bluuebunny/crossref_metadata_2025 huggingface dataset:
Ketimpangan Pembangunan Antar Wilayah di Pulau Sumatera, Pendekatan Spasial Ekonomi
Authors: Hidayat Muhammad
Published: June 2023

This study aims to examine development inequality between district/municipality and provincial regions to provide a more up-to-date assessment of the development inequality in Sumatera. Then, to explore the process of development inequality at a regional scale to better understand the spatial dynamics of development inequality. The dataset is secondary data from 2010-2020 from several BPS survey results. The analytical tool used to measure inequality is the Theil Index with a two-stage decomposition. Based on the results of the Theil Index, evidence was found of development inequality with a downward trend.
FUNDAMENTOS SOBRE O CATETER CENTRAL DE INSERÇÃO PERIFÉRICA PARA O DISCENTE DE ENFERMAGEM: SCOPING REVIEW
Authors: Pereira R. R. , Magalhães F. J. , Santiago J. S. B. , De Queiroz A. M. A. , De Oliveira I. L. . , Do Nascimento L. N. A. , Da Silva M. A. , De Alencar C. S.
Published: June 2023

Objetivou-se identificar, nas evidências científicas, o conteúdo programático para o processo de ensino-aprendizagem aos discentes de enfermagem acerca dos fundamentos sobre o cateter central de inserção periférica. Para tanto, elaborou-se uma revisão de escopo, entre os meses de junho e outubro de 2022, mediante o Portal de Periódicos da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, a Business Source Complete, a Biblioteca Virtual em Saúde e o Portal eletrônico PubMed, nas bases de dados SCIENCE DIRECT, Medical Literature Analysis Retrieval System Online, Literatura Latino-Americana e do Caribe em Ciências da Saúde, Scientific Electronic Library Online, Rede de Revistas Científicas da América Latina e Caribe, Espanha e Portugal e Google Acadêmico, em uso dos Descritores em Ciências da Saúde: Cateterismo Venoso Central, Cateterismo Venoso Periférico, Estudantes de Enfermagem e Cuidados de Enfermagem. Conforme protocolo de pesquisa, a amostra final contou com 22 publicações. Concluiu-se que o conteúdo programático para formação de enfermeiros acerca dos fundamentos sobre o cateter central de inserção periférica pode ser categorizado em cinco momentos distintos: (1) Princípios sobre o cateter, (2) Escolha por vasos calibrosos e retilíneos para inserção, (3) Características das soluções, (4) Indicações, contraindicações, vantagens e desvantagens do dispositivo e (5) Manutenção e manejo de complicações. Estudos futuros que abordem tecnologias educativas apropriadas e com boa aceitação junto aos discentes, potencializando a efetividade de entendimento do conteúdo, são necessários.
Sistemas de informação em saúde como componente estratégico para melhores resultados no Previne Brasil: um relato de experiência.
Authors: Júnior Siqueira Júnior Gonçalves
Published: June 2023

Objetivo: discutir sobre estratégias de planejamento, monitoramento e avaliação dos indicadores do Previne Brasil a partir de vivências com um município do interior pernambucano acerca dos sistemas de informações utilizados no âmbito da APS. Métodos:  Trata-se de um relato de experiência a partir de estratégias elaboradas pela equipe de gestão da Atenção Primária de um município do interior pernambucano a partir do Programa Previne Brasil entre o terceiro quadrimestre do ano de 2021 e o primeiro quadrimestre de 2022. Resultados: Quanto as atividades elaboradas, houve esforços da equipe gestora da APS para diagnosticar os problemas e posteriormente atacar os problemas chaves para qualificar algumas práticas e dispor de melhorias nesse nível de atenção. Atividades de planejamento, escuta, visitas in loco, monitoramento de indicadores, avaliação de indicadores e treinamento de equipes foram algumas das estratégias para alavancar os indicadores. É preciso lembrar e destacar que o Previne Brasil é a forma atual de financiamento da APS e a seriedade como que tratamos desse programa é um reflexo do comprometimento e seriedade de uma gestão com a manutenção e defesa do modelo de APS e estratégia de saúde da família o qual se compreende. Conclusão: Espera-se que os resultados dessa pesquisa possam nortear práticas de outros entes federados para além de contribuir com outras pesquisas acerca de tecnologias e informática na saúde, tema ainda pouco explorado na comunidade científica em saúde.
La capacitación y su realción con el desempeño laboral en un hospital infantil publico de Perú
Authors: Castagnola Sánchez Victor Raul , Castagnola Rossini Giuliana Marina , Castagnola Rossini Andrea del Carmen , Castagnola Sánchez Carlos German
Published: June 2023

En la actualidad la industria del turismo viene creciendo constantemente sin embargo algunas empresas no crecen en el mismo ritmo tal como el Complejo Ecoturístico Laguna de Conache S.A.C. que en su diagnóstico inicial se pudo notar que no tenía un sistema de gestión de calidad es por ello que la satisfacción del cliente se registraba en un 29% . Por consiguiente como una solución a esta problemática se aplicó un sistema de gestión de calidad basado en los capítulos 4, 5,6 Y 10 de la Norma ISO 9001:2015 el único fin de aumentar la satisfacción de cliente pues ésta aumento a un 81%.   El tipo de estudio de la investigación fue aplicado, al mismo tiempo experimental. La población estuvo conformada por: los 25 colaboradores de la empresa y 12 clientes corporativos. La muestra estuvo constituida por: (i) los 25 colaboradores de la empresa en estudio, (ii) 123 colaboradores del total de los clientes corporativos (empresas).
El uso de las tecnologías de la información y la comunicación en la modernización del sistema de administración de justicia en el Perú
Authors: Tejada Arana Arístides Alfonso
Published: June 2023

El presente artículo tiene por objetivo determinar en qué medida el uso de las Tecnologías de Información y las Comunicaciones (TIC) contribuyen en el proceso de modernización del Sistema de Administración de Justicia en el Perú, así como demostrar que la mejora de sus procesos, es posible por medio del uso de la innovación tecnológica, como son las notificaciones electrónicas, los sistemas de video audiencias, los lectores biométricos entre otros. Se concluyó que, existen evidencias concretas para afirmar que el uso de las Tecnologías de Información y las Comunicaciones (TIC) se relacionan y contribuyen positivamente con la modernización de la administración de la Justicia, solucionando problemas que exige la población más necesitada como es contar con justicia asertiva, con equidad, celeridad, predictibilidad, inmediatez y económica.
Desarrollo de habilidades del docente en el trabajo remoto
Authors: Avalos Monterrey Eliana Rosa
Published: June 2023

El presente artículo tiene por objetivo hacer una correlación sobre el desarrollo de las habilidades del docente y el trabajo remoto en la red 29 Ugel 01 conformada por 5 instituciones educativas del nivel secundario. Debido a la propagación de la pandemia en nuestro país y el mundo se hace esencial atender las necesidades educativas de los niños y jóvenes durante esta crisis sanitaria hay una necesidad imperiosa de reorganizar la educación en el marco del teletrabajo o trabajo remoto, Inicialmente se plantean algunos antecedentes relacionando las habilidades del docente en el trabajo remoto; posteriormente se realiza una conceptualización de las habilidades del docente como una manera de formación, y finalmente, se enfatiza las obligaciones del trabajador en el trabajo remoto. Se concluyó que existe evidencia para afirmar que el desarrollo de las habilidades del docente se relaciona significativamente con el trabajo remoto se encuestaron a 133 docentes, siendo que el coeficiente de correlación Rho de Spearman de 0.778, en el cual se presenta una correlación alta entre las variables,Palabras Clave: Competencias, educación virtual, educación remota, aprendizaje.
Laboratorio contable: Una estrategia didáctia para la enseñanza del ciclo contable
Authors: Rodriguez Tovar Maira Alexandra , Trujillo Prada Mariela Andrea , Trujillo Prada Mariela Andrea , Salgar Ramirez Carlos Arturo , Salgar Ramirez Carlos Arturo , Jaramillo Ramírez Paula Milena , Jaramillo Ramírez Paula Milena
Published: June 2023

Con la presente investigación se pretende generar unaherramienta producto de un desarrollo tecnológico quefortalezca las competencias en temas contables y tributarios delos estudiantes del programa Contaduría Pública de laUNIMINUTO Centro Regional del Alto Magdalena,Tequendama y Sumapaz, a través de estrategias didácticas quepermitan la práctica (simulación de la realidad) de losconocimientos adquiridos en el salón de clase. Se destaca de estapropuesta, la posibilidad que los estudiantes del programa através del producto del proyecto de investigación puedanrealizar prácticas que simulen procesos contables tal cual comoocurren en la realidad, lo anterior permitirá el fortalecimientode conocimientos propios de la ciencia contable.
İzmir Bölgesel Yenilik Stratejisi’nin Genel Bir Değerlendirmesi
Authors: ÇELİK Fatih
Published: June 2023

Küresel ekonomide faktör maliyetine dayalı rekabet üstünlüğünün yerini yeniliklere dayalı rekabet üstünlüğü almıştır. Bu gelişmeler üzerine yenilik politikaları geliştirilmiştir. Yenilik konusunda ulusal, bölgesel ve sektörel düzeyde yenilik sistemleri kurulmuştur. Avrupa Birliği (AB), yenilik politikalarının gelişmesine önemli bir katkıda bulunmuştur. Bölgeler arası gelişmişlik farklılıklarını azaltmak için Bölgesel Yenilik Stratejisi (BYSt) geliştirmiştir. Bölgesel Yenilik Stratejisi, kısaca yeniliklere dayalı bölgesel kalkınmanın dinamiklerini harekete geçirmeye yönelik bir eylem planıdır. Avrupa Birliği, yapısal fonlarla desteklediği Bölgesel Yenilik Stratejisi’ni uygulama konusunda da Bölgesel Kalkınma Ajansları’na (BKA’lar) öncülük görevini vermiştir.

Türkiye’de de kimi Bölgesel Kalkınma Ajansları, Bölgesel Yenilik Stratejisi geliştirmiştir. Bunlardan ilki, İzmir Kalkınma Ajansı’dır (İZKA). Bu çalışmada, İzmir Kalkınma Ajansı’nın 2012 yılında geliştirdiği İzmir Bölgesel Yenilik Stratejisi (İzmir BYSt), nitel araştırma yöntemleri ile incelenmiştir. Analiz sonucunda İzmir Bölgesel Yenilik Stratejisi’nin genel olarak Avrupa Birliği’ndeki Bölgesel Yenilik Stratejileri ile benzer aşamalarda geliştirildiği; ancak Avrupa deneyimlerine kıyasla bazı eksiklikleri olduğu belirlenmiştir.
SOSYAL BİLGİLER ÖĞRETMEN ADAYLARININ TARİHİ ÇEVRE FARKINDALIKLARININ İNCELENMESİ
Authors: ADAY Hatice , MEYDAN Ali
Published: June 2023

Bu araştırmada sosyal bilgiler öğretmen adaylarının tarihi çevre farkındalıklarının incelenmesi amaçlanmıştır. 2021-2022 eğitim öğretim yılında Nevşehir Hacı Bektaş Veli Üniversitesi sosyal bilgiler Öğretmenliği bölümüne devam eden 82 öğretmen adayıyla yapılan araştırma, nitel araştırma yöntemlerinden durum çalışması desenine uygun olarak yürütülmüştür. Veri toplama aracı olarak soru formu kullanılmıştır. Soru formu ile elde edilen veriler betimsel veri analiz kullanılarak analiz edilmiştir. Araştırmanın bulgularına göre sosyal bilgiler öğretmen adaylarının hemen hemen hepsinin tarihi çevre tanımını yapabildikleri ve tarihi çevre tanımına uygun mekânlara gittikleri belirlenmiştir. Öğretmen adayları öğrenim gördükleri Nevşehir ilinde bulunan tarihi çevre kategorisinde bulunan gitmiş oldukları mekânlar içerisinde en çok müze ziyaretleri yer alırken, yeraltı şehirleri, kiliseler ve kaleler gittikleri diğer tarihi çevreler arasındadır. Öğretmen adaylarından çok azı Nevşehir’deki tarihi çevreleri bilmediğini çok az bir kısmı da bildiğini fakat gitmediğini ifade etmiştir. Sosyal bilgiler öğretim programının tarihi çevre açısından rolünün en çok, tarihi bilgi sağlaması açısından önemli olduğuna değinmişlerdir. Tarihi çevre ziyaretinin öğretmen adaylarına tarihi tanıma kazanımı edindikleri belirlenmiştir.
Emergency remote education in higher education institutions during COVID-19: Students’ voices
Authors: Hu Zijing
Published: June 2023

The outbreak of the coronavirus pandemic was declared a public health emergency of international concern. In South Africa (SA), institutions had to adopt emergency remote education, thus resulting in significant challenges for both students and lecturers. This article investigated students’ views and perceptions towards emergency remote education. The Diffusion of Innovations (DoI) model was used as a lens to understand students’ views regarding emergency remote education. The researchers applied a qualitative research approach within the interpretivist paradigm since it offered an opportunity to explore and understand participants’ lived experiences. Purposive sampling was used. The participants included nine undergraduate students from a public university in Gauteng province. Findings highlighted students’ ambivalent views towards online teaching and learning. Some participants support emergency remote education, while some believed that they did not acquire the depth and scope of the content of the module in comparison to contact lectures. Participants indicated that it was challenging to follow lecturers due to unstable network connectivity. They highlighted socio-economic conditions, lack of resources and an unconducive learning environment affected their education. For effective online teaching and learning, appropriate planning and infrastructure were recommended to be available and accessible to all students.
Towards flexible learning and teaching: Lessons learned from educator and student experiences during the COVID-19 pandemic
Authors: Van der Westhuizen Marichen , Hlatshwayo Lindokuhle
Published: June 2023

This discussion explores student and educator academic experiences of online learning and teaching (OLT) at the University of the Western Cape, South Africa during the COVID-19 pandemic. The purpose was to report on lessons learned during the pandemic, and how this may contribute to a flexible blended learning and teaching (BLT) approach within higher education post the pandemic. While most South African Higher Education Institutions (HEIs) used a BLT approach prior to the pandemic, the face-to-face component was used as the primary method of learning and teaching, with the online component used as a support or ‘add-on’ to face-to-face practices. We reflected on student social workers and their educators’ academic experiences during the pandemic, and how these experiences may guide the planning and implementation of a stronger combination of online and face-to-face learning and teaching in higher education settings going forward. The findings describe study environments that influenced OLT, academic participation and performance during the pandemic when no face-to-face learning and teaching took place, OLT resources and support for OLT during the pandemic, and suggestions for BLT that could support flexible learning and teaching practices at HEIs post the pandemic. The discussion concludes with some recommendations for aspects to consider when planning and implementing a BLT at HEIs post the pandemic.
Crisis leadership: Reflecting on the complex role of academic (middle) leaders during the COVID-19 pandemic
Authors: Africa Cherrel , Yu Derek , Karriem Abdulrazak , Raymond Bonita
Published: June 2023

This article examines the experiences and coping strategies of four university middle-managers during the unprecedented time of disruption caused by the COVID-19 pandemic. We use the research approach of autoethnography to reflect on our experiences and decision-making processes. To reflect on how we managed the rapid change and moved from survivalist actions to more systemic responses in a new and uncertain reality, we draw on concepts which highlight the importance of connectedness, distributive leadership and communicating clearly. Intuitively following these principles, and being decisive and pragmatic are what enabled all four departments to stabilise and move out of a survivalist reactive mode. Two clear patterns emerged from our reflections. Firstly, it is evident that the pandemic exacerbated pre-existing challenges and shone a bright light on existing shortcomings. A second pattern was that there was simply no other option but to improve systems and processes. We conclude that it is vital to continue asking difficult questions about the long-term implications of the profound changes delivered by the COVID-19 pandemic. This includes the move to hybrid teaching and how we can regain
The experiences of mathematics subject advisors when conducting school support visits
Authors: Shushu Hamilton
Published: June 2023

Given the importance of mathematics performance of learners andthe challenges in South Africa, it is important that the expertise  of all role-players, including the subject advisors who visit the teachers to guide and support them, is used to its full potential. While some studies have explored the experiences of teachers in this regard, literature on the experiences of mathematics subject advisors is scant. Furthermore, little has been published on the experiences of subject advisors within the context of rural areas with a low population, such as the Northern Cape Province. This article addresses the gap by exploring the deeper understanding of mathematics subject advisors’ experiences when conducting school support visits. Taking a qualitative research approach, I conducted semi-structured interviews with six mathematics subject advisors from the four phases (foundation, intermediate, senior, and further education and training) in all five of the education districts of the Northern Cape Department of Education (Frances Baard; Z.F. Mgcwawu; Pixley Ka Seme; Namakwa; and J.T. Gaetsewe). Through Husserl’s phenomenological theoretical framework, complemented with Gibbs’ reflective cycle and Colaizzi’s seven steps of data analysis, participants were found to have had both good and bad experiences when conducting school support visits. Experiences included positive attitudes from educators and schools in general, and good curriculum implementation and teaching and learning practices. However, participants were sometimes received with hostility, and observed poor curriculum implementation and teaching and learning practices. Noteworthy is some negative union influence, lack of specialisation in mathematics by foundation phase departmental heads, lack of coherence in communication, and lack of cooperation and collaboration amongst district officials. If the concerns raised by mathematics subject advisors in this paper are not addressed, these may have a negative impact on the experiences of subject advisors and, by implication, on learner performance as well as education in general.
Factors that influence public school principals’ professional discretion: Perspectives of South African public-school principals
Authors: René Beyers  , Du Plessis André
Published: June 2023

Through the lens of the contextual intelligence theory, this article utilises previous empirical research studies as a base to support the application of professional discretion practices of public-school principals. The study focused in particular on the factors that influence or limit their use of professional discretion in their daily tasks. A mixed-methods study was conducted in which quantitative survey data were used to inform the questions that were asked to participants during semi-structured interviews. The findings suggest that public-school principals are susceptible to both internal and external factors that could limit or influence the application of their professional discretion. Even though public-school principals within a particular school district operate under the same set of policies, it is evident that some principals are more inclined to apply professional discretion than others.
Social constructivist pedagogy in business studies classrooms – teachers’ experiences and practices
Authors: Naidoo Devika , Mabaso Mbali
Published: June 2023

Social constructivism is the dominant pedagogical theory endorsed in educational discourse today. This study set out to examine teaching and learning in Grade 11 business studies classrooms from a social constructivist perspective. The data were obtained through document analysis, semi-structured interviews, and classroom observations. While the teachers were positive towards social constructivist pedagogy, they were not familiar with the epistemology that underpinned its emergence. The learning of multiple perspectives through discussion, a key tenet of the social constructivist theory of learning, was not evident. Teachers indicated that they preferred direct instruction, as it enabled curriculum coverage and better control over learners. Teachers viewed social constructivist approaches as slowing down syllabus coverage and leading to loss of control in overcrowded classrooms. Limited time and higher workload due to larger classes were common deterrents.
The energy-rush and insulin model of obesity
Authors: Jia Hangxing
Published: June 2023

Obesity has been a global health problem since the 1980s. Despite the intensive research, there is no scientific consensus on the onset of obesity. The energy balance model (EBM) and the carbohydrate-insulin model (CIM) are two competing obesity theories, each with supporting and conflicting evidence. In this essay, I propose a new model, the energy-rush and insulin model (ERIM) which integrates not only the energy intake and expenditure but also the food composition and digestibility, to explain how the high energy-rush and insulin secretion contribute to the development of obesity. The ERIM offers a novel framework to explain how obesity occurs and proposes new recommendations for obesity management which may reverse the obesity epidemic In the future.
FAIR Research Objects for realizing Open Science with RELIANCE EOSC project
Authors: Fouilloux Anne , Trasatti Elisa , Foglini Federica , Coca-Castro Alejandro , Iaquinta Jean
Published: June 2023

The numerous benefits of Open Science (OS) and of the four FAIR foundational principles -Findable, Accessible, Interoperable and Reusable- are increasingly valued in academia, although what OS and FAIR entail is still largely misunderstood. In such conditions putting in practice OS and applying the FAIR principles is challenging and underrated. However, realising OS is perfectly within grasp provided that an infrastructure supporting the management of the research lifecycle is available. RoHub is precisely a Research Object (RO) management platform implementing three complementary technologies: Research Objects, Data Cubes and Artificial Intelligence-based Text Mining services. RoHub enables researchers to collaboratively manage, share and preserve their research while they are still working on it (rather than after the work is finished). In this paper, three communities from Earth Sciences, namely Geohazards, Sea Monitoring and Climate Change, demonstrate how RoHub helped them to understand each other and to work openly, and more importantly how communities of practice play an important role in facilitating reuse and interdisciplinary collaboration. These findings are illustrated with several use cases from these various communities.
BRICS Countries’ Increasing Role in the world economy, Including Institutional Innovation
Authors: Agarwal Manmohan , Kumar Sushil
Published: June 2023

This paper seeks to determine whether the BRICS group has lived up to the expectations that their influence in international economic governance will increase. Stellar economic performance and the resulting well-being are important factors that may cause this influence to grow. However, there has been increasing recognition that welfare does not depend merely on income but on a broader set of indicators as exemplified by the Millennium Development Goals (MDGs) or the Sustainable Development Goals (SDGs). BRICS may increase their influence through their achievements on the social front and their soft power. Using simple statistical methods to examine their macroeconomic performance the paper found that only China and India had done well and lived up to the initial expectations. The social achievements of the BRICS have also been limited. The BRICS have sought to translate their dissatisfaction with the IMF and the World Bank into establishment of the New Development Bank (NDB) to provide loans for infrastructure projects and the Contingent Reserve Arrangement (CRA) to cover the needs for financing balance of payments deficits. The paper examines the working of these organizations to find out if they have been successful in meeting their objectives. The results of the analysis allows us to conclude that the NDB has been successful, unlike CRA, which proved to be ineffective.
When the absence of evidence is not the evidence of absence: Nasa (Loasaceae) rediscoveries from Peru and Ecuador, and the contribution of community science networks
Authors: Henning Tilo , Acuña-Castillo Rafael , Cornejo Xavier , Gonzáles Paúl , Segovia Edgar , Wong Sato Akira Armando , Weigend Maximilian
Published: June 2023

Documentation of plant taxa has long been subject to the temporal and spatial selectivity of professional research expeditions, especially in tropical regions. Therefore, rare and/or narrowly endemic species are sometimes known only from very few and very old herbarium specimens. However, these taxa are very important from a conservation perspective. The lack of observations of living plants and confirmation of the actual occurrence of taxa hinders the planning and implementation of effective conservation measures. Community science networks have recently made tremendous contributions to documenting biodiversity in many regions across the globe. The rediscovery of six species of Nasa (Loasaceae) from Peru and Ecuador primarily via the platform iNaturalist, is reported.
Bivariate multiquadric quasi-interpolation operators of Lidstone type
Authors: Wu Ruifeng
Published: June 2023

In this paper, a kind of bivariate multiquadric quasi-interpolant with the derivatives of a approximated function is studied by combining the known multiquadric quasi-interpolant with the generalized Taylor polynomials that act as the bivariate Lidstone interpolation polynomials. For practical purposes, a kind of improved approximation operator without any derivative of the approximated function is given by using bivariate divided differences to approximate the derivatives. It has the property of high-degree polynomial reproducing. In addition, the improved bivariate quasi-interpolation operators only demand information of the location points rather than the derivatives of the function approximated. Some error bounds in terms of the modulus of continuity of high order and Peano representations for the error are given. Several numerical comparisons with other existing methods are carried out to verify a higher degree of accuracy based on the obtained scheme. Furthermore, the advantage of our method is that the algorithm is very simple and easy to implement.
Bifurcation analysis and exact solutions for a class of generalized time-space fractional nonlinear Schrödinger equations
Authors: Hong Baojian
Published: June 2023

In this work, we focus on a class of generalized time-space fractional nonlinear Schrödinger equations arising in mathematical physics. After utilizing the general mapping deformation method and theory of planar dynamical systems with the aid of symbolic computation, abundant new exact complex doubly periodic solutions, solitary wave solutions and rational function solutions are obtained. Some of them are found for the first time and can be degenerated to trigonometric function solutions. Furthermore, by applying the bifurcation theory method, the periodic wave solutions and traveling wave solutions with the corresponding phase orbits are easily obtained. Moreover, some numerical simulations of these solutions are portrayed, showing the novelty and visibility of the dynamical structure and propagation behavior of this model.
Dose-effect relationship analysis of TCM based on deep Boltzmann machine and partial least squares
Authors: Xiong Wangping , Zhu Yimin , Zeng Qingxia , Du Jianqiang , Wang Kaiqi , Luo Jigen , Yang Ming , Zhou Xian
Published: June 2023

A dose-effect relationship analysis of traditional Chinese Medicine (TCM) is crucial to the modernization of TCM. However, due to the complex and nonlinear nature of TCM data, such as multicollinearity, it can be challenging to conduct a dose-effect relationship analysis. Partial least squares can be applied to multicollinearity data, but its internally extracted principal components cannot adequately express the nonlinear characteristics of TCM data. To address this issue, this paper proposes an analytical model based on a deep Boltzmann machine (DBM) and partial least squares. The model uses the DBM to extract nonlinear features from the feature space, replaces the components in partial least squares, and performs a multiple linear regression. Ultimately, this model is suitable for analyzing the dose-effect relationship of TCM. The model was evaluated using experimental data from Ma Xing Shi Gan Decoction and datasets from the UCI Machine Learning Repository. The experimental results demonstrate that the prediction accuracy of the model based on the DBM and partial least squares method is on average 10% higher than that of existing methods.
La nationalité entre forme de réparation, réaffiliation et capital : les descendantes et descendants de républicains espagnols exilés et la récupération de la nationalité espagnole
Authors: Ribert Évelyne , Noûs Camille
Published: June 2023

Alors que la « loi sur la mémoire historique » votée en 2007 en Espagne permettait aux descendants d’exilés républicains de recouvrer la nationalité espagnole qu’ils avaient perdue, cet article analyse la signification de la récupération de cette nationalité en France et en Amérique latine. Il montre que, pour les descendants résidant en France qui la demandent, l’obtention de la nationalité espagnole constitue une forme de réparation pour les violences subies sous le franquisme, tout en permettant une réaffiliation à l’Espagne, tandis que ceux qui ne la demandent pas la pensent sur le modèle d’appartenance nationale de l’État-nation. A contrario, en Amérique latine, les considérations pragmatiques l’emportent, la nationalité espagnole étant perçue comme un capital permettant de voyager. Pour autant, les logiques prévalant en France et en Amérique latine ne s’excluent pas. Dans l’Hexagone, certains perçoivent son obtention comme un patrimoine, tandis qu’outre-Atlantique d’autres souhaitent se rendre en Espagne sur les traces des aïeux.
Dual Nationality and National Belonging: A Case Study of Chinese Diaspora in Indonesia from 1949 to 1960s
Authors: Guo Sanzhuan , McFarland Tim
Published: June 2023

The paper examines the connection between dual nationality and national belonging through a case study of ethnic Chinese in Indonesia from 1949 to 1960s. About 3 million Chinese in Indonesia were dual nationals in 1949 when the People’s Republic of China was established, holding both Chinese and Indonesian nationalities. Under a treaty signed in 1955 by China and Indonesia on dual nationality, the Chinese with dual nationality were forced to choose a single nationality. The paper traces the history of the nationality selection of those Chinese, including the broader legal and social contexts, to establish a foundation for understanding their sense of national belonging. The paper provides insightful historical knowledge which can be used to further the current debate on whether the 1980 Chinese Nationality Law should be revised to permit overseas Chinese to keep their Chinese nationality, as they could before 1949. The potential change to Chinese nationality law may impact the nationality of Chinese diasporas worldwide.
Impact des contextes législatif, politique et économique du pays d’origine sur la naturalisation. Le cas des ressortissant·e·s de l’Union européenne en Suisse
Authors: Pont Aurélie , Wanner Philippe
Published: June 2023

La décision de se naturaliser dépend non seulement du profil et de la trajectoire migratoire des personnes susceptibles d’acquérir une nouvelle nationalité, mais aussi des caractéristiques des pays d’accueil et d’origine. Peu d’attention est toutefois portée aux changements survenant dans le pays d’origine. Cet article s’intéresse à trois évènements ayant pu affecter la naturalisation des ressortissant·e·s étranger·ère·s vivant en Suisse : la reconnaissance de la double nationalité, l’entrée dans l’UE et la crise de l’euro. Il éclaire les pratiques de naturalisation en comparant l’évolution des taux de naturalisation durant les périodes précédant et suivant ces changements. Les résultats montrent que la reconnaissance de la double nationalité a certainement augmenté durablement l’intérêt à se naturaliser alors que le taux de naturalisation des nouveaux États membres de l’UE diminue et converge vers le taux européen. L’impact de la crise économique est quant à lui plus discutable.
Apprendre auprès des équipes médicales chinoises au Cameroun
Authors: Oppliger Jean-Marie
Published: June 2023

Les échanges de savoirs et savoir-faire sont décrits par la Chine comme une des réussites du programme des équipes médicales chinoises (EMC) en Afrique, mais ont encore peu été étudiés. L’étude du cas de l’hôpital de Mbalmayo, au Cameroun, où se trouve une EMC, permet d’interroger l’influence des acteurs camerounais sur ce programme. La plupart se désintéressent des échanges en raison des logiques financières et de carrisères qui caractérisent le système de santé publique camerounais. Les seuls intéressés sont en situation de précarité ou font face à des blocages de progression professionnelle et cherchent ainsi à développer des activités privées. L’apprentissage auprès des EMC se valorise pour eux dans des activités qui se situent à la marge du public et du privé.
Propel Metamorphosis of Design Thinking
Authors: PremaLatha V.  , E. SriDevi  , SivaKumar S.  , Parveen Nikhat
Published: June 2023

To examine the opportunities on how to be and what to create for the outcomes which will benefit and satisfy the end user (the customer), design thinking applies logic, visualization, and a systematic cerebration. To innovate design thinking it uses principles of tactics in its design which can be applied in tactical way to meet the success rate of innovation. This can be improved intensely in terms of innovation. Designing is just more than products creation and its services which can be applied to systems, procedures, protocols, and experience from customers. One can design the way they want to lead, create, and innovate.
Carteiras escolares na cultura material escolar da instrução baiana
Authors: Sousa Ione Celeste Jesus de
Published: June 2023

Com proposição ao eixo História da educação e do corpo, higiene e materialidades, este artigo apresenta um recorte micro histórico sobre a cultura material escolar na província da Bahia a partir da tentativa de substituição das carteiras escolares nas duas escolas normais da sua Capital, Salvador, que eram de modelo norte-americano - assim como nas aulas públicas das freguesias da mesma cidade - por um lote de novas de origem alemã, no ano de 1881, durante a gestão do diretor geral de instrução Cônego Romualdo Barroso. Rastreia as relações entre a materialidade das carteiras escolares, o saber docente e suas relações com o saber médico higienista, entre 1881 e 1885 utilizando  como fontes os quatro relatórios do referido diretor geral de Instrução Pública, dos anos de 1881 a 1884; pedidos enviados por professores /as das aulas públicas da província da Bahia  solicitando mobiliário escolar; o artigo do médico Antônio Pacifico Pereira, publicado na revista Gazeta Médica da Bahia, em janeiro de 1881, sobre a Hygiene nas escolas. Ancora na perspectiva da História Cultural Francesa das práticas sociais, problematizando micro historicamente os indícios e rastros de práticas culturais escolares expressas em projetos, prescrições, pareceres de comissões sobre a mobília escolar. Tem como base historiográfica a produção brasileira de autores do campo da História da Educação a partir das categorias analíticas de Cultura Escolar, Cultura Material Escolar, Materialidade Escolar e Higiene Escolar.
“Querida mamãe, querido papai”
Authors: Thies Vania Grim , Monks Joseane Cruz
Published: June 2023

O objetivo deste artigo é descrever e problematizar a materialidade de um conjunto de 35 cartões, representativos de uma prática escolar de confecção de cartões alusivos às datas comemorativas do Dia das Mães e do Dia dos Pais. O trabalho foi realizado considerando os cartões na interlocução com outras fontes complementares. Os materiais foram produzidos no período entre os anos de 1964 e 1980 em escolas multisseriadas da zona rural do município de Pelotas/RS. Os artefatos foram caracterizados pela abordagem da história cultural e interpretados pela perspectiva da cultura material escolar. Concluiu-se que a produção dos cartões comemorativos é constituída pelo currículo escolar e consolidada por uma prática de tradição inventada.
Retinoic Acid–Related Orphan Receptor α Is Required for Generation of Th2 Cells in Type 2 Pulmonary Inflammation
Authors: Roberts Joseph , Chevalier Anne , Hawerkamp Heike C , Yeow Aoife , Matarazzo Laura , Schwartz Christian , Hams Emily , Fallon Padraic G
Published: June 2023

The transcription factor retinoic acid–related orphan receptor α (RORα) is important in regulating several physiological functions, such as cellular development, circadian rhythm, metabolism, and immunity. In two in vivo animal models of type 2 lung inflammation, Nippostrongylus brasiliensis infection and house dust mite (HDM) sensitization, we show a role for Rora in Th2 cellular development during pulmonary inflammation. N. brasiliensis infection and HDM challenge induced an increase in frequency of Rora-expressing GATA3+CD4 T cells in the lung. Using staggerer mice, which have a ubiquitous deletion of functional RORα, we generated bone marrow chimera mice, and we observed a delayed worm expulsion and reduced frequency in the expansion of Th2 cells and innate lymphoid type 2 cells (ILC2s) in the lungs after N. brasiliensis infection. ILC2-deficient mouse (Rorafl/flIl7raCre) also had delayed worm expulsion with associated reduced frequency of Th2 cells and ILC2s in the lungs after N. brasiliensis infection. To further define the role for Rora-expressing Th2 cells, we used a CD4-specific Rora-deficient mouse (Rorafl/flCD4Cre), with significantly reduced frequency of lung Th2 cells, but not ILC2, after N. brasiliensis infection and HDM challenge. Interestingly, despite the reduction in pulmonary Th2 cells in Rorafl/flCD4Cre mice, this did not impact the expulsion of N. brasiliensis after primary and secondary infection, or the generation of lung inflammation after HDM challenge. This study demonstrates a role for RORα in Th2 cellular development during pulmonary inflammation that could be relevant to the range of inflammatory diseases in which RORα is implicated.
Computed tomography perfusion stroke mimics on RAPID commercial software: A case-based review
Authors: Ahmed Amara , Hamam Omar , Niri Sanaz Ghaderi , Oeltzchner Georg , Garg Tushar , Elmandouh Omar , Intrapiromkul Jarunee , Yedavalli Vivek
Published: June 2023

Acute ischemic stroke (AIS) is a leading cause of morbidity worldwide and can present with nonspecific symptoms, making diagnosis difficult. Many neurologic diseases present similarly to stroke; stroke mimics account for up to half of all hospital admissions for stroke. Stroke therapies carry risk, so accurate diagnosis of AIS is crucial for prompt treatment and prevention of adverse outcomes for patients with stroke mimics. Computed tomography (CT) perfusion techniques have been used to distinguish between nonviable tissue and penumbra. RAPID is an operator-independent, automated CT perfusion imaging software that can aid clinicians in diagnosing strokes quickly and accurately. In this case-based review, we demonstrate the applications of RAPID in differentiating between strokes and stroke mimics.
Hepatic responses following acute ischemic stroke: A clinical research update
Authors: Duan Honglian , Geng Xiaokun , Ding Yuchuan
Published: June 2023

Acute ischemic stroke (AIS) not only affects the brain but also has significant implications for peripheral organs through neuroendocrine regulation. This reciprocal relationship influences overall brain function and stroke prognosis. Recent research has highlighted the importance of poststroke liver changes in determining patient outcomes. In our previous study, we investigated the relationship between stroke and liver function. Our findings revealed that the prognostic impact of stress-induced hyperglycemia in patients undergoing acute endovascular treatment for acute large vessel occlusion is closely related to their preexisting diabetes status. We found that the liver contributes to stress hyperglycemia after AIS by increasing hepatic gluconeogenesis and decreasing hepatic insulin sensitivity. These changes are detrimental to the brain, particularly in patients without diabetes. Furthermore, we examined the role of bilirubin, a byproduct of hepatic hemoglobin metabolism, in stroke pathophysiology. Our results demonstrated that blood bilirubin levels can serve as predictors of stroke severity and may hold therapeutic potential for reducing oxidative stress-induced stroke injury in patients with mild stroke. These results underscore the potential role of the liver in the oxidative stress response following AIS, paving the way for further investigation into liver-targeted therapeutic strategies to improve stroke prognosis and patient outcomes.
An ischemic myelopathy case series: Flaccid paraplegia following a spike ball save and numbness while walking normally
Authors: Heckman Caroline A. , Miller Derryl J. , Kremer Kelly M. , Martinez Mesha L. , Jea Andrew H.
Published: June 2023

Spinal cord infarctions in children are rare and early magnetic resonance imaging studies are often negative. A high clinical suspicion must be maintained to identify stroke and initiate workup for underlying etiology to suggest appropriate treatment. We present two cases of spinal cord infarction without major preceding trauma. The first was caused by disc herniation and external impingement of a radiculomedullary artery and the second was due to fibrocartilaginous embolism with classic imaging findings of ventral and dorsal cord infarctions, respectively. These cases were treated conservatively with diagnostic workup and aspirin, though additional treatments which can be considered with prompt diagnosis are also explored in our discussion. Both cases recovered the ability to ambulate independently within months. Case 1 is attending college and ambulates campus with a single-point cane. Case 2 ambulates independently, though has some difficulty with proprioception of the feet so uses wheelchairs for long-distance ambulation.
Modifying skin flaps for achieving very large decompressive craniectomies in malignant middle cerebral artery territory infarcts: A technical note
Authors: Patel Shamshuddin , Bhosle Rajesh , Ghosh Nabanita , Das Sayan , Krishnan Prasad
Published: June 2023

INTRODUCTION:

Decompressive craniectomy is a well described treatment to salvage life in large middle cerebral artery (MCA) territory infarcts. The size of the craniectomy is limited by the size of the skin incision and very large craniectomies need large skin flaps that are prone to necrosis at the wound margins.

MATERIAL AND METHODS:

We describe two modifications in the skin flap that we have used in 7 patients to achieve very large bony decompressions in malignant MCA infarctions without compromising on flap vascularity. One consists of a linear extension posteriorly from the question mark or reverse question mark incision while the other is an “n” shaped incision.

RESULTS:

With these modifications we achieved craniectomies of size 15.6–17.8 cm in the anteroposterior and 10.7–12 cm in vertical axis of the bone flap removed in our patients. There were no additional procedural or wound related complications in a 6-month follow up.

CONCLUSIONS:

Removal of a standard size bone flap may achieve suboptimal decompression in cases of large MCA territory infarctions. Imaginative tailoring of skin flaps helps to remove larger volumes of skull with no added procedural morbidity.
New cost-effective human leukocyte antigen testing algorithm for screening of human leukocyte antigen-matched related donor in thalassemia major patient pretransplant workup
Authors: Singh Parvind , Tiwari Aseem Kumar , Mishra Vikash Chandra , Chandra Dinesh , Bhardwaj Amit K. , Dey Nikki , Raina Vimarsh
Published: June 2023

Introduction:

India has a huge disease burden of thalassemia major with an estimated 40 million carriers and over a million thalassemia major patients. Very few patients are optimally treated, and the standard of care “hematopoietic stem cell transplant” (HSCT) is out of reach for most patients and their families. The cost of HSCT is significant, and a substantial proportion of it goes to human leukocyte antigen (HLA) testing of family members (HLA screening) in hope of getting a matched related donor (MRD) for HSCT. The aim of this study was to establish that a new proposed testing algorithm of HLA typing would be more cost-effective as compared to the conventional HLA screening within MRD families for possible HSCT.

Material and Methods:

Buccal swab samples of 177 thalassemia patients and their prospective family donors (232) were collected. Using a new HLA testing algorithm, samples were tested for HLA typing in a sequential manner (first HLA-B, then HLA-A, and finally HLA-DR) using the sequence-specific oligonucleotide probe method on the Luminex platform.

Results:

The new sequential HLA-A, HLA-B, and HLA-DRB1 testing algorithm showed a 49.1% reduction in cost compared to the conventional HLA testing algorithm. Furthermore, 40 patients (22.59%) were found to have HLA-MRD within the family among other samples that were tested.

Conclusion:

The new HLA testing algorithm proposed in the present study for identifying MRD for HSCT resulted in a substantial reduction in the cost of HSCT workup.
Antihypertensive medication non-adherence and its associated factors among adult patients with uncontrolled hypertension in a primary care setting
Authors: Michael Godpower Chinedu , Tanimu Salihu Tanko
Published: June 2023

Introduction:

Medication nonadherence is a significant challenge in the management of patients with hypertension. This study aimed to assess antihypertensive medication nonadherence and its associated factors in a cohort of patients with uncontrolled hypertension.

Material and Methods:

A cross-sectional study was conducted among 225 adult patients with uncontrolled hypertension systematically selected from attendees of the general outpatient clinic of an academic tertiary hospital in Kano, Nigeria. A structured questionnaire was used to collect data on their sociodemographic, clinical, and follow-up appointment characteristics. An 8-item medication adherence scale was used to assess medication adherence.

Results:

There were 155 (68.9%) females. The participants' median age (interquartile range [IQR]) was 55 (45–63) years. Their median adherence score (IQR) was 4 (1–6) of 8, while 87.1% were non-adherent to antihypertensive medication. The duration of treatment (p = 0.009), current blood pressure (p = 0.006), and adherence to follow-up clinic appointments (p = 0.0004) were significantly associated with their median medication nonadherence scores.

Conclusion:

The prevalence of medication non-adherence in this population is high; however, patients who have been treated for more than 5 years, those with high blood pressure readings (Stage 2 hypertension), and those who were adherent to follow-up appointments had worse medication adherence scores than the other counterparts. These findings justify the need to extensively explore (especially those with long duration of treatment and Stage 2 blood pressure readings) and address the reasons for non-adherence to antihypertensive medication (which should include the identified associated factors), given that medication adherence is crucial in controlling hypertension and its consequences.