bluuebunny/crossref_metadata_2025 huggingface dataset:
Analysis and comparison of the trends in burden of injury in China and ASEAN countries from 1990 to 2021 and its association with the socio-demographic index
Authors: Nie Feiyang , Bai Xinyu , Liang Wenjie , Ma Zhenyu
Published: January 2025

Background
As China and the Association of Southeast Asian Nations (ASEAN) experience rapid economic growth and urbanization, injuries have become a significant public health issue. This study aims to analyze and compare the injury burden trends in these regions from 1990 to 2021, while examining the correlation with the Socio-Demographic Index (SDI).
Methods
Data from the Global Burden of Disease Study 2021 (GBD 2021) was used to assess injury burden metrics such as incidence, prevalence, mortality, and disability-adjusted life years (DALYs). Joinpoint regression analysis identified trends, while frontier analysis assessed the optimal scenario for managing injury burden relative to the SDI. Health inequality was analyzed using the Slope Index of Inequality (SII) and Concentration Index (CI).
Results
The study revealed a mixed picture of injury burden trends. While overall trends showed a decrease in injury incidence, prevalence, mortality, and DALYs, certain periods and countries experienced increases. Unintentional injuries remained the predominant cause. The injury burden shifted to older adults, particularly those aged 70 and above, reflecting the demographic shift towards an aging population, with males bearing a higher burden compared to females. The injury burden was strongly correlated with the SDI, indicating a decrease as countries develop. In the frontier analysis examining the correlation between injury burden and the SDI, countries furthest from the global frontier fit line were predominantly those with middle to high SDI rankings. This finding suggests that countries with higher SDI levels exhibit a more substantial potential for advancing health burden mitigation efforts. The SII for DALYs decreased from − 2407.96 in 1990 to -1159.885 in 2021, indicating a reduction in the disparity of age-standardized injury burden between high-income and low-income countries.
Conclusions
The study provides valuable insights into the injury burden trends and disparities in China and ASEAN countries. It underscores the importance of addressing social determinants of injury risk and emphasizes the need for tailored interventions considering regional disparities and evolving age distributions. By leveraging these findings, policymakers and stakeholders can develop more effective strategies to reduce the socio-economic burden of injuries, contributing to the achievement of Sustainable Development Goals related to injury prevention.
How Thinking About God Transforms Self Recognition and AI Preferences Among Christians and Shintoists in Japan
Authors: Hitsuwari Jimpei , Hayashi Takechika , Du Meiyi , Nomura Michio
Published: January 2025

This study investigated how God saliency affects self-recognition and AI preferences across different Japanese religions, via two studies: a three-religion comparison (N=168) and a focused examination of Christians and Shintoists (N=120). Participants wrote about God or daily activities and completed measures of the small self, human imperfection, human imperfection acceptance, divine love, evaluation of AI-generated art, and investment decisions. Results showed that God salience consistently increased the small self across both studies; however, unlike previous Western findings, it did not affect perceptions of human imperfections or AI preferences. Notably, animistic tendencies emerged as significant predictors of the small self (Study 1) and imperfection acceptance (Study 2), suggesting that viewing the divine as more intimate and equal, rather than absolute, shapes these relationships in the Japanese context. These findings highlight how cultural and religious backgrounds influence the relationship between religious thought and AI preferences, demonstrating the need for culturally diverse perspectives.
Tunable porosity in a hydrogel with extreme vibration damping properties
Authors: Scarpa Fabrizio , Day Graham , Zhang Qicheng , Remillat Chrystel , Comandini Gianni , Perriman Adam
Published: January 2025

We have developed hydrogel systems with tunable porosity through dialysis casting by varying alginate and poloxamer compositions from 0% to 10%. These gels feature diverse porosity topologies, yielding loss factors between 16% and 29% in the 50 Hz to 300 Hz frequency range. The dynamic modulus shows a remarkable increase of over an order of magnitude, reaching approximately 3 MPa compared to the static modulus. Vibration transmissibility tests and dynamic mechanical analysis reveal that the poroelastic and pneumatic-like effects from the tunable porous structures contribute significantly to this damping effect. Furthermore, these hydrogels are biosourced and biodegradable, providing a sustainable alternative to conventional fossil-based damping materials.
Gut microbiota metabolic reprogramming in metastatic prostatic cancer: prognostic value in patients under androgen receptor pathway inhibitors therapy.
Authors: Castro Sonia María Pérez , Quinta Manuel Carballo , Rodríguez Adrián Freire , Núñez Carlos Daviña , Pereira Alejandro Bellas , Alvargonzález Jorge Julio Cabrera , Schoch Miguel Pérez , Costas Nahir Rodríguez , Arteaga Carlos Andrés Muller , García Juan Francisco Sánchez , Outeda Enrique Cespon , Diez Maria Elena López
Published: January 2025

Metastatic prostate cancer (MPCa) is considered an aggressive condition. The objective was to elucidate the link between gut microbiota (GM) derived metabolites and disease progression in MPCa. Fecal microbiome shallow shotgun metagenomics of 15 patients with MPCa receiving ARPIs therapy were studied. A control group of 39 patients with untreated PCa was included. ARPIs-driven changes in the GM leading to functional redundancy in testosterone synthesis were observed. The GM could be contributing to epithelial–mesenchymal transition and MPCa progression by the increased synthesis of microbial-derived acetate. The feature-level analysis revealed that Bifidobacterium longum was enriched in the patients in aprogression stage (LinDA coefficient 5.7) whereas Sutterella wadsworthensis, Butyricimonas, Bilophila wadsworthia, Alistipesindistinctus, Bacteroides thetaiotaomicron and Intestinimonas were depleted (LinDA coefficient -7.2, -5.1, -4.4, -3.9, -3.9and -2.9, respectively). Bifidobacterium longum, Butyricimonas, Butyricimonas faecihominis, Bilophila sp. and Bacteroides thetaiotaomicron abundances were predictive of progression (AUC 0.88, 0.92, 0.88, 0.93 and 0.86, respectively, DESeq2; p <0.00001). A deeper understanding of the multifaceted roles of intestinal microorganisms at various stages of the disease would be of crucial importance to achieve an overall perspective of the individual prognosis of MPCa.
Predicting Student Satisfaction in Career Choices Using Machine Learning: A Case Study
Authors: Oubraime Mohamed , M’Hamdi Ahmed , Sabour Abderrahim
Published: January 2025

Student satisfaction is crucial for making successful educational and career choices. This study explores how artificial intelligence, specifically the Support Vector Machine (SVM) model, can help predict student satisfaction with their university choices by considering socio-economic, environmental, and cultural factors. We analyzed data from 125 students at a technology university through three main steps: first, we assessed the reliability of a satisfaction measurement tool; second, we identified key factors influencing satisfaction through statistical analysis; and third, we applied an SVM model to predict satisfaction, using 70% of the data for training and 30% for testing. Our results revealed significant positive correlations between student background, social support, prior knowledge, and their preference for group work with their overall satisfaction. The SVM model was able to predict satisfaction with an accuracy of 89%. These findings highlight the value of AI in educational guidance and suggest that the SVM model can effectively predict student satisfaction, as well as other factors critical to academic and career success.
TEORIA E PRÁTICA
Authors: Bessa Sofia Araújo Lima , Vimieiro Jhade Iane Cunha , Lage Gabriela Tavares de Lanna , Andrade Dayane Félix , Martins Bruna Lopes de Andrade
Published: January 2025

Oficinas de arquitetura permitem a execução e a visualização prática de conhecimentos obtidos de forma teórica, o que denota especial importância para a difusão e compreensão de técnicas construtivas não convencionais no cenário da construção civil, como as técnicas construtivas de terra. Esse é o caso da taipa de pilão e do adobe, técnicas tradicionais não tão usuais nos dias de hoje, mas com grande potencial para aplicações sustentáveis e de viés inovador. Esta pesquisa traz, portanto, o relato de experiência de três oficinas desenvolvidas no estado de Minas Gerais com o fim de transmitir saberes do modo de se construir com o uso da taipa de pilão e do adobe. As atividades foram divididas em uma seção teórica e outra prática, em que foi incorporado ao solo sedimento de rejeito de minério de ferro, material disponível na região para reaproveitamento após o rompimento da Barragem de Mariana, utilizado como estabilizante para os componentes de terra. Questionários foram utilizados para avaliar o nível de familiaridade e percepções formadas antes e após as experiências acerca das técnicas construtivas apresentadas. Com isso, foi possível perceber que as oficinas se mostram como uma ferramenta eficaz para a divulgação e desmistificação de ideias concebidas sobre o uso da terra em construções.
ARQUITETURA HOSPITALAR ENTRE PAREDES E PORTAIS
Authors: Carvalho Barbara de , Leite Ismael
Published: January 2025

O projeto de arquitetura para hospitais não consegue acolher e abrigar o ser humano de forma integral sem haver a devida consideração de aspectos subjetivos e comportamentais, que residem nos prismas da espiritualidade e da experiência. Por meio do diálogo entre a fenomenologia, a filosofia e a arquitetura se faz possível ampliar a forma de apreensão e concepção do espaço. Porém, a problemática do assunto não está na falta de instrumentalização adequada do projeto, mas sim na leitura da geometria como uma mera junção de pontos, linhas, planos e formas, ao invés de considerá-la como de um relato sócio-cultural de quem vivenciará o que por ela é representado. O resgate do conceito romano de Genius Loci e a ampliação do uso da topologia em arquitetura parecem ser caminhos promissores para a concepção de um projeto que visa o bem-estar do usuário. Objetivo este, ainda mais latente, quando se trata da arquitetura hospitalar.
ARMANDO DE HOLANDA E A INDÚSTRIA
Authors: Afonso Alcília
Published: January 2025

O texto trata sobre a obra arquitetônica industrial produzida por Armando de Holanda (1940-1979), nascido na cidade de Canhotinho, Pernambuco, nordeste do Brasil, e conhecido em nível nacional pelo seu livro “Roteiro para Construir no Nordeste", publicado em 1976, que se converteu em uma referência na área projetual, propondo princípios para se projetar uma arquitetura nos trópicos.   Pretende trazer à tona a produção arquitetônica industrial da Holanda, ainda pouco estudada, observando como os princípios projetuais propostos pelo arquiteto, que priorizou sistemas de industrialização e soluções climáticas na arquitetura, estão presentes em seus projetos industriais das dezenas de fábricas projetadas e construídas em diversos estados do Nordeste,  como Pernambuco, Paraíba, Piauí, Sergipe, financiados pela política de desenvolvimento da região nordeste proposta pela SUDENE/ Superintendência de Desenvolvimento do Nordeste. Justifica-se apresentar algumas das soluções projetuais feitas pelo arquiteto, a fim de socializar as pesquisas inéditas na área que enfoca sua produção arquitetônica industrial moderna, e que adotam em sua prática, os princípios propostos e presentes em seus textos, principalmente no publicado em 1966, intitulado "Sobre uma arquitetura de sistemas". A pesquisa faz parte de estudos em andamento desenvolvido pela autora sobre os projetos industriais do arquiteto, buscando observar as soluções projetuais e construtivas dessas obras produzidas com base na modernidade arquitetônica e seus princípios projetuais.
ENSINO REMOTO DE PROJETO EM TEMPOS DE PANDEMIA DE COVID-19
Authors: Alberton Josicler Orbem , Manske Clarissa Squizani , Camelo Federica de la Barrera , Cezar Luiz Miguel Cescon
Published: January 2025

No ano de 2020, o ensino no meio acadêmico universitário modificou-se diante do contexto imposto pela Pandemia de Covid-19. A transição dos espaços educacionais para o ambiente doméstico alterou não apenas o local de trabalho, mas influenciou, também, os processos formativos. O enfoque deste trabalho ocorre nos cursos de Arquitetura e Urbanismo, visando, principalmente, as disciplinas de ateliê de projeto, onde o contato entre professor – estudante e estudante – estudante, mostra-se como elemento inerente ao processo de aprendizagem. O objetivo é suscitar reflexões acerca do ensino de projeto no ambiente virtual imposto pela Pandemia de Covid-19, valorizando as vivências de professores e alunos. A metodologia inclui a formulação e interpretação de narrativas, assim como o diálogo teórico com autores que abordam conceitos relacionados aos processos formativos. Identificou-se duas categorias que direcionaram as discussões: a primeira está relacionada à comunicação no ensino de projeto e, a segunda, às vivências nos ambientes dos cursos de Arquitetura e Urbanismo. Os resultados ressaltam que há um processo criativo específico que ocorre nos ateliês de projeto quando o docente orienta presencialmente o estudante e que a ausência dos alunos dentro dos cursos, nos anos de 2020 e 2021, provocou uma lacuna nos processos de formação. Assim, foi possível identificar o que é específico do ensino presencial e o que não é possível de ser realizado no ensino à distância.
Pesquisa de Trypanosoma cruzi em cães e triatomíneos em área rural do município de Mossoró, Rio Grande do Norte
Authors:   , Freitas Yannara Barbosa Nogueira
Published: January 2025

Acometendo o homem e diversos animais e ocorrendo, predominantemente, na zona rural, a doença de Chagas (DC) é causada pelo protozoário Trypanosoma cruzi e tem os cães como os principais reservatórios no ciclo doméstico da doença. Dessa forma, objetivou-se pesquisar a presença e infecção por T. cruzi em triatomíneos. E, paralelamente, pesquisar cães sororreagentes aos antígenos de T. cruzi e analisar possíveis indicadores de risco para a infecção em cães. A pesquisa foi realizada na área rural do município de Mossoró, Nordeste do Brasil, em 11 propriedades com histórico de captura de triatomíneos. Foi realizada pesquisa entomológica ativa com identificação dos insetos e pesquisa de T. cruzi utilizando as técnicas de isolamento em cultura e Reação em cadeia da polimerase (PCR). Para o mapeamento dos vetores foi utilizado software Quantum GIS 2.8.3. O diagnóstico sorológico canino foi realizado utilizando Ensaio de imunoadsorção enzimática (EIE) e Imunofluorescência indireta (IFI). Foi confirmada a presença de vetores em oito das 11 propriedades rurais do estudo. Foram capturados 68 triatomíneos, sendo 25 ninfas e 43 insetos adultos identificados como Triatoma brasiliensis brasiliensis, Triatoma pseudomaculata, Rhodnius nasutus e Panstrongylus lutzi. Todos os espécimes examinados (51 exemplares) foram negativos para infecção por T. cruzi pela técnica de hemocultivo, e desses, 41,17% (21/51) foram positivos, especificado por 90,48% (19/21) ninfas e 9,52% (2/21) T. b. brasiliensis. Onze por cento (25/218) dos cães avaliados foram sororreagentes em ambos os testes, mas não houve associação entre os cães soropositivos com a presença e infecção por T. cruzi em triatomíneos ou com fatores como sexo, idade, função, presença de abrigo para os cães e contactantes. O mapeamento definiu as áreas de maior risco de transmissão vetorial do parasito. Dessa forma, confirmou-se presença de espécies vetores de DC na área rural do município de Mossoró, destacando-se a espécie T. b. brasiliensis como vetor potencial do parasito na região. Portanto, na área estudada, a manutenção do ciclo da doença por transmissão vetorial é clara e possível, uma vez que, há vetores e reservatórios domésticos infectados em área domiciliar, potencializando o risco de transmissão aos seres humanos.
Recuperação de solo contaminado com petróleo pela técnica da bioestimulação
Authors:   , Silveira Brenno Dayano Azevedo da
Published: January 2025

Dentre os impactos ambientais ocasionados pelas atividades petrolíferas, cita-se os vazamentos de petróleo bruto no solo, que acarretam prejuízos aos ecossistemas e consequentemente efeitos negativos para a sociedade. Para recuperação dessas áreas tem-se como alternativa, viável e eficaz, de simples aplicação e baixo custo, a biorremediação, uma técnica que utiliza microrganismos capazes de degradar contaminantes, através da estratégia da bioestimulação que se baseia na otimização das condições ambientais para favorecer a atividade microbiana. Objetivou-se avaliar o efeito da bioestimulação com aplicação do fertilizante NPK 10:30:20 na degradação de petróleo em um Vertissolo. Para isso o solo foi contaminado artificialmente com petróleo em níveis crescentes de 0, 1, 3, 5 e 10 % base em massa e bioestimulado com fertilizante NPK 10:30:20, dosagem única no início do experimento em níveis de concentração equivalente a 0, 250, 500, 1.250 e 2.500 kg ha-1. O controle da degradação do contaminante foi realizado pelo método respirométrico, através da produção de CO2 medido a cada 7 dias ao longo dos 91 dias de experimento. Observou-se maior produção de CO2 nos tratamentos bioestimulados com o fertilizante, maior produção de CO2 em todos os tratamentos nos primeiros 14 dias de experimento e que o modelo matemático obtido pelo Método da Superfície de Resposta foi capaz de estimar a dose da formulação NPK 10:30:20 para diferentes níveis de contaminação de petróleo. Conclui-se que a técnica da bioestimulação com aplicação de fertilizante NPK na proporção 10:30:20 teve efeito significativo no aumento da produção de CO2 no Vertissolo com diferentes níveis de contaminação por petróleo evidenciando efeito positivo da bioestimulação na otimização da degradação do contaminante.
El impacto de las energías renovables y el acceso a la tecnología en el desempeño económico de Zambia
Authors: Yangailo Tryson
Published: January 2025

Este estudio examina el impacto de las energías renovables y otras variables relacionadas en el desempeño económico de Zambia, centrándose en datos de 2000 a 2022. El objetivo principal es evaluar cómo los diversos aspectos de las energías renovables, incluidos el consumo y el acceso, afectan al PIB y su crecimiento. Utilizando el software Jamovi, el estudio realiza estadísticas descriptivas, un análisis de regresión y un análisis de correlación sobre datos del Banco Mundial y la Agencia Internacional de Energías Renovables. El estudio revela que, si bien el consumo de energía renovable afecta negativamente el crecimiento del PIB, el acceso a tecnologías de cocina limpias promueve significativamente su crecimiento. Además, la proporción de energía renovable en la generación de electricidad y el acceso a la electricidad están correlacionados positivamente con las mejoras en la electrificación rural. Sin embargo, la proporción de energías renovables en la generación de electricidad no tiene un impacto directo significativo en el PIB. Estos hallazgos sugieren que las inversiones estratégicas en energía renovable deben equilibrarse con esfuerzos para mejorar el acceso a tecnologías limpias para maximizar los beneficios económicos. Los responsables de las políticas deben centrarse en mejorar la electrificación rural e integrar los proyectos de energía renovable en el desarrollo más amplio de infraestructura. El estudio subraya la importancia de las políticas específicas y los avances tecnológicos para optimizar el impacto económico de las energías renovables. Las recomendaciones incluyen invertir en iniciativas de energía renovable con un enfoque en los resultados económicos a largo plazo, mejorar las políticas de electrificación rural e investigar más a fondo acerca de las innovaciones tecnológicas y sus impactos económicos. El estudio contribuye a la literatura existente al proporcionar un análisis detallado del papel de la energía renovable en el desempeño económico en el contexto de Zambia, destacando tanto su potencial como sus limitaciones. Su innovación radica en el uso de técnicas integrales de análisis de datos y triangulación para proporcionar información procesable que sea útil para el desarrollo de políticas y la investigación futura.
Scrutinizing the Gateway Relationship Between Gaming and Gambling Disorder: Scoping Review With a Focus on the Southeast Asian Region
Authors: Siste Kristiana , King Daniel L , Hanafi Enjeline , Sen Lee Thung , Adrian Adrian , Murtani Belinda Julivia
Published: January 2025

Background

The gaming and gambling overlap has intensified with new evidence emerging. However, the relationship between gaming and gambling in the digital space is still inconclusive, especially in resource-limited Asian countries.

Objective

This study aims to review available evidence on the possible interaction and focuses specifically on the gateway interaction between gambling and gaming. Additionally, this review delves into the state of evidence from the Southeast Asian region, providing an in-depth analysis of this underexplored area.

Methods

We performed a scoping review by sifting through the publications in five databases. We focused on the gateway interaction and provided a possible pathway model, while two other convergence relationships were provided for comparison.

Results

The scoping review identified a total of 289 publications, with the majority being empirical (n=181), although only 12 studies used longitudinal designs. A significant proportion of the publications (n=152) concentrated on the correlation or comorbidity between gaming and gambling. Most of the evidence has originated from Global North countries, with very limited research emerging from Southeast Asia (n=8). The most commonly studied gambling-like element in video games was loot boxes (n=105). Other elements investigated included esports betting, skin betting, token wagering, gambling advertisements, and gambling-like features. Several longitudinal studies have highlighted the risk of the gateway effect associated with gamblification involvement. However, emerging evidence suggests more nuanced underlying mechanisms that drive the transition from gaming to gambling.

Conclusions

Overall, there is early evidence of linkage between gambling and gaming, through shared structural and biopsychosocial characteristics. This association possibly extends beyond disparate comorbidity, as such engagement in one activity might influence the risk of partaking in the other behavior. The field requires further longitudinal data to determine the directionality and significant precipitating factors of the gateway effect, particularly evidence from Asia.
Case-Based Virtual Reality Simulation for Severe Pelvic Trauma Clinical Skill Training in Medical Students: Design and Pilot Study
Authors: Teng Peng , Xu Youran , Qian Kaoliang , Lu Ming , Hu Jun
Published: January 2025

Background

Teaching severe pelvic trauma poses a significant challenge in orthopedic surgery education due to the necessity of both clinical reasoning and procedural operational skills for mastery. Traditional methods of instruction, including theoretical teaching and mannequin practice, face limitations due to the complexity, the unpredictability of treatment scenarios, the scarcity of typical cases, and the abstract nature of traditional teaching, all of which impede students’ knowledge acquisition.

Objective

This study aims to introduce a novel experimental teaching methodology for severe pelvic trauma, integrating virtual reality (VR) technology as a potent adjunct to existing teaching practices. It evaluates the acceptability, perceived ease of use, and perceived usefulness among users and investigates its impact on knowledge, skills, and confidence in managing severe pelvic trauma before and after engaging with the software.

Methods

A self-designed questionnaire was distributed to 40 students, and qualitative interviews were conducted with 10 teachers to assess the applicability and acceptability. A 1-group pretest-posttest design was used to evaluate learning outcomes across various domains, including diagnosis and treatment, preliminary diagnosis, disease treatment sequencing, emergency management of hemorrhagic shock, and external fixation of pelvic fractures.

Results

A total of 40 students underwent training, with 95% (n=38) affirming that the software effectively simulated real-patient scenarios. All participants (n=40, 100%) reported that completing the simulation necessitated making the same decisions as doctors in real life and found the VR simulation interesting and useful. Teacher interviews revealed that 90% (9/10) recognized the VR simulation’s ability to replicate complex clinical cases, resulting in enhanced training effectiveness. Notably, there was a significant improvement in the overall scores for managing hemorrhagic shock (t39=37.6; 95% CI 43.6-48.6; P<.001) and performing external fixation of pelvic fractures (t39=24.1; 95% CI 53.4-63.3; P<.001) from pre- to postsimulation.

Conclusions

The introduced case-based VR simulation of skill-training methodology positively influences medical students’ clinical reasoning, operative skills, and self-confidence. It offers an efficient strategy for conserving resources while providing quality education for both educators and learners.
A Novel Approach to Care Redesign Collaboration between Emergency and specialty Departments: coming together towards more appropriate and timely neurology follow-up (Preprint)
Authors: Harris Sonia Rose , Rose Christian , Kling Samantha May Robson , Cohen Brett A. , Goldberg Olga , Walton Hannah , Veruttipong Darlene , Alhadha Mohammed , Laurence Sheneé , Ravi Shashank , Gold Carl A. , Shaw Jonathan G. , Yang Laurice , Brown-Johnson Cati
Published: January 2025

UNSTRUCTURED

Given rising demand for Emergency Department (ED) services and coupled with a scarcity of specialty care availability, there is urgency to design a system for appropriate, effective, and timely ED-to-specialty outpatient referrals. Efficient care transitions are important to patient outcomes and experience and require cross-specialty cooperation. Here we describe a collaboration between Stanford’s Emergency Medicine and Neurology & Neurological Sciences departments that designed and implemented an optimized discharge process and transition of care from ED to ambulatory neurology for follow-up care. We describe the process for barrier identification, tools used to foster partnership and intervention ideation, and the resulting intervention. Our experience and findings are integrated into a 4-component framework for future interdepartmental collaborations: (1) cross-specialty team meetings; (2) pre-implementation interviews; (3) a design thinking focus group session; and (4) small group meetings. These process components fostered collaboration and teamwork amongst the multi-disciplinary team; supported early identification of barriers and facilitators, including divergent understanding of project goals; and developed creative ideas that contributed to intervention development. The collaboration resulted in a 4-pronged multi-modal intervention. Two elements focused on modifying clinical practice to better triage clinically appropriate ED referrals to ambulatory neurology: (1) optimizing management of conditions in the ED to reduce preventable referrals, and (2) increasing deferral to Primary Care clinicians to direct appropriate specialty follow-up care. Two additional structural elements sought to directly improve appropriate referral timeliness by: (3) streamlining insurance authorization processes and (4) increasing neurology appointment availability.
Dunbar’s Number in Motion: Agent-Based Simulations of Friendship Formation
Authors:   Binghamton University, Cooke Christopher R. , Lutz Cameron D ,   California Polytechnic State University
Published: January 2025

By contrasting Lévy flight and random walk strategies in simulated agents, we discern the effect of movement behavior on the total duration of social interactions. Our agent-based simulation results approximate empirically observed Dunbar social circle formation using simple behavioral rules of interaction and compatibility to mimic exogenous attribute-based friendship formation. We simulate the complexities of social interactions among agents with unique attributes and a time budget for social engagement over a one-year period. Two distinct simulations were conducted to evaluate the behavioral contributions of Lévy flight and random walk movement patterns on cumulative interaction duration and the formation of Dunbar circles. We test the hypothesis that Lévy Flight movement patterns would result in more total interaction time among agents, based on the premise that the unpredictable long-range moves would increase the chances of encountering a diverse range of individuals. Contrary to our initial hypothesis, simulation results show that random walk rules of motion resulted in greater total interaction and time spent among agents compared to Lévy flight.
Sound Body
Authors: Zornitsa Stoyanova
Published: January 2025

Sound Body is a project created by Zornitsa Stoyanova(BUL/USA) and Peter Sciscioli (USA), with an international cast of artists.
The project was created over 8 workshops and rehearsal days in Sofia, Bulgaria.

This is a written description of the project done specifically for a Master's degree assignment.
The Effect of Risk Perception of Island Tourisom on Tourist Attitude, and Participation Intention: Focusing on the Five Major Islands of Boryeong City
Authors:   The Convergence Tourism Contents Society, Cheon Deok-Hee , Kim Sang-Hun
Published: January 2025

Purpose: This study aimed to empirically study the effect of risk perception on island tourism on tourists’ attitudes and intentions to participate. The perception of risk is higher in the island area due to the special environment in which it is separated from the mainland and can only be reached by boat across the sea. There is a need to develop new measurement items suitable for island tourism risk perception due to the special nature of island tourism.
Methods: We derived questionnaire items that can measure risk perception factors for island tourism using FGI and Delphi techniques, and conducted a survey targeting potential consumers who are planning a trip to the five major islands of Boryeong City, and a total of 186 questionnaires were used for empirical analysis.
Results: As a result of factor analysis, risk perception for island tourism was classified into accident risk, loss risk, physical risk, and performance risk, and tourist attitude, and participation intention were classified as a single dimension. As a result of the regression analysis, it was found that physical risk, and accident risk had a significant effect on the attitude and participation intention toward island tourism. However, loss risk and performance risk did not appear to have a significant effect on attitude and intention to participate. Also it was found that the attitude has a significant effect on participation intention.
Conclusion: In the end, it was found that tourists’ perception of risk regarding island tourism made their attitudes toward island tourism negative and lowered their intention to participate. Therefore, advertising and marketing activities that highlight the safety of island tourism are necessary, and there is a need to lower risk perception by providing opportunities such as free island tours through promotions.
Job Creation and Workforce Development Strategies for Migrants in Medical Tourism: A Case Study of North Chungcheong Province
Authors:   The Convergence Tourism Contents Society, Digai Maksim Digai Maksim , Shin Kwangsoo
Published: January 2025

Purpose: This study investigates strategies for regional workforce development in the medical tourism industry, focusing on job creation for migrants in North Chungcheong Province, South Korea. Medical tourism is a growing sector with the potential to boost local economies, yet effective workforce strategies remain underdeveloped in many regions. This study addresses the need for skilled human resources that integrate local tourism assets with advanced medical services, a topic insufficiently explored in existing research.
Methods: The research employed a mixed-methods approach, including surveys and focus group interviews, to assess the demand for medical tourism professionals among marriage migrants, immigrants, and university students in North Chungcheong. Surveys measured interest and perceived barriers to employment, while focus groups provided qualitative insights into institutional challenges and workforce integration.
Results: While the number of foreign patients in North Chungcheong Province is increasing, it remains low relative to other regions. More than half of the respondents, including university students and migrants, expressed interest in medical tourism roles. However, focus group interviews revealed significant deficiencies in institutional support, specialized training, and workforce demand, indicating barriers to effective workforce integration.
Conclusion: This study recommends establishing a regional medical tourism support center to recruit, train, and support skilled migrants, leveraging local resources and technology to enhance industry specialization. This approach is anticipated to alleviate the burden on local governments, foster sustainable job creation, and contribute to a robust infrastructure tailored to regional needs.
中华人民共和国生态保护和修复创新型投融资研究
Authors:   China Academy of Macroeconomics, Lan Haitao , Wang Libin ,   China Agricultural University, Rosenkranz Peter ,   Asian Development Bank
Published: January 2025

随着中华人民共和国（中国）持续加大生态保护和修复支出，本简报概述了与此相关的创新型投融资机制，并展示了如何通过激励社会资本投资者来推动亟待开展的项目。
本简报探讨了新兴的绿色基金、绿色保险及碳金融产品，研究了多边金融组织与各国政府如何为生态项目提供优惠贷款。在阐释修复脆弱生态系统的成本十分高昂后，简报强调了地方政府参与的重要性，并提出了一系列建议。这些建议也可供其他国家在应对类似挑战时借鉴参考。
Analysis of a Lorenz model using adomian decomposition and fractal-fractional operators
Authors: Yan Tao , Alhazmi Muflih , Youssif Mukhtar , Elhag Amna , Aljohani Abdulrahman , Saber Sayed
Published: January 2025

This paper extends the classical Lorenz system to incorporate
fractal-fractional dynamics, providing a detailed numerical analysis of its
chaotic behavior. By applying Caputo's fractal-fractional operators to the
Lorenz system, the study explores the fractal and fractional nature of
non-linear systems. Numerical methods are employed to solve the extended
system, with suitable fractal and fractional orders chosen to demonstrate
chaos and hyper-chaos. The results are presented graphically, highlighting
the complex dynamic behavior of the system under different parameter
conditions. This research advances the understanding of fractional calculus
in modelling and controlling chaotic systems in various scientific fields.
Heart failure risk prediction using azure data lake architecture with automated machine learning and machine learning approaches
Authors: Alghamdi Ahmed , Al Shehri , Almalki Jameel , Jannah Najlaa , Bahaddad Adel , Bokhary Abdullah
Published: January 2025

Cardiovascular disease is a chronic disease that is a leading cause of death
due to heart failure and blood stroke. The WHO records 17.9 million deaths
yearly due to heart-related diseases. Heart failure occurs worldwide,
especially having a significant impact in low and middle-income countries.
Early diagnosis of heart disease is needed because a patient can face
serious complexities if it is detected in the later stages of disease
progression. In addition, if heart disease is identified early, it is likely
to be cured. On the other hand, symptom identification of heart failure is
necessary for an accurate and optimum solution. The model reported in this
paper suggests a solution for the early diagnosis of heart disease. First,
data analysis is performed, and pre-processing approaches are applied to
prepare the dataset for model training. Raw data has noise and missing
values, which are treated correctly before being passed to the model.
Second, two types of algorithms are trained for the proposed solution.
Traditional machine learning algorithms are used in the form of support
vector machine, k-nearest neighbors, logistic regression, random forest,
artificial neural networks, decision tree, xgboost, and catboost to train
and test the model. In parallel, automated machine learning (AutoML) with an
Azure machine learning cloud instance is used for model training and
testing. Azure data lake cloud storage is utilized for model training and
running the AutoML process. Finally, the performance of the models was
evaluated using a University of California Irvine (UCI) machine learning
open-source dataset for heart failure diagnosis. The AutoML outperformed
when compared with traditional algorithms. The highest accuracy value
obtained for the best machine learning algorithm was xgboost, with an
accuracy of 82.22%, whereas the accuracy value obtained using AutoML was
88%. The proposed model can be used for clinical purposes due to its
performance and the approach applied.
Eläkeikäiseen väestöön kohdistuva epidemiologinen tutkimus
Authors: Heikkinen Eino
Published: January 2025

Eläkeikäisen väestön terveys, toimintakyky ja palvelujen tarve ovat mitä ajankohtaisimpia epidemiologisen tutkimuksen kohteita. Useita vuosikymmeniä jatkuneesta ja erityisesti viime vuosikymmenen aikana voimakkaasti laajentuneesta tutkimuksesta huolimatta näitä kysymyksiä koskevassa tieteellisessä kirjallisuudessa on runsaasti ristiriitaisia havaintoja ja tulkintoja. Tämä puolestaan aiheuttaa epävarmuutta ja horjuvuutta sekä kliinisessä että muussa vanhustyössä.
Lisätietoa tarvitaan muun muassa "normaalista" vanhenemisesta, iäkkäillä tavallisten sairauksien vaaratekijöistä ja erityispiirteistä, sairauksien ehkäisymahdollisuuksista, pitkäikäisyyteen vaikuttavista tekijöistä sekä keinoista, joiden avulla voitaisiin ylläpitää ja parantaa itsenäisen elämän edellyttämää toimintakykyä vanhuudessa. Tarvittava tutkimustyö edellyttää usein monitieteistä lähestymistapaa, edustavia väestöotoksia ja eri ajankohtina syntyneiden kohorttien vertailua ja seurantaa.
Koska sosiaaliset ja kulttuuriset tekijät ovat vahvasti mukana kuvassa, on tutkimustyö riittävässä määrin ankkuroitava suomalaiseen väestöön ja yhteiskuntaan. Tutkimustarvetta vastaavia voimavaroja ei meillä kuitenkaan vielä ole.
Aggressiivisuuden osatekijät
Authors: Romanov Kalle , Koskenvuo Markku , Kaprio Jaakko
Published: January 2025

Aggressiivisuuden ja vihamielisyyden tutkimusmenetelmä STAXIn (C.D. Spielberger: State-Trait Anger Expression Inventory) suomennettua versiota testattiin postikyselyllä 33-37-vuotiailla koehenkilöillä (N=550). Menetelmän toimivuutta verrattiin alkuperäiseen ja lisäksi verrattiin koehenkilön omaa raportointia hänen puolisonsa arvioon, jolloin saatiin käsitys menetelmän luotettavuudesta. STAXIn suomenkielisen version neljän asteikon ominaisuudet todettiin samanlaisiksi kuin alkuperäisen menetelmän. Koehenkilön ja hänen puolisonsa arvioiden korrelaatiot osoittivat kaikkien asteikkojen ulkoisen luotettavuuden olevan hyvä (r = .39 - .49). STAXIn 34-osioinen suomenkielinen versio mahdollistaa aggressiivisuuden ja vihamielisten tunteiden kokemisen (Trait anger), ilmaisemisen (Anger-in, Anger-out) ja kontrolloinnin (Anger control) arvioinnin varsin suppean kyselylomakkeen avulla.
Mobilitas Sosial dan Kesejahteraan Masyarakat Buruh PLTU
Authors: Rosana Ellya , Astuti Yuliana Widi
Published: January 2025

Kebutuhan manusia yang semakin kompleks memaksa seseorang harus terus berusaha untuk mencari pekerjaan demi bisa memenuhi kebutuhan primer dan sekunder. untuk bisa memenuhi kebutuhan tersebut manusia melakukan perubahan-perubahan dalam mencapai kehidupan yang lebih baik. Dalam penelitian ini, gerak perubahan yang dimaksud oleh peneliti adalah perubahan atau peralihan mata pencaharian masyarakat yang mengalami mobilitas menjadi buruh industri PLTU. Mobilitas sosial secara tidak langsung akan berdampak pada kesejahteraan pelaku mobilitasnya. Berdasarkan permasalahan diatas penulis merumuskan beberapa rumusan masalah. tentang proses mobilitas sosial buruh PLTU dan PLTU dalam meningkatkan kesejahteraan masyarakat desa Tarahan. Metode penelitian dalam skripsi ini adalah deskriptif kualitatif dengan menggunakan jenis penelitian lapangan (Field reserch). Adapun sifat dari penelitian ini adalah Deskriptif yaitu penulis akan mendeskripsikan data temuan lapangan. Metode pengumpulan data berupa observasi dimana peneliti mengamati secara langsung dilapangan, wawancara dan dokumentasi. Dalam wawancara yang digunakan kepada informan menggunakan teknik purposive sampling. Teori yang digunakan untuk menganalisis dalam penelitian ini adalah teori tindakan sosial yang dikemukakan oleh Max Weber. Hasil penelitian ini menunjukan bahwa proses mobilitas sosial masyarakat sehingga menjadi buruh di industri PLTU dikarenakan beberapa faktor pendorong yaitu, faktor ekonomi, faktor penggusuran lahan, faktor iklim dan faktor keahlian seseorang. PLTU memiliki peran yang sangat besar dalam upaya meningkatkan kesejahteraan sosial keagamaan masyarakat desa melalui program-program yang dimiliki, yaitu, program pertanian, program ternak bergilir, subsidi pembangunan sarana dan prasarana desa, program sunat massal, program berbagi di bulan ramadhan, Program Sumur Bor Dan Kamar Mandi Permanen  dan program pemotongan hewan qurban
Índice de Tolerancia a Salinidad de Ecotipos de Mango (Mangifera indica) en el Caribe Seco Colombiano
Authors: Piraneque Gambasica Nelson Virgilio , Aguirre Forero Sonia Esperanza , Cruz O´Byrne Rosmery Katherine
Published: January 2025

La variación climática trae cambio en las precipitaciones con menores volúmenes, pero mayor intensidad, acompañada de sequías prolongadas, incremento en la temperatura y aumento de altura del nivel del mar en zonas costeras induciendo a salinidad del agua de riego y de los suelos. El cultivar «Magdalena river» denominado Hilaza, es un mango reconocido en Colombia por su tolerancia a salinidad, no obstante, fluctúa según los ecotipos de cada región. Por lo que el objetivo del presente artículo fue el de evaluar el comportamiento de cinco ecotipos (ECO) del cultivar a la aplicación de agua con cloruro de sodio con diferentes concentraciones salinas (CE <1084 µS.cm-1, 1084 µS.cm-1, 2163 µS.cm-1, 4031 µS.cm-1 y 7631 µS.cm-1). En macetas de 20 kg de capacidad y en un diseño de bloques al azar, se determinó biomasa aérea, de raíces y total, masa seca, índice de tolerancia salino (ITS), contenido nutricional a nivel foliar e interacciones edáficas de los mismos en un periodo de 160 días. Los resultados no mostraron diferencias significativas en las variables medidas y permitieron verificar que el ECO3 y ECO5 mostraron los mayores ITS (2,59 y 1,81, respectivamente) y la reducción de contenidos foliares de fosforo y nitrógeno, ante el incremento de sodio y calcio, este último elemento importante para atenuar los efectos adversos del NaCl. A nivel edáfico, se incrementó el porcentaje de sodio intercambiable indicador de salinidad de suelos. Los beneficios potenciales obtenidos con ECO3 y ECO5 para su incorporación en programas de mejoramiento vegetal son significativos, siendo de interés para incrementar la tolerancia del mango a condiciones salinas en el Caribe seco colombiano.
Dialektik und Kritik
Authors: Mattli Conrad
Published: January 2025

Philosophie im Sinne Adornos bedeutet, die Traditionslinien der Dialektik und der Kritik miteinander engzuführen. Diese Engführung erfolgte bislang vor allem gemäß der Vorgabe Hegels - mit dem Resultat, dass das Profil einer dezidiert negativen Dialektik durch Identitätsdenken überformt und in der Forschung als mangelhafte Kopie der positiv-spekulativen Dialektik gehandelt wurde. Dagegen schlägt diese Arbeit vor, dieses Profil von Kant her zu sichten: Indem die Grundzüge von Adornos Kantinterpretation erhellt werden, soll deren systematische Bedeutung für das adornosche "Antisystem" zur Geltung gelangen. Negative Dialektik, so die These, ist nur als grenzbegriffliche Reflexion auf den Erkenntnisanspruch der traditionellen Dialektik möglich.
Literatur im Museum und literarische Musealität
Authors: Rhein Jan
Published: January 2025

Unter Rückgriff auf Ansätze der Museologie und der kulturwissenschaftlich erweiterten Literaturwissenschaft entwickelt die Studie Analysemodelle, um literarische Praktiken im Museum und museale Aspekte in der Literatur zusammenzudenken. Dies eröffnet neue Zugänge zu Autorinnen und Autoren, die in beiden Feldern aktiv sind, und ungewöhnliche Perspektiven auf deren Gesamtwerk.
Erprobt werden diese Ansätze anhand zweier Autoren, die hier erstmals ausführlich unter dem Aspekt der Musealität untersucht werden: Jean-Philippe Toussaint und Michel Houellebecq. Toussaints Ausstellung Livre/Louvre und Houellebecqs Ausstellung Rester Vivant werden jeweils im Kontext des literarischen Gesamtwerks beider Autoren betrachtet.
Grundwissen Sales Management
Authors: Steiner Julia
Published: January 2025

Der praxisnahe Leitfaden für einen erfolgreichen Einstieg in den Vertrieb.
Der Einstieg in die Welt des Vertriebs kann herausfordernd sein - insbesondere in der dynamischen und wettbewerbsintensiven Konsumgüterindustrie. Auf Basis ihrer umfassenden Erfahrung vermittelt die Autorin einen zielgerichteten und praxisnahen Überblick über die zentralen Vertriebsthemen.
Dieses Handbuch kombiniert die wichtigsten theoretischen Grundlagen mit realen Fallstudien, die durch Lösungsskizzen verständlich und einprägsam ergänzt werden, um das erlernte Wissen unmittelbar in die Praxis zu überführen.
Zusätzlich enthält das Handbuch wertvolle Praxistipps, wie ein erfolgreicher Karrierestart im Vertrieb selbstwirksam gestaltet werden kann.
Grundwissen Sales Management ist der ideale Begleiter für alle, die ihre ersten Schritte im Vertrieb gehen und sich das notwendige Rüstzeug für eine erfolgreiche Laufbahn aneignen möchten.
Evaluation of new release Global Geopotential Model (GGMS) over East Malaysia
Authors: Othman Noorhurul A. , Pa’suya Muhammad F. , Md Din Ami H. , Che Aziz Mohamad A. , Nurul S. Hazelin Noor Azmin , Mohd A. Abd Samad , Abdullah Mohd A.
Published: January 2025

Global Geopotential Model (GGM) is a mathematical representation of the Earth’s gravity field and geoid, which is developed to provide accurate information about the variations in the Earth’s gravitational potential across the entire globe. Recently numerous organizations and research centres have developed multi GGMs derived from several types of available gravity and height datasets to estimate orthometric heights from GNSS measurements. In this study, we present an accuracy evaluation and assessment of the nineteen recent and popular GGMS using actual GNSS/levelling points, and gravity anomaly points. The goal of this research is to find the optimum model for the study area which is located in the East Malaysia for further determination of geoid modelling in the regional scale. The selection of these areas basically is due to their renowned for uncontrolled topography and various datums. The results indicate that for geoid undulation, the XGM2019e_2159 with value of 0.195 model is the best fit GGM for the estimation model for East Malaysia. For gravity anomalies, the most reliable GGM for the study area is GO_CONS_GCF_2_DIR_R5 with RMSE of 32.456