bluuebunny/crossref_metadata_2025 huggingface dataset:
Reducing inefficiencies in the healthcare sector by using lean principles : a South African case study
Authors:   , Kazadi Steven
Published: April 2024

Healthcare organizations all around the world have many wasteful activities that causes inefficiencies in their day-to-day operations which contribute to poor service delivery, rising costs, poor patient experience, medical errors, and a lackluster work environment. In this regard, there is a dire need for innovative methods for improving the efficiency and quality of healthcare services. The lean healthcare (LH) concept is a highly recommended approach in improving efficiency because it focuses on reducing non-value-added (NVA) activities, man power, waste of resources, time and money whilst ensuring safety standards and regulations are adhered to. However, LH has it its fair of challenges with regards to achieving long-term results in which there’s a lack of studies that addressed this to which it has been reported that up 90% of lean projects fail long-term which goes against the concept of pursuing perfection through continuous improvement. Hence, the aim of this research project is to propose how lean techniques will be used to solve inefficiencies but through a Quality Improvement Methodology (QIM) decision tree which is a framework that will act as a catalyst for sustaining lean improvements. The study utilized secondary data in achieving the objective of the research project through the use of a Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) flow chart within the context of quality and lean in healthcare organizations in South Africa (SA). The study achieved 38.33% reduction rate of non-value adding (NVA) activities and an approach on how to sustain the lean efforts through visual control charts of the waiting times which measure any deviations from the standard stability rate of 99.7%. However, the current measured stability rate is 87.5% which is a signal for further improvement to achieve the standard rate. The significance behind this is to ensure a cycle of continuous improvement through measurable indicators and visual charts.
An investigation into a magnetic compaction technique for composite manufacturing
Authors:   , Salot Yazid
Published: April 2024

Fiber reinforced polymer composites are an aerospace and defense material. These materials are widely used in the production of components and parts which require high weight to strength ratios or corrosion resistance. The automotive, aero, marine as well as sporting industries are increasingly requiring components with such characteristics. This has led to an increase in demand in the composite industry. A composite is a material made from a combination of fiber reinforcement and resin. The reinforcement is generally made of Glass, Carbon or Aramid fiber which is woven in a fabric. While resins are typically thermoplastic such as polyester, vinyl ester, phenolic and epoxy. The fiber and resin are combined and compacted together in order to manufacture an item. There are various manufacturing techniques which are utilized to produce fiber reinforced composite components. Many items are manufactured using closed moulding techniques. The process involves the combining of fabric preform with a liquid resin within the mould cavity. After a certain period the component is removed from the mould. The strength, stiffness (mechanical properties) and strength to weight ratio of a composite material are affected by voids (air pockets) and the component’s thickness. Both the air voids and thickness are influenced by compaction during the manufacturing process. Increasing compaction during moulding improves the material properties and ultimately the final product, component or part. This research is aimed at investigating the possibility of utilizing magnetic compaction in fiber reinforced composite manufacturing. The desired technique will be intended to offer improved compaction without requiring any tooling modifications. The proposed technique would fall into the category of the light closed mould compression techniques which utilizes Glass Reinforced Plastic (GRP) tooling. This technique will also attempt to address certain issues experienced in light closed mould techniques. The magnetic compaction technique would be investigated in an effort to offer a scalable technique which has an improved fiber volume fraction and mechanical properties. Currently no closed mould techniques implement magnetic compaction. The research will review the combination of light closed moulding techniques and the working principles of magnetism.
PUBLIC SECTOR FINANCIAL MANAGEMENT REFORMS AND GOVERNMENT EXPENDITURE IN NIGERIA
Authors: Dr Eunice Ralph Court  , Dr Marshal Iwedi
Published: April 2024

In Nigeria, governmental inefficiencies and mismanagement of public resources have led to challenges in fulfilling societal needs effectively. To address these issues, various financial management reforms have been implemented, aiming to enhance transparency, accountability, and efficiency. However, the impact of these reforms on government expenditure remains uncertain due to persistent corruption and operational challenges. This study investigates the influence of public sector financial management reforms, including the Government Integrated Financial Management Information System (GIFMIS) and the Integrated Personnel and Payroll Information System (IPPIS), on government expenditure in Nigeria. A conceptual framework is proposed to understand the relationship between these reforms and expenditure. Theoretical and empirical reviews provide insights into the context and previous findings related to financial management reforms. The methodology involves survey research and secondary data analysis, focusing on 16 years of data from federal ministries. Descriptive statistics and regression analysis are used to analyze the data. Results suggest mixed findings regarding the impact of GIFMIS and IPPIS on government expenditure, with some indications of potential effects but inconclusive statistical significance. Discussion of findings highlights the complexity of reform implementation and the need for further research to inform policy decisions effectively. Recommendations include conducting comprehensive studies, enhancing monitoring mechanisms, capacity building, addressing implementation challenges, promoting transparency, sustaining political will, sharing best practices, and engaging stakeholders.

Keywords:  Public Sector Financial Management Reforms, Government Expenditure, GIFMIS, IPPIS, Nigeria, Governance.
TRANSMISSION, STORAGE AND PREPROCESSING OF DATA RECEIVED FROM SENSORS USING LORA TECHNOLOGY
Authors:   International Information Technology University, Almaty, Kazakhstan, Imankulova Binara , Kozina Lyudmila ,   International Information Technology University, Almaty, Kazakhstan, Duzbayev Nurzhan ,   International Information Technology University, Almaty, Kazakhstan, Amanzholova Saule ,   International Information Technology University, Almaty, Kazakhstan
Published: April 2024

This study focuses on the use of Internet of Things technologies to monitor air quality parameters in the city. The research included the development of a system for collecting data from sensors of temperature, humidity, pressure, gases, time, GPS for various environmental parameters. The article discusses the benefits of using LoRaWAN for data transmission, highlighting its low power consumption and long-range capabilities. The presented architecture allows for system scalability, emphasizing the ability to integrate with additional devices and sensors for more complete and comprehensive environmental monitoring. The collected data is stored in a MySQL database management system and the importance of proper data structuring and normalization is emphasized to ensure accurate analysis. In addition, a data preprocessing process is described to solve the problem of heterogeneity of data obtained from different sensors. The result of the study is the obtained and preprocessed data. The work also highlights the importance of data management to ensure the successful implementation of such systems in the face of heterogeneity of information from different sensors. Thus, the article presents a comprehensive approach to air quality monitoring using IoT and highlights the importance of proper data management for subsequent accurate analysis.
НЕЙРОНДЫҚ ЖЕЛІ АЛГОРИТМДЕРІ НЕГІЗІНДЕ СӨЙЛЕУДІ ТАНУДЫҢ АҚПАРАТТЫҚ ЖҮЙЕСІН ҚҰРУ
Authors:   «Ғұмарбек Дәукеев атындағы Алматы энергетика және байланыс университеті» КЕАҚ,  Алматы, Казақстан, Қанашев Мақсат , Тоғанас Нұрай ,   Қазақстан-Британ техникалық университеті, Алматы, Казақстан, Илиев Теодор ,   Руз Университеті, Болгария, Мукашева Асель ,   Қазақстан-Британ техникалық университеті, Алматы, Казақстан
Published: April 2024

Бұл мақалада білім беру қосымшалары мен жасанды интеллект контекстіндегі сөйлеуді танудың екі моделінің жылдамдығы мен дәлдігіне салыстыру жасалған. Зерттеудің мақсаты - SpeechRecognition және Levenshtein кітапханаларын пайдалану кезінде тану жылдамдығын, дыбысты мәтінге түрлендіру дәлдігін және ресурстарды тұтынуды бағалау. Сөйлеуді тану модельдерінің дәлдігін салыстыру нәтижелері JSON форматында жазылады, содан кейін matplotlib кітапханасын қолдана отырып, олар тану жылдамдығы мен дәлдігін салыстыратын кестелер түрінде бейнеленеді. Деректерді осылайша визуализациялау олардың жетілдірілуіне және білім беру жүйелеріне тиімді біріктірілуіне ықпал етеді. Қорытындылай келе, авторлар білім беру мен жасанды интеллект саласындағы сөйлеуді тану технологияларын одан әрі дамыту перспективаларын, сондай-ақ болашақ зерттеулердің әлеуетті бағыттарын, соның ішінде көптілділік пен диктордың эмоцияларын талдауды атап көрсетеді.
ESTUDO DE CASO: OS DESAFIOS ENFRENTADOS NA GESTÃO ESCOLAR DE ENSINO MÉDIO DE TEMPO INTEGRAL PROFESSORA MARIA MARGARIDA DE CASTRO ALMEIDA, FORTALEZA, CEARÁ, BRASIL
Authors: Rebouças Amsterdan Ferreira , Rebouças Glacimeyre Lima
Published: April 2024

A presente pesquisa consiste em um Estudo de Caso sobre os desafios enfrentados na gestão escolar do Ensino Médio de tempo integral da escola Professora Maria Margarida de Castro Almeida, localizada na cidade de Fortaleza, Ceará, Brasil. Para isso foi tecida uma robusta discussão sobre o contexto da gestão democrática no ensino público, com suas concepções e processos de transformação, organizando-se para dar resposta eficaz e rápida aos desafios que enfrenta, principalmente àqueles que refletem competências do gestor diante uma escola democrática e articulada através de políticas públicas. Nesse sentido, entende-se que a gestão democrática com a participação de todos pela construção coletiva é a ideal. Durante o desenvolvimento do presente trabalho foram feitas análises exploratórias por meio de artigos, livros, documentos e entrevista semiestruturada aplicada a uma amostra da comunidade educadora da referida escola. Demo (2013); Dourado ( 2012); Freire (2015); Libâneo, (2017); Lück (2015); Lakatos e Marconi (2017);  Minayo (2017); Oliveira (2018); Paro ( 2016); outros, foram base teórica, juntamente com as fontes documentais que incluem observações, dados, programas, relatórios, regimentos, leis do ensino, orientações e Projeto Político Pedagógico da escola objeto de estudo. A abordagem da presente pesquisa foi de natureza qualitativa. Como trabalho metodológico foi realizada uma entrevista por meio da ferramenta questionário, com o intuito de melhor caracterizar as práticas de gerenciamento e as competências trabalhadas pela gestão escolar da referida escola à luz de uma gestão idealmente democrática. Os resultados das análises apontaram para a necessidade de uma reflexão  coletiva sobre os desafios da gestão nessa escola de tempo integral de ensino médio sob os vieses das ações democráticas pautadas em seu projeto político-pedagógico. Constatou-se também, que, na gestão escolar da referida escola há o uso de um modelo padrão de gestão, baseado no compromisso com a integralidade da  ação educativa e que está passando por processos de mudança e desafios das concepções e procedimentos de uma gestão democrática participativa. Os resultados da entrevista relevaram a necessidade de serem estabelecidos intensos debates nos espaços escolares sobre a educação integral e as práticas de uma gestão democrática, visando o engajamento por parte de todos nesse processo educativo.
RELATÓRIO DE ESTÁGIO DE TRIAGEM PSICOLÓGICA: IMPORTÂNCIA PARA O APRENDIZADO CLÍNICO DE ESTUDANTES DE PSICOLOGIA
Authors: Tissen Monica Rogalsky , Silva Diego da
Published: April 2024

Neste trabalho foi realizado um relatório, de como foram feitas as triagens para o encaminhamento da futura terapia dos pacientes na UniEnsino de Curitiba-PR. Com isso podendo colocar que o braço foi o curso de psicologia que visou junto com sua coordenação e diretoria essa oportunidade de atuar junto as comunidades e escolas da região.  Faremos uma descrição histórica desse trabalho com as reações dos candidatos. Demonstrar como foi aplicado a experiência das triagens realizadas presencialmente e online, as quais foram muito utilizadas no período da pandemia. Com esse trabalho de triagem a nossa instituição pode ser um braço dentro da comunidade, buscando colocar esse trabalho de uma forma muito acessível e tendo a perspectiva de resultados satisfatórios. Veremos como foi importante essa triagem a ser realizada com a população e como foi o primeiro encontro com essa nova oportunidade de receber auxilio nos seus momentos de dificuldades.
ASPECTOS ÉTICOS E JURÍDICOS DA EUTANÁSIA EM PACIENTES TERMINAIS
Authors: Lima Shávia Lemos , Lopes José Augusto Bezerra
Published: April 2024

A eutanásia em pacientes terminais é um tema complexo que suscita debates intensos em todo o mundo, com importantes considerações éticas e jurídicas em jogo. A eutanásia envolve a prática de deliberadamente encerrar a vida de um paciente que está enfrentando um sofrimento insuportável devido a uma condição médica irreversível. Este estudo visa analisar o impacto da legalização da eutanásia em pacientes terminais sobre a autonomia individual, os princípios éticos e as mudanças nas práticas médicas, particularmente em relação à tomada de decisões de fim de vida. Adotamos uma metodologia de pesquisa bibliográfica e documental, revisando literatura relevante sobre "Eutanásia em Pacientes Terminais: Aspectos Éticos e Jurídicos" através de bases de dados acadêmicas como PubMed, Scopus, Web of Science e BVS. A seleção de estudos enfocou aqueles que discutiam diretamente os dilemas éticos e as variações legislativas acerca da eutanásia, priorizando artigos, livros e documentos legais publicados em língua portuguesa e oriundos de países com legislações específicas para a eutanásia. A análise dos estudos revelou a complexidade da integração da eutanásia nas práticas médicas e jurídicas atuais, evidenciando uma tensão entre o respeito à autonomia do paciente e a necessidade de proteger os indivíduos vulneráveis. Os resultados destacam a importância de garantir que a decisão pela eutanásia seja verdadeiramente voluntária e livre de influências externas, ressaltando a autonomia do paciente como um princípio ético central na medicina. Juridicamente, observou-se uma diversidade nas abordagens à eutanásia, com alguns países adotando legislações específicas que permitem a prática sob condições rigorosas, enquanto em outros, a eutanásia permanece em uma área legalmente ambígua ou é considerada ilegal. Essa variação reflete a necessidade de diretrizes claras e rigorosas que conciliem os direitos dos pacientes com a proteção contra potenciais abusos.
O USO DO APP GEOGEBRA NO ENSINO DE FUNÇÕES AFINS, UM ESTUDO COM ALUNOS DO 1º ANO DO ENSINO MÉDIO
Authors: Mendes Carolyne Oliveira , Miranda Mariellen Simões de Carvalho , Oliveira Neto Neyvaldino Fernandes de , Moura Victor Hugo Fonseca , Oliveira Gildon César de , Melo André Luiz Ferreira de Carvalho
Published: April 2024

A utilização de tecnologias no contexto educacional é uma escolha promissora para os educadores. Entre as diversas opções disponíveis, destaca-se o uso específico de aplicativos móveis, como o GeoGebra. Por outro lado, o ensino de Matememática, em especial de Funções apresenta grandes desafios por parte de alunos e professores. Dessa forma, este trabalho apresentou como objetivo geral: Identificar os benefícios oriundos da utilização do aplicativo GeoGebra no ensino de conceitos associados à função afim para estudantes do 1º ano do Ensino Médio em uma escola pública localizada no município de Floriano, no Piauí. Para tanto, foi realizada uma pesquisa qualitativa, por meio de um estudo de caso, tendo como instrumentos a observação participante e o registro fotográfico de uma oficina que versou sobre a utilização do App Geogebra no estudo de tópicos de funções afins. Os estudos mostraram que a utilização, orientada e planejada do Geogebra pode contribuir de maneira significativa no ensino da Matemática. A utilização da referida TIC foi eficaz no estudo realizado, revelando melhorias na compreensão dos conceitos, autonomia, comunicação e colaboração em grupo, promovendo, portanto, uma aprendizagem significativa de funções afins.
Abstracts From the First Annual Research Day Hosted by the Michigan State University College of Osteopathic Medicine, Novi, Michigan, May 15, 2023.
Authors: Amalfitano Andrea , Obando Patricia , Ismail Rana , Akenami Francis
Published: April 2024

The Spartan Medical Research Journal (SMRJ) is pleased to publish abstracts from the First Annual Research Day hosted by the Michigan State University College of Osteopathic Medicine (MSUCOM), held in Novi, Michigan, on May 15, 2023. Sponsored by MSUCOM, the Statewide Campus System (SCS), and Research, Innovation, and Scholarly Engagement (RISE), this event showcased a total of 139 selected research abstracts following a meticulous blinded review by the MSUCOM Research Day Planning Committee and SMRJ editorial staff. These abstracts were subsequently presented at the MSUCOM First Annual Research Day in 2023, with awards for exceptional oral and poster presentations conferred on May 15, 2023. Of the 139 presentations that were ultimately chosen, 45 authors consented and elected to have their abstracts published in SMRJ.

The abstracts from 2023 encompass a wide array of contemporary medical and clinical subjects, incorporating a variety of research designs that cover basic science, clinical research, case reports, medical education, and quality improvement. While abstracts offer concise overview of research projects or presentations, they do not permit a comprehensive evaluation of the scientific rigor employed in the respective works. Although these abstracts offer preliminary results that may necessitate further refinement and validation, they serve a vital function in disseminating novel research concepts and advancements in the discipline of medicine. This knowledge-sharing promotes meaningful dialogue among researchers, clinicians, and educators, thereby making a valuable contribution to the collective body of knowledge in the fields of medical sciences and osteopathic medicine.

Andrea Amalfitano, DO, PhD

Osteopathic Heritage Foundation Professor of Pediatrics, Microbiology and Molecular Genetics

Professor, BioMolecular Science Gateway

Editor-in-Chief, Spartan Medical Research Journal (SMRJ)

MSU College of Osteopathic Medicine- Statewide Campus System

C. Patricia Obando S., PhD

Associate Dean and DIO, Graduate Medical Education

Associate Professor- MSU College of Osteopathic Medicine- Statewide Campus System

Rana Ismail, PhD, MSc, CPHQ

Director of Research

Editor, Spartan Medical Research Journal (SMRJ)

MSU College of Osteopathic Medicine- Statewide Campus System

Francis Akenami, BMLS, PhD, MSc, FIMLS

Managing Editor

Spartan Medical Research Journal (SMRJ)

MSU College of Osteopathic Medicine- Statewide Campus System
Alpine topography of the Gamburtsev Subglacial Mountains, Antarctica, mapped from ice sheet surface morphology
Authors: Lea Edmund J. , Jamieson Stewart S. R. , Bentley Michael J.
Published: April 2024

Abstract. Landscapes buried beneath the Antarctic Ice Sheet preserve information about the geologic and geomorphic evolution of the continent both before and during the wide-scale glaciation that began roughly 34×106 years ago. Since the inception of this ice sheet, some areas have remained cold-based and non-erosive, preserving ancient landscapes remarkably intact. The Gamburtsev Subglacial Mountains in central East Antarctica are one such landscape, maintaining evidence of tectonic, fluvial and glacial controls on their distinctly alpine morphology. The central Gamburtsev Mountains have previously been surveyed using airborne ice-penetrating radar; however, many questions remain as to their evolution and their influence on the East Antarctic Ice Sheet, including where in the region to drill for a 1.5×106 year-long “oldest-ice” core. Here, we derive new maps of the planform geometry of the Gamburtsev Subglacial Mountains from satellite remote sensing datasets of the ice sheet surface, based on the relationship between bed roughness and ice surface morphology. Automated and manual approaches to mapping were tested and validated against existing radar data and elevation models. Manual mapping was more effective than automated approaches at reproducing bed features observed in radar data, but a hybrid approach is suggested for future work. The maps produced here show the detail of mountain ridges and valleys on wavelengths significantly smaller than the spacing of existing radar flightlines, and mapping has extended well beyond the confines of existing radar surveys. Morphometric analysis of the mapped landscape reveals that it constitutes a preserved (>34 Ma) dendritic valley network, with some evidence for modification by topographically confined glaciation prior to ice sheet inception. The planform geometry of the landscape is a significant control on locations of basal melting, subglacial hydrological flows and the stability of the ice sheet over time, so the maps presented here may help to guide decisions about where to search for oldest ice.
Knowledge engineering for wind energy
Authors: Marykovskiy Yuriy , Clark Thomas , Day Justin , Wiens Marcus , Henderson Charles , Quick Julian , Abdallah Imad , Sempreviva Anna Maria , Calbimonte Jean-Paul , Chatzi Eleni , Barber Sarah
Published: April 2024

Abstract. With the rapid evolution of the wind energy sector, there is an ever-increasing need to create value from the vast amounts of data made available both from within the domain and from other sectors. This article addresses the challenges faced by wind energy domain experts in converting data into domain knowledge, connecting and integrating them with other sources of knowledge, and making them available for use in next-generation artificial intelligence systems. To this end, this article highlights the role that knowledge engineering can play in the digital transformation of the wind energy sector. It presents the main concepts underpinning knowledge-based systems and summarises previous work in the areas of knowledge engineering and knowledge representation in a manner that is relevant and accessible to wind energy domain experts. A systematic analysis of the current state of the art on knowledge engineering in the wind energy domain is performed with available tools put into perspective by establishing the main domain actors and their needs, as well as identifying key problematic areas. Finally, recommendations for further development and improvement are provided.
Merleau-Ponty and Derrida on Husserl’s Origin of Geometry
Authors: Low Douglas
Published: April 2024

Abstract: A number of claims made by Derrida concerning Merleau-Ponty’s interpretation of Husserl will be carefully considered and evaluated here. First, Derrida’s claim that Merleau-Ponty’s mis-interprets Husserl’s letter to Lévy-Bruhl will be challenged. Secondly, Derrida’s claim that his criticism of Husserl’s phenomenology can be applied just as well to Merleau-Ponty’s will be challenged. Thirdly, it is a careful consideration of textual evidence that will be used to support these challenges. Finally, Merleau-Ponty’s late lectures will take us back to the Lévy-Bruhl letter and finally to Merleau-Ponty’s own phenomenology of language, one that integrates perception and language and yet that still privileges not eidetic essences or linguistic expression but perception as its primary term.
Characterizing Roundness for Geometric Dimensioning and Analysis
Authors: Graylee Emmett C.
Published: April 2024

Roundness as a measurable geometric value plays a critical role in a wide variety of applications where precise dimensioning of 2D shapes is essential. Understanding the mathematical bases for defining 2D roundness in general, as well as techniques for roundness measurement, offers us a valuable framework for tackling metrological challenges across scientific and industrial settings.
Enough Model Theory to Understand Skolem’s “Paradox”
Authors: Philips David K.
Published: April 2024

This article seeks to describe some of the basic foundations of mathematics from a model-theoretic perspective with the goal of obtaining the “Downward Löwenheim–Skolem” theorem.  After the theorem is introduced the seemingly paradoxical nature of it is discussed.
Beach Math Problems and Solutions
Authors: Arndt Stephen , Pham Ryder
Published: April 2024

You’re on the beach. Sun on your skin, feet in the sand, waves crashing in the distance. Your mind begins to wander, and it wanders towards a math problem you once saw many weeks ago, but never had the time to think about. You want to understand the solution, but not because you have to. Beach Math represents these kinds of problems. Problems done for fun, and problems which show that math is not just useful, but enjoyable!
Undergraduate Research in Math
Authors: DeBlois Jason
Published: April 2024

Undergraduate Director Professor Jason DeBlois describes mathematics research oppurtunities at the undergraduate level.
Sobreuso de ecografía transvaginal en un hospital universitario privado de Argentina: estudio de corte transversal
Authors: Iñurrategui Maria Celia , Rodriguez Tablado Manuel , Esteban Santiago , Kopitowski Karin , Marchitelli Claudia , Terrasa Sergio Adrian
Published: April 2024

Introducción. Si bien contamos con recomendaciones basadas en la evidencia en contra de realizar tamizaje de cáncer ovárico con ecografía transvaginal debido a que aumenta el riesgo de resultados falsamente positivos y de cascadas diagnósticas, sin disminuir la mortalidad por esta enfermedad, su solicitud en mujeres sanas es frecuente. Sin embargo, no conocemos la magnitud de la implementación de esta práctica, que constituye un cuidado de bajo valor.

Objetivo. Documentar el sobreuso de ecografías transvaginales realizadas en forma ambulatoria en un hospital universitario privado de Argentina.

 

Métodos. Estudio de corte transversal de una muestra aleatoria de ecografías realizadas en forma ambulatoria durante 2017 y 2018. Mediante revisión manual de las historias clínicas, la solicitud de cada ecografía fue clasificada como apropiada cuando algún problema clínico justificaba su realización, o inapropiada cuando había sido realizada con fines de control de salud o por una condición clínica sin indicación de seguimiento ecográfico.

 

Resultados. De un total de 1.997 ecografías analizadas, realizadas a 1.954 mujeres adultas (edad promedio 50 años), 1.345 (67,4%; intervalo de confianza [IC] 95% 65,2 a 69,4) habían sido solicitadas en el contexto de un control de salud o sin un problema asociado en la historia clínica y otras 54 (8,3%; IC 95% 6,3 a 10,7), por condiciones de salud para las que no hay recomendaciones de realizar seguimiento ecográfico.

 

Conclusiones. Esta investigación documentó una alta proporción de sobreutilizacion de la ecografías transvaginales en nuestra institución. Futuras investigaciones permitirán comprender los motivos que impulsan esta práctica y ayudarán a diseñar intervenciones para disminuir estos cuidados de bajo valor.
Analysis of the Current Procedures for Cadastral Assessment of Agricultural Lands in Armenia
Authors: Efendyan P.S. , Mkrtchyan M.Sh. , Khudaverdyan N.A.
Published: April 2024

In 2021, the procedure for cadastral assessment approximated to market value of real estate for real estate taxation (adopted in 2019) came into force in the Republic of Armenia, whereby a new methodology for cadastral assessment of other land fund categories of the RA was determined. The procedure does not apply to agricultural lands, which to this day are assessed and taxed according to the methodology and values that were determined in 1997. In this article, we have addressed some points of the current methodology, which, in our opinion, require revision or additional argumentation.
Studying Stimulant and Fungicidal Properties of Preparation “Argitos Agro” against Powdery Mildew in Greenhouse Conditions
Authors: Atсhemyan L.H. , Mirzoyan V.S. , Petrosyan N.K. , Karapetyan G.A.
Published: April 2024

“Argitos Agro” is a plant growth stimulant with fungicidal effect and when disinfecting cucumber seeds and applying during the growing season, it does not have a significant effect on the development of powdery mildew disease. The preparation, indeed, has a stimulating effect on the germination of cucumber seeds, the growth of seedlings and plants, accelerates flowering, increases the yield and improves its quality indicators.
Unveiling Emotional Intelligence: A Descriptive Cross-Sectional Study among First-Year BSc. Nursing Students
Authors: P. S Sobha. , K. M Riaz.
Published: April 2024

Background: Emotions play an important role in nursing profession and managing emotions requires not only cognitive and technical expertise but also emotional competencies. Nursing students have to adapt to different teaching strategies and new clinical situations. They have to manage conflicts, work in teams and have to undergo stressful situations during exams and in different clinical assignments. Emotional intelligence is an important attribute that helps nursing students to cope with these situations.
Aims: This study was aimed to assess the level of emotional intelligence and its association with selected socio-personal variables among first year BSc nursing students from selected Government Nursing Colleges of Kerala.
Methods: The study was conducted among 161 first year BSc Nursing students selected through simple random sampling during the period 2022-2023. The tools used were socio-personal data sheet and the Schutte Self-Report Emotional Intelligence Test (SSEIT). The data obtained were analyzed using descriptive and inferential statistics.
Results: the results of the study revealed that majority (87.58%) of nursing students had average level of emotional intelligence. The mean value of emotional intelligence score was 122.46±8.88. The chi-square test revealed that there was no significant association between emotional intelligence and selected socio-personal variables of nursing students.
Conclusion: The finding of the study concluded that majority of the nursing students were having average emotional intelligence. The results of the study indicated the need for training on emotional intelligence skills among the nursing students.

Key words: Emotional Intelligence (EI), Nursing students, socio-personal variables
Additive Effect of Kinesiotaping on Neck Pain and Grip Strength in Violin Players: An Experimental Study
Authors: Shah Mayuri , Patil Chiraj
Published: April 2024

Introduction: Professional violinists with complaints of the pain in the neck and shoulder region have increased muscle activity of sternocleidomastoid muscles, trapezius muscles and left deltoid muscle while playing violin. Neck pain is linked to changes in the neuromuscular control of the cervical muscles. To play violin, the flexor muscles must be in good working order to secure the instrument. Musicians' hands are weaker than nonmusicians' hands due to the protection musicians provide for their upper extremities.
Materials And Methods: It was an experimental study which was conducted in Pune.
Jamar hydraulic hand dynamometer, Foam Hand Grip, and Kinesio tape was used. 30 participants were selected and allocated in group A and B randomly using chit method. Group A was given kinesiotaping with conventional treatment while Group B was given conventional treatment only, for 4 weeks.
Results: Statistics analysis was done using SPSS software. Paired t test was used for within group analysis and Unpaired t test was used for between group analysis. Results suggests that group A was more effective than group B in reducing neck pain. For grip strength of right side, group A was more effective than group B in increasing the grip strength. For grip strength of left side, no group was better than other in increasing the grip strength.
Conclusion: The study concludes that there is a significant effect of adding Kinesiotaping along with conventional treatment in reducing neck pain and improving grip strength in violin players.

Key words: Kinesiotaping, grip strength, neck pain, violin players.
Magnetic Resonance Imaging (MRI) Images in Tuberculosis Spondylitis Patients at the Central General Hospital Prof. Dr. I.G.N.G. Ngoerah Year 2021-2023
Authors: Putri Delia Ni Luh , Dwi Martadiani Elysanti , Widhi Asih Made
Published: April 2024

Background: Tuberculous spondylitis is extrapulmonary tuberculosis that attacks the spine. The incidence of tuberculosis has decreased. However, the prevalence of deaths due to tuberculosis is still high, so it requires appropriate management.
Method: This study used a cross-sectional descriptive method, the research population was tuberculous spondylitis patients diagnosed at RSUP Prof. Dr. I.G.N.G Ngoerah 2021-2023. The research data source is PACS MRI data, with a sample size of 25. This research uses a consecutive sampling technique. Data analysis uses univariate analysis.
Result: The research results showed that 25 samples met the inclusion criteria. Patients in the largest age group were 19 – 39 (36%) years and 40 – 59 years (36%) and the largest sex was female (56%). The most common location of vertebral MR Imaging was found in the thoracic (36%), intervertebral disc involvement was (52%) with normal discs and (48%) with disc destruction, there was endplate defect and paravertebral abscess in all samples (100%), the presence of gibbus deformity As many as (88%) of the sample, spinal cord compression was (96%), the most destruction of the corpus vertebral was on the anterior side (64%), and the most change in intensity of the interverbal disc was without contrast enhancement (60%).
Conclusion: There are more women than men. The largest age groups are 19 - 39 years and 40 - 59 years with the most MR Imaging, namely in the thoracic location, normal intervertebral discs, endplatedefect, and paravertebral abscesses in all samples, gibbus deformity, spinal cord compression, anterior corpus vertebral destruction, and changes in intensity, intervertebral disc without contrast enhancement.

Keywords: Tuberculous spondylitis, MRI, Bali
Study of the Risks of Overflow and Salinization of the Mbao Backwater: Impact on Local Populations
Authors: NDAO Saidou , Seydi BA Famara , Eugéne SAMBOU Louis Victor
Published: April 2024

The Mbao backwater, located in the Mbao forest in Dakar, plays an important role in income generation and flood prevention for the localities of Pikine, Keur Massar and Rufisque. Today, it is increasingly threatened with the risk of overflow due to the considerable reduction in its storage capacity and the arrival of large quantities of runoff water from the watersheds of which it is the outlet. In addition, its salinization is noted due to its proximity to the sea. The objective of this article is to present the results of the study of the risks of overflow and salinization of the Mbao backwater and their impacts on socio-economic activities. After modelling the volumes of water received by the backwater using the EPASWMM software and a study of its vulnerability to saline intrusion during high tides, It emerged that in the event of a decadal rainfall of the Desbordes type in the area, an overflow of 1,001,758 m3 could be noted, causing flooding and inconvenience to the local populations. In addition, a connection between the waters of the sea and those of the backwater causes salinization of the latter, negatively impacting the market gardening activities carried out by local residents. A pumping system at 1,500 m3/h could help prevent the backwater from overflowing, and the construction of a weir dam between the sea and the backwater would help control the salinization of the downstream part.

Keywords: risk, overflow, salinization, vulnerability, Mbao backwater
The Influence of Learning Discipline, Learning Facilities, Learning Motivation and Learning Methods on the Learning Achievement of Economic Subjects in Class X IPS Students SMA Panjura Malang
Authors: Dewi Triana , Muchson Mochamad , . Subagyo
Published: April 2024

The purpose of this study was to determine and analyze the effect of learning discipline, learning facilities, learning motivation, learning methods simultaneously on the learning achievement of economic subjects in class X social studies students of SMA Panjura Malang. The population in this study were all students of class X IPS SMA Panjura Malang with a total of 70 respondents. Data was collected with a questionnaire instrument distributed to respondents. The results of this study indicate that (1) Learning discipline has a positive and significant effect on learning achievement. (2) Learning facilities have a negative and significant effect on learning achievement. (3) Learning motivation has a positive and significant effect on learning achievement. (4) Learning methods have a positive and significant effect on learning achievement, (5) Learning discipline, learning facilities, learning motivation and learning methods have a positive and significant effect on learning achievement. The magnitude of the influence of learning discipline, learning facilities, learning motivation and learning methods on learning achievement is 86.8% and the remaining 13.2% is influenced by other variables outside this study. Thus, it can be concluded that learning discipline, learning facilities, learning motivation and learning methods together have a positive and significant effect on the learning achievement of students in class X IPS SMA Panjura Malang

Keywords: Learning Discipline, Learning Facilities, Learning Motivation, Learning Methods, Learning Achievement
Description of Dry Eyes among Contact Lens Users: A Case Study of Medical Students at Udayana University’s Faculty of Medicine
Authors: Amory Justin , Made Juliari I Gusti Ayu , Ratna Suryaningrum I Gusti Ayu
Published: April 2024

Contact lenses are one of many tools used to assist in correcting refractive errors in the eyes. However, the use of contact lenses is not devoid of various risks that impact the eyes, one of which is dry eye syndrome. One quick and easy way to describe the condition of dry eyes is through a questionnaire, such as the CLDEQ-8 questionnaire. This study is descriptive observational cross-sectional research, with primary data from 35 samples. The sampling technique employed was total sampling in two different year groups of medical students at Udayana's Faculty of Medicine. The respondents were given the CLDEQ-8 questionnaire to fill out. By combining the scores from each question, a final score was obtained, allowing us to assess their dry eye condition based on the CLDEQ-8 baseline score. While most respondents obtained a "good" score on the CLDEQ-8, some also received "poor" to "dry eye" scores. This variation can be attributed to various internal and external factors, as well as the subjective nature of dry eyes for everyone, highlighting the need for a more comprehensive diagnosis and treatment.

Keywords: Contact Lens, Dry Eyes, CLDEQ-8 .
A Descriptive Study to Assess the Attitude and Skill in Usage of Computer Among Registered Nurses in BMCH General Ward, Chennai
Authors: V Sivaranjeni. , Reeni.D Bijilin
Published: April 2024

In recent years, the use of computers in the healthcare system has become more important for easy retrieval of medical information. This advancement has a positive impact on patient care among health care providers. Objectives: To assess the level of attitude and skill in use of computer among the nurses, to find the correlation between attitude and skill in use of computer among the nurses, to find out the association between the level of attitude and skill in use of computers with the selected demographic variables. Methodology: An Exploratory Descriptive method was used and the study was conducted in General wards at BMCH, Chennai. 110 registered nurses were selected using convenient sampling technique. 3-point Likert's scale was used to assess the level of attitude and observational checklist for assessing the level of skill in use of computers among registered nurses. Results: The study revealed 68 (62%) had favourable attitude, 31(28%) had most favourable attitude and 11(10%) had unfavourable attitude, 53(48%) had adequate skill, 38(35%) had moderately adequate skill, 19 (17%) had inadequate skill in use of computer. There was a correlation between level of attitude and skill in use of computer at the significant level of p value 0.021. There was a significant association between age and educational qualification with level of attitude and there was a significant association between age, area of work and attended training programme. Conclusion: The study result showed that 62% of registered nurses favours using computers for patient care, 48% possessed adequate skills which revealed a gap of 14%. The study suggested to conduct in-service education and training program to promote the use of computers in patient care.

Keywords: Use of computer, Attitude, Skill.
A Review on Some Ecological Aspects of Invasive Flora Based on Comparative Analysis of “Tehri” and “Pauri” Garhwal, Uttarakhand, India
Authors: Pandey Deep , Arya Avni , Joshi Praveen
Published: April 2024

The establishment of invasive plants in a particular area leads to significant ecological changes on the native species of that area, alters ecosystem services and is one of the major drivers of biodiversity loss. In recent years, invasion by alien plants in the hilly regions has posed a severe threat to the ecosystem of these areas. A review was made in this context to study the Invasive Alien Plant Species (IAPS) of “Tehri” and “Pauri” districts. Large number of invasive alien plants was identified under different genera and families from both the study areas. Based on the growth form of invasive plants, herbs contributed the maximum percentage. Asteraceae was found to be dominating over other families followed by Solanaceae. The native range indicated differences in nativity of invasive flora found in Tehri and Pauri with a large percentage of invasive plants coming from Asia (23%) and Tropical America (26%) and respectively. It was observed that invasive plants are invading higher elevation zones which parallels with the directional filtering theory. Due to higher proliferation rates outside their native range and absence of natural predators, it is quite difficult to control this increasing expansion of invasive plants which is a call for concern and needs immediate attention.

Keywords: Invasive alien plant species (IAPS), Ecosystem services, Native species, Biodiversity, Directional filtering .
Code Switching and Code Mixing in the “Induk Gajah” Movie: Sociolinguistic Study
Authors: Lumban Raja Angelita , R Purba Asriaty , Ginting Rosita
Published: April 2024

This research is entitled "Code Switching and Code Mixing in the Induk Gajah Movie - Sociolinguistic Study." This research aims to describe the forms of code switching and code mixing, the factors causing code switching and code mixing as well as the function of code switching and code mixing contained in the film Parent Gajah. The theory used in this research is the sociolinguistic theory put forward by Soewito, using qualitative descriptive methods and using listening and note-taking techniques. The research results show that there are two forms of code switching, namely internal code switching and external code switching. The forms of code mixing are divided into code mixing in the form of words, code mixing in the form of baster, code mixing in the form of phrases, code mixing in the form of clauses and code mixing in the form of reduplication/repetition. The function of code switching and code mixing is to emphasize or convince something, to familiarize/relax the conversation, to evoke a sense of humor.

Keywords: Code switching, code mixing, language
Colon mass masquerading as an abscess
Authors:   Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, FL 32224, USA., Badurdeen Dilhana S
Published: April 2024

MYH Associated Polyposis MAP is an autosomal recessive disorder with a high risk of colorectal cancer. Current recommendations provide guidance for endoscopic surveillance without recommendations for advanced imaging. This can be complicated in the cases of MAP due to its Lynch-like predisposition for extraintestinal malignancies.
Alzheimers disease and caregivers burden The efficacy of a psychoeducational and psychotherapeutic groups
Authors:   Department of Clinical and Experimental Medicine, University of Messina, 98122 Messina, Italy., Tomasello Letteria
Published: April 2024

Alzheimers Disease AD accounts for 54% of cases of dementia. The risk of Alzheimer increases with age and women seem to be more easily affected.
Miller fisher syndrome A case report and review
Authors:   Department of Medicine, PIMSR, Parul University, Waghodia, Gujarat, India., Muley Arti
Published: April 2024

Guillain-Barre Syndrome GBS is a rapid-onset weakness caused by immune system damaging the peripheral nervous system.
Decarbonizing Process Heat Supply in the Austrian Pharmaceutical Industry
Authors: Beck Anton , Traninger Matthias , Mauel Benedikt , Kloska Timo , Hubmann Felix , Leibetseder Daniela , Sulzgruber Verena , Neubauer Nicolas , Drexler-Schmid Gerwin
Published: April 2024

In the pharmaceutical industry, energy efficiency has played a minor role compared to other energy-intensive industries. However, there is a growing recognition of the need to address environmental concerns. With ambitious climate targets and the increasing demand for significant reductions in CO2 emissions, the pharmaceutical industry is now embracing the opportunity to enhance its sustainability practices. Mainly fossil fuels are used to provide process steam at moderate temperature levels at about 160-180°C and to a lesser extent to provide hot water or for on-site power production in CHPs. In this paper, the main processes with demands for process heat, such as media supply, cleaning, or air conditioning, are presented and possibilities for increasing efficiency, for switching to alternative heat supply and for using alternative process technologies are evaluated with respect to economics, but also regarding hurdles for implementation such as requirements for revalidation of production processes and possible necessity of re-approval of products.
The present study highlights the potentials for decarbonization of the Austrian pharmaceutical industry using a generic but representative production site applying various measures that either reduce heating and cooling requirements or alter the temperature requirements for heat supply. It is shown that, at least for the example case, full decarbonization is technically feasibly without an increase in energy costs if efficiency measures are progressively used on demand level.