bluuebunny/crossref_metadata_2025 huggingface dataset:
A RARE CASE OF UNILATERAL TRANSIENT MYDRIASIS AFTER BOTULINUM TOXIN INJECTION FOR COSMETIC PROCEDURE
Authors:   Clinical Fellow Accident and Emergency Department New Cross Hospital, Royal Wolverhampton Trust Wolverhampton, West Midland United Kingdom., Hasamukhbhai Jolapara Deep
Published: September 2023

Introduction: Botulinum toxin A (BTX-A) was first used for the aesthetic purposes in 1990 to reduce wrinkles caused by facial muscle. Its effect starts 3 to 4 days after application and lasts for 4 to 6 months. All the medical doctors, from plastic surgeons to dermatologists can administer botulinum toxin A injection effectively and safely. Ophthalmologists are also performing this procedure for blepharospasm. Case Report: A 35 year old female present to emergency department with complain of sudden onset of right eye blurred vision with tingling sensation of the right side of the face. Patient has been injected with BTX-A for a cosmetic procedure about a 2 weeks ago. On presentation, her right pupil measured 9 mm and was fixed, with no direct or consensual response to light, and her left pupil was 3 mm and had a normal light response. CT brain and cranial MRI revealed no optic nerve or cerebral dysfunction. Patient was counselled that the mydriasis would not be permanent. In follow up after 10 days her mydriasis was improved. Discussion: Botulinum neurotoxins inhibit the release of acetylcholine and act primarily at the peripheral cholinergic synapses. These agents act at the neuromuscular junction in skeletal muscle, causing transient muscle paresis. Botulinum toxins could therefore cause pupil dilatation by uptake into the parasympathetic neurons at the level of the ciliary ganglion or the parasympathetic neuromuscular junctions in the sphincter pupillae of the iris. Conclusion: Before botulinum injection for cosmetic purposes or to treat blepharospasm, patients should be warned about the possibility of developing toxin-induced ptosis and mydriasis.
Elderly tourism management: A bibliometric approach
Authors: Zhao Huixian , Jiang Songyu , Fu Lin , Ke Xiaojun
Published: September 2023

Elderly tourism constitutes an important sector within the sustainable development of the tourism industry, attracting an increasing body of research focused on market development. This study aims to outline the progression of elderly tourism research within the past five years (2019–2023) and determine prospective research trajectories and opportunities in the subject. Employing CiteSpace visual analysis technology, this investigation constructs knowledge graphs of authors, institutions, and countries from 332 English-language academic articles from the Web of Science and culminates a keyword co-occurrence knowledge graph. Next, cluster and burst analyses revealed the prevailing trends and focal points in elderly tourism research. The results underscore that while many researchers have been drawn to elderly tourism, the collaborative relationships between these scholars remain tenuous, resulting in the relatively disparate study and the absence of a lead author group. China dominates the field, producing a far greater quantity of studies than other nations. Hence, this study encourages different countries, higher education institutions and disciplines to strengthen cooperation in the management and development of elderly tourism, especially paying attention to the importance of elderly tourism services, quality management and technology integration for the sustainable development of elderly tourism.
Percepção de atendentes de farmácias sobre os riscos da automedicação
Authors: Conrad Graciela Saalfeld , Lencina Claiton Leoneti , Da Silva Juliane Fernandes Monks , Corrêa Paulo Maximiliano
Published: September 2023

Introdução: A automedicação é uma realidade para uma grande parcela da população. O atendente de farmácia é um profissional que, embora participe diretamente dessa prática, não costuma ser considerado em estudos que avaliam a automedicação no Brasil. Como resultado, pouco se sabe sobre o entendimento dos atendentes de farmácia quanto aos riscos dessa prática. Objetivo: O objetivo do presente trabalho foi avaliar o uso da automedicação pelos balconistas da cidade de Pelotas, no Rio Grande do Sul, além de seus conhecimentos sobre os riscos que envolvem essa prática. Método: Foi realizado um estudo transversal por meio de questionário estruturado enviado ao e-mail profissional dos atendentes. Resultados: 41,6% dos atendentes entrevistados afirmaram que se automedicam pelos menos uma vez por mês e 66,3% que realizam indicação de medicamentos isentos de prescrição para clientes da farmácia. 30,7% dos participantes afirmaram que já foram incentivados a indicar medicamentos, porém 75,2% não se consideram preparados para auxiliar os clientes na automedicação. Conclusão A automedicação e o auxílio à automedicação de pacientes é uma prática comum entre os atendentes de farmácia. Diante disso, cabe ao farmacêutico assumir a responsabilidade pelo treinamento desses profissionais para minimizar os riscos da automedicação para os pacientes e atendentes.
Satisfação de profissionais da Estratégia Saúde da Família durante a pandemia de COVID-19
Authors: Grasel Julia , Zuge Samuel Spiegelberg , Soratto Jacks , Trindade Letícia de Lima , De Brum Crhis Netto , Da Silva Clarissa Bohrer
Published: September 2023

A Estratégia Saúde da Família (ESF) tem contribuído como base fundamental para o enfrentamento da pandemia da Covid-19. Este cenário, no entanto, tem submetido os profissionais da saúde a alterações de rotina e sobrecarga de atividades, podendo influenciar em sua satisfação. Assim, objetivou-se identificar os fatores que envolvem a satisfação dos profissionais da ESF em tempo de pandemia da Covid-19. Trata-se de um estudo qualitativo, realizado no período de março a dezembro de 2020, com 64 profissionais da área da saúde. Foram realizadas entrevistas semiestruturadas e observação submetidas à análise de conteúdo temático com auxílio do software Atlas.ti 9.0. Em relação aos fatores que envolvem a satisfação dos profissionais, emergiram três categorias: aspectos profissionais (estrutura e materiais disponíveis para assistência; organização do trabalho e divisão das tarefas na equipe; resolutividade profissional; e identificação com o trabalho); direitos trabalhistas (estabilidade no vínculo de trabalho; remuneração; e carga horária); e reconhecimento profissional (reconhecimento profissional por parte da gestão; e reconhecimento profissional por parte do usuário). Conclui-se que os fatores que envolvem a satisfação dos profissionais da ESF estão ligados ao ambiente laboral, e sua organização aos aspectos trabalhistas e ao reconhecimento pelo trabalho desenvolvido, permitindo uma maior segurança no momento da pandemia.
Analysis of the impact of roughness coefficient changes due to land use changes on the hydraulics of the Kashafrood River
Authors: Nazarjani Mohammad , Saremi Ali , Eslami Ali Reza , Yazdani Vahid
Published: September 2023

Mashhad's Kashafrood basin has been affected by land use changes, urbanization, and the development of agricultural water resources. This basin is located in the Razavi Khorasan province, Mashhad city. This research analyzes the impact of land use changes on river flow from a hydraulic point of view. For this purpose, the studied area was divided into five sub-basins and flood values were calculated using Deacon's method and different return periods for the sub-basins. In order to determine the intensity and extent of lateral erosion, two factors, the height of the terraces (H) and the amount of erosion activity (T), were measured, separated into different classes and evaluated. Also, the river was simulated under different hydraulic regimes. The results showed that the effects of erosion in more than 50% of the observation path and the 25-year discharge entered the bed area. The highest sensitivity to changes in the roughness coefficient is related to the flow surface and the width of the upper surface. Based on this, this research provides valuable information for land use management, understanding the impact of land use changes on river basins, and for decision-making by the executives.
Electrolysis-induced hardness variation for quantitatively assessing the scaling tendency of circulating water
Authors: Zheng Guopeng , Wang Lida , Sun Wen , Yang Zhengqing , Bao Xuewei , Hao Anfeng , Deng Haitao , Li Hejin , Liu Guichang
Published: September 2023

The scaling problem exists universally in circulating water systems. Efficient and accurate assessment of scaling tendency is a prerequisite for solving the problem. In this work, it proposes electrolysis to induce hardness variation, which connects with the water stability evaluation index for quantitatively assessing the scaling tendency of water. The quantitative assessment is further realized on the basis of qualitative assessment. Then, the dynamic simulation experiments of circulating water are carried out to provide support for the electrolysis-induced hardness variation which clarifies the criteria that can meet the actual water requirements. This work can achieve an efficient and accurate quantitative assessment of the scaling tendency, which is of great significance for solving the scaling problem of circulating water systems.
Examining the open-source datasets for water quantity and quality using the soil and water assessment tool (SWAT)
Authors: Peker İsmail Bilal , Gülbaz Sezar
Published: September 2023

Water quality modeling is very important for the management of water resources. In this study, the upper part of the Porsuk Basin in Türkiye is analyzed using SWAT. In the analysis, in addition to the data provided by the General Directorate of State Hydraulic Works (DSI), the freely available flow and water quality data from the GEMStat data portal were used. This study presents a discussion of the practicality of GEMStat data for a water quality model. For this purpose, firstly, the SWAT model was constructed with freely available global data sources on elevation, land use/land cover, and soil type. Then, the model flow outputs were calibrated and validated for both DSI and GEMStat data in three different time periods. As a result, the flow calibration and validation success in the daily time step is 0.64 and 0.44 according to the Nash–Sutcliffe efficiency (NSE). The model was also validated using GEMStat flow data and calibrated using GEMStat water quality data such as nitrate (NO3), total suspended solids (TSS), and dissolved oxygen (DO) with a reasonable value. Hence, the results showed that GEMStat flow and water quality data can be used as auxiliary open-source data in the modeling process.
Systems of exchange: translation, money and the ecological turn
Authors: Bennett Karen
Published: September 2023

It is no coincidence that Marx, in the Grundrisse, spoke of money as a system of translation, while Saussure, in his Cours de linguistique générale, describes translation in terms taken from the political economy (Liu, 1999). Both are systems of exchange based on a concept of universal equivalence in which the exchange value attributed to the token (the coin or verbal sign) is unrelated to the inherent value of the material carrier. This has not always been the case, of course. Historically, coins and then paper money developed from the use as currency of intrinsically valuable commodities such as gold, while in semiotics, the conventional symbol evolved out of the motivated sign or icon. This paper traces the rise and demise of the universal equivalent in both translation and economics, and discusses the implications of the move back to an embedded and embodied understanding of meaning/value, with particularly attention to the ecological framework proposed by Michael Cronin (2017).
Livestreaming Islamic Arts: Digitisation as Translation in Shi'i Depictions of Karbala
Authors: Sparey Rhys
Published: September 2023

At the Battle of Karbala (680 CE), the Umayyad Caliph ordered the deaths of the Prophet’s descendants who Shi’i Muslims believe should inherit leadership of Islam. This article explores the digitization of their commemoration, which has always been transmedial. It analyses livestreams of commemorative recitation to consider incorporation of digital technologies into commemorative arts as embodied translation through which symbolic materiality allows a cultural memory of Karbala to resonate with Shi’as. It argues, following McLuhan (1964), that technologies are ‘ways of translating’ the significance of compresent traditions. This article contravenes McLuhan, however, insofar as he finds the electric to ‘exceed ourselves’ by translating ‘our entire lives into the spiritual form of information’. In contrast, this article stresses intimacy and fmateriality, in which vein it demonstrates that affordances exist in relation to their environment and cultural contingency. Given the prevalence of contrary claims, it highlights the enduring value of ontological pluralism.
Intersemiotic Translation in the Theatre: Creating a Stage Production
Authors: Lass Raili
Published: September 2023

: The standard way of creating a stage production is to take a written source text (the play) and transfer it to the stage through visual and auditory means. This is, essentially, an act of intersemiotic translation although, in the theatre, the “languages” of the target text are neither clearly defined nor limited. This article explores the function of the playtext in the theatre as the source of both the stage production and the verbalised meaning-making system that constitutes a performance. The objective is to reconstrue the various participants in the process as translators, analysing the ways in which interlingual and intersemiotic translation are comparable.
Japan's Inclusive Development The Strategy and Policies of The Japanese Government Towards Disability Education.
Authors:   Bosowa University, Ain Wan Nur , Wulandari Sephia ,   Bosowa University, Jalil Rifqi ,   Bosowa University
Published: September 2023

The United Nations (UN) adopted the Convention on the Rights of Persons with Disabilities in late 2006, with the fundamental aim of upholding the human rights interests of persons with disabilities in sustainable development. As of August 2021, the Convention has been ratified by 183 member states of the United Nations (UN), one of them being Japan in early 2014. The ratification of the Convention by Japan was then followed by several amendments to the Japanese Law, which were also followed by initiating policies in the education sector for people with disabilities, one of which is the Special Needs Education program. The implementation of several policies implemented by the Government has led Japan to be ranked 24th among 134 countries in the world with a high global development inclusiveness index. Therefore, this article aims to explain how the Japanese Government's strategy and policy measures in disability education using the approach or concept of inclusive development. The research in this article uses the library research method by using literature such as documents or data that has been published, including journal articles, reports, laws, and regulations from the Japanese Government, related institutions, and international organizations through their official websites. With this, the author's findings presented in this article, namely the existence of policies on Education for people with disabilities in Japan, which in their realization, use the basic principles of inclusive development.
Lung Tuberculosis with suspect Peritonitis Tuberculosis: Case Report
Authors: Hermantoputra Halim Steven , Anak Agung Gde Upeksha
Published: September 2023

Background: Tuberculosis is an infectious disease that caused by Mycobacterium Tuberculosis Complex. Tuberculosis is one of the oldest disease and cause death worldwide. Gastrointestinal TB is uncommon Peritoneal TB commonly caused pain as its presenting manifestation with abdominal sweeling, fever, weight loss and anorexia. Active pulmonary TB is uncommon in patients with peritoneal TB
Case Ilustration: A 19-year-old female came to Emergency Room with chief complaint of cough since 2 months ago accompanied with greenish phlegm. Patient also complaint shortness of breath, fever since 2 weeks ago, and also loss of appetite, weight loss around 8kg since 2 months ago. Patient also had nausea without constipation, patient had no history of previous illness and no one in the family was sick or currently on medication. On physical examination we found oxygen saturarion 93% room air, ronchi on left and right lung, and also distended abdomen, with ascites.
Discussion: In This patient, Chest X-ray showed suspicion of miliary TB and minimal pleural effusion with Gene Xpert MTB/RIF showed positive. CT scan abdomen suggest wet type TB peritonitis. Patient with peritoneal TB concomitant with pulmonary TB are found less than 25% patients. In this patient, Gene Xpert MTB/RIF showed positive and CT scan abdomen suspicion peritoneal TB. Other examinations such as histopathological should be done to diagnose peritoneal TB.
Conclusion: The symptoms of pulmonary TB and peritoneal TB are slightly different and also could be overlapping. Initial examination needs to be done so physician can give antituberculosis treatment and it can reduce risk of mortality.
La transformación urbana en torno al arte y la cultura. El caso del barrio San Felipe, en Bogotá
Authors: Galvis-Bonilla Jairo Eduardo
Published: September 2023

El Distrito Creativo San Felipe en Bogotá se ha convertido en un centro urbano centrado en el arte y la creatividad, que ha impulsado la transformación urbana y atraído a diversos actores públicos y privados. Sin embargo, hay una falta de estudios en áreas como arquitectura, urbanismo y gestión urbana. Este artículo busca abordar esta brecha a través de un enfoque exploratorio, realizando recorridos urbanos e interactuando con actores locales. El objetivo es desarrollar cartografías representativas de la funcionalidad del Distrito Creativo y entender las dinámicas de transformación urbana. Utilizando un enfoque cualitativo, se presentan resultados iniciales que podrían servir de base para futuras investigaciones y para el propósito de fomentar vínculos entre la academia, la comunidad y otros actores locales, contribuyendo al desarrollo de un tejido social que preserve la memoria del lugar en el contexto de la transformación urbana en curso.
La casa tradicional en San Basilio de Palenque: un símbolo de libertad y expresión cultural en el caribe colombiano
Authors: Solarte Pinta Esteban Armando
Published: September 2023

El presente artículo reúne algunos apuntes y reflexiones alrededor de la casa tradicional palenquera como símbolo de libertad de los cimarrones y espejo de su cultura a lo largo del tiempo. Estos apuntes están basados en la investigación “San Basilio de Palenque. Espacio y cultura”, desarrollada entre los años 2015 y 2018 en el Programa de Arquitectura de la Universidad de Bogotá Jorge Tadeo Lozano, apoyada en fuentes documentales históricas y antropológicas, cuyo objetivo fue reconocer el territorio de San Basilio de Palenque de cara a comprender el carácter de su patrimonio cultural intangible. Lo anterior permitió, por un lado, reconstruir parte de la memoria del palenque en el Caribe colombiano, establecer su origen y evolución y, por otro, realizar un estudio del “Espacio Cultural Palenquero” como resultado de las diferentes prácticas culturales ancestrales heredadas de algunas tribus africanas.
Association of Prospective Falls in Older People With Ubiquitous Step-Based Fall Risk Parameters Calculated From Ambulatory Inertial Signals: Secondary Data Analysis
Authors: Al Abiad Nahime , van Schooten Kimberley S , Renaudin Valerie , Delbaere Kim , Robert Thomas
Published: September 2023

Background

In recent years, researchers have been advocating for the integration of ambulatory gait monitoring as a complementary approach to traditional fall risk assessments. However, current research relies on dedicated inertial sensors that are fixed on a specific body part. This limitation impacts the acceptance and adoption of such devices.

Objective

Our study objective is twofold: (1) to propose a set of step-based fall risk parameters that can be obtained independently of the sensor placement by using a ubiquitous step detection method and (2) to evaluate their association with prospective falls.

Methods

A reanalysis was conducted on the 1-week ambulatory inertial data from the StandingTall study, which was originally described by Delbaere et al. The data were from 301 community-dwelling older people and contained fall occurrences over a 12-month follow-up period. Using the ubiquitous and robust step detection method Smartstep, which is agnostic to sensor placement, a range of step-based fall risk parameters can be calculated based on walking bouts of 200 steps. These parameters are known to describe different dimensions of gait (ie, variability, complexity, intensity, and quantity). First, the correlation between parameters was studied. Then, the number of parameters was reduced through stepwise backward elimination. Finally, the association of parameters with prospective falls was assessed through a negative binomial regression model using the area under the curve metric.

Results

The built model had an area under the curve of 0.69, which is comparable to models exclusively built on fixed sensor placement. A higher fall risk was noted with higher gait variability (coefficient of variance of stride time), intensity (cadence), and quantity (number of steps) and lower gait complexity (sample entropy and fractal exponent).

Conclusions

These findings highlight the potential of our method for comprehensive and accurate fall risk assessments, independent of sensor placement. This approach has promising implications for ambulatory gait monitoring and fall risk monitoring using consumer-grade devices.
Effects of Serious Games for Patients With Chronic Obstructive Pulmonary Disease: Systematic Literature Review (Preprint)
Authors: Huang Houqiang , Huang Min , Chen Qi , Hayter Mark , Watson Roger
Published: September 2023

BACKGROUND

The use of serious games for rehabilitation has been an emerging intervention in health care fields, referred to as an entertaining and positive activity. Although related studies have been conducted on patients with chronic obstructive pulmonary disease (COPD), a more comprehensive study that summarizes and evaluates its effects in this area is needed.

OBJECTIVE

This review aimed to systematically evaluate the effects of serious games in promoting rehabilitation and related outcome measures of serious game–based engagement in patients with COPD.

METHODS

This review adhered to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Searches were performed in the following databases: PubMed, Scopus, Embase (via Ovid), CINAHL, Science Direct, and China Biology Medicine disc. Only quantitative studies were included in this review, and the methodological quality and bias of the included studies were evaluated using related tools. Several outcomes, including clinical outcomes and serious game–based engagement outcomes, were ultimately collected in this review. The results were summarized and evaluated using descriptive methods due to significant heterogeneity.

RESULTS

In total, 11 studies were included. Serious games played a potentially positive effect on pulmonary function and exercise capacity. However, no consistent findings were reported on dyspnea and psychological status. Additionally, serious game engagement showed favorable findings on adherence, enjoyment, and acceptability. Furthermore, no serious adverse effects were identified in all included studies.

CONCLUSIONS

This review preliminarily indicated the potential benefits of serious games in promoting rehabilitation for patients with COPD, despite the limited quality of the included studies. More studies with high methodological quality are needed to further explore the effects of serious games in this field.
The Impact of Physical Activity Intensity on the Dynamic Progression of Cardiometabolic Multimorbidity: Prospective Cohort Study Using UK Biobank Data (Preprint)
Authors: Liu Bao-Peng , Zhu Jia-Hui , Wan Li-Peng , Zhao Zhen-Yu , Wang Xinting , Jia Cun-Xian
Published: September 2023

BACKGROUND

Although many studies have reported on the associations between the amount of physical activity (PA) and the transitions of cardiometabolic multimorbidity (CMM), the evidence for PA intensity has not been fully evaluated.

OBJECTIVE

This study aimed to explore the impact of PA intensity on the dynamic progression of CMM.

METHODS

The prospective cohort of this study using data from the UK Biobank included 359,773 participants aged 37-73 years who were recruited from 22 centers between 2006 and 2010. The diagnoses of CMM, which included the copresence of type 2 diabetes (T2D), ischemic heart disease, and stroke, were obtained from first occurrence fields provided by the UK Biobank, which included data from primary care, hospital inpatient record, self-reported medical condition, and death registers. The PA intensity was assessed by the proportion of vigorous PA (VPA) to moderate to vigorous PA (MVPA). Multistate models were used to evaluate the effect of PA intensity on the dynamic progression of CMM. The first model (model A) included 5 transitions, namely free of cardiometabolic disease (CMD) to first occurrence of CMD (FCMD), free of CMD to death, FCMD to CMM, FCMD to mortality, and CMM to mortality. The other model (model B) used specific CMD, namely T2D, ischemic heart disease, and stroke, instead of FCMD and included 11 transitions in this study.

RESULTS

The mean age of the included participants (N=359,773) was 55.82 (SD 8.12) years at baseline, and 54.55% (196,271/359,773) of the participants were female. Compared with the participants with no VPA, participants with intensity levels of >0.75 to <1 for VPA to MVPA had a 13% and 27% lower risk of transition from free of CMD to FCMD (hazard ratio [HR] 0.87, 95% CI 0.83-0.91) and mortality (HR 0.73, 95% CI 0.66-0.79) in model A, respectively. The HR for the participants with no moderate PA was 0.82 (95% CI 0.73-0.92) compared with no VPA. There was a substantially protective effect of higher PA intensity on the transitions from free of CMD to T2D and from T2D to mortality, which reveals the importance of PA intensity for the transitions of T2D. More PA and greater intensity had a synergistic effect on decreasing the risk of the transitions from free of CMD to FCMD and mortality. Male participants, younger adults, adults with a higher BMI, current or previous smokers, and excessive alcohol drinkers could obtain more benefits from higher PA intensity for the lower risk of at least 1 transition from free of CMD, then to CMM, and finally to mortality.

CONCLUSIONS

This study suggests that higher PA intensity is an effective measure for preventing CMM and mortality in the early period of CMM development. Relevant interventions related to higher PA intensity should be conducted.
A Survey of Patient Demographics in Inflammatory Skin Disease Case Reports (Preprint)
Authors: O'Hagan Ross , Caldas Stella A , Brunner Patrick M , Ungar Benjamin
Published: September 2023

UNSTRUCTURED

Case reports serve many functions in the medical literature. We explore patient demographics in case reports for common inflammatory skin diseases.
Impact of an Electronic Medical Record–Connected Questionnaire on Efficient Nursing Documentation: Usability and Efficacy Study (Preprint)
Authors: Kodama Kana , Konishi Shozo , Manabe Shirou , Okada Katsuki , Yamaguchi Junji , Wada Shoya , Sugimoto Kento , Itoh Sakiko , Takahashi Daiyo , Kawasaki Ryo , Matsumura Yasushi , Takeda Toshihiro
Published: September 2023

BACKGROUND

Documentation tasks comprise a large percentage of nurses’ workloads. Nursing records were partially based on a report from the patient. However, it is not a verbatim transcription of the patient's complaints but a type of medical record. Therefore, to reduce the time spent on nursing documentation, it is necessary to assist in the appropriate conversion or citation of patient reports to professional records. However, few studies have been conducted on systems for capturing patient reports in electronic medical records. In addition, there have been no reports on whether such a system reduces the time spent on nursing documentation.

OBJECTIVE

This study aims to develop a patient self-reporting system that appropriately converts data to nursing records and evaluate its effect on reducing the documenting burden for nurses.

METHODS

An electronic medical record–connected questionnaire and a preadmission nursing questionnaire were administered. The questionnaire responses entered by the patients were quoted in the patient profile for inpatient assessment in the nursing system. To clarify its efficacy, this study examined whether the use of the electronic questionnaire system saved the nurses’ time entering the patient profile admitted between August and December 2022. It also surveyed the usability of the electronic questionnaire between April and December 2022.

RESULTS

A total of 3111 (78%) patients reported that they answered the electronic medical questionnaire by themselves. Of them, 2715 (88%) felt it was easy to use and 2604 (85%) were willing to use it again. The electronic questionnaire was used in 1326 of 2425 admission cases (use group). The input time for the patient profile was significantly shorter in the use group than in the no-use group (P<.001). Stratified analyses showed that in the internal medicine wards and in patients with dependent activities of daily living, nurses took 13%-18% (1.3 to 2 minutes) less time to enter patient profiles within the use group (both P<.001), even though there was no difference in the amount of information. By contrast, in the surgical wards and in the patients with independent activities of daily living, there was no difference in the time to entry (P=.50 and P=.20, respectively), but there was a greater amount of information in the use group.

CONCLUSIONS

The study developed and implemented a system in which self-reported patient data were captured in the hospital information network and quoted in the nursing system. This system contributes to improving the efficiency of nurses’ task recordings.

CLINICALTRIAL
Health Care Professionals’ Experiences With Using Information and Communication Technologies in Patient Care During the COVID-19 Pandemic: Qualitative Study (Preprint)
Authors: Cermak Carly A , Read Heather , Jeffs Lianne
Published: September 2023

BACKGROUND

The COVID-19 pandemic acted as a catalyst for the use of information and communication technology (ICT) in inpatient and outpatient health care settings. Digital tools were used to connect patients, families, and providers amid visitor restrictions, while web-based platforms were used to continue care amid COVID-19 lockdowns. What we have yet to learn is the experiences of health care providers (HCPs) regarding the use of ICT that supported changes to clinical care during the COVID-19 pandemic.

OBJECTIVE

The aim of this paper was to describe the experiences of HCPs in using ICT to support clinical care changes during the COVID-19 pandemic. This paper is reporting on a subset of a larger body of data that examined changes to models of care during the pandemic.

METHODS

This study used a qualitative, descriptive study design. In total, 30 HCPs were recruited from 3 hospitals in Canada. One-on-one semistructured interviews were conducted between December 2022 and June 2023. Qualitative data were analyzed using an inductive thematic approach to identify themes across participants.

RESULTS

A total of 30 interviews with HCPs revealed 3 themes related to their experiences using ICT to support changes to clinical care during the COVID-19 pandemic. These included the use of ICT (1) to support in-person communication with patients, (2) to facilitate connection between provider to patient and patient to family, and (3) to provide continuity of care.

CONCLUSIONS

HCP narratives revealed the benefits of digital tools to support in-person communication between patient and provider, the need for thoughtful consideration for the use of ICT at end-of-life care, and the decision-making that is needed when choosing service delivery modality (eg, web based or in person). Moving forward, organizations are encouraged to provide education and training on how to support patient-provider communication, find ways to meet patient and family wishes at end-of-life care, and continue to give autonomy to HCPs in their clinical decision-making regarding service delivery modality.
Potential Effects of an Exoskeleton-Assisted Overground Walking Program for Individuals With Spinal Cord Injury Who Uses a Wheelchair on Imaging and Serum Markers of Bone Strength: Pre-Post Study (Preprint)
Authors: Bass Alec , Morin Suzanne N , Guidea Michael , Lam Jacqueline T A T , Karelis Antony D , Aubertin-Leheudre Mylène , Gagnon Dany H ,   Montreal Exoskeleton Walking Program (MEWP) Group
Published: September 2023

BACKGROUND

As many as 60% of individuals use a wheelchair long term after a spinal cord injury (SCI). This mode of locomotion leads to chronic decline in lower-extremity weight-bearing activities and contributes to the development of severe sublesional osteoporosis and high rates of fragility fracture. Overground exoskeleton-assisted walking programs provide a novel opportunity to increase lower-extremity weight bearing, with the potential to improve bone health.

OBJECTIVE

The aim of the study is to measure the potential effects of an exoskeleton-assisted walking program on lower-extremity bone strength and bone remodeling biomarkers in individuals with chronic (≥18 months) SCI who use a wheelchair.

METHODS

In total, 10 participants completed a 16-week exoskeleton-assisted walking program (34 individualized 1-hour sessions, progressing from 1 to 3 per week). Bone mineral density and bone strength markers (dual-energy x-ray absorptiometry: total body, left arm, leg, total hip, and femoral neck and peripheral quantitative computed tomography: 25% of left femur and 66% of left tibia) as well as bone remodeling biomarkers (formation=osteocalcin and resorption=C-telopeptide) were measured before and after intervention and compared using nonparametric tests. Changes were considered significant and meaningful if the following criteria were met: P<0.1, effect size ≥0.5, and relative variation >5%.

RESULTS

Significant and meaningful increases were observed at the femur (femoral neck bone mineral content, bone strength index, and stress-strain index) and tibia (cortical cross-sectional area and polar moment of inertia) after the intervention (all P<.10). We also noted a decrease in estimated femoral cortical thickness. However, no changes in bone remodeling biomarkers were found.

CONCLUSIONS

These initial results suggest promising improvements in bone strength markers after a 16-week exoskeleton-assisted walking program in individuals with chronic SCI. Additional research with larger sample sizes, longer interventions (possibly of greater loading intensity), and combined modalities (eg, pharmacotherapy or functional electrical stimulation) are warranted to strengthen current evidence.

CLINICALTRIAL

ClinicalTrials.gov NCT03989752; https://clinicaltrials.gov/ct2/show/NCT03989752

INTERNATIONAL REGISTERED REPORT

RR2-10.2196/19251
Productivity Analysis PC-300 and PC-400 in Earthworks at a Gold Mining Project in Indonesia
Authors: Fahmi Muhammad , Ghuzdewan Toriq Arif
Published: September 2023

Material movement is a significant and costly aspect of gold or general mining projects. This involves the utilization of expensive heavy equipment, necessitating careful management to ensure optimal efficiency. Therefore, this study aimed to analyze the productivity of excavators PC-300 and PC-400 as well as compare theoretical calculation results with actual conditions. The basis was formed by real field data, collected by earthwork supervisors at a gold mine in Indonesia. This data encompassed daily heavy equipment usage, including the duration, the quantity of material moved, and the types of material involved in the relocation process. The calculations resulted in theoretical productivity of 121.45 m3 hour-1 and 99.56 m3 hour-1 for PC-400 and PC-300. Meanwhile, the calculations based on actual conditions resulted in an average productivity of 114.4 m3 hour-1 and 66.3 m3 hour-1 for PC-400 and PC-300 during a one-year project period. The difference between actual and theoretical productivity for PC-400 and PC-300 was relatively small and large at -7.05 m3 hour-1 and -33.26 m3 hour-1, with 0.94 and 0.64 match factors, respectively. The large difference in productivity for the PC-300 was because the equipment supported work projects, such as opening work area access, maintaining area of work, and serving as supporting equipment. Furthermore, it occurred in the total actual production of the material movement against the one-year target production, which was less than -31,921 m3 (-2.5%) out of the 1,277,325 m3 total. The production deficit was attributed to a construction failure that caused PC-400 and PC-300 to be temporarily relocated for reparation. Based on the simulation, target production was achieved by the actual condition at month 13 (additional 1-month duration) with a total production of 1,283,856 m3, which obtained more than +6,531 m3 (+0.51%).
Mapping of Mount Semeru Volcanic Mudflow Susceptibility Along the Rejali River using the GIS-based AHP-TOPSIS Ensemble Approach
Authors: Oktariyanti Sonia , Hidayah Entin , Saifurridzal  , Ma'ruf Mokhammad Farid , Hayati Nunung Nuring , Yusop Zulkifli
Published: September 2023

Volcanic mudflow floods occur when rainfall runoff combines with volcanic material and flows downstream. These devastating events cause significant damage to infrastructure, disrupt economies, and result in injuries and casualties. One area where the flow of volcanic material greatly affects the situation is the Rejali River, which receives a substantial amount of volcanic debris from Mount Semeru. To address this issue and begin mitigating the associated risks, it is crucial to start by mapping the potential distribution of volcanic mudflow floods. Therefore, this study aimed to assess factors impacting volcanic mudflow flood susceptibility and to create a corresponding susceptibility map. The study employed the Analytical Hierarchy Process (AHP) and the Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) to determine the influence of various factors and classify the areas, respectively. These methods were integrated with the Geographic Information System (GIS) to enhance the analysis. The weighted analysis results showed that the most impactful factors conditioning volcanic mudflow floods, in descending order, were rainfall (42.40%), land cover (13.89%), elevation (13.39%), slope (12.51%), distance from the river (7.09%), soil type (6.58%), and rock distribution (4.13%). The TOPSIS calculation further highlighted that rainfall intensity between 104.03 and 109.65 mm day-1 had the greatest influence on susceptibility. The successful integration of AHP and TOPSIS methods with GIS helped develop a volcanic mudflow flood susceptibility model with an outstanding accuracy of 0.969. The model showed that approximately 46.40% of the areas along the Rejali River exhibited very high susceptibility to volcanic mudflow floods, while an additional 16.21% indicated high susceptibility and substantial risk in most regions. Therefore, the generated susceptibility map offered important insights for shaping future mitigation strategies and influencing policy decisions.
Development of a Virtual Bench for Modeling and Research of a Mobile Robot in Simintech
Authors: Nikitin Yu. R. , Zubkova Yu. V. , Sosnovich E. V. , Masanov P. A.
Published: September 2023

A virtual bench is designed for students studying simulation, model-oriented design of mechatronic systems and control devices. A review of existing virtual stands is performed. The training starts with simulation of a mobile robot (MR) with a single drive, for example, a transport robot moving along one coordinate, then simulation of MR with differential control moving on a plane, and then simulation of multicopters (quadcopter, hexacopter, octocopter). The virtual simulator consists of a model of MR with a single DC motor drive, MR controller, control panel. The drive model of the mobile robot in the state space is developed. Negative trends in the development of laboratory benches have been revealed: fast obsolescence of laboratory equipment; high cost; small range of equipment. Positive directions of their development have been identified: expansion of software capabilities (high-level languages) allowing to create any applications quickly and easily; appearance and improvement of special software used to create multimedia applications, as well as specialized software intended for design automation (AutoCAD, KOMPAS, Altium Designer, etc.) and mathematical calculations (Matlab, MathCAD, etc.). Software tools include SimInTech, MatLab/Simulink, LabVIEW, procedure-oriented languages VB, Delphi, Java, etc.; problem-oriented languages LISP, C++, C#, etc. In this connection, it is expedient to partially abandon traditional laboratory benches and switch to wider application of simulation modeling and computational experiment methods. Virtual laboratory benches should form the basis of such transition. As a result of simulation, the following parameters of MR model were obtained: MR displacement at 2.5 m, maximum gearbox angular speed 0.2 rad/s, maximum torque on gearbox output shaft 15 N∙m, maximum angular speed of DC motor 30 rad/s. Simulation of MR was performed in SimInTech program.
Simulation Modeling Of Management Processes
Authors: Grachev M. I.
Published: September 2023

In the modern world, there is a widespread introduction of information technologies into the processes of human life. Information and telecommunication technologies are being introduced both to enterprises, affecting technological production in general, and to educational institutions. Due to the large number of software and hardware solutions offered, the issue of purchasing and using the right product that improves the performance of both production and the educational process at a higher educational institution remains an urgent task for the head of the organization. It is proposed to use simulation modeling to solve this issue as a promising project that solves the actual problems of modeling organizational systems and business projects. The application and use of simulation modeling makes it possible to identify problematic issues at an early stage and resolve them in order to obtain better results, both in production and in the functioning of educational processes in an educational institution, and this confirms the relevance of this article. The article considers the process of modeling a generalized simulation model of the management system of an organizational system, using the example of the management system of a higher educational institution. The agent-based approach applied to establish the interaction between the subdivisions of the analized system was described by management problem solution, threat generator, implementation of resources to obtain better object management characteristics. The proposed simulation model has sufficient visibility and may be suggested for introduction into other educational institutions and may be complicated and revised for production establishments in future.
Identification of Friction Coefficient of Controlled Wheel System Roller Racer Type Based on Experimental Data
Authors: Yefremov K. S.
Published: September 2023

The work studies the motion of the controlled wheel system to provide coordination of mathematical model de-scribing its motion and the experiment. The obtained results allow improving the accuracy of the mobile robot trajectory following. A mobile wheel system with a drive articulated frame and freely rotating wheels (Roller Racer) was chosen as the research object of the work. The paper presents a structural diagram of the research object, a mathematical model describing its motion with design constraints. The coordination of the motion model with experimental studies is provided by the identification of Roller Racer parameters. Identification of Roller Racer parameters is carried out due to the developed method of the controlled wheel system parameters identification. The proposed method of controlled wheel system identification allows determining the geometric and dynamic parameters of Roller Racer, which are considered in the motion model of the controlled wheel system. The results of the experimental trajectories captured on the motion capture system are compared with the simulated trajectories according to the motion model of the controlled wheel system. According to the obtained mismatch, the exact values of controlled wheel system parameters are determined. The paper presents expressions for calculating the mismatch based on experimental data from the motion capture system and theoretical data of the controlled wheel system motion model. An algorithm for identifying the value of the rolling friction coefficient based on experimental studies of the Roller Racer is presented. Conclusions about the possibility of using system parameter identification method are made.
Measuring Human Psychology Level through Game: CU63
Authors: Ghosh Debmitra , Tarafder Pulak , Pal Roshmikana
Published: September 2023

Abstract: The game Cu63-Cube appears to be a puzzle-based game that incorporates elements of decision- making and measures players' decision-making time. The game analyzes how quickly players complete each level and uses that data to determine the most valuable player for that particular level. It emphasizes real-time IQ-based gameplay and aims to detect players' basic IQ and decision-making abilities. In addition to assessing decision-making time, the game also tracks the movement of the player's hands. This feature allows for the recording of players' hand movements during gameplay, which can provide additional insights or data related to their performance. It seems that Cu63-Cube aims to combine puzzle-solving, decision-making, and hand movement tracking to create a game that assesses players' cognitive abilities and potentially provides a measure of their IQ. However, it is important to note that without further information or research on the game, its validity as an IQ assessment tool cannot be determined. It's worth mentioning that the validity and reliability of any IQ assessment or game-based assessment tool require rigorous testing and validation. It would be necessary to conduct research studies to evaluate the effectiveness, accuracy, and fairness of Cu63-Cube as an IQ assessment tool before making any claims about its ability to measure intelligence or make predictions about job performance.