bluuebunny/crossref_metadata_2025 huggingface dataset:
Combining heterogeneous inputs for the development of adaptive and multimodal interaction systems
Authors: Griol David , García-Herrero Jesús , Molina José Manuel
Published: March 2021

In this paper we present a novel framework for the integration of visual sensor networks and speech-based interfaces. Our proposal follows the standard reference architecture in fusion systems (JDL), and combines different techniques related to Artificial Intelligence, Natural Language Processing and User Modeling to provide an enhanced interaction with their users. Firstly, the framework integrates a Cooperative Surveillance Multi-Agent System (CS-MAS), which includes several types of autonomous agents working in a coalition to track and make inferences on the positions of the targets. Secondly, enhanced conversational agents facilitate human-computer interaction by means of speech interaction. Thirdly, a statistical methodology allows modeling the user conversational behavior, which is learned from an initial corpus and improved with the knowledge acquired from the successive interactions. A technique is proposed to facilitate the multimodal fusion of these information sources and consider the result for the decision of the next system action.
MDD-Approach for developing Pervasive Systems based on Service-Oriented Multi-Agent Systems
Authors: Agüero Jorge , Rebollo Miguel , Carrascosa Carlos , Julián Vicente
Published: March 2021

The development of Ubiquitous or Pervasive Systems can be considered a complex task, with multiple actors, devices and different hardware environments; where it is difficult to find a compact view of all the components. This work proposes to use a MDD (Model-Driven Development) approach to facilitate the development process of Agent-Based Pervasive Systems, providing the user with a set of abstractions that ease the implementation of Pervasive Systems and the deployment of a platform for their execution. The proposal allows designing pervasive applications using high-level abstractions, avoiding the low-level implementation details and, after that, the Pervasive System deployment (with embedded agents and devices) is generated by using automatic transformations. In this way, a non-expert programmer will be able to develop Agent-Based Pervasive Systems, reducing the gap between the design and the implementation phases.
Saúde Pública e Gestão de Pessoas: Uma Revisão Integrativa / Public Health and People Management: An Integrative Review
Authors: Cysneiros Helena Renata Silva , Arruda Wagner Soares de , Oliveira Denys Marques de , Amaro Elidiane Melo , Correia Neto Jorge Da Silva
Published: March 2021

Realizar um levantamento bibliográfico sobre as publicações de artigos científicos que estudam a gestão de pessoas no âmbito das organizações públicas de saúde no Brasil entre os anos de 2008 e 2018 é o objetivo geral deste estudo, classificando o nível de evidência das publicações científicas encontradas por meio do Overview Quality Assessment Questionário. A revisão integrativa da literatura foi realizada por meio de buscas eletrônicas nas plataformas / bases de dados Bireme e SciELO. Apontando discussões sobre gestão de pessoas no âmbito da saúde coletiva e temas como avaliação de desempenho em saúde, estratégias de qualificação, estruturação da gestão do trabalho e da educação no SUS, experiências envolvendo o Programa Nacional de Humanização em Saúde, entre outros. Observa-se a importância educacional permanente e práticas de monitoramento contínuo do ambiente grupal / institucional, bem como o envolvimento ativo das partes contempladas no processo, além da necessidade de maior produção científica na área, para melhor explorar nuances do o tema.
Emotional intelligence profiles at the end of primary education and academic performance
Authors:   Facultad de Educación, Universidad Internacional de la Rioja, España, Rodríguez-Rodríguez Daniel
Published: March 2021

Emotional intelligence (EI) has been one of the topics with the most repercussion in the last decades in the fields of psychology and education, but its relationship with the academic performance of students has generated a lot of controversy in scientific research. The objective of the present study was to check the EI profiles of students when they finished primary school, and if there were any differences in the grade point average (GPA) between the EI profiles. The sample consisted of 1253 students (681 males; 572 females) from Tenerife (Spain) in the 6th grade of primary education, with an age range between 10 to 13 years old. The students’ EI was evaluated with the Emotional Quotient Inventory Young Version (EQi-YV). Academic performance was obtained from end-of-course grades. Cluster analysis identified the existence of five EI profiles at the end of primary education. There were no statistically significant differences in the GPA between the five groups of students, and trait EI had no influence on performance. These findings are in line with other research that questions the existence of a significant positive relationship between trait EI and academic performance.
Challenging Treatment of a Female Patient with Extensive Fournier’s Gangrene – Case Report
Authors: Kostovski Ognen , Spasovska Olivera , Trajkovski Gjorgji , Antovic Svetozar , Kostovska Irena , Tosheska-Trajkovska Katerina , Kuzmanovska Biljana , Pejkova Sofija , Jankulovski Nikola
Published: March 2021

Fournier’s gangrene (FG) is a necrotizing fasciitis of the genital, perianal and perineal regions, caused by multiple anaerobic/aerobic infection. It is a rare but very serious condition with multiple long-term complications and high mortality rate. Early diagnosis and multidisciplinary approach in treatment of complicated cases of FG are crucial to the successful outcome. We report a case of an extensive FG in a 59-years-old female patient with multiple risk factors such as obesity, type 2 diabetes and hypertension. She was hospitalized as an emergency case with diabetic ketoacidosis, sepsis and extensive necrotic lesions located perineal, perianal, genital and spread to inguinal, hypogastric, gluteal and sacrococcygeal region. Fournier’s gangrene was diagnosed, and after prompt resuscitation, intravenous fluids, broad-spectrum antibiotics, insulin infusion, emergency aggressive surgical debridement was performed. Several aerobic and anaerobic bacteria were isolated from wound culture and hemoculture. Patient has second debridement after four days. After second debridement was applied metabolic control, broad-spectrum antibiotics coverage, dressing the wound and negative pressure wound therapy (NPWT). Patient was discharged home five weeks after a second debridement in good condition. One month later she underwent reconstructive surgical treatment. Besides extensive FG and multiple comorbidity she was successfully managed with good outcome. Fournier’s gangrene remains a life-threatening and fulminant disease which need urgent diagnosis and aggressive medical and surgical treatment, to achieve a reduction in long term complications and mortality rate.
Nelder-Mead Algorithm in Solving Ordinary Differential Equations Whose Solutions Possess Singularities
Authors: Wusu Ashiribo Senapon , Olabanjo Olusola
Published: March 2021

This research considers Initial Value Problems (IVPs) in Ordinary Differential Equations (ODEs) whose solutions possess singularities. Here, we represent the theoretical solution by a rational function as it is more convenient representing a function close to a singularity by a rational function. The process of transforming the IVP to a constrained optimization problem and application of Nelder-Mead algorithm in obtaining approximate solution is presented in this work. Accuracy and efficiency of this scheme is demonstrated on two numerical examples. The proposed approach produced better results compared with existing methods discussed in literature.
Mark Patrick Nevitt, On environmental law, climate change, & national security law (O prawie ochrony środowiska, zmianach klimatu i bezpieczeństwie narodowym), „Harvard Environmental Law Review” 2020, vol. 44, no. 2 (opr. Lucyna Staniszewska)
Authors: Staniszewska Lucyna
Published: March 2021

Mark Patrick Nevitt, On environmental law, climate change, & national security law (O prawie ochrony środowiska, zmianach klimatu i bezpieczeństwie narodowym), „Harvard Environmental Law Review” 2020, vol. 44, no. 2 (opr. Lucyna Staniszewska)
The Impacts of the Ontario Basic Income Pilot: A Comparative Analysis of the Findings from the Hamilton Region
Authors: McDowell Tom , Ferdosi Mohammad
Published: March 2021

This article provides the findings of a quantitative and qualitative study of participants from the prematurely cancelled Ontario Basic Income Pilot in the Hamilton region. We compare our evidence with those of other large-scale experiments from the high-income countries between 1968 and 2019 to place OBIP’s findings in the context of evidence from randomized control experiments with similar policy conditions to Ontario’s. Our study identified a small decline in labour market participation, but improvements on a variety of quality-of-life measurements. We hypothesize that OBIPs comparatively positive results on general well-being can be attributed to its: i) generous benefit rates relative to social assistance rates; ii) 50 percent take back rate; and iii) unconditionality; iv) broad well-being/welfare design.
Applying the concept of uncertainty to the sFlt-1/PlGF cut-offs for diagnosis and prognosis of preeclampsia
Authors: Lévy Pacifique , Hamdi Safouane , Guiboudenche Jean , Haguet Marie Clothilde , Bailleul Sophie , Lefèvre Guillaume
Published: March 2021

Objectives

Placental growth factor (PlGF) and soluble fms-like tyrosine kinase-1 (sFlt-1) assays and the corresponding ratios (sFlt-1/PlGF) have been proposed to aid in the diagnosis by exclusion and/or prognosis of preeclampsia (PE). A method for evaluating ratio uncertainties (RUs), based on the theory of error propagation, was applied to the sFlt-1/PlGF ratio.

Methods

RUs were calculated using data derived from sFlt-1 and PlGF Internal Quality Control (IQC) results collected from four centers using Elecsys (Roche) or Kryptor (Thermo Fisher) sFlt-1 and PlGF assays. The corresponding ratio uncertainties were defined for each ratio value.

Results

The RUs increased linearly with the sFlt-1/PlGF ratio values. The Elecsys RUs were lower than the Kryptor RUs. Although RUs cannot eliminate differences in ratio values observed among various immunoassays, it can affect interpretation of the sFlt-1/PlGF ratio, especially when results are within the range of predefined PE diagnosis or prognosis cut-offs.

Conclusions

Since RUs are only a function of PlGF and sFlt-1 precision, they can be calculated for each assay from each laboratory to adjust the interpretation of sFlt-1/PlGF ratio results in the context of PE.
Clinical usefulness of drug-laboratory test interaction alerts: a multicentre survey
Authors: van Balveren Jasmijn A. , Verboeket-van de Venne Wilhelmine P. H. G. , Doggen Carine J. M. , Cornelissen Anne S. , Erdem-Eraslan Lale , de Graaf Albert J. , Krabbe Johannes G. , Musson Ruben E. A. , Oosterhuis Wytze P. , de Rijke Yolanda B. , van der Sijs Heleen , Tintu Andrei N. , Verheul Rolf J. , Hoedemakers Rein M. J. , Kusters Ron
Published: March 2021

Objectives

Knowledge of possible drug-laboratory test interactions (DLTIs) is important for the interpretation of laboratory test results. Failure to recognize these interactions may lead to misinterpretation, a delayed or erroneous diagnosis, or unnecessary extra diagnostic tests or therapy, which may harm patients. The aim of this multicentre survey was to evaluate the clinical value of DLTI alerts.

Methods

A survey was designed with six predefined clinical cases selected from the clinical laboratory practice with a potential DLTI. Physicians from several departments, including internal medicine, cardiology, intensive care, surgery and geriatrics in six participating hospitals were recruited to fill in the survey. The survey addressed their knowledge of DLTIs, motivation to receive an alert and opinion on the potential influence on medical decision making.

Results

A total of 210 physicians completed the survey. Of these respondents 93% had a positive attitude towards receiving DLTI alerts; however, the reported value differed per case and per respondent’s background. In each clinical case, medical decision making was influenced as a consequence of the reported DLTI message (ranging from 3 to 45% of respondents per case).

Conclusions

In this multicentre survey, most physicians stated DLTI messages to be useful in laboratory test interpretation. Medical decision making was influenced by reporting DLTI alerts in each case. Alerts should be adjusted according to the needs and preferences of the receiving physicians.
DC-link current based position estimation and speed sensorless control of a BLDC motor used for electric vehicle applications
Authors: John Lionel Febin Daya , Jayan Jestin , Srinivasan Mohan Krishna , Prabhakaran Prajof
Published: March 2021

Sensors of any kind contribute to extra space and electronics when they are used in any application. Besides, the sensor noise also has the effect of altering the overall gain of the system. This is more prevalent in non-linear systems like motor control. In applications which have strict space constraints like Electric vehicles, the use of sensors must be optimized, which, in turn, gave rise to many sensorless state estimation strategies. This paper proposes a novel sensorless control technique for brushless direct current (BLDC) motor used in electric vehicle applications. The concept of sensorless control in BLDC Motor drive eliminates the hall-effect position sensor, thereby giving better performance and improves the robustness of the overall drive system. The main objective of this work is to estimate the position of the motor at standstill condition using stator saturation effect concerning the rotor, accelerate the motor from standstill so that enough back EMF is generated. This acceleration technique speeds up the motor to a stage where a self-actuating control mechanism is used to generate control signals with back EMF or line voltages. The motor can be started with a load, which is a significant constraint for electric vehicle application. The proposed method will avoid the reverse rotation of the motor. The proposed work is simulated in Matlab/Simulink software, and results obtained show that it works well under dynamic conditions of starting, acceleration and load switching. The hardware setup of the proposed work is developed using the TMS320F2812 DSP processor. Simulation and experimental results validate the effectiveness of the proposed work for electric vehicle application.
Nieformalny ruch kobiet w rzeczywistości stanu wojennego w Polsce
Authors:   Uniwersytet Jana Kochanowskiego w Kielcach, Chwastyk-Kowalczyk Jolanta
Published: March 2021

Autorka prezentuje codzienność kobiet-matek, sióstr, żon, partnerek – internowanych działaczy opozycyjnych w stanie wojennym w Polsce w latach 1981-1983. Zrekonstruowania minionych zdarzeń dokonała na podstawie korespondencji pochodzącej od jednego z nich, współzałożyciela Niezależnego Zrzeszenia Studentów na Politechnice Wrocławskiej – S.N. Ukazuje ona rzeczywistość nie tylko tę zza krat, ale także kobiet, które dźwigały na swoich barkach ciężar utrzymania rodziny, zapewnienia dzieciom minimum „normalnego” bytowania, podtrzymywania na duchu osadzonych bliskich, czy wzajemne wsparcie pozostających na wolności. Ten szczególny czas uaktywnienia kobiet widzimy na różnych płaszczyznach: zorganizowanie holistycznej pomocy rodzinom internowanych; działalności informacyjnej; kolportaż prasy drugiego obiegu; swoistego budowania wspólnoty; prowadzenia akcji kulturalno-oświatowej; zachowanie niezłomnej postawy podczas przesłuchań (milczenie); towarzyszenie rodzinom podczas odwiedzin w ośrodkach odosobnienia (swoisty rodzaj eskortowania), gdy pokonano wszystkie trudności prawno-administracyjne, by tam dotrzeć; nieustający przemyt zakazanych artykułów, takich jak radio, aparat fotograficzny, kamera, magnetofon; wynoszenie „po widzeniach” tekstów politycznych, trawestowanych tekstów znanych pieśni tj. Rota czy Boże coś Polskę, wszelkiej grafiki, rysunków, tekstów piosenek.
Trube na prelazu kod Parkuše: Kognitivno metaforiziranje sinovljevske ljubavi u pjesmi “Moja majka” Gorana Samardžića
Authors: Spahić Vedad , Šabić Indira
Published: March 2021

Autori u radu prilaze pjesmi “Moja majka” Gorana Samardžića iz perspektive kognitivnog metaforiziranja, u nastojanju da ukažu na individualno i kolektivno iskustvo koje je rezultat interakcijā čovjeka sa izvanjezičnim svijetom. Dekodirajući kognitivne procese, utvrđuju metaforička preslikavanja i stapanja te metonimijska proširenja polazeći od temeljnih koncepata koji predstavljaju otjelovljeno kulturalno i osobno iskustvo lirskog subjekta. Tijelo i osjetila angažirani su u ostvarivanju metaforičkoga jezika kojim se poetizira sinovljevska ljubav. Pjesma je, pored temeljnog kognitivnog koncepta majka je izvor, nadograđena metaforama koje se konceptualiziraju u procesu percipiranja i projiciranja lirskoga subjekta u kategorijama prostora i vremena kroz interakciju sa svime što ispunjava prostor/vrijeme kao obiteljski i egzistencijalni inventar. Samardžićeve raskošne metaforičke i metonimijske ekstenzije u ovoj su pjesmi utemeljene na konceptima: život je okomica (dobro je gore i loše/smrt je dolje), tijelo je spremnik/stroj, buka je bijes, smrt je kradljivac, sin je possessor, dio za cjelinu, cjelina za dio. Odajući pijetet majki kao začetnici i izvoru, Samardžić je dao snažan obol inače bogatom bosanskohercegovačkom korpusu književnih djela koja njeguju kult majke, poetski ovjerivši kulturalna iskustava i predodžbene obiteljske sheme.
Pelvic pain correlates with peritoneal macrophage abundance not endometriosis
Authors: Gibson Douglas A , Collins Frances , De Leo Bianca , Horne Andrew W , Saunders Philippa T K
Published: March 2021

Endometriosis is a chronic neuroinflammatory pain condition affecting ~180 million women worldwide. Surgical removal or hormonal suppression of endometriosis lesions only relieves pain symptoms in some women and symptomatic relapse following treatment is common. Identifying factors that contribute to pain is key to developing new therapies. We collected peritoneal fluid samples and clinical data from a cohort of women receiving diagnostic laparoscopy for suspected endometriosis (n = 52). Peritoneal fluid immune cells were analysed by flow cytometry and data compared with pain scores determined using the pain domain of the Endometriosis Health Profile Questionnaire (EHP-30) in order to investigate the association between peritoneal immune cells and pain symptoms. Pain scores were not different between women with or without endometriosis, nor did they differ according to disease stage; consistent with a poor association between disease presentation and pain symptoms. However, linear regression and correlation analysis demonstrated that peritoneal macrophage abundance correlated with the severity of pelvic pain. CD14high peritoneal macrophages negatively correlated with pain scores whereas CD14low peritoneal macrophages were positively correlated, independent of diagnostic outcome at laparoscopy. Stratification by pain subtype, rather than endometriosis diagnosis, resulted in the most robust correlation between pain and macrophage adundance. Pain score strongly correlated with CD14high (P = 0.007) and CD14low (P = 0.008) macrophages in patients with non-menstrual pain and also in patients who reported dysmennorhea (CD14high P = 0.021, CD14low P = 0.019) or dysparunia (CD14high P = 0.027, CD14low P = 0.031). These results provide new insight into the association between peritoneal macrophages and pelvic pain which may aid the identification of future therapeutic targets.

Lay summary

Endometriosis is a common condition where cells similar to those that line the womb are found elsewhere in the body. It is associated with inflammation and pain in the pelvis and affects ~180 million women worldwide. Current treatments are not effective for all patients and we, therefore, need to understand what causes pain in order to develop new treatments. We investigated the types of immune cells present within the pelvis of women undergoing investigation for suspected endometriosis. Disease diagnosis and stage (I–IV) was recorded along with pain score determined by questionnaire. We characterised the immune cells present and compared them to disease stage and pain score. We found that pelvic pain was linked to the abundance of immune cells but, surprisingly, not to disease stage. These findings suggest that immune cells are closely associated with pain severity in endometriosis and may be good targets for future endometriosis treatments.
Capitaloceno, luchas por lo común y disputas por otros términos de interdependencia en el tejido de la vida. Reflexiones desde América Latina
Authors: Navarro Trujillo Mina Lorena , Linsalata Lucía
Published: March 2021

Las reflexiones que aquí se presentan nacen de las preocupaciones del área de investigación de “entramados comunitarios y formas de lo político” en torno a lo que hoy en América Latina significa defender la vida para un amplio y variado abanico de procesos organizativos y luchas comunitarias en medio de las renovadas dinámicas de apropiación, despojo, devastación y degradación de las naturalezas humanas y no humanas que las violentas lógicas de acumulación impulsan sin parar. Esta inquietud nos ha llevado a la tarea de dotarnos de una mirada analítica, ecológica, holística y relacional en torno a la noción de vida, que hemos ido componiendo en diálogo con la perspectiva de la ecología-mundo, la ecología política latinoamericana y la apuesta de algunas tradiciones del feminismo por poner en el centro la vida. En este texto, a modo de síntesis parciales, presentamos lo que, desde nuestras propias inquietudes políticas, implica pensar la vida, el Capitaloceno y las disputas planteadas por una multiplicidad de luchas en defensa de lo común con base en diversas investigaciones en diferentes países de América Latina, en particular en México y Bolivia, pero también en Ecuador, Guatemala, Colombia y Uruguay. El texto se compone de tres apartados. En el primero, explicamos qué entendemos por condición de interdependencia y cómo, a partir de esta idea, recuperamos la noción de trama/tejido de la vida propuesta por diferentes autores. En el segundo, nos preguntamos por la vida que el proyecto moderno-capitalista ha ido produciendo a partir de la lógica de dominio de carácter antropocéntrico, patriarcal y colonial y los modos en los que se ha buscado reorganizar la condición de interdependencia, poniendo a trabajar a las naturalezas humanas y no humanas para garantizar la lógica de acumulación. Un ejemplo a través del cual ilustramos estas dinámicas es la gestión capitalista de las relaciones de interdependencia en torno al agua en tiempos neoliberales. Y finalmente, exponemos sobre la base de numerosas investigaciones, enfocadas principalmente en experiencias comunitarias en oposición a algún proyecto extractivista, nuestro acercamiento al antagonismo social y la disputa que entablan las luchas por lo común en América Latina para defender la vida y gestionar las relaciones de interdependencia en contradicción con los términos de coproducción capitalistas.
An update to the species list of vascular plants of the spontaneous flora of the Left Bank Forest-Steppe of Ukraine
Authors:   M.G. Kholodny Institute of Botany, National Academy of Sciences of Ukraine, Davydov D.A.
Published: March 2021

Data on findings of seven species of vascular plants that are new records for the spontaneous flora of the Left Bank Forest-Steppe zone of Ukraine are presented. Four species (Artemisia umbrosa, Sedum album, Ribes aureum, and Prunus tomentosa) are alien plants completely naturalized in the studied area; other three species are treated by author as representatives of the indigenous fraction (Cerastium kioviense, Rhododendron tomentosum, and Vicia lathyroides). Cerastium kioviense and V. lathyroides are considered not rare species in the studied region but rather overlooked by botanists due to their early flowering period. Four species (A. umbrosa, C. kioviense, R. aureum, and P. tomentosa) were for the first time found in Poltava Region, two species (R. aureum, P. tomentosa) – in Kharkiv Region, and one (V. lathyroides) – in Kyiv Region. For all reported species, lists of their localities, places of original descriptions and nomenclatural types are indicated. The species name Prunus tomentosa is lectotypified.
Evaluating the effectiveness of using enoxaparin to prevent venous thromboembolism in hip replacement patients: A retrospective cohort study
Authors: Thanh Toan Vo , Dong Kha To , Van Anh Bui
Published: March 2021

Introduction: Our research aims to evaluate the effectiveness of thromboprophylaxis using enoxaparin in patients undergoing hip replacement.

Methods: A retrospective cohort study was conducted based on medical records of patients aged 40 years and older undergoing hip replacement. Exclusion criteria included patients who had used anticoagulants to prevent other diseases, patients with a history of chronic renal failure, liver failure, cancer or allergy to anticoagulants, and patients with indicated mechanical prophylaxis. In our study, 65 patients were randomized into 2 groups - the control group and the venous thromboembolism (VTE) prophylaxis group (receiving subcutaneous enoxaparin 40 mg daily for 7 - 14 days). Preventive effectiveness was evaluated based on the comparison of VTE incidence after surgery between the groups.

Results: In our study, most of the patients were over 60 years old (79.2%). No case of pulmonary embolism was recorded. There were 11 patients in the control group (17.2%) who developed deep venous thrombosis (DVT) versus 2 patients in the prophylaxis group (3.1%). After adjusting for postoperative hospital stay, use of enoxaparin reduced the risk of DVT by 89.7% (OR 0.103, 95% confidence interval 0.019-0.569, p=0.009), especially in patients over 60 years old (OR 0.147, 95% confidence interval 0.026 - 0.822, p = 0.029).

Conclusion: This study demonstrates that using enoxaparin significantly reduces the incidence of DVT in patients undergoing hip replacement, especially in patients over 60 years old.
Variation in Management and Outcomes of Children With Complicated Pneumonia
Authors: Gross Caroline J. , Porter John J. , Lipsett Susan C. , Monuteaux Michael C. , Hirsch Alexander W. , Neuman Mark I.
Published: March 2021

OBJECTIVES:

To assess the characteristics of children hospitalized with complicated pneumonia at US children’s hospitals and compare these characteristics with those of children hospitalized with community-acquired pneumonia (CAP).

METHODS:

We identified children hospitalized with complicated pneumonia (parapneumonic effusion, empyema, necrotizing pneumonia, or lung abscess) or CAP across 34 hospitals between 2011 and 2019. We evaluated differences in patient characteristics, antibiotic selection, and outcomes between children with complicated pneumonia and CAP. We, also, assessed seasonal variability in the frequency of these 2 conditions and evaluated the prevalence of complicated pneumonia over the 9-year study period.

RESULTS:

Compared with children hospitalized with CAP (n = 75 702), children hospitalized with complicated pneumonia (n = 6402) were older (a median age of 6.1 vs 3.4 years; P < .001), with 59.4% and 35.2% of patients ≥5 years of age, respectively. Patients with complicated pneumonia had higher rates of antibiotic therapy targeted against methicillin-resistant Staphylococcus aureus (46.3% vs 12.2%; P < .001) and Pseudomonas (8.6% vs 6.7%; P < .001), whereas differences in rates of coverage against mycoplasma were not clinically significant. Children with complicated pneumonia had a longer median hospital length of stay and higher rates of ICU admissions, mechanical ventilation, 30-day readmissions, and costs. Seasonal variation existed in both complicated pneumonia and CAP, with 42.7% and 46.0% of hospitalizations occurring during influenza season. The proportion of pneumonia hospitalizations due to complicated pneumonia increased over the study period (odds ratio 1.04, 95% confidence interval: 1.02–1.06).

CONCLUSIONS:

Complicated pneumonia more frequently occurs in older children and accounts for higher rates of resource use, compared to CAP.
Resource Use by Hospital Type for Frequent Inpatient Pediatric Conditions
Authors: Lopez Michelle A. , Yu Xian , Walder Annette , Kowalkowski Marc A. , Colvin Jeffrey D. , Raphael Jean L.
Published: March 2021

BACKGROUND:

Children’s hospitals (CHs) deliver care to underserved, critically ill, and medically complex patients. However, non-CHs care for the majority of children with frequently occurring conditions. In this study, we aimed to examine resource use across hospitals where children receive care for frequent inpatient conditions.

METHODS:

This was a cross-sectional, observational analysis of pediatric hospitalizations for 8 frequent inpatient conditions (pneumonia, asthma, bronchiolitis, mood disorders, appendicitis, epilepsy, skin and soft tissue infections, and fluid and electrolyte disorders) in the 2016 Kids’ Inpatient Database. Primary outcomes were median length of stay (LOS) and median total cost. The primary independent variable was hospital type: nonchildren’s, nonteaching; nonchildren’s, teaching (NCT); and freestanding CHs. Multivariable linear regression was used to assess differences in mean LOS and costs.

RESULTS:

There were 354 456 pediatric discharges for frequent inpatient conditions. NCT hospitals cared for more than one-half of all frequent inpatient conditions. CHs and NCT hospitals cared for the majority of patients with higher illness severity and medical complexity. After controlling for patient and hospital factors, discharges for frequent inpatient conditions at CHs had 0.48% longer mean LOS and 61% greater costs compared with NCT hospitals (P < .01).

CONCLUSIONS:

CHs revealed higher estimated costs in caring for frequent inpatient conditions despite controlling for patient- and hospital-level factors but also cared for higher illness severity and medical complexity. Further research is warranted to explore whether we lack sufficient measures to control for patient-level factors and whether higher costs are justified by the specialized care at CHs.
Neonatal Encephalopathy: Beyond Hypoxic-Ischemic Encephalopathy
Authors: Russ Jeffrey B. , Simmons Roxanne , Glass Hannah C.
Published: March 2021

Neonatal encephalopathy is a clinical syndrome of neurologic dysfunction that encompasses a broad spectrum of symptoms and severity, from mild irritability and feeding difficulties to coma and seizures. It is vital for providers to understand that the term “neonatal encephalopathy” is simply a description of the neonate’s neurologic status that is agnostic to the underlying etiology. Unfortunately, hypoxic-ischemic encephalopathy (HIE) has become common vernacular to describe any neonate with encephalopathy, but this can be misleading. The term should not be used unless there is evidence of perinatal asphyxia as the primary cause of encephalopathy. HIE is a common cause of neonatal encephalopathy; the differential diagnosis also includes conditions with infectious, vascular, epileptic, genetic/congenital, metabolic, and toxic causes. Because neonatal encephalopathy is estimated to affect 2 to 6 per 1,000 term births, of which HIE accounts for approximately 1.5 per 1,000 term births, (1)(2)(3)(4)(5)(6) neonatologists and child neurologists should familiarize themselves with the evaluation, diagnosis, and treatment of the diverse causes of neonatal encephalopathy. This review begins by discussing HIE, but also helps practitioners extend the differential to consider the broad array of other causes of neonatal encephalopathy, emphasizing the epidemiology, neurologic presentations, diagnostics, imaging findings, and therapeutic strategies for each potential category.
Updated Guidance: Prevention and Management of Perinatal Group B Streptococcus Infection
Authors: Dhudasia Miren B. , Flannery Dustin D. , Pfeifer Madeline R. , Puopolo Karen M.
Published: March 2021

Group B Streptococcus (GBS) remains the most common cause of neonatal early-onset sepsis among term infants and a major cause of late-onset sepsis among both term and preterm infants. The American Academy of Pediatrics and the American College of Obstetricians and Gynecologists published separate but aligned guidelines in 2019 and 2020 for the prevention and management of perinatal GBS disease. Together, these replace prior consensus guidelines provided by the Centers for Disease Control and Prevention. Maternal intrapartum antibiotic prophylaxis based on antenatal screening for GBS colonization remains the primary recommended approach to prevent perinatal GBS disease, though the optimal window for screening is changed to 36 0/7 to 37 6/7 weeks of gestation rather than beginning at 35 0/7 weeks’ gestation. Penicillin, ampicillin, or cefazolin are recommended for prophylaxis, with clindamycin and vancomycin reserved for cases of significant maternal penicillin allergy. Pregnant women with a history of penicillin allergy are now recommended to undergo skin testing, because confirmation of or delabeling from a penicillin allergy can provide both short- and long-term health benefits. Aligned with the American Academy of Pediatrics recommendations for evaluating newborns for all causes of early-onset sepsis, separate consideration should be given to infants born at less than 35 weeks’ and more than or equal to 35 weeks’ gestation when performing GBS risk assessment. Empiric antibiotics are recommended for infants at high risk for GBS early-onset disease. Although intrapartum antibiotic prophylaxis is effective in preventing GBS early-onset disease, currently there is no approach for the prevention of GBS late-onset disease.
Pesticide removal and efficiency of different types of granular activated carbon
Authors: Marton Michal , Ilavský Ján , Barloková Danka
Published: March 2021

Pesticides as one of the micro-pollutants present a great problem and threat to the environment and human health. They can infiltrate the sources of drinking water by application on the agricultural fields. This article is focused on Atrazine, Terbuthylazine and their metabolites. It is their complex structure that makes them hard to degrade naturally and, thus, water needs to be treated before safe using. Therefore, this article studies adsorption on the two granular activated carbons Filtrasorb 400 and Norit 1240 W. For the determination of the concentration liquid chromatography was used. In this article it is presented that Filtrasorb 400 efficiency (26–40% and 33–45% for atrazine and terbuthylazine respectively) is better than the efficiency of Norit 1240 W (9–27% and 10–24% for atrazine and terbuthylazine respectively).
Controlling the failure behavior of FRP-reinforced concrete elements
Authors: Sakr Aziz , Orbán Zoltán
Published: March 2021

Concrete indeterminate flexural members represented by continuous beams reinforced with both fiber-reinforced polymers and steel bars in a way that allows for moment redistribution at failure are analyzed. The efficiency of introducing steel bars in the critical sections where plastic hinges are likely to form is evaluated in terms of reliability. Monte Carlo simulation and the concept of comparative reliability are both employed. Ultimately, the effect of different design parameters on the strength reduction factor is evaluated.
Application of rooftop solar panels with coolant natural circulation
Authors: Shapoval Stepan , Spodyniuk Nadiia , Zhelykh Vasyl , Shepitchak Volodymyr , Shapoval Pavlo
Published: March 2021

In line with the energy development strategy of Europe, it is necessary to implement energy efficient buildings, in which the external enclosures are converters of solar energy to thermal. Therefore, the purpose of the publication was the scientific substantiation and development of the solar heating system with the use of rooftop solar panels. Graphical and analytical dependences of the coefficient of thermal efficiency of the solar panel in heat supply system from the angles of solar radiation incoming and the density of the radiation flux were obtained. Analysis of the results showed that the coefficient of thermal efficiency of the solar panel without transparent coating with the placement of pipelines of the circulation circuit of the coolant over the heat absorber increases by 50%.
Pesantren as a Halal Center Institution Towards Religious Tourism Development
Authors: Purnama Tata S. , Zirmansyah Zirmansyah , Fitriyana Iyan
Published: March 2021

The pesantren institutions have never lost interest from the young generation. An old pesantren continues the process, and new pesantren keep appearing. The education system and the institutions for pesantren are growing rapidly, as supported by facilities, infrastructure, and curriculum. They are adapted constanly according to the times. The halal center discourse is developing in the global world. It has made the continue of pesantren to offer applicative ideas. Then the institutions can become the promising center for religious tourism. This study used qualitative literature study and interviews to collect data that related to religious tourism in pesantren. It can be concluded that there are five potentials for developing religious tourism and halal centers in pesantren; such as the intrinsic value of the pesantren, the pattern of life, the environment and the surrounding community, the sacredness, and the spiritual atmosphere; and pesantren religious tourism aspect.
THE INFLUENCE OF PUBLIC PHYSICAL EDUCATION CURRICULUM ON COLLEGE STUDENTS' PHYSICAL HEALTH
Authors: Yang Youfeng , Liu Wei
Published: March 2021

ABSTRACT It is particularly important to improve the quality of physical education curriculum and the overall health level of college students. It is difficult to achieve a comprehensive evaluation of the original evaluation method of students' physical health level. Therefore, this study combined the analytic hierarchy process (AHP) and physical fitness training mode to build a university physical health evaluation model. Taking X University as the experimental background, 20 students of different majors in grade 2019 were selected as experimental objects. One group (10 students) adopted the original physical education curriculum mode, and the other group (10 students) integrated physical fitness training into the physical education curriculum. Using the established health evaluation model, the evaluation scores of physical health level of two groups of college students before and after the experiment were comprehensively analyzed. The results showed that the overall score of group A students' physical health level increased; the rising rate was 2.87%. However, there was no significant change in the scores of physical health assessment of group B students. The results show that physical fitness training into the public physical education curriculum can effectively help improve the overall health level of students, and also shows that the introduction of AHP into the evaluation of College Students' physical health level can improve the comprehensiveness of health level analysis. It is hoped that this study can provide some reference for physical education teaching in Colleges and universities, so as to improve the overall teaching level of colleges and universities.
THE CONSTRUCTION OF PUBLIC SPORTS SERVICE GUARANTEE SYSTEM IN A HEALTHY COMMUNITY IN THE BACKGROUND OF PUBLIC HEALTH
Authors: Lu Jiangzheng , Yuan Feng
Published: March 2021

ABSTRACT Community sports are a very important part of urban public service. It directly affects the quality of life of residents and plays an important role in improving the health level of the masses. However, there are still many problems in the current public sports service system, which hinders the provision of public health. In order to ensure the effectiveness of the indicators of community sports service guarantee system, this study uses the fuzzy analytic hierarchy process to construct the community public sports service guarantee system, and verifies the effectiveness of the system constructed by this method through an example application. The results show that the weight of each index from large to small is service effectiveness > residents' demand > service capacity > service content; the weight of service effectiveness is 48.46%, which is an important indicator of service guarantee system. In addition, the effectiveness of the community sports service system was verified, and the CR value of the evaluation index system was greater than 0.1, which showed that the consistency of the evaluation index system met the requirements. The public sports service guarantee system constructed by the research institute has good applicability and high practical value. I hope that the research results can provide some reference for the improvement of grass-roots sports service construction, and provide some theoretical support for the construction of grass-roots service evaluation system.
THE CONSTRUCTION OF URBAN PUBLIC SPORTS SERVICE FROM THE PERSPECTIVE OF PUBLIC HEALTH
Authors: Zhang Xiaolong
Published: March 2021

ABSTRACT With the deepening of urban public sports service construction in China, the construction of public sports service system has become an important guarantee for mass sports rights in China. In view of this, this study takes City XX as an example, and analyzes the difference of public sports service construction in this city using the Theil index method, and determines the measurement index. It analyzes the equality degree of service resource allocation among and within the four regions of City XX, including A, B, C, D, and so on. The influencing factors of sports service efficiency are analyzed. The results show that there are significant differences in the allocation of public sports service resources among districts and counties of City XX. From the overall difference, the total Theil index of national fitness and sports clubs showed an upward trend, while others showed a downward trend. From the perspective of regional differences, there were 6 indicators with the highest equalization level in area C and 5 indicators in area A. The lowest level was found. Population density, per capita GDP, aging rate and urbanization rate of city XX have obvious positive correlations with public sports service efficiency. The aging rate is the most positive factor, while per capita GDP and population density have little influence. This study can provide some reference value for other cities in China in the construction of public sports services.
STUDY ON THE EFFECT OF MUSIC THERAPY ON MIDDLE-AGED AND ELDERLY INDIVIDUALS WITH DEPRESSION
Authors: Yang Jin
Published: March 2021

ABSTRACT To explore the clinical effect of music therapy in the treatment of middle-aged and elderly patients with depression. From June 2019 to June 2020, 100 patients with depression in a community were selected as the object of this study, and were divided into a control group and an observation group according to the order of visits, with 50 patients in each group. There was no significant difference between the two groups in terms of gender, age, education level and drug treatment (medication dose, type) (P>0.05). The patients in the control group were treated with conventional antidepressant drugs. The patients in the observation group added music therapy to the conventional therapy. The music therapist needs to fully understand the basic situation of the patient and formulate a suitable music treatment plan according to the actual state of the patient. Compare the HANA and PSP scores between the two groups of depressive patients after treatment to judge the treatment effect on the patients. The Hana and PSP scores in the observation group after treatment were significantly higher than those in the control group (P<0.05). To treat depression, in addition to selecting appropriate drugs, alleviating the emotional state of patients is more important. Music therapy as an auxiliary treatment of traditional therapy, in the treatment of depression in the elderly, has been effectively verified, we should actively promote its application.
Teachers’ Motivation for Teaching in Higher Education: Portuguese Validation of a Questionnaire
Authors: Almeida Leandro Silva , Moreira Maria Alfredo , Caldeira Suzana Nunes , Soares Sara Medeiros , Hattum-Janssen Natascha van , Visser-Wijnveen Gerda J.
Published: March 2021

Abstract Motivation for teaching is key in the establishment and further development of high-quality higher education, as it affects teachers’ investment in quality learning experiences for their students, as well as institutional efficacy and well-being. This study aimed to validate a questionnaire, originally developed in Belgium, designed to evaluate three dimensions (self-efficacy, interest, and effort) of intrinsic motivation for teaching for a different national population. The sample consisted of 616 academics working in public higher education institutions in Portugal. Confirmatory factor analysis was conducted and internal consistency of items analyzed. The results show that the original dimensionality of the construct is confirmed in the Portuguese teachers’ sample. Motivation for teaching in the Portuguese context is primarily explained by the following factors: personal efficacy, interest in the task, and effort placed on teaching responsibilities. A difference was found in that personal efficacy could not be divided in context and general personal efficacy.
Simulation of fluctuating wind of high-speed vehicle–bridge united system
Authors: Zou Qi-Yang , Li Xiao-Zhen , Li Xing-xing , Xiao Jun , Wang Ming
Published: March 2021

This study introduces a novel multivariate stochastic process simulation algorithm to generate fluctuating wind velocity time histories of the vehicle–bridge united system. The Kaimal spectrum and wind spectrum relative to a moving point were applied to the bridge and the vehicle (train) in operation, respectively. The wind time series of the vehicle–bridge united system were generated simultaneously by considering the correlation between the moving point fixed on a vehicle in operation and the static points on a bridge. This algorithm is of high computational efficiency, as it takes advantage of explicit decomposition for the coherence function matrix and frequency truncation method. Based on an error estimation, this simulation method is proven to be accurate. Numerical examples of a vehicle running on a simply supported continuous beam bridge with the speeds of 20, 40, 60 and 80 m/s were performed. The result shows that the auto-/cross-correlation functions and auto-spectrum of the simulated wind samples are in good agreement with the targets. The proposed method can facilitate the analysis of wind–vehicle–bridge aerodynamic response with high efficiency and accuracy, and avoids the discontinuity problem of wind time history of the moving point.
Family perception in drawings of teens from depending on alcohol families
Authors: Kornacka-Skwara Elżbieta
Published: March 2021

The subject of the research was the image of the family as perceived by girls from families where the father is an addicted person. The aim of the research was to find out how girls from families with addiction perceive relationships between people in their family, what are the bonds, family structure and communication processes. The study included 50 teens: 25 girls from families where the father is addicted to alcohol, and 25 girls from families where there is no alcohol addiction. According to the systemic approach, a family is a system of elements that are in mutual relations. Changing one element that makes up a family brings about a change in the entire system, but also the change depends on the entire family system. Thus, in a family where the father or mother are addicts, it can be said that the whole family functions as an addict. The hypothesis assumes that the perception of the family will be different in each study groups.