bluuebunny/crossref_metadata_2025 huggingface dataset:
Leading Volunteers Through Disruptive Organizational Change
Authors: Akinribade Samuel
Published: September 2023

A recent study conducted by Windon et al. has revealed a concerning decline of approximately 120% in volunteerism within nonprofit organizations. The U.S. Religion Census of 2012 reported that 25% of nonprofit organizations are religious congregations in the United States. The COVID-19 pandemic has challenged Christian organizational leaders (COLs) to adapt and lead their volunteers through an organizational crisis quickly. Unlike for-profit leaders who can depend on compensation to motivate their employees, nonprofit leaders must employ innovative leadership strategies to prevent burnout. This study explores how COLs handled the transition from in-person to virtual operations and highlights the best practices they used to motivate volunteers and avoid burnout among volunteers. The valuable insights shared by COLs in this study can be helpful for nonprofit leaders who aim to lead their volunteers effectively through crises and reduce volunteerism burnout.
AI-Enabled Assessment and Feedback Mechanisms for Language Learning
Authors: Yesilyurt Yusuf Emre
Published: September 2023

This chapter examines the integration of artificial intelligence (AI) in language learning assessment and feedback. It highlights limitations of traditional models before exploring AI-driven innovations in automated scoring, speech recognition, multimodal analytics and adaptive testing. The ensuing pedagogical transformation is discussed. AI feedback mechanisms including automated writing evaluation, intelligent tutoring systems, conversational agents, affective computing and learning analytics dashboards are analyzed. Benefits are presented alongside challenges regarding ethics, overreliance on technology and transparency. Case studies provide examples across educational contexts. The future outlook considers emerging innovations, increased accessibility, research gaps, policies and human-AI partnerships. The conclusion emphasizes responsible, human-centric integration of AI to enhance pedagogy and learner experience.
Impact of Mycobacterium tuberculosis Glycolipids on the CD4+ T Cell–Macrophage Immunological Synapse
Authors: Mwebaza Ivan , Shaw Rachel , Li Qing , Fletcher Shane , Achkar Jacqueline M , Harding Clifford V , Carpenter Stephen M , Boom W Henry
Published: September 2023

Mycobacterium tuberculosis cell-wall glycolipids such as mannosylated lipoarabinomannan (ManLAM) can inhibit murine CD4+ T cells by blocking TCR signaling. This results in suppression of IL-2 production, reduced T cell proliferation, and induction of CD4+ T cell anergy. This study extended these findings to the interaction between primary human CD4+ T cells and macrophages infected by mycobacteria. Exposure of human CD4+ T cells to ManLAM before activation resulted in loss of polyfunctionality, as measured by IL-2, IFN-γ, and TNF-α expression, and reduced CD25 expression. This was not associated with upregulation of inhibitory receptors CTLA-4, PD-1, TIM-3, and Lag-3. By confocal microscopy and imaging flow cytometry, ManLAM exposure reduced conjugate formation between macrophages and CD4+ T cells. ManLAM colocalized to the immunological synapse (IS) and reduced translocation of lymphocyte-specific protein tyrosine kinase (LCK) to the IS. When CD4+ T cells and Mycobacterium bovis BCG–infected monocytes were cocultured, ManLAM colocalized to CD4+ T cells, which formed fewer conjugates with infected monocytes. These results demonstrate that mycobacterial cell-wall glycolipids such as ManLAM can traffic from infected macrophages to disrupt productive IS formation and inhibit CD4+ T cell activation, contributing to immune evasion by M. tuberculosis.
Prevalence of developmental delay and associated risk factors among At Risk Surveillance System (ARSS) children at United Bulawayo Hospitals, Zimbabwe
Authors: Madzimbe Precious , Potterton Joanne
Published: September 2023

Globally, 8.4% of children under five years of age have developmental disorders, with sub-Saharan Africa having the highest prevalence. In Zimbabwe, the At Risk Surveillance System (ARSS) follows up on babies with known developmental risk factors for early detection of developmental delay. This study aimed to determine the prevalence and severity of developmental delay in children under the ARSS at United Bulawayo Hospitals (UBH). A descriptive cross-sectional study systematically sampled 160 babies enrolled in the ARSS between 2019 and 2020. The Bayley Scales of Infant and Toddler Development Third Edition (BSID-III) tool was used to assess cognitive, motor, and language domains. Developmental delay risk factors were also noted from caregivers and patient files. A prevalence of 83.7% developmental delay was established in our sample, the majority of whom had mild developmental delay. The most important risk factors for developmental delay in all three domains were neonatal convulsions (Adjusted Odds Ratio, aOR, 5.6, p=0.03), Apgar scores of <5 (aOR 2.6, p=0.02), and being a boy (aOR 7.1, p<0.001). Developmental delay of 83.7% is higher than in previous findings because children included in this study had known risk factors for developmental delay. The risk factors were similar to those identified by other studies. Children with the most important risk factors need close monitoring as they have a high chance of developmental delay. Children with known risk factors should be closely monitored using the BSID-III, while the rest can be screened using cheaper and faster tools such as the Ages and Stages Questionnaire (ASQ).
Dataset: bird traffic rate at Bolle di Magadino Natural Reserve, Lake Maggiore (Switzerland)
Authors: Giuntini Silvia , Tattoni Clara , Gagliardi Alessandra , Martinoli Alessio , Patocchi Nicola , Lardelli Roberto , Martinoli Adriano , Preatoni Damiano G.
Published: September 2023

In this paper we describe a 2-year (2021-2022) dataset of bird traffic rate measured with the avian vertical-looking radar BirdScan MR1, installed near the Bolle di Magadino Natural Reserve protected area (Switzerland), an important stop-over site on the northern shore of Lake Maggiore. The dataset includes over 200,000 records of hourly traffic rates measured from 0 to 3000 m above ground level, with altitude bins of 100 m. This dataset is available on Zenodo, under an “Attribution-NonCommercial” Creative Commons 4.0 International license (CC BY-NC 4.0) at doi:10.5281/zenodo.7783993 .
Every symmetric Kubo–Ando connection has the order-determining property
Authors: Chetcuti Emmanuel , Healey Curt
Published: September 2023

In this article, the question of whether the Löwner partial order on the positive cone of an operator algebra is determined by the norm of any arbitrary Kubo–Ando mean is studied. The question was affirmatively answered for certain classes of Kubo–Ando means, yet the general case was left as an open problem. We here give a complete answer to this question, by showing that the norm of every symmetric Kubo–Ando mean is order-determining, i.e., if
$A,B\in \mathcal B(H)^{++}$
satisfy
$\Vert A\sigma X\Vert \le \Vert B\sigma X\Vert $
for every
$X\in \mathcal {A}^{{++}}$
, where
$\mathcal A$
is the C*-subalgebra generated by
$B-A$
and I, then
$A\le B$
.
On the rational approximation to Thue–Morse rational numbers
Authors: Bugeaud Yann , Han Guo-Niu
Published: September 2023

Let

b \ge 2

and

\ell \ge 1

be integers. We establish that there is an absolute real number

K

such that all the partial quotients of the rational number

\prod_{h = 0}^\ell (1 - b^{-2^h})

, of denominator

b^{2^{\ell+1} - 1}

, do not exceed

\exp(K (\log b)^2 \sqrt{\ell} 2^{\ell/2})

.
Algebraic theory of formal regular-singular connections with parameters
Authors: Hai Phùng Hô , dos Santos João Pedro , Tâm Phạm Thanh
Published: September 2023

This paper is divided into two parts. The first is a review, through categorical lenses, of the classical theory of regular-singular differential systems over

C((x))

and

\mathbb{P}^1_C\setminus\{0,\infty\}

, where

C

is algebraically closed and of characteristic zero. It aims to read the existing classification results as an equivalence between regular-singular systems and representations of the group

\mathbb{Z}

. In the second part, we deal with regular-singular connections over

R((x))

and

\mathbb{P}_R^1\setminus\{0,\infty\}

, where

R= C[[{t_1,\ldots,t_r}]]/I

. The picture we offer shows that regular-singular connections are equivalent to representations of

\mathbb{Z}

, now over

R

.
Case Report: Catastrophic Effects of Using Cannabis Via Bucket Bong in Top End Northern Territory of Australia
Authors: Heraganahally Subash S. , Monsi Ellen , Gadil Eden , Maze David , Lynch Steven
Published: September 2023

The prevalence of cannabis usage is increasing worldwide, including among both Indigenous and non-Indigenous Australians. The long-term effects of cannabis use on the lungs are well-known. However, the acute adverse effects on the lungs are sparsely reported. There are different ways in which cannabis can be inhaled, such as smoking or through a water vaporizing method known as a “bong.” An improvised innovative bong device that is commonly used in Northern Australia, called a “bucket bong,” uses water and air pressure to assist in cannabis inhalation. In this report, we describe three patients from remote and rural Northern Australian communities presenting with near–life-threatening events (acute pneumonitis and massive pneumothorax) immediately after the use of cannabis via bucket bong.
Lomber Disk Herni Tanılı Bireylerde Yaşanan Ağrının Özbakım Gücüne Etkisi ve Bireylerin Ağrı ile Baş Etme Yöntemleri
Authors: KAYA Damla , KARAGÖZOĞLU Şerife
Published: September 2023

Giriş: Lomber disk hernili hastalarda ağrı bazen bireyin öz bakımını sağlayamayacağı kadar şiddetlidir. Bu durumda ağrıyla baş etmenin önemi ortaya çıkmaktadır.

Amaç: Araştırma lomber disk herni tanılı bireylerde ağrının öz bakım gücüne etkisini ve ağrıyla baş etme yöntemlerini değerlendirmek amacıyla gerçekleştirilmiştir.

Yöntem: Kesitsel ve tanımlayıcı olarak gerçekleştirilen araştırma bir üniversite hastanesinin lomber disk herni tanısıyla Beyin ve Sinir Cerrahisi polikliniğe 15 Mart-31 Mayıs 2019 tarihleri arasında başvuran ve kliniğe yatışı yapılıp cerrahi girişim uygulanan 100 hastayla yapıldı. Verilerin toplanmasında; Hasta Tanıtım Formu, Visual Ağrı Skalası, Ağrı ile Baş Etme Yöntemleri Formu ve Öz bakım Gücü Ölçeği kullanıldı. İstatistiksel analizde Kolmogorov-Smirnov, Varyans analizi, Tukey testi, iki ortalama arasındaki farkın önemlilik testi kullanıldı.

Bulgular: Araştırmada katılımcıların ağrı puan ortalaması 6.24 ve öz bakım gücü puan ortalaması 97.09 olup, ağrıyla öz bakım gücü arasında negatif yönlü güçlü bir ilişki bulundu (r=-.770; p= .000). Katılımcıların eğitim durumuna göre öz bakım gücü puan ortalamaları arasında istatistiksel olarak önemli bir fark bulunmuş olup (p=.031), okur-yazar hastaların öz bakım gücü üniversite mezunu hastalara kıyasla daha düşüktür. Katılımcıların ağrıyla baş etmede en çok tercih ettiği yöntem %84 oranında ağrı kesici ilaç kullanmak, en az tercih ettiği yöntem %1 oranda akupunktur yaptırmaktır.

Sonuç: Araştırmada lomber disk hernili hastalarda ağrının azaltılmasıyla öz bakım gücünün artırılacağı ayrıca ağrıyla baş etmede ilaca yönelimin fazla olması nedeniyle sağlık profesyonellerine, hastalara ağrıyı azaltma yöntemleri ve öz bakım gücünü artırmaya yönelik verilecek eğitimin faydalı olacağı düşünülmektedir.
The Effect of Ventrogluteal Intramuscular Injection Training with Animated Video Containing Subliminal Messages: A Randomized Controlled Study
Authors: TERZİ Banu , DARICI Sefer
Published: September 2023

Background: In the literature, there is increasing interest in the effects of subliminal stimuli on humans.

Objectives: To investigate the effects of the positive subliminal messages placed in a video used for ventrogluteal intramuscular injection training of nursing students on students’ remembering, anxiety, self-confidence, general self-efficacy and practice skill levels.

Methods: The population of the randomized controlled study conducted between 9-10 October 2018 consisted of first year nursing students at a faculty of health sciences (n=64). An animated video on ventrogluteal intramuscular injection that contained subliminal messages was shown to the students in the experiment group. In the study, the students in the control group were given only practice together with the theoretical education on the subject. A Student Information Form, Trait-State Anxiety Scale, General Self-Efficacy Scale, Self-Confidence Scale, and Ventrogluteal Intramuscular Injection Practice Skill Evaluation Form were used. In the study, the independence Chi-square test was used to compare the experiment and control groups.

Results: Although statistically non-significant (p>0.05), identifying ventrogluteal intramuscular injection sites (n=21, 33.9%) and proper injection technique (n=22, 35.5%) steps were remembered more by students in the experiment group. It was found that ventrogluteal intramuscular injection practice skill was at ‘adequate’ level in the experiment group (n=21, 35%).

Conclusion: Visual subliminal messages used in ventrogluteal intramuscular injection training have no effect on nursing students’ anxiety, self-confidence, and general self-efficacy levels. Basic nursing skill applications can be prepared with animated videos in a way to attract students’ attention.
Uzaktan Eğitim Döneminde Hemşirelik Öğrencilerinin Akademik Başarı Düzeyleri ve Etkileyen Faktörler
Authors: KÖSE Sema , KORKMAZ BİNAY Şengül , KARAKURT Papatya
Published: September 2023

Giriş : Pandeminin başlamasıyla birlikte zorunluluk haline gelen uzaktan eğitimin, diğer alanlarda olduğu gibi hemşirelik alanında da kullanılması verilen eğitimin kalitesi ve akademik başarı konusunda endişelere yol açmıştır.

Amaç: Bu araştırma hemşirelik bölümü öğrencilerinin uzaktan eğitim döneminde akademik başarı düzeyleri ve etkileyen faktörleri belirlemek amacıyla yapıldı.

Yöntem: Tanımlayıcı türde olan bu araştırmanın evrenini 2020-2021 eğitim-öğretim yılı bahar döneminde bir üniversitenin Sağlık Bilimleri Fakültesi Hemşirelik Bölümünde okuyan öğrencilerin tamamı oluşturdu. Evrenden örneklem seçimine gidilmemiş olup ulaşılabilen 205 öğrenci ile araştırma tamamlandı. Verilerin toplanmasında “Öğrenci Bilgi Formu”, “Öğrenim Durumları Formu” ve “Üniversite Öğrencileri İçin Akademik Başarı Envanteri Ölçeği” kullanıldı. Verilerin analizinde yüzdelik dağılımlar, ortalamalar, t testi ve tek yönlü varyans analizi kullanıldı.

Bulgular: Araştırma kapsamına alınan öğrencilerin %32.7’sinin yıl sonu ortalamasının 3.01-3.50 arasında olduğu, %81’nin uzaktan eğitimle ilgili sorun yaşadığı, %62.9’unun uzaktan eğitimle dersleri takip etmekte internetten dolayı zorluk yaşadığı belirlendi. Öğrencilerin akademik başarı envanteri puan ortalamasının 63.62±12.19 olduğu saptandı. Öğrencilerin yıl sonu not ortalamalarına, uzaktan eğitim sistemiyle derslere devam etmede, internet ve bilgisayar kısıtlılığı nedeniyle dersleri takip etmede, ders materyallerine ulaşmada sorun yaşamalarına ve bilgi teknolojilerini kullanmakta zorlanma durumuna göre akademik başarı envanteri arasında istatistiksel olarak anlamlı bir fark olduğu belirlendi.

Sonuç: Araştırma sonucunda öğrencilerin çoğunluğunun uzaktan eğitimle ilgili sorun yaşadığı buna rağmen akademik başarılarının orta düzeyde olduğu belirlendi. Öğrencilerin yıl sonu not ortalamaları, uzaktan eğitime devam ederken sorun yaşamaları, ders materyallerine ulaşma, bilgi teknolojilerini kullanmada sorun yaşamaları gibi faktörlerin akademik başarı düzeylerini etkilediği belirlendi. Öğrencilerin bilgi teknolojilerini kullanmalarına ve uzaktan eğitim materyallerine ulaşmalarını sağlamada eğitimler verilmesi ve farkındalık oluşturulması önerilebilir.
AUTISM SPECTRUM DISORDERS IN CHILDREN AND IT’S AYURVEDIC PERSPECTIVE
Authors: Singh Sudha , Bongulwar Sonali , M.S Deodas , Jadhav Kadambari
Published: September 2023

Autism is a disorder that is usually observed at an early age as a child, affecting various developmental aspects.
Its prevalence showed a dramatic rise over the last few decades. Still, it’s unclear globally even explored in all
aspects from etiology to diagnosis and intervention. As autism features are similar to Unmad in Ayurveda, the
formulations and procedures mentioned best suited in autism. This paper discusses the Autism Spectrum Disorder
(ASD); Symptoms, Causes, pathogenesis and management with shaman and panchkarma chikitsa in terms of
Ayurveda.
A LITERARY REVIEW ON TIMIR AND ITS MANAGEMENT
Authors: - Nidhi , Singh Daya Shankar , Pandey Arun Kumar , Sharma Divya
Published: September 2023

Shalakya Tantra is the main branch of Astanga Ayurveda, it deals with the etiology, diagnosis, prognosis, prevention
and treatment of disease which are located above the clavicle region in which the eye is a highly specialized sense
organ that primarily serves the function of vision. Drushti or vision is the most important Indriya/sense of human
body according to Ayurveda. Visual disturbances are described in Ayurveda under the terms Timir, Kacha, and
Linganasha and progresses to total vision loss. Timir is one of the ‘Drushtigataroga’, if it is not treated then it may
lead into complete blindness. The symptoms of Patalgat Timir can be correlated with refractive error. Globally it
is estimated that approximately 1.3 billion people live with some form of vision impairment. There is no medicinal
treatment available for refractive error in modern science and available therapies have some complications like dry
eye, corneal ulceration etc. While in Ayurvedic text Timir is said to be ‘Ayushdhisadhya’ if treated in early stages.
So, Ayurvedic science can be explored to find a better alternative to manage this condition. In Ayurveda there are
number of preventive and curative modalities explained to treat Timir in the form of Pathykaraahar-vihar, Rasayana yoga, Chakshusya drugs, Netrakarma, Kriyakalpa, Panchkarma etc. Use of these therapies helps us to prevent vision loss and to maintain vision.
A LITERARY REVIEW OF ARTAVAKSHAYA IN AYURVEDA W.S.R. TO OLIGO-HYPOMENORRHEA – REVIEW BASED ON LITERARY STUDY
Authors: Chaudhary Gyan jyoti , Sharma Shashi , Gupta Kanchan , Sharma Shikha
Published: September 2023

Menstrual irregularity is one of the most frequent Gynecological disorders among women during reproductive
period. Due to changes in lifestyle like no time for self, use of mobiles or other electronic gadgets, busy schedule,
stressful lifestyle, change in food habit (junk food or fast food) etc. As a Result, our body doesn’t get adequate
nutrients required and consequently, stress or depression causes hormonal imbalances which causes menstrual
irregularities. Artavakshaya is one of the most common menstrual irregularities. Artavakshaya is characterized by
irregularities of cycles and scanty menstruation. Artavakshaya can be compared to Oligomenorrhea or Hypomenorrhea. Artavakshaya is also seen as one of the manifestations of the Artavadushti like Vataj Artavadushti and
Ksheenartava dushti. Our Ayurvedic classics describe various modalities like lifestyle modification,
Pathyapathya, Oral medication and Panchakarma procedure (Basti) for the management of Aartavakshaya.
AN UPASHYATMAKA (THERAPEUTIC) STUDY OF ASWAGANDHA CHURNA IN
RAKTAGATA VATA (HYPERTENSION)
Authors: Kumari Rai Archana , Kumar Singh Rupesh , Kumar Singh Amarendra
Published: September 2023

Acharaya Charaka explained the symptoms of Raktagata Vata under the context of Vata Vyadhi which very
much resembles hypertension. It is the 'Silent Killer' of mankind. It is commonly asymptomatic, readily detectable, and usually easily treatable and of uncured them often leads to lethal complication. Kapha Dosha complements the effect of vitiated Vata and adds the progression of diseases, along with the vitiation of psychological
factor viz. Raja& Tama Doshas. The main progression occurs in Rasa - Rakta Dhatu. In the present clinical
study, 30 patients of Raktagata Vata (hypertension), were treated with Ashwagandha churna for 60 days and the
effect of drug on sign and symptoms were evaluated. The trail drug has shown encouraging symptomatic relief in
most of the clinical features with significant reduction in systolic and diastolic blood pressure. During the trial
period the treated patients had shown no side effects of the drug.
AYURVEDIC CONCEPT OF CERVICAL EROSION
Authors: meena Madhuri , meena Ankita , Neelima A.
Published: September 2023

Cervical erosion is one of the commonest complaints of female attending Gynaecology OPD. It is asymptomatic
but later on can cause symptoms like white discharge per vaginum, pruritis vulva, low back, pelvic pain,
dyspareunia, etc. These symptoms can adversely disturb the physiological, psychological health even professional
life of the women. Cervical erosion a benign lesion is sometimes much troublesome due to its chronic nature and
recurrence. When neglected may lead to serious complications or turn into a major life-threatening condition.
Cervical erosion is one among them, increasingly prevalent nowadays, demanding great concern over it. When the
squamous epithelium of the ectocervix is replaced by the columnar epithelium of endocervical length, is known as
Cervical erosion. The drugs and procedures used in the research works have Vrana Ropana (ulcer healer), Shodhana (ulcer cleansing), Prasadana, Kushtaghna (anti-dermatosis), Kandughna (anti-pruritic) properties.
ETIOPATHOGENESIS OF KHALITYA (HAIR FALL) – A CONCEPTUAL STUDY
Authors: Pandey Khushboo , Srivastava Sanjay
Published: September 2023

In the fast-paced world of today, people are suffering from stress and strain due to the hustle and bustle of urban
lifestyle and blank in the context of differentiating greed and the need of the body. It appears to be a global epidemic due to the present era of Stress and Strain due to the Competitive lifestyle and a change in dietary habits. In
today's developing world a race for cosmetics and an increasing pace of Westernized culture families are undergoing rapid changes. Compelled to adopt a sedentary, stressful lifestyle and faulty food habits have made hair prone
to either gray at prematurity or baldness at an early age. The prevalence of Khalitya is increasing rapidly day by
day. Khalitya is a disease with Vata-pitta dominance; The Tejas of the body in association with Vayu and other
Dosha scorches up the Keshabhoomi (scalp) abruptly producing the disorder Khalitya. Depletion of Asthi Dhatu
causes hair loss. Nidanapanchaka is a great tool for the diagnosis of diseases. Here an attempt is made to review
Nidanapanchaka or causes and pathogenesis of Khalitya (Hair fall). In the present review article, Nidanapanchaka is explained. ArcharyaSusruta has emphasized "Sankshepta Kriya Yogo Nidana Parivarjanam", by understanding the Nidanapanchaka in depth and understanding Samprapti helps in planning specific preventive Measures
and Management of Khalitya.
A STUDY ON ETIOLOGICAL FACTORS RESPONSIBLE FOR KHALITYA (HAIR FALL)
Authors: Pandey Khushboo , Srivastava Sanjay
Published: September 2023

Face is the mirror of our personality and healthy vibrant hairs add a lot to the improvement of our confidence and
personality. Hair plays an important role in making the body externally beautiful. Healthy- and good-looking long
hair makes a person mentally enthusiastic and healthy. Alopecia is the disease term for excessive or abnormal hair
loss.
Hair is the foundation for a multimillion-dollar industry focused on preserving scalp hair. It affects interpersonal
relationships as well as the professional lives of those suffering due to hastily altering lifestyle; the equilibrium
state of Dosha is rapidly disturbing, resulting in an average life expectancy becoming shortened. These all factors
convict various lifestyle disorders, Hair falls as one among them; this thesis aim is the change in lifestyle increases the pace of attaining improvement in Hair fall.
After exploring the possible etiological factors, it can be concluded that [Junk food items, excessive salt, excessive Kshara, Salt with milk, consuming Vairodhika Ahara (Mostly Milk with Salt food & dishes), Bakery products, Dietary habits (Adhyasana & Samashana), Madhura and Lavana Rasa, Shampoo and Negligence of proper
hair care are predisposing factors, inactive & sedentary lifestyle, less activity, the habit of excessive time spent on
mobile, Ratrijagrana, Divaswapna, non-application of hair oil, Stress, Anger, Anxiety ] are accountable for
Khalitya (Hair Fall).
A REVIEW ON CONCEPT OF INFERTILITY IN AYURVEDA
Authors: Lakra Ankit , sangwan Satyendra
Published: September 2023

Ayurveda treats most illnesses holistically. The same holds true for fertility treatments. These days, a variety of
variables, such as stress, pollution, a bad diet, and a sedentary lifestyle, impair both men's and women's fertility.
List a few to maintain the best possible state of both the mind and the body in order to reproduce, it's imperative
to rid the body of toxins and provide it with the proper nutrition. In spite of years of trying, one in seven couple
difficulties conceiving. The reason for this is a combination of social, emotional, and physiologic factors. About
25% of events might not be fully understood. Infertility, in-which affects both men and women equally and lacks
a known cause. Population growth and fertility rates have been progressively dropping throughout Present paper
aims to throw some light on the concept of infertility as per the concepts of Ayurveda.
EFFECT OF KARMA BASTI AND SHIRODHARA IN GRAHANI (irritable bowel
syndrome)
Authors: - Meenakshi
Published: September 2023

Irritable bowel syndrome (IBS) is a gastrointestinal disorder having a group of symptoms including abdominal
pain and changes in the pattern of bowel movements without any evidence of underlying damage. The pathogenesis of IBS is not fully understood, although roles for abnormal gut motor and sensory activity, central neural dysfunction, psychological disturbances, stress and luminal factors have been proposed. About 10-15% of the people
in the developed world are believed to be affected by IBS, it is estimated that 45% of people globally are affected
by IBS. In Ayurveda, IBS can be correlated to Grahani Roga due to their clinical presentation. In this case an effort has been made to treat patients having symptoms of Muhurbaddha Muhurdravam (episode of difficult evacuation of bowel and loose stools), Udarashool (pain in abdomen) and Apakwa Malapravritti (sticky stool with mucus). Male Patient XYZ of age 54years treated with various Panchakarma procedures like Basti (herbal medicated
enema), Taila Shirodhara (pouring Herbal medicated oil on head) and oral medications. At the end of 50 days of
treatment (Kala basti-16days+ oral medication-34days) patient got significant improvement in the sign and symptoms of disease.
ROLE OF MARMA CHIKITSA IN THE MANAGEMENT OF ARDHAVBHEDAKA (MIGRAINE) – A SINGLE CASE STUDY
Authors: Patidar Minakshi , Sharma Gunjan , Prasad Shishir , Yadav Yadevendra
Published: September 2023

Ayurveda is the science of life, aim of Ayurveda is to maintain the health of healthy people and to cure diseases of sufferers. Our ancient sages have described vital organs and have given prime importance to three vital or-gans, Sirah is one of them where life along with sense faculties resides. Ayurveda is not only a medical science but a way of life, it truly is one of the most noble ways of treatment, like Marma science with the exploration of Marma Science, the whole scenario of Indian surgery may change in multidimensional approaches. Marmas are the vital points in the body where Prana exist. According to Ayurvedic texts the Marmas are the Sthana, when injured may be life threatening. If this Marma Sthana is properly stimulated then many physical and mental dis-orders like Migraine, Stress, Anxiety can be treated. Acharya has described Shiroroga, Ardhavbhedaka is one of them. According to Acharyas, there will be severe pain in half side of the head, affecting particularly Manya, Bhru, Shankha, Karna, Akshi and Lalaat. The nature of pain is like Shastra Arani Nibham. In modern times, Mi-graine is throbbing unilateral headache preceded by an aura associated with vomiting and visual disturbance. As Pain is the major symptom which affects the person’s day to day activities, so pain is the major target in the management of Ardhavbhedaka. Therefore, Marma Chikitsa can be a non-medicinal and non-invasive approach in the management of Ardhavbhedaka (Migraine). Shiro-Marma can be used effectively in the management of Ardhavbhedaka (Migraine). This abstract elaborates the role Marma Chikitsa in Ardhavbhedaka (Migraine).
EFFECT OF NIMBADI MALHAR IN PADADARI (CRACKED HEELS): A CASE
STUDY
Authors: Dhulap Maithili , Girbide Santosh , Meghdambar Jyoti V. , Kale Sandeep , Singh Pooja
Published: September 2023

Ayurveda is both a science of life and a system of medicine. Ayurved treats diseases by treating root causes. Padadari is one of the Kshudraroga described by Acharyas. Padadari means cracked heels or fissures at heel region. It occurs in patients who are travelling a lot which aggravates the Vata Dosha [1]. Also, the Causative factors of Padadari are intake of Vata Dosha aggravating foods dry, sharp, rough, hot and spicy food, like junk food, deep fried, oily food, excess spices and consuming raw food in large amounts. Certain activities like ex-cessive walking, walking with hard improper footwear, bare foot walking, exposure to cold water, standing for a longer duration. In summer, rainy, autumn and winter seasons, Obesity, Diabetes. According to Ayurveda, treatment for Padadari includes internal medication and external applications. For external applications, Vranaropana Dravyas were chosen to make Malahar. Preparation of Malahara was easy and affordable. The contents of Malahara were Neem, Yashtimadhu, Bakuchi, Shudh Gandhak. Local application was given to pa-tients. Follow up was every 15days.Malahar shows good results. We hereby present the following case of Pa-dadari which was successfully treated.
EFFECT OF AYURVEDIC DRUGS ON VRIKKASHMARI – A CASE STUDY
Authors: Dhakad Rita , Prasad Mahendra
Published: September 2023

Since ancient time Ashmari has been mentioned in Ayurvedic texts. Ashmari is a disease related to the urinary
system (Mutravaha Srotas). Mutrashmari is one among of them which has been delineated as a Mahagada in
Ayurveda. It possesses symptoms such as Jwara (Fever), Basti Pida (Discomfort and pain in bladder), Aruchi
(Anorexia), Mutrakrichha (Difficulty in micturition), Bastishira Vedana (Pain in Urethra), Mushka Vedana (Pain
in testicles) and Shepha Vedana (Pain in penis) have been described in Ayurvedic classical texts.
An 8-year-old male child patient visited to Ayurvedic hospital at Jaipur, with complaint of lumber region abdominal pain. The USG reported calculus measuring 5 mm in size seen in right kidney with normal functioning of
vitals. The Mankoski pain scale was 4/10. The patient was treated with Gokshuradi Guggulu 2 BD (two times in a
day), Ashmarihara Kashaya 20 ml BD, Capsule Drain out 1BD and the combination of Shuddha Tankana 250 mg
and Panchakola Churna 250 mg in the powder form, for a period of one month at 7 days follow up. The patient
got relief in sign and symptoms and USG report showed no evidence calculi in middle calyx of right kidney.
A CASE STUDY ON AYURVEDIC MANAGEMENT OF KAMALA W.S.R. TO
JAUNDICE
Authors: Annu Verma
Published: September 2023

Jaundice is a yellow pigmentation of the skin, the conjunctival membrane over the sclera and other mucous membrane caused by hyperbilirubinemia (increase level of bilirubin in blood). Today’s lifestyle with unhygienic and
poor dietary habit specially in children which are responsible factor to promote hepatic damage which clinically
reflect as kamala. This paper discusses patients seen in the OPD of Kaumarbhritya department, Uttaranchal ayurvedic hospital Dehradun. In this case 15-year female patient having kamala who was suffering from yellowish
discolouration of skin, icterus, yellowish discolouration of urine, pain in abdomen, weakness, vomiting (3-4 times
in a day), anxiety and anorexia in the last 5 days. The patient was treated with shaman chikitsa. Patients got significant results as per the values of bilirubin with symptomatic relief in complaints within 15 days of treatment.
Kamala can be successfully managed by shamana chikitsa the effect of ayurvedic treatment was assessed in relation to improvement in overall clinical sign and symptoms & biochemical investigations further study will be
needed as per different assessment criteria.
DC Fast Charging Architecture Used in Micro Grid for Vehicle to Grid Technology
Authors: R.Disale Ramya. , Shalavadi B.S.
Published: September 2023

EV batteries have the potential which uses the storage of energy devices for micro-grids. These can be utilized to manage with micro-grids for maintaining energy for storing additional energy (G2V) and reversing its return for the grid (Vehicle-To-Grid, V2G). To make this vision a reality, an appropriate framework for mechanisms control has to be developed. This paper describes the planning for level-3 EV quick charging in a V2G-G2V model within a microgrid. A test model for a microgrid system includes a quick DC charging station for the EV interface. The Simulation work will be done for demonstration of V2G-G2V power transmission. According to test results, EV batteries actively manage the micro-grid by using G2V-V2G operating modes.
Análisis de la inversión de los productores de nopal de tuna en el Valle de Teotihuacán
Authors: Hernandez Bonilla Blanca Estela , Sandoval Trujillo Sendy Janet , Ramírez Cortés Verónica , Valencia Cruzaty Lilia Esther
Published: September 2023

En la presente investigación se analiza la inversión requerida para el cultivo de nopal de tuna por hectárea en la región del Valle de Teotihuacán con el fin de determinar los costos de producción asociados en cada etapa productiva para calcular su rentabilidad. En esta investigación de corte transversal se emplea una metodología cuantitativa con alcance descriptivo utilizando técnicas como la observación, entrevistas y encuestas empleando un cuestionario con una muestra de productores no probabilística. A pesar de obtener rentabilidad promedio del 70% en un periodo de cultivo, esto depende en gran medida de las condiciones climáticas y en algunos periodos pierden la total de la inversión. El inicio del ciclo productivo se basa en el capital de los productos que en muchas ocasiones es muy limitado y no cuentan con apoyos gubernamentales y el crédito es una opción no viable para ellos. Es prioritario contar con procesos técnicos definidos y no basados en la experiencia ya que ponen en riesgo la cosecha.
Impact of pre-existing depression on severe COVID-19 outcomes
Authors: Sha Meng , Qian Yong-bing , Xia Qiang
Published: September 2023

The outbreak of the COVID-19 virus in 2019 had rapidly developed into a global pandemic, causing more than 6.8 million deaths and impacting the lives of billions of individuals around the world.1 Public healthcare around the work have mainly focused on the clinical manifestations and treatment of the deadly respiratory disease. As the pandemic progressed, it became clear that the psychological distress—arising from anxiety, depression and self-isolation; leading even to some suicides—had negatively impacted people’s mental health.2 However, whether pre-existing mental disorder has an influence on COVID-19 outcomes remains unknown.
Managing and preventing severe hand injuries among sugarcane juicer operators
Authors: Low Zhi Xuan , Ho Sean Wei Loong , Chan Gregory Chung Tsing , Chia Dawn Sinn Yii
Published: September 2023

Of all hand injuries encountered at an emergency department, 54% are sustained in the workplace,1 in part contributed by occupational injuries among food and beverage operators that caused a loss of 16,197 man-hours in 2021 alone.2 Commonplace in Singapore and in parts of South and Southeast Asia is the sugarcane juicer, a machine typically operated by sole proprietorship drink stalls within food centres and more importantly, a dangerous cause of workplace accidents. We highlight the severity of sugarcane juicer-related hand injuries that have resulted in permanent disabilities in 3 representative patients. We also review occupational health risks of such technology to understand the contributing factors involved and how they can be prevented.
The Three-Lens Approach to Agility: Capturing Distinct Strategic Views on the Organization for Comprehensive Examination of Firm Agility
Authors:   Universitas Indonesia, Depok, West Java, Indonesia, Zubaedah Siti Yasmina , Fontana Avanti ,   Universitas Indonesia, Depok, West Java, Indonesia
Published: September 2023

Observing strategic agility as a performance outcome require properly observing the firm over a period of time. This study was conducted to explore and enhance an agility framework for analysing how companies perform as they evolve over time. The theoretical framework developed in this multiple case study emerged based on a combination of an extensive literature review and observed strategic management issues that arise during direct observations. The three-lens approach consists of the Business Model Effectiveness Lens, Productive Information Systems Lens and the Independent – Dynamic Culture Lens. Business Model Effectiveness demonstrates ability in managing the changes in the business model throughout adaptation cycles and is reflected in firm performance. A productive information system is the fundamental support essential for timely, swift and accurate decisions, and, in turn, knowledge cultivation. Culture of an agile company develops in concurrence with firm dynamics throughout adaptation cycles and independent of original founder imprint. Analysis using the three-lens agility framework showed that companies under study did not represent agile companies. All three companies are found to not have business model effectiveness, the information systems were unproductive and the organizations’ culture were not independent of the founders and tend to be outdated. Analysis using the three-lens agility framework allows for observing the birth and development of a firm. While each lens offers a distinct approach to analyse agility, together the lenses make up an integrated framework that provides insights on firm evolution and development.
Effect of Agriculture on Sustainable Financial Sector’s Growth in Nigeria
Authors:   Department of Banking and Finance Federal Polytechnic Ado-Ekiti, Ekiti State, Nigeria, Damilola Ogunlokun Ayodele , Kareem O. (Ph.D) Adeleke ,   Department of Banking and Finance Federal Polytechnic Ado-Ekiti, Ekiti State, Nigeria
Published: September 2023

Plethora of studies has been concluded on the relationship between agriculture and economic growth, including a few other sectors of the economy. However, no attention has been accorded the relationship between agriculture and the financial sector in line with Demand-Following Hypothesis. Against this backdrop, this study examined the effect of agriculture on the sustainable growth of the Nigerian financial sector from 1999 to 2020. Data were collected from the secondary source and extracted from the Central Bank of Nigeria’s Statistical Bulletin. Analysis of the data was carried out using Autoregressive Distributed Lags Model (ARDL). The result revealed that the variables were co-integrated in the long-run; in addition, credits granted to agricultural sector by the financial institutions (GCA), amount granted to agricultural sector under Agricultural Credit Guarantee Scheme (ACGS) were positively but insignificantly associated with the growth of the financial sector in the long-run with the coefficients: 0.008GCA (p-value = 0.1511>0.05), 0.002ACGS (p-value = 0.4452>0.05). The productivity of the agricultural sector (AGRPROD) however, with coefficient 1.002AGRPROD (p-value = 0.0001<0.05), was predominantly positive and statistically significant in influencing the sustainability of the Nigerian financial sector’s growth in the long-run; this thus amounted to confirmation of Demand-Following Hypothesis. Furthermore, the lending interest rate maintained negative but insignificant effect on the growth of the financial sector in Nigeria. Based on the foregoing result, the study concluded that agriculture positively and significantly promoted the sustainability of the Nigerian financial sector, and recommended accordingly, that agricultural sector should be given top priority in terms of funds and other resources allocation as this culminates in stimulating financial sector’s sustainable growth in Nigeria.
Analysis of Poverty Level and Income Inequality of Vegetable Farming Households in Ngadirejo Village, Pasuruan District
Authors:   Agribusiness Study Program, Faculty of Agriculture, University of Pembangunan Nasional “Veteran” Jawa Timur, Indonesia, Hafidhul Wahyi Muhammad , Yektiningsih Endang ,   Agribusiness Study Program, Faculty of Agriculture, University of Pembangunan Nasional “Veteran” Jawa Timur, Indonesia, Atasa Dita ,   Agribusiness Study Program, Faculty of Agriculture, University of Pembangunan Nasional “Veteran” Jawa Timur, Indonesia
Published: September 2023

The high production of vegetable commodities in Ngadirejo Village, Tutur District, Pasuruan Regency is not comparable to the level of welfare of vegetable farming households. This study aims to identify the various sources of household income of vegetable farmers, analyze their income and its contribution to total income. The total sample of 85 farmer households was taken using the simple random sampling method with the assumption that vegetable farming households are homogeneous. To analyze the data used (1) quantitative descriptive (2) Sajogyo's poverty theory approach, and gini ratio analysis. The results showed that the sources of household income for vegetable farmers varied, from on-farm and non-farm activities. This income is classified as high which is indicated by the high percentage of achievement, namely 81.52% of total income. This amount is above the Regional Minimum Wage (UMR) of Pasuruan Regency. The poverty rate for vegetable farming households is in the moderate category, with a percentage of 76.5%. The level of income inequality based on the calculation results of the Gini Ratio is at a low level with a Gini ratio value of 0.18.
Assessment of the current status of water quality and nutrients enrichment of rivers Kisat and Auji and Nyalenda wastewater sedimentation ponds using multivariate technique
Authors: Omondi Cornel , Omondi Reuben , Onyango Daniel , Onyangore Hezron Dickson
Published: September 2023

Monitoring the condition of aquatic ecosystems is important because they provide ecological goods and services on which human beings depend. The present study analyzed the physico-chemical parameters and nutrients enrichment in rivers Kisat and Auji as well as wastewater sedimentation ponds to inform appropriate management measures. The water samples were collected from eight sampling sites starting at the source running downstream and at the wastewater sedimentation ponds beginning from February to October 2021. The physico-chemical parameters were measured in situ, while nutrients were analyzed at the laboratory. The results of the study indicated inconsistencies in the variation of physico-chemical parameters and nutrients enrichment among the sampling sites. The results revealed that dissolved oxygen (DO), electrical conductivity (EC), salinity (sal), total dissolved solids (TDS), turbidity and total nitrogen (TN) showed significance difference between the sites. Similarly principal component analysis revealed variations indicating (temperature, TDS, EC, Sal, TN and Total phosphorus (TP) are the major variables influencing the water quality variations. The overall results demonstrated some sampling sites are heavily contaminated with pollutants attributable to anthropogenic activities. The results of the present study are important for decision making regarding the management of water quality in urban rivers and wastewater sedimentations ponds.
Spatial-Temporal Variations of Zooplankton in Relation to Selected Limnological Parameters: A Case of Kisii Town Wastewater Treatment Plant, Kisii County, Kenya
Authors: Rayori Douglas Mosoti , Omondi Reuben , Getabu Albert , Orina Paul , Omondi Argwings
Published: September 2023

Zooplankton have been used as bioindicators of water quality. In this study, we assessed the spatial-temporal variations of zooplankton in the Kisii town wastewater treatment plant and how they were influenced by limnological parameters between May and August 2021. Triplicate zooplankton samples were collected monthly for laboratory analysis. Physical parameters were measured in situ using a YSI multi-parameter probe while triplicate wastewater samples were collected for chemical parameters analyses ex situ. Eleven (11) zooplankton species were identified belonging to three groups. Cladocera was represented by 5 species (45.5 %), Rotifera by 4 species (36.4 %), and Copepoda by 2 species (18.2 %). The total zooplankton density recorded was 515IndL-1 with the family Cladocera dominating (57.7 %) followed by Copepoda (22.8 %) then Rotifera (19.5 %) with the least number in the population density. The limnological parameters measurements indicate considerable wastewater pollutant removal during polishing but negatively influenced zooplankton diversity. Therefore, zooplankton can be used to monitor wastewater treatment progress.
Cosmos: Real-World Data Powered by the Healthcare Community
Authors: Noel Andrea , Bartelt Kersten
Published: September 2023

Cosmos is a rapidly expanding, real-world healthcare dataset comprised of 176M+ deduplicated patient records from 191 healthcare organizations. A primary goal for Cosmos is to produce generalized medical knowledge to advance the understanding of the causes, treatment, and prevention of disease and bring that knowledge to the hands of doctors and patients. In order to meet this goal, Cosmos has a number of features to ensure a robust, meaningful, well-organized, safe, and high-quality dataset that can be used to generate real-world evidence for research, perform predictive modeling, and create tools to dynamically impact medicine at the point of care.