Introduction: Pain is considered as the fifth vital sign that should be considered in assessing patients. For clinicians to evaluate and determine the right pain interventions, there should be parameters such as pain scale. Our objective in this study is to determine factors affecting pain scale preferences in suburban and rural populations. The pain scales used in this study are FPS-R (Faces Pain Scale-Revised), VRS (Verbal Rating Scale), VAS (Visual Analogue Scale), and NRS (Numering Rating Scale). Method: This study uses observational design with an interview approach and a cross-sectional study. Areas covered are within Indonesia, which are marginal areas of Tangerang district border, and two rural areas in Serukam, West Kalimantan, and Soe, East Nusa Tenggara. Data collected will be analyzed using SPSS 25 software. Result: Populations within the suburban areas prefer NRS (52.08%) as their pain scale, and populations in rural areas prefer FPS-R 76.92%). Factors affecting pain scale preferences are location areas, as well as last education, with statistical significance of p<0.05. Discussion: Our study showed that the choice of several pain scales is not appropriate for specific demographics due to the complexity of these scales. Factors that should be considered are the location areas and education level, as some population in remote areas have better understanding of simpler pain scales. Conclusion: Complexity or simpler components may be an underlying reason for the preference of score selection to assess pain scales in some population. Therefore, the selection of pain scales should be adjusted to specific demographics so that clinicians can provide appropriate management with appropriate pain scales.

Extracurricular activities and academic performance are connected in every aspect of the education system. Daffodil International University is one of the top universities in Bangladesh that focuses on student improvement through extracurricular activities. Extracurricular activities help students improve skills like leadership, teamwork, and analytical abilities. Do extracurricular activities help English as a Foreign Language (EFL) students improve their academic performance? This evaluation aims to find out this question among Daffodil International University students. The study focused on both qualitative and quantitative data. Therefore, the data analysis followed a mixed method. The quantitative data focused on the students' participation in extracurricular activities. Respectively, the comparison between their participation and EFL course improvement. On the other hand, the qualitative data focused on the interviewee's experience. However, it's been proven that though extracurricular activities help students improve their other soft skills, they actually don't have as much impact on improving their EFL course curriculum performance.

The Internationalization of higher education has plummeted since the 2010 tightening of migration policies. This study aims to examine the retention and graduation rates of international students at Northern Arizona University (NAU). Using a quantitative analysis approach, the study utilized secondary data from the Center for International Admission and Recruitment Office at NAU to examine the university’s recruitment, graduation, and retention strategies. The aim was to evaluate the impact of internationalization strategies on application and enrolment numbers. The study sample consisted over 2000 international students from fourteen countries, including China, India, Vietnam, Kuwait, Nepal, Ghana, Nigeria, United Kingdom, Spain, Germany, Canada, Mexico, France, and Iran in four cultural groups (Asia, Europe, Africa, and North America). A random sampling technique was used to select these countries partly because of their highest applications, enrolment numbers, as well as their adoption of recruitment strategies like those used by higher education institutions in the United States. A descriptive graphic representation, focusing on full-time undergraduate students during fall semesters, specifically freshmen international students, is illustrated. To facilitate a cross-country comparison of international students, this study presents an analysis of retention and graduation data across different countries spanning the past five years, from 2016 to 2020.

The initial omicron SARS-CoV-2 subvariants, BA.1 and BA.2 (BA.1.2), were progressively displaced by BA.5in Japan in 2022. In the BA.5-dominant period, there were significantly more healthcare staff infected by nosocomial contact with persons with confirmed SARS-CoV-2 infection than those infected by household contact, compared with the BA.1.2-dominant period. The staff infected via nosocomial contact included non-patient-facing staff, in the BA.5-dominant period, although they did not become infected by SARS-CoV-2 through nosocomial contact in the BA.1.2-dominant period. These data suggest the importance of infection control and care for non-patient-facing staff, in the same way as for patient-facing staff.

This seminar in writing introduced novel cancer thermal therapy using functionalized heat-generating nanoparticles with about 100 nm diameter, administered via intratumor injection. The nanoparticles named magnetites cationic lipid composite particles (MCL particles) were composed of about 10 nm magnetites (Fe₃O₄), a cationic lipid and two neutral lipids. Magnetites in MCL particles generated heat due to external alternating magnetic field (AMF) irradiation to kill cancer cells nearby located. A cationic lipid component conferred several functions to MCL particles necessary for its efficacy and safety. Origination of the therapy with MCL particles was summarized by referring to our earlier reports in 1996-2014. Further characterizations of MCP particles and utility of heat dose index for treatment control were summarized by referring to our recent reports in 2019-2022. Unpublished data were supplemented to support overall understanding of the therapy. Purpose of this seminar is to clarify novel principle of the therapy in comparison with conventional thermal therapies and to discuss its clinical application.

Life cycle assessment, LCA is one of the tools that is used to measure the environmental impacts of a process or an operation. Various studies have mentioned the benefits of mass timber in building construction. This study presents an evaluation of the LCA of certain mass timber in relation to concrete-based materials. Using Athena impact estimator for buildings, the study compared the results of an LCA study for a house that is designed with concrete beams, concrete columns, and concrete walls with brick in the envelope category (Material group 1) with those that are made with glulam beams, glulam columns, CLT walls with spruce wood bevel siding (Material group 2), and another building with LVL columns, LVL beams, CLT walls with spruce wood bevel siding (Material group 3). The results are in line with those that were reported by the majority of previous researchers. For the location that is being reviewed (Calgary, Alberta), the designs showed that construction with wood materials having mass timber components will have a better environmental performance than that for a building design with more concrete-based materials. The building design with more concrete-based material (group 1) showed 242% and 60% higher global warming and acidification potential respectively than the building with glulam beams and columns (material group 2). Except for ozone depletion potential, material group 2 (with glulam beams and columns) has a lower impact than material group 3 (with LVL/PSL beams and columns). The differences in impacts are more pronounced when the comparison is with design with more concrete-based products. This report further shows that LCA can be helpful during the preliminary design to evaluate the expected environmental impacts of the choice of different materials. This study recommends that material manufacturers and building contractors pay attention to LCA results to evaluate areas for continuous improvement.

Using a desktop review of literature, the effect of illegal capital flows on the economic performance of Sub-Saharan Africa is examined. The review focus on articles with attention to illegal capital flows and their effects on the economic performance of Sub-Saharan Africa as a whole. By way of sampling method, purposive sampling was used, and so the desktop review focused purposively on articles published on issues of illicit financial flows and their effects on the economic performance of Ghana and Sub-Saharan Africa as a whole. The review found a high propensity of trade mis-invoicing and thus high illicit financial flows, transactions across boarders from developing countries and for that matter Sub-Saharan Africa to the developed economies. Therefore, the research recommends that customs divisions in sub-Saharan Africa should have up-to-date commodity-level world pricing information to make relatively better comparisons to detect mis-pricing and avoid such falsification and manipulation in trade. Given the high propensity of trade mis-invoicing resulting in high illicit financial flows, we recommend that cross-border transactions from developing sub-Saharan African countries be subjected to heightened scrutiny to curtail any potential traces of falsification in trade for tax evasion.

In this paper, a new method of detection of election fraud is proposed. This method is based on the calculation of the ratio of two standard normal random variables; estimation of parameters of obtained sample and comparison of these estimates with known theoretical values of parameters. Also in the paper, there is an example of the application of the described method.

Hand hygiene is crucial in preventing healthcare-associated infections. In this study, we aimed to quantify the accuracy of subjective evaluation of hand washing through visual inspection and objective evaluation through images. The participants were 24 consenting nursing students, and the study used black light and fluorescent paint to generate sketches and captured images of the unwashed areas, which were processed. Handwashing training was conducted once a week for four consecutive weeks. We collected data in the first and fourth training sessions. We found that the percentage of the unwashed palmar areas was significantly higher in the images than in the sketches (p<0.05). The percentage of the uncleaned area as recognized visually significantly increased for sketches (p=0.01) and decreased for images (p=0.009) in the fourth session. The difference between the percentages of the image and sketch area notably decreased in the fourth session (p=0.002). When we checked the recognition percentage of the unwashed area by dividing the right-hand palmar side into six areas, the fingertips had the highest percentage, and the ball of the thumb had the lowest percentage. The recognition of the unwashed areas was low when comparing the subjective visual assessment with the objective imagery assessment. In addition, the percentage of the unwashed areas decreased with repeated training, indicating a decrease in the difference between the subjective and objective ratings.