bluuebunny/crossref_metadata_2025_split huggingface dataset:
An Improvised External Ventricular Drain Fixation Technique to Avoid Pullout-Related Complications in a Low-Resource Setting: A Descriptive Cross-Sectional Study in a Single Center of Nepal
Authors: Bhandari Paawan Bahadur , Pahari Soumya , Baniya Purushottam , Yadav Stuti , Chowdhury Dhiman , Rahman Asifur 
Published: October 2024

BACKGROUND AND OBJECTIVES:
An external ventricular drain (EVD) placement is a commonly performed life-saving procedure. Its accidental pullout can occur in complex environments, patient care, and positioning, which leads to significant morbidity. The method of EVD fixation and pullout rates is sparsely described in the literature, and there exists a wide variation among the techniques practiced for fixation. However, some techniques require additional tools, which are expensive and unavailable in low-resource settings. We describe an improvised method of securely fixing the EVD to the scalp applicable in low-resources and describe the EVD pullout rate with the use of this technique.

METHODS:
A retrospective review of pullout-related complications in 107 consecutive patients was performed. The EVD was fixed to the scalp using an improvised technique to loop the catheter around a soft flange and secure it with sutures.

RESULTS:
Pullout occurred in 1 patient (0.93%), who was in an alcohol withdrawal state and deliberately pulled out the catheter. There were zero nondeliberate pullouts.

CONCLUSION:
EVD fixation by coiling the catheter around a soft flange has a low pullout rate. Because it is secure and requires only a flange, it is suitable for low-resource settings.
Human Immunodeficiency Virus - a Review of the clinical aspects and detection of the infection
Authors: Choinka Martyna , Konopka Agata , Wdowiak Natalia , Szczepaniak Zuzanna , Kalisiak Jakub , Szpernalowska Anna , Ivy Matshaba Vimbisoyashe , Mrugała Karolina 
Published: September 2024

Introduction: Currently, many people are infected with the human immunodeficiency virus (HIV). Transmission is primarily through sexual contact, with additional routes including mother-infant exposure to needles and needle sharing. Since the HIV/AIDS pandemic was first identified in 1981, more than 75 million people have been infected. Numerous new cases continue to be reported, and infection can become the starting point for the development of HIV. Clinical manifestations include acute retroviral syndrome, opportunistic infections, and dermatological, neuromuscular, and other complications. Despite advances in antiretroviral therapy (ART), challenges remain, including drug resistance, opportunistic infections, and persistent HIV reservoirs in some cell types. Early and accurate diagnosis is essential, and recommended testing protocols include fourth-generation serological tests and point-of-care (POC) testing. ART, which includes combinations of antiretroviral drugs, is the standard treatment, and ongoing research into gene therapy shows promise for the future.

Purpose of the work: The aim of this study is to review and characterize the clinical aspects and detection of human immunodeficiency virus infection.

Materials and methods: A comprehensive analysis of research papers available on PubMed, Google Scholar, Web of Science, Embase and Scopus was undertaken using the searchterms encompassing the following keywords: HIV, human immunodeficiency virus, ART, HIV manifestation, HIV detection, HIV diagnosis, HIV treatment.
PRE-BDC: Processo de Especificação de Banco de Dados em Sistemas Críticos
Authors: Yelisetty Sarasuaty , Marques Johnny , Dias Luiz Alberto Vieira 
Published: October 2024

O software de sistemas críticos em segurança, incluindo banco de dados, requer processos robustos de especificação, desenvolvimento, validação, verificação, gerenciamento de configuração e garantia de qualidade. A pesquisa reportada neste trabalho, em seu estágio atual, propõe a criação de um processo de especificação e validação de requisitos para bancos de dados em sistemas críticos. A metodologia utilizada envolve a condução de uma Re visão Sistemática da Literatura em processos de especificação de bancos de dados. Adicionalmente, inclui-se um diagrama do processo de especificação e validação de requisitos para bancos de dados em sistemas críticos que inclui a criação dos cenários de validação de requisitos. Espera-se que o processo possa ser utilizado por empresas desenvolvedoras de sistemas críticos e apresentará rastreabilidade para as necessidades regulatórias de alguns domínios selecionados como o aeronáutico, médico e ferroviário. Adicionalmente, o processo também permitirá uma construção organizada de bancos de dados orientados por requisitos, visando a mitigação de erros inseridos em sua construção e mecanismos de garantias desde a especificação até a integração com o software de aplicação.
European Trends in Local Public Administration: Adapting to Globalization
Authors: Florentina CRETU Raluca , DOBRE Florin , MONCEA Madalina , Octavian MANESCU Catalin 
Published: October 2024

The trend of globalization, accompanied by the dynamic development of social systems, places national states in a completely new position, in which institutions and administrative systems must be adapted. Any intervention in the field of public administration reform implies changes in major components, including central administration, local administration and public services. On the other hand, the development of democracy calls for the establishment of a new relationship between citizens and the administration, increasing and strengthening the role of local authorities and reconsidering the partnership with civil society. There are numerous reasons for the structural and functional modernization of the public administration in Romania, starting from the need for more efficient functioning of government institutions to the aspiration to become a member of the European Union. The present study aims to address these aspects, taking into account the impact of the reform measures at the public administration level that have been undertaken recently. Through the coherent and continuous development of the decentralization process in the next period, we will be able to witness the increase in the quality and efficiency of public services, and local administrations will respond to the demands of citizens and local development in an improved way.

Keywords: development, Europe, municipalities, public administration
Green Economy from a Regional Perspective – a Polish Case Study
Authors: Jędrzejczak-Gas Janina , Barska Anetta , Wyrwa Joanna , Nowak Leopold 
Published: October 2024

The article presents the elaboration and specification of the green economy concept, where resource scarcity, global climate change and environmental degradation are paving a new path towards sustainable development. The article addresses the issue of implementing the principles of green economy at the regional level. The implementation of a green economy at a regional level provides an excellent space for scientific deliberations. The aim of the research is to identify and assess the level of regional disparities in green economy development across Polish regions using a synthetic measure. The basis for the analysis was a set of substantively and statistically analyzed diagnostic variables from the years 2012-2022. The synthetic indicator of the green economy was calculated for every Polish region (NUTS 2) and the regions were ranked based on their score from highest to lowest. As a result of the analysis, the regional polarization and the ordering of regions in Poland in terms of the synthetic metric - green economy development - were discussed.

Keywords: green economy, green growth, sustainable development, taxonomic methods.
Investigating the Dynamics of Workforce Stability: The Influence of Perceived Employability on Career Resilience, Task Performance, Learning Agility and Employee Retention
Authors: Khalid Komal , Al Zahrani Mona Abdul Kareem 
Published: October 2024

The main purpose of this study is to analyze the complex interrelationships among perceived employability, employee task performance, employee retention, career resilience, and learning agility to cover this knowledge gap and provide HR practices and policies supported by evidence that can increase service sector development and contribute to Saudi Arabia's economic goals. The study used a cross-sectional quantitative design and conducted an online survey of employees in the service sector of Saudi Arabia. Snowball sampling was used during the data collection, and 403 usable responses were collected and utilized for data analysis. Data analysis techniques included descriptive statistics, Pearson correlation, and composite assessment analyses were conducted through SPSS 28. For hypothesis testing, the PLS-SEM model was used through SmartPLS4. R2adj, standardized root means square residual, Normed fit index, and Q2predict were used for model evaluation. The research findings highlighted the importance of perceived employability which is positively related to task performance and retention and show the need for organizations to train their employees so that they are characterized by career resilience and learning agility, which relate positively on their task performance and their retention within the Saudi service industry. Acquiring knowledge and understanding regarding these relationships is essential to develop targeted practices and policies to improve employee outcomes and elevate the organization's competitiveness in an economy undergoing rapid transformations. This study's findings provide practical implications regarding human resource management and organizational development strategies in Saudi Arabia that will support future research by enhancing perceived employability, building career resilience, developing employee task performance, improving learning agility, and ensuring a higher rate of employee retention, realizing the significance of each element in developing organizational goals and success.
Keywords: perceived employability, employee task performance, employee retention, career resilience, learning agility.
Sustainable Development and Renewable Energy Policies in the European Union: Transformations and Impacts
Authors: CIOBANU Ghenadie , Cristian VASILACHE Petruț , Roxana COSMA Maria , Maria CALIN Ana 
Published: October 2024

The development of renewable energies in the EU is essential for sustainable development and energy security, having a significant impact on labor markets. Strategies and policies target the EU's objectives and commitments, financial incentives, regulations, innovations, research, in line with labor market opportunities. Reconversion of the workforce and transition to renewable energies are needed, as well as reskilling from traditional industries to green energy sectors. and reducing dependence on fossil energy sources contributes to energy security in the EU. Our proposals emphasize the importance of renewable energies in the reduction of greenhouse gas emissions and the preservation of the environment, with a particular emphasis on the promotion of sustainable development. Ensuring energy security and sustainable development strategies necessitates multilateral cooperation in the development of renewable energies. To analyze the theme, we propose theoretical and practical approaches, correlating sustainable development theory, labor market theory and public policy theory, with practical applications in renewable energy sector strategies and policies and impact on labor markets.

Keywords: renewable energies, labor markets, sustainable development, financial incentives, multilateral security
Assessing the Role and Viability of Nuclear Power in Ukraine's Post-War Energy Strategy
Authors: Osadcha Natalia , Zaverbnyj Andrij 
Published: October 2024

Ukraine's nuclear power industry is partially under russian occupation, which poses a significant energy threat. This applies to both Ukraine and European countries. Nuclear power plants in Ukraine operate on imported uranium. The article analyses trends in the development of nuclear energy in the world and in Ukraine. The energy system of Ukraine depends on imported uranium. The article presents an assessment of the exhaustibility of uranium resource. Steps to improve the safety of nuclear energy are presented and the necessity of transition to green energy is substantiated. The problems of atomic energy of Ukraine in conditions of sustainable development are analysed.
Keywords: energy, uranium, resource exhaustibility, energy strategy, nuclear power plants
Formation and Sustainability in Historical Squares: An Analysis on The Example of Nicosia Historical Urban Texture
Authors: Turkan Zihni 
Published: October 2024

Squares, which are social meeting and community areas of societies, have shaped important public open spaces of settlements. Located in historical urban textures, such spaces are also a source reflecting the history of the city with the artefacts from their formation processes. The squares acquired their identity through surrounding formations from different periods in the history of Cyprus and have come to the present day with their active lives. Sarayönü, Selimiye and ?nönü squares in the walled city of Nicosia have developed from their first formation during the Lusignan period of the island up until Venetian, Ottoman, British, Republic of Cyprus. The historical squares, which completed their development relatively during the British period, have been damaged by multi-storey reinforced concrete buildings, which are controversial and incompatible with traditional architecture, added to their textures because of inadequacies in protection, especially after the mid-1970s, and their historical textures have lost their sustainability. This study aims to analyse the historical squares in Nicosia, which have been formed over a period of more than eight hundred years with cultural heritage works from different civilisations, and to reveal the damage caused to their identities by incompatible buildings added to their textures and the importance of sustainability in historical textures with protection.
Keywords: Square, sustainability, texture, Nicosia, historical
Circular Economy in Action: Examining the Decoupling of Economic Growth and Material Use across EU Countries
Authors: Huttmanová Emília , Chovancová Jana , Petruška Igor , Sallaku Karolina 
Published: October 2024

The circular economy (CE) is a transformative approach that not only preserves and reuses resources but also redefines how economic growth can be achieved in a more sustainable manner. The aim of the paper is to assess whether economic growth in EU countries can be decoupled from resource use through CE practices. Using data from Eurostat spanning 2010-2022, we analyze key indicators such as Raw material consumption (RMC), Gross domestic product (GDP) and Circular material use rate (MUR). We apply correlation analysis and decoupling analysis to assess the efficacy of CE practices in achieving sustainable economic growth. The results indicate significant variability among EU countries in their ability to decouple economic growth from resource consumption. Some countries demonstrated strong absolute decoupling, indicating successful CE integration, while others faced challenges with expansive negative decoupling. The study underscores the necessity for tailored strategies to enhance CE implementation across diverse economic contexts within the EU.

Keywords: decoupling, circular economy, raw material, circular material, GDP, EU countries
Human Morality and Sustainability: Insights from The Divine Comedy of Dante Alighieri
Authors: Whitmore Lawrence 
Published: October 2024

In this paper it is argued that the root cause of the environmental crisis is the moral condition of mankind. Over-indulgence, over-consumption and a desire for material wealth and possessions, far in excess of what is needed for survival and comfort, callous use of technology to overexploit the land and seas for profit, lack of diligence in addressing threats to the environment, and the tendency towards aggressive conflict, all contribute towards the decimation of natural eco-systems. Moral improvement is therefore considered as a possible pathway towards sustainability. The impact of human morality upon the environment is examined using the system of capital vices and virtues. Particular reference is given to The Divine Comedy of Dante Alighieri, which provides profound insight into the human condition. The capital vices are shown to play a significant part in the decline of the environment by driving mankind's overconsumption and overindulgence, while cultivation of the capital virtues is shown to provide a pathway of moral improvement allowing human beings to live responsibly and in greater harmony with the planet. Embracing these moral virtues can provide a necessary course correction for human beings today so that we can build upon the successes of our past and thrive as one species sharing the planet with other species and securing a sustainable future.

Keywords: morality, ethics, sustainable development, The Divine Comedy, moral philosophy.
Narratives Behind Climate Strategy in Finland
Authors: Havukainen Minna 
Published: October 2024

The 2015 Paris Agreement (PA) represents a profound change in global climate governance becoming a blueprint for other governance arenas. However, the varying success of reaching the national climate targets, unstable security, and growing right-wing populism poses a question of which direction the EU climate policy is moving after ten years of PA. The success of this agreement depends heavily on the effectiveness of national climate change policies wherein political parties have a critical role in developing these policies while also impacting public attitudes on climate change.
We use the case of Finnish climate strategy as a case of national climate strategy. We analyzed Finnish climate policy documents by using Ostrom’s IAD Framework and Multiple stream framework analysis to create the narratives behind the Finnish climate strategy. The Institutional Analysis and Development framework (IAD) is a conceptual tool that Ostrom and her colleagues developed to analyze and understand the complex interactions and dynamics within institutions that govern common-pool resources. Our research question is: What are the narratives behind the Finnish climate strategy?

Key words: Climate strategy, narrative, IAD framework, Multiple stream analysis framework
Effect of Rural Banditry on Food Security and Poverty Reduction in Nigeria
Authors: Nwankpa Nneka 
Published: October 2024

This research investigates how rural banditry hinders sustainable food security and poverty reductions in Nigeria. The Food and Agricultural Organisation, the International Monetary Fund, the National Bureau of Statistics, the United Nations Development Programme, scholarly journals, and field surveys were the sources from which the data were gathered. Three hundred questionnaires were administered to farmers in six states via Plateau, Nassarawa, Kaduna, Benue, Oyo and Niger, in addition to a focused group discussion with selected farmers in each of the study areas. Data collected were analyzed using descriptive and inferential statistics. Findings show that unemployment, poverty, poor governance, inadequate infrastructure, insufficient security measures and lack of effective institutional coordination, create a network of individuals who support or engage in banditry; farmers experienced disruptions in farming activities, psychological distresses and loss of livestock. Among the socio-economic impacts of banditry include: loss of income and economic opportunities, displacement and migration of the rural population, reduced productivity and infrastructural degradation. These led to food shortages, hikes in food prices, malnutrition and increased poverty level in Nigeria. This study emphasizes the urgent need by the federal and state governments to tackle the problems of unemployment and poverty; develop infrastructure; increase security expenditure; and implement targeted rural development policies. These solutions will curb rural banditry, ensure food security and reduce poverty in Nigeria.

Keywords: Rural Banditry, food security, poverty reduction, food production, development policies, farmers.
Exploring Ethical and Emotional Dimensions of Customer Value in Financial Services through Employee-Customer Dynamics
Authors: Charni Hanen , Yusuf Nadia , Ahmed Manzar 
Published: October 2024

This study focuses on exploring the ethical and emotional dimensions of customer perceived value (CPV) in financial services. This area is crucial to understanding customer dynamics within the finances sector, yet it remains underexplored in existing literature. Utilizing a quantitative analysis of 652 customer surveys from Canadian financial institutions, this research employs SmartPLS3 for structural equation modeling to ascertain the impacts of frontline employee job satisfaction on customer's ethical and emotional perceptions as well as their overall CPV. The data analysis reveals that customer-perceived employee job satisfaction positively affects CPV by significantly influencing ethical and emotional benefits. Although ethical benefits alone do not directly impact loyalty or word-of-mouth (WOM) recommendations, their influence is significant when mediated through CPV, with emotional benefits directly amplifying WOM and indirectly boosting loyalty. Correspondingly, the results highlight the importance of employee-centric policies and their direct correlation to customer loyalty and satisfaction. As such, this study contributes to the body of knowledge by linking employee satisfaction with ethical and emotional customer benefits, suggesting a reevaluation of business practices to integrate these dimensions for enhanced customer value creation. Future research is encouraged to explore these dynamics across varied contexts to expound upon these relationships' applicability and robustness. Our inquiry into the subject concludes by highlighting the strategic importance of fostering employee satisfaction when seeking to elevate CPV and achieve enduring customer loyalty.
Keywords: Customer Perceived Value, Customer Loyalty, Employee-Customer Interactions, Employee Satisfaction, Financial Services
The impact of Sustainability Practices on Healthcare Institutions: Evidence from Public Healthcare Institutions in Saudi Arabia
Authors: Kilase Ajoud Mohamed Eid , Hassan Ibrahim Ahmed Ibrahim 
Published: October 2024

This article aims to investigate sustainable development practices in hospitals, for three primary reasons: preserving the surrounding environment, impacting sustainability through service provision, and ensuring a safe and environmentally friendly atmosphere. The study addresses the gap in understanding the dimensions and implementation of green practices, offering insights into the green hospitals model. The study figured out eight practices that reflected sustainability activities in the Saudi public hospitals, with their significant impact on sustainable development. The study used descriptive methodology with quantitative technique to collect data pertaining to the impact of green practices on sustainable development in the Saudi public hospitals. A questionnaire survey with valid responses was distributed to 118 members working in the hospitals as (doctors, nurses, and administrators) in April 2024. The PLS-SEM statistical method was used for data analysis. The results of this study revealed a positive relationship between four green transition practices and Sustainable development.
Keywords: Green practices in hospitals, sustainability, Sustainable development, public hospitals, healthcare institutions