bluuebunny/crossref_metadata_2025 huggingface dataset:
Leveraging Artificial Intelligence for a Sustainable and Climate-Neutral Economy in Asia
Authors: Tariq Muhammad Usman
Published: March 2024

This chapter explores how artificial intelligence (AI) is helping Asia move towards a sustainable and climate-neutral economy. The chapter thoroughly examines AI's potential influence on decarbonization, energy efficiency, and green growth in the area, focusing on achieving the Sustainable Development Goals (SDGs). Presenting case studies highlighting successful implementations, it investigates applications such as renewable energy forecasts, smart grid management, and sustainable agriculture practices. The chapter addresses issues such as ethical considerations and technological constraints, highlighting the need for competent human capital. It highlights the significance of ongoing innovation, policy support, and cooperation to fully use AI's potential in accomplishing the SDGs. Looking ahead, it describes new trends and future paths. The conclusion emphasizes the value of capacity building, ethical concerns, and strategic planning to successfully integrate AI and promote a more sustainable and environmentally friendly future for Asia.
ASEAN and EU Bilateral Partnership on Achieving the Sustainable Development Goals
Authors: Bharti Mukesh Shankar , Goswami Arindam , Bharti Sushant Shankar
Published: March 2024

The objective of this study is to explain the European Union (EU) and the Association of Southeast Asian Nations (ASEAN) bilateral cooperation in achieving the Sustainable Development Goals (SDGs). This book chapter discusses both sides also have been agreeing to work for the establishment of a common platform on the global challenges of climate change. Moreover, on the 10th of February 2020 in Brussels the EU and ASEAN had agreed to work together to achieve the preservation of biodiversity, initiating cooperation in the blue economy, maritime cooperation and environmental degradation. The EU and ASEAN have entered into a strategic partnership for deeper multiple work on the SDGs through the use of technological modernization. Apart from these initiatives, the two sides have also started cooperation in the development of artificial intelligence for use in government institutions for better governance. The nature of this study is based on the qualitative study approach through the use of empirical analysis techniques.
Framework for a Smart E-Procurement System for Ship Building
Authors: Cherian Ritty K. , Saha Saibal Kumar , Ramakrishnan N.
Published: March 2024

The research aims to improve the shipbuilding process by reducing the time required for building a vessel through adoption of lean in the procurement management process. The research identifies the AS-IS process for procurement, uses Value Stream Mapping to identify different actions, identifies the root causes for administrative lead time with the help of fish bone diagram and proposes a framework for e-procurement system. It was found that lack of proper communication and visibility between the processes can increase the lead time for purchase order creation for different materials. The use of a smart e-procurement system can improve the visibility of the process across various departments and with the suppliers. This can improve the efficiency of the shipbuilding process, reducing the time required for manufacturing a vessel.
A Bibliometric Analysis of Organizational Citizenship Behavior, Employee Retention, Performance, and Perceived Organizational Support
Authors: Arora Shaina , Arora Nilesh
Published: March 2024

A concept currently developing in the area of organizational citizenship behaviors (OCBs) is the idea that it is important to examine how and why individuals contribute to their organizations outside of their characterized Professional Functions. As a part of this study, a review of the Scopus database was used. By using a bibliographic knowledge mapping approach, the report provides an overview of current research activity in organizational citizenship behavior, employee retention, employee performance, and perceived organizational support region. The purpose of this study is to combine a variety of tools associated with bibliometrics and network analysis to identify the most influential research studies, major journals, and key authors in the field. As a result of our thorough investigation of these studies, we will be able to identify various loopholes and propose practical topics for future research by identifying various areas of improvement.
Data-Driven Future Trends and Innovation in Telemedicine
Authors: Shafik Wasswa
Published: March 2024

This study examines the future of telemedicine by investigating the influence of developing technologies on healthcare. It emphasizes the need to comprehend the impact of these advancements on healthcare provision, given their swift progression. The debate encompasses a range of technologies, including internet of things (IoT) devices, artificial intelligence (AI), augmented reality (AR), robotics, blockchain, virtual reality (VR), genomics, and wearable tech within healthcare settings. It highlights the capacity for patient monitoring, diagnosis, tailored therapy, and improved access to healthcare. Furthermore, it tackles the legal, privacy, and ethical issues linked to these breakthroughs and emphasizes the need for ongoing study, collaboration, and strong regulation to exploit their capabilities fully.
Implementation of Text Mining in Socio-Economic Research
Authors: Malyshenko Konstantin , Malyshenko Vadim , Anashkina Marina , Anashkin Dmitry
Published: March 2024

This work aims to analyze insights from social networks for identification of population satisfaction with pay level in Russia using the text mining approach. For this, a sentiment analysis framework was developed, which integrates Twitter mining tools and a sentiment index. Sentiments were extracted using Twitter mining and then recoded and substituted into the sentiment formula. The results of sentiment analysis indicate low satisfaction with levels of pay among Russians. Twitter was chosen as the object of research, as one of the most active and independent networks in Russia. It is possible that some of the tweets belong to authors who are not living in Russia at the moment, but their number is not significant and their interest in this issue, in the authors' opinion, only enhances the relevance of the problem under study.
The Influence of Governmental Support on Cyber-Security Adoption and Performance
Authors: Al-Sharhan Aleyah , Alsaber Ahmad , Al Khasham Yousef , Al Kandari Anwaar , Nafea Rania , Setiya Parul
Published: March 2024

The accelerated cyberattacks presents a severe challenge to the companies, as they seem unprepared to confront the threat of cyberattacks, they will suffer enormous losses and have their performance suffer as a result. To better serve its population and communities, Kuwait will have improved and updated its national infrastructure by 2035. This study examines how the governmental top management support, cyber security readiness, and technology readiness affect employee's organizational security adoption intentions in Kuwait governmental organizations and realization of its benefits. The quantitative method was employed in this work. The study found that top management support influencing organizational security performance mediating by cyber security readiness and technology, which affects the tangible and intangible benefits. This study can help policy makers in governmental organizations to improve cyber security adoption. The findings of this study may be utilized for enhancing the sustainability of cyber security in governmental organizations in Kuwait.
A Self-Determination Perspective of Digital Inclusion
Authors: Yue Lin , Cui Lili
Published: March 2024

Digital inclusion (DI) is acknowledged not just as a foundation for economic advancement, but also as a noteworthy catalyst for societal development. This will lead to the reduction of the digital gap. Nevertheless, the pursuit of achieving DI has not undergone substantial scholarly examination. Through an in-depth analysis of the highly successful TaoBao Village in rural China, we propose a procedural framework illustrating the evolution of digital inclusion. This investigation highlights that the realization of digital inclusion relies on a self-determination mechanism, progressing through three distinct phases. Each phase, in turn, consists of three steps: Establishing motivational drivers, facilitating IS capabilities and extend of digital inclusion. Thus, this article constructs and presents a comprehensive process model of digital inclusion that vividly portrays the implementation of these three pivotal steps to bridge the digital divide.
Mechanical Behavior and Void Analysis of 3D Printed PEEK by Fused Deposition Modeling (FDM) with Varying Infill Patterns
Authors: Abing Sherwin Leemark , de Yro Persia Ada N. , Aranez Shaun Angelo C.
Published: March 2024

Polyether ether ketone (PEEK) was printed via FDM using gyroid, line, and tri-hexagon infill patterns. Its effect on the mechanical behavior (tensile, flexural and compression) and the investigation of void percentage and orientation angles within the internal structure were studied. The line pattern showed the highest tensile strength at 55.46 MPa due to its internal structure with a higher number of deposited layers oriented along the direction of the stress enabling higher stress absorption, the laminate theory. The angular lines on both tri-hexagon and gyroid patterns provided disadvantage as supported by Timoshenko's theory where the internal structures acted like a beam which is prone to easier deformation. Line pattern also demonstrated the highest flexural strength at 103.67 MPa. The continuity of the pattern along the internal structure perpendicular to the direction of the force provided more effective transfer of stress. However, the highest compressive load was observed in gyroid pattern with 8,266.89 N. The redundancies in the internal structure design of gyroid pattern enabled more compression load absorption. Symmetry and internal angles in gyroid and tri-hexagon patterns allowed more compressive force which are more susceptible to fractures due to higher strains created. Lastly, void percentage showed line pattern with the lowest at 1.53%. In addition, the mean void orientation angle showed that the closer it is to 0o, the weaker the part.
A Computational Model of Custom 3D Printed Hand Orthosis
Authors: Avanzini Andrea , Baronio Gabriele , Signoroni Alberto
Published: March 2024

3D printed patient-specific hand orthoses can improve the efficiency of the treatment and the comfort of the patient, but since each customized orthosis is a virtually unique device, it is difficult to assess their mechanical response in the design phase, both experimentally and numerically. The Finite Element Method (FEM) could be used to predict the deformation of the orthosis under predetermined loads, but patient-specific models including interaction with the hand are still lacking. In the present work we present a computational model in which, starting from the scan data of the hand used to manufacture the orthosis, a FEM model of the hand is generated, including a skeletal structure. Hand bones positions and dimensions can be defined basing on simple anatomical measurements or literature data and the stiffness of the joints can be tuned in relation to patient pathology. The remaining hand volume consists of a soft tissue region, mimicking the non-linear mechanical behaviour of skin and muscles. Results show that both functional and structural indexes can be analyzed, such as contact pressures, stress state or the compliance of the orthosis, providing useful information for the design of custom devices. By using mesh deformation algorithms, the scan data could be used to generate different orthosis designs in target positions defined by the therapist and, taking advantage of a parametric model under development, the skeletal structure could be adapted correspondingly, providing an innovative pathway to investigate the response of the orthosis during the whole rehabilitation.
Kalman Filtering Applied to some Navigation Systems
Authors: Teodoro M. Filomena , Mota José , Pires João , Pires Tiago
Published: March 2024

The development of the technology in the last decades, and, considering the navigation and positioning systems, the appearance of the micro-electro-mechanical systems allowed solutions of positioning and navigation low-cost. Framing this analysis with the environment in which we find ourselves inserted, it was decided to use a Kalman filter that adapted to the recorded measurements of a sensor used on one of the ships of the Portuguese Navy: an anemometer. The anemometer’s function is to measure the direction and relative wind speed felt by the ship. This equipment directly affects the navigation of the ship, not only on a ship like the NRP Sagres, in terms of sailing, for which the knowledge of wind direction and speed is crucial, but for all ships, or when navigating in restricted waters, due to the sinking of the ship caused by the wind, or for a large number of operations, such as maneuvering of the vessel, flight operations, among others. As previously mentioned, this sensor, like many others, is subject to a series of interferences, causing errors, which are still due to possible operating and reading errors by the operator. The objective of this work is to filter the data obtained from measurements of the anemometer at NRP Sagres, with the purpose of reducing the previously mentioned errors. The results are promising and consistent, allowing us count with the expected reliable information.
The Progressive Collapse Behavior of Precast Floor-to-Floor Connections Using Longitudinal and Transverse Ties
Authors: Tohidi Mosleh , Janbey Alan , B-Jahromi Ali
Published: March 2024

This paper involves a fundamental study of a numerical method for progressive collapse resistance design of floor-to-floor joints in precast cross-wall structures. It presents a 3D numerical study of a floor-to-floor system with longitudinal and transverse ties. The model is also used to derive the post-bond behavior and the mechanism of forming catenary action concerning the bond behavior in precast cross-wall structures. The obtained results indicated the adequacy and applicability of the code specifications in British Standard, Euro Codes, and DoD 2013. Discrepancies in the tie-force between the numerical results and codified specifications have suggested an inappropriate use of the current TF method, hence, an improved model based on the numerical results has been proposed to address this concern. To the authors’ best knowledge, this is the first numerical study to investigate the behavior of floor-to-floor joints following the removal of wall support in typical precast cross-wall structures when considering bar fracture and pull-out failure mode..
Experiments of Failure and Damage in ITO-Coated PC/FPC with ACF Bonding due to Bending Fatigue
Authors: Lin Chao-Ming , Chu Chun-Yi
Published: March 2024

Anisotropic conductive film (ACF) is frequently used in the packaging manufacture for fine-pitch conductivity and interconnection, maintaining the electrical and mechanical connections between micro-electrodes. A key determinant of good conductivity is the deformation, fatigue, and breakage of conductive particles within the ACF packaging. This study aims to measure the resistance changes of specific conductive channels and observe the microscopic fatigue damage of compressed ACF conductive particles through the fabrication of Flex Printed Circuits (FPC) / Indium Tin Oxide-coated Polycarbonate (ITO-coated PC) specimens and the setup of bending experiments. The results show that the deformation, fatigue, and breakage of conductive particles will quantitatively affect electrical conductivity performance. By microscopically observing the breakage morphology of conductive particles before and after bending, it can be found that bending in the ACF packaging area further exacerbates the previously compressed and broken conductive particles, with cracks continuing to grow and shatter.
Printability and Mechanical Properties of PLA/Iron Composites for FDM 3D Printing
Authors: Doungkeaw Korbkaroon , Tungtrongpairoj Jennarong
Published: March 2024

Metal particle reinforcement plays an important role in the mechanical properties and printability of composite materials for FDM 3D-printing technology. PLA/Iron composite filament is widely used in many applications, such as magnetic and biomedical devices. This research aims to study the effect of iron particles on the printability and mechanical properties of PLA/Iron composite and compare it with another PLA composite of PLA/Stainless steel composite. The PLA/Iron (Fe) and PLA/Stainless steel (SS) composites were printed at different printing temperatures between 260-290 °C, printing speeds between 30-90 mm/s, and infill density of 100%. The max stress and elongation of printed PLA/Fe composite were higher than that of printed PLA/SS composite about 1.5 and 1.2 times. Moreover, the highest max stress of printed PLA/Fe composite specimens was 40.20 MPa at a printing temperature of 280 °C and printing speed of 60 mm/s. The optical microscope observed the homogeneous iron and stainless-steel particle distribution in PLA composite matrix and revealed the printed structure.
Designing Effective and Powerful Educational Videos by Applying Mayer's Principles of Multimedia Learning
Authors: Thwin E. P. A.
Published: March 2024

No abstract available
La video microanalisi nella terapia della coppia madre-bambino
Authors: Downing George
Published: March 2024

In occasione di un "incontro/confronto" organizzato dalla SIPRe a Milano il 21 febbraio 2009, George Downing ha illustrato il trattamento tramite video microanalisi di una coppia madre-bambina ricoverata nella clinica universitaria di Heidelberg. La madre, una donna abusata e gravemente traumatizzata durante la propria infanzia, rivela all'AAI di non avere elaborato la perdita traumatica di alcune importanti figure di riferimento e di andare incontro a fenomeni di micro dissociazione quando vengono evocate nel discorso. Nel video dell'interazione madre-figlia si notano con particolare rilievo la disfunzionalità del comportamento materno e le strategie di adattamento della figlia. Messa di fronte a questa evidenza, la madre comprende meglio le ragioni della difficile intesa fra loro e ha la sensazione di "aprire una specie di porta".
Il disturbo di conversione ieri e oggi: evoluzioni teoricocliniche di un "simbolo" psicoanalitico
Authors: Silvestri Maura
Published: March 2024

l'Autrice descrive le evoluzioni teorico-cliniche dei disturbi di conversione, assumendole come "simbolo" di un più ampio discorso che indirettamente permette di illuminare le profonde modificazioni intervenute negli ultimi anni nello sviluppo della nostra disciplina. Partendo dalle prime formulazioni di Freud, che si configurano come primo serio tentativo di spiegare "il misterioso salto dal mentale al fisico", l'autrice affronta poi il problema dell'inquadramento nosografico in ambito psicoanalitico e psichiatrico del processo "conversivo" con le relative aree di confusione terminologica che ancora oggi accompagnano l'uso di termini quali conversione, somatizzazione e disturbi psicosomatici. l'excursus storico si conclude con uno sguardo sul modo di concettualizzare i disturbi di conversione negli attuali orizzonti psicoanalitici, con particolare attenzione per la teoria del codice multiplo e per le profonde implicazioni del modello proposto dalla Bucci. La natura "enigmatica" e "densa" della tematica affrontata offre infine l'opportunità per una riflessione più generale sui cambiamenti avvenuti negli ultimi decenni nel modo stesso di approcciarsi all'antica e controversa problematica mente-corpo, e in particolare sulla tendenza attuale a superare la vecchia dicotomia e a considerarla, partendo da un vertice di osservazione sistemico, in un"ottica unitaria di mutua influenza circolare.
Addiction, dissociazione e inconscio non rimosso. Un contributo teorico secondo la prospettiva evolutivorelazionale
Authors: Craparo Giuseppe
Published: March 2024

Partendo dall'analisi teorico-clinica della dissociazione patologica implicata nelle addiction, l'autore propone una rilettura dei sintomi additivi (la compulsione ad assumere un qualsiasi oggetto-droga) alla luce della distinzione fra inconscio rimosso e inconscio non rimosso. l'ipotesi è che, in coloro che soffrono di una qualsiasi addiction (dal sesso, da internet, da sostanze psicotrope, dal cibo ecc.), la natura dissociativa dei loro comportamenti compulsivi sia associata ad un"alterazione dell'inconscio non rimosso a causa di esperienze relazionali traumatiche vissute sin dall'infanzia.
Il sogno, il gruppo e il Sè del gruppo
Authors: Cozzaglio Paolo
Published: March 2024

l'articolo prende in considerazione l'uso e il significato dei sogni in un"esperienza di gruppo psicoanalitico. La cornice interpretativa delle dinamiche di gruppo proposta da Renè KaÃ«s e la lettura del sogno in senso non personale elaborata da Carl Gustav Jung e Silvia Montefoschi sono i riferimenti usati dall'autore per comprendere il significato e le possibilità offerte dall'uso del sogno in un contesto gruppale. Si propone la tesi che la lettura collettiva (transpersonale e non personale) dell'esperienza onirica inconscia dei partecipanti faciliti la costituzione di un "Sè del gruppo", quale centro organizzatore dell'esperienza condivisa di gruppo, che permane come possibilità creativa nella psiche individuale anche al termine dell'esperienza gruppale. l'autore esamina diversi sogni elaborati dal gruppo per avvalorare questa ipotesi.
Editoriale
Authors: Lorenzini Alberto
Published: March 2024

Non disponibile.
Un"ipotesi sul Doppio nell'ottica della complessità
Authors: Spagnuolo Olga
Published: March 2024

Il tema del Doppio affonda le sue radici nella mitologia e nella filosofia antica e accompagna passaggi e mutamenti epistemologici fino al pensiero contemporaneo. La psicoanalisi, figlia di un"epistemologia positivista, pur essendosene occupata fin dalle origini, limitava il suo sguardo a una visione rigidamente monopersonale. Più di un secolo è passato e adesso possiamo tentare di accostarci al tema del doppio con uno sguardo che sia coerente con i modelli attuali. Alla luce della complessità i punti cardinali della psicoanalisi hanno subito degli aggiustamenti, mentre hanno assunto sempre più importanza e attualità le questioni relative all'identità e alla relazione, temi questi che ci conducono al centro del problema del doppio. In un"ottica che vede il soggetto d"esperienza al centro del suo mondo ed emergente dalle relazioni, questa figura può diventare la metafora del modo in cui noi entriamo in contatto, distinguiamo e conosciamo noi stessi e l'altro. Potrebbe cioè esprimere lo specifico modo che abbiamo per definire l'ambiente e definirci rispetto ad esso (interpretazione del mondo esterno e costruzione del mondo interno), in una condizione di perfetta reciprocità e senza soluzione di continuità.
l'età adulta: intervista a Duccio Demetrio
Authors: Demetrio Duccio
Published: March 2024

Dall'intervista a Duccio Demetrio emerge una concezione del life span, dove memorie e temporalità si sostanziano in "atti narrativi interni" che prendono forma attraverso la parola o la scrittura. Â«Il sedimentarsi progressivo dentro di noi delle esperienze di vita (..) edifica quel che siamoÂ» (Demetrio, 1996, p. 112), innescando una proprietà ricorsiva tra il soggetto che crea la sua storia e la storia che crea il soggetto. I contributi di Demetrio sono un elogio dell'autobiografia, intesa come "farmaco" e impresa curativa. In piena prospettiva costruttivista, si evidenziano le risorse di una narratologia personale che è fiction nella misura in cui la realtà della storia, nel momento in cui viene prodotta, cambia volto, assumendo le fattezza del presente e del proprio mito personale. Da qui si origina nel pensiero dell'au-tore una sorta di percorso in parallelo tra miti classici e miti individuali.
Lo "psicodramma" in seduta
Authors: Lorenzini Alberto
Published: March 2024

Scopo di questo articolo è dimostrare la vitalità e la generatività niente affatto scontate dell'approccio relazionale in psicoanalisi. Dopo avere toccato alcuni punti di riferimento attuali nello sviluppo di tale approccio - segnatamente il pensiero di Bromberg, Renik e Ferro - l'autore colloca se stesso all'interno dello stesso percorso con il proprio metodo dello "psicodramma" in seduta. Il taglio del lavoro è decisamente clinico e i casi di Maya e di High sono ampiamente descritti: il primo è un caso borderline che si è dimostrato refrattario a diversi precedenti approcci, mentre il secondo è un caso meno grave e tipicamente psicoanalitico.
Editoriale
Authors: Vanni Fabio
Published: March 2024

Inizia con questo numero di Ricerca Psicoanalitica un nuovo ciclo. Dopo 27 anni e tre direzioni un gruppo di soci ha assunto l'onere, ma anche l'onore, di condurre per un quadriennio quella che probabilmente è oggi la principale rivista dell'area psicoanalitica relazionale nel nostro paese e, crediamo di poter dire, un adelle più significative del mondo psicoterapeutico italiano. [â€¦]
Illuminarsi di ben-essere
Authors: Vincenti Enrico
Published: March 2024

Ho avuto modo di leggere il lavoro di Floriana Irtelli e di confrontarmi con lei, in occasione di un evento del centro SIPRe di Milano. [â€¦]
Psicoterapia psicoanalitica a misura di paziente. Alcune ipotesi per un modello possibile
Authors: Nicastro Marco
Published: March 2024

L'autore proprone in questo articolo un modello di psicoterapia ispirato da alcuni principi della psicoanalisi, ...
Comparison of Antimicrobials Used for Surgical Prophylaxis in Obstetrics and Gynecology Department of Ayurveda and Modern Medicine
Authors: Dawane Jayshree Shriram , Gune Prapti Hemant , Mohite Swati Surendra
Published: March 2024

Introduction:

Antimicrobial prophylaxis is essential during cesarean section since the risk of infection is high. Some complications are encountered during the surgery such as surgical site infections (SSIs), endometritis, and urinary tract infection. Different antimicrobial agents (AMAs) are used for prophylaxis in allopathy and Ayurveda. The present study was planned to find out the pattern of usage of antimicrobials in women undergoing cesarean section from both systems of medicine.

Methodology:

A prospective, observational, cross-sectional, unicentric, descriptive study was conducted during the period of June 2022 to September 2022. Women undergone lower segment cesarean section (LSCS) from allopathy and Ayurveda, department of gynecology and obstetrics were included in the study. Information about demographic details, antibiotic used with duration, number, generic or branded, details about wound healing and SSIs was recorded.

Results:

Cefuroxime and metronidazole were the most commonly prescribed AMAs. From the total participants, 44% were below the age of 25 years and 50% were primigravida. Thirty-four percentage women were undergone elective LSCS whereas 66% were emergency LSCS because of various indications. All the drugs were prescribed with band names. No SSI was observed in the patients of both systems of medicine. All the patients from the Ayurveda received the AMAs along with other Ayurvedic medicines.

Conclusion:

Preoperative prophylaxis was given to all the patients at the right time. No infection was observed in all the patients. However, compared with the duration of treatment, Ayurvedic patients received antimicrobials for longer duration which needs attention.
The Essentiality of Effective Anticancer Drugs in the Essential Medicines Lists: A Comparative Analysis
Authors: Rajesh Dasaraju , Sashidharan Nithin , Patil Bapugouda , Advaitha M. V.
Published: March 2024

Background:

Drugs for cancer management constitute a large part of essential medicine lists (EMLs) prepared by many countries globally. Here, we compared anticancer drugs suggested by the World Health Organization (WHO) as essential medicines and the extent to which Government of India (GOI) included them in the National list of essential medicines (NLEMs).

Aim:

The current study was carried out to reiterate the importance of effective alternatives listed in the WHO-EMLs to all the members of core committee under Ministry of Health and Family Welfare, GOI, and inclusion of cost-effective targeted anticancer drugs in the NLEMs at regular intervals.

Materials and Methods:

A descriptive, observational study was conducted to analyze the essential anticancer drugs included in the WHO-EMLs and NLEMs published during the period 2015–2023. A total of 7 EMLs (5 from WHO and 2 from India) were included in the study. The collected data were assessed for the number of cytotoxic drugs, targeted drugs, immunomodulators, and hormonal drugs recommended treating various types of cancers. Microsoft Office Excel 2007 was used for tabulation and analysis. Descriptive statistics were used for the analysis.

Results:

Compared with NLEMs, the WHO-EMLs included more number of cytotoxic drugs (33 vs. 29). Except for the year 2015, where more number of targeted anticancer drugs were designated as essential medicines by the GOI (6) compared to the WHO (4), subsequent EMLs from the WHO (2019–2023) included more targeted drugs (10 in 2019, 12 in 2021, and 2023 respectively). We also witnessed substantial increase in the number of immunomodulators and hormonal agents used for cancer management in the latest editions of WHO-EMLs (4,15) as compared to the NLEMs (2,8).

Conclusion:

Targeted anticancer drugs, including immunomodulators and hormonal agents, are more efficacious with high response rates compared to the conventional cytotoxic drugs. Efforts to include them in the Indian-EMLs must be enhanced to cope up with the pace of WHO-EMLs. Special emphasis must be given to the economical therapeutic substitutes such as dasatinib, included in the WHO-EMLs that are effective against resistant cancers.
Assessment of Knowledge, Attitude, and Practices on Genetic Research Data Reuse for Future Research: Clinical Trial Investigators Perspectives
Authors: Devarinti Revanasiddappa , Ganachari Madiwalayya Shivakantayya
Published: March 2024

Introduction:

According to the principle of good clinical practice, it is imperative that the personnel involved in the pharmaceutical or genetic research possess an educational background and comprehensive training. The clinical trial investigator must ensure the safeguard the privacy and confidentiality and prevent inadvertent reuse of research results of study participants.

Aim:

The objective of the current research is to assess the knowledge, attitude, and practices of clinical trial investigators concerning the reuse of genetic research data.

Settings and Design:

As a cross-sectional study, there was only one-time collection of knowledge, attitude, and practice on genetics and its data for future research from clinical trial investigators from the Tertiary Care Hospital and Clinical Research Centers in Belagavi Karnataka, India.

Subjects and Methods:

A study was conducted using validated knowledge, attitude, and practices questionnaire on the clinical trial investigators.

Statistical Analysis Used:

Data were analyzed using the SPSS software version 21one-way analysis of variance.

Results:

The present study was comprised n = 50 clinical trial investigators calculated by using the general formula for the calculation of sample size with a confidence of interval limit, of whom 64% exhibited awareness of genetic data reuse in clinical trials. Seventy-four percent of clinical trial investigators expressed concerns about confidentiality issues related to the reuse of genomic data.

Conclusions:

The lack of synchronized international conference on harmonization of technical requirements for pharmaceuticals for human use (ICH) guidelines directives concerning genomic sampling and data management in health-care research presents a formidable obstacle for pharmaceutical sponsors in achieving consistent and standardized genomic research samples and its data execution in pharmaceutical research on a global scale.
Career perceptions during the COVID-19 pandemic among undergraduate medical students and interns in South India
Authors: Joseph Nitin , Satapathy Akankhya , Singh Vaishnavi , Palia Ashima , Bansal Parth , Verma Ankita Kumari , Kushal Kondeti , Dondamuri Venkata Pavan
Published: March 2024

Introduction:

Choosing the appropriate medical specialty as a career is one of the greatest responsibilities of a medical student. This has become a greater challenge in the aftermath of the COVID-19 pandemic. This study aims to find out whether the COVID-19 pandemic has affected the career perceptions of medical students and interns and to find out the factors influencing them.

Materials and Methods:

This facility-based cross-sectional study was done among medical undergraduate students and interns aged ≥18 years at a private institution. Data were collected using a semi-structured Google Form. Participants were asked to select the first, second, and third preferences of their specialties of interest before and after the onset of the COVID-19 pandemic.

Results:

The most preferred specialty among participants after surgery and medicine was obstetrics and gynecology before and anatomy after the outbreak of the COVID-19 pandemic. Around 158 (35.2%) participants strongly agreed/agreed that the COVID-19 pandemic had affected their career choices. This was much more significant in participants who were aged ≥23 years, those not planning to go abroad for further studies or employment, local residents, and those currently studying their final year of MBBS. As many as 257 (57.3%) participants strongly disagreed/disagreed that the current online academic training was sufficient to pursue their desired career.

Conclusion:

Measures need to be taken to enhance the effectiveness of online teaching methods. Career-related counseling services are essential for medical students in the postpandemic era.

The following core competencies are addressed in this article: Practice-based learning and improvement, Systems-based practice, and Professionalism.
A prospective cohort study evaluating the TRISS and TRISS-SpO2 scoring systems for assessing mortality risk in trauma study participants in India
Authors: Vetri Rishwanth , Piramanayagam Dhanabalan , Ravi Preethy
Published: March 2024

Background:

Globally, trauma cases have significant morbidity and mortality. Hence, various scoring systems have been designed to improve the prognosis in trauma cases. Trauma and Injury Severity Score (TRISS) is one of the widely used models to predict mortality; however, it has certain limitation. We have aimed to evaluate the survival prediction of new model TRISS-oxygen saturation (SpO2) and to compare with original TRISS score in trauma study participants.

Methods:

This was a prospective cohort study conducted on 380 trauma study participants admitted to the surgery department from January 20, 2021, to November 28, 2021. The proposed model includes TRISS-SpO2 which replaces pulse SpO2 instead of revised trauma score in the original TRISS score. Probability of survival (Ps) was calculated for both models using coefficients derived from Walker–Duncan regression analysis analyzed from the Major Trauma Outcome Study. Receiver operating characteristic curve analysis was used to predict model performance and the accuracy was calculated.

Results:

The mortality rate in the present study was 30 (7.9%). The predictive accuracy of original TRISS score which calculated Ps based on respiratory rate was 97.11%, and for the proposed model of TRISS score which calculated Ps based on SpO2 was found 97.11%, and thus there is no significant difference in the performance.

Conclusions:

The new proposed model TRISS-SpO2 showed a good accuracy which is similar to original TRISS score. However, the new tool TRISS-SpO2 might be easier to use for robust performance in the clinical setting.
Comparison of McCoy, Macintosh, and Truview laryngoscope for bougie-aided naso-tracheal intubation: A randomized controlled study
Authors: Singh Neha , Mohanty Chitta Ranjan , Sahoo Sangeeta , Mund Manisha , Raju Roncall Bhim
Published: March 2024

Background:

Video laryngoscopes are commonly used along with Macintosh and McCoy laryngoscopes for Nasotracheal intubation (NTI). The purpose of this study was to evaluate the performance of McCoy, Macintosh, and Truview laryngoscopes during bougie-aided NTI with respect to intubation time, success rate, and hemodynamic changes during the procedure.

Methods:

Forty-five American Society of Anesthesiologists (ASA) I-II adult patients, with Mallampati grade 1–4, requiring NTI, were enrolled after taking written informed consent. ASA III/IV, restricted mouth opening, and body mass index >30 were excluded from the study. Patients were randomly allocated to intubate with one of the three laryngoscopes (McCoy, Macintosh, and Truview) and the anesthesiologists were well experienced with all of them. The primary outcome was intubation time and secondary outcomes included first attempt success rate, external laryngeal manipulation, Cormack–Lehane (CL) grade, and hemodynamic responses.

Results:

The intubation time of McCoy, Macintosh, and Truview, was 86.87 ± 15.92, 82.87 ± 16.46, and 79.93 ± 14.53 (mean ± standard deviation) seconds, respectively, which is comparable with Truview being the shortest. CL grade 1 was obtained more in the Truview group (53.3%) compared to the other two groups, while CL grade 3 was obtained in 20% each in McCoy and Macintosh groups.

Conclusions:

McCoy, Macintosh, and Truview laryngoscopes were comparable in performance during bougie-aided NTI, with Truview having the shortest intubation time and better visualization.
Comparison of percutaneous single-stage dilatational tracheostomy and surgical tracheostomy in critically ill patients: A randomized controlled trial
Authors: Katial Tanmay , Shree Soumya , Mishra Keshabanand , Mishra Shivanand , Mustajab Mohd Adil , Gupta Mohit
Published: March 2024

Background:

This study was done to compare single stage percutaneous dilation tracheostomy (PDT) and open surgical tracheostomy (ST) in critically ill patients.

Methods:

A randomized controlled study was conducted on 60 critically ill patients admitted in the intensive care unit (ICU). The patients were randomized into ST or PDT group with 30 in each group. The duration of procedure and associated perioperative/postoperative complications were noted and compared.

Results:

A total of 60 critically ill patients were included with 30 each in both groups. Compared to ST, PDT had significantly lesser mean duration of procedure (5 ± 1.64 vs. 21.33 ± 4.77 min, P < 0.0001) and comparable incidence of complications (3.33% vs. 20%, P = 0.103), which included 5–10 ml of bleeding (0% vs. 13.33%), cardiac arrest (0% vs. 3.33%), atrial fibrillation (3.33% vs. 0%), and tracheoesophageal fistula (0% vs. 3.33%).

Conclusion:

PDT performed in the ICU is a quick, safe, and reliable procedure with comparable complications to ST.
Influence of medications on fall risk assessment in maintenance hemodialysis patients: A cross-sectional study
Authors: Ismail Raghad M. , Thomas Dixon , Jagdale Rajaram
Published: March 2024

Background:

Multiple factors influence the fall risk in end-stage kidney disease. This study aims to investigate how medication factors influence the interpretation of fall risk due to age, gender, and years of dialysis treatment among patients undergoing hemodialysis (HD).

Methods:

A cross-sectional study was carried out in 2023 using the Johns Hopkins Fall Risk Assessment tool. Participants were recruited from the HD unit at a tertiary care academic medical center in Ajman, UAE. Data were analyzed between different ages, genders, and years on HD categories with or without medication factors.

Results:

Data were collected and analyzed for 44 patients. The fall risk of the study population assessed with the Kruskal–Wallis test showed no difference between different age groups (P = 0.43) but did show a significant difference when the score of medication factor was removed from the fall risk estimation (P = 0.002). A pairwise analysis showed fall risk score of the age group 46–60 years was differing from the age cohort >60 (P < 0.001). A positive moderate correlation (Spearman’s correlation coefficient 0.514 was found, with a P < 0.001) was seen with an increase in age and fall risk only when the medication factor was removed from the fall risk estimation. Results on gender or duration of dialysis were insignificant.

Conclusion:

Medication factors being a significant contributor to fall risk among the study population was found to mask the fall risk difference between age groups 46–60 years and >60 years. Such influence was not found for gender or duration of dialysis.
Explaining the Educational Needs of Iranian First-Time Parents for Adaptation to Parental Role: A Qualitative Study
Authors: Talebi Forough , Javadifar Nahid , Simbar Masoumeh , Dastoorpoor Maryam , Shahbazian Nahid , Abbaspoor Zahra
Published: March 2024

Background:

The transition to parenthood is one of the most challenging experiences in a couple’s life, which can be stressful and difficult. A positive transition period affects the quality of parents’ behavior and the baby’s health. This qualitative study aimed to explain the educational needs of adaptation to parental role among first-time parents in Iran.

Materials and Methods:

In this qualitative study, 25 participants from a variety of ethnic backgrounds were recruited in Ahvaz, Iran, using purposive sampling. In-depth interviews were used to collect the data which were analyzed by qualitative content analysis.

Results:

Three main categories emerged from the data analysis: “The need for knowledge improvement training,” “The need for psychological adaptation training,” and “The need for sociocultural adaptation training.”

Conclusions:

To adapt to the parental role, first-time parents should be equipped with the knowledge to turn the challenges of this period into an opportunity for growth. Moreover, they need to be supported by their family members, the healthcare team, and the government.
Opportunities and Challenges of E-learning for Nursing Students at the Beginning of the COVID-19 Pandemic in Iran: A Qualitative Content Analysis
Authors: Ghaedi-Heidari Fatemeh , Ghezelbash Sima , Heydarikhayat Nastaran , Shafiei Zahra
Published: March 2024

Background:

Given the limited presence of students in universities and the closure of educational centers, including nursing schools, during the COVID-19 outbreak, there has been a significant shift toward e-learning. However, there is a lack of research in this area. Therefore, this study aimed to explore the experiences of undergraduate nursing students with e-learning during the COVID-19 outbreak in 2020.

Materials and Methods:

This qualitative-descriptive study focused on 12 undergraduate nursing students from the School of Nursing and Midwifery at Isfahan University of Medical Sciences. The participants were selected using purposive sampling. In-depth and semi-structured interviews were conducted to collect the data. The collected data were analyzed using MAXQDA10 and conventional content analysis. The study was conducted between May and September 2020.

Results:

Analysis of the findings led to the emergence of 11 subcategories and two main categories: E-Learning opportunities and Challenges of E-Learning, providing a comprehensive description of the experiences reported by the participants.

Conclusions:

Unforeseen crises, such as the current COVID-19 pandemic, can significantly affect the quality of education by disrupting face-to-face learning. To mitigate such disruptions, it is crucial to plan and establish infrastructure that supports alternative modes of education, such as e-learning. Additionally, providing training to students and educators on effectively utilizing digital platforms and producing electronic content can help ensure a smoother transition during crises.
Social Health and Related Factors in Nurses: A Systematic Review and Meta-Analysis
Authors: Sharifi Khadijeh , Sooki Zahra , Tagharrobi Zahra , Ghanbari-Afra Leila
Published: March 2024

Background:

The present study was conducted to evaluate the level of social health and related factors in nurses.

Materials and Methods:

This systematic review and meta-analysis were done based on searching English and Persian articles published in PubMed, Scopus, Web of Science, Science Direct databases, Google Scholar, Scientific Information Database, Iranmedex, and Magiran from inception to January 2022. The mean (SD) of nurses’ social health scores, their various dimensions, and related factors were extracted from the retrieved articles. Data analysis was performed using Review Manager software, and p < 0.05 was considered significant.

Results:

A total of 36 studies were reviewed for systematic review and 34 studies for meta-analysis. The total mean (SD) of social health in 9281 nurses was 57.13 (6.82) (on a scale of 0–100) with a 95% confidence interval of 50.31–63.95. Social health of nurses showed a statistically significant relationship with some demographic–personal factors and occupational–organizational factors.

Conclusions:

The level of nurses’ social health was moderate which needs to be improved. To improve the performance of professional roles and the nursing care quality, it is necessary for healthcare system managers, especially nursing managers, to consider individual and organizational factors affecting nurses’ social health in planning and decision making and try to increase nurses’ social health. Some of the limitations of this study were that only reviewing quantitative cross-sectional studies and couldn’t combine words when searching in Iranian databases.
The Effect of Resiliency Training on Mental Health and Resilience of Pregnant Women with Unwanted Pregnancy: A Randomized Clinical Trial
Authors: Naderpour Marjan , Moradi Maryam , Moghani Sedigheh Shariat , Kimiaei Seyed Ali , Jamali Jamshid , Hashemian Masoumeh , Salarfard Mahla
Published: March 2024

Background:

Unwanted pregnancy has many negative consequences in terms of women’s physical and mental health. Resilience is a process of utilizing important resources to maintain mental health in the face of stress. In addition, resilience can be promoted through. This study was performed to evaluate the effect of resiliency training on the mental health and resilience of pregnant women with an unwanted pregnancy.

Materials and Methods:

This randomized clinical trial was conducted on 66 women in Sabzevar, Iran, in 2020 with unwanted pregnancies, mild or moderate mental health problems, and low resilience. The participants were randomly divided into two groups through a simple lottery. In the intervention group, resilience training was performed once a week in groups of 10-15 people in six training sessions, each lasting 60 to 90 minutes. Mental health and tolerability were measured using the 28-item General Health Questionnaire and the Connor-Davidson Resilience scale before the intervention, and immediately after and 1 month after the intervention.

Results:

The mean (SD) of mental health immediately 35.46 (5.59) and 1 month after the intervention 33.73 (3.85) in the intervention group (F = 91.23; p < 0.001) was reduced significantly compared to the control group (F = 94.02; p < 0.001). The results of the mean (SD) showed that the resilience training intervention significantly increased the resilience score in the intervention group 84.36 (8.49)(compared to the control group (49.13) 6.67)((p < 0.001).

Conclusions:

Resilience training was effective in promoting the mental health and resilience of pregnant women with unwanted pregnancies.