bluuebunny/crossref_metadata_2025 huggingface dataset:
Research on Integrated Learning Algorithm Model of Bank Customer Churn Prediction
Authors: Xinping Shang , Yi Wang
Published: November 2024

With the rapid growth of Internet finance, competition within the banking industry has intensified significantly. To better understand customer needs and enhance customer loyalty, it has become crucial to develop a customer churn prediction model. Such a model enables banks to identify customers at risk of leaving, support data-driven business decisions, and implement strategies to retain valuable clients, thereby safeguarding the bank's interests. In this context, this paper presents a customer churn prediction model based on an ensemble learning algorithm. Experimental results demonstrate that the model effectively predicts and analyzes potential customer churn, providing valuable insights for retention efforts.
Machine Learning for Early Detection of Rare Genetic Disorders using Multi-Omics Data
Authors: Gadde Nishant , Mohapatra Avaneesh , Kanaparti Rishi , Manukonda Siddhardh , Chahal Jashan , Au Jeffrey
Published: November 2024

Due to their complex presentations and the limitations of traditional diagnostic methods, rare genetic disorders have always been among the most difficult to diagnose. Many conditions remain undocumented for several years, which has led to delays in both treatment and interventions. The increase in multi-omics data, including but not limited to genomics, proteomics, metabolomics, and transcriptomics, opens up new avenues in regards to these challenges by providing a wide look into the biological systems of an individual. Adding several omics layers together increases the possibility of going towards an accurate diagnosis; the problem is that this is a limiting factor for the effective use of such complexity. ML now promises a way out from this complexity. This is made possible by the use of ML capability: processing big, multi-dimensional data sets to find patterns and correlations that might otherwise have been missed. Recent breakthroughs in ML, including deep learning and transfer learning, also reflect their potential for integrating multi-omics data and improving early diagnosis for a rare genetic disorder. Still, this direction has been poorly represented by research papers, at least with respect to the use of ML in diagnosing a rare disease. This research will work on formulating an ML framework with the capability to integrate multiomics data for the prediction of rare genetic disorders. The hope here is that, through availing the full capacity of ML in the management of complex interactions among data, this research may be useful in the improvement of early diagnosis and treatment of these conditions. Beyond that, the research hopes to enrich the emerging sciences of personalized medicine for future applications of ML to diagnostics of rare diseases and beyond.
Impact of Corporate Tax Avoidance and Philanthropy on Investment Efficiency. Evidence from Pakistan.
Authors: Husnain Ali Ehsan Abbasi  , Muhammad Khalid Sohail  , Masroor Shah
Published: November 2024

Purpose- The purpose of such a study is to investigate the impact of corporate tax avoidance and philanthropy on investment efficiency in Pakistani firms.
Study Design/Methodology/Approach - The study's population comprises companies listed on the Pakistan Stock Exchange. A sample of 88 companies that are listed on the Pakistan Stock Exchange was used in the study. This study covers a period comprising 11 years from 2011 to 2021 by using panel data analysis. In this study, secondary data was collected and analyzed through Ordinary Least Squares (OLS). The OLS estimator is most appropriate to analyze panel data.
Findings- The findings reveal a considerable link between corporate tax avoidance, corporate philanthropy, and investment efficiency. It implies that companies will have to make higher philanthropic and tax payments. According to the findings, investment efficiency encourages managers to use corporate tax avoidance to combat tax avoidance practices.
Practical Implications—We emphasize the special contribution that corporate philanthropy makes to increasing investment efficiency and the managerial ramifications of this practice.
Originality/Novelty - The current study is the first to focus on links between corporate tax avoidance, corporate philanthropy, and investment efficiency in Pakistan. Corporate tax avoidance, investment efficiency, and corporate philanthropy all address the unique dynamics and problems of the country while offering significant value and fresh perspectives. This research may support Pakistan's economic growth and sustainable development by bettering corporate practices, policies, and socioeconomic outcomes.
Shifts of Administrative Power: Competence Trumps Aristocracy in Swedish State-Building
Authors: Carelli Daniel
Published: November 2024

This study explores the transition from patrimonial structures to the inclusion of ordinary citizens in public office, focusing on Swedish state-building. Analyzing newly collected data on 1,351 civil servants, the research reveals how the demand for competence led to the adoption of meritocratic recruitment starting in the seventeenth century. This shift contributed to Sweden’s elimination of systemic corruption by the nineteenth century. Key factors in this transition include the increasing complexity of public administration tasks, which drove education policies; the ennoblement of individuals to broaden the pool of qualified personnel; and tensions within the expanded noble class. Conceptualized as “administrative democratization,” this process initially enhanced competence at lower ranks and progressively empowered ordinary citizens in senior positions, underscoring education’s role in developing effective public administration.
Evaluation of the technology of strip tillage and application of mineral granular fertilizers for yield and the quality of corn products
Authors:   Bashkir State Agrarian University, Asylbayev Ilgiz , Mudarisov Salavat , Akhiyarov Bulat , Farkhutdinov Ildar , Nizametdinov Zagir
Published: November 2024

The evaluation of the developed strip tillage sowing tool with simultaneous application of mineral granular fertilizers on the yield and quality of corn products in field conditions on the basis of LLC Bashkir-Agroinvest Tavros Group was carried out. The infestation of corn plants with diseases, pests, yield of green mass, grain and quality in terms of starch and crude protein content was determined depending on the depth of strip processing (18, 22, 25 cm) and the dose of mineral fertilizer (100, 150, 200, 250 kg/ha). The maximum yield of the green mass of corn (56.8 t/ha), grain (10.63 t/ha) was formed at a depth of 22 cm of tillage and the application of mineral fertilizers at a dose of 200 kg/ha. The content of crude protein in corn grain varied from 9.3 to 13.8%, the starch content from 52.2 to 64.4%. Keywords: STRIP TILLAGE, SOWING, GREEN MASS YIELD, QUALITY, PROTEIN, STARCH
Mirror foot : a case report of rare ten toes polydactyly
Authors: Sitorus Gina Yunit J , Putra Teuku Nanda , Ikhsan Muhammad , Jannah Siti Miftahul
Published: November 2024

Background: A rare congenital abnormality known as "mirror image polydactyly" of the feet is typified by symmetrical duplication of the foot's fingers. According to Fukuzawa et al., only 28 cases—seven of which include treatment records—have been described in the English literature. Mirror foot can arise as a single congenital defect or a component of a hereditary syndrome involving several congenital defects.
Methods: Our outpatient department received a referral for a 3-month-old infant who was born with unilateral mirror-image polydactyly of the foot, along with congenital talipes equinovarus (CTEV) and congenital genu recurvatum. A radiographic examination verified that the left foot had nine metatarsals and ten fingers. Five digits were ablation after preaxial duplicates of the first through fourth metatarsals were disarticulated.
Results: Rebuilding a functional and aesthetically beautiful foot was the goal of the surgical care of this case, which will help orthopaedic surgeons manage CTEV for serial cast correction. The foot appeared excellent six months following the surgical procedure. The youngster was referred to the pediatric orthopaedic facility in Jakarta after the local orthopaedic department managed the CTEV without incident.
Conclusion: Mirror feet are uncommon, and each patient needs treatment specifically designed for them. Coordination across various departments should be pursued to provide patients with the best care possible.
Pain score evaluation in patient underwent hand surgery under walant compared to those under local or general anesthesia with tourniquet
Authors: Teuku Nanda Putra  , Yanis Melissa Abigail
Published: November 2024

Background: The Wide Awake Local Anesthesia No Tourniquet (WALANT) has been reported to offer simpler pre-surgical instruction and assessment, faster operating time, better surgical visualization, shorter hospital stay, fewer complications, and side effects, lower cost, faster postoperative recovery time, better patient's satisfaction, and less pain and discomfort. This study aims to review the pain score in hand surgery using the WALANT technique compared to local anesthesia or general anesthesia with a tourniquet.
Methods: A comprehensive literature search was conducted in PubMed, Cochrane Library, and Google Scholar in March 2021. Eligible randomized-controlled trials (RCTs) and cohort studies comparing injection time, intra-operative, or postoperative pain using Visual Analog Score (VAS) in WALANT and local anesthesia or general anesthesia with tourniquet were included.
Results: Five studies (3 RCTs and 2 cohorts) were included in this article, including 645 hand surgeries (376 carpal tunnel syndrome cases, 181 trigger finger cases, 42 cubital tunnel syndrome cases, 44 de Quervain's disease cases, and 2 ganglion cyst cases). Three studies reported a significantly lower VAS in the WALANT group, while the other two studies reported a lower VAS in the WALANT group, but it was not statistically significant.
Conclusion: WALANT is still a technique worth considering in hand surgery because of its superiority in minimizing intra-operative and postoperative pain.
Bovine nucleus pulposus decellularization using freeze drying technique to form a biological scaffold
Authors: Romaniyanto  , Prijosedjati Raden Andhi , Ermawan Rieva , Hakim Fikar Arsyad , Saddalqous
Published: November 2024

Introduction: As much as 40% of low back pain patients are caused by degenerative disc disease. The current treatments are fusion stabilization and total disc replacement, which have a risk for adjacent segment disease. These suboptimal results have become the beginning of the development of regenerative therapy. The success of this therapy will increase if the scaffold meets the ideal conditions. Biological scaffolds provide a cell growth environment that resembles the original tissue. Bovine intervertebral nucleus pulposus can become promising scaffolds.
Objective: This research describes the proper freeze-drying approach for decellularizing bovine nucleus pulposus to create a biological scaffold.
Methods: We conducted an experimental post-test control design study using bovine coccygeal nucleus pulposus material. All treatment groups underwent freeze-drying with Buchi Lyovapor™ L-200/L-200 Pro. All groups were evaluated for the level of decellularization using the Quick-DNA™ Miniprep Plus Kit (Zymo Research®) and remaining glycosaminoglycan levels by Alcian Blue staining.
Results: Comparison of DNA concentrations obtained p-values respectively <0.0001 (p <0.05), which means that all the treatments showed a decrease in DNA concentration compared to the control group. The comparison of the glycosaminoglycan percentage between the P1 vs. Control group obtained a value of p=0.381 (p>0.05), which means that the glycosaminoglycan percentage results for the P1 group were not significantly different from the control group.
Conclusion: This study of group P1 showed that decellularization of the bovine nucleus pulposus by freeze-drying technique can form an excellent biological scaffold.
Oil prices and exchange rates causality: New evidences from decomposed oil prices shocks and parametric in quantile analysis
Authors: ATEBA Joseph  , EWONDO Dieudonne  , ABEGA Daniel Armando  , ENAMA Alice  , ABOMO ZANG Julie Christianne  , Prudence Diane Kamtchou Ndjanfa
Published: November 2024

In this paper, the researchers reassess the causality between oil prices and exchange rates by applying the parametric quantile analysis to decomposed oil prices shocks and exchange rates returns data of both low income, emerging and developed oil exporting countries from 1993.11 to 2021.10.  Unlike the existing researches  using the causality in  quantile  analysis, our study outcomes support  the causal relationship from exchange rates to oil prices shocks  at upper and lower quantiles in developed oil exporting countries; this is also true regarding the bidirectional causality observed in low income and emerging oil exporting countries .These findings imply that, important positive and negative oil shocks cause extremes changes in the exchange rate  returns of low income and emerging oil exporting  countries and reciprocally. However only extreme fluctuations of exchange rate returns of developed oil exporting countries such as Norway and Canada can cause oil prices variations. The results of non-causality at middle quantiles also suggest that the monetary authorities in both developing and developed oil exporting countries resist the exchange rates adjustments when oil prices fluctuations are significant. From these results we recommend sound policies in order to mitigate internal and external shocks during crisis, structural reforms that support diversification of energy production by developing other energy sources and reduce crude oil dependence, as well as the whole economy diversification mostly for developing countries and finally, multiple exchange rates to diversify portfolio and hedge the risks associated to oil prices fluctuations for investors.
Keywords: Exchange Rates, Oil Prices Shocks, Quantile Causality.
Feasibility of a 40kWp Grid-Connected Solar Power Plant in Tiaret, Algeria:
Authors: Afif Benameur , Baghdad Mohammed , Berka Mohammed , Masoud Salah , Yahiaoui Maamar
Published: November 2024

This study evaluates the technical and economic feasibility of a 40kWp grid-connected solar power plant in Tiaret, Algeria. Utilizing comprehensive solar irradiance data and advanced PV system software, we designed and simulated the plant's performance under local conditions. Our analysis incorporates smart grid integration strategies and economic modeling. Results indicate an annual electricity generation of approximately 68,000 kWh, with a levelized cost of energy (LCOE) of 0.12 USD/kWh and an estimated payback period of 5 years. The plant demonstrates a performance ratio of 0.759, reflecting its efficiency under real-world conditions. These findings suggest that grid-connected solar power plants are not only technically viable but also economically attractive in Algeria. The study provides critical insights for policymakers, investors, and engineers, offering a replicable model for assessing and implementing solar projects in similar emerging markets across North Africa and beyond.
Lebrikizumab (Ebglyss)
Authors: CDA-AMC
Published: November 2024

Canada’s Drug Agency (CDA-AMC) recommends that Ebglyss should not be reimbursed by public drug plans for the treatment of moderate to severe atopic dermatitis (AD) in adults and adolescents aged 12 years and older with a body weight of at least 40 kg, whose disease is not adequately controlled with topical prescription therapies or when those therapies are not advisable.
Evidence from 3 clinical trials demonstrated that, in the short-term, Ebglyss treatment improved the severity of AD and reduced itch symptoms compared with placebo in adults and adolescents with moderate to severe AD. However, based on the evidence reviewed in the initial meeting and the reconsideration meeting, the Canadian Drug Expert Committee (CDEC) could not determine whether lebrikizumab would address the unmet needs of patients because of the uncertainty around the benefit of lebrikizumab versus appropriate comparators and in patients who received prior dupilumab or Janus kinase (JAK) inhibitor treatment.
No evidence was submitted that directly compared Ebglyss to currently available treatments for AD. The indirect evidence submitted had limitations that impacted the certainty of the evidence, and it was unclear if the estimates were valid.
The safety of Ebglyss relative to other treatments for AD is unknown because no comparative evidence was submitted. In addition, longer-term safety and efficacy was uncertain because of limitations of the study designs and analysis with the available evidence.
The Impact of Digital Transformation on Supply Chain Management: A Study of How Firms Adapt
Authors: Nihlani Dr. Ankita , Chhabda Dr. Parvindar Kaur
Published: November 2024

Businesses need to embrace digital if they want to succeed in the cutthroat business climate of today. The goal of supply chain management is to maximise value for stakeholders and customers while also achieving operational efficiency. The planning, carrying out, managing, and verifying of store network exercises do this. The benefits and drawbacks of integrating digital technology into supply chain management practices are examined in this study. This analysis also aims to shed light on the potential advantages of advanced change for developing market organisations that aspire to become global. By using a qualitative methodology and carrying out a thorough analysis of six successful real cases in three different emerging markets—Iran, Bangladesh, and Pakistan—the study also seeks to offer recommendations for businesses in emerging markets on how to use digital technologies to optimise supply chain management processes and facilitate international business. The ultimate goal of this research is to improve knowledge of the role and importance of digital transformation in supply chain management for companies that operate in developing countries and to offer these companies useful advice so they can successfully compete on a global scale.
Digital Democracy: How Technology Can Drive Higher Voter Turnout in Elections
Authors: Soyipov Sunatullo , Khaitov Fayzulla , Shukurova Feruza , Rashidova Kamila , Aliyeva Mehrinoza , Yuldasheva Gulnara , Berdiyeva Nazira , Jumanov Akbar
Published: November 2024

This article pinpoints the transformative role of technology in improving the rate at which people vote during elections. An important concept developed in this paper is that of digital democracy, and as such, a thorough analysis will be done on technological advancements, which have so far proved very instrumental in promoting civic participation and entailing more involvement in the democratic process by all concerned through online voter registration, mobile phone applications, and social media campaigns. The article, therefore, pinpoints studies showing that states that have adopted online registration actually report higher rates of active voters, while mobile apps present information that makes voting more manageable. Social media also offers an effective outreach opportunity, particularly among younger voters, to create in them a sense of community and urgency about participation in electoral activity. The integration of educational tools, such as virtual workshops and gamified learning, enables further development of the capability to push participants and voters forward in an accessible and engaging manner. The article leverages these advantages of technological developments as a means toward creating a better-informed and more active electorate contributing to the health of democracy.
Digital Transformation and Sustainability: A Study of how Firms Use Digital to Achieve Sustainable Goals
Authors: Sachdeva Lalit , Upadhyay Naveen
Published: November 2024

The globalisation brought about by the internet revolution of the twenty-first century has affected both technical and technological domains. As a result, a large number of e-commerce businesses worldwide were starting their digital transition. A firm needs to engage and conduct business with its surroundings. Consequently, there is an unbreakable bond and mutual reliance between business and the environment. The term "business environment" refers to the components of a business's surroundings that impact or define its efficacy and operations. A business organization's objective is to take advantage of opportunities and address issues that come up in the workplace. Analysing the business environment is essential for a company to thrive in its industry. Consequently, managers need to assess the workplace culture before putting forward winning business plans. The ability to handle competition is the cornerstone of developing a plan. Every strategy is predicated on comprehending the opposition.
Scientific Production on Budget Execution in Latin American Organizations
Authors: Rojas Jeannette Barbaran , Carrasco Doris Noemi Delgado , Saldaña Carlos Miguel Aguilar , Tananta César Augusto Flores , Vásquez Aníbal Pinchi , Jimenez Khunji Marilyn Alarcón
Published: November 2024

The objective of this research was to identify the scientific contributions that support budget execution in organizations. It was a literature review with a qualitative approach and exploratory-explanatory scope with a population of 30 scientific articles indexed in reliable sources. As results, it was found that there are various methods and models through which organizations can carry out the execution of budgets, for which it is necessary to make the respective adaptation to adjust the parameters around their needs; In addition, municipalities must prioritize the proper administration of their resources to achieve the proper execution of budgets based on local needs. It was concluded that the various investigations emphasize that budget execution is extremely important because it leads to the generation of development in the country's economy, for which it is necessary that each of the elements be developed in a transparent and competitive way to ensure that the resources are used in accordance with the guidelines and permits of the budget in favor of citizens.
Perception of E-learning among the Students Studying in Higher Education Institutions with Reference to Kerala
Authors: Faisal T. , Dharmaraj A.
Published: November 2024

The advent of the internet and innovative technologies has rendered learning solutions for universities currently navigating an environment of passionate change. Universally, the COVID-19 lockdown has impacted every facet of life, and education is no exception. Understanding students' perceptions of e-learning technologies is essential for the successful growth of academic programs. This study aims to investigate college students' current status and future expectations regarding e-learning. It is an empirical research study encompassing students pursuing higher education in arts, sciences, humanities, engineering, and health sciences. The purposive sampling, with a sample size of 497 is adopted for the study. Primary data are collected through a questionnaire. Cross-tabulation and Chi-square tests, aided by IBM SPSS Statistics 22, are employed for analysis and interpretation. The study reveals a low awareness level towards e-learning.
Study of Scientific Production on Stress at Work in Organizations
Authors: Lopez Henry Poquioma , Lopez Luis Ramón Velásquez , López Rosa Johanna Clavijo , Gonzales Tony Venancio Pereyra , Lozano Sharon Mendoza , Ramírez Segundo Víctor León
Published: November 2024

The objective of this research is to describe the scientific production of research on work-related stress in organizations. The methodology in this research was of basic or pure type, with non-experimental design, quantitative approach and descriptive level, the source of information were the articles between the year 2021 to 2025. The results indicate that people exposed to work stress have a 13.42 times higher risk of presenting depressive symptoms, compared to those who did not experience it. Job stress significantly affects the performance of health professionals. It is concluded that the analysis of international and national literature shows that occupational stress is a relevant and persistent public health problem within organizations, with a particularly detrimental impact on the well-being and performance of health professionals, such as nurses and physicians.
The Role of Digital Marketing Technologies in Enhancing Business Process Management
Authors: Omonov Qudratulla , Abdullaev Khurshidjon , Yakubova Manzura , Shokirova Shakhnoza , Ayupova Mukarram , Kodirov Maksudbek , Sattorova Zilola
Published: November 2024

In the many stages of the digital revolution's progress, digitalisation has strong foundations and significant turning points. The word "digit" was derived etymologically from the Latin phrase "digitalis." The practice of counting with fingers and toes numbers lower than ten was commonly referred to by this phrase in the middle of the fifteenth century. Going forward to the 1650's numerical meaning, data processing on computers began in 1938, replacing analogue methods. 1945 marked yet another turning point in the rapid processing of evolutionary changes, before the 1960s saw the emergence of extensive data collection and broadcasting of events. Marketing operates through an integrated method that combines the arts and sciences. The arts create demand, while the sciences assess market potential and the company's ability to meet that need. It is harder to market services than it is to sell items. The field of digital marketing has grown more dynamic and complex. Technology is constantly requiring exceptional upgrades due to its rapid changes, diversified applications, version modifications, and advanced generations. A company's ability and desire to adapt to the evolving form, function, and structure of digital technology is a prerequisite for any stable reliance on it.
Similar Foci, Different Lenses: Literacy Education Beliefs and Practices of Chinese and U.S. Teachers
Authors: Hu Yang , Dong Beifei
Published: November 2024

The differences in literacy education practices between China and the United States are often attributed to their different educational, sociocultural, and historical contexts. However, this sweeping view offers little to help literacy educators in both countries understand the beliefs behind literacy instructional practices and how different or similar these beliefs are. This study examines key characteristics of how Chinese (n=40) and U.S. (n=44) literacy teachers (Pre-K-8th grade) articulate their beliefs about literacy education, delineating their differences and similarities. An inductive content analysis of teachers’ self-reported written narratives about their beliefs and practices in literacy education, along with double coding, reveal that the teachers’ espoused disciplinary beliefs focus on similar themes for the most part. However, their lenses were markedly different, tinted by both the substance and style of their literacy instruction contexts, as well as their cultural epistemological foundations. Inconsistencies between teachers’ beliefs and practices manifested differently in the two groups, but they reflected similar sources. Understanding these varying and nuanced beliefs in cross-cultural contexts can inform teacher education and education reform and counter the insularity of educational research.
DISTRIBUTION OF SNAILS, INTERMEDIATE HOSTS OF SCHISTOSOMES IN AND AROUND KISANGANI, DEMOCRATIC REPUBLIC OF THE CONGO
Authors: John SAPU KANGANGA , MWANAKIMBULU Médard ABEDI , Lwanga KAKULE LWANGA , TEPUNGIPAME Alliance TOGOTO , Dadi FALAY SADIKI , Thierry BOBANGA LENGU , Jorris LIKWELA LOSIMBA
Published: November 2024

Introduction: This study investigated the distribution and abundance of snails that can transmit schistosomiasis, a parasitic disease, in Kisangani, Democratic Republic of Congo. Materials and Methods: Five swampy sites were selected based on reported schistosomiasis cases and local knowledge of contact with water and snail presence. Non-probabilistic (convenience) sampling was employed. Results: Eight snail species were found, all of which can transmit various types of schistosomiasis or other diseases. The identified snail species can transmit schistosomiasis caused by Schistosoma mansoni, S. haematobium, and potentially S. intercalatum, as well as fascioliasis, another parasitic disease. Snail densities were high in the Onane, Kakole, and Gouvernorat sites, which are rivers and water points potentially contaminated with human waste. Cases of schistosomiasis have been reported in all Health Zones where snail samples were collected. Conclusion: This study provides valuable data on the distribution of snails that can transmit schistosomiasis in Kisangani. Further research is needed to better understand the schistosomiasis situation and develop control strategies.
Alcohol Use Disorder: Current and Emerging Therapies
Authors: Bandi Haritha , Nandala Sampada , SV Padi Satyanarayana
Published: November 2024

Alcohol use disorder (AUD) is a medical condition characterized by problematic and unhealthy patterns of alcohol use ranging from frequent to heavy alcohol consumption. It is a well-recognized psychiatric syndrome that includes a broad spectrum of symptoms and behaviors associated with alcohol misuse. People with AUD don’t stop drinking alcohol despite emotional distress, social, occupational, or health problems. Pharmacological management of AUD depends on the patient’s condition to reduce the symptoms and improve the patient’s health. The US FDA approved three medications, namely naltrexone, acamprosate, and disulfiram for the treatment of AUD. Apart from these medications, psychological therapy, cognitive behavioral therapy, and encouraging patient participation in support groups have been showing promising results. The present review briefly discusses the epidemiology, symptoms, stages, diagnosis, screening, and emerging psychosocial therapies and pharmacotherapy of AUD including approved and off-label uses of drugs and newer agents.

Keywords: Alcohol use disorder, Acamprosate, Baclofen, Disulfiram, Gabapentin, Naltrexone, Nalmefene
Real-Time Cardiac Monitoring: AI Solutions for Continuous Patient Care
Authors: Kosaraju Deekshitha
Published: November 2024

In today’s changing healthcare landscape incorporating Artificial Intelligence (AI) into heart monitoring systems is a groundbreaking step towards better patient outcomes and more efficient healthcare practices. By harnessing AI powered real time monitoring using algorithms and sensors we can now provide continuous and accurate insights into heart health. This cutting-edge method does not enhance the accuracy of diagnosing heart conditions but also enables timely medical interventions that could potentially save lives and reduce healthcare costs. AI driven systems constantly analyze data from devices detecting subtle changes in heart activity that may signal impending health issues allowing for proactive medical responses. Furthermore, these AI systems personalize patient care by adjusting monitoring and treatment plans based on patient information and changing health status. Beyond analyzing data AI in heart monitoring can predict potential health declines and make immediate adjustments to treatment protocols in real time ultimately improving patient care management and lowering the risk of serious complications. This discussion will explore the limitations of cardiac care methods introduce AI driven solutions shaping the industry highlight the practical applications and significant benefits of these innovations and consider the future possibilities of AI advancements, in live heart monitoring.

Keywords: Real-Time Cardiac Monitoring, Artificial Intelligence, Wearable Technology, Heart Health Management, Predictive Analytics, Remote Patient Monitoring, Preventive Cardiology, AI-driven Diagnostics, Healthcare Innovation.
Study of the Correlation between Pressuremeter Limit Pressure and Dynamic Resistance obtained by the Dynamic Probing Super Heavy (DPSH) of the Sands of Lome in Togo
Authors: KPATADOA Sabankou , P’KLA Abalo , KESSIE Ezouwè
Published: November 2024

The design of building foundations relies on a good understanding of the bearing capacity of soils, which is determined by various in situ testing methods, such as pressuremeter and penetrometer tests. The pressuremeter test provides valuable information on the strength and deformability of soils at depth, while the dynamic cone penetrometer more easily assesses the dynamic resistance of the soil under dynamic loads.
In this study, correlations were established between the dynamic resistance qd measured with the dynamic probing super heavy and the limit pressure pL obtained with the Menard pressuremeter. The data collected come from geotechnical investigations carried out on sandy soils of Lome in Togo. For these soils, the ratio is in the following interval: 8.27 ≤ qd/pL ≤ 9.74.

Keywords: correlation, dynamic resistance, limit pressure, sand.
Factors Militating the Effective Utilization of the Nursing Process in Patient Care: A Descriptive Survey of Nurses in a Tertiary Hospital in North West, Nigeria
Authors: S. O. Omoniyi, , D. Aliyu, , A. H. Sulaimon, , P. N. Basil, , F. I. Bamidele, , M. O. Yakubu, , O. C. Olarinde, , J. A. Aleke,
Published: November 2024

Nursing process is the systematic, patient-centered approach used by nurses to guides individualized nursing care; thereby enhance quality of patient care and outcomes for both the patient and family members, as an organized framework for the practice of nursing. The purpose of this study was to investigate the factors militating against effective utilization of nursing process in patient's care among nurses in a Tertiary Hospital in north-west, Nigeria. The research design employed in the study was across sectional survey, sample size of 108 but 97 valid for data analysis. The nurses who were proportionately selected participated in the study. The data were derived from the administration of copies of questionnaire. The instrument was validated by the researcher’s supervisor and two other experts from faculty of nursing Ladoke Akintola University of technology. A Cronbach’s alpha reliability coefficient of 0.82 is indicative of the reliability of the instrument. Data collected were analysed using SPSS version 20 version. Hypothesis was tested using Chi square set at p value 0.05. The findings revealed that greater number (92%) understood that nursing process is a problem solving technique for nurses and (80, 83%) utilizes nursing process in patients care. Majority of participants 63.9% (Mean = 1.71) established that shortage of human resources, 59.8% (Mean = 1.86) lack motivation and 53.6% (Mean = 1.53) different approaches adopted by nurses were seen to impact the use negatively. Experience, and educational Level were statistically found to be significant determinants for nursing process utilization (p=0.00, and 0.02). Based on the findings, it can be concluded that there exist a significant relationship between nurse’s years of experience and knowledge of nursing process utilization and the rate of utilization. Recommendation that adequate and relevant materials be provided for nurses in order to achieve and perform their respective tasks at the optimal best, the management should equally employed more nurses to breech the chronic shortage of man power.
Bilateral Extracranial Internal Carotid Artery Dissection: Interventional Management – A Case Report
Authors: Sasannejad Payam , Khanmirzaei Amir , Soltani Mohsen , Karimikhoshnoudian Bahar , Gorji Reza , Baharvahdat Houman , Shakib Soheil Shokri , Payere Maryam
Published: November 2024

Traumatic internal carotid artery dissection (ICAD), particularly in bilateral cases, is a rare but life-threatening condition that poses diagnostic and therapeutic challenges. The cervical segment of the internal carotid artery (ICA) is especially vulnerable to injury following blunt trauma, often leading to significant neurological sequelae. Despite established guidelines advocating conservative management as the initial approach, the optimal timing and criteria for endovascular intervention remain areas of ongoing investigation. We report the case of a 38-year-old female who presented with bilateral extracranial ICAD following a motor vehicle accident. Initially, the patient exhibited right hemiparesis and aphasia, and imaging confirmed left extracranial ICAD without critical stenosis or pseudoaneurysm formation. Conservative management with dual antiplatelet therapy was guided by imaging findings and risk assessment and led to temporary symptomatic improvement. However, the patient returned on the eighth day with left hemiplegia and loss of consciousness, prompting further imaging that revealed bilateral dissection and right anterior cerebral artery infarction. Given the failure of medical therapy, endovascular stenting was performed, achieving successful revascularization and symptomatic improvement. The management of traumatic ICAD, particularly bilateral cases, necessitates careful risk assessment and timely intervention. Our case highlights the importance of imaging in guiding the decision-making process and balancing conservative versus invasive management strategies. Endovascular stenting, although effective, should be reserved for cases with progressive symptoms or when medical management fails. This report contributes to the limited literature on bilateral traumatic ICAD and underscores the need for further research to establish evidence-based guidelines for the management of such cases. Future studies should compare the outcomes of conservative, surgical, and endovascular interventions to optimize patient care and improve prognostic outcomes.
La Sirga
Authors: Vega Donneys William Andres
Published: November 2024

Alicia está desamparada. El recuerdo de la guerra llega a su mente como amenazantes truenos. Desterrada por el conflicto armado intenta rehacer su existencia en La Sirga, un hostal deteriorado a orillas de una gran laguna en lo alto de Los Andes que pertenece a Óscar, el único familiar que conserva con vida, un viejo huraño y solitario. Ahí en una playa fangosa buscará echar raíces hasta que sus miedos y la amenaza de la guerra reaparezcan.
Investigasi Berpikir Komputasi Mahasiswa PPG Prajabatan Matematika dalam Menyelesaikan Soal Cerita Pola Bilangan
Authors: Rofiki Imam , Darmawan Puguh , Surayanah Surayanah , Sani Mutiara , Maulidiawati Tasya , Hidayah Farihatul , Pramudya Stansa Senia
Published: November 2024

Penelitian ini bertujuan untuk menginvestigasi kemampuan berpikir komputasi dalam menyelesaikan soal cerita pola bilangan berdasarkan capaian komponen indikatornya. Penelitian ini adalah penelitian metode kualitatif jenis studi kasus dengan instrumen utama mencangkup lembar tugas pola bilangan dan wawancara. Subjek penelitian adalah 7 mahasiswa program PPG prajabatan matematika Universitas Negeri Malang yang kemudian dipilih 1 subjek pada setiap kategori ketercapaian komponen indikator berpikir komputasi. Komponen indikator berpikir komputasi yang menjadi fokus penelitian ini mencangkup dekomposisi masalah, pengenalan pola, generalisasi pola dan abstraksi, serta algoritme. Hasil penelitian ini ditemukan bahwa terdapat tiga capaian komponen berpikir komputasi antara lain: (1) mahasiswa yang dapat mencapai berpikir komputasi pada komponen dekomposisi masalah, pengenalan pola, generalisasi pola dan abstraksi, serta algoritme, (2) mahasiswa yang dapat mencapai berpikir komputasi pada komponen dekomposisi masalah, pengenalan pola, serta generalisasi pola dan abstraksi, dan (3) mahasiswa yang dapat mencapai berpikir komputasi pada komponen dekomposisi masalah dan pengenalan pola. Lebih lanjut, penelitian ini dapat dijadikan sebagai landasan dasar dalam merumuskan upaya peningkatan berpikir komputasi mahasiswa sebelum mengajar di sekolah.
Pengaruh Penerapan Media Pembelajaran Interaktif Desmos Berbasis Realistic Mathematics Education (RME) terhadap Hasil Belajar Siswa SMP Kelas IX SMP Swasta Utama Medan pada Materi Fungsi Kuadrat
Authors: Lubis Dara Muna , Adrianto Ilham , Azizi Muhammad Farhan , Lubis Sutan Ismail Akbar Rafsanjani , Sidauruk Vico Putra , Siregar Budi Halomoan
Published: November 2024

Penelitian ini bertujuan untuk menganalisis pengaruh penerapan media pembelajaran interaktif Desmos terhadap pemahaman siswa mengenai materi fungsi kuadrat. Penelitian dilakukan di SMP Swasta Utama Medan dengan menggunakan desain eksperimen One-Group Pre-test-Post-test. Sampel penelitian terdiri dari 27 siswa kelas IX yang mengikuti pembelajaran menggunakan media pembelajaran interaktif Desmos berbasis pendekatan Realistic Mathematics Education (RME) pada topik fungsi kuadrat. Intrumen penelitian terdiri atas soal-soal pre-test dan post-test yang telah dirancang untuk mengukur pemahaman siswa terhadap konsep fungsi kuadrat, khususnya mengenali jenis-jenis grafik fungsi kuadrat dan sifat koefisien fungsi kuadrat yang mempengaruhi perubahan bentuk grafik fungsi kuadrat. Hasil penelitian menunjukkan bahwa terdapat peningkatan nilai rata-rata dari 34,81 pada pre-test menjadi 70,37 pada post-test. Hasil uji-t menunjukkan bahwa terjadi peningkatan signifikan secara statistik () dan nilai probabilitas =  sehingga dapat disimpulkan bahwa penggunaan media pembelajaran interaktif Desmos memberikan pengaruh signifikan terhadap hasil belajar siswa pada materi fungsi kuadrat.
Evaluation of Awareness levels about foot care and its impact on foot care practices among Diabetic Individuals in Pakistan
Authors: AZIZ HAMZA , HAYAT FATIMA , IBRAHIM MUHAMMAD , AZIZ MASHAL , KHURRAM MAHNOOR , RANA RIMSHA , SHAHBAZ ROHMA
Published: November 2024

Background: This research covers a very important topic in today’s time, diabetic foot care. To prevent its complications, an in depth understanding of awareness levels and practices about foot care among diabetic individuals is very important. Aim: To assess awareness levels about foot care and its impact on foot care practices among diabetic individuals. Methods: The population of the study was composed of the diabetic patients coming to outpatient departments in a tertiary care hospital in Rawalpindi. The study was carried out over a period of 6 months from January 2024 to June 2024. The participants were enrolled through non-probability convenience sampling. 266 diabetic patients participated in the research who met the inclusion criteria. Data was collected by using a structured questionnaire. Results: A total of 266 valid responses were received that were analyzed using SPSS v25, out of which 124 (46.6%) are males and 142 (53.4%) are females. The analysis showed that there is a weak positive correlation between the total knowledge and total practice scores of 0.174 (p value 0.004). Conclusion: Older patients, male population, patients with other chronic diseases, patients who received a formal education about diabetes foot complications, and patients having diabetes for more than 20 years show greater knowledge and better practice to protect from diabetic foot complications. It is imperative to inform people with diabetes that proper foot care is crucial in preventing the formation of wounds. Keywords: Diabetes Mellitus, Diabetic Foot, Chronic diseases, foot care practices
The Rajah Tradition: Cultural Identity and Spiritual Practices within an Islamic Context
Authors: Hermawati Ulfa , Miharja Deni , Qodim Husnul
Published: November 2024

This study aims to explore the rajah tradition in Kebon Panjang Village, examining its role as both a cultural artefact and a spiritual medium, and understanding how it reflects the intersection between local customs and Islamic values.  A qualitative approach with a phenomenological framework was employed, allowing an in-depth exploration of the rajah tradition through interviews, participant observation, and literature review. Data were gathered from both primary sources, such as community leaders and practitioners, and secondary sources, including academic articles and books on amulets and traditional practices.  The findings reveal that rajah serves multiple purposes, including protection, blessing, healing, and authority enhancement. It acts as a cultural bridge between traditional beliefs and Islamic spirituality, illustrating how local customs adapt to fit modern religious frameworks. The study also identifies the dual perception of rajah within the community—some view it as a form of Islamic devotion, while others approach it with caution, concerned about potential contradictions with orthodox Islamic teachings.  This study provides insights into the sociocultural dynamics of spiritual practices, highlighting the community’s pragmatic approach to religious and cultural identity. The findings suggest that rajah contributes to social cohesion, emotional support, and cultural preservation, offering a model for similar cultural practices in other regions to adapt in the face of religious and modern influences.  This research contributes to the literature on amulets and spiritual artefacts by examining rajah within the unique socio-religious context of an Indonesian village, offering a nuanced understanding of how traditional practices coexist and evolve alongside mainstream religious beliefs. The study underscores the significance of rajah as both a symbol of cultural resilience and a tool for spiritual assurance.
Criteria for evaluating offers in tender procedures for the purchase of new rolling stock
Authors: Frankowski Maciej
Published: November 2024

The article presents the currently used criteria for evaluating offers in tender procedures for the purchase of new rolling stock. A literature review and the results of the analysis of tender procedures in three segments of rolling stock are presented: passenger cars, traction units and locomotives. The summary shows that the most important evaluation criterion remains the price criterion, which is in line with legal and formal requirements.
Varolmanın Ağırlığı: Ferit Edgü’nün Romanlarında Zaman-Mekân, Sürgün-Kurban ve Ölüm
Authors: Çolak Zeynep
Published: November 2024

Bu makale Ferit Edgü’nün Kimse, O/Hakkari’de Bir Mevsim ve Eylülün Gölgesinde Bir Yazdı adlı romanlarında zaman, mekân, sürgün, kurban ve ölüm temalarını ele almaktadır. Bu temalar Edgü ve Varoluşçu felsefede genellikle birlikte ele alındıklarından dolayı bu makalede birbiriyle kopmaz bir ilişki içerisinde yorumlanmakta, ona göre analizler yapılmaktadır. Edgü’nün romanlarının Varoluş felsefesinin temel unsurlarını yansıttığı ve romanlarının bu felsefi arka plan çerçevesinde yazıldıkları savından hareket eden bu çalışma, bu çerçevede, özellikle Martin Heidegger’in, Jean Paul Sartre’ın ve Albert Camus’nün yaklaşımlarına başvurmaktadır. Bu perspektif içerisinde Heidegger’in “varlığa fırlatılma” ve “ölüme doğru varlık”, Sartre’ın “varlığın yükü”, “bireysel özgürlük” ve Camus’nün “absürt-uyumsuz” gibi kavramları Edgü’nün romanlarının analizinde kullanılmaktadır. Edgü’nün romanlarında mekânın izole ve zorlayıcı koşulları, karakterlerin hem fiziksel hem de ruhsal anlamda birer sürgün gibi hissetmelerine yol açar. Pirkanis köyü gibi yerler, Edgü’nün karakterlerinin varoluşsal kaygılarını ve yabancılaşma duygularını yoğunlaştıran mekânlar olarak karşımıza çıkarlar. Edgü’nün eserlerinde karşılaşılan içsel çatışmaları, karakterlerin yaşamın anlamsızlığı karşısındaki arayışlarını, iç monologlar ve parçalı diyaloglar bu varoluşsal kaygıların ve yabancılaşma duygularının biçimsel, edebi düzlemdeki yansımaları şeklinde okunabilir. Edgü’nün bu anlatım tarzı, bireyin dünyadaki anlam arayışını evrensel varoluşsal sorularla harmanlar. Tanımlayıcı, karşılaştırmalı ve içerik analizi gibi araştırma yöntemlerini kullanan bu çalışma Ferit Edgü’nün romanlarına bütünlük bir bakış açısından Varoluşçu felsefe bağlamında inceleyen bir ilk çalışma niteliği taşımaktadır. Bu bakımdan bu çalışma edebi çözümlemeler ile felsefi düşünceyi Ferit Edgü ve onun romanları özeline bir araya getirmektedir.