The Relationship between Gastroesophageal Reflux Disease (GERD) and Musculoskeletal Complaints

Background: Gastroesophageal reflux disease (GERD) is a common gastrointestinal problem that can affect many body systems. Studies have suggested a possible connection between GERD and musculoskeletal complaints, but the relationship is not fully clear

Objective: This study examined the relationship between GERD and musculoskeletal complaints in patients treated at Siloam Hospitals Balikpapan.

Methods: This cross-sectional study included 60 participants, divided into 30 GERD and 30 non-GERD patients. Musculoskeletal symptoms were measured using the Indonesian version of the Nordic Musculoskeletal Questionnaire. Data were analyzed with the Shapiro–Wilk test, Spearman correlation, and Mann–Whitney U test.

Results: Back pain (55%), waist pain (45%), and left shoulder pain (41.7%) were the most frequent complaints. The total musculoskeletal score was higher in the GERD group (279) than in the non-GERD group (65). The data were not normally distributed (p < 0.001). There was a moderate positive correlation between GERD and musculoskeletal complaints (r = 0.460, p < 0.001). The Mann–Whitney test also showed a significant difference between groups (U = 283.5, Z = −3.536, p < 0.001.

Conclusion: GERD is related to higher and more widespread musculoskeletal complaints. Screening for musculoskeletal symptoms in GERD patients may help improve early management and patient quality of life.

Influence of Climate Variability on The Dynamics of Land Use Land Cover in the Sub-Soudanian Sector: The Case of the Badenou Classified Forest, Northern Côte D’ivoire

In a context of global change marked by climate evolution, tropical forest ecosystems are under increasing pressure that threatens their integrity and biodiversity. This study quantifies the impact of climatic parameters on the evolution of land use/cover in the Badenou Classified Forest (northern Côte d’Ivoire) between 1990 and 2022. By cross-referencing Landsat images and climatic data (temperatures, precipitation, PDSI, SPI) via Google Earth Engine, and applying statistical tests (Spearman correlations, PCA, regressions), significant relationships were highlighted. The results show a distinct vulnerability of natural ecosystems to climatic stresses. Dense dry forests and galleries regress with drought (PDSI: ρ = -0.502, p = 0.003). The low density shrub savannah declines sharply with rising temperatures (Tmax: ρ = -0.613, p < 0.0001). Water bodies decrease during dry periods (PDSI: ρ = -0.545, p = 0.001). Anthropogenic dynamics present contrasting responses. Fallow lands decrease with temperature (Tmax: ρ = -0.413, p = 0.017), while perennial crops expand their reach under these same conditions (Tmax: ρ = +0.413, p = 0.017). An increase in bare soils and built-up areas is correlated with humid conditions (SPI: ρ = +0.362, p = 0.039). This research demonstrates that climatic variables, particularly temperatures and drought indices, are major explanatory factors for landscape transformations. These quantified results provide an essential scientific basis for the development of adaptive management policies, reconciling biodiversity preservation and local development in a context of global change.

New Gender Inequalities in Tertiary Institutions of Learning in Selected Universities in Southern Africa

During the 1990s and the preceding years, various campaigns were launched across several Southern African countries to encourage girls to enroll in school and remain in the education system through to the tertiary level. These efforts followed studies that revealed significant gender inequealities in education, particularly in countries where girls failed to complete school due to factors such as gender discrimination within households—where boys’ education was prioritized—lack of financial resources, early pregnancies, and high dropout rates for various other reasons. In response, several governments and non-governmental organizations (NGOs) implemented programs aimed at increasing girls’ participation and retention in school through to the tertiary level. These initiatives have, in some countries, yielded positive outcomes, evidenced by increased enrollment of female learners at the primary, secondary, and tertiary levels.

This article focuses on the status of female students in tertiary institutions within selected Southern African universities. It argues that there has been a notable increase in the number of female students in higher education, with some institutions achieving and even surpassing gender parity. In certain universities, this has resulted in a reversal of traditional gender imbalances, where male students now constitute the minority. However, despite these advances, many universities continue to experience gender disparities in STEM (Science, Technology, Engineering, and Mathematics) disciplines, where female students remain underrepresented. Similarly, female lecturers continue to form a minority within academic staff. Although the general trend across Southern Africa shows an increase in female student enrollment, this has not translated into a proportional increase in the number of female academics. Moreover, there appear to be no deliberate programs aimed at addressing the underrepresentation of male students in institutions where they are now the minority—both in terms of enrollment and graduation rates. Likewise, there is a lack of targeted initiatives to increase the number and visibility of women in academic and management positions within universities, despite their possessing qualifications comparable to those of their male counterparts.

The article contends that the rise in female student enrollment in Southern African universities has introduced new forms of gender inequality, particularly with male students now forming a minority in some institutions, while female underrepresentation in STEM disciplines persists. It is anticipated that the continued increase in female enrollment may, over time, help address disparities in STEM fields. However, if left unaddressed, the declining representation of male students could reach problematic levels, potentially leading to a shortage of male professionals in key sectors. Finally, the gender disparities among students are more pronounced in public universities in Zambia than in private institutions.

The Influence of Fraud Heptagon, Audit Report Lag, and Whistleblowing System on Financial Statement Fraud with Good Corporate Governance as a Moderating Variable: Evidence from Indonesian Manufacturing Companies

This study examines how the Fraud Heptagon, Audit Report Lag, and Whistleblowing System influence the incidence of financial statement fraud in Indonesian manufacturing firms, with Good Corporate Governance (GCG) tested as a moderating factor. Using panel data from 100 companies listed on the Indonesian Stock Exchange between 2015 and 2024, the analysis applies Partial Least Squares–Structural Equation Modeling (PLS-SEM) to evaluate both direct and interaction effects. The Fraud Heptagon—comprising pressure, opportunity, rationalization, capability, arrogance, collusion, and greed—demonstrates a significant positive association with fraudulent financial reporting, indicating its relevance as a multidimensional predictor of unethical behavior. Audit Report Lag shows a positive but insignificant relationship with fraud, suggesting that reporting delays alone do not reliably indicate manipulation. Conversely, an effective Whistleblowing System significantly reduces the likelihood of misstatements. The moderating analysis reveals that GCG strengthens the effects of the Fraud Heptagon and the Whistleblowing System but does not alter the influence of Audit Report Lag. These findings highlight the importance of behavioral, procedural, and governance mechanisms in fraud prevention. The study contributes theoretical validation of the Fraud Heptagon in an emerging-market context and provides practical guidance for improving oversight, transparency, and ethical accountability in corporate reporting.

Factors Causing Wasting in Toddlers: A Literature Review

Background: Wasting is one of the acute nutritional problems in toddlers, reflecting a weight that is too low for their height. This condition can increase the risk of mortality and long-term developmental disorders. The prevalence of wasting in Indonesia in 2022 reached 7.7%, with Bandar Lampung City at 8.4%, exceeding the provincial average.

Objective: This study aims to review research articles or journals on the factors causing wasting in toddlers.

Methods: The method used in this study is a literature review sourced from the Google Scholar and PubMed databases within the period of 2020-2025. Literature selection was conducted based on inclusion and exclusion criteria determined by the researcher. This review stage includes identifying the research problem, searching for literature, presenting data, and evaluating the data.

Results: Based on the literature review collected, the causes of wasting can be categorized into direct and indirect factors. Direct factors include inadequate food intake and infectious diseases like diarrhea. Indirect factors include exclusive breastfeeding, feeding practices, and access to healthcare services. The main underlying factors are poverty, family characteristics, food distribution patterns, the mother’s education level, employment status, and household income level.

Conclusion: Wasting in young children is caused by a complex interaction between direct, indirect, and primary factors. Prevention and management efforts for wasting must be designed comprehensively, considering all contributing factors, especially improved nutritional intake, management of infectious diseases, increased maternal knowledge, and improvement of family socioeconomic conditions.

The Development of a Deep Learning-Based STEAM Project Module to Enhance Students’ Environmental Literacy through an Eco-Enzyme Initiative

The global environmental crisis demands innovative educational approaches to build environmental literacy from an early age. This study aims to develop a deep-learning-based project module integrated with STEAM (Science, Technology, Engineering, Arts, Mathematics) through an eco-enzyme project to improve the environmental literacy of fifth-grade students at MIN 1 Sidoarjo. The research employed the 4D development model (Define, Design, Develop, Disseminate) with a qualitative– quantitative approach. Data were collected through questionnaires, interviews, observations, and pretest–posttest assessments, then analyzed descriptively and statistically (N-Gain). Validation results from experts in content, media, and pedagogy indicated that the module was highly valid (average scores of 4.26, 3.8, and 4.3). Small- and large-scale trials demonstrated that the module was practical (average student response of 3.4) and effective in enhancing environmental literacy, with significant improvements in both cognitive (N-Gain = 0.70) and affective (N-Gain = 0.72) domains. The eco-enzyme project also strengthens the dimensions of the Pancasila Student Profile, particularly creativity, independence, and collaboration. The implications of this study affirm that integrating STEAM and deep learning within a contextual project module can create meaningful learning, foster 21st-century skills, and cultivate students’ ecological awareness. Recommendations include implementing similar modules in elementary schools and developing educational policies that support project-based environmental learning.

A Study of the Financial Sustainability of Cameroonian SMEs: The Role of Internal Audit

This research article mainly aims to analyse the influence of internal audit on the financial sustainability of SMEs in Cameroon. Specifically, it aims to analyse the nature of the effect of internal control system on the growth of the company’s workforce on one hand, and on the other and to analyse the nature of the effect of risk mapping on changes in the company’s net profit in Cameroon. Using quantitative analysis, in particular analysis of variance and linear regression, we find that internal audit significantly influences the sustainability of Cameroonian SMEs. It is therefore recommended that SMEs, no matter their size and experience, should put in place tough internal audit functions to assure sustainable performance.

Effect of Different Times of Budding on Budding Success and Subsequent Seedling Growth in Peach

The present experiment entitled “Effect of different times of budding on subsequent seedling growth of Peach” was carried in open field conditions at fruit nursery, Department of Horticulture, Paktia University, Gardiz, Paktia province, Afghanistan during the year 2018-2019. Peach cv. Benidict was T-budded on peach seedling rootstocks with four different times (May 9; June 13; July 7 and August 23, 2018). The objective of this investigation was to find out the appropriate time of budding in order to obtain vigorous budded saplings under climatic conditions of Paktia province. The experiment was laid out in Randomized Completely Block design with 10 replicates. The results showed that different budding times had significantly affected the bud take success rate and vegetative growth of budded saplings. Budding in August and June (T4 and T2) revealed the highest bud takes success rate (87% and 83,33%) respectively, however budding in May (T1) with lowest bud take success rate (20%). Budding in June (T2) and August (T4) had not showed significant difference among themselves. Budding in May (T1) obtained first rank with highest average number of lateral branches (14,85), stem diameter (13,73mm), longest sprout length (104,7cm) and highest average number of leaves (207,7), though budding in June (T2), July (T3) and August(T4) had not showed significant difference in vegetative growth parameters like number of lateral branches and stem diameter. According to Fisher’s LSD test budded saplings in August (T4) obtained the shortest sprout length (53,8cm), However, the sprout length among the budded saplings in May (T1), June (T2) and July (T3) was not found significantly different. The highest average number of leaves (207, 7) and lowest average number of leaves (54, 2) was recorded under T1 (May budding) and T4 (August budding) respectively, Meanwhile the average number of leaves was not significantly different among T2 (June budding) and T3 (July budding) budding times.

Comparative Analysis Between John Onimisi Obidi’s Theory of Entropicity (ToE) and Waldemar Marek Feldt’s FELDT–HIGGS Universal Bridge (F–HUB) Theory

In the unfolding landscape of twenty-first century theoretical physics, the pursuit of a unified de-scription of nature remains among the most profound challenges. This paper presents a detailed com-parative analysis between two emerging frameworks—John Onimisi Obidi’s Theory of Entrop-icity (ToE) and Waldemar Marek Feldt’s FELDT–HIGGS Universal Bridge (F–HUB) Theory—each of which offers a novel reinterpretation of mass, gravity, entropy, and information.

The Theory of Entropicity (ToE) establishes entropy not as a statistical by-product of disorder but as the fundamental field and causal substrate of physical reality. It reconstructs gravitation, time, and quantum behavior from the dynamics of an entropy field governed by the Obidi Action and the Vuli-Ndlela Integral. Conversely, the FELDT–HIGGS Universal Bridge (F–HUB) formulates an informational architecture of the universe in which mass and spacetime emerge from quantum information structuring mediated by the Higgs field. Its central relation, the F–HUB Master Equation, integrates thermodynamic constants to link information, mass, and entropy within a unified algebraic framework.

This study systematically compares the philosophical premises, mathematical foundations, and physical implications of both theories. It further examines whether F–HUB’s informational emergence model can be interpreted as a subset or limiting case of ToE’s entropic dynamics. By contrasting the causality orders—F–HUB: Information Entropy Mass Gravity Spacetime and ToE: Entropy Information Mass Motion Spacetime—the paper argues that ToE provides a deeper, first-principles formulation of physical law in which entropy is the generative field underlying information and structure. Both frameworks together signal a paradigm shift toward post-Einsteinian physics grounded not in geometry, but in informational–entropic causation.

A Review of Dairy Farming as A Tool for Sustainable Rural Development and Female Empowerment in Kalaburagi and Bidar

This review explores dairy farming as a strategic avenue for promoting sustainable rural development and empowering women in the Kalaburagi and Bidar districts of Karnataka. These regions, predominantly agrarian with limited industrial growth, face socio-economic challenges such as unemployment, income inequality, and gender disparity. The need for the study arises from the pressing requirement to identify inclusive and sustainable livelihood options, particularly for rural women who often remain on the periphery of economic participation. The review synthesizes existing literature, field reports, and policy frameworks to assess how dairy farming has evolved as a livelihood model. Findings indicate that dairy farming not only enhances household income and nutritional security but also significantly boosts women’s socio-economic status through increased decision-making roles and financial independence. Initiatives led by self-help groups (SHGs), cooperatives, and government schemes have further facilitated access to resources, training, and credit support, thus strengthening women’s participation in the dairy value chain. The study underscores the dual impact of dairy farming—contributing to rural economic resilience while acting as a catalyst for gender empowerment. However, persistent challenges such as limited access to veterinary care, fluctuating market prices, and lack of infrastructural support need to be addressed. The review concludes by highlighting the scope for future research in evaluating the long-term sustainability of dairy farming under climate variability, as well as the need for gender-sensitive policy interventions that ensure equitable growth across rural sectors.