bluuebunny/crossref_metadata_2025 huggingface dataset:
To Evaluate Efficacy of Bajra husk and Moringa leaf Powder on Water Defluoridation – A Comparative Study
Authors: Havale Dr. Raghavendra , S.P Dr. Shrutha. , Prasad Dr. Vara , Raj Dr. Shiny , Quazi Dr. Nafiya , Aishwarya Dr. Bollavaram Golla , Revati Dr.
Published: November 2024

Introduction: AIM: To evaluate and compare efficacy of naturally available adsorbents Moringa oleifera and Bajra husk in reducing the fluoride content in the high fluoridated drinking water.Methodology: A community with high fluoride content in its water was selected and a sample was taken. The baseline fluoride level was determined using an ion selective electrode. Two naturally occurring adsorbents, powdered moringa leaf and bajra husk, were used. The husk and dried leaves were processed, sieved, and heated to 400 degrees Celsius for 30 minutes in a muffle furnace. The water sample was mixed with biochar and agitated for an hour at 500 rpm. Filter paper was used to filter the water sample and added TISAB. The fluoride content of the water sample was estimated using an ion selective electrode approach.Results: The highest removal of fluoride is significantly done by Moringa leaf biochar (23%) as compared to bajra husk (15%). when 2 grams of this biochar were added in 200ml of water sample separately.Conclusion: Drinking water defluoridation can be effectively achieved by using moringa leaves and bajra husk as adsorbents. On the other hand, Moring leaf powder proved to be more successful.
Knowledge, Attitude, Perceptions of Child’s Parents Towards Pulp Therapy of Primary Teeth: A Clinic Survey
Authors: Nandakumar Dr. S. , Rao Dr. V. Arun Prasad , Megalaa Dr.N. , Kavitha Dr. M. , Barathi Dr. K. Divya , Abinaya Dr. R.
Published: November 2024

Background: Primary teeth are vital for children's oral health, serving roles in chewing, speech development, and spacing for permanent teeth. This study assesses parents' knowledge, attitudes, and perceptions regarding pulp therapy for primary teeth in Puducherry.Methods: A cross-sectional study was conducted with 1000 parents of children under 13 years at Mahatma Gandhi Postgraduate Institute of Dental Sciences, Puducherry. A structured questionnaire collected data on demographics, knowledge, and attitudes toward primary teeth and pulp therapy. Data were analyzed using descriptive statistics and Chi-square tests, with a significance level of p < 0.05.Results: Among the participants, 68.3% were from urban areas and 31.7% from rural areas. Educated parents showed significantly higher awareness about primary teeth (72.4% vs. 39.0%, p = 0.001). Urban parents also demonstrated greater awareness compared to rural parents. Significant differences were observed in dental care practices, with educated and urban parents more likely to seek timely dental care and agree to necessary treatments.Conclusion: The study reveals a considerable knowledge gap among parents regarding the care of primary teeth, with educated and urban parents exhibiting better awareness and attitudes towards pulp therapy. These findings highlight the need for targeted educational interventions to improve parental knowledge and pediatric dental care.
The Integration of Robotics in Surgery: Advancements, Challenges, and Future Prospects
Authors: Pushpan Dr. Parag , S P Dr. Chinmaya
Published: November 2024

The integration of robotics in surgery marks a transformative advancement in modern medicine, offering unprecedented precision, control, and minimally invasive options. This paper explores the evolution of robotic-assisted surgical systems, from early prototypes to sophisticated platforms like the da Vinci Surgical System, which have redefined operative procedures across multiple specialties. By analyzing key advancements, including enhanced visualization, precise articulation, and AI-assisted decision-making, this study highlights how robotics improves surgical outcomes, reduces recovery times, and minimizes complications. Despite these benefits, the adoption of surgical robotics faces challenges, including high costs, steep learning curves for surgeons, and regulatory hurdles. Additionally, the ethical implications of robotic autonomy in critical medical procedures prompt ongoing debate. This paper also examines the future prospects of robotics in surgery, such as AI-driven diagnostics, remote surgeries, and potential full automation. Through a comprehensive review, this study seeks to provide a nuanced understanding of the impact of robotics on surgical practice and healthcare outcomes, offering insights into both the potential and limitations of robotic integration in surgery.
Effectiveness and User Satisfaction of Electronic Medical Records in Indonesia Private Hospital
Authors: Kurniawan Abdul Latif , Arini Merita
Published: November 2024

The implementation of Electronic Medical Records (EMRs) in hospitals offers numerous benefits, including enhanced healthcare quality and safety, improved access to information, increased healthcare professional productivity, and reduced healthcare costs. Despite these advantages, the effectiveness and user satisfaction of EMRs can be hindered by challenges such as high implementation costs, user resistance, and complex integration processes. This study aims to investigate the effectiveness and user satisfaction of EMRs in the inpatient room of Siti Khodijah Muhammadiyah Hospital Branch of Sepanjang. This study employed a cross-sectional approach using validated questionnaire. This survey involved 86 healthcare workers (HCWs) in November 2023. The Technology Acceptance Model (TAM) was applied to assess the effectiveness of EMR implementation, while the ServQual method measured user satisfaction. This study revealed that the relevance (P = 0.001) and accuracy (P = 0.001) of the EMR system are critical factors that significantly influence HCWs’ satisfaction. Users who found the EMR system relevant and accurate reported higher levels of satisfaction. However, aspects such as the timeliness (P = 0.404), completeness of data (P = 0.053) and support system (P = 0.670), while important, did not show a statistically significant impact on user satisfaction. Ensuring the relevance and accuracy of the system is essential to enhance user satisfaction. Practically, improving these aspects can lead to better HCW engagement with EMRs, and future research should explore strategies to address the non-significant factors for a comprehensive understanding of EMR effectiveness.
Assessing the Responsiveness of Inclusive Education Implementation in Kendari City, Indonesia: An Application of Potter's Theory
Authors: Agussalim Anggit Aulia , Hasniati
Published: November 2024

This study aims to analyze the responsiveness of inclusive education implementation in Kendari City using Potter's theory of responsiveness, which consists of five principles: access, choice, information, redress, and representation. A qualitative approach with a descriptive research design was employed to gain an in-depth understanding of the government's responsiveness to inclusive education. Data were collected through direct observations, in-depth interviews with relevant informants, and document studies. The data were then analyzed using Miles and Huberman's interactive analysis model. The findings indicate that despite progress at the junior high school level, there are still disparities in accessibility at the elementary school level. The lack of facilities, infrastructure, and trained Special Guidance Teachers (GPK) remains a major challenge. The choice principle is sufficiently fulfilled with policies allowing parents to choose inclusive schools, regular schools with special programs, or Special Schools (SLB). However, improvements are needed to ensure all inclusive schools provide quality services and equal access. Information dissemination about inclusive education has been carried out through various communication strategies, but gaps remain in reaching vulnerable groups. The redress indicator is fulfilled with complaint mechanisms provided by the government and schools, demonstrating responsiveness to the needs and concerns of the community. The representation indicator is not yet fully achieved, despite positive steps through the involvement of NGOs, disability organizations, and inter-agency collaboration. The responsiveness of inclusive education implementation in Kendari City still needs improvement. Continuous efforts are required to enhance accessibility, expand choices, improve information dissemination, strengthen complaint mechanisms, and encourage active participation of students with special needs and their parents in decision-making processes. Close collaboration between the government, schools, NGOs, and disability organizations is crucial for creating a more inclusive and responsive educational environment for all students.
Effects of Indoor Golf Simulator Users’ Participation Intention on Life Satisfaction: Focusing on the Mediating Effect of Self-Efficacy
Authors: Cho Kyung Hwan , Kang Austin , Jeung Yang-Hun
Published: November 2024

In investigating indoor virtual golf's impact on self-efficacy and life satisfaction, this study surveyed South Korean adults from March 1 to March 15, 2024. This study examined the motivational factors driving participation in indoor virtual golf and the subsequent effects on self-efficacy and life satisfaction. Data analysis showed that skill development significantly improved self-efficacy (β = .601, p < .001), while increased physical activity surprisingly showed a negative correlation (β = -.523, p < .001). Joyfulness was a strong positive predictor of life satisfaction ( β = 1.161, p < .001), suggesting that the enjoyment derived from playing indoor virtual golf could contribute to overall life contentment. Furthermore, self-efficacy fully mediated the relationship between the intention to participate in indoor virtual golf and life satisfaction, indicating the critical role of self-belief in enhancing personal well-being. This study concluded that the participation intention in indoor virtual golf significantly boosts individuals' confidence in their capabilities and overall satisfaction with life, emphasizing the importance of psychological factors in virtual sports activities, which suggests a focus on skill development and fostering joy to enhance participant satisfaction.
MREM-IUP - A MultiRegressor Based Ensemble Model for Assessing the Internet Addiction in Youth Using Physical and Behavioural Indicators
Authors: M Karthiga , Ramar Sureshraja , A Archudha , D N Kavya , Buchade Deepshree , Tripathy Asesh Kumar
Published: November 2024

The rising prevalence of internet use among adolescents has led to increased research on Problematic Internet Usage (PUI), a behavioral issue linked to negative impacts on mental and physical health. Existing assessment tools for PUI often lack precision, overlooking key factors like physical activity levels. This study proposes a Multi-Regressor Ensemble Model for Internet Usage Prediction (MREM-IUP) to predict PUI severity in adolescents by integrating physical activity data, demographics, and behavioral assessments. Using a rich dataset from the HealthyBrain Network, our model combines advanced machine learning algorithms—LightGBM, XGBoost, CatBoost, and TabNet—within a Voting Regressor to predict the Severity Impairment Index (SII). Our model achieved an optimized Quadratic Weighted Kappa (QWK) score of 0.92, indicating high accuracy in predicting PUI severity. Additionally, significant correlations were found between low physical activity levels and higher PUI scores, highlighting physical fitness as a potential protective factor. The proposed model offers a novel, data-driven approach to assessing PUI, with potential applications in developing targeted interventions that promote healthier online habits among youth.
Indicators of Bacterial Vaginosis: A Systematic Literature Review
Authors: Udjianto  , Noorhamdani  , Rahardjo Bambang , Zuhriyah Lilik
Published: November 2024

Bacterial Vaginosis (BV) is a common vaginal infection with a prevalence of 23-29%. Accurate diagnosis and appropriate treatment are important to prevent complications. Antibiotic treatment often faces recurrence and resistance. This study aims to identify and explore indicators of BV diagnosis based on scientific literature in relation to the use of probiotics in the management of Bacterial Vaginosis, providing a comprehensive understanding of the methods and criteria for BV diagnosis. Systematic literature review was conducted through a comprehensive search and 1405 articles were obtained from the Scopus and Web of Science databases (2019-2024). Articles were selected based on inclusion and exclusion criteria, assessed for quality using MMAT, and 27 articles were extracted using NVivo. Thematic analysis was conducted to identify indicators of BV diagnosis. Various indicators were used in the diagnosis of BV, including Amsel criteria, Nugent score, vaginal pH, clinical symptoms, pro-inflammatory cytokines, clue cells, predominance of anaerobic bacteria, increased specific pathogenic bacteria, decreased Lactobacillary grade, and increased exfoliation of vaginal epithelium. Amsel criteria and Nugent score are most commonly used. Findings highlight the importance of using validated indicators to improve the accuracy of BV diagnosis. The implication is the need for standardization and optimization of diagnosis by utilizing a combination of indicators. Standardization of diagnosis based on valid indicators can aid appropriate treatment and prevention of complications. This study contributes to a comprehensive review of BV diagnosis indicators. Standardization of indicators and development of more accurate and efficient diagnostic approaches can improve vaginal health and quality of life for women. Further research is needed to strengthen the findings and explore potential new biomarkers as well as the integration of multi-omics and machine learning approaches.
Legal Analysis of the Role of the Medical Committee in Settlement Medical Personnel
Authors: Firdaus Muhammad Fahri , Sa'hada Fidrya , Sutrisno Endang , Indraswari Sri Primawati
Published: November 2024

Introduction: As medical technology advances and public legal awareness increases, disputes between medical personnel and patients are coming to light more frequently, including allegations of malpractice, violations of medical standards, and hospital administrative issues. These disputes can potentially affect the quality of health services and public trust in medical institutions. The Medical Committee, as a body regulated by legislation, has an essential role in regulating and supervising medical practice and handling disputes objectively and professionally.Objectives: This study aims to analyze the role of the Medical Committee in resolving medical personnel disputes in Indonesia through a study of existing regulations and implementation practices.Methods: This study uses a normative juridical method to reveal how the Medical Committee performs its function in handling disputes and provides recommendations for system improvement.. Results: The findings show that medical audit, ethics, and professional discipline subcommittees are crucial in ensuring high standards of care and fair dispute resolution. Medical audits serve as internal evaluation and improvement tools and objective evidence in legal proceedings. The Ethics and Professional Discipline Subcommittee is responsible for enforcing professional standards and improving the quality of medical services through evaluation and discipline based on the principles of professionalism.Conclusions: This study underscores the critical role of the medical committee in navigating disputes involving medical personnel, emphasizing its function within the legal framework to mediate and ensure compliance with healthcare regulations. By facilitating resolution processes, the medical committee not only upholds professional standards but also fosters a supportive environment that balances legal obligations and the welfare of medical professionals. This approach contributes to a more effective, transparent, and fair dispute resolution system, promoting a cohesive healthcare environment.
Case Report: Diagnosing Ulcerative Colitis Retrogradely in a Young Indian Male Presenting with Anemia and Thrombocytosis with no Gastrointestinal Symptoms
Authors: Fellak Dr. Naima , Hussein Dr. Saleh
Published: November 2024

We report a rare case of a young Indian male diagnosed with ulcerative colitis (UC) retrogradely due to the presentation of anemia and thrombocytosis without any initial gastrointestinal (GI) complaints. This case emphasizes the importance of considering inflammatory bowel disease (IBD) in patients with unexplained hematologic abnormalities, even in the absence of GI symptoms.
First records of Anepsiocoris encaustus (Puton, 1869) in Cape Verde and Morocco (Heteroptera, Rhyparochromidae)
Authors: Baena Manuel , Pérez Gómez Álvaro
Published: November 2024

First records of Anepsiocoris encaustus (Puton, 1869) in Cape Verde and Morocco (Heteroptera, Rhyparochromidae)
Expansión de Zelus renardii Kolenati, 1857 en las islas Canarias (Hemiptera, Reduviidae)
Authors: Baena Manuel , Pérez-Gil Mónica
Published: November 2024

Expansion of Zelus renardii Kolenati, 1857 in the Canary Islands (Hemiptera, Reduviidae)
Hak Asasi Manusia, Permasalahan, dan Penyelesaiannya di Indonesia
Authors: Seri Mughni Sulubara
Published: November 2024

Hak Asasi Manusia adalah hak pokok atau hak dasar yang dibawa oleh manusia sejak lahir yang secara kodrat melekat pada setiap manusia dan tidak dapat di ganggu gugat karena merupakan anugerah Tuhan Yang Maha Esa. Permasalahan terkait dengan pelanggaran HAM dalam konteks penegakan hukum dan keamanan menjadi sorotan yang serius mulai dari kasus kejahatan pelanggaran HAM ringan maupun berat. Tujuan penelitian ini dilakukan adalah ingin mengetahui penyelesaian pelanggaran HAM dalam Undang-Undang Nomor: 39 tahun 1999 tentang Hak Asasi Manusia, Undang-undang Nomor: 26 Tahun 2000 tentang Pengadilan Hak Asasi Manusia dan hukum acara pidana. Metode penelian yang digunakan adalah deskriftif kualitatif yuridis normatif. Bahwa penyelesaian kasus pelanggaran HAM dalam hukum positif dilakukan dengan tahapan penyelidikan, penyidikan, penuntutan dan pemeriksaan di sidang pengadilan.
Fenomena Money Politic Pada Pemilihan Geusyik Desa Ujong Baroh Tahun 2019
Authors: Muksalmina
Published: November 2024

Pemilihan Geusyik menjadi salah satu agenda besar di tengah-tengah masyarakat, terutama masyarakat perkampungan. Tindakan suap-menyuap untuk memperoleh suara bukanlah hal baru dalam agenda tersebut. Karena pemikiran masyarakat yang menganggap bahwa ini hanya skala Geusyik, banyak individu yang menganggap hal ini kurang penting. Hak pilih yang tidak digunakan menjadi sasaran calon Geusyik untuk mendapatkan suara. Calon Geusyik memberikan uang kepada mereka agar mendapatkan suara dari masyarakat, terutama individu yang tidak ingin mencoblos. Penelitian ini mengamati fenomena yang terjadi di masyarakat mengenai politik uang. Tujuan penelitian ini adalah untuk melihat alasan masyarakat mengambil uang yang berasal dari calon Geusyik. Metode yang digunakan adalah metode kualitatif dengan teknik pengumpulan data menggunakan purposive sampling. Subjek penelitian adalah masyarakat Gampong Ujong Baroh yang menerima suap serta tidak ingin ikut serta dalam pemilihan pada awalnya. Penelitian ini menggunakan kacamata teori Alfred Schutz tentang fenomenologi. Hasil penelitian menunjukkan bahwa minat masyarakat untuk datang ke TPS dapat dibeli dengan uang. Hal ini disebabkan oleh kurangnya pengetahuan masyarakat tentang calon Geusyik sehingga mereka memilih untuk golput; jika tidak ada uang atau insentif untuk pergi, maka mereka tidak akan pergi. Masyarakat yang diberi uang merasa bahwa mereka akan mendapatkan keuntungan jika mengambil uang tersebut dan menggunakan hak suara yang mereka miliki, dengan demikian mereka secara tidak sadar telah melanggar peraturan perundang-undangan.
Exploring The Effect Of Interval Training On Fitness-Related Variables Of Kabaddi Players Across Multiple Surface Conditions
Authors:   NIILM University Kaithal India, Guggari Maharudrappa , Singh Balvinder ,   NIILM University Kaithal India
Published: November 2024

The primary objective of this research paper is to conduct an exhaustive examination of the effects that interval training has on performance-related fitness variables of Kabaddi participants in various surface conditions. Kabaddi is an action-packed, contact-based team sport that demands athletic and anaerobic prowess, agility, strength, and the ability to make sound judgments. Interval training, which is distinguished by its alternating phases of intense exertion and recuperation, has become acknowledged as a highly effective training approach across a range of sports. Nevertheless, there is a lack of comprehensive research on the precise impacts of various surface conditions and how they affect Kabaddi participants. By conducting a comprehensive literature review and synthesizing significant findings, this article illuminates the potential advantages and factors to be taken into account when implementing interval training for Kabaddi players
Improving Predective Accuracy In Vlsi Circut Design With Synthetic Data Generation
Authors:   Guru Teg Bahadur Institute of Technology, Khetarpal Vidisha
Published: November 2024

An essential component of promoting innovation and dependability in contemporary electronic systems is the pursuit of improved prediction accuracy in the field of very large-scale integration (VLSI) circuit design. However, the problem of inadequate data frequently arises in the traditional design routes, making it difficult to achieve the appropriate level of precision. To improve the accuracy of future machine learning models in activities like performance evaluation, design, and testing—where training data is typically known to be very limited— this work explores the use of diffusion models to generate false data for electrical circuits. To support our suggested diffusion model, we conduct simulations in the HSPICE design environment using 22nm CMOS technology nodes to get real-world training data that is typical of the situation. Our findings show that data generated artificially via diffusion model closely resembles genuine data. We confirm the accuracy of the produced data and show that data augmentation is definitely useful for digital circuit VLSI design prediction analysis.
Mathematical Formulation Of Modern Algebra Field Concepts
Authors:   NIILM University Kaithal India, Pooja Pooja , Jakhar Manjeet Singh ,   NIILM University Kaithal India
Published: November 2024

In modern algebra, the study of fields encompasses various mathematical notions that are foundational in algebraic structures. A field is a set that fulfils the following criteria, with the exception of the additive identity: closure, associativity, commutativity, existence of identity components, and invertibility. A robust framework that incorporates well-known number systems, such as complex, real, and rational numbers, is the result of these properties, according to the theory. Additionally, abstract algebra explores fields beyond the realm of numbers, such as finite fields. Furthermore, algebraic extensions of fields introduce concepts like algebraic closures and splitting fields, essential for understanding polynomial equations and Galois Theory. The study of fields thus provides a fundamental framework for investigating algebraic structures and their applications across various mathematical disciplines. Keywords: mathematical formulation, modern algebra.
The Indian Higher Education System's NEP 2020 A Framework Change Towards Research, Innovation And Entrepreneurish
Authors:   NIILM University Kaithal India, Rani Pooja , Rohitash Rohitash ,   NIILM University Kaithal India
Published: November 2024

With the goal of revolutionizing higher education in India, the National Education Policy (NEP) 2020 of the Indian Higher Education System marks a significant change in educational philosophy. In order to foster an environment of inquiry, creativity, and enterprise among academics, the NEP 2020 lays out a comprehensive framework with an emphasis on research, innovation, and entrepreneurship. This study evaluates the NEP 2020's research, innovation, and entrepreneurship provisions critically and assesses how they could affect the higher education sector. The article examines the logic for the NEP 2020's concentration on these areas and assesses the benefits, drawbacks, possibilities, and difficulties connected with their implementation through a detailed examination of the research, policy analysis, and case studies. This paper offers useful perspectives for policymakers, educators, researchers, and other stakeholders who are trying to navigate the changing Indian higher education landscape and take advantage of the transformative potential of this sector for national development. It does this by offering insights into the NEP 2020's objectives, strategies, and expected outcomes.
The Issues And Challenges of NEP (National Educational Policy) 2020 In Higher Education
Authors:   NIILM University Kaithal India, Ahmed Mohammed Ishaq
Published: November 2024

India's National Education Policy (NEP) 2020 aims to revolutionize higher education by fostering holistic development, flexible learning structures, and a strong research culture. However, challenges exist in implementing this ambitious vision. Issues like limited access due to social and economic barriers, along with a shortage of qualified faculty and resources, hinder the policy's reach. Additionally, concerns regarding the integration of technology in teaching methods and the feasibility of the multi-entry, multi- exit system require careful consideration. Effectively addressing these challenges will be crucial for the NEP 2020 to achieve its goals of creating a world-class higher education system in India.
Multi-modal Market Manipulation Detection in High-Frequency Trading Using Graph Neural Networks
Authors: Chen Yuexing , Li Maoxi , Shu Mengying , Bi Wenyu , Xia Siwei
Published: November 2024

This paper proposes a novel multi-modal graph neural network framework for detecting market manipulation in high-frequency trading environments. The framework integrates diverse data sources through sophisticated fusion mechanisms and employs attention-based graph neural networks to capture complex trading patterns. Our approach constructs dynamic trading networks that encode temporal and structural dependencies, enabling the detection of subtle manipulation strategies. The model architecture incorporates multiple attention layers for feature selection and cross-modal information fusion, achieving superior detection performance compared to traditional methods. Experimental results on real-world high-frequency trading data from major exchanges demonstrate the framework's effectiveness, reaching 98.7% accuracy in manipulation detection while maintaining low latency (8.3ms average processing time). The model exhibits robust performance across various market conditions and manipulation patterns, with precision and recall rates exceeding 97%. Through comprehensive case studies and interpretability analysis, we validate the framework's ability to identify and explain complex manipulation strategies while providing insights for regulatory compliance. The proposed approach advances state-of-the-art market surveillance technology, offering a scalable solution for real-time manipulation detection in modern financial markets.
New species and notes of the family Epicopeiidae from China (Lepidoptera, Epicopeiidae)
Authors: Yu Wen-Bo , Jiang Zhuo-Heng , Xiong Zi-Chun , Pan Yue , Hu Shao-Ji
Published: November 2024

In this study we describe a new species of the genus Mimaporia Wei & Yen, 2017, Mimaporia pura sp. nov., based on morphological differences with its allied species. We also report the female of Amana angulifera Walker, 1855 for the first time. The diagnostic features including genitalia, adult habitus, habitat and distribution are illustrated.
Sustainable development in the renovation of historical buildings: the example of the Panoffs' Mansion in Wuhan
Authors: LI Xinyu
Published: November 2024

This study examines the energy-efficient transformation of Panoffs’ Mansion in Wuhan, integrating sustainability into urban renewal while preserving historical integrity. Through a qualitative methodology, the research employs field observations, literature reviews, and case studies. It explores how adaptive reuse of heritage structures can meet contemporary energy standards and urban demands, balancing preservation with modernization. This approach illuminates the potential of sustainable practices in revitalizing historical buildings, promoting a model for low-carbon urban development.
Morpho-Physiological Adaptations of Drought-Resilient and Susceptible Brassica napus Genotypes to Sulphur-Coated Urea Fertilization
Authors: Ibtesam Zafar  , Nanak Khan  , Nasir Mehmood Khan  , Muhammad Khalid  , Muhammad Kashif  , Ghulam Mujtaba  , Khuram Waqas  , Saeeda Naz  , Muhammad Amaid Khan  , Haider Hayat Khan
Published: November 2024

This study focuses on screening drought-tolerant and sensitive genotypes of Brassica napus L. (an important oilseed crop in Pakistan) and investigates their morpho-physiological responses to sulphur-coated urea (SCU) under drought conditions. Genotypes were categorized into highly drought tolerant (HDT), moderately drought tolerant (MDT), and highly drought sensitive (HDS) through hierarchical cluster analysis. Out of 100 genotypes, 20 were HDT, 30 were MDT, and 50 were HDS. Three genotypes from each category were subjected to two drought levels (80% field capacity and 50% field capacity) and were treated with SCU, urea, or no nitrogen. Key parameters such as leaf relative water content, chlorophyll content, excised leaf water loss, and membrane stability index (MSI) were recorded. Drought-tolerant genotypes performed well in both germination and seedling stages, showing higher excised leaf water loss, relative water content, chlorophyll values, seed weight, and yield-related traits. Initially, five concentrations of PEG-6000 (5% to 25%) were tested to determine optimal levels for screening drought tolerance. Results showed that 25% PEG-6000 induced 50% drought injury index (DII), making it the most promising concentration. Various morpho-physiological traits such as germination rate, shoot/root length, fresh and dry weight, and drought tolerance indices were assessed. The study concluded that drought-tolerant genotypes responded positively to SCU application, making them suitable for cultivation in water-scarce regions of Pakistan.
prevalence and associated factors of abnormal cervical smears in women with abnormal vaginal discharge
Authors: Yasir Dr Unzila , Yusaf Dr Munazza , Shams Dr Iqra , Rehman Dr Farhat
Published: November 2024

Objective: to determine the prevalence of abnormal cervical smears and the features of women who report abnormal vaginal discharge that are associated with them. The study set out to evaluate the associations between abnormal cervical smears and factors such as age, parity, smoking status, partner's HPV status, and oral contraceptive pill (OCP) use history.
 
Methodology:Three age groups of participants were identified: 30–40 years old, 40–50 years old, and 50–60 years old. Information was gathered regarding parity, the partner's HPV status, smoking habits, and past OCP use. We obtained cervical smears and examined them for anomalies. After stratifying the data according to the previously described variables, statistical analysis was done to ascertain the significance of any correlations between these variables and the frequency of abnormal cervical smears.
 
Result:In 29.8% of the women, abnormal cervical smear results were discovered. All age groups (27.5% for 30–40 years, 26.8% for 40–50 years, and 33.8% for 50–60 years) and parity levels (30.3% for 1-3 pregnancies and 28.6% for 4-6 pregnancies) had comparable rates of abnormal smears. Nonetheless, a noteworthy correlation was discovered between a partner's HPV status and abnormal cervical smear results; specifically, abnormal smears were identified in 47.1% of women whose partners had HPV positive status, as opposed to 26% of women whose partners had HPV negative status (p=0.015). Regarding history of OCP use (p=0.171) and smoking status (p=0.643), no significant relationships were discovered.
 
Conclusion: Age, parity, smoking status, and history of OCP usage are not substantially correlated with abnormal cervical smears; however, the partner's HPV status is. This emphasizes how crucial it is to take a partner's HPV status into account when developing screening and preventative plans for cervical health. Additional investigation is required to examine the fundamental causes and create focused therapies aimed at lowering the incidence of cervical anomalies.
Audit, Transparency, and Future Directions for the Sehat Card Plus Program: Insights and Recommendations
Authors: Ali Ammad , Ali Dr Saad , Hidayat Dr Isra
Published: November 2024

The Sehat Card Plus program in Khyber Pakhtunkhwa (KP), Pakistan, launched to provide free healthcare services, has faced growing demand as it now extends from inpatient (IPD) to outpatient (OPD) services. Despite its transformative potential, the program struggles with transparency, resource allocation, and accountability issues that compromise service delivery and patient outcomes. This study critically examines the program’s operational challenges using data from various healthcare facilities across KP, highlighting significant shortages in medical equipment, inadequate fund distribution, and inefficiencies within the program’s administrative processes. Recommendations for stricter audit protocols and improvements in operational transparency are provided to enhance the program’s effectiveness
The outcome of uterovaginal prolapse prevalence in obese patients
Authors: Yousaf Dr ayesha , Andaleeb Dr saima , Roze Dr tahmina , Sultan Dr tabassum
Published: November 2024

Objective: to examine the frequency and contributing variables of uterovaginal prolapse (UVP) in obese women who arrive to a tertiary care hospital between the ages of 20 and 40.
Methods: From January 1, 2024, to December 31, 2024, a descriptive cross-sectional study was carried out at the Lady Reading Hospital in Peshawar. The study comprised 20–40-year-old obese women. Information was gathered on symptoms, parity, demographics, and other pertinent variables. In order to determine correlations between UVP and the relevant variables, statistical analysis was done.
Results: with the following averages: mean height of 1.563 ± 0.05 meters, mean weight of 78.305 ± 3.51 kg, mean age of 29.049 ± 2.34 years, and mean BMI of 32.078 ± 1.69 kg/m². Significant correlations were found between UVP and pelvic heaviness (36.7% in UVP vs. 5.7% without UVP, p=0.000) and pain during sexual activity (42.4% in UVP vs. 7.9% without UVP, p=0.000). UVP was substantially correlated with higher parity (>2 children) (50% vs. 16.9% for 0-2 children, p=0.000). While smoking status was not a significant effect (p=0.283), older age, marital status, and occupation were.
Conclusion: In obese women between the ages of 20 and 40, the study finds a strong correlation between UVP and a number of variables, such as parity, age, marital status, and occupation. Among those with UVP, symptoms such as pelvic heaviness and pain during sexual activity were more common. In order to enhance patient outcomes and quality of life, these findings highlight the significance of tailored prevention and care interventions for at-risk populations, especially those in older age groups and with higher parity.
Pathways to Equitable Digital Access: Bridging the Digital Divide in Australian Indigenous Communities through Transformative Information Technology Initiatives.
Authors: Sikder Abu Sayed , Ladman Cathy
Published: November 2024

This research delves into the multifaceted dimensions of the digital divide within Australian Indigenous communities, exploring their experiences, challenges, and aspirations related to information technology (IT). Through a qualitative approach comprising in-depth interviews and focus group discussions with 200 Indigenous participants, this study sought to comprehend the nuances of the digital divide, uncovering the diverse information needs and sources among Indigenous individuals. Participants highlighted various essential information requirements in their daily lives, spanning from weather updates to cultural knowledge, underscoring the significance of tailored information access. The research identified prevalent sources of information utilization, notably the internet and interpersonal connections, shedding light on the diverse avenues through which Indigenous communities seek information. Moreover, an examination of Indigenous students' educational outcomes and the Year 12 schooling equivalent rates between Indigenous and non-Indigenous populations provided insights into the educational disparities and underscored the need for inclusive interventions to address these gaps. Key insights from the research delineated critical themes, including limited technology access, low digital literacy levels, the importance of cultural relevance and language in digital content, community engagement, and the necessity for policy and funding support. These findings emphasize the imperative for targeted strategies, community-driven initiatives, and sustained investment to bridge the digital divide effectively. The problem statement underscores the urgent need for comprehensive efforts to mitigate the digital divide, highlighting its detrimental impact on educational opportunities, economic prospects, and the preservation of Indigenous cultures. Conclusively, this research advocates for inclusive and culturally sensitive IT initiatives, underlining the significance of infrastructure development, digital literacy programs, and the creation of culturally relevant digital content. Collaboration among stakeholders and sustained government support is pivotal in formulating policies and interventions that empower Indigenous communities, fostering their social, economic, and cultural well-being in the digital era
Transforming Takeaway Management: Enhancing Efficiency and Customer Experience through an Online Ordering System for Sydney's Takeaway Shops.
Authors: Sikder Abu Sayed , Anae Nicole
Published: November 2024

The integration of online ordering systems within Sydney's takeaway industry represents a significant transformation in the way takeaway shops operate and cater to customer needs. This research explores the profound impact of these systems on operational efficiency and customer experiences, aiming to address critical gaps in understanding the barriers to adoption, streamline operations, and enhance customer satisfaction. Sydney's diverse culinary landscape hosts an array of takeaway shops serving various cuisines. The introduction of online ordering systems has ushered in a new era, allowing customers to conveniently place orders from anywhere. Despite its potential advantages, some establishments exhibit hesitancy towards adopting these systems. This research aims to dissect the underlying reasons driving this reluctance, shedding light on financial constraints, technical limitations, and perceived lack of benefits as crucial barriers inhibiting widespread adoption among takeaway shops. Operational efficiency stands as a cornerstone for the success of takeaway businesses. While previous studies acknowledge the positive impact of online ordering systems on efficiency, they often lack detailed insights into specific operational facets. This study seeks to fill this void by meticulously examining the impact of these systems on order processing times, inventory management, and overall workflow enhancements within Sydney's takeaway industry. The objective is to provide a comprehensive understanding of how these systems optimize operational processes, enabling businesses to operate more effectively. Furthermore, customer experience remains a focal point of this research. Despite the convenience offered by online ordering systems, understanding customer satisfaction and loyalty concerning these platforms within Sydney's takeaway scene remains relatively unexplored. By analyzing customer preferences, ease of use, and satisfaction levels compared to traditional ordering methods, this study aims to unravel the factors influencing customer behavior. Insights gained from this analysis will contribute to a more holistic understanding of customer preferences and expectations, ultimately leading to strategies for improving customer satisfaction and loyalty. This research aims to bridge existing knowledge gaps and offer valuable insights into the multifaceted impacts of online ordering systems within Sydney's takeaway industry. It strives to inform takeaway shop owners, policymakers, and industry stakeholders, fostering informed decisions and strategies to navigate the evolving landscape of food service delivery.
Role of Nurse Patient Communication in Enhancing Patients Satisfaction
Authors: Islam Tanzina
Published: November 2024

Background: Effective nurse-patient communication is integral to patient satisfaction and optimal healthcare outcomes. However, its impact remains underexplored in the context of nursing education. Objective: This study aims to assess the role of nurse-patient communication in enhancing patient satisfaction among nursing students and its potential implications for future nursing practice. Method: A cross-sectional study was conducted with a sample of 50 nursing students (10 male, 40 female) from Banalata Nursing and Midwifery Institute. Data was collected through structured interviews with Yes/No questions regarding students' perspectives on communication strategies and their impact on patient satisfaction. The study took place from June 2023 to December 2023. Results: Of the 50 students, 92% (46) agreed that effective communication enhances patient satisfaction, while 8% (4) disagreed. Moreover, 88% (44) believed that communication skills training would improve their interactions with patients, leading to better patient outcomes. Statistical analysis revealed a significant positive correlation (r = 0.85, p < 0.01) between students' self-reported communication skills and perceived patient satisfaction. The majority, 80% (40), indicated a need for further training in communication strategies. Conclusions: This study highlights the importance of nurse-patient communication in enhancing patient satisfaction. Training nursing students in communication skills is crucial for improving healthcare delivery.
Factors Related to Self-Care Practice on Menstrual Hygiene Among the Adolescent School Girls
Authors: AKTER AKA
Published: November 2024

Background: Menstruation is a normal biological process, yet poor menstrual hygiene can lead to infections, health complications, and negative impacts on adolescent girls’ well-being. Objective: The study aimed to identify factors influencing self-care practices in menstrual hygiene among adolescent schoolgirls, focusing on knowledge, attitudes, and hygiene practices. Method: A descriptive correlational study was conducted at Haimchar Govt Girls High School in Chandpur. A purposive sample of 126 adolescent schoolgirls was assessed through structured interviews, evaluating socio-demographic characteristics, knowledge, attitudes, and self-care practices related to menstrual hygiene. Data were analyzed using SPSS version 26.0, and correlations were tested at a significance level of 0.05. Results: The study revealed that 55% of participants had moderate knowledge of menstrual hygiene (average score = 14.86). Attitude scores averaged 43.55, with 67% of participants falling into the lower attitude level. Self-care practice scores averaged 50.31, with 62% demonstrating moderate practice levels. A significant positive correlation (r = 0.467, p < 0.01) was found between attitudes and self-care practices, while a negative correlation (r = -0.474, p < 0.01) between knowledge and self-care practices indicated that better knowledge does not always translate to better hygiene practices. Conclusion: The findings suggest that promoting positive attitudes and enhancing knowledge through health education initiatives can improve menstrual hygiene practices. Collaboration between educators, healthcare professionals, and community leaders is essential.
Los celulares: ¿Enemigos de la comunidad educativa o aliados del aprendizaje?
Authors: López Coroy Kevyn Lester Francisco
Published: November 2024

OBJETIVO: identificar la percepción de los estudiantes, docentes y directores acerca de la prohibición del uso del celular en establecimientos educativos públicos de nivel medio de zona 12 y 21 de la ciudad capital de Guatemala. MÉTODO: para este artículo, el enfoque presentado fue cualitativo de alcance descriptivo, con una muestra de 203 estudiantes, 32 profesores y 2 directores de establecimientos educativos públicos. RESULTADOS: los estudiantes quieren usar el celular en todos los ámbitos de su vida, incluyendo el educativo, y cuando se les prohíbe les genera molestia, frustración y lo ven como un castigo, ya que los adolescentes están acostumbrados a usar el celular en todo momento. Los profesores explicaron que el celular no se debería de usar por el mal uso que los estudiantes le dan y están de acuerdo con la prohibición; pero muchos de los docentes están conscientes que prohibir el celular no ha sido funcional porque los estudiantes lo siguen llevando y usando en el establecimiento; de igual forma, los directores están conscientes de que usar el celular en los establecimientos educativos sería de beneficio y es un buen recurso; sin embargo, reconocen que los estudiantes no saben utilizar el celular para fines académicos. CONCLUSIÓN: tanto profesores como directores no están en contra de la tecnología ni del uso del celular dentro de las aulas porque están conscientes del buen recurso que es, sino que están en contra por el mal uso que los estudiantes le dan.
Factores que inciden en el aprendizaje de la Física en entornos virtuales: un análisis en estudiantes universitarios
Authors: Quijivix Jocol Walter Arturo
Published: November 2024

OBJETIVO: identificar los factores subyacentes que inciden en el aprendizaje de la Física en entornos virtuales en estudiantes del primer año de la carrera de Médico y Cirujano del Centro Universitario de Occidente de la cohorte 2023. MÉTODO: se utilizó el modelo cuantitativo, no experimental y transversal, identificando los factores subyacentes a través de un análisis factorial exploratorio con una muestra de 220 estudiantes asignados en el curso de Física, con un muestreo probabilístico simple, un nivel de confianza del 95% y un margen de error del 5%. RESULTADOS: los 7 factores identificados corresponden en un 63.62% a la carga acumulada factorial distribuidos positivamente en un potencial uso de las herramientas tecnológicas (16.41%), entornos virtuales debidamente organizados (12.27%), alta responsabilidad y autodisciplina por parte de los estudiantes (8.22%), una disponibilidad económica y de dispositivos, señal de Internet media (7.15%); como negativos una comunicación y colaboración medianamente efectiva (9.68%), dimensión de adicción, estrés y ansiedad alta (6.22%), aunado a que las experiencias de educación presencial no producen los mismos impactos  que los virtuales (3.56%). CONCLUSIÓN: Las herramientas tecnológicas favorecen la creación de conocimiento y permiten desarrollar entornos virtuales que impulsan la autogestión y responsabilidad de los estudiantes. Sin embargo, existen obstáculos como la deficiencia en la comunicación y colaboración, junto con posibles problemas de adicción, ansiedad y estrés debido al uso excesivo de la tecnología. Además, la experiencia virtual no logra replicar completamente el impacto de la enseñanza presencial.