bluuebunny/crossref_metadata_2025 huggingface dataset:
Der Markt für Zucker 2022
Authors: Haß Marlen
Published: May 2023

In the sugar marketing year 2021/22 (MY, Oct.-Sept.) the recovery in world market prices for raw and white sugar observed in the previous year slowed significantly. This development was mainly driven by macroeconomic uncertainties. In the first months of the marketing year, news about new corona strains has fueled concerns about further prolonged lockdowns. Towards the end of the marketing year sharply rising inflation rates, which were expected to lead to a significant weakening of demand, put pressure on prices. Thus, the upward trend in global sugar prices slowed down in the 2021/22 sugar marketing year, despite a tight global supply. In the coming months, prices could even come under further pressure, as the global sugar market is expected to turn into surplus in the marketing year 2022/23. An increase in production is expected in particular for Brazil and Thailand, whereas due to dry weather conditions production of the EU-27 is estimated to decline compared to the previous year. Hence, in contrast to the world market, the EU sugar market remains in deficit, which could support prices in the coming months. Already towards the end of the 2021/22 marketing year, the EU sugar price soared and reached roughly the level of the 2016/17 marketing year, the last year before production quotas were lifted in the EU. Despite rising prices, however, the consolidation of the EU sugar market following the abolition of production quotas for sugar and isoglucose is still ongoing. In the 2021/22 marketing year, Germany was the largest sugar-producing country in the EU for the second consecutive year, overtaking France in the ranking of the largest EU sugar-producing countries. Poland was able to defend its position. The development of the EU isoglucose market was less dynamic. If, however, the supply situation in the EU remains tight and prices continue to rise, the supply gap could be closed not only by increasing sugar imports but also by a growing market share for isoglucose. The EU sweetener market may therefore afford some surprising future developments.
The use of artificial intelligence in supply chain management: A bibliographic review
Authors: Gomes Rickardo  , Morais Wites
Published: May 2023

The tools and production processes are constantly evolving. Initiated by the Industrial Revolution, the mechanization of the production line is undergoing a process of simple automation to perform tasks on their own. Before, machines only performed the most repetitive and heavy tasks. Today, through Machine Learning, they can even make quick, precise, and safe decisions about the best sequence for the production line of a particular product or service. For the elaboration of this article, a qualitative approach was used as a methodological basis, and the investigation procedure adopted was the development of a bibliographic review. The general objective of this research is to investigate how Artificial Intelligence (AI) can optimize the processes of the supply chain. This study indicates that the use of AI is increasingly becoming an irreversible path, as companies depend on profitability and less waste to survive, in addition to more agility and accuracy. All these advantages, combined with the lowest possible production cost, favor the permanence of AI among companies and society as a whole.
Analisis Kinerja Ruang Parkir Rumah Sakit Tentara (RST) Kota Solok
Authors: Wahab Wilton , Roza Angelalia , Ramadhan Muhammad Ilham
Published: May 2023

Parkir merupakan bagian dari fasilitas yang menyatu dari sistem jalan secara keseluruhan. Parkir merupakan permasalah umum pada transportasi perkotaan, baik di kota berkembang maupun di kota besar. Masalah parkir juga merupakan sesuatu yang tidak dapat diatasi oleh beberapa fasilitas umum seperti rumah sakit. Penelitian ini bertujuan untuk mengetahui karakteristik parkir dan manajemen perparkiran. Penelitian ini dilakukan dengan cara survei pencacahan langsung dilokasi Rumah Sakit Tentara Kota Solok. Dari hasil analisa yang dilakukan di area parkir Rumah Sakit Tentara Kota Solok (On Street Parking), didapatkan akumulasi parkir untuk kendaraan roda dua selama 4 hari dalam interval waktu 15 menit didapatkan jumlah kendaraan yang tertinggi pada hari Rabu sebanyak 110 kendaraan dengan 80 SRP, sedangkan untuk kendaraan roda empat sebanyak 26 kendaraan dengan 18 SRP oleh karena itu permintaan kebutuhan ruang parkir tidak dapat dipenuhi karena kapasitas ruang parkir yang tersedia tidak mampu untuk menampung kendaraan pengunjung rumah sakit, sehingga perlu penambahan untuk memenuhi kebutuhan parkir pada jam puncak atau pada waktu akumulasi parkir maksimum yang sesuai dengan Pedoman Teknis Penyelenggara Fasilitas Parkir dengan jumlah tempat tidur 80 maka jumlah SRP yang dibutuhkan sebanyak 104 SRP. Dari 100 responden yang mengisi kuesioner, rata-rata dari 8 pertanyaan mengenai kenyaman, keamanan dan operasional responden memilih cukup. Dengan adanya masalah parkir dibahu jalan sebaiknya pengatur parkir perlu dikembangkan terutama pada waktu sibuk kendaraan memasuki area agar tidak mengganggu siklus kendaraan lainnya, perlu diberi batasan-batasan parkir seperti petak-petak parkir sehingga tidak ada kendaraan yang parkir sembarangan dan memberikan rekomendasi kepada pihak Rumah Sakit Tentara Kota Solok untuk menyediakan lahan parkir yang memadai sesuai dengan Direktur Jenderal Perhubungan Darat 1996 yaitu sebanyak 104 SRP.
Heresztetikai és retorikai stratégiák egy nyílt „framing” szituációban: elmélet és egy kísérleti kutatás eredményei
Authors: Körösényi András , Patkós Veronika , Plesz Bendegúz , Susánszky Pál
Published: May 2023

Egy politikai vita megnyerése érdekében a politikai szereplők két, analitikailag különböző ellenkeretezési stratégiát alkalmazhatnak, a retorikát és a heresztetikát. A retorika az, amikor az ellenérveket a vita eredeti dimenziójában fogalmazzák meg, míg a heresztetika az eredeti kerethez képest más dimenzióban használ érveket. Bár mind a retorika, mind a heresztetika szinte mindenütt előforduló jelenség a közvélemény-formálás folyamatában, nincsenek általános szabályok hatékonyságuk meghatározására. Jelen tanulmány egy 2020- ban Magyarországon végzett survey-kísérletre (N = 2000) támaszkodva tárja fel a két stratégia hatékonyságát meghatározó tényezőket. A tanulmány bevezeti a nyílt és a trade-off-os keretezési helyzetek fogalmi megkülönböztetését, és bemutatja, hogy az eredmény függhet a keretezési helyzetek szerkezetétől is. Míg a heresztetika erőteljesen trade-off-os, addig a retorika a nyílt keretezési helyzetekben gyakorol hatást. Ezen túlmenően az ellenkeretezés hatékonysága függ a válaszadók párthovatartozásától és a kapcsolódó attitűdök erősségétől.
A választási reform dinamikája
Authors: Nagy Levente
Published: May 2023

A választási reform egyre szélesebb körben foglalkoztatja a szakembereket az utóbbi évtizedekben, kiváltképp az annus mirabilistől (1993–94) számítva, amikor is négy leülepedett demokráciában (Olaszország, Izrael, Japán, Új-Zéland) következett be választási reform, amelyek hatására a kutatóknak újra kellett gondolniuk a fogalmat, új alapokra kellett helyezniük a reform elméletét. Korábban, mint független változót, statikus fogalomként kezelték a választási rendszert, ezért a vizsgálat annak következményeire irányult. A 90-es évek reformhullámának köszönhetően kiderült, hogy a választási rendszer sajátos kontextusba ágyazottan jön létre és működik, ezért kihatásai mellett annak okait is kell tanulmányozni, és így a reform függő változóként, dinamikus fogalomként közelítendő meg. E koncepcióváltás jobb megértéséhez hozzájárulhat a változás (a külső környezet, hosszabb időt igénylő, többnyire spontán, kevésbé ellenőrizhető módon történő helyzetmódosulása) és a változtatás (a választási rendszer tervezett módosítása, amely viszonylag rövid előkészületi folyamat után egy időpillanat műve) fogalmak megkülönböztetése, egymásra hatásuk vizsgálata. E különbségtétel tehát egy állapotból egy másik állapotba történő spontán átalakulás, illetve egy állapotból egy másik állapotba történő szándékos átvezetés között húzódik. Jelen tanulmány a választási reform dinamikus voltát hivatott megragadni, amely a változás és változtatás különbségtétele, valamint a választási reformirodalom háromszakaszos fejlődéstörténete révén körvonalazható. E munka elsődleges célja tehát, rámutatni, hogy a választási rendszer és a reform maga nemcsak explanans, hanem explanandum is.
Miniszterelnöki beszédek a koronavírus első két évében: egy közpolitikai elemzés
Authors: Pokornyi Zsanett , Barczikay Tamás , Bucholcz Panna
Published: May 2023

Tanulmányunk Orbán Viktor miniszterelnök válságkommunikációs stratégiáit vizsgálja a koronavírus első két évében. A Kossuth rádió „Jó reggelt, Magyarország!” című műsorban elhangzott péntek reggeli interjúk, valamint a parlamenti felszólalások alapján a kommunikáció közpolitikai tartalmát, illetve a kiemelt ügyek kiválasztási logikáját is vizsgáljuk. Eredményeink alapján ugyanis a pandémia idején elhangzott beszédek már nem elsősorban a kormány napirendjéről érkező közpolitikai prioritások kiemelésére szolgáltak, sokkal inkább a koronavírusra adott kormányzati válaszok bemutatásának váltak kiemelt fórumaivá. A kormány más közpolitikákhoz kapcsolódó preferenciái emiatt a miniszterelnöki beszédekben háttérbe kerültek, szerepük azonban továbbra sem volt elhanyagolható. Számításaink ugyanis arra utalnak, hogy a kormányfő a súlyosbodó járványhelyzet idején gyakorta fordult más szakpolitikákkal összefüggő kérdések, különösképp az Európai Unióval kapcsolatos ügyek felé válságkommunikációjának felépítése során.
A Kádár-korszak „arcai”. Magyar politikusok médiareprezentációja 1957 és 1989/90 között
Authors: Kiss László , Ring Orsolya
Published: May 2023

A tanulmány a Kádár-korszak politikai elitjének médiamegjelenését vizsgálja szövegbányászati eszközökkel. Bemutatja a korszak politikai reprezentánsainak körét, és kapcsolatot keres a médiamegjelenések aránya és az egyes részidőszakok politikai viszonyai, a szereplők politikai erejének változása között. A vizsgálat során a Népszabadság címoldalaiból készített korpuszon végeztünk névelem-felismerést, és az így kapott névlistát vetettük elemzés alá. A korszakon belüli belső politikai harcok eredményeként végbemenő személycserék, kinevezések és leváltások kifejezetten jól lekövethetők a politikusok médiareprezentációja alapján. A korszaknak nevet adó Kádár János vezető szerepe végig látszik; a vezetésből eltávolított politikusok a médiából is eltűnnek, a pozícióba kerülő politikai frakciók képviselőinek médiaszereplése pedig megnő. A médiamegjelenések gyakoriságát a formális pozíció és a tényleges politikai erő együttesen befolyásolja. A Népszabadság címlapján való gyakori megjelenés esetén következtetni lehet az aktuálisan magas pozíciót be nem töltő politikusok látens politikai erejére is.
Pengaruh Membaca Al Qur’an dengan Terjemahnya Terhadap Kecemasan
Authors: Purwaningrum Devia , Suatin Wiwik , Alfreda Aulia Zanetti
Published: May 2023

Setiap orang pasti pernah merasakan cemas dengan tingkatan yang berbeda-beda tergantung situasi yang dialami. Subjek merasa bahwa kecemasan yang dirasakan kini mulai mengganggu kesehariannya terutama setelah melakukan satu kegiatan tertentu subjek merasa cemas dengan apa yang telah dilakukan. Sehubungan dengan kondisi tersebut, peneliti menggunakan metode membaca Al Qur’an dan terjemahannya dalam memberikan solusi dari perasaan cemas terhadap perilaku yang telah ia lakukan. Penelitian ini bertujuan untuk mengetahui apakah terdapat pengaruh membaca Al Qur’an dan terjemahannya terhadap kecemasan pada subjek X. Penelitian ini menggunakan metode penelitian kualitatif dengan metode studi kasus. Hasil penelitian ini menyatakan bahwa terapi membaca Al Qur’an dan terjemahannya mampu mengurangi perasaan cemas. Selain itu, peneliti menemukan bahwa dengan mengamalkan terapi ini subjek X mampu merubah pola pikirnya menjadi lebih positif.
Multimodal approach to pain management in thoracic surgery
Authors: Poniatovska H. , Dubrov S.
Published: May 2023

The American Cancer Society estimated that 68,820,000 men and 61,360,000 women in the United States of America would die from lung and bronchial cancer in 2022, which is equal to 21% of all cancer deaths. Patients who undergo thoracotomy have a higher risk of postoperative complications due to the severe pain syndrome that typically develops after surgery. Even though there has been extensive research on the advantages and disadvantages of various perioperative analgesia techniques, the search for the best and safest still continues.
Objective — to improve the results of perioperative anesthesia in patients undergoing thoracotomy by choosing the optimal method of analgesia.
Materials and methods. A total of 59 patients with lung cancer who underwent thoracotomy at the communal non‑profit enterprise «Kyiv City Clinical Hospital No 17» from 2018 to 2020 were included in an open‑label noncommercial randomized controlled clinical trial. Patients were divided into 2 groups: the multimodal analgesia (MA) group (32 patients) and the epidural analgesia (EA) group (27 patients). According to the concept of preemptive analgesia, patients in the MA group received 1000 mg of paracetamol and 50 mg of dexketoprofen intravenously 1 hour before surgery. In the postoperative period, dexketoprofen and paracetamol were administered every 8 hours in combination with epidural analgesia. During postoperative epidural analgesia, patients received 40 mg of a 2% lidocaine solution through a catheter inserted into the epidural space (Th5—Th6) and a ropivacaine 2 mg/mL (3—14 mL/h) infusion. Patients in the EA group received only epidural analgesia in the postoperative period. After placement of an epidural catheter in the epidural space (Th5—Th6), they had an injection of 40 mg of a 2% lidocaine solution and an epidural infusion of ropivacaine 2 mg/ml (3—14 mL/h).
Results. The study groups did not demonstrate a statistically significant difference in terms of age, hight, weight, a grade of anesthesiological risk (ASA), blood loss, surgery duration, and surgical volume (р >0,05). The level of analgesia was assessed using the numerological rating scale (NRS) after 3, 6, 24, and 32 hours after surgery. Every research stage revealed a significant difference in the level of pain syndrome between the study groups (p<0.05). Patients in the EA group experienced more severe pain syndrome than those in the MA group. Consequently, 7 patients (26%) in the EA group were anesthetized with morphine 10 mg intramuscularly compared to 3 patients (9%) in the MA group.
Conclusions. In patients undergoing thoracic surgery, a multimodal analgesic approach, which includes the use of COX‑2 and COX‑3 inhibitors in combination with epidural analgesia, has been shown to produce better analgesia compared to epidural anesthesia alone. The beneficial effect of multimodal analgesia was seen in a significant difference (p<0.05) in the intensity of pain syndrome between the study groups in the early postoperative period after thoracotomy.
Keystone perforator island flaps in the reconstruction of lower limb defects resulting from shrapnel and mine-explosive combat injuries. Case series
Authors: Sliesarenko S. V. , Badiul P. A. , Rudenko O. I. , Romanshuk M. I.
Published: May 2023

In the conditions of warfare in Ukraine, the question of providing medical services to injured civilian and military is especially relevant and severe. In plastic surgeons` professional activities, the task is to restore extensive and deep wound defects in a short term and with a high degree of damaged organ`s restoration, especially supporting function. In this article the authors describe their experience with local keystone perforator island flaps, which are used to reconstruct skin and soft tissue defects of the lower limbs caused by combat injuries.
Patients and methods. The authors conducted a retrospective review of 49 keystone perforator flaps for 28 patients (26 men and 2 women) who received treatment in the clinic for bullet, shrapnel, and mine‑explosive injuries between 2014 and 2022.
Results. In all cases, extensive wound defects were completely closed during a single‑stage surgical procedure, and the patients were discharged after recovery. Non‑critical complications required secondary sutures in two cases (4%), extending the duration of treatment by 6 days. The time spent in the operating room on the transposition of one flap ranged from 40 to 95 min (mean: 67 min).
Conclusions. The findings of the study show that local keystone perforator island flaps are highly effective in the successful reconstruction of lower limb defects caused by combat wounds. The keystone perforator island flap technique requires basic preoperative preparation of the patient, is easy‑to‑use, and exhibits a fairly high level of reliability at the same time. In most cases, keystone perforator island flaps provide primary and single‑stage closure of a large defect in the thigh, in the area of the knee joint, and in the lower leg in the absence of secondary defects that are common at donor sites when alternative techniques are chosen.
Subsurface storage capacity in underexplored sedimentary basins: Hydrogen and carbon dioxide storage on the Irish Atlantic margin
Authors: O'Sullivan Conor , Rodriguez-Salgado Pablo , Childs Conrad , Shannon Patrick
Published: May 2023

As Ireland looks westwards to its Atlantic coastline to develop its renewable energy ambitions, offshore sedimentary basins on the Irish Atlantic margin offer significant potential for either collaborative energy (e.g. hydrogen, H2) or carbon dioxide (CO2) storage. Methodologies for subsurface storage assessment developed for basins with dense data coverage are typically less applicable to underexplored sedimentary basins. Therefore, a workflow is presented for subsurface storage assessment in underexplored basins which uses existing datasets to identify structural traps and populate a gas-in-place equation. This workflow is then applied to the Irish Atlantic margin; The geology of the Slyne, Erris, and Donegal basins is reviewed to understand their potential for subsurface storage. Jurassic, Triassic and Carboniferous reservoirs are investigated to understand their reservoir quality, extent, and the integrity of related seals. Structural trap types within the study area are then described and the storage assessment workflow is applied to three candidate sites with varying levels of data coverage. Across these three sites, P50 storage volumes equivalent to 720 million tonnes of CO2 or 318 terawatt hours of H2 are estimated. The results highlight the potential for underexplored sedimentary basins on the Irish Atlantic margin to support the deployment of offshore renewable energy projects and reduce Ireland's CO2 emissions. This workflow is applicable to a variety underexplored sedimentary basins with limited data coverage and emphasises the utility of legacy hydrocarbon datasets for early-stage subsurface storage assessment.
Neural mechanisms underlying trust to friends, community members, and unknown peers in adolescence
Authors: Sweijen Sophie , van de Groep Suzanne , Brinke Lysanne te , FULIGNI ANDREW , Crone Eveline
Published: May 2023

This is a preprint of an article published in Journal of Cognitive Neuroscience. The final authenticated version is available online at https://doi.org/10.1162/jocn_a_02055. Trust plays an important role during adolescence for developing social relations. While prior developmental studies give us insight into adolescents’ development of differentiation between close (e.g., friends) and unknown (e.g., unknown peers) targets in trust choices, less is known about the development of trust to societal targets (e.g., members of a community organization), and its underlying neural mechanisms. Using a modified version of the Trust Game, our preregistered fMRI study examined the underlying neural mechanisms of trust to close (friend), societal (community member), and unknown others (unknown peer) during adolescence in 106 participants (aged 12-23). Adolescents showed most trust to friends, less trust to community members, and the least trust to unknown peers. Neural results show that target differentiation in adolescents’ trust behavior is associated with activity in social brain networks implicated during mentalizing, reward processing, and cognitive control. Recruitment of the medial prefrontal cortex (mPFC) and orbitofrontal cortex was higher for closer targets (i.e., friend and community member). For the mPFC, this effect was most pronounced during no trust choices. Trust to friends was additionally associated with increased activity in the precuneus and bilateral temporal parietal junction. In contrast, bilateral dorsolateral prefrontal cortex and anterior cingulate cortex were most active for trust to unknown peers. The mPFC showed increased activity with age and consistent relations with individual differences in feeling needed/useful.
The Impact of Candidates' Educational Background on Vote Share: A Case Study of Taiwan's 2018 Election of City Councilmen
Authors: Yeh Fang-Jui
Published: May 2023

This study examines the influence of educational qualifications on city councilmen vote shares during Taiwan's 2018 elections. The research provides a concrete quantitative measure for evaluating educational qualifications in politics and explores their role in a candidate's political career. The study finds that candidates from the two major political parties tend to have higher educational qualifications than independent or smaller party candidates, which may impact political party primaries. Regression models indicate that educational qualifications can have an impact on expected vote share, with major party candidates being more affected. However, the study suggests that educational qualifications are not the most crucial factor affecting voters' attitudes towards county and city councilmen. Instead, political experience and issue articulation have more significant impacts. Political figures who focus solely on their educational background should be refocused to have a more diverse political platform that includes participation experience and issue discussion for the benefit of the society as a whole.
INOVASI PENDIDIKAN ERA TEKNOLOGI INFORMASI
Authors: Halim Abdul
Published: May 2023

Berkembangnya teknologi informasi merambah di semua sektor termasuk di dalam dunia pendidikan. Berbagai jenis kebutuhan untuk basis digital dan pekerjaan masa depan, realitas virtual akan membentuk kehidupan sosial masa depan. Laporan ekonomi dunia memperkirakan bahwa 65% anak-anak saat ini duduk dibangku sekolah dasar. Mereka akan menemukan lingkungan kerja yang berbeda di masa depan. Akuisisi teknologi informasi yang berorientasi pengetahuan dan keterampilan digital ini adalah solusi terbaik agar anda tidak shock menghadapi tantangan masa depan. Strategi peningkatan kualitas sumber daya manusia melalui inovasi pembelajaran virtual dari big data dan sistem online.
Psychosocial and Clinical Determinants of Achievement Motivation in University Students: The Protective Role of Resilience and Metacognitive Awareness
Authors: Kazmi Syed Messum Ali , Karim Rabia , Ashfaq Madiha
Published: May 2023

This research was designed to analyze the effect of resilience, depression, behavioural vs. emotional engagement and metacognitive awareness on the achievement motivation of university students. Past research has highlighted the predictive role of cognitive and mental capabilities on the academic achievement of students. A correlational research design was used for the study and 425 participants were selected through purposive sampling and had an almost similar gender distribution. Data collection was done through the Hamilton Depression Inventory, Metacognitive Awareness Scale, Brief Resilience Scale, Engagement Vs. Disaffection with Learning Questionnaire and achievement motivation scale. The results showed that female students exhibited higher scores on resilience,
metacognitive awareness, behavioural and emotional engagement, and high orientation towards success and achievement in comparison to their male counterparts who scored high on depression and further showed poorer scores on resilience, metacognitive awareness, and behavioural and emotional engagement.
PENGARUH GAYA KEPEMIMPINAN DAN FASILITAS KERJA TERHADAP KINERJA Studi Kasus Pegawai DPUPR Kabupaten Indramayu
Authors: Renaldi  , Rahayuningsih Nurjanah , Rahayuningsih Nurjanah
Published: May 2023

Penelitian ini bertujuan untuk mengetahui seberapa besar pengaruh Gaya Kepemimpinan dan Fasilitas Kerja terhadap Kinerja Pegawai pada Dinas Pekerjaan Umum dan Penataan Ruang (DPUPR) Kabupaten Indramayu. Penelitian ini menggunakan metode deskriptif dan asosiatif. Data dalam penelitian ini diperoleh dengan observasi, wawancara, dan angket/kuesioner dalam bentuk pernyataan yang dibagikan kepada 60 responden dan keseluruhan merupakan pegawai tetap Dinas Pekerjaan Umum dan Penataan Ruang (DPUPR) Kabupaten Indramayu.

Berdasarkan hasil analisis yang diperoleh dari analisis koefisien korelasi antara Gaya Kepemimpinan (X1) terhadap Kinerja (Y) diperoleh hasil bahwa koefisien korelasi korelasi Gaya Kepemimpinan (X1) terhadap Kinerja (Y) termasuk ke dalam kategori kuat sebesar 0,603. Hasil analisis koefisien korelasi antara Fasilitas Kerja (X2) terhadap Kinerja (Y) diperoleh bahwa hasil analisis koefisien korelasi Fasilitas Kerja (X2) terhadap Kinerja (Y) termasuk ke dalam kategori rendah sebesar 0,285.

Berdasarkan hasil perhitungan hipotesis Gaya Kepemimpinan (X1) terhadap Kinerja (Y) dengan menggunakan uji t terdapat pengaruh yang signifikan antara Gaya Kepemimpinan terhadap Kinerja sebesar 5,75 > t-tabel 2,00. Berdasarkan hasil perhitungan hipotesis Fasilitas Kerja (X2) terhadap Kinerja (Y) dengan menggunakan uji t terdapat pengaruh yang signifikan antara Fasilitas Kerja terhadap Kinerja sebesar 2,26 > t-tabel 2,00.
Quality assessment of breast cancer studies conducted with the Delphi technique
Authors: Patino-Hernandez Daniela , Fernández-Ávila Daniel G. , Mauricio Muñoz-Velandia Óscar , del Socorro Moreno Luna Isabel
Published: May 2023

BACKGROUND: The Delphi technique is a consensus method aiming to obtain statistical estimations from a qualitative approach, through an iterative process that leads to consensus within experts. The main characteristics of the technique include iteration, anonymity, feedback, and consensus reaching. When high-quality, quantitative evidence on a particular topic is insufficient, the Delphi technique can be used for making decisions in clinical scenarios. However, the quality of studies on breast cancer conducted with this technique, has not been assessed. OBJECTIVE: We aim to evaluate the quality of studies on breast cancer which used the Delphi technique as their method. METHODS: A quality assessment tool (Quali-D) was created through consensus among experts on the Delphi technique. Then, the tool was applied to studies on breast cancer which used the Delphi technique as their method. RESULTS: Studies conducted through the Delphi technique mainly assessed for quality indicators and expressed needs in patients with breast cancer. High-quality characteristics were reported in 63.89% of the studies. 98.61% used the Delphi technique due to lack of a more adequate method to solve their research question. 98.61% summarized and presented results in a clear way. In 91.67% of the studies, at least two rounds were conducted. 86.11% described the methods for expert selection in a complete manner. Only 54.17% of the studies reported an anonymous process and 4.17% of the studies disclosed conflicts of interest thoroughly. CONCLUSIONS: A variety of topics were assessed through the Delphi technique in cases where no other technique would have been more appropriate for assessing these issues. Significant limitations are present in terms of anonymity and full disclosure of conflicts of interest. We found that the quality of studies conducted with the Delphi technique regarding breast cancer is overall good. However, the limitations of each study must be considered when applying their results to clinical practice.
An adaptive weighting multimodal fusion classification system for steel plate surface defect
Authors: Tu Feng Miao , Wei Ming Hui , Liu Jun , Liao Lu Lu
Published: May 2023

In steel surface inspection, an accurate steel surface defect identification method is needed to evaluate the impact of defects on structural performance and system maintenance. Traditionally, the recognition accuracy of methods based on handcrafted features is limited, but the system performance can be improved by feature fusion extracted by different methods. Therefore, this research uses the pre-trained convolutional neural network (CNN) combined with transfer learning to extract effective abstract features, and carries out adaptive weighting multimodal fusion of three the abstract features and handcrafted feature sets at the decision-making level, that is, proposes an adaptive weighting multimodal fusion classification system. The system uses handcrafted features as a supplement to abstract features, and accurately classifies steel surface defects in completely different feature representation spaces. Based on the NEU steel plate surface defect benchmark database, the classification results of feature sets before and after fusion are compared and analyzed. The experimental results show that the classification accuracy of the fusion system is improved by at least 3.4% compared with that before fusion, and the final accuracy rate is 99.0%, which proves the effectiveness of the proposed system.
Evaluation of the effect of online reviews on hotel ratings and overall score in Fermatean environment
Authors: Thao Nguyen Xuan , Duong Truong Thi Thuy
Published: May 2023

Online reviews play a vital role in providing multidimensional information for tourists. It also has an effect on the ranking and overall score of hotels. As a powerful tool, the Fermatean fuzzy set efficiently models dealing with uncertain information. Considering that there is no study using the correlation coefficient in Fermatean fuzzy context to assess the effect of online reviews on ratings and overall score of hotels. Therefore, a correlation coefficient measure is put forward to determine the relationship between two Fermaten fuzzy numbers and then they are utilized to assess the impact of online reviews on ranking and overall rating of hotels. The paper first introduces the TOPSIS–based ranking model using a new distance under Fermatean set. Then, we construct a new correlation coefficient between two Fermatean fuzzy numbers to measure the effect of online reviews with ranking, overall score and score of hotels under given criteria. A case study on TripAdvisor.com is performed to illustrate the proposed operator and model.
Acute renal failure and cardiac arrhythmias associated with remdesivir use in patients with COVID-19 infections: Analysis using the US FDA adverse event reporting system
Authors: Orogun Lisajo , Chyou Te-yuan , Nishtala Prasad S.
Published: May 2023

BACKGROUND: Recently, antivirals, including remdesivir, have been repurposed to treat COVID-19 infections. Initial concerns have been raised about the adverse renal and cardiac events associated with remdesivir. OBJECTIVE: This study aimed to analyse the adverse renal and cardiac events associated with remdesivir in patients with COVID-19 infections using the US FDA adverse event reporting system. METHOD: A case/non-case method was used to determine adverse drug events associated with remdesivir as the primary suspect drug between January 1, 2020, and November 11, 2021, for patients with COVID-19 infections. Cases were reports for remdesivir with ≥1 ADEs as preferred terms included in the Medical Dictionary of Regulatory Activities (MedDRA) system organ classes ‘Renal and urinary disorders’ or ‘cardiac’ disorders. To measure disproportionality in reporting of ADEs, frequentist approaches, including the proportional reporting ratio (PRR) and reporting odds ratio (ROR), were used. The empirical Bayesian Geometric Mean (EBGM) score and information component (IC) value were calculated using a Bayesian approach. A signal was defined as the lower limit of 95% confidence intervals of ROR ≥ 2, PRR ≥ 2, IC > 0, and EBGM > 1 for ADEs with ≥4 reports. Sensitivity analyses were undertaken by excluding reports for non-Covid indications and medications strongly associated with AKI and cardiac arrhythmias. RESULTS: In the main analysis for remdesivir use in patients with COVID-19 infections, we identified 315 adverse cardiac events comprising 31 different MeDRA PTs and 844 adverse renal events comprising 13 different MeDRA PTs. Regarding adverse renal events, disproportionality signals were noted for “renal failure” (ROR = 2.8 (2.03–3.86); EBGM = 1.92 (1.58–2.31), “acute kidney injury” (ROR = 16.11 (12.52–20.73); EBGM = 2.81 (2.57–3.07), “renal impairment” (ROR = 3.45 (2.68–4.45); EBGM = 2.02 (1.74–2.33). Regarding adverse cardiac events, strong disproportionality signals were noted for “electrocardiogram QT prolonged” (ROR = 6.45 (2.54–16.36); EBGM = 2.04 (1.65–2.51), “pulseless electrical activity” (ROR = 43.57 (13.64–139.20); EBGM = 2.44 (1.74–3.33), “sinus bradycardia” (ROR = 35.86 (11.16–115.26); EBGM = 2.82 (2.23–3.53), “ventricular tachycardia” (ROR = 8.73 (3.55–21.45); EBGM = 2.52 (1.89–3.31). The risk of AKI and cardiac arrythmias were confirmed by sensitivity analyses. CONCLUSION: This hypothesis-generating study identified AKI and cardiac arrhythmias associated with remdesivir use in patients with COVID-19 infections. The relationship between AKI and cardiac arrhythmias should be further investigated using registries or large clinical data to assess the impact of age, genetics, comorbidity, and the severity of Covid infections as potential confounders.
Workplace policies and quality of working life (QoWL) during the COVID-19 pandemic in Jordanian hospitals
Authors: Alyahya Mohammad S. , Momani Salam , Alolayyan Main Naser , Khader Yousef S.
Published: May 2023

BACKGROUND: Many healthcare organizations place a high value on quality of work-life (QoWL). The healthcare system’s long-term sustainability and capability to offer high-quality services to patients depend on improving QoWL for their healthcare workers. OBJECTIVE: The study aimed to explore the impact of Jordanian hospitals’ workplace policies and measures in three main domains: (I) Infection prevention and control (IPC) measures, (II) Supply of personal protective equipment (PPE), and (III) COVID-19 precautionary measures on the QoWL among healthcare workers during the COVID-19 pandemic. METHODS: A cross-sectional survey was conducted from May to June 2021 through an online self-reported questionnaire (Google Form) targeting hospital healthcare professionals working at Jordanian hospitals (public, private, military, and university). The study used a valid work-related quality of life (WRQoL) scale to study the QoWL. RESULTS: A total of 484 HCWs in Jordanian hospitals participated in the study with a mean age of (34.8 ± 8.28 years). 57.6% of the respondents were females. 66.1% were married, with 61.6% having children at home. An average QoWL among healthcare workers in Jordanian hospitals during the pandemic was observed. The study results also showed a significant positive correlation between workplace policies (IPC measures, supply of PPE, and COVID-19 preventive measures) and the WRQoL among healthcare workers. CONCLUSION: Our findings highlighted the vital need for QoWL and psychological well-being support services for healthcare staff during pandemics. Improved IPC systems and other precautionary measures at the national and hospital management levels are required to help minimize the stress and fear that healthcare workers experience and lower the risk of COVID-19 and future pandemics.
Use of non-steroidal anti-inflammatory drugs in renal transplant patients: A retrospective study
Authors: Sridharan Kannan , Shah Shamik
Published: May 2023

BACKGROUND: Renal transplants are often prescribed non-steroidal anti-inflammatory drugs (NSAIDs) for analgesic purposes. OBJECTIVE: Considering the dearth of data, we carried out the present study to evaluate the use of various NSAIDs and the incidence of acute kidney injury (AKI) in transplant patients. METHODS: A retrospective study amongst renal transplant patients prescribed at least one dose of NSAID was carried between January and December 2020 at the Department of Nephrology, Salmaniya Medical Complex, Kingdom of Bahrain. The patients’ demographic details, serum creatinine values, and drug-related details were obtained. The Kidney Disease Improving Global Outcomes (KDIGO) criteria were used for defining AKI. RESULTS: Eighty-seven patients were included. Forty-three patients were prescribed diclofenac, 60 received ibuprofen, six received indomethacin, 10 were administered mefenamic acid, and 11 received naproxen. Due to multiple courses of NSAID prescription, a total of 70 prescriptions were identified for diclofenac, 80 for ibuprofen, six for indomethacin, 11 for mefenamic acid, and 16 for naproxen. No significant differences were observed in the absolute (p = 0.08) and percent changes in serum creatinine (p = 0.1) between the NSAIDs. Twenty-eight (15.2%) courses of NSAID therapy met the KDIGO criteria for AKI. Age (OR: 1.1, 95% CI: 1.007, 1.2; p = 0.02), concomitant everolimus (OR: 483, 95% CI: 4.3, 54407; p = 0.01), and mycophenolate + cyclosporine + azathioprine (OR: 63.4E+006, 95% CI: 203.2157 to 19.8E+012; p = 0.005) administration were observed with significant risk of NSAID-induced AKI. CONCLUSION: We observed possible NSAID-induced AKI to an extent of around 15.2% in our renal transplant patients. No significant differences were observed in the incidence of AKI between various NSAIDs and none of them had either graft failure or death.
Modeling of the stability of elements of attached equipment of the rock-destroying working item of the construction machine
Authors: Rashkivskyi Volodymyr
Published: May 2023

The materials of the article are devoted to the issue of simulation modeling of the stability of the elements of the attached equipment of the rock-crushing work equipment of the construction machine for earthworks. Today, an urgent task is to perform earthworks in a short time with mobile machines. Such a need exists in the formation of trenches, in particular, in the laying of main pipelines. A feature of the need for rapid formation of trenches for the laying of main pipelines is the mobility of the basic equipment. In order to create competitive technical solutions in the field of construction mechanization, in particular, when performing earthworks, it is necessary to perform project work on improving existing solutions and creating new ones using simulation modeling methods.
The developed rock-destroying working body for earthworks works in conditions of dynamic destruction. Its design is developed taking into account the possibility of using it on existing equipment. Thus, it is proposed to use the base machine of the 2nd power class with a diameter of a disc rock-destroying organ of 600 mm when it works in soils of category IV.
To implement the synthesis of the drive of the rock-crushing working body with the existing equipment of the base machine, a modular frame structure is proposed, which provides the functions of "fixation", "immersion", "movement" of the working equipment.
A computer geometric model of the attached equipment was created, in the formation of which the approaches of form formation with implicitly expressed dimensions and parameters of geometric arrays were used, which allows to optimize the design process taking into account feedback as a result of simulation modeling of processes and experimental studies, and to use it in the formation of an information model construction process during earthworks.
Formation of engineering competences of higher education graduate specialists in knowledge field 13 "mechanical engineering"
Authors: Riabchun Yuliia , Sereda Danylo , Zozulia Natalia , Poliakov Mykyta
Published: May 2023

The relevance of the work is justified by the main task of higher education institutions in providing knowledge and forming skills that will meet the requirements of potential employers in the industry for young specialists.
The best experience of acquiring competences by higher education specialists in the knowledge field 13 "Mechanical Engineering" of the Kyiv National University of Civil Engineering and Architecture was considered. At the same time, it is proposed to gain experience using professionally oriented games intended for engineers.
It is shown how in the conditions of an informational and educational environment, with the help of computerized mannequins, simulators and professionally oriented games, students practice professional tasks and various scenarios of design, manufacturing, technological and organizational-management future activities at enterprises.
Causative allergens and sensitization spectrum in children with the history of food-induced anaphylaxis
Authors:   Ural State Medical University, Yekaterinburg, Russian Federation, Lepeshkova T.S.
Published: May 2023

Aim: to assess the spectrum of sensitization and reveal causative allergens in Ekaterinburg children with the clinical history of food-induced anaphylaxis (FIA) for reducing the number of life-threatening food allergy (FA) episodes in these children. Patients and Methods: the study included 60 children — 36 (60.0%) boys and 24 (40.0%) girls aged from 4 months to 16 years who lived in Yekaterinburg. All children had (FIA) episodes in their clinical histories. The children underwent physical examination, and their allergy- focused clinical history was taken. Also, the ISAC-112 ImmunoCAP assay, a multiplex test with allergen components, was used. Results: the sensitization was assessed, and the causative allergens were identified in 100% of cases. In 31 children (51.67%) FIA was initiated by milk proteins (Bos d4, Bos d5, Bos d8); in 10 (16.67%) – chicken egg (Gal d2, Gal d1); in 10 (16.67%) – walnut (Jug r1, Jug r2, Jug r3); in 9 (15.00%) – fish (Gad c1); in 7 (11.67%) – kiwi (Act d1); in 7 (11.67%) – peanut (Ara h1, Ara h2, Ara h3, Ara h6); and in 20 (33%) – by different nuts (Ber e1, Ana o2, Cora 9, Cora 8). Elevated specific immunoglobulin E (sIgE) levels for birch tree allergens (Bet v1) were found in 39 (65.00%) patients, cat allergens (Fel d1, Fel d2, Fel d4) – in 41 (68.33%), dog allergens (Can f1, Can f2, Can f3, Can f5) – in 24 (40.0%), timothy allergens (Phl p1, Phl p4, Phl p5) – in 10 (16.6%), artemisia allergens (Art v1) – in 8 (13.3%), and house dust mites in 2 (3.33%). Respiratory symptoms in sensitized children with FIA developed in 4 of 5 cases. Conclusion: to reduce the number of life-threatening FA episodes in children with FIA it is necessary to reveal and assess the entire spectrum of sensitization, identify the causative allergens and triggers of potential anaphylactic reaction for the further development of an elimination diet and individualized patient management plan. KEYWORDS: food allergy, food-induced anaphylaxis, children, allergens, sensitization. FOR CITATION: Lepeshkova T.S. Causative allergens and sensitization spectrum in children with the history of food-induced anaphylaxis. Russian Medical Inquiry. 2023;7(2):75–80 (in Russ.). DOI: 10.32364/2587-6821-2023-7-2-75-80.
The Countertextual Peripeteias of the Contemporary Humanities as a Political Challenge
Authors: Sobota Daniel Roland
Published: May 2023

The aim of the article is an attempt at a philosophical recognition of the sense of changes that have been taking place in the contemporary humanities for several decades, as well as their political and institutional consequences. The subject of analysis are not any turns in the humanities, but only those that directly or indirectly question the primacy of writing and literacy as crucial means of opening access to the understanding of what a human being is. In the first part, I discuss the philosophical meaning of the metacategories of "turn" and "return" in the contemporary humanities. In the second part I present briefly a few turns that question the traditional sense of the humanities, understood as _studia humaniora_. In addition to the oral turn, I take into account the rhetorical, performative, memory, ludic, somatic, media, affective and post-colonial turns. In the last part I concern research on the institutional consequences that bring into question the primacy of writings in the humanities. I pose a question about the university and try to respond, referring to the Turner's concept of a _communitas_.
Percaya Pada Tuhan Dalam Situasi Pandemi Covid-19
Authors: Simanjuntak Junihot M. , Simanjuntak Ferry
Published: May 2023

Abstract
This study explains the urgency and neutrality of Christology teaching in fostering the congregation's faith during the Covid-19 pandemic by developing teaching materials in supporting modules. This study used the qualitative method. The results of this study: 1) 69.8% of the congregation needed Christology teaching during the Covid-19 pandemic; 2) The Christology teaching module is acceptable in terms of content validity and readability and shows that all sub-modules have an average percentage of 86.9% in the easy category; 3) The response of the congregation after the teaching of Christology obtained an average percentage of 93.3% in the very strong category. As an implication, in carrying out the task of coaching in the Church during the Covid-19 pandemic, so that coaching is carried out effectively and answers the congregation's needs, the Church should start with a review of the introduction of God introduced through Christology in the Bible.
Abstrak
Kajian ini menjelaskan tentang urgensi dan netralitas pengajaran Kristologi dalam pembinaan iman jemaat di masa pandemi Covid-19 melalui pengembangan bahan ajar berupa modul pendukung. Penelitian ini menggunakan metode kualitatif. Hasil penelitian ini: 1) 69,8% jemaat membutuhkan pengajaran Kristologi di masa pandemi Covid-19; 2) Modul ajar Kristologi dapat diterima dari segi validitas isi dan keterbacaan, dan menunjukkan bahwa semua sub modul memiliki persentase rata-rata 86,9% dalam kategori mudah; 3) Respon jemaat setelah pengajaran Kristologi diperoleh persentase rata-rata 93,3% dalam kategori sangat kuat. Sebagai implikasinya, dalam menjalankan tugas pembinaan di Gereja masa pandemic Covid-19, agar pembinaan terlaksana secara efektif dan menjawab kebutuhan jemaat, sebaiknya Gereja perlu memulai dengan ulasan tentang pengenalan tentang Allah yang diperkenalkan melalui Kristologi dalam Alkitab.