bluuebunny/crossref_metadata_2025 huggingface dataset:
Determining Job Competency of Patient Transporters in Southeastern of Iran: Challenges and Needs
Authors: Dehnavieh Reza , Sajadi Seyyid Mohammad Keyhan , Balochi Monire , Masoud Ali , Noorihekmat Somayeh
Published: November 2022

Background: Patient transporters have a significant impact on the rate of atonement and property of hospital services. They have several duties in hospitals; therefore, managing them and ensuring their abilities plays a significant role in increasing patient satisfaction. Objectives: The present study aimed to evaluate the thrust competencies of patient transporters. Methods: This study was an exploratory mixed method carried out in two phases in 2021. In the first phase, different competencies required for hospital workers were identified by interviews. In the next phase, the status of patient transporters' job competencies was assessed through observation and using a checklist in the teaching hospitals in southeast of Iran. The data from the interviews and the checklist were analyzed using Max QDA 20 and SPSS 22 software, respectively. It should be noted that all interviews were conducted between March 2021 and August 2021. Results: The patient transporter’ job skill was divided into the two main categories of common and specialized skills as well as the six sub-categories of communication, esteem, conduct, chastisement, displacement and transfer, and trade notice based on the findings of the qualitative state. According to the findings, sanitarium porters' scored higher in terms of maintaining presentable appearances, cleanliness, and hygiene; however, they received lower scores in terms of fitting the patients before moving them and showing an amicable behavior toward them. Conclusions: The results highlighted the need to strengthen the general and specialized skills of patient transporters by adopting different methods. To this end, it was suggested that training courses should be carried out in order to help patient transporters perform their duties more appropriately. It was also recommended that health system managers should increase their awareness of the important role played by patient transporters in enhancing the efficiency and effectiveness of the hospitals.
Real-life trends of anticoagulant prescribing practices for pulmonary embolism – results of a single-center study based on the experience of a multi-profile clinical hospital
Authors: Szymańska Urszula , Kurzyna Marcin , Segiet-Święcicka Agnieszka , Kułak Piotr , Kosiaor Dariusz A.
Published: November 2022

Acute pulmonary embolism (APE) is one of the main causes of cardiovascular deaths and anticoagulant treatment plays a key role in preventing recurrent episodes, chronic thromboembolic pulmonary hypertension (CTEPH), and deaths. The aim of this study is to assess the real-life trends and to determine factors associated with the choice of anticoagulation therapy in patients with APE. This is a single center prospective open study. We followed 178 consecutive patients admitted to the tertiary clinical center with APE proven with computed tomography (CT) scan within period of 24 months. A total number of 178 patients with APE were enrolled in the study. 48.9% of subjects were hospitalized in cardiology department. As a prolonged anticoagulant therapy 35.7% of study cohort received direct oral anticoagulants (DOACs), 35.1% LMWH, and 29.2% vitamin K antagonists (VKA), respectively. No statistically significant differences were found between the departments regarding frequency of prescribing anticoagulants (p=0.15). The multivariable analysis showed that oral anti-coagulants (OACs) were less likely to be prescribed than LMWH in patients with malignancy, history of major bleeding, serious medical condition and altered mental status. OACs were preferred over LMWH in symptoms of deep vein thrombosis (DVT). VKA were significantly less likely to be chosen than DOACs in patients with history of orthopaedics procedure. After six months anticoagulation therapy was discontinued in 24.3% of patients. Concluding, the form of anticoagulant therapy was associated with the presence of chronic diseases. LMWH was prescribed in high bleeding risk patients more frequently.
Out of the Dark: The Challenges of Branding Post-Disaster Tourism Ten Years after the Great East Japan Earthquake
Authors: Gerster Julia , Penmellen Boret Sebastien , Shibayama Akihiro
Published: November 2022

The act of visiting disaster sites by non-locals is often controversial, such as the promotion of so-called dark tourism or post-disaster tourism. After the 2011 Great East Japan Earthquake, Tsunami, and Nuclear Disaster, the affected communities in Northeast Japan encouraged travel to the disaster sites as a way to support the region financially and pass on lessons learned in the disaster for disaster mitigation. This paper discusses how the promotion of post-disaster tourism through novel brands such as “Bosai (disaster mitigation) Tourism” or “Hope Tourism,” conversely emphasizes the positive aspects of disaster-related tourism rather than the “dark” or negative aspects. Drawing on ethnographic field research, analyses of tour descriptions and contents on websites offered by national and prefectural disaster tourism, participant observation at disaster tours, and interviews with local community members and tour organizers, this paper discusses the framing as well as the potential benefits of disaster-related tourism for local recovery and disaster mitigation, while exploring the challenges and burdens this form of tourism may inflict on the local communities. We argue that, despite the ethical challenges dark tourism may generate, confronting tragedies through dark or post-disaster tourism encourages visitors to connect with uncomfortable pasts, potentially helping to prevent similar tragedies from recurring as a result.
Theoretical Background of LCC Operation
Authors: Shigetani Yoichi
Published: November 2022

This paper explores the theoretical background of low cost air carriers’ operation using the theory of service management as well as service marketing. The operation strategies of low cost air carriers are examined from the point of their service operation structure as well as their strategies to achieve customer satisfaction. The purpose of this paper is to explore how low-cost air carriers can achieve customer satisfaction despite their low-cost operation and the problems they may face. This paper consists of 5 sections. Following the introduction, the customer segment of low cost air carrier is described from the market research by JTB Tourism Research and Co. in the late 2010s. Then, previous researches are reviewed from the point of the structure of the operation, response to the uncertainty caused by the diversity of customer needs, the relationship between price and quality as well as Expectation Confirmation Theory. Following the literature review, the theories and models discussed in the previous section are applied to the case of a typical LCC to verify the theories and models in the previous research as well as to explore the findings from the actual case. In this section, cost reductions by LCCs are discussed by each structure of service operation (backyard, front and service-encounter). Also, the customer satisfaction of LCC is discussed by applying the Expectation Confirmation Theory. In the last section, the findings in the previous section and further problems of the low-cost air carriers’ operation are described.
Preparing for Veszprém-Balaton European Capital Of Culture 2023: Exploratory Study of the University Pannonia Community’s Cultural Consumption, Emotional and Cultural Intelligence
Authors: Kővári Edit , Ködmönné Pethő Henrietta , Raffay-Danyi Ágnes
Published: November 2022

When in 2018, Veszprém and the Balaton region won the title of European Capital of Culture 2023, the whole city and region felt that this means cultural, economic and social catalyst for the area. To grap the research opportunity in 2019 the ECoC research group was established at the Faculty of Business and Economics of the University of Pannonia. The aim of the group is to assess the local identity, quality of life, cultural consumption and cultural and emotional intelligence of the university's community through a longitudinal study. This study presents the community's cultural consumption, the level of cultural and emotional intelligence and the relationships of these factors. The results show a strong correlation with some elements of cultural consumption and emotional and cultural intelligence. People with higher emotional and cultural intelligence participate in more leisure activities and events and spend more time reading, listening to music, and hiking.
An Investigation about the Interrelationship of Student-Teacher in Higher Hospitality Management and Tourism Education in Cyprus
Authors: Michaelides Roxana
Published: November 2022

This study is intended to investigate the interrelationship of student- in the private Hospitality and Tourism Higher Education in Cyprus. The researchers of this study formulated three main themes, especially sought to identify the qualities of a good teacher, positive relationship with a teacher, characteristics of caring academic demonstrate, and attributes of a good professor/lecturer. The purpose of this was to investigate the effects of student perceptions of their college teacher's interpersonal teaching behaviors on student achievement and affective learning outcomes. Analyses were conducted in order to investigate the effects of differing student perceptions of their teacher's interpersonal teaching behaviors. A qualitative approach was employed, whereby face-to-face and semi-structured interviews were conducted with 100 students in private tourism higher education in Cyprus. Using thematic analysis, the study concludes that it is imperative for teachers to develop positive academic relationships and establish close rapport with their students to facilitate the learning process.
Đánh giá kỹ thuật khâu vắt trong phẫu thuật thay van hai lá tại Khoa Phẫu thuật Tim mạch - Bệnh viện Bạch Mai
Authors: LÊ THANH TÙNG , LÊ THANH TÙNG
Published: November 2022

Đánh giá kỹ thuật khâu vắt trong phẫu thuật thay van hai lá tại Khoa Phẫu thuật Tim mạch - Bệnh viện Bạch Mai
Các điểm nổi bật của sinh hoạt Câu lạc bộ Can thiệp Việt Nam tháng 3 năm 2022
Authors: MD KWAN S LEE , Nguyễn Ngọc Quang , Hoang Anh Tien
Published: November 2022

Các điểm nổi bật của sinh hoạt Câu lạc bộ Can thiệp Việt Nam tháng 3 năm 2022
Đánh giá chức năng thất phải toàn bộ và theo vùng bằng siêu âm đánh dấu mô cơ tim ở bệnh nhân tim bẩm sinh có tăng áp động mạch phổi
Authors: PHẠM THU THỦY , NGUYỄN THỊ THU HOÀI
Published: November 2022

Mục tiêu: Mục tiêu nghiên cứu là đánh giá sức căng dọc toàn bộ thất phải và sức căng thành tự do thất phải theo vùng nhằm phát hiện rối loạn chức năng thất phải ở bệnh nhân tim bẩm sinh có tăng áp động mạch phổi.

Phương pháp và đối tượng nghiên cứu: 70 bệnh nhân bệnh tim bẩm sinh có tăng áp động mạch phổi và 30 cá thể nhóm chứng được thu thập vào nghiên cứu. Dựa trên thông tim, các bệnh nhân được chia làm 3 phân nhóm bao gồm nhóm A là Eisenmenger do luồng thông trước van ba lá (18 bệnh nhân), nhóm B là Eisenmenger do luồng thông sau van ba lá (23 bệnh nhân) và 29 bệnh thuộc nhóm tăng áp phổi chưa cố định là nhóm C. Phân độ chức năng của tổ chức y tế thế giới WHO Fc được sử dụng để chia các bệnh nhân thành ba dưới nhóm. Sức căng thành tự do thất phải vùng đáy, giữa, đỉnh và sức căng dọc toàn bộ thất phải được đo trên siêu âm đánh dấu mô cơ tim 2D, các thông số siêu âm còn lại được đo trên siêu âm tiêu chuẩn.

Kết quả: 61.4% tổng bệnh nhân có WHO FC độ 3 trở lên. Trung bình sức căng dọc thành tự do thất phải và sức căng toàn bộ thất phải lần lượt là -20.42 ± 5.9%, -17.62 ± 5.5%. Toàn bộ giá trị sức căng dọc thất phải của nhóm nghiên cứu đều nhỏ hơn nhóm chứng. Toàn bộ chỉ số sức căng dọc thất phải đều cho tỷ lệ bất thường cao hơn các chỉ số chức năng thất phải trên siêu âm kinh điển. Sức căng toàn bộ và sức căng dọc thành tự do thất phải của hai nhóm A, B đều nhỏ hơn nhóm C (p<0.001). Trong số các chỉ số sức căng vùng, sức căng vùng đáy nhóm C cao hơn nhóm A (p<0.001) nhưng tương tự nhóm B. Toàn bộ chỉ số sức căng vùng, sức căng toàn bộ thất phải và sức căng dọc thành tự do thất phải đều tương quan có ý nghĩa với áp lực động mạch phổi tâm thu và mức độ nặng của phân độ WHO FC.

Kết luận: Ở bệnh nhân tim bẩm sinh có tăng áp động mạch phổi, siêu âm đánh dấu mô cơ tim (STE) 2D có tiềm năng phát hiện sớm hơn suy chức năng thất phải so với các thông số siêu âm thường quy.
Sleep polysomnography in patients with heart failure
Authors: PHẠM VĂN HÂN , NGUYỄN THỊ THU HOÀI , NGÔ QUÝ CHÂU NGÔ QUÝ CHÂU
Published: November 2022

Objectives: To describe the characteristics of polysomnography of sleep apnea syndrome in heart failure patients at Bach Mai Hospital.Subjects and Methods: A cross-sectional study on 63 patients diagnosed with heart failure with echocardiography and sleep polysomnography, and consented to participate in the study.Results and conclusions: The study on 63 heart failure patients with sleep apnea included 54 (85.7%) male patients and 9 (14.3%) female patients. The average age of the study subjects was 69.57 ± 13.08 years old. ProBNP levels, ejection fraction, systolic and diastolic volume and diameter of the ventricles in the heart failure subgroups were significantly different with p < 0.05. Pulmonary arterial pressure in the heart failure subgroups was not statistically significant with p > 0.05. The average total sleep time was 334.8 ± 119.8 minutes. The longest recorded REM period was 54 minutes. The achieved sleep efficiency is 64.70 ±27.43%. The difference between HI and AHI in heart failure subgroups was not statistically significant with p > 0.05. The rate of severity of sleep apnea at different levels of heart failure according to EF classification was not statistically significant with p > 0.05.
Passé Pains
Authors: Bramble Ben ,   Philosophy Documentation Center
Published: November 2022

Why are pains bad for us? A natural answer is that it is just because of how they feel (or their felt-qualities). But this answer is cast into doubt by cases of people who are unbothered by certain pains of theirs. These pains retain their felt-qualities, but do not seem bad for the people in question. In this paper, I offer a new response to this problem. I argue that in such cases, the pains in question have become “just more of the same,” and for this reason have ceased to be bad for the relevant individuals. It is because they (implicitly) recognise this that they are unbothered by such pains.
Reform and Practice of Ideological and Political Teaching in Basic Courses of Energy and Power Majors:Taking Engineering Fluid Mechanics as an Example
Authors:   Harbin Institute of Technology School of Energy Science and Engineering, Harbin, 15000, LI Deyou , Gong Ruzhi , Wang Hongjie , Han Lei , Fu Xiaolong
Published: November 2022

In order to achieve the fundamental task of moral education, the National Conference on Ideological and Political Work in Colleges and Universities clearly pointed out that ideological and political work such as the cultivation and practice of social core values should be integrated into the whole process of teaching and education, so as to achieve all staff, whole process and all-round education. As teachers of professional basic courses in higher education schools, it is particularly important to explore new ideological and political models for professional basic courses. Professional courses are the highlight of student training, and an important position for ideological and political courses. It is a key of college education to reasonably excavate ideological and political elements in professional courses and organically integrate them into each link of professional course teaching, guide students to set up correct ideas and promote the all-round development of students' morality and intelligence. In this context, this paper fully investigates the current situation of ideological and political development and practice in different courses in China, and summarizes the existing problems and future practical directions of ideological and political construction in colleges and universities. Taking the "Engineering Fluid Mechanics" course of the School of Energy Science and Engineering in Harbin Institute of Technology as an example, the course ideological and political teaching reform and practical exploration were carried out, and the ideological and political education resources related to "Engineering Fluid Mechanics" were deeply explored, and a specific implementation plan was formulated. Give full play to the function of professional courses to build morality and cultivate people, teaching effect test and summary were made, which show good results. The above teaching research can provide experience and guidance for the ideological and political reform and practice of professional basic courses for energy and power majors.
A retrospective evaluation of a knee rehabilitation class following evidence-based modifications
Authors: Chetty Dr Laran
Published: November 2022

Knee pain is a common musculoskeletal disorder and contributes a large socio-economic burden to health systems around the world. The traditional strategy to manage knee pain has been exercise. However, there is growing recognition to include coping and self-management educational strategies to improve psychosocial outcomes. Purpose: The purpose of this evaluation was to compare the effectiveness of a revised knee rehabilitation class that incorporated an evidence-based educational component (2021-22) to the previous knee rehabilitation class that did not incorporated an evidence-based educational component (2020–21) by comparing pre-class and post-class outcome measurement scores. Method: A retrospective evaluation of the knee rehabilitation classes at an NHS Trust in North London, United Kingdom was conducted using the Knee Injury and Osteoarthritis Outcome Score (KOOS) and Lower Extremity Functional Scale (LEFS) from two cohorts of participants from 2020-21 and 2021-22. Data from the two classes were analysed separately and then compared. Satisfaction scores were captured using a questionnaire which participants completed at the end of each class. Data were analysed using the Statistical Software for Excel (XLSTAT) package. Results: A total of 46 and 52 patients attended the 2020-21 and 2021-22 classes respectively. Both classes showed significant improvements in KOOS and LEFS when analysed separately, but no significant difference when compared. The 2020-21 class had a mean satisfaction score of 87.2%, and the 2021-22 class had a mean satisfaction score of 91.7%. Conclusion: The addition of an evidence-based educational component incorporating coping and self-management strategies in a knee rehabilitation class showed improvement in outcome measurement scores but cannot be considered superior to a class which consisted of an exercise component only.
Research progress of integrated photonic quantum simulation
Authors: Chen Yang , Zhang Tian-Yang , Guo Guang-Can , Ren Xi-Feng ,   CAS Key Laboratory of Quantum Information, University of Science and Technology of China, Hefei 230026, China
Published: November 2022

Quantum simulation is to use a controllable quantum system to simulate other complicated or hard-to-control quantum system, and to deal with some complex unknown quantum systems that cannot be simulated on classical computers due to the exponential explosion of the Hilbert space. Among different kinds of physical realizations of quantum simulation, integrated optical systems have emerged as an appropriate platform in recent years due to the advantages of flexible control, weak decoherence, and no interaction in optical systems. In this review, we attempt to introduce some of the basic models used for quantum simulation in integrated photonic systems. This review article is organized as follows. In Section 2, we introduce the commonly used material platforms for integrated quantum simulation, including the silicon-based, lithium niobate-based integrated circuits, and the femtosecond laser direct writing optical waveguides. Several integrated optical platforms such as the coupled waveguide arrays, photonic crystals, coupled resonator arrays, and multiport interferometers are also introduced. In Section 3, we focus on the analog quantum simulations in the integrated photonic platform, including Anderson localization of light in disordered systems, various kinds of topological insulators, nonlinear and non-Hermitian systems. More specifically, in Subsection 3.1, we present the integrated photonic realizations of disordered and quasi-periodic systems. In Subsection 3.2, we review the integrated photonic realizations of the topological insulators with and without time-reversal symmetry, including Floquet topological insulators, quantum spin hall system, anomalous quantum hall system, valley hall system, Su-Schrieffer-Heeger (SSH) model, and photonic topological Anderson insulators. Besides, topological insulator lasers and topologically protected quantum photon sources are briefly reviewed. In Subsection 3.3, we review the nonlinear and non-Hermitian integrated optical systems. In Section 4 we present the integrated digital quantum simulations based on the multiport interferometers, including the discrete-time quantum random walk, Boson sampling, and molecular simulation. In Section 5, we summarize the content of the article and present the outlook on the future perspectives of the integrated photonic quantum simulation. We believe that the integrated photonic platforms will continue to provide an excellent platform for quantum simulation. More practical applications will be found based on this system through combining the fields of topological photonics, laser technologies, quantum information, nonlinear and non-Hermitian physics.
A transitional species of Daspletosaurus Russell, 1970 from the Judith River Formation of eastern Montana
Authors: Warshaw Elías A. , Fowler Denver W.
Published: November 2022

Here we describe a new derived tyrannosaurine, Daspletosaurus wilsoni sp. nov., from Judithian strata (~76.5 Ma) intermediate in age between either of the previously described species of this genus. D. wilsoni displays a unique combination of ancestral and derived characteristics, including a cornual process of the lacrimal reduced in height relative to D. torosus and more basal tyrannosaurines, and a prefrontal with a long axis oriented more rostrally than in D. horneri and more derived tyrannosaurines. The description of this taxon provides insight into evolutionary mode in Tyrannosaurinae, lending strength to previous hypotheses of anagenesis within Daspletosaurus and increasing the resolution with which the evolution of this lineage can be reconstructed. Cladistic phylogenetic methods, stratigraphy, and qualitative analysis of the morphology of relevant taxa supports an anagenetic model for the origin of morphological novelty in this genus, highlighting the predominance of anagenetic evolution among contemporary dinosaur lineages.
Stroke-related length of hospitalization trends and in-hospital mortality in Peru
Authors: Labán-Seminario L. Max , Carrillo-Larco Rodrigo M. , Bernabé-Ortiz Antonio
Published: November 2022

Background

Peru faces challenges to provide adequate care to stroke patients. Length of hospitalization and in-hospital mortality are two well-known indicators of stroke care. We aimed to describe the length of stay (LOS) of stroke in Peru, and to assess in-hospital mortality risk due to stroke, and subtypes.

Methods

This retrospective cohort study used hospitalization registries coding with ICD-10 from 2002 to 2017 (N = 98,605) provided by the Ministry of Health; in-hospital mortality was available for 2016–2017 (N = 6,566). Stroke cases aged ≥35 years were divided into subarachnoid hemorrhage (I60), intracerebral hemorrhage (I61), cerebral infarction (I63), and stroke not specified as hemorrhage or infarction (I64). Data included stroke LOS and in-hospital mortality; socio-demographic and clinical variables. We fitted a region- and hospital level-stratified Weibull proportional hazard model to assess the in-hospital mortality.

Results

The median LOS was 7 days (IQR: 4–13). Hemorrhagic strokes had median LOS longer than ischemic strokes and stroke not specified as hemorrhage or infarction (P = <0.001). The case fatality rate (CFR) of patients with stroke was 11.5% (95% CI [10–12%]). Subarachnoid hemorrhage (HR = 2.45; 95% CI [1.91–3.14]), intracerebral hemorrhage (HR = 1.95; 95% CI [1.55–2.46]), and stroke not specified as hemorrhage or infarction (HR = 1.45; 95% CI [1.16–1.81]) were associated with higher in-hospital mortality risk in comparison to ischemic strokes.

Discussion

Between 2002 and 2017, LOS due to stroke has not changed in Peru in stroke patients discharged alive. Hemorrhagic cases had the longest LOS and highest in-hospital mortality risk during 2016 and 2017. The findings of our study seem to be consistent with a previous study carried out in Peru and similar to that of HIC and LMIC, also there is an increased median LOS in stroke cases managed in specialized centers. Likewise, LOS seems to depend on the type of stroke, where ischemic stroke cases have the lowest LOS. Peru needs to improve access to stroke care.
The Effectiveness of Developing E-Book Learning Media in Class Management Course
Authors: Perangin Angin Laurensia Masri , Sitanggang Andri Kristianto , Ambarita Dody Feliks Pandimun , Hatmi Edizal , Fransiscus Ambarita Charles
Published: November 2022

The purpose of this study is to know the increase of the college students’ cognitive learning outcomes who use e-book learning media developed in the Class Management course in the Primary School Teacher Education department, Faculty of Science Education, State University of Medan. This research type is Research and Development with the ADDIE model, namely analysis, design, development, implementation and evaluation. The instruments used for data collection are tests. The results of the increase of the college students’ cognitive learning outcomes analysis show that the initial average score is 85.3 while the final average score is 89.8. When viewed from the gain score, obtained a gain score of 0.307 which is classified as the medium category.
Estilos de liderança e comprometimento organizacional dos contadores que trabalham de forma remota
Authors: Lizote Suzete Antonieta , Silva Danuzi da , Mendes Maria das Graças Correa , Tridapalli Lucas Ademir
Published: November 2022

Este estudo teve como objetivo avaliar a relação entre o estilo de liderança e o comprometimento organizacional dos contadores que trabalham de forma remota. Uma pesquisa de levantamento foi realizada com contadores que trabalham de forma remota em escritórios de contabilidade localizados nos municípios da Associação dos Municípios da Região da Foz do Rio Itajaí/SC. Dos 225 convites enviados para participar da pesquisa, 184 foram aceitos, aos quais foi enviado o link  do questionário. Os construtos foram mensurados com os instrumentos de Bass e Avolio (2004) e Meyer e Allen (1991). Para testar as hipóteses, realizou-se a análise de correlação bivariada de Pearson. Os resutlados evidenciaram que a liderança transformacional mostrou correlação positiva com todas as dimensões, entretanto, significativa somente com índice de comprometimento e comprometimento afetivo-normativo. A liderança transacional, mostrou relação significativa com todas as variáveis de comprometimento, entretanto, apresentou relações inversas. Já a liderança laissez-faire apresentou relação positiva com comprometimento instrumental-normativo e relações negativa com comprometimento afetivo-normativo e com índice de comprometimento.  Estes resultados, teoricamente ampliam o escopo das análises dos estilos de liderança e o comprometimento organizacional. Quanto a contribuição prática, ao proceder a análise conjunta destes constructos, este entendimento poderá contribuir para subsidiar o processo decisório de gestores em diferentes ambientes.
Os limites da educação financeira sob a perspectiva da economia comportamental
Authors: Mira Elson Cedro , Diniz Marianna de Farias
Published: November 2022

A educação financeira vem ganhando espaço nos debates contemporâneos. Seus princípios afirmam que o indivíduo com pleno conhecimento financeiro tem capacidade de utilizar informações para decidir de maneira ótima. A ortodoxia econômica buscou analisar o comportamento dos indivíduos sob uma perspectiva de racionalidade maximizadora. Contrariando tal perspectiva, autores da Economia Comportamental desenvolveram estudos, considerando, fatores cognitivos. A partir desse debate, o presente trabalho tem por objetivo analisar as limitações do homem racional e da educação financeira no processo de tomada de decisões econômicas, demonstrando, através da economia comportamental, como fatores psicológicos constrangem resultados da educação financeira nas decisões de consumo. Desenvolvida no plano teórico, a pesquisa utiliza do método bibliográfico. Concluiu-se pela insuficiência da educação financeira como garantia à racionalidade nas decisões de consumo, pois os seres humanos são influenciados por fatores limitadores de ordem psicológicas, culminando em decisões não racionais, por vezes, mesmo sujeitos à educação financeira.
A Scoping Review of the Definition of Walkability and its Relationship with Depression and Anxiety Symptoms
Authors: Warner Emily , Nadouri Doaa , Orpana Heather , Wang JianLi
Published: November 2022

Walkability is a composite factor of the built environment which has been investigated in regards to its relationship with mental illness within a community. This scoping review aims to summarize the definition of walkability, and to investigate its relationship with depression and anxiety in previous literature. Walkability was defined theoretically, and by the subcomponents used in its composite measurement. Inconsistency in the definition of walkability limits the possibility of determining whether it is related to depression or anxiety. Future research should investigate the subcomponents of walkability in order to understand the impact of specific community-level factors on mental health outcomes.
Preparation and Evaluation of 1, 2-Dibromoethane Product as Oil Field Emulsion Breaker
Authors: Ogechi Okoye , Akaranta Onyewuchi , Chukwu Uche
Published: November 2022

Quercetin rich compound and cardanol rich compound were extracted and modified via the William ether synthesis using 1,2-dibromoethane in the presence of a base catalyst. The FTIR spectral analysis of the modified product confirmed its chemical modification. The modified product MRCNSL was evaluated as emulsion breakers. Medium crude and seawater, characterized with ASTM standards were used in producing laboratory-simulated crude oil emulsions at varying crude oil: water mixing ratios of 90:10, 70:30 and 50:50. Performance of MRCNSL demulsifier was evaluated based on variation in dosage (10 ppm – 50 ppm), water content (10%, 30% and 50%), and solvent types (ethanol, butanol, xylene and a binary mixture of butanol and xylene in ratio 30:70, 50:50 and 70:30) at room temperature within a 3-hr period via bottle testing. Results obtained showed that water separation increases with demulsifier concentration and emulsion water content respectively, though water separation varied among the solvents. In conclusion, the evaluated MRCNSL product possesses emulsion breaking potential using binary mixture of Butanol/xylene (70:30) as solvent at shorter times. This may be due to the synergetic effect of Butanol as a solvent, thus, Butanol/xylene (70:30) should be considered as solvent substitute for xylene due to reduced cost and less toxicity levels, unlike using xylene alone which is toxic and expensive.
Importance of Home in the Literacy Process of Child
Authors: Forte Stefania , Salamah Marwan Abdulah
Published: November 2022

A type of human service known as an intergenerational program (IGP) involves regular, planned contacts between people of different ages for the benefit of all participants. Children enter school with widely variable levels of emerging literacy, and it is generally known that these levels are an important indicator of subsequent literacy and, consequently, of academic performance in general. Children's early competency development is significantly influenced by the home learning environment. Children's language comprehension and production are particularly tightly related to the early home literacy environment (HLE), which is made up of all literacy materials and family interactions that enhance children's linguistic and literacy learning. Shared reading is a crucial component of the HLE and should begin in a child's early years and become a regular part of family life. However, little research has been done on the impact of the HLE and a child's interest in literacy on later literacy skills. In this review study, we investigated the importance of Home in the literacy process of child and how different aspects in home effect the literacy capability of child.
Gears and Modes of Exploitation of Edible Frogs in the Peri-Urban Localities of Man, Côte d'Ivoire
Authors: Casimir Ble Yatanan , Faustin Zouh Bi Zahouli , Norbert Kouadio Kouakou , Adjehi Dadie
Published: November 2022

Aims: The study carried out aimed to evaluate the modes of exploitation of edible frogs.

Place and Duration of Study: The present study was performed during the month of January to February 2022. The survey was conducted in the villages of Kassiapleu, Kouitongouiné and Gbangbégouiné. These villages are located in MAN (West of Côte d’Ivoire).

Methodology: Surveys have been carried out among actors exploiting this animal resource. The study involved 210 consumers and 15 frog harvesters in the locality of MAN. A well-structured questionnaire provided data on fishing techniques and frog consumption patterns.

Results: This study reveals that there are two main fishing methods: arrow fishing (57.1%) and hook and line fishing (42.9%). The catches are made in different humid ecological zones and the exploitation is only intended for local consumption. The smoked form is the most popular with consumers (59.5%). The majority of respondents consume this meat because of the taste (83.3%) compared to that of chicken (44.8%) and fish (31.4%).

Conclusion: In view of these results obtained, the establishment of a rational exploitation strategy must be considered for the conservation of edible frog species.
Natural Honey Beneficial to Health, Its Chemical Composition, and Biochemical Activities: A Review
Authors: Karapetkovska-Hristova Vesna , Mustafa Syed Khalid
Published: November 2022

Since early antiquity, honey has been utilized worldwide as a balanced meal and in supplementary treatment. It contains over 200 different substances, the majority of which are water, sugars, vitamins, enzymes, amino acids, minerals, and phytochemicals. It has health advantages, including microbial inhibition, healing, and its influence on other disorders. Additionally, it stimulates the immune system and helps immune cells mature. The nutritional value of honey is substantially influenced by the type of plants in the region, the climate, and the production process.  Different types of honey were examined by various workers, they found a strong relationship between honey type and HMF, saccharose, and phenolic content, as well as acidity and antioxidant activity. For the level of vitamin C, glucose, and fructose, the combination of variety and manufacturing technique has a substantial influence. The focus of this study is on the biochemical processes and its potential health benefits. However, the precise mechanisms of honey's influence on many illnesses and activities have not yet been fully defined, and more study is necessary to understand their precise contributions.
Assessment of Yield and Quality Attributes of Garden Pea (Pisum sativum. L) Varieties under Shade House Condition
Authors: Anitha P. , Hanumantharaya B. G.
Published: November 2022

The present study investigated the yield potential of fifteen varieties of Garden pea from various sources across the country. As there is no specific high yielding genotype of Garden pea recommended for cultivation in Bangalore region, which is located on the Deccan plateau, it is a main challenge to identify a suitable high yielding genotype for southern region of Karnataka so as to recommend for similar situations. The varieties were evaluated for yield and quality attributes at Department of Horticulture, College of Agriculture, UAS, GKVK, Bengaluru, India between October- January 2019-20 and 2020-21. Most of the major yield and quality contributing characters were significantly differed in the experiment. Experiment was carried out by using Randomized complete Block Design out of the fifteen varieties tested, highest pod length (10.98 cm), pod weight (9.38 g), pod width (2.87 cm), number of pod per plant (19.35), yield of pods per plant (92.62 g), per plot (3.15 kg), per hectare (157.50 q ha-1 tonnes) were recorded in T10 (Arka Apoorva), and number of green peas per pod (9.87), were recorded in T9 (Arka Karthik). Whereas T3 (Kashi Nandini) produced the days to first flower (41.56), and days to fifty percent flowering (52.08) were observed in T7 (PSM-4). Garden Pea being one of the most suitable vegetable crops for Rabi cultivation, the identified varieties could be raised by the farming community of the region for enhanced yield and economic benefits.
Effect of Sources and Levels of Sulphur on Quality, Nutrient Content and Uptake of Summer Cowpea (Vigna unguiculata L. Walp.) under South Gujarat Condition in India
Authors: Patel T. B. , Raj A. D. , Surve V. , Sankhala P. M. , Parmar V. T.
Published: November 2022

A field experiment was conducted during 2021 to study the effect of sources and levels of sulphur on summer cowpea (vigna unguiculata L. walp.) under south Gujarat condition. The results revealed that application of sulphur with gypsum source showed significantly higher seed yield (1392 kg ha-1), stover yield (2502 kg ha-1), crude protein yield (295.18 kg ha-1), nutrients content and uptake (N, P, K and S) by seed and stover and maximum net realization of Rs. 56100.38 ha-1 with BCR of 1.74. The application of 30 kg S ha-1 gave significantly higher crude protein yield (302.03 kg ha-1), seed yield (1393 kg ha-1), stover yield (2508 kg ha-1), nutrients content and uptake by seed and stover and maximum net realization of Rs. 55861.08 ha-1 with maximum BCR 1.71.
Antioxidants and Biomarkers of Inflammation as Risk Factors of Vascular Cognitive Impairment in Adult Hypertensives
Authors: Aborisade Oluyinka Bamidele , Charles-Davies Mabel Ayebatonyo , Owolabi Mayowa Ojo , Agbedana Emmanuel Oluyemi
Published: November 2022

Background: Impairment in cognition and attention involving memory loss characterize Vascular Cognitive Impairment (VCI), a complication of hypertension. The involvement of antioxidants and inflammatory biomarkers in the progression of hypertension to VCI is controversial and is investigated in this study.

Methods: A total of 216 normoglycaemic individuals (aged 40-75 years) were enrolled into this case control study by systematic sampling method. They consisted of 81 Newly Diagnosed Hypertensives (NDH) without cognitive impairment, 69 Newly Diagnosed Hypertensives with Cognitive Impairment (NDHCI) attending Medical Outpatient Clinic and 66 apparently healthy individuals without hypertension or cognitive impairment (Controls), who were members of staff of University College Hospital, Ibadan.  Socio-demographic indices and lifestyle were obtained through a semi-structured questionnaire while Systolic and Diastolic tg6bn Blood Pressure (SBP and DBP, respectively) were obtained using standard methods. Neuropsychological assessment based on Cognitive Score (CS) was performed using Community Screening Instrument for Dementia. Antioxidants [Glutathione (GSH), Catalase (CAT) and Superoxide Dismutase (SOD)] and inflammatory biomarkers [Interleukin-6 (IL-6), High sensitivity C - reactive protein (hs-CRP)] in serum were estimated by ELISA. Data were analysed using Statistical Package for Social Sciences (SPSS) software 17.0 version. Analysis of variance (ANOVA) and Post Hoc test were used for comparison of variables while Chi square test was used to find associations between variables. Data analysed were significant at p<0.05.  

Results: The inflammatory biomarkers hs-CRP (0.14±0.01; 0.12±0.01 versus 0.11±0.01 mg/L; p<0.001) and IL-6 (301.62±17.61; 115.60±16.01 versus 51.41±1.60 ng/mL; p<0.001) were significantly higher in NDHCI and NDH relative to control, respectively. Significant decreases in mean activities of catalase (81.71±1.01; 285.10±5.51 versus 403.00±17.31 ng/mL; p<0.001), SOD (5.04±0.97; 9.67±0.70 versus 12.02±0.53 ng/mL; p<0.007), GSH (7.02±0.89, 8.91±0.90; 20.5±1.31μg/mL; p<0.001) and cognitive scores (3.51±0.41; 18.81±0.50 against 28.71±0.20; p<0.001) were found in NDHCI compared with NDH and control, respectively.

Conclusion: Increased oxidative stress and inflammatory processes may underlie the progression of hypertension to cognitive impairment.
Hormone Positive HER2 Negative Breast Cancer Metastatic to the Rectum: A Case Report
Authors: Chehal Aref , Alakkad Ashraf , Uttamchandani Ashok , Mohamed Rawia , Church Robert Douglas , Otsmane Sonia
Published: November 2022

Background: The rectum is an uncommon site for metastases from Invasive Ductal Carcinoma (IDC) of the breast, and it poses risks such as perforation and obstruction.

Case Report: A 50-year-old non-diabetic, non-alcoholic, and nonsmoker premenopausal female patient diagnosed with rectal metastasis primarily originating from breast cancer.

In 2009, the patient was diagnosed with stage IV hormone positive, Her-2 (+2) negative, FISH positive right breast cancer with cervical (C6) vertebrae metastasis seen on PET scan. As she had oligo metastasis with a single bony focus, she was treated with intent to cure. For this purpose, she received radiation therapy to the cervical vertebrae, resulting in a complete response. This was followed by pseudo-neoadjuvant chemotherapy with six cycles of Docetaxel and trastuzumab. The patient then underwent a right-modified radical mastectomy. The pathology showed no complete response with residual 2.5 cm invasive carcinoma (PT2), and 4 out of 25 Axillary lymph nodes were positive for metastases (PN2). She was given (pseudo) adjuvant radiotherapy to the chest wall and lymphatics and was started on (pseudo) adjuvant tamoxifen. Trastuzumab was completed for one year as a (pseudo) adjuvant setting.

Her disease seemed to be cleared up as no new cancer signs were reported by follow-up full body scans (CT/PET). After seven years, in May 2016, her PET-CT scan showed multiple new hypermetabolic osseous lesions, in keeping with metastasis involving the right shoulder, mid-thoracic spine, left aspect of L5, right sacrum, and the greater trochanteric region of the left femur and left ischium. She also presented a new hypermetabolic retroperitoneal paracaval lymph node, in keeping with metastasis. The new ill-defined hypodensity in the left hepatic lobe was associated with increased FDG uptake, which is suspicious for early metastasis. She also presented a tiny right lung peri-fissural nodularity that was too small to be characterized by PET.

She was treated with Zoladex 3.6 mg injection monthly, Femara 2.5 mg daily, Palbociclib 125 mg PO daily for 21 days over a 28-day cycle, and Denosumab 120 mg monthly. The treatment was initiated in Singapore. As previously stated, Her-2 testing was reported as negative. The patient went into complete remission for more than six years, as documented by the PET scan conducted on January 19, 2022. Later, in June 2022, the patient developed signs and symptoms of intestinal obstruction (abdominal pain, nausea, and vomiting) and was diagnosed with rectal cancer metastases of breast origin.

Conclusion:  As the patient first developed breast cancer with oligo-bony metastasis, which was successfully treated with chemotherapy and radiotherapy, but later relapsed in the lung, liver, lymph nodes, and multiple bony sites. She was treated successfully via hormonal and targeted therapy. Finally, she relapsed in the form of rectal metastasis.
Treatment With Anifrolumab for Discoid Lupus Erythematosus
Authors: Trentin Francesca , Tani Chiara , Elefante Elena , Stagnaro Chiara , Zucchi Dina , Mosca Marta
Published: November 2022

This case report describes 2 women with severe and refractory discoid lupus erythematosus that was treated with anifrolumab.
Corporate health culture promotes infection control measures against COVID-19 in the workplace
Authors: Nagata Tomohisa , Odagami Kiminori , Nagata Masako , Mori Koji
Published: November 2022

Objectives

The present study examined the relationship between health culture evaluated by the Health and Productivity Survey Sheets and the implementation status of infection control measures against COVID-19 in the workplace.

Methods

This was a cross-sectional study using the corporate data (2518 companies) collected for the purpose of selecting the excellent company of health and productivity management by the Japanese government. The explanatory variable was the overall evaluation score, and the outcome was whether or not infection control measures against COVID-19 in the workplace. We used logistic regression analysis and calculated the odds ratio adjusted for the industry sector, the corporation size, and the operating profit ratio by the overall evaluation score category.

Results

The odds ratio of all infection control measurements in the workplace increased as the evaluation score increased.

Conclusions

This study revealed a new finding that the presence of a healthy culture in the workplace will lead to the appropriate implementation of infection control measures during a pandemic. The company's ordinary commitment to employee health will be effective even in times of health crisis, such as during the outbreak of the pandemic.
Porous Proton Exchange Membrane with High Stability and Low Hydrogen Permeability Realized by Dense Double Skin Layers Constructed with Amino tris (methylene phosphonic acid)
Authors: Li Wen , Liu Wen , Zhang Jin , Wang Haining , Lu Shanfu , Xiang Yan
Published: November 2022

Porous proton exchange membranes (PEMs) with abundant porous structures show enhanced phosphoric acid (PA) doping levels and proton transport capability. However, the high PA loss rate and serious hydrogen cross‐over lead to poor membrane stability. Enhancing the stability of PA‐doped porous PEMs is therefore crucial for obtaining high‐performance proton exchange membrane fuel cells. Herein, a porous polybenzimidazole membrane with dense double skin layers is reported using amino tris (methylene phosphonic acid) (ATMP) constructed. This membrane effectively alleviates hydrogen permeation and PA loss in a water/anhydrous environment and exhibits enhanced stability. Surprisingly, as an organic proton conductor, ATMP has strong hydrogen bonding with PA, leading to the formation of more continuous proton transport channels. Due to the dense double skin layers protection and the synergistic mass transfer of ATMP and PA, the porous membrane shows excellent proton conductivity (0.112 S cm−1) and a H2‐O2 fuel cell peak power density of 0.98 W cm−2 at 160 °C. Moreover, it presents excellent fuel cell stability, with a voltage decay rate of only 5.46 µV h−1. In addition, the porous membrane surpasses the traditional working temperature range, operating in the range of 80–220 °C. This study provides new insight into developing high‐performance porous PEMs.