Catherine T. Basinillo, Maricon R. Biron, Froilan L. Calixto, Elieser D. Nicolas, Ferdie D. Salao, Minsoware S. Bacolod
In the Philippines, the TRAIN Law or tax reform for acceleration and inclusion legislation was put into effect in 2018. This law sought to significantly alter the nation's tax structure in order to increase money for poverty alleviation, healthcare, and infrastructure. One of the features of the law was to increase the income threshold below which minimum wage earners would not be required to pay income tax. But it also resulted in higher costs for goods and services, which had an effect on Metro Manila's level of living. This qualitative research examines the significant data and information based on the participant's experiences with the TRAIN law. Semi-structured questions were used in the in-depth interview to facilitate deeper clarification and additional discussion. The results show that the majority of the impact of the law on the poor is related to basic needs like food, for which they must cut their budget in order to survive because there are other expenses to consider, such as utility bills and debts. Moreover, it impacts an individual's emotional and overall health, including mental health concerns brought on by financial difficulties. Additionally, it has an impact on their social interaction because they tend to engage with others less frequently because they are preoccupied with the things that need significant financial outlays. Thus, it may be inferred that the poor income class households' standard of living declined with the introduction of TRAIN law. KEYWORDS: tax reform law, poverty alleviation, minimum wage earner
{"title":"AS THE IMPOVERISHED GET EVEN POORER: AN ANALYSIS ON THE IMPACT OF PHILIPPINE TRAIN LAW TO THE MINIMUM WAGE EARNER","authors":"Catherine T. Basinillo, Maricon R. Biron, Froilan L. Calixto, Elieser D. Nicolas, Ferdie D. Salao, Minsoware S. Bacolod","doi":"10.36713/epra17312","DOIUrl":"https://doi.org/10.36713/epra17312","url":null,"abstract":"In the Philippines, the TRAIN Law or tax reform for acceleration and inclusion legislation was put into effect in 2018. This law sought to significantly alter the nation's tax structure in order to increase money for poverty alleviation, healthcare, and infrastructure. One of the features of the law was to increase the income threshold below which minimum wage earners would not be required to pay income tax. But it also resulted in higher costs for goods and services, which had an effect on Metro Manila's level of living. This qualitative research examines the significant data and information based on the participant's experiences with the TRAIN law. Semi-structured questions were used in the in-depth interview to facilitate deeper clarification and additional discussion. The results show that the majority of the impact of the law on the poor is related to basic needs like food, for which they must cut their budget in order to survive because there are other expenses to consider, such as utility bills and debts. Moreover, it impacts an individual's emotional and overall health, including mental health concerns brought on by financial difficulties. Additionally, it has an impact on their social interaction because they tend to engage with others less frequently because they are preoccupied with the things that need significant financial outlays. Thus, it may be inferred that the poor income class households' standard of living declined with the introduction of TRAIN law. \u0000KEYWORDS: tax reform law, poverty alleviation, minimum wage earner","PeriodicalId":505883,"journal":{"name":"EPRA International Journal of Multidisciplinary Research (IJMR)","volume":"53 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141358263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study utilized mixed methods approach particularly explanatory sequential design, it investigated the influence of organizational cynicism and job embeddedness towards turnover intentions of teachers coming from private HEIs in Region XI where adapted survey questionnaires were utilized in gathering quantitative data and as for its qualitative data it used in-depth interview (IDI) and focus group discussion (FGD). The participants of the study were faculty members who work in higher education institutions in the Davao Region. Further, the study used three adapted survey tools with a five-point Likert scale and an interview guide was used to generate the data relative to the research questions. The mean, standard deviation, and multiple linear regression were used as statistical tools while in the qualitative strand thematic analysis was employed. Moreover, data integration was used for data integration. The quantitative data was first generated and after which qualitative data were collected. Results showed that Organizational Cynicism and Turnover Intention were rated low while Job Embeddedness is high. It was found that organizational cynicism and job embeddedness significantly influence turnover intentions of teachers. In the qualitative phase of the study, standpoints of the participants on the variables and their relationship revealed five themes namely Confirmed Low Rating of Organizational Cynicism, Confirmed High Rating of Job Embeddedness, Confirmed Low Rating of Job Turnover Intentions, Confirmed Significant Influence of Organizational Cynicism to Turnover Intention, and Confirmed Significant Influence of Job Embeddedness to Turnover Intention. Lastly, the data integration analysis show that the following pairs of quantitative and qualitative data denote agreement or confirmation. KEYWORDS: Education, educational leadership, organizational cynicism, job embeddedness, turnover intention, explanatory sequential design, Philippines
{"title":"ORGANIZATIONAL CYNICISM AND JOB EMBEDDEDNESS AS PREDICTORS OF TURNOVER INTENTIONS AMONG TEACHERS IN PRIVATE HIGHER EDUCATION INSTITUTIONS: AN EXPLANATORY SEQUENTIAL DESIGN","authors":"Queen Jane M. Bacon, Avee Joy B. Dayaganon","doi":"10.36713/epra17304","DOIUrl":"https://doi.org/10.36713/epra17304","url":null,"abstract":"This study utilized mixed methods approach particularly explanatory sequential design, it investigated the influence of organizational cynicism and job embeddedness towards turnover intentions of teachers coming from private HEIs in Region XI where adapted survey questionnaires were utilized in gathering quantitative data and as for its qualitative data it used in-depth interview (IDI) and focus group discussion (FGD). The participants of the study were faculty members who work in higher education institutions in the Davao Region. Further, the study used three adapted survey tools with a five-point Likert scale and an interview guide was used to generate the data relative to the research questions. The mean, standard deviation, and multiple linear regression were used as statistical tools while in the qualitative strand thematic analysis was employed. Moreover, data integration was used for data integration. The quantitative data was first generated and after which qualitative data were collected. Results showed that Organizational Cynicism and Turnover Intention were rated low while Job Embeddedness is high. It was found that organizational cynicism and job embeddedness significantly influence turnover intentions of teachers. In the qualitative phase of the study, standpoints of the participants on the variables and their relationship revealed five themes namely Confirmed Low Rating of Organizational Cynicism, Confirmed High Rating of Job Embeddedness, Confirmed Low Rating of Job Turnover Intentions, Confirmed Significant Influence of Organizational Cynicism to Turnover Intention, and Confirmed Significant Influence of Job Embeddedness to Turnover Intention. Lastly, the data integration analysis show that the following pairs of quantitative and qualitative data denote agreement or confirmation. \u0000KEYWORDS: Education, educational leadership, organizational cynicism, job embeddedness, turnover intention, explanatory sequential design, Philippines","PeriodicalId":505883,"journal":{"name":"EPRA International Journal of Multidisciplinary Research (IJMR)","volume":"30 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141358571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper explores the historical evolution of age care homes globally, with a specific focus on India and Mangalore, examining their impact on commerce and management. Through archival research and observational data analysis, the study highlights challenges such as a lack of trained staff, poor management structures, and limited specialization in elder care. Recommendations include enhancing training programs, implementing structured management practices, and fostering strategic investments to improve the quality and sustainability of elder care services. Addressing these challenges can lead to a more effective and responsive elder care system, tailored to meet the diverse needs of aging populations. This paper delves into the historical development of age care homes worldwide, with a specific focus on India and Mangalore, examining their impact on commerce and management. The study utilizes archival research and observational data analysis to highlight challenges such as a lack of trained staff, poor management structures, and limited specialization in elder care. Recommendations include enhancing training programs, implementing structured management practices, and fostering strategic investments to improve the quality and sustainability of elder care services. Addressing these challenges can lead to a more effective and responsive elder care system, tailored to meet the diverse needs of aging populations. KEY WORDS: Age care homes, elder care, age care management, Grihasthashrama, Almhouses, Gerontology.
{"title":"EXPLORING THE TRANSFORMATIVE SHIFT IN ELDERLY CARE FACILITIES: STRATEGIC AND FINANCIAL PERSPECTIVES FROM A GLOBAL, INDIAN, AND MANGALOREAN CONTEXT","authors":"Kripanjali Tellis Nayak, Dr. Kavyashree K","doi":"10.36713/epra17317","DOIUrl":"https://doi.org/10.36713/epra17317","url":null,"abstract":"This paper explores the historical evolution of age care homes globally, with a specific focus on India and Mangalore, examining their impact on commerce and management. Through archival research and observational data analysis, the study highlights challenges such as a lack of trained staff, poor management structures, and limited specialization in elder care. Recommendations include enhancing training programs, implementing structured management practices, and fostering strategic investments to improve the quality and sustainability of elder care services. Addressing these challenges can lead to a more effective and responsive elder care system, tailored to meet the diverse needs of aging populations.\u0000 This paper delves into the historical development of age care homes worldwide, with a specific focus on India and Mangalore, examining their impact on commerce and management. The study utilizes archival research and observational data analysis to highlight challenges such as a lack of trained staff, poor management structures, and limited specialization in elder care. Recommendations include enhancing training programs, implementing structured management practices, and fostering strategic investments to improve the quality and sustainability of elder care services. Addressing these challenges can lead to a more effective and responsive elder care system, tailored to meet the diverse needs of aging populations.\u0000KEY WORDS: Age care homes, elder care, age care management, Grihasthashrama, Almhouses, Gerontology.","PeriodicalId":505883,"journal":{"name":"EPRA International Journal of Multidisciplinary Research (IJMR)","volume":"122 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141360510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This mixed methods study employs a convergent design to explore the job satisfaction of public elementary school teachers in Region XI by examining the influence of public leadership behaviors and psychological empowerment. Quantitative data were collected from 300 teachers across 20 public elementary schools using the Public Leadership Behaviors Questionnaire, the Psychological Empowerment Scale, and the Job Satisfaction Questionnaire (JS-Q). The quantitative analysis utilized mean, standard deviation, and multiple regression. The results revealed that public leadership and psychological empowerment significantly predict job satisfaction, F(2, 296) = 115.33, p < .05. Additionally, qualitative data were gathered through in-depth interviews (IDI) with 10 teachers and focus group discussions (FGD) with 7 teachers. Qualitative thematic analysis highlighted the participants’ experiences, the impact of grouping variables, and the influence of these experiences on their beliefs and attitudes. The joint display of findings from both approaches indicated a convergence of data, emphasizing the role of public leadership and psychological empowerment in enhancing job satisfaction. Based on these results, a series of recommendations was formulated and proposed to further improve teacher job satisfaction. KEYWORDS: Education, public leadership behaviors, psychological empowerment, job satisfaction of teachers, convergent design, Philippines
{"title":"JOB SATISFACTION OF TEACHERS AS INFLUENCED BY PUBLIC LEADERSHIP BEHAVIORS AND PSYCHOLOGICAL EMPOWERMENT: A CONVERGENT DESIGN","authors":"Romelle Tecson - Rotol, Edna T. Salva","doi":"10.36713/epra17258","DOIUrl":"https://doi.org/10.36713/epra17258","url":null,"abstract":"This mixed methods study employs a convergent design to explore the job satisfaction of public elementary school teachers in Region XI by examining the influence of public leadership behaviors and psychological empowerment. Quantitative data were collected from 300 teachers across 20 public elementary schools using the Public Leadership Behaviors Questionnaire, the Psychological Empowerment Scale, and the Job Satisfaction Questionnaire (JS-Q). The quantitative analysis utilized mean, standard deviation, and multiple regression. The results revealed that public leadership and psychological empowerment significantly predict job satisfaction, F(2, 296) = 115.33, p < .05. Additionally, qualitative data were gathered through in-depth interviews (IDI) with 10 teachers and focus group discussions (FGD) with 7 teachers. Qualitative thematic analysis highlighted the participants’ experiences, the impact of grouping variables, and the influence of these experiences on their beliefs and attitudes. The joint display of findings from both approaches indicated a convergence of data, emphasizing the role of public leadership and psychological empowerment in enhancing job satisfaction. Based on these results, a series of recommendations was formulated and proposed to further improve teacher job satisfaction.\u0000KEYWORDS: Education, public leadership behaviors, psychological empowerment, job satisfaction of teachers, convergent design, Philippines","PeriodicalId":505883,"journal":{"name":"EPRA International Journal of Multidisciplinary Research (IJMR)","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141363843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Mary Swarnalatha, V.T.Iswariya, Banoth Akash, Sneha Bhandari, Ramavath Shirisha, T.Ramarao
The study aims to create a sustained release matrix tablet for Losartan potassium, an angiotensin II receptor antagonist, to improve patient compliance and maintain therapeutic blood or tissue levels for extended periods. The research investigates the role of novel semi-synthetic polymers and natural polymers in comparison to well-known release retarding agents. Gastroretentive drug delivery systems (GRDDS) are unique technologies designed to improve drug bioavailability and absorption by avoiding the first-pass effect. Losartan potassium, an angiotensin II receptor antagonist, has a bioavailability of 32% and a low elimination half-life, making it suitable for oral controlled release. The study utilized natural and synthetic polymers in matrix tablet preparation, concentration, drug particles size, additives, and excipients to modify drug release. The powder mixtures were tested for pre-compression parameters and post-compression parameters, and in-vitro dissolution studies showed good dissolution profiles for drug release. Formulations with higher concentrations and polymers sustained drug release for 24 hours. FT-IR Spectroscopy confirmed drug compatibility with polymers and other excipients KEYWORDS: matrix tablets, Losartan Potassium, flow properties, pre compression parameters post compression parameters, In-vitro dissolution.
该研究旨在为血管紧张素 II 受体拮抗剂洛沙坦钾制造一种缓释基质片剂，以提高患者的依从性，并长时间维持血液或组织中的治疗水平。该研究将新型半合成聚合物和天然聚合物与众所周知的缓释剂进行了比较，以探究它们的作用。胃复安给药系统（GRDDS）是一种独特的技术，旨在通过避免首过效应来提高药物的生物利用度和吸收率。洛沙坦钾是一种血管紧张素 II 受体拮抗剂，其生物利用度为 32%，消除半衰期较短，因此适合口服控释。该研究利用天然和合成聚合物制备基质片剂、浓度、药物颗粒大小、添加剂和辅料来改变药物释放。对粉末混合物进行了压片前参数和压片后参数测试，体外溶出研究显示药物释放的溶出曲线良好。使用较高浓度和聚合物的制剂可持续释放药物 24 小时。傅立叶变换红外光谱法证实了药物与聚合物和其他辅料的相容性关键词：基质片剂、洛沙坦钾、流动特性、压缩前参数、压缩后参数、体外溶出度。
{"title":"FORMULATION AND EVALUATION OF LOSARTAN POTASSIUM MATRIX TABLETS BY USING DIFFERENT POLYMERS","authors":"K. Mary Swarnalatha, V.T.Iswariya, Banoth Akash, Sneha Bhandari, Ramavath Shirisha, T.Ramarao","doi":"10.36713/epra17266","DOIUrl":"https://doi.org/10.36713/epra17266","url":null,"abstract":"The study aims to create a sustained release matrix tablet for Losartan potassium, an angiotensin II receptor antagonist, to improve patient compliance and maintain therapeutic blood or tissue levels for extended periods. The research investigates the role of novel semi-synthetic polymers and natural polymers in comparison to well-known release retarding agents. Gastroretentive drug delivery systems (GRDDS) are unique technologies designed to improve drug bioavailability and absorption by avoiding the first-pass effect. Losartan potassium, an angiotensin II receptor antagonist, has a bioavailability of 32% and a low elimination half-life, making it suitable for oral controlled release. The study utilized natural and synthetic polymers in matrix tablet preparation, concentration, drug particles size, additives, and excipients to modify drug release. The powder mixtures were tested for pre-compression parameters and post-compression parameters, and in-vitro dissolution studies showed good dissolution profiles for drug release. Formulations with higher concentrations and polymers sustained drug release for 24 hours. FT-IR Spectroscopy confirmed drug compatibility with polymers and other excipients\u0000KEYWORDS: matrix tablets, Losartan Potassium, flow properties, pre compression parameters post compression parameters, In-vitro dissolution.","PeriodicalId":505883,"journal":{"name":"EPRA International Journal of Multidisciplinary Research (IJMR)","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141363251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Camila Julia Q. Palma Gil, Alra Mae C. Zambrano, Trisha Ericka A. Surigao, Mary Carmilyn G. Enriquez
This research employed a generic qualitative approach to investigate the experiences of community nurses in the delivery of obstetrics care in rural areas and in addressing the limitations inherent to their respective localities. The research was carried out within the locality of Davao del Norte, with the participation of a total of fourteen community nurses: seven of them were involved in the in-depth interviews, while the remaining seven took part in the focused group discussion. Thematic analysis was employed to analyze the data. The findings of the study indicate that community nurses in rural locations hold diverse experiences regarding obstetrics care. These are lacking medical equipment and resources, and dealing with patients’ irresponsibility and reluctance to avail services. To cope with the limitations, community nurses implemented the following strategies: utilizing supplement intake alternative methods, and offering insights into the importance of prenatal care. Their recommendations to enhance obstetrics care are fostering collaboration for effective healthcare, enhancing community healthcare through education, and securing funds and medical supplies. This research endeavor has the potential to provide valuable insights for healthcare authorities and other relevant stakeholders to improve rural obstetrics care systems. Through the viewpoints of community nurses, it becomes possible to identify aspects of healthcare, design initiatives, and implement programs that can effectively increase the provision of maternal healthcare services in rural areas. KEYWORDS: Obstetrics care, community nurses, rural areas, generic qualitative study, Davao del Norte, Philippines
{"title":"EXPERIENCES OF COMMUNITY NURSES IN THE DELIVERY OF OBSTETRICS CARE IN RURAL AREAS","authors":"Maria Camila Julia Q. Palma Gil, Alra Mae C. Zambrano, Trisha Ericka A. Surigao, Mary Carmilyn G. Enriquez","doi":"10.36713/epra17128","DOIUrl":"https://doi.org/10.36713/epra17128","url":null,"abstract":"This research employed a generic qualitative approach to investigate the experiences of community nurses in the delivery of obstetrics care in rural areas and in addressing the limitations inherent to their respective localities. The research was carried out within the locality of Davao del Norte, with the participation of a total of fourteen community nurses: seven of them were involved in the in-depth interviews, while the remaining seven took part in the focused group discussion. Thematic analysis was employed to analyze the data. The findings of the study indicate that community nurses in rural locations hold diverse experiences regarding obstetrics care. These are lacking medical equipment and resources, and dealing with patients’ irresponsibility and reluctance to avail services. To cope with the limitations, community nurses implemented the following strategies: utilizing supplement intake alternative methods, and offering insights into the importance of prenatal care. Their recommendations to enhance obstetrics care are fostering collaboration for effective healthcare, enhancing community healthcare through education, and securing funds and medical supplies. This research endeavor has the potential to provide valuable insights for healthcare authorities and other relevant stakeholders to improve rural obstetrics care systems. Through the viewpoints of community nurses, it becomes possible to identify aspects of healthcare, design initiatives, and implement programs that can effectively increase the provision of maternal healthcare services in rural areas. \u0000KEYWORDS: Obstetrics care, community nurses, rural areas, generic qualitative study, Davao del Norte, Philippines","PeriodicalId":505883,"journal":{"name":"EPRA International Journal of Multidisciplinary Research (IJMR)","volume":"106 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141361436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This qualitative multiple case study explored the experiences and challenges of junior high school non-readers involved in the reading intervention programs. The experiences and the navigating strategies of non-readers of the five cases were examined using in-depth Interviews. Triangulation of the gathered data was done in each case by interviewing the parents, guardians, and teachers of the non-readers. The cross-analysis of the five study cases revealed eight common themes, with four highlighting positive experiences and four highlighting negative experiences. The four emergent themes for navigating the challenges included Engaging in Relaxation Activities, Seeking Help from Teachers and Parents, Involving Parents or Guardians in Doing the Tasks, and Following a Structured Reading Schedule. The five cases were generally similar except for the supportive familial environment and gaining progress in reading for Cases 3 and 5. Anent to navigating the challenges of their experiences, all cases show significant advancements in their reading skills over time except for Case 5 who exhibited minimal improvement due to lack of parental support and a learning disability, necessitating tailored interventions and support strategies to address her unique needs. KEYWORDS: Applied linguistics education, non-readers, reading intervention, multiple case studies, Philippines
{"title":"UNFOLDING BARRIERS: A MULTIPLE CASE STUDY OF NON-READERS INVOLVED IN THE IMPLEMENTATION OF READING INTERVENTION PROGRAMS IN PUBLIC SECONDARY SCHOOLS","authors":"MAEd Anecito P. Neri Jr., Dr. Virgion H. Mamonong","doi":"10.36713/epra17257","DOIUrl":"https://doi.org/10.36713/epra17257","url":null,"abstract":"This qualitative multiple case study explored the experiences and challenges of junior high school non-readers involved in the reading intervention programs. The experiences and the navigating strategies of non-readers of the five cases were examined using in-depth Interviews. Triangulation of the gathered data was done in each case by interviewing the parents, guardians, and teachers of the non-readers. The cross-analysis of the five study cases revealed eight common themes, with four highlighting positive experiences and four highlighting negative experiences. The four emergent themes for navigating the challenges included Engaging in Relaxation Activities, Seeking Help from Teachers and Parents, Involving Parents or Guardians in Doing the Tasks, and Following a Structured Reading Schedule. The five cases were generally similar except for the supportive familial environment and gaining progress in reading for Cases 3 and 5. Anent to navigating the challenges of their experiences, all cases show significant advancements in their reading skills over time except for Case 5 who exhibited minimal improvement due to lack of parental support and a learning disability, necessitating tailored interventions and support strategies to address her unique needs.\u0000KEYWORDS: Applied linguistics education, non-readers, reading intervention, multiple case studies, Philippines","PeriodicalId":505883,"journal":{"name":"EPRA International Journal of Multidisciplinary Research (IJMR)","volume":" 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141367189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article analyzes the current state of the development of the market of medical services (MMS) of the Republic of Karakalpakstan and the results of evaluation of competitiveness based on sociological questionnaires are given. KEY WORDS: healthcare system, state and non-state healthcare sector, medical services market, competitive environment, level of competitiveness, competitiveness factors.
{"title":"ASSESSMENT OF THE DEVELOPMENT AND COMPETITIVENESS OF THE MEDICAL SERVICES MARKET IN THE REPUBLIC OF KARAKALPAGISTON BASED ON SOCIOLOGICAL QUESTIONNAIRES","authors":"Jumanova Venera","doi":"10.36713/epra17295","DOIUrl":"https://doi.org/10.36713/epra17295","url":null,"abstract":"This article analyzes the current state of the development of the market of medical services (MMS) of the Republic of Karakalpakstan and the results of evaluation of competitiveness based on sociological questionnaires are given.\u0000KEY WORDS: healthcare system, state and non-state healthcare sector, medical services market, competitive environment, level of competitiveness, competitiveness factors.","PeriodicalId":505883,"journal":{"name":"EPRA International Journal of Multidisciplinary Research (IJMR)","volume":" 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141366848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bryam Esteban Coello García, Byron Fabián Pinos Reyes, Roberto Paolo Calle Tenesaca, Evelyn Daniela Rivera Rosas, Andrea Verónica Reinoso Piedra, Pablo Andrés Coronel Cárdenas, Dubal Wladimir Fernández Ordoñez
Introduction: Pes cavus is a deformity characterized by cavus (elevation of the longitudinal plantar arch of the foot), plantar flexion of the first radius, forefoot pronation and valgus, rearfoot varus and forefoot adduction. Muscle strength imbalance is the most notable origin of such deformity. Objective: to detail the current information related to pes cavus, concept, manifestations, etiology, epidemiology, presentation, anatomy, pathophysiology, diagnosis, complementary tests, treatment, complications and prognosis. Methodology: a total of 25 articles were analyzed in this review, including review and original articles, as well as clinical cases, of which 16 bibliographies were used because the other articles were not relevant for this study. The sources of information were PubMed, Google Scholar and Cochrane; the terms used to search for information in Spanish, Portuguese and English were: pes cavus, cavo-varus, foot deformity, foot muscle strength imbalance. Results: The pathology has a strong underlying association with neurological conditions. It usually occurs in adolescence or early adulthood, although it can occur in any age group. In diabetic patients there is a prevalence of 25%. Mearys line is a line between the talus and the first metatarsal, normally it has a value of 0, in pes cavus it increases, being mild from 5 to 10 degrees and severe above 20. Conclusions: It is important to understand that early identification and intervention are essential to prevent progression from flexible and correctable pes cavus to rigid pes cavus. Therefore, it is essential to know the basis of the pathology, both anatomical, etiological and pathophysiological, as well as its association with other entities or pathologies of the nervous system. In addition, it is necessary to know how to perform an adequate clinical evaluation together with a physical examination and adequate complementary examinations to determine the correct diagnosis and choose the type of treatment to be performed. It is evident that cavovarus foot deformities in adults are frequently approached by means of joint preservation osteotomies and complementary soft tissue procedures, however, currently there are several alternative surgical options available to achieve good results, being the usual first approach to the fixed forefoot deformity and if necessary, to perform a valgus osteotomy. It is recommended that bony correction be performed in conjunction with a soft tissue balancing procedure, in addition to residual toe deformities being restored last. The forms of treatment should be individualized, the choice of the procedure to be used will depend on the deformity and the experience of the surgeon, adapted to the specific clinical picture of each patient. KEY WORDS: pes cavus, metatarsalgia, plantar arch, muscular imbalance.
{"title":"THE PES CAVUS, SCOPING REVIEW","authors":"Bryam Esteban Coello García, Byron Fabián Pinos Reyes, Roberto Paolo Calle Tenesaca, Evelyn Daniela Rivera Rosas, Andrea Verónica Reinoso Piedra, Pablo Andrés Coronel Cárdenas, Dubal Wladimir Fernández Ordoñez","doi":"10.36713/epra17272","DOIUrl":"https://doi.org/10.36713/epra17272","url":null,"abstract":"Introduction: Pes cavus is a deformity characterized by cavus (elevation of the longitudinal plantar arch of the foot), plantar flexion of the first radius, forefoot pronation and valgus, rearfoot varus and forefoot adduction. Muscle strength imbalance is the most notable origin of such deformity.\u0000Objective: to detail the current information related to pes cavus, concept, manifestations, etiology, epidemiology, presentation, anatomy, pathophysiology, diagnosis, complementary tests, treatment, complications and prognosis. \u0000Methodology: a total of 25 articles were analyzed in this review, including review and original articles, as well as clinical cases, of which 16 bibliographies were used because the other articles were not relevant for this study. The sources of information were PubMed, Google Scholar and Cochrane; the terms used to search for information in Spanish, Portuguese and English were: pes cavus, cavo-varus, foot deformity, foot muscle strength imbalance.\u0000Results: The pathology has a strong underlying association with neurological conditions. It usually occurs in adolescence or early adulthood, although it can occur in any age group. In diabetic patients there is a prevalence of 25%. Mearys line is a line between the talus and the first metatarsal, normally it has a value of 0, in pes cavus it increases, being mild from 5 to 10 degrees and severe above 20.\u0000Conclusions: It is important to understand that early identification and intervention are essential to prevent progression from flexible and correctable pes cavus to rigid pes cavus. Therefore, it is essential to know the basis of the pathology, both anatomical, etiological and pathophysiological, as well as its association with other entities or pathologies of the nervous system. In addition, it is necessary to know how to perform an adequate clinical evaluation together with a physical examination and adequate complementary examinations to determine the correct diagnosis and choose the type of treatment to be performed. It is evident that cavovarus foot deformities in adults are frequently approached by means of joint preservation osteotomies and complementary soft tissue procedures, however, currently there are several alternative surgical options available to achieve good results, being the usual first approach to the fixed forefoot deformity and if necessary, to perform a valgus osteotomy. It is recommended that bony correction be performed in conjunction with a soft tissue balancing procedure, in addition to residual toe deformities being restored last. The forms of treatment should be individualized, the choice of the procedure to be used will depend on the deformity and the experience of the surgeon, adapted to the specific clinical picture of each patient.\u0000KEY WORDS: pes cavus, metatarsalgia, plantar arch, muscular imbalance.","PeriodicalId":505883,"journal":{"name":"EPRA International Journal of Multidisciplinary Research (IJMR)","volume":" 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141367709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This Article highlights the sociological and philosophical essence of forming scientific worldview of young people. The issues of influence of family values, ethnoenvironment, or social identities to the development of the youth are discussed. KEY WORDS: scientific worldview, schools and universities, education, curriculum, information technologies.
{"title":"SOCIO-PHILOSOPHICAL ESSENCE OF THE FORMATION OF SCIENTIFIC WORLDVIEW IN YOUNG PEOPLE","authors":"Kilichev Farkhod Davlatyarovich","doi":"10.36713/epra17293","DOIUrl":"https://doi.org/10.36713/epra17293","url":null,"abstract":"This Article highlights the sociological and philosophical essence of forming scientific worldview of young people. The issues of influence of family values, ethnoenvironment, or social identities to the development of the youth are discussed. \u0000KEY WORDS: scientific worldview, schools and universities, education, curriculum, information technologies.","PeriodicalId":505883,"journal":{"name":"EPRA International Journal of Multidisciplinary Research (IJMR)","volume":" 85","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141367465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：