bluuebunny/crossref_metadata_2025 huggingface dataset:
Characterizing Mental Health Status and Service Utilization in Chinese Americans With Type 2 Diabetes in New York City: Cross-Sectional Study (Preprint)
Authors: Shi Yun , Wu Bei , Islam Nadia , Sevick Mary Ann , Shallcross Amanda J , Levy Natalie , Tamura Kosuke , Bao Han , Lieu Ricki , Xu Xinyi , Jiang Yulin , Hu Lu
Published: April 2024

BACKGROUND

Emerging evidence indicates that individuals with type 2 diabetes (T2D) are more prone to mental health issues than the general population; however, there is a significant lack of data concerning the mental health burden in Chinese Americans with T2D.

OBJECTIVE

The aim of this study was to explore the comorbid mental health status, health-seeking behaviors, and mental service utilization among Chinese Americans with T2D.

METHODS

A cross-sectional telephone survey was performed among 74 Chinese Americans with T2D in New York City. We used standardized questionnaires to assess mental health status and to gather data on mental health–seeking behaviors and service utilization. Descriptive statistics were applied for data analysis.

RESULTS

A total of 74 Chinese Americans with T2D completed the survey. Most participants (mean age 56, SD 10 years) identified as female (42/74, 57%), were born outside the United States (73/74, 99%), and had limited English proficiency (71/74, 96%). Despite nearly half of the participants (34/74, 46%) reporting at least one mental health concern (elevated stress, depressive symptoms, and/or anxiety), only 3% (2/74) were currently using mental health services. Common reasons for not seeking care included no perceived need, lack of information about Chinese-speaking providers, cost, and time constraints. The cultural and language competence of the provider was ranked as the top factor related to seeking mental health care.

CONCLUSIONS

Chinese Americans with T2D experience relatively high comorbid mental health concerns yet have low service utilization. Clinicians may consider team-based care to incorporate mental health screening and identify strategies to provide culturally and linguistically concordant mental health services to engage Chinese Americans with T2D.
Car Washing System using raspberry Pi Pico as PLC
Authors: Shah Hardik , Patel Deep , Saluji Mohammed , Harpude Vidya
Published: April 2024

Abstract: Using the Raspberry Pi Pico microcontroller, we have designed and implemented an automatic vehicle wash system in this work. By automating steps including scrubbing, rinsing, drying, and applying soap, the system seeks to expedite the automobile washing process. We go over the Raspberry Pi Pico, actuators, and sensor hardware configuration in addition to the software architecture that controls the system. We also emphasize the advantages of utilizing Raspberry Pi Pico for this application, such as its affordability, portability, and versatility. The efficacy and dependability of the suggested automatic car wash system are shown by the experimental results.
Psychometric Test for Medical Consultancy System
Authors: Divekar Atharva
Published: April 2024

Abstract: Preliminary investigations delve into the possibility of employing chatbots in psychiatric therapy to aid behavior modification through assessments and chatbot interventions. Nevertheless, these platforms overlook the mental conditions of users, neglecting interviews, continuous surveillance, or ethical factors. We propose that enhancing emotion detection could boost user contentment among individuals seeking mental health assistance. Our suggestion encompasses an interactive psychiatric counseling service employing sophisticated natural language comprehension and multimodal emotion detection. This method permits ongoing and delicate observation of emotional fluctuations. Moreover, an instance-oriented reaction model, integrating moral discernment, facilitates suitable clinical reactions in psychiatric consultations.
Design and Fabrication of Automated Water Tank Cleaner
Authors: Ahmed Mr. Sowdager Moin , Swapna B. Sai , Srinivas T. , Sainath K. , Kumar A. Shiva , Khan B. Mohammad , Sai Y. Varun
Published: April 2024

Abstract: To develop a mechanical system for cleaning automatic cylinder water tank. The mechanical system consists of water tank, electrical motor, shaft, handle for supporting frame and converter. Converter is used to supply the required voltage to the motor. As the power input is given to the electric motor. The mechanical system includes screw mechanism. A screw mechanism is a mechanical device that converts rotational motion into linear motion. It consists of a threaded shaft, known as a screw, and a nut with matching threads that engage with the screw. When the screw is rotated, the nut moves along the screw axis, resulting in linear motion of the nut. This arrangement is used to transport the entire mechanical system up and down for cleaning cylinder water tank. Brushes are connected to the shaft through coupling. When motor gets starts the energy transfers into the shaft. It cleans the interior surface of the cylinder water tank. The purpose of this project is to reduce the human efforts and to avoid the chemical influence on health of person entering the tank for cleaning. To overcome this cleaning tanks overhead manually is a critical job. So, we designed an automated cleaner with provide a high safety, better efficiency, and to reduce the time for cleaning
Planning, Designing and Estimation of G+2 Residential Building using Autocad and STAAD PRO
Authors: Naidu Dr. G.T. , Devi Kolli , Dunesh Vasupalli , Prasad Dadi Bhanu , Sai Margana Charan Naga , Yedla Veda Gayatri
Published: April 2024

Abstract: This paper presents a comprehensive methodology for the planning, design, and estimation of a G+2 residential building utilizing AutoCAD for architectural drafting and STAAD.Pro for structural analysis and design. The process involves several key stages including site analysis, conceptual design, detailed architectural planning, structural analysis and design, and cost estimation. The initial phase involves site analysis to understand site constraints, orientation, and surroundings, followed by conceptual design to establish the building layout and spatial arrangement. AutoCAD is employed for creating detailed architectural plans, including floor plans, elevations, and sections, ensuring compliance with local building codes and regulations. Subsequently, structural analysis and design are performed using STAAD.Pro, incorporating factors such as loads, material properties, and structural elements. The software facilitates the analysis of various structural systems and helps optimize the design for efficiency and safety. Finally, the estimation phase involves quantifying materials and labor costs based on the finalized architectural and structural designs. This includes itemized lists of materials such as concrete, steel, bricks, and finishing materials, as well as labor costs for construction activities. The proposed methodology integrates AutoCAD and STAAD.Pro to streamline the planning, design, and estimation process for G+2 residential buildings, offering efficiency, accuracy, and adherence to regulatory requirements. The approach presented in this paper serves as a valuable guide for architects, engineers, and construction professionals involved in similar projects
Effect of Pranayam on Learning Ability of Adolescent Boys
Authors: Pramanick Bappaditya , Julfikar Md. , Nayak Prativa , Mishra Prof. (Dr.) Srikanta , Mishra Prof. (Dr.) Sakti Ranjan
Published: April 2024

Abstract: The purpose of the study was to determine the effect of 12 weeks Pranayama programme on student’s learning ability. Total 90 students were taken as subjects within the age group of 13 to 16 years. Three groups were formed having 30 subjects each. The Group A and Group B were served as experimental groups and Group C was treated as the Control Group. The experimental Group A and B were given pranayama treatment for 12 weeks. The pranayama programmes of Group A and B were different. The statistical analysis of research data revealed that the experimental groups, administered with different types of pranayama as allotted to their groups had showed significant gains in learning ability variables after administration of pranayama programmes for duration of 12 weeks.
Laclau and Mouffe's Radical Hegemony and Democracy Thought: The Transformation of the Free Aceh Movement into the Aceh Party
Authors: Azzahra Anandita , Rasullillah Cinta , Shafa Andira Davina , Rahmadani Jihan , Ummah Aniqotul
Published: April 2024

The Free Aceh Movement (GAM) is a group that demands that the central government be part of a democracy. The group moved freely and radically with the aim of separating itself from the rest of Indonesia. The focus of this paper is on analyzing GAM's transformation into the Aceh Party, which is different from other radical movements in Indonesia. The purpose of this research is to understand the transformation through Laclau and Mouffe's ideas on radical hegemony and democracy. Radical democracy is a form of struggle in achieving autonomous authority on the basis of equality and equality. The author will use qualitative methods with literature study data collection techniques to strengthen problem analysis. The research results show that GAM is considered radical as it is in line with Laclau and Mouffe's ideas. They form a group to demand certain interests so as to create a state of antagonism and hegemony struggle. The formation of the Aceh Party is inseparable from a long journey to fight for the demands of the community and as a form of building political power in accordance with the environmental conditions of society in Aceh. Currently, the Aceh Party no longer implements radical democracy as it used to do with GAM.
Takım Kaptanı Takımı Nasıl Etkiler? Profesyonel Futbolda Teknik Direktör Perspektifinden Algı ve Deneyimler
Authors: Orhan Selman
Published: April 2024

Özet: Spor ortamında takım kaptanı resmi sporcu lider konumundadır. Haliyle kaptan sporcu lider konumunda olduğu için kaptandan takım adına önemli roller oynaması beklenmektedir. Literatürde kaptanın liderlik rolleri detaylı şekilde araştırılmıştır. Fakat profesyonel futbol branşında teknik direktörlerin bakış açısından kaptanın takıma ve/veya takım başarısındaki etkisine ilişkin algı ve deneyimleri hakkında yeterli sayıda araştırmanın olmadığı gözlenmiştir. Bu bağlamda; Takım kaptanı takımı nasıl etkiler? Kaptanlığın takım üzerindeki etkisini belirleyen faktörler nelerdir? Bu amaç çerçevesinde yapılan araştırmada profesyonel erkek futbol branşında 10 erkek teknik direktör ile bireysel görüşme yapılmıştır. Araştırmada nitel araştırma yöntemlerinden fenomenolojik desen kullanılmıştır. Yarı yapılandırılmış görüşme formu aracılığıyla veriler toplanmıştır. Verilerin analizinde ise içerik analizi tekniği uygulanmıştır. Analizler sonucunda; kaptanlığın takıma ve/veya takım başarısına ilişkin olarak olumlu ve/veya olumsuz etkisinin olduğu/olabildiği saptanmıştır. Ayrıca sadece takım kaptanı değil takımdaki diğer oyuncularında takım üzerinde etkiye sahip olabildiği belirlenmiştir. Kaptanın becerilere sahip olması ile kulüp yönetimi, teknik heyet ve futbolcuların profesyonelizme ilişkin tutum ve davranışlarının belirleyiciliği ölçüsünde kaptanlığın takım üzerinde olumlu etkisinin olduğu saptanmıştır. Kulüp yönetimi, teknik heyet, futbolcular ve takım kaptanına ilişkin tutum ve davranışların profesyonelizmden uzaklaştığı ölçüde de kaptanlığın takım üzerinde olumsuz etkisinin olduğu/olabildiği belirlenmiştir. Sonuç olarak profesyonelizme ilişkin bakış açısının kulüp yönetimi, teknik heyet, kaptan ve futbolcular tarafından önemle dikkate alınması gerekmektedir.
Titles, experience, identities, and time: How the early career stage is defined by educational developers
Authors: Richards Jessie , Ashbourne Dianne , Chen Deborah , Cliplef Lynn , Endersby Lisa , Hamilton Jacqueline , Ho Mabel , Watson Ellen
Published: April 2024

This article reports perceptions of what constitutes the early career stage by newer educational developers in contrast with those experienced in the field.  We collected participants’ thoughts about what constitutes early career for educational developers using an online survey, and qualitative responses were analyzed using thematic analysis (per Braun & Clarke, 2006). Aligning with Super’s (1990) lifespan career development model, this exploratory research suggests there is no single, universal definition of what it means to be an early career professional in this field, and our research suggests that self-concept is crucial in determining means to be an early career professional in this field. Further, there is a distinction between being new to the field of educational development and being ‘early career’ in a broader sense; the research findings suggest that those who come to educational development as a second or third career understand the notion of ‘early career’ differently than those for whom educational development is a first career. We discuss key themes that emerged around how participants constituted the notion of ‘early career’ and offer some common vocabulary to identify and discuss experiences of early career professionals in educational development. This research may provide new opportunities for supporting onboarding and community building, and raises areas for further exploration.
Transformative Curriculum Design through Open Educational Resource Creation
Authors: Ives Carolyn , Bartlett Marie , Dishke Hondzel Catharine
Published: April 2024

At their best, open educational resources (OER) are known to foster equity, accessibility, and flexibility for users and include multiple perspectives from a collaborative community for creators and contributors (Hylén, 2006). Therefore, when planning our university’s first offering of a week-long course (re)design workshop (based on Saroyan & Amundsen, 2004), recognizing we had been primarily using materials from other post-secondary institutions, we opted to create resources specific to our university through a one-day facilitated writing sprint. Moving beyond offering information simply for course design, we decided to create an OER that encompasses three main areas of curriculum planning and design: composition, mapping, and alignment of learning outcomes; choice and alignment of instructional strategies and learning activities; and alignment of outcomes assessment at all levels. During the OER content development stage, the group also recognized the opportunity to position the OER, named CRICKET, as a community building tool, focusing on learning re-design. The site not only hosts curriculum planning and design information, it also features an OER authoring tool that invites participants to share their work with their peers. Through our OER creation process, we determined that OER have the potential to transform not only how information is disseminated and used, but also how it is created.
Documenting and Activating Educational Leadership and Authentic Teaching
Authors: Symbaluk Diane , Andrews David M. , Potter Tiffany , Zecevic Aleksandra
Published: April 2024

This essay describes two integrated projects initiated by the 2020 3M National Teaching Fellowship Award (NTF) cohort on educational leadership and the role of authenticity among exemplary teachers, as presented at STLHE 2022. A thematic analysis of 3M NTF award-winning dossiers identified six prevalent traits characteristic of educational leaders: innovation, persistence, responsiveness, reflectiveness, curiosity, and positive opportunism. The analysis also revealed aspects of educational leadership in practice, including being committed to a cause, being action-oriented, being community-engaged, being multi-disciplinary, building bridges, freely sharing, trailblazing, and using applied methods. Educational leaders’ relationships with others tended to foreground elements of collaboration, empowerment, support, and mentorship, and their actions had an impact beyond their own classrooms or institutions. In the second project, qualitative interviews with cohort members articulated ways in which authentic teaching is expressed by educational leaders. The actions of authentic teachers were viewed as influential and inspiring, and based on their actions authentic teachers tended to be recognized as instruments of change. These results were shared in an interactive workshop at STHLE 2022, which discussed how educational leadership is currently framed in higher education, and guided participants in self-reflection as educators and leaders to formulate calls to action involving educational leadership and authentic teaching.
“…Not Sterne, or, at least, not Vernes”: Towards a description of the French genesis of Karamzin’s Sterne
Authors:   Institute of Russian Literature (Pushkin House) of the Russian Academy of Sciences (Russia, St. Petersburg), Baskina (Malikova) M. E.
Published: April 2024

The article is an attempt to specify the genesis of the image of Laurence Sterne as it was created and presented by Nickolai Karamzin in the early 1790s. Karamzin’s Sterne, the most influential among other such attempts in Russian culture, turns out to be primarily French and imitative. Namely, the fragment “A Poor Man and His Dog”, presented in Karamzin’s Moscow Magazine (1792) as “Sterne’s work”, appears to be a translation not of Sterne but of an interpolation made by his French translator into the French version of Tristram Shandy. The very choice of fragments from Sterne presented in the Moscow Magazine (1791–1792) reflects not the editor’s own taste, but is a replication of the most common items from popular anthological editions of “The Beauties of Sterne”. Karamzin’s culturally influential decision not to translate and consequently not to introduce into Russian culture the original English notions of ‘sentimental’ and ‘humour’ is explained by the fact that he had viewed them through the prism of particular French texts-intermediaries. Karamzin’s insistence on reading Sterne “with tears in the eyes” and on alluding to him (in Letters of a Russian Traveller) primarily in melancholic charnel locations that made Sterne practically indistinguishable from Edward Young goes back not to the original Sterne, but to his later French imitators, such as François Vernes. Karamzin’s Sterne is contrasted with the assimilation of original narrative experiments and humour of Tristram by other Russian authors of the same period but of a different circle, Fyodor Rostopchin and Ivan Martynov.
MALAYSIAN ELITE DISABLED ATHLETES: THE QUALITY OF LIFE AND SATISFACTION WITH LIFE
Authors: Lee Cheryl Anne , Hussein Kamarul Hashimy , Li Goh Siew
Published: April 2024

Background: To identify determinant(s) and evaluate the relationship between quality of life (QoL) and satisfaction with life (SWL) of the Malaysian elite disabled athletes.
THE UTILISATION OF OUTPATIENT SERVICES BY HYPERTENSIVE ELDERLY INDIVIDUALS IN INDONESIA
Authors: Idris Haerawati , Ningsih Retno
Published: April 2024

Demographic transition presents a significant challenge to the world. People experience longer life because the aging population is increasing rapidly. Organizations of integrated care for older people confirmed that the elderly were more prone to being victims of chronic diseases and serious issues. Factors related to the utilization of outpatient services generally have been explored, but there are limited studies on the elderly with hypertension. This study aims to analyze the elderly population using outpatient services for hypertension, in Indonesia. The cross-sectional study is used as the study. We obtained data from the Indonesian Family Life Survey (IFLS) in 2014. There were 2,308 elderly. Bivariate analysis was using chi-square, and multivariate analysis using multiple logistic regression. It was found that 24.1% of the elderly with hypertension used outpatient services. Variables significantly associated with the utilization of outpatient services were gender, insurance status, health status, economic status, the number of chronic diseases, marital status, self-limited activity, and region. The main predictor of the utilization of outpatient services is the number of chronic diseases. In conclusion, the number of chronic diseases was significantly influenced among the elderly with hypertension by using outpatient services. More effort by the government is needed to expand the policy of promotion and prevention in chronic diseases.
RED EARS, RED EYES AND HEARING LOSS: A DIAGNOSTIC DILEMMA
Authors: Abishegam Samuel , Saniasiaya Jeyasakthy , Kulasegarah Jeyanthi
Published: April 2024

Relapsing polychondritis (RP) is a disease that confounds clinicians worldwide due to the difficulty in confirming its diagnosis and determining the best treatment plan. We report a case of a 34-year-old lady who presented with bilateral inflamed auricular swelling and red eyes, which turned out to be relapsing polychondritis. The patient was successfully treated with long-term oral steroids and is on regular follow-up. This report highlights how the subtle signs of her condition were picked up, leading to her diagnosis of RP and the treatment regime that successfully reversed her symptoms. The challenge of picking up subtle signs of the disease is best met by working as a team in a multidisciplinary setting. A literature study shows that RP is a rare disease that can present with many symptoms.
AUDIT ON VALIDITY AND ADEQUACY OF CONSENT FORMS FOR OPHTHALMOLOGY LASER PROCEDURES AND ANGIOGRAPHY IN A TERTIARY HOSPITAL
Authors: Tham Zen Kuang , Mohd Taufik Sharifah Azira , Ong Ee Zhen , Ramli Norlina
Published: April 2024

The importance of complete and valid written consent for medical procedure is indisputable. Written consent forms for ophthalmology related laser procedures and angiography were audited against guidelines regarding validity and adequacy. A full cycle clinical audit was carried out at a tertiary hospital providing ophthalmology service. A preintervention audit was performed in 2018 where consent forms of all ophthalmology related laser procedures and angiography were reviewed. Multiple interventions were taken to improve the adherence in obtaining a valid and adequate written consent prior to the post intervention audit. Standards of practice were compared to ‘Guidelines for Consent for Treatment of Patients by Registered Medical Practitioners’ by Malaysian Medical Council (MMC), and ‘Consent Forms in Ophthalmic Practice’ by Dr. Amit Khosla. A total of 412 consent forms were reviewed in the pre-intervention audit of 2018. Adherence to standard was 37.14%. In the post intervention audit, 256 forms were reviewed, and the adherence improved to 85.94%. Interventions taken include briefing to stakeholders, formulating a standardized risks checklist and multiple checks were done to ensure the interventions were adhered to by the doctors. The significant improvement in adequacy and validity of consent taking for ophthalmology related laser procedures and angiography showed that the interventions taken, were indeed useful. However, continuous effort in maintaining the standard is crucial for patient care and safety.
MEAL REPLACEMENT AS A PART OF OBESITY TREATMENT: A NARRATIVE REVIEW
Authors: Subramaniam Geetanggili , Hami Rohayu , Mohd Sopian Mastura , Huat Teoh Soo
Published: April 2024

Obesity is thought to be a complicated, multifaceted chronic disease that results from the combination of environmental and genotypic variables. Implementing a wide strategy for obesity prevention and management is required given the variety and complexity of factors impacting obesity. Most healthcare practitioners use dietary therapies such calorie-restricted diets, Mediterranean diets, DASH diets, and intermittent fasting to encourage weight loss. Meal replacement products (MRPs) are used as part of a calorie restricted diet which helps to control our food choices and leads to calorie reduction. This article reviews the usage of MRP as a weight loss therapy and summarizes the literature about their effectiveness to reduce weight in patients with obesity. From the literature search, it can be concluded that MRPs contain a precise amount of macronutrients, micronutrients, and fiber to provide a nutritionally balanced meal. MRPs have been extensively studied as a weight loss therapy, and several scientific studies have confirmed their efficacy. The main ways that MRPs aid in weight loss are by reducing appetite and improving diet adherence, which makes it easier for individuals to stick to their diet plan and achieve their weight loss goals. Overall, MRPs should be considered as a viable treatment option for patients who are motivated to lose weight, as they offer a simple, convenient, and effective way to reduce calorie intake, improve diet adherence, and achieve sustainable weight loss. However, it is important to note that MRPs should be used as part of a comprehensive weight loss plan that includes regular physical activity and behavior modification strategies for long-term success.
SPONTANEOUS RUPTURED OF RIGHT DEEP BRACHIAL ARTERY PSEUDOANEURYSM WITH UNDERLYING NEUROFIBROMATOSIS TYPE 1
Authors: Chau Tan Chun , Mukthar Fatihah Anisah , Mohamed Fatahul Laham
Published: April 2024

Neurofibromatosis type 1 (NF-1) is known to develop vascular lesions, yet they are uncommon. If missed or ignored, it can be limb-threatening. When a ruptured pseudoaneurysm is clinically identified, rapid surgical intervention is required. We discuss a case of NF-1 that involved a spontaneous rupture of the right deep brachial artery. A 41-year-old woman reported sudden right arm swelling and intensifying pain. She was hemodynamically stable; however, her right arm was enlarged and tense on examination. A radiological test revealed a deep brachial artery haemorrhage. The patient was promptly referred to a vascular surgeon and had endovascular intervention performed. Early detection, emergency angiography, and endovascular treatment for vascular lesions should be initiated immediately.
Leveraging Decentralized Ledger Technology to Enable Equitable Distribution of Food Resources to Fight Hunger
Authors: Ismail Firdous Sadaf M. , Adane Dattatraya
Published: April 2024

The study proposes an innovative blockchain-based system aimed at
revolutionizing hunger management by addressing the limitations of
current centralized strategies. Existing approaches face challenges
including corruption, poor implementation, insufficient funding, and
subpar food quality. To overcome these issues, our solution leverages
blockchain technology and integrates various components to establish a
transparent, efficient, and accountable hunger management platform. The
proposed blockchain-based framework for hunger mitigation represents a
novel and unexplored approach in this field.
Young people’s participation in their own mental health care: Session-by-session feedback in youth mental health services (headspace)
Authors: Rickwood Debra , Albrecht Sabina , Telford Nic
Published: April 2024

Introduction. Young people’s participation in their own mental
healthcare requires ways for them to provide feedback to their
clinicians on how they are experiencing their treatment. Key dimensions
of session experience are willingness to attend, feeling listened to and
understood, working on issues important to them, feeling hopeful for the
future, and feeling that things are improving in their lives. This study
reports on young people’s session experiences over time and by key
demographics for headspace youth mental health services.
Methods. The sample comprised 16,484 young people aged 12 to 25
years who commenced an episode of care at one of the 150 headspace
centres between 1 July 2021 and 30 June 2022 and who had attended at
least two services. Data were collected via the routinely collected
headspace minimum data set. Results. Overall, young people
reported very positive session experiences over all the session
dimensions. Few demographic differences were found: session ratings were
more positive for young adults (18+ years) compared with adolescents
(under 18 years). Scores on all five dimensions improved with more
visits, and willingness to attend and working on issues important to the
young person were strong predictors of service engagement. Better
session experience scores were associated with more positive ratings of
quality of life. Conclusion. Young people experience their
headspace sessions very positively, and more positive experiences are
associated with better service engagement and quality of life. Routinely
collecting session feedback gives young people a valuable way to
participate in and inform their own care.
Effects of Rodent-mediated Dispersal Limitation on Ridge Regeneration
Authors: Ruan Chao , Zhang Ganggang , Fan Xiao , Wang Yang , Meng Deqing , Han Xuyang , Yu Fei
Published: April 2024

Rodent-mediated seed dispersal largely affects the regeneration and
colonization of the forest vegetation. However, due to the steep
topography, complex terrains and the heavy anthropogenic logging from
1970s to 1990s, the secondary succession process of the forest is
greatly inhibited where temperate deciduous broadleaf forests were the
zonal vegetation. Previous studies have ignored the seed dispersal
limitation mechanism among different slope positions in montane forests.
We established 90 sample plots in Taihang Mountains among different
slope positions (i.e., ridge, midslope and valley), and investigated the
characteristics of seed removal rate, seed fate and seed dispersal
distance of Quercus wutaishanica forest according to three slope
positions. The results showed that only one from each of the three
rodent species was captured at the ridge, while 52.1% and 43.8% of the
small rodents were found in valley and midslope, respectively. Compared
to the ridge whose almost all released seeds were intact in site, the
seed removal rates were significantly higher in midslope and valley, and
the proportions of scatter hoarded in ridge and midslope were
significantly different, while both has no significant difference with
that in valley. The average seed dispersal distance in midslope was 4.78
m, significantly greater than that in valley, while that of the ridge
was only 2.09 m. Therefore, the midslope had the best seed dispersal,
but the seed dispersal of ridge was severely restricted, providing the
first empirical evidence for the Mid-domain Effect model and the
Resource Availability Hypothesis. These results provide a better
understanding of the dispersal limitation mechanism of the oak forest
and the plant-animal interactions system in mountainous areas.
Extramedullary infiltration in pediatric acute myeloid leukemia: Results of the Therapeutically Applicable Research to Generate Effective Treatments dataset
Authors: Li Weiya , Shi Mingyue , Zhou Pan , Liu Ying , Liu Xiaobo , Xiao Xingjun , Zuo Suqiong , Bai Yanliang , Sun Kai
Published: April 2024

Background: The outcome of extramedullary infiltration (EMI) in
pediatric acute myeloid leukemia (AML) is controversial, and little is
known about the implications of stem cell transplantation (SCT) and
gemtuzumab ozogamicin (GO) treatment on AML patients with EMI.
Methods: We retrieved the clinical data of 713 pediatric AML
patients from the TARGET dataset and analyzed the clinical and
prognostic characteristics of patients with EMI at initial diagnosis and
relapse. Results: A total of 123 patients were identified to
have EMI at initial diagnosis and 64 presented with EMI at relapse. We
discovered that the presence of EMI was associated with age ≤2 years, M5
morphology, abnormal karyotype, and KMT2A rearrangements.
Hyperleukocytosis and complex karyotype were more prevalent in EMI
relapse patients. Additionally, patients with EMI at diagnosis showed a
reduced incidence of FLT3 ITD-/NPM1+, whereas EMI relapse patients
displayed a lower frequency of FLT3 ITD+. Patients with EMI at diagnosis
exhibited a lower rate of CR1 and higher incidence of relapse.
Importantly, EMI at diagnosis independently predicted both shorter EFS
and OS. Regarding relapse patients, the occurrence of EMI at relapse
showed no impact on OS. However, relapse patients with myeloid sarcoma
exhibited a poorer OS compared to those with exclusive CNS involvement.
Furthermore, in reference to patients with EMI at initial diagnosis, SCT
failed to improve the survival, whereas GO treatment may potentially
enhance OS. Conclusion: EMI at initial diagnosis is an
independent prognostic risk factor, GO treatment has the potential to
improve survival for patients with EMI at diagnosis.
Enrichment of ammonium in the future ocean threatens diatom productivity
Authors: Buchanan Pearse James , Karlusich Juan J Pierella , Tuerena Robyn Elizabeth , Shafiee Roxana , Woodward Malcolm , Bowler Chris , Tagliabue Alessandro
Published: April 2024

Diatoms are prominent eukaryotic photoautotrophs in today’s oceans.
While dominant in nitrate-rich conditions, they face competitive
exclusion by other phytoplankton when ammonium forms the bulk of
bioavailable nitrogen. The extent to which this competitive exclusion
defines diatom abundance worldwide and the consequences of potential
future ammonium enrichment remain unexplored and unquantified. Here,
using phytoplankton abundance proxies from the Tara Oceans dataset and
an ocean-biogeochemical model, we demonstrate that ammonium enrichment
reduces diatom prevalence in marine ecosystems at the global-scale.
Under a high emission scenario, we anticipate 98% of the euphotic zones
to experience ammonium enrichment by 2081-2100 and attribute a majority
(70%) of future diatom displacement to competitive exclusion by other
phytoplankton as bioavailable nitrogen supply shifts from nitrate to
ammonium. Overall, the form of nitrogen emerges as a significant but
previously underestimated stressor affecting diatoms and ocean
ecosystems globally.
Severe neurological complications in a child with multisystem inflammatory syndrome in children after asymptomatic COVID-19
Authors: Kravljanac Ruzica , Stajic Natasa , Vukomanovic Vladislav , Petrovic Gordana , Kuzmanovic Milos
Published: April 2024

Introduction. Coronavirus disease-2019 (COVID-19) usually leads to a mild infectious disease course in children, but serious neurological complications have been described in association with both acute infection and the multisystem inflammatory syndrome in children (MIS-C). Cerebrovascular disorders (CVD) in children are rare complication of MIS-C, and various potential mechanisms of CVD in MIS-C have been hypothesized. Case outline. In an eight-year old girl, diagnosis of MIS-C was made according to clinical features of prolonged fever, circulatory shock, heart and renal insufficiency, skin abnormalities, conjunctival hyperemia, and stomach pain associated with laboratory findings (increased CRP, D-dimers, pro BNP, troponins, IL-6), supported by positive contact with SARS-CoV2 one month before the disease onset and increased IgG and IgM anti-SARS-CoV2 antibodies. From the second day of hospitalization, left-side hemiplegia was observed, and using brain CT and MR, CVD was diagnosed. Together with cardiovascular support, corticosteroids and intravenous immunoglobulin were administered. On the fourth day of hospitalization, diagnosis of cerebral salt wasting syndrome (CSWS) was made according to severe dehydration, polyuria, hyponatremia, increased natriuria, and increased urine: serum osmolality ratio. CSWS had very severe course lasting more than one month. The girl was discharged with stable vital signs, normal diuresis and hemiparesis. Conclusion. This is the first case in the literature presenting association of severe CSWS and CVD in a child with MIS-C after COVID-19.
Modelos econométricos para predecir el crecimiento económico de América Latina
Authors:   https://orcid.org/0000-0002-5101-087X, López Machado Henry Alejandro
Published: April 2024

La investigación tiene como objetivo explorar y evaluar diversos modelos econométricos aplicados a la predicción del crecimiento económico en la región. A través de un análisis exhaustivo de la literatura existente, se identifican las variables clave que han demostrado ser determinantes en el contexto latinoamericano y se examina la eficacia de diferentes enfoques metodológicos, considerando la heterogeneidad económica y las particularidades regionales. La metodología empleada en la investigación se basa en la aplicación de modelos econométricos, específicamente modelos de regresión lineal múltiple, series temporales y panel. Se realizan pruebas de robustez y validación cruzada para evaluar la estabilidad de los modelos propuestos y se utilizan estadísticas de robustez y métricas de rendimiento en validación cruzada para respaldar la estabilidad de los modelos. Los principales resultados de la investigación revelan patrones y relaciones significativas que contribuyen de manera sustancial al entendimiento de las dinámicas del crecimiento económico en América Latina. Los modelos de regresión lineal múltiple identifican de manera consistente factores cruciales, como la inversión extranjera directa, la tasa de empleo y la estabilidad política, como determinantes positivos del crecimiento económico. El análisis de series temporales destaca la variabilidad en las tasas de crecimiento a lo largo del tiempo, subrayando la importancia de comprender las dinámicas cíclicas y estructurales que influyen en la evolución económica de la región. El análisis de modelos de panel evidencia la heterogeneidad entre los países latinoamericanos en cuanto a sus determinantes de crecimiento, resaltando la necesidad de enfoques específicos y contextualmente relevantes para lograr un crecimiento económico sostenible en la región. Las conclusiones del estudio destacan la relevancia de políticas que fomenten la atracción de inversiones extranjeras, promuevan el empleo y mantengan un entorno político estable para estimular el desarrollo económico en la región. Asimismo, se insta a la implementación de políticas que aborden tanto los desafíos a corto plazo como aquellos de naturaleza más estructural para lograr un crecimiento económico más estable y resistente a las fluctuaciones del entorno. En conjunto, el análisis de los resultados destaca la complejidad y la multifacética naturaleza de las determinantes del crecimiento económico en América Latina y ofrece una base valiosa para formuladores de políticas, académicos y agentes económicos, permitiéndoles diseñar estrategias específicas y contextualmente relevantes que impulsen un desarrollo económico sostenible en la región.
Inteligencia artificial para el aprendizaje de matemáticas en educación superior
Authors:   Escuela Superior Politécnica de Chimborazo (ESPOCH), Ecuador. Ecuador, Inca Balseca Cristian Luis
Published: April 2024

Una de las disciplinas claves para el éxito de carreras de ingeniería y tecnología es la matemática, no obstante el interés de los estudiantes y su desempeño es deficiente debido a los abstracta de la misma, sin embargo con el crecimiento de la tecnología se han desarrollado aplicaciones que facilitan el trabajo y el tiempo para la resolución de problemas matemáticos lo que aumento el interés por su estudio, en este sentido el objetivo de esta revisión bibliográfica fue analizar los hallazgos que destacan la importancia de la inteligencia artificial para el aprendizaje de las matemáticas en la educación superior. Para ello se llevó a cabo una revisión sistemática, mediante la revisión de 300 artículos científicos en revistas científicas incluidas en base de datos como Scopus, Google académico, Latindex y Researchgate, durante el periodo 2017-2023, de los cuales se seleccionaron 28 donde se analizaron las ventajas y desventajas del uso de la inteligencia artificial en la educación con énfasis en las matemáticas. Los resultados revelan que ha existido un crecimiento exponencial del uso de aplicaciones como redes neuronales y algoritmos automatizado que ha mejorado el desempeño de los estudiantes en matemáticas debido a cono realizar tareas en un menor tiempo, resolver ejercicios complejos, acceso a la información, manejo de gran cantidad de datos y aplicaciones para la solución de problemas reales, sin embargo su implementación se ve limitada por el alto costo de los programas, el requerimiento de infraestructura tecnológica, docentes preparados y la resistencia al cambio por el temor de los profesionales de la educación de ser desplazados por las maquinas.
Paciente de 46 años con síndrome álgico articular cefaleico edematoso crónico afebril: a propósito de un caso
Authors:   Investigador Independiente, Japa Guzmán Pedro Alexander , Galarza Sánchez Cristian Alfonso ,   Investigador Independiente, Moreno Samaniego Isdery Natali ,   Investigador Independiente, López Zuñiga Jerry Fabián ,   Investigador Independiente, Morocho Cevallos Karina Elizabeth ,   Investigador Independiente, Ochoa Valdivieso Darwin Vicente ,   Investigador Independiente
Published: April 2024

La artritis reumatoide es un tipo de poliartritis crónica la cual se caracteriza por presentar una inflamación sinovial persistente con destrucción y deformidad articular. Afecta más al sexo femenino, con una relación mujer: hombre de 3:1. Puede iniciarse en cualquier época de la vida, siendo su pico máximo de incidencia entre los 30 y 60 años. Objetivo general presentar un caso clínico de artritis reumatoide en una paciente de 46 años con antecedentes personales de hipotiroidismo diagnosticado hace 5 años. Métodos Revisión retrospectiva, descriptiva y transversal de una historia clínica perteneciente a una paciente de 46 años de edad, que acude por consulta externa al servicio de Medicina Interna por presentar dolor articular, cefalea y edema durante el mes de marzo del 2023 en el Hospital Clínica Abendaño, en resultados los glóbulos blancos disminuidos confirmando una leucopenia transitoria secundaria, además de un factor reumatoide elevado, con vitamina D disminuida, una eosinofilia y neutrofilia, estos hallazgos más los síntomas presentados por la paciente nos confirman una artritis reumatoide con un Das28 de 5,79 que nos indica una actividad de la enfermedad grave. Conclusiones A través de los hallazgos en los exámenes complementarios se establece como diagnóstico definitivo una artritis reumatoide con una leucopenia transitoria secundaria a enfermedade de Base.
Diseño, construcción e implementación de lavaderos ergonómicos para hortalizas
Authors:   Departamento de Ciencias Exactas Universidad de las Fuerzas Armadas, ESPE, Sede Latacunga, Ecuador, Cuenca Pomatoca Carlos Julio , Pozo Parra Fredin Fernando ,   Departamento de Ciencias Exactas Universidad de las Fuerzas Armadas, ESPE, Sede Latacunga, Ecuador, Sandoval Moreno Mary Janeth ,   Departamento de Ciencias Exactas Universidad de las Fuerzas Armadas, ESPE, Sede Latacunga, Ecuador
Published: April 2024

El presente trabajo describe el diseño, construcción e implementación de lavaderos ergonómicos para el lavado de hortalizas en una granja agroecológica de Ecuador. La necesidad surge ante las inadecuadas condiciones ergonómicas que enfrentan pequeños productores durante esta labor. Se realizó un estudio cuasi-experimental pre-post prueba con 15 trabajadores agrícolas. Se diseñó e implementó un lavadero con banda transportadora ajustable, sistema de aspersores y chorros que permite el lavado por inmersión. Se evaluó su impacto en la eficiencia del proceso, ergonomía postural y presencia de síntomas músculo-esqueléticos. Los resultados evidenciaron mejoras significativas en todos los aspectos: disminución del 26% en tiempo de lavado, 40% en desperdicio de agua, 60% en molestias de espalda y 50% en dolores de cuello/hombros. El 90% de trabajadores manifestó satisfacción con la intervención ergonómica. Se concluye que el lavadero implementado previene trastornos músculo-esqueléticos y aumenta la eficiencia del lavado de hortalizas en pequeños productores agrícolas.
La efectividad de la gamificación matemáticas: un estudio sobre el impacto de Quizizz en el aprendizaje de matemáticas
Authors:   Universidad Laica Eloy Alfaro de Manabí, Pedernales, Ecuador, Parrales Mendoza Daniel Gustavo , Cobeña Napa Miguel Ángel ,   Universidad Laica Eloy Alfaro de Manabí, Pedernales, Ecuador, Vélez Falcones Ana Cecilia ,   Universidad Laica Eloy Alfaro de Manabí, Pedernales, Ecuador, Mendoza Zambrano María Guadalupe ,   Universidad Laica Eloy Alfaro de Manabí, Pedernales, Ecuador
Published: April 2024

Las matemáticas es una de las asignaturas fundamental en la educación, pero también puede ser una de las más desafiantes. En los últimos años, la gamificación ha surgido como una estrategia prometedora para mejorar las experiencias de aprendizaje, especialmente en el campo de las matemáticas. El propósito de este artículo es explorar cómo la gamificación puede contribuir a la educación matemática, centrándonos específicamente en el impacto que tiene la herramienta digital Quizizz. Mediante la comprensión del concepto de gamificación y al profundizar en las características y beneficios de Quizizz, podemos evaluar su potencial para mejorar los resultados del aprendizaje en matemáticas. Además, presentamos los detalles metodológicos, los resultados y el análisis de un estudio de investigación llevado a cabo para evaluar el impacto que tiene Quizizz en el aprendizaje de las matemáticas. Por último, ofrecemos reflexiones y recomendaciones para futuras investigaciones, destacando las implicaciones tanto para educadores como estudiantes. También discutimos posibles direcciones futuras en cuanto a la implementación de la gamificación en la educación matemática.
Calidad de vida relacionada con enfermedades crónicas degenerativas en personas de la Asociación de Jubilados
Authors:   Ministerio de Salud Pública, Ecuador. Ecuador, Hernández Tulcán Carla Viviana , Flores Alarcón José Orlando ,   Universidad Politécnica Estatal del Carchi, Ecuador., Hernández Quiroz Yessica Karina ,   Ministerio de Salud Pública, Ecuador. Ecuador, Obando Lovato Leslie Estefania ,   Ministerio de Salud Pública, Ecuador. Ecuador
Published: April 2024

El presente artículo tiene como objetivo conocer la calidad de vida relacionada con enfermedades crónicas degenerativas en las personas de la asociación de jubilados de la ciudad de Tulcán noviembre 2023. Se utilizó metodología cuantitativa, descriptiva con enfoque cuantitativo de corte transversal para la investigación. Fueron estudiados 106 personas en un 46.2% mujeres, y un 58.8% hombres. En una categoría de edad 65 a 70 años en un 21.7%, de 71 a 75 años en 26.4%, de 76 a más en un 51.9%, las enfermedades que se detectó Hipertensión Arterial en un 53.8%, Diabetes 22.6%, Dislipidemias en un 3.8%, Obesidad en 3.8%, Cáncer en un 5.7%, E. Osteoarticulares en 10.4%.Respecto al estado emocional tristeza o depresión los jubilados responden algunas veces en un 66% relacionando con el estado civil del estudio casado en un 34.9%,seguido de un 30.2% viudo, ya que las enfermedades repercuten en la calidad de vida del predominio estado civil, fueron principales resultados sobre las características generales del estudio. Concluyendo que las enfermedades crónicas son de restricción para la salud de las personas, relacionándose directamente con las características sociodemográficas, emocionales que afectan de cierta forma en la vida de los pacientes.