Background: Metabolic syndrome (MetS) is a serious public health and clinical concern since its prevalence has been rising over the past few decades and is now approaching epidemic levels. Objective: To estimate the prevalence and risk factors of MetS in Jordanian adults with confirmed diagnoses of hypertension. Method: This is a hospital-based cross-sectional study conducted among Jordanian patients with hypertension who were followed at outpatient clinics at King Hussien Medical Center. Metabolic syndrome was diagnosed based on International Diabetes Federation (IDF) criteria. Data on socio-demographic, clinical, and anthropometric characteristics were collected from 336 hypertensive patients from June to October 2023. Descriptive analysis was utilized to assess the prevalence of MetS, and binary logistic regression analysis was used to determine independent risk factors for MetS. Result: The overall prevalence of MetS was 33.6% (33.6% in males and 66.4% in females). Advanced age (OR = 2.006, 95% CI: 1.280 - 2.913), increased waist circumference (OR = 2.864, 95% CI: 1.534 - 4.322), increased systolic blood pressure (OR = 1.073, 95% CI: 1.041 - 1.105), overweight (OR = 5.522, 95% CI: 1.371 - 7.422), and obesity (OR = 7.521, 95% CI: 4.520 - 9.016) were associated factors that increased the risk of Mets (P<0.05). Meanwhile, high physical activity (OR = 0.321, 95% CI: 0.107–0.961) decreased the risk of MetS (P<0.05). Conclusion: One-third of the hypertensive patients had MetS, thus highlighting the necessity of early screening and vigorous treatment of all hypertensive individuals to reduce the occurrence of cardiovascular events.
Budo Village in North Sulawesi stands out as one of the top 50 recipients of the prestigious 2022 Indonesian Tourism Village Award. Notably, Budo is a popular tourist destination with a thriving mangrove area on Minahasa's northern peninsula. The Budo mangrove area has been designated as a tourist attraction since 1994 and garnered increased recognition in 2017, thanks to active promotional efforts aimed at coastal tourist destinations. Surprisingly, despite its transformation into a tourist destination, research has yet to be undertaken to assess the ecological suitability of mangroves in this context or determine the carrying capacity of the mangrove area. This study seeks to delve into the ecological suitability of Budo's mangrove ecological resources and investigate the carrying capacity of the area as a tourist destination. The results of this analysis categorize the Budo mangrove tourist destination as 'unsuitable,' as indicated by an IKW score of 1.5. Consequently, a comprehensive restoration approach is required to render this mangrove area suitable and viable for tourism. Mangrove restoration initiatives, coupled with more stringent adherence to ecotourism principles in the Budo mangrove area, along with considerations for its carrying capacity, could serve as vital steps towards achieving this objective.
Organizational change is one continuous study to be carried out because organizational change will definitely occur. The role of the leader as the spearhead of the organization needs to be studied because it will impact on the subordinate’s perception and behavior, one of which is so that they have adaptive performance. Of course, to achieve adaptive performance there needs to be a positive perception of own work. The aims of this research is to examine the effect of change leadership on adaptive performance: testing the mediating role of meaningful work on the influence of change leadership on adaptive performance. This research uses a quantitative approach, with a purposive sampling technique. The data used is primary data through surveys distributed online by a sample size was 350 respondents. The data analysis technique uses the Structural Equation Modeling (SEM) test. The research results proven that change leadership has a significant positive effect on adaptive performance. Furthermore, meaningful work mediates the influence of change leadership on adaptive performance.
De nombreux travaux en entrepreneuriat insistent sur l’importance des réseaux sociaux pour l’activité entrepreneuriale, au niveau de la création, de la survie et de développement des entreprises. Durant les différentes phases de création du projet entrepreneurial l’entrepreneur a confronté à des problèmes d’accès aux informations et des problèmes d’accès aux financements externes. Pour faire face à ces deux majors problèmes l’entrepreneur doit mobiliser les réseaux sociaux. Malgré l’importance des réseaux sociaux pour l’entrepreneur, rares sont les études qui traitent l’impact des réseaux sociaux sur l'accès des femmes entrepreneures tunisiennes aux ressources financières et informationnelles externes. Notre objectif, est donc d’analyser l’impact des réseaux informels et des relations sociales formelles entrepreneurials sur l'accès des femmes entrepreneurs aux ressources externes financières et informationnelles. Nous avons mené une étude quantitative auprès d’un échantillon de 80 femmes entrepreneures tunisiennes. Les résultats étaient satisfaisants du fait que les réseaux sociaux informels ont un impact positif plus important sur l’accès des femmes entrepreneures aux financements bancaires que les réseaux formels. D’autre part Les entrepreneurs femmes sont d’autant mieux informés qu’elles sont soutenues par les réseaux sociaux formels à liens faible.
The research aimed at assessing the effect of cashless financial services on economic Growth in Kigali, Rwanda. The study was conducted in Kigali Rwanda. The time was limited in the period of 2014-2022.Thestudy was guided by the following specific objectives upon which also the following research questions were derived: To evaluate the effect of internet banking on Economic Growth in Kigali, Rwanda. To establish the impact of mobile cards on Economic Growth in Kigali, Rwanda. To assess the effect of mobile wallets on Economic Growth in Kigali, Rwanda. To evaluate the effect on mobile money on Economic Growth in Kigali, Rwanda. The research employed the use of Focus Group as one of interview methods to collect data from respondents. Rwanda still faces less privacy, greater exposure to hacking, technological dependency, magnifying economic inequality, and more. The current study therefore sought to find out the effect of cashless financial services on economic growth in Kigali, Rwanda amidst of the highlighted challenges associated with the cashless society plan. The researcher collected data from employees of MTN Rwanda, Eco bank Rwanda, BK, BNR and beneficiaries of selected institutions. The research design included: questionnaires; interviews and documentation research techniques. The sample size of the study is210 participants from Bank of Kigali, Eco bank, telecommunication companies (MTN) including mobile money agents by means of purposive sampling. The researcher requested the selected institutions to allow their members to participate in the interview and an authority letter for data collection from the University was presented to selected Institutions. Confidentiality and privacy were observed during the interview process. The researcher allowed the respondents to be free when collecting the data, mentioning names was avoided as it could be considered as coercing the respondents. Data collected was analyzed using SPSS.
This study aimed to determine the level of oral reading fluency of Grade 4 learners in Culban Elementary School, District 10 in the Division of Himamaylan City during the 3rd grading period of SY 2019-2020. The variables included were sex, parents’ highest educational attainment and size of the family. The study covered the following areas: Speed, Accuracy and Prosody. The result of the study showed that the oral reading fluency of learners’ according showed the following results: Speed – Frustration level, Accuracy – Independent and for Prosody, Approaching Fluency. The oral reading fluency of learners’ when grouped according to aforementioned variables showed these results: Speed – Frustration level, Accuracy – Independent and for Prosody, Approaching Fluency. There was a significant difference in the oral reading fluency of learners when grouped and compared according to sex; there was no-significant difference when grouped according to parent’s highest educational attainment and size of the family.
This study aimed (1) to determine students' mathematical literacy skills viewed from learning styles; (2) to know and describe students' mistakes in solving mathematical literacy questions based on Newman procedure viewed from students' learning styles; and (3) to know the causes of students' mistakes in solving mathematical literacy questions based on Newman procedures viewed from learning styles. This research was a qualitative research with a case study type and used a descriptive approach. The subjects of this study were 53 students of class VIII, 11 Public Junior High School, Tegal, Indonesia. The data were collected using questionnaires, tests, and interviews, which were then analysed. The results showed that: (1) the students' learning styles were visual, auditory, kinesthetic, and auditory-kinesthetic; (2) visual learning style students have the best mathematical literacy skills because they reach the lowest level 3 and the highest level 4, whereas kinesthetic learning style students made the most mistakes; and (3) the causes of students' errors in solving mathematical literacy questions viewed from their learning styles tend to be the same, i.e.: students do not master patterns and sequence material, and students felt rushed when working on the questions.
The Human Detection project utilizing thermal sensors aims to detect individuals or groups in the surrounding environment and respond accordingly. For instance, it can adjust lighting in a room or on a street to accommodate the presence of an individual instead of illuminating everything. Thermal sensors can also detect the presence of people and cars, making street lighting smart and adapting to the lighting situation accordingly. This technology can save up to 70% of energy costs while maintaining safe streets in high-crime areas and creating room for photovoltaic cells. Accurate occupancy tracking and temperature control are crucial in any organization or society, particularly in crowded places like hospitals or malls. To address this issue, we are introducing a data-driven electronic and sensor-based system that can detect the overall environment's temperature. This system is not a simple machine that gives a single output related to human temperature, but it provides real-time data to detect other parameters for multiple applications.
Artificial Intelligence is about knowing something (having a knowledge) and then using that knowledge to do something with that knowledge [1]. This is demonstrated by algorithms in machine learning and data mining [1].
This paper examines the neutrality principle of the WTO dispute settlement system, which functions as a quasi-judicial body in the settlement of international trade disputes. Given the system's resemblance to traditional courts, its effectiveness in ensuring justice hinges on its adherence to neutrality, ensuring fairness, impartiality, and the rule of law. Recent developments, such as the United States obstruction of the Appellate Body, underscore the tension between maintaining neutrality and addressing external pressures that may compromise this foundational principle. This study analyzes the complexities of the neutrality dynamic in the WTO dispute settlement mechanism and argues for the organization's imperative to protect neutrality amidst emerging challenges. the method used in this study is juridical normative with historical-descriptive characteristics. The research method used is qualitative. The findings of this paper will highlight the need to protect the neutrality principle of the WTO dispute settlement mechanism and the need for change or clarification of the confusion that this blending of economic or political power in DSM, and not beyond that the neutrality of WTO is the heart of this research.
Diagnosing and identifying the underlying disease of septic shock is so difficult, cases of tuberculosis-associated septic shock are extremely rare. A 55-year-old Woman with weakness, nausea, low intake, five episodes of diarrhea, three weeks of coughing, and a positive rapid molecular test result for tuberculosis. The patient had a history of AIDS and was receiving ARV treatment. There had also been a lump in the right neck for a month. A fine needle aspiration biopsy (FNAB) was performed, and the results showed a focus of atypical cells with a background of suppurative chronic inflammation. A physical examination revealed a fever (380C), blood pressure of 78/46 mmHg, and a pulse rate of 110 beats per minute. WBC: 2.60, HB: 7.5, HCT: 23.3, Plt: 353, SGOT/SGPT: 68/8, GDA: 142, BUN/SC: 108/2.6, Na: 141, K: 2.7, Cl: 107 were the results of the laboratory tests. The thorax x-ray revealed a pattern of miliary tuberculosis with a differential diagnosis of the metastatic.
Purpose: The aim of this paper was to investigate the effect of cooperative learning on on the performance of Mathematics students in public day Schools in Rwanda” A case of Karongi District’. Methodology: Simple random sampling technique was further applied to obtain Mathematics teachers and students of senior 4, 5 and 6, making 783 target students. The study used a sample of 230 respondents from the sampled schools. The collected data was analyzed using descriptive statistics, correlation, and regression analysis through the statistical package for social science (SPSS) version 21. The data collected were analyzed using descriptive statistics and multiple regression. Findings: The results of the findings indicated that the teaching of mathematics via the cooperative learning method was more correlated with the performance of students in Karongi District (r = 0.611; p= 0.000). Multiple linear regression analysis showed that cooperative learning method contributed to 71.9% of variation on the performance, hence plays a vital role in performance of Mathematics students in public secondary schools in Karongi District. Additionally, it was further inferred that cooperative learning method increases positive attitudes toward learning the subject. Unique Contribution to Theory, Policy and Practice: Social constructivism was used. A key factor in social constructivism is that the children’s development is enhanced by participating in activities that are slightly above their level of competence with mastery occurring as a result of help from others; which is enhanced as students are given opportunities to teach each other and practice in a social context. Interactions among students are crucial to cooperative learning and it is the interactions that occur in the groups that help to inspire the learning motivation. The study recommended that to promote the implementation of cooperative learning method effectively, Mathematics teachers should attend seminars, workshops and conferences.
This work aims to study the role played by university career centers in strengthening the employability of young students, and more specifically the case of the career center of the Cadi Ayyad University of Marrakech. The relevance of this subject stems from the importance of improving employability, but also from the role of public institutions in supporting it in alignment with the concerns of companies. The resolution of this work involves a documentary study of the data developed by the Career Center, and more, a qualitative study of the focus group of the center's advisors.
The company's financial performance is one of the factors that investors pay attention to in investing in the capital market. One of the investment instruments is stocks. The purpose of stock investment is to obtain a share retreat. This study aims to determine the effect of Earning Per Share, Debt to Equity Ratio and Net Profit Margin on stock returns in Properties and Real Estate sector companies listed on the Indonesian Sharia Stock Index (ISSI) for the 2018 ̶ 2023 period. The analysis method used is the panel data regression method with the selected model being the Common Effect Model (CEM). The population in this study is all companies included in the Properties and Real Estate sector listed on the Indonesia Stock Exchange (IDX) for the 2018 ̶ 2023 period as many as 87 companies. The determination of the number of samples was carried out using the Purposive Sampling technique and determined as many as 16 samples of the Company. The results of the t test show that partially Earnings Per Share and Net Profit Margin have a significant effect on stock returns while the Debt to Equity Ratio does not have a significant effect on stock returns. The results of the F test show that simultaneously Earning Per Share, Debt to Equity Ratio and Net Profit Margin have a significant effect on stock returns in Properties and Real Estate sector companies listed on the Indonesian Sharia Stock Index (ISSI) for the 2018 ̶ 2023 period.
This study explores the factors influencing the adoption of e-wallets in the Jakarta-Bogor-Depok-Tangerang-Bekasi (Jabodetabek) metropolitan region, Indonesia, among Generation Z and millennials. The research uses a quantitative approach and analyzes data from 136 participants using SEM-PLS. The study examines Perceived Usefulness, Ease of Use, Risk, Trust, Convenience, and Attitude toward the Service. The findings reveal that Perceived Ease of Use influences Usefulness rather than Attitude toward the Service. Perceived Risk influences Attitude toward the Service, and Trust is crucial. This research contributes significantly to the existing literature on e-wallets and digital payment technology in Indonesia, thus contributing to the growth of the country's digital economy. Providers should communicate transparently about security and improve accessibility to increase adoption rates.
Currently, the development of BPRS from year to year has increased. This increase can be seen through the BPRS total asset report. Many factors influence the growth of total assets of Islamic banks, including internal and external factors. This research aims to determine the effect of inflation, DPK and NPF on the growth of Total Assets in BPRS Aceh Province. The method used in this research is a quantitative method. The sampling technique used was purposive sampling, so that 11 companies were obtained as samples. The data used in this research is panel data. The data in this research comes from financial reports obtained from BPRS Banks in Aceh Province. The data analysis technique uses multiple linear regression analysis, previously carried out a classical assumption test. The results of the F test show that inflation, DPK and NPF together (simultaneously) have an effect on total assets at PT Bank BPRS. The results of the t test show that inflation partially influences total assets at PT Bank BPRS, DPK partially influences total assets at PT Bank BPRS, NPF partially influences total assets at PT Bank BPRS.
The research aimed to delve into the landscape of cybersecurity awareness and concern levels within Punjab, India, shedding light on the specific demographic groups most susceptible to cyber-attacks. Through meticulous survey administration and data analysis, the study pinpointed a noteworthy vulnerability: young adult females aged 18 to 29 residing in rural Punjab, particularly those either engaged in student pursuits or currently unemployed. This demographic emerged as disproportionately prone to cyber threats. Highlighting the gravity of this finding, the research underscores the urgency for tailored interventions to fortify the cyber defenses of this vulnerable population segment. A crucial facet of this approach involves the development of a prototype aimed at augmenting cybersecurity awareness and fostering ethical online conduct among the identified demographic. This prototype seeks to serve as a platform for delivering enhanced training modules tailored to the unique needs and challenges faced by young females in rural Punjab. Moreover, the paper delineates a comprehensive roadmap for the implementation and evaluation of these recommendations. Central to this plan is the deployment of an application based on the proposed prototype, designed to facilitate the delivery of targeted cybersecurity education and gauge its efficacy in bolstering cyber resilience among the identified demographic. This research not only illuminates the cybersecurity landscape in Punjab but also charts a proactive course of action aimed at mitigating vulnerabilities and empowering at-risk populations through informed intervention strategies. Through ongoing data collection and evaluation efforts, the efficacy of these interventions will be rigorously assessed, driving iterative refinement and optimization of cybersecurity initiatives tailored to the unique needs of Punjab's populace.
The emergence of electric vehicles (EVs) represents a paradigm shift in transportation, offering not only the promise of reduced carbon emissions but also the potential for enhanced sustainability and innovation. However, the full realization of EVs' transformative capabilities extends beyond mere electrification; it encompasses the integration of state-of-the-art technologies such as Artificial Intelligence (AI) and Cloud Computing. This meticulously crafted research article delves into the profound impact of AI and cloud technologies on the EV landscape within the United States. It meticulously examines how these technological advancements are reshaping EV ecosystems, catalyzing advancements in autonomous driving, optimizing battery management systems, and enriching user experiences. Furthermore, it elucidates the imperative need for robust cybersecurity measures to fortify these sophisticated systems against cyber threats, thereby ensuring the integrity, privacy, and stability of the transportation network. With a diverse audience in mind, including automotive industry professionals, policymakers, cybersecurity experts, environmental advocates, technology enthusiasts, and the broader public, this article serves as a beacon illuminating the future of transportation, sustainability, and digital security within the realm of EVs. Through a blend of rigorous analysis, insightful commentary, and visionary foresight, it aims to provide profound insights into the trajectory of EV technology in the United States and beyond.
With the rapid development of information technology, the digital transformation of education has become an important trend of global higher education reform. In this context, the digital literacy of higher education teachers is not only related to their personal career development, but also a key factor affecting the quality of teaching and the development of students' abilities. Several problems have been identified through the research study, such as unbalanced distribution of resources, limited opportunities for professional development, missing evaluation system, insufficient social interaction and cooperation, and low self-efficacy, which collectively affect the formation of digital literacy among college teachers. Based on this, this study puts forward a series of recommendations, such as exploring the digital literacy hierarchy of college teachers under the digital transformation of education, clarifying the direction of cultivating digital literacy of college teachers under the digital transformation of education, and constructing a cultivation mechanism of multi-party collaboration and cooperation, with a view to promoting the enhancement of the digital literacy of college teachers, and then promoting the digital transformation of higher education.
