bluuebunny/crossref_metadata_2025 huggingface dataset:
Higher incidence matrices and tactical decomposition matrices
Authors:   Department of Mathematics, University of Bayreuth, 95440 Bayreuth, Germany, Kiermaier Michael , Wassermann Alfred ,   Department of Mathematics, University of Bayreuth, 95440 Bayreuth, Germany
Published: December 2023

In 1985, Janko and Tran Van Trung published an algorithm for constructing symmetric designs with prescribed automorphisms.

This algorithm is based on the equations by Dembowski (1958) for tactical decompositions of point-block incidence matrices.
In the sequel, the algorithm has been generalized and improved in many articles.

In parallel, higher incidence matrices have been introduced by Wilson in 1982.
They have proven useful for obtaining several restrictions on the existence of designs.
For example, a short proof of the generalized Fisher's inequality makes use of these incidence matrices.

In this paper, we introduce a unified approach to tactical decompositions and incidence matrices.
It works for both combinatorial and subspace designs alike.
As a result, we obtain a generalized Fisher's inequality for tactical decompositions of combinatorial and subspace designs.
Moreover, our approach is explored for the construction of combinatorial and subspace designs of arbitrary strength.
APPLICATION OF IOT IN MOBILE-BASED SHALLOT WATERING AND LIGHTING MONITORING SYSTEM
Authors: Febriyani Vera , Wibowo Adityo
Published: December 2023

Shallots are one of the short-lived horticultural commodities that have high commercial value and high risk. In the management of shallot cultivation, pest attacks often occur on the leaves, besides that problems also often arise in watering shallots, even though this plant needs sufficient water from the beginning of growth to harvest. The use of IoT as an idea for making tools for automatic plant watering and lighting using the IoT prototype method in this study can help shallot farmers in their work by measuring soil moisture and light entities. This IoT prototype has been adjusted to the level of soil moisture needed by shallot plants, above 100 for dry soil conditions and below 90 for wet soil conditions, the light entity is also adjusted at 18.00 to turn on the lights and at 06.00 to turn off the lights. Measurements from both sensors will be stored in the database, and then displayed on the application in the form of real-time information on humidity and light entities. The test was declared successful because the application can display information obtained from sensor measurements stored in the database. It is hoped that this tool can help ease the work of shallot farmers.
The Impact of Antenatal Care and Nutrition Counseling on the Success of Exclusive Breastfeeding and Appropriate First Complementary Foods
Authors: Pratista Dhamas , Astuti Trina , Rachmat Mochamad
Published: December 2023

Background: Proper breastfeeding and complementary feeding at the beginning of birth until the age of 24 months has an important role in optimizing nutrition for the first 1000 days of life to obtain optimal individual health status until adulthood. Objectives: This study aims to analyze the impact of antenatal care (ANC) and postnatal care (PNC), especially nutritional counseling on the success of exclusive breastfeeding and appropriate complementary foods. Methods: This study used a cross-sectional design from secondary data from basic health research (RISKESDAS) in DKI Jakarta Province with a total sample of 230 mothers aged 15-49 years who had children aged 6-24 months. Data were analyzed univariate, bivariate using the Chi-Square test and multivariate using multiple logistic regression tests. Results: The results showed that the coverage of exclusive breastfeeding was 56.5% and proper complementary food was 39.6%. The results of the Chi Square test showed that there was a relationship between exclusive breastfeeding and maternal age (p = 0.025) (OR: 2.21 95% CI: 1.09 – 4.48), maternal education (p = 0.008) (OR: 4.80 95% CI: 1.79 – 12.8) , maternal parity (p = 0.009) (OR: 2.58 95% CI: 1.25 – 5.30), antenatal care (p = 0.000) (OR: 4.82 95% CI: 2.13 – 10.9), and postnatal counseling (p = 0.006) (OR: 2.72 95% CI: 1.31 – 5.65). Meanwhile, on the accuracy of complementary feeding, there was a relationship between maternal age (p = 0.027) (OR 2.32 95% CI 1.07-5.02), maternal education (p = 0.000) (OR 3.16 95% CI 1.67-5.98), maternal parity (p = 0.027) (OR 2.36 95% CI 1.08- 5.17), received ANC (p = 0.000) (OR 4.61 95% CI 1.84-11.6), and nutrition counseling (p = 0.004) (OR 2.98 95% CI 1.38-6.43). The most dominant variable with the success of exclusive breastfeeding and complementary feeding for the first time is ANC with odds ratios of 4.82 and 4.08, respectively, after being controlled by postnatal counseling. Conclusion: This study shows that the impact of ANC and PNC, especially nutritional counseling, has a role in the success of exclusive breastfeeding and the appropriateness of giving complementary foods for the first time. ANC and PNC, especially nutrition counseling, are very important for every pregnant woman and need to be socialized to relevant policy makers and pregnant women's families.
Monitoring regional benthic environment of Norwegian salmon cage farms
Authors: Wang CD , Olsen Y
Published: December 2023

The influence of cage aquaculture on the benthic environment is a crucial concern for sustainable development. The impacts are affected by multiple environmental factors and aquaculture operations. Our main objective was to comprehensively analyze the interaction between Norwegian salmon aquaculture and the benthic environment, involving prolonged temporal observations and wide-ranging spatial assessments, achieved through reviewing government-regulated environmental assessment reports. A total of 3480 reports from 759 farms operating between 2016 and 2022 were analyzed. Our main finding was that the impact of Norwegian salmon cage aquaculture on the benthic environment varied significantly across the Northern, Central, and Southern regions (p < 0.001). This variability was significantly associated with factors such as water depth (p < 0.05), maximum allowable biomass density (p < 0.001), and length of the production cycle (p < 0.001), and was slightly correlated with current velocity (p = 0.067). Additionally, we observed that the most severe environmental degradation often occurred during the summer-autumn period under maximal annual feeding rates. Further, we traced 2922 reports to investigate the changes in the state of the benthic ecosystem over multiple production cycles. We found that the environmental impact of seafloor ecosystems was recoverable, with more effective recovery rates in the early stages of degradation compared to the later stages. We suggested that the optimal biomass levels, production cycle arrangement, and farming practices should differ depending on specific environmental factors. It is imperative to consider these factors for adapting farming operations and take early action when the benthic environment shows signs of degradation.
"Completed life"
Authors:   , Zomers Margot Lisa
Published: December 2023

SUMMARY

This dissertation is about older adults who have a death wish without being severely ill.
Some older adults may come to the conclusion that even though they are not severely
ill, the quality and the meaning of their life has deteriorated to such extent that they
do no longer see a future for themselves and prefer death over life, leading to a death
wish and sometimes also to a wish for a self-directed death. One commonly used
expression for this experience is “completed life”.

In the beginning of 2019 when the work for this dissertation started, there was an
ongoing public and political debate about “completed life”. The debate centered around
the question whether older adults with “completed life” who are not eligible for EAS
but wish for a self-directed death should have legal options for assisted dying. At the
same time, due to the limited empirical knowledge that was available, arguments for and
against offering such legal options were mainly ideological and theoretical in nature. For
well-informed policymaking on how the death wish of older adults with “completed life”
can be appropriately responded to, more empirical knowledge was required. There was
insufficient empirical knowledge on how many older adults have a death wish without
being severely ill, who these older adults are, what the background of their death wishes
is, and how their requests for EAS are handled by medical professionals. This dissertation
aimed to address this knowledge gap by answering the following research questions:

1. What is the prevalence of older adults with a death wish without severe illness?
2. How can older adults with a death wish without severe illness be described in
terms of characteristics and circumstances?
3. What is the background of the death wish of older adults without severe illness
considering the nature of the death wish, motivations and needs behind the death
wish, and communication about the death wish?
4. How are requests for euthanasia and assisted suicide (EAS) of older adults with a
death wish without severe illness decided upon by Euthanasia Expertise Center
(EEC) and assessed by the Regional Euthanasia Review Committees (RTEs)?
5. In what ways can be appropriately responded to the death wish of older adults
without severe illness in light of empirical findings?
Sticking together
Authors:   , Monster Jooske Louise
Published: December 2023

Epithelial tissues form regulated barriers that separate the outside world from the internal environment, and come in various forms to enable their organ-specific functions. All these intricate epithelial topologies need to be properly arranged during embryonic development and maintained throughout life. Epithelia hereto rely on adherens junctions that connect cells and act as key guardians of epithelial organization and integrity. In this thesis we investigate, across different scales, how regulatory mechanisms and functions of cadherin-based adhesions orchestrate epithelial architecture. Firstly, we describe a novel role for β-catenin in the supramolecular organization of adherens junctions. We find that condensation of β-catenin through its intrinsically disordered regions drives clustering of the cadherin complex, and that this clustering promotes the formation of de novo adherens junctions between epithelial cells. Secondly, we delineate the molecular response of adherens junctions to forces during mitosis. We uncover that to withstand elevated forces that arise from the rounding of mitotic cells, cadherin adhesions between the mitotic cell and its neighbors are reinforced through recruitment of the actin-binding protein vinculin. This mechanoresponse selectively occurs in neighbors of mitotic cells, and the resulting asymmetry in composition of the mitotic cadherin complex allows for the morphological rearrangements of cell rounding while maintaining epithelial integrity. Thirdly, we describe how the role of adherens junctions in epithelial architecture extends beyond its adhesive function. We review the potential mechanisms that drive the dissemination of E-cadherin-deficient cells from the gastric epithelium, which represents the initiating step of diffuse-type gastric cancer. We subsequently experimentally determine that this stems from the mispositioning of dividing cells due to the loss of E-cadherin-dependent planar cell divisions. Taken together, this thesis advances our understanding of adherens junctions in epithelial architecture, offering insights into their regulatory mechanisms at several levels.
The effect of colposcopy counseling with a feminist model on anxiety in Thai women with abnormal cervical cytology results: A time-series quasi-experimental study
Authors: Pornsinsiriruck Sarwitree , Sumdaengrit Bualuang , Kongrot Suvimol , Jengprasert Ketkaew , Puntusopon Noppamat
Published: December 2023

Background: Due to the cervical cancer screening campaign, there is a gradual increase in the number of women diagnosed with abnormal cervical cytology results. Most women experience high anxiety upon learning about these results, leading to adverse psychological effects. Therefore, nurses play a vital role in counseling these women to alleviate their concerns.
Objective: This study aimed to examine the effect of colposcopy counseling with a feminist model on anxiety in Thai women with abnormal cervical cytology results.
Methods: The study employed a time-series quasi-experimental design with a comparison group. It was conducted at the colposcopy clinic of a university hospital in Bangkok, Thailand, from August 2022 to April 2023. A total of 68 women with abnormal cervical cytology results were purposively recruited based on inclusion criteria. The comparison group (n = 34) received only usual care, while the experimental group (n = 34) received colposcopy counseling and usual care. Colposcopy counseling was provided after collecting baseline data. Anxiety was assessed at baseline, immediate post-test, and 12th week post-test. Data were analyzed using descriptive statistics, Chi-square test, independent t-test, and repeated measures analysis of variance (ANOVA).
Results: There was no statistically significant difference in anxiety across the three-time points between the two groups (F1, 66 = 0.062, p = 0.804). However, anxiety in the experimental group significantly decreased over time (p <0.05). In contrast, anxiety in the comparison group at baseline was not significantly different from that at the immediate post-test (p = 0.480).
Conclusion: Colposcopy counseling was effective in reducing anxiety in Thai women with abnormal cervical cytology results, especially during the initial period after receiving the results. Nonetheless, anxiety could gradually decrease regardless of the intervention. Therefore, colposcopy counseling by nurses and healthcare providers is helpful for women in relieving anxiety during their first colposcopy attendance.
Factors influencing Tanzanian mothers’ feeding practices for toddlers: A predictive correlational study
Authors: Bukuku Debora Dyson , Prasopkittikun Tassanee , Payakkaraung Sudaporn , Lenwari Chayapa
Published: December 2023

Background: Feeding practices are crucial in ensuring toddlers receive an appropriate and varied diet to support their growth and development. In Tanzania, maternal feeding practices for young children are inadequate, and there is limited research on the influencing factors.
Objective: This study aimed to examine the factors influencing Tanzanian mothers’ feeding practices for toddlers, utilizing the health promotion model as the theoretical framework.
Methods: A predictive correlational design was employed, with a random sample of 399 mothers who brought their toddlers for health supervision at a tertiary care hospital in the United Republic of Tanzania. Data on personal information, depression, perceived benefits, perceived barriers, perceived self-efficacy, social support, situational influences, and maternal feeding practices were collected using self-administered questionnaires between September 2021 and November 2021. Descriptive statistics, correlations, and multiple regression analysis were employed for the analysis.
Results: All the factors examined in the study accounted for 18.9% of the variance explained in maternal feeding practices. Significantly, only two factors, perceived self-efficacy (β = 0.32, p <0.001) and situational influences (β = 0.24, p <0.001), could predict maternal feeding practices.
Conclusion: Perceived self-efficacy and situational influences emerged as the primary influencing factors on maternal feeding practices for toddlers. Pediatric nurses should address these modifiable factors when developing nursing interventions and strategies to promote a healthy nutritional status in toddlers.
Educazione letteraria per l'educazione linguistica. Una lettura orientata del Marcovaldo di Calvino
Authors: Turano Alessandro
Published: December 2023

Il presente contributo si propone di presentare un’attività didattica di lettura del Marcovaldo di Italo Calvino, destinata al primo biennio di un liceo classico e orientata all’analisi delle strutture linguistico-retoriche più frequentate dall’autore. Il quadro teorico che ne sostiene l’impianto poggia sull’argomento della reciproca interazione tra l’educazione letteraria e l’educazione linguistica. Sul versante operativo, l’intento è di fornire un modello replicabile che guardi alla lettura di un testo letterario come a un’occasione privilegiata per rafforzare la capacità di uso della lingua, non disgiunta dalla consapevolezza della sua estrema flessibilità e duttilità.
VILLAGE FUNDS MANAGEMENT IN THE DEVELOPMENT OF SUMBEREJO VILLAGE, BATUWARNO SUB-DISTRICT, WONOGIRI DISTRICT
Authors: Saraswati Yudhistira , Wastutiningsih Sri Peni , Priyotamtama P Wiryono
Published: December 2023

Dana Desa or village funds have contributed in increasing the village's infrastructure development and community empowerment. Therefore, it must be managed and utilized appropriately. The purpose of this study is to analyze the management of the village funds in Sumberejo Village, Batuwarno District, Wonogiri Regency. This research uses a descriptive qualitative approach. Meanwhile, data collection techniques are gained through in-depth interviews, observation, and study literature. The results show that the management of village funds was designed to meet the needs and priorities of village development policies. These policies are contained in the RPJMDesa. The community manages infrastructure development through a self-management system and involves third parties on a contractual basis. On the other hand, business units manage community empowerment activities at BUMDesa. The monitoring stage only refers to the budget via the APBDesa Accountability Report, not the process.

 

Keywords: Village Funds, Management, POAC, RPJMDesa
IMPLEMENTASI PEMBINAAN DAN PEMBERDAYAAN MASYARAKAT PENYANDANG DISABILITAS DI KOTA PEKANBARU
Authors: Mulyana Mulyana , Wusqo Urwatil
Published: December 2023

Penelitian ini bertujuan untuk mengetahui dan menganalisis implementasi pembinaan dan pemberdayaan masyarakat penyandang disabilitas di Kota Pekanbaru. Hal yang melatarbelakangi penelitian adalah jumlah penyandang disabilitas cenderung meningkat sejak tahun 2017 hingga 2021 dan Dinas Sosial telah melakukan pembinaan serta pemberdayaan bagi penyandang disabilitas melalui kebijakan peraturan daerah. Desain penelitian yang digunakan dalam penelitian ini adalah metode kualitatif deskriptif dengan pendekatan induktif. Hasil penelitian menunjukkan bahwa dukungan yang diberikan oleh pimpinan sebagai pelaksana kebijakan sudah baik, hal ini ditandai dengan adanya komitmen dan dorongan dari pimpinan agar kebijakan pembinaan dan pemberdayaan penyandang disabilitas terselenggara tepat sasaran. Hal ini yang menjadi penguat dari implementasi tersebut adalah adanya ruang kerjasama yang dibuka oleh pemerintah terhadap pihak eksternal yang memiliki perhatian kepada penyandang disabilitas sehingga berkontribusi positif dalam proses pembinaan dan pemberdayaan penyandang disabilitas. Kesimpulannya, implementasi pembinaan dan pemberdayaan masyarakat penyandang disabilitas sudah terselenggara dengan cukup baik. Hal ini dapat dilihat dari keenam dimensi, hanya satu dimensi yang belum memadai yaitu pada dimensi sumber daya menunjukkan bahwa adanya sumber daya manusia yang kurang memadai baik dari segi jumlah maupun kualitas, dan adanya keterbatasan sarana praarana khususnya terkait dengan kepemilikan gedung pemerintah untuk melakukan pembinaan dan pemberdayaan terhadap masyarakat penyandang disabilitas. Sementara itu Dinas Sosial masih menghadapi permasalahan atau kendala berupa masih adanya masyarakat penyandang disabilitas yang belum terdata dan enggan membuka diri untuk dibina dan diberdayakan.

Kata Kunci: Implementasi Kebijakan, Penyandang Disabilitas, Pembinaan dan Pemberdayaan Masyarakat
Pelayanan Publik Bagi Masyarakat Difabel di Kabupaten Purworejo Provinsi Jawa Tengah
Authors: Setiawan Irfan , Kusuma Diva Wira
Published: December 2023

Anak-anak yang mengalami keterbatasan dalam kegiatan sehari-hari sering diidentifikasi sebagai penyandang disabilitas. Walaupun pemerintah daerah telah meluncurkan beberapa kebijakan seperti Pusat Informasi dan Layanan Difabel dan Dinas Sosial Kabupaten Purworejo yang memiliki unit layanan khusus bagi difabel, namun pelayanan publik bagi orang dengan disabilitas masih belum merata. Penelitian ini bertujuan untuk mengkaji pelayanan publik pemerintah daerah dalam meningkatkan kualitas hidup difabel di Kabupaten Purworejo. Penulis menganalisis fenomena tersebut dengan konsep pelayanan publik Denhardt dan Denhardt. (2003). Metode Penelitian yang digunakan yaitu deskriptif kualitatif dengan menggunakan metode wawancara dan observasi kepada sumber data yaitu pemerintah daerah, penyandang difabel, dan organisasi non pemerintah. Dalam penelitian tersebut, ditemukan bahwa Pemerintah daerah Kabupaten Purworejo telah memberikan fasilitas yang ramah difabel seperti Unit Layanan Difabel, trotoar taktis, Ram Ramp, toilet difabel, pintu otomatis, lift, transportasi umum, dan program bantuan teknologi asistif. Namun, masih terdapat kendala dalam implementasinya, seperti minimnya pemahaman masyarakat dan petugas pelayanan publik mengenai cara penggunaan fasilitas yang ramah difabel, sarana prasarana yang belum sepenuhnya efektif bagi difabel, serta kurangnya aksesibilitas di beberapa lokasi fasilitas umum. Untuk mengatasi kendala tersebut, perlu dilakukan upaya untuk meningkatkan pemahaman masyarakat dan petugas pelayanan publik mengenai penggunaan fasilitas pelayanan publik yang ramah difabel. Selain itu, diperlukan perbaikan dan peningkatan aksesibilitas pada beberapa sarana prasarana yang masih belum sepenuhnya efektif digunakan oleh difabel.

 

Kata Kunci: Pelayanan Publik; Kualitas Hidup; Difabel
IMPLEMENTASI PENANGGULANGAN BENCANA STUDI KASUS NAGARI SIAGA BENCANA (NAGASINA) DI NAGARI GANGGO HILIA KECAMATAN BONJOL KABUPATEN PASAMAN
Authors: Dirga Aldio Surya , Djafar Taslim
Published: December 2023

Badan Penanggulangan Bencana Daerah (BPBD) membentuk Kelompok Nagari Siaga Bencana (Nagasita) agar pelaksanaan penanggulangan bencana lebih optimal. Penulis ingin melihat pelaksanaan Nagasina sebagai upaya penanggulangan bencana di Nagari Ganggo Hilia Kecamatan Bonjol, kendala yang dihadapi dalam pelaksanaan dan upaya Kelompok Nagari Siaga Bencana di Nagari Ganggo Hilia Kecamatan Bonjol Kabupaten Pasaman agar kegiatan dapat terlaksana dengan optimal sesuai rencana. Proses penanggulangan terfokus kepada tahapan pra bencana, yaitu pencegahan, mitigasi, dan kesiapsiagaan. Implementasi penanggulangan bencana oleh Kelompok Nagari Siaga Bencana (Nagasina) di Nagari Ganggo Hilia Kecamatan Bonjol Kabupaten Pasaman dapat dilihat dari faktor komunikasi, sumber daya, disposisi dan struktur birokrasi. Metode yang penulis gunakan dalam penelitian ini adalah kualitatif dan tehnik pengambilan data adalah observasi dan mewawancarai informan yang memiliki keahlian atau memiliki kewenangan sehingga akan memudahkan penulis dalam menganalisis. Data sekunder dalam penelitian ini berasal dokumen-dokumen kepustakaan Pemerintah Kabupaten Pasaman dan penulusuran data online. Komunikasi yang dibangun Nagasina dengan pihak terkait sudah baik tetapi belum optimal dalam berkoordinasi dengan Kementerian dan Lembaga terkait. Nagasina belum mampu memanfaatkan IT dalam pengelolaan informasi dan menyampaikan informasi kepada masyarakat. Nagasina Ganggo Hilia sudah memiliki kuantitas sumber daya manusia tetapi masih membutuhkan optimalisasi pada kualitas sumber daya manusia, sumberdaya sarana dan sumber daya anggaran. Disposisi Nagasina Ganggo Hilia sudah terlaksana dengan baik karena disposisi dilaksanakan sesuai komitmen dan memiliki target yang terukur. Struktur organisasi Nagasina sudah ideal karena memiliki SOP yang terukur dan dilaksanakan dengan komitmen serta memiliki alur perizinan kegiatan yang singkat.

 

Kata Kunci: Implementasi; Nagari Siaga Bencana; Penanggulangan
PELAYANAN AKTA KEMATIAN MELALUI INOVASI PETI MEGATRUH PADA DINAS KEPENDUDUKAN DAN PENCATATAN SIPIL KABUPATEN KEBUMEN
Authors: Shidiqoh Arsa Wafa , Putri Nadya Anggara
Published: December 2023

Pelayanan terkait akta kematian merupakan salah satu bentuk dari pelayanan publik. Pencatatan dan pelaporan kematian merupakan sesuatu yang penting dan harus dilaporkan, karena pencatatan peristiwa kematian sebagai sumber data statistik yang akurat. Dinas Kependudukan dan Pencatatan Sipil Kabupaten Kebumen membuat suatu inovasi dalam pelayanan akta kematian melalui program Inovasi “Peti Megatruh” (Pengelolaan Pelaporan kematian Melalui Gerakan Administasi Kependudukan Cepat, Profesional, Akurat, dan Handal). Adapun tujuan penelitian ini untuk mengetahui bagaimana pelayanan akta kematian melalui program inovasi “Peti Megatruh” serta faktor penghambatnya pada Dinas Kependudukan dan Pencatatan Sipil Kabupaten Kebumen. Penelitian ini menggunakan metode kualitatif dan analisis terhadap teori inovasi pelayanan menurut Teori Rogers. Teknik pengumpulan data dilakukan dengan menggunakan wawancara, dokumentasi dan observasi. Kemudian data yang diperoleh dianalisis melalui pengumpulan data, reduksi data, penyajian data, dan penarikan kesimpulan. Hasil penelitian menunjukkan bahwa pelayanan akta kematian menggunakan inovasi “Peti Megatruh” dalam pelayanan akta kematian di Dinas Kependudukan dan Pencatatan Sipil Kabupaten Kebumen belum dapat menjadikan pelayanan tersebut menjadi lebih optimal. Hal ini dikarenakan program inovasi “Peti Megatruh” baru diterapkan dan dalam pelaksanaannya serta masih terdapat beberapa faktor penghambat diantaranya kurangnya sumber daya manusia serta perangkat desa yang belum sepenuhnya memahami konsep inovasi peti megatruh.

Kata kunci: Pelayanan; Inovasi; Administrasi Kependudukan
A Case of Lithium Intoxication With Severe Neurological Findings
Authors: TUĞ Tuba , ŞAHİN CAN Merve , ALTUNÖZ Sinan , BAYKAN Hayriye
Published: December 2023

Lithium is used for the treatment of bipolar disorder and some other psychiatric disorders. Due to the narrow therapeutic range, intoxications are common. In this case, chronic lithium intoxication with severe neurological symptoms was discussed in light of the literature. A 72-year-old female patient. The patient had been receiving psychiatric treatment for 7 years with the diagnosis of unipolar depression. In the 6th month of lithium use, she was brought by her relatives with complaints of drowsiness, tremor, muscle twitching, and difficulty walking. On examination, consciousness was confused, there was no cooperation orientation and there was general rigidity, tremor, fasciculations, and ataxic gait. Vital signs; blood pressure 147/92 mmHg, heart rate 69 bpm, SpO2: 94%. The laboratory tests: lithium 2.98 mEq/L, potassium 5.8 mmol/l, sodium 129 mmol/l, creatinine 1.66 mg/dl, urea 166 mg/dl. The patient was transferred to the internal medicine clinic with the diagnosis of lithium intoxication. Lithium treatment was discontinued. On the 7th day, her neurological symptoms improved with supportive treatment, and biochemical parameters returned to normal. A lithium concentration of more than 3.5 mEq/L was defined as severe poisoning. Neurological findings are prominent in severe poisonings. Especially, geriatric population is at greater risk. In our case; age, use of three different groups of diuretics as antihypertensive treatment, and urinary tract infection were defined as factors that predispose to poisoning. In this case, it's emphasized that although the lithium blood level isn't very high, severe neurological symptoms can be seen clinically in the presence of risk factors.
Doing and Resisting Pupilness in Swedish School-Age Educare
Authors: Lago Lina
Published: December 2023

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Tabular and Graphical Representation in Statistics in the 5th grade from a Lesson Study
Authors: Both Tainá , Richit Adriana
Published: December 2023

The lesson study, originating in Japan at the end of the 19th century, characterizes an approach to professional development centered on the teacher’s practice and focused on students’ and teachers’ learning. Considering the students’ difficulties in mathematics, we focused on highlighting and discussing the statistical learning of 5th-grade students through a lesson study. This qualitative research was developed in a lesson study structured in eleven meetings involving teachers from a public school in Pinhalzinho, Santa Catarina, Brazil. The empirical material consists of transcriptions of recordings, class observation scripts, and student worksheets. The analysis of this material highlighted important aspects of statistical learning, which were grouped into central themes, thus constituting the research analysis categories, of which we will address in this article the category tabular representation and transcription of data into the graph. By discussing this category, we observed students’ learning developed in the competencies in literacy, reasoning, and statistical thinking, as well as elements of the graph: axes, scale, titles, and source. The lesson study enabled the learning of statistical components and concepts and contributed to the teachers’ professional development, minimizing possible lack of confidence and difficulties in this curriculum topic.
Análise da interação entre família e educação nas teses e dissertações do PPGED-UFV: uma abordagem baseada na teoria de Ludwik Fleck
Authors: Dos Santos Mateus José , Martins Sidney Pires , Reis Lilian Perdigão Caixêta , Andrade Vaz de Mello Rita Márcia
Published: December 2023

O presente trabalho analisa possíveis articulações entre família e educação nas teses e dissertações do Programa de Pós-Graduação em Economia Doméstica da Universidade Federal de Viçosa (PPGED UFV). É imprescindível analisar as relações entre a família e os contextos educativos, tendo em vista que, as configurações de família sofreram inúmeras modificações nas últimas décadas e tais mudanças interferem na dinâmica escolar dos indivíduos em fase de escolarização. Desse modo, buscou-se tecer algumas reflexões sobre o estilo de pensamento que sobressai nos documentos analisados a partir das contribuições de Ludwik Fleck. O corpus foi constituído de teses e dissertações cujo descritor “família” aparecia no título das produções disponíveis para consulta pública no site do PPGED-UFV. Os resultados apontam para a escassez de pesquisas envolvendo a relação família-educação, dificuldades de um consenso de estilo de pensamento na área e investigações plurais que perpassam por diferentes contextos no âmbito do Programa de Pós-Graduação investigado, mas que envolvem diretamente as implicações dos contextos familiares nas relações educativas.
Entrenamiento muscular respiratorio en el paciente pediátrico con enfermedad respiratoria crónica
Authors: Pereira Rodríguez Javier Eliecer , Curvelo Celedón Grace Carolina
Published: December 2023

Introducción: Los niños con enfermedades respiratorias crónicas se caracterizan por presentar síntomas respiratorios permanentes que ocasionan compromiso pulmonar, debilidad de los músculos respiratorios y periféricos, para lo cual reciben un tratamiento integral que incluye el entrenamiento muscular respiratorio. Objetivo: Analizar los efectos del entrenamiento muscular respiratorio en el paciente pediátrico con enfermedad respiratoria crónica por medio de una revisión de la literatura publicada entre 2010 y 2021. Materiales y métodos: Revisión integrativa de la literatura, en la que se analizó literatura sobre efectos fisiológicos del entrenamiento muscular respiratorio, herramientas de evaluación de la fuerza respiratoria, métodos de entrenamiento y parámetros para prescribir las cargas de trabajo. Los estudios se identificaron y seleccionaron mediante las recomendaciones de la Declaración de PRISMA, además, se valoró el nivel de evidencia y el grado de recomendación de los estudios incluidos a través de la Escala Scottish Intercollegiate Guidelines Network (SIGN). Resultados: El entrenamiento muscular respiratorio ha mostrado ser beneficioso sobre la fuerza muscular respiratoria en pacientes pediátricos con asma, bronquiectasias y enfermedad neuromuscular, sin embargo, en paciente con fibrosis quística la literatura analizada no es concluyente para apoyar o rechazar los efectos de esta estrategia terapéutica. Conclusión: El entrenamiento muscular respiratorio debe ser individualizado en pacientes pediátricos con enfermedad respiratoria crónica de tipo intra o extrapulmonar, por lo que se requiere una evaluación integral que incluya la valoración de la fuerza y la resistencia muscular ventilatoria para prescribir el entrenamiento
Factores contextuales en la prematurez y el niño con bajo peso al nacer basados en los datos del censo 2018
Authors: Martínez Santa Jaime , Del Pilar Martínez Andrea , Avendaño Vanegas Janneth Milena , Melo Cuervo Alejandra , Alfonso Mantilla Jose Iván
Published: December 2023

Introducción La prematurez se considera como el nacimiento antes de antes de la semana 37 de edad gestacional y el 65% de estos neonatos presentan bajo peso al nacer (Verdura,2011). La prematurez es la causa más frecuente de morbilidad perinatal y es responsable del 75% de las muertes neonatales. Es así como el objetivo de ese artículo es realizar una descripción de los factores contextuales relacionados con la prematurez en la población colombiana basados en los datos del censo 2018. Método Estudio descriptivo de corte transversal, que utilizó la base de datos de Estadísticas Vitales (DANE), identificando los recién nacidos prematuros para el periodo 1998-2018. Para la caracterización de los factores contextuales se tiene en cuenta las siguientes variables: tiempo de gestación del nacido vivo, sexo, edad de la madre, multiplicidad del embarazo, el estado civil de la madre, nivel educativo y pertenencia étnica. Resultados  La prematurez está asociada al bajo peso al nacer en un alto porcentaje en un 35.32%, las mujeres adolescentes (entre los 10 y los 19 años) presentan parto prematuro en un 23.21%, un factor importante es el bajo control prenatal presente en un 77.38% y el bajo nivel de escolaridad de la madre está presente en un 20.14%. Conclusiones Los factores contextuales asociados a la prematurez fueron la presencia de control prenatal y en menos proporción la edad de la madre, el bajo peso al nacer y el nivel de escolaridad de la madre.
Molecular characterization of Listeria monocytogenes strains isolated from imported food in China from 14 countries/regions, 2003-2018
Authors: Zhu Liying , Ji Xuejiao , Wu Yuan , Xu Wei , Wang Feifei , Huang Xinxin
Published: December 2023

Listeria monocytogenes (Lm) is associated with severe foodborne infections and ubiquitous in the nature. Identification of characteristics of Lm transmission through trading of food products is essential for rapidly tracking Lm sources and controlling dissemination of listeriosis. In this study, a total of 44 Lm strains were isolated from food products originating from 14 countries/regions during 2003-2018 at the Shanghai port. The genomes of these Lm strains were sequenced by high-throughput sequencing. Multilocus sequence typing (MLST) analysis showed that 43 isolates were divided into 17 sequence types (STs). The distribution of STs was decentralized, with the dominant ST2 accounting for only 18.18% of the strains. The LM63 strain did not match with any of the existing STs. Core-genome MLST (cgMLST) analysis based on 1748 core genes categorized the 44 strains into 30 cgMLST types (CTs), with CT10153 and CT7892 as the most predominant CTs. Notably, LM63 and LM67 shared the same CT in the cgMLST analysis. The phylogenetic analysis based on single-copy homologous genes revealed that the 44 Lm strains were primarily classified into two lineages. The SNP analysis also indicated that these strains were roughly divided into two clades, with strains in the first clade mainly collected earlier than those in the second clade, which were predominantly collected from 2010 onwards. The analysis using the virulence factor database (VFDB) indicated that the virulence gene inlJ was the most prevalent among these 44 strains. Notably, ddrA, msbA, and sugC were enriched in this dataset, requiring further clarification of their roles in Listeria through future studies. These results might provide a clue for understanding of the global epidemiology and surveillance of Lm and present insights for implementing effective measures to reduce or prevent Listeria contamination outbreaks in imported food products.
Evaluation of atrial fibrillation using wearable device signals and home blood pressure data in the Michigan Predictive Activity & Clinical Trajectories in Health (MIPACT) Study: A Subgroup Analysis (MIPACT-AFib)
Authors: Pastapur Aishwarya , Pescatore Nicole A. , Shah Nirav , Kheterpal Sachin , Nallamothu Brahmajee K. , Golbus Jessica R.
Published: December 2023

Background

The rising adoption of wearable technology increases the potential to identify arrhythmias. However, specificity of these notifications is poorly defined and may cause anxiety and unnecessary resource utilization. Herein, we report results of a follow-up screening protocol for incident atrial fibrillation/flutter (AF) within a large observational digital health study.

Methods

The MIPACT Study enrolled 6,765 adult patients who were provided an Apple Watch and blood pressure (BP) monitors. From March to July 2019, participants were asked to contact the study team for any irregular heart rate (HR) notification. They were assessed using structured questionnaires and asked to provide 6 Apple Watch EKGs. Those with arrhythmias or non-diagnostic EKGs were sent 7-day monitors. The EHR was reviewed after 3 years to determine if participants developed arrhythmias.

Results

86 participants received notifications and met inclusion criteria. Mean age was 50.5 (SD 16.9) years, and 46 (53.3%) were female. Of 76 participants assessed by the study team, 32 (42.1%) reported anxiety surrounding notifications. Of 59 participants who sent at least 1 EKG, 52 (88.1%) were in sinus rhythm, 3 (5.1%) AF, 2 (3.4%) indeterminate, and 2 (3.4%) sinus bradycardia. Cardiac monitor demonstrated AF in 2 of 3 participants with AF on Apple Watch EKGs. 2 contacted their PCPs and were diagnosed with AF. In total, 5 cases of AF were diagnosed with 1 additional case identified during EHR review.

Conclusion

Wearable devices produce alarms that can frequently be anxiety provoking. Research is needed to determine the implications of these alarms and appropriate follow-up.
Green credit policy and digital transformation of polluting firms: a quasi-natural experiment from China
Authors: Gu Xuesong , Wang Yiling
Published: December 2023

Green credit is an important way to achieve global green development. Using the adoption of the Green Credit Guidance (GCG) policy implemented by the Chinese government in 2012 as a quasi-natural experiment, this article examines the impact of the GCG on the digital transformation of highly polluting firms. This research uses text analysis to assess the extent of digital transformation. The empirical findings show that the GCG has a considerable detrimental effect on the digital transformation of significantly polluting businesses. According to the underlying mechanics, the GCG prevents extremely polluting firms from digitalization by tightening financial restrictions and lowering innovation inputs. The GCG’s disincentive effect on heavy polluters is especially more pronounced in state-owned listed corporations and the Central and Western areas of China, as demonstrated by heterogeneity research. Our research offers novel ideas for creating a digital economy and promoting sustainable development in emerging developing nations like China.
A community health promotion project: Amazing Race for Heart Health
Authors: Reese Jessica A. , Guy Carla , Jay Halana , Ali Tauqeer , Lee Elisa T. , Zhang Ying
Published: December 2023

Introduction

American Indians have higher rates of cardiovascular disease (CVD), likely due to disproportionate burden of diabetes and limited access to widespread CVD prevention programs such as Honoring the Gift of Heart Health (HGHH), a 10-week CVD risk factor awareness curriculum. Due to its length, HGHH may be difficult to complete; therefore, we aimed to evaluate a shortened CVD risk factor awareness program based on the HGHH educational materials for American Indians residing in southwest Oklahoma, entitled “The Amazing Race for Heart Health.”

Methods

We conducted an interventional study where each participant served as their own control (n = 61), with pre- and post-intervention measurements. We included American Indians from seven tribal nations in southwest Oklahoma. At two interventional meetings we used educational materials and activities from HGHH focusing on nutrition, cholesterol, diabetes, hypertension, physical activity, and heart attack warning signs. McNemar's test was used to determine the effectiveness of the intervention on raising CVD risk factor awareness.

Results

When comparing the pre- and post-survey responses, the percentage of correct responses either stayed the same or increased. Knowledge improved in 11/25 (44%, p < 0.05) domains including the difference between good and bad cholesterol and types of physical activity that can prevent CVD. When considering diabetes, knowledge increased regarding the interaction between diabetes and cholesterol in the association with CVD.

Discussion

These results demonstrate that the “Amazing Race for Heart Health,” a shortened CVD risk factor educational program based on the HGHH educational materials, was effective at increasing awareness regarding CVD risk factors.
Appearance of tolerance-induction and non-inflammatory SARS-CoV-2 spike-specific IgG4 antibodies after COVID-19 booster vaccinations
Authors: Akhtar Marjahan , Islam Md. Rashedul , Khaton Fatema , Soltana Umma Hany , Jafrin Syeda Anoushka , Rahman Sadia Isfat Ara , Tauheed Imam , Ahmed Tasnuva , Khan Ishtiakul Islam , Akter Afroza , Khan Zahid Hasan , Islam Md. Taufiqul , Khanam Farhana , Biswas Prasanta Kumar , Ahmmed Faisal , Ahmed Shakeel , Rashid Md. Mamunur , Hossain Md. Zakir , Alam Ahmed Nawsher , Alamgir A. S. M. , Rahman Mahbubur , Ryan Edward T. , Harris Jason B. , LaRocque Regina C. , Flora Meerjady Sabrina , Chowdhury Fahima , Khan Ashraful Islam , Banu Sayera , Shirin Tahmina , Bhuiyan Taufiqur Rahman , Qadri Firdausi
Published: December 2023

Background

Understanding the characteristics of the humoral immune responses following COVID-19 vaccinations is crucial for refining vaccination strategies and predicting immune responses to emerging SARS-CoV-2 variants.

Methods

A longitudinal analysis of SARS-CoV-2 spike receptor binding domain (RBD) specific IgG antibody responses, encompassing IgG subclasses IgG1, IgG2, IgG3, and IgG4 was performed. Participants received four mRNA vaccine doses (group 1; n=10) or two ChAdOx1 nCoV-19 and two mRNA booster doses (group 2; n=19) in Bangladesh over two years.

Results

Findings demonstrate robust IgG responses after primary Covishield or mRNA doses; declining to baseline within six months. First mRNA booster restored and surpassed primary IgG responses but waned after six months. Surprisingly, a second mRNA booster did not increase IgG levels further. Comprehensive IgG subclass analysis showed primary Covishield/mRNA vaccination generated predominantly IgG1 responses with limited IgG2/IgG3, Remarkably, IgG4 responses exhibited a distinct pattern. IgG4 remained undetectable initially but increased extensively six months after the second mRNA dose, eventually replacing IgG1 after the 3rd/4th mRNA doses. Conversely, initial Covishield recipients lack IgG4, surged post-second mRNA booster. Notably, mRNA-vaccinated individuals displayed earlier, robust IgG4 levels post first mRNA booster versus Covishield counterparts. IgG1 to IgG4 ratios decreased with increasing doses, most pronounced with four mRNA doses. This study highlights IgG response kinetics, influenced by vaccine type and doses, impacting immunological tolerance and IgG4 induction, shaping future vaccination strategies.

Conclusions

This study highlights the dynamics of IgG responses dependent on vaccine type and number of doses, leading to immunological tolerance and IgG4 induction, and shaping future vaccination strategies.
Recognizing topological attributes and spatiotemporal patterns in spotted seals (Phoca largha) trophic networks based on eDNA metabarcoding
Authors: Xu Yan , Huang Fei , Zhou Mingliang , Gu Rui , Zhu Jie , Rong Qiangqiang , Cai Yanpeng
Published: December 2023

Spotted seals, a protected species, face multifaceted threats to their habitat, which in turn impact the closely associated trophic networks. These threats will lead to irreversible structural variations within the ecosystem. Therefore, investigating the topological variability of trophic networks in spotted seals is important. Applying environmental DNA methods, field sample collection was conducted in 2021 during both the sea fishing moratorium period and the fishing period to decode fish diversity. Assessing the current status of fish resources by using the multivariate statistics approach. Applying dietary information establishes the spotted seals’ trophic network. Selecting 12 network indexes to analyze the spatiotemporal patterns of network topological attributes. As a result, about 51 families, and 76 genera species were identified. During the sea fishing moratorium and the fishing period, there are 12 and 18 different food resources available for spotted seals, respectively. The diversity index revealed that the FP had greater species richness and diversity than the SP. Comparatively, the Fishing period exhibited higher species richness and biodiversity, likely influenced by habitat heterogeneity and anthropogenic activities. Additionally, the topological features of networks reflected the high clustering coefficients (CC=0.35) and the proportion of omnivorous species (O≈60%), indicating that the network structure in this region tends to form higher trophic-level clustering patterns, which facilitate the formation of weaker interactions between clusters, enhancing the robustness of the network. The higher connectivity complexity index during the fishing period (SC=12.3) supported that the spotted seal’s trophic network was relatively more stable in this period. Thus, during the fishing period, it is crucial to pay more attention to the intensity of human fishing on mid-to-high trophic-level omnivorous fish resources to ensure the sustainability of these potential food resources for spotted seals. This comprehensive study achieved three key objectives: (a) utilizing eDNA to characterize fish diversity during distinct periods, (b) establishing trophic networks of spotted seals, and (c) discerning topological attributes and spatiotemporal patterns within the ecological network. Overall, this study can provide technical and data support for integrated ecological network management and propose suggestions for protecting and recovering spotted seals.