Maritime Administration of Latvia

Background: Modern technology has been embraced across sectors such as education, business, agriculture, and health to improve service delivery. In Kenya, the maternal mortality ratio (MMR) remains high at 355 per 100,000 live births, compared to the global average of 223 per 100,000. Gaps and delays in accessing quality maternal health care are major contributors to this. Mobile health (mHealth), which uses mobile applications and social media to deliver health services, has emerged as a strategy to bridge these gaps and improve maternal outcomes. Intervention: The Malaica Pregnancy Program is one of Kenya’s mHealth initiatives aimed at providing comprehensive, personalized care for pregnant and postnatal mothers. It supports Kenya’s goal of reducing maternal and neonatal mortality and contributes to Sustainable Development Goal 3 (SDG 3): ensuring good health and well-being for all. The program operates through WhatsApp, where each mother is assigned a nurse-midwife who provides evidence-based care according to World Health Organization (WHO) guidelines. Mothers are added to WhatsApp support groups moderated by trained "Supamoms," connecting them with peers who share similar due dates. Participants receive daily updates about pregnancy progress, appointment reminders, and health tips. Malaica also hosts Flash Chats—short expert-led Q&A sessions on pregnancy and parenting topics. Outcome: Malaica has improved maternal and child health outcomes by increasing awareness and promoting early detection of complications. Mothers receive continuous support, enabling timely interventions when necessary. The program empowers mothers to create birth plans and prepare for emergencies in collaboration with their assigned nurse-midwives. Overall, it has made the pregnancy and postpartum experience more convenient, informed, and safe, showcasing the significant potential of mHealth in transforming maternal care in Kenya

Reporting a near-miss event has been associated with better patient safety culture. To examine the relationship between patient safety culture and nurses' intention to report a near-miss event during COVID-19, and factors predicting that intention. This mixed-methods study was conducted in a tertiary medical center during the fourth COVID-19 waves in 2020-2021 among 199 nurses working in COVID-19-dedicated departments. Mean perception of patient safety culture was low overall. Although 77.4% of nurses intended to report a near-miss event, only 20.1% actually did. Five factors predicted nurses' intention to report a near-miss event; the model explains 20% of the variance. Poor departmental organization can adversely affect the intention to report a near-miss event. Organizational learning, teamwork between hospital departments, transfers between departments, and departmental disorganization can affect intention to report a near-miss event and adversely affect patient safety culture during a health crisis.

Herein we have investigated the ability of the (6,6) MoS2-nanotube (NT) to sense environmentally hazardous electrophilic and nucleophilic gases using density functional theory (DFT). CO, CO2, H2O and NH3 gases were chosen for adsorption on the (6,6) MoS2-NT and different adsorption parameters such as adsorption energy, projected density of states (PDOS), band structure and structural changes after adsorption were evaluated. Nucleophilic gases NH3 and H2O showed a fairly high amount of electron density transfer from gas molecules to the NT while the opposite trend was realized for electrophilic gases CO and CO2. Among the four gases, H2O has the highest amount of adsorption energy (−1.74 eV) and a moderately high amount of charge transfer from H2O to the NT. Gas sensing behaviour was further rationalized from the enhanced I–V characteristics of gas adsorbed nanotubes compared to pristine ones. Analysis of results revealed that the (6,6) MoS2-NT showed a decent level of gas sensing properties towards CO, CO2, H2O and NH3 gases, and high selectivity for H2O makes the MoS2-NT superior to previously reported MoS2-monolayer in this matter. These results suggest the possibility of fabrication of highly efficient MoS2-NT based gas sensors for environmentally hazardous gases.

Tujuan penelitian ini untuk mengetahui pengaruh kemampuan UMKM dalam menyususn laporan keuangan, motivasi, kemandirian usaha, dan latar belakang pendidikan terhadap kinerja UMKM yang terdaftar di Wonosobo Mall. Metode penelitian ini menggunakan pendekatan kuantitatif dengan sampel berjumlah 165 pelaku usaha dengan metode simple random sampling dan menggunakan teknik analisis regresi linier berganda. Temuan dari observasi lapangan dan wawancara data kepada 165 UMKM bahwa kinerja UMKM yang dijalankan selama ini sudah cukup maksimal. Penelitian ini secara spesifik telah menjelaskan bagaimana pengaruh kemampuan menyusun laporan keuangan, motivasi, kemandirian usaha, dan latar belakang pendidikan terhadap kinerja UMKM, sehingga bisa disajikan informasi kepada pembaca terkait dengan kinerja UMKM yang terdaftar di Wonosobo Mall. Keterbatasan penelitian ini adalah sampel yang sempit yaitu hanya pada UMKM terdaftar di Wonosobo Mall.

RESÍDUOS DA INDÚSTRIA CERVEJEIRA NA PRODUÇÃO DE NOVOS SUBSTRATOS PARA O CULTIVO DO COGUMELO Ganoderma lucidum
 
 ANA CLAUDIA CHIMINI1, DALVAN PEREIRA ABILIO2, OTAVIO AUGUSTO PESSOTTO ALVES SIQUEIRA3, OLÍVIA GOMES MARTINS4, MEIRE CRISTINA NOGUEIRA DE ANDRADE5
 
 1Graduanda em Engenharia Agronômica, Universidade do Sagrado Coração. Endereço: Rua Irmã Arminda 10-50, Jardim Brasil, CEP:17011-160, Bauru, São Paulo, Brasil. E-mail: claudia_chimini@hotmail.com
 2Graduando em Ciências Biológicas, Universidade do Sagrado Coração. Endereço: Rua Irmã Arminda 10-50, Jardim Brasil, CEP:17011-160, Bauru, São Paulo, Brasil. E-mail: dalvan-pereira@hotmail.com
 3Mestre em Agronomia ,Universidade Estadual Paulista “Júlio Mesquita Filho”, Faculdade de Ciências Agronômicas de Botucatu. Endereço: Rua José Barbosa de Barros 3780, Av. Universitária Altos do Paraíso, CEP: 18610-034, Botucatu, São Paulo, Brasil. E-mail: otaviosiqueirabauru@gmail.com 
 4Doutoranda em Agronomia – Energia na Agricultura, Universidade Estadual Paulista “Júlio Mesquita Filho”, Faculdade de Ciências Agronômicas de Botucatu. Endereço: Rua José Barbosa de Barros 3780, Av. Universitária Altos do Paraíso, CEP: 18610-034, Botucatu, São Paulo, Brasil. E-mail: oliviagmartins@gmail.com
 5Doutora em Agronomia, docente permanente do Programa de Pós-graduação em Agronomia – Energia na Agricultura, Universidade Estadual Paulista “Júlio Mesquita Filho”, Faculdade de Ciências Agronômicas de Botucatu. Endereço: Rua José Barbosa de Barros 3780, Av. Universitária Altos do Paraíso, CEP: 18610-034, Botucatu, São Paulo, Brasil. E-mail: mcnandrade@hotmail.com
 
 RESUMO: Este estudo objetivou avaliar o potencial de três resíduos da indústria cervejeira (bagaço de malte, fermento e proteína) na suplementação de substratos para o cultivo de duas linhagens de Ganoderma lucidum (FF e M). Para isto, foi realizado um delineamento experimental 2x4 (linhagens x substratos), totalizando oito tratamentos. Os substratos foram preparados, esterilizados e acondicionados em pacotes de PEAD que, posteriormente, foram inoculados e incubados. Os cogumelos foram colhidos e pesados até o fim do ciclo de cultivo. Foram colhidas amostras dos substratos antes e depois do cultivo para caracterização química. Quanto ao potencial dos resíduos, levaram-se como critérios de avaliação a caracterização química dos substratos e a produção (massa de basidiomas frescos). Os dados foram submetidos à análise estatística. Verificou-se que para a linhagem FF de G. lucidum, o substrato que proporcionou o melhor desempenho de massa foi o suplementado com bagaço de malte (BM), resultando em uma média de 48,3g. Portanto, concluiu-se que, dentre os resíduos de cervejaria avaliados, o bagaço de malte foi o mais recomendado para o cultivo de G. lucidum.
 
 Palavras-chave: aproveitamento, bagaço de malte, fungos.
 
 WASTES FROM BEER INDUSTRY IN THE PRODUCTION OF NEW SUBSTRATES FOR Ganoderma lucidum MUSHROOM CULTIVATION
 
 ABSTRACT: This study aimed to evaluate the potential of three residues from the brewing industry (malt bagasse, yeast and protein) in the supplementation of substrates for cultivation of two Ganoderma lucidum strains (FF and M). The experimental design was a 2 x 4 (strains x substrates), totalizing 8 treatments. The substrates were prepared, sterilized and packed in HDPE, which were later inoculated and incubated. The mushrooms were harvested and weighed until the end of the cultivation cycle. Samples of substrates were taken before and after cultivation for chemical characterization. As for the potential of the residues, the chemical characterization of the substrates and the production (fresh basidiomas mass) were taken as evaluation criteria. The data were submitted to statistical analysis. It was found that for the FF strain of G. lucidum, the substrate that provided the best mass performance was supplemented with malt bagasse (MB), resulting in an average of 48.3 g. Therefore, it was concluded that, among the brewery residues evaluated, the malt bagasse was the most recommended for the cultivation of G. lucidum.
 
 Keywords: Repurposing, malt bagasse, fungi.

POP-palladium(ii) was synthesized for the in situ carbonylation of aryl iodides and secondary cyclic amine to the respective α-ketoamides.

Methods for chemical modification of native proteins in a controlled fashion are in high demand. Here, a novel protocol that exploits bifunctional reagents for transient targeting of solvent exposed disulphides to direct the introduction of a single exogenous reactive thiol handle at a lysine side chain has been developed. The protocol has successfully been applied to functionalize six different Fabs and human growth hormone.

In recent years, the numbers of patents have been devoted to the development of rough pipes. The technique theoretical settlement determine of factor of hydraulic resistance for round pipes with rough walls is developed on the basis of a principle of a superposition of complete viscosity in turbulent a layer mainly distinguished from the existing theories. The received results of account for the extended range of determining parameters much distinguished from appropriate given for round pipes with turbulizers, specify a level и intensification of heat exchange.

Background and Purpose: Physical rehabilitation therapists are recognizing increasing numbers of older clients presenting with cognitive impairment in the post–acute setting. Therapists working with these patients often feel ill-prepared to address the special challenges of this population and often experience difficulty fully engaging the client in therapy. Decreased engagement in a therapy plan of care may lead to worse functional outcomes and increased debility. The purpose of this study was to examine the efficacy of neurocognitive engagement therapy (NET), a new model for rehabilitation, through a randomized clinical trial. Neurocognitive engagement therapy utilizes evidence-based best practices in dementia care as well as task-specific practice to increase engagement and therapeutic gains among individuals with cognitive impairment in the post–acute setting. Methods: Eighty-five subacute rehabilitation patients participated in the study, with 43 in the active group who received care based on the NET model and 42 in the control group who received traditional post–acute rehabilitation services. The groups were randomly assigned by location of the post–acute admission. The Pittsburgh Rehabilitation Participation Scale was used to measure patient engagement in physical, occupational, and speech therapy. The Modified Barthel Index was used to assess change in overall function. Results and Discussion: Results revealed that Active group participants demonstrated higher mean engagement ratings across all 3 NET therapy types (Ps ≤ .05), with the same mean number of sessions. A Group-by-Time ANOVA revealed a significant interaction effect (P = .05) for pre-/postfunctional gains on the Barthel, indicating more functional gains in the Active group. After accounting for individual differences in engagement, hierarchical multiple linear regression modeling demonstrated that engagement mediated the effects on functional improvement. That is, active patients appeared to have greater functional gains because they had higher engagement. Conclusion: The results suggest that NET is efficacious for cognitively impaired patients. Patients who received NET were more engaged in the process of therapy and had greater functional gains than those who were cognitively impaired and received traditional rehabilitation.

The aim of this study was to evaluate the effectiveness of a 12-week workplace exercise program on work ability, performance, and patient-reported symptoms in older university employees with knee and/or hip osteoarthritis. Twenty-four participants with clinical hip and/or knee osteoarthritis were randomized to exercise or no exercise. At baseline and follow-up, several work (work ability, resilience), patient-reported (pain, physical function, depressive symptoms, self-efficacy), and performance outcomes (hip and knee strength, mobility performance) were measured. Significant improvements in work ability (P < 0.049) and patient-reported outcomes (pain, function, depressive symptoms) existed in the exercise group. No improvements were demonstrated in the no exercise group. Exercise in the workplace improved work ability and patient-reported symptoms in older workers with osteoarthritis. The benefits of workplace exercise programs should be studied in a larger sample in which attention is given to improving exercise adherence.