bluuebunny/crossref_metadata_2025 huggingface dataset:
Re-Orienting Refugee Representation? A Multimodal Analysis of Syrian Refugee Representation on the Social Media Platform "Humans of New York"
Authors: Aarssen Nicole Cathleen
Published: March 2021

This paper examines a selection of photo-narratives from the social media account Humans of New York, which documented the experiences of Syrian refugees in the fall of 2015. It questions how an alternative media platform may challenge or reinforce traditional tropes utilized by mainstream media to represent a marginalized group such as Syrian refugees. To engage in the analysis, codes were developed from the literature review on Orientalism, neo-Orientalism, media representations of Islam and of refugees, as well as from theories of visual social semiotics and narrative analysis. The results suggest that while alternative platforms may challenge aspects of the Orientalist discourse, this discourse is also seen to adapt and persist through more subtle manifestations. The HONY audience is more likely to affirm representations that fit within the neo-liberal notion of who is an acceptable and â€œworthyâ€ refugee.
Assessing the Effectiveness of the Non-Structural Measures for River Cleaning
Authors: Husin Nor Azilah , Noor Ahmad Fuad , Saad Mazni , Mariyanti Eka
Published: March 2021

Klang River is heavily polluted. The state government tries to reduce this issue. The study's objective is to identify river cleaning's effectiveness by the non-structural measures of cross-sectoral collaboration and public outreach programs. A total of 82 usable data from Lembaga Urus Air Selangor (LUAS), Department of Irrigation and Drainage (DID), Klang Local Council (MPK), Shah Alam Local Council (MBSA) and the river community have answered an adapted questionnaire. We employ SmartPLS software for the analysis. The results show that Cross-sectoral Collaboration (CSC) and Public Outreach Program (POP) have significant effects on Effective River Cleaning (ERC).
Keywords: effective river cleaning; river rejuvenation; cross-sectoral collaboration; public outreach program
eISSN: 2398-4287© 2021. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians/Africans/Arabians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
DOI: https://doi.org/10.21834/ebpj.v6i16.2688
Análisis De La Problemática Y Enfoque Entorno A La Elaboración De Envases Biodegradables A Partir De Subproductos Del Maíz
Authors: Mera Intriago Yerlit Jamilex , Rendón Pozo Ariana Valeria , Bernal Gutiérrez Azucena Elizabeth , Baque Mite Leonardo Arturo
Published: March 2021

El plástico se ha convertido en un material muy demandado en la actualidad por sus características físico-químicas, lo cual permite ser muy aplicable en diferentes productos para diversos usos. Sin embargo, su producción masiva y mala gestión de residuos provocan un grave problema medioambiental de difícil solución, National Geographic, registró una producción mundial de 407 millones de toneladas de plástico hasta el 2015, los cuales tardan más de 1000 años en degradarse, debido a que se producen a partir del procesamiento de combustibles fósiles. Por tal razón, se busca la no dependencia de dicho plástico empleando nuevas alternativas como los plásticos biodegradables, los cuales presentan alta degradabilidad ante los compuestos orgánicos presentes en el medio ambiente. El almidón es una de las principales materias primas consideradas para tal ﬁn, debido a sus características beneficiarias en comparación al petróleo. Para su extracción existen diferentes métodos, como son la molienda seca de forma artesanal, la húmeda usada por grandes industrias para reﬁnar y mejorar la obtención del almidón y la nixtamalización que trabaja de la mano con el método de molienda húmeda. En Ecuador existe gran actividad agrícola, por ende, es de interés el aprovechamiento de subproductos y residuos de la agroindustria tales como los granos de rechazo de maíz, el elote y la fécula de maíz, consideradas como fuentes alternativas no convencionales para la producción de almidón en la elaboración de bioplásticos compitiendo con el plástico tradicional debido a que cuentan con apropiadas características y degradación del 89,40% en 90 días.
Integrating health disparities content into health informatics courses: a cross-sectional survey study and recommendations (Preprint)
Authors: Backonja Uba , Chen Annie T. , Cato Kenrick
Published: March 2021

BACKGROUND

Research suggests that while informatics solutions can help understand and address health disparities, there is potential for solutions to exacerbate existing or create new health disparities. To help future research and development of equitable solutions, we need to look upstream at how disparities are being integrated into informatics training programs. Doing so provides understanding and informs development of curricula that provide a foundation for future informaticists to build solutions that are ethical and equitable.

OBJECTIVE

To examine how the topic of health disparities is integrated into informatics courses.

METHODS

This cross-sectional, descriptive study took place April-October 2019 in the United States. Individuals teaching courses in informatics programs were recruited via listservs and email to complete an online survey. Instructors were eligible if they integrated disparities content into their informatics courses. Survey questions examined administrative aspects of the course (e.g., class size, mode of teaching, discipline of enrolled students) and disparities content integrated into the course (e.g., social determinants of health [SDOH] covered, how students were assessed on disparities related content). Participants also reported challenges they faced integrating disparities content into their courses. Quantitative data were analyzed using descriptive statistics; qualitative data were analyzed using inductive coding.

RESULTS

Invitations were sent to 141 individuals, including contacts for the National Library of Medicine (NLM) biomedical informatics training programs, and 11 listservs. We obtained data for 24 informatics courses that contained health disparities content. Courses were taught primarily in graduate programs (n=21, 87.5%) in informatics (n=9, 33.3%), nursing (n=7, 25.9%), and information science (n=6, 22.2%). Of the 24 courses, six (25.0%) were taught in an NLM training program. The most frequently covered SDOHs were socioeconomic status and race/ethnicity (both n=21, 87.5%); the least frequently covered were body type (n=0), low resource areas (n=2, 8.3%), and urban residences (n=3, 12.5%). Instructors noted three main types of challenges when integrating disparities related content into their courses: the need for additional resources, student-related challenges, and topic sensitivity.

CONCLUSIONS

Our sample included 24 informatics courses -- fewer than we had hoped -- that integrated disparities content; these courses spanned disciplines and varied in terms of the topics covered. Based on our findings, we provide recommendations for the intentional development of informatics programs to support the training of future generations of informaticians with foundational and transnational knowledge in health disparities so they are well-equipped to develop equitable informatics solutions.

CLINICALTRIAL

This study was not a clinical trial.
A Platform and Multisided Market for Translational, Software-Defined Medical Procedures in the Operating Room (OP 4.1): Proof-of-Concept Study (Preprint)
Authors: Görtz Magdalena , Byczkowski Michael , Rath Mathias , Schütz Viktoria , Reimold Philipp , Gasch Claudia , Simpfendörfer Tobias , März Keno , Seitel Alexander , Nolden Marco , Ross Tobias , Mindroc-Filimon Diana , Michael Dominik , Metzger Jasmin , Onogur Sinan , Speidel Stefanie , Mündermann Lars , Fallert Johannes , Müller Michael , von Knebel Doeberitz Magnus , Teber Dogu , Seitz Peter , Maier-Hein Lena , Duensing Stefan , Hohenfellner Markus
Published: March 2021

BACKGROUND

Although digital and data-based technologies are widespread in various industries in the context of Industry 4.0, the use of smart connected devices in health care is still in its infancy. Innovative solutions for the medical environment are affected by difficult access to medical device data and high barriers to market entry because of proprietary systems.

OBJECTIVE

In the proof-of-concept project OP 4.1, we show the business viability of connecting and augmenting medical devices and data through software add-ons by giving companies a technical and commercial platform for the development, implementation, distribution, and billing of innovative software solutions.

METHODS

The creation of a central platform prototype requires the collaboration of several independent market contenders, including medical users, software developers, medical device manufacturers, and platform providers. A dedicated consortium of clinical and scientific partners as well as industry partners was set up.

RESULTS

We demonstrate the successful development of the prototype of a user-centric, open, and extensible platform for the intelligent support of processes starting with the operating room. By connecting heterogeneous data sources and medical devices from different manufacturers and making them accessible for software developers and medical users, the cloud-based platform OP 4.1 enables the augmentation of medical devices and procedures through software-based solutions. The platform also allows for the demand-oriented billing of apps and medical devices, thus permitting software-based solutions to fast-track their economic development and become commercially successful.

CONCLUSIONS

The technology and business platform OP 4.1 creates a multisided market for the successful development, implementation, distribution, and billing of new software solutions in the operating room and in the health care sector in general. Consequently, software-based medical innovation can be translated into clinical routine quickly, efficiently, and cost-effectively, optimizing the treatment of patients through smartly assisted procedures.
Evaluation of a Parsimonious COVID-19 Outbreak Prediction Model: Heuristic Modeling Approach Using Publicly Available Data Sets (Preprint)
Authors: Gupta Agrayan K , Grannis Shaun J , Kasthurirathne Suranga N
Published: March 2021

BACKGROUND

The COVID-19 pandemic has changed public health policies and human and community behaviors through lockdowns and mandates. Governments are rapidly evolving policies to increase hospital capacity and supply personal protective equipment and other equipment to mitigate disease spread in affected regions. Current models that predict COVID-19 case counts and spread are complex by nature and offer limited explainability and generalizability. This has highlighted the need for accurate and robust outbreak prediction models that balance model parsimony and performance.

OBJECTIVE

We sought to leverage readily accessible data sets extracted from multiple states to train and evaluate a parsimonious predictive model capable of identifying county-level risk of COVID-19 outbreaks on a day-to-day basis.

METHODS

Our modeling approach leveraged the following data inputs: COVID-19 case counts per county per day and county populations. We developed an outbreak gold standard across California, Indiana, and Iowa. The model utilized a per capita running 7-day sum of the case counts per county per day and the mean cumulative case count to develop baseline values. The model was trained with data recorded between March 1 and August 31, 2020, and tested on data recorded between September 1 and October 31, 2020.

RESULTS

The model reported sensitivities of 81%, 92%, and 90% for California, Indiana, and Iowa, respectively. The precision in each state was above 85% while specificity and accuracy scores were generally >95%.

CONCLUSIONS

Our parsimonious model provides a generalizable and simple alternative approach to outbreak prediction. This methodology can be applied to diverse regions to help state officials and hospitals with resource allocation and to guide risk management, community education, and mitigation strategies.
The Use of Wearable Pulse Oximeters in the Prompt Detection of Hypoxemia and During Movement: Diagnostic Accuracy Study (Preprint)
Authors: Santos Mauro , Vollam Sarah , Pimentel Marco AF , Areia Carlos , Young Louise , Roman Cristian , Ede Jody , Piper Philippa , King Elizabeth , Harford Mirae , Shah Akshay , Gustafson Owen , Tarassenko Lionel , Watkinson Peter
Published: March 2021

BACKGROUND

Commercially available wearable (ambulatory) pulse oximeters have been recommended as a method for managing patients at risk of physiological deterioration, such as active patients with COVID-19 disease receiving care in hospital isolation rooms; however, their reliability in usual hospital settings is not known.

OBJECTIVE

We report the performance of wearable pulse oximeters in a simulated clinical setting when challenged by motion and low levels of arterial blood oxygen saturation (SaO2).

METHODS

The performance of 1 wrist-worn (Wavelet) and 3 finger-worn (CheckMe O2+, AP-20, and WristOx2 3150) wearable, wireless transmission–mode pulse oximeters was evaluated. For this, 7 motion tasks were performed: at rest, sit-to-stand, tapping, rubbing, drinking, turning pages, and using a tablet. Hypoxia exposure followed, in which inspired gases were adjusted to achieve decreasing SaO2 levels at 100%, 95%, 90%, 87%, 85%, 83%, and 80%. Peripheral oxygen saturation (SpO2) estimates were compared with simultaneous SaO2 samples to calculate the root-mean-square error (RMSE). The area under the receiver operating characteristic curve was used to analyze the detection of hypoxemia (ie, SaO2<90%).

RESULTS

SpO2 estimates matching 215 SaO2 samples in both study phases, from 33 participants, were analyzed. Tapping, rubbing, turning pages, and using a tablet degraded SpO2 estimation (RMSE>4% for at least 1 device). All finger-worn pulse oximeters detected hypoxemia, with an overall sensitivity of ≥0.87 and specificity of ≥0.80, comparable to that of the Philips MX450 pulse oximeter.

CONCLUSIONS

The SpO2 accuracy of wearable finger-worn pulse oximeters was within that required by the International Organization for Standardization guidelines. Performance was degraded by motion, but all pulse oximeters could detect hypoxemia. Our findings support the use of wearable, wireless transmission–mode pulse oximeters to detect the onset of clinical deterioration in hospital settings.

CLINICALTRIAL

ISRCTN Registry 61535692; http://www.isrctn.com/ISRCTN61535692

INTERNATIONAL REGISTERED REPORT

RR2-10.1136/bmjopen-2019-034404
One Year of Pandemic Learning Response: Benefits of Massive Online Delivery of the World Health Organization’s Technical Guidance (Preprint)
Authors: Utunen Heini , Van Kerkhove Maria D , Tokar Anna , O'Connell Gillian , Gamhewage Gaya M , Fall Ibrahima Socé
Published: March 2021

UNSTRUCTURED

The World Health Organization (WHO) launched the first web-based learning course on COVID-19 on January 26, 2020, four days before the director general of the WHO declared a public health emergency of international concern. The WHO is expanding access to web-based learning for COVID-19 through its open-learning platform for health emergencies, OpenWHO. Throughout the pandemic, OpenWHO has continued to publish learning offerings based on the WHO’s emerging evidence-based knowledge for managing the COVID-19 pandemic. This study presents the various findings derived from the analysis of the performance of the OpenWHO platform during the pandemic, along with the core benefits of massive web-based learning formats.
Designing Better Exposure Notification Apps: The Role of Persuasive Design (Preprint)
Authors: Oyibo Kiemute , Morita Plinio Pelegrini
Published: March 2021

BACKGROUND

Digital contact tracing apps have been deployed worldwide to limit the spread of COVID-19 during this pandemic and to facilitate the lifting of public health restrictions. However, due to privacy-, trust-, and design-related issues, the apps are yet to be widely adopted. This calls for an intervention to enable a critical mass of users to adopt them.

OBJECTIVE

The aim of this paper is to provide guidelines to design contact tracing apps as persuasive technologies to make them more appealing and effective.

METHODS

We identified the limitations of the current contact tracing apps on the market using the Government of Canada’s official exposure notification app (COVID Alert) as a case study. Particularly, we identified three interfaces in the COVID Alert app where the design can be improved. The interfaces include the no exposure status interface, exposure interface, and diagnosis report interface. We propose persuasive technology design guidelines to make them more motivational and effective in eliciting the desired behavior change.

RESULTS

Apart from trust and privacy concerns, we identified the minimalist and nonmotivational design of exposure notification apps as the key design-related factors that contribute to the current low uptake. We proposed persuasive strategies such as self-monitoring of daily contacts and exposure time to make the no exposure and exposure interfaces visually appealing and motivational. Moreover, we proposed social learning, praise, and reward to increase the diagnosis report interface’s effectiveness.

CONCLUSIONS

We demonstrated that exposure notification apps can be designed as persuasive technologies by incorporating key persuasive features, which have the potential to improve uptake, use, COVID-19 diagnosis reporting, and compliance with social distancing guidelines.
Admissibility of Statements Obtained as a Result of “Private Torture” or “Private” Inhuman Treatment as Evidence in Criminal Proceedings: Emergence of a New European Standard?
Authors: Wąsek-Wiaderek Małgorzata
Published: March 2021

Este artigo apresenta uma análise crítica da posição firmada pelo Tribunal Europeu de Direitos Humanos sobre a admissibilidade da prova (declarações gravadas) obtidas como resultado de “tortura privada ou tratamento inumano”, quando essa gravação tenha sido produzida fora de um processo criminal e não a ele direcionada. Conforme a visão do Tribunal, recentemente assentada (caso Ćwik v. Poland), o uso dessa prova em um processo criminal conduzido contra terceira pessoa, não contra a pessoa torturada, acarreta que esse processo seja automaticamente considerado injusto, em violação do art. 6 da Convenção Europeia de Direitos Humanos. Sustenta-se que a decisão do Tribunal não ponderou adequadamente a importância do fato de que o uso dessa prova não pode ter qualquer impacto na finalidade ou no nível de proteção contra a tortura ou outras formas de tratamento cruel, conforme as diretrizes do processo penal. Afirma-se que as declarações gravadas produzidas por indivíduos privados, sem o consentimento ou autorização de agentes públicos, anteriormente ao processo penal e não a ele dirigidas, por métodos contrários ao artigo 3 da Convenção devem ser consideradas provas admissíveis. Consequentemente, o Tribunal Europeu não deveria ter questionado a admissibilidade dessa prova, mas verificado a adequação do processo penal em sua integralidade às diretrizes do justo processo.
Exclusion without trial? Exclusion of evidence and abbreviated procedures
Authors: Weigend Thomas
Published: March 2021

Many legal systems have adopted rules that lead to the exclusion of evidence that has been obtained in violation of procedural rules. Exclusion normally occurs before the trial begins or even during trial. However, the majority of criminal cases are today not resolved through a full trial but by some kind of abbreviated procedure, e.g., through a guilty plea or a written penal order. In this article, the author claims that exclusionary rules should, by and large, also apply in such abbreviated proceedings. Practical obstacles could be overcome by a more active involvement of defense counsel in abbreviated proceedings.
I criteri di ammissibilità probatoria
Authors: Ubertis Giulio
Published: March 2021

La verità giudiziale, presupposto per una decisione giusta, non può perseguirsi senza limiti. Le norme probatorie mirano a tutelare sia diritti soprattutto fondamentali sia criteri di razionalità processuale, rispettando la durata ragionevole del processo. La valutazione di ammissibilità probatoria ha esito positivo quando il tema di prova sia verosimile e pertinente, nonché qualora il mezzo e/o la fonte di prova siano rilevanti nel triplice senso della loro necessità (ossia, della loro non ridondanza), della loro idoneità contenutistica (perché atti a verificare l’enunciato da provare) e della loro idoneità epistemologica (in quanto l’attività compiuta sia conforme ai parametri gnoseologici storicamente dati). Si chiarisce infine che pure l’impiego dell’intelligenza artificiale deve garantire un controllo umano significativo.
Ammissibilità della prova e divieti probatori
Authors: Ferrua Paolo
Published: March 2021

Prova ‘ammissibile’ è tutto ciò che può essere legittimamente valutato in ordine a una proposizione da provare. Prova ‘inammissibile’ è quella che il giudice non ha il potere di assumere e, come tale, appartiene alla sfera del giuridicamente irrilevante. Occorre tenere ben distinte le questioni relative all’ammissibilità della prova da quelle relative all’efficacia probatoria, ossia alla persuasività. Analogamente non va confusa la prova come premessa probatoria, che esprime una mera potenzialità (la prova su x) con la prova come risultato (la prova di x), che indica un esito positivo. Con riguardo alle premesse probatorie, resta fondamentale la controversa distinzione tra prove dichiarative e prove critico-indiziarie. Parlando di prove «acquisite in violazione dei divieti stabiliti dalla legge», l’art. 192 c.p.p. è stato variamente interpretato: secondo alcuni, va riferito alle sole prove oggetto di un divieto probatorio, ossia inammissibili; secondo altri, anche alle prove ‘ottenute’ attraverso una qualsiasi violazione della legge (penale processuale o sostanziale o persino civile). Di recente è stata sollevata una questione di legittimità sul presupposto che le prove assunte in spregio dei diritti costituzionalmente tutelati non possano essere utilizzate, anche in assenza di un esplicito divieto probatorio. La Corte costituzionale ha, tuttavia, dichiarato inammissibile la questione con argomenti poco convincenti. Si è così persa la preziosa occasione per il definitivo chiarimento di un fondamentale interrogativo.
Editorial of dossier “Admissibility of Evidence in Criminal Process. Between the Establishment of the Truth, Human Rights and the Efficiency of Proceedings”
Authors: Kremens Karolina , Jasiński Wojciech
Published: March 2021

The rules on the admissibility of evidence secure accurate fact-finding as a prerequisite for the correct application of substantive criminal law and proper operation of the criminal justice system in society. But the search for the truth must be limited in order to take into account other important values, among which human rights hold a central place. The quest for a fair balance between the effective fight against crime and respect for individual rights constantly remains in the center of heated discussion. However, there are two other factors that strongly influence the evidentiary rules, creating an environment where finding the truth becomes more complicated than ever before. The popularity of the disposition of cases out of trial and the impact of technology and science, both interrelated and focused on the efficiency of the criminal justice system, paradoxically make the quest for the truth easier and faster, but also more prone to errors. Moreover, the new technologies allowing evidence gathering have become a vital threat to the right to privacy. Finding solutions to these challenges necessitates dialogue including various stakeholders and free of the penal populism that has recently dominated the legal discourse.
Alteraciones ultrasonográficas y funcionales hepáticas en niños y adolescentes con obesidad
Authors: González Pérez Brian , Salas Flores Ricardo , Yáñez Casados Brisia Minerva , Hernández Carranco Roandy Gaspar , Reséndiz González Eunice , Áspera Campos Teresa
Published: March 2021

Objetivo: determinar las alteraciones ultrasonográficas y funcionales hepáticas en niños y adolescentes con obesidad. Métodos: se realizó un estudio no experimental, analítico, de corte transversal en niños y adolescentes de cinco a diecisiete años con obesidad. La muestra se separó en dos grupos, uno con la presencia de enfermedad de hígado graso no alcohólico (grupo 1) y el otro con hígado normal (grupo 2), determinado mediante ultrasonografía. Se realizó antropometría, composición corporal y mediciones de niveles séricos para establecer un perfil bioquímico y funcional hepático. Las diferencias entre grupos se analizaron mediante la prueba t de Student, p<0.05. Resultados: se estudiaron un total de 59 participantes de los cuales 54.2% (n=32) fue de sexo femenino y 45.8% (n=27), masculino. La edad promedio de la población estudiada fue de 10.05 ± 2.5 años. El grupo 1 estuvo constituido por un total de 72.9% de pacientes (n=43), y el grupo 2 por 27.1% (n=16). Los hallazgos mostraron alteraciones en los niveles séricos, perfil bioquímico y funcionalidad hepática. Las transaminasas e insulina en ayuno fueron significativamente más elevados en los pacientes del grupo 1 que en los del grupo 2 (p<0.05). También se observó mayor resistencia a la insulina (p=0.000) en el grupo 1. Conclusiones: existieron alteraciones en los niveles séricos, perfil bioquímico y funcionalidad hepática. El ultrasonido y las pruebas de funcionamiento hepático deben formar parte de la valoración inicial para la identificación temprana de esta patología en infantes con obesidad.
Alteraciones ultrasonográficas y funcionales hepáticas en niños y adolescentes con obesidad
Authors: González Pérez Brian , Salas Flores Ricardo , Yáñez Casados Brisia Minerva , Hernández Carranco Roandy Gaspar , Reséndiz González Eunice , Áspera Campos Teresa
Published: March 2021

Objetivo: determinar las alteraciones ultrasonográficas y funcionales hepáticas en niños y adolescentes con obesidad. Métodos: se realizó un estudio no experimental, analítico, de corte transversal en niños y adolescentes de cinco a diecisiete años con obesidad. La muestra se separó en dos grupos, uno con la presencia de enfermedad de hígado graso no alcohólico (grupo 1) y el otro con hígado normal (grupo 2), determinado mediante ultrasonografía. Se realizó antropometría, composición corporal y mediciones de niveles séricos para establecer un perfil bioquímico y funcional hepático. Las diferencias entre grupos se analizaron mediante la prueba t de Student, p<0.05. Resultados: se estudiaron un total de 59 participantes de los cuales 54.2% (n=32) fue de sexo femenino y 45.8% (n=27), masculino. La edad promedio de la población estudiada fue de 10.05 ± 2.5 años. El grupo 1 estuvo constituido por un total de 72.9% de pacientes (n=43), y el grupo 2 por 27.1% (n=16). Los hallazgos mostraron alteraciones en los niveles séricos, perfil bioquímico y funcionalidad hepática. Las transaminasas e insulina en ayuno fueron significativamente más elevados en los pacientes del grupo 1 que en los del grupo 2 (p<0.05). También se observó mayor resistencia a la insulina (p=0.000) en el grupo 1. Conclusiones: existieron alteraciones en los niveles séricos, perfil bioquímico y funcionalidad hepática. El ultrasonido y las pruebas de funcionamiento hepático deben formar parte de la valoración inicial para la identificación temprana de esta patología en infantes con obesidad. 
Caracterización de discapacidad en pacientes con traumatismos de la médula espinal usando WHODAS 2.0
Authors: Páez Pineda Oscar D. , Gualdrón Solano Eliana L. , Melo Guarín Astrid R. , Ortiz Calderón Martha V.
Published: March 2021

Objetivo: caracterizar el perfil de funcionamiento de los pacientes con secuelas de traumatismos de la médula espinal, mediante whodas 2.0 (Cuestionario para la Evaluación de la Discapacidad de la Organización Mundial de la Salud 2.0), en el municipio de Samacá, Boyacá (Colombia). Métodos: se realizó un estudio transversal, se evaluaron registros de whodas 2.0. Esta herramienta fue aplicada mediante entrevista a todos los pacientes con secuelas de traumatismos de la médula espinal que residían en el municipio de Samacá entre agosto y septiembre de 2019 y que estaban registrados en las bases de datos de las instituciones de salud del municipio. Resultados: se analizaron los registros de doce pacientes, cuyo nivel de lesión fue torácico en su mayoría. El grado de discapacidad global fue leve en 58.3% de los pacientes y moderado en 41.7%. Por dominios, la discapacidad en movilidad y participación se presentó en 100% de los pacientes. Otros dominios afectados fueron las actividades de la vida diaria, con compromiso principalmente en los ítems correspondientes a trabajo y tareas domésticas, y el dominio de relaciones en el ítem correspondiente a dificultad en la actividad sexual. Conclusiones: los dominios funcionales más afectados en los pacientes con traumatismos de la médula espinal fueron movilidad y participación. El whodas 2.0 es útil en la evaluación del perfil funcional y facilita la creación de programas de rehabilitación basada en la comunidad dirigidos a mejorar la funcionalidad de estos pacientes.
Características clínicas y epidemiológicas de cáncer de mama en un hospital general de zona de Cuernavaca, México
Authors: Herrera Pastrana Iquetza Litzulli , Albavera Hernández Cidronio , Morales Jaimes Rosalba , Ávila Jiménez Laura
Published: March 2021

Objetivo: identificar las características clínicas y epidemiológicas de mujeres con cáncer de mama del Hospital General Regional con Medicina Familiar (hgr-mf) No. 1 de Cuernavaca Morelos, México. Métodos: diseño transversal, se obtuvo información de todas las mujeres con diagnóstico de cáncer de mama del hgr-mf No. 1, de marzo 2018 a junio del 2019. Resultados: la muestra fue de 145 expedientes de mujeres con cáncer de mama, la mediana de edad fue de 55 años, 65% vivía con su pareja, 44.1% tuvo sobrepeso, 41.4%, obesidad, 46.2% presentó tabaquismo activo o pasivo, 15% refirió consumo de alcohol, 75% no practicaba activad física de forma regular; el tipo de cáncer que más predominó fue el carcinoma ductal infiltrante en 76.6% de los casos. Conclusiones: los factores de riesgo identificados en este estudio fueron: obesidad, sobrepeso, tabaquismo, alcoholismo, sedentarismo, así como la utilización de terapia hormonal de remplazo.
Factores asociados al uso problemático de Internet en adolescentes
Authors: Texon Fernández Obdulia , Ramírez Aranda José M. , Rodríguez González Azucena M. , Álvarez Villalobos Neri A. , Ramírez Alcántara Yunis L. , López Salas Sara de J. , Ruiz Magallón Sujey A. , Valdez Garibay Briceyda
Published: March 2021

Objetivo: analizar factores asociados al uso problemático de internet en adolescentes. Métodos: estudio multicéntrico, transversal y analítico. Participaron adolescentes de secundarias federales de cinco estados de la República Mexicana. El muestreo fue aleatorio simple por conglomerados. Se midió el uso problemático de internet con la escala validada (Internet Addiction Test) y factores sociales, de salud, familiares y académicos por medio de una encuesta. Se utilizó estadística descriptiva y regresión logística binaria para la predicción de variables con p<0.05 como significativa. Resultados: participaron 777 estudiantes, 30.6% presentó uso problemático de internet, que estuvo asociado con factores académicos como: retraso en tareas (69.3%; p=0.001), inasistencia a clase (14.7%; p=0.001), problemas con el profesor (20.6%; p<0.001), disminución en calificaciones (48.5%; p<0.001). Factores de salud: disminución en horas de sueño (66.4% p<0.001); y factores sociales como: conversación con personas desconocidas (51.7%; p<0.001), citas/relaciones sentimentales con personas conocidas por internet (12.6%/18.1%; p<0.001). Conclusiones: el uso problemático de internet en adolescentes escolarizados está asociado a factores que podrían afectar su entorno académico, generar conductas de riesgo no saludables o de problemática social.
EDUKASI KESEHATAN MELALUI VIDEO SEBAGAI UPAYA ANTISIPASI COVID-19 DI DESA PANDANSARI LOR
Authors: Nagari Primasa Minerva , Savitri Okky Irwina , Putra Ari Hakim , Anggraeni Devi Sandra , Surya Nugraha Akbar Aldi
Published: March 2021

The emergence of the Corona-19 Virus Disease Pandemic encourages the importance about socialization about health educating and raising public awareness about clean and healthy lifestyles. The community needs to know how to avoid Covid-19 so that it does not becomean epidemic in around Pandansari Lor Jabung Village, Malang Regency. The health education video is a practical tool that can be used to promote Covid-19 participation. The purpose of community service is talkable assistance that is easily understood and understood to be healthy and healthy living in Pandansari Lor Jabung Village, Malang Regency to encourage the outbreak of Covid-19. The activity stage was planned for 2 weeks, which was preceded by coordination and communication with the Pandansari Lor village. This socialization is presented in the form of a video which contains health education about clean and healthy lifestyles which contains sports tutorials (gymnastics) at home, hand washing tutorials according to standards of WHO (World Health Organization), tutorials on making and using disinfectants at home, and tutorials on making herbal medicine to increase body immunity. So that through the educational videos provided can be understood well by the community.
Latvijas un Krievijas 1998. gada attiecību krīze: cēloņi un norise
Authors: Volāns Eginhards
Published: March 2021

Raksts ir veltīts 1998. gada Latvijas un Krievijas attiecību krīzei un tās priekšvēstnešiem 1997. gadā. Pētījumā secīgi izklāstīti un izpētīti attiecību krīzes galvenie cēloņi un norise, kā arī sniegts ieskats Latvijas, Krievijas un Rietumvalstu perspektīvā par attiecīgajiem notikumiem. Raksta galvenā avotu bāze ir periodika latviešu un krievu valodā, kā arī zinātniskā literatūra par šo tēmu. Darba pamattekstu veido trīs nodaļas, no tām pirmā ir veltīta Latvijas un Krievijas attiecību eskalācijai no 1997. gada marta līdz 1998. gada februārim, otrā – krīzes norisei un izpausmēm no 1998. gada marta līdz aprīlim, trešā – krīzes deeskalācijai 1998. gada vasarā. Raksta tapšanas laikā secināts, ka Latvijas un Krievijas attiecību krīze, visticamāk, bija mākslīgi radīta no Maskavas puses, lai aizkavētu Latvijas eiroatlantisko integrāciju un novērstu Krievijas sabiedrības uzmanību no valstī briestošās iekšpolitiskās un ekonomiskās krīzes.
The impact of the intellectual capital components on firm’s performance in emerging markets
Authors: Chaabane Noomen
Published: March 2021

The objective of this research is to review, analyse, and provide empirical evidence about the impact of the intellectual capital (IC) characteristics on the firm performance on listed 26 companies in Tunisian Stock Exchange for the years 2010–2019. 260 companies were taken as a sample of this research using the purposive sampling method. The efficiency of intellectual capital was measured using the value added intellectual coefficient (VAIC) method developed by Pulic (2000). The research method used was multiple linear regression analysis. Our empirical analysis substantiates the fundamental role of IC components in improving the financial and stock market performance of listed Tunisian companies. The results obtained on the human capital efficiency variable contribute to improving the market of Tunisian listed companies and confirm the role attributed to human capital in the knowledge economy and even the basic hypothesis of the VAIC method. Investors do not place any importance on the following variables: structural capital, human capital and the efficiency of structural capital during market valuation. Future research is suggested to use cross-country companies as the sample.
Low-voltage-area ablation in paroxysmal atrial fibrillation: Extended follow-up results of the VOLCANO trial
Authors: Masuda Masaharu , Asai Mitsutoshi , Iida Osamu , Okamoto Shin , Ishihara Takayuki , Nanto Kiyonori , Kanda Takashi , Tsujimura Takuya , Matsuda Yasuhiro , Hata Yosuke , Uematsu Hiroyuki , Mano Toshiaki
Published: March 2021

Introduction: The randomized controlled VOLCANO trial demonstrated
comparable 1-year rhythm outcomes between patients with and without
ablation targeting low-voltage areas (LVAs) in addition to pulmonary
vein isolation among paroxysmal atrial fibrillation (AF) patients with
LVAs. To compare long-term AF/atrial tachycardia (AT) recurrence rates
and types of recurrent-atrial-tachyarrhythmia between treatment cohorts
during a > 2-year follow-up period. Methods: An
extended-follow-up study of 402 patients enrolled in the VOLCANO trial
with paroxysmal AF, divided into 4 groups based on the results of
voltage mapping: Group A, no LVA (n=336); group B, LVA ablation (n=30);
group C, LVA presence without ablation (n=32); and group D, incomplete
voltage map (n=4). Results: At 25 (23, 31) months after the initial
ablation, AF/AT recurrence rates were 19% in group A, 57% in group B,
59% in group C, and 100% in group D. Recurrence rates were higher in
patients with LVAs than those without (group A vs. B+C,
p<0.0001), and were comparable between those with and without
LVA ablation (group B vs. C, p=0.83). Among patients who underwent
repeat ablation, ATs were more frequently observed in patients with LVAs
(Group B+C, 50% vs. A, 14%, p<0.0001). In addition, LVA
ablation increased the incidence of AT development (group B, 71% vs. C,
32%, p<0.0001), especially biatrial tachycardia (20% vs.
0%, p=0.01). Conclusion: Patients with LVAs demonstrated poor long-term
rhythm outcomes irrespective of LVA ablation. ATs were frequently
observed in patients with LVAs, and LVA ablation might exacerbate
iatrogenic ATs.
Using target capture to address conservation challenges: population-level tracking of a globally-traded herbal medicine.
Authors: Manzanilla Vincent , Toneu Irene Teixidor , Martin Gay , Hollingsworth M. , Boer Hugo de , Kool Anneleen
Published: March 2021

The promotion of responsible and sustainable trade in biological
resources is widely proposed as one solution to mitigate currently high
levels of global biodiversity loss. Various molecular identification
methods have been proposed as appropriate tools for monitoring global
supply chains of commercialized animals and plants. We demonstrate the
efficacy of target capture genomic barcoding in identifying and
establishing the geographic origin of samples traded as Anacyclus
pyrethrum, a medicinal plant assessed as globally vulnerable in the IUCN
Red List. Samples collected from national and international supply
chains were identified through target capture sequencing of 443 low-copy
nuclear makers and compared to results derived from genome skimming of
plastome, standard plastid barcoding regions and ITS. Both target
capture and genome skimming provided approximately 3.4 million reads per
sample, but target capture largely outperformed standard plant DNA
barcodes and entire plastid genome sequences. Despite the difficulty of
distinguishing among closely related species and infraspecific taxa of
Anacyclus using conventional taxonomic methods, we succeeded in
identifying 89 of 110 analysed samples to subspecies level without
ambiguity through target capture. Furthermore, we were able to discern
the geographical origin of Anacyclus samples collected in Moroccan,
Indian and Sri Lankan markets, differentiating between plant materials
originally harvested from diverse populations in Algeria and Morocco.
With a recent drop in the cost of analysing samples, target capture
offers the potential to routinely identify commercialized plant species
and determine their geographic origin. It promises to play an important
role in monitoring and regulation of plant species in trade, supporting
biodiversity conservation efforts, and in ensuring that plant products
are unadulterated, contributing to consumer protection.
Are Tattooing Indicators of Dark Personalities? An Analysis of Body Modification within the Framework of Dark Triad of Personality
Authors: Stanescu Dan Florin , Romascanu Marius Constantin
Published: March 2021

There are several displays commonly labeled as body modifications, including body piercings, scarification, tattoos, cutting, etc. In this study, we were focused on one distinct form of body modification, namely tattoos. The current exploratory study investigated the connection between body modifications (BM) and Dark Triad personality for a sample of 77 university students with BM, compared to a control group of 77 non-BM individuals. Three self-administrated questionnaires were used to collect the data: Self-Report Psychopathy Scale-Short Form, Mach-IV scale, and Narcissistic Personality Inventory. The findings suggest that subclinical psychopathy is most strongly connected to body modifications. An increased number of tattoos was also significantly correlated with a higher level of anti-sociality. Participants with visible body modifications had significantly higher affective callousness and overall self-reported subclinical psychopathy levels, compared with individuals with non-visible alterations.
Passive solar energy building in mountain residence: Strategies and design
Authors: Ma Jing , Liu Yin
Published: March 2021

Mountain dwellings rely strongly on topographical conditions and are sometimes limited by terrain. A stratega is proposed for a passive solar building design in a Taihang mountainous area to utilize flexibly good sunshine and natural ventilation for the building and to organize a shady courtyard next to the mountain to form a cold source of the outdoor environment. This design has made a positive attempt for the application of passive solar building strategies to mountain dwellings.
Non-differentiable solutions of a family of modified Korteweg-de Vries equations within local fractional derivative
Authors: Yang Yong-Ju
Published: March 2021

In this paper, a family of modified Korteweg-de Vries equations within local fractional derivative are constructed, and their non-differentiable solutions are dis-cussed by using several methods.
A new method for calculating p-value under unconditional exact test
Authors: Jiang Tao , Chen Ting , Meng Xuexue , Meng Han , Xiao Min
Published: March 2021

An unconditional exact test is a classic method to test the significant difference between two independent binomial proportions or multinomial distributions. The p-value based on the unconditional exact test is computed by maximizing the probability of the tail region. The grid search method and polynomial method are able to find the maximum with sophisticated enough partition of the parameter space, while they require a rather long time to compute and those methods are computationally intensive for a study beyond two groups. In this paper, we pro-pose a new method to obtain the solution of the global maximum which can diminish the computing time based on the fixed-point iterative algorithm. Addition-ally, both simulation and experiment indicate that this method is more competitive compared with the grid search and the polynomial method on the basis of guaranteed accuracy.
Optimization of a fractal electrode-level charge transport model
Authors: Liu Xian-Yong , Liu Yan-Ping , Wu Zeng-Wen
Published: March 2021

A fractal electrode-level charge transport model is established to study the effect the porous electrodes on the properties of solid oxide fuel cells. A fractal variational principle is used to obtain an approximate solution of the overpotential distribution throughout electrode thickness. Optimal design of the electrode is discussed.
Isothermal adsorption experiment of nitrate nitrogen in bioretention media
Authors: Mei Ying , Xu Jun-Ya , Jia Pei-Qi , Zhu Xiao-Han , Liu Yu-Qi , Zhang Jian-Qi , Zhou Hang , Xiang Ya-Jun , Chang Ying , Bao Jun-Jiang
Published: March 2021

Bioretentions can remarkably improve the rainwater quality. Though iron and aluminum as fillers in bioretentions can remove nitrate nitrogen, its adsorption mechanism is not clear yet and was rarely studied. This paper takes sand, iron powder, and aluminum powder as the research objects to study the adsorption characteristics of nitrate nitrogen in the bioretention with different pH values and different ionic strength. The results show that aluminum powder has the highest the adsorption capacity. Langmuir adsorption isotherm equation and the quasi-secondary kinetic model are adopted to analyze the experimental data.
Adsorption characteristics of ammonium nitrogen in a bioretention system
Authors: Mei Ying , Xu Jun-Ya , Jia Pei-Qi , Zhu Xiao-Han , Liu Yu-Qi , Zhang Jian-Qi , Zhou Hang , Xiang Ya-Jun , Chang Ying , Bao Jun-Jiang
Published: March 2021

Ammonia nitrogen is one of the important pollutants in urban rainfall. Though iron ions and aluminum ions as a filler for plant retention system have a good effect on the removal of ammonia nitrogen, their adsorption characteristics was rarely studied. This paper uses different media (sand, iron powder, aluminum powder) with different pH values and ionic strengths in the bioretention system to study the adsorption mechanism of ammonia nitrogen in an artificial rainwater. The result shows that Langmuir isothermal adsorption model is more in line with the ammonia nitrogen adsorption process, and the sand has the best adsorption capacity among three samples. Effect of pH values on adsorption kinetics is also studied.
Effect of SiC particles on viscosity of 3-D print paste: A fractal rheological model and experimental verification
Authors: Zuo Yuting
Published: March 2021

This paper studies the effect of the rheological property of SiC-based print paste on the 3-D printability at different SiC concentrations. The viscosity depends both the size and concentration of the added particles, a fractal rheological model is suggested and verified experimentally.
Integrated Business Intelligence and Analytics: The Case of the Department of the Navy
Authors: Eger Robert J. , Smith Christy
Published: March 2021

From a stakeholder perspective, this study explores the viability of data analytics as a tool in government fraud prevention. Using an interview methodology, we analyze the implications of business intelligence and analytics fraud tools on procurement stakeholders. We find that implementing and integrating business intelligence and a fraud program streamlines processes by consolidating information and presenting data within a unique program. The functioning data analytics program increases our stakeholders' confidence level without alleviating their responsibility to perform due diligence in their management functions. Our stakeholders recognized a potential increase in workload; however, they acknowledged no perceived increase in undue administrative burden.

JEL Classifications: M48.

Data Availability: Data are available from the authors.