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THE DETERMINANTS OF ANGOLAN BANKS’ EFFICIENCY 安哥拉银行效率的决定因素
Pub Date : 2024-01-08 DOI: 10.29121/granthaalayah.v11.i12.2023.5438
Clara Pires, Carla Santos, Nádia Silva
Globalization has led to a growing increase in financial institutions, as well as to the diversification of their services, due to the international circulation of capital. In view of this increase, the Angolan market has become progressively more competitive, making efficiency a major factor in its survival in the market.This study aimed to analyse the determinants of efficiency in the Angolan banking sector by examining the period from 2014 to 2019. To achieve this objective, we first applied the non-parametric data envelopment analysis methodology to estimate the efficiency levels of banks, and in the second phase, we used a multiple linear regression to obtain an explanatory model of Angolan banking efficiency.In the first stage, the classic Banker, Charnes and Cooper model was used with input orientation, employing the variables of staff expenses and deposits as the inputs, and the total credit as the output, ranking the banks descending order of their efficiency scores. In the second stage, through multiple linear regression, efficiency was expressed as a function of variables measuring the capital adequacy, asset quality, management quality, profitability and liquidity of the banks under study.The variables that proved to be statistically significant in the efficiency of Angolan banking were the solvency ratio, the relationship between liabilities and equity and return on equity.
由于资本的国际流通,全球化导致金融机构日益增多,其服务也日趋多样化。鉴于这种增长,安哥拉市场的竞争变得日益激烈,效率成为其在市场中生存的主要因素。本研究旨在通过对2014年至2019年期间的研究,分析安哥拉银行业效率的决定因素。为实现这一目标,我们首先采用了非参数数据包络分析方法来估算银行的效率水平,在第二阶段,我们采用了多元线性回归方法来获得安哥拉银行业效率的解释模型。在第一阶段,我们采用了经典的Banker、Charnes和Cooper模型,以员工支出和存款为输入变量,以信贷总额为输出变量,按银行的效率得分从高到低排序。在第二阶段,通过多元线性回归,将效率表示为衡量所研究银行的资本充足率、资产质量、管理质量、盈利能力和流动性等变量的函数。事实证明,对安哥拉银行业效率具有统计意义的变量是偿付能力比率、负债与股本之间的关系以及股本回报率。
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引用次数: 0
SEEPAGE ANALYSIS ON THE EMBANKMENT BODY ZONAL TYPE DAM IN BAGONG EAST JAVA INDONESIA 印尼东爪哇岛巴贡(Bagong)地带性堤坝的渗流分析
Pub Date : 2023-12-31 DOI: 10.29121/granthaalayah.v11.i12.2023.5412
Kuntjoro, Bagas Aryananda, Khoiri Mohamad
Dam construction is one form of water resource utilization in Indonesia. In addition to its potential functions and benefits, dams in Indonesia also pose significant risks. Therefore, detailed planning for dam construction is essential. The Bagong Dam has a zonal embankment type with a vertical core. This type of dam has larger pores or voids compared to concrete/asphalt dams. Consequently, a detailed seepage calculation is necessary to avoid adverse events. Water seepage can be addressed by analyzing it using the Geo-Studio software, which can identify the depression line, as well as the velocity and discharge of seepage through the dam body. The analysis includes conditions such as Normal Water Surface (NWS), Flood Water Surface (FWS), Rapid Drawdown, and Dead Storage. The analysis will produce seepage patterns (depression lines), seepage discharge, and seepage velocity. The calculated seepage discharge in Geo-Studio is 5.82 x 10-3 m3/s, compared to the manually calculated seepage discharge of 5.98 x 10-3 m3/s, resulting in a negligible difference of 2.672%, with a discharge difference of 0.00016 m3/s. The highest critical velocity occurs in rip-rap material and embankments at a height of 4.04 x 10-1 in the NWS modelling. The critical diameter limit for the most critical (smallest) material to be carried away is found in clay material with a critical diameter of 5.61.10-14 cm. The safety factor for suffusion symptoms indicates the most critical value in NWS modelling, with a value of 4.51. The seepage discharge is still within safe limits since the calculated discharge through the dam body is 0.062 m3/s less than the permitted discharge.
水坝建设是印度尼西亚水资源利用的一种形式。除了其潜在的功能和效益外,印尼的大坝也带来了巨大的风险。因此,大坝建设的详细规划至关重要。巴贡水坝采用垂直核心的分区堤坝类型。与混凝土/沥青大坝相比,这种大坝的孔隙或空隙更大。因此,有必要进行详细的渗水计算,以避免不利事件的发生。可以使用 Geo-Studio 软件分析渗水情况,该软件可以确定凹陷线以及通过坝体的渗水速度和排放量。分析包括正常水面 (NWS)、洪水水面 (FWS)、快速缩减和死库等条件。分析将得出渗流模式(凹陷线)、渗流排放量和渗流速度。Geo-Studio 中计算的渗流排水量为 5.82 x 10-3 m3/s,而人工计算的渗流排水量为 5.98 x 10-3 m3/s,两者相差 2.672%,可忽略不计,排水量相差 0.00016 m3/s。在 NWS 模拟中,最高临界速度出现在护坡材料和堤坝中,高度为 4.04 x 10-1。最临界(最小)被带走材料的临界直径极限出现在粘土材料中,临界直径为 5.61.10-14 厘米。窒息症状的安全系数在 NWS 模型中显示为最临界值,数值为 4.51。由于通过坝体的计算排放量比允许排放量少 0.062 立方米/秒,因此渗流排放量仍在安全范围内。
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引用次数: 0
ANALYSIS OF RISK IN THE RECRUITMENT PROCESS OF NON-ASN EMPLOYEES (CASE STUDY OF MARIA WALANDA MARAMIS REGIONAL HOSPITAL, NORTH MINAHASA REGENCY) 非安大略省雇员招聘过程中的风险分析(北米纳哈萨省玛丽亚-瓦兰达-马拉米斯地区医院案例研究)
Pub Date : 2023-12-31 DOI: 10.29121/granthaalayah.v11.i12.2023.5399
Brenda Iin, Lis Sintha Oppusunggu, Denny Tewu
With the current status of Maria Walanda Maramis Regional Hospital as a BLUD, the hospital has the authority to regulate flexibility to improve services, including by carrying out its own recruitment, which previously had to go through the Regional Government. Flexibility is given in Planning, Procurement, Recruitment and Acceptance of Non-Permanent Employees (THL), so Maria Walanda Maramis Regional Hospital carries out recruitment of Non-ASN Employees. The various activity is carried out starting from planning, implementation, acceptance and placement and performance evaluation. During this process, it was discovered that there were employees who did not meet the requirement quantitatively and qualitatively, with 2 adverse events or undesirable events. The first KTD had empty formations or no applicants, the risk value was 16 with high status and the second KTD was found during the evaluation of employees who behaved poorly, the risks value was 12 with medium status. Mitigating the risk of adverse events is by implementing TARIF GCG and Compliance. Based on the results of the measurement and assessment of the risk of adverse events above, an evaluation is carried out to make decisions on handling existing risks in order to reduce or minimize risks to the minimum.
瓦兰达-马拉米斯地区玛丽亚医院目前的地位是 BLUD,医院有权灵活管理,以改善服务,包括自行招聘,而以前必须通过地区政府进行招聘。瓦兰达-马拉米斯地区医院在规划、采购、招聘和接收非长期雇员(THL)方面具有灵活性,因此可以招聘非长期雇员。各种活动从计划、实施、验收、安置和绩效评估开始。在这一过程中,发现有员工在数量和质量上都不符合要求,发生了 2 起不良事件或不理想事件。第一个 KTD 存在空编队或无申请人的情况,风险值为 16,属于高风险;第二个 KTD 是在对表现不佳的员工进行评估时发现的,风险值为 12,属于中等风险。通过实施 TARIF GCG 和合规来降低不良事件的风险。根据上述不良事件风险的衡量和评估结果,进行评估,以决定如何处理现有风险,从而将风险降至最低或最小。
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引用次数: 0
CRISIS MANAGEMENT STRATEGIES AND ENTREPRENEURIAL RESILIENCE OF TOURISM BUSINESS OPERATORS IN JAKARTA AMID COVID-19 雅加达旅游业经营者的危机管理策略和企业应变能力(COVID-19
Pub Date : 2023-12-31 DOI: 10.29121/granthaalayah.v11.i12.2023.5421
Lesca Terlly Libraveda, Lamtiur Tampubolon, Heru Prasadja
The tourism and creative economy sectors in Indonesia have undergone notable growth over recent years, playing a pivotal role in bolstering the nation's revenue and contributing to the advancement of communities across the country. Jakarta, as the nation’s capital and the economic center, serves as the primary entry point for international tourists, supporting the overall growth of the tourism industry. Soekarno-Hatta Airport, aside from being an international aviation hub, facilitates access to various tourist destinations across Indonesia. The emergence of Covid-19 has triggered a global crisis and greatly disrupted the world economy. The WHO's declaration of a health emergency led to the implementation of multiple virus control measures, including lockdowns, social distancing protocols, and travel restrictions. Consequently, the tourism sector which heavily reliant on human mobility, experienced severe setbacks and become one of the hardest-hit industry. To endure such crises, businesses are required to adapt swiftly and adopt an entrepreneurial perspective to meet consumer needs amid uncertainty. This research aims to investigate the strategies for crisis management and the application of entrepreneurial resilience among Jakarta's tourism business operators in response to the Covid-19 pandemic. The study employs qualitative descriptive approaches, using semi-structured interviews and documentary analysis as data collection techniques. Interviews were conducted with stakeholders in the tour and travel and hospitality industry. Findings indicate that not all businesses have crisis mitigation procedures for the unexpected threats. Businesses are responding to this crisis by adapting, innovating, and seizing every opportunity to ensure their survivals.
近年来,印度尼西亚的旅游业和创意经济部门取得了显著增长,在增加国家收入和促进全国各地社区发展方面发挥了关键作用。雅加达作为国家首都和经济中心,是国际游客的主要入境点,为旅游业的整体增长提供了支持。苏加诺-哈达机场不仅是国际航空枢纽,还为前往印尼各地的旅游目的地提供了便利。Covid-19 的出现引发了全球危机,极大地扰乱了世界经济。世卫组织宣布进入卫生紧急状态后,实施了多种病毒控制措施,包括封锁、社会隔离协议和旅行限制。因此,严重依赖人员流动的旅游业遭受重挫,成为受影响最严重的行业之一。为了应对这种危机,企业必须迅速做出调整,并从企业角度出发,在不确定的情况下满足消费者的需求。本研究旨在调查雅加达旅游业经营者在应对 "Covid-19 "大流行病时的危机管理策略和企业应变能力的应用情况。本研究采用定性描述方法,使用半结构化访谈和文献分析作为数据收集技术。访谈对象为旅游观光和酒店业的利益相关者。调查结果表明,并非所有企业都制定了应对突发威胁的危机缓解程序。企业正在通过调整、创新和抓住一切机会来应对这场危机,以确保其生存。
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引用次数: 0
ASSESSMENT OF BEHAVIORAL PROBLEM AMONG SCHOOL CHILDREN AND HEALTH SEEKING BEHAVIOR OF PARENT IN SELECTED URBAN COMMUNITY, WEST BENGAL 西孟加拉邦部分城市社区学龄儿童行为问题和家长寻求健康行为的评估
Pub Date : 2023-12-31 DOI: 10.29121/granthaalayah.v11.i12.2023.5409
Sudipa Maiti, Prity Ghosh
Introduction: Behavioral problem are the reactions to emotional disturbance or environmental maladjustments. Behavioral problems in school aged children can cause significant difficulties in children’s healthy development.Aim: To find out the behavioral problem of school children and health seeking behavior of parents in urban community in Kolkata.Methods: A descriptive study was conducted to detect the behavioral problem of school children, health seeking behavior of parents, relationship of behavioral problem of school children and health seeking behavior of parents, association behavioral problem and health seeking behavior with selected demographic variables. A total of 150 participants were selected through Cluster sampling technique. Data were collected through Semi-structured Interview Schedule, Strength and Difficulties Questionnaire by Robert Goodman and Structured Interview Schedule to assess socio- demographic information, behavioral problems and Health seeking behavior of participants respectively.Result: Results revealed that 98 (65.33%) children belongs to normal category followed by abnormal category 30(20%) and borderline category 22(14.66%): area wise children's behavioral problems mean% score of pro-social scale was (83.47%) followed by hyperactivity scale (73.47%), emotional problem (45.33%), conduct problem (37.47%) and peer problem (34%). Most of the mothers 28 (93.33%) had perceived behavioral problem of their child, 15 (50%) had taken action to relief the problem, 15 (50%) had seek advice from government hospital, only 3(10%) received treatment from Ojha, Quack practitioner, 27 (90%) perceived wrong decision cause delay or no health seeking. There was a positive correlation (0.222) between behavioral problem among school children and health seeking behavior of their parents. Age of mother and No. of siblings were significantly associated with behavioral problems; education of mother has been associated with health seeking behavior of mother having children with behavioral problem.Conclusion: Mental health of a child is of basic importance to gain the ability to live harmoniously in the changing environment. The community which neglects its children retards its future progresses. Children are dependent on their parents for their health and wellbeing. This study results focused that immediate need for regular assessment of children for early identification of behavioral problem.
简介行为问题是对情绪障碍或环境不适应的反应。学龄儿童的行为问题会给儿童的健康成长造成严重困难。目的:了解加尔各答城市社区学龄儿童的行为问题和家长的健康寻求行为:方法:对学龄儿童的行为问题、家长的健康寻求行为、学龄儿童的行为问题与家长的健康寻求行为之间的关系、行为问题和健康寻求行为与特定人口统计学变量之间的关联进行描述性研究。通过聚类抽样技术共选取了 150 名参与者。通过半结构式访谈表、罗伯特-古德曼的优势与困难问卷和结构式访谈表收集数据,分别评估参与者的社会人口信息、行为问题和寻求健康的行为:结果显示,98 名儿童(65.33%)属于正常儿童,30 名儿童(20%)属于异常儿童,22 名儿童(14.66%)属于边缘儿童:从儿童行为问题的领域来看,亲社会量表的平均得分率为(83.47%),其次是多动量表(73.47%)、情绪问题(45.33%)、行为问题(37.47%)和同伴问题(34%)。大多数母亲(28 人,占 93.33%)认为自己的孩子有行为问题,15 人(占 50%)采取了缓解措施,15 人(占 50%)向政府医院寻求建议,只有 3 人(占 10%)接受了 Ojha、庸医的治疗,27 人(占 90%)认为错误的决定导致延误或没有寻求医疗服务。学龄儿童的行为问题与其父母的求医行为呈正相关(0.222)。母亲的年龄和兄弟姐妹的数量与行为问题显著相关;母亲的教育程度与有行为问题儿童的母亲的求医行为相关:儿童的心理健康对于获得在不断变化的环境中和谐生活的能力至关重要。忽视儿童的社会会阻碍其未来的发展。儿童的健康和幸福依赖于他们的父母。这项研究的结果集中体现了对儿童进行定期评估以及早发现行为问题的迫切需要。
{"title":"ASSESSMENT OF BEHAVIORAL PROBLEM AMONG SCHOOL CHILDREN AND HEALTH SEEKING BEHAVIOR OF PARENT IN SELECTED URBAN COMMUNITY, WEST BENGAL","authors":"Sudipa Maiti, Prity Ghosh","doi":"10.29121/granthaalayah.v11.i12.2023.5409","DOIUrl":"https://doi.org/10.29121/granthaalayah.v11.i12.2023.5409","url":null,"abstract":"Introduction: Behavioral problem are the reactions to emotional disturbance or environmental maladjustments. Behavioral problems in school aged children can cause significant difficulties in children’s healthy development.Aim: To find out the behavioral problem of school children and health seeking behavior of parents in urban community in Kolkata.Methods: A descriptive study was conducted to detect the behavioral problem of school children, health seeking behavior of parents, relationship of behavioral problem of school children and health seeking behavior of parents, association behavioral problem and health seeking behavior with selected demographic variables. A total of 150 participants were selected through Cluster sampling technique. Data were collected through Semi-structured Interview Schedule, Strength and Difficulties Questionnaire by Robert Goodman and Structured Interview Schedule to assess socio- demographic information, behavioral problems and Health seeking behavior of participants respectively.Result: Results revealed that 98 (65.33%) children belongs to normal category followed by abnormal category 30(20%) and borderline category 22(14.66%): area wise children's behavioral problems mean% score of pro-social scale was (83.47%) followed by hyperactivity scale (73.47%), emotional problem (45.33%), conduct problem (37.47%) and peer problem (34%). Most of the mothers 28 (93.33%) had perceived behavioral problem of their child, 15 (50%) had taken action to relief the problem, 15 (50%) had seek advice from government hospital, only 3(10%) received treatment from Ojha, Quack practitioner, 27 (90%) perceived wrong decision cause delay or no health seeking. There was a positive correlation (0.222) between behavioral problem among school children and health seeking behavior of their parents. Age of mother and No. of siblings were significantly associated with behavioral problems; education of mother has been associated with health seeking behavior of mother having children with behavioral problem.Conclusion: Mental health of a child is of basic importance to gain the ability to live harmoniously in the changing environment. The community which neglects its children retards its future progresses. Children are dependent on their parents for their health and wellbeing. This study results focused that immediate need for regular assessment of children for early identification of behavioral problem.","PeriodicalId":508420,"journal":{"name":"International Journal of Research -GRANTHAALAYAH","volume":"51 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139130874","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}
引用次数: 0
THE CHALLENGE ASSOCIATED WITH THE INTRODUCTION OF NEW SURGICAL SERVICES IN A RURAL HOSPITAL IN TRINIDAD & TOBAGO 特立尼达和多巴哥一家农村医院引入新的外科服务所面临的挑战
Pub Date : 2023-12-31 DOI: 10.29121/granthaalayah.v11.i12.2023.5414
Israel Kevin Dowlat, Shariful Islam
The introduction of new services at any institution requires significant input from a myriad of departments and specialties. This paper will explore the various challenges that arose with the implementation of an orthopaedic surgical service at the Point Fortin Hospital in Trinidad and Tobago. It identifies the obstacles faced in terms of resource allocation, infrastructure development, staffing, and collaboration. Additionally, it proposes effective strategies and solutions to overcome these challenges, thus ensuring the successful establishment of a sustainable orthopaedic surgical service at Point Fortin Hospital.
任何机构在引入新服务时都需要众多部门和专科的大量投入。本文将探讨特立尼达和多巴哥 Point Fortin 医院在开展矫形外科服务过程中遇到的各种挑战。它指出了在资源分配、基础设施建设、人员配备和合作方面所面临的障碍。此外,论文还提出了克服这些挑战的有效战略和解决方案,从而确保在 Point Fortin 医院成功建立可持续的矫形外科服务。
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引用次数: 0
HISTOCHEMICAL LOCALIZATION OF ACID AND ALKALINE PHOSPHATASES IN MONIEZIA EXPANSA (RUDOLPHI, 1805) 扩张莫尼茨绦虫(Rudolphi,1805 年)酸性和碱性磷酸酶的组织化学定位
Pub Date : 2023-12-31 DOI: 10.29121/granthaalayah.v11.i12.2023.5398
Archana Gupta
Cestodes or true tapeworms are important group of the Platyhelminthes, endoparasitic in the alimentary tract and associated ducts of various vertebrates and therefore, of great interest to the medical and veterinary profession.Moniezia expansa, the tapeworm under study is the common parasite of oldest domesticated animal sheep. It inhabits the small intestine especially the lower portion and absorb the nutrition of host from the intestine and deprive it of many important nutrients and thus deteriorates the quality of meat, wool, skin of host which leads to ecomical losses as well.Phosphatases are enzymes hydrolysing esters of phosphoric acid and play an important role in many metabolic processes. The histochemical localization of acid and alkaline phosphatase has been studied in Moniezia expansa as an effort to study some of its biological aspects which would help in its control and chemotherapy.Acid phosphatase was found to be localized in tegument, subtegumental cells, parenchymal muscles, interproglottidal gland tegument, Mehlis glands, testes, uterine wall and eggs and was not observed in parenchyma, interproglottidal gland cells, excretory vessels, ovaries and vitellaria. Alkaline phosphatase activity was observed in tegument, subtegumental cells, parenchymal muscles, parenchyma, interproglottidal glands, excretory vessels, membranes enclosing ovaries, vitellaria, Mehlis gland, testes, uterine wall and eggs.The presence of acid phosphatase in testes, mehlis' glands, uterine wall and eggs as well as alkaline phosphatase in eggs in Moniezia expansa has been reported for the first time.Both the acid and alkanine phosphatases showed the variations in their activity in the tegument along the strobila with highest in mature region. This gives the idea of high metabolic activity in the mature region of the cestode. These phosphatases play important role in metabolism of the parasite and seems to be involved in transportation, digestion, distribution of nutrients and metabolites and absorption of metabolic end products.
扩张莫尼茨绦虫(Moniezia expansa)是最古老的驯养动物绵羊的常见寄生虫。扩张莫尼茨绦虫是最古老的家畜绵羊的常见寄生虫,它栖息在小肠中,尤其是小肠下部,从肠道中吸收宿主的营养,使宿主失去许多重要的营养物质,从而使宿主的肉、羊毛和皮肤质量下降,造成经济损失。我们对扩张莫尼茨绦虫体内酸性和碱性磷酸酶的组织化学定位进行了研究,以了解其生物特性,从而有助于对其进行控制和化疗。研究发现,酸性磷酸酶存在于被膜、被膜下细胞、实质肌肉、管间腺被膜、梅氏腺、睾丸、子宫壁和卵中,而在实质细胞、管间腺细胞、排泄血管、卵巢和卵黄器中未观察到酸性磷酸酶。在被膜、被膜下细胞、实质肌肉、实质、喉间腺、排泄血管、卵巢外膜、玻璃体、梅氏腺、睾丸、子宫壁和卵子中观察到碱性磷酸酶活性。扩张莫尼茨绦虫的睾丸、梅里斯腺、子宫壁和卵中存在酸性磷酸酶,卵中存在碱性磷酸酶,这还是首次报道。这说明绦虫成熟区域的新陈代谢活性很高。这些磷酸酶在寄生虫的新陈代谢中发挥着重要作用,似乎参与了营养物质和代谢产物的运输、消化、分配以及代谢终产物的吸收。
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引用次数: 0
UNILATERAL PAPILLEDEMA DUE TO IDIOPATHIC INTRACRANIAL HYPERTENSION: A CASE REPORT 特发性颅内高压引起的单侧乳头水肿:病例报告
Pub Date : 2023-11-30 DOI: 10.29121/granthaalayah.v11.i11.2023.5331
Osama Khider Ahmed Elmansour, Sabah Elhagali, Anas Mohamed, Hibatalla Mohamed, Alwia Fadulalmola, Ahmed Hajhamed, Randa Abbas, Almothana Mohammedin, Tagwa Mergani, Zeinab Alhassan, Mohammed Naeem, Noura Abdelrazig, A. Babikir
Introduction: Papilledema is highly predicted and common to encounter in all causes of raised intracranial pressure including idiopathic intracranial hypertension; it is usually bilateral and symmetrical. Unilateral and asymmetrical papilledema is considered highly atypical and a rarity of presentation, posing significant diagnostic challenge to the poorly understood pathological phenomenon of IIH.Case: We report a 40-year-old African female with idiopathic intracranial hypertension who fully fulfills the Modified Danddy Criteria; presenting with unilateral papilledema, with Left eye fundoscopic examination showing extensively hyperemic and swollen optic disc with an associated tortuously engorged retinal vein. Brain imaging via MRI revealed partial empty sella, bilateral prominent fluid signal projection that is more evident in the left optic nerve sheath and a prominent meckel’s cave on the left side measuring (6.1 mm) in the transverse diameter. MRA concluded an attenuated most lateral side of the left transverse sinus. Lumbar puncture was attempted and revealed an opening pressure of (45 cmH2O), and otherwise normal CSF cytology and chemical composition. Significant symptomatic relief was depicted upon lumbar puncture.Discussion: papilledema is universally encountered as a bilateral and symmetrical phenomenon; thus, presentation of IIH with unilateral papilledema has been under extensive research recently in attempts to contemplate the exact pathophysiology. Amongst many other proposed theories, we endorse the variation of the optic canal diameter as a potential mechanism for asymmetry of papilledema in IIH. As larger optic canal diameter is postulated to be associated with higher CSF pressure force transduction with subsequent optic nerve damage.Conclusion: Unilateral and asymmetrical papilledema is considered substantially unique and anecdotal rarities of presentation of IIH; posing a significant diagnostic troublesome and dilemma. Physicians should be aware and highly vigilant of such deviations of usual presentations to avoid consequential diagnostic and management adverse outcomes and unwanted complications.
导言:包括特发性颅内高压在内的各种原因引起的颅内压增高都会出现乳头水肿,而且乳头水肿通常是双侧对称的。单侧和不对称的乳头水肿被认为是非常不典型和罕见的表现,对特发性颅内高压这一鲜为人知的病理现象提出了重大的诊断挑战:我们报告了一名患有特发性颅内高压的 40 岁非洲女性,她完全符合 "改良 Danddy 标准";表现为单侧乳头水肿,左眼底镜检查显示视盘广泛充血肿胀,伴有视网膜静脉迂曲充血。通过磁共振成像进行脑部成像,发现部分蝶鞍空洞,双侧突出的液体信号投影在左侧视神经鞘中更为明显,左侧有一个突出的麦克尔洞,横向直径为(6.1 毫米)。MRA 断定左侧横窦最外侧衰减。尝试进行腰椎穿刺,结果显示穿刺口压力为(45 cmH2O),其他方面的脑脊液细胞学和化学成分均正常。讨论:乳头水肿是一种普遍存在的双侧对称性现象;因此,近来对伴有单侧乳头水肿的 IIH 进行了广泛研究,试图找出确切的病理生理学。在众多其他理论中,我们认为视管直径的变化是 IIH 出现不对称乳头水肿的潜在机制。视神经管直径越大,推测其CSF压力传导力越高,视神经受损越严重:结论:单侧和不对称乳头水肿被认为是 IIH 表现中非常独特和罕见的轶事,给诊断带来了很大的麻烦和难题。医生应注意并高度警惕这种与通常表现不同的情况,以避免诊断和管理上的不良后果及不必要的并发症。
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引用次数: 0
TO ASSESS THE LEVEL OF SATISFACTION OF BUYERS IN THE REAL ESTATE SECTOR 评估购房者对房地产行业的满意程度
Pub Date : 2023-11-30 DOI: 10.29121/granthaalayah.v11.i11.2023.5387
Pankaj Mohindru, Jasmeen Kaur
The interpretation of customer satisfaction is a complex task due to its subjective nature, which is contingent upon the individual preferences and experiences of each customer. The Real Estate industry presents a heightened level of complexity as there exist numerous factors that contribute to the determination of customer satisfaction. Customer satisfaction is closely linked to the perception of the customer, whereby meeting the customer’s perceived expectations results in their satisfaction. This research is on the Indian real estate business. This study was primarily conducted to assess the level of satisfaction of buyers in the real estate sector. The principal goal of this study was to examine the satisfaction level of buyers while buying a residential property. The paper is helpful for real estate agents. It helps real estate agents understand what buyers want and how they think.
客户满意度的解释是一项复杂的任务,因为它具有主观性,取决于每位客户的个人偏好和体验。房地产行业的复杂程度更高,因为决定客户满意度的因素众多。客户满意度与客户的感知密切相关,满足客户的感知期望就能使客户满意。本研究的对象是印度房地产企业。本研究的主要目的是评估房地产行业买家的满意度。本研究的主要目标是考察购房者在购买住宅时的满意度。本文对房地产经纪人很有帮助。它有助于房地产经纪人了解购房者的需求和想法。
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引用次数: 0
VARIANTS OF RANGANATHAN’S FIVE LAWS: AN ANALYTICAL STUDY 兰甘纳坦五定律的变体:分析研究
Pub Date : 2023-11-30 DOI: 10.29121/granthaalayah.v11.i11.2023.5339
A. Dhiman
The Five Laws of Dr. Ranganathan are the fundamental laws of library science which were propounded in the year 1931. Though more than 80 years have passed they are as useful as they were in their starting time but with some modifications. Various variants of Dr. Ranganathan’s Laws have been made in the changing environment of information and communication technology, this article explores most of them and discusses their implications in new era.
兰甘纳森博士的五大法则是图书馆学的基本法则,于 1931 年提出。虽然已经过去了 80 多年,但这些法则仍像它们诞生时一样有用,只是做了一些修改。在信息和通信技术不断变化的环境中,Ranganathan 博士的定律出现了各种变体,本文对其中的大部分进行了探讨,并讨论了它们在新时代的意义。
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International Journal of Research -GRANTHAALAYAH
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