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Effect of Health Insurance on Health Service Utilization among Households Affected by Non-communicable diseases in Busia County, Kenya 医疗保险对肯尼亚布西亚县受非传染性疾病影响的家庭利用医疗服务的影响
Pub Date : 2024-01-24 DOI: 10.29322/ijsrp.14.01.2023.p14506
W. Kemei, J. Nyaberi, Simon Ruttoh
- Non-Communicable Diseases (NCDs) are the most important agents of illness and death worldwide. In LMICs, NCDs will be the main agent of mortality projected to cause up to 75% of all deaths by the year 2030. Patients with NCDs go through lengthy and costly treatment regiments that consume a substantial portion of households’ resources subsequently acting as a major barrier to access and utilization of available care. Kenya adopted the 2030 agenda for Sustainable Development Goals and committed to achieve SDG target 3.8 on Universal Health Coverage, so as to enhance access to services and deal with financial burden of illness. The Government made deliberate policy reforms at the National health insurer – NHIF aimed at building its capacity to provide cover for all households including those afflicted by NCDs. This study examined the effect of HI on out-patient and in-patient health service utilization among people with reported NCDs in Busia County. Methods. A quasi experimental – (Pretest-posttest Nonequivalent control group) design using Propensity Score Matching method was conducted in Busia County among eligible households with HI cover (intervention group) and those without (comparison group), involving a total representative sample of 350 households. Interviewers conducted interviews
- 非传染性疾病(NCDs)是全球最重要的致病和致死因素。在低收入和中等收入国家,非传染性疾病将是导致死亡的主要因素,预计到 2030 年,非传染性疾病将导致 75% 的死亡。非传染性疾病患者需要接受漫长而昂贵的治疗,耗费了大量家庭资源,成为获得和利用现有医疗服务的主要障碍。肯尼亚通过了 2030 年可持续发展目标议程,并承诺实现可持续发展目标中关于全民医保的具体目标 3.8,以增加获得服务的机会并应对疾病造成的经济负担。政府对国家健康保险公司(NHIF)进行了深思熟虑的政策改革,旨在建设其为包括非传染性疾病患者在内的所有家庭提供保险的能力。本研究探讨了医疗保险对布西亚县报告患有非传染性疾病的患者门诊和住院医疗服务利用率的影响。方法。在布西亚县,采用倾向得分匹配法对有医疗保险的合格家庭(干预组)和没有医疗保险的合格家庭(对比组)进行了准实验(前测-后测非等效对照组)设计,共涉及 350 个具有代表性的家庭样本。访谈人员进行了访谈
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引用次数: 0
A Pre Experimental Study To Assess The Coping Strategy Related To Stress Among Middle Age People (45-65 Years Of Age) In A View Of Providing Dance In Selected Old Age Home Dehradun, UK 一项实验前研究,评估中年人(45-65 岁)应对压力的策略,以便在英国德拉敦选定的养老院提供舞蹈服务
Pub Date : 2024-01-24 DOI: 10.29322/ijsrp.14.01.2023.p14521
Sain Kritika, Harjai Kirti
- Background: Stress can be defined as a state of worry or mental tension caused by a difficult situation. Stress is a natural human response that prompts us to address challenges and threats in our lives. Everyone experiences stress to some degree. The way we respond to stress, however, makes a big difference to our overall well-being. Coping refers to conscious strategies used to reduce unpleasant emotions. Coping strategies can be cognitions or behaviors and can be individual or social. Coping is to deal with and overcome struggles and difficulties in life.It is a way for us to maintain our mental and emotional wellbeing.Everybody has a way of handling the hard events that occur in our life and that is what it means to cope. Coping can be healthy and productive, or destructive and unhealthy for you or others. It is recommended that an individual copes in ways that will be beneficial and healthy. "Managing your stress well can help you feel better physically and psychologically and it can impact your ability to perform your best."
- 背景:压力可定义为由困境引起的忧虑或精神紧张状态。压力是人类的一种自然反应,它促使我们应对生活中的挑战和威胁。每个人都会在某种程度上经历压力。然而,我们应对压力的方式会对我们的整体健康产生重大影响。应对指的是用来减少不愉快情绪的有意识策略。应对策略可以是认知,也可以是行为,可以是个人的,也可以是社会的。应对是处理和克服生活中的挣扎和困难,是我们保持精神和情绪健康的一种方式。每个人都有处理生活中发生的困难事件的方法,这就是应对的含义。应对可以是健康和富有成效的,也可以是对自己或他人有害和不健康的。建议个人以有益和健康的方式来应对。"管理好自己的压力可以帮助你在身体和心理上感觉更好,它可以影响你发挥最佳水平的能力"。
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引用次数: 0
The Interference Of Cultural And Global Awareness In The Development Of Communicative Skill 文化和全球意识对培养交际能力的影响
Pub Date : 2024-01-24 DOI: 10.29322/ijsrp.14.01.2023.p14526
Nguyen Vy Ngoc M.A.
: This research paper explores the intricate relationship between cultural and global awareness and the development of communicative skills. Effective communication is not only about language proficiency but also about understanding cultural nuances and global perspectives. This study examines how cultural and global awareness affects the development of communicative skills, considering both linguistic and non-linguistic factors. Through a multidisciplinary approach, incorporating linguistics, cultural studies, and international relations, this research aims to shed light on the significance of cultural and global competence in fostering effective communication. The findings show that cultural and global awareness greatly affected the communication skills of language learners (M=4.17). The findings also revealed that the key components that affect the communication skill include; cultural sensitivity, interpersonal skill, language proficiency and cross-cultural communication competence. There is no difference between genders and ages in related to those key components.
:本研究论文探讨了文化和全球意识与交际能力发展之间错综复杂的关系。有效的交际不仅涉及语言能力,还涉及对文化细微差别和全球视角的理解。本研究考虑了语言和非语言因素,探讨了文化和全球意识如何影响交际能力的发展。本研究采用多学科方法,结合语言学、文化研究和国际关系,旨在阐明文化和全球能力对促进有效交际的重要意义。研究结果表明,文化和全球意识极大地影响了语言学习者的交际能力(M=4.17)。研究结果还显示,影响交际能力的关键因素包括:文化敏感性、人际交往技巧、语言能力和跨文化交际能力。在这些关键要素方面,性别和年龄之间没有差异。
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引用次数: 0
The co-inoculation effect of Azotobacter spp. and Trichoderma asperellum with inorganic fertilizer on growth and yield of carrot 氮杂菌和赤霉菌与无机肥联合接种对胡萝卜生长和产量的影响
Pub Date : 2024-01-24 DOI: 10.29322/ijsrp.14.01.2023.p14522
T.T. Gunasekara, K. Nawarathna, A. Aruggoda, S. Kohombange
- Fertilizers play a prominent role in increasing the productivity of crops in the country. Phosphate solubilizing and nitrogen fixing microorganisms based biofertilizers can be used to reduce the inorganic nitrogen and phosphorous based chemical fertilizer usage and increase the plant availability nitrogen and phosphorous requirement. This study was aimed to use Sri Lankan isolates Azotobacter spp. and Trichoderma asperellum combination with lower rates of chemical fertilizers to evaluate their efficiency as biofertilizers for growth and yield characters of carrot. Further, possibility of combination use of both microorganisms were assessed. The pot experiment was carried out in Completely Randomized Design (CRD), consisting six treatments and four replications. The Treatments were namely T1 (No Fertilizer), T2 (100% NPK - DOA Recommendation), T3 (50% NP + K), T4 (50% NP + Azotobacter spp. + Trichoderma asperellum + K), T5 (75% NP +K) and T6 (75% NP + Azotobacter spp. + Trichoderma asperellum + K). The results of compatibility test resulted with 100% compatibility of Azotobacter spp. and Trichoderma asperellum isolates respectively. According to the results of pot experiment, best results of growth and yield parameters were observed from treatments T4, T6 and T2. The results of the present study reveals that combined use of Trichoderma asperellum and Azotobacter spp. with reduced levels of (25% and 50%) nitrogen and phosphorous based inorganic fertilizers could enhance the growth and yield of carrot equivalent or higher than those obtained by using full rates of Department of Agriculture Sri Lanka recommended inorganic fertilizers.
- 肥料在提高本国农作物产量方面发挥着重要作用。以磷酸盐溶解和固氮微生物为基础的生物肥料可用于减少无机氮和磷化学肥料的使用量,提高植物对氮和磷的需求量。这项研究的目的是将斯里兰卡分离的氮杆菌和毛霉与较低比例的化肥结合使用,以评估它们作为生物肥料对胡萝卜生长和产量特征的影响。此外,还评估了两种微生物联合使用的可能性。盆栽试验采用完全随机设计(CRD),包括六个处理和四个重复。处理分别为 T1(不施肥)、T2(100% 氮磷钾 - DOA 建议)、T3(50% 氮磷钾)、T4(50% 氮磷钾 + 根瘤菌 + 根瘤菌)、T5(75% 氮磷钾)和 T6(75% 氮磷钾 + 根瘤菌 + 根瘤菌 + 根瘤菌)。相容性测试结果表明,根瘤菌和毛癣菌的相容性分别为 100%。根据盆栽试验的结果,T4、T6 和 T2 处理的生长和产量参数结果最好。本研究结果表明,在减少氮肥和磷肥用量(25% 和 50%)的情况下,联合使用灰霉和氮杂菌,可以提高胡萝卜的生长和产量,其效果相当于或高于斯里兰卡农业部推荐的全量无机肥料。
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引用次数: 0
A Pre-Experimental Study to Assess the Effectiveness of IEC Package on Disaster Management Among a Group of Nursing Student of a Selected Nursing College, Dehradun 在德拉敦一所选定护理学院的护理专业学生中开展一项实验前研究,以评估关于灾害管理的信息、教育和通信包的效果
Pub Date : 2024-01-24 DOI: 10.29322/ijsrp.14.01.2023.p14503
Sonali Mewar, Renjith Thomas
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引用次数: 0
Enhancing Cloud Security By Using Secure Apis In Business Enterprises In The USA 在美国商业企业中使用安全 Apis 增强云安全
Pub Date : 2024-01-24 DOI: 10.29322/ijsrp.14.01.2023.p14531
Glory Joe-Ibekwe
- Cloud security is a discipline dedicated to securing cloud computing systems by ensuring that data and privacy of individuals and organizations are safe across online-based infrastructure, applications, and platforms. Whether it is an individual, enterprise or small to medium businesses, any user who uses cloud services should ensure the security of these systems as these can be beneficial to both the cloud providers and the clients. Although cloud computing offers a lot of benefits, it is very susceptible to security threats which is one of the reasons that some businesses and organizations are hesitant to adopting it. Cloud computing can be vulnerable to security attacks which includes but not limited to misconfigured cloud storage, insecure APIs, poor access control, HTTP-DoS and XML-DoS attacks, virtualization/hypervisor vulnerabilities, compliance violations and regulatory actions, and cloud outages. Though there are many vulnerabilities affecting cloud services, the focus of this literature review will be on improving cloud security with emphasis on secure APIs. This study offers a bibliometric analysis that explores the solution to cloud security challenges by systematic review of existing literature on cloud security with focus on securing APIs which would enhance business enterprises in the USA. This literature review will include comparing various works from different authors including books, conference materials, articles, other literature reviews, empirical studies and scientific journals within the last 21 years to provide a comprehensive look within the context of this topic. The work utilized the steps in bibliometric analysis to examines the challenge associated with cloud security by reviewing 24 articles in the cloud security related areas
- 云安全是一门致力于确保云计算系统安全的学科,它通过在线基础设施、应用程序和平台确保个人和组织的数据和隐私安全。无论是个人、企业还是中小型企业,任何使用云服务的用户都应确保这些系统的安全,因为这对云提供商和客户都有好处。虽然云计算提供了很多好处,但它非常容易受到安全威胁,这也是一些企业和组织对采用云计算犹豫不决的原因之一。云计算很容易受到安全攻击,包括但不限于配置错误的云存储、不安全的应用程序接口、不完善的访问控制、HTTP-DoS 和 XML-DoS 攻击、虚拟化/管理程序漏洞、合规违规和监管行动以及云中断。尽管影响云服务的漏洞很多,但本文献综述的重点是提高云安全,重点是安全 API。本研究提供了文献计量分析,通过对现有云安全文献的系统回顾,探索云安全挑战的解决方案,重点关注 API 的安全,这将增强美国商业企业的实力。该文献综述将包括比较不同作者在过去 21 年中的各种作品,包括书籍、会议材料、文章、其他文献综述、实证研究和科学杂志,以便在该主题的背景下提供一个全面的视角。该作品利用文献计量分析的步骤,通过审查云安全相关领域的 24 篇文章,研究了与云安全相关的挑战
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引用次数: 0
Analyzing Faecal Sludge Treatment Plants Life Cycle Carbon Footprint – A case of Zambia 分析粪便污泥处理厂生命周期碳足迹--赞比亚案例
Pub Date : 2024-01-24 DOI: 10.29322/ijsrp.14.01.2023.p14502
Moses Chimbulu Mweene, Ru Guo, Xiangfeng Huang, Hui Gong, Moses Mutyoka, David Omata, Abiola Akanbi Mohammed, Chiindi Chiputa, Mwamba Nakana
- Biogas technology has been widely used as an economical technology to manage and reduce carbon emissions of Faecal Sludge (FS) from pit latrines in developing countries. However, the carbon footprint of using this technology in faecal sludge treatment is not clearly quantified. This study aimed to close this gap by developing an Integrated Life-Cycle Carbon-Footprint Analysis (ILCCA) model for faecal sludge treatment plants (FSTPs) in developing countries, taking Zambia as
- 在发展中国家,沼气技术已被广泛用作管理和减少坑厕粪便污泥碳排放的经济技术。然而,在粪便污泥处理中使用该技术的碳足迹尚未明确量化。本研究以赞比亚为研究对象,为发展中国家的粪便污泥处理厂(FSTP)开发了一个综合生命周期碳足迹分析(ILCCA)模型,旨在弥补这一空白。
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引用次数: 0
Perceived Social Support Of Students In Different Living Arrangement Vis-À-Vis Their Academic Performance 不同生活安排的学生对社会支持的感知与学习成绩的关系
Pub Date : 2024-01-24 DOI: 10.29322/ijsrp.14.01.2023.p14524
Jerdan Paul, I. Betco, Phoebe Cates, M. Mendoza, Aubrey Sheen, A. Pendejito, Trixie E. Cubillas
: This research delves into the perceived social support experienced by Bachelor of Elementary Education students at Caraga State University, examining its connection with academic performance across various living arrangements. The study focuses on profiling the students, assessing the perceived social support within diverse living setups, and evaluating their academic achievements. Employing a quantitative research design, the study utilizes various statistical analyses, including frequency counts, percentages, weighted mean, independent samples test, one-way analysis of variance (ANOVA), and Pearson Product-Moment Correlation. The findings indicate that students generally perceive a moderately extensive level of social support from family, friends, and significant others. Family and friends actively engage in supporting the students, fostering an environment where they feel comfortable and accepted. Despite variations in perceived social support based on living arrangements and academic performance, there is consistency across genders and academic years. Notably, a substantial number of students maintain a fair Great Point Average (GPA). Surprisingly, the research reveals no significant correlation between the extent of perceived social support and academic performance, challenging the assumption that social support directly influences scholastic achievements. In conclusion, while students report receiving adequate social support from family, friends, and significant others, this support does not necessarily translate into enhanced academic performance. The study sheds light on the intricate relationship between social support and academic outcomes
:本研究深入探讨了卡拉加州立大学初等教育学士学生所感受到的社会支持,并研究了其与各种生活安排下的学习成绩之间的联系。研究的重点是了解学生的情况,评估他们在不同生活环境中感知到的社会支持,并评价他们的学业成绩。本研究采用定量研究设计,使用了各种统计分析方法,包括频率计数、百分比、加权平均值、独立样本测试、单向方差分析(ANOVA)和皮尔森乘积-正相关(Pearson Product-Moment Correlation)。研究结果表明,学生普遍认为来自家庭、朋友和重要他人的社会支持程度适中。家人和朋友积极支持学生,为他们营造了一个让他们感到舒适和被接纳的环境。尽管不同生活安排和学习成绩的学生对社会支持的感知存在差异,但不同性别和不同学年的学生对社会支持的感知是一致的。值得注意的是,很多学生的平均绩点(GPA)都比较高。令人惊讶的是,研究显示,感知到的社会支持程度与学习成绩之间没有明显的相关性,这对社会支持直接影响学习成绩的假设提出了质疑。总之,虽然学生表示从家人、朋友和重要的人那里获得了足够的社会支持,但这种支持并不一定会转化为学业成绩的提高。本研究揭示了社会支持与学业成绩之间错综复杂的关系
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引用次数: 0
Uric Acid Lowering Effect of Losartan in Patients with Stage 1 Hypertension and Asymptomatic Hyperuricemia 洛沙坦对 1 期高血压和无症状高尿酸血症患者的降尿酸作用
Pub Date : 2024-01-24 DOI: 10.29322/ijsrp.14.01.2023.p14525
Pyae Sone Thet, Kyaw Zwar Htoon, K. Kyaing, Cho Mg Mg Myint
- Hyperuricemia is a recognized risk factor for cardiovascular diseases, particularly prevalent in individuals with hypertension. Addressing hyperuricemia holds the potential to mitigate the onset of hypertension. This investigation focused on exploring the uric acid-reducing capabilities of losartan in patients exhibiting stage 1 hypertension (as per JNC VIII) accompanied by asymptomatic hyperuricemia. Conducted as a community-based before-and-after interventional study, this research involved 27 male participants with stage 1 hypertension and asymptomatic hyperuricemia. The intervention comprised a treatment regimen of losartan, initially at 25 mg once daily for 4 weeks, followed by an escalation to 50 mg once daily for the subsequent 4 weeks, totaling 8 weeks of continuous therapy. Serum uric acid levels were assessed at baseline, after 4 weeks of 25 mg losartan, and following an additional 4 weeks of 50 mg losartan, utilizing UV-VIS Spectrophotometry. Comparative analysis with baseline data revealed a significant reduction in blood pressure with both losartan doses, although serum uric acid level did not show a significant decrease. Notably, the dose-dependent effect on serum uric acid level was evident, with a 1.80 % reduction after 4 weeks of 25 mg losartan and a 6.52 % reduction after 4 weeks of 50 mg losartan. In summary, while losartan demonstrated a dose-dependent effect in lowering uric acid levels, achieving normal range values may necessitate larger doses and extended therapy duration.
- 高尿酸血症是公认的心血管疾病风险因素,在高血压患者中尤为普遍。解决高尿酸血症问题有可能缓解高血压的发病。这项研究的重点是探索氯沙坦对伴有无症状高尿酸血症的 1 期高血压(根据 JNC VIII)患者的降尿酸能力。该研究是一项基于社区的前后干预研究,共有 27 名患有高血压 1 期和无症状高尿酸血症的男性参与者参与。干预措施包括采用洛沙坦治疗方案,最初每天一次,每次 25 毫克,持续 4 周,随后 4 周逐渐增加到每天一次,每次 50 毫克,共持续治疗 8 周。利用紫外-可见分光光度法对基线、服用 25 毫克洛沙坦 4 周后以及服用 50 毫克洛沙坦 4 周后的血清尿酸水平进行了评估。与基线数据的对比分析表明,两种剂量的洛沙坦都能显著降低血压,但血清尿酸水平并没有明显下降。值得注意的是,剂量对血清尿酸水平的影响是显而易见的,服用 25 毫克的洛沙坦 4 周后,血清尿酸水平降低了 1.80%,服用 50 毫克的洛沙坦 4 周后,血清尿酸水平降低了 6.52%。总之,虽然洛沙坦在降低尿酸水平方面表现出剂量依赖性效果,但要达到正常范围值,可能需要加大剂量和延长疗程。
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引用次数: 0
Nonlinear S-box construction in modern Cipher 现代密码中的非线性 S 盒构造
Pub Date : 2024-01-24 DOI: 10.29322/ijsrp.14.01.2024.p14539
Md. Shamim Hossain Biswas
-The aim of research was to investigate and reveal the construction mechanism of a component based nonlinear S-box. The nonlinear S-box is a vectorial Boolean function. A vectorial Boolean function used in S-box as straight, compressible and expandable. The application of S-boxes is noticeable in modern block ciphers. In this article, the construction of a nonlinear S-box based on Vectorial Boolean function is presented for scientific readers. Actually, the Substitution box is a Boolean-space where substitution takes place through an action of s-box (mathematical function) and provides confusion in block cipher. The computational and exploratory research approach were applied in this research. Reviewing a number of current s-box construction techniques and applying ideas mathematically to construct a new S-box was a primary initiative to conduct this research. Critical thinking was the main key to capture the mathematical notion behind the Nonlinear S-box. The data collection procedure was literature review, online survey questionnaire and focus group discussion. The population of the research work were doctoral students and professors.
-研究的目的是调查和揭示基于组件的非线性 S-box 的构造机制。非线性 S-box 是一个矢量布尔函数。S-box 中使用的矢量布尔函数具有直线性、可压缩性和可扩展性。S-box 在现代块密码中的应用非常明显。本文将介绍基于矢量布尔函数的非线性 S-box 的构造,以飨读者。实际上,置换盒是一个布尔空间,通过 S 盒(数学函数)的作用进行置换,并在区块密码中提供混淆。本研究采用了计算和探索性研究方法。回顾当前的一些 S-box 构建技术,并运用数学思想构建新的 S-box 是开展这项研究的主要举措。批判性思维是捕捉非线性 S 型箱背后数学概念的主要关键。数据收集程序包括文献综述、在线调查问卷和焦点小组讨论。研究对象为博士生和教授。
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引用次数: 0
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