bluuebunny/crossref_metadata_2025 huggingface dataset:
Killing Two Birds with One Stone or Missing One of Them? The Synergistic Governance Effect of China’s Carbon Emissions Trading Scheme on Pollution Control and Carbon Emission Reduction
Authors: Zhang Ying , Huang Yingli
Published: June 2023

Faced with the dual pressure from global climate change and increasing air pollution, China has gradually clarified the adoption of market-based tools to improve the ecological environment. Based on Chinese provincial panel data from 2006 to 2020, this paper analyzes the synergistic governance effect and influence mechanism of China’s carbon emissions trading scheme (ETS) on pollution control and carbon emission reduction by using a multiperiod difference-in-differences (DID) model. The empirical results show that China’s ETS has achieved the synergistic governance effect of pollution control and carbon emission reduction. The heterogeneity analysis shows that ETS can significantly enhance the synergistic governance effect in areas with higher total factor productivity (TFP) and stronger administrative intervention. More importantly, the mechanism analysis shows that China’s ETS promotes the synergistic governance effect of pollution control and carbon emission reduction mainly through industrial structure upgrading and energy structure transformation. The effect contribution values are 22.42% and 9.40%, respectively. This study contributes to deepening the effect of the carbon emissions trading scheme and also provides a reference for the design of a unified carbon trading market in China.
A Multi-Source Intelligent Fusion Assessment Method for Dynamic Construction Risk of Subway Deep Foundation Pit: A Case Study
Authors: Wu Bo , Wan Yajie , Xu Shixiang , Zhao Chenxu , Liu Yi , Zhang Ke
Published: June 2023

The construction of a subway deep foundation pit is complex and risky, thus multiple safety risk factors bring great challenges to evaluating the safety status accurately. Advanced monitoring technology equipment could obtain a large number of monitoring data, and how integrating complex and diversified monitoring data to assess the safety risk of foundation pits has become a new problem. Therefore, an intelligent multi-source fusion assessment model is proposed. This model is mainly used for solving risk probability distribution, deep learning, and intelligent prediction of monitoring indicators, and then evaluating safety status by fusing various parameters of multiple indicators. Thus, based on the data of deep learning and the measured multivariate data, the dynamic risk during foundation pit construction can be obtained. Moreover, a typical case study was performed through monitoring and carrying out the risk assessment which is located at the Martyrs’ Lingyuan Station of Jinnan Metro Line R2, China. In this case, the PSO-SVM and LSTM models are used to predict the deformation trend, and the monitoring data is reliable with high precision. After multi-index fusion model calculation, the results show that the foundation pit structure is in a safe state, and the evaluation situation is basically consistent with the site. Consequently, the prediction of the new multi-source intelligent fusion risk assessment method is convincing.
Constraining Dark Boson Decay Using Neutron Stars
Authors: Husain Wasif , Sengupta Dipan , Thomas A. W.
Published: June 2023

Inspired by the well-known anomaly in the lifetime of the neutron, we investigated its consequences inside neutron stars. We first assessed the viability of the neutron decay hypothesis suggested by Fornal and Grinstein within neutron stars, in terms of the equation of state and compatibility with observed properties. This was followed by an investigation of the constraint information on neutron star cooling that can be placed on the decay rate of the dark boson into standard model particles, in the context of various BSM ideas.
Investigation of the Liquid Cooling and Heating of a Lithium-Ion Battery Package for an Electric Vehicle
Authors: Wang Di , Xie Jinhong
Published: June 2023

The temperature of an electric vehicle battery system influences its performance and usage life. In order to prolong the lifecycle of power batteries and improve the safety of electric vehicles, this paper designs a liquid cooling and heating device for the battery package. On the device designed, we carry out liquid cooling experiments and preheating experiments. Then, a three-dimensional numerical model for the battery package is built, and its effectiveness is validated by comparing the simulation results with the experimental outcomes in terms of battery surface temperature and temperature difference. Furthermore, we investigate the influences of the liquid flow rate and the inlet temperature on the maximum temperature and temperature difference of batteries by the cooling models and preheating models. Results show that: at the cooling stage, it is able to keep each battery working at an optimal temperature under different discharge conditions by changing the flow and the inlet temperature of liquid; at the heating stage, large flow rates and high inlet temperatures are able to speed up the preheating process, thereby saving time of the drivers.
Opportunities, Challenges and Strategies for Developing Electric Vehicle Energy Storage Systems under the Carbon Neutrality Goal
Authors: Liu Xinglong , Zhao Fuquan , Hao Han , Liu Zongwei
Published: June 2023

Developing electric vehicle (EV) energy storage technology is a strategic position from which the automotive industry can achieve low-carbon growth, thereby promoting the green transformation of the energy industry in China. This paper will reveal the opportunities, challenges, and strategies in relation to developing EV energy storage. First, this paper clarifies the strategic value and potential of developing EV energy storage under the carbon neutrality goal. Second, this paper demonstrates strategic opportunities and challenges during the development. Third, this paper proposes methods for creating a good market environment and business models. Finally, this paper suggests that relevant policies and regulations should be formulated and charts the course of technology development. The results show that EV energy storage technology has potential in terms of technology, the scale of development, and the user economy. The proposal of the carbon neutrality goal, the increasing market share of EVs, lower-cost and higher-efficiency batteries, etc., have all further accelerated the development of EV energy storage. The EV energy storage field should focus on developing battery technology, make advancements toward delivering longer cycle lives and improving the safety and availability of battery materials, and ramp up the R&D efforts with respect to developing vehicle-to-grid (V2G) management technologies. Simultaneously, it is necessary to create a business ecosystem centered on V2G operating platforms, constituting a process to which various players can contribute and achieve mutually beneficial results. It is also essential to formulate top-level strategic plans across industries and organizations, develop an electricity-trading mechanism as soon as possible, and promote the implementation of technical standards related to EV energy storage.
Analysis of in-person general practice respiratory consultations: assessing translatability to telehealth
Authors: Raghuraman Sunayana , Ramarao Jayashanthi , Lane Jared , Ward Kanesha , Lau Annie
Published: June 2023

Background

The COVID-19 pandemic saw many GPs adopt telehealth as a consultation modality to minimise disease transmission. Patients presenting with respiratory ailments were particularly affected by this transition, given the overlap of general respiratory symptoms with those of COVID-19. It is unclear if the rapid transition to telehealth has compromised the ability to conduct certain tasks that were possible during in-person consultations.

Aim

To investigate the extent to which tasks observed during in-person GP consultations are replicable in telehealth, focusing on patients with respiratory concerns.

Design & setting

Twenty-six respiratory consultations were extracted from a database of 281 consultations collated from various general practices in the UK.

Method

Interactions between GPs and respiratory patients were assessed through in-depth transcript review and de-identified video analysis. Then, tasks performed and physical artefacts used during the consultations were identified and ranked in terms of their translatability to telehealth, using a newly developed scoring system.

Results

Overall, the translatability to telehealth score for these respiratory consultations was 6.7/10, suggesting that many tasks can be replicated over telehealth, but that they might require additional physical artefacts to support this. However, some tasks are not currently amenable to telehealth (for example, auscultation).

Conclusion

While many aspects of respiratory consultations are replicable over telehealth, some tasks cannot be replicated at this stage.
Mengembangkan Kualitas Usaha Desa Wisata: Perancangan Sistem Usaha pokdarwis dengan Menggunakan Model Kemitraan
Authors: Arifin Samsul
Published: June 2023

Villages can manage resources independently, one of which is through Village-Owned Enterprises (BUMDes), this is a form of empowerment from the government in the form of autonomy. This research was conducted in Tanjung Village, Jepara Regency. The approach used in this research is Tetrapreneur and resource-based view theory. Tetrapreneur is divided into several models, namely; Chainpreneur, Marketpreneur, Qualitypreneur, Brandpreneur. The second approach is the resource-based view theory. This theory is used as the basis for selecting a tourism village business unit that must have a competitive advantage and distinctive features to contribute to improving the welfare of the people of Tanjung Village. With activities like this, it can help pokdarwis to map the conditions of village entrepreneurship (Chainpreneur), Quality (Qualitypreneur), Market (Marketpreneur), and Brand (Brandpreneur). Therefore, developing the quality of village-owned businesses (Q-BUMDes) is recommended to form an integrated database system to control tourism village entrepreneurs. Q-BUMDes that can be done include mapping of facilitators, mentors, and assistance funds that are updated regularly. The application of the Tetrapreneur model in Tanjung Village is expected to become a role model for other villages, especially in Jepara Regency as a model of sustainability in poverty alleviation without leaving local wisdom.
PEMANFAATKAN LIMBAH KAYU MENJADI KERAJINAN FUNGSIONAL DAN BERNILAI ESTETIK DI DESA BUGEL
Authors: Fajrie Mahfudlah , Adi Pradana Bagaskara , Rowi Muhammad Yusuf , Ihsan Lutfi Nur Haryana , Iskandar Zaky Awaluddin , Faizin Nur
Published: June 2023

Tujuan pengabdian ini sebagai upaya untuk memberikan pengetahuan keterampilan Pembuatan Pembuatan Kerajinan yang Fungsional Dan Bernilai Estetik Dengan Memanfaatkan Limbah Kayu Di Desa Bugel. Pengetahuan keterampilan sebagai upaya peningkatan kompetensi masyarakat desa dalam memamfaatkan limbah kayu serta pengetahuan penanganan covid 19 dimasa pandemi. Kelompok sasaran kegiatan adalah masyarakat di Di Desa Bugel Kecamatan Kedung. Metode yang digunakan dalam kegiatan adalah metode workshop, dimana peserta kegiatan program pelatihan akan dituntun step by step oleh pemateri.  Target luaran yang diharapkan dari kegiatan ini adalah 1) Meningkatkan potensi masyarakat dalam kerajinan yang fungsional dan bernilai estetik dengan memanfaatkan limbah kayu menjadi produk yang berdayaguna. 2) Menumbuhkan pengetahuan keterampilan dalam memanfaatkan limbah kayu. 3) Membekali masyarakat dengan pengetahuan keterampilan serta pengetahuan penanganan Covid-19 secara mandiri. Sehingga terjadi peningkatan potensi pengetahuan keterampilan khususnya dalam memanfaatkan limbah kayu serta pengetahuan tentang penanganan Covid-19 dimasa pandemi bagi masyarakat di Desa Bugel Kecamatan Kedung.
PENYIAPAN PRODUK WISATA UNTUK PENYELENGGARAAN EVENT BUDAYA LOKAL RINTISAN DESA WISATA BRANJANG, KABUPATEN SEMARANG
Authors: Prayitno Pranoto Hadi , Listyorini Haniek , Manshur Ahmad , Martono Eko , Widagdo Susmono
Published: June 2023

Desa Branjang Kecamatan Ungaran Barat Kabupaten Semarang ditetapkan Kepala Desa sebagai rintisan desa wisata yang dikelola melalui kelembagaan pengembang desa wisata bersama Pokdarwis dan BUMDes. Akan tetapi, dalam pengelolaannya ditemui sejumlah kendala dalam mengidentifikasi produk wisata yang dapat dijadikan magnet wisata desa sehingga sampai saat ini belum dilakukan identifikasi produk baik berbasis alam, budaya, serta ekonomi kreatif di desa tersebut. Selain itu, pengelola desa wisata juga belum mampu membuat kemasan paket wisata bagi wisatawan agar dapat menikmati potensi wisata desa Branjang secara menyeluruh.  Pengabdian dilaksanakan dalam 6 tahapan kegiatan, dengan cara FGD, Sosialisasi, Workshop, Praktek Sadar Wisata dan Praktek Event. Hasil pengabdian memperlihatkan peningkatkan soft-skill berupa peningkatan kesadaran wisata masyarakat dari 30% menjadi 100%, peningkatan dukungan masyarakat dari 60% menjadi 100%, keberhasilan melakukan pemetaan untuk Produk Atraksi, Amenitas, dan Aksesibilits serta Peningkatan hard-skill  tercapai dari kesuksesan pelaksanaan pembuatan paket-paket wisata yang memadukan Atraksi, Amenitas, dan Aksesibilitas dalam rangka mendukung Penyelengaraan Event Budaya Lokal bagi Rintisan Desa Wisata Branjang di Era New Normal
Un plat d’entrée de première grandeur du service à fond vert du banquier Jean-Joseph de Laborde (1724-1794)
Authors: Albis Antoine d'
Published: June 2023

Unlike in the 19th century, even at the Manufacture de Sèvres, no one would describe this rare example of table service in soft paste, dated 1760-1761 as a “ Technical achievement”. However, in facts, the artistic success of this piece of porcelain hides several technical prowess which are described in this text.
Les baraques du Jardin des Plantes vues par Schoelcher et Sèvres
Authors: Plinval de Guillebon Régine de
Published: June 2023

In 1794 The Comité de Salut Public (the then Revolutionary committee for Public Welfare) banned wild animals from public places and had them sent to the Museum d’Histoire Naturelle (the Paris Museum of Natural History). The Architect Molinos was commissioned to build « baraques » (shacks) for their comfort. The place soon became a fashionable walking space. Schoelcher around 1810 and Sèvres in 1814 decorated porcelains after engravings by Nicolas Huet 1808) that represented the animals.
Valuing Extension Programming at the County Level
Authors: Lawrence Timothy , Mandal Bidisha
Published: June 2023

Local governments must make difficult choices to provide funding for essential services. Determining where Extension programming fits in the continuum of services provided by local governments can be a challenge. We assessed the value Extension provides to a community by using a randomized survey and focus group interviews in a rural Washington county. The survey response rate was greater than 50%, and we found no nonresponder bias. The county's residents indicated that they think Extension adds value to the community, that they are willing to pay for Extension services, and that they endorse the use of public dollars to support Extension.
Animal Agriculture in a Changing Climate Online Course: An Effective Tool for Creating Extension Competency
Authors: Whitefield Elizabeth , Schmidt David , Swanson Lindsay , Smith David , Pronto Jennifer , Knox Pam , Powers Crystal
Published: June 2023

There is a need to create competency among Extension professionals on the topic of climate change adaptation and mitigation in animal agriculture. The Animal Agriculture in a Changing Climate online course provides an easily accessible, user-friendly, free, and interactive experience for learning science-based information on a national and regional level. The web-based curriculum is proving to be a useful tool and valuable resource for Extension educators in gaining knowledge and being better equipped to inform and influence livestock and poultry producers regarding climate issues.
Personal Sustainability: Listening to Extension Staff and Observing Organizational Culture
Authors: Forstadt Leslie , Fortune Aileen
Published: June 2023

Extension staff are increasingly challenged to do excellent work and balance their lives. University of Maine Cooperative Extension committed to a 2-year participatory action research project to support staff and to an organizational climate that encourages personal sustainability. With tools from ethnography and appreciative inquiry, staff engaged with colleagues through surveys, interviews, focus groups, and informal conversations. This article describes the richness of the process, the methodology, and the findings. Actions began early, as awareness was raised and people felt empowered. Recommendations resulting from the project address ways to support work-life balance, collegiality and connection, and staff connection to organizational vision.
The Extension Storyteller: Using Stories to Enhance Meaning and Catalyze Change
Authors: Franz Nancy
Published: June 2023

Many cultures share and pass on norms through storytelling. Extension as a culture also creates and shares stories to pass on history, provide information about Extension work and experiences, and develop the organization. However, Extension as a culture less frequently uses storytelling to enhance meaning and catalyze related change. This article provides a brief review of relevant literature on types of stories, purposes of storytelling, and effective storytelling techniques and describes qualities of successful stories. This information provides a basis for best practices that Extension professionals can apply when using storytelling to enhance meaning and catalyze change.
Drawing On College Student Attitudes and Behaviors to Instigate Energy Efficiency Improvements in Rental Housing
Authors: Harvey Christopher , Kuang Jennee , Rhodes Anne , Posman Kevin
Published: June 2023

Improving the energy efficiency of residential rental properties has been a priority of Cornell Cooperative Extension of Tompkins County. However, traditional educational programming has had limited effectiveness due to a split incentive dynamic between landlords and tenants relative to property upgrades. We demonstrate that college students have broad interest in but limited knowledge of energy efficiency and are willing to pay a premium for relevant improvements. Our findings indicate that there is strong potential for Extension professionals to engage off-campus housing offices, students, and landlords in the development of modified leases and to facilitate educational programming that specifically addresses rental housing energy efficiency.
Social Media as a Supplement to Face-to-Face Education: The Perspectives of Expanded Food and Nutrition Education Program Paraprofessionals and Graduates
Authors: Elmer Sarah , Harrison Judy , Silva Vanessa
Published: June 2023

Using social media is an inexpensive, innovative approach to supplementing direct education provided by the Expanded Food and Nutrition Education Program (EFNEP). Focus group research was conducted with EFNEP paraprofessionals (n = 33) and participants (n = 39) to inform the development of a social media presence for the program. Although recommendations by EFNEP's social media committee focus on providing online articles, focus group results suggest that content should be presented as colorful pictures and videos, portraying recipes and nutrition tips. Also, the study highlights the importance of using engaging, colorful visuals when using social media as a form of indirect education.
Better Crunching: Recommendations for Multivariate Data Analysis Approaches for Program Impact Evaluations
Authors: Braverman Marc
Published: June 2023

Extension program evaluations often present opportunities to analyze data in multiple ways. This article suggests that program evaluations can involve more sophisticated data analysis approaches than are often used. On the basis of a hypothetical program scenario and corresponding data set, two approaches to testing for evidence of program impact are compared. These approaches are (a) a bivariate approach involving contingency table analysis (chi-square, Kendall's tau tests) and (b) a multivariate approach involving logistic regression. Both approaches address the primary evaluation questions, but the multivariate approach introduces additional variables, allowing for a more comprehensive understanding of program dynamics. Multivariate approaches can enhance insights about programs and increase opportunities for dissemination of research results.
Implementing Good Practices Programs to Encourage Production of High-Quality, Safer Produce in Mississippi
Authors: Mahmoud Barakat , Stafne Eric , Coker Christine , Bachman Gary
Published: June 2023

Fifty-four growers/producers attended four 1-day good agricultural practices (GAP) and good handling practices (GHP) workshops at four locations in Mississippi. Pre- and postworkshop survey data indicated that the participants' food safety knowledge increased by 15%. Furthermore, the workshops helped producers develop their own food safety plans. The workshops also trained the producers to be prepared for U.S. Department of Agriculture (USDA) GAP and GHP audits. To assist producers in preparing for these audits, two mock audits were conducted after the workshops. As a result of the program, several producers became ready to be audited, and at least one producer became USDA GAP certified.
One Size Does Not Fit All: Effective Community-Engaged Outreach Practices with Immigrant Communities
Authors: Smalkoski Kari , Axtell Sara , Zimmer Jeanne , Noor Ibrahim
Published: June 2023

Generic outreach approaches are commonly used to target as many individuals as possible in a cultural community to achieve a greater response rate. However, this one-size-fits-all tactic is rarely effective. Community-engaged outreach practices have been successful with immigrant communities in Minnesota's Twin Cities. When practitioners, clinicians, and scholars engage in these practices, they not only build trusting relationships with cultural communities over time but also achieve mutual benefit, reciprocity, and the leveraging of institutional resources.
PENERAPAN KONSEP SUSTAINABLE FINANCE: Model Analitycal Hierarchy Process
Authors: Setiyowati Harlis , Trisnawati Luh Putu Puji
Published: June 2023

The idea of sustainable finance has gained acceptance on a global and regional scale, including in Indonesia. Applications of this new financial idea face challenges. Making a model for sustainable finance implementation is the aim of this study. The AHP model's goal is to establish a economic, social, and value  environment and corporate governance. The first level is a factor, namely obstacles to the implementation of sustainable finance, namely; economic, social and environmental aspects, issues of rules and regulations, disclosure of sustainable reports and technological interventions. Based on the results of testing the AHP model, the most important factor in implementing the concept of Sustainable Finance is the "Economic, Social and Environmental Aspects" factor with a weight of 0.390, the second most important factor is "Rules and Regulation Issues" with a weight of 0.319, then the "Disclosure of Sustainability Reports" factor with weight 0.158 and the lowest is the "Technological Intervention" factor with a weight of 0.132. Meanwhile, based on the test results, the most important actor in the concept of Sustainable  Finance based on test results, namely Financial Services Institutions with a weight of 0.338. The second most important actor is the Issuer with a weight of 0.275. The third most important actor is a Public Company with a weight of 0.264, and the actor with the lowest weight is All Related Parties with a weight of 0.147.  Recommend that For financial institutions and investors to be prepared to participate in ESG-based businesses, legislation and norms pertaining to sustainable finance urgently need to be improved, particularly fines for non-compliance and purposeful manipulation of sustainability reports.

Keywords: AHP, Sustainable Finance

 
Bioprinting Methods for Fabricating In Vitro Tubular Blood Vessel Models
Authors: Kim Seon-Jin , Kim Min-Gyun , Kim Jangho , Jeon Jessie S. , Park Jinsoo , Yi Hee-Gyeong
Published: June 2023

Dysfunctional blood vessels are implicated in various diseases, including cardiovascular diseases, neurodegenerative diseases, and cancer. Several studies have attempted to prevent and treat vascular diseases and understand interactions between these diseases and blood vessels across different organs and tissues. Initial studies were conducted using 2-dimensional (2D) in vitro and animal models. However, these models have difficulties in mimicking the 3D microenvironment in human, simulating kinetics related to cell activities, and replicating human pathophysiology; in addition, 3D models involve remarkably high costs. Thus, in vitro bioengineered models (BMs) have recently gained attention. BMs created through biofabrication based on tissue engineering and regenerative medicine are breakthrough models that can overcome limitations of 2D and animal models. They can also simulate the natural microenvironment in a patient- and target-specific manner. In this review, we will introduce 3D bioprinting methods for fabricating bioengineered blood vessel models, which can serve as the basis for treating and preventing various vascular diseases. Additionally, we will describe possible advancements from tubular to vascular models. Last, we will discuss specific applications, limitations, and future perspectives of fabricated BMs.
Design of Flexible Piezoelectric Nanocomposite for Energy Harvesters: A Review
Authors: Lv Fu , Hong Zijian , Ahmad Zeeshan , Li Hanying , Wu Yongjun , Huang Yuhui
Published: June 2023

Piezoelectric materials that can effectively convert natural mechanical energy into electrical energy without time and space constraints have been widely applied for energy harvesting and conversion. The piezocomposites with high piezoelectricity and flexibility have shown great promise for renewable electric energy generation that can power implantable and wearable electronics. This minireview aims to summarize the recent progress of the piezocomposites with different composite structures, as well as the role of the theoretical understandings and designs in the development of new piezoelectric nanogenerator materials. Thereinto, the most common composite structural types (0-3, 1-3, and 3-3) have been discussed systematically. Several strategies for high output performance of piezocomposites are also proposed on the basis of current experimental and simulation results. Finally, the review concludes with perspectives on the future design of flexible piezoelectric nanocomposites for energy harvesters.
Seven Initial Prominent Sources of All Information Bias Impartiality Types Parsed
Authors: Bean Erik
Published: June 2023

Ever since information was first operationalized by library science into consumer formats, media bias has been studied from the purview of information gatekeepers who decide what, how, and when to publish based on story importance and factors like circulation. This concept did not include individuals or entities outside of the journalism discipline. With the advent of the internet and a number of social media networks that soon followed, individuals could more effectively release information without waiting for gatekeepers, thus shaping the public’s perception regardless of the topic. Scholars offered a theoretical framework for shaping the public’s opinion and still other scholars focused on how information could be slanted or partisan. However, these seminal approaches did not operationalize the term information bias in terms of the overall partiality of major sources themselves. Information evaluation tests such as the Currency, Relevance, Authority, Accuracy, and Purpose (CRAAP) and Stop, Investigate, Find, Trace (SIFT) that have been discussed as tools to assess information for bias fall short on the very first step of what to inspect and how to sort. With a gap in the literature sorting through the types of biases can be daunting and confusing. The purpose of this paper is to propose one initial method as the first step to sort information bias regardless of its form, analog or digital, into seven prominent sources each with their own inherent but larger impartiality tied to it. The sources of all information bias to be discussed in alphabetical order are: 1) academic, 2) forprofit, 3) government, 4) hidden agenda, 5) individuals, 6) nonprofit, and 7) watchdog groups.
Impact of the Regulatory Framework on Medical Device Software Manufacturers: Are the Guidance Documents Supporting the Practical Implementation? Comment on "Clinical Decision Support and New Regulatory Frameworks for Medical Devices: Are We Ready for It? – A Viewpoint Paper"
Authors: Beckers Ruth , Hoydonck Pascale Van
Published: June 2023

The increasing use in clinical practice of software such as mobile apps and clinical decision support (CDS) software has only recently been taken up by regulators around the world. Specifically, the European Commission and the US Food and Drug Administration (FDA) have updated their regulatory framework in the last years. Van Laere et al have given an extensive overview of the European and US approaches to regulate CDS software. This commentary further discusses regulatory differences between the two geographies and their impact on manufacturers of medical device software. We discuss the practical implementation of the regulatory framework for medical device software (especially CDS software) with a reference to the available international guidance documents and their limitations. Given the direction of stricter regulatory oversight in Europe, additional European guidelines/examples are desirable to enable a pragmatic regulatory approach ensuring continued access to innovative medical device software for European patients.
Is It Time to Explore the Health Policy Process Within Governance and Health Systems Frameworks? Comment on "Modelling the Health Policy Process: One Size Fits All or Horses for Courses?"
Authors: Peckham Stephen
Published: June 2023

There is clearly a need to improve the use of more robust policy theory on health policy analysis. Powell and Mannion in an editorial on the relationship between health policy analysis and the wider field of public policy theory note, as others have done before, the limited application of policy theory in health policy analysis. However, they also highlight that within the health policy analysis arena new models have emerged which have wider use within policy analysis such as the health policy triangle. While Powell and Mannion suggest that health policy analysis can take one of two paths I argue that we should be developing more integrated frameworks of health policy processes, governance and systems which would involve the use of robust public policy theories and models.
Hyperparathyroidism during pregnancy, a mini review to complications and treatments
Authors: Sharafeddin Fateme , Goudarzi Golnaz
Published: June 2023

Hyperparathyroidism (HPT) is one of the most common endocrine disorders, however it is a rare disease during pregnancy with notable maternal and fetal morbidity and mortality. We investigated 46 articles in PubMed database that seven articles focused on this topic. This review will examine the maternal and neonatal complications and the options for managing and treating this disease during pregnancy.
Perioperative anxiety and depression among adults undergoing elective surgery: a cross-sectional survey
Authors: Che Ani Amira Aishah , Dharmalingam T. Kumaravadivel , Che Senapi Noor Azura , Basir Puteri Siti Zaharah , Abd Halin Mohamad Ehsan
Published: June 2023

Introduction: Perioperative anxiety and depression are common disorders worldwide. They are not only associated with significant surgical and anaesthetic morbidity, but also mortality. We aim to determine the prevalence and risk factors associated with perioperative anxiety and depression in a single-study centre.
Methods: This cross-sectional study was conducted from April 1 to August 31 2022, among patients undergoing elective surgery in Hospital Tuanku Fauziah, Perlis. Patients scheduled for perioperative assessment in the Anaesthesiology clinic were invited to participate. The validated Hospital Anxiety and Depression Scale (M-HADS) was used to assess anxiety and depression symptoms before the scheduled surgery. Multiple logistic regression was performed to determine the associated factors to perioperative anxiety and depression.
Results: A total of 340 participants were included in analysis: 15.6% scored significant perioperative depression and 17.4% scored significant perioperative anxiety. High levels of self-rated fear were significantly associated with both anxiety (adjusted OR: 27.46, 95% CI: 5.37, 140.38) and depression (adjusted OR: 2.81, 95% CI: 1.08, 7.27). Otherwise, there were no demographic risk factors associated with perioperative anxiety, while male gender was found to be predictive of perioperative depression (adjusted OR: 2.08, 95% CI: 0.36, 12.15).
Conclusions: We found that 1 in every 6 patients undergoing surgery suffers from perioperative anxiety or depression. Self-rated fear was the independent risk factor for perioperative anxiety, while gender and self-rated fear were independent risk factors for perioperative depression. Effective screening strategies to detect patients at risk of perioperative anxiety or depression are essential for appropriate risk stratification and intervention.
Evaluation of Flexible Tip bougie in simulated difficult intubation: a randomized cross-over manikin study
Authors: Kuan Tong Yin , Mohamed Abdul Hadi
Published: June 2023

Introduction: Both video laryngoscopes and bougies play major role in difficult airway management. Even when a video laryngoscope is available to improve intubation view, there are instances when the vocal cords are visible, but intubation cannot be achieved. In these cases, bougies have a role in assisting intubation. This study aimed to compare the efficacy of the Flexible Tip Bougie with others in simulated difficult intubation.
Methods: This study was designed as a randomized, cross-over, simulation manikin study. It involved 42 medical officers from the Department of Anaesthesiology. In the study, participants performed intubation under simulated difficult airway conditions. Three types of bougie were used by each participant in random order: (1) Flexible Tip Bougie, (2) Portex Single-Use Introducer, and (3) Frova Intubating Introducer.
Results: The intubation success rate was 100% for the Flexible Tip Bougie, 78.6% for the Frova Intubating Introducer, and only 50% for the Portex Single-Use Introducer (p < 0.001). The median intubation time was shortest with the Flexible Tip Bougie, at 16.08 s (interquartile range [IQR]: 6.13); 18.25 s (IQR: 18.07) with Frova, and 19.39 s (IQR: 37.60) with Portex (p = 0.449). The ease of use was lowest with Portex (69.64, standard deviation [SD]: 32.45), average with Frova (50.59, SD: 29.98), and highest with Flexible Tip (16.67, SD: 21.86; [p < 0.001]).
Conclusion: In this manikin study, the Flexible Tip Bougie was more efficient in achieving successful intubation and easier to use than the Portex and Frova introducers in a difficult intubation scenario.
وَحْدةُ مَعانِي سُورةِ المُزَّمِّلِ وصِلَتُها بِهِ
Authors: AL NIRBANI Abdul Bade
Published: June 2023

تبيّن البحث مكان سورة المزمل من التنزيل، وأنّها مكيّة إلّا آخر آية منها فهي مدنيّة عند الجمهور، وتقرّى المعاني اللغويّة لمفردات الجذر (ز م ل) في المعجمات، مع تحديد المعنى المحوريّ له، ثمّ تناول المزمل في القرآن، فذكر أنّ المراد به: النبيّ صلّى الله عليه وسلّم، وأورد أقوال العلماء في مناسبة هذه التسمية، وفصّل في بيان ما قرئت به، وانتهى إلى أنّ كلمة (المزمل)، بما لها من أوجه في القراءات، تُمثِّلُ مركزًا لسائر مفردات جذرها، بدلالاتها الصرفيّة الثلاث: المطاوَعة (المُتَزَمِّل والمُزَّمِّل) والفاعليّة (المُزَمِّل) والمفعوليّة (المُزَمَّل)، وأنّ جذر هذه الكلمة حاضر بمعنى أو أكثر في كلّ آية تَلَتِ النِّداءَ بها، ولا سيّما الأخيرة، حتّى استوفَتْ السورةُ كلَّ ما لهذا الجذر من أطياف دلاليّة، مستنبطًا لذاك الحضور نحوًا من أربعين موضعًا، واستبان وَحْدةَ معاني (سورة المزمل)، وصلتَها بكلمتها المفتاحيّة (المزمل)، سواء في ذلك مكيّها ومدنيّها، على نحو مُعجِز، وأوضح أن تتبُّع توافقات آيات السورة لهذه الكلمة كانت له فائدتان: الأولى ما وُقِفَ عليه من بديع نظمها، والأخرى أنّ تطلُّبَ هذا التوافق كان في مواضع كثيرة معيارَ الاصطفاء من أقوال المفسِّرين التي اتّسمت غالبًا بِـ(الاحتماليّة).
Perancangan dan Analisis Jaringan FTTB Berbasis Teknologi GPON Pada Bangunan Hotel
Authors: Oktavianus Yoppi Lisyadi , Elfitri Ikhwana , Purbo Onno Widodo
Published: June 2023

This paper presents the design and implementation of a Fiber To The Building (FTTB) network infrastructure based on Gigabit Passive Optical Network (GPON) technology in a hotel cluster building located in West Sumatra, Indonesia. GPON technology was selected for its cost-effectiveness and efficiency in the distribution area, particularly when the terminal bandwidth is set at ≤500 Mbps. The waterfall method was utilized in the network's design. The results were tested and analyzed across three Open System Interconnection (OSI) layers: the physical layer, represented by the link power budget; the datalink layer, represented by the Traffic Container (T-CONT); and the network layer, represented by the QoS network performance. The link power budget showed a minimum received power of -16.41 dBm on the downlink and -18.95 dBm on the uplink, with a power margin value above zero. T-CONT has been implemented with the fixed bandwidth value set to provide a bandwidth guarantee meeting the minimum requirement of 1.1 Mbps. The network performance of the FTTB GPON demonstrated excellent performance, as per Internet Protocol Harmonization Over Network (TIPHON) standards, recording a latency of 1.18 ms, jitter of 0.18 ms, and zero packet loss
KEMAMPUAN MENULIS PUISI DENGAN TEKNIK PENGAMATAN OBJEK SECARA LANGSUNG SISWA KELAS VIII C SMP NEGERI 1 GU KABUPATEN BUTON TENGAH
Authors: Nuryadin Cecep , Arsad Arsad , Zalnia Zalnia
Published: June 2023

Tujuan penelitian ini untuk meningkatkan kemampuan menulis puisi dengan menggunakan Tekhnik Pengamatan Objek Secara Langsung pada siswa kelas VIII C SMP Negeri 1 GU Kabupaten Buton Tengah. Penelitian ini merupakan penelitian tindakan kelas yang terdiri dari 2 siklus. Sebagai subjek penelitian adalah siswa kelas VIII C SMP Negeri 1 GU Kabupaten Buton Tengah yang berjumlah 28 siswa. Pengumpulan data dilakukan dengan tes. Tekhnik analisis data yang digunakan adalah tekhnik analisis hasil tes. Dari hasil penelitian ini, didapat berbagai peningkatan pada nilai siswa yang terlihat pada prasiklus, siklus I dansiklus II. Pada prasiklus perolehan nilai rata-rata hasil belajar siswa adalah 53,2. Pada siklus I mencapai nilai rata-rata 65,7 dan pada siklus II mencapai nilai rata-rata 79,9. Nilai rata-rata sebesar 79,9 sudah melebihi nilai KKM sebesar 75 sehingga secara umum sudah mencapai KKM. Hasil tes yang telah melebihi KKM tersebut dimaknai bahwa hasil belajar siswa cukup baik atau dikategorikan baik.
STRATEGI GURU DALAM MENINGKATKAN MINAT BELAJAR SISWA KELAS VII DI SMP NEGERI 2 KALEDUPA
Authors: Tahir Hamsinah , Jaksim Jaksim
Published: June 2023

Rumusan masalah dalam penelitian ini adalah bagaimanakah strategi guru dalam meningkatkan minat belajar siswa kelas VII di SMP Negeri 2 Kaledupa pada mata pelajaran IPS? Selanjutnya, apakah ada peningkatan minat belajar siswa kelas VII di SMP Negeri 2 Kaledupa pada mata pelajaran IPS dengan strategi yang digunakan guru? Penelitian ini bertujuan untuk mengetahui minat belajar siswa kelas VII di SMP Negeri 2 Kaledupa pada mata pelajaran IPS dan untuk mengetahui Strategi guru dalam meningkatkan minat belajar siswa kelas VII di SMP Negeri 2 Kaledupa pada mata pelajaran IPS. Metode yang digunakan dalam penelitian ini adalah deskriptif kualitatif. Sampel yang diambil dalam penelitian ini sebanyak 10 orang siswa kelas VII A dari total 20 orang siswa dan 1 orang guru IPS. Dengan menggunakan rumus pengambilan sampel acak (Random). Teknik pengumpulan data menggunakan observasi, wawancara dan dokumentasi. Teknik analis data menggunakan teori dari Milles dan Huberman yaitu mereduksi data, menyajikan data, dan verifikasi data. Berdasarkan hasil penelitian, bahwa strategi guru dalam meningkatkan minat belajar siswa kelas VII di SMP Negeri 2 Kaledupa pada mata pelajaran Ilmu Pengetahuan Sosial, guru selalu berusaha meningkatkan minat belajar siswa dengan berbagai strategi, metode dan menggunakan media pembelajaran yang bervariasi. Menyajikan materi dengan maksimal, menyediakan sarana dan prasarana penunjang yang memadai, memperhatikan cita-cita, hobi, bakat dan aspirasi siswa. Upaya guru dalam meningkatkan minat belajar siswa kelas VII di SMP Negeri 2 Kaledupa dilakukan dengan menyediakan sumber belajar yang memadai, menggunakan strategi atau metode dan media mengajar yang bervariasi, meningkatkan disiplin belajar siswa, serta memberikan tantangan dan hukuman.
STRATEGI GURU TAMAN PENDIDIKAN AL-QUR’AN (TPQ) DALAM MENERAPKAN PEMBELAJARAN TILAWAH AL-QUR’AN DI YAYASAN ISLAM ARRAHIMIYAH
Authors: Burhan Burhan , Nurhayati Nurhayati , Aisa Andi
Published: June 2023

Tilawah alquran lebih lazim dikenal di Indonesia dengan istilah Seni baca Alquran. Dalam pelaksanaan pembelajaran seni baca Alquran membutuhkan bimbingan khusus dari seorang guru (ustadz/ ustadzah) yang memiliki keahlian di bidangnya Penelitian ini menggunakan penelitian lapangan (field research) yaitu penelitian yang pengumpulan datanya dilakukan dengan cara memperoleh melalui penyelidikan berdasarkan obyek lapangan.strategi dalam menerapkan pembelajaran Tilawah Alquran di yayasan tersebut menggunakan tiga teknik, agar peserta lebih mudah untuk mempelajarinya mereka dibekali rekaman lagu Naghom untuk di dengarkan di rumah masing-masing.Strategi guru Taman pendidikan Alquran (TPQ) yang digunakan dalam pembelajaran Tilawah Alquran di Yayasan Ihsan Kamboy Kendari yaitu (a) step by step, (b) Musyafahah atau Talaqqi, (c) penugasan, (d) Demonstrasi atau Praktik.
Comparative analysis of long-term outcomes of thoracoscopic and ablation index-guided catheter ablation in patients with non-paroxysmal atrial fibrillation
Authors: Taymasova I. A. , Artyukhina E. A. , Revishvili A. Sh.
Published: June 2023

Aim. To conduct a comparative assessment of the long-term results of thoracoscopic and catheter ablation using the ablation index in patients with non-paroxysmal atrial fibrillation (AF).

Methods. A comparative analysis of the long-term results of catheter ablation using the ablation index - group № 1 (36 patients) and thoracoscopic ablation with the left atrial appendage exclusion - group № 2 (42 patients) was performed.

Results. The effectiveness of catheter ablation was 57.14%, thoracoscopic ablation - 67.5% at 12-month followup (р=0,128). There were also no statistically significant differences in safety (p=0.55). Analyzing the structure of postprocedural atrial tachycardias in group №1 was demonstrated that AF recurrence was in 93.3%, in group №2 - in 50%. Atypical atrial flutter was documented in 6.6% of cases in group №1 and in 31.5% - in group №2. Typical atrial flutter was documented only in group №2 (18.75% (3)). However, AF recurrence was more common in the catheter ablation group after 6 months of follow-up (p=0.04).

Conclusion. Catheter and thoracoscopic ablation are comparable in terms of overall efficacy and safety, however, thoracoscopic ablation provides greater freedom from AF in a 6 month.
Long-term performance of domestic active-fixation endocardial pacing leads
Authors: Repnikov I. O. , Ginzburg I. N. , Gordeev O. L. , Egorov D. F.
Published: June 2023

Aim. The aim of the study was to evaluate the long-term results of implantation of domestic endocardial leads (EL) with active fixation ELBI 233C-53 and ELBI 233C-58, implanted in the atrial and ventricular positions, respectively.

Methods. A total of 165 patients were included in the retrospective, single-center study. 239 EL were implanted from 2016 to 2018 (55 ELBI 233C-53 and 184 ELBI 233C-58). The median age was 78 years (43 to 92 years). 846 programming protocols were analyzed, which were carried out on the 1st day after implantation, and then every 6 months. Complications are divided into early (1-7 days) and late (8 days or more).

Results. In the EL ELBI 233C-53 group, there were no statistically significant changes in the pacing parameters during the observation period. There were 6 complications (10.9%): exit block (n=1, 1.8%), dislocation of the EL (n=3, 5.4%), damage to the EL structure (n=2, 3.7%). The number of reoperations was 3 (5.4%). In the ELBI 233C-58 group, a statistically significant increase in the pacing threshold was found (p=0.026). 13 (7.0%) complications were registered, including an increase in the pacing threshold (n=11.6%), exit block (n=1, 0.5%), damage to the EL structure (n=1, 0.5%). The number of reoperations in this group was 2 (1%).

Conclusion. EL ELBI 233C-53 and ELBI 233C-58 demonstrated acceptable pacing parameters and safety during observation. Complications occurred mainly in the first year after implantation. The number of repeated operations was low. There were no deaths caused by complications after lead implantation.
Additional left atrial lesions improve the effect of cryoballoon pulmonary vein isolation in paroxysmal atrial fibrillation patients
Authors: Rachkova Iu. I. , Sergeeva O. A. , Gorev M. V. , Nardaia Sh. G. , Gaidukova N. A. , Petelko S. V. , Makarycheva O. V. , Dolginina S. I. , Rzaev F. G. , Vasilieva E. Yu. , Shpektor A. V.
Published: June 2023

Aim. Cryoballoon ablation (CBA) is one of the methods for catheter pulmonary vein isolation (PVI) for paroxysmal atrial fibrillation (AF). Left atrial additional lesion (LAAL) to PVI were proposed to eliminate extrapulmonary AF triggers. Nonetheless whether the additional lesions improve CBA effectiveness is not clear.

Methods. Primary CBA procedures performed for paroxysmal AF during 2017-2021 were analyzed. The study group (Algorithm group, n=82) was recruited prospectively in 2019-2021. As the first step CBA PVI were performed in all pts. In those who were on sinus rhythm (SR) after the PVI, AF induction attempts with burst atrial pacing were performed. Pts with induced AF and those who stayed on AF after PVI underwent LAAL at the left ganglionated plexus area. In case of stable SR (non-inducible AF) the procedure finished. If AF was inducible or did not terminate during CBA, the second LAAL set were performed - LA posterior wall lesions. If AF was still inducible or did not terminate, the SR was restored by electrical cardioversion. The control group (Control group, n=94) was formed retrospectively from patients with routinely performed only CBA PVI with achievement of isolation criteria in 2017-2019. If AF continued, sinus rhythm was restored by cardioversion. There were no attempts of induction AF during the procedure.

Results. The Algorithm and Control groups were comparable in terms of clinical, demographic and electrophysiological characteristics. At 12 months postoperatively, the effectiveness was higher in the Algorithm group than in the Control group (78.0% vs. 62.8%, p = 0.044). No adverse effects were found.

Conclusion. Thus, the stepwise approach with LAAL increases the effectiveness of CBA in the long-term period and does not affect the risk of complications.