bluuebunny/crossref_metadata_2025 huggingface dataset:
Measuring Digital Literacy in Sidoarjo Regency
Authors: Ahmad Riyadh Umar Bahlamar  , Abadi Totok Wahyu
Published: July 2023

Digital communication has replaced reading and writing as the primary forms of communication due to the Internet and social media use. In addition, it is critical to comprehend and use digital literacy in a field because of the expanding potential of information and communication technologies. This study aims to evaluate and clarify the level of digital media literacy among residents of the Sidoarjo Regency, describing how digital literacy differs at each level of education and calculating the Sidoarjo Regency's digital literacy index. A sample of 278 respondents for this quantitative descriptive study was selected using the cluster random selection technique. The questionnaires for this survey were distributed using the social media platform, WhatsApp. It consists of eight components of digital literacy, namely the ability to find, select and analyze information; effective communication skills; collaboration capabilities; digital presence capabilities; critical and evaluative thinking skills; creativity ability; the ability to effective practical skills; and cultural, social and ethical abilities. The results of the study show that digital literacy abilities in Sidoarjo Regency based on education vary. Digital literacy skills with junior high school education have an index of 76.35. Those with high school education have a digital literacy index of 79.19. Then those with a Bachelor's degree education have a digital literacy index of 81.17. In general, the digital literacy index for Sidoarjo Regency is 80.83. In digital literacy, the people of Sidoarjo Regency can think critically and evaluatively. The index on this ability is 84.66.
A vérpettyes medvelepke (Utetheisa pulchella Linnaeus, 1758) újabb előfordulásai Magyarországon
Authors: Szabóky Csaba , Takács Attila
Published: July 2023

In this work, the current distribution of the Crimson-speckled Flunkey moth (Utetheisa pulchella Linnaeus, 1758) in Hungary is presented. With 4 figures.
Origin and significance of early-diagenetic calcite concretions and barite from Silurian black shales in the East European Craton, Poland
Authors: Bojanowski Maciej J. , Kędzior Artur , Porębski Szczepan J. , Radzikowska Magdalena
Published: July 2023

The Silurian Pelplin Formation is a part of a thick, mud-prone distal fill of the Caledonian foredeep, which stretches along the western margin of the East European Craton. The Pelplin Formation consists of organic carbon- rich mudstones that have recently been the target of intensive investigations, as they represent a potential source of shale gas. The Pelplin mudstones host numerous calcite concretions containing authigenic pyrite and barite. Mineralogical and petrographic examination (XRD, optical microscopy, cathodoluminoscopy, SEM-EDS) and stable isotope analyses (δ13Corg, δ13C and δ18O of carbonates, δ34S and δ18O of barite) were carried out in order to understand the diagenetic conditions that led to precipitation of this carbonate-sulfide-sulfate paragenesis and to see if the concretions can enhance the understanding of sedimentary settings in the Baltic and Lublin basins during the Silurian. Barite formed during early diagenesis before and during the concretionary growth due to a deceleration of sedimentation during increased primary productivity. The main stages of concretionary growth took place in yet uncompacted sediments shortly after their deposition in the sulfate reduction zone. This precompactional cementation led to preferential preservation of original sedimentary structures, faunal assemblages and early- diagenetic barite, which have been mostly lost in the surrounding mudstones during burial. These components allowed for the reconstruction of important paleoenvironmental conditions in the Baltic and Lublin basins, such as depth, proximity to the detrital orogenic source and marine primary productivity. Investigation of the concretions also enabled estimation of the magnitude of mechanical compaction of the mudstones and calculation of original sedimentation rates. Moreover, it showed that biogenic methane was produced at an early-diagenetic stage, whereas thermogenic hydrocarbons migrated through the Pelplin Formation during deep burial.
Agriculture as a Catalyst for New Forms of Urban Habitat in Residential Architecture. A Case of Multi-Family and Mixed Housing Estates from 2010–2021 – European, American and Asian Context
Authors: Kleszcz Justyna
Published: July 2023

The article presented herein constitutes a research summary on urban, residential housing forms connected with agriculture developed in the years 2010–2021 throughout Northern America, Asia and Europe. The presented research was aimed at a comprehensive and comparative analysis of contemporary architecture, concerning new spatial phenomenon, analysing both the external form and the internal structure – formal and functional, of the resulting housing development. The method of global sampling was chosen as the possible examples of housing estates related to greenery or agriculture are spread worldwide. The paper aims to identify the main trends in creating a new form of urban living and to find the main points generating changes in the structure of buildings in connection with urban agriculture. Seven case studies were selected for the study, relating to both conceptual and already completed projects, showing a number of differences between the theoretical approach and its implementation, both in terms of the adopted assumptions and parameters of the obtained space in relation to housing estates combining architecture and greenery from that period. Case studies from Asia, North America and Europe created a background for comparison with the first Polish example of this type of development, located in Poznań.
Sentiment Analysis Framework using Deep Active Learning for Smartphone Aspect Based Rating Prediction
Authors: Muralidhar Rathan , Hulipalled Vishwanath R
Published: July 2023

Social media are a rich source of user generated content where people express their views towards the products and services they encounter. However, sentiment analysis using machine learning models are not easy to implement in a time and cost effective manner due to the requirement of expert human annotators to label the training data. The proposed approach uses a novel method to remove the neutral statements using a combination of lexicon based approach and human effort. This is followed by using a deep active learning model to perform sentiment analysis to reduce annotation efforts. It is compared with the baseline approach representing the neutral tweets also as a part of the data. Considering brands require aspect based ratings towards their products or services, the proposed approach also categorizes predicting ratings of each aspect of mobile device.
Possible Scenarios of the Evolution of the Russian-Ukranian War from the Perspective of the Gerasimov Doctrine
Authors: Grigore Laurențiu , Bojor Laviniu
Published: July 2023

In this article, we conduct an objective analysis of the Russian-Ukrainian war from the perspective of strategic military art. We start by formulating five working hypotheses, which are anchored in the reality of the battlefield and extended to the economic, diplomatic and technical-scientific domains. The Gerasimov doctrine represents the basis for interpretation of all the actions and activities carried out by the Russians in this confrontation and a strong point in drawing real and probable conclusions. We believe that an interpretation of the war outside this doctrine is an erroneous process, false and unrelated to scientific research. The Russian Federation, although the heir of the former USSR and furthermore of the Tsarist Empire, thinks and acts in a completely different way after the year 2000. In this regard, the military action conducted between Ukraine and Russia is supporting the economic actions directed against other military and economic powers and China plays an essential role in this global economic and political confrontation. This scientific approach highlights a new way of understanding the current and future military phenomenon and represents a starting point for other studies related to this theme..
Technology During the Post-Pandemic Era: Adaptation or Limitation?
Authors: Duralia Daniela
Published: July 2023

According to The Guardian, “Professors, programmers and journalists could all be out of a job in just a few years” [1]. In North America, long before the pandemic, some high schools (both public and private) replaced books and notebooks with laptops. In universities, the students preferred listening to the recordings of the lectures taken on their computers or phones instead of actively taking notes during the classes. Technology has been the topic of many debates among teachers, parents, and students. Seen both advantageous and disadvantageous, technology in the classroom has become indispensable to teaching. Technology has proven to have been the only way out of the pandemic crisis regarding business and education. The trend in the education field in a post-pandemic context resulted from a blend between teaching approaches and technology use. However, in a post-pandemic context, this trend has been seen as one of the central factors leading to an increase in the lack of inperson socialization for youths and a principal distraction from their studies. Moreover, the development of more advanced software (A.I. Bot ChatGPT) has started to influence the teaching process regarding assignments. However, the real question is how and to what extent the use of technology can be advantageous for students today.
Culture Eats Strategic Planning for Breakfast Too
Authors: Uifăleanu Ovidiu , Dăncuţă Raul
Published: July 2023

Cultural differences can significantly impact strategic planning, shaping how people perceive, interpret, decide, and respond in all the process phases. Intensively analysed from a business strategy perspective, the cultural differences influencing the successful implementation of strategic plans generate multiple conclusions.

This study looks at a country comparison between the United States and Romania, highlighting the cultural dimensions that, in our opinion, impact the generic planning process: communication style, values and beliefs, risk-taking and time orientation.

The second objective focused on the evolution of strategic planning concepts from 1989 to the present in Romania, showing similarities with the United States system. The research method used for this objective involves analysing the national-level legislative framework. Ultimately, the study presents the comparative result of strategic planning at the local authorities level in both countries, aiming to underline the impact of cultural differences on the strategic planning process. The method is the analysis of international research that addresses the issue at hand. The study is structured into three sections. The first section compares the cultural attributes of the two countries. The second section explores the evolution of strategic planning in Romania. The final section examines the results of strategic planning implementation on local authorities in both countries.
Does tumor rupture during robot-assisted partial nephrectomy have an impact on mid-term tumor recurrences?
Authors: Hawlina Simon , Cerovic Kosta , Kondza Andraz , Popovic Peter , Bizjak Jure , Smrkolj Tomaz
Published: July 2023

Background

Intraoperative kidney tumor rupture (TR) can occur during robot-assisted partial nephrectomy (RAPN) in daily clinical practice, but there are no solid guidelines on the management and implications of it. The purpose of the study was to investigate the impact of TR on tumor recurrences, what a surgeon should do if this adverse event occurs, and how to avoid it.

Patients and methods

We retrospectively analyzed the first 100 patients who underwent RAPN at University Medical Centre Ljubljana, between 2018 and 2021. Patients were stratified into 2 groups (TR and no-TR) and were compared according to patient, tumor, pathologic, perioperative and postoperative characteristics and tumor recurrences, using the Mann-Whitney U test and chi-squared test.

Results

Of the 100 patients, 14 had TR (14%); this occurred in tumors with higher RENAL nephrometry scores (P = 0.028) and mostly with papillary renal cell carcinomas (P = 0.043). Median warm ischemia time was longer for the TR group (22 vs. 15 min, P = 0.026). In terms of studied outcomes, there were no cases of local or distant recurrence after a median observation time of 39 months (interquartile range, 31–47 months) in both groups. We observed positive surgical margins on the final oncologic report in one case in the no-TR group.

Conclusions

Tumor rupture during RAPN seems to be of no mid-term oncologic importance. According to presented results, we would recommend surgeons to proceed with tumor resection if this event occurs and abstain from conversion to radical nephrectomy or open partial nephrectomy. However, more similar cases should be studied to make more solid conclusions.
Translating High-Frame-Rate Imaging into Clinical Practice: Where Do We Stand?
Authors: Popescu Aniela , Bézy Stéphanie , Voigt Jens-Uwe
Published: July 2023

Continuous developments in cardiovascular imaging, software, and hardware have led to technological advancements that open new ways for assessing myocardial mechanics, hemodynamics, and function. The technical shift from clinical ultrasound machines that rely on conventional line-per-line beam transmissions to ultrafast imaging based on plane or diverging waves provides very high frame rates of up to 5000 Hz with a wide variety of potential new applications, including shear wave imaging, ultrafast speckle tracking, intracardiac flow imaging, and myocardial perfusion imaging. This review provides an overview of these advances and demonstrates potential applications and their possible added value in clinical practice.
PENGARUH FIRM IMAGE TERHADAP AFFECTIVE LOYALTY DAN COGNITIVE LOYALTY DAN DAMPAKNYA TERHADAP WORD OF MOUTH PADA KONSUMEN PRODUK WARDAH DI YOGYAKARTA
Authors: Cahyapuspita Erika
Published: July 2023

The purpose of this study is to analyze and explain the effect of firm image on affective loyalty and cognitive loyalty as well as its impact on word of mouth on Wardah consumers in Yogyakarta. The sample used in this study were customers who buy and use Wardah cosmetic products in Yogyakarta. Accidental sampling was used as the sampling technique. The researchers used questionnaire to collect the primary data with the total of 200 respondents. In this study, the researchers also used regression to determine the effect of firm image on affective loyalty and cognitive loyalty as well as its impact on word of mouth. The results showed simple and multiple linear regression analysis on the T test which showed that the firm image has a significant effect on affective loyalty and firm image has a significant effect on cognitive loyalty. The results of F test showed that firm image, affective loyalty and cognitive loyalty can simultaneously predict the changes in word of mouth. The test results of the coefficient of determination or R² word of mouth are affected by firm image, affective loyalty and cognitive loyalty. The analysis resulted in firm image has a positive effect on affective loyalty, firm image has a positive effect on cognitive loyalty, affective loyalty has a positive effect on word of mouth, cognitive loyalty has a positive effect on word of mouth and firm image has a positive effect on word of mouth.
STRATEGI PENGELOLAAN KELAS UNTUK MENINGKATKAN HASIL BELAJAR SISWA
Authors: Erta Utin Emma Dafiana
Published: July 2023

This study aims to improve student learning outcomes with strategies to increase student confidence in class IX A of SMP Negeri 2 Sanggau. This research was carried out in the second semester of the 2021/2022 academic year with learning activities carried out in two sessions, face-to-face meetings (PTM) and learning from home (BDR). The research conducted was classroom action research which consisted of two cycles, and each cycle consisted of two meetings. Each research cycle consists of four stages, namely: planning, action, observation, and reflection. The results showed that with increasing students' self-confidence, the learning outcomes obtained by students also increased as seen from the learning outcomes obtained by students in the first cycle by 75.00% to 87.50% in the second cycle.
Synergistic Insights into Pyrazinophenazine based Hybrid Materials for Advancing Optoelectronics
Authors: Chaskar Atul , Madagyal Sunil , Yadav Pratima , Ganeshan Gokul , Chetti Prabhakar , Kothavale Shantaram
Published: July 2023

We have synthesized a two novel hybrid molecules 3-(4-(9,9-dimethylacridin-10(9H)-yl)phenyl)-12,13-diphenyldibenzo[a,c]pyrazino[2,3-i]phenazine (Ac-DibzPyrQx) and 3-(4-(3,6-di-tert-butyl-9H-carbazol-9-yl)phenyl)-12,13 diphenyldibenzo[a,c]pyrazino [2,3-i]phenazine (tCz-DibzPyrQx), comprising electron-donating (9,9-dimethyl-9,10-dihydroacridine, 3,6-di-tert-butyl-9H-carbazole) and electron accepting Pyrazinophenazine groups. The two different electron-donating groups with pyrazinophenazine were synthesized with the view to tune the photophysical and electrochemical properties of the hybrids. The photophysical study displayed absorption maxima in the range of 320-340 nm and 400-500 nm whereas emission maxima at 602 and 540 nm in toluene for these emitters respectively. These compounds showed high thermal and morphological stability, as well as appropriate frontier molecular orbital (FMO) energy levels. These synthesized molecules show very high decomposition temperatures (3000C and 3800C) and exhibited good glass transition temperatures (3280C and 3000C), indicating their significant stability and potential utility as a bipolar host material for efficient phosphorescent organic light-emitting diodes (PhOLEDs) and TADF molecules.
The impact of aligned magnetic field on Walters Liquid $B$ fluid over a stretching surface with Rosseland diffusion approximation
Authors: S. Munirathinam  , C. Ragavan  , R. Kalaivanan
Published: July 2023

In the present article, we have investigated the influence of inclined magnetic field on Walter's Liquid B fluid flow through stretching sheet. Elastic deformation and Rosseland diffusion approximation for radiative heat flux are considered. With the help of similarity transformation the flow and energy equations are solved analytically by using confluent hypergeometric method. Results for various physical parameters are presented through graphs. It's also noted that the increasing values of elastic deformation parameter increase the local Nusselt number.
Limitações das reformas para o controle civil sobre as forças armadas nos governos do PT (2003-2016)
Authors: Cortinhas Juliano da Silva , Vitelli Marina Gisela
Published: July 2023

O artigo debate a evolução do controle civil sobre as forças armadas nas gestões do Partido dos Trabalhadores (PT). A análise está concentrada nas transformações promovidas no Ministério da Defesa (MD), tanto com relação à sua estrutura quanto no perfil dos agentes que lá atuavam. Enquanto a maioria da literatura destaca positivamente as medidas que foram adotadas naquele período, o artigo defende que o período foi marcado pela permanência da autonomia institucional das forças armadas. A divergência decorre de lacunas ontológicas e metodológicas nos modelos analisados. Ontologicamente, tais modelos privilegiam o estudo da estrutura do MD, em detrimento do exame do perfil dos agentes que a compõem. Metodologicamente, há excessiva preocupação com a comparação, que deixa de considerar peculiaridades de cada país. O primeiro objetivo do artigo é contribuir para a correção dessas lacunas. O segundo é apontar os limites dos avanços no controle civil ao longo dos governos do PT. Três variáveis embasam o argumento: a) a evolução da estrutura organizacional do Ministério da Defesa; b) os perfis dos ministros da Defesa; c) o equilíbrio entre civis e militares na pasta.
PENGEMBANGAN MEDIA RUMAH GEO UNTUK MENINGKATKAN KEMAMPUAN MENGENAL BENTUK GEOMETRI PADA KELOMPOK A (USIA 4-5 TAHUN)
Authors: Mufidah Atik , Saputro Bagus Ardi , Muhtarom Muhtarom
Published: July 2023

Mengenalkan bentuk geometri pada anak usia dini merupakan suatu usaha untuk menstimulasi kemampuan yang dimiliki anak dalam mengenal, menunjuk, menyebutkan serta mengumpulkan benda-benda yang ada di sekitarnya. Media merupakan segala sesuatu yang dapat dipergunakan sebagai sarana atau peralatan untuk bermain yang mengandung nilai pendidikan (edukatif) yang dapat merangsang serta dapat mengembangkan seluruh kemampuan yang dimiliki anak. Pengembangan media geometri merupakan suatu proses mendesain pembelajaran dengan penggunaan alat bantu sebagai media untuk mengenalkan bentuk-bentuk geometri yang secara logis dan sistematis dalam menetapkan segala sesuatu yang dilaksanakan dalam proses kegiatan belajar dengan memperhatikan potensi dan kompetensi peserta didik (Hamid, 2013). Rumah Geo merupakan suatu media atau alat permainan yang dirancang dan dibuat membentuk rumah serta digunakan dalam kegiatan pembelajaran untuk memperkenalkan bentuk-bentuk geometri kepada anak usia dini khususnya anak usia 4-5 tahun melalui bermain untuk mendapatkan pengalaman belajar yang konkret. Jenis penelitian yang digunakan dalam penelitian ini merupakan jenis penelitian pengembangan atau Research and development. Pendekatan dan desain yang digunakan dalam penelitian pengembangan ini menggunakan model ADDIE. Tempat penelitian adalah RA Muslimat NU Masyithoh 05 Banyurip Ageng Kota Pekalongan. Waktu penelitian dilaksanakan pada semester genap bulan Maret sampai dengan Juni 2022. Subjek dalam penelitian adalah peserta didik Kelompok A usia 4-5 tahun. Sampel yang digunakan yaitu sejumlah 30 anak. Instrumen pengumpulan data dalam penelitian : Angket, Lembar Observasi, Pedoman Wawancara, Dokumentasi. Teknik pengumpulan data : angket, observasi, wawancara, dokumentasi. Teknik analisis data : Uji Validasi, Reliabilitas, Uji Kepraktisan, Uji Normalitas, Uji Homogenitas dan Uji T. Hasil kevalidan : Pengembangan media Rumah Geo terbukti valid, praktis, dan efektif digunakan untuk meningkatkan kemampuan mengenal bentuk geometri pada kelompok A usia 4-5 tahun.
Analisis Sentimen Tanggapan Masyarakat Terhadap Calon Presiden 2024 Ridwan Kamil Menggunakan Metode Naive Bayes Classifier
Authors: Juana Neni Sari Putri , Haerani Elin , Syafria Fadhilah , Budianita Elvia
Published: July 2023

Reaction to public facts about the election of the presidential candidate Ridwan Kamil, which will later be obtained, the data is taken from Twitter based on these problems, it is necessary to do sentiment analysis research. Based on the results of this study, the classification process for the Naïve Bayes Classifier has 3 scenarios for dividing training data and test data, namely with 90%:10% training data, the test data produces an accuary value of 85.43%, a recall value of 100.00%, and a precision of 85.33%. For training data 80%: 20% of the test data produces an accuracy value of 86.38%, a recall of 100.00% and a precision value of 86.38% and for data on the distribution of training data 70%: 30% of the test data produces an accuary value of 84.29 %, 100.00% recall and 84.29% precision. From the tweet data that has been used, there are 1262 positive comments and 242 negative comments. These results prove that the Naïve Bayes classifier is very good for conducting sentiment analysis on Twitter comments about the 2024 presidential candidate Ridwan Kamil. The naïve Bayes classifier process gets the highest accuracy value of 86.38% by dividing the training data 80%:20% test data.
A shared temporal window of integration across cognitive control and reinforcement learning paradigms: A correlational study
Authors: Vasta Nicola , Xu Shengjie , Verguts Tom , Braem Senne
Published: July 2023

Cognitive control refers to the ability to override prepotent response tendencies to achieve goal-directed behavior. Instead, reinforcement learning refers to the learning of actions through feedback and reward. Although cognitive control and reinforcement learning are often viewed as opposing forces in driving behavior, recent theories have emphasized possible similarities in their underling processes. With this study, we aimed to investigate whether a similar time window of integration could be observed during the learning of control on the one hand, and the learning rate in reinforcement learning paradigms on the other. To this end, we performed a correlational analysis on a large public dataset (n = 522), including data from two reinforcement learning tasks, that is, a probabilistic selection task and a probabilistic Wisconsin Card Sorting Task (WCST), and data from a classic conflict task (i.e., the Stroop task). Results showed expected correlations between time scale of control indices and learning rate in the probabilistic WCST. Moreover, the learning rate parameters of the two reinforcement learning tasks did not correlate with each other. Together, these findings suggest a reliance on a shared learning mechanism between these two traditionally distinct domains, while, at the same time, emphasizing that value updating processes can still be very task-specific. We speculate that updating processes in the Stroop and WCST may be more related because both tasks require task-specific updating of stimulus features (e.g., color, word meaning, pattern, shape), as opposed to stimulus identity.
PENERAPAN SISTEM PELAYANAN PERIZINAN BERUSAHA TERINTEGRASI SECARA ELEKTRONIK PADA DINAS PENANAMAN MODAL DAN PELAYANAN TERPADU SATU PINTU KABUPATEN BALANGAN
Authors: Santi Windayani Fachria , Asmu'i Asmu'i , Arbain Taufik
Published: July 2023

Dari pedoman utama berdasarkan peraturan presiden no 24 tahun 2018 tentang pelayanan perizinan berusaha terintegrasi secara elektronik terdapat 7 hal dalam penerapan pelayanan perizinan yaitu pendaftaran, penerbitan izin uasaha komersil, pemenuhan komitmen, pembayaran biaya, fasilitas, masa berlaku dan pengawasan. faktor yang mempengaruhi sumberdaya manusia, sarana dan prasarana, sosialisasi OSS, koordinasi, NSPK dan pemahaman tofuksi
Marketing Strategy for Griya's Micro-small Medium Enterprises' Product in Tanjung Jaya Village
Authors: Goenadhi Felix , Utami Ajeng Sekar , Usman Meiske Aulia , Prayoga Tasya Zahwa , Rahmiati Filda
Published: July 2023

Marketing mix is a tool to increase enterprise sales and engage consumer to purchase the products. The purpose of this study is to analyze the internal assessment and the relevant marketing mix strategy's application to boost sales at Griya in Tanjung Jaya Village. This study employs a qualitative descriptive analytic approach, gathering information from the firm directly through observations and interviews tailored to the research topic. The results of this study indicates that the strategy applied by Griya products in Tanjung Jaya Village has been going well, where the four marketing strategy elements play distinct marketing roles while supporting and complementing one another. It is better if the Griya MSME in Tanjung Jaya Village are improved with the marketing mix that has been implemented. Given that many of the company's rivals are releasing goods that are comparable to its own, the company's approach is solid and many contributing marketing aspects should be re-examined in order to increase the number of consumer as well as maintain sales and increase their consumer intention to purchase the services.
IMRT-VMAT in Locally Advanced Rectal Adenocarcinoma: An Observational Multicenter Prospectic Study on Total Neoadiuvant Radiotherapy According Rapido Trial
Authors: Lazzari Grazia , Benevento Ilaria , Montagna Antonietta , D'Andrea Barbara , Castaldo Giovanni , Bianculli Antonella , Tucciariello Raffaele , Calice Giovanni , Storto Giovanni , Giordano Alessia , Solazzo Angela
Published: July 2023

Background: The phase III multicenter randomized RAPIDO trial (Rectal Cancer And Preoperative Induction therapy followed by Dedicated Operation) has shown the advantege of Total Neoadjuvant treatment (TNT) with short course radiotherapy (RT). However, data on local control have not been confirmed at 5.6 years median follow-up in favor of the TNT arm because patients from the experimental (EXP) group received more often 3D-CRT (p=0.029). The primary end-point of this multicentric observational prospectic study is to assess the real life safety and efficacy of RAPIDO trial protocol using VMAT and IMRT treatment in all enrolled patients. Moreover FDG-PET and MRI images for predictive features compared with cancer phenotype (status of K-ras and EGFR) and study on tumor microenviroment response to short course RT will be also provided. Methods: Locally advanced rectal cancer patients undergoing TNT as defined in RAPIDO trial will be enrolled and prospectively included in this study. MRI and FDG-PET will be performed to staging and restaging the disease. The tumor microenviroment changes assessment with immunophenotype and soluble PDL1 and on EVCs will be done. For sample size calculation, using OR 0.5, 100 patients will be enrolled into two years. Kaplan -model and proportional Cox method will be adopoted for OS, DFS and predictive factors for local control. Conclusions: The results of this study will be useful to assess prospectively the safety and effectiveness of VMAT and IMRT in short course TNT assuming predictive factors for response through radiomics, metabolomics and immunological features. Trial Registration: COMITATO ETICO UNICO REGIONALE ( CEUR ) N.50/2022; San Carlo Hospital, Potenza, Italy.
Blanking period antiarrhythmic drugs after catheter ablation for atrial fibrillation: a meta-analysis of randomized controlled trials
Authors: Chen Gang , Li Guangling , Zhang Demei , Wang Xiaomei , Guo Xueya
Published: July 2023

Background

Antiarrhythmic drugs (AADs) are frequently prescribed following catheter ablation (CA) for atrial fibrillation (AF). However, to date, there is a lack of large-scale, multicenter controlled studies that have confirmed the efficacy of AADs in reducing the incidence of late recurrence of AF after CA. Furthermore, the optimal duration of short-term use of AADs after CA remains a controversial topic.

Methods

PubMed, Embase, Cochrane Library, CNKI, and ClinicalTrials.gov were searched until April 25, 2022. We conducted a meta-analysis of randomized controlled trials (RCTs) to assess the efficacy of blanking period AADs in predicting both early and late recurrence of AF. In addition, Grading of Recommendations Assessment, Development and Evaluation (GRADE) was used to assess the quality of evidence in this meta-analysis.

Results

12 RCTs with 3,625 patients were included in this meta-analysis. Short-term use of AADs after AF ablation reduced the risk of early recurrence of AF compared with the no-AADs group. In the subgroup analysis of AADs use time, it was found that only using AADs for more than 2 months can reduce the early recurrence of AF after CA. However, when compared with the no-AADs group, short-term use of AADs after CA did not reduce the incidence of late recurrence of AF.

Conclusions

Short-term use of AADs (more than 2 months) can reduce the early recurrence but not the late recurrence of AF after CA.
Association between dietary inflammatory index and Parkinson’s disease from National Health and Nutrition Examination Survey (2003–2018): a cross-sectional study
Authors: Zeng Zhaohao , Cen Yanmei , Wang Lu , Luo Xiaoguang
Published: July 2023

Objected

To explore the association between Parkinson’s disease (PD) and dietary inflammatory index (DII) scores in adults over 40 years old in the US.

Method

Data were collected from the National Health and Nutrition Examination Survey (NHANES) conducted from 2003 to 2018. A total of 21,994 participants were included in the study. A weighted univariate and multivariable logistic regression analysis was performed to investigate the association between the DII and PD, in which continuous variables or categorical variables grouped by tertiles was used. The relationship between DII and PD has been further investigated using propensity score matching (PSM) and a subgroup analysis stratified based on DII and PD characteristics. Moreover, restricted cubic spline (RCS) analysis was conducted to examine whether there was a nonlinear association between DII and PD.

Results

A total of 21,994 participants were obtained for statistical analysis, made up of 263 patients with PD and 21,731 participants without PD. Univariate and multivariable logistics regression analysis showed DII to be positively associated with PD before and after matching. Subgroup analysis revealed a statistical difference in non-Hispanic whites, but RCS analysis suggested that there was no nonlinear relationship between the DII and PD.

Conclusion

For participants over 40 years of age, higher DII scores were positively correlated with PD. In addition, these results support the ability of diet to be used as an intervention strategy for managing PD.
The mediating effect of mood spectrum on the relationship between autistic traits and catatonia spectrum
Authors: Dell’Osso Liliana , Amatori Giulia , Carpita Barbara , Massimetti Gabriele , Nardi Benedetta , Gravina Davide , Benedetti Francesca , Bonelli Chiara , Casagrande Danila , Luciano Mario , Berardelli Isabella , Brondino Natascia , De Gregorio Marianna , Deste Giacomo , Nola Marta , Reitano Antonino , Muscatello Maria Rosaria Anna , Pompili Maurizio , Politi Pierluigi , Vita Antonio , Maj Mario
Published: July 2023

Background

In the recent years, several studies have shown a correlation between autism spectrum disorder (ASD) and catatonia. It is also known that both conditions are found to be associated with mood disorders. This study aimed to investigate the relationship between autistic traits and catatonic symptoms, as well as the potential mediating role of mood disorder spectrum in the relationship between them.

Methods

The total sample of 514 subjects was composed by four diagnostic groups, composed by patients affected by catatonia (CTN), borderline personality disorder (BPD), major depressive disorder (MDD) and healthy controls (HC). Subjects were assessed with the SCID-5-RV, the Adult Autism Subthreshold Spectrum (AdAS Spectrum) and the Catatonia Spectrum (CS) and the Mood Spectrum Self-Report (MOODS-SR). Statistical analyses included Pearson’s coefficient calculation, multiple linear regression, and mediation analysis.

Results

all the correlations appear to be strongly positive and significant with the strongest coefficient emerging between AdAS Spectrum total score and CS total score (r = 0.762, p < 0.001). The Mediation Analysis showed that AdAS Spectrum total score showed a significant indirect effect on CS total score through MOODS-SR total score (b = 0.168, 95% bootstrapped CI [0.127:0.207]).

Conclusion

The present study highlights the presence of a mediating role of the mood disorder spectrum in the relationship between autistic traits and the catatonia spectrum.
Is it safe enough? A pilot feasibility study of an 8-day intensive treatment for severe PTSD
Authors: Gahnfelt Hannes , Carlsson Per F. G. , Blomdahl Christina
Published: July 2023

Intensive treatments for posttraumatic stress disorder (PTSD) are gaining increased research support. Treatment models targeting Complex PTSD and previously treatment-resistant PTSD have shown a good effect. A pilot study was performed to assess the feasibility of an 8-day intensive treatment program for severe PTSD in a Swedish public healthcare setting. Eleven participants completed treatment, and overall, the reduction in PTSD symptoms was considerable. Also, loss of diagnosis at 3-month follow-up was 100%. No adverse events occurred, and no elevation of suicidal intentions was reported. Symptom exacerbation could not be observed in the data and dropout due to the intensity of the treatment format did not occur. Based on these positive results, it is recommended that further research with larger samples is conducted. If found safe and effective, the 8-day treatment program could be an important addition to psychiatric healthcare.
The Effects of Phased Warming during Late Winter and Early Spring on Grain Yield and Quality of Winter Wheat (Triticum aestivum L.)
Authors: Yu Haiwang , Gao Zhen , Zhao Jingshan , Wang Zheng , Li Xiaoyu , Xu Xinyan , Jian Huajian , Bian Dahong , Cui Yanhong , Du Xiong
Published: July 2023

Phased warming in late winter and early spring can increase winter wheat grain yield. However, the effects of different durations of warming during this period on winter wheat grain yield and quality are not yet clear. Therefore, this study conducted field warming experiments in a movable polyethylene greenhouse during the late winter and early spring stages of the three wheat growing seasons from 2019 to 2022. The results showed that the accumulated growing degree days (GDD) of the warming treatment during the warming period were increased by 87.3–215.7 °C d compared to the control (CK). The warming treatment advanced and prolonged the duration of vegetative growth and spike differentiation after regreening, promoted spike and flower development, and increased grain length, grain width, and grain area. During the three growing seasons, the longer the warming duration (WD) of the warming treatment, the more obvious were the observed promoting effects on the kernel number per spike and 1000-kernel weight. From 2019 to 2021, compared to the CK, the spike number per unit area and grain yield of the warming treatments increased with the prolongation of WD. However, in the 2022 growing season the spike number per unit area and grain yield of the warming treatment were increased with longer WD, reaching the maximum at WD of 56 days and then gradually decreasing with longer WD. Compared to CK, the grain protein content, wet gluten content, and sedimentation value of the warming treatment decreased with the prolongation of WD. The promotion effect of longer WD on grain starch content and protein yield was more significant. In summary, the accumulated GDD during the warming period compared to CK was 155.8–181.2 °C d, and at WD of 50–56 days a relatively higher grain yield and protein yield could be obtained.
Growers' Perceptions and Adoption Practices of Integrated Pest Management in West Virginia
Authors: Vommi Hari , LaVergne Douglas , Gartin Stacy
Published: July 2023

Integrated Pest Management implementation continues to be an important topic among growers. Although the continuing concerns over the residual effects of pesticides have prompted government regulations to encourage environmentally friendly approaches to pest management, adoption levels remain stagnant. The study reported here investigates the perceptions and IPM adoption practices of corn growers in West Virginia. Respondents agreed that repeated use of herbicides and insecticides with the same mode of action leads to herbicide-resistant weeds and insecticide-resistant insect pests. Additionally, scouting was the most commonly used IPM practice for insect, disease, and weed control. Recommendations for practice are also discussed.
Survey on Physicians' Opinions on Life-Sustaining Treatments in the ICU
Authors: LEE Mee-Ae
Published: July 2023

The purpose of this study attempts to identify knowledge, opinions, and atiitudes on life-sustaining treatments of physicians in the ICU. The survey was done on 28 hospitals, at which 2 surveys were conducted. Analysis sample included 56 cases. All of respondents were physicians who were in charge of ICU. None of 28 hospitals had a document related to DNR orders. About 41% of respondents had an experience of oral communications on the subject of DNR orders with caregivers and/or patients.
Results were as follows:
1) About 73% of respondents have some degree of knowledge about DNR orders.
2) None of 28 hospitals in the area of Chungchungnam-do, Chungchungbuk-do, and Daejeon-city had a document related to DNR orders. But, before the withdrawl of life-sustaining treatments, there has been communications among physicians, caregivers, and patients.
3) 53.6% of respondents had the experiences on the withdrawal of life-sustaining treatments, for this study, CPR. Primary caregivers played a prioritized role in the decision-making process of end-of-life care along with physicians in the ICU. In contrast, patients' role was reported to be minimal. In contrast with the Western countries, patients' right to decision didn't seem to be weighed much. Majority of respondents thought beginning of life-sustaining treatments too many but the withdrawal too few as they should be done on the basis of medical judgement.
4) Presumed that there is no chance of recovery, as for factors affecting physicians' decision on the withdrawal of life-sustaining treatments in the ICU, physician's medical judgement was the most frequent factor, caregivers' need the second. Patients' need was one of those factors which considered the least frequent.
Medical Professionalism and Clinical Autonomy in Korea
Authors: CHEONG Yoo-Seock
Published: July 2023

Physicians' dual roles -healer and professional - are linked by codes of ethics governing behaviour and are empowered by science. Being part of a profession entails a societal contract. The profession is granted a monopoly over the use of a body of knowledge and the privilege of self-regulation and, in return, guarantees society professional competence, integrity and the provision of altruistic service. Societal attitudes to professionalism have changed from supportive to increasingly critical-with physicians being criticised for pursuing their own financial interests, and failing to self-regulate in a way that guarantees competence. Physician's professional autonomy in Korea has been threatened by several factors. The most important are the unreasonable national healthcare system and negligence of education of the professionalism in medical schools. It asserted that physicians exploited their monopoly to create a demand for services which they then satisfied. It identified serious failures in self-regulation, and abuse of collegiality to protect incompetent or unethical physicians. It criticised physicians for pursuing their own financial interests at the expense of both individual patients and society. For the ideal of professionalism to survive, physicians must understand it and its role in the social contract. They must meet the obligations necessary to sustain professionalism and ensure that healthcare systems support, rather than subvert, behaviour that is compatible with professionalism's values. In this, they acquire responsibility for its integrity, for its proper application, and for its expansion, which, for medicine, means the support of science. Professions have an obligation to transmit their knowledge by teaching it to future practitioners, the general public, and their patients. Even if the medical profession itself carries out ethical value education, it is unlikely that the values cherished by physicians for centuries can be preserved unless their preservation is encouraged and supported by society through the structure of the healthcare system. Healthcare systems can actively promote desirable behaviour or they can encourage physicians to place their own interest first. Without question, the medical profession itself wishes to function within a system dominated by a healthy and flourishing professionalism. Both government and publics should wish for the same type of physician- competent, moral, idealistic, and altruistic. This is best guaranteed by a reasonable health care system.
말기환자의 연명치료중단에 대한 간호사의 인식도
Authors: 박 연옥 , 장 봉희 , 유 문숙 , 조 유숙 , 김 효심
Published: July 2023

전통적 의료의 관점에서 볼 때 치료의 범위는 대상자를 건강한 상태로 회복하도록 돕는 것에서 말기환자의 생명을 연장하려는 의료행위까지 매우 포괄적이라 할 수 있다. 이는 생 명이 유지되는 한 환자에게 최선을 다해야 한다는 의료인의 강한 사회적 책임감과 윤리의식 의 결과라 할 수 있는데 최근 들어 사회 일부에서는 소생이 불가능한 말기환자의 경우 치료 를 중단하거나 보류하는 것이 보다 더 인간의 존엄성을 존중하는 바람직한 행위라는 견해가 일고 있다. 이미 회생이 불가능한 환자에게 단지 생명유지를 목적으로 의료를 제공한다는 것은 환자의 의미있는 삶이 아니라 오히려 고통을 받는 기간을 연장하는 무의미한 노력일 수도 있기 때문이다1)2).
연명치료 중단 자문에 대한 대학병원 의료윤리위원회의 역할
Authors: KOH Youn-Suk , KANG Jeong-Min , Armstrong John D.
Published: July 2023

최근의 집중치료의 발전은 치유는 되지 않은 채 사망에 이르는 시간만 연장시키는 경우들을 초래하여 연명치료의 지속여부와 관련한 윤리적 갈등을 야기하고 있다. 의료인들은 흔히 의료윤리 문제를 개개인의 의료윤리 지식이나 가치관 혹은 동료의사의 의견을 참고하여 해결하여 왔으나 사회는 의료인들이 보다 전문적이고 체계적으로 의료윤리 문제들에 접근 할 것을 요구하고 있다. 연명치료의 중단과 관련된 의료윤리 문제의 해결에 병원윤리위원회가 중요한 역할을수행할 수 있으나 국내의 현실은 그렇지 않은 것으로 추정된다. 이에 한 병원윤리위원회에서 연명치료 중단에 연관된 윤리 문제를 다룬 경험을 통하여 국내 병원윤리위원회와 연관된 문제점들을 고찰하고자 한다.
Autopercepción sobre el aprendizaje en estudiantes de turismo de la generación Z
Authors: Berzunza-Criollo Milton
Published: July 2023

This research was carried out at the Universidad de Oriente (UNO) in Mexico with first-year students of the Bachelor's Degree in Tourism Development, its objective is to establish the self-perception of one's own generation and its relationship with learning and teaching. of their teachers. The study was qualitative with a phenomenological design, using the focus group technique, with convenience sampling, whose participants voluntarily attended the interviews. It was obtained that the students understand why their teachers teach with different strategies from the way in which they consider they learn, and it is due to the generation gap and their condition of digital migrants, being the conception and use of technology the main one. difference between them. Among the scope of the study is that it applies exclusively to students from the Yucatecan context and UNO, so it is desirable to replicate it with other students of this generation. It is concluded that there are significant differences between the methodologies of the teaching-learning process between students and their teachers, which impacts the way of teaching and learning, since they use materials that may not be entirely useful for understanding the contents of the subjects.
THE EFFECT OF ACCEPTANCE FACTORS ON THE QUALITY OF E-LEARNING SYSTEMS AMONG HEI STUDENTS IN MALAYSIA
Authors: Muhammad Razaki Marina , Saufi Suraini , Wan Mohd Nasir Wan Nadiah , Kamal Izzat Syazwan Mustafa
Published: July 2023

This article aims to examine the effect of acceptance factors on the quality of e-learning systems among HEI students in Malaysia to meet the needs of teaching and learning in line with developed countries. This study is beneficial to the world of Education, especially at the level of Higher Education Institutions that make the e-learning system one of the main mediums in the teaching and learning system. This study uses a quantitative approach through a cross-sectional survey method. The findings of the study show the perception of ease of use (β=0.342, p<.05; technical support (β=0.260, p<.05); lecturer characteristics (β=0.203, p<.05) and the perception of usefulness (β=0.181, p<.05) has a positive effect on the quality of the e-learning system. This proves that the acceptance factors influence the quality of the e-learning system among HEI students in Malaysia. The advancement and use of this technology is important to enable the country to keep pace with the country-developed countries and can produce highly knowledgeable human capital to contribute to progress in the country's education and socio-economic systems.