bluuebunny/crossref_metadata_2025 huggingface dataset:
Free Sugar Intake and Dietary Sources among Adult Population in Brunei
Authors: Hamdani Nur Zakirah , Haji Kamis Haji Zakaria , Rahman Hanif Abdul
Published: May 2024

High sugar consumption is associated with increased risk of noncommunicable diseases. This study identifies the dietary sources of free sugars and explores association of sugar intake with related factors among adult population in Brunei. Data from the National Health and Nutritional Status Survey 2010, of 1559 adult residents of Brunei, aged 18–75 years, were extracted and analyzed. The results revealed that mean daily free sugar intake was 55.5 g/day (standard deviation [SD] -51.4), contributing to 14.5% of total energy intake. The prevalence of free sugar intake of <10% and 5% among the adult population was 60.1% (95% confidence interval [CI]: 57.6, 62.5) and 82.6% (95% CI: 80.6, 84.4), respectively. Free sugar from sugar-sweetened beverages was sourced from beverages prepared with sugar (17.9%), cordial and syrup (15.1%), and carbonated drinks (14.6%). Free sugar consumption was significantly higher in men (66.6 g/day, SD – 61.2) than women (46.2 g/day, SD – 39.1) (P < 0.001). Younger participants had significantly higher free sugar intake and percentage of energy from free sugar compared to older participants. This study provides justification for addressing sugar intake as a component of strengthening nutrition policy in Brunei.
“Narratives of Mothering”
Authors: Banerjee Debanjan , Arasappa Rashmi , Chandra Prabha S , Desai Geetha
Published: May 2024

Background:

Motherhood is a unique phenomenon and not uncommon in women with severe mental illness (SMI). However, little attention has been paid to the voices of these mothers with SMI as to how they navigate it. A qualitative exploration with a social constructivist paradigm was used to understand lived experiences of mothers with SMI during the child-rearing period.

Methods:

The study used a qualitative design with social constructivist paradigm to obtain data from 30 mothers with SMI who had children <5 years of age. One-to-one in-depth semi-structured interviews were conducted with transcription, and inductive thematic analysis was used to explore transcripts using Charmaz's grounded theory. Triangulation and respondent validation were used to ensure rigor.

Results:

Emergent categories (themes) were thoughts/feelings about childbearing (considering children as prized and long-awaited possession, motherhood as “therapeutic,” concerns about child's mental health), the impact of mental illness (problems in emotional bonding, separation from children, improved healthcare to serve the maternal role), unmet needs (support groups, empathy, responsibility-sharing, home-based treatment), and caregivers' reactions (blame, discrimination, institutionalization for mental healthcare, custody-related threats). Motherhood as a central part of their identity and burden of balancing “childcare and mental illness” was the overarching categories.

Conclusion:

The complex emotional journey of a mother with SMI from child-bearing to child-rearing is fraught with many challenges. Developing sensitive and tailored mental health care interventions and policies for them needs to include their own voices, which will improve maternal-child bonding as well as service utilization.
Age at Death and Causes of Death of Patients Dying in Psychiatric Hospitals
Authors: Yasuda Manabu , Kobayashi Toshiyuki , Sato Kengo , Saito Nobuyoshi , Suda Shiro
Published: May 2024

Background:

Japan entered an aging society in the late 1990s. The aging of inpatients in psychiatric hospitals has increased the need for medical care, but the actual situation has not been fully investigated.

Objectives:

We investigated the actual situation of in-hospital deaths through death certificates.

Methods:

The survey was conducted at 15 of 26 psychiatric hospitals in Tochigi Prefecture, Japan that consented to the survey. We examined the death certificates of patients who died between 1996 and 2015 at these 15 hospitals. The number of the certificates was 2441 (1443 males and 998 females). The number of deaths and the average age of death per year were calculated. Then, we surveyed the data regarding the diagnosis of death described in the death certificates based on the International Classification of Diseases-10.

Results:

The average age of death was in the 60s from 1996 to 2000 in the first 5 years, but since 2001, it has exceeded 70 years. Respiratory diseases accounted for 40% of the total, cardiovascular diseases for 26%, and malignant neoplasms for 11%. On the other hand, extrinsic death such as suffocation was 4%, and suicide was 1%.

Conclusions:

The reason of the elevation of death age might be related to the implementation of novel antipsychotics in Japan since 1996 and the establishment of the long-term care insurance system for the elderly in 2000. It is considered that the reasons why respiratory diseases, cardiovascular diseases, and malignant neoplasms occupy the top ranks of death are that these diseases have a high risk of death in the elderly.
Medical Learners' Wellness
Authors: Sharan Pratap , Shakya Pooja
Published: May 2024

Health and well-being of medical learners' is important in itself and is a necessary precondition to good patient care. Medical learners suffer from high levels of mental illhealth due to challenging demands and pressurized learning/ work environments. These factors are aggravated by learners' tendency to avoid seeking help and support when unwell or under pressure and by a perceived stigma among them about mental illness. Many pressures that threaten learners' well-being as well as the health and effectiveness of the organisations in which they learn are systemic. While certain initiatives have been implemented to improve the ability of medical learners' to withstand pressure, fundamentally many of the modifiable risk factors for poor mental health and wellbeing have not been addressed. It is becoming increasingly clear that successful interventions to tackle learners' mental ill-health would have to be multidimensional, aimed at multiple levels and involve multiple stakeholders. Leaders of organizations designing interventions must improve learning/ work cultures to emphasize the importance of looking after one's own health, to normalize discussions of struggle in the context of educational/ work challenges, and to understand how and when to seek help. Finally, it may be mentioned that the evidence base for individual and systemic interventions to improve medical learners' well-being and mental health is very limited, hence there is need for much research to help develop new approaches to medical learners' mental health and wellbeing.
Fear and Information-Seeking Behavior Related to COVID-19 in Older Indian Adults
Authors: Vaidyanathan Sreelakshmi , Jaiswal Suyog Vijay
Published: May 2024

Background:

Elderly, a high-risk population for COVID-19, are further vulnerable to mental health sequelae due to several pandemic-related restrictions. This study aimed to assess fear and information-seeking behavior related to COVID-19 among older Indian adults.

Methodology:

It was an online, observational cross-sectional study. An open-access e-invite to the questionnaire (on Google forms) was circulated through social media. The form contained sociodemographic details, fear of COVID-19 scale (FCV-19S), and an original questionnaire on information-seeking behavior in COVID-19. Responses of adults ≥60 years of age were noted. Analyses were done with SPSS v20, and Mann–Whitney U test was used to compare the FCV-19S scores among information-seeking variables.

Results:

A total of 150 completed responses were obtained. Mean age of respondents was 67 ± 5.44 years; median FCV-19S score was 11; 9.33% of respondents had significant fear of COVID-19. TV/Radio (55.3%) followed by newspaper/magazines (40.7%) were the most preferred source of information. Preventive measures (75.3%) and symptoms of disease (70%) were the most sought-after information. Those who spent more time than intended searching for information have significantly higher fear scores (P = 0.025). There was no significant difference in fear score for other parameters of information-seeking behavior and its consequences.

Conclusion:

Less than 10% of study population of older adults had a significant fear of COVID-19. Information sought is mostly on symptoms of disease, preventive measures, and guidelines and sought through passive sources rather than active searching or in-person. Those with higher fear scores are likely to spend more time searching for information than intended and are less likely to perceive any dysfunction due to said behavior.
Human Rights and Adherence to Treatment in Patients with Severe Mental Illness
Authors: Domun Ira , Sidana Ajeet , Das Subhash , Tyagi Shikha , Garg Jasmin , Gupta Nitin
Published: May 2024

Background:

Mental Healthcare Act (MHCA) has been implemented on May 29, 2018. Patients with mental illness show high rates of medication nonadherence as well as human rights violation. Hence, it is important to study the impact of this new law on persons with mental illnesses (PMI) and the human rights awareness with emphasis on the two modes of admissions, i.e., supported and independent.

Aim:

Influence of MHCA, 2017 on medication adherence in patients with severe mental illness (SMI) admitted under-supported and independent category and its correlation with human rights awareness of PMI.

Material and Methods:

Patients diagnosed with SMI (NIMH definition, 2006) were admitted to the psychiatry ward. Baseline sociodemographic, psychopathology severity, global functioning, adherence rates, insight, and human rights awareness were assessed. Patients were divided into independent and supported groups. Weekly assessments were done during admission, subsequent assessments were done post discharge at week 1 and week 6. It was a prospective follow-up in design.

Results:

A total of 65 patients were included. The emotional needs dimension of human rights showedP< 0.01 at baseline as well as final follow-up. Statistically significant correlation was seen in human rights awareness and adherence at baseline in the independent admission group (IAG). Medication Adherence Rating Scale (MARS) score and Clinician Rating Scale score were lower (4.29 ± 2.13; 4.06 ± 1.73 and 3.38 ± 1.98; 3.26 ± 1.91) in supported admission group (SAG). Insight showed a statistically significant higher value in IAG than SAG (12.80 ± 7.26 and 8.18 ± 6.96) at baseline.

Conclusion:

No significant difference could be seen in illness specifiers and adherence patterns between the two groups. Findings reflect statistically lower fulfillment of emotional needs in SAG and positive correlation between medication adherence and human rights awareness. Therefore, adherence is an important determinant of human rights awareness.
On the support of measures with fixed marginals with applications in optimal mass transportation
Authors: Moameni Abbas
Published: May 2024

Let
$\mu $
and
$\nu $
be Borel probability measures on complete separable metric spaces X and Y, respectively. Each Borel probability measure
$\gamma $
on
$X\times Y$
with marginals
$\mu $
and
$\nu $
can be described through its disintegration
$\big ( \gamma _{x}\big )_{x \in X}$
with respect to the initial distribution
$\mu .$
Assume that
$\mu $
is continuous, i.e.,
$\mu \big (\{x\}\big )=0$
for all
$x \in X.$
We shall analyze the structure of the support of the measure
$\gamma $
provided
$\text {card } \big (\mathrm{spt} (\gamma _{x}) \big )$
is finitely countable for
$\mu $
-a.e.
$x\in X.$
We shall also provide an application to optimal mass transportation.
Inequalities à la Pólya for the Aharonov–Bohm eigenvalues of the disk
Authors: Filonov Nikolay , Levitin Michael , Polterovich Iosif , Sher David A.
Published: May 2024

We prove an analogue of Pólya’s conjecture for the eigenvalues of the magnetic Schrödinger operator with Aharonov–Bohm potential on the disk for Dirichlet and magnetic Neumann boundary conditions. This answers a question posed by R. L. Frank and A. M. Hansson.
New applications of theories of harm: innovation, non-price foreclosure and ecosystems – what makes the outcome of a competition review harder to predict?
Authors: Mazzarotto Nicola , Wilkinson Caitlin
Published: May 2024

In the context of dynamic markets, there have been changes in established approaches to merger assessment by competition authorities across the globe, as well as the application of more established approaches to new contexts. Companies can find it difficult to anticipate what evidence or analysis is likely to make a difference to their prospects of obtaining approval from competition authorities for their transactions, making the outcome of competition reviews less predictable in these dynamic sectors. In this article we consider how this uncertainty manifests itself across a range of theories of harm as applied to dynamic markets, honing in on the particular deal uncertainty surrounding transactions in dynamic sectors, with particular features, where the practice and use of evidence is less established.
Blockchain jako nowoczesne narzędzie prawa pracy i zarządzania pracą – wymiar ogólnoteoretyczny i praktyczny
Authors: Żołyński Janusz , Brzostek Krzysztof
Published: May 2024

The article presents a theoretical and practical analysis of the application of blockchain in the field of labor law, also in connection with the branch of science, which is management. Therefore, adopting such a research objective made it necessary to analyze this issue in the axiological, praxeological, and practical dimensions, with reference to the sphere of management. Consequently, the chosen research method will not be a formal-dogmatic method, which mainly involves the analysis of legal norms, but a general theoretical analysis and reasoning.
Charakter prawny wniosku o świadczenie emerytalno- rentowe powszechnego systemu ubezpieczeń
Authors: Szlachta-Kisiel Katarzyna
Published: May 2024

The legislator assumed that an application should be submitted for retirement and disability benefits from the general insurance system. When determining the form and content of the application, the legislator did not directly specify its legal nature, which is important for both the applicant and the pension authority. The specific nature of the benefit application implies legal consequences in terms of legal, factual and technical actions undertaken by the pension authority after submitting the benefit application. By analyzing the existing legal norms of a procedural nature, it is possible to determine these effects and, through their prism, determine the nature of an application for a pension benefit as an important element of a legal transaction.
Atención al cliente en Marketplace de Facebook por parte los emprendedores de la ciudad de Cuenca
Authors: Parra Silva Juan Pablo
Published: May 2024

En respuesta a la creciente importancia de Facebook como plataforma de comercio electrónico durante la pandemia de COVID-19, donde un significativo porcentaje de jóvenes ecuatorianos desempleados encontraron en Marketplace una oportunidad para emprender, este estudio se propuso evaluar la calidad del servicio al cliente ofrecido por emprendedores en la ciudad de Cuenca. Utilizando una metodología basada en el análisis de 384 publicaciones y una técnica de muestreo aleatorio con un 95% de margen de error y un 5% de nivel de confianza, se exploró la rapidez en las respuestas y el uso de respuestas automatizadas. Los resultados indicaron que la mayoría de los emprendedores responden rápidamente dentro de las primeras 24 horas, sin embargo, solo un pequeño porcentaje fue calificado como de atención excelente, lo que señala una oportunidad para mejorar la personalización y calidad del servicio. La conclusión general del estudio subraya que, a pesar de la eficiencia en la comunicación, es esencial desarrollar una interacción más personalizada para fortalecer la confianza y satisfacción del cliente en el dinámico entorno del comercio digital.
Safety Assessment RP1411 Schizochytrium sp. oil rich in DHA and EPA
Authors: Food Standards Agency
Published: May 2024

This section summarises outcome of assessment of an application under the assimilated regulation 2015/2283 EU for Schizochytrium sp. oil rich in DHA and EPA as a novel ingredient in meat and fish analogues.
Relasi Gerakan Aceh Merdeka (GAM), Masyarakat dan TNI - Polri dalam Pandangan Antropologi Kepolisian
Authors: Syah Bakharuddin Muhammad
Published: May 2024

Aceh has a rich history of culture, but its history is also filled with events that shook the society. One of them is the Free Aceh Movement (GAM), which attracted the attention of not only the Indonesian people, but also the government and authoritarian parties (TNI-POLRI). The Free Aceh Movement has been analyzed and has a considerable literature review. GAM is also a topic that is often looked at by academics to analyze the events of the movement as a social phenomenon. In this paper, the authors approach GAM as an anthropological policing phenomenon through the lens of the theory. To compare with other studies, the authors also collected various literatures as a basis for analysis and as an instrument to strengthen the argument.
A Bibliometric Analysis of Drinking Water Management on an Island using Vosviewer
Authors: Vendhy Vendhy , Irfan Rifai Andri , Savitri Amanatullah
Published: May 2024

The availability of safe and clean drinking water is one of the most basic human rights that is essential for the sustainability of life for public health. Without drinking water, life as we know it today would not be possible.  The main objective of this research is to conduct a bibliometric analysis in order to better understand the current knowledge and direction of research in drinking water management. This research used bibliometric analysis with VOSviewer software to investigate drinking water management. The research centered on journals indexed in Semantic Scholar, using keywords such as drinking water management, water resources, and water quality, with a maximum of 1000 results from 2000 - 2023. In the network visualization analysis, “groundwater quality” had the highest total link strength of 141 and 107 occurrences, making it the densest color. In particular, the year 2018 had the highest number of publications, with a total of 72 publications. Regarding citations, the peak occurred in 2019, with a significant number of 3930. India emerged as the country with the highest volume of research on drinking water, contributing 66 publications.
CARMEM PEDROSA: NAS VEREDAS DO SERTÃO, OUÇO OS VERSOS DE MULHER
Authors: Amaral Veronica , Pinheiro Hélder
Published: May 2024

This article aims to analyze the work of the poet from Pernambuco Carmem Pedrosa, considering themes and predominant procedures adopted by the author in the construction of poems, as well as present a reading proposal. This work is justified by the need to give visibility to the poetic production of cordelista, considering the importance of its production. We present an analysis of the book Vitória Régia, the author’s only publication. It will also be performed an analysis of excerpts from the poem "As I find poetry", considering thematic, formal dimensions, and the context of production, among other aspects. And finally, we will present a reading proposal in the classroom, under the theoretical basis of the subjective method, defended by Rouxel (2014).
FINITE ELEMENT ANALYSIS OF LINEARLY EXTRAPOLATED BLENDED BACKWARD DIFFERENCE FORMULA (BLEBDF) FOR THE NATURAL CONVECTION FLOWS
Authors: Ak Merve , Akbas Mine
Published: May 2024

In this paper, we study the stability and convergence of fully discrete finite element method with grad-div stabilization for the incompressible non-isothermal fluid flows. The proposed scheme uses finite element discretization in space and linearly extrapolated blended Backward Differentiation Formula (BLEBDF) in time. We prove the unconditional stability over finite time interval and optimally convergence of the scheme. We also present numerical experiments to verify our theoretical convergence rates and show the reliability of the scheme.
Anayasa Mahkemesi Bireysel Başvuru Kararlarının Kabul Edilebilirlik Bağlamında İncelenmesi
Authors: Oğuz Nur Sena , Yıldız Seyfi , Atmaca Serhat
Published: May 2024

Ülkemizde “5982 sayılı Türkiye Cumhuriyeti Anayasasının Bazı Maddelerinde Değişiklik Yapılması Hakkında Kanunla yapılan Anayasa değişikliği“ ile Anayasa Mahkemesine bireysel başvurunun önü açılmıştır. Bireysel başvuru Anayasa Mahkemesinde yer alan temel hak ve özgürlükler ile Avrupa İnsan Hakları Sözleşmesi ile Türkiye’nin taraf olarak yer aldığı ek protokoller kapsamında yer alan temel hak ve özgürlüklerin kamu gücü tarafından ihlal edilmesi sonucu tüm hukuki yollar tüketildikten sonra başvurulması gereken hukuki bir çözüm yolu olarak karşımıza çıkmaktadır. 2012 yılından bu yana ülkemizde 579.754 bireysel başvuru gerçekleşmiş ve 484.711’si sonuçlandırılmıştır. Sonuçlandırılan 484.711 bireysel başvurunun yaklaşık %15’inde en az bir hakkın ihlal edildiği kararı, %81.6’sında ise kabul edilemezlik kararı verilmiştir. Bu çalışmada kabul edilemezlik kararlarının verilme nedenleri örnek kararlar çerçevesinde incelenmiştir.
Aged Care Services in Singapore – An Overview
Authors: Sitoh Y Y
Published: May 2024

Introduction: Aged care services have been rapidly and systematically established in Singapore over the past two decades in anticipation of the challenges that will accompany the rapid ageing of our population. This paper presents an overview of the geriatric services that have developed in Singapore, funding for these services, and aged care-related training programmes for doctors and nurses in Singapore.

Methods: A non-systematic review of journal articles, local conference proceedings and state publications was undertaken.

Results: Geriatric services have evolved rapidly with the establishment of 3 acute geriatric medicine units covering the different sectors of Singapore. Apart from the provision of acute medical care for older persons, geriatricians have also been increasingly involved in the enhancement of community aged care services under the Framework for Integrated Health Services for the Elderly. Concurrently, community services for the elderly have blossomed under the leadership provided by various voluntary welfare organisations. Innovative systems of funding the healthcare needs of older persons have also evolved over the past few years. In recognition of the increasing needs of our ageing population, the medical training curriculum is being continually reviewed to enhance the skills of medical practitioners in Singapore.

Conclusion: Over a short span of 20 years, a comprehensive framework of services has been developed to meet the needs of our ageing population. While much has been accomplished, there is a need for continuous review of our services and healthcare policies to identify areas for further improvement.
End-of-life Care: Challenges and Obligations in Setting Limits to Life-sustaining Therapy
Authors: Lee A O K
Published: May 2024

It is now generally accepted that the withholding or withdrawal of interventions that serve only to prolong the dying process is appropriate. Setting limits to life-sustaining therapy are now common practice. However, making such decisions can be challenging. They are also not uncommonly a source of disagreement between the physician and the patient or surrogate. The potential for strained patient-physician relationship can be mitigated by patient-centred, goal-specific care with its emphasis on effective communication, a sense of timing and attention to the various dimensions of the illness experience.
Clinical Profile and Treatment Outcome of Livedoid Vasculitis: A Case Series
Authors: Lee S S , Ang P , Tan S H
Published: May 2024

Introduction: Livedoid vasculitis is a painful ulcerative condition affecting the legs that is often difficult to treat. In this case series, the clinical profile of 6 patients with livedoid vasculitis and their treatment response to aspirin and pentoxifylline are reported.

Materials and Methods: This is an open trial. Investigations to exclude secondary causes of livedoid vasculitis were done. Skin biopsies were performed for histology and direct immunofluorescence. Four patients were treated with pentoxifylline and 2 with aspirin. Response to treatment was assessed at the third and sixth weeks. Thereafter, treatment was individualised according to each patient’s clinical response.

Results: Only 1 out of 6 patients had a good response. This patient was treated with pentoxifylline. Most patients required treatment with drugs such as prednisolone, colchicine and azathioprine to control disease activity after the trial period.

Conclusion: Pentoxifylline or aspirin did not result in significant improvement for most of our patients when used alone. Combination with immunosuppressive treatment yielded better results.
Vaccination and Immunization as Perceived by Badjao Parents in Surigao City, Philippines
Authors:   BS Nursing Students, College of Health Sciences, St. Paul University Surigao, Surigao City, E. Abellarosa Niel Vincent , C. Boyonas Donna May , L. Patagan Jumille Kaye , S. Teves Jobelle ,   Faculty, College of Health Sciences, St. Paul University Surigao, Surigao City, T. Ederio Nikko ,   Faculty, College of Education, Culture and Arts, St. Paul University Surigao, Surigao City
Published: May 2024

Health authorities in the Philippines are tackling emerging infectious diseases among Filipino children by implementing precautionary measures, with a focus on strengthening immune systems. The cornerstone of their efforts is the 40-year-old Expanded Immunization Program (EPI), a key initiative by the Department of Health. This descriptive quantitative study aimed to inspire provision for Filipino children with safe vaccinations, addressing diseases like measles, diphtheria, tetanus, and whooping cough. The EPI has significantly reduced death and morbidity rates associated with preventable diseases. This study delves into the knowledge, attitudes, beliefs, and confidence among Badjao parents in Barangay Canlanipa, Surigao City, regarding children’s vaccination and immunization. The methodology included the utilization of researcher-made questionnaires and statistical tools such as the Frequency Count and Percentage, Mean and Standard Deviation, and Chi-Square Test. The study highlighted that despite challenges such as limited education and socioeconomic factors, many Badjao parents prioritized their children’s vaccination and immunization. However, the study revealed disparities in knowledge and confidence levels, emphasizing the need for targeted information campaigns. The study recommends targeted programs to promote the EPI’s benefits among the Badjao community and urges health authorities to conduct information drives. It also suggests exploring how personal experiences, like family illnesses, affect vaccination decisions. The study ultimately provides valuable insights for local stakeholders, healthcare providers, and future researchers, highlighting the importance of vaccination and immunization for children’s health.
Effectiveness of the Combination of Infrared Radiation (IRR) and Transcutaneous Electrical Nerve Stimulation (TENS) Interventions on the Functional Ability of Low Back Pain Farmers: A Quasi Experimental Study
Authors:   Master of Public Health Program, Faculty of Medicine, Universitas Lampung, Jl. Prof. Sumantri Brojonegoro No. 1, Rajabasa, Bandar Lampung, Lampung 35145, Indonesia, Zulfikar Zulfikar , Nisa Berawi Khairun ,   Master of Public Health Program, Faculty of Medicine, Universitas Lampung, Jl. Prof. Sumantri Brojonegoro No. 1, Rajabasa, Bandar Lampung, Lampung 35145, Indonesia, Pramesona Bayu Anggileo ,   Master of Public Health Program, Faculty of Medicine, Universitas Lampung, Jl. Prof. Sumantri Brojonegoro No. 1, Rajabasa, Bandar Lampung, Lampung 35145, Indonesia
Published: May 2024

Low back pain (LBP) is an acute or chronic pain that can be felt in the waist area or in the lumbosacral area. One way to deal with LBP complaints is to use infrared radiation (IRR) and transcutaneous electrical nerve stimulation (TENS). This study aims to analyze the effectiveness of the combination of IRR and TENS on the functional abilities of farmers with LBP. The quasi-experimental study was conducted on 84 respondents (intervention group n=42, control group n =42) who were purposefully recruited from March to April 2024. Variable measurement is done using the back pain functional scale questionnaire (BPFS). Paired T Test and Independent T test are used for data analysis. The results of the study showed that although both groups had an influence on the functional abilities of LBP farmers (p<0,001), in the intervention group it was shown to improve the functional abilities scores of farmers with lBP compared to the control group (15.64 vs 13.29). It is recommended to farmers to carry out IRR and TENS therapeutic measures according to the functional scale of LBP, and it is also advised to healthcare professionals at the public health center to be able to establish cooperation with the parties concerned to organize the treatment program of LBP on farmers using the combination of IRR and TENS.
The Effect of Metacognitive Strategy Instruction on Listening Comprehension Performance, A Case Study of English – Majored Freshmen at Ba Ria – Vung Tau University, Viet Nam
Authors:   Faculty of Foreign Languages - Social Sciences, Ba Ria - Vung Tau University, Viet Nam, Thi Hoang Thu, , Thi Hai Pham Yen, ,   Faculty of Foreign Languages - Social Sciences, Ba Ria - Vung Tau University, Viet Nam
Published: May 2024

The research was carried out with 50 university freshmen at Ba Ria – Vung Tau University (BVU) to find out how metacognitive strategy instruction motivates them to improve their listening comprehension. The researchers executed a qualitative action research method during twelve weeks, using a combination of the teachers and students’ diaries. Then semi-structured interviews in Vietnamese were purposefully administered to the participants and 1 observer by using individual-administered survey procedure. The findings in this paper indicate that metacognitive strategy instruction enhances learners’ listening comprehension performance and should be implemented in English communicative classes.
NIRMALA ALPHA GOURAVA AND MODIFIED NIRMALA ALPHA GOURAVA INDICES OF CERTAIN DENDRIMERS
Authors:   Department of Mathematics,Gulbarga University, Gulbarga 585106, India, Kulli V. R.
Published: May 2024

In this paper, we introduce the Nirmala alpha Gourava and modified Nirmala alpha Gourava indices and their corresponding exponentials of a graph. Also we compute the Nirmala alpha Gourava and modified Nirmala alpha Gourava indices of four families of dendrimers.
The Negative Impact of Vaping and Electric Cigarettes for Healing of Chronic Wounds: A Literature Review
Authors:   Faculty of Medicine University of Jenderal Soedirman, Indonesia, Subhan Amir , Fawzy Ahmad ,   Department of Surgery, Margono Soekarjo County Hospital – Faculty of Medicine University of Jenderal Soedirman, Indonesia
Published: May 2024

Non-smokers, particularly adolescents, face significant public health risks from e-cigarette use due to immediate health hazards, the potential for initiating tobacco use, and insufficient data on critical health outcomes, including wound healing. This study investigates vaping's impact on chronic wound healing, emphasizing e-cigarette chemical components. E-cigarettes contain common constituents: 1) Base liquids: Propylene glycol (PG) and vegetable glycerin (VG), 2) Nicotine, 3) Flavoring chemicals and additives, 4) Trace contaminants and toxins. Chronic wounds exhibit persistent inflammation, impaired proliferation, delayed remodeling, and environmental factors (e.g., ischemia, infection, trauma). E-cigarette components impair wound healing: VG induces osmotic effects and cellular toxicity, nicotine causes vasoconstriction, reduced oxygenation, and impaired angiogenesis. Flavoring chemicals contribute to cytotoxicity and modulate inflammatory responses, while contaminants like heavy metals induce oxidative stress and inflammation. Despite e-cigarettes' lower harm compared to traditional cigarettes, their effects on chronic wound healing remain poorly understood. Further research is essential to elucidate smoking's precise impact on chronic wound healing.
Anomalous Left Coronary Artery from the Pulmonary Artery (ALCAPA) Syndrome: Pathophysiology, Clinical Manifestations, and Management Strategies
Authors:   Hospital Centenario Miguel Hidalgo. Aguascalientes, Aguascalientes, Mexico, López Donaldo Emiliano Silva , Ynostroza Sussan Irlanda Méndez ,   Hospital Centenario Miguel Hidalgo. Aguascalientes, Aguascalientes, Mexico., Rodríguez Karla Valdos ,   Hospital Civil de Guadalajara. Guadalajara, Jalisco, México., Saldaña Magda Karina López ,   Hospital Centenario Miguel Hidalgo. Aguascalientes, Aguascalientes, Mexico., Chávez José Antonio Velarde ,   Hospital Centenario Miguel Hidalgo. Aguascalientes, Aguascalientes, Mexico., Pimentel Ximena Alejandra Aldama ,   Hospital Civil de Guadalajara. Guadalajara, Jalisco, México.
Published: May 2024

Anomalous Left Coronary Artery from the Pulmonary Artery (ALCAPA) syndrome is a rare congenital cardiac anomaly characterized by the abnormal origin of the left coronary artery from the pulmonary artery instead of the aortic root. This anomaly results in compromised myocardial perfusion, particularly under conditions of increased oxygen demand, leading to myocardial ischemia, left ventricular dysfunction, and potentially severe complications such as mitral regurgitation, heart failure, and sudden cardiac death. The pathophysiology of ALCAPA involves a complex interplay of coronary artery steal phenomenon, collateral vessel development, and ventricular remodeling. Early diagnosis is critical, often achieved through echocardiography, cardiac MRI, or coronary angiography, which helps in planning surgical intervention. The mainstay of treatment is surgical correction to re-establish a dual coronary artery system, with techniques including direct reimplantation of the anomalous coronary artery into the aorta or the creation of an intrapulmonary tunnel. This article provides a comprehensive review of the current understanding of ALCAPA syndrome, emphasizing its pathophysiology, clinical presentation, diagnostic modalities, and surgical management, along with outcomes and prognostic factors.
Arrhythmogenic Right Ventricular Dysplasia: A Comprehensive Review of Pathophysiology, Diagnosis, and Management Strategies
Authors:   Benemérita Universidad Autónoma de Puebla (BUAP). Hospital General Zona Norte Puebla. San Pedro, Puebla, Mexico., Cruz Gabriela Rojas , Altamirano Ricardo Daniel Flores ,   Benemérita Universidad Autónoma de Puebla (BUAP). Hospital General Zona Norte Puebla. San Pedro, Puebla, Mexico., Leal Avalos Omar Alejandro ,   Benemérita Universidad Autónoma de Puebla (BUAP). Hospital General Zona Norte Puebla. San Pedro, Puebla, Mexico., Martínez Laura Leticia Torres ,   Benemérita Universidad Autónoma de Puebla (BUAP). Hospital General Zona Norte Puebla. San Pedro, Puebla, Mexico., Gloria Joanna Paola Morales ,   Benemérita Universidad Autónoma de Puebla (BUAP). Hospital General Zona Norte Puebla. San Pedro, Puebla, Mexico.
Published: May 2024

Arrhythmogenic Right Ventricular Dysplasia (ARVD) is a rare inherited heart disorder characterized by fibrofatty replacement of the right ventricular myocardium, leading to ventricular arrhythmias and an increased risk of sudden cardiac death. This review aims to provide a comprehensive overview of ARVD, including its pathophysiology, clinical manifestations, diagnostic criteria, and management strategies. The pathogenesis of ARVD involves genetic mutations affecting proteins of the cardiac desmosome, leading to myocardial cell death and fibrofatty replacement. Clinical presentation varies widely, ranging from asymptomatic individuals to those with palpitations, syncope, or sudden cardiac arrest. Diagnosis is challenging and relies on a combination of clinical, electrocardiographic, imaging, and histopathologic findings. Management involves risk stratification for sudden cardiac death, lifestyle modifications, antiarrhythmic medications, and, in select cases, implantable cardioverter-defibrillator placement or catheter ablation.
A Study of the Impact of Social Media on E-Marketing
Authors:   Assistant Professor Department of Commerce Saradha Gangadharan College, Dr. D. Silambarasan Dr. D. Silambarasan , Dr. K. Selvadurgadevi Dr. K. Selvadurgadevi ,   Assistant Professor Department of Commerce Saradha Gangadharan College, D. Jayanthan D. Jayanthan ,   Assistant Professor Department of Management Studies Manakula Vinayagar Institute of Technology, Puducherry
Published: May 2024

The study focused on the impact of social media on e-marketing. The researchers used primary data through a Google form from various college students in Puducherry during the 2022–2023 periods and secondary data collected from various websites. The study focused on three main objectives: To research how social media affects online marketing, to investigate the relationship between social media and consumer perception and to determine the most popular social media platforms. It indicated that the majority of the respondents were involved in retail (32%), and the majority of students use Instagram (32%). Therefore, social media can influence e-marketing for various college students in Puducherry.
Self-Efficacy and Human Capital's Influence on Innovative Work Behavior and Implications for the Quality of Employment Work Polytechnic of Employment
Authors:   Students of the management master's study program, faculty of Economics, Universitas Krisnadwipayana, Jakarta, Indonesia, Sidriannita Nita , Indratjahyo Hary ,   Lecturer in the management master's study program, faculty of Economics, Universitas Krisnadwipayana, Jakarta, Indonesia, Utomo Fajar Cahyo ,   Lecturer in the management master's study program, faculty of Economics, Universitas Krisnadwipayana, Jakarta, Indonesia
Published: May 2024

The importance of this research was determined by examining the function of employees who can assist universities in becoming superior if these employees have high job quality, as evidenced by self-efficacy, human capital, and innovative work behavior. The goal is to determine the impact of self-efficacy and human capital on innovative work behavior, as well as their impact on employee work quality. The researchers employed descriptive and inferential analysis with data acquired from a questionnaire distributed to 74 employees of the Employment Polytechnic. According to the findings, self-efficacy and human capital have a considerable impact on employee job quality and innovative work behavior. Meanwhile, the direct impact of innovative work behavior on employee job quality is enormous. Self-efficiency and human capital cannot be used to moderate the impact of innovative work behavior on employee work quality. As a result, it can be claimed that innovative work behavior is a characteristic that does not coincide with self-efficacy and human capital to significantly influence employee work quality at the Employment Polytechnic.
Exploring the Nexus: Bibliometric Analysis of Tax Avoidance and Investment Efficiency
Authors:   Faculty of Economic and Business, Sebelas Maret University, Surakarta, Indonesia, Risdiawan Hanafi , Sudaryono Eko Arief ,   Faculty of Economic and Business, Sebelas Maret University, Surakarta, Indonesia
Published: May 2024

A deep understanding of tax avoidance practices can offer a theoretical basis for mitigating the negative impact of investment inefficiency on firms. However, current research on tax avoidance and investment decisions often focuses on specific studies and lacks a comprehensive perspective. In this study, we analyzed 16 years (2008-2023) of publications on tax avoidance and investment efficiency from the Scopus database using bibliometric methods. Our findings indicate a significant increase in the number of published articles over recent decades. The United States, China, and the United Kingdom have been the most prolific contributors to this field. Additionally, several leading journals dominate the field, and there has been substantial collaboration among authors, providing diverse insights and perspectives. Our analysis reveals that tax avoidance affects investment efficiency through various factors, including the quality of accounting information, managers ability, corporate governance, and public policies. By examining keywords, we have identified current research trends and offer recommendations for future research directions.
Contribution of Attitude, Motivation and Learning Strategy to the Achievement of Grade II Junior High School in Districts Throughout Banten Province
Authors:   ., M.Pd Dr. Sudadio, , Afiat Evi ,   ., Karim Abdul ,   ., Zuhri Saefudin ,   ., Asiah Mina Rabiatul ,   .
Published: May 2024

This study aims to: 1) determine the contribution of attitude to student learning achievement, 2) determine the contribution of motivation to student learning achievement, 3) determine the contribution of learning strategies to student learning achievement, 4) determine the contribution of attitude, motivation and learning strategies to student learning achievement. The independent variables in this study are attitude, learning motivation, and learning strategies. While the dependent variable in this study is student learning achievement. The method used is quantitative correlation with inferential statistical analysis technique using product moment regression tests. Data collection techniques were obtained using questionnaires and document study methods. Data on attitude, learning motivation, and learning strategies were collected using a questionnaire. While data on students’ learning achievement was taken from the ledger of students’ average score when they went to grade II. The population of this study was all grade II students from three schools in Tangerang Regency, Serang Regency, and Pandeglang Regency, by taking a sample of 89 students from three schools using random sampling technique. Hypothesis testing in this study used simple regression analysis, multiple regression, and partial correlation. Based on the research that has been conducted, it can be concluded that: 1) there is a positive and significant relationship between learning attitudes towards learning achievement of grade II junior high school students in Banten Province with Fcount = 22.199 and a contribution of 20.3%. 2) there is a positive and significant relationship between learning motivation and learning achievement of grade II junior high school students in districts throughout Banten Province with Fcount = 12.619 and a contribution of 12.7%. 3) there is a positive and significant relationship between learning strategies and learning achievement of grade II junior high school students in districts of Banten Province with Fcount = 7.613 and a contribution of 8%. 4) there is a simultaneous positive and significant relationship between attitude, motivation and learning strategies on the learning achievement of grade II junior high school students in districts throughout Banten Province with Fcount = 8.445 and a contribution of 23%.
Work-Life Balance and the Environment in Job Satisfaction of Healthcare Personnel
Authors:   Universitas Krisnadwipayana, Jakarta, Indonesia, Utomo Fajar Cahyo , Vinarsih Novi ,   Universitas Krisnadwipayana, Jakarta, Indonesia
Published: May 2024

The study was conducted due to the need to determine and analyze the size of the influence of work-life balance and the environment on the job satisfaction of health professionals at a community health center in the Pasar Rebo District, where there are numerous COVID-19 cases. The primary issue with work-life balance is a lack of job satisfaction based on observation results, COVID-19 incentive data, and health workers, the majority of whom are women. This study employs quantitative methodologies with a sample size of 141 respondents. Primary data is collected using observation and questionnaires. Multiple linear regression is used to analyze the data. The study's findings reveal that both work-life balance and the work environment have a positive and significant influence on health workers' job satisfaction, with work-life balance having the greater influence.
Debt Restructuring and Financial Performance SOEs in Indonesia
Authors:   Faculty of Economics and Business, Pancasila University, Indonesia, Fredy Hotman , Utami Khalida ,   Faculty of Economics and Business, Pancasila University, Indonesia, Pagiku Mentari ,   Faculty of Economics and Business, Pancasila University, Indonesia
Published: May 2024

This study aims to examine the effect of debt restructuring on the financial performance of state-owned companies in Indonesia. Debt restructuring is carried out to provide support in the form of leeway for companies that are experiencing financial difficulties so that they can get out of the problem within a certain period. The samples taken and selected in this study were based on purposive sampling for SOEs companies listed on the Indonesia Stock Exchange with financial statement data for the period 2018-2022. There are three research models tested using multiple regression analysis. The results showed that there was a decrease in financial performance after the company restructured its debt, both financial performance as measured by profitability, liquidity and sustainable growth rate. The decline in financial performance can be caused, among others, by the use of restructuring methods by extending the maturity of debt payments (rescheduling) which causes a decrease in the amount of short-term debt, including affecting the decline in the company's profit growth.
Antimicrobial Effect of Response Surface Optimized Pyocyanin Produced by Pseudomonas aeruginosa
Authors:   Department of Applied Microbiology and Brewing, Nnamdi Azikiwe University, Awka, Nigeria, G Anaukwu Chikodili , MC Ajogwu Tobechukwu ,   Department of Applied Microbiology and Brewing, Nnamdi Azikiwe University, Awka, Nigeria
Published: May 2024

Pseudomonas aeruginosa is notable for its natural bluish-green pigment production, known as pyocyanin. Researchers have credited pyocyanin as an antimicrobial agent, in addition to its other biomedical applications. This study focused on isolating Pseudomonas aeruginosa from the local environment with the ability to synthesize pyocyanin and optimize its cultural conditions for improved yield. A total of thirty-one experimental combinations of process variables using the Central Composite Design (CCD) of Response Surface Methodology (RSM) was ran to find the best conditions for the organism to make pigments. Of the fermentation media evaluated, nutrient broth supplemented with maltose was the best fermentation medium for the organism’s pyocyanin production. A regression model described the interaction between the test variables and the pyocyanin yield with an R2 value of 87.52%, indicating that the model had a satisfactory fitness level. The determined optimal conditions include a maltose concentration of 18 g/L, a pH of 6.8, an inoculum size of 2.3 mL, and an agitation speed of 120 rpm. The optimized condition resulted in a 4.12-fold increase in pyocyanin yield compared to an unoptimized condition. Pyocyanin exhibits high antimicrobial activity compared to the conventional antibiotics assessed against E. coli and Candida albicans. Our study’s findings suggest that statistical models can improve pyocyanin synthesis by Pseudomonas aeruginosa. Furthermore, this pigment has the potential to replace conventional antibiotics in the treatment of microbial infections