bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effectiveness of Treadmill Training Alone Versus Treadmill Training with External Clues on Improving Gait and Functional Ability in Parkinson’s Patient
Authors: Ghafoor Faisal , Fatima Kanwal , Fawad Muhammad , Munawar Aisha , Baig Muhammad Jawwad , Ahmad Zunaira 
Published: November 2023

Parkinson's disease is a progressive neurological disease caused by degeneration of nerve cells in Substantia Nigra. It is characterized by postural instability, slowing of movement and tremor. Treadmill Training with Visual clues extensively used as an intervention to improve gait and Functional mobility. Objective: To compare the Treadmill training alone versus treadmill training with visual clues on improve gait and functional ability in Parkinson’s disease. Methods: It is assessor blind randomized controlled trial conducted in CMA Research and Teaching hospital, Lahore from 6th June 2022 to 6th January 2023.The sample size of 74 were divided into two groups. Group A received treadmill training session for 30 minutes while. The Group B received treadmill training with external clues like visual, auditory, etc. Each Participant received total 56 sessions for 28 weeks. The outcome measures was functional Activity measures with Wisconsin gait scale for Gait and Motor Aspects of Experiences of Daily Living (M-EDL) questionnaire. The Data were assessing at baseline by using these two scales. Results: The between groups comparison of post value showed that Group B showed a significant (<0.05) improvement in the (M-EDL) scale for the activities of daily living and significant (<0.05) improvement in the step length, stance width, hip hiking, pelvic rotation, external rotation, and toe clearance. Conclusions: It was concluded that the treadmill training with external clues is better as compared to the treadmill training alone for improving the gait and functional ability in the Parkinson patient.
Approaches and challenges in Public Health
Authors: Mehboob Riffat 
Published: November 2023

Public health is an essential field that plays a crucial role in safeguarding the well-being of communities and populations. However, it is faced with numerous approaches and challenges that require continuous efforts and adaptations. One of the key approaches in public health is prevention, which involves promoting healthy behaviors and implementing interventions to reduce the occurrence of diseases. Through education campaigns, vaccination programs, and early detection initiatives, public health professionals strive to minimize the burden of illnesses and enhance the overall health status of individuals. This proactive approach not only saves lives but also reduces healthcare costs in the long run.
Nevertheless, public health faces various challenges in its pursuit of improving community health. One of the prominent challenges is limited resources. Public health agencies often operate on tight budgets, making it difficult to implement comprehensive programs and interventions. Adequate funding is necessary to support research, surveillance systems, and the development of effective strategies. Without sufficient resources, public health efforts may be constrained, compromising their ability to respond to emerging health threats and address existing disparities.
Additionally, public health must navigate complex socio-political landscapes and overcome resistance to change. Health policies and interventions may face opposition from vested interests, misinformation, or skepticism, hindering progress in implementing evidence-based practices. Public health professionals need to communicate effectively, engage stakeholders, and build trust within communities to overcome these challenges. Collaboration with policymakers, advocacy groups, and the public is crucial to garner support and create an environment conducive to positive health outcomes.
In conclusion, approaches and challenges in public health go hand in hand. While prevention remains a fundamental approach, limited resources and societal barriers present significant hurdles. As we navigate the complexities of modern healthcare, it is imperative to invest in public health infrastructure, foster evidence-based decision-making, and promote partnerships to overcome these challenges. By doing so, we can ensure that public health continues to make strides in improving the well-being of individuals and communities, leading to healthier and happier societies overall.
Material Empathy in the Manufacture of a Multi-block Printed Wallcovering
Authors: Browne Victoria 
Published: November 2023

This paper reflects on the interconnection between studio and factory production as the merging and metamorphosis of my printmaking practice. Specifically, the ‘process of correspondence’ (Ingold, 2013) in the making of multi-block matrices prior to factory printing.
In 2020, Kunsthøgskolen i Oslo funded my artistic research, to embody ‘material empathy as the physicality of craft’ (Shales, 2017) in the manufacture of a multi-block printed wallcovering. How did first-hand knowledge of factory production impact my studio practice? What new insights into printmaking were revealed through the delimitations of manufacturing?
Modelling Airline Operations at Major Commercial Airports for Strategic Decision Support
Authors: Smith L. Douglas , Bilir Canser 
Published: November 2023

The authors discuss an integrated modelling approach for improving flight operations at major commercial airports. Statistical models, built with microdata from hundreds of thousands of flights, are embedded in a process-oriented discrete-event simulation model with two-dimensional geo-spatial characteristics and logical structures based on the concept of staged queues. With results from three application settings, the authors illustrate the wealth of information that this modelling framework can provide for collaborative planning of airport infrastructure and flight operations. Novels about this work are (1) the use of microdata to construct multivariate statistical models for delay propagation at the focal airport and their use to provide time-dependent and situation-dependent parameters for stochastic behaviour in the simulation model, (2) rigorous validation of the simulation model against historical performance, and (3) creation of an integrated analytical platform for strategic decision support.
Metals Toxicity Associated with Oxidative Stress and Altered Level of Antioxidants in the Pathogenesis of Alzheimer’s Disease
Authors: Yadav Jyoti , Verma Anoop K. , Singla Anu , R. K. Garg  
Published: November 2023

In this review, metals role in the production of oxidative stress and its association with the altered antioxidant levels have been focused in AD. We have found that metals accumulation is responsible for increased oxidative stress that induces a critical event in the pathogenesis of AD. These pathological changes might alter the antioxidant levels to attenuate free radicals in the body. Some nutritional supplement such as Vitamin E, vitamin C, and vitamin B12 may also have essential roles in the treatment of AD. Alzheimer’s disease is one of the most common forms of dementia in the elderly population. Altered levels of trace metals and heavy metals accumulation such as Iron, Copper, Zinc, Lead, Cadmium, and Mercury have been associated with oxidative stress production in Alzheimer’s disease (AD) pathogenesis. Metals accumulation is also associated with overproduced amyloid-beta may alter the level of antioxidants in AD patients. Dietary intake of essential antioxidants has been suggested to delay or prevent cognitive impairment by many studies.
Analisis Penerapan Sistem Pengendalian Internal Pada PT. SISFOMEDIKA Yogyakarta
Authors: Pur Dwiastuti Maria Magdalena , Sukmarani Wendri , Untara Untara , Chandra Yudi Irawan 
Published: November 2023

Pengendalian internal merupakan kegiatan yang penting dalam perusahaan, karena apabila terjadi pengelolaan yang kurang tepat akan menyebabkan kerugian yang besar untuk perusahaan. Untuk menghindari kemungkinan terjadinya penyimpangan maka diperlukan sistem pengendalian internal yang dapat membantu manajemen dalam melaksanakan kegiatan operasi perusahaan khususnya pada lingkungan pengendalian, penilaian risiko, kegiatan pengendalian, informasi dan komunikasi, dan pengawasan dalam aktivitas operasi yang dilakukan oleh pihak manajemen berdasarkan standar operasional prosedur perusahaan.Tujuan penelitian ini adalah untuk menganalisis bagaimana penerapan sistem pengendalian internal pada PT. SISFOMEDIKA Yogyakarta. Alat analisis menggunakan kerangka COSO, metode analisis menggunakan metode deskriptif kualitatif. Hasil penelitian menunjukkan bahwa PT.SISFOMEDIKA Yogyakarta sudah menerapkan sistem pengendalian internal dengan baik. secara keseluruhan baik dari aktivitas lingkungan pengendalian, penaksiran risiko, kegiatan pengendalian, informasi dan komunikasi, serta pengawasan telah dilaksanakan dengan baik. Sistem pengendalian internalnya sudah memadai dan berjalan dengan efektif dan efisien. Anggaran Dasar (AD) dan Anggaran Rumah Tangga (ART) yang ada pada PT.SISFOMEDIKA Yogyakarta dapat membantu manajemen dalam menyusun perencanaan yang efektif serta membantu proses pengendalian dan pengawasan atas penyimpangan perencanaan yang terjadi, seperti operasional yang tidak sesuai standar dan kesalahan prosedur kerja.
APLICAÇÃO DA MINERAÇÃO DE DADOS NA ANÁLISE DE SINISTROS DE TRÂNSITO ENVOLVENDO COLISÕES NO TRANSPORTE RODOVIÁRIO DE CARGAS NO PARANÁ
Authors: Cyganczuk Marilyn de Souza , Pinto José Simao de Paula , Bastos Jorge Tiago 
Published: November 2023

Introdução: O Brasil está entre os países com maior número de mortes por sinistros de trânsito do mundo. Considerando o cenário das rodovias federais brasileiras, os veículos de carga são o terceiro tipo de veículo mais comum envolvido. O objetivo desta pesquisa é testar técnicas de mineração de dados para a análise de dados de sinistros de trânsito, envolvendo colisões, bem como comparar padrões de sinistros encontrados na literatura envolvendo o transporte rodoviário de cargas com os padrões de sinistros ocorridos em rodovias federais do Paraná utilizando ferramentas de mineração de dados, a partir dos dados disponibilizados pela Polícia Rodoviária Federal (PRF), no período de 2017 a 2021. Método: Foi realizada uma comparação de algoritmos de mineração de dados, avaliando o desempenho de cada técnica de mineração e a comparação da literatura com sinistros no Paraná. Resultados: O estudo revela ser possível extrair fatores que influenciam nos sinistros de trânsito como os fatores da via e do ambiente, corroborando com os resultados encontrados na literatura. O algoritmo J48 se mostrou satisfatório no estudo. Conclusão: A contribuição desta pesquisa está na comparação dos padrões de sinistros de trânsito encontrados na literatura envolvendo o tipo de sinistro colisões e o transporte rodoviário de cargas com os padrões de sinistros ocorridos em rodovias federais do Paraná utilizando ferramentas de mineração de dados.
Internal control and its role in enhancing the credibility of financial reporting and transparency: an exploratory study of the opinions of a sample of auditors at the Northern Technical University
Authors: Sabir Shareef Anfal , Zuhair Younis May , Jabber  Al-sadia Hani 
Published: November 2023

This study aims to identify the correlation and effect between internal control (an independent variable) and its dimensions represented by (control environment, information and communication systems, control procedures, risk assessment, control) and transparency as a (dependent variable) through its dimensions represented by (trust and empowerment, Issue, Integrity, Participation) through a survey of the opinions of a sample of accountants and auditors at the Northern Technical University.
To achieve the goal of the study, a questionnaire was prepared and distributed in the researched organization as a random sample of ( ) individuals. The study relied on the descriptive analytical approach to answer the hypotheses of the study and reach the results.
The study concluded that internal control has a positive and significant impact on transparency, while the influence process extended to reflect the impact of each dimension of internal control on transparency.
The study recommended the need to work on continuous training for accountants and auditors to deepen their awareness of the importance of internal control in order to achieve transparency and conduct more studies to serve Iraqi organizations.
Twin Reversed Arterial Perfusion Sequence: A Case Report and Literature Review
Authors: John Dickson H.  , Ngeri B.  , Sapira-Ordu L.  , John A. D.  , Eli S.  , Mba A. G.  , Wekere Felix C. C.  , Tamunokoro T. N.  , Kpoobari Bema , Innocent Wadi , Kingdom Okah , Osoma S. C.  
Published: November 2023

Twin reversed arterial perfusion sequence (TRAPS) is one of the complications of monochorionic twin gestation. It is characterised by large intertwined arterial-arterial anastomosis in which blood flows from one twin (pump twin) to the other twin (perfused twin) in a retrograde pattern.
We report a case of monochorionic diamniotic twin gestation complicated by TRAPS in a 38-year-old G4P3 trader who was referred to the antenatal clinic of Rivers State University Teaching Hospital on account of unusual abdominal distension of one-week duration at 31 weeks gestational age. Ultrasound scan done at presentation showed a monochorionic diamniotic twin with the first twin in a transverse lie with an estimated foetal weight of 1.7kg, foetal heart rate of 150beats per minute, and Twin 2, had no foetal head, no cardiac pulsation with significant tissue swelling. A diagnosis of TRAPS was made for which she was admitted and delivered by emergency caesarean section. The pump twin was admitted into the Special Care Baby Unit (SCBU) and succumbed to cardiac failure 24 hours after delivery.
Monochorionic pregnancy complicated by TRAPS is associated with poor foetal outcomes. Early diagnosis and adequate management will enhance clinical outcomes. The diagnosis of TRAPS requires a high index of suspicion. Clinicians and radiologists need to be aware of the features in order to make prompt diagnosis and take appropriate action which may include early referral to the fetal medicine unit for appropriate intervention and improved outcome for the pump twin.
PROBIOTICS. USE OF THE L. RHAMNOSUS STRAIN IN NON-INFECTIOUS DISEASES OF THE GASTROINTESTINAL TRACT
Authors: Богданова Н.М. 
Published: November 2023

Пробиотики — это живые, апатогенные для человека бактерии, обладающие антагонистической активностью в отношении патогенных и условно-патогенных бактерий и обеспечивающие восстановление нормальной микробиоты. Не любому микроорганизму может быть присвоен статус «пробиотик», а только тем, которые считаются безопасными и соответствуют определенным критериям. Несмотря на то что большая часть пробиотиков представлена изолятами индигенной микробиоты, механизм их действия в бионишах человека не эквивалентен эндогенным микроорганизмам. Функциональные гастроинтестинальные расстройства (ФГИР) широко распространены среди детей любого возраста. Изменения в «паспорте» микробиома кишечника способны затронуть ключевые механизмы, связанные с симптомами ФГИР. Очень часто причины пищеварительного дискомфорта (абдоминальная боль, вздутие живота, метеоризм, флатуленция и диарея) связаны с непереносимостью лактозы (НЛ). Воспалительные заболевания кишечника (ВЗК) характеризуются двунаправленной взаимосвязью между дисбиозом кишечника, хроническим воспалением и прогрессированием заболевания. В настоящее время мало клинических научных исследований с высокой степенью доказательности, что прием штаммоспецифичных пробиотиков обеспечивает должный биопрофилактический и биотерапевтический эффект при неинфекционных заболеваниях пищеварительного тракта. Хотя присутствуют как экспериментальные, так и клинические работы, в которых показано, что назначение LGG может оказать положительный эффект при этих нарушениях.
Probiotics are living, apatogenic bacteria for humans that have antagonistic activity against pathogenic and conditionally pathogenic bacteria that ensure the restoration of normal microbiota. Not every microorganism can be assigned the status of “probiotic”, but only those that are considered safe and meet certain criteria. Despite the fact that most of the probiotics are represented by isolates of the indigenous microbiota, the mechanism of their action in human bionishes is not equivalent to endogenous microorganisms. Functional gastrointestinal disorders (FGID) are widespread among children of any age. Changes in the “passport” of the intestinal microbiome can aff ect the key mechanisms associated with the symptoms of FGIR. Very often, the causes of digestive discomfort (abdominal pain, bloating, fl atulence, fl atulence and diarrhea) are associated with lactose intolerance (NL). Infl ammatory bowel diseases (IBD) are characterized by bidirectional mutual.
Studi Literatur Penggunaan Gym Ball Pada Ibu Hamil Primigravida Untuk Mempercepat Durasi Persalinan
Authors: Rakizah Ice , Rahmawati Diyah Tepi , Kadarsih Mitra 
Published: November 2023

Melihat banyaknya kejadian persalinan lama dan dampaknya mortalitas dan morbiditas pada ibu dan janin, maka masalah ini dipandang perlu untuk diteliti. Dibutuhkan latihan mobilitas dari ibu untuk menjaga agar ligamen tetap longgar, rileks, bebas dari ketegangan dan lebih banyak ruang untuk bayi turun kepanggul sehingga lama waktu persalinan kala I dan kala II dapat diperpendek dengan melakukan senam/olah tubuh. Salah satu teknik yang dapat digunakan untuk mempercepat proses persalinan adalah menggunakan gym ball dengan gerakan pelvic rocking, squatting, bounching ball dan standing leaning on the ball. Tujuan rencana penelitian ini adalah untuk mengetahui efektifitas penggunaan gym ball terhadap penurunan kepala pada ibu hamil dan mempercepat durasi persalinan. Metode dalam penelitian ini berupa studi literatur. Dari beberapa kajian/telaah disampaikan bahwa terdapat perbedaan sebelum dan sesudah dilakukan latihan gym ball terhadap kemajuan persalinan ibu primigravida kala I fase aktif Hasil penelitian lainnya menyebutkan bahwa Pelvick Rocking Exercise dapat mempercepat kala I fase aktif persalinan pada ibu multigravida. Hal serupa sejalan dengan hasil penelitian yang juga menunjukkan bahwa teknik gym ball dengan pelvic rocking dapat mempercepat lama persalinan kala I fase aktif sebesar 52.61% dan dalam hal penurunan dan rotasi kepala janin pada awal fase aktif (dilatasi: 3-5 cm) dan kala II. Kesimpulan dan saran. Latihan dengan bola kelahiran (gymball) diyakini mampu memperkuat otot dasar panggul, meningkatkan diameter panggul, membantu turunnya janin ke panggul sehingga mampu mempercepat proses persalinan dan perlunya dilakukan penelitian lanjutan untuk hasil yang lebih optimal.
The Effect of Leadership and Teamwork on Employee Turnover and Team Performance
Authors: Putri Alin Rizkiani , Renwarin Joseph M.J. 
Published: November 2023

This study aims to investigate the influence of leadership and teamwork on team performance while exploring the potential effects of team turnover. Our methodology involved distributing questionnaires to 60 individuals who met our specific criteria. The data collected was analyzed using the advanced statistical analysis software SPSS 20.0. Our findings indicate that leadership and teamwork are crucial in team performance, with a significant impact observed. Additionally, our research indicates that team turnover does not affect team performance. For a company to achieve optimal success and productivity, it is imperative to thoroughly examine and analyze the influence of leadership and teamwork on team performance and turnover. By doing so, organizations can better understand the underlying factors contributing to these outcomes and make informed decisions to enhance team dynamics and drive positive results.
Zur Frage einer möglichen Umarbeitung der Mumienmaske Tutanchamuns
Authors: Eckmann Christian , Broschat Katja , Hardwick Tom 
Published: November 2023

This article addresses the question of the possible reuse of the mummy mask of Tutankhamun (Carter 256a). Recent publications have proposed that the mask was not originally made for Tutankhamun but was instead made for Ankhkheperure Neferneferuaten as co-regent with Akhenaten. As part of the preparations for Tutankhamun’s burial it was reworked to produce a likeness of its new owner. This process necessitated the replacement of the original sheet gold face with one depicting Tutankhamun’s features, and the erasure of Ankhkheperure Neferneferuaten’s name from the inscription on the left shoulder of the mask and its replacement with Tutankhamun’s.
Technological and scientific data derived from two of the authors’ intensive study of the mask in 2015 allow this hypothesis to be tested. This article discusses the basic manufacturing process for the mask and the technical requirements for a theoretical reworking of face and inscription; an excursus considers the textual merits of the purported “original” inscription set against those of the existing, purported “usurped” one. The authors conclude that there are no solid grounds to view the mask as having been altered from one owner to another.
Asignifying Semiotics as Proto-Theory of Singularity: Drawing is Not Writing and Architecture does Not Speak
Authors: Hauptmann Deborah , Radman Andrej 
Published: November 2023

We have recently witnessed a confession of a fellow architect with which we fully identify. We, too, belong to the generation educated under the semiotic regime, which – as we will argue in our introduction – has run its course. We also believe that the idea of ‘architecture as language’ might have been useful as an analytical tool but never as a design mechanism. After all, creativity comes first and routinisation follows. As the title of Footprint 14 suggests, this is a general plea to have done with the hegemony of the linguistic signifier. Signifying semiotics is but a fraction of a much broader asignifying semiotics. We propose to approach the issue qua Spinozist practice of ethology, defined as the study of capacities, or – as we would like to think of it – a proto-theory of singularity. This is as much an ethical or political problem as it is an aesthetic one. It concerns what the cultural critic Steven Shaviro recently qualified as a primordial form of sentience that is non-intentional, non-correlational, and anoetic. The Affective Turn will be measured against the unavoidable Digital Turn. We will conclude by reversing the famous Wittgensteinian dictum whereby what we cannot speak about we must not pass over in silence. A brief summary of contributions, which are by no means limited to architecture, is concluded with a politically charged epilogue. The very last paragraph of the epilogue reveals the pink-on-pink reference.