bluuebunny/crossref_metadata_2025 huggingface dataset:
Understanding the psycho-social problems of vulnerable adolescent girls and effect of intervention through life skill training
Authors: Gajalakshmi G , Meenakshi S
Published: January 2024

INTRODUCTION:

Children and adolescents are considered to be among the most vulnerable groups with respect to psychosocial issues who have been affected the most by this change in the family structure. The adolescent phase for girls is a critical period characterized by significant bio-psychosocial transformations. It is imperative to provide adolescents with the necessary tools and abilities to effectively confront these challenges which are provided by the members of the family. The implementation of life skill education is commonly acknowledged as an intervention mechanism for augmenting skills and abilities to manage the daily challenges of life, particularly among a distinct demographic such as adolescents. This study aims to examine the potential correlation between the growing incidence of mental health disorders among minors and the escalating levels of problematic smartphone and social media usage. It highlights the necessity of promoting health education in schools and investigating the impact of inadequate parenting on adolescent mental health. This paper is founded on a psychosocial intervention that employs life skill education to assist adolescents in managing the internal and external changes that arise during their developmental stage.

METHODS:

This study employed qualitative research methods. The qualitative study findings were gathered from a variety of secondary sources, including media articles, academic journal articles, and past theses. A discourse analysis method was used throughout this study, and several case studies were gathered from news articles and journals to provide a brief overview of an Adolescent girl's current situation.

RESULTS:

Adolescence pressure and the consequences of this is a global issue. Adolescent stage is the most vulnerable group in the society. This paper attempts to study the psychological problems of the adolescence as they grow up and helps in understanding their problems and implementing life skill training methods to help them rejuvenate from trauma.

CONCLUSION:

In all, initiatives aimed at mitigating stressors in the lives of adolescents often commence with educating teenagers and adolescents about the potential hazards associated with these stressors. The implementation of certain strategies should be incorporated into guidelines aimed at promoting the safe and healthy use of social media by young individuals. Keeping track of their academic progress and dealing with any problems early on can help them avoid the negative effects of psychological problems in adolescence.
Diagnosing mental disorders in diverse cultures
Authors: Thacore Vinod R. , Dharwadkar Nitin P.
Published: January 2024

Our goal is to highlight challenges clinicians encounter in achieving valid psychiatric diagnoses in linguistically and culturally diverse patients. These challenges often arise from language barriers, misinterpretation of nuanced expressions of distress, and a lack of consideration for the patient’s unique experiences and perspectives regarding their illness, leading to potential misdiagnoses. In this context, we explore the strategies to address these diagnostic issues. To illustrate these challenges, clinical examples of culturally diverse patients are presented. These cases offer insights into the cultural nuances of expressing distress and attributing illness to the external factors such as cosmic influences and spiritual afflictions, often employed as a way to conceal underlying causes. To achieve culturally appropriate diagnoses, clinicians need to be mindful of their patients’ cultural and spiritual beliefs, establish trust and rapport, and approach patient narratives with empathy. This empathetic approach allows clinicians to gain a deeper understanding of the patient’s cultural expressions of distress and their perspectives on illness attribution, often tied to supernatural influences. Importantly, effective communication is a key to uncovering the concealed causes of the patient’s condition.
Determinant of chronic suppurative otitis media and its association with the sensorineural component of hearing loss
Authors: Jha Shruti , Singh Rakesh Kumar
Published: January 2024

Background:

Chronic suppurative otitis media (CSOM) is a leading disorder known for hearing loss. We aimed to investigate the associated determinant factors of CSOM with sensorineural hearing loss (SNHL).

Materials and Methods:

A prospective observational study of CSOM was conducted at a tertiary care university hospital from December 2020 to December 2022. The study included 149 patients of either gender and unilateral disease who presented to the otorhinolaryngology outpatient door. All subjects underwent clinical examinations and pure-tone audiometry. Bone conduction thresholds for both affected and nonaffected ears at audible frequencies were taken to determine sensorineural hearing loss. The intraoperative visibility of ossicular status was assessed through the operation recordings.

Results:

The mean age of the 79 males and 70 females was 26.54 ± 8.75 years. Sensorineural hearing loss was evidenced in 25.5% of cases; afterward, conductive and mixed hearing losses were found in 68.5% and 6% of individuals. It was found that females and the absence of cholesteatoma have a significant (P < 0.05) association with SNHL, whereas hearing loss >56 dB had a highly significant (P < 0.001) association with SNHL. We investigated the relationship of SNHL with the status of ossicles. Similarly, incus was the most common ossicle erosion associated with SNHL (10.6%), which was statistically significant (P = 0.002).

Conclusions:

We found that ossicular status, cholesteatoma, and grade of hearing loss were statistically significant and were associated with sensorineural hearing loss in CSOM.
Liderazgo, empoderamiento y participación política de las mujeres indígenas
Authors: Rosero-Campiño María Elena , Hurtado-Díaz Carlos Andrés
Published: January 2024

El presente artículo de investigación aborda el reconocimiento de las dinámicas que emergen del liderazgo, empoderamiento y participación política de las mujeres indígenas en los escenarios de organización comunitaria. Se pretende develar las manifestaciones que naturalizan la discriminación y la desigualdad de género y reconocer las pragmáticas de la vida cotidiana que legitiman las relaciones sociales de dominación masculina. El método se centra en la autoetnografía, como una estrategia metodológica que posibilita la construcción de sentidos de una realidad, anclada a un contexto y una historia, y la comunicación de ese conocimiento a partir de la narración que emerge en la interacción con otros. En los resultados se destaca el reconocimiento de los estereotipos de género que justifican las interacciones entre hombres y mujeres; particularmente, el lugar de subordinación que ocupa la mujer en dichas relaciones. También, se plantea la enunciación de lugares de emancipación y resistencia de la mujer indígena, que tienden a invisibilizarse desde la colectividad, dada la imposición de la lógica de dominación masculina, propia de la cultura occidental. Se suscita la discusión a partir de la validación de los aportes teóricos del estudio, relacionados con las barreras o dificultades que enfrenta la mujer indígena en el ejercicio del liderazgo, empoderamiento y participación política dentro de su comunidad. Cabe concluir que el abordaje de dichas barreras en el escenario de la colectividad contribuye significativamente a potenciar su quehacer de liderazgo, capacidad de empoderamiento y participación política.
Violencia de género y transformaciones ético-normativas. Aportes para una comprensión de las luchas contra la violencia femicida
Authors: Jofré Daniel , Bilbao Alejandro , Cabrera José , Pinochet-Mendoza Nicolás
Published: January 2024

El artículo discute la lucha contra la violencia femicida y su importancia para los análisis contemporáneos sobre los conceptos de norma y género. Con este fin, en primer lugar, examina la génesis y utilización de la idea de femicidio y las resistencias que esta genera en la actualidad. En un segundo momento, retoma las principales hipótesis acerca de las ideas de norma y normatividad de Georges Canguilhem. Esta lectura pretende brindar luces sobre la importancia de situar las luchas contra la violencia femicida en un plano no solo conceptual, sino que también reconozca en estas la construcción de un espacio social en donde se ponen en juego emociones y acciones ético-políticas que apuntalan la demanda de justicia frente a estos delitos. Como principal conclusión de esta investigación se sostiene que la importancia cultural que vehiculiza la idea de femicidio está ligada, por una parte, al develamiento del campo discursivo y normativo del patriarcado, pero, por otra parte, también incluye las dimensiones experienciales y el ámbito de los juicios que representan el posicionamiento individual y colectivo frente a estos crímenes.
implicaciones políticas de la comunicación cristiana estadounidense
Authors: Abreu-Colombri José Antonio
Published: January 2024

Desde las décadas centrales del siglo pasado, la comunicación especializada en temática religiosa ha sufrido un intenso proceso de ideologización en los Estados Unidos. El proceso de comunicación, dimanado del entorno institucional de las diferentes organizaciones eclesiásticas, se ha puesto al servicio (en la mayoría de los casos) de los intereses de una agenda político-legislativa marcadamente conservadora. La imagen corporativa, las estrategias de discurso, los formatos de programación y los estudios de opinión son elementos clave para la creación de modelos de identificación socio-política por parte de las corporaciones de la comunicación cristiana, que de alguna manera forman parte en esa estrategia general de los movimientos políticos conservadores. En la forma y en el método, la comunicación cristiana ha evolucionado mucho a lo largo de las últimas décadas, pero a pesar de las diferencias estructurales y de los cambios históricos existen fórmulas comunicativas que todavía perduran, que caracterizan y sostienen el fenómeno comunicativo en sí mismo.
Марковские ветвящиеся случайные блуждания по $\mathbf{Z}_+$. Подход с использованием ортогональных многочленов. I
Authors: Lyulintsev Andrey Valerievich
Published: January 2024

Рассматривается однородный марковский процесс с непрерывным временем на фазовом пространстве $\mathbf{Z}_+=\{0,1,2,…\}$, который мы интерпретируем как движение частицы. Частица может переходить только в соседние точки $\mathbf{Z}_+$, т.е. при каждой смене положения частицы ее координата изменяется на единицу. Процесс снабжен механизмом ветвления. Источники ветвления могут находиться в каждой точке $\mathbf{Z}_+$. В момент ветвления новые частицы появляются в точке ветвления и дальше эволюционируют независимо друг от друга (и от остальных частиц) по тем же законам, что и начальная частица. Такому ветвящемуся марковскому процессу соответствует матрица Якоби. В терминах ортогональных многочленов, отвечающих этой матрице, получены формулы для среднего числа частиц в произвольной фиксированной точке $\mathbf{Z}_+$ в момент времени $t>0$. Результаты применены к некоторым конкретным моделям, получено точное значение для среднего числа частиц в терминах специальных функций и найдено его асимптотическое поведение при больших временах.
Effects of exosomes from mesenchymal stem cells on functional recovery of a patient with total radial nerve injury: A pilot study
Authors: Civelek Erdinç , Kabatas Serdar , Savrunlu Eyüp Can , Diren Furkan , Kaplan Necati , Ofluoğlu Demet , Karaöz Erdal
Published: January 2024

BACKGROUND

Peripheral nerve injury can result in significant clinical complications that have uncertain prognoses. Currently, there is a lack of effective pharmacological interventions for nerve damage, despite the existence of several small compounds, peptides, hormones, and growth factors that have been suggested as potential enhancers of neuron regeneration. Despite the objective of achieving full functional restoration by surgical intervention, the persistent challenge of inadequate functional recovery remains a significant concern in the context of peripheral nerve injuries.

AIM

To examine the impact of exosomes on the process of functional recovery following a complete radial nerve damage.

METHODS

A male individual, aged 24, who is right-hand dominant and an immigrant, arrived with an injury caused by a knife assault. The cut is located on the left arm, specifically below the elbow. The neurological examination and electrodiagnostic testing reveal evidence of left radial nerve damage. The sural autograft was utilized for repair, followed by the application of 1 mL of mesenchymal stem cell-derived exosome, comprising 5 billion microvesicles. This exosome was split into four equal volumes of 0.25 mL each and delivered microsurgically to both the proximal and distal stumps using the subepineural pathway. The patient was subjected to a period of 180 d during which they had neurological examination and electrodiagnostic testing.

RESULTS

The duration of the patient’s follow-up period was 180 d. An increasing Tinel’s sign and sensory-motor recovery were detected even at the 10th wk following nerve grafting. Upon the conclusion of the 6-mo post-treatment period, an evaluation was conducted to measure the extent of improvement in motor and sensory functions of the nerve. This assessment was based on the British Medical Research Council scale and the Mackinnon-Dellon scale. The results indicated that the level of improvement in motor function was classified as M5, denoting an excellent outcome. Additionally, the level of improvement in sensory function was classified as S3+, indicating a good outcome. It is noteworthy that these assessments were conducted in the absence of physical therapy. At the 10th wk post-injury, despite the persistence of substantial axonal damage, the nerve exhibited indications of nerve re-innervation as evidenced by control electromyography (EMG). In contrast to the preceding. EMG analysis revealed a significant electrophysiological enhancement in the EMG conducted at the 6th-mo follow-up, indicating ongoing regeneration.

CONCLUSION

Enhanced comprehension of the neurobiological ramifications associated with peripheral nerve damage, as well as the experimental and therapy approaches delineated in this investigation, holds the potential to catalyze future clinical progress.
Palliative Care Referral Protocol: Best Practice Toolkit for Improving Early Referral Rate for Adult Cancer Patients
Authors:   , Nguyen Linda
Published: January 2024

Despite the benefits of palliative care being well-documented in studies and early palliative care services being strongly recommended by reputable organizations, such as the American Society of Clinical Oncology, many patients did not receive or received late referrals (Pigni et al., 2022). This mainly occurs because oncologists commonly base their referrals on perceived needs and clinical judgment (Smith et al., 2017). Thus, this program development project aimed to create a toolkit to improve early identification and referral to palliative care for adult patients who would benefit from palliative care services. The PICO question that guides this program is: In ambulatory adult oncology patients in the Veteran Affairs healthcare system (P), how does a toolkit for implementation of a palliative care referral protocol (I) compared to standard referral methodology (provider judgment) (C) improve the utilization of standardized trigger-based referral to palliative care (O). Literature supports the development of an ambulatory-focused toolkit for the adult oncology population and supports early intervention to maximize living benefits, including quality of life measures. The evidence supports using a toolkit to guide the associated implementation of a dedicated referral process, including a criteria-based trigger tool. This scholarly project provides a step-by-step toolkit to guide the implementation of an early palliative care referral protocol in an ambulatory oncology setting.
AN AYURVEDIC APPROACH IN THE MANAGEMENT OF OSTEOMYELITIS TOES
Authors: Singh Balendra , Singh Shweta , A. H Haritha , Dansena Nobal , Lakra Alka , Dhangar Pavan
Published: January 2024

Background – Osteomyelitis toe is commonly seen in patients who have peripheral neuropathy associated with diabetic mellitus. In Ayurveda, osteomyelitis can be correlated with Asthimajja Vidradhi1 or Dusta Vrana. Dusta vrana (infected wound) can cause loss of physical activity and it can produce a significant impact on the quality of life. This study mainly concentrates on Vrana Shodhan karma (surgical debridement) of dusta vrana (infected wound) and followed by application of Karanjadi Ghrita with Shaman Chikitsa which is performed to restore the function of toe and achieve adequate wound healing. Material and method- A Fifty-eight-year-old male pa-tient came to Shalya tantra OPD of our institute (GAC Raipur) with complaints of non-healing wounds on his great and second toe of left foot along with pain, swelling and discoloration of skin. Routine blood investigation and foot x-ray was taken and was diagnosed as osteomyelitis toe. Under all aseptic manner surgical debridement of necrotic tissue(slough) of wound was done by following classical guideline of Sushruta Samhita. Simultane-ously, wounds cleaned by lukewarm water and alcohol then after wounds was dressed in use of Karanjadi Ghri-ta and following internal medicine were given to the patient for three months like Triphala Guggulu, Kaishora Guggulu, Lakshadi Guggulu, Varunadi Kashayam. Result- Significant output were observed like pain, oedema is subsided, and wound was completely healed within 3 months. Conclusion- Multidisciplinary Ayurvedic ap-proach can play a good supportive role in managing critical conditions such as diabetic osteomyelitis toe and cosmetically preserve the body part and amputation can be avoided.
Dewan Syariah Nasional – Majelis Ulama Indonesia Under Construction Sharia Economic Supervision System In Indonesia
Authors: Hasan Lucky Omega
Published: January 2024

Indonesia, with the world's largest Muslim population, sees the application of Sharia values in economic behavior as imperative. Sharia principles are increasingly extending to non-financial services beyond the traditional domains of banking and financial institutions. The Sharia economic supervision system includes the DSN-MUI, a regulatory construct. However, a critical issue arises due to legal loopholes, notably the non-state status of DSN-MUI established by the Indonesian Ulema Council.

This research addresses the legal policy direction concerning Sharia economic supervision in Indonesia, specifically examining its connection to DSN-MUI. The investigation aims to understand why these legal policies result in an uneven implementation of the Sharia financial supervision system. Employing qualitative research methods, document searches were conducted, and the findings were presented descriptively for inductive analysis.

The research reveals that legal policies concerning Sharia economic supervision require strengthening DSN-MUI's position in overseeing Sharia economic practices. The imbalance in the Sharia financial supervision system is attributed to a dual monetary system adopted by state administrators, contradicting Article 31 Paragraph (1) of the 1945 Constitution, which advocates for a family-based financial system. This misalignment of Sharia economics in the national economic framework renders the construction of a Sharia economic supervision system by DSN-MUI non-imperative, non-integrative, and incomplete. Consequently, this may impede the growth of Sharia economics in Indonesia. Efforts should be made to rectify legal policies and institutional structures to ensure a more cohesive and supportive environment for Sharia economic practices to flourish in the country.
Balhae-Tang Dynasty Relations in the 8th Century through the Change in the Name of Appointment title and Apbeonsa
Authors:   Institute for Historical Studies at Chung-Ang University, Park Yu Jeong
Published: January 2024

This paper examines the change in the relationship between Balhae and the Tang Dynasty in the 8th century through the change in the name of appointment title and Apbeonsa. Balhae established diplomatic relations with the Tang in 713, when the King Go was first appointed as Balhae-Gunwang. The appointment title of Balhae received from Tang served as the basis for the beginning of diplomatic relations in the early days of Balhae. This is evidenced by Balhae's record of dispatching diplomatic envoys to Japan in the 720s. It seems that the relationship between the Tang dynasty and Balhae was reflected in the appointment title. This can be guessed from the continuous change in Balhae King Mu’s appointment title. The fact that King Mun of Balhae was promoted to Balhae-Gukwang also seems to be the result of maintaining a favorable attitude toward the Tang Dynasty during the An-Shi rebellion. After the An-Shi rebellion, Pyeongno-Chicheong-Jeoldosa also served as the Ap-Silla-Balhae-Yangbeonsa. However, as revealed in the memorial inscription of Deungju-Jasa in the first half of the 8th century, Pyeongno-Chicheong-Jeoldosa, the chief officer of the Chichung region, which includes Deungju, the route for envoys from Silla and Balhae to the Tang Dynasty, also served as the Ap-Silla-Balhae-Yangbeonsa. On the other hand, unlike the Ap-Hae-Georan-Yangbeonsa, which was in charge of the Khitan and the Xi, the expression “Gyeongnyak”, which means domination of the border area, is not revealed at the same time, indicating that the Tang Dynasty no longer recognized Balhae as the object of “Gyeongnyak”. In other words, Balhae was changed to a target of diplomacy and trade, not a target of defense or war, for the Tang Dynasty after the An-Shi rebellion.
Sosyo-ekonomik statü sınıflarına göre davranışsal değerlerin farklılaşması
Authors: Bozbulut Ökeş Mehmet , Turanlı Münevver
Published: January 2024

Özet
Sosyo-ekonomik statü, bir kişinin belli bir kültür ve toplum içindeki yerini oluşturmakta ve sosyal çevre, organizasyonlardaki konumunu belirlemektedir. Bu statü, prestij, hayat tarzı ve sosyal hayatı büyük oranda etkilemektedir. Bir kişinin toplumdaki sosyal statüsü arttıkça, mevcut gelir artışı genel olarak ekonomik statüsünü doğrudan etkilemektedir.
Amaç: Sosyo-ekonomik statü faktörlerini konumlandırmak, karşılaştırmak ve belirlenen özellikleri bakımından benzerlikleri ve farklılıkları göstermektir.
Yöntem: İlgili datalar ele alınmış yorumlanmıştır. Buna göre, sosyo-ekonomik sınıfları oluşturan 5 çalışma evreni belirlenmiştir. (A,B,C1,C2,D,E SES Sınıfları) Toplanan verilerle davranışsal değerlerin analiz edilebilmesi için hangi değişkenlerin belirleyici olduğu istatistiksel metotla incelenmiştir.
Bulgular: Çalışmada sosyo-ekonomik statü ve tanımları üzerinde durulmuştur. Eğitim, kültür, davranış, meslek gibi etmenlerin sosyo-ekonomik faktörlerle ilişkisi değerlendirilmiş ve sosyal değerlerin nasıl etkilendiğine Veloxity tarafından sunulan veriler ışığında incelenmiştir.
Sonuç: Bu bulgular doğrultusunda sosyo-ekonomik statünün davranışsal değerler değişkenleri üzerindeki etkisi tartışılacaktır.
Anahtar Sözcükler: Sosyo-ekonomik Düzey, Sosyal Değerler, Sosyo-ekonomik Statü, SES sınıfları
JEL Sınıflandırması: M31, M37
English Education Students' Perception of the Use of ChatGPT in Writing Articles
Authors: Hasanah Uswatun , Nurcholis Ivan Achmad
Published: January 2024

ChatGPT is an artificial intelligence-based machine technology developed by the OpenAI company. ChatGPT is trained to be able to simulate human conversations such as answering questions and interacting on various topics. This research uses a qualitative approach with a descriptive research type. Data collection techniques can be obtained through questionnaires. The purpose of this study is to find out the perceptions of students towards the use of ChatGPT in writing articles. The target of the research is 7th semester students who have published articles. The results showed that the percentage of positive students towards the use of ChatGPT and there are also some students who are not in agreement with the use of GhatGPT in writing articles.
Analytical Hierarchy Process as a Priority Strategy for Handling Bad Debts in Cooperatives
Authors:   Universitas Nusantara PGRI Kediri, Jl. K.H. Achmad Dahlan 76 Mojoroto Kediri East Java Indonesia, Puspasari Ismayantika Dyah , Septi Fauji Diah Ayu ,   Universitas Nusantara PGRI Kediri, Jl. K.H. Achmad Dahlan 76 Mojoroto Kediri East Java Indonesia, Izzati Aulia Annisa ,   Universitas Nusantara PGRI Kediri, Jl. K.H. Achmad Dahlan 76 Mojoroto Kediri East Java Indonesia, Paramitha Dyah Ayu ,   Universitas Nusantara PGRI Kediri, Jl. K.H. Achmad Dahlan 76 Mojoroto Kediri East Java Indonesia, Ningrum Anggun Puji Setyo ,   Universitas Nusantara PGRI Kediri, Jl. K.H. Achmad Dahlan 76 Mojoroto Kediri East Java Indonesia
Published: January 2024

The Kediri City Government and the Regional Development Planning Agency are committed to accelerating the economic recovery of the Kediri city community after the impact of the Covid-19 pandemic, by focusing on MSME capital, the program named Kredit Usaha Melayani Warga or abbreviated as KOPERASI provides very low interest loans of 2% per year for business people in Kediri city. In the utilization of this credit, it turns out that there are still bottlenecks in installments, which if allowed to continue, will have an impact on financial losses and also not achieve the goal of community economic recovery. So that the government needs an in-depth study as a real form of handling bad credit and also the concept of effective and efficient KOPERASI program governance. This research uses a quantitative descriptive approach, by applying the Analytical Hierarchy Process (AHP) method. Starting from making questionnaires and determining respondents. The respondents selected were 7 experts, namely, officials at the Kediri City Cooperative & UMTK Office, lecturers at the Faculty of Economics, Universitas Nusantara PGRI Kediri, and MSME beneficiaries of the KOPERASI program. Then the answers are assessed and compared to produce a scale as a determination of the most effective method of overcoming bad credit.
Basal Cell Carcinoma with a Relationship in Dermatology and Plastic Surgery
Authors:   ISSSTE Dr Santiago Ramon y Cajal, Carrillo Daniela Guerrero , Carranza Vianney Anguiano ,   IMSS Hospital de Traumatología y Ortopedia "Dr. Victorio de la Fuente Narváez"
Published: January 2024

Skin cancers known as basal cell carcinomas (BCCs) can cause significant localized damage. They represent the most prevalent kind of cancer in the West. A lifetime incidence of up to 39% is possible. The most prevalent risk factor is UV exposure. Most of these tumors are seen in the head and neck region. Even though BCCs are often benign, the great occurrence of these conditions implies that treating them adds significantly to the health service's already heavy workload. It's critical to have a solid grasp of your potential possibilities. A number of variables, such as the patient's age and comorbidities, the location and subtype of the lesion, and others, may affect management choices. Treatment choices for BCCs on the face may differ greatly from those for BCCs originating elsewhere due to the significance of a favorable cosmetic and curative result. Good randomized controlled studies comparing different treatment methods are hard to come by. While conventional excision has historically been the preferred course of treatment, there are now a number of other alternatives as well, including as radiation, cryosurgery, curettage and cautery, Mohs micrographic surgery, topical imiquimod, photodynamic therapy, and topical 5-fluorouracil. We go over and evaluate the research and literature supporting the current range of face BCC treatment options.
Sustainability Reporting on Financial Performance, the Role of CSR Committee, Evidence from Indonesia
Authors:   Faculty of Economics and Business, Bengkulu University, Bengkulu 38371, Indonesia, Paleni Herman , Nurazi Ridwan ,   Faculty of Economics and Business, Bengkulu University, Bengkulu 38371, Indonesia, Rahmayanti Dewi ,   Faculty of Economics and Business, Bengkulu University, Bengkulu 38371, Indonesia
Published: January 2024

Companies in running their business compete to improve their respective performance reporting. ESG issues have gained considerable attention as companies increasingly focus on disclosing both financial and non-financial information. This research aims to assess the partial and simultaneous impact of ESG performance on Return on Assets (ROA) and Tobin's Q, with moderation by the CSR committee. Disclosure information and financial data for companies in the energy sector in Indonesia were sourced from financial reports and sustainability reports. encompassing a total of 78 companies period the years 2013 to 2022. After applying criteria for companies disclosing ESG information, a subset of 43 companies was identified. Using Chow test, Lagrange, and Hausman tests before moderation, followed by tests after moderation by the CSR committee using STATA. The research finding, before moderation by the CSR committee, revealed that ESG performance had a positive and significant impact on ROA, while its effect on Tobin's Q was negative and insignificant. Then moderation by the CSR committee, indicated that the presence of a CSR committee positively moderated the impact of ESG performance on ROA and Tobin’ Q, albeit insignificantly. Further examinations post-moderation revealed that the presence of a CSR committee does not exert a significant moderating effect. Consequently, within energy sector companies, the CSR committee seems to serve as a symbolic tool, implying the company's adherence to proper operational practices without significantly altering the impact of ESG performance.
Financial Fortification: Navigating Cybersecurity Imperatives
Authors:   Senior Lead Software Engineer, Richmond, VA, USA, Balakrishna Balasubrahmanya
Published: January 2024

The digital era runs on information. This detailed examination examines the evolution of cybersecurity and future adjustments. It describes how hackers continually improve their tactics to steal from financial institutions or compromise data. It addresses economic fortress flaws like obsolete systems and operational sloppiness and suggests logical counteroffensives. The research paper below addresses how cybersecurity approaches and frameworks are helpful yet needs to be revised. It also highlights potential new technologies like AI threat detection and biometrics. Proposed measures are to promote technology usage, improve cyber hygiene, and foster international collaboration. The government also reformed vital laws and regulations. The conclusion emphasizes the need for financial institutions to use awareness and resolution to prevent computer crime. Financial institutions must fight cyberattacks with many strategies. Investing in and adopting newer technologies like SIEM (security information and event management) systems that detect threats quickly, high-level data encryption to protect private information, and threat intelligence platforms that preplan security measures based on the future is even more crucial. Businesses must educate employees, create an incident response plan, and spot-check weaknesses for cybersecurity hygiene.
Identity and Access Management for The Internet of Things (IoT)
Authors:   Department of Computer Science, Western Michigan University, 1903 W Michigan Ave, Kalamazoo, MI 49008, Talluri Sampath
Published: January 2024

The ease with which intelligent gadgets may connect to the internet is a significant factor contributing to their rapid increase in popularity. The increasing popularity of smart gadgets is attributed to numerous factors, including their ability to introduce various unexplored opportunities in multiple industries. User ID administration should be more attention when developing Internet of Things platforms. Recently, behavior has shifted as more individuals are embracing technologies that enable devices to be recognized and connected to platforms associated with the Internet of Things. This method aims to facilitate the integration of more fundamental security designs during the development of applications for the Internet of Things. Consequently, identity and access management have been swiftly embraced in several IoT business sectors. Ensuring the continuous protection of user information is the sole viable solution, albeit an unfavorable one.
Redefining Workplace Flexibility: VTO, VET, and MET as Strategic Scheduling Opportunities
Authors:   Amazon, USA, Manikam Karthikeyan
Published: January 2024

This paper explores the dynamics and implications of Voluntary Time Off (VTO), Voluntary Extra Time (VET), and Mandatory Extra Time (MET) within the workforce. VTO, as a dual concept, includes both voluntary leave for workload management and paid leave for volunteer work, emphasizing corporate social responsibility. VET is an optional policy for additional work hours, used to adapt to fluctuating demands, improve productivity, and enhance employee satisfaction. On the other hand, MET is a compulsory policy for extra work hours, implemented during peak periods or urgent project demands. The paper examines the benefits and challenges of these models, with a particular focus on their impact on employee well-being, legal compliance, and communication strategies in the workplace. A case study on the retail industry illustrates how these models can be practically applied and adapted to meet various business needs.
Achieving Concurrency Control: Practical Throttling Techniques for AWS Lambda
Authors:   Senior Lead Software Engineer, Richmond, VA, USA, Balakrishna Balasubrahmanya
Published: January 2024

This technical paper explores nuanced approaches for managing concurrency in Lambda functions, shedding light on the intricacies of AWS services like SQS and Kinesis. It underscores the significance of reserved concurrency to regulate function execution, acknowledging its effectiveness while cautioning about its limitations, particularly in scenarios requiring scalable solutions. The focus extends to the advantages of SQS as a pull-based service, emphasizing its built-in concurrency control and dynamic scalability capabilities. The paper then delves further into Kinesis data streams, showcasing the distinctive architecture of shard-based scaling and introducing parallelization factors for precise control over Lambda concurrency. Notably, these concurrency control strategies are presented as a means to scale Lambda and as a mechanism to manage traffic downstream, considering potential technical constraints. The discussion highlights multiple factors in selecting an appropriate messaging service: cost, message replay capability, error-handling mechanisms, message processing order, and concurrency management. Collectively, these insights serve as a comprehensive reference for architects and developers striving to create efficient and scalable serverless applications within the AWS environment, addressing Lambda scalability and downstream traffic control challenges.
A Mixed Method Study: Exploring Occupational Therapy Practitioners’ Experiences and Perceptions of Virtual Care for Neurological Conditions
Authors:   University of St. Augustine for Health Sciences, Miami, Florida, USA, Khan Sabina , Edema Christianeh ,   University of St. Augustine for Health Sciences, Miami, Florida, USA
Published: January 2024

Objective: This study comprehensively investigates the experiences and perceptions of occupational therapy practitioners (OTPs) regarding virtual care for neurological conditions, with a particular focus on patient-centered practice and interprofessional collaboration. Methods: A mixed-methods survey involving 170 OTPs specializing in neurological conditions was conducted to gather data. Quantitative data were analyzed to calculate percentages and statistics, while qualitative data were subjected to thematic analysis to gain insights into the practitioners’ perspectives. Results: The study found that 72% of OTPs expressed comfort with performing virtual assessments, and 70% felt comfortable with virtual treatments. However, there were variations in comfort levels, particularly concerning assessments in the adult neurological population, with only 20% feeling comfortable in this context. Video conferencing was the most widely adopted virtual care platform (65%), followed by electronic health records (48%) and mobile apps (30%). The survey revealed that OTPs provided a range of services virtually, including psychosocial support (62%) therapeutic exercise and activities (78%), and patient/ caregiver education (60%). OTPs working with pediatric populations reported a higher perceived value in telehealth services (76%) compared to those working with adult populations (61%). Key facilitators to promote usage of telehealth with neurological conditions included telehealth-specific training programs, digital assessment tools, interprofessional collaboration, and patient engagement strategies. Barriers included training gaps, especially in adult neurological assessments. Conclusion: This study highlights the evolving role of occupational therapy in the realm of virtual care for neurological conditions. While the majority of practitioners recognize the importance of virtual care, tailored training and support programs are needed to address variations in comfort levels, particularly in assessments for adult neurological patients. Interprofessional collaboration is crucial for enhancing patient care. The study provides valuable insights for practitioners, educators, and healthcare institutions to optimize virtual care in the digital age.
VOLUME OF THE UPPER AIRWAY IN DIFFERENT FACIAL SKELETAL PATTERNS OF A POPULATION OF PALASTUDENTS FROM THE UNIVERSITY OF CUENCA USING CONE BEAM COMPUTED TOMOGRAPHY.
Authors: Bravo Calderon Manuel Estuardo , Llapa Yuquilima Carla Cecilia , Guartazaca Belkis Gabriela , Iñiguez Matute Wendy Dayanna , Álvarez Chiong Javier Enrique
Published: January 2024

In the context of the diagnosis and treatment plan for patients with dentofacial deformities, it is crucial to examine the upper airway, since its function may be compromised by the facial skeletal pattern or impacted by the planned surgical intervention. Cone Beam Computed Tomography (CTCT) is positioned as the preferred option to evaluate it, thanks to its precision and ability to predict possible changes. Objective: to evaluate the volume of the upper airway in different facial skeletal patterns of a population of students from the University of Cuenca at TCHC. Materials and methods: 33 tomographies were evaluated through the Sidexis 4 program, where the volume of the nasopharynx, oropharynx and hypopharynx was measured according to facial skeletal pattern and sex. Results: Of the 33 CBCT analyzed, 10 (30%) belonged to the male sex and 23 (70%) to the female sex. Within the population of patients with skeletal class I, it was found that the volume of the oropharynx was greater compared to the nasopharynx and hypopharynx, thus obtaining an average of 21.87cm3, with a standard deviation of 5.09. Conclusions: The average volume of the upper airway in subjects with Class I facial skeletal patterns is higher than in Class II, thus being statistically significant in the oropharynx. It is recommended to conduct studies with a larger population involving class III skeletal patterns.
COVID-19 Vaccine Hesitancy and Self-reported Adverse Effects: A Narrative Review
Authors: Noh Nurulhana , Karuppannan Mahmathi
Published: January 2024

This study reviewed articles investigating the types and severity of adverse effects (AE) of COVID-19 vaccines and the reasons for vaccine hesitancy (VH). Google Scholar, the U.S. National Library of Medicine (PubMed),
Science Direct, and Scopus were searched for relevant articles published between 2020 and 2022. Pfizer-BioNTech (92.1%) and Moderna (94.2%) vaccines reported the highest incidence of AEs compared to viral vector and inactivated vaccines. Local AEs were more prevalent in Pfizer-BioNTech, Moderna, Sputnik V, Sinopharm, and Covaxin vaccines, while systemic AEs were more prevalent in Johnson &Johnson, AstraZeneca, and Coronavac. The primary reasons for VH were fear of the AEs (up to 96.8%), disbelief in the efficacy (up to 93.2%), and preference to “wait and see” ( up to 83.2%). VH has been a significant challenge in the global fight against COVID-19. It is crucial to address these concerns and provide accurate information to increase vaccine uptake and ultimately curb the spread of COVID-19.
Molecular Basis for Morphine Addiction
Authors: Suliman Noor Azuin , Abu Bakar Noor Azlina , Othman Zaidatul Akmal
Published: January 2024

Opioids are known to be used medically as analgesia and illegally as recreational drugs. Morphine, a semi-synthetic opioid is used widely in managing pain. Despite knowing the side-effect of the usage, the number of illegal users of opioids or morphine, specifically, is statistically still growing. Long-term usage of opioids, especially morphine, induces addiction that is expressed as dependence, tolerance, and withdrawal behaviour. Currently, with expanding research on anti-addiction studies, many loopholes in the basic mechanism of addiction were found, providing a setback for the researchers to overcome the problem. Thus, this review is aimed to present the latest update on the cellular modifications caused by chronic morphine treatment. By understanding and updating the knowledge, research can focus on the recent postulation and suggestions.
Influence of Piper sarmentosum Aqueous Extract on the Expression of Osteocalcin in Glucocorticoid-induced Osteoporotic Rats
Authors: Mohd Ramli Elvy Suhana , Soelaiman Ima Nirwana , Mohd Thani Suryati , Mohd Nor Nurul Huda , Mohamad Zainal Nurul Hayati , Masrudin Siti Saleha , Mohamad Asri Siti Fadziyah
Published: January 2024

Secondary osteoporosis is mainly caused by prolong used of glucocorticoid treatment. The Piper sarmentosum leaf aqueous extract was found to exhibit bone formatting osteocalcin activity against Dexamethasone induced osteoporotic rats. Thirty-two Sprague-Dawley rats were divided equally into four groups - G1: Sham-operated control group given intramuscular (IM) olive oil as vehicle and normal saline orally as vehicle; G2: Adrenalectomized (Adrx) control group given IM dexamethasone (DEX) (120 μg/kg/day) and normal saline orally as vehicle; G3: Adrx group given IM DEX (120 μg/kg/day) and aqueous extract of Piper sarmentosum leaves (125 mg/kg/day) orally; and G4: Adrx group given IM DEX (120 μg/kg/day) and glycyrrhizic acid (GCA) (120 mg/kg/day) orally.
Immunohistochemical method with gold labelling was used to label the osteocalcin protein. Silver brightener was used, sprinkled on gold with a size of 5 nm so that the resulting image can be seen more clearly using a light microscope. The osteocalcin protein was measured quantitatively based on nomenclature report of the ASBMR Histomorphometry Committee (American Society for Bone Mineral Research). The activity shown by
immunohisto-gold expression and localization of osteocalcin was comparable with the reference, glycyrrhizic acid, a potent inhibitor of 11β-hydroxysteroid dehydrogenase enzyme in RANKL-OPG pathway. As a conclusion, Piper sarmentosum may one day be utilized as an alternate treatment for individuals receiving long-term glucocorticoid therapy to prevent osteoporosis, therefore osteoporotic fractures.
Physiological Responses in Relation to Robotic Prostatectomy
Authors: Chong Kok Wah , Salihan Safuraa
Published: January 2024

Learning physiological responses through clinical application provides a meaningful experience that engraves itself in one’s mind forever. Robotic prostatectomy requires a patient to be positioned in a steep Trendelenburg,
and this is associated with many physiological responses that involve the cardiovascular, respiratory, and central nervous system. Understanding the physiological responses during the robotic prostatectomy provides vital intraoperative monitoring and ensures the patient’s safety.
Revisiting Scientific Research Amidst the Unexpected COVID-19 Pandemic: Sustenance, Resumption and Recommendations
Authors: Rehiman Siti Hajar , Lim Siong Meng , Tan Maw Pin , Khor Hui Min , Shahar Suzana , Abdul Majeed Abu Bakar , Ramasamy Kalavathy
Published: January 2024

The COVID-19 pandemic has posed an unprecedented challenge to the global scientific community including those in Malaysia. Researchers should essentially learn from the COVID-19 pandemic to become more resilient in the future. The present paper highlights our experience from sustaining research output throughout the lockdown restrictions to jump-starting and driving the newly gained momentum of research activities after the lockdown period. We also suggested some practical ways in terms of acquisition and handling of human biological samples for research and replacement of site visits with telemedicine that can drive non-COVID-19 related clinical-based research forward during the course of a pandemic. We then recommended a few measures that can be taken by research centres and institutions of higher learning as well as researchers to move their wet laboratory- or clinical-based research forward during potential outbreaks in the future.
Association Between the Level of Knowledge, Awareness and Attitude on Post-COVID-19 Syndrome Amongst Medical Students in Four Malaysian Universities
Authors: Lee Hao Ze , Mohammad Tony Adam Amirudin , Ismanizan Nurul Asyikin , Mohamad Zainal Nurul Hayati , Omar Norsuhana , Ku Mohd Noor Ku Mastura , Wahid Hanan Hamimi , Mohd Nor Nurul Huda
Published: January 2024

Introduction: COVID-19 is a respiratory illness that is caused by a coronavirus. Infected people will have a chance to develop post-COVID-19 syndrome. The aim of this study is to identify the association of gender, marital status, age and university on knowledge, awareness and attitude of post-COVID-19 syndrome among medical students in four universities in Malaysia. Methods: A cross-sectional study was conducted from October
2021 to July 2022 at four universities in Malaysia which are Universiti Putra Malaysia (UPM), Universiti Islam Antarabangsa Malaysia (UIAM), Universiti Sains Malaysia (USM) and Universiti Sains Islam Malaysia (USIM). A self-administered questionnaire was administered to 355 respondents consisted of four sections, assessing socio-demographic data and knowledge, awareness and attitudes of post-COVID-19 syndrome. Results: 54.4% of the respondents had high knowledge, 53.8% had high awareness, and 55.21% had a high attitude towards post-COVID-19 syndrome. In this study, there is a significant association between knowledge on post-COVID-19 syndrome and the age among respondents. Knowledge and awareness, knowledge, and attitude as well as awareness and attitude on post-COVID-19 syndrome was also found to have significant association among respondents. Conclusion: The older age of the respondents have good knowledge towards post-COVID-19 syndrome.