bluuebunny/crossref_metadata_2025 huggingface dataset:
Edinilmiş Oküler Motor Sinir Felci: Klinik Deneyimlerimizin Analizi
Authors: ERUYAR Esra
Published: June 2023

Giriş ve Amaç: Üçüncü, dördüncü ve altıncı kraniyal sinirler oküler motor sinirler olarak sınıflandırılmakta, göz kaslarının hareket kontrolünü sağlamaktadır. Bu sinirlerde gelişen edinsel özellikteki felç, edinilmiş oküler motor sinir felci olarak adlandırılmaktadır. Bu çalışmada kliniğimizde oküler motor sinir felci tanısı konan hastaların çeşitli özelliklerinin incelenmesi amaçlanmıştır.

Metot: Bu çalışma, Ankara/Türkiye'de ikinci basamak bir sağlık merkezinde yürütülmüştür. Retrospektif bir çalışmadır. Sadece edinsel oküler motor sinir felci vakaları çalışmaya dahil edilmiştir. Katılımcılara ilişkin bilgiler için dosyalarında yer alan kayıtlardan yararlanılmıştır. Katılımcının yaş ve cinsiyet verileri incelenmiştir. Önceden gelişen şaşılık, orbital hastalıklar ve konjenital oküler motor sinir felci vakaları çalışma dışı bırakılmıştır. Veriler SPSS 21 paket programı kullanılarak tasnif edilmiştir. Bazı parametreler arasında istatistik açıdan farklılık araştırılmıştır. Farklılık analizinde ki-kare testi kullanılmıştır

Bulgular: Katılımcıların yaş ortalaması 61,9±16’dur. Katılımcılardan 10’u (%43,4) erkek, 13’ü (%56,6) kadındır. Katılımcılardan sadece birinin iki taraflı tutulumu mevcuttur. Bunun dışında 13 (%56,6) katılımcıda sol, 9 (%39,1) katılımcıda sağ taraf tutulmuştur. Hiçbir katılımcıda troklear sinir felci gelişmediği belirlenmiştir. Katılımcılardan 11’inde (%47,8) edinsel oküler motor sinir felci okülomotor sinirde gelişmiştir. Bu katılımcılardan üçünde serebrovasküler olay teşhis edilmiştir.

Sonuç: Çalışmamızda elde edilen veriler en sık abdusens tutulumunu işaret etmiş bunu okülomotor sinir takip etmiştir. En sık etiyolojik nedenin vasküler sebepler olduğu belirlenmiştir.
KADIN DOĞUM HASTANESİ HEMŞİRE ÇAĞRI ZİLİ KULLANIMI İLE HASTA MEMNUNİYETİ VE DÜŞEN HASTA SAYISI ARASINDAKİ İLİŞKİ
Authors: ÖZKAN Asibe , HİÇERİMEZ Ayfer
Published: June 2023

ÖZET

Giriş ve amaç: Çağrı zili, hastanede yatan her hasta için hayati bir iletişim bağlantısıdır. Hemşireler; çağrı zili uyarısı ve çağrı ziline, hasta ihtiyaçlarına yanıt verebilmek için sürekli dikkatli olmalıdır. Bu çalışma; kadın doğum hastanesinde bilgi yönetim sistemi (BYS)’ ye entegre hemşire çağrı zillerinin kullanım amaç, sıklık ve cevap verilme süreleri ile hasta memnuniyeti ve düşme sıklığı arasındaki ilişkiyi saptamak amacı ile tanımlayıcı, analitik ve ilişki arayıcı tipte planlandı.

Gereç ve yöntem: Çalışma 2021 yılı İstanbul Başakşehir Çam ve Sakura Şehir Hastanesi 359 yataklı Kadın Doğum Hastanesinde yapıldı. Çalışma verileri hastanenin BYS’ den elde edilmiştir. Kadın doğum hastanesi 311 yatağı ve 40 anne otelinden oluşturulan toplam 36501 çağrı örneklemini oluşturdu.

Bulgular ve Sonuç: Çağrıların tür dağılımlarına incelendiğinde; % 43,9’unun hemşire çağrı (% 4,6’sı hasta odası WC çağrısı) , % 32,5’inin asist çağrı %23.4’ünün teknik ekip tarafından oluşturulan rutin kontrol çağrıları, % 0,2’sinin ise mavi kod çağrısı olduğu saptandı. Sağlıkta kalite standartları gereği her ay yapılan hasta memnuniyeti anketlerinden alınan puan ile çağrı sıklığı ve çağrılara cevap verilme süresi kıyaslandığında çağrı sayısı ile memnuniyet oranları arasında negatif yönlü korelasyon (r:-940 p
PEDİATRİ KLİNİKLERİNDE ÇALIŞAN HEKİM ve HEMŞİRELERDE MERHAMET YORGUNLUĞU ve TÜKENMİŞLİK
Authors: KÜÇÜK Sibel , MEMİŞ Sedef Seval
Published: June 2023

Amaç: Araştırma pediatri hekim ve hemşirelerinin merhamet yorgunluğu ve tükenmişlik düzeylerinin araştırılması amacıyla tanımlayıcı tipte yapılmıştır.

Yöntem: Ankara il merkezinde hizmet veren bir çocuk hastanesinde pediatri kliniklerinde çalışan 230 hekim ve hemşire araştırmanın örneklemini oluşturmuştur. Veriler sosyodemografik veri formu, Merhamet Ölçeği ve Tükenmişlik Ölçeği- Kısa Versiyonu ile toplanmıştır. Değerlendirmede sayı, ortalama, ortanca, yüzdelik, Kruskal Wallis, Mann Whitney U test ve Spearman’s rho korelasyon analizi kullanılmıştır. İstatistiksel anlamlılık düzeyi p
MONTE CARLO SİMÜLASYONU İLE YATIRIM KARARI
Authors: ALTINTAŞ Tuğba , KALDIK Abdullah
Published: June 2023

Bu çalışmada, özel bir fizyoterapi ve rehabilitasyon kliniğinin yeni bir elektroterapi cihazına yatırım yapması halinde, yatırımın ne kadar sürede geri döneceği Monte Carlo simülasyonu ile tahmin edilerek, yatırımın avantajlı mı dezavantajlı mı olduğuna karar verilmiştir. Simülasyon deneyi için bir senaryo üretilmiş, kliniğe gelen hasta sayısının günlere göre Üniform dağıldığı varsayılarak, 360 gün boyunca gelen hasta sayısı Üniform dağılıma uygun rasgele sayı üretilerek elde edilmiştir. Ardından mevcut durum ile yatırım yapılan durum için birikimli kazanç ve kayıplar Monte Carlo simülasyonu ile hesaplanarak karşılaştırma yapılmış ve yatırım kararının kliniğin lehine olduğu anlaşılmıştır.
Hasta Dostu Hastane: Bir Eğitim Araştırma Hastanesi Uygulaması
Authors: ARSLANOĞLU Ali , KİLECİ Yusuf Sermet , ARSLAN Şeyda Ferah , ARSLAN Zehra
Published: June 2023

Amaç: “Dost” metaforu, işletmelerde güven algısı olusturmak amacıyla, 1990’lardan itibaren yaygın olarak kullanılmaktadır. Hastane bağlamında incelediğimizde karşımıza sıklıkla “bebek dostu hastane, anne dostu hastane, bakım dostu hastane, çevre dostu hastane, yaşlı dostu hastane” gibi kavramlar çıkmaktadır. Bu çalışmanın amacı bir eğitim araştırma hastanesinin hasta dostu olma düzeyini belirlemektir.

Yöntem: Bu çalışma tanımlayıcı ve kesitsel tipte planlanmıştır. Veriler, araştırmacılar tarafından literatür taraması yapılarak oluşturulan, Hasta Dostu Ölçeği kullanılarak elde edilmiştir. Kişisel Bilgi Formu çalışanların demografik özellikleri 8 soru ve ölçek kapsamındaki 37 maddeden oluşmaktadır.

Bulgular: Cronbach alpha değeri ,989 olarak bulunmuştur. Araştırmaya katılanların %54,6’sının kadın olduğu, %78,9’unun evli olduğu, %44,3’ünün poliklinikte hizmet aldığı, %32,1’inin ilkokul mezunu olduğu, %26,8’inin 30 yaş ve altında olduğu, %42,7’sinin 4000-5000 tl arası gelirinin olduğu, %40,7’sinin kuruma 8 ya da daha fazla kez başvurmuş olduğu ve %86,3’ünün kentsel bölgede yaşadığı görülmektedir. Hasta Dostu ortalama puanı 8,23, Şefkatli iletişim boyutu ortalama puanı 8,33, Güven boyutu 8,31 ve empatik boyutu puan ortalaması 8,32 olarak bulunmuştur.

Sonuç: Sonuç olarak araştırma yapılan hastanede hasta dostu algısı çok yüksek düzeyde bulunmuştur. Ayrıca şefkatli iletişim, güven ve empatik ilgi ortalama puanlarına göre de çok yüksek düzeyde bulunmuştur. Yine şefkatli iletişim, güven, empatik iletişim ve hasta dostu algısı cinsiyet, medeni durum, yaşanılan bölge, yaş, gelir durumu ve hastaneye başvuru sayısına göre farklılık göstermemiştir. Hizmet alınan bölüm ve öğrenim durumuna göre farklılık göstermektedir.
Assessing Readiness for Change of Juvenile Probation Policies and Practices: A Factor Analysis of the Probation Officer Attitudes, Beliefs, and Behavior (POABB) Scale
Authors: McPhee Jeanne , Huett Briana , Brogan Leah , McCurdy Elizabeth , NeMoyer Amanda , Kreimer Rena , DeYoung Lena , Goldstein Naomi
Published: June 2023

As juvenile probation undergoes nationwide reform to better align with research on adolescent development, it is critical to understand probation officers’ knowledge, attitudes, and beliefs about corresponding changes to supervisory practices within juvenile probation departments. The Probation Officer Attitudes, Beliefs, and Behaviors (POABB) Scale was designed for use with juvenile probation officers (JPOs) undergoing training in a specific evidence-based supervision strategy (i.e., Graduated Response) to assess staff’s knowledge and beliefs about Graduated Response’s practices and intended supervisory behaviors. To provide foundational empirical support for the novel scale, the current study examined the factor structure of this self-report measure using POABB data from 351 juvenile probation staff across three mid-Atlantic states. An exploratory factor analysis revealed that a five-factor structure within the POABB provided the best fit and, overall, the POABB had good internal reliability (ɑ = 0.84). Importantly, the five-factor structure suggests a key difference between knowledge of Graduated Response components and attitudes toward using those components in everyday practice. Results suggest that use of the POABB can provide probation departments with information about specific attitudes and overall willingness to implement specific supervision practices as well as offer targeted areas for additional training to support developmentally appropriate probation transformations.
Planning the Future: Greek Students of Secondary Education Choose to Study in Tertiary Education and Their Future Profession: A Quantitative Approach
Authors: Saragatsi Stella , Kyridis Argyrios , Christos Zagkos , Ioannis Kamarianos
Published: June 2023

The decisions that male/female students should make regarding their schooling, are believed to be extremely important, since these decisions will affect the future life of students. Therefore, we attempted to explore the factors that affect students in making education and career related decisions, and which specifically apply to General High School students from various areas in mainland and insular Greece. The research objective is to study the reasons that cause students in Greek secondary education and their parents to decide for students to go to university after finishing school. In more specific, it is attempted to study the following: The factors affecting male and female students in choosing to go on into university, along with the reasons why parents believe that their children want to study, parents' aspirations regarding the career future of their children, factors that determine the students' chances of going to university, as well as factors affecting the future career choices of students according to their attitude.In the first, theoretical, part, the concept of education and career related decision-making is presented. Following that, the factors are presented that underpin both the education and career related decisions of students. Specific reference is made to personal factors, such as biological factors, e.g. gender, physical characteristics, aptitudes, etc., acquired factors, e.g. skills, values, interests, etc., and social factors, which determine education and career related decision-making, such as family, school, etc. This is followed by the second part of the article, which is the research part. In order to inquire into the factors that affect adolescents, when it comes to decisions referring to their education and career, quantitative research was conducted. More specifically, 670 questionnaires were collected from male and female students attending the 1st, 2nd, and 3rd Grades of High School. The research data are analyzed, and to sum up, in the end of the article, the research conclusions will be listed.
Correlation of Serum Chromogranin A with HbA1c and eGFR in Different Groups of Type 2 Diabetic patients
Authors: Ghaffar Amna , Hussain Huma , Khaliq Nida , Norren Iffat , Ahmad Ammar , Khaliq Syed Sufyan
Published: June 2023

Background: World health organization estimated that around 422 million people are living with diabetes and there is an increasing trend in the number of diabetic patients. Aim: To correlate the levels of serum chromogranin A with HbA1c and eGFR in different groups of type 2 diabetic patients based on urinary Albumin- Creatinine Ratio. Methodology: This cross sectional comparative study was done by enrolling 116 patients at Chemical Pathology Department, LGH-Lahore through probability convenient sampling. Urine samples of all subjects were centrifuged in-order to measure urinary albumin and creatinine. Laboratory parameters like Urinary albumin, Serum creatinine and HbA1c were measured. HbA1c was measured using HPLC method. Serum creatinine was measured kits on fully automated spectrophotometer. Abbreviated MDRD equation calculated eGFR. Data SPSS v.24 analyzed the data. ANOVA test applied with P-value of less than 0.05 was considered significant. Spearman correlation was also applied to correlate HbA1c and eGFR with CgA in each group. Results: The results showed that eGFR was normally distributed whereas, the distribution of albumin creatinine ratio, HbA1c, serum creatinine and serum chromogranin-A were not normal. Between the A, B, and C groups, no discernible variation in the mean HbA1c values was found. Practical Implication: Due to lack of literature review and high incidence of diabetes induced nephropathy in our setups, there is need to find a parameter than can correlate nephropathy among diabetics. Conclusion: It was concluded that early diagnosis of diabetic nephro-pathy can be evaluated by using serum Chromogranin-A but it has a negative correlation with eGFR and positive correlation with HbA1c. Keywords: Diabetic Nephropathy, HbA1c, Estimated Glomerular Filtration Rate, Serum Chromogranin-A and Type-2 Diabetes.
Vasorelaxant Properties of Moringa oleiferaleaf extract: An in-vitro study on mice blood vessels
Authors: Zaffar Sehrish , Qayyum Muniza , Khalid Momina , Zia Muhammad Robass , Aftab Minahil , Siddiqui Waqar Ahmed
Published: June 2023

Background: Moringa oleifera is a plant rich in bioactive compounds, including flavonoids, polyphenols, and alkaloids, which have been shown to have numerous health benefits. In recent years, several studies have investigated the potential of Moringa oleifera in the treatment ofhypertension and diseases of vascular dysfunction. Aim: To observe the effect of M. oleifera leaf extract on contractility of aortic tissue of mice, in vitro. Methods: An animal-based in-vitro experimental study was carried out in Pharmacology Department of CMH Lahore Medical College and Institute of Dentistry from February 2022 to March 2023. Mice were euthanized with ketamine. Aortic tissue was dissected and mounted in the organ bath. For evaluation of vasodilatory effect, cumulative dose-response curve of M. oleifera leaf extract was obtained using increasing doses of the extract against1 µM adrenaline and 80 mM KCl, in group I and group II, respectively.Response was obtained through Powe rLab (AD Instruments, Australia). Results: A consistent decrease was recorded against adrenaline and KCl-induced contractions in aorta, resulting in vasodilation. IC50 was 0.068 mg and 0.161 mg, in group I and II, respectively. Difference between IC50 of both groups was statistically significant (p-value = 0.0008). Conclusion: Leaf extract of Moringa oleifera exerts smooth muscle relaxant effectin blood vessels, most likely through inhibition of calcium influx, mediated through Gq-signalling pathway as well as depolarization-dependent voltage operated calcium channels. Keywords: Moringa oleifera, dose-response relationship, trachea, aorta, calcium channels
Effect of Monomer Application for Different Time Periods on Bond Strength between Heat Cured Denture Base Resin and Acrylic Resin Teeth
Authors: Mehtab Beenish , Aslam Kashif , Abbas Muhammad
Published: June 2023

Aim: To find out the effect of monomer application for different time periods on tensile bond strength of heat cured denture base resin and acrylic resin teeth. Methodology: Ninety specimens were fabricated as per ADA standards No 15 and were divided into 3 groups through purposive sampling technique. In Group 1 monomer was applied on acrylic resin teeth just before heat cured denture base material was packed. In Group 2 monomer was applied for 10 seconds and in Group 3 for 60 seconds. Universal testing machine applied tensile load between denture base and acrylic teeth. Visual observation was done to detect types of failure. Result: Group 2 showed the highest value of tensile bond strength followed by Group 1 and 2 however there was no statistically significant (p>0.05) difference between the groups. Practical implication: Monomer application enhances bond strength between denture base and acrylic teeth but time period of its application which could provide maximum benefit is not very clear. Therefore this study is carried out so that the most effective time period of its application can be figured out. Conclusion: Bond strength was not affected by monomer application for different time periods. Keywords: Monomer, Time period, Denture base resin, Acrylic teeth
Oxidative Stress and Decreased Serum Levels of Superoxide Dismutase (SOD) as a Potent Risk Factor for Thyroid Disease among Local Pregnant Females in Punjab
Authors: Majeed Mutayyaba , Shakoori Tania Ahmed , Abid Sana , Shahzad Nayab , Niazi Zehra , Tahir Muhammad , Akram Sana
Published: June 2023

Aim: To assess the potent role of oxidative stress biomarkers in pregnant females with thyroid disease. Study design: Cross sectional comparative study. Place and duration of study: Institute of Molecular Biology & Biotechnology (IMBB), The University of Lahore from 1st July 2019 to 31st July 2021. Methods: The study was designed to compare serum levels of oxidative stress markers and serum antioxidant levels between pregnant females who had thyroid disease as comorbidity and euthyroid pregnant controls. The markers were measured in fifty cases and fifty control serum samples using various laboratory tests and ELISA kits. Samples were collected from PINUM, Faisalabad and Obstetrics & Gynaecology Department, DHQ Chiniot, Faisalabad division. Results: Mean ages of cases and controls were 29.19±4.17 and. 26.07±4.88 years. The serum levels of SOD were significantly decreased (p≤0.001) in pregnant females having thyroid dysfunction (0.05± 0.01 nmol/ml) as compared to the control group (0.06±0.01nmol/ml). None of the other oxidative markers showed a significant difference between cases and controls (p>0.05). Conclusion: The lower serum SOD levels may be a potential risk factor for the development of thyroid disease in local pregnant females. Keywords: Oxidative stress, Thyroid-stimulating hormone, Thyroid dysfunction, Superoxide dismutase, malondialdehyde,
Etiological Spectrum of Surgical Acute Abdomen among patients attending Emergency Department
Authors: Jameel Aamir , Anwar Imran , Laique Muhammad Hamza
Published: June 2023

Background: Acute abdomen is a common health issue that ranges from trivial to life threatening condition thus requiring hospital admissions, correct diagnosis and treatment. Aim: To determine the etiological spectrum of surgical acute pain abdomen among patients attending emergency department at government hospital-Lahore. Study design: Cross sectional study. Methodology: Present study enrolled both genders (n=154) through simple random sampling technique following ethical approval. All baseline investigations were done at time of enrollment. All information was collected through structured questionnaire. Radiological investigations like ultrasonography (USG) and computer tomography (CT) scan were done on appropriate indication. Data was evaluated by using SPSS v.24. Chi-square test was used to compare the symptoms, diagnosis, treatments and clinical signs between the both genders. A p-value ≤0.05 was considered significant. Results: Mean age of the patients was 41.4±16.5 years. There were 82(53.2%) males and 72(46.8%) females. Symptoms like abdominal pain, burning micturation, diarrhea and guarding were significantly higher in males. The proportion of localized pain was higher in female as compared to male but statistically insignificant. Practical Implication: As there is a high incidence of acute abdomen among our population and there is lack of local data regarding exact epidemiology of this health issue. The findings of this study emphasized the etiological spectrum of acute surgical abdomen. This helped in pointing out the loop holes regarding correct diagnosis while identifying different presentations of serious illnesses. Conclusion: It was concluded that patients present differently with acute abdomen so common diagnosis should be made and prompt examination need to be done. Timely intervention and management can therefore prevent major complications. Keywords: Acute abdomen, Appendicitis, Perforation peritonitis and Surgical Intervention.
Knowledge and Practice of Healthcare Workers Regarding the Healthcare Waste Management
Authors: Faisal Tikka Khan , Banu Gulnaz , Emmanuel Shagufta , George Jacollin , Naz Farah
Published: June 2023

Background: Healthcare waste management (HWM) issues are getting worse in Pakistan since there are more and more hospitals, clinics, diagnostic labs, etc. One of the major individuals in charge of properly managing healthcare wastes at any healthcare facility is the medical staff. But how well you perform will rely on how much you know and do about waste management. Aim: To ascertain the knowledge and practice of healthcare professionals about the management of healthcare waste. Study design: Cross-sectional descriptive study. Methodology: The Children Hospital Lahore has conducted the current study. The current study included 400 participants. Structured, pre-tested, and self-administered questionnaires were used to collect data. The survey was cleaned, revised, and reviewed for completeness. The analysis of the data was done using SPSS 23. Results: 400 individuals were involved, 174(43.5%) of whom had sufficient understanding of health care waste management, whereas 226(56.5%) had insufficient knowledge. Of the 400 participants, 188(47%) had good practice managing medical waste, whereas the remaining 212(50%) had bad practice. Practical Implication: This study helped researchers investigate the knowledge and practice of health workers. It would help in estimating the practice and knowledge of health waste management by health care workers. Conclusion: It was determined that most workers had inadequate knowledge of waste management and had poor practice on health care waste management. All employees must receive the appropriate training and supervision in HCW management, as well as pertinent and continuous in-service training, to ensure that they have the necessary information, attitudes, and safe practices. Keywords: Health Care Workers, Waste Management, Knowledge, Practices and Training.
Oxytocin induced itching in a 37 week primigravida with meconium stained liquor
Authors: Chandavar Disha Sai M , Nanjundappa Shiva Murthy , Reddy Dr. Priyanka , N Dr. Nagendra Prasad
Published: June 2023

Introduction: Oxytocin is the most frequently used medication for labour augmentation in obstetrics. One of the known benefits of its use is the improvement of uterine contractions. An injectable form of oxytocin is administered intravenously as an infusion.  Adverse drug reactions at this stage may distress the baby and worsen the outcome of the pregnancy.

Case details: A 19-year-old female with a history of nine months gestation presented in labour.  She was administered oxytocin infusion in ringer lactate to augment labor. She developed itching all over her body and was immediately administered Inj. hydrocortisone intravenously. As the foetus was in distress, she was taken for an emergency lower segment cesarean section (LSCS).

Conclusion: The administration of IV oxytocin was considered the possible cause of the development of rashes in this case. We suggest adopting preventive strategies to avoid ADRs in emergencies to avoid deleterious consequences. The preventive strategies may include screening in the antenatal period for previous history of sensitivity to oxytocin, latex, etc. In addition, other strategies are discussed in this article.
KETERAMPILAN PROSES SAINS PADA PEMBELAJARAN IPAS BERORIENTASI OUTDOOR LEARNING SISWA SMK NEGERI 1 LOLAK
Authors: Pintubatu Jeneri
Published: June 2023

Learning is a combination of teaching activities and learning activities that seek to create harmonious communication between the instructor and the learner. Science skills and problem-solving skills are important factors in supporting the learning process. The purpose of this research is to analyze science process skills in outdoor learning-oriented science learning at SMK Negeri 1 Lolak. This study used Mixed Methods with an embedded experimental model design with the research subject being class X students of SMK Negeri 1 Lolak in the 2022/2023 academic year. KIPA-IPS learning which is oriented to outdoor learning is very effective or very good according to plan. Students' science process skills are measured using observation sheets. Based on the average value of the students' science process skills, it can be concluded that the highest average value of science process skills with very good criteria is found in 4 aspects, namely making observations, making observations outside the classroom, making data, and communicating. The application of science learning can be used by teachers as an alternative to science learning because it is proven to be able to teach effective learning methods and is able to optimize science process skills as well as varied and challenging learning activities.
Impact of the doctors’ and non-doctors’ leadership on patient-care
Authors: Kakar Iftikhar Ali , Khan Jibran Umar Ayub , Mahboob Usman
Published: June 2023

Background: There has been little attention to how organizational structure and leadership contribute to value in health care organizations, although general strategies for promoting value in health care organizations have been described. Objective: The current study aimed to assess the impact of doctors and non-doctor’s leadership on patient care in Pakistan. Methodology: In-depth interview were conducted in different hospitals of the Pakistan and a single instrumental case study approach was selected. For sample selection, a non-probability sampling technique called purposive or selective sampling technique was used. All extracted data was subjected to thematic analysis. Results: Participants were interviewed from all the provinces. Majority of the hospitals were managed by non-doctors. Adequate infrastructure, no appropriate laws, communication gap was observed in the current study. Conclusion: The current study shows that in Pakistan health care system upper-level management is comprised of non-technical professionals (non-doctors), and most of Pakistan's hospitals do not have adequate infrastructure, are not governed by appropriate laws, have a communication gap, are not adequately providing health care or doing so inadequately, have shortage of leadership, and upper level and lower level are interdependent.
THE “MARBLE-HEARTED FIEND”: MATERIAL, PSYCHOLOGICAL AND SPIRITUAL ASPECTS OF PARENT-CHILD RELATIONSHIP IN KING LEAR
Authors: Arif G. M. Javed
Published: June 2023

The parent-child relationship is one of the most important subject matters in Shakespeare’s The Tragedy of King Lear in the sense that from it naturally spring the major themes of the play. Themes like regeneration of wisdom, distribution, and effect of power and pelf, human and divine justice, and man’s relationship with man and nature, are all presented on a universal scale, spatial and temporal, passing from the palace to the hovel, from the court to the heath, and from moments of folly to moments of enlightenment through moments of purgatorial sufferings. This universal scale can be regarded as connected to the political contexts of Britain, modeled on the prototypical and primary unit of a family. And since family, which involves principally the begetter and the begotten that also has the potential of begetting, is the primary and fundamental unit of the whole universe from both human and animal perspectives of life, this paper seeks to investigate how the familial background of the parent-child relationship in King Lear is portrayed against the backdrop of the kingdom and the universe. In order to do so, these three units – family, kingdom, and in natural and metaphysical senses the universe – are considered to be deeply interconnected with human relationships, corresponding consecutively to its psychological, material, and spiritual aspects. Shakespeare has illuminated the tragic truths about the relationship between the parents and their children by showing a profound interaction between the family, kingdom, and the universe with respect to their corresponding psychological, material, and spiritual aspects.
Examining the Pandemic Process from the Educational Perspective: What Are Scientific Studies Telling Us?
Authors: YILDIZ DURAK Hatice , AYDOĞDU Şeyhmus
Published: June 2023

Due to Covid-19 pandemic, one of the biggest crises occurred in the field of education. The number of students whose educational activities were interrupted because of the pandemic is an indicator of the effects of the pandemic on education. However, when the studies in the literature are examined, they mostly focus on the field of health. Studies in the field of education are relatively limited and the studies or data are unstructured. As a matter of fact, it is important to structure the data in the world created by data; to understand how the process works, to discover opportunities and the patterns that make up the world, to predict what will happen in new situations. In this context, the purpose of this study is to determine which issues are examined in the field of education in Turkey and around the world in the Covid-19 pandemic. In accordance with this purpose, analyzes were made using text mining techniques on text-based data. As a result of the research, in the international literature, more in-depth and theoretical research is included in the context of education, while in the national literature, situation determination and superficial distance education studies have been carried out.
Examination of the Relationship between the Technology Competencies of Special Education Undergraduate Students and Their Views on Distance Education
Authors: ASLAN Cem
Published: June 2023

This study aimed to examine the relationship between the technology competencies of special education undergraduate students and their views on distance education. This study employed the correlational research model. The study group is consists of 212 students who study at the special education department in various universities in Turkey during the academic year of 2020-2021. The study used the "Basic Technology Competencies for Educators Inventory" and the "The Distance Education Evaluation Scale." Pearson correlation coefficient was computed to determine the relationships among the dependent and independent variables. We implemented standard multiple regression analysis to predict distance education's views by the dimensions of technology competencies. Technology competencies inventory's word processing sub-dimension significantly and positively indicated the distance education scale's technical sub-dimension. There was no statistical significance for other sub-dimensions. Technology competencies inventory's basic computer operation skills and media communication sub-dimensions significantly and positively; networking sub-dimension significantly and negatively predicted the distance education scale's learning process sub-dimension. There was no statistical significance for other sub-dimensions
Los Vicarios del Rey: redes de información, diplomacia y financiamiento en la República de Génova, 1620-1635
Authors: Cavagnaro Nahuel Enrique
Published: June 2023

Este artículo intenta mostrar el accionar de los emisarios diplomáticos de la Monarquía Hispánica en el norte de la península itálica, en general, y en Génova, en particular, durante el siglo XVII. En este ámbito, donde confluían los intereses de los Habsburgos y la Monarquía de Francia, aliada al ducado de Saboya, entidades cuya política exterior irradiaban sistemas de soberanía universal y de expansión territorial. El designio de Francisco de Melo, como interlocutor entre el consejo de Estado y los agentes políticos y de crédito de la República de Génova, fue un aspecto fundamental de la composición de una red de información que operó en la ciudad ligur durante la guerra con Saboya entre 1624 y 1625, la conjura de Giulio Cesare Vacchero en 1628 y la elección del dux de 1633. Así la política interna de Génova pasó a ser un tema de relevancia real, en periodos turbulentos en el entramado imperial de la Monarquía Hispánica.
Next step of: Leaving the Academy: A Participatory Open Research Approach
Authors: Blili-Hamelin Borhane , Duckles Beth
Published: June 2023

New module based on: Public announcement and project description for a collaborative open project about the experience of people who left academia.
Workshop 3, Leaving the Academy
Authors: Blili-Hamelin Borhane , Duckles Beth
Published: June 2023

Participatory workshop in which we invited the community to collaborate on our data analysis. (Wednesday January 11, 2023)
Next step of: Workshop 1, Leaving the Academy
Authors: Blili-Hamelin Borhane , Duckles Beth
Published: June 2023

New module based on: Participatory workshop in which we invited the community to collaborate on our research questions. (Wednesday Sept 21, 2022, 3 pm to 4 pm)
Design and implementation of an Android-based medication reminder APP
Authors: Wu Liqing , Tang Xiaozhuo , Long Jiehui , Gan Yaqi , Cao Bing
Published: June 2023

In the prevention and control of disease in older people, particularly in the management of chronic diseases, patient adherence to medication has a significant impact on treatment outcomes and healing. Low medication adherence may worsen the condition and lead to increased morbidity mortality and healthcare costs. Therefore, in order to help remind the elderly population to take their medication on time to ensure relief and treatment, the project team will design an Android medication reminder app for the elderly, which will provide a simple and convenient medication reminder service for the elderly and reduce the associated burden for their children.
Investigation and Evaluation of Summer Vegetation in Guangzhou Baiyun International Airport
Authors: Liang Qiao
Published: June 2023

The bird ecological chain can be broken by the ecological environment management of the airport and its surrounding areas; it is an effective method for bird strike control. Based on a comprehensive survey of plant populations in Baiyun Airport, it can be seen that there are 68 dominant plant species that are more attractive to birds inside and outside Baiyun Airport. The K-means clustering algorithm is used to cluster the 68 plants in MATLAB. The analysis results show that these 68 plants can be divided into three categories according to their comprehensive attraction to birds. The airport authorities can invest different management resources and adopt different management methods for the three types of plants with different risk, so as to minimize the arrival of birds at the airport.
Research on COVID-19 Vaccine Supply Chain Disruption Recovery Strategy from Resilience Perspective
Authors: Liang Xinyuan
Published: June 2023

The COVID-19 pandemic has greatly exacerbated the uncertainty of the external environment, meanwhile, the COVID-19 vaccine supply chain is highly complex and fragile, so its probability of disruption is higher and it is more difficult to recover, resulting in delays and shortages of vaccine supply. In order to develop the disruption recovery strategy of the COVID-19 vaccine supply chain and optimize the disruption recovery process, a multi-objective model was established and solved. Taking the shortest disruption recovery time, the largest reliability of the supply chain system, and the lowest recovery cost as the objective function, and taking the four dimensions of resilience, namely redundancy, robustness, resourcefulness and agility, as the decision variables, the model uses the nondominated ranking genetic algorithm with elite strategy (NSGA-II) to solve the problem, and uses the Pareto frontier analysis method to optimize the solution set, and the sensitivity analysis of the key parameters in the model is analyzed. Finally, the redundancy, robustness, resourcefulness and agility of the COVID-19 vaccine supply chain disruption recovery combination strategy under different decision-making preferences are given.
The Construction of "Co-Building" Service Ecosystem based on Resource Orchestration Theory
Authors: Zeng Qingtao , Sun Xinyang , Wen Xuan , Zhang Hui
Published: June 2023

In the context of China's economic development and policy transformation, the real estate industry is undergoing a period of transition. With the guidance of new urbanization, the real estate industry is changing from a dominant role to a supporting role, returning to the essential attributes of residence and service. At the same time, increased competition in the industry and increased policy restrictions are driving the transformation of the real estate industry. In this context, building a service ecosystem has become a new idea for the transformation of the real estate industry. Smart City Smile City Holdings Group Ltd. (hereinafter referred to as "Smart City Smile City"), as the pioneer of the "co-construction α" model, has made a useful exploration for the transformation of the real estate industry by integrating multiple resources to build a service ecosystem and realize value co-creation and sharing. It has made a useful exploration for the transformation and development of the real estate industry. This paper takes the Smart City Smile City as the research object, takes the resource orchestration theory and service ecosystem theory as the guidance, starts from three aspects of resource construction, bundling and prying, deeply analyzes how the Smart City Smile City realize the construction of service ecosystem through resource integration and orchestration, and conducts an in-depth study on its value co-creation and sharing and service innovation under the framework of service ecology theory. The purpose of this paper is to explain the "co-construction" model of Smart City Smile City, summarize the successful experience, and provide relevant reference for other traditional real estate industries and other industries.
The Influence of Sports Communication on Cultural Identity
Authors: Li Fangni
Published: June 2023

This paper looks at how sports communication affects cultural identity, with a particular focus on Chinese football. Examining both academic studies and real-world evidence reveals that sports communication can be a powerful tool for fostering and disseminating cultural identity. Football is an iconic representation of Chinese culture and is an integral part of the country's identity. Despite the numerous challenges that Chinese football faces such as inadequate governance and poor performance quality, these issues have hampered the advancement of its cultural identity. It is, therefore, necessary to take steps to improve the management of football in China and enhance the quality of the game to further the identity construction of football culture in China.
The Impact of Riders on the Valuation of "Unicorn" Companies
Authors: Luo Yelin
Published: June 2023

With the development of the times, industry terms such as big data and artificial intelligence have become familiar, and with them the emergence of "unicorn" companies have also been given the opportunity to develop and the corresponding challenges, while the proliferation of "unicorn" companies has brought about a rigorous the proliferation of 'unicorn' companies brings with it the issue of rigorous valuation. In reports on unicorn companies published by major research institutions, Ant Group has led the way for the last five years, jumping from a valuation of US$75 billion to US$150 billion, making it a super unicorn. Whether its value actually matches its valuation, and which factors play a key role in this, and how, needs to be further explored: this paper takes Ant Group as the subject of this study, starting with a brief overview of 'unicorn' companies and Ant Group companies, and then introducing traditional valuation methods --The paper also examines the different types of riders in different financing rounds in the financing process of Unicorn companies, and finally analyses the impact mechanism and optimization of different riders on the valuation of Unicorn companies.
Research on Crowdsourcing Distribution Model of Community E-commerce Logistics Development
Authors: Li Chunli
Published: June 2023

This paper provides an overview of the concept and characteristics of community e-commerce logistics, crowdsourcing logistics, existing models and the current situation and problem analysis of community logistics development, analyzes the necessity and feasibility of developing crowdsourcing distribution model for community e-commerce logistics, designs a crowdsourcing distribution platform for community e-commerce logistics from the perspective of considering security, reliability and flexibility, and proposes measures such as information risk guarantee, quality risk guarantee, security risk guarantee, capital risk guarantee and legal risk guarantee, in order to provide reference and reference for the study of community e-commerce logistics crowdsourcing distribution model. It also proposes measures such as information risk protection, quality risk protection, security risk protection, capital risk protection and legal risk protection to provide reference and reference for the research on the crowdsourcing delivery model of community e-commerce logistics, with a view to promoting the development of community e-commerce logistics delivery and improving the competitiveness of community e-commerce logistics.
Urban Functional Area Identification based on POI Data
Authors: Zhou Yajing
Published: June 2023

With the deepening of urbanization, the urbanization process is gradually accelerated, and the urban spatial structure is constantly changing. The identification of urban functional areas is of great significance for optimizing the urban spatial structure and analyzing the behavior characteristics of residents. The emergence of geographic information data such as POI provides a new perspective for the study of urban functional area identification. This paper illustrates the identification of urban functional area based on POI from two perspectives: the data sources commonly used in the field of urban functional area identification and the methods commonly used in the field of urban functional area identification.
On Intercultural Communication and Game Translation
Authors: Zhu Huizhen
Published: June 2023

With the development of globalization, international communication is becoming more and more frequent, and cross-cultural communication emerges as the times require. Translation is the hub of intercultural communication. Different text backgrounds show different translation styles. With the promotion of today’s network technology, people’s ability to access information is more efficient. The translated texts are no longer confined to books, newspapers, etc., and game translation has also poured into the public’s field of vision. Many of today’s hottest games have been developed by foreign companies and then introduced by Chinese companies. According to the China Internet Center, the number of online game users in China exceeds 420 million. As a result, people are increasingly concerned about the quality of game translation. From the cross-cultural perspective, this paper discusses the translation features of game characters and analyzes how game translation embodies the purpose of cross-cultural communication.
Study of Alexithymia and Stigma in Patients with Inflammatory Bowel Disease
Authors: Chen Linlong , Zhang Biyun , Wang Jiayi , Mei Zi
Published: June 2023

Objective: To investigate the current status and correlation between alexithymia and stigma in patients with inflammatory bowel disease (IBD). Methods: A total of 84 patients with inflammatory bowel disease (IBD) attending the gastroenterology department of a tertiary care hospital in Wuhan, Hubei Province, China, from December 2022 to May 2023 were selected method as the study population by handy sampling. The General Information Questionnaire, Toronto Alexithymia Scale, and Social Impact Scale were used for conducting questionnaires on them. Results: The total score of alexithymia in patients with inflammatory bowel disease was (60.67±8.19). The results of the correlation analysis showed that there was a significant positive correlation between the alexithymia and the stigma of patients with IBD, with correlation coefficients of (r=0.37, P<0.01). The results of regression analysis showed that stigma was an influential factor in alexithymia. Conclusion: Patients with inflammatory bowel disease have alexithymia and stigma, and alexithymia is significantly positively correlated with stigma, and stigma affects alexithymia.
Research on Digital Transformation of Supply Chain Finance
Authors: Ru Qiaoling , Chen Yongtai , Yu Conghao , Guo Yuhan , Chang Siwei
Published: June 2023

The important engine of enterprise quality development is the supply chain and digital transformation. The State Council proposes to "deepen the integration of value chains, the Internet and supply chains, so as to innovate and develop new value chain concepts, technologies and models." Chinese enterprises are aware of the importance of digital value chain transformation, and hope that transformation can better meet the requirements of industrial development and ensure market competitiveness. However, many companies do not understand and are afraid of distribution. To this end, this article will introduce the necessity and path of supply chain digital transformation.
SEM-based Analysis of Factors Influencing the Purchase Intention of Electric Vehicle Consumers
Authors: Yang Yu , Lan Jianyi
Published: June 2023

Consumers' purchase intention plays an important role in the development of the electric vehicle industry. Based on the SOR model, this paper investigates the factors influencing the purchase intention of electric vehicle consumers in four dimensions: product attributes, environmental perceptions, charging policies, and subjective norms. The results show that: product attributes and environmental perceptions may influence consumers' perceived risk, and improving product performance and reducing environmental pollution in the production process will increase consumers' willingness to purchase; charging policy and subjective regulation have significant effects on consumers' willingness to purchase through consumers' perceived value and perceived risk, and improving charging policy will help improve consumers' willingness to purchase. Improving the charging policy helps to enhance consumers' purchase intention; consumers pay more attention to the perceived value of electric vehicles than to the perceived risk. Accordingly, this paper proposes that car companies should focus on the performance of electric vehicles, strictly control the production process, develop marketing strategies, and improve the charging policy jointly with relevant departments to enhance consumers' purchase intention.
Design and implementation of 1553B module communication system based on FPGA
Authors: Xin Chao , Liang Xiyin , Lv Shengquan , Lv Zhaoxin , Ma Ting
Published: June 2023

This thesis introduces the design and implementation method of 1553B module communication system based on Field Programmable Gate Array (FPGA). The configuration and data communication of parallel and multi-channel 1553B module are realized by combining pipeline technology and table lookup method on FPGA chip, and the communication of 1553B module is verified by logic analyzer.
Finite-Time Bounds for AMSGrad-Enhanced Neural TD
Authors: Fu Tiange , Wu Qingtao
Published: June 2023

Although the combination of adaptive methods and deep reinforcement learning has achieved tremendous success in practical applications, its theoretical convergence properties are not well understood. To address this issue, we propose a neural network-based adaptive TD algorithm, called NTD-AMSGrad, which is a variant of temporal difference learning. Moreover, we rigorously analyze the convergence performance of the proposed algorithm and establish a finite-time bound for NTD-AMSGrad under the Markov observation model. Specifically, when the neural network is wide enough, the proposed algorithm can converge to the optimal action-value function at a rate of, where is the number of iterations.