bluuebunny/crossref_metadata_2025 huggingface dataset:
Availability and Types of Pressure Ulcer Medications at Community Pharmacies in the Accra Metropolis of Ghana
Authors: Allotey-Babington Grace Lovia , Kretchy Irene Akwo , Asiedu-Gyekye Isaac Julius , Opong-Beniako Maame Kyiafi , Kufoalor Obed , Adjetey Gilnel Adjei , Mintah Michael Agyapong , Nettey Henry
Published: November 2024

Pressure ulcers (PU) arise from prolonged pressure on the skin and underlying tissue due to pathological changes in blood flow. They usually develop in people who are immobilized due to certain medical conditions. The incidence of chronic diseases such as cancer, cardio-vascular diseases are on the ascendency. These conditions, if not managed adequately could render patients incapacitated, leaving them bedridden for long periods. The chances of these individuals developing PU are very high. Currently in Ghana, information on medications for the management of various stages of PU are not readily available. Prevention of PU has been the goal of nursing care, however, in the case where preventive care is not successful, there should be effective and efficient medications for the management of the PU.
 Method: The study was cross-sectional. A stratified sampling approach was used to select pharmacies from each town within the ten districts of the Accra Metropolis. Respondents enrolled into the study were Pharmacists working at the selected pharmacies. Data was collected using a structured questionnaire.
Results: 241 pharmacies were visited, out of which 192 respondents took part in the study. Approximately 83.3% of these pharmacies had pressure ulcer medications. Patronage of PU medications in the Accra metropolis is average, however, the medications listed by respondents had other indications other than PU. There were a lot more hydrophobic based dressings than hydrophilic-based dressings.
Conclusion: There are pressure ulcer medications available in pharmacies within the Accra metropolis of Ghana. Although the medications are averagely patronized, there are not many types available. Hydrophilic based dressings were not readily available.
Impact of Pharmacist Expertise on Acceptance Rates in a Comprehensive E-Consult Program within a Large Academic Health System
Authors: Freed Carrie , King Cynthia , Soltesz Brandon , Gothard M. David , Altabbaa Bushra , Majstorovic Aleksandra
Published: November 2024

Background
Although electronic consults (e-consults) are utilized in healthcare systems by medical professionals, use of e-consults by pharmacy remains novel outside of niche disease states. Additional research is required to fill literature gaps to assist in optimizing the pharmacist’s role in e-consult programs. 
Objective
This study aimed to assess the impact of pharmacist expertise on e-consult outcomes.
Methods
This study was a retrospective review of all pharmacy e-consults completed by pharmacists at a large academic health system between March 1st, 2020, and August 31st, 2022. This was deemed quality improvement and did not require Institutional Review Board approval. E-consults were identified using a report. Key data collection points included e-consult disease state, ordering provider, pharmacists' specialty, and recommendation result. The primary outcome was the difference in acceptance rates of expert versus non-expert pharmacist recommendations. Secondary outcomes included the overall implementation rate, implementation rate over time, acceptance rate between provider types, time to implementation, and pharmacist response time. Acceptance rates were compared between expert/non-expert dichotomy via Pearson chi-square test.
 Results
A total of 375 e-consults met inclusion criteria and spanned 19 unique disease states. The three most common included diabetes mellitus (27.0%), pain management (13.1%), and mental health (11.0%). Nearly 60% of e-consults were in a disease with an expert. The provider acceptance rate was higher when e-consults were completed by an expert versus non-expert (62.6% versus 39.6% respectively, p = 0.002). The overall implementation rate was 51.8%. Physicians (MD/DOs) accepted the pharmacist’s recommendations 55.6% of the time, advanced practice registered nurses (APRNs) 64.7%, physician assistants (PAs) 100.0%, and other professionals 25.0% (p = 0.033). Mean time to recommendation implementation was 16.5 days (SD = 29.4 days). Mean time to pharmacist response was 1.1 days (SD = 1.4 days).
Conclusions
Comprehensive e-consult programs are more successful when integrating expert pharmacists.
Cost-Effectiveness Analysis of Pharmacist-Led Diabetes Management Across Primary Care Clinics
Authors: King Cynthia , King Benjamin , Nagaraj Tara , Gothard David
Published: November 2024

Purpose:  Ambulatory care pharmacists (ACPs) on healthcare teams improve patient outcomes and help manage multiple chronic disease states.1 ACPs have demonstrated clinical benefit but need to show sustainability. The primary objective of this study is to determine the cost effectiveness of utilizing ACPs for diabetes mellitus (DM) management.
Methods: This was a retrospective, multi-site cohort study of 406 diabetic patients, > 18 years of age, with a HbA1c of > 8%, receiving primary care services within an academic health system between May 2015 to March 2018. In the ACP group, the ACP + primary care provider (PCP) + endocrinology managed patients’ DM compared to the PCP group, where DM was managed by PCP + endocrinology. To assess cost effectiveness of an ACP, costs of services were evaluated along with changes in HbA1c per patient per year.
Results: The ACP cost was $126 for each additional HbA1c percent lowered.  The cost associated with moving one additional patient with HbA1c > 9% to HbA1c < 9% was $612. Based on facility fee billing, the ACPs cover approximately 70% of their annual salary and benefits from face-to-face visits. Change in HbA1c over 12 months was -2.5% in the ACP group and in the PCP group +1.08% (p<0.001).  Based on quality metrics at 12-months, the ACP group met the goal of 75% of patients having a HbA1c < 9% and being prescribed a statin vs. the PCP group only met the metric for statin use.
Conclusions: ACPs led to significantly improved clinical outcomes with marginal up-front costs that could lead potential future cost savings through reductions in DM related complications or improving incentivized returns by achieving goal quality metric levels.
SPECIAL ASPECTS OF TEACHING TRANSLATION OF SCIENTIFIC MEDICAL TEXT
Authors:   Khanty-Mansiysk State Medical Academy, GRIDNEVA S.V. , GULYAEVA P.V. , BUYNOVA K.E. , KUDRATOVA M.I.
Published: November 2024

The article presents the description of the pedagogical experiment on teaching students how to translate medical scientifi c texts from English into Russian in the process of research activities. During the experiment, students of the English language scientifi c club identifi ed the features of scientifi c medical texts and the diffi culties that arise when translating medical scientifi c articles from English into Russian. Practical recommendations for translating scientifi c texts for medical students were also formulated.
Pelatihan Pembuatan Ecoprint pada Siswa Sekolah Menengah Pertama (SMP) Muhammadiyah Kota Kupang
Authors: Rihi Febriana Rahelda
Published: November 2024

SMP Muhammadiyah Kota  Kupang terdapat beragam tumbuhan  yang cocok untuk di jadikan ecoprint. Namun, karena mereka belum mengetahui apa itu ecoprint, sehingga keindahan tumbuhan tersebut belum dapat dimanfaatkan sepenuhnya. Tujuan dari kegiatan  pelatihan ini yaitu untuk memberikan pelatihan dan pendampingan kepada siswa-siswi kelas VII C di SMP Muhammadiyah kota kupang  agar mereka dapat mengetahui cara memanfaatkan bahan alam di sekitar mereka untuk menciptakan karya seni  yang unik dan menarik, serta untuk memperkenalkan  mereka pada teknik pembuatan motif  dengan mengunakan tumbuhan melalui ecoprint. Metode yang digunakan adalah metode penyuluhan dan pendampingan secara langsung. Hasil dari pelatihan pembuatan ecoprint pada siswa-siswi kelas VII C di SMP Muhammadiyah kota Kupang yaitu untuk menciptakan motif-motif unik pada kain dengan menggunakan teknik ecoprint. Penilaian menunjukan bahwa  secara keseluruhan, tingkat kualitas yang di hasilkan dari karya teknik ecoprint oleh peserta didik sangat memuaskan. Selain itu, kegiatan ini juga dapat menjadi bagian dari upaya melestarikan dan memanfaatkan bahan alam untuk menciptakan karya seni yang bisa di manfaatkan.
Pendampingan UMKM dalam Pengembangan Produk Olahan Pertanian dan Perikanan untuk Meningkatkan Nilai Ekonomi di Desa Andoolo Utama, Sulawesi Tenggara
Authors: Nur Indriyani , Bandea La Ode Santiaji , Saputra Rizal Adi , Abdullah Weka Gusmiarty , Hamzah Muhaimin , Arimbawa Putu , Silfi Silfi , Dilla Farah , Wibowo Bayu Adi
Published: November 2024

Program Kuliah Kerja Nyata (KKN) di Desa Andoolo Utama bertujuan untuk memberikan pendampingan untuk meningkatkan kapasitas Usaha Mikro, Kecil, dan Menengah (UMKM) dalam menghasilkan produk berbasis bahan olahan lokal. Kegiatan ini dilatarbelakangi oleh potensi pertanian dan perikanan, khususnya kelapa, singkong, dan ikan lele yang melimpah di Desa Andoolo Utama, namun pemanfaatannya masih terbatas pada produk mentah dengan nilai tambah rendah. Melalui pendekatan partisipatif, mahasiswa dan tim  dosen pendamping KKN Universitas Halu Oleo memberikan pelatihan dan pendampingan kepada masyarakat, yang meliputi aspek pengolahan produk, manajemen usaha, pemasaran digital, pengemasan serta branding yang menarik dan higienis. Metode yang digunakan meliputi observasi, diskusi kelompok, bimbingan teknis, dan praktik langsung pembuatan produk olahan kelapa seperti media tanam dari sabut kelapa, opak singkong, jamu, dan abon ikan. Hasil kegiatan menunjukkan peningkatan pemahaman dan keterampilan pelaku UMKM dalam mengolah kelapa, singkong, rimpang dan ikan lele menjadi produk bernilai tambah, peningkatan kualitas produk, dan kemampuan memasarkan produk secara lebih luas melalui platform digital. Program ini diharapkan dapat berkontribusi pada peningkatan kesejahteraan masyarakat Desa Andoolo Utama melalui pengembangan UMKM berbasis sumber daya lokal secara berkelanjutan.
Embedded State Estimation for Optimization of Cislunar Space Domain Awareness Constellation Design
Authors: Clareson Thomas H. , Fox Matthew C. , Amato Dominic K. , Lee Hang Woon
Published: November 2024

The traffic in cislunar space is expected to increase over the coming years, leading to a higher likelihood of conjunction events among active satellites, orbital debris, and noncooperative satellites. This increase necessitates enhanced space domain awareness (SDA) capabilities that include state estimation for targets of interest. Both Earth surface-based and space-based observation platforms in geosynchronous orbit or below face challenges such as range, exclusion, and occlusion that hinder observation. Motivated by the need to place space-based observers in the cislunar space regime to overcome these challenges, this paper proposes a cislunar SDA constellation design and analysis framework that integrates state estimation into an optimization problem for determining the placement of observers for optimal state estimation performance on a set of targets. The proposed multiobserver placement optimization problem samples from a range of possible target orbits. Upon convergence, the optimized constellation is validated against a broader set of targets to assess its effectiveness. Two comparative analyses are presented to evaluate the effects of changes in the sensor tasking procedure and sensor fidelity on the optimized constellation, comparing these to a single observer baseline case. The results demonstrate that the optimized constellations can provide accurate state estimation for various orbit families.
Hybrid Machine Learning Approaches for 5G Traffic Prediction
Authors: Burhan Mohamed almajamie Mohamed
Published: November 2024

ABSTRACT Accurate traffic prediction poses great difficulties because of the continuously increasing scale and diversity of 5G network traffic, which is driven by user demands. Moreover, certain characteristics of 5G traffic are constantly changing; thus, simulations using traditional models often lead to incorrect estimations or inefficient utilization of available resources. Consequently, we propose a hybrid machine learning model that integrates support vector machine (SVM) and decision tree algorithms to enhance efficiency of 5G traffic prediction. The structure of the hybrid model dynamically adjusts by adding or removing hidden layers and units within the network to improve prediction performance. The efficacy of the proposed model is evaluated using metrics like mean squared error, mean absolute error, and root mean squared error (RMSE). Findings show that the hybrid model consistently achieves lower error rates than SVM alone. Further performance enhancement of the hybrid model in predicting 5G traffic is also supported by comparisons of R-squared values against signal-to-noise ratios. These outcomes show the potential of the proposed method to improve traffic prediction accuracy in 5G networks, serving as a powerful tool for network control.
Blood donation and dermatology: What a dermatologist should know?
Authors: Parekh Abhishek R , Shah Hiral A
Published: November 2024

Blood donation is an act of benevolence that significantly improves lives and fosters better health outcomes globally. Certain skin diseases and medications make an individual temporarily or permanently ineligible to donate blood. This article aims to elucidate the relationship between skin diseases, medication, and blood donation deferral periods, empowering individuals to make informed decisions and contribute to this life-saving endeavour.
Drought Management in Batam using Combined NDVI-TCT Algorithm to Create a Classification Level Map
Authors: Irawan Sudra , Fitriania Tita , Sari Luthfiya Ratna , Natali Suci Dayanti , Aji Satriya Bayu , Sismanto
Published: November 2024

Drought constitutes a significant natural disaster with profound implications for agricultural productivity, economic stability, and ecological balance. Batam is one of the cities experiencing a high level of drought. At the end of 2022, Batam is actually on the verge of drought. The purpose of this study is to find out information on the distribution of potential for drought in Batam and the dominant factors affecting the potential for drought occurred using NDVI and TCT algorithms. This research employed remote sensing and GIS techniques, using Landsat 8 images to acquire parameters from NDVI, TCT, and Rainfall data, which are then processed through scoring and overlaying. The final step was to validate the vegetation index parameter by taking the coordinates. The final result is a map of the potential for drought in Batam, consisting of 5 classes of potential for drought.  The area with a very low potential for drought was located mostly in Sagulung, with an area of 2.661,89 Ha. The areas with low potential for drought were mostly located in Nongsa, Batam Center, Batu Ampar, Bengkong, Lubuk Baja, and Batu Aji, with an area of 7.175,22 Ha. The areas with a very high potential for drought were mostly located in Galang, Bulang, and Belakang Padang, with an area of 19.744,76 Ha. The area with moderate potential for drought was mostly located in Sungai Beduk, with an area of 22.122,71 Ha. The areas with high potential for drought were mostly located in Galang and Bulang, with an area of 35.663,89 Ha. It is concluded from the results of this research that the collective classification of high and very high drought potential levels covers up to 64% of the entire research area.
Response of Water Temperature to Wind Speed and Air Temperature in Lake Laut Tawar, Aceh Province, Indonesia
Authors: Adhar Saiful , Mainisa  , Andika Yudho
Published: November 2024

Changes in water temperature impact the dynamics of lake ecosystems. Changing climate factors, including wind speed and air temperature, influence the water temperature of lakes. This research aims to analyze the response of water temperature to wind speed and air temperature in Lake Laut Tawar. Observations were conducted from August to September 2023, with a sampling frequency of every two weeks. The results revealed that water temperature, wind speed, and air temperature in Lake Laut Tawar fluctuated according to the presence of light, namely day and night factors. Variations in sunlight intensity lead to hourly fluctuations in air temperatures, while wind speeds vary hourly due to changes in air pressure, consequently resulting in hourly variations in water temperature as well. During daylight hours, air temperature surpasses water temperature, whereas during nighttime hours, water temperature exceeds air temperature. Heat transfer from the air to the water contributes to an increase in water temperature, while the release of heat energy from the surface water into the air leads to a decrease in water temperature. Changes in the water temperature of Lake Laut Tawar are primarily influenced by changes in wind speed and air temperature by 80 percent simultaneously. However, while air temperature showed a partial response, wind speed did not exhibit a significant response. The relationship between these variables can be expressed through a mathematical model Tw = 0.356 Ta + 0.025 W + 15.674, where Tw is water temperature (°C), Ta is air temperature (°C), and W is wind speed (km/minute). Another factor that influences the water temperature of Lake Laut Tawar is the inlet water temperature, which was not observed in this research.
Geochemistry of Volcanic Rocks in Ponelo Island, North Gorontalo, Indonesia
Authors: Nurahmah Siti Chusnul Chatimah , Rosana Mega Fatimah , Haryanto Iyan
Published: November 2024

Ponelo Island is located in the northern part of Sulawesi, which is still an enigma regarding the genesis of the volcanic rocks found on this island. Therefore, the objective of this study is to understand the petrogenesis and tectonic implication of these volcanic rocks. Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) to obtain trace and rare earth elements is the method of this study. The volcanic rocks found on Ponelo Island consist of basalt and basaltic andesite rocks with a calc-alkaline affinity. The transition data suggested a highly fractionated cause of low transition element (Ni=17-38 ppm; Cr=13-47) compared to primary magma concentration, anomalies negative of Ba, Sr, and Ti of spider diagrams, and negative anomaly of Eu (Eu/Eu*=0.88-0.99). Relationship between low concentration between Ce/Y (0.74-0.76) and La/Yb vs Sm/Yb ratio indicated ~5% spinel-lherzolite mantle source partial melting. On the other hand, incompatible element ratios, such as Ba/Nb (39.03-45.28), Ba/Th (75.52-82.67), Rb/Nb (3.93-6.22), K/Nb (1772.22-2703.45), Ba/La=13.67-14.57, Th/La (0.17-0.18), La/Nb (2.91-3.16), depleted Nb/U (6-6.74), and also lack of xenolith or enclaves indicate cryptic crustal contamination.  The slab-derived fluid indicated by ratios of Rb/Y (0/019-0/05), Nb/Y (0.10-0.11), Th/Yb (0.52-0.61), and Ba/La ratio (13.29-14.57). Ponelo volcanic rocks shows typical calc-alkaline island arc tectonic setting particularly with enrichment in ion lithophile element (LILE) and light rare earth elements (LREE) along with depletion in high field strenght elements (HFSE) and heavy rare earth elemets (HREE), as shown by spider diagrams.
A study of some physiological parameters in patients previously infected with COVID-19
Authors: Hadi Ameer Mezher , Alfatlawi Wael Rasheed , Hameed Ahmed Shandookh
Published: November 2024

Coronavirus disease 2019 (COVID-19), a potentially fatal illness brought on by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), had emerged posing a threat to public health throughout the world. The aim of study is evaluation the effect of Covid-19 disease on some physiological and hematological indicators of Covid-19 patients and to use as a parameter for monitoring the disease severity. This study as retrospective study was performed at the Al-Imam Hussein Teaching Hospital (January 2021 - April 2021) including 30 Covid-19 patients who were in between the ages of 18 and 84 (15 male and 15 female patients) and another 30 individuals patients who were in between the ages of 18 and 82 (15 male and 15 female individuals) as control group. The patients were previously diagnosed with Covid-19 disease using PCR. Our findings demonstrated that values of physiological and blood markers in COVID-19 varied significantly, where the random blood sugar was the highest parameter with a significant significance based on the chi-square test (P-value = 0.03) and the age group, most affected by the high concentrations of clinical parameters was 63-77 years old, while the least affected age group was 18-32 year. Our findings showed an increase in the concentrations of clinical parameters in males compared to females, where the random blood sugar was of a significant difference based on the chi-square test (P-value = 0.036). This study found that various physiological and blood indicators significantly increased in Covid-19 patients, where they suffer from an increase in blood urea nitrogen, serum creatinine, ferritin random blood sugar as a result of the virulence of the virus and its attack on pulmonary and renal cells, So, monitoring the increase in these parameters may contribute to know the severity of disease.
Gene expression of psID gene in Pseudomonas aeruginosa isolated from clinical causes
Authors: Raouf Tara Fouad Raouf , DÖlarslan Melda , AL- Shwaikh Rana Mujahid Abdul
Published: November 2024

One hundred clinical samples were collected from Baghdad hospitals including Teaching Laboratories Hospital, Medical City, Baghdad Teaching Hospital and Ghazi Hariri Hospital including burn infections, wound infections, urinary tract infections, otitis media from May 2022 to September 2022, The samples were identefied by microscopic, phenotypic and culturale on MacConkey agar and by biochemical tests including oxidase, catalase, citrate utilization test, triple sugar-iron test (TSI), gelatinase test, motility test and ornithine decarboxylation test. After diagnosis, we received 19 isolates of Pseudomonas aeruginosa . To detection biofilm genes used PslD gene, we all (19) isolates of Pseudomonas aeruginosa have these genes in percentage 100% with a molecular weight of 295 base pair. The gene expression study was done to evaluate the gene expression of the PslD biofilm gene using three concentrations of cefotaxim antibiotic (2, 4 and 8) μg/ml. Only two concentrations 2 and 8 μg/ml of cefotaxim had gene expression results of psID gene, 19.32 at RNA concentration when treated with 2 μg/ml of cefotaxim, 22.56 at RNA concentration when treated with 8 μg/ml of cefotaxim and undetermined at RNA concentration when treated with 4 μl/ml of cefotaxim.
Paroles d’enseignants autour de l’inclusion scolaire en France et au Québec
Authors: SIMON Sandrine-Marie
Published: November 2024

L’article « Paroles d’enseignants autour de l’inclusion scolaire en France et au Québec » permet de regarder ce que l’école, inclusive de fait, peut générer comme discours, sentiments voire réactions de la part d’enseignants de deux continents différents. Prendre en considération leurs récits et les vulnérabilités ainsi dévoilées donne l’occasion de révéler quelques freins et leviers. Ainsi, formation, soutien, risques psycho-sociaux, accessibilité et conception universelle de l’apprentissage sont des paramètres à explorer. Le but n’est pas de rejeter l’inclusion mais bien de comprendre ce qui l’obère ou la conditionne de manière à tendre vers l’inclusivité, non pas qu’à l’École, mais bien dans nos sociétés. Cela conduit donc, forcément, à interroger l’existence d’une action commune de toutes les institutions et de tous les citoyens.
LA DESINDUSTRIALIZACIÓN DE LA MANUFACTURA MEXICANA
Authors: Arévalo Ana Luisa González
Published: November 2024

Objetivo: El objetivo de este estudio es demostrar el problema de la desindustrialización que está presente en la manufactura mexicana.
 
Marco Teórico: Se presenta el principal concepto de la desindustrialización que ha estado desarrollado por los economistas heterodoxos, en particular por los estructuralistas y en especial, la teoría de Kaldor, la cual ha establecido en una idea de pormenorización sectorial y en función del crecimiento.
 
Método: La metodología utilizada fue de carácter cuantitativo y analítico mediante el uso de fuentes estadísticas de información oficial proporcionadas por el gobierno de México, para la construcción del índice de desindustrialización de la manufactura mexicana y de sus subsectores.
 
Resultados y Discusión: Los resultados obtenidos revelan como la industria manufacturera mexicana presenta un proceso de desindustrialización, al resultar ser las importaciones mayores al PIB manufacturero, también está presente en este fenómeno de desindustrialización, el peso del PIB manufacturero en el PIB total, y se puede observar que para el periodo 2000-2020 no presenta ningún incremento.
 
Implicaciones de la Investigación: Las implicaciones de este proceso de desindustrialización que se derivan de esta investigación, es el deterioro de la industria manufacturera nacional, por ello se   deduce la importancia preponderante de tratar de disminuir las importaciones de la manufactura mexicana a través del fortalecimiento de la industria nacional.
 
Originalidad/Valor: El valor de esta investigación es el de tratar de influir en las políticas públicas llevadas a cabo por parte del estado mexicano, fortaleciendo a la industria manufacturera de México.
INITIAL ASSESSMENT IN COUNSELING
Authors: Irma Irma Suryani Nasution , Mona Lisa Sis , Fitriani Wahidah , Quileste Ronald Macanip
Published: November 2024

The purpose of this study is to enrich knowledge about initial assessment in counseling. This research method uses qualitative with a literature study approach. Data sources are obtained from Google Scholar in the form of books and articles. In-depth data analysis related to research materials. The results of the study, namely the evaluation steps taken by counselors when conducting counseling sessions with clients for the first time, are very important because through the implementation of initial evaluations, counselors can gain an understanding of clients and the problems they face.
Educational Continuity in Emergencies: The Role of Offline Digital Libraries in Under-Connected Communities
Authors: Farrell Libbie , Hosman Laura , Barrett Cassandra , Nova Rachel
Published: November 2024

Aim/Purpose: This article explores the critical need for adaptable educational models in times of crisis, focusing on strategies to overcome infrastructural and digital inequalities exacerbated by the COVID-19 pandemic.

Background: By examining a case study of an offline digital library project implemented in South Sudan, this paper seeks to examine the impact of an offline digital educational solution for low-resource and crisis situations.

Methodology: The authors utilize a mixed-methods approach, integrating both qualitative interviews and quantitative data analysis, to evaluate the use and impact of the SolarSPELL Initiative’s offline digital libraries in South Sudan.

Contribution: This study contributes to our understanding of digital and information literacy within crisis contexts, highlighting the vital role of localized, offline content.

Findings: The findings demonstrate that offline digital solutions can effectively mitigate educational disruptions by providing an accessible means to continue education during emergencies.

Recommendations for Practitioners: Recommendations for practitioners include the adoption of robust offline digital learning solutions to promote educational continuity.

Recommendation for Researchers: The authors recommend that researchers continue investigating the potential of offline digital educational solutions for low-resource and crisis situations.

Impact on Society: Ultimately, this article finds that offline digital libraries, when paired with skill-building, are a viable means to lessen digital disparities and promote educational continuity in times of crisis and beyond.

Future Research: The study suggests further exploration into the long-term impacts of such interventions on learning outcomes.
AI-ASSISTED MISSING PERSON FINDER AND FACE RECOGNITION USING FACENET ALGORITHM
Authors: Venkatasalam K. , Kannan K Dhanush , S Dharun , J Hemanthraj , S Irayanbu
Published: November 2024

Thephenomenon of missing persons poses a significant societal challenge, requiring efficient and effective search and rescue operations. Recently, the blending of artificial intelligence and machine learning methods has demonstrated potential to considerably improve the process of finding missing persons. This paper presents an AI-assisted missing person finder system that harnesses the power of ML algorithms to augment traditional search methodologies. By drawing from an array of information pools such as surveillance video, social networking activity, and geographic specifics, the suggested framework aims to assemble complete individual profiles and potential clues for locating disappeared individuals. By leveraging cutting-edge machine learning techniques including deep neural networks, pattern identification, and natural language decoding, the platform has the capability to intensively examine huge volumes of diverse information and uncover meaningful patterns within the data that could provide clues concerning a missing individual's location or activities. Furthermore, through incorporating algorithmic techniques that optimize search strategies, prioritize promising leads, and coordinate search efforts in real time, the system is able to dynamically adjust its approach. Here is the rewritten sentence using a more complex structure while maintaining the same concepts: By outlining its design, implementation, and evaluation process, this paper aims to highlight how the AI-assisted missing person finder has the potential to dramatically boost both the efficiency and effectiveness of search and rescue operations through leveraging the latest advances in artificial intelligence. Furthermore, it addresses ethical considerations, privacy concerns, and future research directions in the development and deployment of AI-powered solutions for locating missing individuals.
EXPLORING CONTEMPORARY INDIAN SOCIETY: THEMES AND NARRATIVES IN ARVIND ADIGA'S “BETWEEN THE ASSASSINATIONS”
Authors: Gahlawat Anshu
Published: November 2024

This research paper examines the collection of interconnected stories titled "Between the Assassinations" by Arvind Adiga, published in 2008. The paper explores the various themes and narratives presented in the novel, which provides a snapshot of life in the fictional town of Kittur on India's southwestern coast. The study delves into the captivating portrayal of contemporary India, focusing on themes such as caste discrimination, religious tensions, and the impact of urbanization on small towns. Through a comprehensive analysis of the novel, this research aims to shed light on the social, political, and cultural complexities depicted by Adiga, highlighting the struggles, dreams, and aspirations of diverse characters from different walks of life.
ChatGPT in language teaching and learning: Exploring the road we’re travelling
Authors: Stockwell Glenn
Published: November 2024

This introduction to the special issue examines the integration of ChatGPT and similar generative AI technologies in language teaching and learning. It examines the rapid evolution of AI tools since 2022, with particular focus on their applications in educational settings and the mixed responses they have generated among educators and learners. While some educators embrace these tools for their potential to automate and enhance instructional tasks, others express concern over issues such as academic integrity, accuracy, and potential job displacement. This special issue explores various perspectives on the use of ChatGPT, including its benefits in providing non-judgmental feedback, aiding material creation, and enhancing language practice, alongside challenges like ethical use, student over-reliance, and the evolving digital literacy demands for both teachers and students. The collection of articles in this special issue seeks to balance the hype with practical insights and offers a framework for understanding the nuanced impacts of generative AI on second language education.
Cover Art - Vol. 43, No. 2, Fall 2020
Authors: Trowbridge Anna Roth
Published: November 2024

Anna Roth Trowbridge is an Emergency Nurse with an interest in harm reduction, mental health, psychedelic research, and community-based alternatives to policing in healthcare. She studied Cognitive Science and English Theatre at McGill University before completing her nursing degree at University of British Columbia. Anna is currently embarking on a new nursing position in the community in Vancouver, providing care to pregnant folks and their families on the Downtown Eastside.
Randomness in nursing research - who needs it?
Authors: Carter-Snell Cathy
Published: November 2024

This article is one of a series in which we explore aspects of research interpretation that are relevant to emergency nurses. Here, we review the concepts of random selection and random assignment and their importance to nursing research designs. We look at the definitions of both and explore the major types of research designs. Implications for participating in research and interpreting research are suggested.
New trends in diabetes care
Authors: Samis Lorraine
Published: November 2024

There are many new advances in the field of diabetes care. Not only are there new insulin, new insulin delivery devices, advanced blood glucose meters, and lower targets for lipids and blood sugar levels, but also there is much discussion about prevention. It is challenging for staff that works directly in diabetes care to keep up with the changes, let alone nursing staff working in other specialties! The basic cornerstones of diabetes care, nutrition and physical activity, still exist. More emphasis is being placed on weight loss and obesity. Obesity is increasingly recognized as a health epidemic and a modifiable risk factor for diabetes and cardiovascular disease.
The attitudes and activities of registered nurses towards health promotion and patient education in the emergency department
Authors: Taggart Michelle
Published: November 2024

Emergency department (ED) registered nurses (RNs) can help empower patients toward greater well-being through health promotion and patient education (HPPE). The ED is often an individual’s first and only access to the health care system, and is seen as an under-used setting for HPPE. To investigate RNs’ current attitudes and activites about educating patients in the ED, 223 Canadian ED RNs were surveyed using an adapted web-based questionnaire. The attitudes of ED RNs and their current HPPE activities were examined, as was the relationship between level of nursing education and these attitudes. Results showed that perceived importance is the major variable to explain HPPE. A relationship also exists between fewer barriers and feeling more comfortable providing HPPE to patients. More comfortable ED RNs are more likely to see the importance of HPPE. A relationship between perceived effectiveness of HPPE and the frequency of HPPE was found. In general, ED RNs believe that HPPE is important, but need to perceive that what they are providing is effective.
Full house: The incidence and impact of boarding admitted patients in the emergency department
Authors: Hodgins Marilyn J. , Moore Nicole , Legere Laura
Published: November 2024

Increasingly, treatment areas within the emergency department are being occupied by admitted patients while they wait for an inpatient bed to become available. In this paper, the frequency with which admitted patients are boarded in the emergency department, factors contributing to the occurrence of ED boarding and its impact on patient outcomes are examined through a retrospective review of administrative data.
Bibliometric Analysis of Health Tourism Studies After the Covid-19 Pandemic
Authors: KESKİN Sıddık , KESKİN Reyyan , TEKİNTANGAÇ Harika
Published: November 2024

Bibliyometrik analiz kısaca; belirli bir alanda ve araştırıcı tarafından belirlenen, belirli bir dönemde yayımlanmış çalışmaların, nicel analizi ile birlikte bu çalışmaların; yazar, ülke, dergi ve organizasyon gibi birimlerle ilişkilendirildiği
bir analiz yöntemi olarak tanımlanabilir. COVID-19, 2019 Aralık ayının sonunda Çin’de ortaya çıkmış ve kısa sürede tüm dünyaya yayılım göstermiştir. Bu çalışmada, COVID-19 pandemisi sonrası, 2022-2024 yılları arası Web of Science
veri tabanındaki dergilerde, yayımlanan ve “health toursim” anahtar kelimesi ile belirlenen makalelerin bibliyometrik analizi yapılmıştır. Bu amaçla, 5029 makale çalışmaya dahil edilmiştir. Ağ haritası ile birlikte, düğümler arası
bağlantıları belirlemek üzere VOSviewer (ver: 1.6.20) programı kullanılmıştır. Ağ haritasında, en fazla kullanılan anahtar kelimenin “health tourism” olduğu ve bunu “medical tourism”ile “health and wellness toursim” anahtar kelimelerinin
izlediği görülmüştür. Ortak atıf ağında, en çok atıf yapılan makalenin Konstantakopoulu (2022)’nun çalışması, olduğu, en çok atıf yapılan derginin ise “International Journal of Environmental Research and Public Health”, dergisi
olduğu gözlenmiştir. Bibliyografik eşleşme analizinde, ülke ve kurum işbirliğinde bağlantı gücü en yüksek ülkenin Çin ve kurumun ise bu ülkede yer alan “University of Macau” olduğu belirlenmiştir. Sonuç olarak, COVID-19 pandemisi
sonrası sağlık turizminin geniş bir araştırma alanı bulduğu gözlenmiştir. Bu çalışmanın, sağlık turizmi çalışmaları ile ilgili genel bir perspektif sunması açısından, konu ile ilgili çalışacak araştırmacılara önemli bir bakış açısı
sağlaması düşünülmektedir.
Kawí Tamiruyé: a permanent research forest plot in the Sierra Tarahumara
Authors: Pompa-García Marin , Romero-Rocha Sergio , Martínez-Rivas José Alexis , Vivar-Vivar Eduardo Daniel , Rodríguez-Flores Felipa de Jesús , Yerena-Yamallel José Israel
Published: November 2024

This study characterizes the dasometric and structural parameters of a permanent research plot in northern Mexico. From a total census, 2165 trees (n) were recorded in an area of 1.4 ha-1 and, through the application of various sampling schemes, dasometric variables, and diversity indices were estimated for comparison with the census of a reference plot. We calculated the following dasometric measurements, Quadratic Mean Diameter (QMD)= 12.16 cm, Crown Area (CA)= 61.6%, Reineke's Stand Density Index (SDI)= 668 individuals, Basal Area (BA)= 25.16 m2, Total Volume (Vol)= 158.83 m3 ha-1, aboveground biomass (AGB= 142.78 Mg ha-1) and Carbon (C= 71.39 Mg ha-1). Ecologically, the species with the highest importance value index (IVI) were P. engelmannii and J. deppeana (50.8% and 35%, respectively). The Simpson's dominance index (δ)= 0.39 and diversity (λ)= 0.61 were low, as was the Shannon-Weaver index of diversity (H'= 1.3), which is in agreement with the Margalef index (DMg= 1.04). The value of Pielou's evenness (J'= 0.53) confirmed low abundance. Equidistant systematic sampling at 40 m was closer to the reference census, presenting lower values in the mean and variance estimators compared to the other sampling methods. The results can be included in management portfolios to improve decision-making. Although further studies on site size, inclusion of additive indices, and operational costs are required.
Workshop
Authors: Cruz Fernanda Monteiro da , Castor Katia Gonçalves
Published: November 2024

A publicação fala da oficina feita que tem como objetivo principal capacitar os professores das escolas municipais de Educação Infantil de Castelo para identificar, refletir e reestruturar práticas pedagógicas que utilizam a ludicidade – baseada em jogos e brincadeiras – no processo de ensino-aprendizagem, considerando os impactos causados pelo distanciamento social durante a pandemia de Covid-19.
Impact of Adsorbent Weight, Time, and Temperature on Purification Efficiency with Activated Carbon
Authors: Ma'arief Rusly , Mulyadi Abdul Haris , Hasanah Yeti Rusmiati
Published: November 2024

Based on data from the Indonesian Biofuel Producers Association 2022, biodiesel production will reach 10.8 billion liters, producing crude glycerol of 10-20% of the total product volume in the transesterification process. Crude Glycerol is a by-product of making biodiesel with low purity because it still contains impurities such as methanol, free fatty acids, KOH catalysts, and water. These impurity compounds must be removed so that the quality of glycerol increases and has a high selling value. Adsorption is one method that can be used to absorb these impurity compounds. This research aims to determine the effect of adsorbent weight, adsorption time, and temperature on glycerol purity levels. This experimental research uses an exploratory factorial design method to determine the most influential factors. The low level of adsorbent weight used is 9%, while the high level of adsorbent weight is 15%. The low-level adsorption time is 60 minutes and the high level is 90 minutes. The adsorption temperature used is a low level of 40℃ and a high level of 80℃. The research results showed that the weight of the adsorbent was the factor that had the most influence on the purity level of glycerol
The The Principles and Implemetation of Case Settlement Through Aceh Customary Courts Process
Authors: Muhammad Rudi Syahputra  , Muksalmina  , Sari Yulis
Published: November 2024

Aceh customary courts have principles for resolving cases in reducing customary civil and criminal cases that occur in society, especially disputes that are not included in the formal justice system. This research aims to examine the principles underlying the resolution of cases through customary courts in Aceh, as well as how these principles are applied in the practice of resolving customary cases. By using a normative legal method, the resolution of customary cases in Aceh has its own principles that reflect the characteristics of customary law lives in Acehnese community (ureung Aceh). The principles of resolving cases through Aceh customary justice are principle of peace, justice, musyawarah and mufakat (mediation and negotiation), sincerity and willingness, fast, easy and cheap, openness, kinship, equality before the law, and guidance. The application of the principles of case resolution in the Acehnese customary justice process is a necessity. Acehnese community want cases to be resolved peacefully because this method has been a tradition passed down from generation to generation. The term for peaceful resolution of cases called suloh. Customary law does not distinguish between acts that are violations of civil law and violations of criminal law so that civil cases and criminal cases are decided simultaneously in a trial that is not separate. The use of the principle of musyawarah and mufakat in the implementation of customary justice has a very important role and determine whether or not the trial can be held.
A reappraisal of COVID-19 epidemiology after the pandemic: models, data, and interventions
Authors: Ioannidis John P.A.
Published: November 2024

This is a summary of a presentation given in October 2023 at the Academy of Sciences in Bologna. COVID-19 was a major crisis that witnessed massive mobilization of the scientific workforce. Almost a million scientific articles were published on COVID-19 within less than 4 years, most of them of low quality. Several key components of the narrative that prevailed in the pandemic response were misleading and they affected both the credibility of science and public health and the health of billions of people worldwide. Rigorous evidence and a judicious approach to re-evaluating decision-making is needed to revert the tide and regain competence within the scientific community and trust among the general public.
Comunità energetiche e nuova gestione della distribuzione dell’energia elettrica
Authors: Borghetti Alberto , Harighi Tohid , Lilla Stefano , Napolitano Fabio , Nucci Carlo Alberto , Prevedi Andrea , Tossani Fabio , Graditi Giorgio
Published: November 2024

Recent regulatory frameworks in Europe and other regions have introduced mechanisms that allow direct electricity transactions between end users, nowadays several of them being equipped with generation units, if they are connected to the same power distribution network. The authors of this paper, together with the participants of the panel “Le comunità energetiche rinnovabili e il loro sviluppo” (Academy of Sciences of Bologna Institute, 9 May 2024), consider that these schemes, in particular in the case of collective users and energy communities, can facilitate the ongoing energy transition and decarbonization of the electricity sector. The topic is timely and was the subject of an issue of the AEIT magazine (November/December 2023). This paper aims to summarize the basic concepts and the expected impact of energy communities on the operation of power distribution networks, while projecting a future in which these communities operate independently of public incentives.
The Armenian-Italian Joint Expedition to Dvin
Report of 2023 Activities
Authors: Petrosyan Hamlet , Nucciotti Michele , Pruno Elisa , Vardanesova Tatyana , Cheli Francesca , Squilloni Leonardo , Abrahamyan Hamazasp , Kirakosyan Lyuba
Published: November 2024

This report aims to show the results of the third excavation campaign at Dvin/Dabīl (Armenia), conducted by the Italian-Armenian research group in Autumn 2023. The excavations involved three areas in distinct sectors of the city: the southern portion of the Lower Fortress, where the 2021 square was deepened and enlarged; the so-called ‘Market’ area, where the 2021 excavations were expanded and a micro-stratigraphic trench was opened; and the excavations of the Area of the Future Building of the Dvin Museum. Additionally, there is a starting research about the analysis of pottery carried out between 2022 and the last year excavation. We presented also the first results concerning faunal remains research.