bluuebunny/crossref_metadata_2025 huggingface dataset:
Analgesic efficacy of continuous intravenous infusion of morphine in patients after hip and knee joint endoprosthetics: prospective study
Authors: Govorova Natalia V. , Zverev S. A. , Orlov Yu. P. , Klementyev A. V. , Baytugaeva G. A.
Published: November 2021

Objectives of the study was to evaluate the possibility of using and the frequency of side effects of continuous intravenous morphine infusion for patients after arthroplasty of the lower limbs joints. Materials and methods. In the prospective study the results of treatment of 2 groups of patients were compared: after total knee arthroplasty (n = 52) and after total hip arthroplasty (n = 52). The rate of morphine administration in the total knee arthroplasty group ranged from 0.6 to 1.6 mg/hour, in the total knee arthroplasty group it was from 0.4 to 1.4 mg/hour. Continuous infusion of morphine was continued 24 hours after surgery. Indicators of systemic hemodynamics, gas exchange, pain and sedation were recorded. Results. The use of the technique of continuous intravenous infusion of morphine has shown the adequate level of anesthesia. An optimal balance between adequate analgesia, sedation and the absence of respiratory depression can only be achieved through a low rate of morphine administration. There was no significant difference in the incidence of complications and side effects (nausea, vomiting, acute urinary retention, delirium) in the groups with knee and hip arthroplasty. Conclusion. The technique provided, on the one hand, a good analgesic effect and sedation, but on the other hand, it was quite laborious and required careful monitoring of the parameters of the respiratory and cardiovascular systems. It is especially necessary to carefully monitor the indicators of vital functions in the evening and night hours.
Assessment of volemic status in postpartum period: a pilot prospective cohort study
Authors: Ronenson Alexander M. , Shifman E. M. , Kulikov A. V.
Published: November 2021

Introduction. The concept of permissible blood loss during childbirth and during caesarean section (CS) remains a subject of discussion. Also, a controversial issue is the adequacy of the assessment of the volume of blood loss in women in labor based on body weight. Criteria for the appointment of infusion therapy for postpartum hemorrhage (PPH) I–II stage are controversial and require research in this area. Objectives. Determination of the optimal method for assessing blood volume loss to identify women with PPH. Materials and methods. In a pilot prospective cohort study, 30 pregnant, prepared for planned CS. The primary endpoints of the study were the assessment of the volume of blood loss depending on the method of determination, the assessment of TTE and ultrasound of the inferior vena cava in postpartum period after elective CS. Results. Assessment of the volume of blood loss as a percentage of the circulating blood volume revealed 30 % of women with PPH who were not diagnosed by visual assessment, and 16 % of women with PPH who were not diagnosed by gravimetric assessment of the volume of blood loss. Postpartum hemorrhage I–II gr. does not always require replacement fluid therapy. Statistically significant large indices of the collapse index of the inferior vena cava and central hemodynamics indicated a hyperdynamic response of the circulatory system in postpartum women with postpartum hemorrhage due to the redistribution of the water sector. Conclusions. The calculation of the blood volume by the patient’s weight during pregnancy leads to an underestimation of the frequency of PPH of I–II severity in almost every 6 women. The data obtained cast doubt on the existing classification of postpartum hemorrhage depending on the amount of blood loss and require further research in this area to determine the optimal methods for diagnosing the severity of PPH.
Genotoxic, cytotoxic and fungicidal activity of the essential oil extracted from the leaves and fruits of the pink pepper (Schinus terebinthifolius Raddi)
Authors: Magalhães Maísa Lamounier , Ionta Marisa , Ferreira Guilherme Álvaro , Campidelli Marina Leopoldina Lamounier , Caetano Alex Rodrigues Silva , Brandão Rafaela Magalhães , Nelson David Lee , Cardoso Maria das Graças
Published: November 2021

Schinus terebinthifolius Raddi is a tree present in Latin America, mainly in Brazil. The essential oils obtained from its leaves (LEO) and fruits (FEO) were evaluated for chemical composition cytotoxic, genotoxic and antifungal activities. The extraction of the essential oils was accomplished by the hydrodistillation technique. The characterization and quantification of the constituents were performed by gas chromatography coupled to a mass spectrometry detector and gas chromatography coupled to a flame ionization detector, respectively. The cytotoxic assay using tumor cells (lung adenocarcinoma, breast carcinoma, and melanoma) and normal cells was determined by the MTS assay. Genotoxic potential on normal cells was evaluated by Cometa assay. The analysis of antifungal activity was performed by evaluating the inhibitory effect on the growth of the Aspergillys carbonarius and Aspergillus flavus filamentous fungi using the disc diffusion test. The LEO contains limonene, D-germacrene, β-trans-caryophyllene, bicyclogermacrene, α-epi-murolol and α-copaene as the principal constituents, whereas the major constituents of FEO are myrcene, Δ-3-carene, β-eudesmol and α-phellandrene. Regarding cytotoxic activity on tumor cells, FEO was more effective than LEO. The IC50 values found for FEO on tumor cells varied between 244-302 μg.mL-1 compared to 653.4 ± 1.11 for normal cells. LEO was more cytotoxic against normal cell than tumor. Neither FEO nor LEO induced DNA damage at tested experimental conditions. A Minimum Inhibitory Concentration of 125 μL.mL-1 of both essential oils was determined for the fungi analyzed. It is inferred that these essential oils can be used in drug formulations when used in the correct concentration
Persepsi dan Sikap Guru tentang Pendayagunaan Media Jaringan Sosial dalam Pembelajaran Tingkat SLTA di Timor Leste
Authors: Wang Gunawan , De Fatima Agostinho
Published: November 2021

Di Timor Leste salah satu fenomena yang saat ini sedang ramai diperbincangkan adalah tentang berkembangnya media jaringan sosial. Media tersebut kini menjadi trend di seluruh kalangan masyarakat di Timor Leste tanpa memandang usia, hal itu dikarenakan media jaringan sosial memberikan kemudahan layanan dalam berkomunikasi, khususnya berinteraksi dan berbagi informasi antar manusia. Jika dikaitkan dalam konteks pendidikan, maka media jaringan sosial menjadi salah satu sarana komunikasi yang dapat dimanfaatkan dalam proses manajemen pendidikan dan pembelajaran bagi guru di Timor Leste. Pemanfaatan media tersebut tentu memiliki dampak positif dan negatif yang dapat memengaruhi keberhasilan lembaga pendidikan dalam mencapai tujuan.
The Role of Network Capabiliity in Shaping Behavior E-commerce Acceptance Among Small Businesses in Keranggan Village
Authors: Yuniarty Yuniarty , Prabowo Hartiwi , Ikhsan Ridho Bramulya
Published: November 2021

This research is a case study to help identify the driving factors of e-commerce acceptance by small businesses in Keranggan Village in Indonesia. This study argues that factors such as technology-organization-environment need to be strengthened by network capability from business actors so that e-commerce adoption intention emerges.  From the total samples of 100 business actors in Keranggan Village. The study utilized Structural Equation Modeling (SEM) with SmartPLS 3.0 for data examination. Consequently, the relationship of technological context with e-commerce acceptance is mediated by significant network capability.
Liubech castle: In search of symbols and meanings
Authors:   T. H. Shevchenko National University «Chernihiv Collegium», Kondratiev Ihor Viktorovich
Published: November 2021

Liubech castle is one of the symbols of the Kievan Rus. According to the original plan of B. A. Rybakov, Liubech was supposed to become an example of a classic feudal castle. In the context of this idea, a thesis about the high level of development of feudal relations in the pre-Mongol period, significant economic and social development, complexity and perfection of architectural structures formed. The meanings built in the series of publications were displayed in the corresponding series of graphic reconstructions. Gradually this image relegates to the background and the image of the strong state authority becomes the main one. The preformed set of ideas about the Liubech Congress of 1097 became the ideological context of such interpretation. The main structure which was not in previous versions is introduced in the descriptions of the castle ― the palace. Formation of this meaning ended by direct comparison of Liubech and Moscow. But comparison of B. A. Rybakov’s materials with historical data, as well as with materials from the excavations of Liubech in 2010–2012, allows to claim that the created reconstruction of the castle of the 10th–11th centuries does not correspond to the declared historical period, but represents an interpretation of the structures of the 16th–18th centuries. Nevertheless, there are every chances for the Liubech castle to go beyond the graphic image and become a real tourist attraction. Working documents for the restoration work were prepared in 2012. It was planned to carry out the project basing on the reconstruction by B. A. Rybakov. The use of cultural heritage for the formation of Ukrainian national identity, as well as the rich history of the castle in the 16th–18th centuries can become the new meaning of the monument. For now the project is not implemented due to lack of funding.
Problems of Slavic identity on the pages of the Slovak journal «Konštantínove listy / Constantine’s Letters»
Authors:   Comenius University in Bratislava, Malinovská Nora
Published: November 2021

The author provides an overview of articles on the topic of Slavic identity and the development of common Slavic self-consciousness published in the international scientific journal «Konštantínove listy / Constantine’s Letters», published by the Institute for Research of the Cultural Heritage of Constantine and Methodius of the Faculty of Philosophy named after Constantine the Philosopher in Nitra (Slovakia). The main goal of the journal, founded in 2008, is to present the actual results of research on the problems and topics related to the cultural and political history of Great Moravia, as well as the functioning of the Cyril and Methodius tradition in the Slavic world in later times, right up to the present day. Analyzing the results of research published on the pages of the journal, the author comes to the conclusion that most of the authors are looking for and find the initial impulse of common Slavic self-consciousness in Great Moravia. It is the ideological and cultural heritage of the Great Moravian Cyril and Methodius tradition, primarily the Slavic alphabet, literature and Church Slavonic language, that became the basis for the formation of the Slavic world as an ethnic, cultural and historical integrity.
An artifact of Soviet historiography: Ocherki istorii istoricheskoi nauki v SSSR
Authors:   Russian and East European Institute, Indiana University, Halperin Charles J.
Published: November 2021

The five-volume but incomplete Ocherki istorii istoricheskoy nauki v SSSR published between 1955 and 1985 is a fascinating artifact of Soviet historiography. It is a palpable reminder of the ability of Soviet historiography to mobilize by command the expertise and financial resources required to produce multi-author multi-volume series. Ocherki istorii istoricheskoy nauki v SSSR encompassed the histories of all peoples living on the territory of the USSR after World War II. This article examines the project from a mostly technical point of view.
Academic language as an object of teaching foreign languages to philology students
Authors: Asadchykh Oksana V. , Smovzhenko Liudmyla H. , Kindras Iryna V. , Romanov Ihor I. , Pereloma Tetiana S.
Published: November 2021

In the modern socio-educational environment, which is developed through intercultural exchange and the implementation of new methods of spreading knowledge, communication in the student environment is based on the exchange of visual images and philological units. For students of the philological direction, communication with foreign language communicants is determined by the possibility of improving the function of conversation, perception of cultural characteristics and obtaining new images. Of relevance is the perception of not only spoken language by students, but also of the academically correct lexical group. The novelty of the study is determined by the fact that academic language is often perceived as a kind of anachronism, as something insufficient to expand linguistic competence. The study proves that the readiness of students to implement the provisions of academic language is possible not only culturally, but is also achievable by pedagogical methods. The study demonstrates that the implementation of the extended learning format is achieved through the techniques of linguistic learning. The practical significance of the study is that the perception of academic language will allow students of the philological direction to implement their skills in various social spheres, which may require historical language research and be predominantly fundamental.
Would I have Wanted to Know? A Qualitative Exploration of Women’s Attitudes, Beliefs and Concerns about Non-Invasive Prenatal Testing for de novo Genetic Conditions after having a Child with a de novo Genetic Disorder
Authors:   Genetic Services of Western Australia, King Edward Memorial Hospital for Women, Subiaco, Western Australia, Australia, Long Sarah ,   Division of Obstetrics and Gynaecology, The University of Western Australia, Perth, Western Australia, Australia, Lobo Roanna ,   School of Population Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, O'Leary Peter ,   Division of Obstetrics and Gynaecology, The University of Western Australia, Perth, Western Australia, Australia,   PathWest Laboratory Medicine, QE2 Medical Centre, Nedlands, Western Australia, Australia, Dickinson Jan E. ,   Division of Obstetrics and Gynaecology, The University of Western Australia, Perth, Western Australia, Australia
Published: November 2021

Non-invasive prenatal testing (NIPT) for a panel of 25 single gene disorders became available in Western Australia in 2020 and potentially may be able to test for panels of hundreds of disorders as is the case with reproductive carrier screening. How this information would be used by parents in a population screening model is unknown. We used a phenomenological approach to explore retrospectively whether mothers of children with single gene or chromosomal disorders would have wanted to know about their child’s genetic diagnosis prior to delivery. Themes were identified such as having a child with a de novo disorder and effect on pregnancy outcomes in hypothetical situations, impact on family function, the diagnostic journey and personal growth. These themes related to both the concept of expanded NIPT (ENIPT) and the situation of having a child with a de novo genetic disorder that could now hypothetically be detected through ENIPT. Opinions were divided about whether participants would have wanted to know about their affected child’s condition, indicating any expanded NIPT testing panels would need to be offered in the context of an appropriate comprehensive counselling program. How this would be provided on a population screening level and the role of genetic counselling needs further exploration.
Metabolic Syndrome and Erectile Dysfunction
Authors:   Tulane University School of Medicine, Department of Urology, New Orleans, LA USA, Walton Alice , Usta Mustafa Faruk ,   Akdeniz University School of Medicine, Department of Urology, Antalya, Turkey, Wong Melissa ,   Tulane University School of Medicine, Department of Urology, New Orleans, LA USA, Hellstrom Wayne ,   Tulane University School of Medicine, Department of Urology, New Orleans, LA USA
Published: November 2021

Metabolic syndrome (MetS) is considered a risk factor for erectile dysfunction (ED), and ED is almost three times more prevalent in men with MetS. Vascular pathologies are a significant factor for the development of ED, and many experts suggest endothelial dysfunction (EnD) as a likely explanation for the association between ED and MetS. Studies also show that corporal vascular and trabecular smooth muscle dysfunction leads ultimately to corporal veno-occlusive dysfunction. Different functional system abnormalities, such as nervous degenerations, hormonal insufficiencies, and metabolic factors (e.g., hyperlipidemia, advanced glycation end products), are also likely involved in the pathophysiological pathways. Autonomic neuropathy is also commonly encountered in patients and animal models of MetS. From another perspective, low testosterone levels may be predictive of MetS. Several studies concluded that components of MetS, such as high blood pressure, obesity, hyperinsulinemia, T2DM, hyperglycemia, hypertriglyceridemia, elevated C-Reactive protein, and low HDL levels, were all associated with decreased serum testosterone levels. Lifestyle modification, such as exercise and diet, are the first-line treatment for MetS. Studies have found that a 10% weight loss has been shown to significantly increase IIEF-5 scores. Exercise was also shown to increase endothelial-derived NO and decrease oxidative stress, resulting in a lower risk of developing ED in physically active men. Metformin combined with PDE5 inhibitors is a promising treatment approach, although with limited research.
Improving Diabetes Outcomes with a Multimodal Intervention for Less Advantaged Adults with Type 2 Diabetes
Authors:   Department of Occupational Therapy, Colorado State University, 200 Occupational Therapy Building 800 Oval Drive, Fort Collins, CO, USA, Atler Karen E. , Muñoz Deana ,   Department of Occupational Therapy, Colorado State University, 200 Occupational Therapy Building 800 Oval Drive, Fort Collins, CO, USA, Knowles Carly ,   Department of Occupational Therapy, Colorado State University, 200 Occupational Therapy Building 800 Oval Drive, Fort Collins, CO, USA, Noe Angie ,   Training and Yoga with Angie 5513 W. 1st Street, Greeley, CO, USA, Fruhauf Christine A. ,   Department of Human Development and Family Studies, Colorado State University, Behavioral Sciences Building 417, Fort Collins, CO, USA, McGirr Kathryn ,   Expanded Food and Nutrition Education Program (EFNEP), Department of Food Science and Human Nutrition, Colorado State University, 102 Gifford, Fort Collins, CO, USA, Nelson Tracy L. ,   Colorado School of Public Health at CSU, Colorado State University, Fort Collins, CO, USA,   Department of Health and Exercise Science, Colorado State University, Fort Collins, CO, USA, Schmid Arlene A. ,   Department of Occupational Therapy, Colorado State University, 200 Occupational Therapy Building 800 Oval Drive, Fort Collins, CO, USA
Published: November 2021

If proper self-management behaviors are not maintained, diabetes may lead to reduced quality of life (QoL), decreased engagement in everyday activities, disabling health complications, and even death. Less advantaged adults with limited income, lower education, and fewer resources find diabetes self-management (DSM) particularly challenging due to healthcare and social inequalities. DSM education is important to understanding diabetes-related behaviors and improving QoL. There are few evidence informed DSM education programs directed specifically at less advantaged adults. The purpose of this study was to develop and test feasibility and preliminary efficacy of a novel virtual intervention that merged prior evidence-informed yoga, occupational therapy, and nutrition education (MY-OT-ED) practices. Five participants were recruited throughout communities near the research university for a nine-week DSM education program that was held twice a week. DSM-related health and QoL measures were tested at baseline, immediately after MY-OT-ED, and six to eight weeks following the intervention. Primary outcomes studied included QoL, DSM, diabetes distress, and diabetes self-efficacy. Percent change was calculated to assess if any significant DSM-related changes occurred. Positive changes were found in all outcomes following the nine-week intervention and were maintained at follow-up. While limitations of the study were noted, results provide preliminary evidence that MY-OT-ED was feasible, acceptable, and has the potential to improve diabetic outcomes for less advantaged adults.
Homeopathy in Epidemics: Birth and Evolution of Hahnemann’s Thought (Part 1)
Authors:   Fondazione Negro-Museo di Storia dell’Omeopatia, Roma, Negro Francesco E. , Marino Francesco V. ,   FIAMO-Federazione Italiana delle Associazioni e dei Medici Omeopati, Roma
Published: November 2021

The 19th century saw an explosion of serious epidemic diseases, such as smallpox and scarlet fever, which led to the development of a new medical system called homeopathy. Under this system, S. Hahnemann developed a rigorous methodology based on repeated observations on the field, leading to successful results. The aim of this work is to depict the birth and evolution of his thought. The correct understanding and application of this methodology became the reference model for subsequent generations of homeopaths, who successfully treated some epidemics, such as cholera and Spanish flu. Although these results were well-documented, they were not recognized by the academic community; however, they gave a great impulse to the worldwide spread of homeopathy.
Adipose Tissue as a Useful Material for the Grafting of Tumorigenic Cells and Juvenile Tissues in Mice
Authors:   Section of Gene Expression Regulation, Frontier Science Research Center, Kagoshima University, Kagoshima 890-8544, Japan, Sato Masahiro , Kiyokawa Yuki ,   Department of Pediatric Dentistry, Asahi University School of Dentistry, Gifu 501-0296, Japan, Inada Emi ,   Department of Pediatric Dentistry, Graduate School of Medical and Dental Sciences, Kagoshima University, 890-8544 Kagoshima, Japan, Akasaka Eri ,   Section of Gene Expression Regulation, Frontier Science Research Center, Kagoshima University, Kagoshima 890-8544, Japan, Watanabe Satoshi ,   Animal Genome Unit, Institute of Livestock and Grassland Science, National Agriculture and Food Research Organization (NARO), 2 Ikenodai, Tsukuba, Ibaraki 305-0901, Japan, Saitoh Issei ,   Department of Pediatric Dentistry, Asahi University School of Dentistry, Gifu 501-0296, Japan
Published: November 2021

Although the aging process expands the adipose tissue habitation in mice and due to its close association with the female reproductive system, it can be easily exposed surgically under anesthesia when reproductive organs (including ovary, oviduct, and part of the uterus) are pulled and exposed onto the dorsal skin. This study aimed to consider the suitability of adipose tissue as a target for manipulation, particularly for the grafting of cells or small-sized tissue sections due to its ease of handling. Subsequently, 1-2 µL trypan blue injections were administered to the tissues using a breath-controlled micropipette under a dissecting microscope for evaluating the adipose tissue’s potential as a suitable grafting material. It was observed that the injected dye remained at the injection site for at least one day after injecting B16 mouse melanoma and P19 embryonal carcinoma cells. It resulted in the generation of solid tumors surrounding the ovary, oviduct, or uterus with 100% efficiency, as reported by an inspection one and a half months after the injections. When the grafting procedure was carried out for one-fourth of the juvenile pancreas (aged 15 days), an enlarged pancreas with normal morphological configuration (including the formation of insulin-synthesizing cells) was generated, which was observed by an inspection one month after the injections, thus successfully validating our approach for adipose tissue manipulation and furthermore, naming this novel technology as “intra-adipose introduction of cells and tissues”.
Suicide Risk and Protective Factors in Online Support Forum Posts: Annotation Scheme Development and Validation Study (Preprint)
Authors: Chancellor Stevie , Sumner Steven A , David-Ferdon Corinne , Ahmad Tahirah , De Choudhury Munmun
Published: November 2021

BACKGROUND

Online communities provide support for individuals looking for help with suicidal ideation and crisis. As community data are increasingly used to devise machine learning models to infer who might be at risk, there have been limited efforts to identify both risk and protective factors in web-based posts. These annotations can enrich and augment computational assessment approaches to identify appropriate intervention points, which are useful to public health professionals and suicide prevention researchers.

OBJECTIVE

This qualitative study aims to develop a valid and reliable annotation scheme for evaluating risk and protective factors for suicidal ideation in posts in suicide crisis forums.

METHODS

We designed a valid, reliable, and clinically grounded process for identifying risk and protective markers in social media data. This scheme draws on prior work on construct validity and the social sciences of measurement. We then applied the scheme to annotate 200 posts from r/SuicideWatch—a Reddit community focused on suicide crisis.

RESULTS

We documented our results on producing an annotation scheme that is consistent with leading public health information coding schemes for suicide and advances attention to protective factors. Our study showed high internal validity, and we have presented results that indicate that our approach is consistent with findings from prior work.

CONCLUSIONS

Our work formalizes a framework that incorporates construct validity into the development of annotation schemes for suicide risk on social media. This study furthers the understanding of risk and protective factors expressed in social media data. This may help public health programming to prevent suicide and computational social science research and investigations that rely on the quality of labels for downstream machine learning tasks.
The Relationship Between Weight Loss Outcomes and Engagement in a Mobile Behavioral Change Intervention: Retrospective Analysis (Preprint)
Authors: Carey Alissa , Yang Qiuchen , DeLuca Laura , Toro-Ramos Tatiana , Kim Youngin , Michaelides Andreas
Published: November 2021

BACKGROUND

There is large variance in weight loss outcomes of digital behavior change interventions (DBCIs). It has been suggested that different patterns of engagement in the program could be responsible for this variance in outcomes. Previous studies have found that the amount of engagement on DBCIs, such as the number of meals logged or articles read, is positively associated with weight loss.

OBJECTIVE

This retrospective study extends previous research by observing how important weight loss outcomes (high weight loss: 10% or greater body weight loss; moderate weight loss: between 5% to 10%; stable weight: 0 plus or minus 1%) are associated with engagement on a publicly available mobile DBCI (Noom) from 9 to 52 weeks.

METHODS

Engagement and weight data for eligible participants (N=11,252) were extracted from the Noom database. Engagement measures included the number of articles read, meals logged, steps recorded, messages to coach, exercise logged, weigh-ins, and days with 1 meal logged per week. Weight was self-reported on the program. Multiple linear regressions examined how weight loss outcome (moderate and high vs stable) was associated with each engagement measure across 3 study time periods: 9-16 weeks, 17-32 weeks, and 33-52 weeks.

RESULTS

At 9-16 weeks, among the 11,252 participants, 2594 (23.05%) had stable weight, 6440 (57.23%) had moderate weight loss, and 2218 (19.71%) had high weight loss. By 33-52 weeks, 525 (18.21%) had stable weight, 1214 (42.11%) had moderate weight loss, and 1144 (39.68%) had high weight loss. Regression results showed that moderate weight loss and high weight loss outcomes were associated with all engagement measures to a significantly greater degree than was stable weight (all P values <.001). These differences held across all time periods with the exception of exercise for the moderate weight loss category at 1 time period of 33-52 weeks. Exercise logging increased from 9 to 52 weeks regardless of the weight loss group.

CONCLUSIONS

Our results suggest that these clinically important weight loss outcomes are related to the number of articles read, meals logged, steps recorded, messages to coach, exercise logged, weigh-ins, and days with 1 meal logged per week both in the short-term and long-term (ie, 1 year) on Noom. This provides valuable data on engagement patterns over time on a self-directed mobile DBCI, can help inform how interventions tailor recommendations for engagement depending on how much weight individuals have lost, and raises important questions for future research on engagement in DBCIs.
The ‘reasonable patient’ of 2025 envisioned (Preprint)
Authors: Dowie Jack , Kaltoft Mette Kjer
Published: November 2021

UNSTRUCTURED

. The verdict of the UK Supreme court in the case of Bellman versus Boojum-Snark Integrated Care Trust (2025) will have profound implications for all medical practice, medical education and medical research, as well as the regulation of medicine and allied healthcare fields. Major changes will result from the judgment made in favour of Bellman’s negligence claim, reflecting an expanded and more precise definition of informed and preference-based consent, compared with that in Montgomery (2015) and also with the principles laid out in the UK GMC guidance on Decision Making and Consent (2020). (In case of doubt, this is a vision paper.)
The Teaching Practices of Social Studies Teachers and the Four Cs of 21st Century Skills of Aeta Learners in Subic District, Schools Division of Zambales, Philippines
Authors: A. Paz Patrick Jordan
Published: November 2021

The aim of this study was to determine the relationship of the teaching practices in the field of Social Studies and the Four Cs of the 21st Century Skills of the Aeta Learners in the District of Subic, Zambales, Philippines. The study has a descriptive correlational design. It was made use of the descriptive-survey, checklist method and rubrics. Based on findings, the Aeta students were found to have a "Good” level of Creativity, Collaboration, Critical Thinking and Communication Skills in both pre assessment and post-assessment while the social studies teacher’s Teaching Practices were found to be “sometimes” applied in the teaching and learning process. The results also show a positive moderate relationship between the teachers' Teaching Practices as to "Delivery" and the Aeta learners' Creativity, Critical Thinking and Communication Skills and a positive low relationship between the teacher-respondents' applied Delivery and the Aeta learners' Collaboration Skill. Results also show a positive moderate correlation between the Teaching Practices under "Evaluation" and the Creativity, Critical Thinking and Communication Skills of the Aeta learners. Based on the results, the researcher recommended School Administration and Teachers to adopt initiatives and establish good two-way communication, create opportunities to connect, establish a school-wide structured opportunities for parents’ involvement and communicate often about the need for and importance of parental involvement, and teachers must engage students more on learner-centered approach, expose students on experimenting, exploring, questioning, creating assumptions, using analysis, imagination, synthesizing information and evaluation.
Research on the Path of Teaching Staff Construction in Independent Colleges
Authors: Zhihan Dong , Jing Zhang , Xueru Wang
Published: November 2021

Independent college is an important part of higher education in China, and it is also the guarantee of providing applied talents for China’s economic and social development. Therefore, the construction of teaching staff in independent colleges is particularly important, and its comprehensive strength of teachers directly affects the quality of personnel training in independent colleges. Compared with public colleges, the overall faculty of independent colleges is still relatively weak, which is not conducive to the overall promotion of the school-running level of independent colleges. In order to better promote the construction of teachers in independent colleges, Promote the improvement of the school-running strength and teachers’ level of independent colleges, Taking the construction of teaching staff in an independent college in Zhejiang Province as an example, On the basis of a profound analysis of the shortcomings faced by the construction of the teaching staff in this college, this paper puts forward some countermeasures to improve the construction of the teaching staff in this independent college, in order to make suggestions for the construction of the talent team in this independent college and provide case reference for the construction of the teaching staff in other independent colleges of the same type in China
Effective School Discipline Practices of Some Primary Schools in Pema Gatshel Dzongkhag
Authors: Norbu Tshering
Published: November 2021

The study was conducted under Pema Gatshel Dzongkhag (district) to investigate the effectiveness of school discipline under Pema Gatshel district in Bhutan. The main objective of this article was to evaluate the perception of the effective school discipline according to the principals, teachers, and parents. This paper was a qualitative study based on in-depth semi-structured interviews which were limited to forty-five key participants from six different schools under the Pema Gatshel district. Data were analyzed employing content analysis. The major findings of this study revealed that for efficient functioning of school discipline policy in schools, various stakeholders like parents, teachers, students and the community should work collaboratively. The study also revealed that schools should include students and parents in the decision-making process particularly while trying to bring changes to school discipline policy.
An economic evaluation of teledermatology care delivery for chronic skin diseases
Authors: Skinner Robert , Breck Andrew , Esposito Dominick
Published: November 2021

Aim:
Analyze the impact of nationwide implementation of teledermatological care for psoriasis.
Methods:
Develop a Markov model that estimates the impact of telehealth technology for treatment of moderate-to-severe psoriasis on health and healthcare expenditures compared with in-person clinical care.
Results:
Lower medical costs by US$1.5 billion and total social costs of US$4.3 billion over 5 years. Patients save more than 67 million hours in work absenteeism and travel time, valued at US$598 million. Employers save US$1.2 billion over 5 years due to decreased employee absenteeism.
Conclusion:
National implementation of telehealth for psoriasis care has the potential to substantially reduce both formal healthcare costs and informal costs for families and patients, while maintaining equivalent clinical outcomes as traditional in-person care.
Refresh Rate Identification Strategy for Optimal Page Replacement Algorithms for Virtual Memory Management
Authors: Gaikwad Gajanan Digambar
Published: November 2021

Abstract: Operating system offers a service known as memory management which manages and guides primary memory. It moves processes between disk and main memory during the execution back and forth. The process in which we provisionally moves process from primary memory to the hard disk so the memory is available for other processes. This process is known as swapping. Page replacement techniques are the methods by which the operating system concludes which memory pages to be swapped out and write to disk, whenever a page of main memory is required to be allocated. There are different policies regarding how to select a page to be swapped out when a page fault occurs to create space for new page. These Policies are called page replacement algorithms. In this paper the strategy for identifying the refresh rate for ‘Aging’ page replacement algorithm is presented and evaluated. Keywords: Aging algorithm, page replacement algorithm, refresh rate, virtual memory management.
Microcontroller based Multifunctional Automated Weather Monitoring and Logging System
Authors: Bolongho Ruwan
Published: November 2021

Abstract: This paper describes a microcontroller-based prototype Automated Weather Monitoring and Logging System that can col- lect meteorological data such as air temperature, relative humidity, atmospheric pressure, light intensity, and rain detection from any distant location. The Weather Monitoring and Logging System is entirely automated, and measured weather data is transferred to a public server while showing immediate data on a liquid crystal display (LCD) and stored to a Secure Digital (SD) card. For private viewers, Android-based smart phones may be interfaced with the weather station and operated via the android application. The weather station is supplied by a direct current (DC) source, with a backup rechargeable battery. In the event of an emergency power outage, the system will immediately switch to battery power. Two Atmega 328p and Two ESP 8266 microcontrollers are utilized as the core of the control and coordination of the relative multitude of exercises of the singular modules. All of the sensors in the systems have been calibrated, ensuring that the system’s accuracy seems to be exceptional. This system will benefit all users, and it will benefit the meteorological industry because it will allow them to work from a remote location. Keywords: Automated Weather Station; Microcontroller; Sensor; Meteorological Instrument
Prevalence and Histopathological Studies on Intestinal Cestode Parasite of Avian Host Gallus Domesticus (L) From Nashik Region, Maharashtra State, India
Authors: Patil Sunil D.
Published: November 2021

Abstract: The lowest infection is recorded in rainy season and highest in summer season, may be due to life cycle stages and intermediate host availability increases in winter and became adult in definitive host in summer. No nematode and trematode parasite were considered and identified during the study period. Cysts were found deep in submucosa, although touches to serosa. The non-penetrative type of worms is Cotugnia sp. and Thaparea sp.; while the penetrative type of worm is Raillietina sp. and Paruterina sp. Free gravid segments mostly found in the posterior region of intestine while mature segments are freely suspended from scoleces in the lumen of intestine, only scoleces are attached, either superficially (non-penetrative type) or deep in submucosa (Penetrative type). Keywords: Cestode, histopathology, prevalence, hold-fast organs, Penetrative scolex
Rainfall Trend Analysis in Tehsils of Palghar District, Maharashtra State, India
Authors: Dhak Dr. Sumit M.
Published: November 2021

Abstract: A detailed trend analysis of monthly and annual rainfall for Tehsils of Palghar district were carried out using 22 years (1998-2019) daily rainfall data taken from Department of Agriculture, Maharashtra State. In this study, to analyse the trend, the non-parametric test (Mann-Kendall test) and Sen’s slope estimator were used. For developing a functional relationship between variables, a linear trend of rainfall data for the studied area evaluated using the linear regression. The results showed that the trend analysis of monthly rainfall has a varied trend of rainfall in the rainy months in tehsil of Palghar District. The month of July significant increasing trend was observed at Jawhar (42.91 mm/year), Vikramgad (29.90 mm/year), Wada (24.06 mm/year), Talasari (31.36 mm/year), Palghar (25.299 mm/year), Mokhada (29.96 mm/year) and Dahanu (38.14 mm/year), whereas non-significant increasing trend 2.76 mm/year was observed at Vasai tehsil of Palghar District during 1998-2019. The month of June, August, September and October rainfall did not show any significant trend in tehsil of Palghar District and non significant decreasing as well as non significant increasing trend was observed in tehsil of Palghar District during 1998 – 2019. The result concluded that annual rainfall trend was increased in Jawhar, Vikramgad, Wada, Talasari, Palghar, Mokhada and Dahanu; whereas Vasai tehsil rainfall trend was decreased in tehsil of Palghar District during 1998 -2019. Keywords: Rainfall, Trend Analysis, Mann Kendall’s Test, Sen Slopes, Regression
Offline or online?: EFL students’ perceptions on working in face-to-face and virtual learning modes
Authors: Yusny Rahmat , Rizki Fitria , Trisnawati Ika Kana , Mulia Mulia
Published: November 2021

Given the intensified number of online learning activities and having inadequate knowledge to identify the details of how it was organized within increased students’ language learning ability; this study focused on identifying the students’ perceptions of learning in two different situations. This study investigated how students perceived working in a new learning mode (online learning activity) compared to the traditional or face-to-face learning mode (offline learning activity) in regards to the learning frameworks, including the depth and comprehensiveness of learning, appropriate length for learning, comfortability of learning, and flexibility of learning. Ten students were selected to be the participants of the current study; all of whom were sixth and eighth semester students at the Department of English Language Education of Universitas Islam Negeri Ar-Raniry Banda Aceh. They were served by several questions related to their experiences working on two different learning modes. The findings revealed that working in offline learning mode was still the common preference among the students and only a few of them preferred online learning. Even more interesting was the finding of one or two students who perceived no differences between participating in offline and online class learning activities. In addition, the findings also indicated that interaction between the course instructors and students still becomes a prominent element on the students’ satisfaction and comfort of learning. The students also suggested that the keys to their satisfactory learning experiences are access to learning materials and to their class instructors. To conclude, this study also provides new insights on what matters the most to the students’ learning experiences with respect to the current online learning trend.
Analisa Perbandingan Performansi Jaringan IPv4 dan IPv6 pada MPLS VPN menggunakan Server IMS Core
Authors: Dwiartanto Donny Bayu , Pranindito Dadiek , Iryani Nanda
Published: November 2021

IP Multimedia Subsystem (IMS), sebuah teknologi yang menyediakan aplikasi based on IP yang memungkinkan pengguna untuk menggunakan layanan triple play (voice, video dan data) dalam waktu yang bersamaan. Penerapan layanan triple play yang menggunakan teknologi dari IMS membutuhkan jaringan backbone yang memiliki kecepatan pengiriman data yang baik dan handal, maka digunakan sebuah jaringan MPLS. Multi Protocol Label Switching (MPLS) merupakan metode forwarding data melalui suatu jaringan menggunakan informasi dalam label yang dikaitkan pada IP. MPLS mempunyai komponen utama salah satunya MPLS-VPN yang diharapkan dapat melakukan pengiriman layanan yang beragam melalui jaringan private pada layer network. Perkembangan menggunakan IPv6 membuat peralihan penggunaan protokol IPv4 ke IPv6 tidak bisa serentak begitu saja dilakukan karena sudah banyaknya infrastruktur jaringan IPv4 yang sudah terpasang. Penelitian ini menggunakan 6VPE sebagai metode untuk translasi dari IPv4 ke IPv6 yang dapat berjalan pada jaringan backbone MPLS VPN. Dari hasil simulasi didapatkan throughput terbaik pada layanan voice call IPv4 sebesar 7488 kbps, delay dan jitter terbaik pada layanan text messangging IPv4 sebesar 0,0206 ms dan 0,0015 ms, packetloss terbaik pada layanan voice call dan text messangging dengan IPv4 dan IPv6 sebesar 0%. Sehingga dapat disimpulkan bahwa jaringan MPLS VPN menggunakan server Open IMS Core dengan backbone IPv4 lebih baik dibandingkan dengan backbone IPv6.
Uso del tiempo de las mujeres rurales jefas de hogar en Costa Rica
Authors: Porras-Solís Ángel Jesús
Published: November 2021

En Costa Rica, más de una tercera parte de los hogares rurales tienen una mujer como jefa de hogar; la mayoría de ellas se debe incorporar al mercado laboral, con limitados niveles de escolaridad, empleos poco calificados y de baja remuneración, para dar sostén económico a su hogar. Aunque hoy se reconoce una mayor participación de las mujeres en las actividades económicas del medio rural, los datos de la Encuesta Nacional de Uso del Tiempo (2017) muestran que, por un amplio margen, siguen soportando la mayor carga de trabajo doméstico no remunerado. Justamente, el objetivo de este artículo es dar a conocer, mediante datos concretos, la realidad de las mujeres rurales jefas de hogar en cuanto a la forma en que distribuyen su tiempo en actividades de trabajo remunerado y no remunerado, así como cuantificar su posición respecto de los hombres rurales jefes de hogar.
IDENTIFIKASI KESALAHAN MAHASISWA PROGRAM STUDI PENDIDIKAN FISIKA SEMESTER I DALAM MENYELESAIKAN SOAL TURUNAN
Authors: Sugita Gandung
Published: November 2021

Permasalahan pada penelitian ini adalah kesulitan mahasiswa pada materi Turunan yang menyebabkan mahasiswa sering melakukan kesalahan-kesalahan dalam menyelesaikan soal Turunan. Berdasarkan permasalahan tersebut, penelitian ini bertujuan mendeskripsikan kesalahan-kesalahan yang dilakukan mahasiswa Program Studi Pendidikan Fisika semester I tahun ajaran 2016/2017 dalam menyelesaikan soal Turunan. Jenis penelitian ini adalah penelitian kualitatif dengan pendekatan deskriptif. Penelitian ini akan mendeskripsikan kesalahan-kesalahan mahasiswa Program Studi Pendidikan Fisika semester I tahun ajaran 2017/2018 dalam menyelesaikan soal Turunan. Pengumpulan data dilakukan dengan tes dan wawancara. Pemberian tes bertujuan memperoleh data mengenai kesalahan-kesalahan mahasiswa dalam menyelesaikan soal Turunan. Wawancara tidak  terstruktur dilakukan untuk memastikan letak kesalahan mahasiswa dalam menyelesaikan soal Turunan. Berdasarkan analisis data diperoleh kesimpulan bahwa kesalahan yang dilakukan mahasiswa Prodi Pendidikan Fisika semester I tahun ajaran 2017/2018, dalam menyelesaikan soal Turunan, yaitu: 1. Untuk soal nomor 1: (a) tidak dapat mencari turunan satu fungsi menggunakan definisi. (b) salah dalam mensubsitusi f(x) menjadi f(x + h) 2. ntuk soal nomor 2 : (a) salah dalam menurunkan perkalian dua fungsi, (b) salah dalam menurunkan pembagi dua fungsi, (c) menganggap p merupakan variabel (belum dapat membedakan  variabel dan konstan)