September 2024

Knowledge management is a critical aspect of modern organizations seeking to harness their collective intelligence and remain competitive in a dynamic business environment. With the advent of distributed data and knowledge-based systems, the landscape of knowledge management is undergoing significant transformations. This systematic mapping study aims to provide a comprehensive overview of the current state of knowledge management within the context of distributed environments and knowledge-based systems, shedding light on the key trends and challenges that shape this evolving field. Our study employs a systematic mapping methodology to analyze a wide array of scholarly articles, conference papers, and research reports. Through a structured review process, we identify and categorize relevant publications, facilitating a holistic understanding of the relationships between distributed data and knowledge-based systems in the realm of knowledge management. By mapping the existing literature, we uncover emerging themes, gaps, and areas of interest in this interdisciplinary domain. Key findings reveal the increasing role of distributed systems in enhancing knowledge sharing, collaboration, and decision-making processes. However, challenges related to data security, interoperability, and system integration also surface as important considerations. The systematic mapping study not only offers insights into the current state of knowledge management but also provides a foundation for future research directions and practical implications for organizations striving to optimize knowledge utilization in distributed settings. In conclusion, this research contributes to a deeper understanding of how distributed data and knowledge-based systems are shaping knowledge management practices and provides a roadmap for scholars and practitioners alike to navigate this evolving terrain.

Introducción: Se ha demostrado que la anestesia de bajo flujo es una técnica segura y confiable que ofrece una reducción considerable en la utilización de agentes volátiles. Además del ahorro de costos, la anestesia de bajo flujo ofrece varias ventajas sobre la administración de anestesia "tradicional". Se deben aprovechar todas las oportunidades para limitar el desperdicio de medicamentos anestésicos mientras se brinda una atención segura y eficiente a través de anestesia de bajo flujo. Objetivo: Comparar el costo y calidad de la anestesia inhalatoria con flujos bajos de gas fresco comparado con el uso de flujos altos en pacientes operados por colecistectomía laparoscópicaen el Hospital General Dr Francisco Galindo Chávez. Materiales y métodos: Es un estudio retrospectivo, analítico, comparativo, obsveracional realizado en las salas de quirófano en el Hospital General Francisco Galindo Chávez, en donde se recolectaron por parte del área de archivo y expediente clínico fisico y digital los registros anestésicos y notas anestésicas del período del 1º de mayo del 2020 al 1º de agosto del 2023 en donde se incluyerón pacientes hombres y mujeres entre los 20 y 60 años con criterios de ASA I, II y III que fuerón sometidos a anestesia general balanceada con flujos bajos o altos de sevoflurano para colecistectomía laparoscópica electiva, se recolectaron expedientes de 10 pacientes por cada tipo de flujo, , en donde se midio y peso el vaporizador de sevoflurano antes y después de la cirugía con un báscula . De la misma forma se debía contar con la concentración alveolar mínima del monitor durante toda la cirugía, el tiempo de inducción y la duración de la cirugía en el registro anestésico de los pacientes. Las comparaciones de variables categóricas se realizaron con la Prueba de x2 de Pearson o Test Exacto de Fisher. Las comparaciones numéricas se realizaron con Prueba T de Student para muestras independientes o Prueba de Mann-Whitney.

The Indian higher education sector is at a critical juncture, characterized by a rapid expansion of institutions and student enrollments alongside persistent challenges of quality, access, and equity. As one of the largest and most diverse education systems globally, India faces the dual challenge of maintaining standards and inclusivity in a landscape marked by significant regional, economic, and social disparities. This paper explores the major issues confronting higher education in India, including inadequate funding, outdated curricula, regulatory complexities, and the employability gap among graduates. Additionally, the impact of recent policy reforms, such as the National Education Policy 2020, and the increasing role of technology and digital learning are examined as transformative opportunities. By analyzing these challenges and opportunities, the paper proposes strategic pathways for reform, emphasizing the need for a more flexible, multidisciplinary, and inclusive approach to higher education. The study aims to outline a forward-looking framework that not only addresses existing gaps but also equips the Indian higher education system to contribute effectively to the nation's socio-economic development in the coming decades.

The study highlights the concept of coalition government and its impact in Indian government and politics of parliamentary democracy. It also reveals the reasons and circumstances in which coalition governments in India have become regular feature both at federal level as well as in the states. Furthermore, the study explores the nature, character and dominance of Indian National Congress (INC) and its replacement by non-Congress coalitions both at centre and in the states. It highlights brief working of minority coalitions at federal level which no doubt proved short-lived and instable, however opened a new coalition chapter in Indian political history. However, Indian politics experienced durable, mature and stable coalitions in the form of National Democratic Alliance-I and United Progressive Alliance-I at Union Level. Both these coalition governments though experienced tough political weather but successfully steered the coalition wagon to a predetermined destination. The study concludes that those coalition governments survive without any hiccups which followed a path of compromise, consensus and cooperation in place of strict ideological adherence of coalition partners.

Background: Academic stress may be the single most dominant stress factor that affects the mental well- being of college students. Academic stress can be explained by understanding the interconnection between environment stressor and the student’s appraisal of academic stressor and response to the same. Stress can cause several physiological changes. It can cause tension, pressure or negative emotions including anxiety and anger to the individual. Methodology: In this study descriptive research approach was used to assess the level of academic stress among the students of B.Sc. Nursing 1st year to develop an information booklet. This study was conducted using descriptive research approach at Selected College of Nursing, Lucknow. The total sample size was 45 samples selected by non-probability convenient sampling technique. The data was collected by administering structured knowledge questionnaire. The tool consisted of 07 questions of socio demographic variables and modified perceived rating scale to assess stress which consists of 20 items, minimum score 20 and maximum score is 100. It is classified into mild (1-50) moderate (51-75), severe levels (more than 75) related to various aspects of stress in the students. Result: The data obtained are tabulated and analyzed by using descriptive and inferential statistics. The statistical analysis of sample 28.8% students having mild stress, 37.7% having moderate stress and 33.3% having severe stress. Conclusion: Thus, it is evident from the study findings that 28.8% had mild stress, 37.7% had moderate stress and 33.5% had severe stress. It shows the majority of the sample had moderate academic stress.

The review article on interventions mostly used for in-service training of nurses on effective use of standardized documents was conceived because most often than not documentation on patients is incomplete. The write up is relevant in that nurses can be exposed to standardized documents and use them for better patient outcomes. The objectives were to explore, outline, describe, and expose reasons for documentation, standardized documents, factors that influence effectiveness in documentation and regulatory bodies’ views on documentation. Sourced information was gotten from internet, websites, textbooks, and journals.Results show that the reasons for nursing documentation are to ensure vital record of patient care, support communication among the healthcare team, enhance care coordination and provide crucial data for legal, educational, and research purposes. Nursing documentation plays a key role in patient safety, quality improvement, informs decision-making, and ensures that healthcare providers maintain continuity of care, communicate patient assessments and track interventions accurately. Standardized documents should include admission sheets, progress notes, and medication administration records (MAR), which ensures accurate and consistent patient information. Proper training on these documents, along with critical incident reporting and workload measurement enhances care coordination, reduces errors, and supports effective resource management. It was revealed that the factors influencing nurses’ documentation in practice could be shortage of nurses, high volume of paperwork, literacy and documentation skills, and the fact that documentation narrow focus on physical health care.The view point of the regulatory bodies concerning documentation center onaccurate, standardized nursing documentation to ensure patient safety, compliance, accountability, and quality care across healthcare systems.This information can be relevant in organizing seminars to update in-service nurses on nursing documentation for better patient outcomes.

Cordycepin is a bioactive compound with extensive pharmacological activities and potential medical applications. This study focuses on the optimization of cordycepin production in an engineered Pichia pastoris strain, THP-292, constructed in our laboratory. By screening optimal culture media and supplementing with adenine and fucoidan, we aimed to improve cordycepin synthesis and enhance stress tolerance. The results showed that the BSM medium supported better growth and higher cordycepin production compared to other media, while offering simpler composition and easier downstream processing. The addition of fucoidan significantly increased cell viability during the later fermentation stages, improving stress resistance. Meanwhile, adenine supplementation doubled the cordycepin yield. This provides new insights into enhancing cordycepin synthesis in P. pastoris and understanding cellular adaptations to various environmental conditions.