bluuebunny/crossref_metadata_2025 huggingface dataset:
LEGAL PROTECTION OF POLICY HOLDERS AGAINST INSURANCE COMPANIES EXPERIENCED BANKRUPTCY
Authors: Mahatma Laode Man
Published: July 2024

The unequal position between insurance policy holders and insurance companies as applied to standard agreements, causes the function of legal protection for insurance policy holders to be questioned. One of the institutions that has the authority and functions to provide legal protection is the Financial Services Authority (OJK) as regulated in Law Number 21 of 2011 Article 55 paragraph (1). The transfer of risk in an insurance agreement is carried out in return for a premium payment by the insured which is deemed commensurate with the risk that must be insured, although the claim payment as fulfillment of performance is not necessarily equal to the premium amount. The formulation of the problem discussed is: What are the effects of Insurance Company Bankruptcy Law on Insurance Engagements? What are the responsibilities of an insurance company experiencing bankruptcy towards policy holders to obtain their rights in accordance with the agreement? What are the legal remedies for policyholders in the bankruptcy process? The research method used is a normative juridical method, namely analyzing legal issues, facts and other legal phenomena related to the legal approach, then obtaining a comprehensive picture of the problem to be studied. Based on the research results, the author concludes that the legal consequences of the bankruptcy of an Insurance Company give the Policy Holder the right to receive priority in receiving their rights to the distribution of their assets over other parties, and the responsibility of the company in the insurance sector which has been declared bankrupt to the holder's claim. policy from the insurance sector in the bankruptcy process, the directors have responsibilities during the bankruptcy process, from before until after the Company is declared bankrupt.
APPLICATION OF CRIMINAL RESPONSIBILITY LAWS FOR OFFENDERS PARTICIPATING IN NARCOTICS ABUSE
Authors: Pudjawijaya IGM Seli , Pratiwi Siswantari , Mardani
Published: July 2024

The consequences caused by narcotics abuse are very detrimental to the continuity of life of the younger generation as the majority, which ultimately impoverishes a country because it does not have a quality next generation to replace the generation that has entered retirement age. The problem is : How is the application of the law on criminal liability for perpetrators who participate in narcotics abuse (Case Study of Decision Number 46/Pid.Sus/2017/PN Mln and Decision Number 89/Pid.B/2015/PN Mam ? How do judges consider decisions regarding perpetrators who participate? narcotics abuse (Decision Number 46/Pid.Sus/2017/PN Mln and Decision Number 89/Pid.B/2015/PN Mam )? The research method used is normative legal research. The conclusion is that participating in Indonesian narcotics criminal law is an act that can be punished as considered by the panel of judges in decision Number 46/Pid.Sus/2017/PN Mln and Decision Number 89/Pid.B/2015/PN Mam and the basis for the judge's consideration is that it can be analyzed, namely considering all aspects related to the main case that occurred and then looking for statutory regulations that are relevant to the main disputed case as a legal basis. in rendering a decision.
Penerapan Budaya Srawung pada Redesain Pasar Kaputran Selatan di Surabaya
Authors: Satriyono Adiska Putra Bagas , Muhammad Faisal  , Febby Rahmatullah Masruchin
Published: July 2024

Pasar tradisional sebagai entitas ekonomi dan budaya dihadapkan pada tantangan keberlanjutan, terutama di era globalisasi dan modernisasi. Artikel ini mengusulkan konsep "Pasar Rakyat Glura Srawung" sebagai inovasi desain untuk menjawab permasalahan yang dihadapi oleh Pasar Keputran Selatan di Kota Surabaya. Konsep ini mengintegrasikan fleksibilitas aksesibilitas pasar, modul lapak yang fleksibel, dan penerapan nilai-nilai budaya Srawung dalam lingkungan pasar. Melalui pendekatan deskriptif kualitatif, penelitian ini menghasilkan desain pasar yang diharapkan dapat meningkatkan vitalitas pasar, mempertahankan budaya lokal, dan memberikan kontribusi terhadap pelestarian pasar tradisional. Penelitian ini juga membahas potensi konsep Glura sebagai model untuk diterapkan pada pasar tradisional lainnya dan memberikan landasan bagi studi lanjutan dalam pengembangan desain pasar yang berkelanjutan.
POLÍTICAS PÚBLICAS NA EDUCAÇÃO PROFISSIONAL E TECNOLÓGICA
Authors: Soares Lorena Muniz , Sá Marcelle Perpétuo Rodrigues da , Santos Irvana Góes dos
Published: July 2024

Esta pesquisa tem como objetivo compreender os atuais desafios das Políticas Públicas na Educação Profissional e Tecnológica na construção de um conhecimento crítico. Nesse contexto, como problemática, buscamos analisar em que medida fatores históricos impactam nos dias atuais a formação oferecida por essa modalidade, no que se refere à formação de professores diante dessa perspectiva profissional e tecnológica? Diante dos fatores históricos, primeiramente, a educação profissional está presente no Brasil desde a época colonial e possui marcos que dividiram a modalidade essencialmente para a classe trabalhadora, contribuindo para uma educação dualista que separa a qualidade de ensino entre os mais ricos e pobres. Nos anos 2000, os objetivos dessa modalidade passaram por mudanças. A atual Educação Profissional e Tecnológica (EPT) foi implementada em 2008 sob a Lei 11.892, que transformou os CEFET nos atuais Institutos Federais, com um ensino que abrange desde o ensino médio até o nível da Pós-Graduação. Apesar dos novos objetivos de qualificar e preparar para o mercado de trabalho com a consolidação de um ensino crítico, que torna o aluno autônomo e conhecedor de sua realidade social, ao observar a formação docente na EPT, é notável que muitos professores iniciam na docência sem a qualificação adequada, assumindo diferentes responsabilidades, elaborando planos de ensino em diferentes níveis educacionais e enfrentando extensa jornada de trabalho, entre outras funções. Assim, trata-se de uma pesquisa bibliográfica de artigos e livros que abordam a temática pesquisada, com abordagem qualitativa. Os resultados encontrados destacam que, apesar da formação inicial e continuada ser exigida pela lei aos professores ingressantes nos Institutos Federais e de possuírem o direito de participar de formação inicial, que pode ser uma segunda licenciatura ou uma Pós-graduação lato sensu, constata-se, contudo, que mesmo após 15 anos da criação dos Institutos Federais ainda se carece de políticas públicas educacionais que preparem para o ensino verticalizado, do ensino médio à Pós-graduação, o que contribui para um ensino tradicional e reprodutor benéfico para o capital e  que dificulta uma formação crítica docente e, posteriormente, discente.
Scape room para la evaluación de competencias matemáticas
Authors: Quishpe Mosquera Kleber David , Machado Guerrero Jorge Oswaldo , Rodríguez Trujillo Andrea Vanesa , Barros Pilaquinga Tatiana Alexandra , Pachacama Tipán Maritza Gabriela
Published: July 2024

El presente trabajo de investigación se basa en el estudio del Scape Room educativo como una estrategia innovadora para la evaluación del aprendizaje de matemática, desarrollado en la Unidad Educativa de Fuerzas Armadas Liceo Naval Quito. El objetivo de este estudio fue determinar la percepción del Scape Room por parte de los estudiantes en torno al desarrollo de competencias matemáticas. Se utilizó un enfoque mixto, documental y de campo. Para la recolección de información se utilizaron encuestas validadas por medio del coeficiente de Alfa de Cronbach, las encuestas fueron dirigidas a estudiantes. Se trabajó con una población de 177 estudiantes desde octavo grado de educación general básica hasta tercer curso de bachillerato. Como resultados a destacar se aprecia que el Scape Room presenta un nivel de impacto positivo en el desarrollo de competencias matemáticas: socialización, innovación y creatividad, cognición de temas, trabajo colaborativo y efectividad. En consecuencia, se evidencia un impacto positivo del Scape Room como estrategia de evaluación de competencias matemáticas. Se reconoce también el desarrollo de otros aspectos como: desafío mental, diversión y entretenimiento, aplicación práctica de la matemática y liderazgo.
Integración de habilidades psicosociales en las ciencias administrativas y su impacto en el desempeño profesional
Authors: Ramírez Moreno Francisco
Published: July 2024

Este trabajo analiza la importancia de las habilidades psicosociales en su integración en los campos de las carreras administrativas y de negocios, así como su incidencia en el desempeño profesional. La investigación utiliza métodos cualitativos, como encuestas teóricas y entrevistas abiertas con profesionistas destacados en importantes empresas. Los hallazgos muestran que, aunque las habilidades psicosociales están parcialmente incluidas en los programas de estudio universitarios, todavía necesitan un refuerzo significativo que las apuntale. Los graduados que reciben capacitación en estas habilidades, exhiben un mejor desempeño de liderazgo, promoviendo un entorno de trabajo más positivo y productivo. El estudio concluye que las instituciones de educación superior y las empresas debieran promover una formación integral que incluya habilidades psicosociales, mejorando las capacidades de liderazgo y gestión y motivando a sus equipos.
Musical Play as Therapy in an Early Intervention Programme
Authors: Wylie Julie , Foster-Cohen Susan
Published: July 2024

Effective therapeutic use of music for very young children with multi-system developmental disabilities involves engaging them and their parents/caregivers in musical play activities that can regulate the children’s (and parents’) physiological systems, strengthen parent-child relationships, and open children’s minds to physical, social emotional and intellectual learning and development; both in the context of music therapy and in response to goals set by a multi-disciplinary team. This article, based on a presentation given at the ISME conference in Greece in 2012, describes the therapy programmes at the Champion Centre in Christchurch, New Zealand and presents four case studies designed to illustrate the type and range of activities that have been shown to be effective over twenty years of experience. They show how when music practitioners follow the child’s lead, and draw the parents into the interaction as full partners, the well-being of children is enhanced and their parents are encouraged to engage in similar activities at home, thereby extending music’s therapeutic  reach and effectiveness.
Undergraduates’ Satisfaction of Online Food and Beverage Services Amidst Financial Distress in Nnewi Urban, Anambra State, Nigeria
Authors: Ikegwuonu Eucharia A. ,   Department of Home Economics and Hospitality Management, University of Nigeria, Nsukka. Enugu State, Nigeria., Allen Juliet E. , Ijomah Mary E. ,   Department of Home Science and Management, Rivers State University, Port-Harcourt, Nigeria.,   Admiralty University of Nigeria, Ibusa, Delta State, Nigeria.
Published: July 2024

This study determined undergraduates’ satisfaction of online food and beverage services amidst financial distress in Nnewi urban, Anambra State, Nigeria. Descriptive survey research design was used by the study. Population consisted of 3,509 students. Sample size was 35. Questionnaire was the instrument used for data collection. Data was analyzed using mean and standard deviation. Findings revealed that different types of food and beverage products were purchased online. The problems undergraduates face in online food and beverage services included delayed delivery, use of artificial food colouring and fear of food contamination. Strategies for enhancing students’ satisfaction of online purchases included timely delivery of products ordered and appropriate delivery mechanism. Findings also showed that the ways online food and beverage purchases can influence undergraduate’s finances included high cost of online food products, additional cost for delivery among others. Among recommendations made was that online food vendors should ensure that food products delivered are same with products ordered by customers in order to enhance customer satisfaction.
The Association Between Asphyxia and Neonatal Pathological Jaundice Incidence in Umbu Rara Meha Hospital East Sumba Regency
Authors: Hartati Liawat Fitri , Andriyanti Andriyanti , Utomo Budi
Published: July 2024

Jaundice causes 70% morbidity and 10% infant mortality worldwide,  approximately 1.1 million newborns are affected by jaundice every year. The purpose of this study was to analysis the association  between asphyxia and the incidence of neonatal pathological  jaundice at Umbu Rara Meha Hospital, East Sumba Regency. The research used a quantitative method with case and control approach using secondary collection data medical records from January to October 2023. The sample ratio was 1:1, the case group sample is 75 babies with jaundice and the control group sample is 75 babies who were born in the hospital. The sampling taken by consecutive sampling. The analysis used the Chi-square test. The data analysis showed there was an association between asphyxia and neonatal pathological jaundice incidence  with p=0.001. The data result showed there was an association between asphyxia and neonatal pathological jaundice incidence at Umbu Rara Meha Hospital, East Sumba Regency.
The Teenage Pregnancy Crisis in South Africa Among High School Students, Causes, Implications and Possible Solutions: A Literature Review
Authors: Mbongwa Lethiwe , Mpanza Siphesihle , Mlambo Victor H
Published: July 2024

The objective of this paper was to examine the causes, implications, and possible solutions to the teenage pregnancy crisis in South African high schools. The paper employed a qualitative literature review using secondary data in order to answer the objective of this paper. The paper employed the Ecological Systems The theory proposed explanation for the high rate of teen pregnancy among south African high school students. The paper found that there may be a variety of ramifications from the rising incidence of teenage pregnancy among South African high school pupils. They are interrupted from progressing with their education; they may also experience health- and psychological-related risks and social distress. The paper suggested that making contraceptives more accessible should also involve providing thorough contraception counselling for young high school girls, allowing them to make informed choices. Finally, the Department of Education should consider revising subject policies to accommodate the necessary changes, such as comprehensive sex education in schools.
Impacts of Computer-Managed Instruction in Basic Technology Education in Junior Secondary Schools in Anambra State
Authors: Alutu Chidozie Emeka
Published: July 2024

This study utilised a cross-sectional survey design in order to evaluate the impact of computer-managed instruction (CMI) on teaching basic technology in junior secondary schools in Anambra State. Covering the Onitsha Education Zone, the study employed a multi-stage sampling to select 20 schools and 840 students and teachers. Data was collected through a structured questionnaire assessing CMI availability and impact, validated by experts and tested for reliability. The questionnaires were administered over a month, with data analysed using the SPSS software and statistical techniques. The results indicated a positive correlation between CMI integration and enhanced learning experiences, with students reporting increased motivation, interest, and engagement in Basic Technology lessons. Additionally, CMI is found to enhance problem-solving abilities, confidence in learning, and performance outcomes. Both teachers and students recognize the transformative possibilities of CMI, despite differences in their perceptions. These findings underscored the importance of embracing technological advancements in education to cultivate dynamic learning environments. The study offers practical implications for educational stakeholders, advocating for the continued integration of CMI to meet the evolving needs of students and prepare them for success in a digital age.
Pengaruh Kompetensi, Pengembangan Karir dan Kepuasan kerja terhadap Kinerja Pegawai
Authors: Aminah Aminah , Khotimah Khusnul , Irawan Andri , Mustajab Duta
Published: July 2024

This study is associative research aiming to analyze, identify, and explain the influence of Competence, Career Development, and Job Satisfaction on Employee Performance at the Ministry of Religious Affairs of Jayapura City, Papua Province. The data used in this research consist of 72 respondents from a total population of 254 employees, sampled using the Slovin Method with Simple Random Sampling as the Probability Sampling technique. The data source is primary data obtained from distributing questionnaires to all respondents. The statistical method employed to test the hypotheses is multiple linear regression analysis with the assistance of SPSS. The analysis results indicate that Competence, Career Development, and Job Satisfaction variables, both partially and simultaneously, positively and significantly affect the performance of Ministry of Religious Affairs employees in Jayapura City. This study not only highlights the dynamics within the Ministry of Religious Affairs in Jayapura City, Papua Province but also contributes to a deeper understanding of the factors influencing employee performance.
Legal Review of Binding Sale and Purchase Agreements (PPJB) in Transactions of Transfer of Land and/or Building Rights
Authors: Dahliani Kristin , Marwenny Elwidarifa
Published: July 2024

This research investigates land buying and selling mechanisms in Indonesia, focusing on the role and legal validity of the Sale and Purchase Agreement (PPJB) in transactions involving land and/or buildings. According to Article 1457 of the Civil Code, these transactions establish rights and obligations for both parties. While the PPJB serves as a preliminary agreement, its legal efficacy is limited and cannot replace the official deed issued by a notary/PPAT. The research addresses two primary issues: 1) Mechanisms of land transactions within society; and 2) Legal consequences of transactions conducted without a notary. Using a normative juridical method with a statutory and factual approach, the study concludes that: 1) Urban and rural land transactions in Indonesia exhibit significant differences; urban areas typically involve formal processes with notarial involvement, whereas rural areas often rely on traditional, non-notarial practices. 2) Transactions lacking notarial deeds are only oral agreements, susceptible to dispute and manipulation, thus risking unclear ownership and boundary issues. Purchasers lack legal proof of ownership and face potential claims from other parties, while sellers may remain legally liable for the property.
Fixed dose combination drugs for cardiovascular disease in Lebanon
Authors: Ansbro E , Masri S , Prieto-Merino D , Bahous SA , Molfino L , Boulle P , Perel P
Published: July 2024

INTRODUCTION
Cardiovascular disease (CVD) is the leading cause of death and disability globally, including in humanitarian contexts. Fixed-dose combination (FDC) drugs are cost-effective for primary and secondary prevention of CVD. From 2012 until the end of 2020, MSF provided care for CVD patients from Syrian refugee and host populations in primary care clinics in Tripoli, north Lebanon. In this implementation study, we assessed whether FDC use is linked with adherence to CVD medications and treatment simplification in a humanitarian setting.

METHODS
Our prospective, before-and-after cohort study followed CVD patients in MSF clinics in Lebanon during two consecutive six month periods. Eligible patients, enrolled February-May 2019, were switched to Trinomia® FDC (atorvastatin 20mg, aspirin 100 mg, ramipril 2.5/5/10/mg) after six months’ usual care. During the study, the Covid-19 pandemic, an economic crisis, and clinic closures occurred. Descriptive and regression analyses compared key outcomes: medication adherence, non-high density lipoprotein cholesterol (non-HDL-C) levels, and systolic blood pressure (SBP) control, at six and twelve months. We performed intention-to-treat analyses and secondary analyses of non-switchers.

ETHICS
This study was approved by the MSF Ethics Review Board, the LSHTM Research Ethics Committee, and the Lebanese American University’s Institutional Review Board.

RESULTS
Of 521 enrolled patients, 460 (88.3%) were retained at six months and 418 (80.3%) switched to FDC. By month 12, 84% of switched patients remained on FDC (n=351), 8.1% (n=34) discontinued, and 7.9% (n=33) were lost to follow-up. Among the 385 who initially switched and remained in the study at 12 months, total adherence improved by 23% from 63% (95% confidence intervals (CI) 0.58-0.68) at month six to 86% (95% CI 0.82-0.90) at month 12. Mean non-HDL-C levels dropped 0.28 millimoles/litre (mmol/L; 95% CI -0.38 to -0.1; p=0.000) from 2.39 (95% CI 2.26 - 2.51) to 2.11 mmol/L (95% CI 2.00 - 2.22); mean SBP dropped 3.07 mmHg (95% CI -4.76 to -1.38; p= 0004) from 132.7 (95% CI 130.8 - 134.6) to 129.7 mmHg (95% CI 127.9 - 131.5). Among non-switchers, total adherence was lower and improvements in clinical outcomes were less pronounced.

CONCLUSION
Implementing a CVD secondary prevention FDC was associated with better adherence and intermediate clinical outcomes inan MSF primary care clinic in Lebanon. Further operational experience is needed to ascertain how best to integrate and sustain CVD FDC’s in humanitarian operations. MSF could advocate for their broader use with other humanitarian actors and within public health systems of crisis-affected countries.

CONFLICTS OF INTEREST
None declared.
Assessing Team Performance: A Mixed-Methods Analysis Using Interprofessional in situ Simulation
Authors: Rider Ashley C. , Williams Sarah R. , Jones Vivien , Rebagliati Daniel , Schertzer Kimberly , Gisondi Michael A. , Sebok-Syer Stefanie S.
Published: July 2024

Introduction: Optimizing the performance of emergency department (ED) teams impacts patient care, but the utility of current, team-based performance assessment tools to comprehensively measure this impact is underexplored. In this study we aimed to 1) evaluate ED team performance using current team-based assessment tools during an interprofessional in situ simulation and 2) identify characteristics of effective ED teams. Methods: This mixed-methods study employed case study methodology based on a constructivist paradigm. Sixty-three eligible nurses, technicians, pharmacists, and postgraduate year 2–4 emergency medicine residents at a tertiary academic ED participated in a 10-minute in situ simulation of a critically ill patient. Participants self-rated performance using the Team Performance Observation Tool (TPOT) 2.0 and completed a brief demographic form. Two raters independently reviewed simulation videos and rated performance using the TPOT 2.0, Team Emergency Assessment Measure (TEAM), and Ottawa Crisis Resource Management Global Rating Scale (Ottawa GRS). Following simulations, we conducted semi-structured interviews and focus groups with in situ participants. Transcripts were analyzed using thematic analysis. Results: Eighteen team-based simulations took place between January–April 2021. Raters’ scores were on the upper end of the tools for the TPOT 2.0 (R1 4.90, SD 0.17; R2 4.53, SD 0.27, IRR [inter-rater reliability] 0.47), TEAM (R1 3.89, SD 0.19; R2 3.58, SD 0.39, IRR 0.73), and Ottawa GRS (R1 6.6, SD 0.56; R2 6.2, SD 0.54, IRR 0.68). We identiﬁed six themes from our interview data: team member entrustment; interdependent energy; leadership tone; optimal communication; strategic stafﬁng; and simulation empowering team performance. Conclusion: Current team performance assessment tools insufﬁciently discriminate among high performing teams in the ED. Emergency department-speciﬁc assessments that capture features of entrustability, interdependent energy, and leadership tone may offer a more comprehensive way to assess an individual’s contribution to a team’s performance.
A Novel Use of the “3-Day Rule”: Post-discharge Methadone Dosing in the Emergency Department
Authors: Nikolaides Jenna K. , Tran Tran H. , Ramsey Elisabeth , Salib Sophia , Swoboda Henry
Published: July 2024

Introduction: Methadone is a medically necessary and lifesaving medication for many patients with opioid use disorder. To adequately address these patients’ needs, methadone should be offered in the hospital, but barriers exist that limit its continuation upon discharge. The code of federal regulations allows for methadone dosing as an inpatient as well as outpatient dispensing forup to three days to facilitate linkage to treatment. As a quality initiative, we created a new workﬂow for discharging patients on methadone to return to the emergency department (ED) for uninterrupted dosing. Methods: Our addiction medicine team changed hospital methadone policy to better allow hospitalization as a window of opportunity to start methadone. This necessitated the creation of a warm-handoff process to link patients to methadone clinics if that linkage could not happen immediately on discharge. Thus, our team created the “ED Bridge” process, which uses the “3-day rule” to dispense methadone from the ED post hospital discharge. We then followed every patient we directed through this workﬂow as an observational cohort for outcomes and trends. Results: Of the patients for whom ED bridge dosing was planned, 40.4% completed all bridge dosing and an additional 17.3% received at least one but not all bridge doses. Established methadone patients made up 38.1% of successful linkages, and 61.9% were patients who were newly started on methadone in the hospital. Conclusion: Improving methadone as a treatment option remains an ongoing issue for policymakers and advocates. Our ED bridge workﬂow allows us to expand access and continuation of methadone now using existing laws and regulations, and to better use hospitals as a point of entry into methadone treatment.
Bystanders Saving Lives with Naloxone: A Scoping Review on Methods to Estimate Overdose Reversals
Authors: Kinoshita Andrew T. , Saadat Soheil , Chakravarthy Bharath
Published: July 2024

Introduction: People who use drugs in community settings are at risk of a fatal overdose, which can be mitigated by naloxone administered via bystanders. In this study we sought to investigate methods of estimating and tracking opioid overdose reversals by community members with take-home naloxone (THN) to coalesce possible ways of characterizing THN reach with a metric that is useful for guiding both distribution of naloxone and advocacy of its beneﬁts. Methods: We conducted a scoping review of published literature on PubMed on August 15, 2022, using PRISMA-ScR protocol, for articles discussing methods to estimate THN reversals in the community. The following search terms were used: naloxone AND (“take home” OR kit OR “community distribution” OR “naloxone distribution”). We used backwards citation searching to potentially ﬁnd additional studies. Overdose education and naloxone distribution program-based studies that analyzed only single programs were excluded. Results: The database search captured 614 studies, of which 14 studies were relevant. Backwards citation searching of 765 references did not reveal additional relevant studies. Of the 14 relevant studies, 11 were mathematical models. Ten used Markov models, and one used a system dynamics model. Of the remaining three articles, one was a meta-analysis, and two used spatial analysis. Studies ranged in year of publication from 2013–2022 with mathematical modeling increasing in use over time. Only spatial analysis was used with a focus on characterizing local naloxone use at the level of a speciﬁc city. Conclusion: Of existing methods to estimate bystander administration of THN, mathematical models are most common, particularly Markov models. System dynamics modeling, meta-analysis, and spatial analysis have also been used. All methods are heavily dependent upon overdose education and naloxone distribution program data published in the literature or available as ongoing surveillance data. Overall, there is a paucity of literature describing methods of estimation and even fewer with methods applied to a local focus that would allow for more targeted distribution of naloxone.
A Measure of the Impact on Real-Time Patient Care of Evidence-based Medicine Logs
Authors: Brown Jeffrey B. , Varadhan Ajay K. , Albers Jacob R. , Kudrimoti Shreyas , Cervantes Estelle , Sgobba Phillip , Yenser Dawn M. , Kane Bryan G.
Published: July 2024

Introduction: Evidence-based medicine (EBM) is a critical skill for physicians, and EBM competency has been shown to increase implementation of best medical practices, reduce medical errors, and increase patient-centered care. Like any skill, EBM must be practiced, receiving iterative feedback to improve learners’ comprehension. Having residents document patient interactions in logbooks to allow for residency program review, feedback, and documentation of competency has been previously described as a best practice within emergency medicine (EM) to document practice-based learning (PBL) competency. Quantifying how residents use the information they query, locate, evaluate, and apply while providing direct patient care can measure the efﬁcacy of EBM education and provide insight into more efﬁcient ways of providing medical care. Methods: Practice-based learning logs were surveys created to record resident EBM activity on-shift and were placed into our residency management software program. Residents were required to submit 3–5 surveys of EBM activity performed during a 28-day rotation during which additional information was sought. This study included all PBL logs completed by EM residents from June 1, 2013–May 11, 2020. Using qualitative methodology, a codebook was created to analyze residents’ free-text responses to the prompt: “Based on your research, would you have done anything differently?” The codebook was designed to generate a three-digit code conveying the effect of the researched information on the patient about whom the log was written, as well as whether the information would affect future patient care and whether these decisions were based on scientiﬁc evidence. Results: A total of 10,574 logs were included for primary analysis. In total, 1,977 (18.7%) logs indicated that the evidence acquired through research would affect future patient care. Of these, 392 (3.7%) explicitly stated that the EBM activity conducted as part of our project led to real-time changes in patient care in the ED and would change future management of patients as well. Conclusion: We present a proof of concept that PBL log activity can lead to integration of evidence-based medicine into real-time patient care. While a convenience sample, our cohort recorded evidence of both lifelong learning and application to patient care.
End-tidal Carbon Dioxide Trajectory-based Prognostication of Out-of-hospital Cardiac Arrest
Authors: Wang Chih-Hung , Lu Tsung-Chien , Tay Joyce , Wu Cheng-Yi , Wu Meng-Che , Huang Chun-Yen , Tsai Chu-Lin , Huang Chien-Hua , Ma Matthew Huei-Ming , Chen Wen-Jone
Published: July 2024

Background: During cardiopulmonary resuscitation (CPR), end-tidal carbon dioxide (EtCO2) is primarily determined by pulmonary blood ﬂow, thereby reﬂecting the blood ﬂow generated by CPR. We aimed to develop an EtCO2 trajectory-based prediction model for prognostication at speciﬁc time points during CPR in patients with out-of-hospital cardiac arrest (OHCA). Methods: We screened patients receiving CPR between 2015–2021 from a prospectively collected database of a tertiary-care medical center. The primary outcome was survival to hospital discharge. We used group-based trajectory modeling to identify the EtCO2 trajectories. Multivariable logistic regression analysis was used for model development and internally validated using bootstrapping. We assessed performance of the model using the area under the receiver operating characteristic curve (AUC). Results: The primary analysis included 542 patients with a median age of 68.0 years. Three distinct EtCO2 trajectories were identiﬁed in patients resuscitated for 20 minutes (min): low (average EtCO2 10.0 millimeters of mercury [mm Hg]; intermediate (average EtCO2 26.5 mm Hg); and high (average EtCO2: 51.5 mm Hg). Twenty-min EtCO2 trajectory was ﬁtted as an ordinal variable (low, intermediate, and high) and positively associated with survival (odds ratio 2.25, 95% conﬁdence interval [CI] 1.07–4.74). When the 20-min EtCO2 trajectory was combined with other variables, including arrest location and arrest rhythms, the AUC of the 20-min prediction model for survival was 0.89 (95% CI 0.86–0.92). All predictors in the 20-min model remained statistically signiﬁcant after bootstrapping. Conclusion: Time-speciﬁc EtCO2 trajectory was a signiﬁcant predictor of OHCA outcomes, which could be combined with other baseline variables for intra-arrest prognostication. For this purpose, the 20-min survival model achieved excellent discriminative performance in predicting survival to hospital discharge.
Development and Validation of the Criminal Aptitude Inventory (Urdu): A Comprehensive Assessment Across Convicted Prisoners and the General Population
Authors: Husain Waqar , Murtaza Aqsa , Ahmad Husain Muhammad , Ijaz Farrukh
Published: July 2024

Background: Criminal aptitude testing benefits police and other fields of law enforcement. Earlier literature lacked an Urdu-language scale for criminal aptitude. Objectives: The present study developed and validated a new scale to measure criminal aptitude in Urdu speakers. Methods: The development and validation of the Criminal Aptitude Inventory (CAI) unfolded across three distinct phases, involving a total of 1675 participants (51.34% women), including convicted prisoners (37.33%). In the initial phase, the CAI underwent development and preliminary validation through exploratory factor analysis (EFA). Subsequently, the second phase utilized Confirmatory Factor Analysis to further confirm the scale's validity. The third phase focused on analyzing the CAI's convergent and discriminant validity by investigating its relationship with antisocial personality disorder, morality, religiosity, and spirituality. Results: The results demonstrated high reliability and validity of the CAI, affirming its suitability for future applications. The final version of the scale comprises a single factor and consists of 36 items, each utilizing a 5-point Likert-type response format. Indicators such as Kaiser-Meyer-Olkin's values (0.984), Cronbach’s alpha (0.984), average item-total correlation (P < 0.001), comparative fit index (0.936), Tucker-Lewis Index (0.932), Goodness of Fit Index (GFI=.939), root mean square error of approximation (RMSEA = 0.043), convergent validity with antisocial personality disorder (r = 0.458; P < 0.01), and discriminant validity with morality (r = -0.396; P < 0.01), religiosity (r = -.318; P < 0.01), and spirituality (r = -.453; P < 0.01) established the reliability and validity of the CAI. Conclusions: The dual-source data collection strategy employed in this study, drawing from both convicted prisoners and the general population, enhances and operationalizes the scale. This approach ensures its applicability across diverse Urdu-speaking communities in Pakistan and India.
Epidemiological Features of Traumatic Spinal Cord Injury in Elderly in Ilam
Authors: Mohammadi Hassan Reza , Rezanezhad Javad , Karimiyarandi Hosein , Otaghi Masoumeh
Published: July 2024

Background: Spinal cord injuries are neurological disorders characterized by varying degrees of damage to the spinal cord. Objectives: Considering the increase in the elderly population, identifying the prevalence and factors affecting the development of spinal cord lesions in this group can provide valuable results for researchers. Therefore, this study aimed to determine the prevalence of spinal cord injuries in the elderly in Ilam city. Methods: In this retrospective study, patients who were hospitalized due to spinal cord trauma, as diagnosed by a doctor, were included. Information was collected using the results of radiography, radiology, and CT scans, along with patient files, demographic profile forms, and a researcher - made checklist. The definition of spinal cord injury included the cervical, thoracic, and lumbar regions. Results: The results showed that most of the patients were male, with a rate of 256 (67.6%). The number of patients with damage in each area was as follows: 43 in the cervical area, 61 in the thoracic area, and 54 in the lumbar area. Additionally, the study results showed that 17 (4.5%) of the patients had infections, 35 (9.2%) had hyponatremia, 32 (8.4%) had bedsores, 30 (7.9%) had urinary complications, 21 (5.5%) had thrombosis, and 15 (3.9%) had other complications. Conclusions: Considering the significant prevalence of spinal cord injuries among the elderly in Ilam city, it is necessary to implement interventions to prevent these injuries in this population.
The Effectiveness of Paradoxical Time Table Technique on Negative Automatic Thoughts, Cognitive Avoidance and Fear of Evaluating Others in People with Social Anxiety Disorder
Authors: Tabibpour Bahnemiri Faezeh , Azadikenari Roya , Najafipour Atefe
Published: July 2024

Background: Social anxiety disorder is a psychological disorder characterized by constant fear and avoidance of social situations due to fear of evaluation. Objectives: The aim of the present study was to investigate the effectiveness of paradoxical time table technique on negative automatic thoughts, cognitive avoidance and fear of evaluating others in people with social anxiety disorder. Methods: The current research method was semi-experimental with a pre-test and post-test design with a control group. The statistical population of the research included all people with social anxiety disorder (50 people) who referred to Derakhshan counseling center in Babolsar city in 2021. The sample included 30 patients who were purposefully selected and randomly divided into two experimental groups (15 people) and control group (15 people). To collect data, ATQ negative automatic thoughts questionnaire, Sexton & Dugas CAQ cognitive avoidance questionnaire and Watson & Friend fear evaluation questionnaire were used. Research data was analyzed using SPSS-23 software. Results: The results of the analysis showed that the paradoxical timetable technique was significantly effective on negative automatic thoughts, cognitive avoidance and fear of evaluation by others (P < 0.001). Conclusions: The results of this research can be used in the treatment of negative automatic thoughts, cognitive avoidance and fear of evaluation by others in people with social anxiety disorder.
GIDAS-NI-NIRENBERG TYPE RESULTS FOR THE GELFAND PROBLEM
Authors: Grossi Massimo , Gladiali Francesca
Published: July 2024

Abstract. In this paper we are concerned with the number of critical points of solutions of nonlinear elliptic equations. We will deal with the case of non-convex, contractile and non-contractile planar domains. We will prove results on the estimate of their number as well as their index. In some cases we will provide the exact calculation. The toy problem concerns the multi-peak solutions of the Gel'fand problem
"Smart Urban Planning: An Intelligent Framework to Predict Traffic Using Stack Ensembling Approach "
Authors: Anjum Anjum, Muhammad Adeel ,   King Faisal University, Al-Ahsa, Saudi Arabia, Alanzi Ahmad ,   Taibah University, Medina, Saudi Arabia
Published: July 2024

The intelligent transportation system needs to accurately assess the volume of traffic in the environment in which it operates to ensure that people are moved in a timely and hassle-free manner. Forecasting systems allow drivers to identify the route that will take them to their destination with the slightest difficulty and the least time spent in congested regions. At present, both the corporate sector and government organizations require accurate and timely traffic flow information. There have been no significant efforts to enhance road traffic prediction by utilizing air pollution data. This paper aims to present a new method for predicting road traffic using data related to pollution. Our contribution to this research is twofold. Firstly, we compared ten regression approaches to determine which technique provides better results and accuracy. Secondly, we present a technique based on regression analysis approaches in which we choose those base learners who give better results on Level 1. These predictions are combined as an input to a Level 2 meta regressor. A method is proposed to show that it generates more satisfactory results than any of the regression procedures discussed previously. Compared with the various regression methodologies, the proposed method successfully lowers the mean square error, the relative absolute error, and the root mean square error and improves the R-squared value.
Addressing Class Imbalance in Customer Response Modeling Using Random and Clustering-Based Undersampling and SVM
Authors: Kašćelan Ljiljana ,   Faculty of Economics, University of Montenegro, Vuković Sunčica ,   Faculty of Economics, University of Montenegro
Published: July 2024

The main challenge in machine learning-based customer response models is the class imbalance problem, i.e. small number of respondents, compared to non-respondents. Aiming to overcome this issue, the approach of preprocessing training data using a Support Vector Machine (SVM), trained on a balanced sample obtained by random undersampling (B-SVM), as well as on a balanced sample obtained by clustering-based undersampling (CB-SVM) was tested. Several classifiers are tested on such a balanced dataset, to compare their predictive performances. The results of this paper demonstrate that the approach effectively preprocesses the training data, and, in turn, reduces noise and overcomes the class imbalance problem. Better predictive performance was achieved compared to standard training data balancing techniques such as undersampling and SMOTE. CB-SVM gives a better sensitivity, while B-SVM gives a better ratio of sensitivity and specificity. Organizations can utilize this approach to balance training data automatically and simply and more efficiently select customers that should be targeted in the next direct marketing campaigns.
Enhancing Semantics Learning: A Dynamic Environment for Abstract Language Implementation Education
Authors: Steingartner William ,   Faculty of Electrical Engineering and Informatics, Technical University of Košice, Slovakia, Sivý Igor
Published: July 2024

The abstract implementation of the language on some abstract machine is a logical step in the definition of its operational semantics and in the definition of its (partially) correct implementation. An abstract machine for operational semantics is a well-known formalism in proving the correctness of programming languages. There are several ways to define an abstract machine for a given language specification. In our article, we focus on an abstract machine for structural operational semantics as a stack machine with two different model representations of memory, and we present a complex tool enabling compilation from a higher imperative (toy) language into an abstract machine allowing, in addition, the visualization of individual computational steps, interactive memory manipulation and feedback by compiling back to a higher language. This work presents an abstract machine designed primarily for educational purposes, enabling the visualization and interaction with the compilation process of a simple imperative language.
Innovative Solutions for Tetraplegia: A Smart Hand Orthosis Design
Authors: Ferencík Norbert ,   Faculty of Electrical Engineering, Technical University, Košice, Slovakia, Sedláková Veronika , Kolembusová Petra , Štefanovič Branko , Hudák Radovan , Steingartner William ,   Faculty of Mechanical Engineering, Technical University, Košice, Slovakia,   Faculty of Mechanical Engineering, Technical University, Košice, Slovakia,   Faculty of Mechanical Engineering, Technical University, Košice, Slovakia,   Faculty of Mechanical Engineering, Technical University, Košice, Slovakia,   Faculty of Mechanical Engineering, Technical University, Košice, Slovakia
Published: July 2024

Spinal cord injury (SCI) poses a significant medical challenge, affecting both hand dexterity and locomotor abilities. Ongoing advancements in medical technologies, spanning a spectrum of wearable devices, coupled with concurrent progress in rehabilitation treatments, aim to enhance hand function among individuals affected by SCI. The emergence of three-dimensional (3D) printing provides a cost-effective avenue for crafting personalized devices, fostering a surge of interest in integrating this technology with rehabilitation equipment, thereby complementing advancements in scientific research. Myoelectric control plays a pivotal role in achieving enhanced rehabilitation outcomes. It involves the detection and processing of weak electromyographic signals (EMG) from affected limb muscles to activate orthotic motors. A novel 3D-printed hand orthosis, responsive to electromyography signals, has been developed to facilitate grasping functionality in cervical SCI patients.
THE WORKS ARE DEVOTED TO DIDACTIC MATERIALS IN PRIMARY SCHOOL
Authors: Осмонов Б. , Айтурган Дурусалы кызы , Истамбекова Т.И. , Cаипова Курманжан
Published: July 2024

The content of the article is devoted to the didactic materials of the famous scientist, candidate of pedagogical sciences, professor Karatay Sartbaev for grade 3. When creating didactic material, the author proposed a curriculum, a system of creativity based on the methodological materials of the textbook. The methodological manual was first created by Karatay Sartabaev and is considered a multiple edition. When disclosing the content of the article, the methods, forms and techniques of using didactic materials were considered, and their practical content was revealed. It is analyzed that the didactic material in the work was created by the author on the basis of texts taken from folk works, songs, stories, newspapers and magazines, with special emphasis placed on its practical side. In the content of the work, the author was guided by the selection of text in order to form the student’s oral and written speech, as well as improve the student’s spelling, spelling, punctuation and stylistic literacy. It is analyzed that the work includes materials that form students’ calligraphic literacy. In general, the article emphasizes that the scientist’s didactic materials are a useful and necessary teaching aid for teachers.