Positive Trend Research Articles

Waste management system: sanitary-epidemiological and environmental aspects

Introduction. Despite the positive trends in the field of industrial and consumer waste management, issues related to the legal regulation of activities to eliminate objects of accumulated damage to the environment and its relationship with activities to eliminate unauthorized landfills remain unresolved. A separate and important problematic aspect is the assignment of waste to a certain hazard class and their subsequent accounting and neutralization. The study aims to consider the established practice of using sanitary-epidemiological and environmental legislation in the management of industrial and consumer waste, including in assessing their toxicity. Materials and methods. The authors conducted the study using an information and analytical method for analyzing regulatory documentation and scientific publications from the databases Elibrary, Scopus, Web of Science, PubMed, Techexpert, Consultant, etc. They also compared the topical issues of assessing the toxicity of production and consumption waste and identified the specifics of the methodology for calculating the amount of damage as a result of unauthorized waste disposal. Results. It has been established that one of the optimal solutions in the issue of assessing the hazard class of waste may be to bring the criteria for their classification according to the degree of toxicity to uniformity, as well as the development of a single document carried out by institutions regardless of departmental subordination. Studies conducted to determine the amount of damage as a result of unauthorized disposal of production and consumption waste and to establish the hazard class of waste must comply with the requirements of uniformity of measurements and accreditation in the national system, respectively. To correctly calculate the amount of harm, you need to use the value of the mass of waste with the same hazard class. The availability of separate documents in sanitary-epidemiological and environmental legislation can significantly affect the calculation of the amount of harm due to various methods of determining the hazard class of waste, as well as the timeliness of identifying the long-term impact of waste on the environment and public health. Limitations. The study is limited to the analysis of law enforcement practice in the field of waste management, as well as the results of research in domestic and international literature. The analysis will allow researchers to consider non-obvious and controversial issues in the planning of activities. Conclusion. Updating documents on the establishment of the hazard class of waste should be carried out considering law enforcement practice. The absence of duality in compliance with the established requirements in both the field of environmental and sanitary-epidemiological legislation can be a guarantee of the reliability and truthfulness of research. This will allow you to make the right management decisions. Ethics. The study does not require the submission of the conclusion of the biomedical ethics committee.

Effects of implementing mechanical cardiopulmonary resuscitation devices on out‐of‐hospital cardiac arrest patients in Taiwan

AbstractBackgroundOut‐of‐hospital cardiac arrest (OHCA) is the leading cause of death worldwide. Mechanical cardiopulmonary resuscitation (M‐CPR) devices were successively introduced in Taiwan to enhance the quality and efficiency of OHCA resuscitation. This study investigated the impact of the introduced M‐CPR devices on OHCA resuscitation outcomes and assessed potential disparities between six special municipalities and other counties and cities.MethodsThis study was approved by the Institutional Review Board of the Far Eastern Memorial Hospital (number: 113116‐F). Data from the National Fire Agency of the Ministry of the Interior between 2009 and 2021 were analyzed for return of spontaneous circulation (ROSC) rate, discharge rate, and ROSC to hospital discharge. Linear regression evaluated changes before and after 2017 while pooled t‐tests compared the two datasets. Chi‐squared analysis and repeated measure Analysis of Variance assessed potential disparities between the six special municipalities and other counties/cities from 2018 to 2021.ResultsPost‐2017 data displayed significantly improved ROSC and discharge rates with positive trends in linear regression analysis. Pooled t‐tests revealed statistically significant differences in 2017 and 2021 ROSC and discharge rates (p < 0.05) while not between ROSC and hospital discharge (p = 0.117). Additionally, six special municipalities exhibited higher ROSC and discharge rates. While M‐CPR devices enhance resuscitation quality, overall recovery depends on multiple factors that need to be addressed comprehensively to optimize patient outcomes.ConclusionThis study showed that the introduction of mechanical CPRs has been successful in improving the ROSC and discharge rates of OHCA patients in Taiwan, while confounding factors are essential for optimizing patient outcomes and improving ROSC rates following cardiac arrest.

Trends in Toddler Diet Quality in the United States: 1999 to 2018.

Diet quality has improved over time for US adults and youth aged ≥2 years. Trends over time and disparities in the diet quality of toddlers 12 through 23 months old have not been documented. Our objective was to investigate the direction and magnitude of toddler diet quality trends from 1999 to 2018 overall and by household socioeconomic status. This serial cross-sectional analysis of National Health and Nutrition Examination Survey (NHANES) data was performed with 2541 toddlers from 10 NHANES cycles from 1999 to 2018. Dietary intake was measured by NHANES study staff using proxy-reported 24-hour recalls. Healthy Eating Index-Toddlers-2020 total scores (0-100 points, higher scores indicate healthier diets) and component scores were calculated from the 24-hour dietary recalls using the population ratio method. Multivariable linear regression was used to evaluate the association between time in years (measured as the midpoint of each NHANES cycle) and diet quality. Toddler diet quality improved significantly from 1999 to 2018 (P < .001), from 63.7 points on average in 1999-2000 to 67.7 points in 2017-2018. A significant positive linear trend in total diet quality was observed for all socioeconomic status groups (P < .05). Several dietary component scores improved, as follows: Whole Fruits (P < .001), Whole Grains (P = .016), Fatty Acids (P = .002), Refined Grains (P = .009), and Added Sugars (P < .001). Scores did not significantly change for Total Fruit, Total Vegetables, Greens and Beans, Dairy, Total Protein Foods, Seafood and Plant Proteins, Sodium, or Saturated Fats. From 1999 to 2018, toddler diet quality improved significantly, but mean scores still fell short of dietary guidance.

Exploring the Impact of Instrument-Assisted Soft Tissue Mobilization on Functional Measures and Quality of Life in Knee Osteoarthritis Patients: A Randomized Controlled Trial

Background: Knee osteoarthritis (KOA) is a prevalent disabling condition characterized by pain, stiffness, and functional limitations, significantly impacting quality of life, particularly among older adults. Instrument-assisted soft tissue mobilization (IASTM) is a technique that has shown promise in reducing pain and increasing the range of motion. Objectives: This study aimed to investigate the effects of IASTM on functional measures and quality of life in KOA patients. Methods: Thirty participants with unilateral KOA were randomized into IASTM and sham groups. The intervention consisted of four sessions over two weeks, combining IASTM with exercise therapy. Functional performance was assessed using the 6-minute walking test (6MWT) and the timed up and go test (TUG). Quality of life was evaluated using the 36-item short-form health survey (SF-36) and the Lequesne Algofunctional Index (LAI) Questionnaires. Results: A mixed ANOVA revealed significant improvements in functional performance in both groups after treatment in the 6MWT (P &lt; 0.001) and TUG (P = 0.003) tests. Significant improvements were observed in the SF-36 subgroups for physical functioning (P = 0.002), role limitations due to physical problems (P &lt; 0.001), energy/vitality (P &lt; 0.001), pain (P &lt; 0.001), and total score (P &lt; 0.001). There was also a significant time*group interaction effect for role limitations due to emotional problems (P = 0.005), with the IASTM group showing improvement after treatment while the sham group experienced a decline. The LAI questionnaire also indicated significant improvements in both groups (P &lt; 0.001) after treatment. Conclusions: Both IASTM and sham interventions, combined with exercise therapy, led to improvements in functional measures and quality of life. However, the IASTM group exhibited a more pronounced positive trend in the 6MWT and TUG tests, as well as a significant interaction effect for emotional role limitations. These findings suggest that while exercise alone can improve function and quality of life, the addition of IASTM may further enhance these outcomes, supporting its integration into KOA management strategies to improve activities of daily living and overall quality of life.

Trends and inequalities in the use of deworming medication during pregnancy in Sierra Leone, 2008–2019

BackgroundIntestinal worm infections are a significant public health concern for pregnant women in low- and middle-income countries. These infections can lead to anaemia, malnutrition, and adverse pregnancy outcomes, including premature birth and low birth weight. Deworming medication during pregnancy is a safe and effective strategy to prevent these complications and improve maternal and child health. This study aims to investigate the trends and inequalities in the use of deworming medication during pregnancy among women in Sierra Leone between 2008 and 2019.MethodsThe study utilised data from the Sierra Leone Demographic Health Surveys conducted in 2008, 2013, and 2019. We used the Health Equity Assessment Toolkit developed by the World Health Organisation to calculate various measures of inequality, including difference, ratio, population attributable risk, and population attributable fraction. An inequality assessment was conducted for five stratifiers: age, economic status, level of education, place of residence, and sub-national province.ResultsThe prevalence of deworming medication during pregnancy was 43.8% in 2008, 72.4% in 2013, and 83.5% in 2019 in Sierra Leone. There was a decrease in age-related inequality from a difference of 3.7% in 2008 to −0.8% in 2019. Economic-related inequality increased from a difference of −8.5% in 2008 to −8.2% in 2019. Both population attributable fraction and population attributable risk were zero in all survey years for economic status, indicating no improvement in the setting average without economic-related inequality. Inequality in education increased from a difference of -8.9% in 2008 to −8.4% in 2019 and decreased from a difference of −2.6% in 2008 to –5.5% in 2019 for place of residence. Provincial inequality decreased from a difference of 29.5% in 2008 to 11.8% in 2019. The population attributable risk for province reveals that the setting average could have been 10.5 percentage points lower in 2008, 8.2 percentage points lower in 2013, and 5.9 percentage points lower in 2019 without provincial inequality.ConclusionThe prevalence of deworming medication use during pregnancy substantially increased from 2008 to 2019 (43.8% to 83.5%) in Sierra Leone. This suggests a positive public health trend in maternal healthcare access and education. Inequalities related to economic status and education increased slightly while age-related, place of residence and provincial inequalities decreased. This indicates an inequitable distribution of this essential healthcare intervention across these stratifiers. The government and policymakers should continue efforts to raise awareness and promote the use of deworming medication during pregnancy.

Repeat airborne laser scanning to assess canopy height changes in tropical montane forests

Abstract. Tropical montane forests are vital ecosystems globally, preserving biodiversity, carbon stocks, and capturing moisture. We employed two airborne laser scanning (ALS) data sets to study changes in montane forest canopy heights in the Taita Hills, Kenya between 2014/2015 and 2022. We studied two forests, Ngangao (129 ha) and Yale (57 ha), which encompassed both indigenous montane forest and exotic plantations. First, forest types were mapped using field observations and aerial imagery, and then, canopy height changes were analysed using canopy height models at spatial resolution (i.e. the cell size) ranging from 1 m to 20 m. The results revealed overall increase in canopy height in the studied forests, with considerable spatial variation between the forest segments and main tree species. Planted exotic tree species, particularly eucalyptus but also pine and cypress, exhibited faster growth rates than native tree species. Point density differences between the ALS data sets can cause bias to estimation of canopy height changes. However, we observed that reducing the cell size of the canopy height models from 1 m to 10 m and 20 m, decreased the positive trend between point density difference and overestimation of canopy height change due to higher point density of more recent ALS data set. These findings contribute to our understanding on spatial complexity of montane forest ecosystems dynamics and help informing forest monitoring and development of management strategies for fragmented forests in montane regions.

Implementation of a High-Reliability Organization Framework in a Large Integrated Health Care System: A Pre-Post Quasi-Experimental Quality Improvement Project.

The purpose of this quality improvement (QI) project was to evaluate outcomes across Veterans Health Administration (VHA) hospital facilities engaged in an enterprise-wide implementation of a high-reliability organization (HRO) framework. This QI project relied on primary data drawn from 139 facilities nationwide from 2019 to 2023. Data sources included the All Employee Survey Patient Safety Culture (PSC) Module and patient safety reporting data derived from the Joint Patient Safety Reporting system. The project design applied a pre-post quasi-experimental design that examined within-cohort changes at pre-intervention, intervention, and 2 post-intervention follow-up timepoints. HRO interventions included a combination of training, leadership coaching, site assessments, and experiential learning. HRO interventions were initiated at 18 facilities beginning in 2019 (Cohort 1), 54 facilities in 2020 (Cohort 2), and 67 facilities in 2021 (Cohort 3). For between-cohort analyses, the relative degree of change within Cohort 1 sites was compared with all other sites. There were broad positive within-group trends for PSC scores across all sites, and domain-specific between-group differences in PSC Dimension 2-Risk Identification and Just Culture-and Dimension 4-Error Transparency and Risk Mitigation. For patient safety reporting, total events reported, and close calls increased for Cohort 1. The ratio of close calls to adverse events also increased for both Cohort 1 and all other VHA sites at post-intervention year 2. The results of this QI project will inform further refinements to VHA's efforts to implement HRO principles and practices in the nation's largest integrated health system. In addition, the implementation practices may inform other large-scale, multi-level efforts to improve quality and patient safety.

The Spatiotemporal and Dependency Analysis of selected Meteorological Parameters and Normalized Difference Vegetation Index with Aerosol Optical Depth over East Africa.

The unprecedented rise in atmospheric aerosols, coupled with their intricate interactions with the environment through a wide array of physical, chemical, and biological processes, has profoundly impacted global climate. Their presence in the atmosphere scatters and absorbs solar radiation, thus altering the amount of sunlight reaching the Earth's surface. These direct effects, along with the indirect effects of aerosols, have significantly altered atmospheric temperatures, land surface processes, global surface temperature, hydrological cycle, and ecosystems. Understanding the complex interplay between aerosols and climatic variables necessitates a multidisciplinary approach, such as dependency modeling. Addressing these challenges, the current study conducts a spatiotemporal correlational analysis of selected key meteorological parameters with aerosol optical depth over East Africa (EA) using multisensory data from Moderate-resolution Imaging Spectroradiometer (MODIS), Modern-Era Retrospective analysis for Research and Application (MERRA-2) model, and Tropical Rainfall Measurement Mission (TRMM). Employing a weighted least squares regression (WLS) model, the study quantifies trends in the time series of climatic variables and Normalized Difference Vegetation Index (NDVI), further utilizing a statistical dependency modeling technique for correlational analysis. The trend analysis reveals a significant decreasing trend in surface wind speed (SWS) in most months, with sporadic positive trends attributed to anthropogenic activities, notably biomass burning, observed in January. Spatial trend analysis of Precipitation Rate (PR) displays heterogeneity, with significant negative trends in January and March, and positive trends in February, April, November, and December. Negative trends during May to August are attributed to increased anthropogenic activities, while enhanced positive trends in May correlate with low aerosol optical depth (AOD) during this period. Surface air temperature (SAT) exhibits diverse variations across the region, with dry months recording higher averages and trends than wet months. The study notes heterogeneous correlations in NDVI over the study area, with positive and negative correlations observed in different regions. Specifically, positive correlations are noted along the coastal and Lake Victoria regions, attributed to improved PR enhancing vegetation cover in these areas.

Tracing the educational journey of Indian women across generations: A study of multigenerational education mobility in India

This study investigates intergenerational mobility and socioeconomic disparities in women's education in India, utilizing data from the Longitudinal Ageing Study in India (LASI) Wave 1. It uniquely examines three generations of women: the second generation (G2), aged 45–75, who reported on their own education, their mother's education (G1), and their daughter's education (G3). Despite India's economic growth over the past three decades, women's educational status remains poor, influenced by enduring gender discrimination. The study constructs educational transition matrices and measures two mobility indices: M1, which represents the expected proportion of daughters transitioning from their mother's educational level, and M2, which measures the extent of transitions between educational categories. M1 is further broken down into upward and downward mobility. The findings highlight significant progress in educational mobility across generations, with notable increases in upward mobility from the grandmother-mother to the mother-daughter generations, indicating a positive trend. Urban women show significantly higher levels of educational mobility compared to their rural counterparts. However, the study also identifies a decline in multigenerational educational mobility among Muslim women. Persistent caste-based disparities in education are observed, although there is a promising trend of narrowing gaps in recent years. Additionally, the study reveals substantial progress in educational attainment among the most economically disadvantaged groups compared to previous generations.

Prevention of iron deficiency conditions in obese children

Background. Due to the progressive increase in childhood obesity, the effect of iron levels in the body on carbohydrate and lipid metabolism disorders and the relationship between these conditions are actively studied. It is proven that obesity in children is often associated with dysregulation of iron metabolism. The correlation between the body mass index and iron deficiency (ID) in children and adolescents was reported. Therefore, implementing preventive measures to correct the iron deficiency state (IDS), including the enrichment of the diet with foods containing easily digestible iron, is relevant and can be considered as one of the principles of an integrated approach to the treatment of obesity in childhood. Aim. To evaluate the effectiveness of dietary supplements "Kidz Tasty iron" for IDS prevention in obese children. Materials and methods. Thirty children aged 7–14 with exogenous constitutional obesity were followed up, 14 (47%) females and 16 (53%) males. All patients received a dietary supplement (DS), "Kidz Tasty iron," 10 mL once daily with meals according to the label for 1 month. The follow-up included data on signs and symptoms, medical history, evaluation of anthropometric data, evaluation of current nutrition status with the software "Optimal Nutrition 5.0", bioimpedance analysis of body composition, questionnaire on the assessment of ID symptoms and quality of life, general hematology and blood chemistry tests, validated for childhood. Results. The diets of obese children in the study had low iron content (33.3% of patients), which justifies the need for additional iron supplementation. While taking the dietary supplement "Kidz Tasty Iron," there was a positive clinical trend: decreased symptoms related to ID and clinical signs of ID, improved overall well-being, and increased quality of life. The improvement of the body composition of the studied children was represented by preservation and an increase (20% of patients) in the active cell mass in the studied children. Laboratory tests of iron metabolism improved in 9 children (30%). Most children reported the good organoleptic properties of the product. Adherence to the DS was 96.7%. Conclusion. The study results show the "Kidz Tasty iron" dietary supplement to be tolerable, safe, and effective, supporting its use in the complex therapy of children and adolescents with obesity, including for IDS prevention.

Spatial-Temporal Evolution and Determinants of Green Economy Efficiency: An Integrated Analytical Approach

In response to global environmental challenges and the need for sustainable development, this study investigates the spatiotemporal evolution and determinants of green economy efficiency (GEE) across 30 Chinese provinces from 2005 to 2021. By employing a Slack-Based Measure (SBM) Data Envelopment Analysis (DEA) model, kernel density estimation, and spatial Markov chain analysis, this study provides a comprehensive assessment of GEE, incorporating both spatial and temporal dimensions. The analysis reveals a positive overall trend in GEE, with notable regional disparities, as eastern provinces exhibit significantly higher efficiency levels compared to central and western regions. Additionally, GEE improvements have been observed nationwide, although the central and western regions lag. Key factors influencing GEE include energy intensity, economic development, urbanization, industrialization, transport infrastructure, and government intervention, with distinct regional variations in their impact. The findings suggest that optimizing economic growth, reducing energy intensity, and fostering green urbanization and industrialization are essential strategies for enhancing GEE. This research contributes to the theoretical understanding of green economy efficiency and offers valuable policy recommendations for achieving balanced regional development and sustainable growth in China.

Semi-structured citizen science data reveal mixed effectiveness of EU Special Protection Areas (SPA) in Germany

Protected areas aim to conserve and restore populations of target species and their habitats, but it is challenging to quantify their effectiveness. Assessments of protected area effectiveness require long-term monitoring data, which are rarely available for all target species. We aimed to evaluate the usefulness of semi-structured citizen science data to derive population trends of target species, and use these to assess the effectiveness of EU Special Protection Areas (SPA). We derived occupancy trends for 42 target species across the SPA network of Germany over a 11-year period. We found that 62 % of the target species were more likely to occur in SPA than outside, especially when these sites also comprised parts of other types of protected areas. 17 % of the species showed more positive occupancy trends (including slower declines) in SPA, whereas 21 % showed more negative trends than outside. We conclude that the German SPA network represents target species well approximately two decades after the designation of most SPA, but is currently only effective for a minority of studied target species.Our results contribute to mounting evidence of mixed effectiveness of the Natura 2000 network to maintain populations of target species in Europe. We therefore call for greater conservation efforts, especially for declining species. Our results can help to define priority species and initiate or optimize species-specific management. Thus, semi-structured data have the potential to inform national impact assessments when data from structured monitoring programs are lacking.

Influence of Human Hunting Strategies and Large Carnivore Presence on Population Dynamics of European Facultative Scavengers.

Ungulates serve as the primary carrion source for facultative scavengers in European ecosystems. In the absence of large carnivores, such as wolves (Canis lupus), human hunting leftovers are the main source of carrion for these scavengers. Additionally, wild boars (Sus scrofa) are heavily culled in many ecosystems and are both a significant prey species for wolves as well as a key scavenger. Nowadays, wolves and wild boars are re-establishing their historical home ranges. However, it remains unclear how their presence influences the population dynamics of facultative scavengers under different scenarios of human hunting strategies. We simulated the biomass densities of all states in the trophic web including European scavengers and wolves using an ordinary differential equations (ODE) model. The presence of wolves led to a positive trend in scavenger biomass in general. However, in general, we found that plant-based resources were more important for scavenger dynamics than carrion, regardless of whether the carrion originated from human hunting or wolf predation. Only when wolves were absent but boars present, the human hunting strategy became important in determining scavenger dynamics via carrion supply. In conclusion, our model indicates that population dynamics of facultative scavengers are not mainly driven by the availability of carrion, but rather by the presence of and competition for vegetation. Furthermore, our simulations highlight the importance of adapting human hunting strategies in accordance with the re-establishment of wolf and boar as these can cause fluctuating population patterns over the years.

Quantifying residents' exposure to agricultural pesticides using new geospatial approaches

A better understanding of environmental exposure to agricultural pesticides is crucial for public health, regulatory and management purposes. Residents in close vicinity to agricultural fields are likely to be more exposed to pesticides. In that context, an innovative geospatial approach for mapping estimates of agricultural pesticide exposure was developed in this study.Data on pesticide application rates, high-resolution annual datasets of the geographic distribution of crops, and the 100x100m grid population dataset were utilized to complete this analysis in Wallonia (Belgium) over the period 2015-2019. Pesticide exposure metrics were estimated using a buffer-based exposure model by conducting neighborhood analysis within a 1000m buffer radius. Subsequently, a population weighted method was used to ‘up-scale’ the exposure data to administrative levels. In a limited validation effort, model estimates were compared with pesticide measurements in air collected at 12 stations during the period 2015-2016.The results present the first modeling map of environmental exposure to agricultural pesticides for the whole of the Walloon region. The northern part of the Sambre-Meuse axis demonstrates more intensive agriculture and the highest pesticide weighted exposure indices. The majority of the population resides near agricultural areas, with only 4% living in regions that lack crops within a 1000m radius, primarily in the central areas of large cities. A positive trend association between pesticide measures in air and the index was observed at the different stations, nevertheless further validation efforts are needed to accurately compare the same active ingredients.This work gives a valuable basis for research and environmental health actions in Belgium. Maps highlight areas where human biomonitoring and epidemiological studies should be implemented to investigate the impact of potential environmental exposure to pesticides. This information helps policy-makers to take measures to control and reduce the load of agricultural pesticides in the environment.

Boosting Business Performance: The Impact of Entrepreneurial Culture on Women Entrepreneurs’ Behavior

Entrepreneurship has been extensively examined across various management disciplines, with significant attention given to women entrepreneurship, which has made considerable strides in recent years. Despite this positive trend, many women continue to face challenges in balancing their business responsibilities with household duties. These challenges often lead to role conflicts as women navigate the demands of both their professional and domestic roles. This research aims to evaluate the impact of adopting an entrepreneurial culture on shaping the entrepreneurial behavior of women entrepreneurs, with the ultimate goal of enhancing their business performance. The study involved 88 married women entrepreneurs and utilized partial least squares structural equation modeling (PLS-SEM) for analysis. Additionally, Importance-Performance Map Analysis (IPMA) was employed to elucidate the significance and impact of each variable. The findings highlight the crucial role of adopting an entrepreneurial culture in women entrepreneurship, demonstrating its substantial influence on both the transformation of entrepreneurial behavior and the enhancement of business performance. Consequently, to achieve superior business performance, it is recommended that entrepreneurs should focus on the cultivation and refinement of their entrepreneurial culture.

A QUALITATIVE STUDY OF EFFECTIVE PEDAGOGICAL PRACTICES TO FOSTER JOY, CURIOSITY, AND WONDER IN MATHEMATICS AT ELEMENTARY STAGE

This Study Aims To Identify And Evaluate Effective Pedagogical Practices That Foster Joy, Curiosity, And Wonder Among Students In Mathematics Education At The Elementary Stage. The Study Employs A Qualitative Approach To Investigate The Impact Of These Practices On Students' Engagement And Enthusiasm For Mathematics. A Sample Of Mathematics Teachers From 10 Schools (20, Teachers) In The Varanasi District, India, Was Selected Randomly. Intelligent Verbatim Transcription Was Used To Convert Audio Recordings Into Text, Balancing Accuracy With Clarity By Omitting Unnecessary Fillers While Preserving The Essence Of The Conversations And Using NVIVO Employed To Facilitate Efficient Coding And Visualisation Of Connections Between Themes. The Analysis Process Will Involve Organizing The Transcribed Data, Qualitatively Identifying Themes And Patterns Related To Effective Pedagogical Practices To Foster 'Joy, Curiosity &amp; Wonder' Among The Students In Mathematics At Elementary Stage, Combining The Benefits Of Observational Data With In-Depth Teacher Perspectives. The Findings Reveal A Positive Trend Towards More Student-Centered, Engaging, And Effective Teaching Strategies In Mathematics, While Also Indicating Opportunities For Further Development In Certain Areas. These Findings Have Significant Implications For Enhancing Student Engagement, Promoting Conceptual Understanding, And Encouraging A Growth Mind Set In Mathematics. This Study Emphasizes The Need For Policy Makers To Address Resource Disparities Between Schools And For Educators To Adopt Practices That Create Joyful, Curiosity-Driven Learning Environments, Ultimately Leading To Improved Student Outcomes And A More Positive Attitude Towards The Subject. KEYWORD: Mathematics Education, Pedagogy, Joy, Curiosity, Wonder, Student Engagement, Innovative Teaching Practices

Trend Analysis of Rainfall and Temperature in the Kharun Watershed: Implications for Climate and Water Management

Rainfall and temperature are critical meteorological variables for understanding climate change and its potential impacts on water resources. Rainfall and Temperature are the most important for climatic parameters. The result of this study will help to take necessary steps and measures for agricultural production. This study focuses on analyzing rainfall and temperature trends in the Kharun watershed, Chhattisgarh, using the Mann-Kendall (MK) test and Sen's slope (SS) estimator. The analysis covers seasonal (summer, winter, and monsoon) and annual trends across key stations. Results for precipitation trends reveal mixed outcomes. At Dhamtari, a significant increasing trend in summer rainfall (z = 3.21, p &lt; 0.01, Sen's slope = 0.77) was observed, though the annual trend remains insignificant. In Patharidih, summer rainfall also shows a significant upward trend (z = 2.04, p = 0.04), while Raipur exhibits a significant decline in both annual and summer precipitation (z = -1.04, p = 0.03, Sen's slope = -0.27). Temperature trends indicate no significant changes in maximum temperature across most stations, though slight positive trends are observed in summer and monsoon seasons. However, minimum temperature trends show a significant decline during winter at Dhamtari and Raipur (z = -2.12, Sen's slope = -0.04). These findings highlight localized seasonal variability in rainfall and temperature, underlining potential challenges for water resource management and climate adaptation in the region.

Digital government initiatives for sustainable innovations, digitalization, and emission reduction policies to balance conservation impact

AbstractThe rapid advancement of digital technologies in China, America, India, Saudi Arabia, Japan, Indonesia, Germany, Iran, South Korea, and Russia presents both significant opportunities and challenges for achieving sustainable development, particularly in balancing economic growth with environmental conservation. This study rigorously assesses the impact of digital government initiatives on sustainable innovations and emission reduction policies from 2002 to 2022, focusing on their ability to balance ecological and economic influences. By employing a sophisticated model that integrates second‐generation tests to confirm cross‐sectional dependence and gradient variation, this research ensures the precision of its findings. The analysis reveals that digitalization, clean energy adoption, and the utilization of these countries' abundant natural resources over this two‐decade period have contributed substantially to reducing their ecological footprints. However, the study also identifies structural discontinuities in the linear trends and intercepts due to the integration of these technologies. By incorporating variables such as e‐commerce, income from natural resources, economic growth, conservation‐friendly technologies, sustainable energy sources, and carbon dioxide emissions, the model provides a comprehensive evaluation. The results highlight a consistent decline in ecological impact driven by technological and economic advancements. The policy implications are clear: to sustain and enhance these positive trends, governments must continue to promote digitalization and innovation while carefully managing the integration of new technologies to prevent potential disruptions.

DIVING DEEP INTO FIN- TECHS: AN EXAMINATION OF ONE 97 COMMUNICATIONS LTD. (PAYTM) FINANCIAL PERFORMANCE

India has seen rise in the number of the Fin -Techs as a part of Start Ups project coming up. Need to analysis the financial statements of such start ups becomes an important task as many stakeholders as being connected directly or indirectly with the company. In this study the financial statement analysis of ONE 97 COMMUNICATIONS Ltd. popularly well known as Paytm was done in the context of profitability and financial stability ratios using the data for the period of 2 years since its listing of the Stock Exchanges. Results showed that there are positive trends in the reduction of loss magnitudes and improvements in operational efficiency. It is crucial for the company to continue its efforts to enhance profitability, manage costs, and work towards achieving positive returns for both assets and equity. On side of financial stability the company has a healthy current and liquid ratio, indicating strong short-term liquidity but the position still needs to be continued for a long term to see a better and positive picture.

Real-World Study of US Adults with Paroxysmal Nocturnal Hemoglobinuria Treated with Pegcetacoplan

Background: Paroxysmal nocturnal hemoglobinuria (PNH) is a rare, acquired, life-threatening disease characterized by complement-mediated hemolysis. OPERA is the first US longitudinal real-world study on C3 inhibitor therapy, known as pegcetacoplan. Methods: OPERA enrolled US patients with PNH, age ≥18, who were prescribed pegcetacoplan, and data were collected from routine care. Hemoglobin was reported by patients during regular follow-up (censored from transfusions). The Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue (0–52 score) and Patient-Reported Outcomes Measurement Information System scale for Cognitive Function Abilities (PROMIS-CF; 23.27–67.09 t-score) were completed electronically (low score = negative outcome). Patients self-reported incidence of healthcare resource utilization (HCRU). Results: By January 2024, 70 patients (mean age 44.6 years; 57.1% female) reported up to 9 months of pegcetacoplan treatment, with a median [IQR] follow-up of 6.6 [3.8] months. The latest reported hemoglobin levels improved by a mean (SD) of 2.6 (1.9) g/dL from baseline. At 3, 6 and 9 months, patients reported clinically meaningful improvements (≥5 points) in FACIT-F (53.3–69.0%) and (≥2 points) PROMIS-CF (46.7–55.2%). Patients reported a &lt;10% incidence rate per person month of all HCRU events. Conclusions: This first longitudinal real-world US study indicates a positive trend in Hb, fatigue, and cognition with limited HCRU during pegcetacoplan treatment in adults with PNH.