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International Journal of Scientific Research and Management (IJSRM)最新文献

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Atrial Fibrillation in Heart Failure Managed with Warfarin and Digoxin and Complicated by Hemorrhagic and Thrombotic Events: A Case Report from a Rural Kenyan Hospital 使用华法林和地高辛治疗心力衰竭合并出血和血栓事件的心房颤动:肯尼亚一家农村医院的病例报告
Pub Date : 2024-07-17 DOI: 10.18535/ijsrm/v12i07.mp04
V. Onyango, Boniface Mutiso, Collins Paul Malalu, William Charles Fryda
Atrial fibrillation (AF) is the most common supraventricular tachyarrhythmia and is characterized clinically by irregular palpitations, dizziness, presyncope and syncope, effort intolerance, an apical-radial pulse deficit, and heart failure. The diagnosis is confirmed by an electrocardiogram showing an irregularly irregular ventricular rhythm, absent P waves, and the presence of fibrillatory waves. In Sub-Saharan Africa, the prevalence of AF is about 4.3% and 0.7% in individuals aged ≥40 years and aged ≥70 years, respectively, while the main risk factors for AF are hypertension, cardiomyopathy, and rheumatic heart disease. Rate control using beta blockers, the use of antiarrhythmics, anticoagulation using warfarin or direct oral anticoagulants to prevent stroke, cardiovascular risk factor reduction, and radiofrequency catheter ablation in select patients are the main objectives in the management of AF as per the current guidelines by the European Society of Cardiology (ESC), the American Heart Association (AHA), the American College of Cardiology (ACC), etc. This case report highlights the challenges of managing AF in congestive heart failure (CHF) in a rural Kenyan hospital in which the patient had hemorrhagic complications from warfarin toxicity followed by stroke after warfarin withdrawal and the therapeutic effects of adding digoxin to achieve better rate control and improve the CHF morbidity.
心房颤动(房颤)是最常见的室上性快速心律失常,临床表现为不规则心悸、头晕、晕厥前和晕厥、费力不耐受、心尖-径向脉搏缺失和心力衰竭。心电图显示心室节律不规则、无 P 波和出现纤颤波即可确诊。在撒哈拉以南非洲地区,心房颤动在年龄≥40 岁和年龄≥70 岁的人群中的发病率分别约为 4.3% 和 0.7%,而心房颤动的主要风险因素是高血压、心肌病和风湿性心脏病。根据欧洲心脏病学会(ESC)、美国心脏协会(AHA)、美国心脏病学会(ACC)等机构的现行指南,使用β受体阻滞剂控制心率、使用抗心律失常药物、使用华法林或直接口服抗凝药进行抗凝以预防中风、减少心血管危险因素以及对特定患者进行射频导管消融术是房颤治疗的主要目标。该病例报告强调了肯尼亚一家农村医院在管理充血性心力衰竭(CHF)房颤时所面临的挑战,患者因华法林中毒而出现出血性并发症,停用华法林后又发生中风,而加入地高辛可达到更好的心率控制和改善 CHF 发病率的治疗效果。
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引用次数: 0
Exploration of the "Integration Education" system in the "New Liberal Arts" of Zhejiang University of Applied Sciences 浙江应用技术学院 "新文科 "中的 "融合教育 "体系探索
Pub Date : 2024-07-17 DOI: 10.18535/ijsrm/v12i07.fdt01
Luo Jing, Zhao Shu Tan
The local application-oriented undergraduate colleges in Zhejiang Province echo the construction of new liberal arts in the practice of "integration of art and industry" and "integration of production and education" in clothing design education. This article focuses on the exploration and practice of the new liberal arts model of clothing design education, shifting from "subject-oriented" to "demand-oriented," aiming to adapt to the development of the times and serve the transformation and upgrading of regional industrial economy.It explores the theoretical logic and practical orientation of the new liberal arts in clothing design education under the driving force of science and technology and value guidance.Based on the development of clothing industry in Haining City, Jiaxing City and the current situation of application-oriented undergraduate colleges in clothing design education, the study focuses on the integration of disciplines and the collaborative education mechanism of production and education from the perspectives of "locality" and "application-oriented". Integrating the advantages of local clothing industry and cultural characteristics into teaching projects to activate the regional radiation role of local colleges. By carrying out the integration education of "new liberal arts" under the principle of "upholding the tradition and innovating", a cultural ecology for ensuring the quality of clothing design talent cultivation is created.
浙江省地方应用型本科院校在服装设计教育 "产艺融合"、"产教融合 "的实践中呼应新文科建设。本文重点探讨了服装设计教育从 "学科导向 "转向 "需求导向 "的新文科模式的探索与实践,旨在适应时代发展,服务区域产业经济转型升级,探索科技驱动与价值引领下服装设计教育新文科的理论逻辑与实践取向。本研究立足于嘉兴市海宁市服装产业发展和应用型本科院校服装设计教育现状,从 "地方性 "和 "应用型 "两个角度,重点探讨学科融合和产教协同育人机制。将地方服装产业优势和文化特色融入教学项目,激活地方院校的区域辐射作用。在 "秉承传统、锐意创新 "的原则下开展 "新文科 "融合教育,营造保障服装设计人才培养质量的文化生态。
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引用次数: 0
Correctness 正确性
Pub Date : 2024-07-17 DOI: 10.1007/springerreference_11298
Nripesh Trivedi
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引用次数: 28
Theory of renewable electricity 可再生能源理论
Pub Date : 2024-07-17 DOI: 10.18535/ijsrm/v12i07.ec05
Nripesh Trivedi
Theory of renewable electricity
可再生能源理论
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引用次数: 0
Theory of generating energy 发电理论
Pub Date : 2024-07-17 DOI: 10.18535/ijsrm/v12i07.ec04
Nripesh Trivedi
Theory of generating energy
发电理论
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引用次数: 0
Perfectionism as Causes of Academic Procrastination  at Collage?: A Sytematic Review 完美主义是导致大学学业拖延的原因?系统综述
Pub Date : 2024-07-17 DOI: 10.18535/ijsrm/v12i07.gp02
Miqdad Ihkamuddin, Nadhila Annifa Ichsan, Ni’matuzahroh
Procrastination is a common problem faced by many students, generally defined as the act of procrastinating on tasks or decisions without rational reasons. This systematic review investigates the factors and impacts of procrastination, especially in academics. A literature search was carried out on publications written in English on selected investigation topics using a database, namely Scopus. Only research investigated academic procrastination and there were 15 articles international which reveals the factors and impacts of procrastination from 107 articles that have been found in the database. The results of our systematic review found that students have a variety of factors and impacts of the procrastination phenomenon as well as various factors and impacts of procrastination that students experience from an internal and external perspective. There is abuse of addictive substances and other activities that trigger increased procrastination in students.
拖延是许多学生面临的共同问题,一般被定义为在没有合理理由的情况下拖延任务或决定的行为。这篇系统性综述调查了拖延的因素和影响,尤其是对学术界的影响。我们使用 Scopus 数据库对有关选定调查主题的英文出版物进行了文献检索。只有研究对学术拖延进行了调查,共有 15 篇国际文章,从数据库中找到的 107 篇文章中揭示了拖延的因素和影响。我们的系统综述结果发现,学生拖延现象的因素和影响多种多样,学生从内部和外部角度体验到的拖延因素和影响也多种多样。有滥用成瘾物质和其他活动引发学生拖延现象的增加。
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引用次数: 0
Vietnam-the US relationship and effects on economic cooperation 越南与美国的关系及其对经济合作的影响
Pub Date : 2024-06-14 DOI: 10.18535/ijsrm/v12i06.em07
Minh Trang Nguyen, Phương Dung Tran
The paper explores the dynamic relationship between the United States and Vietnam since the establishment of bilateral relations in 1995 until its milestone in 2023: comprehensive strategic partnership. Grounded in mutual respect and cooperation, their partnership has flourished across economic, political, security, and social spheres. Economically, the two countries have become each other's top trading partners, with bilateral trade turnover reaching $124 billion USD in 2023, a significant increase from $450 million USD in 1995. The United States has emerged as Vietnam's second-largest trading partner, underscoring the depth of economic integration. Additionally, the United States ranks 11th in terms of foreign direct investment (FDI) in Vietnam (2022), reflecting growing economic ties. Beyond economics, cooperation extends to political and diplomatic relations, defense and security, science and technology, education and training, environment and health, and humanitarian assistance/disaster relief. Vietnam, as a developing country in the globalization process, seeks diversified and substantive relationships for efficient and harmonized development.
本文探讨了美国与越南自 1995 年建立双边关系以来直至 2023 年建立全面战略伙伴关系这一里程碑式的动态关系。两国的伙伴关系以相互尊重与合作为基础,在经济、政治、安全和社会领域蓬勃发展。在经济上,两国已成为对方最大的贸易伙伴,到2023年双边贸易额将达到1240亿美元,比1995年的4.5亿美元有显著增长。美国已成为越南的第二大贸易伙伴,凸显了经济一体化的深度。此外,美国在越南的外国直接投资(FDI)方面排名第11位(2022年),反映出两国经济联系日益紧密。除经济外,双方的合作还扩展到政治和外交关系、国防和安全、科学和技术、教育和培训、环境和卫生以及人道主义援助/救灾等领域。作为全球化进程中的发展中国家,越南寻求建立多样化的实质性关系,以实现高效、协调的发展。
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引用次数: 0
Leveraging Blockchain Technology for Sustainable Economic Development in Vietnam: Applications and Implications in the Context of the 4.0 Industrial Revolution 利用区块链技术促进越南经济可持续发展:4.0 工业革命背景下的应用和影响
Pub Date : 2024-06-14 DOI: 10.18535/ijsrm/v12i06.em08
Le Thi Thu Huyen, Le Thi Lan, Ong Thi Nhung
This study was conducted to explore the potential of blockchain technology in sustainable economic development in Vietnam. Using qualitative research methods, based on the study of relevant literature, the study highlights the various applications of blockchain in areas such as supply chain management, inclusive finance, energy management and asset rights. The study also emphasizes the importance of addressing challenges for successful adoption of blockchain technology. It identifies the need for a supportive regulatory framework that clarifies legal and regulatory aspects related to blockchain, ensuring its legality and promoting innovation. Furthermore, the study highlights the importance of investing in the necessary technical infrastructure and ensuring interoperability among different blockchain platforms. Skill development is also crucial, as there is a need for a qualified workforce capable of developing and implementing blockchain solutions. By leveraging blockchain technology and addressing these challenges, Vietnam can achieve sustainable economic development. The study concludes that embracing blockchain technology can position Vietnam as a leader in the 4.0 industrial revolution, fostering innovation, transparency, and efficiency across sectors and contributing to the country's overall economic growth and development.
本研究旨在探索区块链技术在越南经济可持续发展中的潜力。在研究相关文献的基础上,本研究采用定性研究方法,强调了区块链在供应链管理、普惠金融、能源管理和资产权利等领域的各种应用。研究还强调了应对挑战对于成功采用区块链技术的重要性。研究指出,需要一个支持性的监管框架,明确与区块链有关的法律和监管问题,确保其合法性并促进创新。此外,研究还强调了投资必要的技术基础设施和确保不同区块链平台之间互操作性的重要性。技能发展也至关重要,因为需要一支能够开发和实施区块链解决方案的合格劳动力队伍。通过利用区块链技术和应对这些挑战,越南可以实现可持续经济发展。研究得出结论,采用区块链技术可以使越南成为 4.0 工业革命的领导者,促进各行业的创新、透明度和效率,为国家的整体经济增长和发展做出贡献。
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引用次数: 0
Application of Corporate Crime Sanctions in Pornography Crimes (Study of the Porn Film Industry and Trade) 公司犯罪制裁在色情犯罪中的应用(色情电影产业和贸易研究)
Pub Date : 2024-06-11 DOI: 10.18535/ijsrm/v12i06.lla01
Yeti Kurniati, Edy Santoso, Eko Susanto Tejo, Verawati Gunawan, Antonius Wantri Yulianto, Shinta Intan Sari
The development of information and communication technology has contributed to the increase in the creation and dissemination of pornography which has had a negative influence on the morals and noble personality of the Indonesian people. In relation to the era of globalization, the existence of a corporation has a big contribution to the interests of the country and its citizens. The existence of corporations is often accompanied by violations, including violations of criminal law, one of which is the case of the pornographic film industry and trade. The authors examine the criteria for criminal acts of pornography which are classified as corporate crimes and how sanctions are applied for criminal acts of pornography as a corporate crime. This research uses normative-empirical juridical methods and analytical descriptive research specifications. Based on the research results, it can be concluded that the criteria for criminal acts of pornography which are classified as corporate crimes are non-violent, corrosive effect, and have a very detrimental impact on society at large. The industry and trade in pornographic films is a form of criminal corporation/organization, and there has never been a court decision regarding sanctions for corporate criminal acts applied to cases of criminal acts of pornography. Efforts that can be made to overcome this problem are to harmonize the definition of a corporation, create clear criteria for corporations as subjects of criminal law, need to hold Focus Group Discussions (FGD) among academics and law enforcement officials, and apply sanctions against perpetrators of criminal acts of pornography which are classified as corporate crimes.
信息和通信技术的发展促进了色情制品的制作和传播,对印度尼西亚人民的道德和高尚人格产生了负面影响。在全球化时代,公司的存在对国家和公民的利益有很大的影响。公司的存在往往伴随着违法行为,包括违反刑法,色情电影产业和贸易就是其中之一。作者研究了被归类为公司犯罪的色情犯罪行为的标准,以及如何对作为公司犯罪的色情犯罪行为实施制裁。本研究采用规范-实证法学方法和分析描述性研究规范。根据研究结果,可以得出这样的结论:被列为公司犯罪的色情犯罪行为的标准是非暴力的、具有腐蚀作用的,并且对整个社会具有非常有害的影响。色情电影的产业和贸易是一种犯罪的公司/组织形式,从来没有法院判决将对公司犯罪行为的制裁适用于色情犯罪行为的案件。为解决这一问题,可以采取的措施有:统一公司的定义,为公司作为刑法主体制定明确的标准,有必要在学术界和执法官员中开展焦点小组讨论(FGD),并对被归类为公司犯罪的色情犯罪行为人实施制裁。
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引用次数: 0
Perspectives and Difficulties of Green Marketing: An analysis in the context of Bangladesh 绿色营销的前景和困难:以孟加拉国为背景的分析
Pub Date : 2024-06-11 DOI: 10.18535/ijsrm/v12i06.em04
Shimun Nahar
Green marketing is a method of using the environmental advantages of a product or service to boost sales. Many buyers would prefer goods that do not affect the environment rather than less eco-friendly products, even though they cost more. Marketers rely on the sustainability advantages of advertising items such as recyclable diapers, energy-efficient light bulbs, and eco-friendly detergents for green marketing. Business and the climate are also interrelated issues in today’s business world. Marketing plays an essential role in solving this environmental business world problem. Nearly every government in the world worries about ecological or renewable goods and marketing issues. The paper discusses the opportunities and obstacles of green marketing in Bangladesh. The article also explains why businesses embrace it and concludes that green marketing will continue expanding in nature and demand.
绿色营销是一种利用产品或服务的环境优势促进销售的方法。许多买家宁愿选择不影响环境的商品,也不愿选择不那么环保的产品,即使它们的成本更高。营销人员通过宣传可回收尿布、节能灯泡和环保洗涤剂等产品的可持续发展优势来进行绿色营销。在当今的商业世界中,商业和气候也是相互关联的问题。市场营销在解决这一环境商业世界问题方面发挥着至关重要的作用。几乎世界上每一个国家的政府都在担心生态或可再生商品和营销问题。本文讨论了孟加拉国绿色营销的机遇和障碍。文章还解释了企业接受绿色营销的原因,并得出结论:绿色营销的性质和需求将继续扩大。
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引用次数: 0
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International Journal of Scientific Research and Management (IJSRM)
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