bluuebunny/crossref_metadata_2025 huggingface dataset:
Supply chain perspectives for achieving economic growth and environmental sustainability
Authors: Kovačič Lukman Rebeka , Brglez Kristijan , Fošner Maja
Published: September 2024

A resilient supply chain is crucial for economic growth and the well-being of economies. However, it contributes to environmental challenges, such as resource extraction, material usage, climate change and biodiversity. This Special Volume of the Journal of Logistics, Supply Chain, Sustainability, and Global Challenges explores current research directions and challenges while offering solutions for sustainable supply chains. The volume examines existing European policy directives and strategies to comprehensively understand sustainable supply chain requirements. It conducts a content analysis of the current research in the field. The authors present valuable theoretical insights and empirical case studies addressing the interplay between sustainable supply chains, economic growth, and environmental impact mitigation. The papers in this Special Volume highlight the holistic and interconnected nature of the supply chain field and emphasise that there is still significant potential for improving supply chain processes to enhance their sustainability.
Artificial intelligence and marketing strategies. A bibliometric perspective
Authors: Nuță Cristiana
Published: September 2024

In a context of digital transformation, the integration of new technologies has become essential for companies. The interdependence between artificial intelligence (AI) and marketing strategies (MS) is recognized as revolutionizing the way companies interact with customers and achieve results. Therefore, the purpose of this paper is to explore the synergy between AI and MS by conducting a bibliometric analysis in order to highlight the current structure of studies and future research direction in this field. The research included a bibliometric analysis of 134 articles retrieved from the Web of Science (WOS) database. The scientific content of these articles was analysed in the VOSviewer software program, considering descriptive analysis and conceptual and social scientific mapping. The results included a quantitative analysis of the main categories of publications, their evolution over time, including by country, as well as analyses of term co-occurrence and co-authorship. The main countries according to the number of annual publications are the United States of America, England, China, India, Australia, and the main field covered, according to WOS references, is the field of "Business". As a result, the research confirmed the significant interdependence between AI and MS, as well as its complexity and especially its implications for organizations. In this regard, the need for future collaborative and interdisciplinary approaches is noted, with the bibliometric analysis provided in this paper as a starting point for future research directions.
The Relationship between Writing Proficiency in English and Metacognitive Awareness of Writing Strategies among EFL University Students
Authors: El Madani El Mehdi , Larouz Mohammed , Fagroud Mustapha , Saadallah Zayneb
Published: September 2024

Scholarly interest in the interplay between metacognition and language learning has notably surged. The expanding corpus of literature uniformly acknowledges the pivotal role that metacognitive knowledge occupies within the framework of language education. Precisely, the metacognitive awareness concerning English as a Foreign Language (EFL) learning strategies empowers learners to supervise, regulate, and optimize their educational endeavors. Metacognitive knowledge encompasses an awareness of one’s linguistic proficiency and the strategies pertinent for its enhancement. Equally, a deficiency in such awareness poses significant impediments to the language learning trajectory. Against this backdrop, the present study probes the nexus between metacognitive knowledge and language learning. the specific objective of the current study is to explore the correlation between EFL college students’ English writing proficiency and their writing metacognitive awareness. In order to reach this goal, a language proficiency test in writing and a Metacognitive Awareness Writing Questionnaire (MAWQ) were employed to collect the data. The participants in the study included 94 university students belonging to the department of English studies at the faculty of Letters and Human Sciences of Meknes and the Higher school for Training and Education of Kenitra. To analyze the collected data, the study made use of various statistical tools, including Simple Linear Regression and Pearson product-moment correlation. The results of the explored connection presented that there is a significant positive relationship between students’ writing performance and their metacognitive awareness of writing, with a ρ -value of 0.793. The results also showed that writing metacognitive awareness could predict 62% of the variability in writing ability. This study has also precipitated a range of implications related to pedagogy and methodology, alongside recommendations for teachers of English, syllabus designers, academic English studies departments, and coming scholarly inquiries.
4E Analysis of solar photovoltaic, wind, and hybrid power systems in southern Pakistan: energy, exergy, economic, and environmental perspectives
Authors: Uzair Yousuf Muhammad , Malik Muhammad Hamza , Umair Muhammad
Published: September 2024

Pakistan faces significant challenges in its energy sector, including a persistent supply-demand gap and heavy reliance on imported fossil fuels, leading to high costs, environmental degradation, and energy insecurity. This study examines the potential of solar Photovoltaic Systems (PVS), Wind Turbine Systems (WTS), and solar Photovoltaic and Wind Turbine Hybrid Systems (PVWHS) in the southern region of Pakistan through a comprehensive 4E analysis, encompassing energy, exergy, economic, and environmental perspectives. Initially, the data on Global Horizontal Irradiation (GHI) was sourced from Meteonorm, while wind data was obtained from the Energy Sector Management Assistance Program of the World Bank. A hypothetical 50 MW powerplant is considered in this study. For PV potential, PVsyst software is utilized to simulate various panels from Tier-1 Photovoltaic (PV) manufacturers covering mono-Si, poly-Si, and thin-film (Cd–Te) technologies. For wind system analysis, Google Earth Pro is used to design the wind farm layout, and the PyWake library is utilized to evaluate the wind system performance and energy generation. In this study, the Bastankhah wake deficit model, along with the weighted sum superposition model, is applied to assess the wind turbine performance. The remaining analyses, including exergy, economic, and environmental assessments, are conducted using MATLAB and Excel. All four sites – Tando-Ghulam Ali, Sanghar, Sujawal, and Umerkot – demonstrated promising energy generation capacities for solar PVS, WTS, and PVWHS. Tando Ghulam Ali emerges as the optimal site with thin-film PVS systems exhibiting the lowest Levelized Cost of Energy (LCOE) and significant Net Present Value (NPV). A weighted score analysis using the Factor Rating Method (FRM) identifies a 40 MW PVS and 9 MW WTS combination as the most feasible mix, offering substantial energy generation and carbon emissions reduction benefits. These findings provide actionable insights for stakeholders and policymakers aiming to enhance renewable energy adoption in Pakistan.
Modelling smart energy consumption with hybrid demand management in off-grid electrical system considering techno-economic indices
Authors: Askar Shavan , Pallathadka Harikumar , Sapaev I.B. , Baldaniya Lalji , Chahar Mamata , Saini Suman , Kapila Ish , Jewahery Hassan , Farhan Mohsen Aued , Mohmmedi M.
Published: September 2024

This study proposes day-ahead power scheduling for electrical systems in off-grid mode, emphasizing consumer involvement. Bi-Demand Side Management (DSM) approaches like strategic conversion and demand shifting are proposed for consumer involvement. Multiple objectives are modelled to voltage profile improvement and reduce the operation energy cost. The non-dominated solutions of the voltage of buses and operation energy cost are generated by enhanced epsilon-constraint technique, simultaneously. The General Algebraic Modeling System (GAMS) software is proposed for solving optimization problems. A combination of decision-making methods like weight sum and fuzzy procedures are implemented for finding optimal solution non-dominated solutions. The proposed method’s effectiveness is confirmed through numerical simulations carried out on several case studies that utilize the 33-bus electrical system. The findings illustrate the substantial effectiveness of demand-side participation in improving power dispatch and the optimal rate of multiple objectives. By using DSM, operation cost is reduced by 21.58% and the voltage index is improved by 13.36% than the lack of implementing DSM.
Применение больших языковых моделей в системах автоматизированного проектирования: возможности и ограничения
Authors: Барсуков Д.А.
Published: September 2024

Представлен класс алгоритмов машинного обучения, предназначенных для обработки и генерации естественного языка, получивший название больших языковых моделей (БЯМ). Рассмотрены предпосылки создания БЯМ и направления современных исследований в этой области. Представлен обзор вариантов применения больших языковых моделей (БЯМ) в САПР. Рассмотрены варианты ускорения процессов проектирования изделий и подготовки документации с использованием технологии БЯМ. Проведен подробный анализ текущих решений с описанием сильных и слабых сторон.
Использование протокола MQTT на современном промышленном производстве
Authors: Фатхуллин Р.Г.
Published: September 2024

Рассмотрены особенности и возможности протокола передачи сообщений MQTT (Message Queuing Telemetry Transport), являющегося одним из наиболее популярных интерфейсов для обмена данными в экосистемах Industrial Internet of Things. Отмечены два важных расширения MQTT - Sparkplug B и UNS (Unified Namespace – Единое пространство имен), которые значительно упрощают развертывание и управление системами IIoT в условиях создания единого информационного пространства современных промышленных предприятий.
Smoke and mirrors: how the theory of “parental alienation” concealed domestic abuse and coercive control in France
Authors: PRIGENT Pierre-Guillaume , SUEUR Gwénola
Published: September 2024

In France, at the end of the 1990s, the concept of “parental alienation” appeared in court decisions relating to parental separations and became part of the discursive repertoire of family law. This article sets out to show the consequences of this concept’s use. A multi-method study (textual analysis of the press, quantitative and qualitative analysis of case law, analysis of promoters' strategies, interviews with mothers) is used to analyse these uses. Discourses on the “rights” of fathers and false accusations of incestuous sexual violence provide fertile ground for the spread of the concept. It is not possible to distinguish “parental alienation” from domestic abuse, due to the scientific invalidity and ideological nature of the associated criteria, and the fact that it remains faithful to Richard Gardner's controversial approach. Analysis of sociological interviews with women accused of “parental alienation” shows that their maternal strategies of protection against their ex-partner's coercive control are interpreted as parental alienation. They are likely to lose the children's residence, and live under the threat of losing it. This institutional violence is the result, on one side, of confusion between the interests or protection of the child and co-parenting and, on the other side, of the concealment of post-separation conjugal violence.
Creer en la palabra de las niñas y los niños
Authors: Cuadros Ferré Isabel , Venegas De Castro Ana María
Published: September 2024

Creer en la palabra de las niñas y los niños víctimas de abuso sexual infantil es fundamental para su recuperación física y psicológica; las niñas y los niños no mienten frente a las situaciones de abuso que han vivido o que han experimentado. La alienación parental es lesiva para la salud mental de las niñas, los niños y sus madres y para los procesos judiciales donde intervienen como víctimas los primeros y como figuras protectoras, las segundas. La alienación parental no es válida científicamente, hace parte de la pseudociencia y de la llamada “ciencia basura”, que engaña y pretende ser real. La evaluación del Síndrome de Alienación Parental no cuenta con sustentos científicos y su diagnóstico solo busca liberar abusadores sexuales poniendo en duda y no creyendo en la palabra de las víctimas.
Machine Learning Applications in Drug Discovery
Authors: Ugurlu Sadettin Y
Published: September 2024

Integrating machine learning (ML) into drug discovery has ushered in a new era of innovation, dramatically enhancing the efficiency and precision of identifying and developing new therapeutics. This review provides a comprehensive analysis of the current applications of machine learning in drug discovery, focusing on its transformative impact across various stages of the drug development pipeline. We delve into key ML methodologies, including supervised and unsupervised learning, neural networks, and reinforcement learning, examining their underlying principles and specific contributions to drug discovery processes. By exploring case studies and recent advancements, this review illustrates how ML algorithms have been utilized to predict drug-target interactions, optimize drug design, and streamline clinical trial processes. Furthermore, we discuss the challenges and limitations of implementing ML techniques in this field and highlight emerging trends and future directions. This review aims to offer researchers a thorough understanding of ML's potential to revolutionize drug discovery and equip them with the insights needed to leverage these technologies effectively.
A concise synthesis of multiply fused phenanthroline diamide (fused-PTDA) by palladium-catalyzed intramolecular C–H arylation. Highly efficient and selective extraction performance of fused-PTDA toward early lanthanides
Authors: Asano Towa , Nakanishi Yuki , Sugita Shoichi , Okano Kentaro , Narita Hirokazu , Kobayashi Tohru , Yaita Tsuyoshi , Mori Atsunori
Published: September 2024

The reaction of phenanthroline diamide bearing a bromoaryl moiety on the amide substituent in the presence of palladium catalyst proceeded efficiently to afford multiply-fused phenanthroline derivatives through intramolecular C–H arylation. The obtained diamide derivatives was found to extract lanthanide remarkably highly efficiently with distribution ratio (D: up to ca. 500) and it was also found show the metal-selective extraction (separation factor SF = up to 4.4).
In Silico Design of a Solution-Gated Graphene Transistor Sensor for the Efficient Detection of Guanine Quadruplexes
Authors: Monari Antonio , Rainot Aurianne , D'Anna Luisa , Terenzi Alessio , Rouget Raphael , Grandemange stephanie , Piro Benoit , Barone Giampaolo , Barbault Florent
Published: September 2024

Guanine quadruplexes (G4s) are nucleic acid structures present in diverse regions of the genome, such as telomeres and transcription initiators. Recently, the different biological roles of G4s have been evidenced, as well as their role as biomarkers for tumors or viral infections. However, the fast and efficient detection of G4s in complex matrices remains elusive. In this contribution, by using long-scale molecular dynamics simulations, we propose the design of a biosensor based on organic field-effect transistors recognizing G4s. In particular, we show that the interaction of the G4s with the biosensor is translated into a change on the charge density profile, which correlates with the electrical transduction of the signal, thus allowing the detection of the nucleic acid structure. We also provide rules of thumb for the optimization of the design of the device, and more generally for the integration of computationally driven design approaches.
Stereoselective Polycondensation of Levoglucosenone leading to Water-Degradable Biopolymers
Authors: Tahara Atsushi , Yashiro Shogo , Hokajo Toshio , Kudo Shinji , Yoshizaki Yuta , Konno Tomohiro , Doi Takayuki
Published: September 2024

Highly stereochemically controlled polymers were successfully synthesized from levoglucosenone (LGO), derived from cellulose. Since its discovery in the 1970s, the reactivity of LGO has been widely studied in organic chemistry, owing to its diverse functional groups that serve as linkages for polymer formation. However, most of the previous methods for synthesizing polymers from LGO lacked precise control over regio- and stereochemistry, making stereoselective polymerization from LGO a persistent challenge. Although the ketone moiety in LGO is typically reduced before polymerization, a new LGO polymer was designed, containing a C=N bond obtained by condensation with dicarboxylic dihydrazide. NMR measurements revealed that condensation occurred with high stereoselectivity to produce the E-isomer. This selectivity extended from the model compound to polymer synthesis, achieving high E / Z selectivity. The resulting polymer exhibited optical rotation (up to +89), indicating its potential as a chiral polymer. In spite of these polymers showed high tolerance toward many solvents, they were degradable in water with a simple chemical treatment. The proposed approach facilitates the development of sustainable, high-performance materials that can address both environmental and industrial needs.
HARNESSING AI FOR AFRICA'S FINANCIAL FORTIFICATION: A REVIEW
Authors: Lottu Oluwaseun Augustine , Abioye Kehinde Mobolaji , Oguntoyinbo Fuzzy Naomi , Abdul Adekunle Abiola , Daraojimba Chibuike
Published: September 2024

Africa’s financial landscape presents a complex tapestry characterized by adversity and opportunity. It is home to a significant portion of the world’s unbanked and underbanked population, with millions still lacking access to fundamental financial services. However, amid these challenges, Africa also boasts a burgeoning tech-savvy population, a growing number of innovative fintech startups, and governments increasingly recognizing the pivotal role of financial inclusion in sustainable development. This dynamic interplay between adversity and opportunity defines Africa’s financial sector, shaping its trajectory during this economic and technological transformation era. This paper explores the challenges and opportunities of adopting Artificial Intelligence (AI) within the African financial sector. The study researches the current landscape, underlining key statistics such as the substantial percentage of African unbanked individuals. It also identifies significant barriers to AI adoption, such as infrastructure limitations, data quality issues, and regulatory ambiguities. To address these challenges effectively, the paper proposes actionable recommendations targeted at policymakers, financial institutions, and stakeholders. To maximize AI’s potential for transforming the African financial sector, strategies for infrastructure development, data quality enhancement, regulatory clarity, skills development, and the ethical deployment of AI are discussed. This paper highlights the challenges and underscores AI’s immense potential for financial inclusion and economic growth in Africa.
DIGITAL BANKING AND FINANCIAL INCLUSION IN AFRICA: A REVIEW
Authors: Alabi Ayo Maxwell , Oguntoyinbo Fuzzy Naomi , Abioye Kehinde Mobolaji , John-Ladega Adesola Adepeju , Obiki-Osafiele Anwuli Nkemchor , Daraojimba Chibuike
Published: September 2024

This review paper examines the pivotal role of digital banking in promoting financial inclusion, with a particular focus on its implications for Africa’s economic development. The research objectives centered on elucidating the significance of digital banking in bridging the gap between the unbanked and formal financial systems, exploring strategies for its promotion, and assessing its impact on poverty reduction, gender equality, and rural development. Key findings underscored the transformative potential of digital banking, revealing that it improves access to financial services, reduces costs for users and institutions, and fosters economic growth. Furthermore, digital banking empowered women economically, provided vital support for SMEs, and enhanced resilience to economic shocks. The review highlighted the necessity of addressing challenges such as the digital divide, regulatory complexity, and data privacy concerns. Implications for Africa’s economic development are profound, as digital banking can stimulate inclusive growth, reduce poverty, and promote gender equality and rural development. A call to action for stakeholders to collaborate in creating an enabling environment for digital banking was emphasized, focusing on regulatory reforms, investments in digital infrastructure, financial literacy programs, and data security measures. Collectively, these efforts can usher in a new era of financial inclusion, unlocking the continent’s vast economic potential and fostering shared prosperity.
ENTREPRENEURIAL DEVELOPMENT INITIATIVE ON MICRO ENTERPRISE SUSTENANCE IN NNEWI, ANAMBRA STATE, NIGERIA
Authors: Levi Nwosu Ndubuisi
Published: September 2024

In recent times, the important of entrepreneurship, development cannot be over emphasized. Entrepreneurship development has been found to be panacea through with job could be created and poverty reduced to the minimum. The broad objective of the study was to examine the entrepreneurial development initiative and micro enterprise sustenance in Nnewi, Anambra State. The hypotheses were developed as State Economic Empowerment and Development Strategy (SEEDS) initiative has no significant effect on micro enterprises in Nnewi, Anambra State. There is no significant relationship between National Poverty Eradication Programme (NAPEP) initiative and micro enterprises sustenance. The sample size for the study was 350. The hypotheses were analyse with regression analyses, correlation model. The findings revealed that the NAPEP initiative employed in the study area do have a significant relationship with the micro enterprises sustenance. The findings also revealed that the major challenges faced by the micro enterprises are lack of capital and lack of stated business mission, which are the topmost challenges faced by majority of enterprises. It was recommended that government and other policy makers at all level should intensify and ensure that more micro enterprises benefit from the SEED initiative in place already, and if possible initiative new ideas, since it has shown positive effect on the delivery of the core mandates of micro enterprises, which brings about creation of employment, poverty reduction, economic development, etc. Based on the result from the findings, it is also recommended that upcoming micro enterprises should be encouraged through sensitization, financing, provision of necessary facilities etc. in order to reduce if not eradicate poverty level in the area , as it has been shown that NAPEP initiatives have relationship with the sustenance of micro enterprises.
AUGMENTED REALITY: THE MODERN DRIFT IN FASHION INDUSTRY
Authors: Varshney Reema , Chaudhary Nimisha Rana
Published: September 2024

This paper deals with the focus on the anticipated future capabilities, advancements, and limitations of augmented reality, this study examines the evolution and modifications throughout the period of AR adoption in the primary application areas. When it comes to engaging consumers and creating creative ideas, one of the fastest-growing and most innovative industries is without a doubt the textile and fashion industry. Augmented reality (AR), a strong and convincing tool, will improve marketing efforts and increase consumer involvement, which will boost revenue. Anything that is deemed popular attracts early adopters, as shown in the fashion retail industry, either in the physical or online marketplaces. By 2022, approx. 44% of the global populace intends to use AR, according to a Digi-Capital prediction. With a focus on the anticipated future capabilities, advancements, and limitations of augmented reality, this study examines the evolution and modifications throughout the period of AR adoption in the primary application areas. We conclude by thinking about the disruptive effect that VR/AR/MRITF is going to be competent to have in scientific domains as well as in human interaction and communication.
Everyday Life of Russian Clergy in the USA (Late 19th – Early 20th Century)
Authors:   Moscow State Institute of International Relations (University) of the Ministry of Foreign Affairs of the Russian Federation, Pechatnov Val. V. , Pechatnov V. O. ,   Moscow State Institute of International Relations (University) of the Ministry of Foreign Affairs of the Russian Federation
Published: September 2024

The article based on primary sources from Russian and American archives explores everyday life of Russian clergy in Aleutian and North American diocese in the late 19th – early 20th century. Especially valuable for this purpose were documents of the Alaskan Russian Church Archive at the Library of Congress Manuscript Division which were scarcely used by both Russian and American historians. They include clergy dossiers, clergy reports to their superiors, as well as internal correspondence of the Diocese Consistory with its clergy. Analyzed are all main facets of their everyday life: their legal status, financial conditions, rights and duties, parish and family life, children upbringing and education. Such an analysis provides a lively human dimension to the numerous activities of the Russian church in America during its most productive period. It also presents a vivid picture of real routine life of Russian clergy in an alien cultural environment with all its problems and needs. The final conclusion is that despite all the challenges Russian missionaries were able to adapt to American life and made a significant contribution to the growth and establishment of Orthodox Christianity in the United States.
Demographic and Migration Processes of the Far East Through the Prism of the “Turn to the East”
Authors:   Institute for Comprehensive Analysis of Regional Problems FEB RAS, Gamerman E. V.
Published: September 2024

This article is devoted to current and pressing problems of demography, the decline in the population of the Far East, as well as the migration processes that occur in this macroregion and how they affect the overall situation. All this is considered in the context of the modern foreign policy situation, and the beginning of the “Turn to the East” process, which, according to the author, is impossible without solving the demographic problem. Thus, the purpose of this study is to analyze the role and influence of modern demographic and migration processes in the Far East on the modern foreign policy vector, to trace their interdependence and interdependence. Structurally, the article consists of an Introduction, a main part (where basic data and statistics are presented) and a Conclusion. The author comes to the conclusion that the Russian “Turn to the East”, which has been implemented over the past few years, has encountered a very important and complex problem – the problem of depopulation and active migration processes in the Far East, without solving which it will be impossible to achieve any serious results in social the economic development of the macroregion will be very difficult, and without this, attempts to diversify foreign policy efforts to the countries of the East are also doomed to failure.
Brain Cancer Treatment with Gene Editing
Authors: Qiu Zihan , Liu Chunjing
Published: September 2024

The first method is used gene editing to knock out the PD-L1 receptor located on the T cell surface so that PD-1 on the cancer cell surface cannot combine with the PD-L1, in that case, T cell can identify the abnormal cell and kill it. At the beginning, researchers use protein-guided editing technology, but it is not easy to control and not specific enough, so they choose to use CRISPR-Cas9 to edit the target gene. Comparing with the traditional protein-guided nucleases, CRISPR-Cas9 system is more easy-handle, highly specific, and it is an more efficient tool for engineering eukaryotic genomes; because CRISPR-Cas9 system aims to edit the targeting genes by tiny RNAs guiding the Cas9 nuclease to the target site by base pairing.The second treatment is mainly used “fighting cancer with cancer”.Because living tumor cells have the ability to home and target tumors, thus, if those living tumor cells can be engineered to secrete therapeutic agents, the tumor cells can be effectively cured. Shah’s team picked the agent interferon-β (IFN-β). However, this idea of treatment is limited by the premature cell death due to autocrine toxicity.The researchers solved this problem by first using CRISPR Cas9 to knock out the IFN-β–specific receptor (IFNAR1) in inherently IFN-β–sensitive syngeneic tumor cells, and subsequently engineered them to constitutively produce IFN-β for tumor cell targeting and simultaneous immunomodulation. These therapeutic cells are further designed to coexpress granulocyte-macrophage colony-stimulating factor (GM-CSF) that facilitates the differentiation, proliferation, and recruitment of dendritic cells (DCs). The last approach can stop cancer cell repairing their DNA when it gets damaged.
The Suitability of Direct Medical Costs with INA-CBG'S Claims of Outpatient Breast Cancer in Class A and B Hospitals
Authors: Nugraheni Diesty Anita , Hafi'ah Fanyda Amiyassin , Harlin May Syahra Indah Permata , Tetuko Aji , Indarti Titik Rahayu , Mayasari Gita
Published: September 2024

BPJS Kesehatan noted that cancer financing claims reached IDR 3.5 trillion, ranking second after heart disease. This study aimed to determine the difference in direct medical costs with Indonesian-Case Base Groups (INA-CBGs) claims of outpatient breast cancer in Class A and B hospitals. The population is National Health Insurance (JKN) patients with outpatient breast cancer with the code INA-CBGs C-3-13-0. Data was collected retrospectively by tracing medical records, pharmaceuticals, and direct medical cost data for outpatient cancer patients in Class A and B hospitals for 2021. Direct medical costs are the actual costs of a patient's health care during a single visit to the hospital based on the hospital's perspective. Using the Mann-Whitney test, statistical analysis was performed to see how INA-CBGs claims differ from direct medical costs. The study result showed that the average direct medical cost of outpatient breast cancer patients in the group of recipients of contribution assistance (PBI) in Class A hospitals was IDR 3,397,073, non-PBI patients were IDR 3,439,253, and in Class B hospitals were IDR 2,619,355.26 with the direct medical cost component that contributed the most was drug bills. The direct medical costs of the hospital are more significant than the claims of INA-CBGs, resulting in a negative difference with the details of PBI patients in class A hospitals of minus IDR 88,041,600, non-PBI patients of minus IDR 91,386,300, and patients in Class B hospitals of minus IDR 164,113,635. There is a significant difference between the total claims of INA-CBG and direct medical costs for outpatient breast cancer patients in Class A and B hospitals (p=0.0001).
Billet-Doux to The Coast
Authors:   , Monk Jack
Published: September 2024

Abstract.

So, what about the little guy? This thesis is a love letter to the Coast. It addresses the homogenisation and mischaracterisation as a backwash many of our beautiful small towns have experienced. It is my architectural letter to the Coast exploring what makes Hokitika and the Coast unique.

This design-led research advocates for the reconsideration of our small towns in a national context by drawing attention to the uniqueness of place and the creation of unique and recognisable citizenship practices. It explores the premise that architecture and urban planning may sustain and reinforce connection to place.

The research expressed in this thesis is developed under a dual inquiry. It first explores the historic and present character of Hokitika and the wider Coast region, discovering the facets of its identity and what they mean for the practices of its citizens. It then seeks to react critically to these facets through architectural and urban interventions, revealing methods to strengthen rural identity and citizenship practices for locals, returners, and visitors.
Notions of Home: Improving Medium Density Housing in Aotearoa New Zealand
Authors:   , Poole Jonty
Published: September 2024

The current state of home ownership in Aotearoa New Zealand (NZ) has sparked concern among many. Owning a quarter-acre lot with a stand-alone house and yard has become an unattainable luxury for the average citizen, and an unsustainable pattern of growth. As a result, there has been amarked increase n efforts to make housing more affordable and sustainable. With worldwide population growth, medium-density housing (MDH) models have emerged as part of the solution, but questions emain about how to design these spaces to promote well-being and meet the functional performance and visual appeal required of domestic architecture more commonly met by the conventional stand-alone house.

Additionally, it is important to understand how evolving notions of home in NZ, driven by factors such as technological advancements and changing human preferences, influence the design of dwellings. In this project, I aim to address these questions by exploring the potential of an innovative design approach for MDH developments generated from the analysis of past efforts to define the architecture of home in NZ. The analysis reveals how paradigm shifts and human preferences shape evolving notions of home, and leads to a design exploration drawing on relevant techniques and case studies to re imagine what might be possible. The design-led research presented here contributes to the field of interior architecture, to the field of architecture more broadly, and hopefully to more contextually esponsive patterns of MDH design in NZ
Analysis of the Clinical Efficacy of Glimepiride Combined with Insulin in the Treatment of Elderly Diabetes
Authors: Feng Chun
Published: September 2024

Objective: To explore the clinical efficacy and incidence of hypoglycemia in the treatment of elderly diabetes with glimepiride combined with insulin. Methods: A total of 100 patients diagnosed with diabetes in Qinghai Red Cross Hospital from January 2018 to January 2019 were selected and divided into an observation group and a control group according to the order of their visits, with 50 patients in each group. The observation group was treated with glimepiride combined with insulin, while the control group was treated with insulin alone. The blood sugar indicators, including glycated hemoglobin (HbA1c), fasting blood glucose (FBG), and 2-hour postprandial blood glucose (2h PBG), were compared between the two groups. Additionally, the incidence of hypoglycemia was compared, and the causes of hypoglycemia were analyzed and summarized, proposing corresponding countermeasures. Results: The glycated hemoglobin value of the observation group was lower than that of the control group, and the statistical analysis showed a significant difference (t = 3.54, P < 0.05). The fasting blood glucose value in the observation group was lower than that in the control group, with statistically significant differences (t = 4.08, P < 0.05). The 2-hour postprandial blood glucose value in the observation group was also lower than that in the control group, with a significant difference (t = 3.82, P < 0.05). The incidence of hypoglycemia in the observation group was 10%, while it was 56% in the control group, with a statistically significant difference between the two groups (χ2 = 5.813, P < 0.05). Conclusion: The efficacy of glimepiride combined with insulin in the treatment of elderly diabetes is significantly higher than that of insulin alone, with a lower incidence of hypoglycemia.
Influence of Gut and Lung Microbiota and the Gut-Lung Axis on Bronchopulmonary Dysplasia
Authors: Xu Binxiang , Liang Yumei
Published: September 2024

Bronchopulmonary dysplasia (BPD), also known as neonatal chronic lung disease, is a common respiratory disease in preterm infants. Preterm infants with BPD often exhibit changes in gut and lung microbiota. In recent years, with the development of high-throughput sequencing technology, more and more mechanisms of the gut-lung axis have been confirmed, helping to explore new directions for the treatment of BPD using microecological agents. This paper reviews the roles of gut microbiota, lung microbiota, and the gut-lung axis in the pathogenesis of BPD in preterm infants, providing new research avenues for the prevention and treatment of BPD.
Clinical Nursing for Patients Undergoing Prone-Position Laparoscopic Partial Nephrectomy
Authors: Yan Feng , Chen Qingli
Published: September 2024

Objective: To explore effective nursing strategies for patients undergoing prone-position laparoscopic partial nephrectomy. Methods: A total of 19 patients undergoing prone-position laparoscopic partial nephrectomy were selected, with hospital admission spanning from January 2024 to June 2024. Patients were randomly divided into the study group (n = 10) and the control group (n = 9). The control group received basic nursing care, while the study group received comprehensive high-quality nursing care. The recovery period, length of hospital stay, complication rates, SCL-90 scores, and nursing quality scores were compared between the two groups. Results: The recovery period and hospital stay were significantly shorter in the study group compared to the control group (P < 0.05). The complication rate in the study group was lower than that in the control group (P < 0.05). After the nursing intervention, the SCL-90 scores of the study group were lower than those of the control group (P < 0.05). Nursing quality scores were higher in the study group than in the control group (P < 0.05). Conclusion: Comprehensive high-quality nursing intervention for patients undergoing prone-position laparoscopic partial nephrectomy can shorten the recovery period and hospital stay, reduce the complication rate, improve mental health, and enhance nursing quality, making it suitable for wider application in medical institutions.
Analysis of the Current Situation and Influencing Factors of Psychological Well-Being of Elderly People in the Community
Authors: Wang Ying , Hua Zhijuan , Shi Xiaopan , Wang Yang , Fu Jiaqi , Li Yanling , Liu Weihua
Published: September 2024

Objective: To investigate the current psychological well-being of older people in the community and analyze its influencing factors. Methods: A total of 265 community-dwelling older adults aged 60 and above in Baoding City, Hebei Province, were selected through convenience sampling from November 2023 to March 2024. They were surveyed using a general information questionnaire and a comprehensive well-being questionnaire, with results analyzed statistically using SPSS 27.0. Results: Six dimensions of the psychological well-being scale for community older adults were identified: life vitality (P50 = 4.83), health concern (P50 = 4.6), self-worth (P50 = 5.6), friendly relationships (P50 = 5.33), altruistic behavior (P50 = 5.2), personality growth (P50 = 4.67), and comprehensive well-being (P50 = 161). Multivariate regression analysis showed that social isolation (β = -0.021, P < 0.001), type of work (β = -0.142, P < 0.001), chronic disease history (β = 0.004, P < 0.001), need for mobility aid (β = 0.192, P < 0.001), and monthly income (β = 0.381, P < 0.001) were factors influencing psychological well-being. Conclusion: The psychological well-being of the elderly is slightly above moderate and requires improvement. Enhancing factors such as reducing social isolation, addressing chronic disease history, and improving financial support could improve psychological well-being in older adults.
Research on the Application of the OSCE Model in Vocational Nursing Comprehensive Practical Training
Authors: Li Huihua
Published: September 2024

The objective of this study is to examine the application effect of the Objective Structured Clinical Examination (OSCE) model in the comprehensive practical training course for higher vocational nursing. Based on the evaluation dimensions of core nursing competencies, the OSCE framework was constructed with the clinical nursing work process as the main focus and supported by a nursing case database. A questionnaire survey revealed that over 80% of students in the experimental group were satisfied with the application of OSCE in the nursing comprehensive practical training course, and more than 90% believed that OSCE assessment enhanced their theoretical knowledge and practical skills. The OSCE was also considered helpful in transforming learned knowledge and skills into professional competencies.
The Effectiveness of Posters as A Media for Monitoring and Stimulation of Children's Growth and Development
Authors: Lulianthy Eliyana , Aprina Tilawaty , Putri Dwi Khalisa , Purnamasari Intan
Published: September 2024

Disorders of child growth and development have an impact on morbidity throughout the child's life cycle, transmission of poverty between generations and long-term effects that can hinder the pace of development of a country. Nevertheless, as recorded in the 2018 Early Childhood Development Index, more than 95% of early childhood children in Indonesia have physical and learning abilities that are appropriate for their age and stage of development. However, the development of numeracy literacy and emotional social skills are still below 70%. Thereby, knowledge, attitudes and behavior of parents were correlated with the level of stimulation of growth and development in children. Therefore, this mixed method pre-experimental study aimed to investigate the effectiveness of the "Healthy Child Poster" on the knowledge, attitudes and behavior of parents in monitoring and stimulating children's growth and development. One-Group Pretest-Posttest design was applied to test the sample determined by the Accidental Sampling technique following the specified inclusion criteria. The results showed an increase in the average values of knowledge, attitudes and behavior of mothers in monitoring child growth and development after being given healthy child posters. In addition, the mothers interviewed in this study found that the posters hung on the walls of their homes were always visible and reminding, thus helping them to easily understand the messages conveyed. Therefore, promotive and preventive strategies in monitoring and stimulating children's growth and development need to be improved to strengthen the knowledge, attitudes and behavior changes of parents.
Development of Instruments Test to Detect Diabetes Mellitus in Pregnancy
Authors: Anissa Kintan , Rumahorbo Hotma , Wahyuni Sri
Published: September 2024

Background: Diabetes mellitus in pregnancy is a disorder of carbohydrate tolerance that results in hyperglycemia which is characterized by polyuria, polydipsy, and polyphagia. Pregnant women with DM in pregnancy are associated with high morbidity and mortality. Early detection of DM in pregnancy is important so that further treatment can be done. There is no test instrument that can be used to detect DM in pregnancy. Obtain a test instrument to detect the symptoms of Diabetes Mellitus in pregnancy. Method: The type of research used is R&D (Research and Development). Development research conducted to produce a product in the form of an early detection instrument for diabetes mellitus in pregnancy. The study was conducted by providing early detection instruments for Diabetes Mellitus in pregnancy in first trimester pregnant women and then examining fasting blood sugar in first trimester pregnant women. The number of samples in the study 119 taken by Purposive Sampling technique. Analysis of data using the value of sensitivity, specificity, and accuracy. Result: The test instrument consisted of 13 questions, with a sensitivity value of 72.41%, a specificity value of 91.11%, and an accuracy value of 86.55%.. Conclusion: Early detection instruments for diabetes mellitus in pregnancy can be used as standard guidelines for antenatal care in pregnant women and can be used as an alternative to detect DM in pregnancy before supporting examinations by midwife professionals can be further developed research development using standard methods for measuring blood sugar more accurately and The research was carried out by measuring the precision value so that the instrument produced accurate and consistent results.
The Relationship Between Cadre Participation with The Use of Long-Term Contraception Methods in Adulthood in The Banjeng Maguwoharjo Posyandu Area Sleman Yogyakarta
Authors: Rahayu Puspito Panggih , Casnuri Casnuri
Published: September 2024

Background: Long-term contraceptive methods are effective methods for delaying and spacing pregnancies, as well as stopping fertility. Therefore, the government is trying to increase the use of long-term contraceptives, but the use of non-long-term contraceptives is more than the use of long-term contraceptives. Objective: The study aimed to determine the relationship between the participation of health cadres in providing information regarding long-term contraceptive methods on the use of long-term contraceptives by WUS in the Banjeng Maguwoharjo Posyandu area, Depok, Sleman, Yogyakarta. Method: This research method is descriptive correlative using a cross-sectional design. The population and sample are WUS in Banjeng Hamlet, consisting of 25 people. The variables studied were the role of cadres and the use of long-term contraceptive methods. Univariate and bivariate data were analyzed using the chi-square test. The research data is primary data and secondary data with a questionnaire research instrument. Primary data was collected by distributing questionnaires and in-depth interviews to WUS. Result: The results showed that there was no relationship between the participation of cadres and the use of long-term contraceptive methods. This is evidenced by the p-value of 0.08. Conclusion: There is no relationship between the participation of cadres and the use of long-term contraceptive methods.
Description of Hemoglobin Levels for Pregnant Women Workers of The Djarum Cigarette Factory at The Mejobo Kudus Health Center
Authors: Santosa Budi , Salsabila Hasna Widad , Sukeksi Andri
Published: September 2024

During pregnancy a woman is very susceptible to disorders of low levels of hemoglobin in the blood. Low hemoglobin values are associated with clinical problems such as anemia. Anemia can be more severe due to several factors, such as trimester of pregnancy, type of work, education, infectious diseases and so on. Most of the pregnant women in the Kudus Regency are pregnant women who work in cigarette factories. Pregnant women who work in cigarette factories will have an impact on their pregnancy, based on the theory that tobacco as a raw material for cigarettes contains addictive substances that are harmful to health. The purpose of this study was to find out the description of hemoglobin in pregnant women working in the Djarum cigarette factory at the Mejobo Kudus Health Center. This type of research is descriptive. The research was carried out in May 2022 and the examination was carried out at the Mejobo Health Center. Sampling with purposive sampling technique as many as 25 respondents. Analysis and data processing using tables. The results obtained from 25 respondents mostly had an average hemoglobin level of 12.3 g/dl, where the majority of respondents had normal hemoglobin of 88%. The majority of respondents do not experience anemia, this can occur because when working pregnant women use complete APD, from head coverings, masks, and aprons to protect themselves.