. Sepsis rates were 5.6% in the PPNB group and 5.7% in the other group (P = 0.956). Overall prostate cancer detection rate was 33.3%. Conclusion: The risk of sepsis was not increased in patients who received PPNB, even though this group had larger gland volumes and more biopsy cores taken.
Key words: Periprostatic nerve block (PPNB), Sepsis, Transrectal ultrasound-guided (TRUS) prostate biopsy
CT-Guided Thoracic Biopsy: Evaluating Diagnostic Yield and Complications
Authors: Loh Stanley EK , Wu Donald DF , Venkatesh Sudhakar K , Ong Cheng Kang , Liu Eugene , Seto Kar Yin , Gopinathan Anil , Tan Lenny KA
Published: November 2022

Introduction: This study retrospectively evaluated CT-guided thoracic biopsies for diagnostic yield, accuracy and complications. Materials and Methods: A retrospective analysis of 384 patients (mean age 62.7 years; male/female = 251/133) who underwent 399 CT-guided thoracic biopsies were performed for evaluating diagnostic yield, accuracy and complications. Correlations between patients age, procedure factors (biopsy-needle size, number of passes, lesion-size, lesion-depth and traversed lung-length) and complications such as pneumothorax, haemothorax and haemoptysis were evaluated. A comparison between fine needle aspiration (FNA) group and core ± FNA group for diagnostic yield and complications was also performed. Results: FNA was performed in 349 patients and core ± FNA in 50 patients. The biopsy samples were adequate in 91.9% and the diagnostic accuracy for malignant lesions was 96.8% with 95.7% sensitivity and 100% specificity. Pneumothorax (detected on CT) occurred in 139 cases (34.8%) and only 12 (3.0%) required insertion of an intercostal drain. Mild haemoptysis occurred in 13 patients (3.2%) and small haemothoraces in 2 patients. Pneumothorax occurrence was significantly associated with the traversed lung-length (>3mm), lesion-size (≤33 mm) and lesion-depth (≥60mm) (P <0.05). Haemoptysis occurrence was also significantly associated with traversed lung-length (>3mm) and lesion-size (≤33 mm) (P <0.05). There was no significant difference between diagnostic yield and complication rate between FNA and core ± FNA groups. Conclusion: CT-guided thoracic biopsy is a safe procedure with high diagnostic yield and low risk of significant complications. Traversed lung-length and smaller lesion size are associated with occurrence of pneumothorax and haemoptysis. Key words: Accuracy, Complications, Diagnostic yield, Haemoptysis, Pneumothorax
Factors Associated with Falls Among Community-Dwelling Older People in Taiwan
Authors: Wu Tai Yin , Chie Wei Chu , Yang Rong Sen , Liu Jen Pei , Kuo Kuan Liang , Wong Wai Kuen , Liaw Chen Kun
Published: November 2022

Introduction: Falls are common among older people. Previous studies have shown that falls were multifactorial. However, data regarding community-dwelling Chinese population are minimal. We aimed to study factors associated with falls among community-dwelling older Chinese people. Materials and Methods: We conducted a cross-sectional study in a community hospital in Taiwan in 2010. Our sample included 671 elders from the 3680 examinees of the free annual Senior Citizens Health Examination. Participants were interviewed with a detailed questionnaire, and 317 elders were further invited for serum vitamin D tests. The main outcome was falls in the previous 12 months. Predictor variables included sociodemographic characteristics, lifestyle risk factors, body stature, frailty, serum 25 (OH) D levels, and medications. Results: The mean age of the 671 participants was 75.7 ± 6.4 years old, and 48.7% of which were female. Fallers comprised 21.0% of the study population. In multivariate models, female gender (adjusted odds ratio (aOR): 2.32), loss of height in adulthood (aOR: 1.52), low body weight (aOR: 2.69), central obesity (aOR: 1.67), frailty (aOR: 1.56), polypharmacy (aOR: 2.18) and hyperglycaemia (aOR: 1.56) were factors associated with falls. Vitamin D insufficiency (serum 25 (OH) D levels <30 ng/mL) was not associated with falls (OR: 0.78; 95% CI, 0.38 to 1.60) (n = 317) in this study. Conclusion: Among community-dwelling older people in Taiwan, falls were mainly associated with female gender, polypharmacy, frailty, reduced body height, low body weight or central obesity, and hyperglycaemia. In addition to other risk factors, body stature should be considered as a novel risk factor when screening elders at risk for falls. Key words: Accidental falls, Aged, Risk factors
ERZURUM VE KELKİT YÖRELERİNE AİT ORTAK DÜĞÜN GELENEKLERİ ÜZERİNE BİR DEĞERLENDİRME
Authors: ÇİÇEK Ali
Published: November 2022

Bu çalışmada, Erzurum ve Kelkit yörelerine ait düğün geleneklerinin ortak yanları üzerinde durulacaktır. İnsanlık tarihi kadar eski olan düğün geleneklerinin tanıtılması, yaşatılması ve yeni nesillere aktarılması hususu, milli kültürün devamlı ve tarihi olması açısından önem arz etmektedir. İnsan hayatının en önemli dönüm noktalarından biri; aile ve toplum hayatının temelini teşkil etmeye vesile olan evlilik yapısıdır. Evliliğin resmi ve dini merasimlerinin yanında özellikle gelenekler içerisinde de icra olunan önemli ve uzun bir süreci ¬bulunmaktadır. Bu süreçte icra edilen düğün etkinlikleri, ana hatları bakımından Türkiye’nin hemen her yerinde birbirine benzerlik ortaya koymasına rağmen, bazı noktalarda ilden ile, ilçeden ilçeye ve bazen kısmen de olsa köyden köye farklılıklar gösterebilmektedir. Toplum hayatının temel dinamiklerinden olan geleneklerin büyük bir çoğunluğu, insanların yararına olmak üzere olumlu ögelerden meydana gelmektedirler. Ancak özellikle düğün geleneklerinin bazı aşamalarında, çeşitli tarihi dönemlerden kaynaklanan veya bazı vesilelerle kültür değişimleri sonucu ortaya çıkan birtakım olumsuzluklar da bulunmaktadır. Toplumumuzun tarihi ve kültürel köklerinden gelen gelenekler, kanunlar gibi yaptırım gücüne sahip olmasalar bile toplumsal hayatın kurulmasında ve işletilmesinde çok önemli görevler üstlenmektedirler. Hayatın hemen her alanıyla ilgili bulunan bu unsurların büyük bir kısmında toplum yararına olan birçok güzellik bulunmaktadır. Bu çok sayıdaki geleneklerin en önemlilerinden biri de düğün gelenekleridir. Birçok ortak özellikler taşımaları sebebiyle ülkemizin çeşitli yörelerine ait düğün gelenekleri arasında büyük benzerlikler bulunmaktadır. Bu çalışmada ele alınan Erzurum ve Kelkit yörelerine ait düğün gelenekleri de bu gerçeklikten hareketle konu edinilmiştir. Kelkit yöresindeki düğün gelenekleri ele alınırken bunların çok önemli bir kültür merkezi olan Erzurum yöresine ait düğün gelenekleriyle olan kesişme noktaları öne çıkarılmıştır. Bu husustaki farklılıklar ise yörelerin kendilerine özgü sosyal, kültürel ve ekonomik vb. yapılarından doğmaktadır. Ayrıca geleneklerden bazıları zamanla kaybolurken, bazıları da birtakım değişikliklere uğrayarak yeni şekillere bürünmek suretiyle varlıklarını devam ettirmektedirler. Ancak değişiklik süreçleri çok çeşitli şartlara bağlı olarak farklı zaman dilimleri içerisinde ortaya çıkmaktadır. Bu araştırmada gerek Erzurum gerekse Kelkit yörelerine ait düğün gelenekleriyle ilgili olarak yapılmış bilimsel çalışmalardan yararlanıldı. Konunun açıklanması için Erzurum’un kültürel ve geleneksel yanlarını bilen ve hâlen Erzincan Binali Yıldırım Üniversitesinde çalışan Erzurumlu beş akademisyenin görüşlerine başvurulmuştur. Aynı şekilde bu konuyla ilgili olarak Kelkit’te de on kişiyle görüşüldü.
Effectiveness Of Weight Bearing Exercise On Menopausal Problems Among Menopausal Women
Authors: R.Leelavathy , M. Sowmya Vani , M. Lavanya
Published: November 2022

Menopause is the term used to describe the Natural and Permanent cessation of the monthly female reproductive cycles, which is typically exhibited by a persistent lack of menstruation and monthly periods. The goal of the study was to compare the effects of weight-bearing activities on menopausal symptoms in experimental and control groups of menopausal women. The theoretical foundation is based on an updated version of Weidenbach's Clinical Nursing Theory. (1964). The study was carried out in the Karumbukuppam village, Gummidipoondi taluk, Thiruvallur district, using a true experimental design with an evaluation technique. Using a simple random sampling technique, 60 menopausal women who fit the inclusion requirements were chosen, and the experimental and control groups received 30 samples each. Age, education, occupation, religion, age at menarche, menstrual cycle, days of flow, duration of cycle pattern, menstrual marital status, number of children, and delivery method were the factors chosen for the study. The Semantic Differential Scale for Sleep Disruption and the Modified Numerical Categorical Scale for Low Back Pain were the tools utilised to gauge the severity of menopausal symptoms. The same tool was used for the Pre test. The postmenopausal women in the experimental group performed weight-bearing exercises like wall push-ups, chair squats, shrugs, leg raises, and brisk walking every morning. When it came time for the follow-up test, the same instrument was used. Those in the Control group took the Post test without any moderating input. Data analysis made use of both descriptive and inferential statistics. The members of the Experimental group had their “Mean” score for sleep disruption was 2.13 with a “Standard Deviation” of 0.68, and after the test, it was 1.17 with a similar “Standard Deviation”. The computed t value was 10.8, and at the p0.001 level, it was statistically extremely significant. The "Mean" score for low back pain decreased from 3.20 (with a standard deviation of 1.03) to 1.90 (with a standard deviation of 0.92) in the post test. The calculated "t" value was 15.28, which was highly significant at the p0.001 level. No significant difference in menopausal symptoms between the control and experimental groups was predicted under the null hypothesis before and after weight-bearing exercises, was thus disproved. In order to achieve the desired results, Nurse Midwife must continue to advocate weight bearing exercise for menopausal women.
Digital Image Cryptography using Lookup Table
Authors: Mohammad Kadri Dojanah Bader , Alqadi Ziad
Published: November 2022

Protecting digital images is an important task, because images may be secret or may be contain valuable secret information. In this paper research a simple, efficient and high secure method of digital images protection will be introduced. The method will use a chaotic logistic map model with a selected chaotic parameter to generate a lookup table, which will be used in the encryption and decryption phases. The proposed method can use one lookup table to encrypt-decrypt color images, or it can use three lookup tables to encrypt-decrypt each color channel. The method will secure the encrypted image by using a complicated private key, which will provide a suitable key space capable to resist hacking attacks, the method outputs will be very sensitive to the selected private key contents, any minor changes in these contents in the decryption phase will be considered as a hacking attempt by producing a damaged decrypted image. It will be shown how using lookup table simplifies the process of image cryptography using the indexes and the indexes contents of the lookup table. The proposed method will be implemented and the obtained results will be analyzed to prove the quality of encryption and decryption phases based on the calculated MSE, PSNR, CC and NSCR. The speed of the proposed method will be tested, to show how the proposed method will increase the throughput of data cryptography by decreasing both the encryption and decryption times.
ESTRATÉGIAS DE PLANEJAMENTO E GESTÃO DE SERVIÇOS DE SAÚDE: PROTOCOLO DE REVISÃO DE ESCOPO
Authors: Vaz de Araújo Ana Sáskya , Andrade Lourinho Lídia , Vaz Ferreira Juliete
Published: November 2022

O planejamento faz parte dos instrumentos de gestão dos serviços de saúde. Por isso, avaliar alternativas para apoio desse processo é uma atividade necessária. Diante disso, o presente protocolo de revisão de escopo foi elaborado com base no do Manual de Revisões do Joanna Briggs Institute (JBI), que estabelece cinco etapas: 1. Desenvolvimento do título e da pergunta de partida; 2. Critérios de elegibilidade, inclusão e exclusão dos estudos; 3. Identificação dos estudos relevantes; 4. Protocolo de seleção e avaliação inicial dos estudos; 5. Análise das evidências; e 6. Síntese e apresentação dos dados. O protocolo atual pré-define os objetivos, métodos e forma de apresentação dos resultados, que irão conduzir a elaboração da revisão de escopo.