bluuebunny/crossref_metadata_2025 huggingface dataset:
Appropriateness of Overridden Alerts in Computerized Physician Order Entry: Systematic Review
Authors: Poly Tahmina Nasrin , Islam Md.Mohaimenul , Yang Hsuan-Chia , Li Yu-Chuan (Jack)
Published: March 2020

Background

The clinical decision support system (CDSS) has become an indispensable tool for reducing medication errors and adverse drug events. However, numerous studies have reported that CDSS alerts are often overridden. The increase in override rates has raised questions about the appropriateness of CDSS application along with concerns about patient safety and quality of care.

Objective

The aim of this study was to conduct a systematic review to examine the override rate, the reasons for the alert override at the time of prescribing, and evaluate the appropriateness of overrides.

Methods

We searched electronic databases, including Google Scholar, PubMed, Embase, Scopus, and Web of Science, without language restrictions between January 1, 2000 and March 31, 2019. Two authors independently extracted data and crosschecked the extraction to avoid errors. The quality of the included studies was examined following Cochrane guidelines.

Results

We included 23 articles in our systematic review. The range of average override alerts was 46.2%-96.2%. An average of 29.4%-100% of the overrides alerts were classified as appropriate, and the rate of appropriateness varied according to the alert type (drug-allergy interaction 63.4%-100%, drug-drug interaction 0%-95%, dose 43.9%-88.8%, geriatric 14.3%-57%, renal 27%-87.5%). The interrater reliability for the assessment of override alerts appropriateness was excellent (kappa=0.79-0.97). The most common reasons given for the override were “will monitor” and “patients have tolerated before.”

Conclusions

The findings of our study show that alert override rates are high, and certain categories of overrides such as drug-drug interaction, renal, and geriatric were classified as inappropriate. Nevertheless, large proportions of drug duplication, drug-allergy, and formulary alerts were appropriate, suggesting that these groups of alerts can be primary targets to revise and update the system for reducing alert fatigue. Future efforts should also focus on optimizing alert types, providing clear information, and explaining the rationale of the alert so that essential alerts are not inappropriately overridden.
The Safety, Efficacy, and Tolerability of Microbial Ecosystem Therapeutic-2 in People With Major Depression and/or Generalized Anxiety Disorder: Protocol for a Phase 1, Open-Label Study
Authors: Chinna Meyyappan Arthi , Milev Roumen
Published: March 2020

Background

The bidirectional signaling between the gut microbiota and the brain, known as the gut-brain axis, is being heavily explored in current neuropsychiatric research. Analyses of the human gut microbiota have shown considerable individual variability in bacterial content, which is hypothesized to influence brain function, and potentially mood and anxiety symptoms, through gut-brain axis communication. Preclinical and clinical research examining these effects suggests that fecal microbiota transplant (FMT) may aid in improving the severity of depression and anxiety symptoms by recolonizing the gastrointestinal (GI) tract with healthy bacteria. The microbial ecosystem therapeutic (ie, microbial ecosystem therapeutic-2 [MET-2]) used in this study is an alternative treatment to FMT, which comprises 40 different strains of gut bacteria from a healthy donor.

Objective

The primary objective of this study is to assess subjective changes in mood and anxiety symptoms before, during, and after administration of MET-2. The secondary objectives of this study are to assess the changes in metabolic functioning and the level of repopulation of healthy gut bacteria, the safety and tolerability of MET-2, and the effects of early stress on biomarkers of depression/anxiety and the response to treatment.

Methods

Adults experiencing depressive or anxiety symptoms will be recruited from the Kingston area. These participants will orally consume an encapsulated MET-2 once daily—containing 40 strains of purified and laboratory-grown bacteria from a single healthy donor—for 8 weeks, followed by a 2-week treatment-free follow-up period. Participants will undergo a series of clinical assessments measuring mood, anxiety, and GI symptoms using validated clinical scales and questionnaires. Molecular data will be collected from blood and fecal samples to assess metabolic changes, neurotransmitter levels, inflammatory markers, and the level of engraftment of the fecal samples that may predict outcomes in depression or anxiety.

Results

Given the association between the gut bacteria and the risk factors of depression, we expect to observe an improvement in the severity of depressive and anxiety symptoms following treatment, and we expect that this improvement is mediated by the recolonization of the GI tract with healthy bacteria. The recruitment for this study has been completed, and the data obtained are currently being analyzed.

Conclusions

This is the first time MET-2 is being tested in psychiatric indications, specifically depression and anxiety. As such, this may be the first study to show the potential effects of microbial therapy in alleviating psychiatric symptoms as well as its safety and tolerability.

International Registered Report Identifier (IRRID)

DERR1-10.2196/17223
Digital Phenotyping Self-Monitoring Behaviors for Individuals With Type 2 Diabetes Mellitus: Observational Study Using Latent Class Growth Analysis
Authors: Yang Qing , Hatch Daniel , Crowley Matthew J , Lewinski Allison A , Vaughn Jacqueline , Steinberg Dori , Vorderstrasse Allison , Jiang Meilin , Shaw Ryan J
Published: March 2020

Background

Sustained self-monitoring and self-management behaviors are crucial to maintain optimal health for individuals with type 2 diabetes mellitus (T2DM). As smartphones and mobile health (mHealth) devices become widely available, self-monitoring using mHealth devices is an appealing strategy in support of successful self-management of T2DM. However, research indicates that engagement with mHealth devices decreases over time. Thus, it is important to understand engagement trajectories to provide varying levels of support that can improve self-monitoring and self-management behaviors.

Objective

The aims of this study were to develop (1) digital phenotypes of the self-monitoring behaviors of patients with T2DM based on their engagement trajectory of using multiple mHealth devices, and (2) assess the association of individual digital phenotypes of self-monitoring behaviors with baseline demographic and clinical characteristics.

Methods

This longitudinal observational feasibility study included 60 participants with T2DM who were instructed to monitor their weight, blood glucose, and physical activity using a wireless weight scale, phone-tethered glucometer, and accelerometer, respectively, over 6 months. We used latent class growth analysis (LCGA) with multitrajectory modeling to associate the digital phenotypes of participants’ self-monitoring behaviors based on their engagement trajectories with multiple mHealth devices. Associations between individual characteristics and digital phenotypes on participants’ self-monitoring behavior were assessed by analysis of variance or the Chi square test.

Results

The engagement with accelerometers to monitor daily physical activities was consistently high for all participants over time. Three distinct digital phenotypes were identified based on participants’ engagement with the wireless weight scale and glucometer: (1) low and waning engagement group (24/60, 40%), (2) medium engagement group (20/60, 33%), and (3) consistently high engagement group (16/60, 27%). Participants that were younger, female, nonwhite, had a low income, and with a higher baseline hemoglobin A1c level were more likely to be in the low and waning engagement group.

Conclusions

We demonstrated how to digitally phenotype individuals’ self-monitoring behavior based on their engagement trajectory with multiple mHealth devices. Distinct self-monitoring behavior groups were identified. Individual demographic and clinical characteristics were associated with different self-monitoring behavior groups. Future research should identify methods to provide tailored support for people with T2DM to help them better monitor and manage their condition.

International Registered Report Identifier (IRRID)

RR2-10.2196/13517
When “Corona” Goes Viral – Online Search Interests in Google for Coronavirus versus Its Incidence in Australia, Canada, the United Kingdom, and the United States: An Infodemiological Analysis (Preprint)
Authors: Ahmadvand Alireza , Forough Ayda S. , Nissen Lisa
Published: March 2020

BACKGROUND

The public health crisis, due to the new Coronavirus found in December 2019, has received unprecedented attention from the public and the media. The infodemiological analysis of queries from search engines to assess the status of search interests and the actual burden of the new virus could be an informative approach.

OBJECTIVE

The aim of the study was to assess search query data from Google Trends, to visualize the interest in search over time for the new “Coronavirus” in Google, across four English-speaking countries, namely, Australia, Canada, the UK, and the USA, and compare the search interest with the actual burden of Coronavirus in the corresponding countries.

METHODS

We used Google Trends service to assess people’s interest in searching about “Coronavirus” classified as “Virus,” from January 1, 2020 to March 13, 2020 in Australia, Canada, the UK, and the USA. Then, we evaluated top regions and their relative search volumes (SVs) and country-specific “Top” and “Rising” searches. We also evaluated the trends in the incidence of detected Coronavirus infections to find possible differences between the actual burden of the disease and search patterns by the public.

RESULTS

From January 1, 2020 to March 13, 2020, Australia was the top country searching for Coronavirus in Google, followed by Canada, the UK, and the USA. There was a noticeable bimodal pattern in searching for Coronavirus, mostly in late January 2020, and then from early March 2020. Search interest in all four countries declined in the month of February 2020. Top regions in each of the four countries with the highest search interest where the ones which reported either a confirmed case of Coronavirus infection or a death due to it. None of the declarations by the World Health Organization of the nature of this pandemic appeared to have caused major changes in the search patterns in Google.

CONCLUSIONS

Search for ‘Coronavirus’ increased exponentially, in all four countries, mostly in Australia. The month of February 2020 could be considered a ‘lost opportunity’ in terms of acting on the momentum of searching by people on Google about the Coronavirus. The increased interest in searching for keywords related to Coronavirus and its symptoms shows the possible focus areas of awareness campaigns in increasing societal demand for health information on the Web, to be met in community-wide communication or awareness interventions, should another pandemic occur in the future.
DIFFERENTIATED INSTRUCTION IN ACCOMMODATING INDIVIDUAL DIFFERENCES OF EFL STUDENTS
Authors: Tanjung Pradana Akbar , Ashadi Ashadi
Published: March 2020

ABSTRACTMany EFL (English as a Foreign Language) classrooms all around the globe are full of students with individual differences. Evidently, the students possess individual differences because they come from various settings with diverse backgrounds. The divergences among students might be unique in nature and they could possibly affect the English teaching and learning process. One of the clear examples is the fact that not all learning instructions provided by teachers are effective in accommodating the differences in the classroom. This situation leads to the emergence of implementing differentiated instruction, often believed to be able to give the students equal chances to learn and experience English effectively at their full potential. This library-based paper reviews several previous practices of differentiated instruction in English classrooms. Further, it attempts to examine how differentiated instruction has been implemented in various EFL contexts. It also attempts to reveal the fundamental reasons behind the success of differentiated instruction in the many English classrooms by relating theories and practices of the previous research studies focused on the topic. This paper ends with a summary of the various findings and discusses it in the light of theories and literatures in differentiated instruction with a particular interest in EFL settings.
Building Essay Outline Through Discourse Illustration: Project-Based Learning in Higher Vocational Education
Authors: Sukerti Gusti Nyoman Ayu , Yogi Susana Kadek
Published: March 2020

Abstract—Project-based learning is an innovative learning model which emphasizes contextual learning through complex activities. Project-based learning focused on learning the core concepts, involving learners in problem-solving investigations and other meaningful tasks, giving students the opportunity to work autonomously construct their own knowledge and ultimately produce a real product. Project-based learning can be used to achieve a certain competency through a project within a specified period through the steps of planning, execution, reporting, communicating the results and evaluation activities. This research was aimed to analyze the use of discourse illustration in writing essay outlines in order to help students in the stage of constructing ideas. This study focused on the use of discourse illustration in the context of teaching English for vocational students with a framework of project-based learning as a basic model. The goal of this method was to improve students’ engagement in writing and ease the obstacles faced when developing ideas. Participants were 28 third semester students enrolled in a three-year undergraduate program in Informatics Management whose English proficiency was lower intermediate. The outlines produced by students were evaluated and discussed in peer review until the drafts were final. The study revealed that students were able to construct a more coherent and cohesive essay and engaged in the completion of the project in a more positive attitude as they could develop their competence in writing and enhance their collaborative skill to work as a team.
Keywords:Constructing outline; discourse illustration; essay writing; project-based learning
Genetic diversity of 40 genotypes of cape gooseberry Physalis peruviana L. using microsatellite markers
Authors: Delgado-Bastidas Nataly , Lagos-Santander Liz K , Lagos-Burbano Tulio César
Published: March 2020

Physalis peruviana L., also called cape gooseberry, is widely known for its nutraceutical and economic importance. However, little is known about the genetic diversity of this species at the molecular level, mainly due to its status as an orphan species. Therefore, knowledge of the genetic diversity of germplasm collections of P. peruviana will allow determining the level of genetic variability that is available to breeders for selection processes. This study assessed the genetic variation present in 40 cape gooseberry genotypes using six SRR (simple sequence repeats) molecular markers selected based on their high polymorphism in P. peruviana L. The collection was divided into three populations: DH (double haploid lines), FT (Fusarium oxysporum-tolerant genotype), and UDENAR (Universidad de Nariño). We detected 7.33 alleles using GenAlex v. 6.5 and Arlequin 3.5.2 software. Among the six markers used, SSR15 and SSR138 were the most informative. Together, these markers indicated that 22.2% of loci were polymorphic with an average expected heterozygosity of 0.09, which is considered low. The AMOVA showed that the variance within genotypes contributes to 100% of the total variance, indicating the absence of population structure. Overall, we conclude that the level of variability among genotypes is low.
PEMIKIRAN PROGRESIVISME DAN PEMIKIRAN EKSISTENSIALISME PADA PENDIDIKAN ANAK USIA DINI (Dalam Pembelajaran Bcct Pamela Phelps)
Authors: Mutmainnah Mutmainnah
Published: March 2020

Early childhood education is usually better known as education that emphasizes playing while learning, by playing the child has been learning. One of the learning models in PAUD is the center and circle model which is a teaching approach that places children in a proportional position. The concept of early childhood education takes the form of play because play is a child's world. The point is playing is learning, and learning is playing. The implementation of learning in PAUD with the BCCT approach model is learning that focuses on activities in centers to optimize the multiple intelligences that must be developed in children. In the BCCT approach there are seven learning centers, namely preparatory centers, beam centers, major role playing centers, small role playing centers, natural material centers, art centers and imtaq centers. Progressivism is education that emphasizes the ability of children to be able to deal with social life in a community environment, is also a flow of educational philosophy that supports changes in the implementation of education. Existentialism is a philosophical school that prioritizes human freedom to actualize itself. This view of existentialism is that education is an attempt to liberate humanity from the things that bind it up so that the realization of human existence towards a more humane and civilized. Education aims to shape people into people who are moral, intelligent and can be responsible. Through education, children are expected to have a good attitude, extensive knowledge, and optimal skills.
Nan Bowman Albinski's 'Women's Utopias in British and American Fiction'
Authors: Bonde Ingeline
Published: March 2020

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Erling Bjøl's 'Politikens USA historie'
Authors: Bjerre-Poulsen Niels
Published: March 2020

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Impact of ownership structure on risk-taking behavior of South Asian banks
Authors: Hunjra Ahmed Imran , Tayachi Tahar , Mehmood Rashid
Published: March 2020

The implementation of an effective risk management policy is necessary for the survival and success of banks. Ownership structure changes the risk-taking behavior of banks. Therefore, we analyze the impact of the ownership structure on risk-taking behavior of banks in emerging markets (i.e., Pakistan, India, and Bangladesh). We take public, private and foreign ownership of banks in this study. We collect the data from 64 banks of selected countries from 2011 to 2018. We measure risk-taking as capital adequacy, leverage coverage ratio, non-performing loan ratio, and return volatility. We use two-step system dynamic panel estimation for analyzing the results. We find that public and private banks have significant relationship with the risk-taking of banks. Furthermore, public and private banks show more risk-taking behavior as compared to foreign banks in all selected countries.
Ética profesional desde la perspectiva sociológica y filosófica
Authors: Ibarra Rosales Guadalupe
Published: March 2020

Este texto constituye un análisis crítico de la visión de la ética profesional elaborada por la perspectiva funcionalista de la sociología de las profesiones. La metodología de este análisis comprendió los siguientes aspectos: a) identificar y desarrollar las tesis y los argumentos principales sobre la ética profesional elaborados por la visión funcionalista de la sociología de las profesiones; b) examinar estas tesis y sus argumentos con base en los planteamientos de la postura filosófica de la ética profesional, así como desde el enfoque crítico de la sociología de las profesiones, y c) presentar y desarrollar la contribución que hace la perspectiva funcionalista al establecer a la ética profesional como un componente propio de las profesiones modernas. Asimismo, mostrar que esta visión resulta corta y estrecha para comprender que la ética profesional es más que un rasgo o característica de las profesiones, dado que en la actualidad se concibe que aquella es la que dota de sentido a estas. Dentro de los resultados, el análisis crítico da cuenta de que la visión de la ética profesional elaborada por el enfoque funcionalista está determinada por la concepción de las profesiones propia de esta corriente de la sociología. Pero, aunque esta visión tiene limitaciones, establece que la ética profesional es inherente a las profesiones modernas. Mientras que la postura crítica de la sociología de las profesiones devela que, tanto la concepción de una como de la otra, son conceptos sociohistóricos que evolucionan y se modifican, delimitados en gran medida por el contexto económico, social, político y cultural del momento histórico. Por su parte, la perspectiva filosófica de la ética profesional muestra aspectos y dimensiones que no han tomado en cuenta las diferentes corrientes teóricas de la sociología y ofrece un horizonte teórico para comprender y analizar a las profesiones modernas en el marco filosófico.
PENGARUH UMR , KURS DAN PENDUDUK JIWA TERHADAP TINGKAT PENGANGGURAN SUMATERA UTARA PERIODE 2001-2017
Authors: Yuni Revita
Published: March 2020

Penelitian ini bertujuan untuk mengetahui pengaruh upah minimum, penduduk jiwa dan kurs terhadap tingkat pengangguran di Indonesia pada periode 2001-2017. Pendekatan penelitian yang digunakan adalah pendekatan penelitian korelasi, sedangkan metode analisis yang digunakan adalah regresi data berganda. Obyek yang digunakan dalam penelitian ini adalah provinsi Sumatera Utara di Indonesia. Hasil penelitian menunjukan bahwa ketiga variabel tidak memiliki pengaruh positif dan signifikan terhadap tingkat pengangguran.. Dengan kata lain, jika upah minimum regional nilainya naik, maka tidak akan menaikan jumlah tingkat pengangguran secara signifikan. Kurs memiliki pengaruh negatif dan signifikan terhadap tingkat pengangguran. Dengan kata lain, jika kurs nilainya naik, maka akan menurunkan jumlah tingkat pengangguran. Kata Kunci : Pengangguran, , Upah Minimum Regional, Nilai tukar
Novel use of an activity monitor to model jumping behaviors in cats
Authors: Sharon Kate P. , Thompson Caryn M. , Lascelles B. Duncan X. , Parrish Rudolph S.
Published: March 2020

OBJECTIVE

To develop methods to identify and characterize activity monitor (AM) data signatures for jumps performed by cats.

ANIMALS

13 healthy, client-owned cats without evidence of osteoarthritis or degenerative joint disease.

PROCEDURES

Each cat was fitted with the same AM, individually placed in an observation room, then simultaneously recorded by 3 video cameras during the observation period (5 to 8 hours). Each cat was encouraged to jump up (JU), jump down (JD), and jump across (JA) during the observation period. Output from the AM was manually annotated for jumping events, each of which was characterized by functional data analysis yielding relevant coefficients. The coefficients were then used in linear discriminant analysis to differentiate recorded jumps as JUs, JDs, or JAs. To assess the model's ability to distinguish among the 3 jump types, a leave-one-out cross-validation method was used, and the misclassification error rate of the overall categorization of the model was calculated.

RESULTS

Of 731 jumping events, 29 were misclassified. Overall, the mean misclassification error rate per cat was 5.4% (range, 0% to 12.5%), conversely indicating a correct classification rate per cat of 94.6%.

CONCLUSIONS AND CLINICAL RELEVANCE

Results indicated that the model was successful in correctly identifying JUs, JDs, and JAs in healthy cats. With advancements in AM technology and data processing, there is potential for the model to be applied in clinical settings as a means to obtain objective outcome measures.
Glomerular filtration rate determined by measuring serum clearance of a single dose of inulin and serum symmetric dimethylarginine concentration in clinically normal cheetahs (Acinonyx jubatus)
Authors: Sanchez Carlos R. , Hayek Lee-Ann C. , Carlin Ellen P. , Brown Scott A. , Citino Scott , Marker Laurie , Jones Krista L. , Murray Suzan
Published: March 2020

OBJECTIVE

To establish a reference interval for glomerular filtration rate (GFR) determined by measuring serum clearance of a single IV dose of inulin in clinically normal cheetahs (Acinonyx jubatus) and compare serum symmetric dimethylarginine (SDMA) concentration in cheetahs with GFR.

ANIMALS

33 cheetahs housed at 3 institutions.

PROCEDURES

A single bolus of inulin (3,000 mg/m2) was administered IV, and 5 serial blood samples were collected and analyzed for serum inulin concentration with the anthrone technique. The GFR was estimated with a modified slope-intercept method for the slow component of the serum concentration-versus-time curve. Blood urea nitrogen and serum creatinine concentrations were measured in samples obtained immediately prior to inulin administration, and serum SDMA concentration was measured in stored samples.

RESULTS

Mean ± SD measured GFR was 1.58 ± 0.39 mL/min/kg, and the calculated reference interval was 0.84 to 2.37 mL/min/kg. There were significant negative correlations between GFR and serum creatinine concentration (r = −0.499), BUN concentration (r = −0.592), and age (r = −0.463). Serum SDMA concentration was not significantly correlated with GFR (r = 0.385), BUN concentration (r = −0.281), or serum creatinine concentration (r = 0.165).

CONCLUSIONS AND CLINICAL RELEVANCE

A reference interval for GFR in clinically normal cheetahs was obtained. Further evaluation of animals with renal disease is needed to determine whether measuring serum clearance of a single IV dose of inulin is a reliable diagnostic test for early detection of renal disease in cheetahs.
Revisions and Revisionisms in H.O. Meisner’s Modern Diplomatics of Files: An Essay in the Historical Anthropology of Bureaucratic Mediocracy
Authors: Wimmer Mario
Published: March 2020

In this essay I lay out an argument about the scholarship on the emergent rationality of files. Looking at the case of Heinrich Otto Meisner’s groundbreaking modern diplomatics of files and the conditions and possibilities that shaped the argument of his work both practically and politically, I suggest a model for the analysis of bureaucratic mediocracy in historical perspective. I argue for an historical anthropology that acknowledges the epistemic violence and politics of inclusion and exclusion in bureaucracy in order to arrive at an historical anthropology of reason that does not deny, but instead attempts to think through its unequal terms.
Asking Appropriate Questions, Reconsidering Research Agendas: Moving between London and Lusaka, in- and outside the Archive
Authors: Rüther Kirsten
Published: March 2020

This article deals with the question of how issues of late colonial housing in Zambia were passed through various segments and between various layers of an encompassing colonial administration. It is equally about the question how the researcher retraces that process of administering housing. The main argument is that a discourse clad in techno-scientific language in the colonial metropole assumed undertones of development and morality in the colony. The text pays particular attention to the bureaucratic individuals seizing opportunities – often in cooperation with one or two colleagues, or across racial dividing lines. Furthermore, the contribution ponders on the significance of the researcher's encounters with both archival staff in London and Lusaka as through these interactions initial research agendas become redirected and adjusted.
Pain’s Records: An Anthropological Account of Medical Documentation in South Asia
Authors: Bhangu Shagufta Kaur
Published: March 2020

The Institute for Pain Management in Kolkata, like other modern institutions, is organised by record keeping. But the central object of its records, pain, presents a fundamental challenge to documentation. Pain is marked by a non-relational attribute that limits attempts to communicate and express it. I follow the institutional life of one patient and his struggles with health care through his documentary productions. As the paper traces clinical management of his pain, a proliferation of medical records is revealed. The forms of this documentary multiplicity, its materiality and how it enacts pain’s therapeutics are described. The challenge of pain’s communication is addressed by translating a body in pain constituted through artefacts and intersubjective relationships to a body in pain that exists almost entirely on paper. This translation proves efficacious in the eyes of doctors and patients, and is critical to the management of chronic pain in Kolkata.
Wieder gelesen: Cornelia Vismann, »Akten« (2000)
Authors: Lüttge Felix
Published: March 2020

This Relektüre revisits Cornelia Vismann’s book Files: Law and Media Technology almost 20 years after its initial publication. Situating the book in the media historical and intellectual constellations in which it originally appeared, this article provides an overview of Vismann’s approach to legal and administrative history and sheds light on the book’s reception.
On the existence of periodic solution and the transition to chaos of Rayleigh-Duffing equation with application of gyro dynamic
Authors: El-Borhamy Mohamed , Mosalam Nahla
Published: March 2020

In this article, the study of qualitative properties of a special type of non-autonomous nonlinear second order ordinary differential equations containing Rayleigh damping and generalized Duffing functions is considered. General conditions for the stability and periodicity of solutions are deduced via fixed point theorems and the Lyapunov function method. A gyro dynamic application represented by the motion of axi-symmetric gyro mounted on a sinusoidal vibrating base is analyzed by the interpretation of its dynamical motion in terms of Euler’s angles via the deduced theoretical results. Moreover, the existence of homoclinic bifurcation and the transition to chaotic behaviour of the gyro motion in terms of main gyro parameters are proved. Numerical verifications of theoretical results are also considered.
Occupational burnout in nurses: a concept analysis†
Authors: Zeng Jun-Fang , Xiao Ai-Xiang , Ye Jun-Rong , Cai Hong-Tao , Li Wei-Ming , Xia Zhi-Chun , Li Si-Jue , Lin Jian-Kui
Published: March 2020

Objective

This paper aims to clarify the concept of occupational burnout (OB) as well as develop appropriate methods to relieve or prevent OB in the nursing profession.

Methods

Walker and Avant’s eight-step approach of concept analysis was applied.

Results

OB was defined as a chronic form of work-related stress. Accurately, it was characterized by emotional exhaustion, depersonalization/cynicism, and reduced personal accomplishment/inefficacy. Antecedents of burnout included (a) demographic characteristics; (b) chronic exposure to work-related stressors; (c) quantitative and qualitative job demands; (d) lack of job resources; and (e) personality traits. Consequences involved (a) individual’s unfavorable quality of life; (b) negative impact on the organization; and (c) poor services quality. Although the Maslach Burnout Inventory (MBI) is perceived as an ideal tool to measure burnout and hence, it is used worldwide, whether this instrument fits to measure this concept for nurses has still not yet been verified and thus further research is needed.

Conclusions

By proposing a comprehensive definition of the concept, this analysis contributes to recognition of the process of OB of nurses. All nurses are vulnerable to OB. Hence, burnout in nursing needs to be recognized as a critical factor in the delivery of safe patient care. It proposes that the prevention of OB would be achieved through team communication training, mindfulness group, education, etc.
Chinese nurses’ perceived impact of international educational experiences and cultural beliefs following a 1-year study abroad program: an exploratory study
Authors: Wolf Debra M. , Wu Hui-Xin , Spadaro Kathleen , Hunker Diane F.
Published: March 2020

Objectives

To examine the perceived impact of international educational experiences and cultural beliefs before and after completing a 1-year Masters of Science in Nursing program.

Methods

An exploratory study was conducted among Chinese nurses studying abroad in a private medium-sized university in the United States. The 27-item electronic pre-survey was administered within 1 week of starting the program and the post-survey was administered 1 year later at the completion of the program.

Results

Majority of participants (n = 25) were female, 23–36 years of age. Findings revealed that the perceived impact of international educational experiences assessed at the start of the program was similar to the perceived impact measured at the end of the 1-year program, suggesting that the students learned and experienced what they anticipated. There was a significant impact on cultural beliefs from the start of the program compared with the end of the program suggesting that a 1-year study abroad program does influence cultural beliefs.

Conclusions

Understanding what is important to provide in a study abroad program and providing the educational experiences identified by students as impactful are avenues to help host universities best develop their programs. Findings suggested that the 1-year program can influence foreign students’ cultural beliefs, yet the professional and personal impact of this change warrants further study.
Digital Risks. Case Study on Digitization Projects of the LBUS Library
Authors: Volovici Rodica-Maria , Mărginean Elena , Vişa Ioan-Irinel
Published: March 2020

Digital technologies changed all the social life domains in society, as we are now living in the digital era, in the information society or in an interconnected world. Besides the improvements in every day life, digital changes also brought inherent risks, from cyber-security, hacking, cyber-bullying, to the vulnerability of personal data, or the mental health consequences of information explosion.

This article reviews the risks of the changes brought by the digital transformation on libraries in general, with examples of the LBUS Library, drawing from the last 10 years of development experience of informatic book management systems (electronic catalogue) and of the digital library system. A group of library experts took part in local cultural projects promoting the city of Sibiu, as well as in four major European projects focusing on “Europeana”, and developing highly valuable cultural, historical, and scientific digital collections. As relatively new and highly complex technical activities comprising a high volume of new information, the management of these projects also posed risks related to decision-making and to choosing the best solutions to ensure their success. We have identified and highlighted the major risks.
DBSCAN Algorithm for Document Clustering
Authors: Creţulescu Radu G. , Morariu Daniel I. , Breazu Macarie , Volovici Daniel
Published: March 2020

Document clustering is a problem of automatically grouping similar document into categories based on some similarity metrics. Almost all available data, usually on the web, are unclassified so we need powerful clustering algorithms that work with these types of data. All common search engines return a list of pages relevant to the user query. This list needs to be generated fast and as correct as possible. For this type of problems, because the web pages are unclassified, we need powerful clustering algorithms. In this paper we present a clustering algorithm called DBSCAN – Density-Based Spatial Clustering of Applications with Noise – and its limitations on documents (or web pages) clustering. Documents are represented using the “bag-of-words” representation (word occurrence frequency). For this type o representation usually a lot of algorithms fail. In this paper we use Information Gain as feature selection method and evaluate the DBSCAN algorithm by its capacity to integrate in the clusters all the samples from the dataset.
A New Approach to Detection of Changes in Multidimensional Patterns
Authors: Gałkowski Tomasz , Krzyżak Adam , Filutowicz Zbigniew
Published: March 2020

Nowadays, unprecedented amounts of heterogeneous data collections are stored, processed and transmitted via the Internet. In data analysis one of the most important problems is to verify whether data observed or/and collected in time are genuine and stationary, i.e. the information sources did not change their characteristics. There is a variety of data types: texts, images, audio or video files or streams, metadata descriptions, thereby ordinary numbers. All of them changes in many ways. If the change happens the next question is what is the essence of this change and when and where the change has occurred. The main focus of this paper is detection of change and classification of its type. Many algorithms have been proposed to detect abnormalities and deviations in the data. In this paper we propose a new approach for abrupt changes detection based on the Parzen kernel estimation of the partial derivatives of the multivariate regression functions in presence of probabilistic noise. The proposed change detection algorithm is applied to oneand two-dimensional patterns to detect the abrupt changes.
Conceptual Blends Across Image Macro Genres
Authors: Barczewska Shala
Published: March 2020

This paper analyzes image macros via the theoretical framework of conceptual blending on the example of online responses to 2011 and 2012 doomsday predictions. To date, conceptual blending has shown promise in the analysis of a variety of internet memes; however, most studies have been limited to one type of meme or one blending model. This project adds to the discussion in two ways. First, it presents a thematic analysis – image macros responding to end of the world predictions – thereby covering a broader variety of image macro genres. Second, it modifies blending models according to the needs of the different genres. The discussion explores the extent to which the three different image macro genres require different blending models and the implication for future study.
EDITORIAL
Authors: Wanderley Lilian Soares Outtes
Published: March 2020

EDITORIAL
Coffee Tourism: from Home Products to Attractions
Authors: Leewellyn Vincent , Palupi Santi
Published: March 2020

The development of rural destinations is currently one of the strategies to increase the level of welfare for the community. Indonesia, besides having natural resources, also has others potential resources such as culture, ethnicity, local languages, and many more. Those potentials can be further developed as rural destinations. This research reaches the exploratory stage to find out what is potential, excellence and what must be done in order to become a rural destination. A qualitative approach is used in this study with Head Village in Sukadana along with community leaders and organizational groups such as Youth Organization, KOMPEPAR (The Driving Force for Tourism), BUMDes (Village-Owned Enterprises), etc. The result of this research finds out the potential resources that already exist in Sukadana like Natural Resources (Cikondang Waterfall, Gunung Padang Site and Tea Plantation) and Human made – not originally designed to attract Tourists and also suggest the activities that will improve the attractions. The conclusion finds that the village community still need more improvement in knowledges and skills about rural destinations, and also the local government is still not realized yet for Sukadana Village potential resources to be a rural destination.

Keywords: Coffee, Tourism, Attractions, Rural Destination
DOIS CRITÉRIOS PARA AVALIAÇÃO DA EFICIÊNCIA TÉCNICA
Authors: Homem de Souza Daniel Pacífico , Alves Eliseu
Published: March 2020

Dois critérios foram utilizados para testar três métodos que estimam aeficiência técnica: o método Varian, a fronteira estocástica e a fronteira não-paramétrica,na literatura inglesa conhecida por “data envelopment analysis-DEA” e, em português,por encapsulamento de dados. A orientação pode ser para produto ou insumo,com vistas em mudar a combinação usada pelo produtor para outra, de acordo comalgum critério de escolha. O trabalho se fixou em ambas as orientações. Dados de umaamostra de produtores de leite foram usados para avaliação dos métodos. O menordistúrbio na proposta de combinação de produtos ou insumos, em relação àquelausada pelos produtores, e o maior acréscimo da renda líquida constituem os critérios.Quando houver conflitos entre eles, encontrar-se-á na área de indecisão. Convémlembrar que, quanto menos diferente a combinação proposta for da original, maioreschances terá ela, como recomendação, de ser aceita pelo produtor. O método de Varianteve melhor desempenho que o DEA, em relação aos distúrbios, visto que aqueleproduziu, em relação a este método, menor acréscimo na renda líquida. Os distúrbiosdo método Varian foram maiores que os da fronteira estocástica, mas, em compensação,o incremento na renda líquida foi bem maior.
UMA ANÁLISE DA AGROINDÚSTRIA CANAVIEIRA DO PARANÁ À GUISA DA MATRIZ DE CAPACIDADES TECNOLÓGICAS.
Authors: De Souza Elvanio Costa , Assis Shikida Pery Francisco , Martins Jefferson Paulo
Published: March 2020

Este trabalho teve como objetivo analisar a matriz de capacidades tecnológicasda agroindústria canavieira paranaense, de modo a evidenciar suas características nosâmbitos dos investimentos, operação/produção, inovação e relações com a economia.Os resultados da matriz de capacidades tecnológicas indicaram que o fato de não existiremgrandes concentrações de capacidades tecnológicas, para a gradação avançada, comumnessa agroindústria, é ainda fruto do secular paradigma subvencionista que imperouno setor até os anos de 1990. Não obstante, a preocupação com a sobrevivênciasetorial, principalmente no atual ambiente de desregulamentação, estava também evidenciadaem vários âmbitos das capacidades tecnológicas retratadas por algumas usinaspesquisadas.
ESTRUTURA DA TECNOLOGIA DE PRODUÇÃO AGRICOLA REGIONAL: UMA ABORDAGEM DA PROGRAMAÇÃO DE METAS.
Authors: Dos Santos Baptista Antonio José Medina , Benevídes de Ávila William Romell , De Lima João Eustáquio , Gomes Adriano Provezano
Published: March 2020

Este estudo objetivou estimar e analisar as funções de produção média e defronteira e caracterizar a estrutura da tecnologia de produção agrícola. Com base nosdados do Censo Agropecuário de 1995/96, referente à mesorregião do Triângulo Mineiroe Alto Paranaíba do Estado de Minas Gerais, utilizou-se a programação de metas(goal programming) para calcular os parâmetros das funções de produção na formafuncional tipo Cobb Douglas. Uma das principais conclusões é o fato de que a abordagemutilizada no estudo permite identificar as significativas diferenças no nível deeficiência produtiva e na estrutura das tecnologias de produção na região, indicando oviés que se incorre ao tomar decisões baseadas somente nos parâmetros da função deprodução média. Outra conclusão importante é o fato de que os procedimentos adotadosno estudo conseguem evidenciar algumas características estruturais da tecnologia deprodução, oferecendo maiores informações sobre a tomada de decisão.
Pharmaceutical Expenditure as a Determinant of Health Outcomes in EU Countries
Authors: Blázquez-Fernández Carla , González-Prieto Noelia , Moreno-Mencía Patricia
Published: March 2020

This paper studies the effects that pharmaceutical expenditure and other medical non-durables has on health outcomes, such as mortality and life expectancy. Some recent research is focused on the study of public expenditure in health and the correlation with positive health indicators, and also on the relative eﬀectiveness of various medical health care inputs. As a specific case of this research, we center our interest on the pharmaceutical expenditure among various European countries in order to compare if expenditures are effective in health results, or on the contrary, countries with higher levels of pharmacy consumption do not have better health indicators. We carried out a regression analysis with panel data. The results imply that there is a positive effect between pharmaceutical expenditure and health outcomes.
PENGARUH OPINI AUDIT DAN TEMUAN AUDIT TERHADAP TINGKAT KORUPSI (STUDI PADA PEMERINTAH DAERAH DI INDONESIA TAHUN 2017)
Authors: Syahrir Riri Safira , Suryani Elly
Published: March 2020

This study aims to investigate the effect of audit opinion and audit findings on the level of corruption in the Regional Government in Indonesia in 2017. The object in this study is the local government included in the Public Integrity Survey conducted by the Corruption Eradication Commission in 2017. The sampling technique used in this study was saturated sampling with a total sample of 19 local government institutions. The method used in this analysis is multiple linear regression using IBM SPSS 25. Based on the results of the test the significance of audit opinions and audit findings simultaneously evaluating the level of corruption. Partially, audit opinion variables and negative audit findings on the level of corruption
Effect of initial water flooding on the performance of polymer flooding for heavy oil production
Authors: Fabbri Clement , de-Loubens Romain , Skauge Arne , Hamon Gerald , Bourgeois Marcel
Published: March 2020

In the domain of heavy to extra heavy oil production, viscous polymer may be injected after water injection (tertiary mode), or as an alternative (secondary mode) to improve the sweep efficiency and increase oil recovery. To prepare field implementation, nine polymer injection experiments in heavy oil have been performed at core scale, to assess key modelling parameters in both situations. Among this consistent set of experiments, two have been performed on reconstituted cylindrical sandpacks in field-like conditions, and seven on consolidated Bentheimer sandstone in laboratory conditions. All experiments target the same oil viscosity, between 2000 cP and 7000 cP, and the viscosity of Partially Hydrolyzed Polyacrylamide solutions (HPAM 3630) ranges from 60 cP to 80 cP. Water and polymer front propagation are studied using X-ray and tracer measurements. The new experimental results presented here for water flood and polymer flood experiments are compared with experiments described in previous papers. The effects of geometry, viscosity ratio, injection sequence on recoveries, and history match parameters are investigated. Relative permeabilities of the water flood experiment are in line with previous experiments in linear geometry. Initial water floods led to recoveries of 15–30% after one Pore Volume Injected (PVI), a variation influenced by boundary conditions, viscosity, and velocities. The secondary polymer flood in consolidated sandstone confirms less stable displacement than tertiary floods in same conditions. Comparison of secondary and tertiary polymer floods history matching parameters suggests two mechanisms. First, hysteresis effect during oil bank mobilization stabilizes the tertiary polymer front; secondly, the propagation of polymer at higher oil saturation leads to lower adsorption during secondary experiment, generating a lower Residual Resistance Factor (RRF), close to unity. Finally, this paper discusses the use of the relative permeabilities and polymer properties estimated using Darcy equation for field simulation, depending on water distribution at polymer injection start-up.
Marcel lecteur de Sartre en 1946
Authors: Politis Hélène
Published: March 2020

En 1946, Gabriel Marcel prononça une belle conférence dont plusieurs aspects restent intéressants et actuels pour nous, en 2019. Intitulé L’existence et la liberté humaine chez Jean-Paul Sartre, ce texte marque un tournant décisif dans sa relation philosophique avec Sartre. « C’est de cette période que date, selon Marcel, la dégradation des relations entre les deux hommes », comme le note Anne Mary en 2014 dans un article bien informé. Mon exposé récapitulatif se bâtira en deux séquences complémentaires : la première partie retracera sommairement l’historique de ces relations, tandis que la deuxième partie commentera les points saillants de la conférence de 1946. Une troisième partie élargira ensuite le questionnement, sans prétendre pour autant apporter une conclusion définitive quant à l’ultime signification métaphysique du désaccord entre Gabriel Marcel et Jean-Paul Sartre.