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Benefits Of Neurodevelopment Treatment And Trunk Mobilization In Spastic Diplegi Cerebral Palsy: Case Study, Enggal -. Andayani, Nitaya Putri Nur Hidayati, Sugiono -. -

Jurnal Fisioterapi Terapan Indonesia

ABSTRACT: Background: Spastic diplegia cerebral palsy is a movement disorder with the lower limbs being heavier than the upper limbs which occurs due to brain damage. This disorder makes it difficult for children to carry out functional activities. Neurodevelopmental treatment (NDT) and trunk mobilization are approaches to treating cerebral palsy cases. Objective: To find out the management of neurodevelopmental treatment (NDT) physiotherapy and trunk mobilization in cases of diplegic spastic cerebral palsy. Results: Shortly after the therapy, the results showed a decrease in spasticity, but during subsequent therapy the muscle spasticity returned to normal. For the results of therapy carried …

Effectiveness Of Using Soft Exosuit In Stroke Case To Improve Walking Speed And Endurance, Aditya Denny Pratama, Rakha Shidqi Widyadhana

Jurnal Fisioterapi Terapan Indonesia

Stroke is a clinically defined syndrome of acute, focal nerve discharge caused by vascular injury (infarction, hemorrhage) of the central nervous system. Punches can cause damage to the brain and affect a person's ability to walk, balance and coordinate movements. Impaired gait is common in stroke cases, often resulting in poor recovery of mobility and inability to carry out daily activities without assistance. One of the interventions that can be used is a soft exosuit. This method can help overcome walking problems in stroke patients where soft exosuits are used to increase walking speed and walking endurance. The purpose of …

Validation Of The Personal Responsibility Scale: Rasch Model Analysis, Irvan Budhi Handaka, Agus Taufiq, Syamsu Yusuf, Diki Herdiansyah, Zela Septikasari

Jurnal Kajian Bimbingan dan Konseling

Increasing personal responsibility in education is an innovative idea, an idea to educate students in developing morals and values, or the basis of character education. This research aims to develop a personal responsibility scale for students which is expected to become a valid and reliable measuring tool. The method used in this research is a quantitative approach and data analysis used using the Rasch model. The research population consisted of 309 students as respondents, then the sampling technique was purposive sampling with a total of 20 students. The research results showed that the personal responsibility scale was declared suitable for …

Sé El Punto De Inflexión, James A. F. Stoner

Journal of Management for Global Sustainability

No abstract provided.

Optimizing Vgg16 Deep Learning Model With Enhanced Hunger Games Search For Logo Classification, Mohammed Hussain, Thaer Thaher, Mohamed Basel Almourad, Majdi Mafarja

All Works

Accurate classification of logos is a challenging task in image recognition due to variations in logo size, orientation, and background complexity. Deep learning models, such as VGG16, have demonstrated promising results in handling such tasks. However, their performance is highly dependent on optimal hyperparameter settings, whose fine-tuning is both labor-intensive and time-consuming. Swarm intelligence algorithms have been widely adopted to solve many highly nonlinear, multimodal problems and have succeeded significantly. The Hunger Games Search (HGS) is a recent swarm intelligence algorithm that has shown good performance across various applications. However, the standard HGS still faces limitations, such as restricted population …

Monetary Policy Uncertainty And Agricultural Climate Risk: Does The Agricultural Kuznets Curve Exist?, Chien-Chiang Lee, Farzan Yahya, Md Reza Sultanuzzaman

Bulletin of Monetary Economics and Banking

This study explores the impact of Monetary Policy Uncertainty (MPU) on Agricultural Climate Risk (AGCR) in China, particularly in light of recent climate vulnerabilities in the agricultural sector, highlighted by recent floods. Using balanced panel data from 31 provinces between 2010 and 2022, diagnostic tests confirm cross-sectional dependence and slope heterogeneity, and the Westerlund cointegration test indicates a long-term relationship among variables. Results from generalized panel quantile regression show that MPU positively affects AGCR, especially at lower quantiles, but this effect can be moderated by agricultural insurance. The findings also confirm an agricultural Kuznets curve, where agricultural productivity initially increases …

Understanding Women, Infant And Children Feeding Decisions In Emergencies: The Case Of Covid-19 And The Formula Shortage, Davida Mensah, Edmund F. Agyemang, Constance Gewa

School of Mathematical & Statistical Sciences Faculty Publications

Background: The advantages of breastfeeding and its role in emergencies are undeniable. Studies show that many women in developed countries choose formula over breastmilk, even in emergencies. Nevertheless, no one knows if postpartum women under the Women, Infants and Children (WIC) program turned out to breastfeed or re-lactate their infants during these crises. This study aims to better understand WIC participants' perceptions about breastfeeding their babies in emergencies.

Methods: A chi-square test of independence was used to assess the association between breastfeeding choice and demographic characteristics and potential covariates of respondents. A post hoc analysis using Dunn's multiple comparisons test …

Walled Gardens & Forbidden Apples: Software Access Amid Antimonopoly Resurgence, Jake A. Evinger

Richmond Journal of Law & Technology

As consumer technology markets mature, one must question why the ways we use our devices are so restrictive. Some landmark legal cases, such as Epic Games, Inc. v. Apple, Inc., have sought to address that question. Additionally, regulators have recognized the need for better software distribution. The European Union recently forced Apple to open its iPhone to third-party application stores via the Digital Markets Act. The Department of Justice attacked the closed nature of the iPhone. This shift in sentiments, however, is not restricted to smartphones and will become more critical as emerging technologies vie for consumer attention. Almost every …

Regulating Uncertainty: Loot Boxes In The Gaming Metaverse, Anthony Chen

Richmond Journal of Law & Technology

Loot boxes are an increasingly widespread monetization model in video games that utilize random chance when dispensing items. Their implementation and use may result in significant harm to consumers. At the same time, loot boxes confer many benefits to game companies and gamers that should factor into their regulation. These harms and benefits may not be apparent at first glance, so it is necessary to consider loot boxes contextually within their game and the broader community to have a proper holistic analysis of their effects. Their unique and varying design makes them a challenge to place within a single established …

Cultivating Compassion: A Cross-Sectional Evaluation Of Empathy Among Medical Undergraduate Students, Anchu R Nath, Ishika Jindal, Nayanabai Shabadi, Sunil Kumar D

Digital Journal of Clinical Medicine

ABSTRACT:

BACKGROUND: Empathy plays a crucial role in medical practice, profoundly affecting patient outcomes and treatment. Understanding the factors that influence empathy among medical students can help in developing strategies to enhance empathetic skills during medical training. This study aims to evaluate the correlates of empathy among medical undergraduate students using an epidemiological cross-sectional design.

MATERIALS AND METHODS:

A cross-sectional study was conducted among 270 medical undergraduate students from various academic years at JSS Medical College for four months (September 2023-December 2023). Convenient sampling was used to select study participants. Participants completed a standardized empathy questionnaire, the Jefferson Scale …

Impact Of Covid-19 On International Trade, Paresh Kumar Narayan, Chun Ping Chang, Xin-Xin Zhao

Bulletin of Monetary Economics and Banking

Using a global monthly unbalanced panel dataset of 70 countries from January 2020 to May 2023, we first examine the impact of COVID-19 on global trade. The empirical results show a detrimental impact of COVID-19 on countries’ foreign trade, which persists over six months. We evaluate the robustness of our findings by employing an alternative dependent variable and different estimators. Our main findings hold and two features of our results standout: first, that COVID-19 hurt international trade more for non-Asian countries; and second, that sectoral sensitivity to COVID-19 was heterogenous. These results have important policy implications.

Cheaper Is Better? Evidence From China Fund Expense And Performance, Yezhou Sha, Jianwu Yi

Bulletin of Monetary Economics and Banking

The expense of mutual fund sustained a substantial growth in recent years, but do the expense of fund genuinely contribute to the fund performance? We examine the relation between the expense of Chinese actively managed equity funds and their performance. We show that the expense has a negative effect on the excess return of funds, which is consistent with the well-established negative relation from previous research of the mutual fund in U.S. In subsequent heterogeneity analysis, we also find that the fund’s return volatility strengthens the negative effects, whereas its age and size did not. After further analysis and additional …

A Vygotskian Perspective On Multicultural Education: A Social-Based Learning Process In The Minangkabau Community, West Sumatra, Indonesia, Isnarmi Moeis, Junaidi Indrawadi, Zaenuddin Hudi Prasojo, Fatmariza Fatmariza, Rika Febriani

Paradigma: Jurnal Kajian Budaya

Multicultural education and local wisdom function as crucial social assets in promoting unity within diverse societies. Indonesia, a country rich in ethnic diversity, possesses abundant local wisdom, particularly within the Minangkabau community of West Sumatra. This study examines the integration of Minangkabau local wisdom into the core elements of multicultural education, focusing on areas such as cultural awareness, sensitivity, cross-cultural communication, critical thinking, reflection, and cultural competence. Grounded in Vygotsky’s theory of learning as a process of social and cultural adaptation, this research adopts a qualitative methodology, utilizing in-depth interviews and focus group discussions for data collection. The analysis, carried …

Effective Revenue Growth Strategies For Nonprofit Organizations, Girum Assefa Gebretsadik

Walden Dissertations and Doctoral Studies

Nonprofit organizations serving under-resourced communities often face persistent challenges in securing sustainable revenue streams for fulfilling their mission and maintaining essential services, which can negatively impact vulnerable populations. Using the Baldrige excellence framework (BEF) as a conceptual lens, this qualitative single case study was conducted to explore effective revenue growth strategies to enhance financial stability, reduce financial uncertainty, strengthen resilience, and enhance community service delivery. Data collection included in-depth interviews with client leadership in the northeastern United States, an analysis of organizational documents, and financial data to support methodological triangulation. Thematic analysis using Yin’s 5-step process led to four core …

The Contemporary Tax Journal Volume 13, No. 2 – Winter 2024

The Contemporary Tax Journal

No abstract provided.

Transition To Enteral Triazole Antifungal Therapy For Pediatric Invasive Candidiasis: Secondary Analysis Of A Multicenter Cohort Study Conducted By The Pediatric Fungal Network, Robert F T Bucayu, Craig L K Boge, Inci Yildirim, Martha Avilés-Robles, Surabhi B Vora, David M Berman, Tanvi S Sharma, Lillian Sung, Elio Castagnola, Debra L Palazzi, Lara Danziger-Isakov, Dwight E Yin, Emmanuel Roilides, Gabriela Maron, Alison C Tribble, Pere Soler-Palacin, Eduardo López-Medina, José Romero, Kiran Belani, Antonio C Arrieta, Fabianne Carlesse, Dawn Nolt, Natasha Halasa, Daniel Dulek, Sujatha Rajan, William J Muller, Monica I Ardura, Alice Pong, Blanca E Gonzalez, Christine M Salvatore, Anna R Huppler, Catherine Aftandilian, Mark J Abzug, Arunaloke Chakrabarti, Michael Green, Irja Lutsar, Elizabeth D Knackstedt, Sarah K Johnson, William J Steinbach, Brian T Fisher, Rachel L Wattier

Faculty, Staff and Students Publications

Of 319 children with invasive candidiasis, 67 (21%) transitioned from intravenous to enteral antifungal therapy. Eight (12%) transitioned back to intravenous antifungal therapy, one due to perceived treatment failure defined by clinical progression or worsening. Global treatment response at study completion was successful in 66 participants who transitioned to enteral therapy.

Research As Seeking Help: Searching For Liberative Knowledge - An Interview With Taimalieutu Kiwi Tamasese, Taimalieutu Kiwi Tamasese, David Denborough

The Qualitative Report

Indigenous methodologies have been transforming social science research. In this interview, Pasifika researcher, policy analyst, and community worker, Taimalieutu Kiwi Tamasese, speaks with narrative therapist David Denborough about the Just Therapy Team’s significant contributions to developing Pasifika research methods that resist colonizing assumptions and honour culture and relationship. Rather than seeking to establish the researcher as knowledge holder, The Just Therapy Team’s research is guided by values of liberation, sacredness, and belonging to seek solutions to issues affecting communities. Taimalieutu describes the development of innovative research methods capable of eliciting Indigenous knowledges about gender relations and mental health in Samoa …

Promotion Of Overall Health During The Adolescent Period For Adolescent Girls Through Teaching Program – A Quasi-Experimental Study, Anusuya V. Prabhu Mrs., Sangeetha Priyadarshini, Mamatha Shivananda Pai Dr., Yashoda Sathish Dr.

Manipal Journal of Nursing and Health Sciences

Background

Adolescence, characterized by physical, psychological, and behavioral transformations, often elicits varied responses from girls. Adequate data can aid them in navigating these changes effectively. The study aimed to assess adolescent girls' understanding of puberty, psychological transitions, reproductive health, and the importance of a balanced diet during this developmental stage.

Method:

In this quasi-experimental investigation, purposive sampling was utilized to gather data. The study comprised 184 teenage girls aged between 10 and 19, with 92 participants assigned to both the intervention and control groups. Data were collected using a pre-designed questionnaire consisting of thirty-one questions aimed at assessing knowledge of …

Global Standards And Protocols For Oral Care In Pediatric Cancer Patients: Systematic Review Protocol, Meghna Pandit, Baby S. Nayak, Vasudeva K. Bhat, Suneel C. Mundkur, Judith A. Noronha, Sridhar N

Manipal Journal of Nursing and Health Sciences

Introduction Childhood cancer is a global health challenge, with over 275,000 cases annually among individuals under 19 years. Cancer treatments such as chemotherapy and radiation therapy lead to significant oral complications, including mucositis, xerostomia, and infections, adversely affecting treatment adherence and quality of life. Effective oral care is essential for mitigating these complications, particularly in resource-limited settings like India.

Objectives This systematic review aims to identify, assess, and summarize global guidelines and protocols for oral care in pediatric cancer patients, focusing on the prevention and management of oral complications during treatment.

Methods The protocol adheres to PRISMA-P guidelines and is …

Research As Respect: Elevating The Knowledge And Stories Of Men At An Aboriginal-Controlled Residential Alcohol And Drug Recovery Service, Mark J. Hammersley, Uncle Les Stanley, Greg J. Smith Dr

The Qualitative Report

This conversation between an Aboriginal Elder, an Aboriginal senior manager/practitioner, and a non-Aboriginal narrative therapist/groupworker centres on a social research project they undertook with men residing in an Aboriginal men’s alcohol and other drug recovery service in Melbourne, Australia. The men were invited to contribute accounts of what was important in their lives and the practices that supported positive developments in their time at the facility. The men, manager, and a community Elder directed a research process that prioritised the use of these accounts to contribute to the lives of other men. The men resident at the facility provided access …

Combining Direct Black Hole Mass Measurements And Spatially Resolved Stellar Kinematics To Calibrate The Mbh–Σ⋆ Relation Of Active Galaxies, Nico Winkel, Vardha N. Bennert, Raymond P. Remigio, Tommaso Treu, Knud Jahnke, Vivian U, Aaron J. Barth, Matthew Malkan, Bernd Husemann, Xuheng Ding

Physics

The origin of the tight scaling relation between the mass of supermassive black holes (SMBHs; MBH) and their host-galaxy properties remains unclear. Active galactic nuclei (AGNs) probe phases of ongoing SMBH growth and offer the only opportunity to measure MBH beyond the local Universe. However, determining an AGN's host galaxy's stellar velocity dispersion, σ⋆, and its galaxy dynamical mass, Mdyn, is complicated by AGN contamination, aperture effects, and different host-galaxy morphologies. We select a sample of AGNs for which MBH has been independently determined to high accuracy by state-of-the-art techniques: dynamical modeling of the reverberation …

Artificial Intolerance: The Disparate Impact Of Ai In Housing, Kaitlin Carroll

Richmond Journal of Law & Technology

From the intentional displacement of Native Americans to the racially motivated redlining of cities across the country, housing discrimination has always been an issue in the United States. Congress enacted the 1968 Fair Housing Act (“FHA”) to eradicate the rampant discriminatory practices present in housing decision-making. Since its enactment, courts have interpreted §§ 3604 and 3605 to not only hold housing providers directly responsible for their own policies, but have also applied this interpretation to a wide range of entities that provide housing- related services. Additionally, because not all biases are intentional, or even recognizable at a cursory glance, the …

From Hell To Heaven: How Climate Risks Hurt The Poor And Climate Finance Heals Them, Dr. Kangyin Dong, Congyu Zhao, Xiucheng Dong

Bulletin of Monetary Economics and Banking

This study explores the global impact of climate finance on wealth and income inequality, utilizing the IV-GMM model to capture nuanced relationships. Key findings indicate that climate finance effectively reduces both forms of inequality, benefiting low-income populations and suggesting it as a viable tool for inequality reduction. Notably, the impact of climate finance is asymmetric: countries with lower initial inequality levels experience more pronounced benefits, while the effect lessens as inequality increases. Additionally, climate risks—represented by natural disasters— worsen inequality, underscoring climate finance’s dual role in directly reducing inequality and indirectly mitigating disaster impacts. These insights offer valuable policy implications, …

Macroeconomic Risks Of Carbon Emission Constraints, Yuzhe Huang, Changchun Pan

Bulletin of Monetary Economics and Banking

Green and low-carbon transformation is an inevitable trend for protecting the climate and ecology while achieving stable economic development. To actively and prudently achieve carbon emission targets, the government will further implement robust policy measures to support the development of a green and low-carbon economy. However, there are risks associated with the implementation strength and frequency of future carbon emission constraint policies, which could impact different market economic entities and cause macroeconomic fluctuations. This paper analyzes the transmission mechanism of the risks associated with carbon emission constraint policies, and examines their impact on the macroeconomy. We find that the risks …

Double-Blind Randomised Trial Of Saline Solution For Gargling And Nasal Rinsing In Sars-Cov-2 Infection, Sebastian R Espinoza, Lexton Trauffler, Amir Shamshirsaz, Alireza Shamshirsaz, Andres Espinoza, Jimmy Espinoza, Alice O'Brien

Faculty, Staff and Student Publications

Background: Previous studies have shown that hypertonic saline nasal irrigation and gargling reduced the duration of symptoms in upper respiratory infections caused by coronavirus. This study aims to investigate the effects of two saline regimens on symptoms associated with severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2).

Methods: Between 2020 and 2022, individuals aged 18-65 years who tested positive for SARS-CoV-2 infection via polymerase chain reaction (PCR) were randomly assigned to either low- or high-saline regimens for 14 days. The low-saline solutions contained 2.13 g of salt dissolved in eight ounces of warm water, while the high-saline solution contained six grams of …

Dampak Faktor Ekonomi Dan Non Ekonomi Terhadap Jumlah Anak Di Indonesia: Analisis Data Demographic Health Survey 2017, Maysarah Qonita Munthe, Nasywa Nayifa Salsabila, Achmad Kautsar

Jurnal Ekonomi Kesehatan Indonesia

Indonesia has a large population, with a declining annual growth trend. Economic and non-economic factors contribute to the desired number of children. This study uses the latest data from the 2017 Demographic and Health Survey (DHS) to analyze the relationship between these factors and the desired number of children. A logit model is employed to evaluate the probability of having more than two children.The findings indicate that higher economic status is associated with a lower likelihood of having more than two children. Women in the middle economic group are 7.1% less likely to have more than two children compared to …

Evaluasi Ekonomi Total Hip Arthroplasty Protokol Enhance Recovery After Surgery Dibandingkan Konvensional Di Rsup Fatmawati Jakarta, Hanna Elisabet Lumbangaol, Mardiati Nadjib

Jurnal Ekonomi Kesehatan Indonesia

Total hip arthroplasty (THA) is a common orthopedic procedure performed to replace damaged hip joints with prostheses. The demand for this procedure is expected to rise in the future. Enhanced Recovery After Surgery (ERAS) has been introduced as an evidence-based, multidisciplinary approach aimed at optimizing postoperative recovery and reducing hospital length of stay. This study aims to evaluate the costs and effectiveness, including hospital stay duration and surgical success rates, of THA using the ERAS protocol compared to conventional approaches. This cross-sectional study involved data collection from healthcare providers between January 2020 and May 2023. The analysis showed that both …

Efisiensi Biaya Dalam Perawatan Stroke Non-Hemoragik: Studi Kasus Di Rumah Sakit Islam Sunan Kudus, Chusnul Mubarok, Chriswardani Suryawati, Puji Harto

Jurnal Ekonomi Kesehatan Indonesia

Stroke is one of the leading causes of morbidity and mortality globally, with over 12 million new cases each year. In Indonesia, the prevalence of stroke increased from 8.3% in 2007 to 12.1% in 2013, with the age group of 55-64 years recording the highest prevalence. This study aims to analyse the actual costs of non-hemorrhagic stroke care for patients under the National Health Insurance (JKN) at the Islamic Hospital of Sunan Kudus using the Activity-Based Costing (ABC) method. A descriptive quantitative method was applied, collecting data from hospitalised non-hemorrhagic stroke patients during 2023. The results showed a discrepancy between …

The Role Of Social Health Insurance In Achieving Universal Health Coverage In Asia: A Systematic Review, Afaf Jauhar, Mardiati Nadjib

Jurnal Ekonomi Kesehatan Indonesia

Universal Health Coverage (UHC) aims to ensure that all individuals have access to essential health services without financial hardship. Social Health Insurance (SHI) is critical in achieving this goal, especially in low- and middle-income countries. This systematic review explores the role of SHI systems in advancing UHC across 14 Asian countries, focusing on healthcare access, financial protection, and equity. A comprehensive search across PubMed, Scopus, and ScienceDirect identified 768 articles, and 37 studies were selected after screening, following the PRISMA guidelines. The chosen studies cover countries with varying SHI models across Asia. The findings reveal that high-income countries such as …

Book Review: Russian Through Film: For Intermediate To Advanced Students; Pro-Dvizhenie: Advanced Russian Through Film And Media , Lynne Debenedette

Russian Language Journal

Using films as primary texts in third- and fourth-year Russian language classes (where students are likely to be between ACTFL Intermediate Mid and Advanced Low) presents both advantages and challenges for instructors and students. The two publications reviewed here are therefore welcome resources for instructors who seek to incorporate film into their upper-level language classes.