bluuebunny/crossref_metadata_2025 huggingface dataset:
El derecho a la ciudad en Bolivia. Un exiguo desarrollo normativo y jurisprudencial para una temática de crucial relevancia jurídico-política
Authors: Cruz Apaza Rodrigo René
Published: January 2025

Por mor de la propiedad dinámica del derecho, el catálogo de derechos fundamentales previstos en las constituciones no se restringe a su tenor literal, sino que se extiende de acuerdo con el despliegue jurisprudencial o normativo que efectúen los órganos de poder del Estado. A lo manifestado, debe sumarse el aporte de la doctrina nacional e internacional del cual abrevan los magistrados de altas cortes de justicia. Es así que durante el desarrollo de la segunda década del siglo XXI se avizora como diversos derechos han aflorado en el escenario constitucional demandando cobertura. Uno de ellos fue el derecho a la ciudad, pero, aunque el contenido esencial y la garantía de este sean de considerable importancia para el estado actual de la civilización boliviana, este no ha receptado en el plano interno un profuso desarrollo jurisprudencial y normativo. En atención a la carencia deónticaadvertida,  el propósito del presente escrito fue analizar el derecho a la ciudad, su recepción en el sistema jurídico boliviano  y envergadura para la sociedad. Para arribar al objetivo delimitado, la investigación adoptó un paradigma multidimensional de la experiencia jurídica, esgrimiendo la metodología bibliográfico-doctrinal
Reseña: David Harvey. El derecho a la ciudad
Authors: Pazmiño Sandoval Christian Paúl
Published: January 2025

David Harvey (2008) en el artículo titulado “El derecho a la ciudad”, centra su crítica en el uso inadecuado del excedente del capital por parte de grupos de poder, teniendo como resultado una desigualdad social de forma que el derecho a la ciudad se encuentra limitado, en la manera en la que predomina lo económico sobre los derechos humanos. El artículo se encuentra dividido en cuatro subtítulos que sintetizan el origen, historia y evolución de dicho derecho, mismo que en la actualidad se considera un derecho humano que garantiza no solo el bienestar individual, sino general.
Bilim ve Sanat Merkezinde Sınıf Öğretmeni Olmak: Bir Durum Çalışması
Authors: Görgülü Deniz , Tetik Tuğba , Şenol Sebil , Yılmaz Alkan Zeynep , Ünlü Şahika , Okatan Özlem , Altıntaş Yüksel Esra , Yalçın Durmuş Gülcan
Published: January 2025

Bu araştırmanın amacı, sınıf öğretmenlerinin Bilim ve Sanat Merkezlerindeki (BİLSEM) görevlerine ilişkin görüşlerinin belirlenmesidir. Nitel araştırma yöntemlerinden durum çalışması deseninde yürütülen bu araştırmada 2023-2024 eğitim-öğretim yılında BİLSEM’lerde görev yapan 43 sınıf öğretmeninin görüşlerine yer verilmiştir. Araştırmaya katılan sınıf öğretmenlerinin görüşleri metafor çalışması ve yarı yapılandırılmış görüşme formu yoluyla toplanmıştır. Çalışma için toplanan veriler içerik analiziyle incelenmiştir. Elde edilen bulgular çerçevesinde, araştırmaya katılan öğretmenlerin BİLSEM’de sınıf öğretmeni olmaya yönelik birbirinden farklı metaforlar oluşturdukları belirlenmiştir. Bu metaforların daha çok sınırlanma-zorlanma, yenilikçi öğretmen olma, mentor olma kategorilerinde toplandığı ortaya konmuştur. Diğer yandan öğretmenlerin BİLSEM’lerin olumlu yanlarına yönelik görüşlerinin bireysel/mesleki durumlar, öğretim faaliyetleri, öğrenci boyutu, okul iklimi ile ilişkili olduğu tespit edilmiştir. Buna karşın sınıf öğretmenlerinin çalışma saatleri, bireysel haklar, öğretim faaliyetleri ve okul iklimine yönelik olumsuzluklarla karşılaştıkları belirlenmiştir. Sınıf öğretmenlerinin ekonomi, eğitim, bireysel hakların korunması ve öğretim faaliyetleri ile ilgili önerilerinin olduğu ortaya konmuştur. Araştırma sonucunda BİLSEM’de çalışan sınıf öğretmenlerinin özlük haklarıyla ilgili yasal düzenlemelerin hayata geçirilmesi önerilmektedir.
Üstün Zekâlı ve Yeteneklilerin Eğitimi
Authors: Bilgibir Mine Bilge
Published: January 2025

Bu yazıda, Sylvia B. Rimm, Del Siegle ve Gary A. Daviss editörlüğünde hazırlanan “Education of the Gifted and Talented” isimli kitabın yedinci baskısından Prof. Dr. Mustafa Serdar KÖKSAL tarafından “Üstün Zekâlılar ve Yeteneklilerin Eğitimi” adıyla Türkçe’ye çevrilerek 2022 yılında Nobel Akademik yayıncılık tarafından basılan kitap incelenmektedir.
Digital Simulation Exposure and Conceptual Understanding in Chemistry
Authors: Fabrigas Ethel Joy A. , Paglinawan Dr. James L.
Published: January 2025

This quantitative research study explores the relationship between digital simulation exposure and conceptual understanding in chemistry among junior high school students at Liberty Bible Baptist Academy Inc. in Bukidnon, Philippines. The study highlights the challenges students face with complex chemistry concepts, which are often exacerbated by traditional teacher-centered instructional methods. A survey was administered to eighty-seven junior high school students to assess their level of digital simulation exposure and conceptual understanding. Results indicate a significant positive correlation (r = 0.467) between digital simulation exposure and conceptual understanding, suggesting that increased interaction with simulations enhances comprehension of difficult concepts. Despite high engagement levels, students expressed lower perceived value of digital simulations, potentially due to a preference for traditional methods. The findings support the integration of digital simulations into chemistry education to foster deeper understanding and improve student outcomes. Recommendations will be provided for effectively incorporating these tools into the curriculum.
Alarm Fatigue and Moral Distress among Critical Care Nurses: A Concept Paper
Authors: Lian Yee Bit , Sharuddin Rashidah Binti
Published: January 2025

Alarm fatigue and moral distress are significant challenges for ICU nurses, affecting their well-being, performance, and patient safety. Alarm fatigue results from frequent false or non-actionable alarms, leading to desensitization, delayed responses, and increased stress, while moral distress arises when systemic or situational constraints prevent nurses from acting according to their ethical values, causing frustration, emotional exhaustion, and burnout. This study explores these issues among Malaysian ICU nurses, focusing on the unique challenges posed by resource limitations, cultural diversity, and organizational factors. Findings reveal that alarm fatigue compromises efficiency and patient outcomes, while moral distress undermines emotional resilience and job satisfaction. To address these issues, the study proposes interventions such as optimizing alarm systems with advanced technologies, refining alarm thresholds, and training nurses in alarm management. Additionally, it highlights the importance of psychological support, ethical decision-making frameworks, and collaborative environments to alleviate moral distress and promote resilience. By implementing these strategies, healthcare institutions can create supportive ICU settings that enhance nurse well-being, reduce burnout, and improve patient care, contributing to sustainable improvements in the broader healthcare system.
Influence of Strategic Feedback and Responsiveness on the Organizational Performance of Supermarkets in Kenya
Authors: Godana Abdifatah Galgallo , Rintari Nancy Gacheri , Gichohi Paul Maku , Wainaina Moses Gachoka
Published: January 2025

Globally, supermarkets continually formulate and implement various strategies to enhance their organizational performance. The choice of strategy a supermarket adopts can have differing feedback and responsiveness on its performance. Some strategies may increase performance, while others deter organizational performance. In Kenya, Supermarkets are not left out in the process of strategic management. Still, some supermarkets like Nakumatt and Tuskys are seen closing down their operations while others like Naivas and Quickmart are expanding operations. This study sought to find out the influence of strategic feedback and responsiveness on the organizational performance of Supermarkets in Kenya. The study took place in 14 Counties, including Meru, Embu, Laikipia, Kirinyaga, Nyeri, Tharaka Nithi, Muranga, Nyandarwa, Kiambu, Nakuru, Nairobi, Marsabit, Isiolo and Wajir Counties of Kenya. The study employed a descriptive cross-sectional survey research design. The target population was 1800 managers running supermarkets in the 14 Counties from where a sample of 204 managers was selected through cluster random sampling. Primary data was collected from the managers using a semi-structured questionnaire. The data gathered was subjected to descriptive and inferential analysis using SPSS version 28. Correlational and multiple linear regression were performed at a 0.05 significance level. Correlational analysis revealed that there existed a positive and significant association between Strategy feedback (r=0.836, p=0.000) and strategy responsiveness (r=0.789, p=0.000) with the organizational performance of supermarkets. Regression analysis established that strategic feedback had the greatest effect on the organizational performance of supermarkets since a unit change caused a change in organizational performance by a multiple of 1.92 units. Strategy responsiveness significantly influenced the organizational performance of supermarkets with a unit change, causing a change in organizational performance by a factor of 0.91 units. The study concluded that both strategic feedback and responsiveness significantly and positively influence the performance of supermarkets. Supermarkets need to initiate robust feedback mechanisms as well as develop strategies that ensure quick adaptation to market dynamics.
ABORDAGENS DE ENFERMAGEM PARA ADOLESCENTES COM TRANSTORNOS MENTAIS INDUZIDOS PELO USO DE DROGAS: UMA REVISÃO DE ESCOPO
Authors: De Sousa Cabral João Pedro , Duarte Paiva Julie , Caminha Veloso Laurimary
Published: January 2025

Mapear e descrever as evidências científicas sobre abordagens de enfermagem voltadas para adolescentes com transtornos mentais induzidos pelo uso de drogas lícitas e ilícitas, buscando identificar as principais intervenções e sua efetividade. Métodos: Conduziu-se uma revisão de escopo seguindo as diretrizes do Joanna Briggs Institute (JBI) e PRISMA-ScR. O acrônimo PCC (População, Conceito e Contexto) norteou os critérios de inclusão e exclusão. A busca incluiu estudos publicados entre 2019 e 2024, em português, inglês e espanhol, de acesso gratuito. Foram analisadas intervenções aplicadas a adolescentes de 13 a 18 anos com transtornos mentais relacionados ao uso de substâncias. Resultados: Foram identificados três principais intervenções de enfermagem: aconselhamento motivacional, suporte psicossocial e educação preventiva, aplicadas em ambientes diversos como CAPS e contextos comunitários. Essas abordagens mostraram eficácia na promoção da saúde mental e no fortalecimento da adesão ao tratamento, apesar da escassez de estudos que avaliem os impactos a longo prazo, especialmente no que tange à reintegração social e à redução do estigma. Considerações: As práticas de enfermagem demonstram potencial na abordagem de adolescentes com transtornos mentais relacionados ao uso de drogas, mas são necessários mais estudos robustos e longitudinais para avaliar sua eficácia sustentável. A integração das intervenções ao contexto social dos jovens é essencial para aumentar sua efetividade e garantir um cuidado integral.
Identificación de prácticas sustentables en la producción hortícola de la provincia de Buenos Aires, Argentina
Authors: Roberto - Argüello Cesar , Curieses Silvana , Maccagno Patricia
Published: January 2025

La provincia de Buenos Aires es la principal productora de hortalizas de Argentina. En el territorio se pueden identificar varias regiones con distinto perfil productivo hortícola. Este estudio se basa en la región hortícola noreste (platense) con una significativa superficie de cultivos bajo cubierta y la región del sudeste (marplatense) con una superficie en producción principalmente a campo abierto, ambas seleccionadas por la disponibilidad de datos. El objetivo de este trabajo es identificar prácticas sustentables en producciones hortícolas de estas áreas de la provincia de Buenos Aires, a través de una revisión sistemática de bibliografía. Para ello, se consultaron 50 publicaciones sobre la materia. El trabajo permitió identificar que en ambas regiones, algunos productores trabajan con prácticas culturales más sustentables en lugar de continuar con el modelo hortícola convencional, poco sustentable. Un mayor avance de estas prácticas traería beneficios socioeconómicos y ambientales en las regiones analizadas. Una limitante del trabajo es que permite identificar pero no cuantificar la cantidad de productores que aplican estas prácticas.
Development of Entrepreneurial Activity Using the Integration of Human Capital and Green Technologies to Optimize the Sustainable Development of the Territories
Authors: Karshalova Alma , Akpanov Aidos , Tleubayeva Santay , Belgibayev Anuar , Makhmudov Askar , Atchabarova Aigul , Zholayeva Margarita
Published: January 2025

The development of the tourism sector faces serious challenges, which are related to its environmental transformation, digitalization, and integration of new technologies, as well as competitiveness. Tourists' behavior is also changing. The future demand for tourism is likely to be driven by growing environmental awareness, increased use of digital services and new technologies, a shift towards a more personalized travel experience, and ensuring well-being and better engagement with local communities and culture. Meeting the requirements of the modern tourism industry is a problem not only for the Republic of Kazakhstan but also for other countries that strive for sustainable development of the tourism sector. The purpose of the study is to identify ways to develop entrepreneurial activity by integrating human capital and green technologies to optimize the sustainable development of the tourism sector. The paper examines the basic theoretical concepts of the essence and forms of sustainable tourism and presents the concept of the integration of human capital and green technologies to achieve the principles of sustainable development. Based on an expert survey, strengths, weaknesses, opportunities, and threats analysis, and statistical methods, the main ways of promotion and development of sustainable tourism, as well as measures to integrate human capital and green technologies into entrepreneurial activities in the tourism sector in the East Kazakhstan Region, have been identified. The authors have concluded that the introduction of green technologies and the integration of human capital with them provide new standards for the quality of tourist services while preserving the natural resources of the region.
The Impact of Pedagogical Approaches for Forming Digital Competence in Students
Authors: Medeshova Aigul , Adelbaeva Nurya , Kushekkaliev Alman , Akimova Saule , Khazhgaliyeva Gulnar , Ramazanova Lyazzat , Kassymova Аkmaral
Published: January 2025

The digital revolution in education has fundamentally transformed teaching methods in higher education. Fostering students' digital competencies is vital for equipping them with the skills needed in our rapidly evolving technological landscape. This article focuses on formulating effective pedagogical strategies and methods for enhancing the digital competence of part-time students. It aims to provide measurable outcomes in terms of students' improved digital skills. The methodology developed combines traditional and digital teaching methods and underscores the teacher's pivotal role in its implementation, clarifying the concept of "digital competence." Employing specific quantitative and empirical research methods, ensures the methodological rigor of this study. The resulting methodology is designed to establish a digital ecosystem within higher education, enabling students to thrive in the digital age and contributing to the broader academic discourse on digital competence.
Organizational Culture and Self-Efficacy with Work Motivation and Leadership as Key Factors
Authors: Huda Wahyul , Joko Raharjo Tri , Suharini Erni , Prihatin Titi
Published: January 2025

To examine these relationships in a school setting, this study investigates the effects of organizational culture on teacher performance directly using leadership and work motivation as mediators and ‘self-efficacy’ variables. Using primary data from the educators of different universities, we apply an Agenda based Structural Equation Model (SEM) by using SmartPLS 2024. Results featured highlighted strong positive correlations where organizational culture and self-efficacy directly impact on teacher performance, along with work motivation acting as a significant mediate between these links. The above findings are significant as the relationship between leadership and work motivation were identified to be among essential drivers of teacher performance which can lead to an indication that effective leadership yields high motivational levels with educators. The inter-relatedness of these constructs suggests the value in nurturing a supportive organization culture and effective leadership to positively affect educational outcomes. The study concludes with a focus on the importance of education policymakers to set up environments that promote teacher motivation and performance, thus positively affecting students’ experience in schools the ultimate beneficiaries.
Enhancing Educational Systems on Creating Job Opportunities by Promoting Knowledge-Based Economy in the Sultanate of Oman
Authors: Mohamed Elshaiekh NourEldin , Mohammed Alrashdi Said , Maher Shehata Ahmed , Eid Bait bin Saleem Naifa
Published: January 2025

Education is the foundation of progress, development, and the growth of individuals and societies. Knowledge-based education plays a significant role in enhancing educational systems, resulting in improved learning outcomes, enriched knowledge, job creation, and reduced unemployment. It also supports the alignment between educational outcomes and labor market needs by continuously adapting to innovations and advancements. In Oman, the educational system is governed and developed using modern technologies, in alignment with Oman Vision 2040. This research outlines strategies and methods to strengthen knowledge-based education in Oman, with the goal of reducing unemployment and providing suitable job opportunities for Omanis across various sectors. This approach heavily depends on the production and utilization of knowledge and information as key resources for economic growth, addressing gaps and shortcomings in the application of the knowledge economy. The proposed model involves leveraging technology, improving education, and fostering research and development with modern technologies and artificial intelligence tools to enhance educational systems and generate employment opportunities. The study aims to explore how education can contribute to reinforcing the knowledge economy in Oman by advancing educational systems and creating new jobs, focusing on the challenges and opportunities within the framework of Oman Vision 2040, which seeks to achieve sustainable economic growth. Additionally, the research discusses differences in averages among respondents' educational qualifications, with the highest average recorded for PhD holders at approximately 4.5% that holders of these qualifications are the ones who can be relied upon to convey and disseminate the culture of the knowledge economy among university and college students. The lowest for diploma holders is at less than 4.2%. The statistical significance (sig.) of the distribution of differences between groups was 0.926% for the first item, 0.601% for the second item, and 0.019% for the third item. The F-statistic in the ANOVA analysis revealed varying percentages, indicating different impacts of the studied factors on improving education and promoting the knowledge economy in Oman.
Improving Media Literacy Among Higher Education Students Through Vitagenic Information
Authors: Maxmudova Darmonjon , Khudoynazarov Egambergan , Pazilova Meruert , Alyaminov Khairulla , Abilova Gulbahar , Sherimbetova Zamira , Korabayev Sherzod
Published: January 2025

This research investigates the influence of vitagenic information on enhancing media literacy among students in higher education. The primary focus is on how students can leverage their personal experiences and vitagenic learning to critically assess and interact with a wide array of media content in the current digital landscape. Background. As digital media and information become increasingly prevalent, students in higher education regularly encounter a significant volume of content that necessitates advanced critical evaluation skills. Vitagenic information, which refers to life experiences and practical knowledge, is essential in developing students' media literacy. By incorporating vitagenic learning, students gain the ability to discern credible information from misinformation, thereby improving their media engagement. Research Methods. The study employs a mixed-methods methodology, integrating both qualitative and quantitative data. Surveys were conducted with 200 university students to evaluate their existing media literacy levels and to determine how vitagenic experiences affect their critical thinking abilities. Additionally, focus groups were organized to collect detailed insights into how students utilize their vitagenic knowledge when consuming media. Results. Initial findings reveal a noteworthy relationship between students' personal experiences and their capacity for media analysis. Students with a robust background in vitagenic learning tend to achieve higher media literacy scores, especially in identifying biased or misleading content. Conclusion. The study's results indicate that incorporating vitagenic information into the curricula of higher education institutions could significantly bolster students' media literacy competencies. This method allows students to draw on their practical knowledge and life experiences, leading to more informed and critical interactions with digital media.
Analyzing CLIL Studies in Primary Education: Bibliometric analysis
Authors: Yegizbayeva Lazzat , Admiraal Wilfried , Zhazykova Makpal , Mustoyapova Altyngul , Akiyeva Almagul , Nurseitova Bakitgul , Saimagambetova Asem
Published: January 2025

Content and Language Integrated Learning (CLIL) holds a pivotal role in fostering   English vocabulary acquisition among primary school students across various subjects. This study aims to undertake a comprehensive bibliometric analysis of English research articles spanning the past 16 years (2007-2023), focusing on CLIL implementation within primary education. Employing Boolean operators and wildcard symbols, we amalgamated pertinent keywords for querying the Scopus database. To facilitate bibliometric assessments, the Bibliometrix package within RStudio, in conjunction with Biblioshiny web applications, was harnessed. Our analysis encompassed tracking publication and citation patterns, identification of highly cited documents, assessment of prolific authors, nations, and universities, and recognition of influential journals. A dataset comprising 138 research articles was curated. Our investigation unveiled a consistent upward trajectory in both publication frequency and citation counts over the study's 16-year timeframe. Notably, the work by Fernandez-Sanjurio in 2019 emerged as the most cited paper. Foremost authors included Madrid D and Martinez Agudo JD, while the 'International Journal of Bilingual Education and Bilingualism' emerged as a leading publication venue. Among contributing institutions, the University of Cordoba and University of Granada featured prominently. The most prolific countries were Spain, China, and Australia, with notable collaboration occurring between Spain, China, and the United Kingdom. This study underscores the significant contributions of Spain in terms of authors, institutions, and citations, solidifying its role as a key contributor to the realm of CLIL research within primary education.
Leaders' Degree of Strategic Improvisation Practice from Education Employees' Perspective
Authors: Abbaas B. Alhameedyeen Rahmeh , Mahmoud K. Alhamaidah Ola
Published: January 2025

The study aimed to investigate the degree to which leaders in the Ministry of Education practice strategic improvisation from the perspective of the ministry's employees. It also sought to identify the significance of differences in their responses based on gender, academic qualification, and years of experience. A descriptive survey method was employed, with a questionnaire as the tool for data collection. The study population included all employees at the Jordanian Ministry of Education headquarters, totaling 1,510 individuals, from which 305 employees were selected using the stratified random sampling method. The findings revealed that the practice of strategic improvisation by leaders in the Jordanian Ministry of Education and its dimensions—intuition, creativity, adaptation to change, and risk perception—was of a moderate level. In addition, the study indicated statistically significant differences at the (α ≤ 0.05) level in the average responses of the study sample regarding the degree of strategic improvisation practice by ministry leaders in the four dimensions. These differences were attributed to the academic qualification variable, in favor of employees with doctoral and master's degrees, and the years of experience variable, in favor of those with long and medium experience. However, no difference was found based on the gender variable. The study recommended that the Ministry of Education adopt an organizational culture that encourages strategic improvisation by emphasizing intuition, creativity, adaptation to change, and risk perception while granting sufficient authority to ministry leaders to practice strategic improvisation in ways that enhance workflow and improve the quality of outcomes.
Exploring the Role of Artificial Intelligence on Educational Dynamics: Evaluating its Impact on Pedagogical Practices and Student Learning Outcomes
Authors: Abou Karroum Sarah , Elshaiekh Nour-Eldin
Published: January 2025

Artificial intelligence has emerged is an emerging technology in the current era with far reaching implications on every economic sector. AI is transforming how human interacts with machine and automate day to day actions which were traditionally performed by humans. The current study primary aim was to investigate the scope of AI application in academic settings from instructional and pedagogical perspective. The sim of the study was investigating factors influencing pedagogical beliefs of teachers to implement AI in mainstream education system of Oman. The review of literature suggests role of AI in terms of profiling & prediction, tutoring, accessing student performance, grading & evaluation and personalization of learning experience which influences learning outcomes amongst students using mediating role of pedagogical beliefs of teachers.  Using these variables from the literature, five hypotheses were analyzed using quantitative research methods. Primary data was gathered from the sample of n=250 using an instrument which measured variables on a Likert Scale from one to five. Five hypotheses were tested using SPSS where Hayes process Macros was used to test the direct and indirect effect. Findings shows that a Profiling and prediction, Assessing Student Performance and grading and evaluation capabilities aided by AI has indirect effect on learning outcomes amongst students whereas tutoring and personalization capability aided by AI has direct effect on learning outcomes amongst students. Findings poses significant managerial and practical implications for policy makers in Oman to implement AI in the mainstream education system of Oman.
The Impact of Gross Regional Product Per Capita on the Processes of Convergence between Different Regions of the Country
Authors: Dubovik Mayya , Dmitriev Sergey , Aitkazina Madina
Published: January 2025

The purpose of this study was to analyses the dynamics of gross regional product per capita within the regions of Russia from 2005 to 2020, with the objective of examining the presence of convergence among these administrative and territorial units. Beta and sigma convergence methodologies were utilized. Beta convergence refers to the tendency of poorer regions or countries to grow faster than richer ones, leading to income equalization. Sigma convergence indicates a reduction in disparities between regions or countries over time, reflected in decreasing income variance. Those concepts are relevant for Russia as they highlight the potential for reducing regional economic disparities and fostering balanced growth across its diverse regions.  The speed of convergence was calculated using both ordinary least squares and nonlinear least squares methods, revealing that eliminating a 50% gap in GRP per capita among Russian regions would take approximately 902 and 821 years, respectively. Thereby, evidence of sigma convergence was not found, implying that the inequality among these regions remained statistically insignificant from 2005 to 2020. The analyzed period was characterized by divergent processes within the economy of the Russian regions. The study fills the gap by highlighting the absence of sigma convergence, indicating persistent inequality in economic results across Russian regions despite globalization trends that typically contribute to convergence. Further research is necessary to understand the underlying reasons for this divergence.
Exploring the Dimensions of Business Performance: A Conceptual Framework for Sustainable Success
Authors: Islam Md Ariful
Published: January 2025

In today's volatile and cutthroat business environment, companies must overcome a myriad of  economic, financial, and social challenges in order to provide consumers with exceptional  value. A company's ability to sustain service quality and the elements that contribute to its  improvement is crucial, since businesses in this sector face higher levels of vulnerability and  competition than other sectors. Looking at things from several aspects, this research shows how  company performance and associated issues are viewed from a broad perspective, which has  real-world consequences for everyone involved. The researchers drew on previous research  that had already shown how many creative techniques and aspects affected company success.  Both academics and practitioners can benefit from the study's recommendations and  suggestions.
Formulation and Optimization of Effervescent Tablets by DOE
Authors: Sudarshan Sunil Mirgal  , Abhaya Pravin Modhave
Published: January 2025

Effervescent tablets are a popular dosage form known for their ease of administration, particularly for patients who have difficulty swallowing conventional tablets. The objective of this study was to formulate and evaluate Cefdinir effervescent tablets using the principles of the Design of Experiments (DOE). Cefdinir is a third-generation cephalosporin antibiotic, commonly used to treat bacterial infections, but it faces challenges in oral bioavailability due to poor solubility. The formulated tablets were evaluated for their physical and chemical properties, including hardness, friability, weight variation, and dissolution rate, using standard pharmacopeial methods. In addition, the optimization of formulation parameters was analyzed through statistical analysis to identify the most influential factors and their interactions. The outcome of this study was the identification of an optimal formulation for Cefdinir effervescent tablets, providing enhanced solubility and faster onset of action, which is essential for improving patient compliance and therapeutic efficacyIn conclusion, the application of DOE in the development of Cefdinir effervescent tablets allowed for a systematic approach to optimize the formulation, resulting in a high-quality dosage form with improved drug release and stability profiles. This study highlights the importance of formulation design in the development of novel drug delivery systems and the potential benefits of effervescent tablets in enhancing the therapeutic performance of antibiotics like Cefdinir
Perioperative Complications in Patients of Acute Cholecystitis, Early Laparoscopic Cholecystectomy versus Interval Laparoscopic Cholecystectomy; A Comparative Study
Authors: Hassan Najmul , Khan Shahid Mehmood , Bajwa Khurram , Hussain Syed Mukarram , Batool Wajeeha , Ashraf Imran
Published: January 2025

Objective: To compare the frequency of perioperative complications in patients with acute cholecystitis who undergo “early laparoscopic cholecystectomy” versus those who have “interval laparoscopic cholecystectomy”.
Study Design: Quasi-experimental study.
Place and Duration of Study: Combined Military Hospital, Rawalpindi Pakistan, from Aug 2022 to May 2023.
Methodology: This study included all the patients who had acute cholecystitis and were admitted to the surgery ward for its management. Half of the patients were selected who underwent early laparoscopic cholecystectomy, while the remaining half had interval laparoscopic cholecystectomy. The frequency of perioperative complications was noted in both groups.
Results: In our study, we included 50 patients (25 in group-A, who had “early laparoscopic cholecystectomy” while 25 in group-B, who had “interval laparoscopic cholecystectomy”). The mean age of the study population was 43.70±5.91 years. 18(36.00%) were male while the remaining 32(64.00%) were female. In our study, frequency of perioperative complications in group-A was injury to common bile duct 2(8.00%), biliary leak 3(12.00%), haemorrhage 4(16.00%) and conversion to open cholecystectomy 1(4.00%) while in group-B these were 0(0.00%), 1(4.00%), 2(8.00%) and 0(0.00%), respectively [with corresponding p-values of 0.149, 0.297, 0.384 and 0.312, respectively.
Conclusion: Interval laparoscopic cholecystectomy is a better surgical treatment option for patients with “acute cholecystitis”.
Comparison of Ultrasound and Motoyama Formula for Estimation of Endotracheal Tube Diameter in Pediatric Patients
Authors: Alam Tasneem , Qureshi Sajjad , Ali Chaudhry Amjad , Hussain Akhtar , Majeed Kaukab , Qarni Awais
Published: January 2025

Objective: To assess the comparative effectiveness of Ultrasound and Motoyama formula for the calculation of endotracheal tube diameter in pediatric patients.
Study Design: Quasi-experimental study
Place and Duration of Study: The study was carried out at Department of Anesthesia Combined Military Hospital Quetta, Pakistan from May-Nov 2022.
Methodology: The quasi experimental study was carried out at Anesthesia Department of Combined Military hospital Quetta from May to Nov 2022. A sample size of 40 patients was calculated with the aid of WHO sample size calculator. The patients were then divided into two equal groups of 20 patients each. Twenty patients were placed in group-U in which internal diameter of cuffed endotracheal tube was estimated through ultrasonography whereas 20 patients were placed in group-M in which age related Motoyama formula was used as guide to calculate the internal diameter of cuffed endotracheal tube. The intubation attempt was considered successful if tube was passed in first attempt. Statistical Package of Social Science (SPSS) version 26.0 was used to analyze and interpret data.
Results: Both groups were similar in distribution of gender and ASA status. The intubation was successful in first attempt in 19(95%) of group-U patients while only 1(5%) patient had unsuccessful intubation at first attempt. While in group-M patients 13(65%) had successful intubation in first attempt and 7(35%) patients were not intubated at first attempt which showed that the ultrasound guided calculation of tube diameter was superior (p value <0.02). 
Conclusion: The ultrasonographic estimation of endotracheal tube diameter is more reliable as
Correlation of Placenta Accreta Index with Maternal Outcomes in Patients with Morbidly Adherent Placenta
Authors: Khan Fatima Sharif , Khan Beenish , Ansari Kaswar Sajjad , Andleeb Munnaza , Jabeen Surayya , Uzma Syeda
Published: January 2025

Objective: To assess the correlation of a novel scoring system, placenta accreta index with maternal outcomes in placenta accreta spectrum disorders.
Study Design: Prospective longitudinal study
Place and Duration of Study: Obstetrics and Gynecology Department of Combined Military Hospital Quetta, Pakistan from Apr 2022- Mar 2023.
Methodology: A comparative study was carried out at Combined Military Hospital, Quetta after ethical approval. The study spanned over a year from April 2022 to March 2023. Thirty patients in second and third trimester of pregnancy with suspicion of placenta accreta on obstetric ultrasound were included in the study. The placenta accreta index (PAI) was calculated for all patients and morbidly adherent placenta categories were defined. The primary maternal outcome was cesarean hysterectomy. 
Results: Cesarean hysterectomy was done in none of the low risk and medium risk patients and it was carried out in 11(84.6%) high risk patients with a p value of <0.001.
Conclusion: Placenta accreta index (PAI) can reliably identify patients at high risk of having morbidly adherent placenta and adverse outcomes. This scoring system can assist obstetricians in timely counseling of patients, effective pre-operative planning and timely intervention to reduce maternal morbidity and mortality.
Efficacy of Transforaminal Epidural Steroid Injection with Local Anesthetic and Ozone Versus Transforaminal Epidural Steroid Injection with Local Anesthetic in Patients with Lumbar Radiculopathy
Authors: Mehmood Tariq , Iqbal Muhammad Rashid , Ranjha Chaudhry Raheel , Iqbal Mudassar , Ali Aijaz , Zaid Ameer Yaseer
Published: January 2025

Objective: To compare the efficacy of Transforaminal Epidural Steroid Injection with local anesthetic versus Transforaminal Epidural Steroid Injection with local anesthetic and Ozone in patients with lumbar spine radiculopathy.
Study Design: Quasi-experimental study.
Place and Duration of Study: Pain Management Centre, Department of Anesthesia, Combined Military Hospital Rawalpindi, Pakistan from Oct 2022- Mar 2023.
Methodology: A total of 412 patients who underwent interventional procedures for radiculopathy were included in the study. These patients were divided into two equal groups, group-A (n=206) received Transforaminal Epidural Steroid Injection (40mg Triamcinolone) with local anesthetic (20mg Lignocaine) and Ozone (30 µg/ml) and group-B (n=206) received Transforaminal Epidural Steroid Injection (40mg Triamcinolone) with local anesthetic (20mg Lignocaine). The effects of both the regimens to treat pain in lower back were observed in the groups. Patients were assessed for pain using the visual analogue scale (VAS), for disability .....
Results: VAS at pre-procedure was 7.96 ± 0.587 and 8.15 ± 0.615 for group-A and B respectively (p= 0.005) and then at six months was 3.06 ± 0.898 for group-A and 3.45 ± 1.075 for group-B (p=0.001). Similarly, ODI at pre-procedure was 29.95 ± 4.032 and 30.06±3.761 for group-A and B respectively (p< 0.001) and then at six months was 13.83 ± 2.345 for group-A and 14.65± 2.336 for ....
Conclusion: Lumbar Radiculopathy treated with Transforaminal Epidural Steroid Injection with local anesthetic and Ozone has more patient satisfac......
Menstrual Hygiene Management and its Association with Socio-economic Inequalities: A Cross-Sectional Study at Two Tertiary Care Hospitals of Rawalpindi
Authors: Suhail Iman , Sajid Ifrah , Zulfiqar Shaista , Akhtar Aisha , Suhail Mishal
Published: January 2025

Objective: To assess the degree of awareness and affordability of menstrual products among women of various socioeconomic classes.
Study Design: Cross-sectional study.
Place and Duration of Study:  Obstetrics and Gynecology Outpatient Department, Fauji Foundation Hospital, Rawalpindi and Combined Military Hospital, Rawalpindi Pakistan, from Jan to Jul 2023.
Methodology: A total of 434 females aged 15-49 years were included, out of which 217 were from Fauji Foundation Hospital, Rawalpindi and 217 from Combined Military Hospital, Rawalpindi. A validated, structured questionnaire was given to all respondents. to compare associations of socio-economic status with knowledge and affordability of menstrual products.
Results: Data showed a positive association between mothers’ level of education and their daughters’ early knowledge of menstruation. The source of this knowledge predominantly is mother. When use of product of choice, reasons for not using a tampon/menstrual cup, washing genitalia after each toilet visit, bathing and reasons for not bathing during menses, pain relieve during menses and indulgence in going out during menses were compared in respondents with higher education versus lower education, there was significant association seen in the higher educational group (p<0.01). Higher family income was also significantly associated with better hygiene practices amongst the respondents.
Conclusion: Our research underscores the importance of cognizance of mothers through early education, to ensure that young girls are not only well-aware at the age of menarche but also enabled to track their menstrual health confidently. Education should be coupled with accessible and affordable menstrual products to empower women for making informed choices.
Artificial Intelligence in Healthcare Industry: A New World Order in Medicine and Allied
Authors: Sabir Sohail , Sohail Kanwal
Published: January 2025

Artificial intelligence (AI) or machine learning is the simulation of human minds in learning and analysis. AI is mainly concerned with implementing neural network algorithms on a physical computation platform. There has been an explosive interest in AI in recent years, and AI will continue its momentum to develop as a powerful tool for biomedicine.1 As AI can imitate human cognitive abilities, it has revolutionized industries, unlocked new opportunities and avenues of research, and increased efficacy. AI has emerged in various technical fields, from smart robotic
Effects and Outcomes of Temporomandibular Joint Due to Wisdom Tooth Extraction
Authors: Hussain Hamd Ali , Arooj Ayesha , Shakeel Hammad , Tauqeer Sana , Saleem Sidra , Hussain Syed Zahid
Published: January 2025

Objective: To find out the effects and outcomes of temporomandibular joint due to wisdom tooth extraction.
Study Design: A cross sectional study.
Place and Duration of Study: University of Lahore Teaching Hospital and Lahore Dental Clinic, Lahore Pakistan, from May to Oct 2020.
Methodology: A total of 58 people were included in the study. Convenient sampling technique was used. The Temporomandibular Joint Disability Index Questionnaire was used to assess the extent of disability following wisdom tooth removal. The patients with wisdom tooth extraction minimum six months ago were included.
Results: Among the participants, 35 and 23 were males and females respectively in between age of 17-30 years with mean age of 23±3.21 years. These statistically significant results with communication by yawning or mouth opening which indicated difficulty in speaking after wisdom tooth extraction. Other factors were found with no effect on temporomandibular joint such as brushing or flossing, eating etc.
Conclusion: The individual's responses in their activities of daily life to communication and yawning or mouth opening were found statistically significant on temporomandibular joint disability index.
Spectrum of Mutations in Chorionic Villous Samples for Prenatal Diagnosis of Thalassemia in Patients Presenting at a Tertiary Care Diagnostic Centre
Authors: Sardar Annum , Robert Helen Mary , Akhtar Fahim , Mahmood Asad , Ali Sadia , Zahir Saima
Published: January 2025

Objective: To determine the spectrum of mutations in chorionic villous samples (CVS) for prenatal diagnosis of thalassemia in patients presenting at a tertiary care diagnostic centre. 
Study Design: Cross-sectional study.
Place and Duration of Study: Department of Hematology, Armed Forces Institute of Pathology (AFIP) Rawalpindi, Pakistan, from Jul 2020 to Jan 2021.
Methodology: Chorionic villous sampling (CVS) was performed between the 12th and 16th weeks of pregnancy. A transabdominal technique was used to obtain placental specimen. The couples' blood samples were collected in vials coated with ethylene diamine tetra acetic acid (EDTA). Chelex technique was used to extract genomic DNA. For genetic analysis of mutations, the Amplification Refractory Mutation System - Polymerase Chain Reaction (ARMS-PCR) was used.
Results: A total of ninety-four women underwent chorionic villous sampling. After DNA analysis, β-thalassemia major was diagnosed in 18(18.9%), β-thalassemia trait found in 52(55.3%) cases and no mutation was detected in 24(25.5%) cases. Among the patients diagnosed with β-thalassemia major, 15(83.33%) were homozygous and remaining 3(33.33%) were compound heterozygous.
Conclusion: Prenatal chorionic villous sampling and molecular analysis is useful in identifying β-thalassemia and β- thalassemia trait during pregnancy.
Comparison of Post-Operative Pain in Patients Undergoing Percutaneous Nephrolithotomy receiving Oral Post-Operative Analgesia Augmented by Bupivacaine versus Post-Operative Intravenous Analgesia Alone
Authors: Jawed Muhammad Usman , Ali Adnan , Umair Musab , Hussain Adee , Shirazi Syed Hamza , Alam Nauman
Published: January 2025

Objective: To compare peri-tract infiltration of Bupivacaine augmented by oral post-operative analgesia versus post-operative intravenous analgesia alone in patients undergoing percutaneous nephrolithotomy in terms of mean post-operative pain score.
Study Design: Quasi-experimental study.
Place and Duration of Study: Armed Forces Institute of Urology Rawalpindi, Pakistan from Apr to Oct 2019.
Methodology:  Total number of 68 patients planned for percutaneous nephrolithotomy were randomly divided into two equal groups with 34 patients in each group by lottery method. Group-A patients received peri-tract local anesthesia infiltration with 0.25% Bupivacaine while group-B patients received post-operative intra-venous analgesia. Both groups were compared in terms of postoperative pain scores.
Results: The mean pain score as per visual analogue scale at 1 hour was 4.53±0.62 in Group-A vs 5.21±0.85 in group-B with p=0.004.  The mean score of pain at 3 hours was 3.85±0.50 in group-A vs 6.79±0.73 in group-B with p˂0.001. The mean score at 6 hours was 3.38±0.78 in group-A vs 6.03±0.90 in group-B with p˂0.001. The mean pain score at 12 hours was 1.21±0.77 in group-A vs 5.26±0.99 in group-B with p˂0.001.
Conclusion: Peri-tract infiltration of Bupivacaine was associated with significantly less postoperative pain as compared to standard intravenous analgesia in patients undergoing percutaneous nephrolithotomy.