bluuebunny/crossref_metadata_2025 huggingface dataset:
Revisiting the flexion-valgus type unicondylar posterolateral tibial plateau depression fracture pattern: classification and treatment
Authors: Zhu Bin , Chen Jian , Zhang Yu , Song Lijun , Fang Jiahu
Published: November 2023

Objective

This study aimed to reclassify posterolateral tibial plateau fractures caused by a flexion-valgus force and describe this fracture pattern to provide a relatively programmed surgical treatment based on morphological characteristics that may improve reduction and stabilization.

Methods

We retrospectively reviewed the fracture pattern and injury mechanism of patients with posterolateral tibial plateau fractures who underwent surgery at the First Affiliated Hospital of Nanjing Medical University between January 2014 and April 2020. The cohort was divided into three types. Type I was a depression fracture of the posterolateral platform with an intact posterolateral cortex. Type II was a depression fracture of the posterolateral platform with a disrupted posterolateral cortex. Type III was a depression fracture of the posterolateral platform in combination with anterior cruciate ligament (ACL) rupture or tibial insertion avulsion fracture of the ACL. The lateral window of the modified Frosch approach with an L-type locking plate was used for patients with type I and type III fractures. For patients with type II fractures, both lateral and posterolateral windows of the modified Frosch approach were used for surgery, and a T-plate on the posterior side with an L-plate on the lateral side were used for fixation. The Rasmussen radiology scoring was used to evaluate the quality of surgical reduction and the Rasmussen functional scoring evaluation standard was used to evaluate knee joint function.

Results

A total of 69 tibial plateau fractures (36 male, 33 female) involving the posterolateral platform were discovered and included in this study. All patients suffered flexion-valgus force at the moment of the accident. There were 32 cases of Type I fracture, 28 cases of Type II fracture, and 9 cases of Type III fracture. The patients were followed up for 12–30 (mean 20.8 ± 9.4) months. The postoperative Rasmussen radiological scores for the three types of fractures were 15–17 (mean 16.31 ± 0.78), 14–17 (mean 15.93 ± 0.94), and 14–17 (mean 16.22 ± 0.97), respectively. The postoperative Rasmussen functional scores for the three types of fractions were 27–30 (mean 27.97 ± 0.90), 27–29 (mean 27.36 ± 0.56), and 27–29 (mean 27.56 ± 0.73), respectively.

Conclusion

Flexion-valgus posterolateral tibial plateau fractures were divided into three types based on the integrity of the posterolateral wall and ACL injuries. We hope the classification can play a certain reference role in recognizing and treating flexion-valgus-type posterolateral tibial plateau fractures.
Transplant with MZ genotype liver: what is the clinical pulmonary picture after 30 years? a case report and review of the literature
Authors: Annunziata Anna , Di Perna Alessandra , Ferrarotti Ilaria , Coppola Antonietta , Burricco Maria , Fiorentino Giuseppe
Published: November 2023

Background

Alpha-1 antitrypsin, also known as alpha1 proteinase inhibitor, is a protein 90% synthesized by hepatocytes. Alpha-1 antitrypsin deficiency should be suspected if patients have unexplained emphysema or liver disease in the absence of others recognized causes. The diagnosis is based on tests that measure the amount of the enzyme in the blood and confirm by molecular analysis.

Case presentation

We present the case of a man of Caucasian ethnicity, who started experiencing difficulty in breathing 20 years after liver transplantation. After about 30 years since transplantation, an intermediate alpha-1 antitrypsin deficiency is diagnosed with evidence of air trapping, pulmonary emphysema and bronchiectasis.

Conclusion

The presence of a Z-variant synthesized from the donor liver may have contribute to the onset of respiratory disease.
Acute toxicity of ammonia and nitrite to Siamese fighting fish (Betta splendens)
Authors: Kajimura Makiko , Takimoto Kazuyuki , Takimoto Ayaka
Published: November 2023

The acute toxicity and sublethal effects of ammonia and nitrite on the air-beathing Siamese fighting fish, betta (Betta splendens) was studied for 96 h. The LC50 (50% Lethal Concentration) for 96 h for adult bettas to ammonia-N and nitrite-N was 123.4 mM (1.7 g/L, 95% confidence limits: 114.7–130.0 mM) and 24.6 mM (343.6 mg/L, 95% confidence limits: 22.7–26.4 mM) respectively. Exposure to 90 mM ammonia did not affect ammonia and urea excretion rates in bettas. There was no significant difference in values between control and ammonia-loaded (90 mM ammonia) individuals in either brain or liver activities of glutamine synthase, while plasma ammonia levels slightly increased. It appears unlikely that ammonia was converted to urea or amino acids for detoxification. Sublethal nitrite (24.6 mM nitrite) affected plasma nitrite, methemoglobin and hemoglobin. Plasma nitrite values remained much lower than ambient concentrations. Betta has a labyrinth organ and can breathe air. Bettas may temporarily reduce the entry of ammonia and nitrite into the body by increasing the rate of air respiration and reducing the contribution of the gill epithelium, which is highly permeable to these nitrogenous pollutants.
Μελέτη έκφρασης βιοδεικτών σε νεογνά με σύνδρομο αναπνευστικής δυσχέρειας
Authors: Χρήστου Ευάγγελος
Published: November 2023

Αντικείμενο: Να καθοριστεί η διαγνωστική ακρίβεια του NT-proBNP στα ούρα σχετικά με τη ανίχνευση και την ταξινόμηση της σοβαρότητας της αναπνευστικής δυσχέρειας στα νεογνά μετά τη γέννηση, όπως και η ανίχνευση των επιπέδων του NT-proBNP στο πλάσμα υγιών τελειόμηνων νεογνών τον 1ο μήνα ζωής. Μέθοδοι: Έγινε σύγκριση των επιπέδων του NT-proBNP ούρων μεταξύ νεογνών που πάσχουν από αναπνευστική δυσχέρεια και αυτών που δεν νοσούν την 1η, 3η και 5η ημέρα ζωής. Επίσης έγινε συστηματική ανασκόπηση της βιβλιογραφίας που βασίστηκε στις διεθνείς κατευθυντήριες οδηγίες PRISMA. Η αξιολόγηση της ποιότητας των μελετών και η αναγνώριση του συστηματικού σφάλματος έγινε με βάση την κλίμακα αξιολόγησης BIOCROSS. Για τη συστηματική ανασκόπηση και μετα-ανάλυση χρησιμοποιήθηκαν μοντέλα σταθερής και τυχαίας επίδρασης ώστε να υπολογιστεί η μέση τιμή του βιοδείκτη και το 95% διάστημα εμπιστοσύνης. Αποτελέσματα: Η ομάδα των νεογνών με αναπνευστική δυσχέρεια (55 νεογνά) παρουσίασαν υψηλότερα επίπεδα NT-proBNP σε σχέση με την ομάδα ελέγχου (63 νεογνά) την 1η ημέρα ζωής (585.4 pg/ml έναντι 396.1 pg/ml, p=0.014), την 3η ημέρα ζωής (805.1 pg/ml έναντι 271.9 pg/ml, p<0.001) και την 5η ημέρα ζωής (409.7 pg/ml έναντι 94.4 pg/ml, p<0.001). Ειδικότερα, την 5η ημέρα ζωής το εμβαδό κάτω από την καμπύλη ROC ήταν 0.884 και όταν τέθηκε η τιμή του NT-proBNP 221.8 pg/ml έδειξε ευαισθησία 71% και ειδικότητα 79%. Επίσης η ομάδα των νεογνών με αναπνευστική δυσχέρεια ταξινομήθηκε περαιτέρω με βάση την κλίμακα Silverman-Andersen σε αυτά που πάσχουν ήπια (21 νεογνά), σε αυτά που πάσχουν μέτρια (19 νεογνά) και σε αυτά που πάσχουν σοβαρά (15 νεογνά). Την 5η ημέρα ζωής όταν τέθηκε η τιμή του ΝT-proBNP 668 pg/ml μπορούσε ικανοποιητικά να διακρίνει τα νεογνά που πάσχουν σοβαρά από την ομάδα που περιλαμβάνει τα νεογνά που πάσχουν από ήπια και μετρίου βαθμού αναπνευστική δυσχέρεια, με ευαισθησία 80% και ειδικότητα 77.5%. Στη συστηματική ανασκόπηση και τη μετα-ανάλυση συμπεριλήφθηκαν 14 μελέτες με 393 συμμετέχοντες. Με βάση το μοντέλο σταθερής επίδρασης η μέση τιμή του NT-proBNP στο πλάσμα νεογνών τον 1ο μήνα ζωής ήταν 1341 pg/ml (95% CI: 1286 – 1397 pg/ml).Συμπεράσματα: Τα επίπεδα του NT-proBNP ούρων είναι ένας χρήσιμος βιοδείκτης για την ανίχνευση της αναπνευστικής δυσχέρειας των νεογνών εντός της 1ης εβδομάδας ζωής. Επίσης μπορεί να συμβάλλει στην ανίχνευση εκείνων των νεογνών που έχουν αυξημένη πιθανότητα να εμφανίσουν σοβαρή μορφή της νόσου. Ακόμα παρουσιάζονται τα διαστήματα των τιμών του NT-proBNP στο πλάσμα υγιών τελειόμηνων νεογνών κατά τη νεογνική περίοδο. Επίσης επιχειρήθηκε να καθοριστεί η σημασία περιγεννητικών παραγόντων πάνω στις προαναφερόμενες τιμές.
Η εγγραφή της χρονικής εμπειρίας στον αρχιτεκτονικό σχεδιασμό
Authors: Τουλούμης Αντώνιος
Published: November 2023

Το βασικό ερώτημα τί από την χρονική εμπειρία μας μπορεί να αποτελέσει αντικείμενο σχεδιασμού στην αρχιτεκτονική, αποτέλεσε την αφετηρία της έρευνας. Αν και παρακάμπτει το δύσκολο ζήτημα της φύσης της χρονικότητας, θέτει επιμέρους ζητήματα που αφορούν τη φύση των εμπειρικών μας δεδομένων, και τη φύση των εργαλείων που διαθέτουμε προκειμένου να συνθέσουμε αυτό που συχνά αποκαλούμε χρονική εμπειρία. Η μελέτη ανάγει το βασικό ερώτημα που τίθεται, δηλαδή πώς αντιλαμβανόμαστε το χρόνο, στη διερεύνηση ζητημάτων της εμπειρίας και της γλώσσας. Εκκινεί από την άποψη ότι δεν μπορούμε να έχουμε διυποκειμενική πρόσβαση παρά μόνον στη σημειογραφημένη, δηλαδή γλωσσικά διαμεσολαβημένη, εμπειρία. Αυτή η βασική θέση εδράζεται στην καντιανή έννοια της σχηματοποίησης την οποία επικαιροποιεί μέσω της έννοιας του ρυθμού τον οποίο θεωρεί ως ένα τρόπο οργάνωσης της σχηματοποίησης Η κλίμακα επιλέχθηκε για την μελέτη των παραπάνω ζητημάτων στον αρχιτεκτονικό σχεδιασμό. Διότι στην παρούσα θεώρηση, η κλίμακα είναι ένα χωρικό στοιχείο το οποίο προδιαγράφει με αρκετή ακρίβεια την κίνηση του σώματος σε αυτή και συνακόλουθα τη χρονική και χωρική μας εμπειρία. Εντέλει δηλαδή η κλίμακα είναι ένα στοιχείο το οποίο σχεδιάζει την εμπειρία μας. Ως εκ τούτου στη μελέτη διερευνώνται σε μια λογική γλώσσας, ακριβώς επειδή η γλώσσα μας επιτρέπει την διυποκειμενική επικοινωνία μέσα από τις κωδικοποιήσεις που επιβάλλει και τις γραμματικές που υποδεικνύει, τέσσερα συστήματα: η μουσική ως ανάπτυξη ήχων στο χρόνο, ο βηματισμός ως η ανάπτυξη αιωρήσεων και στηρίξεων των ποδιών στο χρόνο, η αναπνοή ως η ανάπτυξη των καρδιακών και αναπνευστικών συστολών- διαστολών στο χρόνο και η ποίηση ως η ανάπτυξη της γλωσσολαλιάς στο χρόνο. Στα αντίστοιχα τέσσερα κεφάλαια, σχεδιάζονται κλίμακες όπου το ενδιαφέρον εστιάζεται στα παραπάνω ζητήματα. Των τεσσάρων κεφαλαίων προηγούνται ισάριθμες αναλύσεις υλοποιημένων έργων (αρχιτεκτονικό, κινηματογραφικό, γλυπτικό, εγκατάσταση)Ως τρόπος με τον οποίο η Αρχιτεκτονική συσχετίζεται με τα λοιπά εκφραστικά συστήματα θεωρείται η γλωσσική μεταφορά η οποία όπως υποστηρίζεται έχει σωματικό υπόβαθρο. Το στοιχείο που επιχειρείται να μεταφερθεί είναι ο ρυθμός. Έτσι τελικά διερευνώνται ανά κεφάλαιο: ο ρυθμός της μουσικής, ο ρυθμός της αναπνοής, ο ρυθμός της βάδισης και ο ρυθμός εκφοράς της γλώσσας. Ο ρυθμός θεωρείται ως κατεξοχήν σωματικό φαινόμενο, δηλαδή συγκροτείται ως ένας τρόπος οργάνωσης αντιληπτικών τονισμών.
Μια μελέτη της μαθηματικής μοντελοποίησης για δημιουργία και εξόρυξη γνώσεων με σκοπό την παραγωγή νέων μοντέλων αξιολόγησης-πιστοποίησης κριτηρίων διαχείρισης πόρων με τη βοήθεια της πληροφορικής
Authors: Μανίκαρος Νικόλαος
Published: November 2023

Αυτή η ερευνητική μελέτη επικεντρώθηκε στην αξιολόγηση της ικανοποίησης των χρηστών με την πλατφόρμα MOODLE, ένα δημοφιλές εκπαιδευτικό λογισμικό που χρησιμοποιείται για διαδικτυακή μάθηση. Η μελέτη χρησιμοποίησε τη μέθοδο Genetic Algorithm Multicriteria Satisfaction Analysis (GA-MUSA) και συνέκρινε τα αποτελέσματά της με τη συμβατική μέθοδο MUSA. Τα δεδομένα συλλέχθηκαν μέσω ενός ερωτηματολογίου που χορηγήθηκε σε συμμετέχοντες, συμπεριλαμβανομένων δημοσίων υπαλλήλων, φοιτητών και καθηγητών, που είχαν εμπειρία στη χρήση του MOODLE. Για την ανάλυση των δεδομένων διενεργήθηκαν περιγραφικές στατιστικές, ανάλυση συσχέτισης και συγκριτική ανάλυση. Τα ευρήματα της μελέτης αποκάλυψαν ότι η μέθοδος GA-MUSA παρήγαγε υψηλότερο συνολικό επίπεδο ικανοποίησης σε σύγκριση με τη συμβατική μέθοδο MUSA. Αυτό υποδηλώνει ότι η μέθοδος GA-MUSA μπορεί να προσφέρει μια πιο ακριβή εκτίμηση της συνολικής ικανοποίησης από την πλατφόρμα MOODLE. Η ανάλυση συσχέτισης έδειξε ότι η εμπειρία MOODLE ήταν μια σημαντική δημογραφική μεταβλητή που σχετίζεται με τα επίπεδα ικανοποίησης, υπογραμμίζοντας τη σημασία της εξέτασης της εμπειρίας των χρηστών κατά την αξιολόγηση της ικανοποίησης. Η μελέτη συμβάλλει στην υπάρχουσα έρευνα παρέχοντας πληροφορίες σχετικά με τη χρήση της μεθόδου GA-MUSA για την αξιολόγηση της ικανοποίησης των χρηστών με το εκπαιδευτικό λογισμικό. Καταδεικνύει τις δυνατότητες αυτής της μεθόδου ως εναλλακτική της συμβατικής μεθόδου MUSA και καλεί για περαιτέρω διερεύνηση της δυνατότητας εφαρμογής της σε αυτόν τον τομέα. Αναγνωρίζονται επίσης οι περιορισμοί της έρευνας, όπως το μέγεθος του δείγματος και η ανάγκη για μελλοντικές συγκριτικές μελέτες. Συνολικά, αυτή η έρευνα ενισχύει την κατανόησή μας για την ικανοποίηση των χρηστών με το εκπαιδευτικό λογισμικό και τονίζει τη σημασία της εξέτασης της εμπειρίας του χρήστη στο σχεδιασμό και την ανάπτυξη λογισμικού. Τα ευρήματα μπορούν να ενημερώσουν τους προγραμματιστές λογισμικού και τα εκπαιδευτικά ιδρύματα για τη βελτίωση του σχεδιασμού, της λειτουργικότητας και της συνολικής εμπειρίας χρήστη διαδικτυακών πλατφορμών μάθησης όπως το MOODLE.
The making of Cyprus's medieval heritage
Authors: Κωνσταντινίδου Δανάη
Published: November 2023

Η παρούσα διατριβή μελετά την εμφάνιση και καθιέρωση της μεσαιωνικής κληρονομιάς της Κύπρου, μια πτυχή που δεν έχει διαμορφώσει πριν αυτοτελή μελέτη. Υποστηρίζει ότι οι κατασκευές θεωρούνται ως τα μεσαιωνικά μνημεία της Κύπρου σήμερα [2020] είναι προϊόν μιας διαδικασίας που ξεκίνησε, διαμορφώθηκε και συστηματοποιήθηκε κατά τη διάρκεια των Βρετανών του νησιού κανόνας. Η διαδικασία αυτή ξεκίνησε στις αρχές της δεκαετίας του 1900 και διαμορφώθηκε ως την ίδρυση του Τμήματος Αρχαιοτήτων, το 1935. Η παρούσα διατριβή πραγματεύεται το μεσαιωνικό μνημεία στον κατάλογο μνημείων του 1935 ως αρχείο, ο όρος είναι δάνειο από το βιβλίο του Φουκώ "η αρχαιολογία της γνώσης" (1969) και εξετάζει την παρουσία τους στον συγκεκριμένο κατάλογο ως διττή διαδικασία που αποτελείται από την επιλογή και τροποποίηση (προσδιορίζεται ως εργασίες επισκευής) σε κατασκευές. Η έρευνα για αυτή τη διατριβή αντλήθηκε σε μεγάλο βαθμό από αρχειακές πηγές και ιδιαίτερα από την εξέταση ποικίλων υλικό που κυμαινόταν από επίσημα έγγραφα μέχρι προσωπικές επιστολές, φωτογραφίες και αρχιτεκτονικά σχέδια που ανακτήθηκαν σε αρχεία στο Ηνωμένο Βασίλειο, στην Κύπρο και στην Ελλάδα. Αυτό υλικό αναλύθηκε σε σχέση με την ιδεολογία και την πράξη της συντήρησης μνημείων αυτής της περιόδου, την θεωρία της αποκατάστασης όπως διαμορφωνόταν στο Ηνωμένο Βασίλειο, τη σχέση του με τις πολιτικές και γεωπολιτικές συνθήκες και τον τρόπο που αυτές αντανακλώνται στη λήψη αποφάσεων και την εφαρμογή τεχνικών και πρακτικών αποκατάστασης στην Κύπρο. Επιπλέον, χρησιμοποιήθηκε μια σειρά από μεθόδους και προσεγγίσεις ψηφιακής απεικόνισης να μελετήσει, να αναλύσει και να οπτικοποιήσει ιστορικές φωτογραφίες, σχέδια και χάρτες. Τελικά, η διατριβή εξετάζει κριτικά τα μεσαιωνικά μνημεία της Κύπρου όπως αυτά υφίστανται σήμερα και προσφέρει μια νέα ανάγνωση ως προς την δημιουργία της μεσαιωνικής κληρονομίας.
Interpreting materia medica. A case study on Ioannes Archiatrus
Authors: Zipser Barbara , Lardos Andreas , Lazarou Rebecca , Allkin Robert , Nesbitt Mark , Scott Andrew C.
Published: November 2023

Background Premodern medical texts are an invaluable source for scholars from humanities and sciences. However, they are usually not accessible as few scientists with an interest in premodern materia medica are also qualiﬁed philologists. Therefore, a balance has to be struck to translate these texts while preserving information on how reliable we believe a given translation to be. In this paper, we conduct a case study on the vernacular version of Ioannes archiatrus. Methods The present study forms part of the output of a multidisciplinary Wellcome Trust Collaborative Award combining humanities and sciences. We deployed a multi-layer tagging system to systematise pharmaceutical terminology and to translate these terms while providing conﬁdence factors for individual words. In a second step, we used AntConc, a freeware concordance software, to analyse our primary source and visualise patterns in the text. Results Our methodology created a readable text that made it possible for the reader to check conﬁdence factors. It also allows our translation and tagging to be recycled for further research. Conclusions Our methods provide a tool that allows to balance the need to translate and the necessary caution about translated plant and mineral names. Our approach is transferable and it can be modiﬁed to suit the needs of other primary sources.
College students’ academic stress during the Covid-19 pandemic: The influence of hardiness, coping strategy, social support, and demographic factorsand
Authors: Sumiati Neneng Tati , Sakiinah Maftukhatus , Latifa Rena
Published: November 2023

Several research results show that during the COVID-19 pandemic, academic stress experienced by college students increased. They experience changes in how they learn, have difficulty staying focused, and are unproductive during the covid-19 pandemic. This study tests factors influencing college students’ academic stress during the covid-19 pandemic. We hypothesized that hardiness, coping strategy, social support, and demographic factors influence academic stress. The sampling technique employed a non-probability sampling technique with a purposive sampling type, with the criteria for college students in Jabodetabek who did distance learning during Covid-19 Pandemic. Three hundred-six participants met the research criteria. Data were collected by academic stress and hardiness scales and; adapting the interpersonal support evaluation list and coping styles scale. Validation of the research instrument using confirmatory factor analysis (CFA) through Lisrel 8.8 software. Hypothesis testing using multiple regression with SPSS software version 20.0. Hardiness, coping strategy (problem-focused-coping and emotional-focused-coping), social support (tangible, appraisal, self-esteem, and belonging)- and demographic factors (gender, level of study) have a significant effect on college student’s academic stress during the covid-19 pandemic (r2=28.2%, p<.001). Variables that have a significant effect on academic stress are emotional-focused-coping (B=0.361, p<.001), self-esteem-support (B=0.117, p<.050), belonging-support (B=-0.271, p<.001) and gender (B=6.885, p<.001). Academic stress is influenced by hardiness, coping strategies, social support, and demographic factors. College students’ academic stress will decrease if students get social support in the form of self-esteem-support and belonging support. The use of highly emotional-focused coping strategies will increase academic stress.
Increasing mothers' reproductive health knowledge and attitudes through education on youth internet-based social interaction
Authors: Utami Fitriana Putri , Syam Nur Syarianingsih , Nurfita Desi
Published: November 2023

Adolescents have the highest rate of internet usage compared to those of different ages. Dissertation media, societal changes, and insufficient parental involvement support the development of promiscuity in adolescents. Parents, especially mothers, have a strong role in controlling the behavior of adolescents. Therefore, mothers need to have good knowledge and attitudes related to youth internet-based social interaction. The goal of this study is to assess changes in mothers' attitudes and knowledge because of education regarding how young people engage online and how that affects their reproductive health.  Forms of adolescent sexual behavior, pornography, adolescent self-concept, cyberbullying, and parent-adolescent communication are among the knowledge and attitude topics that are evaluated. In this study, a one-group, quasi-experimental pretest-posttest approach was adopted. The research sample consists of 21 participants that were chosen using purposive sampling.  A paired t-test was utilized to assess the questionnaire data. In the pre- and post-test, the respondents’ average knowledge score rose from 95.23 to 97.14. P value of 0.428 (95% CI: 3.00–6.61). Respondents’ attitude score rose from 77.85 to 85.95 (95% CI: 1.56–14.63). These results indicated differences in the respondents’ attitudes before and after training but not in their knowledge, although both of them experienced an increase in average scores. Youth internet-based social interaction for mothers can improve mothers’ attitudes and knowledge. To avoid juvenile delinquency, a health program that involves parental involvement in disseminating information about reproductive health in connection to teenage social interaction is necessary.
Factors Associated with Work Fatigue among Nurses in South Tangerang City Public Hospital
Authors: Muzakir Haris , Vidyarini Andra Vidyarini
Published: November 2023

Work fatigue is a pervasive issue that affects nursing care quality and patient safety in healthcare settings. This study examined the prevalence of work fatigue among nurses and its association with various factors, including age, body mass index (BMI), work tenure, and work shift. This study employed a cross-sectional quantitative approach and was conducted at the South Tangerang City Public Hospital from February to March 2023. A total of 85 nurses participated in this study. The Industrial Fatigue Research Committee (IFRC) instrument was used to measure work fatigue, encompassing general, mental, and physical domains. Workload-related symptoms were assessed using Likert scale-based responses, classifying the respondents into fatigue and non-fatigue groups. The results indicated that 55.3% of the nurses reported experiencing work fatigue. Significant associations were observed between work fatigue and several other factors. Older nurses demonstrated a lower prevalence of work fatigue (PR:0.579; 95% CI: 0.415–0.808), suggesting that age is a protective factor against fatigue. Conversely, nurses with non-normal BMI exhibited a higher prevalence of work fatigue (PR: 1.587; 95% CI: 1.100–2.291). A longer work tenure was associated with increased work fatigue (PR: 1.851, 95% CI: 1.298–2.639), possibly due to cumulative stress and physical demands. Furthermore, night-shift nurses experienced higher work fatigue (PR: 1.882, 95% CI: 1.302–2.721) than day-shift nurses, indicating the disruptive impact of irregular sleep patterns. These findings emphasize the need for healthcare organizations to address work fatigue among nurses. Strategies may include workload management, providing resources for emotional support, and promoting a healthy work environment. Addressing the specific vulnerabilities of younger nurses, individuals with non-normal BMI, and working night shifts is vital for mitigating work fatigue
Experimental Study of Storing Electrical Energy Generated by an Acoustic Energy Harvester Into a Supercapacitor
Authors: Setiawan Ikhsan , Wibowo Bagas Wahyu , Prasetya Rizki Dwi
Published: November 2023

Acoustic energy harvester is a device used to convert environmental noise into electrical energy. Many researches on acoustic energy harvesting have been carried out, but most of them have not yet reached the stage of storing the electrical energy produced. This paper presents an experimental study of storing electrical energy generated by an acoustic energy harvester into a supercapacitor. The acoustic energy harvester in this study used a 4-inch woofer loudspeaker as a noise converter into electricity, equipped with a straight cylindrical resonator, a cylindrical housing, and an electric current rectifier unit. The supercapacitor used has a specification of 100F/2.7V. Experiments were carried out by using several variations of the sound frequency with three variations of sound pressure level (SPL) namely 90 dB, 95 dB, and 100 dB, and by measuring the supercapacitor voltage in a charging time of 60 minutes. It was found that the supercapacitor voltage reached 368 mV which was obtained from noise sound with an SPL of 100 dB and a frequency of 54 Hz which gave an initial charging electric current of about 12 mA. In the last five minutes of charging, the increase in supercapacitor voltage was still linear with time at a rate of about 5.2 mV/min. Therefore, the supercapacitor voltage can still significantly increase if the charging continues.
Effect of The Composition of TiO2 Additives on The Physical and Magnetic Properties Crystal Structure and Microstructure of BaFe12O19 Magnetic Ceramics
Authors: Puspita Endah , Rahmah Nur , Naibaho Marzuki , Ramlan Ramlan
Published: November 2023

In this research, the manufacture of barium hexaferrite (BaFe12O19) magnetic ceramics and the addition of titanium dioxide (TiO2) additives with variations of 0%: 0.3%: 0.6% and 0.9% used the powder metallurgical method. The characterization used in this study is the measurement of density, porosity, X-Ray Diffraction (XRD), Scanning Electron Microscope (SEM), Vibrating Sample Magnetometer (VSM), and Impulse Magnetizer K-Series. Based on the results of density and porosity measurements, the highest values were 4.95 g/cm3 and 5.45%, respectively. XRD results showed the formation of a BaFe12O19 phase with some impurities at 0% (Fe2O3), 0.3% and 0.9% (Ti6O11), and 0.6% (Ti4O7). The SEM results showed that the morphology of TiO2-BaFe12O19 was quite homogeneous, and the size and cavity ranged from 0.5 – 1.5 μm and 0.25 – 0.9 μm, respectively. VSM results show Mr, Ms, Hc, and Bhmax values of 1,489 kG, 3,235 kG, 1,758 kOe, and Bhmax of 0,867 MGOe, respectively. The results of the Impulse Magnetizer K-Series show the maximum and lowest magnetic flux values of 272.65 gauss and 218.10 gauss at 0.6% and 0% variation, respectively.
Duly Noted: Subversive Paratexts in Contemporary African American Poetry
Authors: Vrana Laura
Published: November 2023

Abstract: This article examines an ever-proliferating, little-discussed phenomenon: notes in contemporary African American poetry. Attending to the form and content of these threshold spaces elucidates how Black poets operate within but refuse incorporation into historically white institutions. Reading three examples— Wade in the Water by Tracy K. Smith, To Repel Ghosts by Kevin Young, and Dangerous Goods by Sean Hill—it argues that these successful poets do not view notes as of an "incidental nature" but manipulate them, operating in but not of the discourses they mimic. Poets exploit this textual space to subvert institutional limits; their annotation yields self-reflexive outcomes that demand attention as descended yet distinct from paratexts of Black precursors.
Pushing Aluminum: The Boys Scouts of America, the World War II Home Front, and the Scrap Metal Collection Drive of 1941
Authors: Sarantakes Nicholas Evan
Published: November 2023

Abstract: Existing scholarship often assumes that during WWII the Roosevelt administration expertly managed the US economy and controlled the private sector. This study of the national aluminum drive of 1941, drawing on primary sources from all fifty states and the District of Columbia, tells another side of the story. By investigating a prominent instance when private entities had to do what the US government was not doing, this case study of the drive represents a contribution to the historiography of the nation's entry into the conflict, the US home front in WWII, the role of Scouting in the history of childhood and youth, the business history of the aluminum industry, and political philosophy about the proper role of the state.
Homeless on the Home Front: Spaces of Emplacement and Displacement during World War II
Authors: Irizarry Anthony J.
Published: November 2023

Abstract: The metaphor of the home front reveals a spatializing logic through which the United States has historically conceptualized national belonging, producing both spaces of emplacement and spaces of displacement. I argue that these spaces emerge from the metaphor's blurring of the line between soldier and citizen within the body politic. To highlight the metaphor's rhetorical potentiality, the analysis examines FDR's 1942 Fireside Chat on the Home Front and a letter to the president regarding the bravery of an interned Japanese American Boy Scout troop. These texts showcase how the political and material effects of home front rhetoric are actualized in their most extreme and violent forms, ultimately illuminating the threshold of American belonging and democratic potential.
Veronica Franco’s Strategic Indirectness
Authors: Samà Riccardo
Published: November 2023

Abstract: In the final decades of the twentieth century, the sixteenth-century Veronica Franco emerged as a proto-feminist model, frankly vehement in her repudiation of misogynistic behavior and social injustices. In this essay, I analyze poems 23 and 24 of Franco’s 1575 Terze rime ( Poems in Terza Rima ) to reveal the rhetorical strategies—indirectness and indecisiveness—that Franco utilizes when direct aggression might trigger negative repercussions.
Milton's Legal Duel: Nature and Norm in Paradise Regained and Samson Agonistes
Authors: LaBreche Ben
Published: November 2023

Abstract: Scholars have often linked John Milton with natural law; this article argues instead for the strong interest of Paradise Regained and Samson Agonistes in legal positivism. By the mid-seventeenth century, thinkers like Hugo Grotius and Thomas Hobbes were in their different ways proposing a natural law based on self-preservation rather than theology, and as a result natural law became increasingly indistinguishable from political defactoism and reason of state. Milton struggled more than is generally recognized with the threat this naturalism posed to free will and moral value, and he responded by anticipating the work of nineteenth- and twentieth-century thinkers like John Austin, Hans Kelsen, and H. L. A. Hart, who made positivism central to liberal jurisprudence. Positivism asserts legal norms to be based on their authoritative source rather than their conformity with fact or reason, and thus positivist legal theory offers an escape from ethically minimal natural law. Positivism, though, also relies on preexisting, potentially arbitrary authority and makes penal sanctions constitutive of legal order, and these qualities paradoxically bind positivism to the worst features of naturalism: determinism and coercive violence. Milton grapples with precisely these issues in his 1671 poems, and his conflicted embrace of positivism illuminates a number of puzzles long noted in these works.
Calibration method for thermal infrared division-of-focal-plane polarimeters considering polarizer reflection characteristics
Authors: Yang Jianguo , Cui Hao , Li Li , Jin Weiqi , Sun Zunyi
Published: November 2023

Owing to manufacturing defects of micropolarizer arrays and differences in the pixel response of detectors, division-of-focal-plane (DoFP) polarimeters have severe nonuniformity, which affects the measurement accuracy of the polarimeters and the calculation of the polarization information. This study proposes a calibration method for thermal infrared DoFP polarimeters considering polarizer reflection characteristics. The temperature-controlled adjustable infrared polarized radiation source is calibrated by a division-of-time polarimeter and is, in turn, used to calibrate a thermal infrared DoFP polarimeter. Through laboratory blackbody and external scenes, the performance of the proposed method is compared to that of state-of-the-art techniques. The experimental results indicate that the proposed method effectively avoids overcalibration and improves the accuracy of polarization information.
Mixed pesticide recognition based on three-dimensional fluorescence spectroscopy and a convolutional neural network
Authors: Wang Xiaoyan , Chen Xu , Ji Rendong , Wang Tao , He Ying , Bian Haiyi , Wang Xuyang , Hu Wenjing
Published: November 2023

Kasugamycin, spinosad, and lambda-cyhalothrin are common organic pesticides that are widely used to control and prevent diseases and pests in fruits and vegetables. However, the unreasonable use of pesticides will cause great harm to the natural environment and human health. Pesticides often exist in the form of mixtures in nature. Establishing recognition models for mixed pesticides in large-scale sample testing can provide guidance for further precise analysis and reduce resource waste and time. Therefore, finding a fast and effective identification method for mixed pesticides is of great significance. This paper applies three-dimensional fluorescence spectroscopy to detect mixed pesticides and introduces a convolutional neural network (CNN) model structure based on an improved LeNet-5 to classify mixed pesticides. The input part of the model corresponds to fluorescence spectrum data at excitation wavelengths of 250–306 nm and emission wavelengths of 300–450 nm, and the mixed pesticides are divided into three categories. The research results show that when the learning rate is set to 1 and the number of iterations is 300, the CNN classification model has ideal performance (with a recognition accuracy of 100%) and is superior to the performance of the support vector machine method. This paper provides a certain methodological basis for the rapid identification of mixed pesticides.
The relationship between hotel star rating and website information quality based on visual presentation
Authors: Cheng Ching-Hsue , Tsai Ming-Chi , Chang Yuan-Shao
Published: November 2023

The hotel industry is essential for tourism. With the rapid expansion of the internet, consumers only search for their desired keywords on the website when they trying to find a hotel to stay, causing the relevant hotel information would appear. To quickly respond to the changing market and consumer habits, each hotel must focus on its website information and information quality. This study proposes a novel methodology that uses rough set theory (RST), principal component analysis, t-Distributed Stochastic Neighbor Embedding (t-SNE), and attribute performance visualization to explore the relationship between hotel star ratings and hotel website information quality. The collected data are based on the star-rated hotels of the Taiwanstay website, and the checklists of hotel website services are used to obtain the relevant attributes data. The results show that there are significant differences in information quality between hotels below two stars and those above four stars. The information quality provided by the higher star hotels was more detailed than that offered by low-star hotels. Based on the attribute performance matrix, the one-star and two-star hotels have advantage attributes in their landscape, reply time, restaurant information, social media, and compensation. Furthermore, the three-five star hotels have advantage attributes in their operational support, compensation, restaurant information, traffic information, and room information. These results could be provided to the stakeholders as a reference.
Contraction reserve in high resolution manometry is correlated with lower esophageal acid exposure time in patients with normal esophageal motility: A retrospective observational study
Authors: Lu Yaoyao , Lv Linling , Yang Jinlin , Yi Zhihui
Published: November 2023

Background

In high resolution manometry (HRM), distal contractile integral post multiple rapid swallow augmentation is considered as contraction reserve. The relationship between contraction reserve and esophageal acid reflux remains unclear. The aim of this study was to explore the correlation between contraction reserve and esophageal acid exposure in ineffective esophageal motility (IEM) and normal HRM.

Methods

Patients who underwent HRM and ambulatory reflux monitoring were retrospectively screened. Those with diagnosis of normal HRM or IEM were included in the analysis. The proportion of patients with abnormal acid exposure time (AET) was compared between patients with and without contraction reserve. Multivariate regression analysis was performed to determine the predictors of abnormal AET and contraction reserve.

Results

A total of 338 patients, including 264 normal HRM and 74 IEM, were included in the analysis. In patients with normal HRM, proportion of abnormal total AET (AET > 6.0%) was significantly lower in patients with supine contraction reserve than patients without contraction reserve (13.85% vs. 24.63%, p = 0.027). Multivariate regression analysis showed that supine contraction reserve could independently predict abnormal total AET (OR = 0.468, 95% CI: 0.249–0.948, p = 0.034), while upright contraction reserve trended strongly (OR = 0.558, 95% CI: 0.290–1.071, p = 0.079). Subgroup analysis showed that upright contraction reserve was an independent predictor of abnormal total AET in patients with 50–70% infective swallows (OR = 0.205, 95% CI: 0.051–0.821, p = 0.025), whereas supine contraction reserve did not have predictive value (p = 0.359).

Conclusions

Supine contraction reserve correlates with esophageal acid reflux in patients with normal HRM, while only upright contraction reserve correlates with esophageal acid reflux in patients with infective swallows of 50–70%.
“Spectatissimo, Eruditione & Pietate, Insigno Viro”: Abraham Rogerius, the Open-Deure, and the Identity of A.W. JCtus
Authors: Schilt Cornelis J.
Published: November 2023

In 1643, a manuscript was sent from Batavia to Amsterdam. It described in vivid detail a world virtually unknown to the West, that of South-Indian Hinduism, taken from the words of local Brahmins and drawn up by VOC minister Abraham Rogerius. It was not until 1651 that De Open-Deure tot het Verborgen Heydendom appeared from the presses of the Leiden printing house of François Hackius. By then, its author had died, and circumstances regarding the actual publication are shrouded in mystery. This is also true about the life of Abraham Rogerius and the identity of the Open-Deure’s anonymous editor, A.W. JCtus. Traditionally associated with the Polish Socinian theologian Andreas Wissowatius, A.W’s annotations added a wealth of scholarly detail to Rogerius plain narrative. In this paper, I greatly expand upon the existing biographies of Rogerius and draw lines between the various actors involved with the eventual publication of his writings. I provide a fresh insight into the editorial history and afterlife of the Open-Deure, showing that there are in fact two different editions that diverge at key points. Moreover, I demonstrate that the elusive A.W. JCtus is most certainly not Wissowatius, but instead the Leiden lawyer and politician Arnoldus Wittens.
The Arrow and the Ecstasy: The Rhetoric of Rapture in French Carmelite Poetry
Authors: Hanna Daniel J.
Published: November 2023

Recently discovered manuscript poems from the archives of French Carmelite convents show that seventeenth-, eighteenth- and nineteenth-century Carmelite women recalled, celebrated, aspired to and – by their accounts – achieved religious rapture. The attainment of spiritual ecstasy and the expression of such extraordinary religious experience was not, however, a simple matter for women of this time period. In this study it will be shown that French Carmelite women used a “rhetoric of rapture” established by their spiritual mother, Teresa of Ávila, in order to lend legitimacy to their spiritual experiences and to safeguard those experiences from scrutiny.
Effect of Stress Ratio, Constraint, and Load History on the Intrinsic and Extrinsic Components of Threshold Stress Intensity
Authors: Sunder R. , Koraddi Ramesh , Chandra Vishwas
Published: November 2023

Threshold intensity range, ΔKth, was experimentally investigated as the sum of two components, both of which are sensitive to applied loading conditions. The intrinsic component, ΔKth,i, is characterized as a sole function of a near-tip stress parameter, σ*, in much the same way as fatigue limit depends on mean stress or stress ratio. The extrinsic component, ΔKcl, is the attenuated fraction of crack tip response because of crack wake contact, whose exact value is not readily measured at threshold. The ΔKth,i versus σ* relationship is established using a specially designed load shedding process under constant baseline maximum load, with σ* modulated through periodic overload-underload combinations whose periodicity is regulated to avoid undue crack extension at threshold. This relationship is then used to extract the ΔKcl component from ΔKth readouts obtained on the same batch of material using conventional load shedding procedure. The effect of constraint on ΔKth and its two components was studied using specimens with sharp side grooves to maximize constraint across the crack front. The study was performed on a medium strength low-alloy steel.
STUDY THE SELF-CLEANING ABILITY OF ZNO CONTAINED COTTON FABRICS
Authors: DUY-NAM PHAN , THI THAN THUONG VU , NGUYEN NHAT, TRINH , NGUYEN MINH TUAN , CAO HONG HA , MINH THANG LE
Published: November 2023

In this study, ZnO nanoparticles were successfully synthesized by the precipitation method, then immobilized onto cotton fabric. The metal oxide nanoparticle-contained fabric exhibits a self-cleaning effect under ultraviolet (UV) illumination. The nanostructure of the prepared samples was detected using Scanning Electron Microscopy (SEM) analysis. The chemical composition changes of the fabrics before and after the modification were detected using The Fourier transform infrared (FT-IR) and Energy Dispersive X-ray Spectroscopy (EDS). After modification with ZnO nanoparticles, the cotton fabric exerted adsorption and decomposition properties again various chemical compounds. Stains of methylene blue (MB), and methylene orange (MO) were introduced into cotton fabric, under UV light, the dyes were faded and ultimately discolored. The degradation of pigments in the solution happened faster and was expressed by the concentration of dyes decreasing over time through UV-vis measurement results. The self-cleaning ability for MB and MO stained cotton fabrics is evaluated quantitatively over time through the K/S value, which showed a good self-cleaning effect.
Functional conservation and preservation of waterlogged archaeological wood
Authors: Chen Junjie , Zhang Xuanwei , Chen Qiang , Sun Xiaohang
Published: November 2023

Waterlogged archaeological wood of shipwrecks has been preserved under seawater for centuries, such that microbial erosion has caused severe bacterial degradation and acidification. These wooden cultural relics are of great significance for understanding the shipbuilding technology, trade activities, and environmental ecology of centuries ago. From the perspective of structure and composition, these waterlogged archeological woods have the characteristics of high water content and a large loss of lignin and cellulose, which makes the hull prone to collapse during preservation. Therefore, it is urgent to apply conservation and preservation treatments for deacidification and consolidation. Due to the fragility of wood and the complexity of repair work, the current development of conservation and preservation technology has multiple aims, such as antibacterial, deacidification, and reinforcement effects. In this editorial, the current challenges and conservation treatments with antimicrobial or deacidification utilities will be introduced.
A way to improve recycling potential of fibers and to achieve circular economy
Authors: Lee Bok Jin , Ko Peter
Published: November 2023

Even though the recycling of paper and paperboard is quite successful when compared to the recycling of other resources, there are many things to improve. Recovering the used paper and paperboard without contamination and sending it back to the papermill that produced it would enhance the recycling potential and efficiency of recovered fiber resources. Close collaboration between a paper and packaging company and a logistics company has made a big improvement in recycling and achieved the circular economy of fiber resources. It is time to find better ways to collaborate, thereby improving our capability to keep our planet green.
Asthma exacerbations in the pediatric emergency area: Evaluation and prospects for improvement of pre-hospital care
Authors: Gonzalez-Uribe Victor , Navarrete-Rodríguez Elsy Maureen , Angeles-Tellez Fernando Sebastián , Montiel-Gonzalez Jose Angel , Colin-Rubio Jorge , Gonzalez-Chavarria Clara Fernanda , Mojica-Gonzalez Zaira Selene
Published: November 2023

Introduction: The frequency of visits to emergency department for asthma is a significant public health problem in pediatrics. This study aimed to identify the characteristics of children who visited the pediatric emergency department for asthma exacerbation and evaluated their therapeutic management prior to admission.
Methods: A prospective study was conducted over a 6-month period in the pediatric emergency departments of five hospitals involving children aged 1–16 years admitted to the department with a clinical diagnosis of asthma exacerbation.
Results: In all, 143 patients were enrolled in the study. Asthma episodes were moderate to severe in 69.2% of cases (n = 99). Initial treatment prior to admission to the emergency department was adequate in only 17.5% of cases (n = 25). Hospitalization for more than 24 h occurred in 18.2% (n = 26) patients. In children aged <3 years, viral infection was present in 91.4% cases (n = 64) and exacerbations were more severe in younger patients (P = 0.002) and children belonging to low-income stratum (P = 0.025). Only 17.4% (n = 25) were positive for SARS–CoV-2 (antigen test or polymerase chain reaction test), suggesting that the involvement of traditional respiratory viruses in asthma exacerbation continued even during pandemic. Regarding the pre-hospital care, 70.6% (n = 101) had received prior treatment, but this treatment was inadequate in 53.1% cases (n = 76).
Conclusion: This study showed that asthmatic children and their families had little knowledge about the disease and that physicians must be sufficiently aware of current recommendations for managing asthmatic children. Admission to the emergency department for asthma could be avoided partially by better diagnosis and therapeutic education.
LARP7 upregulates SIRT1 deacetylase activity and inhibits Th1/Th17 cytokine response in psoriatic mice
Authors: Li Na , Liu Yulei
Published: November 2023

Objective: To investigate the possible role of La ribonucleoprotein 7 (LARP7) in psoriasis through a mouse model and uncover its underlying mechanism.
Methods: The back skin of C57BL/6 mice was smeared with IMquimod (IMQ) cream for 7 days to induce psoriasis. Immunoblot kit was used to detect the deacetylase activity of SIRT1 (member of sirtuin family). Hematoxylin and eosin staining was used to assess the degree of psoriasis in mouse. Flow cytometry assays were performed to confirm effects on Th1/Th17 cell differentiation. Enzyme-linked-immunosorbent serologic assays were used to detect the level of secreted cytokines.
Results: LARP7 upregulated SIRT1 deacetylase activity. LARP7 alleviated psoriasis symptoms in mice by upregulating SIRT1 deacetylase activity. In addition, LARP7 regulated Th1/Th17 cell differentiation in psoriatic mice. We further found that LARP7 inhibited Th1/Th17 cytokine.
Conclusion: LARP7 upregulated SIRT1 activity and inhibited Th1/Th17 cytokine response in psoriatic mice.
Music Therapy as a Treatment for a Woman Victim of Sexual and Psychological Abuse
Authors: Giménez-Castells Anna , Berrocal Jordi A. Jauset , Bertet Eduard Casas
Published: November 2023

The main objective of this article is to describe the process of improving the quality of life of a middle-aged woman who states that she suffered sexual abuse in childhood, by a close relative, and psychological abuse in her youth by her ex-spouse. Through a process of music therapy over a period of one year (September 2020 to September 2021), the person is helped to channel states of anxiety, and feelings of loneliness and low selfesteem, caused by the traumas experienced during their childhood and youth. For the study, the Rosenberg self-esteem scale (EAR), the Hamilton anxiety scale (HAS), and the loneliness scales from the University of California-Los Angeles (UCLA) were used.