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How Bone Mineral Density Affect Periodontal Health in Postmenopausal Women using DEXA Scanning: A Digital Radiographic Study 使用 DEXA 扫描检查绝经后妇女的骨矿物质密度如何影响牙周健康:一项数字放射学研究
Pub Date : 2024-07-05 DOI: 10.62225/2583049x.2024.4.4.2998
Dr. Neelam Das, Dr. Pavan Kumar Addanki
Background: Periodontitis and osteoporosis are the diseases with common feature of both bone loss. However, the relation and extent between these diseases is still unclear. The purpose of present study was to evaluate the relationship between periodontal status and systemic bone mineral density in postmenopausal women. Methods and Material: A total of 40 postmenopausal women aged between 45–60 Years (50.6±4.6 years) were randomly selected from the department of periodontics. All women were examined for periodontal status and Bone Mineral Density(BMD). Periodontal status was examined by recording plaque index(PI), gingival index(GI), pocket probing depth(PPD), clinical attachment level (CAL) and alveolar bone loss (ABL). BMD was measured by Dual Energy X-ray absorptiometry (DEXA) scan for bone mineral density score. (T-score) values. The recorded data for T-score and periodontal status were subjected to statistical analysis for correlation and regression analysis. Results: The results showed that there was no statistically significant correlation between Probing depth (r= -0.168, P > 0.05), gingival index (r= -0.441, P>0.05), and plaque index (r= -0.345, P>0.05) with T-score; whereas CAL (r= -0.604, P>0.05) and ABL (r= -0.637, P>0.05) was significantly correlated with T-score. Conclusion: In the present study systemic BMD was related to ABL and CAL, suggesting that postmenopausal bone loss can be a risk indicator for periodontal disease.
背景:牙周炎和骨质疏松症都是以骨质流失为共同特征的疾病。然而,这些疾病之间的关系和程度仍不清楚。本研究旨在评估绝经后女性牙周状况与全身骨矿密度之间的关系。方法和材料:从牙周科随机选取 40 名绝经后妇女,年龄在 45-60 岁之间(50.6±4.6 岁)。所有妇女均接受了牙周状况和骨矿密度(BMD)检查。通过记录牙菌斑指数(PI)、牙龈指数(GI)、牙槽探查深度(PPD)、临床附着水平(CAL)和牙槽骨损失(ABL)来检查牙周状况。通过双能 X 射线吸收仪(DEXA)扫描测量骨密度,得出骨密度评分(T-score)值。(T-score)值。对记录的 T 值和牙周状况数据进行统计分析,以进行相关性和回归分析。结果显示结果显示,探诊深度(r= -0.168,P>0.05)、牙龈指数(r= -0.441,P>0.05)和牙菌斑指数(r= -0.345,P>0.05)与T-score之间没有统计学意义上的显著相关性;而CAL(r= -0.604,P>0.05)和ABL(r= -0.637,P>0.05)与T-score显著相关。结论在本研究中,系统性 BMD 与 ABL 和 CAL 相关,表明绝经后骨质流失可能是牙周疾病的风险指标。
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引用次数: 0
Effect of Feeding Unpeeled Cassava Mash as Substitute for Maize in Layers Diet on Egg Quality and Hematological Parameters 在蛋鸡日粮中用未去皮木薯泥替代玉米对鸡蛋质量和血液学参数的影响
Pub Date : 2024-07-02 DOI: 10.62225/2583049x.2024.4.4.2996
Olusiyi Ja, Akhigbe O
The effect of feeding unpeeled cassava mash on layers to evaluate egg quality and hematological indices was investigated with one hundred and fifty birds that were thirty-four weeks old which were randomly allotted to five dietary treatments of 30 birds and replicated twice with fifteen birds each. The experiment lasted for 10 weeks in a Completely Randomized Design (CRD). Treatment 1 (100% maize) serves as control, while treatments 2, 3, 4 and 5 were 25% unpeeled cassava mash, 50% unpeeled cassava mash, 100% unpeeled cassava mash and 25% peeled cassava mash respectively. There was significant (P<0.05) difference in shell surface area, Egg length, Egg breadth, Egg shape index, shell thickness and yolk colour score in all the treatments, while other parameters measured were not significantly different. As for Heamatological indices. There was no significant difference in all parameters measured. Haemoglobin (Hb) increased slightly with increased levels of unpeeled cassava mash inclusion. In conclusion replacement of unpeeled maize up to 100% inclusion level has no deleterious effect on the birds but the best result that can compete favourably with maize is 50% inclusion level. Therefore 50% inclusion level is recommended to farmers to maximize production and achieve desired result.
研究人员用 150 只 34 周龄的鸡随机分配到 5 个日粮处理中,每个处理 30 只鸡,重复两次,每次 15 只鸡,研究了饲喂未去皮木薯泥对蛋鸡的影响,以评估鸡蛋质量和血液学指标。实验采用完全随机设计法(CRD),为期 10 周。处理 1(100% 玉米)为对照组,处理 2、3、4 和 5 分别为 25%去皮木薯泥、50%去皮木薯泥、100%去皮木薯泥和 25%去皮木薯泥。在所有处理中,蛋壳表面积、蛋长、蛋宽、蛋形指数、蛋壳厚度和蛋黄颜色得分均有显著差异(P<0.05),而其他测量参数无显著差异。至于 Heamatological 指数。所有测量参数均无明显差异。血红蛋白(Hb)随着未去皮木薯泥添加量的增加而略有增加。总之,替代未去皮玉米(100% 的添加量)对禽类没有有害影响,但能与玉米竞争的最佳结果是 50%的添加量。因此,建议农民使用 50%的添加量,以最大限度地提高产量并达到预期效果。
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引用次数: 0
The Influence of Pesantren Culture and Adversity Quotient on Santri Resilience: The Mediating Role of Self-Efficacy 长老文化和逆境商数对山特里复原力的影响:自我效能感的中介作用
Pub Date : 2024-07-02 DOI: 10.62225/2583049x.2024.4.4.2993
Imam Mujtaba, Armai Arief, Andriyani
This research aims to find strategies to increase santri resilience through strengthening pesantren culture, adversity Quotient, and self-efficacy. The method employed is quantitative, with survey methodologies and path analysis used in hypothesis testing. The research population was 5,634 students (santri) at Pesantren of Darunnajah, South Jakarta. Indonesia and a sample of 388 santri was calculated using the Slovin formula as 388 santri and selected through proportionate stratified random sampling. The statistical tests involved in this research are prerequisite, hypothesis tests with path analysis, correlation tests, and coefficient of determination tests, the results of research show that there is direct positive influence of; pesantren culture on santri resilience, adversity Quotient on santri resilience, and self-efficacy on santri resilience. As well as an indirect positive influence of pesantren culture on santri resilience through self-efficacy. This research concludes that strengthening pesantren culture, adversity Quotient, and self-efficacy can increase santri resilience.
本研究旨在通过加强长老文化、逆境商数和自我效能,找到提高桑特里人复原力的策略。研究采用定量方法,在假设检验中使用了调查方法和路径分析。研究对象是雅加达南部达伦纳贾的5634名学生(桑特里)。研究使用斯洛文公式计算出 388 个学生样本,并通过比例分层随机抽样法选出 388 个学生样本。本研究涉及的统计检验包括前提条件检验、路径分析假设检验、相关检验和判定系数检验。研究结果表明,山地文化对山地人抗逆力、逆境商数对山地人抗逆力、自我效能感对山地人抗逆力有直接的积极影响。此外,通过自我效能感,山区文化也间接地对桑特里人的抗逆力产生了积极影响。本研究的结论是,加强长老文化、逆境商数和自我效能感可以提高桑特里人的抗逆力。
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引用次数: 0
A study on Hematological and Biochemical Parameters of Dengue Fever Patients in Janakpurdham, Madhesh Province, Nepal 关于尼泊尔马德西省贾纳克普尔达姆登革热患者血液学和生化指标的研究
Pub Date : 2024-06-17 DOI: 10.62225/2583049x.2024.4.3.2884
Birendra Kumar Jha, Raman Mishra, Rajeeb Kumar Jha, Buddha Ram Prasad Yadav
Background: Over 350 million people are estimated to get the counter with flavivirus each year, causing dengue one of the most common arboviral diseases. Following the COVID-19 outbreak, there has been a recorded rise in the prevalence of dengue fever in the South Asian countries. In 2022, there was a significant dengue outbreak in Nepal. Data on haematological and biochemical parameters, which are crucial for the clinical management of dengue patients, are lacking in Nepal's Madhesh Province. The purpose of this study was to present the first baseline data on the haematological and biochemical parameters of dengue virus-infected patients. Methods: The data was extracted from admitted patients at Janaki Medical College, Teaching Hospital (JMCTH) and Janaki Health Care and Teaching Hospital (JHCTH) diagnosed with dengue fever between August to November-2023. Hematological and biochemical parameters were recorded from the medical records and analyzed. Results: There were 74 serologically positive dengue cases in all, with 32.4% being female and 67.6% being male. Of the 74 patients, one-fourth had NS1 positive, 24.3% had IgM, and 21.6% had IgG. Leucopenia (87.2%) and thrombocytopenia (66.2%) were the most frequent haematological findings, whereas serum glutamic-oxaloacetate transaminase (76.6%) and Serum glutamic pyruvic transaminase (58.1%) were the biochemical markers with higher levels. Conclusion: The study explores the most common haematological and biochemical parameters of the patients diagnosed with dengue that may alarm clinicians of the possibility of dengue virus infection in the study region.
背景:据估计,每年有超过 3.5 亿人感染黄病毒,登革热是最常见的虫媒病毒疾病之一。COVID-19 爆发后,登革热在南亚国家的流行率出现了有记录的上升。2022 年,尼泊尔爆发了严重的登革热疫情。尼泊尔马德西省缺乏对登革热患者临床治疗至关重要的血液学和生化参数数据。本研究的目的是首次提供登革热病毒感染者血液学和生化指标的基线数据。研究方法数据来源于 Janaki 医学院教学医院(JMCTH)和 Janaki 医疗保健教学医院(JHCTH)在 2023 年 8 月至 11 月期间确诊的登革热患者。从病历中记录并分析了血液学和生化参数。结果血清学阳性登革热病例共计 74 例,其中女性占 32.4%,男性占 67.6%。在 74 名患者中,四分之一的患者 NS1 阳性,24.3% 的患者 IgM 阳性,21.6% 的患者 IgG 阳性。白细胞减少症(87.2%)和血小板减少症(66.2%)是最常见的血液学检查结果,而血清谷氨酸-草酰乙酸转氨酶(76.6%)和血清谷氨酸丙酮酸转氨酶(58.1%)是水平较高的生化指标。结论本研究探讨了被诊断为登革热病人最常见的血液学和生化指标,这些指标可提醒临床医生该研究地区可能存在登革热病毒感染。
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引用次数: 0
Evidence-based Homoeopathy: Individualized Homoeopathic Approach in a Case of Herpes Zoster in a Pediatric Patient 循证同种疗法:在一例带状疱疹儿科患者中采用个性化同种疗法
Pub Date : 2024-06-08 DOI: 10.62225/2583049x.2024.4.3.2895
Dr. Monica Gupta, Dr. Hiba Shamli N, Dr. Sahina Rahman Laskar
Introduction: Herpes zoster (HZ) is a dermatomal viral infection caused by varicella zoster that remains dormant within posterior root ganglion, characterized by pain along the affected dermatome followed by vesicular eruptions. It commonly occurs in people above 50 years, but it can affect any age, especially those with immunosuppression. Homoeopathic literature shows that cases of Herpes zoster have been successfully treated with homoeopathic medicines. Case summary: This is a paediatric case of herpes zoster. The case presented here is an 8 year old girl, from Repertory OPD, Homoeopathic Hospital, North Eastern Institute of Ayurveda and Homoeopathy, Shillong. The patient was treated with homoeopathic individualized medicine (Ranunculus bulbosus 200C) for about 1 month, with significant improvement and there was complete disappearance of eruptions, pain and itching.
导言:带状疱疹(HZ)是一种由水痘带状疱疹引起的皮损病毒感染,该病毒在后根神经节内处于休眠状态,其特征是受累皮损处疼痛,随后出现水泡状糜烂。它通常发生在 50 岁以上的人群中,但也可影响任何年龄段的人,尤其是免疫抑制患者。同种疗法文献显示,同种疗法药物已成功治疗过带状疱疹病例。病例摘要:这是一个带状疱疹的儿科病例。患者是一名 8 岁女孩,来自新隆东北阿育吠陀和同种疗法研究所同种疗法医院的 Repertory OPD。患者接受了约一个月的同种疗法个体化药物(Ranunculus bulbosus 200C)治疗,病情明显好转,疹子、疼痛和瘙痒完全消失。
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引用次数: 0
Electromagnetic Modelling & Experimental Analysis of Weld Tool Coil in Magnetic Pulse Welding 磁脉冲焊接中焊接工具线圈的电磁建模与实验分析
Pub Date : 2024-06-08 DOI: 10.62225/2583049x.2024.4.3.2896
Obaid Siddiqui, Ward Ul Hijaz Paul, Tabrej Alam
Magnetic Pulse Welding (MPW) is a high-velocity, solid-state welding technique utilized to join dissimilar metals through the application of a strong magnetic field. The MPW system comprises a 208 µF capacitor bank and a specialized weld tool coil. In this study, the capacitor bank was charged up to 11 kV, resulting in a discharge current of 100 kA at a frequency of 12.5 kHz through the tool coil. The weld tool coil is designed with six 6-turn copper discs and is integrated with a copper field shaper to enhance the welding process. This paper presents the development of a two-dimensional (2-D) model using COMSOL Multiphysics to analyze the impact of the field shaper on the magnetic field intensity generated by the 6-turn coils. Simulation results revealed that the discharge current of approximately 100 kA at 12.5 kHz produced an average magnetic field intensity of around 29 Tesla (T). The field shaper effectively concentrated the magnetic flux within a smaller, targeted region of the workpieces. The inclusion of the field shaper in the coil's axis led to an approximate fourfold increase in the magnetic field intensity, thereby demonstrating its significant role in enhancing the efficiency of the MPW process.
磁脉冲焊接(MPW)是一种高速固态焊接技术,通过应用强磁场来连接异种金属。MPW 系统由一个 208 µF 的电容器组和一个专用焊接工具线圈组成。在这项研究中,电容器组的充电电压高达 11 kV,通过工具线圈的放电电流为 100 kA,频率为 12.5 kHz。焊接工具线圈设计有六个 6 匝铜盘,并与铜场整形器集成,以增强焊接过程。本文介绍了使用 COMSOL Multiphysics 建立的二维 (2-D) 模型,以分析场整形器对 6 匝线圈产生的磁场强度的影响。模拟结果显示,在 12.5 kHz 频率下,约 100 kA 的放电电流产生了约 29 特斯拉 (T) 的平均磁场强度。磁场整形器有效地将磁通量集中在工件上较小的目标区域内。在线圈轴线上安装磁场整形器后,磁场强度增加了约四倍,从而证明了它在提高 MPW 工艺效率方面的重要作用。
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引用次数: 0
Solid Waste Management Practices of Cebu Technological University- Danao, Carmen, and Tuburan Campus 宿雾理工大学达瑙、卡门和图布兰校区的固体废物管理做法
Pub Date : 2024-06-06 DOI: 10.62225/2583049x.2024.4.3.2886
Agabon John Kevin, Barro Honey Grace, Batulan Pearl Emmari, Ebora Josh, Lucero Yvonne, Miramon James Raven, Montero Sean Anthony, Poloyapoy Ezriel, Puebla France Laurence, Torralba Genesis, Donald Lalican
The rise in global waste generation significantly hinders the effective implementation of waste management practices. CTU – Campuses have contributed to local waste generation throughout the years. To further address this arising problem, this paper assesses the solid waste practices of CTU Campuses of Danao, Carmen, and Tuburan. The study estimated how much solid waste is generated and identified which waste management strategies work best. The methodology used in this study was carried out on the 3 CTU Campuses; the use of a school waste assessment form that evaluated the current waste management practices in terms of waste generation, segregation, collection, and disposal processes across the campus facilities. Results showed that CTU-Tuburan has more proper solid waste practices regarding composting pits. However, CTU-Tuburan has the biggest estimated volume of waste generated monthly, impacting individuals' contributions to waste generation. CTU- Carmen gives enough availability of 3 sets of garbage containers and a plastic bottle recycling collection bin in some places. CTU-Danao and Carmen have enough recycling activities and have less contribution to the estimated volume of waste generated. The three campuses have a sufficient garbage collection schedule; however, they lack comprehensive waste reduction efforts and are not consistently followed by certain individuals on the campuses.
全球废物产生量的增加严重阻碍了废物管理措施的有效实施。多年来,CTU 各校区为当地废物的产生做出了贡献。为进一步解决这一问题,本文对 CTU 达瑙、卡门和图布兰校区的固体废物处理方法进行了评估。研究估算了固体废物的产生量,并确定了哪些废物管理策略最有效。本研究采用的方法是在 CTU 的 3 个校区开展;使用学校废物评估表,从废物产生、分类、收集和整个校园设施的处理过程等方面评估当前的废物管理做法。结果显示,杜步兰 CTU 在堆肥坑方面的固体废物处理方法更为恰当。不过,图布伦 CTU 每月产生的废物量估计最大,这影响了个人对废物产生的贡献。卡门 CTU 在某些地方提供了 3 套垃圾箱和一个塑料瓶回收箱。达瑙 CTU 和卡门 CTU 有足够的回收活动,对估计垃圾产生量的贡献较小。这三个校区都有足够的垃圾收集时间表,但缺乏全面的减废工作,校区内的某些人也没有始终如一地遵守这些时间表。
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引用次数: 0
Exploring and Investigating Corruption in Successive Governments, Lusaka District: A Reflexivity Approach in the United Party for National Development (UPND) New Dawn Goverment 探索和调查卢萨卡地区历届政府的腐败问题:国家发展联合党(UPND)新曙光政府的反思方法
Pub Date : 2024-06-06 DOI: 10.62225/2583049x.2024.4.3.2885
Chidongo Phiri, Harrison Daka, Delina Nanjekana Munkoyo, Masauso Mwale, Machacha Eliphas
This study aimed to explore and investigate corruption in successive governments with specific reference on the UPND New Dawn Government in Lusaka District, Zambia, reflexively. To do so, the study explored, investigated and identified various factors that facilitate corruption such as: The power of political beliefs system, poverty, inequality, weak institutions, ineffective anti-corruption measures, cultural and social capital and great latitude of impunity among public officials. Key informants also emphasized the lack of transparency and weak oversight institutions as factors facilitating the contributing to an increase on corruption. These findings resonated with Treisman's (2000) [77] and Phiri’s (2017) [62] researches, which identified the role of social and economic heterogeneity, specifically ethnic fractionalization and prestation. Further, the study highlighted the complex dynamics at play in the context of political and cultural corruption, poverty, and the ineffectiveness of anti-corruption measures. The study noted the lack of a clear legal framework to combat corruption, whistleblower protection, enhanced oversight, and independent anti-corruption agencies. Challenges in the fight against corruption included a lack of funding and resources, political interference, whistleblower vulnerability, and limited education and awareness. These challenges were in line with the findings of Maiga (2023) [40], highlighting the negative impact of corruption on human capital development. Culturally, corruption led to the normalization of unethical behavior, erosion of trust, and an impact on social cohesion. These findings underlay the far-reaching effects of corruption on society and underscore the importance of addressing this issue comprehensively. Methodologically, the study used a mixed research technique, even though the larger part of it was explorative approach thus, involving interviews, focused group discussions, storytelling and observations. The study used a sample of 100 respondents who were selected using purposive sampling technique. Core to the sampling of 100 respondents is the reflexivity approach which is about acknowledging our positionality in the research. This reflexive qualitative research, meant as researchers, we were part of the study process, and our prior experiences, assumptions and beliefs influenced the research process and findings. Reflexivity in this study meant to establish rigour, similar to the processes of defining measurement tools for validity in quantitative research. Therefore, the reflexivity research design combined both qualitative and quantitative methods, involving content analysis for qualitative data and simple statistical quantification to present quantitative data. Nevertheless, the bulk part of this research method was anchored on qualitative methods. Quantitative technique was used to justify the extent of UPND’S corruption since other methods have proven inconsistent to prove it. The study's
本研究旨在探索和调查历届政府中的腐败现象,特别是赞比亚卢萨卡地区乌干达人民民主联盟新曙光政府的腐败现象。为此,本研究探讨、调查并确定了助长腐败的各种因素,如政治信仰体系的力量、贫困、不平等、机构薄弱、反腐败措施不力、文化和社会资本以及公职人员有罪不罚的巨大空间。主要信息提供者还强调,缺乏透明度和监督机构薄弱是助长腐败增加的因素。这些发现与 Treisman(2000 年)[77] 和 Phiri(2017 年)[62] 的研究相吻合,后者指出了社会和经济异质性的作用,特别是种族分化和威望化。此外,该研究还强调了在政治和文化腐败、贫困以及反腐措施无效的背景下发挥作用的复杂动态。研究指出,缺乏明确的反腐败法律框架、举报人保护、强化监督和独立的反腐败机构。打击腐败的挑战包括缺乏资金和资源、政治干预、举报人的脆弱性以及有限的教育和意识。这些挑战与 Maiga(2023 年)[40] 的研究结果一致,强调了腐败对人力资本发展的负面影响。从文化上讲,腐败导致不道德行为正常化、信任受到侵蚀以及社会凝聚力受到影响。这些发现凸显了腐败对社会的深远影响,并强调了全面解决这一问题的重要性。在方法上,本研究采用了混合研究技术,尽管其中大部分是探索性方法,因此涉及访谈、重点小组讨论、讲故事和观察。研究使用了目的性抽样技术,抽取了 100 名受访者。抽取 100 名受访者的核心是反身性方法,即承认我们在研究中的立场。这种反身性定性研究意味着,作为研究人员,我们是研究过程的一部分,我们先前的经验、假设和信念会影响研究过程和研究结果。本研究中的反身性意味着要建立严谨性,类似于定量研究中为有效性而定义测量工具的过程。因此,反身性研究设计结合了定性和定量方法,包括对定性数据进行内容分析,以及对定量数据进行简单的统计量化。尽管如此,本研究方法的大部分还是以定性方法为主。由于其他方法无法证明乌干达人民民主联盟的腐败程度,因此采用了定量技术。研究结果表明,尽管新黎明政府在竞选时承诺以透明和负责任的方式减少腐败,但其腐败现象却有增无减。这项研究立足于布迪厄如何将个人视为参与 "生活游戏 "的行动者,这种游戏通过资本(经济资本和社会文化资本)形式的交换,既有结构性的,也有非结构性的。当然,游戏是有规则的,但许多规则是不成文的,也可能是参与者之间争论的问题。博弈论被用来确定腐败犯罪共犯的级别,因为没有足够的证据将其定为重罪。其论点是,腐败行为的实施者仅仅将腐败行为视为一种游戏,而非重罪,因此,全国民主与发展联盟政府中的行为者将腐败行为愈演愈烈并持续下去。总之,研究表明,虽然乌干达人民发展联盟新曙光政府已采取措施打击腐败,但挑战依然存在。应对这些挑战、促进透明和问责文化至关重要,因为腐败会破坏经济发展、侵蚀文化价值观和社会凝聚力。建议打击腐败的努力包括加强监督机构、促进道德领导和简化法律程序。应优先开展提高公众认识运动,并采取措施减少贫困和不平等现象。
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引用次数: 0
The Water-energy-tourism Nexus in the Island of Crete, Greece 希腊克里特岛的水-能源-旅游纽带
Pub Date : 2024-06-06 DOI: 10.62225/2583049x.2024.4.3.2883
Vourdoubas John
Mediterranean islands are popular tourism destinations visited by millions of tourists every year while their natural resources are limited and often unable to support their growing tourism industry. The interrelation of tourism industry with energy and water resources in the island of Crete, Greece has been studied. The current status of tourism industry in Crete is reviewed as well as the availability of energy and water resources in the island. It has been estimated that the direct use of water in hotels is at 2.71 M3 per tourist arrival while the energy consumption in hotels is at 124.55 KWh per tourist arrival. However, the indirect use of water by tourists is higher than the direct use while the energy consumption in tourists’ transportation is significantly higher than the consumption in their accommodation. Under normal hydrological conditions sufficient water resources can be supplied to local hotels and tourism accommodation facilities while adequate electricity can be also supplied to them. However, in order to avoid future water deficit in Crete which is going to adversely impact the local tourism industry several measures should be taken including: Water conservation measures in agriculture and in other sectors, water desalination, recycle of gray water and better management of the existing water resources. The abundant renewable energy resources of Crete should be used for heat and power generation in hotels. The results could be useful to stakeholders of the local tourism industry, to policy makers and to local authorities and residents.
地中海岛屿是广受欢迎的旅游目的地,每年有数百万游客到访,但这些岛屿的自然资源有限,往往无法支持其日益增长的旅游业。我们对希腊克里特岛旅游业与能源和水资源的相互关系进行了研究。研究回顾了克里特岛旅游业的现状以及能源和水资源的可用性。据估计,每接待一名游客,酒店的直接用水量为 2.71 立方米,而每接待一名游客,酒店的能耗为 124.55 千瓦时。不过,游客的间接用水量要高于直接用水量,而游客的交通能耗要明显高于住宿能耗。在正常的水文条件下,可以为当地酒店和旅游住宿设施提供充足的水资源,同时也可以为其提供充足的电力。然而,为了避免克里特岛未来出现水资源短缺,从而对当地旅游业造成不利影响,应采 取多项措施,包括农业和其他部门的节水措施、海水淡化、灰水回收利用以及更好地管理现有水资源。克里特岛丰富的可再生能源应被用于酒店的供热和发电。研究结果对当地旅游业的利益相关者、政策制定者、地方当局和居民都有帮助。
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引用次数: 0
Determinants of Interprofessional Collaboration Practices at Pidie Regency Regional Hospital, Indonesia 印度尼西亚皮迪地区医院跨专业合作实践的决定因素
Pub Date : 2024-06-06 DOI: 10.62225/2583049x.2024.4.3.2887
Yuni Azzahra, Hajjul Kamil, Irwan Saputra
Health services in the current global period require health care workers to provide quality services. Collaboration between professionals in a health service system is very essential to provide quality services. However, interprofessional collaboration (IPC) remains uncommon, posing a challenge for hospitals in both middle- and low-income nations, as well as high-income ones. The purpose of this study was to identify the factors related with IPC practices at the Regional General Hospital in Pidie Regency, Indonesia. This quantitative research used a cross-sectional study design, and the sample approach was proportional stratified random sampling, with a total of 187 nurses. The data collecting tool includes two questionnaires: One on the determinants of interprofessional cooperation practices and one on the components of interprofessional collaboration. Data was analyzed using descriptive statistical tests, chi-square, and binary logistic regression utilizing the stepwise technique. The study’s findings indicate that professional role factors (p-value = 0.037), patient factors (p-value = 0.001), interpersonal factors (p-value = 0.000), and organizational factors (p-value = 0.002) are all associated with IPC practices at Pidie District General Hospital in Indonesia. Interpersonal variables had the highest correlation with IPC practices (p-value = 0.000, Odds Ratio = 2.424). Quality health care emphasizes the importance of best IPC practices. According to the findings of this study, these four aspects are the most important priorities that the hospital must address right away, and they necessitate a collaborative effort from professional care providers and management to establish successful IPC procedures.
当今全球的医疗服务需要医护人员提供优质服务。医疗服务体系中专业人员之间的合作对于提供优质服务至关重要。然而,跨专业协作(IPC)仍不常见,这对中低收入国家和高收入国家的医院都构成了挑战。本研究旨在确定与印度尼西亚皮迪县地区综合医院 IPC 实践相关的因素。本定量研究采用横断面研究设计,样本方法为比例分层随机抽样,共有 187 名护士参与。数据收集工具包括两份问卷:一份是关于专业间合作实践的决定因素,另一份是关于专业间合作的组成部分。数据分析采用了描述性统计检验、卡方检验和二元逻辑回归等方法。研究结果表明,专业角色因素(p 值 = 0.037)、患者因素(p 值 = 0.001)、人际因素(p 值 = 0.000)和组织因素(p 值 = 0.002)都与印尼皮迪区综合医院的 IPC 实践相关。人际变量与 IPC 实践的相关性最高(p 值 = 0.000,Odds 比 = 2.424)。优质医疗保健强调最佳 IPC 实践的重要性。根据本研究的结果,这四个方面是医院必须立即解决的最重要的优先事项,它们需要专业护理人员和管理层的共同努力,以建立成功的 IPC 程序。
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International Journal of Advanced Multidisciplinary Research and Studies
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