bluuebunny/crossref_metadata_2025_split huggingface dataset:
First Analysis of In Situ Observation of Surface Alfvén Waves in an ICME Flux Rope
Authors: Raghav Anil , Dhamane Omkar , Shaikh Zubair , Azmi Naba , Manjrekar Ankita , Panchal Utsav , Ghag Kalpesh , Telloni Daniele , D’Amicis Raffaella , Tari Prathmesh , Gurav Akshata 
Published: March 2023

Abstract
Alfvén waves (AWs) are ubiquitous in space and astrophysical plasma. Their crucial role in various physical processes has triggered intense research in solar–terrestrial physics. Simulation studies have proposed the generation of AWs along the surface of a cylindrical flux rope, referred to as surface AWs (SAWs); however, the observational verification of this distinct wave has been elusive to date. We report the first in situ observation of SAWs in a flux rope of an interplanetary coronal mass ejection. We apply the Walén test to identify them. We have used Elsässer variables to estimate the characteristics of SAWs. They may be excited by the movement of the flux rope’s footpoints or by instabilities along the boundaries of the plasma magnetic cloud. Here, the change in plasma density or field strength in the surface-aligned magnetic field may trigger SAWs.
Pilot Testing of Virtual Simulation-Based Experiences in an Oncology Nursing Seminar
Authors: Burrell Sherry A. , Ross Jennifer Gunberg , Keil Kelly M. , Heverly MaryAnn 
Published: March 2023

Background:
The coronavirus disease 19 (COVID-19) pandemic challenged nurse educators to develop teaching strategies to engage students in a virtual classroom. This pilot study examined the effect of virtually delivered video-recorded (VDVR) simulation-based experiences (SBEs) with standardized participants on the management of clinical emergencies in patients and families affected by cancer on nursing student learning outcomes.

Method:
A pre- and posttest, one-group, convergent mixed-methods design with questionnaire variant was used. Data were collected before and after SBEs.

Results:
Nineteen senior baccalaureate nursing students participated in this pilot study. The VDVR SBEs resulted in a significant increase in self-perceived competence. Participants had positive perceptions about the use of VDVR SBEs as a teaching strategy. Qualitative themes included realism, critical analysis, and preference for hands-on learning.

Conclusion:

The VDVR SBEs were well-received by prelicensure nursing students as a supplemental teaching strategy to enhance self-perceived competence. Additional research is needed about the effects of VDVR SBEs on learning outcomes.

[
J Nurs Educ
. 2023;62(3):167–170.]
Cabenuva: A breakthrough in HIV/AIDS treatment
Authors: Duaa Zafar  
Published: March 2023

Madam, HIV (human immunodeficiency virus) and AIDS (acquired immunodeficiency syndrome) persist as risks to public health despite rigorous efforts to control the crisis. Pakistan, as a low-income country, experiences a greater incidence of new HIV cases, a significant public health concern.1 Only 14% of people living with HIV/AIDS are aware of their status, with a mere 10% undergoing treatment while statistics on viral suppression are absent.1 Predictably, the country is falling behind in achieving its 90-90-90 target set by the Joint United Nations Programme on AIDS/HIV (UNAIDS).1
In January 2021, Cabenuva received the U.S. Food and Drug Administration (FDA) approval (cabotegravir and rilpivirine, extended-release formulations) to be administered monthly for the management of HIV-1 infection in adults on consistent antiretroviral therapy (ART) and are virologically suppressed, making it the first of its kind.2 Vocabria (Cabotegravir) and Edurant (rilpivirine) tablet dosage forms were also approved by the FDA to be taken once a month for tolerability before switching to the intravenous drug.2
The results of the two randomized, open-label control trials- ATLAS and FLAIR, demonstrate that the monthly cabenuva effectively maintains HIV-1 suppression in patients when compared to oral ART.3 Moreover, the eight-week cabenuva regimen has the same outcome as the four-week one, according to the ATLAS trial.3 Thus, the injectable treatment decreases the need for regular ingestion while increasing compliance and may help patients with HIV-associated stigma.3 Additionally, it is more likely to reduce toxic adverse effects and resistance linked with poor oral abidance, a promising option to control HIV infection.3
The global burden of the COVID-19 pandemic has exhausted resources allocated for HIV prevention, testing and access to ARTs, as well as long-term HIV management and mental health.4 It is paramount that we find innovative ways to tackle the HIV epidemic in Pakistan. One way we can do so is by introducing cabenuva as a treatment option and a substitute for oral ART. The drug can encourage more people to get and stay on treatment, as a once-a-month routine is preferable to multiple daily tablets. Secondly, it may decrease anxiety and depression linked with daily consumption to improve the quality of life for those living with HIV/AIDS. Indeed, this regimen may assist in combating the high dropout rates from previous treatments and offer more choices to patients so that Pakistan achieves its UNAIDS goal by 2030.
Malaria prevention using antibodies: A promising approach to passive protection
Authors: Qureshi Muhammad Qasim , Muhammad Khawer  , Muneeb ur Rehman  
Published: March 2023

Madam, malaria is a parasitic infection that is one of the leading causes of death in developing countries like Pakistan. According to WHO, an estimated 241 million malaria cases were reported in 2020 (1). Vaccines have been developed to prevent malaria but with limited efficacy.
Using next-generation antibodies can be a possible option to reduce malarial infection. Recently, a phase 1 trial conducted by NIAID at the National Institute of Health (NIH), USA, clinical centre has reported promising results with using intravenous and subcutaneous antibodies for malaria prophylaxis in healthy adults(2).
Chemoprophylaxis drugs like chloroquine, mefloquine, and atovaquone/proguanil has been used for malaria in Pakistan, but it has led to the generation of drug-resistant strains(3). WHO approved a subunit vaccine for children in 2021 but it has limited efficacy and risk of severe side effects(4). Considering these aspects, the using monoclonal antibodies may be a practical step toward decreasing the number of malaria cases. The trial demonstrated that using antibodies in adults who had not had malaria or vaccinated previously was associated with substantial passive immunity. The immunity was tested after exposing the participants to controlled human malaria infection. Parasitemia, as determined by PCR, developed in all 6 participants from the control group, while only two out of 17 participants from the intervention group showed parasitemia (2).
Pakistan reports malaria cases throughout the year, with most cases occurring in the summer (5). Using malaria antibodies can help advance protection in countries like Pakistan with seasonal transmission. Although, the economic cost of using this intervention must be considered especially for developing countries.
Sistem Penjaminan Mutu Perpustakaan Institut Agama Islam Nasional Laa Roiba
Authors: Suryana Agus , Qowaid Qowaid , Feviasari Heni 
Published: March 2023

The university library is an information center for students and lecturers in the academic community. In carrying out its role in providing services to users, libraries must be able to develop and improve the quality of libraries for users. To find out how far the library is going well or not, the library must evaluate it by analyzing the quality of the library using the SWOT method. This method can find out how big the role of the library in improving quality. This quality improvement plays a very important role for the library. So that the realization of a quality and standardized library in accordance with the standards of a university library. SWOT analysis includes internal and external factors which can measure the progress and age of a library. This study maps the external environmental factors and the library's internal environment, where the external factors in question are threats or opportunities that can be obtained by the current library for the development process. In addition, internal factors are the strengths and weaknesses of the library. Based on the SWOT matrix, internal strength factors have a high point with a value of 4 which is very good, for weaknesses it has a value of 3 which is good and external factors opportunity has a value of 4 which is very good and threats have a value of 3 which is good, thus it can be seen SWOT position in the growth quadrant on the internal factor rating of 3.5 and the growth quadrant position on the external factor rating of 3.5.
Keywords: Quality Assurance, SWOT, Library, Quality
ÜNİVERSİTE BİRİM LOGOLARININ GÖRSEL KİMLİK BAĞLAMINDA DEĞERLENDİRİLMESİ
Authors: KARAGÖL Ramazan 
Published: March 2023

Bilginin hızlı bir yayılım ağına sahip olduğu günümüzde kurumlar için markalaşma oldukça önemlidir. Markalaşmış olan kurumlar benzer rakipleri arasından sıyrılarak ön plana çıkar, hedef kitlesine daha cazip hale gelir. Aynı zamanda ulusal ya da uluslararası platformlarda bilinir olmak marka başarısına bağlıdır. Bu nedenle kurumların, ürün ve hizmetlerini tanıtımında rasyonel, estetik ve güncel bir kurumsal kimlik kılavuzuna ihtiyaçları vardır. Kurumsal kimlik, kurumların stratejisi, felsefesi, hizmetleri ve hedef kitlesinin arzularına göre şekillenmektedir. Burada kurumun görünen yüzü olarak ifade edebileceğimiz görsel kimlik unsurlarına büyük görev düşmektedir. Çünkü görsellerle kurulan iletişim daha hızlı gelişmekte ve evrensel boyutlara ulaşmaktadır. Görsel kimliğin en temel öğesi ise logo ve amblemlerdir. Kurumun görsel kimliğini oluşturan görsel tasarım unsurları; şekil, tipografi ve renk bağlamında logo ve ambleme göre tasarlanmaktadır. Bu nedenle kurumun görsel kimliğinin temelini oluşturan logo ve amblemler kurumların markalaşmasında ilk karşılaşılan imgelerdir.
Ulusal ve uluslararası platformlarda söz sahibi olan üniversitelerin diğer kurumlar gibi iletişim ağını genişletmesine, görünür kalmasına görsel kimlikleri katkı sağlayacaktır. Bu katkı ancak üniversitelerin tüm birimleriyle kurumsal kimlik kılavuzunu özümsemesi ve ait olduğu kurumun görsel kimliğini yansıtması ile gerçekleşecektir. Çünkü üst kimlik olan üniversiteler alt birimleriyle bir bütündür. Buradan hareketle araştırmada, Türkiye’deki devlet üniversitelerinin alt birimlerinde kullanılan logolarının görsel kimlik bağlamında değerlendirilmesi amaçlanmaktadır.
Bu çalışmada nitel araştırma yöntemi kullanılarak, üniversitelerin kurumsal kimlik kılavuzları ve web sayfalarında yer alan logo ve amblem tasarımları betimleyici araştırma modeli ile incelenmiştir. Çalışmanın kavramları alan taraması dâhilinde bir rapor haline getirilmiştir. Ulaşılan üniversite logolarının görsel kimlik bağlamında analizleri yapılmıştır. Sonuç olarak birçok üniversitenin kurumsal kimlik kılavuzlarının zayıf olduğu ya da kurumsal kimlik kılavuzunun olmadığı bu nedenle de görsel kimliklerini yansıtamadığı anlaşılmıştır. Araştırmanın sonunda bu durumdaki üniversiteler için öneriler sunulmuştur.
The Impact of Per Capita Income on the Health Care Cost in Ghana
Authors: Abriham Amposah 
Published: March 2023

Purpose: This study was intended to study the impact of per capita income on health care cost. The objective of the study was to examine the relationship between per capita income and health care cost of patients. Secondary data sources were used and data was analyzed using the regression statistical tool at 5% level of significance which was presented in frequency tables and percentage. The study majorly focuses on the statistical relationship between per capita income and health care cost in Ghana.
Methodology: This study adopted both descriptive and explanatory research design. This study utilizes secondary data extracted from respondents used for the study. With the secondary data collected, returns on assets and equity for the relevant years were computed.
Findings: The study findings revealed that there is a relationship between per capita income and health care cost in Ghana; based on the findings from the study, efforts should be made by the Ghanian government and stakeholders in ensuring an affordable health care cost for all irrespective of class and social standing.
Unique Contribution to Theory, Practice and Policy: The study recommends that the health care cost should be directly proportional to the monthly income of the people in Ghana.
Impact of Energy Sector Reforms on Electricity Penetration in Kenya Relative to Other Reforming Developing Countries
Authors: Mwangi Isabella , Gathiaka John , Kimuyu Peter 
Published: March 2023

Purpose: There are observable improvements in Kenya’s electricity sector since the mid-1990s. Among these are increase in electricity generated and an increase in number of households and institutions connected to the grid. These milestones have been achieved during the reform period. To find out whether these achievements are attributable to the reforms or not is the subject of this paper. This paper carries out an econometric evaluation of the impact of electricity sector reforms in Kenya relative to other four developing countries using panel data over the period 1993 to 2018. The paper assesses the impact of restructuring, unbundling, competition and private sector participation on electricity access.
Methodology: In this study we carried out estimations of the outcome of reforms using panel data. The study period 1993 to 2018 was chosen based on data availability and also the consideration that power sector reforms in Kenya, Uganda, Tanzania and Senegal began after 1993.
Findings: Using fixed effect method the study concludes that competition is key in enhancing access to electricity nationally and in both rural and urban areas. On the other hand, restructuring has a negative impact on both electrification in the four countries under study.
Unique Contribution to Theory, Practice and Policy: Allowing more players and also in the buying of bulk energy for onward transmission and distribution with the aim of ultimately having a fully competitive marketing the sector would therefore improve the power industry outcomes.
Impact of Excessive Screen Time for Work Entertainment on Eyesight
Authors: Muller Henry 
Published: March 2023

Purpose: The study sought to investigate impact of excessive screen time for work entertainment on eyesight.
Methodology: The study adopted a desktop methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library.
Findings: The study found that digital eye strain is non-vision-threatening but discomfort caused due to it can have implications on overall physical, mental, and social well-being. The study highlights the increase in digital screen time during the pandemic and the resultant eye strain. There is need of spreading awareness regarding the adverse effects of digital device use and the preventive measures to safeguard our ocular health.
Unique contribution to theory, practice and policy: The theory on planned behaviour was very instrumental in guiding the study, future studies can use the theory especially in shedding light on the impact of screen time on other health issues. No screen usage guidelines are there for adults till date thus our study strongly recommends that guidelines should be formulated and strictly imposed. It is also responsibility of parents to guide their children by becoming role model as well as emphasize digital etiquette. Screen time related problems are non vision‑threatening but discomfort caused due to it is gruesome in majority of population. With joint efforts of parents, policymakers, teachers, and health workers excessive screen time related issues could be superseded.
Factors Influencing the Implementation of Strategic Plans among Western Region County Governments in Kenya
Authors: Nini Sidney Njangiru , Kihara Allan 
Published: March 2023

Purpose: The success of implementation of strategic plans needs to be effective with institutional factors in county governments. County governments need to generate maximum output and commit towards achievement of goals. The purpose of the study is to establish the factors influencing implementation of strategic plans among western region county governments in Kenya. The study specifically sought to establish the influence of organization culture, organization structure, corporate leadership styles and resource allocation on implementation of strategic plans in western region county governments in Kenya. The study was anchored on Open-Systems Theory, Behavioural Theory, and Resource-Based Theory.
Methodology: The study used descriptive research design. The study targeted County governments in the western region. 10 county governments were used whereby 6 were analyzed from Nyanza and 4 from western region counties. Proportionate stratified sampling technique was employed from 249 study subjects who were selected randomly. The study used primary data by semi structured questionnaires. After data collection, quantitative data was coded using Statistical Package for Social Science (SPSS). Data was analyzed through descriptive statistical methods such as means, standard deviation, frequencies and percentage. Inferential analysis which includes correlation analysis and regression analysis was computed to test the relationship between the explanatory variables and the explained variable. The findings were presented in tables and figures.
Findings: The study concludes that organization culture has significant effect on strategic plan implementation among western region county governments in Kenya. In addition, the study concludes that organization structure has significant effect on strategic plan implementation among western region county governments in Kenya. Further, the study concludes that leadership styles have significant effect on strategic plan implementation among western region county governments in Kenya. The study also concludes that financial resources have significant effect on strategic plan implementation among western region county governments in Kenya.
Unique contribution to theory, practice and policy: This study therefore recommends that the management of county governments in Kenya should adopt an organization culture which is conducive and enhances strategic plan implementation. Further, the management of county governments in Kenya should formulate and implement an effective framework for financial resource acquisition and allocation.
FUNDAMENTOS SISTÊMICOS DA TEORIA REGIONAL
Authors: Pedrão Fernando Cardoso 
Published: March 2023

Teoria e política regional estão em tensão pela revelação de deficiências dos sistemas convencionais para tratar com problemas espaciais próprios da formação social de países não centrais e que descobrem contradições dos mais avançados. A reconstrução dos estudos regionais em escala nacional é essencial para a atualização da análise econômica formal.
Abstract: Regional theory and policy are in tension by the uncovering of deficiencies of conventional systems to deal with issues of the social formation of non-central countries that also hampers the central ones. A reconstruction of regional analysis at national scale is mandatory to up to date formal economic analysis.
THỰC TRẠNG PHẢN ỨNG SAU TIÊM VẮC XIN PHÒNG COVID-19 ASTRAZENECA Ở NGƯỜI TRƯỞNG THÀNH TẠI TRƯỜNG ĐẠI HỌC Y HÀ NỘI NĂM 2021
Authors: Lê Thị Thanh Xuân , Nguyễn Văn Thành , Lê Thị Thanh Hà , Nguyễn Thúy Nam , Hoàng Diệu Linh , Nguyễn Thúy Hiền , Lê Thu Hường , Nguyễn Thị Thịnh , An Hồng Liên , Nguyễn Thị Quỳnh 
Published: March 2023

Mục tiêu: Mô tả thực trạng ứng sau tiêm vắc xin phòng COVID-19 Astrazeneca ở người trưởng thành tại Trường Đại học Y Hà Nội năm 2021. Phương pháp nghiên cứu: Mô tả cắt ngang được thược hiện trên 773 đối tượng nghiên cứu trong thời gian từ 10/2021 đến tháng 10/2022. Kết quả nghiên cứu: tỷ lệ phản ứng tại chỗ sau tiêm mũi 1 là 24,58%, mũi 2 là 23,42%. Các phản ứng thường gặp là mệt mỏi (16,56% ở mũi 2 và 52,26% ở mũi 1), tăng cảm giác đau (mũi 1: 39,97 % và mũi 2: 15,39%), sốt dưới 38,5oC (mũi 1: 31,31%; mũi 2: 9,31%). Tỷ lệ xảy ra các phản ứng nguy hiểm rất thấp. Các phản ứng sau tiêm vắc xin phòng Covid 1-9 Astrazeneca thường xảy ra từ 1 đến 24 giờ sau tiêm. Kết luận: Tỷ lệ phản ứng sau tiêm vắc xin phòng Covid-19 Astrazeneca ở người trưởng thành tại Trường Đại học Y Hà Nội năm 2021 tương đối cao, tuy nhiên chủ yếu là những phản ứng thông thường như sốt, đau mỏi người hay đau tại chỗ tiêm.
MỘT SỐ THÔNG SỐ HUYẾT ĐỘNG Ở BỆNH NHÂN NHIỄM KHUẨN NẶNG VÀ SỐC NHIỄM KHUẨN BẰNG MÁY USCOM
Authors: Nguyễn Đức Phúc , Lương Mạnh Hùng 
Published: March 2023

Mục tiêu: Khảo sát một số thông số huyết động ở bệnh nhân nhiễm khuẩn nặng và sốc nhiễm khuẩn bằng máy USCOM tại Bệnh viện Hữu nghị Đa khoa Nghệ an. Đối tượng và phương pháp: Nghiên cứu tiến cứu mô tả can thiệp 43 bệnh nhân được chẩn đoán nhiễm khuẩn nặng và sốc nhiễm khuẩn. Kết luận: Trung bình thể tích nhát bóp (SVI) thấp, độ biến thiên thể tích nhát bóp (SVV) cao, sức cản mạch hệ thống nhóm sốc nhiễm khuẩn thấp. Có 93.0% thiếu dịch; 67.4% giảm thể tích nhát bóp; có 53.5% chỉ số tim giảm. Sức co bóp cơ tim thấp chiếm 58.1%. Có 62.8% giảm sức cản mạch hệ thống và 11.6% tăng sức cản mạch hệ thống.
KẾT QUẢ SỚM SAU MỔ CẮT GAN NHỎ THEO GIẢI PHẪU ĐIỀU TRỊ UNG THƯ TẾ BÀO GAN TẠI BỆNH VIỆN VIỆT ĐỨC
Authors: Ninh Việt Khải , Dương Quang Tiến 
Published: March 2023

Mục tiêu: Đánh giá kết quả sớm sau mổ cắt gan nhỏ điều trị ung thư biểu mô tế bào gan và các yếu tố ảnh hưởng. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả hồi cứu 129 bệnh nhân được chẩn đoán ung thư biểu mô tế bào gan từ tháng 1/2015 đên 1/2020 tại trung tâm ghép tạng bệnh viện Việt Đức. Kết quả Độ tuổi trung bình của nhóm bệnh nhân nghiên cứu là 52,8 ± 12,4, tỷ lệ nam/nữ là 4/1, tỷ lệ bệnh nhân có tiền sử VGB là 26,35%. Bệnh nhân vào viện vì triệu chứng đau tức bụng là thường gặp nhất, chiếm 46,5%. AFP huyết thanh trung bình 736,97 ± 1612,7 (0,06 - 7725) ng/ml. Có 33% BN có giá trị AFP > 200 ng/ml. Đường mở bụng được sử dụng phổ biến trong NC là đường chữ J chiếm tỷ lệ 77,5%. Thời gian mổ cắt gan nhỏ trung bình 225,1 ± 70,6 phút. Tỷ lệ biến chứng chung sau mổ là 47,2%, Tràn dịch màng phổi có tỉ lệ 39,5% là biến chứng thường gặp nhất trong nghiên cứu. Ổ dịch tồn dư có tỉ lệ 13,18 %, chảy máu sau mổ có tỉ lệ 1,6%, tỷ lệ suy gan sau mổ là 0,78%. Có 1 trường hợp tử vong sau mổ (trong vòng 1 tháng sau mổ). Thời gian nằm viện trung bình của toàn bộ BN trong nghiên cứu là 10,4 ± 3,9 ngày. Thời gian mổ trên 240 phút, tuổi trên 60 là các yếu tố ảnh hưởng đến các biến chứng sau mổ. Kết luận: phẫu thuật cắt gan nhỏ điều trị ung thư biểu mô tế bào gan an toàn, đa phần biến chứng ở mức độ nhẹ với tỷ lệ tử vong thấp.
TÁC DỤNG CỦA VIÊN NÉN STONEBYE TRONG ĐIỀU TRỊ BỆNH NHÂN SỎI TIẾT NIỆU
Authors: Lê Thị Cúc , Nguyễn Thị Thu Hà , Nguyễn Thị Thu Hằng 
Published: March 2023

Mục tiêu: Đánh giá tác dụng của viên nén STONEBYE trong điều trị bệnh nhân sỏi tiết niệu tại Bệnh viện Đa khoa Y học cổ truyền Hà Nội từ tháng 3 đến tháng 10 năm 2022. Phương pháp: Nghiên cứu can thiệp lâm sàng, so sánh trước và sau điều trị trên 36 bệnh nhân được chẩn đoán sỏi tiết niệu, điều trị bằng viên nén STONEBYE trong 30 ngày. Kết quả: Sau 30 ngày điều trị, các triệu chứng lâm sàng như đau hông lưng, đau hạ vị, rối loạn tiểu tiện, đái máu… đều giảm so với trước điều trị với p < 0,05. Kích thước sỏi trung bình giảm từ 7,49 ± 2,57 xuống 3,64 ± 4,63 (mm). Kết quả điều trị chung: 55,6% tốt, 13,3% khá. Kết luận: Viên nén STONEBYE có tác dụng cải thiện các triệu chứng lâm sàng và giảm kích thước sỏi trên bệnh nhân sỏi tiết niệu.