bluuebunny/crossref_metadata_2025 huggingface dataset:
Correlation of Haemoglobin Concentration with Maximal Aerobic Capacity - A Prospective Study in First Year MBBS Students of Southern Odisha
Authors: Patnaik Minati , Acharya Sephali , Panigrahi Amita Kumari
Published: June 2021

BACKGROUND Decrease in haemoglobin concentration in blood, with normal blood volume results in lower V̇ O2max and endurance performance. This may be due to the reduction of the oxygen carrying capacity of blood. Conversely, increase in haemoglobin concentration is associated with increased V̇ O2max and endurance capacity. Increase in endurance capacity is also proportional to the increase in the oxygen carrying capacity of blood. Maximal aerobic capacity (V̇ O2max) is the maximum capacity of individual’s body to transport and use oxygen during incremental exercise which reflects physical fitness of that individual. Queen’s College Step Test is a standard method to measure one’s maximal aerobic capacity using sub maximal exercise in the form of bench stepping suitable for adults. The biological significance of oxygen transport by haemoglobin is well illustrated in anaemia where decreased haemoglobin also decreases exercise performance. The objective of the study is to find out the correlation between haemoglobin concentration and V̇ O2max by using Queen’s College Step Test. METHODS The study was conducted in the Department of Physiology, MKCG Medical College, Berhampur. A total of 150 1st year MBBS students aged between 17 and 24 yrs. were taken as subjects. Out of them 90 were males & 60 were females. Each subject performed the exercise for 3 minutes by Queen’s College Step Test. V̇ O2max was obtained by calculation. Haemoglobin concentration was measured by Acid Haematin method in Sahli’s Haemoglobinometer. RESULTS There was a significant positive correlation between haemoglobin concentration with VO2max in both males (r = 0.8618, P < 0.0001) and females (r = 0.5112, P < 0.0001) subjects. CONCLUSIONS Increase in Haemoglobin concentration is an indicator of increased V̇ O2max; hence persons with increased haemoglobin concentration may have increased exercise capability in both male and female subjects. KEYWORDS V̇ O2max, Haemoglobin concentration, Queen’s College Step Test
Impact of COVID-19 Pandemic on Ophthalmology Trainees in Southern India - A Prospective Observational Study
Authors: Warad Chethana , Tenagi Arvind , Wakankar Arya , Satarasi Pranitha , Harakuni Umesh , Bubanale Shivanand , K. S. Smitha , B.K Bhagyajyothi
Published: June 2021

BACKGROUND COVID-19, caused by a new strain of corona virus 2019-nCoV led to a global pandemic after first manifesting in humans in December 2019 in Wuhan, China. The government of India ordered a nationwide lockdown for 21 days, which was then extended. Hence, ophthalmology, being a branch which largely deals with elective surgeries, was majorly affected. We need to evaluate the impact of the COVID-19 crisis on ophthalmology trainees during pandemic in India. METHODS A prospective, observational study in which an online questionnaire (on Google forms) was circulated between 9 th September and 15th September 2020 among ophthalmologists in training. RESULTS 260 of the 550 training ophthalmologists who were approached responded. They were given 31 questions to answer. The average age of the respondents was 27.39 ± 1.92 years of which 72.69 % (189 / 260) were females. 68.08 % (177 / 260) of the respondents had been posted on COVID-19 related duties. 76.5 % (198 / 260) of the respondents agreed that the outpatient load had dropped to < 50 patients per day and 100 % (260 / 260) of the respondents stated that there had been a reduction in number of patients posted for elective surgery. As a result, 64.23 % (167 / 260) responded that it had led to a loss of interest in their daily activities. 74.23 % reported different levels of stress, 73.46 % reported anxiety and some 24.23 % even experienced sleep deprivation. CONCLUSIONS This study has demonstrated that majority of the training ophthalmologists were affected psychologically during the COVID-19 pandemic to varying degrees which included both groups of training ophthalmologists who did or did not perform any COVID related duties. The study therefore has highlighted the increased need for psychologists to identify and help these individuals who may suffer from severe depression, insomnia and high stress levels and provide the necessary help. KEYWORDS COVID-19, Pandemic, Psychological Impact, Ophthalmology Trainees
Clinico-Social Profile of Patients Presenting with Primary Open Angle Glaucoma – A Retrospective Study from Paschim Midnapore, West Bengal
Authors: Purkait Sanjib Kumar , Sarkar Avik Dey , Ghanta Anil Kumar , Sarkar Sanchari
Published: June 2021

BACKGROUND Glaucoma is the second most leading cause of visual loss in the world. Different socio epidemiological parameters like gender, age, socio-economic status, educational status etc. has been directly linked to occurrence of glaucoma in previous studies. Review of the western literature showed that the risk factors associated with glaucoma were high intra ocular pressure (IOP), low blood pressure, low ocular perfusion pressure, narrow anterior chamber angles, thin corneas, pseudoexfoliation, a low body mass index (BMI), and myopia. We need to evaluate the clinical and epidemiological factors affecting primary open angle glaucoma. METHODS Records of patients with a diagnosis of primary open-angle glaucoma (POAG) were studied. All data, addressing demographics (gender, age and skin colour), socioeconomic status, educational status, emotional status and clinical information concerning risk factors for developing glaucoma (family history of glaucoma, hypertension and diabetes mellitus) and any treatment history (e.g., corticosteroid intake) were noted. Findings from visual acuity examination, refraction, detailed anterior segment examination by slit lamp, fundus examination with 90 D, gonioscopy, applanation tonometry, VF examination by automated perimetry and A-scan USG were also carefully taken into account. RESULTS A total 920 patients were enrolled of which 67.94 % were males and 57.6 % were from urban population. 18.7 % cases had positive family history. Most of the patients came from lower and middle-income group (43.48 % and 48.37 % respectively). Cup-disc ratio of majority of eyes was found to be more than 0.30 (97.29 %). Different grades of disc changes and field changes were noted. Cupdisc ratio asymmetry of more than 0.20 was found in 355 (38.59 %) eyes. Paracentral and / or arcuate scotoma was detected in 585 eyes (31.80 %). CONCLUSIONS Understanding the socio-demography and socio-economy helps in early diagnosis and better assessment of the disease severity in POAG. KEYWORDS Glaucoma, POAG, CDR, Visual Fields
Safety and Efficacy of Intravenous Ferric Carboxymaltose for Treatment of Iron Deficiency Anaemia in Pregnancy - An Intervention Study Done in a Tertiary Care Hospital of Pune
Authors: Vishal Anish Kumar , Bhasin Dinesh , Dangwal Vidhu Dhar , Bhasin Anurakshat
Published: June 2021

BACKGROUND Anaemia is one of the major public health problems in developing nations. Iron deficiency anaemia (IDA) is the commonest type of anaemia in pregnancy. Parenteral iron therapy is a recommended modality of treatment of IDA. Inj. Ferric Carboxymaltose (FCM) is a dextran free preparation which is safe, easy to deliver and better tolerated. A maximum of 1000 mg can be infused at a time. The present study was intended to assess the efficacy and safety of Inj. FCM in the treatment of iron deficiency anaemia in the second and third trimester. METHODS This prospective study was conducted at a tertiary care centre at Pune. Pregnant women with iron deficiency anaemia of moderate and severe grade were infused 1000 mg of Inj. FCM by longer infusion protocol. A total of 165 pregnant women were included in the study. The efficacy of Inj. FCM was monitored by the rise in the haemoglobin level at 03-, 06- and 08-weeks post infusion of FCM injection and serum Ferritin levels. The safety was assessed by analysing the adverse reactions. RESULTS No serious adverse reaction was recorded in any of the patients. The rise in haemoglobin (Hb) in second and third trimester of moderate and severe grade of anaemia was significant (P < 0.001). The target level of 10 g / dl was achieved in every patient. Only 03 patients received blood transfusion and that was for obstetric indications. No blood transfusion was because of anaemia per se. The rise in serum ferritin level was also statistically significant (P < 0.001). CONCLUSIONS Inj. FCM is an excellent modality to treat iron deficiency anaemia in pregnancy. It is safe and the rise of haemoglobin with correction of anaemia is satisfactory in a short span of time. In our country where only a handful of patients had regular antenatal check-up and non-compliancy and refractory anaemia is rampant, Inj. FCM is a big boon. KEYWORDS Iron Deficiency Anaemia, Inj. Ferric Carboxymaltose, Serum Ferritin, Blood Transfusion
ОСНОВНЫЕ ПРОБЛЕМЫ ПРАВОВОГО РЕГУЛИРОВАНИЯ ОХРАНЫ И ЗАЩИТЫ ОКРУЖАЮЩЕЙ СРЕДЫ В АРКТИЧЕСКОЙ ЗОНЕ РОССИЙСКОЙ ФЕДЕРАЦИИ В УСЛОВИЯХ ДОБЫЧИ ПОЛЕЗНЫХ ИСКОПАЕМЫХ
Authors: Баттахов П.П.
Published: June 2021

В статье рассматривается понятие арктических зон России. Рассмотрены основные проблемные вопросы экологической охраны и защиты арктических территорий в соответствии с законодательством РФ и международными конвенциями. Рекомендованы добывающим компаниям в дальнейшем предупредительные работы и усиленные меры устранения экологических и экономических катастроф. Исследованы меры ответственности при предпринимательской деятельности в арктической зоне. Необходимо внести ряд изменений в законодательстве страны. Во-первых, в правоотношении между государством и добывающими компаниями по хозяйственной деятельности. Во-вторых, ужесточить санкции по экологическим направлениям со стороны промышленных компаний. Предлагается в лучшем случае принять отдельный кодификационный акт.
Роль экзосом в развитии опухолей
Authors: Киселевская А.К. , Ефременко Е.С.
Published: June 2021

В работе представлен анализ литературных источников, посвящённых проблеме участия внеклеточных везикул в опухолевых процессах. Дана общая характеристика экзосом и отражены механизмы влияния экзосом на молекулярные события при онкогенезе.
Антропология зубов
Authors: Китаева Р.Р. , Горячева Е.В. , Каримов Н.А.
Published: June 2021

Сочетание антропологических данных с клиническими знаниями и опытом обеспечивают наиболее информированный и биологически обоснованный подход к вопросам формирования, развития зубного ряда в процессе эволюции; способствуют разработке новых подходов к лечению износа зубов в современных условиях.
Применение принципов остеопатии в рентгенологическом исследовании позвоночника
Authors: Орел А.М.
Published: June 2021

В статье излагаются ключевые принципы остеопатии Э.Т.Стилла, и описывается результаты применения этих принципов для совершенствования рентгенологического исследования позвоночника. Предложено получать единое цифровое рентгенологическое изображение позвоночника на экране персонального компьютера и наносить на это изображение затылочную вертикаль в качестве системы координат и переднезадние оси позвонков.
Реализация безопасных агроэкологических электротехнологий с помощью Цифровых технологий
Authors: Кондратьева Н.П , Большин Р.Г , Краснолуцкая М.Г. , Батурин А.И. , Шишов А.А. , Батурина К.А. , Радикова А.В. , Ваштиев В.К.
Published: June 2021

Применение цифровых технологий находит широкое использование в сельском хозяйстве. Например, можно оперативно и точно определить место повреждения изоляции в сетях 6-10 кВ под напряжением. При этом сегодня на объектах энергоснабжения 75% аварийных ситуация вызвано однофазными замыканиями на землю. В настоящее время с использованием цифровых технологий появилась возможность использования риск-ориентированного подхода для оценки последствий аварий. Это позволяет создать безопасные агроэкологические электротехнологии, включающие единый ресурс по оценке техногенного риска на объектах АПК и тем самым обеспечить не только защиту защиты населения, но и территории населенных пунктов и предприятий. Цифровое управление световыми электротехнологиями стало возможно благодаря применению автоматизированных систем на базе микропроцессоров. При этом источниками излучения служат экологически чистые светодиоды (LED).
Компрессионные испытания грунтов
Authors: Суфиянов Р.Ш.
Published: June 2021

Большие размеры нашей страны и недостаточно развитая дорожная инфраструктура, являются причиной определенных трудностей, возникающих при добыче и транспортировке природных ресурсов, сосредоточенных на территориях малоосвоенных и удаленных регионов. Качественное строительство автомобильных дорог проводится на прочных и надежных основаниях, способных выдерживать максимально возможные нагрузки, и меняющиеся природно-климатические условия. Одной из важных характеристик грунтов, используемых в основаниях автомобильных дорог, является их уплотняемость, которую необходимо правильно определять и использовать при проектировании и в дорожном строительстве.
К вопросу об изученности распределения пищевых группировок зообентоса в полярных областях мирового океана
Authors: Иванова Е.Ю.
Published: June 2021

Рассмотрены результаты изученности распределения донной фауны в Северном Ледовитом и Южном океанах. Произведено картирование и описание более 3000 точек находок представителей различных пищевых группировок (детритофаги, сестонофаги, хищники) зообентоса в границах полярных областей Мирового океана. Выявлены доминирующие пищевые группировки и оценена полярная асимметрия в распределении донной фауны по дну полярных областей Северного Ледовитого и Южного океанов.
Влияние сроков сева на количество стеблей и кустистость перед уборкой
Authors: Моисеев С.А. , Рябкин Е.А. , Каргин В.И. , Камалихин В.Е.
Published: June 2021

Количество и качество урожаев очень зависит от количества продуктивных стеблей во время его уборки. Этот показатель при недостаточном уровне агротехники может значительно уменьшиться, и урожайность посевов резко снизится. Это может быть обусловлено нехваткой питательных элементов в процессе развития растений, слишком ранние или слишком поздние сроки посева, когда почва ещё не созрела, и растения не могут в полной мере использовать питательные вещества, содержащиеся в ней.
Role of the climate changez in soils salinization
Authors: Jalilova L.Z. , Mehdiyeva N.Z.
Published: June 2021

The imformation about the changes occuring in the Kur-Araz valley soils has been given in the article. The investigations showed that the irrigated. Soils of the Mughan plain in the Kur-Araz valley exposed to salinization and solonetrification, the soils fertility decreased, the productivity obtaining from agricultural plants reduced as a result of the floods and mudslides. The same floods seriously damaged 70012 h of the zone and the meliorative measures were realized for their prevention.
Зависимость теплопроводности от состава в сплаве (SnSe)1-x-(LnSe)x
Authors: Гусейнов Д.И.о. , Адгeзaлова Х.А.к. , Гасанов О.М.
Published: June 2021

В твердых растворах (SnSe)1-x(LnSe)x тепловое сопротивление возникает в основном с рассеянием на фонон-фононах, а по мере увеличения количества Ln в составе сплава значение теплового сопротивления увеличивается из-за точечных дефектов и парамагнитных центров. Экспериментальные результаты теплопроводности в твердых растворах (SnSe)1-x(LnSe)x показывают, что теплопроводность меньше значений, полученных из расчетов, в основном из-за влияния нормальных процессов на теплоперенос. При низких температурах, эксперимент хорошо согласуется с теорией.
Перспективное средство измерения деформационных изменений пневматических шин
Authors: Колтаков А.А. , Василенко А.В. , Савинов И.А. , Леонов А.А.
Published: June 2021

В статье представлена конструкция нового внутриколесного датчика измерения деформации шины, преимущество которого определяется более высокими техническими и эксплуатационными характеристикам по сравнению с аналогами.
IMPACT OF CURRENT ACCOUNT GAPS ON INFLATION IN SOUTH ASIAN COUNTRIES
Authors: Ahmad Sardar Shakeel , Jaffri Atif Ali , Rana Faisal , Khan Asadullah
Published: June 2021

Purpose of the study: The current study estimated the impact of current account gaps (CAGAP) on inflation in South Asian countries, namely, Pakistan, Bangladesh, India, Nepal, and Sri Lanka.

Methodology: CAGAP is estimated through macroeconomic fundamentals by applying panel time series data methodology from 1990 to 2018. We adopted the bias-corrected least square dummy variable (LSDVC) estimation technique for the time series macro and dynamic panel to find the impact of CAGAP on inflation.

Principal findings: CAGAP negatively affected consumer price inflation rate while Lag of inflation, trade openness, age dependency, and oil prices positively affected inflation rate in the selected sample countries. In LSDVC, the Blundell and Bond (BB), Arellano-Bond (AB), Anderson and Hsiao (AH) estimates are determined while system and difference GMM estimates also confirmed the results. Therefore, LSDVC-AB is selected from the three versions of LSDVC as baseline regression based on higher significance and lower standard error.

Applications of the Study: CAGAP affects inflation, so it should be estimated annually in all these countries for macroeconomic stability as IMF annually estimates for developed countries in an external sector report. It is worthwhile to estimate CAN regularly and watch it for CAB evaluation and future Adjustment. Based on the results, the study recommends that tailored policies and interventions focus on the structural distortions and slow-changing factors to eradicate CAGAP.

Novelty/ Originality of the Study: A few empirical studies have scrutinized the role of CAB on macroeconomic variables. No empirical study on CAGAP and its consequences are available in the selected region's existing literature to the best of our knowledge.
Movimento Nursing Now no Brasil: trajetórias e perspectivas
Authors: Marchiori Gianna Fiori , Contim Divanice , Molina Nayara Paula Fernandes Martins
Published: June 2021

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Analysis on Trade Competitiveness and Trade Complementarity between Uzbekistan and the Member States of Eurasian Economic Union
Authors: Lingzhi Zhang
Published: June 2021

Based on the 2010-2019 United Nations commodity trade data, this paper has calculated the regional revealed comparative advantage index, export similarity index, trade complementarity index and intra-industry trade index of trade between Uzbekistan and the member states of the Eurasian Economic Union. This paper analyses the competitiveness and complementarity of trade between Uzbekistan and the member states of the Eurasian Economic Union. Uzbekistan and the Eurasian Economic Union member countries have a high degree of similarity in the export of commodities. There is a certain degree of competitiveness in commodities exported to the same market. However, there are differences in the structure of commodity trade among member states. Uzbekistan’s trade complementarity with the member states of the Eurasian Economic Union is distributed in food and live animals (SITC0), mineral fuels, lubricants and related materials (SITC3), manufactured goods classified chiefly by material (SITC6), commodities and transactions not classified elsewhere in the SITC (SITC9). Uzbekistan has strong trade complementarity with Armenia, Belarus and Kyrgyzstan, but weak trade complementarity with Russia and Kazakhstan.
Machine Learning Combinatorial Frameworks for Architecture
Authors: Lye Joshua , Andrasek Alisa
Published: June 2021

This paper investigates the application of machine learning for the simulation of larger architectural aggregations formed through the recombination of discrete components. This is primarily explored through establishing hardcoded assembly and connection logics which are used to form the framework of architectural fitness conditions for machine learning models. The key machine learning models researched are a combination of the deep reinforcement learning algorithm proximal policy optimization (PPO) and Generative Adversarial Imitation Learning (GAIL) in the Unity Machine Learning Agent asset toolkit. The goal of applying these machine learning models is to train the agent behaviours (discrete components) to learn specific logics of connection. In order to achieve assembled architectural `states that allow for spatial habitation through the process of simulation.
RELIGION AND MALAY-DAYAK IDENTITY RIVALRY IN WEST KALIMANTAN
Authors: Yusriadi Yusriadi , Ruslan Ismail , Hasriyanti Nunik , Mustolehudin Mustolehudin , Shin Chong
Published: June 2021

Ethnic rivalry triggers competition among individuals, certain actors, and groups. Often, the competition is due to political factors while religion becomes a structural legitimacy. This paper examined how the rivalry between Malay and Dayak in West Kalimantan affected certain groups’ identity. The data of this paper were obtained through a documentation study by reviewing publications and writings on the issue of rivalry and interviews with some figures in West Kalimantan. The result concluded that the rivalry between Malay and Dayak in West Kalimantan was tight due to political factors. The two equally dominant communities have long competed since the colonial period in West Kalimantan. Today's rivalry has taken place since Indonesia's reformation in 1998 and let both groups maintain their identity, and, in some cases, lead to unclear boundaries. They do not live as neighbors but brothers. However, religion remain an essential factor amid the situation and cause the rivalry stronger.Persaingan etnis memicu persaingan antar individu, aktor tertentu, dan melibatkan kelompok. Seringkali persaingan disebabkan oleh faktor politik, sedangkan agama menjadi legitimasi struktural. Makalah ini berupaya untuk melihat bagaimana persaingan antara Melayu dan Dayak di Kalimantan Barat berimplikasi pada identitas kelompok. Data untuk makalah ini diperoleh melalui studi dokumentasi dengan melihat publikasi dan tulisan tentang isu persaingan, serta wawancara dengan sejumlah tokoh di Kalimantan Barat. Kesimpulannya, persaingan antara Melayu dan Dayak di Kalimantan Barat sangat kuat karena faktor politik. Kedua komunitas yang sama-sama dominan ini telah bersaing sejak jaman penjajahan di Kalimantan Barat. Persaingan saat ini telah terjadi sejak reformasi Indonesia pada tahun 1998. Melalui kompetisi ini, masing-masing etnis Melayu dan Dayak mempertahankan identitasnya, dan dalam beberapa kasus menciptakan batasan yang kabur. Mereka ditempatkan sebagai tetangga, tetapi sebagai saudara. Namun, agama tetap menjadi faktor penting di tengah situasi ini, dan membuat persaingan keduanya semakin kuat.
CHARACTER EDUCATION VALUES IN JAVANESE LITERATURE
Authors: Masfiah Umi , Darweni Darweni , Zakiyah Zakiyah , Muzayanah Umi , Parray Tauseef Ahmad
Published: June 2021

Javanese manuscripts as the legacy of ancestors and poets contain important values related to character education and moral values. Manuscript of Serat Wulang Darmawiya (SWD), for example, promotes character education through laku batin. The values of character education are fundamental to internalize and implement within the life of Javanese. Javanese poets in the past inherited the noble values through a lot of literary works. This article discusses the values of character education in SWD. Using text-based qualitative research methodology, the values of character education in SWD were analyzed with content analysis. Serat teaches values of character education regarding the importance of breastfeeding as a process of building an intimate relationship between children and parents (mother). At the same time, it also explains the importance of communication between children and parents during education process, the principles of child education, and the role model and advice from the parents to the children. In addition, the philosophy of SWD is closely integrated with Islamic teachings.Naskah-naskah Jawa peninggalan para leluhur dan para pujangga, sarat dengan nilai pendidikan karakter dan budi pekerti luhur. Naskah Serat Wulang Darmawiyata (SWD) memiliki keunikan pada penanaman nilai pendidikan karakter khas Jawa, yakni membentuk anak mandiri dan cerdas berdasarkan laku prihatin. Nilai-nilai pendidikan karakter bagi masyarakat Indonesia merupakan hal yang amat penting untuk dimiliki dan diterapkan dalam kehidupan berkeluarga dan bermasyarakat, demikian pula dengan masyarakat Jawa. Para pujangga Jawa masa lalu telah banyak mewariskan nilai-nilai luhur melalui berbagai karya dalam sastra Jawa. Artikel ini secara khusus membahas tentang nilai-nilai pendidikan karakter dalam SWD. Dengan menggunakan metode penelitian kualitatif berbasis teks sastra Jawa, naskah yang memiliki makna nilai-nilai pendidikan karakter dianalisis dengan metode analisis isi. Dalam serat tersebut, terdapat nilai-nilai pendidikan karakter tentang pentingnya menyusui sebagai proses kedekatan anak dengan orang tua (ibu). Selanjutnya dalam serat tersebut, dijelaskan pula tentang pentingnya pendidikan komunikasi anak dan orang tua, prinsip-prinsip mendidik anak, dan keteladan serta nasehat orang tua terhadap anak. Selain itu, falsafah dalam SWD memiliki hubungan atau terintegrasi dengan ajaran Islam.
Self-Efficacy Effects of Maccabi Telecare Center Diabetes Mellitus Intervention: Do Men and Women Benefit Equally?
Authors: Irony Angela , Magnezi Racheli , Vilensky Sela Yael
Published: June 2021

Background and Purpose

A growing body of evidence points to physiological and psychological gender differences in the manifestation and treatment of type 2 diabetes mellitus. This study is part of a large-scale, prospective trial investigating the effects of Maccabi Telecare Center (MTC) interventions on self-efficacy. Here, we focus on the effects of gender on diabetes self-efficacy related to depressive symptom severity and illness representation.

Methods

A prospective open-label study investigating the effect of tele-based intervention on diabetes self-efficacy. Participants completed the following questionnaires: Diabetes Management Self-Efficacy Scale (DMSES) (self-efficacy), Patient Health Questionnaire 9 (PHQ-9) (depression), and Illness Perception Questionnaire-Revised (IPQ-R) (illness representation). Data were collected at three time points: Baseline (T1), 3–4 months (T2), and 8–9 months (T3).

Results

Although men and women exhibited similar baseline self-efficacy levels, men scored significantly higher than women over time, at T2 (p < .05) and T3 (p < .05). Consistent gender differences were observed throughout the study in depression and illness representations: women scored higher than men on PHQ-9 (3.94 vs. 5.57, p < .001), and perceived their diabetes consequences as more severe than men (p < .001). A linear regression analyses indicated that MTC intervention, age, baseline self-efficacy, and depression at T3 explained 39.8% of the variance of self-efficacy at the conclusion of the study for both genders, although more strongly for men.

Implications for Practice

This study indicates that the effects of a treatment intervention for individuals with type 2 diabetes mellitus are gender specific. Thus, gender-tailored interventions may be advised to further improve outcomes for women with type 2 diabetes mellitus.
Attitudes, Knowledge, and Skills Toward Adopting Evidence-Based Practice in Clinical Decision-Making of Registered Nurses in Saudi Arabia
Authors: Almoajel Alia
Published: June 2021

Background and Purpose

Evidence-based practice (EBP) is generally recognized as a fundamental tenet of cost-effective and high-quality patient care. Nurses must be engaged with the appropriate attitude and educated with essential competencies to implement EBP systematically into their daily practice. This study assessed the attitudes, knowledge, and skills of registered nurses toward the adoption of EBP in making clinical decisions in their practice.

Methods

This quantitative, crosssectional study surveyed a convenience sample of 312 nurses from five regions in Saudi Arabia from October 2019 to December 2019.

Results

The majority of nurses were unknowledgeable about the acceptable definition of EBP. The highest overall mean score was reported in the motivation subscale, followed by the skill and barrier subscales. The attitude subscale received the lowest overall mean score, which denotes a positive attitude. The nationality, level of nursing education, and years of experience had significant multivariate effects on nurses' EBP skills. Consequently, designation and EBP training had significant multivariate effects on nurses' perceived barriers to EBP adoption.

Implications for Practice

Nurses lack EBP knowledge. Nonetheless, they are motivated with positive attitudes to implement EBP in their professional practice if they are given adequate training and resources, sufficient time and managerial support, and mentoring from nurses with adequate EBP experience. Heightening the understanding and utilization of the best available scientific resources about EBP into nurses' daily clinical decision and practice is essential.
Improving the timeliness of mental health assessment for children and adolescents in a multidisciplinary team
Authors:   University of Cardiff, Wales, UK, Evans Nicola
Published: June 2021

Background: The waiting list for outpatient Child and Adolescent Mental Health Service (CAMHS) appointments exceeded 12 months. This paper discusses the development and implementation of a bespoke mental health assessment process that improved the timeliness of assessments for referred children and adolescents. Aim: To introduce a new system of managing referrals to reduce the waiting list for children and their families. Methods: Action research methodology was used as an approach to engage practitioners and facilitate change within a multidisciplinary CAMHS in the UK. The methods used to generate data about the intervention were semi structured interviews with families referred to the services and with practitioners working in the team, as well as an examination of waiting list data and a survey of referrers to the service. Findings: As a result of the implementation of a triage approach, the waiting time for a referred child to receive an initial CAMHS assessment was reduced from 12 months to all children being assessed within one month of referral. Referrers to the service and families involved valued the quick response from CAMHS. Conclusions: This was a bespoke process that combined a brief clinical interview, the use of psychometric measures and a team review meeting to create an effective mechanism for conducting brief, robust mental health assessments. Implications for practice: It was possible to glean sufficient detail about the nature of a child’s mental health difficulties from a brief assessment or triage process A brief assessment process might be useful in a number of mental health fields to enable screening, triage or a gateway assessment to be conducted Action research was a useful approach to engage practitioners as collaborating partners during organisational change in a way that promoted sustainability for that change
The Aspire to Inspire programme in aged care: the final chapter, one year on
Authors:   Canterbury Christ Church University, Dewing Jan , Harmon Anna-Marie ,   West South UnitingCare NSW.ACT, Australia, Nolan Jane ,   South UnitingCare Ageing NSW.ACT, Australia
Published: June 2021

Background and aims: The Aspire to Inspire practice development programme took place in the services within one region of an aged care provider in Australia. One year after it ended, the programme team looked back to see how practice development is faring in the region. Method: In this paper, we present a two part reflection one year on. We have drawn on individual reflections written by the programme team facilitators, and on the Person-Centred Care Framework. Conclusion: We found that strong values and beliefs were still present, especially among the programme facilitators and others who had been active in the practice development programme. We also found that a systematic approach and the use of facilitation in everyday work were still valued and that project team members were using a wide range of practice development methods, tools and processes in their new roles. We also found, unsurprisingly, that a wide scale organisational redesign weighed heavily on people, influencing their thinking and feeling about work and their commitment to the job. In summary – and this is tentative – more programmes and projects need to revisit how successful practice development has been in sustaining itself and its impact after formal programmes are completed. Implications for practice: There are implications for practice developers in terms of designing evaluation research and strategies. We found that although practice developers do seem to be more resilient than others during organisational redesign, major changes of this nature have a negative impact on the sustainability of practice development.
Enhancing the quality and safety of the nursing model of care: planning for a new children’s hospital in Western Australia
Authors:   Perth Children’s Hospital, Child and Adolescent Health Service, Perth, Western Australia, Siffleet Joanne , Abbott Tessie ,   Child and Adolescent Health Service, Perth, Western Australia, Bourke Anne ,   Child and Adolescent Health Service, Perth, Western Australia, Peter Sue ,   Child and Adolescent Health Service, Perth, Western Australia
Published: June 2021

Introduction This paper will describe how the ideas gained during a study tour to investigate models of care have influenced the ways in which nursing has been transformed in preparation for the move to a new, purpose built paediatric hospital. Background Princess Margaret Hospital in Perth, Western Australia, is on track to relocate to new, purpose built premises in November 2015. While this is an exciting prospect, it has thrown the spotlight on several factors in nursing that were already on the strategic agenda when the move was proposed in 2010. Increased clinical demands on specialty nursing, including paediatrics, arising from the global nursing shortage, have been well documented, notably in the context of increasing patient acuity and complexity, the drive towards shorter hospital stays, and a number of health reforms (Australian Government Productivity Commission, 2005). Adding a new hospital to this mix made more pressing the imperative to develop and implement a contemporary nursing model of care.
Entrevista a Michael Löwy, galardonado con el Premio europeo Walter Benjamin 2020
Authors:   Universidades de Brasilia, Instituto de Artes, Departamento de Design, Berdet Marc
Published: June 2021

Professor Marc Berdet gets into a dialogue with the brasilian-french thinker Michael Löwy, to establish the origin of his career; authors who have influenced his theoretical work such as Walter Benjamin and Max Weber, Karl Marx, Gersom Scholem, Georges Sorel, André Breton, Auguste Blanqui, Anna Zeghers, José Carlos Mariátegui, Charles Fourier, among others; and the evolution of a reflection that touches both European and Latin American critical thought.
Educação política e extensão universitária na Câmara Municipal de Campinas
Authors: Augusto Camila Estela Cassis
Published: June 2021

Este texto apresenta as práticas extensionistas realizadas pelo Projeto de Extensão em Educação Política da Universidade Estadual de Campinas (PROEEP - UNICAMP) em 2019 em parceria com a Câmara Municipal de Campinas. Também analisa a relação indissociável entre ensino, pesquisa e extensão, que possibilitou a criação do próprio projeto, idealizado por uma bolsista de mestrado do Departamento de Ciência Política (DCP – UNICAMP).
Buckling analysis of natural fiber reinforced composites
Authors: Çakıroğlu Celal , Bekdaş Gebrail
Published: June 2021

In the recent years natural fiber reinforced composites are increasingly receiving attention from the researchers and engineers due to their mechanical properties comparable to the conventional synthetic fibers and due to their ease of preparation, low cost and density, eco-friendliness and bio-degradability. Natural fibers such as kenaf or flux are being considered as a viable replacement for glass, aramid or carbon. Extensive experimental studies have been carried out to determine the mechanical behavior of different natural fiber types such as the elastic modulus, tensile strength, flexural strength and the Poisson’s ratio. This paper presents a review of the various experimental studies in the field of fiber reinforced composites while summarizing the research outcome about the elastic properties of the major types of natural fiber reinforced composites. Furthermore, the performance of a kenaf reinforced composite plate is demonstrated using finite element analysis and results are compared to a glass fiber reinforced laminated composite plate.
Rapid power outage estimation for typical electric power systems in Turkey
Authors: Yeşilyurt Ali , Okuyan Akcan Seyhan , Zülfikar Abdullah Can
Published: June 2021

Electric power systems have critical importance in the sustainability of social life and economy. The past and recent earthquakes showed clearly that these systems have high vulnerability due to earthquakes. In this study, the typical electric power systems which are commonly preferred and located at five different sites in high seismic zone of Turkey, Marmara region, have been examined. In the first part of the study, the earthquake hazard for Marmara region has been accomplished. The earthquake hazard curves at five different sites for two different earthquake levels, and two different site conditions as soft and stiff site classes according to the Turkish Building Seismic Design Code 2018 have been obtained. The seismic vulnerability assessment of substation and distribution circuits for two different design states, namely anchored and unanchored, achieved by the fragility functions. The probability of power outage durations have been evaluated based on the restoration curves. It has been observed that the results obtained within the scope of the study are highly consistent with post-earthquake studies in the literature. The proposed methodology through the power outage graphics enable a quick preliminary evaluation of the power outage based on the current design status and location for any electric power systems in the Marmara region.
ANLIK GÜÇ ŞİDDET ÖLÇÜSÜNÜN YAKIN SAHA YER HAREKETİNE MARUZ KALAN YAPILARIN MAKSİMUM VE KÜMÜLATİF TEPKİLERİNİ TAHMİN ETMEDEKİ ETKİNLİĞİ
Authors: ZENGİN Esra
Published: June 2021

Zengin ve Abrahamson (2020) tarafından yapılan çalışma, yapının temel periyodundaki elastik spektral ivme (Sa(T1)) ve Ani Güç (IP(T1)) parametrelerinden oluşan vektörel şiddet ölçüsünün darbeli yakın saha yer hareketlerinin yıkıcı etkilerini yakaladığını göstermiştir. Önerilen vektör şiddet ölçüsünün çelik çerçeve yapıların maksimum göreli kat ötelenmelerindeki ve çökme kapasitelerindeki değişkenliği azalttığı gösterilmiştir. Sismik tasarım ve değerlendirme prosedürlerinin çoğu, maksimum göreli kat ötelenmesini genel hasar parametresi olarak kullanırken, daha titiz sismik risk ve kayıp tahmini yöntemleri maksimum ve kümülatif yapı tepkilerinden oluşan farklı mühendislik hasar parametrelerinin kullanılmasını gerektirir. Bu çalışma, farklı şiddet ölçüsü seviyeleri için darbe periyodunun maksimum göreli kat ötelenmesi ve değiştirilmiş Park ve Ang hasar indisi üzerindeki etkisini incelemektedir. Vektörel şiddet ölçüsünün doğrusal olmayan yapısal tepkiyi tahmin etmedeki etkinliği değerlendirilmiş ve sonuçlar skaler Sa(T1) şiddet ölçüsü kullanılarak elde edilen sonuçlarla karşılaştırılmıştır. [Sa(T1), IP(T1)] vektör şiddet ölçüsünün maksimum ve kümülatif yapısal tepkileri tahmin etmede etkin bir parametre olduğu bulunmuştur.
Memahami Pendidikan Islam Berdasarkan Tafsir Ayat-ayat Ilmu Pengetahuan Dalam Al-qur’an
Authors:   UIN Sunan Kalijaga, Yogyakarta, Qolbi Satria Kharimul
Published: June 2021

Education is very much related to knowledge and science. Therefore, it is important to understand education on the concept of knowledge. In this context, in order to understand the concept of education in Islam, we need to scrutiny the verses on which al-Qur’an talk about knowledge and science. This method of writing thematically collects the verses of the al-Qur'an that discuss a certain topic and arranges them as much as possible according to the period of their revelation. With deductive reasoning, we draw conclusions from various theories and reviews. Science is the effort from a process carried out by methods and produces a systematic and structured new knowledge that will be used as a basic guideline for humans. There are three laws on learning difference sciences: compulsory, sunnah and haram. One of the most important benefit of learning is increasing the dignity of learners. Application in science can be done early in formal education in accordance with the verses of the Al-Quran.
Communication-Efficient Tracking Of Unknown, Spatially Correlated Signals In Ad-Hoc Wireless Sensor Networks: Two Machine Learning Approaches
Authors: Alasti Hadi
Published: June 2021

A low-cost machine learning (ML) algorithm is proposed and discussed for spatial tracking of unknown, correlated signals in localized, ad-hoc wireless sensor networks. Each sensor is modeled as one neuron and a selected subset of these neurons are called to identify the spatial signal. The algorithm is implemented in two phases of spatial modeling and spatial tracking. The spatial signal is modeled using its M iso-contour lines at levels {ℓj}j=1M and those sensors that their sensor observations are in Δ margin of any of these levels report their sensor observations to the fusion center (FC) for spatial signal reconstruction. In spatial modeling phase, the number of these contour lines, their levels and a proper Δ are identified. In this phase, the algorithm may either use adaptive-weight stochastic gradient or scaled stochastic gradient method to select a proper Δ. Additive white Gaussian noise (AWGN) with zero mean is assumed along with the sensor observations. To reduce the observation noise’s effect, each sensor applies moving average filter on its observation to drastically reduce the effect of noise. The modeling performance, the cost and the convergence of the algorithm are discussed based on extensive computer simulations and reasoning. The algorithm is proposed for environmental monitoring. In this paper, the percentage of the communication attempts of wireless sensors is assumed as cost. Performance evaluation results show that the proposed spatial tracking approach is low cost and can model the spatial signal over time with the same performance as that of spatial modeling.
A Non-invasive Detection Technique of Adenocarcinoma with the Use of Streptavidin-Coated Iron Nanoparticles and Biotinylated-Antibodies and the Primary-Secondary Approach
Authors: Venkatraman Aditi
Published: June 2021

The streptavidin and biotin interaction is one of the strongest non-covalent interactions in nature. As a result, this non-covalent interaction has been of great interest when it comes to biochemical assays, diagnosis of diseases, and cell-targeted drug delivery. Past research has proven that biotin-streptavidin is useful in biosensor development to improve the detection of a system when conjugated to nanoparticles. This study aims to prove that streptavidin-coated nanoparticles can be conjugated with biotinylated antibodies using the primary-secondary method to non-invasively detect adenocarcinoma in-vitro. While the use of nanoparticles is not uncommon to the diagnostics area of scientific research, the technique this research aims to investigate is a non-invasive one, utilizing the primary-secondary method. Specifically, the increased stability of fluorophores when bound to antibodies as opposed to nanoparticles directly can be indicative of the particles conjugated through the primary-secondary method’s ability to specifically bind to overexpressed transferrin receptors in the A549 cell line. In this paper, streptavidin-coated nanoparticles were conjugated with biotinylated anti-transferrin receptor antibodies and AlexaFluor-488 secondary antibodies were used to enable fluorescence-based detection. The efficiency of these particles were observed quantitatively through a plate reader and qualitatively through a fluorescence microscope. I demonstrated that these nanoparticles are able to specifically bind to the target proteins in this study. These findings contribute to the field of nanoparticle diagnostics and can be extended to different diseases caused by overexpression of proteins in the future. While this was conducted in-vitro, conjugates can be prepared to detect cancer in-vivo and can be tested with magnetic relaxometry in the future.
The Integrative Approach to Inferring Homology: Morphology and Development Combined
Authors: Nejad Kourki Arsham
Published: June 2021

Reconstructing ancestral species is a challenging endeavour: fossils are often scarce or enigmatic, and inferring ancestral characters based on novel molecular approaches (e.g. comparative genomics or developmental genetics) has long been controversial. A key philosophical challenge pertinent at present is the lack of a theoretical framework capable of evaluating inferences of homology made through integration of multiple kinds of evidence (e.g. molecular, developmental, or morphological). Here, I present just such a framework. I start with a brief history and critical assessment of attempts at inferring morphological homology through developmental genetics. I then bring attention to a recent model of homology, namely Character Identity Mechanisms (DiFrisco, Love, & Wagner, 2020), intended partly to elucidate the relationships between morphological characters, developmental genetics, and homology. I utilise and build on this model to construct the evaluative framework mentioned above, which judges the epistemic value of evidence of each kind in each particular case based on three proposed criteria: effectiveness, admissibility, and informativity, as well as providing a generalised guideline on how it can be scientifically operationalised. I then point out the evolution of the eumetazoan body plan as a case in point where the application of this framework can yield satisfactory results, both empirically and conceptually. I will conclude with a discussion on some potential implications for more general philosophy of biology and philosophy of science, especially surrounding evidential integration, models and explanation, and reductionism.
ABORDAGEM MULTIDISCIPLINAR PARA A IDENTIFICAÇÃO DOS SISTEMAS PESQUEIROS EM UM RESERVATÓRIO AMAZÔNICO: ESTUDO DE CASO NA HIDRELÉTRICA DE TUCURUÍ
Authors: BRAZ NETO Severiano Pereira , XAVIER Antônio Marcos de Melo , DE MESQUITA Claudmilson Rodrigues , ABREU COSTA Laudiceia de , Dos Reis Flávia ROSEIRA , CINTRA Israel Hidenburgo Aniceto , GIARRIZZO Tommaso , BENTES Bianca
Published: June 2021

As barragens causam profundas mudanças na estrutura dos ambientes e nas práticas de pesca das áreas sob sua influência. Um exemplo dessas mudanças ocorreu na barragem de Tucuruí­­, no sudeste do Pará, Brasil. As mudanças foram tipologias de pesca graduais e estabelecidas como formas únicas de captura que foram consolidadas ao longo do tempo. Neste documento, usando uma técnica de análise rápida baseada no princí­­pio de métier, foram identificados 14 sistemas de pesca com caracterí­­sticas particulares, mas, com base em uma observação mais holí­­stica (dimensões ecológica, econômica, social, tecnológica e de gestão), quatro grupos de sistemas pesqueiros foram claramente definidos. Do ponto de vista do gerenciamento, estudos dessa natureza são importantes, pois permitem o estabelecimento de práticas de gerenciamento mais criativas, baseadas nas deficiências encontradas nos sistemas ou grupo de sistemas.