bluuebunny/crossref_metadata_2025 huggingface dataset:
Marketing digital y emprendimiento con alimentos saludables
Authors: Guerra-Torres Isabel Enma , García-Guerra Jazmín Isabel , Layedra-Pinos Iván Marcelo , Salas-Salazar Miriam del Rocío
Published: May 2024

El objetivo del trabajo de investigación fue seleccionar y presentar un producto alimenticio natural que forme parte de una dieta sana y equilibrada, que contenga componentes bioactivos como: probióticos, fibra (prebióticos) y antioxidantes, siendo por lo tanto, un alimento propicio para reforzar el sistema inmunológico. Se concluye que los alimentos nutritivos y saludables para fortalecer el sistema inmunológico, deben cumplir especificaciones legales, en relación al contenido de nutrientes con características funcionales. El producto que se presenta como resultado de la investigación fue diseñado, elaborado y estandarizado ajustándose a estas referencias, cumpliendo lo establecido en la NTE INEN 1334-2. A través de las herramientas de Marketing Digital y el diseño de estrategias de difusión digital para emprendedores, se puede llegar al público objetivo, atraer clientes potenciales, convertir leads en clientes y fidelizar a los clientes, para lograr el éxito del emprendimiento propuesto.
The Role of Artificial Intelligence in Building the Research Competence of Future Doctors of Philosophy
Authors: Oliinyk Iryna , Bulavina Olena , Romanenko Tetiana , Tatarnikova Anzhelika , Smirnov Anton
Published: May 2024

The aim of the article is to arrange and analyse the possibilities of using artificial intelligence (AI) in the development of research competence of future doctors of philosophy (PhDs). The research employed the method of a pedagogical controlled experiment, the method of expert evaluations, and questionnaire survey. The obtained data were analysed through the Student’s t-test and the correlation analysis. Validity and reliability were determined using Cronbach’s alpha. The conducted questionnaire survey gave grounds to study the level of the research competence of future PhDs at the beginning and at the end of the experiment. The study included control and experimental groups, as well as expert evaluation. At the initial stage of the study, certain differences were found between the control group (CG) and experimental group (EG) in terms of research competence. Later, the experimental group showed significant growth in all components of competence, which emphasizes the positive impact of using artificial intelligence in the educational process. The results of the correlation analysis confirm the relationship between the components of research competence in both groups. The results of the study confirm the positive impact of the use of artificial intelligence on the level of research competence of future PhDs.
Potencialidades del Nopal en la industria alimentaria
Authors: Quishpi Guachalá Jessenia Fernanda , Sánchez-Herrera Tatiana Elizabeth , Salgado-Tello Iván Patricio , Castillo-Parra. Byron Fernando , Campoverde-Santos Diana Katherine
Published: May 2024

El Nopal (Opuntia ficus-indica) es una cactácea perteneciente al género Opuntia presente en zonas áridas y semiáridas, con una amplia distribución geográfica. A nivel de la industria tiene gran importancia ya que puede ser utilizado para la elaboración de alimentos, por lo que el objetivo del trabajo fue realizar una búsqueda y revisión bibliográfica acerca de su utilización en la Industria Alimentaria para la elaboración de alimentos funcionales. Como una nueva alternativa se obtiene la harina de nopal mediante un proceso de deshidratación. Gracias a su composición nutrimental se considera un buen producto alimenticio, presentando un alto contenido de fibra y compuestos bioactivos; puede ser utilizado para la elaboración de una amplia gama de alimentos como: bebidas en polvo, barras energéticas y productos de repostería; considerándose productos funcionales gracias al aporte de fibra dietética (13,88%) que estos poseen. Por parte de los consumidores existe una aceptación positiva hacia los productos elaborados con harina de nopal. Se recomienda la utilización de la harina en otro tipo de productos como: lácteos, cárnicos y jugos, con el fin de incrementar el contenido de fibra dietética en su composición nutricional.
Ownership of Humans
Authors:   University of Social Sciences and Humanities – Viet Nam National University Ho Chi Minh City, Vietnam, Quoc Dr. Nguyen Anh
Published: May 2024

Animals and species live by behavior, they possess instincts to survive. People live by their own products. Depending on natural conditions and social circumstances, people have different ways of living, ways of living, and lifestyles. A way of life is a way of making products that ensure survival and the maintenance of the species. The characteristic of this product is direct, realistic, inevitable, and natural human communication. Communicating in nature, using products as brokers, is social. Society is a product prepared for people to enjoy and satisfy. Humans do not exist, society is meaningless. The existence of society is rich so that people can live based on each other's abilities and needs. Social satisfaction makes different ways of living in the process of development. The way of life makes products not only in tools, machines, equipment, robots, computers, AI, labor, plant care, and animal domestication, but also performs the basic function of survival, maintain the race and educate fellow human beings. But there is no product as good as people. Humans are both subjects and human products. Humans are both the subject of perception and the object of perception. Mutual ownership between people in family, religion, state, company, bank by tradition, canon law, law, charter, money. This ownership is both a product of necessity and a product of freedom in the process of development.
Vascular Endothelial Growth Factor (VEGF) and Its Role in the Progression and Development of Breast Tumor
Authors:   Department of Pharmacy, Al-Kunooze University College, Basra, Iraq, Awadh Ammar Ihsan , Ajeed Abbas M ,   Department of Pharmacy, Al-Kunooze University College, Basra, Iraq, Khadir Faris K ,   Physiology Department, College of Medicine, University of Baghdad, Baghdad, Iraq, Abdulamir Haidar A ,   Department of Pharmacy, Al-Hilla University College, Babylon, Iraq
Published: May 2024

Breast cancer is the most common type of cancer in women and is widely known. Angiogenesis is the process through which new blood vessels develop from the body's current vascular system. It is essential for tumor growth, invasiveness, and metastasis, and so plays a pivotal role in the development of carcinoma. Proteolytic and proangiogenic catalyst activators and inhibitors regulate angiogenesis in a hierarchical fashion. The angiogenic process is largely under the direction of VEGF. In a select number of malignant tumors, the VEGF gene is overexpressed. The function of VEGF in angiogenesis has been the subject of intensive study in recent years. In breast cancer patients, VEGF plasma levels are highly predictive of tumor growth and survival. Several VEGF gene polymorphisms, have been identified to affect gene expression level in prior investigations. Epidemiological studies have linked polymorphisms in the VEGF gene to altered cancer risk, tumor growth, and metastasis. Previous research on VEGF polymorphism to evaluate the association between genes and breast cancer susceptibility was scant. The current review discusses the role of VEGF in the progression of breast cancer in addition to its promising usage as a predictive marker for breast cancer.
Results of the work of the Reference center for diagnostic radiology with using telemedicine technology
Authors: Vasilev Yuriy A. , Kozhikhina Daria D. , Vladzymyrskyy Anton V. , Shumskaya Yuliya F. , Mukhortova Anna N. , Blokhin Ivan A. , Suchilova Maria M. , Reshetnikov Roman V.
Published: May 2024

Introduction: the main goal of the Moscow Reference Center (MRC) for Diagnostic Radiology is to optimize study reporting by using teleradiology with a team of highly qualified specialists.
Purpose: to evaluate the effectiveness of diagnostic radiology centralization in the capital health care system.
Materials and methods. We analyzed the results of telemedicine-based MRC consultations in diagnostic radiology examinations between 08.2020 and 10.2022.
Results. The radiologists of MRC reported four million two hundred thousand eighty one study (84.1% first reading, and 15.9% second reading). For the majority of modalities, except for computed tomography (CT), there was a positive correlation between the number of primary descriptions and the number of radiologists. There was a trend towards shorter description times for magnetic resonance imaging (MRI), fluorography, densitometry, and radiography. An audit among MRC employees showed a significantly higher number of fully compliant reports without discrepancies, lower number of general comments, and clinically significant errors compared to the audit of on-site radiologists at medical institutions.
Research limitations: no data on (i) anatomical regions of the examinations, (ii) the balance of “normal/pathological” conclusion classes, (iii) the number of examinations with contrast enhancement, making establishing the changes in reporting time impossible.
Conclusion. The unification of diagnostic radiology at the MRC has improved report quality and reduced time costs.
Assessment of the health status in pharmaceutical workers
Authors: Nagornyak Yulia G. , Kanakina Tatiana A. , Ruzlyaeva Evgenia A. , Fokin Vasiliy A. , Ratkin Alexandr V.
Published: May 2024

Introduction. Pharmaceutical workers (PW) being exposed to adverse physical, chemical, and biological factors are responsible for the performance results and experience psycho-emotional stress. This contributes to the emergence of diseases associated with professional activity, and, therefore, it is necessary to find ways to prevent them.
The purpose of the study: assessment of the state of health in the pharmaceutical workers; determination of factors affecting morbidity, search for ways to preserve and strengthen the health in specialists.
Materials and methods. To study the health status in PW, data were collected by using the questionnaire method, which made it possible to identify symptoms of diseases of the nervous, respiratory, cardiovascular, digestive, musculoskeletal, immune, genitourinary, and reproductive systems. The level of anxiety in PW was determined by the method of CD Spielberger.
Results. In PW there were found symptoms of diseases of all body systems, but the greatest number of complaints were about disorders of the nervous (25.3%), digestive (18.1%), and respiratory (16.0%) systems. The majority of respondents revealed medium and high levels of situational anxiety as much as 46.7% and 36.5%, respectively. Almost half of the respondents have a high level of personal anxiety. The influence of age and work experience on the health status in PW was noted. The highest level of personal anxiety is observed in women. Situational anxiety is expressed among workers who have bad habits. Employees with high situational anxiety have more symptoms of nervous system diseases.
Research limitations. A total of 107 questionnaires were evaluated, when studying the health status of PW in pharmacy organizations.
Conclusion. Most PW maintain a healthy lifestyle: they do not have bad habits, follow a healthy diet, have sufficient sleep, and an active lifestyle. However, 80% noted non-compliance with the work-rest balance when performing occupational activities (working). In this regard, it is important to pay attention to the labour optimization, ensuring a favourable socio-psychological climate at work, and the use of relief techniques.
Issues of improving the legal regulation of the first aid and determining its expanded scope
Authors: Kolomeitsev Maxim G.
Published: May 2024

Introduction. First aid is a special type of assistance, is the primary measure in the chain of survival of the victim in emergency situations. The scope of the first aid in this edition of regulatory legal acts is not sufficient in situations where the victim is in a remote, inaccessible area and without the possibility of providing emergency medical care, which significantly reduces the chance of survival.
The purpose of the work is to determine the list of measures for the provision of the extended first aid and develop proposals for improving the regulation of relations in the field of the first aid in an expanded volume between the participants of these relations to protect their legitimate rights and interests.
Materials and methods. Research material: regulatory legal acts regulating relations in the field of the first aid and determining its scope. Research methods: analytical, logical, and information modelling.
Results. The analysis of the studied normative legal acts showed the presence of a legal gap in the field of regulation of first aid including the uncertainty of the volume of the extended first aid. To improve the regulatory and legal regulation of first aid activities and contribute to the current legislation, the author has developed and proposed a draft volume of the extended first aid for discussion.
Research limitations. In the study of issues related to the provision of the extended first aid, 18 regulatory legal acts were selected and analyzed: the Constitution of the Russian Federation, 7 federal laws, 10 orders of relevant ministries; as well as 2 technical acts (GOST).
Conclusion. The developed project of the expanded first aid is proposed for consultations and discussions with state structures and officials defining health policy, as well as representatives of scientific institutions of the medical community to develop management decisions aimed at achieving a high level of preservation of human and citizen life and health in emergency situations.
Primary morbidity of the working age adult population in the Volga Federal Okrug
Authors: Shaikhlislamova Elmira R. , Shastin Aleksandr S. , Valeeva Elvira T. , Malykh Olga L. , Gazimova Venera G. , Tsepilova Tatyana M. , Distanova Albina A.
Published: May 2024

Introduction. The health of the working-age population is determined by many indicators, including life expectancy, mortality in working age, and morbidity. An objective analysis of the incidence of the working-age population, depending on the place of residence, professional affiliation and other factors, has a crucial role in building logistic models for maintaining health.
The purpose of the study. The study of indicators and characteristics of the primary morbidity of people of working age in the territories of the Volga Federal District (PFD) in 2014–2019.
Materials and methods. The analysis was carried out on the basis of federal statistical observation data on the incidence of the population of the Russian Federation for 2014–2019.
Results. Statistical analysis showed that the main causes of primary morbidity in the Volga Federal District and the Russian Federation coincide. In some subjects of the district, pronounced regional features were revealed in the structure of nosological causes of primary morbidity. Average long-term levels in the subjects of the district have multiple differences for individual classes of ICD-10. The most stable annual incidence rates were in class X (J00–J99), unstable annual incidence rates were in class IV (E00–E90). A statistically heterogeneous set of indicators for the entire range of subjects of the Volga Federal District was found in classes VI (G00–G99) (Cvo = 37.0%) and III (D50–D89) (Cvo = 32.8%).
Research limitations. The indicators were studied in the scope of federal statistical observation forms No. 12 “Information on the number of diseases registered in patients living in the service area of a medical organization”
Conclusion. Indicators of primary morbidity among the working-age population in the subjects of the Volga Federal District have pronounced regional characteristics, which must be taken into account when developing and implementing measures to manage the health risk of this category of the population.
The Effect of Food Space Design of Bakery Café on Consumer Happiness and Revisit Intention
Authors:   The Foodservice Management Society Of Korea, Kim Seong-Su , Han Ji-Soo
Published: May 2024

The purpose of this study was to verify the effect of directing the dining space of bakery cafes on consumer happiness and revisit intention based on previous studies. The summary of the analysis results is as follows. First, it was found that comfort, convenience, and creativity had a significant effect on consumer happiness. On the other hand, it was found that aesthetics and cleanliness did not significantly affect consumer happiness. Second, it was found that consumer happiness had a significant effect on the intention to revisit. Third, it was found that comfort and aesthetics had a significant effect on the intention to revisit. On the other hand, it was found that convenience, creativity, and cleanliness did not significantly affect the intention to revisit. The results of this study can form a strategic foundation for increasing loyalty by increasing the intention to revisit by significantly affecting consumer happiness by directing the dining space of bakery cafes.
The Effect of N-acetylcysteine on Alprazolam Withdrawal Symptoms in Wistar Male Albino Rats
Authors: Marvast Alireza Falahati , Amnieh Maryam Hasanpour , Navabazam Fariborz , Bidaki Reza
Published: May 2024

Introduction: Alprazolam is a benzodiazepine drug that is mainly used to treat generalized anxiety disorder and sleep disorders. Doctors' insistence on prescribing alprazolam due to its long half-life (16 hours) can lead to severe withdrawal complications. The aim of this study was to evaluate the effect of N-acetylcysteine (NAC) as an antioxidant drug on reducing the withdrawal symptoms of alprazolam in male albino rats. Material and Methods: In this experimental study, 50 albino male Wistar rats were used. 10 rats received normal saline by gavage for 26 days (sham), the rest of the rats received 1 mg / kg of alprazolam daily for 21 days and after drug dependence were randomly divided into 4 groups were divided. The negative control group received normal saline by gavage daily for up to 4 days after the dependence period. The treated groups also received 100, 200, and 400 mg / kg NAC orally for 4 days after the dependence period, after which the anti-anxiety and restless effects of N-acetylcysteine were assessed by behavioral test (Elevated plus-maze test). Results: The variables OAE (p = 0.18), CAE (p = 0.88), CAT (p = 0.53) and OAT percent (p = 0.29) did not show a significant difference between the 5 treatment groups; But OAT (p = 0.07) and OAE_percent (p = 0.001) showed a significant difference between the 5 treatment groups (p <0.05). Conclusion: Due to the antioxidant properties of NAC and its ability to counteract oxidative stress in the nervous system, it can be used to control the symptoms of withdrawal syndrome in people with a history of alprazolam dependence. In the present study, a dose of 400 mg / kg NAC had the best therapeutic effects in rats. In future studies, it is recommended to obtain an appropriate dose for people who experience symptoms of alprazolam withdrawal syndrome.
Transformational Leadership, Soft HR Approach, and Millennial Workforce Engagement in International NGOs in Nairobi, Kenya
Authors: Mburu Lucas N. , Ragui Mary , Ongeti Walter
Published: May 2024

Engagement of the Millennial Workforce is a significant focus within the workplace. Their shared values and attitudes, influenced by similar social and economic circumstances, are of ongoing scholarly interest. Extant research indicates concerning levels of disengagement among Millennials in the workforce, with many open to new job opportunities due to intolerance for conflicts and ambiguity, despite demonstrating the ability to delve deep into issues. The current study aimed to investigate the issue of Millennial Workforce engagement within Kenya’s international non-governmental organization (INGO) sector as a leadership issue by examining the interaction between transformational leadership, soft HR management, and Millennial Workforce engagement. The study was anchored on McGregor’s Theory Y. The research was a cross-sectional survey involving a purposive sample of 384 Millennials drawn from 32 selected INGOs with physical presence in Nairobi. Data was collected using Multifactor Leadership Questionnaire, researcher-developed Soft HR scale, and the Utrecht Work Engagement Scale. The data was subjected to mediator analysis following a four-step process using the Statistical Package for the Social Sciences. The analysis demonstrated partial mediation, thus confirming the role of a soft HR approach as an intermediary in the connection between leadership and engagement. Creating a workplace environment that values Millennial’s input and participation is essential for driving their engagement. By providing forums for expression, listening to and acting on feedback, and involving them in decision-making processes, organizations can cultivate a culture of inclusivity, trust, and collaboration that keeps them highly engaged.
Psicocirugía y depresión con o sin enfermedad obsesivo compulsiva
Authors: Nasser José Augusto
Published: May 2024

Psicocirugía y depresión con o sin enfermedad obsesivo compulsiva
Review on Close Loop Control of Novel Transformer Less Inverter Topology for Single Phase Grid Converter
Authors: Harshal Dharpal  , Kiran M. Kimmatkar  , Manjeet Sakhare
Published: May 2024

The continuous urge for improvement in our standard of living has increased the consumption of electrical energy by leaps and bounds. This hike in energy consumption, draining of fossil fuels and degrading global environment has led to invention of green power generation systems. Thus, the global demand for renewable resources has led to flourishing of photovoltaic (PV) market. The enabling technology in the PV systems is the inverter, which could be either: 1) with transformer isolated or 2) without transformer non-isolated (transformer-less inverter). Recently, single phase transformerless voltage source inverters (VSI) have been extensively used for distributed photovoltaic grid tied systems. The objective of this paper is to review a few notable topologies and propose a new topology for transformer-less photovoltaic inverter. The analysis and design of the proposed topology is verified by simulating it on PSIM. Furthermore, the simulation results are validated by testing a proof-of-concept laboratory hardware prototype rated at 250 W. Keywords— Photovoltaic (PV) systems, transformer-less, single phase inverter
A tourism accessibility indicator for multimodal bike-public transport trips in a metropolitan area
Authors: Morgese Fulvio
Published: May 2024

Micromobility provide intelligent, fast, and sustainable trips for tourist from accommodation facilities to attraction locations. However, some points of interest may be located away from the accommodation i.e. in a different city of a metropolitan area. In this case, cycling to the attractions may not be possible and multimodal bike and public transport trips can be considered for more sustainable tourism. Therefore, it is essential to identify how adequate a city transport infrastructures and services are for these types of trips. In this paper, we propose a cycling indicator for tourism accessibility with the aim of defining the level of multimodal bike-public transport friendliness through numerical values related to a specific zone in the main city of a metropolitan area. The indicator was applied to the metropolitan area of Bari (Italy) and results showed that the presence of bike lanes and bike-sharing plays an important role.
KẾT QUẢ PHẪU THUẬT KẾT HỢP XƯƠNG ĐIỀU TRỊ GÃY XƯƠNG MẮT CÁ CHÂN TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI
Authors: Phan Văn Hậu , Nguyễn Duy Anh , Vũ Trường Thịnh , Đỗ Văn Minh
Published: May 2024

Đặt vấn đề: Nghiên cứu đánh giá kết quả phẫu thuật kết hợp xương điều trị gãy mắt cá chân tại bệnh viện Đại học Y Hà Nội. Đối tượng và phương pháp nghiên cứu: Nghiên cứu Hồi cứu 40 người bệnh được chẩn đoán gãy mắt cá chân điều trị bằng mổ KHX bên trong tại khoa Chấn thương chỉnh hình và Y học thể thao bệnh viện Đại học Y Hà Nội từ tháng 01/2019 đến hết tháng 06/2021. Kết quả: Độ tuổi trung bình của đối tượng nghiên cứu là 40,25 ± 10,75 tuổi, nhóm tuổi gặp nhiều nhất là từ dưới 30 tuổi chiếm 40,0%; nguyên nhân chấn thương chủ yếu gặp là tai nạn giao thông chiếm 72,5%. Tổn thương thường găp là gãy 2 mắt cá (52,5%) và gãy kiểu B theo phân loại Danis Weber (58,9%), có 75% bệnh nhân trật xương sên. Kết quả 95% bệnh nhân đạt kết quả tốt và rất tốt, điểm trung bình theo thang điểm AOFAS: 92,8 ± 6,5 điểm. Kết luận: Phẫu thuật điều trị gãy mất vững mắt cá chân giúp nắn chỉnh được diện gãy về giải phẫu, phục hồi độ vững của khớp cổ chân nên giúp người bệnh vận động sớm hạn chế được các di chứng sau chấn thương.
NGHIÊN CỨU TÁC DỤNG CỦA VIÊN NANG CỨNG TD0070 LÊN CÁC CHỈ SỐ MIỄN DỊCH TẾ BÀO VÀ MIỄN DỊCH DỊCH THỂ TRÊN THỰC NGHIỆM
Authors: Trần Thái Hà , Đặng Nguyên Tùng , Phạm Thị Vân Anh
Published: May 2024

Mục tiêu nghiên cứu: Nghiên cứu tác dụng của viên nang cứng TD0070 lên các chỉ số miễn dịch tế bào và miễn dịch dịch thể trên chuột nhắt trắng. Đối tượng và phương pháp nghiên cứu: Chuột nhắt trắng chủng Swiss, thuần chủng, cả hai giống, nặng 20 ± 2g. Nghiên cứu ảnh hưởng của viên nang cứng TD0070 lên các chỉ số miễn dịch tế bào và miễn dịch dịch thể trên chuột nhắt trắng bằng phương pháp tiêm màng bụng cyclophosphamid gây suy giảm miễn dịch. Kết quả: Phản ứng bì OA: Các lô uống TD0070 liều 1,728 g/kg và liều 3,456 g/kg: Phản ứng bì có xu hướng tăng so với lô mô hình, tuy nhiên sự khác biệt chưa có ý nghĩa thống kê (p > 0,05). Nồng độ cytokin máu ngoại vi: ở lô uống TD0070 liều 1,728 g/kg nồng độ IL-2 và IFN-α trong máu ngoại vi tăng rõ rệt so với lô mô hình với p < 0,05. Nồng độ TNF-α và IFN-γ xu hướng tăng hơn so với lô mô hình, tuy nhiên sự khác biệt không có ý nghĩa thống kê (p > 0,05). Ở uống TD0070 liều 3,456 g/kg: Nồng độ các cytokin trong máu ngoại vi có xu hướng tăng so với lô mô hình, tuy nhiên, sự khác biệt chưa có ý nghĩa thống kê (p > 0,05), trừ TNF-α tăng rõ rệt so với lô mô hình với p < 0,01. Nồng độ IgG trong máu ngoại vi tăng rõ rệt so với lô mô hình với lần lượt p < 0,01 và p < 0,001. Kết luận: TD0070 liều 1,728 g/kg (tương đương với liều điều trị dự kiến trên người) uống liên tục trong 7 ngày có tác dụng kích thích miễn dịch rõ rệt trên mô hình gây suy giảm miễn dịch cấp tính bằng cyclophosphamid thông qua các chỉ số: phản ứng bì với kháng nguyên OA, nồng độ IL-2, IFN-α, TNF-α, IFN-γ và IgG trong máu ngoại vi. TD0070 liều 3,456 g/kg có xu hướng có tác dụng kích thích miễn dịch tốt hơn trong phản ứng bì với kháng nguyên OA, nồng độ TNF-α, nồng độ IgG trong máu ngoại vi.
KẾT QUẢ KIỂM SOÁT ĐA YẾU TỐ Ở BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TÍP 2 ĐIỀU TRỊ TẠI TRUNG TÂM Y TẾ HUYỆN THANH BA, TỈNH PHÚ THỌ
Authors: Nguyễn Thị Hải Yến , Trịnh Xuân Tráng
Published: May 2024

Mục tiêu: Đánh giá kết quả kiểm soát đái tháo đường típ 2 (ĐTĐT2)  tại Trung tâm Y tế huyện Thanh Ba, tỉnh Phú Thọ. Phương pháp: Nghiên cứu mô tả cắt ngang trên tổng số 554 bệnh nhân ĐTĐT2 điều trị ngoại trú tại Trung tâm Y tế từ tháng 9/2022 - 9/2023. Kết quả: tuổi trung bình 63,5 ± 10,8 tuổi, tỷ lệ nữ là 65,8%. Tỷ lệ kiểm soát glucose máu (GM) lúc đói là 46,4%, Kiểm soát HbA1c lúc đói là 45,1%; Kiểm soát được huyết áp là 70,0%; Kiểm soát được BMI là 54,7%. Kiểm soát được LDL là 71,7%, kiểm soát được HDL là 63,4%; kiểm soát được Triglycerid là 47,1%; kiểm soát được Cholesterol toàn phần là 59,7%. Kết Luận: Tỷ lệ kiểm soát đa yếu tố còn ở mức trung bình; cần thực hiện tốt các biện pháp ăn uống, tập luyện và dùng thuốc để có thể cải thiện tình trạng này.
KẾT QUẢ CẢI THIỆN HỘI CHỨNG RỄ VÀ CHỨC NĂNG SINH HOẠT HÀNG NGÀY CỦA SIÊU ÂM TRỊ LIỆU KẾT HỢP ĐIỆN CHÂM VÀ XOA BÓP BẤM HUYỆT TRÊN BỆNH NHÂN HỘI CHỨNG CỔ VAI TAY
Authors: Nguyễn Thị Thanh Tú , Dương Thị Hằng
Published: May 2024

Mục tiêu: Đánh giá tác dụng cải thiện hội chứng rễ và chức năng sinh hoạt hàng ngày của phương pháp siêu âm trị liệu kết hợp điện châm và xoa bóp bấm huyệt trên bệnh nhân có Hội chứng cổ vai tay. Đối tượng và phương pháp: Nghiên cứu can thiệp lâm sàng có nhóm đối chứng, so sánh kết quả trước và sau can thiệp. Sáu mươi bệnh nhân được chẩn đoán hội chứng cổ vai tay chia thành 2 nhóm: Nhóm nghiên cứu được điều trị bằng siêu âm trị liệu kết hợp điện châm và xoa bóp bấm huyệt. Nhóm chứng được điều trị bằng điện châm và xoa bóp bấm huyệt. Kết quả: Sau 15 ngày điều trị, mức độ cải thiện hội chứng rễ, mức độ hạn chế chức năng sinh hoạt hàng ngày theo thang điểm NDI của cả 2 nhóm đều cải thiện so với trước điều trị (p < 0,05) và nhóm nghiên cứu cải thiện tốt hơn so với nhóm chứng (p < 0,05)
KHẢO SÁT KỸ NĂNG ĐO HUYẾT ÁP CỦA SINH VIÊN Y KHOA NĂM THỨ BA TRƯỜNG ĐẠI HỌC Y KHOA PHẠM NGỌC THẠCH
Authors: Lư Ý Thanh , Cao Thị Ngọc Bích , Bùi Phan Quỳnh Phương , Nguyễn Thị Mỹ Linh , Trần Tú Trinh , Nguyễn Minh Luân , Đặng Trần Ngọc Thanh , Nguyễn Anh Duy , Cao Tấn Tải , Nguyễn Thị Thu Thủy , Châu Thị Kiều Chinh , Nguyễn Hữu Nhân , Nguyễn Thị Kiều Tran , Phạm Thị Cẩm Duyên , Nguyễn Thị Ngọc Lan , Nguyễn Ngọc Phương Thư
Published: May 2024

Mở đầu: Mỗi nhân viên y tế đều cần phải có kỹ năng đo huyết áp chính xác. Vì vậy, điều quan trọng là sinh viên y khoa (SVYK) phải thành thạo quy trình đo huyết áp trong thời gian mà SVYK được học tại trường y. Hiện tại, trong sự hiểu biết của chúng tôi, chưa có bất kỳ nghiên cứu nào được công bố liên quan đến kỹ năng đo huyết áp của SVYK Trường Đại học Y khoa Phạm Ngọc Thạch (ĐHYKPNT). Nghiên cứu “Khảo sát kỹ năng đo huyết áp của SVYK năm thứ ba trường ĐHYKPNT” nhằm cung cấp thông tin ban đầu về kỹ năng đo huyết áp chính xác của sinh viên, làm cơ sở cho các giải pháp nâng cao kỹ năng về quy trình đo huyết áp cho sinh viên trường ĐHYKPNT, góp phần nâng cao chất lượng điều trị và gia tăng an toàn người bệnh. Phương pháp: Nghiên cứu mô tả cắt ngang ở SVYK năm thứ 3 (năm học 2023-2024) đang học tại trường ĐHYKPNT. Cỡ mẫu tính được là 296, được chọn bằng kỹ thuật chọn mẫu thuận tiện. Kỹ năng đo huyết áp của SVYK được đánh giá bằng bảng kiểm, thực hiện trên người bệnh chuẩn, trong các phòng OSCE của CECICS với thời gian không quá 10 phút. Các bước của bảng kiểm được xây dựng dựa trên quy trình đo huyết áp theo Hướng dẫn của Bộ Y tế Việt Nam (Quyết định số 3192/QĐ-BYT ngày 31/08/2010 của Bộ trưởng Bộ Y tế). Ống nghe 2 đầu được sử dụng cho cả giảng viên và SVYK để đảm bảo tính chính xác của kết quả đo. Số liệu được xử lý và phân tích bằng phần mềm thống kê SPSS 22.0. Khoảng tin cậy 95% với sự khác biệt ý nghĩa thống kê khi p < 0,05. Kết quả: Tổng cộng có 296 SVYK tham gia nghiên cứu với tuổi trung bình là 21,75 ± 2,1 tuổi, dao động từ 21 đến 29 tuổi. Với điểm chuẩn được xác định bằng phương pháp Angoff (≥ 6 điểm), tỷ lệ SVYK đậu và rớt trạm OSCE đo huyết áp lần lượt là 74% và 26%. Tuy nhiên, tỷ lệ SVYK thực hiện đúng hoàn toàn các bước của bảng kiểm dao động lớn (từ 7,1% đến 88,5%). Nhiều bước trong kỹ năng đo huyết áp cần phải được cải thiện thêm để gia tăng tính chính xác và độ tin cậy của kết quả đo. Kết luận: Còn khoảng trống lớn trong thực hành về kỹ năng đo huyết áp đúng ở SVYK năm thứ ba ĐHYKPNT. Do đó, cần xem xét điều chỉnh cách huấn luyện và lượng giá kỹ năng đo huyết áp cho sinh viên ĐHYKPNT để hiệu quả hơn.
The impact of the bottleneck to entry into ophthalmology specialty training
Authors: Bekono-Nessah Ingrid , Osei Georgia , Chukwunonye Chisom , Baffour-Awuah Kwame , Feyi-Waboso Joshua
Published: May 2024

Seventy-nine per cent of those living with visual impairment are over 60 and increased longevity will increase the prevalence of eye diseases by more than 50%. To meet the escalating demand for eye care, more ophthalmologists must be trained. Changes to the application in 2024 have been aimed at facilitating this. Aim: To evaluate the opinions of aspiring and current ophthalmology trainees regarding the recent changes. A survey-based questionnaire of 11 questions was developed and distributed amongst medical students and junior doctors. We received responses from 17 medical students (17.6%), foundation doctors (5.9%), junior doctors out of training (17.6%), and ophthalmology trainees (58.9%), with 76.5% trained in the UK. Demographically, 41.2% were Black, 11.8% White, 29.4% Asian, and 5.9% Arab. Among current trainees, 60% had been unsuccessful in their first application, and an additional 10% on their second attempt. Despite 88.2% being aware of the competition, all found securing a training post challenging. Over half disagreed with the sufficiency of ST1 positions, and none supported the elimination of the ST3 application route. Applicants are applying multiple times, each with progressively more competitive portfolios and higher entry exam scores. For this reason, the recruitment process may be missing out on good ophthalmologists who did not have the necessary privileges to excel relatively early on in their professional careers. Such candidates may have fared better as ST3 candidates. To service the widening and complex demographic of patients, changes may need to be made to meet the demand with a diverse workforce.
Reverse mentoring – a useful tool for integrating into the system and making a change
Authors: Imo-Ivoke Dyanne , Talbot Hazel
Published: May 2024

Introduction: Reverse mentoring is useful for closing the generational gap,improving inclusion, and developing skills. Here, a junior team membermentors a senior team member. The scheme run by the Future LeadersProgram is open to International Medical Graduates (IMGs) in Yorkshireand Humber. The aim is to close the differential attainment gap byencouraging Equality, Diversity, and Inclusion (EDI) conversations.Method: Matching is done by MentorNet®. Mentor training consists ofhandbook, induction, and supervision meetings. We planned for threevirtual meetings within 6 months.• Session 1 – Aims and lived experience.• Session 2 – What does it take to feel safe, valued, and accepted?• Session 3: Setting up IMGs to succeed and the impact of the first placementon their careers.Discussion: Reverse mentoring is beyond sharing bad experiences as itcreates avenues for reflection and insights on how to better integrate intothe system.We do not need to have a bad experience before we advocate for EDIin our workplace. Sharing positive experiences is a powerful tool.Pairing Nigerian Junior doctors in the UK with senior doctors inNigeria would reduce the impact of ‘brain drain’ and be a positive toolfor exchanging knowledge and skills with the Nigerian workforce.’
Whole eye transplantation: are we on the cusp of an inflection point?
Authors: Bekono-Nessah Ingrid , Duah-Asante Kwaku Agyei , Poku Daryl
Published: May 2024

Traumatic facial injury and resultant eye enucleation remains a devastatinglife-changing event for many. With advancements in surgical techniques andimmunosuppressive therapies, facial transplantation has been made viable.However, whole-eye transplantation (WET) has remained a distant goaluntil recently. Our aim was to review the existing literature on WET andassess current hurdles for its success. We identified pertinent keywords byconducting an initial literature exploration which was subsequently used tosearch scientific databases, including PubMed, Medline, and Embase. In linewith the narrative methodology employed in this article, specific inclusionand exclusion criteria were not explicitly defined. The review focused exclusivelyon articles relating to ocular restoration and reconstructive surgery.Though vision restoration remains elusive, burgeoning surgical techniquessuch as vascularised composite allotransplantation have openedthe scope for surgeons to consider WET when planning facial transplants.Dr. Rodriguez and the NYU Langone team’s transplantationhas remained viable at 10 months. Though it has not facilitated visualrestoration, it supports the potential of CD34-positive stem cells as neuroprotectiveagents when injected at the optic nerve connection of therecipient. Nevertheless, it is also crucial to deliberate on ethical considerationssuch as the lifelong implications associated with immunosuppressionand, challenges related to the equitable division of ocular tissue forWET versus keratoplasty. WET amid significant facial trauma has greatpotential to restore the quality of life in patients through improved cosmesis.Further research is required to demonstrate its long-term viabilityand potential for vision-restoration in humans.
Evaluation of the Factors Affecting Mobile Money Operators’ Credit Access: A Case Study of Lusaka Central Business District.
Authors: Munganzi Namakando , Mazhambe Zivanai
Published: May 2024

Background: The government of the Republic of Zambia had long emphasized the significance of fostering economic growth through enhanced access to financial services. However, the persistent issue of income inequality and sluggish economic expansion underscored the need for targeted interventions. In response, the emergence of Mobile Network Operators (MNOs) in the financial sector, offering a diverse range of services including credit access, represented a concerted effort to address these challenges. Despite these advancements, a comprehensive understanding of the determinants of MNOs' credit access remained lacking, particularly in the specific context of the Lusaka central business district. Consequently, the primary purpose of this study was to rigorously evaluate the various factors that influenced mobile money operators' access to credit within the Lusaka central business district of Zambia. Method: This research employed a case study research design to investigate the factors that influenced credit access for Mobile Network Operators (MNOs) in the Lusaka central business district. A mixed-methods approach was adopted, combining quantitative and qualitative data collection methods. The study's sample consisted of 125 MNOs, which were selected through a combination of simple random sampling and purposive sampling to ensure a representative cohort of respondents. This approach facilitated a holistic exploration of the various factors that impacted credit access among MNOs. Results: The study's findings highlight several key determinants of credit access among mobile money operators. Demographic factors, such as age, emerge as influential, with youths aged 20-34 demonstrating both technical proficiency and a better grasp of credit information. Education levels also prove to be correlated with mobile money service operation, as respondents with higher education levels exhibit greater ease in accessing and understanding mobile money credit services. Network availability emerges as a pivotal factor driving the adoption of mobile money services. However, a notable proportion of respondents expressed challenges in accessing credit through mobile networks. Trust and security concerns are identified as significant barriers deterring potential users from engaging with mobile money services. Conclusion: In light of the study's findings, it is recommended that comprehensive awareness programs be implemented within central business district schools. These programs aim to equip budding entrepreneurs with the knowledge and skills necessary for responsible engagement with mobile money services. By targeting the youth demographic, these initiatives seek to instil soundfinancial habits from an early age, thereby contributing to improved financial access, reduced income inequality, and enhanced economic growth in the Republic of Zambia.
Driving Technological Innovation for a Resilient Cybersecurity Landscape
Authors: Aminu Muritala , Anawansedo Sunday , Sodiq Yusuf Ademola , Akinwande Oladayo Tosin
Published: May 2024

It is more important than ever to have a cybersecurity environment that is resilient and secure in this age of widespread digital connectivity. This research paper explores how developing technological innovation can serve as the foundation for building resilience in cyberspace. The study covers important aspects of cybersecurity, including its conceptual foundations, a wide range of applications, risk-reduction strategies, and the crucial role that policy regulation plays in the digital environment. In conclusion, the paper suggests that technological innovation is the driving force behind transformative change in cybersecurity. Policymakers, business executives, cybersecurity professionals, and researchers are all affected by the implications, which call for a coordinated and flexible strategy to meet the challenges of the digital frontier.
Modified-TiO2 Nanotube Arrays as a Proficient Photo-Catalyst Nanomaterial for Energy and Environmental Applications
Authors: Ikreedeegh Riyadh , Tahir Muhammad , Madi Mohamed
Published: May 2024

Recently, TiO2 nanotube arrays (TNTAs) have attracted researcher’s attention in the fields of energy production and environmental remediation applications; this is mainly due to their unique optoelectronic characteristics, corrosion resistance, chemical and mechanical stability. In this study, the ability of employing of TiO2 nanotube arrays-based catalysts in the field of photocatalytic CO2 reduction has been investigated. Possible modification strategies have been presented for improving the TNTAs performance by using different types of nanomaterials including graphitic carbon nitrides (g-C3N4), metal-organic frame work (MOF), reduced graphene oxide (RGO) and gold nanoparticles (Au NPs). The TNTAs composites were characterized using XRD and FESEM analyses and the results revealed the successful synthesis of these composites. The TNTAs and their composites exhibited good results for the photo-conversion of CO2 into CH4 gas product. This study gives new ideas for making and developing low-cost Ti metal-based nanomaterials which can be used in the future for recycling the CO2 gas emissions into useful solar fuels.
Rola służb mundurowych w zapewnieniu bezpieczeństwa Rzeczypospolitej Polskiej – wybrane zagadnienia
Authors: Jakubiak Ewa , Przybylski Przemysław
Published: May 2024

Problem bezpieczeństwa Rzeczypospolitej Polskiej w XXI wieku narasta z racji niebywałego rozwoju nauki i techniki. Postęp cywilizacyjny prowadzi do zagrożeń, takich jak postępująca agresja czy klęski żywiołowe. W wyniku działalności człowieka dochodzi do systematycznego zanieczyszczania wód i powietrza. Podstawowym zadaniem władzy publicznej i jej organów – w szczególności władzy wykonawczej, zarówno administracji rządowej, jak i samorządowej, służb, inspekcji i straży – jest zapewnienie obywatelom poziomu bezpieczeństwa umożliwiającego rozwój społeczeństwa i jego instytucji. Celem artykułu jest przedstawienie roli wybranych służb mundurowych w zapewnieniu bezpieczeństwa Rzeczypospolitej Polskiej.
Polityka klimatyczna UE jako polityka regionalnie relewantna
Authors: Pawiłowicz-Białas Karolina
Published: May 2024

W artykule podjęto temat polityki klimatycznej UE jako polityki regionalnie relewantnej, mając na celu pokazanie, że zmiany klimatu powinny być postrzegane również jako kwestia regionalna. Opisano wysiłki podejmowane przez władze regionalne w obszarze łagodzenia zmian klimatu, wraz z przykładami konkretnych działań. Autorka podkreśla znaczenie podwójnej roli regionów jako realizatorów i kreatorów polityk klimatycznych, wskazując podstawy prawne dla takich działań w ramach prawa krajowego i unijnego. Na koniec szczegółowo zbadano wzajemne powiązania między unijną polityką klimatyczną a innymi politykami UE, w tym polityką spójności.
Performance of Subsurface Drip Irrigation System with Line Source of Water Application in Okra Field
Authors: D K Singh  , T B S Rajput  , D K Singh  , H S Sikarwarl  , R N Sahoo  , T Ahmad
Published: May 2024

Subsurface drip irrigation (SDI) is application of water below soil surface through the emitters, with discharge rates generally in the same range as surface drip irrigation. Performance of SDI with respect to uniformity of water and chemical application in a crop is an essential component for efficient management of SOL. A study was conducted to evaluate performance of SDI used for irrigating okra crop during 2003 and 2004. The parameters evaluated were pressure -discharge relationship of emitters, and uniformity of water application including discharge variation, coefficient of variation, uniformity coefficient, statistical uniformity, and distribution uniformity. The emitter discharge exponent was found to be 0.56 for inbuilt labyrinth type emitters used in SOL The maximum values of standard deviation, variation and coefficient of variation of emitter flow rates were found to be 0.057, 0.08 and 0.025, respectively. Analysis revealed that statistical uniformity, distribution uniformity and uniformity coefficient were more than 90% during two years of study. Based on these parameters, performance of SDI was found excellent during study period.
Performance of CIAE Animal Drawn Puddler in Kashmir Valley
Authors: Jagvir Dixit
Published: May 2024

A field experiment was conducted to study the performance of CIAF: animal drawn puddler in respect of puddling quality and economical aspect under wet silty loam soil conditions. Puddling quality was judged on the basis of puddling index, bulk density, percolation loss and crop yield. The performance of animal drawn puddler in terms of puddling index and percolation loss was found better as compared to puddling by rotary tiller and conventional method of puddling. The field capacity and field efficiency were observed O. 10 ha/h and 71.42 percent in case of animal drawn puddler, which were 87 and 23 percent higher than traditional method of puddling. The cost of operation under animal drawn puddler, rotary tiller and local plough was calculated to be Rs 182, I 105 and 1188 per ha, respectively.
Study of the Mineral Composition of Ores at the Dyusembay Deposit in Terms of Their Extraction
Authors:   NPJSC «Abylkas Saginov Karaganda Technical University», N. Nazarbayev Avenue, 56, Karaganda, Kazakhstan, KASSYM Ayaulym , SADCHIKOV A Alexander ,   NPJSC «Abylkas Saginov Karaganda Technical University», N. Nazarbayev Avenue, 56, Karaganda, Kazakhstan
Published: May 2024

The integrated use of natural resources creates a necessary condition for the development of the industry of the mineral resource base of Kazakhstan. In the mineral resource complex, lead-zinc deposits are of paramount importance. The article discusses the features of mineralization, and also presents the geological structure of the Dyusembay deposit. The formation of the modern appearance of the tectonic structures of the region is due to very complex and lengthy geological processes. During the research, stock materials and modern geological materials on the Dyusembay deposit were considered.The conditions of formation and placement, metallogeny of the lead-zinc deposit Dyusembay were studied. The study area is located within the development of the Ulutau-Arganata meganticlinorium, which is subdivided into the Karsakpai synclinorium, the Maytyubinsk anticlinorium, and the Baikanur synclinorium. The Dyusembay deposit is located within the eastern wing of the Maytyubinsk anticlinorium.