#stephypublishers

 “Super-Big-Perfect-Hurricane (SBPH)” Leadership?

The quantum level of Earth is rising, some people can feel it and change accordingly, lots of people cannot feel it, but feel the environment uncertain & unpredictable, however some people feel discomfortable, & feel Fear, Anger, and their families feel that they are sick, but don’t know how to help them, because the hospital physical diagnosis are normal. Everything is totally a mess!

Introduction: Treatment for bone injury in children is different to adult. Selecting method depeding on age, articular cartilage and demanding movement. Non-operation treatment on direction and immobilization in plaster is academic method, good result, aspecialy in little children.

Case report: A man 4 years old who has bihumerus fracture and bifemur fracture in multiple injuries condition was directtioned and immobilizationed in plaster at Orthopeadic clinical and out patient department- Viet Duc University Hospital.

Result: Affter 1 year, patient has good result, good bone regeneration, good direction, balance limb height, patient movement is normaly without complication. Conclustion: direction and immobilization treatment are a good choice for bone injury in little children.

Workers’ compensation (WC) was introduced as a no-fault system to provide injured workers with timely access to medical treatment and compensation for lost wages. When the treating physicians submit a care request to the third party insurer, these requests are often subjected to a utilization review process. Utilization Review (UR) is the process of comparing an injured worker’s case to evidence-based clinical guidelines that outline national standards for a patient with similar symptoms as the one being reviewed. UR often results in a delay or denial of treatment and access to care. Analyzing these disparities can help improve patients' access to appropriate and necessary medical care. A retrospective case series was utilized to analyze existing treatment plans of multiple patients subjected to the UR process. Consent was obtained from an orthopedic private practice located in the Greater Chicago Area to review a series of anonymous WC patient histories. Between January 1, 2024, to December 1, 2024, a total of 42 WC patients were subjected to the UR process. For each patient, their insurer, type of requested treatment, and dates of each UR denial were tracked. Then, the frequency of the total number of UR repeat submissions, total denials, and total approvals pertaining to each requested treatment type was collected. The analyzed requested treatments included the following: pharmacy, physical therapy, surgical, and durable medical equipment. The results displayed that 93.75% of the 42 patients’ UR submissions were denied with these patients facing a longer wait time of 124 days and more frequent UR resubmissions. 

Background: Good mental health and well-being are essential for fulfillment, productivity, and resilience. Mental disorders cause high levels of disability and economic impact worldwide. Vulnerable groups at significantly higher risk include youth and First Nations people. As the demand for mental health support and services increases, there is an urgent need to expand access to culturally appropriate quality mental health services (particularly for young people) and to promote self-care through integration of mobile health technologies. Objectives: This paper describes a protocol to evaluate implementation of the AIMhi for Youth support package into youth wellbeing services in urban, rural, and remote Northern Territory and South Australia. Codesign workshops will tailor the resources to these and other locations. The AIMhi-Y support package will be implemented as an innovative approach to suicide prevention through three years of codesign, training, implementation support and dissemination. Methods: Implementation is guided by the Consolidated Framework for Implementation Research (CFIR) incorporating the recent CFIR Outcomes Addendum and including strategies from the Expert Recommendations for Implementing Change. The protocol incorporates best practice principles in codesign and First Nations research. It builds on a decade of foundational work of the Stay Strong program implementing digital mental health resources in primary care and specialist settings. Implementation and related outcomes will be evaluated from each participant perspective (user, service provider, decision maker, First Nations people with lived experience and cultural consultants) using surveys and small group discussions. Intervention: AIMhi for Youth is a culturally responsive digital mental health solution codesigned with First Nations leaders and young people. Delivered via mobile device it is a gamified app supporting skills development in mental health literacy, emotional regulation, help seeking and goal setting. The app provides a structured intervention which complements existing services and addresses key risk factors for suicide and compromised mental health. The package includes training workshops and supplementary multimedia resources. Support resources will be hosted on a tailored website creating a seamless accessible ecosystem for users. Discussion: At the time of publication, 514 young people and 363 individual service providers have used the app, and 11 services have engaged in implementation planning discussions. Through our implementation evaluation we will identify why the AIMhi-Y package was implemented successfully in some contexts and not in others and will have an evidence-based strategy for successfully engaging First Nations young people and services in digital mental health solutions. This will inform further AIMhi-Y dissemination and provide a guide for implementation of other innovations in similar contexts. Conclusion: This study prospectively plans, monitors, and evaluates implementation through use of the Consolidated Framework for Implementation Research. This threefold approach potentially strengthens the design and enhances likelihood of implementation success. The emphasis on Indigenist research principles, and the addition of measuring outcomes including reach, impact, adoption, implementation, and sustainment, has potential to contribute to conceptual development and clarification of implementation approaches in First Nations communities.

The aim of the current study is to investigate the level of risk-taking behavior, resilience and aggression in female volleyball players and the link between these psychological variables and coach’s performance ranking. A Romanian volleyball team ranked 7th out of 11 in the A1 league in the national championship (2022-2023 period) participated at the study. The Romanian adaptation of the Brief Resilience Scale, The Romanian adaptation of Makarowski’s Stimulating and Instrumental Risk Questionnaire, The Romanian adaptation of Makarowski's Aggression Questionnaire and Delphi method (evaluation of female volleyball players by coaches) were used. Analysis of the results reveals that athletes have a low level of perseverance (Go-Ahead factor), a low level of Foul play and a moderate to low level of assertiveness. Also, most athletes registered average or even low levels of resilience and have manifested a medium level of instrumental risk and moderate-to low-level of stimulating risk. The existing correlations between the psychological variables examined and the average scores obtained by each athlete (scores offered by the volleyball coaches according to athletes’ sport skills in training and competition) were discussed. The results of the study contribute to increase the awareness regarding aggression level, resilience, instrumental and stimulating risk level in Romanian female volleyball players, a less addressed topic.

The study titled, “Dark Triad of Personality, Difficulties in Emotional Regulation and Career Exploration Behavior in students is very relevant to the academic industry. The study shows that there is a significant positive relationship between dark triad of personality, difficulties in emotion regulation and career exploration behavior in students. The aim of the study was to see that what can be done to improve career exploration behavior in students. The findings indicate that there is significant relationship between the three constructs. This study has wide implications for academic professionals and related in the discipline’s social science and humanities. Hence, less psychopathic tendencies are found in students of Pakistan and prove to be valuable in global academic settings.

The aim of the study is to develop an efficient, innovative method of perforating oil and gas well casing strings with a high-velocity stream of polymer solution that conserves resources and energy and meets the requirements for environ- mentally friendly hydrocarbon production. New knowledge about the dynamics of polymer solutions in the model conditions of flow through the nozzles of the hydro perforator, which form a high-velocity jet, became the main scientific basis for substantiating the water-polymer method of hydro perforation of oil and gas wells. The study of the reaction of polymer solutions to tension hydrodynamic influence allowed to formulate a structural concept, the "common denominator" of which is the strong deformation effect of tension hydrodynamic field on high molecular weight coils, which, according to nonequilibrium thermodynamics, should cause a kind of high elasticity. Peculiarities of hydrodynamic behavior of aqueous polymer solutions in model conditions of flow through jet-forming nozzles are studied. The possibility of transition to a highly developed state of the tangle of polyethylene oxide macromolecules in the conditions of the inlet section of the nozzle of the hydro perforator has been experimentally proved. The mechanism of perforation of oil and gas wells by a high-velocity jet of an aqueous polymer solution has been elucidated. It is proved that the mechanism of the high cutting ability of the high-velocity jet of aqueous polymer solution is the destructive effect of the dynamic pressure of water-polymer jet "reinforced" by highly developed macromolecular chains in the inlet nozzles of the hydro perforator nozzles under the action of tensile leakage. Experimental and industrial testing of the method of perforation of wells by a high-speed jet of an aqueous solution of polyethylene oxide confirmed the practical and economic feasibility of its use.