bluuebunny/crossref_metadata_2025 huggingface dataset:
An open labeled clinical trail on the effect of Vrikshamla
in Sthaulya (obesity) w.s.r to hyperlipidaemia
Authors: Mathapati Ishwarayya S. , R Manu
Published: December 2021

Obesity is one of the leading cause for more than 53 diseases and in India around 30 million peoples
are suffering with Sthaulya (obesity), individual habits with stressful life, wrong dietary habits and
sedentary life is the main cause of disease and no satisfactory treatment is available in conventional
system. Hence there is need explore alternative system of Indian medicine like Ayurveda for the
benefits of sufferers Ayurveda dealt this disease as Sthaulya (obesity) under Medoroga (Adipose tissue
disorder) and many treatment modalities have been explained number of drugs in Brahatrayi
(Charaka, Sushruta and Vagbhat) were cited Bhavamishra was the author of Bhavaprakash Nighantu
(Lexicon) which is one of the Laghutrayis (Sharanghadara, Madhavanidhana and Bhavaprakash) text is
highlighted with Karmaoushadi (action based drug) such as Amradi Phala Varga explained Vrikshamla
considered as drug index of Ayurveda, thus present study was designed to screen the drug with
properties of Kapha Medohara (ability to reduce Kapha and Fat), Medorogahara (reduces Adipose
tissue), Sthaulyanashaka (Anti obesity) and Karshyakara (ability to make lean) from Bhavaprakasha
Nighantu in Ayurveda.
A comparative clinical study to evaluate the efficacy
of Ashwagandha Ghrita on Growth and
Development of Infants
Authors: Baishya Koushik , Sharma Rakesh , Kumar Vinod
Published: December 2021

Introduction: Growth and development are unique characteristics of children. Growth is defined as
an increase in the size of an individual due to increase in number and size of the cells, where
development refers to qualitative and quantitative changes and acquisition of a variety of
competencies for functioning optimally in a social milieu. The present study has been planned to
evaluate the effect of Ashwagandhaghrita on physical growth and development of infants. Aims and
objectives: To study the efficacy of Ashwagandha Ghrita on Growth and development of infants, in
terms of change occurred in anthropometry and milestones during the study period. Materials and
methods: The study was conducted on 40 healthy infants for a period of 12 weeks and a case
performa was filled with the data obtained by interrogation, physical examination and collection of
details of each child. Results: Ashwagandha Ghrita showed better effect on physical growth in terms
of increment in weight, head circumference, chest circumference, mid arm circumference, crown to
heel length as well as early significant achievement of developmental milestones compared to control
group. Conclusion: Ashwagandha Ghrita has proved to be beneficial on Growth and Development of
infants.
Rancang Bangun Alat Monitoring Otomatis Berbasis Web pada Budidaya Stroberi
Authors:   Universitas Padjajaran, Shafiyullah Syauqi Hisyam , Thoriq Ahmad ,   Universitas Padjajaran
Published: December 2021

Stroberi (Fragaria sp.) menjadi salah satu komoditas buah-buahan yang memiliki nilai ekonomi tinggi serta banyak manfaat dan digemari masyarakat. Budidaya stroberi memerlukan perhatian terhadap faktor-faktor yang memengaruhi tumbuh kembang tanaman seperti pH tanah, suhu udara, dan kelembapan udara. Para petani masih banyak yang mengukur faktor-faktor tersebut secara manual. Tujuan penelitian ini yaitu untuk mengefesiensikan pekerjaan petani dalam pengukuran faktor-faktor yang memengaruhi tumbuh kembang tanaman stroberi. Penelitian ini menggunakan metode Rekayasa Teknik. Alat diaktifkan dengan mikrokontroler ESP-32 yang dapat terhubung dengan internet. Pembacaan yang dapat dilakukan yaitu 3.5-8 pH tanah, 0-100% RH, dan -40 – 80°C suhu udara.
Indicators of the force interaction of the track and rolling stock when a freight car runs on long irregularities, taking into account the action of longitudinal forces
Authors: Sidorova E. A. , Pevzner V. O. , Chechel’nitskiy A. I.
Published: December 2021

Authors describe formation mechanism of long irregularities of the railway track and the importance of their elimination for the track facilities. Based on the results of freight train operation modeling on long irregularities in the traction mode, an analysis of the processes occurring during the motion of heavy trains along a track with such deviations was carried out, modeling was carried out on the basis of the “Universal Mechanism” software package. Based on the results of the calculation, interaction between the track and the rolling stock in the vertical plane was assessed in terms of the magnitude of the vertical force and coeffcients: dynamics, stability margin, Nadal, unloading (in percent) of axle springs of freight car springs. Article analizes the nature of the infuence of the irregularity slope on the decrease in the vertical force transmitted from the wheel to the rail and the change in the traction force on the dynamics of freight cars in the train and passing on long irregularities of the longitudinal profle through the indicators of the vertical force.
Nossos Fantasmas Estão Vindo Cobrar: Giro Decolonial na Arte Contemporânea Brasileira
Authors: Sales Michelle
Published: December 2021

Este texto expande, aprofunda e comenta o ensaio “As Práticas Artísticas Contemporâneas no Contexto Ibero-Americano e o Pensamento Pós-Colonial e Decolonial” (Sales & Cabrera, 2020), onde comentamos a obra dos artistas Yonamine, Grada Kilomba, Jota Mombaça e Daniela Ortiz. No texto citado, trabalhamos a problemática da discussão em torno do surgimento de um campo de pensamento denominado “pós-colonial”, bem como um projeto decolonial e a maneira como se configuram no espaço ibero-americano práticas poéticas interessadas na discussão em torno do legado colonial. A partir de uma abordagem histórica, neste artigo, tentamos perceber a forma como os estudos pós-coloniais produzem influência no Brasil, assim como o giro e o pensamento decolonial que se consolida na América Latina, a fim de compreender as formas de produzir respostas do campo da arte brasileira para questões que envolvem a descolonização. Nos estudos pós-coloniais e também no projeto decolonial, a descolonização da arte está relacionada com o questionamento da matriz de pensamento eurocêntrico a partir de seus esquemas de representação de mundo racializados e subalternizados, e também está profundamente relacionada com o caráter performativo daquele ou daquela que narra. Ou seja, a descolonização da arte e do pensamento, assim como dos modos de ser e de estar no mundo não estão dissociados do aparecimento de artistas, escritores e intelectuais que disputam o direito de autorepresentação, de auto-apresentação e de criação de narrativas e imagens não coloniais ou completamente fora do imaginário e da cosmovisão euro-centrada. No texto que agora se apresenta, firmamos um interesse aprofundado no contexto brasileiro, apropriando-nos da discussão importante em torno da constituição de um campo de pensamento decolonial, analisando a obra de artistas brasileiros contemporâneos como Jota Mombaça, Juliana Notari, Michelle Mattiuzzi e Paulo Nazareth.
THE EFFECT OF EXECUTIVE COMPENSATION, REPRESENTATION OF CHIEF FINANCIAL OFFICER’S WOMEN, EXECUTIVE CHARACTERISTIC ON TAX AGGRESSIVENESS
Authors: Sugiyarti Listya
Published: December 2021

Abstract: The Effect of Executive Compensation, Representation of Chief Financial Officer’s Women, Executive Characteristic on Tax Aggressiveness. The purpose of this study was to determine the effect of executive compensation, female CFO representation, executive characteristics on tax aggressiveness in companies listed on the Indonesia Stock Exchange for the period 2013-2017. The population in this study were manufacturing companies on the Indonesia Stock Exchange for the period 2013-2017. The number of manufacturing companies sampled in this study were 12 companies with 5 years of observation. Based on the purposive sampling method, the total sample is 60 financial report data. This study uses multiple linear regression analysis techniques, t test with the application of the SPSS 24 program. The results of this research showed that the variables of executive compensation have a positive and significant impact on aggressiveness tax, Representation of Chief Financial Officer (CFO) Women has no significant on aggressiveness tax, and the variable executive characteristic has a negative and significant impact on aggressiveness tax. Simultaneously, executive compensation, Representation of Chief Financial Officer (CFO) Women and executive characteristics have an impact on tax aggressiveness.Keywords: Executive Compensation, Representation of Chief  Financial Officer (CFO) Women, Executive Characteristics, Tax Aggressiveness Abstrak: Pengaruh Kompensasi Eksekutif, Keterwakilan CFO Wanita, Karakteristik Eksekutif terhadap Agresivitas Pajak. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh kompensasi eksekutif, keterwakilan CFO wanita, karakteristik eksekutif terhadap agresivitas pajak pada perusahaan yang terdaftar di Bursa Efek Indonesia periode 2013-2017. Populasi dalam penelitian ini adalah perusahaan manufaktur di Bursa Efek Indonesia periode 2013-2017. Jumlah perusahaan manufaktur yang dijadikan sampel dalam penelitian ini adalah 12 perusahaan dengan pengamatan selama 5 tahun. Berdasarkan metode purposive sampling, total sampel adalah 60 data laporan keuangan. Penelitian ini menggunakan tehnik analisis regresi linier berganda, uji t dengan aplikasi program SPSS 24. Hasil penelitian ini menunjukkan bahwa secara parsial variabel kompensasi eksekutif berpengaruh positif dan signifikan terhadap agresivitas pajak, keterwakilan CFO wanita tidak berpengaruh signifikan terhadap agresivitas pajak, dan karakteristik eksekutif memiliki pengaruh negatif dan signifikan terhadap pajak agresivitas.Kata kunci: Kompensasi Eksekutif, Keterwakilan CFO Wanita, Karakteristik Eksekutif, Agresivitas Pajak
PENGARUH RISIKO KREDIT DAN TINGKAT KECUKUPAN MODAL TERHADAP PROFITABILITAS PERBANKAN YANG LISTING DI BEI PERIODE 2015-2019
Authors: Nadillah Kiki , Muniarty Puji
Published: December 2021

Abstrak: Pengaruh Risiko Kredit Dan Tingkat Kecukupan Modal Terhadap Profitabilitas Perbankan Yang Listing Di BEI Periode 2015-2019. Penelitian bertujuan untuk mengetahui pengaruh Risiko Kredit dan Tingkat Kecukupan Modal Terhadap Profitabilitas Perbankan yang Listing Di BEI Periode 2015-2019 dan ada 43 perbankan listing di BEI. Sample diambil 10 perusahaan perbankan. Teknik sampling yang digunakan purposive sampling. Data di analisis dengan analisis risiko kredit, analisis tingkat kecukupan modal, analisis profitabilitas, uji asumsi klasik, uji parsial dan uji serempak. Secara parsial dan serempak hasil menunjukan resiko kredit dan tingkat kecukupan modal berpengaruh signifikan terhadap profitabilitas. sedangkan secara serempak menyatakan bahwa ada pengaruh yang signifikan resiko kredit dan tingkatkan kecukupan modal terhadap profitabilitas.Kata kunci: Profitabilitas, Risiko Kredit, Tingkat Kecukupan Modal.Abstract: Effect of Credit Risk and Capital Adequacy Levels Profitability of Banks Listing on the IDX for the 2015-2019 Period. This study aims to determine the effect of Credit Risk and Capital Adequacy Level on the Profitability of Banks Listed on the IDX for the 2015-2019 period, and there are 43 banks listed on the IDX. Samples were taken from 10 banking companies. The sampling technique used was purposive sampling. The data were analyzed by credit risk analysis, capital adequacy level analysis, profitability analysis, classical assumption test, partial test and simultaneous test. Partially and simultaneously the results show that credit risk and the level of capital adequacy have a significant effect on profitability. while simultaneously stating that there is a significant effect of credit risk and increasing capital adequacy on profitability.Keywords: Profitabilitas, Credit Risk, Capital Adequacy Level.
Automated Pulmonary Embolism Risk Assessment Using the Wells Criteria: Validation Study
Authors: Zhang Nasen Jonathan , Rameau Philippe , Julemis Marsophia , Liu Yan , Solomon Jeffrey , Khan Sundas , McGinn Thomas , Richardson Safiya
Published: December 2021

Background

Computed tomography pulmonary angiography (CTPA) is frequently used in the emergency department (ED) for the diagnosis of pulmonary embolism (PE), while posing risk for contrast-induced nephropathy and radiation-induced malignancy.

Objective

We aimed to create an automated process to calculate the Wells score for pulmonary embolism for patients in the ED, which could potentially reduce unnecessary CTPA testing.

Methods

We designed an automated process using electronic health records data elements, including using a combinatorial keyword search method to query free-text fields, and calculated automated Wells scores for a sample of all adult ED encounters that resulted in a CTPA study for PE at 2 tertiary care hospitals in New York, over a 2-month period. To validate the automated process, the scores were compared to those derived from a 2-clinician chart review.

Results

A total of 202 ED encounters resulted in a completed CTPA to form the retrospective study cohort. Patients classified as “PE likely” by the automated process (126/202, 62%) had a PE prevalence of 15.9%, whereas those classified as “PE unlikely” (76/202, 38%; Wells score >4) had a PE prevalence of 7.9%. With respect to classification of the patient as “PE likely,” the automated process achieved an accuracy of 92.1% when compared with the chart review, with sensitivity, specificity, positive predictive value, and negative predictive value of 93%, 90.5%, 94.4%, and 88.2%, respectively.

Conclusions

This was a successful development and validation of an automated process using electronic health records data elements, including free-text fields, to classify risk for PE in ED visits.
Analysis of Demographic Characteristics of Users of a Free Tobacco Cessation Smartphone App: Observational Study
Authors: Fradkin Nick , Zbikowski Susan M , Christensen Trevor
Published: December 2021

Background

Tobacco use continues to be the leading preventable cause of death, disease, and disability in the United States. Since 2000, Washington state has offered free tobacco “quitline” services to help its residents stop using tobacco. In 2015, the state began offering free access to a tobacco cessation smartphone app to absorb excess quitline demand. Since most publicly funded tobacco cessation programs are designed to provide access to populations disproportionately impacted by tobacco use, it is important to consider who these public health interventions reach.

Objective

The aim of this study is to understand who used a free cessation app and the extent to which users represented populations disproportionately impacted by tobacco use.

Methods

This is an observational study of 1280 adult Washington state residents who registered for and activated the cessation app. Demographic data were collected as part of the sign-up process, examined using standard descriptive measures, and assessed against state-level surveillance data for representativeness.

Results

Participants were primarily non-Hispanic White (978/1218, 80.3%), identified as female (780/1236, 63.1%), were between ages 25-54 years (903/1186, 76.1%), had at least some college education (836/1222, 68.4%), and reported a household income under US $50,000 (742/1055, 70.3%). Fewer respondents were from rural counties (359/1220, 29.4%); identified as lesbian, gay, bisexual, pansexual, queer, questioning, or asexual (LGBQA; 153/1222, 12.5%); were uninsured (147/1206, 12.2%); or were currently pregnant, planning pregnancy, or breastfeeding (42/624, 6.7%). However, relative to available state data for tobacco users, there was high representation of women, 35- to 54-year-olds, college graduates, and LGBQA individuals, as well as individuals with low household income, poor mental health, Medicaid insurance, and those residing in rural counties.

Conclusions

A diverse population of tobacco users will use a free cessation app, including some demographic groups disproportionately impacted by tobacco use. With high reach and high efficacy, it is possible to address health disparities associated with tobacco use and dependence treatment among certain underserved and at-risk groups.
Understanding Decision-Making in the Adoption of Digital Health Technology: The Role of Behavioral Economics’ Prospect Theory
Authors: Khan Waqas Ullah , Shachak Aviv , Seto Emily
Published: December 2021

The decision to accept or reject new digital health technologies remains an ongoing challenge among health care patients, providers, technology companies, and policymakers. Over the past few decades, interest in understanding the choice to adopt technology has led to the development of numerous theories and models. In 1979, however, psychologists Kahneman and Tversky published their seminal research article that has pioneered the field of behavioral economics. They named their model the prospect theory and used it to explain decision-making behaviors under conditions of risk and uncertainty as well as to provide an understanding of why individuals may make irrational or inconsistent choices. Although the prospect theory has been used to explain decision-making in economics, law, political science, and clinically, at the individual level, its application to understanding choice in the adoption of digital health technology has not been explored. Herein, we discuss how the main components of the prospect theory’s editing phase (framing effect) and evaluation phase (value function and weighting function) can provide valuable insight on why health care patients, providers, technology companies, and policymakers may decide to accept or reject digital health technologies.
Sleep Disturbance and Quality of Life in Rheumatoid Arthritis: Prospective mHealth Study
Authors: McBeth John , Dixon William G , Moore Susan Mary , Hellman Bruce , James Ben , Kyle Simon D , Lunt Mark , Cordingley Lis , Yimer Belay Birlie , Druce Katie L
Published: December 2021

Background

Sleep disturbances and poor health-related quality of life (HRQoL) are common in people with rheumatoid arthritis (RA). Sleep disturbances, such as less total sleep time, more waking periods after sleep onset, and higher levels of nonrestorative sleep, may be a driver of HRQoL. However, understanding whether these sleep disturbances reduce HRQoL has, to date, been challenging because of the need to collect complex time-varying data at high resolution. Such data collection is now made possible by the widespread availability and use of mobile health (mHealth) technologies.

Objective

This mHealth study aimed to test whether sleep disturbance (both absolute values and variability) causes poor HRQoL.

Methods

The quality of life, sleep, and RA study was a prospective mHealth study of adults with RA. Participants completed a baseline questionnaire, wore a triaxial accelerometer for 30 days to objectively assess sleep, and provided daily reports via a smartphone app that assessed sleep (Consensus Sleep Diary), pain, fatigue, mood, and other symptoms. Participants completed the World Health Organization Quality of Life-Brief (WHOQoL-BREF) questionnaire every 10 days. Multilevel modeling tested the relationship between sleep variables and the WHOQoL-BREF domains (physical, psychological, environmental, and social).

Results

Of the 268 recruited participants, 254 were included in the analysis. Across all WHOQoL-BREF domains, participants’ scores were lower than the population average. Consensus Sleep Diary sleep parameters predicted the WHOQoL-BREF domain scores. For example, for each hour increase in the total time asleep physical domain scores increased by 1.11 points (β=1.11, 95% CI 0.07-2.15) and social domain scores increased by 1.65 points. These associations were not explained by sociodemographic and lifestyle factors, disease activity, medication use, anxiety levels, sleep quality, or clinical sleep disorders. However, these changes were attenuated and no longer significant when pain, fatigue, and mood were included in the model. Increased variability in total time asleep was associated with poorer physical and psychological domain scores, independent of all covariates. There was no association between actigraphy-measured sleep and WHOQoL-BREF.

Conclusions

Optimizing total sleep time, increasing sleep efficiency, decreasing sleep onset latency, and reducing variability in total sleep time could improve HRQoL in people with RA.
A Novel Deep Learning–Based System for Triage in the Emergency Department Using Electronic Medical Records: Retrospective Cohort Study (Preprint)
Authors: Yao Li-Hung , Leung Ka-Chun , Tsai Chu-Lin , Huang Chien-Hua , Fu Li-Chen
Published: December 2021

BACKGROUND

Emergency department (ED) crowding has resulted in delayed patient treatment and has become a universal health care problem. Although a triage system, such as the 5-level emergency severity index, somewhat improves the process of ED treatment, it still heavily relies on the nurse’s subjective judgment and triages too many patients to emergency severity index level 3 in current practice. Hence, a system that can help clinicians accurately triage a patient’s condition is imperative.

OBJECTIVE

This study aims to develop a deep learning–based triage system using patients’ ED electronic medical records to predict clinical outcomes after ED treatments.

METHODS

We conducted a retrospective study using data from an open data set from the National Hospital Ambulatory Medical Care Survey from 2012 to 2016 and data from a local data set from the National Taiwan University Hospital from 2009 to 2015. In this study, we transformed structured data into text form and used convolutional neural networks combined with recurrent neural networks and attention mechanisms to accomplish the classification task. We evaluated our performance using area under the receiver operating characteristic curve (AUROC).

RESULTS

A total of 118,602 patients from the National Hospital Ambulatory Medical Care Survey were included in this study for predicting hospitalization, and the accuracy and AUROC were 0.83 and 0.87, respectively. On the other hand, an external experiment was to use our own data set from the National Taiwan University Hospital that included 745,441 patients, where the accuracy and AUROC were similar, that is, 0.83 and 0.88, respectively. Moreover, to effectively evaluate the prediction quality of our proposed system, we also applied the model to other clinical outcomes, including mortality and admission to the intensive care unit, and the results showed that our proposed method was approximately 3% to 5% higher in accuracy than other conventional methods.

CONCLUSIONS

Our proposed method achieved better performance than the traditional method, and its implementation is relatively easy, it includes commonly used variables, and it is better suited for real-world clinical settings. It is our future work to validate our novel deep learning–based triage algorithm with prospective clinical trials, and we hope to use it to guide resource allocation in a busy ED once the validation succeeds.
Designing a Healthcare Technology Platform Framework for Purpose-Driven Oncology in a Developing Country Healthcare Context (Preprint)
Authors: Venkataramanan Ramachandran , Sarvepalli Bharat Kumar , Pradhan Akash , Sankaranarayanan Rengaswamy , Kuriakose Moni Abraham , Alajlani Mohannad , Arvanitis Theo
Published: December 2021

UNSTRUCTURED

The rising cases of cancer in India and the unequal care has given rise to large out-of-pocket expenses and late stage of detection of cares, leading to higher mortality rates in many states across rural India. Investing in digital health in resource-constrained countries could provide cancer diagnosis and treatment at affordable costs, improve availability and health outcomes for the citizens.
This paper introduces the framework and features of a healthcare technology platform for a developing country to democratise oncology health care services. The framework relies on participatory systems, patient first algorithms and digital health exchange mechanisms. The proposed platform is built on three key pillars of Technology, Managed Healthcare and Advisory, each with a unique value proposition, yet will be complementary, and tries to address specific requirements across the healthcare delivery value chain, thereby, providing a comprehensive solution to the overall problem of the ecosystem.
We discuss the application of the framework and usage of curated data and robust workflow and rules engine to enable seamless flow of information across all levels, while bringing close home care to people. We propose that a technology platform, build on a connected care ecosystem, could improve cancer care outcomes in a developing country healthcare context.
Age and gender distribution of pterygium cases from the pterygium surgery social service program
Authors: Supanji Supanji , Purbonegoro Tania , Dianratri Anindita , Jati Krisna Dwi Purnomo , Saputro Agung , Wibowo Aloysius Angga , Suhardjo Suhardjo
Published: December 2021

Pterygium is an eye condition that causes abnormal growth of fibrous tissue on the sclera. Pterygium could cause vision impairment when it reaches the area that blocks the pupil. Though the cause is still inconclusive, pterygium is associated with older age and male gender. The incidence of pterygium in Yogyakarta remains relatively unreported due to little documentation. This study aimed to report findings from the Pterygium Surgery Social Service Program, focusing on the age and sex distribution from several communities in Gunung Kidul, Yogyakarta. This study was a descriptive cross-sectional study. Study subjects were pterygium patients from the social service program organized by the Department of Ophthalmology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, in October 2018 – March 2020. There were 227 patients consisted of 151 female patients (66.5%) and 76 male patients (33.5%). There were 22 patients (9.7%) who had grade I pterygium, 137 patients (60.4%) had grade II pterygium, 45 patients (19.8%) diagnosed as having third-grade pterygium, and 23 patients (10.1%) had grade IV pterygium. On average, female patients made a higher proportion of those having pterygium in all grades. The majority of patients in all age groups fell into second-grade pterygium, except for those aged >70 years old who had a higher number of those in the grade III category. In conclusion, female subjects made a higher proportion than males in all pterygium grades, and those aged 70 years and older had a more severe stage.
Modification of cognitive behavior therapy to improve the skill of elderly with osteoarthritis
Authors: Istifada Rizkiyani , Rekawati Etty , Widyatuti Widyatuti
Published: December 2021

One of the characteristics of physical changes in the elderly involves a decrease in the musculoskeletal system, such as the depletion of the synovial joint fluid which has an impact on the pain felt in joints. This condition can cause a disruption of the quality of life for the elderly and results in increases in the family burden. The purpose of cognitive-behavioral therapy in nurse care planning is to provide an overview of the implementation of family care nursing, community care health nursing, and management of health services by community health nurses to the elderly with osteoarthritis. The innovation and development of this senior citizen community program, initially named Lansia SMART (SMART Elderly), consists of six sessions, including psychoeducation sessions, cognitive restructuring sessions, pain management sessions with progressive muscle relaxation, activity scheduling sessions, problem-solving sessions, and tutorial sessions for the Lansia SMART (SMART Elderly) group with the Android application. The final maintaining challenging stage of these services involved 59 elderly participants. Data analysis used paired T-tests. The results of this innovation showed significant differences in the behavior of the elderly participants after the implementation of the SMART Elderly program (p < 0.05). The SMART Elderly program was effective to improve the elderly participants’ behavior. Nurses can use cognitive behavioral therapy to improve the process of self-management of osteoarthritis among their clients.
The screening of heart disease by cardiac auscultation and electrocardiography examination in pregnant women in Puskesmas Tegalrejo, Yogyakarta, Indonesia
Authors: Dinarti Lucia Kris , Nurdiati Detty Siti , Hartopo Anggoro Budi , Assilmi Fika Humaeda , Salsabila Alifia , Dewanto Vera , Pritazahra Armalya , Hadwiono Muhammad Reyhan , Satwiko Muhammad Gahan , Rochmat Erna Ashlihah , Pravitasari Nu , Anggrahini Dyah Wulan
Published: December 2021

Women adapt to pregnancy through multi-organ system physiologic changes, including cardiovascular adaptations. These changes affect those with pre-existing cardiovascular problems differently, and subsequently lead to higher probability of death caused by cardiovascular diseases during pregnancy. Therefore, detection of cardiovascular disease early in pregnancy is important to lower maternal morbidity and mortality by providing prompt and adequate management. This study aimed to evaluate and test the feasibility of integrating 12-lead electrocardiogram (ECG) examination and antenatal care (ANC) screening as a simple and effective method for early detection of heart abnormality in pregnant woman. Pregnant women were recruited in this study in any trimester who attended ANC for a routine pregnancy examination in Puskesmas Tegalrejo Yogyakarta. The subjects underwent primary screening which focused on cardiac auscultation and 12-lead ECG examinations, and those who had abnormal findings were further followed-up in secondary screening by using trans-thoracic echocardiography to confirm heart abnormality. A total of 523 pregnant women from Puskesmas Tegalrejo were included in this study. 15 (2.8%) pregnant woman were suspected to have heart abnormalities; from those, 3 (0.5%) were found with heart murmurs with abnormal ECG readings, 1 (0.19%) had heart murmurs with normal ECG results, and 11 (2.1%) had abnormal ECG readings only. The secondary screening of those patients resulted in 1 (0.19%) pregnant woman who was diagnosed with Atrial Septal Defect. Our study found that among 15 patients identified with suspected ECG abnormalities, one mother who underwent ANC was newly diagnosed with a pre-existing cardiac abnormality. Our study concluded this screening method is a simple and feasible integrated heart screening program that can be implemented widely. We hope this integrated heart screening program may benefit pregnant women who may have cardiac abnormalities to be detected as early as possible, thus reducing maternal morbidity and mortality.
Gobernanza: vigilancia y participación en la Reserva de la Biosfera Los Tuxtlas, Veracruz
Authors: Cueto-García Jorge , Brenner Ludger
Published: December 2021

Objetivo: con base en el concepto de gobernanza ambiental, analizar el Programa de Vigilancia Ambiental Participativa en la Reserva de la Biosfera Los Tuxtlas, que operó entre 1999 y 2015. Metodología: sobre la base de un análisis sistemático de entrevistas cualitativas con informantes clave, se indaga la legitimidad, la justicia ambiental y la efectividad de dicho programa. Resultados: a pesar de que los principios de gobernanza no se alcanzaron en su totalidad, el programa tiene potencial para promover de manera efectiva un régimen incluyente de gobernanza ambiental, lo cual lo hace valioso para el manejo de reservas de biosfera, desde la perspectiva de la Organización de las Naciones Unidas. Limitaciones: sin embargo, hacen falta estudios comparativos a escala nacional para analizar los resultados de las diversas intervenciones gubernamentales. Valor: el estudio constituye un referente para otras reservas donde opera el Programa de Vigilancia Ambiental Participativa. Conclusiones: sería útil una nueva fase de implementación del programa en la Reserva de Biosfera Los Tuxtlas y en otras reservas.
A New Specimen Geometry for Evaluation of the Mechanical Orthotropic Properties Presented in Parts Printed by FDM
Authors: Cavalcante Alexandre A.
Published: December 2021

Abstract: Additive manufacturing (AM) by FDM (Fused Deposition Modeling) has been increasingly adopted due to the low cost of 3D printers as an option capable of producing parts with complex geometries. Since the FDM process is a layer-by-layer manufacturing method, the characterization of the behavior of parts manufactured by this technology, especially with regard to anisotropic mechanical properties, has led to many works relating printing parameters with tensile strength. However, the use of specimens with the conventional flat "dog bone" and cylindrical geometries specified in the ASTM-638 standards do not perfectly suit the special characteristics of parts produced by FDM, since these standards were created for solid and isotropic materials. A new geometry for specimens printed in FDM to study anisotropy transverse to layer deposition is suggested in this work. Problems such as slippage and crushing in the grips of the test machines due to the fragility of the bound between the beds, as well as the appearance of lateral forces that distort the results due to misalignment of the tensile load, twists and curvature of the specimens, normally observed in the Strain measurements by extensometers, are suppressed with the adoption of the new geometry presented in this work. Keywords: Fused Deposition Modeling, Additive Manufacturing, Mechanical Strength, Tensile Testing, Specimen Geometry
Анализ с предсказанием влияния композитного слоя из полипропилена, наполненного тальком, на кольцевую жесткость многослойной пластиковой трубы
Authors:   Équipe MMC, CRSI, Lebanese University, Faculty of Engineering, Хури Мусса Х. , Шаллита Г. , Яред В. , Аби Ризк М. ,   Advanced Plastic Industries – API company
Published: December 2021

Исследована кольцевая жесткость многослойной канализационной трубы с композитным слоем из полипропилена (ПП), наполненного тальком. Кольцевая жесткость гладкой и многослойной труб из ПП определена экспериментально и проанализирована численно. Для предсказания кольцевой жесткости многослойных труб разной конфигурации в зависимости от толщины слоя и содержания талька в композитном слое разработана конечноэлементная модель. Полученные численные результаты хорошо согласуются с экспериментальными данными.
Связанные изгибно-крутильные свободные колебания аксиально-функционально-градиентной круглоизогнутой балки
Authors:   Department of Civil Engineering, University of Seoul, Кё Ли Чун , Ку Ли Бён ,   Department of Civil and Environmental Engineering, Wonkwang University
Published: December 2021

Исследовали связанные изгибно-крутильные колебания круглоизогнутых балок из аксиально-функционально-градиентного материала. Балки прямоугольного и эллиптического поперечного сечения проектировали, используя квадратичные функции изменения модуля Юнга и плотности в осевом направлении. Посредством теории балок Тимошенко и Сен-Венана вывели определяющие дифференциальные уравнения движения. Собственные частоты балок определили с помощью метода пробных собственных значений в комбинации с методом численного интегрирования. Для проверки достоверности предложенного метода сравнили частоты, вычисленные в настоящей работе и с помощью программного обеспечения ADINA. Параметрические исследования выполнили для оценки влияния отношения модулей упругости, формы поперечного сечения, отношения размеров и угла раскрытия балок на собственную частоту связанных изгибно-крутильных колебаний.
Изучение расслоения и изгибного поведения эпоксидных композитов, армированных углеродными и органическими волокнами и частицами карбида кремния
Authors:   University of Technology, Materials Engineering Department, Baghdad, Алсади М.
Published: December 2021

Исследовали межслойное разрушение расслоением по моде II и изгибное поведение эпоксидных композитов, армированных углеродными (CFRE) и органическими (AFRE) волокнами, наполненных частицами карбида кремния (SiC). Испытания на изгиб образцов из этих композитов с концевым надрезом провели для определения характеристик вязкости разрушения по моде II с целью улучшения их поведения при расслоении по моде II. Полученные результаты показали, что частицы SiC улучшают характеристики расслоения и изгиба композитов AFRE-SiC больше, чем композитов CFRE-SiC. Наибольшие значения вязкости разрушения при расслоении по моде II достигнуты при содержании 5% по массе частиц SiC. Микрофотографии, полученные с помощью сканирующего электронного микроскопа, показали, что частицы увеличивают адгезионную прочность между матрицей и волокнами, уменьшают область прослойки и препятствуют образованию пластических зон.
Poradnictwo zawodowe (poradnictwo kariery) dla adolescentów - kontekst pracy resocjalizacyjnej
Authors: Piorunek Magdalena
Published: December 2021

Etap adolescencji wiąże się na normatywnym kryzysem poszukiwania tożsamości. Ważną barierę rozwojową tego okresu stanowi niezdolność do obrania tożsamości zawodowej,  która decyduje o możliwości punktualnego wejścia w krąg zadań i odpowiedzialności, w rozwiniętej fazie dorosłości. Wewnętrzny kryzys tożsamości młodego człowieka, którego komponentem jest wybór orientacji życiowej wraz z projektami kształceniowymi i zawodowymi przebiega w określonych warunkach socjalizacyjnych. W tekście przedstawiono wybrane aspekty kształtowania tożsamości zawodowej i budowania kapitału kariery w okresie dorastania w  ramach socjalizacji do pracy zachodzącej w rodzinie i szkole. Wskazano na konsekwencje zaburzeń socjalizacji do pracy w tych środowiskach, mogące prowadzić między innymi do przypadkowości dokonywanych wyborów zawodowych,  utrwalania się postaw indeferentnych wobec pracy, chronicznej bezdecyzyjności na rynku pracy, w konsekwencji zaś do marginalizacji i wykluczenia społecznego.

Rolę czynnika wspomagającego wobec potencjalnych problemów związanych z kształtowaniem tożsamości zawodowej i budowaniem kapitału kariery na etapie adolescencji stanowić może poradnictwo zawodowe, którego obecność jest istotna w ramach pomyślnie przebiegającej socjalizacji, a szczególnego znaczenia nabiera w ramach procesów resocjalizacyjnych. Zaprezentowano nowy paradygmat tego poradnictwa obecny w literaturze pod nazwą poradnictwa kariery. Odnosi się on do dynamicznego procesu wielokrotnie w ciągu życia dokonywanych i zmienianych wyborów karierowych, bazujących na pogłębionej autodiagnozie własnych zasobów, znajomości rynku pracy, do konfrontowania człowieka z wieloma pożądanymi rolami społecznymi, budowania jego odpowiedzialności za własne życie i aktywnego pomnażania swojego kapitału kariery. Szczególnie trudna sytuacja życiowa adolescentów ze środowisk defaworyzowanych wymaga aby poradnictwo zawodowe (poradnictwo kariery)  nie miało charakteru izolowanych działań, ale było elastycznie łączone ze zróżnicowanymi oddziaływaniami psychopedagogicznymi, w tym interwencją kryzysową,  pracą terapeutyczną i pracą socjalną.
Alkoholicy wysokofunkcjonujący – trudności diagnostyczne, charakterystyka i modele leczenia
Authors: Zaworska-Nikoniuk Dorota
Published: December 2021

Artykuł prezentuje trudności diagnostyczne związane z nietypowym przebiegiem problemowego picia alkoholu wśród osób wysokofunkcjonujuących (HFA - ang. High Functioning Alcoholics), które nie spełniają często przez kilkanaście lat kryteriów diagnostycznych klasyfikacji DSM-V(Diagnostic and Statistical Manual of Mental Disorders), choć cierpią z powodu symptomów nadmiernego picia. Korzystając z koncepcji Sarah Alen Benton wskazuje na typologię cech charakterystycznych dla tej grupy osób oraz czynniki ryzyka picia problemowego, uwidaczniających się w poszczególnych okresach życia, umożliwiające wczesną identyfikację symptomów rozwoju uzależnienia. Wskazuje przy tym na zmianę paradygmatów medycznych w podejściu do picia problemowego: z paradygmatu abstytencji zakładającego nieuleczalność choroby alkoholowej opierającej terapię na dożywotnim zaprzestaniu picia alkohol inspirowanym modelem ruchu Anonimowych Alkoholików, na  paradygmat redukcji szkód  ukazujący progresywny i przewlekły charakter wspomnianej choroby opierający terapię na naucę picia kontrolowanego. W podejściu terapeutycznym proponowanym pijącym problemowo osobom wysokofunkcjonującym stosowane są oba podejścia.
Resocjalizacyjny potencjał środowiska szkolnego w postępowaniu z nieletnimi
Authors: Jadach Katarzyna , Perska-Gradowska Paulina
Published: December 2021

Proces socjalizacji, niezależnie od przyjętej wizji resocjalizacji, zawsze osadzony jest w kontekście społecznym i środowiskowym, pełni on bowiem funkcję uczestnictwa człowieka w życiu społecznym, zwłaszcza w lokalnej społeczności. Analiza systemu postępowania z nieletnim wskazuje, że realizacja procedur przewidzianych w u.p.n. uwzględniająca społeczny kontekst jego funkcjonowania prowadzi do modyfikacji dominującego aktualnie modelu opiekuńczego na rzecz modelu odpowiedzialnego. Jego cechą jest angażowanie sił społecznych i ukierunkowanie działań na wychowywanie nieletniego do odpowiedzialności. Ma to miejsce nie tyle w strukturach wymiaru sprawiedliwości, ile w lokalnych sieciach uczestnictwa społecznego, gdzie obserwacja zachowań nieletniego i wczesna diagnoza wskazująca na zagrożenie niedostosowaniem społecznym, jak i symptomy zaburzeń zachowania pozwalają na odpowiednio wczesnym etapie uruchomić działania prewencyjne. Jednym z podmiotów, ustawowo legitymowanym do wdrażania pracy wychowawczo-profilaktycznej są placówki oświatowe. Zarówno w obszarze diagnostyki, jak i wdrażania środków oddziaływania na osoby nieletnie dysponują one merytorycznie przygotowanym personelem, jak i prawnymi narzędziami do implikowania rozmaitych form wychowawczych i  terapeutycznych, nie tylko tych orzeczonych przez sąd rodzinny.
Charakterystyka pacjentów kończących i przerywających stacjonarną terapię uzależnienia od alkoholu
Authors: Opora Robert , Breska Radosław
Published: December 2021

Wprowadzenie. Osoby uzależnione od alkoholu często nie kończą podejmowanego leczenia psychoterapeutycznego. O ile w leczeniu ambulatoryjnym pacjenci stale narażeni są na działanie czynników mogących utrudnić utrzymanie abstynencji i dokończenie leczenia, o tyle osoby leczące się w ośrodkach stacjonarnych doświadczają powyższych czynników w zredukowanym wymiarze. Pomimo tego znaczny odsetek pacjentów „wypada” z programów terapeutycznych realizowanych w ośrodkach stacjonarnych. Tak więc, celem podjętych badań było dokonanie porównania osób kończących i przerywających stacjonarną terapię uzależnień od alkoholu pod względem cech dostępnych w historiach choroby.

            Metoda. Dane empiryczne uzyskano analizując dokumentację medyczną – historie choroby pacjentów uzależnionych od alkoholu przebywających w ciągu jednego roku w stacjonarnym oddziale odwykowym i podejmujących podstawowy program terapii uzależnień.

Wyniki. Uzyskane wyniki wskazują, że osoby z grupy badawczej w zaczym odsetku (27,6%) nie kończą podejmowanego leczenia stacjonarnego. Mężczyźni statystycznie częściej od kobiet przerywali terapię, ponadto osoby niekończące terapii częściej żyły samotnie (kawalerowie, rozwodnicy i panny) i pozostawały bez stałego dochodu. Nie sprzyja kończeniu terapii obecność zaburzeń i chorób psychicznych (depresji, halucynozy alkoholowej przy przyjęciu do szpitala, schizofrenii i choroby afektywnej dwubiegunowej).  W mniejszym stopniu różniły badane grupy takie zmienne jak: miejsce zamieszkania, posiadanie dzieci, wykształcenie, stan somatyczny przy przyjęciu, zobowiązanie sądowe do leczenia oraz karalność. Wśród deklarowanych motywów podejmowania terapii najsilniej sprzyjających jej ukończeniu należy wymienić poprawę relacji rodzinnych i motywy zdrowotne.

 Wnioski. Warto poszerzać i uelastyczniać ofertę programów terapeutycznych ośrodków stacjonarnych uwzględniając trudności i deficyty osób niekończących terapii. W psychoterapii należy korzystać z metod i technik podtrzymywania motywacji pacjentów do dokonywania zmian.
Global politics, postcolonialism and cultural studies
Authors: Mielniczuk Fabiano P.
Published: December 2021

Este artigo é uma tentativa de pavimentar o caminho teórico para substituir a política pelo político. Depois de ilustrar como as principais teorias de RI reificam o Estado como a forma dominante de subjetividade, eu exploro a ontologia de poder compartilhada pelos críticos desse modo de representação por meio de uma leitura da "analítica do poder" de Foucault: a representação jurídico-discursiva do poder, que é atribuída aos estudiosos convencionais, se opõe à representação do poder como produtivo, que acredito que os teóricos críticos compartilham. Ao ler A ficção do Imperialismo de Darby e Orientalismo de Said por intermédio das categorias foucaultianas de estratégia e tática, tento ilustrar como a configuração do poder como produtivo pode ser empregada para desestabilizar a figuração jurídico-discursiva. Esta é uma maneira de localizar onde os estudos culturais e o pós-colonialismo encontram a política global.
Identificación de válvulas y uniones brindadas para monitoreo de emisiones fugitivas según el método 21 de la EPA
Authors: Espinel-Blanco Edwin , Quintero Daniel , Sanchez-Ascanio Lisneider
Published: December 2021

Este documento presenta la identificación de válvulas y uniones bridadas de una planta para el procesamiento y transformación de hidrocarburos. La identificación se realizó con el fin de monitorear los elementos (uniones bridadas y válvulas) acorde a los lineamientos  establecidos por el método 21 de la Agencia de Protección ambiental Americana (EPA, por sus siglas en inglés) para la reducción de emisiones fugitivas de compuestos orgánicos volátiles (VOC, por sus siglas en inglés), perjudiciales para la salud y el medio ambiente. La identificación se llevó a cabo por medio de los diagramas de instrumentación y tubería (P&ID, por sus siglas en inglés). Con los datos recolectados se estableció un procedimiento de monitoreo para estos componentes, posteriormente se monitorearon una cierta cantidad de elementos, de los cuales, se obtuvo la emisión del fluido transportado en partes por millón y se planteó una posible solución para reducir las emisiones fugitivas
Los modelos pedagógicos y su influencia en la práctica docente de la Universidad Francisco de Paula Santander
Authors: Durán-Chinchilla Claudia Marcela , Cárdenas-García Maribel , Velasquez-Pérez Torcoroma
Published: December 2021

El proceso investigativo llevado a cabo,  tuvo como objetivo primordial determinar cuáles  son   las prácticas docentes y su relación con el modelo pedagógico  de la Universidad Francisco de Paula Santander Ocaña;  estuvo enmarcado bajo una investigación cualitativa, toda vez que se tuvo en primera instancia,  que acudir a la técnica de la entrevista y grupos focales, como también a la observación, los cuales   permitieran reconocer algunas prácticas educativas de los docentes. El estudio permitió  determinar que las prácticas docentes  no están alineadas al modelo pedagógico de la Universidad, el cual es el Constructivismo Social, por lo que se  hace necesario establecer un plan de mejoramiento  orientado a fortalecer  las prácticas docentes y que estas a su vez fueran pertinentes con el modelo pedagógico