bluuebunny/crossref_metadata_2025 huggingface dataset:
Relationship between hypertension and smoking: A preliminary study in South Kashmiri population of J&K
Authors: Wagai Gowher A. , Jeelani Ubaid , Beg Mashkoor Ahmad , Romshoo Ghulam Jeelani
Published: May 2023

ABSTRACT

Background:

Smoking has been found to have a profound effect on mortality and cause-specific cardiovascular events in hypertension with significant interactions between the effects of smoking and hypertension and diabetes. Nevertheless, smoking is a major modifiable risk factor for cardiovascular disease (CVD).

Materials and Methods:

The present study was conducted on the patients visiting the medical Out Patient Department, Government Medical College (OPD GMC), Anantnag, for consultation with an aim to find whether smoking can be linked with CVD as a cause. A total of 304 patients were observed during this period for health check-ups.

Results:

The result reveals that 90% of male subjects across the age groups formulated in this study were in habit of smoking. In addition, 75% of female subjects across all age groups were also found to be in the habit of smoking. The majority of subjects including male subjects were potentially susceptible to CVD. The present prospective study was carried out to assess the role of smoking in causing hypertension and thereby various CVDs among the south Kashmiri population with high blood pressure levels in presence of high smoking rates.

Discussions:

Smoking acutely exerts a hypertensive effect, mainly through the stimulation of the sympathetic nervous system. Chronic smoking affecting arterial stiffness and wave reflection has greater detrimental effect on central blood pressure, which is more closely related to target organ damage than brachial blood pressure. Hypertensive smokers are more likely to develop severe forms of hypertension, including malignant and renovascular hypertension, an effect likely due to accelerated atherosclerosis.

Conclusion:

Smoking is potentially a leading cause of CVD among the South Kashmiri Population with high blood pressure levels in presence of high-smoking rates. Therefore, imperative measures regarding cessation of smoking are essential to prevent CVD which in line with clinical practice guidelines and policies should be emphasized to treat nicotine addiction in smokers by incorporating multicomponent and multilevel approaches for the better management of BP among the population studied.
Bradycardia after pulse methylprednisolone therapy in a child—Uncommon side effect of a frequently used drug: A case report
Authors: Tripathy Saroj K. , Das Sarthak , Malik Archana
Published: May 2023

ABSTRACT

Corticosteroids are potent anti-inflammatory agents used as a mainstay of therapy in most of the rheumatologic disorders. Common side effects of pulse steroid therapy include hypertension, hyperglycemia, seizure, hypokalemia, and infection. We report a case of an 11-year-old girl with polyarticular Juvenile idiopathic arthritis who developed bradycardia following pulse methylprednisolone therapy. On day 2 of methylprednisolone infusion, she developed bradycardia with a heart rate between 50 and 60/min. ECG was suggestive of sinus bradycardia. There was no evidence of dyselectrolytemia (Na—141 mmol/l, K—3.54 mmol/l, Ca—8.72 mg/l) or sepsis. The patient did not receive methylprednisolone on day 3 and vitals continued to be monitored. Her heart rate improved after 12 hours. In the mid of infusion on day 4, again the patient had bradycardia with a heart rate of 50–60/minute. Since she was hemodynamically stable, we continued the infusion, and bradycardia resolved in the next 8 hours. On follow-up after 2 weeks, she had some improvement in joint symptoms and normal heart rate. As per Naranjo adverse drug reaction probability scale, the adverse reaction in our case was probable with a score of 8. Although bradycardia associated with pulse steroid therapy is benign and is usually reversible following cessation of therapy, a baseline heart rate, ECG, and electrolyte level are suggested before infusion as a cautionary measure to minimize serious adverse events.
Health facility utilization and Healthcare-seeking behaviour of the elderly population in India
Authors: Roopani  , Dumka Neha , Ahmad Tarannum , Hannah Erin , Kotwal Atul
Published: May 2023

ABSTRACT

Background:

The increasing elderly population in India has generated an unmet need for healthcare services concerning them. To address some of those needs, the study aims to provide the current status of health facility utilization, health-seeking behaviour (HSB), and factors influencing them.

Methodology:

Data from the Longitudinal Ageing Study in India (LASI)-Wave I was used to conduct multivariate analysis to assess the association between health facility utilization (inpatient and outpatient) and HSB across all age groups of the elderly.

Results:

The likelihood of utilizing public health facilities increased with age for OPD and decreased with age for IPD. HSB was 23% less in the 80 years and above elderly as compared to other age groups. Healthcare service uptake was higher in the elderly with health insurance in a public health facility.

Conclusion:

Improving health insurance coverage among the Indian elderly may potentially improve healthcare service uptake in public health facilities.
Revitalizing primary care is the key to people’s health in the post-COVID era
Authors: Bhattacharya Jayanta
Published: May 2023

ABSTRACT

Growing evidence shows that primary care–oriented systems achieve better health outcomes, more health equity, and lower costs. Despite this strong evidence, such care has been chronically underfunded. If a council focused on primary care had existed during the height of the coronavirus disease 2019 (COVID-19) pandemic, it could have helped rapidly mobilize primary care to address vaccine equity and shore up public health, particularly in rural and historically marginalized urban communities. We believe an infrastructure investment plan should include oversight, tools, and resources for rebuilding primary care. Researchers have tried to compare the number of deaths due to “neglected tropical diseases” and that due to COVID – total deaths in the former cases are greater than COVID deaths. We should take into consideration a few issues: (a) distinction between health (as a human right) and health care (as commodity), (b) “clinical health” and “public health,” (3) primary health care (as the backbone of public health) as well as community-based horizontal program NOT to be replaced by selective primary health care or GOBI or any disease-centered vertical program.
Role of neonatal cerebrospinal fluid cytology in correlation to C-reactive protein, blood culture, risk factors and clinical outcomes in neonatal intensive care
Authors: Pradhan Prita , Mishra Reshmi , Panda Santosh Kumar , Panigrahi Ranjita , Senapati Urmila , Sarangi Rajlaxmi , Panigrahi Kumudini
Published: May 2023

ABSTRACT

Introduction:

The number of neonatal cerebrospinal fluid (CSF) samples sent from the neonatal intensive care unit (NICU) for cytologic examination is rising, warranting accurate analysis and interpretation of the same. This study was taken up to assess the usefulness of CSF cell count and cytology in NICU settings, as it can be used even in a resource-limited setting.

Aim and Objective:

1) To study the prevalence of cell count and cytologic changes in CSF from NICU and assess their usefulness in correlation to C-reactive protein, CSF neutrophil percentage, blood, CSF culture, and other biochemical parameters. 2) To correlate cell counts and cytology with age, period of gestation, presence, and absence of sepsis, seizures, intracranial hemorrhage, and their clinical follow-up.

Materials and Methods:

A retrospective study was done on neonatal CSF samples submitted for cytology over one year (January–December 2016) in the Department of Pathology. CSF cell counts were retrieved, and cytosmears were reviewed for cellularity, cell type, proportion, and background and correlated with the biochemical, microbiological, and clinicoradiological findings.

Results:

A total of 213 samples were included with 140 males and 73 females with an age range of 0–28 (mean: 7.3) days. The mean CSF cell count was 5.48/cu.mm (0–90 cells/cu.mm). The most frequent cytologic finding was occasional lymphocytes or acellular CSF (63.9%). The CSF leucocyte count and protein levels showed a significant correlation with s C-reactive protein. The CSF cytology showed a significant correlation between the age of the neonate and blood neutrophil percentage (P = 0.0158). History of intracranial hemorrhage showed a significantly higher frequency of the presence of red blood cells (P = 0.0147).

Conclusion:

Accurate cell counts, cytology of neonatal CSF, and biochemical and microbiological workup can help diagnose and manage neonates in intensive care.
Assessment of spiritual needs in cancer patients: A cross-sectional study
Authors: Nejat Nazi , Rahbarian Amir , Shykhan Reyhane , Ebrahimpour Sobhan , Moslemi Azam , Khosravani Mahboobeh
Published: May 2023

ABSTRACT

Introduction:

Addressing the spiritual needs of patients is an essential component of holistic care in nursing. Acknowledging the spiritual needs of cancer patients enhances the performance of clinical caregivers in providing quality services to such patients. Therefore, caregivers successfully fulfill or decrease the patients’ needs and thus increase their adaptation to crises.

Methods:

The present cross-sectional study was conducted to determine the spiritual needs of cancer patients. In this study, 96 cancer patients were selected from Ayatollah Khansari Hospital in Arak, Iran. The required data were collected through a demographic information form and the Persian version of the Spiritual Needs Questionnaire.

Ethical Considerations:

Participants’ verbal consent to participate in the study was obtained, and they were assured of anonymity and confidentiality.

Results:

In the present study, the mean age of the participants was 47.82 ± 14.34 years. The frequency distribution of respondents by gender was 36 males (37.5%) and 60 females (62.5%). The mean scores of spiritual needs in the domains of religious needs, need for inner peace, existential needs, and need for giving/generativity were 12.03 ± 3.18, 7.26 ± 3.26, 4.61 ± 2.96, and 4.06 ± 2.32, respectively. The highest and lowest mean values were associated with religious needs and need for giving/generativity, respectively. Religious needs showed a significantly positive relationship with gender, occupation, and the type of treatment (P < 0.05). Moreover, a significant relationship was observed between the need for peace and level of education (P < 0.05).

Conclusion:

The recognition of the spiritual needs of cancer patients is the first step in prioritizing and planning to provide spiritual care to these patients and supporting them in adapting to and coping with the disease. Therefore, nurses need to acquire the fundamental knowledge and skills required to identify these needs.
Clinical Profile and Predictors of Mortality among Patients with Melioidosis
Authors: Raj Sruthi , Sistla Sujatha , Sadanandan Deepthy M. , Kadhiravan Tamilarasu , Rameesh Basheer Mohamed Syed , Amalnath Deepak
Published: May 2023

Introduction:

Melioidosis is an under-recognized but important infection with high mortality and morbidity. It is endemic along the coastal regions of the Southern part of India. The present study focuses on the varied clinical manifestations, associated risk factors, and outcomes in patients from the Southeastern part of India.

Methods:

Seventy patients from January 2018 to June 2021 from a Tertiary Care Hospital were included and prospectively followed up from 6 months to 3 years. Cox regression was performed to test for the association of various clinical and demographic factors with overall survival.

Results:

Diabetes and occupational exposure to soil and water (78.6%) followed by alcoholism (61.4%) were the most common risk factors for melioidosis. The most frequent presentation was sepsis (47.1%), followed by skin and soft tissue infection (32.9%) and pneumonia (25.7%). Mortality was 50%. Patients with sepsis had a 3.5-fold higher risk of mortality (adjusted hazard ratio = 3.50; P = 0.01) while other risk factors were not significantly associated with mortality.

Conclusion:

Lifestyle-dependent risk factors (diabetes, occupational exposure, and alcoholism) were most common among patients with melioidosis. Hospitalization among patients with sepsis is associated with high mortality despite the initiation of specific therapy.
Adiponectin and leptin levels of patients after sleeve gastrectomy, Roux-en-Y gastric bypass, and single anastomosis sleeve ileal bypass surgeries
Authors: Hosseini Seyed Vahid , Hosseini Seyed Ali , Khazraei Hajar , Lankarani Kamran Bagheri
Published: May 2023

Background:

Bariatric surgery is an appropriate treatment for obese patients with metabolic syndrome. Adipose tissue is an active endocrine tissue secreting leptin and adiponectin that affect body metabolism. Nowadays, a high incidence of metabolic syndrome with an increased risk of serious diseases has been detected in Shiraz. This study aimed to assess the levels of leptin and adiponectin as well as the adiponectin-to-leptin ratio in three different bariatric surgeries among obese patients in Shiraz. The results will play an important role in physicians' choice of surgery by distinguishing the effects of these three bariatric surgeries.

Materials and Methods:

The serum adiponectin and leptin levels were measured using enzyme-linked immunosorbent assay. Blood glucose, lipid profile, weight, and liver enzyme level were measured before and 7 months after surgery.

Results:

This clinical trial was conducted on 81 obese patients who underwent sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and single anastomosis sleeve ileal (SASI) bypass surgeries. The results revealed a decrease in fasting blood sugar and triglyceride (TG) levels 7 months after the surgeries. In addition, decrease of body mass index (BMI) was more significantly in the SASI group (12.8 ± 3 4.95) compared to the Roux-en-Y gastric group (8.56 ± 4.61) (P = 0.026). Besides, a more significant improvement in liver function was observed in SG (P < 0.05). Furthermore, the results revealed a significant difference among the three groups regarding the increase in the adiponectin level (P = 0.039). Decrease in the leptin level and increase in the adiponectin level were more significant after the RYGB surgery compared to the SG group (P < 0.05).

Conclusion:

The three bariatric surgeries were effective in increasing the adiponectin level and decreasing the leptin levels. The surgeries also changed the metabolic risk factors including TGs, high-density lipoprotein, fasting blood glucose, and BMI.
Linear equivalence of scattered metric spaces
Authors: Baars Jan
Published: May 2023

Let
$\alpha < \omega _1$
be a prime component, and let
$X$
and
$Y$
be metric spaces. In [8], it was shown that if
$C_p(X)$
and
$C_p(Y)$
are linearly homeomorphic, then the scattered heights
$\kappa (X)$
and
$\kappa (Y)$
of
$X$
and
$Y$
satisfy
$\kappa (X) \leq \alpha $
if and only if
$\kappa (Y) \leq \alpha $
. We will prove that this also holds if
$C_p^*(X)$
and
$C_p^*(Y)$
are linearly homeomorphic and that these results do not hold for arbitrary Tychonov spaces. We will also prove that if
$C_p^*(X)$
and
$C_p^*(Y)$
are linearly homeomorphic, then
$\kappa (X) < \alpha $
if and only if
$\kappa (Y) < \alpha $
, which was shown in [9] for
$\alpha = \omega $
. This last statement is not always true for linearly homeomorphic
$C_p(X)$
and
$C_p(Y)$
. We will show that if
$\alpha = \omega ^{\mu }$
where
$\mu < \omega _1$
is a successor ordinal, it is true, but for all other prime components, this is not the case. Finally, we will prove that if
$C_p^*(X)$
and
$C_p^*(Y)$
are linearly homeomorphic, then
$X$
is scattered if and only if
$Y$
is scattered. This result does not directly follow from the above results. We will clarify why the results for linearly homeomorphic spaces
$C_p^*(X)$
and
$C_p^*(Y)$
do require a different and more complex approach than the one that was used for linearly homeomorphic spaces
$C_p(X)$
and
$C_p(Y)$
.
Assessment of Airbag Inflator Characterization Methods for Numerical
Prediction in the Automotive Restraint System Applications
Authors: Schäfer Timo , Chang Chi-Yao , Neutz Jochen
Published: May 2023

A competent numerical prediction on automotive restraint systems relies on
accurate inflator characteristics as input data, which are specified to gas
species composition, mass, and energy flow rate. Due to the highly transient
processes under extreme temperature conditions of inflator deployment, the
determination of inflator characteristics is very challenging. Current
conventional methods utilizing tank pressure (Pt method) and/or chamber pressure
(Pc-thrust method) measurements obtain numerous assumptions, for which their
compatibility with the applied inflator type is often not considered.

In this work, conventional Pt and Pc-thrust methods are detailed, assessed, and
discussed. One stored gas and two pyrotechnic inflators are taken as scenarios,
for which the interior ballistic models are created based on their design
components and functions. The created inflator features are compared between the
three methods. Further, validations are carried out in computational fluid
dynamics (CFD) simulation on the tank test and finite element method (FEM)
simulation on the Force INdicating Assessment Tool (FINAL) ton test.

Results of the tank test and FINAL ton validation show different evaluations of
the input data, which refers to a fundamental bias in interpreting and utilizing
the inflator characteristics. The mismatch behavior between the two test
environments reveals the inadequacy of using the information of the tank test as
a single data source for airbag-relevant simulations. By assessing the applied
assumptions in the conventional methodologies, it has turned out that the
conventional methods are only appropriate for pyrotechnic-type inflators. Thus,
the numerical ballistic approach is advised for stored gas–type inflators
instead of conventional methods. Also, cross-validation is recommended for
pyrotechnic inflators to adjust the gas amount and temperature level before the
complex simulation takes place. These insights contribute not only to a better
understanding of the inflator gas thermodynamics but also provide a general
guideline for simulation engineers in acquiring more reliable solution in the
restraint system development framework.
The Supranarratable and The Antinarratable in Wilkie Collins' Man and Wife
Authors: ÇAMELİ Muhammed Metin
Published: May 2023

The integration of traumatic events such as sexual abuse, war attacks and other forms of violence into literary narratives has been quite remarkable from ancient times onwards. However, the unfathomable nature of trauma that resists representation becomes manifest as a difficulty to be surmounted in the field of literature at the same time. In other words, the unnarratability of a traumatic experience with the help of a literary genre has been at the heart of multifarious discussions pertaining to the relationship between literature and trauma. It must be stated that the literary period of a work with its peculiar characteristics has been associated with the hardship of articulating trauma as well. Based on this idea, many trauma narratives of Victorian Era can be said to incorporate what remains unnarrated because of stifling social conventions. This is particularly evident in Wilkie Collins’ Man and Wife in which readers view the world through the lenses of a traumatized woman, Hester Dethridge. To clarify, the purpose of this paper is to study the ways in which the selected novel functions as an apt forum of relating the concepts of the supranarratable and the antinarratable to Hester’s case to understand her psychic condition.
Need Analysis of Mathematics Learning in 8th Grade Junior High School Palembang
Authors: Gita Asri , Somakim Somakim , Syarifuddin Syarifuddin
Published: May 2023

Mathematics is the subject matter that is most difficult by most students. In this study, researchers analyzed students' learning needs to find out what media or learning materials are appropriate for students to learn mathematics class VIII Junior High School 41 Palembang. The data collection techniques used include: 1) questionnaires, knowing the needs of students in the mathematics learning process: 2) observations, knowing the conditions and problems in mathematics learning: 3) interviews with teachers and students. The data analysis technique used is descriptive analysis with data reduction, data presentation, conclusion drawing, and verification. The results of the analysis show that students choose interesting learning media-based learning style, media, internet, and smartphone
Educational Game Design Sex for Early Childhood Based Android application to Prevent Sexual Harassment and Bullying in Children
Authors: Furi Atika Zahra , Trisetiyato Adi Nova , Umalisa Yuyun Raya Lina
Published: May 2023

Sex education is effort teaching , awareness , and giving information about problem sexual . The information provided includes _ knowledge about reproductive organ function with instill morals, ethics , commitment , religion so as not to happen abuse of reproductive organs the . Knowledge about sex in children can prevent happening deviation sex in children . Sex education in children can also prevent children _ No become a victim of abuse sexual , with provided knowledge about sex , they become understand which behaviors are included abuse sexual . Study This aim For produce android application in the form of educational games sex For child age early and Develop a guide use application as well as test effectiveness product . Study This belong in Research and Development (R&D), using steps _ _ following : Define, Design, Development , and Dissemination or abbreviated with 4D. Research results This form android application in form of educational games sex For child age early , or called “ GmES ” Educational Game Sex for Early Childhood . Has 4 main menus , namely : 1) Main page containing information about applications , 2) Educational videos containing song touch may and touch No yes , 3) Educational game containing part body touch may and may not can child lali - male and female , 4) Evaluation Menu question based quiz you can done with parents . _ kindly appearance and function showing good results , however _ Still need development next . Conclusion in This research is research to produce sex educational games for early childhood based Android application that contains 4 main menus namely : Home Page, Educational Videos , Game Touch Yes & No OK , evaluate with Parents . _ Educational Games Early Childhood Sex delivers _ education through video, train child through pictures and sound , evaluation with parents . Suggestions for next can developed more game forms interactive and interesting , as well can added appearance based on Augmented Reality.
Development of Android-based Interactive Learning Media for English Report Text Material in Senior High School
Authors: Saebani Siti Nurmala , Zulkardi Zulkardi , Slamet Adeng
Published: May 2023

This study aims to conduct a preliminary study of the development of Android-based learning media in the Report Text material for Senior High School English subjects. The results of the questionnaire data conducted at the pre-research stage showed that 21.88% of respondents had difficulty with the Report Text material, indicated by incomplete KKM. As many as 65.63% of respondents liked English lessons, 46.88% of respondents chose visual-auditory as a learning style and as many as 90.63% of respondents had Android-based devices. Based on these data it was concluded that Android-based learning media that can meet the needs of respondents is an interactive learning media designed using the collaboration of PowerPoint, iSpring Free 9, and Web2APK applications with an attractive appearance
Analysis of The Need for Digital Teaching Materials Vibration and Wave Materials in Class XI of Integrated Islamic High School
Authors: Pratama Erwin , Wiyono Ketang , Syarifuddin Syarifuddin
Published: May 2023

The curriculum with this scientific approach focuses more on the use of teaching materials with the use of Information and Communication Technology (ICT) in all fields of study taught by teachers. In fact, physics learning is more often done by reading books and memorizing equations and students interact less with the surrounding environment to improve their ability to solve physics problems. An alternative solution to this problem is the development of digital teaching materials in the form of E-modules for physics subjects. Before developing these teaching materials, it is necessary to hold an introduction to the main research on the development of digital teaching materials. The purpose of this study is to analyze the need to design a draft of physics teaching materials in the form of Quran-based E-modules. The benefit in this study is to find out the analysis of the need for digital teaching materials for physics subjects. The research method used is descriptive qualitative with the object of research for class XI I students of Integrated Islamic High School totaling 52 students. Data collection techniques with interviews, observations, and questionnaires. A needs analysis is carried out to identify the scope of teachers, facilities and infrastructure and identify the characteristics of students. The results of this study were that 93.3% of students agreed with the development of digital teaching materials such as E-modules of vibration and wave materials  and 90% of students agreed with the development of digital teaching materials such as E-modules in Physics It provides a real picture of the need to develop digital physics learning resources for vibration and wave-based materials of the Quran in class XI students at the integrated Islamic High School Palembang.
The Implementation of Analytic Learning Through Mobile Assisted-Learning Design Toward Academic Performance of Nursing Profession Students
Authors: Kustriyanti Dwi , Apriliyanti Retno , Utama Julvainda Eka Putra
Published: May 2023

Analytical learning is a series of learning activities that combine practice and research results as a learning design to obtain data that is analyzed and used by educators and students, leading to online learning systems. The use of technology and the internet as a means of learning produces blended course designs, such as mobile learning designs. This research was aim to study the mobile-assisted design inquiry model with an analytic learning approach to students’ academic performance. This research was a correlational study with a cohort prospective design. 236 students met the inclusion criteria selected by purposive sampling. The instrument uses a comprehensive questionnaire in the Computerized Based Test. Data analysis used Fisher’s exact test for analyzing the correlation among the variables and an independent t-test for the result of two types of learning methods. There was a significant difference between online and offline student groups in the competency test tryout scores and a significant relationship between the analytic learning approach and student academic performance with p-value of 0.000 (online students) and 0.007 (offline students). The mobile-assisted design inquiry model learning method with an analytic learning approach through self-reported and observational approaches is effective in the academic performance of professional students.
O Espírito Pan-Americano do Fernando Neubarth
Authors: Fajardo Estefanía
Published: May 2023

O médico brasileiro recebeu o reconhecimento pelo Espírito Pan-Americano no Congresso PANLAR 2023. A sua premissa: queremos ser bons médicos, para isso precisamos ser boas pessoas.
Assessment of the traditional and emerging roles of university libraries in Nigeria
Authors: Umeozor Susan N. , Ibegwam Ahiaoma
Published: May 2023

This study was conducted to assess the traditional and emerging roles of university libraries in Nigeria. Census sampling technique was used to sample all the 43 Nigerian Federal university libraries. Structured questionnaire was adopted for data collection. Data were analysed using frequency count and mean scores. Results indicated that the traditional roles were rooted in acquisition and preservation of information and in the provision of access to information in various formats. The respondents agreed with only 7 of the possible 18 emerging roles of libraries indicating that the understudied libraries are slow in attuning to the internet, World Wide Web and ICT. Respondents agreed with 11 out 15 possible challenges militating against the adoption of emerging roles of academic libraries in information service delivery. Most of these challenges are administrative and personnel. It was concluded that while university libraries are aware of the traditional roles of libraries, they are yet to take full advantage of the opportunities presented by the trio of the internet, World Wide Web and ICT. The recommendation is that the library should adopt the technologies of the internet, World Wide Web and ICT and acquire necessary training in implementation of these innovations to boost library service delivery.
Cost-Related Risks and Completion of Commercial Building Construction Projects in Kisumu County, Kenya
Authors: Ephraem Amugongo Nelson , Nyawira Dr Mwenda Mary
Published: May 2023

For any country to succeed in the 21st century, infrastructure development is critical. Its objective is to create a significant number of employment and accelerate economic growth. Therefore, there is a need for heavy financial investment in projects involved in infrastructure development. However, one needs to consider the waste of resources a country could incur if the project is not managed properly. These losses result from a variety of risks connected to these sorts of development initiatives. These risks have a significant influence. For a project to be completed successfully, it has to be within the schedule and allocated budget. The objective of the study was to determine the influence of cost-related risks on completion of commercial building construction projects in Kisumu County. This research was guided by theory of constraints. The research used a descriptive survey research design. The research was conducted in Kisumu County and the target population constituted of structural engineers, civil engineers, construction project managers, mechanical engineers and electrical engineers making a total of 400 respondents. Yamane formula was applied in determining the sample size which was 234 respondents. Stratified sampling method was applied in selecting a sample size. Questionnaires were used to obtain primary data while contract documents, journals and progress reports from the identified projects were utilized to collect secondary data. With the assistance of a computer software, Statistical package for Social Sciences, descriptive statistics was applied in analyzing quantitative data for statistics. Inferential statistics was done through Pearson Correlation Coefficient and Regression Analysis was utilized. It was established that cost related risks with r=0.430, r2=0.185, β=0.004, t=7.151 and the F (1, 173) = 47.79 at p=0.000<0.05, concluded that the variable had a positive significant completion of commercial building construction projects. The research recommended that there is need to consider cost of the project intensely in the start period to prevent problems that bring construction delays. The research suggested that research should be done on how to create a predictive model for the execution of commercial construction building.
Common External Tariff and Household Welfare in Nigeria
Authors: Nwamaka Ozoh Joan , Metu Amaka G. , Monica Madueke Chinwe , Okaforocha Chika Maureen
Published: May 2023

Economic integration into the global markets offers the opportunity for rapid growth and poverty reduction, particularly in developing countries. It is believed that lowering trade barriers on imported goods provides the consumers with welfare gains, access to better-quality products and lower prices. Therefore, this paper investigated the impact of common external tariff on household welfare in Nigeria within the period of 2005 to 2021. This study is a quantitative research and the data were sourced from World Bank Integrated Trade Solution database, World Bank Commodity Price data and National Bureau of Statistic. The data collected were analyzed using Auto Regressive Distributive Lag (ARDL). The results of the study show that common external tariff are significant and positively impacted on household welfare while tariff changes has significant but negative impact on household welfare. The study, therefore, strongly recommends that all closed borders should be opened in order to discourage smuggling and illegal routes of importing goods while advocating the adoption of Africa’s free trade agreement for better opportunities for export of domestic manufactures
Alternative Cornwalls
Authors: Goodman Gemma
Published: May 2023

This book takes a fresh look at the representation of Cornwall in literature from the nineteenth century to the present day. It identifies alternative literary ‘Cornwalls’ and seeks to understand these lost, hidden or subsumed versions and their relationship to the dominant, tourist-friendly ways in which Cornwall has been culturally produced, which often focus on Celtic, exotic or Arthurian, tropes. Taking as its subject matter the work of both Cornish and visiting writers, literary scholar and Cornishwoman Gemma Goodman explores the fictional terrain beyond the creative landmarks that dominate the way in which Cornwall is fashioned and understood in the national imaginary, to establish a more detailed cultural geography of place. The book helps position Cornish literature as a body of work in its own right as well as within the wider context of British literature and literary studies.
ROSA OU AZUL? UM ESTUDO SOBRE O USO DAS CORES NO CHÁ REVELAÇÃO
Authors: Olier Conceição Igor , Botelho de Souza Carla , Kesiane de Andrade Movio Jussara
Published: May 2023

O presente artigo tem como finalidade suprir a carência de pesquisas, analisar e trazer informações em torno do assunto do chá revelação, suas evoluções com seus diversos novos formatos familiares. Esta pesquisa traz a história do chá revelação, desde a criação aos novos modelos da contemporaneidade, além de evidenciar a importância deste evento em certas ocasiões, envolvendo questionamentos sobre as cores mais utilizadas, tendências; e embasando o estudo a partir de entrevistas com profissionais da área e pais que realizaram esse tipo de evento. O desenvolvimento deste projeto foi por meio de revisão bibliográfica a partir de livros, trabalhos acadêmicos e pesquisa de campo através de entrevistas. Este trabalho se justifica pela importância do tema e necessidade de rever determinadas atitudes, além de críticas e conscientização para com tentativas frustradas de inovações que possam impactar o espaço físico. Espera-se promover, a partir da leitura deste artigo, uma reflexão sobre o uso de novas cores neste tipo de vento, e o que pode ser considerado inovação, tendo em vista que o ser humano está inserido em uma sociedade da qual faz parte, sendo imprescindível respeitar o ambiente em prol de um futuro sustentável.
Programa Bolsa Família: características e perfil da pobreza entre os beneficiários nos estados do Paraná e Bahia
Authors: Souza Thais Andreia Araújo de , Couto Ana Cristina Lima
Published: May 2023

Este artigo tem como objetivo descrever as características dos beneficiários do Programa Bolsa Família nos estados do Paraná e Bahia com base nos dados disponibilizados pelo Ministério do Desenvolvimento Social e Combate à Fome para o ano de 2014 e verificar a existência de semelhanças e diferenças a partir de um conjunto de indicadores socioeconômicos. As unidades de análise utilizadas são os domicílios e as pessoas. As características analisadas para as pessoas são: idade, sexo, raça e grau de instrução dos responsáveis pela família. Em relação às características do domicílio, foram utilizados dados sobre o tipo de construção, iluminação, coleta de lixo, forma de escoamento de esgoto e de distribuição de água. De modo geral, dos indicadores analisados, merecem destaque a precariedade em termos de acesso ao esgotamento sanitário tanto no Paraná quanto na Bahia e o problema da baixa escolaridade dos responsáveis pela família. Embora haja semelhanças entre os beneficiários de ambos os estados, a situação no estado da Bahia é mais vulnerável.
Atributos urbanos e condição de ocupação da população economicamente ativa de Minas Gerais: uma análise multinível
Authors: Freitas de Campos Lediany , Stael Fernandes Martins Nildred , Hermeto Camilo de Oliveira Ana Maria , Ferreira Simões Rodrigo
Published: May 2023

Este trabalho tem o intuito de analisar como o nível de desenvolvimento urbano das estruturas produtivas das microrregiões de Minas Gerais afeta a probabilidade de um indivíduo estar ou não ocupado no mercado de trabalho. Para tanto, utilizando dados do Censo (2010), estimou-se um modelo logístico hierárquico de dois níveis para verificar em que medida varia a probabilidade de trabalhadores, com características semelhantes, estarem ocupados (nível 1), dado que estes residem em diferentes microrregiões mineiras (nível 2). Os resultados apontam que a probabilidade do indivíduo estar ocupado é maior se ele for homem, branco, residir na área rural, ser mais velho e mais escolarizado. Ademais, os atributos urbanos das microrregiões, por meio da taxa de urbanização e da densidade de serviços modernos, têm influência positiva sobre a condição de ocupação dos indivíduos, porém, pouco representativa, comparada aos atributos individuais.
Neurociencia y justicia social: Los usos y abusos políticos de las ciencias del cerebro
Authors: Smulski Mariana , Rose Nikolas
Published: May 2023

El año 2019, en el Centro Cultural de la Ciencia de la Ciudad Autónoma de Buenos Aires se desarrolló un evento interdisciplinario titulado “Usos políticos de la evidencia neurocientífica sobre pobreza. Un encuentro de reflexión y debate”. Allí realizó una presentación el destacado sociólogo Nikolas Rose centrada en la revisión e historización de ciertas nociones claves y sus efectos biopolíticos. Aquí se presenta su conferencia denominada: "Neurociencia y justicia social: los usos y abusos políticos de las ciencias del cerebro".
Garotas Geek contra atacam: a experiência feminina em eventos geek
Authors: Fernandes Nicole Ferreira , Correa Cynthia
Published: May 2023

O artigo analisa a experiência das mulheres geek em eventos e convenções a partir da perspectiva das artistas participantes da Comic Con Experience, observando o aumento da presença feminina nesse ambiente considerado masculino. Como procedimentos metodológicos, a pesquisa descritiva se baseou em revisão bibliográfica e entrevistas narrativas com a colaboração de 32 respondentes. A partir das análises, identificamos que apesar de as mulheres estarem ocupando cada vez mais espaço nesses eventos, elas ainda não são vistas com igualdade e respeitadas por parte dos atendentes masculinos do evento. As mulheres sentem insegurança ao se identificarem como geeks, sendo necessária a inclusão delas em várias partes da comunidade para mudar essa realidade. Por fim, constatamos que as micro agressões sofridas são muito comuns entre as artistas entrevistadas, o que demonstra que ainda estamos muito longe da igualdade de gênero no meio geek.
Dietary Patterns and Cancer Risk: An Overview with Focus on Methods
Authors: Edefonti Valeria , De Vito Roberta , Parpinel Maria , Ferraroni Monica
Published: May 2023

Traditionally, research in nutritional epidemiology has focused on specific foods/food groups or single nutrients in their relation with disease outcomes, including cancer. Dietary pattern analysis have been introduced to examine potential cumulative and interactive effects of individual dietary components of the overall diet, in which foods are consumed in combination. Dietary patterns can be identified by using evidence-based investigator-defined approaches or by using data-driven approaches, which rely on either response independent (also named “a posteriori” dietary patterns) or response dependent (also named “mixed-type” dietary patterns) multivariate statistical methods. Within the open methodological challenges related to study design, dietary assessment, identification of dietary patterns, confounding phenomena, and cancer risk assessment, the current paper provides an updated landscape review of novel methodological developments in the statistical analysis of a posteriori/mixed-type dietary patterns and cancer risk. The review starts from standard a posteriori dietary patterns from principal component, factor, and cluster analyses, including mixture models, and examines mixed-type dietary patterns from reduced rank regression, partial least squares, classification and regression tree analysis, and least absolute shrinkage and selection operator. Novel statistical approaches reviewed include Bayesian factor analysis with modeling of sparsity through shrinkage and sparse priors and frequentist focused principal component analysis. Most novelties relate to the reproducibility of dietary patterns across studies where potentialities of the Bayesian approach to factor and cluster analysis work at best.
Prevention Program in Anterior Cruciate Ligament (ACL) among Indonesian’s Athletes; Review Study
Authors: Made Vasundhari Putri Gayatri  , I Dewa Made Ary Suandika  , Komang Trisna Bayu Suta  , Dellania Grandifolia Mustafa  , Ni Kadek Yuni Fridayani  , M. Widnyana  , I Putu Gde Surya Adhitya
Published: May 2023

An ACL injury has been the most common injury for several years. Athletes and players who play the game have the same risk factor to have it. Injury prevention programs must be conducted among teams and could remove team injury costs in medical staff and rehabilitation. This review aims to conduct one prevention program for ACL injury in Indonesian soccer athletes. In Indonesia, this program needs support from all stakeholders, including the coach, chief executor manager, and the medical team. The risk factor of ACL injury is divided into external and internal factors, which have to be the main focus of the medical team to process a program. Prevention program for an ACL injury includes strengthening, agility, plyometrics, balance, and proper warm-up. Those types of exercise should be implemented in intervention among athletes, but they still need their perspectives and health condition.
The Relation Between Smartphone Use with Forward Head Posture Occurrence in Undergraduate Physiotherapy Student
Authors: Daniel Grady , Anak Agung Gede Angga Puspa Negara  , Indira Vidiari Juhanna  , Ni Wayan Tianing
Published: May 2023

Introduction: College students use smartphones with a high level of use, high levels of smartphone use due to various purposes such as academic and non-academic needs, and prolonged use of smartphones with poor posture can cause permanent changes in posture to their users. One of the posture changes that can occur is the forward head posture (FHP).

Methods: The research design was a cross-sectional study conducted from August to December 2021 with a population of Udayana University Physiotherapy students who met the inclusion and exclusion criteria. The sampling technique in this study was purposive sampling, and obtained 62 samples. This study used the YourHour application and Web Plot Digitizer to measure the duration of smartphone use and the craniovertebral angle, respectively. Data were analyzed by SPSS 16.0 to determine the relationship between smartphone use with forward head posture occurrence in physiotherapy students.

Results: The majority of students who were in the research sample used smartphones with a high level of duration, as many as 46 samples; in 46 samples with a high level of duration found, 28 samples experienced forward head posture, in students with moderate and low duration levels, forward head posture is rare. The results of the chi-square obtained are p-value = 0.009. it indicates that there is a relationship between the dependent variable and the independent variable.

Conclusion: There is a relationship between the duration of smartphone conditions and forward head posture in students of the Physiotherapy Undergraduate Study Program, Faculty of Medicine, Udayana University. In this study, it can be seen that the forward head posture is the majority of smartphones with high intensity.
The Effect of Puzzle-playing on Fine Motor Development in Preschool Children
Authors: Ni Kadek Dian Arisanti  , Anak Ayu Nyoman Trisna Narta Dewi  , Agung Wiwiek Indrayani
Published: May 2023

Background: Development is developing human maturity and psychological processes that cannot be measured, such as increasing skills. The development speed in children is influenced by various factors such as the environment, health, nutrition, stimulation, and the role of parents. Fine motor development can be improved by applying the learning process and playing with interesting media, so children do not get bored easily. The media should be educative, like a puzzle game. Physiotherapy plays a role in preventing and reducing further complications that do not occur in children who experience fine motor delays. This research aims to determine the effect of giving puzzle games on fine motor development in preschool children.

Methods: The method applied is a literature study by looking for theoretical references related to the research carried out. This literature review uses secondary data and information from journals collected from the Google Scholar, PubMed, and ScienceDirect databases over the last ten years as data sources.

Results: Four studies discuss the impact of puzzle games on the fine motor development of preschool children. According to all journals, puzzle games impact the fine motor development of preschool-aged children. On average, about 25 children participate in each study.

Conclusion: The findings obtained based on the literature that has been reviewed and the discussion state that giving puzzle games affects fine motor development in preschool children. The findings of this research can be used as a basis for puzzle therapy in children and are expected to be used to improve children's fine motor development through other games. There isn’t any clinical implication from this literature review.