National Basis Research Articles

Total elbow arthroplasty in England.

The aim of this study was to review the provision of total elbow arthroplasties (TEAs) in England, including the incidence, the characteristics of the patients and the service providers, the types of implant, and the outcomes. We analyzed the primary TEAs recorded in the National Joint Registry (NJR) between April 2012 and December 2022, with mortality data from the Civil Registration of Deaths dataset. Linkage with Hospital Episode Statistics-Admitted Patient Care (HES-APC) data provided further information not collected by the NJR. The incidences were calculated using estimations of the populations from the Office for National Statistics. The annual number of TEAs performed by surgeons and hospitals was analyzed on a national and regional basis. A total of 3,891 primary TEAs were included. The annual incidence of TEA was between 0.72 and 0.82 per 100,000 persons before 2020 and declined to 0.4 due to a decrease in elective TEAs during the COVID-19 pandemic, with a slight recovery in 2022. Older patients, those of white ethnicity and females, were more likely to undergo TEA. Those who underwent elective TEA had a median wait of between 89 (IQR 41 to 221) and 122 days (IQR 74 to 189) in the years before 2021, and this increased to 183 days (IQR 66 to 350) in 2021. The number of TEAs performed by surgeons per annum remained unchanged, with a median of two (IQR 1 to 3). The median annual number of TEAs per region was three to six times higher than the median annual case load of the highest volume hospital in a region. Patients in the lowest socioeconomic group had a higher rate of serious adverse events and mortality (11%) when undergoing TEA for acute trauma. In England, TEA is more common in older age groups, those of white ethnicity, and females. The COVID-19 pandemic affected the incidence of elective TEA and waiting times, and the provision of TEA has not yet recovered. The Getting it Right First Time recommendation of centralizing services to one centre per region could result in up to a six-fold increase in the number of TEAs being performed in some centres.

Внедрение принципов разнообразия, справедливости и инклюзивности в систему регулирования корпоративных отношений в Казахстане

This presentation contains the authors’ opinion regarding the features of the legal framework for corporate governance, the most appropriate combination of external incentive mechanisms and internal corporate motivation to ensure diversity, equity and inclusion (the so-called DEI concept) in the corporate governance system in Kazakh companies. The mentioned analyzes were conducted on various theoretical bases, international and national practical bases. The obtained results can be considered important for improving the national legislation of Kazakhstan in this field. Keywords: corporate relations, legal framework, civil legislation, corporate governance, legal regulation, corporate law, subject of regulation.

Re-Evaluation of The Judicial System: Competence and Role of Religious Courts in Blasphemy Cases

Cases of blasphemy in Indonesia are a problem that still occurs frequently, such as the interpretation of verses in the holy book for personal and/or political gain. The main challenge in blasphemy legal cases is that the jurisdiction is under the District Court, but this raises questions about the role of the Religious Courts that already exist in Indonesia regarding blasphemy cases. Supposedly, religious courts should have proper knowledge and correct interpretation for cases related to religion, however, due to Indonesia's democratic and plural legal system, blasphemy cases fall under criminal law and are considered criminal cases, not civil cases, which makes them outside the jurisdiction of religious courts in terms of judgments. In comparison, Saudi Arabia has a form of religious court in its implementation, but the existence of the court is due to a national idea based on Sharia Law and not based on plural democracy, thus signifying major differences in national identity and basis, which leads to differences in decision-making bodies and law enforcers.

Integration of Oncological Data into openEHR: A Path Towards Improved Cancer Care and Research.

The integration of tumor-related diagnosis and therapy data is a key factor for cancer-related collaborative projects and research projects on-site. The Medical Data Integration Center (MeDIC) of the University Hospital Schleswig-Holstein, resulting from the Medical Informatics Initiative and Network University Medicine in Germany, has agreed on an openEHR-based data management based on a centralized repository with harmonized annotated data. Consequently, the oncological data should be integrated into the MeDIC to interconnect the information and thus gain added value. A uniform national data set for tumor-related reports is already defined for the cancer registries. Therefore, this work aims to transform the national oncological basis data set for tumor documentation (oBDS) so that it can be stored and utilized properly in the openEHR repository of the MeDIC. In a previous work openEHR templates representing the oncological basis data set were modeled. These templates were used to implement a processing pipeline including a metadata repository, which defines the mappings between the elements, a FHIR terminology service for annotation and validation, resulting in a tool to automatically build openEHR compositions from oBDS data. The prototype proved the feasibility of the referred mapping, integration into the MeDIC is straightforward and the architecture introduced is adaptable to future needs by design.

ŞAGİRD ŞƏXSİYYƏTİNİN MİLLİ ZƏMİNDƏ FORMALAŞMASINDA VALİDEYNLƏRİN ROLU

The Role of Parents in the Formation of a Student’s Personality on a National Basis Summary As a result of the research, it once again became clear that a person, being a biological and social being, from the day of his birth to the end of his life is formed under the influence of his environment and upbringing, carrying within himself the genes of the people to whom he belongs. The Azerbaijani people have every opportunity to become one of the most advanced nations in the world in terms of their intellectual potential and development, national character, and Azerbaijan is one of the developed and advanced states in the world. Key words: sex education, national spirit, personality formation, nationality, pedagogical literature

STRENGTHENING THE SOCIAL AND MORAL CONTEXT OF THE IDEA OF HUMAN RIGHTS AND FREEDOMS IN THE UPDATED CONSTITUTIONS OF THE RUSSIAN FEDERATION AND THE REPUBLIC OF BELARUS

The article focuses on the constitutional changes in the Russian Federation and the Republic of Belarus, aimed at the protection of spiritual and moral values. It is concluded that in the current conditions there is a clear retreat in Western countries from the recognition of the absolute nature of personal (inalienable) rights, and, on the contrary, the adoption of legal measures to limit them and even to establish responsibility for those actions that do not t into the formed mainstream, which is con rmed by the facts of discrimination on the basis of nationality, use of native language, restrictions on freedom of religion, freedom of movement, as well as property rights and others. The author consolidates with the position of those scholars who believe that values are the highest level of social regulation, the basis for the development of personality and maintenance of legal order in society. Attention is drawn to the similarity of the new constitutional norms of the Russian Federation and the Republic of Belarus in terms of strengthening traditional family values, the formation of respect for the feat of arms of the people during the Great Patriotic War, the need to honor the memory of the defenders of the Fatherland, to ensure the protection of historical truth and others. The analysis of amendments and additions to the constitutions of the Russian Federation and the Republic of Belarus convinces us of the desire of our states to preserve the basic constitutional values, to strengthen them, to provide for measures aimed at preventing emerging threats to the unity of society and the erosion of public consciousness.

Prevalence of ALS in all 50 states in the United States, data from the National ALS Registry, 2011–2018

Objective: To summarize the prevalence of ALS in all 50 states and Washington, DC in the United States from 2011 to 2018 using data collected and analyzed by the National ALS Registry. In October 2010, the federal Agency for Toxic Substances and Disease Registry (ATSDR) launched the congressionally mandated Registry to determine the incidence and prevalence of ALS within the USA, characterize the demographics of persons with ALS, and identify the potential risk factors for the disease. This is the first analysis of state-level ALS prevalence estimates. Methods: ALS is not a notifiable disease in the USA, so the Registry uses a two-pronged approach to identify cases. The first approach uses existing national administrative databases (Medicare, Veterans Health Administration, and Veterans Benefits Administration). The second method uses a secure web portal to gather voluntary participant data and identify cases not included in the national administrative databases. Results: State-level age-adjusted average prevalence from 2011–2018 ranged from 2.6 per 100,000 persons (Hawaii) to 7.8 per 100,000 persons (Vermont), with an average of 4.4 per 100,000 persons in the US. New England and Midwest regions had higher prevalence rates than the national average. Conclusions: These findings summarize the prevalence of ALS for all 50 states from 2011 to 2018. This is a continuing effort to identify ALS cases on a national population basis. The establishment of the National ALS Registry has allowed for epidemiological trends of this disease and the assessment of potential risk factors that could cause ALS.

Financial flexibility and enterprise entity investment preferences

With the growing trend of firms investing in financial products rather than physical assets, concerns about losing the industrial basis of the real economy have arisen. This study aims to determine how financial flexibility influences corporate investment decisions in China and how operational risk moderates this relationship. As such, we examine the impact of financial flexibility on the investment preferences of Chinese firms, specifically focusing on A-share listed companies from 2012 to 2021. Employing a theoretical and empirical framework, the research reveals that higher financial flexibility is associated with a lower preference for physical investment. However, business risk significantly mitigates this negative effect, suggesting that firms with higher operational risks are more likely to convert financial flexibility into physical investments to enhance expected returns and manage risks. These findings highlight that the influence of financial flexibility on investment preference is most pronounced in small- and medium-sized companies. This research underscores the importance of rationally utilizing financial flexibility, effective risk management, and differentiated strategies based on firm size to promote sustainable investment and economic growth. The implications extend to policymakers, suggesting the need for supportive measures to guide firms toward increased physical investment and a strengthened national economic basis.

Education issues in the legacy of Hayder Aliyev

Acquaintance with the activities of our National Leader Heydar Aliyev provides rich information in terms of education and development of the young generation. Heydar Aliyev considered it important that every young person should first study in his native language, write in his native language, read in his native language, and he said that language is the national basis of a nation. Under the leadership of our national leader, a library, museum, general education school, and higher education schools were built and put into use.

Spatial-temporal characteristics analysis and ecological environment quality evaluation of forest health care bases in Yunnan, Guizhou and Sichuan provinces

As the forest health care in China is still in the early stage of development, the construction standards of forest health care base are not unified yet, resulting in large differences in the evaluation criterion for the ecological environment of forest health care bases. So, it is urgent to develop a new forest health care ecological environment quality assessment method. Yunnan, Guizhou and Sichuan provinces of China were selected as the study area, the previous 6 batches of 165 national forest health care pilot construction bases were selected as the main data source. This study explored the spatial and temporal distribution characteristics of forest health care bases in the study area using standard deviation ellipses, kernel density estimation method and cold and hot spot analysis. Furthermore, this study evaluated the ecological environment quality of the forest health care bases with a new ecological environment quality evaluation index model, which assembled Fraction Vegetation Coverage (FVC), Wetness (WET), Evapotranspiration (ET), Land Surface Temperature (LST) and Normalized Difference Bare Soil Index (NDBSI). The results are as follows: (1) the forest health bases in the study area are mainly located by the east of the Hu Line with a northeast-southwest distribution direction characteristics, and gradually expanded into a shape of “high in the east and low in the west, multi-point development”. (2) the area with ecological environment quality in excellent, good and medium grade accounts for about 87.73 % in the study area, indicating that most of the study area is suitable for the construction of forest health care base. These results can provide a practical guidance for the further rational layout and balanced development of forest health care bases in the study area.

A nutritional modelling framework for inclusion in a Norwegian food system model

The aim of this study was to apply a comprehensive mathematical model designed to assess the current and future availability of food, as well as the resulting nutrient availability and intake, in the context of the Norwegian population. The model explores various scenarios, including self-sufficiency levels for food supply and impacts on nutrition recommendations. A food mass balance charting production, import, export, feed, seed, and consumer allocation in the Norwegian food system provided insights into the nutrients available to the population. The analysis included a comparison with two versions of the Nordic Nutrient Recommendations (NNR)1, with the latest version recommending substantial changes in food consumption compared to current dietary patterns in Norway. The nutrient analysis compared the food mass to Matvaretabellen2 and was supplemented with data from the United Nations World Population Prospects3 and the Food and Agriculture Organisation/World Health Organisation/United Nations4 report to ensure comprehensive nutrient analysis. Micronutrient gaps were observed in Iodine (94% of the target intake) and Vitamin D (46% of the target intake), while saturated-fatty acids slightly exceeded the recommended requirements (107% of the upper limit) based on the current baseline scenario. The updated NNR4 recommends changes to specific food categories, namely fruits, vegetables, nuts, and seeds. A secondary scenario testing compared against the updated NNR found that increasing the availability of the supply of these groups does not result in any new nutrient gaps, demonstrating the feasibility of addressing the issue on a national supply basis. These approach offers a mathematical-modelling based tool that can be used to provide information for a national food system. Leveraging the model’s capacity to simulate various scenarios, informed decisions to optimise self-sufficiency levels and align food supply with recommended nutritional guidelines can be made. To improve the model, higher data resolution and clearer categorisation of food groups are required which can then be linked into a more complete national food system. The mathematical model presented in this study provides a framework for understanding of food and nutrient availability in Norway. By identifying critical nutrient gaps and potential solutions, this research contributes knowledge for a healthier and sustainable food future for the nation.

Assessing impacts of emergency industry demonstration on firm profitability: the role of blockchain strategies and technologies

PurposeThe objective of this study is to explore the impact of a government-supported initiative for operational security, specifically the establishment of the national security emergency industry demonstration base, on the profitability of local publicly traded companies. Additionally, the study investigates the significance of firms' blockchain strategies and technologies within this framework.Design/methodology/approachUsing the differences-in-differences (DID) approach, this study evaluates the impact of China's national security emergency industry demonstration bases (2015–2022) on the profitability of local firms. Data from the China Research Data Service (CNRDS) platform and investor Q&As informed our analysis of firms' blockchain strategy and technology, underpinned by detailed data collection and a robust DID model.FindingsEmergency industry demonstration bases have notably boosted enterprise profitability in both return on assets (ROA) and return on equity (ROE). Companies adopting blockchain strategies and operational technology see a clear rise in profitability over non-blockchain peers. Additionally, the technical operation of blockchain presents a more pronounced advantage than at the strategic level.Originality/valueWe introduced a new perspective, emphasizing the enhancement of corporate operational safety and financial performance through the pathway of emergency industry policies, driven by the collaboration between government and businesses. Furthermore, we delved into the potential application value of blockchain strategies and technologies in enhancing operational security and the emergency industry.

Estimating actual SARS-CoV-2 infections from secondary data

Eminent in pandemic management is accurate information on infection dynamics to plan for timely installation of control measures and vaccination campaigns. Despite huge efforts in diagnostic testing of individuals, the underestimation of the actual number of SARS-CoV-2 infections remains significant due to the large number of undocumented cases. In this paper we demonstrate and compare three methods to estimate the dynamics of true infections based on secondary data i.e., (a) test positivity, (b) infection fatality and (c) wastewater monitoring. The concept is tested with Austrian data on a national basis for the period of April 2020 to December 2022. Further, we use the results of prevalence studies from the same period to generate (upper and lower bounds of) credible intervals for true infections for four data points. Model parameters are subsequently estimated by applying Approximate Bayesian Computation—rejection sampling and Genetic Algorithms. The method is then validated for the case study Vienna. We find that all three methods yield fairly similar results for estimating the true number of infections, which supports the idea that all three datasets contain similar baseline information. None of them is considered superior, as their advantages and shortcomings depend on the specific case study at hand.

Social Diversity on Corporate Boards in a Country Torn by Civil War

AbstractWe examine how social diversity and inclusiveness on corporate boards affect corporate performance and monitoring in Sri Lanka, a country subject to decades of polarization, civil war, and even genocide. Barely more than a decade after the civil war, we find that board social diversity on the basis of ethnicity, religion, language, gender, and nationality of the board members is positively related to corporate performance, both in terms of stock market performance and accounting returns, and to corporate financial stability. The main positive effects of social diversity derive from ethno-linguistic inclusiveness. The results are confirmed by an instrumental variable approach that addresses endogeneity issues. We find no evidence that inter-personal and moral conflicts or communication problems among board members negatively affect firm performance.

Impacts of Crop Type and Climate Changes on Agricultural Water Dynamics in Northeast China from 2000 to 2020

Northeast China (NEC) is one of the most important national agricultural production bases, and its agricultural water dynamics are essential for food security and sustainable agricultural development. However, the dynamics of long-term annual crop-specific agricultural water and its crop type and climate impacts remain largely unknown, compromising water-saving practices and water-efficiency agricultural management in this vital area. Thus, this study used multi-source data of the crop type, climate factors, and the digital elevation model (DEM), and multiple digital agriculture technologies of remote sensing (RS), the geographic information system (GIS), the Soil Conservation Service of the United States Department of Agriculture (USDA-SCS) model, the Food and Agriculture Organization of the United Nations Penman–Monteith (FAO P-M) model, and the water supply–demand index (M) to map the annual spatiotemporal distribution of effective precipitation (Pe), crop water requirement (ETc), irrigation water requirement (IWR), and the supply–demand situation in the NEC from 2000 to 2020. The study further analyzed the impacts of the crop type and climate changes on agricultural water dynamics and revealed the reasons and policy implications for their spatiotemporal heterogeneity. The results indicated that the annual average Pe, ETc, IWR, and M increased by 1.56%/a, 0.74%/a, 0.42%/a, and 0.83%/a in the NEC, respectively. Crop-specifically, the annual average Pe increased by 1.15%/a, 2.04%/a, and 2.09%/a, ETc decreased by 0.46%/a, 0.79%/a, and 0.89%/a, IWR decreased by 1.03%/a, 1.32%/a, and 3.42%/a, and M increased by 1.48%/a, 2.67%/a, and 2.87%/a for maize, rice, and soybean, respectively. Although the ETc and IWR for all crops decreased, regional averages still increased due to the expansion of water-intensive maize and rice. The crop type and climate changes jointly influenced agricultural water dynamics. Crop type transfer contributed 39.28% and 41.25% of the total IWR increase, and the remaining 60.72% and 58.75% were caused by cropland expansion in the NEC from 2000 to 2010 and 2010 to 2020, respectively. ETc and IWR increased with increasing temperature and solar radiation, and increasing precipitation led to decreasing IWR in the NEC. The adjustment of crop planting structure and the implementation of water-saving practices need to comprehensively consider the spatiotemporally heterogeneous impacts of crop and climate changes on agricultural water dynamics. The findings of this study can aid RS-GIS-based agricultural water simulations and applications and support the scientific basis for agricultural water management and sustainable agricultural development.

A policy analysis on the inclusion of disabilities in natural disaster management in Indonesia

Climate change increases the occurrence of natural disasters. From 1909-2023, Indonesia experienced 613 natural disasters. The flood, which had 268 incidents, was the most significant natural disaster. Indonesia is known for being one of the world’s flood-prone areas. This is due to tidal water inundation, sea level rise, river overflows due to high rainfall, and land subsidence and urbanization. In facing climate change and dealing with natural disasters, no one must be left behind. Indonesia has had a policy for managing natural disasters since 1961, but Indonesia only had natural disaster management related to involving people with disabilities in 2007. This research aims to analyses the process of involving people with disabilities in managing natural disasters. The research uses qualitative methods with content analysis policy. The study finds Indonesia already has a national legal basis for involving disabilities from the planning, implementation, monitoring and evaluation stages as well as in the Disaster Risk Reduction Forum. This study concludes that there is a need for integrity between the central government and regional governments in managing natural disasters with the involvement of disabilities.

A implementação do art. 26-A da LDBEN: desafios e possibilidades para a atuação do tribunal de contas

Law No. 10,693/2003 established an important public policy by adding art. 26-A in the National Education Guidelines and Bases Law (LDBEN), mandating the teaching of Afro-Brazilian history and culture in primary and secondary education establishments. This is a reparatory and anti-racist policy, motivated by the erasure of the collective memory and culture of the black Brazilian population. However, the effective application of art. 26-A is still incipient, showing that this discussion needs to be deepened in external control institutions, especially after the inclusion of the topic in the performance measurement framework of the Courts of Accounts. This work intends to discuss the possibilities of action by the Court of Accounts to implement art. 26-A, considering the role of this institution in evaluating public policies to ensure fundamental rights, such as education.

Tackling Digital Degree in Education: Optimal Use of Green Information and Communication Technology (GICT)

The COVID-19 pandemic has resulted in a significant increase in the use of Information and Communication Technology (ICT) in all areas of the education sector, particularly in developed economies as well as developing countries, regardless of preparedness. This is because, under the new normal, ICT adoption has become ubiquitous and fast-moving, even in the face of impending challenges. In the case of education, in particular, the disruption caused by the pandemic has caused ICT to become an instantaneous apparatus that has sustained the teaching and learning sector during the global lockdown that ravaged the world between 2019 and 2020, with consequences that are still visible today. Once more, the pandemic's outbreak made it clear to world leaders in numerous developing nations that they had no option but to use an ICT tool that was accelerating the growth of their countries' national knowledge bases. Notwithstanding the apparent difficulties integrating ICT into teaching and learning, the COVID-19 pandemic's effects accelerated the spread of ICT, forcing teachers and students in Nigeria and, in fact, around the world, to work online despite their readiness in terms of knowledge, abilities, and resources. In today's globalized world, ICT has become indispensable in filling gaps in the education sector, but it is also important to recognize the role of green information technology. This study examined how ICT instantly filled in the educational gaps during a pandemic-related lockdown, as well as how Green IT impacts our ecology. In order to truly close the digital divide that existed in the education sector in today's carefree world, the research has supplied the essential information and details, as well as recommendations for how to best use ICT tools to secure the ecosystem. Keywords: ICT, Covid -19 Pandemic, Green IT, Digital Divide. Aims Research Journal Reference Format: Malasowe, B.O., Okpor, M.D. & Edim, B.E. (2024): Tackling Digital Degree in Education: Optimal Use of Green Information and Communication Technology (GICT). Advances in Multidisciplinary and Scientific Research Journal Vol. 10. No. 1. Pp 67-76. www.isteams.net/aimsjournal. dx.doi.org/10.22624/AIMS/V10N1P5

Automatic de-identification of French electronic health records: a cost-effective approach exploiting distant supervision and deep learning models

BackgroundElectronic health records (EHRs) contain valuable information for clinical research; however, the sensitive nature of healthcare data presents security and confidentiality challenges. De-identification is therefore essential to protect personal data in EHRs and comply with government regulations. Named entity recognition (NER) methods have been proposed to remove personal identifiers, with deep learning-based models achieving better performance. However, manual annotation of training data is time-consuming and expensive. The aim of this study was to develop an automatic de-identification pipeline for all kinds of clinical documents based on a distant supervised method to significantly reduce the cost of manual annotations and to facilitate the transfer of the de-identification pipeline to other clinical centers.MethodsWe proposed an automated annotation process for French clinical de-identification, exploiting data from the eHOP clinical data warehouse (CDW) of the CHU de Rennes and national knowledge bases, as well as other features. In addition, this paper proposes an assisted data annotation solution using the Prodigy annotation tool. This approach aims to reduce the cost required to create a reference corpus for the evaluation of state-of-the-art NER models. Finally, we evaluated and compared the effectiveness of different NER methods.ResultsA French de-identification dataset was developed in this work, based on EHRs provided by the eHOP CDW at Rennes University Hospital, France. The dataset was rich in terms of personal information, and the distribution of entities was quite similar in the training and test datasets. We evaluated a Bi-LSTM + CRF sequence labeling architecture, combined with Flair + FastText word embeddings, on a test set of manually annotated clinical reports. The model outperformed the other tested models with a significant F1 score of 96,96%, demonstrating the effectiveness of our automatic approach for deidentifying sensitive information.ConclusionsThis study provides an automatic de-identification pipeline for clinical notes, which can facilitate the reuse of EHRs for secondary purposes such as clinical research. Our study highlights the importance of using advanced NLP techniques for effective de-identification, as well as the need for innovative solutions such as distant supervision to overcome the challenge of limited annotated data in the medical domain.

Trend analysis and forecast of annual precipitation and temperature series in the Eastern Mediterranean region

The present study aims to examine the current trend of annual precipitation and temperature series referred to the Eastern Mediterranean basin on a national basis, including the annual variability of sea surface temperature anomalies and the connection effect with the North Atlantic Oscillation and the Mediterranean Oscillation indices (NAOI and MOI, respectively). The period under consideration is mainly the last 32 years, from 1990 to 2021. Additionally, the prediction of monthly and yearly temperature and precipitation series, based on the autoregressive integrated moving average model on a national base, for the next four or eight years, is another interesting feature of the present study. Results indicate rising trends in the annual precipitation during 1990-2021, mostly non-significant and significant warming trends in the annual temperature, including sea surface temperature. The NAOI is highly correlated mostly with annual temperature, whereas the MOI does not affect the variation of annual precipitation and temperature. The results of the present study are in general agreement with the results of available studies in the literature, and they could be of high interest to national authorities and environmental unions/organizations, to help decision-makers face climate change.