Periodic Review Research Articles

Kajian Yuridis Peraturan Perundang-Undangan yang Baik dan Berkeadilan Bagi Masyarakat

This study aims to analyze the characteristics of laws and regulations that are good and just for society, to discuss in depth legal remedies against laws that do not fulfill justice for society. This type of research is normative in nature with a descriptive-analytical approach, exploring existing legal symptoms and problems and testing them based on statutory regulations and legal norms. The results of this study indicate that the characteristics of laws that are good and just for the community are regulations that are harmonious, do not overlap with other laws and regulations and their substance accommodates the interests of the community. A good law must have the character of predictability, stability and fairness. Legal remedies against laws whose contents do not satisfy a sense of justice for the people can be carried out through a judicial review to the Constitutional Court, in addition there is also a legislative review, namely periodic reviews by the DPR as legislators as an effort to realize good management of law production.

Suspected adverse reactions to medications and food supplements containing Serenoa repens: A worldwide analysis of pharmacovigilance and phytovigilance spontaneous reports.

The safety of Serenoa repens (SR)-containing products was evaluated conducting a retrospective worldwide analysis of pharmaco- and phytovigilance report forms of suspected adverse reactions (SARs) collected up to 31 January 2022. Multivariate logistic regression was performed to estimate the odds ratios (ORs) of serious SAR. A total of 1810 report forms were analysed; 92% of subjects were males, with a median age of 69 years; 44% of cases were defined as serious. Subjects exposed to dietary supplements had a higher risk of developing serious SARs (OR: 1.60 [95% CI: 1.20-2.15]), as subjects exposed to 2-5 (OR: 1. 83 [95% CI: 1.30-2.58]) or more than 5 (OR: 3.45 [95% CI: 2.36-5.06]) suspect/interacting products. The probability of experiencing serious SAR was higher for subjects exposed to concomitant products (OR: 1.55 [95% CI: 1.15-2.08]), to more than four active compounds (OR: 4.38 [95% CI: 3.21-5.99]) and to SR for more than 14 days (OR: 1.89 [95% CI: 1.10-3, 22]), and lower for subjects exposed to higher doses of SR (OR: of 0.34 [95% CI: 0.20-0.58]). This evidence improves awareness on safety of SR containing products, suggesting the need of a further update of periodic reviews by national and international regulatory agencies.

PEMANFAATAN TEKNOLOGI INFORMASI UNTUK MENINGKATKAN PENJUALAN DAN PEMASARAN PRODUK OLAHAN SAYUR KELOMPOK TANI DESA SAMIRAN, KECAMATAN SELO, KABUPATEN BOYOLALI

Abstract
 The innovation produced by the community of Samiran Village, Selo, Boyolali Regency by processing vegetables into vegetable chips provides high economic opportunities for the community. Vegetable chips produced by farmer groups are currently only sold in the Boyolali area. So that vegetable chips can be known more widely and generate higher income, the author is motivated to carry out community service activities. This activity was carried out with the aim of motivating farmer groups to be able to sell and market using social media. In addition, this activity provides knowledge to farmer groups on how to use social media so that they can increase sales and do marketing properly. The implementation method used in this activity is a workshop on the importance of using social media and how to use social media to support marketing and product sales. The activity was carried out smoothly. All participants participated in the workshop activities by actively asking questions and following all directions and procedures for making social media well. Suggestions for further community service activities are to conduct periodic reviews in order to monitor the promotion and sales process of vegetable chips and provide additional material related to how to create content that can attract consumers to buy vegetable chips.
 Keywords: Information Technology, Sales, Marketing, Processed Vegetable, Samiran Village

Obstetric Outcome of Induction of Labour in a Tertiary Hospital in Nigeria: A Five-Year Retrospective Cross-Sectional Study.

Induction of labour has remained one of the most valuable interventions in obstetric practice. Over the years, the proportion of women undergoing induction of labour (IOL) has been on a steady increase. The significance to obstetrics practice as well as its maternal and perinatal outcomes are sacrosanct, hence the need for its periodic review. To determine the obstetric outcomes of induction of labour. A five-year retrospective study of all cases of induction of labour at the maternity unit of Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi, Nigeria between January 1st 2017 and 31st December 2021. The labour ward's records were assessed to determine the total number of women who had induction of labour during the study period. Women whose case files could be not retrieved were excluded. The folder numbers of the patients were extracted and their case files retrieved from the medical records department of the hospital. The primary outcomes measures were the indications and the methods of induction of labour, while the secondary outcome measures were the mode of delivery, cause of failed induction, and the perinatal outcome. Data were obtained using proformas and analysed using statistical packages for social sciences (SPSS) version 26.0 IBM corporation. A total of 3,638 deliveries were taken during the period under review and 168 patients had induction of labour giving an overall prevalence of 4.6% (46/1000 deliveries). Induction of labour was successful in 71.2% of cases. Misoprostol was used in 90.4% of cases as an induction agent. The commonest indication for induction of labour was postdate pregnancy (53.8%). Failed induction was due to fetal distress, poor progress of labour from cephalopelvic disproportion/malposition and failed cervical ripening. In about 72% of deliveries, there was good perinatal outcome, 10.3% of babies had moderate to severe asphyxia while 1.3% had neonatal death. Induction of labour is a safe and beneficial procedure in obstetrics. However, it can be associated with adverse obstetric outcomes.

Reading the Women’s Sentimental Novel: A Romance

In “Reading the Women’s Sentimental Novel: A Romance,” Tabitha Sparks considers a large and diffuse body of mass-market fiction written by and for Victorian women. She argues that the author-focused interpretive approach that underwrites the study of the canon neglects the attraction of formula fiction, and even the robust recovery efforts of Victorian scholars have largely avoided a taxonomic reading of these novels. In an effort to uncover their objectives and appeal, Sparks reads periodical reviews and discussions of the professional woman writer to better understand the commercial – not artistic – standards assigned to the prosaic “lady’s novel.” She examines a subset of novels by Annie S. Swan, Sarah Doudney, Emily Jolly, and Adeline Sergeant to uncover a repeated subplot in which these novels’ heroines become best-selling authors. The complete elision of the content of their best-sellers reveals and confirms the sentimental novel’s self-conscious withdrawal from the literary caste wars of the day.

A gradient-based method to calculate (s,S) policies

This paper proposes a gradient-based method to calculate (s,S) policies for periodic review inventory systems. The method first applies the MacLaurin expansion technique to calculate performance measures and their derivatives and then uses them in gradient-based algorithms to determine the values of s and S. The method is easy to implement and numerical experiments show it to be very efficient.

Mobile Learning in Higher Education: Insights from a Bibliometric Analysis of the Body of Knowledge

Mobile learning is a research domain that has gained wide prominence in contemporary Information and Communication Technology (ICT) literature. As a result, there is a need for periodic and extensive review studies to keep abreast with the latest scholarly trends. Nevertheless, review studies on mobile learning, particularly in the post-COVID-19 era, are still limited. This article presents a bibliometric overview of mobile learning in higher education literature published between 1 January 2002 and 15 November 2022. The methodology used in this research is enshrined in the core principles of scientometrics forming the basis of the bibliometric approach utilised in the study. The articles for analysis were extracted from the Web of Science (WoS) database and analysed according to defined bibliometric indicators. The VOSviewer software tool (version 1.6.18) was employed in mapping the bibliometric articles. The findings of this research reveal that mobile learning scholarship has grown consistently in the period of analysis covered in this study. It was observed in the bibliometric analysis that the most productive countries in mobile learning in higher education are the USA and China. The most influential author is M.A. Almaiah. In the recent past, universities in the Middle East have demonstrated an excellent growth projectile in mobile learning research. Education and Information Technologies produced most content on mobile learning research demonstrating its stature as a leading publication platform advancing scholarly debate on mobile learning relating to context, augmented reality, COVID-19, continuance intention and knowledge. From the foregoing, possible future research avenues are discussed.

Analysis of Product Inventory Control using Continuous Review System Q Method and Periodic Review System P Method to Minimize Inventory Costs

Store X is a store that sells muslim fashion products. There is a phenomenon that often occurs in one of Store X's branches, such as the shortage of jetblack hijab products in stock. This phenomenon results in the company's loss of opportunity to gain profit and has an impact on high inventory costs. Based on this, it is known that one of Store X’s branches does not yet have a good inventory system, so it is necessary to apply optimal inventory methods and minimize inventory costs. This study uses a quantitative approach to data collection methods of interviews, literature studies, and company historical data. The data analysis method used is the SMA, WMA, and SES methods with each of the two conditions. As well as using the Continuous Review System method (Q method) and the Periodic Review System method (P method) for the calculation of inventory policy and total inventory costs. Based on the results of the study, it was found that the Q method determines the optimal ordering lot quantity and the point of having to reorder goods. This resulted in the stock in the warehouse always being replenished on time so that there were no excess or shortage of inventory and customer requests could be fulfilled so that inventory costs could be minimized. Based on this statement, it is stated that the Q method is suitable for the company because it provides an optimal inventory policy and minimizes inventory costs by 5.90% or IDR 44,771,467 of company costs.

Bacteriological Profile and Detection of β-Lactamase Producing Bacteria Isolated from Blood Samples of Neonates

The clinical impact of β-lactamase has become a public health problem around the world in terms of increased morbidity and mortality, especially in the child population. This study was aimed at determining the bacteriological profile and detection of β-lactamase producing bacteria isolated from the blood samples of neonates. For this study, a total of 1335 blood samples of neonates admitted in NICU, SCBU, and sepsis-suspected neonates visiting Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal were collected and processed. Blood culture was performed and the identification of bacteria was done by following standard microbiological methods. Antibiotic susceptibility testing was done by using the Kirby Bauer Disk Diffusion method and confirmation of ESBL, MBL, and KPC-producing bacteria was done by Combined Disk Test. The prevalence rate of neonatal sepsis was found to be 17%. K. pneumoniae 116 (50.2%) was the predominant Gram-negative bacteria followed by K. oxytoca 31 (13.4%) whereas S. aureus 39 (16.9%) was the predominant Gram-positive bacteria causing neonatal sepsis. Among 182 Gram-negative bacterial isolates, 69 (37.9%), 22 (12.1%), and 14(31.1%) were found to be ESBL, MBL, and KPC producers respectively. K. oxytoca (54.8%), Enterobacter spp. (25%) and Citrobacter spp. (14.3%) were the predominant ESBL, MBL, and KPC producers respectively. The co-production of ESBL, MBL, and KPC was also found among the 5 Gram-negative bacteria. Colistin, Meropenem, and Imipenem seem to be the choice of the drug against Gram-negative bacteria, whereas Vancomycin and Cefoxitin seem to be the choice of the drug against Gram-positive bacteria. Therefore, to lessen the burden of antibiotic resistance, it is essential to conduct regular antimicrobial susceptibility surveillance, periodic reviews of hospital settings, and early detection of beta-lactamase-producing bacteria. Int. J. Appl. Sci. Biotechnol. Vol 11(2): 66-77.

P-206 An evaluation of the incidence of total failed fertilization (TFF) following conventional IVF (cIVF) and the outcome of subsequent intracytoplasmic sperm injection (ICSI) cycles

Abstract Study question What is the incidence of TFF following conventional IVF (cIVF) and the chance of live birth in subsequent ICSI treatment cycles after TFF? Summary answer The incidence of TFF might be higher than previously reported and establishment of in-house benchmarks are recommended. Treatment continuation results in acceptable live birth rates. What is known already TFF following a cIVF is a devastating outcome for patients and physicians. The fear of this unfortunate event is assumable one of the main drivers for overutilizing ICSI. The incidence of TFF after cIVF should be less than 5 % of stimulated cycles based on ESHREs recommended performance indicators. Data on TFF of an unselected population is indeed however only available from an era when ICSI was not in use and showed a higher rate. We investigated the incidence of TFF and evaluated the chance of live birth following of such event at the first cycle. Study design, size, duration A single center, retrospective chart review for the time period of 2010-2021 was done to identify all cycles where cIVF did not result in at least one oocyte with ≥ 2 pronuclei. Also, patients who had more than 2 oocytes retrieved in their first cycle and continued their treatment using ICSI as a fertilization method in their upcoming cycles were selected. Participants/materials, setting, methods A total of 5772 initiated IVF cycles were identified in the electronic database for the examined time period. Criterion for cIVF was normozoospermia and applied as fertilization method in 1001 (17.3%) cycles. All the cases where TFF was noted following cIVF were retrieved and the number of oocytes, the rank of the cycle, female age and the result of upcoming cycles if any were recorded. Data was analyzed using Chi-Square test, p < 0.05 was considered significant. Main results and the role of chance A total of 125 TFF cycles were identified out of the 1001 cIVF cycles (12.49% failed fertilization rate per cIVF). A significantly higher frequency of TFF was seen in cycles where less than 3 oocytes were retrieved compared to those with more than two oocytes (38/99 [38.38%] vs. 87/902 [9.65%], p < 0.001). No statistical difference was detected between the risk of TFF occurring at the first, second or the third rank cIVF cycle (87/664 [13.10%], 30/224 [13.39%], 5/75 [6.67%] respectively; p > 0.05). The differences remained non-significant when only cycles with more than 2 oocytes were analyzed (67/608 [11.02%], 16/199 [8.04%], 4/68 [5.88%] respectively; p > 0.05). Also, different age groups showed similar incidence of TFF (16/157 [10.19%], 41/362 [11.33%], 54/381 [14.17%] and 14/101 [13.86%] in < 30, 31-35, 36-40 and >40 years of age respectively; p > 0.05). A total number of 56 patients were identified who continued their treatment using ICSI as fertilization method in their upcoming cycles. These patients completed 101 cycles resulting in 3 TFF cases (3%) and a fertilization rate of 75.1% (524/698) which was significantly higher to our baseline ICSI fertilization rate (70.9% [25231/35568]; p < 0.05). Nineteen of these 56 patients (33.9%) ended up giving at least one live birth following treatment continuation. Limitations, reasons for caution Selection criteria, e.g. patient characteristics and treatment type such as PGT-A, for choice of fertilization method are probably a source of variation in TFF incidence between centers. It is recommended that laboratories establish their own benchmark values based on their own data for the incidence of TFF. Wider implications of the findings Previous studies identified serum luteinizing hormone and progesterone levels at trigger and the number of oocytes as critical predictors for TFF. The similar chance of TFF after previous successful fertilization suggests more involvement of female factors in TFF. Acceptable live birth rates can be achieved following treatment continuation. Trial registration number not applicable

Closed-form (R,S) inventory policies for perishable inventory systems with supply chain disruptions

Hospital pharmacy managers make inventory decisions for thousands of different perishable drugs. Commonly, these managers do not have the resources to implement advanced mathematical models. Closed-form solutions are attractive because they provide the inventory policy quickly and are easy to implement. However, when deriving these solutions, one must consider that pharmaceutical supply chains experience disruptions. We first derive closed-form solutions for a non-perishable lost-sales (R,S) periodic review inventory system with supply chain disruptions. We then extend the solutions to incorporate perishability and apply the solutions to a hospital pharmacy inventory system. We find that (i) it is important to account for perishability and supply chain disruptions simultaneously as only accounting for supply chain disruptions increases both drug shortages [possible 65% increase] and waste [possible waste equivalent to 50% of the daily demand], (ii) it is critical to consider the duration of and time between supply chain disruptions, (iii) the expected number of shortages is insensitive to changes in the standard deviation when demand is normally distributed, but for short expiration lifetimes, the expected number wasted increases linearly as the standard deviation of demand increases, and (iv) not accurately depicting the supply chain disruption process can triple the number of shortages.

A critical evaluation of the work of the UN Human Rights Council, or taking stock of fifteen years without illusions

AbstractIn the context of this article, the author takes stock of the legacy of the UN Commission on Human Rights (CHR) and the changes that its replacement by the Human Rights Council (HRC) in 2006 have led to. A political body such as the CHR/HRC cannot do more than the member states allow it to do, and cannot be blamed for being driven by political motivations. Against this background it is not surprising that the new institutional framework did not solve the political problems associated with the CHR, since the new body was almost identical in size to its predecessor, involved the same actors, and operated under similar political conditions. The establishment of the Universal Periodic Review (UPR) mechanism, however, introduced a new approach to the UN system by ensuring a cooperative review of the human rights situation of all UN member states, thus awarding an increasingly important role to the technical assistance pillar in implementing its recommendations. Notwithstanding the above, the UPR process has not rendered the adoption of country-specific resolutions unnecessary, but their use should be more strategic, ensuring better coordination within the UN system as a whole, and increasing the importance of the regional dimension in the work of the world organisation. It is not politically realistic to expect all HRC member states to have excellent, flawless human rights records, but the nomination of governments committed to and supportive of human rights should be encouraged. It is important to underline that over the past years, WEOG, EEG, and GRULAC countries, together with some pro-human-rights countries from Asia and Africa, have built successful coalitions within the HRC concerning a number of sensitive issues. The process of democratisation around the world, despite the decline in recent years, will further reinforce these positive trends, improving the composition of the HRC as more and more democratic countries hopefully seek to join the body.

The effectiveness of positive behaviour support in reducing challenging behaviour and increasing quality of life for individuals with intellectual disability

PurposeIntensive support teams (ISTs) are often poorly understood, despite reports of their effectiveness in managing behaviour that challenges for individuals with an intellectual disability. This paper aims to contribute to the understanding of ISTs through evaluating one IST’s process and their use of positive behaviour support (PBS) as an intervention.Design/methodology/approachParticipants were obtained from the ISTs discharge database, and pre- and post-intervention data from these participants was used for analysis.FindingsThree-paired sample t-tests found that there were significant differences between pre- and post-scores on the behaviour problem inventory, Health of the Nation Outcomes Scale for people with Learning Disabilities and periodic service reviews, which measure quality of targeted, individualised support. This indicates that challenging behaviour frequency and severity were lower post-intervention, quality of life improved post-intervention and staff teams implemented recommended strategies more consistently by the end of the intervention.Originality/valueThis service evaluation captured data over seven-year period, which helps to contribute to the understanding of the effectiveness of ISTs and the PBS framework.

The Global Dissemination of China’s Poverty Alleviation Experience: Enhancing Human Rights through Poverty Reduction

China primarily utilizes the member state reporting system and the Universal Periodic Review (UPR) to showcase its success in poverty alleviation. However, there is still room for improvement, such as incomplete statistical data and information, a lack of transparency and explanation regarding domestic policies, and the use of Chinese-style language in reports that can be challenging for foreign audiences to comprehend. Therefore, China should fully acknowledge and earnestly work towards improvement. Solutions include consolidating achievements in poverty alleviation, refining and enriching experiences in poverty reduction, enhancing understanding of the significance of both international human rights monitoring mechanisms, establishing a unified and efficient poverty reduction information and statistics system, and promoting a consensus to further advance the great rejuvenation of the Chinese nation and the creation of a community with a shared future for all mankind.

ED input important component of performance reviews, experts say

Experts agree that periodic performance reviews can help nonprofit executive directors (EDs) reflect on the job they are doing and develop goals for the future. But too often, EDs don't have much input on the process—they leave it largely in the hands of the board, even if the board is too busy with other matters to devote sufficient resources to it. The end result in these situations is a lackluster review that offers little guidance for the ED or the board on how to enhance organizational performance.

Impact of imaging nurse navigation on breast interventions: Direct and closed-loop patient communication and documentation

ObjectiveA breast imaging nurse navigator (NN) was established with the goals to enhance the patient experience after biopsy, improve care timeliness, accuracy, and coordination, facilitate direct communication to patients, and increase care retention within our system. Our aim was to determine the impact of NN on patient care time metrics, communication, documentation, compliance, and care retention at our institution after breast biopsy. MethodsRetrospective review of a six-month period before (5/1/17–10/31/17) and after (5/1/19–10/31/19) establishment of a nurse navigator in our breast imaging department was performed, including 498 patients in the pre-navigation (pre-NN) group and 526 patients in the post-navigation (post-NN) group. Data was gathered from the electronic medical record and collected using REDCap. ResultsBiopsy pathology results were communicated directly to the patient more often post-NN (71%, 374/526) compared to pre-NN (4%, 21/498) (p < 0.0001), without change in overall time of result communication (p = 0.08). Due to factors outside of imaging, most care time metrics were longer post-NN, including days from biopsy to pathology report (p < 0.001), result communication to initiation of care (p < 0.001), and biopsy to surgery (p < 0.001). There was no difference and high compliance (p = 1) and care retention (p = 0.015) in both groups. There was improved documentation of pathology results, recommendations, and communication post-NN (0/526 vs 10/498, p = 0.001). ConclusionImaging nurse navigation added greatest value by communicating breast biopsy results and recommendations directly to patients and ensuring documentation. Compliance and retention were high in both groups. Factors outside of Radiology influenced time metrics, requiring further investigation of multidisciplinary collaboration.

THE IMPACT OF STRATEGIC PLANNING IN HIGHER EDUCATION INSTITUTIONS ON THE NEEDS OF THE BUSINESS MARKET IN THE SULTANATE OF OMAN

The study aimed to reveal the impact of strategic planning on the needs of the labor market in the Sultanate of Oman. The study population consists of the occupants of senior and middle management positions in the Ministry of Higher Education and Scientific Innovation and educational institutions affiliated to the Ministry in the Sultanate of Oman. As well, as graduates of the Colleges of Applied Sciences of the Ministry of Higher Education and Scientific Innovation in the Sultanate of Oman. The study relied on the descriptive approach. The study used the questionnaire as tools for data collection, after ensuring its validity and reliability. The study also used the Model Structural Equation (SEM) to analyze the results. The study found several results, the most important of which is that there is a direct impact of both the importance of strategic planning and the practice of strategic planning in higher education institutions in the Sultanate of Oman on the needs of the labor market from the point of view of higher education officials. The study also included many recommendations, the most important of which is the need for coordination between the Ministry of Higher Education, the Ministry of Labor and the private sector with regard to revealing the needs of the labor market through periodic review and conducting analytical studies of reality to keep pace with modernization in the field of the labor market and its alignment with the outputs of higher education as well as the importance of activating the practical side in universities To provide students with the practical skills necessary for them to enter the labor market.

Effect of antifungal stewardship on micafungin prescribing practices in intensive care units at a tertiary-care hospital

Background: Fungal diseases are associated with substantial global mortality and economic burden, especially in critically ill or immunocompromised patients. Antifungal resistance has emerged as a barrier to treating invasive fungal infections, but antifungal stewardship is still a developing effort due to limited data. Here, we describe the antifungal prescribing practices and the impact of antifungal stewardship on micafungin days of therapy (DOTs) in critical care units. Methods: This retrospective study included patients who were admitted to the intensive care unit (ICU) at a tertiary-care hospital in Washington, DC. The preintervention group included baseline micafungin use data between January 1, 2021, and May 31, 2021. The postintervention group included prospective audits, feedback on micafungin orders by a clinical pharmacist, and education on the appropriateness of the antifungal agents. The postintervention group included patients admitted between June 1, 2021, and December 31, 2021. Approval was obtained from the institutional review board. Results: The overall average of micafungin days of therapy (DOT) per 1,000 patient days present in the preintervention group versus the postintervention group was 33 versus 24 days, respectively. Moreover, 121 patients were randomly selected for a more detailed retrospective review to define micafungin prescribing practices further. Of these, 73 patients (60.3%) were male; the median age was 63 years. The most common cause for prescribing micafungin in both groups was empiric antifungal coverage (62.8%), followed by fungemia (12.4%). The most common organism isolated was Candida albicans. For other sources of infection and organisms isolated, refer to Table 1. In-hospital mortality occurred in 63 (52.06%) patients in both groups. Conclusions: Antifungal stewardship through prospective audit and feedback and education by clinical pharmacists decreased micafungin DOTs in critical care units. Empiric prescribing of micafungin is highly prevalent in the ICU despite the low incidence of invasive fungal infections. Although periodic drug utilization reviews and pharmaceutical surveillance can help reduce the prolonged duration of micafungin therapy in the ICU, more robust and routine antifungal stewardship is key to the appropriate use of micafungin to avoid the emergence of antifungal resistance.Disclosures: None

Energy production from municipal solid waste in low to middle income countries: a case study of how to build a circular economy in Abuja, Nigeria

The volume of municipal solid waste produced in many cities in low to middle income countries exceeds the capacity of handling facilities causing environmental and health risks. This study provides the most comprehensive analysis to date of municipal solid waste to energy options for Abuja, Nigeria. We use most recently available data on waste generation from Abuja municipal authorities, integrated with secondary data from the literature. This is combined with standard relationships between waste composition and energy production to compare the potential for thermochemical conversion and anaerobic digestion to meet the energy requirement of Abuja. In addition, we use assumptions about digestate production and nitrogen release to estimate the potential production of organic fertilizer from digestate. The organic fraction of municipal solid waste from Abuja [7.1 × 107(±4 × 106) kg y−1] has potential to produce 3.6 × 106(±2 × 105) m3y−1biogas. This could provide 7.8 × 103(±4 × 102) MWh y−1electricity, equivalent to 8% of annual electricity requirement in Abuja, 4.0 × 107(±2 × 106) MJ y−1heat, and 5.3 × 105(±3 × 104) kg y−1digestate use as bio-fertilizer from organic fraction only. Potential power generation by thermochemical conversion for combined heat and electricity is much greater, 7.73 × 104(±4 × 103) MWh y−1, equivalent to 83% of power requirement in Abuja, but does not produce bio-fertilizer. Using the organic fraction for anaerobic digestion and the remaining waste for thermochemical conversion provides combined heat and energy that is 91.5% of Abuja power requirements, while also producing digestate. Barriers to implementation include informal waste recyclers with poor collection and handling procedures, absence of public education, weak environmental policies and lack of funding. There is a need for periodic review of policies and waste legislation to create a circular economy in Abuja.

Factors influencing heart failure in adult patients

The work presented allows the analysis and determination of the main factors that affect heart failure. Considering that this disease is a syndrome that is increasing and increasingly affects younger people, while, in older patients, it can cause mortality. For the study, a deductive–analytical method was used, establishing as binding factors functional class III according to the NYHA scale, which is Diabetes Mellitus as comorbidity, dyslipidemia, deterioration of glomerular filtration rate, and arrhythmias. In addition, fewer patients with readmissions and decreased ejection fraction were found. Finally, it is possible to affirm that cardiac syndrome increasingly affects people’s health without age discrimination, which makes it necessary to promote a healthy lifestyle and periodic reviews in work environments.