bluuebunny/crossref_metadata_2025 huggingface dataset:
ANTENATAL DIAGNOSIS OF FETAL HEART RHYTHM DISORDERS IN WOMEN WITH LUPUS WITH POSITIVE ANTI-SSA AND ANTI-SSB ANTIBODIES: ABOUT TWO CASES
Authors:   Department of Gynecology and Obstetrics, Mohammed VI-Oujda University Hospital, faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco., Bellajdel Ibtissam , Bouyabla Hind ,   Department of Gynecology and Obstetrics, Mohammed VI-Oujda University Hospital, faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco., Imane Benhamou ,   Department of Gynecology and Obstetrics, Mohammed VI-Oujda University Hospital, faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco., Taheri Hafsa ,   Department of Gynecology and Obstetrics, Mohammed VI-Oujda University Hospital, faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco., Saadi Hanane ,   Department of Gynecology and Obstetrics, Mohammed VI-Oujda University Hospital, faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco., Mimouni Ahmed ,   Department of Gynecology and Obstetrics, Mohammed VI-Oujda University Hospital, faculty of Medicine and Pharmacy, Mohammed Premier University, Oujda, Morocco.
Published: March 2023

Lupus erythematosus is a nonorgan-specific autoimmune disease predominantly affecting young women of childbearing age, as well as neonatal lupus is a complication related to the presence of anti-SSA/Ro or anti-SSb/La antibodies in the mother. Cardiac manifestations of neonatal lupus include anti-SSA/Ro-SSB/La-mediated conduction system disease and endocardial/myocardial damage resulting in cardiomyopathy. Pregnancy is a complicating factor in lupus erythematosus in 60% of cases. These complications do not seem to be related to the number of pregnancies or to the duration of remission, but stopping the hydroxychloroquine treatment could be the cause of relapses. Obstetrical complications due to lupus are dominated by intrauterine growth retardation and prematurity in 30% of cases, abortion or fetal death in utero in 20% of cases, especially in the presence of anti-phospholipid antibodies and/or anti-cardiolipin antibodies in the mother, and complete atrioventricular block in 1.6% of cases due to trans-placental passage of anti-SSA antibodies. Some treatments, including hydroxychloroquine, corticosteroids, and certain immunosuppressants (azathioprine) are safe, and can and should be maintained if necessary during pregnancy.
STAKEHOLDERS LEVEL OF AWARENESS ON LEARNERS SAFETY IN PRIMARY BOARDING SCHOOLS IN NORTH RIFT REGION, KENYA
Authors:   Moi University, Kenya., Milka Jepkemboi Korir
Published: March 2023

According to studies and reports, a lack of commitment to safety policies causes children to feel unsafe in schools. This study aimed to determine the stakeholders level of awareness on learner safety in primary boarding schools in the North Rift Region, Kenya. The study employed a convergent design. The targeted population was derived from 161 Public and Private Primary Boarding Schools in the North Rift Region. The target population was 813, comprising of 161 head teachers, 322 teachers, 161 BOM chairpersons, 1610 pupil representatives and 8 QASO. The sample size for this study was 685 respondents comprising of 48 schools where 48 head teachers, 96 teachers and 8 QASO Officers, 48 BOM chairpersons and 483 pupil representatives. The researcher stratified schools from the 8 counties in the North Rift Region. The study used questionnaires, interview schedules, focus group discussions and observation checklists as the main data collection instruments. Data were both quantitative and qualitative. Data were analyzed using the thematic method. The study established that stakeholders level of awareness has a positive and significant effect on the safety of learners (ÃŽÂ²=.996, p=0.000). The study concluded that not all stakeholders are involved in decision-making regarding the safety policy implementation and training and induction courses for safety in the school. The Safety Standards Manual for Schools, being a Ministry of Education publication, should be availed to all school heads.
IRON DEFICIENCY ANEMIA AND MALNUTRITION IN PEDIATRICS IN SAUDI ARABIA: A REVIEW ARTICLE
Authors:   Department of Pediatrics, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia., Ghmaird Asmaa , Mohammed M. Alanazi Abeer ,   Department of Pediatrics, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia., Abutaleb M. Qaysi Amal ,   Department of Pediatrics, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia., Abdullah S. Alanazi Laila ,   Department of Pediatrics, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia., Khalid M. Aljohani Jomanah ,   Department of Pediatrics, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia., Ahmed Aljohani Dina ,   Department of Pediatrics, Kasr Al-Ainy Faculty of Medicine, Cairo University, Cairo, Egypt., Hussain A. Hamdi Asma ,   Department of Family Medicine, Faculty of Medicine, University of Najran, Najran, Saudi Arabia.
Published: March 2023

Anemia remains a global health problem in the 21stcentury. Iron deficiency anemia is the most common type. Childrenare especially vulnerable to the detrimental health consequences of anemia including fatigability, predisposition to repeated infections, and cognitive impairment. Iron deficiency anemia is considered the most prevalent type of nutritional anemia. Insufficient dietary iron intake, decreased iron absorption, and excess iron loss can cause iron deficiency.Accordingly, malnutrition plays a role in the prevalence of iron deficiency anemia. Saudi Arabia is now in advanced nutrition transition, which means the rates of obesity are high together with malnutrition. In this review, we shed light on the prevalence of iron deficiency anemia among the pediatric population of the Kingdom of Saudi Arabia. We also focus on the burden of malnutrition and its association with anemia, and evaluate the strategies needed to combat these health problems. Further research all over the Kingdom is needed to expose the full magnitude of anemia. Monitoring of the implementation of the previously existing health programs is needed.
DIODE LASER AIDED EXCISION OF PYOGENIC GRANULOMA ON TONGUE: A CASE REPORT
Authors: R. Rohini , Pagare Jaishri , Chormale Ankita
Published: March 2023

Pyogenic granuloma, also called lobular capillary hemangioma, is a non-neoplastic, vascular reactive lesion of the skin and mucous membranes. While the majority of the oral pyogenic granuloma involve the gingiva, they also rarely present at other sites including lips, buccal mucosa, palate, and tongue. The most common treatment of pyogenic granuloma is surgical excision but alternative modern approaches such as laser excision have also been proposed which results in bloodless, painless and suture free procedure. Herein, we present a case of pyogenic granuloma on tongue which was excised successfully with diode laser as a conservative and non-stressful method. The use of laser as modern medicine offers a new tool for treatment of oral lesions as comfortable as possible in all patients.
ETHNOMEDICINAL STUDIES OF SOME MYRTACEAE PLANTS FROM NANDED REGION OF MAHARASTRA
Authors:   PG Department of Botany, N. E. S. Science College, Nanded- 431602, Maharastra, India., R.N. More , Jadhav D. M. ,   PG Department of Botany, N. E. S. Science College, Nanded- 431602, Maharastra, India.
Published: March 2023

Nanded is one of the most biodiversity rich region of Maharastra. This area is having deciduous regions known as Kinwat, Mahur and Shita-khandi forest. The regional peoples uses many traditional medicines for the treatments of various diseases. The aim of current research is to survey and documents ethno-medicinal usages of family Myrtaceae. For this data collection many time field visits were given. All the collected data and information were confirmed using available literature. Total six plants of Myrtaceae were reported in the study. Syzygiun cumini (Jamun), Psidium guajava L. (Guava), Eucalyptus globules (Nilgiri) are the common plants reported in survey including Callistemon citrinus ( Bottle brush), Syzygium aromaticum L. (Laong), and Syzygium jambos L. The plants reported in the present study were found to be used by local peoples for the treatments of different aliments.
CREATING SPIRITUALITY IN THE WORKPLACETO INCREASE WORK PERFORMANCE OF MODERN ORGANIZATIONS
Authors:   Lecturer, Ph.D. Program in Modern Organizational Management, Krirk University, Thailand., Pratoomsawat Tanachat , Channuwong Sukhumpong ,   Lecturer, Ph.D. Program in Modern Organizational Management, Krirk University, Thailand., Kuraeiad Arphorn ,   Lecturer, Ph.D. Program in Modern Organizational Management, Krirk University, Thailand., Lim Alan ,   Doctor of Business Administration, California State University& California University, U.S.A., Guan Lionel Lee Khuay ,   Doctor of Business Administration, California State University & California University, U.S.A., Kanchanasomsak Rangsun ,   Student, Ph.D. Program in Modern Organizational Management, Krirk University, Thailand., Pratoomsawat Vithavee ,   Student, Ph.D. Program in Modern Organizational Management, Krirk University, Thailand.
Published: March 2023

Spirituality in the workplace becomesthe hottest issue in the past decades until the present time. Modern organizations are now paying much attention on helping employees to achieve their hope and dream through company cooperation, concerning about employees wellbeing and welfare, and respect to individualism. Happiness, success and growth of employees are parts of organizational responsibility because employees and organization are interrelated as they can produce both negative and positive effects to each other. The purposes of this article were to find the meaning of spirituality in the workplace, the current situations of spirituality in the workplace, advantages of spirituality in the workplace, and an implementation of spirituality in the workplace. The findings showed that spirituality in the workplace is a recognition of employee that promotes employees experience to work with joy, happiness and friendliness in the organization. Modern organizations pay much attention on spirituality in the workplace because they believe it can improve employee satisfaction, employee commitment, employee wellbeing and happiness at work, which lead to increase organizational performance such as productivity, profitability, innovation, competitiveness, customer satisfaction and customer service.
COMPLICATIONS ASSOCIATED WITH CASTING OF ACUTE DISTAL RADIUS FRACTURES IN ADULTS - A PROSPECTIVE OBSERVATIONAL STUDY
Authors:   Associate Professor, Department Of Emergency Medicine, Government Theni Medical College, Theni., M.S. Ortho , T.C. Prem Kumar S. Rajasekaran , D. Ortho M.S. Ortho ,   Associate Professor, Department Of Orthopaedics, Government Theni Medical College, Theni.
Published: March 2023

Aim: Closed treatment of distal radius fractures is still a controversy. In children, circumferential casting of acute distal radius fractures is found to be safe. However, research is lacking to demonstrate its safety in adults. The purpose of this study was to assess the risk of complications associated with casting acute distal radius fractures in adult patients. Methods: Study is conducted in 60 patients with a distal radius fracture arriving at the Emergency department in Govt Theni Medical College. Patients were evaluated in the red zone and were provisionally immobilized with plaster of Paris casts. Patients were followed for a minimum of 12 weeks. Complication rates associated with casting were recorded, including rates of fracture displacement, tenosynovitis, carpal tunnel syndrome and malunion. Results: 60 patients were included in this study. A total of 45 patients met inclusion criteria for placement of a short arm cast in the Emergency Department. The majority of patients sustained their injuries from a ground level fall. A minority of patients had radiographic evidence of intra-articular extension or underwent a reduction prior to casting. The majority of patients did not require a cast change. The data analysis showed the complications such as fracture displacement, tenosynovitis, carpal tunnel syndrome malunion were of insignificant value and closed reduction proved to the safest and benefitted method of management in distal radius fractures with lesser complications. Conclusion: There were no major complications associated with casting of acute, distal radius fractures in this series of 45 adult patients. While further studies with larger numbers of patients are necessary to establish safety of casting, this study suggests that casting may be a safe and effective treatment for distal radius fractures in adult patients presenting with a normal neurovascular exam.
Modelo referencial para implementação de product-service system em empresas de máquinas e equipamentos agrícolas
Authors: Kolling Camila , De Medeiros Janine Fleith , Duarte Ribeiro José Luis
Published: March 2023

Este estudo teve como objetivo propor um modelo referencial para introdução do Product-Service System (PSS) orientado a produto em empresas de máquinas e equipamentos agrícolas. Após revisão bibliográfica sobre o tema, um diagnóstico sobre sustentabilidade e PSS orientado a produto foi realizado em empresas de máquinas agrícolas por meio de estudo de casos múltiplos. Os resultados demonstraram que, embora algumas práticas relacionadas à sustentabilidade sejam realizadas pelas empresas, na maioria delas as questões ambientais e sociais não constituem um tópico dominante no desenvolvimento de produtos e serviços. Além disso, identificou-se que as empresas já oferecem serviços pertencentes ao PSS orientado a produto, mas, na maioria delas, esse processo ainda não é estruturado e normalmente as ofertas não são projetadas considerando aspectos ambientais. Conclui-se que há oportunidades de aprimoramento e oferta de novos serviços que possam aumentar a satisfação dos clientes e contribuir para a sustentabilidade. Dessa forma, o modelo referencial proposto fornece orientações sobre os procedimentos necessários para execução do PSS orientado a produto. O estudo contribui com as discussões acadêmicas sobre o potencial sustentável do PSS, principalmente no sentido de fornecer subsídios que possam auxiliar a sua prática nas organizações.
Neonatal Surgery Intensive Care Unıt: Hacettepe University Experience
Authors: Tandircioglu Umit Ayse , Celik Hasan Tolga , Yigit Sule , Yurdakok Murat
Published: March 2023

OBJECTIVES: Surgical treatment in the neonatal period is very significant. The neonatal surgery intensive care model has been applied in our hospital for about six years. This study aims to examine the data gathered from the neonatal intensive care unit of our hospital and to understand how this model contributed to the health improvement of newborns with surgical problems.
STUDY DESIGN: The file records of newborns admitted to the neonatal intensive care unit were retrospectively analyzed from January 2014 to December 2019. The protocol was registered with Clinical Trials.gov identifier NCT04734002.
RESULTS: The total number of newborns admitted to the neonatal intensive care unit was 5442. Surgery was performed on 546 of these patients. Two hundred and four patients were hospitalized due to congenital heart disease. Two hundred patients were operated on by pediatric surgeons whereas 142 were operated on by other surgery specialists. In the last six years, the mortality rate was 5.25% in babies without surgical diseases and 18.3% in those with surgical diseases (p<0.05). The hospitalization periods of the babies followed up in our neonatal intensive care unit in the last two years were evaluated. Thereupon, premature babies with other diseases were hospitalized for an average of 9.6 days; however, those patients who require surgery were hospitalized for 33.0 days (p<0.05). The term babies, who did not have any surgical diseases were hospitalized for an average of 4.8 days and those with surgical indications for 16.5 days (p<0.05).
CONCLUSION: We believe that the neonatal surgery intensive care unit model should become widespread in Türkiye. We intend to draw attention to this matter through our study, sharing our own experience.
Green Warehouse Practice: Critical issues in drone technology adoption
Authors: Wahab Siti Norida , Khoo Hoch Aun , Kaliani Sundram Veera Pandiyan , Annas Mohammad
Published: March 2023

Businesses are being revolutionised by drones, which are now used in a variety of sectors, including warehouse operations. Drones are portable, highly manoeuvrable, and have both indoor and outdoor flight capabilities. Drones assist in streamlining the overall inventory management process for monitoring and inspection in support of green warehousing practices (GWP). Although the use of drone technology is rapidly expanding and is trending upward, relatively few studies on the subject have been published and there is a great need for scholarly study in this field. Thus, this study aims to identify several issues faced by warehouse operators.
Analytic study on strengthening the Future Education competencies in Korea
Authors: Yoon Tecnam , Na Jiyeon
Published: March 2023

The purpose of this study is to devise and present an educational model to strengthen pre-service elementary school teachers’ future competencies based on the effects of existing core competency education. For this purpose, a literature study was conducted to examine the concepts and directions of future education and core competencies, core values, teaching and learning models and instructional design principles, components and instructional design procedures, and major characteristics of the 2015 revised curriculum of Korea. After the second expert validation of the developed draft was conducted, it was revised and supplemented to complete the final model of the education model for fostering future education capabilities. Based on the future education competencies obtained through literature research and the Delphi survey, a survey was conducted on professors, in-service elementary school teachers, and pre-service teachers to present the final future core competencies. Specifically, in order to find a framework suitable for the needs and competencies of instructors, previous research cases in and outside of Korea were analyzed, and surveys were conducted with pre-service and in-service teachers, and analyzed. Through this, the focus was on presenting specific methods for the expression of future teaching capabilities as instructors and providing an efficient roadmap to keep up with the overall trend of the education field according to the needs of the times.
Clinician Experiences With Hybrid Closed Loop Insulin Delivery Systems in Veterans With Type 1 Diabetes: Qualitative Study
Authors: Mizokami-Stout Kara , Thompson Holly M , Hurren Kathryn , Leone Virginia , Piatt Gretchen A , Lee Joyce M , Pop-Busui Rodica , DeJonckheere Melissa
Published: March 2023

Background

Hybrid closed loop (HCL) insulin pumps adjust insulin delivery based on input from a continuous glucose monitor. Several systems are FDA approved and associated with improved time in range, reduction in hemoglobin A1c, and decreased incidence of hypoglycemia. Major diabetes guidelines differ in their strength of recommendations regarding the use of HCL systems. Overall, limited information about the factors that influence HCL pump clinical decision-making is available, especially among endocrinology clinicians.

Objective

The study objective is to describe the knowledge and attitudes, network support, and self-efficacy regarding HCL insulin delivery systems among endocrinology clinicians in one Veterans Affairs (VA) Healthcare System in the Midwest.

Methods

Following a descriptive approach, this qualitative study used semistructured interviews and inductive thematic analysis. All endocrinologists, endocrinology fellows, and nurses in the endocrinology and metabolism department at one VA Healthcare System in the Midwest were invited to participate in one-on-one phone interviews. Thematic analysis explored clinician perspectives on HCL insulin pump systems.

Results

Participants (n=11) had experience within VA and university health care system endocrinology clinics. From their experiences, 4 themes were identified involving the evaluation and assessment of insulin pump candidates, prescribing challenges, clinical benefits of HCL pumps, and overall clinician confidence.

Conclusions

Findings suggest that clinicians believe HCL systems have significant glycemic benefits but are not appropriate for all patients, especially those with cognitive impairment. HCL pump initiation is a multi-step process requiring an interdisciplinary team of health care clinicians to ensure patient and pump success. Furthermore, HCL systems improve clinician confidence in overall diabetes management.
Association between Workplace Violence and Depressive Symptoms among Nurses Mediated by Fear of Future Workplace Violence and Burnout: Cross-Sectional Questionnaire Study in Shandong, China (Preprint)
Authors: Li Chaofan , Fu Chang
Published: March 2023

BACKGROUND

The factors associated with depressive symptoms among nurses have been extensively documented; however, the mechanisms underlying the relationship between workplace violence and depressive symptoms in nurses have been less studied.

OBJECTIVE

This study aims to examine the relationship between workplace violence and depressive symptoms and the mediating role of fear of future workplace violence and burnout in this relationship.

METHODS

We conducted a cross-sectional web survey at 12 tertiary hospitals in Shandong province, China, in 2020. The Center for Epidemiologic Studies Depression Scale (CESD-10), the Chinese version of the Maslach Burnout Inventory-General Survey, and the Fear of Future Violence at Work scale were used to gather data. Descriptive statistics, independent sample t-test, one-way analysis of variance, Pearson’s correlation coefficient, and ordinary least squares regression with bootstrap resampling were used to analyze the data.

RESULTS

Among the nurses, the prevalence of depressive symptoms was 45.9% (868/1893). There were significant differences (P<.01) in the CESD-10 score for experience of workplace violence, burnout, and other control variables, with the exception of gender and marital status. Pearson’s correlation coefficient between depressive symptoms and fear of future workplace violence was 0.171 (P<.001). Overall, both significant direct (2.250, 95% bootstrap CI:1.583−2.917) and indirect effects (0.769, 95% bootstrap CI:0.543−1.012) were found. Specifically, the regression model showed that fear of future workplace violence and burnout mediated the relationship between experience of workplace violence and depressive symptoms. Indirect effects mediated by fear of future workplace violence and burnout were 0.203 (95% bootstrap CI:0.090−0.348) and 0.443 (95% bootstrap CI:0.262−0.642), respectively. Furthermore, the serial multiple mediation analyses indicated that the indirect effect mediated by fear of future workplace violence and burnout in sequential manner was 0.123 (95% bootstrap CI:0.070−0.189).

CONCLUSIONS

This study found a high prevalence of depressive symptoms among Chinese nurses, and identified the role of fear of future workplace violence and burnout as serial mediators in the relationship between experience of workplace violence and depressive symptoms. To improve the mental health of nurses, targeted interventions focusing on reducing workplace violence, fear of future workplace violence, and burnout should be developed by hospital managers.
Predictors for Interest to Participate in Digital Mental Health Therapy: A Cross-Sectional Survey of Individuals with Anxiety and Depression (Preprint)
Authors: Gunawardena Tharidu , Bartholmae Marilyn , Karpov Matvey , Dod Rohan , Ahuja Kripa , Rajendran Aishwarya , Kathrotia Mayuri , Dodani Sunita
Published: March 2023

BACKGROUND

Due to a multitude of factors, the onset of the COVID-19 pandemic resulted in a significant increase in mental health issues within society, including depression and anxiety. Due to the increased trend of mental health disorders in society, digital mental health therapies are more useful than ever. With the emergence of programs utilizing Internet Cognitive Behavioral Therapy (iCBT), mental health resources are easily accessible and can be widely implemented to those in need.

OBJECTIVE

The aim of this study was to identify predictors for interest to participate in SilverCloud Digital Mental Health Therapy among individuals with mild to severe anxiety and/or depression based on preliminary findings from the COVIDsmart study.

METHODS

COVIDsmart study participants who indicated they would like to participate in future studies derived from COVIDsmart findings and who had moderate to severe anxiety and/or depression, were invited to complete a needs assessment survey to determine eligibility for the SilverCloud study and evaluate reasons for high levels of anxiety and/or depression during COVID-19. Participants were asked to indicate if they would be interested in receiving free digital mental health services.

RESULTS

Out of the COVIDsmart participants who took part in the SilverCloud needs assessment, 120 individuals completed it. The largest demographic among these participants were females (81.73%) who identified as White (84.17%). The mean age was 48.74 years (SD = 14.66). Results revealed that having a mental health comorbidity significantly predicted the likelihood of interest in participating in the SilverCloud digital mental health program (p= 0.027).

CONCLUSIONS

Individuals with pre-existing mental health conditions should receive additional screening and treatment to detect the possibility of newly emerging depression and/or anxiety. These results have significant implications for healthcare settings and mental health clinics regarding the utilization of screenings and treatment.
Impact of a Combined Continuous Glucose Monitoring–Digital Health Solution on Glucose Metrics and Self-Management Behavior for Adults With Type 2 Diabetes: Real-World, Observational Study (Preprint)
Authors: Kumbara Abhimanyu B , Iyer Anand K , Green Courtney R , Jepson Lauren H , Leone Keri , Layne Jennifer E , Shomali Mansur
Published: March 2023

BACKGROUND

The BlueStar (Welldoc) digital health solution for people with diabetes incorporates data from multiple devices and generates coaching messages using artificial intelligence. The BlueStar app syncs glucose data from the G6 (Dexcom) real-time continuous glucose monitoring (RT-CGM) system, which provides a glucose measurement every 5 minutes.

OBJECTIVE

The objective of this real-world study of people with type 2 diabetes (T2D) using the digital health solution and RT-CGM was to evaluate change in glycemic control and engagement with the program over 3 months.

METHODS

Participants were current or former enrollees in an employer-sponsored health plan, were aged 18 years or older, had a T2D diagnosis, and were not using prandial insulin. Outcomes included CGM-based glycemic metrics and engagement with the BlueStar app, including logging medications taken, exercise, food details, blood pressure, weight, and hours of sleep.

RESULTS

Participants in the program that met our analysis criteria (n=52) were aged a mean of 53 (SD 9) years; 37% (19/52) were female and approximately 50% (25/52) were taking diabetes medications. The RT-CGM system was worn 90% (SD 8%) of the time over 3 months. Among individuals with suboptimal glycemic control at baseline, defined as mean glucose >180 mg/dL, clinically meaningful improvements in glycemic control were observed, including reductions in a glucose management indicator (–0.8 percentage points), time above range 181-250 mg/dL (–4.4 percentage points) and time above range >250 mg/dL (–14 percentage points; all P<.05). Time in range 70-180 mg/dL also increased by 15 percentage points (P=.016) in this population, which corresponds to an increase of approximately 3.5 hours per day in the target range. Over the 3-month study, 29% (15/52) of participants completed at least one engagement activity per week. Medication logging was completed most often by participants (23/52, 44%) at a rate of 12.1 (SD 0.8) events/week, and this was closely followed by exercise and food logging.

CONCLUSIONS

The combination of an artificial intelligence–powered digital health solution and RT-CGM helped people with T2D improve their glycemic outcomes and diabetes self-management behaviors.
Ex vivo intervertebral disc cultures: degeneration-induction methods and their implications for clinical translation
Authors:   Orthopaedic Biomechanics, Department of Biomedical Engineering, Eindhoven University of Technology, GEM‐Z 4.115, PO Box 513, 5600 MB Eindhoven, the Netherlands, Salzer E , Schmitz TC , Mouser VHM , Vernengo A , Gantenbein B , Jansen JU , Neidlinger-Wilke C , Wilke H-J , Grad S , Le Maitre CL , Tryfonidou MA , Ito K
Published: March 2023

Because low back pain is frequently a result of intervertebral disc degeneration (IVDD), strategies to regenerate or repair the IVD are currently being investigated. Often, ex vivo disc cultures of non-human IVD organs or tissue explants are used that usually do not exhibit natural IVDD. Therefore, degenerative changes mimicking those reported in human IVDD need to be induced. To support researchers in selecting ex vivo disc cultures, a systematic search was performed for them and their potential use for studying human IVDD reviewed. Five degeneration induction categories (proinflammatory cytokines, injury/damage, degenerative loading, enzyme, and other) were identified in 129 studies across 7 species. Methods to induce degeneration are diverse and can induce mild to severe degenerative changes that progress over time, as described for human IVDD. The induced degenerative changes are model-specific and there is no “one-fits-all” IVDD induction method. Nevertheless, specific aspects of human IVDD can be well mimicked. Currently, spontaneously degenerated disc cultures from large animals capture human IVDD in most aspects. Combinatorial approaches of several induction methods using discs derived from large animals are promising to recapitulate pathological changes on several levels, such as cellular behaviour, extracellular matrix composition, and biomechanical function, and therefore better mimic human IVDD. Future disc culture setups might increase in complexity, and mimic human IVDD even better. As ex vivo disc cultures have the potential to reduce and even replace animal trials, especially during preclinical development, advancement of such models is highly relevant for more efficient and cost-effective clinical translation from bench-to-bedside.
Structural Behaviour of Cable- Stayed Bridge with Different Pylons using STAAD Pro
Authors: S. S. S Nitish , B Sai Rethvika , P Joshna. , B Charan Yadav. , B Surya Prakash.
Published: March 2023

Abstract: Cable-stayed bridges were originally developed in the late 16th century but became less popular towards the end of the 20th century when suspension and reinforced concrete designs became more commonly used. However, advancements in material and methods have made them popular again in 21st century, particularly for longer -span crossings. They are suitable for spans longer than cantilever bridges but shorter than suspension bridges, and their main feature is the direct connection of cable from the tower to the deck. Cable-stayed bridges have undergone significant technical advancements and now have impressive aesthetic appearances, thanks to improvements in material, engineering analysis and design, and construction methodology. This thesis focuses on the design and analysis of four different pylon -shaped cable- stayed bridges with semi-fan cable arrangements using STAAD.Pro V8i software for designing and MS excel for comparative analysis. The primary aim of the thesis is to provide a detailed description of the structural behaviour of these bridges and present a comparative analysis.
Collaborative Tourism Application
Authors: Daulat Nidhi , Chheda Mihir , Shaikh Mishkat , Sharma Sarvesh , Bemila Theres , Awsarmal Ankita
Published: March 2023

Abstract: Today, thanks to social media, travel is more about engaging, sharing, and connecting with people. Travelers across the globe take the help of social media platforms to discover, suggest, review, and purchase vacation packages. This paper aims at exploring the idea of collaborating tourists with guides where they can book a tour or create one respectively. The features integrated into this social media platform include creating, registering, and reviewing a travel post. Itineraries can be searched and sorted thus offering a good user experience. To deliver a personalized experience, chat interactions are introduced to enhance user engagement. The website uses the MERN stack which is an excellent choice for developing dynamic, high-quality, and robust applications. It comprises ReactJS in the front end, NodeJs in the backend, and MongoDB as NoSQL Database. Further, the paper discusses in detail the methodology and workflow of the application.
FROM THEORY TO PRACTICE: AN ASSESSMENT OF PUTTING LEARNING INTO PRACTICE AMONG ALUMNI OF KOREA STUDIES, UNIVERSITY OF MALAYA
Authors: Hassan Asmadi , Kee Tan Soo , Kamarudin Muhammad Muhsein , Paidi Rohayati
Published: March 2023

This article examines the application of learning among Korea Studies alumni, Department of East Asian Studies, Faculty of Arts and Social Sciences, University of Malaya. Among those are the application of Korean language at the work place, the application of Korean language in the higher degree programme and the application of Korean language in everyday life. In order to answer these questions, survey question method was adopted in this study to glean data for analysis and findings. Questionnaires were distributed to Korea Studies alumni from the first batch of graduates in 1999 until the recent one. The studies found that both knowledge of Korea Studies and language are important. Korean related course influences their way of thinking, open their mind and contributes to positive behaviour. The skills allow them to interact cross-culturally and understand the Korean mindset and their way of life. A good command of the language opens wider opportunities in career development as well. Currently, there are many employment opportunities for students proficient in Korean, from market research companies to social media outfits. Furthermore, post covid witnessed the rapid economic reconstruction of both Malaysia and South Korea and this resulted in the implementation of Regional Comprehensive Economic Partnership (RCEP) which opened more job opportunities in Malaysia. Therefore, graduates with Korean language skills can seize this opportunity and help the students to be competitive in the job market. The respondents suggested that students who wish to work with Korean companies be prepared with various language skills, such as taking a course in TOPIK Korean language before stepping into the real world.
MATHEMATİCAL APPROACH TO THE ROLE OF INWARD AND OUTWARD FOREIGN DIRECT INVESTORS-LED DIFFUSION OF INNOVATION IN SINO ECONOMIC CONVERGENCE-DIVERGENCE IN LIGHT OF ROGERS’ DIFFUSION OF INNOVATION THEORY AND ECONOMİC CONVERGENCE-DİVERGENCE THEORY
Authors: Yurdagul Esin
Published: March 2023

In 1962, Everett M. Rogers coined and developed his own theory of Rogers’ diffusion of innovation. The last decades have witnessed the fact that innovation has come to be very prominent as a means of economic convergence. Due to the set of the flow data through the amount of Sino inward and outward foreign direct investments remitted by dint of the table between the years of 1980 and 2021, the present research study will analyze the role of inward and outward foreign direct investors-led diffusion of innovation in Sino economic convergencedivergence in light of Rogers’ diffusion of innovation theory and economic convergence-divergence theory in the context of mathematics.
DPRK’S NUCLEAR CONUNDRUM AND THE U.S.-NORTH KOREA NEGOTIATIONS: A NEVER-ENDING SAGA
Authors: Mayilvaganan M. , Khatoon Nasima
Published: March 2023

The challenge of nuclear proliferation in the Korean peninsula since 2006 with the Democratic People's Republic of Korea’s (DPRK) first nuclear test had not only drawn the global attention but created a perilous situation on the peninsula. Further the Hwasong-15 Intercontinental Ballistic Missile (ICBM) of DPRK that was tested in February 2023 and thereafter has heightened tensions between Washington and Japan with Pyongyang. The United States’ (U.S.) diplomatic efforts to engage North Korea through bilateral means in recent times resulted in the first historic summit in Singapore (2018) and later in Vietnam (2019). Though these are undoubtedly positive developments, however, in the absence of any tangible deal after the Hanoi summit, the big question remains will the U.S. and North Korea end their mutual misperceptions, and work towards a viable solution. At the moment, the very fact that since 2019, the U.S. and North Korea have had no official dialogues is evident that misperceptions and distrust continues and finding any sort of solution is going to be a very difficult task now that North Korea has closed its borders since the COVID-19 pandemic started. The more isolated Pyongyang is, the more belligerent it will become in testing its missiles.
Estudio competitivo 2030 a las Mipymes Sector Horticultor-Sabana, ante los retos del futuro con la seguridad alimentaria Bogotá
Authors: Sabogal Pedro
Published: March 2023

Este capítulo tiene como propósito socializar los avances de la investigación denominada “Estudio competitivo y prospectivo 2030 de las mipyme sector horticultor, Sabana Centro de Cundinamarca ante los retos del futuro con la seguridad alimentaria Bogotá, región”. Se realiza un estudio de competitividad de las mipyme sector horticultor de la Sabana centro con base en las herramientas de la prospectiva y se plantean estrategias para el cierre de brechas con base en las características genera-les que implica la integración sustentable de las mipyme como agentes proveedores de alimentos para la capital. Por esta razón, la integración regional de los municipios de la Sabana centro y Bogotá se proyecta como estrategia de consolidación del sector agricultor para atender la demanda alimentaria a futuro de la ciudad capital con altos estándares de competitividad e inserción en los mercados globales, aprovechando el potencial económico y la articulación sistémica entre los factores productivos y diferentes actores del contexto que permitan garantizar al 2030 la seguridad alimentaria Bogotá-región. Aunque existe amplio distanciamiento entre el sueño de futuro y la situación actual con alta limitación en la integración en la dinámica de las organizaciones y la articulación del Estado-empresa-academia para incrementar con alta efectividad la competitividad acorde con los pilares, factores y variables planteados por el Foro Económico Mundial para este importante sector en la economía. Por lo tanto, los avances del proyecto de investigación evidencian que la descripción y exploración cuantitativa y cualitativa con el apoyo con la caja de herramientas de la prospectiva de forma sistémica permite identificar la situación real interna y externa de las mipyme del sector horticultor como insumo fundamental para formular las diferentes acciones estratégicas y diseño de escenarios futuribles que promuevan la integración de los diferentes actores acorde con los ejes docencia, investigación, proyección social planteados en las normas vigentes. En consecuencia, se presentan en esta investigación los avances alcanzados, logrando visualizar un sector horticultor que ha disminuido su participación en la siembra y cosecha, incluso la disminución en el aprovechamiento de las tierras efectivamente cultivables en cada uno de los once municipios de la región Sabana Centro, se realiza la caracterización del sector con base en la información suministrada por las UMATAS en cada municipio a la Secretaria Departamental de Agricultura y Desarrollo Rural, se plantean las estrategias para cerrar brechas y aportar a las mipyme del sector horticultor instrumentos administrativos desde planes, programas y proyectos que les permitan ser altamente competitivas, también se identifican los actores del poder, el saber, la comunidad, los gremios y la sociedad civil que se deben articular para ser partícipes en la solución de los problemas que generar su bajo nivel de competitividad.
La educación del profesional en contaduría pública una mirada desde los programas profesionales en Colombia
Authors: Fuertes Díaz Martha Lucía , Avendaño Marilú , Curvelo José Obdulio
Published: March 2023

El proyecto de investigación que se presenta en este capítulo pretende aportar al sistema educativo del país en la identificación de las necesidades que demanda la sociedad y las organizaciones respecto del conocimiento contable. También identifica oportunidades y tendencias locales y globales que enfrenta la profesión en el actual contexto de desarrollo tecnológico, globalización de mercados, y la cambiante política pública local y mundial, que han afectado y originado el actual momento de cambio estructural por el que atraviesa esta disciplina. Este conjunto de afectaciones hace que sea un momento sensible para el desarrollo de las ciencias contables, para los profesionales que ejercen esta profesión y para las instituciones de educación superior que imparten su formación, que se ven enfrentadas a asumir los retos que exige el actual contexto de desarrollo en Colombia y de la profesión contable, y traducirlos a los planes de estudio como aporte a la formación profesional del contador público que la sociedad demanda. Los factores señalados determinan la necesidad de estudios actuales que aporten en la identificación de las necesidades, tendencias y oportunidades que deben ser considerados para propuestas y actualización curricular de los programas de contaduría pública del país.
Una mirada a la inteligencia organizacional de la ECACEN
Authors: Camargo Fonseca Angela Yolima , Mondragón Arévalo Sandra Rocío , Cuestas Mahecha Alexander
Published: March 2023

El presente capítulo es producto de un ejercicio académico dentro de los estudios doctorales de los autores. Se hizo una encuesta a los líderes zonales y de cada uno de los programas y procesos de la Escuela de Ciencias Administrativas, Contables, Económicas y de Negocios, ECACEN de la Universidad Nacional Abierta y a Distancia, UNAD, para poder determinar la percepción de ellos en el ámbito organizacional de la Escuela, y de esta forma proponer acciones de mejora o modificación en la misma.
Proceso de formulación y gestión de proyectos de investigación, desarrollo e innovación (i+d+i) de acuerdo con los requisitos de la norma técnica colombiana 5802 del 2008
Authors: Molina Arévalo Natalia , Tovar Perilla Nelson Javier , Sánchez Echeverri Luz Adriana
Published: March 2023

La presente investigación surge de la necesidad de entender los conceptos y procedimientos requeridos para formular y gestionar proyectos de investigación, desarrollo e innovación (I+D+i), que satisfagan las expectativas esperadas y de los cuales se puedan obtener resultados como nuevos conocimientos o innovaciones que beneficien a las personas, organizaciones y al medioambiente.
Responsabilidad extendida del consumidor en manejo de residuos eléctricos y electrónicos del suroriente de Barranquilla
Authors: Peralta Miranda Pabla , Cervantes Atia Viviana , Petro Porto Juliana
Published: March 2023

Los residuos eléctricos y electrónicos, en las dos primeras décadas del presente siglo, se han incrementado, debido al impulso de la productividad y la demanda de estos productos, asimismo al alto impacto de las campañas publicitarias que promueven su consumo. El objetivo del artículo fue definir la Responsabilidad extendida del Consu-midor en manejo de Residuos Eléctricos y Electrónicos, del sur oriente de Barranquilla; la metodología de investigación fue cuantitativa, se aplicó un instrumento en escala de Likert a la población objeto de estudio conformada por 150 consumidores, mayores de 18 años, de los hogares del sur oriente de Barranquilla, la técnica de investigación fue la encuesta. El resultado obtenido muestra que la responsabilidad extendida del consumidor es explicada por la indiferencia que estos presentan ante la minimización de los desechos tecnológicos, tomando como base el alto desconocimiento de los con-sumidores con relación a las sustancias peligrosas de este tipo de residuos y lo nocivos para el medio ambiente y la sociedad; se pudo concluir que los consumidores carecen de prácticas responsables en el manejo de los Residuos Eléctricos y Electrónicos, por lo que se hace imperioso promover el principio del consumo responsable, como el eje principal, para enfrentar de forma oportuna la necesidad apremiante de disminuir los residuos tecnológicos.
Los subfactores y variables de desempeño económico que afectan la competitividad de las empresas turísticas de transporte de pasajeros en Colima, México
Authors: Magaña Sánchez Pablo Adrián , Naranjo González Mario de Jesús , Silva Peña Eduardo
Published: March 2023

Este trabajo da a conocer cuáles son los subfactores de desempeño económico que impactan de manera negativa en la competitividad de las empresas turísticas, presta-doras de servicios de transporte terrestre de pasajeros, en el Estado de Colima, México. El instrumento que se utilizó para efectos de esta investigación, fue un cuestionario de 23 preguntas con una escala del 1 al 6. Este cuestionario tiene validez y confiabilidad a través del alfa de Cronbach del 0.72 y ya se ha utilizado en otras investigaciones, de donde se tomó como base el factor de desempeño económico, que es uno de los cuatro factores del IMD. Como conclusión podemos mencionar que los objetivos, preguntas de investigación e hipótesis planteados en este documento se cumplieron al 100 %. Con este trabajo se logró tener un acercamiento con los dueños o gerentes de las empresas motivo de objeto de estudio y conocer cuál es su problemática.
Hemorragia de vías digestivas bajas en un paciente con enfermedad de Behçet: reporte de un caso
Authors: Cantillo Nazzar Gustavo Rafael , Tobón Guevara Angélica , Ardila Hani Andrés Felipe
Published: March 2023

La enfermedad de Behçet es una patología inflamatoria crónica, multisistémica y recidivante que se manifiesta frecuentemente con úlceras orales y genitales, y lesiones oculares y cutáneas. En raras ocasiones presenta compromiso gastrointestinal y este varía dependiendo del segmento gastrointestinal afectado; estas enfermedades tienen en común el predominio de lesiones ulceradas y, consecuentemente, un mayor riesgo de sangrado de las vías digestivas. Se describe un caso clínico de una paciente femenina de 28 años que consultó por un cuadro clínico de deposiciones melénicas y úlceras orales. Como antecedente clínico de importancia presentó diagnóstico de enfermedad de Behçet desde la adolescencia asociado a complicaciones gastrointestinales graves. Se realizó una esofagogastroduodenoscopia con hallazgos de gastropatía eritematosa antral y una colonoscopia con reporte de ileítis ulcerada. Se indicó el tratamiento con azatioprina y corticoides con una mejoría significativa del cuadro clínico.
Hernia paraduodenal congénita: reporte de un caso
Authors: Vásquez Maya Camilo , Donado Jiménez María José , Zapata Uribe Pedro
Published: March 2023

La hernia paraduodenal es una anomalía congénita poco frecuente que surge de una alteración en la rotación del intestino medio durante la embriogénesis. En consecuencia, el intestino delgado queda atrapado en un saco del mesenterio colónico posterior. Dicha entidad puede comprometer la viabilidad del segmento intestinal y la vida del paciente. Su diagnóstico es difícil, pocas veces sospechado y muchas veces confundido con otras causas de dolor abdominal. Presentamos el caso de un paciente de 29 años con una hernia paraduodenal documentada durante la cirugía, su corrección y seguimiento, en el cual no se documentaron complicaciones.