bluuebunny/crossref_metadata_2025 huggingface dataset:
Antifungal Susceptibility Pattern of Fungi Isolated from Patients with Otomycosis Attending a Tertiary Health Care Institution in Sokoto, Nigeria
Authors: Yabo Umar Sufiyanu , Robert Iseh Kufre , Mohammed Yahaya
Published: May 2024

Background:

Antifungal therapy is an important component of patient management for acute and chronic mycoses. However, treatment choices are restricted because of the scanty number of antifungal drug classes. Medical treatment of otomycosis is further compromised by the emergence of antifungal drug resistance, and these limits available drug classes as treatment options. Once considered a rare occurrence, antifungal drug resistance is on the rise in many high-risk medical centers. Most concerning is the evolution of multidrug-resistant organisms refractory to several different classes of antifungal agents, especially among common Candida species.

Aim:

This study seeks to identify the fungal species implicated in otomycosis among patients attending a tertiary health-care institution in Sokoto, Nigeria and determine its susceptibility pattern using commonly used antifungal agents.

Methods:

A descriptive, cross-sectional, hospital-based study was conducted on 100 patients with otitis externa. The ear discharge specimens were collected and analyzed using the standard microbial techniques. The antibiotic susceptibility profiles were determined for 12 different antifungal by the standard disk diffusion method. Data were analyzed using the SPSS software version 25 and the P < 0.05 was considered as statistically significant.

Results:

One hundred and twenty-four external ear discharge samples were collected from either right ear, left ear, or both ears (some patients has unilateral while others have bilateral disease and those with bilateral disease, samples were taken from the two ears). Aspergillus
niger 30 (40.0%) was the most commonly isolated fungi in this study, followed by Candida spp. 25 (33.3%), Aspergillus
fumigatus 5 (6.7%), Mucor 5 (6.7%), Penicillum 4 (5.3%), Aspergillus
flavus 3 (4.0%), and Rhizopus 3 (4.0%) %). The isolated fungi were tested for antifungal sensitivity to 6 antifungal discs. A. niger shows good susceptibility to clotrimazole (100%), nystatin (90%), and fluconazole (83.3%) but was resistant to griseofulvin, terbinafine, and ketoconazole. A. flavus and A. fumigatus also show good sensitivity to clotrimazole, nystatin, and fluconazole. Candida
albicans was only susceptible to clotrimazole but resistant to other tested antifungal disc. Rhizopus and Penicillum species showed 100.0% sensitivity to clotrimazole but also resistant to other tested antifungal discs.

Conclusions:

This study revealed that Aspergillus and Candida species were the most common fungal pathogens causing otomycosis. A. niger is the predominant fungal isolate. Molds isolates showed good susceptibility to clotrimazole, while highest resistance was to terbinafine and ketoconazole. Yeasts isolates showed highest susceptibility to clotrimazole and highest resistance to nystatin and fluconazole.
Disease-specific Quality of Life in Irish Children with Otitis Media with Effusion
Authors: Boyle Seamus , itzsimons Michael , Keogh Ivan
Published: May 2024

Introduction:

Otitis media with effusion (OME) is one of the most common diseases of childhood and causes significant morbidity for children. The benefits of ventilation tubes (VTs) are well established, but the subjective impact of surgery on Irish children’s quality of life (QoL) has not been studied.

Methods:

A prospective single-unit cohort study used a validated QoL survey (Otitis Media-6 [OM-6]) to determine the impact of VT placement on QoL. The OM-6 survey uses a Likert scale, with the higher the value on the Likert scale, the poorer the QoL perceived.

Results:

Seventy-six children with a mean (range) age of 6 (0.5–13) years were recruited for this study. The overall mean OM-6 score for the 76 children was 3.2. Twenty-six children proceeded to surgery. The mean OM-6 score in this cohort preoperatively was 4.5 and reduced to 1.35 at 3 months post-VT placement.

Conclusion:

This study highlights the poor QoL experienced by Irish children with OME. The OM-6 scores are considerably higher in our series than previously published international series. VT insertion leads to an improvement in QoL scores. This validated questionnaire should be a routine adjunct in the holistic management of children with OME.
Distributed Spatially Non-Stationary Channel Estimation for Extremely-Large Antenna Systems
Authors: Xu Yanqing , Wang Shuai , Jiang Ruihong , Wang Zhou
Published: May 2024

This paper aims to develop a distributed channel estimation (CE) algorithm for spatially non-stationary (SNS) channels in extremely large aperture array systems, addressing the issues of high communication cost and computational complexity associated with traditional centralized algorithms. However, SNS channels differ from conventional spatially stationary channels, presenting new challenges such as varying sparsity patterns for different antennas. To overcome these challenges, we propose a novel distributed CE algorithm accompanied by a simple yet effective hard thresholding scheme. The proposed algorithm is not only suitable for uniform antenna arrays but also for irregularly deployed antennas. Simulation results demonstrate the advantages of the proposed algorithm in terms of estimation accuracy, communication cost, and computational complexity.
DTT: A Dual-domain Transformer model for Network Intrusion Detection
Authors: Xu Chenjian , Sun Weirui , Li Mengxue
Published: May 2024

With the rapid evolution of network technologies, network attacks have become increasingly intricate and threatening. The escalating frequency of network intrusions has exerted a profound influence on both industrial settings and everyday activities. This underscores the urgent necessity for robust methods to detect malicious network traffic. While intrusion detection techniques employing Temporal Convolutional Networks (TCN) and Transformer architectures have exhibited commendable classification efficacy, most are confined to the temporal domain. These methods frequently fall short of encompassing the entirety of the frequency spectrum inherent in network data, thereby resulting in information loss. To mitigate this constraint, we present DTT, a novel dual-domain intrusion detection model that amalgamates TCN and Transformer architectures. DTT adeptly captures both high-frequency and low-frequency information, thereby facilitating the simultaneous extraction of local and global features. Specifically, we introduce a dual-domain feature extraction (DFE) block within the model. This block effectively extracts global frequency information and local temporal features through distinct branches, ensuring a comprehensive representation of the data. Moreover, we introduce an input encoding mechanism to transform the input into a format suitable for model training. Experiments conducted on two distinct datasets address concerns regarding data duplication and diverse attack types, respectively. Comparative experiments with recent intrusion detection models unequivocally demonstrate the superior performance of the proposed DTT model.
Eric S. Nelson: Heidegger and Dao: Things, Nothingness, Freedom
Authors: Rošker Jana S.
Published: May 2024

Eric S. Nelson’s Heidegger and Dao: Things, Nothingness, Freedom masterfully interweaves the philosophies of Martin Heidegger and classical Daoism, offering an intricate examination of their treatment of key concepts such as things, nothingness, and freedom. The book explores the nuanced variations and transformative interpretations of these central ideas, illuminating their profound impact on both Western and East Asian philosophical traditions. Both Asian and Western academics have long sought a book that offers a coherent and comprehensive introduction to the European reception of East Asian, and especially Daoist, philosophy, and thus one of the most significant contributions of this work is in fulfilling this need.
Epidemiología y carga de enfermedad por VRS en España. SiVIRA, temporadas 2021-22 y 2022-23
Authors: Puma Olguin Tania Carolina , Mazagatos Clara , Galindo-Carretero Silvia , Vega-Piris Lorena , Lozano-Álvarez Marcos , Pérez-Gimeno Gloria , Monge Susana , Larrauri Amparo
Published: May 2024

Introducción: Es esencial conocer la carga de enfermedad de la infección respiratoria aguda por Virus Respiratorio Sincitial (VRS) antes de la implementación de cualquier medida preventiva. El objetivo de este estudio es describir la epidemiología de la infección por VRS y estimar su carga de enfermedad en España a partir del Sistema de Vigilancia de Infección Respiratoria Aguda (SiVIRA).
Método: Con datos de SiVIRA se estimaron casos en Atención Primaria y hospitalizaciones por VRS, por grupo de edad, en las temporadas de 2021-22 a 2022-23. Las hospitalizaciones estimadas con SiVIRA se compararon con datos de altas hospitalarias por VRS en el periodo 2016-2020, obtenidas del Conjunto Mínimo Básico de Datos (CMBD).
Resultados: SiVIRA estimó un promedio por temporada de 907.194 casos en Atención Primaria y 29.081 hospitalizaciones por VRS en España. Los <5 años concentraron 259.013 casos (28,6%) y 15.375 hospitalizaciones (52,9%), y requirieron con mayor frecuencia ventilación mecánica invasiva (6,9%) y admisión en la Unidad de Cuidados Intensivos (UCI) (14,4%). En ≥65 años se estimaron 128.590 casos (14,2%) y 10.360 hospitalizaciones (35,6%). En el análisis ampliado del CMBD, se observaron 21.258 hospitalizaciones en <5años (42,4%), y 22.758 en los ≥65 años (45,4%).
Conclusiones: El mayor impacto de la infección por VRS se produce en los niños <5 años, especialmente en <1 año. La considerable carga hospitalaria en adultos mayores aconseja valorar medidas preventivas de salud pública. Las estimaciones de carga hospitalaria a partir de la vigilancia SiVIRA fueron comparables a las obtenidas con el análisis ampliado del CMBD.
„Realizm i rozwaga”. Środowisko Ośrodka Dokumentacji i Studiów Społecznych wobec narodzin „Solidarności” (sierpień – listopad 1980)
Authors: Sikorski Tomasz
Published: May 2024

The article discusses the relationship of the movement associated with the Center for Documentation and Social Studies to the birth of ”Solidarity“ (August–November 1980). Established in 1967, ODiSS first remained in a close formal-legal relationship with the ”Więź“ team and the Warsaw NCI (as part of the ”Znak“ movement), then in 1974 became independent, creating a separate entity, alternative and competitive to other Catholic circles and groups. ODiSS saw Solidarity as both a labor syndicate and a mass movement for social revictimization and social empowerment. Activists and participants in the movement were actively involved in assisting regional and company structures of the union, providing advice and legal assistance, and applying for workers’ rights in the forum of the People’s Republic of Poland’s parliament. At the same time, they warned against political involvement of ”Solidarity“, demands for system change, etc. ODiSS, representing religious people, remained in close contact with Primate S. Wyszynski and the Episcopate, although it was an autonomous environment, acting on its own responsibility. It also held formal and informal talks with representatives of the communist regime. It considered it crucial for both sides of the August agreements to keep their commitments and guarantees, which was to serve a genuine national understanding and the real democratization of socialism. In its activities, it adopted the ”constructive center“ formula. Being aware of operating within the framework of the legal and political rules in force (a concessionary environment), it balanced between what was optimal and what was possible in certain political realities, hence in its assessment of “Solidarity” it maintained prudent moderation, prudence and realism.
Czy czytelnicy „Trybuny Ludu” wierzyli jeszcze w partię? Listy do Centralnego organu KC PZPR u schyłku jej istnienia. Studium źródeł z drugiej połowy lat osiemdziesiątych
Authors: Rokicki Konrad
Published: May 2024

Trybuna Ludu” – the main press organ of the PZPR – presented its official political line. It was supposed to be the voice of the party leadership – not a forum for discussion. However, at the end of the 1980s, alongside the previously existing columns presenting readers’ letters selected by the editors for printing or discussion (real or fictional – this is always difficult to tell in magazines with such a propagandist and ideological profile), other kinds of readers’ voices began to appear. They were meant to be a contribution to the discussion on the necessity and shape of the reform of both the PZPR and the state. This was a discussion controlled by an editorial board which was more conservative in the sphere of ideology than the party authorities. In the surviving internal “Trybuna Ludu” bulletins and letters to the editor-in-chief, we find an overview of authentic letters that were not printed because they were too critical towards the actions of the party leadership. It was only after the loss of power by the PZPR, when the real discussion began as to whether and in what form the party could still be saved. However, it could not in any way strengthen the credibility of the PZPR in society.
Walking the mile - Fostering diabetes self-management and psychosocial skills among pharmacy students through a hybrid advanced diabetes certificate elective course
Authors: Atanda-Oshikoya Adenike , George Emanuel , Killam-Worrall Lisa
Published: May 2024

Background: Pharmacy school curricula contain required course content in diabetes management. However, patient-care skills like effective communication, lifestyle counselling, and the provision of healthy coping strategies require additional training opportunities that are not typically afforded in the required diabetes curriculum.
Methods: A 2-credit hour elective course was created to provide third-year pharmacy students with first-hand experience in diabetes self-management and the psychosocial aspects of diabetes care. The course includes the certificate training programme "The Pharmacist and Patient-Centered Diabetes Care" offered by the American Pharmacists Association (APhA).
Results: 110 pharmacy students completed four-course cohorts. Average capstone assessment scores were 92% for the patient case and 88.3% for hands-on diabetes management skills. 99.1% of students successfully obtained the APhA certificate with an average final assessment score of 85%. Students demonstrated an understanding of the psychosocial and behavioural aspects of diabetes care through simulation and case-based activities.
Conclusion: The course had a positive impact on pharmacy students' proficiency in diabetes care and self-management skills, as evidenced by their performance within the APhA certificate programme. Through simulation activities, students gained firsthand experience and demonstrated an understanding of the psychosocial aspects of diabetes care.
THE DECAY OF JAPAN’S LABOUR MARKET: NEW IMMIGRATION POLITICS AND THEIR IMPLICATIONS ON THE NATIONAL LABOUR SHORTAGE
Authors: Holzapfel Niklas
Published: May 2024

Japan’s population decline is destabilising the national labour market. In response to the demographic threat, in April 2019 the Japanese Ministry of Justice officially introduced the new Specified Skilled Worker policy. This ‘temporary’ labour migration programme was designed to alleviate the domestic labour shortage by intensifying the acquisition of global human resources. Yet whether this political measure is capable of reducing the deficit remains to be seen. By reviewing the government’s prior and current labour supply strategies, this study aims to assess the policy’s potential to contribute to the consolidation of the national employment market. By highlighting structural deficiencies and proposing some reforms, this article seeks to ignite a public debate about the need to revise the current Specified Skilled Worker policy in an attempt to halt the decay of Japan’s labour market.
DOES INFRASTRUCTURE SUSTAIN ECONOMIC GROWTH AND SOCIETAL PROGRESS?
Authors: Moozhiyan Shameer
Published: May 2024

This paper explores the multifaceted impact of infrastructure on economic growth and societal development. It delves into key developments in India, and direct and indirect effects. Highlighting challenges, the study emphasizes the transformative role of infrastructure and proposes comprehensive strategies for overcoming obstacles, fostering holistic societal and economic advancement.
POLICY OF MOBILIZING RESOURCES FROM THE COMMUNITY FOR NEW RURAL DEVELOPMENT IN VIETNAM
Authors: Thi Hoang Yen Nguyen
Published: May 2024

Mobilizing resources from the people and the community is crucial and necessary for investing in the New Rural Development (NRD) in Vietnam. In recent years, the Government has implemented policies to mobilize resources from the people and the community for NRD, creating new milestones for rural development. Thanks to the contributions of the people and the community, the NRD has achieved remarkable achievements. The rural economy has developed, the rural landscape has been renewed, the material and spiritual life of the people has been improved, and more and more localities have met the new rural area standards. In addition to the achieved results, the resources and potential in the rural community have not been fully exploited, and the methods and ways of mobilizing resources from the people for NRD have not been unified in many places. Mobilizing resources from the people and the community for NRD still faces challenges in the new context of economic restructuring and urbanization affecting rural people. This requires the establishment of policies to effectively mobilize and exploit the resources of the people and the community. This article addresses the issue of policies for mobilizing resources from the people for New Rural Development and proposes solutions for improvement.
CHINESE DIPLOMACY OF BILATERAL RELATIONS: ANANALYSIS OF CHINA- SRI LANKA RELATIONS
Authors: JOHN JINIL
Published: May 2024

To comprehend the dynamics and character of modern bilateral inter actions, one must study their historical context. To comprehend the dynamics and character of modern bilateral interactions, one must study their historical context. This paper examines the evolution of the China –Sri Lanka relationship since ancient times in four parts. The first section deals with the nature of the relationship in the ancient period, followed by the developments in the postindependent period of Sri Lanka that occurred with the arrival of UNP (United National Party) in power and their formulation of foreign policy which determined the initial attitude of independent Sri Lanka towards China. It was observed that the initial stage of Sri Lanka's foreign policy is deeply rooted in anti-China sentiments due to the legacies of British colonial rule. However, the mutually beneficial Rubber Rice Deal between China and Sri Lanka paved the way for the melting of anti-China feelings among SriLankan officials. Domestic political development along with the arrival of SLFP (Sri Lankan Freedom Party) into power and their pro-China attitude helped to strengthen the relationships between the countries. Chinese investment and aid policies towards Sri Lanka are vital factors in the relationship.
RESEARCH ON THE REALIZATION MECHANISM OF THE KEY CORE TECHNOLOGY CAPABILITIES OF SPECIALIZED AND SPECIAL NEW ENTERPRISES
Authors: Huabin Wu  , Zirui Lin
Published: May 2024

As China is currently facing technology bottlenecks, the transformation and development of key technologies are imminent. As a typical organization of breakthroughs in key core technologies and an important carrier of the national innovation-driven development strategy, how to achieve breakthroughs in key core technologies and the study of its intrinsic mechanism have become indispensable links. Our investigation and study revealed that the internal development mechanism of breakthroughs in the key core technologies of specialized and special new enterprises is often limited by the depth and breadth of policies, the weakness of the overall industrial chain, and backward enterprise management models. Based on the above problems, mechanism exploration from the macro, meso, and micro perspectives will help enrich the theoretical system of key core technologies and provide new development perspectives for the transformation and upgrading of specialized and new enterprises in this new situation.
EXPLORING THE LINKAGE BETWEEN SKILLS ACQUIRED AND INCOME EARNED ON THE ECONOMIC EMPOWERMENT OF THE WOMEN WORKING IN URBAN INFORMAL SECTOR IN THE CITY OF TAJ: AN EMPIRICAL STUDY
Authors: Goel Sonia , Ganguly Reshmi
Published: May 2024

Women, when endowed with economic resources and having control over meaningful decisions, tend not only to benefit themselves but also their households and communities. Access to training can enhance the income-earning ability of women, thereby leading to an increase in her ability to question and use resources for betterment of life and to make rational decisions. Using data from a primary survey of working women in the urban informal sector in Agra, this paper examines the role of skills acquired through training, amount of income earned the interaction term of high income coupled with skills acquired in determining economic empowerment. The index of economic empowerment is constructed using eleven indicators. We have further examined if economic empowerment of self-employed women who have acquired training to do intricate work is significantly different from the women who work for wages. The main results of our paper show that higher income earned does lead in enhancing economic empowerment of women in our sample. However, the interaction term, that is training acquired along with higher incomes earned plays a significant role in determining economic empowerment. We also find that the self-employed women are more economically empowered than the women who work for wages. Given the results of the paper, one of the policy recommendations is to create training camps to impart knowledge and skills to women at a relatively younger age which will boost employment opportunities and can help women earn higher incomes which are a dire need. This will ensure greater economic empowerment.
SOCIO ECONOMIC CONDITIONS OF WOMEN WORKERS IN UNORGANISED SECTOR: A STUDY OF SALES WOMEN IN TEXTILE SHOPS IN THIRUVANANTHAPURAM CORPORATION
Authors: Remya B Ms. , Dhanya M Dr.
Published: May 2024

The unorganized sector is a significant and influential component of many economies around the world. Unorganized sector provides income and employment opportunities to the people. A large number of women from weaker sections of the society are attracted to this sector. Despite its importance, the unorganized sector also faces challenges such as lack of legal protections for workers, vulnerability to exploitation, limited access to formal financial services, and barriers to growth and formalization. The socio-economic conditions of women in the textile shops can vary depending on factors such as geographic location, the specific segment of the textile shops, and local regulations. The present study focused on the socio-economic conditions of women in textile shops in Kerala.
Elranatamab treatment in a multiple myeloma patient undergoing renal dialysis
Authors: Van de Wyngaert Zoé , Romera-Martinez Irene , Chedeville Céline , Musiu Paolo , Ikhlef Souhila , Jonca Bénédicte , Mohty Mohamad , Malard Florent
Published: May 2024

We present the case of a dialyzed patient with relapsed IgA and lambda free light chain multiple myeloma treated with elranatamab. Despite end-stage renal impairment, the treatment with anti-B cell maturation antigen (BCMA)xCD3 bispecific antibody proved to be feasible, without unexpected side effects. Increased attention to infectious risk is crucial for these doubly fragile patients.
Utilización del sistema digital CAD-CAM en odontólogos de la Universidad Privada de Huancayo Franklin Roosevelt, 2023
Authors: Zavaleta Alemán Liliana Melchora , Robles Vargas Gregorio Eudocio , Hinostroza Conchucos Geraldine Junet , Baltazar Sanchez Guillermo Sixto , Rojas Huari David
Published: May 2024

Objetivo: Determinar la prevalencia de la utilización del sistema digital CAD-CAM en odontólogos de la Universidad Privada de Huancayo Franklin Roosevelt, 2023. Material y métodos: Estudio básico de investigación descriptiva, transversal, prospectiva y observacional. La muestra estuvo constituida por 16 cirujanos dentistas docentes de la Universidad Privada de Huancayo Franklin Roosevelt. El instrumento de recolección de datos fue un cuestionario, de elaboración propia y validado por un juicio de expertos, de 20 preguntas cuyo objetivo principal fue recabar información respecto a los factores sociodemográficos y el uso de CAD/CAM para posteriormente ser analizados estadísticamente. Resultados: La prevalencia de la utilización del sistema digital CAD-CAM en odontólogos de la Universidad Privada de Huancayo Franklin Roosevelt es de 43,8% del total de evaluados; según el sexo, solo el 46,1% de los varones y el 33,3% de las mujeres utiliza el sistema CAD-CAM; según  la edad, el 44,6% del grupo de 31 a 49 años, y el 42,9% de los odontólogos de 50 años a más utiliza el sistema. El nivel de conocimiento del sistema digital CAD-CAM fue alto en el 68,8% de los odontólogos, moderado en el 18,7% y bajo en el 12,8%. El mantenerse al día con la tecnología (57,1%) y la mejora de la calidad de los tratamientos (42,9%) son las principales razones de utilización del sistema; mientras que las razones de la no utilización del sistema digital CAD-CAM con mayor prevalencia fueron los costos altos (77,8%) y la necesidad de tener mucho conocimiento de la tecnología del sistema (22,2%). Finalmente, el 100% de los odontólogos manifiesta que el sistema digital CAD-CAM tiene un papel importante en el futuro de la odontología.  Conclusiones: Se concluye que el 43,8% de los odontólogos de la Universidad Privada de Huancayo Franklin Roosevelt, 2023; utiliza el sistema digital CAD-CAM.
Morphotectonic Analysis in the Sombe Lewara Sub-Watershed in the Region of Palu City and Sigi Regency, Central Sulawesi Province
Authors:   Faculty of Engineering, Geological Engineering Program, Department of Civil Engineering, Tadulako University, Tawil Sukardan
Published: May 2024

A study on the tectonic activity index (IAT) was conducted in the Sombe Lewara Sub-Watershed, encompassing the area of Palu City and Sigi Regency, Central Sulawesi Province. The objective of this research was to determine the level of tectonic activity in the Sombe Lewara Sub-Watershed. The analysis employed in this study was morphotectonic analysis, utilizing parameters such as Hypsometric Integral (HI), Basin Shape (BS), Asymmetry Factor (AF), Stream Length-gradient Index (SL), Area Factor (AF), and Valley floor width-to-height ratio (Vf ratio). The tectonic activity index (IAT) value in the Sombe Lewara Sub-Watershed was 1.6, which classifies it within the high tectonic activity category. This high level of tectonic activity in the research area influences the landscape conditions and the types of rocks present. The predominant rock types in the study area are sedimentary rocks such as conglomerate deposits, sandstone, siltstone, and claystone. These rocks form the character of an expansive alluvial fan landscape that nearly covers the entire plain. One of the primary factors contributing to liquefaction in the Balaroa Region is that the area is composed of sand sediment deposits and granite boulders that constitute the alluvial fan.
Enhancement Entrepreneurial Readiness for Vocational High School Students in Terms of Transferable Skills, Competency Skills and Interest in Entrepreneurship
Authors:   Department of Mechanical Engineering Education, State University of Malang, Semarang St. No.5, Malang, Indonesia, Purnomo Purnomo , Hadi Syamsul ,   Department of Mechanical Engineering Education, State University of Malang, Semarang St. No.5, Malang, Indonesia, Romlie Maftuchin ,   Department of Mechanical Engineering Education, State University of Malang, Semarang St. No.5, Malang, Indonesia
Published: May 2024

The focus in this article is to reveal enhancement entrepreneurial readiness for high school students in terms of transferable skills, competency skills and interest in entrepreneurship. The design of this study uses quantitative correlational. The results of this study (1) There is a significant contribution of transferable skills, expertise competencies and interest in entrepreneurship to entrepreneurial readiness that is equal to 63.2%, (2) There is a significant contribution of transferable skills to entrepreneurial readiness that is equal to 26.1%. (3) There is a significant contribution of expertise competence to entrepreneurial readiness that is equal to 8.3%. (4) There is a significant contribution of interest in entrepreneurship to entrepreneurial readiness that is equal to 28.8%.
Quo Vadis Role of the Indonesian Election Supervisory Body In Monitoring the Neutrality of Civil Servants
Authors:   Lecturer of Faculty of Law Universitas Diponegoro, Indonesia, Wisnaeni Fifiana , Pinilih Sekar Anggun Gading ,   Lecturer of Faculty of Law Universitas Diponegoro, Indonesia, Sihaloho Elisabeth ,   Student of Master of Law Program, Universitas Diponegoro, Indonesia
Published: May 2024

Indonesian election as a form of democratic party, must be able to create a climate to pays attention for every principle of implementation of general elections. Such as, the principles of direct, general, freedom, confidential, honest, and fair without exception to state’s civil service. Although there has been the election supervisory body, but in reality cases of state’s civil servant non-neutrality are increasing in every period of election implementation. So, this article will examine and analyze how the form of supervision carried out by Indonesian Election Supervisory Body in case for maintaining the principles of general elections, especially to supervise civil servants. The research uses a normative judicial method with literature studies on law and regulations and other scientific writings that belong to the research topic. At the end, there are recommendation for the improvement of Indonesian Election Supervisory Body on order to increase the effectiveness of supervision over civil servants.
Actualization of Islam: Conceptual Analysis and Operationalization of Intellectual Substantive Da'wah by Nurcholish Madjid In Indonesia
Authors:   Universitas Islam Negeri Sunan Gunung Djati, Aripudin Acep , Junaedi Jujun ,   Universitas Islam Negeri Sunan Gunung Djati
Published: May 2024

Islam is a religion that contains doctrine and historical values that are visible in missionary activities. This practice cannot be separated from two aspects of Islam including the development of ideas and social change. Therefore, this research aims to ensure that the practice of da'wah also encourages the development of Islamic thought patterns in the Indonesian context. By searching the literature and sharp interpretation with a hermetic approach to Nurcholish Madjid's preaching thoughts which are scattered in several of his writings and lectures. The results can be seen in the da'wah themes presented as a response to social changes that continue to develop, such as human rights, moral violations, corruption, environmental degradation, religious conflict, politics, intolerance, discrimination, the importance of quality education, and gender equality challenges played by Muslim intellectuals. In addition, ethical values in Islamic doctrine are observed and reconceptualized to ward off moral and social violations, correlated with existing challenges as done by Cak Nur (Nurcholish Madjid). Providing responsive and contextual da'wah practices as carried out by intellectuals appears to be more substantive and targets the conceptual and operational problems of society. Therefore, the contribution of da'wah activities is clearly visible in the change and progress of society.
The Implementation of Good Governance for Optimizing the Potential Corruption Prevention in the Development of the Nusantara (IKN)
Authors:   Faculty Of Law, Universitas Pembangunan Nasional “Veteran” Jakarta, Indonesia, Harefa Cahya Hardianto , Harefa Beniharmoni ,   Faculty Of Law, Universitas Pembangunan Nasional “Veteran” Jakarta, Indonesia, Bakhtiar Handar Subhandi ,   Faculty Of Law, Universitas Pembangunan Nasional “Veteran” Jakarta, Indonesia
Published: May 2024

The decision to develop the Archipelago Capital (IKN) as the capital city of Indonesia is one of the state political decisions that has a big vision towards a Golden Indonesia 2045. As a project with a large and complex budget, its financial management must be carried out in an accountable manner, free from corrupt practices, and supported with a strict monitoring system so that it can run by prioritizing the principles of good governance. Therefore, IKN development policies and regulations must be in line with these principles and objectives. This study aims to describe the current condition of IKN development related to the potential for corruption, opportunities, and obstacles in preventing it. So, this study can produce policy recommendations that can be implemented in the implementation of IKN development. The legal research method used in writing this thesis is a normative juridical research method, with a statutory approach. The research uses qualitative analysis using primary and secondary legal data/material sources. Data/legal material processing activities begin with collection, analysis, and presentation, then formulated and presented systematically and descriptively according to the respective subject matter. The results of the study show the potential for corruption in the institutional aspects of the IKN Authority which are still weak in supervision, financing schemes that are vulnerable to conflicts of interest, and the implementation of IKN development where the procurement of goods still has the potential to give rise to bribery and conflicts of interest. This makes the development of IKN not in line with the principles of good governance. So, to prevent potential corruption in IKN development, better prevention optimization is needed in these three aspects, both in the preparation of clauses in regulations and the formation of institutions. It is hoped that this will enable the IKN project to run efficiently, effectively, and without corrupt practices occurring.
Attrition rate among patients of Anorectal Malformations on colostomy: A matter of concern
Authors: Kumar Parveen , Dey Sauradeep , Damdoo Ashvin , Kumar Shishir , Manchanda Vivek
Published: May 2024

Background: Anorectal malformations (ARM) are correctable congenital malformations with good prognosis. Traditionally it is managed by staged procedure, with diversion colostomy, followed by definitive procedure and stoma reversal in the third stage. It is recommended to complete all stages of repair by 6 months of age for better long-term continence. We had fewer patients coming for definitive surgery and stoma reversal than the patients undergoing colostomy for ARM, so we planned this study to find out the attrition rate among patients undergoing stoma for ARM and explore the reasons for the same.
Methods: An observational study was conducted in the Pediatric Surgery department of Chacha Nehru Bal Chikitsalaya, New Delhi. All the case records of patients with ARM who underwent diversion stoma at our center from January 2018 to December 2019 were retrieved. Further follow-up case records were retrieved with the same Unique Health Identification Number (UHID). When the definitive surgery/ stoma closure was not found in the hospital records till December 2022, the parents were contacted telephonically to find out if the children had undergone definitive surgery at some other center, were awaiting surgery, or had died. The attrition was calculated as the difference between the number of patients for whom a stoma was done and the number of patients who underwent definitive surgery and stoma closure till the data acquisition.
Results: A total of 105 patients were included in the study with male preponderance. Colostomy was done for 73.33% of patients in the neonatal period (77/105). The cloacal malformation was found in 7 (6.67%), rectal atresia in 6 (5.71%), and 9 had congenital pouch colon (8.57%). The age at stoma creation for ARM ranged from 1 day to 9.3 years (mean 0.67 ±1.96 years). Cardiac and renal anomalies were among the major associations. 28 of the neonates (26.67%) had stomal complications. Stomal issues were reported in 32.4%. Mortality was reported in 37 patients (35.24%) including 35 neonates. The attrition rate in our study was found to be 38.24% (26 out of 68). Factors contributing to attrition range from anemia and protracted waiting lists to the anesthesiologist’s pursuit of optimal patient stabilization, alongside familial or personal matters faced by caregivers.
Conclusion: There was a high attrition rate in operated patients of ARM in whom stoma was constructed. The main reasons for the same were anemia and a long surgical waiting list.
Applying Machine Learning to Estimate the Impact of Carbon Pricing on Company Financials
Authors:   Student (MS in Information Technology), University of Cincinnati, OH, USA, Nimmala Rohit , Nimmala Jagrut ,   Data Engineer, OH, USA
Published: May 2024

Implementing carbon pricing policies, such as carbon taxes and cap-and-trade systems, carries substantial financial consequences for companies operating in diverse industries. The precise evaluation of the effects of these policies is essential for businesses and investors in mitigating risks and making wellinformed choices effectively. The present white paper investigates the utilization of machine learning methodologies to estimate the financial ramifications of carbon pricing on corporations across diverse sectors. The development and evaluation of machine learning models that capture industry-specific factors and dynamics are achieved through company financial data, emissions data, and scenario variables. The paper examines the difficulties and constraints associated with these models, such as data accessibility, the interpretability of the models, and their ability to be applied to different sectors. Additionally, we offer suggestions for potential improvements and the incorporation of other risk assessment tools in the future. Our study’s results showcase machine learning’s capacity to facilitate well-informed decision-making regarding carbon pricing and climate risk handling.
Security Vulnerabilities in Toll Collection System
Authors:   USA, Lembhe Pankaj
Published: May 2024

Security vulnerabilities in toll collection systems can pose significant risks to the integrity of these systems. These vulnerabilities can include unauthorized access to sensitive information, tampering with electronic payment systems, and disruption of communication between vehicles and roadside infrastructure. Furthermore, the complexity of toll collection systems and the increasing reliance on electronic payment technologies introduce additional potential vulnerabilities. These vulnerabilities highlight the importance of implementing robust security measures to protect toll collection systems and ensure the privacy and safety of users.
Ascities after Liver Cirrhosis Diagnosis and Treatment
Authors:   Department of Hepatobiliary and Echinococcosis Surgery, Digestive and Vascular Surgery Center, The First Affiliated Hospital, Xinjiang Medical University, 830011 Urumqi, China, Mahmood Ahmad , Zhayier Mustafa ,   Department of Hepatobiliary and Echinococcosis Surgery, Digestive and Vascular Surgery Center, The First Affiliated Hospital, Xinjiang Medical University, 830011 Urumqi, China, Shoaib Mohammad ,   Department of Hepatobiliary and Echinococcosis Surgery, Digestive and Vascular Surgery Center, The First Affiliated Hospital, Xinjiang Medical University, 830011 Urumqi, China
Published: May 2024

Ascites, the accumulation of fluid in the abdominal cavity, is a common complication in patients with cirrhosis. Approximately 50% of patients with compensated cirrhosis will develop ascites over a 10-year period, marking a significant milestone in the progression of end-stage liver disease. Survival rates decrease after the onset of ascites, with only 50% of patients surviving 2 to 5 years, depending on the underlying cause of cirrhosis, The management of ascites involves salt restriction and diuretic use, which are effective in about 90% of patients in reducing fluid accumulation and symptoms. In cases where ascites does not respond to these measures, additional interventions such as large-volume paracentesis may be necessary as a temporary solution or for symptomatic relief while awaiting liver transplantation, for patients with refractory ascites, the transjugular intrahepatic portosystemic shunt (TIPS) procedure can be considered. This involves creating a shunt between the portal vein and hepatic vein to reduce portal hypertension. TIPS can serve as a bridge to liver transplantation or provide long-term palliation, but careful monitoring for bacterial peritonitis is essential. Patients at high risk for bacterial peritonitis should receive antibiotic prophylaxis to prevent this serious infection. Prompt diagnostic paracentesis is necessary when spontaneous bacterial peritonitis is suspected, involving the removal and analysis of fluid from the abdominal cavity
Biofungicides against kidney bean diseases
Authors: Sabluk V. T. , Sinchenko V. M. , Furman P. V.
Published: May 2024

Purpose. Establishing the efficiency of bio-fungicides against diseases of kidney bean. Methods. Field (spraying crops with bio-fungicides), mathematical and statistical (determination of the significance of deviations between treatments). Results. Spraying kidney bean crops with fungicides of biological origin helps to protect plants from significant damage by such dangerous diseases as powdery mildew, anthracnose, and rust. In particular, in the treatment with the application of bio-fungicides Phytohelp and Mycohelp, the efficiency of powdery mildew control was 65.0-66.3%, the efficiency of anthracnose and rust control was 41.0-41.2% and 47.6-59.8%, respectively, which was slightly (by 3.4-12.8%) lower compared to spraying crops with synthetic fungicides Derosal 500 SC. The yield of kidney bean seeds in the treatments with bio-fungicides was 8.9-9.6% higher compared to the control and 1.1-1.8% lower compared to the standard method. The use of bio-fungicides against kidney bean diseases complies with the European Green Deal on protecting the environment from chemical pollution. Conclusions. Damage to kidney bean crops by diseases leads to a decrease in the assimilation surface of plants and a decrease in the intensity of photosynthesis. The application of bio-fungicides, the composition of which includes fungi and bacteria, contributes to a significant reduction in the damage to the above-ground part of plants by such diseases as powdery mildew, anthracnose, and rust and to the preservation of a significant share of the crop yield.
Viktor and Sergiy Kochetov “Non-approved Moments”
Authors: Osadcha Oleksandra
Published: May 2024

Since the 1960s, the Kharkiv School of Photography has evolved as a result of photography’s exclusion from official culture and the absence of photographic institutions in both pre-Independent and Independent Ukraine. Therefore, the immediate circle of colleagues served as the primary reference group for artists. As a result, the Kharkiv photographers developed a habit of working together, inadvertently obscuring the concept of authorship. The article examines the working methods of the father-and-son duo of Viktor (1947–2021) and Sergiy Kochetov (born 1972). They both worked as photojournalists and aimed to depart from the cliched imagery of the official press. Through the intensive hand colouring of their black and white pictures, the photographers focused on the unstaged (post)Soviet reality. Stages and focuses of collaboration are reviewed, showing the mechanisms they transgress the conventional notion of authorship.
Twenty First Century Treatments for a Nineteenth Century Disease: Polymyalgia Rheumatica
Authors:   Department of Clinical Skills, St George’s University, Grenada, West Indies, K Rooney Jennifer , J Rooney Patrick ,   Department of Clinical Skills, St George’s University, Grenada, West Indies
Published: May 2024

Objective: Polymyalgia Rheumatica (PMR) was first described in the 19th century in five elderly men in the Scottish spa at Strathpeffer by Dr. William Bruce [1]. The treatment of this common, painful, disabling condition has been corticosteroids virtually since these were first introduced to clinical practice 70 years ago [2]. This condition is the commonest reason for long term use of corticosteroids in the elderly. The side-effects of these agents are severe, and this is especially true in older age groups. The recent introduction of biological Disease Modifying Antirheumatic Drugs (DMARDs) and newer synthetic DMARDs has raised hope that effective treatment of PMR can be offered, and the serious side-effects of traditional steroid treatment circumvented. This review offers a summary of recent attempts to use these new antirheumatic agents. Methods: The authors searched Medline and PubMed using the search items polymyalgia rheumatica, giant cell arteritis and temporal arteritis over the past fifteen years. As much as possible, this search focused on treatment of PMR and Giant Cell Arteritis (GCA) with corticosteroids and newer synthetic and biological DMARDs where outcomes including toxicity and side-effects could be assessed. Results: The reports in the literature of the exhibition in PMR of a wide range of treatments including the newer organic and biological DMARDs have been reviewed. To date no entirely satisfactory alternative to corticosteroids for the control of this disease has been reported. Conclusion: Some of the newer DMARDs have shown promise in the management of PMR but, to date, no agent has been found adequate to replace the use of corticosteroids in the treatment of this disease.
Market Research Study: Exploring the Current State of HPV Vaccine (Access and Utilisation) in Independent Pharmacies in South Africa
Authors:   Deapartment of Pharmacy and Medicine, university of Western Cape, South Africa, Adams Siraaj , De Koker Rudi ,   Department of Public Health, university of Stellenbosch, South Africa
Published: May 2024

Human papillomavirus (HPV) is a common sexually transmitted infection that can lead to a range of serious health issues, including cervical cancer
Research Progress in Pharmacokinetics of Phosphocreatine a Cardioprotective Agent with a Dual Antiplatelet Activity
Authors:   Office of Ethics Committee, The First Affiliated Hospital, Dalian Medical University,  China, Xu Lei , Han Guozhu ,   Department of Pharmacology, College of Pharmacy, Dalian Medical University, China
Published: May 2024

Phosphocreatine (PCr), a natural physiological active high energy phosphate compound, plays a pivotal role in maintaining energy homeostasis via acting as a temporal and spatial buffers of bodily energy.
COVID-19 Vaccination Policies and Coverage Across 48 OECD-Related Countries at the End of the COVID-19 Emergency
Authors:   Department of Environmental Health, Harvard T.H. Chan School of Public Health,  USA, Fernandez-Montero Alejandro , Katherine Gribble Anne ,   Occupational Medicine, Cambridge Health Alliance, Harvard Medical School, USA, Moreno Garralaga Laura ,   Instituto de Investigación Sanitaria de Navarra (IdiSNA), Spain, Huang Ya Chin ,   Department of Environmental Health, Harvard T.H. Chan School of Public Health,  USA, Fisher Karen ,   Nepean Blue Mountain Local Health District, NSW Health, Australia, N Kales Stefanos ,   Department of Environmental Health, Harvard T.H. Chan School of Public Health,  USA
Published: May 2024

This study analyses COVID-19 vaccination policies across a large sample of countries and international regions at the end of the COVID-19 emergency. We compared levels of vaccination, manufacturers supplying administered doses, recommendations for age of vaccination in the healthy population