bluuebunny/crossref_metadata_2025 huggingface dataset:
Spatial Prediction of Soil Erodibility Indices of the Sensitive Landscape of Bengkulu Watershed, Indonesia
Authors:   he Soil Science Departement, Bengkulu University, Indonesia, Barchia Muhammad Faiz , Sulistyo Bambang , Putri Elsa Lolita , Herman Welly
Published: June 2023

Soil erodibility index (K) is a complex concept and it is influenced by many soil properties, which can reflect the soil resistance to erosion. The K index indicates soil aggregate resistency to disperse and particle transported by rainfall. Higher the erodibility index, the soil is more susceptible to erosion or in reverse. This study was aimed to show spatial feature of soil erodibility index in the fragile landscape of Bengkulu watershed conducted from July to November, 2021. Spatial analysis used some map and Landsat 8 OLI satellite imagery and ArcGIS version 10.3. The analysis depicted spatial distribution of soil textures, soil structures, soil organic matter contents, soil permeabilities and soil erodibility indices. Actually, soil organic matter content in the hilly range and undulating areas in the upper part of the watershed are categorized moderate to very high classes, however, soil texture classes in the upstream dominantly are covered by sandy loam, and loamy sand. Soil aggregate formation through the soil organic matter and soil texture binding has composed the fine and very fine granular soil structures in the upper part and in the middle part of the watershed. In the upper part and in the middle part of the watershed landscape, in fact, soil permeabilities are classified as from moderate to fast. Overlying the all inherit soil attributes, in short, the soil erodibility indices in the fragile landscape of Bengkulu watershed are not prone to precipitation detachment causing soil erosion and soil productivity deterioration.
Variation of Surface Water Quality in Cu Lao Dung Island, Soc Trang Province, Vietnam
Authors:   College of Environment and Natural Resources, Can Tho University, Vietnam, Giao Nguyen Thanh , Mi Le Thi Diem
Published: June 2023

The study aims to evaluate variation of surface water quality in canals in Cu Lao Dung district, Soc Trang province, Vietnam using multivariate statistical methods. Sixteen surface water samples with the parameters of pH, total suspended solids (TSS), dissolved oxygen (DO), biological oxygen demand (BOD), chemical oxygen demand (COD), NH4+-N, NO2−-N, PO43−-P, Cl−, Fe, coliform were used for the assessment. The results showed that the surface water in the study area was contaminated with microorganisms, salinity and acidity, and nutrient. The concentrations of coliform, Cl−, Fe, TSS and NO2−-N were higher than the specified limits by 4.17, 2.04, 1.91, 1.28 and 1.10 times, respectively. The four principal components could explain up to 81.40% of the total variance of surface water quality. The main water pollution sources could be from natural (rainwater runoff, saltwater intrusion, erosion) and man-made activities from domestic and agricultural activities (livestock, aquaculture, cultivation), industry and navigation activities. Cluster analysis divided surface water quality into two groups by the difference in BOD, COD, NH4+-N, NO2−-N, Fe, coliform and pH. Pearson correlation results demonstrated that only BOD or COD should be monitored since it is mutually predictable. Specific sources and its contribution should be further studied for effective surface water quality management in the study area.
Research on the Quality Management System of Classroom Teaching in Higher Vocational Education
Authors:   University of the Cordilleras Baguio city, Philippines, Tian Suyan
Published: June 2023

The construction and performance of classroom teaching quality management system are effective means to ensure the achievement of higher vocational education curriculum goals. Taking the “Analytical Chemistry” course of food quality and safety major as an example, the problems existing in the process of classroom teaching quality management are analyzed. Using literature research method, survey research method, case study method and practical training practice method, etc., the influence of teaching objectives, teaching design, teaching content, teaching methods, teaching evaluation and other factors on the quality of classroom teaching was studied. Based on student-centered, achievement-oriented and continuous improvement as the core, the classroom teaching quality management system of higher vocational education is constructed. The research results have guiding significance and demonstration role for the construction of high-efficiency classroom teaching quality management system in higher vocational colleges.
Design and Analysis of Multimedia Mobile Learning Based on Augmented Reality to Improve Achievement in Physics Learning
Authors:   the Department of Physics Education, Faculty of Theacher Training and Education, Universitas Riau, Indonesia, Nasir Muhammad , Z Fakhruddin
Published: June 2023

The incorporation of mobile technology is necessary for physics teachers to improve students’ learning experience. Therefore, this research aimed to develop and analyze mobile learning based on Augmented Reality for physics education in Senior High School. The research employed a mixed-methods approach, which consisted of two stages. First, the use of the research and development (R&D) employing the Instructional Design Analyze, Design, Development, Implementation and Evaluation (ID ADDIE) Model’s, which comprised a series of steps for analysis, design, development, implementation, and evaluation. The second stage is using empirical analysis with limited classes. The validity of the learning device was assessed using an instrument that included aspects of planning, pedagogy, content, and technique. The results of the validation indicated high scores, with an average of 0.91 for planning, 0.94 for pedagogy, 0.96 for content, and 0.90 for technique, thus confirming the validity and reliability of the mobile learning approach for physics education. The empirical analysis conducted revealed a high level of reliability, with an alpha value of 0.82, which resulted in the determination that the mobile learning approach was valid and reliable for physics education. The second stage of the research was the experimental method. Two classes were randomly selected among six classes of student’s grade XI of SMA Pekanbaru, A class was designed as the experimental group, while another served as the control group which both groups consisted of 34 students which was selected based on homogeneity and normality test results. The results of the experiment indicated that multimedia mobile learning based on Augmented Reality can have a positive impact on students’ achievement in physics.
Challenges Facing the Adoption of VR for Language Education: Evaluating Dual-Frame System Design as a Possible Solution
Authors:   the Department of English and American Studies, Mejiro University, Tokyo, Japan, Urueta Steven H.
Published: June 2023

This paper aims to review the challenges to wider adoption of VR technologies for language education at the university level, focusing on teaching English as a foreign language (TEFL). The first portion classifies these challenges, as outlined in the current literature, into seven main themes: “Lack of TEFL-Specific Content,” “Difficulty to Integrate Learning and Evaluation,” “Supporting Various Learning Approaches,” “Uncertainty Over Learning Outcomes,” “Costs and Development Difficulty,” “VR Sickness and Other Physical Issues,” and “Space and Setup.” In addition to this classification, it considers curriculum-related challenges that are underrepresented in current VR research, such as supporting translanguaging and content and language integrated learning (CLIL). Secondly, a novel design method, Dual-Frame System Design, is introduced, which separates VR-based experiences and TEFL learning content into separate “frames” that can be swapped in and out for different learning needs. Finally, three VR systems created with dual-frame system design are evaluated in terms of their structures, functions, and user experiences for how well they address these challenges. Lessons learned from this evaluation may be useful for the future design of VR systems.
Sexually transmitted infections or reproductive tract infections prevalence and treatment efficacy of syndromic approach in reproductive age group women attending gynaecological out-patient department
Authors: Yadav Amita , Deepshikha  , Sonkar Shubhangi , Sachan Reena , Singh Richa
Published: June 2023

Background: Sexually transmitted infections (STI) and reproductive tract infections (RTI) continue to be a major health, social and economic problem worldwide, especially in developing countries. The aim of this study is to determine the prevalence of STI and RTI among women of reproductive age (18-49 years) attending gynaecological consultations.
Methods: A cross-sectional study of 1006 women of reproductive age attending a hospital was conducted over a period of 1 year. Out of these 116 women were not followed up, so they were excluded from the study. Thus, 890 women between the ages of 18 and 49 who were fertile completed the study, whether or not they had symptoms.
Results: According to a laboratory test, the overall prevalence of STDs and STIs in women of childbearing age was 24.62% in symptomatic individuals and 12% in asymptomatic individuals. Vaginal discharge (61.91%) was the most common symptom
Conclusions: To reduce the prevalence of STIs, RTI /STI screening for women in all reproductive age groups is essential. Early detection and treatment can reduce the severity of long-term sequelae and prevent complications.
APPROACH TO THE IMPLEMENTATION OF A COMPETENCY-BASED APPROACH IN THE LEARNING MANAGEMENT SYSTEM
Authors: Kopp Andrii , Parashchych Mykyta , Zvertsev Herman , Motalyhin Yevhen , Strelnikova Anna
Published: June 2023

This paper solves the urgent problem of improving the tracking of the process of acquiring competencies by students through the means of analyzing the learning management system data and visualizing the results of the learning process. The object of the study is to track the process of acquiring competencies by students. The subject of the study includes software components for the implementation of a competency-based approach in the learning management system. The purpose of the study is to improve the tracking of the process of acquiring competencies by students by analyzing the data of the Learning Management System (LMS) and visualizing the results of the learning process. Thus, to achieve this goal, we analyzed the technologies for processing learning data from LMS, analyzed the features of modeling the learning process based on Petri nets and BPMN (Business Process Model and Notation), determined a data structure, and proposed an algorithm for building a model and visualizing the learning process data. The developed software components allow processing of learning process data from LMS, building models and visualizations of learning process data, saving the results to data warehouses, depicting the learning process model, and visualizing learning process data for further analytical processing.
Impacts of Industrial Wastewater Effluent on Ekerekana Creek and Policy Recommendations for Mitigation
Authors: Onukogu Ogechi Amanda , Onyebuchi Chisom N. , Scott Temiloluwa O. , Babawarun Tolulope , Neye-Akogo Chukuneye , Olagunju Olusegun A. , Uzougbo Chinedum Gloria
Published: June 2023

This study investigated the impact of industrial wastewater originating from the Port-Harcourt Refinery Company Limited on Ekerekana Creek in Rivers State, serving as a primary fishing source for various communities. Water samples were collected and tested using established laboratory techniques, focusing on parameters such as heavy metals, pH levels, Phosphate, Nitrate, Temperature, Dissolved Oxygen, and BOD5. The findings revealed varying concentrations of heavy metals and other parameters in the water samples, with the highest concentrations observed at the discharge point (station 2), negatively affecting the flora population. The values of most parameters analyzed were below NESREA/WHO standards; however, the results underscore the importance of proper wastewater treatment and management from industrial sources to protect the environment and ensure the health and well-being of communities that rely on the creek.Based on the study's findings and best practices from the UK, US, and France, a set of comprehensive policy directions and community social responsibility measures are proposed. These recommendations include proper treatment of effluent by the Port-Harcourt Refinery Company Limited before discharge, active regulatory agency involvement, the adoption of an efficient and modern wastewater treatment facility, and the initiation of a clean-up procedure to reduce heavy metal concentrations and mitigate environmental hazards. Additionally, we advocate for the establishment of collaborative partnerships, community engagement, integrated watershed management, enforcement and compliance, research and innovation, and climate change adaptation and resilience measures. Implementing these recommendations will contribute to lasting improvements in water quality and the overall health of Ekerekana Creek and its surrounding communities.
Technology of Simulation Modeling for Railway Automation and Remote Control Systems
Authors: Konstantinova Tat'yana , Lykov Andrey , Markov Dmitriy , Nasedkin Oleg , Sokolov Vadim
Published: June 2023

The aim of this article is to summarize the experience and develop the conceptual framework of simulation modeling in the field of research and validation of system engineering solutions taken at various stages of the life cycle of railway automation and remote control systems. To address the stated objective, a systemic approach and formalization of the key principles and challenges of simulation modeling at the system engineering level have been employed. Terms and definitions have been formulated, collectively forming the conceptual framework in the subject area under consideration. Based on the introduced conceptual framework, a technology for simulation modeling of railway automation and remote control systems at the system level has been proposed. It is stated that a simulation model of a complex system is itself a complex system with its own life cycle, represented in the form of the proposed modeling technology. The main problem highlighted in the application of the simulation modeling method is its lack of structure. To address this issue, various methods of formalization have been proposed at all stages of the life cycle of simulation models. The proposed conceptual framework ensures higher quality of communicativeness and training of participants in solving system engineering problems using simulation modeling methodology. The technology of simulation modeling has been applied and continues to be applied at various stages of the life cycle of microprocessor-based railway automation and remote control systems.
O que aprendemos sobre consumo alimentar durante a pandemia de COVID-19 no Brasil?
Authors: Lemes Natália Cristaldo , Moreno Karyne Garcia Tafarelo , Luz Verônica Gronau , Rocha Liane Murari
Published: June 2023

A pandemia de COVID-19 impactou nos hábitos alimentares da população. Compreender as alterações que ocorreram neste período pode auxiliar na elaboração de políticas públicas, considerando a necessidade de uma organização da sociedade para reestruturação social e econômica. Deste modo, este estudo tem por objetivo investigar as mudanças nos hábitos alimentares de adultos e idosos durante a pandemia de COVID-19 no Brasil, enfatizando alguns pontos frágeis das pesquisas e indicando para onde devemos olhar pós pandemia. Trata-se de uma revisão sistemática, cujas buscas foram realizadas no dia 04 de maio de 2022 nas bases de dados Embase, Scopus, MEDLINE (via Pubmed), Web of Science, Psycinfo e Biblioteca Virtual em Saúde. Todos os passos foram realizados de forma independente por três revisores. Foram incluídos 12 estudos. Os resultados indicaram a redução no consumo de frutas e hortaliças e aumento no consumo de alimentos ultraprocessados, do uso de delivery, do número de refeições e do preparo de refeições caseiras. A alimentação sofreu influência de fatores psicológicos. Houve ainda aumento no consumo de bebidas alcoólicas e de hábitos de vida prejudiciais à saúde, como aumento da inatividade física e do tabagismo. Entre os pontos frágeis estão o formato das pesquisas, que não atingiu as pessoas mais prejudicadas pela pandemia, e a carência de análises socioeconômicas. Estes dados poderão auxiliar na elaboração de medidas de controle e tratamento, considerando as consequências na saúde.
Aboge Sebagai Siklus Awal Tahun Menyalahi Sunnatullah
Authors: Ramadhan Rizal , Izzuddin Ahmad , Mahsun
Published: June 2023

The Javanese Islamic Aboge calendar is one of the local Indonesian calendars whose calculations are static and standard. The Javanese calendar is a special calendar because it is a blend of Islamic culture and Javanese Hindu-Buddhist culture whose calculations are based on the moon around the sun. Astronomically, the Javanese calendar is classified as a mathematical calendar, while the Hijri calendar is an astronomical calendar. Methodologically this paper is a Research Library where the data collected comes from library sources that are considered representatively related to the object of this study. This paper is descriptive-analytical, where this paper will explain and explain the truth and error of a fact. Then also analytically developed in a balanced manner by looking at the advantages and disadvantages of the object under study. According to the reckoning rukyah discourse, the Aboge system which includes 'urfi reckoning is no longer relevant to what is required by syara' and cannot be used in determining the beginning of the Lunar month related to the implementation of worship (determination of Ramadan fasting and holidays). Because according to this system, the age of Sha'ban remains 29 days while the month of Ramadan also remains 30 days.
EFFECT OF MICROWAVE IRRADIATION TIME TO DEACETYLATION PROCESS OF CHITIN FROM SHRIMP SHELLS
Authors: Adhiksana Arief , Wahyudi Wahyudi , Arifin Zainal , Irwan Muh
Published: June 2023

Microwaves have been used in various organic synthesis applications. The use of microwaves provides many advantages, including relatively short start-up and heating times, energy efficiency and process costs, easy and precise process control, selective heating, better final product quality, and improved dry material quality. Microwaves were used in this study to convert chitin into chitosan and to determine the effect of deacetylation time on the degree of deacetylation of chitosan, which was in accordance with the Indonesian National Standard (SNI 7949:2013). The chitin deacetylation process was carried out by varying the heating time to 5, 7, 11, and 15 minutes with a power of 350 W. Two grams of chitin were mixed with 40 mL of 70% NaOH solution in a beaker. The mixture was put in a microwave at a constant temperature of 70 °C. Chitosan was washed until neutral and then dried in an oven. The degree of deacetylation (DD) was analyzed using Fourier Transform Infrared (FTIR) spectroscopy. The results showed that A deacetylation degree of 79.96% was achieved at a reaction time of 15 min. The water content of chitosan was determined to be 9.15%.
Prevalence of Lung Cancer with a History of Tuberculosis
Authors: Nastiti Nadira Putri , Wulandari Laksmi , Sulistiawati Sulistiawati , Febriani Anna , Effendi Wiwin Is
Published: June 2023

Introduction: Lung cancer ranks as the second most common diagnosis of malignancy cases in the world with the highest mortality, while Indonesia is the country with the largest tuberculosis (TB) burden after India. Although these two diseases have a high incidence and mortality rate and are one of the main causes of health problems, coexistence between these two diseases is very rare. A similar clinical and radiological feature complicates the diagnosis and worsens the prognosis. This study aimed to determine the prevalence and distribution patterns of lung cancer incidence with a history of TB.
Methods: This was a descriptive study. The data were obtained retrospectively from the electronic medical records of lung cancer patients from one roof oncology clinic, Dr. Soetomo General Hospital, Surabaya, in 2018–2020, meeting the inclusion and exclusion criteria.
Results: Specifically, 76 out of 1,044 (7.3%) lung cancer patients had a history of TB, with the distribution being men (71.1%), in an age range of 50-59 years old (34.2%), who were active smokers (36.9%), had an adenocarcinoma type of cancer (90.8%), had a positive EGFR gene mutation (50%), and had a diagnosis of non–small cell lung cancer (NSCLC) during stage IV (79%) after a TB diagnosis (54%) with a time interval of 1 or >10 years.
Conclusion: The prevalence of lung cancer with a history of TB was 7.3%. Lung cancer screening is important in TB patients after one or even >10 years of diagnosis to reduce the morbidity and mortality rates because of this risk of coexistence.
ANALYSIS OF MAXILLARY FRACTURE PATIENTS PROFILE IN A TERTIARY GENERAL HOSPITAL (2018-2020)
Authors: Suarta I Dewa Gde Daniswara , Agus Santoso Budi  , Rosy Setiawati  , Magda Rosalina Hutagalung
Published: June 2023

Highlights:

Maxillary fractures predominantly affected adult males aged between 18 and 64, comprising 92.36% of the cases studied.
The most common type of maxillary fracture observed was Le Fort 3, followed by other Le Fort classes.
The preferred treatment method for maxillary fractures was ORIF mini plating, which resulted in favorable outcomes with minimal complications.

Abstract:
Introduction: The maxilla is a crucial bone in the midface, playing a significant role both functionally and cosmetically.  Analyzing the medical records of maxillary fractures at Dr. Soetomo General Academic Hospital would offer an overview of the various treatments used and their corresponding outcomes were the aim of this study. This data would provide a general understanding of the patient’s conditions during maxillary fracture treatment and could potentially support further research in this field.
Methods: In this study, data on the profile, treatment, and management of maxillary fractures were taken from patient medical records at Dr. Soetomo General Academic Hospital between 2018 and 2020.
Result: The study examined 144 cases of maxillary fractures at Dr. Soetomo General Academic Hospital, analyzing medical records and surgery reports from 2018 to 2020. Most of the patients (92.36%) were adult males (78.47%) aged between 18 and 64. The most common type of maxillary fracture observed was Le Fort 3 (47.22%), while other Le Fort classes accounted for fewer cases. The preferred treatment method was ORIF mini plating (81.25%), and the average hospital stay was around 12.56 days. Only one patient experienced post-treatment malocclusion in the 144 cases. In terms of complications, there were minimal instances of infections and exposed plates, with a total of four cases reported.
Conclusion: The treatment outcomes at Dr. Soetomo General Academic Hospital showed lower incidence rates of post-surgical issues like malocclusion, infections, and exposed plates when compared to other current datasets.
THE EPIDEMIOLOGY OF PLASTIC SURGERY CASES IN A TERTIARY GENERAL HOSPITAL IN SURABAYA, INDONESIA
Authors: Putri Indri Lakhsmi , Dwika Intania Riano  , Lavonia Berlina Adzalika  , Rachmaniar  Pramanasari
Published: June 2023

Highlights:

Medical data registries play a crucial role in improving medical knowledge and enhancing patient care.
Burn injuries, microtia, and orofacial clefts were identified as the most common occurrences among the patients
The demographic patterns observed provide valuable insights into the patient population seeking plastic surgery services.

Abstract:
Introduction: Medical data registries are useful databases with well-defined data collection mechanisms. A well-designed and implemented registry can give surgeons a wealth of data for research and quality improvement efforts. The aim is describe the epidemiology of plastic surgery cases in a tertiary general hospital in Surabaya, Indonesia.
Methods: A retrospective assessment of patients' medical records from 2016 to 2019 at Plastic Reconstructive and Aesthetic Surgery Unit, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia was conducted. A variety of factors were recorded and evaluated, including the patients' age, gender, diagnosis, and year.
Results: We found that among 736 individuals' medical records during a four-year period, burn injuries (17.4%), microtia (11.7%), and orofacial clefts (11.5%) were the most prevalent occurrences. The majority of patients with burn injuries (31.3%), those with microtia (39.5%), those with cleft lip and palate (33%), and those with microtia (between the ages of 15 and 24) were all between the ages of 45 and 64. Patients who were men (52.6%) outnumbered those who were women (47.4%). This data indicates that there were more patients in 2019 than in previous years (397.%).
Conclusion: The analysis of plastic surgery cases revealed a steady increase in the number of cases each year. Burns accounted for the biggest percentage of patient requests for care (17.4%). The majority of patients were male, and 21.9% of them were between the ages of 15 and 24 who were seeking care most frequently.
Dietary Pattern, Nutrition-Related Knowledge and Attitudes of Working Women in Western Province, Sri Lanka
Authors: Salwathura Ayesha , Ahmed Faruk
Published: June 2023

Healthy eating behaviour of women is critical not only for their health but also for their children's health and well-being. The present study examined the dietary pattern, nutrition knowledge and attitudes of working women in Western Province, Sri Lanka. In addition, identify the factors associated with Dietary Diversity Score (DDS). A cross-sectional study was conducted among 300 working women, aged 20-60 years, in Western Province, Sri Lanka. The data on so-cio-demography, dietary patterns, and nutrition-related knowledge and attitudes were collected. Overall, 38% of the women were overweight and 13% were obese. The median frequency of intake of chicken, fish, eggs, milk and milk products, green leafy vegetables and fruits were 2, 5, 2, 9, 5 and 10 respectively, per week. A large majority of the women (70%) had tea/coffee with sugar and snacks (60%) at least four times a week. Only a third of the women met the minimum DDS, while more than half of the women had good nutrition-related knowledge and attitudes. Multiple regression analysis showed that age and household income were significantly independently related to DDS, while attitudes were negatively associated. While there was a trend, the association of nutrition-related knowledge with DDS was not statistically significant (p=0.057). The overall F ratio (8.46) was highly significant (p=0.000) and the adjusted R2 was 0.093. The results demonstrated that a significant proportion of working women have good basic nutrition-related knowledge and attitudes, while two-thirds of them do not meet the minimum DDS. Furthermore, age, family income and knowledge were positively associated with DDS, while attitudes were negatively associated. Before designing any intervention, further research is needed using a qualitative approach to understand how nutrition knowledge and eating behaviour are related in this population group.
mHealth Interventions to Promote Physical Activity of Adults in Korea: Health Equity-Focused Systematic Review
Authors: Kim Hana , Lee Jisan
Published: June 2023

Objectives: This study systematically review the existing literatures to identify the effectiveness of physical activity promotion programs using mobile health (mHealth) among Korean adults, with a focus on factors affecting health equity.Methods: To search for studies published in the past 10 years (from January 2013 to April 2023), Korean DBs (KoreaMed, KMBASE, KISS, RISS) were used. Hedge’g values were calculated to present uniform quantitative effect estimates for each study and to present pooled effect sizes for the same variables. Additionally, GRADE was used to assess the certainty of evidence and the review was conducted using the PROGRESS-Plus framework for health equity review.Results: Of the 1,204 literatures, 15 literatures were selected. Six prevention-based mHealth interventions and nine management-based mHealth interventions had significant effect sizes on multiple physical activity-related variables. A review of the PROGRESS-Plus factors revealed that personal characteristics (age, illness), occupation, and gender were the most frequently considered factors affecting health equity, while race, ethnicity, culture, language, religion, features of relationships , and time-dependent relationships were not considered.Conclusions: The results of the current study confirm the potential of mHealth-enabled physical activity promotion interventions to manage health and prevent disease in Korean adults. It also highlights the need to consider health equity in all phases of research design, implementation, and evaluation to provide opportunities for inclusive participation of a broad range of populations.
Patient and Provider Perspectives on Treating Substance Use Disorder and Co-Occurring Anxiety and Posttraumatic Stress Disorders in the Veterans Affairs Healthcare System
Authors: Ecker Anthony H. , Cully Jeffrey A. , Cucciare Michael A. , Hundt Natalie E.
Published: June 2023

Co-occurring substance use disorder (SUD) and posttraumatic stress disorder (PTSD) or anxiety disorders are related to compounded impairment relative to anxiety or PTSD and SUD occurring alone. Despite these problems, treatment for this comorbidity can vary widely; and care is often fragmented across separate clinics and providers. The objective of the study was to understand the perspectives of veterans who navigate the treatment system and providers who care for these veterans. This study used qualitative interviews conducted with 9 veterans with SUD and co-occurring PTSD and/or anxiety disorders and 7 Veterans Health Administration mental health providers. Participants completed a semistructured interview that was recorded and transcribed. Interview data were examined through matrix analysis, a rapid qualitative data-compilation technique to organize domains of responses. Results showed that veterans believe that SUD and PTSD and/or anxiety symptoms are linked, and that treatment for both SUD and the disorders simultaneously could be beneficial. Interviews with providers found that factors of the healthcare system such as siloed clinics serve as barriers to optimal treatment and that co-occurring disorder treatment requires unique skill, training, and dedicated time to treat. Results of these interviews inform gaps in the delivery of care for co-occurring SUD, PTSD, and anxiety disorders and potential avenues to improve care delivery, including transdiagnostic interventions and system-focused innovations.
Informational interviews help undergraduate students at the mid-point of non-vocational STEM degrees confirm their career aspirations
Authors: Lexis Louise , Thomas Jency , Taylor Caroline J. , Church Jarrod E. , Julien Brianna
Published: June 2023

Higher education institutions are expected to produce career-ready graduates who are equipped for the challenges of the 21st century. Employability experts argue that this can be achieved by integrating career development learning (CDL) into the curriculum. The informational interview helps students learn more about a career by interviewing a professional working in a field of interest, and helps students to make decisions regarding their career plans. The aims of the study were to determine students’: 1) preferred career paths and career identity at the midpoint of their non-vocational degree; 2) experiences and perceptions of an informational interview module. An informational interview module was embedded into a second-year human biosciences subject taken by students in undergraduate non-specialist health-related STEM degrees. Students indicated their preferred career, learned about informational interviews, and conducted an interview with a professional working in the field they wished to enter. After the interview, students completed reflection activities, responding to open-ended and Likert-scale questions. 91 student reflections were analysed to determine students’ career identity, and their experiences and perceptions of the module. Descriptive statistical analysis was conducted on Likert-scale answers and inductive thematic analysis was conducted on open-ended answers. Students’ career preferences were wide-ranging, with allied health the most popular. Career identity was reasonably well established in this cohort. The student experience was overall positive, and students’ thought the module was useful in supporting their career planning and career development. In conclusion, an informational interview assignment is an effective career development tool for human biosciences students.
Effects of pea-tea intercropping on rhizosphere soil microbial communities
Authors: Song Laichao , Niu Zhanhai , Chen Shiliang , Zhao Shilei , Qiu Ziyuan , Wang Yu , Hua Xuewen , Ding Zhaotang , Ma Qingping
Published: June 2023

Background and Aim
Pea-tea intercropping is known to improve tea quality but its potential mechanism remains unclear. This study aimed to elucidate the effects of pea-tea intercropping on rhizosphere soil microbial communities and interpret its potential role in the improvement of tea quality.
Methods
A high-throughput sequencing method was used to detect the microbial communities in the rhizosphere of pea-intercropped tea plants. KEGG and eggNOG databases were used for the functional annotation of microbial DNA sequences. Carbohydrate-active enzymes were used to evaluate soil quality.
Results
Some microbes in the rhizosphere of pea-intercropped tea plants showed large variations, particularly phyla Acidobacteria and Proteobacteria. The abundance of Bradyrhizobiaceae of Proteobacteria, which help in nitrogen fixation, increased significantly. The annotation of carbohydrate-active enzymes revealed that the relative content of glycoside hydrolases (GHs) increased significantly in the soil microbes of pea-intercropped tea plants. The KEGG analysis showed that more amino acid- and carbohydrate metabolism-related genes were enriched in the soil microbes of pea-intercropped tea plants. To sum up, pea-tea intercropping could improve tea quality by regulating soil microbes in terms of carbon- and nitrogen-fixing capacities.
Comparatory Evaluation of the Ecotoxic Effects of Flavour and Fragrance Aldehydes, Ketones, Oximes, and Oxime Ethers
Authors: Balcerzak Lucyna , Trusz Agnieszka , Piekarska Katarzyna , Strub Daniel J.
Published: June 2023

Due to their toxicity, some aroma chemicals are banned by national, regional, and international regulatory bodies. As a result, the development of novel fragrance compounds is in line with the goals of several industrial sectors, including household chemistry, cosmetics, and fragrance. In this study, we examine the effects of new potential fragrances of the oxime ether class on bacteria (Alivibrio fischeri), microalgae (Raphidocelis subcapitata), plants (Spirodela polyrhiza) and crustaceans (Daphnia magna). We assessed a total of 24 substances including commercially relevant flavors and fragrances such as perillartine, buccoxime, stemone or citral oxime, and compared the oxime ethers' and oximes toxicity to that of the parent carbonyl compounds. The toxicity of the oxime ethers ranged from non-acute (class I), low-acute (class II), acute (class III), high-acute (class IV), and very high-acute toxicity (V). In most cases, the toxicity of oxime ethers was similar to or lower than the toxicity of commercially exploited flavours and fragrances. The most sensitive organisms were A. fischeri and S. polyrhiza, and all of the compounds showed very high acute toxicity toward it.
Status of oral health screening of diabetes patients: A questionnaire study
Authors: Akter Salma , Alam Mohammad Kamrul
Published: June 2023

Background:
Oral complications are prevalent in diabetes and these complications have potential impact on patients’ overall health and well-being. The aim of the study was to investigate the frequency of oral health screenings among patients with diabetes and its associated factors.
Methods:
A cross sectional study was conducted involving 106 patients. Data were collected with a pretested and structured questionnaire. Chi-square test was conducted to assess the association between outcome variables and selected covariates. At the same time, multivariate binary logistics regression model was used to determine the factors that are related to oral health screening status of diabetes patients. SPSS (Statistical Package for Social Science) version 25 was used for data management, analysis.
Results:
Of the respondents, only 28.30 percent of the diabetes patients in the study had received an oral health screening. Participants having higher educational level were more likely to have oral health screening than those who cannot read and write (OR = 1.733). Moreover, the odds of having an oral health check-up were less likely who had higher monthly income compared to those who had monthly salary less than 15000 taka (OR = 0.163 and 0.115 respectively). The odds of people who brush their teeth two or more times a day were more likely to have oral screening against those who brush their teeth once a day (OR = 0.202). Participants who knew diabetes affect the teeth were three times higher to have oral screening than their counterparts (OR = 3.250) whereas those who knew oral check-up prevents tooth loss were more prone to go for oral screening than their counterparts.
Conclusion:
The findings of the study indicate that there is a need to improve the oral health screening status among diabetes patients in the country. The factors identified as associated with a higher frequency of oral health screening- higher educational level, lower monthly income, higher frequency of tooth brushing per day can help inform targeted interventions to improve screening rates. To improve oral health screening for diabetes patients, health education programs can be implemented to increase awareness and understanding of the importance of regular dental check-ups.
Development of a PPP1R14B-associated immune prognostic model for hepatocellular carcinoma
Authors: Zhao Ligang , Chen Zhangjun , Lei Zhengqing , Yu Zeqian , Wang Lishan , Zhou Jiahua
Published: June 2023

Hepatocellular carcinoma (HCC) is the second leading cause of cancer-related death worldwide. Immunotherapy has been widely reported to have sustained and strong antitumor effects in a variety of tumors with active immune microenvironments, including HCC. PPP1R14B not only involves in the initiation of cancers, but also affects tumor progression and prognosis. However, the roles of PPP1R14B and the associations with immune microenvironment in HCC have not been investigated. RNA-seq and clinical data of HCC was acquired from TCGA database. We mainly focused on the roles of PPP1R14B and the associations with the immune microenvironment in HCC. The results showed that PPP1R14B was significantly increased in HCC samples compared with the control group, and its high expression was significantly correlated with survival outcome, immune status, and response to immunotherapy. We also observed a significant correlation between PPP1R14B expression and chemotherapy drug sensitivity. In addition, we established an immune prognostic model associated with ppp1r14b, which has high predictive power for the prognosis of HCC patients. This study contributes to stratify HCC patients into sub-populations to develop personalized treatment strategy.
Non-invasive neurally-adjusted ventilatory assist in preterm infants with respiratory distress: a systematic review and meta-analysis
Authors: Minamitani Yohei , Miyahara Naoyuki , Saito Kana , Kanai Masayo , Namba Fumihiko , Ota Erika
Published: June 2023

Non-invasive neurally-adjusted ventilatory assist (NIV-NAVA) improves patient-ventilator synchrony and reduces treatment failure in preterm infants compared with nasal continuous positive airway pressure (NCPAP) and non-invasive positive-pressure ventilation (NIPPV). We conducted a systematic review and meta-analysis to assess the effectiveness of NIV-NAVA in preterm infants with respiratory distress. Four investigators independently assessed the eligibility of studies in CENTRAL, CINAHL, ClinicalTrials.gov, Embase, MEDLINE, PubMed, and WHO ICTRP databases, and extracted data. The included studies were randomized controlled trials (RCTs) comparing NIV-NAVA with other non-invasive ventilation modalities in preterm infants. The certainty of evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach and four RCTs which examined 259 preterm infants were eligible to this study. In the subgroup of secondary use after extubation, NIV-NAVA reduces the risk of treatment failure compared with NCPAP/NIPPV (risk ratio 0.29; 95% confidence interval [0.10, 0.81], 2 RCTs, 96 infants, low certainty of the evidence). In the subgroup of primary use at birth, no statistically significant differences in treatment failure were observed (very low certainty of the evidence). Moreover, there were no significant differences in secondary outcomes. Therefore, NIV-NAVA may prevent treatment failure and the requirement of reintubation in preterm infants.
A study of the required sustainability-driven institutional and behavioural mechanisms to tackle the anticipated implications of agricultural water price shocks: A system dynamics approach
Authors: Momeni Marzieh , Razavi Vahid , Zahedi Sina , Momeni Farshad , Behzadian Kourosh , Dolatabadi Neda
Published: June 2023

Economic policies for managing agricultural water use are often complicated by the challenge of using water prices as an efficient economic tool when other non-economic concerns are involved in the decision-making process. This study aims to analyse the impact of water pricing policies on preserving agricultural water resources in Iran. This study applies a system dynamics approach to simulate the system performance and behaviour of stakeholders and the economic implications. Our finding shows that water pricing policies will likely fail due to low water price elasticity and if there are lack of institutional and physical infrastructure, alternative professions, manufacturing technology, education, and training opportunities. The results also illustrate how agricultural water price increase (AWPI) fails to reduce water consumption in the absence of an adequate institutional arrangement. Also, it shows how the lack of advanced institutional infrastructure in the presence of physical infrastructure enhances pervasive overuse and destructive competition among stakeholders by increasing the area under cultivation. In the discussion, the paper portrays a way out to the decision-making body by following AWPI effects on water conservation in the agricultural sector as the most significant water consumer. It investigates the absence and subsequent presence of specific institutional conditions and evaluates training and enhancing farmers' skills and alternative career sources with better income and technology as the architecture of good environmental governance. Finally, it concludes that a series of inclusive measures must be considered to increase the elasticity of the water price. These measures must stimulate farmers towards pursuing the goals of global sustainable development and enhancing social welfare.
Risk factors of postoperative hypoalbuminemia in patients undergoing radical surgery for ovarian cancer
Authors: Yang Zhuo-xuan , Chen Ying-yin , Zhou Shu-zhi
Published: June 2023

Objective
This study aimed to explore the perioperative risk factors for postoperative hypoalbuminemia in patients undergoing radical surgery for ovarian cancer.
Methods
Clinical data of 142 patients who underwent radical surgery for ovarian cancer at Ya'an People's Hospital from January 2017 to June 2022 were retrospectively analyzed. According to the albumin levels on the day of surgery, the patients were divided into a study group (serum albumin < 35g/L) and a control group (serum albumin ≥ 35g/L). The preoperative, intraoperative and postoperative data of the two groups were compared, and the perioperative risk factors for hypoalbuminemia in patients undergoing radical surgery for ovarian cancer were analyzed by univariate and multivariate binary logistic regression analysis.
Results
Of 142 patients, 69 (48.59%) developed hypoalbuminemia after surgery. Univariate analysis showed that increased intraoperative fluid volume, high intraoperative blood loss, substantial preoperative ascites volume, open surgery, concomitant gastrointestinal surgery, and long surgery time were related to the occurrence of hypoalbuminemia after surgery, and the difference was statistically significant (P < 0.05). Multivariate binary logistic regression analysis indicated that low preoperative albumin level, high CRP, large amount of ascites, and concomitant gastrointestinal surgery were independent risk factors for hypoalbuminemia in ovarian cancer patients after surgery (P < 0.05). Additionally, patients in the study group had higher rates of postoperative complications, longer hospital stays, and higher ICU admission rates.
Conclusion
The incidence of postoperative hypoalbuminemia is high in ovarian cancer patients. Low preoperative albumin level, high CRP, large amount of ascites, and concomitant gastrointestinal surgery are independent risk factors for postoperative hypoalbuminemia in patients undergoing radical surgery for ovarian cancer, which can have an adverse impact on clinical outcomes.
Pressure ulcer and low-temperature burn development in an elderly patient following prolonged surgery with forced-air warming system: A case report
Authors: Lee Soo Jee , Choi Beomseok , Suh Jaewoo , Ki Seunghee
Published: June 2023

Background
The forced-air warming system has been commonly used to prevent hypothermia during surgery and anesthesia. Traditionally, forced-air warming blankets have been not only used to cover and warm up the patient but also placed under the patient to secure sufficient skin to warm up. However, many clinicians are oblivious to how the novel method of using a warming blanket affects a patient’s skin and often lack the knowledge and awareness needed for the appropriate use of forced-air warming systems.
Case presentation
: A 79-year-old man presented to the hospital for robotic proctectomy under general anesthesia. The forced-air warming system was used to prevent intraoperative hypothermia, with the forced-air warming blanket placed under the patient. The surgery lasted for 7 h, and the forced-air warming devices were continuously used for 5 h intraoperatively. The surgery was completed without any incidents. However, a low-temperature burn on the patient’s back along with a localized pressure ulcer on his right scapula was observed.
Conclusions
It should be noted that forced-air warming systems can cause skin complications. To minimize complications, they must be used correctly, and appropriate preventive methods should be considered. Fundamentally, the patient’s skin should be continuously monitored intraoperatively.