bluuebunny/crossref_metadata_2025 huggingface dataset:
Resilience, Stress, Anxiety, and Depression: Exploring the Mental Health of New Graduate Nurses Transitioning to Practice During COVID-19
Authors: Urban Regina W. , Rogers Meagan R. , Eades Tamara L. , Allard Patricia M. , Porter Marlene T. , Cipher Daisha J.
Published: November 2022

Background

Transitioning to practice during the COVID-19 pandemic multiplied the stressors and challenges typically encountered by new graduate nurses (NGNs), yet research exploring mental health variables of this subset of nurses remains sparse.

Method

This study used an observational design and convenience sampling. NGN alumni (
n
= 192) from a pre-licensure nursing program were surveyed during the summer of 2021 regarding their experiences with resilience, anxiety, depression, and stress while transitioning to practice during the COVID-19 pandemic.

Results

Participants reported moderate to severe levels of stress (76%), anxiety (27.6%), and depression (31.2%) while transitioning to practice. Most (79%) described themselves as resilient. The highest mean scores for stress, anxiety, and depression occurred during the fourth to eighth month of practice.

Conclusion

Nursing professional development specialists, managers, and other stakeholders need effective strategies to monitor and promote NGNs' well-being and mental health to prevent burnout and turnover throughout the first year of practice.

[
J Contin Educ Nurs
. 2022;53(12):533–543.]
Chatbot Maxi: A Virtual Certification Trainer in a Blended-Learning Concept
Authors: Kowald Cäcilie , Bruns Beate
Published: November 2022

Chatbot Maxi was developed as part of a blended-learning concept to make a training for insulation material processing more flexible and location-independent. As a kind of digital tutor, Maxi takes on the theoretical part of the certification course, giving participants information on the properties, areas of application and processing of the products as well as on regulatory issues. Maxi was realized with script-based chatbot tool Jix and uses a flexible structured dialog to guide users through topics and sub-topic in a didactical appealing, adaptive way. The positive feedback from the target group after the pilot phase shows that (and how) chatbots can become an integral part of a comprehensive blended learning concept in continuous education and company training offers.
Data-driven learning and professional culture: Using textometry to analyze organizations in applied foreign language programs
Authors: Lavissière Mary C.
Published: November 2022

In the era of Big Textual Data, Applied Foreign Languages (LEA) programs have a clear niche to occupy in the set of degree programs offering both business and language courses. LEA’s combined emphasis on humanities, social sciences, and business courses has the potential to allow students to gain a better understanding of the institutional processes in which discourse participates in organizational contexts. In addition, the appearance of textometric software, such as Iramuteq (Ratinaud 2014), provides a relatively user-friendly method for applying discourse analysis to large amounts of organizational discourse. This paper argues that discourse analysis through textometry can be used to enhance LEA students’ analysis of organizational culture though a data-driven learning approach. We present an exploratory study of textometry used in an LEA course.
Lointaine Ithaque : vie et mort du conceit de l’université anglaise comme utopie morale à travers les Parnassus Plays
Authors: Guy Gwendoline
Published: November 2022

Le fait de « prendre soin », au sein de l’université de Cambridge revient, tout au long du seizième siècle, à garantir la bonne tenue morale des membres de l’université, de force si cela est nécessaire. À travers l’étude des productions théâtrales universitaires de cette époque, nous nous interrogerons sur les conséquences de cette exigence morale, ayant mené à la création du conceit de l’université comme une utopie morale et à la désillusion de ses anciens étudiants, confrontés à leur départ des collèges à un monde auquel ils n’ont pas été préparé et qui n’a que faire de cette morale.
« Imaginons des parallèles qui indéfiniment divergent »
Authors: Galichon Isabelle
Published: November 2022

Dans le cadre de cet article nous souhaitons mettre en évidence le fait que, si la narration permet de rendre compte de l’expérience, l’expérience du corps peut échapper à la mise en récit. Aussi pourrait-on remettre en question la tâche de la médecine narrative développée à Columbia University qui cherche à développer des compétences narratives auprès des soignants dans le cadre de la relation soignant-soigné. Nous verrons que malgré l’échec du récit dans le contexte de certaines expériences du corps malade, la médecine narrative peut encore constituer un soutien pour le soignant.
Social Innovation and Social Entrepreneurship in the Wake of COVID-19
Authors: Sultan Muhammad Faisal , Tunio Muhammad Nawaz , Aziz Atif , Shaikh Sadia Khurram
Published: November 2022

Social innovation and social entrepreneurship were rarely discussed till the 19th century. However, the topic has been in the limelight extensively since 1950. Moreover, the linkage between social innovation and social entrepreneurship still needs to be explored, especially in developing sides of the world where social entrepreneurship is required to optimize social and economic parameters. In fact, there is a severe increase in the level of opportunities for social entrepreneurship. The increase in the level of opportunities is massive, especially due to globalization. Therefore, this chapter has been written purposefully to reflect the role of social entrepreneurship with examples and opportunities for social entrepreneurship with reference to the developing sides of the world.
Evaluation of International Logistics and Supply Chain Disruption During the COVID-19 Pandemic Through Scientometric Techniques
Authors: Iqbal Muzaffar , Ismail Muhammad , Ibrahim Muhammad , Khalil Ch Hassan , Ahmad Ishfaq
Published: November 2022

This study unwraps the detailed literature review and highlights the development in growing research on behalf of the supply chain in the era of COVID-19. Earlier research on different disasters shows that there is a lack of research on pandemics. Therefore, the present study signifies the multi-perspective literature review on behalf of the supply chain associated with COVID-19. Further, to analyze the literature of this study from a broad perspective, the science mapping approach and the quantitative analysis were conducted on the basis of bibliometric references that were extracted from the web of science.
How Choices and Constraints in Parents' Early Education Decisions Affect Children's School Readiness
Authors: Gandhi Jill
Published: November 2022

The socioeconomic achievement gap begins at school entry and widens as children move through school. Many children from low-socioeconomic status (SES) backgrounds do not have access to the material resources or environmental enrichment that would allow them to start school at the same academic level as their peers from high-SES backgrounds. However, a wealth of research supports the potential for high-quality early care and education programs to supplement the cognitive development of students from low-SES families. Low enrollment in high-quality programs and high absenteeism rates can render these children unable to gain cognitive benefits that will prepare them for school entry. This chapter highlights how low enrollment in high-quality early care and education programs and low attendance rates are two overlooked components of dosage that contribute to the small estimates of the efficacy of preschool and the early achievement gap. By understanding these two components of dosage as the outcomes of parents' constrained decision-making, early education policy could be improved.
Early Intervention in Child Development
Authors: Kaytez Nazan
Published: November 2022

Early intervention refers to programs developed for infants and young children with developmental delays or inadequacies or who are at risk group, and their families. The aim of the early intervention is providing services for children with disabilities, minimizing their developmental delay and disability levels and guiding parents for positive development of children. Early intervention includes extremely important studies for children in need of developmental support and their families. The effective early intervention treatment requires a gradual progress, teamwork with a multidisciplinary approach, and family should be considered as the most important element of the treatment and participate in the decision-making at every phase, alongside effective use of the Individualized Family Service Plan and updating the plan when it is necessary. It should be noted that early intervention is an ongoing process. In this process, the family and the child should be considered as a whole and supported in a holistic way.
Family-Community-Higher Education Partnership
Authors: Nyatuka Benard O.
Published: November 2022

Despite governments and the higher learning institutions investing greatly in the search for social justice, its realization has more often than not remained elusive. Could this state of affairs be attributable to weak partnerships among the critical players, as an increasing body of evidence tends to suggest? Accordingly, collaboration between the family, community, and institutions of learning plays a big role in any student's life, particularly in academic achievement, behavior, as well as development of social competencies. Engaging families from diverse backgrounds helps in promoting the view that education is a shared responsibility, including helping the orphans and vulnerable and those with special needs to access higher education. Against this background, this chapter discusses the benefits, barriers, and prospects of family, community, and higher education partnerships as a means of enhancing social justice today. Also elucidated are a relevant theory and the roles of partners in enhancing the provision of quality education.
eLearning Environments as Engaging Invitations to Elementary Age Learners
Authors: Neal Allyson Ward , Simons Melissa A. , Moffett Noran L.
Published: November 2022

This discussion shares one working parent's experiences, as a parent aiding her daughter in an eLearning environment. In March 2019, the daughter's elementary school shut down due to COVID-19. Soon after, the schools began using Zoom and Schoology to help maintain a semblance of normalcy and a semblance of attempts towards continuing the learning process within a challenging cultural and sociological situation. What is shared is the parent's journey through which the parent struggled to sustain levels of normalcy in the home and the community. The focus of the discussion revolved around the school week, the school day, and school-based relationships, while also emphasizing the parent's voice through her perspective.
Enhancing Parent Engagement While Reading Online and at Home
Authors: Harvey Tessa J.
Published: November 2022

This chapter reviews how to use online platforms for reading at home while also engaging parents. To better understand parent engagement during assigned reading homework, an exploratory study was conducted with the families of kindergarteners. Parents were asked about their involvement when working on assigned reading homework. The results of the survey indicated that many parents are willing to take time to support their child as they complete homework assignments and that they already read at home, whether it is assigned or not. These findings, along with recent literature, are useful for developing strategies to better engage families during online learning.
Home-School Pathways
Authors: Fox Kathy Renita
Published: November 2022

Teachers who are informed about the children, families, and communities where they teach are better prepared to share resources and advocate for gaps in literacy and other services in rural communities. Despite the importance of home-school partnerships for children's academic success, aspects of parent involvement and community engagement are often omitted from teacher preparation programs. As a result, many new teachers do not feel adequately prepared to work with families. A variety of strategies are needed for teachers to successfully engage families from diverse cultures and in communities where they teach but not live. Included in this chapter are practices that university teacher preparation programs can initiate to better train teachers to look for engagement opportunities in their school communities.
Lymphatic Malformation Presenting as Recurrent Pleural Effusion and Ascites
Authors: Balaji Sarath , Anuradha D , Shankaran Shiva , Gunasekar Varun
Published: November 2022

Background:

Chylothorax is defined as the accumulation of chyle in the pleural space and is characterized by elevated triglyceride content in pleural fluid >110 mg/dl. Chylous ascites is the accumulation of chyle in peritoneal fluid characterized by triglyceride levels >200 mg/dL. Causes can be traumatic or nontraumatic; portal or nonportal; and congenital or acquired (inflammatory, postoperative, malignant, or infectious). Lymph duct abnormalities are a rare cause of concurrent occurrence of chylothorax with chylous ascites.

Clinical Description:

We report a 4½-year-old girl who initially presented a fever and was diagnosed to have right-sided pleural effusion. Since no other focus was identified, she was treated as a case of tubercular pleural effusion, following which her symptoms settled transiently. She thereafter had a recurrence of her symptoms in association with ascites and was managed as a case of relapse of tuberculosis (TB) with category 2 anti-tubercular therapy. Since her symptoms did not resolve, she was referred to our hospital for further management.

Management:

Clinical reasoning based on history and examination coupled with investigations ruled out cardiac, renal, hepatic, malabsorption, or nutritional pathologies of recurrent effusions. TB was ruled out. A lymphatic malformation was suspected. Therapeutic cum diagnostic paracentesis was done in a fed state, which indicated a chylous nature by the milky appearance and suggestive cytology and biochemistry. Lymphoscintigraphy confirmed the presence of a lymphatic duct abnormality. The child was managed with diet modifications, following which she improved within a week.

Conclusions:

The approach to recurrent effusions without any focus should be logical and sequential, as described above, to exclude the aforementioned common conditions. If workup for TB is repeatedly negative other less likely causes should be considered.
Acute Hemorrhagic Edema following COVID-19 Infection
Authors: Kaymakci Cansu , Kandur Yasar
Published: November 2022

Background:

Acute hemorrhagic edema of infancy (AHEI) is an immune complex-mediated leukocytoclastic vasculitis. Despite its worrisome appearance, it has a benign disease course with rare systemic involvement.

Clinical Description:

A 25-month-old male patient was brought to the pediatric outpatient clinic with a pink oval-shaped plaque-like rash all over the body and edema on the lower extremities and left auricle. The child was diagnosed as a case of coronavirus disease 2019 (COVID-19) 5 days before the present complaints. History and physical examination were otherwise unremarkable. Because of the patient's age, the purpuric appearance of lesions, distribution pattern of the rashes, localized edema, and no end-organ involvement, a possibility of AHEI, triggered by COVID-19, was considered and the patient was evaluated for the same.

Management and Conclusions:

The patient recovered in 15 days with no end-organ involvement. He was advised to continue regular follow-ups to look for long-term complications. AHEI is a benign condition which may occur in children following COVID-19 infection. It is essential to recognize the condition to avoid unnecessary investigations and treatment.
Evaluation of a process for the Experimental Development of Data Mining, AI and Data Science applications aligned with the Strategic Planning
Authors: Colaço Júnior Methanias , Cruz Rodrigo , Araújo Luciano , Bliacheriene Ana , Nunes Fátima
Published: November 2022

Context: The Big Data phenomenon has imposed maturity on companies regarding the exploration of their data, as a prerogative to obtain valuable insights into their clients and the power of analysis to guide decision-making processes. Therefore, a general approach that describes how to extract knowledge for the execution of the business strategy needs to be established. Purpose: The purpose of this research paper is to introduce and evaluate the implementation of a process for the experimental development of Data Mining (DM), AI and Data Science applications aligned with the strategic planning. Method: A case study with the proposed process was conducted in a federal educational institution. Results: The results generated evidence showing that it is possible to integrate a strategic alignment approach, an experimental method, and a methodology for the development of DM applications. Conclusion: Data Mining (DM) and Data Science (DS) applications also present the risks of other Information Systems, and the adoption of strategy-driven and scientific method processes are critical success factors. Moreover, it was possible to conclude that the application of the scientific method was facilitated, besides being an important tool to ensure the quality, reproducibility and transparency of intelligent applications. In conclusion, the process needs to be mapped to foment and guide the strategic alignment.
SOCIAL MEDIA AND BODY IMAGE
Authors: Trajković Jovana
Published: November 2022

Abstract: Social media is a communication channel that is becoming increasingly widespread. Its impact on people is gaining significance. Numerous studies have shown that social media activity can negatively affect people’s emotional states. The aim of this paper is to review the literature to examine the influence of social media on body image, which is viewed as the perception of one’s own body and the feelings and thoughts associated with it. Research review suggests that Facebook and Instagram use is associated with greater body image dissatisfaction. However, as the use of social media is not homogeneous and not all users are exposed to the same content, a more nuanced approach to measuring its use is required. If an individual follows physical appearance-based accounts on social networking platforms, their home pages will be filled with idealized representations of a human body, leading to more intense and frequent comparisons with other people. Such use unmistakably leads to negative body image, and the solution that stands out is education in media literacy which should develop critical and analytical skills in people. Keywords: body image, media, social networks, Facebook, Instagram
Influenţa stilului parental asupra comportamentului agresiv şi a stimei de sine în cazul elevilor de liceu
Authors: CÎNDEA Adela , PREDOI Marinela-Cristiana
Published: November 2022

The present research focuses on the study of the relationship between parenting styles, self-esteem and aggressive behaviors in high school students. To carry out the study, a number of 60 students between the ages of 14 and 19 from rural areas were selected, and to test the proposed hypotheses, three tools validated on the Romanian population were used: Aggression Test (A.H. Buss & M. Perry), Self-Esteem Scale and Authority Questionnaire (PAQ). The results illustrate positive, statistically signifi cant correlations between the authoritarian parenting style and the aggressive behaviors of adolescents manifested through verbal aggression, hostility and anger. Adolescents’self-esteem correlates negatively with their verbal aggression and positively with their anger and hostility. The results show a statistically signifi cant negative correlation between adolescent self-esteem and permissive parenting style.
EFFECT OF SCOURER SCREEN PATTERNS ON THE WHEAT HUSK REMOVAL EFFICIENCY
Authors:   Imas Integrated Machinery System R&D Center, Turkey, Bal Dursun , Bakırhan Mahmud , Apakhan Murat , Ekem Hakkı , Sinan Şahin Ömer ,   Konya Technical University, Faculty of Engineering and Natural Sciences, Department of Mechanical Engineering, Turkey, Hilmi Aksoy Muharrem ,   Konya Technical University, Faculty of Engineering and Natural Sciences, Department of Mechanical Engineering, Turkey
Published: November 2022

The scourer machines remove wheat husk contaminated with pesticides and other impurities that adversely affect product quality and shelf life. For this purpose, at least one scourer machine is used in each industrial grain flour factory, depending on the capacity. The efficiency of these machines is highly dependent on the surface texture and scourer screen patterns. In this study, the efficiency of the wheat scourer machines with various wall patterns and meshes was investigated experimentally. The investigation employed six distinct types of scourer screens. Type-4 has produced the best results in fractured grain rate, whereas Type-2 has produced the best in ash content. It was revealed that wheat’s scouring efficiency and physical and chemical properties vary depending on the scourer screen pattern.
Mobilna aplikacija u funkciji unapređenja predškolskog vaspitanja i obrazovanja
Authors:   University of Niš, Faculty of Pedagogy, Vranje, Mladenović Miljana V. , Novković Cvetković Biljana M. ,   University of Niš, Faculty of Pedagogy, Vranje, Krstić Milan
Published: November 2022

The covid-19 pandemic has accelerated the implementation of distance learning and digital technologies in education at all levels of the education system, including preschool education. This paper first analyzes the research conducted in the preschool institution on its readiness for work in times of crisis, when there is no direct interaction between children and educators. The analysis found that the education in the preschool institution before the pandemic relied on offline educational techniques and tools, whereas during the pandemic, the Internet, web services, mobile applications, and distance learning became the mainstay of education. The second part of the research refers to the representation and structure of educational mobile applications in Serbian for preschool children. Based on both these studies, the paper proposes a model for the use of mobile applications to improve preschool education in difficult conditions such as those that emerged as a result of the Covid-19 pandemic.
Integrativni pristup sadržajima Digitalnog sveta i Sveta oko nas
Authors:   University of Belgrade, Teacher Education Faculty, Ristić Jelica Z. , Lukić Jelena S.
Published: November 2022

The contemporary approach to teaching aims to help children develop a complete picture of the world from an early age, to which the subjects The World Around Us and The Digital World also contribute by holistically viewing natural, social, and digital phenomena. The aim of this paper is to investigate whether, and to what extent, common content that can be integratively related is represented in the curricula and textbooks for the first and second grade of The Digital World and The World Around Us. The curriculum content analysis included the common content identification for achieving cross-curricular integration, while the textbook analysis for The Digital World (N = 8) involved determining the number and type of integrative examples within the topic Algorithmic thinking. The identified related content suggests the need for integrating these two subjects so as to better combine knowledge into a meaningful whole, though some disagreements with regard to the timing of the introduction of certain concepts were observed in the curricula.
Empowerment in chronic disease management: a mixed study approach
Authors: Luz Elisabete Lamy da , Bastos Fernanda dos Santos , Vieira Margarida Maria Silva
Published: November 2022

Aim: To explore how empowerment in chronically-ill patients could contribute to their therapeutic regimen management style. To investigate relation between chronic illness impact, therapeutic regimen management style, and the chronic disease intrusiveness´s in a person's life.  Methods: A survey of 271 patients with chronic conditions administered once time with three questionnaires. From this simple (271 patients with Chronic illness.)  we did nine interviews with them. Results: Regarding the socio demographic variables, age and schooling level reached statistical significance concerning individual empowerment, formally guided, and abandoned scores of the therapeutic regimen management styles. Regarding the predictive model, four multivariable linear regression models were constructed with the overall empowerment level as a dependent variable. The theoretical explanation was identified: “Facilitating decision-making according to each mindset". Conclusion: This study confirms the association between individual empowerment, the therapeutic regimen management style and the interference of chronic disease.
PELAKSANAAN PENANGANAN KREDIT MACET DENGAN MEMAKAI JAMINAN HAK TANGGUNGAN PADA PT. BANK RAKYAT INDONESIA, (Persero), Tbk, CABANG GATOT SUBROTO
Authors: Telaumbanua Yasa Aro , Panjaitan Nata Perdamean , Devi Ria Sintha , Yasid Muhammad
Published: November 2022

Bagi perbankan, setiap pemberian kredit yang disalurkan kepada pengusaha selalu mengandung resiko. Oleh karena itu, perlu unsur pengamanan (safety) sebagai salah satu prinsip dasar dalam peminjaman kredit selain unsur keserasian (suitability) dan keuntungan (profitability).  Studi ini bertujuan untuk menganalisis proses kredit dengan memakai jaminan hak tanggungan oleh debitur di PT. BRI Cabang Gatot Subroto Medan; faktor penyebab kredit macet PT. Bank Rakyat Indonesia, Tbk, Cabang Gatot Subroto Medan dan penyelesaian kredit macet dengan memakai  jaminan hak tanggungan. Metode penelitian yang dipakai adalah Yuridis Normatif yaitu mengkaji peraturan perundang-undangan dengan menggunakan Undang-undang Nomor 10 Tahun 1998 tentang Perbankan. Didalam prakteknya calon debitur mengajukan permohonan pinjaman kepada bank dengan menyertakan segala bentuk surat-surat, yaitu identitas peminjam, jaminan pinjaman berupa Akta Kepemilikan atas Tanah dan Bangunan serta surat-surat perizinan usaha jika Debiturnya adalah badan hukum.Jika menurut Bank permohonan yang diajukan oleh Debitur memenuhi kriteria, maka terjadilah kesepakatan pemberian Fasilitas Kredit (Bank Konvensional) atau Pembiayaan (Bank Syariah) kepada Debitur. Tindak lanjut dari kesepakatan pinjam meminjam tersebut, bank memberikan sejumlah dana (uang) sebagai bentuk pinjaman kepada Debitur, kemudian Debitur memberikan surat-surat kepemilikan tanah/bangunan ataupun benda lainnya sebagai jaminan pelunasan pinjaman. Jaminan berupa tanah dan bangunan biasanya dibebani dengan pemasangan Sertifikat Hak tanggungan yang diterbitkan oleh Badan Pertanahan Nasional (BPN). Dari kesepakatan Fasilitas Kredit tersebut, Bank memberikan syarat kewajiban agar Debitur membayar pinjaman/kredit dengan sistem angsuran/cicilan setiap bulan dengan tenggang waktu pelunasan antara 1 (satu) s/d 20 (dua puluh) tahun. Apabila Debitur melakukan pembayaran angsurannya secara tepat waktu sampai dengan adanya pelunasan, maka Bank tentu akan memberikan penilaian bahwa Debitur tersebut adalah debitur/nasabah dengan predikat baik, sehingga kemudian Bank akan lebih percaya untuk kembali memberikan pinjaman kepada Debitur dengan predikat baik tersebut.
A New Community-Based Outdoor Intervention to Increase Physical Activity in Singapore Children: Findings from Focus Groups
Authors: Drury Vicki B , Saw Seang Mei , Finkelstein Eric , Wong Tien Yin , Tay Peter KC
Published: November 2022

Introduction: Myopia is a significant public health problem in Singapore with estimates that more than 50% of the population is affected by it by the time of adulthood. Childhood obesity is also increasing and has been linked to long-term health problems. Recent studies have found that Singaporean children in Primary 1 spend less than 3 hours a day outdoors which is less than children in other countries. Physical activity has been shown to be protective against obesity and recently, there has been some evidence to suggest that time spent outdoors may reduce the prevalence and severity of myopia. This study aims to explore the barriers and enablers to children in Singapore participating in outdoor activities. Materials and Methods: Qualitative data, gathered from focus group discussions was thematically analysed against the PRECEDE component of the PRECEDE-PROCEED model which provided a conceptual framework for examining factors relevant to children participating in an outdoor activity intervention. A total of 31 people participated in 4 focus groups held over a 6-month period. Results: This feasibility study was exploratory in nature but provided valuable information concerning barriers and enablers to participation. Data informed the development of a larger study. Conclusion: Results indicated that families preferred structured activities such as orienteering and a choice of weekend attendance days and times. Key words: Myopia, Physical activity, Qualitative research, Singapore
Risk Factors for Complicated Influenza A (H1N1) 2009 Disease in Children
Authors: Chong Chia Yin , Tan Natalie WH , Menon Anita , Thoon Koh Cheng , Tee Nancy WS , Fu Sheng
Published: November 2022

Introduction: Singapore had its first case of pandemic influenza A (H1N1) 2009 on 26 May 2009. As of 3 August 2009, 440 children with confirmed H1N1 were admitted to KK Women’s and Children’s Hospital (KKH). Materials and Methods: This is a retrospective case control study of children admitted from 26 May 2009 to 19 July 2009 with H1N1 infection. Cases and controls were first differentiated by whether they were complicated or non-complicated in nature, and subsequently analysed with regards to possible independent risk factors. Results: We analysed 143 admitted children; 48 cases and 95 controls (1 : 2 ratio). Significant comorbidity was found in 20.3% (n = 29) of patients with the majority having asthma (n = 18, 12.6 %) followed by obesity (n = 7, 4.9%). Binary logistic regression analysis showed risk factors for complicated disease were comorbidity (adjusted OR 6.0, 95% CI, 2.5 to 14.6, P < 0.0001) and age <2 years (adjusted OR 9.8, 95% CI, 2.4 to 40, P = 0.001). Age less than 5 years was not found to be a risk factor. Conclusion: In the early stages of an evolving influenza epidemic when oseltamivir stocks are low, oseltamivir treatment for influenza can be streamlined and offered to those at highest risk who are under 2 years old or have significant comorbidity to prevent complicated disease. Key words: Children, Complications, Influenza A H1N1, Risk factors
Waist Circumference is a Potential Indicator of Metabolic Syndrome in Singaporean Chinese
Authors: Nurjono Milawaty , Lee Jimmy
Published: November 2022

Introduction: Metabolic Syndrome (MetS) is associated with cardiovascular morbidity and mortality. Studies proposed that waist circumference (WC) and body mass index (BMI) are good indicators of MetS. In this study, we examined and compared the predictive utility of clinical measures such as WC, blood pressure and BMI and determined the cut off points in which these measures are most reliable in identifying MetS in Singaporean Chinese. Materials and Methods: Two hundred and forty-four subjects aged between 21 and 50 years of Chinese ethnicity were recruited into the study. Sociodemographic, height, weight and blood pressure information were obtained. High-density lipoprotein cholesterol (HDL-C), triglycerides (TG) and glucose levels were evaluated. Presence of MetS was examined according to American Heart Association (AHA)/National Heart, Lung and Blood Institute (NHLBI) guidelines. Predictive utility of BP, WC and BMI was examined using receiver operating curve and discriminant indices were determined accordingly. Results: Forty-one (16.8%) subjects were identified to have MetS. Our analysis revealed that waist circumference was most accurate in identifying MetS (area under the curve (AUC) = 0.88, 95% confidence interval (CI), 0.83 to 0.93, P 92.5 cm in males and >86.5 cm in females were found to be most sensitive and specific in discriminating MetS. Conclusion: Our finding has immediate and significant clinical implications as WC can be easily obtained. However, as the study included only Singaporean Chinese, findings cannot be generalised for other ethnic groups.

Key words: Chinese, Metabolic syndrome, Waist circumference
An Alternative Treatment Option for Scaphoid Nonunion Advanced Collapse (SNAC) and Radioscaphoid Osteoarthritis: Early Results of a Prospective Study on the Pyrocarbon Adaptive Proximal Scaphoid Implant (APSI)
Authors: Daruwalla Zubin J , Davies Kirsten-Lee , Shafighian Ali , Gillham Nicholas R
Published: November 2022

Introduction: Scaphoid nonunion advanced collapse (SNAC) and radioscaphoid osteoarthritis are difficult to treat. Options include proximal row carpectomy (PRC), four corner fusion (4CF) and wrist arthroplasty or arthrodesis. However, with inevitable disease progression, a significant proportion of patients undergo total wrist fusion. This reduces function by abolishing wrist movement. We review the preliminary results of a pyrocarbon interpositional radiocarpal implant in a small cohort of patients from our prospective study and challenge the assumption that there are no surgical alternatives. Materials and Methods: This study prospectively studied 12 consecutive pyrocarbon interpositional arthroplasty day cases over 3 years. Patients were assessed using level of pain, ranges of motion, grip strength, key pinch, type of and time to return to work and the disabilities of the arm, shoulder and hand (DASH) score, both preoperatively and postoperatively. Radiographs were also taken and patient satisfaction recorded. Results: All 12 patients could be contacted and were satisfied with their surgery. There were no immediate, early or late postoperative complications associated with the procedure. Promising results were noted in terms of pain, ranges of motion, grip strength, key pinch, type of and time to return to work, DASH scores, photographs and radiographs. The mean follow-up was 18 months, range between 11 months and 3 years. Conclusion: Our early results are encouraging, warrant further and longer studies and support the use of pyrocarbon implants as a primary procedure in what is a generally young and active subgroup of patients.

Key words: Proximal scaphoid replacement, Wrist arthroplasty, Wrist replacement
Improved League Championship Algorithm (ILCA) for Load Balancing in Cloud Computing
Authors: Gaikwad Amol , Singh Kavita
Published: November 2022

You can’t obtain the outcomes you need without planning, thus it’s at the heart of cloud computing. This article’s major goal is to decrease value-added time, increase resource utilisation, and make cloud services viable for a single activity. In recent years, metaheuristic algorithms have drew attention to the correct functioning of work scheduling algorithms among the many job scheduling techniques. With sports leagues, the algorithm based on the League Championship (LCA) is fascinating because it can be used to identify the best team/task for programming.This article uses the Improved League Championship Algorithm (ILCA) to schedule tasks, reducing deployment time, cloud usage, and cost. The ILCA is implemented through the Cloudsim simulator and the Java programming language with a nonpreventive planning strategy. ILCA also enhances economies of scale and minimises the value of using the cloud. As it has proven to be versatile in terms of time to manufacture, resource usage and economics, ILCA could be a good candidate for a cloud broker as it has proven to be versatile in termsof time to manufacture, resource usage and economics usage.
Pneumonia detection through Image Classification Using CNN
Authors: Karan Badlani  , Shreya Sawal  , Mohit Nilkute  , Shruti Belekar  , Ajinkya Nilawar
Published: November 2022

Pneumonia is a dangerous and serious lung disease. Generally, Chest Radiographs are used to detect pneumonia. This article describes a new method based on Convolutional Neural Network (CNN) classifiers that can identify pneumonia from a patient’s X-ray. Hence, we are proposing pneumonia detection based on CNN using chest X-ray. In this paper, we analyze the existing methods of pneumonia detection and classification techniques. The performance of the proposed CNN model is compared with VGG19 and ResNet50-V2. Performance evaluation is done using Precision and Recall. The proposed CNN model provides higher accuracy compared to existing CNN models.
A Year Reflection of Poltekkes Kemenkes Jakarta III Covid-19 Handling Task Force Through RDT Antibody and Antigen Swab on Suspect Cases
Authors:   Departement of Medical Laboratory Technology, Poltekkes Kemenkes Jakarta III, Burhannudin Burhannudin , Widhyasih Retno Martini ,   Department of Medical Laboratory Technology, Poltekkes Kemenkes Jakarta III
Published: November 2022

The covid-19 Pandemic affected worldwide including Indonesia and obliged each part of society to handle its spread. The implementation of screening regulations for suspect cases by Polkesjati Covid-19 Handing Task Force had been established for a year since the first day of infection happen. However, the report has never been implemented. This study was conducted to describe a one-year implementation of screening suspect cases in Polkesjati. This study was a narrative-descriptive study using secondary data from polkesjati Covid-19 handling task force. Data were derived from a total of 1,062 respondents of RDT Antibody test and a total of 2,014 respondents undergone an Antigen swab test at age of 16 – 62 from January 2021 – January 2022. The respondents were a student from MLT, Physiotherapy, Midwifery, and Nursing students and employees. RDT Antibody test showed that reactive case was high in February and June 2021, meanwhile, Antigen swab test showed an increasing result from February to April 2021 and gradually decreased in September 2021. The most interesting part was shown from a contact tracing that indicated 7 respondents with a positive antigen test. The lowest portion of antibody and antigen detection indicated the succesfull strategy of task force especially with suspect cases.
Working from Home or Working from Office Understanding Time Management Importance and its Effect on the Job Outcomes in the Engineering Career Field
Authors:   Head of Quality Assurance Unit, College of Management and Technology, Arab Academy for Science Technology and Maritime Transport, Smart Village Campus, Yassin Cherouk Amr , Abdelmaguid Nour Gamal ,   College of Engineering Management, Master of Engineeri
Published: November 2022

Time is a vital resource available to all human beings. The current research, therefore, aims to clarifies the relationship between time management and the quality of production, the disclosure of how the engineer organizes his/her time, and the extent to which cultural and societal factors influence the use of time. This study aims to explore the effects of working place on employee productivity with a quantitative approach, the data was collected using a survey method. The survey was adopted from previous literature and data was analysed using SPSS. The study sample included several engineers from different fields in different companies. The research has produced several findings, including the importance of time planning, which is an essential factor contributing to increasing production rates, and the different perspectives of engineers to define and understand the term time management, which leads to the finding that the time factor is a significant factor for all engineers to get successful results at the end of the day. Finally, the analyses and the final results were discussed to clarify the importance of the time management element and its relationship to the workplace and to reach conclusions and nominations.
An Assessment of the Factors Leading to Projects Success/Failure in the Mauritian Building Construction Industry
Authors:   Lecturer at the University of Technology, Mauritius. His research interest is Information Systems, Dudley Tse Kai Wai , Jeetendre Narsoo ,   Senior Lecturer at the University of Technology, Mauritius. His research interest is software engineering, Heman Reekoye ,   Ex-student of UTM, Birandranath Chittoo Hemant ,   Professor at the University of Technology, Mauritius. His research interest is Public Policy and Management
Published: November 2022

: The Mauritian building construction sector is the 3rd largest employer in the economy with around 46,300 employees, thus absorbing a large percentage of the working population with minimum level of education. However, in the Mauritian construction industry, the concept of project success/failure still remains unclearly defined. The well-known success criteria like time, cost and quality do not provide any practical information of achieving project objectives in an efficient way. Thus, it is very important for local building construction companies to understand the factors which make a project successful or a failure, if they want to progress in the highly competitive environment. The main aim of this research is to identify the major success/failure factor (and their interrelationship) from the 26 factors which were identified from project management literature. The survey was carried out among the major stakeholders of the Mauritian building construction industry through emails and social-medias. 37 responses were successfully received. From the analysis, primary and support areas of success/failure factors were identified and a framework was worked out so as to illustrate the factors which can increase project success in building construction. The most important success/failure factors are proper planning/scheduling, purchasing, contractor competences and other project management skills. Moreover, a clear interrelationship has been identified between primary and support areas of success/failure factors. Hence, from the developed framework and the interrelation matrix of project success/failure factors, major building construction project stakeholders in Mauritius can focus more on the primary factors to increase chances of project success.
Intra-Urban Variations in the Prevalence of Self-Reported Common Mental Disorders in a Traditional City
Authors: Gbadegesin Adeniyi Sunday
Published: November 2022

Studies of intra-urban variations of self-reported Common Mental Disorders (CMD) are still emerging in most developing cities. This present study, thus sought to determine if variations exist in the prevalence of self-reported CMDs along the lines of gender and residential densities in a traditional urban city. Using the Neumman’s probability sampling method, 1200 respondents were selected and an adapted SRQ-20 was employed for the study. ANOVA and ArcGIS methods were employed to examine the variations, mapping and identification of the localities of high Self-reported CMD prevalence respectively. The result showed that overall prevalence was 32.5%. Females (35.1%) reported more cases of Self-reported CMD than males (30.1%). The analysis of variance shows a significant variation in Self-reported CMD across the residential densities (F=22.620, p=0.000). This implies that the prevalence of self-reported CMD varies across the residential densities. Post-hoc test result shows that Self-reported CMD varies across the residential densities as the mean score of high residential density area (5.1956) was higher than those of medium (3.9859) and low (3.5766) density areas. CMD is a major public health burden in and there is need for increased public sensitization on its causative factors. The high density localities should also be targeted as areas requiring immediate mental health and social service intervention.
Fatty Acid Compositions and Antioxidant Activities of Ranunculus isthmicus subsp. tenuifolius and Ranunculus rumelicus
Authors: FAFAL Tuğçe , SÜMER TÜZÜN Burcu , KIVÇAK Bijen
Published: November 2022

The content of fatty acids in plants and especially the ratio of unsaturated to saturated fatty acids is very important. Phenolic compounds and flavonoids with antioxidant properties are useful in scavenging harmful radicals. In this study, fatty acid compositions and antioxidant activities of the aerial parts of Ranunculus isthmicus subsp. tenuifolius (syn. Xiphocoma tenuifolia) and Ranunculus rumelicus from Turkey were evaluated. Fatty acid methyl esters (FAMEs) of the oil extracts of two Ranunculus species were prepared. The fatty acid compositions of plants were investigated by gas chromatography (GC). Unsaturated fatty acids were detected in higher amounts than saturated fatty acids. The primary unsaturated fatty acids of the R. isthmicus subsp. tenuifolius oil were linoleic acid (38.42%), oleic acid (18.24%), palmitoleic acid (8.96%), and palmitic acid (8.12%) were determined fatty acid. Linoleic acid (24.09%), palmitoleic acid (16.25%) and palmitic acid (10.32%) were found in R. rumelicus oil as the major fatty acids. The antioxidant activities of methanol extracts of two plants were evaluated by DPPH•, ABTS•+, and CUPRAC assays. The extracts' total phenolics and flavonoid contents were determined by Folin-Ciocalteu and aluminium chloride methods, respectively. The methanolic extract of Ranunculus isthmicus subsp. tenuifolius demonstrated the higher antioxidant activity compared to R. rumelicus. The extracted oil from both Ranunculus species is a good source of essential fatty acids, especially linoleic acid. According to the antioxidant activity findings, it was determined that the extracts showed a significant correlation with the total phenolic and flavonoid contents.
Háziorvosi és szakorvosi távkonzultációk nyelvi és kommunikatív vizsgálata
Authors: Kránicz Rita , Hambuch Anikó , Halász Renáta , Makszin Lilla , Sárkányné Lőrinc Anita
Published: November 2022

A COVID-19 járvány miatt a betegek biztonságos ellátásában jelentős szerephez jutott a távkonzultációs beszélgetés. 2020 áprilisában kormányrendelet szabályozta és több szakterületen is engedélyezte a telemedicinális platformok használatát. A járvány alatti háziorvoslás tapasztalatai alapján a háziorvosok közel 90%-a továbbra is támogatja az orvosi távkonzultációt. A tanulmány célja egy vizsgálati módszer bemutatása, amelyet egy, a Pécsi Tudományegyetem Általános Orvostudományi Karán folytatott kutatás keretén belül alkalmazunk. A kutatás során háziorvosi praxisokban, reumatológiai, bőrgyógyászati és gasztroenterológiai szakrendeléseken az Etikai Bizottság engedélyével és a betegek beleegyezésével hangfelvételek készülnek. A hangfelvételek annotálását követően a vizsgálat a Sketch Engine korpuszelemző szoftvereszközzel történik. Jelen tanulmány vizsgálati korpuszát 10 háziorvosi, illetve szakorvosi távkonzultáció alkotja, az alkorpuszok az orvosok, illetve a betegek megnyilatkozásaiból épülnek fel. A kutatásban kontrasztív elemzés céljából összesítettük külön-külön a betegek és az orvosok beszédlépéseit (a beszédlépések hossza és tartalma, a szóhasználat jellegzetességei). A kutatás abból a jelen helyzet indikálta szükségletből indul ki, hogy az orvostanhallgatóinknak nincs (nem lehet) tapasztalatuk a távkonzultációt illetően, ezért célunk hosszú távon a vizsgálatok során nyert tapasztalatok – a megfigyelt nyelvi mintázatok és kommunikációs stratégiák – oktatásban történő alkalmazása.