bluuebunny/crossref_metadata_2025 huggingface dataset:
Coping Strategies Used by Health Care Workers in Ecuador During the COVID-19 Pandemic: Observational Study to Enhance Resilience and Develop Training Tools (Preprint)
Authors: Vicente María Asunción , Gil Hernández Eva , Carrillo Irene , Fernández César , López-Pineda Adriana , Guilabert Mercedes , Martín-Delgado Jimmy , Solis Carlos , Camba Karla , Cañizares Fuentes Wilson Ricardo , Mira José Joaquín
Published: May 2023

BACKGROUND

The COVID-19 pandemic has generated immense health care pressure, forcing critical decisions to be made in a socially alarmed environment. Adverse conditions have led to acute stress reactions, affective pathologies, and psychosomatic reactions among health personnel, which have been exacerbated by the successive waves of the pandemic. The recovery of the entire health system and its professionals has been hindered, making it essential to increase their resilience.

OBJECTIVE

This study aimed to achieve 2 primary objectives. First, it sought to identify coping strategies, both individual and organizational, used by health care workers in Ecuador to navigate the acute stress during the early waves of the pandemic. Second, it aimed to develop training materials to enhance team leaders' capabilities in effectively managing high-stress situations.

METHODS

The study used qualitative research techniques to collect information on institutional and personal coping strategies, as well as consensus-building techniques to develop a multimedia psychological tool that reinforces the resilience of professionals and teams in facing future crises.

RESULTS

The findings from the actions taken by health care workers in Ecuador were categorized into 4 types of coping strategies based on Lazarus' theories on coping strategies. As a result of this study, a new audiovisual tool was created, comprising a series of podcasts, designed to disseminate these strategies globally within the Spanish-speaking world. The tool features testimonials from health care professionals in Ecuador, narrating their experiences under the pressures of providing care during the pandemic, with a particular emphasis on the coping strategies used.

CONCLUSIONS

Ensuring the preparedness of health professionals for potential future outbreaks is imperative to maintain quality and patient safety. Interventions such as this one offer valuable insights and generate new tools for health professionals, serving as a case study approach to train leaders and improve the resilience capacity and skills of their teams.
A Device for Prehabilitation of Total Knee Replacement Surgery (Slider): Usability Study (Preprint)
Authors: Islam Riasat , Gooch Daniel , Karlakki Sudheer , Price Blaine
Published: May 2023

BACKGROUND

Rehabilitation, or “prehabilitation,” is essential in preparing for and recovering from knee replacement surgery. The recent demand for these services has surpassed available resources, a situation further strained by the COVID-19 pandemic, which has led to a pivot toward digital solutions such as web- or app-based videos and wearables. These solutions, however, face challenges with user engagement, calibration requirements, and skin contact issues. This study evaluated the practicality of a low-contact, gamified device designed to assist with prehabilitation exercises.

OBJECTIVE

The study aimed to assess the practicality and user-friendliness of a newly designed physiotherapy device (Slider) that enables exercise monitoring without the need for direct contact with the skin.

METHODS

A total of 17 patients awaiting knee replacement surgery at a UK National Health Service (NHS) hospital participated in this study. They used the device over a 2-week period and subsequently provided feedback through a usability and acceptability questionnaire.

RESULTS

The study was completed by all participants, with a majority (13/17, 76%) finding the device intuitive and easy to use. The majority of patients were satisfied with the device’s ability to meet their presurgery physiotherapy requirements (16/17, 94%) and expressed a willingness to continue using it (17/17, 100%). No safety issues or adverse effects were reported by the participants.

CONCLUSIONS

The results indicate that the device was found to be a feasible option for patients to conduct presurgery physiotherapy exercises independently, away from a clinical setting. Further research involving a larger and more diverse group of participants is recommended to validate these findings more robustly.
Performance Differences of a Touch-Based Serial Reaction Time Task in Healthy Older Participants and Older Participants With Cognitive Impairment on a Tablet: Experimental Study (Preprint)
Authors: Mychajliw Christian , Holz Heiko , Minuth Nathalie , Dawidowsky Kristina , Eschweiler Gerhard Wilhelm , Metzger Florian Gerhard , Wortha Franz
Published: May 2023

BACKGROUND

Digital neuropsychological tools for diagnosing neurodegenerative diseases in the older population are becoming more relevant and widely adopted because of their diagnostic capabilities. In this context, explicit memory is mainly examined. The assessment of implicit memory occurs to a lesser extent. A common measure for this assessment is the serial reaction time task (SRTT).

OBJECTIVE

This study aims to develop and empirically test a digital tablet–based SRTT in older participants with cognitive impairment (CoI) and healthy control (HC) participants. On the basis of the parameters of response accuracy, reaction time, and learning curve, we measure implicit learning and compare the HC and CoI groups.

METHODS

A total of 45 individuals (n=27, 60% HCs and n=18, 40% participants with CoI—diagnosed by an interdisciplinary team) completed a tablet-based SRTT. They were presented with 4 blocks of stimuli in sequence and a fifth block that consisted of stimuli appearing in random order. Statistical and machine learning modeling approaches were used to investigate how healthy individuals and individuals with CoI differed in their task performance and implicit learning.

RESULTS

Linear mixed-effects models showed that individuals with CoI had significantly higher error rates (b=−3.64, SE 0.86; z=−4.25; P<.001); higher reaction times (F1,41=22.32; P<.001); and lower implicit learning, measured via the response increase between sequence blocks and the random block (β=−0.34; SE 0.12; t=−2.81; P=.007). Furthermore, machine learning models based on these findings were able to reliably and accurately predict whether an individual was in the HC or CoI group, with an average prediction accuracy of 77.13% (95% CI 74.67%-81.33%).

CONCLUSIONS

Our results showed that the HC and CoI groups differed substantially in their performance in the SRTT. This highlights the promising potential of implicit learning paradigms in the detection of CoI. The short testing paradigm based on these results is easy to use in clinical practice.

CLINICALTRIAL
Determinants of Intravenous Infusion Longevity and Infusion Failure via a Nonlinear Model Analysis of Smart Pump Event Logs: Retrospective Study (Preprint)
Authors: Kia Arash , Waterson James , Bargary Norma , Rolt Stuart , Burke Kevin , Robertson Jeremy , Garcia Samuel , Benavoli Alessio , Bergström David
Published: May 2023

BACKGROUND

Infusion failure may have severe consequences for patients receiving critical, short–half-life infusions. Continued interruptions to infusions can lead to subtherapeutic therapy.

OBJECTIVE

This study aims to identify and rank determinants of the longevity of continuous infusions administered through syringe drivers, using nonlinear predictive models. Additionally, this study aims to evaluate key factors influencing infusion longevity and develop and test a model for predicting the likelihood of achieving successful infusion longevity.

METHODS

Data were extracted from the event logs of smart pumps containing information on care profiles, medication types and concentrations, occlusion alarm settings, and the final infusion cessation cause. These data were then used to fit 5 nonlinear models and evaluate the best explanatory model.

RESULTS

Random forest was the best-fit predictor, with an F1-score of 80.42, compared to 5 other models (mean F1-score 75.06; range 67.48-79.63). When applied to infusion data in an individual syringe driver data set, the predictor model found that the final medication concentration and medication type were of less significance to infusion longevity compared to the rate and care unit. For low-rate infusions, rates ranging from 2 to 2.8 mL/hr performed best for achieving a balance between infusion longevity and fluid load per infusion, with an occlusion versus no-occlusion ratio of 0.553. Rates between 0.8 and 1.2 mL/hr exhibited the poorest performance with a ratio of 1.604. Higher rates, up to 4 mL/hr, performed better in terms of occlusion versus no-occlusion ratios.

CONCLUSIONS

This study provides clinicians with insights into the specific types of infusion that warrant more intense observation or proactive management of intravenous access; additionally, it can offer valuable information regarding the average duration of uninterrupted infusions that can be expected in these care areas. Optimizing rate settings to improve infusion longevity for continuous infusions, achieved through compounding to create customized concentrations for individual patients, may be possible in light of the study’s outcomes. The study also highlights the potential of machine learning nonlinear models in predicting outcomes and life spans of specific therapies delivered via medical devices.

CLINICALTRIAL
Attitudes, Barriers, and Motivators Toward Daily Walking and a Mobile App to Increase Walking Among Women: Web-Based Anonymous Survey (Preprint)
Authors: Jones Catherine , Chandarana Shikha , Vyas Amita , Napolitano Melissa
Published: May 2023

BACKGROUND

There are disparities in the prevalence of physical activity (PA) with women engaging in less PA than men, a gap which widens during midlife. Walking is a generally accepted form of PA among women and should be encouraged. Motivations, barriers, and attitudes to engaging in walking change with age, but the influencing factors are not well understood nor are the features of mobile apps that facilitate daily walking.

OBJECTIVE

This study explores the relationship between age and women’s self-reported motivations, barriers, attitudes, and beliefs toward daily walking. It further assesses attitudes toward features of a mobile app designed to sync with a wearable step tracker to increase and maintain levels of daily walking among women.

METHODS

A web-based anonymous survey was completed by 400 women, aged 21-75 years. The 31-item survey captured women’s perceived barriers and motivators toward daily walking and attitudes toward mobile apps to support and maintain daily walking. For analysis, responses to the survey were grouped into 2 categories of women: ages 21-49 years and ages 50-75 years. Bivariate analyses were conducted through SPSS (IBM Corp) for each of the survey questions using chi-square for dichotomous variables and 1-tailed t tests for scales and continuous variables to identify significant differences between the groups. One-tailed t tests were run for scaled variables to identify significant differences between the 10-year age increments.

RESULTS

Significant barriers to daily walking were observed in the 21-49–year group for personal and work responsibilities, motivational and psychosocial factors, and physical and environmental factors. Motivators to walk daily in the 21- 49–year group were significantly higher to reduce stress and anxiety, and motivators to walk daily in the 50-75–year group were significantly higher to help manage or lose weight and to reduce the risk of chronic illness. Women’s walking preferences, beliefs around their walking behaviors, and their perceived importance of the features of a future mobile app for walking designed specifically for women showed significant variation according to age. When asked about the importance of features for a mobile app, women aged 21-49 years indicated a significantly higher number of positive responses for the following features: digital community support, rewards or point system, and seeing a daily or weekly or monthly progress chart.

CONCLUSIONS

Our findings indicate that barriers, motivators, and beliefs around daily walking and the importance of preferred features of a mobile app vary according to women’s ages. Messaging and app features should be tailored to different age groups of women. These study results can be viewed as a foundation for future research and development of mobile health interventions to effectively increase daily walking among women of all ages.

CLINICALTRIAL
Geographic and Temporal Trends in COVID-Associated Acute Kidney Injury in the National COVID Cohort Collaborative
Authors: Yoo Yun J. , Wilkins Kenneth J. , Alakwaa Fadhl , Liu Feifan , Torre-Healy Luke A. , Krichevsky Spencer , Hong Stephanie S. , Sakhuja Ankit , Potu Chetan K. , Saltz Joel H. , Saran Rajiv , Zhu Richard L. , Setoguchi Soko , Kane-Gill Sandra L. , Mallipattu Sandeep K. , He Yongqun , Ellison David H. , Byrd James B. , Parikh Chirag R. , Moffitt Richard A. , Koraishy Farrukh M. ,   on behalf of the N3C and RECOVER Consortia
Published: May 2023

Background

AKI is associated with mortality in patients hospitalized with coronavirus disease 2019 (COVID-19); however, its incidence, geographic distribution, and temporal trends since the start of the pandemic are understudied.

Methods

Electronic health record data were obtained from 53 health systems in the United States in the National COVID Cohort Collaborative. We selected hospitalized adults diagnosed with COVID-19 between March 6, 2020, and January 6, 2022. AKI was determined with serum creatinine and diagnosis codes. Time was divided into 16-week periods (P1–6) and geographical regions into Northeast, Midwest, South, and West. Multivariable models were used to analyze the risk factors for AKI or mortality.

Results

Of a total cohort of 336,473, 129,176 (38%) patients had AKI. Fifty-six thousand three hundred and twenty-two (17%) lacked a diagnosis code but had AKI based on the change in serum creatinine. Similar to patients coded for AKI, these patients had higher mortality compared with those without AKI. The incidence of AKI was highest in P1 (47%; 23,097/48,947), lower in P2 (37%; 12,102/32,513), and relatively stable thereafter. Compared with the Midwest, the Northeast, South, and West had higher adjusted odds of AKI in P1. Subsequently, the South and West regions continued to have the highest relative AKI odds. In multivariable models, AKI defined by either serum creatinine or diagnostic code and the severity of AKI was associated with mortality.

Conclusions

The incidence and distribution of COVID-19–associated AKI changed since the first wave of the pandemic in the United States.

Podcast

This article contains a podcast at https://dts.podtrac.com/redirect.mp3/www.asn-online.org/media/podcast/CJASN/2023_08_08_CJN0000000000000192.mp3
Emotion Detection for Hotel Industry Feedback System using Machine Learning
Authors: S Mr. Chandrappa , G Meghana , J Bhoomika H , P Pooja , K Sindhu
Published: May 2023

Abstract: This study investigates the extent to which hotel employees are conscious of their abilities to identify facial expressions and emotions conveyed by customers while interacting with those customers. Facial expressions and emotions may have significant implications when interpreted as a sign of satisfaction and the quality of the service that was provided. According to the findings, a sizeable portion of hotel staff members do not have an accurate understanding of their abilities to recognise facial expressions and emotions, and a large number of them have a tendency to exaggerate their capabilities. This study has significant ramifications in regard to employee efforts put into tasks (such as effort and concentration), employee selfdevelopment and training, and employee willingness to take risks in their respective service encounters.
Performance Analysis and Control of a Capacitor Start Induction Motor
Authors: Prasad Dr. K Raghavendra , G Shivesh V , P Basava Kumar , Ranjitha Epperu , Veeresh
Published: May 2023

Abstract: This paper presents an experimental study on the performance characteristics of a capacitor start induction motor. The objective of the study is to understand the starting torque, starting current, and speed control of the motor under different loads and input voltages. The experimental setup consists of a capacitor start induction motor, a tachometer, an ammeter, a voltmeter, a wattmeter, and a load. The motor is started by applying the input voltage to the stator winding, and the centrifugal switch disconnects the starting winding after the motor reaches a certain speed. The capacitor provides a phase shift in the current and voltage waveforms, which helps to start the motor. The motor performance is measured using the tachometer, ammeter, voltmeter, and wattmeter, and the data is analyzed to understand the efficiency and performance characteristics of the motor. The experimental results show that the motor can provide a high starting torque and efficient speed control with the use of a capacitor. The study provides practical insights into the performance characteristics and control of the capacitor start induction motor, and can be used to improve the energy efficiency of the motor in various applications.
Modelling and Simulation of Automatic Transmission
Authors: S Thuvaraga Pandi , V Joshua , S Surya , R Vishnurameshkumar
Published: May 2023

bstract: The simulation and modelling of vehicle control shift components, which take place through the gearbox of gears while deciding on the shift's features, is one of the many elements that determine a vehicle's characteristics. The efficiency of fuel combustion, the durability of the gearbox, the vehicle's operability, and the comfort of the driver are all factors that are impacted by modelling and simulation when used to design automobiles. This thesis uses MATLAB software to construct a model and simulate simpler models for gear-shift methods, taking into account driving variables such road slope, vehicle speed calculations, and other aspects to evaluate the gearbox system's behaviour. The research showed that decreasing the throttle input enhanced the engine's torque while decreasing its speed
Enhance Power Quality through Series Compensation in Power System
Authors: Jalit Sachin A.
Published: May 2023

Abstract: The power quality requirement is one of the most important issues especially with the introduction of sophisticated device whose performance is very sensitive to the quality of power supply. Power quality problem is an occurrence manifested as a non standard voltage, current or frequency that results in failure of end user equipment. One of the major problem deal with sag and harmonics .To solve this problem series compensation is used to improve power quality of an isolated power system is considered. The role of compensator not only mitigates voltage sag but also reduces harmonics due to presence of nonlinear load in the network. In this paper series compensation is proposed and principle of harmonics mitigation is explain and the compensation strategies and control philosophy used in series compensation is explain. The isolated power system model is simulated in matlab Simu link software and simulation result shows the reduce harmonics and thus improve power quality of the isolated power system
Assessment of the severity of the condition of patients with acute substance poisoning using the PSS scale
Authors: Lodyagin A. N. , Rakhmanova E. A. , Miroshnichenko A. G.
Published: May 2023

Objective. To determine the effectiveness and introduce the Poisoning Severity Score (PSS) scale into the clinical practice of the department for patients with acute poisoning with psychoactive substances.

Materials and methods. A single–center retrospective and prospective randomized clinical trial was conducted in 200 patients with acute poisoning with the psychostimulant alpha-pyrrolidinopentiophenone and the synthetic cannabinoid MDMB–FUBINACA. To assess the severity of substance poisoning, the Poisoning Severity Score (PSS) scale developed by the European Association of Clinical Toxicologists IPCS/EC/EAPCCT was used.

Results and discussion. This scale allows to objectify clinical and laboratory manifestations of acute poisoning with psychodisleptics, to identify the leading syndromes, to predict the risk of complications and emergency conditions.

Conclusion. The PSS scale is easy to use and does not require a wide range of diagnostic capabilities from a medical institution, helps to determine the tactics of patient management and determines the volume of emergency care at the hospital stage.
Eksistensi Politik Hukum Li dan Fa Dalam Ajaran Cina
Authors: Supena Nana , Syahuri Taufiqurrohman
Published: May 2023

This study examines the existence of Li and Fa in the Chinese legal system and legal politics. This research uses a normative legal methodology based on a historical methodology. According to the findings of the study, the legal system and Chinese legal politics emphasize the terms Li and Fa, which, in essence, allude to Li's teachings, which emphasize a set of ethical or moral standards that regulate patterns of human behavior and must be adhered to by every individual. In the meanwhile, Fa is a written law that every Chinese citizen must respect. In essence, this concept is a law that is intrinsic to the state, applies universally and without exception, and is codified in statutes. These two terms became the standard for the development of China's legal system and legal politics. Indirectly, China, which adheres to communism, follows the standards of morality and the law as a guide for life.
Amnesti: Hak Prerogatif Presiden dalam Perspektif Fiqh Siyasah
Authors: Razali Mutiara Fahmi , Umur Azmil , Putri Sinta Kartika
Published: May 2023

This article examines the granting of amnesty to perpetrators of political crimes by the President of the Republic of Indonesia. This authority is regulated in the Basic Law of the Republic of Indonesia, 1945, Article 14 paragraph (2), and Emergency Law Number 11, 1954, Article 1 on Amnesty and Abolition. Both of these rules do not specifically describe the limitations or types of criminal acts that amnesty may be granted to. The amnesty granted by the President to Baiq Nuril, a victim of sexual harassment involved in cases of infringement of the Information and Electronic Transactions Act, was carried out on the basis of humanity and justice. This policy has influenced the historical changes in amnesty law aimed at non-political cases. The study aims to examine the authority of the President of Indonesia in granting amnesty, reviewed from a fiqh siyasah perspective. Data is obtained through library studies and analyzed using a normative or doctrinal approach. The results of the study show that the granting of amnesty by the president is a prerogative of the president, as stipulated in the Basic Law of the Republic of Indonesia 1945. But in fiqh siyasah, the essence of amnesty is forgiveness. Forgiveness is the prerogative of the head of state, aimed at creating greater crimes, and does not violate the provisions of the law that have been established. The President's policy of granting amnesty in non-political cases is in accordance with the provisions of the fiqh siyasah, because the concept of amnesty in the law and the notion of forgiveness in the fiqh siyasah are equally based on the interests of the state and the crime of the community. Historical facts show that the Prophet Muhammad and the caliphs after him gave forgiveness to rebels, war criminals, and non-political criminals.
Pengangkatan Anak tanpa Penetapan Mahkamah Syar’iyah: Aktivitas Sosial, Kepastian Hukum di Nagan Raya, Aceh
Authors: Rahmatillah Syarifah , Ridwan Mahlil
Published: May 2023

Child raising is the transfer of the legal position of the child from the parent to the parent. In practice, the raising of children is usually carried out by persons who, in their marriage, do not produce offspring. The process of raising children in Indonesia has been regulated in PP No. 54 of 2007 on the Enforcement of Child Abduction and Permensos No. 110 of 2009 on the Conditions of Deprivation of Children. However, in practice, many children are raised by society in ways that are not in accordance with the rules. The problem that is investigated in this script is how the raising practices are carried out by the people of Kecamatan Tadu Raya and how the review of the Indonesian legal system is related to the implementation of the raising of children carried out in Kecamatan Tudu Raya. In this study, the author uses the method of the Yuridis empirical approach, which is to study the norms or rules that form the foundation and see the application of these rules in the life of society. The findings of this study revealed that child raising in the district of Tadu Raya is only implemented through the process of oral agreement between the parent raising with the parent of the child with the factor has not yet had children in the family, as well as the economic factor of the family raising the sense of disappointment to raise the child, the parent is also positioned as a child even though the relationship with the parents of his child is not decided. According to the Indonesian legal system, the practice of raising a child is not in accordance with positive law and Islamic law. So the practice of raising children in the Tadu Raya is only a social activity that does not follow the applicable legal process.
Restoratif Justice, Diversi dan Peradilan Anak Pasca Putusan Mahkamah Konstitusi Nomor 110/Puu-X/2012
Authors: Sumardi Dedy , Mansari Mansari , Albaba Maulana Fickry
Published: May 2023

The Constitutional Court, by Decision No. 110/Law-X/2012, repealed Articles 96, 100, and 101 of Law No. 11 of 2012 on the Child Criminal Justice System, which establishes penalties for judges, prosecutors, and investigators who do not seek discrimination against children who face the law. These provisions have no more binding legal force for judges, police, and prosecutors who do not perform their duties. The study focuses on the implementation of diversity and the impact of child protection before and after the Constitutional Court rulings. The interview data is obtained from the Banda Aceh State Court, supported by library data, and analyzed using a juridico-empirical approach. Based on the analysis of the data, it was found that the execution of diversion in the Banda Aceh State Court before the birth of the decision of the Constitutional Court Number 110/PUU-X/2012 was in accordance with the regulations of the laws in force and was accompanied by the threat of criminal offenses. After the birth of the judgment of the Constitutional Court, the execution of differences is an obligation that must be carried out by the judge but is not accompanied by the threat of a criminal offense for a judge who does not perform it. The impact of the ruling of the Constitutional Court is that there is no criminal threat to the judge, JPU, and investigator because the Constitutional Court ruling has declared Articles 96, 100, and 101 to have no binding legal force. Nevertheless, the duty of diversification remains a duty that must be enforced by law enforcement.
Jaminan Perlindungan Hukum Anak: Optimalisasi Unit Perempuan dan Anak Institusi POLRI
Authors: Sinaga Muhammad Ridho
Published: May 2023

This article discusses the existence of women’s and children’s units. The Women and Children Unit is responsible for providing services in the form of legal protection for women and children as victims of crime and law enforcement against their perpetrators. At present, the child, as the perpetrator of other violations of the law, is investigated according to the field of violations committed by the child and not dealt with by the Women and Children Unit. The focus of this article is on how the position and authority of the Women and Children Unit are based on Regulation No. 10 of 2007 on the Organization and Organization of Women and Children Units, as well as the urgency of the reform of criminal law through the powers of the Women and Children Unit. The research method is the juris-normative study of law. The findings of the research show that the Women’s and Children’s Units were given authority on the basis of Article 11 of Capolri Regulation No. 3 of 2008. This rule provides special protection and treatment for children who commit certain criminal acts, both as victims and as perpetrators of certain crimes. The uncertainty of the Women's and Children's Units in the process of handling children in terms of the investigation of the child of a criminal offense caused a large number of children to be involved in the investigation and investigation process, which was carried out by adult investigators and not children. With the impact caused in the process of handling the child, the offender’s conduct is considered inappropriate or less relevant. The provisions on the treatment of children of perpetrators in the case of investigation and investigation of children should be reformulated so that the child is protected from the negative impacts that may affect the fulfillment of the objectives of the child criminal justice system.
Determinants of performance improvement of Micro, Small, and Medium Enterprises (MSME) in the border market of North Timor Central District â€“ Timor Leste
Authors: Pangastuti Margareta Diana , Nalle Frederic Winston , Rado Bernadus Gawa , Kolo Adriana
Published: May 2023

This study examines the impact of financial literacy, technological innovation, government support, and subjective norms on the performance of Micro, Small, and Medium Enterprises (MSMEs) in the North Central Timor District (TTU)-Timor Leste Border Market. Furthermore, it seeks to identify appropriate strategies for enhancing MSME performance in this region. Both multiple linear regression analysis and descriptive analysis were employed as research methods. The study population included all MSMEs in the TTU District, totaling 693 entities. The researchers employed a purposive sampling technique based on the Slovin formula, selecting 80 respondents as research samples. The findings indicated that technological innovation, government support, and subjective norms significantly affect MSME performance in the TTU-Timor Leste Border Market. To improve the performance of MSMEs, various strategies can be implemented. These encompass the enhancement of financial literacy through training and mentoring programs, adopting e-commerce within the digital economy, and improving human resource quality and product standards. Other strategies include fostering partnerships among institutions, cultivating an investment-friendly bureaucracy, implementing product labeling, establishing legal business associations, and promoting motivation and self-confidence.
Simbiosis: síndrome de burnout frente a la eficiencia del desarrollo laboral en instituciones de salud
Authors: Jiménez - Rodríguez Luis Alfredo , Gamboa - Suarez Ramiro , Jimenez – Ospina Johao Sebastian
Published: May 2023

Objetivo: Determinar el Síndrome de Burnout en el talento humano asistencial que labora en instituciones prestadoras de servicio de salud de mediana y alta complejidad, teniendo en cuenta que el desgaste profesional es la manifestación más grave del estrés laboral, es necesario identificarlo tempranamente para lograr una intervención oportuna y pertinente que permita mejorar condiciones laborales. Método: Se utilizó un paradigma positivista, con enfoque Cuantitativo (Causas y efectos a partir de datos numéricos), tipo descriptivo de diseño transversal, a una población de 3 instituciones prestadoras de servicios de salud de mediana y alta complejidad en los municipios de Neiva Huila –Girardot Cundinamarca y Ocaña norte de Santander, El material utilizado y aplicado fue la encuesta   CESQT, con un contenido de 20 ítems. Resultados: Se conocieron las variables sociodemográficas y propias del instrumento para realizar tabulación de datos en el documento Excel y luego se avanzó en el instrumento estadístico en donde el desgaste profesional por el síndrome genera tedio, depresión, ansiedad, perdida de la autoestima y frustración personal, manifestándose de forma cognitiva, emocional y conductual, como respuesta al estrés crónico laboral Conclusiones: El Síndrome de burnout, se puede definir como una patología silenciosa a la cual está expuesto cualquier trabajador y que puede desencadenar en graves afectaciones si no es detectada tratada y curada a tiempo.
A terra tremeu dentro de mim e eu fiquei sem casa
Authors: Zenun Maíra
Published: May 2023

Este artigo é resultado de um projeto de pesquisa e registro de grafites e pichações inscritas nas paredes de Lisboa, e que advém de produção artística e política urbana feita pela população negra portuguesa e imigrante, que habita a cidade. O resultado é esta escrevivência sobre o corpo negro [feminino] em relação - e em atividade - com a experiência de ser e de estar (em) Lisboa, pensando como essas marcas da cidade afetam corpos negros, inclusive o meu. Dada a oportunidade, e destinada ao reconhecimento de dados sobre o que é ser do outro lado do Atlântico, nesta cidade qualquer. Pelas ruas da Damaia, pelas ruas da Linha de Sintra, da Cova da Moura, vi o meu corpo em protagonismo com outros corpos. E desta visagem necessária, articulei uma série de imagens, que revelam as marcas de uma população igual a mim, e diferente a mim, registradas nas paredes dessas cidades específicas, que moram e habitam a Lisboa dourada, das gentrificações, dos turistas em excesso e dos muitos pequenos mundos internos - que a constroem e alimentam. Lavagem, grafitagem, gravidez, sacudimentos e enxertos.
A importância do ato de ler e escrever na produção e partilha dos conhecimentos
Authors: Castro Mary Garcia
Published: May 2023

Esta peça decola de conferencia apresentada em 25 de março de 2023 no XIX Seminário do Dia Mundial de Combate à Discriminação Étnica, VIII Seminário do Programa de Pós-Graduação em Relações Étnicas e Contemporaneidade e o I Seminário do Dia Nacional das Tradições das Raízes de Matrizes Africanas e Nações do Candomblé, no ODEERE - Órgão de Educação e Relações Étnicas da Universidade Estadual do Sudoeste da Bahia (UESB), campus de Jequié BA. Agradeço à Comissão Organizadora[i], o convite, a sugestão do tema para a conferencia, e a possibilidade de, ainda que virtualmente, estar no ODEERE e PPGREC, casas de saberes que me acolheram entre 2017 e 2018, em um pós doutorado, e que muito contribuíram para minha virada para uma perspectiva feminista decolonial e para estudos étnicos.
Esophageal lung complicated by recurrent pneumonia
Authors: Babbar Sushant , Kumar Abhinandan
Published: May 2023

6 month old child presented with complaints of recurrent respiratory
infection, tachypnea and decreased air entry on right side . Xray chest
AP view (Fig[1](#fig-cap-0001)) showed opaque right hemithorax with
ipsilateral mediastinal shift and compensatory hyperinflation of left
lung. Further evaluation with CECT thorax (Fig [2](#fig-cap-0002))
showed hypoplastic right lung with collapse consolidation and right
sided mediastinal shift. Bifurcation of trachea was not seen with
trachea continuing as left main bronchus with normal segmental division.
Right bronchus appears to be arising from lower part of esophagus,
precise communication was not demonstrated (Fig
[3](#fig-cap-0003)). Conventional contrast (non ionic) esophagogram
was performed and free flow of contrast was seen from lower third of
esophagus to the right main bronchus (Fig [4](#fig-cap-0004))
confirming the diagnosis of Congenital bronchopulmonary foregut
malformation (CBPFM)
The prognostic outcome of Atypical Atrial Flutter following a single electrophysiology study and ablation
Authors: Mekala Sudeepthi Reddy , Iyengar Sumedh , Klanderman Molly , Elzamar Mohammed , Kusumoto Fred , Asirvatham Samuel , Shen Win-Kuang , Valverde Arturo , Srivathsan Komandoor
Published: May 2023

Background: Atypical Atrial Flutter (AAFL) prevalence is
increasing due to the escalating Atrial Fibrillation (AF) ablations and
cardiac surgeries. We wanted to explore the outcome of the AAFL
ablation, considering the recent changes in mapping and ablation.
Methods: This study was approved by the Institutional Review
Board (IRB) of Mayo Clinic hospital. We retrospectively studied 419
patients who had undergone AAFL ablation at Mayo Clinic from January
2017 to June 2022. Thirteen patients declined research authorization,
and 19 patients were lost to follow-up during the 90-day blanking
period, resulting in a sample size of 387. The median follow-up time for
patients was 25.7 months (95% CI 23.7, 32.3). Results:
Recurrent symptoms with documentation of atrial arrhythmia Occurred in
226/387 (58.4%) patients, of which 151/226 (66.8%) occurred within the
first year. The median time to recurrence was 8.5 months (max 57.8
months). Eleven patients died during the study period, 9 of whom
experienced recurrence prior to death. Overall, the median
recurrence-free survival (RFS) time was 16.6 months (95% CI 13.2, 20.0)
with a 1-year RFS rate of 57.2% (95% CI 52.2, 62.7%). Acute
termination occurred 324/387 (83.7%) during the ablation. The 1-year
RFS rate was 58.9% (95% CI 53.5%, 64.9%) for patients with acute
termination and 49.0% (95% CI 37.9%, 63.4%) for those without acute
termination. The rate was not significantly different based on acute
termination status (p = 0.11). Conclusions: The one-year RFS
rate of 57.2% following AAFL ablation, even though 83.7% achieved
acute termination during the procedure, signifies the extent of the
underlying substrate abnormalities.
Securities and Exchange Commission Comment Letter Disclosures and Short Sellers’ Front Running
Authors: Lee Sam , Ling Zhejia , Rezaee Zabihollah
Published: May 2023

Prior studies show that comment letters released by the Securities and Exchange Commission provide information on firms’ financial reporting quality and can have adverse value implications about the firms. We examine whether short sellers front-run comment letter disclosures and take short positions based on the economic implications of the letters. We find that short interest increases before comment letter disclosures and that the increase is positively associated with the severity of the letters. We also find evidence suggesting that short sellers obtain private information through social connections with corporate insiders. Finally, we document a negative but delayed market reaction to the disclosure of severe comment letters. These results suggest that front running the comment letter disclosure is not the optimal trading strategy for short sellers. Short sellers can gain similar profits, and bear less risk, if they put off increasing their short positions until after the disclosure.

JEL Classifications: G32; M40.
A Randomized Crossover Trial to Compare Automated Insulin Delivery (the Artificial Pancreas) With Carbohydrate Counting or Simplified Qualitative Meal-Size Estimation in Type 1 Diabetes
Authors: Haidar Ahmad , Legault Laurent , Raffray Marie , Gouchie-Provencher Nikita , Jafar Adnan , Devaux Marie , Ghanbari Milad , Rabasa-Lhoret Rémi
Published: May 2023

OBJECTIVE

Qualitative meal-size estimation has been proposed instead of quantitative carbohydrate (CHO) counting with automated insulin delivery. We aimed to assess the noninferiority of qualitative meal-size estimation strategy.

RESEARCH DESIGN AND METHODS

We conducted a two-center, randomized, crossover, noninferiority trial to compare 3 weeks of automated insulin delivery with 1) CHO counting and 2) qualitative meal-size estimation in adults with type 1 diabetes. Qualitative meal-size estimation categories were low, medium, high, or very high CHO and were defined as <30 g, 30–60 g, 60–90 g, and >90 g CHO, respectively. Prandial insulin boluses were calculated as the individualized insulin to CHO ratios multiplied by 15, 35, 65, and 95, respectively. Closed-loop algorithms were otherwise identical in the two arms. The primary outcome was time in range 3.9–10.0 mmol/L, with a predefined noninferiority margin of 4%.

RESULTS

A total of 30 participants completed the study (n = 20 women; age 44 (SD 17) years; A1C 7.4% [0.7%]). The mean time in the 3.9–10.0 mmol/L range was 74.1% (10.0%) with CHO counting and 70.5% (11.2%) with qualitative meal-size estimation; mean difference was −3.6% (8.3%; noninferiority P = 0.78). Frequencies of times at <3.9 mmol/L and <3.0 mmol/L were low (<1.6% and <0.2%) in both arms. Automated basal insulin delivery was higher in the qualitative meal-size estimation arm (34.6 vs. 32.6 units/day; P = 0.003).

CONCLUSIONS

Though the qualitative meal-size estimation method achieved a high time in range and low time in hypoglycemia, noninferiority was not confirmed.
Migranter der blev aktivister: Prodemokratisk mobilisering blandt russiske migranter i Danmark og Norge
Authors: Stevnhøj Katrine
Published: May 2023

Abstract: Migrants turned activists: Pro-democratic mobilisation amongst Russian migrants in Denmark and NorwayThis article explores how emotions and group solidarity influence collective action. Through case study of Russian migrants’ engagement in pro-democratic transnational activism in Denmark and Norway, this article contributes to our understanding of emotions and their role in mobilising and demobilising collective action. The study is based on ethnographic research material consisting of semi-structured individual interviews with Russian activists in Norway (4) and Denmark (7). The analysis show that the role of emotions is two-fold. On the one hand, mobilising emotions, moral shock, and in-group interactions can increase group solidarities and recurring participation. The findings suggest that participation in transnational activism can be considered a strategy that helps the activists cope with sudden and traumatic political developments in their homeland. Interestingly, the study suggests that even emotions usually considered demobilising, such as fear, have the potential to strengthen group solidarity and thereby act as a mobilising factor. On the other hand, demobilising emotions and threats can weaken in-group dynamics and lead to demobilisation.
Efektivitas Analisis Butir Menggunakan Anajohn, Anates Dan Iteman Studi Soal Usbn Pelajaran Sejarah Kota Padang
Authors: Putri Rizqa Hamalliya , Ofianto Ofianto
Published: May 2023

This research aims to determine the quantitative analysis of the National Standard School Examination (USBN) questions on the history of Padang City High School in 2018/2019 school year using the Anajohn, Anates and Iteman programs. And to know the comparison of the effectiveness of programs in analyzing the quality of items and beneficial for the value of students. This research is quantitative descriptive. The subjects this research were students of class XII of SMA Negeri 2 Padang, SMA Negeri 4 Padang, and SMA Negeri 12 Padang. The data obtained were analyzed using three programs, namely Anajohn, Anates and Iteman. The results of the study showed: (1) Validity, in the Anajohn package A program there were 20 questions or 50% were declared valid and 18 questions or 45% were declared invalid, while there were 2 questions or 5% were not validated. In package B there are 30 questions or 75% declared valid and 10 items or 25% declared invalid. In the Anates package A program there are 30 questions or 75% declared valid and 10 questions or 25% declared invalid. In package B there are 27 questions or 67.5% declared valid and 13 items or 32.5% declared invalid; (2) Questions have high reliability; (3) The level of difficulty of easy questions; (4) Having good differentiation; (5) The function of the deception about the function; (6) An effective program for teachers to use is Iteman. While the benefit for the results or the value of students is Anates.
Eksplorasi dan Eksploitasi Penambangan Emas Lebong Donok (Bengkulu) Tahun 1897-1942
Authors: Andriyanto Rendi , Fitrisia Azmi
Published: May 2023

This study describe the Exploration and Exploitation gold mining in Lebong Donok, (Bengkulu) in 1897-1942. This research uses the historical method of the process: Heuristics, or data collection, then continued the procces of source criticism and interpretation of data, the final stage is the writing of history so that this research can be completed. The results showed that the first person to explore the Lebong Donok gold tambourine was Eugene Kassel. Eugene Kassel conducted a study in Lebong. The results of his research caught the attention of the owner of a mining company in Batavia so the company decided to explore the mine through Lebong Goud Syndicaat. The Dutch East Indies government granted management concessions to a Dutch private company named Mijnbouw Maatschappij Redjang Lebong in 1899 under the mining administrator H.J.A. Sanders, after the discovery of gold deposits at Lebong Donok in 1896 and the estabilishment of the company on 10 February 1897. The results of exploitation carried out by the Dutch East Indies government through private company Mijnbouw Maatschappij Redjang Lebong in Lebong Donok is very profitable and adds to the Dutch East Indies government.
Industri Kerupuk Kulit Anak Abak Durian Tarung 2000-2019: Perkembangan dan Peranan terhadap Tingkat Perekonomian Pelaku Usaha dan Masyarakat
Authors: Ratri Arinda Murwina , Fitrisia Azmi
Published: May 2023

This thesis is a study of economic history that discusses the development of the "Anak Abak”skin cracker industry on the Durian Tarung street in Pasar Ambacang sub-district, Kuranji Padang sub-district. Exposure on the struggle of the micro-scale industry or home industry that departed from loan capital with the diligence of the business carried out by Jamasri, the skin cracker entrepreneur, has now paid off and is able to contribute to the surrounding community by recruiting 7 permanent employees, giving the community the opportunity to participate in marketing the results of crackers and opportunities as a supplier of routine needs for the production of "Anak Abak” skin crackers.This research method is qualitative. Data collection techniques are interviews, observation and documentation openly with four types of respondents namely; Businessmen, Employees, Communities Around Industrial Locations and Traders who sell “Anak Abak” skin crackers around industrial sites. Using in-depth interview techniques with interview guidelines.From the results of the research, information about the historical development of the tides of the struggle of the home industry has been obtained, and in the form of a review of business management that describes the production process, capital management, raw materials, and marketing of the results of the production of skin crackers. Besides that, it was also explained the role of the “Anak Abak” skin cracker industry on improving the economy, explained in terms of job creation, as well as its impact on the economic level of the surrounding community and on its own business actors.
Penggunaan Teknik Storytelling dalam Keterampilan Menyajikan Cerita Sejarah di SMA Negeri 3 Painan
Authors: Febyusri Reren , Zafri Zafri
Published: May 2023

This research aims to find out the picturization of student skills on verbally presenting story of history by using storytelling technics. This research processed by the descriptive quantitative data to picturised the condition based on field data. The subject of this research were 22 students of XI social class in Senior High school 3 Painan. Research instrument in the form of skill assessment rubric using rating scale, and data processing were statistic deskriptive. The result of the research of student skills on verbally presenting story of history by using storytelling technics in Senior High School 3 Painan are : (1) storytelling is usefull on learning history comprehension that are fact, concept, causality, and contiunity of history; 2) storytelling accomodate student oral skill and student ability to create a story that represent the event of history; and (3) storytelling need a long prepared time too make sure student readiness to telling the story. It is because student should do a lot of thing to create the story, the material of story and also their readiness to perform.