bluuebunny/crossref_metadata_2025 huggingface dataset:
Modified ECC for Secure Data Transfer in Multi-Tenant Cloud Computing
Authors:   Bharathiar University, Coimbatore, Tamil Nadu, Chandrika S. Udhaya , Perumal T. Pramananda
Published: April 2023

Cloud computing technologies comprise various kinds of significant desirable constrains such as security, liability, government surveillance, telecommunications capacity, anonymity and privacy. The usage of cipher text technology is considered as a desired technique for performing the process of encryption in order to solve the issue of granting security to the data that are shared in the cloud. Similarly, the architecture of multi-tenant in the cloud computing system grants benefits to both the service providers and end-users which shares a common cloud platform to multiple tenants (i.e.) users and suitable resources are also computed by implementing proposed architecture. Therefore in this research work, the concept of cipher text multi-tenant are integrated for providing enhanced security to the data shared in the cloud environment. Hence a Modified Elliptic Curve Cryptography (MECC) based on Diffee Hellman algorithm is proposed in this research paper which provides enhanced security using alternate key generation. The encryption, decryption, upload and download time are calculated and it is concluded that the algorithm that is proposed in this research paper consumes less time for all these measures when comparing with other existing algorithms. Characteristics like less memory, high operational performance, small sized keys and rapid key generation process, and effective resource savings enable the modified ECC to obtain high efficiency. The encryption time of the proposed MECC system was 51ms with the key length 4096 bits, whereas existing method had 92ms as encryption time. Likewise With the key length of 4096 bits, the decryption time for the proposed model was 159ms. Accordingly the proposed system has reduced cipher text key size of 836KB when compared with the existing AES, Blow Fish, and Two Fish. Additionally, the key generation time (35 s) also seems to be considerably reduced when compared with the existing methods. These statements reveal that the proposed system outshine the state of art methods in terms of key generation time, encryption and decryption time and computational complexity.
In Brief: Dabrafenib (Tafinlar) and Trametinib (Mekinist) for Glioma
Authors:   Editors from The Medical Letter
Published: April 2023

The oral kinase inhibitors dabrafenib (Tafinlar – GSK) and trametinib (Mekinist – Novartis) have been approved by the FDA for use together for a sixth indication: treatment of low-grade glioma (LGG) with a BRAF V600E mutation in patients ≥1 years old who require systemic therapy.
Cultivating Religious Character through School Culture
Authors: Retnasari Lisa , Hakim Arini Prihartini , Hermawan Hendra , Prasetyo Danang
Published: April 2023

The foundation of manners and the factors determining character development are crucial for education. School culture is one way to cultivate moral qualities that assist the progress of character education. This study aims to describe and identify the supporting and inhibiting factors for implementing religious character education through school culture. This type of research is descriptive research using a qualitative approach. The object of this research is the whole process of implementing religious character planting through school culture. This research was conducted at SD Muhammadiyah Wirobrajan II Yogyakarta, Indonesia. The results of this study show that instilling religious character through school culture is carried out in three stages: planning, implementation, and evaluation. The supporting factors of religious character include religious programs, facilities, and infrastructure that have been fulfilled. The inhibiting factors for the implementation of religious character cultivation include environmental conditions. The contribution of this study provides information about supporting and inhibiting factors for the implementation of religious character education through school culture.
Lupus Eritematoso Sistémico y Manifestaciones en el Sistema Nervioso Central: Un desafío diagnóstico permanente. Casos Clínicos
Authors: RAMÍREZ L. , GALLO C. , GODOY M. , PACHECO D.
Published: April 2023

La presencia de manifestaciones neuropsiquiátricas en pacientes reumatológicos trae consigo un gran desafío diagnóstico que exige una mirada amplia, desde las bases de la medicina interna, a fin de poder orientar un estudio adecuado y el tratamiento oportuno. Junto con ello, el permanente diálogo e intercambio de miradas clínicas con otras especialidades permite tener un enfoque multidisciplinario que enriquece el abordaje de estas presentaciones complejas.
A new genus and a new species of railroad-worm beetle from Peru (Coleoptera, Phengodidae, Mastinocerinae)
Authors: Roza André Silva
Published: April 2023

Here I describe a new genus, Iviephengus gen. nov., based on a single species, Iviephengus ferreirai gen. et sp. nov., from Peru. This new genus is characterized by the following combination of characters: interantennal distance close to 3 × the antennal socket length; antenna 12-segmented, IV to XI each with two long symmetrical compressed and apically slightly enlarged branches; labrum fused to frontoclypeus; mandibles short, obliquely crossed, each with a notch on the external margin to fit the other mandible and without extra teeth; maxillary palpi 4-segmented, last segment digitiform; labial palpi 2-segmented; posterior tentorial pit consisting of a single small fossa; wing with radial cell closed and transverse, vein r4 interrupted, r3 absent; first tarsomere of pro- and mesotarsus with a ventral comb covering the posterior half of the tarsomere; claws simple, without any teeth; aedeagus with paramere symmetrical, apex unevenly round, toothed inward, with short and sparse bristles. I provide a key to Mastinocerinae genera with 12-segmented antennae and the first pro- and mesotarsomere with ventral combs. I also provide illustrations for the diagnostic features for this new genus. Finally, I discuss the presence and function of some modifications in the mandible and the sternite VIII in Phengodidae and other Coleopteran families.
Financial Inclusion as the Driver of Poverty Alleviation in Developing Economies: Evidence from Bangladesh
Authors:   Joint Director, Bangladesh Bank, Islam Mohammad Mohidul
Published: April 2023

This study aims to investigate the role of inclusive financing practices on poverty eradication in the developing countries context like Bangladesh by utilising annual time series data over the period from 1995 to 2020. The empirical evidence from the study indicates that the macroeconomic influences of inclusive financing on reduction of poverty is not statistically well justified, meaning that no significant statistical relationship has been found between inclusive financing and poverty alleviation in Bangladesh over the study period. But the expected sign of the variables that possess in the specified model gives the remarkable indication regarding the presence of true economic relationship. However, the right direction of the variables related to financial inclusion show that to some extent there have been economic implications from which we could remark that poverty alleviation is positively associated with financial inclusion in Bangladesh similar to many other developing countries across the world.
İŞLETME YÖNETİM KARARLARINDA MUHASEBE BİLGİ SİSTEMİNİN ETKİSİ VE ÖRNEK BİR UYGULAMA
Authors: YAY ÖZER Ebru , ERCAN Cuma
Published: April 2023

Muhasebe bilgi sistemi işletme yöneticilerine işletmede alınması gereken kararlarda bilgi sağlamaktadır. Küreselleşme ile birlikte bilgi teknolojilerinin sürece dâhil olması rekabet avantajı sağlamak için muhasebe bilgi sisteminden daha fazla fayda elde etmeye dönük ihtiyacı ortaya çıkarmıştır. Bu çalışmada, muhasebe bilgi sisteminin işletme yönetim kararları üzerindeki etkileri incelenmiştir. Bu çerçevede, işletmelerdeki mevcut muhasebe bilgi sisteminin etkinliği ve yönetim kararları alınırken muhasebe bilgilerinden faydalanma dereceleri ortaya konulacaktır. Bu amaç doğrultusunda, TRC3 bölgesinde faaliyet gösteren Küçük ve Orta Büyüklükteki İşletmeler üzerine bir araştırma gerçekleştirilmiştir. Araştırmada veri toplama aracı olarak anket yöntemi kullanılmıştır. Elde edilen veriler SPSS istatistiksel programı ile analiz edilmiştir. Araştırma sonucuna göre, muhasebe bilgi sistemi ile işletme yönetim kararları arasında anlamlı bir ilişki olduğu tespit edilmiştir. Bu bağlamda, muhasebe bilgi sistemi ilkelerinin alt boyutları arasında en yüksek uygulama düzeyinin “belgeleme boyutuna” ait olduğu tespit edilmiştir. Ayrıca, işletme yöneticilerinin muhasebe bilgilerini en çok “müşteri cari hesaplarının takibinde” kullandıkları tespit edilmiştir.
Effects of Parity Orders and System Managements on Vitamins A and E in Camel Milk
Authors: Mohamed Miziana M. E. , El Zubeir Ibtisam E. M.
Published: April 2023

Introduction: Camel milk provides high nutrient content for people living in harsh environments. The current study evaluates levels of vitamins A and E in camels' milk in different production systems.
Materials and Methods: The camel milk samples were gathered from a total of 42 lactating she-camels that were in varying phases of the nursing process at the second and third parties in state of Khartoum, Sudan. Semi-closed and closed farms, as well as grazing ranges, are used for the rearing of she-camels (14 milk samples were collected from each production system).
Results: The findings revealed that a high level of vitamin A was observed in the camel milk samples obtained from the she-camels at third parties in the grazing range. Second parties in the confined farm recorded highly significant amounts of vitamin E. The results demonstrated that the vitamin A content of camel milk was strongly impacted by both the types of production methods and parity orders. In contrast, vitamin E was only significantly affected by parity orders.
Conclusions:  The production system and parity orders significantly impact camel milk levels of vitamins A and E. However, further studies are needed to correlate all the contributing factors to the levels of camel milk vitamins.
Women, Victimization, and Covid-19 an Intensified Domestic Abuse amidst Covid-19
Authors:   Assistant Professor, Department of Journalism and Mass Communication, Banasthali Vidyapith Newai, Tonk, India, Gupta Dr. Umang
Published: April 2023

COVID-19 pandemic has forced millions of people across the globe to restrict them under home quarantine. While lockdown was imposed for health and safety reasons for its citizens; it has exacerbated numerous socio-economic issues like rising in Domestic Violence cases and its complaints in India. Due to the increase in Domestic Violence cases in India, the Government of India in 2005 passed the ‘Domestic Violence Act’ that deepened work for the public health issue. The main goal of this research is to examine the available cases of DV in India during quarantine and infer the reasons for them. The data show that unemployment and dissatisfaction as a result of limited access to and/or availability of alcohol following a long prohibition are the major causes of increased DV. Nonetheless, establishing a relationship between DV and lockdown is now difficult due to a lack of data. Domestic Violence Act, it is said, has failed to reduce DV instances in India not just during a lockdown, but also before and after lockdown. This report recommends a large-scale national study based on data from government agencies that track domestic violence complaints.
Popular Literature on Post-Divorce Traumatic Experiences
Authors:   University of Zambia, Ngambi Stabile Namwai , Ndhlovu Daniel ,   University of Zambia, Changala Moses ,   University of Zambia
Published: April 2023

This study explored popular literature on post-divorced traumatic experiences. The study employed a qualitative approach where literature from different studies was analysed thematically. The findings of this desk study revealed that divorced persons experienced feelings of anger and sadness, psychological effects, loss of identity and self-esteem, loss of psychological support, physical and mental health, as well as disturbance in family function and parenting. The study also established that divorced persons resorted to substance abuse, had experienced financial survival issues and experienced gender differences in the institutionalization of mental health issues. The study concluded that divorce has adverse effects on the lives of those experiencing it. It, therefore, recommended that pre-marriage counselling should be taken seriously before the marriage is pronounced.
ภาวะหมดไฟในการทำงานและปัจจัยที่เกี่ยวข้องของนักเทคนิคการแพทย์ ในจังหวัดกรุงเทพมหานคร
Authors:   , เลิศวิลัย วราภรณ์
Published: April 2023

วิธีการศึกษา : การศึกษานี้เป็นการศึกษาเชิงพรรณนา ณ ช่วงเวลาใดเวลาหนึ่ง โดยดำเนินการเก็บข้อมูลจากกลุ่มตัวอย่างซึ่งเป็นนักเทคนิคการแพทย์ที่ทำงานในจังหวัดกรุงเทพมหานคร จำนวน 195 ราย โดยผู้เข้าร่วมการศึกษาตอบแบบสอบถามทั้งหมดด้วยตนเอง ได้แก่ 1) แบบสอบถามข้อมูลส่วนบุคคลและลักษณะการทำงาน 2) แบบสอบถามด้านการปฏิบัติงานที่มีผลต่อความเครียดในงานของนักเทคนิคการแพทย์ จากแบบสอบถาม Occupational stress indicator ของคูเปอร์และคณะ 3) แบบสอบถามภาวะหมดไฟ (Burn out) Thai version of Maslach ทำการวิเคราะห์ปัจจัยระหว่างภาวะหมดไฟและปัจจัยที่เกี่ยวข้องโดยใช้สถิติทดสอบไคสแควร์ และอาศัยการวิเคราะห์ความถดถอยโลจิสติกเพื่อระบุปัจจัยทำนายของภาวะหมดไฟในการทำงานของนักเทคนิคการแพทย์ ในจังหวัดกรุงเทพมหานคร โดยกำหนดระดับนัยสำคัญทางสถิติไว้ที่น้อยกว่า 0.05 ผลการศึกษา : จากนักเทคนิคการแพทย์ในจังหวัดกรุงเทพมหานคร 195 คน พบผู้ที่มีภาวะหมดไฟ 41 คน (ร้อยละ 21) เมื่อนำไปหาความสัมพันธ์ของปัจจัยที่มีความเกี่ยวข้องกับภาวะหมดไฟในการทำงานพบปัจจัยที่เกี่ยวข้องคือรายได้เฉลี่ยต่อเดือนผู้ที่มีรายได้มากมีโอกาสในการเกิดภาวะหมดไฟน้อยกว่าผู้ที่มีรายได้น้อย ตำแหน่งทางราชการที่มีความมั่นคงของสวัสดิการมีโอกาสในการเกิดภาวะหมดไฟน้อยกว่า และจำนวนชั่วโมงในการปฏิบัติงานนอกเวลาราชการที่มากมีโอกาสในการเกิดภาวะหมดไฟในการทำงานมากกว่า อย่างมีนัยสำคัญทางสถิติ (p<0.05) ปัจจัยในการทำงานที่มีผลต่อความเครียดในการปฏิบัติงาน ด้านภาระงานมีความสัมพันธ์เชิงบวกกับภาวะหมดไฟในการทำงาน แม้ว่ามีปัจจัยด้านภาระงานที่ดีแต่ก็มีโอกาสในการเกิดภาวะหมดไฟในการทำงานได้สูง ด้านสัมพันธภาพระหว่างบุคคลและการบริหารงานในหน่วยงานมีความสัมพันธ์เชิงลบกับภาวะหมดไฟในการทำงาน มีความแตกต่างอย่างมีนัยสำคัญทางสถิติ (p<0.05) สรุปผลการศึกษา : นักเทคนิคการแพทย์ในจังหวัดกรุงเทพมหานคร มีภาวะหมดไฟในการทำงานร้อยละ 21 ปัจจัยส่วนบุคคลสำคัญที่เกี่ยวข้องคือรายได้เฉลี่ยต่อเดือน ตำแหน่งทางราชการ และจำนวนชั่วโมงในการปฏิบัติงานนอกเวลาราชการ และปัจจัยที่มีผลต่อความเครียดในการปฏิบัติงานที่สำคัญที่เกี่ยวข้องคือด้านภาระงาน ด้านความสัมพันธ์ระหว่างบุคคล และด้านการบริหารงานในหน่วยงาน
การพัฒนาโปรแกรมปรับเปลี่ยนพฤติกรรมโดยประยุกต์แนวคิดการบำบัดด้วยการแก้ไขปัญหาร่วมกับแนวคิดการบำบัดด้วยการออกกำลังกายเพื่อลดภาวะซึมเศร้าของนักเรียนมัธยมศึกษาตอนต้น
Authors:   , ช้อยชด โสภา
Published: April 2023

การวิจัยนี้มีวัตถุประสงค์เพื่อ 1) พัฒนาโมเดลความสัมพันธ์เชิงสาเหตุภาวะซึมเศร้าของนักเรียนมัธยมศึกษาตอนต้น 2) ตรวจสอบความสอดคล้องของโมเดลความสัมพันธ์เชิงสาเหตุภาวะซึมเศร้าของนักเรียนมัธยมศึกษาตอนต้นกับข้อมูลเชิงประจักษ์ 3) พัฒนาโปรแกรมปรับเปลี่ยนพฤติกรรมโดยประยุกต์แนวคิดการบำบัดด้วยการแก้ไขปัญหาร่วมกับแนวคิดการบำบัดด้วยการออกกำลังกายเพื่อลดภาวะซึมเศร้าของนักเรียนมัธยมศึกษาตอนต้น 4) ศึกษาประสิทธิผลของโปรแกรมปรับเปลี่ยนพฤติกรรมโดยประยุกต์แนวคิดการบำบัดด้วยการแก้ไขปัญหาร่วมกับแนวคิดการบำบัดด้วยการ ออกกำลังกายเพื่อลดภาวะซึมเศร้าของนักเรียนมัธยมศึกษาตอนต้นที่พัฒนาขึ้น กลุ่มตัวอย่างเป็นนักเรียนมัธยมศึกษาตอนต้น จำนวน 4,089 คน เครื่องมือที่ใช้เป็นแบบสอบถามปัจจัยที่ส่งผลต่อภาวะซึมเศร้าของนักเรียนมัธยมศึกษาตอนต้น และแบบประเมินภาวะซึมเศร้า (PHQ-A) วิเคราะห์ข้อมูลโดยใช้สถิติเชิงบรรยายและวิเคราะห์อิทธิพลโดยใช้โปรแกรม Mplus ส่วนการศึกษาประสิทธิผลของโปรแกรมฯ กลุ่มตัวอย่างเป็นนักเรียนมัธยมศึกษาตอนต้น จำนวน 16 คน วิเคราะห์ข้อมูลโดยใช้สถิติเชิงบรรยายและวิเคราะห์ความแปรปรวนแบบวัดซ้ำ (Repeated measures ANOVA) ผลการวิจัยพบว่า 1) โมเดลความสัมพันธ์เชิงสาเหตุภาวะซึมเศร้าของนักเรียนมัธยมศึกษาตอนต้น ประกอบด้วย 4 องค์ประกอบ ได้แก่ ปัจจัยด้านตนเอง ปัจจัยด้านครอบครัว ปัจจัยด้านเพื่อน/คนรัก และปัจจัยด้านสังคม 2) โมเดลความสัมพันธ์เชิงสาเหตุภาวะซึมเศร้าของนักเรียนมัธยมศึกษาตอนต้นที่พัฒนาขึ้นมีความสอดคล้องกับข้อมูลเชิงประจักษ์ (chi-square = 97.630, p-value = .088, CFI = 0.999, TLI = 0.997, RMSEA = 0.009, SRMR = 0.014) โดยปัจจัยที่มีอิทธิพลต่อภาวะซึมเศร้าของนักเรียนมัธยมศึกษาตอนต้นอย่างมีนัยสำคัญทางสถิติ ประกอบด้วย ปัจจัยด้านตนเองและปัจจัยด้านครอบครัว ส่วนปัจจัยด้านเพื่อน/คนรักและปัจจัยด้านสังคมส่งผลต่อภาวะซึมเศร้าของนักเรียนมัธยมศึกษาตอนต้นอย่างไม่มีนัยสำคัญทางสถิติ 3) โปรแกรมที่พัฒนาขึ้นประกอบด้วย 8 กิจกรรม ซึ่งมีความเหมาะสม อยู่ในระดับมากที่สุด 4) ค่าเฉลี่ยคะแนนภาวะซึมเศร้าหลังการทดลองทันที และหลังการทดลอง 1 เดือน น้อยกว่า ก่อนการทดลองอย่างมีนัยสำคัญทางสถิติที่ระดับ .05 ส่วนค่าเฉลี่ยคะแนนภาวะซึมเศร้าหลังการทดลอง 1 เดือน น้อยกว่า หลังการทดลองทันทีอย่างไม่มีนัยสำคัญทางสถิติที่ระดับ .05
การพัฒนาทักษะกีฬาฟุตบอลและความคิดสร้างสรรค์ของนักเรียนประถมศึกษาโดยใช้การเรียนรู้โดยสมองเป็นฐาน
Authors:   , ศรีจันทร์ บุญโต
Published: April 2023

การวิจัยในครั้งนี้มีวัตถุประสงค์ เพื่อศึกษาการพัฒนาทักษะกีฬาฟุตบอลและความคิดสร้างสรรค์ของนักเรียนประถมศึกษาโดยใช้การเรียนรู้โดยสมองเป็นฐานโดย 1) เปรียบเทียบค่าเฉลี่ยของคะแนนทักษะกีฬาฟุตบอลและความคิดสร้างสรรค์ก่อนและหลังการทดลองของกลุ่มทดลอง 2) เปรียบเทียบค่าเฉลี่ยของคะแนนทักษะกีฬาฟุตบอลและความคิดสร้างสรรค์หลังการทดลองของกลุ่มทดลองและกลุ่มควบคุม กลุ่มตัวอย่างเป็นนักเรียนประถมศึกษาปีที่ 6 จำนวน 40 คน ได้จากการสุ่มอย่างง่าย แบ่งเป็นกลุ่มทดลองที่ได้รับการจัดการเรียนรู้พลศึกษาโดยใช้การเรียนรู้โดยสมองเป็นฐาน จำนวน 20 คนและกลุ่มควบคุมได้รับการจัดการเรียนรู้แบบปกติจำนวน 20 คน เครื่องมือที่ใช้ในการวิจัย ได้แก่ แผนการจัดการเรียนรู้พลศึกษาโดยใช้การเรียนรู้สมองเป็นฐาน จำนวน 8 แผน มีค่าดัชนีความสอดคล้องอยู่ระหว่าง 0.88 ถึง 0.92 และแบบวัดทักษะกีฬาฟุตบอล และความคิดสร้างสรรค์ มีค่าดัชนีความสอดคล้อง 0.86 และ 1.00 ระยะเวลาในการดำเนินการวิจัย 8 สัปดาห์ วิเคราะห์ข้อมูลโดยใช้ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน และทดสอบความแตกต่างค่าเฉลี่ยของคะแนนด้วยสถิติ t-test
ผลการวิจัยพบว่า
1) ค่าเฉลี่ยของคะแนนทักษะพื้นฐานกีฬาฟุตบอล และความคิดสร้างสรรค์หลังการทดลองของกลุ่มทดลองสูงกว่าก่อนการทดลองอย่างมีนัยสำคัญทางสถิติที่ระดับ .05
2) ค่าเฉลี่ยของคะแนนทักษะกีฬาฟุตบอล และความคิดสร้างสรรค์หลังการทดลอง ของกลุ่มทดลองสูงกว่ากลุ่มควบคุมอย่างมีนัยสำคัญทางสถิติที่ระดับ .05
Evaluation of rational drug use project, under the support of national health security office, on drug utilization and drug management in community care clinics in Bangkok
Authors:   , Samretwit Dararat
Published: April 2023

Background: “The Network of Rational Drug Use Clinic (RDU Clinic)” campaign implemented in August 2015 to promote rational drug use in community caring clinic operated under National Health Security Office (NHSO) in Bangkok. The intervention composed of various measures such as education, managerial intervention, regulatory, and financial incentive. The purpose of the project is to evaluate and monitor the program effectiveness.

Objectives: The purpose of the study is to evaluate the impact of RDU project on the quality of drug use in community care clinics in Bangkok using an interrupted time-series intervention analysis

Methods: Quasi-experimental study using interrupted time series analysis was applied to compare the outcome variables before and after intervention. The aggregated weekly prescriptions data was extract from NHSO medical claim database between October 2013 to September 2019. Auto Regressive Integrated Moving Average (ARIMA) model was developed to estimate the level and trend in the pre-intervention data segment compare with the estimated changes in level and trend in post-intervention. : Five indicators are selected as outcome of interest for ARIMA model analysis; 1) antibiotics (ATBs) utilization, 2) percentage of encounters with antibiotics prescribed, 3) percentage of prescriptions of antibiotics in accordance with clinical guidelines, 4) average medicines cost per encounter, and 5) percentage of drug costs spent on antibiotics.

Results: ATBs utilization was significantly affected by financial intervention in Total ATBs, (p < 0.05, p = 0.004). Percentage encounter with ATBs, was significantly affect by education (p < 0.05, p = 0.017) The percentage of prescript adhere with guideline has an increasing trend but has no significant effect (p > 0.05). Average medicine cost per encounter is not significantly impacted by the interventions. The percentage of drug cost spent on ATBs has significant impacted by education intervention (p < 0.05, p = 0.001)ใ

Conclusions: RDU clinics project is partially effective to improve quality of drug use in terms of ATBs utilization, prescriptions and cost. Since financial intervention was implemented approximately one year after the beginning of the intervention, we can deduce that the effect of the financial intervention was leveraged by previously education..
Analysis of pharmaceutical inventory management in a state hospital in Myanmar
Authors:   , Thazin Mya
Published: April 2023

Inventory management (IM) analysis in a state-level hospital pharmacy of Myanmar was done by using qualitative and quantitative analysis to classify the drug categories that require different levels of management control. Workflow analysis was qualitatively conducted using in-depth interviews of pharmacists. The annual expenditure consumed on each drug of pharmacy for the years 2016 and 2017 was analyzed and application of ABC, VEN, ABC-VEN matrix analysis was performed. The study showed a lack of classification for drug procurement, monitoring, and reporting. There was a lack of appropriate communication between hospital and central procurement, shortage of pharmacists, lack of training about IM, and manually stock record in sub-stories. The study showed that the average annual expenditure was 474,698,280.76 kyats. Of the total 297 medicines, 7.74% (23), 16.84% (50), and 75.42% (224) items were found to be A, B, and C category items respectively costing 70.43%, 19.66%, and 9.91% of drug expenditure. The VEN analysis revealed that 35% (105), 45% (133), and 20% (59) items as Vital, Essential, and Non-essential category items respectively, accounting for 65%, 32%, and 3% of drug expenditure. On ABC-VEN matrix analysis, drugs were group into Category I (38%), Category II (43.1%), and Category III (18.9%) accounting for 84.48%, 14.12%, and 1.4% of drug expenditure. Category I medicines are needed to be controlled strictly whereas Category II and Category III medicines need middle and lower-level management respectively. ABC-VEN classification techniques should be used for efficient resources utilization and elimination of wastage and stock-out situations in hospital pharmacies. Pharmacist resources planning, and training, stock record with IT, appropriate coordination between two sources of procurement should be considered.
The internationlization of sport industry: a study of Thailand sport equipment firms
Authors:   , Bumrungpanictarworn Apithai
Published: April 2023

Entering international markets is one of many key strategies to ensure high and sustainable growth of the firm. It refers to how firms want to do business activities and their engagement in foreign markets. Many studies on the international market have been focused on entry mode strategies which is one of the most critical decisions in a firm’s internationalization strategy.

This research aimed to examine which factors influenced the entry mode decisions to enter foreign markets for sports equipment firms. A qualitative approach and multiple case study technique were used in this research. Important theories related to entry mode, such as, resource-based theory, transaction cost theory, institutional theory, and special characteristics of sports, were integrated to identify which factors influenced a sports equipment firm’s entry mode choice.

From the literature review, many factors had been identified to influence entry mode choice. However, in this research, eight factors were identified from the theoretical perspectives and special characteristics of sport which are asset specificity, brand equity, international experience, cultural difference, market attractiveness, environmental uncertainty, legal environment and winning performance. Propositions were developed to use as a connection between the theories and the exploration of sports equipment firm’s entry mode decisions. Four case studies of Thailand sports equipment firms were used to demonstrate and discuss the applicability of the developed propositions and theoretical perspectives.

The findings showed that asset specificity, brand equity and legal environment were found not to have any relationship with entry mode choice in sports equipment firms. High international experience and market attractiveness were found to play a key role and influenced firms to select higher control entry mode. Culture differences were found to have a small influence on entry mode choice while high environment uncertainty appeared to slow down the process of internationalization, but it did not influence sports equipment firms to change the initial entry mode level. Winning performance influenced the firm to gain more control and established the distributor in the market. Moreover, this research gives an insight into the internationalization of sports equipment firms with a beneficial source of data for those sport equipment firms considering the choice of market entry mode to enter the foreign markets.
Development of an online course using situated learning and ESA method to enhance English oral communication ability of university administrative staff
Authors:   , Matyakhan Tatchakrit
Published: April 2023

Since English is the primary mode of communication at institutions of higher education that offer international programs, university administrative staff must be able to communicate in English with academic staff, international students, and partner universities. The purpose of this research is (1) to investigate the effectiveness of an online course that combines situated learning and ESA to improve oral communication skills and (2) to capture the perceptions of university administrative staff towards such a course.  The participants were 20 university administrative staff, aged from 22 to 40 years old, 14 females and 6 males, at a public university in Thailand, selected by the convenience sampling method.  The study employed one group pre-test and post-test design, using a pre-test, post-test and online journals from the participants to collect the data.  The results indicated two major findings:  1) oral communication skills significantly improved after implementing the online course (p = 0.05), and 2) participants expressed mainly positive perceptions about the course.  The study implies that an online course benefits university administrative staff.
Development of infographic material to enhance young English as foreign language learners’ reading comprehension through close reading instruction
Authors:   , Suksanguan Nattawan
Published: April 2023

The objectives of this study were to: 1) develop infographic materials to help teach young English as foreign language learners’ reading comprehension skills and 2) examine how effective the developed materials were in increasing young English as foreign language learners’ reading comprehension skills focusing upon non-fiction text and 3) examine the effectiveness of close reading instruction in using infographics as reading materials. The participants included 20 year-four students and five foreign teachers who were purposefully selected from an international programme in one of the demonstration schools in Thailand. The instruments used were: 1) semi-structured interviews for teachers, 2) need analysis questionnaires for students, 3) English reading comprehension tests, 4) semi-structured interviews for students, and 5) material evaluation forms for teachers. The qualitative data was analysed through content analysis. The quantitative data was analysed by statistics using percentage, mean, standard deviation, and Wilcoxon signed-rank test. Using Tomlinson’s material development framework (2011) Krauss’s process of creating infographics (2012) and Sisson and Sisson’s close reading instruction (2014) the infographics were developed. The results of the comprehensions tests demonstrated that (1) the students' post-test mean scores of the English reading comprehension tests improved at the significant level of 0.5. (2) the results from students’ semi-interview and teachers’ material evaluation showed the satisfaction of both students and teachers toward the implementation of the developed infographic materials.
The effects of learning conditioned narrow reading instruction on vocabulary knowledge of English as foreign language (EFL) learners
Authors:   , Hanuvong Benchamas
Published: April 2023

This study aimed to 1) investigate the effects of learning conditioned narrow reading instruction on vocabulary knowledge of English as Foreign Language (EFL) Learners, and 2) investigate the perceptions of students toward learning conditioned narrow reading instruction on vocabulary knowledge. Thirty sixth-grade students at a private school in Phra Nakhon Si Ayutthaya Province were selected as participants in this study for 14 weeks. The research instruments employed to collect for this study were 1) vocabulary knowledge pretest and posttest, 2) close-ended questionnaire of students’ perceptions towards learning conditioned narrow reading instruction and 3) interview questions. Quantitative data were collected through the vocabulary knowledge pretest and posttest and the close-ended perception questionnaire, while qualitative data were derived from semi-structured interview which was a part of perception investigation. The results of the study indicated that 1) students’ vocabulary knowledge has been significantly improved and 2) students revealed the positive perception toward the instruction of learning conditioned narrow reading. The students reported their positive feeling toward the instruction, their improved vocabulary knowledge and their needs to continue reading by using narrow reading approach to further improve vocabulary knowledge.
Evaluation of the Factors that affect voluntary blood donation in students at Rushoroza Seed School, Kanungu District.
Authors:   School of Nursing, Kampala International University-Western Campus, Uganda., Rossette Namanya
Published: April 2023

Globally, in 2015 World Health Organization theme for blood donor day campaign was “thanks for saving my life”. On June 14th, WHO, strongly encourages more people to donate blood voluntarily and regularly with slogan “Give freely”, give often, blood donation matters world-wide. Uganda with a population of 34 million needs about 250,000 units of blood to be able to meet its national needs but couldn’t get these big units due to many challenges. The main purpose of this study was to evaluate factors affecting Voluntary Blood Donation among students at Rushoroza Seed School, Kanungu District. This study was conducted in Rushoroza Seed School. A cross-sectional descriptive and quantitative study was employed. The results showed that 67% (45) participants had never donated blood voluntarily, 33% (22) ever donated blood voluntarily. Out of 67 participants majority of them donated 35(52.2%) so that they can get biscuits and soda after the donation while 22(32.8)% were encouraged by friend to donate blood, 6(8.95%) heard appeal for blood donation on radio and 4(5.97%) relative/friend needed blood to be transfused. Out of 67 participants’ reasons for not donating blood voluntary 35(52.3%) was due to fear of to be tested for medical illness like HIV, 25(37.3)% fear of needles prick and only 7(10.4%) fear of looking at blood to avoid fainting. The 63% (42) of participants said they think blood donation is necessary, 24% (16) did not think of its importance and 13% (9) said that it was not necessary. Keywords: Blood donation, voluntary, Kanungu district and students.
Assessment of Incidence and Factors associated with Postpartum Hemorrhage among Women delivering at Kampala International University Teaching Hospital Bushenyi District
Authors:   School of Allied Health Sciences, Kampala International University Western Campus, Ishaka Bushenyi, Uganda., Joan Namagembe,
Published: April 2023

Postpartum Hemorrhage (PPH) is a blood loss that is greater or equal to 500mls in 24 hours after delivery by Spontaneous vaginal delivery (SVD), or when blood loss is greater or equal to 1000mls after Caesarean section within 24 hours. Postpartum hemorrhage is one of the leading causes of maternal death in Africa and accounting for almost a half of the total number of deaths in these regions and in sub–Saharan Africa is estimated to be 10.5 %. The aim of this study was to determine the prevalence and factors associated with postpartum hemorrhage. This study employed a cross sectional descriptive study with a sample size of 36 patient of the age ranging from 19 to 45 in KIU-TH through examining the risk factors associated with this condition of PPH. Data was collected by administering questionnaires to all those who met the inclusion criteria in the study. The data collected was analyzed using Microsoft Excel and then presented inform of percentages frequencies/numbers using tables and charts. From the demographics obtained, it showed that women aged between 36-45years were mainly affected while the least affected age were 19-26 years. According to level of education, 41.7% who had never gone to school were the most affected group and the least affected were 8.3% who attended tertiary and university levels. Most affected mothers were the married by 83.3% and unmarried least affected by 16.7%. Most of the affected mothers were of high parity 44.4%, 56% had delivered by caesarian section and 55.6% attributed to induced labour. Parity showed greatest impact since some women with lower parity were less affected. Results showed that there is inadequate knowledge about the etiology of PPH of which 72% were aware about PPH existence and 28% did not have knowledge about it. Therefore, adequate prerequisites are required to perform PPH awareness and family planning to the mothers both in the hospital and the community at large. Keywords: Postpartum Hemorrhage, Parity, labour, maternal death.
Evaluation of factors that influence Reoccurrence of Cholera epidemics in Bwera Hospital, Kasese District
Authors:   Department of Nursing Sciences, Kampala International University Ishaka Campus, Uganda., Yosoni Muhindo
Published: April 2023

Cholera is an acute enteric infection characterised by sudden onset of profuse, painless watery diarrhoea and vomiting. Transmission of the disease is by faecal-oral route and from man to man via faecal contaminated water, ingestion of contaminated foods and drinks, and bottle feeding in infants. Globally, an estimated 1.4 to 4.3 million cholera cases and 28,000 to 142,000 cholera related deaths occur every year and the highest deaths rates occur in developing countries. The aim of this study was to explore the factors influencing reoccurrence of cholera outbreaks in Bwera hospital-Kasese district, Uganda. The study was a descriptive cross-sectional where quantitative strategy was applied on health workers and households within Bwera hospital. The study targeted 73 respondents; random sampling procedure was used. Three broad themes were based on to obtain results namely; sources of water for home use, environmental sanitation and the role of climate change. It emerged that water was mainly collected from unprotected sources using rudimentary methods and it was made safe by boiling. Hand washing was seen as a common practice done though occasionally. Generally solid wastes were poorly managed including human waste and reinforcing reforestation was seen as a remedy to avert effects of climate change. The commonest source of water for home consumption was from open water surfaces mainly rivers/streams. Boiling was seen as one of the commonest methods of making water safe for home consumption but the numbers of house hold that boils water are very few thereby making them prone to infection. Washing hands was the commonest practice especially before eating but still some children do ignore washing of their hands before eating if their caretakers are not around them; however, it was not consistently after visiting latrine. Poor waste disposal was seen present in the communities whereby bushes and river banks were seen as places where human waste is deposited. Keywords: Cholera, Deaths, Households, Bwera hospital, contaminated Water.
Hyperthyroidism in Sickle Cell Anaemia
Authors:   Department of Medical Laboratory Science, Kampala International University, Uganda., Obeagu Emmanuel Ifeanyi , Dahir Farhan Salah ,   Department of Medical Laboratory Science, Kampala International University, Uganda., Onwuasoanya Uche Francisca ,   Department of Medical Laboratory Science, Nnamdi Azikiwe University, Nnewi Campus, Nnewi, Anambra State, Nigeria, Njar Valerie Esame ,   Department of Haematology and Blood Transfusion Science, University of Calabar, Nigeria, Ngwoke Anthonia Onyinye ,   Department of Physiology Faculty of Basic Medical Sciences, Enugu State, University of Science and Technology, Enugu, Nigeria. Kampala International University Uganda., Vandu Danchal Comfort ,   Department of Medical Laboratory Science, Kampala International University, Uganda., Obeagu Getrude Uzoma ,   Department of Nursing Science, Kampala International University Uganda., Ugwu Okechukwu Paul Chima ,   Department of Publications and Extension, Kampala International University Uganda.
Published: April 2023

Sickle cell anaemia is an excruciating disease with anaemia as a major pathological issues in the patients. Developing worlds are affected heavily by sickle cell anaemia and in malaria endemic region with high prevalent sickle cell trait. IDA and iron deficiency anaemia are common in thyroid disease and can lead to fatigue. Both hypothyroidism and hyperthyroidism can cause iron deficiency and anaemia. In turn, iron deficiency can also trigger hypothyroidism. Iron deficiency/IDA symptoms are similar to those of thyroid disease, making them hard to spot. Healthcare providers can order a blood test to check iron levels. This is called a serum ferritin test. Treatment for iron deficiency includes thyroid replacement medication, iron supplements, and/or a high-iron diet. Vitamins C, B6, B12, and others may improve iron absorption. When you have two conditions with similar symptoms, it can be hard to tell what's causing what symptoms. Pay attention to any new or worsening symptoms. Also, look at what does and doesn't improve with thyroid treatments. If you're still fatigued when your thyroid levels return to normal, talk to your doctor about the possibility of iron deficiency and IDA. Keywords: hyperthyroidism, anaemia, sickle cell, nutritional and anaemia.
Life Cycle Assessment of the UK Space Energy Initiative Technology Roadmap
Authors:   Metasat UK Ltd, Wilson Andrew ,   Aerospace Centre of Excellence, Department of Mechanical & Aerospace Engineering, University of Strathclyde, Vasile Massimiliano ,   Aerospace Centre of Excellence, Department of Mechanical & Aerospace Engineering, University of Strathclyde, Oqab Haroon ,   Metasat UK Ltd
Published: April 2023

This paper aims to provide an overview of the environmental footprint of the UK Space Energy Initiative (SEI) technology roadmap based on the CASSIOPeiA solar power satellite (SPS) system using the life cycle assessment (LCA) methodology. The information covers the time period from 2022 to 2080 and is relevant for five stratospheric SPS prototypes, five low Earth orbit (LEO) SPS prototypes and twenty-five full-scale CASSIOPeiA systems which are capable of generating 2 gigawatts (GW) of power each and delivering this directly to the grid. Each CASSIOPeiA system has been modelled on the assumption that it will operate at 2.45 gigahertz (GHz) with 4-sun Concentrated Photo-Voltaic (CPV) variant in geostationary Earth orbit (GEO) for an average lifetime of thirty years. Primary data was collected from the SEI Technical Working Group and is considered to be representative of the current SEI technology roadmap. This information was collected using a simple Excel Spreadsheet titled ‘SEI LCA 1.0’. The file contains relevant information pertinent to the content of this paper but was considered too large to attach as an annex. Despite this, it should be noted that whilst the majority of the collected data was considered to be robust and of a sufficiently high data quality, the manufacturing & production of the rectenna was mainly based on well-judged estimations and data extrapolations. The results indicate that the manufacturing & production of the offshore rectennas is a particular hotspot, drawing similarities to the findings of Wilson et al. (2020). Keywords: Space Solar Power, Energy Systems, Life Cycle Assessment, Environmental Footprint, Ecodesign
Differences between biochemical, hematological and coagulation parameters among patients with mild and severe COVID-19
Authors: Hasanefendić Berina , Dedić Armina , Hajro Sanela , Šeherčehajić Emir , Hajrović Almedina , Alimanović-Alagić Rubina , Smajlbegović Velda , Ibričević-Balić Lejla
Published: April 2023

Introduction: Covid-19 is an infectious disease caused by the severe acute respiratory syndrom coronavirus 2 and causes a series of respiratory symptoms. Considering the appearance and development of symptoms, the course of Covid-19 can go from mild to severe. Depending on the course of Covid-19, the laboratory parameters change a lot, trying to defend the organism against the foreign pathogen and all the changes it causes. Therefore, the aim of this study is to observe the differences between biochemical, hematological and coagulation parameters depending on the disease stage of Covid-19 patients. Material and methods: We conducted cross-sectional study which included 160 Covid-19 patients from Sarajevo, Bosnia and Herzegovina. Biochemical, hematological and coagulation analyzes were performed. Results: Covid-19 patients with a severe clinical course have higher average values of fibrinogen (6.53 ± 4.47, p < 0.001), D-dimer (6.89 ± 7.81, p < 0.001), APTT (32.05 ± 5.96, p = 0.002), eosinophil (0.66 ± 0.09, p = 0.002) and CRP (93.42 ± 75.86, p = 0.023), and lower values of lymphocytes (1.04 ± 0.98, p < 0.001), monocytes (0.45 ± 0.3, p < 0.001), compared to Covid-19 patients with a mild clinical course. Covid-19 patients with a severe clinical course had higher average values of neutrophils (10.12 ± 5.80, p = 0.002) and lower values of reactive lymphocytes (0.02 ± 0.03, p < 0.001) compared to Covid-19 patients with a mild clinical course. Conclusion: Biochemical, hematological and coagulation parameters can be a sensitive and specific biomarker for distinction of mild and severe Covid-19.
Assessing and comparing chest radiograph interpretation in the Department of Internal Medicine at the University of the Witwatersrand medical school, according to seniority
Authors: Dreyer R G , Van der Merwe C M , Nicolaou M A , Richards G A
Published: April 2023

Background. Chest radiographs are a common diagnostic tool in the internal medicine department, and correct interpretation is imperative for adequate patient management.

Objective. To determine the diagnostic accuracy of common pathologies in South Africa that are evident on chest radiographs, and to determine whether there are discrepancies according to different levels of qualification of doctors rotating through the internal medicine department, and which factors contribute to an accurate diagnosis.

Method. Fifteen chest radiographs with common pathologies were given to all doctors rotating through the Department of Internal Medicine at Chris Hani Baragwanath Academic Hospital, and they were asked to interpret them. Information pertaining to their experience, designation and confidence in chest radiograph interpretation was also obtained.

Results. Diagnostic accuracy according to years of experience was as follows: 0 - 5 years 27.0%, 6 - 10 years 43.0%, and >10 years 47.9%. For different designations, accuracy was as follows: consultants 50.5%, registrars 40.9%, medical officers 36.4%, and interns 19.5%. Participants who were confident obtained a mean score of 39.4% and those who were not, a mean score of 31.6%.

Conclusion. Chest radiographs are readily accessible and used daily in clinical practice in numerous facilities. An accurate diagnosis is important to provide quality healthcare. Improved training in interpretation for all, but especially for junior doctors, should be a priority in our training facilities.
La révision de la Loi sur les archives
Authors: Baillargeon Diane , Lejeune Vanessa
Published: April 2023

L’adoption de la Loi sur les archives en 1983 a constitué un tournant de la pratique archivistique québécoise. Attendu depuis longtemps, le projet de loi no 3, déposé à l’Assemblée nationale, a cependant provoqué l’insatisfaction d’une partie du milieu archivistique face à une vision étroite des archives, confinées aux seuls documents historiques. Un survol des mémoires déposés à l’époque met en lumière les principales critiques suscitées par le texte et montre comment l’implication du milieu a mené à une réorientation du projet de loi vers la vision intégrée de l’archivistique qui a prévalu. Malheureusement, alors qu’elle était novatrice au moment de son adoption, la Loi sur les archives a, depuis lors, été mise en concurrence avec d’autres textes législatifs ou normatifs qui ont fait une place importante aux documents numériques ainsi qu’aux gestionnaires de ces documents, toutes choses qui font cruellement défaut à la Loi actuelle. Après avoir constaté que toutes les promesses de la législation de 1983 ne se sont pas accomplies, l’article analyse les souhaits exprimés par les professionnels de l’archivistique, tant dans les mémoires déposés lors de la consultation lancée par Bibliothèque et Archives nationales du Québec (BAnQ) en novembre 2020 qu’au cours de la pause-café proposée par l’AAQ dans le cadre de son congrès annuel de 2021. L’article se conclut par une note d’espoir de voir bientôt adoptée une Loi sur les archives et ses documents afférents modernisés et mieux adaptés à la réalité des différents milieux.