bluuebunny/crossref_metadata_2025 huggingface dataset:
Main Challenges of Post-Earthquake Renovation in the Case of Zagreb City Center
Authors: Svirčić Gotovac Anđelina , Adamović Mirjana , Zlatar Gamberožić Jelena
Published: October 2022

This paper presents the results of a research on the problems and challenges of post-earthquake renovation in the inner city center of Zagreb, where mostly older, historical buildings are situated, which were severely damaged in the 2020 earthquake. Almost two years after the earthquake, political actors have not been able to make much progress regarding the post-earthquake renovation, which has caused discontent among vulnerable citizens. This paper presents the results of a qualitative analysis of semi-structured interviews with owners of damaged apartments and co-owners’ representatives. The authors found two main issues with the post-earthquake renovation in Zagreb: 1) incomplete renovation and problems with the financing of repairs to damaged buildings, and 2) people moving out of the city center and city apartmanization. The results showed that the cost of damage repair in most cases was covered by the citizens themselves and that institutional help has been slow and bureaucratized. Also, the participation process regarding renovation has not been successful for the citizens and they are still dealing with similar problems as in the beginning of the renovation.
Marketing of Fresh Imported Frozen Fish in Ilorin West Local Government Area of Kwara State, Nigeria
Authors:   Department of Agricultural Economics, Ladoke Akintola University of Technology, Ogbomoso, Nigeria, Okunola Solomon Olufemi , Olapade Ogunwole Folayimi ,   Department of Agricultural Economics, Ladoke Akintola University of Technology, Ogbomoso, Nigeria
Published: October 2022

Women, (64.4%) dominated the marketing of imported frozen fish in study area and they were active economically. They were married(81.1%) with a relatively large family(6 or more members) that served as a source of labor; Most of the traders were Muslims(54.4%) while others were Christians showing that fish marketing is not affected by religious bigotry. Most of the marketers, (86.6%) had access to credit gotten from daily contribution collectors and trough cooperatives. Most respondents (74.4%) were in associations, where they paid membership dues and the Herfindahl index was 1.17%, which indicated high market concentration. Frozen fish marketing is profitable in the study area with a Marketing Margin of 47.36 %. Factors affecting profitability of fish marketing in the study area were Age, which is significant at 5% and it is negatively signed, Religion which is significant at 5% but also negatively signed, Household size, which is significant at 1% level and it is highly positively signed. Interest paid although against expectation is significant at 5% and positive; Other Business is positively significant at 1%. Amount paid as dues in the market and Fish type had negative signs
Women’s Involvement in Cassava Value Chain Activities in Akpabuyo Local Government Area of Cross River State, Nigeria
Authors:   Department of Agricultural Economics and Extension, Cross River University of Technology, Calabar, Nigeria., Ayi N.A. , Obhiokhenan M. I. ,   Department of Agricultural Extension and Rural Sociology, University of Calabar, Calabar, Nigeria, Undiandeye U. C ,   Department of Agricultural Extension and Rural Sociology, University of Calabar, Calabar, Nigeria
Published: October 2022

The main purpose of this study was to investigate women’s involvement in cassava value chain activities in Akpabuyo LGA of Cross River State, Nigeria. The specific objectives were to identify the major value chain activities in the study area; investigate the value chain activities participated by women in the area; identify the constraints affecting effective involvement of women in cassava value chain in the area; and evaluate possible suggestions to improve effective involvement of women in cassava value chain activities in the area. Multi-stage and purposive sampling techniques were adopted to select 216 respondents for the study. The result revealed that the major cassava value chain activities in the area were processing ( =3.07), marketing ( =2.92), production ( =2.87) and packaging ( =1.86). The findings of this research also indicated that women participate more in cassava processing ( =1.94), rank=1st), followed by production ( =1.85). The respondents indicated that lack of adequate production and processing tools ( =3.81), poor access to land ( =3.78) and lack of financial support ( =3.72), as the three most critical constraints affecting effective involvement of women in cassava value chain activities in the study area. The respondents’ suggestion to improve their involvement in cassava value chain activities revealed that financial support, ease of transportation and access to improved cassava cuttings, with means of 3.79, 3,78 and 3.63, respective, were the most rated factors. The study concluded that women in Akpabuyo local government area are significant actors in the country’s agricultural sector, particularly the cassava sub-sector, and as a result, food security. Thus, it was recommended that value chain actors and promoters should make credit facilities available to women in order to encourage their effective involvement in cassava value chain activities in the area, among others.
Analysis of the Constraints Faced by Rural Women Farmers in Vegetable Production in South-East Nigeria
Authors:   Department of Agricultural Economics, Extension and Rural Development, Imo State University , Owerri, Nwaiwu J . C , Udenwa Nkechi Bridget ,   Department of Agricultural Extension and Management , Federal college of Land Resources Technology Owerri , imo state , Nigeria
Published: October 2022

Globally, vegetable forms a most valuable part of every household's diet and are used to increase the quality of the soup. It has also become the most important crop grown by farmers in recent time. However, vegetable farming is not without production challenges. Regrettably, there is an acute shortage of empirical studies to substantiate this claim. It was against this backdrop that the study on analysis of the constraints faced by rural women farmers in vegetable production in south-east Nigeria was undertaken. Specifically, the study was guided by the following objectives; describing the type and level of constraints women face in vegetable farming; determining the perceived effects of such constraints on all round vegetable farming and describing the solution women vegetable farmers practice in reducing the constraint they face in all round vegetable. The hypothesis of the study was that the socio-economic characteristics of women do not significantly influence their level of constraint in all round vegetable farming in the area. A multistage random sampling method was used in the selection of respondents. Sample size comprised one-hundred and thirty-five (135) vegetable women farmers. Well structured questionnaire was the main tool for data collection. Data collected were analyzed using descriptive statistical tools, likert –scale rating and multiple regression analysis. Regrettably, most of the women farmers identified and perceived poor access to road and control of farm resources, e.g farmland ( =3.68), insufficient education ( =3.11), lack of credit ( =3.50) and poor institutional support ( =3.59) amongst others as the serious challenge they face in all round vegetable farming in the area. Additionally, the women farmers perceived and reported that the constraints they face has led to shortage of farm labour ( =3.63) and is disrupting planting and harvesting season of their all round vegetable production ( =3.56) amongst others. Diversification of agribusiness (99.26%) is one of the solutions they practice in reducing the constraint they face in all round vegetable. Estimated multiple regressions showed that the socio-economic characteristic of women farmers influences their level of constraint in all round vegetable farmingand is significant at 1% level of probability. It was therefore recommended that the government should subsidize the price of farm inputs in order to make them accessible and affordable to women farmers. In the same vein, better access of women to farmland and agricultural extension services is very essential in promoting not just vegetable production but more women driving the production.
Approximation of Fixed Points of Contactive Operators by a Stochastic Iterative Algorithm
Authors:   Department of Mathematics, Abia State University, Uturu, Nigeria., Onwukwe Ijioma , Ugoala B.C ,   Department of Mathematics, Abia State University, Uturu, Nigeria., Madukpe V.N ,   Department of Mathematics, Abia State University, Uturu, Nigeria.
Published: October 2022

We prove a strong convergence result using stochastic iterative scheme with contractive operators associated with error terms. The iterative process is faster, simpler which improves other algorithms, and for the class of mapping in a more global sense.
Foreign Exchange on the Performance of Nigeria Economy: An Econometric Approach
Authors:   Department of Banking and Finance, University of Calabar- Calabar, Nigeria, Akeh Monica Ukongim , Asukwo Joseph Ita ,   Department of Banking and Finance, University of Calabar- Calabar, Nigeria, Bekom Omang ,   Department of Banking and Finance, University of Calabar- Calabar, Nigeria, Emefiele Charles Chike ,   Department of Banking and Finance, University of Calabar- Calabar, Nigeria, Nkamare Stephen ,   Department of Banking and Finance, University of Calabar- Calabar, Nigeria
Published: October 2022

The study empirically examined the effect of foreign exchange on the performance of the Nigeria economy. The specific objectives were to; examine the effect of money supply, inflation rate, trade openness on the performance of Nigeria economy. The study employed ex-post facto research. In line with the main focus of this study, secondary sources of data were used. Ordinary least square of multiple regression technique was adopted to establish the effect of independent on dependent variable. Based on the results, the findings showed that exchange rate, money supply, Inflation and trade openness (TO) had significant effect on the performance of the Nigerian economy, while exchange rate and money supply had a negative effect on the performance of Nigeria economy. The study concluded that exchange rate plays a key role in international economic transactions because no nation can remain in isolation. The study recommended thus: In order to address the negative impact of exchange rate on the economy, there is need for local sourcing of raw materials and input through agriculture and technological policy. By so doing, it will lead to expansion of export base which would attract more foreign exchange into the country. Furthermore, the monetary authority should introduce direct policies of regulating price stability in the economy via regulating money supply in order to decelerate the rising inflationary trend in the economy
Stock Market Capitalisation, Banks’ Lending and Deposit Interest Rate in Relation to Financial Liberalisation Theory in Nigeria (1985-2021)
Authors:   Federal University Oye-Ekiti, Ekiti State, Nigeria, EFUNTADE Alani Olusegun, FCIB, ACA , EFUNTADE Olubunmi Omotayo ,   Federal University Oye-Ekiti, Ekiti State, Nigeria.
Published: October 2022

The paper examines the impact of deposit rates on savings, lending rates on credits and market capitalization of Nigerian Exchange group limited from 1985 to 2021, using co-integration and vector error correction approach. The specific objectives were to estimate the short-and long-run association as well as the error correction mechanism of lending interest rate and deposit interest rate and stock market capitalization in Nigeria. The outcome of the exercise validated the hypothesis of financial liberalisation theory that deposit rates on savings, lending rates on credits on market capitalization of Nigerian Exchange group limited. Deposit interest rate and lending interest rate have significant explanatory power for stock market capitalization, which is consistent with our expectations in line with financial liberalization theory in Nigeria. The regulatory body should mandate banks to channel their mobilised savings to investors in form of loans at reasonable interest rate. Hence, the pointer should be to identify those constraints and bottlenecks that are making it difficult for banks to make loans available to investors. The issue of high interest rate with hidden transaction costs must be vigorously addressed by the monetary authorities; Monetary authorities should pursue policies that will encourage the saving culture of the people. This could be done by increasing the deposit rate which would lure people to deposit their money in banks thereby increasing the supply of loanable funds. This would lead to a fall in interest rate and eventually rise in investment in stock market development.
Determinants of Commercial Bank Credits in Nigeria
Authors:   Department of Banking and Finance, University of Calabar-Calabar, Nigeria, Emefiele Charles Chike , Akeh Monica Ukongim ,   Department of Banking and Finance, University of Calabar-Calabar, Nigeria, Stanley Chioma ,   Department of Banking and Finance, University of Calabar-Calabar, Nigeria, Ononiwu Ethelbert ,   Department of Banking and Finance, University of Calabar-Calabar, Nigeria, Nkamare Stephen ,   Department of Banking and Finance, University of Calabar-Calabar, Nigeria
Published: October 2022

The study examined determinants of commercial bank credits in Nigeria. The specific objectives were to: examine the effect of volume of deposits, interest rate, cash reserve requirement and liquidity ratio on commercial bank credits in Nigeria. Ex-post facto research design was adopted in the study. Secondary sources of data were used as the main methods of data collection. The relevant data for this study were obtained from the Central Bank of Nigeria (CBN) statistical Bulletin. The data were collected on annual basis from 1990 to 2021. Several techniques were employed in this study to test and estimate the relevant equations. These include the unit root test, the cointegration test, granger causality test and the error correction mechanism. Based on the analysis of the study, the following findings were discovered: There was a significant effect of volume of deposits on commercial bank credits in Nigeria, there was a significant effect of interest rate on commercial bank credits in Nigeria, there was a significant effect of cash reserve requirement on commercial bank credits in Nigeria and there was a significant effect of liquidity ratio on commercial bank credits in Nigeria. Based on the findings in this study, the study recommended that commercial banks should focus on how to increase the volume of deposits so as to improve their credit facilities. Finally, Central bank of Nigeria stipulated minimum cash reserve requirement should be considerably low so as to enhance commercial bank credits to private sectors.
Creative Accounting: A Threat to Corporate Survival of Firms in Nigeria
Authors:   Department of Accountancy, Enugu State University of Science and Technology, Enugu, Prof. M.C. Ubesie (Dr.) , Ewogu Boniface Onah ,   Department of Business Education, Ebonyi State College of Education, Ikwo, Erhimu Dickson ,   Espam Formation University, Republic of Benin, Cotonou
Published: October 2022

This study examined creative accounting as it affects survival of corporate firms in Nigeria. To effectively carry out this study income smoothing, window dressing and choice of accounting policies were used as proxies of creative accounting (independence variable) and corporate survival as dependent variable. The researcher was motivated to study this title due to incessant stagnation, liquidation and collapse of public business organizations in Nigeria suspected to be caused by poor management of resources. The study adopted a descriptive survey and data were gathered primarily using a well-structured questionnaire. Data analysis was done using arithmetic mean while hypothesis were tested using chi-square(x2) analytical tool. It was discovered that income smoothing, window dressing as well as changes in accounting policy. Significantly and negatively affected corporate survival of business firms in Nigeria. This implies that instead of perpetual existence or survival of such companies, they dwindle, stagnate, liquidate and finally collapse. It therefore recommends that accounting and government regulatory bodies should step up proper monitoring tools to effectively monitor the activities of the preparers of financial accounts and management to rise to the expectations of investors and other user of accounting report.
Effects of Insurgency and Sit-At-Home Syndrome on Quality Secondary School Administration in South East Nigeria
Authors:   Department of Social Science Education, Imo State University, Owerri, Dr. Peter Ike
Published: October 2022

In recent times, one of the most devastating factors to Nigeria’s development, which has also posed the biggest threat to national leadership and security, is the proliferation and criminal activities of multiple insurgent groups across the various geopolitical regions of the country. More than any other factor, insurgency and other forms of terrorism have caused a colossal damage to Nigeria’s human, social, economic and infrastructural development. In the Northern parts of Nigeria, most of the schools have either been closed down or completely damaged. Hundreds of students have equally been abducted and are still in captivity. Many local government areas and communities have also been taken over and are under full control and administration of Boko Haram (which means western education is forbidden). This constitutes a threat to Nigeria’s corporate political existence as well as a great challenge and setback for educational management and administration and therefore need reform. The paper is based on the fact that education is the life wire of every nation. In the absence of quality assurance in secondary education, this important provision of the national policy on education becomes jeopardized. This paper examined some key concepts in the discourse and the negative effects of these syndromes on education. Recommendations on measures that can restore or curb deficiencies arising from these effects are made. One of the recommendations is the extension of school time table to accommodate about 450 hours of lesson period and more than 135 topics of sub-topics of the scheme of work or curriculum which are either lost or not taught every school term in the various subjects of both the junior and senior secondary school classes.
Influence of Institutional Motivation and Development Programmes on Productivity of Academic Staff in Government-Owned Polytechnics in Rivers State
Authors:   General Studies Department School Of Foundation Studies Kenule Beeson Saro-Wiwa Polytechnic P. M. B. 20, Bori, Rivers State, Leson James Foster Esq.
Published: October 2022

The study investigates the “Influence of Institutional Motivation and Development Programmes on Productivity of Academic Staff in Government-owned Polytechnics in Rivers State”. The study is carried out in the two government-owned polytechnics namely; Kenule Beeson Saro-Wiwa Polytechnic, Bori and Capt. Elechi Amadi Polytechnic, Rumuola, Port- Harcourt. Five research questions were raised of which one was hypothesized and tested at 0.05 Alpha Level. The research adopted the conclusive research and the population consisted of all academic staff in the institutions. 200 academic staff made up the sample site using a multi-stage stratified random sampling technique. A questionnaire was used. The instrument had reliability co-efficient of 0.70. Data were analyzed using frequencies and percentages and the hypothesis formulated was tested with the use of t-test. It was shown in this study that the Academic Staff of the two polytechnics under study did not regularly organize seminars, symposia and workshops and therefore not able to participate effectively. It was further revealed in the study that Academic Staff in Kenule Beeson Saro-Wiwa Polytechnic, Bori and Capt. Elechi Amadi Polytechnic, Rumuola, Port-Harcourt respectively, rarely had opportunities to attend international conferences. Based on the findings, and the inference drawn, it is recommended that both Polytechnics should step up the training and re-training of their academic staff for improved and effective performance.
Relationship between Years of Teaching Experience and Job Satisfaction among Secondary School Teachers in Danko- Wasagu Local Government, Kebbi Sate, Nigeria
Authors:   Department of Education, Kebbi State University of Science and Technology, Aliero, Nigeria, Wakkala G. T. , Dr. Danjuma M ,   Department of Education, Kebbi State University of Science and Technology, Aliero, Nigeria, Karima B ,   Department of Educational Management, University of Ilorin, Ilorin, Nigeria
Published: October 2022

The study aimed at investigating the relationship between years of teaching experience and job satisfaction of teachers. It is a descriptive correlational survey. The study was guided by four objectives: the distribution of teachers based on teaching experience; the level of job satisfaction among teachers; the relationship between years of teaching experience and the difference in job satisfaction between teachers with less than 10 years of experience and those that have more than 10 years of experience in secondary schools. The population for the study was 384 teachers out of which the sample size of 196 respondents was drawn using systematic random sampling technique. However, 185 filled and returned questionnaires were used in the analysis. Data was collected using a self-designed questionnaire and its validity and reliability were confirmed through computation of the content validity index (CVI) and Cronbach Alpha test which were found to be 0.75 and 0.71 respectively. Mean, Pearson’s linear correlation coefficient, and t-test were used to analyze the data. The results revealed that there exists a relationship between teachers’ years of teaching experience and job satisfaction, and a significant difference exists in job satisfaction between teachers with more than 10 years of experience and those that have 10 and fewer years of experience in secondary schools. The study recommends that government should improve the salary scale for teachers which is necessary to attract, retain and motivate the most valued assets (teachers) required to lead, manage and serve in the educational system for a better nation thereby enhancing their job satisfaction.
CFD Investigation of the Effect of Particle Size of A Fixed- Bed Adsorption Column for Removal of Ferrous Iron (Fe 2+ ) in Groundwater Using Activated Carbon
Authors:   Department of Chemical Engineering, Niger Delta University, P.M.B 071, Yenagoa, Bayelsa State, Nigeria., Yousuo Digieneni , Gbonhinbor Jeffrey Randy ,   Department of Petroleum Engineering, Niger Delta University, P.M.B 071, Yenagoa, Bayelsa State, Nigeria., Ali Timinidi ,   Department of Chemical Engineering, Niger Delta University, P.M.B 071, Yenagoa, Bayelsa State, Nigeria.
Published: October 2022

Predictive model equations of a “fixed-bed adsorption column” packed with particles and the Langmuir adsorption isotherm equilibrium model were considered. A Computational Fluid Dynamic (CFD) simulation using COMSOL Multiphysics sofware of the adsorption column for the removal of iron from groundwater was carried out. “The results were presented in a line graph. The effect of particle size on the breakthrough curve was investigated for particle sizes of 0.001m, 0.002m, 0.003m and 0.004m. Simulated results showed that as the particle size increases the adsorption capacity of the bed decreases and about 28 days operative performance of the bed could be achieved for a bed weight of 1500kg and particle size of 0.001m”. Predicted results were compared with results presented by Ruthven, 1984 and World Health Organization standards and the results were very acceptable.
Investigating the Effect of Cutting Speed on Heat Affected Zone in Laser Cutting Process of Stainless Steel
Authors:   Department of Mechanical Engineering, Faculty of Engineering, Rivers State University, Nkpolu – Oroworukwo, Nigeria., Mamman Chuza , Isaac O.E. ,   Department of Mechanical Engineering, Faculty of Engineering, Rivers State University, Nkpolu – Oroworukwo, Nigeria., Nkoi B ,   Department of Mechanical Engineering, Faculty of Engineering, Rivers State University, Nkpolu – Oroworukwo, Nigeria.
Published: October 2022

This research work investigated the effect of cutting speed, laser power and nozzle diameter on heat affected zone as well as surface roughness in laser cutting process of stainless steel. The practical experiment was carried out using laser cutting machine, while ANSYS finite element modeling (FEM) simulation software was employed in analyzing the responses of the laser beam machining parameters on stainless steel (SS316). The result showed that an inverse relationship exists between the cutting speed of the laser cutting machine and the heat affected zone (HAZ) depth as increasing the laser beam cutting speed consequently reduced the heat affected zone (HAZ) depth in the work-piece. Finally, it can be concluded that using appropriate machining parameters and ANSYS FEM technique could yield a reduction in overall machining costs and saves time for production companies through an economic analysis by applying the technique to predict the optimal machining parameters for their steel products.
Dialogue and Legal Justice as Panaceas to the Oil Crises in the Niger Delta: Chimeka Garricks Tomorrow Died Yesterday
Authors:   Department of General Studies School of Foundation Studies Kenule Beeson Saro-Wiwa Polytechnic P.M.B. 20, Bori, Rivers State, Leson James Foster Esq. , Akpobari Benson Nwiyor ,   Department of General Studies School of Foundation Studies Kenule Beeson Saro-Wiwa Polytechnic P. M. B. 20, Bori, Rivers State
Published: October 2022

This work investigates the Niger Delta crises especially the novelistic representations of the author, Chimeka Garricks to wit: environmental injustice, social injustice, environmental degradation, and ecological devastation. Using the frameworks of Ecocriticism by Cheryll Glotfelty and Ecological Imperialism by Alfred Crosby, the work tries to examine how the people of the Niger Delta have been subjected to a myriad of inhuman conditions and how they have tried to resist these conditions. Owing to the futility of the several strands of resistance from these individuals, the need for resort to dialogue and legal justice has, therefore become relevant to the people, as only that can ensure a more peaceful and sustainable society where the benefits would be equitably shared to match with the burdens.
Identifying and Managing Toxic Employees for Sustainable Development of Polytechnics in Nigeria
Authors:   Department of General Studies School of Foundation Studies Kenule Beeson Saro-wiwa Polytechnic P. M. B. 20, Bori, Rivers State, Leson James Foster, Esq
Published: October 2022

This work attempts to draw up noticeable standards for identifying and managing toxic employees in tertiary institutions in Nigeria. It describes toxic employees as workers who contribute to decay in the school system by engaging in unethical activities which could endanger sustainability of the tertiary education system. The work identifies characteristics and mode of operation of toxic employees as sabotage of work processes, insensitivity to co- workers, negativity and being judgmental; engaging in activities such as blackmailing co- workers, opposition to authority, rudeness to parents, bullying and gate-taking such as hiding or withholding vital information. Toxic workers adopt character assassination, stealth, workplace politicking as their mode of operation. Within the education sector, they can be identified and managed through use of prevention at three levels: primary prevention at the point of job interview to possibly prevent entry; secondary prevention in the early period of employment in event of applicant breaching the first stage, and tertiary prevention: of outright termination of appointment if it is proven that an employee is toxic. Toxic employees are seen in the study to be capable of causing employers financial loses, embarrassments, withdrawals of good workers from the system, and lawsuits for abuses. For posterity sake, and the fact that prevention, they say, is better than cure, it is strongly recommended that proper assessment be conducted to fish out toxic workers from the school system for appropriate action, and furthermore, that government (through the respective Governing Councils and Management of these institutions) puts an end to employing unqualified personnel as a way of solving unemployment problems.
CARACTERIZAÇÃO DE MULHERES COM CANCRO DA MAMA ATENDIDAS EM UMA UNIDADE HOSPITALAR
Authors: de Sousa Freitas Meneses Angela Maria , Gomes Torres Amanda , Jardel Feitosa Sousa Kayo Henrique , da Silva Oliveira Irene Maria , Pinheiro Landim Almeida Camila Aparecida
Published: October 2022

OBJECTIVE: To describe the sociodemographic and clinical aspects of women with breast cancer treated at a hospital. METHODS: Documentary, descriptive and quantitative study, carried out in a referral hospital unit for the care of people with breast cancer, in Northeastern Brazil. 79 charts of women with breast cancer were analyzed. A form was used that included socio-demographic, clinical and health-related aspects. The data were submitted to descriptive analysis using the BioEstat 3.0 Program. RESULTS: Approximately 66% are in the 41 to 60 age group. Reproductive characteristics showed that 12.66% of women started menarche from the age of 10, 31 had at least one type of disease identified: hypertension 13 (56.5%), diabetes mellitus 7 (30.4%), allergy 5 (21.7%). Mastectomy was the most frequent surgery (63.2%). The empirical findings reported in this study showed that 30.4% had diabetes mellitus and 56% hypertension. Family history was determined to be an important risk factor for the development of breast cancer. CONCLUSION: The results can be subsidies for the development of larger studies related to the theme, which makes it possible to contribute to increase the visibility of public agencies and health services.
PHYTOCHEMICAL AND BIOLOGICAL INVESTIGATION OF ARMORACIA RUSTICANA
Authors: Yasmeen Anam , Qayyum Faria , Mughal Aneeba Ahmad , Amjad Oswa
Published: October 2022

Background: Medicinal plants have been commonly used for the treatments of various ailments since pre – historic times. They are cheap and easily available with minimum toxic effects which make them more convenient to use.

Objective: This study provides a deep insight to Armoracia rusticana, commonly known as Horseradish, highlighting its medicinal and botanical importance.

Methodology: A total of 50 published research articles were thoroughly studied and data was fetched and formulated accordingly.

Results: Armoracia rusticana is a perennial and annual crop. Its roots and leaves are used as medicaments. Horseradish extracts are obtained by hot and cold extraction techniques. Phytochemical analysis is followed by Spectroscopy and chromatography for structure analysis and isolation of therapeutic active compounds. Its phytoconstituents include essential oils, sinigrin, sinigrin derived allyl isothiocyanate and diallylsulphide, vitamin C, glucosinolates and many other compounds. The pungent aroma of Armoracia rusticana is attributed to allyl isothiocyanate. Another reported medicinal compound is Glucosinolate. These are sulfur containing compounds employed in the prevention of serious illnesses including cancer.

Conclusion: The plant as a whole has wide therapeutic applications including anti – bacterial, anti – oxidant and anti – inflammatory action. Therefore it can be used as a basis for further research on its medicinally active constituents and properties.
Les problèmes à éléments clés
Authors: LORENZO M
Published: October 2022

La réforme du deuxième cycle des études médicales en France tente d’inscrire davantage celui-ci dans une approche par compétences en visant notamment le développement du raisonnement clinique. En cohérence avec ce dernier objectif, un nouvel outil d’évaluation a été introduit : les problèmes à éléments clés. L’objectif de cet article est de présenter le principe des problèmes à éléments clés et d’en détailler les principales modalités de conception. Les problèmes à éléments clés explorent une sous-partie du processus de raisonnement clinique : la prise de décision clinique. Ils se présentent habituellement sous la forme de vignettes cliniques suivies d’une ou plusieurs questions. Les questions portent sur les éléments essentiels nécessaires pour diagnostiquer ou résoudre une situation clinique. Ce sont les « éléments clés » d’une situation clinique. Ce travail propose une méthode pour créer des problèmes à éléments clés à partir d’une situation vécue. Il est conseillé de se réunir à trois experts du domaine pour déterminer par consensus les éléments clés de la situation. L’exploration de la phase précoce du raisonnement clinique au travers de la génération initiale d’hypothèses diagnostiques est pertinente dans un problème à éléments clés.
RECHERCHE EN PRECARITE ET PRECARITE DE LA RECHERCHE
Authors: LEBEAU J-P
Published: October 2022

Les soins de santé primaires constituent une approche de la santé tenant compte de la société dans son ensemble qui vise à garantir le niveau de santé et de bien-être le plus élevé possible et sa répartition équitable en accordant la priorité aux besoins des populations le plus tôt possible tout au long de la chaîne de soins allant de la promotion de la santé et de la prévention des maladies au traitement, à la réadaptation et aux soins palliatifs, et en restant le plus proche possible de l’environnement quotidien des populations »1. Compte tenu de l’enjeu, il est clair que chaque terme de cette définition – la plus récente – des soins de santé primaires par l’Organisation mondiale de la santé (OMS) a été mûrement pesé, et doit être pris en compte. Plus récemment encore, l’OMS a mis des chiffres en face des besoins de santé évoqués dans cette définition pour en faire des objectifs : elle recommande que chaque pays augmente de 1 % de son PIB la dotation aux soins de santé primaires2. Pour la France, une telle augmentation représenterait 23 milliards d’euros… L’OMS considère par ailleurs qu’un axe stratégique majeur est « la production de données et d’innovations orientées sur les soins de santé primaires, en concentrant davantage les efforts sur les laissés-pour-compte »3. C’est très précisément ce que propose le projet PREMENTADA, porté par le département de médecine générale d’Aix-Marseille, et c’est cette adéquation de la recherche aux besoins de la population autant que la qualité du projet qui méritent l’attention de notre communauté et la publication de ce protocole4. Malgré un calendrier particulièrement contraint, avec un délai de dépôt d’une brièveté inhabituelle dans une période de très forte activité pédagogique, les départements de médecine générale de toute la France ont déposé une centaine de projets aux thématiques extrêmement variés en réponse à l’appel d’offres RESPIR. Une pléthore et une diversité qui rendent compte de la vivacité et de la dynamique des équipes de recherche en soins premiers, et de leur aptitude à la mobilisation dès que des moyens leur sont confiés. On peut bien sûr discuter des motivations réelles des tutelles quant à cet appel d’offres, et il n’est pas certain qu’il soit le reflet de la conviction que le système de santé doit s’organiser autour des soins premiers et que ceux-ci doivent se fonder sur un corpus scientifique solide. Il n’en reste pas moins qu’après le DES et la filière de médecine générale, un financement spécifique de la recherche en soins premiers s’ébauche. Lentement mais sûrement, les lignes bougent.
GRANDEUR ET DECADENCE DE L ASPIRINE CHEZ LES PATIENTS A RISQUE CARDIOVASCULAIRE EN PREVENTION PRIMAIRE
Authors: POUCHAIN D , LE ROUX G , DIBAO-DINA C , BOUSSAGEAON R
Published: October 2022

Pendant de nombreuses années, l’aspirine à dose cardiopréventive a été recommandée et prescrite chez les sujets à risque cardiovasculaire en prévention primaire, en particulier chez ceux atteints de diabète de type 2. Durant cette période, les préconisations institutionnelles et les opinions d’experts étaient argumentées par des résultats « recyclés » sur des critères de jugement secondaires non hiérarchisés, ou des analyses en sous-groupes, ou post-hoc. Cependant, il n’y avait pas de différence significative sur le critère de jugement principal d’efficacité de ces essais ET une augmentation significative des hémorragies sévères. En 2018, trois essais randomisés versus placebo ont été publiés qui tous les trois indiquent et confirment que la balance efficacité/effets indésirables de l’aspirine chez les patients à risque cardiovasculaire en prévention primaire est défavorable, qu’ils soient diabétiques ou pas, et quel que soit leur âge. Primum non nocere.
PASS MOBILE ET PREMENDATA : PROTOCOLE DE RECHERCHE. PREVALENCE DES SYMPTOMES PSYCHIATRIQUES ET DES COMORBIDITES SOMATIQUES CHEZ LES PATIENTS ENTAMANT UNE DEMANDE D ASILE
Authors: KHOUANI J , GENTILE G , FROMENTIN M , JANCZEWSKI A , BORLOT J , DE LA FOURNIERE T , TAMBY P , TABELE C , VERMERSCH M , DEMPURE S , TINLAND A , ECOSSE Q , BLATRIX L , AUQUIER P , JEGO M
Published: October 2022

Les permanences d’accès aux soins de santé (PASS) ont été créées en 1998. L’objectif des PASS est de proposer aux personnes en situation de précarité une prise en charge médicosociale dans une perspective de retour vers le droit commun. Pour les patients en demande d’asile (DA) présents sur le territoire depuis moins de trois mois, les PASS constituent un lieu de soins préférentiel. En 2018, une instruction relative à la mise en place du parcours de santé des migrants primo-arrivants identifie les PASS comme une structure pivot pour les « rendez-vous santé » des primo-arrivants. Cette instruction, conjuguée aux recommandations concernant les actions d’« aller vers », a conduit à la construction à Marseille d’une action depuis 2020 : la PASS Mobile. Elle est constituée d’une équipe médicosociale et se déplace directement à la structure du premier accueil des demandeurs d’asile (SPADA). L’état actuel des connaissances concernant l’état de santé somatique et psychique des DA est pauvre. La PASS Mobile s’est donc engagée dans un projet de recherche dont l’objectif est de mesurer la prévalence de symptômes psychiatriques et des comorbidités somatiques chez les DA : PREMENTADA. Il s’agit d’une étude épidémiologique observationnelle transversale monocentrique de prévalence. Le critère de jugement principal est l’existence d’une symptomatologie anxieuse, dépressive ou de stress post-traumatique dépistée par un score du refugee health screener (RHS) 15 supérieur ou égal à 12 et/ou un score au thermomètre de détresse/d’angoisse supérieur ou égal à 5. La multimorbidité est évaluée par la « Cumulative illness rating scale » (CIRS), et la réalisation d’un prélèvement biologique permettra de mesurer la prévalence de certaines pathologies. PREMENTADA permettra de recueillir de premières données françaises concernant l’état de santé des DA primo-arrivants. Pour ces patients en DA venant d’arriver sur le territoire français, il revient aux référents des soins de premier recours de s’engager dans la construction de parcours de soins efficients : les médecins généralistes.
PERCEPTION DU RISQUE CARDIOVASCULAIRE : LES PATIENTS QUI SOUFFRENT DE SCHIZOPHRENIE SONT COMME LES AUTRES
Authors: BRUNET A , ROBERT C , CANEVET J-P , SAUVAGET A
Published: October 2022

Contexte. Les patients souffrant de schizophrénie sont exposés à une surmorbidité et à une surmortalité cardiovasculaires. La prévention de ce risque est perçue comme difficile par les médecins généralistes chez ces patients. Objectif. Explorer la perception du risque cardiovasculaire (RCV) de tels patients pour en mieux comprendre les ressorts. Méthode. Étude qualitative. Entretiens semi-dirigés auprès de patients adultes souffrant de schizophrénie et stabilisés sur le plan psychiatrique. Les verbatims enregistrés puis retranscrits ont fait l’objet d’une analyse thématique en démarche continue. Résultats. Onze entretiens ont été analysés. Les patients avaient des perceptions du RCV riches et en général conformes aux connaissances médicales. L’influence de la schizophrénie sur ces perceptions apparaissait modeste : les patients en situation de prévention tertiaire attachaient peu d’importance à leurs antécédents cardiovasculaires. Les patients écrivaient comme non satisfaisants leurs propres comportements concernant les facteurs de risque cardiovasculaires. L’aide des médecins dans la prise en charge préventive était perçue peu efficace, contrairement au support d’autres professionnels, paramédicaux en particulier. La prévention du RCV, occultée dans les périodes de déséquilibre de la schizophrénie, était rendue possible dans les périodes d’équilibre. Aboulie, symptômes thymiques et faible motivation aux changements étaient cités comme freins à la prévention du RCV. Les patients citaient l’inactivité et l’isolement social comme facteurs favorisant les comportements délétères. Ils exprimaient des objectifs de changement et se plaçaient en acteurs de ceux-ci. La santé psychique était au premier plan de leurs préoccupations. Discussion. La schizophrénie semblait influer moins sur la perception du RCV que sur les comportements en lien avec ce risque et sur les possibilités de changements de ces comportements.
IMPACT RESSENTI DE LA MEDECINE DEFENSIVE SUR LA PRTAIQUE MEDICALE
Authors: VINCENT Y-M , MORICHON C , GROCQ T , LEVEQUE C
Published: October 2022

Introduction. La médecine défensive peut se définir comme la modification de la pratique en réponse à une pression médico-légale. Objectif. Étudier l’impact ressenti de la médecine défensive sur la pratique des médecins généralistes français. Matériel et méthode. Étude quantitative descriptive transversale réalisée entre janvier et mars 2020 par deux investigateurs auprès de 185 médecins généralistes tirés au sort sur la liste des médecins installés dans le département de la Gironde. Cette étude fait suite à une première étude en focus group ayant permis l’élaboration d’un questionnaire de 20 items diffusé par téléphone et anonymisé secondairement. Résultats. Le taux de réponse était de 74,5 %, soit 132 répondants. 34,8 % des répondants déclaraient un antécédent judiciaire lié à leur activité professionnelle. Presque tous les participants (98,5 %) déclaraient modifier au moins un aspect de leur pratique lorsque sous pression, 80,3 % modifiaient leur prise de notes, 60,6 % prescrivaient plus d’examens d’imagerie, 57,8 % de biologie, 34,9 % changeaient leurs prescriptions médicamenteuses. Les principaux comportements d’évitement consistaient à adresser le patient plus facilement à un confrère spécialiste ou aux urgences (respectivement 73,5 et 27,3 % des répondants) et pour 54,4 % d’entre eux à renoncer à la pratique d’actes techniques jugés à risque. Le ressenti auto-évalué par les médecins de l’impact de la médecine défensive dans leur pratique était en moyenne de 4,58 sur 10. Un antécédent de plainte n’était pas significativement associé à une modification des comportements défensifs. Des comportements protecteurs étaient spontanément mis en oeuvre pour lutter contre la pression ressentie : 74,2 % débriefaient avec un confrère la consultation difficile, 72,7 % donnaient plus d’explications au patient. Conclusion. Le concept de médecine défensive intéresse les médecins généralistes. Tous semblaient touchés dans leur pratique mais à des degrés divers. Un travail sur la relation médecin-malade pourrait éviter le développement de ces comportements.
COMMENT LE SUJET DES PROTECTIONS HYGIENIQUES MENSTRUELLES EST-IL ABORDE EN MEDECINE GENERALE ?
Authors: KERMCIHE F , RIDARD E
Published: October 2022

Les protections hygiéniques menstruelles (PHM) font partie du quotidien des femmes, avec un usage estimé à 12 000 PHM au cours d’une vie. Elles sont reconnues depuis 2015 en France comme un produit de première nécessité, avec une TVA abaissée à 5,5 %1. Elles peuvent être une source de complications médicales, notamment infectieuses. Pourtant, le sujet est peu abordé durant les études médicales2. L’Agence nationale de sécurité sanitaire (ANSES) recommande de renforcer l’information et la formation des professionnels de santé sur ce sujet3.
FIBRILLATION ATRIALE
Authors: MALMARTEL A
Published: October 2022

La Société européenne de cardiologie (ESC) a publié des recommandations concernant la prise en charge de la fibrillation atriale (FA) en 20201. Les auteurs recommandent d’informer les patients des risques du dépistage de la FA avant de dépister. En règle générale, le dépistage est à effectuer en prenant le pouls du patient après 65 ans. Un électrocardiogramme (ECG) peut être proposé à partir de 75 ans ou en cas de haut risque d’accident vasculaire cérébral (AVC). Les smart watches, les ECG monopistes, les applications pour smartphone, les appareils automatiques de mesure de tension sont des méthodes alternatives dont les sensibilités et spécificités sont d’environ 90 % et 80 %, respectivement. Le diagnostic repose sur un ECG 12 dérivations mettant en évidence la FA sur au moins trente secondes. Le bilan initial recommandé comprend un hémogramme, une créatininémie, un ionogramme sanguin, un dosage de l
L ACCOMPAGNEMENT DE THESE DE MEDECINE GENERALE AVEC DES PATIENTS : NOUVELLE PISTE PEDAGOGIQUE DE PARTENARIAT DE SOIN AVEC LE PATIENT
Authors: BOULAY S
Published: October 2022

Chaque étudiant en 3e cycle de médecine générale doit produire un travail de recherche à la fin de son cursus. Cette thèse doit permettre de répondre à un questionnement vis-àvis de sa pratique. Les travaux relatifs aux patients étaient minoritaires dans les travaux de recherche en médecine générale en 20131. Le Centre d’innovation du partenariat avec les patients et le public (CI3P) permet d’impliquer les patients partenaires dans l’enseignement, la recherche et les milieux de soins...
Động lực lan truyền của mô hình dịch SIQR phân thứ dựa trên mạng với lan truyền mờ
Authors: Nguyễn Phương Đông , Đào Thanh Dung , Kiều Văn Huy , Kiều Thị Hồng Ngát , Nguyễn Chí Nguyên , Hàn Thị Thu Trang
Published: October 2022

Để hiểu rõ hơn về ảnh hưởng của tính không đồng nhất của các mạng phức hợp và các biện pháp cách ly đối với sự lây lan của dịch bệnh, chúng tôi trình bày một nghiên cứu về mô hình dịch bệnh phân thứ dựa trên mạng với lan truyền mờ. Dựa trên phương pháp next-generation, chúng tôi xác định một giá trị ngưỡng quan trọng của lý thuyết dịch tễ học, gọi là  Sau đó, chúng tôi chỉ ra rằng giá trị  phụ thuộc đáng kể vào cấu trúc của mạng và lượng phần mềm độc hại. Tiếp theo, chúng tôi chứng minh rằng giá trị ngưỡng  không chỉ xác định sự tồn tại duy nhất của trạng thái cân bằng đặc hữu  mà còn đảm bảo cho sự dọn sạch các chương trình phần mềm độc hại trên mạng
MARKETING EFFICIENCY OF PEPPER ORDER IN BUKIT KEMUNING VILLAGE NORTH LAMPUNG
Authors: Cahyati Nia
Published: October 2022

This paper is aimed at analyzing the effect of Analyzing the efficiency of pepper trading in Bukit Kemuning Village, Bukit Kemuning District, North Lampung Regency. The data analysis research method used is analysis of trading efficiency consists of margin of trading, farmers share and efficiency of trading. The results obtained is the pepper trading channel that has been formed in the Bukit Kemuning District has two trading channel patterns. The most efficient trading channel of the two channels based on indicators of margin value, farmer share value, profit and cost ratio, and the calculation of trading system efficiency is the trading channel pattern I (20.63%) which is more efficient than pattern II (25.86%).