bluuebunny/crossref_metadata_2025 huggingface dataset:
Investigation of Nursing Students' Views on Reflective Thinking Experiences in Clinic: “Journey to Ourselves” (Qualitative Study)
Authors: SAVCI Ayşegül , KARACABAY Kevser
Published: August 2023

Background and Purpose: Reflective thinking is practised in nursing education in many countries to prepare and strengthen the students in the process of change and development in healthcare. This study was aimed at investigating the views of nursing students taking a surgery course on reflective thinking experiences in the clinic. Methods: The study was conducted with nursing students taking a 2nd-grade surgery course after reflective thinking practice. The reflective thinking practice is an application included in the curriculum of applied courses. The sample of the study consisted of students who took part in reflective thinking practice within the clinical applications of the course entitled “Surgical Diseases and Nursing”. The data were analysed through content analysis. Results: We identified the themes of “problem solving”, “adding value”, “awareness” and “adding power”. Conclusion: We found that utilising reflective thinking methods in clinical applications improves students’ problem solving and reflective thinking skills, encourages the values of empathising and behaving ethically and makes students stronger in terms of professionalisation. We recommend that reflective thinking practice be conducted in clinical applications in nursing education under the guidance of educators.
Analysis of Cancers in A University Hospital Employees between 2006 and 2022
Authors: ÇELİKGÜN Serkan , KOÇ Tülay , UÇKU Reyhan
Published: August 2023

Objective: Healthcare workers are exposed to a variety of hazardous chemicals and agents that may have long-term effects on their health. One of the health problems caused by these chemicals and agents is cancer. The aim of this descriptive study is to evaluate the cancers seen in those working in a university hospital between 01.01.2006 and 30.06.2022.

Material – Methods: All healthcare professionals diagnosed with cancer between 01.01.2006-30.06.2022 were included in this descriptive study. The age, sex, occupation, working unit, and cancer type of the patients were evaluated. Data were analyzed with the statistical program SPSS-22 (SPSS Inc., Chicago, IL, USA). Data were presented using descriptive statistics (means and standard deviations for continuous variables; numbers and percentages for categorical variables).

Results: Between 01.01.2006 and 30.06.2022, 186 people working at Sivas Cumhuriyet University were diagnosed with cancer. Forty-seven point eight percent (n = 89) of them are male; the mean age of those diagnosed with cancer is 46.0 ± 8.9 (min 22, max 62). The most common cancers are thyroid (21.5%), breast (16.7%), head and neck (9.7%), hematopoietic system (9.1%), and gastric-colon (8.6%) cancers. When evaluated according to occupational groups, 22.6% of them are office workers, 19.9% are academicians, 15.6% are workers, 14.0% are nurses, 10.2% are health technicians, and 8.2% are research assistants.

Conclusion: In this institution, which has 2721 personnel, approximately 16 employees are diagnosed with cancer each year. Detailed records of patients diagnosed with cancer, especially healthcare professionals, should be kept. More studies are needed in detail on behaviors related to occupational exposures and cancer risk. It may be beneficial reducing the burden of work-related cancers also for the well-being of healthcare workers.
PATINETES ELÉTRICOS E O DIREITO URBANÍSTICO: O USO DOS PATINETES ELÉTRICOS COMO INSTRUMENTO DE MOBILIDADE URBANA
Authors: Dos Santos Queiroz Clayton
Published: August 2023

O foco central do presente artigo é a análise do uso dos patinetes elétricos em face do direito urbanístico, passando pela análise da legislação atual e a sua suficiência para regulamentar a matéria, bem como uma análise do ponto de vista prático, de sua viabilidade de uso como meio de mobilidade urbana, nos valendo para tanto do método dedutivo e explorativo, através do uso de referências bibliográficas. Por fim, conclui-se pela viabilidade do uso dessa nova tecnologia como meio de transporte, desde que observadas as ponderações que seguem. Palavras Chave: Patinetes Elétricos. Direito Urbanístico. Micromobilidade Urbana. Mobilidade Urbana.
POTENCIALIDADES DO USO DE MUSEUS VIRTUAIS NO ENSINO DE QUÍMICA
Authors: SIMOMUKAY Elton
Published: August 2023

As tecnologias digitais em sala de aula podem ser instrumentos valiosos para motivar e auxiliar no processo de ensino e aprendizagem. Para a área de química, em especial, a tecnologia pode ajudar a superar o entendimento de conhecimentos científicos mais complexos e abstratos aos alunos. As diretrizes curriculares do MEC norteiam para a busca da aprendizagem significativa por meio de novos meios de ensino e visando o desenvolvimento de um aluno proativo capaz de usar a química como exercício da cidadania e para a busca de uma vida melhor. Os museus são espaços de lazer e aprendizagem, mas a logística de visitação a estes espaços pode ser difícil para muitas escolas.  Uma maneira possível de resolver esse problema é desenvolver museus on-line, onde apresentam-se digitalmente objetos e conteúdos relacionados a um determinado tema. Desta forma, este trabalho demonstra a estratégia pedagógica para montar um museu virtual temático em química, para posterior identificação de possibilidades e aplicabilidade de uso deste objeto de aprendizagem em sala de aula. Os resultados obtidos demonstraram uma facilidade de construção e aplicação no ensino de química. Palavras-Chave: Ensino; Química; Tecnologia; Museus Virtuais.
INTERCULTURALIDADE E A FORMAÇÃO DOS PROFESSORES: O CONTEXTO ESCOLAR DA COMUNIDADE QUILOMBOLA/KALUNGA MIMOSO-ALBINO
Authors: Leite Maria Edimaci Teixeira Barbosa , Silva Marliane Dias , Almeida Maria Zeneide Carneiro Magalhães de
Published: August 2023

A interculturalidade permite refletir sobre os aspectos da língua, cultura e sociedade em que o sujeito educando está inserido. Considerá-la, no processo formativo, permite compreender como o aprendiz se desenvolve e aprende com êxito. Assim, este artigo objetiva discutir sobre a interculturalidade e a formação dos professores voltada para a cultura afrodescendente. Para isto, entrevistamos uma professora que trabalha em uma escola da comunidade quilombola/Kalunga Mimoso – Albino, no estado de Tocantins, na cidade de Paranã. A metodologia utilizada para a construção deste, partiu da exposição do aparato teórico envolvendo o conceito de cultura, a abordagem centrou-se na interculturalidade, sua relação com a educação e a formação de professores. Ao final, apresentamos, baseadas nos princípios teóricos da Historiografia alinhando com as técnicas utilizadas pela História Oral, a entrevista com a professora. A partir dos relatos dela, foi possível discorrer sobre interculturalidade e a formação de professores. Palavras-chave: Interculturalidade; Formação; Professores; Quilombolas; História Oral.
Elementarisierung weiter-denken
Authors: Bernasconi Tobias , Stommel Theresa
Published: August 2023

Elementarisierung als didaktisches Konzept und Maßnahme zur didaktischen Reduktion komplexer Sachverhalte hat eine lange Tradition in der Allgemeinen und der sonderpädagogischen Didaktik. In diesem Beitrag wird das Konzept kritisch beleuchtet, durch aktuelle bildungstheoretische Überlegungen fundiert und daran anschließend um eine Elementarisierungsrichtung erweitert. Gegenwärtige Bildungstheorien fokussieren weniger Fragen nach Input oder Output, sondern Bildungsprozesse, was didaktische Überlegungen positiv beeinflussen kann. Die Aktualisierung des Elementarisierungskonzepts wird in Bezug auf ein relationales Verständnis von Behinderung analog zur ICF(-CY) vorgenommen, um individuellen Alltag und Kontextfaktoren bei der Planung und Gestaltung von Bildungssituationen im Elementarisierungsprozess stärker zu berücksichtigen.
THE VARIABLE-DURATION IMPULSIVE NOISE MODELING IN IEEE 802.15.4-2020 STANDARD RADIO COMMUNICATION SYSTEMS
Authors:   Voronezh State University 394018, Russia, Voronezh, Universitetskaya str., 1, Korchagin Yu.E. , Titov K.D. ,   Voronezh State University 394018, Russia, Voronezh, Universitetskaya str., 1, Petrov Yu.G. ,   Voronezh State University 394018, Russia, Voronezh, Universitetskaya str., 1
Published: August 2023

The noise immunity of radio communication systems based on IEEE 802.15.4–2020 and IEEE 802.15.4z–2020 standards under interference effect of variable-duration impulse noise is investigated. The simulation model of a radio communication channel for estimation of the bit error rate for noise with different parameters is developed using the MATLAB. The estimates of the noise immunity for different standard modes taking into account the structure of transmitted data are obtained. The comparison between the characteristics of standard modes is performed. A developed model can be modified for estimation of the noise immunity under interference effect of others types of noise. The obtained results of noise immunity estimation can be used for development of perspective ultra-wideband radio communication systems and increasing the efficiency of existing radio communication systems.
PENGARUH PELAPISAN OLI, MINYAK BIMOLI DAN RESIN TERHADAP LAJU KOROSI BAJA ST 41 PADA LINGKUNGAN AIR LAUT, AIR SUMUR DAN H2SO4
Authors: Nafi Maula , Nafi Maula
Published: August 2023

Korosi merupakan suatu proses alamiah, yang disebabkan karena logam berusaha untuk  kembali  pada  bentuk  aslinya. Proses  korosi  tidak  dapat dihindari, maka logam yang terjadi proses korosi akan merugikan pemakainya sehingga dilakukan proses rekayasa supaya proses korosi dapat diperlambat. Pemakaian material  logam dengan ketahanan korosi  yang lebih baik merupakan salah satu pilihan  yang bisa ditempuh.Sampel uji yang digunakan adalah baja ST 41. Sampel tersebut di potong dengan ukuran 5 mm, lebar 16 mm,dan tebal 16 mm sebanyak  9, sampel yang sudah dipotong dengan ukuran 5 mm,lebar 16 mm,tebal 16 mm selanjutnya dipanaskan menggunakan blender asetilin selama ±1 jam dengan suhu 3000C, 5000C dan 7000C. Sedangkan pada pelapisan Resin didapatkan hasil tertinggi didapatkan oleh larutan H2SO4 dengan nilai 609,3538 MPY, dan nilai terendah pada pengujian didapatkan oleh larutan Air Laut dengan nilai 599,2168 MPY.Kesimpulan laju korosi as baja st 41 lebih besar Karena H2SO4 lebih tinggi rata-rata dari perhitungan metode weight loss dipandingkan air laut di sebabkan oleh H2SO4 mengandung unsur pH basah di pandingkan air laut yang mengandung pH asam pH asam lebih cepat melakukan proses korosi.
Karakterisasi Representasi Matematis Visual dan Simbolik Siswa Kelas IX pada Materi Transformasi
Authors: Cahyaningrum Ira Yoshita , Fuady Anies , Faradiba Surya Sari
Published: August 2023

Penelitian ini bertujuan untuk mengeksplorasi representasi matematis siswa terutama secara visual gambar dan simbolik dengan subjek transformasi dalam pembelajaran matematika. . Jenis penelitian yang digunakan adalah penelitian deskriptif kualitatif. Dalam penelitian ini, tiga dari 32 siswa kelas subjek penelitian menggunakan purposive sampling. Instrumen yang digunakan dalam penelitian ini adalah tugas representasi matematis siswa dan pedoman wawancara. Analisis data yang digunakan diambil dari 3 komponen representasi matematis untuk transformasi yang dapat digunakan adalah representasi visual, representasi simbolik melalui gambar, dan menggunakan kata-kata untuk memecahkan masalah. Dari hasil penelitian ditemukan bahwa kemampuan representasi matematis siswa dalam materi transformasi, subyek pertama (S1) pada kategori siswa berkemampuan tinggi memenuhi representasi matematis yang lengkap dan sangat baik. Subyek kedua (S2) lengkap dan memenuhi kemampuan representasi matematis dengan cukup baik. Subyek ketiga (S3) memiliki hasil yang tidak lengkap dan tidak memenuhi representasi matematis. Dari penelitian berikut dapat disimpulkan bahwa representasi matematis simbolik terutama melalui gambar masih rendah. Dengan demikian, untuk penelitian lebih lanjut, dapat menjadi masukan bagi guru untuk dapat lebih variatif dalam penyajian materi dan pendalaman materi yang mengasah ketrampilan siswa dalam menggambar persamaan garis lurus dan menggunakan alat peraga seperti penggaris, busur, dan jangkar.
Pengembangan Media Animasi 3 Dimensi untuk Pembelajaran Bangun Ruang di Sekolah Dasar
Authors: Cahyani Widya Dwi , Degeng I Nyoman Sudana , Sitompul Nurmida Catherine
Published: August 2023

Meningkatkan proses pembelajaran peserta didik, dibutuhkan sebuah media pembelajaran yang menarik serta dapat merangsang imajinasi dan kreatifitas peserta didik, salah satunya adalah media animasi 3 dimensi pada mata pelajaran bangun ruang. Media animasi 3 dimensi ini menggunakan PowerPoint Microsoft Office 365, perangkat lunak ini digunakan karena terdapat transisi terbaru yaitu Morph 3D Animation. Pengembangan media ini menggunakan model Hannafin & Peck untuk mendapatkan hasil kelayakan yang baik sehingga dapat digunakan oleh peserta didik di Sekolah Dasar (SD). Model pengembangan ini terdiri dari tiga langkah yaitu langkah analisis keperluan (need assesment), desain (design), pengembangan dan implementasi (development/implementation). Setiap langkah yang dilakukan harus melalui evaluasi dan revisi, jadi hasilnya tentu bagus karena jika belum baik tidak dapat melanjutkan pada langkah selanjutnya. Uji coba yang dilakukan menggunakan uji coba ahli, uji coba teman sejawat dan uji kelompok kecil. Subjek uji coba kelompok kecil terdiri dari 12 peserta didik. Hasil pengembangan produk dari data hasil uji coba ahli materi diperoleh persentase sebesar 91%, angka ini tanpa dilakukan revisi. Sedangkan, hasil uji coba media diperoleh hasil sebesar 81%, data ini diperlukan sedikit revisi dan untuk uji coba teman sejawat diperoleh hasil persentase sebesar 94%. Sedangkan, untuk persentase hasil data uji angket kelayakan memperoleh hasil sebesar 88%, angka tersebut masuk dalam kategori sangat baik. Sehingga media animasi tiga dimensi ini layak digunakan untuk mendukung kegiatan pembelajaran peserta didik di Sekolah Dasar.
Predicting Breast Cancer Screening Behaviors Using Protective Motivation Theory: A Structural Equation Modeling Approach
Authors: Gao Yizheng , Yu Jianwei , Wang Hairuo , Liu Binhao , Zhang Shunhua
Published: August 2023

Background: Breast cancer is the most universal malignancy worldwide. Getting regular screening tests to detect early breast cancer is the surest way to reduce breast cancer deaths. The purpose of this study was to explore the predictors of breast cancer screening behavior among Chinese women using the protection motivation theory (PMT). Methods: This cross-sectional study included 895 women from eastern China. Data were collected using an online questionnaire that included sociodemographic information, PMT theoretical construction, and breast cancer screening behavior. Structural equation modeling was used to test predictive relations among the PMT model variables related to breast cancer screening behavior. Results: The results showed that response efficiency (β = 0.262, p < 0.001), screening motivation (β = 0.162, p < 0.001), and socioeconomic status (SES) (β = 0.556, p < 0.001) had a direct positive effect on screening behavior. Perceived severity, response cost, and self-efficacy can indirectly influence screening behavior through screening motivations. Notably, in the PMT substructure, response cost can directly and positively affect perceived severity and response efficacy has a direct positive effect on self-efficacy. Conclusions: PMT structure and SES are important predictors of screening behavior. The PMT substructure is not only directly related to screening behavior but also has indirect effects. The findings of this study suggest that PMT can effectively predict breast screening behavior, and interventions based on the substructure of PMT to develop screening behavior in women may be more effective.
Gonadotropin-Releasing Hormone Agonist Combined with Hormone Replacement Therapy Protocol Improves the Live Birth Rate in Frozen-Thawed Embryo Transfer Cycles for Patients without Endometriosis
Authors: Wang Yu , Xie Huixia , Shen Ping , Lv Qun
Published: August 2023

Background: Whether gonadotropin-releasing hormone agonist (GnRH-a) pituitary suppression improves clinical outcomes in non-endometriosis patients undergoing frozen embryo transfer remains controversial. The objective of this study is to investigate whether GnRHa combined with hormone replacement treatment (HRT) compared to HRT alone can improve the clinical outcomes of frozen-thawed embryo transfer in patients without endometriosis. Methods: This is a retrospective cohort study. This study involved 2178 frozen-thawed embryo transfer (FET) cycles of non-endometriosis patients between January 2018 and December 2019, of these cycles, 1535 were GnRHa-HRT combined cycles and 643 were HRT alone cycles. The primary outcomes were the clinical pregnancy and live birth rates. SPSS software (version 23.0, IBM Corp., Chicago, IL, USA) was used for data analysis. Results: Single-factor analysis showed that the live birth and implantation rates -were higher in the GnRHa-HRT group than those in the HRT group (p < 0.05). The mid-to-late-term miscarriage rate in the GnRHa-HRT group was lower than that in the HRT group (p < 0.05). The rates of human chorionic gonadotropin (HCG) positivity, clinical pregnancy, early abortion, multiple pregnancy, and preterm delivery between the two groups were comparable. Multivariate logistic regression analysis showed that rate of the live birth in the GnRHa-HRT group was higher than in the HRT group (p = 0.009), and there was no significant difference in the clinical pregnancy rate between the two groups (p = 0.103). Conclusions: This large-scale retrospective study revealed that non-endometriosis women in FET cycles may benefit from the GnRHa downregulation due to increasing the live birth rate.
The Investigation of Caspase-3 and Tumor Necrosis Factor-Alpha Expression in Placentas of Patients with Preterm Premature Rupture of Membranes
Authors: Ermiş Işılay Sezen , Aşır Fırat , Oğlak Süleyman Cemil , Kaplan Özge , Aydeniz Gül Ebru , Deveci Engin
Published: August 2023

Background: Caspase-3 is involved in the execution of apoptosis and is widely used as an apoptotic marker. Tumor necrosis factor-α (TNF-α) released from activated macrophages has various functions such as modulation of cell growth and differentiation, immunoregulation, coagulation, and regulation of endothelial cell function. This study investigated the immunohistochemical staining of caspase-3 and TNF-α expression in the placentas of pregnant women with preterm premature rupture of membranes (PPROM). Methods: Placentas of 25 healthy, and 25 women with PPROM were processed for routine histological tissue processing. Placentas were stained with hematoxylin-eosin, caspase-3, and TNF-α immunostaining. Results: Normal placental histology was observed in the control group. Amniotic epithelium, vascular structures, and fibrinoid accumulation were histologically normal. Leukocyte infiltration, thinned vessel walls with dilatation and congestion, syncytial nodes, and fibrinoid accumulation were increased in the PPROM group. The immune activity of caspase-3 expression was mainly negative in placental components such as syncytial nodes, vascular endothelium, fibrinoid accumulation, and macrophages in the control group. In the PPROM group, caspase-3 positive reaction was increased in the amniotic membrane and epithelium, endothelial cells, fibrinoid accumulation, and areas of inflammatory cell infiltration. In the control group, negative TNF-α expression was observed in the placental membranes and structures. In the PPROM group, TNF-α expression was increased in inflammatory cells, endothelial cells, and syncytial nodes. Conclusions: Placentas of patients with PPROM showed loss and weakened membranes with increased placental pathology, and increased expression of caspase-3 and TNF-α. We suggest that caspase-3 and TNF-α signaling pathways can be used as a marker in the progression of PPROM.
Standardized First-Trimester Ultrasound Screening for Fetal Structural Abnormalities in A Non-Selective Population: A Single-Center Experience
Authors: Sun Lingling , Deng Xuedong , Yin Linliang , Sun Jian , Ji Chunya , Pan Qi , Zhang Jun , Yang Zhong , Ling Chen
Published: August 2023

Background: To explore the effectiveness of standardized first-trimester ultrasound screening (FTS) in detecting fetal structural abnormalities in a non-selective population. Methods: A retrospective study was performed on 7523 fetuses (6376 single and 569 twin pregnancies) who underwent FTS between 11 and 13+6 weeks’ gestation. All fetuses received anatomy scans using a standardized protocol. Results: 147 fetuses (133 single and 7 twin pregnancies) were lost to follow up. Of the remaining 7376 fetuses, 119 (1.61%, 119/7376) developed structural malformations, with 64 cases (53.8%, 64/119) identified during the first trimester. The remaining cases were detected during the second trimester (24.4%, 29/119), the third trimester (1.68%, 2/119), and postnatally (20.2%, 24/119). There were 4 cases of suspected ventricular septal defect (VSD) by FTS, which were later confirmed to be normal. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) for FTS were 54.2%, 99.9%, 94.1%, and 99.3%, respectively. Forty eight fetuses, accounting for 10.6% of the total (452), with thickened nuchal translucency (NT) (above the 95th percentile) showed structural malformations. This was significantly higher than the prevalence of structural abnormalities found in fetuses with normal NT (1.0%, 71/6924) (p < 0.01). Conclusions: Standardized FTS is highly effective in detecting fetal structural malformations early, with impressive specificity, PPV, and NPV. Increased NT suggests detailed anatomy screening and helps guide treatment. However, while standardized FTS is an invaluable tool, it cannot fully replace the sensitivity of second- and third-trimester ultrasound screening. Clinical Trial Registration: The study was registered at https://www.chictr.org.cn (registration number ChiCTR-SOC-17010976).
Increased Myeloperoxidase Concentrations in Saliva could Reflect Increased Body Mass and Oral Microinflammation
Authors: Nijakowski Kacper , Lehmann Anna , Rutkowski Rafał , Korybalska Katarzyna , Witowski Janusz , Surdacka Anna
Published: August 2023

Background: Increased myeloperoxidase (MPO) levels in saliva are thought to reflect ongoing periodontal inflammation. Less clear is whether and to what extent salivary MPO is increased as a result of systemic inflammation. Methods: In the present study, we aimed to determine which demographic, anthropometric, biochemical, and dental parameters affect the level of MPO in whole mixed saliva in healthy adults with no apparent inflammatory lesions in the oral cavity. Thus, 113 individuals, aged 20–61 years (including 30.1% men and 23.9% smokers), were examined. Results: In the univariate analysis, higher levels of MPO in saliva were found to be associated with age, an increased body mass index (BMI), higher levels of cytokines tumour necrosis factor-α and interleukin-6, as well as poorer oral hygiene, gingival status, and lower saliva flow. Multivariate logistic regression analysis determined that the main predictors of MPO concentration in saliva were BMI and stimulated saliva flow rate. Conclusions: Overall, an increase in MPO in saliva could be related to an increase in BMI, possibly as a result of subclinical chronic microinflammation, which also involves the gingiva.
Tai Ji on Cognitive Function Improvement in Parkinson's Disease: A Meta-Analysis
Authors: Yin Jinling , Liu Yang , Lyu Wangang , Fan Yongzhao
Published: August 2023

Background: Tai Ji (TJ) can improve cognitive function, which in turn brings life quality to Parkinson’s disease (PD) patients. Cognitive function is thus important for PD patients. Analyzing the cognitive function and obtaining precise TJ exercise prescriptions are effective in treating PD patients. Objectives: The purpose of this review was to discuss the current Randomized Controlled Trials (RCTs) of TJ and cognitive function improvement in PD. Materials and Methods: Databases, including PubMed, Web of Science, Scopus, Cochrane Library, EBSCOhost, Wan Fang, and CNKI, were searched. Cochrane systematic evaluation method was adopted wherein 6 RCTs met the final inclusion criteria. Results: Among the 6 included RCTs, 3 were of high quality, and the rest were of medium quality. Quantitative analysis exhibited that TJ intervention improved the cognitive function of PD patients. TJ promoted the global cognitive function (p < 0.05) and the executive function (p = 0.09) compared with the control. However there was no significant improvement in cognitive motor. TJ training intervention doses of two times a week with 45–60 min sessions over ≤12 weeks could improve the cognitive function of PD patients. Conclusions: TJ affects the cognitive function of PD patients. However, this effect may have a reduced or no significant impact as the disease increases. PD patients can choose TJ as an intervention for 45–60 min twice a week for at least 12 weeks to accomplish maximum improvement in cognitive function.
The Efficacy of Physical Therapy and Rehabilitation Approaches in Chronic Migraine: A Systematic Review and Meta-Analysis
Authors: Onan Dilara , Ekizoğlu Esme , Arıkan Halime , Taşdelen Bahar , Özge Aynur , Martelletti Paolo
Published: August 2023

Background: Pharmacological treatment is the primary approach in chronic migraine (CM), although non-drug interventions such as physical therapy are used as adjunct treatments. We aimed to review the efficacy of physical therapy and rehabilitation approaches for CM and their impact on quality of life (QoL) and disability. Methods: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and included randomized controlled trials (RCTs) in adults with CM. The primary outcomes were changes in intensity, frequency, duration of headache, disability, and QoL. Methodological quality was assessed using the Physiotherapy Evidence Database (PEDro) scale. Data synthesis and quantitative analysis were conducted on relevant studies. Results: Seven RCTs were included in the narrative review, and five of them were eligible for quantitative analysis. Aerobic exercise (AE), osteopathic manipulative treatment (OMT), occipital transcutaneous electrical stimulation (OTES), acupressure, hydrotherapy, instrument-assisted soft tissue mobilization (IASTM), facial proprioceptive neuromuscular facilitation (FPNF), and connective tissue massage (CTM) were used in CM. AE combined with pharmacological therapy reduced the frequency, duration, and intensity of headache. OMT combined with medication improved QoL and reduced disability, intensity of pain, and migraine days per month. Hydrotherapy combined with medication also resulted in improvements in the intensity of headache, frequency, and overall QoL. IASTM and OTES reduced the intensity of headache, alleviated neck pain, and improved QoL, although there were conflicting findings following OTES alone on disability and intensity of headache. Both FPNF and CTM reduced the intensity of headache. Acupressure as an adjunct to medication did not show additional benefits on the intensity of headache and QoL. Quantitative analysis of the data showed that manual physical therapy combined with medication reduced the intensity of headache (p = 0.0796), and manual or AE combined with medication reduced the headache days per month (p = 0.047). Conclusions: A limited number of RCTs investigating the efficacy of physical therapy and rehabilitation approaches show promise in improving headache symptoms, reducing disability, and enhancing QoL in CM. Meta-analysis of the data also supported favorable outcomes for both intensity and headache days per month. Further research is needed to better understand the efficacy, optimal duration, and safety of physical therapy and rehabilitation approaches for CM, and to explore alternative interventions.
Familial Hypercholesterolemia: Pitfalls and Challenges in Diagnosis and Treatment
Authors: Arnold Natalie , Koenig Wolfgang
Published: August 2023

Familial hypercholesterolemia (FH), a condition, which is characterized by a life-long exposure to markedly elevated low-density lipoprotein (LDL) concentrations from birth, and it still remains underdiagnosed and undertreated, despite the fact that its heterogeneous form represents one of the commonest genetic disorders to date. Indeed, only 10% of all estimated affected individuals have been diagnosed worldwide and for the most of them diagnosis comes too late, when atherosclerotic cardiovascular disease (ASCVD) has already been developed. Undiagnosed and undertreated FH leads to accelerated ASCVD with a high rate of premature deaths. Recently, several novel treatment modalities have been introduced, especially for the management of severe hypercholesterolemia. Nonetheless, a substantial number of FH patients still do not achieve guideline-recommended LDL cholesterol target values. In the present review we will summarize and critically discuss pitfalls and challenges in successful diagnosis and treatment of FH.
Building Trust in the Classroom: Perspectives from Students and Teachers
Authors: Holzer Andreas , Daumiller Martin
Published: August 2023

The significance of fostering trust between students and teachers has garnered increasing attention in educational discussions. However, practitioners and researchers hold different understandings of this research topic that often neglect the viewpoints of both students and teachers. To bridge this gap, we conducted a qualitative study to explore the nuanced nature of trust from the perspectives of students and teachers, including its antecedents, consequences, and similarities and differences in the perceptions of students and teachers. We conducted semi-structured interviews with 12 participants, comprising two class teachers and five students each from two ninth-grade classes in a Bavarian vocationally-oriented high school. Interpretation Phenomenological Analysis revealed that trust, from the perspective of both students and teachers, encompasses more elements than previously recognized in the literature. Based on these findings, we offer an extended definition of trust as a willingness to be vulnerable to, or to confide in others based on their openness, honesty, reliability, benevolence, and competence. Both students and teachers identified similar trust-related behaviours inside and outside the classroom. Trust, in turn, was linked to students’ willingness to engage with their teachers, overall well-being, and attitudes towards making mistakes. In addition to a more nuanced understanding of the construct of trust, these findings highlight the relevance of stakeholders’ emotional experiences in the classroom, as well as how to structure lessons and relationships that cultivate trust between students and teachers.
Establishing cut-offs for the Pain Self-Efficacy Questionnaire for people living with chronic pain
Authors: Bishay Freddy , Tippin Gregory K. , Fransson Adria , Hapidou Eleni G.
Published: August 2023

LAY SUMMARY

Cut-offs were established for the Pain Self-Efficacy Questionnaire (PSEQ) by examining it with other clinical measures in 189 patients, including 69 Veterans, who attended a four-week interdisciplinary chronic pain management program. By dividing the PSEQ scores into low, medium, and high ranges, the authors examined the PSEQ’s association with fear of movement/re-injury (kinesiophobia), pain interference, and pain catastrophizing at admission and discharge from the program. Kinesiophobia was found to be most related to the proposed cut-offs. Findings support the use of PSEQ cut-offs when considering self-efficacy and kinesiophobia. Future research should evaluate these cut-offs with larger samples and functional/occupational measures. The findings show promise for individuals with chronic pain and continue to increase the understanding of the clinicians who work with these individuals.
Educação em saúde além dos muros universitários
Authors: Matos Maria de Lourdes Ferreira Medeiros de , Matos Alcemar Antonio Lopes de , Siqueira Filho Aloisio Tinoco de , Norberg Antonio Neres , Faial Ligia Cordeiro Matos
Published: August 2023

Este livro é o resultado dos estímulos dos professores da disciplina Integração Prática Clínica I (IPC-I), investidos no propósito de estimular a produção científica dos estudantes do 5º período do Curso de Medicina da Faculdade Metropolitana São Carlos-FAMESC, Unidade de Bom Jesus do Itabapoana-RJ, turmas 2021-1 e 2021-2. A obra explora de forma objetiva os principais agravos presentes na prática clínica.
Task Offloading methods in Multi-Access Edge Computing Systems
Authors: Chipsanova Elena , Elagin Vasiliy
Published: August 2023

Problem definition. Multi-access edge computing is a promising solution that can solve capacity and performance issues in legacy systems such as mobile cloud computing. Problems include core network congestion, high latency, poor quality of service, high utility cost of resources such as bandwidth and energy. The above problems arise due to the limited resources of mobile devices, when connecting with multiple hops between end users and the cloud, high load from resource-intensive and delay-critical applications. Methods used: comparative evaluation method. Novelty: Methods of task offloading in boundary computing systems with multiple access are analyzed. Three methods of task offloading for comparative analysis are proposed. Result: familiarization with the existing methods of task offloading, as well as identification of the most relevant from the presented ones. Practical significance: in the proposal of the most relevant method in the issue of task offloading in networks of boundary computation with multiple access.
Gas mask wearing detection based on Faster R-CNN
Authors: Wang Bangrong , Wang Jun , Xu Xiaofeng , Bao Xianglin
Published: August 2023

Gas masks are essential respiratory protective equipment commonly used by laborers who work in harsh environments. However, respiratory diseases and accidents can occur due to the absence of gas masks. To prevent these accidents, this paper developed an object detector that uses convolutional neural networks (CNNs) to detect whether workers are wearing gas masks. To achieve this goal, a gas mask detection dataset was constructed derived from real industrial scenarios and Faster R-CNN was improved for gas mask wearing detection. Firstly, to address the multi-scale problem in real scenes, the Feature Pyramid Network was introduced into Faster R-CNN to effectively fuse features between different levels and improve the detection ability of small objects. Secondly, the Online Hard Sample Mining algorithm was used to alleviate the class imbalance problems in the dataset. Finally, Mixup and Mosaic were used in the training process to augment the data and make the model better adapt to different scenes and complex backgrounds. After multiple experiments, the combination of the three optimization strategies improved the mAP 0.5 : 0.95 by 23.2%. This work is an initial attempt at gas mask wearing detection and there is still much room for improvement in terms of model and dataset.
Deep learning models for predicting the position of the head on an X-ray image for Cephalometric analysis
Authors: Prasanna K. , Jyothi Chinna Babu , Mathivanan Sandeep Kumar , Jayagopal Prabhu , Saif Abdu , Samuel Dinesh Jackson
Published: August 2023

Cephalometric analysis is used to identify problems in the development of the skull, evaluate their treatment, and plan for possible surgical interventions. The paper aims to develop a Convolutional Neural Network that will analyze the head position on an X-ray image. It takes place in such a way that it recognizes whether the image is suitable and, if not, suggests a change in the position of the head for correction. This paper addresses the exact rotation of the head with a change in the range of a few degrees of rotation. The objective is to predict the correct head position to take an X-ray image for further Cephalometric analysis. The changes in the degree of rotations were categorized into 5 classes. Deep learning models predict the correct head position for Cephalometric analysis. An X-ray image dataset on the head is generated using CT scan images. The generated images are categorized into 5 classes based on a few degrees of rotations. A set of four deep-learning models were then used to generate the generated X-Ray images for analysis. This research work makes use of four CNN-based networks. These networks are trained on a dataset to predict the accurate head position on generated X-Ray images for analysis. Two networks of VGG-Net, one is the U-Net and the last is of the ResNet type. The experimental analysis ascertains that VGG-4 outperformed the VGG-3, U-Net, and ResNet in estimating the head position to take an X-ray on a test dataset with a measured accuracy of 98%. It is due to the incorrectly classified images are classified that are directly adjacent to the correct ones at intervals and the misclassification rate is significantly reduced.
Preventing Neurocognitive Decline in Adults Aging with HIV: Implications for Practice and Research
Authors: Cody Shameka L. , Miller Gabe H. , Fazeli Pariya L. , Wang Ge , Li Wei , Goodin Burel R. , Vance David E.
Published: August 2023

Mild to moderate forms of neurocognitive impairment persist among people living with HIV (PLWH), despite being virally suppressed on antiretroviral therapy. PLWH are disproportionally impacted by physiological and psychosocial comorbidities compared to those without HIV. As adults live longer with HIV, the neurocognitive burden of physiological and psychosocial stressors can impair everyday functioning and may contribute to the development of neurodegenerative diseases such as Alzheimer’s disease. This article outlines neurocognitive consequences of everyday stressors in PLWH. While some lifestyle factors can exacerbate inflammatory processes and promote negative neurocognitive health, novel interventions including the use of cannabinoids may be neuroprotective for aging PLWH who are at risk for elevated levels of inflammation from comorbidities. Studies of integrated neurocognitive rehabilitation strategies targeting lifestyle factors are promising for improving neurocognitive health, and may over time, reduce the risk of Alzheimer’s disease in PLWH.
Sleep, Circadian Rhythms, and Cognitive Dysfunction in Huntington’s Disease
Authors: Fitzgerald Emily S. , Stout Julie C. , Glikmann-Johnston Yifat , Anderson Clare , Jackson Melinda L.
Published: August 2023

Background: In healthy people, sleep and circadian disruption are linked to cognitive deficits. People with Huntington’s disease (HD), who have compromised brain function and sleep and circadian disturbances, may be even more susceptible to these cognitive effects. Objective: To conduct a comprehensive review and synthesis of the literature in HD on the associations of cognitive dysfunction with disturbed sleep and circadian rhythms. Methods: We searched MEDLINE via OVID, CINAHL Plus, EMBASE via OVID, and PubMed in May 2023. The first author then screened by title and abstract and conducted a full review of remaining articles. Results: Eight studies investigating the influence of sleep and/or circadian rhythms on cognitive function in HD were found. In manifest HD, poorer sleep was associated with worse cognitive function. For behavioral 24-hour (circadian) rhythms, two studies indicated that later wake times correlated with poorer cognitive function. No reported studies in HD examined altered physiological 24-hour (circadian) rhythms and cognitive impairment. Conclusion: Some associations exist between poor sleep and cognitive dysfunction in manifest HD, yet whether these associations are present before clinical diagnosis is unknown. Whether circadian disturbances relate to cognitive impairment in HD also remains undetermined. To inform sleep and circadian interventions aimed at improving cognitive symptoms in HD, future research should include a range of disease stages, control for external factors, and utilize robust cognitive batteries targeted to the aspects of cognitive function known to be adversely affected in HD.
Rough lacunary statistical convergence in neutrosophic normed spaces
Authors: Khan Vakeel A. , Rahaman SK Ashadul , Hazarika Bipan , Alam Masood
Published: August 2023

In this paper, we address some imprecisions in the definition of neutrosophic normed space proposed by Kirişçi and Şimşek [16], Definition 4. We propose a modification to the definition and introduce the notion of rough lacunary statistical convergence in the neutrosophic normed space. Furthermore, we present the idea of rough lacunary statistical cluster points in neutrosophic normed spaces and investigate the relationship between the set of these cluster points and the set of rough lacunary statistical limit points of the aforementioned convergence.
A new method for the recognition of day instar of adult silkworms using feature fusion and image attention mechanism
Authors: Shi Hongkang , Zhu Shiping , Chen Xiao , Zhang Jianfei
Published: August 2023

Identifying the day instar of silkworms is a fundamental task for precision rearing and behavioral analysis. This study proposes a new method for identifying the day instar of adult silkworms based on deep learning and computer vision. Images from the first day of instar 3 to the seventh day of instar 5 were photographed using a mobile phone, and a dataset containing 7, 000 images was constructed. An effective recognition network, called CSP-SENet, was proposed based on CSPNet, in which the hierarchical kernels were adopted to extract feature maps from different receptive fields, and an image attention mechanism (SENet) was added to learn more important information. Experiments showed that CSP-SENet achieved a recognition precision of 0.9743, a recall of 0.9743, a specificity of 0.9980, and an F1-score of 0.9742. Compared to state-of-the-art and related networks, CSP-SENet achieved better recognition performance with the advantage of computational complexity. The study can provide theoretical and technical references for future work.
TTS System for Deafened and Vocally impaired persons in Native Language
Authors: Natarajan Kirthika , Chelliah Jeyalakshmi , Mariyarose Jemin Vijayaselvan , Andi Senthilkumar , Venkatachalam Bharathi , Alagarsamy Manjunathan
Published: August 2023

This is contrary for Voice impaired people since their speech is tough for others to recognize even by their parents and teachers. Provided if their parents are illiterate. So our TTS system can be used for converting their written text to speech for their illiterate parents and friends around them. Though many methods have been adopted for the concatenation of the basic sound units, the HMM-based approach in modeling the sound is utilized by many researchers in many languages. In this paper, we have tried to implement, text to speech systems of synthesis for a Tamil text uses a phonemic concatenation approach in MATLAB. Instead of utilizing Tamil letters as it is, due to its difficulty in production, Tamil text is transliterated into English then it is converted into intelligible speech. The performance of the output is verified for various examples by changing its parameters, in which the quality of the sound is comparable to that of English text. So the proposed system is utilized for all languages other than Tamil also if it is properly transliterated for limited vocabulary.
Longitudinal Changes in Neuropsychological Functioning in Japanese Patients with Myotonic Dystrophy Type 1: A Five Year Follow-Up Study
Authors: Fujino Haruo , Suwazono Shugo , Ueda Yukihiko , Kobayashi Michio , Nakayama Takahiro , Imura Osamu , Matsumura Tsuyoshi , Takahashi Masanori P.
Published: August 2023

Background:

Myotonic dystrophy type 1 (DM1) is a form of muscular dystrophy that causes various symptoms, including those of the central nervous system. Some studies have reported cognitive decline in patients with DM1, although the available evidence is limited.

Objective:

This study aimed to describe longitudinal differences in neuropsychological function in patients with DM1.

Methods:

A total of 66 Japanese adult patients with DM1 were investigated using a neuropsychological battery to assess several cognitive domains, including memory, processing speed, and executive function. The patients underwent neuropsychological evaluation approximately five years after baseline (Times 1 and 2).

Results:

Thirty-eight patients underwent a second neuropsychological evaluation. The participants in the Time 2 evaluation were younger than those who did not participate in Time 2. Patients showed a decline in the Mini-Mental State Examination, Trail Making Test (TMT), Block Design, and Symbol Digit Modalities Test at Time 2 ( P < 0.05). Age at Time 1 was associated with a decline in TMT-A and TMT-B scores (rho = 0.57 and 0.45, respectively).

Conclusion:

These results suggest a cognitive decline in patients with DM1 and warrant further investigation into the possible effects of age-related changes.
Security and privacy concerns in assisted living environments
Authors: Condado Paulo A. , Lobo Fernando G.
Published: August 2023

Assisted living environments use interconnected devices to assist people with limitations in performing daily activities. In these environments, human activity recognition is critical for detecting abnormal situations, such as falls or health problems, and providing appropriate assistance to inhabitants. Despite their advantages, assisted living environments raise security and privacy concerns due to the collection and storage of sensitive data about their inhabitants. This paper addresses security and privacy concerns related to intelligent environments designed to assist individuals with limitations. It discusses the weaknesses of IoT devices and domotic technologies and presents research conducted by authors to mitigate these issues. This study shows that, despite hardware constraints, it is possible to design a relatively secure assisted living environment that prevents hacker attacks and data leaks. Additionally, it is essential to comprehend which information should be shared with external entities, such as health care services, and when to share it to ensure the inhabitants’ well-being. Our main goal has been to gather knowledge to improve the privacy and data protection of technology-rich assisted living environments implemented to assist people with limitations and their family members in performing their daily tasks.
Telehealth in oral medicine: A cross-sectional evaluation based on a mobile application
Authors: Martins Hélder Domiciano Dantas , de Lucena Cassiane Pereira , da Silva Quemuel Pereira , Dantas Maria Vitória Oliveira , Costa Maria do Desterro Andrêzza Souza , de Lucena Edson Hilan Gomes , Bonan Paulo Rogério Ferreti
Published: August 2023

BACKGROUND: Teledentistry is considered a good tool in the diagnostic process. In oral medicine, there is a low number of trained professionals and dentists have difficulty in diagnosing and treating oral lesions. OBJECTIVE: We aimed to perform a cross-sectional evaluation based on the mobile application for oral diagnosis using a mobile application in a Brazilian State. METHODS: This is a retrospective, cross-sectional, observational study of the data of the “Telehealth in Stomatology in Paraíba” carried out between May 2021 and November 2022. RESULTS: The app has a team of 16 consultants (Ph.D. professors, postgraduate students, residents, and dentists). In addition, there are 289 registered professionals, with a mean age of 33.7 years, predominantly female (70.2%), working in primary care (79.2%), and general practitioners (42.6%). Regarding the cases, the app has 194 cases, and reactive lesions are the most suggested hypotheses reported by dentists (24.5%) and consultants (22.3%). We had an overall concordance rate of 64.1%. CONCLUSION: The application is easily accessible and has an assistance network that helps with early diagnosis. In addition, it has good coverage with users in more than 50% of the cities in the state. Thus, applications that provide specialized care to distant areas are important for better public health.