bluuebunny/crossref_metadata_2025 huggingface dataset:
Self-management interventions for people with Parkinson’s Disease: A scoping review (Preprint)
Authors: Milne-Ives Madison , Carroll Camille , Meinert Edward
Published: June 2022

BACKGROUND

Parkinson’s disease can impose significant distress and costs on patients, families and caregivers, and healthcare systems. To address these burdens for families and the healthcare system, there is a need to better support patient self-management. To achieve this, there is a need for an overview of the current state of the literature on self-management, to identify what is being done, how well it is working, and what might be missing.

OBJECTIVE

The purpose of this scoping review is to provide an overview of the current body of research on self-management interventions for people with Parkinson’s disease and to identify any knowledge gaps.

METHODS

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and Population, Intervention, Comparator, Outcome, and Study (PICOS) frameworks were used to structure the methodology of the review. One reviewer systematically searched four databases (PubMed, Ovid, Scopus, and Web of Science) for evaluations of self-management interventions for Parkinson’s published in English. The references were screened using the EndNote X9 citation management software, titles and abstracts were manually reviewed, and studies were selected for inclusion based on the eligibility criteria. Data was extracted into a pre-established form and synthesised in a descriptive analysis.

RESULTS

There was variation among the studies on study design, sample size, intervention type, and outcomes measured. The randomised controlled trials had the strongest evidence of effectiveness: 5/8 randomised controlled trials found a significant difference between groups favouring the intervention on their primary outcome, and the remaining three had significant effects on at least some of the secondary outcomes. The two interventions for mental health outcomes found significant changes over time, and the three algorithms evaluated performed well. The remaining studies examined patient perceptions, acceptability, and cost-effectiveness, and found generally positive results.

CONCLUSIONS

This scoping review identified a wide variety of interventions designed to support various aspects of self-management for people with Parkinson’s disease. The studies all generally reported positive results, and although the strength of the evidence varied, this suggests that self-management interventions are promising for improving the care and outcomes of people with Parkinson’s. However, the research tended to focus on the motor aspects of Parkinson’s, with few non-motor or holistic interventions, and there was a lack of evaluation of cost-effectiveness. This research will be important to providing self-management interventions that meet the varied and diverse needs of people with Parkinson’s and to determining which interventions are worth promoting for widespread adoption.
Challenges of Teachers Amidst Sustained Global Health Crisis
Authors: Herrera Marvin B. , G. Caballes Dennis
Published: June 2022

Teachers around the globe encountered challenges during the onset of the pandemic. This study, therefore, aimed to identify the challenges faced by the teachers in the Division of Manila amidst sustained global health crisis. This study employed quantitative and qualitative research designs to determine the challenges encountered by the teachers. There were 61 teacher respondents for the survey questionnaire and six head teachers for the online interview. The results showed that teachers encountered several challenges on classroom management, training, resources, technical skills, and communication, and were vouched by the head teachers who shared their perspectives on the aforementioned challenges. While teachers were at their best to deliver the lessons despite various challenges, they needed instructional and administrative supports during this trying time where the situation is entirely new to everyone.
El camino de acceso a la información pública: ¿ley o cambio cultural?
Authors: Rabuffetti Mauricio
Published: June 2022

Rabuffetti analiza la perspectiva canadiense y uruguaya en relación al acceso a la información pública. En Canadá existen leyes de acceso a la información pública, aunque en los hechos estas normas no son garantía. En Uruguay se discute la elaboración de una ley similar, en un contexto en el cual el secretismo de la información estatal está arraigado en la cultura.
La comunicación es la marca - Ken Cato
Authors: Caballero Soledad
Published: June 2022

En el mundo contemporáneo no alcanza con que las empresas y productos tengan una identidad 1 en términos de comunicación, sino que hay que lograr que ésta capte la atención en el entorno congestionado de información en que el vivimos. De manera que las empresas se enfrentan al desafío de crear una identidad reconocible, que atraviese la jungla de mensajes en la que se encuentra inmerso su cliente y que, a la vez, sea lo suficientemente interesante como para llamar su atención, señala Ken Cato, diseñador gráfico australiano destacado a nivel internacional y presidente de Cato Partners.
“El mayor pecado que un caricaturista puede cometer es la ignorancia”. Entrevista a Joe Szabo
Authors: Caballero Soledad
Published: June 2022

Tiene una amplia experiencia y exitosa trayectoria en el mundo de la comunicación como periodista, caricaturista, fotógrafo y editor. Es el creador de WittyWorld International Cartoon Magazine que se distribuye en 103 países y es activo defensor del derecho a la libre expresión de los caricaturistas. Joe Szabo llegó a Uruguay como parte de un periplo a través de los cinco continentes, que realizó para conocer qué piensa la gente de Estados Unidos, de su política y su cultura. Szabo ofreció una conferencia en la sede central de la Universidad Católica del Uruguay sobre "El poder de la imagen" el 15 de marzo de 2007.
“Escuchar al cliente es fundamental”. Entrevista a Ignacio Bazzano y Javier Puig
Authors: Gómez Balarini Matías
Published: June 2022

Ignacio Bazzano y Javier Puig son socios en Parallel, la 'agencia digital' que crearon en 2001, cuando aúneran estudiantes universitarios de Comunicación Social en la Universidad Católica del Uruguay.
Se comunica, planifica y discute a través de Internet. Entrevista a Virginia Melián
Authors: Caballero Soledad
Published: June 2022

Virginia Melián tiene 37 años y se desempeña en el departamento de comunicación corporativa de Electrolux, el cual, desde Suecia, se encarga de la comunicación interna de sus empleados ubicados en todo el mundo. Esto le plantea el desafío de trabajar con un público multicultural, que tiene estilos gerenciales y de liderazgo diferentes, que hay que considerar a la hora de comunicar.
Texto de Gabriela Onetto. Las gárgolas y otros seres mágicos de Santiago de Querétaro
Authors: Onetto Gabriela
Published: June 2022

Texto publicado originalmente en la revista mexicana El Petit Journal, julio 2004.
Ilustración de Serrana del Castillo. Extensiones
Authors: Del Castillo Serrana
Published: June 2022

Montevideo, 1981. Estudió la Licenciatura en Comunicación Social en la Universidad Católica del Uruguay. Concurrió a talleres de pintura a partir de los cuatro años (Taller Montevideo, Taller de Clever Lara, Bellas Artes) y se reencontró con la ilustración en su trabajo vinculado a la publicidad.
HEALTH-RELATED QUALITY OF LIFE, ANXIETY, DEPRESSION AND CARDIOMETABOLIC VARIABLES IN PEOPLE WITH TYPE 2 DIABETES
Authors: Teles Gabriela de Oliveira , Santos Renata Carvalho dos , Silva Lucas Raphael Bento e , Sousa Romes Bittencourt Nogueira de , Marques Vitor Alves , Ertel Marcia Verônica , Macedo Mateus Nunes , Rebelo Ana Cristina Silva
Published: June 2022

Type 2 diabetes Mellitus is related to the increase prevalence of mental health problems. The aim of this study was to a) verify the anxiety and health-related quality of life (HRQoL) of diabetics with and without symptoms of depression; b) correlate HRQoL with blood glucose levels and abdominal adiposity and c) investigate if there is difference between genders. Ninety-six individuals, with an average age of 56.2 ± 9.6 years, men and women, carried out anthropometric measure: waist circumference (WC), body mass index, evaluation of blood pressure (BP), heart rate (HR) and fasting blood glucose. The Beck Depression Inventory, the Trait-State Anxiety Inventory and the SF-36 Questionnaire verified the presence of depressive symptoms, the anxiety level and the HRQoL respectively. Most individuals were overweight (78%) and altered WC (72.9%). The depression’s prevalence was 34.1%, and the levels of trait and state anxiety were 63.3% and 77%. Individuals with depression had worse HRQoL, anxiety (trait) and altered WC, but without differences in HR and BP. Men had better HRQoL and lower levels of depression than women. Cardiometabolic variables (abdominal adiposity and blood glucose) correlated with altered HRQoL, despite gender. In men, correlations between glycemia and functional capacity, and HR with mental health were observed. In women, anxiety levels correlated with functional capacity and abdominal adiposity. Diabetes is directly related to biopsychosocial factors, mainly HRQoL and depression. In addition, depressive diabetics have worse HRQoL, more anxiety and, in men, changes in body composition.
IMPROVING STUDENTS’ ACHIEVEMENT IN READING EXPOSITION TEXTS THROUGH THE APPLICATION OF TWO STAY - TWO STRAY STRATEGY
Authors: Syafitri Winda
Published: June 2022

The objective of this study is to investigate whether the application of Two Stay - Two Stray strategy significantly improves the students’ achievement on reading comprehension exposition text. This study was conducted by using classroom action research. The subject of this research was the second grade of SMA Negeri 2 Binjai which consisted of 36 students. The research was conducted in two cycles. The first cycle consisted of three meetings and second cycle consisted of three meetings. The instrument for collecting the quanitative data was essay test for reading and the instruments for collecting the qualitative data were diary notes, observation sheet, questionnaire sheet, interview sheet and students’ activities record. Based on the analysis, students’ achievement is improved in every test. In test I, the mean score was 56.44. In test II in cycle I, the mean score was 69.89, and in the test III in cycle II, the mean score was 81.58. Based on the observation sheet, diary notes, and interview sheet, it was found that the teaching learning process ran well. the students were more active, enthusiastic in working in group . It was concluded that Two Stay-Two Stray Strategy can improve the students’ achievement in reading exposition text.
REGIONAL DIALECT OF MANDAILINGNESE SHIFT IN BANDAR SELAMAT
Authors: Maisaroh Enni
Published: June 2022

The purpose of this research was to investigate the factors influenced language shift of Mandailingnese in Bandar Selamat. Mandailingnese language is one of the vernaculars or Regional Languages in Indonesia that some of the society in Bandar Selamat. People are influenced by another language, because of several factors that people would not use their own language purely anymore. They would shift from their own language to another, which was known as language shift. Siregar (1998) found that language shift happen in the youth generation bilingual in Medan. According to Fasold (1984), language shift refers to changes in language use among a community of speakers such as when a community started to use on language in domain and functions in which its members had previously used another language and shift in the number of speakers of a language. In general, Mandailingnese Language shift in Bandar Selamat was influenced by bilingualism factors, economic factors, social factor, political factor, demographic factor, value and attitude factor, and the lack of Mandailingnese language competence factor. However, there are few different factors between the second and the third generation. Unlike the second generation, bilingual and economic factor are not significant factors for the third generation which influence them to shift from Mandailingnese language to Indonesian language since most of the subjects of the third generation are monolinguals.
Analisis Yuridis Pendaftaran Indikasi Geografis Berdasarkan Prinsip Kepastian Hukum
Authors: Noviyanti Herlin , Yetniwati Yetniwati
Published: June 2022

Geographical Indication is a sign indicating the area of ​​origin of an item and/or product which due to geographical environmental factors including natural factors, human factors or a combination of these two factors gives a certain reputation, quality, and characteristics to the goods and/or products produced. Indonesia has a lot of potential Geographical Indications. However, the problem that currently occurs is that of the many potential Geographical Indications owned by Indonesia, only very few Geographical Indications are registered. Based on the problems above, the writing draws two formulations of the problem as follows: First, how is the application of the principle of legal certainty in the regulation of registration of geographical indications? Second, how is the mechanism for registering ghis thesis uses a normative juridical research method with legal issues of legal issues of obscurity of norms. The purpose of this study is to find out and analyze how the registration of geographical indications is in the perspective of the law on trademarks and geographical indicatieographical indications in accordance with the laws and regulations? The writing of tons, as well as to find out and analyze how the registration of geographical indications is . and using a research approach, namely a case approach, a statutory approach and a conceptual approach. The results of the study indicate that the application and registration of Geographical Indications contains certain conditions that must be met.
Abstrak
Indikasi Geografis adalah suatu tanda yang menunjukkan daerah asal suatu barang dan/atau produk yang karena faktor lingkungan geografis termasuk faktor alam, faktor manusia atau kombinasi dari kedua faktor tersebut memberikan reputasi, kualitas, dan karakteristik tertentu pada barang dan/atau produk yang dihasilkan. Indonesia memiliki banyak sekali potensi Indikasi Geografis. Namun persoalan yang saat ini terjadi, dari sekian banyak potensi Indikasi Geografis yang dimiliki oleh Indonesia hanya sedikit sekali Indikasi Geografis yang terdaftar. berdasarkan permasalahan diatas maka penulisan menarik dua rumusan masalah sebagai berikut, Pertama Bagaimana penerapan prinsip kepastian hukum dalam pengaturan pendaftaran indikasi geografis? Kedua, Bagaimana mekanisme pendaftaran indikasi geografis sesuai dengan peraturan perundang undangan? Penulisan skripsi ini menggunakan metode penelitian yuridis normatif dengan isu hukum isu hukum kekaburan norma, Tujuan dalam penelitian ini adalah untuk mengetahui dan menganalisis bagaimana pengaturan pendaftaran indikasi geografis dalam perspektif undang-undang tentang merk dan indikasi geografis, serta untuk mengetahui dan menganalisis bagaimana pendaftaran indikasi geografis. dan menggunakan pendekatan penelitian yaitu pendekatan kasus, pendekatan perundang-undangan serta pendekatan konseptual. Hasil penelitian menunjukan bahwa mengenai Penerapan dan pendaftaran Indikasi Geografis mengandung syarat tertentu  yang harus dipenuhi.
Asas Nebis In Idem Dalam Perkara Kepailitan
Authors: Riawati Ritri , Muskibah Muskibah , Alissa Evalina
Published: June 2022

The purpose of this research is to find and analyze nebis in idem principle. In bankruptcy proceedings The problem is how the formulation in idem principle nebis in idem in bankruptcy proceedings The methodology used normative.  Juridical namely researchThe results of the research is that both bankruptcy and suspension of debt payment obligation will be nebis in idem principle because no one chapter of UUK PKPU and said that in bankruptcy proceedings and does not apply in principle PKPU nebis in idem but in practice the principle of drop the bankrupt PKPU and this is because this is a rather than a suit and nature of the request in the matter of pkpu. is dynamic and bankruptcy proceedings.
Abstrak
Tujuan penelitian ini adalah Untuk mengetahui dan menganalisis asas nebis in idem dalam perkara kepailitan. Rumusan masalahnya adalah bagaimana  penerapan asas nebis in idem dalam perkara kepailitan. Metode penelitian yang digunakan yaitu penelitian yuridis normatif. Hasil dari penelitian adalah bahwa di perkara kepailitan dan penundaan kewajiban pembayaraan utang tetap berlaku asas nebis in idem dikarenakan tidak ada satu pasal dari UUK dan PKPU yang menyatakan bahwa di perkara Kepailitan dan PKPU tidak berlaku asas nebis in idem, tetapi  dalam prakteknya hakim menggugurkan asas ini dikarenakan permohonan pailit dan PKPU bentuknya adalah “permohonan” bukannya “gugatan” dan sifat dari alasan permohonan dalam perkara PKPU dan perkara kepailitan adalah dinamis.
CYTOTOXICITY AND WOUND HEALING CAPACITY OF BIOLOGICALLY SYNTHESIZED SILVER NANOPARTICLES
Authors: BAYGAR Tuba , SARAÇ Nurdan , UĞUR Aysel
Published: June 2022

Metallic nanoparticles are interesting areas of research due to their unique properties which can be advantageous for producing smart products. Silver nanoparticles (AgNPs) are remarkably used in pharmaceutical industry because of their strong biological activities. The aim of the present study was to investigate the cytotoxicity and wound healing capacity of the biologically prepared silver nanoparticles via green synthesis route. Cytotoxicity of the biogenic AgNPs was determined by MTT (3- [4, 5- dimethyl-2-thiazolyl]-2, 5-diphenyl-2H-tetrazolium-bromide) assay against L929 fibroblast cell line. Wound healing properties of the AgNPs were evaluated using in vitro-scratch wound healing assay using 3T3 fibroblast cell line. Biosynthesized AgNPs inhibited the propagation of fibroblasts at a half maximal inhibitory concentration (IC50) of 23.507 μg/mL after 24 h incubation. In vitro wound healing assay also revealed that the biogenic AgNPs stimulated the 3T3 fibroblasts' cell proliferation. It can be suggested that biologically synthesized AgNPs can be used effectively for biomedical applications such as wound dressing materials.
Delayed, Recurrent Bile Leak from Isolated Right Posterior Sectoral Duct Injury After Laparoscopic Cholecystectomy: An Unusual Presentation
Authors: Sharma Amit , Ruch Brianna , Alwatari Yahya , Lele Sonia , BouHaidar Doumit
Published: June 2022

Bile leak after cholecystectomy is associated with significant
comorbidity. Biliary duct variant anatomy can complicate identification
and management. We report a very rare presentation of recurrent delayed
bile leaks years after laparoscopic cholecystectomy secondary to missed
right posterior sectoral bile duct injury. Surgical intervention was
required after failure of conservative management.

Key clinical message: Right posterior sectoral duct injury
should be considered in patients presenting with a delayed recurrent
bile leak. Deep dissection into liver parenchyma during gallbladder
fossa dissection should be avoided to prevent occurrence of such
injuries.
Wearability improvement of untethered pneumatic ankle foot orthosis
Authors: Shin Wonseok , Nam DongWoo , Heo Ung , Kim Jung , Ahn Bummo
Published: June 2022

Pneumatic active ankle foot orthosis (AFO) for drop foot correction has
the advantages of inherent compliance and remote force control. However,
pneumatic AFOs that use heavy stationary air compressors as the energy
source have limitations for outdoor use. Although a portable
air-compressor-powered pneumatic AFO has been developed recently, it is
difficult to operate in practical applications owing to the bulky design
of the AFO and excessive power sources with overheating issues. In this
study, the AFO system was optimized to improve wearability. The weight
of the AFO was decreased from 720 to 600 g. A Bluetooth module was
installed instead of a 1.2-m cable between the master and slave boards.
The efficiency of the portable pneumatic actuator increased 12.4%,
whereas its volume decreased 11%. The internal temperature was reduced
from 100°C to 40°C using two cooling fans. Throughout the optimization
process, the wearability of the AFO system was improved for real-life
use.
Dry season source water partitioning in contrasting tropical ecosystems of Costa Rica
Authors: R Sánchez-Murillo, , Todini-Zicavo D. , Poca María , Birkel Christian , Esquivel-Hernandez Germain , Chavarría-Díaz M. , Zuecco Giulia , Penna Daniele
Published: June 2022

Tracer-aided studies to understand source water partitioning in tropical
ecosystems are limited. Here we report dry season source water
partitioning in five unique ecosystems distributed across Costa Rica in
altitudinal (<150-3,400 m asl) and latitudinal (Caribbean and
Pacific slopes) gradients: evergreen and seasonal rainforests, cloud
forest, Páramo, and dry forest. Soil and plant samples were collected
during the dry season (2021). Plant and soil water extractions
(triplicates) were conducted using controlled centrifugation. Stem water
extraction efficiency and stem water content were calculated via
gravimetric measurements. Water source contributions were estimated
using a Bayesian mixing model. Isotope ratios in soil and stems
exhibited a strong meteoric origin. Enrichment trends were detected
mainly in stems and cactus samples within the dry forest ecosystem. Soil
profiles revealed nearly uniform isotopic profiles; however, a depletion
trend was observed in the Páramo ecosystem below 25 cm depth. More
enriched compositions were reported in cactus samples for extracted
water volumes above ~20% ( Adj.
r=0.34, p<0.01). The most prominent
dry season water source in the evergreen rainforest (74.0%), seasonal
rainforest (86.4%), and cloud forest (66.0%) corresponded with soil
water. In the Páramo ecosystem, recent rainfall produced by trade wind
incursions resulted in the most significant water source (61.9%),
whereas in the dry forest, mean annual precipitation (38.6%) and
baseflow (33.1%) were the dominant sources. The latter highlights the
prevalence of distinct water uptake sources between recent cold front’s
rainfall to more well-mixed soil moisture during the dry season.
Classification of variants of partial Brauer monoids
Authors: Djurdjev-Brkovic Ivana
Published: June 2022

A variant of a semigroup S with respect to an element a ? S is the semigroup
S a = (S, *a), where x *a y = xay for any x, y ? S. Here, a is the sandwich
element of Sa. In this article, we study variants of the partial Brauer
monoid PBn for n ? N. We give the classification of these variants in the case
when the rank of the sandwich element is nonzero.
Hamiltonian surfaces in the 4-cube, 4-bit gray codes and Venn diagrams
Authors: Muzika-Dizdarevic Manuela , Zivaljevic Rade
Published: June 2022

We study Hamiltonian surfaces in the d-dimensional cube Id as intermediate objects useful for comparative analysis of Venn diagrams and Gray cycles. In
particular we emphasize the importance of 0-Hamiltonian spheres and the
"sphericity" of Gray odes in the context of reducible Venn diagrams. For
illustration we show that precisely two, out of the nine known types of
4-bit Gray cycles, are not spherical. The unique, balanced Gray cycle is
spherical, which in turn leads to a new construction of a reducible Venn
diagram with 5 ellipses (originally constructed by P. Hamburger and R.E.
Pippert).
Evaluating the sum of convergent positive series
Authors: Abramov Vyachslav
Published: June 2022

We provide numerical procedures for possibly best evaluating the sum of
positive series under quite general setting. Our procedures are based on the
application of a generalized version of Kummer's test.
On some sufficient conditions for starlikeness
Authors: Nunokawa Mamoru , Sokół Janusz
Published: June 2022

We determine the sufficient conditions for function f(z) = z + a2z2 + ... to
be starlike of order 1/2, which shows also the starlikeness of f.
Summand intersection property on the class of exact submodules
Authors: Takıl Mutlu Figen , Tercan Adnan
Published: June 2022

A module M is said to have the SIP if intersection of each pair of direct
summands is also a direct summand of M. In this article, we define a module
M to have the SIPr if and only if intersection of each pair of exact direct
summands is also a direct summand of M where r is a left exact preradical
for the category of right modules. We investigate structural properties of
SIPr-modules and locate the implications between the other summand
intersection properties. We deal with decomposition theory as well as direct
summands of SIPr-modules. We provide examples by looking at special left
exact preradicals.
On Ramanujan's Eisenstein series identities
Authors: Anusha Thippesha , Bhuvan Nalige
Published: June 2022

Ramanujan's work was inspiring and distinguishable from those of his predecessors as he wrote many theorems, but he proved very few. In this paper, we
make use of P-Q theta function identities written by Ramanujan and we offer
new proofs to Eisenstein series identities of level 14 developed by Cooper
and Ye, where the proofs were presented using modular forms. Analogously, we
derive certain new Eisenstein series identities of level 14.
Association Between Insulin Resistance and Cardiovascular Disease Risk Varies According to Glucose Tolerance Status: A Nationwide Prospective Cohort Study
Authors: Wang Tiange , Li Mian , Zeng Tianshu , Hu Ruying , Xu Yu , Xu Min , Zhao Zhiyun , Chen Yuhong , Wang Shuangyuan , Lin Hong , Yu Xuefeng , Chen Gang , Su Qing , Mu Yiming , Chen Lulu , Tang Xulei , Yan Li , Qin Guijun , Wan Qin , Gao Zhengnan , Wang Guixia , Shen Feixia , Luo Zuojie , Qin Yingfen , Chen Li , Huo Yanan , Li Qiang , Ye Zhen , Zhang Yinfei , Liu Chao , Wang Youmin , Wu Shengli , Yang Tao , Deng Huacong , Zhao Jiajun , Shi Lixin , Ning Guang , Bi Yufang , Wang Weiqing , Lu Jieli
Published: June 2022

OBJECTIVE

To investigate whether the association between insulin resistance and cardiovascular disease (CVD) differs by glucose tolerance status.

RESEARCH DESIGN AND METHODS

We analyzed a nationwide sample of 111,576 adults without CVD at baseline, using data from the China Cardiometabolic Disease and Cancer Cohort Study. Insulin resistance was estimated by sex-specific HOMA of insulin resistance (HOMA-IR) quartiles for participants with normal glucose tolerance, prediabetes, or diabetes, separately, and by 1 SD of HOMA-IR for the overall study participants. We used Cox proportional hazards models to examine the association between insulin resistance and incident CVD according to glucose tolerance status and evaluate the CVD risk associated with the combined categories of insulin resistance and obesity in prediabetes and diabetes, as compared with normal glucose tolerance. Models were adjusted for age, sex, education attainment, alcohol drinking, smoking, physical activity, and diet quality.

RESULTS

In participants with normal glucose tolerance, prediabetes, and diabetes defined by three glucose parameters, multivariable-adjusted hazard ratios (95% CIs) for incident CVD associated with the highest versus the lowest quartile of HOMA-IR were 1.03 (0.82–1.30), 1.23 (1.07–1.42), and 1.61 (1.30–2.00), respectively; the corresponding values for CVD per 1-SD increase in HOMA-IR were 1.04 (0.92–1.18), 1.12 (1.06–1.18), and 1.15 (1.09–1.21), respectively (P for interaction = 0.011). Compared with participants with normal glucose tolerance, in participants with prediabetes, the combination of the highest HOMA-IR quartile and obesity showed 17% (95% CI 2–34%) higher risk of CVD, while the combination of the lowest two HOMA-IR quartiles and nonobesity showed 15–17% lower risk of CVD. In participants with diabetes, the upper two HOMA-IR quartiles exhibited 44–77% higher risk of CVD, regardless of obesity status. Consistent findings were observed for glucose tolerance status defined by different combinations of glycemic parameters.

CONCLUSIONS

Glucose intolerance status exacerbated the association between insulin resistance and CVD risk. Compared with adults with normal glucose tolerance, adults with prediabetes who were both insulin resistant and obese exhibited higher risks of CVD, while in adults with diabetes, the CVD risk related to insulin resistance remained, regardless of obesity.
Sharps Disposal Practices Among People With Diabetes in a Community Care Clinic
Authors: Charbonneau Maria S. , Parsons Katelyn A. , Danckert Daniel C. , Silveira Kathleen , Shcherbakova Natalia , Capoccia Kam L.
Published: June 2022

  

Objectives. The primary objective of this study was to determine sharps disposal practices among people with diabetes in a community care clinic. Secondary objectives were to identify patterns of sharps use and barriers to proper use.

Methods. Surveys were distributed to patients at a community care clinic in person and via mail. Survey questions focused on how sharps are used and disposed of, the frequency of sharps changes, sharps disposal training, sharps identification, and confidence in sharps disposal. Participant demographics and diabetes profiles were also collected.

Findings. Among 89 respondents, mean age was 60 years (range 29–93 years), 61.8% were Caucasian, 88.8% had type 2 diabetes, and 60.7% had had a diabetes diagnosis for ≤10 years, with diverse diabetes management methods; 57.3% did not receive or were unsure of sharps training, 25.8% discarded used sharps without a designated sharps container, and 37.1% properly disposed of sharps containers at sharps disposal facilities. Barriers to proper sharps practices included perceived safety of reusing sharps and waste with single use, cost, and the hassle of disposal. Those with prior sharps training were more likely to properly use and discard sharps; however, gaps in knowledge were still evident in this population.

Conclusion. Results indicate gaps in proper sharps use and disposal knowledge among people with diabetes. Responses revealed sharps practices that are inconsistent with current federal and state regulations and are potentially dangerous for those handling improperly discarded sharps. Targeted sharps usage and disposal education resources are needed for individuals with and without prior sharps training.  
Process limit imposed by the occurrence of undercuts during high-speed laser welding
Authors: Reinheimer Eveline N. , Weber Rudolf , Graf Thomas
Published: June 2022

High-speed laser welding is a very efficient process that results in weld seams of high quality. The process is limited by the occurrence of weld defects, such as humping and undercuts. It was found that a transition from a weld without defects to a weld with undercuts occurs when a speed limit is exceeded. It was also found that undercuts occur at slightly lower feed rates than humping. Thus, it was concluded that undercuts represent the upper process limit of high-speed laser welding and may be seen as the precursor of the humping regime.
Einfluss der Höhenlage auf die Inhaltstoffe bei der Apfelsorte Golden Delicious in Südtirol
Authors: Kaneppele Elke , Stürz Barbara , Chitarrini Giulia , Eisenstecken Daniela , Rossi Oswald , Robatscher Peter , Zanella Angelo , Oberhuber Michael
Published: June 2022

Die Qualität klimakterischer Früchte wie Äpfel hängt in hohem Maße von der richtigen Erntezeit und den geeigneten Lagerbedingungen ab. Darüber hinaus ist bekannt, dass das Mikroklima um Obstbäume das Wachstum, die Reifung und die chemische Zusammensetzung von Früchten beeinflusst. Studien über die chemische Zusammensetzung von Äpfeln, die durch die Höhenlage der Obstanlage beeinflusst werden, sind jedoch nur wenige vorhanden, und daher muss das Wissen des Zusammenspiels und des Einflusses dieser Faktoren auf die Qualität von Apfelfrüchten verbessert werden. Das übergeordnete Ziel der vorliegenden Studie war eine bessere Kenntnis der Veränderungen verschiedener Fruchtmerkmale von Äpfeln des Typs „Golden Delicious Klon B“, die aus Anlagen in unterschiedlichen Höhenlagen stammen und in unterschiedlichen Reifegraden geerntet wurden. Darüber hinaus wurde untersucht, ob die Höhenlage unmittelbar nach der ULO-Lagerung und nach sechs Tagen shelf-life einen statistischen Einfluss auf die chemische Zusammensetzung der gelagerten Äpfel hatte. Die Ergebnisse der aktuellen Arbeit tragen zu einem besseren Verständnis der Auswirkungen des Erntedatums und der Höhenlage auf die Fruchtqualität und Lagerfähigkeit des „Golden Delicious-Klons B“ bei.
Results of kidney transplantation from suboptimal donors to recipients of the older age group
Authors: Khubutiya B. Z. , Khubutiya M. Sh. , Evseev A. K. , Babkina A. V.
Published: June 2022

Introduction. Among the growing number of patients with chronic renal failure who need dialysis therapy or kidney transplantation, a significant proportion are people over 60 years old, making from 30 to 45% of all patients who need dialysis, according to various sources. The elderly age of the recipient contributes to the risk of developing graft dysfunction due to the presence of concomitant diseases that worsen the immediate and long-term results of transplantation. And the probability of receiving a kidney graft in elderly patients is significantly lower than in young recipients. One of the ways to solve this problem is to use kidneys from suboptimal donors.

Material and methods. The analysis of clinical examinations, laboratory and instrumental test results obtained in 124 patients who underwent cadaveric kidney allotransplantation at the N.V. Sklifosovsky Research Institute for Emergency Medicine, including that from suboptimal donors, was carried out. Of these, 69 (55.6%) recipients aged 60 years and older were included in the main group (group 1), and 55 recipients younger than 60 years (44.4%) in the comparison group (group 2).

Results. Kidney transplantation to elderly patients (aged 60 years and older), including from a suboptimal donor, provides a sufficiently high efficiency with a 1-year recipient survival rate of 98.6% and a functioning graft for 1 year in 75.4% of cases, which does not differ from the survival rate of younger recipients (98.2%), but is inferior by the case rate of keeping the graft functioning (91.9%). Meanwhile, the parameters characterizing the functional state of the transplanted organs that maintained their function for 1 year did not differ statistically significantly between elderly and younger recipients.

Conclusions. The results of the study showed that kidney transplantation from suboptimal donors to patients of the older age group provides acceptable results with low mortality of recipients and a 1-year functioning of the graft in 75% of cases. This makes it possible to increase the availability of kidney transplantation for patients of the older age group and achieve better survival results, provided adequate selection of recipients and an objective assessment of the quality of transplanted organs.
Pengembangan Pariwisata Perdesaan Bali: Integrasi Potensi, Kearifan Lokal dan Ekonomi Kreatif
Authors: Wesnawa I Gede Astra
Published: June 2022

Perdesaan di Pulau Bali memiliki berbagai daya tarik wisata untuk dikembangkan sebagai desa wisata. Sebagai sebuah industri kreatif, pariwisata mampu meningkatkan pendapatan wilayah dan kehidupan ekonomi masyarakat. Penelitian ini bertujuan mengintegrasikan potensi lokal, kearifan lokal dan ekonomi kreatif dalam pengembangan pariwisata perdesaan di Pulau Bali. Untuk mencapai tujuan tersebut penelitian ini dilaksanakan dengan pendekatan Interdisipliner. Populasi penelitian meliputi desa wisata yang tersebar di kabupaten/kota Provinsi Bali, yang dipilih dengan teknik purposive sampling. Sampel subjek melibatkan informan kunci yang terdiri dari kepala dinas pariwisata kabupaten, kepala desa, kelompok wisata, tokoh masyarakat, pelaku pariwisata, dan masyarakat sekitar. Data dikumpulkan melalui FGD, wawancara, dan observasi. Selanjutnya data dianalisis secara kualitatif melalui analisis interaktif. Hasil penelitian menunjukkan: bentuk-bentuk pariwisata yang dikembangkan meliputi bentuk daya tarik alam, daya tarik budaya dan daya tarik buatan berdasarkan sumberdaya desa wisata. Lebih lanjut, integrasi potensi lokal, kearifan lokal dan ekonomi kreatif diperlukan dalam rangka pengembangan pariwisata perdesaan di Pulau Bali. Integrasi ketiga komponen tersebut menjadi pondasi dan strategi yang kuat untuk mengembangkan pariwisata perdesaan secara berkelanjutan.
Energy technical light output of scintillators – problems of assessment and an alternative method for their solution
Authors: Grynyov Boris , Gurdzhian Narine , Zelenskaya Olga , Mitcay Larisa , Tarasov Vladimir
Published: June 2022

The paper analyzes the problems that arise when assessing the energy technical light output by existing methods. A modern alternative method for assessing the energy technical light output of various scintillators produced by the Institute of Scintillation Materials of the National Academy of Sciences of Ukraine is described.

The possibility of evaluating the technical light output of any scintillator by relative comparison with a reference stilbene-based scintillator with a known technical light output is shown. The resulting ratio of responses is recalculated in ph/MeV by taking into account the technical light output of the reference scintillator, equal to 0.023, and the photon formation energy of a particular scintillator.

The estimation procedure is described. Expressions are given for calculating the values of the technical light yield of scintillators in stilbene units and in ph/MeV. The radioluminescence spectra of the tested scintillators are compared with the sensitivity spectra of the normalized and laboratory photodetectors.

The technical light yield of scintillators based on single crystals of NaI(Tl), CsI(Tl), CWO, BGO, p-terphenyl, anthracene, stilbene, and a plastic scintillator has been estimated. The values of the responses amplitudes ratio, the spectral normalization coefficients and the tested scintillators technical light output were obtained in stilbene units and in ph/MeV. To check the adequacy of the method the calculation of the tested inorganic scintillators absolute light output was carried out using the light collection coefficients values given in the literature.

It is shown that with an increase in the scintillators technical light output, in stilbene units, from 0.26 for BGO to 4.3 for NaI(Tl), their technical light output increases from 2500 ph/MeV to 33100 ph/MeV. A decrease in the scintillation photon energy from 2.988 (l = 415 nm) for NaI(Tl) to 2.214 (l = 560 nm) for CsI(Tl) also increases the technical light output of the latter to 35300 ph/MeV. The performed estimates accuracy of scintillators technical light output was 8%.
The measurement uncertainty of air object spatial coordinates by rho-theta fixing
Authors: Zadorozhnaya Irina , Zaharov Igor , Tevyashev Andriy
Published: June 2022

The features of measurement uncertainty evaluation of the coordinates of an air object by the rho-theta fixing are discussed. Measurement models are presented that link its coordinates in the local rectangular coordinate system with the spherical coordinates of air object, found using a rangefinder and a goniometer. The models include a correction for determining the location of the base station, a correction for determining the angle of elevation due to inaccuracies in the leveling of the station platform and azimuth, and a correction related to the inaccuracy of the station’s reference to the north. The measurement uncertainty budgets of rectangular coordinates which can be a basis for creation of software for automation of calculation of measurement uncertainties are resulted. Estimates of expanded uncertainties are found by the method of kurtosis. Expressions for the relative standard uncertainties of coordinate measurements are written and an example of their estimation for real data is given.
HUBUNGAN MOTIVASI BELAJAR TERHADAP HASIL BELAJAR MATA KULIAH TEKNOLOGI PENGELASAN LOGAM MAHASISWA DIPLOMA III JURUSAN TEKNIK MESIN UNIVERSITAS NEGERI PADANG
Authors: Yanza Reski , Jasman Jasman , Purwantono Purwantono , Erizon Nelvi
Published: June 2022

Motivasi belajar adalah dorongan yang timbul dari dalam diri siswa (intrinsik) dan dari luar diri siswa

(ekstrinsik) untuk melakukan sesuatu. Penelitian ini dilatar belakangi oleh masih rendahnya hasil

belajar mata kuliah Teknik Pengelasan Logam pada mahasiswa diploma III Universitas Negeri

Padang. Tujuan dari penelitian ini adalah untuk mendeskripsikan tentang motivasi dan hasil belajar

serta melihat korelasi motivasi belajar terhadap hasil belajar mahasiswa. Penelitian ini menggunakan

metode penelitian kuantitatif korelasional untuk melihat hubungan antara motivasi belajar dengan

hasil belajar. Populasi dari penelitian ini adalah mahasiswa diploma III jurusan Teknik Mesin

Universitas Negeri Padang angkatan 2017 sebanyak 70 orang mahasiswa. Sampel yang digunakan

untuk penelitian ini adalah sebanyak 50. Pengumpulan data dilakukan menggunakan angket

penelitian. Pengolahan data menggunakan bantuan dari program excel dan SPSS versi 24.0.

Berdasarkan penelitian, didapatkan bahwa motivasi belajar mahasiswa diploma III jurusan Teknik

Mesin UNP tergolong cukup baik, ini terlihat dari tingkat pencapaian masing-masing indikator

motivasi belajar yaitu: Bersemangat dan bekerja keras agar berhasil dengan baik sebesar 78.08%

(kategori cukup), berusaha menghindari kegagalan 82.04% (kategori baik), berpresepsi baik terhadap

teman yang lebih baik 82.04% (kategori baik), memperhatikan dengan baik terhadap pelajaran yang

diberikan 84.73% (kategori baik). Hasil penelitian, diperoleh harga koefesien korelasi sebesar 0.843

artinya terdapat hubungan yang signifikan antara motivasi belajar siswa dengan hasil belajar pada

mata kuliah teknologi pengelasan logam mahasiswa diploma III jurusan Teknik Mesin Universitas

Negeri Padang, dengan kategori interpretasi koefisien korelasi tinggi.
PERAWATAN DAN PERBAIKAN MESIN SEKRAP ONAK TYPE L-350 DI LABORATORIUM PEMESINAN FT-UNP
Authors: Anggi Anggi , Jasman Jasman , Purwantono Purwantono , Indrawan Eko
Published: June 2022

Laboratorium Pemesinan Jurusan Teknik Mesin FT-UNP, terdapat alat-alat dan mesin-mesin yang cukup lengkap dalam mendukung kegiatan praktikum pemesinan. Salah satu jenis mesin yang terdapat di Laboratorium Pemesinan Jurusan Teknik Mesin FT-UNP, yang kondisinya banyak mengalami gangguan atau kerusakan adalah Mesin Sekrap Onak Type L-350 No. M5 2402. Mesin ini mengalami kerusakan pada komponen kopling, tollpost,  eretan vertikal dan horizontal meja. Tujuan penelitian tugas akhir ini untuk melakukan perawatan dan perbaikan mesin sekrap meliputi beberapa tahapan, yaitu mengidentifikasi kerusakan pada mesin sekrap, melakukan perbaikan dan pergantian komponen pada mesin sekrap, dan pengujian mesin sekrap. Hasil dari perawatan dan perbaikan mesin sekrap dapat diproleh; (1) Komonen kopling mesin sekrap dalam mekanisme operasional sebagai penghubung dan pemutus daya atau putaran dari motor utama menuju sistem transmisi mesin sekrap dapat bekerja secara efektif. (2) Mekanisme operasi komponen toolpost mesin sekrap Onak Type L-350 No. M5 2402 secara vertikal dapat berlansung secara normal, dimana pada saat digerakan melalui handle penggerak manual komponen toolpost terasa lebih ringan dan presisi dalam dimensi skala ukuran penyayatan berdasarkan hasil pengujian yang telah dilakukan. (3) Proses mekanisme gerakan meja eretan secara vertikal maupun horizontal dapat berlansung dengan ringan dan presisi  ketika operasi penyayatan.
PENGARUH MODEL PEMBELAJARAN THINK PAIR SHARE (TPS) TERHADAP HASIL BELAJAR PADA MATA DIKLAT CNC KELAS XI SMK NEGERI 2 PAYAKUMBUH
Authors: Fornandes Bayu , A Yufrizal , Prasetya Febri , Indrawan Eko
Published: June 2022

Proses belajar mengajary yang berkangsung pada saat sekarang ini, masih banyak tenaga pendidik yang masih menerapkan model pembelajaran konvensional berupa ceramah, yang berakibat pada penurunan minat belajar siswa saat proses pembelajaran yang dapat mempengaruhi hasil belajar siswa. Diterapkannya penelitian bermaksud untuk memumpuk aktivitas murid sehingga dapat meningkatkan hasil belajar murid. Model pembelajaran yang diterapkan dalam proses belajar mengajar yaitu penelitian tindakan kelas atau Classroom Action Research tipe kooperatif yaitu model pembelajaran Think Pair Share pada pelajaran CNC SMK Negeri 2 Payakumbuh. Diterapkan penelitian pada 2 lokal kelas XI Jurusan Teknik Mesin, yang nantinya hasil penelitian tersebut akan dibandingkan. Kelas XI TPM I menjadi kelas eksperimen dimana diterapkannya model pembelajaran Think Pair Share dan pada kelas XI TPM II akan menjadi kelas kontrol yang diterapkan metode ceramah (Konvesional). Penelitian ini bertujuan untuk mengetahui pengaruh model pembelajaran kooperatif terhaadap hasil belajar pada pembelajaran CNC kelas XI SMK Negeri 2 Payakumbuh Tahun pelajaran 2020/2021. Penelitian dilakukan sebanyak 2 siklus, masing-masing siklus dilakukan sebanyak 2 kali pertemuan setiap kelasnya. Hasil research mengungkapkan, peningkatan hasil study dari 56,52 menjadi 85,42. Sedangkan, kelas kontrol hanya mencapai 56,12 dan 71,23 pada kedua siklusnya. Hasil tersebut menjelaskan bahwa model pembelajaran Think Pair Share pada pelajaran CNC di SMK Negeri 2 Payakumbuh dapat menaikkan hasil dan aktivitas belajar peserta didik.
KELAYAKAN DAN KELENGKAPAN FASILITAS KESELAMATAN KERJA UNTUK BISA MENJAMIN K3 SISWA DI BENGKEL PEMESINAN SMK NEGERI 1 PADANG
Authors: Putra Agung Pradana , Pinat Muhamad Thaufiq , Irzal Irzal , Nabawi Rahmat Azis
Published: June 2022

Masalah dalam penelitian ini adalah tentang kelayakan dan kelengkapan fasilitas keselamatan kerja untuk bisa menjamin K3 siswa di bengkel pemesinan SMK Negeri 1 Padang. Tujuan penelitian ini yaitu untuk mengetahui kelayakan dan kelengkapan fasilitas keselamatan kerja untuk bisa menjamin K3 siswa di bengkel pemesinan SMK Negeri 1 Padang. Metoda yang digunakan dalam penelitian ini adalah metode deskriptif kualitatif yang menghasilkan data deskriptif berupa lisan atau tulisan dan perilaku orang-orang yang diamati dan metode kuantitatif sebagai pelengkap hasil penelitian dalam bentuk angket dan analisis data yang didapat. Penelitian ini mendapatkan hasil dari perhitungan terhadap 9 butir soal yang tersedia pada angket yang berkaitan dengan kelayakan dan kelengkapan fasilitas K3 di bengkel pemesinan SMK Negeri 1 Padang yang diberikan kepada 10 guru teknik pemesinan SMK Negeri 1 Padang termasuk dalam kategori “kurang baik”, hal ini terlihat dari hasil penelitian yang menyatakan bahwa nilai rata-rata angket 25,6 berada di kategori kurang layak, sesuai dengan hasil yang didapat pada saat wawancara dimana responden menyatakan kelayakan fasilitas di bengkel pemesinan kurang layak digunakan karena beberapa peralatan sudah tidak baik untuk digunakan tetapi beberapa fasilitas masih bisa gunakan dengan memanfaatkan penggunaannya secara bergantian pada saat praktek agar bisa melindungi siswa dari kecelakaan kerja.