bluuebunny/crossref_metadata_2025 huggingface dataset:
Effective communication with patients during COVID-19 pandemic
Authors: Nieradko-Iwanicka Barbara
Published: December 2023

Introduction. The COVID-19 pandemic caused that many outpatient clinics implement telemedical consultations. It requires from the physician special skills when providing information during a phone call. Even though there is no possibility of physical examination on such occasions, we need to obtain as much information as possible from the patient or his family members and provide them with instructions that can be understood and applied in practice.
Aim. The aim of the article is to review available publications about doctor-patient communication.
Materials and methods. The Pubmed database was searched with use of the phrases: ’doctor-patient communication skills” and “storytelling; doctor-patient communication’ in November 2022.
Results. Despite obstacles in providing good healthcare for patients during the COVID-19 pandemic, there are effective methods of obtaining a lot of information from the patient and provide him with easy-to-understand messages to take home. Storytelling is one of the methods of visualizing the disease and sometimes may improve patient’s mood.
Conclusions. Telemedical consultations can be helpful if we spend enough time talking to the patient and provide him with information in an understandable format.

Keywords: communication, COVID-19 pandemic, doctor-patient communication skills.
EDUCAÇÃO AMBIENTAL E AMBIENTES VIRTUAIS NA PERSPECTIVA CRÍTICA: A DINÂMICA DO CIBERESPAÇO
Authors: Freitas Rafael Almeida de
Published: December 2023

Busco discutir a relação entre Educação Ambiental e os Ambientes Virtuais, ancorado em fundamentos da Educação Crítica, da Educação Ambiental e das Tecnologias Digitais. Investiguei a Educação Ambiental em três diferentes Ambientes Virtuais: (I) Jornais; (II) Revista científica; (III) Rede social. Os resultados indicam maior expressividade da Educação Ambiental em Revistas Científicas e na Rede Social, em comparação aos Jornais. Destaco a importância de uma apreensão crítica das Tecnologias Digitais, assim como da Educação Ambiental no Ambiente Virtual. E concluo pela existência de uma relação entre Educação Ambiental e os Ambientes Virtuais, no contexto da cibercultura.
EDUCAÇÕES/FORMAÇÕES E O PENSAR/FAZER FILOSÓFICO: POSSIBILIDADES E NECESSIDADES COM AS INVENTIVIDADES NO CAMPO DA CIBERCULTURA
Authors: Nascimento Périklys Wellinson Monteiro , Cordeiro Leonardo Zenha
Published: December 2023

As tecnologias digitais e a cibercultura como campos de sentidos e conhecimentos, tem fomentado modificações significativas nos processos educativos/formativos. Estamos diante da emergência de um novo paradigma educacional, apontado como “Paradigma da navegação” (LÉVY, 2010a), o qual aparece com mediações outras para além daquela entre educando e educador, no qual os saberes se tecem em coletivo, com a mediação digital. Tais constituições são importantes para espalhar e popularizar diversos tipos de saberes, como os filosóficos, que contribuem para o pensar/fazer crítico e transformativo. O objetivo deste trabalho é apontar a importância das modificações no campo da criação e recriação de saberes proporcionados pelo ciberespaço e como contribuem para o espalhamento de conhecimentos filosóficos. Outro ponto tocado pelo trabalho é a importância dessas inventividades para a construção e fortalecimento da cultura democrática no Brasil a partir de práticas educativas para além da lógica escolar, ainda que esta seja muito importante. A filosofia nesse contexto ganha novas possibilidades e inventividades com os novos dispositivos da cibercultura, os quais apontam para a necessidade de saber navegar nos oceanos digitais e da construção de identidades cada vez mais complexas.
RESENHA: A PESQUISA COMO HEURÍSTICA, ATO DE CURRÍCULO E FORMAÇÃO UNIVERSITÁRIA - EXPERIÊNCIAS TRANSINGULARES COM O MÉTODO EM CIÊNCIAS DA EDUCAÇÃO
Authors: Amaral Mirian Maia do
Published: December 2023

Este texto traz a opinião da resenhista sobre a obra de Roberto Sidney Macedo, supramencionada, na qual a pesquisa é por ele entendida como heurística, ato de currículo e (trans)formação universitária, que se  realiza de forma singular, vinculada à universidade, sua história e cultura acadêmica. Nessa perspectiva, o  o conteúdo desenvolvido pelo autor é descrito, de modo objetivo, pela resenhista, que interpreta e apresenta, com base em argumentos, o seu ponto de vista sobre o mesmo, concluindo pela relevância desse livro para todos aqueles que se interessam por pesquisas não ‘engessadas”, que têm como ponto crucial a experiência heurístico-formacional na construção dos saberes na educação universitária.
NO MEIO DA PANDEMIA, A TERTULIA DE GABRIELA: RELATOS NA CIBERCULTURA PARA VIVER A LITERATURA DE MULHERES
Authors: Cerdeira Phelipe de Lima , Duarte Camilla Xavier , Carrara Luana Aranin Cordeiro , Pereira Yasmin Tinoco
Published: December 2023

O presente artigo toma os relatos de experiências (SUÁREZ, 2021) enquanto pressuposto epistemológico para a produção e disseminação de saberes acadêmicos, promovidos por ‘praticantespensantes’ (OLIVEIRA, 2012). Nesta leitura, nosso objetivo geral é o de valorizar como a “Tertulia de Gabriela” – atividade extensionista criada no auge da pandemia de Covid-19, em 2021 – abriu caminhos outros (MIGNOLO, 2003) para se valorizar a literatura não apenas enquanto direito inalienável (CANDIDO, 2004) e espaço para literaturar (CERDEIRA, 2023), mas como lugar para a criação de artefatos culturais (CERTEAU, 2014), estimulando que os sujeitos possam (se) ler (DUBOIS, 1991; COLOMER, 2001) e (des)ler (BARTHES, 2006). É enaltecido de que forma tais experiências refletem o potencial da cibercultura (LÉVY, 1998; RIBEIRO, 2015) não como lugar de tecnologias estéreis, mas de produção de sentidos e de significados, no qual as “Tertulias Dialógicas Literárias” (PALOMARES RUÍZ; DOMÍNGUEZ RODRÍGUEZ, 2019) constroem novos cotidianos de afetos. Dessa forma, o literário é tomado como exercício de fissura de campos de poder (BOURDIEU, 1990, 2002) e, ao mesmo tempo, como exemplo de como é possível protagonizar a desterritorialização e dessujeitação dos seus participantes (MADDALENA; NOLASCO-SILVA, 2022).
FENÔMENOS CIBERCULTURAIS E SEUS DESDOBRAMENTOS NA EDUCAÇÃO: REFLEXÕES SOBRE O PRESENTE
Authors: Felipe Carvalho  , Tania Lucía Maddalena  , Marcos Vinícius Dias de Menezes  , Edméa Santos  , Wallace Carriço de Almeida  , Mariano Pimentel
Published: December 2023

Editorial e apresentação do v. 7 , n. 4, Os Fenômenos da Cibercultura e suas Redes de Docência e Aprendizagem
Fatores associados à punção venosa periférica difícil em adultos submetidos à quimioterapia antineoplásica
Authors: Miranda Amanda Loyse da Costa , Sagica Taís dos Passos , Barros Kelém Bianca Costa , Tavares Luisa de Nazaré Fernandes , Costa Marta Solange Camarinha Ramos , Toffano Silmara Elaine Malaguti , Nicolussi Adriana Cristina , Ramos Aline Maria Pereira Cruz
Published: December 2023

Objetivo: identificar os fatores associados à punção venosa periférica difícil em adultos submetidos à quimioterapia antineoplásica. Método: estudo transversal, observacional, analítico e quantitativo realizado em uma Unidade de Alta Complexidade em Oncologia (UNACON) da região amazônica brasileira. Os dados foram analisados por meio de estatística descritiva e inferencial, onde a razão de possibilidades foi calculada. Resultados: a maioria dos participantes foi do sexo feminino (64,6%), autodeclarados como pardos (51,2%). Em relação à localização do câncer, a maioria possuía a doença no aparelho digestório (46,4%) ou reprodutor (45,2%). Pacientes que tinham histórico de punção venosa difícil, veias não visíveis ou não palpáveis apresentaram mais chance de apresentar a punção venosa difícil (OR 1,6, 1,5 e 1,3, respetivamente). Conclusão: os preditores encontrados relacionados à punção venosa periférica difícil em pacientes adultos submetidos à quimioterapia antineoplásica foram: histórico de punção difícil e veias não visíveis ou não palpáveis.
Use of a virtual world to manifest a neurological reality
Authors: Palmer Sarah Jane
Published: December 2023

Artificial intelligence (AI) is rapidly affecting the way we conduct our everyday lives, with great progress being made within the world of medicine and healthcare. AI enables precision and accuracy in surgery, in diagnostic tests and in the treatment of many conditions. It assists staff to practice their profession in a virtual world before taking their skill to the real world. This article will explore how AI and virtual reality are assisting in the care and treatment of neurosurgery patients.
High-Frequency Bromide Sensor Performance during Denitrifying Bioreactor Tracer Testing
Authors: Alves de Oliveira Luciano , Maxwell Bryan M. , Christianson Reid D. , Christianson Laura E.
Published: December 2023

Abstract.

High-frequency bromide (Br-) sensors could resolve challenges during denitrifying bioreactor tracer tests.

Deployment of a Br- sensor during a tracer test resulted in both under- and over-reported concentrations.

Collecting high-resolution Br- concentrations generally did not add value to calculated tracer metrics.

However, high-frequency Br- sensors were overall considered a convenient tool, in part, due to ease of deployment.

Bromide (Br-) tracer tests are an important environmental monitoring method for assessing internal hydraulics in denitrifying woodchip bioreactors. The objective was to assess performance of relatively new high-frequency Br- sensing technology to help resolve challenges associated with sampling uncertainty and failure during bioreactor tracer tests. A Seametrics TempHion™ Bromide Logger was used to: (1) continuously log Br- concentrations at least every 30 s during three tracer tests in the field and (2) determine Br- concentrations in sample bottles post-hoc following eight tracer tests (sampling frequency in the field: every 2 to 300 min). Both were compared to lab-analyzed Br- concentrations. The sensor underreported Br- concentrations at two real-time tracer tests and overreported during one test, but this mainly impacted the tracer metric of percent recovery. While Br- sensor deployment during a tracer test is the ideal use of this convenient tool, use of the sensor post-hoc in collected bottles matched the lab-analyzed concentrations more closely based on the Root Mean Square Errors and the Mean Absolute Errors. The sensor’s ability to collect large amounts of high-resolution concentrations did not necessarily add value because most tracer metrics were interpolated with reasonable accuracy from the discrete lab-analyzed samples. The relatively continuous nature of the sensed concentrations, however, along with ease of deployment were important sensor benefits. Keywords: Conservative tracer test, Continuous sensor, Double peak, Subsurface drainage, Woodchip bioreactor.
Personal brand - tool or culmination of professional development?
Authors: Walczak-Skałecka Agnieszka
Published: December 2023

Cel pracy

Marka osobista, która często uznawana jest za narzędzie promocji osobistej, jest koncepcją na tyle pojemną, że sam aspekt promocyjny wydaje się nie oddawać złożoności praktyk prowadzących do zbudowania silnej marki osobistej. Bez wątpienia marka osobista wpływa na to w jaki sposób jednostka kształtuje swoją karierę zawodową. Niemniej marka osobista to coś więcej niż reputacja czy zarządzanie zawodową reputacją. Wydaje się również, że to zdecydowanie więcej niż tylko komunikacja kompetencji potencjalnym pracodawcom, współpracownikom, parterom biznesowym czy klientom. Niniejsze opracowanie analizuje koncepcję marki osobistej z perspektywy zarządzania rozwojem zawodowym.

Materiał i metody

Dokonano stosownego przeglądu literatury w celu zidentyfikowania wspólnych płaszczyzn wyżej wymienionych obszarów oraz przeanalizowano dane pozyskane podczas badań autonarracji osób, które zbudowały silne marki osobiste w swoich specjalizacjach. Wywiady zostały przeprowadzone od stycznia do marca 2020 r.

Wyniki

Analizy te wykazały, że istnieje wiele wspólnych obszarów procesu budowania marki osobistej i zarządzania rozwojem zawodowym.

Wnioski

Daje to podstawy do stworzenia bardziej kompletnego procesu budowania marki osobistej, który być może okaże się również bardziej skuteczny.
Study of Customer Satisfaction in Service Offices on the Example of Selected Business Lines of One of the Polish Energy Conglomerates
Authors: Dudek Dariusz , Bis Jakub
Published: December 2023

Cel pracy

Celem artykułu jest przedstawienie wskaźników pomiaru satysfakcji klienta stosowanych przez jeden z polskich koncernów energetycznych w dwóch liniach biznesowych.

Materiał i metody

Porównane zostały obszary, które zostały poddane badaniom satysfakcji przez poszczególne linie biznesowe jednego z polskich koncernów energetycznych.

Wyniki

Badania satysfakcji dzięki stałej metodologii pomiaru umożliwiają porównywalność wyników uzyskiwanych w kolejnych latach. Daje to możliwość uzyskania informacji o poziomie satysfakcji dzięki czemu firma może usprawniać obsługę klienta, lepiej zorganizować poszczególne procesy i umożliwić efektywniejszy przepływ informacji. Jednocześnie badania pozwalają na porównanie się z konkurencją. Pozwala to na szybką reakcję w obszarach, w których firma przegrywa z konkurencją.

Wnioski

Badania satysfakcji przez spółkę obrotową można uznać za dość rozbudowane i dopasowane do specyfiki jej działalności. Pozwalają one kontrolować i dostosowywać działania by móc świadczyć swoje usługi na jak najwyższym poziomie. W innej sytuacji jest spółka dystrybucyjna, która funkcjonuje jako monopolista naturalny. Obszary objęte pomiarem satysfakcji wynikają ze specyfiki działalności. W porównaniu do spółki obrotu wiele obszarów w spółce dystrybucyjnej nie zostało objętych badaniami satysfakcji.
Housing policy in the social and economic sphere. Housing policy relationships and other specific policies
Authors: Bogacki Sylwester , Jastrzębski Wińczysław , Laskowska Agnieszka
Published: December 2023

Abstrakt
Housing policy aspiring to have a general social impact, subtracting from the scale of the state, like any other policy in this scope, is conducted in the European Union countries by the public sector. This sector remains a significant point of reference for this policy. The activity of the public sector in the countries of post-war Western Europe varies in intensity over time and is carried out at different spatial levels - also in relation to housing. The public sector has been subject to a tendency towards apparent self-limitation for at least the last four decades. This occurs mainly by reducing the importance of the state and its agencies in socio-economic development. Housing policy is one of the important sectoral policies of the state - including the government and local authorities - engaging public entities, political and social organizations and private entities to achieve the main and long-term goals in the area of housing, which are: creating conditions for purchasing or renting apartments by all citizens; ensuring the availability of the housing stock, i.e. implementing an appropriate scale of housing investments using primarily the market mechanism, and supporting the appropriate quality of the housing stock throughout the entire period of use of the property.
Economic determinants of new product development
Authors: Anisiewicz Urszula , Marczuk Marcin , Cwynar Wiktor , Wołowiec Tomasz , Cholewa-Wiktor Marta
Published: December 2023

Abstract
Preparation for the launch of a new product is a key element that will allow an organisation to maximise its chances of establishing itself in the consumer's mind. It is therefore necessary to analyse and define the needs, behaviours, purchase paths of the potential customer/consumer. This knowledge is essential for building the final product / service, but also for the product development strategy, followed by its promotion, sales and lifecycle management. In the implementation strategy process, it is necessary to establish elements (activities) such as the name, logo, packaging, market analysis, marketing strategy, and sales strategy (including distribution and sales channels). The article analyses the new product launch process from an economic, marketing, financial and organisational perspective.

Streszczenie
Przygotowanie do wprowadzenia nowego produktu na rynek jest kluczowym elementem, który pozwoli organizacji zmaksymalizować szanse na zaistnienie w świadomości konsumenta. Konieczne jest więc przeanalizowanie i zdefiniowanie potrzeb, zachowań, ścieżek zakupowych potencjalnego klienta / odbiorcy. Ta wiedza jest niezbędna do budowania finalnego produktu / usługi, ale także strategii rozwoju produktu, a następnie jego promocji, sprzedaży i zarządzania cyklem życia. W procesie strategii wdrażania konieczne jest ustalenie takich elementów (działań), jak: nazwa, logotyp, opakowanie, analiza rynku, strategia marketingowa, a także strategia sprzedażowa (obejmująca kanały dystrybucji i sprzedaży). Artykuł analizuje proces wprowadzania nowego produktu na rynek z perspektywy ekonomicznej, marketingowej, finansowej i organizacyjnej.
Public management as a concept for improving the efficiency and cost-effectiveness of public administration
Authors: Wojciechowski Łukasz , Skrzypek-Ahmed Sylwia , Ivashko Olena , Sak-Skowron Monika , Dziwulski Jacek
Published: December 2023

Abstract
New public management introduces a managerial approach to managing the public sector and administration from the perspective of human resources management. This approach assumes the adaptation of efficiency mechanisms and management methods and techniques used in the private sector to the conditions of managing public organizations. The model assumes effective implementation of public cost accounting, an approach based on achieving results, decentralization of management, wider consideration of public-private partnerships and extensive use of market mechanisms. This management model is intended to ensure the economy, efficiency and effectiveness of the organization, including the privatization of some public services.
Streszczenie
Nowe zarządzanie publiczne wprowadza podejście menedżerskie do zarządzania sektorem publicznym i administracją z perspektywy zarządzania zasobami ludzkim. Takie podejście zakłada adaptację mechanizmów efektywnościowych oraz metod i technik zarządzania stosowanych w sektorze prywatnym do warunków zarządzania organizacjami publicznymi. Model zakłada efektywne wdrożenie rachunku kosztów publicznych, podejście oparte o osiąganie wyników, decentralizację zarządzania, szersze uwzględnienie partnerstwa publiczo-prywatnego oraz szerokie wykorzystanie mechanizmów rynkowych. Ten model zarządzania ma zapewnić gospodarność, efektywność i skuteczność organizacji, w tym prywatyzację części usług publicznych.
Translating difference: whiteness, racialisation and queer migration in Berlin
Authors: Altay Tunay
Published: December 2023

This article explores how the experiences of queer migration shape and inform racialisation, and how racial categories, such as ‘whiteness’ and ‘non-whiteness’, are employed by queer migrants from Turkey in relation to their narratives of belonging and non-belonging in Germany. Drawing on fieldwork conducted in Berlin between 2018 and 2022, I aim to show how racism is ambiguously attached to migration and sexual difference, and how ideas of racial difference enable queer migrants to form political collectives and make their experience intelligible to themselves and others. Instead of approaching racialisation as an all-or-nothing finality, the participants often use narratives of non-belonging to distance themselves from the public majority (defined as ‘heterosexual’ and ‘white’) and employ hybrid minoritarian identities, such as ‘queer people of colour’, to translate their difference to other queer migrant and racialised groups in Berlin.
Shifting equality from the margins: the Common European Asylum System and the making of trans rights in the European Union
Authors: Le Bellec Amandine
Published: December 2023

This article investigates the role played by the main European cooperation mechanism on asylum, the Common European Asylum System, in the making of lesbian, gay, bisexual, trans and intersex rights in the European Union. Based on a one-year qualitative inquiry in Brussels and online, it shows that European Union asylum policies were a key arena for the consolidation, invention and renegotiation of European Union lesbian, gay, bisexual, trans and intersex rights, especially concerning trans recognition. This pioneering role, far from being fortuitous, was part of the conscious strategy of the lesbian, gay, bisexual, trans and intersex movement to use asylum as a ‘side door’ to the creation of a de facto recognition of ‘gender identity’ as a protected characteristic. Characterising this phenomenon as a ‘politics of interstices’ and analysing the importance of ignorance (and not just knowledge) as a tool for policy change, this article makes the case for an analysis of policymaking that acknowledges the importance of non-equality-specific arenas in the making of equality norms.
High-bandwidth tilt-tip mirror with octagonal prism flexible mechanism
Authors: Xu Xingyu , Ge Jiuba , Hu Ming , Zhang Qi , Wang Hongyan , Wu Jingjing , Zhu Huaxin , Hu Lifa
Published: December 2023

The adaptive optical system requires a tilt-tip mirror (TTM) with high bandwidth to compensate for optical beam jitter caused by atmospheric turbulence in real time. This paper introduces a novel, to the best of our knowledge, design of a voice coil TTM using an octagonal flexible mechanism and optimizes its parameters through theoretical analysis and finite element simulations. The results show that its resonance frequency in the non-working direction is up to 1005.2 Hz, representing a 19.4% improvement in theoretical calculations and a 13.8% improvement in simulations compared to traditional cylindrical flexible mechanisms. Additionally, the non-working direction stiffness of the flexible support structure has been optimized, enhancing the third-order and higher resonance frequencies of the system to meet the high bandwidth requirements. A prototype of the TTM was developed based on this design, and its deflection angles and responses were measured in the laboratory, confirming the design’s reliability. This low-cost, high-bandwidth TTM design facilitates miniaturization of adaptive optical systems, making it beneficial for applications in astronomical observations, laser communication, laser weapons, laser processing, and more.
Resolution improvement in aerial imaging by a retroreflector using micro aperture arrays
Authors: Chen Jiahua , Zhou Yangui , Hou Jinqiao , Jiang Min , Li Yongyao , He Hexiang
Published: December 2023

For a floating display system using a prism- or bead-type retroreflector, non-retroreflected light is the key cause of the deterioration in image resolution. In the present study, a micro aperture array was used to enhance the image resolution of aerial imaging displays based on prism and bead retroreflectors. The effects of different micro aperture parameters on the divergence angle of the retroreflector were experimentally studied, and the modulation of the point spread function of different retroreflectors was also explored in detail. The experimental results showed that by properly arranging the micro aperture array, the divergence angle of the retroreflective light could be effectively reduced. Moreover, the full width at half maximum of the point spread function of the retroreflector was effectively narrowed. Finally, after the modulation of the micro aperture array, the imaging resolution was increased by 115%–150% compared to the original resolution. The proposed micro array is low cost, easy to process, and flexible and can be applied to a retroreflector-based aerial imaging system to provide high image quality.
Diffusion controls local versus dispersed inheritance of histones during replication and shapes epigenomic architecture
Authors: Singh Archit , Chakrabarti Shaon
Published: December 2023

The dynamics of inheritance of histones and their associated modifications across cell divisions can have major consequences on maintenance of the cellular epigenomic state. Recent experiments contradict the long-held notion that histone inheritance during replication is always local, suggesting that active and repressed regions of the genome exhibit fundamentally different histone dynamics independent of transcription-coupled turnover. Here we develop a stochastic model of histone dynamics at the replication fork and demonstrate that differential diffusivity of histones in active versus repressed chromatin is sufficient to quantitatively explain these recent experiments. Further, we use the model to predict patterns in histone mark similarity between pairs of genomic loci that should be developed as a result of diffusion, but cannot originate from either PRC2 mediated mark spreading or transcriptional processes. Interestingly, using a combination of CHIP-seq, replication timing and Hi-C datasets we demonstrate that all the computationally predicted patterns are consistently observed for both active and repressive histone marks in two different cell lines. While direct evidence for histone diffusion remains controversial, our results suggest that dislodged histones in euchromatin and facultative heterochromatin may exhibit some level of diffusion within “Diffusion-Accessible-Domains” (DADs), leading to redistribution of epigenetic marks within and across chromosomes. Preservation of the epigenomic state across cell divisions therefore might be achieved not by passing on strict positional information of histone marks, but by maintaining the marks in somewhat larger DADs of the genome.
Exploring the limitations of language interpretation: A qualitative study on clinicians’ experiences at French Office of Immigration and Integration
Authors: Brown Carter , Roucoux Guillaume , Dimi Svetlane , Fahmi Saleh , Banou Jeevan Raj , Chassany Olivier , Chaplin John Eric , Duracinsky Martin
Published: December 2023

The concordance of communication between patients and health professionals is essential to promoting positive health outcomes. However, concordance may be broken where language barriers exist therefore creating a need to use interpretation services. This is the case when rapid diagnostic testing (RDT) of HIV, HBV, and HCV is offered to migrants. The use of interpreters to establish communication with patients having limited French proficiency (LFP) however, is often not used and can be problematic. Despite being offered, interpretation services are frequently underutilised, which makes communication challenging. This problem has not received enough attention in the literature, particularly in a technologically advanced setting where solutions may be found. Our objective was to explore how interpreters are used within the context of medical consultations when RDT for HIV, HBV, and HCV is offered to legal migrants with LFP. A cross-sectional qualitative study was used with a purposive sample that included doctors and nurses who had conducted rapid screening tests with migrants in four centers in France and who had access to interpretive services. Semi-structured interviews explored healthcare providers’ (HP) use of interpreters at the OFII. The use of professional or ad hoc interpreters, telephone interpreters, and the equivalence of concepts such as health literacy between the HP and the interpreter were explored. The utility of a new tool to promote communication concordance was evaluated. Twenty interviews were conducted with eleven doctors and nine nurses with a median age of 58 years (25–67 years). All participants had access to interpretive services although many did not solicit them because of 1) unawareness on how to use the services, 2) preconceived notions of the length of time to involve an interpreter and how this would add to consultation times, or 3) the proximity of an ad hoc interpreter. Not using interpreter services could result in RDTs not being offered to immigrants. Subjects such as confidentiality, the embarrassment of a third party’s presence, the lack of appropriate training and differing levels of health literacy were also discussed by participants. Insight from HPs allows us to better understand how both telephone and in-person interpretation are used, viewed, and why they are underused to communicate with limited French language skills patients. Our findings will help us develop a conceptual model for a digital communication tool to overcome barriers with migrant patients with limited French language skills.
Tackling upcoming projects: The development and efficacy of event previews an experimental study
Authors: Schollaert Eveline , Mertens Shana , Anseel Frederik , Kluijtmans Tom , Servaes Marie , Crucke Saskia
Published: December 2023

Traditional performance management systems are increasingly seen as ill-conceived for today’s dynamic organizational landscape. Researchers and practitioners advocate for agile PM systems that emphasize continuous monitoring, learning, and feedback. We present the ‘event preview’, a novel approach that is designed to address several shortcomings of traditional performance management practices. Event previews consist of five fixed questions, which are discussed among team members before an event, instigating a detailed reflection and mental simulation of upcoming events or projects in order to achieve the desired outcomes. In doing so, event previews support teams to utilize their projects as learning opportunities. This study provides the theoretical basis for the event preview and empirically tests its effectiveness. A sample of 119 teams participated in the experiment in which they were asked to solve as many puzzles as possible within a fixed time frame. One condition conducted an event preview beforehand, the other condition did not. Our findings, which were based on a comparison of the averages of the two conditions, suggest that the event preview holds promise for improving team performance and communication. As such, the event preview presents an additional instrument to the changing performance management landscape. This simple practice can be incorporated in the performance management cycle, emphasizing adaptability and continuous improvement in organizations.
Risk management of hydrogenation station PPP project based on 3D framework—A case study in China
Authors: Zhao Hui , Yu Guikun , Cheng Xian
Published: December 2023

Renewable hydrogen energy has received growing attention due to the energy shortage and increasing CO2 emissions. With these issues in mind, renewable hydrogen has become an important component of future energy systems in many countries, especially in the transportation sector. However, the shortage of hydrogenation station and the risks associated with their construction have become an urgent issue for the development of hydrogen energy transportation. To better implement the hydrogenation station project, a risk management framework is proposed for risk control. First, a comprehensive risk index system is developed, using a weighting method based on the G1 method and the C-OWA operator. Second, a grey fuzzy synthetic assessment method is applied to evaluate the risk based on the 3D risk assessment framework. Finally, risk is assigned to different participants and actionable measures are proposed. This paper summarizes the obstacles to the development of hydrogen energy transportation, highlights the potential of hydrogen energy development, and suggests workable solutions for the use of hydrogen energy in the future transportation industry.
Outpatient antibiotic prescribing during the first two years of the COVID-19 pandemic: A nationwide register-based time series analysis
Authors: Kari Heini , Rättö Hanna , Saastamoinen Leena , Koskinen Hanna
Published: December 2023

The COVID-19 pandemic has imposed an enormous burden on health care systems around the world. Simultaneously, many countries have reported a decrease in the incidence of other infectious diseases, such as acute respiratory infections, leading to a decline in outpatient antibiotic use. The aim of this study is to assess the impact of the COVID-19 pandemic on outpatient antibiotic prescribing in Finland during the first 2 years of the pandemic. We used nationwide register data, applied descriptive methods, and conducted an interrupted time series analysis (ITSA) using ARIMA modelling. Results from the ARIMA modelling showed that at the baseline, before the pandemic, the level of monthly number of antibiotic prescriptions was 248,560 (95% CI: 224,261 to 272,856; p<0.001) and there was a decreasing trend of 1,202 in monthly number of prescriptions (95% CI: -2,107 to -262; p<0.01). After the COVID-19 pandemic began, there was a statistically significant decline of 48,470 (95% CI: -76,404 to -20,535, p<0.001) prescriptions (-19.5% from the baseline level). The greatest decrease in antibiotic prescribing was observed among children aged 0–17 years. While antibiotic prescribing declined in all antibiotic groups associated with respiratory tract infections, the decrease from 2019 to 2020 was the largest with azithromycin (52.6%), amoxicillin (44.8%), and doxycycline (43.8%). Future studies should continue exploring antibiotic prescribing trends during the COVID-19 pandemic and beyond.
Atenção Primária em Saúde: análise de situação de saúde bucal de um município do Extremo Sul de Santa Catarina
Authors: Muffato Gabriel , Candido Ana Claudia , Tuon Lisiane , Bisognin Ceretta Luciane
Published: December 2023

A saúde bucal tem importância reconhecida como componente da qualidade de vida das pessoas. Porém, em nível nacional, uma parcela importante da população ainda não tem acesso adequado aos serviços odontológicos. Nesse sentido, a presente pesquisa tem por objetivo caracterizar a Atenção a Saúde Bucal na Atenção Primária em Saúde do município de Criciúma ­ SC. Trata-se de um estudo transversal a partir de dados de um projeto guarda-chuva nominado: Atenção Primária em Saúde: Análise de Situação de Saúde e Perspectivas para a Rede Pública de Saúde de Criciúma –SC (ASIS). Foram incluídas 45 Unidades de Saúde, sendo que 38 apresentavam equipes de saúde bucal. Quanto à estrutura física e operacional 40 unidades apresentavam consultório odontológico, sendo que três possuíam mais de um consultório. Sobre as atribuições do cirurgião-dentista, 94% participavam das reuniões de equipe, entretanto 23,68% ainda não participavam dos atendimentos domiciliares. Quanto aos usuários da APS 81% referiram estar satisfeitos com o atendimento odontológico. Por fim destaca-se a importância da educação permanente em saúde como uma fermente de promoção constante atualização de conhecimentos e habilidades, fortalecendo a capacidade das equipes de lidar com desafios emergentes e complexos, aprimorando a eficiência e a qualidade dos serviços prestados.
A JUDICIALIZAÇÃO DO DIREITO A SAÚDE PARA ACESSO A MEDICAMENTOS SEM REGISTRO NA ANVISA
Authors: Sousa Nogueira Glauber
Published: December 2023

Contextualização: A judicialização da saúde vem crescendo a cada ano, exigindo do Poder Judiciário resolução de problemas atinentes a diferentes matérias ligadas à concretização desse importante direito fundamental. Nesse quadrante, a temática ligada ao dever estatal de prestação das ações e serviços de saúde por meio do fornecimento de medicamentos levou o Supremo Tribunal Federal a decidir sobre a possibilidade da sua dispensação mesmo sem o registro exigido em lei pela Agência Nacional de Vigilância Sanitária, desde que observados os preceitos delineados pela Suprema Corte no Recurso Extraordinário nº 657.718.
Objetivo: O presente trabalho objetiva analisar a atuação do STF na decisão mencionada, como forma de reafirmar a importância do Poder Judiciário na concretização dos direitos fundamentais, ainda mais frente as possíveis omissões dos demais Poderes e órgãos encarregados da implantação de políticas públicas relacionadas à saúde.
Metodologia: Utilizou-se para o desenvolvimento da presente pesquisa de uma abordagem qualitativa, assim como da documental-bibliográfica e da de cunho exploratória.
Resultados: Como resultado, tem-se que o papel do Poder Judiciário é de suma importância na concretização do direito fundamental à saúde, a exemplo da atuação do Supremo Tribunal Federal no RE 657.718/MG, garantindo acesso a medicamentos dentro de premissas nucleadas nos preceitos da segurança dos requerentes e eficácia dos fármacos requisitados à liberação na via judicial.
A EFETIVAÇÃO DOS DIREITOS FUNDAMENTAIS POLÍTICOS DAS MULHERES À LUZ DE NANCY FRASER
Authors: Brum Amanda , Cristianetti Jessica
Published: December 2023

Contextualização: No ranqueamento mundial que abarca a presença feminina no Parlamento, o Brasil se situa entre os últimos países, o que significa que contempla a centésima décima sétima posição na classificação mundial de mulheres parlamentares dentre outros 190 países. Em consonância com a edição de 2015 do Mapa da União Interparlamentar e da Organização das Nações Unidas (ONU) Mulheres, isso também revela condição desfavorável no que diz respeito aos países da América do Sul.

Objetivo: Nessa perspectiva, objetiva-se, neste trabalho, analisar o déficit de participação política feminina à luz da teoria tridimensional de Fraser, que propugna alcançar o reconhecimento (status social), a redistribuição (âmbito econômico) e a representação (político) com vistas a atingir a paridade de participação no âmbito das sociedades democráticas.

Metodologia: À vista disso, a pesquisa se estruturou pela análise crítica do discurso feminista e pelo método de indução analítica, com a técnica de pesquisa da documentação indireta.

Resultados: Para tanto, convém que as mulheres tenham concretizadas as três esferas para possibilitar a paridade de participação e consequentemente a plena participação política, conquistando a concepção efetiva democrática de justiça social a esse grupo.
Genetic Algorithm and Application
Authors: Le Khuong , Wei Tianyu , Tagalogon Justin
Published: December 2023

In the realms of science and engineering, genetic algorithms have established themselves as versatile algorithms, capable of tackling a diverse range of practical problems and serving as computational models that mirror the intricate mechanisms of natural evolutionary systems. They are considered as a search-based technique based on the principles of Genetics and Natural Selection used in computing to find an exact or approximate solution for optimization and search problems. Genetic algorithms are also termed as heuristic search algorithms that belong to the larger part of evolutionary algorithms. They are inspired by evolutionary biology such as selection, cross over, and inheritance mutation. These algorithms provide a technique for the program to automatically improve the class of their parameters and generate high-quality solutions for optimization problems and search problems . This paper is an introduction of the Genetic algorithm approach and briefly describes some of the most interesting research or applications which are used in real-world projects that enable readers to implement and experiment with Genetic Algorithm on their own.
Feasibility of a deep learning artificial intelligence model for the diagnosis of pediatric ileocolic intussusception with grayscale ultrasonography
Authors: Kim Se Woo , Cheon Jung-Eun , Choi Young Hun , Hwang Jae-Yeon , Shin Su-Mi , Cho Yeon Jin , Lee Seunghyun , Lee Seul Bi
Published: December 2023

Purpose: This study explored the feasibility of utilizing a deep learning artificial intelligence (AI) model to detect ileocolic intussusception on grayscale ultrasound images.Methods: This retrospective observational study incorporated ultrasound images of children who underwent emergency ultrasonography for suspected ileocolic intussusception. After excluding video clips, Doppler images, and annotated images, 40,765 images from two tertiary hospitals were included (positive-to-negative ratio: hospital A, 2,775:35,373; hospital B, 140:2,477). Images from hospital A were split into a training set, a tuning set, and an internal test set (ITS) at a ratio of 7:1.5:1.5. Images from hospital B comprised an external test set (ETS). For each image indicating intussusception, two radiologists provided a bounding box as the ground-truth label. If intussusception was suspected in the input image, the model generated a bounding box with a confidence score (0-1) at the estimated lesion location. Average precision (AP) was used to evaluate overall model performance. The performance of practical thresholds for the modelgenerated confidence score, as determined from the ITS, was verified using the ETS.Results: The AP values for the ITS and ETS were 0.952 and 0.936, respectively. Two confidence thresholds, CTopt and CTprecision, were set at 0.557 and 0.790, respectively. For the ETS, the perimage precision and recall were 95.7% and 80.0% with CTopt, and 98.4% and 44.3% with CTprecision. For per-patient diagnosis, the sensitivity and specificity were 100.0% and 97.1% with CTopt, and 100.0% and 99.0% with CTprecision. The average number of false positives per patient was 0.04 with CTopt and 0.01 for CTprecision.Conclusion: The feasibility of using an AI model to diagnose ileocolic intussusception on ultrasonography was demonstrated. However, further study involving bias-free data is warranted for robust clinical validation.
Neuromyelitis optica spectrum disorders and complement system: issues of pathogenesis and therapeutic options
Authors: Krasnov V. S.
Published: December 2023

An important component of the pathogenesis of neuromyelitis optica spectrum diseases (NMOSD) with antibodies to aquaporin-4 (AQP4-IgG) is a classical pathway of complement system (CS) activation with the implementation of mechanisms of complement-mediated cytotoxicity. Eculizumab is a humanized monoclonal antibody that suppresses the final stage of CS activation and has a high affinity for its C5 component. The most important components in the pathogenesis of NMOSD with AQP4-IgG, the role of CS, the results of clinical trials with the drug eculizumab and its place in the treatment of NMOSD are discussed.
NOVEMA® NIGHT (diphenhydramine + naproxen) in patients with pain and insomnia: results of a multicenter non-interventional observational study
Authors: Danilov A. B. , Pilipovich A. A. , Pyastolova M. V.
Published: December 2023

Pain and sleep disorders are interrelated problems that significantly affect patients’ quality of life (QoL) and daily functioning.

Objective: to evaluate the efficacy and safety of the use of the combination of diphenhydramine + naproxen (NOVEMA® NIGHT) in patients with acute pain syndrome or exacerbation of chronic pain syndrome and sleep disorders.

Material and methods. The study included 4365 outpatients with acute pain (musculoskeletal pain, post-traumatic pain, headache) and sleep disorders who took naproxen 275 mg, 1 tablet in the morning and diphenhydramine 25 mg + naproxen 220 mg (NOVEMA® NIGHT) for 5 days before bedtime. Pain intensity, using a visual analogue scale (VAS), and sleep disorders were assessed before and after treatment; QoL was assessed after treatment using a five-point scale.

Results. During treatment, a reduction or complete regression of pain was observed in 92% of cases (60 [50; 61] points on the VAS before treatment versus 10 [0; 20] after treatment; p<0.0001) and normalisation of sleep in most patients: faster falling asleep – in 81% (χ2=9650.2; p<0.0001), an increase in total sleep duration – in 75.5% (χ2=7351.2; p<0.0001), a decrease in the number of nocturnal awakenings – in 84% of patients (χ2=10,568; p<0.0001). At the end of treatment course, the majority of patients rated their quality of life as 4 out of 5 possible points (4 [4; 5]): 41% of patients – “high quality of life”; 48% – “above average”; 11% – “average”; 0.09% – “below average”). None of the patients had a low QoL. The therapy was well tolerated and no patient discontinued treatment due to adverse events (AEs).

Conclusion. Short-term treatment (5 days) with naproxen 275 mg and a combination of diphenhydramine 25 mg + naproxen 220 mg (NOVEMA® NIGHT) at bedtime effectively reduces the pain syndrome associated with insomnia. This therapy significantly improves patients’ QoL and has a low risk of AEs, so that we can recommend NOVEMA® NIGHT as an additional analgesic for patients with concomitant sleep disorders.
Students’ and Lecturers’ Perceptions of the Effectiveness and Challenges of Face-To-Face and Online Mathematics Instruction in Large-Scale Classes: The Case of the University Of Yaoundé 1
Authors: Tcheutia Daniel Duviol , Wandji Nanda Nathalie Diane
Published: December 2023

This study, aiming at investigating the inclusion of e-Learning as a solution for improving how Mathematics is currently taught, addresses the use of e-Learning to mitigate current challenges in Mathematics teaching in Higher Education, especially in the context of Cameroonian universities with large size classes and too few classrooms. Seats' availability, safety issues, microphone/sound issues, difficulty interacting with lecturers/peers and an insufficient number of practice exercises solved with the students are critical challenges regardless of the size of the class in Cameroonian universities. From the information collected from both lecturers and students, the research team strongly believes that additional online teaching or tutorials combined with in-person sessions will help address several issues faced by students and lecturers in the local universities. Moreover, lecturers who participated in the survey clearly foresee the impact of the inclusion of additional online lectures and/or tutorials as an efficient way of increasing students’ chances of success in Mathematics; improving the students' understanding of the mathematics courses and reducing the number of students dropping out after their first year at the university. The authors designed a sample online course and its implementation in the Learning Management System, Modular Object-Oriented Dynamic Learning Environment (Moodle), is ongoing.
Challenges and opportunities of adopting online learning at the University of Gondar: Lecturers’ and higher officials’ perspectives
Authors: Kibret Alemu Kassaw , Eriku Getachew Azeze , Yitayal Melisew Mekie
Published: December 2023

E-learning is the use of the internet and ICT to access learning material, interact with the content, instructor, and learners, and acquire knowledge. Education has grown rapidly and transformed the present isolated, teacher-center face-to-face education into online. Despite the impact of e-Learning, there are many challenges in adopting and implementing it in higher education. Therefore, the main purpose of the study was to investigate the perspective of lectures, challenges, and opportunities of adopting online learning. The study conducted institutional-based mixed quantitative and qualitative study designs at the University of Gondar from June to October 2022. Simple random sampling techniques were employed to select study participants for the quantitative study and purposive sampling was used to select higher officials for an in-depth interview. A structured self-administered and in-depth interview guide questionnaire was used for the quantitative and qualitative data respectfully. Linear regression analysis conducted for the quantitative data while inductive thematic analysis was undertaken for the qualitative data. Thirteen (13) higher officials were involved in an in-depth interview and 366 instructors participated in the quantitative study. The majority of participants believed that e-Learning is applicable. However, almost all participants agreed that the infrastructures are inadequate at the University of Gondar. Five main themes emerged from an inductive thematic analysis which includes: perceptions of adopting online learning, challenges of adopting online learning, opportunities of adopting online learning, strategies to overcome challenges, and higher officials’ willingness and support. Most instructors and all higher officials are willing and happy to adopt. Internet connectivity, electric power, computer access, and poor perception of instructors, students, and employees will be a challenge to adopting e-Learning. Capacity-building training for the instructors and supporting teams and fulfilling infrastructures for the successful implementation of e-Learning at the University of Gondar is recommended.