Bad Consequences Research Articles

Genomics—based approaches may assist in the verification and accelerate responsible deployment of marine carbon dioxide removal

Rapid development and deployment of marine carbon dioxide removal (mCDR) approaches will be required to prevent the worst consequences of climate change and meet national treaty obligations under the Paris agreement. However, approaches to monitor the efficacy and environmental safety of mCDR are not being developed with the same intensity as the technology. Verification will be required to convince a sceptical public and regulatory community of the overall benefit of mCDR as well as provide the regulatory community a basis for risk assessments that will be required for at scale deployments. In this perspective, we posit that genomics-based approaches can be used to assess the efficacy of carbon sequestration and monitor for the possibility of unintended consequences. By adopting these approaches, it will be feasible to develop the evidence portfolio necessary to underpin assessments of the risks, benefits and trade-offs involved in responsible deployment of mCDR.

Developing a Disaster Recovery Plan to Enhance Corporate Resilience and Ensure Business Continuity

Disasters occur in the corporate operational environment. Earthquakes, floods, fires, and other unpredictable events that might disrupt company activities are among these calamities. The incidence of disasters in the workplace adds to unfavorable consequences. As a result, the construction of a disaster recovery plan becomes necessary for the firm to manage the bad consequences that may arise as a result of the unfavorable occurrences. With a disaster recovery strategy in place, a firm can sustain and swiftly restart normal operations. The firm's disaster recovery plan is a written document that outlines an efficient strategy for dealing with unforeseen and unmanageable catastrophes. Developing a disaster recovery strategy ensures the organization's survival by responding effectively to the present calamity.

Will They Continue to Endure: How Conflict and “Climate-Induced” Migration is Affecting the Lake Chad Region

The effects of climate change are undoubtedly global. Reports show that West Africa is in a precarious position, regarding some of the worst consequences of climate change, occasioning extreme events, such as violent conflict, insecurity, and loss of livelihoods in the Lake Chad region. The impact on human lives is full-blown as ‘climate-induced’ migration results in drought, desertification, and the intensifying water stress has on human migration in the region. Notably, the deterioration of individual and local living conditions has compelled inhabitants of the region in Nigeria to migrate to neighboring states as Internally Displaced Persons (IDPs) or ‘environmental refugees” in neighboring countries. However, existing studies focused on the impact and patterns of migration in West Africa thereby creating a “knowledge gap” on how ‘climate-induced’ migration is affecting the Lake Chad region. This paper employs secondary data collection, analyzing dynamic trends and patterns of climate change and challenges management. Findings revealed that while the activities of terrorists and insurgent groups have strongly impacted migration within the Lake Chad region, the continuous “dryness” and the ever-changing climate conditions, such as rising temperature, desertification, flooding, and drought have dramatically worsened and contributed to the mass decision to leave the region.

EVALUATING C-REACTIVE PROTEIN AND TOTAL LEUKOCYTE COUNT AS PREDICTIVE MARKERS FOR COMPLICATED APPENDICITIS

Background and Aims:Appendicitis is a common surgical emergency, yet its still difficult to tell the difference between simple and complex cases. More severe forms of appendicitis, such gangrenous or perforated instances, have worse consequences and need prompt medical attention. In order to distinguish between simple and complex appendicitis, this study sought to assess the diagnostic accuracy of total leukocyte count (TLC) and C-reactive protein (CRP). Methods:This hospital-based observational research was undertaken at F.H. Medical College, Agra, from September 2022 to March 2024. After obtaining informed permission, 88 patients, ages 18 to 60, who were scheduled for appendicectomy were included. To quantify CRP (>60 mg/L) and TLC (>11,000/cumm), blood samples were obtained. For diagnosis, histopathological results constituted the gold standard. SPSS version 25.0 was used to analyze the data, and chi-square and ANOVA tests were used for statistical comparisons. To evaluate the diagnostic performance, Receiver Operating Characteristic (ROC) curves were created, with a significance threshold of p<0.05. Results:CRP demonstrated superior diagnostic accuracy with an AUC of 0.95 (p<0.001), sensitivity of 85.7%, and specificity of 90.9%. TLC showed an AUC of 0.66 (p=0.046), with 94.4% sensitivity but lower specificity at 37.1%. The projected cut-off for CRP was >94 mg/L and for TLC, >12,222/cumm. CRP also had a higher accuracy (90%) compared to TLC (48.9%). Conclusion:CRP emerged as a more reliable marker than TLC in predicting complicated appendicitis, with greater diagnostic accuracy and specificity. Larger multi-center studies are recommended to further validate these findings and establish universal cut-off values.

COMPARATIVE ANALYSIS OF METHODS AND MODELS FOR ESTIMATING SIZE AND EFFORT IN DESIGNING MOBILE APPLICATIONS

Mobile applications have long become an integral part of everyday life and have gained popularity among ordinary users, small companies, and large enterprises. However, this is a completely separate area of software. We can say that this is a whole separate ecosystem. Creating functional software for this ecosystem comes with new requirements, constraints, and characteristics that were not used in previous software metrics evaluation methods such as desktop programs or web applications. Mobile applications have new features, limitations and capabilities that are different from other software. Estimating the size and effort helps the software development team approximate the costs needed to more successfully develop a software product such as a mobile application. An early estimate of size and effort is necessary to identify resources that can help in the early stages of implementation a software project within budget and on time. The reliability of the assessment is also of great importance. Low reliability can lead to overestimation or underestimation, which can have bad consequences for any software development company, especially mobile applications. However, the suitability of methods and models for measuring size and efforts that are used for traditional software (PC applications and web applications) do not always provide sufficient reliability for mobile applications.The main goal of this article is to analyze the usage of various methods and models for estimating size and effort the development of mobile applications, including for the Android OS at the initial stages of their design. There is a brief description of the main and widespread methods and models that are used to estimate the size and effort, such as: Lines of Code (LOC), Function Points (FP), COCOMO and COCOMO 2, COSMIC, FiSMA, application of regression analysis for construction of mathematical models. The methods and models proposed by various authors are directly analyzed.

Laying the foundations for negative emissions technologies: insights from a workshop

Abstract Pre-empting the worst consequences of climate change requires both mitigation of emissions from the global energy system and carbon dioxide removal through negative emissions technologies. Despite their nascence, negative emissions technologies are being incorporated into nationally determined contributions to achieve ambitious targets. It is therefore urgent to build a scaffolding that enables their expansion. Here, we report results from a workshop that brought together 34 prominent stakeholders, including scientists, engineers, energy system analysts, economists, experts in public policy, and policy makers. Participants discussed the likely cost and performance of these technologies; elucidated the opportunities and risks facing deployment; and envisioned how nations might build the necessary scaffolding for expansion. The majority narrative is that negative emissions technologies will have a bridging role in decarbonizing existing assets. Different models of deployment were proposed. Reaching the scale of deployment necessary to meet emissions targets is lengthy and expensive. Financial and regulatory risks are seen as greater barriers to deployment at scale than technological risk. Greater certainty regarding carbon pricing, production tax credits, and support for geological characterization and trunkline construction could reduce the former. Critical to expansion is a large-scale increase in low-carbon power production; the implementation of regulatory frameworks that remove uncertainty surrounding investment decisions; and prudent societal engagement.

The Function of Civil Engineers in Mitigating the Effects of Environmental and Social Changes in the Philippines

This examines how climate change is affecting the Philippines' harsh weather, rising sea levels, agricultural losses, and migratory pressures. Despite having low global per capita emissions, the people living in these Southeast Asian coastal or archipelago nations still face a few of the worst consequences of global climate change. The ethical issue is also addressed at the local level. It seeks to provide a deeper understanding of the contradictions of extra measures resulting from climate damage and explain how they should live their lives regardless of climate rules.

Implementasi Manajemen Konseling Kesehatan Mental bagi Mahasiswa Institut Teknologi dan Kesehatan Muhammadiyah Kalimantan Barat

Undergraduate students are individuals who experience a transition period that focuses on searching for self-identity. During this transition period, students will experience changes in their behavior, emotions and cognition. This change will affect the mental health status of students. Mental health problems in students are a serious problem to be handled because students' mental health problems are invisible but can have bad consequences if not treated immediately. Negative stigma towards mental health has an impact on students' awareness and initiative to resolve their mental health problems. Students feel embarrassed and think that this mental health problem can heal by itself. In fact, mental health problems will get worse if they are not handled well. The importance of mental health counseling services for students as a medium for early detection of mental health problems. Mental health screening can detect several mental health problems so that existing problems can be prevented and students' mental health status can improve. The role of the academic community is very important to support the existence of mental health counseling services. Moreover, policies and service standards do not yet exist at ITEKES Muhammadiyah West Kalimantan. Thus, this underlies strategic planning activities for mental health services that can be beneficial for students and have an impact on student welfare in maintaining their mental status.

"Frontline Nurses Readiness": How Did Nurses Learn About Nursing Care During the Pandemic in Indonesia?

Background: The COVID-19 pandemic has caused adjustments in health services and hospital procedures, particularly in the provision of nursing care to patients. The shift of health care during the COVID-19 pandemic has had both beneficial and bad consequences, including the dynamics, problems, and impediments that nurses encounter. Methods: This descriptive phenomenological study investigated nurses' readiness to offer nursing care during the COVID-19 pandemic in Indonesia. Semi-structured interviews were performed with 13 nurse participants in a teaching hospital in the province of Aceh, Indonesia. The Collaizzi method, consisting of seven steps, was used to examine qualitative data. Results: The study identified four major themes: 1) modifying health services during a pandemic; 2) coping mechanisms for nurses dealing with a pandemic; 3) barriers to providing nursing care during a pandemic; and 4) making wish come true during a pandemic. Conclusion: Nurses' experience enhancing health care during the COVID-19 pandemic requires more improvement, integration, and holistic thinking. Nonetheless, they must treat patients even when their situations are not favourable. The proposed research should address the significance of optimizing care during a pandemic, such as nurse safety and security, government measures to limit COVID-19 in nursing services, and nurses' effective pandemic methods in Indonesia

Comparison of outcomes after unplanned conversion for patients undergoing robotic when compared with laparoscopic colectomy.

The robotic approach improves the feasibility of minimally invasive colectomy even where there may be an anatomic challenge with laparoscopy. Whether a failure in completing colectomy with this newer technology is associated with worse consequences needs to be considered when evaluating the relative benefit of robotic colectomy. The aim of this study is to evaluate rates of conversion to open surgery after robotic and laparoscopic colectomy and whether outcomes after conversion vary after the two techniques since this has not been well studied. From the American College of Surgeons (ACS) - National Surgical Quality Improvement Program (NSQIP) (2015-2016), patients who underwent elective minimally invasive colectomy were identified. Converted robotic were compared to laparoscopic procedures for patient demographics, co-morbidities; primary procedure and diagnosis, prolonged operation and postoperative complications. Of 36,046 colectomy procedures, 30,808 (85.5%) were laparoscopic, while 5238 (14.5%) were robotic-assisted. There were 3271 (9.1%) conversions to open surgery (laparoscopic: 2959 [9.6%]; robotic: 312 [6%]). Thirty-day postoperative surgical site infection, anastomotic leak, ileus, sepsis, bleeding requiring transfusion, urinary tract infection, reoperation; pulmonary, renal, cardiac/cerebrovascular complications; readmission, hospital stay, and mortality, were similar between the two groups. However, deep vein thrombosis/pulmonary embolism was higher after robotic conversion (4.5% vs. 2.2%, p = 0.01). Conversion was lower after robotic when compared to laparoscopic colectomy. Converted patients had similar outcomes except for vein thromboembolism which was higher after robotic surgery. Robotic technology seems to improve the feasibility of minimally invasive surgery without negatively affecting safety and efficacy even when conversion is required.

Penggunaan Design Thingking Model untuk Pencegahan Tindakan Bullying pada Santri di Pondok Pesantren ABC

It is important for an organization or institution to have an effective and quality violence prevention strategy in carrying out the vision and mission that has been made to realize the goals for the organization or institution itself. This study aims to find out the handling strategies carried out by the ABC Islamic Boarding School from the stage of student safety planning to supervision evaluation to improve environmental safety for its students. This research is a qualitative descriptive research that uses the design thinking method. The informants in this study are the principal, teachers, and students of the ABC Islamic Boarding School. This research is located at the ABC Islamic Boarding School. The data collection methods used are interviews, observations, and documentation studies. As a result, the application of the design thinking model has proven to be effective in identifying the root cause of the problem and creating innovative solutions to prevent bullying in the Islamic boarding school environment. Through the stages of empathy, definition, idea, prototype, and testing, the research team was able to understand the needs and challenges faced by the students. Bullying is bound to have bad consequences, not only for those who do it but especially for those who are targeted, affecting their personal, social, and educational aspects. Holding positive activities for students who can instill family values and solidarity, as well as organizing educational sessions about bullying during their stay at the pesantren, can help prevent this behavior from happening again in the future.

Historical aspects of ethics in psychiatry : From the end of humanitarianism up to the Human Rights Convention

The establishment of academic psychiatry was completed around 1900. Simultaneously, in view of the societal crisis phenomenon the professional self-concept of the psychiatrist was shifted to aself-image, according to which psychiatry had to place its expertise at the service of the people and the country. This was particularly expressed in World WarI in the brutal dealing with the so-called war neurotics. In association with the so-called death by starvation of ca. 70,000 institution inmates, in the post-war period Karl Bonhoeffer debated a transformation of the term humanitarianism. The worst consequence of the rejection of humanitarian thoughts are the murders of invalids under National Socialism; however, legitimization of such crimes by alluding to collective ethics, as attempted by Karl Brandt, seems to be less than convincing. The reform of psychiatry initiated in the 1960s and the United Nations Convention on the Rights of Persons with Disabilities, which came into force in 2008, have achieved prerequisites for asupportive psychiatry with reduced coercion, whereby many questions also in the legal and social systems must still be clarified.

An International Data-Based Systems Agency IDA: Striving for a Peaceful, Sustainable, and Human Rights-Based Future

Digital transformation and “artificial intelligence (AI)”—which can more adequately be called “data-based systems (DS)”—comprise ethical opportunities and risks. Therefore, it is necessary to identify precisely ethical opportunities and risks in order to be able to benefit sustainably from the opportunities and to master the risks. The UN General Assembly has recently adopted a resolution aiming for ‘safe, secure and trustworthy artificial intelligence systems’. It is now urgent to implement and build on the UN General Assembly Resolution. Allowing humans and the planet to flourish sustainably in peace and guaranteeing globally that human dignity is respected not only offline but also online, in the digital sphere, and in the domain of DS, requires two policy measures: (1) human rights-based data-based systems (HRBDS): HRBDS means that human rights serve as the basis of digital transformation and DS. (2) International Data-Based Systems Agency (IDA): IDA should be established at the UN as a platform for cooperation in the field of digital transformation and DS, fostering human rights, security, and peaceful uses of DS, as well as a global supervisory institution and regulatory authority in digital transformation and DS. The establishment of IDA is realistic because humanity has already shown in its past that we are able to not always “blindly” pursue the technically possible but also to limit ourselves to what is technically feasible when humanity and the planet are at stake. For instance, humans researched the field of nuclear technology, developed the atomic bomb, and detonated it several times. Nonetheless, the same humans limited research and development in the field of nuclear technology to prevent even worse consequences by establishing the International Atomic Energy Agency (IAEA) at the UN.

Critical Dialogue and Capacity-Building Projects Reduced Alcohol and Substance Use in a Randomized Clinical Trial Among Formerly Incarcerated Men

Background: Rates of alcohol and/or substance use (ASU) among residents of predominantly Black and marginalized communities are similar to ASU rates in White communities. Yet ASU has worse consequences in predominantly Black and marginalized communities (e.g., higher incarceration). Objective: We randomized participants to one of 16 intervention conditions using a 24 full factorial design to optimize a multilevel intervention reducing ASU among 602 formerly incarcerated men with substance-use-disorders (SUD). Candidate intervention components included (1) critical dialogue (CD; six weekly 2-hour-long group sessions vs. no CD sessions), (2) Quality of Life Wheel (QLW; six weekly 1-hour-long group sessions vs. no QLW sessions), (3) capacity building projects (CBP; six weekly 1-hour-long group sessions vs. no CBP sessions), and (4) delivery by a trained peer versus licensed facilitators. Outcome was percentage of days in which participants used alcohol, cocaine, opioid, and/or cannabis in previous 30 days. Results: Intent-to-treat analysis did not meet a priori component selection criteria due to low intervention attendance. After controlling for intervention group attendance (percentage of sessions attended), peer-delivered CD and CBP produced statistically and clinically significant main and interaction effects in ASU over 5 months. Per the multiphase optimization strategy framework, we selected peer-delivered CD and CBP for inclusion as the optimized version of the intervention with a cost of US$1,380 per 10 individuals. No adverse intervention effects occurred. Conclusion: CD and CBP were identified as the only potentially effective intervention components. Future research will examine strategies to improve attendance and test the optimized intervention against standard of care in a randomized-controlled-trial.

Antimicrobial Resistance, Pathogen Transmission and Cross-Infections across Regions and Borders

Antimicrobial resistance is now considered a global dilemma and threat to many antibiotics running in clinical practices. In Pakistan, its worst consequences appear and rise day by day, especially in hospital and community-acquired healthcare settings. In Khyber Pakhtunkhwa (KP) especially in Peshawar, most of the Tertiary Care Hospitals, have a big flow of in and outpatients throughout the country as well across the border from Afghanistan, Iran, and Middle Eastern countries. So, the opportunities for cross infections, and transmission of Multidrug resistance/superbug strains are higher up, which needs to be assisted and evaluated. The current study was a combined prospective and retrospective nature study carried out in the endocrinology ward, in a tertiary care hospital in, Peshawar, KP, Pakistan. To ensure a thorough evaluation of treatment outcomes and the validity of the findings, the study attempted a combination of prospective monitoring and retrospective analysis to assess AMR, CSTs, and hospital stay longevity among 97 DFU inpatients. DFU was most prominent in the age range of 51-60 years, followed by 41-50 and patients above 60 years of age, respectively. Various antibiotics were prescribed to DFU patients. Among antibiotics, cefoperazone-Salbactam combination was highly prescribed (31.8%) followed by Linezolid (18.8%), and Ciprofloxacin and Meropenem (13.6% each). Patients having an age limit of 10-40 years were mostly resistant to antibiotic regimens including Ampicillin-clavulanic acid, cefipime, and cefoperazone-sulbactam. Similarly, patients in the age limit 41-50 were resistant to cefotaxime-sodium and ceftazidime. Furthermore, patients in the ages ranging 51-60 were resistant to co-trimaxazole, levofloxacin and moxifloxacin. In contrast, patients above the range of 61 years were found to be resistant to Ampicillin-clavulanic acid, cefipime, cefotaxime, ceftriaxone, co-trimaxazole, and levofloxacin. In conclusion, there is a strong need for comprehensive studies considering pathogen transmission, and cross-border infections in Pakistan to prevent the growing issue of AMR.

Bad People Alert: The Expression of Disgust Signals Its Target’s Bad Moral Character

Expressions of moral disgust and anger in social situations signal the target’s moral failure to third-party observers. But little is known about whether the two emotions have different communication functions in sociomoral contexts. Based on the literature about social factors that actually distinguish between anger and disgust, two experiments investigated the inferences people make about the social target of an angry or disgusted expression. Primarily, we tested whether disgusted expressions aimed at a person convey the inference that the person has a bad moral character, more than angry expressions which communicate that the person did a thing with bad consequences. Together, these two experiments shed light on the functional differences between angry and disgusted expressions, as much as they co-occur in everyday life.

Developments and Themes in Islamic Work Ethic Studies: A Bibliometric Analysis

Current literature shows that the study of Islamic work ethics is increasingly popular among researchers and human resource managers because the role of religion and its relationship to work outcomes is familiar in management. Islamic work ethics are expected to be able to fix employee morale problems that can have bad consequences for the company. This study explores trend analysis related to Islamic work ethics (IWE) research from 1988 to November 2022. The study seeks to learn more about (1) the growth and trend of publications in the field of IWE today, (2) the most prolific contributors to the study of IWE, (3) documents widely cited in IWE research; and (4) critical terms of keywords and concepts for the investigation of Islamic work ethics. Scopus was used to compile the information. The search yielded 175 documents, which became 160 documents after the screening. Biblioshiny, VOSviewer, Publish or Perish (PoP), and Microsoft Excel were used to export and analyze the data. According to the findings, the number of publications increased from one year to the next, peaking between 2016 and 2022. The study found that authors with Malaysian affiliations were the most significant contributors to the IWE study. Network visualization mapping is used to categorize studies of Islamic work ethics into four broad categories: knowledge about Islamic work ethics, employee behaviour and performance, leadership culture, and work motivation. In addition, the study also highlights two clusters of IWE studies, namely the influence and practice of IWE. The study has implications for the future development of IWE studies and suggests IWE studies in terms of potential corruption, innovation, and leadership.

Knowledge and Practice Regarding Foot Care among Persons with Diabetes Attending Diabetic Clinic of a Tertiary Care Centre in Uttarakhand, India

Abstract Background: Amputation related to foot ulcers that develop in diabetes is the worst consequence of improper foot care among diabetic patients. Considering this, the present research was conducted to assess the knowledge and practice regarding foot care in people with diabetes. Aim: The present study aimed to assess the knowledge and practice regarding foot care among persons with diabetes attending a diabetic clinic at a tertiary care centre in Uttarakhand and to distribute a teaching aid to educate them regarding foot care in diabetes. Patients and Methods: One hundred and fifty persons with diabetes attending a diabetic clinic were assessed using a cross-sectional, descriptive design. A self-structured questionnaire on knowledge and practice was used to collect the data from the participants, who were selected using a convenient sampling technique. Descriptive and inferential statistics were used for the analysis of the data. Results: About 21 (14.0%) patients had adequate knowledge, 108 (72.0%) had moderately adequate knowledge and 21 (14.0%) had inadequate knowledge. Most of the patients 97 (64.7%) had average practice, 52 (34.7%) had good practice and 1 (0.6%) had poor practice regarding foot care in diabetes. Pamphlets were made and distributed among patients to educate them regarding foot care for diabetes. Conclusion: People with diabetes, who visited the diabetic clinic at a tertiary centre in Uttarakhand had moderately adequate knowledge and average practice. This indicates patients need more education related to foot care in diabetes.

The Effect of Online Games on Students' Learning Interest in the Banda Aceh (MTsN) 1 Model

The current phenomenon that occurs among school students is the rise of online gaming. This is a big concern for parents and school teachers themselves to anticipate bad consequences that might arise. This research was conducted with the aim of finding out the effect of online games on students' interest in learning at the MTSN Model Banda Aceh. Research respondents included all MTSN Model Banda Aceh students in 2022 totaling 1,229 people, while the research sample of 100 people was selected using the Proportionate Stratified Random Sampling technique.The research data source uses a questionnaire that is distributed directly to respondents. The data analysis technique uses Linear Regression. The results of the research show that online games have an influence on students' interest in learning at MTSN Model Banda Aceh, so that aside from learning activities both offline and online, another problem that arises from online games is that students delay doing assignments and don't even do the assignments and homework given by the teacher

A Review on the Process of Greenhouse Gas Inventory Preparation and Proposed Mitigation Measures for Reducing Carbon Footprint

Greenhouse gases trap heat in the atmosphere, causing the Earth’s surface temperature to rise. The main greenhouse gases are carbon dioxide, methane, nitrous oxide, perfluorocarbons, hydrofluorocarbons, and sulfur hexafluoride. Human activities are increasing greenhouse gas concentrations rapidly, which is causing global climate change. Global climate change is increasing environmental and public health problems. To reduce greenhouse gas emissions, it is necessary to identify where the emissions are coming from, develop a plan to reduce them, and then implement and monitor the plan to ensure that emissions are actually reduced. Anthropogenic global climate change has large and increasingly adverse economic effects. Cities emit the most greenhouse gas due to fossil fuel burning and power usage. The four major greenhouse gas emitters are energy, transportation, waste management, and urban land use sectors. Organizations should prepare action plans to lower their greenhouse gas emissions and stop the worst consequences of climate change. These action plans require companies and local authorities to submit their greenhouse gas emissions reports on a yearly basis. A greenhouse gas emissions management system includes several processes and tools created by organizations to understand, measure, monitor, report, and validate their greenhouse gas emissions. Two of the most widely adapted frameworks for greenhouse gases inventory reporting are ISO 14064 and the greenhouse gas protocol. This review paper aims to identify some of the key points of GHG inventory preparation and mitigation strategies.