bluuebunny/crossref_metadata_2025 huggingface dataset:
Health care services satisfaction and associated factors among people living with HIV/AIDS at Kibuye referral hospital, Rwanda
Authors: Abdou Nizeyimana , Habtu Mikael , Marete Onesmus , Mochama Monica , Rutayisire Erigene , Dida Gabriel O.
Published: November 2021

Background: Patient satisfaction surveys have gained great attention as meaningful parameters for evaluating quality improvement in healthcare organizations. At Kibuye referral hospital, healthcare utilization and health care services for people living with HIV/AIDS (PLWHA) has been low, as attested by poor adherence to medication and weakening of patients due the disease progression. The main objective of this study was to assess healthcare services satisfaction and associated factors among people living with HIV/AIDS Kibuye referral hospital, Rwanda. Methods: An institutional-based cross-sectional design was used to select 277 study participants who were interviewed by use of a structured questionnaire, and the data analyzed quantitatively. Two focus group discussions (FGDs) were performed, after which the interviews were transcribed in verbatim and analyzed thematically.Results: The overall level of PLWHA satisfaction was 95.0%. In multivariate analysis, social class and age were found to be the main predictors of PLWHA satisfaction (AOR=10.218, 95% CI=1.39, 74.88, p=0.002) and (AOR=0.39, CI=0.121 to 1.186, p=0.005), respectively. Qualitative study outcome showed that health care service delivery at Kibuye referral hospital is measured by a number of factors, including timeliness of health care service delivery, meeting needs of clients and paying attention in provision of health care services.Conclusions: The level of patient satisfaction was found to be high. When individual was of high-class status in the society, and were above 20 years of age, his or her satisfaction increased. The study recommends that PLWAs are treated equally so as to improve service delivery, particularly among people living HIV/AIDS.
Perceptions of undergraduate medical students towards online learning during the COVID-19 pandemic-experiences from a medical college in Delhi
Authors: Sharma Vishal , Arora Priya , Kaur Gurmeet
Published: November 2021

Background: COVID-19 pandemic has caused upheaval in all aspects of our lives and education system has also faced disruptions. Medical teaching is of paramount importance as it is preparing future doctors for such emergencies. Though online teaching by the institutions and faculties has continued but it is also equally important to know the learners’ perspective, i.e.., the undergraduate medical students who have to cope-up with the change in teaching practices. To assess the perceptions of medical students regarding online learning during the COVID-19 Pandemic. To understand the problems and apprehensions faced by these students.Methods: A cross-sectional study was conducted among undergraduate medical students of a medical college in Delhi. To ensure reliable results, a sample size of 50% was decided with equal representation from students studying in different professional years of MBBS. Results: Although medical students had used online learning earlier but it was not very preferable. Students faced challenges both due to unsatisfactory learning atmosphere at home and also technological issues associated with online learning. Students are also worried about lengthening of duration of the course and inadequate clinical exposure.Conclusions: Medical education system has to be prepared for blended learning by use of resources to overcome challenges associated with technological problems so as to facilitate learning of the students.
Vaccine equity: a key to global economic recovery
Authors: Ghosh Rohini , Ghosh Arabinda
Published: November 2021

Background: The spread of severe acute respiratory syndrome coronavirus- 2 (SARS-CoV-2), the causative agent of coronavirus 2019 (COVID-19), has resulted in an unprecedented global public health and economic crisis. The cumulative number of cases is now over 200 million and the number of deaths exceeds 4.2 million. COVID-19 vaccination provides hope for an end to the pandemic, if and only if there would be equal access and optimal uptake in all countries around the world.Methods: The study on nine selected countries corroborates the relative importance of vaccination rate in reducing daily death as percentage of confirmed COVID- 19 cases.Results: Vaccination data has brought forth the gaping disparity in the process whereby lower income group countries with 8.6 percent of world population have received 0.3 percent of total vaccine dose as against high income countries with 15.7 percent of global population and have received 29.0.Conclusions: Spending for vaccination should be considered as an investment instead of expenditure.
Depression, anxiety, stress among ASHA workers, in selected primary health centres in Southern Bengaluru
Authors: Gowda Vidya , Rani Savitha , . Chandrakala , . Aishwarya , . Suhasini
Published: November 2021

Background: The COVID-19 pandemic was caused by a novel corona virus first discovered in Wuhan, December 2019. The healthcare system in India was quickly overwhelmed as tens of thousands of people with flu-like symptoms swarmed the hospitals.Methods: The present community based cross-sectional study was conducted among the accredited social health activist (ASHA) workers working under the selected primary health centres from August 2020 to November 2020. Primary health centres were selected by using simple random sampling technique. Three primary health centres were selected from the southern region of Bengaluru. The data was collected, compiled and entered into a Microsoft excel worksheet and analyzed using statistical package for social sciences (SPSS) software v.22.0. Descriptive statistics and suitable tests of significance like Chi-square test were applied as required.Results: A total of 78 ASHA workers participated in the present study. Majority of them belonged to the age group of 33-44 years. The mean age of the participants was 34 (+1.390) years. The present study showed that, 56.5% of the study participants experienced depression, anxiety or stress during the time of COVID-19 pandemic. Around 65% of the ASHA and Anganwadi workers were aware of the personal prophylactic measures to be used to prevent COVID-19 disease according to the present study.Conclusions: A significant proportion (56.5%) of the ASHA workers experienced depression, anxiety and stress during this pandemic. Measures should be undertaken to address the same.
Epidemiological snapshot of carcinoma lung at a tertiary cancer centre of Bihar, India
Authors: Rakesh Amrita , Singh Pritanjali , Verma Manika , Mandal Avik , Singh Dharmendra , Ranjan Rakesh
Published: November 2021

Background: According to the GLOBOCAN 2020 report, the estimated incidence of lung cancer in India was 72,510 in all ages and both sexes. In incidence, lung cancer ranked fourth overall among the various types of cancer. To study epidemiological profile in terms of clinical presentation, stage, risk factors and factors associated with late stage presentations at a newly established tertiary cancer care hospital BiharMethods: This was a retrospective-prospective analysis of collected data of histopathologically proven lung cancer cases in the Outpatients department (OPD) of Department of Radiotherapy, All India Institute of Medical Sciences (AIIMS), Patna over a period of 2.5 years from March 2018 to October 2020.Results: There were 140 patients, with a median age of 56 years, 59.28% (n=83) were smokers, 37.14% (n=52) used chewing tobacco, 24.28% (n=34) worked on earthen stoves and 15% (n=21) had passive smoking exposure. The male-to-female ratio was 1.64:1. Non-small cell lung carcinoma comprised 87.85% (n=123), stage IV presentation in 76.42% (n=107) cases with the most common site of metastases being bone (35.51%, 38 patients). IHC was performed on 64 patients (45.71%) of total 140 patients of which 51 patients were of adenocarcinoma histology. 35.29% (n=18) were EGFR positive and 28.57% (n=4) tested ALK positive. 4 patients tested for ROS-1 were negative. 32.14% (n=45) cases were treated empirically for Tuberculosis on the finding of chest X-ray only.Conclusions: Majority of the patients were males in advanced stage. Bone is the most common site of metastases. Long empirical treatments lead to late presentations.
Challenges and perceptions of depression amongst multi drug resistant TB cases: qualitative study among medical officers of tuberculosis units across the Ahmedabad city, India
Authors: Sharma Rashmi , Bakshi Harsh , Prajapati Shailesh , Bhatt Gneyaa , Mehta Rajesh , Rami Kiran , Mehta Prakash , Shah Tejas , Dave Roshni , Pirzada Azbah
Published: November 2021

Background: Drug resistant tuberculosis (DR-TB), is usually associated with adverse socioeconomic and psychological outcomes. Such patients with co-morbid depression have lower treatment adherence and poor outcomes. Programmatic management of drug resistant tuberculosis (PMDT) guidelines recommend screening of DR-TB patients for mental illnesses at baseline and Follow-up (FU). The objectives were to explore perceptions and experiences of service providers about depression amongst MDR TB cases, review current strategies for screening for depression at Tuberculosis units (TUs) and recommend measures to address depression among MDR TB cases.Methods:This qualitative study was conducted across all TUs of Ahmedabad Municipal Corporation wherein 26 Key informant interviews (KIIs) were conducted using thematic guidelines and subsequently categorized in to subtheme for thematic analysis.Results: MOs had mixed experiences about encountering depression among MDR-TB cases, ranging from 1%-50%. Long duration and side effects of treatment, financial burden due to unemployment and societal stigma were contributory factors. Ensuring compliance was a major challenge. Counselling is an effective intervention for this but lack of counsellors in the program was another challenge. MOs stated that pre-treatment screening for depression is done at DR TB centre, but there is no structured, process. However, most of them don’t do subsequent follow up for depression.Conclusions:More counsellors need to be included in the program and a structured method needs to be devised for screening of depression among MDR TB patients. Both MO TUs and Counsellors need to be sensitized and trained for screening and monitoring depression amongst MDR TB in a systematic way.
A study on non-communicable diseases, it’s prevalence on anthropometric and behavioural risk factors on tribal population of Raigad district: a cross sectional study
Authors: Parle Jyoti Ajit , Yadav Manali N. , Raut Kishor
Published: November 2021

Background: Non-communicable diseases (NCDs) are increasing at an alarming rate due to lifestyle modifications and increased level of stress but the prevalence of it in tribal population is still lacking. Thus, the study aimed at identifying the risk factors for non-communicable diseases among healthy adults aged 16-80 years in the tribal population of Raigad district.Methods: A cross-sectional survey was done with 920 individuals aged 16-80 years of tribal population. Each subject was interviewed using the WHO stepwise questionnaire; where information on diet, physical activity, tobacco and alcohol, and treatment history for hypertension and diabetes were collected along with blood pressure (BP) measurement. Height, weight and waist circumference were also measured.Results: Statistical analysis was done using SPSS version 24. Moderate prevalence of smoking and smokeless tobacco was observed in the tribal areas targeted with the number of smokers being more than the users of smokeless tobacco. Consumption of alcohol was seen in half of the population in the age group of 16-50 years. Low consumption of fruits and vegetables was seen across all the age groups. Most of the target population falls under the normal BMI category while a fewer population falls under the overweight category.Conclusions: High prevalence of behavioural risk factors were found with awareness about NCD’s was found to be alarmingly low among the tribal population. Prevention of NCD’s through detection of risk factor can control the spread of non-communicable diseases, and will help in identifying earlier with its detection and treatment same as communicable diseases.
Incidence of Japanese encephalitis virus among patients presenting with acute encephalitis syndrome in a tertiary care hospital, West Bengal, India
Authors: Roy Arup , Saha Poulami , Islam Asraful , Saha Rajdeep , Sengupta Abhishek , Mondal Arnab K. , Saha Puranjay
Published: November 2021

Background: Japanese encephalitis virus (JEV) is a flavivirus related to dengue, yellow fever and West Nile viruses, and is spread by mosquitoes. JEV is the main cause of viral encephalitis in many countries of Asia with an estimated 68000 clinical cases every year. Although symptomatic Japanese encephalitis (JE) is rare, the case-fatality rate among those with encephalitis can be as high as 30%. Permanent neurologic or psychiatric sequelae can occur in 30-50% of those with encephalitis. This study was conducted to find the incidence of JEV IgM in patients presenting with acute encephalitis syndrome (AES) in Raiganj govt. medical college and hospital, Uttar Dinajpur, West Bengal, India.Methods: Blood and CSF samples were collected from patients presenting with AES. IgM antibody capture ELISA was performed on the CSF and serum samples by JE virus MAC ELISA kit.Results: The overall prevalence of JEV IgM was 13.8%. Among the positive cases male comprised of 71.4% and female 28.5%. The most common age group affected was above 16 years of age. JEV prevalence was present throughout the year with high number of cases between the monsoon and post monsoon seasons.Conclusions: This study demonstrates the endemicity of JEV in Uttar Dinajpur district of West Bengal, India. As most of the JE cases are asymptomatic strengthening the existing surveillance system is required to find out the actual scenario of JEV in West Bengal. Control of vectors, early diagnosis and treatment, vaccinations are the key to decrease the morbidity and mortality caused by JEV.
A cross sectional study on appropriate use of face mask among adults seeking primary health care services in Chennai
Authors: Dharmalingam Priyadharshini , J. Princy Felicia , Murugesan Vidhya , Balasubramanian Sindhubala
Published: November 2021

Background: The WHO has recommended face mask use during COVID-19 pandemic for all people in all public settings and situations compromising the social distancing. So, face mask use, hand hygiene and social distancing are the preventive measures followed by many countries against this pandemic. But still inappropriate use of masks might lead to failure of these preventive measures against COVID. So, this study was done to determine the prevalence and determinants associated with knowledge and practices of the appropriate use of face masks among patients attending primary health care services in a slum of Chennai.Methods: A cross-sectional study was done among patients attending urban primary health centre for non-respiratory complaints. A pretested semi-structured questionnaire was used to collect information from the participants. For assessment of practice, direct observation on the use of a face mask was done. Data were entered in Excel and analysed using SPSS 23.0 software. The Chi-square test was used to analyse the determinants.Results: Only 10% had the knowledge and none had an appropriate practice of face mask use.  85.5% used face mask with the majority being fabric mask users.  The male, age >40 years and low SES had significantly poor knowledge on the appropriate use of face mask.Conclusions: The high prevalence of inappropriate knowledge and practice of use of face masks implies that along with awareness of mask use, behavioral change on appropriate face mask practices is needed.
Knowledge and attitude of antenatal women attending tertiary care hospital regarding breastfeeding
Authors: Siddiqui Aaliya , Uthkarsh Pallavi S.
Published: November 2021

Background: Breastfeeding is the most natural way of infant feeding to satisfy nutritional, metabolic and psychological needs of the baby. Breastfeeding significantly reduces the risk of death especially from diarrhoea and pneumonia in infants as compared to formula fed babies. Breastfeeding has advantage to both the baby and the mother. Early initiation of breastfeeding lowers the mother’s risk of postpartum haemorrhage and anaemia, boosts mother’s immune system and reduces the incidence of diabetes and cancer.Methods: All women attending Jayanagar General Hospital for ante-natal checkups during study period were interviewed personally by an investigator after obtaining an informed consent. Data regarding socio-demographic details and data on knowledge, attitude of breastfeeding were collected by using a pre-tested semi- structured questionnaire.Results: The sample of the present study comprised of 204 antenatal women of whom 89.7% belonged to age group less than or equal to 30 years. Majorities 73.5% of them were Muslims .Most of the participants 87.7% were unemployed. Almost 72.54% of the participants were multipara. Almost 42.2% of the participants were of the opinion that the duration of breastfeeding is 2 years or more. 65.7% of the participants stated that complementary feeding should be started after 6 months. Knowledge about technique of expressed breast milk was poor.Conclusions: Multiparous women have better knowledge than primipara regarding breastfeeding. Socio demographic characteristics such as age, parity found to be significantly associated with knowledge. There is a need for counselling primi antenatal women regarding breastfeeding associated with knowledge. There is a need for counselling primi antenatal women regarding breastfeeding.
Health status of househelps living in the semi-urban area of Goa
Authors: Prabhu Aadini V. , Shah Hemangini K.
Published: November 2021

Background: The world’s population is on the rise and so is the need for good housing and job opportunities. This has led to an increase in the number and overcrowding of existing slums which lack reliable sanitation and hygiene. People who work as househelps take on the responsibilities of the households where they work and their own families. The study was undertaken to determine the health status and quality of life of househelps residing in Goa.Methods: A Community based cross sectional study was carried out among househelps living in the semi-urban area of Goa. Participants were selected via snowball sampling. Information was collected through a predetermined questionnaire and via medical examination, after initial briefing. The data was compiled; analyzed and appropriate statistical tests were applied.Results: Marriage before 20 years of age was noted in majority (70.2%). Poor housing standards were noticed in 94%.64% had increased working hours. 80% of the househelps had health complaints of backache, menstrual problems, fever. Statistically significant difference was observed between daily working hours and morbidity, and between age of marriage and number of children. Number of children and morbidity also showed significant statistical relationship.Conclusions: The study highlights the problems faced by the domestic helps which can be tackled by implementing laws which recognize them as a part of the organized sector, holding health camps in rural areas, increasing awareness about the diseases spread in an unhygienic environment.
Health related quality of life in type II diabetics and its associated factors: a cross sectional study at an urban health training centre of Northern India
Authors: Haider M. , Verma Manoj , Hakim Afzal , Kumar Arun , Sharma Savitri , Gautam Vedangi
Published: November 2021

Background: Diabetes mellitus is a chronic disease, leading to many complications and substantial decrease in patient’s Health related quality of life (HRQOL). The aim of study was to assess health related quality of life of diabetic patient.Methods: This cross-sectional observational study was conducted from December 2020 to February 2021. A total of 100 diabetic patients, resident of field practice area of tertiary care teaching hospital were included in the study. SF-36 scale was used to assess the HRQOL.Results: The most important predictors of impaired HRQOL were female gender, presence of any diabetic complications, presence of non -diabetic comorbidity and longer duration of diabetes. Older age, lower education, unmarried, obesity, hypertension and hyperlipidemia were also associated with impaired HRQOL in SF-36 subscale.Conclusions: Diabetic patients had lower HRQOL in all the domains of quality of life. Identification of associated factors can help prevent deterioration of quality of life.  Prevention and early identification of complications and concomitant chronic disease can also improve quality of life of diabetics.
COVID-19 pandemic leading to unidentified, silent-pandemic of vitamin D deficiency in young children: a case report
Authors: Dewan Manasvee , Sharma Neha , Panda Pragyan Swagatika , Banerjee Priyanka
Published: November 2021

Vitamin D is a pro hormone needed for the homeostasis of calcium and phosphorus in the body. This state is crucial for maintaining metabolism, nerve conduction and general cellular functions in the body. Coronavirus disease 2019 (COVID-19) pandemic has led to long-term lockdowns. Schools are closed, people are confined to their homes and outdoor activities are at a halt. This has led to rise in cases of vitamin D deficiency (particularly in infants and toddlers) which is going un-noticed and can further lead us to another pandemic of non-communicable disease - vitamin D deficiency. We have presented a case report of healing rickets in a 19-month-old toddler. We aim to highlight this under-diagnosed and ignored vitamin deficiency that can affect the overall health of our younger generation in this COVID-19 era.
Pre-operative immunomodulatory nutrition and post-operative outcomes of surgical treatment of gastrointestinal surgery: a systematic review
Authors: Almottowa Hisham Abdullah , Al-Khars Ahmed Salman , Kurdi Maan Almotaz , Almusawi Ahmed Kamal , Hakeem Amr Rashad , Almashat Nada Ahmad , Jowharji Abdulaziz Wajdi , Aljaza Turki Salem , Bukhary Mohammad Ismail , Almahmudi Hussain Oamr , Alsaeidi Mased Ali
Published: November 2021

Malnutrition is a major health problem in cancer evident in up to 80% of patients. It was associated with high mortality and morbidity, especially with surgical treatment of cancer. That is why many studies are investigating efficient treatment for this problem. One of these treatments is immunomodulatory nutrition. Immunomodulatory nutrition has shown efficacy towards malnutrition, immune status, and other comorbidities. However, there is still a debate about whether it is efficient or not. Five databases were searched using specific search terms. We only included randomized controlled trials that studied the efficacy of preoperative immunomodulatory nutrition before surgical treatment of gastrointestinal carcinoma. The studies were assessed for the quality of evidence. Twenty-three studies were included for the systematic review. Most studies had a low risk of bias. We assessed the efficacy of immunomodulatory nutrition regarding immune markers, infectious complications, non-infectious complications, biological markers, the length of stay, and mortality. Immunomodulatory nutrition has significantly enhanced immune status, biological markers, and post-operative complications. However, it does not have a significant improvement in the mortality rate or hospitalization duration. The immunomodulatory nutrition has promising results in enhancing immune status, and biological markers. However, its effect on post-operative infectious and non-infectious complications is still under debate. Immunomodulatory nutrition had no effect on mortality rates among cancer patients.
Effect of health promotion programs and home visits on chronic diseases
Authors: Baoum Shada Omar , Binladin Salman Ali , Althobaiti Mohammed Fahad , Almousa Mohammed Mousa , Awaji Taghreed Mahdi , Alsulami Faisal Turki , Al Shehri Mona Omar , Asiri Saud Yahya , Alhuthali Mariam Mesfer , Alwahaimed Abdulaziz Ahmed , Alharbi Hammed Awawdh
Published: November 2021

Evidence shows that the management of chronic disorders is associated with massive expenditure and increased utilization of healthcare resources. Therefore, innovative management approaches to these conditions are encouraged to overcome these burdens and enhance the quality of care for the affected patients. Home visits and health promotion programs have been described in this context with favorable outcomes over individuals and communities. We have discussed the efficacy of home visits and health promotion programs on the outcomes of patients suffering from chronic disorders. Our findings indicated the validity of these approaches in enhancing the quality of care for patients with chronic conditions. Adequately applying these outcomes can be associated with enhanced quality of life for patients. Besides, estimates also showed that they can reduce the number of visits to the emergency department and the frequency of hospital admissions. Health promotion programs can also reduce the utilization of the different healthcare resources including medication use and the availability of healthcare providers. However, the current evidence lacks validation by proper investigations. Accordingly, we encourage further studies to be conducted to enhance the current findings adequately.
Substance abuse, drug addiction and the role of primary health care amid the COVID-19 pandemic
Authors: Esmail Mustafa Elsaied , Mosly Majed Diaa , Alghamdi Abdulaziz Abdullah , Hakami Alalaa Hussain , Majrashi Ahmed Ali , Abdulrahim Safwan Shaker , Alnashry Areej Mohammed , Alalsaba Anwar Saeed , Akakah Baneen Abdullah , Alshahrani Khaled Abdullah , Salamah Nawaf Hatem
Published: November 2021

The definition of substance abuse is the use of certain types of drugs such as alcohol, cannabis, hash, cocaine and others that have serious side effects and clinical complications. There is a significant difference between substance abuse and the term addiction. The significant difference between substance abuse and addiction is that drug addiction or substance addiction is classified as a chronic disease controlling the physical and mental ability of the individual to unpleasant force to use specific drugs such as cocaine or else. The literature has a positive correlation between the COVID-19 pandemic and illegal drug abuse in substance abuse or addiction. COVID-19 caused emotional emptiness for many people around the world, in addition to anxiety and depression. The particular group of people started addicting to specific drugs to induce temporary happiness due to the unpleasant events they had from the pandemic. This article aimed to review the challenges of substance abuse and drug abuse in the COVID-19 pandemic and the role of public health in addition to primary care facilities against this phenomenon. To our knowledge, this is the first review providing a complex review about this issue since the beginning of COVID-19.
Quantitative analysis of retinal vasculature in normal eyes using ultra-widefield fluorescein angiography
Authors:   Eye Center, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China, Jiang Jing-Wen , Wang Xiao-Ling ,   Eye Center, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China, Liu Jue-Jun ,   Eye Center, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China, Sun Gong-Peng ,   Eye Center, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China, Chen Chang-Zheng ,   Eye Center, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei Province, China
Published: November 2021

AIM: To quantify the area and density of retinal vascularity by ultra-widefield fluorescein angiography (UWFA).
METHODS: In a retrospective study, UWFA images were obtained using an ultra-widefield imaging device in 42 normal eyes of 42 patients. Central and peripheral steered images were used to define the edge of retinal vasculature by a certified grader. The length from the center of the optic disc to the edge of retinal vascularity (RVL) in each quadrant and the total retinal vascular perfusion area (RVPA) were determined by the grader using OptosAdvance software. The density of retinal vascularity (RVD) was quantified in different zones of central-steered images using Image J software.
RESULTS: Among 42 healthy eyes, the values for mean RVL in each quadrant were 19.007±0.781 mm (superior), 18.467±0.869 mm (inferior), 17.738±0.622 mm (nasal) and 24.241±1.336 mm (temporal). The mean RVPA was 1140.117±73.825 mm2. The mean RVD of the total retina was 4.850%±0.638%. RVD varied significantly between different retina zones (P<0.001), and significant differences existed in the RVD values for total retinal area in patients over 50 years old compared to those under 50 years old (P=0.033). No gender difference was found.
CONCLUSION: The UWFA device can be a promising tool for analyzing the overall retinal vasculature and may provide a better understanding of retinal vascular morphology in normal eyes. Aging may be related to lower RVD.
Sustainable Urban Development for Costal City Case Study: Bourg El-Bourols City
Authors: Ragheb Amany , El Sharnouby Haithem
Published: November 2021

Comprehensive urban development varies from place to place according to the different natural environment, unplanned urban development on coastal cities led to an urban disruption and random possession of lands, Burj Al-Burullus is a coastal city with high environmental sensitivity and has many environmental, social, and cultural systems that qualify it to be a development area with a distinct character. The challenges of urban development represent the biggest challenge to development in the region. Despite the presence of many development plans in the region, there is no clear methodology that considers the resources and the distinct potentials of these areas to make use of them in solving the problems that hinder development. The research presents an attempt to reach a mechanism through which sustainable urban development can be achieved in all economic, social, and demographic aspects. In addition, it contributes to formulating a vision and developing a strategy to achieve sustainable urban development, with the participation of economic institutions in a way that stimulates these institutions to invest. The research studies and evaluates the current reality of Burj Al-Burullus city using GIS in terms of the characteristics and activities of the city and explores its developmental reality. The research attempts to find appropriate urban solutions to overcome these urban challenges and develop plans to be used as a link between the challenges and development results and to be followed in the development of the region and similar areas.
The Influence of Green Culture and Green Strategy on the Circular Economy Implementation: The Moderating Role of Green Intellectual Capital
Authors: Muafi
Published: November 2021

This study aims to analyze the relationship between Green Culture (GC) and Green Strategy (GS) on the Circular Economy (CE) implementation. It also aims to analyze the moderating tole of Green Intellectual Capital (IC) on the relationship. The type of this study is quantitative research, and the data is collected through questionnaire. The respondents of this study are the owner or manager, or owner and manager of Batik MSMEs in Klaten, Central Java Province. The respondents are chosen purposively with certain criteria. The data is analyzed using Moderated Regression Analysis (MRA). The results of this study found that GC and GS partially influence the CE implementation. Green IC cannot moderate the relationship between GC and the CE implementation, but on the contrary, Green IC is able to moderate the influence of GS on the CE implementation.
Green Human Resource Management and Environmental Innovativeness
Authors: Ali Sufaid , Ali Anees Janee , Ashfaq Khurram , Khalid Jamshed
Published: November 2021

Drawing upon the resource-based view and the situated learning theory, this study examined the effect of green human resource management (HRM) practices on the firm environmental innovativeness. The moderating role of organizational innovative culture on the relationship between green HRM and firm environmental innovativeness was also assessed. A survey of 212 furniture manufacturing companies in Malaysia was analyzed using structural equation modeling. Results from the data analysis suggest that green HRM practices are positively associated with the firm environmental innovativeness. The positive effect of green training and green compensation on firm environmental innovativeness was found to be increased by moderating the role of organizational innovative culture. The present study clarifies key green HRM practices that can assist the environmental innovativeness in Malaysian furniture manufacturing firms and advances related research by proposing and examining an overarching model to enlighten such synergies and the moderating role of organizational innovative culture. The findings further extend the scope of green HRM research to promote innovation in the manufacturing firms. The theoretical and practical implications of green HRM are presented to enhance the environmental innovativeness.
Proposed Policies for Planning and Managing Water Resources in Egypt in Light of Expected Climate Changes
Authors: Elhamed Heba Nabil Abd
Published: November 2021

Climate change is one of the most serious challenges facing the world and a fundamental challenge to the sustainable development process. Climate change has a tremendous impact on water in Egypt, which is manifested in many pressures on food and water supply, and a direct impact on the economy, politics and society, North Africa has become one of the region's most in need of food preservation with limited water supplies, hence the idea of research working on Achieving the goal to develop policies for planning and managing water resources to ensure Egypt’s resistance to the effects of climate change and exposure to water shortage problems, using the Delphi method, which is an organized way to collect the opinions of a selected group of experts and specialists in the field of planning and management of water resources. By conducting a questionnaire to collect the opinions of experts to analyze the water situation The current situation in Egypt and an analysis of the reasons for the quantitative and qualitative deficit in water resources, including it may contribute to the development of a proposal for policies for planning and managing water resources in light of climate changes and measuring the extent of its application in Egypt.
Unemployment Rate Forecasting via Markov Chains
Authors: Odah Meshal Harbi
Published: November 2021

Unemployment is an economic and social phenomenon that has many effects and problems that directly affect society and could result in many problems in the future. Therefore, it is one of the most significant challenges confronting the globe today, as unemployment rates have reached critical levels. The aim of the research is to predict the unemployment rate for the coming years through the Markov chains method. The current variables of a particular phenomenon are analyzed in order to predict future variables to the phenomenon itself. The results indicated that the probability of an increase in the unemployment rate in the coming period, followed by a decrease in the unemployment rate and, finally, stability. The present findings can help decision makers to make the right decisions to face the problem of unemployment.
In Memory of Professor Bazdawi Al-Riyami, MD
Authors: Al-Rawas Omar A
Published: November 2021

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A románok nevei Anonymus gesztájában és ami körülöttük van (3. rész)
Authors: Senga Toru
Published: November 2021

Az Anonymus (III. Béla király névtelen jegyzője) által használt három vlach név (plur. Blachii, Blasii, Blaci) a latin végződések eltávolításával valójában a Blach (nem Blachi), Blas (nem Blasi) és Blac etnonimák. Egyik sem magyar nyelvalak (>oláh), és egyik sem hozható közvetlen kapcsolatba a szláv vlach (plur. vlasi > olasz) alakkal. A Gesta Hungarorum szerzője, aki nemcsak közjegyzői korában, hanem a későbbi időkben is tevékenykedett a hivatalos ügyekben, krónikája megírásához felhasználhatta információit. Anonymus Erdély urát, Gelout a vlachok fejedelmének (dux Blacorum) nevezi, ami összhangban van azzal, hogy II. András király oklevelében a Blaci alakot használták a dél-erdélyi oláhok megjelölésére. Tekintettel arra, hogy Magyarország latin műveltségét a pápai kancellária befolyásolta, nem meglepő, hogy a Bulgarii et Blachii kifejezést a pápai kancellária mintájára formálták, különösen III. Innocent pápa leveleiben, amelyekben a bolgárok és a vlachok szerepelnek. együtt (Bulgaria et Blachia, Bulgarorum et Blachorum stb.). Anonymus a Cumanorum et Bulgarorum atque Blacorum kifejezést Henrik flandriai latin császár körleveléből kölcsönözte, amelyet 1213-ban II. András király udvarának is elküldtek. A Blas név megegyezik a A negyedik keresztes hadjárat a balkáni oláhok megjelölésére Anonymus használta az erdélyi oláhokra, aki kapcsolatban állt a magyarországi vallon és francia nyelvű telepesekkel. A krónikás valószínűleg a 13. század első két évtizedének forrásaiból merítette a szóban forgó három nevet.
Обучение языку документов в юридическом вузе
Authors: Баишева З.В.
Published: November 2021

Статья посвящена проблеме обучения языку документных текстов в контексте языковой подготовки студентов - будущих юристов. Автор обращает внимание читателей на несоответствие текстов документов, составляемых юристами - практиками, требованиям, предъявляемым к языку юридических документов, предлагает упражнения для развития соответствующих грамматических и речевых умений у студентов, а также подчеркивает важность комплексного подхода в обучении языку документных текстов, опирающегося на межпредметные связи с правовыми дисциплинами.
Работа редактора над языком и стилем местных СМИ (на материале городских и районных газет Липецкой области)
Authors: Бурцев В.А. , Тульчинская Т.Г.
Published: November 2021

В статье рассматриваются типичные языковые и стилистические средства, которые используются в местной прессе. Анализ проводится с целью выявления лингвометодических проблем, которые могут возникнуть перед редактором при оценке языка и стиля рукописи автора регионального издания. Обосновывается положение о существенных отличиях журналистского узуса местных СМИ от стандартов речевого поведения в центральных массмедиа. Рассматривается также нормативный аспект языка местных СМИ. Кратко описаны возможные приемы редакторской работы с текстами местных СМИ, сделан вывод о низкой эффективности региональной журналистики в плане воздействия и нормотворческой деятельности.
Раскрытие международного стандарта финансовой отчетности (IAS) 10 «События после отчетного периода»
Authors: Галушкина М.А. , Землянова Т.И. , Измалкова И.В.
Published: November 2021

В данной статье изучаются общие сведение и требования МСФО №10 «События после отчетной даты», а также устанавливаются случаи, при которых организация вправе изменить данные финансовой отчетности при учете событий после отчетной даты.
Актуальные вопросы организации внутреннего аудита
Authors: Драненко Л.П.
Published: November 2021

В статье рассматриваются значения внутреннего аудита для хозяйствующего субъекта, варианта его организации и критерии оценки эффективности.
Составные части финансовой отчетности в соответствии со стандартом «IAS 1 Представление финансовой отчетности»
Authors: Романова О.К. , Куликова А.А. , Измалкова И.В.
Published: November 2021

Когда мировая финансовая система достигла межконтинентальных размеров, и финансовое взаимодействие бизнеса из разных стран стало повсеместным, на уровне восприятия финансовых сведений появилась необходимость формирования определенных международных стандартов. Стандарты понадобились для того, чтобы заинтересованные лица внутри бизнеса из разных стран, финансовые регуляторы и контролирующие органы могли разговаривать на одном языке, обсуждая финансовые сведения об определенной коммерческой компании. Финансовые стандарты, как и любые другие стандарты, должны гарантировать аналогичность форм и типов содержания публичной финансовой информации одной компании по сравнению с другими.
Оценка обеспеченности и экономической эффективности использования основных средств в организации
Authors: Стукова Ю.Е. , Савченко М.И. , Лукашова В.Д. , Салова А.А.
Published: November 2021

Задача анализа эффективности использования основных средств состоит в том, чтобы дать оценку результатов выполнения планов и темпов роста основных средств и показателей их использования, изучить структуру средств, выяснить причины, вызывающие недостаточное или ненадлежащее использование основных средств, и выявить резервы улучшения их использования. В результате анализа должны быть разработаны мероприятия, направленные на устранение выявленных недостатков и более эффективное использование основных средств.
Некоторые элементы традиционного мифологического сознания, бытующие в субкультуре поисковых отрядов
Authors: Касимов Р.Н.
Published: November 2021

Прошедшие события и факты любой, без исключения, военной кампании заботливо окружают «мифологической пеленой» с разных сторон: военные специалисты и политики, журналисты, профессиональные учѐные, самодеятельные краеведы. Когда речь заходит про историю Великой Отечественной войны к этому списку добавляются и энтузиасты «красные следопыты» – активисты многочисленных поисковых отрядов. Такая работа представляет интерес не только для педагогов и общественных организаций патриотической направленности, но и для профессиональных историков, в том числе, историков-этнологов, фольклористов. Вместе с тем, фундаментальных работ, которые рассматривали бы проявления уникальной их субкультуры, с точки зрения современной социальной мифологии и классической этнографии, практически нет. Автор на примере некоторых аспектов выявленного сохраняющегося мифологического сознания, связанного с поисковыми быличками – краткими мистическими рассказами, рассматривает поисковую субкультуру с точки зрения историка-этнолога. В качестве иллюстративного материала в тексте статьи приводятся отдельные истории от членов поискового отряда «Новый Феникс» (г. Глазов, Удмуртская Республика), записанные в период с 1999 г. по 2005 г. и более поздние тексты интервью.
Образование алтайской автономии и первые решения ее организаторов
Authors: Папков С.А.
Published: November 2021

В публикации содержатся новые материалы об образовании первой национальной автономии в Сибири, позволяющие глубже оценивать политические условия и потребность выделения Горного Алтая в самостоятельную область, несмотря на малочисленность коренного населения и неразвитость экономики региона. Автор полемизирует со взглядами тех исследователей, которые не находят серьезных социальных и политических причин для образования национальной автономии алтайского народа в начале 1920-х годов. Подобные взгляды, полагает автор, носят умозрительный характер и опровергаются новыми архивными документами. В статье приводится серия оригинальных материалов об утверждении первого состава облревкома области и распределении обязанностей между его членами, о формировании территориальных границ автономии, решении вопросов телеграфной связи, транспорта, имущественных отношений, создании аппарата управления и других оперативных проблем, необходимых для существования области. Особое место в публикации занимает информационное письмо председателя облревкома, характеризующее действия специальных воинских отрядов, присланных для подавления восстания местного населения.
Историография вопроса воспитания подрастающего поколения в допетровской Руси
Authors: Шутова М.А.
Published: November 2021

В данной статье был проведѐн обзор историографической базы по вопросам воспитания юношества в Российском государстве вплоть до XVIII столетия. Исследователями использовались вариативные подходы в изучение данного вопроса и был доступен разнообразный перечень источниковедческой базы, что во многом зависело от эпохи, в которой проживал учѐный. Вопрос об воспитание отроков был и будет актуальным всегда, однако в разные исторические периоды востребованность в изучение данной тематики была не столь ординарная. Задача же современных исследователей — это изучение предшествующего опыта, опираясь на основные историографические достижения, источниковедческую базу с целью формирования новых воспитательных концепций.
PREDICTING THE RISK OF DEVELOPING ABDOMINAL ADHESIONS IN CHILDREN DEPENDING ON ACETYLATION GENOTYPE
Authors:   Odessa National Medical University, Melnychenko M.G. , Kvashnina A.A. ,   Odessa National Medical University, Antonenko P.B. ,   Odessa National Medical University, Antonenko K.A. ,   Odessa National Medical University
Published: November 2021

Objective. To determine the predictive value of the genetic polymorphism of the N-arylacetyltransferase-2 (NAT-2) gene for assessing the risk of postoperative adhesive intestinal obstruction in children. Methods. In all children (36 children with adhesive intestinal obstruction (main group) and 35 planned patients (comparative group)) the acetylation genotype was studied by detecting point mutations of the NAT-2 gene using allele-specific amplification method with analysis of apolymerase chain reaction-restrictionfragmentlengthpolymorphism. Results. The study of the frequency of mutations at position 481 revealed the greatest diversity of the studied variants of genotypes: 33.3% of the children of the main group were homozygous for the wild-type gene, 44.4% were heterozygotes, 22.2% of patients had a homozygous mutant gene. According to the NAT-2 * 6A genotype (G 590 - A), the majority of patients (55.6%) were heterozygotes, 44.4% were homozygotes with the wild-type of the gene. Not a single case of mutation at position 857 has been identified. Among the children of the main group, the share of «fast» acetylators was 69.4%, in the comparison group - 40.0% (χ2=6.215; p=0.013). The development of postoperative adhesive intestinal obstruction in children with the “fast” acetylation genotype occurred in the absence of clinical and anamnestic risk factors and was characterized by a greater severity and prevalence of intra-abdominal adhesive process (PAI was (14.8±1.8) and (8.1±2.4 ), respectively). Conclusion. The risk of developing postoperative adhesive complications in children can be done preventively by determining the genetic polymorphism of the N-acetyltransferase-2 gene. The risk group for developing adhesive intestinal obstruction is made up of children who are the carriers of NAT-2 alleles and correspond to the genotype of «fast» and «moderate» acetylation. Children who are «fast» acetylators have a more pronounced intra-abdominal adhesion process and a higher risk of complications associated with excessive adhesion even in the absence of other risk factors. What this paper adds N-acetyltransferase 2 (NAT2) gene polymorphism as a prognostic risk factor for the development of adhesive intestinal obstruction in children has been studied. Children as the carriers of the «fast» acetylator genotype have a higher risk of developing intra-abdominal adhesions and therefore require more comprehensive preventive measures at all stages of possible influence.