bluuebunny/crossref_metadata_2025 huggingface dataset:
Impact of Financial Development on Economic Growth in Nigeria
Authors: Ayeni Abigael Feranmi , Alexander Anfofum A. , Alfa Yakubu , Saheed Zakaree S. , Ikubor Jude
Published: July 2024

In Nigeria, financial development has been fluctuating and has not made significant impact on economic growth as a result of inadequate credit to the private sector that is supposed to improve investment in the economy. This study therefore examines the impact of financial development on economic growth in Nigeria, covering 1986 to 2022. The autoregressive distributed lag model was employed and the long run result reveals that interest rate (INT), lagged value of broad money supply (M2(-1)) and domestic credit to private sector (DCP) have positive impacts on GDPG while broad money supply (M2) has a negative impact on GDPG. The short run estimate indicates that INT and DCP have positive impact on economic growth, while the coefficient of M2 has negative impact on economic growth in Nigeria. In conclusion, financial development can be said to contribute to economic growth. This is because, when government allocates adequate credit to private sectors, investments are made in enhancing the productivity that will encourage investments to take place. These investments will lead to employment generation, and in turn lead to output growth. In this regard, the study recommends that the Nigerian government should increase allocation of credit to the private sector in order to improve investment and ensure the autonomy of relevant monetary authorities.
Formulación de una propuesta de realidad aumentada aplicada a un mariposario en el Parque Natural Regional Serranía de las Quinchas en el municipio de Otanche, Boyacá
Authors: Robles Sosa Astrid Viviana , Espitia Torres Maria Alejandra , Pedraza López Andrés Fernando , Vega Garzón Lina Patricia
Published: July 2024

El Parque Natural Regional Serranía de las Quinchas (PNRSQ), ubicado en Colombia, es un área protegida con conflictos respecto al cambio de su cobertura de bosques. Este ecosistema, el último relicto del bosque tropical húmedo del Magdalena Medio, ha seguido un patrón de deforestación continua, alcanzando una pérdida del 80% de los bosques nativos. El ecoturismo permite la interacción con la naturaleza, mediante la vivencia de experiencias basadas en la tradición y autenticidad, y se presenta en esta investigación como una posibilidad para frenar el deterioro ambiental que se presenta en este parque y en su zona de amortiguamiento. Por su parte la realidad aumentada (RA) es una herramienta que permite a los usuarios interactuar con la realidad, incluyendo información como imágenes y contenidos audiovisuales en dispositivos electrónicos. En esta investigación se hizo una revisión de la literatura sobre la realidad aumentada y su aplicación al ecoturismo en esta región, y se propuso una aplicación basada en las potencialidades para el ecoturismo identificada en distintos estudios y visitas de campo. Con base en el análisis de la información encontrada se hizo una propuesta para la implementación de un mariposario donde el turista deberá seguir una ruta específica, la cual incluye la RA basada en marcadores, gracias a la implementación de las herramientas Unity y Vuforia, con lo que se puede promover un mayor interés por conocer esta región con gran diversidad biológica y con potencialidad adicional para los mercados verdes derivados de la biodiversidad.
Dynamics of soil fertility and productivity of flax rotation based on the results of long-term experiment
Authors: Кузьменко Н.Н.
Published: July 2024

В длительных исследованиях (1948-2018 гг.) проведена количественная оценка и изучена динамика плодородия дерново-подзолистой почвы и продуктивности льняного севооборота под влиянием систем удобрений с разной насыщенностью навозом и минеральными удобрениями. Внесение на 1 га севооборотной площади удобрений в дозе 67,5 и 135 кг д.в. не обеспечило сохранение исходного уровня плодородия почвы. Наибольшее снижение запасов гумуса (до 34%) и продуктивности севооборота (на 16%) отмечали при минеральной системе удобрения. Применение органической системы удобрения улучшило качественный состав гумуса и повысило продуктивность севооборота на 11%. Снижение запасов гумуса было наименьшим – 24%. Органоминеральная система удобрения обеспечила более высокое содержание элементов питания в почве, наибольший агрономический эффект – до 39,3 ц зерновых единиц/га, при росте продуктивности в сравнении с исходным уровнем на 16%. Снижение запасов гумуса составило 31%. Для сохранения плодородия дерново-подзолистой почвы с высоким и очень высоким содержанием подвижного фосфора и высоким калия достаточно вносить 230 и 280 кг д.в. на 1 га севооборотной площади (навоз 10 т + NPK 100 и навоз 10 т + NPK 150 кг д.в.), что позволит получить положительный баланс NPK +21 и +30 кг/га, баланс гумуса в размере +0,45 и +0,30 т/га в год и продуктивность севооборота 33,7 и 35,7 ц зерновых единиц/га.

In long-term studies (1948-2018), a quantitative assessment was carried out and studied the change in the level of fertility of sod-podzolic soil and the productivity of flax crop rotation under the influence of fertilizer systems with different saturations of manure and mineral fertilizers. The application of fertilizers at a dose of 67.5 and 135 kg of active substance to 1 hectare of crop rotation area did not ensure the preservation of the initial level of soil fertility. The greatest decrease in humus stocks (up to 34%) and crop rotation productivity (by 16%) was noted with the mineral fertilizer system. The use of an organic fertilizer system improved the qualitative composition of humus and increased crop rotation productivity by 11%.The decrease in humus stocks was the smallest - 24%. The organo-mineral fertilization system provided a higher content of nutrients in the soil, the greatest agronomic effect - up to 39.3 centners of grain units/ha, with an increase in productivity compared to the initial level by 16%. The decrease in humus stocks was 31%. To preserve the fertility of sod-podzolic soil with a high and very high content of mobile phosphorus and high potassium, it is enough to apply 230 and 280 kg of active substance per 1 hectare of crop rotation area (manure 10 t + NPK 100 and manure 10 t + NPK 150 kg of active substance), which will allow to obtain a positive balance of NPK +21 and +30 kg/ha, humus balance of +0.45 and +0.30 t/ha per year and crop rotation productivity of 33.7 and 35.7 kg of grain units/ha.
Prospects for using hemp and flax seeds as a source of food protein
Authors: Яковлева А.А.
Published: July 2024

Современное питание населения всего мира характеризуется низкой пищевой ценностью, высокой калорийностью, дефицитом микронутриентов и пищевых волокон, а также избыточным содержанием насыщенных жирных кислот, добавленного сахара и недостаточным содержанием белка. По данным ВОЗ, население планеты живет в условиях белкового голода, поэтому проблема его дефицита в продуктах питания является актуальной. Одним из инновационных направлений в области пищевых технологий является открытие новых источников белка. В настоящее время в качестве такого источника становятся все более популярными семена технической конопли и льна. Семена этих культур характеризуются высоким содержанием белка: конопля – 20-30%, лен – 18-30%. Анализ литературных данных позволил установить, что белковые комплексы семян конопли и льна содержат все незаменимые аминокислоты, они особенно богаты фенилаланином (с тирозином) и метионином (с цистеином). Первой лимитирующей аминокислотой как для белка семян конопли, так и льна, является лизин, аминокислотный скор составил 68% и 81% соответственно. С учетом усвояемости белка показатель PDCAAS для белкового комплекса семян конопли составил 60%. Для семян льна расчет DIAAS по лизину составил 63%; DIAAS по метионину (с цистеином) в белке семян льна на 146% больше, чем в соевом белке. Комбинирование белка семян технической конопли и льна с другими белками, богатыми ароматическими и серосодержащими аминокислотами, является перспективным направлением для создания продуктов питания со сбалансированным аминокислотным профилем.

The modern diet of the world’s population is characterized by low nutritional value, high calorie content, a deficiency of micronutrients and dietary fiber, as well as an excessive content of saturated fatty acids, added sugar and insufficient protein content. According to WHO, the world’s population lives in conditions of protein starvation, so the problem of its deficiency in food is urgent. One of the innovative areas in the field of food technology is the discovery of new sources of protein. Currently, industrial hemp and flax seeds are becoming increasingly popular as such a source. The seeds of these crops are characterized by a high protein content: hemp - 20-30%, flax – 18-30%. An analysis of the literature data made it possible to establish that the protein complexes of hemp and flax seeds contain all the essential amino acids; they are especially rich in phenylalanine (with tyrosine) and methionine (with cysteine). The first limiting amino acid for both hemp and flax seed protein is lysine; the amino acid score was 68% and 81%, respectively. Based on protein digestibility, the PDCAAS score for hemp seed protein complex was 60%. For flax seeds, the DIAAS calculation for lysine was 63%; The DIAAS for methionine (with cysteine) in flax seed protein is 146% higher than that of soy protein. Combining industrial hemp and flax seed protein with other proteins rich in aromatic and sulfur-containing amino acids is a promising direction for creating food products with a balanced amino acid profile.
Association of Clinical Factors with the Development of GDM in the Hoosier Mom’s Cohort
Authors: Faysal Hani , Connelly Kay , Hayes Alexander , Kotarski Aric , Saha Chandan , Grecu Mitchell , Flannery Kathleen , Schmidt Haley , Haas David
Published: July 2024

Introduction: Gestational diabetes mellitus (GDM) develops during pregnancy, raising the risk of adverse perinatal outcomes. The objective of this study was to investigate potential therapeutic targets for prepregnancy and early pregnancy interventions to decrease the impact of GDM on health during and after pregnancy.

Methods: The Hoosier Mom’s Cohort was a prospective pregnancy cohort designed to assess for predictors of GDM. Inclusion criteria were gestational age <20 weeks, a singleton pregnancy, and being at least 18 years old. Individuals with a pregestational diabetes diagnosis, HbA1c at screening of ≥6.5, or abnormal 3-hour oral glucose tolerance test before 20 weeks of gestation were excluded. Study visits with survey completion and biospecimen collection occurred, one at enrollment, and one in the early third trimester. All participants were given a Garmin activity tracker to collect objective physical activity and sleep data. Sociodemographic, medical, behavioral, and psychosocial characteristics were obtained, and obstetric outcomes were abstracted after delivery by certified chart abstractors. The primary outcome was development of GDM. Associations between categorical variables and GDM were made with Chi-square testing, and those between continuous variables and GDM were done with t-test.

Results: Of 411 participants recruited into the Hoosier Moms Cohort, complete data was available for 391 (95.1%). Participants had a mean age of 30 years, a BMI of 28, and 17% were of Hispanic ethnicity. Study participants self-identified mostly as White (71%) or Black (16%). 66% of participants were nulliparous. Additionally, 54% reported a family history of diabetes, with 4% of patients also reporting a prior history of GDM.

A total of 39 participants (10.0%) developed GDM. Participants who developed GDM had significantly higher BMI at study entry (31.6 ±8.5 vs 27.2 ±6.5, p=0.003), lower probability of being nulliparous (15.38% vs 33.61%, p=0.02), higher baseline HbA1c values (5.24 ±0.3 vs 5.07 ±0.3, p<0.001), higher triglycerides levels (156.85 ±62 vs 134.16 ±54.5, p=0.022), and higher blood glucose values (85.90 ±14.4 vs 79.96 ±17.7, p=0.025) at first study visit. Additionally, 28% of participants who developed GDM had a prior history of GDM, compared to 2% of participants who did not (p<0.0001). Those who developed GDM had higher rates of chronic hypertension (12.82% vs 1.96%, p=0.0034) and higher insomnia scores (9.62 ±5.1 vs 7.80 ±4.7, p=0.028).

Conclusion/ Implications: Multiple clinical factors were found to be statistically associated with the development of GDM. These characteristics will be utilized in a comprehensive predictive model using machine learning methodologies to guide clinical decisions early in pregnancy.
Quality Improvement Initiative to Optimize Management of Pregnancy of Unknown Location
Authors: McNitt-Johnson Megan , Shafique Mayra , Leestma Erine , Vilkins Annmarie
Published: July 2024

Introduction: Gynecology often gets consulted for patients with pregnancy of unknown location (PUL). Management is often delayed until a definitive diagnosis is made, despite the life-threatening nature of a missed or delayed diagnosis of ectopic pregnancy. A patient may undergo multiple blood draws and ultrasounds and wait days prior to diagnosis and treatment. In collaboration with the emergency department, a protocol was created to standardize the management of patients with PUL. The goal was to decrease the time to final diagnosis of pregnancy location, the time to resolution of management, and the total healthcare costs.

Methods: This was an IRB approved (#15137) QI initiative that involved retrospective analysis of patients prior to and after implementation of the protocol. The protocol centered around offering management options after trending 3 β-HCG values. Provider education was implemented via presentation at Grand Rounds and periodic emails. Chi-square, Wilcoxon rank sum, and Kaplan Meier estimation tests were used for analysis.

Results: Compared to preimplementation there was a decrease in the number of days to diagnosis from 9 days to 6 days (p=0.008). The distribution of ultrasounds (as presented from 25th to 75th percentile) performed prior to resolution changed from [1,3] preimplementation to [1,2] postimplementation (p=0.044). There was no significant difference in days to resolution (p=0.984) or number of blood draws performed prior to diagnosis and resolution (p= 0.150 and p=0.711).

Conclusion: The implementation of a protocol standardizing management of PUL resulted in decreased time to final diagnosis and the number of ultrasounds patients required prior to diagnosis. This protocol highlights the benefits of cost-conscious patient-centered care in a common area of gynecologic practice.
Primary Lung Adenocarcinoma in Pregnancy: A Case Report
Authors: Rogers Alexandra , Smith Nicolina , Goyert Gregory
Published: July 2024

Case Report: This is a unique case of metastatic primary lung adenocarcinoma diagnosed in a 25-year-old G3P2002 at 15 weeks of gestation. The patient presented with acute onset of left chest and shoulder pain. Evaluation revealed anaplastic lymphoma kinase (ALK) positive, primary lung adenocarcinoma with metastasis to the liver and right adrenal gland. Treatment with palliative Alectinib 450 mg twice daily was initiated at 18 weeks gestation and increased to Alectinib 600 mg twice daily at 27 weeks gestation. Uncomplicated delivery occurred via spontaneous vaginal delivery following scheduled induction at 39 weeks and 2 days. There are few cases of lung cancer in pregnancy, and none which describe delivery at term in a patient with metastatic disease. This case provides insight on the treatment of ALK positive metastatic lung cancer during the second and third trimesters of pregnancy without necessitating preterm delivery or cesarean section.
Investigating the Rates of Cesarean and Vaginal Deliveries Across Different Races and Ethnicities at Ascension St. Vincent Indianapolis
Authors: Wampfler Mary , Foster Todd , Milos Adrian , Moore Cara , Starke Courtney , Wittman Emma , Xu Guang , Ionescu Adina
Published: July 2024

Background: Cesarean section remains one of the most common surgical procedures for women in the United States. Previous studies have shown higher rates in African-American and Asian women and lower rates among White and Hispanic women. The objective of this study is to investigate the rates of cesarean and vaginal deliveries across different races and ethnicities as well as languages spoken at our institution.

Methods: A retrospective chart review was completed of nulliparous women with term, singleton, and vertex deliveries between 2015-2020. Factors increasing risk for cesarean or contraindications for vaginal delivery were excluded. Binomial logistic regression analysis was used to evaluate mode and delivery indications among racial and ethnic groups as well as among primary languages spoken.

Results: White was the largest race reported (66.4%), followed by Black or African American (27.6%), then Asian (3.6%). “Other” or rather, “Non-Hispanic”, was the largest ethnicity reported (85.2%). Cross-tabulating race and ethnicities, the largest group was non-Hispanic White (54%), followed by Non-Hispanic Black or African American (26.5%), then Hispanic or Latino (10.8%). Primary languages were English (91.0%), followed by Spanish (5.7%), then Other (3.3%). Preliminary results showed statistically significant differences in age, BMI, insufficient prenatal care, and specific labor dystocia indications among different races and ethnicities. There were also differences among English vs Spanish vs “Other” languages but not in rates of vaginal and cesarean deliveries. The binomial logistic regression analysis showed that BMI and most labor dystocia positively correlated with cesarean delivery, whereas race/ethnicity, language, age, insufficient prenatal care, and induction status did not change the outcome.

Conclusions: Racial and ethnic differences in mode of delivery have been previously documented in previous studies; although we did not find this at our institution. Our findings, however, show a positive relationship between Body Mass Index (BMI) and cesarean delivery, as has previously been documented.
Salud mental y pensamiento crítico en estudiantes universitarios: dos problemáticas abordadas desde la complejidad
Authors: Hernández de la Cruz Ana Lilia
Published: July 2024

Este trabajo efectúa un análisis sobre dos desafíos presentes en los estudiantes universitarios, la salud mental y el pensamiento crítico, en seis estudios realizados en Latinoamérica que abonan información precisa. Se han generado aproximaciones desde la teoría de la complejidad del filósofo Edgar Morín que permiten reflexionar sobre el rol docente y su función guiadora en los procesos de enseñanza-aprendizaje. Para ello, se consideran dos teorías educativas que dan cuenta de su utilidad en la enseñanza. Se concluye: la etapa universitaria se caracteriza por ser vulnerable, por lo cual, el acompañamiento del profesor, desde una perspectiva integral, es irremplazable.
A New Method for Intelligent Multimedia Compression Based on Discrete Hartley Matrix
Authors: Noor Noor ,   Labs Department, High school of Almotafukeen, Saladin's Education, Tikrit, Iraq,   Blended Learning Department, College of Administration and Economics, Tikrit University, Iraq, Ali Qusay Abboodi
Published: July 2024

Multimedia data (video, audio, images) require storage space and transmission bandwidth when sent through social media networking. Despite rapid advances in the capabilities of digital communication systems, the high data size and data transfer bandwidth continue to exceed the capabilities of available technology, especially among social media users. The recent growth of multimedia-based web applications such as WhatsApp, Telegram, and Messenger has created a need for more efficient ways to compress media data. This is because the transmission speed of networks for multimedia data is relatively slow. In addition, there is a specific size for sending files via email or social networks, because much high-definition multimedia information can reach the Giga Byte size. Moreover, most smart cameras have high imaging resolution, which increases the bit rate of multimedia files of video, audio, and image. Therefore, the goal of data compression is to represent media (video, audio, images, etc.) as accurately as possible with the minimum number of bits (bit rate). Traditional data compression methods are complex for users. They require a high processing power for media data. This shows that most of the existing algorithms have loss in data during the process of compressing and decompressing data, with a high bitrate for media data (video, audio, and image). Therefore, this work describes a new method for media compression systems by discrete Hartley matrix (128) to get a high speed and low bit rate for compressing multimedia data. Finally, the results show that the proposed algorithm has a high-performance speed with a low bit rate for compression data, without losing any part of data (video, sound, and image). Furthermore, the majority of users of social media are satisfied with the data compression interactive system, with high performance and effectiveness in compressing multimedia data. This, in turn, will make it easier for users to easily send their files of video, audio, and images via social media networks.
Optimization of logistics cargo tracking and transportation efficiency based on data science deep learning models
Authors: Li Ang , Zhuang Shikai , Yang Tianyi , Lu Wenran , Xu Jiahao
Published: July 2024

With the digital transformation of the logistics industry, smart logistics algorithms have become a core technology to improve efficiency and reduce costs. This paper reviews the development history of traditional logistics technology and discusses the key role of technologies such as the Internet of Things, big data analysis, artificial intelligence, and automation in logistics technology innovation. It focuses on the application of intelligent logistics algorithms in path optimization, intelligent scheduling, data mining and prediction, and intelligent warehousing. To solve the problem of inconsistency between training and testing objectives, this paper proposes DRL4Route, a deep reinforcement learning-based path optimization framework, and designs the DRL4Route-GAE model. These research results provide important support to further promote the intelligent development of the logistics industry.
Mit und ohne Zyklopentolat gemessene Refraktionsdaten und Visuswerte von Kindern und Jugendlichen im Vergleich
Authors: Kobelt Ilka , Hessler Philipp , Dolata Josefine , Degle Stephan
Published: July 2024

Purpose. This investigation compared refraction and visual acuity obtained under cycloplegic and non-cycloplegic condition in a Caucasian population. Material and Methods. One eye of 73 subjects, aged 6-29 years, was examined under cycloplegic (C) and non-cycloplegic (NC) condition using autorefraction (AR), subjective refraction (SR) and visual acuity testing. Subjects were subdivided into refractive groups (emmetropia: −0.5 D < SE < +1.00 D, myopia: SE ≤ −0.5 D, hyperopia: SE ≥ +1.00 D). Results. When comparing AR C and SR NC, deviations in SE were largest in hyperopes (∆SE = 0.74 ± 0.57 D; 95% CI: 0.5 – 0.97 D) compared to emmetropes (∆SE = 0.37 ± 0.21 D; 95% CI: 0.24 – 0.45 D) and myopes (∆SE = 0.25 ± 0.32 D; 95% CI: 0.12 – 0.38 D). When comparing SR C and SR NC, deviations in SE were largest in hyperopes (∆SE = 0.54 ± 0.43 D; 95% CI: 0.36 – 0.71 D) compared to emmetropes (∆SE = 0.23 ± 0.26 D; 95% CI: 0.10 – 0.35 D) and myopes (∆SE = 0.12 ± 0.17 D; 95% CI: 0.04 – 0.18 D). In emmetropes and myopes, C and NC refraction did not change visual acuity. For hyperopes, visual acuity reduced by 0.38 ± 0.18 logMAR and 0.22 ± 0.18 logMAR when comparing AR C prescription and SR C prescription to SR NC prescription, respectively. Conclusion. In emmetropes and myopes, C is not indicated. In hyperopes, C prescription may reduce NC visual acuity. For maximum visual acuity, a combination of C and subjective NC refraction is recommended. C refraction must be performed if visual abnormalities are suspected. Keywords Objective refraction, subjective refraction, visual acuity, cycloplegia, cycloplentolate
Pengaruh Penggunaan Media Pembelajaran Berbasis Video terhadap Hasil Belajar Siswa Kelas IV pada Mata Pelajaran Matematika di SDN Undaan Kidul 3 Demak
Authors: Maulida Lia Khusna , Nabila Putri Zidni , Arrodli Muhammad Asro , Amaliyah Fitriyah
Published: July 2024

Mathematics is a science that is obtained through thinking and reasoning. However, Very often, elementary school students have difficulty understanding math lessons. Thus, Teachers must use creativity and imagination while using a range of instructional resources and media. Video learning is one example. The purpose of this study is to ascertain the effects of using video-based learning resources on the mathematical learning outcomes of students at SDN Undaan Kidul 3 Demak. Quantitative Pre-Experimental was used with the design of one pre-test and post-test group, and was carried out on grade IV students at SDN Undaan Kidul 3 Demak, with a sample consisting of 15 students, which included 5 female students and 10 male students.  The data instruments used include tests (pretest and postest), questionnaires, interviews, observations, and documentation. The results of this study show that the use of video-based learning media improves students' learning ability, this is characterized by an increase in pretest and posttest to a higher level from the average score of 66 to 76.67. Therefore, Using video-based learning resources is crucial for raising elementary school pupils' mathematics proficiency
Bridging the gaps
Authors:   ILO Country Office for Pakistan,
Published: July 2024

This policy brief summarizes insights from a study conducted across Pakistan for policymakers, practitioners and development partners. It highlights the obstacles encountered by both Afghan refugees and host communities within the construction sector and suggests policy actions aimed at leveraging the sector’s full potential.
Thái độ về dự phòng ngã cho người bệnh của điều dưỡng viên tại bệnh viện Đa khoa Quốc tế Vinmec Times City năm 2023
Authors: Nguyễn Ngọc Ánh , Hoàng Thị Huyền , Đặng Thị Phương , Vũ Thị Thanh Nhàn , Nguyễn Thị Ngọc Nam , Trần Thị Lượng , Hà Thị Thúy , Dương Thị Hải , Ngô Minh Đạt , Phạm Quốc Sỹ
Published: July 2024

Mục tiêu: Mô tả thực trạng thái độ về dự phòng ngã cho người bệnh của điều dưỡng viên tại bệnh viên Đa khoa Quốc tế Vinmec Times City năm 2023.
Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả trên 179 điều dưỡng viên đang công tác tại Bệnh viện đa khoa quốc tế Vinmec Times City từ tháng 4 đến tháng 10 năm 2023. Sử dụng bộ công cụ tự điền được tham khảo Bộ công cụ Fall Knowledge Test của Tổ chức nghiên cứu chính sách y tế và đảm bảo chất lượng của Mỹ (AHRQ), Quy trình quản lý ngã của bệnh viện Bạch Mai và một số nghiên cứu khác. Thiết kế bộ công cụ đánh giá thái độ dưới dạng thang đo Linkert, đánh giá độ tin cậy với Cronbach’s Alpha lớn hơn 0,7.
Kết quả: Trong số 179 điều dưỡng viên tham gia nghiên cứu, chỉ có 0,6% điều dưỡng viên chưa được cập nhật kiến thức về ngã, trong số các điều dưỡng được cập nhật kiến thức có 98,3% cho rằng các kiến thức được học là cập nhật. Có 82,1% điều dưỡng viên có thái độ tích cực về dự phòng ngã. Nghiên cứu cho thấy có mối liên quan giữa loại hình đào tạo, trình độ, thâm niên, có thực hiện báo cáo và kiến thức của điều dưỡng với thái độ về dự phòng ngã.
Kết luận: Có 82,1% điều dưỡng viên có thái độ tích cực về dự phòng ngã. Có mối liên quan giữa thái độ của điều dưỡng viên về dự phòng ngã với một số yếu tố: hình thức đào tạo, trình độ chuyên môn, thâm niên công tác, đã thực hiện báo cáo ngã, và kiến thức về dự phòng ngã. Để triển khai tốt các tác dự phòng và quản lý nguy cơ người bệnh bị ngã, bệnh viện cần cập nhật kiến thức và nâng cao tinh thần trách nhiệm đối với đối tượng điều dưỡng viên có thâm niên dưới 5 năm, các điều dưỡng viên được đào tạo từ hình thức liên thông, điều dưỡng viên có trình độ cao đẳng và những điều dưỡng viên chưa từng thực hiện báo cáo ngã.
Bacterial contamination in neonatal intensive care units in Misurata, Libya: analysis of causative organisms, biofilm formation, and antimicrobial susceptibility
Authors: Salem Gamal
Published: July 2024

Abstract
Background: Intensive care units (ICUs) play a critical role in treating life-threatening conditions. The presence of bacteria on objects and instruments in ICUs is a significant cause of hospital-acquired infections.
Aim: This study aimed to assess the level of bacterial contamination on objects and instruments frequently touched by healthcare workers (HCWs) and in contact with neonates. Resistance profile and biofilm producibility were also measured.
Methods: A total of 150 swabs were collected from various surfaces in the neonatal intensive care units (NICU) of three hospitals in the city of Misurata, Libya. These samples formed the basis of the study. Standard techniques were used to isolate, identify, and determine biofilm formation ability and antibiotic susceptibility of the bacterial isolates.
Results: Out of the 150 samples, bacterial growth was observed in 100. The most commonly isolated potential pathogens were Pseudomonas aeruginosa at a rate of 31.33%, followed by Klebsiella pneumonia (18%), Staphylococcus aureus (9.33%), E. coli (4.66%), and finally Acinetobacter baumanni (3.33%) of the total swabs taken. Bed, ICU floor, doorknob, ICU window, and CPAP were the main sources of bacterial contamination in the ICU unit. Among the S. aureus isolates, 50% (7 out of 14) were found to be methicillin resistant. Most of the bacterial isolates showed resistance to Cefotaxime and Augmentin. The gram-negative bacteria showed high adhesion ability (70.9 %) significantly (P= 0.035) more than S. aureus isolates (35.7%).
Conclusion: The study revealed a high level of bacterial contamination on objects and instruments in the NICU. The isolated pathogens like Pseudomonas aeruginosa, Klebsiella pneumonia, S. aureus and Acinetobacter baumanni pose a significant risk of hospital-acquired infections. The extremely high prevalence of beta-lactam antibiotics resistance among isolated bacteria accounts for a great public health danger.
Deep Learning-Based Faults Detection and Classification in Photovoltaic Systems Using Voltage and Current Images
Authors: Alsudi Izziyyah , Abulaila Mohammad , Aubidy Kasim
Published: July 2024

There is a significant growth in the use of solar photovoltaics (PV) for clean and sustainable renewable energy. The ease of installation and expansion of PV power plants makes them suitable for grid-connected operation. However, increasing the size of the PV power plant will make it difficult to detect and classify faults, which leads to lower system efficiency and reliability. Therefore, this article proposes a method for detecting and classifying faults in PV systems in order to fix them more quickly and efficiently. For this purpose, the data of current and voltage are collected from every panel for a period of time in normal case and for three common fault types (open circuit, short circuit, and shading), and afterwards converted into wavelet transform images. Then a deep learning approach is used to detect, classify, and locate defective panels in a PV system. The obtained results show that the deep learning approach based on Resnet50, and voltage images was 100% accurate compared to the deep learning approach based on current images. In this methodology there is no need for additional sensors since they are embedded with panels and sent to main computer. Since the voltage parameter has the best accuracy scenario, it is converted to images, then ResNet-50 is applied. So, every panel can be detected and classified, and as each panel is numbered, the fault location can be readily determined.
Case series of calcaneal osteomyelitis in patients with melioidosis
Authors: Raj Karthik , Chandran Neeraj , Thekkedath Manojan
Published: July 2024

Background:
Melioidosis is an emerging infectious disease caused by the Gram-negative bacterium Burkholderia pseudomallei, which can lead to a range of clinical manifestations including acute septicaemia and chronic localized infections. Osteomyelitis is an uncommon but well-recognized complication of melioidosis, with the calcaneus being a relatively rare site of involvement.
Case Description:
The authors present a case series of three patients with calcaneal osteomyelitis caused by B. pseudomallei infection. All three patients presented with non-specific symptoms like fever and weight loss, followed by localized ankle/foot pain and swelling. Diagnosis was made based on imaging findings (radiographs and MRI) and isolation of Burkholderia pseudomallei from blood or pus cultures. Treatment involved a combination of initial intravenous antibiotic therapy (meropenem or ceftazidime) for 4-6 weeks, followed by oral trimethoprim-sulfamethoxazole for 6 months. One patient required surgical drainage of a plantar abscess. All patients had a favourable clinical outcome with resolution of osteomyelitis on follow-up imaging.
Conclusion:
Calcaneal osteomyelitis is a rare but potentially serious complication of melioidosis. Early recognition and prompt initiation of appropriate antibiotic therapy are crucial for favourable outcomes. Clinicians should maintain a high index of suspicion for osteomyelitis in patients with melioidosis, especially in patients from endemic areas as well as in patients with risk factors like diabetes. Close follow-up and monitoring for potential relapse or reactivation are essential, particularly in immunocompromised individuals.
Intussusception in a Nigerian Indigenous Dog: A Case Report and Probable Associated Pathologic Mechanisms
Authors: Orakpoghenor Ochuko , Mohammed Bisalla , Muhammed Muhammed
Published: July 2024

Intussusception, a serious gastrointestinal disorder characterized by invading one segment of the intestine into another, poses significant health risks in veterinary medicine. This case report presents the clinical and pathological findings of intussusception in a 10-month-old brown male Nigerian indigenous dog (NID). The dog, which had no history of vaccination, underwent abdominal surgical procedures including gastrotomy and intestinal resection with anastomosis seven days prior to death. Postoperatively, the dog exhibited clinical signs of vomiting and weakness despite treatment with penicillin-streptomycin antibiotics and a bland diet. Necropsy revealed severe pathological changes, including congested liver, gastric haemorrhage, peritoneal adhesions, leakage of intestinal contents into the peritoneum, peritonitis, intestinal congestion with intussusception, and infarction at anastomosed intestinal sites. These findings highlight the multifaceted nature of intussusception, involving mechanical obstruction, compromised blood supply, and systemic infection. The case emphasizes the challenges in managing post-surgical complications and the importance of early diagnosis and intervention in severe gastrointestinal disorders in dogs. This manuscript, therefore, contributes to the veterinary literature by providing a detailed description of the clinical course, pathological findings, and potential complications associated with intussusception in Nigerian indigenous dogs. The insights gained from this case report are crucial for improving diagnostic accuracy, optimizing treatment strategies, and enhancing clinical outcomes in similar clinical scenarios.
Implementation of Adaptive Core Value
Authors: Ni Made Suciani
Published: July 2024

This research aims to describe how the Adaptive Core Value learning process can explain the Adaptive performance profile of Basic Training participants for Agenda II Civil Servant Candidates using the classical training model. The learning process for participants aims to understand the concept of Adaptiveness and actualize adaptive values in carrying out their job duties. From the concept findings and implementation, the learning process achieved will be put into practice and described; in addition to that, an instrument will be developed to see the participant's adaptive performance profile. This research used descriptive quantitative and qualitative methods with purposive random sampling involving participants from Batch I and XVII of 2022 at the Personnel and Human Resources Development Agency of Bali Province. The results of the book review found that the Adaptive Core Value concept leads to adaptive performance, which contains the dimensions: 1) handling emergency/crisis situations; 2) managing work stress; 3) solving problems creatively; 4) facing an uncertain work situation; 5) training and learning efforts; 6) interpersonal adaptation; 7) work culture adaptation; and 8) physical adaptation. The findings in this research show that all dimensions of Adaptive performance have emerged in the learning process in Adaptive training courses. In line with this, the participant's Adaptive performance profile is high. Thus, there is a match between the achievements in the learning process and the participants' adaptive performance profiles. Learning is not limited to concepts and theories but how they can actualize these Adaptive values in the form of Adaptive performance in the learning process. It is hoped that the results of this research can be a reference in learning Agenda II Core Values of ASN with AKHLAK on Adaptive values and can develop other Core Values of ASN with AKHLAK.
The Factors Influencing the Prevention of Fraud in Village Fund Management Case Studies on Villages in Caringin Sub-District Bogor Regency
Authors: Sutisna Dede , Setiawan Ade Budi , Marsudi Joko
Published: July 2024

Year after year, the value of the village budget continues to increase. Unfortunately, this increasing trend is also accompanied by an increase in cases of fraud in the handling of village funds. The aim of this research is to examine the influence of HR competency, exemplary leadership, internal control systems, and violation reporting systems (whistleblowing systems) in preventing fraud in managing village funds. A quantitative approach was used for this research. The research population consisted of village officials from 12 villages in Caringin District. Sample determination was carried out using a simple random sampling method using the Slovin formula. Data collection was carried out by distributing questionnaires to 127 village officials accompanied by interviews to further strengthen the research data. Data analysis uses multiple linear regression analysis with SPSS 25 software. Research findings show that human resource competency, exemplary leadership, internal control systems, and whistleblowing system partially influence the prevention of fraud in managing village funds with a magnitude of influence or human resource competency coefficient value of 0.502, exemplary leadership at 0.094, internal control system at 0.124 and whistleblowing system at 0.163. All variables in this research also simultaneously influence the prevention of fraud in village fund management with a contribution amount of 82.8%, which means the level of influence is very strong.
Reformasi Hukum Pidana Dalam Pertanggungjawaban Tindak Pidana Korporasi Membayar Upah Minimum Menggunakan Perhitungan Take Home Pay
Authors: Kabes Irianto , Widjajanti Ermania , Anggraini Anna Maria Tri
Published: July 2024

Perusahaan di Kudus membayar gaji karyawan di bawah UMR yang dimana terdapat lima perseroan terbatas membayar gaji tidak sesuai dengan standar Kota tahun 2023, bentuk penerapan sanksi terhadap perusahaan tersebut adalah pembinaan. Penelitian ini bertujuan untuk melihat perhitungan gaji yang mengelabui UMK dengan perhitungan take home pay dan melihat subjek hukum pertanggungjawaban korporasi dengan adanya reformasi hukum pidana. Penelitian dilaksanakan melalui metode penelitian hukum normatif dan naratif, memanfaatkan data sekunder buat menganalisis secara kualitatif, dan  menyimpulkan yang akan terjadi dengan menggunakan akal deduktif. Hasil penelitian menujukan bahwa pembayaran upah minimum tidak sejalan dengan regulasi merupakan perbuatan pidana. Namun dalam implementasinya masih ada korporasi yang mengelabui aturan melalui perhitungan upah take home pay yang memasukan komponen upah pokok, tunjangan bersifat tetap dan tunjangan tidak bersifat tetap dalam upah minimum hal tersebut sudah dipastikan merupakan perbuatan tindak pidana. Pencegahan tindak pidana korporasi dapat dilakukan oleh pengawas ketenagakerjaan melalui preventif edukatif, represif non yustisial, represif yustisial, membayar upah di bawah standar minimum adalah pelanggaran hukum korporasi yang semula hanya di atur di luar KUHP. Dengan adanya reformasi aturan pidana yang memasukkan pertanggungjawaban korporasi menjadi subjek aturan yang pertanggungjawabannya dilakukan terhadap perusahaan, direktur atau pengurus yang menduduki jabatan fungsional, memberi petunjuk, pemegang kendali, dan/atau pemilik korporasi, melalui reformasi hukum pidana terdapat perubahan pidana dari paradigma absolut menjadi paradigma relatif. Di mana fokus pemidanaan bergeser dari pidana balas dendam menjadi pidana yang memperbaiki kerugian dengan dimasukan ketentuan tentang pembayaran ganti rugi.
Mustard oil consumption and Harris platelet syndrome: unveiling a dietary link to thrombocytopenia in the Indian subcontinent
Authors: Haque Wasim Md Mohosin Ul
Published: July 2024

Background and objectives: Asymptomatic thrombocytopenia, characterized by a reduced platelet count without bleeding symptoms, is notably prevalent in certain regions of India and Bangladesh, presenting a diagnostic challenge. A significant portion of healthy blood donors from Bangladesh and various parts of India, particularly West Bengal, exhibit this condition, termed Harris platelet syndrome (HPS). This review explores the potential correlation between mustard oil consumption, a common dietary staple in these regions, and the incidence of HPS.

Methods: A comprehensive narrative review was conducted using systematic search strategies across databases such as Google Scholar, MEDLINE, PubMed, and Scopus. Keywords included "Harris platelet syndrome," "mustard oil consumption," "thrombocytopenia," and "erucic acid." Studies were selected based on relevance and quality, focusing on the epidemiology of HPS, dietary habits, and the thrombocytopenic effects of erucic acid.

Results: HPS shows a significant geographical prevalence in the Indian subcontinent, notably in regions like West Bengal, Kashmir, and Assam. The review identifies a higher prevalence of thrombocytopenia in areas with predominant mustard oil usage. Studies highlight the association between dietary erucic acid from mustard oil and thrombocytopenia, with notable effects observed in patients treated with Lorenzo’s Oil, which contains erucic acid.

Conclusions: The review highlights a significant association between mustard oil consumption and asymptomatic thrombocytopenia in the Indian subcontinent. The similarity in hematological profiles between HPS and erucic acid-induced thrombocytopenia underscores the need for further research. This includes measuring erucic acid levels in patients, conducting controlled dietary interventions, and genetic analyses to differentiate between genetic and environmental factors.

July 2024; Vol. 18(2):009. DOI:https://doi.org/10.55010/imcjms.18.021

*Correspondence: Wasim Md MohosinUl Haque, Department of Nephrology, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), 122 Kazi Nazrul Islam Avenue, Dhaka-1000, Bangladesh. Email: wmmhaque@live.com
Integrating Indigenous Perspectives into Teacher Education in Alberta
Authors: Danyluk Patricia , Plante Maureen , Wessel Samara
Published: July 2024

Anti-Indigenous racism is the result of a lack of knowledge about Indigenous peoples according to Senator Murray Sinclair (Ho, 2019). Teacher education is one of the most powerful ways to combat racism towards Indigenous peoples as it impacts not only pre-service teachers but in-service teachers, their students, and their families. Alberta’s new Teaching Quality Standard was released in 2018 (TQS, 2020) and requires all Alberta teachers to possess and apply a foundational knowledge of Indigenous peoples. The study examines how teacher education institutions in Alberta are integrating Indigenous perspectives into their programming and how they plan to further this integration through collaboration between institutions and connections with schools.
Avaliação do sistema de vigilância COVID-19 na população índigena no Mato Grosso do Sul, 2020 – 2021
Authors: Miranda Ramos Eliza , Hugo dos Santos Duarte Vitor , Maria Almeida Carvalho Alexandra , Luiz Lima Araújo Emerson , Mairton Barbosa Gomes e Silva Halex
Published: July 2024

Objetivo: objetivo deste trabalho foi avaliar o sistema de vigilância epidemiológica na população indígena no Mato Grosso do Sul, seus atributos completude, oportunidade e representatividade, no período de 2020 a 2021. Metodologia: Este estudo avaliou o sistema de vigilância na população indígena no Mato Grosso do Sul em relação à completude, oportunidade e representatividade, com base em casos positivos para COVID-19 no período de 2020 a 2021. Resultados: Durante este período, foram relatados 15.526 casos de COVID-19, com 4.450 confirmados por meio de testes RT-PCR, com uma presença significativa entre a etnia Guarani Kaiowá (2.624 casos). Entre esses casos, 27,80% resultaram em Cura (4.320), enquanto as mortes relacionadas ao COVID-19 totalizaram 116 casos (0,74%).Conclusão: Foi evidenciado com boa completude, inoportunidade e pouca representatividade nas bases de dados da SasiSUS no Mato Grosso do Sul, tornando-se necessários aperfeiçoamento no processo de trabalho e capacitações rotineiras dos profissionais para o correto preenchimento.
Alterações oftalmológicas em recém-nascidos com sífilis congênita
Authors: Fischer Emelie Otilia
Published: July 2024

A sífilis é uma doença sexualmente transmissível e pode ser transmitida ao feto por via vertical, por mães não tratadas ou inadequadamente tratadas durante a gestação. Na última década, o Brasil vem vivenciando um aumento progressivo na incidência de sífilis em gestantes e de sífilis congênita. Apesar dos investimentos realizados pelo Ministério da Saúde as taxas de diagnóstico se mantêm elevadas. Em aproximadamente 40% desses recém-nascidos são percebidas lesões pela formação de gomas sifilíticas em diversos: lesões faciais, auditivas, orofaciais, cutâneas, neurológicas, esqueléticas e oftalmológicas. As alterações oftalmológicas incluem ceratite intersticial, coriorretinite, vasculite retiniana, glaucoma secundário, cicatriz córnea e atrofia óptica.  O presente estudo trata-se de uma análise retrospectiva dos pacientes que obtiveram diagnóstico de sífilis congênita e realizaram exame de fundoscopia entre os meses de janeiro de 2022 a março de 2023, durante a permanência no setor alojamento conjunto do Hospital Universitário Maria Aparecida Pedrossian (UFMS). Foi determinada uma amostra de 69 pacientes, dentre os quais 8 apresentaram laudo de lesão ocular decorrente de sífilis congênita e necessitaram de tratamento e acompanhamento das lesões.